{"id":28760,"date":"2023-04-29T18:05:23","date_gmt":"2023-04-29T11:05:23","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28760"},"modified":"2023-04-29T18:05:23","modified_gmt":"2023-04-29T11:05:23","slug":"nguyen-tac-tiep-can-va-xu-tri-ngo-doc-o-tre-em","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/nguyen-tac-tiep-can-va-xu-tri-ngo-doc-o-tre-em\/","title":{"rendered":"Nguy\u00ean t\u1eafc ti\u1ebfp c\u1eadn v\u00e0 x\u1eed tr\u00ed ng\u1ed9 \u0111\u1ed9c \u1edf tr\u1ebb em"},"content":{"rendered":"

Ng\u1ed9 \u0111\u1ed9c l\u00e0 m\u1ed9t trong nh\u1eefng nguy hi\u1ec3m \u0111\u00e1ng lo ng\u1ea1i \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb em. \u1ede tr\u1ebb em, ng\u1ed9 \u0111\u1ed9c x\u1ea3y ra nh\u01b0 l\u00e0 1 tai n\u1ea1n kh\u00f4ng c\u1ed1 \u00fd, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em d\u01b0\u1edbi 12 tu\u1ed5i, ch\u1ee7 y\u1ebfu x\u1ea3y ra qua \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 (do \u0103n u\u1ed1ng ph\u1ea3i ch\u1ea5t \u0111\u1ed9c). \u00a0\u0110\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi t\u00ecnh tr\u1ea1ng n\u00e0y, c\u1ea7n ph\u1ea3i n\u1eafm v\u1eefng nguy\u00ean t\u1eafc ti\u1ebfp c\u1eadn v\u00e0 x\u1eed tr\u00ed ng\u1ed9 \u0111\u1ed9c tr\u1ebb em theo c\u1eadp nh\u1eadt m\u1edbi nh\u1ea5t. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd \u0111i s\u00e2u v\u00e0o \u0111\u1ec1 t\u00e0i n\u00e0y \u0111\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 nguy\u00ean t\u1eafc v\u00e0 c\u00e1ch x\u1eed tr\u00ed ng\u1ed9 \u0111\u1ed9c tr\u1ebb em.<\/strong><\/p>\n

1. Ch\u1ea9n \u0111o\u00e1n ng\u1ed9 \u0111\u1ed9c \u1edf tr\u1ebb em:<\/h2>\n

1.1. Tr\u01b0\u1edbc m\u1ed9t tr\u1ebb nghi ng\u1ed9 \u0111\u1ed9c c\u1ea5p c\u1ea7n x\u00e1c \u0111\u1ecbnh:<\/h3>\n

– Tr\u1ebb c\u00f3 b\u1ecb ng\u1ed9 \u0111\u1ed9c th\u1eadt s\u1ef1 hay do m\u1ed9t nguy\u00ean nh\u00e2n b\u1ec7nh l\u00fd kh\u00e1c<\/p>\n

– M\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a ng\u1ed9 \u0111\u1ed9c.<\/p>\n

– Ch\u1ea5t \u0111\u1ed9c \u0111\u00f3 l\u00e0 g\u00ec.<\/p>\n

– Th\u1eddi gian b\u1ecb ng\u1ed9 \u0111\u1ed9c, l\u01b0\u1ee3ng ch\u1ea5t \u0111\u1ed9c m\u00e0 tr\u1ebb \u0103n u\u1ed1ng ph\u1ea3i.<\/p>\n

1.2 Trong th\u1ef1c t\u1ebf c\u00e1c t\u00ecnh hu\u1ed1ng c\u00f3 th\u1ec3 x\u1ea3y ra l\u00e0:<\/h3>\n

– D\u1ec5 ch\u1ea9n \u0111o\u00e1n: gia \u0111\u00ecnh \u0111\u1ee9a tr\u1ebb \u0111\u1ebfn v\u1edbi l\u1eddi khai r\u00f5 r\u00e0ng c\u00e1c tang ch\u1ee9ng \u0111\u01b0a theo c\u1ee5 th\u1ec3 (thu\u1ed1c, chai l\u1ecd \u0111\u1ef1ng thu\u1ed1c, c\u1ee7, qu\u1ea3\u2026)<\/p>\n

