{"id":2663,"date":"2023-04-13T16:20:32","date_gmt":"2023-04-13T09:20:32","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2663"},"modified":"2023-04-14T12:28:24","modified_gmt":"2023-04-14T05:28:24","slug":"ton-thuong-phoi-do-may-tho-dieu-tri-va-du-phong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/ton-thuong-phoi-do-may-tho-dieu-tri-va-du-phong\/","title":{"rendered":"T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf: \u0110i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng"},"content":{"rendered":"<p><strong>T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf (ventilator-induced lung injury &#8211; VILI) l\u00e0 m\u1ed9t t\u00e1c \u0111\u1ed9ng kh\u00f4ng mong mu\u1ed1n c\u00f3 th\u1ec3 c\u00f3 c\u1ee7a th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o. T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf th\u01b0\u1eddng \u0111\u01b0\u1ee3c quan s\u00e1t \u1edf b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c th\u1edf m\u00e1y v\u00ec h\u1ed9i ch\u1ee9ng nguy k\u1ecbch h\u00f4 h\u1ea5p c\u1ea5p (Acute respiratory distres syndrome &#8211; ARDS). VILI c\u00f3 th\u1ec3 g\u00e2y ra th\u00eam t\u1ed5n th\u01b0\u01a1ng cho m\u00f4 ph\u1ed5i v\u00e0 l\u00e0m t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng h\u01a1n, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong. Do \u0111\u00f3, s\u1edbm ch\u1ea9n \u0111o\u00e1n v\u00e0 c\u00f3 c\u00e1c chi\u1ebfn l\u01b0\u1ee3c \u0111\u1ec3 qu\u1ea3n l\u00fd t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf c\u00f3 vai tr\u00f2 r\u1ea5t quan tr\u1ecdng trong chi\u1ebfn l\u01b0\u1ee3c can thi\u1ec7p th\u00f4ng kh\u00ed c\u01a1 h\u1ecdc.<\/strong><\/p>\n<p>T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf l\u00e0 m\u1ed9t ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng, ch\u1ee7 y\u1ebfu d\u1ef1a tr\u00ean c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng, k\u1ef9 l\u01b0\u1ee3ng lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p \u1edf b\u1ec7nh nh\u00e2n \u0111ang \u0111\u01b0\u1ee3c th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o \u00e1p l\u1ef1c d\u01b0\u01a1ng. B\u1ed1i c\u1ea3nh c\u1ee7a VILI th\u01b0\u1eddng l\u00e0 b\u1ec7nh nh\u00e2n \u0111ang th\u1edf m\u00e1y c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p ti\u1ebfn tri\u1ec3n x\u1ea5u h\u01a1n. Bi\u1ec3u hi\u1ec7n c\u00f3 th\u1ec3 l\u00e0 t\u0103ng nh\u1ecbp tim kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c hay t\u0103ng nh\u1ecbp th\u1edf \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n cho ph\u00e9p c\u00f3 c\u00e1c nh\u1ecbp th\u1edf t\u1ef1 ph\u00e1t. VILI c\u0169ng c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n kh\u1edfi ph\u00e1t g\u00e2y suy t\u1ea1ng m\u1edbi xu\u1ea5t hi\u1ec7n tr\u00ean b\u1ec7nh nh\u00e2n th\u1edf m\u00e1y. C\u00e1c c\u1eadn l\u00e2m