{"id":24233,"date":"2023-04-18T19:09:41","date_gmt":"2023-04-18T12:09:41","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24233"},"modified":"2023-04-19T11:22:34","modified_gmt":"2023-04-19T04:22:34","slug":"benh-sinh-va-chan-doan-tieu-chay-cap-o-tre-em","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/benh-sinh-va-chan-doan-tieu-chay-cap-o-tre-em\/","title":{"rendered":"B\u1ec7nh sinh v\u00e0 ch\u1ea9n \u0111o\u00e1n ti\u00eau ch\u1ea3y c\u1ea5p \u1edf tr\u1ebb em"},"content":{"rendered":"<p><strong>Ti\u00eau ch\u1ea3y c\u1ea5p l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y b\u1ec7nh t\u1eadt v\u00e0 t\u1eed vong cho tr\u1ebb em c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n. \u01af\u1edbc t\u00ednh h\u00e0ng n\u0103m c\u00f3 t\u1edbi 1,3 t\u1ef7 l\u01b0\u1ee3t tr\u1ebb em d\u01b0\u1edbi 5 tu\u1ed5i m\u1eafc ti\u00eau ch\u1ea3y v\u00e0 4 tri\u1ec7u tr\u1ebb ch\u1ebft v\u00ec b\u1ec7nh n\u00e0y. Tr\u00ean to\u00e0n th\u1ebf gi\u1edbi, h\u00e0ng n\u0103m m\u1ed7i tr\u1ebb m\u1eafc 3,3 l\u01b0\u1ee3t ti\u00eau ch\u1ea3y. C\u00f3 kho\u1ea3ng 80% tr\u01b0\u1eddng h\u1ee3p t\u1eed vong do ti\u00eau ch\u1ea3y x\u1ea3y ra \u1edf nh\u00f3m tr\u1ebb d\u01b0\u1edbi 2 tu\u1ed5i, \u0111\u1ec9nh cao nh\u1ea5t l\u00e0 6 &#8211; 24 th\u00e1ng tu\u1ed5i. Nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eed vong c\u1ee7a ti\u00eau ch\u1ea3y c\u1ea5p t\u00ednh l\u00e0 do c\u01a1 th\u1ec3 b\u1ecb m\u1ea5t n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i.<\/strong><\/p>\n<p>Ti\u00eau ch\u1ea3y\u00a0 l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y suy dinh d\u01b0\u1ee1ng. L\u00fd do ch\u00ednh c\u1ee7a t\u00ecnh tr\u1ea1ng n\u00e0y l\u00e0 b\u1ec7nh nhi \u0103n \u00edt \u0111i trong khi b\u1ecb ti\u00eau ch\u1ea3y v\u00e0 kh\u1ea3 n\u0103ng h\u1ea5p th\u1ee5 c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng b\u1ecb gi\u1ea3m, trong khi \u0111\u00f3 nhu c\u1ea7u dinh d\u01b0\u1ee1ng l\u1ea1i t\u0103ng do nhi\u1ec5m tr\u00f9ng. M\u1ed7i \u0111\u1ee3t ti\u00eau ch\u1ea3y l\u1ea1i g\u00f3p ph\u1ea7n g\u00e2y suy dinh d\u01b0\u1ee1ng.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-24235 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/baby-cute-wallpaper-3840x2160_54-300x169.jpg\" alt=\"minh-hoa-tieu-chay-cap\" width=\"300\" height=\"169\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/baby-cute-wallpaper-3840x2160_54-300x169.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/baby-cute-wallpaper-3840x2160_54-1024x576.