{"id":722,"date":"2023-06-27T10:16:43","date_gmt":"2023-06-27T10:16:43","guid":{"rendered":"https:\/\/vinimam.org.vn\/vinimam\/?p=722"},"modified":"2023-10-20T03:32:15","modified_gmt":"2023-10-20T03:32:15","slug":"ien-y-hoc-bien-viet-nam-cap-cuu-thanh-cong-2-thuyen-vien-bi-ngo-doc-khi-co","status":"publish","type":"post","link":"https:\/\/vinimam.org.vn\/vinimam\/ien-y-hoc-bien-viet-nam-cap-cuu-thanh-cong-2-thuyen-vien-bi-ngo-doc-khi-co\/","title":{"rendered":"Vi\u1ec7n Y h\u1ecdc Bi\u1ec3n Vi\u1ec7t Nam c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng 2 thuy\u1ec1n vi\u00ean b\u1ecb ng\u1ed9 \u0111\u1ed9c kh\u00ed CO"},"content":{"rendered":"

\u0110\u00e2y l\u00e0 2 thuy\u1ec1n vi\u00ean \u0111ang l\u00e0m vi\u1ec7c tr\u00ean t\u00e0u ch\u1edf than t\u1eeb TP. H\u1ed3 Ch\u00ed Minh ra nh\u00e0 m\u00e1y nhi\u1ec7t \u0111i\u1ec7n Ph\u1ea3 L\u1ea1i. Qua khai th\u00e1c nh\u1eefng ng\u01b0\u1eddi c\u00f9ng l\u00e0m vi\u1ec7c tr\u00ean t\u00e0u \u0111\u01b0\u1ee3c bi\u1ebft: Kho\u1ea3ng 17h ng\u00e0y 25\/6, thuy\u1ec1n vi\u00ean N.V.P., sinh n\u0103m 1987 c\u00f9ng m\u1ed9t thuy\u00ean vi\u00ean kh\u00e1c l\u00e0 \u0110.V.Q.H., \u0111i l\u1ea5y m\u1eabu than x\u00e9t nghi\u1ec7m t\u1ea1i h\u1ea7m ch\u1ee9a than tr\u00ean t\u00e0u. Khi thuy\u1ec1n vi\u00ean P. m\u1edf c\u1eeda h\u1ea7m than v\u00e0 \u0111i xu\u1ed1ng th\u00ec b\u1ecb b\u1ea5t t\u1ec9nh ho\u00e0n to\u00e0n ngay l\u1eadp t\u1ee9c, thuy\u1ec1n vi\u00ean H. nh\u1ea3y xu\u1ed1ng c\u1ee9u tuy nhi\u00ean c\u0169ng b\u1ecb ng\u1ea1t ngay nh\u01b0ng v\u1eabn k\u1ecbp k\u00eau c\u1ee9u. C\u00e1c thuy\u1ec1n vi\u00ean kh\u00e1c nghe th\u1ea5y ti\u1ebfng k\u00eau c\u1ee9u ch\u1ea1y \u0111\u1ebfn ti\u1ebfp s\u1ee9c, m\u1ed9t thuy\u1ec1n vi\u00ean c\u00f3 \u0111eo b\u00ecnh oxy xu\u1ed1ng \u0111\u01b0\u1ee3c 30 gi\u00e2y kh\u00f4ng ch\u1ecbu \u0111\u01b0\u1ee3c c\u0169ng v\u1ed9i nh\u1ea3y l\u00ean boong. L\u00fac n\u00e0y ch\u1ec9 huy t\u00e0u cho th\u00e1o d\u1ee1 h\u1ebft n\u1eafp h\u1ea7m h\u00e0ng, huy \u0111\u1ed9ng c\u1ea3 c\u1ea7n c\u1ea9u c\u1ee7a c\u1ea3ng h\u1ed7 tr\u1ee3 chuy\u1ec3n n\u1ea1n nh\u00e2n l\u00ean boong t\u00e0u. T\u00ednh \u0111\u1ebfn th\u1eddi \u0111i\u1ec3m \u0111\u01b0\u1ee3c \u0111\u01b0a l\u00ean, 2 n\u1ea1n nh\u00e2n \u0111\u00e3 ph\u1ea3i n\u1eb1m trong h\u1ea7m t\u00e0u k\u00edn kho\u1ea3ng 40 ph\u00fat. N\u1ea1n nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u01b0a ngay \u0111\u1ebfn B\u1ec7nh vi\u1ec7n huy\u1ec7n Kinh Th\u00e0nh, t\u1ec9nh H\u1ea3i D\u01b0\u01a1ng c\u1ea5p c\u1ee9u. T\u1ea1i \u0111\u00e2y, c\u00e1c n\u1ea1n nh\u00e2n \u0111\u00e3 b\u1ecb h\u00f4n m\u00ea v\u00e0 v\u1eadt v\u00e3, co gi\u1eadt r\u1ea5t nhi\u1ec1u. N\u1ea1n nh\u00e2n \u0111\u01b0\u1ee3c ti\u00eam thu\u1ed1c ch\u1ed1ng co gi\u1eadt, th\u1edf oxy v\u00e0 chuy\u1ec3n l\u00ean xe c\u1ea5p c\u1ee9u \u0111\u01b0a th\u1eb3ng \u0111\u1ebfn Vi\u1ec7n Y h\u1ecdc bi\u1ec3n Vi\u1ec7t Nam.<\/p>\n

