{"id":24660,"date":"2023-04-19T21:41:19","date_gmt":"2023-04-19T14:41:19","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24660"},"modified":"2023-04-20T17:22:26","modified_gmt":"2023-04-20T10:22:26","slug":"phan-tang-nguy-co-hoi-chung-vanh-cap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/phan-tang-nguy-co-hoi-chung-vanh-cap\/","title":{"rendered":"Ph\u00e2n t\u1ea7ng nguy c\u01a1 h\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p kh\u00f4ng ST ch\u00eanh"},"content":{"rendered":"

Ph\u00e2n t\u1ea7ng nguy c\u01a1 trong h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p<\/a> kh\u00f4ng c\u00f3 ST kh\u1ea3 n\u0103ng l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00ec n\u00f3 gi\u00fap x\u00e1c \u0111\u1ecbnh \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh v\u00e0 quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/strong><\/p>\n

1.T\u1ed5ng quan<\/h2>\n

Vi\u1ec7c ph\u00e2n t\u1ea7ng nguy c\u01a1 h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p\u00a0 kh\u00f4ng c\u00f3 ST ch\u00eanh d\u1ef1a tr\u00ean nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m:<\/p>\n

    \n
  • T\u1ea7n su\u1ea5t v\u00e0 \u0111\u1ed9 d\u00e0i c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au ng\u1ef1c, kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi.<\/li>\n
  • K\u1ebft qu\u1ea3 kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u1ec7m, bao g\u1ed3m c\u1ea3 ECG v\u00e0 si\u00eau \u00e2m tim.<\/li>\n
  • Ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd v\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0 h\u00fat thu\u1ed1c, ti\u1ec3u \u0111\u01b0\u1eddng, b\u1ec7nh cao huy\u1ebft \u00e1p, b\u00e9o ph\u00ec, gia \u0111\u00ecnh c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh tim m\u1ea1ch,…<\/li>\n<\/ul>\n

    D\u1ef1a tr\u00ean ph\u00e2n t\u00edch c\u00e1c y\u1ebfu t\u1ed1 n\u00e0y, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 quy\u1ebft \u0111\u1ecbnh li\u1ec7u ph\u1ea3i \u0111\u01b0a b\u1ec7nh nh\u00e2n v\u00e0o \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u, \u0111i\u1ec1u tr\u1ecb ch\u1eadm ti\u1ebfn tri\u1ec3n ho\u1eb7c theo d\u00f5i t\u1ea1i nh\u00e0.<\/p>\n

    N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh c\u00f3 nguy c\u01a1 cao, \u0111i\u1ec1u tr\u1ecb s\u1edbm v\u00e0 nhanh ch\u00f3ng l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u1ef7 l\u1ec7 t\u1eed vong v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh. \u0110i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 bao g\u1ed3m thu\u1ed1c gi\u1ea3m \u0111au, thu\u1ed1c l\u00e0m gi\u00e3n m\u1ea1ch, thu\u1ed1c kh\u00e1ng \u0111\u00f4ng, thu\u1ed1c gi\u1ea3m cholesterol v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p nong m\u1ea1ch v\u00e0nh, ph\u1ea9u thu\u1eadt b\u1eafc c\u1ea7u m\u1ea1ch v\u00e0nh.V\u00ec v\u1eady, ph\u00e2n t\u1ea7ng nguy c\u01a1 trong h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p\u00a0 kh\u00f4ng c\u00f3 ST ch\u00eanh l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u00e0 quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n, gi\u00fap c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m thi\u1ec3u t\u1ef7 l\u1ec7 t\u1eed vong v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh.<\/p>\n

     <\/p>\n

    Ph\u00e2n t\u1ea7ng nguy c\u01a1 trong h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p kh\u00f4ng c\u00f3 ST ch\u00eanh\u00a0 l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00ec gi\u00fap \u00edch cho quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

