{"id":25817,"date":"2023-04-29T18:10:41","date_gmt":"2023-04-29T11:10:41","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25817"},"modified":"2023-04-29T18:10:41","modified_gmt":"2023-04-29T11:10:41","slug":"nhan-biet-cac-dau-hieu-de-doa-chuc-nang-song-o-tre","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/nhan-biet-cac-dau-hieu-de-doa-chuc-nang-song-o-tre\/","title":{"rendered":"Nh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u \u0111e do\u1ea1 ch\u1ee9c n\u0103ng s\u1ed1ng \u1edf tr\u1ebb"},"content":{"rendered":"

T\u1eed vong \u1edf b\u1ec7nh vi\u1ec7n th\u01b0\u1eddng x\u1ea3y ra trong v\u00f2ng 24 gi\u1edd \u0111\u1ea7u nh\u1eadp vi\u1ec7n. Ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1eed vong n\u00e0y \u0111\u1ec1u c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba \u0111\u01b0\u1ee3c n\u1ebfu tr\u1ebb b\u1ecb b\u1ec7nh n\u1eb7ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 x\u1eed tr\u00ed ngay sau khi \u0111\u1ebfn b\u1ec7nh vi\u1ec7n . Vi\u1ec7c nh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u \u0111e do\u1ea1 ch\u1ee9c n\u0103ng s\u1ed1ng \u1edf tr\u1ebb gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u1eed vong ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng v\u0129nh vi\u1ec5n, \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe v\u00e0 ph\u00e1t tri\u1ec3n to\u00e0n di\u1ec7n c\u1ee7a tr\u1ebb.<\/strong><\/p>\n

1. T\u1ed5ng quan c\u00e1c d\u1ea5u hi\u1ec7u \u0111e do\u1ea1 ch\u1ee9c n\u0103ng s\u1ed1ng \u1edf tr\u1ebb:<\/h2>\n

Vi\u1ec7c nh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u \u0111e d\u1ecda ch\u1ee9c n\u0103ng s\u1ed1ng l\u00e0 m\u1ed9t quy tr\u00ecnh s\u00e0ng l\u1ecdc nhanh tr\u1ebb b\u1ec7nh, c\u00f3 th\u1ec3 x\u1ebfp tr\u1ebb v\u00e0o c\u00e1c nh\u00f3m sau:<\/p>\n

– Tr\u1ebb c\u00f3\u00a0d\u1ea5u hi\u1ec7u c\u1ea5p c\u1ee9u\u00a0<\/b>c\u1ea7n \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u ngay l\u1eadp t\u1ee9c.<\/p>\n

– Tr\u1ebb c\u00f3\u00a0d\u1ea5u hi\u1ec7u c\u1ea7n \u01b0u ti\u00ean\u00a0<\/b>c\u1ea7n \u0111\u01b0\u1ee3c kh\u00e1m \u01b0u ti\u00ean trong l\u00fac \u0111\u1ee3i, ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ch\u1eadm tr\u1ec5.<\/p>\n

– Tr\u1ebb\u00a0kh\u00f4ng c\u1ea5p c\u1ee9u\u00a0<\/b>l\u00e0 nh\u1eefng tr\u1ebb kh\u00f4ng n\u1eb7ng, c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u kh\u00f4ng n\u1eb1m trong 2 nh\u00f3m tr\u00ean.<\/p>\n

\"Nh\u1eadn
C\u00e1c d\u1ea5u hi\u1ec7u \u0111e do\u1ea1 ch\u1ee9c n\u0103ng s\u1ed1ng \u1edf tr\u1ebb<\/figcaption><\/figure>\n

2.C\u00e1c d\u1ea5u hi\u1ec7u \u0111e do\u1ea1 t\u00ednh m\u1ea1ng \u1edf tr\u1ebb:<\/h2>\n

C\u00e1c d\u1ea5u hi\u1ec7u \u0111e do\u1ea1 t\u00ednh m\u1ea1ng \u1edf tr\u1ebb bao g\u1ed3m:<\/p>\n

