{"id":2141,"date":"2023-08-03T18:00:35","date_gmt":"2023-08-03T11:00:35","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=chuyen-de&#038;p=2141"},"modified":"2024-03-23T20:18:39","modified_gmt":"2024-03-23T13:18:39","slug":"benh-an-gay-co-xuong-dui-2","status":"publish","type":"chuyen-de","link":"https:\/\/bsvothanhtoan.com\/en\/chuyen-de\/benh-an-gay-co-xuong-dui-2\/","title":{"rendered":"B\u1ec7nh \u00e1n g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i 2"},"content":{"rendered":"<h2><em><span style=\"font-size: 16px;\">G\u00e3y k\u00edn c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i (T) do TNGT ng\u00e0y th\u1ee9 10, theo d\u00f5i bi\u1ebfn ch\u1ee9ng ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i\/T\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9 III theo ESC 2018 \u2013 \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 \u2013 RLLP m\u00e1u &#8211; Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p. G\u00e3y k\u00edn li\u00ean m\u1ea5u chuy\u1ec3n x\u01b0\u01a1ng \u0111\u00f9i (T) do TNGT ng\u00e0y th\u1ee9 10, theo d\u00f5i bi\u1ebfn ch\u1ee9ng ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i\/T\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9 III theo ESC 2018 \u2013 \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 \u2013 RLLP m\u00e1u &#8211; Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/span><\/em><\/h2>\n<h2><strong>I. H\u00c0NH CH\u00cdNH:<\/strong><\/h2>\n<ol>\n<li>H\u1ecd v\u00e0 t\u00ean BN: PH\u1ea0M TR\u1eccNG P.<\/li>\n<li>N\u0103m sinh: 1974 (49 tu\u1ed5i)<\/li>\n<li>Gi\u1edbi t\u00ednh: Nam<\/li>\n<li>\u0110\u1ecba ch\u1ec9: V\u0129nh L\u1ed9c A, B\u00ecnh Ch\u00e1nh<\/li>\n<li>Ngh\u1ec1 nghi\u1ec7p: t\u1ef1 do<\/li>\n<li>Tay thu\u1eadn: tay tr\u00e1i<\/li>\n<li>Ng\u01b0\u1eddi th\u00e2n: Em trai<\/li>\n<li>S\u1ed1 \u0111i\u1ec7n tho\u1ea1i li\u00ean l\u1ea1c: 036xxxx<\/li>\n<li>Ng\u00e0y gi\u1edd v\u00e0o vi\u1ec7n: 13 gi\u1edd 10 ph\u00fat, ng\u00e0y 14\/03\/2023<\/li>\n<li>Ng\u00e0y gi\u1edd l\u00e0m b\u1ec7nh \u00e1n: 21 gi\u1edd, ng\u00e0y 14\/03\/2023<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\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<pre><span style=\"text-decoration: underline;\"><strong>\r\nTr\u01b0\u1edbc khi xem h\u00e3y coi b\u00e0i gi\u1ea3ng sau:<\/strong><\/span>\r\n<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><\/pre>\n<h2><strong>II. L\u00dd DO V\u00c0O VI\u1ec6N:\u00a0 <\/strong>\u0110au h\u00e1ng (T)<\/h2>\n<h2><strong>III. B\u1ec6NH S\u1eec:<\/strong><\/h2>\n<ul>\n<li>C\u00e1ch nh\u1eadp vi\u1ec7n 10 ng\u00e0y, b\u1ec7nh nh\u00e2n \u0111ang l\u00e1i xe \u0111\u1ea1p th\u00ec c\u00f3 ng\u01b0\u1eddi b\u1ea5t ng\u1edd t\u1ea1t ngang \u0111\u1ea7u xe, b\u1ec7nh nh\u00e2n th\u1eafng g\u1ea5p, ng\u00e3 xu\u1ed1ng \u0111\u01b0\u1eddng va \u0111\u1eadp g\u1ed1i tr\u00e1i, h\u00f4ng tr\u00e1i, khu\u1ef7u tay tr\u00e1i ch\u1ed1ng xu\u1ed1ng n\u1ec1n c\u1ee9ng, kh\u00f4ng va \u0111\u1eadp v\u00f9ng \u0111\u1ea7u, ng\u1ef1c. Sau ng\u00e3 b\u1ec7nh nh\u00e2n t\u1ec9nh, khu\u1ef7u tay tr\u00e1i v\u00e0 g\u1ed1i tr\u00e1i kh\u00f4ng \u0111au, v\u00f9ng h\u00f4ng tr\u00e1i kh\u00f4ng s\u01b0ng kh\u00f4ng b\u1ea7m nh\u01b0ng \u0111au kh\u00f4ng v\u1eadn \u0111\u1ed9ng \u0111\u01b0\u1ee3c n\u00ean \u0111\u01b0\u1ee3c ng\u01b0\u1eddi \u0111i \u0111\u01b0\u1eddng ch\u1edf v\u1ec1 nh\u00e0. Sau v\u1ec1 nh\u00e0, BN gi\u1ea3m \u0111au, \u0111i l\u1ea1i b\u00ecnh th\u01b0\u1eddng n\u00ean kh\u00f4ng nh\u1eadp vi\u1ec7n.<\/li>\n<li>C\u00f9ng ng\u00e0y <a href=\"https:\/\/bsvothanhtoan.com\/\">nh\u1eadp vi\u1ec7n<\/a>, b\u1ec7nh nh\u00e2n b\u1eaft \u0111\u1ea7u \u0111au v\u00f9ng h\u00f4ng (T) h\u01a1n tr\u01b0\u1edbc, \u0111au t\u0103ng khi \u0111i l\u1ea1i, gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-khop-vai-khuyu-hang\/\">kh\u1edbp h\u00e1ng<\/a> (T).