{"id":6220,"date":"2024-06-21T15:01:29","date_gmt":"2024-06-21T08:01:29","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=6220"},"modified":"2025-01-13T10:22:04","modified_gmt":"2025-01-13T03:22:04","slug":"phoi-hop-lien-vien-cuu-song-san-phu-suy-da-tang-do-vo-tu-cung-kem-hoai-tu-ruot-non","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=6220","title":{"rendered":"PH\u1ed0I H\u1ee2P LI\u00caN VI\u1ec6N C\u1ee8U S\u1ed0NG S\u1ea2N PH\u1ee4 SUY \u0110A T\u1ea0NG DO V\u1ee0 T\u1eec CUNG K\u00c8M HO\u1ea0I T\u1eec RU\u1ed8T NON"},"content":{"rendered":"\n

S\u1ea3n ph\u1ee5 H\u1ed3 T.L, 38 tu\u1ed5i, mang thai l\u1ea7n 3, nh\u1eadp b\u1ec7nh vi\u1ec7n chuy\u00ean khoa s\u1ea3n \u0111\u00eam 04.05.2024 v\u00ec v\u1ee1 t\u1eed cung, thai l\u01b0u 32 tu\u1ea7n, nhau ti\u1ec1n \u0111\u1ea1o g\u00e2y s\u1ed1c nhi\u1ec5m tr\u00f9ng. S\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c m\u1ed5 c\u1ea5p c\u1ee9u c\u1eaft to\u00e0n b\u1ed9 t\u1eed cung. Tuy nhi\u00ean, sau m\u1ed5 5 ng\u00e0y, s\u1ea3n ph\u1ee5 ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n vi\u00eam ph\u00fac m\u1ea1c to\u00e0n th\u1ec3 do ho\u1ea1i t\u1eed ru\u1ed9t non v\u00e0 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt l\u1ea7n 2 c\u1eaft \u0111o\u1ea1n ru\u1ed9t ho\u1ea1t t\u1eed, m\u1edf h\u1eadu m\u00f4n ra da. Sau hai l\u1ea7n ph\u1eabu thu\u1eadt l\u1edbn, s\u1ea3n ph\u1ee5 v\u00e0o s\u1ed1c nhi\u1ec5m khu\u1ea9n, suy \u0111a t\u1ea1ng v\u1edbi t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim c\u1ea5p t\u00ednh, suy gan c\u1ea5p k\u00e8m r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, \u0111\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch lan to\u1ea3, suy th\u1eadn c\u1ea5p v\u00f4 ni\u1ec7u. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n li\u00ean vi\u1ec7n v\u1edbi B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u00e0 nhanh ch\u00f3ng chuy\u1ec3n \u0111\u1ebfn Khoa H\u1ed3i s\u1ee9c tim m\u1ea1ch \u0111\u1ec3 ti\u1ebfn h\u00e0nh h\u1ed3i s\u1ee9c chuy\u00ean s\u00e2u. Sau h\u01a1n 1 th\u00e1ng r\u00f2ng r\u00e3, b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt n\u1ed1i l\u1ea1i ru\u1ed9t th\u00e0nh c\u00f4ng v\u00e0 ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n ch\u1ee9c n\u0103ng c\u00e1c t\u1ea1ng.<\/p>\n\n\n\n

