{"id":30404,"date":"2023-05-03T15:12:40","date_gmt":"2023-05-03T08:12:40","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30404"},"modified":"2023-05-03T15:12:40","modified_gmt":"2023-05-03T08:12:40","slug":"huyet-khoi-trong-thanh-dong-mach-chu","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/huyet-khoi-trong-thanh-dong-mach-chu\/","title":{"rendered":"Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7"},"content":{"rendered":"<p><strong>Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 t\u00ecnh tr\u1ea1ng xu\u1ea5t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng m\u00e1u t\u1ee5 trong l\u1edbp \u00e1o gi\u1eefa th\u00e0nh \u0110M ch\u1ee7 m\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u v\u1ebft c\u1ee7a t\u1ed5n th\u01b0\u01a1ng r\u00e1ch l\u1edbp n\u1ed9i m\u1ea1c v\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 h\u00ecnh th\u00e0nh l\u00f2ng gi\u1ea3. Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh khi b\u1ec1 d\u00e0y th\u00e0nh \u0110M ch\u1ee7 &gt; 5 mm.\u00a0<\/strong><\/p>\n<h2>1. \u0110\u1ecbnh ngh\u0129a<\/h2>\n<p>L\u00e0 t\u00ecnh tr\u1ea1ng xu\u1ea5t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng m\u00e1u t\u1ee5 trong l\u1edbp \u00e1o gi\u1eefa th\u00e0nh \u0110M ch\u1ee7 m\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u v\u1ebft c\u1ee7a t\u1ed5n th\u01b0\u01a1ng r\u00e1ch l\u1edbp n\u1ed9i m\u1ea1c v\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 h\u00ecnh th\u00e0nh l\u00f2ng gi\u1ea3. Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh khi b\u1ec1 d\u00e0y th\u00e0nh \u0110M ch\u1ee7 &gt; 5 mm. C\u01a1 ch\u1ebf t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1ee3c cho l\u00e0 do v\u1ee1 c\u00e1c m\u1ea1ch nu\u00f4i m\u1ea1ch ho\u1eb7c c\u00f3 c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u00f3c t\u00e1ch r\u1ea5t nh\u1ecf (micro-dissection) m\u00e0 kh\u00f4ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c tr\u00ean CLVT m\u1ea1ch m\u00e1u th\u00f4ng th\u01b0\u1eddng.<\/p>\n<h2>2.Ph\u00e2n lo\u1ea1i:<\/h2>\n<p>B\u1ec7nh su\u1ea5t, t\u1eed su\u1ea5t\u00a0 v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00f9y thu\u1ed9c v\u00e0o c\u00f3 hay kh\u00f4ng l\u00f3c t\u00e1ch \u0111\u1ebfn \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c \u0111o\u1ea1n l\u00ean, do \u0111\u00f3 ph\u00e2n lo\u1ea1i t\u00f9y theo c\u00f3 li\u00ean quan \u0111\u1ebfn \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111o\u1ea1n l\u00ean hay kh\u00f4ng.<\/p>\n<h3><strong>2.1 Ph\u00e2n lo\u1ea1i DeBakey:<\/strong><\/h3>\n<ul>\n<li>Lo\u1ea1i I (50% l\u00f3c t\u00e1ch): T\u1ed3n th\u01b0\u01a1ng l\u00f3c t\u00e1ch n\u00e0y b\u1eaft \u0111\u1ea7u t\u1eeb \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00ean v\u00e0 k\u00e9o d\u00e0i \u00edt nh\u1ea5t \u0111\u1ebfn quai \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 \u0111\u00f4i khi v\u01b0\u1ee3t qu\u00e1 quai \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/li>\n<li>Lo\u1ea1i II (35%): T\u1ed5n th\u01b0\u01a1ng l\u00f3c t\u00e1ch b\u1eaft \u0111\u1ea7u v\u00e0 n\u1eb1m trong \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00ean (g\u1ea7n v\u1edbi th\u00e2n \u0111\u1ed9ng m\u1ea1ch c\u00e1ch tay \u0111\u1ea7u ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch v\u00f4 danh).