<\/li>\n<li>Trong qu\u00e1 tr\u00ecnh b\u1ec7nh, BN kh\u00f4ng \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, kh\u00f4ng bu\u1ed3n n\u00f4n, kh\u00f4ng n\u00f4n, kh\u00f4ng kh\u00f3 th\u1edf, ti\u00eau ti\u1ec3u b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<p><strong>T\u00ecnh tr\u1ea1ng l\u00fac nh\u1eadp khoa c\u1ea5p c\u1ee9u:<\/strong><\/p>\n<ul>\n<li>B\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t<\/li>\n<li>Gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng h\u00e1ng (T)<\/li>\n<li>Sinh hi\u1ec7u:<\/li>\n<li>M\u1ea1ch: 71 l\u1ea7n\/ph\u00fat<\/li>\n<li>Huy\u1ebft \u00e1p: 120\/80 mmHg<\/li>\n<li>Nhi\u1ec7t \u0111\u1ed9: 37,7<sup>0<\/sup>C<\/li>\n<li>Nh\u1ecbp th\u1edf: 20 l\u1ea7n\/ph\u00fat<\/li>\n<\/ul>\n<p><strong>T\u00ecnh tr\u1ea1ng l\u00fac v\u00e0o khoa CTCH:<\/strong><\/p>\n<ul>\n<li>B\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t<\/li>\n<li>Da, ni\u00eam h\u1ed3ng<\/li>\n<li>\u0110au, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng h\u00e1ng (T)<\/li>\n<li>M\u1ea1ch mu ch\u00e2n \u0111\u1ec1u, r\u00f5<\/li>\n<li>Sinh hi\u1ec7u:<\/li>\n<li>M\u1ea1ch: 84 l\u1ea7n\/ph\u00fat<\/li>\n<li>Nhi\u1ec7t \u0111\u1ed9: 37<sup>o<\/sup>C<\/li>\n<li>Huy\u1ebft \u00e1p: 120\/70 mmHg<\/li>\n<li>Nh\u1ecbp th\u1edf: 17 l\u1ea7n\/ph\u00fat<\/li>\n<\/ul>\n<p><strong>T\u00ecnh tr\u1ea1ng hi\u1ec7n t\u1ea1i:<\/strong><\/p>\n<ul>\n<li>B\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t<\/li>\n<li>\u0110au v\u00f9ng h\u00e1ng (T)<\/li>\n<li>Gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng kh\u1edbp h\u00e1ng (T)<\/li>\n<li>M\u1ea1ch mu ch\u00e2n \u0111\u1ec1u, r\u00f5<\/li>\n<li>Ti\u00eau ti\u1ec3u b\u00ecnh th\u01b0\u1eddng<\/li>\n<li>\u0102n u\u1ed1ng \u0111\u01b0\u1ee3c<\/li>\n<\/ul>\n<h2><strong>IV. TI\u1ec0N S\u1eec:<\/strong><\/h2>\n<h3><strong>1. B\u1ea3n th\u00e2n:<\/strong><\/h3>\n<p>N\u1ed9i khoa:<\/p>\n<ul>\n<li>C\u00e1ch NV 40 n\u0103m, \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/viem-xuong-tuy\/\">vi\u00eam kh\u1edbp<\/a> d\u1ea1ng th\u1ea5p, BN \u0111i\u1ec1u tr\u1ecb thu\u1ed1c nam, 6 n\u0103m g\u1ea7n \u0111\u00e2y \u0111i\u1ec1u tr\u1ecb thu\u1ed1c t\u00e2y.<\/li>\n<li>C\u00e1ch NV 6 n\u0103m, \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n t\u0103ng huy\u1ebft \u00e1p t\u1ea1i BV Th\u1ed1ng Nh\u1ea5t, HA t\u1ed1i \u0111a 180 mmHg, HA th\u00edch nghi 120 mmHg, BN tu\u00e2n tr\u1ecb.<\/li>\n<li>C\u00e1ch NV 6 n\u0103m, \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/benh-ly-ban-chan-dai-thao-duong\/\">\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/a> type 2 t\u1ea1i BV Th\u1ed1ng Nh\u1ea5t, 1 th\u00e1ng g\u1ea7n \u0111\u00e2y \u0111i\u1ec1u tr\u1ecb thu\u1ed1c t\u00e2y, BN tu\u00e2n tr\u1ecb.<\/li>\n<li>C\u00e1ch NV 6 n\u0103m, \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n R\u1ed1i lo\u1ea1n lipid m\u00e1u t\u1ea1i BV Th\u1ed1ng Nh\u1ea5t, BN tu\u00e2n tr\u1ecb.<\/li>\n<li>\u0110\u01a1n thu\u1ed1c hi\u1ec7n t\u1ea1i c\u1ee7a BN:<\/li>\n<li>Methylprednisolone 1 v\/s\u00e1ng<\/li>\n<li>Kali clorid 1 v\/s\u00e1ng<\/li>\n<li>Rosuvastatin 1 v\/chi\u1ec1u<\/li>\n<li>Bisoprolol 1v\/s\u00e1ng<\/li>\n<li>Caldihasan 1250mg + 125IU 1v\/s\u00e1ng<\/li>\n<li>Rabeprazol 1v\/s\u00e1ng<\/li>\n<li>Telmisartan 1v\/s\u00e1ng<\/li>\n<\/ul>\n<p>Ngo\u1ea1i khoa:<\/p>\n<ul>\n<li>Ch\u01b0a ghi nh\u1eadn ti\u1ec1n s\u1eed ch\u1ea5n th\u01b0\u01a1ng hay ph\u1eabu thu\u1eadt.<\/li>\n<li>D\u1ecb \u1ee9ng: ch\u01b0a ghi nh\u1eadn ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng thu\u1ed1c, th\u1ee9c \u0103n.<\/li>\n<li>Th\u00f3i quen: H\u00fat thu\u1ed1c l\u00e1 10 g\u00f3i n\u0103m<\/li>\n<\/ul>\n<h3>2.<strong>Gia \u0111\u00ecnh:<\/strong><\/h3>\n<p>Ch\u01b0a ghi nh\u1eadn ti\u1ec1n c\u0103n b\u1ec7nh l\u00fd<\/p>\n<h2><strong>V. KH\u00c1M L\u00c2M S\u00c0NG: <\/strong><\/h2>\n<p>19h ng\u00e0y 14\/3\/2023<\/p>\n<h3><strong>1. Kh\u00e1m t\u1ed5ng tr\u1ea1ng:<\/strong><\/h3>\n<ul>\n<li>B\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t<\/li>\n<li>Da, ni\u00eam m\u1ea1c h\u1ed3ng<\/li>\n<li>Chi \u1ea5m, CRT &lt; 2s<\/li>\n<li>Tuy\u1ebfn gi\u00e1p kh\u00f4ng to<\/li>\n<li>H\u1ea1ch ngo\u1ea1i vi s\u1edd kh\u00f4ng ch\u1ea1m.