{"id":2406,"date":"2023-04-12T20:02:02","date_gmt":"2023-04-12T13:02:02","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2406"},"modified":"2023-04-13T17:00:28","modified_gmt":"2023-04-13T10:00:28","slug":"quan-ly-ban-dau-chan-thuong-nguoi-lon","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/quan-ly-ban-dau-chan-thuong-nguoi-lon\/","title":{"rendered":"Ph\u01b0\u01a1ng ph\u00e1p qu\u1ea3n l\u00fd ban \u0111\u1ea7u b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng"},"content":{"rendered":"<p><strong>Ch\u1ea5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 bao g\u1ed3m t\u1eeb v\u1ebft th\u01b0\u01a1ng nh\u1ecf b\u1ecb c\u00f4 l\u1eadp \u0111\u1ebfn ch\u1ea5n th\u01b0\u01a1ng ph\u1ee9c t\u1ea1p li\u00ean quan \u0111\u1ebfn nhi\u1ec1u h\u1ec7 th\u1ed1ng c\u01a1 quan. T\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng \u0111\u00f2i h\u1ecfi m\u1ed9t c\u00e1ch ti\u1ebfp c\u1eadn c\u00f3 h\u1ec7 th\u1ed1ng \u0111\u1ec3 qu\u1ea3n l\u00fd \u0111\u1ec3 t\u1ed1i \u0111a h\u00f3a k\u1ebft qu\u1ea3 v\u00e0 gi\u1ea3m nguy c\u01a1 ch\u1ea5n th\u01b0\u01a1ng ch\u01b0a \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n. Qu\u1ea3n l\u00fd ban \u0111\u1ea7u b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng n\u00eau ra nh\u1eefng \u0111i\u1ec3m l\u01b0u \u00fd v\u00e0 quy tr\u00ecnh khi ti\u1ebfp c\u1eadn ng\u01b0\u1eddi b\u1ec7nh b\u1ecb ch\u1ea5n th\u01b0\u01a1ng.<\/strong><\/p>\n<h2><span class=\"h1\">1. D\u1ecbch t\u1ec5 h\u1ecdc<\/span><\/h2>\n<p class=\"headingAnchor\">Ch\u1ea5n th\u01b0\u01a1ng l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y t\u1eed vong tr\u00ean to\u00e0n c\u1ea7u. Tr\u00ean to\u00e0n th\u1ebf gi\u1edbi, ch\u1ea5n th\u01b0\u01a1ng giao th\u00f4ng \u0111\u01b0\u1eddng b\u1ed9 l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y t\u1eed vong trong \u0111\u1ed9 tu\u1ed5i t\u1eeb 18 \u0111\u1ebfn 29. H\u01a1n 45 tri\u1ec7u ng\u01b0\u1eddi b\u1ecb khuy\u1ebft t\u1eadt t\u1eeb trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng m\u1ed7i n\u0103m do ch\u1ea5n th\u01b0\u01a1ng<\/p>\n<p>Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), th\u01b0\u01a1ng t\u00edch giao th\u00f4ng \u0111\u01b0\u1eddng b\u1ed9 chi\u1ebfm 1,25 tri\u1ec7u ca t\u1eed vong trong n\u0103m 2014 v\u00e0 ch\u1ea5n th\u01b0\u01a1ng d\u1ef1 ki\u1ebfn s\u1ebd t\u0103ng l\u00ean nguy\u00ean nh\u00e2n g\u00e2y khuy\u1ebft t\u1eadt h\u00e0ng \u0111\u1ea7u th\u1ee9 ba tr\u00ean to\u00e0n th\u1ebf gi\u1edbi v\u00e0o n\u0103m 2030.<\/p>\n<p>B\u1ec7nh nh\u00e2n b\u1ecb ch\u1ea5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng c\u00f3 kh\u1ea3 n\u0103ng t\u1eed vong ho\u1eb7c m\u1eafc b\u1ec7nh th\u1ea5p h\u01a1n \u0111\u00e1ng k\u1ec3 (10,4 so v\u1edbi 13,8%) khi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i m\u1ed9t trung t\u00e2m ch\u1ea5n th\u01b0\u01a1ng l\u1edbn. Tu\u1ed5i gi\u00e0, b\u00e9o ph\u00ec v\u00e0 c\u00e1c b\u1ec7nh \u0111i k\u00e8m ch\u00ednh c\u00f3 li\u00ean quan \u0111\u1ebfn k\u1ebft qu\u1ea3 x\u1ea5u h\u01a1n sau ch\u1ea5n th\u01b0\u01a1ng . \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng b\u1ecb xu\u1ea5t huy\u1ebft \u0111\u00e1ng k\u1ec3, \u0111i\u1ec3m s\u1ed1 th\u1ea5p h\u01a1n tr\u00ean Thang \u0111i\u1ec3m h\u00f4n m\u00ea Glasgow (GCS) v\u00e0 tu\u1ed5i gi\u00e0 \u0111\u1ec1u c\u00f3 li\u00ean quan \u0111\u1ed9c l\u1eadp v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong t\u0103ng.