{"id":28774,"date":"2023-05-06T21:40:19","date_gmt":"2023-05-06T14:40:19","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28774"},"modified":"2023-05-06T21:40:19","modified_gmt":"2023-05-06T14:40:19","slug":"soc-giam-the-tich-tuan-hoan-o-tre-em","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/06\/soc-giam-the-tich-tuan-hoan-o-tre-em\/","title":{"rendered":"S\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n \u1edf tr\u1ebb em"},"content":{"rendered":"<p><strong>S\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n l\u00e0 lo\u1ea1i s\u1ed1c \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u01b0\u1edbi m\u00e1u t\u1ed5 ch\u1ee9c kh\u00f4ng th\u1ecfa \u0111\u00e1ng do gi\u1ea3m n\u1eb7ng th\u1ec3 t\u00edch d\u1ecbch trong l\u00f2ng m\u1ea1ch. Nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh c\u00f3 th\u1ec3 do m\u1ea5t d\u1ecbch ho\u1eb7c cung c\u1ea5p d\u1ecbch kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7. Khi c\u01a1 th\u1ec3 c\u00f2n b\u00f9 tr\u1eeb \u0111\u01b0\u1ee3c (bi\u1ec3u hi\u1ec7n nh\u1ecbp tim nhanh, t\u0103ng s\u1ee9c c\u1ea3n m\u1ea1ch h\u1ec7 th\u1ed1ng, t\u0103ng co b\u00f3p c\u01a1 tim) HA v\u1eabn duy tr\u00ec trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng, n\u1ebfu HA gi\u1ea3m th\u1ec3 t\u00edch d\u1ecbch trong l\u00f2ng m\u1ea1ch c\u00f3 th\u1ec3 m\u1ea5t \u2265 30%, v\u00ec v\u1eady khi HA gi\u1ea3m l\u00e0 s\u1ed1c \u0111\u00e3 \u1edf giai \u0111o\u1ea1n mu\u1ed9n<\/strong><\/p>\n<h2>1. Nguy\u00ean nh\u00e2n:<\/h2>\n<p>C\u00e1c nguy\u00ean nh\u00e2n c\u1ee7a m\u1ea5t d\u1ecbch trong v\u00e0 ngo\u00e0i l\u00f2ng m\u1ea1ch bao g\u1ed3m:<\/p>\n<ul>\n<li>M\u1ea5t d\u1ecbch trong l\u00f2ng m\u1ea1ch: c\u00f3 th\u1ec3 do m\u1ea5t m\u00e1u do ch\u1ea5n th\u01b0\u01a1ng, xu\u1ea5t huy\u1ebft, tho\u00e1t d\u1ecbch ra t\u1ed5 ch\u1ee9c k\u1ebd, ho\u1eb7c m\u1ea5t d\u1ecbch v\u00e0o khoang th\u1ee9 3 do c\u00e1c b\u1ec7nh nh\u01b0 vi\u00eam t\u1ee5y, t\u1eafc ru\u1ed9t non, l\u1ed3ng ru\u1ed9t, c\u1ed5 ch\u01b0\u1edbng ho\u1eb7c h\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0.<\/li>\n<li>M\u1ea5t d\u1ecbch ngo\u00e0i l\u00f2ng m\u1ea1ch: c\u00f3 th\u1ec3 do n\u00f4n nhi\u1ec1u, \u1ec9a ch\u1ea3y m\u1ea5t n\u01b0\u1edbc, ti\u1ec3u nhi\u1ec1u do t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u (t\u0103ng \u0111\u01b0\u1eddng m\u00e1u, \u0111\u00e1i nh\u1ea1t do y\u00ean), suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn ho\u1eb7c s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u.<\/li>\n<li>M\u1ea5t n\u01b0\u1edbc v\u00f4 h\u00ecnh: c\u00f3 th\u1ec3 do th\u1edf nhanh, s\u1ed1t cao, b\u1ecfng m\u1ee9c \u0111\u1ed9 v\u1eeba v\u00e0 n\u1eb7ng.<\/li>\n<li>Kh\u00f4ng \u0103n u\u1ed1ng \u0111\u01b0\u1ee3c: c\u00f3 th\u1ec3 do vi\u00eam ni\u00eam m\u1ea1c mi\u1ec7ng, vi\u00eam lo\u00e9t h\u1ecdng, ch\u00e1n \u0103n u\u1ed1ng.<\/li>\n<\/ul>\n<figure id=\"attachment_28775\" aria-describedby=\"caption-attachment-28775\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-28775 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/th-3-300x200.jpg\" alt=\"S\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n \u1edf tr\u1ebb\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/th-3-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/th-3.jpg 474w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-28775\" class=\"wp-caption-text\">S\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n \u1edf tr\u1ebb<\/figcaption><\/figure>\n<h2>2. Ch\u1ea9n \u0111o\u00e1n s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n \u1edf tr\u1ebb<\/h2>\n<h3>2.1. Th\u0103m kh\u00e1m l\u00e2m s\u00e0ng<\/h3>\n<div class=\"Message_botMessageBubble__CPGMI \">\n<div class=\"Markdown_markdownContainer__UyYrv\">\n<p>S\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, bao g\u1ed3m c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a s\u1ed1c c\u00f9ng v\u1edbi gi\u1ea3m t\u01b0\u1edbi m\u00e1u n\u00e3o v\u00e0 gi\u1ea3m t\u01b0\u1edbi m\u00e1u ngo\u1ea1i bi\u00ean.<\/p>\n<ul>\n<li>D\u1ea5u hi\u1ec7u gi\u1ea3m t\u01b0\u1edbi m\u00e1u n\u00e3o: \u1edf giai \u0111o\u1ea1n s\u1ed1c s\u1edbm, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 thay \u0111\u1ed5i \u00fd th\u1ee9c v\u00e0 k\u00edch th\u00edch nh\u01b0ng t\u1ec9nh, trong khi giai \u0111o\u1ea1n mu\u1ed9n, h\u1ecd c\u00f3 th\u1ec3 v\u1eadt v\u00e3, li b\u00ec ho\u1eb7c h\u00f4n m\u00ea.<\/li>\n<li>D\u1ea5u hi\u1ec7u gi\u1ea3m t\u01b0\u1edbi m\u00e1u ngo\u1ea1i bi\u00ean: \u1edf giai \u0111o\u1ea1n s\u1edbm, m\u1ea1ch nhanh r\u00f5, huy\u1ebft \u00e1p trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng ho\u1eb7c t\u0103ng nh\u1eb9, th\u1eddi gian l\u00e0m \u0111\u1ea7y mao m\u1ea1ch (refill) &lt;2 gi\u00e2y. Trong giai \u0111o\u1ea1n mu\u1ed9n, m\u1ea1ch nhanh nh\u1ecf, kh\u00f3 b\u1eaft ho\u1eb7c kh\u00f4ng b\u1eaft \u0111\u01b0\u1ee3c. Nh\u1ecbp tim nhanh, chi l\u1ea1nh, da \u1ea9m, v\u00e3 m\u1ed3 h\u00f4i, refill k\u00e9o d\u00e0i &gt;2 gi\u00e2y, huy\u1ebft \u00e1p gi\u1ea3m v\u00e0 k\u1eb9t, thi\u1ec3u ni\u1ec7u ho\u1eb7c v\u00f4 ni\u1ec7u.<\/li>\n<li>\u0110o t\u0129nh m\u1ea1ch trung t\u00e2m (CVP) gi\u1ea3m &lt;5 cmH2O.<\/li>\n<\/ul>\n<p>C\u00e1c nguy\u00ean nh\u00e2n c\u1ee7a s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n khi th\u0103m kh\u00e1m, bao g\u1ed3m:<\/p>\n<ul>\n<li>N\u00f4n ho\u1eb7c \u1ec9a ch\u1ea3y c\u00f3 d\u1ea5u hi\u1ec7u m\u1ea5t n\u01b0\u1edbc n\u1eb7ng k\u00e8m r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i c\u00f3 th\u1ec3 do vi\u00eam d\u1ea1 d\u00e0y ru\u1ed9t do virus.<\/li>\n<li>D\u1ea5u hi\u1ec7u thi\u1ebfu m\u00e1u: da xanh, ni\u00eam m\u1ea1c nh\u1ee3t k\u00e8m ti\u1ec1n s\u1eed ch\u1ea5n th\u01b0\u01a1ng th\u01b0\u1eddng l\u00e0 nguy\u00ean nh\u00e2n s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch do m\u1ea5t m\u00e1u.<\/li>\n<li>D\u1ea5u hi\u1ec7u m\u1ea5t n\u01b0\u1edbc n\u1eb7ng k\u00e8m t\u0103ng natri m\u00e1u c\u00f3 th\u1ec3 do \u0111\u00e1i th\u00e1o nh\u1ea1t.<\/li>\n<li>D\u1ea5u hi\u1ec7u tr\u01b0\u01a1ng l\u1ef1c m\u1ea1ch y\u1ebfu (narrow pulse pressures) l\u00e0 \u0111\u1eb7c tr\u01b0ng c\u1ee7a s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch, nguy\u00ean nh\u00e2n huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng t\u0103ng do t\u0103ng s\u1ee9c c\u1ea3n m\u1ea1ch h\u1ec7 th\u1ed1ng.<\/li>\n<li>D\u1ea5u hi\u1ec7u \u0111i\u1ec3n h\u00ecnh c\u1ee7a m\u1ea5t d\u1ecbch c\u00f3 th\u1ec3 kh\u00f4ng \u0111i\u1ec3n h\u00ecnh \u1edf tr\u1ebb m\u1ea5t n\u01b0\u1edbc \u01b0u tr\u01b0\u01a1ng (m\u1ea5t d\u1ecbch nh\u01b0\u1ee3c tr\u01b0\u01a1ng) c\u00f3 th\u1ec3 l\u00e0 vi\u00eam d\u1ea1 d\u00e0y ru\u1ed9t do rotavirus v\u00e0 \u0111\u00e1i nh\u1ea1t do tuy\u1ebfn y\u00ean ho\u1eb7c \u1edf tr\u1ebb b\u1ee5 b\u1eabm.