{"id":2148,"date":"2023-08-02T07:00:22","date_gmt":"2023-08-02T00:00:22","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=chuyen-de&#038;p=2148"},"modified":"2024-03-20T16:24:25","modified_gmt":"2024-03-20T09:24:25","slug":"benh-an-gay-xuong-dui-dau-duoi","status":"publish","type":"chuyen-de","link":"https:\/\/bsvothanhtoan.com\/en\/chuyen-de\/benh-an-gay-xuong-dui-dau-duoi\/","title":{"rendered":"B\u1ec7nh \u00e1n g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i (\u0111\u1ea7u d\u01b0\u1edbi)"},"content":{"rendered":"<h2><em><span style=\"font-size: 16px;\">Sau tai n\u1ea1n, b\u1ec7nh nh\u00e2n kh\u00f4ng va \u0111\u1eadp v\u00f9ng \u0111\u1ea7u hay c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c, b\u1ec7nh nh\u00e2n kh\u00f4ng t\u1ef1 \u0111\u1ee9ng d\u1eady \u0111\u01b0\u1ee3c, \u0111au \u2153 d\u01b0\u1edbi \u0111\u00f9i (P) v\u00e0 quanh g\u1ed1i (P), qua th\u0103m kh\u00e1m ghi nh\u1eadn d\u1ea5u hi\u1ec7u ch\u1eafc ch\u1eafn g\u00e3y x\u01b0\u01a1ng: ch\u00e2n (P) ng\u1eafn h\u01a1n ch\u00e2n (T) #2cm, m\u1ea5t h\u00f5m t\u1ef1 nhi\u00ean kh\u1edbp g\u1ed1i (P) k\u00e8m d\u1ea5u hi\u1ec7u kh\u00f4ng ch\u1eafc ch\u1eafn g\u00e3y x\u01b0\u01a1ng: \u1ea5n \u0111au ch\u00f3i v\u00f9ng \u0111\u1ea7u d\u01b0\u1edbi (P) v\u00e0 \u1ea5n \u0111au quanh (P), h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng g\u1ea5p kh\u1edbp g\u1ed1i (P), s\u01b0ng n\u1ec1 vu\u0300ng \u0111\u1ea7u d\u01b0\u1edbi \u0111\u00f9i (P) v\u00e0 quanh g\u1ed1i (P) =&gt; ngh\u0129 nhi\u1ec1u \u0111\u1ebfn g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i (\u0111\u1ea7u d\u01b0\u1edbi) (P) =&gt; \u0110\u1ec1 ngh\u1ecb Xquang x\u01b0\u01a1ng \u0111\u00f9i th\u1eb3ng &#8211; nghi\u00eang<\/span><\/em><\/h2>\n<p>I. H\u00e0nh ch\u00ednh<\/p>\n<ol>\n<li>H\u1ecd t\u00ean: \u0110\u1ed7 Th\u1ecb X.<\/li>\n<li>Tu\u1ed5i: 70 tu\u1ed5i (1953)<\/li>\n<li>Gi\u1edbi t\u00ednh: N\u1eef<\/li>\n<li>\u0110\u1ecba ch\u1ec9: TPHCM<\/li>\n<li>Ngh\u1ec1 nghi\u1ec7p: n\u1ed9i tr\u1ee3 (tr\u01b0\u1edbc \u0111\u00e2y l\u00e0m c\u00f4ng nh\u00e2n \u0111an len)<\/li>\n<li>Chi thu\u1eadn: Tay ph\u1ea3i &#8211; Ch\u00e2n ph\u1ea3i<\/li>\n<li>Ng\u00e0y gi\u1edd nh\u1eadp vi\u1ec7n: 14g30, 06\/04\/2023<\/li>\n<li>Nga\u0300y gi\u01a1\u0300 la\u0300m BA: 16g00, 06\/04\/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>Tr\u01b0\u1edbc khi xem h\u00e3y \u0111\u1ecdc c\u00e1c b\u00e0i sau<\/p>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/en\/chuyen-de\/slide-bai-giang-gay-than-xuong-dui\/\">Lecture slides Fracture of femoral shaft<\/a><\/p>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/en\/chuyen-de\/slide-bai-giang-gay-co-va-than-xuong-dui\/\">Lecture slides Fracture of the neck and femur body<\/a><\/p>\n<h2><strong>II. L\u00fd do nh\u1eadp vi\u1ec7n<\/strong>:<\/h2>\n<pre>\u0110au \u2153 d\u01b0\u1edbi \u0111\u00f9i (P) v\u00e0 quanh g\u1ed1i (P)<\/pre>\n<h2><strong>III. B\u1ec7nh s\u1eed:<\/strong><\/h2>\n<ul>\n<li>B\u1ec7nh nh\u00e2n (BN) la\u0300 ng\u01b0\u01a1\u0300i tr\u01b0\u0323c ti\u00ea\u0301p khai b\u00ea\u0323nh.<\/li>\n<li>C\u00e1ch nh\u1eadp vi\u1ec7n 2 gi\u1edd, BN \u0111ang \u0111i xu\u1ed1ng b\u1eadc tam c\u1ea5p th\u00ec ch\u00e2n (P) b\u1ecb tr\u01b0\u1ee3t ch\u00e2n \u1edf b\u1eadc th\u1ee9 2, BN co g\u1ed1i, nghi\u00eang ng\u01b0\u1eddi sang ph\u1ea3i v\u00e0 \u0111\u1eadp tr\u1ef1c ti\u1ebfp n\u1eeda \u0111\u00f9i d\u01b0\u1edbi (P), g\u1ed1i (P) xu\u1ed1ng n\u1ec1n c\u1ee9ng. BN kh\u00f4ng ch\u1ed1ng tay, kh\u00f4ng va \u0111\u1eadp v\u00f9ng \u0111\u1ea7u khi ng\u00e3. Sau khi ng\u00e3, BN t\u1ec9nh, BN ng\u1ed3i g\u1ea5p g\u1ed1i (P), du\u1ed7i ch\u00e2n (T) tr\u00ean m\u1eb7t \u0111\u1ea5t v\u00e0 kh\u00f4ng th\u1ec3 t\u1ef1 \u0111\u1ee9ng d\u1eady \u0111\u01b0\u1ee3c. BN \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 h\u1ed7 tr\u1ee3 du\u1ed7i th\u1eb3ng ch\u00e2n (P), d\u00f9ng g\u1eady g\u1ed7 b\u0103ng c\u1ed1 \u0111\u1ecbnh g\u1ed1i (P), ch\u01b0\u1eddm \u0111\u00e1 v\u00e0 g\u1ecdi taxi \u0111\u1ebfn BV Th\u1ed1ng Nh\u1ea5t.<\/li>\n<li>Trong qua\u0301 tri\u0300nh tr\u00ean, BN ti\u0309nh, kh\u00f4ng \u0111au v\u00f9ng h\u00f4ng, h\u00e1ng, kh\u00f4ng \u0111au v\u00f9ng c\u1ed5 ch\u00e2n, kh\u00f4ng \u0111au \u0111\u1ea7u, kh\u00f4ng ch\u00f3ng m\u1eb7t, kh\u00f4ng t\u00ea bi\u0300, kh\u00f4ng co\u0301 ca\u0309m gia\u0301c la\u0323nh \u0111\u00e2\u0300u chi, kh\u00f4ng n\u00f4n-bu\u1ed3n n\u00f4n, kh\u00f4ng \u0111au bu\u0323ng.