H\u1ecd v\u00e0 t\u00ean sinh vi\u00ean:<\/p>\n
Nh\u00f3m: 06 – L\u1edbp: DA19YKA<\/p>\n
III. B\u1ec6NH S\u1eec<\/strong><\/p>\n B\u1ec7nh nh\u00e2n khai: C\u00e1ch nh\u1eadp vi\u1ec7n 09 ng\u00e0y (05\/11\/2024), b\u1ec7nh nh\u00e2n ch\u1ea1y xe m\u00e1y tr\u00ean \u0111\u01b0\u1eddng th\u00ec va ch\u1ea1m v\u1edbi xe ch\u1ea1y ng\u01b0\u1ee3c chi\u1ec1u, xe ng\u00e3 v\u1ec1 b\u00ean tr\u00e1i, b\u1ec7nh nh\u00e2n ng\u00e3 xu\u1ed1ng m\u1eb7t \u0111\u01b0\u1eddng trong t\u01b0 th\u1ebf k\u1eb9t ch\u00e2n ph\u1ea3i d\u01b0\u1edbi s\u00e0n xe, g\u1ed1i ph\u1ea3i g\u1eadp. Sau ng\u00e3 b\u1ec7nh nh\u00e2n t\u1ec9nh, x\u00e2y x\u00e1t da v\u00e0 \u0111au nhi\u1ec1u v\u00f9ng g\u1ed1i ph\u1ea3i, kh\u00f4ng lan, \u0111au ch\u00f3i li\u00ean t\u1ee5c, m\u1ee9c \u0111\u1ed9 v\u1eeba, t\u0103ng khi b\u1ec7nh nh\u00e2n c\u1eed \u0111\u1ed9ng, s\u01b0ng n\u1ec1 g\u1ed1i (P), h\u1ea1n ch\u1ebf c\u00e1c \u0111\u1ed9ng t\u00e1c g\u1ea5p – du\u1ed7i, b\u1ec7nh nh\u00e2n ch\u01b0a x\u1eed tr\u00ed g\u00ec v\u00e0 \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 \u0111\u01b0a \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh b\u1eb1ng xe m\u00e1y, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ee5p X-Quang g\u1ed1i (P) th\u1eb3ng, nghi\u00eang v\u00e0 k\u1ebft lu\u1eadn: Ch\u01b0a ghi nh\u1eadn g\u00e3y x\u01b0\u01a1ng, c\u1ea5p toa v\u1ec1 07 ng\u00e0y, h\u1eb9n t\u00e1i kh\u00e1m t\u1ea1i B\u1ec7nh vi\u1ec7n \u0111\u1ecba ph\u01b0\u01a1ng.<\/p>\n * Toa v\u1ec1<\/strong><\/p>\n C\u00e1ch nh\u1eadp vi\u1ec7n 02 ng\u00e0y (12\/11\/2024), b\u1ec7nh nh\u00e2n t\u00e1i kh\u00e1m t\u1ea1i B\u1ec7nh vi\u1ec7n Th\u1ed1ng Nh\u1ea5t \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p X-Quang g\u1ed1i (P) th\u1eb3ng nghi\u00eang v\u00e0 MRI kh\u1edbp g\u1ed1i (P), \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0110\u1ee9t ho\u00e0n to\u00e0n d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc g\u1ed1i (P) v\u00e0 c\u00f3 ch\u1ec9 \u0111\u1ecbnh nh\u1eadp vi\u1ec7n nh\u01b0ng b\u1ec7nh nh\u00e2n t\u1eeb ch\u1ed1i nh\u1eadp vi\u1ec7n v\u00ec l\u00fd do c\u00e1 nh\u00e2n.<\/p>\n C\u00f9ng ng\u00e0y nh\u1eadp vi\u1ec7n, b\u1ec7nh nh\u00e2n \u0111au g\u1ed1i ph\u1ea3i nhi\u1ec1u, kh\u00f4ng lan, \u0111au ch\u00f3i li\u00ean t\u1ee5c, m\u1ee9c \u0111\u1ed9 nhi\u1ec1u, t\u0103ng khi b\u1ec7nh nh\u00e2n c\u1eed \u0111\u1ed9ng k\u00e8m h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng g\u1ed1i (P), b\u1ec7nh nh\u00e2n ch\u01b0a x\u1eed tr\u00ed g\u00ec v\u00e0 \u0111\u1ebfn kh\u00e1m, nh\u1eadp vi\u1ec7n B\u1ec7nh vi\u1ec7n Th\u1ed1ng Nh\u1ea5t.<\/p>\n * T\u00ecnh tr\u1ea1ng l\u00fac nh\u1eadp vi\u1ec7n<\/strong> (l\u00fac 8 gi\u1edd 20, ng\u00e0y 14\/11\/2024)<\/p>\n – B\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t<\/p>\n – Da ni\u00eam m\u1ea1c h\u1ed3ng<\/p>\n – B\u1ec7nh nh\u00e2n than \u0111au g\u1ed1i ph\u1ea3i<\/p>\n – L\u1ecfng g\u1ed1i ph\u1ea3i<\/p>\n – Gi\u1ea3m s\u01b0ng n\u1ec1 g\u1ed1i (P)<\/p>\n – \u0110i l\u1ea1i h\u1ea1n ch\u1ebf<\/p>\n – Nghi\u1ec7m ph\u00e1p Lachmann ch\u00e2n (P) (+)<\/p>\n – Nghi\u1ec7m ph\u00e1p ng\u0103n k\u00e9o tr\u01b0\u1edbc