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/baby-cute-wallpaper-3840x2160_54-768x432.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/baby-cute-wallpaper-3840x2160_54-1536x864.jpg 1536w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/baby-cute-wallpaper-3840x2160_54-2048x1152.jpg 2048w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2><strong>1. \u0110\u1ecbnh ngh\u0129a ti\u00eau ch\u1ea3y c\u1ea5p v\u00e0 nguy\u00ean nh\u00e2n:<\/strong><\/h2>\n<ul>\n<li>\u0110\u1ecbnh ngh\u0129a: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/nhi\/tieu-chay-cap-o-tre-nguyen-nhan-chan-doan\/\">Ti\u00eau ch\u1ea3y\u00a0 c\u1ea5p<\/a> l\u00e0 t\u00ecnh tr\u1ea1ng ti\u00eau ph\u00e2n l\u1ecfng ho\u1eb7c t\u00f3e n\u01b0\u1edbc \u2265 3 l\u1ea7n trong 24 gi\u1edd hay 10g\/kg\/ng\u00e0y \u0111\u1ed1i v\u1edbi nh\u0169 nhi v\u00e0 tr\u1ebb nh\u1ecf; tr\u00ean 200g\/ng\u00e0y \u0111\u1ed1i v\u1edbi tr\u1ebb l\u1edbn.<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a: h\u1ea7u h\u1ebft l\u00e0 do si\u00eau vi.<\/li>\n<li>Si\u00eau vi:<em> Norovirus, Calicivirus,<\/em> <em>Rotavirus, Enterovirus,.<\/em><\/li>\n<li>Vi khu\u1ea9n:<em> Salmonella non typhi, Campylobacter jejuni, Escherichia coli (STEC, EIEC), Yersenia, Shigella, t\u1ea3.<\/em><\/li>\n<li>K\u00fd sinh tr\u00f9ng: <em>Entamoeba histolytica, Giardia lambia.<\/em><\/li>\n<li>Nhi\u1ec5m tr\u00f9ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a: nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p, nhi\u1ec5m tr\u00f9ng huy\u1ebft, nhi\u1ec5m tr\u00f9ng ti\u1ec3u\u2026<\/li>\n<li>Kh\u00f4ng nhi\u1ec5m tr\u00f9ng: do thu\u1ed1c kh\u00e1ng sinh, ng\u1ed9 \u0111\u1ed9c th\u1ee9c \u0103n, d\u1ecb \u1ee9ng th\u1ee9c \u0103n, h\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu, h\u00f3a ch\u1ea5t (h\u00f3a tr\u1ecb, x\u1ea1 tr\u1ecb).<\/li>\n<li>B\u1ec7nh ngo\u1ea1i khoa: l\u1ed3ng ru\u1ed9t, vi\u00eam ru\u1ed9t th\u1eeba.<\/li>\n<\/ul>\n<h2><strong>2. Sinh l\u00fd b\u1ec7nh:<\/strong><\/h2>\n<h3><strong>2.1 <em>Nh\u1eafc l\u1ea1i sinh l\u00fd ru\u1ed9t<\/em>:<\/strong><\/h3>\n<p>&#8211; B\u00ecnh th\u01b0\u1eddng n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i \u0111\u01b0\u1ee3c h\u1ea5p thu \u1edf nhung mao v\u00e0 \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft \u1edf c\u00e1c h\u1ebdm tuy\u1ebfn c\u1ee7a li\u00ean b\u00e0o ru\u1ed9t, \u0111i\u1ec1u \u0111\u00f3 t\u1ea1o ra lu\u1ed3ng trao \u0111\u1ed5i hai chi\u1ec1u c\u1ee7a n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i gi\u1eefa l\u00f2ng ru\u1ed9t