{"id":34430,"date":"2023-05-30T18:02:48","date_gmt":"2023-05-30T11:02:48","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=34430"},"modified":"2023-05-30T18:02:48","modified_gmt":"2023-05-30T11:02:48","slug":"hoi-chung-vanh-cap-tren-benh-nhan-covid-19","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/30\/hoi-chung-vanh-cap-tren-benh-nhan-covid-19\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p tr\u00ean b\u1ec7nh nh\u00e2n nhi\u1ec5m COVID-19: Nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft cho nh\u00e2n vi\u00ean y t\u1ebf"},"content":{"rendered":"

H\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p tr\u00ean b\u1ec7nh nh\u00e2n nhi\u1ec5m COVID-19 c\u00f3 th\u1ec3, c\u00f3 th\u1ec3 do b\u1ecb th\u00fac \u0111\u1ea9y b\u1edfi t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng li\u00ean quan \u0111\u1ebfn COVID-19 \u00a0ho\u1eb7c kh\u00f4ng. C\u00e1c bi\u1ebfn c\u1ed1 n\u00e0y bao g\u1ed3m h\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p (NMCT c\u1ea5p ST ch\u00eanh l\u00ean ho\u1eb7c kh\u00f4ng ch\u00eanh l\u00ean) v\u00e0 c\u00e1c b\u1ec7nh tim m\u1ea1ch kh\u00e1c. C\u00e1c b\u1ec7nh l\u00fd n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c kh\u1ea9n tr\u01b0\u01a1ng ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, kh\u00f4ng n\u00ean b\u1ecf qua v\u00ec s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a COVID-19 tr\u00ean b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n

\"H\u1ed9i<\/p>\n

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1. H\u1ed9i ch\u1ee9ng m\u1ea1ch<\/strong> v\u00e0nh c\u1ea5p t\u00ednh kh\u00f4ng<\/strong> ST ch\u00eanh l\u00ean tr\u00ean b\u1ec7nh nh\u00e2n COVID-19<\/h2>\n

Qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n NSTEMI n\u00ean d\u1ef1a tr\u00ean ph\u00e2n t\u1ea7ng nguy c\u01a1 theo h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u00e1i \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang \u0111\u1eafn. Vi\u1ec7c x\u00e9t nghi\u1ec7m COVID-19 n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t sau l\u1ea7n ti\u1ebfp x\u00fac \u0111\u1ea7u ti\u00ean v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf, b\u1ea5t k\u1ec3 chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb l\u00e0 g\u00ec, \u0111\u1ec3 nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t v\u00e0 b\u1ea3o v\u1ec7 th\u00edch h\u1ee3p.<\/p>\n

B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c ph\u00e2n th\u00e0nh 4 nh\u00f3m nguy c\u01a1 (g\u1ed3m nguy c\u01a1 r\u1ea5t cao, nguy c\u01a1 cao, nguy c\u01a1 trung b\u00ecnh v\u00e0 nguy c\u01a1 th\u1ea5p) v\u00e0 \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd theo c\u00e1ch qu\u1ea3n l\u00fd ph\u00e2n t\u1ea7ng n\u00e0y. B\u1ec7nh nh\u00e2n t\u0103ng troponin tim nh\u01b0ng kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng b\u1ea5t \u1ed5n (v\u00ed d\u1ee5: thay \u0111\u1ed5i \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, \u0111au t\u00e1i ph\u00e1t) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n.<\/p>\n

H\u00ecnh \u1ea3nh kh\u00f4ng x\u00e2m l\u1ea5n, ch\u1eb3ng h\u1ea1n nh\u01b0 CT, gi\u00fap nhanh ch\u00f3ng ph\u00e2n t\u1ea7ng r\u1ee7i ro, tr\u00e1nh c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u00e2m l\u1ea5n cho ph\u00e9p xu\u1ea5t vi\u1ec7n s\u1edbm. \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao, chi\u1ebfn l\u01b0\u1ee3c y t\u1ebf nh\u1eb1m m\u1ee5c \u0111\u00edch \u1ed5n \u0111\u1ecbnh vi\u1ec7c l\u1eadp k\u1ebf ho\u1ea1ch chi\u1ebfn l\u01b0\u1ee3c x\u00e2m l\u1ea5n s\u1edbm (v\u00e0 24 gi\u1edd). Tuy nhi\u00ean, chi\u1ebfn l\u01b0\u1ee3c x\u00e2m l\u1ea5n c\u00f3 th\u1ec3 m\u1ea5t h\u01a1n 24 gi\u1edd, t\u00f9y thu\u1ed9c v\u00e0o th\u1eddi gian c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m SARS-CoV-2. N\u1ebfu c\u00f3 th\u1ec3, nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y n\u00ean \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o khu v\u1ef1c \u0111\u1eb7c bi\u1ec7t c\u1ee7a khoa c\u1ea5p c\u1ee9u trong khi ch\u1edd k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m. N\u1ebfu x\u00e9t nghi\u1ec7m SARS-CoV-2 d\u01b0\u01a1ng t\u00ednh, b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n COVID-19 \u0111\u01b0\u1ee3c trang b\u1ecb \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 can thi\u1ec7p x\u00e2m l\u1ea5n.<\/p>\n

