{"id":8429,"date":"2025-02-14T10:31:23","date_gmt":"2025-02-14T03:31:23","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=8429"},"modified":"2025-02-14T10:31:23","modified_gmt":"2025-02-14T03:31:23","slug":"dieu-tri-thanh-cong-truong-hop-dau-bung-cap-hiem-gap-do-boc-tach-dong-mach-mac-treo-trang-tren-don-doc","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=8429","title":{"rendered":"\u0110I\u1ec0U TR\u1eca TH\u00c0NH C\u00d4NG TR\u01af\u1edcNG H\u1ee2P \u0110AU B\u1ee4NG C\u1ea4P HI\u1ebeM G\u1eb6P DO B\u00d3C T\u00c1CH \u0110\u1ed8NG M\u1ea0CH M\u1ea0C TREO TR\u00c0NG TR\u00caN \u0110\u01a0N \u0110\u1ed8C"},"content":{"rendered":"\n

B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba \u0111i\u1ec1u tr\u1ecb<\/em><\/strong> can thi\u1ec7p n\u1ed9i m\u1ea1ch c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng<\/em><\/strong> m\u1ed9t tr\u01b0\u1eddng h\u1ee3p<\/em><\/strong> <\/em><\/strong>b\u1ecb <\/em><\/strong>\u0111au b\u1ee5ng c\u1ea5p do b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean <\/em><\/strong>r\u1ea5t <\/em><\/strong>hi\u1ebfm g\u1eb7p, \u0111e <\/em><\/strong>d\u1ecda ho\u1ea1i<\/em><\/strong> t\u1eed ru\u1ed9t lan r\u1ed9ng<\/em><\/strong>. B\u1eb1ng k\u1ef9 thu\u1eadt chuy\u00ean s\u00e2u, c\u00e1c chuy\u00ean gia \u0111\u00e3 nhanh ch\u00f3ng ch\u1ea9n<\/em><\/strong> \u0111o\u00e1n <\/em><\/strong>\u0111\u1ec3<\/em><\/strong> can thi\u1ec7p n\u1ed9i m\u1ea1ch<\/em><\/strong> <\/em><\/strong>k\u1ecbp th\u1eddi, <\/em><\/strong>ch\u00ednh x\u00e1c <\/em><\/strong>gi\u00fap <\/em><\/strong>ng\u01b0\u1eddi b\u1ec7nh<\/em><\/strong> tr\u00e1nh<\/em><\/strong> kh\u1ecfi nguy c\u01a1 c\u1eaft ru\u1ed9t v\u00e0 t\u1eed vong.<\/em><\/strong><\/p>\n\n\n\n

          \u0110\u1ea7u th\u00e1ng 2 n\u0103m 2025, anh \u0110.T.L, sinh n\u0103m 1975, ng\u1ee5 huy\u1ec7n L\u00e2m H\u00e0, t\u1ec9nh L\u00e2m \u0110\u1ed3ng \u0111\u1ebfn kh\u00e1m b\u1ec7nh t\u1ea1i m\u1ed9t b\u1ec7nh vi\u1ec7n t\u01b0 nh\u00e2n \u1edf qu\u1eadn T\u00e2n B\u00ecnh, TP.HCM. \u1ede \u0111\u00e2y, anh L. b\u1ecb \u0111au b\u1ee5ng d\u1eef d\u1ed9i, ti\u00eau ra m\u00e1u, g\u1ea7n nh\u01b0 b\u1ea5t t\u1ec9nh. Sau khi \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u1edf b\u1ee5ng, anh L. \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ecb b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean \u0111\u01a1n \u0111\u1ed9c, g\u00e2y t\u1eafc \u0111\u1ed9ng m\u1ea1ch nu\u00f4i ru\u1ed9t m\u1ed9t \u0111o\u1ea1n d\u00e0i tr\u00ean 100 mm. T\u00ecnh tr\u1ea1ng n\u00e0y d\u1eabn \u0111\u1ebfn thi\u1ebfu m\u00e1u ru\u1ed9t nghi\u00eam tr\u1ecdng, di\u1ec5n ti\u1ebfn ho\u1ea1i t\u1eed ru\u1ed9t non n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed l\u00fd k\u1ecbp th\u1eddi. Do m\u1ee9c \u0111\u1ed9 ph\u1ee9c t\u1ea1p v\u00e0 lan r\u1ed9ng t\u1ed5n th\u01b0\u01a1ng v\u01b0\u1ee3t qu\u00e1 kh\u1ea3 n\u0103ng can thi\u1ec7p t\u1ea1i ch\u1ed7, anh L. \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n kh\u1ea9n c\u1ea5p v\u1edbi ekip can thi\u1ec7p n\u1ed9i m\u1ea1ch c\u1ee7a B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh. L\u1eadp t\u1ee9c, c\u00e1c b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh chuy\u1ec3n anh L. \u0111\u1ebfn khoa C\u1ea5p c\u1ee9u, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u1ec3 ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb chuy\u00ean s\u00e2u.<\/p>\n\n\n\n

