{"id":21178,"date":"2025-02-05T19:45:36","date_gmt":"2025-02-05T12:45:36","guid":{"rendered":"http:\/\/kenh69.info\/?p=21178"},"modified":"2025-02-05T19:45:54","modified_gmt":"2025-02-05T12:45:54","slug":"21178-2","status":"publish","type":"post","link":"https:\/\/kenh69.info\/?p=21178","title":{"rendered":"B\u1ec7nh vi\u1ec7n t\u1ea1i H\u00e0 N\u1ed9i ti\u1ebfp nh\u1eadn h\u00e0ng lo\u1ea1t tr\u01b0\u1eddng h\u1ee3p m\u1eafc c\u00fam, nhi\u1ec1u ng\u01b0\u1eddi m\u1ea5t ch\u1ee9c n\u0103ng ph\u1ed5i, tr\u1edf n\u1eb7ng nhanh"},"content":{"rendered":"<h2 class=\"knc-sapo\">B\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi Trung \u01b0\u01a1ng \u0111ang \u0111i\u1ec1u tr\u1ecb cho 8 b\u1ec7nh nh\u00e2n m\u1eafc C\u00fam. M\u1ed9t trong s\u1ed1 \u0111\u00f3 \u0111ang ph\u1ea3i \u0111\u1eb7t ECMO.<\/h2>\n<p><b>Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p m\u1eafc c\u00fam n\u1eb7ng<\/b><\/p>\n<p>Theo th\u00f4ng tin t\u1eeb B\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi Trung \u01b0\u01a1ng, trong s\u1ed1 8 b\u1ec7nh nh\u00e2n m\u1eafc c\u00fam \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n, b\u1ec7nh nh\u00e2n th\u1ee9 nh\u1ea5t l\u00e0 \u00f4ng L.V.T, 58 tu\u1ed5i, \u1edf S\u01a1n D\u01b0\u01a1ng, Tuy\u00ean Quang, c\u00f3 ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p nh\u1eb9 nh\u01b0ng kh\u00f4ng duy tr\u00ec vi\u1ec7c d\u00f9ng thu\u1ed1c \u0111\u1ec1u \u0111\u1eb7n. Ngo\u00e0i ra, \u00f4ng \u0111\u00e3 t\u1eebng h\u00fat thu\u1ed1c l\u00e1 v\u00e0 thu\u1ed1c l\u00e0o su\u1ed1t 30 n\u0103m, tuy nhi\u00ean, \u0111\u00e3 b\u1ecf thu\u1ed1c c\u00e1ch \u0111\u00e2y 10 n\u0103m.<\/p>\n<p>Kho\u1ea3ng ba tu\u1ea7n tr\u01b0\u1edbc khi nh\u1eadp vi\u1ec7n, \u00f4ng b\u1eaft \u0111\u1ea7u xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng ho, s\u1ed1t v\u00e0 kh\u00f3 th\u1edf. \u00d4ng t\u1ef1 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 trong su\u1ed1t m\u1ed9t tu\u1ea7n t\u00ecnh tr\u1ea1ng kh\u00f4ng c\u1ea3i thi\u1ec7n. \u00d4ng nh\u1eadp vi\u1ec7n t\u1ea1i c\u01a1 s\u1edf y t\u1ebf v\u00e0 \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m c\u00fam A v\u1edbi k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh. M\u1eb7c d\u00f9 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c nh\u01b0ng t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf c\u1ee7a \u00f4ng ng\u00e0y c\u00e0ng tr\u1ea7m tr\u1ecdng, d\u1eabn \u0111\u1ebfn suy h\u00f4 h\u1ea5p n\u1eb7ng v\u00e0 ph\u1ea3i ti\u1ebfn h\u00e0nh \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n. Sau b\u1ed1n ng\u00e0y \u0111i\u1ec1u tr\u1ecb, \u00f4ng h\u1ebft s\u1ed1t. Tuy nhi\u00ean ba ng\u00e0y g\u1ea7n \u0111\u00e2y, s\u1ed1t cao \u0111\u00e3 t\u00e1i ph\u00e1t l\u00ean t\u1edbi 39 \u0111\u1ed9. X\u00e9t nghi\u1ec7m d\u1ecbch ph\u1ebf qu\u1ea3n ph\u00e1t hi\u1ec7n vi khu\u1ea9n, khi\u1ebfn t\u00ecnh tr\u1ea1ng b\u1ec7nh di\u1ec5n ti\u1ebfn nhanh ch\u00f3ng v\u00e0 ti\u1ebfn t\u1edbi s\u1ed1c nhi\u1ec5m tr\u00f9ng.