{"id":27221,"date":"2023-04-23T22:56:13","date_gmt":"2023-04-23T15:56:13","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27221"},"modified":"2023-04-23T22:56:13","modified_gmt":"2023-04-23T15:56:13","slug":"tang-ap-luc-noi-so-dinh-nghia-nguyen-nhan-va-chan-doan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/tang-ap-luc-noi-so-dinh-nghia-nguyen-nhan-va-chan-doan\/","title":{"rendered":"T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd: \u0110\u1ecbnh ngh\u0129a, nguy\u00ean nh\u00e2n v\u00e0 ch\u1ea9n \u0111o\u00e1n"},"content":{"rendered":"

T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd (increased intracranial pressure<\/a>) l\u00e0 t\u00ecnh tr\u1ea1ng t\u0103ng \u00e1p l\u1ef1c trong khoang n\u1ed9i s\u1ecd, g\u00e2y ra \u00e1p l\u1ef1c tr\u00ean n\u00e3o v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u cung c\u1ea5p m\u00e1u cho n\u00e3o. T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau g\u00e2y n\u00ean. T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m \u0111e d\u1ecda t\u00ednh m\u1ea1ng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. Vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 x\u1eed tr\u00ed t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 t\u1ed1i \u01b0u h\u00f3a k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n.\u00a0<\/strong><\/p>\n

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H\u00ecnh \u1ea3nh t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd<\/figcaption><\/figure>\n

1. Kh\u00e1i ni\u1ec7m t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd<\/span><\/b><\/h2>\n

T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd (ALNS) c\u00f3 th\u1ec3 g\u00e2y ra ph\u00f9 n\u00e3o, thi\u1ebfu m\u00e1u n\u00e3o, ho\u1eb7c t\u1ee5t n\u00e3o r\u1ea5t nhanh g\u00e2y t\u1eed vong ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng h\u1ed3i ph\u1ee5c, v\u00ec v\u1eady c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 x\u1eed tr\u00ed t\u00edch c\u1ef1c.<\/span><\/p>\n

\u1ede ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh, th\u1ec3 t\u00edch h\u1ed9p s\u1ecd kho\u1ea3ng 1500 ml g\u1ed3m (t\u1ed5 ch\u1ee9c n\u00e3o chi\u1ebfm 80%, m\u00e1u chi\u1ebfm 10%, d\u1ecbch n\u00e3o t\u1ee7y chi\u1ebfm 10%.<\/span><\/p>\n

\u00c1p l\u1ef1c n\u1ed9i s\u1ecd b\u00ecnh th\u01b0\u1eddng l\u00e0 10 mmHg, t\u0103ng ap l\u1ef1c n\u1ed9i s\u1ecdkhi \u00e1p l\u1ef1c b\u00ean trong h\u1ed9p s\u1ecd l\u00ean tr\u00ean 15 mmHg.<\/span><\/p>\n

\u00c1p l\u1ef1c t\u01b0\u1edbi m\u00e1u n\u00e3o (ALTMN) l\u1edbn h\u01a1n 60 mmHg: theo c\u00f4ng th\u1ee9c<\/span><\/p>\n

ALTMN = HATB \u2013 ALNS\u00a0\u00a0\u00a0\u00a0<\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

Trong \u0111\u00f3:\u00a0<\/span><\/p>\n

    \n
  • ALTMN: \u00c1p l\u1ef1c t\u01b0\u1edbi m\u00e1u n\u00e3o\u00a0 \u00a0<\/span><\/li>\n
  • HATB: huy\u1ebft \u00e1p trung b\u00ecnh<\/span><\/li>\n
  • ALNS: \u00c1p l\u1ef1c n\u1ed9i s\u1ecd<\/li>\n<\/ul>\n

    2. Nguy\u00ean nh\u00e2n<\/span><\/b><\/h2>\n

    – Ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o.<\/span><\/p>\n

    – Ch\u1ea3y m\u00e1u n\u00e3o: trong nhu m\u00f4 n\u00e3o, n\u00e3o th\u1ea5t, ch\u1ea3y m\u00e1u d\u01b0\u1edbi nh\u1ec7n.<\/span><\/p>\n

    – T\u1eafc nh\u00e1nh l\u1edbn \u0111\u1ed9ng m\u1ea1ch n\u00e3o: t\u1eafc \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh trong, \u0111\u1ed9ng m\u1ea1ch n\u00e3o gi\u1eefa…<\/span><\/p>\n

    – U n\u00e3o.<\/span><\/p>\n

    – Nhi\u1ec5m khu\u1ea9n th\u1ea7n kinh: vi\u00eam n\u00e3o, vi\u00eam m\u00e0ng n\u00e3o, \u00e1p xe n\u00e3o.<\/span><\/p>\n

