{"id":2451,"date":"2023-09-26T16:51:53","date_gmt":"2023-09-26T09:51:53","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=bai-giang&p=2451"},"modified":"2024-12-24T15:09:37","modified_gmt":"2024-12-24T08:09:37","slug":"danh-gia-ket-qua-dieu-tri-sun-chem","status":"publish","type":"bai-giang","link":"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/danh-gia-ket-qua-dieu-tri-sun-chem\/","title":{"rendered":"\u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed5n th\u01b0\u01a1ng s\u1ee5n ch\u00eam"},"content":{"rendered":"

1. \u0110\u00c1NH GI\u00c1 K\u1ebeT QU\u1ea2 D\u1ef0A V\u00c0O C\u1ea2M GI\u00c1C CH\u1ee6 <\/span>QUAN<\/span><\/h3>\n

– D\u1ef1a v\u00e0o c\u1ea3m gi\u00e1c ch\u1ee7 quan v\u00e0 m\u1ee9c \u0111\u1ed9 h\u00e0i l\u00f2ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, O\u2019Donoghue (1955), Tapper v\u00e0 Hoover (1969) \u0111\u00e3 \u0111\u01b0a ra ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 c\u00e1c ph\u1eabu thu\u1eadt t\u1ea1i kh\u1edbp g\u1ed1i. M\u1eb7c d\u00f9 c\u00f3 nh\u1eefng b\u1ea5t c\u1eadp nh\u01b0 kh\u00f4ng l\u01b0\u1ee3ng h\u00f3a \u0111\u01b0\u1ee3c c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u00f2n t\u1ed3n t\u1ea1i sau ph\u1eabu thu\u1eadt, c\u00e1c ch\u1ec9 ti\u00eau \u0111\u00e1nh gi\u00e1 ph\u1ee5 thu\u1ed9c nhi\u1ec1u v\u00e0o c\u1ea3m gi\u00e1c ch\u1ee7 quan c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c nhi\u1ec1u t\u00e1c gi\u1ea3 s\u1eed d\u1ee5ng trong th\u1eadp ni\u00ean 70 c\u1ee7a th\u1ebf k\u1ef7 XX.<\/a><\/span><\/p>\n

– \u0110\u00e1nh gi\u00e1 ph\u1eabu thu\u1eadt theo ti\u00eau chu\u1ea9n c\u1ee7a Tapper v\u00e0 Hoover <\/span>[112]<\/span>: r\u1ea5t t\u1ed1t (kh\u1edbp g\u1ed1i b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng \u0111au), t\u1ed1t (\u0111au nh\u1eb9 khi v\u1eadn \u0111\u1ed9ng m\u1ea1nh nh\u01b0ng kh\u00f4ng h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng), v\u1eeba (\u0111au th\u01b0\u1eddng xuy\u00ean khi c\u1eed \u0111\u1ed9ng, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng nh\u1eb9), x\u1ea5u (\u0111au c\u1ea3 khi ngh\u1ec9 ng\u01a1i, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y).<\/span><\/p>\n

2. \u0110\u00c1NH GI\u00c1 K\u1ebeT QU\u1ea2 D\u1ef0A V\u00c0O C\u00c1C D\u1ea4U HI\u1ec6U <\/span>L\u00c2M S\u00c0NG KH\u00c1CH QUAN<\/span><\/h3>\n

– C\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u1eefng thang \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng kh\u1edbp sau ph\u1eabu thu\u1eadt nh\u01b0 thang \u0111i\u1ec3m c\u1ee7a Lysholm \u0111\u01b0a ra n\u0103m 1981 <\/span>[84]<\/span>, c\u1ee7a Marshall n\u0103m 1982, c\u1ee7a Slocum<\/span><\/p>\n

