{"id":2145,"date":"2023-08-01T19:00:28","date_gmt":"2023-08-01T12:00:28","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=chuyen-de&#038;p=2145"},"modified":"2024-03-20T16:27:55","modified_gmt":"2024-03-20T09:27:55","slug":"xuong-cang-chan","status":"publish","type":"chuyen-de","link":"https:\/\/bsvothanhtoan.com\/en\/chuyen-de\/xuong-cang-chan\/","title":{"rendered":"B\u1ec7nh \u00e1n g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi 2 x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n"},"content":{"rendered":"<h2><em><span style=\"font-size: 16px;\">CH\u1ea8N \u0110O\u00c1N X\u00c1C \u0110\u1ecaNH: G\u00e3y k\u00edn \u2153 d\u01b0\u1edbi 2 x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n (T) ph\u00e2n \u0111\u1ed9 43 &#8211; C1 theo AO gi\u1edd th\u1ee9 1 do TNGT ch\u01b0a ghi nh\u1eadn bi\u1ebfn ch\u1ee9ng\/THA-\u0110T\u0110 type 2-R\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u-Gi\u00e3n t\u0129nh m\u1ea1ch chi d\u01b0\u1edbi<\/span><\/em><\/h2>\n<h2><strong>I. <\/strong><strong>H\u00c0NH CH\u00cdNH<\/strong><\/h2>\n<ol>\n<li>H\u1ecd v\u00e0 t\u00ean: T\u1ea0 THANH Q. Gi\u1edbi: Nam<\/li>\n<li>Tu\u1ed5i: 61<\/li>\n<li>Ngh\u1ec1 nghi\u1ec7p: Ngh\u1ec9 h\u01b0u<\/li>\n<li>D\u00e2n t\u1ed9c: Kinh<\/li>\n<li>Tay thu\u1eadn: Ph\u1ea3i<\/li>\n<li>\u0110\u1ecba ch\u1ec9: Qu\u1eadn T\u00e2n B\u00ecnh<\/li>\n<li>Ng\u00e0y nh\u1eadp vi\u1ec7n: 9h30 ng\u00e0y 26\/03\/2023<\/li>\n<li>Ng\u00e0y l\u00e0m b\u1ec7nh \u00e1n: 12h00 ng\u00e0y 26\/03\/2023<\/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>&nbsp;<\/p>\n<h2><strong>II. L\u00dd DO NH\u1eacP VI\u1ec6N:\u00a0 <\/strong>\u0110au c\u1eb3ng ch\u00e2n tr\u00e1i<\/h2>\n<h2><strong>III. <\/strong><strong>B\u1ec6NH S\u1eec<\/strong><\/h2>\n<p>B\u1ec7nh nh\u00e2n khai:<\/p>\n<p>C\u00e1ch nh\u1eadp vi\u1ec7n 1 gi\u1edd, BN \u0111ang \u0111i xe m\u00e1y v\u1edbi t\u1ed1c \u0111\u1ed9 40km\/h th\u00ec g\u1eb7p 1 chi\u1ebfc xe t\u1ea3i \u0111ang chu\u1ea9n b\u1ecb l\u0103n b\u00e1nh ph\u00eda c\u00f9ng chi\u1ec1u n\u00ean BN n\u00e9 qua b\u00ean tr\u00e1i, \u0111\u1ed3ng th\u1eddi ph\u00eda tr\u01b0\u1edbc c\u00f3 1 chi\u1ebfc xe m\u00e1y ch\u1ea1y ng\u01b0\u1ee3c chi\u1ec1u l\u00e0m BN ph\u1ea3i th\u1eafng g\u1ea5p v\u00e0 ng\u01b0\u1eddi ng\u00e3 v\u1ec1 ph\u00eda b\u00ean tr\u00e1i (T) v\u1edbi t\u01b0 th\u1ebf b\u00e0n ch\u00e2n (T) g\u1eadp ch\u1ed1ng xu\u1ed1ng \u0111\u01b0\u1eddng, theo tr\u1ecdng l\u1ef1c ng\u00e3 ng\u01b0\u1eddi xu\u1ed1ng m\u1eb7t \u0111\u01b0\u1eddng, bao g\u1ed3m ph\u1ea7n g\u00f2 m\u00e1, vai, khu\u1ef7u tay (T) ch\u1ed1ng xu\u1ed1ng n\u1ec1n \u0111\u01b0\u1eddng nh\u1ef1a v\u00e0 xe \u0111\u00e8 l\u00ean c\u1eb3ng ch\u00e2n (T). Sau ng\u00e3, BN t\u1ec9nh, \u0111au ch\u00f3i v\u00f9ng c\u1eb3ng ch\u00e2n (T), k\u00e8m s\u01b0ng n\u1ec1, x\u00e2y x\u00e1t da nh\u1eb9 v\u00e0 kh\u00f4ng tr\u1ee5 \u0111\u01b0\u1ee3c b\u1eb1ng ch\u00e2n (T), sau \u0111\u00f3 BN \u0111\u01b0\u1ee3c ng\u01b0\u1eddi d\u00e2n \u0111\u01b0a \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Th\u1ed1ng Nh\u1ea5t<\/p>\n<p>Trong qu\u00e1 tr\u00ecnh b\u1ec7nh, BN kh\u00f4ng ch\u00f3ng m\u1eb7t, kh\u00f4ng \u0111au \u0111\u1ea7u, kh\u00f4ng kh\u00f3 th\u1edf, kh\u00f4ng d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au hay t\u1ef1 n\u1eafn \u00e9p v\u1ebft th\u01b0\u01a1ng tr\u01b0\u1edbc \u0111\u00f3<\/p>\n<h3><strong>T\u00ecnh tr\u1ea1ng l\u00fac nh\u1eadp vi\u1ec7n<\/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, chi \u1ea5m, m\u1ea1ch r\u00f5<\/li>\n<li>Sinh hi\u1ec7u\n<ul>\n<li>M\u1ea1ch: 65 l\u1ea7n\/ ph\u00fat<\/li>\n<li><a