{"id":26314,"date":"2023-04-23T10:38:13","date_gmt":"2023-04-23T03:38:13","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26314"},"modified":"2023-04-24T05:17:47","modified_gmt":"2023-04-23T22:17:47","slug":"viem-phoi-benh-vien-chan-doan-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/viem-phoi-benh-vien-chan-doan-bo-y-te\/","title":{"rendered":"Vi\u00eam ph\u1ed5i b\u1ec7nh vi\u1ec7n: Ch\u1ea9n \u0111o\u00e1n &#8211; B\u1ed9 Y t\u1ebf"},"content":{"rendered":"<p><strong>Vi\u00eam ph\u1ed5i b\u1ec7nh vi\u1ec7n hi\u1ec7n \u0111ang l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng trong ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n, g\u00e2y ra kh\u00f3 kh\u0103n cho c\u1ea3 c\u00e1c b\u00e1c s\u0129 v\u00e0 b\u1ec7nh nh\u00e2n trong \u0111i\u1ec1u tr\u1ecb. Qua b\u00e0i vi\u1ebft n\u00e0y ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd n\u00e0y.<\/strong><\/p>\n<h2><b>1. Vi\u00eam ph\u1ed5i b\u1ec7nh vi\u1ec7n l\u00e0 g\u00ec ?<\/b><\/h2>\n<ul>\n<li>Vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i \u1edf b\u1ec7nh vi\u1ec7n (Hospital acquired pneumonia: HAP) \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 vi\u00eam ph\u1ed5i xu\u1ea5t hi\u1ec7n sau nh\u1eadp vi\u1ec7n 48 gi\u1edd.<\/li>\n<li>Vi\u00eam ph\u1ed5i li\u00ean quan \u0111\u1ebfn th\u1edf m\u00e1y (Ventilator associated pneumonia: VAP) l\u00e0 m\u1ed9t th\u1ec3 c\u1ee7a HAP xu\u1ea5t hi\u1ec7n 48 &#8211; 72 gi\u1edd sau khi \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n ho\u1eb7c m\u1edf kh\u00ed qu\u1ea3n.<\/li>\n<li>Vi\u00eam ph\u1ed5i li\u00ean quan ch\u0103m s\u00f3c y t\u1ebf (Health care associated pneumonia: HCAP) l\u00e0 vi\u00eam ph\u1ed5i xu\u1ea5t hi\u1ec7n \u1edf nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng nh\u1eadp vi\u1ec7n nh\u01b0ng c\u00f3 ti\u1ebfp x\u00fac r\u1ed9ng r\u00e3i v\u1edbi c\u00e1c ch\u0103m s\u00f3c y t\u1ebf nh\u01b0:<\/li>\n<\/ul>\n<p>&#8211; C\u00f3 ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch, ch\u0103m s\u00f3c v\u1ebft th\u01b0\u01a1ng trong v\u00f2ng 30 ng\u00e0y tr\u01b0\u1edbc.<\/p>\n<p>&#8211; S\u1ed1ng trong c\u00e1c nh\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng.<\/p>\n<p>&#8211; \u0110i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u t\u1ea1i b\u1ec7nh vi\u1ec7n \u2265 2 ng\u00e0y, trong v\u00f2ng 90 ng\u00e0y.<\/p>\n<p>&#8211; V\u00e0o b\u1ec7nh vi\u1ec7n ho\u1eb7c c\u00e1c ph\u00f2ng l\u1ecdc m\u00e1u trong v\u00f2ng 30 ng\u00e0y.<\/p>\n<ul>\n<li><i>C\u0103n nguy\u00ean vi sinh<\/i><\/li>\n<\/ul>\n<p>Nh\u1eefng vi khu\u1ea9n g\u00e2y vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i \u1edf b\u1ec7nh vi\u1ec7n th\u01b0\u1eddng g\u1eb7p bao g\u1ed3m: <i>Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae, Staphylococcus aureus v\u00e0 c\u00e1c ch\u1ee7ng Acinetobacter<\/i>. Vi khu\u1ea9n g\u00e2y vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i \u1edf b\u1ec7nh vi\u1ec7n th\u01b0\u1eddng kh\u00e1ng nhi\u1ec1u kh\u00e1ng sinh.