{"id":26728,"date":"2023-04-24T16:53:57","date_gmt":"2023-04-24T09:53:57","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26728"},"modified":"2023-04-24T16:53:57","modified_gmt":"2023-04-24T09:53:57","slug":"hoi-sinh-tim-phoi-co-ban-o-nguoi-lon","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/hoi-sinh-tim-phoi-co-ban-o-nguoi-lon\/","title":{"rendered":"H\u1ed3i sinh tim ph\u1ed5i c\u01a1 b\u1ea3n \u1edf ng\u01b0\u1eddi l\u1edbn"},"content":{"rendered":"

C\u1ea5p c\u1ee9u ng\u1eebng tu\u1ea7n ho\u00e0n l\u00e0 ph\u1ea7n quan tr\u1ecdng nh\u1ea5t trong h\u1ed3i sinh tim ph\u1ed5i khi x\u1ea3y ra ng\u1eebng tu\u1ea7n ho\u00e0n – h\u00f4 h\u1ea5p. M\u1ee5c ti\u00eau l\u00e0 duy tr\u00ec tu\u1ea7n ho\u00e0n v\u00e0 th\u00f4ng kh\u00ed th\u00edch h\u1ee3p t\u1edbi khi x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh \u0111\u01b0\u1ee3c c\u0103n nguy\u00ean g\u00e2y ng\u1eebng tu\u1ea7n ho\u00e0n. N\u1ebfu n\u00e3o ‘ kh\u00f4ng \u0111\u01b0\u1ee3c t\u01b0\u1edbi m\u00e1u \u0111\u1ea7y \u0111\u1ee7 trong 3 – 4 ph\u00fat (c\u00f3 th\u1ec3 \u00edt h\u01a1n n\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang thi\u1ebfu oxy) s\u1ebd d\u1eabn t\u1edbi t\u1ed5n th\u01b0\u01a1ng n\u00e3o kh\u00f4ng h\u1ed3i ph\u1ee5c. Quan tr\u1ecdng l\u00e0 ph\u1ea3i \u0111\u00e1nh gi\u00e1 th\u1eadt nhanh v\u00e0 b\u1eaft \u0111\u1ea7u ngay h\u1ed3i sinh tim ph\u1ed5i. <\/em><\/a><\/strong><\/p>\n

1.Ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n\u00a0<\/strong><\/h2>\n
    \n
  • \u0110\u1ea3m b\u1ea3o an to\u00e0n cho ng\u01b0\u1eddi c\u1ea5p c\u1ee9u v\u00e0 b\u1ec7nh nh\u00e2n.<\/li>\n
  • Ki\u1ec3m tra b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u00e1p \u1ee9ng kh\u00f4ng. Lay b\u1ec7nh nh\u00e2n v\u00e0 n\u00f3i to: \u201cAnh\/ch\u1ecb c\u00f3 l\u00e0m sao kh\u00f4ng?\u201d.<\/li>\n
  • N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u00e1p \u1ee9ng, \u0111\u1eb7t b\u1ec7nh nh\u00e2n \u1edf t\u01b0 th\u1ebf an to\u00e0n v\u00e0 c\u00f3 th\u1ec3 g\u1ecdi ng\u01b0\u1eddi \u0111\u1ebfn h\u1ed7 tr\u1ee3.<\/li>\n
  • N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u00e1p \u1ee9ng, b\u00e1o \u0111\u1ed9ng y\u00eau c\u1ea7u tr\u1ee3 gi\u00fap, g\u1ecdi to, nh\u1ea5n chu\u00f4ng b\u00e1o \u0111\u1ed9ng ho\u1eb7c g\u1ecdi \u0111i\u1ec7n tho\u1ea1i di \u0111\u1ed9ng v\u1edbi ch\u1ebf \u0111\u1ed9 b\u1eadt loa ngo\u00e0i cho \u0111\u1ed9i c\u1ea5p c\u1ee9u, c\u00f2n b\u1ea3n th\u00e2n ti\u1ebfn h\u00e0nh \u00e9p tim ngay, v\u1eeba \u00e9p v\u1eeba quan s\u00e1t ho\u1eb7c chuy\u1ec3n sang<\/li>\n
  • B\u01b0\u1edbc 2 (\u0111\u00e1nh gi\u00e1 h\u00f4 h\u1ea5p)<\/strong> n\u1ebfu ch\u01b0a ch\u1eafc ch\u1eafn l\u00e0 b\u1ec7nh nh\u00e2n \u0111\u00e3 ng\u1eebng tim v\u00e0 ng\u1eebng th\u1edf (l\u01b0u \u00fd: Th\u1eddi gian d\u00e0nh cho b\u01b0\u1edbc n\u00e0y c\u00e0ng nhanh c\u00e0ng t\u1ed1t, t\u1ed1i \u0111a kh\u00f4ng qu\u00e1 10 gi\u00e2y <\/em>).<\/li>\n<\/ul>\n