<\/li>\n<\/ul>\n<p><strong>T\u00ecnh tr\u1ea1ng l\u00fac nh\u1eadp <a href=\"https:\/\/bsvothanhtoan.com\/en\/\">vi\u1ec7n Th\u1ed1ng Nh\u1ea5t:<\/a><\/strong><\/p>\n<ul>\n<li>B\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t, GCS: 15 \u0111i\u1ec3m<\/li>\n<li>Da ni\u00eam m\u1ea1c h\u1ed3ng, chi \u1ea5m, m\u1ea1ch r\u00f5<\/li>\n<li>Sinh hi\u1ec7u:<\/li>\n<li>M\u1ea1ch: 68 l\u1ea7n\/ph\u00fat<\/li>\n<li>Huy\u1ebft \u00e1p: 160\/90 mmHg<\/li>\n<li>Nhi\u1ec7t \u0111\u1ed9: 37 \u0111\u1ed9 C<\/li>\n<li>Nh\u1ecbp th\u1edf: 18 l\u1ea7n\/ph\u00fat<\/li>\n<li>SpO2: 98%\/KT<\/li>\n<li>Tim nh\u1ecbp \u0111\u1ec1u, ph\u1ed5i trong kh\u00f4ng rale, b\u1ee5ng m\u1ec1m, kh\u00f4ng d\u1ea5u th\u1ea7n kinh \u0111\u1ecbnh v\u1ecb<\/li>\n<li>\u1ea4n \u0111au g\u1ed1i (P), \u0111\u00f9i (P), c\u1ea3m gi\u00e1c ng\u00f3n ch\u00e2n c\u00f2n, m\u1ea1ch mu ch\u00e2n (P) (+)<\/li>\n<li><strong>CLS c\u1ea5p c\u1ee9u: <\/strong>Xquang khung ch\u1eadu th\u1eb3ng, Xquang x\u01b0\u01a1ng \u0111\u00f9i th\u1eb3ng &#8211; nghi\u00eang, 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 &#8211; nghi\u00eang, TPTTBMNV, ECG<\/li>\n<li><strong>X\u01b0\u0309 tri\u0301:<\/strong> \u0110eo ne\u0323p ch\u00f4\u0301ng xoay + Ti\u00eam Sympal 50mg<\/li>\n<li><strong>Di\u1ec5n ti\u1ebfn t\u1eeb l\u00fac nh\u1eadp vi\u1ec7n \u0111\u1ebfn l\u00fac kh\u00e1m:<\/strong> BN gi\u1ea3m \u0111au, c\u00f2n s\u01b0ng n\u1ec1 \u2153 d\u01b0\u1edbi \u0111\u00f9i (P) v\u00e0 quanh g\u1ed1i (P), kh\u00f4ng \u0111i l\u1ea1i \u0111\u01b0\u1ee3c<\/li>\n<\/ul>\n<h2><strong>IV. <\/strong><strong>Ti\u1ec1n c\u0103n:<\/strong><\/h2>\n<h3>1. B\u1ea3n th\u00e2n<\/h3>\n<pre><strong>N\u1ed9i khoa<\/strong><\/pre>\n<ul>\n<li>C\u00e1ch nh\u1eadp vi\u1ec7n 3 n\u0103m (2020), BN \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n <strong>Suy gi\u00e3n t\u0129nh m\u1ea1ch chi d\u01b0\u1edbi<\/strong> t\u1ea1i ph\u00f2ng kh\u00e1m t\u01b0 nh\u00e2n t\u1ea1i qu\u1eadn 12. \u0110ang d\u00f9ng thu\u1ed1c kh\u00f4ng r\u00f5 lo\u1ea1i.<\/li>\n<li>C\u00e1ch nh\u1eadp vi\u1ec7n 3 n\u0103m (2020), BN \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n <strong>Tho\u00e1i ho\u00e1 kh\u1edbp g\u1ed1i 2 b\u00ean<\/strong> t\u1ea1i ph\u00f2ng kh\u00e1m t\u01b0 nh\u00e2n t\u1ea1i qu\u1eadn 12. \u0110ang d\u00f9ng thu\u1ed1c kh\u00f4ng r\u00f5 lo\u1ea1i.<\/li>\n<\/ul>\n<p><strong>Ngo\u1ea1i khoa<\/strong>: Ch\u01b0a ghi nh\u1eadn ti\u1ec1n c\u0103n ngo\u1ea1i khoa tr\u01b0\u1edbc \u0111\u00e2y<\/p>\n<p><strong>PARA<\/strong>: 3003, sinh th\u01b0\u1eddng, m\u00e3n kinh n\u0103m 52 tu\u1ed5i<\/p>\n<p><strong>Allergy<\/strong>: D\u1ecb \u1ee9ng th\u1ee9c \u0103n c\u00e1 ng\u1eeb, c\u00e1 \u0111u\u1ed1i<\/p>\n<p><strong>Habit<\/strong>: BN kh\u00f4ng h\u00fat thu\u1ed1c, kh\u00f4ng u\u1ed1ng r\u01b0\u1ee3u bia<\/p>\n<h3>2. Gia \u0111\u00ecnh<\/h3>\n<ul>\n<li>Ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng v\u1ec1 b\u1ec7nh di truy\u1ec1n, chuy\u1ec3n h\u00f3a, n\u1ed9i ti\u1ebft.<\/li>\n<\/ul>\n<h2><strong>IV. <\/strong><strong>L\u01b0\u1ee3c qua c\u00e1c c\u01a1 quan<\/strong><\/h2>\n<ul>\n<li><a href=\"https:\/\/vi.wikipedia.org\/wiki\/B%E1%BB%87nh_tim_m%E1%BA%A1ch\" target=\"_blank\" rel=\"noopener\">Heart<\/a>: kh\u00f4ng h\u1ed3i h\u1ed9p, kh\u00f4ng \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, 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 ho\u00e1: kh\u00f4ng \u0111au b\u1ee5ng, kh\u00f4ng n\u00f4n \u00f3i<\/li>\n<li>Ti\u1ebft ni\u1ec7u: kh\u00f4ng ti\u1ec3u g\u1eaft bu\u1ed1t , n\u01b0\u1edbc ti\u1ec3u v\u00e0ng trong<\/li>\n<li>C\u01a1 x\u01b0\u01a1ng kh\u1edbp: \u0111au \u2153 d\u01b0\u1edbi \u0111\u00f9i (P), v\u00f9ng g\u1ed1i (P), 5\/10, kh\u00f4ng \u0111i l\u1ea1i \u0111\u01b0\u1ee3c<\/li>\n<li>Th\u1ea7n kinh: kh\u00f4ng \u0111au \u0111\u1ea7u, kh\u00f4ng bu\u1ed3n n\u00f4n, kh\u00f4ng n\u00f4n.