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H\u00ecnh \u1ea3nh ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh b\u1ee5ng ch\u1eadu c\u00f3 ti\u00eam thu\u1ed1c c\u1ea3n quang: Ph\u00e1t hi\u1ec7n b\u00f3c t\u00e1ch v\u00e0 t\u1eafc m\u1ea1ch m\u1ea1c treo tr\u00ean \u0111o\u1ea1n d\u00e0i tr\u00ean 100mm, g\u00e2y thi\u1ebfu m\u00e1u quai ru\u1ed9t v\u00f9ng h\u00f4ng tr\u00e1i (m\u0169i t\u00ean v\u00e0ng)<\/strong><\/p>\n\n\n\n

          Ngay khi \u0111\u01b0\u1ee3c ti\u1ebfp nh\u1eadn, anh L. \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n li\u00ean chuy\u00ean khoa gi\u1eefa c\u00e1c chuy\u00ean gia Xquang can thi\u1ec7p, Ngo\u1ea1i ti\u00eau ho\u00e1, H\u1ed3i s\u1ee9c tim m\u1ea1ch v\u00e0 G\u00e2y m\u00ea h\u1ed3i s\u1ee9c. D\u1ef1a tr\u00ean b\u1ec7nh c\u1ea3nh l\u00e2m s\u00e0ng, h\u00ecnh \u1ea3nh h\u1ecdc v\u00e0 kinh nghi\u1ec7m x\u1eed tr\u00ed c\u1ea5p c\u1ee9u c\u00e1c b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u ru\u1ed9t, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 \u0111\u01b0a ra ph\u01b0\u01a1ng \u00e1n t\u1ed1i \u01b0u \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho anh L. l\u00e0 can thi\u1ec7p \u0111\u1eb7t stent v\u00e0o v\u1ecb tr\u00ed b\u00f3c t\u00e1ch \u0111\u1ec3 t\u00e1i th\u00f4ng ho\u00e0n to\u00e0n \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean, ng\u0103n ch\u1eb7n nhanh ch\u00f3ng di\u1ec5n ti\u1ebfn thi\u1ebfu m\u00e1u v\u00e0 ho\u1ea1i t\u1eed ru\u1ed9t.<\/p>\n\n\n\n

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H\u00ecnh \u1ea3nh ch\u1ee5p v\u00e0 can thi\u1ec7p \u0111\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean: Tr\u01b0\u1edbc can thi\u1ec7p b\u00f3c t\u00e1ch g\u1ea7n g\u1ed1c xu\u1ea5t ph\u00e1t, t\u1ea1o huy\u1ebft kh\u1ed1i g\u00e2y h\u1eb9p l\u00f2ng v\u00e0 t\u1eafc v\u00e0i nh\u00e1nh nu\u00f4i ru\u1ed9t (h\u00ecnh tr\u00e1i); sau can thi\u1ec7p \u0111\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo t\u00e1i th\u00f4ng ho\u00e0n to\u00e0n m\u1ea1ch m\u1ea1c treo, c\u1ea3i thi\u1ec7n t\u01b0\u1edbi m\u00e1u ru\u1ed9t (h\u00ecnh ph\u1ea3i)<\/strong><\/p>\n\n\n\n

          B\u00e1c s\u0129 L\u00ea Anh Huy, khoa Tim m\u1ea1ch can thi\u1ec7p – DSA, b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ch\u00ednh cho anh L. chia s\u1ebb: \u201cSau khi can thi\u1ec7p \u0111\u1eb7t stent, anh L. \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 khoa Ngo\u1ea1i ti\u00eau ho\u00e1 v\u00e0 H\u1ed3i s\u1ee9c tim m\u1ea1ch theo d\u00f5i r\u1ea5t c\u1ea9n th\u1eadn \u0111\u1ec3 ti\u1ebfn h\u00e0nh c\u1eaft \u0111o\u1ea1n ru\u1ed9t ho\u1ea1i t\u1eed k\u1ecbp th\u1eddi n\u1ebfu can thi\u1ec7p n\u1ed9i m\u1ea1ch kh\u00f4ng th\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u. Tuy nhi\u00ean, d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a h\u1ec7 th\u1ed1ng ch\u1ee5p m\u1ea1ch s\u1ed1 h\u00f3a x\u00f3a n\u1ec1n (DSA), c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 \u0111\u1eb7t stent th\u00e0nh c\u00f4ng m\u1ed9t \u0111o\u1ea1n \u0111\u1ed9ng m\u1ea1ch b\u1ecb b\u00f3c t\u00e1ch d\u00e0i h\u01a1n 100 mm, gi\u00fap c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 l\u01b0u th\u00f4ng m\u00e1u \u0111\u1ebfn ru\u1ed9t. R\u1ea5t may, qu\u00e1 tr\u00ecnh can thi\u1ec7p \u0111\u1eb7t stent cho anh L. di\u1ec5n ra thu\u1eadn l\u1ee3i, hi\u1ec7u qu\u1ea3 \u0111\u1ea1t \u0111\u01b0\u1ee3c g\u1ea7n nh\u01b0 t\u1ed1i \u01b0u\u201d.<\/p>\n\n\n\n

