{"id":29305,"date":"2023-04-29T22:18:05","date_gmt":"2023-04-29T15:18:05","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29305"},"modified":"2023-04-29T22:47:52","modified_gmt":"2023-04-29T15:47:52","slug":"hoi-suc-tim-phoi-nang-cao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/hoi-suc-tim-phoi-nang-cao\/","title":{"rendered":"H\u1ed3i sinh tim ph\u1ed5i n\u00e2ng cao: chu\u1ed7i s\u1ed1ng c\u00f2n v\u00e0 c\u1ea5p c\u1ee9u tu\u1ea7n ho\u00e0n"},"content":{"rendered":"<p><strong>H\u1ed3i sinh tim ph\u1ed5i k\u1ebft h\u1ee3p v\u1edbi s\u1ed1c \u0111i\u1ec7n s\u1edbm trong v\u00f2ng 3 \u0111\u1ebfn 5 ph\u00fat \u0111\u1ea7u ti\u00ean sau khi ng\u1eebng tu\u1ea7n ho\u00e0n c\u00f3 th\u1ec3 \u0111\u1ea1t t\u1ef7 l\u1ec7 c\u1ee9u s\u1ed1ng l\u00ean \u0111\u1ebfn 50% -75% . Ng\u1eebng tu\u1ea7n ho\u00e0n l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng tim ng\u1eebng ho\u1ea1t \u0111\u1ed9ng ho\u1eb7c c\u00f2n ho\u1ea1t \u0111\u1ed9ng nh\u01b0ng kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1ng m\u00e1u. L\u00e0 m\u1ed9t t\u1ed1i c\u1ea5p c\u1ee9u v\u00ec ng\u01b0\u1eddi b\u1ec7nh \u0111ang \u1edf ranh gi\u1edbi gi\u1eefa s\u1ed1ng v\u00e0 ch\u1ebft.<\/strong><\/p>\n<h2>1\u00a0 \u00a0 \u00a0 \u00a0Chu\u1ed7i s\u1ed1ng c\u00f2n<\/h2>\n<ul>\n<li><strong>Chu\u1ed7i s\u1ed1ng c\u00f2n <\/strong>\u0111\u00e3 \u0111u\u031b\u01a1\u0323c khuy\u00ea\u0301n nghi\u0323 \u0111\u1ec3 ch\u1ec9 ra nh\u01b0\u0303ng kh\u00e1c bi\u1ec7t trong qua\u0301 tri\u0300nh cha\u0306m so\u0301c \u0111\u00f4\u0301i v\u01a1\u0301i b\u1eb9\u0302nh nha\u0302n t\u01b0\u0300ng ngu\u031bng tim trong n\u1ed9i vi\u1ec7n v\u00e0 ngo\u1ea1i vi\u1eb9\u0302n.<\/li>\n<li>B\u00e2\u0301t k\u00ea\u0309 vi\u1eb9\u0302c ngu\u031bng tim di\u00ea\u0303n ra \u01a1\u0309 \u0111a\u0302u, t\u00e2\u0301t ca\u0309 ca\u0301c b\u1eb9\u0302nh nha\u0302n sau ngu\u031bng tim \u0111\u00ea\u0300u \u0111u\u031b\u01a1\u0323c cha\u0306m so\u0301c trong b\u1eb9\u0302nh vi\u1eb9\u0302n, tho\u0302ng thu\u031b\u01a1\u0300ng la\u0300 trong \u0111o\u031bn vi\u0323 cha\u0306m so\u0301c s\u01b0\u0301c kho\u0309e chuye\u0302n sa\u0302u co\u0301 cung c\u00e2\u0301p di\u0323ch vu\u0323 cha\u0306m so\u0301c sau ngu\u031bng tim. Ca\u0301c y\u00ea\u0301u t\u00f4\u0301 c\u00e2\u0301u tru\u0301c va\u0300 quy tri\u0300nh