<\/li>\n<li>Sinh hi\u1ec7u:\n<ul>\n<li>M\u1ea1ch: 80 l\u1ea7n\/ph\u00fat<\/li>\n<li>Huy\u1ebft \u00e1p: 120\/80 mmHg<\/li>\n<li>Nhi\u1ec7t \u0111\u1ed9: 37<sup>0<\/sup>C<\/li>\n<li>Nh\u1ecbp th\u1edf: 18 l\u1ea7n\/ph\u00fat<\/li>\n<\/ul>\n<\/li>\n<li>C\u00e2n n\u1eb7ng: 48 Chi\u1ec1u cao: 1,65 m. BMI = 17,63 kg\/m<sup>2<\/sup> \ud83e\udc6a Th\u1ec3 tr\u1ea1ng g\u1ea7y theo<a href=\"https:\/\/vi.wikipedia.org\/wiki\/T%E1%BB%95_ch%E1%BB%A9c_Y_t%E1%BA%BF_Th%E1%BA%BF_gi%E1%BB%9Bi\" target=\"_blank\" rel=\"noopener\"> WHO<\/a><\/li>\n<\/ul>\n<h3><strong>2. Kh\u00e1m tim m\u1ea1ch:<\/strong><\/h3>\n<ul>\n<li>L\u1ed3ng ng\u1ef1c c\u00e2n \u0111\u1ed1i, kh\u00f4ng \u1ed5 \u0111\u1eadp b\u1ea5t th\u01b0\u1eddng.<\/li>\n<li>T1, T2 \u0111\u1ec1u r\u00f5, t\u1ea7n s\u1ed1 80 l\u1ea7n\/ph\u00fat, kh\u00f4ng \u00e2m th\u1ed5i.<\/li>\n<\/ul>\n<h3><strong>3. Kh\u00e1m h\u00f4 h\u1ea5p:<\/strong><\/h3>\n<ul>\n<li>L\u1ed3ng ng\u1ef1c c\u00e2n \u0111\u1ed1i, di \u0111\u1ed9ng \u0111\u1ec1u theo nh\u1ecbp th\u1edf, kh\u00f4ng co k\u00e9o c\u01a1 h\u00f4 h\u1ea5p ph\u1ee5.<\/li>\n<li>Rung thanh \u0111\u1ec1u 2 b\u00ean.<\/li>\n<li>G\u00f5 trong kh\u1eafp ph\u1ed5i.<\/li>\n<li>R\u00ec r\u00e0o ph\u1ebf nang \u00eam d\u1ecbu 2 ph\u1ebf tr\u01b0\u1eddng, ph\u1ed5i kh\u00f4ng ran.<\/li>\n<\/ul>\n<h3><strong>4. Kh\u00e1m <\/strong><strong>c\u01a1 x\u01b0\u01a1ng kh\u1edbp<\/strong>:<\/h3>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><strong><u>NH\u00ccN<\/u><\/strong><u>: <\/u><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>V\u00f9ng h\u00f4ng tr\u00e1i kh\u00f4ng s\u01b0ng, kh\u00f4ng b\u1ea7m, kh\u00f4ng v\u1ebft th\u01b0\u01a1ng.<\/li>\n<li>Ch\u00e2n (T) ng\u1eafn h\u01a1n ch\u00e2n (P).<\/li>\n<li>B\u1ea7m t\u00edm v\u00f9ng \u0111\u1ea7u g\u1ed1i tr\u00e1i, kh\u00f4ng v\u1ebft th\u01b0\u01a1ng.<\/li>\n<li>\u0110\u1ea7u c\u00e1c ng\u00f3n ch\u00e2n (T) h\u1ed3ng.<\/li>\n<li>Ch\u00e2n ph\u1ea3i kh\u00f4ng v\u1ebft th\u01b0\u01a1ng, kh\u00f4ng s\u01b0ng, kh\u00f4ng b\u1ea7m t\u00edm<\/li>\n<li>Tay tr\u00e1i kh\u00f4ng v\u1ebft th\u01b0\u01a1ng, kh\u00f4ng b\u1ea7m t\u00edm, kh\u00f4ng c\u1eed \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng.<\/li>\n<li>Bi\u1ebfn d\u1ea1ng kh\u1edbp b\u00e0n tay, b\u00e0n ch\u00e2n 2 b\u00ean l\u1ec7ch tr\u1ee5c.<\/li>\n<li>Ch\u00e2n b\u00ean (T) xoay ngo\u00e0i.\n<ul>\n<li><strong><u>S\u1edc:<\/u><\/strong><\/li>\n<\/ul>\n<\/li>\n<li>Chi \u1ea5m, CRT &lt; 2s, \u0111\u1ed9ng m\u1ea1ch mu ch\u00e2n b\u1eaft \u0111\u01b0\u1ee3c \u0111\u1ec1u, r\u00f5<\/li>\n<li>\u1ea4n \u0111au ch\u00f3i h\u00e1ng (T) \u1edf v\u00f9ng tam gi\u00e1c Scarpa<\/li>\n<li>C\u1ea3m gi\u00e1c n\u00f4ng, c\u1ea3m gi\u00e1c s\u00e2u b\u00ecnh th\u01b0\u1eddng<\/li>\n<li>V\u00f9ng g\u1ed1i tr\u00e1i kh\u00f4ng \u0111au.<\/li>\n<li>Tay tr\u00e1i kh\u00f4ng \u0111i\u1ec3m \u0111au, c\u1eed \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li>\u0110\u01b0\u1eddng Nelaton kh\u00f4ng th\u1eb3ng.\n<ul>\n<li><strong><u>\u0110O:<\/u><\/strong><\/li>\n<\/ul>\n<\/li>\n<li>Chi\u1ec1u d\u00e0ii x\u00e3 t\u01b0\u01a1ng \u0111\u1ed1i \u2013 tuy\u1ec7t \u0111\u1ed1i ch\u00e2n (P): 45cm \u2013 41cm<\/li>\n<li>Chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i \u2013 tuy\u1ec7t \u0111\u1ed1i ch\u00e2n (T): 44cm \u2013 41cm\n<ul>\n<li><strong><u>V\u1eacN \u0110\u1ed8NG:<\/u><\/strong><\/li>\n<\/ul>\n<\/li>\n<li>Gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng g\u1ea5p-du\u1ed7i, d\u1ea1ng-kh\u00e9p, xoay trong-xoay ngo\u00e0i ch\u00e2n (T) do \u0111au.<\/li>\n<li>C\u00e1c ng\u00f3n ch\u00e2n (T) v\u1eadn \u0111\u1ed9ng \u0111\u01b0\u1ee3c, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/khai-thac-benh-su-va-tien-can-benh-ly-ngoai-chan-thuong\/\">kh\u1edbp g\u1ed1i<\/a> (T) v\u1eadn \u0111\u1ed9ng \u0111\u01b0\u1ee3c<\/li>\n<\/ul>\n<h3><strong>5. Kh\u00e1m ti\u00eau h\u00f3a:<\/strong><\/h3>\n<ul>\n<li>B\u1ee5ng c\u00e2n \u0111\u1ed1i, di \u0111\u1ed9ng \u0111\u1ec1u theo nh\u1ecbp th\u1edf, kh\u00f4ng s\u1eb9o m\u1ed5 c\u0169, kh\u00f4ng u, kh\u00f4ng tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7.<\/li>\n<li>Kh\u00f4ng \u00e2m th\u1ed5i \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng<\/li>\n<li>G\u00f5 trong quanh r\u1ed1n.<\/li>\n<li>B\u1ee5ng m\u1ec1m, \u1ea5n kh\u00f4ng \u0111au, gan l\u00e1ch s\u1edd kh\u00f4ng ch\u1ea1m.<\/li>\n<\/ul>\n<h3><strong>6. Kh\u00e1m th\u1ea7n kinh: <\/strong><\/h3>\n<ul>\n<li>C\u1ed5 m\u1ec1m<\/li>\n<li>Kh\u00f4ng d\u1ea5u th\u1ea7n kinh khu tr\u00fa.