{"id":3923,"date":"2023-10-26T07:52:28","date_gmt":"2023-10-26T00:52:28","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=3923"},"modified":"2023-10-26T07:52:38","modified_gmt":"2023-10-26T00:52:38","slug":"phau-thuat-thanh-cong-truong-hop-hiem-gap-ap-xe-tuy-do-xuong-ca","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=3923","title":{"rendered":"PH\u1eaaU THU\u1eacT TH\u00c0NH C\u00d4NG TR\u01af\u1edcNG H\u1ee2P HI\u1ebeM G\u1eb6P: \u00c1P XE T\u1ee4Y DO X\u01af\u01a0NG C\u00c1"},"content":{"rendered":"\n

\u0102n c\u00e1 c\u00e1ch \u0111\u00e2y kho\u1ea3ng m\u1ed9t th\u00e1ng, kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u b\u1ecb m\u1eafc x\u01b0\u01a1ng nh\u01b0ng anh T.M.H 33 tu\u1ed5i, ng\u1ee5 t\u1ea1i TPHCM th\u1ea5y \u0111au b\u1ee5ng, s\u1ed1t nh\u1eb9 k\u00e9o d\u00e0i. Anh T nh\u1eadp vi\u1ec7n \u1edf c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u00e0 v\u1edbi ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ru\u1ed9t, \u0111i\u1ec1u tr\u1ecb kho\u1ea3ng m\u1ed9t tu\u1ea7n. Sau khi xu\u1ea5t vi\u1ec7n, anh T ti\u1ebfp t\u1ee5c xu\u1ea5t hi\u1ec7n c\u01a1n \u0111au b\u1ee5ng \u00e2m \u1ec9, \u0103n u\u1ed1ng k\u00e9m n\u00ean nh\u1eadp Khoa C\u1ea5p c\u1ee9u B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u00e0o chi\u1ec1u ng\u00e0y 19\/10\/2023. C\u00e1c b\u00e1c s\u1ef9 b\u1ea5t ng\u1edd khi ph\u00e1t hi\u1ec7n ng\u01b0\u1eddi b\u1ec7nh c\u00f3 \u1ed5 \u00e1p xe k\u00edch th\u01b0\u1edbc 8*5 cm v\u00f9ng \u0111\u1ea7u t\u1ee5y c\u00f9ng v\u1edbi d\u1ecb v\u1eadt nghi ng\u1edd l\u00e0 x\u01b0\u01a1ng c\u00e1.<\/strong><\/p>\n\n\n\n

T\u00ecnh tr\u1ea1ng khi nh\u1eadp vi\u1ec7n ng\u01b0\u1eddi b\u1ec7nh s\u1ed1t tr\u00ean 38 \u0111\u1ed9, m\u1ea1ch 100 l\u1ea7n\/ph\u00fat, huy\u1ebft \u00e1p 110\/70 mmHg, b\u1ee5ng v\u00f9ng th\u01b0\u1ee3ng v\u1ecb \u0111au \u00e2m \u1ec9 k\u00e9o d\u00e0i. Qua khai th\u00e1c ti\u1ec1n s\u1eed bi\u1ebft \u0111\u01b0\u1ee3c ng\u01b0\u1eddi b\u1ec7nh b\u1eaft \u0111\u1ea7u c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y sau khi \u0103n c\u00e1 nh\u01b0ng kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n m\u1eafc x\u01b0\u01a1ng, b\u00e1c s\u0129 cho ch\u1ec9 \u0111\u1ecbnh si\u00eau \u00e2m b\u1ee5ng v\u00e0 ch\u1ee5p CT c\u00f3 c\u1ea3n quang \u0111\u1ec3 t\u00ecm d\u1ecb v\u1eadt trong b\u1ee5ng.<\/p>\n\n\n

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\"\"<\/figure>\n<\/div>\n\n\n

H\u00ecnh \u1ea3nh:<\/em><\/strong> \u1ed5 \u00e1p xe t\u1ee5y v\u00e0 d\u1ecb v\u1eadt x\u01b0\u01a1ng c\u00e1 qua n\u1ed9i soi<\/em><\/p>\n\n\n\n

