{"id":30998,"date":"2023-05-04T17:14:25","date_gmt":"2023-05-04T10:14:25","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30998"},"modified":"2023-05-08T12:45:41","modified_gmt":"2023-05-08T05:45:41","slug":"xu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/xu-tri\/","title":{"rendered":"C\u00e1c c\u1eadn l\u00e2m s\u00e0ng, ph\u00e2n \u0111\u1ed9 v\u00e0 x\u1eed tr\u00ed kh\u00f3 th\u1edf"},"content":{"rendered":"

Ch\u1ea9n \u0111o\u00e1n nhanh ch\u00f3ng th\u00f4ng qua bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 c\u00e1c c\u1eadn l\u00e2m s\u00e0ng, c\u00f9ng v\u1edbi vi\u1ec7c x\u1eed tr\u00ed b\u1ec7nh nh\u00e2n kh\u00f3 th\u1edf k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3 l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng.<\/strong><\/p>\n

1. C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/h1>\n

\u2666\u00a0\u0110o l\u01b0u l\u01b0\u1ee3ng \u0111\u1ec9nh, th\u0103m d\u00f2 ch\u1ee9c n\u0103ng th\u00f4ng kh\u00ed ph\u1ed5i:<\/em><\/strong>\u00a0Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh c\u00e1c r\u1ed1i lo\u1ea1n th\u00f4ng kh\u00ed t\u1eafc ngh\u1ebdn ho\u1eb7c h\u1ea1n ch\u1ebf. L\u00e0m test h\u1ed3i ph\u1ee5c ph\u1ebf qu\u1ea3n \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t hen ph\u1ebf qu\u1ea3n v\u00e0 BPTNMT.<\/p>\n

\u2666 \u0110o \u0111\u1ed9 b\u00e3o h\u00f2a oxy m\u00e1u mao m\u1ea1ch qua da (SpO2<\/sub>):<\/em><\/strong>\u00a0Gi\u00fap \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 suy h\u00f4 h\u1ea5p c\u1ee7a b\u1ec7nh nh\u00e2n. Khi SpO2<\/sub>\u00a0<90% c\u1ea7n c\u00f3 bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p cho b\u1ec7nh nh\u00e2n.<\/p>\n

\u2666\u00a0Kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch:<\/em><\/strong>\u00a0PaO2<\/sub>, SaO2<\/sub>, PaCO2<\/sub>, n\u1ed3ng \u0111\u1ed9 bicacbonat v\u00e0 pH m\u00e1u. Gi\u1ea3m pH m\u00e1u l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u n\u1eb7ng, t\u0103ng CO2<\/sub>\u00a0c\u1ea5p do \u0111\u1ee3t m\u1ea5t b\u00f9 c\u1ea5p hay toan chuy\u1ec3n ho\u00e1 do thi\u1ebfu oxy t\u1ed5 ch\u1ee9c.<\/p>\n

\u2666\u00a0X-quang ph\u1ed5i:<\/em><\/strong>\u00a0X\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n \u0111\u1ec3 \u0111\u1ecbnh h\u01b0\u1edbng ch\u1ea9n \u0111o\u00e1n, phim X-quang ph\u1ed5i c\u00f3 th\u1ec3 b\u00ecnh th\u01b0\u1eddng trong m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd c\u1ea5p t\u00ednh (nh\u1ed3i m\u00e1u ph\u1ed5i), hay r\u1ea5t kh\u00f3 nh\u1eadn \u0111\u1ecbnh n\u1ebfu kh\u00f4ng c\u00f3 phim c\u0169 \u0111\u1ec3 so s\u00e1nh khi b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh ph\u1ed5i t\u1eeb tr\u01b0\u1edbc.<\/p>\n

\u2666 \u0110i\u1ec7n tim<\/strong>:<\/em>\u00a0X\u00e9t nghi\u1ec7m \u0111\u01a1n gi\u1ea3n, nhanh ch\u00f3ng, cho ph\u00e9p x\u00e1c \u0111\u1ecbnh:<\/p>\n

– C\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh tim tr\u00e1i: d\u00e0y th\u1ea5t tr\u00e1i, d\u00e0y nh\u0129 tr\u00e1i, nh\u1ed3i m\u00e1u c\u01a1 tim c\u0169.<\/p>\n

– Nguy\u00ean nh\u00e2n c\u1ee7a \u0111\u1ee3t suy tim m\u1ea5t b\u00f9: b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, r\u1ed1i lo\u1ea1n nh\u1ecbp tim.<\/p>\n