href=\"https:\/\/vi.wikipedia.org\/wiki\/Huy%E1%BA%BFt_%C3%A1p\" target=\"_blank\" rel=\"noopener\">Huy\u1ebft \u00e1p<\/a>: 160\/100 mmHg<\/li>\n<li>Nhi\u1ec7t \u0111\u1ed9: 36.8 oC<\/li>\n<li>Nh\u1ecbp th\u1edf: 20 l\u1ea7n\/ ph\u00fat<\/li>\n<li>SpO2: 98%<\/li>\n<\/ul>\n<\/li>\n<li>V\u1ebft x\u00e2y x\u00e1t v\u00f9ng g\u00f2 m\u00e1 tr\u00e1i<\/li>\n<li>Bi\u1ebfn d\u1ea1ng c\u1ed5 ch\u00e2n tr\u00e1i<\/li>\n<li>Tim \u0111\u1ec1u<\/li>\n<li>Ph\u1ed5i kh\u00f4ng ran<\/li>\n<li>B\u1ee5ng m\u1ec1m<\/li>\n<li>C\u1ed5 m\u1ec1m, kh\u00f4ng d\u1ea5u th\u1ea7n kinh \u0111\u1ecbnh v\u1ecb<\/li>\n<\/ul>\n<h3><strong>X\u1eed tr\u00ed t\u1ea1i c\u1ea5p c\u1ee9u:<\/strong><\/h3>\n<ul>\n<li>SAT 1500 UI 1A (TB), n\u1eb9p \u0111\u00f9i ch\u1ed1ng xoay, ch\u0103m s\u00f3c c\u1ea5p 2<\/li>\n<li>C\u1eadn l\u00e2m s\u00e0ng \u0111\u00e3 th\u1ef1c hi\u1ec7n: Xquang <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/khai-thac-benh-su-va-tien-can-benh-ly-ngoai-chan-thuong\/\">knee joint<\/a> th\u1eb3ng\/nghi\u00eang, Xquang x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n th\u1eb3ng\/nghi\u00eang, Xquang x\u01b0\u01a1ng c\u1ed5 ch\u00e2n th\u1eb3ng\/nghi\u00eang, Xquang x\u01b0\u01a1ng b\u00e0n-ng\u00f3n ch\u00e2n th\u1eb3ng\/nghi\u00eang, ch\u1ee5p CT s\u1ecd n\u00e3o kh\u00f4ng ti\u00eam thu\u1ed1c c\u1ea3n quang<\/li>\n<\/ul>\n<h2><strong>IV. <\/strong><strong>TI\u1ec0N C\u0102N<\/strong><\/h2>\n<h3><strong>1. B\u1ea3n th\u00e2n<\/strong><\/h3>\n<p><strong>N\u1ed9i khoa<\/strong><\/p>\n<p>&#8211; 6 n\u0103m tr\u01b0\u1edbc, t\u1ea1i<a href=\"https:\/\/bsvothanhtoan.com\/en\/\"> Bv Th\u1ed1ng Nh\u1ea5t<\/a><\/p>\n<ul>\n<li>THA \u0111\u1ed9 2 theo ESC 2018, HAtt cao nh\u1ea5t 170 mmHg, HAtt th\u00edch nghi 130 mmHg<\/li>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/benh-ly-ban-chan-dai-thao-duong\/\">\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/a> type 2, hi\u1ec7n \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u01b0\u1eddng u\u1ed1ng<\/li>\n<li>R\u1ed1i lo\u1ea1n lipid m\u00e1u<\/li>\n<li>D\u00e3n t\u0129nh m\u1ea1ch chi d\u01b0\u1edbi, hi\u1ec7n ch\u01b0a ghi nh\u1eadn bi\u1ebfn ch\u1ee9ng\n<ul>\n<li style=\"list-style-type: none;\">\u00a0<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&#8211; C\u00e1c thu\u1ed1c \u0111\u01b0\u1ee3c b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng hi\u1ec7n t\u1ea1i<\/p>\n<table width=\"639\">\n<tbody>\n<tr>\n<td width=\"217\">\n<p>Thu\u1ed1c<\/p>\n<\/td>\n<td width=\"262\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"160\">\n<p>Note<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>Valsartan 160mg<\/p>\n<\/td>\n<td width=\"262\">\n<p>0.5 vi\u00ean\/l\u1ea7n\/ng\u00e0y v\u00e0o S\u00e1ng<\/p>\n<\/td>\n<td rowspan=\"6\" width=\"160\">\n<p>B\u1ec7nh nh\u00e2n t\u1ef1 thay \u0111\u1ed5i gi\u1edd u\u1ed1ng t\u1ea5t c\u1ea3 c\u00e1c v\u00e0o bu\u1ed5i chi\u1ec1u<\/p>\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>Bisoprolol 2.5mg<\/p>\n<\/td>\n<td width=\"262\">\n<p>1 vi\u00ean\/l\u1ea7n\/ng\u00e0y v\u00e0o S\u00e1ng<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>Rosuvastatin 10mg<\/p>\n<\/td>\n<td width=\"262\">\n<p>1 vi\u00ean\/l\u1ea7n.ng\u00e0y v\u00e0o Chi\u1ec1u<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>Metformin 750mg<\/p>\n<\/td>\n<td width=\"262\">\n<p>1 vi\u00ean\/l\u1ea7n.ng\u00e0y v\u00e0o Chi\u1ec1u<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>Diosmin 600 mg<\/p>\n<\/td>\n<td width=\"262\">\n<p>1 vi\u00ean\/l\u1ea7n\/ng\u00e0y v\u00e0o S\u00e1ng<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>Clopidogrel 75mg<\/p>\n<\/td>\n<td