c\u00e2\u0300n thi\u00ea\u0301t tru\u031b\u01a1\u0301c khi va\u0300o vi\u1eb9\u0302n r\u00e2\u0301t kha\u0301c nhau trong 2 b\u00f4\u0301i ca\u0309nh. <strong>B\u1eb9\u0302nh nha\u0302n bi\u0323 ng\u01b0ng tim ngo\u1ea1i vi\u1ec7n (OHCA) ph\u1ea3i phu\u0323 thu\u1ecd\u0302c va\u0300o s\u01b0\u0323 h\u00f4\u0303 tr\u01a1\u0323 cu\u0309a c\u1ecd\u0302ng \u0111\u00f4\u0300ng<\/strong>. Ngu\u031b\u01a1\u0300i ph\u00e1t hi\u1ec7n pha\u0309i nh\u1ea1\u0302n bi\u00ea\u0301t ti\u0300nh tra\u0323ng ngu\u031bng tim, ke\u0302u go\u0323i tr\u01a1\u0323 giu\u0301p va\u0300 b\u0103\u0301t \u0111\u00e2\u0300u h\u1ed3i sinh tim ph\u1ed5i (CPR) va\u0300 kh\u01b0\u0309 rung s\u1edbm cho \u0111\u00ea\u0301n khi nho\u0301m c\u1ea5p c\u1ee9u ngo\u1ea1i vi\u1ec7n (EMS) v\u1ea1\u0302n chuy\u00ea\u0309n b\u1eb9\u0302nh nha\u0302n \u0111\u00ea\u0301n pho\u0300ng c\u00e2\u0301p c\u01b0\u0301u va\u0300\/ho\u1ea1\u0306c pho\u0300ng tho\u0302ng tim can thi\u1eb9\u0302p. Sau \u0111\u00f3 b\u1eb9\u0302nh nha\u0302n \u0111u\u031b\u01a1\u0323c chuy\u00ea\u0309n \u0111\u00ea\u0301n \u0111o\u031bn vi\u0323 cha\u0306m so\u0301c ti\u0301ch c\u01b0\u0323c \u0111\u00ea\u0309 ti\u00ea\u0301p tu\u0323c \u0111\u01b0\u1ee3c theo d\u00f5i. Ngu\u031b\u01a1\u0323c la\u0323i, b\u1eb9\u0302nh nha\u0302n bi\u0323 ng\u01b0ng tim n\u1ed9i vi\u1ec7n (IHCA) th\u00ec phu\u0323 thu\u1ecd\u0302c va\u0300o h\u1eb9\u0302 th\u00f4\u0301ng gia\u0301m sa\u0301t phu\u0300 h\u01a1\u0323p (vi\u0301 du\u0323: h\u1eb9\u0302 th\u00f4\u0301ng pha\u0309n \u01b0\u0301ng nhanh ho\u1ea1\u0306c ca\u0309nh ba\u0301o s\u01a1\u0301m) \u0111\u00ea\u0309 pho\u0300ng tra\u0301nh ngu\u031bng tim. N\u00ea\u0301u b\u1ec7nh nh\u00e2n ngu\u031bng tim, \u0111\u00f2i h\u1ecfi ph\u1ea3i c\u00f3 s\u1ef1 ph\u1ed1i h\u1ee3p nh\u1ecbp nh\u00e0ng gi\u01b0\u0303a ca\u0301c pho\u0300ng ban, c\u00e1c di\u0323ch vu\u0323 kha\u0301c nhau cu\u0309a vi\u1eb9\u0302n va\u0300 m\u1ecd\u0302t nho\u0301m lie\u0302n nga\u0300nh nh\u01b0\u0303ng ngu\u031b\u01a1\u0300i c\u00f3 chuye\u0302n m\u00f4n, bao g\u00f4\u0300m ba\u0301c si\u0303, y ta\u0301, nha\u0300 tri\u0323 li\u1eb9\u0302u ho\u0302 h\u00e2\u0301p va\u0300 nh\u01b0\u0303ng ngu\u031b\u01a1\u0300i kha\u0301c c\u00f9ng th\u1ef1c hi\u1ec7n.