Ch\u1ecb H\u1ed3 T.L, mang thai con l\u1ea7n 3, ng\u00f4i ngang, kh\u00e1m thai \u0111\u1ecbnh k\u1ef3 t\u1ea1i b\u1ec7nh vi\u1ec7n s\u1ea3n khoa \u0111\u1ecba ph\u01b0\u01a1ng, nh\u1eadp b\u1ec7nh vi\u1ec7n T\u1eeb D\u0169 v\u00ec \u0111au b\u1ee5ng, l\u1eeb \u0111\u1eeb, t\u1ee5t huy\u1ebft \u00e1p n\u1eb7ng trong \u0111\u00eam 04.05.2024. Sau khi \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m c\u1ea5p c\u1ee9u, ch\u1ecb \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u1ee1 t\u1eed cung, s\u1ed1c nhi\u1ec5m khu\u1ea9n, thai ch\u1ebft l\u01b0u 32 tu\u1ea7n, ng\u00f4i ngang k\u00e8m nhau ti\u1ec1n \u0111\u1ea1o. Ch\u1ecb L. \u0111\u01b0\u1ee3c ekip b\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u ngay trong \u0111\u00eam. Sau \u0111\u00f3, s\u1ea3n ph\u1ee5 s\u1ed1t cao, th\u1edf nhanh, s\u1ed1c nhi\u1ec5m khu\u1ea9n ti\u1ebfn tri\u1ec3n v\u00e0 \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n li\u00ean vi\u1ec7n v\u1edbi Khoa Ngo\u1ea1i Ti\u00eau Ho\u00e1 B\u1ec7nh vi\u1ec7n Ch\u1ee3 R\u1eaby ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng l\u1ea7n 2, ghi nh\u1eadn c\u00f3 ho\u1ea1i t\u1eed h\u1ed3i tr\u00e0ng v\u00e0 c\u1eaft \u0111o\u1ea1n ru\u1ed9t non ho\u1ea1i t\u1eed, m\u1edf h\u1ed3i tr\u00e0ng ra da. Tr\u1ea3i qua hai cu\u1ed9c ph\u1eabu thu\u1eadt l\u1edbn, m\u1eb7c d\u00f9 \u0111\u00e3 gi\u1ea3i quy\u1ebft t\u1ea1m \u1ed5n v\u1ee1 t\u1eed cung v\u00e0 ho\u1ea1i t\u1eed ru\u1ed9t, s\u1ea3n ph\u1ee5 di\u1ec5n ti\u1ebfn s\u1ed1c nhi\u1ec5m khu\u1ea9n, v\u00e0ng da v\u00e0ng m\u1eaft do suy gan n\u1eb7ng, ch\u1ea3y m\u00e1y v\u1ebft m\u1ed5 v\u00e0 ch\u1ea3y m\u00e1u \u00e2m \u0111\u1ea1o di\u1ec5n ti\u1ebfn do \u0111\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch lan to\u1ea3, suy th\u1eadn c\u1ea5p kh\u00f4ng c\u00f3 n\u01b0\u1edbc ti\u1ec3u, \u0111\u1ed3ng th\u1eddi, c\u01a1 tim c\u0169ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng do nhi\u1ec5m tr\u00f9ng huy\u1ebft n\u1eb7ng. Nh\u1eadn \u0111\u1ecbnh \u0111\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nguy k\u1ecbch, v\u1edbi ti\u00ean l\u01b0\u1ee3ng t\u1eed vong h\u01a1n 80%, s\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n li\u00ean vi\u1ec7n v\u1edbi Khoa H\u1ed3i s\u1ee9c tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh ng\u00e0y 12.05.2024 \u0111\u1ec3 s\u1ea3n ph\u1ee5 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c h\u1ed3i s\u1ee9c chuy\u00ean s\u00e2u.<\/p>\n\n\n\n