width=\"262\">\n<p>1 vi\u00ean\/l\u1ea7n\/ng\u00e0y v\u00e0o S\u00e1ng<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Ngo\u1ea1i khoa<\/strong><\/p>\n<ul>\n<li>Ch\u01b0a ghi nh\u1eadn t\u1eebng can thi\u1ec7p ngo\u1ea1i khoa<\/li>\n<\/ul>\n<p><strong>Allergy<\/strong>: ch\u01b0a ghi nh\u1eadn ti\u1ec1n c\u0103n d\u1ecb \u1ee9ng<\/p>\n<p><strong>Th\u00f3i quen sinh ho\u1ea1t<\/strong><\/p>\n<ul>\n<li>Kh\u00f4ng h\u00fat thu\u1ed1c<\/li>\n<li>Kh\u00f4ng r\u01b0\u1ee3u bia<\/li>\n<\/ul>\n<h3><strong>2. Gia \u0111\u00ecnh: <\/strong><\/h3>\n<pre>Ch\u01b0a ghi nh\u1eadn ti\u1ec1n c\u0103n trong gia \u0111\u00ecnh c\u00f3 anh ch\u1ecb, con c\u00e1i m\u1eafc c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u di truy\u1ec1n,...<\/pre>\n<h2><strong>\u00a0V. <\/strong><strong>L\u01af\u1ee2C QUA C\u00c1C C\u01a0 QUAN<\/strong>\u00a0 (c\u00e1ch 3h30 sau nh\u1eadp vi\u1ec7n)<\/h2>\n<ol>\n<li>Tim m\u1ea1ch: kh\u00f4ng h\u1ed3i h\u1ed9p, kh\u00f4ng \u0111au ng\u1ef1c<\/li>\n<li>H\u00f4 h\u1ea5p: kh\u00f4ng kh\u00f3 th\u1edf, kh\u00f4ng ho<\/li>\n<li>Ti\u00eau h\u00f3a: kh\u00f4ng \u0111au b\u1ee5ng<\/li>\n<li>Ti\u1ebft ni\u1ec7u: ch\u01b0a \u0111i WC<\/li>\n<li>Th\u1ea7n kinh: kh\u00f4ng \u0111au \u0111\u1ea7u<\/li>\n<li>C\u01a1 x\u01b0\u01a1ng kh\u1edbp: t\u00ea to\u00e0n b\u1ed9 \u2153 d\u01b0\u1edbi c\u1eb3ng ch\u00e2n, c\u1ed5 ch\u00e2n v\u00e0 b\u00e0n ng\u00f3n ch\u00e2n. \u0110au khi c\u1eed \u0111\u1ed9ng, \u0111au \u2153 d\u01b0\u1edbi c\u1eb3ng ch\u00e2n, c\u1ed5 ch\u00e2n, \u0111au ch\u00f3i, c\u1ea3m gi\u00e1c l\u1ea1o x\u1ea1o, c\u01b0\u1eddng \u0111\u1ed9 7\/10, kh\u00f4ng c\u1eed \u0111\u1ed9ng kh\u00f4ng \u0111au.<\/li>\n<\/ol>\n<h2><strong>VI. <\/strong><strong>KH\u00c1M<\/strong> (00H00, ng\u00e0y 26\/03\/2023)<\/h2>\n<h3><strong>1. T\u1ed5ng tr\u1ea1ng<\/strong><\/h3>\n<ul>\n<li>B\u1ec7nh nh\u00e2n t\u1ec9nh, GCS 15<\/li>\n<li>Sinh hi\u1ec7u\n<ul>\n<li>M\u1ea1ch: 60 l\u1ea7n\/ ph\u00fat<\/li>\n<li>HA: 140\/80 mmHg<\/li>\n<li>Nhi\u1ec7t \u0111\u1ed9: 37 oC<\/li>\n<li>Nh\u1ecbp th\u1edf: 20 l\u1ea7n\/ ph\u00fat<\/li>\n<li>SpO2: 98% &#8211; Kh\u00ed tr\u1eddi<\/li>\n<li>Ch\u1ec9 s\u1ed1 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/da-chan-thuong-choang-chan-thuong\/\">stunned<\/a>: &lt;1<\/li>\n<\/ul>\n<\/li>\n<li>Th\u1ec3 tr\u1ea1ng\n<ul>\n<li>C\u00e2n n\u1eb7ng: 62 Kg<\/li>\n<li>Chi\u1ec1u cao: 165 cm.\u00a0 BMI\u00a0 = 22.7 kg\/m2 thu\u1ed9c th\u1ec3 tr\u1ea1ng trung b\u00ecnh (theo IDI WPRO)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Da, ni\u00eam m\u1ea1c h\u1ed3ng<\/li>\n<li>M\u00f3ng kh\u00f4ng s\u1ecdc, kh\u00f4ng m\u1ea5t b\u00f3ng<\/li>\n<li>CRT &lt;2s<\/li>\n<\/ul>\n<h3><strong>2. Tim m\u1ea1ch<\/strong><\/h3>\n<ul>\n<li>L\u1ed3ng ng\u1ef1c c\u00e2n \u0111\u1ed1i, kh\u00f4ng u, kh\u00f4ng s\u1eb9o m\u1ed5 c\u0169<\/li>\n<li>M\u1ecfm tim khoang li\u00ean s\u01b0\u1eddn IV tr\u00ean \u0111\u01b0\u1eddng trung \u0111\u00f2n tr\u00e1i<\/li>\n<li>T1 &#8211; T2 r\u00f5, kh\u00f4ng c\u00f3 \u00e2m th\u1ed5i b\u1ea5t th\u01b0\u1eddng<\/li>\n<\/ul>\n<h3><strong>3. H\u00f4 h\u1ea5p<\/strong><\/h3>\n<ul>\n<li>L\u1ed3ng ng\u1ef1c di \u0111\u1ed9ng theo nh\u1ecbp th\u1edf<\/li>\n<li>\u0110\u1ed9 d\u00e3n n\u1edf l\u1ed3ng ng\u1ef1c \u0111\u1ec1u 2 b\u00ean<\/li>\n<li>G\u00f5 trong<\/li>\n<li>R\u00ec r\u00e0o ph\u1ebf nang \u00eam d\u1ecbu<\/li>\n<\/ul>\n<h3><strong>4. Ti\u00eau h\u00f3a<\/strong><\/h3>\n<ul>\n<li>B\u1ee5ng c\u00e2n \u0111\u1ed1i 2 b\u00ean, kh\u00f4ng u, kh\u00f4ng s\u1eb9o m\u1ed5 c\u0169<\/li>\n<li>\u1ea4n b\u1ee5ng kh\u00f4ng \u0111au<\/li>\n<li>G\u00f5 trong<\/li>\n<li>Nhu \u0111\u1ed9ng