v\u00e0 m\u00e1u. B\u1ea5t k\u1ef3 s\u1ef1 thay \u0111\u1ed5i n\u00e0o c\u1ee7a lu\u1ed3ng trao \u0111\u1ed5i n\u00e0y \u0111\u1ec1u g\u00e2y ra gi\u1ea3m h\u1ea5p thu ho\u1eb7c t\u0103ng b\u00e0i ti\u1ebft l\u00e0m t\u0103ng kh\u1ed1i l\u01b0\u1ee3ng d\u1ecbch xu\u1ed1ng ru\u1ed9t gi\u00e0. N\u1ebfu l\u01b0\u1ee3ng d\u1ecbch n\u00e0y v\u01b0\u1ee3t qu\u00e1 kh\u1ea3 n\u0103ng h\u1ea5p thu c\u1ee7a ru\u1ed9t gi\u00e0 th\u00ec ti\u00eau ch\u1ea3y s\u1ebd x\u1ea3y ra.<\/p>\n<p>&#8211; Khi ti\u00eau ch\u1ea3y x\u1ea3y ra, s\u1ef1 h\u1ea5p thu mu\u1ed1i natri b\u1ecb c\u1ea3n tr\u1edf. Nhi\u1ec1u c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u cho th\u1ea5y r\u00f5 r\u00e0ng r\u1eb1ng s\u1ef1 h\u1ea5p thu natri n\u1ebfu c\u00f3 hi\u1ec7n di\u1ec7n c\u1ee7a glucose (ph\u00e2n h\u1ee7y sucrose ho\u1eb7c tinh b\u1ed9t n\u1ea5u ch\u00edn) s\u1ebd t\u0103ng g\u1ea5p 3 l\u1ea7n. D\u1ef1a tr\u00ean \u0111\u1eb7c \u0111i\u1ec3m n\u00e0y m\u00e0 c\u00e1c lo\u1ea1i d\u1ecbch b\u00f9 trong ti\u00eau ch\u1ea3y c\u1ea7n ph\u1ea3i c\u00f3 hai ch\u1ea5t mu\u1ed1i natri v\u00e0 \u0111\u01b0\u1eddng glucose. C\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i quan tr\u1ecdng kh\u00e1c nh\u01b0 bicarbonate, citrate v\u00e0 kali \u0111\u01b0\u1ee3c h\u1ea5p thu \u0111\u1ed9c l\u1eadp v\u1edbi glucose trong ti\u00eau ch\u1ea3y. H\u1ea5p thu bicarbonate hay citrate l\u00e0m gia t\u0103ng h\u1ea5p thu natri v\u00e0 Clo.<\/p>\n<h3><strong>2.2.\u00a0<em>C\u01a1 ch\u1ebf ti\u00eau ch\u1ea3y\u00a0<\/em><\/strong><\/h3>\n<p><strong>&#8211; Ti\u00eau ch\u1ea3y xu\u1ea5t ti\u1ebft:<\/strong> Khi b\u00e0i ti\u1ebft d\u1ecbch (mu\u1ed1i v\u00e0 n\u01b0\u1edbc) v\u00e0o l\u00f2ng ru\u1ed9t kh\u00f4ng b\u00ecnh th\u01b0\u1eddng s\u1ebd g\u00e2y ra ti\u00eau ch\u1ea3y xu\u1ea5t ti\u1ebft. Vi\u1ec7c n\u00e0y x\u1ea3y ra khi h\u1ea5p thu Na+ (\u1edf nhung mao ru\u1ed9t b\u1ecb r\u1ed1i lo\u1ea1n trong khi xu\u1ea5t ti\u1ebft Cl- \u1edf v\u00f9ng h\u1ebdm tuy\u1ebfn v\u1eabn ti\u1ebfp t\u1ee5c hay t\u0103ng l\u00ean. S\u1ef1 t\u0103ng b\u00e0i ti\u1ebft n\u00e0y g\u00e2y n\u00ean m\u1ea5t n\u01b0\u1edbc v\u00e0 mu\u1ed1i c\u1ee7a c\u01a1 th\u1ec3 qua ph\u00e2n l\u1ecfng.<\/p>\n<p><strong>&#8211; Ti\u00eau ch\u1ea3y th\u1ea9m th\u1ea5u:<\/strong> Ni\u00eam m\u1ea1c ru\u1ed9t non \u0111\u01b0\u1ee3c l\u00f3t b\u1edfi l\u1edbp li\u00ean b\u00e0o b\u1ecb &#8220;r\u00f2 r\u1ec9&#8221;, n\u01b0\u1edbc v\u00e0 mu\u1ed1i v\u1eadn chuy\u1ec3n qua l\u1ea1i r\u1ea5t nhanh \u0111\u1ec3 duy tr\u00ec s\u1ef1 c\u00e2n b\u1eb1ng th\u1ea9m th\u1ea5u gi\u1eefa l\u00f2ng ru\u1ed9t v\u00e0 d\u1ecbch ngo\u1ea1i b\u00e0o. V\u00ec v\u1eady ti\u00eau ch\u1ea3y th\u1ea9m th\u1ea5u x\u1ea3y ra khi \u0103n m\u1ed9t ch\u1ea5t c\u00f3 \u0111\u1ed9 h\u1ea5p thu k\u00e9m v\u00e0 \u0111\u1ed9 th\u1ea9m th\u1ea5u cao.