\u0110\u1ebfn kho\u1ea3ng 18h30, c\u00e1c n\u1ea1n nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn Khoa C\u1ea5p c\u1ee9u c\u1ee7a Vi\u1ec7n Y h\u1ecdc bi\u1ec3n Vi\u1ec7t Nam. T\u1ea1i \u0111\u00e2y, sau khi \u0111\u01b0\u1ee3c kh\u00e1m x\u00e9t l\u00e2m s\u00e0ng v\u00e0 l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m, n\u1ea1n nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 ng\u1ed9 \u0111\u1ed9c c\u1ea5p kh\u00ed \u0111\u1ed9c Carbon monoxide (Kh\u00ed CO). C\u00e1c n\u1ea1n nh\u00e2n \u1edf trong t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy nghi\u00eam tr\u1ecdng g\u00e2y co gi\u1eadt r\u1ea5t m\u1ea1nh, \u0111\u1ea1i ti\u1ec3u ti\u1ec7n kh\u00f4ng t\u1ef1 ch\u1ee7, c\u00f3 h\u1ed9i ch\u1ee9ng ti\u00eau c\u01a1 v\u00e2n v\u00e0 suy \u0111a t\u1ea1ng c\u1ea5p. C\u00e1c b\u00e1c s\u0129 \u0111\u00e3 truy\u1ec1n d\u1ecbch v\u00e0 ti\u00eam thu\u1ed1c ch\u1ed1ng co gi\u1eadt. Sau khi h\u1ed9i ch\u1ea9n, c\u00e1c n\u1ea1n nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p h\u1ed3i s\u1ee9c cao \u00e1p (H\u1ed3i s\u1ee9c k\u1ebft h\u1ee3p v\u1edbi oxy cao \u00e1p) theo ph\u00e1c \u0111\u1ed3 VINIMAM 4 (do Vi\u1ec7n Y h\u1ecdc bi\u1ec3n Vi\u1ec7t Nam nghi\u00ean c\u1ee9u). Trong bu\u1ed3ng cao \u00e1p, c\u00e1c n\u1ea1n nh\u00e2n v\u1eabn ti\u1ebfp t\u1ee5c gi\u00e3y gi\u1ee5a r\u1ea5t nhi\u1ec1u. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c truy\u1ec1n d\u1ecbch, b\u00f9 \u0111i\u1ec7n gi\u1ea3i, n\u01b0\u1edbc v\u00e0 thu\u1ed1c ch\u1ed1ng co gi\u1eadt k\u1ebft h\u1ee3p v\u1edbi oxy cao \u00e1p (OXCA). Sau 30 ph\u00fat \u0111i\u1ec1u tr\u1ecb, c\u00e1c n\u1ea1n nh\u00e2n \u0111\u1ee1 co gi\u1eadt v\u00e0 ti\u1ebfn tri\u1ec3n t\u1ed1t d\u1ea7n l\u00ean. K\u1ebft th\u00fac ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb 6 ti\u1ebfng, 2 n\u1ea1n nh\u00e2n \u0111\u00e3 t\u1ec9nh t\u00e1o tr\u1edf l\u1ea1i v\u00e0 tr\u1edf v\u1ec1 b\u1ec7nh ph\u00f2ng ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb v\u1edbi oxy \u00e1p su\u1ea5t b\u00ecnh th\u01b0\u1eddng.<\/p>\n

