{"id":5546,"date":"2024-04-18T07:28:00","date_gmt":"2024-04-18T00:28:00","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=5546"},"modified":"2024-04-17T15:46:24","modified_gmt":"2024-04-17T08:46:24","slug":"phoi-hop-lien-vien-kich-hoat-ecmo","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=5546","title":{"rendered":"PH\u1ed0I H\u1ee2P LI\u00caN VI\u1ec6N K\u00cdCH HO\u1ea0T ECMO C\u1ee8U S\u1ed0NG NG\u01af\u1edcI B\u1ec6NH \u0110\u1ed8T T\u1eec TI\u00caN L\u01af\u1ee2NG 90% T\u1eec VONG"},"content":{"rendered":"\n<p><strong>Kh\u00e1c v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ed9t t\u1eed \u0111\u01b0\u1ee3c c\u1ee9u s\u1ed1ng tr\u01b0\u1edbc \u0111\u00e2y, ng\u01b0\u1eddi b\u1ec7nh b\u1ecb suy ch\u1ee9c n\u0103ng tim n\u1ec1n r\u1ea5t n\u1eb7ng, r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t xu\u1ea5t hi\u1ec7n th\u00e0nh t\u1eebng c\u01a1n li\u00ean t\u1ee5c ngay c\u1ea3 sau khi can thi\u1ec7p tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3 v\u00e0 l\u00e0m gi\u1ea3m nhu c\u1ea7u chuy\u1ec3n ho\u00e1 n\u0103ng l\u01b0\u1ee3ng c\u00e1c m\u00f4 b\u1eb1ng h\u1ea1 th\u00e2n nhi\u1ec7t.<\/strong><\/p>\n\n\n\n<p>\u0110\u00f3 l\u00e0 tr\u01b0\u1eddng h\u1ee3p c\u1ee7a anh H.V. L, 59 tu\u1ed5i, qu\u00ea qu\u00e1n t\u1ea1i B\u1ebfn Tre, m\u1eafc b\u1ec7nh c\u01a1 tim d\u00e3n n\u1edf 4 n\u0103m nh\u01b0ng ch\u01b0a \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u1ed5n \u0111\u1ecbnh, hi\u1ec7n \u0111ang l\u00e0m b\u1ea3o v\u1ec7 m\u1ed9t c\u00f4ng ty t\u01b0 nh\u00e2n t\u1ea1i th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh. \u0110u\u01b0\u1ee3c bi\u1ebft khuya ng\u00e0y 24\/03\/2024, anh \u0111\u1ed9t ng\u1ed9t kh\u00f3 th\u1edf r\u1ed3i ng\u1eebng tim t\u1ea1i nh\u00e0 tr\u1ecd, \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 \u0111\u01b0a ngay \u0111\u1ebfn m\u1ed9t b\u1ec7nh vi\u1ec7n \u0111a khoa g\u1ea7n \u0111\u00f3. Sau khi h\u1ed3i sinh tim ph\u1ed5i v\u00e0 s\u1ed1c \u0111i\u1ec7n chuy\u1ec3n nh\u1ecbp li\u00ean t\u1ee5c trong 20 ph\u00fat v\u00ec r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t, ng\u01b0\u1eddi b\u1ec7nh ph\u1ee5c h\u1ed3i \u0111\u01b0\u1ee3c tu\u1ea7n ho\u00e0n t\u1ef1 nhi\u00ean. Tuy nhi\u00ean, do c\u00f3 b\u1ec7nh l\u00fd tim m\u1ea1ch n\u1ec1n c\u01a1 tim d\u00e3n v\u1edbi suy ch\u1ee9c n\u0103ng co b\u00f3p c\u1ea3 hai t\u00e2m th\u1ea5t n\u1eb7ng k\u00e8m v\u1edbi t\u00ecnh tr\u1ea1ng t\u1ee5t huy\u1ebft \u00e1p s\u00e2u ph\u1ea3i s\u1eed d\u1ee5ng v\u1eadn m\u1ea1ch li\u1ec1u cao, ph\u00f9 ph\u1ed5i c\u1ea5p, ti\u00ean l\u01b0\u1ee3ng nguy c\u01a1 t\u1eed vong g\u1ea7n nh\u01b0 90%. Sau khi h\u1ed9i ch\u1ea9n li\u00ean vi\u1ec7n, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c chuy\u1ec3n vi\u1ec7n ngay trong \u0111\u00eam v\u00e0o B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh.<\/p>\n\n\n\n<p>T\u1ea1i \u0111\u00e2y, ekip ECMO c\u1ee7a \u0110\u01a1n v\u1ecb H\u1ed3i s\u1ee9c tim m\u1ea1ch \u0111\u00e3 k\u00edch ho\u1ea1t s\u1eb5n s\u00e0ng, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c can thi\u1ec7p ECMO lai gh\u00e9p \u0111\u1ed9ng t\u0129nh m\u1ea1ch (V-AV ECMO) trong v\u00f2ng 30 ph\u00fat, h\u1ea1 th\u00e2n nhi\u1ec7t trung t\u00e2m v\u00e0 h\u1ed7 tr\u1ee3 l\u1ecdc m\u00e1u li\u00ean t\u1ee5c. ThS.BS. Nguy\u1ec5n Thanh Th\u1ea3o &#8211; Tr\u01b0\u1edfng nh\u00f3m ECMO cho bi\u1ebft: <em>\u201cCh\u00fang t\u00f4i v\u1eeba ph\u1ea3i s\u1eed d\u1ee5ng thu\u1ed1c v\u1eadn m\u1ea1ch \u0111i k\u00e8m c\u00e1c thu\u1ed1c t\u0103ng co b\u00f3p c\u01a1 tim v\u00e0 c\u00e1c thu\u1ed1c ch\u1ed1ng r\u1ed1i lo\u1ea1n nh\u1ecbp. Ch\u1ee9c n\u0103ng co b\u00f3p th\u1ea5t tr\u00e1i v\u00e0 c\u1ea3 th\u1ea5t ph\u1ea3i suy gi\u1ea3m r\u1ea5t n\u1eb7ng (ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u th\u1ea5t tr\u00e1i ch\u1ec9 15%) l\u00e0m di\u1ec5n ti\u1ebfn suy \u0111a t\u1ea1ng sau ng\u1eebng tim k\u00e9o d\u00e0i c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eaft \u0111\u1ea7u n\u1eb7ng n\u1ec1 h\u01a1n ngay c\u1ea3 khi \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3\u201d.