<\/p>\n<p>Trong khi c\u00e1c nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y t\u1eed vong do ch\u1ea5n th\u01b0\u01a1ng l\u00e0 xu\u1ea5t huy\u1ebft, suy \u0111a c\u01a1 quan v\u00e0 ng\u1eebng tim ph\u1ed5i , c\u00e1c nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c c\u1ee7a b\u1ec7nh t\u1eadt l\u00e0 t\u1ee5t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n ngo\u00e0i \u00fd mu\u1ed1n, th\u1ea5t b\u1ea1i k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt, ch\u1ea5n th\u01b0\u01a1ng b\u1ecb b\u1ecf s\u00f3t v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn catheter n\u1ed9i m\u1ea1ch.<\/p>\n<h2>2. C\u01a1 ch\u1ebf<\/h2>\n<p>C\u00e1c c\u01a1 ch\u1ebf \u0111\u1eb7c bi\u1ec7t khi\u1ebfn b\u1ec7nh nh\u00e2n b\u1ecb th\u01b0\u01a1ng t\u00edch c\u1ee5 th\u1ec3. C\u00e1c c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ee5ng d\u1eadp ph\u1ed5 bi\u1ebfn. Ngo\u00e0i ra, m\u1ed9t s\u1ed1 c\u01a1 ch\u1ebf \u0111\u1ee5ng d\u1eadp c\u00f3 nguy c\u01a1 cao, bao g\u1ed3m ng\u01b0\u1eddi \u0111i b\u1ed9 b\u1ecb \u00f4 t\u00f4 \u0111\u00e2m, tai n\u1ea1n xe m\u00e1y, tai n\u1ea1n xe c\u01a1 gi\u1edbi nghi\u00eam tr\u1ecdng v\u00e0 ng\u00e3 cao, c\u00f3 li\u00ean quan \u0111\u1ebfn t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh v\u00e0 t\u1eed vong cao h\u01a1n.<\/p>\n<h2>3. \u0110\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng<\/h2>\n<h3>3.1. Ti\u1ebfp c\u1eadn ban \u0111\u1ea7u<\/h3>\n<p>Th\u00f4ng tin bao g\u1ed3m:<\/p>\n<ul>\n<li class=\"bulletIndent1\">Tu\u1ed5i v\u00e0 gi\u1edbi t\u00ednh c\u1ee7a b\u1ec7nh nh\u00e2n<\/li>\n<li class=\"bulletIndent1\">C\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng<\/li>\n<li class=\"bulletIndent1\">D\u1ea5u hi\u1ec7u sinh t\u1ed3n<\/li>\n<li class=\"bulletIndent1\"><span class=\"glyph\">C\u01a1 ch\u1ebf c<\/span>h\u1ea5n th\u01b0\u01a1ng<\/li>\n<\/ul>\n<p>Nh\u00e2n vi\u00ean khoa c\u1ea5p c\u1ee9u chu\u1ea9n b\u1ecb:<\/p>\n<ul>\n<li class=\"bulletIndent1\">H\u1ed9i ch\u1ea9n chuy\u00ean khoa (v\u00ed d\u1ee5: h\u1ed3i s\u1ee9c, ph\u1eabu thu\u1eadt, ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, s\u1ea3n khoa, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh)<\/li>\n<li class=\"bulletIndent1\">\u0110\u1ea3m b\u1ea3o ngu\u1ed3n l\u1ef1c c\u00f3 s\u1eb5n (v\u00ed d\u1ee5: si\u00eau \u00e2m, CT, kh\u00f4ng gian ph\u00f2ng m\u1ed5)<\/li>\n<li class=\"bulletIndent1\">Chu\u1ea9n b\u1ecb cho c\u00e1c th\u1ee7 t\u1ee5c d\u1ef1 ki\u1ebfn (v\u00ed d\u1ee5: \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n, catheter t\u0129nh m\u1ea1ch trung t\u00e2m)<\/li>\n<li class=\"bulletIndent1\">Chu\u1ea9n b\u1ecb truy\u1ec1n m\u00e1u<\/li>\n<\/ul>\n<h3>3.2. \u0110\u00e1nh gi\u00e1<\/h3>\n<ul>\n<li class=\"bulletIndent1\"><strong>A: <\/strong>Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng th\u1edf (b\u1ea5t \u0111\u1ed9ng c\u1ed9t s\u1ed1ng c\u1ed5 khi th\u00edch h\u1ee3p)<\/li>\n<li class=\"bulletIndent1\"><strong><span class=\"glyph\">B: <\/span><\/strong><span class=\"glyph\">Duy tr\u00ec th\u00f4ng kh\u00ed<\/span> , nh\u1ecbp th\u1edf<\/li>\n<li class=\"bulletIndent1\"><strong><span class=\"glyph\">C: <\/span><\/strong><span class=\"glyph\">Tu\u1ea7n ho\u00e0n<\/span><strong><span class=\"glyph\"> &#8211; <\/span><\/strong><span class=\"glyph\">K<\/span>i\u1ec3m so\u00e1t xu\u1ea5t huy\u1ebft v\u00e0 duy tr\u00ec t\u01b0\u1edbi m\u00e1u c\u01a1 quan \u0111\u00edch \u0111\u1ea7y \u0111\u1ee7<\/li>\n<li class=\"bulletIndent1\"><strong>D: <\/strong>\u0110\u00e1nh gi\u00e1 tri gi\u00e1c\u00a0 ( th\u1ef1c hi\u1ec7n \u0111\u00e1nh gi\u00e1 th\u1ea7n kinh c\u01a1 b\u1ea3n)<\/li>\n<li class=\"bulletIndent1\"><strong>E: <\/strong>B\u1ed9c l\u1ed9 v\u00e0 ki\u1ec3m so\u00e1t th\u01b0\u01a1ng t\u00edch c\u00f3 th\u1ec3, trong khi ng\u0103n ng\u1eeba h\u1ea1 th\u00e2n nhi\u1ec7t<\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-medium wp-image-18455\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/OIP-2-300x168.jpg\" alt=\"qu\u1ea3n l\u00fd ban \u0111\u1ea7u\" width=\"300\" height=\"168\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/OIP-2-300x168.