– Kh\u00f3 ch\u1ea9n \u0111o\u00e1n: ph\u1ea3i d\u1ef1a v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 (h\u1ecfi b\u1ec7nh, kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u1ec7m \u0111\u1ed9c ch\u1ea5t), c\u00f3 th\u1ec3 nghi ngh\u1edd tr\u1ebb b\u1ecb ng\u1ed9 \u0111\u1ed9c khi:<\/p>\n

+ C\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t (h\u00f4n m\u00ea, co gi\u1eadt, n\u00f4n, ti\u00eau ch\u1ea3y, t\u00edm t\u00e1i\u2026) \u1edf tr\u1ebb tr\u01b0\u1edbc \u0111\u00f3 ho\u00e0n to\u00e0n kho\u1ebb m\u1ea1nh ho\u1eb7c ch\u1ec9 nh\u1eefng b\u1ec7nh nh\u1eb9 th\u00f4ng th\u01b0\u1eddng (s\u1ed1t nh\u1eb9, h\u1eaft h\u01a1i, s\u1ed5 m\u0169i\u2026)<\/p>\n

+ Th\u01b0\u1eddng kh\u00f4ng s\u1ed1t cao (ngo\u1ea1i tr\u1eeb m\u1ed9t s\u1ed1 ch\u1ea5t \u0111\u1ed9c nh\u1ea5t \u0111\u1ecbnh).<\/p>\n

+ H\u1ecfi nh\u1eefng ng\u01b0\u1eddi xung quanh (\u0111i theo) v\u1ec1 c\u00e1c ch\u1ea5t \u0111\u1ed9c (thu\u1ed1c di\u1ec7t chu\u1ed9t, thu\u1ed1c tr\u1eeb s\u00e2u\u2026) ho\u1eb7c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb m\u00e0 gia \u0111\u00ecnh hi\u1ec7n \u0111ang d\u00f9ng.<\/p>\n

\"ng\u1ed9
Ng\u1ed9 \u0111\u1ed9c \u1edf tr\u1ebb em<\/figcaption><\/figure>\n

1.3. Kh\u00e1m l\u00e2m s\u00e0ng to\u00e0n di\u1ec7n:<\/h3>\n

\u0110\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng c\u1ee7a tr\u1ebb, \u0111\u1eb7c bi\u1ec7t ph\u1ea3i ch\u00fa \u00fd x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c: tu\u1ed5i, c\u00e2n n\u1eb7ng, c\u00e1c ch\u1ee9c n\u0103ng s\u1ed1ng nh\u01b0 h\u00f4 h\u1ea5p, tu\u1ea7n ho\u00e0n, tinh th\u1ea7n kinh, th\u00e2n nhi\u1ec7t). \u0110\u1ed3ng th\u1eddi ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u ch\u1ec9 \u0111i\u1ec3m \u0111\u1eb7c hi\u1ec7u, v\u00ed d\u1ee5:<\/p>\n

– H\u00f4n m\u00ea, kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u th\u1ea7n kinh khu tr\u00fa k\u00e8m theo: ng\u1ed9 \u0111\u1ed9c thu\u1ed1c ng\u1ee7 (barbituric) ho\u1eb7c c\u00e1c lo\u1ea1i an th\u1ea7n kh\u00e1c.<\/p>\n

– Co gi\u1eadt: Ng\u1ed9 \u0111\u1ed9c strychnine, atropin, theophylin, long n\u00e3o\u2026<\/p>\n

– Co \u0111\u1ed3ng t\u1eed: Ng\u1ed9 \u0111\u1ed9c atropin, imipramin, thu\u1ed1c m\u00ea, r\u01b0\u1ee3u\u2026<\/p>\n

– M\u1ea1ch ch\u1eadm: Ng\u1ed9 \u0111\u1ed9c digitalis, quinine, muscarin\u2026<\/p>\n

– M\u1ea1ch nhanh: Ng\u1ed9 \u0111\u1ed9c atropine, xanthin, theophylin\u2026<\/p>\n