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B\u00e1c s\u0129 L\u00ea Anh Huy, khoa Tim m\u1ea1ch can thi\u1ec7p – DSA \u0111i\u1ec1u tr\u1ecb cho anh L.<\/strong><\/strong><\/p>\n\n\n\n

          Ngay sau khi \u0111\u1eb7t stent th\u00e0nh c\u00f4ng, anh L. b\u1edbt \u0111au b\u1ee5ng v\u00e0 ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c theo d\u00f5i t\u00edch c\u1ef1c t\u1ea1i khoa H\u1ed3i s\u1ee9c tim m\u1ea1ch. Anh \u0111\u01b0\u1ee3c cho u\u1ed1ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u0111\u1ec3 ng\u0103n ng\u1eeba huy\u1ebft kh\u1ed1i t\u00e1i ph\u00e1t c\u0169ng nh\u01b0 \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng stent th\u00f4ng su\u1ed1t. Trong nh\u1eefng ng\u00e0y \u0111\u1ea7u, anh L. nh\u1ecbn \u0103n ho\u00e0n to\u00e0n \u0111\u1ec3 theo d\u00f5i t\u00ecnh tr\u1ea1ng ru\u1ed9t, \u0111\u01b0\u1ee3c cung c\u1ea5p dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch. Sau g\u1ea7n 1 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb, anh L. \u0111\u00e3 \u0103n u\u1ed1ng b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng c\u00f2n \u0111au b\u1ee5ng, ti\u00eau ra m\u00e1u. \u0110i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng ca b\u1ec7nh n\u00e0y th\u1ec3 hi\u1ec7n hi\u1ec7u qu\u1ea3 ph\u1ed1i h\u1ee3p li\u00ean vi\u1ec7n c\u1ee7a h\u1ec7 th\u1ed1ng y t\u1ebf t\u1ea1i TP.HCM, \u0111\u1eb7c bi\u1ec7t l\u00e0 kinh nghi\u1ec7m ph\u1ed1i h\u1ee3p li\u00ean chuy\u00ean khoa trong c\u00e1c t\u00ecnh hu\u1ed1ng c\u1ea5p c\u1ee9u m\u1ea1ch m\u00e1u t\u1ea1ng v\u00e0 c\u00e1c k\u1ef9 thu\u1eadt can thi\u1ec7p n\u1ed9i m\u1ea1ch chuy\u00ean s\u00e2u \u1edf B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh.<\/p>\n\n\n\n

          TS.BS Nguy\u1ec5n \u0110\u00ecnh Lu\u00e2n, Tr\u01b0\u1edfng \u0110\u01a1n v\u1ecb Xquang can thi\u1ec7p, Ph\u00f3 khoa Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh cho bi\u1ebft: \u201cB\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean \u0111\u01a1n \u0111\u1ed9c l\u00e0 t\u00ecnh tr\u1ea1ng hi\u1ebfm g\u1eb7p (v\u1edbi t\u1ec9 l\u1ec7 ch\u1ec9 0.06% trong d\u00e2n s\u1ed1) nh\u01b0ng r\u1ea5t nguy hi\u1ec3m, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn thi\u1ebfu m\u00e1u ru\u1ed9t c\u1ea5p, ho\u1ea1i t\u1eed ru\u1ed9t v\u00e0 t\u1eed vong n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh t\u1eebng x\u1eed tr\u00ed kho\u1ea3ng 3 – 4 tr\u01b0\u1eddng h\u1ee3p t\u01b0\u01a1ng t\u1ef1 m\u1ed7i n\u0103m, \u0111a ph\u1ea7n t\u1eeb c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00e1c chuy\u1ec3n \u0111\u1ebfn\u201d.<\/p>\n\n\n\n

          Khi b\u1ecb b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean, ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng b\u1ecb \u0111au b\u1ee5ng d\u1eef d\u1ed9i kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, k\u00e9o d\u00e0i nhi\u1ec1u gi\u1edd ho\u1eb7c nhi\u1ec1u ng\u00e0y, bu\u1ed3n n\u00f4n, n\u00f4n \u00f3i, ti\u00eau ch\u1ea3y ho\u1eb7c t\u00e1o b\u00f3n b\u1ea5t th\u01b0\u1eddng v\u00e0 ch\u01b0\u1edbng b\u1ee5ng, kh\u00f3 ch\u1ecbu sau \u0103n. N\u1ebfu g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y th\u00ec ng\u01b0\u1eddi b\u1ec7nh n\u00ean \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 ch\u1ea9n \u0111o\u00e1n s\u1edbm.<\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba \u0111i\u1ec1u tr\u1ecb can thi\u1ec7p n\u1ed9i m\u1ea1ch c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p b\u1ecb \u0111au b\u1ee5ng c\u1ea5p do b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean r\u1ea5t hi\u1ebfm g\u1eb7p, \u0111e d\u1ecda ho\u1ea1i t\u1eed ru\u1ed9t lan r\u1ed9ng. B\u1eb1ng k\u1ef9 thu\u1eadt chuy\u00ean s\u00e2u, c\u00e1c chuy\u00ean gia \u0111\u00e3 nhanh ch\u00f3ng ch\u1ea9n 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