{"id":18046,"date":"2023-04-14T20:58:51","date_gmt":"2023-04-14T13:58:51","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18046"},"modified":"2023-04-18T12:36:06","modified_gmt":"2023-04-18T05:36:06","slug":"cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim\/","title":{"rendered":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim"},"content":{"rendered":"<p><strong>H\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed \u0111\u1ea7y \u0111\u1ee7 l\u00e0 c\u1ea7n thi\u1ebft khi b\u1ec7nh nh\u00e2n v\u1eabn \u0111ang \u0111\u01b0\u1ee3c g\u00e2y m\u00ea sau ph\u1eabu thu\u1eadt. N\u00f3 c\u0169ng c\u1ea7n thi\u1ebft cho b\u1ec7nh nh\u00e2n b\u1ecb suy h\u00f4 h\u1ea5p c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh trong khi c\u00e1c qu\u00e1 tr\u00ecnh b\u1ec7nh l\u00fd c\u01a1 b\u1ea3n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 dinh d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c t\u1ed1i \u01b0u h\u00f3a.\u00a0<\/strong><\/p>\n<h2>1.Th\u00f4ng s\u1ed1 \u0111\u01b0\u1ee3c c\u00e0i \u0111\u1eb7t khi \u0111ang th\u1edf m\u00e1y:<\/h2>\n<ul>\n<li>Th\u1ec3 t\u00edch kh\u00ed l\u01b0u th\u00f4ng (VT): 6-8 mL\/kg.\u0110\u00e2y l\u00e0 th\u1ec3 t\u00edch kh\u00ed \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o trong m\u1ed7i chu k\u1ef3 th\u1edf.Ch\u1ec9 \u0111\u1ecbnh VT tu\u1ef3 theo t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd c\u1ee7a b\u1ec7nh nh\u00e2n<\/li>\n<li>T\u1ea7n s\u1ed1 th\u1edf(TS): 10-12 l\u1ea7n\/ph\u00fat<\/li>\n<li>N\u1ed3ng \u0111\u1ed9 oxy trong kh\u00ed h\u00edt v\u00e0o (FiO2): 1,0<\/li>\n<li>\u00c1p l\u1ef1c d\u01b0\u01a1ng cu\u1ed1i th\u00ec th\u1edf ra (Positive end-expiratory pressure &#8211; PEEP): 5 cm H2O<\/li>\n<li>T\u1ef7 l\u1ec7 th\u1edf h\u00edt v\u00e0o : th\u1edf th\u1edf ra (Inspiratory:Expiratory ratio &#8211; I:E) t\u1eeb 1:2 \u0111\u1ebfn 1:3.<\/li>\n<\/ul>\n<p>Th\u1ec3 t\u00edch kh\u00ed l\u01b0u th\u00f4ng \u00a0v\u00e0 t\u1ea7n s\u1ed1 th\u1edf \u0111\u01b0\u1ee3c ch\u1ecdn \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u00f4ng kh\u00ed trung b\u00ecnh kho\u1ea3ng 100 mL\/kg\/ph\u00fat. Th\u1ec3 t\u00edch kh\u00ed l\u01b0u th\u00f4ng th\u1ea5p c\u00f3 th\u1ec3 t\u1ed1t h\u01a1n so v\u1edbi th\u1ec3 t\u00edch cao\u00a0 c\u1ee7a h\u1ed9i ch\u1ee9ng suy h\u00f4 h\u1ea5p c\u1ea5p ng\u01b0\u1eddi l\u1edbn (adult respiratory distress syndrome &#8211; ARDS) sau ph\u1eabu thu\u1eadt. Ng\u01b0\u1ee3c l\u1ea1i, b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) th\u01b0\u1eddng c\u00f3 l\u1ee3i t\u1eeb t\u1ea7n s\u1ed1 th\u1edf th\u1ea5p v\u00e0 th\u1ec3 t\u00edch kh\u00ed l\u01b0u th\u00f4ng cao v\u1edbi t\u1ed1c \u0111\u1ed9 d\u00f2ng kh\u00ed h\u00edt v\u00e0o t\u0103ng l\u00ean. \u0110i\u1ec1u n\u00e0y cho ph\u00e9p th\u1eddi gian th\u1edf ra nhi\u1ec1u h\u01a1n.