{"id":35654,"date":"2023-06-26T21:52:03","date_gmt":"2023-06-26T14:52:03","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35654"},"modified":"2023-06-26T21:52:03","modified_gmt":"2023-06-26T14:52:03","slug":"ran-doc-can-nhan-biet-dau-hieu-va-xu-tri-vet-can-cua-ran-doc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/26\/ran-doc-can-nhan-biet-dau-hieu-va-xu-tri-vet-can-cua-ran-doc\/","title":{"rendered":"R\u1eafn \u0111\u1ed9c c\u1eafn: Nh\u1eadn bi\u1ebft d\u1ea5u hi\u1ec7u v\u00e0 x\u1eed tr\u00ed v\u1ebft c\u1eafn c\u1ee7a r\u1eafn \u0111\u1ed9c"},"content":{"rendered":"

R\u1eafn \u0111\u1ed9c c\u1eafn l\u00e0 m\u1ed9t trong nh\u1eefng c\u1ea5p c\u1ee9u th\u01b0\u1eddng g\u1eb7p \u1edf Vi\u1ec7t Nam \u0111\u00f2i h\u1ecfi ph\u1ea3i ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed tr\u00ed \u0111\u00fang c\u00e1ch \u0111\u1ec3 gi\u1ea3m t\u1eed vong cho b\u1ec7nh nh\u00e2n. T\u1ea1i Vi\u1ec7t Nam c\u00f3 kho\u1ea3ng 140 lo\u00e0i r\u1eafn trong \u0111\u00f3 c\u00f3 31 lo\u00e0i c\u00f3 n\u1ecdc \u0111\u1ed9c. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 th\u1eddi gian s\u1ed1ng c\u00f2n t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a lo\u00e0i r\u1eafn v\u00e0 \u0111\u1ed9c l\u1ef1c c\u1ee7a n\u00f3. \u0110i\u1ec1u tr\u1ecb s\u01a1 c\u1ea5p c\u1ee9u ban \u0111\u1ea7u l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n v\u00e0 k\u1ecbp th\u1eddi \u0111\u01b0a b\u1ec7nh nh\u00e2n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf.\u00a0<\/strong><\/p>\n

\"ran-doc-can\"<\/p>\n

1. \u0110\u1eb7c \u0111i\u1ec3m, d\u1ea5u hi\u1ec7u c\u1ee7a r\u1eafn \u0111\u1ed9c c\u1eafn:<\/h2>\n

Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a r\u1eafn \u0111\u1ed9c c\u1eafn ph\u1ee5 thu\u1ed9c v\u00e0o c\u00e1c y\u1ebfu t\u1ed1:<\/p>\n

– \u00a0 \u00a0 \u00a0 S\u1ed1 d\u1ea5u r\u1eafn c\u1eafn.<\/p>\n

– \u00a0 \u00a0 \u00a0 \u0110\u1ed9 s\u00e2u c\u1ee7a v\u1ebft c\u1eafn \u0111\u01b0a n\u1ecdc \u0111\u1ed9c v\u00e0o.<\/p>\n

– \u00a0 \u00a0 \u00a0 \u0110\u1ed9c l\u1ef1c v\u00e0 s\u1ed1 l\u01b0\u1ee3ng n\u1ecdc \u0111\u1ed9c v\u00e0o c\u01a1 th\u1ec3.<\/p>\n

– \u00a0 \u00a0 K\u00edch th\u01b0\u1edbc v\u1ebft c\u1eafn v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a n\u1ea1n nh\u00e2n.<\/p>\n

