{"id":20828,"date":"2023-04-14T20:47:25","date_gmt":"2023-04-14T13:47:25","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20828"},"modified":"2023-05-05T11:30:00","modified_gmt":"2023-05-05T04:30:00","slug":"tiep-can-va-xu-tri-ban-dau-tre-benh-nang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tiep-can-va-xu-tri-ban-dau-tre-benh-nang\/","title":{"rendered":"Ti\u1ebfp c\u1eadn v\u00e0 x\u1eed tr\u00ed ban \u0111\u1ea7u tr\u1ebb b\u1ec7nh n\u1eb7ng"},"content":{"rendered":"<p style=\"font-weight: 400;\"><b>Trong la\u0302m sa\u0300ng c\u00e2\u0300n co\u0301 m\u1ecd\u0302t h\u1eb9\u0302 th\u00f4\u0301ng ti\u00ea\u0301p c\u1ea1\u0302n, \u0111a\u0301nh gia\u0301, x\u01b0\u0309 tri\u0301 \u0111u\u0301ng va\u0300 ki\u0323p th\u01a1\u0300i tr\u1ebb b\u1ec7nh n\u1eb7ng. Trong \u0111o\u0301 vi\u1eb9\u0302c nh\u1ea1\u0302n bi\u00ea\u0301t ca\u0301c d\u00e2\u0301u hi\u1ec7u nguy co\u031b cu\u0309a suy ch\u01b0\u0301c na\u0306ng co\u031b quan ho\u0302 h\u00e2\u0301p, tu\u00e2\u0300n hoa\u0300n va\u0300 th\u00e2\u0300n kinh, x\u01b0\u0309 tri\u0301 s\u1edbm ti\u0300nh tra\u0323ng n\u1ea1\u0306ng \u1edf tr\u1ebb se\u0303 giu\u0301p ca\u0309i thi\u1eb9\u0302n ty\u0309 l\u1eb9\u0302 di ch\u1ee9ng v\u00e0 t\u01b0\u0309 vong.<\/b><\/p>\n<h2><b>1. Tr\u1ebb trong t\u00ecnh tr\u1ea1ng b\u1ec7nh n\u1eb7ng l\u00e0 g\u00ec?<\/b><\/h2>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">T\u1eeb nhi\u1ec1u nguy\u00ean nh\u00e2n b\u00ean trong v\u00e0 b\u00ean ngo\u00e0i g\u00e2y bi\u1ebfn ch\u1ee9ng d\u1eabn \u0111\u1ebfn nguy c\u01a1 suy h\u00f4 h\u1ea5p, suy tu\u1ea7n ho\u00e0n v\u00e0 ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn s\u1ee9c kho\u1ebb v\u00e0 t\u00ednh m\u1ea1ng c\u1ee7a tr\u1ebb.<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Vi\u1ec7c \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng n\u1eb7ng c\u1ee7a tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c h\u1ec7 th\u1ed1ng theo th\u1ee9 t\u1ef1 \u01b0u ti\u00ean ABCD, trong \u0111\u00f3:\u00a0<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Airway(A) : \u0110\u01b0\u1eddng th\u1edf<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breathing (B): H\u00f4 h\u1ea5p<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Circulation C): Tu\u1ea7n ho\u00e0n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Disability (D): Th\u1ea7n kinh<\/span><\/li>\n<\/ul>\n<p>Vi\u1ec7c nh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u n\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf n\u01a1i ti\u1ebfp nh\u1eadn b\u1ec7nh nh\u00e2n trong b\u1ec7nh vi\u1ec7n, tr\u01b0\u1edbc khi l\u00e0m b\u1ea5t k\u1ef3 th\u1ee7 t\u1ee5c h\u00e0nh ch\u00ednh n\u00e0o nh\u01b0 th\u1ee7 t\u1ee5c \u0111\u0103ng k\u00fd kh\u00e1m HO\u1eb6C ngay khi b\u1ec7nh nh\u00e2n nh\u1eadp khoa c\u1ea5p c\u1ee9u. Do \u0111\u00f3 ph\u1ea3i t\u1ed5 ch\u1ee9c m\u1ed9t tr\u00ecnh t\u1ef1 \u0111\u1ec3 b\u1ec7nh nh\u00e2n khi \u0111\u1ebfn vi\u1ec7n tu\u00e2n theo. Tr\u1ebb ph\u1ea3i \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i tr\u01b0\u1edbc khi b\u00e0 m\u1eb9 ng\u1ed3i v\u00e0o ph\u00f2ng \u0111\u1ee3i. C\u1ea7n c\u00f3 m\u1ed9t y t\u00e1 \u0111\u00e1nh gi\u00e1 nhanh t\u00ecnh tr\u1ea1ng t\u1eebng tr\u1ebb tr\u01b0\u1edbc khi c\u00e2n v\u00e0 tr\u01b0\u1edbc khi l\u00e0m th\u1ee7 t\u1ee5c \u0111\u0103ng k\u00fd kh\u00e1m.