<\/p>\n<p>M\u1ed9t m\u1ee9c \u00e1p l\u1ef1c d\u01b0\u01a1ng cu\u1ed1i th\u00ec th\u1edf ra (5 cm H2O) th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u00eam v\u00e0o \u0111\u1ec3 ng\u0103n x\u1eb9p ph\u1ed5i. M\u1ee9c \u0111\u1ed9 PEEP t\u1eeb 10 cm H2O tr\u1edf l\u00ean th\u01b0\u1eddng c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c ph\u1ed5i, nh\u01b0ng n\u00f3 ph\u1ea3i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u1ea9n th\u1eadn v\u00ec n\u00f3 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u t\u0129nh m\u1ea1ch v\u00e0 l\u00e0m t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i v\u00e0 th\u1ea5t ph\u1ea3i. C\u1ea7n c\u1ea9n tr\u1ecdng khi b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng th\u1ea5t ph\u1ea3i b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/p>\n<h2>2. C\u00e1c Mode th\u1edf \u00e1p d\u1ee5ng:<\/h2>\n<h3><strong>2.1.Th\u1edf \u00e1p l\u1ef1c d\u01b0\u01a1ng (PPV):<\/strong><\/h3>\n<p>C\u1ea3i thi\u1ec7n s\u1ef1 ph\u00f9 h\u1ee3p gi\u1eefa l\u01b0u l\u01b0\u1ee3ng kh\u00ed v\u00e0 l\u01b0\u1ee3ng kh\u00ed trao \u0111\u1ed5i \u0111\u1ec3 t\u0103ng hi\u1ec7u qu\u1ea3 trao \u0111\u1ed5i kh\u00ed. N\u00f3 c\u0169ng gi\u1ea3m c\u00f4ng h\u00f4 h\u1ea5p \u1edf b\u1ec7nh nh\u00e2n khi \u0111\u01b0\u1ee3c an th\u1ea7n v\u00e0\/ho\u1eb7c b\u1ecb li\u1ec7t. Vi\u1ec7c ng\u1eebng h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed n\u00ean \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u ngay khi c\u00f3 th\u1ec3\u00a0 \u0111\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed k\u00e9o d\u00e0i g\u00f3p ph\u1ea7n v\u00e0o t\u1ef7 l\u1ec7 t\u1eed vong cao. C\u00e1c bi\u1ebfn ch\u1ee9ng n\u00e0y bao g\u1ed3m:<\/p>\n<ul>\n<li>T\u00e1c \u0111\u1ed9ng \u0111\u1ebfn ph\u1ed5i (ph\u00f9 ph\u1ed5i, t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i c\u1ea5p, vi\u00eam ph\u1ed5i li\u00ean quan \u0111\u1ebfn th\u1edf), suy c\u01a1 h\u00f4 h\u1ea5p, y\u1ebfu c\u01a1 h\u00f4 h\u1ea5p (\u0111a th\u1ea7n kinh).<\/li>\n<li>R\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng: t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, gi\u1ea3m huy\u1ebft \u00e1p, t\u0103ng kh\u1ed1i l\u01b0\u1ee3ng m\u00e1u quay v\u1ec1 tim.<\/li>\n<li>V\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a: lo\u00e9t d\u1ea1 d\u00e0y, gi\u1ea3m nhu \u0111\u1ed9ng ru\u1ed9t v\u00e0 kh\u00f3 ch\u1ecbu khi \u0103n qua \u1ed1ng, suy gi\u1ea3m tu\u1ea7n ho\u00e0n ru\u1ed9t, kh\u00f3 kh\u0103n khi nu\u1ed1t sau khi r\u00fat \u1ed1ng th\u00f4ng kh\u00ed.<\/li>\n<li>Ch\u1ee9c n\u0103ng th\u1eadn.<\/li>\n<li>T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd.<\/li>\n<li>R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 v\u00e0 h\u00f4n m\u00ea.<\/li>\n<li>Ph\u00e1t tri\u1ec3n vi\u00eam t\u1eafc t\u0129nh m\u1ea1ch do s\u1eed d\u1ee5ng heparin \u0111\u1ec3 ph\u00f2ng ng\u1eeba huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u.<\/li>\n<\/ul>\n<h3><strong>2.2.Ch<\/strong><strong>\u1ebf<\/strong> <strong>\u0111<\/strong><strong>\u1ed9 gi\u1edbi h\u1ea1n th\u1ec3 t\u00edch (VC)<\/strong><\/h3>\n<p>C\u00e1c thi\u1ebft l\u1eadp tr\u00ean m\u00e1y th\u1edf cung c\u1ea5p VT kho\u1ea3ng 8 L\/ph\u00fat. C\u00e1c thi\u1ebft l\u1eadp n\u00e0y bao g\u1ed3m t\u1ea7n s\u1ed1 th\u1edf t\u1eeb 10-12 l\u1ea7n\/ph\u00fat v\u00e0 th\u1ec3 t\u00edch kh\u00ed l\u01b0u th\u00f4ng t\u1eeb 6-8 mL\/kg. PEEP 5 cm H2O th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u00eam v\u00e0o. C\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh c\u00e1c thi\u1ebft l\u1eadp d\u1ef1a tr\u00ean kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch, nh\u01b0ng \u00e1p su\u1ea5t \u0111\u01b0\u1eddng th\u1edf n\u00ean \u0111\u01b0\u1ee3c gi\u1eef \u1edf m\u1ee9c &lt;30 cm H2O.