ch\u00e2n (P) (+)<\/p>\n – M\u1ea1ch mu ch\u00e2n ph\u1ea3i r\u00f5, \u0111\u1ea7u ng\u00f3n ch\u00e2n h\u1ed3ng<\/p>\n – Sinh hi\u1ec7u:<\/p>\n + M\u1ea1ch: 80 l\u1ea7n\/ph\u00fat\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0 + Nhi\u1ec7t \u0111\u1ed9: 36,5 \u0111\u1ed9 C<\/p>\n + Huy\u1ebft \u00e1p: 130\/80 mmHg\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0 + Nh\u1ecbp th\u1edf: 20 l\u1ea7n\/ph\u00fat<\/p>\n + SpO2: 99%\/kh\u00ed tr\u1eddi<\/p>\n * Di\u1ec5n ti\u1ebfn t\u1eeb l\u00fac nh\u1eadp vi\u1ec7n \u0111\u1ebfn l\u00fac kh\u00e1m<\/strong><\/p>\n – Gi\u1ea3m \u0111au g\u1ed1i (P)<\/p>\n – C\u00f2n l\u1ecfng g\u1ed1i (P)<\/p>\n – Gi\u1ea3m s\u01b0ng n\u1ec1 v\u00f9ng g\u1ed1i (P)<\/p>\n – X\u00e9t nghi\u1ec7m ti\u1ec1n ph\u1eabu: t\u1ed5ng ph\u00e2n t\u00edch t\u1ebf b\u00e0o m\u00e1u ngo\u1ea1i vi, sinh ho\u00e1 m\u00e1u (glucose, ure, creatinin, AST, ALT), \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3 (Na+, K+, Cl-), t\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u, ECG, X-quang ng\u1ef1c th\u1eb3ng \u00a0<\/p>\n – X\u1eed tr\u00ed: Paracetamol 500mg \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 01 vi\u00ean x 2 (u)<\/p>\n – N\u1ed9i khoa: C\u01b0\u1eddng gi\u00e1p \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n th\u00e1ng 4\/2024, \u0111i\u1ec1u tr\u1ecb li\u00ean t\u1ee5c (Thyrozol 5mg 01 vi\u00ean u\u1ed1ng s\u00e1ng)<\/p>\n – Ngo\u1ea1i khoa: Ch\u01b0a ghi nh\u1eadn ti\u1ec1n c\u0103n ph\u1eabu thu\u1eadt<\/p>\n – S\u1ea3n khoa: PARA 2002<\/p>\n – D\u1ecb \u1ee9ng: Ch\u01b0a ghi nh\u1eadn d\u1ecb \u1ee9ng thu\u1ed1c, th\u1ee9c \u0103n.<\/p>\n – Th\u00f3i quen: Kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1, kh\u00f4ng s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia<\/p>\n – B\u1ec7nh t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t<\/p>\n – Da ni\u00eam m\u1ea1c h\u1ed3ng<\/p>\n – Chi \u1ea5m, m\u1ea1ch quay r\u00f5, CRT<2s<\/p>\n – Kh\u00f4ng ph\u00f9<\/p>\n – V\u00f9ng c\u1ed5 (P) s\u1edd c\u00f3 kh\u1ed1i ph\u1ed3ng d#7-10mm, \u1ea5n kh\u00f4ng \u0111au, b\u1ec1 m\u1eb7t tr\u01a1n l\u00e1ng, di \u0111\u1ed9ng theo nh\u1ecbp nu\u1ed1t<\/p>\n – H\u1ea1ch c\u1ed5, h\u1ea1ch ngo\u1ea1i vi s\u1edd kh\u00f4ng ch\u1ea1m<\/p>\n – Sinh hi\u1ec7u<\/p>\n + M\u1ea1ch: 92 l\u1ea7n\/ph\u00fat\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n + Huy\u1ebft \u00e1p: 125\/80 mmHg<\/p>\n + Nhi\u1ec7t \u0111\u1ed9: 37 \u0111\u1ed9 C\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n + Nh\u1ecbp th\u1edf: 20 l\u1ea7n\/ph\u00fat<\/p>\n + SpO2: 99%\/kh\u00ed tr\u1eddi<\/p>\n – BMI: 22 kg\/m2<\/sup> (C\u00e2n n\u1eb7ng 60kg, chi\u1ec1u cao 165cm) \u2192 Th\u1ec3 tr\u1ea1ng trung b\u00ecnh theo IDI & WPRO<\/p>\n – L\u1ed3ng ng\u1ef1c c\u00e2n \u0111\u1ed1i, kh\u00f4ng s\u1eb9o m\u1ed5 c\u0169<\/p>\n – M\u1ecfm tim \u0111\u1eadp khoang li\u00ean s\u01b0\u1eddn IV, \u0111\u01b0\u1eddng trung \u0111\u00f2n (T)<\/p>\n – Rung miu (-), Harzer (-)<\/p>\n – Ti\u1ebfng tim T1, T2 \u0111\u1ec1u r\u00f5, t\u1ea7n s\u1ed1 92 l\u1ea7n\/ph\u00fat, kh\u00f4ng \u00e2m th\u1ed5i<\/p>\n – L\u1ed3ng ng\u1ef1c