    2.\u0110\u00e1nh gi\u00e1 h\u00f4 h\u1ea5p, \u0111\u01b0\u1eddng th\u1edf<\/strong><\/h2>\n
      \n
    • Khai th\u00f4ng \u0111\u01b0\u1eddng th\u1edf: <\/em><\/strong>\u0110\u1eb7t hai ng\u00f3n tay \u1edf d\u01b0\u1edbi c\u1eb1m, ng\u1eeda \u0111\u1ea7u b\u1ec7nh nh\u00e2n l\u00ean.<\/li>\n
    • N\u1ebfu th\u1ea5t b\u1ea1i, \u0111\u1eb7t ng\u00f3n tay ph\u00eda sau g\u00f3c x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi v\u00e0 gi\u1eef l\u1ef1c h\u01b0\u1edbng l\u00ean tr\u00ean v\u00e0 ra tr\u01b0\u1edbc. Lo\u1ea1i b\u1ecf r\u0103ng gi\u1ea3 v\u00e0 b\u1ea5t c\u1ee9 v\u1eadt g\u00e2y t\u1eafc ngh\u1ebdn n\u00e0o nh\u00ecn th\u1ea5y \u0111\u01b0\u1ee3c trong mi\u1ec7ng b\u1ec7nh nh\u00e2n. N\u1ebfu b\u1ec7nh nh\u00e2n b\u1eaft \u0111\u1ea7u th\u1edf, xoay b\u1ec7nh nh\u00e2n t\u1edbi t\u01b0 th\u1ebf an to\u00e0n v\u00e0 c\u1ed1 g\u1eafng gi\u1eef \u0111\u01b0\u1eddng th\u1edf t\u1edbi khi \u0111\u1eb7t \u0111\u01b0\u1ee3c d\u1ee5ng c\u1ee5 ng\u0103n t\u1ee5t l\u01b0\u1ee1i cho b\u1ec7nh nh\u00e2n.<\/li>\n
    • Gi\u1eef \u0111\u01b0\u1eddng th\u1edf th\u00f4ng tho\u00e1ng, quan s\u00e1t, nghe v\u00e0 c\u1ea3m nh\u1eadn h\u00f4 h\u1ea5p c\u1ee7a b\u1ec7nh nh\u00e2n: Nh\u00ecn v\u1eadn \u0111\u1ed9ng l\u1ed3ng ng\u1ef1c, nghe \u00e2m th\u1edf \u1edf mi\u1ec7ng b\u1ec7nh nh\u00e2n v\u00e0 c\u1ea3m nh\u1eadn lu\u1ed3ng kh\u00ed th\u1edf v\u00e0o m\u00e1 ng\u01b0\u1eddi c\u1ea5p c\u1ee9u (kh\u00f4ng qu\u00e1 10 gi\u00e2y).<\/li>\n
    • N\u1ebfu b\u1ec7nh nh\u00e2n t\u1ef1 th\u1edf \u0111\u01b0\u1ee3c, chuy\u1ec3n b\u1ec7nh nh\u00e2n v\u1ec1 t\u01b0 th\u1ebf an to\u00e0n, ti\u1ebfp t\u1ee5c \u00a0\u00a0ki\u1ec3m so\u00e1t nh\u1ecbp th\u1edf v\u00e0 t\u00ecm ki\u1ebfm tr\u1ee3 gi\u00fap.<\/li>\n
    • N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1edf ho\u1eb7c ch\u1ec9 th\u1edf ng\u1eaft qu\u00e3ng ho\u1eb7c th\u1edf y\u1ebfu, b\u00e1o cho ng\u01b0\u1eddi b\u00ean c\u1ea1nh (ho\u1eb7c t\u00ecm tr\u1ee3 gi\u00fap n\u1ebfu c\u00f3 1 m\u00ecnh). B\u1eaft \u0111\u1ea7u h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p b\u1eb1ng c\u00e1ch h\u00f4 h\u1ea5p nh\u00e2n t\u1ea1o (b\u00f3p b\u00f3ng ho\u1eb7c th\u1ed5i ng\u1ea1t) v\u1edbi 2 nh\u1ecbp b\u00f3p ch\u1eadm, s\u00e2u, c\u00f3 hi\u1ec7u qu\u1ea3 l\u00e0m ph\u1ed3ng v\u00e0 x\u1eb9p r\u00f5 r\u1ec7t l\u1ed3ng ng\u1ef1c b\u1ec7nh nh\u00e2n (c\u00f3 th\u1ec3 b\u1ecf qua b\u01b0\u1edbc n\u00e0y v\u00e0 ti\u1ebfn h\u00e0nh c\u1ea5p c\u1ee9u ng\u1eebng tu\u1ea7n ho\u00e0n ngay n\u1ebfu b\u1ec7nh nh\u00e2n th\u1edf ch\u1ec9 th\u1edf ng\u00e1p ).<\/li>\n<\/ul>\n