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S\u00e1ng ng\u00e0y 26\/6, c\u1ea3 2 \u0111\u00e3 t\u1ef1 ng\u1ed3i d\u1eady t\u1ec9nh t\u00e1o ho\u00e0n to\u00e0n. Tuy nhi\u00ean, do qu\u00e1 tr\u00ecnh thi\u1ebfu oxy k\u00e9o d\u00e0i, g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u00f4 th\u1ea7n kinh, gan, c\u01a1\u2026n\u00ean b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb m\u1ed9t th\u1eddi gian n\u1eefa \u0111\u1ec3 tr\u1edf l\u1ea1i b\u00ecnh ph\u1ee5c ho\u00e0n to\u00e0n. CO l\u00e0 lo\u1ea1i kh\u00ed kh\u00f4ng m\u00e0u, kh\u00f4ng m\u00f9i, kh\u00f4ng v\u1ecb. B\u00ecnh th\u01b0\u1eddng trong kh\u00f4ng kh\u00ed CO ch\u1ec9 chi\u1ebfm m\u1ed9t t\u1ef7 l\u1ec7 c\u1ef1c th\u1ea5p (kho\u1ea3ng 0,001%). \u0110i\u1ec1u nguy hi\u1ec3m l\u00e0 kh\u1ea3 n\u0103ng k\u1ebft h\u1ee3p c\u1ee7a lo\u1ea1i kh\u00ed n\u00e0y v\u1edbi Hb (hemoglobin – m\u1ed9t ch\u1ea5t v\u1eadn chuy\u1ec3n oxy trong h\u1ed3ng c\u1ea7u) m\u1ea1nh g\u1ea5p kho\u1ea3ng 240 l\u1ea7n so v\u1edbi O2 n\u00ean ch\u1ec9 c\u1ea7n m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf c\u1ee7a n\u00f3 \u0111\u00e3 c\u00f3 th\u1ec3 chi\u1ebfm h\u1ebft ho\u1eb7c g\u1ea7n h\u1ebft ch\u1ed7 v\u1eadn chuy\u1ec3n O2 c\u1ee7a Hb c\u1ee7a h\u1ed3ng c\u1ea7u, d\u1eabn \u0111\u1ebfn m\u00e1u kh\u00f4ng th\u1ec3 mang oxy \u0111\u1ebfn c\u00e1c m\u00f4 v\u00e0 t\u1ebf b\u00e0o, g\u00e2y t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o v\u00e0 c\u00e1c m\u00f4 c\u1ee7a c\u01a1 th\u1ec3, c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong ho\u1eb7c s\u1ed1ng th\u1ef1c v\u1eadt. \u0110\u1ec3 ph\u00f2ng ng\u1ed9 \u0111\u1ed9c kh\u00ed CO, kh\u00f4ng s\u1eed d\u1ee5ng nguy\u00ean li\u1ec7u h\u00f3a th\u1ea1nh nh\u01b0 x\u0103ng, d\u1ea7u; kh\u00f4ng s\u1eed d\u1ee5ng c\u1ee7i, r\u01a1m, r\u1ea1 \u0111\u1ec3 \u0111un, s\u01b0\u1edfi \u1ea5m trong ph\u00f2ng nh\u1ecf, k\u00edn; N\u1ebfu s\u1eed d\u1ee5ng ph\u1ea3i m\u1edf c\u1eeda tho\u00e1ng; Kh\u00f4ng ng\u1ee7 trong xe \u00f4 t\u00f4 ch\u1ea1y \u0111i\u1ec1u h\u00f2a khi \u0111ang \u0111\u1ed7 xe. Trong c\u00e1c v\u1ee5 h\u1ecfa ho\u1ea1n, \u0111\u1ec3 tho\u00e1t th\u00e2n m\u00e0 kh\u00f4ng b\u1ecb b\u1ecfng nhi\u1ec7t v\u00e0 ng\u1ed9 \u0111\u1ed9c kh\u00ed CO, CO2, n\u00ean l\u1ea5y v\u1ecf ch\u0103n, m\u00e0n, \u00e1o kho\u00e1c v\u00e0 kh\u0103n t\u1eafm nh\u00fang \u01b0\u1edbt n\u01b0\u1edbc r\u1ed3i tr\u00f9m l\u00ean th\u00e2n th\u1ec3 v\u00e0 mi\u1ec7ng, m\u0169i r\u1ed3i tho\u00e1t ra ngo\u00e0i. \u0110\u1ed1i v\u1edbi thuy\u1ec1n vi\u00ean l\u00e0m vi\u1ec7c tr\u00ean t\u00e0u bi\u1ec3n, t\u00e0u s\u00f4ng, khi ti\u1ebfp c\u1eadn c\u00e1c h\u1ea7m h\u00e0ng lu\u00f4n ph\u1ea3i gi\u1ea3 thi\u1ebft l\u00e0 d\u01b0\u1edbi h\u1ea7m c\u00f3 