{"id":17876,"date":"2023-04-14T21:02:08","date_gmt":"2023-04-14T14:02:08","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=17876"},"modified":"2023-04-18T12:34:45","modified_gmt":"2023-04-18T05:34:45","slug":"tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim\/","title":{"rendered":"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim"},"content":{"rendered":"<p><strong>T\u0103ng kali m\u00e1u l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 nguy hi\u1ec3m c\u00f3 th\u1ec3 x\u1ea3y ra sau ph\u1eabu thu\u1eadt tim \u0111\u1eb7c bi\u1ec7t l\u00e0 trong b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c. Khi kali m\u00e1u t\u0103ng cao, \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u00f3 th\u1ec3 b\u1ecb co th\u1eaft, d\u1eabn \u0111\u1ebfn thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp tim. \u0110i\u1ec1u tr\u1ecb t\u0103ng kali m\u00e1u bao g\u1ed3m \u1ed5n \u0111\u1ecbnh m\u00e0ng t\u1ebf b\u00e0o, chuy\u1ec3n kali v\u00e0o t\u1ebf b\u00e0o v\u00e0 t\u0103ng s\u1ef1 b\u00e0i ti\u1ebft kali ra kh\u1ecfi c\u01a1 th\u1ec3.<\/strong><\/p>\n<h2><strong>1.<\/strong> <strong>Nguy\u00ean nh\u00e2n \u1edf b\u1ec7nh nh\u00e2n ph\u1eabu thu\u1eadt tim<\/strong><\/h2>\n<ul>\n<li>Dung d\u1ecbch li\u1ec7t c\u01a1 tim c\u00f3 l\u01b0\u1ee3ng kali cao, th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ph\u00f2ng m\u1ed5. L\u01b0\u1ee3ng kali n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ngay l\u1eadp t\u1ee9c b\u1edfi th\u1eadn ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng, nh\u01b0ng t\u0103ng kali m\u00e1u c\u00f3 th\u1ec3 g\u00e2y v\u1ea5n \u0111\u1ec1 \u1edf b\u1ec7nh nh\u00e2n c\u00f3 suy th\u1eadn c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh ho\u1eb7c thi\u1ec3u ni\u1ec7u do nguy\u00ean nh\u00e2n kh\u00e1c.<\/li>\n<li>Tr\u1ea1ng th\u00e1i s\u1ea3n xu\u1ea5t ra \u00edt n\u01b0\u1edbc ti\u1ec3u li\u00ean quan \u0111\u1ebfn cung l\u01b0\u1ee3ng tim th\u1ea5t. M\u1ee9c kali c\u00f3 th\u1ec3 t\u0103ng nhanh ch\u00f3ng v\u00e0 g\u00e2y nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/li>\n<li>Thi\u1ebfu m\u00e1u m\u00f4 nghi\u00eam tr\u1ecdng, d\u00f9 l\u00e0 \u1edf ngo\u1ea1i vi ho\u1eb7c \u1edf b\u1ee5ng (thi\u1ebfu m\u00e1u \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean) t\u0103ng kali m\u00e1u th\u01b0\u1eddng l\u00e0 d\u1ea5u hi\u1ec7u \u0111\u1ea7u ti\u00ean cho th\u1ea5y s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a nh\u1eefng v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/li>\n<li>Suy th\u1eadn c\u1ea5p v\u00e0 m\u1ea1n t\u00ednh.Suy th\u1eadn l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn s\u1ef1 suy gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng c\u1ee7a th\u1eadn, v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng t\u0103ng kali m\u00e1u. C\u01a1 ch\u1ebf n\u00e0y c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i suy th\u1eadn, bao g\u1ed3m suy th\u1eadn c\u1ea5p v\u00e0 m\u1ea1n t\u00ednh.Trong tr\u01b0\u1eddng h\u1ee3p suy th\u1eadn c\u1ea5p, th\u01b0\u1eddng x\u1ea3y ra do t\u1eafc ngh\u1ebdn ho\u1eb7c thi\u1ebfu m\u00e1u \u0111\u1ed9t ng\u1ed9t \u0111\u1ed1i v\u1edbi c\u00e1c m\u1ea1ch