    – N\u00e3o \u00fang th\u1ee7y.<\/span><\/p>\n

    – C\u00e1c nguy\u00ean nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd kh\u00e1c:<\/span><\/p>\n

    + T\u0103ng CO2<\/sub>\u00a0m\u00e1u; gi\u1ea3m oxy m\u00e1u.<\/span><\/p>\n

    + Th\u1edf m\u00e1y c\u00f3 s\u1eed d\u1ee5ng PEEP cao (\u00e1p l\u1ef1c d\u01b0\u01a1ng cu\u1ed1i th\u00ec th\u1edf ra).<\/span><\/p>\n

    + T\u0103ng th\u00e2n nhi\u1ec7t.<\/span><\/p>\n

    + H\u1ea1 natri m\u00e1u.<\/span><\/p>\n

    + T\u00ecnh tr\u1ea1ng co gi\u1eadt.<\/span><\/p>\n

    3. Tri\u1ec7u ch\u1ee9ng<\/span><\/b><\/h2>\n

    3.1. L\u00e2m s\u00e0ng<\/span><\/b><\/h3>\n

    Tu\u1ef3 v\u00e0o ng\u01b0\u1eddi b\u1ec7nh t\u1ec9nh hay m\u00ea m\u00e0 c\u00f3 nh\u1eefng di\u1ebfn bi\u1ebfn b\u1ec7nh kh\u00e1c nhau.<\/span><\/p>\n

    a) Ng\u01b0\u1eddi b\u1ec7nh t\u1ec9nh<\/span><\/p>\n

    – Nh\u1ee9c \u0111\u1ea7u th\u01b0\u1eddng \u0111au t\u0103ng d\u1ea7n l\u00ean, \u0111au c\u00f3 th\u1ec3 lan t\u1ecfa ho\u1eb7c khu tr\u00fa.<\/span><\/p>\n

    – N\u00f4n: th\u01b0\u1eddng g\u1eb7p trong c\u00e1c nguy\u00ean nh\u00e2n \u1edf h\u1ed1 sau.<\/span><\/p>\n

    – R\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c: nh\u00ecn \u0111\u00f4i, tho\u00e1ng m\u1edd, gi\u1ea3m th\u1ecb l\u1ef1c, soi \u0111\u00e1y m\u1eaft c\u00f3 ph\u00f9 gai.<\/span><\/p>\n

    – R\u1ed1i lo\u1ea1n th\u1ea7n kinh: ng\u1ee7 g\u00e0, l\u1edd \u0111\u1edd.<\/span><\/p>\n

    b) Ng\u01b0\u1eddi b\u1ec7nh h\u00f4n m\u00ea<\/span><\/p>\n

    – \u0110ang t\u1ec9nh \u0111\u1ed9t ng\u1ed9t h\u00f4n m\u00ea, ho\u1eb7c h\u00f4n m\u00ea s\u00e2u h\u01a1n.<\/span><\/p>\n

    – C\u00f3 bi\u1ec3u hi\u1ec7n t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1.<\/span><\/p>\n

    – R\u1ed1i lo\u1ea1n th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng (l\u00e0 d\u1ea5u hi\u1ec7u n\u1eb7ng):<\/span><\/p>\n

    + Nh\u1ecbp tim nhanh ho\u1eb7c ch\u1eadm, t\u0103ng huy\u1ebft \u00e1p ho\u1eb7c gi\u1ea3m huy\u1ebft \u00e1p.<\/span><\/p>\n

    + R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p: th\u1edf nhanh, s\u00e2u ho\u1eb7c Cheyne-Stockes.<\/span><\/p>\n

    + R\u1ed1i lo\u1ea1n \u0111i\u1ec1u h\u00f2a th\u00e2n nhi\u1ec7t: s\u1ed1t cao.<\/span><\/p>\n

    – D\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng do t\u1ee5t n\u00e3o:<\/span><\/p>\n

    + T\u1ee5t thu\u1ef3 th\u00e1i d\u01b0\u01a1ng: li\u1ec7t d\u00e2y III, \u0111\u1ed3ng t\u1eed gi\u00e3n.<\/span><\/p>\n

    + T\u1ee5t th\u00f9y h\u1ea1nh nh\u00e2n ti\u1ec3u n\u00e3o: th\u1edf nhanh ho\u1eb7c ng\u1eebng th\u1edf.<\/span><\/p>\n

    + T\u1ee5t n\u00e3o trung t\u00e2m: bi\u1ec3u hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng t\u1eeb tr\u00ean xu\u1ed1ng d\u01b0\u1edbi.<\/span><\/p>\n