– D\u1ea5u hi\u1ec7u t\u00e2m ph\u1ebf m\u1ea1n (b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh). D\u1ea5u hi\u1ec7u t\u00e2m ph\u1ebf c\u1ea5p (nh\u1ed3i m\u00e1u ph\u1ed5i).<\/p>\n

\u2666\u00a0C\u00f4ng th\u1ee9c m\u00e1u:<\/em><\/strong>\u00a0Thi\u1ebfu m\u00e1u n\u1eb7ng c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 th\u1edf. \u0110a h\u1ed3ng c\u1ea7u c\u00f3 th\u1ec3 l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p m\u1ea1n t\u00ednh. T\u0103ng b\u1ea1ch c\u1ea7u n\u1ebfu c\u00f3 bi\u1ec3u hi\u1ec7n nhi\u1ec5m tr\u00f9ng.<\/p>\n

\u2666\u00a0Si\u00eau \u00e2m tim:<\/em><\/strong>\u00a0\u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i, c\u00e1c d\u1ea5u hi\u1ec7u gi\u1ea3m v\u1eadn \u0111\u1ed9ng, v\u00f9ng v\u1eadn \u0111\u1ed9ng ngh\u1ecbch th\u01b0\u1eddng trong nh\u1ed3i m\u00e1u c\u01a1 tim. Si\u00eau \u00e2m gi\u00fap \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 gi\u00e3n bu\u1ed3ng th\u1ea5t ph\u1ea3i, \u0111\u1ed9 d\u00e0y c\u1ee7a th\u00e0nh tim, c\u1ea5u tr\u00fac c\u00e1c van tim. X\u00e9t nghi\u1ec7m n\u00e0y r\u1ea5t h\u1eefu \u00edch khi c\u1ea7n x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c kh\u00f3 th\u1edf c\u00f3 ngu\u1ed3n g\u1ed1c tim hay ph\u1ed5i \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh th\u00e1i \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb.<\/p>\n

\u2666\u00a0C\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1eb7c hi\u1ec7u kh\u00e1c:<\/em><\/strong> \u0110\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh tu\u1ef3 theo b\u1ec7nh c\u1ea3nh l\u00e2m s\u00e0ng, song kh\u00f4ng ph\u1ea3i \u1edf t\u1ea5t c\u1ea3 c\u00e1c c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0m \u0111\u01b0\u1ee3c: ch\u1ee5p x\u1ea1 h\u00ecnh th\u00f4ng kh\u00ed – t\u01b0\u1edbi m\u00e1u ph\u1ed5i (nh\u1ed3i m\u00e1u ph\u1ed5i), \u0111\u1ecbnh l\u01b0\u1ee3ng D. Dimer (c\u00f3 gi\u00e1 tr\u1ecb d\u1ef1 \u0111o\u00e1n \u00e2m t\u00ednh r\u1ea5t cao trong nh\u1ed3i m\u00e1u ph\u1ed5i), ch\u1ee5p m\u1ea1ch ph\u1ed5i, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh ng\u1ef1c… C\u1ea7n th\u1ea3o lu\u1eadn ch\u1ec9 \u0111\u1ecbnh l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1eb7c hi\u1ec7u n\u00e0y v\u1edbi c\u00e1c B\u00e1c s\u0129 chuy\u00ean khoa trong t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3.<\/p>\n

\"\"
\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Ngu\u1ed3n: Harvard Health<\/strong><\/figcaption><\/figure>\n

2. Ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 kh\u00f3 th\u1edf<\/strong><\/h2>\n

Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 kh\u00f3 th\u1edf theo NYHA (1997)<\/p>\n

– \u0110\u1ed9 1: Kh\u00f4ng h\u1ea1n ch\u1ebf ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c.<\/p>\n

– \u0110\u1ed9 2: Kh\u00f3 th\u1edf khi l\u00e0m vi\u1ec7c g\u1eafng s\u1ee9c n\u1eb7ng trong cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y.<\/p>\n

– \u0110\u1ed9 3: Kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c nh\u1eb9, h\u1ea1n ch\u1ebf nhi\u1ec1u ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c.<\/p>\n

– \u0110\u1ed9 4: Kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c nh\u1eb9 v\u00e0 \/ho\u1eb7c kh\u00f3 th\u1edf khi ngh\u1ec9.<\/p>\n

3. Ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n<\/strong><\/h2>\n

\u2666 B\u1ec7nh l\u00fd h\u00f4 h\u1ea5p<\/strong><\/p>\n

– D\u1ecb v\u1eadt \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p<\/p>\n