<\/li>\n<\/ul>\n<h2><strong>V. <\/strong><strong>Clinical examination:<\/strong> L\u00fac 16h ng\u00e0y 06\/04\/2023<\/h2>\n<h3><strong style=\"font-size: 16px;\">A. T\u1ed5ng tr\u1ea1ng:<\/strong><\/h3>\n<ul>\n<li>B\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t, GCS 15 \u0111i\u1ec3m<\/li>\n<li>Da, ni\u00eam m\u1ea1c h\u1ed3ng<\/li>\n<li>Kh\u00f4ng ph\u00f9, kh\u00f4ng xu\u1ea5t huy\u1ebft d\u01b0\u1edbi da<\/li>\n<li>Tuy\u1ebfn gi\u00e1p kh\u00f4ng to, h\u1ea1ch ngo\u1ea1i vi kh\u00f4ng s\u1edd ch\u1ea1m<\/li>\n<li>Chi \u1ea5m<\/li>\n<li>CRT &lt; 2s<\/li>\n<li>Sinh hi\u1ec7u:<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"list-style-type: circle;\">\n<li>M\u1ea1ch 70 l\u1ea7n\/ph\u00fat<\/li>\n<li>Huy\u1ebft \u00e1p 130\/80 mmHg<\/li>\n<li>Nh\u1ecbp th\u1edf 16 l\u1ea7n\/ph\u00fat<\/li>\n<li>Nhi\u1ec7t \u0111\u1ed9 36.5 \u0111\u1ed9 C<\/li>\n<li>SpO2%: 99%\/KT<\/li>\n<li>Ch\u1ec9 s\u1ed1 s\u1ed1c: 70\/130 &lt; 1<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Th\u1ec3 tr\u1ea1ng:<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"list-style-type: circle;\">\n<li>C\u00e2n n\u1eb7ng = 69 kg,<\/li>\n<li>Chi\u1ec1u cao = 153 cm<\/li>\n<li>BMI = 29,5 kg\/m2 =&gt; Th\u1ec3 tr\u1ea1ng b\u00e9o ph\u00ec \u0111\u1ed9 I theo IDI &amp; WPRO.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<pre><strong>\u00a0B. <\/strong><strong>Kh\u00e1m c\u00e1c c\u01a1 quan:<\/strong><\/pre>\n<ol>\n<li><strong> C\u01a1 x\u01b0\u01a1ng kh\u1edbp<\/strong><\/li>\n<\/ol>\n<p>NHI\u0300N: BN n\u1eb1m du\u1ed7i th\u1eb3ng 2 ch\u00e2n tr\u00ean gi\u01b0\u1eddng, m\u1edf n\u1eb9p ch\u1ed1ng xoay ch\u00e2n (P)<\/p>\n<ul>\n<li>Ch\u00e2n (T): ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/li>\n<li>Ch\u00e2n (P):<\/li>\n<li>S\u01b0ng n\u1ec1 vu\u0300ng 1\/3 d\u01b0\u1edbi \u0111\u00f9i (P) v\u00e0 quanh g\u1ed1i (P)<\/li>\n<li>Kh\u00f4ng th\u1ea5y v\u1ebft th\u01b0\u01a1ng<\/li>\n<li>\u0110\u1ea7u ca\u0301c ngo\u0301n ch\u00e2n h\u00f4\u0300ng<\/li>\n<li>M\u1ea5t h\u00f5m t\u1ef1 nhi\u00ean kh\u1edbp g\u1ed1i (P)<\/li>\n<li>Ch\u00e2n (P) ng\u1eafn h\u01a1n ch\u00e2n (T) #2 cm<\/li>\n<li>Ch\u00e2n xoay ngo\u00e0i<\/li>\n<\/ul>\n<p>S\u01a0\u0300:<\/p>\n<ul>\n<li>Ch\u00e2n (T): ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/li>\n<li>Ch\u00e2n (P):<\/li>\n<li>\u1ea4n \u0111au cho\u0301i \u0111\u1ea7u d\u01b0\u1edbi \u0111\u00f9i (P)<\/li>\n<li>\u1ea4n \u0111au quanh g\u1ed1i (P)<\/li>\n<li>Chi \u1ea5m, CRT &lt; 2s<\/li>\n<li>C\u00f2n c\u1ea3m gi\u00e1c n\u00f4ng, s\u00e2u<\/li>\n<li>Ma\u0323ch mu ch\u00e2n, ma\u0323ch cha\u0300y sau \u0111\u00ea\u0300u, ro\u0303.<\/li>\n<\/ul>\n<p>\u0110O:<\/p>\n<ul>\n<li>Ch\u00e2n (T): ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/li>\n<li>Chi\u1ec1u d\u00e0i tuy\u1ec7t \u0111\u1ed1i (\u0111o t\u1eeb m\u1ea5u chuy\u1ec3n l\u1edbn-m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u ngo\u00e0i) &#8211; t\u01b0\u01a1ng \u0111\u1ed1i (\u0111o t\u1eeb gai ch\u1eadu tr\u01b0\u1edbc tr\u00ean -m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u ngo\u00e0i) x\u01b0\u01a1ng \u0111\u00f9i (T): 40 &#8211; 42 cm<\/li>\n<li>Chu vi v\u00f2ng chi (T) (qua <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-xuong-banh-che\/\">x\u01b0\u01a1ng b\u00e1nh ch\u00e8<\/a>): 34 cm<\/li>\n<li>Ch\u00e2n (P): Kh\u00f4ng \u0111o \u0111\u01b0\u1ee3c chi\u1ec1u d\u00e0i, chu vi ch\u00e2n (P) do BN \u0111ang \u0111eo n\u1eb9p<\/li>\n<\/ul>\n<p>V\u00c2N \u0110\u00d4\u0323NG:<\/p>\n<ul>\n<li>H\u1ea1n ch\u1ebf v\u00e2\u0323n \u0111\u00f4\u0323ng g\u00e2\u0301p kh\u1edbp g\u1ed1i (P)<\/li>\n<\/ul>\n<p>C\u1ea2M GI\u00c1C<\/p>\n<ul>\n<li>Kh\u00f4ng m\u1ea5t c\u1ea3m gi\u00e1c n\u00f4ng &#8211; s\u00e2u v\u00f9ng \u0111\u00f9i (P), m\u1eb7t sau c\u1eb3ng ch\u00e2n (P)<\/li>\n<\/ul>\n<ol start=\"2\">\n<li><strong> Tim m\u1ea1ch:<\/strong><\/li>\n<\/ol>\n<ul>\n<li>L\u00f4\u0300ng ng\u01b0\u0323c c\u00e2n \u0111\u00f4\u0301i, kh\u00f4ng sao ma\u0323ch, kh\u00f4ng tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7, kh\u00f4ng u, kh\u00f4ng \u00f4\u0309 \u0111\u00e2\u0323p b\u00e2\u0301t th\u01b0\u01a1\u0300ng.\u200b<\/li>\n<li>Mo\u0309m tim ta\u0323i gian s\u01b0\u01a1\u0300n IV \u0111\u01b0\u01a1\u0300ng trung \u0111\u00f2n T, di\u1ec7n \u0111\u1eadp 1x1cm<\/li>\n<li>Ti\u00ea\u0301ng T1, T2 \u0111\u00ea\u0300u, ro\u0303, t\u1ea7n s\u1ed1 70 l\u1ea7n\/ph\u00fat, kh\u00f4ng \u00e2m th\u00f4\u0309i b\u00e2\u0301t th\u01b0\u01a1\u0300ng.\u200b<\/li>\n<\/ul>\n<ol start=\"3\">\n<li><strong> H\u00f4 h\u00e2\u0301p:<\/strong>\u200b<\/li>\n<\/ol>\n<ul>\n<li>L\u00f4\u0300ng ng\u01b0\u0323c di \u0111\u00f4\u0323ng theo nhi\u0323p th\u01a1\u0309<\/li>\n<li>Kh\u00f4ng co ke\u0301o c\u01a1 h\u00f4 h\u00e2\u0301p phu\u0323.\u200b<\/li>\n<li>Rung thanh \u0111\u00ea\u0300u 2 b\u00ean.