    \n
  • T\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf<\/li>\n
  • Suy h\u00f4 h\u1ea5p n\u1eb7ng<\/li>\n
  • T\u00edm t\u00e1i trung t\u00e2m<\/li>\n
  • C\u00e1c d\u1ea5u hi\u1ec7u s\u1ed1c<\/li>\n
  • H\u00f4n m\u00ea<\/li>\n
  • Co gi\u1eadt<\/li>\n<\/ul>\n

    Tr\u1ebb c\u00f3 d\u1ea5u hi\u1ec7u c\u1ea5p c\u1ee9u c\u1ea7n \u0111i\u1ec1u tr\u1ecb\u00a0ngay l\u1eadp t\u1ee9c\u00a0<\/b>\u0111\u1ec3 ng\u0103n ng\u1eeba t\u1eed vong. Tr\u1ebb c\u00f3 d\u1ea5u hi\u1ec7u c\u1ea7n \u01b0u ti\u00ean l\u00e0 nh\u1eefng tr\u1ebb c\u00f3 nguy c\u01a1 t\u1eed vong cao. Nh\u1eefng tr\u1ebb n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c\u00a0\u0111\u00e1nh gi\u00e1 ngay, kh\u00f4ng ch\u1eadm tr\u1ec5.<\/b><\/p>\n

    3.Nh\u1eadn bi\u1ebft d\u1ea5u hi\u1ec7u \u0111e do\u1ea1 t\u00ednh m\u1ea1ng:<\/h2>\n

    Vi\u1ec7c nh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u n\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf n\u01a1i ti\u1ebfp nh\u1eadn b\u1ec7nh nh\u00e2n trong b\u1ec7nh vi\u1ec7n, tr\u01b0\u1edbc khi l\u00e0m b\u1ea5t k\u1ef3 th\u1ee7 t\u1ee5c h\u00e0nh ch\u00ednh n\u00e0o nh\u01b0 th\u1ee7 t\u1ee5c \u0111\u0103ng k\u00fd kh\u00e1m ho\u1eb7c ngay khi b\u1ec7nh nh\u00e2n nh\u1eadp khoa c\u1ea5p c\u1ee9u. Do \u0111\u00f3 ph\u1ea3i t\u1ed5 ch\u1ee9c m\u1ed9t tr\u00ecnh t\u1ef1 \u0111\u1ec3 b\u1ec7nh nh\u00e2n khi \u0111\u1ebfn vi\u1ec7n tu\u00e2n theo. Tr\u1ebb ph\u1ea3i \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i tr\u01b0\u1edbc khi b\u00e0 m\u1eb9 ng\u1ed3i v\u00e0o ph\u00f2ng \u0111\u1ee3i. C\u1ea7n c\u00f3 m\u1ed9t y t\u00e1 \u0111\u00e1nh gi\u00e1 nhanh t\u00ecnh tr\u1ea1ng t\u1eebng tr\u1ebb tr\u01b0\u1edbc khi c\u00e2n v\u00e0 tr\u01b0\u1edbc khi l\u00e0m th\u1ee7 t\u1ee5c \u0111\u0103ng k\u00fd kh\u00e1m<\/p>\n

    3.1. \u0110\u00e1nh gi\u00e1 ban \u0111\u1ea7u \u0111\u01b0\u1eddng th\u1edf v\u00e0 th\u1edf<\/h3>\n

    Nh\u1eadn bi\u1ebft d\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p<\/p>\n