– S\u1ed1t cao: Ng\u1ed9 \u0111\u1ed9c nh\u00f3m xanthin, theophylin\u2026<\/p>\n

– H\u1ea1 th\u00e2n nhi\u1ec7t: Ng\u1ed9 \u0111\u1ed9c barbituric,phenothiazin\u2026<\/p>\n

– T\u0103ng th\u00f4ng kh\u00ed: Ng\u1ed9 \u0111\u1ed9c salicylat (aspirin)\u2026<\/p>\n

– Xu\u1ea5t huy\u1ebft: Ng\u1ed9 \u0111\u1ed9c ch\u1ea5t ch\u1ed1ng vitamin K\u2026<\/p>\n

1.4. X\u00e9t nghi\u1ec7m \u0111\u1ed9c ch\u1ea5t:<\/h3>\n

Ph\u1ea3i l\u1ea5y c\u00e1c ch\u1ea5t n\u00f4n, d\u1ecbch d\u1ea1 d\u1ea7y, ph\u00e2n, n\u01b0\u1edbc ti\u1ec3u, m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 c\u00e1c ch\u1ea5t v\u1eadt ph\u1ea9m nghi ng\u1edd m\u00e0 gia \u0111\u00ecnh \u0111\u01b0a \u0111\u1ebfn \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u1ed9c ch\u1ea5t.<\/p>\n

1.5. Tu\u1ef3 theo m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9 v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n m\u00e0 m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m sau \u0111\u00e2y c\u1ea7n ph\u1ea3i l\u00e0m \u0111\u1ec3 gi\u00fap cho vi\u1ec7c theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb:<\/h3>\n

C\u00f4ng th\u1ee9c m\u00e1u, ur\u00ea, creatinin m\u00e1u, \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3, \u0111\u01b0\u1eddng m\u00e1u, kh\u00ed m\u00e1u, ch\u1ee9c n\u0103ng gan, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3\u2026<\/p>\n

2. X\u1eed tr\u00ed ng\u1ed9 \u0111\u1ed9c \u1edf tr\u1ebb em:<\/h2>\n

2.1. \u0110\u1ea3m b\u1ea3o v\u00e0 duy tr\u00ec c\u00e1c ch\u1ee9c n\u0103ng s\u1ed1ng<\/h3>\n

– Ph\u1ea3i \u0111\u1ea3m b\u1ea3o b\u1ec7nh nh\u00e2n th\u1edf t\u1ed1t: l\u00e0m th\u00f4ng \u0111\u01b0\u1eddng th\u1edf, th\u1edf oxy, \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n, h\u00f4 h\u1ea5p h\u1ed7 tr\u1ee3 n\u1ebfu c\u1ea7n.<\/p>\n

– \u0110\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng tu\u1ea7n ho\u00e0n: c\u1ea5p c\u1ee9u ng\u1eebng tim (n\u1ebfu c\u00f3). N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n s\u1ed1c th\u00ec ph\u1ea3i truy\u1ec1n nhanh dung d\u1ecbch c\u00f3 \u0111i\u1ec7n gi\u1ea3i, dung d\u1ecbch keo ho\u1eb7c m\u00e1u (tu\u1ef3 theo tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3, kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng ngay thu\u1ed1c v\u1eadn m\u1ea1ch n\u1ebfu ch\u01b0a \u0111\u01b0\u1ee3c truy\u1ec1n d\u1ecbch th\u1ecfa \u0111\u00e1ng.<\/p>\n

– \u0110i\u1ec1u tr\u1ecb v\u00e0 ng\u0103n ng\u1eeba co gi\u1eadt hay r\u1ed1i lo\u1ea1n th\u00e2n nhi\u1ec7t.<\/p>\n

2.2. Lo\u1ea1i tr\u1eeb ch\u1ea5t \u0111\u1ed9c<\/h3>\n

2.2.1. Nh\u1eefng ch\u1ea5t \u0111\u1ed9c qua da, ni\u00eam m\u1ea1c<\/h4>\n

– C\u1edfi b\u1ecf qu\u1ea7n \u00e1o.<\/p>\n

– R\u1eeda s\u1ea1ch c\u01a1 th\u1ec3 b\u1eb1ng n\u01b0\u1edbc ho\u1eb7c dung m\u00f4i th\u00edch h\u1ee3p.<\/p>\n