<\/li>\n<li>B\u1ee5ng ch\u01b0\u1edbng, g\u00f5 \u0111\u1ee5c v\u00f9ng th\u1ea5p, d\u1ea5u hi\u1ec7u thi\u1ebfu m\u00e1u, c\u00f3 ti\u1ec1n s\u1eed ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng c\u00f3 th\u1ec3 t\u1ed5n th\u01b0\u01a1ng t\u1ea1ng g\u00e2y ch\u1ea3y m\u00e1u trong \u1ed5 b\u1ee5ng.<\/li>\n<li>B\u1ee5ng ch\u01b0\u1edbng, n\u00f4n, c\u00f3 ph\u1ea3n \u1ee9ng ho\u1eb7c c\u00e1c d\u1ea5u hi\u1ec7u r\u1eafn b\u00f2 c\u00f3 th\u1ec3 do t\u1eafc ru\u1ed9t ho\u1eb7c kh\u00f4ng c\u00f3 h\u1eadu m\u00f4n.<\/li>\n<li>B\u1ec7nh nh\u00e2n b\u1ecb b\u1ecfng n\u1eb7ng c\u00f3 nguy c\u01a1 m\u1ea5t n\u01b0\u1edbc do tho\u00e1t huy\u1ebft t\u01b0\u01a1ng.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<h3>2.2. C\u1eadn l\u00e2m s\u00e0ng<\/h3>\n<p>C\u00e1c x\u00e9t nghi\u1ec7m sau \u0111\u00e2y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n s\u1ed1c v\u00e0 theo d\u00f5i bi\u1ebfn ch\u1ee9ng:<\/p>\n<ul>\n<li>C\u00f4ng th\u1ee9c m\u00e1u: t\u00ecnh tr\u1ea1ng c\u00f4 \u0111\u1eb7c m\u00e1u (t\u0103ng h\u1ed3ng c\u1ea7u v\u00e0 h\u00e8m\u00e1tocrit), \u0111\u00e2y l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng \u0111\u1ec3 ch\u00fa \u00fd \u0111\u1ebfn khi tr\u1ebb b\u1ecb thi\u1ebfu m\u00e1u.<\/li>\n<li>\u0110\u01b0\u1eddng m\u00e1u: th\u01b0\u1eddng gi\u1ea3m \u1edf b\u1ec7nh nh\u00e2n s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch do vi\u00eam d\u1ea1 d\u00e0y ru\u1ed9t, ng\u01b0\u1ee3c l\u1ea1i, \u0111\u01b0\u1eddng m\u00e1u th\u01b0\u1eddng t\u0103ng \u1edf b\u1ec7nh nh\u00e2n s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch do b\u1ecfng n\u1eb7ng ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng ho\u1eb7c ti\u1ec3u nhi\u1ec1u do t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u.<\/li>\n<li>\u0110i\u1ec7n gi\u1ea3i \u0111\u1ed3 v\u00e0 kh\u00ed m\u00e1u.<\/li>\n<li>Lactat m\u00e1u gi\u00fap d\u1ef1 b\u00e1o ti\u00ean l\u01b0\u1ee3ng c\u1ee7a s\u1ed1c, n\u1ebfu &gt;5mmol\/l t\u0103ng nguy c\u01a1 t\u1eed vong.<\/li>\n<li>X\u00e9t nghi\u1ec7m \u0111\u00f4ng m\u00e1u (bao g\u1ed3m s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u, PT, aPTT, INR v\u00e0 fibrinogen) \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang ch\u1ea3y m\u00e1u c\u00f3 th\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n g\u00e2y ch\u1ea3y m\u00e1u nh\u01b0: xu\u1ea5t huy\u1ebft gi\u1ea3m ti\u1ec3u c\u1ea7u, suy gan, ho\u1eb7c s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng.<\/li>\n<li>\u0110\u1ecbnh nh\u00f3m m\u00e1u ABO\/Rh (t\u00f9y theo nguy\u00ean nh\u00e2n)<\/li>\n<li>X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u gi\u00fap ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng ho\u1eb7c \u0111\u00e1i nh\u1ea1t.<\/li>\n<\/ul>\n<p>C\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh nh\u01b0 ch\u1ee5p X-quang ph\u1ed5i, si\u00eau \u00e2m \u1ed5 b\u1ee5ng, CT c\u00f3 th\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i m\u00e0ng tim, vi\u00eam t\u1ee5y.<\/p>\n<p>Ngo\u00e0i ra, c\u00e1c x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan v\u00e0 th\u1eadn c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 theo d\u00f5i bi\u1ebfn ch\u1ee9ng c\u1ee7a s\u1ed1c.<\/p>\n<h3>2.3. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/h3>\n<p>&#8211; L\u00e2m s\u00e0ng: khi tr\u1ebb c\u00f3 t\u00ecnh tr\u1ea1ng s\u1ed1c k\u00e8m v\u1edbi d\u1ea5u hi\u1ec7u m\u1ea5t n\u01b0\u1edbc\/m\u1ea5t m\u00e1u c\u1ea5p v\u00e0 n\u1eb7ng (b\u1ea3ng 1 v\u00e0 2)<\/p>\n<p>&#8211; X\u00e9t nghi\u1ec7m: c\u00f4 \u0111\u1eb7c m\u00e1u v\u1edbi Hb v\u00e0 Hct t\u0103ng, ho\u1eb7c gi\u1ea3m \u00e1p l\u1ef1c keo n\u1eb7ng v\u1edbi protein v\u00e0 albumin huy\u1ebft thanh gi\u1ea3m n\u1eb7ng.