<\/p>\n<h2><b>2. C\u00e1c b\u01b0\u1edbc ti\u1ebfp c\u1eadn x\u1eed tr\u00ed tr\u1ebb trong t\u00ecnh tr\u1ea1ng b\u1ec7nh n\u1eb7ng?<\/b><\/h2>\n<h3 style=\"font-weight: 400;\"><b>2.1 \u0110\u00e1nh gi\u00e1 b\u01b0\u1edbc 1 v\u00e0 h\u1ed3i s\u1ee9c<\/b><\/h3>\n<h4 style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">2.1.1 \u0110\u01b0\u1eddng th\u1edf (A)<\/span><\/h4>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u0110a\u0301nh gia\u0301 ban \u0111\u00e2\u0300u:<\/span><\/p>\n<p>\u00a0\u0110\u00e1nh gi\u00e1 s\u1ef1 th\u00f4ng tho\u00e1ng \u0111\u01b0\u1eddng th\u1edf theo tr\u00ecnh t\u1ef1:<\/p>\n<ul>\n<li>Nh\u00ecn di \u0111\u1ed9ng l\u1ed3ng ng\u1ef1c v\u00e0 b\u1ee5ng<\/li>\n<li>Nghe th\u00f4ng kh\u00ed ph\u1ed5i<\/li>\n<li>C\u1ea3m nh\u1eadn lu\u1ed3ng kh\u00ed th\u1edf ch\u1ec9 c\u00f3 hi\u1ec7u qu\u1ea3 khi b\u1ec7nh nh\u00e2n th\u1edf t\u1ef1 nhi\u00ean.<\/li>\n<li>N\u1ebfu tr\u1ebb n\u00f3i \u0111\u01b0\u1ee3c ho\u1eb7c kh\u00f3c \u0111\u01b0\u1ee3c ch\u1ee9ng t\u1ecf \u0111\u01b0\u1eddng th\u1edf th\u00f4ng tho\u00e1ng, h\u00f4 h\u1ea5p \u0111\u1ea3m b\u1ea3o.<\/li>\n<li>N\u1ebfu tr\u1ebb t\u1ef1 th\u1edf, ch\u00fa \u00fd \u0111\u1ebfn c\u00e1c d\u1ea5u hi\u1ec7u kh\u00e1c c\u00f3 th\u1ec3 g\u1ee3i \u00fd t\u1eafc \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean nh\u01b0:\u00a0Ti\u1ebfng th\u1edf r\u00edt, c\u00e1c d\u1ea5u hi\u1ec7u co k\u00e9o.<\/li>\n<\/ul>\n<p>N\u1ebfu kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng ch\u1eafc ch\u1eafn v\u1ec1 s\u1ef1 l\u01b0u th\u00f4ng c\u1ee7a \u0111\u01b0\u1eddng th\u1edf th\u00ec l\u00e0m k\u1ef9 thu\u1eadt \u1ea5n h\u00e0m v\u00e0 n\u00e2ng c\u1eb1m, sau \u0111\u00f3 \u0111\u00e1nh gi\u00e1 l\u1ea1i. N\u1ebfu \u0111\u01b0\u1eddng th\u1edf v\u1eabn ch\u01b0a l\u01b0u th\u00f4ng th\u00ec c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh m\u1edf mi\u1ec7ng b\u1ec7nh nh\u00e2n v\u00e0 th\u1ed5i ng\u1ea1t.<\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u00a0H\u00f4\u0300i s\u01b0\u0301c: n\u00ea\u0301u \u0111u\u031b\u01a1\u0300ng th\u01a1\u0309 bi\u0323 t\u0103\u0301c nghe\u0303n thi\u0300 ngay l\u1ea1\u0302p t\u01b0\u0301c c\u00e2\u0300n:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u01a1\u0309 tho\u0302ng \u0111u\u031b\u01a1\u0300ng th\u01a1\u0309 b\u0103\u0300ng na\u0302ng c\u0103\u0300m ho\u1ea1\u0306c \u00e2\u0301n go\u0301c ha\u0300m.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0S\u01b0\u0309 du\u0323ng du\u0323ng cu\u0323 h\u00f4\u0303 tr\u01a1\u0323 \u0111u\u031b\u01a1\u0300ng th\u01a1\u0309.