<\/p>\n<h3><strong>\u00a02.3.Ch<\/strong><strong>\u1ebf<\/strong> <strong>\u0111<\/strong><strong>\u1ed9 h\u1ed7 tr\u1ee3\/ki\u1ec3m so\u00e1t (A\/C):<\/strong><\/h3>\n<p>Cung c\u1ea5p m\u1ed9t th\u1ec3 t\u00edch kh\u00ed l\u01b0u th\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1eb7t tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t b\u1edfi l\u1ef1c h\u00edt c\u1ee7a b\u1ec7nh nh\u00e2n ho\u1eb7c t\u1ea1i c\u00e1c kho\u1ea3ng th\u1eddi gian \u0111\u01b0\u1ee3c \u0111\u1eb7t tr\u01b0\u1edbc n\u1ebfu kh\u00f4ng c\u00f3 th\u1edf. T\u1ea7n s\u1ed1 h\u00f4 h\u1ea5p n\u00ean \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf m\u1ee9c 10-12 l\u1ea7n\/ph\u00fat tr\u01b0\u1edbc khi b\u1ec7nh nh\u00e2n b\u1eaft \u0111\u1ea7u th\u1edf t\u1ef1 ph\u00e1t. N\u1ebfu b\u1ec7nh nh\u00e2n\u00a0 th\u1edf kh\u00f4ng \u0111\u1ed3ng b\u1ed9 v\u1edbi m\u00e1y th\u1edf ho\u1eb7c th\u1edf qu\u00e1 nhanh, s\u1ebd c\u00f3 nguy c\u01a1 g\u00e2y ra t\u0103ng ki\u1ec1m h\u00f4 h\u1ea5p ho\u1eb7c toan h\u00f4 h\u1ea5p \u0111\u00e1ng k\u1ec3. Ch\u1ebf \u0111\u1ed9 th\u00f4ng kh\u00ed n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng t\u1ed1t nh\u1ea5t ch\u1ec9 khi b\u1ec7nh nh\u00e2n c\u1ea7n h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed \u0111\u00e1ng k\u1ec3 v\u00e0 kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m d\u1ea7n.<\/p>\n<h3><strong>2.4.Th\u1edf th\u00f4ng kh\u00ed b\u1eaft bu\u1ed9c <\/strong><strong>ng\u1eaft qu\u00e3ng<\/strong> <strong>\u0111<\/strong><strong>\u1ed3ng b\u1ed9\u00a0 (SIMV): <\/strong><\/h3>\n<p>Trong ch\u1ebf \u0111\u1ed9 SIMV, b\u1ec7nh nh\u00e2n th\u1edf t\u1ef1 ph\u00e1t v\u00e0 t\u1ea1i c\u00e1c kho\u1ea3ng th\u1eddi gian \u0111\u01b0\u1ee3c \u0111\u1eb7t tr\u01b0\u1edbc, th\u1edf t\u1ef1 ph\u00e1t ti\u1ebfp theo \u0111\u01b0\u1ee3c b\u1ed5 sung th\u00eam m\u1ed9t th\u1ec3 t\u00edch kh\u00ed l\u01b0u th\u00f4ng \u0111\u1ea7y \u0111\u1ee7 t\u1eeb m\u00e1y th\u1edf. V\u00ec th\u1edf c\u1ee7a m\u00e1y \u0111\u01b0\u1ee3c \u0111\u1ed3ng b\u1ed9 v\u1edbi n\u1ed7 l\u1ef1c c\u1ee7a b\u1ec7nh nh\u00e2n, \u00e1p su\u1ea5t \u0111\u1ec9nh cao \u0111\u01b0\u1ee3c tr\u00e1nh v\u00e0 th\u1edf tr\u1edf n\u00ean d\u1ec5 ch\u1ecbu h\u01a1n. V\u00ec nhi\u1ec1u n\u1ed7 l\u1ef1c c\u1ee7a b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ed5 sung, SIMV kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed v\u00ec n\u00f3 t\u0103ng c\u00f4ng h\u00f4 h\u1ea5p h\u01a1n so v\u1edbi ch\u1ebf \u0111\u1ed9 A\/C. Tuy nhi\u00ean, \u0111\u00e2y l\u00e0 m\u1ed9t ch\u1ebf \u0111\u1ed9 tuy\u1ec7t v\u1eddi cho vi\u1ec7c gi\u1ea3m d\u1ea7n th\u00f4ng kh\u00ed v\u00ec n\u00f3 t\u1ea1o ra s\u1ef1 \u0111\u1ed3ng b\u1ed9 t\u1ed1t gi\u1eefa b\u1ec7nh nh\u00e2n v\u00e0 m\u00e1y th\u1edf, b\u1ea3o t\u1ed3n ch\u1ee9c n\u0103ng c\u01a1 h\u00f4 h\u1ea5p v\u00e0 t\u1ea1o ra \u00e1p l\u1ef1c \u0111\u01b0\u1eddng th\u1edf th\u1ea5p.