– V\u1ecb tr\u00ed c\u1eafn.<\/p>\n

R\u1eafn c\u00e0ng l\u1edbn th\u00ec phun n\u1ecdc \u0111\u1ed9c c\u00e0ng nhi\u1ec1u, nh\u01b0ng m\u1ee9c \u0111\u1ed9 \u0111\u1ed9c th\u00ec kh\u00e1c nhau t\u00f9y t\u1eebng lo\u1ea1i r\u1eafn kh\u00e1c nhau. D\u1ea5u r\u1eafn c\u1eafn c\u1ee7a lo\u00e0i Pit Viper d\u1ec5 nh\u1eadn bi\u1ebft r\u00f5 h\u01a1n d\u1ea5u r\u1eafn lo\u1ea1i Coral c\u1eafn. D\u1ea5u r\u1eafn c\u1eafn c\u00f3 th\u1ec3 m\u1ed9t d\u1ea5u, hay hai d\u1ea5u ho\u1eb7c \u0111\u00f4i khi c\u00f3 nhi\u1ec1u d\u1ea5u. M\u1eb7c d\u00f9 h\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i r\u1eafn c\u00f3 hai r\u0103ng nanh, nh\u01b0ng d\u1ea5u r\u1eafn c\u1eafn c\u00f3 th\u1ec3 thay \u0111\u1ed5i v\u00ec khi c\u1eafn r\u1eafn c\u00f3 th\u1ec3 ph\u1eadp nhi\u1ec1u l\u1ea7n. N\u1ecdc \u0111\u1ed9c th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u1edd m\u00f4 d\u01b0\u1edbi da, \u00edt khi v\u00e0o t\u1edbi c\u01a1. N\u1ecdc \u0111\u1ed9c \u0111\u01b0\u1ee3c h\u1ea5p thu v\u00e0o to\u00e0n c\u01a1 th\u1ec3 qua h\u1ec7 m\u1ea1ch v\u00e0 b\u1ea1ch huy\u1ebft.<\/p>\n

T\u1ea1i Vi\u1ec7t Nam, m\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng 30.000 tr\u01b0\u1eddng h\u1ee3p r\u1eafn c\u1eafn, trong v\u00f2ng 5 n\u0103m c\u00f3 kho\u1ea3ng 430 c\u00f4ng nh\u00e2n n\u00f4ng tr\u01b0\u1eddng cao su b\u1ecb r\u1eafn ch\u00e0m qu\u1ea1p c\u1eafn, t\u1ef7 l\u1ec7 t\u1eed vong kho\u1ea3ng 22%. T\u1ea1i Vi\u1ec7t Nam, \u1edf c\u00e1c t\u1ec9nh ph\u00eda Nam th\u01b0\u1eddng g\u1eb7p c\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u1eafn c\u1eafn do c\u00e1c lo\u00e0i r\u1eafn \u0111\u1ed9c sau:<\/p>\n

–\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 H\u1ecd r\u1eafn h\u1ed5 (Elapidae): r\u1eafn h\u1ed5 mang (Cobra), h\u1ed5 m\u00e8o, Kraits g\u1ed3m c\u00f3 r\u1eafn c\u1ea1p nia (Bungarus candidus) v\u00e0 c\u1ea1p nong (Bungarus fasciatus), r\u1eafn bi\u1ec3n.<\/p>\n

– \u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0 H\u1ecd r\u1eafn l\u1ee5c (Viperidae): r\u1eafn l\u1ee5c (Green pit viper), r\u1eafn ch\u00e0m qu\u1ea1p (calloselasma rhodostoma, t\u00ean kh\u00e1c malayan pit viper), n\u1ea1n nh\u00e2n r\u1eafn ch\u00e0m qu\u1ea1p th\u01b0\u1eddng l\u00e0 c\u00f4ng nh\u00e2n n\u00f4ng tr\u01b0\u1eddng cao su.<\/p>\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p s\u01a1 c\u1ee9u:<\/strong><\/p>\n

–\u00a0 \u00a0 \u00a0 \u00a0 Tr\u1ea5n an n\u1ea1n nh\u00e2n.<\/p>\n

–\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0 B\u1ea5t \u0111\u1ed9ng chi b\u1ecb c\u1eafn b\u1eb1ng d\u00e2y \u0111eo, thanh g\u1ed7 ho\u1eb7c thanh kim lo\u1ea1i (c\u1eed \u0111\u1ed9ng ho\u1eb7c co c\u01a1 l\u00e0m gia t\u0103ng h\u1ea5p thu n\u1ecdc r\u1eafn v\u00e0o m\u1ea1ch b\u1ea1ch huy\u1ebft, v\u00e0o m\u00e1u).<\/p>\n