      \n
    • Th\u1edf g\u1eafng s\u1ee9c: <\/i><\/strong>Khi m\u1ee9c \u0111\u1ed9 th\u1edf g\u1eafng s\u1ee9c t\u0103ng l\u00ean l\u00e0 bi\u1ec3u hi\u1ec7n n\u1eb7ng c\u1ee7a c\u00e1c b\u1ec7nh h\u00f4 h\u1ea5p.<\/li>\n
    • T\u1ea7n s\u1ed1 th\u1edf: <\/i><\/strong>C\u1ea7n s\u1eed d\u1ee5ng nh\u1ecbp th\u1edf nh\u01b0 l\u00e0 c\u00f4ng c\u1ee5 \u0111\u1ec3 nh\u1eadn \u0111\u1ecbnh s\u1ef1 thay \u0111\u1ed5i l\u00e2m s\u00e0ng t\u1ed1t l\u00ean hay x\u1ea5u \u0111i. Khi c\u00f3 bi\u1ec3u hi\u1ec7n r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1edf, th\u1edf nhanh \u0111\u1ec3 t\u0103ng th\u00f4ng kh\u00ed do b\u1ec7nh c\u1ee7a ph\u1ed5i ho\u1eb7c c\u00f3 c\u1ea3n tr\u1edf \u0111\u01b0\u1eddng th\u1edf, ho\u1eb7c toan m\u00e1u. Nh\u1ecbp th\u1edf ch\u1eadm th\u1ec3 hi\u1ec7n suy y\u1ebfu sau g\u1eafng s\u1ee9c, t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd ho\u1eb7c giai \u0111o\u1ea1n g\u1ea7n cu\u1ed1i.<\/li>\n
    • R\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c: <\/i><\/strong>Co r\u00fat c\u01a1 li\u00ean s\u01b0\u1eddn, h\u1ea1 s\u01b0\u1eddn v\u00e0 c\u00e1c h\u00f5m \u1ee9c \u0111\u1ec1u th\u1ec3 hi\u1ec7n th\u1edf g\u1eafng s\u1ee9c. M\u1ee9c \u0111\u1ed9 r\u00fat l\u00f5m th\u1ec3 hi\u1ec7n m\u1ee9c \u0111\u1ed9 kh\u00f3 th\u1edf. Khi tr\u1ebb \u0111\u00e3 th\u1edf g\u1eafng s\u1ee9c l\u00e2u v\u00e0 suy y\u1ebfu \u0111i, th\u00ec d\u1ea5u hi\u1ec7u r\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c c\u0169ng m\u1ea5t \u0111i.<\/li>\n
    • Ti\u1ebfng \u1ed3n th\u00ec h\u00edt v\u00e0o, th\u1edf ra: <\/i><\/strong>Ti\u1ebfng th\u1edf r\u00edt th\u00ec h\u00edt v\u00e0o (stridor) l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a t\u1eafc ngh\u1ebdn \u1edf t\u1ea1i v\u00f9ng h\u1ea7u v\u00e0 thanh qu\u1ea3n. Kh\u00f2 kh\u00e8 g\u1eb7p \u1edf nh\u1eefng tr\u1ebb c\u00f3 t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi v\u00e0 th\u01b0\u1eddng nghe th\u1ea5y \u1edf th\u00ec th\u1edf ra.Th\u00ec th\u1edf ra k\u00e9o d\u00e0i c\u0169ng th\u1ec3 hi\u1ec7n c\u00f3 t\u1eafc h\u1eb9p \u0111\u01b0\u1eddng th\u1edf d\u01b0\u1edbi. M\u1ee9c \u0111\u1ed9 to nh\u1ecf c\u1ee7a ti\u1ebfng \u1ed3n kh\u00f4ng t\u01b0\u01a1ng \u1ee9ng v\u1edbi \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh.<\/li>\n
    • Th\u1edf r\u00ean: <\/i><\/strong>\u0110\u00e2y l\u00e0 d\u1ea5u hi\u1ec7u r\u1ea5t n\u1eb7ng c\u1ee7a \u0111\u01b0\u1eddng th\u1edf v\u00e0 \u0111\u1eb7c tr\u01b0ng \u1edf tr\u1ebb nh\u1ecf b\u1ecb vi\u00eam ph\u1ed5i ho\u1eb7c ph\u00f9 ph\u1ed5i c\u1ea5p. C\u0169ng c\u00f3 th\u1ec3 g\u1eb7p d\u1ea5u hi\u1ec7u n\u00e0y \u1edf nh\u1eefng tr\u1ebb c\u00f3 t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd, ch\u01b0\u1edbng b\u1ee5ng ho\u1eb7c vi\u00eam ph\u00fac m\u1ea1c.<\/li>\n
    • S\u1eed d\u1ee5ng c\u01a1 h\u00f4 h\u1ea5p ph\u1ee5: <\/i><\/strong>C\u0169ng nh\u01b0 ng\u01b0\u1eddi l\u1edbn, khi c\u1ea7n th\u1edf g\u1eafng s\u1ee9c nhi\u1ec1u h\u01a1n c\u00f3 th\u1ec3 c\u1ea7n s\u1eed d\u1ee5ng \u0111\u1ebfn c\u01a1 \u1ee9c \u2013 \u0111\u00f2n \u2013 ch\u0169m.<\/li>\n
    • Ph\u1eadp ph\u1ed3ng c\u00e1nh m\u0169i: <\/i><\/strong>D\u1ea5u hi\u1ec7u ph\u1eadp ph\u1ed3ng c\u00e1nh m\u0169i hay g\u1eb7p \u1edf tr\u1ebb nh\u1ecf c\u00f3 suy th\u1edf<\/li>\n
    • Th\u1edf h\u1eaft ra: <\/i><\/strong>\u0110\u00e2y l\u00e0 d\u1ea5u hi\u1ec7u khi thi\u1ebfu oxy n\u1eb7ng v\u00e0 c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a giai \u0111o\u1ea1n cu\u1ed1i.<\/li>\n<\/ul>\n

