{"id":2138,"date":"2023-08-02T18:00:35","date_gmt":"2023-08-02T11:00:35","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=chuyen-de&#038;p=2138"},"modified":"2024-03-20T16:18:16","modified_gmt":"2024-03-20T09:18:16","slug":"benh-an-gay-co-xuong-dui-1","status":"publish","type":"chuyen-de","link":"https:\/\/bsvothanhtoan.com\/en\/chuyen-de\/benh-an-gay-co-xuong-dui-1\/","title":{"rendered":"B\u1ec7nh \u00e1n g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i 1"},"content":{"rendered":"<h2><em><span style=\"font-size: 16px;\">G\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i T sau tai n\u1ea1n sinh ho\u1ea1t th\u00e1ng th\u1ee9 5 ch\u01b0a bi\u1ebfn ch\u1ee9ng &#8211; TD h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay \/ Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m. Tr\u1eadt kh\u1edbp h\u00e1ng (T) sau tai n\u1ea1n sinh ho\u1ea1t th\u00e1ng th\u1ee9 5 ch\u01b0a bi\u1ebfn ch\u1ee9ng- TD h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay \/ Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m. G\u00e3y LMC x\u01b0\u01a1ng \u0111\u00f9i (T) sau tai n\u1ea1n sinh ho\u1ea1t th\u00e1ng th\u1ee9 5 ch\u01b0a bi\u1ebfn ch\u1ee9ng &#8211; TD h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay \/ Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m.\u00a0<\/span><\/em><\/h2>\n<h2><strong>I. H\u00e0nh ch\u00ednh:<\/strong><\/h2>\n<ol>\n<li>T\u00ean b\u1ec7nh nh\u00e2n: <strong>H\u1ed2 TH\u1eca L.<\/strong><\/li>\n<li>Sinh n\u0103m: 1967 (56 tu\u1ed5i)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gi\u1edbi t\u00ednh: N\u1eef<\/li>\n<li>Ngh\u1ec1 nghi\u1ec7p: N\u1ed9i tr\u1ee3 (tr\u01b0\u1edbc \u0111\u00f3 l\u00e0m c\u00f4ng nh\u00e2n s\u1ea3n xu\u1ea5t \u0111\u00e8n c\u1ea7y)<\/li>\n<li>\u0110\u1ecba ch\u1ec9: L\u1ed9c Th\u1ea1nh, huy\u1ec7n \u0110\u1ee9c H\u00f2a, t\u1ec9nh Long An.<\/li>\n<li>Ng\u01b0\u1eddi th\u00e2n:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 S\u0110T: 0374208xxx<\/li>\n<li>Tay v\u00e0 ch\u00e2n thu\u1eadn: B\u00ean ph\u1ea3i.<\/li>\n<li>Nh\u1eadp vi\u1ec7n v\u00e0o khoa c\u1ea5p c\u1ee9u 5h35p ng\u00e0y 10\/03\/2023.<\/li>\n<li>Ng\u00e0y l\u00e0m b\u1ec7nh \u00e1n: 20h ng\u00e0y 12\/03\/2023 \u2013 ng\u00e0y th\u1ee9 2 c\u1ee7a b\u1ec7nh.<\/li>\n<\/ol>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-2114 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/luu-y.png\" alt=\"Luu-y\" width=\"820\" height=\"462\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/luu-y.png 820w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/luu-y-300x169.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/luu-y-768x433.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/luu-y-18x10.png 18w\" sizes=\"(max-width: 820px) 100vw, 820px\" \/><\/p>\n<p><span style=\"text-decoration: underline;\"><strong>Tr\u01b0\u1edbc khi xem h\u00e3y coi b\u00e0i gi\u1ea3ng sau:<\/strong><\/span><\/p>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/chuyen-de\/slide-bai-giang-gay-co-va-than-xuong-dui\/\">Slide b\u00e0i gi\u1ea3ng G\u00e3y c\u1ed5 v\u00e0 th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i<\/a><\/p>\n<h2><strong>II. L\u00fd do v\u00e0o vi\u1ec7n: <\/strong>\u0110au h\u00e1ng (T)<\/h2>\n<h2>III.\u00a0 B\u1ec7nh s\u1eed:<\/h2>\n<p>B\u1ec7nh nh\u00e2n khai<\/p>\n<p>C\u00e1ch nh\u1eadp vi\u1ec7n 5 th\u00e1ng (25\/10\/2022), BN \u0111ang lau nh\u00e0 th\u00ec b\u1ecb tr\u01b0\u1ee3t ch\u00e2n t\u00e9, BN b\u1ecb \u0111\u1eadp m\u00f4ng xu\u1ed1ng d\u01b0\u1edbi n\u1ec1n \u1edf t\u01b0 th\u1ebf ng\u1ed3i v\u1edbi l\u1ef1c m\u1ea1nh, ph\u1ea7n khu\u1ef7u tr\u00e1i b\u1ecb \u0111\u1eadp v\u00e0o t\u01b0\u1eddng, kh\u00f4ng \u0111\u1eadp \u0111\u1ea7u hay ng\u1ef1c xu\u1ed1ng n\u1ec1n nh\u00e0. Sau khi t\u00e9, BN t\u1ec9nh, \u0111au d\u1eef d\u1ed9i h\u00e1ng tr\u00e1i, kh\u00f4ng \u0111\u1ee9ng d\u1eady \u0111\u01b0\u1ee3c, BN ph\u1ea3i t\u1ef1 l\u1ebft v\u00e0o trong nh\u00e0 ???kh\u00f4ng c\u00f3 t\u01b0 th\u1ebf gi\u1ea3m \u0111au \u2192 \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa, u\u1ed1ng thu\u1ed1c t\u1ea1i BV CTCH (BN kh\u00f4ng r\u00f5 t\u00ean thu\u1ed1c), kh\u00f4ng th\u1ea5y thuy\u00ean gi\u1ea3m \u2192\u00a0 nh\u1eadp BVTN.<\/p>\n<p>Trong qu\u00e1 tr\u00ecnh b\u1ec7nh, BN ph\u1ea3i g\u1ea5p \u0111\u00f9i tr\u00e1i v\u00e0 u\u1ed1ng thu\u1ed1c \u0111\u1ec3 gi\u1ea3m \u0111au, t\u00ea d\u1ecdc 2 ch\u00e2n, 2 b\u00e0n tay t\u00ea, y\u1ebfu t\u0103ng d\u1ea7n (xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc th\u1eddi \u0111i\u1ec3m b\u1ecb tai n\u1ea1n 4 th\u00e1ng), kh\u00f4ng b\u1ea7m t\u00edm, kh\u00f4ng s\u01b0ng n\u1ec1, kh\u00f4ng c\u00f3 \u0111eo n\u1eb9p, b\u1ec7nh nh\u00e2n kh\u00f4ng s\u1ed1t, kh\u00f4ng \u0111au \u0111\u1ea7u,\u00a0 kh\u00f4ng ch\u00f3ng m\u1eb7t, kh\u00f4ng kh\u00f3 th\u1edf, kh\u00f4ng c\u00f3 \u0111\u1ee3t m\u1ea5t \u00fd th\u1ee9c, kh\u00f4ng \u0111au b\u1ee5ng, ti\u1ec3u ph\u1ea3i r\u1eb7n, kh\u00f4ng r\u00e1t bu\u1ed1t, n\u01b0\u1edbc ti\u1ec3u v\u00e0ng s\u1eadm, kh\u00f4ng r\u00f5 l\u01b0\u1ee3ng; trung ti\u1ec7n \u0111\u01b0\u1ee3c, tr\u01b0\u1edbc khi \u0111\u1ea1i ti\u1ec7n ph\u1ea3i d\u00f9ng thu\u1ed1c b\u01a1m h\u1eadu m\u00f4n \u0111\u1ec3 d\u1ec5 \u0111i.\u00a0<\/p>\n<p><strong><em>T\u00ecnh tr\u1ea1ng l\u00fac nh\u1eadp c\u1ea5p c\u1ee9u:<\/em><\/strong><\/p>\n<ul>\n<li>M\u1ea1ch 97l\/ph ; Nhi\u1ec7t \u0111\u1ed9: 36.8oC ; huy\u1ebft \u00e1p 130\/100 mmHg ; nh\u1ecbp th\u1edf 20l\/p. SpO2 99%<\/li>\n<li>B\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t<\/li>\n<li>Da Ni\u00eam h\u1ed3ng nh\u1ea1t<\/li>\n<li>Tim \u0111\u1ec1u, ph\u1ed5i trong, b\u1ee5ng m\u1ec1m \u1ea5n kh\u00f4ng \u0111au, c\u1ed5 m\u1ec1m.<\/li>\n<li>Ch\u00e2n tr\u00e1i xoay ngo\u00e0i.<\/li>\n<\/ul>\n<p><strong><em>X\u1eed tr\u00ed t\u1ea1i <a href=\"https:\/\/bsvothanhtoan.com\/\">ph\u00f2ng c\u1ea5p c\u1ee9u:<\/a><\/em><\/strong><\/p>\n<ul>\n<li>Ch\u0103m s\u00f3c c\u1ea5p 2.<\/li>\n<li><strong>Di\u1ec5n ti\u1ebfn b\u1ec7nh ph\u00f2ng t\u1ea1i khoa CTCH:<\/strong><\/li>\n<\/ul>\n<p>7g30 ng\u00e0y 10\/3:<\/p>\n<ul>\n<li>BN t\u1ec9nh t\u00e1o, BN ni\u00eam m\u1ea1c h\u1ed3ng, sinh hi\u1ec7u \u1ed5n, tim \u0111\u1ec1u, b\u1ee5ng m\u1ec1m, ph\u1ed5i trong.<\/li>\n<li>C\u00f2n \u0111au h\u00e1ng tr\u00e1i , h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng \u0111\u00f9i tr\u00e1i<\/li>\n<li>M\u1ea1ch mu ch\u00e2n tr\u00e1i r\u00f5<\/li>\n<li>\u0110\u1ea7u ng\u00f3n ch\u00e2n h\u1ed3ng<\/li>\n<li>T\u00ea y\u1ebfu 2 tay<\/li>\n<li>T\u00ea 2 ch\u00e2n<\/li>\n<li>X\u1eed tr\u00ed: n\u1eb9p \u0111\u00f9i ch\u1ed1ng xoay tr\u00e1i, <a href=\"https:\/\/vi.wikipedia.org\/wiki\/Paracetamol\" target=\"_blank\" rel=\"noopener\">Paracetamol<\/a> 0,5 g (1v x 3), Caldihasan 1v (u) 9g, ch\u0103m s\u00f3c c\u1ea5p III.