– Vi\u00eam h\u1ecdng, thanh qu\u1ea3n do b\u1ea1ch h\u1ea7u, u h\u1ea1 h\u1ecdng – thanh qu\u1ea3n.<\/p>\n

– Kh\u00ed qu\u1ea3n: U kh\u00ed qu\u1ea3n, h\u1eb9p kh\u00ed ph\u1ebf qu\u1ea3n, nhuy\u1ec5n s\u1ee5n kh\u00ed ph\u1ebf qu\u1ea3n.<\/p>\n

– BPTNMT, hen ph\u1ebf qu\u1ea3n, gi\u00e3n ph\u1ebf nang.<\/p>\n

– Vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n lan t\u1ecfa, gi\u00e3n ph\u1ebf qu\u1ea3n.<\/p>\n

– B\u1ec7nh l\u00fd nhu m\u00f4 ph\u1ed5i:<\/p>\n

+ T\u1ed5n th\u01b0\u01a1ng ph\u1ebf nang: ph\u00f9 ph\u1ed5i c\u1ea5p t\u1ed5n th\u01b0\u01a1ng, ph\u00f9 ph\u1ed5i c\u1ea5p huy\u1ebft \u0111\u1ed9ng.<\/p>\n

+ Vi\u00eam ph\u1ed5i, lao ph\u1ed5i.<\/p>\n

+ B\u1ec7nh ph\u1ed5i k\u1ebd, x\u01a1 ph\u1ed5i lan t\u1ecfa.<\/p>\n

+ B\u1ec7nh ph\u1ed5i ngh\u1ec1 nghi\u1ec7p.<\/p>\n

– B\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u ph\u1ed5i:<\/p>\n

+ T\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i nguy\u00ean ph\u00e1t.<\/p>\n

+ Nh\u1ed3i m\u00e1u ph\u1ed5i.<\/p>\n

– B\u1ec7nh l\u00fd m\u00e0ng ph\u1ed5i:<\/p>\n

+ Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i.<\/p>\n

+ Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i.<\/p>\n

+ D\u00e0y d\u00ednh m\u00e0ng ph\u1ed5i.<\/p>\n

– B\u1ec7nh l\u00fd l\u1ed3ng ng\u1ef1c.<\/p>\n

+ Ch\u1ea5n th\u01b0\u01a1ng, di ch\u1ee9ng ph\u1eabu thu\u1eadt, d\u1ecb d\u1ea1ng c\u1ed9t s\u1ed1ng b\u1ea9m sinh ho\u1eb7c m\u1eafc ph\u1ea3i.<\/p>\n

\u2666 B\u1ec7nh l\u00fd tim m\u1ea1ch<\/strong><\/p>\n

– Suy tim.<\/p>\n

– B\u1ec7nh l\u00fd van tim.<\/p>\n

– Vi\u00eam, tr\u00e0n d\u1ecbch m\u00e0ng ngo\u00e0i tim.<\/p>\n

– C\u01a1n \u0111au th\u1eaft ng\u1ef1c, nh\u1ed3i m\u00e1u c\u01a1 tim.<\/p>\n

\u2666 B\u1ec7nh l\u00fd th\u1ea7n kinh, t\u00e2m th\u1ea7n<\/strong><\/p>\n

– Li\u1ec7t c\u1ea5p t\u00ednh c\u00e1c c\u01a1 h\u00f4 h\u1ea5p: b\u1ea1i li\u1ec7t, ng\u1ed9 \u0111\u1ed9c.<\/p>\n

– C\u00e1c b\u1ec7nh tho\u00e1i ho\u00e1 th\u1ea7n kinh c\u01a1.<\/p>\n

– T\u1ed5n th\u01b0\u01a1ng c\u00e1c trung t\u00e2m h\u00f4 h\u1ea5p.<\/p>\n

– Kh\u00f3 th\u1edf do nguy\u00ean nh\u00e2n t\u00e2m th\u1ea7n: \u0110\u00e2y l\u00e0 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c \u0111\u1eb7t ra cu\u1ed1i c\u00f9ng, sau khi \u0111\u00e3 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y kh\u00f3 th\u1edf.<\/p>\n

\u2666 Nguy\u00ean nh\u00e2n kh\u00e1c<\/strong><\/p>\n

– Suy th\u1eadn ure m\u00e1u cao.<\/p>\n

– Toan chuy\u1ec3n h\u00f3a \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n