\u200b<\/li>\n<li>R\u00ec r\u00e0o ph\u1ebf nang \u00eam d\u1ecbu 2 ph\u1ebf tr\u01b0\u1eddng.\u200b<\/li>\n<li>G\u00f5 trong 2 ph\u1ebf tr\u01b0\u1eddng ph\u1ed5i.<\/li>\n<\/ul>\n<ol start=\"4\">\n<li><strong> Ti\u00eau h\u00f3a:<\/strong><\/li>\n<\/ol>\n<ul>\n<li>Bu\u0323ng c\u00e2n \u0111\u1ed1i, di \u0111\u1ed9ng theo nh\u1ecbp th\u1edf, kh\u00f4ng co\u0301 tu\u00e2\u0300n hoa\u0300n ba\u0300ng h\u00ea\u0323, kh\u00f4ng sao ma\u0323ch, kh\u00f4ng v\u00ea\u0301t se\u0323o m\u00f4\u0309 cu\u0303, kh\u00f4ng u, kh\u00f4ng d\u1ea5u xu\u1ea5t huy\u1ebft.\u200b<\/li>\n<li>Nhu \u0111\u1ed9ng ru\u1ed9t 8 l\u1ea7n\/ph\u00fat<\/li>\n<li>Gan, l\u00e1ch s\u1edd kh\u00f4ng ch\u1ea1m.<\/li>\n<\/ul>\n<ol start=\"5\">\n<li><strong> Th\u00e2\u0323n-ni\u00ea\u0323u:\u200b<\/strong><\/li>\n<\/ol>\n<ul>\n<li>Ti\u1ec3u b\u00ecnh th\u01b0\u1eddng, n\u01b0\u1edbc ti\u1ec3u v\u00e0ng trong.<\/li>\n<li>Ch\u1ea1m th\u1eadn (-).\u200b<\/li>\n<li>C\u00e2\u0300u ba\u0300ng quang (-).\u200b<\/li>\n<\/ul>\n<ol start=\"6\">\n<li><strong> Kh\u00e1m th\u1ea7n kinh:<\/strong><\/li>\n<\/ol>\n<ul>\n<li>Kh\u00f4ng d\u1ea5u m\u00e0ng n\u00e3o.<\/li>\n<li>Kh\u00f4ng d\u1ea5u th\u1ea7n kinh khu tr\u00fa.<\/li>\n<\/ul>\n<h2><strong>VII. T\u00f3m t\u1eaft b\u1ec7nh \u00e1n:<\/strong><\/h2>\n<p>B\u1ec7nh nh\u00e2n n\u1eef, 70 tu\u1ed5i, nh\u1eadp vi\u1ec7n v\u00ec \u0111au \u2153 d\u01b0\u1edbi \u0111\u00f9i (P) sau TNSH ng\u00e0y th\u1ee9 1. Qua h\u1ecfi b\u1ec7nh v\u00e0 th\u0103m kh\u00e1m l\u00e2m s\u00e0ng ghi nh\u1eadn:<\/p>\n<p><u>TCCN<\/u><\/p>\n<ul>\n<li>\u0110au \u2153 d\u01b0\u1edbi \u0111\u00f9i (P)<\/li>\n<li>H\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng kh\u1edbp g\u1ed1i (P)<\/li>\n<\/ul>\n<p><u>TCTT<\/u><\/p>\n<ul>\n<li>HA: 160\/90 &#8211; 130\/80<\/li>\n<li>Bi\u1ebfn d\u1ea1ng chi: Ch\u00e2n (P) ng\u1eafn h\u01a1n ch\u00e2n (T) #2cm, m\u1ea5t h\u00f5m t\u1ef1 nhi\u00ean kh\u1edbp g\u1ed1i (P)<\/li>\n<li>\u1ea4n \u0111au ch\u00f3i v\u00f9ng \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i (P)<\/li>\n<li>\u1ea4n \u0111au v\u00f9ng quanh g\u1ed1i (P)<\/li>\n<li>Gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng g\u1ea5p g\u1ed1i (P)<\/li>\n<li>S\u01b0ng n\u1ec1 vu\u0300ng \u2153 d\u01b0\u1edbi \u0111\u00f9i v\u00e0 g\u1ed1i (P)<\/li>\n<li>M\u1ea1ch mu ch\u00e2n, m\u1ea1ch cha\u0300y sau \u0111\u1ec1u r\u00f5 2 b\u00ean<\/li>\n<li>Kh\u00f4ng m\u1ea5t c\u1ea3m gi\u00e1c n\u00f4ng &#8211; s\u00e2u v\u00f9ng \u0111\u00f9i (P), m\u1eb7t sau c\u1eb3ng ch\u00e2n (P)<\/li>\n<li><u>Ti\u1ec1n c\u0103n: <\/u>Tho\u00e1i ho\u00e1 kh\u1edbp g\u1ed1i 2 b\u00ean, Suy gi\u00e3n TM ch\u00e2n (T)<\/li>\n<\/ul>\n<h2><strong>VIII. \u0110\u1eb7t v\u1ea5n \u0111\u1ec1<\/strong><\/h2>\n<p>1. D\u1ea5u hi\u1ec7u g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i (P)<\/p>\n<ul>\n<li>Bi\u1ebfn d\u1ea1ng chi: Ch\u00e2n (P) ng\u1eafn h\u01a1n ch\u00e2n (T) #2cm, m\u1ea5t h\u00f5m t\u1ef1 nhi\u00ean kh\u1edbp g\u1ed1i (P)<\/li>\n<li>\u1ea4n \u0111au ch\u00f3i v\u00f9ng \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i (P),<\/li>\n<li>\u0110au quanh v\u00f9ng g\u1ed1i (P)<\/li>\n<li>H\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng kh\u1edbp g\u1ed1i (P)<\/li>\n<li>S\u01b0ng n\u1ec1 \u2153 d\u01b0\u1edbi \u0111\u00f9i (P) v\u00e0 g\u1ed1i (P)<\/li>\n<\/ul>\n<p>2. T\u0103ng huy\u1ebft \u00e1p: 160\/90 &#8211; 130\/80<\/p>\n<h2><strong>IX. Ch\u1ea9n \u0111o\u00e1n:<\/strong><\/h2>\n<ul>\n<li>Ch\u1ea9n \u0111o\u00e1n s\u01a1 b\u1ed9: <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">Closed fracture<\/a> <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">fracture<\/a> \u0111\u00f9i (\u0111\u1ea7u d\u01b0\u1edbi) (P) gi\u1edd th\u1ee9 2 do TNSH &#8211; Theo d\u00f5i THA nguy\u00ean ph\u00e1t \/<a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/thoai-hoa-khop\/\">Osteoarthritis<\/a> g\u1ed1i 2 b\u00ean &#8211; Suy gi\u00e3n t\u0129nh m\u1ea1ch chi d\u01b0\u1edbi<\/li>\n<\/ul>\n<h2>X. Bi\u1ec7n lu\u1eadn<\/h2>\n<p>B\u1ec7nh nh\u00e2n n\u1eef 70 tu\u1ed5i v\u00e0o vi\u1ec7n v\u00ec \u0110au v\u00f9ng \u2153 d\u01b0\u1edbi \u0111\u00f9i (P) sau tai n\u1ea1n sinh ho\u1ea1t gi\u1edd th\u1ee9 2 c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 sau:<\/p>\n<ol>\n<li>BN c\u00f3 c\u01a1 ch\u1ebf t\u1ed5n th\u01b0\u01a1ng r\u00f5 r\u00e0ng (tai n\u1ea1n