{"id":22241,"date":"2023-04-16T17:59:34","date_gmt":"2023-04-16T10:59:34","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22241"},"modified":"2023-04-17T14:10:35","modified_gmt":"2023-04-17T07:10:35","slug":"tong-quan-ve-tho-may-khong-xam-nhap-o-benh-nhan-copd","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/tong-quan-ve-tho-may-khong-xam-nhap-o-benh-nhan-copd\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD"},"content":{"rendered":"<p><strong><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/nhung-dieu-can-biet-ve-tho-may\/\">Th\u1edf m\u00e1y<\/a> kh\u00f4ng x\u00e2m nh\u1eadp (non-invasive ventilation &#8211; NIV) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p cho b\u1ec7nh nh\u00e2n COPD (b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh) trong tr\u01b0\u1eddng h\u1ee3p kh\u00f3 th\u1edf ho\u1eb7c suy h\u00f4 h\u1ea5p. B\u1ec7nh nh\u00e2n COPD th\u01b0\u1eddng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 th\u1edf, ho,&#8230; Khi c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c th\u1edf m\u00e1y \u0111\u1ec3 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p.<\/strong><\/p>\n<figure id=\"attachment_22408\" aria-describedby=\"caption-attachment-22408\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-22408 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1242126893-612x612-1-300x200.jpg\" alt=\"Khi c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh COPD tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c th\u1edf m\u00e1y \u0111\u1ec3 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p.\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1242126893-612x612-1-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1242126893-612x612-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-22408\" class=\"wp-caption-text\">Khi c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh COPD tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c th\u1edf m\u00e1y \u0111\u1ec3 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p.<\/figcaption><\/figure>\n<h2>1. M\u1ee5c \u0111\u00edch th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp trong COPD<\/h2>\n<p>Th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp trong b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u1eb1m 2 m\u1ee5c \u0111\u00edch:<\/p>\n<p>+ Th\u1edf h\u1ed7 tr\u1ee3 trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 suy h\u00f4 h\u1ea5p m\u1ea1n t\u00ednh.<\/p>\n<p>+ \u0110i\u1ec1u tr\u1ecb suy h\u00f4 h\u1ea5p c\u1ea5p ho\u1eb7c h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb \u0111\u1ee3t c\u1ea5p b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh.<\/p>\n<p>&#8211; Th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m nh\u01b0 ti\u1ec7n l\u1ee3i, an to\u00e0n, d\u1ec5 ch\u1ecbu, d\u1ec5 s\u1eed d\u1ee5ng, gi\u00e1 th\u00e0nh th\u1ea5p, tr\u00e1nh \u0111\u01b0\u1ee3c \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n, gi\u1ea3m bi\u1ebfn ch\u1ee9ng nhi\u1ec5m khu\u1ea9n h\u00f4 h\u1ea5p v\u00e0 gi\u1ea3m \u0111\u01b0\u1ee3c ng\u00e0y n\u1eb1m vi\u1ec7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h2><b>2. Ch\u1ec9 \u0111\u1ecbnh c\u1ee7a th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o kh\u00f4ng x\u00e2m nh\u1eadp (BiPAP) \u1edf b\u1ec7nh nh\u00e2n <\/b>COPD<\/h2>\n<p>&#8211; Trong \u0111\u1ee3t c\u1ea5p khi c\u00f3 \u00edt nh\u1ea5t 2 ti\u00eau chu\u1ea9n sau:<\/p>\n<p>+ Kh\u00f3 th\u1edf v\u1eeba t\u1edbi n\u1eb7ng c\u00f3 co k\u00e9o c\u01a1 h\u00f4 h\u1ea5p ph\u1ee5 v\u00e0 h\u00f4 h\u1ea5p ngh\u1ecbch th\u01b0\u1eddng.<\/p>\n<p>+ Toan h\u00f4 h\u1ea5p: pH \u2264 7,35 v\u00e0\/ho\u1eb7c PaCO<sub>2\u00a0<\/sub>\u2265 45mmHg.<\/p>\n<p>+ T\u1ea7n s\u1ed1 th\u1edf &gt; 25 l\u1ea7n\/ph\u00fat.<\/p>\n<p>&#8211; Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u00f3 suy h\u00f4 h\u1ea5p m\u1ea1n: c\u00f3 \u00edt nh\u1ea5t 1 trong 3 ti\u00eau chu\u1ea9n sau:<\/p>\n<p>+ PaCO<sub>2\u00a0<\/sub>ban ng\u00e0y \u2265 52 mmHg<\/p>\n<p>+ 50 mmHg &lt; PaCO<sub>2\u00a0<\/sub>ng\u00e0y &lt; 52 mmHg\u00a0<b>v\u00e0\u00a0<\/b>c\u00f3 &gt; 2 l\u1ea7n nh\u1eadp vi\u1ec7n\/n\u0103m do suy h\u00f4 h\u1ea5p c\u00f3 t\u0103ng CO<sub>2\u00a0<\/sub>m\u00e1u<\/p>\n<p>+ 50 mmHg &lt; PaCO<sub>2\u00a0<\/sub>ng\u00e0y &lt; 52 mmHg\u00a0<b>v\u00e0\u00a0<\/b>SaO<sub>2\u00a0<\/sub>ban \u0111\u00eam &lt; 88% trong \u00edt nh\u1ea5t 5 ph\u00fat v\u1edbi O<sub>2\u00a0<\/sub>\u2265 2l\/ph.<\/p>\n<h2><b>3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o kh\u00f4ng x\u00e2m nh\u1eadp<\/b><\/h2>\n<p>&#8211; To\u00e0n tr\u1ea1ng:<\/p>\n<p>+ Kh\u00f4ng h\u1ee3p t\u00e1c, b\u1ec7nh nh\u00e2n trong t\u00ecnh tr\u1ea1ng k\u00edch th\u00edch.<\/p>\n<p>+ C\u00f3 r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c.<\/p>\n<p>+ M\u1ec7t c\u01a1 h\u00f4 h\u1ea5p.<\/p>\n<p>&#8211; Tu\u1ea7n ho\u00e0n:<\/p>\n<p>+ T\u00ecnh tr\u1ea1ng s\u1ed1c ho\u1eb7c r\u1ed1i lo\u1ea1n nh\u1ecbp tim n\u1eb7ng.<\/p>\n<p>+ Sau c\u1ea5p c\u1ee9u ng\u1eebng tu\u1ea7n ho\u00e0n.<\/p>\n<p>&#8211; H\u00f4 h\u1ea5p:<\/p>\n<p>+ Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i ch\u01b0a \u0111\u01b0\u1ee3c d\u1eabn l\u01b0u, ch\u1ea5n th\u01b0\u01a1ng l\u1ed3ng ng\u1ef1c g\u00e2y suy h\u00f4 h\u1ea5p n\u1eb7ng.<\/p>\n<p>+ T\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean.<\/p>\n<p>+ \u1ee8 \u0111\u1ecdng \u0111\u1eddm nhi\u1ec1u, ho kh\u1ea1c k\u00e9m.<\/p>\n<p>&#8211; N\u00f4n, r\u1ed1i lo\u1ea1n nu\u1ed1t, Xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 cao, kh\u00f4ng c\u00f3 kh\u00e1 n\u0103ng b\u1ea3o v\u1ec7 \u0111\u01b0\u1eddng th\u1edf.<\/p>\n<p>&#8211; B\u1ec7nh l\u00fd th\u1ea7n kinh c\u01a1 c\u1ea5p t\u00ednh.<\/p>\n<p>&#8211; M\u1edbi ph\u1eabu thu\u1eadt r\u0103ng h\u00e0m m\u1eb7t ho\u1eb7c m\u1ed5 d\u1ea1 d\u00e0y.<\/p>\n<p>&#8211; B\u1ecfng, ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u, m\u1eb7t, b\u00e9o ph\u00ec qu\u00e1 nhi\u1ec1u.<\/p>\n<h2><b>4. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/b><\/h2>\n<p>&#8211; Ph\u01b0\u01a1ng ti\u1ec7n:<\/p>\n<p>+ M\u00e1y th\u1edf kh\u00f4ng x\u00e2m nh\u1eadp BiPAP<\/p>\n<p>+ M\u1eb7t n\u1ea1 m\u0169i, m\u1eb7t n\u1ea1 m\u0169i mi\u1ec7ng.