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/OIP-2.jpg 474w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h4>3.2.1. Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng th\u1edf<\/h4>\n<p>C\u00e1c \u0111i\u1ec3m c\u1ea7n l\u01b0u \u00fd:<\/p>\n<ul>\n<li class=\"bulletIndent1\">T\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eed vong ngay sau ch\u1ea5n th\u01b0\u01a1ng. \u0110\u01b0\u1eddng th\u1edf c\u00f3 th\u1ec3 b\u1ecb t\u1eafc ngh\u1ebdn b\u1edfi l\u01b0\u1ee1i, d\u1ecb v\u1eadt, ph\u00f9 n\u1ec1 m\u00f4 ho\u1eb7c kh\u1ed1i m\u00e1u t\u1ee5 m\u1edf r\u1ed9ng.<\/li>\n<li class=\"bulletIndent1\">Khi nghi ng\u1edd, t\u1ed1t nh\u1ea5t n\u00ean \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n s\u1edbm, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh, ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi b\u1ecb th\u01b0\u01a1ng \u0111\u00e1ng k\u1ec3 \u1edf m\u1eb7t ho\u1eb7c c\u1ed5, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u01b0ng v\u00e0 bi\u1ebfn d\u1ea1ng \u0111\u01b0\u1eddng th\u1edf.<\/li>\n<li class=\"bulletIndent1\">Khi n\u1ed9i kh\u00ed qu\u1ea3n \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i \u0111\u1ea3m b\u1ea3o kh\u00f4ng di l\u1ec7ch. T\u1ee5t \u1ed1ng ngo\u00e0i \u00fd mu\u1ed1n l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c g\u00e2y b\u1ec7nh \u1edf b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng.<\/li>\n<li>B\u1ec7nh nh\u00e2n b\u1ea5t t\u1ec9nh c\u00f3 tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i \u00edt kh\u00f4ng nh\u00ecn th\u1ea5y ho\u1eb7c b\u1ecf s\u00f3t tr\u00ean X quang ng\u1ef1c ban \u0111\u1ea7u c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n sau khi \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n do th\u00f4ng kh\u00ed \u00e1p l\u1ef1c d\u01b0\u01a1ng. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh l\u1ea1i ph\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng ph\u00e1t tri\u1ec3n huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh sau khi \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 ch\u00fa \u00fd \u0111\u1ebfn b\u00e1o \u0111\u1ed9ng \u00e1p l\u1ef1c m\u00e1y th\u1edf.<\/li>\n<li class=\"bulletIndent1\">Xu\u1ea5t huy\u1ebft l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c g\u00e2y t\u1eed vong trong ch\u1ea5n th\u01b0\u01a1ng. H\u00e3y c\u1ea3nh gi\u00e1c v\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u tinh t\u1ebf c\u1ee7a s\u1ed1c xu\u1ea5t huy\u1ebft, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, nh\u1eefng ng\u01b0\u1eddi c\u00f3 th\u1ec3 \u0111ang d\u00f9ng thu\u1ed1c tim m\u1ea1ch l\u00e0m gi\u1ea3m c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 v\u1eady, v\u00e0 nh\u1eefng ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh tr\u1ebb, kh\u1ecfe m\u1ea1nh c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n r\u00f5 r\u00e0ng. H\u1ea1 huy\u1ebft \u00e1p th\u01b0\u1eddng kh\u00f4ng bi\u1ec3u hi\u1ec7n cho \u0111\u1ebfn khi \u00edt nh\u1ea5t 30% th\u1ec3 t\u00edch m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb m\u1ea5t.<\/li>\n<li class=\"bulletIndent1\">Ch\u1ea5n th\u01b0\u01a1ng n\u00e3o l\u00e0 ph\u1ed5 bi\u1ebfn \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb ch\u1ea5n th\u01b0\u01a1ng c\u00f9n nghi\u00eam tr\u1ecdng v\u00e0 th\u1eadm ch\u00ed m\u1ed9t \u0111\u1ee3t h\u1ea1 huy\u1ebft \u00e1p duy nh\u1ea5t c\u0169ng l\u00e0m t\u0103ng nguy c\u01a1 t\u1eed vong.