s\u00e0ng ph\u00f9 h\u1ee3p gi\u00fap ch\u1ea9n \u0111o\u00e1n d\u1ef1a tr\u00ean c\u00e1c d\u1eef ki\u1ec7n l\u00e2m s\u00e0ng thu th\u1eadp \u0111\u01b0\u1ee3c c\u00f3 th\u1ec3 l\u00e0 c\u00e1c test h\u00f3a sinh (men tim, men t\u1ee5y, \u0111\u00f4ng c\u1ea7m m\u00e1u, marker nhi\u1ec5m tr\u00f9ng, D-Dimer&#8230;) hay h\u00ecnh \u1ea3nh h\u1ecdc (X quang ng\u1ef1c hay CT n\u1ebfu c\u1ea7n thi\u1ebft) v\u00e0 \u0111i\u1ec7n tim.<\/p>\n<figure style=\"width: 406px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/pneumoniaresearchnews.com\/wp-content\/uploads\/2017\/03\/shutterstock_158642774-760x475@2x.jpeg\" alt=\"minh-hoa-ton-thuong-phoi-do-may-tho\" width=\"406\" height=\"271\" \/><figcaption class=\"wp-caption-text\">Minh ho\u1ea1 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf<\/figcaption><\/figure>\n<h2>1. \u0110i\u1ec1u tr\u1ecb t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf<\/h2>\n<p>Ch\u01b0a c\u00f3 \u0111\u1ed3ng thu\u1eadn r\u1ed9ng r\u00e3i v\u1ec1 chi\u1ebfn l\u01b0\u1ee3t qu\u1ea3n l\u00fd t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf. \u00a0D\u1ef1a theo h\u01b0\u1edbng d\u1eabn t\u1eeb c\u00e1c chuy\u00ean gia thu\u1ed9c chuy\u00ean trang <em>Uptodate<\/em>, khi nghi ng\u1edd VILI tr\u00ean b\u1ec7nh nh\u00e2n th\u1edf m\u00e1y, c\u1ea7n ti\u1ebfn h\u00e0nh \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 v\u00e0 th\u00f4ng s\u1ed1 c\u1ee7a m\u00e1y th\u1edf ph\u00f9 h\u1ee3p v\u1edbi chi\u1ebfn l\u01b0\u1ee3t th\u00f4ng kh\u00ed b\u1ea3o v\u1ec7 ph\u1ed5i \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ARDS \u0111\u1ec3 ng\u0103n ch\u1eb7n nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ti\u1ebfp di\u1ec5n tr\u00ean ph\u1ed5i. C\u00f3 hai nh\u00f3m chi\u1ebfn l\u01b0\u1ee3t \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn nh\u01b0 sau:<\/p>\n<ul>\n<li><strong>Chi\u1ebfn l\u01b0\u1ee3t h\u00e0ng \u0111\u1ea7u:<\/strong> chi\u1ebfn l\u01b0\u1ee3t n\u00e0y t\u01b0\u01a1ng t\u1ef1 v\u1edbi chi\u1ebfn l\u01b0\u1ee3t th\u00f4ng kh\u00ed b\u1ea3o v\u1ec7 ph\u1ed5i thi\u1ebft k\u1ebf cho b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ea9n \u0111o\u00e1n ARDS. \u0110\u1ec3 gi\u1ea3m thi\u1ec3u s\u1ef1 c\u0103n ph\u1ed3ng qu\u00e1 m\u1ee9c c\u1ee7a c\u00e1c ph\u1ebf nang, th\u1ec3 t\u00edch kh\u00ed l\u01b0u th\u00f4ng c\u1ea7n duy tr\u00ec d\u01b0\u1edbi m\u1ee9c 6mL tr\u00ean m\u1ed7i c\u00e2n n\u1eb7ng \u01b0\u1edbc t\u00ednh v\u00e0 duy tr\u00ec \u00e1p su\u1ea5t b\u00ecnh nguy\u00ean \u226430 cm H2O khi s\u1eed d\u1ee5ng th\u00f4ng kh\u00ed \u00e1p l\u1ef1c d\u01b0\u01a1ng \u0111\u01b0\u1eddng th\u1edf cu\u1ed1i th\u00ec th\u1edf ra (PEEP). C\u00e1c d\u1eef li\u1ec7u c\u1ea7n \u0111\u00e2y cho th\u1ea5y, \u00e1p l\u1ef1c \u0111\u1ea9y (driving force) \u00a0&#8211; hi\u1ec7u s\u1ed1 gi\u1eefa \u00e1p l\u1ef1c