    3.2. C\u1eadn l\u00e2m s\u00e0ng<\/span><\/b><\/h3>\n

    – X\u00e9t nghi\u1ec7m m\u00e1u: c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n do h\u1ea1 natri m\u00e1u.<\/span><\/p>\n

    – Ch\u1ee5p c\u1eaft l\u1edbp vi tinh (CT-scan) s\u1ecd n\u00e3o: c\u00f3 th\u1ec3 th\u1ea5y<\/span><\/p>\n

    + Ph\u00f9 n\u00e3o, c\u1ea5u tr\u00fac n\u00e3o b\u1ecb x\u00f4 \u0111\u1ea9y, c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng gi\u1eefa b\u1ecb thay \u0111\u1ed5i.<\/span><\/p>\n

    + N\u00e3o th\u1ea5t gi\u00e3n: do t\u1eafc ngh\u1ebdn s\u1ef1 l\u01b0u th\u00f4ng c\u1ee7a d\u1ecbch n\u00e3o t\u1ee7y.<\/span><\/p>\n

    + C\u00f3 th\u1ec3 th\u1ea5y: ch\u1ea3y m\u00e1u n\u00e3o, thi\u1ebfu m\u00e1u n\u00e3o, u n\u00e3o, \u00e1p xe n\u00e3o…<\/span><\/p>\n

    – C\u1ed9ng h\u01b0\u1edfng t\u1eed (MRI<\/i>) s\u1ecd n\u00e3o: cho bi\u1ebft r\u00f5 h\u01a1n v\u1ec1 t\u1ed5n th\u01b0\u01a1ng n\u00e3o.<\/span><\/p>\n

    – Ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch n\u00e3o: x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c d\u1ecb d\u1ea1ng m\u1ea1ch n\u00e3o.<\/span><\/p>\n

    – Ch\u1ecdc d\u00f2 t\u1ee7y s\u1ed1ng: khi nghi ng\u1edd vi\u00eam m\u00e0ng n\u00e3o (ch\u00fa \u00fd \u0111\u1ec3 cho d\u1ecbch n\u00e3o t\u1ee7y ch\u1ea3y ra t\u1eeb t\u1eeb).<\/span><\/p>\n

    4. Ch\u1ea9n \u0111o\u00e1n<\/span><\/b><\/h2>\n

    4.1. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/span><\/b><\/h3>\n

    – \u0110au \u0111\u1ea7u ng\u00e0y c\u00e0ng t\u0103ng.<\/span><\/p>\n

    – Bu\u1ed3n n\u00f4n ho\u1eb7c n\u00f4n.<\/span><\/p>\n

    – C\u00f3 th\u1ec3 c\u00f3 r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c k\u00e8m theo.<\/span><\/p>\n

    – Soi \u0111\u00e1y m\u1eaft: c\u00f3 ph\u00f9 gai th\u1ecb gi\u00e1c.<\/span><\/p>\n

    – CTscanner s\u1ecd n\u00e3o ho\u1eb7c ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb s\u1ecd n\u00e3o: c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n g\u00e2y TALNS.<\/span><\/p>\n

    4.2. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/span><\/b><\/h3>\n

    – H\u00f4n m\u00ea: h\u00f4n m\u00ea t\u0103ng th\u1ea9m th\u1ea5u, toan xeton, h\u1ea1 \u0111\u01b0\u1eddng m\u00e1u, h\u00f4n m\u00ea gan…<\/span><\/p>\n

    – Nh\u00ecn m\u1edd: c\u00e1c b\u1ec7nh l\u00fd th\u1ef1c th\u1ec3 \u1edf m\u1eaft.<\/span><\/p>\n

    – \u0110au \u0111\u1ea7u: c\u00e1c nguy\u00ean nh\u00e2n do th\u1ea7n kinh ngo\u1ea1i bi\u00ean, r\u1ed1i lo\u1ea1n v\u1eadn m\u1ea1ch.<\/span><\/p>\n

    4.3. Ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n<\/span><\/b><\/h3>\n

    – Ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o: CT scanner c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh ch\u1ea3y m\u00e1u n\u00e3o, t\u1ed5n th\u01b0\u01a1ng n\u00e3o do \u0111\u1ee5ng d\u1eadp, v\u1ee1 x\u01b0\u01a1ng s\u1ecd.<\/span><\/p>\n

    – Ch\u1ea3y m\u00e1u n\u00e3o: CT scanner s\u1ecd n\u00e3o th\u1ea5y h\u00ecnh \u1ea3nh ch\u1ea3y m\u00e1u trong nhu m\u00f4 n\u00e3o, n\u00e3o th\u1ea5t, ch\u1ea3y m\u00e1u d\u01b0\u1edbi nh\u1ec7n.<\/span><\/p>\n