<\/li>\n<\/ul>\n<p>Qu\u1ea3n l\u00fd \u0111\u01b0\u1eddng th\u1edf c\u00f3 th\u1ec3 theo nguy\u00ean t\u1eafc LEMON:<\/p>\n<ul>\n<li><strong>L<\/strong> (Look): Ch\u1ea5n th\u01b0\u01a1ng m\u1eb7t v\u00e0 c\u1ed5 c\u00f3 th\u1ec3 l\u00e0m bi\u1ebfn d\u1ea1ng c\u1ea5u tr\u00fac b\u00ean ngo\u00e0i v\u00e0 b\u00ean trong g\u00e2y kh\u00f3 kh\u0103n cho vi\u1ec7c h\u00ecnh dung thanh qu\u1ea3n ho\u1eb7c ch\u00e8n \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n.\n<p class=\"bulletIndent1\"><span class=\"glyph\">\u25cf<\/span><strong>E <\/strong>(Evaluate) 3-3-2: Kh\u00f4ng m\u1edf mi\u1ec7ng r\u1ed9ng 3 ng\u00f3n tay. Kho\u1ea3ng c\u00e1ch t\u1eeb c\u1eb1m \u0111\u1ebfn s\u1ee5n gi\u00e1p &lt;3 ng\u00f3n tay. Kho\u1ea3ng c\u00e1ch t\u1eeb h\u00e0m d\u01b0\u1edbi \u0111\u1ebfn s\u1ee5n gi\u00e1p &lt;2 ng\u00f3n tay<\/p>\n<p class=\"bulletIndent1\"><span class=\"glyph\">\u25cf<\/span><strong>M <\/strong>(MALLAMPATI): Thang \u0111i\u1ec3m Mallampati x\u00e1c \u0111\u1ecbnh tr\u01b0\u1edbc\u00a0 \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n kh\u1ea9n c\u1ea5p<\/p>\n<p class=\"bulletIndent1\"><span class=\"glyph\">\u25cf<\/span><strong>O<\/strong> (Obstruction): \u00a0B\u00e9o ph\u00ec l\u00e0m c\u1ea3n tr\u1edf \u0111\u01b0\u1eddng th\u1edf \u1edf b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng<\/p>\n<p class=\"bulletIndent1\"><span class=\"glyph\">\u25cf<\/span><strong>N <\/strong>(Neck): C\u1ed1 \u0111\u1ecbnh c\u1ed5 l\u00e0 c\u1ea7n thi\u1ebft \u1edf b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng, \u0111\u1eb7c bi\u1ec7t nghi ng\u1edd ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u1ed5, tuy nhi\u00ean c\u1ea7n l\u01b0u \u00fd vi\u1ec7c thi\u1ebfu oxy, m\u00e1u.<\/p>\n<\/li>\n<\/ul>\n<p>S\u1ef1 an to\u00e0n c\u1ee7a \u1ed5n \u0111\u1ecbnh n\u1ed9i tuy\u1ebfn th\u1ee7 c\u00f4ng cho b\u1ec7nh nh\u00e2n b\u1ecb ch\u1ea5n th\u01b0\u01a1ng c\u00f9n c\u1ea7n \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp t\u1ed1t. R\u1ea5t \u00edt b\u00e1o c\u00e1o tr\u01b0\u1eddng h\u1ee3p m\u00f4 t\u1ea3 ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng trong khi \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n, v\u00e0 trong m\u1ecdi tr\u01b0\u1eddng h\u1ee3p, c\u1ed9t s\u1ed1ng kh\u00f4ng \u0111\u01b0\u1ee3c \u1ed5n \u0111\u1ecbnh b\u1eb1ng tay.<\/p>\n<h4 id=\"H1929747\" class=\"headingAnchor\">3.2.2. Duy tr\u00ec th\u00f4ng kh\u00ed, nh\u1ecbp th\u1edf<\/h4>\n<p class=\"headingAnchor\">M\u1ed9t khi \u0111\u01b0\u1eddng th\u1edf \u0111\u01b0\u1ee3c \u0111\u1ea3m b\u1ea3o, h\u00e3y \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 \u0111\u1ea7y \u0111\u1ee7 c\u1ee7a oxy h\u00f3a\u00a0<span class=\"h2\">v\u00e0 th\u00f4ng kh\u00ed<\/span>. Ch\u1ea5n th\u01b0\u01a1ng ng\u1ef1c chi\u1ebfm 20 \u0111\u1ebfn 25% c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1eed vong li\u00ean quan \u0111\u1ebfn ch\u1ea5n th\u01b0\u01a1ng, ph\u1ea7n l\u1edbn l\u00e0 do \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u00f4ng kh\u00ed.<\/p>\n<p>Ki\u1ec3m tra th\u00e0nh ng\u1ef1c t\u00ecm ki\u1ebfm c\u00e1c d\u1ea5u hi\u1ec7u ch\u1ea5n th\u01b0\u01a1ng, bao g\u1ed3m chuy\u1ec3n \u0111\u1ed9ng kh\u00f4ng \u0111\u1ed1i x\u1ee9ng ho\u1eb7c \u0111\u1ea3o ng\u01b0\u1ee3c, nghe \u00e2m ph\u1ed5i, kh\u00e1m l\u00e2m s\u00e0ng ki\u1ec3m tra. \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng \u1ed5n \u0111\u1ecbnh, h\u00e3y ch\u1ee5p X quang ng\u1ef1c. Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i, tr\u00e0n m\u00e1u m\u00e0ng ph\u1ed5i c\u00f3 th\u1ec3 g\u00e2y ch\u00e8n \u00e9p tim l\u00e0 nh\u1eefng m\u1ed1i \u0111e d\u1ecda ngay l\u1eadp t\u1ee9c \u0111\u1ed1i v\u1edbi t\u00ednh m\u1ea1ng c\u1ea7n \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh \u1edf giai \u0111o\u1ea1n n\u00e0y c\u1ee7a kh\u1ea3o s\u00e1t ch\u00ednh. Si\u00eau \u00e2m c\u00f3 th\u1ec3 cung c\u1ea5p th\u00f4ng tin quan tr\u1ecdng v\u1ec1 t\u1ea5t c\u1ea3 c\u00e1c ch\u1ea9n \u0111o\u00e1n n\u00e0y trong ph\u1ea7n \u0111\u00e1nh gi\u00e1 n\u00e0y.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb gi\u1ea3 \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i, bao g\u1ed3m h\u1ea1 huy\u1ebft \u00e1p, kh\u00f3 th\u1edf v\u00e0 d\u1eabn l\u01b0u. S\u1ef1 ch\u1eadm tr\u1ec5 \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c m\u1ed9t X quang ng\u1ef1c di \u0111\u1ed9ng c\u00f3 th\u1ec3 g\u00e2y ra t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh \u0111\u00e1ng k\u1ec3.<\/p>\n<div id=\"topicText\">\n<h4 id=\"H1929754\" class=\"headingAnchor\"><span class=\"h2\">3.2.3. Tu\u1ea7n ho\u00e0n<\/span><\/h4>\n<p id=\"H3339792460\" class=\"headingAnchor\"><strong><span class=\"h3\">Nh\u1eadn bi\u1ebft v\u00e0 ki\u1ec3m so\u00e1t xu\u1ea5t huy\u1ebft<\/span><\/strong><span class=\"headingEndMark\"><strong> :<\/strong> <\/span>M\u1ed9t khi \u0111\u01b0\u1eddng th\u1edf \u1ed5n \u0111\u1ecbnh, th\u1ef1c hi\u1ec7n \u0111\u00e1nh gi\u00e1 ban \u0111\u1ea7u v\u1ec1 t\u00ecnh tr\u1ea1ng tu\u1ea7n ho\u00e0n c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch b\u1eaft\u00a0 m\u1ea1ch trung t\u00e2m. N\u1ebfu m\u1ea1ch c\u1ea3nh ho\u1eb7c m\u1ea1ch \u0111\u00f9i kh\u00f4ng t\u1ed5n th\u01b0\u01a1ng b\u00ean, m\u1ea1ch \u0111\u1ec1u r\u00f5 th\u00ec ti\u1ebfn h\u00e0nh \u0111o huy\u1ebft \u00e1p ch\u00ednh x\u00e1c.<\/p>\n<p>C\u1ea7n thi\u1ebft l\u1eadp \u0111\u01b0\u1eddng truy\u1ec1n, x\u00e1c \u0111\u1ecbnh nh\u00f3m m\u00e1u v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m li\u00ean quan.<\/p>\n<p>Xu\u1ea5t huy\u1ebft \u0111e d\u1ecda t\u00ednh m\u1ea1ng ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t. Ch\u1ea3y m\u00e1u t\u0129nh m\u1ea1ch \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t b\u1eb1ng \u00e1p l\u1ef1c tr\u1ef1c ti\u1ebfp. Ch\u1ea3y m\u00e1u do ch\u1ea5n th\u01b0\u01a1ng v\u00f9ng nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 y\u00eau c\u1ea7u ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u.<\/p>\n<p>B\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng c\u1ea7n h\u1ed3i s\u1ee9c tim ph\u1ed5i (CPR) trong v\u00f2ng m\u1ed9t gi\u1edd sau khi \u0111\u1ebfn b\u1ec7nh vi\u1ec7n c\u00f3 t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t sau khi xu\u1ea5t vi\u1ec7n th\u1ea5p (ch\u1ec9 13% ), v\u00ec v\u1eady vi\u1ec7c duy tr\u00ec t\u01b0\u1edbi m\u00e1u v\u00e0 nhu c\u1ea7u CPR l\u00e0 \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng. C\u00e1c n\u1ea1n nh\u00e2n c\u1ee7a v\u1ebft th\u01b0\u01a1ng \u0111\u00e2m v\u00e0o ng\u1ef1c, c\u1ea7n ph\u1eabu thu\u1eadt l\u1ed3ng ng\u1ef1c kh\u1ea9n c\u1ea5p cho b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng kh\u00f4ng c\u00f3 m\u1ea1ch \u0111\u00f9i ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh<\/p>\n<p>H\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng b\u1ecb h\u1ea1 huy\u1ebft \u00e1p ho\u1eb7c c\u00f3 d\u1ea5u hi\u1ec7u s\u1ed1c (v\u00ed d\u1ee5:, da nh\u1ee3t nh\u1ea1t, \u1ea9m, l\u1ea1nh) \u0111ang ch\u1ea3y m\u00e1u, v\u00e0 b\u1ec7nh nh\u00e2n b\u1ecb xu\u1ea5t huy\u1ebft n\u1eb7ng c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao h\u01a1n \u0111\u00e1ng k\u1ec3. H\u1ed3i s\u1ee9c d\u1ecbch ban \u0111\u1ea7u cho nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y c\u00f3 th\u1ec3 bao g\u1ed3m: bolus d\u1ecbch tinh th\u1ec3 t\u0129nh m\u1ea1ch ho\u1eb7c truy\u1ec1n m\u00e1u.