2.2.2. Nh\u1eefng ch\u1ea5t \u0111\u1ed9c qua \u0111\u01b0\u1eddng u\u1ed1ng: C\u00e1c bi\u1ec7n ph\u00e1p lo\u1ea1i b\u1ecf ch\u1ea5t \u0111\u1ed9c l\u00e0:<\/h4>\n

G\u00e2y n\u00f4n, r\u1eeda d\u1ea1 d\u00e0y, t\u1ea9y ru\u1ed9t, b\u00e0i ni\u1ec7u m\u1ea1nh, l\u1ecdc m\u00e1u ngo\u00e0i th\u1eadn (th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c, th\u1eadn nh\u00e2n t\u1ea1o), h\u00f4 h\u1ea5p h\u1ed7 tr\u1ee3.<\/p>\n

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  • G\u00e2y n\u00f4n, r\u1eeda d\u1ea1 d\u00e0y<\/strong><\/li>\n<\/ul>\n

    – G\u00e2y n\u00f4n: Ch\u1ec9 \u0111\u1ecbnh khi ch\u1ea5t \u0111\u1ed9c \u1edf d\u1ea1ng th\u1ee9c \u0103n, l\u00e1, thu\u1ed1c vi\u00ean, th\u1ef1c hi\u1ec7n trong v\u00f2ng m\u1ed9t gi\u1edd \u0111\u1ea7u sau khi tr\u1ebb \u0103n u\u1ed1ng ph\u1ea3i ch\u1ea5t \u0111\u1ed9c m\u00e0 v\u1eabn c\u00f2n t\u1ec9nh t\u00e1o.<\/p>\n

    + C\u00f3 th\u1ec3 l\u00e0m t\u1ee9c kh\u1eafc b\u1eb1ng c\u00e1ch cho ng\u00f3n tay v\u00e0o h\u1ecdng \u0111\u1ec3 k\u00edch th\u00edch n\u00f4n.<\/p>\n

    + U\u1ed1ng sir\u00f4 Ipeca 7- 10%: tr\u1ebb em 6 – 12 th\u00e1ng u\u1ed1ng 1 l\u1ea7n 10ml, 1-10 tu\u1ed5i u\u1ed1ng 15ml, tr\u00ean 10 tu\u1ed5i u\u1ed1ng 30ml. Sau khi u\u1ed1ng xong cho tr\u1ebb u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc, n\u1ebfu sau 20 ph\u00fat tr\u1ebb kh\u00f4ng n\u00f4n th\u00ec u\u1ed1ng li\u1ec1u th\u1ee9 hai.<\/p>\n

    + Ti\u00eam apomorphin li\u1ec1u 0.07mg\/kg sau 2 \u0111\u1ebfn 5 ph\u00fat tr\u1ebb s\u1ebd t\u1ef1 n\u00f4n (n\u1ebfu c\u00f3 d\u1ea5u hi\u1ec7u suy th\u1edf th\u00ec ti\u00eam naloxon (Narcan) li\u1ec1u 0.01mg\/kg.<\/p>\n

    – R\u1eeda d\u1ea1 d\u00e0y<\/p>\n

    + Ch\u1ec9 th\u1ef1c hi\u1ec7n trong 6 gi\u1edd \u0111\u1ea7u sau khi u\u1ed1ng ph\u1ea3i ch\u1ea5t \u0111\u1ed9c v\u00e0 tr\u1ebb v\u1eabn c\u00f2n t\u1ec9nh t\u00e1o ho\u1eb7c \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n n\u1ebfu tr\u1ebb b\u1ecb h\u00f4n m\u00ea.<\/p>\n