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/kenh14cdn.com\/203336854389633024\/2025\/2\/5\/4762533596401079820084361172839429995273682n-1738744080839788822244-1738750356872-17387503569721104877853.jpg\" width=\"2000\" height=\"1500\" class=\"alignnone size-medium\" \/><\/p>\n<p>\u1ea2nh: BVCC<\/p>\n<p>\u00d4ng T \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn Trung t\u00e2m H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c, B\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi Trung \u01b0\u01a1ng v\u1edbi t\u00ecnh tr\u1ea1ng s\u1ed1c nhi\u1ec5m khu\u1ea9n, ph\u1ea3i th\u1edf m\u00e1y. Ph\u1ed5i b\u1ec7nh nh\u00e2n t\u1ed5n th\u01b0\u01a1ng lan t\u1ecfa g\u1ea7n nh\u01b0 to\u00e0n b\u1ed9 hai b\u00ean, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p n\u1eb7ng v\u00e0 \u1ee9 \u0111\u1ecdng CO2 nghi\u00eam tr\u1ecdng. Ch\u1ee5p phim ph\u1ed5i cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng lan r\u1ed9ng kho\u1ea3ng 80-90%, g\u1ea7n nh\u01b0 m\u1ea5t ho\u00e0n to\u00e0n ch\u1ee9c n\u0103ng th\u00f4ng kh\u00ed. Ch\u1ec9 s\u1ed1 CO2 trong m\u00e1u t\u0103ng r\u1ea5t cao.<\/p>\n<p>T\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p kh\u00f4ng c\u1ea3i thi\u1ec7n, \u00f4ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1eb7t ECMO (h\u1ec7 th\u1ed1ng oxy h\u00f3a qua m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3). Sau khi \u0111\u1eb7t ECMO, c\u00e1c ch\u1ec9 s\u1ed1 sinh t\u1ed3n c\u1ee7a \u00f4ng t\u1ea1m th\u1eddi \u1ed5n \u0111\u1ecbnh nh\u01b0ng t\u00ecnh tr\u1ea1ng s\u1ed1c v\u00e0 nhi\u1ec5m tr\u00f9ng n\u1eb7ng v\u1eabn c\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd.<\/p>\n<p>B\u1ec7nh nh\u00e2n th\u1ee9 2 l\u00e0 \u00f4ng V.V.U , 62 tu\u1ed5i \u1edf \u0110\u00f4ng Tri\u1ec1u, Qu\u1ea3ng Ninh c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) trong 7 n\u0103m qua, tuy nhi\u00ean vi\u1ec7c ki\u1ec3m so\u00e1t b\u1ec7nh l\u00fd kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ed1t. B\u1ec7nh nh\u00e2n \u00edt \u0111i kh\u00e1m \u0111\u1ecbnh k\u1ef3, kh\u00f4ng theo d\u00f5i t\u00ecnh tr\u1ea1ng b\u1ec7nh th\u01b0\u1eddng xuy\u00ean. Trong v\u00f2ng m\u1ed9t n\u0103m qua, b\u1ec7nh nh\u00e2n \u0111\u00e3 ph\u1ea3i nh\u1eadp vi\u1ec7n kho\u1ea3ng 5 l\u1ea7n do b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh.<\/p>\n<p>Tr\u01b0\u1edbc khi nh\u1eadp vi\u1ec7n kho\u1ea3ng 3 ng\u00e0y, b\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng s\u1ed1t, ho, kh\u00f3 th\u1edf t\u0103ng d\u1ea7n. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u0111i\u1ec1u tr\u1ecb t\u1ea1i c\u01a1 s\u1edf y t\u1ebf 2 ng\u00e0y, nh\u01b0ng t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n, bu\u1ed9c ph\u1ea3i \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n. Sau khi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m c\u00fam A d\u01b0\u01a1ng t\u00ednh, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn B\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi trung \u01b0\u01a1ng.