ru\u1ed9t r\u00f5<\/li>\n<\/ul>\n<h3><strong>5. Ti\u1ebft ni\u1ec7u<\/strong><\/h3>\n<ul>\n<li>C\u1ea7u b\u00e0ng quang (-)<\/li>\n<li>Ch\u1ea1m th\u1eadn (-)<\/li>\n<li>Rung th\u1eadn (-)<\/li>\n<\/ul>\n<h3><strong>6. C\u01a1 x\u01b0\u01a1ng kh\u1edbp<\/strong><\/h3>\n<p>BN n\u1eb1m tr\u00ean gi\u01b0\u1eddng, ch\u00e2n du\u1ed7i, kh\u00f4ng n\u1eb9p ch\u00e2n, ch\u00e2n Tr\u00e1i th\u1ea3 l\u1ecfng xoay ngo\u00e0i:<\/p>\n<p><span style=\"text-decoration: underline;\">NH\u00ccN<\/span><\/p>\n<ul>\n<li>C\u00f3 3 v\u1ebft x\u00e2y x\u00e1t \u1edf <strong>g\u00f2 m\u00e1<\/strong>, <strong>khu\u1ef7u tay<\/strong>, <strong>\u0111\u1ea7u g\u1ed1i<\/strong><\/li>\n<li>Sang th\u01b0\u01a1ng r\u1ec9 m\u00e1u \u00edt, k\u00edch th\u01b0\u1edbc kho\u1ea3ng 3-5:3 cm, t\u1ef1 c\u1ea7m m\u00e1u, b\u1ea7m t\u00edm xung quanh, kh\u00f4ng th\u1ea5y l\u1ed9 c\u01a1 &#8211; x\u01b0\u01a1ng<\/li>\n<li>S\u01b0ng n\u1ec1, c\u0103ng \u0111\u1ec1u \u2153 d\u01b0\u1edbi c\u1eb3ng ch\u00e2n tr\u00e1i, kh\u00f4ng s\u01b0ng \u0111\u1ecf hay b\u1ea7m t\u00edm<\/li>\n<li>Bi\u1ebfn d\u1ea1ng tr\u1ee5c \u2153 d\u01b0\u1edbi c\u1eb3ng ch\u00e2n (\u0111i\u1ec3m gi\u1eefa kh\u1edbp c\u1ed5 ch\u00e2n v\u00e0 \u0111i\u1ec3m gi\u1eefa c\u1ed5 ch\u00e2n kh\u00f4ng n\u1eb1m tr\u00ean \u0111\u01b0\u1eddng th\u1eb3ng)<\/li>\n<li>Kh\u00f4ng ghi nh\u1eadn s\u01b0ng\/ ph\u00f9 v\u00f9ng g\u1ed1i, \u0111\u00f9i, vai, c\u00e1nh tay, kh\u1ee7y tay, c\u1eb3ng tay v\u00e0 g\u00f2 m\u00e1<\/li>\n<\/ul>\n<p><span style=\"text-decoration: underline;\">S\u1edc<\/span><\/p>\n<ul>\n<li>Kh\u00f3 kh\u00e1m l\u1ea1o x\u1ea1o x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n, c\u1ed5 ch\u00e2n do s\u01b0ng<\/li>\n<li>Ghi nh\u1eadn c\u00e1c \u0111i\u1ec3m \u0111au ch\u00f3i \u2153 d\u01b0\u1edbi c\u1eb3ng ch\u00e2n v\u00e0 c\u1ed5 ch\u00e2n d\u1ecdc theo x\u01b0\u01a1ng ch\u00e0y v\u00e0 m\u00e1c<\/li>\n<li>Kh\u00f4ng ghi nh\u1eadn \u0111i\u1ec3m \u0111au\/ \u0111au ch\u00f3i \u1edf v\u00f9ng g\u1ed1i, \u0111\u00f9i, vai, c\u00e1nh tay, kh\u1ee7y tay, c\u1eb3ng tay v\u00e0 g\u00f2 m\u00e1<\/li>\n<li>C\u0103ng ch\u00e2n (T) \u1ea5m\/ n\u00f3ng&gt; c\u1eb3ng ch\u00e2n (P)<\/li>\n<\/ul>\n<table width=\"635\">\n<tbody>\n<tr>\n<td width=\"157\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"229\">\n<p><strong>Tr\u00e1i<\/strong><\/p>\n<\/td>\n<td width=\"249\">\n<p><strong>Ph\u1ea3i<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"157\">\n<p>M\u1ea1ch mu ch\u00e2n<\/p>\n<\/td>\n<td width=\"229\">\n<p>(+)<\/p>\n<\/td>\n<td width=\"249\">\n<p>(+)<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"157\">\n<p>M\u1ea1ch ch\u00e0y sau<\/p>\n<\/td>\n<td width=\"229\">\n<p>(+)<\/p>\n<\/td>\n<td width=\"249\">\n<p>(+)<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<ul>\n<li>Kh\u00f4ng ghi nh\u1eadn c\u1eed \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng khi v\u1eadn \u0111\u1ed9ng th\u1ee5 \u0111\u1ed9ng<\/li>\n<li>C\u1ea3m gi\u00e1c n\u00f4ng s\u00e2u c\u1eb3ng ch\u00e2n, c\u1ed5 ch\u00e2n, mu v\u00e0 gan b\u00e0n ch\u00e2n (T) b\u00ecnh th\u01b0\u1eddng<\/li>\n<li>V\u1eadn \u0111\u1ed9ng:\n<ul>\n<li>H\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng g\u1eadp du\u1ed7i c\u1ed5 ch\u00e2n: G &#8211; D: 5 &#8211; 0 &#8211; 10 (\u0111\u1ed9)<\/li>\n<li>H\u1ea1n ch\u1ebf \u00edt v\u1eadn \u0111\u1ed9ng kh\u1edbp g\u1ed1i, h\u00e1ng<\/li>\n<li>Kh\u00f4ng h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-khop-vai-khuyu-hang\/\">shoulder<\/a>, kh\u1edbp kh\u1ee7y<\/li>\n<\/ul>\n<\/li>\n<li style=\"list-style-type: none;\">\u00a0<\/li>\n<\/ul>\n<p><span style=\"text-decoration: underline;\">\u00a0\u0110O<\/span><\/p>\n<ul>\n<li>V\u00f2ng chi (t\u1eeb m\u1eaft c\u00e1 trong 16cm \u0111i l\u00ean):<\/li>\n<\/ul>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Tr\u00e1i: 27cm<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Ph\u1ea3i 23cm:<\/p>\n<ul>\n<li>Chi\u1ebfu d\u00e0i chi:<\/li>\n<\/ul>\n<table width=\"633\">\n<tbody>\n<tr>\n<td width=\"171\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"132\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"177\">\n<p><strong>Tr\u00e1i<\/strong><\/p>\n<\/td>\n<td width=\"153\">\n<p><strong>Ph\u1ea3i<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"171\">\n<p>Chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i<\/p>\n<\/td>\n<td width=\"132\">\n<p>X\u01b0\u01a1ng ch\u00e0y<\/p>\n<\/td>\n<td width=\"177\">\n<p>37.5<\/p>\n<\/td>\n<td width=\"153\">\n<p>39<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\n<p>X\u01b0\u01a1ng m\u00e1c<\/p>\n<\/td>\n<td width=\"177\">\n<p>38<\/p>\n<\/td>\n<td width=\"153\">\n<p>40<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"171\">\n<p>Chi\u1ec1u d\u00e0i tuy\u1ec7t \u0111\u1ed1i<\/p>\n<\/td>\n<td width=\"132\">\n<p>X\u01b0\u01a1ng ch\u00e0y<\/p>\n<\/td>\n<td width=\"177\">\n<p>32<\/p>\n<\/td>\n<td width=\"153\">\n<p>34<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table style=\"width: 85.7857%;\" width=\"633\">\n<tbody>\n<tr>\n<td style=\"width: 47.5127%;\" width=\"132\">\n<p>X\u01b0\u01a1ng m\u00e1c<\/p>\n<\/td>\n<td style=\"width: 26.9625%;\" width=\"177\">\n<p>35<\/p>\n<\/td>\n<td style=\"width: 23.4856%;\" width=\"153\">\n<p>36<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>7. Th\u1ea7n kinh<\/strong><\/p>\n<ul>\n<li>D\u1ea5u c\u1ee9ng g\u00e1y (-)<\/li>\n<li>Ph\u1ea3n x\u1ea1 g\u00e2n x\u01b0\u01a1ng<\/li>\n<\/ul>\n<h2><strong>VII. <\/strong><strong>T\u00d3M T\u1eaeT B\u1ec6NH \u00c1N<\/strong><\/h2>\n<p>B\u1ec7nh nh\u00e2n nam, 61 tu\u1ed5i, nh\u1eadp vi\u1ec7n v\u00ec \u0111au 1\/3 d\u01b0\u1edbi c\u1eb3ng ch\u00e2n (T), qua h\u1ecfi b\u1ec7nh v\u00e0 th\u0103m kh\u00e1m ghi nh\u1eadn:<\/p>\n<pre><strong>Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng:<\/strong><\/pre>\n<ul>\n<li>\u0110au v\u00e0 t\u00ea \u2153 d\u01b0\u1edbi c\u1eb3ng ch\u00e2n (T)<\/li>\n<li>Ch\u00e2n (T) kh\u00f4ng tr\u1ee5 \u0111\u01b0\u1ee3c<\/li>\n<\/ul>\n<pre><strong>Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3:<\/strong><\/pre>\n<ul>\n<li>S\u01b0ng n\u1ec1 \u2153 d\u01b0\u1edbi c\u1eb3ng ch\u00e2n (T)<\/li>\n<li>Bi\u1ebfn d\u1ea1ng tr\u1ee5c \u2153 d\u01b0\u1edbi c\u1eb3ng ch\u00e2n (T)<\/li>\n<li>Ch\u00e2n (T) \u1ea5m h\u01a1n ch\u00e2n (P)<\/li>\n<li>H\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng g\u1eadp du\u1ed7i c\u1ed5 ch\u00e2n<\/li>\n<li>Kh\u00f4ng ghi nh\u1eadn s\u01b0ng n\u1ec1, \u0111au v\u00f9ng g\u1ed1i, \u0111\u00f9i, vai, c\u00e1nh tay, kh\u1ee7y tay, c\u1eb3ng tay v\u00e0 g\u00f2 m\u00e1<\/li>\n<\/ul>\n<p><strong>Ti\u1ec1n s\u1eed:<\/strong><\/p>\n<ul>\n<li>T\u0103ng huy\u1ebft \u00e1p<\/li>\n<li>\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2<\/li>\n<li>R\u1ed1i lo\u1ea1n lipid m\u00e1u<\/li>\n<li>Gi\u00e3n t\u0129nh m\u1ea1ch chi d\u01b0\u1edbi<\/li>\n<\/ul>\n<h2><strong>VIII. <\/strong><strong>\u0110\u1eb6T V\u1ea6N \u0110\u1ec0<\/strong><\/h2>\n<ul>\n<li>Sure sign <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">fracture<\/a>: bi\u1ebfn d\u1ea1ng \u2153 d\u01b0\u1edbi c\u1eb3ng ch\u00e2n (T)<\/li>\n<li>D\u1ea5u hi\u1ec7u kh\u00f4ng ch\u1eafc ch\u1eafn g\u00e3y x\u01b0\u01a1ng: s\u01b0ng, \u0111au ch\u00f3i \u2153 d\u01b0\u1edbi c\u1eb3ng ch\u00e2n (T), h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng g\u1eadp du\u1ed7i c\u1ed5 ch\u00e2n<\/li>\n<\/ul>\n<h2><strong>IX. CH\u1ea8N \u0110O\u00c1N S\u01a0 B\u1ed8<\/strong><\/h2>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">Closed fracture<\/a> \u0111\u1ea7u d\u01b0\u1edbi 2 x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n (T) gi\u1edd th\u1ee9 1 do TNGT\/THA-\u0110T\u0110 type 2-R\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u-Gi\u00e3n t\u0129nh m\u1ea1ch chi d\u01b0\u1edbi<\/p>\n<h2><strong>X. <\/strong><strong>CH\u1ea8N \u0110O\u00c1N PH\u00c2N BI\u1ec6T<\/strong><\/h2>\n<h2><strong>XI. BI\u1ec6N LU\u1eacN L\u00c2M S\u00c0NG<\/strong><\/h2>\n<p>B\u1ec7nh nh\u00e2n nam, 61 tu\u1ed5i, nh\u1eadp vi\u1ec7n v\u00ec \u0111au 1\/3 d\u01b0\u1edbi c\u1eb3ng ch\u00e2n (T), h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng c\u1ed5 ch\u00e2n, v\u1edbi c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng v\u1eeba tr\u1ef1c ti\u1ebfp (xe \u0111\u00e8 l\u00ean c\u1eb3ng ch\u00e2n) v\u1eeba gi\u00e1n ti\u1ebfp (ch\u1ed1ng ch\u00e2n xu\u1ed1ng n\u1ec1n c\u1ee9ng). C\u00f3 nh\u1eefng nguy\u00ean nh\u00e2n: g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi 2 x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n (T) do th\u1ea5y bi\u1ebfn d\u1ea1ng, s\u01b0ng \u0111au v\u00f9ng c\u1eb3ng ch\u00e2n T \u2192 c\u1ea7n ch\u1ee5p XQ x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n th\u1eb3ng\/nghi\u00eang \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n.<\/p>\n<ul>\n<li>G\u00e3y k\u00edn do th\u1ea5y v\u1ebft th\u01b0\u01a1ng kh\u00f4ng th\u00f4ng v\u1edbi \u1ed5 g\u00e3y<\/li>\n<li>Bi\u1ebfn ch\u1ee9ng c\u1ea5p\n<ul>\n<li>Shock ch\u1ea5n th\u01b0\u01a1ng: b\u1ec7nh nh\u00e2n c\u00f3 \u0111au c\u01b0\u1eddng \u0111\u1ed9 7\/10, kh\u00f4ng ch\u1ea3y m\u00e1u, ch\u1ec9 x\u00e2y x\u00e1t ngo\u00e0i da, m\u1ea1ch 65 l\/p \u2192 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u shock ch\u1ea5n th\u01b0\u01a1ng<\/li>\n<li>Blood vessel occlusion due to fat<\/li>\n<li>Syndrome <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoi-chung-chen-ep-khoang\/\">cavity compression<\/a>: b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111au, ch\u1ec9 \u0111au khi c\u1eed \u0111\u1ed9ng, t\u00ea ph\u1ea7n d\u01b0\u1edbi c\u1eb3ng ch\u00e2n (T), n\u00ean em ch\u01b0a ngh\u0129 t\u1edbi CEK, \u0111\u1ec1 ngh\u1ecb theo d\u00f5i m\u1ed7i 1h<\/li>\n<li>Th\u1ea7n kinh &#8211; M\u1ea1ch m\u1ea1ch: b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 m\u1ea5t c\u1ea3m gi\u00e1c mu b\u00e0n ch\u00e2n, c\u1eb3ng ch\u00e2n tr\u01b0\u1edbc (T), b\u1eaft \u0111\u01b0\u1ee3c m\u1ea1ch mu, ch\u00e0y sau, ch\u01b0a ngh\u0129 \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng th\u1ea7n kinh m\u1ea1ch m\u00e1u<\/li>\n<\/ul>\n<\/li>\n<li>Bi\u1ebfn ch\u1ee9ng xa:\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/thoai-hoa-khop\/\">Osteoarthritis<\/a><\/li>\n<li>Can x\u01b0\u01a1ng<\/li>\n<li>Are not <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/cham-lanh-xuong-va-khong-lanh-xuong\/\">heal bones<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Ngo\u00e0i ra, v\u00ec c\u00f3 \u0111\u1ee5ng d\u1eadp v\u00f9ng \u0111\u1ea7u, c\u00f3 ghi nh\u1eadn v\u1ebft th\u01b0\u01a1ng v\u00f9ng m\u00e1, kh\u00f4ng ghi nh\u1eadn \u0111au \u0111\u1ea7u hay ch\u00f3ng m\u1eb7t nh\u01b0ng em kh\u00f4ng th\u1ec3 lo\u1ea1i tr\u1eeb ho\u00e0n to\u00e0n c\u00f3 t\u1ed5n th\u01b0\u01a1ng v\u00f9ng \u0111\u1ea7u \u2192 CT s\u1ecd n\u00e3o<\/li>\n<\/ul>\n<h2><strong>XI. <\/strong><strong>\u0110\u1ec0 NGH\u1eca C\u1eacN