{"id":21379,"date":"2023-04-16T08:45:30","date_gmt":"2023-04-16T01:45:30","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21379"},"modified":"2023-04-17T14:16:03","modified_gmt":"2023-04-17T07:16:03","slug":"benh-covid-19","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/benh-covid-19\/","title":{"rendered":"B\u1ec7nh COVID 19: C\u00e1c ph\u00e2n \u0111\u1ed9 l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh"},"content":{"rendered":"<p><strong>COVID-19 l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m m\u1edbi xu\u1ea5t hi\u1ec7n v\u00e0o cu\u1ed1i n\u0103m 2019 t\u1ea1i th\u00e0nh ph\u1ed1 V\u0169 H\u00e1n, t\u1ec9nh H\u1ed3 B\u1eafc, Trung Qu\u1ed1c. Virus \u0111\u00e3 nhanh ch\u00f3ng l\u00e2y lan sang c\u00e1c khu v\u1ef1c kh\u00e1c c\u1ee7a Trung Qu\u1ed1c v\u00e0 tr\u1edf th\u00e0nh m\u1ed9t \u0111\u1ea1i d\u1ecbch to\u00e0n c\u1ea7u. T\u1eeb \u0111\u00f3 cho th\u1ea5y \u0111\u01b0\u1ee3c vai tr\u00f2 c\u1ea5p b\u00e1ch trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh COVID 19 c\u0169ng nh\u01b0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n th\u00f4ng qua c\u00e1c ph\u00e2n lo\u1ea1i nh\u1ea7m c\u00e1 th\u1ec3 h\u00f3a \u0111i\u1ec1u tr\u1ecb \u1edf t\u1eebng b\u1ec7nh nh\u00e2n. C\u00e1c ph\u00e2n \u0111\u1ed9 n\u00e0y c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh li\u1ec7u b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n hay kh\u00f4ng, v\u00e0 li\u1ec7u h\u1ecd c\u00f3 c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t hay kh\u00f4ng.<\/strong><\/p>\n<h1><strong>1. Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 c\u1ee7a b\u1ec7nh COVID 19<\/strong><\/h1>\n<p><strong>1.1. Ng\u01b0\u1eddi nhi\u1ec5m kh\u00f4ng tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n<p>&#8211; Ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng.<\/p>\n<p>&#8211; Nh\u1ecbp th\u1edf &lt; 20 l\u1ea7n\/ph\u00fat, SpO<sub>2\u00a0<\/sub>&gt; 96% khi th\u1edf kh\u00ed tr\u1eddi.<\/p>\n<p><strong>1.2. M\u1ee9c \u0111\u1ed9 nh\u1eb9<\/strong><\/p>\n<p>&#8211; Ng\u01b0\u1eddi b\u1ec7nh COVID-19 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u nh\u01b0 s\u1ed1t, ho khan, \u0111au h\u1ecdng, ngh\u1eb9t m\u0169i, m\u1ec7t m\u1ecfi, \u0111au \u0111\u1ea7u, \u0111au m\u1ecfi c\u01a1, m\u1ea5t v\u1ecb gi\u00e1c, kh\u1ee9u gi\u00e1c, ti\u00eau ch\u1ea3y\u2026<\/p>\n<p>&#8211; Nh\u1ecbp th\u1edf &lt; 20 l\u1ea7n\/ph\u00fat, SpO<sub>2\u00a0<\/sub>&gt; 96% khi th\u1edf kh\u00ed tr\u1eddi.<\/p>\n<p>&#8211; T\u1ec9nh t\u00e1o, ng\u01b0\u1eddi b\u1ec7nh t\u1ef1 ph\u1ee5c v\u1ee5 \u0111\u01b0\u1ee3c.<\/p>\n<p>&#8211; X-quang ph\u1ed5i b\u00ecnh th\u01b0\u1eddng ho\u1eb7c c\u00f3 nh\u01b0ng t\u1ed5n th\u01b0\u01a1ng \u00edt.<\/p>\n<p><strong>1.3. M\u1ee9c \u0111\u1ed9 trung b\u00ecnh<\/strong><\/p>\n<p><strong>1.3.1. L\u00e2m s\u00e0ng<\/strong><\/p>\n<p>&#8211; To\u00e0n tr\u1ea1ng: Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u nh\u01b0 m\u1ee9c \u0111\u1ed9 nh\u1eb9.<\/p>\n<p>&#8211; H\u00f4 h\u1ea5p: C\u00f3 d\u1ea5u hi\u1ec7u vi\u00eam ph\u1ed5i v\u1edbi kh\u00f3 th\u1edf, th\u1edf nhanh 20-25 l\u1ea7n\/ph\u00fat, ph\u1ed5i c\u00f3 ran n\u1ed5 v\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p n\u1eb7ng, SpO<sub>2\u00a0<\/sub>94-96% khi th\u1edf kh\u00ed ph\u00f2ng. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c (\u0111i l\u1ea1i trong nh\u00e0, l\u00ean c\u1ea7u thang).<\/p>\n<p>&#8211; Tu\u1ea7n ho\u00e0n: m\u1ea1ch nhanh ho\u1eb7c ch\u1eadm, da kh\u00f4, nh\u1ecbp tim nhanh, huy\u1ebft \u00e1p b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p>&#8211; \u00dd th\u1ee9c: t\u1ec9nh t\u00e1o.<\/p>\n<p><strong>1.3.2. C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n<p>&#8211; X-quang ng\u1ef1c v\u00e0 CLVT ng\u1ef1c: c\u00f3 t\u1ed5n th\u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng d\u01b0\u1edbi 50%.<\/p>\n<p>&#8211; Si\u00eau \u00e2m: h\u00ecnh \u1ea3nh s\u00f3ng B.<\/p>\n<p>&#8211; Kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch: PaO<sub>2<\/sub>\/FiO<sub>2\u00a0<\/sub>&gt; 300.<\/p>\n<p><strong>1.4. M\u1ee9c \u0111\u1ed9 n\u1eb7ng<\/strong><\/p>\n<p><strong>1.4.1. L\u00e2m s\u00e0ng<\/strong><\/p>\n<p>&#8211; H\u00f4 h\u1ea5p: C\u00f3 d\u1ea5u hi\u1ec7u vi\u00eam ph\u1ed5i k\u00e8m theo b\u1ea5t k\u1ef3 m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u sau: nh\u1ecbp th\u1edf &gt; 25 l\u1ea7n\/ph\u00fat; kh\u00f3 th\u1edf n\u1eb7ng, co k\u00e9o c\u01a1 h\u00f4 h\u1ea5p ph\u1ee5; SpO<sub>2\u00a0<\/sub>&lt; 94% khi th\u1edf kh\u00ed ph\u00f2ng.<\/p>\n<p>&#8211; Tu\u1ea7n ho\u00e0n: nh\u1ecbp tim nhanh ho\u1eb7c c\u00f3 th\u1ec3 nh\u1ecbp tim ch\u1eadm, HA b\u00ecnh th\u01b0\u1eddng hay t\u0103ng.<\/p>\n<p>&#8211; Th\u1ea7n kinh: ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 b\u1ee9t r\u1ee9t ho\u1eb7c \u0111\u1eeb, m\u1ec7t.<\/p>\n<p><strong>1.4.2. C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n<p>&#8211; X-quang ng\u1ef1c v\u00e0 CLVT ng\u1ef1c: c\u00f3 t\u1ed5n th\u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng tr\u00ean 50%.<\/p>\n<p>&#8211; Kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch: PaO<sub>2<\/sub>\/FiO<sub>2\u00a0<\/sub>kho\u1ea3ng 200 &#8211; 300<\/p>\n<p>&#8211; Si\u00eau \u00e2m: h\u00ecnh \u1ea3nh s\u00f3ng B nhi\u1ec1u.<\/p>\n<p><strong>1.5. M\u1ee9c \u0111\u1ed9 nguy k\u1ecbch<\/strong><\/p>\n<p><strong>1.5.1. L\u00e2m s\u00e0ng<\/strong><\/p>\n<p>&#8211; H\u00f4 h\u1ea5p: th\u1edf nhanh &gt; 30 l\u1ea7n\/ph\u00fat ho\u1eb7c &lt; 10 l\u1ea7n\/ph\u00fat, c\u00f3 d\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p n\u1eb7ng v\u1edbi th\u1edf g\u1eafng s\u1ee9c nhi\u1ec1u, th\u1edf b\u1ea5t th\u01b0\u1eddng ho\u1eb7c c\u1ea7n h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p b\u1eb1ng th\u1edf \u00f4 xy d\u00f2ng cao (HFNC), CPAP, th\u1edf m\u00e1y.<\/p>\n<p>&#8211; Th\u1ea7n kinh: \u00fd th\u1ee9c gi\u1ea3m ho\u1eb7c h\u00f4n m\u00ea.<\/p>\n<p>&#8211; Tu\u1ea7n ho\u00e0n: nh\u1ecbp tim nhanh, c\u00f3 th\u1ec3 nh\u1ecbp tim ch\u1eadm, huy\u1ebft \u00e1p t\u1ee5t.<\/p>\n<p>&#8211; Th\u1eadn: ti\u1ec3u \u00edt ho\u1eb7c v\u00f4 ni\u1ec7u.<\/p>\n<p><strong>1.5.2. C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n<p>&#8211; X-quang ng\u1ef1c v\u00e0 CLVT ng\u1ef1c: c\u00f3 t\u1ed5n th\u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng tr\u00ean 50%.<\/p>\n<p>&#8211; Kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch: PaO<sub>2<\/sub>\/FiO<sub>2\u00a0<\/sub>&lt; 200, toan h\u00f4 h\u1ea5p, lactat m\u00e1u &gt; 2 mmol\/L.