4. X\u1eed tr\u00ed kh\u00f3 th\u1edf<\/strong><\/h2>\n

C\u1ea7n ti\u1ebfn h\u00e0nh c\u00e1c bi\u1ec7n ph\u00e1p c\u1ea5p c\u1ee9u ban \u0111\u1ea7u ngay khi b\u1ec7nh nh\u00e2n m\u1edbi \u0111\u1ebfn b\u1ec7nh vi\u1ec7n. Trong khi h\u1ed3i s\u1ee9c h\u00f4 h\u1ea5p, c\u1ea7n \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng, x\u00e9t nghi\u1ec7m, \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n, \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng v\u00e0 c\u00f3 bi\u1ec7n ph\u00e1p x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/p>\n

4.1. Khai th\u00f4ng \u0111\u01b0\u1eddng th\u1edf<\/strong><\/h3>\n

\u0110\u00e1nh gi\u00e1 v\u00e0 ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng th\u1edf c\u1ee7a b\u1ec7nh nh\u00e2n. L\u1ef1a ch\u1ecdn c\u00e1c k\u1ef9 thu\u1eadt tu\u1ef3 theo nguy\u00ean nh\u00e2n v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng:<\/p>\n

– T\u01b0 th\u1ebf n\u1eb1m \u0111\u1ea7u cao, t\u01b0 th\u1ebf ng\u1ed3i c\u1ed5 \u01b0\u1ee1n.<\/p>\n

– \u0110\u1eb7t canuyn Mayo ch\u1ed1ng t\u1ee5t l\u01b0\u1ee1i.<\/p>\n

– H\u00fat \u0111\u1eddm d\u00e3i, h\u00fat r\u1eeda ph\u1ebf qu\u1ea3n n\u1ebfu c\u00f3 \u1ee9 \u0111\u1ecdng.<\/p>\n

– T\u01b0 th\u1ebf n\u1eb1m nghi\u00eang an to\u00e0n n\u1ebfu c\u00f3 nguy c\u01a1 s\u1eb7c.<\/p>\n

– Nghi\u1ec7m ph\u00e1p Heimlich n\u1ebfu nghi ng\u1edd c\u00f3 d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf.<\/p>\n

– \u0110\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n (ho\u1eb7c m\u1edf kh\u00ed qu\u1ea3n) trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng: \u0111\u00e2y l\u00e0 bi\u1ec7n ph\u00e1p h\u1eefu hi\u1ec7u khai th\u00f4ng \u0111\u01b0\u1eddng th\u1edf c\u1ea5p c\u1ee9u.<\/p>\n

4.2. Th\u1edf O2<\/sub><\/strong><\/h3>\n

Ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u1ea7n b\u1ed5 sung oxy. M\u1ee5c ti\u00eau l\u00e0 duy tr\u00ec SpO2<\/sub>\u00a0(SpO2<\/sub>) \u2265 92%. C\u00f3 nhi\u1ec1u l\u1ef1a ch\u1ecdn:<\/p>\n

– X\u00f4ng m\u0169i: FiO2<\/sub>\u00a0t\u1ed1i \u0111a \u0111\u1ea1t \u0111\u01b0\u1ee3c x\u1ea5p x\u1ec9 40% (6 l\u00edt\/ph\u00fat).<\/p>\n

– M\u1eb7t n\u1ea1: FiO2<\/sub>\u00a0t\u1ed1i \u0111a \u0111\u1ea1t \u0111\u01b0\u1ee3c x\u1ea5p x\u1ec9 60% (8 l\u00edt\/ph\u00fat).<\/p>\n

– M\u1eb7t n\u1ea1 c\u00f3 t\u00fai d\u1ef1 tr\u1eef: FiO2<\/sub>\u00a0t\u1ed1i \u0111a \u0111\u1ea1t \u0111\u01b0\u1ee3c x\u1ea5p x\u1ec9 80% (9 l\u00edt\/ph\u00fat).<\/p>\n

*\u00a0Ch\u00fa \u00fd:<\/strong>\u00a0V\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p suy h\u00f4 h\u1ea5p m\u1ea1n t\u00ednh, c\u00f3 t\u0103ng CO2<\/sub>\u00a0\u1edf b\u1ec7nh nh\u00e2n BPTNMT ch\u01b0a \u0111\u01b0\u1ee3c th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o cho th\u1edf oxy li\u1ec1u th\u1ea5p (1 \u2013 2 l\u00edt\/ph\u00fat). C\u1ea7n theo d\u00f5i: SpO2<\/sub>, kh\u00ed m\u00e1u, l\u00e2m s\u00e0ng.<\/p>\n