sinh ho\u1ea1t) =&gt; ngh\u0129 nhi\u1ec1u G\u00e3y x\u01b0\u01a1ng do c\u01a1 n\u0103ng<\/li>\n<li>Sau tai n\u1ea1n, b\u1ec7nh nh\u00e2n kh\u00f4ng va \u0111\u1eadp v\u00f9ng \u0111\u1ea7u hay c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c, b\u1ec7nh nh\u00e2n kh\u00f4ng t\u1ef1 \u0111\u1ee9ng d\u1eady \u0111\u01b0\u1ee3c, \u0111au \u2153 d\u01b0\u1edbi \u0111\u00f9i (P) v\u00e0 quanh g\u1ed1i (P), qua th\u0103m kh\u00e1m ghi nh\u1eadn <strong>d\u1ea5u hi\u1ec7u ch\u1eafc ch\u1eafn g\u00e3y x\u01b0\u01a1ng: ch\u00e2n (P) ng\u1eafn h\u01a1n ch\u00e2n (T) #2cm, m\u1ea5t h\u00f5m t\u1ef1 nhi\u00ean kh\u1edbp g\u1ed1i (P) k\u00e8m d\u1ea5u hi\u1ec7u kh\u00f4ng ch\u1eafc ch\u1eafn g\u00e3y x\u01b0\u01a1ng: \u1ea5n \u0111au ch\u00f3i v\u00f9ng \u0111\u1ea7u d\u01b0\u1edbi (P) v\u00e0 \u1ea5n \u0111au quanh (P), h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng g\u1ea5p<\/strong> <strong>kh\u1edbp<\/strong> <strong>g\u1ed1i (P), s\u01b0ng n\u1ec1 vu\u0300ng \u0111\u1ea7u d\u01b0\u1edbi \u0111\u00f9i (P) v\u00e0 quanh g\u1ed1i (P)<\/strong> =&gt; ngh\u0129 nhi\u1ec1u \u0111\u1ebfn g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i (\u0111\u1ea7u d\u01b0\u1edbi) (P) =&gt; \u0110\u1ec1 ngh\u1ecb Xquang x\u01b0\u01a1ng \u0111\u00f9i th\u1eb3ng &#8211; nghi\u00eang<\/li>\n<li>G\u00e3y k\u00edn v\u00ec: T\u1ea1i v\u1ecb tr\u00ed ch\u1ea5n th\u01b0\u01a1ng kh\u00f4ng c\u00f3 v\u1ebft th\u01b0\u01a1ng<\/li>\n<li>Symptoms:<\/li>\n<\/ol>\n<p><strong>S\u01a1\u0301m<\/strong><\/p>\n<ul>\n<li>Choa\u0301ng, s\u00f4\u0301c \u0111au, m\u00e2\u0301t ma\u0301u: BN kh\u00f4ng co\u0301 v\u00ea\u0301t th\u01b0\u01a1ng, kh\u00f4ng cho\u0301ng m\u0103\u0323t, b\u00ea\u0323nh nh\u00e2n ti\u0309nh, sinh hi\u00ea\u0323u \u00f4\u0309n, ch\u1ec9 s\u1ed1 shock &lt;1: <strong>Kh\u00f4ng nghi\u0303<\/strong><\/li>\n<li>T\u0103\u0301c ma\u0323ch ma\u0301u do m\u01a1\u0303: b\u0103\u0301t ma\u0323ch \u0111u\u0300i, mu ch\u00e2n, ma\u0323ch cha\u0300y \u0111\u00ea\u0300u, ro\u0303: <strong>Kh\u00f4ng nghi\u0303<\/strong><\/li>\n<li>Che\u0300n e\u0301p khoang: b\u1ec7nh nh\u00e2n \u0111au nh\u1eb9, \u0111au gi\u1ea3m sau khi b\u00e2\u0301t \u0111\u00f4\u0323ng, kh\u00f4ng d\u1ecb c\u1ea3m, kh\u00f4ng m\u1ea5t m\u1ea1ch, kh\u00f4ng gi\u1ea3m t\u01b0\u1edbi m\u00e1u chi: <strong>Kh\u00f4ng nghi\u0303<\/strong><\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh ch\u00e0y: BN co\u0300n c\u1ea3m gi\u00e1c n\u00f4ng s\u00e2u v\u00f9ng m\u1eb7t sau c\u1eb3ng ch\u00e2n, kh\u00f4ng co\u0301 ca\u0309m gia\u0301c t\u00ea bi\u0300, c\u1eed \u0111\u1ed9ng \u0111\u01b0\u1ee3c c\u00e1c ng\u00f3n ch\u00e2n:<strong> Kh\u00f4ng nghi\u0303<\/strong><\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u: kh\u00f4ng v\u1ebft b\u1ea7m v\u00f9ng ch\u00e2n, s\u1edd \u1ea5m, CRT&lt;2s, c\u00e1c \u0111\u1ea7u <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ban-ngon-tay-gay-xuong-ban-tay\/\">ng\u00f3n tay<\/a> h\u1ed3ng, b\u1eaft m\u1ea1ch ch\u00e0y sau, mu ch\u00e2n r\u00f5: <strong>Kh\u00f4ng nghi\u0303<\/strong><\/li>\n<li>G\u00e3y k\u00edn chuy\u1ec3n <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ho\/\">broken open<\/a>: t\u1ea1i \u1ed5 g\u00e3y kh\u00f4ng ghi nh\u1eadn \u0111\u1ecf da, kh\u00f4ng ghi nh\u00e2\u0323n v\u1ebft th\u01b0\u01a1ng th\u00f4ng v\u1edbi \u1ed5 g\u00e3y: <strong>Kh\u00f4ng nghi\u0303<\/strong><\/li>\n<li>T\u0103ng n\u1eb7ng b\u1ec7nh n\u1ec1n: BN nh\u1eadp vi\u1ec7n v\u1edbi HA 160\/90 nh\u01b0ng sau khi kh\u00e1m l\u1ea1i \u0111\u00e3 h\u1ea1 c\u00f2n 130\/80mmHg: <strong>Kh\u00f4ng nghi\u0303<\/strong><\/li>\n<\/ul>\n<ol start=\"5\">\n<li>T\u0103ng huy\u1ebft \u00e1p: BN ch\u01b0a ghi nh\u1eadn ti\u1ec1n c\u0103n THA nh\u01b0ng do BN \u0111\u00e3 l\u1edbn tu\u1ed5i k\u00e8m HA cao khi \u0111o t\u1ea1i 2 th\u1eddi \u0111i\u1ec3m kh\u00e1c nhau =&gt; \u0110\u1ec1 ngh\u1ecb theo d\u00f5i HA h\u00e0ng ng\u00e0y<\/li>\n<\/ol>\n<h2><strong>XI. \u0110\u1ec1 ngh\u1ecb c\u1eadn l\u00e2m s\u00e0ng:<\/strong><\/h2>\n<ol>\n<li>C\u1eadn l\u00e2m s\u00e0ng ch\u1ea9n \u0111o\u00e1n:<\/li>\n<\/ol>\n<ul>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/x-quang-trong-chan-thuong-chinh-hinh\/\">X-ray<\/a> x\u01b0\u01a1ng \u0111\u00f9i (P) th\u0103\u0309ng &#8211; nghi\u00eang<\/li>\n<li>X-Quang kh\u1edbp g\u1ed1i (P) th\u1eb3ng &#8211; nghi\u00eang<\/li>\n<\/ul>\n<ol