<\/li>\n<li>CLS: XN ti\u1ec1n ph\u1eabu<\/li>\n<li>21g30 ng\u00e0y 11\/3\/2022:\n<ul>\n<li>BN than \u0111au nhi\u1ec1u, thu\u1ed1c b\u1ed5 sung Cofidec 200mg<\/li>\n<li>BN \u0111\u01b0\u1ee3c l\u00ean \u0111\u01b0\u1ee3c l\u00ean l\u1ecbch m\u1ed5 ch\u01b0\u01a1ng tr\u00ecnh v\u00e0o ng\u00e0y 13\/03\/2022.<\/li>\n<li>Thu\u1ed1c tr\u01b0\u1edbc m\u1ed5: Medaxetine 1.5g, 1 l\u1ecd, TMC 30 ph\u00fat tr\u01b0\u1edbc m\u1ed5.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h1>IV.Ti\u1ec1n c\u0103n:<\/h1>\n<h3><strong>1. B\u1ea3n th\u00e2n:<\/strong><\/h3>\n<p><strong>N\u1ed9i khoa:<\/strong><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>CNV 8 n\u0103m, BN \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/viem-xuong-tuy\/\">Lao x\u01b0\u01a1ng<\/a> t\u1ea1i BV Ch\u1ee3 R\u1eaby, \u0111i\u1ec1u tr\u1ecb 2 th\u00e1ng thu\u1ed1c ch\u00edch v\u00e0 8 th\u00e1ng thu\u1ed1c u\u1ed1ng t\u1ea1i \u0111\u1ecba ph\u01b0\u01a1ng, ng\u01b0ng \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>CNV 2 n\u0103m, BN b\u1ecb ng\u1ee9a da, r\u1ee5ng t\u00f3c, \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m h\u00f3a ch\u1ea5t t\u1eeb m\u00f4i tr\u01b0\u1eddng lao \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb 2 tu\u1ea7n b\u1eb1ng thu\u1ed1c u\u1ed1ng, hi\u1ec7n \u0111\u00e3 kh\u1ecfi.<\/li>\n<li>GERD<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Ngo\u1ea1i khoa<\/strong>: ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p><strong>D\u1ecb \u1ee9ng<\/strong>: ch\u01b0a ghi nh\u1eadn.<\/p>\n<h3>2. Gia \u0111\u00ecnh:<\/h3>\n<ul>\n<li>Ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng.<\/li>\n<\/ul>\n<h2><strong>V. Kh\u00e1m l<\/strong><strong>\u00e2m s\u00e0ng <\/strong><\/h2>\n<p>(20h ng\u00e0y 12\/03\/2023 \u2013 ng\u00e0y th\u1ee9 2 c\u1ee7a b\u1ec7nh)<strong>:<\/strong><\/p>\n<h3>1. T\u1ed5ng tr\u1ea1ng:<\/h3>\n<ul>\n<li>BN t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t, da ni\u00eam h\u1ed3ng v\u00e0 kh\u00f4ng xu\u1ea5t huy\u1ebft.<\/li>\n<li>D\u1ea5u m\u1ea5t n\u01b0\u1edbc (-), l\u01b0\u1ee1i kh\u00f4ng d\u01a1.<\/li>\n<li>Tuy\u1ebfn gi\u00e1p kh\u00f4ng to<\/li>\n<li>H\u1ea1ch ngo\u1ea1i vi kh\u00f4ng s\u1edd ch\u1ea1m.<\/li>\n<li>CRT&lt; 2 gi\u00e2y<\/li>\n<\/ul>\n<h3>Sinh hi\u1ec7u<\/h3>\n<p>M\u1ea1ch:\u00a0 82 l\/ph\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 HA: 110\/70 mmHg<\/p>\n<p>Nh\u1ecbp th\u1edf: 18 l\/ph\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Nhi\u1ec7t \u0111\u1ed9: 36.7 \u00b0C<\/p>\n<p>HA t\u00e2m thu = 110 mmHg &gt;100 mmHg, m\u1ea1ch:\u00a0 82 l\u1ea7n\/ph\u00fat -&gt; ch\u1ec9 s\u1ed1 s\u1ed1c\u00a0 = 0.7 &lt;1<\/p>\n<p>C\u00e2n n\u1eb7ng: 50kg, chi\u1ec1u cao: 1m55. BMI: 20.8 kg\/m2 =&gt; Th\u1ec3 tr\u1ea1ng trung b\u00ecnh theo IDI&amp;WPRO.<\/p>\n<h3>2. H\u1ec7 tim m\u1ea1ch:<\/h3>\n<p>\u00a0&#8211; L\u1ed3ng ng\u1ef1c c\u00e2n \u0111\u1ed1i, kh\u00f4ng u, s\u1eb9o m\u1ed5 c\u0169, kh\u00f4ng tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7, di \u0111\u1ed9ng theo nh\u1ecbp th\u1edf \u0111\u1ec1u 2 b\u00ean.<\/p>\n<ul>\n<li>M\u1ecfm tim n\u1eb1m \u1edf \u0111\u01b0\u1eddng trung \u0111\u00f2n tr\u00e1i, kho\u1ea3ng li\u00ean s\u01b0\u1eddn V.<\/li>\n<li>Ti\u1ebfng tim: T1, T2 \u0111\u1ec1u r\u00f5<\/li>\n<\/ul>\n<h3><strong>3. H\u1ec7 h\u00f4 h\u1ea5p:<\/strong><\/h3>\n<ul>\n<li>R\u00ec r\u00e0o ph\u1ebf nang \u00eam d\u1ecbu, kh\u00f4ng rale, khoang li\u00ean s\u01b0\u1eddn kh\u00f4ng gi\u00e3n r\u1ed9ng<\/li>\n<li>G\u00f5 trong<\/li>\n<li>Rung thanh \u0111\u1ec1u 2 ph\u1ebf tr\u01b0\u1eddng<\/li>\n<\/ul>\n<h3>4. H\u1ec7 ti\u00eau h\u00f3a:<\/h3>\n<ul>\n<li>B\u1ee5ng kh\u00f4ng c\u00e2n \u0111\u1ed1i, kh\u00f4ng u s\u1eb9o m\u1ed5 c\u0169<\/li>\n<li>Kh\u00f4ng tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7, kh\u00f4ng d\u1ea5u sao m\u1ea1ch, di \u0111\u1ed9ng theo nh\u1ecbp th\u1edf<\/li>\n<li>B\u1ee5ng m\u1ec1m, kh\u00f4ng \u0111i\u1ec3m \u0111au khu tr\u00fa, kh\u00f4ng th\u1ea5y kh\u1ed1i u b\u1ea5t th\u01b0\u1eddng<\/li>\n<li>Gan l\u00e1ch kh\u00f4ng s\u1edd ch\u1ea1m.<\/li>\n<\/ul>\n<h3>5. H\u1ec7 th\u1eadn &#8211; ti\u1ebft ni\u1ec7u &#8211; sinh d\u1ee5c:<\/h3>\n<ul>\n<li>C\u1ea7u b\u00e0ng quang (-)<\/li>\n<li>Ch\u1ea1m th\u1eadn (-)<\/li>\n<\/ul>\n<h3><strong>6. H\u1ec7 th\u1ea7n kinh:<\/strong><\/h3>\n<ul>\n<li>C\u1ed5 m\u1ec1m<\/li>\n<li>Babinski (-)<\/li>\n<\/ul>\n<h3>7. C\u01a1 x\u01b0\u01a1ng kh\u1edbp:<\/h3>\n<p>&#8211; BN n\u1eb1m tr\u00ean gi\u01b0\u1eddng, ch\u00e2n (T) ng\u1eafn h\u01a1n, kh\u00e9p v\u00e0 xoay ngo\u00e0i, ch\u00e2n (P) du\u1ed7i th\u1eb3ng.<\/p>\n<h2><strong><u>Kh\u00e1m chi tr\u00ean<\/u><\/strong><\/h2>\n<p>&#8211; Tr\u1ee5c chi tr\u00ean b\u00ecnh th\u01b0\u1eddng, c\u00e2n x\u1ee9ng hai b\u00ean<\/p>\n<p>&#8211; B\u1eaft \u0111\u01b0\u1ee3c m\u1ea1ch quay,\u00a0 r\u00f5 hai b\u00ean.<\/p>\n<p>&#8211; Chi\u1ec1u d\u00e0i c\u00e1nh tay hai b\u00ean b\u1eb1ng nhau.<\/p>\n<p>&#8211; C\u1ea3m gi\u00e1c t\u00ea m\u1eb7t l\u00f2ng 2 b\u00e0n tay.<\/p>\n<p>&#8211; G\u1ea5p- du\u1ed7i b\u00e0n tay; kh\u00f4ng l\u00e0m \u0111\u01b0\u1ee3c \u0111\u1ed9ng t\u00e1c \u0111\u1ed1i ng\u00f3n c\u00e1i v\u1edbi ng\u00f3n IV, V; kh\u00f4ng nghi\u00eang tr\u1ee5, nghi\u00eang quay, kh\u00f4ng d\u1ea1ng- kh\u00e9p \u0111\u01b0\u1ee3c ng\u00f3n c\u00e1i, kh\u00f4ng n\u1eafm \u0111\u01b0\u1ee3c ho\u00e0n to\u00e0n b\u00e0n tay.<\/p>\n<h2><u>Kh\u00e1m chi d\u01b0\u1edbi:<\/u><\/h2>\n<ul>\n<li>Nh\u00ecn:\n<ul>\n<li>Da kh\u00f4ng s\u01b0ng n\u1ec1, b\u1ea7m t\u00edm quanh <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-khop-vai-khuyu-hang\/\">kh\u1edbp h\u00e1ng<\/a> (T), v\u00f9ng \u0111\u00f9i sau,<\/li>\n<li>Kh\u00f4ng \u0111\u1ed1m xu\u1ea5t huy\u1ebft, kh\u00f4ng b\u00f3ng n\u01b0\u1edbc da.<\/li>\n<li>Bi\u1ebfn d\u1ea1ng: ng\u1eafn chi, xoay ngo\u00e0i chi T<\/li>\n<\/ul>\n<\/li>\n<li>S\u1edd:\n<ul>\n<li>\u1ea4n \u0111au tam gi\u00e1c Scarpa<\/li>\n<li>Tam gi\u00e1c Bryant kh\u00f4ng \u0111o \u0111\u01b0\u1ee3c do b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 du\u1ed7i ch\u00e2n \u0111\u01b0\u1ee3c<\/li>\n<li>\u0110\u01b0\u1eddng Nelaton-Roser kh\u00f4ng th\u1eb3ng h\u00e0ng, MCL b\u1ecb k\u00e9o l\u00ean tr\u00ean, c\u00e1ch 4cm so v\u1edbi \u0111\u01b0\u1eddng n\u1ed1i gai ch\u1eadu tr\u01b0\u1edbc tr\u00ean &#8211; \u1ee5 ng\u1ed3i.<\/li>\n<li>B\u1eaft \u0111\u01b0\u1ee3c m\u1ea1ch ch\u00e0y sau, m\u1ea1ch mu ch\u00e2n 2 b\u00ean \u0111\u1ec1u, y\u1ebfu, 75l\/p; b\u00ean T y\u1ebfu h\u01a1n b\u00ean P. Kh\u00f4ng b\u1eaft \u0111\u01b0\u1ee3c m\u1ea1ch khoeo 2 ch\u00e2n.