<\/p>\n<p>&#8211; \u0110o \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch trung t\u00e2m (CVP) gi\u1ea3m n\u1eb7ng.<\/p>\n<p>&#8211; Sau b\u00f9 \u0111\u1ee7 th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n tr\u1ebb tho\u00e1t s\u1ed1c<\/p>\n<p align=\"center\"><em>B\u1ea3ng 1. D\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng theo m\u1ee9c \u0111\u1ed9 m\u1ea5t n\u01b0\u1edbc \u1edf tr\u1ebb em<\/em><\/p>\n<table border=\"0\" width=\"588\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\"><b>Tri\u1ec7u ch\u1ee9ng<\/b><\/p>\n<\/td>\n<td valign=\"top\" width=\"124\">\n<p align=\"center\"><b>Nh\u1eb9<\/b><\/p>\n<\/td>\n<td valign=\"top\" width=\"132\">\n<p align=\"center\"><b>Trung b\u00ecnh<\/b><\/p>\n<\/td>\n<td valign=\"top\" width=\"185\">\n<p align=\"center\"><b>N\u1eb7ng<\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">M\u1ea1ch<\/p>\n<\/td>\n<td valign=\"top\" width=\"124\">\n<p align=\"center\">BT<\/p>\n<\/td>\n<td valign=\"top\" width=\"132\">\n<p align=\"center\">Nhanh<\/p>\n<\/td>\n<td valign=\"top\" width=\"185\">\n<p align=\"center\">R\u1ea5t nhanh, y\u1ebfu ho\u1eb7c kh\u00f4ng b\u1eaft \u0111\u01b0\u1ee3c<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">HATT<\/p>\n<\/td>\n<td valign=\"top\" width=\"124\">\n<p align=\"center\">BT<\/p>\n<\/td>\n<td valign=\"top\" width=\"132\">\n<p align=\"center\">BT ho\u1eb7c gi\u1ea3m<\/p>\n<\/td>\n<td valign=\"top\" width=\"185\">\n<p align=\"center\">Gi\u1ea3m<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">Nh\u1ecbp th\u1edf<\/p>\n<\/td>\n<td valign=\"top\" width=\"124\">\n<p align=\"center\">BT<\/p>\n<\/td>\n<td valign=\"top\" width=\"132\">\n<p align=\"center\">Th\u1edf nhanh s\u00e2u<\/p>\n<\/td>\n<td valign=\"top\" width=\"185\">\n<p align=\"center\">R\u1ed1i lo\u1ea1n nh\u1ecbp th\u1edf\/ng\u1eebng th\u1edf<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">Ni\u00eam m\u1ea1c mi\u1ec7ng<\/p>\n<\/td>\n<td valign=\"top\" width=\"124\">\n<p align=\"center\">\u1ea9m<\/p>\n<\/td>\n<td valign=\"top\" width=\"132\">\n<p align=\"center\">kh\u00f4<\/p>\n<\/td>\n<td valign=\"top\" width=\"185\">\n<p align=\"center\">Kh\u00f4<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">Th\u00f3p<\/p>\n<\/td>\n<td valign=\"top\" width=\"124\">\n<p align=\"center\">BT<\/p>\n<\/td>\n<td valign=\"top\" width=\"132\">\n<p align=\"center\">Tr\u0169ng<\/p>\n<\/td>\n<td valign=\"top\" width=\"185\">\n<p align=\"center\">Tr\u0169ng s\u00e2u<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">M\u1eaft<\/p>\n<\/td>\n<td valign=\"top\" width=\"124\">\n<p align=\"center\">BT<\/p>\n<\/td>\n<td valign=\"top\" width=\"132\">\n<p align=\"center\">Tr\u0169ng<\/p>\n<\/td>\n<td valign=\"top\" width=\"185\">\n<p align=\"center\">Tr\u0169ng s\u00e2u<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">\u0110\u00e0n h\u1ed3i da<\/p>\n<\/td>\n<td valign=\"top\" width=\"124\">\n<p align=\"center\">BT<\/p>\n<\/td>\n<td valign=\"top\" width=\"132\">\n<p align=\"center\">K\u00e9o d\u00e0i<\/p>\n<\/td>\n<td valign=\"top\" width=\"185\">\n<p align=\"center\">K\u00e9o d\u00e0i<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">Da<\/p>\n<\/td>\n<td