    2. C\u00e1c y\u1ebfu t\u1ed1 \u0111\u1ec3 ph\u00e2n t\u1ea7ng nguy c\u01a1<\/h2>\n

    C\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng:<\/p>\n

      \n
    • Tu\u1ed5i, ti\u1ec1n s\u1eed b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, c\u00f3 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/li>\n
    • \u0110au ng\u1ef1c k\u00e9o d\u00e0i, \u0111au ng\u1ef1c t\u00e1i ph\u00e1t ho\u1eb7c \u0111au ng\u1ef1c k\u00e8m kh\u00f3 th\u1edf.<\/li>\n
    • C\u00f3 hay kh\u00f4ng suy tim, t\u1ee5t huy\u1ebft \u00e1p.<\/li>\n<\/ul>\n

      \u0110i\u1ec7n t\u00e2m \u0111\u1ed3:<\/p>\n

        \n
      • C\u00f3 thay \u0111\u1ed5i \u0111o\u1ea1n ST<\/li>\n
      • C\u00f3 thay \u0111\u1ed5i s\u00f3ng T.<\/li>\n<\/ul>\n

        M\u1ed9t s\u1ed1 c\u00e1c ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc c\u01a1 tim: T\u0103ng n\u1ed3ng \u0111\u1ed9 Troponin I ho\u1eb7c T.<\/p>\n

        3. Thang \u0111i\u1ec3m GRACE ph\u00e2n t\u1ea7ng nguy c\u01a1<\/h2>\n

        C\u00f3 nhi\u1ec1u thang \u0111i\u1ec3m \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t nh\u01b0 TIMI, Braunwald trong ph\u00e2n t\u1ea7ng nguy c\u01a1. Tuy nhi\u00ean, thang \u0111i\u1ec3m GRACE \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i tr\u00ean l\u00e2m s\u00e0ng. Thang \u0111i\u1ec3m n\u00e0y d\u1ef1a tr\u00ean nghi\u00ean c\u1ee9u Global Registry of Acute Coronary Events (GRACE), c\u00f3 gi\u00e1 tr\u1ecb ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh l\u00e2u d\u00e0i v\u00e0 c\u00f3 gi\u00e1 tr\u1ecb th\u1ef1c ti\u1ec5n cao.<\/p>\n

        Thang \u0111i\u1ec3m GRACE l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 ph\u00e2n t\u00edch nguy c\u01a1 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 t\u1eed vong c\u1ee7a b\u1ec7nh nh\u00e2n sau khi h\u1ecd tr\u1ea3i qua c\u01a1n \u0111au tim c\u1ea5p t\u00ednh (ACS – Acute Coronary Syndrome). Thang \u0111i\u1ec3m n\u00e0y s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 c\u01a1 b\u1ea3n \u0111\u1ec3 ph\u00e2n t\u1ea7ng nguy c\u01a1, bao g\u1ed3m:<\/p>\n

         <\/p>\n

          \n
        • Tu\u1ed5i: \u0110i\u1ec3m s\u1ed1 \u0111\u01b0\u1ee3c g\u00e1n cho t\u1eebng nh\u00f3m tu\u1ed5i (d\u01b0\u1edbi 40, 40-49, 50-59, 60-69 v\u00e0 tr\u00ean 70 tu\u1ed5i).<\/li>\n<\/ul>\n

           <\/p>\n

            \n
          • Huy\u1ebft \u00e1p t\u00e2m thu: \u0110i\u1ec3m s\u1ed1 \u0111\u01b0\u1ee3c g\u00e1n cho t\u1eebng nh\u00f3m huy\u1ebft \u00e1p t\u00e2m thu (d\u01b0\u1edbi 100 mmHg, 100-119 mmHg, 120-139 mmHg v\u00e0 tr\u00ean 140 mmHg).<\/li>\n<\/ul>\n

             <\/p>\n

              \n
            • T\u1ea7n s\u1ed1 nh\u1ecbp tim: \u0110i\u1ec3m s\u1ed1 \u0111\u01b0\u1ee3c g\u00e1n cho t\u1eebng nh\u00f3m t\u1ea7n s\u1ed1 nh\u1ecbp tim (d\u01b0\u1edbi 50 l\u1ea7n\/ph\u00fat, 50-69 l\u1ea7n\/ph\u00fat, 70-89 l\u1ea7n\/ph\u00fat v\u00e0 tr\u00ean 90 l\u1ea7n\/ph\u00fat).<\/li>\n<\/ul>\n