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0\u0110\u1ea1\u0306t n\u1ecd\u0302i khi\u0301 qua\u0309n.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_20837\" aria-describedby=\"caption-attachment-20837\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-20837 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/755D002E-DD1D-4D1F-8A19-8DAB72DC853A.webp\" alt=\"thong-thoang-duong-tho-tre-benh-nang\" width=\"400\" height=\"244\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/755D002E-DD1D-4D1F-8A19-8DAB72DC853A.webp 400w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/755D002E-DD1D-4D1F-8A19-8DAB72DC853A-300x183.webp 300w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><figcaption id=\"caption-attachment-20837\" class=\"wp-caption-text\">Th\u00f4ng tho\u00e1ng \u0111\u01b0\u1eddng th\u1edf tr\u1ebb b\u1ec7nh n\u1eb7ng<\/figcaption><\/figure>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">2.1.2 Th\u1edf (B)<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u00a0\u0110a\u0301nh gia\u0301 ban \u0111\u1ea7u:\u00a0<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110u\u031b\u01a1\u0300ng th\u01a1\u0309 tho\u0302ng thoa\u0301ng cu\u0303ng kho\u0302ng ch\u0103\u0301c ch\u0103\u0301n \u0111a\u0309m ba\u0309o tho\u0302ng khi\u0301 t\u00f4\u0301t. Pha\u0309i \u0111a\u0301nh gia\u0301 s\u01b0\u0323 tho\u0302ng khi\u0301 tho\u0302ng qua s\u01b0\u0323 di \u0111\u1ecd\u0302ng cu\u0309a l\u00f4\u0300ng ng\u01b0\u0323c, khi\u0301 lu\u031bu tho\u0302ng ra va\u0300o ph\u00f4\u0309i<\/span><b>.<\/b><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">H\u1ed3i s\u1ee9c:<\/span><\/p>\n<p>S\u1eed d\u1ee5ng oxy l\u01b0u l\u01b0\u1ee3ng cao (15l\u00edt\/ph\u00fat) cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 r\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p ho\u1eb7c thi\u1ebfu oxy t\u1ed5 ch\u1ee9c. Nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 suy h\u00f4 h\u1ea5p c\u1ea7n \u0111\u01b0\u1ee3c th\u00f4ng kh\u00ed v\u1edbi oxy qua m\u1eb7t n\u1ea1 c\u00f3 van v\u00e0 t\u00fai ho\u1eb7c \u0111\u1eb7t \u1ed1ng NKQ v\u00e0 cho th\u1edf \u00e1p l\u1ef1c d\u01b0\u01a1ng ng\u1eaft qu\u00e3ng.<\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">2.1.3 Tu\u1ea7n ho\u00e0n (C)<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u00a0\u0110a\u0301nh gia\u0301 ban \u0111\u1ea7u:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nhi\u0323p tim, \u0111\u1ecd\u0302 na\u0309y cu\u0309a ma\u0323ch, th\u01a1\u0300i gian \u0111\u00e2\u0300y mao ma\u0323ch va\u0300 huy\u00ea\u0301t a\u0301p.<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u00a0H\u00f4\u0300i s\u01b0\u0301c:\u00a0<\/span><\/p>\n<p>T\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p suy tu\u1ea7n ho\u00e0n (s\u1ed1c) n\u00ean \u0111\u01b0\u1ee3c cho th\u1edf oxy qua m\u1eb7t n\u1ea1, ho\u1eb7c qua \u1ed1ng NKQ (n\u1ebfu c\u1ea7n ph\u1ea3i \u0111\u1eb7t \u1ed1ng \u0111\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng th\u1edf).