<\/li>\n<\/ul>\n<p><strong>7. Kh\u00e1m c\u00e1c c\u01a1 quan kh\u00e1<\/strong><strong>c:<\/strong> Ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng.<\/p>\n<h2><strong>VI. T\u00d3M T\u1eaeT B\u1ec6NH \u00c1N:<\/strong><\/h2>\n<p>B\u1ec7nh nh\u00e2n nam, 49 tu\u1ed5i v\u00e0o vi\u1ec7n v\u00ec \u0111au h\u00e1ng (T) sau TNGT 10 ng\u00e0y. Qua h\u1ecfi b\u1ec7nh v\u00e0 th\u0103m kh\u00e1m l\u00e2m s\u00e0ng ghi nh\u1eadn:<\/p>\n<p>&#8211; TCCN:<\/p>\n<ul>\n<li>\u0110au h\u00e1ng (T)<\/li>\n<li>Gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng ch\u00e2n (T)<\/li>\n<\/ul>\n<p>&#8211; TCTT:<\/p>\n<ul>\n<li>\u1ea4n \u0111au ch\u00f3i v\u00f9ng h\u00e1ng (T)<\/li>\n<li>Gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng g\u1ea5p &#8211; du\u1ed7i; d\u1ea1ng-kh\u00e9p, xoay trong-xoay ngo\u00e0i ch\u00e2n (T) do \u0111au.<\/li>\n<li>Chi \u1ea5m, CRT &lt; 2s<\/li>\n<li>\u0110\u1ed9 d\u00e0i x\u01b0\u01a1ng \u0111\u00f9i (T) &lt; x\u01b0\u01a1ng \u0111\u00f9i (P)<\/li>\n<li>\u0110M mu ch\u00e2n hai b\u00ean b\u1eaft \u0111\u01b0\u1ee3c \u0111\u1ec1u, r\u00f5, t\u1ea7n s\u1ed1 80 l\/p<\/li>\n<li>C\u1ea3m gi\u00e1c n\u00f4ng, c\u1ea3m gi\u00e1c s\u00e2u b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<p>&#8211;\u00a0 Ti\u1ec1n c\u0103n: Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, T\u0103ng huy\u1ebft \u00e1p, \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2, B\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9.<\/p>\n<h2><strong>VII. \u0110\u1eb6T V\u1ea4N \u0110\u1ec0:<\/strong><\/h2>\n<ul>\n<li>\u0110au h\u00e1ng (T)<\/li>\n<li>Gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng g\u1ea5p &#8211; du\u1ed7i; d\u1ea1ng-kh\u00e9p, xoay trong-xoay ngo\u00e0i ch\u00e2n (T)<\/li>\n<\/ul>\n<h2><strong>VIII. CH\u1ea8N \u0110O\u00c1N S\u01a0 B\u1ed8:<\/strong><\/h2>\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) do TNGT ng\u00e0y th\u1ee9 10, theo d\u00f5i bi\u1ebfn ch\u1ee9ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoai-tu-vo-mach-chom-xuong-dui\/\">ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i<\/a>\/T\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9 III theo ESC 2018 \u2013 \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 \u2013 RLLP m\u00e1u &#8211; Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/p>\n<h2><strong>IX. CH\u1ea8N \u0110O\u00c1N PH\u00c2N BI\u1ec6T:<\/strong><\/h2>\n<p>G\u00e3y k\u00edn li\u00ean m\u1ea5u chuy\u1ec3n x\u01b0\u01a1ng \u0111\u00f9i (T) do TNGT ng\u00e0y th\u1ee9 10, theo d\u00f5i bi\u1ebfn ch\u1ee9ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoai-tu-vo-mach-chom-xuong-dui\/\">ho\u1ea1i t\u1eed<\/a> ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i\/T\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9 III theo ESC 2018 \u2013 \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 \u2013 RLLP m\u00e1u &#8211; Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/p>\n<h2><strong>X. BI\u1ec6N LU\u1eacN L\u00c2M S\u00c0NG:<\/strong><\/h2>\n<ul>\n<li>B\u1ec7nh nh\u00e2n nam, 49 tu\u1ed5i nh\u1eadp vi\u1ec7n v\u00ec \u0111au h\u00e1ng (T) sau TNGT ng\u00e0y th\u1ee9 10. C\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng: Gi\u00e1n ti\u1ebfp do tai n\u1ea1n giao th\u00f4ng ng\u00e3 va \u0111\u1eadp g\u1ed1i xu\u1ed1ng n\u1ec1n c\u1ee9ng, ch\u1ed1ng tay trong t\u01b0 th\u1ebf du\u1ed7i. Qua h\u1ecfi b\u1ec7nh v\u00e0 th\u0103m kh\u00e1m l\u00e2m s\u00e0ng ghi nh\u1eadn: \u0110au h\u00e1ng (T), \u1ea5n \u0111au ch\u00f3i v\u00f9ng tam gi\u00e1c Scarpa (T), \u0111\u01b0\u1eddng Nelaton kh\u00f4ng th\u1eb3ng, \u0111\u1ed9 d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i x\u01b0\u01a1ng \u0111\u00f9i (T) &lt; x\u01b0\u01a1ng \u0111\u00f9i (P), gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng g\u1ea5p &#8211; du\u1ed7i; d\u1ea1ng-kh\u00e9p, xoay trong-xoay ngo\u00e0i ch\u00e2n (T), kh\u00f4ng s\u01b0ng n\u1ec1, kh\u00f4ng b\u1ea7m t\u00edm v\u00f9ng h\u00e1ng tr\u00e1i, kh\u00f4ng v\u1ebft th\u01b0\u01a1ng. \u0110\u1ea7u g\u1ed1i tr\u00e1i kh\u00f4ng \u0111au, tay tr\u00e1i kh\u00f4ng \u0111au kh\u00f4ng v\u1ebft th\u01b0\u01a1ng, kh\u00f4ng b\u1ea7m t\u00edm \u2192\u00a0 G\u00e3y k\u00edn c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i tr\u00e1i, kh\u00f4ng th\u1ec3 lo\u1ea1i tr\u1eeb g\u00e3y li\u00ean m\u1ea5u chuy\u1ec3n tr\u00e1i.