K\u1ebft qu\u1ea3 cho th\u1ea5y ng\u01b0\u1eddi b\u1ec7nh c\u00f3 \u1ed5 \u00e1p xe v\u00f9ng \u0111\u1ea7u t\u1ee5y c\u00f9ng v\u1edbi d\u1ecb v\u1eadt c\u1ea3n quang nghi ng\u1edd l\u00e0 x\u01b0\u01a1ng c\u00e1, \u0111\u01b0\u1ee3c chuy\u1ec3n v\u00e0o khoa Ngo\u1ea1i Ti\u00eau h\u00f3a \u0111i\u1ec1u tr\u1ecb. T\u1ea1i \u0111\u00e2y c\u00e1c b\u00e1c s\u0129 h\u1ed9i ch\u1ea9n v\u00e0 quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt n\u1ed9i soi x\u1eed tr\u00ed th\u01b0\u01a1ng t\u1ed5n v\u00f9ng \u00e1p xe t\u1ee5y v\u00e0 g\u1eafp d\u1ecb v\u1eadt ra tr\u00e1nh \u00e1p xe lan r\u1ed9ng di\u1ec5n ti\u1ebfn nhi\u1ec5m tr\u00f9ng n\u1eb7ng h\u01a1n.<\/p>\n\n\n\n

BS.CKII Chung Ho\u00e0ng Ph\u01b0\u01a1ng \u2013 Khoa Ngo\u1ea1i Ti\u00eau h\u00f3a cho bi\u1ebft: \u201cKhi ph\u1eabu thu\u1eadt v\u00e0o \u1ed5 b\u1ee5ng v\u00f9ng b\u1edd d\u01b0\u1edbi gan tr\u00e1i th\u00ec ph\u00e1t hi\u1ec7n \u0111\u1ea7u x\u01b0\u01a1ng c\u00e1 nh\u00f4 ra, c\u00e1c b\u00e1c s\u0129 ti\u1ebfn h\u00e0nh r\u00fat x\u01b0\u01a1ng c\u00e1. Sau \u0111\u00f3 m\u1edf ti\u1ebfp v\u00e0o v\u00f9ng sau d\u1ea1 d\u00e0y, b\u1edd tr\u00ean t\u1ee5y c\u00f3 kh\u1ed1i \u00e1p xe to ph\u1eadp ph\u1ec1u k\u00edch th\u01b0\u1edbc 8*5cm, d\u00f9ng \u1ed1ng d\u1eabn l\u01b0u ch\u1ecdc kh\u1ed1i tr\u00ean r\u00fat ra \u0111\u01b0\u1ee3c 20ml d\u1ecbch m\u1ee7 n\u00e2u \u0111\u1eb7c c\u00f3 l\u1eabn m\u00f4 ho\u1ea1i t\u1eed\u201d.<\/em><\/p>\n\n\n

\n
\"\"<\/figure>\n<\/div>\n\n\n

H\u00ecnh \u1ea3nh d\u1ecbch m\u1ee7 \u0111\u01b0\u1ee3c r\u00fat ra<\/em><\/p>\n\n\n\n

Sau h\u01a1n 1 gi\u1edd ph\u1eabu thu\u1eadt, \u00ea k\u00edp \u0111\u00e3 d\u1eabn l\u01b0u hi\u1ec7u qu\u1ea3 \u1ed5 \u00e1p xe v\u00e0 l\u1ea5y \u0111\u01b0\u1ee3c 1 \u0111o\u1ea1n x\u01b0\u01a1ng c\u00e1 3cm ra kh\u1ecfi \u1ed5 b\u1ee5ng. Sau ph\u1eabu thu\u1eadt ng\u00e0y th\u1ee9 5, ng\u01b0\u1eddi b\u1ec7nh ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c d\u1eabn l\u01b0u th\u00eam 150ml d\u1ecbch t\u1eeb kh\u1ed1i \u00e1p xe. Hi\u1ec7n di\u1ec5n bi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh \u1ed5n \u0111\u1ecbnh, kh\u00f4ng s\u1ed1t, kh\u00f4ng \u0111au b\u1ee5ng, t\u1ef1 \u0103n u\u1ed1ng \u0111\u01b0\u1ee3c, ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c theo d\u00f5i \u0111i\u1ec1u tr\u1ecb t\u1ea1i \u0110\u01a1n v\u1ecb Gan M\u1eadt T\u1ee5y v\u00e0 d\u1ef1 ki\u1ebfn s\u1ebd xu\u1ea5t vi\u1ec7n trong m\u1ed9t v\u00e0i ng\u00e0y t\u1edbi.<\/p>\n\n\n

