{"id":18319,"date":"2023-04-14T21:03:24","date_gmt":"2023-04-14T14:03:24","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18319"},"modified":"2023-04-17T15:26:23","modified_gmt":"2023-04-17T08:26:23","slug":"tong-quan-quan-ly-dich-tren-benh-nhan-hoi-suc-phau-thuat-tim","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tong-quan-quan-ly-dich-tren-benh-nhan-hoi-suc-phau-thuat-tim\/","title":{"rendered":"T\u1ed5ng quan qu\u1ea3n l\u00fd d\u1ecbch tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim"},"content":{"rendered":"<p><strong>Qu\u1ea3n l\u00fd d\u1ecbch l\u00e0 r\u1ea5t quan tr\u1ecdng sau s\u1eed d\u1ee5ng tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3 (CPB) v\u00ec c\u00f3 th\u1ec3 x\u1ea3y ra t\u00ecnh tr\u1ea1ng qu\u00e1 t\u1ea3i natri v\u00e0 n\u01b0\u1edbc tr\u00ean to\u00e0n th\u00e2n, l\u00e0m t\u0103ng c\u00e2n n\u1eb7ng kho\u1ea3ng 5% (\u01b0\u1edbc t\u00ednh 800 mL\/m2\/h, nh\u01b0ng l\u01b0\u1ee3ng n\u00e0y kh\u00e1 bi\u1ebfn \u0111\u1ed5i). \u00c1p l\u1ef1c \u0111\u1ed5 \u0111\u1ea7y tim th\u01b0\u1eddng kh\u00f4ng ph\u1ea3n \u00e1nh t\u00ecnh tr\u1ea1ng qu\u00e1 t\u1ea3i ch\u1ea5t l\u1ecfng n\u00e0y do c\u00f3 ph\u1ea3n \u1ee9ng vi\u00eam to\u00e0n th\u00e2n, gi\u1ea3m \u00e1p l\u1ef1c th\u1ee7y t\u0129nh, suy gi\u1ea3m th\u1ec3 t\u00edch v\u00e0 ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i (ch\u1ee9c n\u0103ng gi\u00e3n c\u01a1 tim).<\/strong><\/p>\n<h2><strong>1.Sinh l\u00fd b\u1ec7nh qu\u1ea3n l\u00fd d\u1ecbch<\/strong><\/h2>\n<p>\u00c1p l\u1ef1c \u0111\u1ed5 \u0111\u1ea7y tim th\u1ea5p th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng thi\u1ebfu n\u01b0\u1edbc m\u1eb7c d\u00f9 c\u00f3 s\u1ef1 qu\u00e1 t\u1ea3i n\u01b0\u1edbc tr\u00ean c\u01a1 th\u1ec3.\u00c1p l\u1ef1c \u0111\u1ed5 \u0111\u1ea7y tim cao c\u00f3 th\u1ec3 cho th\u1ea5y t\u00ecnh tr\u1ea1ng qu\u00e1 t\u1ea3i n\u01b0\u1edbc ho\u1eb7c ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i c\u1ee7a tim k\u00e9m, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ghi nh\u1eadn trong tr\u01b0\u1eddng h\u1ee3p thi\u1ebfu n\u01b0\u1edbc, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf b\u1ec7nh nh\u00e2n suy gi\u00e3n c\u01a1 tim ho\u1eb7c co m\u1ea1ch m\u1ea1nh. S\u1eed d\u1ee5ng \u0111o l\u01b0u l\u01b0\u1ee3ng tim qua catheter Swan-Ganz (v\u00e0 t\u01b0\u01a1ng quan v\u1edbi k\u1ebft qu\u1ea3 si\u00eau \u00e2m tim) c\u00f3 \u00edch trong vi\u1ec7c cung c\u1ea5p c\u01a1 s\u1edf khoa h\u1ecdc cho qu\u1ea3n l\u00fd ch\u1ea5t l\u1ecfng sau ph\u1eabu thu\u1eadt, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf b\u1ec7nh nh\u00e2n suy tim ph\u1ea3i ho\u1eb7c tr\u00e1i ho\u1eb7c sau c\u00e1c ca ph\u1eabu thu\u1eadt ph\u1ee9c t\u1ea1p v\u1edbi th\u1eddi gian s\u1eed d\u1ee5ng m\u00e1y tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3 d\u00e0i, tuy nhi\u00ean n\u00f3 c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n thi\u1ebft \u1edf b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 th\u1ea5p.