{"id":9596,"date":"2025-05-01T15:38:14","date_gmt":"2025-05-01T08:38:14","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=9596"},"modified":"2025-05-01T15:38:14","modified_gmt":"2025-05-01T08:38:14","slug":"benh-vien-nhan-dan-gia-dinh-cuu-song-nguoi-benh-soc-phan-ve-nang-bang-ky-thuat-hybrid-ecmo","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=9596","title":{"rendered":"B\u1ec6NH VI\u1ec6N NH\u00c2N D\u00c2N GIA \u0110\u1ecaNH C\u1ee8U S\u1ed0NG NG\u01af\u1edcI B\u1ec6NH S\u1ed0C PH\u1ea2N V\u1ec6 N\u1eb6NG B\u1eb0NG K\u1ef8 THU\u1eacT HYBRID ECMO"},"content":{"rendered":"\n

B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh TP.HCM v\u1eeba c\u1ee9u s\u1ed1ng th\u00e0nh c\u00f4ng ch\u1ecb N.T.N, 28 tu\u1ed5i, b\u1ecb s\u1ed1c ph\u1ea3n v\u1ec7 n\u1eb7ng sau g\u00e2y m\u00ea trong ph\u1eabu thu\u1eadt th\u1ea9m m\u1ef9 n\u00e2ng m\u0169i. Nh\u1edd \u00e1p d\u1ee5ng k\u1ef9 thu\u1eadt hybrid ECMO (V-AV ECMO), ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 v\u01b0\u1ee3t qua t\u00ecnh tr\u1ea1ng nguy k\u1ecbch v\u1edbi t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim c\u1ea5p v\u00e0 h\u1ed9i ch\u1ee9ng suy h\u00f4 h\u1ea5p c\u1ea5p (ARDS), ph\u1ee5c h\u1ed3i g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n sau 8 ng\u00e0y \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c.<\/em><\/strong><\/p>\n\n\n\n

H\u00e0nh tr\u00ecnh gi\u00e0nh gi\u1eadt s\u1ef1 s\u1ed1ng<\/strong><\/p>\n\n\n\n

Ng\u00e0y 22\/4\/2025, ch\u1ecb N.T.N (28 tu\u1ed5i) tr\u1ea3i qua ca ph\u1eabu thu\u1eadt n\u00e2ng m\u0169i t\u1ea1i m\u1ed9t B\u1ec7nh vi\u1ec7n Th\u1ea9m m\u1ef9 T. G\u1ea7n cu\u1ed1i ca m\u1ed5, khi \u0111ang trong giai \u0111o\u1ea1n g\u00e2y m\u00ea, ch\u1ecb N. \u0111\u1ed9t ng\u1ed9t xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u nguy k\u1ecbch: th\u1edf nhanh, co k\u00e9o c\u01a1 h\u00f4 h\u1ea5p, huy\u1ebft \u00e1p t\u1ee5t m\u1ea1nh v\u00e0 \u0111\u1ed9 b\u00e3o h\u00f2a oxy m\u00e1u gi\u1ea3m nghi\u00eam tr\u1ecdng. Nh\u1eadn \u0111\u1ecbnh \u0111\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p s\u1ed1c ph\u1ea3n v\u1ec7 n\u1eb7ng, \u00ea-k\u00edp ph\u1eabu thu\u1eadt l\u1eadp t\u1ee9c x\u1eed tr\u00ed theo ph\u00e1c \u0111\u1ed3 c\u1ea5p c\u1ee9u. Tuy nhi\u00ean, t\u00ecnh tr\u1ea1ng s\u1ed1c v\u00e0 suy h\u00f4 h\u1ea5p c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u1ea3i thi\u1ec7n, bu\u1ed9c ph\u1ea3i chuy\u1ec3n vi\u1ec7n kh\u1ea9n c\u1ea5p \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh.<\/p>\n\n\n\n

T\u1ea1i khoa C\u1ea5p c\u1ee9u, c\u00e1c x\u00e9t nghi\u1ec7m sinh h\u00f3a v\u00e0 h\u00ecnh \u1ea3nh h\u1ecdc nhanh ch\u00f3ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n, ch\u1ecb N. \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n t\u1ed5n th\u01b0\u01a1ng \u0111a t\u1ea1ng li\u00ean quan s\u1ed1c ph\u1ea3n v\u1ec7, trong \u0111\u00f3 t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim v\u00e0 ph\u1ed5i (bi\u1ec3u hi\u1ec7n ARDS) l\u00e0 nghi\u00eam tr\u1ecdng nh\u1ea5t. Ch\u1ec9 trong 30 ph\u00fat, \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 khoa H\u1ed3i s\u1ee9c Tim m\u1ea1ch \u0111\u00e3 k\u1ecbp th\u1eddi can thi\u1ec7p b\u1eb1ng k\u1ef9 thu\u1eadt V-AV ECMO, m\u1ed9t h\u00ecnh th\u1ee9c ECMO lai gh\u00e9p ti\u00ean ti\u1ebfn, h\u1ed7 tr\u1ee3 \u0111\u1ed3ng th\u1eddi ch\u1ee9c n\u0103ng tim v\u00e0 ph\u1ed5i.<\/p>\n\n\n\n