    + \u0110\u1eb7t \u1ed1ng th\u00f4ng v\u00e0o d\u1ea1 d\u00e0y, cho b\u1ec7nh nh\u00e2n n\u1eb1m \u0111\u1ea7u h\u01a1i th\u1ea5p nghi\u00eang v\u1ec1 m\u1ed9t b\u00ean. D\u00f9ng n\u01b0\u1edbc \u1ea5m th\u00eam natriclorua (1 l\u00edt n\u01b0\u1edbc th\u00eam 4g natriclorua) ho\u1eb7c d\u00f9ng lu\u00f4n dung d\u1ecbch huy\u1ebft thanh m\u1eb7n \u0111\u1eb3ng tr\u01b0\u01a1ng 0.9% \u0111\u1ec3 r\u1eeda v\u00e0 l\u00e0m s\u1ea1ch d\u1ea1 d\u00e0y. Ph\u1ea3i ch\u00fa \u00fd ch\u1ea5t d\u1ecbch ch\u1ea3y ra xem c\u00f3 c\u00e1c m\u1ea9u thu\u1ed1c, th\u1ee9c \u0103n, m\u00e1u. V\u1ec1 nguy\u00ean t\u1eafc l\u00e0 r\u1eeda cho \u0111\u1ebfn bao gi\u1edd n\u01b0\u1edbc l\u1ea5y ra trong (th\u1ef1c t\u1ebf l\u00e0 l\u01b0\u1ee3ng d\u1ecbch \u0111\u1ec3 r\u1eeda d\u1ea1 d\u00e0y kho\u1ea3ng 100ml\/kg c\u00e2n n\u1eb7ng \u1edf tr\u1ebb em. Ch\u1ea5t d\u1ecbch thu \u0111\u01b0\u1ee3c c\u1ea7n g\u1eedi \u0111i x\u00e9t nghi\u1ec7m \u0111\u1ed9c ch\u1ea5t. Sau khi r\u1eeda xong n\u00ean b\u01a1m than ho\u1ea1t v\u00e0o d\u1ea1 d\u00e0y.<\/p>\n

    – Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh g\u00e2y n\u00f4n v\u00e0 r\u1eeda d\u1ea1 d\u00e0y:<\/p>\n

    Kh\u00f4ng g\u00e2y n\u00f4n v\u00e0 r\u1eeda d\u1ea1 d\u00e0y khi b\u1ec7nh nh\u00e2n \u0111ang co gi\u1eadt v\u00e0 h\u00f4n m\u00ea. Ch\u1ea5t \u0111\u1ed9c l\u00e0 ch\u1ea5t \u0103n m\u00f2n (acid, ki\u1ec1m, thu\u1ed1c t\u1ea9y), ch\u1ea5t bay h\u01a1i (x\u0103ng, d\u1ea7u ho\u1ea3, n\u01b0\u1edbc hoa), ch\u1ea5t d\u1ea7u kh\u00f4ng tan (ch\u1ea5t b\u00f4i tr\u01a1n, ch\u1ea5t l\u00e0m bong).<\/p>\n

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    • Than ho\u1ea1t:<\/strong><\/li>\n<\/ul>\n

      L\u1ea5y kho\u1ea3ng 30gam than ho\u1ea1t pha v\u1edbi n\u01b0\u1edbc th\u00e0nh 1 th\u1ee9 h\u1ed3, li\u1ec1u d\u00f9ng 1g\/kg c\u00e2n n\u1eb7ng cho 1 l\u1ea7n. Cho b\u1ec7nh nh\u00e2n u\u1ed1ng tr\u1ef1c ti\u1ebfp ho\u1eb7c b\u01a1m v\u00e0o d\u1ea1 d\u00e0y sau khi r\u1eeda d\u1ea1 d\u00e0y, c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t m\u1ed9t gi\u1edd \u0111\u1ea7u sau khi b\u1ec7nh nh\u00e2n \u0103n, u\u1ed1ng ph\u1ea3i ch\u1ea5t \u0111\u1ed9c. Than ho\u1ea1t kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi c\u00e1c ch\u1ea5t \u0111\u1ed9c l\u00e0: r\u01b0\u1ee3u, acid boric, s\u1eaft, alcan, thilium, mu\u1ed1i acid, cyanid, c\u00e1c ch\u1ea5t c\u00f3 hydrocarbon.<\/p>\n