<\/p>\n<h2><strong>2.Vai tr\u00f2 c\u1ee7a truy\u1ec1n d\u1ecbch trong qu\u1ea3n l\u00fd d\u1ecbch<\/strong><\/h2>\n<p>Truy\u1ec1n d\u1ecbch \u0111\u1ec3 t\u1ed1i \u01b0u ti\u1ec1n t\u1ea3i v\u00e0 cung l\u01b0\u1ee3ng tim trong giai \u0111o\u1ea1n sau ph\u1eabu thu\u1eadt s\u1edbm c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u b\u1ea5t k\u1ec3 l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u c\u00f3 \u0111\u1ee7 ho\u1eb7c h\u1ea1n ch\u1ebf (&lt;1 mL\/kg\/h). Trong 4-6 gi\u1edd \u0111\u1ea7u sau ph\u1eabu thu\u1eadt, cung l\u01b0\u1ee3ng tim th\u01b0\u1eddng b\u1ecb suy gi\u1ea3m v\u00e0 vi\u1ec7c \u0111\u1ea1t s\u1ee9c co b\u00f3p c\u01a1 tim ph\u00f9 h\u1ee3p \u0111\u1ec3 t\u1ed1i \u01b0u h\u00f3a l\u01b0\u1ee3ng m\u00e1u t\u1edbi th\u1eadn ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c cung c\u1ea5p ch\u1ea5t l\u1ecfng \u0111\u00fang m\u1ee9c.<\/p>\n<h2><strong>3.L\u1ef1a ch\u1ecdn c\u00e1c lo\u1ea1i d\u1ecbch truy\u1ec1n\u00a0<\/strong><\/h2>\n<ul>\n<li>\u0110\u00f4i khi kh\u00f3 quy\u1ebft \u0111\u1ecbnh lo\u1ea1i ch\u1ea5t l\u1ecfng n\u00e0o c\u1ea7n truy\u1ec1n \u0111\u1ec3 duy tr\u00ec \u00e1p l\u1ef1c \u0111\u1ed5 \u0111\u1ea7y tim. R\u00f5 r\u00e0ng, b\u1ea5t k\u1ef3 ch\u1ea5t l\u1ecfng n\u00e0o \u0111\u01b0\u1ee3c truy\u1ec1n trong giai \u0111o\u1ea1n m\u00e0ng m\u1ea1ch b\u1ecb t\u1ed5n th\u01b0\u01a1ng s\u1ebd l\u00e0m m\u1edf r\u1ed9ng kh\u00f4ng gian gi\u1eefa c\u00e1c m\u00f4 nh\u01b0ng nh\u1eefng ch\u1ea5t l\u1ecfng c\u00f3 th\u1ec3 m\u1edf r\u1ed9ng kh\u00f4ng gian n\u1ed9i m\u1ea1ch hi\u1ec7u qu\u1ea3 h\u01a1n, \u0111\u1ed3ng th\u1eddi gi\u1ea3m thi\u1ec3u s\u1ef1 m\u1edf r\u1ed9ng kh\u00f4ng gian gi\u1eefa c\u00e1c m\u00f4 s\u1ebd t\u1ed1t h\u01a1n. Tuy nhi\u00ean, k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng kh\u00e1 t\u01b0\u01a1ng \u0111\u1ed3ng khi s\u1eed d\u1ee5ng d\u1ecbch keo ho\u1eb7c d\u1ecbch tinh th\u1ec3 \u0111\u1ec3 truy\u1ec1n v\u00e0o b\u1ec7nh nh\u00e2n suy t\u1ea1ng n\u1eb7ng, v\u00e0 \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u0111\u00fang \u0111\u1ed1i v\u1edbi h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n ph\u1eabu thu\u1eadt tim m\u1ea1ch c\u00f3 ph\u1ea3n \u1ee9ng vi\u00eam to\u00e0n th\u00e2n.<\/li>\n<li>M\u00e1u v\u00e0 d\u1ecbch keo t\u1ed1t h\u01a1n c\u00e1c dung d\u1ecbch tinh th\u1ec3 ho\u1eb7c th\u1eadm ch\u00ed d\u1ecbch \u0111\u1eb3ng tr\u01b0\u01a1ng \u0111\u1ec3 m\u1edf r\u1ed9ng th\u1ec3 t\u00edch n\u1ed9i m\u1ea1ch.M\u1eb7c d\u00f9 truy\u1ec1n nhanh dung d\u1ecbch keo c\u00f3 th\u1ec3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c t\u0103ng th\u1ec3 t\u00edch n\u1ed9i m\u1ea1ch m\u1ed9t c\u00e1ch c\u1ea5p c\u1ee9u, nh\u01b0ng l\u1ee3i \u00edch n\u00e0y ch\u1ec9 k\u00e9o d\u00e0i ng\u1eafn ng\u1ee7i.