<\/p>\n<p>&#8211; Si\u00eau \u00e2m: h\u00ecnh \u1ea3nh s\u00f3ng B nhi\u1ec1u.<\/p>\n<figure id=\"attachment_21392\" aria-describedby=\"caption-attachment-21392\" style=\"width: 620px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-21392 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/9.png\" alt=\"\" width=\"620\" height=\"324\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/9.png 620w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/9-300x157.png 300w\" sizes=\"(max-width: 620px) 100vw, 620px\" \/><figcaption id=\"caption-attachment-21392\" class=\"wp-caption-text\"><strong>Di\u1ec5n ti\u1ebfn l\u00e2m s\u00e0ng c\u1ee7a COVID 19. Ngu\u1ed3n<\/strong>: <em>Understanding the Range of Disease Severity in COVID-19<\/em><\/figcaption><\/figure>\n<h2><strong>2. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh COVID 19<\/strong><\/h2>\n<p><strong>2.1. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n<p>&#8211; C\u1ea7n ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ea5p do c\u00e1c t\u00e1c nh\u00e2n hay g\u1eb7p kh\u00e1c:<\/p>\n<p>+ Vi r\u00fat c\u00fam m\u00f9a (A\/H3N2, A\/H1N1, B), vi r\u00fat \u00e1 c\u00fam, vi r\u00fat h\u1ee3p b\u00e0o h\u00f4 h\u1ea5p (RSV), rhinovirus, myxovirrus, adenovirus.<\/p>\n<p>+ H\u1ed9i ch\u1ee9ng c\u1ea3m c\u00fam do c\u00e1c ch\u1ee7ng coronavirus th\u00f4ng th\u01b0\u1eddng.<\/p>\n<p>+ C\u00e1c c\u0103n nguy\u00ean g\u00e2y nhi\u1ec5m khu\u1ea9n hay g\u1eb7p, bao g\u1ed3m c\u00e1c c\u00e1c vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh nh\u01b0 Mycoplasma pneumonia\u2026<\/p>\n<p>+ C\u00e1c c\u0103n nguy\u00ean kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh n\u1eb7ng nh\u01b0 c\u00fam gia c\u1ea7m A\/H5N1, A\/H7N9, A\/H5N6, SARS-CoV v\u00e0 MERS-CoV.<\/p>\n<p>&#8211; C\u1ea7n ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t c\u00e1c t\u00ecnh tr\u1ea1ng n\u1eb7ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh (suy h\u00f4 h\u1ea5p, suy ch\u1ee9c n\u0103ng c\u00e1c c\u01a1 quan&#8230;) do c\u00e1c c\u0103n nguy\u00ean kh\u00e1c ho\u1eb7c do t\u00ecnh tr\u1ea1ng n\u1eb7ng c\u1ee7a c\u00e1c b\u1ec7nh l\u00fd m\u1ea1n t\u00ednh k\u00e8m theo.<\/p>\n<p><strong>2.2. Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nghi ng\u1edd<\/strong><\/p>\n<p><strong>2.2.1<\/strong>. L\u00e0 ng\u01b0\u1eddi ti\u1ebfp x\u00fac g\u1ea7n ho\u1eb7c l\u00e0 ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5 v\u00e0 c\u00f3 \u00edt nh\u1ea5t 2 trong s\u1ed1 c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng sau \u0111\u00e2y: s\u1ed1t; ho; \u0111au h\u1ecdng; ch\u1ea3y n\u01b0\u1edbc m\u0169i, ngh\u1eb9t m\u0169i; \u0111au ng\u01b0\u1eddi, m\u1ec7t m\u1ecfi, \u1edbn l\u1ea1nh; gi\u1ea3m ho\u1eb7c m\u1ea5t v\u1ecb gi\u00e1c; kh\u1ee9u gi\u00e1c; \u0111au, nh\u1ee9c \u0111\u1ea7u; ti\u00eau ch\u1ea3y; kh\u00f3 th\u1edf; vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/p>\n<p><strong>2.2.2.<\/strong> L\u00e0 ng\u01b0\u1eddi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m nhanh kh\u00e1ng nguy\u00ean d\u01b0\u01a1ng t\u00ednh v\u1edbi vi r\u00fat SARS-CoV-2 (tr\u1eeb tr\u01b0\u1eddng h\u1ee3p n\u00eau t\u1ea1i m\u1ee5c 2.3, \u0111i\u1ec3m 2.3.2, 2.3.3 v\u00e0 2.3.4).