h\u01a1i kh\u00ed \u0111\u1ed9c \u0111\u1ec3 c\u00f3 bi\u1ec7n ph\u00e1p ph\u00f2ng tr\u00e1nh. Khi ph\u00e1t hi\u1ec7n c\u00f3 ng\u01b0\u1eddi b\u1ecb n\u1ea1n, n\u1ebfu kh\u00f4ng c\u00f3 trang b\u1ecb b\u1ea3o h\u1ed9 th\u00ec kh\u00f4ng \u0111\u01b0\u1ee3c xu\u1ed1ng \u0111\u00f3 m\u1ed9t m\u00ecnh \u0111\u1ec3 tr\u00e1nh tr\u1edf th\u00e0nh n\u1ea1n nh\u00e2n ti\u1ebfp theo. T\u1ed1t nh\u1ea5t l\u00e0 n\u00ean \u0111eo m\u1eb7t n\u1ea1 ph\u00f2ng \u0111\u1ed9c ho\u1eb7c kh\u0103n b\u00f4ng th\u1ea5m \u01b0\u1edbt n\u01b0\u1edbc r\u1ed3i \u0111eo d\u00e2y ngang ng\u01b0\u1eddi \u0111\u1ec1 ph\u00f2ng n\u1ebfu b\u1ecb ng\u1ea5t th\u00ec ng\u01b0\u1eddi \u1edf tr\u00ean s\u1ebd k\u00e9o l\u00ean ngay.<\/p>\n

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

\u0110\u00e2y l\u00e0 2 thuy\u1ec1n vi\u00ean \u0111ang l\u00e0m vi\u1ec7c tr\u00ean t\u00e0u ch\u1edf than t\u1eeb TP. H\u1ed3 Ch\u00ed Minh ra nh\u00e0 m\u00e1y nhi\u1ec7t \u0111i\u1ec7n Ph\u1ea3 L\u1ea1i. Qua khai th\u00e1c nh\u1eefng ng\u01b0\u1eddi c\u00f9ng l\u00e0m vi\u1ec7c tr\u00ean t\u00e0u \u0111\u01b0\u1ee3c bi\u1ebft: Kho\u1ea3ng 17h ng\u00e0y 25\/6, thuy\u1ec1n vi\u00ean N.V.P., sinh n\u0103m 1987 c\u00f9ng m\u1ed9t thuy\u00ean vi\u00ean kh\u00e1c l\u00e0 \u0110.V.Q.H., \u0111i l\u1ea5y […]\n","protected":false},"author":1,"featured_media":723,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16,19],"tags":[],"class_list":["post-722","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-hoat-dong","category-y-hoc-duoi-nuoc-va-oxy-cao-ap"],"yoast_head":"\nVi\u1ec7n Y h\u1ecdc Bi\u1ec3n Vi\u1ec7t Nam c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng 2 thuy\u1ec1n vi\u00ean b\u1ecb ng\u1ed9 \u0111\u1ed9c kh\u00ed CO - Vi\u1ec7n Y h\u1ecdc bi\u1ec3n | Vietnam National Institute of Maritime Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vinimam.org.vn\/vinimam\/ien-y-hoc-bien-viet-nam-cap-cuu-thanh-cong-2-thuyen-vien-bi-ngo-doc-khi-co\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vi\u1ec7n Y h\u1ecdc Bi\u1ec3n Vi\u1ec7t Nam c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng 2 thuy\u1ec1n vi\u00ean b\u1ecb ng\u1ed9 \u0111\u1ed9c kh\u00ed CO - Vi\u1ec7n Y h\u1ecdc bi\u1ec3n | Vietnam National Institute of Maritime Medicine\" \/>\n<meta property=\"og:description\" content=\"\u0110\u00e2y l\u00e0 2 thuy\u1ec1n vi\u00ean \u0111ang l\u00e0m vi\u1ec7c tr\u00ean t\u00e0u ch\u1edf than t\u1eeb TP. H\u1ed3 Ch\u00ed Minh ra nh\u00e0 m\u00e1y nhi\u1ec7t \u0111i\u1ec7n Ph\u1ea3 L\u1ea1i. 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