\u201cS\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c ti\u1ebfp nh\u1eadn t\u1ea1i Khoa H\u1ed3i s\u1ee9c tim m\u1ea1ch trong t\u00ecnh tr\u1ea1ng s\u1ed1c n\u1eb7ng, t\u1ed5n th\u01b0\u01a1ng \u0111a t\u1ea1ng, l\u1eeb \u0111\u1eeb, n\u00f3i s\u1ea3ng do b\u1ec7nh n\u00e3o gan, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u k\u00e8m \u0111\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch lan to\u1ea3, kh\u00f4ng c\u00f3 n\u01b0\u1edbc ti\u1ec3u do ch\u1ee9c n\u0103ng th\u1eadn suy gi\u1ea3m n\u1eb7ng, ch\u1ee9c n\u0103ng co b\u00f3p c\u01a1 tim c\u0169ng suy y\u1ebfu do nhi\u1ec5m tr\u00f9ng huy\u1ebft. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c thay huy\u1ebft t\u01b0\u01a1ng c\u1ea5p c\u1ee9u li\u00ean ti\u1ebfp nhi\u1ec1u ng\u00e0y, truy\u1ec1n m\u00e1u v\u00e0 b\u1ed3i ho\u00e0n c\u00e1c y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u, k\u1ebft h\u1ee3p l\u1ecdc m\u00e1u li\u00ean t\u1ee5c. B\u00ean c\u1ea1nh \u0111\u00f3, to\u00e0n b\u1ed9 ru\u1ed9t non b\u1ec7nh nh\u00e2n ph\u00f9 n\u1ec1 n\u1eb7ng khi\u1ebfn b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 nu\u00f4i \u0103n \u0111\u01b0\u1eddng mi\u1ec7ng. Sau th\u1eddi gian h\u1ed3i s\u1ee9c li\u00ean t\u1ee5c 3 tu\u1ea7n, ch\u1ee9c n\u0103ng c\u00e1c t\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eaft \u0111\u1ea7u c\u00f3 d\u1ea5u hi\u1ec7u h\u1ed3i ph\u1ee5c, ch\u1ecb L. t\u1ec9nh t\u00e1o h\u01a1n v\u00e0 \u0111\u01b0\u1ee3c l\u00ean k\u1ebf ho\u1ea1ch n\u1ed1i l\u1ea1i ru\u1ed9t non\u201d. Th\u1ea1c s\u0129, b\u00e1c s\u0129 Tr\u1ea7n Thanh Nam (b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ch\u00ednh) c\u1ee7a b\u1ec7nh nh\u00e2n cho bi\u1ebft.<\/p>\n\n\n\n

Theo BSCKII Tr\u1ea7n Th\u1ecb Kim Chi, Tr\u01b0\u1edfng khoa Dinh d\u01b0\u1ee1ng b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh: \u201cT\u1ed1i \u01b0u dinh d\u01b0\u1ee1ng \u1edf ch\u1ecb L. l\u00e0 1 th\u00e1ch th\u1ee9c l\u1edbn v\u00ec t\u00ecnh tr\u1ea1ng suy dinh d\u01b0\u1ee1ng n\u1eb7ng, nguy c\u01a1 t\u00e1i nu\u00f4i \u0103n r\u1ea5t cao, r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i n\u1eb7ng, c\u1eaft \u0111oan h\u1ed3i tr\u00e0ng, m\u1edf h\u1ed3i tr\u00e0ng ra, nhi\u1ec5m tr\u00f9ng n\u1eb7ng v\u00e0 suy gan, suy th\u1eadn. ch\u00fang t\u00f4i quy\u1ebft \u0111\u1ecbnh truy\u1ec1n ho\u00e0n h\u1ed3i d\u1ecbch ru\u1ed9t non v\u00e0o h\u1ed3i tr\u00e0ng \u0111o\u1ea1n xa, v\u00e0 l\u1ef1a ch\u1ecdn c\u1ea9n th\u1eadn lo\u1ea1i d\u1ecbch nu\u00f4i d\u01b0\u1ee1ng qua sonde v\u00e0 d\u1ecbch dinh d\u01b0\u1ee1ng t\u0129nh m\u1ea1ch chuy\u00ean bi\u1ec7t ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng giai \u0111o\u1ea1n suy ch\u1ee9c n\u0103ng t\u1ea1ng v\u00e0 nhu c\u1ea7u n\u0103ng l\u01b0\u1ee3ng\u201d.<\/p>\n\n\n\n