<\/li>\n<li>Lo\u1ea1i III (15%): L\u00f3c t\u00e1ch b\u1eaft \u0111\u1ea7u t\u1eeb \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 xu\u1ed1ng ngay d\u01b0\u1edbi ch\u1ed7 xu\u1ea5t ph\u00e1t c\u1ee7a \u0111\u1ed9ng m\u1ea1ch d\u01b0\u1edbi \u0111\u00f2n tr\u00e1i v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i xu\u1ed1ng ph\u00eda d\u01b0\u1edbi, m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p ti\u1ebfn tri\u1ec3n lan v\u1ec1 ph\u00eda \u0111\u1ea7u g\u1ea7n. L\u00f3c t\u00e1ch lo\u1ea1i IIIa b\u1eaft \u0111\u1ea7u t\u1eeb d\u01b0\u1edbi ch\u1ed7 chia nh\u00e1nh \u0111\u1ed9ng m\u1ea1ch d\u01b0\u1edbi \u0111\u00f2n v\u00e0 t\u1ed5n th\u01b0\u01a1ng ch\u1ec9 \u1edf \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c. T\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 lo\u1ea1i IIIb b\u1eaft \u0111\u1ea7u t\u1eeb d\u01b0\u1edbi ch\u1ed7 chia ra \u0111\u1ed9ng m\u1ea1ch d\u01b0\u1edbi \u0111\u00f2n tr\u00e1i v\u00e0 k\u00e9o d\u00e0i xu\u1ed1ng d\u01b0\u1edbi c\u01a1 ho\u00e0nh.<\/li>\n<\/ul>\n<h3><strong>2.2 Ph\u00e2n lo\u1ea1i Stanford<\/strong><\/h3>\n<ul>\n<li>Stanford Type A: T\u1ed5n th\u01b0\u01a1ng c\u00f3 li\u00ean quan \u0111\u1ebfn \u0110MC l\u00ean v\u00e0 cung \u0110MC v\u00e0 c\u00f3 th\u1ec3 \/ kh\u00f4ng li\u00ean quan \u0110MC xu\u1ed1ng.<\/li>\n<li>Stanford Type B: T\u1ed5n th\u01b0\u01a1ng li\u00ean quan \u0111\u1ebfn \u0110MC xu\u1ed1ng ph\u00eda xa c\u1ee7a \u0111\u1ed9ng m\u1ea1ch d\u01b0\u1edbi \u0111\u00f2n tr\u00e1i.<\/li>\n<\/ul>\n<p>Ph\u00e2n lo\u1ea1i Stanford \u0111\u00e3 thay th\u1ebf ph\u00e2n lo\u1ea1i DeBakey.<\/p>\n<p>Ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb c\u1ee7a 2 nh\u00f3m r\u1ea5t kh\u00e1c nhau:<\/p>\n<ul>\n<li>Stanford Type A: \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i khoa ho\u1eb7c can thi\u1ec7p n\u1ed9i m\u1ea1ch .<\/li>\n<li>Stanford Type B : \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa ( n\u1ebfu kh\u00f4ng ph\u1ee9c t\u1ea1p).<\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-23663 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Stanford-and-DeBakey-classifications-of-aortic-dissection-Figure-from-61-Aortic-300x205.png\" alt=\"Ph\u00e2n lo\u1ea1i l\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7\" width=\"401\" height=\"274\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Stanford-and-DeBakey-classifications-of-aortic-dissection-Figure-from-61-Aortic-300x205.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Stanford-and-DeBakey-classifications-of-aortic-dissection-Figure-from-61-Aortic-768x526.