<\/li>\n<li>V\u00ed d\u1ee5, trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 tho\u00e1t m\u1ea1ch, sau khi truy\u1ec1n nhanh m\u1ed9t l\u00edt dung d\u1ecbch lactated Ringer&#8217;s trong n\u0103m ph\u00fat, th\u1ec3 t\u00edch n\u1ed9i m\u1ea1ch m\u1edf r\u1ed9ng kho\u1ea3ng 630 mL. Tuy nhi\u00ean, do s\u1ef1 ph\u00e2n ph\u1ed1i nhanh ch\u00f3ng v\u00e0o kh\u00f4ng gian gi\u1eefa c\u00e1c m\u00f4, ch\u1ec9 kho\u1ea3ng 20% th\u1ec3 t\u00edch n\u00e0y \u0111\u01b0\u1ee3c gi\u1eef l\u1ea1i trong ng\u0103n ch\u1ee9a n\u1ed9i b\u00e0o sau m\u1ed9t gi\u1edd. T\u01b0\u01a1ng t\u1ef1, ch\u1ec9 c\u00f3 25% (250 mL) c\u1ee7a m\u1ed9t l\u00edt dung d\u1ecbch Normal saline (NS) \u0111\u01b0\u1ee3c gi\u1eef l\u1ea1i trong ng\u0103n ch\u1ee9a n\u1ed9i b\u00e0o sau m\u1ed9t gi\u1edd. Ng\u01b0\u1ee3c l\u1ea1i, sau khi truy\u1ec1n nhanh m\u1ed9t l\u00edt dung d\u1ecbch 6% Hetastarch trong n\u0103m ph\u00fat, th\u1ec3 t\u00edch n\u1ed9i m\u1ea1ch m\u1edf r\u1ed9ng kho\u1ea3ng 1123 mL v\u1edbi hi\u1ec7u qu\u1ea3 k\u00e9o d\u00e0i h\u01a1n. Albumin 5% c\u00f3 th\u1ec3 m\u1edf r\u1ed9ng th\u1ec3 t\u00edch huy\u1ebft t\u01b0\u01a1ng l\u00ean n\u0103m l\u1ea7n so v\u1edbi m\u1ed9t th\u1ec3 t\u00edch t\u01b0\u01a1ng \u0111\u01b0\u01a1ng c\u1ee7a dung d\u1ecbch NS b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<p>Nh\u00ecn chung, n\u1ebfu b\u1ec7nh nh\u00e2n h\u00f4 h\u1ea5p t\u1ed1t, truy\u1ec1n m\u1ed9t l\u01b0\u1ee3ng v\u1eeba ph\u1ea3i c\u1ee7a dung d\u1ecbch tinh th\u1ec3 r\u1ebb ti\u1ec1n (l\u00ean \u0111\u1ebfn m\u1ed9t l\u00edt) l\u00e0 h\u1ee3p l\u00fd. Truy\u1ec1n nhi\u1ec1u h\u01a1n c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n g\u00e2y ph\u00f9 t\u1ebf b\u00e0o, th\u01b0\u1eddng g\u00e2y kh\u00f3 kh\u0103n trong vi\u1ec7c h\u00f4 h\u1ea5p. Dung dichh keo n\u00ean \u0111\u01b0\u1ee3c ch\u1ecdn n\u1ebfu c\u1ea7n th\u00eam th\u1ec3 t\u00edch, tuy nhi\u00ean \u1edf m\u1ed9t s\u1ed1 trung t\u00e2m, ch\u00fang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u01b0\u1edbc ti\u00ean. Vi\u1ec7c ch\u1ecdn dung d\u1ecbch keo n\u00ean d\u1ef1a tr\u00ean ch\u1ee9c n\u0103ng ph\u1ed5i v\u00e0 th\u1eadn c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 m\u1ee9c \u0111\u1ed9 ch\u1ea3y m\u00e1u trung th\u1ea5t.<\/p>\n<h2><strong>4.Vai tr\u00f2 c\u1ee7a thu\u1ed1c l\u1ee3i ti\u1ec3u trong qu\u1ea3n l\u00fd d\u1ecbch<\/strong><\/h2>\n<ul>\n<li>Ti\u1ec3u nhi\u1ec1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u0103ng c\u01b0\u1eddng hi\u1ec7u qu\u1ea3 nh\u1ea5t b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u quai Furosemid . Lo\u1ea1i thu\u1ed1c l\u1ee3i ti\u1ec3u n\u00e0y \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh h\u1ea5p th\u1ee5 natri \u1edf chi\u1ec1u l\u00ean c\u1ee7a quai Henle v\u00e0 