<\/p>\n<ul>\n<li><i>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a t\u00ecnh tr\u1ea1ng kh\u00e1ng thu\u1ed1c cao bao g\u1ed3m:<\/i><\/li>\n<\/ul>\n<p>&#8211; C\u00f3 d\u00f9ng kh\u00e1ng sinh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd nhi\u1ec5m tr\u00f9ng trong 90 ng\u00e0y tr\u01b0\u1edbc \u0111\u00e2y.<\/p>\n<p>&#8211; Hi\u1ec7n \u0111ang n\u1eb1m vi\u1ec7n \u2265 5 ng\u00e0y.<\/p>\n<p>&#8211; T\u1ea7n su\u1ea5t kh\u00e1ng kh\u00e1ng sinh cao trong c\u1ed9ng \u0111\u1ed3ng ho\u1eb7c trong khoa \u0111ang n\u1eb1m \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>&#8211; C\u00f3 b\u1ec7nh suy gi\u1ea3m mi\u1ec5n d\u1ecbch v\u00e0\/ho\u1eb7c s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch.<\/p>\n<ul>\n<li><i>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a HAP, VAP, HCAP.<\/i><\/li>\n<\/ul>\n<p>&#8211; Th\u1edf m\u00e1y: l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 h\u00e0ng \u0111\u1ea7u c\u1ee7a HAP. \u0110\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n l\u00e0m gia t\u0103ng nguy c\u01a1 g\u00e2y HAP l\u00ean 6-21 l\u1ea7n.<\/p>\n<p>&#8211; C\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c bao g\u1ed3m:<\/p>\n<p>+ Tu\u1ed5i &gt; 70.<\/p>\n<p>+ C\u00f3 b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh k\u00e8m theo nh\u01b0: COPD, gi\u00e3n ph\u1ebf qu\u1ea3n, x\u01a1 ph\u1ed5i.<\/p>\n<p>+ H\u00edt ph\u1ea3i d\u1ecbch \u1ee9 \u0111\u1ecdng v\u00f9ng h\u1ea7u h\u1ecdng, d\u1ecbch d\u1ea1 d\u00e0y tr\u00e0o ng\u01b0\u1ee3c.<\/p>\n<p>+ N\u1eb1m l\u00e2u, h\u00f4n m\u00ea.<\/p>\n<p>+ Ch\u1ea5n th\u01b0\u01a1ng ng\u1ef1c.<\/p>\n<p>+ Hi\u1ec7n \u0111ang c\u00f3 \u1ed1ng th\u00f4ng d\u1ea1 d\u00e0y.<\/p>\n<p>+ \u0110ang \u0111i\u1ec1u tr\u1ecb thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 H2 ho\u1eb7c thu\u1ed1c kh\u00e1ng acid.<\/p>\n<p>+ C\u00f3 chuy\u1ec3n t\u1edbi khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c \u0111\u1ec3 l\u00e0m c\u00e1c th\u1ee7 thu\u1eadt ch\u1ea9n \u0111o\u00e1n ho\u1eb7c \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>+ C\u00f3 \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh tr\u01b0\u1edbc \u0111\u00f3 \u0111\u1eb7c bi\u1ec7t kh\u00e1ng sinh nh\u00f3m cephalosporin th\u1ebf h\u1ec7 3.<\/p>\n<p>+ Ch\u1ea1y th\u1eadn chu k\u1ef3 trong 30 ng\u00e0y g\u1ea7n \u0111\u00e2y.<\/p>\n<p>+ C\u00e1c b\u1ec7nh l\u00fd suy gi\u1ea3m mi\u1ec5n d\u1ecbch.<\/p>\n<p>+ C\u00f3 ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch, ch\u0103m s\u00f3c v\u1ebft th\u01b0\u01a1ng trong v\u00f2ng 30 ng\u00e0y tr\u01b0\u1edbc.<\/p>\n<p>+ S\u1ed1ng trong c\u00e1c nh\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng.<\/p>\n<p>+ \u0110i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u t\u1ea1i b\u1ec7nh vi\u1ec7n \u2265 2 ng\u00e0y, trong v\u00f2ng 90 ng\u00e0y.<\/p>\n<p>+ V\u00e0o b\u1ec7nh vi\u1ec7n ho\u1eb7c c\u00e1c ph\u00f2ng l\u1ecdc m\u00e1u trong v\u00f2ng 30 ng\u00e0y.