        \n
      • Thu\u1ed1c t\u1ea9y ru\u1ed9t:<\/strong><\/li>\n<\/ul>\n

        S\u1eed d\u1ee5ng mag\u00ea sulphat 250mg\/kg c\u00e2n n\u1eb7ng ho\u1eb7c d\u1ea7u paraphin 5ml\/kg c\u00e2n n\u1eb7ng, Khi d\u00f9ng thu\u1ed1c t\u1ea9y ph\u1ea3i theo d\u00f5i t\u00ecnh tr\u1ea1ng m\u1ea5t n\u01b0\u1edbc, \u0111i\u1ec7n gi\u1ea3i. Kh\u00f4ng d\u00f9ng thu\u1ed1c t\u1ea9y c\u00f3 magi\u00ea cho ng\u01b0\u1eddi c\u00f3 suy th\u1eadn.<\/p>\n

          \n
        • Tanin:<\/strong><\/li>\n<\/ul>\n

          L\u00e0m bi\u1ebfn t\u00ednh m\u1ed9t s\u1ed1 alcaloid v\u00e0 c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p v\u1edbi mu\u1ed1i kim lo\u1ea1i n\u1eb7ng, ng\u0103n c\u1ea3n s\u1ef1 h\u1ea5p thu c\u1ee7a ch\u00fang. Li\u1ec1u d\u00f9ng 2-4g\/ m\u1ed9t l\u1ea7n.<\/p>\n

            \n
          • B\u00e0i ni\u1ec7u m\u1ea1nh:<\/strong><\/li>\n<\/ul>\n

            Ch\u1ec9 \u0111\u1ecbnh khi ch\u1ea5t \u0111\u1ed9c \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i qua th\u1eadn.<\/p>\n

              \n
            • Ki\u1ec1m ho\u00e1 m\u00e1u:<\/strong> ng\u1ed9 \u0111\u1ed9c thu\u1ed1c ng\u1ee7 Barbiturate g. L\u1ecdc m\u00e1u ngo\u00e0i th\u1eadn:<\/li>\n<\/ul>\n

              Ch\u1ec9 \u0111\u1ecbnh trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ng\u1ed9 \u0111\u1ed9c n\u1eb7ng v\u1edbi l\u01b0\u1ee3ng l\u1edbn c\u00e1c ch\u1ea5t \u0111\u1ed9c c\u00f3 kh\u1ea3 n\u0103ng qua \u0111\u01b0\u1ee3c m\u00e0ng l\u1ecdc.<\/p>\n

                \n
              • \u0110\u00e0o th\u1ea3i ch\u1ea5t \u0111\u1ed9c qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p:<\/strong><\/li>\n<\/ul>\n

                – Ch\u1ec9 \u0111\u1ecbnh trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ng\u1ed9 \u0111\u1ed9c ch\u1ea5t bay h\u01a1i (R\u01b0\u1ee3u, benzene, ether,ceton, oxydcarbon, xylem\u2026)<\/p>\n

                – K\u1ef9 thu\u1eadt: \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n, h\u00f4 h\u1ea5p h\u1ed7 tr\u1ee3.<\/p>\n

                2.3. Gi\u1ea3i \u0111\u1ed9c<\/h3>\n

                – Gi\u1ea3i \u0111\u1ed9c kh\u00f4ng \u0111\u1eb7c hi\u1ec7u:<\/p>\n

                + H\u1ea5p th\u1ee5: than ho\u1ea1t, tanin, s\u1eefa.<\/p>\n

                + Trung ho\u00e0 ho\u00e1 h\u1ecdc: d\u00f9ng oxyd magi\u00ea \u0111\u1ec3 trung ho\u00e0 acid, d\u00f9ng d\u1ea5m pha lo\u00e3ng, chanh \u0111\u1ec3 trung ho\u00e0 ch\u1ea5t ki\u1ec1m\u2026<\/p>\n