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Stanford-and-DeBakey-classifications-of-aortic-dissection-Figure-from-61-Aortic.png 850w\" sizes=\"(max-width: 401px) 100vw, 401px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>H\u00ecnh 1: Ph\u00e2n lo\u1ea1i <a href=\"https:\/\/vinmec.com\/vi\/benh\/phinh-dong-mach-chu-2992\/\">ph\u00ecnh l\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/a><\/strong><\/p>\n<h2>2. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p>\u0110\u1ec3 ph\u00e1t hi\u1ec7n huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u1ea5p, si\u00eau \u00e2m qua th\u00e0nh ng\u1ef1c c\u00f3 \u0111\u1ed9 nh\u1ea1y th\u1ea5p. Ng\u01b0\u1ee1ng cut-off x\u00e1c \u0111\u1ecbnh huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 5 mm, \u0111\u1ed9 nh\u1ea1y c\u1ee7a si\u00eau \u00e2m qua th\u00e0nh ng\u1ef1c th\u1ea5p h\u01a1n 40%. Nh\u01b0 v\u1eady, si\u00eau \u00e2m qua th\u00e0nh ng\u1ef1c kh\u00f4ng ph\u1ea3i l\u00e0 l\u1ef1a ch\u1ecdn \u1edf b\u1ec7nh nh\u00e2n nghi ng\u1edd h\u1ed9i ch\u1ee9ng \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u1ea5p.<\/p>\n<p>Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh v\u00e0 c\u1ed9ng h\u01b0\u1edfng t\u1eeb \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 k\u1ef9 thu\u1eadt gi\u00fap ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u00e2n lo\u1ea1i huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0110M ch\u1ee7. So v\u1edbi t\u00e1ch th\u00e0nh \u0110M ch\u1ee7, l\u00f2ng m\u1ea1ch \u00edt khi b\u1ecb \u00e9p, kh\u00f4ng c\u00f3 h\u00ecnh \u1ea3nh v\u1ebft r\u00e1ch n\u1ed9i m\u1ea1c, v\u1edbi \u0111\u1ed9 nh\u1ea1y c\u1ee7a ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u0111\u1ea1t<\/p>\n<p>96%. Tuy nhi\u00ean, \u0111\u1ec3 ph\u00e2n bi\u1ec7t huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0110M ch\u1ee7 v\u1edbi m\u1ea3ng x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 d\u00e0y, huy\u1ebft kh\u1ed1i, ho\u1eb7c huy\u1ebft kh\u1ed1i \u1edf b\u1ec7nh nh\u00e2n t\u00e1ch th\u00e0nh \u0110M ch\u1ee7 kh\u00f3 x\u00e1c \u0111\u1ecbnh tr\u00ean ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh, c\u1ed9ng h\u01b0\u1edfng t\u1eeb gi\u00fap \u0111\u00e1nh gi\u00e1 t\u1ed1t h\u01a1n tr\u00ean c\u01a1 s\u1edf c\u00e1c t\u00edn hi\u1ec7u kh\u00e1c nhau c\u1ee7a c\u00e1c s\u1ea3n ph\u1ea9m tho\u00e1i h\u00f3a hemoglobin.<\/p>\n<p>\u1ede c\u00e1c tr\u01b0\u1eddng h\u1ee3p huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0110M ch\u1ee7 c\u1ea5p type A v\u00e0 Type B, vi\u1ec7c x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed c\u00e1c v\u1ebft r\u00e1ch n\u1ed9i m\u1ea1c nh\u1ecf ti\u00ean ph\u00e1t r\u1ea5t quan tr\u1ecdng gi\u00fap b\u1edfi n\u00f3 gi\u00fap cho vi\u1ec7c quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi c\u00e2n nh\u1eafc \u0111i\u1ec1u tr\u1ecb can thi\u1ec7p n\u1ed9i m\u1ea1ch.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\" wp-image-30408 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/11-300x150.jpg\" alt=\"Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7\" width=\"404\" height=\"202\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/11-300x150.