valign=\"top\" width=\"124\">\n<p align=\"center\">BT<\/p>\n<\/td>\n<td valign=\"top\" width=\"132\">\n<p align=\"center\">L\u1ea1nh<\/p>\n<\/td>\n<td valign=\"top\" width=\"185\">\n<p align=\"center\">L\u1ea1nh \u1ea9m t\u00edm t\u00e1i<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">N\u01b0\u1edbc ti\u1ec3u<\/p>\n<\/td>\n<td valign=\"top\" width=\"124\">\n<p align=\"center\">BT ho\u1eb7c gi\u1ea3m nh\u1eb9<\/p>\n<\/td>\n<td valign=\"top\" width=\"132\">\n<p align=\"center\">Gi\u1ea3m<\/p>\n<\/td>\n<td valign=\"top\" width=\"185\">\n<p align=\"center\">Thi\u1ec3u ni\u1ec7u\/v\u00f4 ni\u1ec7u<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">Tinh th\u1ea7n<\/p>\n<\/td>\n<td valign=\"top\" width=\"124\">\n<p align=\"center\">Kh\u00e1t \u00edt<\/p>\n<\/td>\n<td valign=\"top\" width=\"132\">\n<p align=\"center\">Kh\u00e1t nhi\u1ec1u, k\u00edch th\u00edch<\/p>\n<\/td>\n<td valign=\"top\" width=\"185\">\n<p align=\"center\">Li b\u00ec, h\u00f4n m\u00ea<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p align=\"center\"><em>B\u1ea3ng 2. D\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng theo m\u1ee9c \u0111\u1ed9 s\u1ed1c m\u1ea5t m\u00e1u tr\u1ebb em<\/em><\/p>\n<table border=\"0\" width=\"610\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\"><b>D\u1ea5u hi\u1ec7u<\/b><\/p>\n<\/td>\n<td valign=\"top\" width=\"84\">\n<p align=\"center\"><b>\u0110\u1ed9 I (nh\u1eb9)<\/b><\/p>\n<\/td>\n<td valign=\"top\" width=\"120\">\n<p align=\"center\"><b>\u0110\u1ed9 II (trung b\u00ecnh)<\/b><\/p>\n<\/td>\n<td valign=\"top\" width=\"96\">\n<p align=\"center\"><b>\u0110\u1ed9 3 (n\u1eb7ng)<\/b><\/p>\n<\/td>\n<td valign=\"top\" width=\"163\">\n<p align=\"center\"><b>\u0110\u1ed9 IV (r\u1ea5t n\u1eb7ng)<\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">Th\u1ec3 t\u00edch m\u00e1u m\u1ea5t<\/p>\n<\/td>\n<td valign=\"top\" width=\"84\">\n<p align=\"center\">&lt; 15 %<\/p>\n<\/td>\n<td valign=\"top\" width=\"120\">\n<p align=\"center\">15 \u2013 30%<\/p>\n<\/td>\n<td valign=\"top\" width=\"96\">\n<p align=\"center\">30 \u2013 40 %<\/p>\n<\/td>\n<td valign=\"top\" width=\"163\">\n<p align=\"center\">&gt;40%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">Nh\u1ecbp tim<\/p>\n<\/td>\n<td valign=\"top\" width=\"84\">\n<p align=\"center\">BT<\/p>\n<\/td>\n<td valign=\"top\" width=\"120\">\n<p align=\"center\">T\u0103ng nh\u1eb9<\/p>\n<\/td>\n<td valign=\"top\" width=\"96\">\n<p align=\"center\">Nhanh<\/p>\n<\/td>\n<td valign=\"top\" width=\"163\">\n<p align=\"center\">R\u1ea5t nhanh<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">Nh\u1ecbp th\u1edf<\/p>\n<\/td>\n<td valign=\"top\" width=\"84\">\n<p align=\"center\">BT<\/p>\n<\/td>\n<td valign=\"top\" width=\"120\">\n<p align=\"center\">T\u0103ng nh\u1eb9<\/p>\n<\/td>\n<td valign=\"top\" width=\"96\">\n<p align=\"center\">Nhanh<\/p>\n<\/td>\n<td valign=\"top\" width=\"163\">\n<p align=\"center\">R\u1ea5t nhanh r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1edf\/ng\u1eebng th\u1edf<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">HA<\/p>\n<\/td>\n<td valign=\"top\" width=\"84\">\n<p align=\"center\">BT\/t\u0103ng nh\u1eb9<\/p>\n<\/td>\n<td valign=\"top\" width=\"120\">\n<p align=\"center\">BT\/gi\u1ea3m nh\u1eb9<\/p>\n<\/td>\n<td valign=\"top\" width=\"96\">\n<p align=\"center\">Gi\u1ea3m<\/p>\n<\/td>\n<td valign=\"top\" width=\"163\">\n<p align=\"center\">Gi\u1ea3m