L\u00c2M S\u00c0NG<\/strong><\/h2>\n<p>a. C\u1eadn l\u00e2m s\u00e0ng th\u01b0\u1eddng quy\/ ti\u1ec5n ph\u1eabu<\/p>\n<p>b. C\u1eadn l\u00e2m s\u00e0ng ch\u1ea9n \u0111o\u00e1n<\/p>\n<ul>\n<li>X quang<\/li>\n<li>CT s\u1ecd n\u00e3o<\/li>\n<\/ul>\n<p>c. C\u1eadn l\u00e2m s\u00e0ng ph\u00e2n bi\u1ec7t<\/p>\n<p>d. C\u1eadn l\u00e2m s\u00e0ng bi\u1ebfn ch\u1ee9ng<\/p>\n<h2><strong>XII. K\u1ebeT QU\u1ea2 C\u1eacN L\u00c2M S\u00c0NG<\/strong><\/h2>\n<h3>1. X QUANG<\/h3>\n<p>H\u00e0nh ch\u00ednh<\/p>\n<ul>\n<li>H\u1ecd v\u00e0 t\u00ean: T\u1ea0 THANH Q.<\/li>\n<li>Tu\u1ed5i: 61 tu\u1ed5i<\/li>\n<li>ID phim: 17010125<\/li>\n<\/ul>\n<p>Ch\u1ee5p phim: X quang c\u1eb3ng ch\u00e2n Tr\u00e1i th\u1eb3ng, nghi\u00eang<\/p>\n<p>Ti\u00eau chu\u1ea9n phim<\/p>\n<ul>\n<li>Kh\u00f4ng l\u1ea5y \u0111\u1ee7 2 \u0111\u1ea7u kh\u1edbp c\u1ee7a 2 x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n \u1edf phim th\u1eb3ng<\/li>\n<li>Ch\u1ee5p \u0111\u1ee7 2 b\u00ecnh di\u1ec7n th\u1eb3ng nghi\u00eang<\/li>\n<\/ul>\n<p>M\u00f4 t\u1ea3<\/p>\n<ul>\n<li>G\u00e3y \u2153 d\u01b0\u1edbi x\u01b0\u01a1ng ch\u00e0y (T)\n<ul>\n<li>G\u00e3y xo\u1eafn, k\u00e8m m\u1ea3nh th\u1ee9 3<\/li>\n<li>Di l\u1ec7ch m\u1ea3nh th\u1ee9 3, \u2153 th\u00e2n x\u01b0\u01a1ng, ra ngo\u00e0i<\/li>\n<li>Ch\u01b0a ghi nh\u1eadn t\u1ed5n th\u01b0\u01a1ng c\u1ea5u tr\u00fac kh\u00e1c tr\u00ean X quang<\/li>\n<\/ul>\n<\/li>\n<li>G\u00e3y \u2153 d\u01b0\u1edbi x\u01b0\u01a1ng m\u00e1c (T)\n<ul>\n<li>\u0110\u01b0\u1eddng g\u00e3y ch\u00e9o<\/li>\n<li>Di l\u1ec7ch sang b\u00ean \u00bd th\u00e2n x\u01b0\u01a1ng, v\u00e0o trong<\/li>\n<li>Ch\u01b0a ghi nh\u1eadn t\u1ed5n th\u01b0\u01a1ng c\u1ea5u tr\u00fac kh\u00e1c tr\u00ean X quang<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>\u00a0K\u1ebft lu\u1eadn: G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng ch\u00e0y, ph\u00e2n \u0111\u1ed9 43 &#8211; C1 theo AO<\/p>\n<h3>2. CTSCAN<\/h3>\n<ul>\n<li>N\u1ed1t di ch\u1ee9ng nh\u00e2n b\u00e8o b\u00ean ph\u1ea3i. Ngo\u00e0i ra kh\u00f4ng th\u1ea5y h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng l\u00e0m thay \u0111\u1ed5i \u0111\u1eadm \u0111\u1ed9, h\u00ecnh d\u00e1ng nhu m\u00f4 n\u00e3o v\u00f9ng tr\u00ean v\u00e0 d\u01b0\u1edbi l\u1ec1u. Kh\u00f4ng th\u1ea5y m\u00e1u t\u1ee5 n\u1ed9i s\u1ecd<\/li>\n<li>H\u1ec7 th\u1ed1ng n\u00e3o th\u1ea5t, c\u00e1c b\u1ec3 n\u00e3o v\u00e0 c\u00e1c r\u00e3nh v\u1ecf n\u00e3o trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng. H\u00ecnh \u1ea3nh \u0111\u01b0\u1eddng gi\u1eefa kh\u00f4ng di l\u1ec7ch<\/li>\n<li>Kh\u00f4ng ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng v\u00e0 m\u00f4 m\u1ec1m d\u01b0\u1edbi da<\/li>\n<\/ul>\n<p>K\u1ebft lu\u1eadn: N\u1ed1t di ch\u1ee9ng nh\u00e2n b\u00e8o b\u00ean ph\u1ea3i<\/p>\n<p><figure id=\"attachment_2150\" aria-describedby=\"caption-attachment-2150\" style=\"width: 325px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"wp-image-2150 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/bafi5.1.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi hai x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n\" width=\"325\" height=\"790\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/bafi5.1.png 325w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/bafi5.1-123x300.png 123w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/bafi5.1-5x12.png 5w\" sizes=\"(max-width: 325px) 100vw, 325px\" \/><figcaption id=\"caption-attachment-2150\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi hai x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n<\/figcaption><\/figure> <figure id=\"attachment_2151\" aria-describedby=\"caption-attachment-2151\" style=\"width: 341px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"wp-image-2151 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/bai5.2.