<\/p>\n<h3><strong>2.5.Th\u1edf h\u1ed7 tr\u1ee3 \u00e1p l\u1ef1c (PSV):<\/strong><\/h3>\n<p>L\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng gi\u1edbi h\u1ea1n \u00e1p l\u1ef1c \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t b\u1edfi b\u1ec7nh nh\u00e2n, ch\u1ec9 cung c\u1ea5p th\u00f4ng kh\u00ed khi \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t b\u1edfi vi\u1ec7c h\u00edt c\u1ee7a b\u1ec7nh nh\u00e2n. Sau \u0111\u00f3, h\u1ec7 th\u1ed1ng s\u1ebd cung c\u1ea5p \u00e1p l\u1ef1c h\u00edt v\u00e0 d\u00f2ng kh\u00ed v\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p cho \u0111\u1ebfn khi d\u00f2ng th\u1edf h\u00edt gi\u1ea3m xu\u1ed1ng kho\u1ea3ng 25% so v\u1edbi gi\u00e1 tr\u1ecb \u0111\u1ec9nh c\u1ee7a n\u00f3 v\u00e0 th\u1edf ra s\u1ebd di\u1ec5n ra m\u1ed9t c\u00e1ch t\u1ef1 nhi\u00ean. N\u1ed7 l\u1ef1c c\u1ee7a b\u1ec7nh nh\u00e2n quy\u1ebft \u0111\u1ecbnh t\u1ea7n s\u1ed1 h\u00f4 h\u1ea5p, th\u1eddi gian h\u00edt v\u00e0 t\u1ed1c \u0111\u1ed9 d\u00f2ng kh\u00ed v\u00e0 th\u1eddi gian th\u1edf ra. Th\u1ec3 t\u00edch kh\u00ed l\u01b0u th\u00f4ng \u0111\u01b0\u1ee3c cung c\u1ea5p ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c h\u00edt c\u1ee7a b\u1ec7nh nh\u00e2n, m\u1ee9c \u0111\u1ed9 h\u1ed7 tr\u1ee3 \u00e1p l\u1ef1c \u0111\u01b0\u1ee3c ch\u1ecdn.<\/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 ph\u1eabu thu\u1eadt tim.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed \u0111\u1ea7y \u0111\u1ee7 l\u00e0 c\u1ea7n thi\u1ebft khi b\u1ec7nh nh\u00e2n v\u1eabn \u0111ang \u0111\u01b0\u1ee3c g\u00e2y m\u00ea sau ph\u1eabu thu\u1eadt. N\u00f3 c\u0169ng c\u1ea7n thi\u1ebft cho b\u1ec7nh nh\u00e2n b\u1ecb suy h\u00f4 h\u1ea5p c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh trong khi c\u00e1c qu\u00e1 tr\u00ecnh b\u1ec7nh l\u00fd c\u01a1 b\u1ea3n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 dinh d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c t\u1ed1i \u01b0u h\u00f3a.\u00a0 1.Th\u00f4ng [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":19934,"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>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim -<\/title>\n<meta name=\"description\" content=\"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim c\u00f3 m\u1ed9t v\u00e0i \u0111i\u1ec3m kh\u00e1c v\u1edbi b\u1ec7nh nh\u00e2n th\u1edf m\u00e1y kh\u00e1c. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.\" \/>\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=\"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim -\" \/>\n<meta property=\"og:description\" content=\"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim c\u00f3 m\u1ed9t v\u00e0i \u0111i\u1ec3m kh\u00e1c v\u1edbi b\u1ec7nh nh\u00e2n th\u1edf m\u00e1y kh\u00e1c. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-14T13:58:51+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-18T05:36:06+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Be-n-trong-ICU-ta-i-BVDK-Ba-c-3266-6758-16235575451.