<\/li>\n<\/ul>\n<\/li>\n<li>\u0110o:\n<ul>\n<li>Chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i \u0111\u00f9i (T) (\u0111o t\u1eeb gai ch\u1eadu tr\u01b0\u1edbc tr\u00ean &#8211; l\u1ed3i c\u1ea7u ngo\u00e0i): 42cm<\/li>\n<li>Chi\u1ec1u d\u00e0i tuy\u1ec7t \u0111\u1ed1i \u0111\u00f9i (T) (\u0111o t\u1eeb m\u1ea5u chuy\u1ec3n l\u1edbn &#8211; l\u1ed3i c\u1ea7u ngo\u00e0i): 37cm<\/li>\n<li>Chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i \u0111\u00f9i (P) (\u0111o t\u1eeb gai ch\u1eadu tr\u01b0\u1edbc tr\u00ean &#8211; l\u1ed3i c\u1ea7u ngo\u00e0i) 43cm<\/li>\n<li>Chi\u1ec1u d\u00e0i tuy\u1ec7t \u0111\u1ed1i \u0111\u00f9i (P) (\u0111o t\u1eeb m\u1ea5u chuy\u1ec3n l\u1edbn &#8211; l\u1ed3i c\u1ea7u ngo\u00e0i): 37cm<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>\u2192 So s\u00e1nh chi\u1ec1u d\u00e0i \u0111\u00f9i (T) v\u00e0 (P) =&gt; \u0111\u00f9i (T) ng\u1eafn h\u01a1n \u0111\u00f9i (P)<\/p>\n<ul>\n<li>Kh\u00e1m v\u1eadn \u0111\u1ed9ng:\n<ul>\n<li>\u0110\u00f9i: G\u1ea5p b\u00ecnh th\u01b0\u1eddng, du\u1ed7i t\u1ed1i \u0111a 135 \u00b0, d\u1ea1ng-kh\u00e9p b\u1ecb gi\u1edbi h\u1ea1n, xoay trong b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng xoay ngo\u00e0i \u0111\u01b0\u1ee3c.<\/li>\n<li>\u0110\u1ea7u g\u1ed1i, c\u1ed5 ch\u00e2n c\u1eed \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<\/li>\n<li>Kh\u00e1m c\u1ea3m gi\u00e1c: BN v\u1eabn c\u00f2n c\u1ea3m gi\u00e1c n\u00f4ng s\u00e2u b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<h3><strong>8. C\u00e1c c\u01a1 quan kh\u00e1c:<\/strong><\/h3>\n<p>ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng.<\/p>\n<h2>VI. T\u00f3m t\u1eaft b\u1ec7nh \u00e1n:<\/h2>\n<p>B\u1ec7nh nh\u00e2n n\u1eef, 56 tu\u1ed5i, nh\u1eadp vi\u1ec7n v\u00ec \u0111au h\u00e1ng (T) sau tai n\u1ea1n sinh ho\u1ea1t, qua h\u1ecfi <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/khai-thac-benh-su-va-tien-can-benh-ly-ngoai-chan-thuong\/\">b\u1ec7nh s\u1eed<\/a> v\u00e0 th\u0103m kh\u00e1m ghi nh\u1eadn:<\/p>\n<h3>Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng:<\/h3>\n<ul>\n<li>\u0110au kh\u1edbp h\u00e1ng (T)<\/li>\n<li>H\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng h\u00e1ng (T)<\/li>\n<li>G\u1ea5p \u0111\u00f9i \u0111\u1ec3 gi\u1ea3m \u0111au.<\/li>\n<\/ul>\n<h3>Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3:<\/h3>\n<ul>\n<li>T\u00ea, y\u1ebfu 2 b\u00e0n tay.<\/li>\n<li>Ch\u00e2n (T):<\/li>\n<li>Ng\u1eafn chi, xoay ngo\u00e0i, \u1ea5n \u0111au tam gi\u00e1c Scarpa.<\/li>\n<li>\u0110\u00f9i (T) ng\u1eafn h\u01a1n \u0111\u00f9i (P).<\/li>\n<li>Thay \u0111\u1ed5i chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i.<\/li>\n<li>MCL b\u1ecb k\u00e9o l\u00ean tr\u00ean<\/li>\n<li>\u0110\u00f9i: G\u1ea5p b\u00ecnh th\u01b0\u1eddng, du\u1ed7i t\u1ed1i \u0111a 135 \u00b0, d\u1ea1ng-kh\u00e9p b\u1ecb gi\u1edbi h\u1ea1n, xoay trong b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng xoay ngo\u00e0i \u0111\u01b0\u1ee3c.<\/li>\n<li>B\u1eaft \u0111\u01b0\u1ee3c m\u1ea1ch ch\u00e0y sau, m\u1ea1ch mu ch\u00e2n 2 b\u00ean \u0111\u1ec1u, y\u1ebfu, 75l\/p; b\u00ean T y\u1ebfu h\u01a1n b\u00ean P. Kh\u00f4ng b\u1eaft \u0111\u01b0\u1ee3c m\u1ea1ch khoeo 2 ch\u00e2n.<\/li>\n<li>T\u00ea d\u1ecdc 2 chi.<\/li>\n<\/ul>\n<p><strong>Ti\u1ec1n c\u0103n: <\/strong><\/p>\n<p>\u00a0Lao x\u01b0\u01a1ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h2>VII. \u0110\u1eb7t v\u1ea5n \u0111\u1ec1:<\/h2>\n<ul>\n<li>D\u1ea5u hi\u1ec7u <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">g\u00e3y x\u01b0\u01a1ng<\/a> v\u00f9ng h\u00e1ng (T)<\/li>\n<li>T\u00ea y\u1ebfu 2 tay.<\/li>\n<li>Ti\u1ec1n c\u0103n: lao x\u01b0\u01a1ng<\/li>\n<\/ul>\n<h2>VIII. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n<h3><strong>Ch\u1ea9n \u0111o\u00e1n s\u01a1 b\u1ed9:<\/strong><\/h3>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">G\u00e3y k\u00edn<\/a> c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i T sau tai n\u1ea1n sinh ho\u1ea1t th\u00e1ng th\u1ee9 5 ch\u01b0a bi\u1ebfn ch\u1ee9ng &#8211; TD h\u1ed9i ch\u1ee9ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoi-chung-ong-co-tay\/\">\u1ed1ng c\u1ed5 tay<\/a> \/ Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m.<\/p>\n<h3>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t:<\/h3>\n<p>Tr\u1eadt kh\u1edbp h\u00e1ng (T) sau tai n\u1ea1n sinh ho\u1ea1t th\u00e1ng th\u1ee9 5 ch\u01b0a bi\u1ebfn ch\u1ee9ng- TD h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay \/ Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m.<\/p>\n<p>G\u00e3y LMC x\u01b0\u01a1ng \u0111\u00f9i (T) sau tai n\u1ea1n sinh ho\u1ea1t th\u00e1ng th\u1ee9 5 ch\u01b0a bi\u1ebfn ch\u1ee9ng &#8211; TD h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay \/ Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m.\u00a0\u00a0<\/p>\n<h2>IX. Bi\u1ec7n lu\u1eadn<\/h2>\n<p>BN n\u1eef 56 tu\u1ed5i, nh\u1eadp vi\u1ec7n v\u00ec \u0111au h\u00e1ng tr\u00e1i 5 th\u00e1ng, qua h\u1ecfi b\u1ec7nh v\u00e0 th\u0103m kh\u00e1m ngh\u0129:<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>Bi\u1ec7n lu\u1eadn to\u00e0n th\u00e2n:<\/strong><\/span><\/p>\n<p>Sau khi t\u00e9 b\u1ec7nh nh\u00e2n t\u1ec9nh, kh\u00f4ng \u0111au \u0111\u1ea7u, kh\u00f4ng ch\u00f3ng m\u1eb7t, kh\u00f4ng d\u1ea5u xu\u1ea5t huy\u1ebft<\/p>\n<p>v\u00f5ng m\u1ea1c, kh\u00f4ng l\u1ec7ch m\u1eb7t, kh\u00f4ng n\u00f3i \u0111\u1edb =&gt; ngh\u0129 nhi\u1ec1u b\u1ec7nh nh\u00e2n c\u00f3 c\u01a1 ch\u1ebf ch\u1ea5n<\/p>\n<p>th\u01b0\u01a1ng n\u0103ng l\u01b0\u1ee3ng th\u1ea5p &#8211; t\u00e9 ng\u00e3 trong tai n\u1ea1n sinh ho\u1ea1t do c\u01a1 h\u1ecdc, kh\u00f4ng ngh\u0129 t\u00e9 ng\u00e3<\/p>\n<p>do \u0111\u1ed9t qu\u1ef5.<\/p>\n<p><u>\u00a0<strong>Bi\u1ec7n lu\u1eadn g\u00e3y x\u01b0\u01a1ng:<\/strong><\/u><\/p>\n<ul>\n<li>D\u1ea5u hi\u1ec7u ch\u1eafc ch\u1eafn g\u00e3y x\u01b0\u01a1ng: ng\u1eafn chi T.<\/li>\n<li>D\u1ea5u hi\u1ec7u g\u00e3y x\u01b0\u01a1ng kh\u00f4ng ch\u1eafc ch\u1eafn \u1edf \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i (T) nh\u01b0: \u0111au v\u00e0 m\u1ea5t v\u1eadn \u0111\u1ed9ng kh\u1edbp h\u00e1ng, \u0111\u00f9i kh\u00e9p, ch\u00e2n (T) xoay ngo\u00e0i,<\/li>\n<li>Y\u1ebfu t\u1ed1 nguy c\u01a1: BN n\u1eef, l\u1edbn tu\u1ed5i, sau m\u00e3n kinh, nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng cao.<\/li>\n<li>BN c\u00f3 c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng n\u0103ng l\u01b0\u1ee3ng th\u1ea5p &#8211; t\u00e9 ng\u00e3 trong tai n\u1ea1n sinh ho\u1ea1t.