start=\"2\">\n<li>C\u1eadn l\u00e2m s\u00e0ng h\u00f4\u0303 tr\u01a1\u0323 \u0111i\u00ea\u0300u tri\u0323:<\/li>\n<\/ol>\n<ul>\n<li>T\u1ed5ng ph\u00e2n t\u00edch t\u1ebf b\u00e0o m\u00e1u ngo\u1ea1i vi<\/li>\n<li>Sinh ho\u00e1 m\u00e1u (AST, ALT, Creatinin, Glucose, Ure m\u00e1u)<\/li>\n<li>Bilan \u0111\u00f4ng c\u1ea7m m\u00e1u aPTT, TQ, TL, INR<\/li>\n<li>Nh\u00f3m m\u00e1u ABO<\/li>\n<li>Ion \u0111\u1ed3<\/li>\n<li>ECG<\/li>\n<li>\u0110o lo\u00e3ng x\u01b0\u01a1ng<\/li>\n<\/ul>\n<h2><strong>XII. K\u1ebft qu\u1ea3 c\u1eadn l\u00e2m s\u00e0ng:<\/strong><\/h2>\n<ol>\n<li><strong> X-Quang:<\/strong><\/li>\n<\/ol>\n<p><strong>X quang x\u01b0\u01a1ng \u0111\u00f9i (P) th\u1eb3ng &#8211; nghi\u00eang<\/strong><\/p>\n<figure id=\"attachment_2155\" aria-describedby=\"caption-attachment-2155\" style=\"width: 488px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-2155 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/dau-xuong-dui-1.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i (\u0111\u1ea7u d\u01b0\u1edbi)\" width=\"488\" height=\"655\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/dau-xuong-dui-1.png 488w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/dau-xuong-dui-1-224x300.png 224w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/dau-xuong-dui-1-9x12.png 9w\" sizes=\"(max-width: 488px) 100vw, 488px\" \/><figcaption id=\"caption-attachment-2155\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i 1<\/figcaption><\/figure>\n<p><strong>\u0110\u1ecdc phim<\/strong><\/p>\n<ul>\n<li>H\u1ecd v\u00e0 t\u00ean BN: DO THI X., n\u1eef, 70 tu\u1ed5i.<\/li>\n<li>Ng\u00e0y th\u00e1ng n\u0103m ch\u1ee5p: 06\/04\/2023.<\/li>\n<li>M\u00e3 s\u1ed1 BN: 23051677<\/li>\n<li>T\u1ef7 l\u1ec7 phim: 32%<\/li>\n<li>Lo\u1ea1i phim: Xquang x\u01b0\u01a1ng \u0111\u00f9i (P) th\u1eb3ng<\/li>\n<li>Ch\u1ea5t l\u01b0\u1ee3ng phim: Ch\u01b0a \u0111\u1ea1t (Phim ch\u1ee5p ch\u01b0a qua kh\u1edbp g\u1ed1i, Ch\u01b0a c\u00f3 phim nghi\u00eang)<\/li>\n<li>Ch\u1ea5t l\u01b0\u1ee3ng tia: chu\u1ea9n<\/li>\n<li>M\u00f4 t\u1ea3:<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"list-style-type: circle;\">\n<li>M\u00f4 m\u1ec1m: S\u01b0ng n\u1ec1 \u2153 d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i.<\/li>\n<li>V\u1ecb tr\u00ed g\u00e3y: \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i (P).<\/li>\n<li>\u0110\u01b0\u1eddng g\u00e3y: che\u0301o.<\/li>\n<li>Di l\u00ea\u0323ch: ch\u1ed3ng ng\u1eafn + sang b\u00ean + g\u1eadp g\u00f3c.<\/li>\n<li>Ch\u01b0a ghi nh\u1eadn t\u1ed5n th\u01b0\u01a1ng \u0111i k\u00e8m.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Conclusion<\/strong> : G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i (P) ph\u00e2n lo\u1ea1i A1 theo Muller AO<\/p>\n<p><strong>X quang kh\u1edbp g\u1ed1i (P) th\u1eb3ng nghi\u00eang<\/strong><\/p>\n<figure id=\"attachment_2156\" aria-describedby=\"caption-attachment-2156\" style=\"width: 429px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-2156 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/dau-xuong-dui-2.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i (\u0111\u1ea7u d\u01b0\u1edbi)\" width=\"429\" height=\"662\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/dau-xuong-dui-2.png 429w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/dau-xuong-dui-2-194x300.png 194w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/dau-xuong-dui-2-8x12.png 8w\" sizes=\"(max-width: 429px) 100vw, 429px\" \/><figcaption id=\"caption-attachment-2156\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i 2<\/figcaption><\/figure>\n<p><strong>\u0110\u1ecdc phim<\/strong><\/p>\n<ul>\n<li>H\u1ecd v\u00e0 t\u00ean BN: DO THI X., n\u1eef, 70 tu\u1ed5i.<\/li>\n<li>Ng\u00e0y th\u00e1ng n\u0103m ch\u1ee5p: 06\/04\/2023.<\/li>\n<li>M\u00e3 s\u1ed1 BN: 23051677<\/li>\n<li>T\u1ef7 l\u1ec7 phim: 32%<\/li>\n<li>Lo\u1ea1i phim: Xquang kh\u1edbp g\u1ed1i (P) th\u1eb3ng<\/li>\n<li>Ch\u1ea5t l\u01b0\u1ee3ng phim: Ch\u01b0a \u0111\u1ea1t (Ch\u01b0a c\u00f3 phim nghi\u00eang)<\/li>\n<li>Ch\u1ea5t l\u01b0\u1ee3ng tia: chu\u1ea9n<\/li>\n<\/ul>\n<p>M\u00f4 t\u1ea3:<\/p>\n<ul>\n<li>M\u00f4 m\u1ec1m: S\u01b0ng n\u1ec1 \u2153 d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i.<\/li>\n<li>V\u1ecb tr\u00ed g\u00e3y: \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i (P).<\/li>\n<li>\u0110\u01b0\u1eddng g\u00e3y: che\u0301o.