–\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0 N\u1ebfu b\u1ecb c\u1eafn b\u1edfi r\u1eafn bi\u1ec3n, r\u1eafn h\u1ed5, c\u1ea1p nong, c\u1ea1p nia…s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p b\u0103ng \u00e9p – b\u1ea5t \u0111\u1ed9ng..<\/p>\n

–\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Tr\u00e1nh b\u1ea5t c\u1ee9 can thi\u1ec7p n\u00e0o t\u1ea1i v\u1ebft c\u1eafn v\u00ec c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec5m tr\u00f9ng, gia t\u0103ng h\u1ea5p thu n\u1ecdc \u0111\u1ed9c, t\u0103ng ch\u1ea3y m\u00e1u t\u1ea1i v\u1ebft c\u1eafn.<\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p b\u0103ng \u00e9p – b\u1ea5t \u0111\u1ed9ng:<\/strong><\/p>\n

\u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p l\u00e0m ch\u1eadm s\u1ef1 h\u1ea5p thu n\u1ecdc r\u1eafn t\u1ef3\u2019 v\u1ebft c\u1eafn, t\u1ed1t nh\u1ea5t l\u00e0 d\u00f9ng b\u0103ng thun r\u1ed9ng kho\u1ea3ng 10cm, d\u00e0i kho\u1ea3ng 4,5m, n\u1ebfu kh\u00f4ng c\u00f3 d\u00f9ng b\u1ea5t c\u1ee9 cu\u1ed9n v\u00e0i n\u00e0o c\u00f3 s\u1eb5n, qu\u1ea5n ch\u1eb7t quanh to\u00e0n b\u1ed9 chi b\u1ecb c\u1eafn b\u1eaft \u0111\u1ea7u t\u1eeb ng\u00f3n tay ho\u1eb7c ng\u00f3n ch\u00e2n \u0111i l\u00ean, sau \u0111\u00f3 qu\u1ea5n lu\u00f4n c\u1ea3 thanh g\u1ed3 ho\u1eb7c thanh kim lo\u1ea1i c\u1ed1 \u0111\u1ecbnh chi b\u1ecb c\u1eafn. B\u0103ng \u0111\u01b0\u1ee3c qu\u1ea5n ch\u1eb7t nh\u01b0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ecb bong g\u00e2n nh\u01b0ng kh\u00f4ng qu\u00e1 ch\u1eb7t \u0111\u1ebfn \u0111\u1ed9 m\u1ea5t h\u1ebft m\u1ea1ch ngo\u1ea1i vi ho\u1eb7c ng\u00f3n tay kh\u00f4ng th\u1ec3 tr\u01b0\u1ee3t gi\u1eefa c\u00e1c l\u1edbp v\u1ea3i. Kh\u00f4ng \u0111\u01b0\u1ee3c m\u1edf b\u0103ng cho \u0111\u1ebfn khi n\u1ea1n nh\u00e2n \u0111\u01b0\u1ee3c ch\u1edf \u0111\u1ebfn b\u1ec7nh vi\u1ec7n ho\u1eb7c trung t\u00e2m y t\u1ebf c\u00f3 \u0111\u1ee7 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n h\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u00e1p d\u1ee5ng cho n\u1ea1n nh\u00e2n c\u1ee7a c\u00e1c lo\u00e0i r\u1eafn c\u00f3 \u0111\u1ed9c t\u1ed1 t\u00e1c \u0111\u1ed9ng tr\u00ean h\u1ec7 th\u1ea7n kinh (r\u1eafn bi\u1ec3n, r\u1eafn h\u1ed5, c\u1ea1p nong, c\u1ea1p nia), kh\u00f4ng d\u00f9ng cho c\u00e1c n\u1ea1n nh\u00e2n b\u1ecb r\u1eafn l\u1ee5c ho\u1eb7c r\u1eafn ch\u00e0m qu\u1ea1p c\u1eafn v\u00ec l\u00e0m gia t\u0103ng ho\u1ea1i t\u1eed t\u1ea1i v\u1ebft c\u1eafn.<\/em><\/p>\n

V\u1eadn chuy\u1ec3n n\u1ea1n nh\u00e2n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n:<\/strong><\/p>\n