               <\/p>\n

                \n
              • Creatinine huy\u1ebft thanh: \u0110i\u1ec3m s\u1ed1 \u0111\u01b0\u1ee3c g\u00e1n cho t\u1eebng nh\u00f3m creatinine huy\u1ebft thanh (d\u01b0\u1edbi 1.0 mg\/dl, 1.0-1.4 mg\/dl, 1.5-1.9 mg\/dl v\u00e0 tr\u00ean 2.0 mg\/dl).<\/li>\n<\/ul>\n

                 <\/p>\n

                  \n
                • Killip class: \u0110i\u1ec3m s\u1ed1 \u0111\u01b0\u1ee3c g\u00e1n cho t\u1eebng nh\u00f3m Killip class (I, II, III v\u00e0 IV).<\/li>\n<\/ul>\n

                   <\/p>\n

                    \n
                  • C\u01a1n \u0111au tim tr\u01b0\u1edbc \u0111\u00e2y: \u0110i\u1ec3m s\u1ed1 \u0111\u01b0\u1ee3c g\u00e1n cho b\u1ec7nh nh\u00e2n c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed c\u01a1n \u0111au tim tr\u01b0\u1edbc \u0111\u00e2y.<\/li>\n<\/ul>\n

                     <\/p>\n

                      \n
                    • ST-T tr\u00ean ECG: \u0110i\u1ec3m s\u1ed1 \u0111\u01b0\u1ee3c g\u00e1n cho b\u1ec7nh nh\u00e2n c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 ch\u1ea9n \u0111o\u00e1n ST-T tr\u00ean ECG.<\/li>\n<\/ul>\n

                       <\/p>\n

                        \n
                      • Cardiac arrest-ng\u1eebng tim: t\u1ea1i th\u1eddi \u0111i\u1ec3m nh\u1eadp vi\u1ec7n: \u0110i\u1ec3m s\u1ed1 \u0111\u01b0\u1ee3c g\u00e1n cho b\u1ec7nh nh\u00e2n c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 cardiac arrest t\u1ea1i th\u1eddi \u0111i\u1ec3m nh\u1eadp vi\u1ec7n.<\/li>\n<\/ul>\n

                         <\/p>\n

                        T\u1ed5ng \u0111i\u1ec3m s\u1ed1 c\u1ee7a thang \u0111i\u1ec3m GRACE ph\u00e2n t\u1ea7ng nguy c\u01a1 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 t\u1eed vong c\u1ee7a b\u1ec7nh nh\u00e2n sau c\u01a1n \u0111au tim c\u1ea5p t\u00ednh. \u0110i\u1ec3m s\u1ed1 c\u00e0ng cao th\u00ec nguy c\u01a1 t\u1eed vong c\u00e0ng cao. Thang \u0111i\u1ec3m GRACE ph\u00e2n t\u1ea7ng nguy c\u01a1 l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch gi\u00fap c\u00e1c b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh li\u1ec7u c\u00f3 c\u1ea7n \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u hay theo d\u00f5i t\u1ea1i nh\u00e0 v\u00e0 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho b\u1ec7nh nh\u00e2n.<\/p>\n

                        B\u1ea3ng 3 C\u00e1c th\u00f4ng s\u1ed1 thang \u0111i\u1ec3m GRCE \u0111\u1ec3 ph\u00e2n t\u1ea7ng nguy c\u01a1 b\u1ec7nh nh\u00e2n b\u1ecb h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p kh\u00f4ng c\u00f3 ST ch\u00eanh<\/p>\n\n\n\n\n\n\n\n\n\n\n\n
                        Th\u00f4ng s\u1ed1<\/strong><\/td>\n\u0110i\u1ec3m<\/strong><\/td>\n<\/tr>\n
                        Tu\u1ed5i cao<\/td>\n1,7 cho m\u1ed7i 10 tu\u1ed5i<\/td>\n<\/tr>\n
                        Ph\u00e2n \u0111\u1ed9 Killip<\/td>\n2,0 cho m\u1ed7i \u0111\u1ed9<\/td>\n<\/tr>\n
                        Huy\u1ebft \u00e1p t\u00e2m thu<\/td>\n1,4 cho m\u1ed7i 20 mmHg<\/td>\n<\/tr>\n
                        ST-thay \u0111\u1ed5i<\/td>\n2,4<\/td>\n<\/tr>\n
                        C\u00f3 ng\u1eebng tu\u1ea7n ho\u00e0n<\/td>\n4,3<\/td>\n<\/tr>\n
                        M\u1ee9c creatinine<\/td>\n1,2 cho m\u1ed7i 1 mg\/dL t\u0103ng th\u00eam<\/td>\n<\/tr>\n
                        Men tim t\u0103ng<\/td>\n1,6<\/td>\n<\/tr>\n
                        Nh\u1ecbp tim<\/td>\n1,3 cho m\u1ed7i 30 nh\u1ecbp\/ph\u00fat<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