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi hai x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n\" width=\"341\" height=\"828\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/bai5.2.png 341w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/bai5.2-124x300.png 124w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/bai5.2-5x12.png 5w\" sizes=\"(max-width: 341px) 100vw, 341px\" \/><figcaption id=\"caption-attachment-2151\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi hai x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n<\/figcaption><\/figure> <figure id=\"attachment_2152\" aria-describedby=\"caption-attachment-2152\" style=\"width: 345px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2152 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/bai5.3.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi hai x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n\" width=\"345\" height=\"578\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/bai5.3.png 345w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/bai5.3-179x300.png 179w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/bai5.3-7x12.png 7w\" sizes=\"(max-width: 345px) 100vw, 345px\" \/><figcaption id=\"caption-attachment-2152\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi hai x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n<\/figcaption><\/figure><\/p>\n<h2><strong>XIV. <\/strong><strong>CH\u1ea8N \u0110O\u00c1N X\u00c1C \u0110\u1ecaNH<\/strong><\/h2>\n<p>G\u00e3y k\u00edn \u2153 d\u01b0\u1edbi 2 x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n (T) ph\u00e2n \u0111\u1ed9 43 &#8211; C1 theo AO gi\u1edd th\u1ee9 1 do TNGT ch\u01b0a ghi nh\u1eadn bi\u1ebfn ch\u1ee9ng\/THA-\u0110T\u0110 type 2-R\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u-Gi\u00e3n t\u0129nh m\u1ea1ch chi d\u01b0\u1edbi<\/p>\n<h2><strong>XV. <\/strong><strong>THEO D\u00d5I<\/strong><\/h2>\n<ul>\n<li>Ng\u00e0y 1 \u0111\u1ebfn 3\n<ul>\n<li>Symptoms<\/li>\n<li>Dinh d\u01b0\u1ee1ng<\/li>\n<li>X\u00e9t nghi\u1ec7m<\/li>\n<li>T\u1eadp <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/phuc-hoi-chuc-nang-benh-nhan-cut-chi\/\">Rehabilitation<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Ng\u00e0y 3 tr\u1edf \u0111i<\/li>\n<\/ul>\n<h2><strong>XVI. <\/strong><strong>TREATMENT<\/strong><\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh b\u00ean trong b\u1eb1ng n\u1eb9p v\u00edt<\/p>\n<p>&nbsp;<\/p>","protected":false},"featured_media":1762,"comment_status":"open","ping_status":"open","template":"","tags":[71,195,194],"chuyen-muc":[188],"class_list":["post-2145","chuyen-de","type-chuyen-de","status-publish","has-post-thumbnail","hentry","tag-benh-an","tag-benh-an-gay-dau-duoi-hai-xuong-cang-chan","tag-gay-dau-duoi-hai-xuong-cang-chan","chuyen-muc-benh-an-mau"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2145","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=2145"}],"version-history":[{"count":3,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2145\/revisions"}],"predecessor-version":[{"id":2679,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2145\/revisions\/2679"}],"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=2145"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=2145"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=2145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}