<\/p>\n<figure id=\"attachment_26331\" aria-describedby=\"caption-attachment-26331\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-26331\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/9D7D6AB1-5997-4560-8CDD-C61CD46D27DD-300x200.jpeg\" alt=\"Minh-hoa-viem-phoi-benh-vien\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/9D7D6AB1-5997-4560-8CDD-C61CD46D27DD-300x200.jpeg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/9D7D6AB1-5997-4560-8CDD-C61CD46D27DD.jpeg 600w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-26331\" class=\"wp-caption-text\">\u1ea2nh minh ho\u1ea1<\/figcaption><\/figure>\n<p><b>2. CH\u1ea8N \u0110O\u00c1N VI\u00caM PH\u1ed4I B\u1ec6NH VI\u1ec6N<\/b><\/p>\n<p><b>2.1. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh HAP, VAP, HCAP<\/b><\/p>\n<ul>\n<li><i>Ti\u00eau chu\u1ea9n l\u00e2m s\u00e0ng<\/i><\/li>\n<\/ul>\n<p>&#8211; C\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u1edbi ho\u1eb7c th\u00e2m nhi\u1ec5m ti\u1ebfn tri\u1ec3n tr\u00ean phim X-quang ph\u1ed5i.<\/p>\n<p>&#8211; K\u00e8m th\u00eam \u00edt nh\u1ea5t 2 trong s\u1ed1 c\u00e1c bi\u1ec3u hi\u1ec7n sau:<\/p>\n<p>+ S\u1ed1t.<\/p>\n<p>+ Kh\u1ea1c \u0111\u1eddm m\u1ee7.<\/p>\n<p>+ B\u1ea1ch c\u1ea7u m\u00e1u ngo\u1ea1i vi t\u0103ng &gt; 10 giga\/l ho\u1eb7c gi\u1ea3m &lt; 3,5 giga\/l.<\/p>\n<p>+ \u0110\u1ed9 b\u00e3o h\u00f2a oxy trong m\u00e1u gi\u1ea3m.<\/p>\n<ul>\n<li><i>Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n vi sinh \u0111\u1ecbnh l\u01b0\u1ee3ng d\u1ecbch ti\u1ebft \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi<\/i><\/li>\n<\/ul>\n<p>&#8211; \u0110\u1eddm: &gt; 1 x 10<sup>5<\/sup> CFU\/ml (Colomy Forming Unit: \u0111\u01a1n v\u1ecb khu\u1ea9n l\u1ea1c).<\/p>\n<p>&#8211; Ch\u1ea5t ti\u1ebft kh\u00ed qu\u1ea3n: &gt; 1 x 10<sup>6<\/sup> CFU\/ml.<\/p>\n<p>&#8211; Ch\u1ea3i c\u00f3 b\u1ea3o v\u1ec7: &gt; 1 x 10<sup>3<\/sup> CFU\/ml.<\/p>\n<p>&#8211; D\u1ecbch r\u1eeda ph\u1ebf qu\u1ea3n ph\u1ebf nang: &gt; 1 x 10<sup>4<\/sup> CFU\/ml.<\/p>\n<p>Ho\u1eb7c ph\u00e2n l\u1eadp vi khu\u1ea9n t\u1eeb c\u1ea5y m\u00e1u hay d\u1ecbch m\u00e0ng ph\u1ed5i.<\/p>\n<ul>\n<li><i>Ph\u00e2n bi\u1ec7t HAP, VAP v\u1edbi HCAP:<\/i><\/li>\n<\/ul>\n<p>&#8211; \u0110ang \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n xu\u1ea5t hi\u1ec7n vi\u00eam ph\u1ed5i: HAP.<\/p>\n<p>&#8211; \u0110ang th\u1edf m\u00e1y xu\u1ea5t hi\u1ec7n vi\u00eam ph\u1ed5i: VAP.<\/p>\n<p>&#8211; Kh\u00f4ng n\u1eb1m \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n <i>(tham kh\u1ea3o th\u00eam ph\u1ea7n \u0111\u1ea1i c\u01b0\u01a1ng)<\/i>: ch\u1ea9n \u0111o\u00e1n HCAP.<\/p>\n<p><b>2.2. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/b><\/p>\n<p><b><i>&#8211; Nh\u1ed3i m\u00e1u ph\u1ed5i<\/i><\/b><\/p>\n<p>+ C\u00e1c bi\u1ec3u hi\u1ec7n suy h\u00f4 h\u1ea5p n\u1eb7ng l\u00ean m\u00e0 kh\u00f4ng t\u00ecm th\u1ea5y c\u0103n nguy\u00ean ph\u00f9 h\u1ee3p.<\/p>\n<p>+ \u0110au ng\u1ef1c, c\u00f3 th\u1ec3 c\u00f3 ho m\u00e1u.<\/p>\n<p>+ C\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a nh\u1ed3i m\u00e1u ph\u1ed5i: b\u1ec7nh van tim ho\u1eb7c ph\u1eabu thu\u1eadt \u1edf v\u00f9ng ti\u1ec3u khung, ho\u1eb7c n\u1eb1m l\u00e2u.