c\u00e2n \u0111\u1ed1i, kh\u00f4ng co k\u00e9o c\u01a1 h\u00f4 h\u1ea5p ph\u1ee5<\/p>\n – Rung thanh \u0111\u1ec1u 2 b\u00ean<\/p>\n – G\u00f5 trong<\/p>\n – R\u00ec r\u00e0o ph\u1ebf nang \u00eam d\u1ecbu 2 b\u00ean ph\u1ebf tr\u01b0\u1eddng, kh\u00f4ng rale<\/p>\n – B\u1ee5ng c\u00e2n \u0111\u1ed1i, di \u0111\u1ed9ng \u0111\u1ec1u theo nh\u1ecbp th\u1edf<\/p>\n – Nhu \u0111\u1ed9ng ru\u1ed9t 7 l\u1ea7n\/ph\u00fat<\/p>\n – G\u00f5 trong<\/p>\n – B\u1ee5ng m\u1ec1m, \u1ea5n kh\u00f4ng \u0111au<\/p>\n – Gan, l\u00e1ch s\u1edd kh\u00f4ng ch\u1ea1m<\/p>\n * Nh\u00ecn:<\/em><\/strong><\/p>\n – Kh\u00f4ng c\u00f3 v\u1ebft th\u01b0\u01a1ng v\u00f9ng g\u1ed1i, c\u1eb3ng ch\u00e2n (P)<\/p>\n – Kh\u00f4ng b\u1ea7m t\u00edm, kh\u00f4ng c\u00f3 kh\u1ed1i m\u00e1u t\u1ee5 v\u00f9ng g\u1ed1i, c\u1eb3ng ch\u00e2n (P)<\/p>\n – S\u01b0ng n\u1ec1 v\u00f9ng g\u1ed1i (P)<\/p>\n – Tr\u1ee5c chi th\u1eb3ng, hai ch\u00e2n \u0111\u1ec1u nhau<\/p>\n * S\u1edd:<\/em><\/strong><\/p>\n – Chi \u1ea5m<\/p>\n – Tr\u01b0\u01a1ng l\u1ef1c c\u01a1 b\u00ecnh th\u01b0\u1eddng<\/p>\n – M\u1ea1ch ch\u00e0y sau, m\u1ea1ch mu ch\u00e2n r\u00f5<\/p>\n – Kh\u1edbp g\u1ed1i (P) kh\u00f4ng s\u01b0ng n\u00f3ng<\/p>\n – S\u1edd \u0111\u01b0\u1ee3c c\u00e1c m\u1ed1c x\u01b0\u01a1ng v\u00f9ng g\u1ed1i: x\u01b0\u01a1ng b\u00e1nh ch\u00e8, l\u1ed3i c\u1ea7u trong, l\u1ed3i c\u1ea7u ngo\u00e0i, l\u1ed3i c\u1ee7 ch\u00e0y.<\/p>\n – \u1ea4n \u0111au nh\u1eb9 v\u00f9ng g\u1ed1i (P)<\/p>\n – Kh\u00f4ng t\u00ea ch\u00e2n, kh\u00f4ng d\u1ecb c\u1ea3m<\/p>\n * \u0110o:<\/em><\/strong><\/p>\n – Chi\u1ec1u d\u00e0i 2 chi d\u01b0\u1edbi b\u1eb1ng nhau<\/p>\n – V\u00f2ng \u0111\u00f9i P = T = 48 cm<\/p>\n * V\u1eadn \u0111\u1ed9ng:<\/em><\/strong><\/p>\n – S\u1ee9c c\u01a1 hai ch\u00e2n 5\/5<\/p>\n – Bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng g\u1ed1i (P): G\u1ea5p – Du\u1ed7i: 1200 <\/sup>\u2013 00<\/sup> \u2013 50<\/sup><\/p>\n \u2192 Gi\u1ea3m bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng g\u1ed1i (P)<\/p>\n – Ch\u1ea1m x\u01b0\u01a1ng b\u00e1nh ch\u00e8 (-)<\/p>\n – Nghi\u1ec7m ph\u00e1p ng\u0103n k\u00e9o tr\u01b0\u1edbc (P) (+): m\u00e2m ch\u00e0y d\u1ecbch chuy\u1ec3n ra tr\u01b0\u1edbc #6mm<\/p>\n – Nghi\u1ec7m ph\u00e1p ng\u0103n k\u00e9o sau (P) (-)<\/p>\n – Nghi\u1ec7m ph\u00e1p Lachmann (P) (+)<\/p>\n – Nghi\u1ec7m ph\u00e1p d\u1ea1ng – kh\u00e9p c\u1eb3ng ch\u00e2n (P) (-)<\/p>\n – Nghi\u1ec7m ph\u00e1p McMurray (P) (-)<\/p>\n – Nghi\u1ec7m ph\u00e1p Apley n\u00e9n, k\u00e9o (P) (-)<\/p>\n – Ch\u00e2n (T) ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/p>\n B\u1ec7nh nh\u00e2n n\u1eef, 37 tu\u1ed5i v\u00e0o vi\u1ec7n v\u00ec \u0111au v\u00e0 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng g\u1ed1i (P). Qua h\u1ecfi b\u1ec7nh v\u00e0 th\u0103m kh\u00e1m l\u00e2m s\u00e0ng ghi nh\u1eadn:<\/p>\n – Chi \u1ea5m, m\u1ea1ch r\u00f5<\/p>\n – V\u00f9ng c\u1ed5 (P) s\u1edd c\u00f3 kh\u1ed1i ph\u1ed3ng d#7-10mm, \u1ea5n kh\u00f4ng \u0111au, b\u1ec1 m\u1eb7t tr\u01a1n l\u00e1ng, di \u0111\u1ed9ng theo nh\u1ecbp nu\u1ed1t<\/p>\n – H\u1ea1ch c\u1ed5, h\u1ea1ch ngo\u1ea1i vi s\u1edd kh\u00f4ng