<br \/>\nS\u1eed d\u1ee5ng \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch ho\u1eb7c \u0111\u01b0\u1eddng truy\u1ec1n trong x\u01b0\u01a1ng \u0111\u1ec3 truy\u1ec1n ngay dung d\u1ecbch \u0111i\u1ec7n gi\u1ea3i ho\u1eb7c dung d\u1ecbch keo v\u1edbi l\u01b0\u1ee3ng d\u1ecbch l\u00e0 20ml\/kg v\u00e0 l\u1ea5y c\u00e1c m\u1eabu m\u00e1u x\u00e9t nghi\u1ec7m ngay th\u1eddi \u0111i\u1ec3m n\u00e0y.<\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">2.1.4 Th\u1ea7n kinh (D)<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u00a0\u0110a\u0301nh gia\u0301 ban \u0111\u00e2\u0300u:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tru\u031b\u01a1\u0300ng h\u01a1\u0323p thi\u00ea\u0301u oxy n\u1ea1\u0306ng ho\u1ea1\u0306c s\u00f4\u0301c \u0111\u00ea\u0300u co\u0301 th\u00ea\u0309 ga\u0302y gia\u0309m tri gia\u0301c. Pha\u0309i x\u01b0\u0309 ly\u0301 ca\u0301c v\u00e2\u0301n \u0111\u00ea\u0300 ABC tru\u031b\u01a1\u0301c sau \u0111o\u0301 m\u01a1\u0301i gia\u0309i quy\u00ea\u0301t ca\u0301c v\u00e2\u0301n \u0111\u00ea\u0300 th\u00e2\u0300n kinh.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110a\u0301nh gia\u0301 tri gia\u0301c, tu\u031b th\u00ea\u0301 va\u0300 \u0111\u00f4\u0300ng t\u01b0\u0309.<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u00a0H\u00f4\u0300i s\u01b0\u0301c:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ca\u0302n nh\u0103\u0301c \u0111\u1ea1\u0306t n\u1ecd\u0302i khi\u0301 qua\u0309n \u0111\u00ea\u0309 \u00f4\u0309n \u0111i\u0323nh \u0111u\u031b\u01a1\u0300ng th\u01a1\u0309 \u01a1\u0309 tr\u00ea\u0309 co\u0301 gia\u0309m tri gia\u0301c \u01a1\u0309 m\u01b0\u0301c \u201cP\u201d va\u0300 \u201cU\u201d.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">N\u00ea\u0301u co\u0301 ha\u0323 Cali va\u0300 ha\u0323 \u0111u\u031b\u01a1\u0300ng ma\u0301u thi\u0300 c\u00e2\u0300n \u0111u\u031b\u01a1\u0323c x\u01b0\u0309 tri\u0301 ngay.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Benzodiazepines \u0111u\u031b\u01a1\u0323c s\u01b0\u0309 du\u0323ng trong tru\u031b\u01a1\u0300ng h\u01a1\u0323p co gi\u1ea1\u0302t ke\u0301o da\u0300i.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ki\u00ea\u0309m soa\u0301t ta\u0306ng a\u0301p l\u01b0\u0323c n\u1ecd\u0302i so\u0323 n\u1ebfu c\u00f3.<\/span><\/li>\n<\/ul>\n<h3 style=\"font-weight: 400;\"><b>2.2 B\u01b0\u1edbc 2 v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u<\/b><\/h3>\n<p style=\"font-weight: 400;\">Ch\u1ec9 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n sau khi \u0111\u00e3 ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 ban \u0111\u1ea7u v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c d\u1ea5u hi\u1ec7u \u0111e do\u1ea1 t\u00ednh m\u1ea1ng. \u0110\u00e1nh gi\u00e1 b\u01b0\u1edbc hai g\u1ed3m h\u1ecfi b\u1ec7nh s\u1eed, th\u0103m kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1eb7c hi\u1ec7u. Do th\u1eddi gian c\u00f3 h\u1ea1n n\u00ean vi\u1ec7c