– \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed5n th\u01b0\u01a1ng s\u1ee5n ch\u00eam <\/span>n\u0103m 1984. Nh\u1eefng thang \u0111i\u1ec3m n\u00e0y d\u00f9ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 chung sau nh\u1eefng ph\u1eabu thu\u1eadt v\u00f9ng kh\u1edbp g\u1ed1i, c\u0103n c\u1ee9 v\u00e0o c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng nh\u01b0 \u0111au, s\u01b0ng g\u1ed1i, k\u1eb9t kh\u1edbp v\u00e0 l\u1ecfng kh\u1edbp c\u0169ng nh\u01b0 d\u1ef1a v\u00e0o kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng kh\u1edbp nh\u01b0 \u0111i l\u1ea1i, l\u00ean c\u1ea7u thang, ng\u1ed3i x\u1ed5m v\u00e0 c\u1ea7n d\u00f9ng d\u1ee5ng c\u1ee5 tr\u1ee3 gi\u00fap khi \u0111i l\u1ea1i \u0111\u1ec3 \u0111\u01b0a ra nh\u1eefng ph\u00e2n lo\u1ea1i k\u1ebft qu\u1ea3 kh\u00e1c nhau. Tuy nhi\u00ean, \u0111<\/span>\u00e1nh gi\u00e1 d\u1ef1a v\u00e0o thang \u0111i\u1ec3m Lysholm: r\u1ea5t t\u1ed1t (91 \u2013 100 \u0111i\u1ec3m), t\u1ed1t (77 \u2013 90 \u0111i\u1ec3m), trung b\u00ecnh (68 \u2013 76 \u0111i\u1ec3m), x\u1ea5u (d\u01b0\u1edbi 68 \u0111i\u1ec3m) hay \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u00ec \u0111\u01a1n gi\u1ea3n, thu\u1eadn l\u1ee3i.<\/span><\/p>\n

3. NGHI\u00caN C\u1ee8U \u1ede VI\u1ec6T NAM<\/span><\/h3>\n

Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt kh\u1edbp g\u1ed1i n\u00f3i chung v\u00e0 s\u1ee5n ch\u00eam n\u00f3i ri\u00eang tr\u01b0\u1edbc \u0111\u00e2y c\u00f2n g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n, do kh\u00f4ng quan s\u00e1t h\u1ebft t\u1ea5t c\u1ea3 c\u00e1c th\u00e0nh ph\u1ea7n th\u01b0\u01a1ng t\u1ed5n c\u1ee7a kh\u1edbp g\u1ed1i. S\u1ef1 ra \u0111\u1eddi v\u00e0 ph\u00e1t tri\u1ec3n m\u1ea1nh c\u1ee7a k\u1ef9 thu\u1eadt n\u1ed9i soi kh\u1edbp \u0111\u00e3 gi\u00fap cho ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u01b0\u01a1ng t\u1ed5n s\u1ee5n ch\u00eam b\u01b0\u1edbc sang m\u1ed9t cu\u1ed9c c\u00e1ch m\u1ea1ng m\u1edbi.<\/span><\/p>\n

– T\u1ea1i B\u1ec7nh vi\u1ec7n Ch\u1ea5n th\u01b0\u01a1ng \u2013 Ch\u1ec9nh h\u00ecnh Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh, t\u00e1c gi\u1ea3 Nguy\u1ec5n V\u0103n Quang (1994) b\u01b0\u1edbc \u0111\u1ea7u d\u00f9ng n\u1ed9i soi kh\u1edbp \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u01b0\u01a1ng t\u1ed5n s\u1ee5n ch\u00eam, tuy nhi\u00ean, g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n do kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7 d\u1ee5ng c\u1ee5 <\/span>[6]<\/span>.<\/span><\/p>\n