<\/p>\n<h3><strong>2.3.\u00a0<em>H\u1eadu qu\u1ea3 ti\u00eau ch\u1ea3y\u00a0<\/em><\/strong><\/h3>\n<p>Ph\u00e2n khi b\u1ecb ti\u00eau ch\u1ea3y ch\u1ee9a m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn Na+, Cl-, K+ v\u00e0 bicarbonate. M\u1ecdi h\u1eadu qu\u1ea3 c\u1ea5p t\u00ednh do ti\u00eau ch\u1ea3y ph\u00e2n n\u01b0\u1edbc l\u00e0 do m\u1ea5t n\u01b0\u1edbc, \u0111i\u1ec7n gi\u1ea3i, c\u00e0ng t\u0103ng th\u00eam n\u1ebfu c\u00f3 n\u00f4n v\u00e0 s\u1ed1t. T\u1ea5t c\u1ea3 s\u1ef1 m\u1ea5t m\u00e1t n\u00e0y g\u00e2y m\u1ea5t n\u01b0\u1edbc (do m\u1ea5t n\u01b0\u1edbc v\u00e0 NaCl), g\u00e2y toan chuy\u1ec3n ho\u00e1 (do m\u1ea5t bicarbonate) v\u00e0 thi\u1ebfu Kali. Tuy nhi\u00ean \u0111i\u1ec1u nguy hi\u1ec3m nh\u1ea5t v\u1eabn l\u00e0 m\u1ea5t n\u01b0\u1edbc v\u00ec g\u00e2y gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n, tru\u1ef5 tim m\u1ea1ch, t\u1eed vong n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb ngay.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>3.Ch\u1ea9n \u0111o\u00e1n ti\u00eau ch\u1ea3y c\u1ea5p<\/strong><\/h2>\n<p><strong>3.1 C\u00f4ng vi\u1ec7c ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><strong>H\u1ecfi b\u1ec7nh<\/strong><\/li>\n<\/ul>\n<\/li>\n<li>Ti\u00eau ch\u1ea3y: th\u1eddi gian ti\u00eau ch\u1ea3y, s\u1ed1 l\u01b0\u1ee3ng, s\u1ed1 l\u1ea7n ti\u00eau ch\u1ea3y trong ng\u00e0y, t\u00ednh ch\u1ea5t ph\u00e2n: ph\u00e2n c\u00f3 nh\u1ea7y, m\u00e1u trong ph\u00e2n, ph\u00e2n \u0111\u1ee5c nh\u01b0 n\u01b0\u1edbc vo g\u1ea1o.<\/li>\n<li>Ch\u1ebf \u0111\u1ed9 \u0103n tr\u01b0\u1edbc v\u00e0 trong khi b\u1ec7nh: s\u1eefa, n\u01b0\u1edbc tr\u00e1i c\u00e2y, th\u1ee9c \u0103n d\u1eb7m\u2026<\/li>\n<li>Tri\u1ec7u ch\u1ee9ng kh\u00e1c k\u00e8m theo: \u00f3i, \u0111au b\u1ee5ng, s\u1ed1t, ho, s\u1ed5 m\u0169i, ch\u1ea3y m\u1ee7 tai, ti\u1ec3u \u00edt, co gi\u1eadt.<\/li>\n<li>Thu\u1ed1c \u0111\u00e3 d\u00f9ng: kh\u00e1ng sinh (Erythromycin, Amoxicillin clavulanate), thu\u1ed1c c\u1ea7m ti\u00eau ch\u1ea3y, nhu\u1eadn tr\u01b0\u1eddng.<\/li>\n<li>Vaccin \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng: Rotavirus, s\u1edfi.<\/li>\n<li>\u1ede v\u00f9ng d\u1ecbch t\u1ec5 t\u1ea3; nhi\u1ec1u ng\u01b0\u1eddi c\u00f9ng b\u1ecb ti\u00eau ch\u1ea3y (ng\u1ed9 \u0111\u1ed9c th\u1ee9c \u0103n, d\u1ecbch b\u1ec7nh).