t\u0103ng c\u01b0\u1eddng vi\u1ec7c tr\u00ecnh di\u1ec7n c\u00e1c ch\u1ea5t tan (natri) \u0111\u1ebfn ng\u00e0nh cu\u1ed1i quai Henle. B\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh h\u1ea5p th\u1ee5 natri v\u00e0 clo \u1edf c\u1ea7u th\u1eadn, ch\u00fang t\u0103ng c\u01b0\u1eddng s\u1ef1 l\u1ee3i ti\u1ec3u v\u00e0 l\u1ee3i natri. M\u1ed9t m\u1ee9c \u0111\u1ed9 nh\u1ecf h\u01a1n, ch\u00fang c\u00f3 th\u1ec3 c\u0169ng ho\u1ea1t \u0111\u1ed9ng nh\u01b0 ch\u1ea5t gi\u00e3n m\u1ea1ch th\u1eadn, t\u0103ng c\u01b0\u1eddng l\u01b0u l\u01b0\u1ee3ng m\u00e1u th\u1eadn v\u00e0 t\u1ef7 l\u1ec7 l\u1ecdc c\u1ea7u th\u1eadn v\u00e0 c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n l\u01b0u th\u00f4ng oxy trong t\u1ee7y th\u1eadn.<\/li>\n<li>H\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng th\u1eadn b\u00ecnh th\u01b0\u1eddng \u0111\u1ec1u \u0111\u00e1p \u1ee9ng v\u1edbi furosemide (Lasix) 10-20mg ti\u00eam t\u0129nh m\u1ea1ch. Trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 suy th\u1eadn, furosemide c\u00f3 th\u1eddi gian tr\u1ecb li\u1ec7u l\u00e0 1,5-2 gi\u1edd v\u00e0 do \u0111\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam l\u1ea1i m\u1ed7i b\u1ed1n gi\u1edd, n\u1ebfu c\u1ea7n thi\u1ebft. Th\u01b0\u1eddng th\u00ec, l\u1ee3i ti\u1ec3u ti\u1ebfp t\u1ee5c k\u00e9o d\u00e0i sau m\u1ed9t l\u1ea7n d\u00f9ng.<\/li>\n<li>L\u1ee3i ti\u1ec3u li\u00ean t\u1ee5c, nh\u1eb9 nh\u00e0ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ea1t \u0111\u01b0\u1ee3c \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 qu\u00e1 t\u1ea3i ch\u1ea5t l\u1ecfng \u0111\u00e1ng k\u1ec3 v\u00e0 kh\u00f4ng \u1ed5n \u0111\u1ecbnh huy\u1ebft \u0111\u00f4ng b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ed9t li\u1ec1u ti\u00eam t\u0129nh m\u1ea1ch 40-60mg c\u1ee7a furosemide ti\u1ebfp theo l\u00e0 m\u1ed9t truy\u1ec1n t\u0129nh m\u1ea1ch li\u00ean t\u1ee5c 0,1-0,5 mg\/kg\/h (th\u01b0\u1eddng l\u00e0 10-20 mg\/h). \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 gi\u1ea3m nhu c\u1ea7u li\u1ec1u t\u1ed5ng v\u00e0 th\u01b0\u1eddng c\u1ea3i thi\u1ec7n \u0111\u00e1p \u1ee9ng l\u1ee3i ti\u1ec3u.L\u1ee3i \u00edch n\u00e0y c\u0169ng \u0111\u01b0\u1ee3c th\u1ea5y \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh th\u1eadn m\u1ea1n(CKD). Th\u00eam m\u1ed9t lo\u1ea1i thu\u1ed1c thiazid (chlorothiazide 500mg ti\u00eam t\u0129nh m\u1ea1ch) c\u00f3 l\u1ee3i trong v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/li>\n<\/ul>\n<p>Thu\u1ed1c l\u1ee3i ti\u1ec3u \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c ti\u00eam t\u0129nh m\u1ea1ch ho\u1eb7c u\u1ed1ng \u0111\u1ebfn khi b\u1ec7nh nh\u00e2n \u0111\u1ea1t \u0111\u01b0\u1ee3c tr\u1ecdng l\u01b0\u1ee3ng tr\u01b0\u1edbc ph\u1eabu thu\u1eadt c\u1ee7a m\u00ecnh. \u0110i\u1ec1u n\u00e0y l\u00e0 m\u1ed9t th\u1ef1c h\u00e0nh ph\u1ed5 bi\u1ebfn.