Sau khi s\u01a1 c\u1ee9u, n\u1ea1n nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c nhanh ch\u00f3ng \u0111\u01b0a \u0111\u1ebfn b\u1ec7nh vi\u1ec7n m\u1ed9t c\u00e1ch an to\u00e0n v\u00e0 d\u1ec5 ch\u1ecbu nh\u1ea5t trong \u0111i\u1ec1u ki\u1ec7n c\u00f3 s\u1eb5n, tr\u00e1nh \u0111\u1ec3 n\u1ea1n nh\u00e2n c\u1eed \u0111\u1ed9ng, nh\u00e1t la chi b\u1ecb c\u1eafn v\u00ec l\u00e0m t\u0103ng h\u1ea5p thu n\u1ecdc \u0111\u1ed9c v\u00e0o m\u00e1u. N\u1ea1n nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c khi\u00eang ho\u1eb7c ch\u1edf b\u1eb1ng xe \u0111\u1ebfn b\u1ec7nh vi\u1ec7n, kh\u00f4ng \u0111\u1ec3 t\u1ef1 \u0111i.<\/p>\n

2. \u0110\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng nhanh v\u00e0 x\u1eed tr\u00ed c\u1ea5p c\u1ee9u t\u1ea1i b\u1ec7nh vi\u1ec7n:<\/h2>\n

N\u1ea1n nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c nhanh ch\u00f3ng \u0111\u00e1nh gi\u00e1 v\u1ec1 h\u00f4 h\u1ea5p, tu\u1ea7n ho\u00e0n<\/p>\n

C\u00e1c t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng r\u1eafn \u0111\u1ed9c c\u1eafn th\u01b0\u1eddng g\u1eb7p:<\/p>\n

Suy h\u00f4 h\u1ea5p, ng\u1eebng th\u1edf do n\u1ecdc r\u1eafn g\u00e2y li\u1ec7t c\u01a1 h\u00f4 h\u1ea5p. N\u1ea1n nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb suy h\u00f4 h\u1ea5p trong qu\u00e1 tr\u00ecnh v\u1eadn chuy\u1ec3n v\u00e0 \u0111\u1ebfn b\u1ec7nh vi\u1ec7n trong t\u00ecnh tr\u1ea1ng ng\u01b0ng tim ho\u1eb7c \u0111\u00e3 ng\u1eebng tim.<\/p>\n

T\u1ee5t huy\u1ebft \u00e1p ho\u1eb7c s\u1ed1c n\u1eb7ng do t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp c\u1ee7a n\u1ecdc r\u1eafn tr\u00ean c\u01a1 tim, m\u1ea1ch m\u00e1u (gi\u00e3n m\u1ea1ch) ho\u1eb7c do m\u1ea5t m\u00e1u.<\/p>\n

T\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p nhanh ch\u00f3ng do nhi\u1ec5m \u0111\u1ed9c th\u1ea7n kinh n\u1eb7ng sau th\u00e1o garo ho\u1eb7c b\u0103ng \u00e9p.<\/p>\n

– \u00a0 \u00a0 \u00a0 Ng\u01b0ng tim do t\u0103ng kali m\u00e1u do n\u1ecdc r\u1eafn (r\u1eafn bi\u1ec3n) g\u00e2y h\u1ee7y c\u01a1 v\u00e2n.<\/p>\n

– T\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p ho\u1eb7c nhi\u1ec5m khu\u1ea9n huy\u1ebft bi\u1ebfn ch\u1ee9ng c\u1ee7a ho\u1ea1i t\u1eed v\u00e0 nhi\u1ec5m khu\u1ea9n t\u1ea1i ch\u1ed7.<\/p>\n

 <\/p>\n

Kh\u00e1m:<\/em><\/strong><\/p>\n

T\u1ea1i n\u01a1i c\u1ea7n, t\u00ecm c\u00e1c d\u1ea5u hi\u1ec7u:<\/em><\/p>\n

– \u00a0 \u00a0 \u00a0 D\u1ea5u r\u0103ng<\/p>\n

– \u00a0 \u00a0 \u00a0 \u0110au t\u1ea1i v\u1ebft c\u1eafn<\/p>\n

– S\u01b0ng, n\u00f3ng, \u0111\u1ecf, \u0111au c\u00f3 th\u1ec3 to\u00e0n b\u1ed9 chi b\u1ecb c\u1eafn lan \u0111\u1ebfn th\u00e2n m\u00ecnh<\/p>\n