nhi\u1ec1u\/kh\u00f4ng \u0111o \u0111\u01b0\u1ee3c<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">M\u1ea1ch<\/p>\n<\/td>\n<td valign=\"top\" width=\"84\">\n<p align=\"center\">BT<\/p>\n<\/td>\n<td valign=\"top\" width=\"120\">\n<p align=\"center\">BT\/m\u1ea1ch bi\u00ean nh\u1ecf<\/p>\n<\/td>\n<td valign=\"top\" width=\"96\">\n<p align=\"center\">Y\u1ebfu, kh\u00f3 b\u1eaft<\/p>\n<\/td>\n<td valign=\"top\" width=\"163\">\n<p align=\"center\">Kh\u00f4ng b\u1eaft \u0111\u01b0\u1ee3c k\u1ec3 c\u1ea3 m\u1ea1ch l\u1edbn<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">Da<\/p>\n<\/td>\n<td valign=\"top\" width=\"84\">\n<p align=\"center\">\u1ea4m, h\u1ed3ng<\/p>\n<\/td>\n<td valign=\"top\" width=\"120\">\n<p align=\"center\">L\u1ea1nh ngo\u1ea1i bi\u00ean, \u1ea9m<\/p>\n<\/td>\n<td valign=\"top\" width=\"96\">\n<p align=\"center\">L\u1ea1nh \u1ea9m ngo\u1ea1i bi\u00ean, t\u00edm<\/p>\n<\/td>\n<td valign=\"top\" width=\"163\">\n<p align=\"center\">L\u1ea1nh ngo\u1ea1i bi\u00ean k\u00e8m t\u00edm t\u00e1i<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">Refill<\/p>\n<\/td>\n<td valign=\"top\" width=\"84\">\n<p align=\"center\">&lt; 2s<\/p>\n<\/td>\n<td valign=\"top\" width=\"120\">\n<p align=\"center\">&gt;2s<\/p>\n<\/td>\n<td valign=\"top\" width=\"96\">\n<p align=\"center\">K\u00e9o d\u00e0i<\/p>\n<\/td>\n<td valign=\"top\" width=\"163\">\n<p align=\"center\">K\u00e9o d\u00e0i<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">Tinh th\u1ea7n<\/p>\n<\/td>\n<td valign=\"top\" width=\"84\">\n<p align=\"center\">K\u00edch th\u00edch nh\u1eb9<\/p>\n<\/td>\n<td valign=\"top\" width=\"120\">\n<p align=\"center\">Gi\u1ea3m nh\u1eb9<\/p>\n<\/td>\n<td valign=\"top\" width=\"96\">\n<p align=\"center\">R\u1ea5t k\u00edch th\u00edch, li b\u00ec, l\u01a1 m\u01a1<\/p>\n<\/td>\n<td valign=\"top\" width=\"163\">\n<p align=\"center\">H\u00f4n m\u00ea<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"147\">\n<p align=\"center\">N\u01b0\u1edbc ti\u1ec3u<\/p>\n<\/td>\n<td valign=\"top\" width=\"84\">\n<p align=\"center\">BT<\/p>\n<\/td>\n<td valign=\"top\" width=\"120\">\n<p align=\"center\">Gi\u1ea3m nh\u1eb9<\/p>\n<\/td>\n<td valign=\"top\" width=\"96\">\n<p align=\"center\">Gi\u1ea3m nhi\u1ec1u<\/p>\n<\/td>\n<td valign=\"top\" width=\"163\">\n<p align=\"center\">V\u00f4 ni\u1ec7u<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>2.4.Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h3>\n<p>&#8211; S\u1ed1c nhi\u1ec5m tr\u00f9ng: c\u00f3 k\u00e8m gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n: b\u1ec7nh nhi c\u00f3 h\u1ed9i ch\u1ee9ng \u0111\u00e1p \u1ee9ng vi\u00eam h\u1ec7 th\u1ed1ng, c\u00f3 nhi\u1ec5m khu\u1ea9n n\u1eb7ng.<\/p>\n<p>&#8211; S\u1ed1c ph\u1ea3n v\u1ec7: ti\u1ec1n s\u1eed ti\u1ebfp x\u00fac d\u1ecb nguy\u00ean, c\u00f3 d\u1ea5u hi\u1ec7u s\u1ed1c. C\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00f3 v\u00ec trong s\u1ed1c ph\u1ea3n v\u1ec7 c\u0169ng c\u00f3 gi\u1ea3m th\u1ec3 t\u00edch, \u0111\u1eb7c bi\u1ec7t kh\u00f3 ph\u00e2n bi\u1ec7t \u1edf giai \u0111o\u1ea1n mu\u1ed9n.<\/p>\n<p>&#8211; S\u1ed1c tim: \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch trung t\u00e2m th\u01b0\u1eddng t\u0103ng, cung l\u01b0\u1ee3ng tim v\u00e0 s\u1ee9c co b\u00f3p c\u01a1 tim gi\u1ea3m, c\u00f3 bi\u1ec3u hi\u1ec7n b\u1ec7nh l\u00fd t\u1ea1i tim.<\/p>\n<h3>2.5. Ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 s\u1ed1c<\/h3>\n<p>&#8211; S\u1ed1c c\u00f2n b\u00f9: tr\u1ebb k\u00edch th\u00edch, m\u1ea1ch nhanh, HA b\u00ecnh th\u01b0\u1eddng ho\u1eb7c k\u1eb9t.<\/p>\n<p>&#8211; S\u1ed1c n\u1eb7ng m\u1ea5t b\u00f9: tr\u1ebb li b\u00ec, h\u00f4n m\u00ea, m\u1ea1ch nh\u1ecf ho\u1eb7c kh\u00f4ng b\u1eaft \u0111\u01b0\u1ee3c, HA gi\u1ea3m\/ho\u1eb7c kh\u00f4ng \u0111o \u0111\u01b0\u1ee3c, ti\u1ec3u \u00edt ho\u1eb7c kh\u00f4ng c\u00f3 n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<h2>3. X\u1eed tr\u00ed s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n \u1edf tr\u1ebb:<\/h2>\n<h3>3.1. Nguy\u00ean t\u1eafc<\/h3>\n<p>&#8211; Duy tr\u00ec ch\u1ee9c n\u0103ng s\u1ed1ng theo ABCs<\/p>\n<p>&#8211; Kh\u1ea9n tr\u01b0\u01a1ng b\u00f9 l\u1ea1i th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n \u0111\u00e3 m\u1ea5t , gi\u00e1m s\u00e1t d\u1ecbch ti\u1ebfp t\u1ee5c m\u1ea5t, \u0111i\u1ec1u ch\u1ec9nh n\u1ed9i m\u00f4i.<\/p>\n<p>&#8211; \u0110i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n.<\/p>\n<h3>3.2. X\u1eed tr\u00ed c\u1ee5 th\u1ec3<\/h3>\n<h4>3.2.1. X\u1eed tr\u00ed ban \u0111\u1ea7u<\/h4>\n<p>Trong gi\u1edd \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, c\u00e1c m\u1ee5c ti\u00eau c\u1ea7n \u0111\u1ea1t \u0111\u01b0\u1ee3c bao g\u1ed3m:<\/p>\n<ul>\n<li>\u0110i\u1ec1u ch\u1ec9nh m\u1ea1ch m\u00e1u v\u00e0 HA v\u1ec1 m\u1ee9c b\u00ecnh th\u01b0\u1eddng theo tu\u1ed5i, th\u1eddi gian \u0111\u1ea7y mao m\u1ea1ch d\u01b0\u1edbi 2 gi\u00e2y, tinh th\u1ea7n ph\u1ea3i b\u00ecnh th\u01b0\u1eddng, v\u00e0 ti\u1ebft n\u01b0\u1edbc ti\u1ec3u ph\u1ea3i \u0111\u1ea1t 1ml\/kg\/gi\u1edd.<\/li>\n<li>Ch\u1ed1ng suy h\u00f4 h\u1ea5p b\u1eb1ng c\u00e1ch th\u00f4ng tho\u00e1ng \u0111\u01b0\u1eddng th\u1edf, \u0111\u1eb7t g\u1ed1i d\u01b0\u1edbi vai, \u0111\u1ea7u th\u1ea5p v\u00e0 cho th\u1edf oxy l\u01b0u l\u01b0\u1ee3ng cao. N\u1ebfu kh\u00f4ng c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c, \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p.<\/li>\n<li>Thi\u1ebft l\u1eadp \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch ngo\u1ea1i bi\u00ean ho\u1eb7c truy\u1ec1n trong x\u01b0\u01a1ng\/b\u1ed9c l\u1ed9 ven n\u1ebfu kh\u00f4ng l\u1ea5y \u0111\u01b0\u1ee3c ven. Truy\u1ec1n dung d\u1ecbch Ringer lactat ho\u1eb7c Natriclorua 0,9% trong 5-15 ph\u00fat, c\u00f3 th\u1ec3 b\u01a1m nhanh h\u01a1n trong tr\u01b0\u1eddng h\u1ee3p s\u1ed1c n\u1eb7ng. L\u01b0\u1ee3ng d\u1ecbch truy\u1ec1n c\u00f3 th\u1ec3 t\u0103ng l\u00ean t\u1edbi 40-60 ml\/kg trong gi\u1edd \u0111\u1ea7u. N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u00e1p \u1ee9ng, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng dung d\u1ecbch cao ph\u00e2n t\u1eed\/albumin 4,5% cho nh\u1eefng b\u1ec7nh nh\u00e2n s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch kh\u00f4ng ph\u1ea3i do m\u1ea5t n\u01b0\u1edbc \u0111\u01a1n thu\u1ea7n, v\u00e0 li\u1ec1u l\u01b0\u1ee3ng dung d\u1ecbch cao ph\u00e2n t\u1eed cho b\u1ec7nh nh\u00e2n s\u1ed1c m\u1ea5t m\u00e1u l\u00e0 3ml cho m\u1ed7i ml m\u00e1u m\u1ea5t.<\/li>\n<\/ul>\n<h4>3.2.2. \u0110i\u1ec1u tr\u1ecb ti\u1ebfp theo<\/h4>\n<p>N\u1ebfu s\u1ed1c v\u1eabn ti\u1ebfp di\u1ec5n, vi\u1ec7c truy\u1ec1n d\u1ecbch \u0111\u1ec3 duy tr\u00ec \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong ng\u00e0y t\u00f9y theo m\u1ee9c \u0111\u1ed9 thi\u1ebfu h\u1ee5t, l\u01b0\u1ee3ng d\u1ecbch ti\u1ebfp t\u1ee5c m\u1ea5t v\u00e0 nhu c\u1ea7u d\u1ecbch c\u1ee7a b\u1ec7nh nh\u00e2n. C\u1ea7n ch\u00fa \u00fd \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i n\u1ebfu c\u00f3.