    – U n\u00e3o: CT scanner ho\u1eb7c MRI s\u1ecd n\u00e3o cho th\u1ea5y v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc, s\u1ed1 l\u01b0\u1ee3ng kh\u1ed1i u.<\/span><\/p>\n

    – N\u00e3o \u00fang th\u1ee7y: CT scanner v\u00e0 MRI c\u00f3 h\u00ecnh \u1ea3nh n\u00e3o th\u1ea5t gi\u00e3n to l\u00e0m cho c\u00e1c r\u00e3nh cu\u1ed9n n\u00e3o m\u1ea5t n\u1ebfp nh\u0103n.<\/span><\/p>\n

    – Nhi\u1ec5m khu\u1ea9n th\u1ea7n kinh: X\u00e9t nghi\u1ec7m d\u1ecbch n\u00e3o t\u1ee7y: protein t\u0103ng k\u00e8m theo b\u1ea1ch c\u1ea7u t\u0103ng (vi\u00eam m\u00e0ng n\u00e3o m\u1ee7). Vi\u00eam m\u00e0ng n\u00e3o, \u00e1p xe n\u00e3o. D\u1ecbch n\u00e3o t\u1ee7y b\u00ecnh th\u01b0\u1eddng trong vi\u00eam n\u00e3o….MRI c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh vi\u00eam n\u00e3o, \u00e1p xe n\u00e3o.<\/span><\/p>\n

    – C\u00e1c nguy\u00ean nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd kh\u00e1c:<\/span><\/p>\n

    + T\u0103ng CO2<\/sub>\u00a0m\u00e1u; gi\u1ea3m oxy m\u00e1u: x\u00e9t nghi\u1ec7m kh\u00ed m\u00e1u.<\/span><\/p>\n

    + Th\u1edf m\u00e1y c\u00f3 s\u1eed d\u1ee5ng PEEP (\u00e1p l\u1ef1c d\u01b0\u01a1ng cu\u1ed1i th\u00ec th\u1edf ra).<\/span><\/p>\n

    + T\u0103ng th\u00e2n nhi\u1ec7t: nhi\u1ec7t \u0111\u1ed9 > 40o<\/sup>C, k\u00e9o d\u00e0i li\u00ean t\u1ee5c.<\/span><\/p>\n

    + H\u1ea1 natri m\u00e1u: x\u00e9t ngh\u1ec7m \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3 cho th\u1ea5y [Na+<\/sup>] m\u00e1u < 130 mmol\/l.<\/span><\/p>\n

    + T\u00ecnh tr\u1ea1ng co gi\u1eadt: x\u00e9t nghi\u1ec7m sinh h\u00f3a m\u00e1u c\u00f3 CK m\u00e1u t\u0103ng cao.<\/span><\/p>\n

    T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m \u0111e d\u1ecda t\u00ednh m\u1ea1ng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n s\u1edbm t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 t\u1ed1i \u01b0u h\u00f3a k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n. Khi x\u1eed tr\u00ed t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n s\u1edbm s\u1ebd gi\u00fap c\u00e1c chuy\u00ean gia y t\u1ebf \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p x\u1eed tr\u00ed ph\u00f9 h\u1ee3p v\u00e0 k\u1ecbp th\u1eddi \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 nhi\u1ec5m tr\u00f9ng, gi\u1ea3m \u0111au v\u00e0 gi\u00fap b\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c nhanh ch\u00f3ng. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm, t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 suy h\u00f4 h\u1ea5p, suy tu\u1ea7n ho\u00e0n, t\u1ed5n th\u01b0\u01a1ng n\u00e3o v\u00e0 th\u1eadm ch\u00ed l\u00e0 t\u1eed vong.<\/p>\n

    Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

    T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd (increased intracranial pressure) l\u00e0 t\u00ecnh tr\u1ea1ng t\u0103ng \u00e1p l\u1ef1c trong khoang n\u1ed9i s\u1ecd, g\u00e2y ra \u00e1p l\u1ef1c tr\u00ean n\u00e3o v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u cung c\u1ea5p m\u00e1u cho n\u00e3o. T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau g\u00e2y n\u00ean. T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd l\u00e0 m\u1ed9t […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\nT\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd: \u0110\u1ecbnh ngh\u0129a, nguy\u00ean nh\u00e2n v\u00e0 ch\u1ea9n \u0111o\u00e1n<\/title>\n<meta name=\"description\" content=\"T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd (increased intracranial pressure) l\u00e0 t\u00ecnh tr\u1ea1ng t\u0103ng \u00e1p l\u1ef1c trong khoang n\u1ed9i s\u1ecd, g\u00e2y ra \u00e1p l\u1ef1c tr\u00ean n\u00e3o v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u ...\" \/>\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\u0103ng \u00e1p l\u1ef1c 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