<\/p>\n<p>T\u1ea1i Trung t\u00e2m H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c \u2013 B\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi trung, b\u1ec7nh nh\u00e2n trong t\u00ecnh tr\u1ea1ng \u0111\u00e3 \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n do suy h\u00f4 h\u1ea5p n\u1eb7ng. Sau 2 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb, ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u1eabn r\u1ea5t n\u1eb7ng. Hi\u1ec7n t\u1ea1i, b\u1ec7nh nh\u00e2n v\u1eabn ph\u1ea3i duy tr\u00ec \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 \u0103n qua sonde d\u1ea1 d\u00e0y do kh\u00f4ng th\u1ec3 t\u1ef1 \u0103n.<\/p>\n<p><strong>\u0110\u00e2u l\u00e0 nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng c\u1ea7n \u0111\u1eb7c bi\u1ec7t c\u1ea9n tr\u1ecdng khi m\u1eafc c\u00fam?<\/strong><\/p>\n<p>ThS.BS V\u00f5 \u0110\u1ee9c Linh, Trung t\u00e2m H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c th\u00f4ng tin: C\u00fam A \u1ea3nh h\u01b0\u1edfng \u0111\u1eb7c bi\u1ec7t nghi\u00eam tr\u1ecdng \u0111\u1ebfn nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh. Do virus c\u00fam t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp l\u00ean ph\u1ed5i, nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u00f3 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i t\u1eeb tr\u01b0\u1edbc s\u1ebd d\u1ec5 ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n so v\u1edbi ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh. Tr\u01b0\u1eddng h\u1ee3p c\u1ee7a b\u1ec7nh nh\u00e2n U t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p t\u0103ng r\u1ea5t nhanh ch\u1ec9 trong 2-3 ng\u00e0y, khi\u1ebfn b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n trong th\u1eddi gian ng\u1eafn.<\/p>\n<p>B\u00e1c s\u0129 Linh nh\u1ea5n m\u1ea1nh: \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh m\u1eafc b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh c\u1ea7n \u0111i kh\u00e1m \u0111\u1ecbnh k\u1ef3 t\u1ea1i c\u00e1c c\u01a1 s\u1edf chuy\u00ean khoa \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh thu\u1ed1c ph\u00f9 h\u1ee3p. B\u00ean c\u1ea1nh \u0111\u00f3, ng\u01b0\u1eddi m\u1eafc c\u00e1c b\u1ec7nh l\u00fd n\u1ec1n c\u1ea7n ti\u00eam V\u1eafc xin ph\u00f2ng c\u00fam h\u00e0ng n\u0103m. C\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 c\u00e1 nh\u00e2n, \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/kenh14cdn.com\/203336854389633024\/2025\/2\/5\/4758967616401079720084378997747532225030816n-173874408450558570994-1738750357842-17387503579541458940216.jpg\" width=\"2000\" height=\"1500\" class=\"alignnone size-medium\" \/><\/p>\n<p>\u1ea2nh: BVCC<\/p>\n<p>Th.s BS Ph\u1ea1m V\u0103n Ph\u00fac, Ph\u00f3 Gi\u00e1m \u0111\u1ed1c Trung t\u00e2m