<\/p>\n<p>&#8211; Ng\u01b0\u1eddi b\u1ec7nh: \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch v\u00e0 h\u01b0\u1edbng d\u1eabn v\u1ec1 c\u00e1ch th\u1edf m\u00e1y BiPAP.<\/p>\n<p>&#8211; Nh\u00e2n vi\u00ean y t\u1ebf: b\u00e1c s\u1ef9 v\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u00e0 c\u00f3 kinh nghi\u1ec7m trong \u0111i\u1ec1u tr\u1ecb th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp.<\/p>\n<p>&#8211; C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/p>\n<p>+ Xem l\u1ea1i ch\u1ec9 \u0111\u1ecbnh, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp.<\/p>\n<p>+ \u0110\u1eb7t c\u00e1c th\u00f4ng s\u1ed1 m\u00e1y th\u1edf ban \u0111\u1ea7u<\/p>\n<p>\u2022\u00a0\u0110\u1eb7t FiO<sub>2\u00a0<\/sub>\u0111\u1ec3 duy tr\u00ec FiO<sub>2\u00a0<\/sub>\u2265 92%.<\/p>\n<p>\u2022\u00a0IPAP 8-12 cmH<sub>2<\/sub>O.<\/p>\n<p>\u2022\u00a0EPAP 0-5 cmH<sub>2<\/sub>O.<\/p>\n<p>\u2022\u00a0\u00c1p l\u1ef1c h\u1ed7 tr\u1ee3 (PS) = IPAP-EPAP; \u00c1p l\u1ef1c ch\u00eanh l\u1ec7ch gi\u1eefa IPAP v\u00e0 EPAP n\u00ean duy tr\u00ec kho\u1ea3ng 5cmH<sub>2<\/sub>O, BiPAP th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u IPAP\/EPAP l\u00e0 8\/3 cmH<sub>2<\/sub>O ho\u1eb7c 10\/5 cmH<sub>2<\/sub>O.<\/p>\n<p>+ \u0110\u1eb7t c\u00e1c m\u1ee9c gi\u1edbi h\u1ea1n b\u00e1o \u0111\u1ed9ng<b>:\u00a0<\/b>m\u1ee9c \u0111\u1eb7t t\u00f9y theo t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd c\u1ee5 th\u1ec3 c\u1ee7a m\u1ed7i b\u1ec7nh nh\u00e2n.<\/p>\n<p>+ N\u1ed1i m\u00e1y th\u1edf v\u1edbi b\u1ec7nh nh\u00e2n. Gi\u1eef v\u00e0 c\u1ed1 \u0111\u1ecbnh m\u1eb7t n\u1ea1 cho b\u1ec7nh nh\u00e2n quen d\u1ea7n trong v\u00f2ng 5-10 ph\u00fat sau \u0111\u00f3 c\u1ed1 \u0111\u1ecbnh m\u1eb7t n\u1ea1 sao cho \u0111\u1ee7 kh\u00edt \u0111\u1ea3m b\u1ea3o kh\u00f4ng r\u00f2 kh\u00ed nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c qu\u00e1 ch\u1eb7t.<\/p>\n<p>+ Theo d\u00f5i SpO<sub>2<\/sub>, m\u1ea1ch, huy\u1ebft \u00e1p, nh\u1ecbp th\u1edf. L\u00e0m x\u00e9t nghi\u1ec7m kh\u00ed m\u00e1u sau 30 ph\u00fat \u0111\u1ebfn 60 ph\u00fat th\u1edf m\u00e1y.<\/p>\n<p>+ M\u1ee5c ti\u00eau c\u1ea7n \u0111\u1ea1t \u0111\u01b0\u1ee3c:<\/p>\n<p>\u2022\u00a0SpO<sub>2\u00a0<\/sub>&gt; 92%, PaO<sub>2\u00a0<\/sub>&gt; 60 mmHg.<\/p>\n<p>\u2022\u00a0PaCO<sub>2<\/sub>, pH b\u00ecnh th\u01b0\u1eddng ho\u1eb7c \u1edf m\u1ee9c ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c.<\/p>\n<p>\u2022\u00a0Nh\u1ecbp th\u1edf \u2264 30 l\u1ea7n\/ph\u00fat.<\/p>\n<p>+ \u0110i\u1ec1u ch\u1ec9nh th\u00f4ng s\u1ed1 m\u00e1y th\u1edf<\/p>\n<p>*\u00a0PaO<sub>2\u00a0<\/sub>gi\u1ea3m<\/p>\n<p>\u2022\u00a0T\u0103ng FiO<sub>2\u00a0<\/sub>m\u1ed7i 10% \u0111\u1ec3 \u0111\u1ea1t SpO<sub>2\u00a0<\/sub>&gt; 92%.<\/p>\n<p>\u2022\u00a0T\u0103ng IPAP v\u00e0 EPAP m\u1ed7i l\u1ea7n 2cmH<sub>2<\/sub>O, c\u00f3 th\u1ec3 t\u0103ng IPAP \u0111\u1ebfn 20cmH<sub>2<\/sub>O v\u00e0 EPAP t\u0103ng \u0111\u1ebfn 10-12cmH<sub>2<\/sub>O.<\/p>\n<p>*\u00a0PaO<sub>2\u00a0<\/sub>t\u0103ng: gi\u1ea3m FiO<sub>2\u00a0<\/sub>m\u1ed7i 10% \u0111\u1ec3 \u0111\u1ea1t SpO<sub>2\u00a0<\/sub>&gt; 92%.