      3.\u0110\u00e1nh gi\u00e1 tu\u1ea7n ho\u00e0n<\/h2>\n
        \n
      • \u0110\u00e1nh gi\u00e1 d\u1ea5u hi\u1ec7u tu\u1ea7n ho\u00e0n b\u1eb1ng b\u1eaft m\u1ea1ch c\u1ea3nh, m\u1ea1ch b\u1eb9n nh\u01b0ng kh\u00f4ng qu\u00e1 10 gi\u00e2y.<\/li>\n
      • N\u1ebfu c\u00f3 m\u1ea1ch b\u1eb9n ho\u1eb7c m\u1ea1ch c\u1ea3nh nh\u01b0ng b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1edf: <\/strong>Ti\u1ebfp t\u1ee5c h\u1ed3i s\u1ee9c h\u00f4 h\u1ea5p v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p v\u00e0 tu\u1ea7n ho\u00e0n m\u1ed7i 10 nh\u1ecbp th\u1edf (m\u1ed7i nh\u1ecbp th\u1edf kho\u1ea3ng 6 gi\u00e2y).<\/li>\n
      • N\u1ebfu kh\u00f4ng c\u00f3 m\u1ea1ch c\u1ea3nh ho\u1eb7c m\u1ea1ch b\u1eb9n: <\/strong>\u00c9p tim ngay t\u1ea7n s\u1ed1 \u00e9p 100 – 120 nh\u1ecbp\/ph\u00fat<\/em>. Ph\u1ed1i h\u1ee3p \u00e9p tim v\u00e0 th\u1ed5i ng\u1ea1t\/b\u00f3p b\u00f3ng, t\u1ef7 l\u1ec7 t\u01b0\u01a1ng \u1ee9ng 30\/2 (30 nh\u1ecbp \u00e9p tim, 2 l\u1ea7n th\u1ed5i ng\u1ea1t\/b\u00f3p b\u00f3ng).<\/li>\n
      • T\u1ef7 l\u1ec7 \u00e9p tim v\u00e0 h\u00f4 h\u1ea5p nh\u00e2n t\u1ea1o t\u01b0\u01a1ng t\u1ef1 v\u1edbi h\u1ed3i sinh tim ph\u1ed5i v\u1edbi 2 ng\u01b0\u1eddi c\u1ea5p c\u1ee9u (Theo h\u01b0\u1edbng d\u1eabn h\u1ed3i sinh tim ph\u1ed5i c\u01a1 b\u1ea3n c\u1ee7a H\u1ed9i H\u1ed3i s\u1ee9c Ch\u00e2u \u00c2u n\u0103m 2015).<\/li>\n<\/ul>\n