– T\u00e1c gi\u1ea3 Nguy\u1ec5n Ti\u1ebfn B\u00ecnh (2000), Ph\u1ea1m Ch\u00ed L\u0103ng v\u00e0 c\u1ed9ng s\u1ef1 (2000), trong th\u00f4ng b\u00e1o khoa h\u1ecdc b\u00e1o c\u00e1o \u1ee9ng d\u1ee5ng n\u1ed9i soi trong \u0111i\u1ec1u tr\u1ecb c\u1eaft b\u00e1n ph\u1ea7n s\u1ee5n ch\u00eam b\u01b0\u1edbc \u0111\u1ea7u cho k\u1ebft qu\u1ea3 t\u1ed1t <\/span>[1],[6]<\/span>.<\/span><\/p>\n

– T\u00e1c gi\u1ea3 Nguy\u1ec5n Qu\u1ed1c D\u0169ng v\u00e0 c\u1ed9ng s\u1ef1 (2003), b\u00e1o c\u00e1o k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u s\u1eed d\u1ee5ng n\u1ed9i soi c\u1eaft s\u1ee5n ch\u00eam v\u1edbi 122 tr\u01b0\u1eddng h\u1ee3p v\u00e0 Tr\u1ecbnh \u0110\u1ee9c Th\u1ecd qua ph\u1eabu thu\u1eadt c\u1eaft s\u1ee5n ch\u00eam cho 35 tr\u01b0\u1eddng h\u1ee3p c\u0169ng cho k\u1ebft qu\u1ea3 r\u1ea5t t\u1ed1t <\/span>[3],[7]<\/span>.<\/span><\/p>\n

– T\u00e1c gi\u1ea3 Nguy\u1ec5n M\u1ea1nh Kh\u00e1nh v\u00e0 c\u1ed9ng s\u1ef1 (2004), v\u1edbi 34 b\u1ec7nh nh\u00e2n th\u01b0\u01a1ng t\u1ed5n s\u1ee5n ch\u00eam do ch\u1ea5n th\u01b0\u01a1ng \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1eaft l\u1ecdc cho k\u1ebft qu\u1ea3 t\u1ed1t <\/span>[5]<\/span>. N\u0103m 2004, t\u00e1c gi\u1ea3 <\/span>L\u00ea Anh Vi\u1ec7t \u1edf B\u1ec7nh vi\u1ec7n 354 <\/span>[38] <\/span>c\u0169ng c\u00f3 b\u00e1o c\u00e1o v\u1ec1 n\u1ed9i soi c\u1eaft l\u1ecdc s\u1ee5n ch\u00eam cho k\u1ebft qu\u1ea3 t\u01b0\u01a1ng t\u1ef1.<\/span><\/p>\n

– T\u00e1c gi\u1ea3 Tr\u01b0\u01a1ng Kim H\u00f9ng (2009) qua nghi\u00ean c\u1ee9u 116 tr\u01b0\u1eddng h\u1ee3p th\u01b0\u01a1ng t\u1ed5n s\u1ee5n ch\u00eam, qua \u0111\u00f3 m\u00f4 t\u1ea3 h\u00ecnh th\u00e1i t\u1ed5n th\u01b0\u01a1ng qua n\u1ed9i soi: 56,2% r\u00e1ch d\u1ecdc, 20% r\u00e1ch ch\u00e9o, 9,6% r\u00e1ch ph\u1ee9c t\u1ea1p, 7,2% r\u00e1ch ngang v\u00e0 4% r\u00e1ch nan qu\u1ea1t. T\u00e1c gi\u1ea3 cho r\u1eb1ng k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt c\u1eaft s\u1ee5n ch\u00eam ph\u1ee5 thu\u1ed9c v\u00e0o: h\u00ecnh th\u00e1i th\u01b0\u01a1ng t\u1ed5n, th\u1eddi \u0111i\u1ec3m can thi\u1ec7p ph\u1eabu thu\u1eadt v\u00e0 t\u1eadp luy\u1ec7n sau \u0111\u00f3.<\/span><\/p>\n