– Vi\u00eam m\u1ea1ch b\u1ea1ch huy\u1ebft c\u00f3 li\u00ean quan<\/p>\n

– \u00a0 \u00a0 \u00a0 H\u1ea1ch b\u1ea1ch huy\u1ebft li\u00ean quan s\u01b0ng \u0111au<\/p>\n

– \u00a0 \u00a0 \u00a0 N\u1ed5i b\u00f3ng n\u01b0\u1edbc, c\u00f3 th\u1ec3 xu\u1ea5t huy\u1ebft trong b\u00f3ng n\u01b0\u1edbc<\/p>\n

– \u00a0 \u00a0 \u00a0 Ch\u1ea3y m\u00e1u t\u1eeb v\u1ebft c\u1eafn, v\u1ebft r\u1ea1ch<\/p>\n

– \u00a0 \u00a0 \u00a0 Nhi\u1ec5m tr\u00f9ng t\u1ea1i ch\u1ed7, t\u1ea1o \u00e1p xe<\/p>\n

– \u00a0 \u00a0 \u00a0 Ho\u1ea1i t\u1eeb da v\u00e0 t\u1ed5 ch\u1ee9c d\u01b0\u1edbi da.<\/p>\n\n\n\n\n\n\n\n
Lo\u1ea1i r\u1eafn<\/strong><\/td>\nT\u1ea1i ch\u1ed7<\/strong><\/td>\nBi\u1ec3u hi\u1ec7n ch\u00ednh to\u00e0n th\u00e2n<\/strong><\/td>\nBi\u1ec3u hi\u1ec7n kh\u00e1c<\/strong><\/td>\n<\/tr>\n
R\u1eafn l\u1ee5c<\/p>\n

R\u1eafn ch\u00e0m qu\u1ea1p<\/td>\n

Ch\u1ea3y m\u00e1u v\u1ebft c\u1eafn, n\u1ed5i b\u00f3ng n\u01b0\u1edbc, xu\u1ea5t huy\u1ebft trong b\u00f3ng n\u01b0\u1edbc, s\u01b0ng n\u1ec1 lan r\u1ed9ng, ho\u1ea1i t\u1eed do nhi\u1ec5m khu\u1ea9n ho\u1eb7c ch\u00e8n \u00e9p khoang<\/td>\nR\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u<\/td>\nS\u1ed1c do m\u1ea5t m\u00e1u<\/td>\n<\/tr>\n
R\u1eafn h\u1ed5<\/td>\nVi\u00eam t\u1ea1i ch\u1ed7 nhanh ch\u00f3ng lan to\u00e0n b\u1ed9 chi, c\u00f3 khi \u0111\u1ebfn c\u1ea3 th\u00e2n ng\u01b0\u1eddi, ho\u1ea1i t\u1eed xu\u1ea5t hi\u1ec7n s\u1edbm v\u00e0 lan r\u1ed9ng<\/td>\nNhi\u1ec5m \u0111\u1ed9c th\u1ea7n kinh<\/td>\nTr\u1ebb em th\u01b0\u1eddng c\u00f3 lo\u1ea1n nh\u1ecbp tim, t\u1ee5t huy\u1ebft \u00e1p<\/td>\n<\/tr>\n
R\u1eafn c\u1ea1p nong<\/p>\n

R\u1eafn c\u1ea1p nia<\/td>\n

Kh\u00f4ng bi\u1ec3u hi\u1ec7n g\u00ec ngo\u00e0i v\u1ebft r\u0103ng c\u1ee7a r\u1eafn<\/td>\nNhi\u1ec5m \u0111\u1ed9c th\u1ea7n kinh, th\u01b0\u1eddng gi\u00e3n c\u1ea3 \u0111\u1ed3ng t\u1eed<\/td>\nT\u1ee5t huy\u1ebft \u00e1p (do gi\u00e3n m\u1ea1ch) T\u0103ng huy\u1ebft \u00e1p H\u1ea1 Na m\u00e1u (SIADH)<\/td>\n<\/tr>\n
R\u1eafn bi\u1ec3n<\/td>\nKh\u00f4ng bi\u1ec3u hi\u1ec7n g\u00ec ngo\u00e0i v\u1ebft r\u0103ng c\u1ee7a r\u1eafn<\/td>\nNhi\u1ec5m \u0111\u1ed9c th\u1ea7n kinh<\/td>\nHu\u1ef7 c\u01a1 v\u00e2n to\u00e0n th\u00e2n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