ti\u1ebfp c\u1eadn ph\u1ea3i t\u1eadp trung v\u00e0o nh\u1eefng v\u1ea5n \u0111\u1ec1 thi\u1ebft y\u1ebfu. Khi \u0111\u00e1nh gi\u00e1 b\u01b0\u1edbc hai xong, b\u00e1c s\u1ef9 ph\u1ea3i hi\u1ec3u h\u01a1n v\u1ec1 b\u1ec7nh c\u1ee7a tr\u1ebb v\u00e0 c\u00f3 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u \u1edf giai \u0111o\u1ea1n n\u00e0y l\u00e0 ph\u00f9 h\u1ee3p, c\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng chuy\u00ean bi\u1ec7t (nh\u01b0 hen ph\u1ebf qu\u1ea3n) l\u1eabn \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng (t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd).<\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">2.2.1 H\u00f4 h\u1ea5p<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u0110\u00e1nh gi\u00e1 xem d\u1ea5u hi\u1ec7u:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Th\u1edf r\u00edt, kh\u00f2 kh\u00e8.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00edm t\u00e1i, kh\u00f3 th\u1edf<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ph\u1ed5i nhi\u1ec1u ran \u1ea9m<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Th\u00f4ng tho\u00e1ng \u0111\u01b0\u1eddng th\u1edf khi c\u00f3 d\u1ecbch xu\u1ea5t ti\u1ebft.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vi\u00eam thanh qu\u1ea3n c\u00f3 th\u1edf r\u00edt d\u00f9ng kh\u00ed dung adrenalin.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf g\u00e2y th\u1edf r\u00edt c\u1ea7n soi ph\u1ebf qu\u1ea3n t\u00ecm v\u00e0 \u0111i\u1ec1u tr\u1ecb\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/benh\/hen-phe-quan-2949\/\">Hen ph\u1ebf qu\u1ea3n<\/a> th\u1edf kh\u00f2 kh\u00e8 d\u00f9ng kh\u00ed dung salbutamol<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">2.2.2 Tu\u1ea7n ho\u00e0n<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u0110\u00e1nh gi\u00e1 d\u1ea5u hi\u1ec7u:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nh\u1ecbp tim ch\u1eadm<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gi\u1ea3m huy\u1ebft \u00e1p<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ea1ch y\u1ebfu<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Da xanh t\u00e1i<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gan to<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ph\u00f9 ngo\u1ea1i bi\u00ean<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u00f9 th\u00eam d\u1ecbch<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c v\u1eadn m\u1ea1ch.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Truy\u1ec1n Prostaglandin E1 \u1edf b\u1ec7nh nh\u00e2n tim b\u1ea9m sinh<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">2.2.3 Th\u1ea7n kinh<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u0110\u00e1nh gi\u00e1 d\u1ea5u hi\u1ec7u:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au \u0111\u1ea7u<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Co gi\u1eadt<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thay \u0111\u1ed5i h\u00e0nh