<\/li>\n<\/ul>\n<p>\u2192 <strong>\u0110\u1ec1 ngh\u1ecb <\/strong>Xquang khung ch\u1eadu th\u1eb3ng<\/p>\n<ul>\n<li>Theo d\u00f5i ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i v\u00ec BN \u0111\u00e3 ch\u1ea5n th\u01b0\u01a1ng 10 ng\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u. BN \u0111au t\u0103ng d\u1ea7n, t\u0103ng h\u01a1n khi v\u1eadn \u0111\u1ed9ng. nghi ng\u1edd g\u00e3y k\u00edn c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i d\u1ec5 g\u00e2y bi\u1ebfn ch\u1ee9ng ho\u1ea1i t\u1eed ch\u1ecfm<\/li>\n<\/ul>\n<p>\u2192 <strong>\u0110\u1ec1 ngh\u1ecb<\/strong> MRI \u0111\u1ec3 theo d\u00f5i bi\u1ebfn ch\u1ee9ng.<\/p>\n<h2><strong>XI. C\u1eacN L\u00c2M S\u00c0NG:<\/strong><\/h2>\n<ul>\n<li>Xquang ng\u1ef1c th\u1eb3ng<\/li>\n<li>Xquang khung ch\u1eadu th\u1eb3ng<\/li>\n<li>T\u1ed5ng ph\u00e2n t\u00edch t\u1ebf b\u00e0o m\u00e1u b\u1eb1ng m\u00e1y \u0111\u1ebfm laser<\/li>\n<li>\u0110\u1ecbnh nh\u00f3m m\u00e1u ABO, Rh<\/li>\n<li>\u0110\u00f4ng m\u00e1u to\u00e0n b\u1ed9<\/li>\n<li>Sinh h\u00f3a m\u00e1u: Ur\u00ea, creatinine, glucose, AST, ALT<\/li>\n<li>\u0110i\u1ec7n gi\u1ea3i \u0111\u1ed3<\/li>\n<\/ul>\n<p><strong>K\u1ebft qu\u1ea3 c\u1eadn l\u00e2m s\u00e0ng:<\/strong><\/p>\n<p><strong><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/x-quang-trong-chan-thuong-chinh-hinh\/\">X-QUANG<\/a> KHUNG CH\u1eacU TH\u1eb2NG<\/strong><\/p>\n<p><figure id=\"attachment_2142\" aria-describedby=\"caption-attachment-2142\" style=\"width: 542px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"wp-image-2142 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/xuongdui2.1.png\" alt=\"Xuongdui2.1\" width=\"542\" height=\"295\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/xuongdui2.1.png 542w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/xuongdui2.1-300x163.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/xuongdui2.1-18x10.png 18w\" sizes=\"(max-width: 542px) 100vw, 542px\" \/><figcaption id=\"caption-attachment-2142\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-chi-duoi\/\">g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i<\/a> 2.1<\/figcaption><\/figure> <figure id=\"attachment_2143\" aria-describedby=\"caption-attachment-2143\" style=\"width: 431px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"wp-image-2143 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/xuongdui2.2.png\" alt=\"Xuongdui2.2\" width=\"431\" height=\"643\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/xuongdui2.2.png 431w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/xuongdui2.2-201x300.png 201w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/xuongdui2.2-8x12.png 8w\" sizes=\"(max-width: 431px) 100vw, 431px\" \/><figcaption id=\"caption-attachment-2143\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i 2.2<\/figcaption><\/figure><\/p>\n<p>\u0110\u1ecdc phim X-Quang:<\/p>\n<ul>\n<li>X-quang khung ch\u1eadu th\u1eb3ng<\/li>\n<li>H\u1ecd v\u00e0 t\u00ean b\u1ec7nh nh\u00e2n: PH\u1ea0M TR\u1eccNG P.<\/li>\n<li>Tu\u1ed5i: 4949<\/li>\n<li>MSBN: 16923759<\/li>\n<li>Ng\u00e0y ch\u1ee5p: 14:03 ng\u00e0y 14\/03\/2023<\/li>\n<li>T\u01b0 th\u1ebf phim: Th\u1eb3ng<\/li>\n<li>Ch\u1ea5t l\u01b0\u1ee3ng tia: v\u1eeba<\/li>\n<li>M\u00f4 m\u1ec1m ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/li>\n<li>X\u01b0\u01a1ng: G\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i (T), di l\u1ec7ch m\u1ed9t ph\u1ea7n, hai m\u1eb7t g\u00e3y c\u00f2n \u00e1p v\u00e0o nhau.