{"id":3790,"date":"2023-10-19T10:40:34","date_gmt":"2023-10-19T03:40:34","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=3790"},"modified":"2023-10-19T10:50:18","modified_gmt":"2023-10-19T03:50:18","slug":"cuu-song-nguoi-benh-nguy-kich-do-vo-phinh-dong-mach-chu-nguc","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=3790","title":{"rendered":"C\u1ee9u th\u00e0nh c\u00f4ng ng\u01b0\u1eddi b\u1ec7nh nguy k\u1ecbch do v\u1ee1 ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c"},"content":{"rendered":"\r\n\r\n\r\n

B\u1ec7nh nh\u00e2n nam N.H.C, 56 tu\u1ed5i nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch nguy c\u01a1 t\u1eed vong do v\u1ee1 ph\u00ecnh ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c tr\u00ean n\u1ec1n b\u1ecb lao ph\u1ed5i ti\u1ebfn tri\u1ec3n \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u1ef9 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng. B\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c ngo\u1ea1n m\u1ee5c sau h\u1eadu ph\u1eabu, v\u1eeba \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n v\u1edbi t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe \u1ed5n \u0111\u1ecbnh.<\/strong><\/p>\r\n\r\n\r\n\r\n

Tr\u01b0\u1edbc \u0111\u00f3, anh C th\u1ea5y b\u1ecb \u0111au l\u01b0ng khi \u0111ang ch\u1ea1y xe m\u00e1y,c\u01a1n \u0111au lan ra tr\u01b0\u1edbc ng\u1ef1c v\u00e0 \u0111au h\u01a1n khi h\u00edt s\u00e2u. Ng\u01b0\u1eddi b\u1ec7nh nh\u1eadp vi\u1ec7n v\u00e0o m\u1ed9t c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u00e0 \u0111i\u1ec1u tr\u1ecb v\u1edbi ch\u1ea9n \u0111o\u00e1n lao ph\u1ed5i \u0111ang ti\u1ebfn tri\u1ec3n, ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c \u0111o\u1ea1n xu\u1ed1ng. <\/strong>\u0110\u00eam ng\u00e0y 29\/09\/2023, b\u1ec7nh nh\u00e2n nh\u1eadp khoa C\u1ea5p c\u1ee9u B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1edbi t\u00ecnh tr\u1ea1ng \u0111au l\u01b0ng tr\u00e1i, lan nh\u00f3i tr\u01b0\u1edbc ng\u1ef1c.Qua\u00a0 kh\u00e1m b\u1ec7nh, c\u00e1c b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 anh C. \u0111ang trong t\u00ecnh tr\u1ea1ng h\u1ebft s\u1ee9c nguy hi\u1ec3m do kh\u1ed1i ph\u00ecnh t\u1ea1i \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c c\u00f3 kh\u1ea3 n\u0103ng \u0111\u00e3 v\u1ee1, th\u00eam v\u00e0o t\u00ecnh tr\u1ea1ng hai ph\u1ed5i c\u00e1c anh C. r\u1ea5t x\u1ea5u do b\u1ecb lao ph\u1ed5i, c\u00f3 nguy c\u01a1 t\u1eed vong b\u1ea5t k\u1ef3 l\u00fac n\u00e0o. C\u00e1c BS khoa Ngo\u1ea1i l\u1ed3ng ng\u1ef1c- m\u1ea1ch m\u00e1u, khoa N\u1ed9i h\u00f4 h\u1ea5p, Khoa G\u00e2y m\u00ea h\u1ed3i s\u1ee9c h\u1ed9i ch\u1ea9n kh\u1ea9n tr\u01b0\u01a1ng \u0111\u1ec3 t\u00ecm gi\u1ea3i ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\r\n\r\n\r\n\r\n