<\/li>\n<li>C\u00e1c y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng n\u1eb7ng: tr\u1ebb &lt; 3 th\u00e1ng tu\u1ed5i, suy dinh d\u01b0\u1ee1ng, b\u00e9o ph\u00ec, s\u1edfi, b\u1ec7nh n\u1ec1n: b\u1ec7nh tim, ph\u1ed5i, th\u1eadn, suy gi\u1ea3m mi\u1ec5n d\u1ecbch, h\u1ed9i ch\u1ee9ng ru\u1ed9t ng\u1eafn.\n<ul>\n<li><strong>Kh\u00e1m l\u00e2m s\u00e0ng<\/strong><\/li>\n<\/ul>\n<\/li>\n<li>D\u1ea5u hi\u1ec7u nguy hi\u1ec3m to\u00e0n th\u00e2n: suy h\u00f4 h\u1ea5p, s\u1ed1c, co gi\u1eadt, r\u1ed1i lo\u1ea1n tri gi\u00e1c.<\/li>\n<li>D\u1ea5u m\u1ea5t n\u01b0\u1edbc:<\/li>\n<\/ul>\n<table>\n<tbody>\n<tr>\n<td width=\"199\">&nbsp;<\/p>\n<p>\u0110\u00e1nh gi\u00e1<\/td>\n<td width=\"99\">M\u1ee9c \u0111\u1ed9<\/td>\n<td width=\"142\">Nh\u1eb9<\/td>\n<td width=\"175\">Trung b\u00ecnh<\/td>\n<td width=\"193\">N\u1eb7ng<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"199\">%m\u1ea5t n\u01b0\u1edbc<\/td>\n<td width=\"99\">Tr\u1ebb nh\u1ecf<\/td>\n<td width=\"142\">5%<\/td>\n<td width=\"175\">10%<\/td>\n<td width=\"193\">15%<\/td>\n<\/tr>\n<tr>\n<td width=\"99\">Tr\u1ebb l\u1edbn<\/td>\n<td width=\"142\">3%<\/td>\n<td width=\"175\">6%<\/td>\n<td width=\"193\">9%<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"298\">Kh\u00e1t<\/td>\n<td width=\"142\">+<\/td>\n<td width=\"175\">++<\/td>\n<td width=\"193\">\u00b1<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"298\">Kh\u00f4ng c\u00f3 n\u01b0\u1edbc m\u1eaft<\/td>\n<td width=\"142\">\u00b1<\/td>\n<td width=\"175\">+<\/td>\n<td width=\"193\"><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"298\">M\u00f4i l\u01b0\u1ee1i (ni\u00eam m\u1ea1c)<\/td>\n<td width=\"142\">H\u01a1i kh\u00f4<\/td>\n<td width=\"175\">Kh\u00f4<\/td>\n<td width=\"193\">N\u1ee9t n\u1ebb<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"298\">Th\u00f3p l\u00f5m<\/td>\n<td width=\"142\">&#8211;<\/td>\n<td width=\"175\">+<\/td>\n<td width=\"193\">++<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"298\">M\u1eaft tr\u0169ng<\/td>\n<td width=\"142\">&#8211;<\/td>\n<td width=\"175\">+<\/td>\n<td width=\"193\">++<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"298\">L\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u<\/td>\n<td width=\"142\">B\u00ecnh th\u01b0\u1eddng<\/td>\n<td width=\"175\">Thi\u1ec3u ni\u1ec7u<\/td>\n<td width=\"193\">Thi\u1ec3u-v\u00f4 ni\u1ec7u<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"298\">M\u1ea1ch<\/td>\n<td width=\"142\">B\u00ecnh