m\u00e1u c\u1ee7a th\u1eadn. S\u1ef1 suy gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng c\u1ee7a th\u1eadn d\u1eabn \u0111\u1ebfn kh\u00f4ng th\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i v\u00e0 ch\u1ea5t d\u01b0 th\u1eeba t\u1eeb c\u01a1 th\u1ec3, bao g\u1ed3m c\u1ea3 kali. Trong khi \u0111\u00f3, c\u00e1c t\u1ebf b\u00e0o trong th\u1eadn v\u1eabn ti\u1ebfp t\u1ee5c b\u00e0i ti\u1ebft kali ra ngo\u00e0i, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng t\u0103ng kali m\u00e1u.Trong suy th\u1eadn m\u1ea1n t\u00ednh, th\u01b0\u1eddng x\u1ea3y ra khi th\u1eadn b\u1ecb t\u1ed5n th\u01b0\u01a1ng d\u1ea7n d\u1ea7n trong m\u1ed9t kho\u1ea3ng th\u1eddi gian d\u00e0i. Khi \u0111\u00f3, c\u00e1c b\u1ed9 ph\u1eadn c\u1ee7a th\u1eadn kh\u00f4ng c\u00f2n ho\u1ea1t \u0111\u1ed9ng t\u1ed1t nh\u01b0 ban \u0111\u1ea7u, d\u1eabn \u0111\u1ebfn kh\u00f4ng th\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i v\u00e0 ch\u1ea5t d\u01b0 th\u1eeba t\u1eeb c\u01a1 th\u1ec3, bao g\u1ed3m c\u1ea3 kali. C\u00e1c t\u1ebf b\u00e0o trong th\u1eadn v\u1eabn ti\u1ebfp t\u1ee5c b\u00e0i ti\u1ebft kali ra ngo\u00e0i, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng t\u0103ng kali m\u00e1u.<\/li>\n<li>Thu\u1ed1c l\u00e0m gi\u1ea3m s\u1ef1 b\u00e0i ti\u1ebft kali ho\u1eb7c t\u0103ng m\u1ee9c kali (\u1ee9c ch\u1ebf men chuy\u1ec3n, ARBs, thu\u1ed1c l\u1ee3i ti\u1ec3u ti\u1ebft ki\u1ec7m kali, NSAIDs, \u03b2\u2010blockers).Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch ng\u0103n ch\u1eb7n ho\u1eb7c gi\u1ea3m b\u00e0i ti\u1ebft kali t\u1eeb th\u1eadn ra \u0111\u01b0\u1eddng ti\u1ec3u, d\u1eabn \u0111\u1ebfn t\u0103ng kali m\u00e1u. C\u01a1 ch\u1ebf t\u0103ng kali m\u00e1u do thu\u1ed1c t\u0103ng m\u1ee9c kali th\u01b0\u1eddng x\u1ea3y ra khi b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ee9a kali nh\u01b0 kali clorua ho\u1eb7c kali bicarbonate \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng h\u1ea1 kali m\u00e1u. Vi\u1ec7c s\u1eed d\u1ee5ng qu\u00e1 li\u1ec1u ho\u1eb7c kh\u00f4ng tu\u00e2n th\u1ee7 \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng kali m\u00e1u.<\/li>\n<li>T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft nghi\u00eam tr\u1ecdng, g\u00e2y t\u0103ng s\u1ef1 gi\u1ea3i ph\u00f3ng kali t\u1eeb t\u1ebf b\u00e0o ra ch\u1ea5t l\u1ecfng ngo\u00e0i t\u1ebf b\u00e0o.Khi \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng, c\u00e1c t\u1ebf b\u00e0o trong c\u01a1 th\u1ec3 s\u1ebd tr\u1ea3i qua qu\u00e1 tr\u00ecnh g\u1ecdi l\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, trong \u0111\u00f3 ch\u1ea5t \u0111\u01b0\u1eddng s\u1ebd \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i qua \u0111\u01b0\u1eddng ti\u1ec3u. Tuy nhi\u00ean, vi\u1ec7c \u0111\u00e0o th\u1ea3i \u0111\u01b0\u1eddng c\u0169ng \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c \u0111\u00e0o th\u1ea3i kali, do \u0111\u01b0\u1eddng gi\u00fap kali v\u00e0o t\u1ebf b\u00e0o. Khi \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng nghi\u00eam tr\u1ecdng, s\u1ef1 gi\u1ea3i ph\u00f3ng kali t\u1eeb t\u1ebf b\u00e0o ra ch\u1ea5t l\u1ecfng ngo\u00e0i t\u1ebf b\u00e0o s\u1ebd t\u0103ng l\u00ean, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng t\u0103ng kali m\u00e1u.