<\/p>\n<p>*\u00a0PaCO<sub>2\u00a0<\/sub>t\u0103ng (pH &lt; 7,3): t\u0103ng IPAP v\u00e0 EPAP m\u1ed7i l\u1ea7n 2cmH<sub>2<\/sub>O, c\u00f3 th\u1ec3 t\u0103ng IPAP \u0111\u1ebfn 20cmH<sub>2<\/sub>O v\u00e0 EPAP t\u0103ng \u0111\u1ebfn 10-12cmH<sub>2<\/sub>O.<\/p>\n<p>*\u00a0PaCO<sub>2\u00a0<\/sub>gi\u1ea3m (pH &gt; 7,45): gi\u1ea3m IPAP v\u00e0 EPAP m\u1ed7i l\u1ea7n 2cmH<sub>2<\/sub>O.<\/p>\n<h2><b>5. Theo d\u00f5i<\/b><\/h2>\n<p>&#8211; Ho\u1ea1t \u0111\u1ed9ng c\u1ee7a m\u00e1y th\u1edf, c\u00e1c \u00e1p l\u1ef1c \u0111\u01b0\u1eddng th\u1edf, b\u00e1o \u0111\u1ed9ng.<\/p>\n<p>&#8211; T\u00ecnh tr\u1ea1ng ch\u1ed1ng m\u00e1y: xem b\u1ec7nh nh\u00e2n c\u00f3 h\u1ee3p t\u00e1c v\u1edbi m\u00e1y th\u1edf kh\u00f4ng. N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng h\u1ee3p t\u00e1c gi\u1ea3i th\u00edch \u0111\u1ed9ng vi\u00ean h\u01b0\u1edbng d\u1eabn cho b\u1ec7nh nh\u00e2n h\u1ee3p t\u00e1c v\u1edbi m\u00e1y th\u1edf.<\/p>\n<p>&#8211; Theo d\u00f5i th\u01b0\u1eddng xuy\u00ean: m\u1ea1ch, huy\u1ebft \u00e1p, \u0111i\u1ec7n tim (tr\u00ean m\u00e1y theo d\u00f5i), SpO<sub>2,\u00a0<\/sub>\u00fd th\u1ee9c.<\/p>\n<p>&#8211; X\u00e9t nghi\u1ec7m kh\u00ed trong m\u00e1u: 12 &#8211; 24 gi\u1edd\/l\u1ea7n &#8211; t\u00f9y theo t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n, l\u00e0m c\u1ea5p c\u1ee9u khi c\u00f3 di\u1ec5n bi\u1ebfn b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p>&#8211; X-quang ph\u1ed5i: ch\u1ee5p 1 &#8211; 2 ng\u00e0y\/l\u1ea7n, ch\u1ee5p c\u1ea5p c\u1ee9u khi c\u00f3 di\u1ec5n bi\u1ebfn b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n<p><iframe loading=\"lazy\" title=\"B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh (COPD) c\u00f3 nguy hi\u1ec3m kh\u00f4ng v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/0HYKqBEPVHM?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>Th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp (non-invasive ventilation &#8211; NIV) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p cho b\u1ec7nh nh\u00e2n COPD (b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh) trong tr\u01b0\u1eddng h\u1ee3p kh\u00f3 th\u1edf ho\u1eb7c suy h\u00f4 h\u1ea5p. B\u1ec7nh nh\u00e2n COPD th\u01b0\u1eddng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 th\u1edf, ho,&#8230; Khi c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y tr\u1edf n\u00ean [&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>T\u1ed5ng quan v\u1ec1 th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD<\/title>\n<meta name=\"description\" content=\"Th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp (non-invasive ventilation - NIV) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p cho b\u1ec7nh nh\u00e2n COPD (b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh) ...\" \/>\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 v\u1ec1 th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD\" \/>\n<meta property=\"og:description\" content=\"Th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp (non-invasive ventilation - 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