{"id":21413,"date":"2023-04-15T21:37:00","date_gmt":"2023-04-15T14:37:00","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21413"},"modified":"2023-04-17T16:02:18","modified_gmt":"2023-04-17T09:02:18","slug":"dieu-tri-suy-ho-hap-o-benh-nhan-mac-covid-19-nhu-the-nao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/dieu-tri-suy-ho-hap-o-benh-nhan-mac-covid-19-nhu-the-nao\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb suy h\u00f4 h\u1ea5p \u1edf b\u1ec7nh nh\u00e2n m\u1eafc COVID-19 nh\u01b0 th\u1ebf n\u00e0o?"},"content":{"rendered":"<p><strong><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dich-2019-ncov\/\">COVID-19<\/a> l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m do virus Corona g\u00e2y ra. B\u1ec7nh n\u00e0y \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n l\u1ea7n \u0111\u1ea7u ti\u00ean t\u1ea1i th\u00e0nh ph\u1ed1 V\u0169 H\u00e1n, t\u1ec9nh H\u1ed3 B\u1eafc, Trung Qu\u1ed1c v\u00e0o th\u00e1ng 12 n\u0103m 2019 v\u00e0 sau \u0111\u00f3 \u0111\u00e3 lan r\u1ed9ng nhanh ch\u00f3ng tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Suy h\u00f4 h\u1ea5p l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed tr\u00ed m\u1ed9t c\u00e1ch k\u1ecbp th\u1eddi \u0111\u1ec3 kh\u00f4ng \u0111e d\u1ecda t\u1edbi t\u00ednh m\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n. V\u00ec v\u1eady, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb suy h\u00f4 h\u1ea5p l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00e0 ph\u1ea3i ti\u1ebfn h\u00e0nh nhanh ch\u00f3ng.<\/strong><\/p>\n<figure id=\"attachment_21417\" aria-describedby=\"caption-attachment-21417\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-21417 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-139746350-612x612-1-300x200.jpg\" alt=\"Suy h\u00f4 h\u1ea5p l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed tr\u00ed m\u1ed9t c\u00e1ch k\u1ecbp th\u1eddi \u0111\u1ec3 kh\u00f4ng \u0111e d\u1ecda t\u1edbi t\u00ednh m\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n.\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-139746350-612x612-1-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-139746350-612x612-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-21417\" class=\"wp-caption-text\">\u0110i\u1ec1u tr\u1ecb suy h\u00f4 h\u1ea5p c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n k\u1ecbp th\u1eddi khi b\u1ec7nh nh\u00e2n m\u1eafc COVID-19 m\u1ee9c \u0111\u1ed9 n\u1eb7ng<\/figcaption><\/figure>\n<h2>1. Nguy\u00ean nh\u00e2n g\u00e2y suy h\u00f4 h\u1ea5p \u1edf b\u1ec7nh nh\u00e2n m\u1eafc COVID-19<\/h2>\n<p>Suy h\u00f4 h\u1ea5p l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u1ee7a COVID-19, v\u00e0 c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng n\u00e0y. Nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u1ed3m:<\/p>\n<ul>\n<li>Vi r\u00fat SARS-CoV-2 t\u1ea5n c\u00f4ng v\u00e0 l\u00e0m t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i, g\u00e2y vi\u00eam ph\u1ed5i v\u00e0 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng th\u00f4ng kh\u00ed v\u00e0 h\u1ea5p th\u1ee5 oxy. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p v\u00e0 thi\u1ebfu oxy trong c\u01a1 th\u1ec3.<\/li>\n<li>Ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch qu\u00e1 m\u1ee9c c\u1ee7a c\u01a1 th\u1ec3. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 c\u00f3 th\u1ec3 qu\u00e1 m\u1ee9c, g\u00e2y ra m\u1ed9t c\u01a1n b\u00e3o ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch (cytokine storm) v\u00e0 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u v\u00e0 c\u00e1c t\u1ebf b\u00e0o kh\u00e1c trong c\u01a1 th\u1ec3. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy h\u00f4 h\u1ea5p v\u00e0 nhi\u1ec1u bi\u1ebfn ch\u1ee9ng kh\u00e1c.<\/li>\n<li>C\u00e1c b\u1ec7nh n\u1ec1n kh\u00e1c. Nh\u1eefng ng\u01b0\u1eddi c\u00f3 c\u00e1c b\u1ec7nh n\u1ec1n nh\u01b0 b\u1ec7nh tim, b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, b\u1ec7nh ph\u1ed5i ho\u1eb7c b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p c\u00f3 nguy c\u01a1 cao h\u01a1n \u0111\u1ec3 ph\u00e1t tri\u1ec3n suy h\u00f4 h\u1ea5p khi m\u1eafc COVID-19.<\/li>\n<li>C\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 tu\u1ed5i t\u00e1c, gi\u1edbi t\u00ednh, ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng, m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh v\u00e0 th\u1eddi gian b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n<h2><b><i>2. \u0110i\u1ec1u tr\u1ecb suy h\u00f4 h\u1ea5p b\u1eb1ng li\u1ec7u ph\u00e1p \u00f4 xy v\u00e0 theo d\u00f5i<\/i><\/b><\/h2>\n<p>&#8211;\u00a0<i>C\u1ea7n cho th\u1edf \u00f4 xy ngay v\u1edbi b\u1ec7nh nh\u00e2n vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ea5p n\u1eb7ng c\u00f3 suy h\u00f4 h\u1ea5p, thi\u1ebfu \u00f4 xy m\u00e1u, s\u1ed1c \u0111\u1ec3 \u0111\u1ea1t \u0111\u00edch SpO<\/i><i><sub>2\u00a0<\/sub><\/i><i>&gt; 94%<\/i><\/p>\n<p>&#8211; \u1ede ng\u01b0\u1eddi l\u1edbn n\u1ebfu c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ea5p c\u1ee9u (g\u1eafng s\u1ee9c n\u1eb7ng, r\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c, t\u00edm t\u00e1i, gi\u1ea3m th\u00f4ng kh\u00ed ph\u1ed5i) c\u1ea7n l\u00e0m th\u00f4ng tho\u00e1ng \u0111\u01b0\u1eddng th\u1edf v\u00e0 cho th\u1edf \u00f4 xy ngay \u0111\u1ec3 \u0111\u1ea1t \u0111\u00edch SpO<sub>2\u00a0<\/sub>\u2265 94% trong qu\u00e1 tr\u00ecnh h\u1ed3i s\u1ee9c. Cho th\u1edf \u00f4 xy qua g\u1ecdng m\u0169i (1-4 l\u00edt\/ph\u00fat), ho\u1eb7c mask th\u00f4ng th\u01b0\u1eddng, ho\u1eb7c mask c\u00f3 t\u00fai d\u1ef1 tr\u1eef, v\u1edbi l\u01b0u l\u01b0\u1ee3ng ban \u0111\u1ea7u l\u00e0 5 l\u00edt\/ph\u00fat v\u00e0 t\u0103ng l\u00ean t\u1edbi 10-15 l\u00edt\/ph\u00fat n\u1ebfu c\u1ea7n. Khi b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh h\u01a1n, \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 \u0111\u1ea1t \u0111\u00edch SpO<sub>2\u00a0<\/sub>\u2265 90% cho ng\u01b0\u1eddi l\u1edbn, v\u00e0 SpO<sub>2\u00a0<\/sub>\u2265 92-95% cho ph\u1ee5 n\u1eef mang thai.<\/p>\n<p>&#8211; V\u1edbi tr\u1ebb em, n\u1ebfu tr\u1ebb c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ea5p c\u1ee9u nh\u01b0 kh\u00f3 th\u1edf n\u1eb7ng, t\u00edm t\u00e1i, s\u1ed1c, h\u00f4n m\u00ea, co gi\u1eadt.., c\u1ea7n cung c\u1ea5p oxy trong qu\u00e1 tr\u00ecnh c\u1ea5p c\u1ee9u \u0111\u1ec3 \u0111\u1ea1t \u0111\u00edch SpO<sub>2\u00a0<\/sub>\u2265 94%. Khi t\u00ecnh tr\u1ea1ng tr\u1ebb \u1ed5n \u0111\u1ecbnh, \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 \u0111\u1ea1t \u0111\u00edch SpO<sub>2\u00a0<\/sub>\u2265 96%.<\/p>\n<p>&#8211;\u00a0<i>Theo d\u00f5i s\u00e1t t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u n\u1eb7ng, th\u1ea5t b\u1ea1i v\u1edbi li\u1ec7u ph\u00e1p th\u1edf oxy \u0111\u1ec3 c\u00f3 can thi\u1ec7p k\u1ecbp th\u1eddi.