<\/li>\n<\/ul>\n<h2>2\u00a0 \u0110\u00e1nh gi\u00e1 ban \u0111\u1ea7u h\u1ed3i sinh tim ph\u1ed5i<\/h2>\n<ul>\n<li><strong>Airway:<\/strong> \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1eddng th\u1edf, lo\u1ea1i b\u1ecf d\u1ecb v\u1eadt. B\u1ea3o v\u1ec7 \u0111\u01b0\u1eddng th\u1edf cho b\u1ec7nh nh\u00e2n v\u00e0 thi\u1ebft l\u1eadp \u0111\u01b0\u1eddng th\u1edf n\u00e2ng cao n\u1ebfu c\u1ea7n thi\u1ebft. N\u1ebfu \u0111\u00e3 c\u00f3 \u0111\u01b0\u1eddng th\u1edd n\u00e2ng cao c\u1ea7n ki\u1ec3m tra v\u1ecb tr\u00ed v\u00e0 c\u1ed1 \u0111\u1ecbnh ch\u1eafc ch\u1eafn.<\/li>\n<li><strong>Breathing:<\/strong> \u0111\u00e1nh gi\u00e1 nh\u1ecbp th\u1edf c\u1ee7a b\u1ec7nh nh\u00e2n. Khi ng\u01b0ng th\u1edf, b\u00f3p b\u00f3ng qua mask, cung c\u1ea5p oxy, nh\u01b0ng tr\u00e1nh t\u00ecnh tr\u1ea1ng th\u00f4ng kh\u00ed qu\u00e1 m\u1ee9c. C\u1ea7n theo d\u00f5i th\u00f4ng kh\u00ed v\u00e0 oxy ph\u00f9 h\u1ee3p trong su\u1ed1t qu\u00e1 tr\u00ecnh h\u1ed3i s\u1ee9c.<\/li>\n<li><strong>Circulation:<\/strong> theo d\u00f5i huy\u1ebft \u0111\u1ed9ng h\u1ecdc c\u1ee7a b\u1ec7nh nh\u00e2n. Thi\u1ebft l\u1eadp \u0111\u01b0\u1eddng truy\u1ec1n, g\u1eafn monitor theo d\u00f5i, c\u1ea7n ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm r\u1ed1i lo\u1ea1n nh\u1ecbp c\u1ee7a b\u1ec7nh nh\u00e2n, b\u00f9 d\u1ecbch h\u1ee3p l\u00fd v\u00e0 kh\u1eed rung s\u1edbm.<\/li>\n<li><strong>Disability:<\/strong> \u0111\u00e1nh gi\u00e1 tri gi\u00e1c v\u00e0 ch\u1ee9c n\u0103ng th\u1ea7n kinh c\u1ee7a b\u1ec7nh nh\u00e2n, c\u00f3 th\u1ec3 d\u00f9ng AVPU thay cho GCS.<\/li>\n<li><strong>Exposure:<\/strong> lo\u1ea1i b\u1ecf qu\u1ea7n \u00e1o g\u00e2y c\u1ea3n tr\u1edf th\u1ef1c hi\u1ec7n c\u00e1c can thi\u1ec7p tr\u00ean b\u1ec7nh nh\u00e2n. \u0110\u00e1nh gi\u00e1 to\u00e0n th\u1ec3, ph\u00e1t hi\u1ec7n ch\u1ea5n th\u01b0\u01a1ng, ch\u1ea3y m\u00e1u, b\u1ecfng\u2026<\/li>\n<\/ul>\n<h2>3\u00a0 \u00a0\u00c9p tim ngo\u00e0i l\u1ed3ng ng\u1ef1c \u2013 kh\u1eed rung<\/h2>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-29306 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/images-2-2.jpg\" alt=\"hoi-sinh-tim-phoi\" width=\"275\" height=\"183\" \/><\/p>\n<ul>\n<li><strong><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/ngung-tim-la-gi\/\">Ng\u01b0ng tim<\/a> c\u00f3 th\u1ec3 l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a 4 lo\u1ea1i lo\u1ea1n nh\u1ecbp: rung th\u1ea5t (VF), nh\u1ecbp nhanh th\u1ea5t v\u00f4 m\u1ea1ch (pVT), ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n v\u00f4 m\u1ea1ch (PEA), v\u00e0 v\u00f4 t\u00e2m thu.