TS.BS Ti\u00eau Ch\u00ed \u0110\u1ee9c \u2013 Ph\u00f3 tr\u01b0\u1edfng khoa Ngo\u1ea1i L\u1ed3ng ng\u1ef1c – M\u1ea1ch m\u00e1u cho bi\u1ebft: \u201c T\u00ecnh tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh l\u00fac n\u00e0y l\u00e0 h\u1ebft s\u1ee9c nguy hi\u1ec3m v\u00ec k\u1ebft qu\u1ea3 CT cho th\u1ea5y h\u00ecnh \u1ea3nh 2 kh\u1ed1i ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c xu\u1ed1ng: kh\u1ed1i ph\u00ecnh th\u1ee9 1 k\u00edch th\u01b0\u1edbc 63x75mm, kh\u1ed1i ph\u00ecnh th\u1ee9 2 k\u00edch th\u01b0\u1edbc 70x68mm, kh\u1ed1i ph\u00ecnh th\u1ee9 nh\u1ea5t \u0111\u00e3 v\u1ee1 nh\u01b0ng nh\u1edd c\u00f3 c\u00e1c c\u1ea5u tr\u00fac xung quanh nh\u01b0 c\u1ed9t s\u1ed1ng, ph\u1ed5i khu tr\u00fa gi\u1eef l\u1ea1i m\u1ed9t c\u00e1ch mong manh, nh\u1edd \u0111\u00f3 m\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u00f2n gi\u1eef \u0111\u01b0\u1ee3c t\u00ednh m\u1ea1ng, ch\u1ec9 c\u1ea7n m\u1ed9t t\u00e1c \u0111\u1ed9ng nh\u1eb9 nh\u01b0 huy\u1ebft \u00e1p t\u0103ng l\u00ean hay d\u1eb1ng s\u1ed1c ng\u01b0\u1eddi b\u1ec7nh l\u00e0 c\u00f3 th\u1ec3 g\u00e2y to\u00e1c kh\u1ed1i m\u00e1u t\u1ee5, t\u00ednh m\u1ea1ng s\u1ebd b\u1ecb \u0111e d\u1ecda. H\u01a1n n\u1eefa ph\u1ed5i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh l\u1ea1i \u0111ang b\u1ecb t\u1ed5n th\u01b0\u01a1ng, vi\u1ec7c l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00fac n\u00e0y c\u0169ng r\u1ea5t nan gi\u1ea3i v\u00ec ph\u1ed5i ng\u01b0\u1eddi b\u1ec7nh \u0111ang r\u1ea5t x\u1ea5u do lao ti\u1ebfn tri\u1ec3n, v\u00ec v\u1eady ph\u1eabu thu\u1eadt c\u1ea7n g\u00e2y m\u00ea g\u1ea7n nh\u01b0 kh\u00f3 c\u00f3 th\u1ec3 th\u00e0nh c\u00f4ng. Sau khi h\u1ed9i ch\u1ea9n, tham kh\u1ea3o \u00fd ki\u1ebfn c\u00e1c chuy\u00ean gia m\u1ed9t c\u00e1ch to\u00e0n di\u1ec7n, ch\u00fang t\u00f4i quy\u1ebft \u0111\u1ecbnh ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p l\u00e0 can thi\u1ec7p n\u1ed9i m\u1ea1ch \u0111\u1eb7t \u1ed1ng gh\u00e9p Stent Graft<\/em>\u201d.<\/p>\r\n\r\n\r\n\r\n

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H\u00ecnh \u1ea3nh CTA tr\u01b0\u1edbc khi can thi\u1ec7p<\/em><\/p>\r\n\r\n\r\n\r\n

V\u1edbi k\u1ef9 thu\u1eadt can thi\u1ec7p \u0111\u1eb7t stent graft, b\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh th\u00f4ng qua v\u1ebft m\u1ed5 \u1edf b\u1eb9n v\u1edbi v\u00f4 c\u1ea3m t\u00ea t\u1ea1i ch\u1ed7, qua \u0111\u00f3 v\u00e0o m\u1ea1ch \u0111\u00f9i lu\u1ed3ng l\u00ean t\u1edbi v\u1ecb tr\u00ed kh\u1ed1i ph\u00ecnh v\u00e0 \u0111\u1eb7t \u1ed1ng gh\u00e9p nh\u00e2n t\u1ea1o (Stent Graft) b\u1eafc c\u1ea7u ngang qua kh\u1ed1i ph\u00ecnh \u0111\u00e3 b\u1ecb v\u1ee1 t\u1eeb b\u00ean trong l\u00f2ng \u0111\u1ed9ng m\u1ea1ch. \u0110\u00e2y l\u00e0 k\u1ef9 thu\u1eadt \u00edt x\u00e2m l\u1ea5n l\u00e0m gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng th\u1ea5p h\u01a1n t\u1eeb so v\u1edbi ph\u1eabu thu\u1eadt m\u1edf.<\/p>\r\n\r\n\r\n\r\n