4.3. X\u1eed tr\u00ed kh\u00f3 th\u1edf b\u1eb1ng th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o<\/strong><\/h3>\n

– B\u00f3p b\u00f3ng, th\u1ed5i ng\u1ea1t: ch\u00fa \u00fd \u01b0\u1ee1n c\u1ed5 b\u1ec7nh nh\u00e2n n\u1ebfu ch\u01b0a \u0111\u1eb7t NKQ.<\/p>\n

– Th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o b\u1eb1ng m\u00e1y:<\/p>\n

– TKNT kh\u00f4ng x\u00e2m nh\u1eadp qua m\u1eb7t n\u1ea1: CPAP, BiPAP n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh.<\/p>\n

– TKNT qua \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n\/m\u1edf kh\u00ed qu\u1ea3n: \u00e1p d\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p suy h\u00f4 h\u1ea5p n\u1eb7ng, kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi th\u1edf oxy v\u00e0 TKNT kh\u00f4ng x\u00e2m nh\u1eadp.<\/p>\n

– Ch\u00fa \u00fd ki\u1ec3m so\u00e1t cho b\u1ec7nh nh\u00e2n th\u1edf theo m\u00e1y, theo d\u00f5i SpO2<\/sub>\u00a0– kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng.<\/p>\n

4.4. Ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed tr\u00ed nguy\u00ean nh\u00e2n ho\u1eb7c y\u1ebfu t\u1ed1 g\u00e2y kh\u00f3 th\u1edf<\/strong><\/h3>\n

– Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i: m\u1edf d\u1eabn l\u01b0u h\u00fat kh\u00ed m\u00e0ng ph\u1ed5i.<\/p>\n

– Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, tr\u00e0n d\u1ecbch m\u00e0ng tim: ch\u1ecdc th\u00e1o d\u1ecbch m\u00e0ng ph\u1ed5i, m\u00e0ng tim.<\/p>\n

– G\u00e3y x\u01b0\u01a1ng s\u01b0\u1eddn, m\u1ea3ng s\u01b0\u1eddn di \u0111\u1ed9ng: c\u1ed1 \u0111\u1ecbnh l\u1ea1i x\u01b0\u01a1ng s\u01b0\u1eddn.<\/p>\n

– D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf, co th\u1eaft ph\u1ebf qu\u1ea3n, ph\u00f9 n\u1ec1 thanh qu\u1ea3n: soi ph\u1ebf qu\u1ea3n g\u1eafp d\u1ecb v\u1eadt, d\u00f9ng c\u00e1c thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n.<\/p>\n

– Ph\u00f9 ph\u1ed5i c\u1ea5p, t\u0103ng g\u00e1nh th\u1ec3 t\u00edch: d\u00f9ng l\u1ee3i ti\u1ec3u, thu\u1ed1c tr\u1ee3 tim…<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o<\/strong>: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh h\u00f4 h\u1ea5p c\u1ee7a B\u1ed9 Y t\u1ebf 2012<\/p>\n","protected":false},"excerpt":{"rendered":"

Ch\u1ea9n \u0111o\u00e1n nhanh ch\u00f3ng th\u00f4ng qua bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 c\u00e1c c\u1eadn l\u00e2m s\u00e0ng, c\u00f9ng v\u1edbi vi\u1ec7c x\u1eed tr\u00ed b\u1ec7nh nh\u00e2n kh\u00f3 th\u1edf k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3 l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. 1. C\u1eadn l\u00e2m s\u00e0ng \u2666\u00a0\u0110o l\u01b0u l\u01b0\u1ee3ng \u0111\u1ec9nh, […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[],"yoast_head":"\nC\u00e1c c\u1eadn l\u00e2m s\u00e0ng, ph\u00e2n \u0111\u1ed9 v\u00e0 x\u1eed tr\u00ed kh\u00f3 th\u1edf - Vinmec<\/title>\n<meta name=\"description\" content=\"Ch\u1ea9n \u0111o\u00e1n nhanh ch\u00f3ng th\u00f4ng qua bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 c\u00e1c c\u1eadn l\u00e2m s\u00e0ng, c\u00f9ng v\u1edbi vi\u1ec7c x\u1eed tr\u00ed b\u1ec7nh nh\u00e2n kh\u00f3 th\u1edf k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3\" \/>\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=\"C\u00e1c c\u1eadn l\u00e2m s\u00e0ng, ph\u00e2n \u0111\u1ed9 v\u00e0 x\u1eed tr\u00ed kh\u00f3 th\u1edf - 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