– N\u0103m 2012, t\u00e1c gi\u1ea3 Nguy\u1ec5n Qu\u1ed1c D\u0169ng, trong lu\u1eadn \u00e1n ti\u1ebfn s\u0129 c\u1ee7a m\u00ecnh c\u00f3 42\/450 tr\u01b0\u1eddng h\u1ee3p r\u00e1ch s\u1ee5n ch\u00eam \u0111\u01b0\u1ee3c kh\u00e2u. Tuy nhi\u00ean t\u00e1c gi\u1ea3 ch\u1ec9 kh\u00e2u v\u1edbi k\u1ef9 thu\u1eadt t\u1eeb trong ra ngo<\/span>\u00e0<\/span>i v\u1edbi lo\u1ea1i r\u00e1ch d\u1ecdc \u1edf th\u00e2n v\u00e0 s\u1eebng sau s\u1ee5n ch\u00eam trong v\u00e0 th\u00e2n s\u1ee5n ch\u00eam ngo\u00e0i. K\u1ebft qu\u1ea3 nh\u00f3m kh\u00e2u l\u00e0 r\u1ea5t t\u1ed1t <\/span>[2]<\/span>.<\/span><\/p>\n

– N\u0103m 2012, t\u00e1c gi\u1ea3 V\u00f5 Th\u00e0<\/a><\/span>n<\/span><\/a>h To\u00e0n<\/a> v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 chung d\u1ef1a v\u00e0o thang \u0111i\u1ec3m Lysholm t\u1ea1i c\u00e1c th\u1eddi \u0111i\u1ec3m sau ph\u1eabu thu\u1eadt 1 th\u00e1ng, 3 th\u00e1ng, 6 th\u00e1ng, 12 th\u00e1ng, 18 th\u00e1ng v\u00e0 24 th\u00e1ng, th\u1ea5y r\u1eb1ng t\u1ea1i th\u1eddi \u0111i\u1ec3m sau ph\u1eabu thu\u1eadt 1 th\u00e1ng t\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n r\u1ea5t t\u1ed1t v\u00e0 t\u1ed1t chi\u1ebfm t\u1ef7 l\u1ec7 th\u1ea5p nh\u1ea5t (22\/72 b\u1ec7nh nh\u00e2n, chi\u1ebfm t\u1ef7 l\u1ec7 56,56%). C\u00e1c th\u1eddi \u0111i\u1ec3m sau<\/span><\/p>\n

– \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed5n th\u01b0\u01a1ng s\u1ee5n ch\u00eam <\/span>ph\u1eabu thu\u1eadt 3 th\u00e1ng, 6 th\u00e1ng, 12 th\u00e1ng, 18 th\u00e1ng, 24 th\u00e1ng c\u00f3 k\u1ebft qu\u1ea3 t\u01b0\u01a1ng t\u1ef1 nhau, nh\u00f3m k\u1ebft qu\u1ea3 r\u1ea5t t\u1ed1t v\u00e0 t\u1ed1t chi\u1ebfm t\u1ef7 l\u1ec7 cao h\u01a1n h\u1eb3n so v\u1edbi sau ph\u1eabu thu\u1eadt 1 th\u00e1ng. K\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u n\u00e0y c\u1ee7a ch\u00fang t\u00f4i c\u0169ng ph\u00f9 h\u1ee3p khi so s\u00e1nh v\u1edbi c\u00e1c t\u00e1c gi\u1ea3 kh\u00e1c nh\u01b0: Hoffelner T. <\/span>[73]<\/span>, Konan S. <\/span>[81]<\/span>.<\/span><\/p>\n