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"887\" \/>\n\t<meta property=\"og:image:height\" content=\"591\" \/>\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\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim\/\",\"name\":\"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim -\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-14T13:58:51+00:00\",\"dateModified\":\"2023-04-18T05:36:06+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/dded5c0d4cb1bb77d05cf29ab5f85629\"},\"description\":\"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim c\u00f3 m\u1ed9t v\u00e0i \u0111i\u1ec3m kh\u00e1c v\u1edbi b\u1ec7nh nh\u00e2n th\u1edf m\u00e1y kh\u00e1c. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong 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":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim -","description":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim c\u00f3 m\u1ed9t v\u00e0i \u0111i\u1ec3m kh\u00e1c v\u1edbi b\u1ec7nh nh\u00e2n th\u1edf m\u00e1y kh\u00e1c. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.","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":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim -","og_description":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim c\u00f3 m\u1ed9t v\u00e0i \u0111i\u1ec3m kh\u00e1c v\u1edbi b\u1ec7nh nh\u00e2n th\u1edf m\u00e1y kh\u00e1c. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim\/","og_site_name":"Vinmec","article_published_time":"2023-04-14T13:58:51+00:00","article_modified_time":"2023-04-18T05:36:06+00:00","og_image":[{"width":887,"height":591,"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Be-n-trong-ICU-ta-i-BVDK-Ba-c-3266-6758-16235575451.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":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim\/","name":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim -","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-14T13:58:51+00:00","dateModified":"2023-04-18T05:36:06+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/dded5c0d4cb1bb77d05cf29ab5f85629"},"description":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim c\u00f3 m\u1ed9t v\u00e0i \u0111i\u1ec3m kh\u00e1c v\u1edbi b\u1ec7nh nh\u00e2n th\u1edf m\u00e1y kh\u00e1c. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cac-phuong-phap-ho-tro-thong-khi-trong-hoi-suc-phau-thuat-tim\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed trong 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\/18046"}],"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=18046"}],"version-history":[{"count":10,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/18046\/revisions"}],"predecessor-version":[{"id":24037,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/18046\/revisions\/24037"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media\/19934"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=18046"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=18046"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=18046"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}