<\/li>\n<\/ul>\n<h2><strong>2.C\u1eadn l\u00e2m s\u00e0ng:<\/strong><\/h2>\n<p>Bi\u1ec3u hi\u1ec7n ch\u1ee7 y\u1ebfu l\u00e0 tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 do m\u00e0ng t\u1ebf b\u00e0o tim ngh\u1ec9 ng\u01a1i, l\u00e0m gi\u1ea3m t\u00ednh k\u00edch th\u00edch c\u1ee7a m\u00e0ng. C\u00f3 th\u1ec3 x\u1ea3y ra t\u00ecnh tr\u1ea1ng ng\u1eebng tim khi kali t\u0103ng nhanh \u0111\u1ebfn m\u1ee9c v\u01b0\u1ee3t qu\u00e1 6,5 mEq\/L. Nh\u1eefng thay \u0111\u1ed5i tr\u00ean ECG c\u1ee7a t\u0103ng kali m\u00e1u kh\u00f4ng lu\u00f4n ph\u00e1t tri\u1ec3n theo c\u00e1ch ti\u1ebfn tri\u1ec3n c\u1ed5 \u0111i\u1ec3n v\u00e0 li\u00ean quan nhi\u1ec1u \u0111\u1ebfn t\u1ed1c \u0111\u1ed9 t\u0103ng kali m\u00e1u h\u01a1n l\u00e0 \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 tuy\u1ec7t \u0111\u1ed1i. Nh\u1eefng thay \u0111\u1ed5i n\u00e0y bao g\u1ed3m:<\/p>\n<ul>\n<li>\u0110\u1ec9nh s\u00f3ng T cao<\/li>\n<li>ST m\u1ea5t d\u1ea7n<\/li>\n<li>S\u00f3ng R nh\u1ecf h\u01a1n<\/li>\n<li>K\u00e9o d\u00e0i kho\u1ea3ng PR<\/li>\n<li>M\u1ea5t s\u00f3ng P<\/li>\n<li>R\u1ed9ng QRS, nh\u1ecbp tim ch\u1eadm, rung th\u1ea5t v\u00e0 ng\u1eebng tim.<\/li>\n<\/ul>\n<h2><strong>3.\u0110i\u1ec1u tr\u1ecb<\/strong><\/h2>\n<p>Bao g\u1ed3m \u1ed5n \u0111\u1ecbnh m\u00e0ng t\u1ebf b\u00e0o, chuy\u1ec3n kali v\u00e0o t\u1ebf b\u00e0o v\u00e0 t\u0103ng s\u1ef1 b\u00e0i ti\u1ebft kali ra kh\u1ecfi c\u01a1 th\u1ec3.T\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u do x\u1ea3y ra khi c\u00f3 c\u00e1c thay \u0111\u1ed5i tr\u00ean ECG v\u00e0 t\u0103ng kali m\u00e1u &gt;6,5 mEq\/L ho\u1eb7c m\u1ee9c &gt;5,5 mEq\/L v\u1edbi suy th\u1eadn c\u1ea5p. Nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c gi\u1ea3m kali m\u00e1u g\u1ea5p trong t\u00ecnh tr\u1ea1ng kh\u1ea9n c\u1ea5p. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00e1c, vi\u1ec7c gi\u1ea3m kali m\u00e1u ch\u1eadm h\u01a1n l\u00e0 kh\u1ea3 thi.<\/p>\n<ul>\n<li>N\u1ebfu c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 \u0111\u1ed9c t\u00ednh tr\u00ean tim ti\u1ebfn tri\u1ec3n ho\u1eb7c thay \u0111\u1ed5i tr\u00ean ECG, th\u01b0\u1eddng khi kali &gt;6,5 mEq\/L, ti\u00eam gluconate canxi 10 mL dung d\u1ecbch 10% (1 g) t\u0129nh m\u1ea1ch qua 2-3 ph\u00fat \u0111\u1ec3 \u1ed5n \u0111\u1ecbnh m\u00e0ng t\u1ebf b\u00e0o. Hi\u1ec7u qu\u1ea3 c\u00f3 l\u1ee3i n\u00ean \u0111\u01b0\u1ee3c ghi nh\u1eadn trong v\u00e0i ph\u00fat, nh\u01b0ng ch\u1ec9 k\u00e9o d\u00e0i kho\u1ea3ng 30 ph\u00fat.<\/li>\n<li>T\u0103ng c\u01b0\u1eddng b\u00e0i ti\u1ebft kali v\u00ec t\u00e1c d\u1ee5ng c\u1ee7a canxi ch\u1ec9 k\u00e9o d\u00e0i ng\u1eafn.Furosemide 20-40 mg IV r\u1ea5t hi\u1ec7u qu\u1ea3 trong vi\u1ec7c gi\u1ea3m kali m\u00e1u \u1edf b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 suy th\u1eadn \u0111\u00e1ng k\u1ec3. Thu\u1ed1c l\u1ee3i ti\u1ec3u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u01a1n \u0111\u1ed9c \u1edf b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng d\u01b0 n\u01b0\u1edbc, nh\u01b0ng n\u00ean k\u1ebft h\u1ee3p v\u1edbi vi\u1ec7c truy\u1ec1n dung d\u1ecbch mu\u1ed1i sinh l\u00fd \u1edf b\u1ec7nh nh\u00e2n trung h\u00f2a n\u01b0\u1edbc ho\u1eb7c thi\u1ebfu n\u01b0\u1edbc. C\u0169ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng truy\u1ec1n li\u00ean t\u1ee5c.