b\u00ecnh nguy\u00ean v\u00e0 \u00e1p l\u1ef1c d\u01b0\u01a1ng \u0111\u01b0\u1eddng th\u1edf cu\u1ed1i k\u1ef3 th\u1edf ra c\u00f3 t\u01b0\u01a1ng quan cao v\u1edbi k\u1ebft c\u1ee5c c\u1ee7a c\u00e1c b\u1ec7nh nh\u00e2n ARDS. \u0110\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n suy h\u00f4 h\u1ea5p kh\u00f4ng do ARDS, chi\u1ebfn l\u01b0\u1ee3t th\u00f4ng kh\u00ed khi c\u00f3 nghi ng\u1edd t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf c\u0169ng \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh t\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ARDS. Giao th\u1ee9c kh\u1edfi \u0111\u1ed9ng th\u00f4ng kh\u00ed b\u1ea3o v\u1ec7 ph\u1ed5i \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn kh\u00e1 chi ti\u1ebft b\u1edfi M\u1ea1ng l\u01b0\u1edbi L\u00e2m s\u00e0ng ARDS (ARDS Clinical Network) v\u00e0 c\u00f3 th\u1ec3 tham kh\u1ea3o t\u1ea1i \u0111\u1ecba ch\u1ec9 http:\/\/www.ardsnet.org\/tools.shtml<\/li>\n<li><strong>Chi\u1ebfn l\u01b0\u1ee3t h\u00e0ng hai<\/strong>: chi\u1ebfn l\u01b0\u1ee3t n\u00e0y \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc khi h\u01b0\u1edbng d\u1eabn th\u00f4ng kh\u00ed b\u1ea3o v\u1ec7 ph\u1ed5i h\u00e0ng \u0111\u1ea7u \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u b\u00ean tr\u00ean kh\u00f4ng th\u00e0nh c\u00f4ng. \u00a0C\u00e1c chi\u1ebfn l\u01b0\u1ee3t h\u00e0ng hai l\u00e0 c\u00e1c chi\u1ebfn l\u01b0\u1ee3c ch\u01b0a c\u00f3 nhi\u1ec1u b\u1eb1ng ch\u1ee9ng li\u00ean quan \u0111\u1ebfn h\u1ea1n ch\u1ebf t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i \u1edf b\u1ec7nh nh\u00e2n ARDS.\n<ul>\n<li>\u00c1p l\u1ef1c d\u01b0\u01a1ng \u0111\u01b0\u1eddng th\u1edf cu\u1ed1i th\u00ec th\u1edf ra (PEEP) cao: m\u1ee5c ti\u00eau l\u00e0 l\u1ef1a ch\u1ecdn \u00e1p m\u1ee9c PEEP cao nh\u01b0ng c\u00f3 t\u00e1c d\u1ee5ng c\u1ea3i thi\u1ec7n oxy h\u00f3a m\u00e1u nh\u01b0ng v\u1eabn \u0111\u1ea3m b\u1ea3o huy\u1ebft \u0111\u1ed9ng, c\u00f2n g\u1ecdi l\u00e0 th\u00f4ng kh\u00ed m\u1edf ph\u1ed5i hay nghi\u1ec7m ph\u00e1p chi\u00eau m\u1ed9 (recruitment maneuver). C\u00f3 th\u1ec3 hi\u1ec7u ch\u1ec9nh \u0111\u1ec3 l\u1ef1a ch\u1ecdn m\u1ee9c PEEP c\u00f3 \u00e1c d\u1ee5ng \u00a0t\u1ed1i \u01b0u tr\u00ean huy\u1ebft \u0111\u1ed9ng, t\u01b0\u1edbi m\u00e1u ph\u1ed5i v\u00e0 h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed; nh\u01b0ng \u0111\u1ed3ng th\u1eddi c\u0169ng ph\u1ea3i \u0111\u1ea3m b\u1ea3o \u00edt g\u00e2y t\u1ed5n th\u01b0\u01a1ng l\u00ean h\u1ec7 h\u00f4 h\u1ea5p.<\/li>\n<li>D\u00e3n c\u01a1: c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc \u0111\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p \u1edf c\u00e1c b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 dung n\u1ea1p v\u1edbi m\u00e1y th\u1edf m\u1eb7c d\u00f9 \u0111\u00e3 s\u1eed d\u1ee5ng an th\u1ea7n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n \u0111\u1ed9 \u0111\u00e0n h\u1ed3i c\u1ee7a h\u1ec7 h\u00f4 h\u1ea5p, gi\u00fap gi\u1ea3m \u00e1p l\u1ef1c l\u00ean ph\u1ebf nang v\u00e0 \u0111\u01b0\u1eddng th\u1edf \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ch\u1ecdn l\u1ecdc.