      \u0110\u00e1nh gi\u00e1 l\u1ea1i: <\/b>Ch\u1ec9 theo d\u00f5i nh\u1ecbp th\u1edf, m\u1ee9c \u0111\u1ed9 r\u00fat l\u00f5m, vv… l\u00e0 \u0111\u00e3 c\u00f3 nh\u1eefng th\u00f4ng tin quan tr\u1ecdng, nh\u01b0ng ch\u01b0a \u0111\u1ee7. C\u1ea7n th\u01b0\u1eddng xuy\u00ean \u0111\u00e1nh gi\u00e1 l\u1ea1i \u0111\u1ec3 ph\u00e1t hi\u1ec7n xu h\u01b0\u1edbng di\u1ec5n ti\u1ebfn l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

      3.2.B\u01b0\u1edbc \u0111\u1ea7u \u0111\u00e1nh gi\u00e1 tu\u1ea7n ho\u00e0n (Circulation)<\/h3>\n

      3.2.1. Nh\u1eadn bi\u1ebft nguy c\u01a1 suy tu\u1ea7n ho\u00e0n<\/b><\/h4>\n

      T\u00ecnh tr\u1ea1ng tim m\u1ea1ch<\/b><\/p>\n

        \n
      • Nh\u1ecbp tim<\/i><\/strong><\/li>\n<\/ul>\n

        Nh\u1ecbp tim c\u00f3 th\u1ec3 t\u0103ng l\u00ean \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a s\u1ed1c do s\u1ef1 gi\u1ea3i ph\u00f3ng catecholamin v\u00e0 \u0111\u1ec3 b\u00f9 l\u1ea1i m\u1ea5t d\u1ecbch. Nh\u1ecbp tim, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf tr\u1ebb nh\u1ecf, c\u00f3 th\u1ec3 r\u1ea5t cao (\u0111\u1ebfn 220 nh\u1ecbp\/ph\u00fat).<\/p>\n

        M\u1ea1ch ch\u1eadm b\u1ea5t th\u01b0\u1eddng, nh\u1ecbp tim ch\u1eadm, l\u00e0 khi nh\u1ecbp tim \u00edt h\u01a1n 60 l\u1ea7n\/ph\u00fat ho\u1eb7c gi\u1ea3m nh\u1ecbp tim nhanh ch\u00f3ng c\u00f9ng v\u1edbi bi\u1ec3u hi\u1ec7n suy gi\u1ea3m c\u1ea5p m\u00e1u. \u0110\u00e2y l\u00e0 d\u1ea5u hi\u1ec7u n\u1eb7ng \u1edf giai \u0111o\u1ea1n cu\u1ed1i.<\/p>\n

          \n
        • \u0110\u1ed9 n\u1ea3y c\u1ee7a m\u1ea1ch<\/i><\/strong><\/li>\n<\/ul>\n