<\/li>\n<\/ul>\n<h2><strong>4.K\u1ebft lu\u1eadn \u0111i\u1ec1u tr\u1ecb t\u0103ng kali m\u00e1u<\/strong><\/h2>\n<p>L\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m sau ph\u1eabu thu\u1eadt tim \u0111\u00f2i h\u1ecfi ph\u1ea3i \u0111\u01b0\u1ee3c x\u1eed l\u00fd k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3 \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. \u0110i\u1ec1u tr\u1ecb t\u0103ng kali m\u00e1u bao g\u1ed3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p nh\u01b0 \u1ed5n \u0111\u1ecbnh m\u00e0ng t\u1ebf b\u00e0o, chuy\u1ec3n kali v\u00e0o t\u1ebf b\u00e0o v\u00e0 t\u0103ng s\u1ef1 b\u00e0i ti\u1ebft kali ra kh\u1ecfi c\u01a1 th\u1ec3. Tuy nhi\u00ean, \u0111i\u1ec1u tr\u1ecb c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa, theo d\u00f5i s\u00e1t v\u00e0 trong m\u1ed9t m\u00f4i tr\u01b0\u1eddng y t\u1ebf \u0111\u1ea7y \u0111\u1ee7 v\u00e0 chuy\u00ean nghi\u1ec7p.<\/p>\n<p><a href=\"https:\/\/www.vinmec.com\/\"><strong>B\u1ec7nh vi\u1ec7n \u0110a khoa Qu\u1ed1c t\u1ebf Vinmec<\/strong><\/a> \u0111\u00e3 \u0111\u01b0a h\u1ec7 th\u1ed1ng m\u00e1y m\u00f3c, thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i \u0111\u1ea1t chu\u1ea9n v\u00e0o c\u00f4ng t\u00e1c th\u0103m kh\u00e1m, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 h\u1ed3i s\u1ee9c sau ph\u1eabu thu\u1eadt tim.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u0103ng kali m\u00e1u l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 nguy hi\u1ec3m c\u00f3 th\u1ec3 x\u1ea3y ra sau ph\u1eabu thu\u1eadt tim \u0111\u1eb7c bi\u1ec7t l\u00e0 trong b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c. Khi kali m\u00e1u t\u0103ng cao, \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u00f3 th\u1ec3 b\u1ecb co th\u1eaft, d\u1eabn \u0111\u1ebfn thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp tim. \u0110i\u1ec1u tr\u1ecb t\u0103ng kali m\u00e1u bao [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":20181,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim - Vinmec<\/title>\n<meta name=\"description\" content=\"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 c\u00f3 c\u00e1ch nh\u00ecn t\u1ed5ng qu\u00e1t.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim - Vinmec\" \/>\n<meta property=\"og:description\" content=\"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 c\u00f3 c\u00e1ch nh\u00ecn t\u1ed5ng qu\u00e1t.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-14T14:02:08+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-18T05:34:45+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/a-high-strength-cardioplegia-solution-hangs-on-a-drip-stand-during-JEM3H5.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1300\" \/>\n\t<meta property=\"og:image:height\" content=\"955\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim\/\",\"name\":\"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-14T14:02:08+00:00\",\"dateModified\":\"2023-04-18T05:34:45+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/dded5c0d4cb1bb77d05cf29ab5f85629\"},\"description\":\"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 c\u00f3 c\u00e1ch nh\u00ecn t\u1ed5ng qu\u00e1t.