<\/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>Qu\u1ea3n l\u00fd d\u1ecbch l\u00e0 r\u1ea5t quan tr\u1ecdng sau s\u1eed d\u1ee5ng tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3 (CPB) v\u00ec c\u00f3 th\u1ec3 x\u1ea3y ra t\u00ecnh tr\u1ea1ng qu\u00e1 t\u1ea3i natri v\u00e0 n\u01b0\u1edbc tr\u00ean to\u00e0n th\u00e2n, l\u00e0m t\u0103ng c\u00e2n n\u1eb7ng kho\u1ea3ng 5% (\u01b0\u1edbc t\u00ednh 800 mL\/m2\/h, nh\u01b0ng l\u01b0\u1ee3ng n\u00e0y kh\u00e1 bi\u1ebfn \u0111\u1ed5i). \u00c1p l\u1ef1c \u0111\u1ed5 \u0111\u1ea7y tim th\u01b0\u1eddng kh\u00f4ng ph\u1ea3n [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":20188,"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\u1ed5ng quan qu\u1ea3n l\u00fd d\u1ecbch tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim -<\/title>\n<meta name=\"description\" content=\"Qu\u1ea3n l\u00fd d\u1ecbch tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim l\u00e0 v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng v\u00e0 c\u1ea7n thi\u1ebft. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 hi\u1ec3u th\u00eam.\" \/>\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\u1ed5ng quan qu\u1ea3n l\u00fd d\u1ecbch tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim -\" \/>\n<meta property=\"og:description\" content=\"Qu\u1ea3n l\u00fd d\u1ecbch tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim l\u00e0 v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng v\u00e0 c\u1ea7n thi\u1ebft. Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 hi\u1ec3u th\u00eam.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tong-quan-quan-ly-dich-tren-benh-nhan-hoi-suc-phau-thuat-tim\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-14T14:03:24+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-17T08:26:23+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tu-y-tiem-truyen-tai-nha.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"460\" \/>\n\t<meta property=\"og:image:height\" content=\"306\" \/>\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\/tong-quan-quan-ly-dich-tren-benh-nhan-hoi-suc-phau-thuat-tim\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tong-quan-quan-ly-dich-tren-benh-nhan-hoi-suc-phau-thuat-tim\/\",\"name\":\"T\u1ed5ng quan qu\u1ea3n l\u00fd d\u1ecbch tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim -\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-14T14:03:24+00:00\",\"dateModified\":\"2023-04-17T08:26:23+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/dded5c0d4cb1bb77d05cf29ab5f85629\"},\"description\":\"Qu\u1ea3n l\u00fd d\u1ecbch tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c ph\u1eabu thu\u1eadt tim l\u00e0 v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng v\u00e0 c\u1ea7n thi\u1ebft. 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