          C\u00f3 th\u1ec3 trong s\u1ed1c n\u1eb7ng, huy\u1ebft \u00e1p v\u1eabn duy tr\u00ec \u0111\u01b0\u1ee3c, d\u1ea5u hi\u1ec7u ch\u1ec9 \u0111i\u1ec3m l\u00e0 c\u1ea7n so s\u00e1nh \u0111\u1ed9 n\u1ea3y c\u1ee7a m\u1ea1ch ngo\u1ea1i bi\u00ean v\u00e0 trung t\u00e2m. Khi kh\u00f4ng b\u1eaft \u0111\u01b0\u1ee3c m\u1ea1ch ngo\u1ea1i bi\u00ean v\u00e0 m\u1ea1ch trung t\u00e2m b\u1eaft y\u1ebfu l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a s\u1ed1c, v\u00e0 \u0111\u00e3 c\u00f3 t\u1ee5t huy\u1ebft \u00e1p. M\u1ea1ch n\u1ea3y m\u1ea1nh c\u00f3 th\u1ec3 g\u1eb7p trong c\u1ea3 khi t\u0103ng th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n (v\u00ed d\u1ee5, trong nhi\u1ec5m khu\u1ea9n huy\u1ebft), c\u1ea7u n\u1ed1i \u0111\u1ed9ng \u2013 t\u0129nh m\u1ea1ch trung t\u00e2m (v\u00ed d\u1ee5, c\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch) ho\u1eb7c khi c\u00f3 t\u0103ng CO2 m\u00e1u.<\/p>\n

            \n
          • D\u1ea5u hi\u1ec7u \u0111\u1ea7y mao m\u1ea1ch tr\u1edf l\u1ea1i (refill)<\/i><\/strong><\/li>\n<\/ul>\n

            Khi th\u1eddi gian \u0111\u1ea7y mao m\u1ea1ch tr\u1edf l\u1ea1i k\u00e9o d\u00e0i h\u01a1n th\u1ec3 hi\u1ec7n gi\u1ea3m c\u1ea5p m\u00e1u ngo\u1ea1i bi\u00ean. Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng ri\u00eang l\u1ebb c\u00e1c d\u1ea5u hi\u1ec7u n\u00e0y \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ed1c ho\u1eb7c \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb.<\/p>\n

              \n
            • Huy\u1ebft \u00e1p \u0111\u1ed9ng m\u1ea1ch<\/i><\/strong><\/li>\n<\/ul>\n

              H\u1ea1 huy\u1ebft \u00e1p l\u00e0 d\u1ea5u hi\u1ec7u mu\u1ed9n c\u1ee7a giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a suy tu\u1ea7n ho\u00e0n. Khi \u0111\u00e3 c\u00f3 h\u1ea1 huy\u1ebft \u00e1p l\u00e0 s\u1eafp c\u00f3 nguy c\u01a1 ng\u1eebng tim. T\u0103ng huy\u1ebft \u00e1p c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n ho\u1eb7c l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a h\u00f4n m\u00ea v\u00e0 t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd.<\/p>\n

              3.2.2. \u1ea2nh h\u01b0\u1edfng c\u1ee7a suy tu\u1ea7n ho\u00e0n l\u00ean c\u00e1c c\u01a1 quan kh\u00e1c<\/b><\/h4>\n

              C\u01a1 quan h\u00f4 h\u1ea5p: <\/b>Nh\u1ecbp th\u1edf nhanh, s\u00e2u nh\u01b0ng kh\u00f4ng c\u00f3 co k\u00e9o l\u1ed3ng ng\u1ef1c, l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a toan m\u00e1u do suy tu\u1ea7n ho\u00e0n g\u00e2y ra.<\/p>\n

              Da: <\/i><\/strong>Da \u1ea9m, l\u1ea1nh, nh\u1ee3t nh\u1ea1t \u1edf v\u00f9ng ngo\u1ea1i bi\u00ean l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a gi\u1ea3m c\u1ea5p m\u00e1u. Khu v\u1ef1c da l\u1ea1nh c\u00f3 th\u1ec3 g\u1ea7n \u1edf v\u00f9ng trung t\u00e2m h\u01a1n n\u1ebfu suy tu\u1ea7n ho\u00e0n ti\u1ebfp t\u1ee5c n\u1eb7ng l\u00ean.<\/p>\n