<\/li>\n<\/ul>\n<p>Ngo\u00e0i ra, kh\u00f4ng quan s\u00e1t th\u1ea5y v\u1ebft th\u01b0\u01a1ng, kh\u00f4ng m\u00e1u v\u00e1ng m\u1ee1, kh\u00f4ng c\u00f3 l\u1ed7 d\u00f2,\u00a0 th\u00f4ng v\u1edbi b\u00ean ngo\u00e0i, kh\u00f4ng b\u00f3ng n\u01b0\u1edbc \u2192 Ngh\u0129 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">g\u00e3y x\u01b0\u01a1ng k\u00edn<\/a> x\u01b0\u01a1ng v\u00f9ng kh\u1edbp h\u00e1ng do tai n\u1ea1n sinh ho\u1ea1t.<\/p>\n<ul>\n<li>Ph\u00e2n bi\u1ec7t g\u00e3y x\u01b0\u01a1ng \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 tr\u1eadt kh\u1edbp h\u00e1ng:\n<ul>\n<li>BN c\u00f3 m\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u g\u1ee3i \u00fd tr\u1eadt kh\u1edbp h\u00e1ng nh\u01b0: \u0111au, m\u1ea5t c\u01a1 n\u0103ng, t\u01b0 th\u1ebf \u0111\u00f9i kh\u00e9p, xoay ngo\u00e0i.<\/li>\n<li>BN c\u00f3 chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i thay \u0111\u1ed5i, kh\u00f4ng c\u00f3 d\u1ea5u \u1ed5 c\u1ed1i r\u1ed7ng khi s\u1edd tam gi\u00e1c Scarpa.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>\u2192 \u0111\u1ec1 ngh\u1ecb <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/x-quang-trong-chan-thuong-chinh-hinh\/\">X-quang<\/a> khung ch\u1eadu \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n.<\/p>\n<ul>\n<li>V\u1ecb tr\u00ed g\u00e3y x\u01b0\u01a1ng: BN ti\u1ebfp \u0111\u1ea5t b\u1eb1ng 2 m\u00f4ng, BN \u0111au \u1edf kh\u1edbp h\u00e1ng (T) do \u0111\u00f3 ngh\u0129 ch\u1ea5n th\u01b0\u01a1ng \u1edf v\u00f9ng h\u00e1ng (T) \u1edf c\u00e1c v\u1ecb tr\u00ed: c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i, v\u00f9ng li\u00ean m\u1ea5u chuy\u1ec3n x\u01b0\u01a1ng \u0111\u00f9i, \u1ed5 c\u1ed1i, x\u01b0\u01a1ng ch\u1eadu.<\/li>\n<\/ul>\n<p>G\u00e3y x\u01b0\u01a1ng ch\u1eadu: kh\u00f4ng ngh\u0129,\u00a0 g\u00e3y x\u01b0\u01a1ng ch\u1eadu l\u00e0 g\u00e3y x\u01b0\u01a1ng l\u1edbn, g\u00e2y ch\u1ea3y m\u00e1u nhi\u1ec1u m\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 v\u1ebft th\u01b0\u01a1ng b\u1ea7m t\u00edm \u1edf v\u00f9ng b\u1eb9n v\u00e0 sinh hi\u1ec7u \u1ed5n, ch\u1ec9 s\u1ed1 s\u1ed1c 0.7&lt;1<\/p>\n<ul>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-khung-chau\/\">G\u00e3y \u1ed5 c\u1ed1i<\/a>: kh\u00f4ng ngh\u0129, ngh\u0129, B\u1ec7nh nh\u00e2n t\u1ec9nh, sinh hi\u1ec7u \u1ed5n, ch\u1ec9 s\u1ed1 s\u1ed1c HR\/SBP= 0.7 &lt;1, c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng n\u0103ng l\u01b0\u1ee3ng th\u1ea5p; kh\u00f4ng s\u01b0ng b\u1ea7m m\u00e1u v\u00f9ng kh\u1edbp h\u00e1ng, chi\u1ec1u d\u00e0i t\u01b0\u01a1ng<\/li>\n<\/ul>\n<p>\u0111\u1ed1i chi tr\u00e1i gi\u1ea3m so v\u1edbi chi ph\u1ea3i,\u00a0 \u1ea5n kh\u00f4ng \u0111au v\u00f9ng ch\u1eadu m\u00f4ng.<\/p>\n<ul>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-chi-duoi\/\">G\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i<\/a>: ngh\u0129 nhi\u1ec1u, BN c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m g\u1ee3i \u00fd g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i nh\u01b0 \u1ea5n \u0111au v\u00f9ng tam gi\u00e1c Scarpa, t\u01b0 th\u1ebf \u0111\u00f9i kh\u00e9p, ch\u00e2n tr\u00e1i xoay ngo\u00e0i, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/so-cuu-bat-dong-gay-xuong\/\">b\u1ea5t \u0111\u1ed9ng<\/a> sau t\u00e9, gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng, chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee7a \u0111\u00f9i (T)\u00a0 gi\u1ea3m so v\u1edbi \u0111\u00f9i (P) \u2192 X-quang x\u01b0\u01a1ng \u0111\u00f9i, kh\u1edbp h\u00e1ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n.<\/li>\n<li>G\u00e3y li\u00ean m\u1ea5u chuy\u1ec3n: \u00edt ngh\u0129, \u0111\u1eb7c \u0111i\u1ec3m g\u1ee3i \u00fd nh\u01b0 ch\u00e2n (T) xoay ngo\u00e0i, b\u1ea5t \u0111\u1ed9ng sau t\u00e9, gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng. Tuy nhi\u00ean chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee7a \u0111\u00f9i (T)\u00a0 gi\u1ea3m so v\u1edbi \u0111\u00f9i (P), c\u00f3 t\u01b0 th\u1ebf gi\u1ea3m \u0111au, kh\u00f4ng c\u00f3 v\u1ebft b\u1ea7m t\u00edm\u2192 X-quang x\u01b0\u01a1ng \u0111\u00f9i \u0111\u1ec3 lo\u1ea1i tr\u1eeb.<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng c\u01a1 quan k\u00e8m theo: qua th\u0103m h\u1ecfi b\u1ec7nh s\u1eed, BN kh\u00f4ng \u0111au b\u1ee5ng, kh\u00f4ng \u0111au \u0111\u1ea7u, th\u0103m kh\u00e1m l\u00e2m s\u00e0ng cho th\u1ea5y, b\u1ee5ng m\u1ec1m kh\u00f4ng \u0111i\u1ec3m \u0111au khu tr\u00fa, ch\u1ea1m th\u1eadn (-), gan l\u00e1ch kh\u00f4ng s\u1edd ch\u1ea1m, c\u1ea7u b\u00e0ng quang (-), ti\u1ec3u \u0111\u01b0\u1ee3c, kh\u00f4ng \u1ea5n \u0111au g\u00f3c s\u01b0\u1eddn \u2013 s\u1ed1ng \u2192 \u00edt ngh\u0129 t\u1ed5n th\u01b0\u01a1ng t\u1ea1ng \u1ed5 b\u1ee5ng (t\u1ea1ng \u0111\u1eb7c, b\u00e0ng quang).<\/li>\n<li>BN c\u00f3 t\u00ea v\u00e0 y\u1ebfu d\u1ea7n 2 b\u00e0n tay \u0111\u00e3 c\u00f3 t\u1eeb th\u1eddi \u0111i\u1ec3m c\u00e1ch tai n\u1ea1n sinh ho\u1ea1t 4 th\u00e1ng, n\u00ean nghi ng\u1edd BN c\u00f3 b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn th\u1ea7n kinh, c\u01a1 chi ph\u1ed1i v\u00f9ng b\u00e0n tay tr\u01b0\u1edbc \u0111\u00f3 ( ngh\u0129 nhi\u1ec1u h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay) ch\u01b0a \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb &#8211;&gt; \u0111\u1ec1 ngh\u1ecb th\u0103m kh\u00e1m th\u00eam chuy\u00ean khoa cho b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb xong t\u00ecnh tr\u1ea1ng hi\u1ec7n t\u1ea1i.\u00a0<\/li>\n<\/ul>\n<ul>\n<li>x\u01b0\u01a1ng v\u00f9ng kh\u1edbp h\u00e1ng do tai n\u1ea1n sinh ho\u1ea1t.<\/li>\n<li>Ph\u00e2n bi\u1ec7t g\u00e3y x\u01b0\u01a1ng \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 tr\u1eadt kh\u1edbp h\u00e1ng:\n<ul>\n<li>BN c\u00f3 m\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u g\u1ee3i \u00fd tr\u1eadt kh\u1edbp h\u00e1ng nh\u01b0: \u0111au, m\u1ea5t c\u01a1 n\u0103ng, t\u01b0 th\u1ebf \u0111\u00f9i kh\u00e9p, xoay ngo\u00e0i.<\/li>\n<li>BN c\u00f3 chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i thay \u0111\u1ed5i, kh\u00f4ng c\u00f3 d\u1ea5u \u1ed5 c\u1ed1i r\u1ed7ng khi s\u1edd tam gi\u00e1c Scarpa.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>\u2192 \u0111\u1ec1 ngh\u1ecb X-quang khung ch\u1eadu \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n.<\/p>\n<ul>\n<li>V\u1ecb tr\u00ed g\u00e3y x\u01b0\u01a1ng: BN ti\u1ebfp \u0111\u1ea5t b\u1eb1ng 2 m\u00f4ng, BN \u0111au \u1edf kh\u1edbp h\u00e1ng (T) do \u0111\u00f3 ngh\u0129 ch\u1ea5n th\u01b0\u01a1ng \u1edf v\u00f9ng h\u00e1ng (T) \u1edf c\u00e1c v\u1ecb tr\u00ed: c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i, v\u00f9ng li\u00ean m\u1ea5u chuy\u1ec3n x\u01b0\u01a1ng \u0111\u00f9i, \u1ed5 c\u1ed1i, x\u01b0\u01a1ng ch\u1eadu.