{"id":773,"date":"2023-10-31T07:31:45","date_gmt":"2023-10-31T07:31:45","guid":{"rendered":"https:\/\/vinimam.org.vn\/vinimam\/?p=773"},"modified":"2023-11-01T07:35:31","modified_gmt":"2023-11-01T07:35:31","slug":"loc-mau-lien-tuc-cuu-song-benh-nhan-soc-nhiem-khuan-suy-da-tang-vien-y-hoc-bien","status":"publish","type":"post","link":"https:\/\/vinimam.org.vn\/vinimam\/loc-mau-lien-tuc-cuu-song-benh-nhan-soc-nhiem-khuan-suy-da-tang-vien-y-hoc-bien\/","title":{"rendered":"L\u1ecdc m\u00e1u li\u00ean t\u1ee5c c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n s\u1ed1c nhi\u1ec5m khu\u1ea9n, suy \u0111a t\u1ea1ng – Vi\u1ec7n Y h\u1ecdc bi\u1ec3n"},"content":{"rendered":"

V\u1eeba qua, khoa C\u1ea5p c\u1ee9u, h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 ch\u1ed1ng \u0111\u1ed9c bi\u1ec3n, Vi\u1ec7n Y h\u1ecdc bi\u1ec3n \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng b\u1ec7nh nh\u00e2n b\u1ecb s\u1ed1c nhi\u1ec5m khu\u1ea9n, suy \u0111a t\u1ea1ng nh\u1edd k\u1ef9 thu\u1eadt l\u1ecdc m\u00e1u li\u00ean t\u1ee5c.<\/p>\n

 <\/p>\n

B\u1ec7nh nh\u00e2n n\u1eef, 60 tu\u1ed5i c\u00f3 ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng nhi\u1ec1u n\u0103m, \u0111\u00e3 c\u00f3 bi\u1ebfn ch\u1ee9ng suy tim, v\u1eabn \u0111ang \u0111i\u1ec1u tr\u1ecb \u0111\u1ec1u theo \u0111\u01a1n. B\u1ec7nh nh\u00e2n v\u00e0o vi\u1ec7n v\u00ec \u0111au b\u1ee5ng, \u0111i ngo\u00e0i ph\u00e2n l\u1ecfng k\u00e8m theo s\u1ed1t nh\u1eb9 ng\u00e0y th\u1ee9 nh\u1ea5t. Sau khi v\u00e0o vi\u1ec7n, t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n di\u1ec5n bi\u1ebfn r\u1ea5t nhanh d\u00f9 \u0111\u00e3 \u0111\u01b0\u1ee3c d\u00f9ng kh\u00e1ng sinh s\u1edbm, b\u00f9 d\u1ecbch v\u00e0 \u0111i\u1ec7n gi\u1ea3i.<\/p>\n

Ch\u1ec9 sau 6 gi\u1edd v\u00e0o vi\u1ec7n, b\u1ec7nh nh\u00e2n \u0111\u00e3 r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ed1c nhi\u1ec5m khu\u1ea9n v\u1edbi PCT >200 ng\/ml, suy \u0111a c\u01a1 quan: suy tu\u1ea7n ho\u00e0n, suy h\u00f4 h\u1ea5p, suy th\u1eadn, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, nhi\u1ec5m toan m\u00e1u n\u1eb7ng. C\u00e1c b\u00e1c s\u0129 \u0111\u00e3 cho b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n, th\u1edf m\u00e1y, h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c b\u1eb1ng truy\u1ec1n d\u1ecbch, thu\u1ed1c v\u1eadn m\u1ea1ch, kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng nh\u01b0ng t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n ng\u00e0y c\u00e0ng x\u1ea5u \u0111i: m\u1ea1ch nhanh 150-160 l\/p, huy\u1ebft \u00e1p c\u00f3 th\u1eddi \u0111i\u1ec3m ch\u1ec9 60\/40 mmHg d\u00f9 \u0111\u00e3 ph\u1ed1i h\u1ee3p c\u00e1c thu\u1ed1c v\u1eadn m\u1ea1ch v\u1edbi li\u1ec1u cao.<\/p>\n

Sau khi h\u1ed9i ch\u1ea9n, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 quy\u1ebft \u0111\u1ecbnh l\u1ecdc m\u00e1u li\u00ean t\u1ee5c cho b\u1ec7nh nh\u00e2n \u0111\u1ed3ng th\u1eddi v\u1edbi h\u1ed3i s\u1ee9c v\u00e0 theo d\u00f5i huy\u1ebft \u0111\u1ed9ng kh\u00f4ng x\u00e2m l\u1ea5n. Sau 1 ng\u00e0y l\u1ecdc m\u00e1u v\u00e0 h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c, li\u1ec1u thu\u1ed1c v\u1eadn m\u1ea1ch \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1ea3m t\u1eeb 1.2 mcg\/kg\/ph\u00fat xu\u1ed1ng 0.2 mcg\/kg\/ph\u00fat, \u0111i\u1ec3m SOFA gi\u1ea3m t\u1eeb 15 xu\u1ed1ng 10 \u0111i\u1ec3m.<\/p>\n