ch\u1ea1m<\/p>\n – \u1ea4n \u0111au v\u00f9ng g\u1ed1i (P)<\/p>\n – Gi\u1ea3m bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng g\u1ed1i (P)<\/p>\n – Nghi\u1ec7m ph\u00e1p ng\u0103n k\u00e9o tr\u01b0\u1edbc (P) (+)<\/p>\n – Nghi\u1ec7m ph\u00e1p ng\u0103n k\u00e9o sau (P) (-)<\/p>\n – Nghi\u1ec7m ph\u00e1p Lachmann (P) (+)<\/p>\n – Nghi\u1ec7m ph\u00e1p d\u1ea1ng – kh\u00e9p c\u1eb3ng ch\u00e2n (P) (-)<\/p>\n – Nghi\u1ec7m ph\u00e1p McMurray (P) (-)<\/p>\n – Nghi\u1ec7m ph\u00e1p Apley n\u00e9n, k\u00e9o (P) (-)<\/p>\n VII. \u0110\u1eb6T V\u1ea4N \u0110\u1ec0<\/strong><\/p>\n VIII. CH\u1ea8N \u0110O\u00c1N L\u00c2M S\u00c0NG<\/strong><\/p>\n \u0110\u1ee9t d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc g\u1ed1i (P) ng\u00e0y 9 do tai n\u1ea1n giao th\u00f4ng, hi\u1ec7n ch\u01b0a ghi nh\u1eadn bi\u1ebfn ch\u1ee9ng – C\u01b0\u1eddng gi\u00e1p<\/p>\n B\u1ec7nh nh\u00e2n v\u00e0o vi\u1ec7n v\u00ec \u0111au v\u00e0 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng g\u1ed1i (P) ng\u00e0y 9 do tai n\u1ea1n giao th\u00f4ng, v\u1edbi c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp k\u1eb9t ch\u00e2n ph\u1ea3i d\u01b0\u1edbi s\u00e0n xe, g\u1ed1i ph\u1ea3i g\u1eadp. Tr\u00ean b\u1ec7nh nh\u00e2n n\u00e0y ngh\u0129 c\u00f3 t\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng v\u00f9ng g\u1ed1i (P) v\u00ec b\u1ec7nh nh\u00e2n c\u00f3 s\u01b0ng, \u0111au, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng g\u1ed1i v\u00e0 c\u1ea3m gi\u00e1c m\u1ea5t v\u1eefng g\u1ed1i (P):<\/p>\n + D\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc: ngh\u0129 nhi\u1ec1u v\u00ec kh\u00e1m c\u00f3 ng\u0103n k\u00e9o tr\u01b0\u1edbc (P) (+), Lachmann (P) (+).<\/p>\n + D\u00e2y ch\u1eb1ng ch\u00e9o sau: \u00edt ngh\u0129 do nghi\u1ec7m ph\u00e1p ng\u0103n k\u00e9o sau (P) (-).<\/p>\n + D\u00e2y ch\u1eb1ng b\u00ean trong v\u00e0 b\u00ean ngo\u00e0i: \u00edt ngh\u0129 do kh\u00e1m nghi\u1ec7m ph\u00e1p d\u1ea1ng – kh\u00e9p c\u1eb3ng ch\u00e2n (P) (-).<\/p>\n + T\u1ed5n th\u01b0\u01a1ng s\u1ee5n ch\u00eam: \u00edt ngh\u0129 do McMurray (P) (-), Apley n\u00e9n, k\u00e9o (P) (-).<\/p>\n + Bong \u0111i\u1ec3m b\u00e1m d\u00e2y ch\u1eb1ng ch\u00e9o kh\u1edbp g\u1ed1i (P): nghi\u1ec7m ph\u00e1p Lachmann v\u00e0 ng\u0103n k\u00e9o tr\u01b0\u1edbc (+) n\u00ean ch\u01b0a lo\u1ea1i tr\u1eeb.<\/p>\n – Bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p tr\u00ean b\u1ec7nh nh\u00e2n n\u00e0y l\u00e0:<\/p>\n + Vi\u00eam kh\u1edbp g\u1ed1i: kh\u1edbp g\u1ed1i kh\u00f4ng s\u01b0ng n\u00f3ng \u0111\u1ecf n\u00ean \u00edt ngh\u0129.<\/p>\n + Tho\u00e1i ho\u00e1 kh\u1edbp g\u1ed1i: ch\u01b0a ghi nh\u1eadn c\u1ee9ng kh\u1edbp bu\u1ed5i s\u00e1ng, tr\u00ean l\u00e2m s\u00e0ng ch\u01b0a ghi nh\u1eadn bi\u1ebfn d\u1ea1ng kh\u1edbp n\u00ean \u00edt ngh\u0129.