<\/em> Theo ThS.BS. Tr\u1ea7n Th\u1ecb Ng\u1ecdc M\u1ef9 &#8211; Chuy\u00ean gia \u0111i\u1ec1u tr\u1ecb suy tim \u0110\u01a1n v\u1ecb H\u1ed3i s\u1ee9c tim m\u1ea1ch: \u201c\u0110\u1ed1i v\u1edbi b\u1ec7nh c\u01a1 tim d\u00e3n n\u1edf, hi\u1ec7n nay t\u1ea1i c\u00e1c trung t\u00e2m tim m\u1ea1ch chuy\u00ean s\u00e2u, ch\u00fang ta ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n nguy c\u01a1 \u0111\u1ed9t t\u1eed do r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t d\u1ef1a tr\u00ean ki\u1ec3u h\u00ecnh l\u00e2m s\u00e0ng, ph\u1ed1i h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch v\u00e0 t\u1ea7m so\u00e1t \u0111\u1ed9t bi\u1ebfn gene nguy hi\u1ec3m. Ng\u01b0\u1eddi b\u1ec7nh m\u1eafc b\u1ec7nh c\u01a1 tim d\u00e3n n\u1edf v\u1edbi nguy c\u01a1 \u0111\u1ed9t t\u1eed cao do r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3 b\u1eb1ng \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa suy tim t\u1ed1i \u01b0u, k\u00e8m c\u1ea5y m\u00e1y ph\u00e1 rung (ICD) khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh\u201d<\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-465b1a6d wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-1024x683.jpg \" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-1024x683.jpg\" alt=\"\" class=\"uag-image-5547\" width=\"1024\" height=\"683\" title=\"\" loading=\"lazy\"\/><\/figure><\/div>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-2a4a2474 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989855214_edbfc597c90b8edc08a3abae613486cc-1024x683.jpg \" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989855214_edbfc597c90b8edc08a3abae613486cc-1024x683.jpg\" alt=\"\" class=\"uag-image-5548\" width=\"1024\" height=\"683\" title=\"\" loading=\"lazy\"\/><\/figure><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Kh\u00e1c v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ed9t t\u1eed \u0111\u01b0\u1ee3c c\u1ee9u s\u1ed1ng tr\u01b0\u1edbc \u0111\u00e2y, ng\u01b0\u1eddi b\u1ec7nh b\u1ecb suy ch\u1ee9c n\u0103ng tim n\u1ec1n r\u1ea5t n\u1eb7ng, r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t xu\u1ea5t hi\u1ec7n th\u00e0nh t\u1eebng c\u01a1n li\u00ean t\u1ee5c ngay c\u1ea3 sau khi can thi\u1ec7p tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3 v\u00e0 l\u00e0m gi\u1ea3m nhu c\u1ea7u chuy\u1ec3n ho\u00e1 n\u0103ng l\u01b0\u1ee3ng c\u00e1c m\u00f4 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":5547,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_regular_price":[],"currency_symbol":[],"inline_featured_image":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[56],"tags":[],"class_list":["post-5546","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"aioseo_notices":[],"post_slider_layout_featured_media_urls":{"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-150x150.jpg",150,150,true],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-1200x1707.jpg",1200,1707,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-1200x1200.jpg",1200,1200,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-600x600.jpg",600,600,true],"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0.jpg",2560,1707,false]},"uagb_featured_image_src":{"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0.jpg",2560,1707,false],"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-150x150.jpg",150,150,true],"medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-300x200.jpg",300,200,true],"medium_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-768x512.jpg",768,512,true],"large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-1024x683.jpg",805,537,true],"PVGM_gallery_admin_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-300x300.jpg",300,300,true],"PVGM_gallery_admin_circle":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-400x400.jpg",400,400,true],"PVGM_gallery_admin_medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-400x1707.jpg",400,1707,true],"1536x1536":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-1536x1024.jpg",1536,1024,true],"2048x2048":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-2048x1366.jpg",2048,1366,true],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-1200x1707.jpg",1200,1707,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-1200x1200.jpg",1200,1200,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-600x600.jpg",600,600,true],"ultp_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-1200x800.jpg",1200,800,true],"ultp_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/z5349989875358_ff91d63788304f6dd8e9672e316e11e0-870x570.jpg",870,570,true],"ultp_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/up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