3. C\u00e1c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng:<\/strong><\/h2>\n

– \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0110\u00f4ng m\u00e1u to\u00e0n b\u1ed9: cho th\u1ea5y r\u1ed1i lo\u1ea1n theo ki\u1ec3u DIC c\u00f3 ti\u00eau s\u1ee3i huy\u1ebft th\u1ee9 phat \u1edf c\u00e1c b\u1ec7nh nh\u00e2n r\u1eafn l\u1ee5c v\u00e0 r\u1eafn ch\u00e0m qu\u1ea1p c\u1eafn (TQ d\u00e0i, TCK d\u00e0i, ti\u1ec3u c\u1ea7u gi\u1ea3m, fibrinogen gi\u1ea3m, ethanol d\u01b0\u01a1ng t\u00ednh, von kaulla d\u01b0\u01a1ng t\u00ednh).<\/p>\n

– \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch: toan h\u00f4 h\u1ea5p c\u1ea5p \u1edf c\u00e1c b\u1ec7nh nh\u00e2n r\u1eafn h\u1ed5, r\u1eafn c\u1ea1p nong, c\u1ea1p nia, r\u1eafn bi\u1ec3n c\u1eafn.<\/p>\n

– \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 C\u00f4ng th\u1ee9c m\u00e1u: h\u1ed3ng c\u1ea7u gi\u1ea3m trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 xu\u1ea5t huy\u1ebft; b\u1ea1ch c\u1ea7u t\u0103ng trong t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u1eafn \u0111\u1ed9c c\u1eafn, ti\u1ec3u c\u1ea7u gi\u1ea3m trong tr\u01b0\u1eddng h\u1ee3p r\u1eafn l\u1ee5c, r\u1eafn ch\u00e0m qu\u1ea1p c\u1eafn.<\/p>\n

– \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 SGOT, SGPT, creatine kinase t\u0103ng trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 ho\u1ea1i t\u1eed v\u1ebft c\u1eafn, \u0111\u1eb7c bi\u1ec7t t\u0103ng cao trong tr\u01b0\u1eddng h\u1ee3p hu\u1ef7 c\u01a1 to\u00e0n th\u00e2n do r\u1eafn bi\u1ec3n c\u1eafn.<\/p>\n

–\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 BUN, creatinin t\u0103ng trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p.<\/p>\n

–\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ion \u0111\u1ed3: kali t\u0103ng trong tr\u01b0\u1eddng h\u1ee3p h\u1ee7y c\u01a1 v\u00e2n ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p.<\/p>\n

– T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u: t\u00ecm m\u00e1u, Hb, myoglobin.<\/p>\n

4. \u0110i\u1ec1u tr\u1ecb r\u1eafn \u0111\u1ed9c c\u1eafn<\/strong><\/h2>\n

S\u1eed d\u1ee5ng huy\u1ebft thanh kh\u00e1ng n\u1ecdc r\u1eafn<\/strong><\/p>\n

Huy\u1ebft thanh kh\u00e1ng n\u1ecdc r\u1eafn l\u00e0 globulin mi\u1ec5n d\u1ecbch tinh ch\u1ebf t\u1eeb huy\u1ebft thanh c\u1ee7a ng\u1ef1a ho\u1eb7c c\u1eebu \u0111\u00e3 \u0111\u01b0\u1ee3c mi\u1ec5n d\u1ecbch b\u1eb1ng n\u1ecdc c\u1ee7a m\u1ed9t lo\u1ea1i r\u1eafn (huy\u1ebft thanh kh\u00e1ng n\u1ecdc \u0111\u01a1n gi\u00e1) ho\u1eb7c c\u1ee7a nhi\u1ec1u lo\u1ea1i r\u1eafn (huy\u1ebft thanh kh\u00e1ng n\u1ecdc \u0111a gi\u00e1)<\/p>\n