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/11-768x384.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/11.jpg 806w\" sizes=\"(max-width: 404px) 100vw, 404px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/strong><\/p>\n<h2>3. Ti\u1ebfn tri\u1ec3n t\u1ef1 nhi\u00ean, thay \u0111\u1ed5i h\u00ecnh th\u00e1i v\u00e0 bi\u1ebfn ch\u1ee9ng<\/h2>\n<p>Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n th\u00e0nh t\u00e1ch th\u00e0nh \u0110M ch\u1ee7. Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0110M ch\u1ee7 type A c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong trong vi\u1ec7n t\u01b0\u01a1ng t\u1ef1 v\u1edbi t\u00e1ch th\u00e0nh \u0110M ch\u1ee7 type A. C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y c\u00f3 t\u1edbi 30 &#8211; 40% b\u1ec7nh nh\u00e2n c\u00f3 huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0110M ch\u1ee7 type A s\u1ebd ti\u1ebfn tri\u1ec3n th\u00e0nh t\u00e1ch th\u00e0nh \u0110M ch\u1ee7 type A v\u1edbi nguy c\u01a1 cao nh\u1ea5t trong v\u00f2ng 8 ng\u00e0y t\u1eeb khi c\u00f3 tri\u1ec7u ch\u1ee9ng. T\u1ef7 l\u1ec7 t\u1eed vong trong vi\u1ec7n \u0111\u1ed1i v\u1edbi huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0110M ch\u1ee7 type B kho\u1ea3ng d\u01b0\u1edbi 10% t\u01b0\u01a1ng t\u1ef1 nh\u01b0 t\u00e1ch th\u00e0nh \u0110M ch\u1ee7 type B.<\/p>\n<p><strong>\u00a0C\u00e1c y\u1ebfu t\u1ed1 d\u1ef1 b\u00e1o nguy c\u01a1 bi\u1ebfn c\u1ed1 \u1edf b\u1ec7nh nh\u00e2n c\u00f3 huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0110M ch\u1ee7<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"618\">\u0110au dai d\u1eb3ng ho\u1eb7c t\u00e1i ph\u00e1t d\u00f9 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa t\u1ed1i \u01b0u.<\/td>\n<\/tr>\n<tr>\n<td width=\"618\">T\u0103ng huy\u1ebft \u00e1p kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa.<\/td>\n<\/tr>\n<tr>\n<td width=\"618\">D\u1ea5u hi\u1ec7u v\u1ee1\/d\u1ecda v\u1ee1 \u0110M ch\u1ee7 (tr\u00e0n d\u1ecbch m\u00e0ng tim, m\u00e0ng ph\u1ed5i, t\u1ee5 m\u00e1u quanh<\/p>\n<p>\u0110MC).<\/td>\n<\/tr>\n<tr>\n<td width=\"618\">D\u1ea5u hi\u1ec7u thi\u1ebfu m\u00e1u c\u01a1 quan (n\u00e3o, tim, ru\u1ed9t, th\u1eadn, t\u1ee7y s\u1ed1ng&#8230;).<\/td>\n<\/tr>\n<tr>\n<td width=\"618\">\u0110\u01b0\u1eddng k\u00ednh \u0110M ch\u1ee7 &gt; 50 mm.<\/td>\n<\/tr>\n<tr>\n<td width=\"618\">M\u00e1u t\u1ee5 trong th\u00e0nh \u0110M ch\u1ee7 &gt; 11 mm.<\/td>\n<\/tr>\n<tr>\n<td width=\"618\">\u0110M ch\u1ee7 gi\u00e3n ti\u1ebfn tri\u1ec3n.<\/td>\n<\/tr>\n<tr>\n<td width=\"618\">Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 k\u00e8m c\u00e1c \u1ed5 lo\u00e9t xuy\u00ean th\u00e0nh \u0110M ch\u1ee7.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>T\u1ef7 l\u1ec7 s\u1ed1ng c\u00f2n sau 5 n\u0103m b\u1ec7nh nh\u00e2n huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0110M ch\u1ee7 kho\u1ea3ng 43 &#8211; 90%.<\/p>\n<h2>4. Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt v\u00e0 can thi\u1ec7p n\u1ed9i m\u1ea1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/h2>\n<p>Chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0110M ch\u1ee7 t\u01b0\u01a1ng t\u1ef1 t\u00e1ch th\u00e0nh \u0110M ch\u1ee7.