Sau m\u1ed9t th\u00e1ng r\u00f2ng r\u00e3 h\u1ed3i s\u1ee9c chuy\u00ean s\u00e2u, ph\u1ed1i h\u1ee3p \u0111a chuy\u00ean khoa h\u1ed3i s\u1ee9c tim m\u1ea1ch – dinh d\u01b0\u1ee1ng – ngo\u1ea1i khoa – ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, s\u1ee9c kho\u1ebb ch\u1ecb L. h\u1ed3i ph\u1ee5c ngo\u1ea1n m\u1ee5c, t\u1ea5t c\u1ea3 ch\u1ee9c n\u0103ng t\u1ea1ng v\u00e0 \u0111\u00f4ng m\u00e1u \u0111\u1ec1u tr\u1edf v\u1ec1 tr\u1ea1ng th\u00e1i b\u00ecnh th\u01b0\u1eddng. Ch\u1ecb L. \u0111\u00e3 c\u00f3 th\u1ec3 \u0103n u\u1ed1ng b\u00ecnh th\u01b0\u1eddng tr\u1edf l\u1ea1i b\u1eb1ng \u0111\u01b0\u1eddng mi\u1ec7ng, ph\u1ee5c h\u1ed3i d\u1ea7n c\u00e1c ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng v\u00e0 d\u1ef1 ki\u1ebfn \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong v\u00e0i ng\u00e0y t\u1edbi.<\/p>\n\n\n\n

Nh\u1edd s\u1ef1 ph\u1ed1i h\u1ee3p nh\u1ecbp nh\u00e0ng li\u00ean b\u1ec7nh vi\u1ec7n v\u00e0 ph\u1ed1i h\u1ee3p li\u00ean chuy\u00ean khoa trong ch\u0103m s\u00f3c to\u00e0n di\u1ec7n b\u1ec7nh nh\u00e2n, ch\u1ecb L. v\u1eabn c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n v\u00e0 t\u00e1i ho\u00e0 nh\u1eadp v\u00e0o cu\u1ed9c s\u1ed1ng th\u01b0\u1eddng ng\u00e0y v\u1edbi bi\u1ebfn ch\u1ee9ng s\u1ea3n khoa nguy k\u1ecbch c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1eed vong h\u01a1n 80%.<\/p>\n\n\n\n

C\u00e1c b\u00e1c s\u0129 khuy\u1ebfn c\u00e1o \u0111\u1ed1i v\u1edbi thai k\u1ef3 nguy c\u01a1 cao v\u1ec1 s\u1ea3n khoa (\u0111a thai, sanh nhi\u1ec1u l\u1ea7n, nhau ti\u1ec1n \u0111\u1ea1o\u2026) hay nguy c\u01a1 cao v\u1ec1 c\u00e1c b\u1ec7nh l\u00fd n\u1ed9i khoa (b\u1ec7nh tim m\u1ea1ch, n\u1ed9i ti\u1ebft, h\u00f4 h\u1ea5p\u2026), s\u1ea3n ph\u1ee5 n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i thai k\u1ef3 c\u1ea9n th\u1eadn t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n chuy\u00ean khoa s\u00e2u. T\u00f9y theo m\u1ee9c \u0111\u1ed9 nguy c\u01a1 \u1edf t\u1eebng s\u1ea3n ph\u1ee5, c\u00e1c b\u00e1c s\u0129 s\u1ebd t\u01b0 v\u1ea5n v\u00e0 \u0111\u01b0a ra chi\u1ebfn l\u01b0\u1ee3c ch\u0103m s\u00f3c ti\u1ec1n s\u1ea3n – h\u1eadu s\u1ea3n ph\u00f9 h\u1ee3p.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n
\"\"<\/figure><\/div>\n\n\n\n
\"\"<\/figure><\/div>\n","protected":false},"excerpt":{"rendered":"

S\u1ea3n ph\u1ee5 H\u1ed3 T.L, 38 tu\u1ed5i, mang thai l\u1ea7n 3, nh\u1eadp b\u1ec7nh vi\u1ec7n chuy\u00ean khoa s\u1ea3n \u0111\u00eam 04.05.2024 v\u00ec v\u1ee1 t\u1eed cung, thai l\u01b0u 32 tu\u1ea7n, nhau ti\u1ec1n \u0111\u1ea1o g\u00e2y s\u1ed1c nhi\u1ec5m tr\u00f9ng. S\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c m\u1ed5 c\u1ea5p c\u1ee9u c\u1eaft to\u00e0n b\u1ed9 t\u1eed cung. Tuy nhi\u00ean, sau m\u1ed5 5 ng\u00e0y, s\u1ea3n ph\u1ee5 ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c 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