<\/li>\n<li>N\u1eb1m s\u1ea5p: t\u01b0 th\u1ebf n\u1eb1m s\u1ea5p \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 l\u1ee3i trong c\u1ea3i thi\u1ec7n oxy h\u00f3a m\u00e1u \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ARDS n\u1eb7ng. T\u01b0 th\u1ebf n\u00e0y c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n h\u1ec7 s\u1ed1 th\u00f4ng kh\u00ed\/t\u01b0\u1edbi m\u00e1u (V\/Q), gi\u00fap t\u0103ng h\u1ed3i l\u01b0u t\u0129nh m\u1ea1ch, qua \u0111\u00f3 t\u0103ng cung l\u01b0\u1ee3ng tim v\u00e0 t\u01b0\u1edbi m\u00e1u ph\u1ed5i. Hi\u1ec7u qu\u1ea3 c\u1ee7a t\u01b0 th\u1ebf n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh r\u00f5 r\u00e0ng, n\u00ean vi\u1ec7c \u00e1p d\u1ee5ng c\u1ea7n c\u00e2n nh\u1eafc gi\u1eefa l\u1ee3i \u00edch, nguy c\u01a1 v\u00e0 kinh nghi\u1ec7m ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n trong t\u01b0 th\u1ebf n\u00e0y. C\u00e1c y v\u0103n hi\u1ec7n nay \u0111\u1ec1 ngh\u1ecb ph\u01b0\u01a1ng ph\u00e1p n\u00e0y nh\u01b0 m\u1ed9t bi\u1ec7n ph\u00e1p b\u1ed5 sung cho c\u00e1c can thi\u1ec7p h\u00e0ng \u0111\u1ea7u kh\u00e1c.<\/li>\n<li>Oxy h\u00f3a qua m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3 (Extracorporeal membrane oxygenation &#8211; ECMO): m\u1ed9t chi\u1ebfn l\u01b0\u1ee3t gi\u00fap gi\u1ea3m t\u1ed5n th\u01b0\u01a1ng do th\u00f4ng kh\u00ed c\u01a1 h\u1ecdc l\u00ean ph\u1ed5i b\u1eb1ng c\u00e1ch cho ph\u00e9p trao \u0111\u1ed5i kh\u00ed qua h\u1ec7 th\u1ed1ng ECMO. Nh\u1eefng d\u1eef ki\u1ec7n ban \u0111\u1ea7u cho th\u1ea5y ECMO c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n k\u1ebft c\u1ee5c \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ARDS r\u1ea5t n\u1eb7ng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>2. D\u1ef1 ph\u00f2ng t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf<\/h2>\n<p>VILI l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng g\u00e2y ra do nh\u1eefng can thi\u1ec7p \u0111i\u1ec1u tr\u1ecb y t\u1ebf l\u00ean b\u1ec7nh nh\u00e2n, do v\u1eady, d\u1ef1 ph\u00f2ng VILI c\u1ea7n \u0111\u01b0\u1ee3c ch\u00fa tr\u1ecdng ph\u1ed1i h\u1ee3p v\u1edbi ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb VILI. \u0110\u1ec3 ch\u1ee7 \u0111\u1ed9ng h\u1ea1n ch\u1ebf VILI, m\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p sau \u0111\u00e2y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc \u00e1p d\u1ee5ng:<\/p>\n<ul>\n<li>Ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p c\u00e1c b\u1ec7nh l\u00fd c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i \u0111\u1ed9 d\u00e3n n\u1edf c\u1ee7a ph\u1ed5i.