<\/p>\n<h3>4.1 Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0110M ch\u1ee7 type A<\/h3>\n<p>T\u1ee5 m\u00e1u trong th\u00e0nh \u0110M ch\u1ee7: C\u1ea7n ph\u0201u thu\u1eadt c\u1ea5p c\u1ee9u trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 bi\u1ebfn ch\u1ee9ng (tr\u00e1n m\u00e1u m\u00e0ng tim, t\u1ee5 m\u00e1u quanh \u0110M ch\u1ee7&#8230;) v\u00e0 ph\u0201u thu\u1eadt kh\u1ea9n tr\u01b0\u01a1ng trong v\u00f2ng 24 gi\u1edd v\u1edbi\u00a0 \u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00e1c. N\u1ebfu b\u1ec7nh nh\u00e2n nguy c\u01a1 ph\u0201u thu\u1eadt cao (gi\u00e0 y\u1ebfu, nhi\u1ec1u b\u1ec7nh ph\u1ed1i h\u1ee3p) c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa b\u1ea3o t\u1ed3n v\u00e0 theo d\u00f5i s\u00e1t, \u0111\u1eb7c bi\u1ec7t n\u1ebfu \u0111\u01b0\u1eddng k\u00ednh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u00a1\u00ean &lt; 50 mm, \u0111\u1ed9 d\u00e0y ph\u1ea7n m\u00e1u t\u1ee5 &lt; 11 mm.<\/p>\n<h3>4.2 Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0110M ch\u1ee7 type B<\/h3>\n<p>\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa \u00a1\u00e0 \u00a1\u1ef1a ch\u1ecdn ban \u0111\u1ea7u, can thi\u1ec7p n\u1ed9i m\u1ea1ch ho\u1eb7c ph\u0201u thu\u1eadt ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 bi\u1ebfn ch\u1ee9ng c\u0169ng gi\u1ed1ng nh\u01b0 t\u00e1ch th\u00e0nh \u0110M ch\u1ee7 type B c\u1ea5p.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0110M ch\u1ee7 c\u00f3 gi\u00e3n \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ho\u1eb7c c\u00f3 c\u00e1c \u1ed5 lo\u00e9t th\u00e0nh \u0110M ch\u1ee7 c\u1ea7n theo d\u00f5i s\u00e1t n\u1ebfu c\u00f3 tri\u1ec7u ch\u1ee9ng dai d\u1eb3ng ho\u1eb7c t\u00e1i ph\u00e1t ho\u1eb7c gi\u00e3n nhanh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u1ea7n \u0111\u01b0\u1ee3c can thi\u1ec7p \u0111\u1eb7t stent Graft s\u1edbm.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 t\u00ecnh tr\u1ea1ng xu\u1ea5t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng m\u00e1u t\u1ee5 trong l\u1edbp \u00e1o gi\u1eefa th\u00e0nh \u0110M ch\u1ee7 m\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u v\u1ebft c\u1ee7a t\u1ed5n th\u01b0\u01a1ng r\u00e1ch l\u1edbp n\u1ed9i m\u1ea1c v\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 h\u00ecnh th\u00e0nh l\u00f2ng gi\u1ea3. Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh khi [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 - Vinmec<\/title>\n<meta name=\"description\" content=\"Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng m\u00e1u t\u1ee5 trong l\u1edbp \u00e1o gi\u1eefa th\u00e0nh \u0110M ch\u1ee7 m\u00e0 kh\u00f4ng t\u1ed5n th\u01b0\u01a1ng r\u00e1ch l\u1edbp n\u1ed9i m\u1ea1c.\" \/>\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=\"Huy\u1ebft kh\u1ed1i trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 - 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