<\/p>\n<p>* Ng\u01b0\u1eddi ti\u1ebfp x\u00fac g\u1ea7n l\u00e0 m\u1ed9t trong s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n<p>&#8211; Ng\u01b0\u1eddi c\u00f3 ti\u1ebfp x\u00fac c\u01a1 th\u1ec3 tr\u1ef1c ti\u1ebfp (b\u1eaft tay, \u00f4m, h\u00f4n, ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi da, c\u01a1 th\u1ec3\u2026) v\u1edbi ca b\u1ec7nh x\u00e1c \u0111\u1ecbnh trong th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n.<\/p>\n<p>&#8211; Ng\u01b0\u1eddi \u0111eo kh\u1ea9u trang c\u00f3 ti\u1ebfp x\u00fac, giao ti\u1ebfp trong v\u00f2ng 2 m\u00e9t ho\u1eb7c trong c\u00f9ng kh\u00f4ng gian h\u1eb9p, k\u00edn v\u00e0 t\u1ed1i thi\u1ec3u trong th\u1eddi gian 15 ph\u00fat v\u1edbi ca b\u1ec7nh x\u00e1c \u0111\u1ecbnh khi \u0111ang trong th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n.<\/p>\n<p>&#8211; Ng\u01b0\u1eddi kh\u00f4ng \u0111eo kh\u1ea9u trang c\u00f3 ti\u1ebfp x\u00fac, giao ti\u1ebfp g\u1ea7n trong v\u00f2ng 2 m\u00e9t ho\u1eb7c \u1edf trong c\u00f9ng kh\u00f4ng gian h\u1eb9p, k\u00edn v\u1edbi ca b\u1ec7nh x\u00e1c \u0111\u1ecbnh trong th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n.<\/p>\n<p>&#8211; Ng\u01b0\u1eddi tr\u1ef1c ti\u1ebfp ch\u0103m s\u00f3c, kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb ca b\u1ec7nh x\u00e1c \u0111\u1ecbnh khi \u0111ang trong th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n m\u00e0 kh\u00f4ng s\u1eed d\u1ee5ng \u0111\u1ea7y \u0111\u1ee7 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n ph\u00f2ng h\u1ed9 c\u00e1 nh\u00e2n (PPE).<\/p>\n<p>* Th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n c\u1ee7a ca b\u1ec7nh x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c t\u00ednh t\u1eeb 2 ng\u00e0y tr\u01b0\u1edbc khi kh\u1edfi ph\u00e1t (\u0111\u1ed1i v\u1edbi ca b\u1ec7nh x\u00e1c \u0111\u1ecbnh kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng th\u00ec th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n \u0111\u01b0\u1ee3c t\u00ednh t\u1eeb 2 ng\u00e0y tr\u01b0\u1edbc ng\u00e0y \u0111\u01b0\u1ee3c l\u1ea5y m\u1eabu c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh) cho \u0111\u1ebfn khi k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u00e2m t\u00ednh ho\u1eb7c gi\u00e1 tr\u1ecb CT \u2265 30.<\/p>\n<p>* Ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5 bao g\u1ed3m:<\/p>\n<p>&#8211; Ng\u01b0\u1eddi c\u00f3 m\u1eb7t tr\u00ean c\u00f9ng ph\u01b0\u01a1ng ti\u1ec7n giao th\u00f4ng ho\u1eb7c c\u00f9ng \u0111\u1ecba \u0111i\u1ec3m, s\u1ef1 ki\u1ec7n, n\u01a1i l\u00e0m vi\u1ec7c, l\u1edbp h\u1ecdc\u2026 v\u1edbi ca b\u1ec7nh x\u00e1c \u0111\u1ecbnh \u0111ang trong th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n.<\/p>\n<p>&#8211; Ng\u01b0\u1eddi \u1edf, \u0111\u1ebfn t\u1eeb khu v\u1ef1c \u1ed5 d\u1ecbch \u0111ang ho\u1ea1t \u0111\u1ed9ng.<\/p>\n<p><strong>2.3. Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh x\u00e1c \u0111\u1ecbnh<\/strong><\/p>\n<p><strong>2.3.1<\/strong>. L\u00e0 ng\u01b0\u1eddi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh v\u1edbi vi r\u00fat SARS-CoV-2 b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ph\u00e1t hi\u1ec7n v\u1eadt li\u1ec7u di truy\u1ec1n c\u1ee7a vi r\u00fat (PCR).