\",\"breadcrumb\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/dded5c0d4cb1bb77d05cf29ab5f85629\",\"name\":\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/2.gravatar.com\/avatar\/50f51f67852bc7e49c0b8b60a1fefe3e?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/2.gravatar.com\/avatar\/50f51f67852bc7e49c0b8b60a1fefe3e?s=96&d=mm&r=g\",\"caption\":\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/viettai304-304gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim - Vinmec","description":"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 c\u00f3 c\u00e1ch nh\u00ecn t\u1ed5ng qu\u00e1t.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim - Vinmec","og_description":"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 c\u00f3 c\u00e1ch nh\u00ecn t\u1ed5ng qu\u00e1t.","og_url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim\/","og_site_name":"Vinmec","article_published_time":"2023-04-14T14:02:08+00:00","article_modified_time":"2023-04-18T05:34:45+00:00","og_image":[{"width":1300,"height":955,"url":"https:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/a-high-strength-cardioplegia-solution-hangs-on-a-drip-stand-during-JEM3H5.jpg","type":"image\/jpeg"}],"author":"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i","twitter_card":"summary_large_image","twitter_misc":{"Written by":"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim\/","url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim\/","name":"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-14T14:02:08+00:00","dateModified":"2023-04-18T05:34:45+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/dded5c0d4cb1bb77d05cf29ab5f85629"},"description":"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 c\u00f3 c\u00e1ch nh\u00ecn t\u1ed5ng qu\u00e1t.","breadcrumb":{"@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-kali-mau-tren-benh-nhan-hoi-suc-phau-thuat-tim\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"T\u0103ng kali m\u00e1u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/dded5c0d4cb1bb77d05cf29ab5f85629","name":"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/2.gravatar.com\/avatar\/50f51f67852bc7e49c0b8b60a1fefe3e?s=96&d=mm&r=g","contentUrl":"http:\/\/2.gravatar.com\/avatar\/50f51f67852bc7e49c0b8b60a1fefe3e?s=96&d=mm&r=g","caption":"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/viettai304-304gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/17876"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=17876"}],"version-history":[{"count":10,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/17876\/revisions"}],"predecessor-version":[{"id":24034,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/17876\/revisions\/24034"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media\/20181"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=17876"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=17876"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=17876"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}