              Tri gi\u00e1c: <\/i><\/strong>Tr\u1ebb c\u00f3 th\u1ec3 k\u00edch th\u00edch v\u1eadt v\u00e3 ho\u1eb7c l\u01a1 m\u01a1, li b\u00ec \u0111\u1ebfn h\u00f4n m\u00ea n\u1ebfu c\u00f3 suy tu\u1ea7n ho\u00e0n. \u0110\u00e2y l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a gi\u1ea3m c\u1ea5p m\u00e1u n\u00e3o.<\/p>\n

              N\u01b0\u1edbc ti\u1ec3u: <\/i><\/strong>L\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u \u00edt h\u01a1n 1 ml\/kg\/gi\u1edd \u1edf tr\u1ebb v\u00e0 \u00edt h\u01a1n 2 ml\/kg\/gi\u1edd \u1edf tr\u1ebb nh\u0169 nhi l\u00e0 d\u1ea5u hi\u1ec7u gi\u1ea3m c\u1ea5p m\u00e1u th\u1eadn trong s\u1ed1c. C\u1ea7n khai th\u00e1c n\u1ebfu c\u00f3 thi\u1ec3u ni\u1ec7u ho\u1eb7c v\u00f4 ni\u1ec7u trong b\u1ec7nh s\u1eed.<\/p>\n

              Suy tim<\/b><\/p>\n

              Nh\u1eefng d\u1ea5u hi\u1ec7u sau s\u1ebd g\u1ee3i \u00fd suy th\u1edf do nguy\u00ean nh\u00e2n tim m\u1ea1ch:<\/p>\n

                \n
              • T\u00edm, kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi oxy<\/li>\n
              • Nh\u1ecbp tim nhanh kh\u00f4ng t\u01b0\u01a1ng \u1ee9ng v\u1edbi m\u1ee9c \u0111\u1ed9 kh\u00f3 th\u1edf<\/li>\n
              • Gan to, t\u0129nh m\u1ea1ch c\u1ed5 n\u1ed5i<\/li>\n
              • Ti\u1ebfng th\u1ed5i t\u00e2m thu\/ nh\u1ecbp ng\u1ef1a phi, kh\u00f4ng b\u1eaft \u0111\u01b0\u1ee3c m\u1ea1ch \u0111\u00f9i<\/li>\n<\/ul>\n

                3.3. \u0110\u00e1nh gi\u00e1 ban \u0111\u1ea7u ch\u1ee9c n\u0103ng th\u1ea7n kinh<\/h3>\n
                  \n
                • Nh\u1eadn bi\u1ebft nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh trung \u01b0\u01a1ng<\/b><\/li>\n<\/ul>\n

                  Thi\u1ebfu oxy t\u1ed5 ch\u1ee9c ho\u1eb7c s\u1ed1c \u0111\u1ec1u c\u00f3 th\u1ec3 g\u00e2y r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c. V\u00ec v\u1eady, b\u1ea5t c\u1ee9 r\u1ed1i lo\u1ea1n n\u00e0o x\u1ea9y ra khi \u0111\u00e1nh gi\u00e1 theo ABC c\u0169ng ph\u1ea3i \u0111\u01b0\u1ee3c xem x\u00e9t tr\u01b0\u1edbc khi k\u1ebft lu\u1eadn r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c l\u00e0 do nguy\u00ean nh\u00e2n th\u1ea7n kinh.<\/p>\n

                    \n
                  • Ch\u1ee9c n\u0103ng th\u1ea7n kinh<\/b><\/li>\n<\/ul>\n

                    M\u1ee9c \u0111\u1ed9 tri gi\u00e1c<\/strong>: <\/i>C\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 nhanh \u00fd th\u1ee9c c\u1ee7a b\u1ec7nh nh\u00e2n \u1edf m\u1ed9t trong 4 m\u1ee9c sau \u0111\u00e2y:<\/p>\n