<\/li>\n<\/ul>\n<p>G\u00e3y x\u01b0\u01a1ng ch\u1eadu: kh\u00f4ng ngh\u0129,\u00a0 g\u00e3y x\u01b0\u01a1ng ch\u1eadu l\u00e0 g\u00e3y x\u01b0\u01a1ng l\u1edbn, g\u00e2y ch\u1ea3y m\u00e1u nhi\u1ec1u m\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 v\u1ebft th\u01b0\u01a1ng b\u1ea7m t\u00edm \u1edf v\u00f9ng b\u1eb9n v\u00e0 sinh hi\u1ec7u \u1ed5n, ch\u1ec9 s\u1ed1 s\u1ed1c 0.7&lt;1<\/p>\n<ul>\n<li>G\u00e3y \u1ed5 c\u1ed1i: kh\u00f4ng ngh\u0129, ngh\u0129, B\u1ec7nh nh\u00e2n t\u1ec9nh, sinh hi\u1ec7u \u1ed5n, ch\u1ec9 s\u1ed1 s\u1ed1c HR\/SBP= 0.7 &lt;1, c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng n\u0103ng l\u01b0\u1ee3ng th\u1ea5p; kh\u00f4ng s\u01b0ng b\u1ea7m m\u00e1u v\u00f9ng kh\u1edbp h\u00e1ng, chi\u1ec1u d\u00e0i t\u01b0\u01a1ng<\/li>\n<\/ul>\n<p>\u0111\u1ed1i chi tr\u00e1i gi\u1ea3m so v\u1edbi chi ph\u1ea3i,\u00a0 \u1ea5n kh\u00f4ng \u0111au v\u00f9ng ch\u1eadu m\u00f4ng.<\/p>\n<ul>\n<li>G\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i: ngh\u0129 nhi\u1ec1u, BN c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m g\u1ee3i \u00fd g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i nh\u01b0 \u1ea5n \u0111au v\u00f9ng tam gi\u00e1c Scarpa, t\u01b0 th\u1ebf \u0111\u00f9i kh\u00e9p, ch\u00e2n tr\u00e1i xoay ngo\u00e0i, b\u1ea5t \u0111\u1ed9ng sau t\u00e9, gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng, chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee7a \u0111\u00f9i (T)\u00a0 gi\u1ea3m so v\u1edbi \u0111\u00f9i (P) \u2192 X-quang x\u01b0\u01a1ng \u0111\u00f9i, kh\u1edbp h\u00e1ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n.<\/li>\n<li>G\u00e3y li\u00ean m\u1ea5u chuy\u1ec3n: \u00edt ngh\u0129, \u0111\u1eb7c \u0111i\u1ec3m g\u1ee3i \u00fd nh\u01b0 ch\u00e2n (T) xoay ngo\u00e0i, b\u1ea5t \u0111\u1ed9ng sau t\u00e9, gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng. Tuy nhi\u00ean chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee7a \u0111\u00f9i (T)\u00a0 gi\u1ea3m so v\u1edbi \u0111\u00f9i (P), c\u00f3 t\u01b0 th\u1ebf gi\u1ea3m \u0111au, kh\u00f4ng c\u00f3 v\u1ebft b\u1ea7m t\u00edm\u2192 X-quang x\u01b0\u01a1ng \u0111\u00f9i \u0111\u1ec3 lo\u1ea1i tr\u1eeb.<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng c\u01a1 quan k\u00e8m theo: qua th\u0103m h\u1ecfi b\u1ec7nh s\u1eed, BN kh\u00f4ng \u0111au b\u1ee5ng, kh\u00f4ng \u0111au \u0111\u1ea7u, th\u0103m kh\u00e1m l\u00e2m s\u00e0ng cho th\u1ea5y, b\u1ee5ng m\u1ec1m kh\u00f4ng \u0111i\u1ec3m \u0111au khu tr\u00fa, ch\u1ea1m th\u1eadn (-), gan l\u00e1ch kh\u00f4ng s\u1edd ch\u1ea1m, c\u1ea7u b\u00e0ng quang (-), ti\u1ec3u \u0111\u01b0\u1ee3c, kh\u00f4ng \u1ea5n \u0111au g\u00f3c s\u01b0\u1eddn \u2013 s\u1ed1ng \u2192 \u00edt ngh\u0129 t\u1ed5n th\u01b0\u01a1ng t\u1ea1ng \u1ed5 b\u1ee5ng (t\u1ea1ng \u0111\u1eb7c, b\u00e0ng quang).<\/li>\n<li>BN c\u00f3 t\u00ea v\u00e0 y\u1ebfu d\u1ea7n 2 b\u00e0n tay \u0111\u00e3 c\u00f3 t\u1eeb th\u1eddi \u0111i\u1ec3m c\u00e1ch tai n\u1ea1n sinh ho\u1ea1t 4 th\u00e1ng, n\u00ean nghi ng\u1edd BN c\u00f3 b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn th\u1ea7n kinh, c\u01a1 chi ph\u1ed1i v\u00f9ng b\u00e0n tay tr\u01b0\u1edbc \u0111\u00f3 ( ngh\u0129 nhi\u1ec1u h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay) ch\u01b0a \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb &#8211;&gt; \u0111\u1ec1 ngh\u1ecb th\u0103m kh\u00e1m th\u00eam chuy\u00ean khoa cho b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb xong t\u00ecnh tr\u1ea1ng hi\u1ec7n t\u1ea1i.<\/li>\n<\/ul>\n<h4><u>\u00a0<\/u><u>Bi\u1ec7n lu\u1eadn bi\u1ebfn ch\u1ee9ng g\u00e3y x\u01b0\u01a1ng:<\/u><\/h4>\n<p>BN \u0111ang \u1edf ng\u00e0y th\u1ee9 2 c\u1ee7a b\u1ec7nh &#8211;&gt; bi\u1ec7n lu\u1eadn bi\u1ebfn ch\u1ee9ng:<\/p>\n<ul>\n<li><strong>T\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u<\/strong><u><strong>:<\/strong><\/u> \u00edt ngh\u0129 do da v\u00f9ng b\u00e0n ch\u00e2n v\u00e0 c\u1eb3ng ch\u00e2n v\u1eabn h\u1ed3ng h\u00e0o v\u00e0 s\u1edd \u1ea5m \u2013 \u0111\u01b0\u1ee3c t\u01b0\u1edbi m\u00e1u t\u1ed1t, b\u1eaft \u0111\u01b0\u1ee3c m\u1ea1ch mu ch\u00e2n v\u00e0 m\u1ea1ch ch\u00e0y sau.<\/li>\n<li><strong>T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh:<\/strong> \u00a0c\u1ea3m gi\u00e1c t\u00ea m\u1eb7t tr\u01b0\u1edbc trong \u0111\u00f9i (bi\u1ebfn ch\u1ee9ng li\u1ec7t TK \u0111\u00f9i) ho\u1eb7c c\u00f3 th\u1ec3 do b\u1ec7nh l\u00fd \u0111\u1ed3ng m\u1eafc c\u1ee7a BN, BN kh\u00f4ng c\u00f3 c\u1ea3m gi\u00e1c t\u00ea b\u00ec \u1edf gan ch\u00e2n (bi\u1ebfn ch\u1ee9ng li\u1ec7t TK h\u00f4ng to), c\u1ea3m gi\u00e1c n\u00f4ng s\u00e2u v\u1eabn c\u00f2n \u1edf c\u1eb3ng ch\u00e2n v\u00e0 b\u00e0n ch\u00e2n (TK m\u00e1c).<\/li>\n<li><strong>R\u1ed1i lo\u1ea1n dinh d\u01b0\u1ee1ng c\u1ea5p t\u00ednh<\/strong>: kh\u00f4ng c\u00f3 b\u00f3ng n\u01b0\u1edbc da c\u1ea1nh \u1ed5 g\u00e3y<\/li>\n<\/ul>\n<p><u><strong>Bi\u1ebfn ch\u1ee9ng g\u00e3y x\u01b0\u01a1ng k\u00edn chuy\u1ec3n <\/strong><\/u><strong><u>sang <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ho\/\">g\u00e3y h\u1edf<\/a><\/u><\/strong>: \u00edt ngh\u0129 do kh\u00f4ng s\u1edd th\u1ea5y \u0111\u1ea7u x\u01b0\u01a1ng d\u01b0\u1edbi m\u1eb7t da, kh\u00f4ng quan s\u00e1t th\u1ea5y v\u1ebft th\u01b0\u01a1ng<\/p>\n<ul>\n<li><strong>Kh\u1edbp gi\u1ea3: <\/strong>ngh\u0129 nhi\u1ec1u do b\u1ec7nh di\u1ec5n ti\u1ebfn 5 th\u00e1ng, kh\u00f4ng \u0111\u01b0\u1ee3c n\u1eb9p c\u1ed1 \u0111\u1ecbnh.<\/li>\n<\/ul>\n<h2><strong>\u00a0<\/strong>X. \u0110\u1ec1 ngh\u1ecb c\u1eadn l\u00e2m s\u00e0ng:<\/h2>\n<ol>\n<li>CLS ch\u1ea9n \u0111o\u00e1n: XQ khung ch\u1eadu b\u00ecnh di\u1ec7n th\u1eb3ng v\u00e0 b\u00ecnh di\u1ec7n nghi\u00eang, XQ \u0111\u00f9i<\/li>\n<\/ol>\n<p>(T) b\u00ecnh di\u1ec7n th\u1eb3ng (ch\u00e2n xoay trong 20\u1424, h\u01a1i d\u1ea1ng ra ngo\u00e0i) v\u00e0 b\u00ecnh di\u1ec7n nghi\u00eang, \u0111\u01b0\u1eddng huy\u1ebft mao m\u1ea1ch t\u1ea1i gi\u01b0\u1eddng, \u0111\u01b0\u1eddng huy\u1ebft t\u0129nh m\u1ea1ch, HbA1C, \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3.<\/p>\n<ol start=\"2\">\n<li>CLS h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb: c\u00f4ng th\u1ee9c m\u00e1u, \u0111\u00f4ng m\u00e1u, sinh h\u00f3a m\u00e1u, XQ c\u1eb3ng b\u00e0n tay (T), XQ ng\u1ef1c th\u1eb3ng, ECG, TPTNT, si\u00eau \u00e2m b\u1ee5ng, si\u00eau \u00e2m tim, \u0111o \u0111\u1ed9 lo\u00e3ng x\u01b0\u01a1ng DEXA.