Sau 30 gi\u1edd l\u1ecdc m\u00e1u, b\u1ec7nh nh\u00e2n d\u1eebng \u0111\u01b0\u1ee3c thu\u1ed1c v\u1eadn m\u1ea1ch. Sau 36 gi\u1edd, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c d\u1eebng l\u1ecdc m\u00e1u.<\/p>\n

Sau 4 ng\u00e0y \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c r\u00fat \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n, ti\u1ec3u \u0111\u01b0\u1ee3c, m\u1ea1ch huy\u1ebft \u00e1p \u1ed5n \u0111\u1ecbnh, \u0111i\u1ec3m SOFA gi\u1ea3m c\u00f2n 4 \u0111i\u1ec3m v\u00e0 xu\u1ea5t vi\u1ec7n sau 15 ng\u00e0y \u0111i\u1ec1u tr\u1ecb v\u1edbi ch\u1ee9c n\u0103ng c\u00e1c c\u01a1 quan \u0111\u00e3 h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n.<\/p>\n

\"\"<\/p>\n

TS.BSNT Nguy\u1ec5n B\u1ea3o Nam \u2013 Ph\u00f3 Vi\u1ec7n tr\u01b0\u1edfng ki\u00eam Tr\u01b0\u1edfng khoa C\u1ea5p c\u1ee9u, h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 ch\u1ed1ng \u0111\u1ed9c bi\u1ec3n, Vi\u1ec7n Y h\u1ecdc bi\u1ec3n cho bi\u1ebft: B\u1ec7nh nh\u00e2n s\u1ed1c nhi\u1ec5m khu\u1ea9n, suy \u0111a t\u1ea1ng l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd r\u1ea5t n\u1eb7ng, di\u1ec5n bi\u1ebfn c\u1ea5p t\u00ednh, t\u1eed vong cao n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, \u0111\u1eb7c bi\u1ec7t l\u00e0 l\u1ecdc m\u00e1u li\u00ean t\u1ee5c nh\u1eb1m \u0111i\u1ec1u ch\u1ec9nh nhi\u1ec5m toan m\u00e1u, suy t\u1ea1ng.<\/p>\n

L\u1ecdc m\u00e1u li\u00ean t\u1ee5c l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n \u0111\u1ea1i, h\u1ec7 th\u1ed1ng l\u1ecdc m\u00e1u d\u1ef1a v\u00e0o v\u00f2ng tu\u1ea7n ho\u00e0n nh\u00e2n t\u1ea1o ngo\u00e0i c\u01a1 th\u1ec3, \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh li\u00ean t\u1ee5c \u0111\u1ec3 th\u1ea3i c\u00e1c ch\u1ea5t \u0111\u1ed9c trong c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n do nhi\u1ec1u t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd g\u00e2y n\u00ean.<\/p>\n

M\u1ecdi th\u00f4ng tin chi ti\u1ebft v\u1ec1 l\u1ecdc m\u00e1u li\u00ean t\u1ee5c xin vui l\u00f2ng li\u00ean h\u1ec7 qua hotline 02253.519.317 ho\u1eb7c inbox fanpage \u201cVi\u1ec7n Y h\u1ecdc bi\u1ec3n Vi\u1ec7t Nam\u201d \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 gi\u1ea3i \u0111\u00e1p.<\/p>\n","protected":false},"excerpt":{"rendered":"

V\u1eeba qua, khoa C\u1ea5p c\u1ee9u, h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 ch\u1ed1ng \u0111\u1ed9c bi\u1ec3n, Vi\u1ec7n Y h\u1ecdc bi\u1ec3n \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng b\u1ec7nh nh\u00e2n b\u1ecb s\u1ed1c nhi\u1ec5m khu\u1ea9n, suy \u0111a t\u1ea1ng nh\u1edd k\u1ef9 thu\u1eadt l\u1ecdc m\u00e1u li\u00ean t\u1ee5c.   B\u1ec7nh nh\u00e2n n\u1eef, 60 tu\u1ed5i c\u00f3 ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng nhi\u1ec1u n\u0103m, […]\n","protected":false},"author":1,"featured_media":774,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"class_list":["post-773","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc-tong-hop"],"yoast_head":"\nL\u1ecdc m\u00e1u li\u00ean t\u1ee5c c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n s\u1ed1c nhi\u1ec5m khu\u1ea9n, suy \u0111a t\u1ea1ng - 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