<\/p>\n – FT3, FT4, TSH<\/p>\n – Si\u00eau \u00e2m tuy\u1ebfn gi\u00e1p<\/p>\n * X\u00e9t nghi\u1ec7m<\/em><\/strong><\/p>\n T\u00ean x\u00e9t nghi\u1ec7m<\/strong><\/p>\n<\/td>\n Results<\/strong><\/p>\n<\/td>\n Kho\u1ea3ng tham chi\u1ebfu<\/strong><\/p>\n<\/td>\n \u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n T\u1ed5ng ph\u00e2n t\u00edch t\u1ebf b\u00e0o m\u00e1u ngo\u1ea1i vi<\/strong><\/p>\n<\/td>\n<\/tr>\n WBC<\/p>\n<\/td>\n 5.65<\/p>\n<\/td>\n 4.01 – 11.42<\/p>\n<\/td>\n K\/uL<\/p>\n<\/td>\n<\/tr>\n NEU%<\/p>\n<\/td>\n 55.6<\/p>\n<\/td>\n 40 – 74<\/p>\n<\/td>\n %<\/p>\n<\/td>\n<\/tr>\n RBC<\/p>\n<\/td>\n 4.41<\/p>\n<\/td>\n 4.01 – 5.79<\/p>\n<\/td>\n M\/uL<\/p>\n<\/td>\n<\/tr>\n HGB<\/p>\n<\/td>\n 11.4<\/strong><\/p>\n<\/td>\n 11.5 – 15.0<\/p>\n<\/td>\n g\/dL<\/p>\n<\/td>\n<\/tr>\n HCT<\/p>\n<\/td>\n 33.2<\/strong><\/p>\n<\/td>\n 34.4 – 48.6<\/p>\n<\/td>\n %<\/p>\n<\/td>\n<\/tr>\n MCV<\/p>\n<\/td>\n 75.3<\/strong><\/p>\n<\/td>\n 80 – 99<\/p>\n<\/td>\n fL<\/p>\n<\/td>\n<\/tr>\n MCH<\/p>\n<\/td>\n 25.9<\/strong><\/p>\n<\/td>\n 27 – 33<\/p>\n<\/td>\n pg<\/p>\n<\/td>\n<\/tr>\n MCHC<\/p>\n<\/td>\n 34.4<\/p>\n<\/td>\n 32 – 36<\/p>\n<\/td>\n g\/dL<\/p>\n<\/td>\n<\/tr>\n RDW<\/p>\n<\/td>\n 15.1<\/p>\n<\/td>\n 11.5 – 15.5<\/p>\n<\/td>\n %<\/p>\n<\/td>\n<\/tr>\n PLT<\/p>\n<\/td>\n 259<\/p>\n<\/td>\n 150 – 450<\/p>\n<\/td>\n K\/uL<\/p>\n<\/td>\n<\/tr>\n Nh\u00f3m m\u00e1u – \u0110\u00f4ng c\u1ea7m m\u00e1u<\/strong><\/p>\n<\/td>\n<\/tr>\n aPTT<\/p>\n<\/td>\n 27.7<\/p>\n<\/td>\n 25 – 37<\/p>\n<\/td>\n Gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n TQ<\/p>\n<\/td>\n 14.3<\/p>\n<\/td>\n 9.3 – 14.3<\/p>\n<\/td>\n Gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n TL<\/p>\n<\/td>\n 88<\/p>\n<\/td>\n >70<\/p>\n<\/td>\n %<\/p>\n<\/td>\n<\/tr>\n INR<\/p>\n<\/td>\n 1.09<\/p>\n<\/td>\n 0.84 – 1.29<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n Sinh ho\u00e1 m\u00e1u<\/strong><\/p>\n<\/td>\n<\/tr>\n TSH<\/p>\n<\/td>\n 1.6<\/p>\n<\/td>\n 0.35 – 4.94<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n FT4<\/p>\n<\/td>\n 0.8<\/p>\n<\/td>\n 0.932 – 1.71<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n T3<\/p>\n<\/td>\n 1.1<\/p>\n<\/td>\n 0.846 – 2.02<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n Glucose<\/p>\n<\/td>\n 5.2<\/p>\n<\/td>\n 4.1 – 5.9<\/p>\n<\/td>\n mmol\/L<\/p>\n<\/td>\n<\/tr>\n Ure m\u00e1u<\/p>\n<\/td>\n 6.2<\/p>\n<\/td>\n 2.8 – 7.2<\/p>\n<\/td>\n mmol\/L<\/p>\n<\/td>\n<\/tr>\n Creatinin<\/p>\n<\/td>\n 65.0<\/p>\n<\/td>\n 58 – 96<\/p>\n<\/td>\n umol\/L<\/p>\n<\/td>\n<\/tr>\n eGFR<\/p>\n<\/td>\n 94.55<\/p>\n<\/td>\n >= 60<\/p>\n<\/td>\n mL\/ph\u00fat<\/p>\n<\/td>\n<\/tr>\n AST<\/p>\n<\/td>\n 26<\/p>\n<\/td>\n <35<\/p>\n<\/td>\n U\/L<\/p>\n<\/td>\n<\/tr>\n ALT<\/p>\n<\/td>\n 53<\/strong><\/p>\n<\/td>\n <35<\/p>\n<\/td>\n U\/L<\/p>\n<\/td>\n<\/tr>\n Cholesterol to\u00e0n ph\u1ea7n<\/p>\n<\/td>\n 5.1<\/p>\n<\/td>\n <5.2<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n Triglyceride m\u00e1u<\/p>\n<\/td>\n 1.0<\/p>\n<\/td>\n <1.7<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n HDL – C<\/p>\n<\/td>\n 1.6<\/p>\n<\/td>\n >1.03<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n Non – HDL – C<\/p>\n<\/td>\n 3.5<\/strong><\/p>\n<\/td>\n <3.4<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n LDL – C<\/p>\n<\/td>\n 3.05<\/p>\n<\/td>\n <\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n Na+<\/p>\n<\/td>\n 138<\/p>\n<\/td>\n 135 – 145<\/p>\n<\/td>\n