                    A:\u00a0<\/b>T\u1ec9nh t\u00e1o (ALERT)<\/p>\n

                    V:\u00a0<\/b>\u0110\u00e1p \u1ee9ng v\u1edbi l\u1eddi n\u00f3i (VOICE)<\/p>\n

                    P:\u00a0<\/b>\u0110\u00e1p \u1ee9ng v\u1edbi \u0111au (PAIN)<\/p>\n

                    U:\u00a0<\/b>Kh\u00f4ng \u0111\u00e1p \u1ee9ng (UNRESPONSIVE)<\/p>\n

                    T\u01b0 th\u1ebf<\/i><\/strong><\/p>\n

                    C\u00f3 nhi\u1ec1u tr\u1ebb m\u1eafc nh\u1eefng b\u1ec7nh n\u1eb7ng \u1edf c\u00e1c c\u01a1 quan c\u00f3 bi\u1ec3u hi\u1ec7n gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c c\u01a1. Nh\u1eefng t\u01b0 th\u1ebf co c\u1ee9ng nh\u01b0 b\u00f3c v\u1ecf (tay co, ch\u00e2n du\u1ed7i) ho\u1eb7c m\u1ea5t n\u00e3o (tay du\u1ed7i, ch\u00e2n du\u1ed7i) l\u00e0 bi\u1ec3u hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng n\u00e3o \u1edf tr\u1ebb em. D\u1ea5u hi\u1ec7u c\u1ed5 c\u1ee9ng v\u00e0 th\u00f3p ph\u1ed3ng \u1edf tr\u1ebb nh\u1ecf g\u1ee3i \u00fd v\u1ec1 b\u1ec7nh vi\u00eam m\u00e0ng n\u00e3o.<\/p>\n

                    \u0110\u1ed3ng t\u1eed<\/i><\/strong><\/p>\n

                    Nhi\u1ec1u lo\u1ea1i thu\u1ed1c v\u00e0 t\u1ed5n th\u01b0\u01a1ng n\u00e3o c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i k\u00edch th\u01b0\u1edbc v\u00e0 ph\u1ea3n x\u1ea1 c\u1ee7a \u0111\u1ed3ng t\u1eed. Nh\u1eefng d\u1ea5u hi\u1ec7u \u0111\u1ed3ng t\u1eed quan tr\u1ecdng c\u1ea7n t\u00ecm l\u00e0: gi\u00e3n \u0111\u1ed3ng t\u1eed, \u0111\u1ed3ng t\u1eed kh\u00f4ng ph\u1ea3n x\u1ea1, ho\u1eb7c \u0111\u1ed3ng t\u1eed 2 b\u00ean kh\u00f4ng c\u00e2n x\u1ee9ng l\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng n\u00e3o n\u1eb7ng.<\/p>\n

                      \n
                    • \u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 h\u00f4 h\u1ea5p do t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh trung \u01b0\u01a1ng<\/i><\/b><\/li>\n<\/ul>\n

                      C\u00f3 nh\u1eefng ki\u1ec3u th\u1edf b\u1ea5t th\u01b0\u1eddng do t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd. Nh\u1eefng ki\u1ec3u th\u1edf n\u00e0y c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u1eeb m\u1ee9c t\u0103ng th\u00f4ng kh\u00ed cho \u0111\u1ebfn ki\u1ec3u th\u1edf Cheyne \u2013 Stokes ho\u1eb7c ng\u1eebng th\u1edf. Nh\u1eefng ki\u1ec3u th\u1edf b\u1ea5t th\u01b0\u1eddng n\u00e0y \u1edf b\u1ec7nh nh\u00e2n h\u00f4n m\u00ea ch\u1ee9ng t\u1ecf c\u00f3 t\u1ed5n th\u01b0\u01a1ng \u1edf n\u00e3o gi\u1eefa v\u00e0 n\u00e3o sau.<\/p>\n

                        \n
                      • \u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 tu\u1ea7n ho\u00e0n do t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh trung \u01b0\u01a1ng<\/i><\/b><\/li>\n<\/ul>\n

                        Khi c\u00f3 d\u1ea5u hi\u1ec7u ch\u00e8n \u00e9p h\u00e0nh n\u00e3o do t\u1ee5t k\u1eb9t th\u01b0\u1eddng k\u00e8m theo t\u0103ng huy\u1ebft \u00e1p v\u00e0 nh\u1ecbp tim ch\u1eadm (\u0111\u00e1p \u1ee9ng ki\u1ec3u Cushing). \u0110\u00e2y l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a giai \u0111o\u1ea1n cu\u1ed1i.<\/p>\n