\n
\"\"<\/figure>\n<\/div>\n\n\n

H\u00ecnh \u1ea3nh BS th\u0103m kh\u00e1m cho ng\u01b0\u1eddi b\u1ec7nh sau ph\u1eabu thu\u1eadt<\/em><\/p>\n\n\n\n

“Th\u00f4ng th\u01b0\u1eddng c\u00e1c d\u1ecb v\u1eadt \u0111\u01b0\u1eddng ti\u00eau h\u00f3a nh\u01b0 x\u01b0\u01a1ng c\u00e1, t\u0103m x\u1ec9a r\u0103ng…s\u1ebd g\u00e2y r\u00e1ch, th\u1ee7ng, vi\u00eam \u1edf v\u00f9ng \u1ed5 b\u1ee5ng ( d\u1ea1 d\u00e0y, \u0111\u1ea1i tr\u00e0ng, ru\u1ed9t non..), \u00edt khi \u0111i s\u00e2u \u0111\u01b0\u1ee3c v\u00e0o b\u00ean trong tuy\u1ebfn t\u1ee5y. \u00c1p xe t\u1ee5y do nu\u1ed1t x\u01b0\u01a1ng c\u00e1 ho\u1eb7c v\u1eadt l\u1ea1 kh\u00e1c l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng hi\u1ebfm g\u1eb7p, nghi\u00eam tr\u1ecdng v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng. Khi m\u1ed9t v\u1eadt th\u1ec3 l\u1ea1 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y x\u01b0\u01a1ng c\u00e1 \u0111\u00e3 xuy\u00ean qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 \u0111\u1ebfn tuy\u1ebfn t\u1ee5y, n\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u00eam t\u1ee5y, g\u00e2y t\u1ed5n th\u01b0\u01a1ng, nhi\u1ec5m tr\u00f9ng v\u00e0 h\u00ecnh th\u00e0nh \u00e1p xe. N\u1ebfu kh\u00f4ng x\u1eed l\u00fd k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m tr\u00f9ng l\u00e2y lan sang c\u00e1c m\u00f4 v\u00e0 c\u01a1 quan xung quanh, d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng.\u201d. <\/em>Bs Ph\u01b0\u01a1ng cho bi\u1ebft th\u00eam.<\/p>\n\n\n\n

Qua \u0111\u00f3 b\u00e1c s\u0129 khuy\u1ebfn c\u00e1o khi \u0103n u\u1ed1ng, c\u1ea7n ph\u1ea3i c\u1ea9n th\u1eadn nhai ch\u1eadm v\u00e0 k\u0129, \u0111\u1eb7c bi\u1ec7t l\u00e0 ng\u01b0\u1eddi l\u1edbn tu\u1ed5i m\u1ea5t r\u0103ng v\u00e0 tr\u1ebb nh\u1ecf. Trong tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd h\u00f3c x\u01b0\u01a1ng ho\u1eb7c c\u00e1c lo\u1ea1i d\u1ecb v\u1eadt kh\u00e1c th\u00ec c\u1ea7n ph\u1ea3i \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 th\u0103m kh\u00e1m. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a nhi\u1ec5m tr\u00f9ng v\u00e0 ph\u00e1t tri\u1ec3n c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 kh\u1ea3 n\u0103ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng, ch\u1eb3ng h\u1ea1n nh\u01b0 nhi\u1ec5m tr\u00f9ng huy\u1ebft ho\u1eb7c suy \u0111a c\u01a1 quan.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0102n c\u00e1 c\u00e1ch \u0111\u00e2y kho\u1ea3ng m\u1ed9t th\u00e1ng, kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u b\u1ecb m\u1eafc x\u01b0\u01a1ng nh\u01b0ng anh T.M.H 33 tu\u1ed5i, ng\u1ee5 t\u1ea1i TPHCM th\u1ea5y \u0111au b\u1ee5ng, s\u1ed1t nh\u1eb9 k\u00e9o d\u00e0i. Anh T nh\u1eadp vi\u1ec7n \u1edf c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u00e0 v\u1edbi ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ru\u1ed9t, \u0111i\u1ec1u tr\u1ecb kho\u1ea3ng m\u1ed9t tu\u1ea7n. Sau khi xu\u1ea5t 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