– C\u0169ng trong nghi\u00ean c\u1ee9u n\u00e0y, n\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u1ebfn s\u1edbm, kh\u1ea3 n\u0103ng k\u1ebft qu\u1ea3 sau ph\u1eabu thu\u1eadt kh\u00e2u s\u1ee5n ch\u00eam qua n\u1ed9i soi \u0111\u1ea1t k\u1ebft qu\u1ea3 r\u1ea5t t\u1ed1t v\u00e0 t\u1ed1t l\u00e0 r\u1ea5t cao, ng\u01b0\u1ee3c l\u1ea1i nh\u00f3m b\u1ec7nh nh\u00e2n c\u00f3 k\u1ebft qu\u1ea3 x\u1ea5u v\u00e0 v\u1eeba hay g\u1eb7p \u1edf nh\u00f3m \u0111\u1ebfn mu\u1ed9n. \u0110\u1eb7c bi\u1ec7t, trong nh\u00f3m b\u1ec7nh nh\u00e2n \u0111\u1ebfn s\u1edbm tr\u01b0\u1edbc 56 ng\u00e0y, k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt sau 3 th\u00e1ng kh\u00f4ng c\u00f3 tr\u01b0\u1eddng h\u1ee3p n\u00e0o x\u1ea5u v\u00e0 nh\u00f3m b\u1ec7nh nh\u00e2n t\u1edbi tr\u01b0\u1edbc 21 ng\u00e0y, k\u1ebft qu\u1ea3 sau ph\u1eabu thu\u1eadt 3 th\u00e1ng 100% l\u00e0 r\u1ea5t t\u1ed1t v\u00e0 t\u1ed1t.<\/span><\/p>\n

 <\/p>\n

K\u1ebeT LU\u1eacN<\/span><\/h2>\n

Nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, c\u00f9ng v\u1edbi s\u1ef1 gia t\u0103ng c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n giao th\u00f4ng v\u00e0 phong tr\u00e0o t\u1eadp luy\u1ec7n th\u1ec3 d\u1ee5c th\u1ec3 thao ng\u00e0y c\u00e0ng ph\u00e1t tri\u1ec3n s\u00e2u r\u1ed9ng, l\u00e0m cho s\u1ed1 l\u01b0\u1ee3ng ch\u1ea5n th\u01b0\u01a1ng kh\u1edbp g\u1ed1i n\u00f3i chung v\u00e0 th\u01b0\u01a1ng t\u1ed5n s\u1ee5n ch\u00eam n\u00f3i ri\u00eang ng\u00e0y c\u00e0ng t\u0103ng. Th\u01b0\u01a1ng t\u1ed5n s\u1ee5n ch\u00eam do ch\u1ea5n th\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p nhi\u1ec1u h\u01a1n so v\u1edbi c\u00e1c lo\u1ea1i t\u1ed5n th\u01b0\u01a1ng s\u1ee5n ch\u00eam do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c, chi\u1ebfm 68 \u2013 75% <\/span>[43]<\/span>.<\/span><\/p>\n

– Nh\u1edd s\u1ef1 xu\u1ea5t hi\u1ec7n k\u1ef9 thu\u1eadt ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb h\u1ea1t nh\u00e2n c\u00f3 th\u1ec3 cho h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng t\u01b0\u01a1ng \u0111\u1ed1i ch\u00ednh x\u00e1c, qua \u0111\u00f3 gi\u00fap ph\u1eabu thu\u1eadt vi\u00ean \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p v\u00e0 k\u1ecbp th\u1eddi, \u0111i\u1ec1u n\u00e0y c\u00f3 \u00fd ngh\u0129a r\u1ea5t l\u1edbn trong vi\u1ec7c tr\u00e1nh \u0111\u01b0\u1ee3c nh\u1eefng h\u1eadu qu\u1ea3 kh\u00f4ng \u0111\u00e1ng c\u00f3 ph\u00e1t sinh t\u1eeb th\u01b0\u01a1ng t\u1ed5n n\u00e0y nh\u01b0 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp g\u1ed1i, teo c\u01a1, tho\u00e1i h\u00f3a kh\u1edbp c\u0169ng nh\u01b0 vi\u1ec7c ph\u1ee5c h\u1ed3i v\u1eadn \u0111\u1ed9ng kh\u1edbp g\u1ed1i.<\/span><\/p>\n