                        <\/h1>\n

                        4. C\u00e1c nh\u00f3m nguy c\u01a1<\/h2>\n

                        4<\/em><\/strong>.1. <\/em><\/strong>Nh\u00f3m nguy c\u01a1 r\u1ea5t cao <\/em><\/strong>(Ngh\u0129a l\u00e0 t\u1ef7 l\u1ec7 t\u1eed vong v\u00e0 c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch r\u1ea5t cao n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi).<\/p>\n

                        Nh\u00f3m n\u00e0y c\u00f3 ch\u1ec9 \u0111\u1ecbnh v\u1ec1 chi\u1ebfn l\u01b0\u1ee3c can thi\u1ec7p c\u1ea5p c\u1ee9u trong v\u00f2ng 2 gi<\/em><\/strong>\u1edd<\/em><\/strong> t\u1eeb khi x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n k\u00e8m theo \u00edt nh\u1ea5t 1 trong c\u00e1c y\u1ebfu t\u1ed1 sau:<\/p>\n

                          \n
                        • R\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng ho\u1eb7c s\u1ed1c tim.<\/li>\n
                        • \u0110au ng\u1ef1c t\u00e1i ph\u00e1t ho\u1eb7c ti\u1ebfn tri\u1ec3n kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c.<\/li>\n
                        • R\u1ed1i lo\u1ea1n nh\u1ecbp \u0111e d\u1ecda t\u00ednh m\u1ea1ng ho\u1eb7c ng\u1eebng tim.<\/li>\n
                        • Bi\u1ebfn ch\u1ee9ng c\u01a1 h\u1ecdc c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim.<\/li>\n
                        • Suy tim c\u1ea5p.<\/li>\n
                        • Bi\u1ebfn \u0111\u1ed5i \u0111\u1ed9ng h\u1ecdc c\u1ee7a \u0111o\u1ea1n ST v\u00e0 s\u00f3ng T.<\/li>\n<\/ul>\n

                          4.2. Nh\u00f3m nguy c\u01a1 cao<\/h3>\n

                          N\u00ean c\u00f3 chi\u1ebfn l\u01b0\u1ee3c can thi\u1ec7p s\u1edbm trong v\u00f2ng 24 gi\u1edd khi c\u00f3 \u00edt nh\u1ea5t 1 trong c\u00e1c y\u1ebfu t\u1ed1:<\/p>\n

                          – Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh nh\u1ed3i m\u00e1u c\u01a1 tim kh\u00f4ng c\u00f3 ST ch\u00eanh d\u1ef1a tr\u00ean Troponin tim<\/p>\n

                          – Thay \u0111\u1ed5i \u0111\u1ed9ng h\u1ecdc c\u1ee7a \u0111o\u1ea1n ST ho\u1eb7c s\u00f3ng T (c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c im l\u1eb7ng)<\/p>\n

                          – \u0110i\u1ec3m GRACE > 140<\/p>\n

                          4.3. Nh\u00f3m nguy c\u01a1 v\u1eeba<\/h3>\n

                          N\u00ean c\u00f3 chi\u1ebfn l\u01b0\u1ee3c can thi\u1ec7p (c\u00f3 th\u1ec3 tr\u00ec ho\u00e3n) trong v\u00f2ng 72 gi\u1edd khi c\u00f3 \u00edt nh\u1ea5t 1 trong c\u00e1c y\u1ebfu t\u1ed1:<\/p>\n