                – Gi\u1ea3i \u0111\u1ed9c \u0111\u1eb7c hi\u1ec7u:<\/p>\n

                – Ch\u1ec9 d\u00f9ng khi bi\u1ebft ch\u1eafc ch\u1eafn ch\u1ea5t g\u00e2y \u0111\u1ed9c v\u00e0 ch\u1ec9 ph\u00e1t huy h\u1ebft t\u00e1c d\u1ee5ng khi ch\u1ea5t \u0111\u1ed9c c\u00f2n l\u01b0u th\u00f4ng trong h\u1ec7 tu\u1ea7n ho\u00e0n.<\/p>\n\n\n\n\n\n\n\n\n
                V\u00ed d\u1ee5:<\/td>\nMethemoglobin<\/td>\n\u00ae\u00a0D\u00f9ng xanh methylen<\/td>\n<\/tr>\n
                <\/td>\nOpi<\/td>\n\u00ae\u00a0Narcan<\/td>\n<\/tr>\n
                <\/td>\nPhospho h\u1eefu c\u01a1<\/td>\n\u00ae\u00a0Conthrathiol + Atropin<\/td>\n<\/tr>\n
                <\/td>\nParacetamol<\/td>\n\u00ae\u00a0N. Acetyl \u2013 systein<\/td>\n<\/tr>\n
                <\/td>\nHeparin<\/td>\n\u00ae\u00a0Protamin<\/td>\n<\/tr>\n
                <\/td>\nDicoumarin<\/td>\n\u00ae\u00a0Vitamin K1,PPSB<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

                T\u00f3m l\u1ea1i, ng\u1ed9 \u0111\u1ed9c l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb em. \u0110\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi t\u00ecnh tr\u1ea1ng n\u00e0y, c\u1ea7n n\u1eafm v\u1eefng nguy\u00ean t\u1eafc ti\u1ebfp c\u1eadn v\u00e0 x\u1eed tr\u00ed ng\u1ed9 \u0111\u1ed9c tr\u1ebb em \u0111\u1ec3 nhanh ch\u00f3ng x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng, \u0111\u01b0a ra ph\u01b0\u01a1ng \u00e1n x\u1eed tr\u00ed ph\u00f9 h\u1ee3p v\u00e0 gi\u1ea3m thi\u1ec3u t\u1ef7 l\u1ec7 t\u1eed vong.<\/p>\n

                Ngu\u1ed3n: B\u1ed9 y t\u1ebf<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

                Ng\u1ed9 \u0111\u1ed9c l\u00e0 m\u1ed9t trong nh\u1eefng nguy hi\u1ec3m \u0111\u00e1ng lo ng\u1ea1i \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb em. \u1ede tr\u1ebb em, ng\u1ed9 \u0111\u1ed9c x\u1ea3y ra nh\u01b0 l\u00e0 1 tai n\u1ea1n kh\u00f4ng c\u1ed1 \u00fd, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em d\u01b0\u1edbi 12 tu\u1ed5i, ch\u1ee7 y\u1ebfu x\u1ea3y ra qua \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 (do \u0103n u\u1ed1ng ph\u1ea3i ch\u1ea5t \u0111\u1ed9c). […]<\/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":"\nNguy\u00ean t\u1eafc ti\u1ebfp c\u1eadn v\u00e0 x\u1eed tr\u00ed ng\u1ed9 \u0111\u1ed9c \u1edf tr\u1ebb em - Vinmec<\/title>\n<meta name=\"description\" content=\"\u1ede tr\u1ebb em, ng\u1ed9 \u0111\u1ed9c x\u1ea3y ra nh\u01b0 l\u00e0 1 tai n\u1ea1n kh\u00f4ng c\u1ed1 \u00fd, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em d\u01b0\u1edbi 12 tu\u1ed5i, ch\u1ee7 y\u1ebfu x\u1ea3y ra qua \u0111\u01b0\u1eddng ti\u00eau ho\u00e1.\" \/>\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=\"Nguy\u00ean t\u1eafc ti\u1ebfp c\u1eadn v\u00e0 x\u1eed tr\u00ed ng\u1ed9 \u0111\u1ed9c \u1edf tr\u1ebb em - 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