– \u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ch\u1ec9 \u0111\u1ecbnh huy\u1ebft thanh kh\u00e1ng n\u1ecdc r\u1eafn: <\/strong>huy\u1ebft thanh kh\u00e1ng n\u1ecdc r\u1eafn c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 s\u1ed1c ph\u1ea3n v\u1ec7 c\u00f3 th\u1ec3 ch\u1ebft ng\u01b0\u1eddi, v\u00ec v\u1eady c\u1ea7n c\u00e2n nh\u1eafc l\u1ee3i h\u1ea1i tr\u01b0\u1edbc khi cho huy\u1ebft thanh kh\u00e1ng n\u1ecdc, ch\u1ec9 \u0111\u1ecbnh khi b\u1ec7nh nh\u00e2n c\u00f3 m\u1ed9t ho\u1eb7c nhi\u1ec1u c\u00e1c bi\u1ec3u hi\u1ec7n sau:<\/em><\/p>\n

– \u00a0 \u00a0 \u00a0 Ch\u00e8n \u00e9p khoang<\/p>\n

– \u00a0 \u00a0 \u00a0 Huy\u1ebft kh\u1ed1i m\u1ea1ch m\u00e1u<\/p>\n

– \u00a0 \u00a0 \u00a0 Chi b\u1ecb ho\u1ea1i t\u1eed do garrot qu\u00e1 ch\u1eb7t trong th\u1eddi gian l\u00e2u ho\u1eb7c do ch\u00e8n \u00e9p khoang<\/p>\n

Xem th\u00eam : DIC – \u0110\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch lan t\u1ecfa<\/a><\/p>\n

Tags: #H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u, #C\u1ea5p c\u1ee9u r\u1eafn \u0111\u1ed9c c\u1eafn<\/strong><\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o: H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u, ch\u1ed1ng \u0111\u1ed9c. PGS.TS Ph\u1ea1m Th\u1ecb Ng\u1ecdc Th\u1ea3o, \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c TPHCM<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

R\u1eafn \u0111\u1ed9c c\u1eafn l\u00e0 m\u1ed9t trong nh\u1eefng c\u1ea5p c\u1ee9u th\u01b0\u1eddng g\u1eb7p \u1edf Vi\u1ec7t Nam \u0111\u00f2i h\u1ecfi ph\u1ea3i ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed tr\u00ed \u0111\u00fang c\u00e1ch \u0111\u1ec3 gi\u1ea3m t\u1eed vong cho b\u1ec7nh nh\u00e2n. T\u1ea1i Vi\u1ec7t Nam c\u00f3 kho\u1ea3ng 140 lo\u00e0i r\u1eafn trong \u0111\u00f3 c\u00f3 31 lo\u00e0i c\u00f3 n\u1ecdc \u0111\u1ed9c. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 th\u1eddi gian s\u1ed1ng […]<\/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":"\nR\u1eafn \u0111\u1ed9c c\u1eafn: Nh\u1eadn bi\u1ebft d\u1ea5u hi\u1ec7u v\u00e0 x\u1eed tr\u00ed v\u1ebft c\u1eafn c\u1ee7a r\u1eafn \u0111\u1ed9c - Vinmec<\/title>\n<meta name=\"description\" content=\"R\u1eafn \u0111\u1ed9c c\u1eafn l\u00e0 m\u1ed9t trong nh\u1eefng c\u1ea5p c\u1ee9u th\u01b0\u1eddng g\u1eb7p \u1edf Vi\u1ec7t Nam \u0111\u00f2i h\u1ecfi ph\u1ea3i ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed tr\u00ed \u0111\u00fang c\u00e1ch \u0111\u1ec3 gi\u1ea3m t\u1eed vong cho b\u1ec7nh nh\u00e2n.\" \/>\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=\"R\u1eafn \u0111\u1ed9c c\u1eafn: Nh\u1eadn bi\u1ebft d\u1ea5u hi\u1ec7u v\u00e0 x\u1eed tr\u00ed v\u1ebft c\u1eafn c\u1ee7a r\u1eafn \u0111\u1ed9c - 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