        \"H\u1ed3i<\/p>\n

        Th\u1ee9 t\u1ef1 h\u1ed3i sinh tim ph\u1ed5i c\u01a1 b\u1ea3n<\/strong><\/p>\n

        4.M\u1ed9t s\u1ed1 \u0111i\u1ec3m c\u1eadp nh\u1eadt v\u00e0 l\u01b0u \u00fd trong h\u1ed3i sinh tim ph\u1ed5i c\u01a1 b\u1ea3n<\/strong><\/h2>\n
          \n
        • Ph\u1ea3i ngay l\u1eadp t\u1ee9c g\u1ecdi c\u1ea5p c\u1ee9u khi g\u1eb7p ng\u01b0\u1eddi ng\u1eebng tu\u1ea7n ho\u00e0n (c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb di \u0111\u1ed9ng m\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i r\u1eddi kh\u1ecfi b\u1ec7nh nh\u00e2n).<\/li>\n
        • Ph\u1ea3i b\u1eaft \u0111\u1ea7u c\u1ea5p c\u1ee9u ng\u1eebng tu\u1ea7n ho\u00e0n ngay l\u1eadp t\u1ee9c khi b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1edf hay c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u th\u1edf b\u1ea5t th\u01b0\u1eddng (th\u1edf ng\u00e1p c\u00e1).<\/li>\n
        • Th\u1ee9 t\u1ef1 c\u1ea5p c\u1ee9u l\u00e0 \u00e9p tim – ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng th\u1edf – h\u00f4 h\u1ea5p nh\u00e2n t\u1ea1o (CAB) n\u1ebfu ch\u1ec9 c\u00f3 1 ng\u01b0\u1eddi c\u1ea5p c\u1ee9u ban \u0111\u1ea7u. B\u1eaft \u0111\u1ea7u \u00e9p tim tr\u01b0\u1edbc khi h\u00f4 h\u1ea5p nh\u00e2n t\u1ea1o (th\u1ed5i ng\u1ea1t\/b\u00f3p b\u00f3ng) \u0111\u1ec3 gi\u1ea3m thi\u1ec3u th\u1eddi gian b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n, t\u1ef7 l\u1ec7 \u00e9p tim\/ h\u00f4 h\u1ea5p nh\u00e2n t\u1ea1o l\u00e0 30\/2.<\/li>\n
        • \u00c9p tim c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng cao khi \u0111\u1ea1t \u0111\u01b0\u1ee3c t\u1ea7n s\u1ed1 v\u00e0 t\u1ed1c \u0111\u1ed9 \u0111\u00fang, \u0111\u1ec3 l\u1ed3ng ng\u1ef1c n\u1edf l\u1ea1i ho\u00e0n to\u00e0n tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u00e9p nh\u1ecbp ti\u1ebfp theo, h\u1ea1n ch\u1ebf t\u1ed1i \u0111a th\u1eddi gian ngh\u1ec9 gi\u1eefa c\u00e1c l\u1ea7n \u00e9p, tr\u00e1nh th\u00f4ng kh\u00ed qu\u00e1 m\u1ee9c.<\/li>\n
        • T\u1ea7n s\u1ed1 \u00e9p tim khuy\u1ebfn c\u00e1o t\u1eeb 100 – 120 nh\u1ecbp\/ph\u00fat.<\/li>\n
        • \u0110\u1ed9 l\u00fan c\u1ee7a l\u1ed3ng ng\u1ef1c khi \u00e9p tim \u00edt nh\u1ea5t l\u00e0 5 cm nh\u01b0ng kh\u00f4ng qu\u00e1 6 cm (d\u1ec5 g\u00e2y ch\u1ea5n th\u01b0\u01a1ng l\u1ed3ng ng\u1ef1c).<\/li>\n
        • Trong ph\u00e1c \u0111\u1ed3 c\u1ea5p c\u1ee9u ng\u1eebng tu\u1ea7n ho\u00e0n c\u01a1 b\u1ea3n, khuy\u1ebfn c\u00e1o n\u0103m 2015 c\u1ee7a H\u1ed9i tim m\u1ea1ch h\u1ecdc Hoa K\u1ef3 nh\u1ea5n m\u1ea1nh vi\u1ec7c \u201cti\u1ebfn h\u00e0nh s\u1edbm v\u00e0 th\u1ef1c hi\u1ec7n \u0111\u00fang k\u1ef9 thu\u1eadt \u00e9p tim\u201d<\/strong>. Sau khi g\u1ecdi tr\u1ee3 gi\u00fap ph\u1ea3i ngay l\u1eadp t\u1ee9c ti\u1ebfn h\u00e0nh \u00e9p tim.<\/li>\n
        • N\u1ebfu ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o ho\u1eb7c kh\u00f4ng bi\u1ebft c\u00e1ch th\u1ef1c hi\u1ec7n \u0111\u00fang k\u1ef9 thu\u1eadt th\u1ed5i ng\u1ea1t, ch\u1ec9 c\u1ea7n \u00e9p tim \u0111\u01a1n thu\u1ea7n.<\/li>\n
        • N\u1ebfu \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u00e0 bi\u1ebft c\u00e1ch th\u1ed5i ng\u1ea1t \u0111\u00fang, v\u1eabn ph\u1ea3i b\u1eaft \u0111\u1ea7u b\u1eb1ng \u00e9p tim 30 nh\u1ecbp tr\u01b0\u1edbc, sau \u0111\u00f3 th\u1ed5i ng\u1ea1t 2 l\u1ea7n.<\/li>\n
        • Qu\u00e1 tr\u00ecnh \u00e9p tim ph\u1ea3i \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh li\u00ean t\u1ee5c t\u1edbi khi c\u00f3 chuy\u00ean vi\u00ean y t\u1ebf ho\u1eb7c c\u00f3 m\u00e1y ph\u00e1 rung t\u1ef1 \u0111\u1ed9ng (AED: automated external defibrillator) ho\u1eb7c khi c\u00f3 d\u1ea5u hi\u1ec7u tu\u1ea7n ho\u00e0n \u0111\u01b0\u1ee3c kh\u00f4i ph\u1ee5c .<\/li>\n<\/ul>\n