vi, \u00fd th\u1ee9c<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Y\u1ebfu c\u01a1, li\u1ec7t chi<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u1ed1t cao<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thu\u1ed1c c\u1eaft c\u01a1n co gi\u1eadt<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ki\u1ec3m so\u00e1t t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0Kh\u00e1ng sinh n\u1ebfu nghi ng\u1edd vi\u00eam n\u00e3o m\u00e0ng n\u00e3o<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">H\u00f4n m\u00ea nghi ng\u1edd do ng\u1ed9 \u0111\u1ed9c d\u1eabn xu\u1ea5t morphin d\u00f9ng gi\u1ea3i \u0111\u1ed9c Naloxon.<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">2.2.4 Th\u0103m kh\u00e1m to\u00e0n di\u1ec7n: <\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sau khi b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh c\u1ea7n th\u0103m kh\u00e1m to\u00e0n di\u1ec7n tr\u00e1nh b\u1ecf s\u00f3t c\u00e1c t\u1ed5n th\u01b0\u01a1ng kh\u00e1c k\u00e8m theo.<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sau khi ti\u1ebfp c\u1eadn v\u00e0 x\u1eed tr\u00ed \u0111\u01b0\u1ee3c tr\u1ebb b\u1ecb b\u1ec7nh n\u1eb7ng qua giai \u0111o\u1ea1n nguy hi\u1ec3m t\u00ednh m\u1ea1ng, tr\u1ebb \u0111\u00e3 \u1ed5n \u0111\u1ecbnh c\u1ea7n chuy\u1ec3n l\u00ean \u0111\u01a1n v\u1ecb \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c ph\u00f9 h\u1ee3p<\/span><\/p>\n<p>Tham kh\u1ea3o b\u00e0i gi\u1ea3ng nhi khoa t\u1eadp 1<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Trong la\u0302m sa\u0300ng c\u00e2\u0300n co\u0301 m\u1ecd\u0302t h\u1eb9\u0302 th\u00f4\u0301ng ti\u00ea\u0301p c\u1ea1\u0302n, \u0111a\u0301nh gia\u0301, x\u01b0\u0309 tri\u0301 \u0111u\u0301ng va\u0300 ki\u0323p th\u01a1\u0300i tr\u1ebb b\u1ec7nh n\u1eb7ng. Trong \u0111o\u0301 vi\u1eb9\u0302c nh\u1ea1\u0302n bi\u00ea\u0301t ca\u0301c d\u00e2\u0301u hi\u1ec7u nguy co\u031b cu\u0309a suy ch\u01b0\u0301c na\u0306ng co\u031b quan ho\u0302 h\u00e2\u0301p, tu\u00e2\u0300n hoa\u0300n va\u0300 th\u00e2\u0300n kinh, x\u01b0\u0309 tri\u0301 s\u1edbm ti\u0300nh tra\u0323ng n\u1ea1\u0306ng \u1edf tr\u1ebb se\u0303 giu\u0301p ca\u0309i [&hellip;]<\/p>\n","protected":false},"author":34,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[15,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ti\u1ebfp c\u1eadn v\u00e0 x\u1eed tr\u00ed ban \u0111\u1ea7u tr\u1ebb b\u1ec7nh n\u1eb7ng - Vinmec<\/title>\n<meta name=\"description\" content=\"nh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u nguy c\u01a1 c\u1ee7a suy ch\u1ee9c n\u0103ng c\u01a1 quan h\u00f4 h\u1ea5p, tu\u1ea7n ho\u00e0n v\u00e0 th\u1ea7n kinh, x\u1eed tr\u00ed s\u1edbm tr\u1ebb b\u1ec7nh n\u1eb7ng s\u1ebd gi\u00fap c\u1ea3i thi\u1ec7n t\u1eed vong\" \/>\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=\"Ti\u1ebfp c\u1eadn v\u00e0 x\u1eed tr\u00ed ban \u0111\u1ea7u tr\u1ebb b\u1ec7nh n\u1eb7ng - 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