H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c, B\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi Trung \u01b0\u01a1ng nh\u1ea5n m\u1ea1nh: Nh\u1eefng ng\u01b0\u1eddi c\u00f3 b\u1ec7nh n\u1ec1n, ng\u01b0\u1eddi cao tu\u1ed5i, ng\u01b0\u1eddi c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch suy gi\u1ea3m c\u1ea7n \u0111\u1eb7c bi\u1ec7t c\u1ea9n tr\u1ecdng khi nhi\u1ec5m c\u00fam. B\u1ec7nh c\u00fam c\u00f3 th\u1ec3 tr\u1edf n\u00ean nguy hi\u1ec3m, d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i lan t\u1ecfa, b\u1ed9i nhi\u1ec5m vi khu\u1ea9n, vi\u00eam c\u01a1 tim, suy \u0111ang t\u1ea1ng v\u00e0 th\u1eadm ch\u00ed t\u1eed vong.<br \/>\n\u201cNgo\u00e0i ra, nhi\u1ec1u ng\u01b0\u1eddi c\u00f3 t\u00e2m l\u00fd ch\u1ee7 quan khi m\u1eafc c\u00fam, cho r\u1eb1ng ch\u1ec9 l\u00e0 b\u1ec7nh nh\u1eb9 v\u00e0 kh\u00f4ng \u0111i kh\u00e1m s\u1edbm. Tuy nhi\u00ean, \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch suy gi\u1ea3m, c\u00fam c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m, l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u01a1 th\u1ec3 \u1edf m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng. Khi b\u1ec7nh di\u1ec5n ti\u1ebfn n\u1eb7ng, b\u1ec7nh nh\u00e2n m\u1edbi nh\u1eadp vi\u1ec7n th\u00ec \u0111\u00e3 \u1edf trong t\u00ecnh tr\u1ea1ng suy \u0111a c\u01a1 quan, ti\u00ean l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb s\u1ebd r\u1ea5t kh\u00f3 kh\u0103n. V\u00ec v\u1eady, vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00fam s\u1edbm l\u00e0 v\u00f4 c\u00f9ng quan tr\u1ecdng\u201d.<\/p>\n<p>Ngu\u1ed3n : https:\/\/thanhnienviet.vn\/benh-vien-tai-ha-noi-tiep-nhan-hang-loat-truong-hop-mac-cum-nhieu-nguoi-mat-chuc-nang-phoi-tro-nang-nhanh-209250205153029344.htm<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi Trung \u01b0\u01a1ng \u0111ang \u0111i\u1ec1u tr\u1ecb cho 8 b\u1ec7nh nh\u00e2n m\u1eafc C\u00fam. M\u1ed9t trong s\u1ed1 \u0111\u00f3 \u0111ang ph\u1ea3i \u0111\u1eb7t ECMO. Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p m\u1eafc c\u00fam n\u1eb7ng Theo th\u00f4ng tin t\u1eeb B\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi Trung \u01b0\u01a1ng, trong s\u1ed1 8 b\u1ec7nh nh\u00e2n m\u1eafc c\u00fam \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":21179,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kenh69.info\/?p=21178\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u1ec7nh vi\u1ec7n t\u1ea1i H\u00e0 N\u1ed9i ti\u1ebfp nh\u1eadn h\u00e0ng lo\u1ea1t tr\u01b0\u1eddng h\u1ee3p m\u1eafc c\u00fam, nhi\u1ec1u ng\u01b0\u1eddi m\u1ea5t ch\u1ee9c n\u0103ng ph\u1ed5i, tr\u1edf n\u1eb7ng nhanh - Tin m\u1edbi\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi Trung \u01b0\u01a1ng \u0111ang \u0111i\u1ec1u tr\u1ecb cho 8 b\u1ec7nh nh\u00e2n m\u1eafc C\u00fam. M\u1ed9t trong s\u1ed1 \u0111\u00f3 \u0111ang ph\u1ea3i \u0111\u1eb7t ECMO. 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