          M\u1ee5c ti\u00eau l\u00e0 duy tr\u00ec tu\u1ea7n ho\u00e0n v\u00e0 th\u00f4ng kh\u00ed th\u00edch h\u1ee3p t\u1edbi khi x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh \u0111\u01b0\u1ee3c c\u0103n nguy\u00ean g\u00e2y ng\u1eebng tu\u1ea7n ho\u00e0n. N\u1ebfu n\u00e3o ‘ kh\u00f4ng \u0111\u01b0\u1ee3c t\u01b0\u1edbi m\u00e1u \u0111\u1ea7y \u0111\u1ee7 trong 3 – 4 ph\u00fat (c\u00f3 th\u1ec3 \u00edt h\u01a1n n\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang thi\u1ebfu oxy) s\u1ebd d\u1eabn t\u1edbi t\u1ed5n th\u01b0\u01a1ng n\u00e3o kh\u00f4ng h\u1ed3i ph\u1ee5c. Quan tr\u1ecdng l\u00e0 ph\u1ea3i \u0111\u00e1nh gi\u00e1 th\u1eadt nhanh v\u00e0 b\u1eaft \u0111\u1ea7u ngay h\u1ed3i sinh tim ph\u1ed5i.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

          C\u1ea5p c\u1ee9u ng\u1eebng tu\u1ea7n ho\u00e0n l\u00e0 ph\u1ea7n quan tr\u1ecdng nh\u1ea5t trong h\u1ed3i sinh tim ph\u1ed5i khi x\u1ea3y ra ng\u1eebng tu\u1ea7n ho\u00e0n – h\u00f4 h\u1ea5p. M\u1ee5c ti\u00eau l\u00e0 duy tr\u00ec tu\u1ea7n ho\u00e0n v\u00e0 th\u00f4ng kh\u00ed th\u00edch h\u1ee3p t\u1edbi khi x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh \u0111\u01b0\u1ee3c c\u0103n nguy\u00ean g\u00e2y ng\u1eebng tu\u1ea7n ho\u00e0n. N\u1ebfu n\u00e3o […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[23,33],"tags":[],"yoast_head":"\nH\u1ed3i sinh tim ph\u1ed5i c\u01a1 b\u1ea3n \u1edf ng\u01b0\u1eddi l\u1edbn<\/title>\n<meta name=\"description\" content=\"H\u1ed3i sinh tim ph\u1ed5i c\u01a1 b\u1ea3n l\u00e0 c\u1ea5p c\u1ee9u th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 t\u1ea1i khoa c\u1ea5p c\u1ee9u. 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