                        3.4. Kh\u00e1m to\u00e0n th\u00e2n<\/h3>\n
                          \n
                        • Nhi\u1ec7t \u0111\u1ed9<\/i><\/strong><\/li>\n<\/ul>\n

                          Khi tr\u1ebb c\u00f3 s\u1ed1t th\u01b0\u1eddng g\u1ee3i \u00fd \u0111\u1ebfn nguy\u00ean nh\u00e2n b\u1ec7nh l\u00e0 do nhi\u1ec5m tr\u00f9ng, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 s\u1ed1t l\u00e0 do co gi\u1eadt ho\u1eb7c r\u00e9t run k\u00e9o d\u00e0i.<\/p>\n

                            \n
                          • Ph\u00e1t ban:<\/i><\/strong><\/li>\n<\/ul>\n

                            Kh\u00e1m to\u00e0n th\u00e2n tr\u1ebb c\u00f3 th\u1ec3 th\u1ea5y c\u00e1c d\u1ea1ng ph\u00e1t ban, t\u1eeb d\u1ea1ng m\u1ea9n g\u1eb7p trong ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng; ho\u1eb7c ban xu\u1ea5t huy\u1ebft, t\u1ee5 m\u00e1u trong nhi\u1ec5m khu\u1ea9n huy\u1ebft ho\u1eb7c tr\u1ebb b\u1ecb x\u00e2m h\u1ea1i, ho\u1eb7c m\u1ec1 \u0111ay l\u1edbn c\u00f3 ph\u1ecfng n\u01b0\u1edbc g\u1eb7p trong ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u00e0 m\u1ed9t s\u1ed1 d\u1ea1ng nhi\u1ec5m tr\u00f9ng.<\/p>\n

                            Tr\u1ebb em l\u00e0 \u0111\u1ed1i t\u01b0\u1ee3ng d\u1ec5 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi nhi\u1ec1u y\u1ebfu t\u1ed1, \u0111\u1eb7c bi\u1ec7t l\u00e0 s\u1ee9c kh\u1ecfe. Vi\u1ec7c nh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u \u0111e do\u1ea1 ch\u1ee9c n\u0103ng s\u1ed1ng \u1edf tr\u1ebb gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u1eed vong ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng v\u0129nh vi\u1ec5n. Nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n to\u00e0n di\u1ec7n c\u1ee7a tr\u1ebb, g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe v\u1ec1 sau.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

                            T\u1eed vong \u1edf b\u1ec7nh vi\u1ec7n th\u01b0\u1eddng x\u1ea3y ra trong v\u00f2ng 24 gi\u1edd \u0111\u1ea7u nh\u1eadp vi\u1ec7n. Ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1eed vong n\u00e0y \u0111\u1ec1u c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba \u0111\u01b0\u1ee3c n\u1ebfu tr\u1ebb b\u1ecb b\u1ec7nh n\u1eb7ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 x\u1eed tr\u00ed ngay sau khi \u0111\u1ebfn b\u1ec7nh vi\u1ec7n . Vi\u1ec7c nh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u \u0111e […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[15],"tags":[],"yoast_head":"\nNh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u \u0111e do\u1ea1 ch\u1ee9c n\u0103ng s\u1ed1ng \u1edf tr\u1ebb - Vinmec<\/title>\n<meta name=\"description\" content=\"T\u1eed vong b\u1ec7nh vi\u1ec7n th\u01b0\u1eddng trong 24 gi\u1edd nh\u1eadp vi\u1ec7n. C\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y \u0111\u1ec1u ng\u0103n ng\u1eeba \u0111\u01b0\u1ee3c n\u1ebfu ph\u00e1t hi\u1ec7n s\u1edbm d\u1ea5u hi\u1ec7u \u0111e do\u1ea1 ch\u1ee9c n\u0103ng s\u1ed1ng.\" \/>\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=\"Nh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u \u0111e do\u1ea1 ch\u1ee9c n\u0103ng s\u1ed1ng \u1edf tr\u1ebb - Vinmec\" \/>\n<meta property=\"og:description\" content=\"T\u1eed vong b\u1ec7nh vi\u1ec7n th\u01b0\u1eddng trong 24 gi\u1edd nh\u1eadp vi\u1ec7n. 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