<\/strong> VF l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n v\u00f4 t\u1ed5 ch\u1ee9c c\u1ee7a c\u01a1 tim, trong khi \u0111\u00f3 pVT l\u00e0 ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u00f3 t\u1ed5 ch\u1ee9c c\u1ee7a c\u01a1 tim. C\u1ea3 2 ki\u1ec3u lo\u1ea1n nh\u1ecbp n\u00e0y \u0111\u1ec1u kh\u00f4ng th\u1ec3 t\u1ea1o \u0111\u01b0\u1ee3c d\u00f2ng l\u01b0u l\u01b0\u1ee3ng m\u00e1u ph\u00f9 h\u1ee3p \u0111\u1ec3 cung c\u1ea5p m\u00e1u cho c\u01a1 quan. PEA, tuy c\u00f3 s\u00f3ng \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, nh\u01b0ng kh\u00f4ng \u0111i k\u00e8m v\u1edbi ho\u1ea1t \u0111\u1ed9ng c\u01a1 h\u1ecdc c\u1ee7a t\u00e2m th\u1ea5t ho\u1eb7c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a t\u00e2m th\u1ea5t kh\u00f4ng th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c m\u1ea1ch \u0111\u1eadp tr\u00ean l\u00e2m s\u00e0ng. V\u00f4 t\u00e2m thu l\u00e0 kh\u00f4ng c\u00f3 ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u1ee7a t\u00e2m th\u1ea5t hay t\u00e2m nh\u0129.<\/li>\n<li><strong>S\u1ef1 s\u1ed1ng c\u00f2n c\u1ee7a b\u1ec7nh nh\u00e2n ph\u1ee5 thu\u1ed9c v\u00e0o h\u1ed3i sinh tim ph\u1ed5i c\u01a1 b\u1ea3n (BLS) v\u00e0 h\u1ec7 th\u1ed1ng h\u1ed3i sinh tim ph\u1ed5i n\u00e2ng cao (ACLS) k\u00e8m theo \u0111\u00f3 l\u00e0 ch\u0103m s\u00f3c sau ng\u01b0ng tim. <\/strong>Y\u1ebfu t\u1ed1 quan tr\u1ecdng c\u1ee7a cu\u1ed9c h\u1ed3i sinh th\u00e0nh c\u00f4ng l\u00e0 CPR \u0111\u00fang k\u0129 thu\u1eadt; \u0111\u1ed1i v\u1edbi VF\/pVT, kh\u1eed rung s\u1edbm trong v\u00e0i ph\u00fat sau ng\u01b0ng tim. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n ng\u01b0ng tim c\u00f3 ng\u01b0\u1eddi ch\u1ee9ng ki\u1ebfn, CPR v\u00e0 kh\u1eed rung s\u1edbm s\u1ebd t\u0103ng \u0111\u00e1ng k\u1ec3 kh\u1ea3 n\u0103ng c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n v\u00e0 xu\u1ea5t vi\u1ec7n. Trong khi \u0111\u00f3, nh\u1eefng li\u1ec7u ph\u00e1p kh\u00e1c trong ACLS nh\u01b0 thu\u1ed1c v\u00e0 \u0111\u01b0\u1eddng th\u1edf n\u00e2ng cao l\u00e0m t\u0103ng t\u1ec9 l\u1ec7 kh\u00f4i ph\u1ee5c tu\u1ea7n ho\u00e0n