B\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 trung b\u00ecnh n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn v\u1edbi vi\u1ec7c xem x\u00e9t c\u00e1c ch\u1ea9n \u0111o\u00e1n thay th\u1ebf nh\u01b0 MI lo\u1ea1i II, vi\u00eam c\u01a1 tim ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng tim do suy h\u00f4 h\u1ea5p, suy \u0111a c\u01a1 quan ho\u1eb7c Takotsubo. \u0110\u1ed1i v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t, n\u00ean xem x\u00e9t chi\u1ebfn l\u01b0\u1ee3c kh\u00f4ng x\u00e2m l\u1ea5n v\u00e0 n\u00ean \u01b0u ti\u00ean ch\u1ee5p CT m\u1ea1ch v\u00e0nh n\u1ebfu c\u00f3 s\u1eb5n thi\u1ebft b\u1ecb v\u00e0 chuy\u00ean m\u00f4n. N\u1ebfu x\u00e9t nghi\u1ec7m SARS-CoV-2 d\u01b0\u01a1ng t\u00ednh, b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n COVID-19 \u0111\u01b0\u1ee3c trang b\u1ecb \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n m\u1eafc COVID-19.<\/p>\n

2. Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p ST ch\u00eanh l\u00ean (STEMI)<\/strong> v\u1edbi b\u1ec7nh nh\u00e2n COVID-19<\/strong><\/h2>\n

Trong \u0111\u1ea1i d\u1ecbch COVID-19, kh\u00f4ng n\u00ean tr\u00ec ho\u00e3n t\u00e1i t\u01b0\u1edbi m\u00e1u \u1edf b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 ST\u00a0 ch\u00eanh l\u00ean (STEMI). Theo c\u00e1c h\u01b0\u1edbng d\u1eabn m\u1edbi nh\u1ea5t, \u0111i\u1ec1u tr\u1ecb t\u00e1i t\u01b0\u1edbi m\u00e1u v\u1eabn \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u01b0u ti\u00ean \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 trong 12 gi\u1edd v\u00e0 \u0111o\u1ea1n ST ch\u00eanh l\u00ean \u1edf \u00edt nh\u1ea5t hai chuy\u1ec3n \u0111\u1ea1o li\u1ec1n k\u1ec1. \u0110\u1ed3ng th\u1eddi, ph\u1ea3i \u0111\u1ea3m b\u1ea3o an to\u00e0n cho nh\u00e2n vi\u00ean y t\u1ebf khi th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Tr\u01b0\u1edbc \u0111\u00e2y, n\u1ebfu c\u01a1 s\u1edf y t\u1ebf kh\u00f4ng c\u00f3 x\u00e9t nghi\u1ec7m SARS-Co-V2, t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 \u0111o\u1ea1n ST ch\u00eanh l\u00ean ph\u1ea3i \u0111\u01b0\u1ee3c coi l\u00e0 d\u01b0\u01a1ng t\u00ednh v\u1edbi COVID-19. C\u00e1c h\u01b0\u1edbng d\u1eabn chung t\u1eeb c\u00e1c t\u1ed5 ch\u1ee9c y t\u1ebf h\u01b0\u1edbng d\u1eabn vi\u1ec7c \u0111i\u1ec1u tr\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 \u0111o\u1ea1n ST ch\u00eanh l\u00ean trong m\u1ed9t b\u1ed1i c\u1ea3nh c\u1ee5 th\u1ec3.<\/p>\n