                          – \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c suy th\u1eadn<\/p>\n

                          – LVEF < 40% ho\u1eb7c suy tim sung huy\u1ebft<\/p>\n

                          – \u0110au ng\u1ef1c s\u1edbm sau nh\u1ed3i m\u00e1u ho\u1eb7c ti\u1ec1n s\u1eed nong m\u1ea1ch v\u00e0nh, ph\u1ea9u thu\u1eadt b\u1eafc c\u1ea7u m\u1ea1ch v\u00e0nh<\/p>\n

                          – \u0110i\u1ec3m GRACE > 09 v\u00e0 < 140 ho\u1eb7c tri\u1ec7u ch\u1ee9ng t\u00e1i ph\u00e1t\/thi\u1ebfu m\u00e1u c\u01a1 tim tr\u00ean th\u0103m d\u00f2 kh\u00f4ng x\u00e2m l\u1ea5n.<\/p>\n

                          4.4. Nh\u00f3m nguy c\u01a1 th\u1ea5p<\/h3>\n

                          Nh\u00f3m n\u00e0y c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n ho\u1eb7c c\u00f3 th\u1ec3 x\u00e9t can thi\u1ec7p t\u00f9y theo \u0111i\u1ec1u ki\u1ec7n v\u00e0 kinh nghi\u1ec7m c\u1ee7a trung t\u00e2m.<\/p>\n

                            \n
                          • Kh\u00f4ng c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 c\u1ee7a c\u00e1c nh\u00f3m nguy c\u01a1 tr\u00ean.<\/li>\n
                          • \u0110au ng\u1ef1c: C\u00f3 m\u1ed9t c\u01a1n \u0111au ng\u1ef1c ng\u1eafn khi ngh\u1ec9, khi g\u1eafng s\u1ee9c<\/li>\n
                          • V\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n, sau m\u1ed9t th\u1eddi gian khi b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh, n\u00ean \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 thi\u1ebfu m\u00e1u c\u01a1 tim c\u1ee7a b\u1ec7nh nh\u00e2n (tr\u00ean c\u00e1c th\u0103m d\u00f2 kh\u00f4ng x\u00e2m l\u1ea5n nh\u01b0 nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, g\u1eafng s\u1ee9c h\u00ecnh \u1ea3nh, x\u1ea1 \u0111\u1ed3 t\u01b0\u1edbi m\u00e1u c\u01a1 tim\u2026) ho\u1eb7c \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 h\u1eb9p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu tr\u00ean ch\u1ee5p ch\u1ee5p c\u1eaft l\u1edbp \u0111i\u1ec7n to\u00e1n \u0111a v\u1ebft c\u1eaft \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng gi\u1ea3i quy\u1ebft ti\u1ebfp (gi\u1ed1ng nh\u01b0 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u1ed5n \u0111\u1ecbnh).<\/li>\n<\/ul>\n

                             <\/p>\n

                             <\/p>\n","protected":false},"excerpt":{"rendered":"

                            Ph\u00e2n t\u1ea7ng nguy c\u01a1 trong h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p kh\u00f4ng c\u00f3 ST kh\u1ea3 n\u0103ng l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00ec n\u00f3 gi\u00fap x\u00e1c \u0111\u1ecbnh \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh v\u00e0 quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. 1.T\u1ed5ng quan Vi\u1ec7c ph\u00e2n t\u1ea7ng nguy c\u01a1 h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p\u00a0 kh\u00f4ng c\u00f3 ST ch\u00eanh d\u1ef1a tr\u00ean nhi\u1ec1u […]<\/p>\n","protected":false},"author":25,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[3],"yoast_head":"\nPh\u00e2n t\u1ea7ng nguy c\u01a1 h\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p kh\u00f4ng ST ch\u00eanh<\/title>\n<meta name=\"description\" content=\"Ph\u00e2n t\u1ea7ng nguy c\u01a1 th\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p kh\u00f4ng c\u00f3 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