th\u01b0\u1eddng<\/td>\n<td width=\"175\">Nhanh v\u1eeba, nh\u1eb9<\/td>\n<td width=\"193\">R\u1ea5t nhanh, kh\u00f3 b\u1eaft<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"298\">Huy\u1ebft \u00e1p<\/td>\n<td width=\"142\">B\u00ecnh th\u01b0\u1eddng<\/td>\n<td width=\"175\">H\u1ea1 t\u01b0 th\u1ebf<\/td>\n<td width=\"193\">H\u1ea1<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"298\">T\u01b0\u1edbi m\u00e1u<\/td>\n<td width=\"142\">B\u00ecnh th\u01b0\u1eddng<\/td>\n<td width=\"175\">CRT \u2248 2 gi\u00e2y<\/td>\n<td width=\"193\">CRT &gt; 3 gi\u00e2y<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"298\">Tri gi\u00e1c<\/td>\n<td width=\"142\">B\u00ecnh th\u01b0\u1eddng<\/td>\n<td width=\"175\">K\u00edch th\u00edch<\/td>\n<td width=\"193\">L\u01a1 m\u01a1, h\u00f4n m\u00ea<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"298\">T\u1ec9 tr\u1ecdng n\u01b0\u1edbc ti\u1ec3u<\/td>\n<td width=\"142\">\u2264 1.020<\/td>\n<td width=\"175\">&gt; 1.030<\/td>\n<td width=\"193\">&gt; 1.030<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"298\">BUN<\/td>\n<td width=\"142\">B\u00ecnh th\u01b0\u1eddng<\/td>\n<td width=\"175\">T\u0103ng v\u1eeba<\/td>\n<td width=\"193\">T\u0103ng nhi\u1ec1u<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"298\">pH<\/td>\n<td width=\"142\">7.4 \u2013 7.3<\/td>\n<td width=\"175\">7.3-7.1<\/td>\n<td width=\"193\">&lt; 7.1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<ul>\n<li>Nguy c\u01a1 th\u1ea5t b\u1ea1i \u0111\u01b0\u1eddng u\u1ed1ng:<\/li>\n<li>Kh\u00f4ng u\u1ed1ng \u0111\u01b0\u1ee3c, b\u1ecf b\u00fa.<\/li>\n<li>U\u1ed1ng Oresol \u00edt.<\/li>\n<li>\u00d3i th\u01b0\u1eddng xuy\u00ean v\u00e0 n\u1eb7ng.<\/li>\n<li>T\u1ed1c \u0111\u1ed9 th\u1ea3i ph\u00e2n cao: &gt; 10ml\/kg\/gi\u1edd hay ti\u00eau \u2265 2 l\u1ea7n\/gi\u1edd.<\/li>\n<li>Ch\u01b0\u1edbng b\u1ee5ng do li\u1ec7t ru\u1ed9t.<\/li>\n<li>Ti\u00eau l\u1ecfng nhi\u1ec1u sau u\u1ed1ng Oresol (b\u1ea5t dung n\u1ea1p glucose\/oresol).<\/li>\n<li>D\u1ea5u hi\u1ec7u bi\u1ebfn ch\u1ee9ng:<\/li>\n<li>S\u1ed1c, suy h\u00f4 h\u1ea5p.<\/li>\n<li>R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i: co gi\u1eadt, li b\u00ec, h\u00f4n m\u00ea, b\u1ee5ng ch\u01b0\u1edbng, li\u1ec7t ru\u1ed9t, gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c c\u01a1.<\/li>\n<li>R\u1ed1i lo\u1ea1n ki\u1ec1m toan: th\u1edf nhanh s\u00e2u.<\/li>\n<li>H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft: v\u00e3 m\u1ed3 h\u00f4i, da nh\u1ee3t, nh\u1ecbp tim nhanh, run gi\u1eadt chi, r\u1ed1i lo\u1ea1n tri gi\u00e1c, co gi\u1eadt, h\u00f4n m\u00ea.