<\/p>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh m\u1eb7c d\u00f9 d\u1ecbch nhanh ban \u0111\u1ea7u th\u01b0\u1eddng c\u1ea7n truy\u1ec1n m\u00e1u v\u00e0 ki\u1ec3m so\u00e1t d\u1ee9t \u0111i\u1ec3m ngu\u1ed3n ch\u1ea3y m\u00e1u. Xu\u1ea5t huy\u1ebft \u0111\u00e1ng k\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o trong n\u0103m v\u1ecb tr\u00ed: g\u00e3y x\u01b0\u01a1ng ngo\u00e0i, trong l\u1ed3ng ng\u1ef1c, trong ph\u00fac m\u1ea1c, sau ph\u00fac m\u1ea1c v\u00e0 x\u01b0\u01a1ng ch\u1eadu ho\u1eb7c x\u01b0\u01a1ng d\u00e0i. N\u1ebfu c\u1ea7n truy\u1ec1n m\u00e1u, t\u1ef7 l\u1ec7 1: 1: 1 c\u1ee7a huy\u1ebft t\u01b0\u01a1ng, ti\u1ec3u c\u1ea7u v\u00e0 h\u1ed3ng c\u1ea7u n\u00ean \u0111\u01b0\u1ee3c nh\u1eafm m\u1ee5c ti\u00eau. B\u1ec7nh nh\u00e2n c\u1ea7n truy\u1ec1n m\u00e1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng\u00a0<a class=\"drug drug_general\" href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/lam-dep\/tranexamic-acid-co-tac-dung-gi-tren-da\/\">axit tranexamic<\/a> n\u1ebfu n\u00f3 \u0111\u01b0\u1ee3c \u0111\u01b0a ra trong v\u00f2ng ba gi\u1edd sau ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n<p id=\"H3942783438\" class=\"headingAnchor\"><strong>Nguy\u00ean nh\u00e2n kh\u00f4ng xu\u1ea5t huy\u1ebft g\u00e2y s\u1ed1c: <\/strong>\u1ede b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng ng\u01b0\u1eddi l\u1edbn, c\u00e1c nguy\u00ean\u00a0<span class=\"h3\">nh\u00e2n g\u00e2y s\u1ed1c<\/span> kh\u00f4ng xu\u1ea5t huy\u1ebft bao g\u1ed3m tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i \u00e1p l\u1ef1c v\u00e0 ch\u00e8n \u00e9p tim. Nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng n\u00e0y \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u1ed1t nh\u1ea5t b\u1eb1ng c\u00e1ch kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 \u0111\u00e1nh gi\u00e1 si\u00eau \u00e2m FAST. \u0110\u1eb7c bi\u1ec7t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i, b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 c\u1ea7n xem x\u00e9t c\u00e1c nguy\u00ean nh\u00e2n y t\u1ebf g\u00e2y h\u1ea1 huy\u1ebft \u00e1p tr\u01b0\u1edbc v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra ch\u1ea5n th\u01b0\u01a1ng, ch\u1eb3ng h\u1ea1n nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, m\u00e1y t\u1ea1o nh\u1ecbp tim b\u1ecb tr\u1ee5c tr\u1eb7c ho\u1eb7c thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 th\u1ea5t tr\u00e1i (LVAD), ho\u1eb7c xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a.<\/p>\n<h4 id=\"H1929761\" class=\"headingAnchor\"><strong><span class=\"h2\">3.2.4. \u0110\u00e1nh gi\u00e1 tri gi\u00e1c <\/span>v\u00e0 th\u1ea7n kinh<\/strong><\/h4>\n<p class=\"headingAnchor\">M\u1ed9t khi c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng th\u1edf, h\u00f4 h\u1ea5p v\u00e0 tu\u1ea7n ho\u00e0n \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft, h\u00e3y th\u1ef1c hi\u1ec7n ki\u1ec3m tra th\u1ea7n kinh t\u1eadp trung. \u0110i\u1ec1u n\u00e0y n\u00ean bao g\u1ed3m m\u00f4 t\u1ea3 v\u1ec1 m\u1ee9c \u0111\u1ed9 \u00fd th\u1ee9c c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng \u0111i\u1ec3m s\u1ed1 Thang \u0111i\u1ec3m h\u00f4n m\u00ea Glasgow (GCS) v\u00e0 \u0111\u00e1nh gi\u00e1 k\u00edch th\u01b0\u1edbc v\u00e0 ph\u1ea3n \u1ee9ng c\u1ee7a \u0111\u1ed3ng t\u1eed, ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng th\u00f4 v\u00e0 c\u1ea3m gi\u00e1c. C\u0169ng l\u01b0u \u00fd b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u b\u00ean v\u00e0 m\u1ee9c \u0111\u1ed9 c\u1ea3m gi\u00e1c n\u1ebfu c\u00f3 ch\u1ea5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng.<\/p>\n<p>\u0110i\u1ec3m GCS \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 theo d\u00f5i t\u00ecnh tr\u1ea1ng th\u1ea7n kinh c\u1ee7a b\u1ec7nh nh\u00e2n. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y \u0111i\u1ec3m GCS ban \u0111\u1ea7u kh\u00f4ng d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb ch\u1ea5n th\u01b0\u01a1ng n\u00e3o nghi\u00eam tr\u1ecdng, v\u00e0 \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n, thu\u1ed1c an th\u1ea7n v\u00e0 r\u01b0\u1ee3u ho\u1eb7c nhi\u1ec5m \u0111\u1ed9c ma t\u00fay.<\/p>\n<p>B\u1ea5t \u0111\u1ed9ng c\u1ed9t s\u1ed1ng cho t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng ch\u1ea5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng. S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a s\u1ef1 thi\u1ebfu h\u1ee5t v\u1eadn \u0111\u1ed9ng ho\u1eb7c m\u1ee9c \u0111\u1ed9 c\u1ea3m gi\u00e1c t\u1ee7y s\u1ed1ng cho th\u1ea5y s\u1ef1 c\u1ea7n thi\u1ebft ph\u1ea3i ch\u1ee5p \u1ea3nh n\u00e3o, t\u1ee7y s\u1ed1ng v\u00e0 ngu\u1ed3n cung c\u1ea5p m\u1ea1ch m\u00e1u c\u1ee7a ch\u00fang.<\/p>\n<h4 id=\"H1929768\" class=\"headingAnchor\"><strong><span class=\"h2\">3.2.5. B\u1ed9c l\u1ed9 v\u00e0 ng\u0103n ng\u1eeba h\u1ea1 th\u00e2n nhi\u1ec7t<\/span><\/strong><\/h4>\n<p class=\"headingAnchor\">H\u00e3y ch\u1eafc ch\u1eafn r\u1eb1ng b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng \u0111\u01b0\u1ee3c ki\u1ec3m tra c\u00e1c d\u1ea5u hi\u1ec7u ch\u1ea5n th\u01b0\u01a1ng to\u00e0n b\u1ed9 c\u01a1 th\u1ec3. C\u00e1c ch\u1ea5n th\u01b0\u01a1ng b\u1ecb b\u1ecf l\u1ee1 l\u00e0 m\u1ed9t m\u1ed1i \u0111e d\u1ecda nghi\u00eam tr\u1ecdng. C\u00e1c v\u00f9ng th\u01b0\u1eddng b\u1ecb b\u1ecf qua bao g\u1ed3m da \u0111\u1ea7u, n\u1ebfp g\u1ea5p n\u00e1ch, \u0111\u00e1y ch\u1eadu v\u00e0 \u1edf b\u1ec7nh nh\u00e2n b\u00e9o ph\u00ec, n\u1ebfp g\u1ea5p b\u1ee5ng. V\u1ebft th\u01b0\u01a1ng xuy\u00ean th\u1ea5u c\u00f3 th\u1ec3 c\u00f3 m\u1eb7t \u1edf b\u1ea5t c\u1ee9 \u0111\u00e2u. Trong khi duy tr\u00ec c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba c\u1ed9t s\u1ed1ng c\u1ed5, h\u00e3y ki\u1ec3m tra l\u01b0ng c\u1ee7a b\u1ec7nh nh\u00e2n; \u0110\u1eebng b\u1ecf b\u00ea vi\u1ec7c ki\u1ec3m tra n\u1ebfp g\u1ea5p m\u00f4ng v\u00e0 da \u0111\u1ea7u sau.<\/p>\n<p>H\u1ea1 th\u00e2n nhi\u1ec7t n\u00ean \u0111\u01b0\u1ee3c ng\u0103n ng\u1eeba n\u1ebfu c\u00f3 th\u1ec3 v\u00e0 \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c sau khi x\u00e1c \u0111\u1ecbnh. H\u1ea1 th\u00e2n nhi\u1ec7t g\u00f3p ph\u1ea7n v\u00e0o r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u v\u00e0 ti\u1ebfn tri\u1ec3n suy \u0111a c\u01a1 quan . Trong m\u1ed9t b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng h\u1ea1 th\u00e2n nhi\u1ec7t \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, ph\u00f2ng h\u1ed3i s\u1ee9c n\u00ean c\u00f3 nhi\u1ec7t \u0111\u1ed9 th\u00edch h\u1ee3p<\/p>\n<p id=\"H1930001\" class=\"headingAnchor\"><span class=\"glyph\"><b>K\u1ebft lu\u1eadn:<\/b><\/span><\/p>\n<ul>\n<li class=\"headingAnchor\">Ch\u1ea5n th\u01b0\u01a1ng l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y t\u1eed vong tr\u00ean to\u00e0n c\u1ea7u. T\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng \u0111\u00f2i h\u1ecfi m\u1ed9t c\u00e1ch ti\u1ebfp c\u1eadn c\u00f3 h\u1ec7 th\u1ed1ng \u0111\u1ec3 qu\u1ea3n l\u00fd \u0111\u1ec3 t\u1ed1i \u0111a h\u00f3a k\u1ebft qu\u1ea3 v\u00e0 gi\u1ea3m nguy c\u01a1 ch\u1ea5n th\u01b0\u01a1ng ch\u01b0a \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n. Ch\u0103m s\u00f3c t\u1ed1i \u01b0u \u0111\u00f2i h\u1ecfi giao ti\u1ebfp hi\u1ec7u qu\u1ea3 v\u00e0 hi\u1ec7u qu\u1ea3 v\u00e0 l\u00e0m vi\u1ec7c theo nh\u00f3m gi\u1eefa c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng.<\/li>\n<li>\n<div class=\"rich-text\">\n<p><a class=\"link-in-body\" href=\"https:\/\/vinmec.com\/\"><b class=\"link-in-body\">B\u1ec7nh vi\u1ec7n \u0110a khoa Qu\u1ed1c t\u1ebf Vinmec<\/b><\/a> l\u00e0 b\u1ec7nh vi\u1ec7n \u0111a khoa c\u00f3 ch\u1ee9c n\u0103ng th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh l\u00fd. T\u1ea1i Vinmec c\u0169ng \u0111\u00e3 th\u1ef1c hi\u1ec7n ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p y h\u1ecdc hi\u1ec7n \u0111\u1ea1i, kh\u00f4ng ch\u1ec9 \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 cao m\u00e0 c\u00f2n h\u1ea1n ch\u1ebf t\u1ed1i \u0111a bi\u1ebfn ch\u1ee9ng b\u1ec7nh t\u00e1i ph\u00e1t. C\u00f3 \u0111\u01b0\u1ee3c th\u00e0nh c\u00f4ng l\u1edbn l\u00e0 b\u1edfi Vinmec lu\u00f4n trang b\u1ecb \u0111\u1ea7y \u0111\u1ee7 c\u01a1 s\u1edf v\u1eadt ch\u1ea5t hi\u1ec7n \u0111\u1ea1i, c\u00e1c quy tr\u00ecnh th\u0103m kh\u00e1m, \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 gi\u00e0u chuy\u00ean m\u00f4n, kinh nghi\u1ec7m s\u1ebd \u0111em l\u1ea1i k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh t\u1ed1i \u01b0u cho Qu\u00fd kh\u00e1ch h\u00e0ng.<\/p>\n<\/div>\n<p class=\"\">\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<a class=\"contact-button link-in-body\" href=\"https:\/\/www.vinmec.com\/myvinmec\/\"><b class=\"link-in-body\">HOTLINE<\/b><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a class=\"appointment-button link-in-body\" href=\"https:\/\/www.vinmec.com\/myvinmec\/\"><b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a class=\"link-in-body\" href=\"https:\/\/www.vinmec.com\/myvinmec\/\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n<\/li>\n<\/ul>\n<p>B\u00e0i vi\u1ebft c\u00f3 s\u1eed d\u1ee5ng ngu\u1ed3n t\u1eeb: World Health Organization, CDC, American College of Surgeons Committee on Trauma,&#8230;<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Ch\u1ea5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 bao g\u1ed3m t\u1eeb v\u1ebft th\u01b0\u01a1ng nh\u1ecf b\u1ecb c\u00f4 l\u1eadp \u0111\u1ebfn ch\u1ea5n th\u01b0\u01a1ng ph\u1ee9c t\u1ea1p li\u00ean quan \u0111\u1ebfn nhi\u1ec1u h\u1ec7 th\u1ed1ng c\u01a1 quan. T\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng \u0111\u00f2i h\u1ecfi m\u1ed9t c\u00e1ch ti\u1ebfp c\u1eadn c\u00f3 h\u1ec7 th\u1ed1ng \u0111\u1ec3 qu\u1ea3n l\u00fd \u0111\u1ec3 t\u1ed1i \u0111a h\u00f3a k\u1ebft qu\u1ea3 v\u00e0 gi\u1ea3m nguy c\u01a1 [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ph\u01b0\u01a1ng ph\u00e1p qu\u1ea3n l\u00fd ban \u0111\u1ea7u b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Ch\u1ea5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 t\u1eeb v\u1ebft th\u01b0\u01a1ng nh\u1ecf \u0111\u1ebfn ch\u1ea5n th\u01b0\u01a1ng ph\u1ee9c t\u1ea1p, vi\u1ec7c qu\u1ea3n l\u00fd ban \u0111\u1ea7u gi\u00fap ti\u1ebfp c\u1eadn v\u00e0 \u0111\u01b0a ra h\u01b0\u1edbng x\u1eed tr\u00ed th\u00edch h\u1ee3p.\" \/>\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=\"Ph\u01b0\u01a1ng ph\u00e1p qu\u1ea3n l\u00fd ban \u0111\u1ea7u b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng - 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