mmol\/L<\/p>\n<\/td>\n<\/tr>\n K+<\/p>\n<\/td>\n 3.9<\/p>\n<\/td>\n 3.5 – 5.0<\/p>\n<\/td>\n mmol\/L<\/p>\n<\/td>\n<\/tr>\n Cl-<\/p>\n<\/td>\n 103<\/p>\n<\/td>\n 98 – 106<\/p>\n<\/td>\n mmol\/L<\/p>\n<\/td>\n<\/tr>\n Calci to\u00e0n ph\u1ea7n<\/p>\n<\/td>\n 2.25<\/p>\n<\/td>\n 2.15 – 2.6<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u<\/strong><\/p>\n<\/td>\n<\/tr>\n URO<\/p>\n<\/td>\n norm<\/p>\n<\/td>\n <17.1<\/p>\n<\/td>\n umol\/L<\/p>\n<\/td>\n<\/tr>\n GLU<\/p>\n<\/td>\n norm<\/p>\n<\/td>\n <0.84<\/p>\n<\/td>\n mmol\/L<\/p>\n<\/td>\n<\/tr>\n BIL<\/p>\n<\/td>\n neg<\/p>\n<\/td>\n <3.4<\/p>\n<\/td>\n umol\/L<\/p>\n<\/td>\n<\/tr>\n KET<\/p>\n<\/td>\n neg<\/p>\n<\/td>\n <5<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n S.G<\/p>\n<\/td>\n 1.011<\/p>\n<\/td>\n 1.015 – 1.025<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n BLD<\/p>\n<\/td>\n neg<\/p>\n<\/td>\n <5<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n pH<\/p>\n<\/td>\n 8<\/p>\n<\/td>\n 4.8 – 7.4<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n PRO<\/p>\n<\/td>\n neg<\/p>\n<\/td>\n <0.1<\/p>\n<\/td>\n g\/L<\/p>\n<\/td>\n<\/tr>\n NIT<\/p>\n<\/td>\n neg<\/p>\n<\/td>\n Negative<\/p>\n<\/td>\n <\/p>\n<\/td>\n<\/tr>\n LEU<\/p>\n<\/td>\n neg<\/p>\n<\/td>\n <10<\/p>\n<\/td>\n ug\/dl<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n => Thi\u1ebfu m\u00e1u h\u1ed3ng c\u1ea7u nh\u1ecf nh\u01b0\u1ee3c s\u1eafc m\u1ee9c \u0111\u1ed9 nh\u1eb9 => \u0110\u1ec1 ngh\u1ecb Ferritin \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n thi\u1ebfu m\u00e1u<\/p>\n – C\u00e1c ch\u1ec9 s\u1ed1 huy\u1ebft h\u1ecdc, sinh ho\u00e1, n\u01b0\u1edbc ti\u1ec3u kh\u00e1c trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng<\/p>\n * MRI kh\u1edbp g\u1ed1i ph\u1ea3i<\/em><\/strong><\/p>\n – D\u00e2y ch\u1eb1ng:<\/p>\n + D\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc: H\u00ecnh \u1ea3nh d\u00e0y, t\u0103ng t\u00edn hi\u1ec7u tr\u00ean PD-FS, T2W \u1edf d\u00e2y ch\u1eb1ng v\u00e0 kh\u00f4ng th\u1ea5y s\u1ef1 li\u00ean t\u1ee5c<\/p>\n + D\u00e2y ch\u1eb1ng ch\u00e9o sau: Kh\u00f4ng ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng t\u00edn hi\u1ec7u v\u00e0 h\u00ecnh th\u1ec3<\/p>\n + D\u00e2y ch\u1eb1ng x\u01b0\u01a1ng b\u00e1nh ch\u00e8 v\u00e0 c\u00e2n c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i kh\u00f4ng ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng<\/p>\n + H\u00ecnh \u1ea3nh t\u1ee5 d\u1ecbch l\u01b0\u1ee3ng \u00edt d\u1ecdc theo b\u00ean ngo\u00e0i d\u00e2y ch\u1eb1ng b\u00ean ch\u00e0y v\u00e0 b\u00ean m\u00e1c<\/p>\n – S\u1ee5n ch\u00eam:<\/p>\n + S\u1ee5n ch\u00eam trong: Kh\u00f4ng ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng t\u00edn hi\u1ec7u v\u00e0 h\u00ecnh th\u1ec3<\/p>\n + S\u1ee5n ch\u00eam ngo\u00e0i: Kh\u00f4ng ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng t\u00edn hi\u1ec7u v\u00e0 h\u00ecnh th\u1ec3<\/p>\n – H\u00ecnh \u1ea3nh t\u0103ng t\u00edn hi\u1ec7u tr\u00ean PD-FS \u1edf tu\u1ef7 x\u01b0\u01a1ng thu\u1ed9c \u2153 tr\u00ean x\u01b0\u01a1ng ch\u00e0y v\u00e0 \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng m\u00e1c v\u00e0 