<\/i><\/p>\n<h2><b><i>3. \u0110i\u1ec1u tr\u1ecb suy h\u00f4 h\u1ea5p nguy k\u1ecbch &amp; ARDS<\/i><\/b><\/h2>\n<p><b><i>&#8211;\u00a0<\/i><\/b>Khi t\u00ecnh tr\u1ea1ng gi\u1ea3m \u00f4 xy m\u00e1u kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n b\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p th\u1edf \u00f4 xy, SpO<sub>2\u00a0<\/sub>\u2264 92%, ho\u1eb7c\/v\u00e0 g\u1eafng s\u1ee9c h\u00f4 h\u1ea5p: c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc ch\u1ec9 \u0111\u1ecbnh th\u1edf \u00f4 xy d\u00f2ng cao qua g\u1ecdng m\u0169i (High Flow Nasal Oxygen)<i>,\u00a0<\/i>CPAP, ho\u1eb7c th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp BiPAP.<\/p>\n<p>&#8211; Kh\u00f4ng \u00e1p d\u1ee5ng bi\u1ec7n ph\u00e1p th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf ng\u01b0\u1eddi b\u1ec7nh c\u00f3 r\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng, suy ch\u1ee9c n\u0103ng \u0111a c\u01a1 quan v\u00e0 r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c.<\/p>\n<p>&#8211; C\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u th\u1ea5t b\u1ea1i \u0111\u1ec3 c\u00f3 can thi\u1ec7p k\u1ecbp th\u1eddi. N\u1ebfu t\u00ecnh tr\u1ea1ng thi\u1ebfu \u00f4 xy kh\u00f4ng c\u1ea3i thi\u1ec7n v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p kh\u00f4ng x\u00e2m nh\u1eadp, c\u1ea7n \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 th\u1edf m\u00e1y x\u00e2m nh\u1eadp.<\/p>\n<p><b>&#8211;\u00a0<\/b>C\u1ea7n \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n b\u1edfi ng\u01b0\u1eddi c\u00f3 kinh nghi\u1ec7m, \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng l\u00e2y nhi\u1ec5m qua kh\u00f4ng kh\u00ed khi \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n.<\/p>\n<p>&#8211; H\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p: \u00e1p d\u1ee5ng ph\u00e1c \u0111\u1ed3 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p trong ARDS cho ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em. Ch\u00fa \u00fd c\u00e1c \u0111i\u1ec3m sau:<\/p>\n<p>+ Th\u1edf m\u00e1y: \u00e1p d\u1ee5ng chi\u1ebfn l\u01b0\u1ee3c th\u1edf m\u00e1y b\u1ea3o v\u1ec7 ph\u1ed5i, v\u1edbi th\u1ec3 t\u00edch kh\u00ed l\u01b0u th\u00f4ng th\u1ea5p (4-8 ml\/kg tr\u1ecdng l\u01b0\u1ee3ng l\u00fd t\u01b0\u1edfng) v\u00e0 \u00e1p l\u1ef1c th\u00ec th\u1edf v\u00e0o th\u1ea5p (gi\u1eef \u00e1p l\u1ef1c cao nguy\u00ean hay Pplateau &lt; 30 cmH<sub>2<\/sub>O, \u1edf tr\u1ebb em, gi\u1eef Pplateau &lt; 28 cmH<sub>2<\/sub>O). Th\u1ec3 t\u00edch kh\u00ed l\u01b0u th\u00f4ng ban \u0111\u1ea7u 6 ml\/kg, \u0111i\u1ec1u ch\u1ec9nh theo s\u1ef1 \u0111\u00e1p \u1ee9ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 theo m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>+ Ch\u1ea5p nh\u1eadn t\u0103ng CO<sub>2<\/sub>, gi\u1eef \u0111\u00edch pH \u2265 7.20.<\/p>\n<p>+ Tr\u01b0\u1eddng h\u1ee3p ARDS n\u1eb7ng \u1edf ng\u01b0\u1eddi l\u1edbn, c\u00e2n nh\u1eafc \u00e1p d\u1ee5ng th\u1edf m\u00e1y \u1edf t\u01b0 th\u1ebf n\u1eb1m s\u1ea5p 12-16 gi\u1edd\/ng\u00e0y (n\u1ebfu c\u00f3 th\u1ec3).<\/p>\n<p>+ C\u00f3 th\u1ec3 \u00e1p d\u1ee5ng chi\u1ebfn l\u01b0\u1ee3c PEEP cao cho ARDS v\u1eeba v\u00e0 n\u1eb7ng. T\u00f9y theo \u0111\u1ed9 gi\u00e3n n\u1edf (compliance) c\u1ee7a ph\u1ed5i \u0111\u1ec3 c\u00e0i \u0111\u1eb7t PEEP ph\u00f9 h\u1ee3p.<\/p>\n<p>+ Tr\u00e1nh ng\u1eaft k\u1ebft n\u1ed1i ng\u01b0\u1eddi b\u1ec7nh kh\u1ecfi m\u00e1y th\u1edf d\u1eabn t\u1edbi m\u1ea5t PEEP v\u00e0 x\u1eb9p ph\u1ed5i. N\u00ean s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng h\u00fat n\u1ed9i kh\u00ed qu\u1ea3n k\u00edn.