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

V-AV ECMO: Gi\u1ea3i ph\u00e1p ti\u00ean phong cho tr\u01b0\u1eddng h\u1ee3p ph\u1ee9c t\u1ea1p<\/strong><\/p>\n\n\n\n

ThS.BS V\u00f5 V\u0103n Tr\u1eafng, chia s\u1ebb: \u201cECMO (oxy h\u00f3a m\u00e1u m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3) th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n theo 2 ph\u01b0\u01a1ng th\u1ee9c: V-V ECMO (h\u1ed7 tr\u1ee3 ph\u1ed5i) ho\u1eb7c V-A ECMO (h\u1ed7 tr\u1ee3 tim). Trong tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t nh\u01b0 ch\u1ecb N, khi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed3ng th\u1eddi b\u1ecb s\u1ed1c tim v\u00e0 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i n\u1eb7ng kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi th\u00f4ng kh\u00ed x\u00e2m l\u1ea5n th\u00f4ng th\u01b0\u1eddng, V-AV ECMO l\u00e0 l\u1ef1a ch\u1ecdn t\u1ed1i \u01b0u. \u0110\u00e2y l\u00e0 k\u1ef9 thu\u1eadt ph\u1ee9c t\u1ea1p, \u0111\u00f2i h\u1ecfi s\u1ef1 ph\u1ed1i h\u1ee3p nh\u1ecbp nh\u00e0ng v\u00e0 kinh nghi\u1ec7m t\u1eeb c\u00e1c th\u00e0nh vi\u00ean ekip ECMO.<\/p>\n\n\n\n

B\u00e1c s\u0129 Tr\u1eafng cho bi\u1ebft th\u00eam, trong 2 n\u0103m qua, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u00e3 c\u1ee9u s\u1ed1ng 4 tr\u01b0\u1eddng h\u1ee3p suy \u0111a t\u1ea1ng nghi\u00eam tr\u1ecdng do s\u1ed1c ph\u1ea3n v\u1ec7 ho\u1eb7c ng\u1eebng tim b\u1eb1ng k\u1ef9 thu\u1eadt V-AV ECMO.<\/p>\n\n\n\n

TS.BS Giang Minh Nh\u1eadt, Ph\u00f3 tr\u01b0\u1edfng khoa H\u1ed3i s\u1ee9c Tim m\u1ea1ch, nh\u1ea5n m\u1ea1nh: \u201cH\u1ea7u h\u1ebft c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim sau ng\u1eebng tim hay s\u1ed1c ph\u1ea3n v\u1ec7 n\u1eb7ng c\u00f3 th\u1ec3 t\u1ef1 h\u1ed3i ph\u1ee5c trong v\u00f2ng 48-72 gi\u1edd. H\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n c\u01a1 h\u1ecdc s\u1edbm khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u1ed5n \u0111\u1ecbnh nhanh ch\u00f3ng huy\u1ebft \u0111\u1ed9ng v\u00e0 t\u01b0\u1edbi m\u00e1u t\u1ea1ng, \u0111i\u1ec1u ch\u1ec9nh t\u00edch c\u1ef1c r\u1ed1i lo\u1ea1n chuy\u1ec3n ho\u00e1, ki\u1ec3m so\u00e1t th\u00e2n nhi\u1ec7t\u2026 l\u00e0 ch\u00eca kho\u00e1 then ch\u1ed1t trong h\u1ed3i s\u1ee9c c\u00e1c tr\u01b0\u1eddng h\u1ee3p suy \u0111a t\u1ea1ng n\u1eb7ng do s\u1ed1c ph\u1ea3n v\u1ec7 hay ng\u1eebng tim\u201d.<\/p>\n\n\n\n

H\u00e0nh tr\u00ecnh h\u1ed3i ph\u1ee5c k\u1ef3 di\u1ec7u<\/strong><\/p>\n\n\n\n

Sau 3 ng\u00e0y can thi\u1ec7p V-AV ECMO, t\u00ecnh tr\u1ea1ng s\u1ed1c tim v\u00e0 t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim c\u1ee7a ch\u1ecb N. \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t, t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i c\u0169ng d\u1ea7n ph\u1ee5c h\u1ed3i. \u0110\u1ebfn ng\u00e0y th\u1ee9 4, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ng\u01b0ng ECMO v\u00e0 ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c. Sau 8 ng\u00e0y, ch\u1ecb N. \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n v\u1edbi c\u00e1c ch\u1ee9c n\u0103ng t\u1ea1ng g\u1ea7n nh\u01b0 tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng, m\u1ed9t k\u1ebft qu\u1ea3 \u0111\u00e1ng kinh ng\u1ea1c \u0111\u1ed1i v\u1edbi m\u1ed9t ca b\u1ec7nh ph\u1ee9c t\u1ea1p nh\u01b0 v\u1eady.<\/p>\n\n\n\n

T\u1ea7m quan tr\u1ecdng c\u1ee7a c\u00f4ng ngh\u1ec7 v\u00e0 chuy\u00ean m\u00f4n<\/strong><\/p>\n\n\n\n