<\/p>\n<p><strong>2.3.2.<\/strong> L\u00e0 ng\u01b0\u1eddi ti\u1ebfp x\u00fac g\u1ea7n v\u00e0 c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m nhanh kh\u00e1ng nguy\u00ean d\u01b0\u01a1ng t\u00ednh v\u1edbi vi r\u00fat SARS-CoV-2.<\/p>\n<p><strong>2.3.3<\/strong>. L\u00e0 ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5, c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng nghi m\u1eafc COVID-19 v\u00e0 c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m nhanh kh\u00e1ng nguy\u00ean d\u01b0\u01a1ng t\u00ednh v\u1edbi vi r\u00fat SARS-CoV-2.<\/p>\n<p><strong>2.3.4<\/strong>. L\u00e0 ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5 v\u00e0 c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m nhanh kh\u00e1ng nguy\u00ean d\u01b0\u01a1ng t\u00ednh 2 l\u1ea7n li\u00ean ti\u1ebfp (x\u00e9t nghi\u1ec7m l\u1ea7n 2 trong v\u00f2ng 8 gi\u1edd k\u1ec3 t\u1eeb khi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m l\u1ea7n 1) v\u1edbi vi r\u00fat SARS-CoV-2. Trong tr\u01b0\u1eddng h\u1ee3p x\u00e9t nghi\u1ec7m nhanh kh\u00e1ng nguy\u00ean l\u1ea7n th\u1ee9 2 \u00e2m t\u00ednh th\u00ec c\u1ea7n ph\u1ea3i c\u00f3 x\u00e9t nghi\u1ec7m Real-time RT-PCR \u0111\u1ec3 kh\u1eb3ng \u0111\u1ecbnh<\/p>\n<p>* Sinh ph\u1ea9m x\u00e9t nghi\u1ec7m nhanh kh\u00e1ng nguy\u00ean v\u1edbi vi r\u00fat SARS-CoV-2 ph\u1ea3i thu\u1ed9c danh m\u1ee5c \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf c\u1ea5p ph\u00e9p. X\u00e9t nghi\u1ec7m nhanh kh\u00e1ng nguy\u00ean do nh\u00e2n vi\u00ean y t\u1ebf th\u1ef1c hi\u1ec7n ho\u1eb7c ng\u01b0\u1eddi nghi nhi\u1ec5m th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf b\u1eb1ng \u00edt nh\u1ea5t m\u1ed9t trong c\u00e1c h\u00ecnh th\u1ee9c tr\u1ef1c ti\u1ebfp ho\u1eb7c gi\u00e1n ti\u1ebfp qua c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n t\u1eeb xa.<\/p>\n<p><strong>Ngu\u1ed3n<\/strong>: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID 19 c\u1ee7a B\u1ed9 Y t\u1ebf 2022<\/p>\n","protected":false},"excerpt":{"rendered":"<p>COVID-19 l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m m\u1edbi xu\u1ea5t hi\u1ec7n v\u00e0o cu\u1ed1i n\u0103m 2019 t\u1ea1i th\u00e0nh ph\u1ed1 V\u0169 H\u00e1n, t\u1ec9nh H\u1ed3 B\u1eafc, Trung Qu\u1ed1c. Virus \u0111\u00e3 nhanh ch\u00f3ng l\u00e2y lan sang c\u00e1c khu v\u1ef1c kh\u00e1c c\u1ee7a Trung Qu\u1ed1c v\u00e0 tr\u1edf th\u00e0nh m\u1ed9t \u0111\u1ea1i d\u1ecbch to\u00e0n c\u1ea7u. T\u1eeb \u0111\u00f3 cho th\u1ea5y \u0111\u01b0\u1ee3c vai tr\u00f2 c\u1ea5p b\u00e1ch trong [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh COVID 19: C\u00e1c ph\u00e2n \u0111\u1ed9 l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/title>\n<meta name=\"description\" content=\"Vai tr\u00f2 c\u1ea5p b\u00e1ch trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh COVID 19 c\u0169ng nh\u01b0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n th\u00f4ng qua c\u00e1c ph\u00e2n lo\u1ea1i nh\u1ea7m c\u00e1 th\u1ec3 h\u00f3a \u0111i\u1ec1u tr\u1ecb\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, 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