<\/li>\n<\/ul>\n<p><strong>\u0110\u00d4NG M\u00c1U TO\u00c0N B\u1ed8:<\/strong><\/p>\n<table width=\"641\">\n<tbody>\n<tr>\n<td width=\"387\">\n<p><strong>T\u00ean x\u00e9t nghi\u1ec7m<\/strong><\/p>\n<\/td>\n<td width=\"136\">\n<p><strong>K\u1ebft qu\u1ea3<\/strong><\/p>\n<\/td>\n<td width=\"118\">\n<p><strong>\u0110\u01a1n v\u1ecb <\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"387\">\n<p>APTT time<\/p>\n<\/td>\n<td width=\"136\">\n<p>33.7<\/p>\n<\/td>\n<td width=\"118\">\n<p>gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"387\">\n<p>Prothrombin Time<\/p>\n<\/td>\n<td width=\"136\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"118\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"387\">\n<p>TQ (Th\u1eddi gian Quick)<\/p>\n<\/td>\n<td width=\"136\">\n<p>10.5<\/p>\n<\/td>\n<td width=\"118\">\n<p>gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"387\">\n<p>TL Prothrombine<\/p>\n<\/td>\n<td width=\"136\">\n<p>100<\/p>\n<\/td>\n<td width=\"118\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"387\">\n<p>INR<\/p>\n<\/td>\n<td width=\"136\">\n<p>0.95<\/p>\n<\/td>\n<td width=\"118\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"387\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Fibrinogen<\/p>\n<\/td>\n<td width=\"136\">\n<p>348.00<\/p>\n<\/td>\n<td width=\"118\">\n<p>mg\/dL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"387\">\n<p>Huy\u1ebft \u0111\u1ed3<\/p>\n<\/td>\n<td width=\"136\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"118\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>C\u00d4NG TH\u1ee8C M\u00c1U:<\/strong><\/p>\n<table width=\"639\">\n<tbody>\n<tr>\n<td width=\"389\">\n<p><strong>T\u00ean x\u00e9t nghi\u1ec7m<\/strong><\/p>\n<\/td>\n<td width=\"135\">\n<p><strong>K\u1ebft qu\u1ea3<\/strong><\/p>\n<\/td>\n<td width=\"115\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>WBC<\/p>\n<\/td>\n<td width=\"135\">\n<p><strong>12.06<\/strong><\/p>\n<\/td>\n<td width=\"115\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>NEU%<\/p>\n<\/td>\n<td width=\"135\">\n<p><strong>94.1<\/strong><\/p>\n<\/td>\n<td width=\"115\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>LYM%<\/p>\n<\/td>\n<td width=\"135\">\n<p><strong>4.0<\/strong><\/p>\n<\/td>\n<td width=\"115\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>MONO%<\/p>\n<\/td>\n<td width=\"135\">\n<p><strong>1.9 (L)<\/strong><\/p>\n<\/td>\n<td width=\"115\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>EOS%<\/p>\n<\/td>\n<td width=\"135\">\n<p>0.0<\/p>\n<\/td>\n<td width=\"115\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>BASO%<\/p>\n<\/td>\n<td width=\"135\">\n<p>0.0<\/p>\n<\/td>\n<td width=\"115\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>NEU#<\/p>\n<\/td>\n<td width=\"135\">\n<p><strong>11.34<\/strong><\/p>\n<\/td>\n<td width=\"115\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>LYM#<\/p>\n<\/td>\n<td width=\"135\">\n<p><strong>0.48 (L)<\/strong><\/p>\n<\/td>\n<td width=\"115\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>MONO#<\/p>\n<\/td>\n<td width=\"135\">\n<p>0.23<\/p>\n<\/td>\n<td width=\"115\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>EOS#<\/p>\n<\/td>\n<td width=\"135\">\n<p>0.00<\/p>\n<\/td>\n<td width=\"115\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>BASO#<\/p>\n<\/td>\n<td width=\"135\">\n<p>0.01<\/p>\n<\/td>\n<td width=\"115\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>RBC<\/p>\n<\/td>\n<td width=\"135\">\n<p>4.31<\/p>\n<\/td>\n<td width=\"115\">\n<p>M\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>HGB<\/p>\n<\/td>\n<td width=\"135\">\n<p>13.7<\/p>\n<\/td>\n<td width=\"115\">\n<p>g\/dL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>HCT<\/p>\n<\/td>\n<td width=\"135\">\n<p>42.5<\/p>\n<\/td>\n<td width=\"115\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>MCV<\/p>\n<\/td>\n<td width=\"135\">\n<p>98.5<\/p>\n<\/td>\n<td width=\"115\">\n<p>fL<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table width=\"639\">\n<tbody>\n<tr>\n<td width=\"389\">\n<p>MCH<\/p>\n<\/td>\n<td width=\"135\">\n<p>31.8<\/p>\n<\/td>\n<td width=\"115\">\n<p>Pg<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>MCHC<\/p>\n<\/td>\n<td width=\"135\">\n<p>32.3<\/p>\n<\/td>\n<td width=\"115\">\n<p>g\/dL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>RDW<\/p>\n<\/td>\n<td width=\"135\">\n<p>13.6<\/p>\n<\/td>\n<td width=\"115\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>PLT<\/p>\n<\/td>\n<td width=\"135\">\n<p>352<\/p>\n<\/td>\n<td width=\"115\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>MPV<\/p>\n<\/td>\n<td width=\"135\">\n<p>8.7<\/p>\n<\/td>\n<td