<\/li>\n<li>L\u1ef1a ch\u1ecdn c\u00e1c ch\u1ebf \u0111\u1ed9 th\u1edf v\u00e0 th\u00f4ng s\u1ed1 ph\u00f9 h\u1ee3p cho m\u1ed7i b\u1ec7nh nh\u00e2n. \u0110\u1eb7c bi\u1ec7t l\u00e0 VT, PEEP v\u00e0 \u00e1p su\u1ea5t b\u00ecnh nguy\u00ean. C\u00e1c m\u1ee5c ti\u00eau c\u1ee5 th\u1ec3 \u00a0gi\u00fap d\u1ef1 ph\u00f2ng bi\u1ebfn ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i c\u00f3 th\u1ec3 tham kh\u1ea3o chi\u1ebfn l\u01b0\u1ee3ng th\u00f4ng kh\u00ed b\u1ea3o v\u1ec7 ph\u1ed5i.<\/li>\n<li>Theo d\u00f5i c\u1ea9n th\u1eadn nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang \u0111\u01b0\u1ee3c th\u00f4ng kh\u00ed c\u01a1 h\u1ecdc. Th\u01b0\u1eddng xuy\u00ean \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng c\u1ee7a h\u1ec7 h\u00f4 h\u1ea5p, s\u1ef1 dung n\u1ea1p th\u1edf m\u00e1y c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c c\u01a1 quan kh\u00e1c gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm \u0111\u1ec3 qu\u1ea3n l\u00fd hi\u1ec7u qu\u1ea3 VILI.<\/li>\n<\/ul>\n<p>Khi s\u1eed d\u1ee5ng m\u00e1y th\u1edf nh\u00e2n t\u1ea1o, c\u00e1c chuy\u00ean gia y t\u1ebf t\u1ea1i <a href=\"https:\/\/vinmec.com\/vi\/dangkykham\/\">Vinmec<\/a> lu\u00f4n c\u1eadp nh\u1eadt ki\u1ebfn th\u1ee9c v\u00e0 k\u1ef9 n\u0103ng \u0111\u1ec3 \u00e1p d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt ti\u1ebfn b\u1ed9 v\u00e0 cung c\u1ea5p ch\u0103m s\u00f3c t\u1ed1t nh\u1ea5t cho b\u1ec7nh nh\u00e2n.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf (ventilator-induced lung injury &#8211; VILI) l\u00e0 m\u1ed9t t\u00e1c \u0111\u1ed9ng kh\u00f4ng mong mu\u1ed1n c\u00f3 th\u1ec3 c\u00f3 c\u1ee7a th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o. T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf th\u01b0\u1eddng \u0111\u01b0\u1ee3c quan s\u00e1t \u1edf b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c th\u1edf m\u00e1y v\u00ec h\u1ed9i ch\u1ee9ng nguy k\u1ecbch h\u00f4 h\u1ea5p c\u1ea5p (Acute respiratory distres syndrome &#8211; [&hellip;]<\/p>\n","protected":false},"author":37,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[23,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf: \u0110i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng - Vinmec<\/title>\n<meta name=\"description\" content=\"VILI c\u00f3 th\u1ec3 g\u00e2y ra th\u00eam t\u1ed5n th\u01b0\u01a1ng cho m\u00f4 ph\u1ed5i, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong s\u1edbm ch\u1ea9n \u0111o\u00e1n v\u00e0 qu\u1ea3n l\u00fd t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf r\u1ea5t quan tr\u1ecdng\" \/>\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=\"T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do m\u00e1y th\u1edf: \u0110i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng - 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