<\/li>\n<li>Suy th\u1eadn c\u1ea5p: ti\u1ec3u \u00edt, ph\u00f9, cao huy\u1ebft \u00e1p, l\u1eeb \u0111\u1eeb.<\/li>\n<li>T\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng: suy dinh d\u01b0\u1ee1ng, b\u00e9o ph\u00ec.<\/li>\n<li>D\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng \u1edf c\u01a1 quan kh\u00e1c: h\u00f4 h\u1ea5p, tim m\u1ea1ch, th\u1ea7n kinh, ti\u1ebft ni\u1ec7u.<\/li>\n<\/ul>\n<p><strong>3.2 C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n<ul>\n<li>T\u1ed5ng ph\u00e2n t\u00edch t\u1ebf b\u00e0o m\u00e1u b\u1eb1ng laser, CRP nghi ng\u1edd b\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec5m khu\u1ea9n.<\/li>\n<li>Soi c\u1ea5y ph\u00e2n: khi ti\u00eau ch\u1ea3y ph\u00e2n m\u00e1u, ti\u00eau ch\u1ea3y ph\u00e2n n\u01b0\u1edbc n\u1eb7ng nghi ng\u1edd t\u1ea3, ti\u00eau ch\u1ea3y n\u1eb7ng v\u00e0 k\u00e9o d\u00e0i, ti\u00eau ch\u1ea3y tr\u00ean tr\u1ebb suy gi\u1ea3m mi\u1ec5n d\u1ecbch.<\/li>\n<li>Soi t\u01b0\u01a1i t\u00ecm k\u00fd sinh tr\u00f9ng trong ph\u00e2n khi nghi ng\u1edd nhi\u1ec5m k\u00fd sinh tr\u00f9ng \u0111\u01b0\u1eddng ru\u1ed9t.<\/li>\n<li>Si\u00eau \u00e2m b\u1ee5ng: ch\u1ea9n \u0111o\u00e1n b\u1ee5ng ngo\u1ea1i khoa (ti\u00eau m\u00e1u, \u0111au b\u1ee5ng, ch\u01b0\u1edbng b\u1ee5ng, \u00f3i nhi\u1ec1u \u2026).<\/li>\n<li>X quang b\u1ee5ng kh\u00f4ng s\u1eeda so\u1ea1n t\u00ecm d\u1ea5u t\u1eafc hay b\u00e1n t\u1eafc ru\u1ed9t (b\u1ee5ng ch\u01b0\u1edbng).<\/li>\n<li>X quang ph\u1ed5i khi c\u00f3 nghi ng\u1edd vi\u00eam ph\u1ed5i.<\/li>\n<li>X\u00e9t nghi\u1ec7m t\u00ecm bi\u1ebfn ch\u1ee9ng:<\/li>\n<li>Kh\u00ed m\u00e1u, \u0111\u01b0\u1eddng huy\u1ebft<\/li>\n<li>SGOT, SGPT, Urea, creatinin m\u00e1u, \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3.<\/li>\n<li>ECG khi Kali m\u00e1u \u2264 2,5 mEq\/L ho\u1eb7c \u2265 6,5 mEq\/L.<\/li>\n<\/ul>\n<p><strong>3.4 Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/strong><\/p>\n<ul>\n<li>C\u1ea7n ph\u00e2n bi\u1ec7t b\u1ec7nh ti\u00eau ch\u1ea3y hay ti\u00eau ch\u1ea3y tri\u1ec7u ch\u1ee9ng.<\/li>\n<li>M\u1ee9c \u0111\u1ed9 m\u1ea5t n\u01b0\u1edbc (nh\u01b0 ph\u00e2n \u0111\u1ed9 \u1edf tr\u00ean).<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n bi\u1ebfn ch\u1ee9ng.<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n.<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh k\u00e8m theo: dinh d\u01b0\u1ee1ng, b\u1ec7nh n\u1ec1n.