<\/li>\n<\/ol>\n<h2>XI. K\u1ebft qu\u1ea3 c\u1eadn l\u00e2m s\u00e0ng:<\/h2>\n<figure id=\"attachment_2198\" aria-describedby=\"caption-attachment-2198\" style=\"width: 505px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-2198 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.1.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i 1.1\" width=\"505\" height=\"583\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.1.png 505w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.1-260x300.png 260w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.1-10x12.png 10w\" sizes=\"(max-width: 505px) 100vw, 505px\" \/><figcaption id=\"caption-attachment-2198\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i 1.1<\/figcaption><\/figure>\n<p>X quang khung ch\u1eadu th\u1eb3ng<\/p>\n<p>H\u1ecd v\u00e0 t\u00ean BN: H\u1ed3 Th\u1ecb L. ( 56 tu\u1ed5i)hi<\/p>\n<p>Ng\u00e0y ch\u1ee5p: 10\/3\/2023<\/p>\n<p>T\u01b0 th\u1ebf ch\u1ee5p: th\u1eb3ng<\/p>\n<p>Ch\u1ea5t l\u01b0\u1ee3ng tia v\u1eeba<\/p>\n<p>T\u1ec9 l\u1ec7 phim: 22%<\/p>\n<p>\u0110\u1ecdc phim:<\/p>\n<ul>\n<li>Kh\u00f4ng ph\u00f9 n\u1ec1 m\u00f4 m\u1ec1m xung quanh kh\u1edbp h\u00e1ng T<\/li>\n<li>\u0110\u01b0\u1eddng shenton m\u1ea5t li\u00ean t\u1ee5c<\/li>\n<li>Kh\u00f4ng ghi nh\u1eadn h\u00ecnh \u1ea3nh tr\u1eadt kh\u1edbp h\u00e1ng<\/li>\n<li>Kh\u00f4ng m\u1ea5t li\u00ean t\u1ee5c c\u00e1c \u0111\u01b0\u1eddng nh\u01b0: b\u1edd tr\u01b0\u1edbc \u1ed5 c\u1ed1i, tr\u1ea7n \u1ed5 c\u1ed1i, \u0111\u01b0\u1eddng ch\u1eadu ng\u1ed3i, \u0111\u01b0\u1eddng ch\u1eadu l\u01b0\u1ee3c =&gt; kh\u00f4ng g\u1ee3i \u00fd g\u00e3y x\u01b0\u01a1ng ch\u1eadu k\u00e8m theo<\/li>\n<li>Kh\u00f4ng quan s\u00e1t d\u1ecb v\u1eadt b\u1ea5t th\u01b0\u1eddng.<\/li>\n<li>X\u01b0\u01a1ng g\u00e3y: X\u01b0\u01a1ng \u0111\u00f9i T<\/li>\n<li>V\u1ecb tr\u00ed g\u00e3y : c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i<\/li>\n<li>\u0110\u01b0\u1eddng g\u00e3y: ch\u00e9o<\/li>\n<li>Di l\u1ec7ch: ch\u1ed3ng ng\u1eafn, xoay trong, kh\u00f4ng di l\u1ec7ch sang b\u00ean, kh\u00f4ng di l\u1ec7ch xa, kh\u00f4ng g\u1eadp g\u00f3c.<\/li>\n<\/ul>\n<p><strong>K\u1ebft lu\u1eadn<\/strong>: g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i T, Garden III ng\u00e0y th\u1ee9<\/p>\n<p><figure id=\"attachment_2199\" aria-describedby=\"caption-attachment-2199\" style=\"width: 316px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-2199 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.2.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i 1.2\" width=\"316\" height=\"603\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.2.png 316w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.2-157x300.png 157w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.2-6x12.png 6w\" sizes=\"(max-width: 316px) 100vw, 316px\" \/><figcaption id=\"caption-attachment-2199\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i 1.2<\/figcaption><\/figure> <figure id=\"attachment_2200\" aria-describedby=\"caption-attachment-2200\" style=\"width: 272px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2200 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.3.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i 1.3\" width=\"272\" height=\"605\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.3.png 272w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.3-135x300.png 135w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.3-5x12.png 5w\" sizes=\"(max-width: 272px) 100vw, 272px\" \/><figcaption id=\"caption-attachment-2200\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i 1.3<\/figcaption><\/figure> <figure id=\"attachment_2201\" aria-describedby=\"caption-attachment-2201\" style=\"width: 410px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2201 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.5.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i 1.4\" width=\"410\" height=\"478\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.5.png 410w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.5-257x300.png 257w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-dui-1.5-10x12.png 10w\" sizes=\"(max-width: 410px) 100vw, 410px\" \/><figcaption id=\"caption-attachment-2201\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i 1.4<\/figcaption><\/figure><\/p>\n<p>&nbsp;<\/p>\n<table width=\"627\">\n<tbody>\n<tr>\n<td width=\"224\">\n<p><strong>T\u00ean x\u00e9t nghi\u1ec7m <\/strong><\/p>\n<\/td>\n<td width=\"110\">\n<p><strong>K\u1ebft qu\u1ea3 <\/strong><\/p>\n<\/td>\n<td width=\"160\">\n<p><strong>Kho\u1ea3ng tham chi\u1ebfu <\/strong><\/p>\n<\/td>\n<td width=\"133\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>WBC<\/p>\n<\/td>\n<td width=\"110\">\n<p>9.83<\/p>\n<\/td>\n<td width=\"160\">\n<p>4.01 &#8211; 11.42<\/p>\n<\/td>\n<td width=\"133\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>NEU%<\/p>\n<\/td>\n<td width=\"110\">\n<p>60.9<\/p>\n<\/td>\n<td width=\"160\">\n<p>40 &#8211; 74<\/p>\n<\/td>\n<td width=\"133\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>LYM%<\/p>\n<\/td>\n<td width=\"110\">\n<p>23.2<\/p>\n<\/td>\n<td width=\"160\">\n<p>19 &#8211; 48<\/p>\n<\/td>\n<td width=\"133\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>MONO%<\/p>\n<\/td>\n<td width=\"110\">\n<p>6.4<\/p>\n<\/td>\n<td width=\"160\">\n<p>3.4 &#8211; 9.0<\/p>\n<\/td>\n<td width=\"133\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>EOS%<\/p>\n<\/td>\n<td width=\"110\">\n<p>9.2<\/p>\n<\/td>\n<td width=\"160\">\n<p>0.0 &#8211; 7.0<\/p>\n<\/td>\n<td width=\"133\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>BASO%<\/p>\n<\/td>\n<td width=\"110\">\n<p>0.3<\/p>\n<\/td>\n<td width=\"160\">\n<p>0.0 &#8211; 1.5<\/p>\n<\/td>\n<td width=\"133\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>NEU#<\/p>\n<\/td>\n<td width=\"110\">\n<p>5.99<\/p>\n<\/td>\n<td width=\"160\">\n<p>1.7 &#8211; 7.5<\/p>\n<\/td>\n<td width=\"133\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table width=\"627\">\n<tbody>\n<tr>\n<td width=\"224\">\n<p>LYM#<\/p>\n<\/td>\n<td width=\"110\">\n<p>2.28<\/p>\n<\/td>\n<td width=\"160\">\n<p>1.2 &#8211; 4.0<\/p>\n<\/td>\n<td width=\"133\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>MONO#<\/p>\n<\/td>\n<td width=\"110\">\n<p>0.63<\/p>\n<\/td>\n<td width=\"160\">\n<p>0.2 &#8211; 0.8<\/p>\n<\/td>\n<td width=\"133\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>EOS#<\/p>\n<\/td>\n<td width=\"110\">\n<p>0.9<\/p>\n<\/td>\n<td width=\"160\">\n<p>0.0 &#8211; 0.6<\/p>\n<\/td>\n<td width=\"133\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>BASO#<\/p>\n<\/td>\n<td width=\"110\">\n<p>0.03<\/p>\n<\/td>\n<td width=\"160\">\n<p>0.0 &#8211; 0.1<\/p>\n<\/td>\n<td