\u00a0\u201cCh\u00fang t\u00f4i \u0111\u00e3 ph\u1ea3i \u201cn\u00edn th\u1edf\u201d t\u1eeb khi ti\u1ebfp nh\u1eadn ng\u01b0\u1eddi b\u1ec7nh cho \u0111\u1ebfn khi bung \u0111\u01b0\u1ee3c \u1ed1ng gh\u00e9p n\u1ed1i ngang qua 2 \u0111\u1ea7u m\u1ea1ch m\u00e1u, c\u00e1ch ly \u0111\u01b0\u1ee3c kh\u1ed1i ph\u00ecnh v\u1ee1 th\u00ec ch\u00fang t\u00f4i m\u1edbi \u201cth\u1edf ph\u00e0o\u201d bi\u1ebft l\u00e0 \u0111\u00e3 c\u00f3 th\u1ec3 gi\u1eef \u0111\u01b0\u1ee3c sinh m\u1ea1ng cho ng\u01b0\u1eddi b\u1ec7nh\u2026\u201d <\/em>TS.BS Ti\u00eau Ch\u00ed \u0110\u1ee9c chia s\u1ebb.<\/p>\r\n\r\n\r\n\r\n

\"\"<\/figure>\r\n\r\n\r\n\r\n

H\u00ecnh \u1ea3nh m\u1ea1ch m\u00e1u \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i sau khi \u0111\u01b0\u1ee3c x\u1eed tr\u00ed<\/em><\/p>\r\n\r\n\r\n\r\n

Ng\u01b0\u1eddi b\u1ec7nh sau \u0111\u00f3 \u0111\u01b0\u1ee3c chuy\u1ec3n v\u1ec1 khoa Ngo\u1ea1i L\u1ed3ng ng\u1ef1c M\u1ea1ch m\u00e1u ti\u1ebfp t\u1ee5c theo d\u00f5i \u0111i\u1ec1u tr\u1ecb. Qu\u00e1 tr\u00ecnh h\u1eadu ph\u1eabu c\u0169ng \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t sao \u0111\u1ec3 \u0111\u1ec1 ph\u00f2ng bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra. K\u1ebft qu\u1ea3 ch\u1ee5p CT ki\u1ec3m tra l\u1ea1i cho th\u1ea5y \u0111\u1ed9ng ch\u1ee7 ng\u1ef1c t\u1ea1i v\u1ecb tr\u00ed v\u1ee1 tr\u01b0\u1edbc \u0111\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c h\u1ed3i ph\u1ee5c \u1ed5n \u0111\u1ecbnh. Anh C. \u0111\u00e3 xu\u1ea5t vi\u1ec7n sau 5 ng\u00e0y v\u00e0 chuy\u1ec3n v\u1ec1 \u0111\u1ecba ph\u01b0\u01a1ng ti\u1ebfp t\u1ee5c u\u1ed1ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb lao.<\/p>\r\n\r\n\r\n\r\n

\"\"<\/figure>\r\n\r\n\r\n\r\n

TS.BS. Ti\u00eau Ch\u00ed \u0110\u1ee9c th\u0103m kh\u00e1m cho ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc khi xu\u1ea5t vi\u1ec7n<\/em><\/p>\r\n\r\n\r\n\r\n

Ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p hi\u1ec7n nay, b\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi l\u1edbn tu\u1ed5i c\u00f3 c\u00e1c b\u1ec7nh \u0111i k\u00e8m nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u, th\u00f3i quen h\u00fat thu\u1ed1c l\u00e1 \u2026 khi kh\u1ed1i ph\u00ecnh di\u1ec5n ti\u1ebfn v\u1ee1 ra, kh\u1ea3 n\u0103ng g\u00e2y t\u1eed vong cho ng\u01b0\u1eddi b\u1ec7nh l\u00e0 r\u1ea5t cao. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 n\u00ean \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 kh\u00e1m t\u1ea7m so\u00e1t ph\u00e1t hi\u1ec7n s\u1edbm \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb. Ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p \u0111\u1eb7t StentGraft l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt m\u1edbi, mang l\u1ea1i hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao hi\u1ec7n nay \u0111ang \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i Khoa Ngo\u1ea1i L\u1ed3ng ng\u1ef1c- M\u1ea1ch m\u00e1u -B\u01b0\u1edbu c\u1ed5 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh.<\/p>\r\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh nh\u00e2n nam N.H.C, 56 tu\u1ed5i nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch nguy c\u01a1 t\u1eed vong do v\u1ee1 ph\u00ecnh ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c tr\u00ean n\u1ec1n b\u1ecb lao ph\u1ed5i ti\u1ebfn tri\u1ec3n \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u1ef9 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng. B\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c ngo\u1ea1n m\u1ee5c sau h\u1eadu 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