<\/p>\n<p>+ \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 c\u00f3 th\u1ec3 th\u1ea5y d\u1ea5u hi\u1ec7u S1 Q3; kh\u00ed m\u00e1u c\u00f3 th\u1ec3 th\u1ea5y PaO<sub>2<\/sub> gi\u1ea3m v\u00e0 PaCO<sub>2<\/sub> gi\u1ea3m.<\/p>\n<p>&#8211; <b><i>X\u1eb9p ph\u1ed5i:<\/i><\/b> Th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf b\u1ec7nh nh\u00e2n \u0111ang th\u1edf m\u00e1y, do t\u1eafc \u0111\u1eddm. B\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n suy h\u00f4 h\u1ea5p, tuy nhi\u00ean r\u00ec r\u00e0o ph\u1ebf nang ph\u1ed5i b\u00ean t\u1ed5n th\u01b0\u01a1ng gi\u1ea3m, \u00e1p l\u1ef1c \u0111\u01b0\u1eddng th\u1edf t\u0103ng cao. Ch\u1ee5p X-quang th\u1ea5y ph\u1ed5i b\u00ean t\u1ed5n th\u01b0\u01a1ng m\u1edd v\u00e0 x\u1eb9p. \u0110i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu b\u1eb1ng h\u00fat \u0111\u1eddm, soi r\u1eeda ph\u1ebf qu\u1ea3n.<\/p>\n<p>&#8211; \u0110\u1eb7c bi\u1ec7t l\u01b0u \u00fd ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i b\u1ec7nh vi\u1ec7n v\u1edbi m\u1ed9t s\u1ed1 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd ph\u1ed5i kh\u00e1c c\u00f3 tr\u01b0\u1edbc khi nh\u1eadp vi\u1ec7n nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n ho\u1eb7c t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd ph\u1ed5i t\u1eeb tr\u01b0\u1edbc n\u1eb7ng l\u00ean do \u0111i\u1ec1u tr\u1ecb nh\u01b0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p lao ph\u1ed5i, n\u1ea5m ph\u1ed5i&#8230;<\/p>\n<p><b>2.3. Ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n g\u00e2y HAP, VAP, HCAP<\/b><\/p>\n<p>&#8211; Vi\u1ec7c x\u00e1c \u0111\u1ecbnh c\u0103n nguy\u00ean ph\u1ea3i d\u1ef1a v\u00e0o x\u00e9t nghi\u1ec7m vi sinh v\u1eadt c\u00e1c b\u1ec7nh ph\u1ea9m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi, m\u00e1u v\u00e0 ph\u1ea3n \u1ee9ng huy\u1ebft thanh.<\/p>\n<p>&#8211; C\u1ea5y m\u00e1u 2 l\u1ea7n \u1edf t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n nghi ng\u1edd HAP, VAP, HCAP.<\/p>\n<p>&#8211; Ph\u1ea3i l\u1ea5y b\u1ec7nh ph\u1ea9m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi c\u1ea5y t\u00ecm vi khu\u1ea9n tr\u01b0\u1edbc khi d\u00f9ng kh\u00e1ng sinh.<\/p>\n<p>&#8211; \u0110\u1eddm, d\u1ecbch ph\u1ebf qu\u1ea3n: nhu\u1ed9m gram, c\u1ea5y t\u00ecm vi khu\u1ea9n g\u00e2y b\u1ec7nh hi\u1ebfu kh\u00ed, k\u1ecb kh\u00ed.<\/p>\n<p>&#8211; B\u1ec7nh ph\u1ea9m qua n\u1ed9i soi ph\u1ebf qu\u1ea3n \u1ed1ng m\u1ec1m: r\u1eeda ph\u1ebf nang v\u00f9ng ph\u1ed5i t\u1ed5n th\u01b0\u01a1ng, ch\u1ea3i ph\u1ebf qu\u1ea3n b\u1eb1ng \u1ed1ng th\u00f4ng c\u00f3 n\u00fat b\u1ea3o v\u1ec7.<\/p>\n<p>&#8211; Ch\u1ea3i ph\u1ebf qu\u1ea3n m\u00f9 b\u1eb1ng \u1ed1ng th\u00f4ng c\u00f3 n\u00fat b\u1ea3o v\u1ec7 \u0111\u01b0a qua \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n khi kh\u00f4ng l\u00e0m \u0111\u01b0\u1ee3c n\u1ed9i soi ph\u1ebf qu\u1ea3n \u1ed1ng m\u1ec1m.