<\/li>\n<\/ul>\n<p><strong>3.5 <\/strong><strong>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t:<\/strong> c\u1ea7n ch\u00fa \u00fd c\u00e1c b\u1ec7nh: l\u1ed3ng ru\u1ed9t, vi\u00eam ru\u1ed9t th\u1eeba, vi\u00eam n\u00e3o c\u1ea5p, b\u1ec7nh tay ch\u00e2n mi\u1ec7ng, nhi\u1ec5m tr\u00f9ng huy\u1ebft v\u00e0 d\u1ecbch t\u1ea3.<\/p>\n<p><strong>\u00a0<u>T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/u><\/strong><\/p>\n<ol>\n<li>QUY\u1ebeT \u0110\u1ecaNH s\u1ed1 4121\/Q\u0110 \u2013 BYT. V\u1ec1 vi\u1ec7c ban h\u00e0nh \u201c T\u00e0i li\u1ec7u h\u01b0\u1edbng d\u1eabn x\u1eed tr\u00ed ti\u00eau ch\u1ea3y \u1edf tr\u1ebb em\u201d k\u00fd 28\/10\/2009 c\u1ee7a B\u1ed8 TR\u01af\u1edeNG B\u1ed8 Y T\u1ebe<\/li>\n<li>BS Ho\u00e0ng L\u00ea Ph\u00fac. \u201c <em>Ti\u00eau ch\u1ea3y c\u1ea5p<\/em>\u201d Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb B\u1ec7nh vi\u1ec7n nhi \u0111\u1ed3ng 1, (2013) tr 788 \u2013 790. V\u00e0 \u201c <em>L\u1ef5 tr\u1ef1c tr\u00f9ng <\/em>\u201d Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb B\u1ec7nh vi\u1ec7n nhi \u0111\u1ed3ng 1, (2013) tr 805 \u2013 807.<\/li>\n<li>BS Ph\u1ea1m \u0110\u1ee9c L\u1ec5. \u201c <em>Ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i\u201d <\/em>Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb B\u1ec7nh vi\u1ec7n nhi \u0111\u1ed3ng 1, (2013) tr 793 \u2013 795.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ti\u00eau ch\u1ea3y c\u1ea5p l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y b\u1ec7nh t\u1eadt v\u00e0 t\u1eed vong cho tr\u1ebb em c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n. \u01af\u1edbc t\u00ednh h\u00e0ng n\u0103m c\u00f3 t\u1edbi 1,3 t\u1ef7 l\u01b0\u1ee3t tr\u1ebb em d\u01b0\u1edbi 5 tu\u1ed5i m\u1eafc ti\u00eau ch\u1ea3y v\u00e0 4 tri\u1ec7u tr\u1ebb ch\u1ebft v\u00ec b\u1ec7nh n\u00e0y. Tr\u00ean to\u00e0n th\u1ebf gi\u1edbi, h\u00e0ng n\u0103m m\u1ed7i tr\u1ebb [&hellip;]<\/p>\n","protected":false},"author":16,"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>B\u1ec7nh sinh v\u00e0 ch\u1ea9n \u0111o\u00e1n ti\u00eau ch\u1ea3y c\u1ea5p \u1edf tr\u1ebb em - Vinmec<\/title>\n<meta name=\"description\" content=\"Ti\u00eau ch\u1ea3y c\u1ea5p \u1edf tr\u1ebb em l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y b\u1ec7nh t\u1eadt v\u00e0 t\u1eed vong cho tr\u1ebb em c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n.\" \/>\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=\"B\u1ec7nh sinh v\u00e0 ch\u1ea9n \u0111o\u00e1n ti\u00eau ch\u1ea3y c\u1ea5p \u1edf tr\u1ebb em - 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