<\/li>\n<li>Di l\u00ea\u0323ch: ch\u1ed3ng ng\u1eafn + sang b\u00ean + g\u1eadp g\u00f3c.<\/li>\n<li>Ch\u01b0a ghi nh\u1eadn t\u1ed5n th\u01b0\u01a1ng \u0111i k\u00e8m.<\/li>\n<\/ul>\n<p><strong>Conclusion<\/strong> : G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i (P) ph\u00e2n lo\u1ea1i A1 theo Muller AO<\/p>\n<p><strong>X quang khung ch\u1eadu th\u1eb3ng<\/strong><\/p>\n<figure id=\"attachment_2205\" aria-describedby=\"caption-attachment-2205\" style=\"width: 547px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2205 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/dau-xuong-dui-3.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y \u0111\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i \" width=\"547\" height=\"654\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/dau-xuong-dui-3.png 547w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/dau-xuong-dui-3-251x300.png 251w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/dau-xuong-dui-3-10x12.png 10w\" sizes=\"(max-width: 547px) 100vw, 547px\" \/><figcaption id=\"caption-attachment-2205\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y \u0111\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i 3<\/figcaption><\/figure>\n<p><strong>\u0110\u1ecdc phim<\/strong><\/p>\n<ul>\n<li>H\u1ecd v\u00e0 t\u00ean BN: DO THI X., n\u1eef, 70 tu\u1ed5i.<\/li>\n<li>Ng\u00e0y th\u00e1ng n\u0103m ch\u1ee5p: 06\/04\/2023.<\/li>\n<li>M\u00e3 s\u1ed1 BN: 23051677<\/li>\n<li>T\u1ef7 l\u1ec7 phim: 32%<\/li>\n<li>Lo\u1ea1i phim: Xquang khung ch\u1eadu th\u1eb3ng<\/li>\n<li>Ch\u1ea5t l\u01b0\u1ee3ng phim: \u0111\u1ea1t<\/li>\n<li>Ch\u1ea5t l\u01b0\u1ee3ng tia: chu\u1ea9n<\/li>\n<li>M\u00f4 t\u1ea3:<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"list-style-type: circle;\">\n<li>M\u00f4 m\u1ec1m: ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/li>\n<li>Khung ch\u1eadu: ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/li>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-khop-vai-khuyu-hang\/\">Hip joint<\/a>: ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/li>\n<li>\u0110\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i: ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/li>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-chi-duoi\/\">Th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i<\/a>: ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Conclusion<\/strong>: Ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/p>\n<ol start=\"2\">\n<li><strong> TPTTBM (06\/04\/2023)<\/strong><\/li>\n<\/ol>\n<table width=\"602\">\n<tbody>\n<tr>\n<td width=\"172\">\n<p>WBC<\/p>\n<\/td>\n<td width=\"112\">\n<p><strong>12.10<\/strong><\/p>\n<\/td>\n<td width=\"204\">\n<p>4.01 &#8211; 11.42<\/p>\n<\/td>\n<td width=\"113\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>NEU%<\/p>\n<\/td>\n<td width=\"112\">\n<p><strong>87<\/strong><\/p>\n<\/td>\n<td width=\"204\">\n<p>40 &#8211; 74<\/p>\n<\/td>\n<td width=\"113\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>LYM%<\/p>\n<\/td>\n<td width=\"112\">\n<p><strong>8.3<\/strong><\/p>\n<\/td>\n<td width=\"204\">\n<p>19 &#8211; 48<\/p>\n<\/td>\n<td width=\"113\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>MONO%<\/p>\n<\/td>\n<td width=\"112\">\n<p>3.9<\/p>\n<\/td>\n<td width=\"204\">\n<p>3.4 &#8211; 9.0<\/p>\n<\/td>\n<td width=\"113\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>EOS%<\/p>\n<\/td>\n<td width=\"112\">\n<p>0.6<\/p>\n<\/td>\n<td width=\"204\">\n<p>0.0 &#8211; 7.0<\/p>\n<\/td>\n<td width=\"113\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>BASO%<\/p>\n<\/td>\n<td width=\"112\">\n<p>0.2<\/p>\n<\/td>\n<td width=\"204\">\n<p>0.0 &#8211; 1.5<\/p>\n<\/td>\n<td width=\"113\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>NEU#<\/p>\n<\/td>\n<td width=\"112\">\n<p><strong>10.53<\/strong><\/p>\n<\/td>\n<td width=\"204\">\n<p>1.7 &#8211; 7.5<\/p>\n<\/td>\n<td width=\"113\">\n<p>k\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>LYM#<\/p>\n<\/td>\n<td width=\"112\">\n<p><strong>1.01<\/strong><\/p>\n<\/td>\n<td width=\"204\">\n<p>1.2 &#8211; 4.0<\/p>\n<\/td>\n<td width=\"113\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>MONO#<\/p>\n<\/td>\n<td width=\"112\">\n<p>0.47<\/p>\n<\/td>\n<td width=\"204\">\n<p>0.2 &#8211; 2.8<\/p>\n<\/td>\n<td