C\u00e1c bi\u1ec7n ph\u00e1p chung \u0111\u1ed1i v\u1edbi h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe nh\u1eb1m ph\u00e2n ph\u1ed1i l\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n trung t\u00e2m v\u00e0 m\u1ea1ng l\u01b0\u1edbi b\u1ec7nh vi\u1ec7n v\u1ec7 tinh trong c\u1ea5p c\u1ee9u tim m\u1ea1ch \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh r\u00f5 r\u00e0ng v\u00e0 cu th\u1ec3. C\u00e1c nguy\u00ean t\u1eafc ch\u00ednh c\u1ee7a qu\u1ea3n l\u00fd nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p ST ch\u00eanh l\u00ean trong \u0111\u1ea1i d\u1ecbch COVID-19 l\u00e0 nh\u01b0 sau:<\/p>\n

+ Th\u1eddi gian t\u1ed1i \u0111a t\u1eeb l\u00fac ch\u1ea9n \u0111o\u00e1n nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p ST ch\u00eanh l\u00ean \u0111\u1ebfn l\u00fac t\u00e1i t\u01b0\u1edbi m\u00e1u l\u00e0 120 ph\u00fat s\u1ebd v\u1eabn l\u00e0 m\u1ee5c ti\u00eau cho \u0111i\u1ec1u tr\u1ecb t\u00e1i t\u01b0\u1edbi m\u00e1u theo c\u00e1c c\u00e2n nh\u1eafc sau: Can thi\u1ec7p th\u00ec \u0111\u1ea7u v\u1eabn l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb t\u00e1i t\u01b0\u1edbi m\u00e1u n\u1ebfu kh\u1ea3 thi trong khung th\u1eddi gian n\u00e0y v\u00e0 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i c\u00e1c c\u01a1 s\u1edf \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n COVID-19 m\u1ed9t c\u00e1ch an to\u00e0n cho nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 cho c\u00e1c b\u1ec7nh nh\u00e2n kh\u00e1c;<\/p>\n

+ Can thi\u1ec7p th\u00ec \u0111\u1ea7u c\u00f3 th\u1ec3 b\u1ecb tr\u00ec ho\u00e3n trong \u0111\u1ea1i d\u1ecbch (t\u1ed1i \u0111a 60 ph\u00fat – theo nhi\u1ec1u kinh nghi\u1ec7m) do s\u1ef1 ch\u1eadm tr\u1ec5 trong vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7; N\u1ebfu th\u1eddi gian \u0111\u00edch kh\u00f4ng th\u1ec3 \u0111\u00e1p \u1ee9ng v\u00e0 kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ti\u00eau s\u1ee3i huy\u1ebft th\u00ec ti\u00eau s\u1ee3i huy\u1ebft n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u01b0\u1edbc ti\u00ean; Do k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m SARS-CoV – 2 kh\u00f4ng c\u00f3 ngay l\u1eadp t\u1ee9c \u1edf b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p ST ch\u00eanh l\u00ean n\u00ean b\u1ea5t k\u1ef3 b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p ST ch\u00eanh l\u00ean n\u00e0o c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c xem l\u00e0 c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb nhi\u1ec5m b\u1ec7nh;<\/p>\n

+ T\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n STEMI n\u00ean \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m SARS-Co-V2 c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t sau l\u1ea7n ti\u1ebfp x\u00fac v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf\u00a0 \u0111\u1ea7u ti\u00ean b \u1ea5t k\u1ec3 chi\u1ebfn l\u01b0\u1ee3c t\u00e1i t\u01b0\u1edbi m\u00e1u, mu\u1ed9n nh\u1ea5t l\u00e0 khi \u0111\u01b0\u1ee3c nh\u1eadn v\u00e0o khoa h\u1ed3i s\u1ee9c sau khi PCI th\u00ec \u0111\u1ea7u. Cho \u0111\u1ebfn khi k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c bi\u1ebft, t\u1ea5t c\u1ea3 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 tr\u00e1nh kh\u1ea3 n\u0103ng l\u00e2y lan cho c\u00e1c b\u1ec7nh nh\u00e2n kh\u00e1c v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf trong qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb;<\/p>\n

+ C\u00e2n nh\u1eafc t\u00e1i th\u00f4ng m\u1ea1ch ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ngay l\u1eadp t\u1ee9c n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh v\u00e0 ph\u00f9 h\u1ee3p \u0111\u1ec3 tr\u00e1nh c\u00e1c th\u1ee7 thu\u1eadt ch\u01b0\u01a1ng tr\u00ecnh l\u1ea7n sau v\u00e0 gi\u1ea3m th\u1eddi gian n\u1eb1m vi \u1ec7n v\u00e0 t\u00e1i ph\u00e1t cho b\u1ec7nh nh\u00e2n; T\u1ea5t c\u1ea3 c\u00e1c b\u00e1c s\u0129 tham gia \u0111i\u1ec1u tr\u1ecb l\u00fd b\u1ec7nh nh\u00e2n STEMI\u00a0 n\u00ean l\u00e0m quen v\u1edbi c\u00e1c ch\u1ec9 \u0111\u1ecbnh, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u00e0 li\u1ec1u l\u01b0\u1ee3ng ti\u00eau s \u1ee3i huy\u1ebft v\u00e0 tu\u00e2n th\u1ee7 c\u00e1c quy tr\u00ecnh x\u1eed l\u00fd \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn.<\/p>\n

+ Ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch th\u1ea5t tr\u00e1i \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o trong qu\u00e1 tr\u00ecnh th\u00f4ng tim \u1edf t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc h\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p, gi\u00fap gi\u1ea3m nhu c\u1ea7u si\u00eau \u00e2m tim v\u00e0 r\u00fat ng\u1eafn th\u1eddi gian n\u1eb1m vi\u1ec7n. \u0110i\u1ec1u tr\u1ecb c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u00e0nh t\u00ednh ph\u1ea3i \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh t\u00f9y theo s\u1ef1 \u1ed5n \u0111\u1ecbnh l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a c\u00e1c t\u1ed5n th\u01b0\u01a1ng.<\/p>\n

+ N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 dai d\u1eb3ng, t\u1ed5n th\u01b0\u01a1ng b\u00e1n t\u1eafc v\u00e0\/ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh xu\u1ea5t hi\u1ec7n tr\u00ean ch\u1ee5p m\u1ea1ch v\u00e0nh, PCI n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t t\u1ea1i c\u00f9ng m\u1ed9t cu\u1ed9c h\u1eb9n. N\u00ean tr\u00ec ho\u00e3n vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u1ed5n th\u01b0\u01a1ng kh\u00e1c v\u00e0 l\u00ean k\u1ebf ho\u1ea1ch nh\u1eadp vi\u1ec7n m\u1edbi sau khi \u0111\u1ec9nh d\u1ecbch \u0111\u00e3 qua.<\/p>\n

T\u00f3m l\u1ea1i:<\/p>\n

C\u00e1c bi\u1ec7n ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p<\/a> v\u1eabn n\u00ean \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c th\u1ef1c hi\u1ec7n d\u1ef1a theo c\u00e1c h\u01b0\u1edbng d\u1eabn l\u00e2m s\u00e0ng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p, mi\u1ec5n l\u00e0 t\u00ecnh h\u00ecnh ti\u1ebfn tri\u1ec3n c\u1ee7a d\u1ecbch b\u1ec7nh COVID-19 cho ph\u00e9p th\u1ef1c hi\u1ec7n v\u00e0 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 b\u1ec7nh nh\u00e2n.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong> H\u01b0\u1edbng d\u1eabn c\u1ee7a H\u1ed9i tim ma\u0323ch Ch\u00e2u \u00c2u v\u1ec1 ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed tr\u00ed b\u1ec7nh tim m\u1ea1ch trong \u0111\u1ea1i d\u1ecbch Covid-19<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

H\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p tr\u00ean b\u1ec7nh nh\u00e2n nhi\u1ec5m COVID-19 c\u00f3 th\u1ec3, c\u00f3 th\u1ec3 do b\u1ecb th\u00fac \u0111\u1ea9y b\u1edfi t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng li\u00ean quan \u0111\u1ebfn COVID-19 \u00a0ho\u1eb7c kh\u00f4ng. C\u00e1c bi\u1ebfn c\u1ed1 n\u00e0y bao g\u1ed3m h\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p (NMCT c\u1ea5p ST ch\u00eanh l\u00ean ho\u1eb7c kh\u00f4ng ch\u00eanh l\u00ean) v\u00e0 c\u00e1c b\u1ec7nh tim m\u1ea1ch kh\u00e1c. C\u00e1c b\u1ec7nh […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nH\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p tr\u00ean b\u1ec7nh nh\u00e2n nhi\u1ec5m COVID-19: Nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft cho nh\u00e2n vi\u00ean y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p tr\u00ean b\u1ec7nh nh\u00e2n nhi\u1ec5m COVID-19 c\u00f3 th\u1ec3, c\u00f3 th\u1ec3 do b\u1ecb th\u00fac \u0111\u1ea9y b\u1edfi t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng li\u00ean quan \u0111\u1ebfn COVID-19 \u00a0ho\u1eb7c kh\u00f4ng.\" \/>\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\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p tr\u00ean b\u1ec7nh nh\u00e2n nhi\u1ec5m COVID-19: Nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft cho nh\u00e2n vi\u00ean y t\u1ebf - 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