l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f9i<\/p>\n – T\u1ee5 d\u1ecbch l\u01b0\u1ee3ng trung b\u00ecnh trong t\u00fai ho\u1ea1t d\u1ecbch tr\u00ean v\u00e0 d\u01b0\u1edbi x\u01b0\u01a1ng b\u00e1nh ch\u00e8<\/p>\n – M\u00f4 m\u1ec1m quanh kh\u1edbp kh\u00f4ng ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/p>\n => K\u1ebft lu\u1eadn: \u0110\u1ee9t ho\u00e0n to\u00e0n d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc g\u1ed1i (P)<\/p>\n \u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Bong g\u00e2n \u0111\u1ed9 I b\u00ean ch\u00e0y v\u00e0 b\u00ean m\u00e1c<\/p>\n \u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0T\u1ee5 d\u1ecbch l\u01b0\u1ee3ng trung b\u00ecnh trong t\u00fai ho\u1ea1t d\u1ecbch tr\u00ean v\u00e0 d\u01b0\u1edbi x\u01b0\u01a1ng b\u00e1nh ch\u00e8<\/p>\n * X-Quang g\u1ed1i th\u1eb3ng nghi\u00eang<\/em><\/strong><\/p>\n – Kh\u00f4ng th\u1ea5y t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng v\u00e0 b\u1edd di\u1ec7n kh\u1edbp g\u1ed1i (P)<\/p>\n – Kh\u00f4ng h\u1eb9p khe kh\u1edbp<\/p>\n – M\u00f4 m\u1ec1m c\u1ea1nh kh\u1edbp b\u00ecnh th\u01b0\u1eddng<\/p>\n => K\u1ebft lu\u1eadn: Ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/p>\n * Si\u00eau \u00e2m tuy\u1ebfn gi\u00e1p<\/em><\/strong><\/p>\n – K\u00edch th\u01b0\u1edbc: Kh\u00f4ng to<\/p>\n – Thu\u1ef3 ph\u1ea3i c\u00f3 kh\u1ed1i echo k\u00e9m #9mm, gi\u1edbi h\u1ea1n r\u00f5, b\u1edd \u0111\u1ec1u, tr\u1ee5c ngang (TIRADS 3)<\/p>\n – H\u1ea1ch c\u1ed5 hai b\u00ean kh\u00f4ng th\u1ea5y h\u1ea1ch ph\u00ec \u0111\u1ea1i, h\u1ea1ch vi\u00eam<\/p>\n => K\u1ebft lu\u1eadn: Nh\u00e2n gi\u00e1p thu\u1ef3 ph\u1ea3i<\/p>\n \u0110\u1ee9t ho\u00e0n to\u00e0n d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc g\u1ed1i (P) ng\u00e0y 9 do tai n\u1ea1n giao th\u00f4ng, hi\u1ec7n ch\u01b0a ghi nh\u1eadn bi\u1ebfn ch\u1ee9ng – C\u01b0\u1eddng gi\u00e1p<\/p>\n XII. \u0110I\u1ec0U TR\u1eca<\/strong><\/p>\n – \u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt<\/p>\n + PPPT: Ph\u1eabu thu\u1eadt n\u1ed9i soi t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc g\u1ed1i (P)<\/p>\n + Kh\u00e1ng sinh d\u1ef1 ph\u00f2ng<\/p>\n – H\u1eadu ph\u1eabu:<\/p>\n + Gi\u1ea3m \u0111au<\/p>\n + Mang Zimmer b\u1ea3o v\u1ec7 t\u01b0 th\u1ebf du\u1ed7i g\u1ed1i, \u0111i n\u1ea1ng h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng<\/p>\n + T\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/p>\n – \u0110i\u1ec1u tr\u1ecb tr\u01b0\u1edbc m\u1ed5<\/em><\/strong><\/p>\n + Natri clorid 500ml<\/p>\n \u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 01 chai (TTM) XXX gi\u1ecdt\/ ph\u00fat,<\/p>\n + Cefazolin 1g<\/p>\n \u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 02 l\u1ecd (TMC) tr\u01b0\u1edbc m\u1ed5 30 ph\u00fat<\/p>\n + Thyrozol 5mg<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 01 vi\u00ean (u) s\u00e1ng<\/p>\n + Gi\u1ea3i th\u00edch t\u00ecnh tr\u1ea1ng v\u1edbi b\u1ec7nh nh\u00e2n v\u00e0 ng\u01b0\u1eddi nh\u00e0<\/p>\n + V\u1ec7 sinh s\u1ea1ch s\u1ebd<\/p>\n + Nh\u1ecbn \u0103n u\u1ed1ng t\u1eeb 22h00 tr\u01b0\u1edbc ph\u1eabu thu\u1eadt 01 