width=\"115\">\n<p>fL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>VS 1h<\/p>\n<\/td>\n<td width=\"135\">\n<p><strong>32<\/strong><\/p>\n<\/td>\n<td width=\"115\">\n<p>mm<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>VS 2h<\/p>\n<\/td>\n<td width=\"135\">\n<p><strong>65<\/strong><\/p>\n<\/td>\n<td width=\"115\">\n<p>mm<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>\u0110\u1ecbnh nh\u00f3m m\u00e1u h\u1ec7 Rh(D)<\/p>\n<\/td>\n<td width=\"135\">\n<p>+<\/p>\n<\/td>\n<td width=\"115\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"389\">\n<p>\u0110\u1ecbnh nh\u00f3m m\u00e1u h\u1ec7 ABO<\/p>\n<\/td>\n<td width=\"135\">\n<p>AB<\/p>\n<\/td>\n<td width=\"115\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>SINH H\u00d3A M\u00c1U :<\/strong><\/p>\n<table width=\"640\">\n<tbody>\n<tr>\n<td width=\"392\">\n<p>T\u00ean x\u00e9t nghi\u1ec7m<\/p>\n<\/td>\n<td width=\"136\">\n<p>K\u1ebft qu\u1ea3<\/p>\n<\/td>\n<td width=\"112\">\n<p>\u0110\u01a1n v\u1ecb<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Glucose<\/p>\n<\/td>\n<td width=\"136\">\n<p><strong>10.1<\/strong><\/p>\n<\/td>\n<td width=\"112\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng ure m\u00e1u<\/p>\n<\/td>\n<td width=\"136\">\n<p>5.4<\/p>\n<\/td>\n<td width=\"112\">\n<p>mmol\/l<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Creatinin m\u00e1u<\/p>\n<\/td>\n<td width=\"136\">\n<p>90<\/p>\n<\/td>\n<td width=\"112\">\n<p>\u00b5mol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>eGFR<\/p>\n<\/td>\n<td width=\"136\">\n<p>82.68<\/p>\n<\/td>\n<td width=\"112\">\n<p>ml\/p<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>\u0110o ho\u1ea1t \u0111\u1ed9 AST<\/p>\n<\/td>\n<td width=\"136\">\n<p>23<\/p>\n<\/td>\n<td width=\"112\">\n<p>U\/L<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table width=\"640\">\n<tbody>\n<tr>\n<td width=\"392\">\n<p>\u0110o ho\u1ea1t \u0111\u1ed9 ALT<\/p>\n<\/td>\n<td width=\"136\">\n<p>22<\/p>\n<\/td>\n<td width=\"112\">\n<p>U\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>Cholesterol m\u00e1u<\/p>\n<\/td>\n<td width=\"136\">\n<p>4.4<\/p>\n<\/td>\n<td width=\"112\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Triglycerid m\u00e1u<\/p>\n<\/td>\n<td width=\"136\">\n<p><strong>1.8<\/strong><\/p>\n<\/td>\n<td width=\"112\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>HDL-C<\/p>\n<\/td>\n<td width=\"136\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"112\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>HDL \u2013 Cholesterol<\/p>\n<\/td>\n<td width=\"136\">\n<p><strong>1.0<\/strong><\/p>\n<\/td>\n<td width=\"112\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>non HDL &#8211; Cholesterol<\/p>\n<\/td>\n<td width=\"136\">\n<p>3.4<\/p>\n<\/td>\n<td width=\"112\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>LDL -C<\/p>\n<\/td>\n<td width=\"136\">\n<p>2.58<\/p>\n<\/td>\n<td width=\"112\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng bilirubin to\u00e0n ph\u1ea7n [M\u00e1u]<\/p>\n<\/td>\n<td width=\"136\">\n<p>14.0<\/p>\n<\/td>\n<td width=\"112\">\n<p>\u00b5mol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Bilirubin tr\u1ef1c ti\u1ebfp [M\u00e1u]<\/p>\n<\/td>\n<td width=\"136\">\n<p>3.0<\/p>\n<\/td>\n<td width=\"112\">\n<p>\u00b5mol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>\u0110i\u1ec7n gi\u1ea3i \u0111\u1ed3 (Na, K, Cl) [M\u00e1u]<\/p>\n<\/td>\n<td width=\"136\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"112\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>Na+<\/p>\n<\/td>\n<td width=\"136\">\n<p>140<\/p>\n<\/td>\n<td width=\"112\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>K+<\/p>\n<\/td>\n<td width=\"136\">\n<p>3.9<\/p>\n<\/td>\n<td width=\"112\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>Cl-<\/p>\n<\/td>\n<td width=\"136\">\n<p>106<\/p>\n<\/td>\n<td width=\"112\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Calci to\u00e0n ph\u1ea7n [M\u00e1u]<\/p>\n<\/td>\n<td width=\"136\">\n<p>2.5<\/p>\n<\/td>\n<td width=\"112\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Albumin [M\u00e1u]<\/p>\n<\/td>\n<td width=\"136\">\n<p>40.2<\/p>\n<\/td>\n<td