Th\u00e0nh c\u00f4ng c\u1ee7a ca b\u1ec7nh kh\u00f4ng ch\u1ec9 l\u00e0 minh ch\u1ee9ng cho tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n c\u1ee7a \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 c\u1ee7a B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh m\u00e0 c\u00f2n kh\u1eb3ng \u0111\u1ecbnh vai tr\u00f2 c\u1ee7a c\u00f4ng ngh\u1ec7 y khoa ti\u00ean ti\u1ebfn trong vi\u1ec7c c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh nguy k\u1ecbch. K\u1ef9 thu\u1eadt V-AV ECMO, d\u00f9 ph\u1ee9c t\u1ea1p v\u00e0 \u0111\u00f2i h\u1ecfi ngu\u1ed3n l\u1ef1c l\u1edbn, \u0111\u00e3 m\u1edf ra hy v\u1ecdng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u01b0\u1edfng ch\u1eebng kh\u00f4ng th\u1ec3 qua kh\u1ecfi.<\/p>\n\n\n\n

B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh ti\u1ebfp t\u1ee5c ph\u00e1t tri\u1ec3n trong l\u0129nh v\u1ef1c H\u1ed3i s\u1ee9c Tim m\u1ea1ch, mang l\u1ea1i c\u01a1 h\u1ed9i s\u1ed1ng cho nhi\u1ec1u ng\u01b0\u1eddi b\u1ec7nh m\u1eafc c\u00e1c b\u1ec7nh l\u00fd ph\u1ee9c t\u1ea1p nh\u1edd s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa chuy\u00ean m\u00f4n cao v\u00e0 c\u00f4ng ngh\u1ec7 hi\u1ec7n \u0111\u1ea1i.<\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh TP.HCM v\u1eeba c\u1ee9u s\u1ed1ng th\u00e0nh c\u00f4ng ch\u1ecb N.T.N, 28 tu\u1ed5i, b\u1ecb s\u1ed1c ph\u1ea3n v\u1ec7 n\u1eb7ng sau g\u00e2y m\u00ea trong ph\u1eabu thu\u1eadt th\u1ea9m m\u1ef9 n\u00e2ng m\u0169i. Nh\u1edd \u00e1p d\u1ee5ng k\u1ef9 thu\u1eadt hybrid ECMO (V-AV ECMO), ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 v\u01b0\u1ee3t qua t\u00ecnh tr\u1ea1ng nguy k\u1ecbch v\u1edbi t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim c\u1ea5p […]<\/p>\n","protected":false},"author":5,"featured_media":9599,"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":[1,56],"tags":[],"class_list":["post-9596","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chua-phan-loai","category-tin-tuc"],"aioseo_notices":[],"post_slider_layout_featured_media_urls":{"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-150x150.jpg",150,150,true],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-1200x1280.jpg",1200,1280,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-1200x1200.jpg",1200,1200,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-600x600.jpg",600,600,true],"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh.jpg",1334,1280,false]},"uagb_featured_image_src":{"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh.jpg",1334,1280,false],"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-150x150.jpg",150,150,true],"medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-300x288.jpg",300,288,true],"medium_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-768x737.jpg",768,737,true],"large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-1024x983.jpg",805,773,true],"PVGM_gallery_admin_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-300x300.jpg",300,300,true],"PVGM_gallery_admin_circle":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-400x400.jpg",400,400,true],"PVGM_gallery_admin_medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-400x1280.jpg",400,1280,true],"1536x1536":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh.jpg",1334,1280,false],"2048x2048":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh.jpg",1334,1280,false],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-1200x1280.jpg",1200,1280,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-1200x1200.jpg",1200,1200,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-600x600.jpg",600,600,true],"ultp_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-1200x800.jpg",1200,800,true],"ultp_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-870x570.jpg",870,570,true],"ultp_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-600x900.jpg",600,900,true],"ultp_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-600x600.jpg",600,600,true],"elixar_section_extra_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-640x400.jpg",640,400,true],"elixar_gallery_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-615x400.jpg",615,400,true],"elixar_blog_home_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-348x196.jpg",348,196,true],"elixar_blog_full_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-1110x515.jpg",1110,515,true],"elixar_blog_sidebar_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-805x350.jpg",805,350,true],"woocommerce_thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-300x300.jpg",300,300,true],"woocommerce_single":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-600x576.jpg",600,576,true],"woocommerce_gallery_thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/Hinh-100x100.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Kh\u00e1nh Nh\u1eadt","author_link":"https:\/\/bvndgiadinh.org.vn\/?author=5"},"uagb_comment_info":0,"uagb_excerpt":"B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh TP.HCM v\u1eeba c\u1ee9u s\u1ed1ng th\u00e0nh c\u00f4ng ch\u1ecb N.T.N, 28 tu\u1ed5i, b\u1ecb s\u1ed1c ph\u1ea3n v\u1ec7 n\u1eb7ng sau g\u00e2y m\u00ea trong ph\u1eabu thu\u1eadt th\u1ea9m m\u1ef9 n\u00e2ng m\u0169i. 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