width=\"133\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>RBC<\/p>\n<\/td>\n<td width=\"110\">\n<p>4.37<\/p>\n<\/td>\n<td width=\"160\">\n<p>4.01 &#8211; 5.79<\/p>\n<\/td>\n<td width=\"133\">\n<p>M\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>HGB<\/p>\n<\/td>\n<td width=\"110\">\n<p>12.8<\/p>\n<\/td>\n<td width=\"160\">\n<p>11.5 &#8211; 15.0<\/p>\n<\/td>\n<td width=\"133\">\n<p>g\/dL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>HCT<\/p>\n<\/td>\n<td width=\"110\">\n<p>40.0<\/p>\n<\/td>\n<td width=\"160\">\n<p>34.4 &#8211; 48.6<\/p>\n<\/td>\n<td width=\"133\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>MCV<\/p>\n<\/td>\n<td width=\"110\">\n<p>91.6<\/p>\n<\/td>\n<td width=\"160\">\n<p>80 &#8211; 99<\/p>\n<\/td>\n<td width=\"133\">\n<p>fL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>MCH<\/p>\n<\/td>\n<td width=\"110\">\n<p>29.3<\/p>\n<\/td>\n<td width=\"160\">\n<p>27 &#8211; 33<\/p>\n<\/td>\n<td width=\"133\">\n<p>Pg<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>MCHC<\/p>\n<\/td>\n<td width=\"110\">\n<p>32.0<\/p>\n<\/td>\n<td width=\"160\">\n<p>32 &#8211; 36<\/p>\n<\/td>\n<td width=\"133\">\n<p>g\/dL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>RDW<\/p>\n<\/td>\n<td width=\"110\">\n<p>13.1<\/p>\n<\/td>\n<td width=\"160\">\n<p>11.5 &#8211; 15.5<\/p>\n<\/td>\n<td width=\"133\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>PLT<\/p>\n<\/td>\n<td width=\"110\">\n<p>195.0<\/p>\n<\/td>\n<td width=\"160\">\n<p>150 &#8211; 450<\/p>\n<\/td>\n<td width=\"133\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>MPV<\/p>\n<\/td>\n<td width=\"110\">\n<p>11<\/p>\n<\/td>\n<td width=\"160\">\n<p>7.4 &#8211; 10.9<\/p>\n<\/td>\n<td width=\"133\">\n<p>fL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>\u0110\u1ecbnh nh\u00f3m m\u00e1u h\u1ec7 RH (D)<\/p>\n<\/td>\n<td width=\"110\">\n<p>+<\/p>\n<\/td>\n<td width=\"160\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"133\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"224\">\n<p>Nh\u00f3m m\u00e1u h\u1ec7 ABO<\/p>\n<\/td>\n<td width=\"110\">\n<p>A<\/p>\n<\/td>\n<td width=\"160\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"133\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table width=\"629\">\n<tbody>\n<tr>\n<td width=\"226\">\n<p><strong>T\u00ean x\u00e9t nghi\u1ec7m <\/strong><\/p>\n<\/td>\n<td width=\"109\">\n<p><strong>K\u1ebft qu\u1ea3 <\/strong><\/p>\n<\/td>\n<td width=\"163\">\n<p><strong>Kho\u1ea3ng\u00a0 tham chi\u1ebfu<\/strong><\/p>\n<\/td>\n<td width=\"131\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"226\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng\u00a0 Glucose [m\u00e1u]<\/p>\n<\/td>\n<td width=\"109\">\n<p>5.5<\/p>\n<\/td>\n<td width=\"163\">\n<p>4.1 &#8211; 5.9<\/p>\n<\/td>\n<td width=\"131\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"226\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Ure\u00a0 [m\u00e1u]<\/p>\n<\/td>\n<td width=\"109\">\n<p>4.8<\/p>\n<\/td>\n<td width=\"163\">\n<p>2.8 &#8211; 7.2<\/p>\n<\/td>\n<td width=\"131\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table width=\"629\">\n<tbody>\n<tr>\n<td width=\"226\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng\u00a0 Creatinin [m\u00e1u]<\/p>\n<\/td>\n<td width=\"109\">\n<p>58<\/p>\n<\/td>\n<td width=\"163\">\n<p>53 &#8211; 12-<\/p>\n<\/td>\n<td width=\"131\">\n<p>umol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"226\">\n<p>eGFR<\/p>\n<\/td>\n<td width=\"109\">\n<p>99.14<\/p>\n<\/td>\n<td width=\"163\">\n<p>&gt;=60<\/p>\n<\/td>\n<td width=\"131\">\n<p>U\/L &#8211; 37 \u0111\u1ed9 C<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"226\">\n<p>\u0110o ho\u1ea1t \u0111\u1ed9 AST\u00a0 (GOT) [m\u00e1u]<\/p>\n<\/td>\n<td width=\"109\">\n<p>29<\/p>\n<\/td>\n<td width=\"163\">\n<p>&lt;35<\/p>\n<\/td>\n<td width=\"131\">\n<p>U\/L &#8211; 37 \u0111\u1ed9 C<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"226\">\n<p>\u0110o ho\u1ea1t \u0111\u1ed9 ALT\u00a0 (GPT) [m\u00e1u]<\/p>\n<\/td>\n<td width=\"109\">\n<p>25<\/p>\n<\/td>\n<td width=\"163\">\n<p>&lt;35<\/p>\n<\/td>\n<td width=\"131\">\n<p>U\/L &#8211; 37 \u0111\u1ed9 C<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\" width=\"629\">\n<p>\u0110i\u1ec7n gi\u1ea3i \u0111\u1ed3 (Na, K, Cl) [m\u00e1u]<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"226\">\n<p>Na+<\/p>\n<\/td>\n<td width=\"109\">\n<p>141<\/p>\n<\/td>\n<td width=\"163\">\n<p>135-145<\/p>\n<\/td>\n<td width=\"131\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"226\">\n<p>K+<\/p>\n<\/td>\n<td width=\"109\">\n<p>3.8<\/p>\n<\/td>\n<td width=\"163\">\n<p>3.5 -5.0<\/p>\n<\/td>\n<td width=\"131\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"226\">\n<p>Cl-<\/p>\n<\/td>\n<td width=\"109\">\n<p>106<\/p>\n<\/td>\n<td width=\"163\">\n<p>98 &#8211; 106<\/p>\n<\/td>\n<td width=\"131\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"226\">\n<p>Calci<\/p>\n<\/td>\n<td width=\"109\">\n<p>2.3<\/p>\n<\/td>\n<td width=\"163\">\n<p>2.15 &#8211; 2.6<\/p>\n<\/td>\n<td width=\"131\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table width=\"632\">\n<tbody>\n<tr>\n<td width=\"223\">\n<p><strong>T\u00ean x\u00e9t nghi\u1ec7m <\/strong><\/p>\n<\/td>\n<td width=\"108\">\n<p><strong>K\u1ebft qu\u1ea3 <\/strong><\/p>\n<\/td>\n<td width=\"168\">\n<p><strong>Kho\u1ea3ng tham\u00a0 chi\u1ebfu<\/strong><\/p>\n<\/td>\n<td width=\"133\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"223\">\n<p>aPTT (TCK)<\/p>\n<\/td>\n<td width=\"108\">\n<p>31<\/p>\n<\/td>\n<td width=\"168\">\n<p>25-37<\/p>\n<\/td>\n<td width=\"133\">\n<p>gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"223\">\n<p>TQ<\/p>\n<\/td>\n<td width=\"108\">\n<p>10.9<\/p>\n<\/td>\n<td width=\"168\">\n<p>9.3-14.3<\/p>\n<\/td>\n<td width=\"133\">\n<p>gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"223\">\n<p>TL Prothrombin<\/p>\n<\/td>\n<td width=\"108\">\n<p>100<\/p>\n<\/td>\n<td width=\"168\">\n<p>&gt;70<\/p>\n<\/td>\n<td width=\"133\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"223\">\n<p>INR<\/p>\n<\/td>\n<td width=\"108\">\n<p>0.99<\/p>\n<\/td>\n<td width=\"168\">\n<p>0.84-1.29<\/p>\n<\/td>\n<td width=\"133\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table width=\"632\">\n<tbody>\n<tr>\n<td width=\"223\">\n<p><strong>T\u00ean x\u00e9t nghi\u1ec7m <\/strong><\/p>\n<\/td>\n<td width=\"108\">\n<p><strong>K\u1ebft qu\u1ea3 <\/strong><\/p>\n<\/td>\n<td width=\"168\">\n<p><strong>Kho\u1ea3ng tham\u00a0 chi\u1ebfu<\/strong><\/p>\n<\/td>\n<td width=\"133\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"223\">\n<p>aPTT (TCK)<\/p>\n<\/td>\n<td width=\"108\">\n<p>31<\/p>\n<\/td>\n<td width=\"168\">\n<p>25-37<\/p>\n<\/td>\n<td width=\"133\">\n<p>gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"223\">\n<p>TQ<\/p>\n<\/td>\n<td width=\"108\">\n<p>10.9<\/p>\n<\/td>\n<td width=\"168\">\n<p>9.3-14.3<\/p>\n<\/td>\n<td width=\"133\">\n<p>gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"223\">\n<p>TL Prothrombin<\/p>\n<\/td>\n<td width=\"108\">\n<p>100<\/p>\n<\/td>\n<td width=\"168\">\n<p>&gt;70<\/p>\n<\/td>\n<td width=\"133\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"223\">\n<p>INR<\/p>\n<\/td>\n<td width=\"108\">\n<p>0.99<\/p>\n<\/td>\n<td width=\"168\">\n<p>0.84-1.29<\/p>\n<\/td>\n<td width=\"133\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table width=\"430\">\n<tbody>\n<tr>\n<td width=\"147\">\n<p>GLU<\/p>\n<\/td>\n<td width=\"139\">\n<p>normal<\/p>\n<\/td>\n<td width=\"144\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">\n<p>KET<\/p>\n<\/td>\n<td width=\"139\">\n<p>neg<\/p>\n<\/td>\n<td width=\"144\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">\n<p>BIL<\/p>\n<\/td>\n<td width=\"139\">\n<p>neg<\/p>\n<\/td>\n<td width=\"144\">\n<p>umol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">\n<p>PRO<\/p>\n<\/td>\n<td width=\"139\">\n<p>neg<\/p>\n<\/td>\n<td width=\"144\">\n<p>g\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">\n<p>NIT<\/p>\n<\/td>\n<td width=\"139\">\n<p>neg<\/p>\n<\/td>\n<td width=\"144\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">\n<p>pH<\/p>\n<\/td>\n<td width=\"139\">\n<p>6.5<\/p>\n<\/td>\n<td width=\"144\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">\n<p>BLD-Hem<\/p>\n<\/td>\n<td width=\"139\">\n<p>neg<\/p>\n<\/td>\n<td width=\"144\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">\n<p>S.G<\/p>\n<\/td>\n<td width=\"139\">\n<p>1.007<\/p>\n<\/td>\n<td width=\"144\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">\n<p>LEU<\/p>\n<\/td>\n<td width=\"139\">\n<p>25 leu\/uL<\/p>\n<\/td>\n<td width=\"144\">\n<p>ug\/dL<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>XI. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh:<\/h2>\n<pre>G\u00e3y k\u00edn c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i tr\u00e1i type III theo Garden sau tai n\u1ea1n sinh ho\u1ea1t th\u00e1ng 5 ch\u01b0a bi\u1ebfn ch\u1ee9ng - TD h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay \/ Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m.<\/pre>\n<h2>XII. \u0110i\u1ec1u tr\u1ecb:<\/h2>\n<ol>\n<li>\n<h3><strong>S\u01a1<\/strong><strong> c\u1ee9u<\/strong><\/h3>\n<\/li>\n<\/ol>\n<ul>\n<li>Gi\u1ea3m \u0111au:\n<ul>\n<li>D\u00f9ng c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au to\u00e0n th\u00e2n promedol ho\u1eb7c morphin ho\u1eb7c dolargan ti\u00eam b\u1eafp th\u1ecbt<\/li>\n<li>Ti\u00eam \u1edf kh\u1edbp novocain 1%x20ml<\/li>\n<\/ul>\n<\/li>\n<li>C\u1ed1 \u0111\u1ecbnh \u1ed5 g\u00e3y: Th\u00f4ng th\u01b0\u1eddng hay d\u00f9ng 3 n\u1eb9p: 1 n\u1eb9p t\u1eeb n\u1ebfp b\u1eb9n \u0111\u1ebfn c\u1ed5 ch\u00e2n, 1 n\u1eb9p t\u1eeb h\u00f5m n\u00e1ch xu\u1ed1ng b\u1edd ngo\u00e0i g\u00f3t ch\u00e2n v\u00e0 1 n\u1eb9p \u0111\u1eb7t ph\u00eda sau t\u1eeb g\u00f3c x\u01b0\u01a1ng b\u1ea3 vai xu\u1ed1ng b\u1edd sau g\u00f3t ch\u00e2n =&gt; BN \u0111\u01b0\u1ee3c n\u1eb9p c\u1ed5 c\u1eb3ng ch\u00e2n c\u00f3 \u0111\u1ebf ch\u1ed1ng xoay.<\/li>\n<\/ul>\n<p>Sau khi c\u1ed1 \u0111\u1ecbnh, v\u1eadn chuy\u1ec3n nh\u1eb9 nh\u00e0ng b\u1eb1ng c\u00e1ng c\u1ee9ng v\u1ec1 tuy\u1ebfn sau.<\/p>\n<ol start=\"2\">\n<li>\n<h3><strong>\u0110i\u1ec1u tr\u1ecb th\u1ef1c th\u1ee5: <\/strong><\/h3>\n<p>g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i l\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u ch\u1ea5n th\u01b0\u01a1ng, \u1ed5 g\u00e3y \u0111\u00f2i h\u1ecfi \u0111\u01b0\u1ee3c n\u1eafn ch\u1ec9nh v\u00e0 c\u1ed1 \u0111\u1ecbnh trong 24 gi\u1edd nh\u1eb1m \u0111\u1ea1t k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t.<\/li>\n<\/ol>\n<p>C\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i c\u00f3 \u00edt m\u1ea1ch m\u00e1u nu\u00f4i d\u01b0\u1ee1ng n\u00ean kh\u00f3 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/cham-lanh-xuong-va-khong-lanh-xuong\/\">li\u1ec1n x\u01b0\u01a1ng<\/a> n\u1ebfu k\u1ebft h\u1ee3p x\u01b0\u01a1ng v\u00e0 nhi\u1ec1u nguy c\u01a1 bi\u1ebfn ch\u1ee9ng nh\u01b0 kh\u1edbp gi\u1ea3, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoai-tu-vo-mach-chom-xuong-dui\/\">ho\u1ea1i t\u1eed<\/a> ti\u00eau ch\u1ecfm, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/thoai-hoa-khop\/\">tho\u00e1i h\u00f3a kh\u1edbp<\/a> nh\u1ea5t l\u00e0 \u1edf c\u00e1c b\u1ec7nh nh\u00e2n cao tu\u1ed5i. B\u1ec7nh nh\u00e2n \u0111\u00e3 64 tu\u1ed5i n\u00ean \u00edt v\u1eadn \u0111\u1ed9ng<\/p>\n<h3>=&gt; Thay kh\u1edbp h\u00e1ng to\u00e0n ph\u1ea7n.<\/h3>\n<h2><strong>XIII. Ti\u00ean l\u01b0\u1ee3ng:<\/strong><\/h2>\n<ul>\n<li>G\u1ea7n: trung b\u00ecnh, do BN cao tu\u1ed5i \u2192 c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c ho\u00e0n to\u00e0n trong giai \u0111o\u1ea1n sau m\u1ed5, kh\u00f3 ph\u1ed1i h\u1ee3p t\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u ch\u1ee7 \u0111\u1ed9ng, nguy c\u01a1 m\u1eafc c\u00e1c bi\u1ebfn ch\u1ee9ng do n\u1eb1m m\u1ed9t ch\u1ed7.<\/li>\n<li>Xa: trung b\u00ecnh, kh\u1ea3 n\u0103ng \u0111i l\u1ea1i ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng t\u1eadp v\u1eadn \u0111\u1ed9ng c\u1ee7a BN.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"featured_media":1762,"comment_status":"open","ping_status":"open","template":"","tags":[191,192],"chuyen-muc":[188],"class_list":["post-2138","chuyen-de","type-chuyen-de","status-publish","has-post-thumbnail","hentry","tag-benh-an-gay-co-xuong-dui","tag-gay-co-xuong-dui","chuyen-muc-benh-an-mau"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2138","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de"}],"about":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/types\/chuyen-de"}],"replies":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/comments?post=2138"}],"version-history":[{"count":2,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2138\/revisions"}],"predecessor-version":[{"id":2673,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2138\/revisions\/2673"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/1762"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=2138"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=2138"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=2138"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}