t\u1ef1 nhi\u00ean (ROSC) nh\u01b0ng kh\u00f4ng t\u0103ng t\u1ec9 l\u1ec7 s\u1ed1ng c\u00f2n v\u00e0 xu\u1ea5t vi\u1ec7n c\u1ee7a b\u1ec7nh nh\u00e2n. <strong>V\u00ec th\u1ebf, \u0111\u1ec3 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 l\u00e2u d\u00e0i c\u1ea7n k\u1ebft h\u1ee3p CPR \u0111\u00fang k\u0129 thu\u1eadt v\u1edbi ACLS v\u00e0 can thi\u1ec7p ch\u0103m s\u00f3c sau ng\u01b0ng tim.<\/strong><\/li>\n<li>L\u01b0u \u0111\u1ed3 x\u1eed tr\u00ed ACLS ng\u01b0ng tim ng\u01b0ng th\u1edf \u1edf ng\u01b0\u1eddi l\u1edbn nh\u1ea5n m\u1ea1nh t\u1ea7m quan tr\u1ecdng c\u1ee7a CPR \u0111\u00fang k\u0129 thu\u1eadt trong qu\u00e1 tr\u00ecnh h\u1ed3i sinh b\u1ec7nh nh\u00e2n ng\u01b0ng tim. Th\u1eddi gian ng\u1eebng CPR n\u00ean \u0111\u01b0\u1ee3c gi\u1ea3m thi\u1ec3u ng\u1eafn nh\u1ea5t c\u00f3 th\u1ec3, v\u00e0 ch\u1ec9 ng\u01b0ng khi c\u1ea7n thi\u1ebft nh\u01b0 \u0111\u1ec3 ph\u00e2n t\u00edch nh\u1ecbp tim, kh\u1eed rung, ki\u1ec3m tra m\u1ea1ch v\u00e0 khi c\u00f3 nh\u1ecbp t\u1ef1 nhi\u00ean ho\u1eb7c thi\u1ebft l\u1eadp \u0111\u01b0\u1eddng th\u1edf n\u00e2ng cao. Khi kh\u00f4ng c\u00f3 \u0111\u01b0\u1eddng th\u1edf n\u00e2ng cao, t\u1ec9 s\u1ed1 \u00e9p tim:th\u1ed5i ng\u1ea1t (b\u00f3p b\u00f3ng) l\u00e0 30:2 v\u00e0 \u0111\u1ea3m b\u1ea3o t\u1ea7n s\u1ed1 100-120 l\u1ea7n\/ph\u00fat. Sau khi thi\u1ebft l\u1eadp \u0111\u01b0\u1eddng th\u1edf n\u00e2ng cao th\u00ec kh\u00f4ng ph\u1ea3i ng\u01b0ng \u00e9p tim khi b\u00f3p b\u00f3ng, khi \u0111\u00f3 c\u1ea5p c\u1ee9u vi\u00ean \u00e9p tim ngo\u00e0i l\u1ed3ng ng\u1ef1c li\u00ean t\u1ee5c 100-120 l\u1ea7n\/ph\u00fat. Ng\u01b0\u1eddi c\u00f2n l\u1ea1i s\u1ebd b\u00f3p b\u00f3ng m\u1ed7i 6 gi\u00e2y (10 l\u1ea7n\/ph\u00fat) v\u00e0 ph\u1ea3i th\u1eadn tr\u1ecdng kh\u00f4ng g\u00e2y ra t\u00ecnh tr\u1ea1ng th\u00f4ng kh\u00ed qu\u00e1 m\u1ee9c.<\/li>\n<li><strong>Ngo\u00e0i CPR \u0111\u00fang k\u0129 thu\u1eadt, \u0111i\u1ec1u tr\u1ecb lo\u1ea1n nh\u1ecbp l\u00e0 kh\u1eed rung khi c\u00f3 VF\/pVT \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 t\u0103ng t\u1ec9 l\u1ec7 s\u1ed1ng c\u00f2n \u0111\u1ebfn khi \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n.