<\/p>\n<p>N\u1ebfu b\u1ec7nh nh\u00e2n s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch \u0111\u01a1n thu\u1ea7n, s\u1ed1c th\u01b0\u1eddng s\u1ebd \u0111\u01b0\u1ee3c kh\u1eafc ph\u1ee5c sau khi \u0111i\u1ec1u tr\u1ecb b\u01b0\u1edbc \u0111\u1ea7u. N\u1ebfu s\u1ed1c kh\u00f4ng c\u1ea3i thi\u1ec7n sau khi truy\u1ec1n dung d\u1ecbch \u0111\u1eb3ng tr\u01b0\u01a1ng v\u1edbi li\u1ec1u 60 ml\/kg, c\u1ea7n th\u0103m kh\u00e1m \u0111\u1ec3 t\u00ecm ki\u1ebfm c\u00e1c nguy\u00ean nh\u00e2n s\u1ed1c kh\u00e1c v\u00e0 \u0111i\u1ec1u tr\u1ecb theo nguy\u00ean nh\u00e2n.<\/p>\n<p>N\u1ebfu s\u1ed1c do m\u1ea5t m\u00e1u, c\u1ea7n truy\u1ec1n kh\u1ed1i h\u1ed3ng c\u1ea7u c\u00f9ng nh\u00f3m v\u1edbi li\u1ec1u 10 ml\/kg \u0111\u1ec3 \u0111\u1ea1t Hb &gt;= 10 g% v\u00e0 Hct &gt;= 30%. N\u1ebfu s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c nh\u01b0 b\u1ecfng ho\u1eb7c m\u1ea5t d\u1ecbch do t\u0103ng t\u00ednh th\u1ea5m th\u00e0nh m\u1ea1ch (t\u1eafc ru\u1ed9t, vi\u00eam t\u1ee5y c\u1ea5p), th\u01b0\u1eddng kh\u00f3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c l\u01b0\u1ee3ng d\u1ecbch m\u1ea5t, c\u1ea7n truy\u1ec1n dung d\u1ecbch keo.<\/p>\n<p>\u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb theo nguy\u00ean nh\u00e2n, n\u1ebfu s\u1ed1c do m\u1ea5t m\u00e1u, c\u1ea7n c\u1ea7m m\u00e1u t\u1ea1i ch\u1ed7 ho\u1eb7c ph\u1eabu thu\u1eadt n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt \u0111\u1ec3 ng\u0103n ng\u1eeba l\u01b0\u1ee3ng d\u1ecbch ti\u1ebfp t\u1ee5c m\u1ea5t. N\u1ebfu s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c, c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ch\u00ednh.<\/p>\n<p>Ngo\u00e0i ra, c\u1ea7n theo d\u00f5i c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a s\u1ed1c n\u1ebfu c\u00f3, bao g\u1ed3m r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i v\u00e0 suy ch\u1ee9c n\u0103ng \u0111a c\u01a1 quan.<\/p>\n<p><em>Ngu\u1ed3n: T\u1ed5ng h\u1ee3p<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>S\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n l\u00e0 lo\u1ea1i s\u1ed1c \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u01b0\u1edbi m\u00e1u t\u1ed5 ch\u1ee9c kh\u00f4ng th\u1ecfa \u0111\u00e1ng do gi\u1ea3m n\u1eb7ng th\u1ec3 t\u00edch d\u1ecbch trong l\u00f2ng m\u1ea1ch. Nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh c\u00f3 th\u1ec3 do m\u1ea5t d\u1ecbch ho\u1eb7c cung c\u1ea5p d\u1ecbch kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7. Khi c\u01a1 th\u1ec3 c\u00f2n b\u00f9 tr\u1eeb \u0111\u01b0\u1ee3c (bi\u1ec3u hi\u1ec7n nh\u1ecbp tim [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>S\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n \u1edf tr\u1ebb em - Vinmec<\/title>\n<meta name=\"description\" content=\"S\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n l\u00e0 lo\u1ea1i s\u1ed1c \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u01b0\u1edbi m\u00e1u t\u1ed5 ch\u1ee9c kh\u00f4ng th\u1ecfa \u0111\u00e1ng do gi\u1ea3m n\u1eb7ng th\u1ec3 t\u00edch d\u1ecbch trong l\u00f2ng m\u1ea1ch.\" \/>\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=\"S\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n \u1edf tr\u1ebb em - 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