<\/p>\n<p>&#8211; Nh\u00f3m vi khu\u1ea9n gram &#8211; \u00e2m, hi\u1ebfu kh\u00ed: <i>Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae, Serratia marcescens<\/i>, c\u00e1c ch\u1ee7ng <i>Enterobacter<\/i>, c\u00e1c ch\u1ee7ng <i>Proteus<\/i>, v\u00e0 c\u00e1c ch\u1ee7ng <i>Acinetobacter<\/i>.<\/p>\n<p>&#8211; Nh\u00f3m vi khu\u1ea9n Gram-d\u01b0\u01a1ng, hi\u1ebfu kh\u00ed: T\u1ee5 c\u1ea7u v\u00e0ng <i>(Staphylococcus aureus)<\/i>, \u0111\u1eb7c bi\u1ec7t <i>S. aureus<\/i> kh\u00e1ng methicilin.<\/p>\n<p>&#8211; <i>Streptococcus pneumoniae, Haemophilus influenzae<\/i>: Th\u01b0\u1eddng g\u00e2y vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i \u1edf c\u1ed9ng \u0111\u1ed3ng, tuy nhi\u00ean, do xu\u1ea5t hi\u1ec7n nh\u1eefng ch\u1ee7ng kh\u00e1ng penicilin, do v\u1eady c\u00f3 th\u1ec3 g\u00e2y vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i \u1edf b\u1ec7nh vi\u1ec7n trong m\u1ed9t s\u1ed1 \u00edt c\u00e1c tr\u01b0\u1eddng h\u1ee3p.<\/p>\n<p>&#8211; <i>Legionella pneumophila<\/i> v\u00e0 n\u1ea5m (c\u00e1c ch\u1ee7ng <i>Candida, Aspergillus fumigatus<\/i>): G\u00e2y vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i \u1edf b\u1ec7nh vi\u1ec7n cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p suy gi\u1ea3m mi\u1ec5n d\u1ecbch sau gh\u00e9p t\u1ea1ng ho\u1eb7c nhi\u1ec5m HIV.<\/p>\n<p>&#8211; Virus: Virus c\u00fam t\u00fdp A l\u00e0 c\u0103n nguy\u00ean kh\u00e1 th\u01b0\u1eddng g\u1eb7p g\u00e2y vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i \u1edf b\u1ec7nh vi\u1ec7n do c\u01a1 ch\u1ebf l\u00e2y truy\u1ec1n t\u1eeb b\u1ec7nh nh\u00e2n sang b\u1ec7nh nh\u00e2n. \u0110\u1eb7c bi\u1ec7t v\u1edbi tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m Coronavirus g\u00e2y d\u1ecbch vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh n\u1eb7ng (SARS) c\u00f3 th\u1ec3 l\u00e2y lan trong b\u1ec7nh vi\u1ec7n nhanh.<\/p>\n<p>Xem th\u00eam: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/nao-la-viem-phoi-benh-vien\/\">Th\u1ebf n\u00e0o l\u00e0 vi\u00eam ph\u1ed5i b\u1ec7nh vi\u1ec7n<\/a><\/p>\n<p>Ngu\u1ed3n t\u00e0i li\u1ec7u:\u00a0H\u01af\u1edaNG D\u1eaaN CH\u1ea8N \u0110O\u00c1N V\u00c0 \u0110I\u1ec0U TR\u1eca B\u1ec6NH H\u00d4 H\u1ea4P<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam ph\u1ed5i b\u1ec7nh vi\u1ec7n hi\u1ec7n \u0111ang l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng trong ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n, g\u00e2y ra kh\u00f3 kh\u0103n cho c\u1ea3 c\u00e1c b\u00e1c s\u0129 v\u00e0 b\u1ec7nh nh\u00e2n trong \u0111i\u1ec1u tr\u1ecb. Qua b\u00e0i vi\u1ebft n\u00e0y ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd n\u00e0y. 1. Vi\u00eam ph\u1ed5i b\u1ec7nh vi\u1ec7n [&hellip;]<\/p>\n","protected":false},"author":26,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vi\u00eam ph\u1ed5i b\u1ec7nh vi\u1ec7n: Ch\u1ea9n \u0111o\u00e1n - B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u00eam ph\u1ed5i b\u1ec7nh vi\u1ec7n hi\u1ec7n \u0111ang l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng trong ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n. 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