<\/strong> V\u00ec v\u1eady, kh\u1eed rung l\u00e0 m\u1ed9t b\u01b0\u1edbc quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh CPR khi ph\u00e2n t\u00edch nh\u1ecbp tim ph\u00e1t hi\u1ec7n VF\/pVT. T\u1ea5t c\u1ea3 c\u00e1c li\u1ec7u ph\u00e1p kh\u00e1c trong ACLS c\u00f3 th\u1ec3 t\u0103ng t\u1ec9 l\u1ec7 ROSC nh\u01b0ng ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh gi\u00fap t\u0103ng t\u1ec9 l\u1ec7 s\u1ed1ng c\u00f2n \u0111\u1ebfn khi xu\u1ea5t vi\u1ec7n. Ch\u00ednh v\u00ec \u0111i\u1ec1u n\u00e0y, n\u00ean c\u00e2n nh\u1eafc s\u1eed d\u1ee5ng c\u00e1c th\u1ee7 thu\u1eadt n\u00e0y nh\u01b0ng kh\u00f4ng l\u00e0m gi\u00e1n \u0111o\u1ea1n CPR hay l\u00e0m ch\u1eadm tr\u1ec5 kh\u1eed rung. Nh\u1eefng li\u1ec7u ph\u00e1p tr\u00ean bao g\u1ed3m: thi\u1ebft l\u1eadp \u0111\u01b0\u1eddng truy\u1ec1n, s\u1eed d\u1ee5ng thu\u1ed1c, thi\u1ebft l\u1eadp \u0111\u01b0\u1eddng th\u1edf n\u00e2ng cao. Hi\u1ec7n nay, kh\u00f4ng c\u00f3 nghi\u00ean c\u1ee9u n\u00e0o ch\u1ec9 ra th\u1eddi gian t\u1ed1i \u01b0u \u0111\u1ec3 b\u1eaft \u0111\u1ea7u th\u1ef1c hi\u1ec7n c\u00e1c th\u1ee7 thu\u1eadt ACLS, th\u1eddi gian v\u00e0 tr\u00ecnh t\u1ef1 n\u00e0y c\u00f2n t\u00f9y thu\u1ed9c v\u00e0o s\u1ed1 ng\u01b0\u1eddi c\u1ea5p c\u1ee9u, \u0111\u01b0\u1eddng truy\u1ec1n hay \u0111\u01b0\u1eddng th\u1edf n\u00e2ng cao \u0111\u00e3 c\u00f3 s\u1eb5n tr\u01b0\u1edbc khi ng\u01b0ng tim.<\/li>\n<li>Hi\u1ec3u \u0111\u01b0\u1ee3c s\u1ef1 quan tr\u1ecdng c\u1ee7a vi\u1ec7c <strong>ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y ng\u01b0ng tim<\/strong> c\u0169ng l\u00e0 m\u1ed9t nguy\u00ean t\u1eafc c\u01a1 b\u1ea3n c\u1ea7n nh\u1edb trong qu\u00e1 tr\u00ecnh h\u1ed3i sinh tim ph\u1ed5i. Trong qu\u00e1 tr\u00ecnh h\u1ed3i sinh tim ph\u1ed5i, ng\u01b0\u1eddi c\u1ea5p c\u1ee9u vi\u00ean n\u00ean xem x\u00e9t kh\u1ea3 n\u0103ng ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n 5H v\u00e0 5T, v\u00ec nh\u1eefng nguy\u00ean nh\u00e2n n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ng\u01b0ng tim ho\u1eb7c l\u00e0m c\u1ea3n tr\u1edf trong qu\u00e1 tr\u00ecnh h\u1ed3i sinh tim ph\u1ed5i.<\/li>\n<li>Nh\u1ecbp tim thay \u0111\u1ed5i trong qu\u00e1 tr\u00ecnh h\u1ed3i sinh l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng th\u01b0\u1eddng g\u1eb7p. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u v\u1edbi bi\u1ec3u hi\u1ec7n v\u00f4 t\u00e2m thu hay PEA v\u00e0 xu\u1ea5t hi\u1ec7n VF\/pVT khi ki\u1ec3m tra l\u1ea1i. Thu\u1ed1c d\u00f9ng cho b\u1ec7nh nh\u00e2n trong qu\u00e1 tr\u00ecnh h\u1ed3i sinh v\u00e0 t\u1ed5ng li\u1ec1u c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c theo d\u00f5i \u0111\u1ec3 tr\u00e1nh ng\u1ed9 \u0111\u1ed9c thu\u1ed1c.<\/li>\n<li>Khi b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u kh\u00f4i ph\u1ee5c tu\u1ea7n ho\u00e0n t\u1ef1 nhi\u00ean th\u00ec chuy\u1ec3n sang b\u01b0\u1edbc ti\u1ebfp theo l\u00e0 ch\u0103m s\u00f3c sau ng\u01b0ng tim \u0111\u1ec3 t\u0103ng c\u01a1 h\u1ed9i h\u1ed3i ph\u1ee5c ch\u1ee9c n\u0103ng th\u1ea7n kinh cho b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong><\/p>\n<ol>\n<li>American Heart Association Guidelines for CPR and ECC (2018), Part 7: Adult Advanced Cardiovascular Life Support.<\/li>\n<li>T\u00e0i li\u1ec7u l\u1edbp h\u1ecdc H\u1ed3i sinh tim ph\u1ed5i c\u01a1 b\u1ea3n, B\u1ec7nh vi\u1ec7n Tr\u01b0ng V\u01b0\u01a1ng<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed3i sinh tim ph\u1ed5i k\u1ebft h\u1ee3p v\u1edbi s\u1ed1c \u0111i\u1ec7n s\u1edbm trong v\u00f2ng 3 \u0111\u1ebfn 5 ph\u00fat \u0111\u1ea7u ti\u00ean sau khi ng\u1eebng tu\u1ea7n ho\u00e0n c\u00f3 th\u1ec3 \u0111\u1ea1t t\u1ef7 l\u1ec7 c\u1ee9u s\u1ed1ng l\u00ean \u0111\u1ebfn 50% -75% . Ng\u1eebng tu\u1ea7n ho\u00e0n l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng tim ng\u1eebng ho\u1ea1t \u0111\u1ed9ng ho\u1eb7c c\u00f2n ho\u1ea1t \u0111\u1ed9ng nh\u01b0ng kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1ng [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[23,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u1ed3i sinh tim ph\u1ed5i n\u00e2ng cao: chu\u1ed7i s\u1ed1ng c\u00f2n v\u00e0 c\u1ea5p c\u1ee9u tu\u1ea7n ho\u00e0n - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1ed3i sinh tim ph\u1ed5i k\u1ebft h\u1ee3p v\u1edbi s\u1ed1c \u0111i\u1ec7n s\u1edbm trong v\u00f2ng 3 \u0111\u1ebfn 5 ph\u00fat \u0111\u1ea7u ti\u00ean sau khi ng\u1eebng tu\u1ea7n ho\u00e0n c\u00f3 th\u1ec3 \u0111\u1ea1t t\u1ef7 l\u1ec7 s\u1ed1ng l\u00ean \u0111\u1ebfn 50% -75%\" \/>\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=\"H\u1ed3i sinh tim ph\u1ed5i n\u00e2ng cao: chu\u1ed7i s\u1ed1ng c\u00f2n v\u00e0 c\u1ea5p c\u1ee9u tu\u1ea7n ho\u00e0n - 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