ng\u00e0y<\/p>\n + U\u1ed1ng 02 \u0111\u01a1n v\u1ecb carbohydrate (t\u1ed1i – s\u00e1ng ng\u00e0y ph\u1eabu thu\u1eadt)<\/p>\n – \u0110i\u1ec1u tr\u1ecb sau m\u1ed5<\/em><\/strong><\/p>\n + Cefazolin 1g<\/p>\n \u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 02 l\u1ecd (TMC) tr\u01b0\u1edbc m\u1ed5 30 ph\u00fat<\/p>\n + Paracetamol 1g\/100ml<\/p>\n 01 chai (TTM) XL gi\u1ecdt\/ph\u00fat<\/p>\n + Tramadol-hameln 50mg\/ml\u00a0<\/p>\n 2 \u1ed1ng pha 40ml n\u01b0\u1edbc c\u1ea5t (BT\u0110) 1 ml\/h<\/p>\n – M\u1eddi h\u1ed9i ch\u1ea9n BS N\u1ed9i ti\u1ebft sau ph\u1eabu thu\u1eadt<\/p>\n – T\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/p>\n XIII. TI\u00caN L\u01af\u1ee2NG<\/strong><\/p>\n – G\u1ea7n: trung b\u00ecnh v\u00ec tr\u00ean b\u1ec7nh nh\u00e2n chu\u1ea9n b\u1ecb ph\u1eabu thu\u1eadt ph\u1ea3i theo d\u00f5i c\u00e1c bi\u1ebfn ch\u1ee9ng, tai bi\u1ebfn trong g\u00e2y m\u00ea, g\u00e2y t\u00ea v\u00e0 trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt nh\u01b0: d\u1ecb \u1ee9ng thu\u1ed1c, ch\u1ea3y m\u00e1u, nhi\u1ec5m tr\u00f9ng, t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh,…<\/p>\n – Xa: kh\u00e1 v\u00ec b\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i, kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c nhanh, nh\u01b0ng s\u1ebd t\u0103ng nguy c\u01a1 g\u00e2y tho\u00e1i h\u00f3a kh\u1edbp sau n\u00e0y. Sau ph\u1eabu thu\u1eadt b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 x\u1ea3y ra c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc nh\u01b0: \u0111au tr\u01b0\u1edbc g\u1ed1i, gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng, th\u1ea5t b\u1ea1i m\u1ea3nh gh\u00e9p, nhi\u1ec5m tr\u00f9ng, huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u…<\/p>\n XIV. D\u1ef0 PH\u00d2NG<\/strong><\/p>\n – D\u1ef1 ph\u00f2ng c\u1ee9ng kh\u1edbp g\u1ed1i, x\u01a1 ho\u00e1 kh\u1edbp g\u1ed1i n\u1ebfu \u0111\u1ec3 l\u00e2u<\/p>\n – D\u1ef1 ph\u00f2ng bi\u1ebfn ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng s\u1ee5n ch\u00eam, tho\u00e1i ho\u00e1 kh\u1edbp g\u1ed1i<\/p>\n – B\u1ed5 sung dinh d\u01b0\u1ee1ng \u0111\u1ea7y \u0111\u1ee7<\/p>\n – T\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau m\u1ed5<\/p>","protected":false},"featured_media":4256,"comment_status":"open","ping_status":"closed","template":"","tags":[],"chuyen-muc":[188],"class_list":["post-4400","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","chuyen-muc-benh-an-mau"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/4400","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=4400"}],"version-history":[{"count":2,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/4400\/revisions"}],"predecessor-version":[{"id":4402,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/4400\/revisions\/4402"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/4256"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=4400"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=4400"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=4400"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
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