width=\"112\">\n<p>g\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"392\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Protein to\u00e0n ph\u1ea7n [M\u00e1u]<\/p>\n<\/td>\n<td width=\"136\">\n<p>76.4<\/p>\n<\/td>\n<td width=\"112\">\n<p>g\/L<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Bi\u1ec7n lu\u1eadn c\u1eadn l\u00e2m s\u00e0ng:<\/p>\n<ul>\n<li>B\u1ea1ch c\u1ea7u t\u0103ng, NEU \u01b0u th\u1ebf \u2192 T\u00ecnh tr\u1ea1ng \u0111\u00e1p \u1ee9ng vi\u00eam to\u00e0n th\u00e2n<\/li>\n<li>\u0110\u01b0\u1eddng huy\u1ebft t\u0103ng c\u00f3 th\u1ec3 do x\u00e9t nghi\u1ec7m \u0111\u01b0\u1eddng huy\u1ebft b\u1ea5t k\u1ef3. c\u1ea7n x\u00e9t nghi\u1ec7m th\u00eam \u0111\u01b0\u1eddng huy\u1ebft \u0111\u00f3i v\u00e0 HbA1c \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed ti\u1ebfp theo.<\/li>\n<li>Triglycerid m\u00e1u t\u0103ng do BN c\u00f3 ti\u1ec1n s\u1eed R\u1ed1i lo\u1ea1n lipid m\u00e1u<\/li>\n<li>C\u00e1c ch\u1ec9 s\u1ed1 c\u00f2n l\u1ea1i trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng<\/li>\n<\/ul>\n<h2><strong>XI. CH\u1ea8N \u0110O\u00c1N X\u00c1C \u0110\u1ecaNH:<\/strong><\/h2>\n<p>G\u00e3y k\u00edn c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i (T) \u0111\u1ed9 3 theo Garden do TNGT ng\u00e0y th\u1ee9 10, theo d\u00f5i bi\u1ebfn ch\u1ee9ng ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i\/T\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9 III theo ESC 2018 \u2013 \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 \u2013 RLLP m\u00e1u &#8211; Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/p>\n<h2><strong>XII. \u0110I\u1ec0U TR\u1eca:<\/strong><\/h2>\n<p><strong>H\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb:<\/strong><\/p>\n<p>N\u1ed9i khoa:<\/p>\n<ul>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/so-cuu-bat-dong-gay-xuong\/\">B\u1ea5t \u0111\u1ed9ng<\/a> b\u1eb1ng n\u1eb9p \u0111\u00f9i c\u1eb3ng b\u00e0n ch\u00e2n ch\u1ed1ng xoay ch\u00e2n (T)<\/li>\n<li>Gi\u1ea3m \u0111au<\/li>\n<li>\u1ed4n \u0111\u1ecbnh \u0111\u01b0\u1eddng huy\u1ebft, huy\u1ebft \u00e1p.<\/li>\n<\/ul>\n<p>Ngo\u1ea1i khoa:<\/p>\n<ul>\n<li>Ph\u1eabu thu\u1eadt: Thay kh\u1edbp h\u00e1ng (T)<\/li>\n<\/ul>\n<h2><strong>XIII. TI\u00caN L\u01af\u1ee2NG:<\/strong><\/h2>\n<ul>\n<li>G\u1ea7n: B\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 ch\u1ea3y m\u00e1u, nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5 sau ph\u1eabu thu\u1eadt.<\/li>\n<li>Xa: N\u1eb1m l\u00e2u c\u00f3 th\u1ec3 c\u00f3 nguy c\u01a1 lo\u00e9t t\u00ec \u0111\u00e8, teo c\u01a1, c\u1ee9ng kh\u1edbp, vi\u00eam ph\u1ed5i, nhi\u1ec5m tr\u00f9ng ti\u1ec3u, huy\u1ebft kh\u1ed1i<\/li>\n<\/ul>\n<h2><strong>XIV. D\u1ef0 PH\u00d2NG:<\/strong><\/h2>\n<ul>\n<li>Theo d\u00f5i di\u1ec5n bi\u1ebfn b\u1ec7nh h\u00e0ng ng\u00e0y, ph\u00f2ng tr\u00e1nh nhi\u1ec5m khu\u1ea9n.<\/li>\n<li>Dinh d\u01b0\u1ee1ng \u0111\u1ea7y \u0111\u1ee7, h\u1ee3p l\u00fd.<\/li>\n<li>T\u1eadp v\u1eadn \u0111\u1ed9ng s\u1edbm.<\/li>\n<li>Gi\u00e1o d\u1ee5c b\u1ec7nh nh\u00e2n t\u1eadp luy\u1ec7n h\u1ed3i ph\u1ee5c ch\u1ee9c n\u0103ng sau \u0111i\u1ec1u tr\u1ecb<\/li>\n<li>Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u00e1i kh\u00e1m theo h\u1eb9n.<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n","protected":false},"featured_media":2708,"comment_status":"open","ping_status":"open","template":"","tags":[193,192],"chuyen-muc":[188],"class_list":["post-2141","chuyen-de","type-chuyen-de","status-publish","has-post-thumbnail","hentry","tag-benh-an-gay-co-xuong-dui-2","tag-gay-co-xuong-dui","chuyen-muc-benh-an-mau"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2141","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=2141"}],"version-history":[{"count":2,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2141\/revisions"}],"predecessor-version":[{"id":2671,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2141\/revisions\/2671"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/2708"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=2141"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=2141"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=2141"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}