– \u0110i\u1ec1u tr\u1ecb th\u01b0\u01a1ng t\u1ed5n s\u1ee5n ch\u00eam kh\u1edbp g\u1ed1i do ch\u1ea5n th\u01b0\u01a1ng nh\u01b0 \u201cn\u1eafn l\u1ea1i\u201d s\u1ee5n b\u1ecb r\u00e1ch ho\u1eb7c b\u1ea5t \u0111\u1ed9ng kh\u1edbp g\u1ed1i sau ch\u1ea5n th\u01b0\u01a1ng \u0111\u00e3 c\u00f3 nh\u1eefng k\u1ebft qu\u1ea3 nh\u1ea5t \u0111\u1ecbnh. K\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ednh ch\u1ea5t, h\u00ecnh th\u00e1i v\u00e0 v\u1ecb tr\u00ed c\u1ee7a \u0111\u01b0\u1eddng r\u00e1ch, tuy nhi\u00ean c\u00f3 nh\u01b0\u1ee3c \u0111i\u1ec3m l\u00e0 th\u1eddi gian b\u1ea5t \u0111\u1ed9ng k\u00e9o d\u00e0i sau ch\u1ea5n th\u01b0\u01a1ng do \u0111\u00f3 c\u00f3 nh\u1eefng h\u1ea1n ch\u1ebf.<\/span><\/p>\n

– Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt m\u1edf kh\u1edbp g\u1ed1i \u0111\u1ec3 c\u1eaft s\u1ee5n ch\u00eam b\u00e1n ph\u1ea7n hay to\u00e0n ph\u1ea7n \u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong m\u1ed9t th\u1eddi gian d\u00e0i v\u1edbi \u01b0u \u0111i\u1ec3m x\u1eed tr\u00ed tri\u1ec7t \u0111\u1ec3 th\u01b0\u01a1ng t\u1ed5n nh\u01b0ng c\u0169ng ph\u1ea3i b\u1ea5t \u0111\u1ed9ng sau m\u1ed5, th\u1eddi gian \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i, nguy c\u01a1 nhi\u1ec5m tr\u00f9ng kh\u1edbp.<\/span><\/p>\n

– Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp g\u1ed1i l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh tr\u00ean th\u1ebf gi\u1edbi v\u00e0o ng\u00e0y 09 th\u00e1ng 3 n\u0103m 1955 do Watanabe M. th\u1ef1c hi\u1ec7n <\/span>[40]<\/span>. T\u1eeb \u0111\u00f3 ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111\u00e3 c\u00f3 nhi\u1ec1u ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng, t\u1eebng b\u01b0\u1edbc ho\u00e0n thi\u1ec7n v\u00e0 \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng r\u1ed9ng r\u00e3i t\u1ea1i Vi\u1ec7t Nam nh\u01b0 hi\u1ec7n nay nh\u1edd v\u00e0o nhi\u1ec1u \u01b0u \u0111i\u1ec3m: kh\u00f4ng nh\u1eefng ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c c\u00e1c th\u01b0\u01a1ng t\u1ed5n b\u00ean trong kh\u1edbp g\u1ed1i, m\u00e0 c\u00f2n x\u1eed tr\u00ed c\u00e1c th\u01b0\u01a1ng t\u1ed5n \u0111\u00f3<\/span><\/p>\n","protected":false},"featured_media":4419,"comment_status":"open","ping_status":"closed","template":"","tags":[232],"chuyen-muc":[58],"class_list":["post-2451","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","tag-danh-gia-ket-qua-dieu-tri-ton-thuong-sun-chem","chuyen-muc-dieu-tri-co-ban-trong-chan-thuong-chinh-hinh"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/2451","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang"}],"about":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/types\/bai-giang"}],"replies":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/comments?post=2451"}],"version-history":[{"count":1,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/2451\/revisions"}],"predecessor-version":[{"id":4420,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/2451\/revisions\/4420"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/4419"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=2451"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=2451"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=2451"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}