<\/p>\n<p>+ \u1ede tr\u1ebb em v\u00e0 tr\u1ebb s\u01a1 sinh, c\u00f3 th\u1ec3 th\u1edf m\u00e1y cao t\u1ea7n (HFOV-High Frequency Oscillatory Ventilation) s\u1edbm (n\u1ebfu c\u00f3), ho\u1eb7c khi th\u1ea5t b\u1ea1i v\u1edbi th\u1edf m\u00e1y th\u00f4ng th\u01b0\u1eddng. Kh\u00f4ng s\u1eed d\u1ee5ng HFOV cho ng\u01b0\u1eddi l\u1edbn.<\/p>\n<p>+ C\u1ea7n \u0111\u1ea3m b\u1ea3o an th\u1ea7n, gi\u1ea3m \u0111au th\u00edch h\u1ee3p khi th\u1edf m\u00e1y. Trong tr\u01b0\u1eddng h\u1ee3p ARDS v\u1eeba &#8211; n\u1eb7ng, c\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c gi\u00e3n c\u01a1, nh\u01b0ng kh\u00f4ng n\u00ean d\u00f9ng th\u01b0\u1eddng quy.<\/p>\n<p>&#8211; Ki\u1ec3m so\u00e1t c\u00e2n b\u1eb1ng d\u1ecbch ch\u1eb7t ch\u1ebd, tr\u00e1nh qu\u00e1 t\u1ea3i d\u1ecbch, \u0111\u1eb7c bi\u1ec7t ngo\u00e0i giai \u0111o\u1ea1n b\u00f9 d\u1ecbch h\u1ed3i s\u1ee9c tu\u1ea7n ho\u00e0n.<\/p>\n<p>&#8211; Tr\u01b0\u1eddng h\u1ee3p thi\u1ebfu \u00f4 xy n\u1eb7ng, dai d\u1eb3ng, th\u1ea5t b\u1ea1i v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng, c\u00e2n nh\u1eafc ch\u1ec9 \u0111\u1ecbnh v\u00e0 s\u1eed d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt trao \u0111\u1ed5i \u00f4 xy qua m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3 (ECMO) cho t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 v\u00e0 th\u1ef1c hi\u1ec7n \u1edf nh\u1eefng n\u01a1i c\u00f3 \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n tri\u1ec3n khai k\u1ef9 thu\u1eadt n\u00e0y.<\/p>\n<p>&#8211; Do ECMO ch\u1ec9 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c \u1edf m\u1ed9t s\u1ed1 c\u01a1 s\u1edf y t\u1ebf l\u1edbn, n\u00ean trong tr\u01b0\u1eddng h\u1ee3p c\u00e2n nh\u1eafc ch\u1ec9 \u0111\u1ecbnh ECMO, c\u00e1c c\u01a1 s\u1edf c\u1ea7n li\u00ean h\u1ec7, v\u1eadn chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh s\u1edbm v\u00e0 tu\u00e2n th\u1ee7 quy tr\u00ecnh v\u1eadn chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh do B\u1ed9 Y t\u1ebf quy \u0111\u1ecbnh.<\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n<p><iframe loading=\"lazy\" title=\"COVID-19: Bi\u1ebft tu\u1ed1t v\u1ec1 n\u1ed3ng \u0111\u1ed9 SpO2 trong m\u00e1u | BS Nguy\u1ec5n Ng\u1ecdc B\u00e1ch, BV Vinmec Times City\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/u0XNH7rhrEw?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>COVID-19 l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m do virus Corona g\u00e2y ra. B\u1ec7nh n\u00e0y \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n l\u1ea7n \u0111\u1ea7u ti\u00ean t\u1ea1i th\u00e0nh ph\u1ed1 V\u0169 H\u00e1n, t\u1ec9nh H\u1ed3 B\u1eafc, Trung Qu\u1ed1c v\u00e0o th\u00e1ng 12 n\u0103m 2019 v\u00e0 sau \u0111\u00f3 \u0111\u00e3 lan r\u1ed9ng nhanh ch\u00f3ng tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Suy h\u00f4 h\u1ea5p l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u1ee7a [&hellip;]<\/p>\n","protected":false},"author":5,"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>\u0110i\u1ec1u tr\u1ecb suy h\u00f4 h\u1ea5p \u1edf b\u1ec7nh nh\u00e2n m\u1eafc COVID-19 nh\u01b0 th\u1ebf n\u00e0o? - Vinmec<\/title>\n<meta name=\"description\" content=\"Suy h\u00f4 h\u1ea5p l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh COVID-19. 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