width=\"113\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>EOS#<\/p>\n<\/td>\n<td width=\"112\">\n<p>0.07<\/p>\n<\/td>\n<td width=\"204\">\n<p>0.0 &#8211; 0.5<\/p>\n<\/td>\n<td width=\"113\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>BASO#<\/p>\n<\/td>\n<td width=\"112\">\n<p>0.02<\/p>\n<\/td>\n<td width=\"204\">\n<p>0.0 &#8211; 0.1<\/p>\n<\/td>\n<td width=\"113\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>RBC<\/p>\n<\/td>\n<td width=\"112\">\n<p>4.30<\/p>\n<\/td>\n<td width=\"204\">\n<p>4.01 &#8211; 5.79<\/p>\n<\/td>\n<td width=\"113\">\n<p>M\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>HGB<\/p>\n<\/td>\n<td width=\"112\">\n<p>12.9<\/p>\n<\/td>\n<td width=\"204\">\n<p>11.5 &#8211; 15.0<\/p>\n<\/td>\n<td width=\"113\">\n<p>g\/dL<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table width=\"602\">\n<tbody>\n<tr>\n<td width=\"172\">\n<p>HCT<\/p>\n<\/td>\n<td width=\"112\">\n<p>39.9<\/p>\n<\/td>\n<td width=\"204\">\n<p>34.4 &#8211; 48.5<\/p>\n<\/td>\n<td width=\"113\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>MCV<\/p>\n<\/td>\n<td width=\"112\">\n<p>92.8<\/p>\n<\/td>\n<td width=\"204\">\n<p>80 &#8211; 99<\/p>\n<\/td>\n<td width=\"113\">\n<p>fL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>MCH<\/p>\n<\/td>\n<td width=\"112\">\n<p>30.1<\/p>\n<\/td>\n<td width=\"204\">\n<p>27 &#8211; 33<\/p>\n<\/td>\n<td width=\"113\">\n<p>pg<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>MCHC<\/p>\n<\/td>\n<td width=\"112\">\n<p>32.5<\/p>\n<\/td>\n<td width=\"204\">\n<p>32 &#8211; 36<\/p>\n<\/td>\n<td width=\"113\">\n<p>g\/dL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>RDW<\/p>\n<\/td>\n<td width=\"112\">\n<p>13.0<\/p>\n<\/td>\n<td width=\"204\">\n<p>11.5 &#8211; 15.5<\/p>\n<\/td>\n<td width=\"113\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>PLT<\/p>\n<\/td>\n<td width=\"112\">\n<p>269.0<\/p>\n<\/td>\n<td width=\"204\">\n<p>150 &#8211; 450<\/p>\n<\/td>\n<td width=\"113\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>MPV<\/p>\n<\/td>\n<td width=\"112\">\n<p>9.5<\/p>\n<\/td>\n<td width=\"204\">\n<p>7.4 &#8211; 10.9<\/p>\n<\/td>\n<td width=\"113\">\n<p>fL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"172\">\n<p>Nh\u00f3m m\u00e1u<\/p>\n<\/td>\n<td width=\"112\">\n<p>O+<\/p>\n<\/td>\n<td width=\"204\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"113\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>=&gt; B\u1ea1ch c\u1ea7u t\u0103ng kh\u00f4ng \u0111\u00e1ng k\u1ec3, Neu \u01b0u th\u1ebf ph\u00f9 h\u1ee3p v\u1edbi l\u00e2m s\u00e0ng BN l\u1edbn tu\u1ed5i, c\u00f3 s\u01b0ng n\u1ec1, t\u1ed5n th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m ngh\u0129 t\u0103ng b\u1ea1ch c\u1ea7u ph\u1ea3n \u1ee9ng sau ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n<ol start=\"3\">\n<li><strong> Sinh h\u00f3a m\u00e1u (06\/04\/2023)<\/strong><\/li>\n<\/ol>\n<table width=\"602\">\n<thead>\n<tr>\n<td width=\"127\">\n<p>Glucose<\/p>\n<\/td>\n<td width=\"78\">\n<p><strong>7.2<\/strong><\/p>\n<\/td>\n<td width=\"185\">\n<p>4.1 &#8211; 5.9<\/p>\n<\/td>\n<td width=\"212\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\">\n<p>Ure<\/p>\n<\/td>\n<td width=\"78\">\n<p>4.5<\/p>\n<\/td>\n<td width=\"185\">\n<p>2.8 &#8211; 7.2<\/p>\n<\/td>\n<td width=\"212\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\">\n<p>Creatinine<\/p>\n<\/td>\n<td width=\"78\">\n<p>86<\/p>\n<\/td>\n<td width=\"185\">\n<p>&gt; 50T: 72 &#8211; 127<\/p>\n<\/td>\n<td width=\"212\">\n<p>umol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\">\n<p>eGFR<\/p>\n<\/td>\n<td width=\"78\">\n<p>60.4<\/p>\n<\/td>\n<td width=\"185\">\n<p>&gt;= 60<\/p>\n<\/td>\n<td width=\"212\">\n<p>ml\/ph\u00fat\/1.72m2 da<\/p>\n<\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td width=\"127\">\n<p>AST<\/p>\n<\/td>\n<td width=\"78\">\n<p>23<\/p>\n<\/td>\n<td width=\"185\">\n<p>&lt; 50<\/p>\n<\/td>\n<td width=\"212\">\n<p>U\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\">\n<p>ALT<\/p>\n<\/td>\n<td width=\"78\">\n<p>12<\/p>\n<\/td>\n<td width=\"185\">\n<p>&lt; 50<\/p>\n<\/td>\n<td width=\"212\">\n<p>U\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\">\n<p>Na+<\/p>\n<\/td>\n<td width=\"78\">\n<p>141<\/p>\n<\/td>\n<td width=\"185\">\n<p>134 &#8211; 145<\/p>\n<\/td>\n<td width=\"212\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\">\n<p>K+<\/p>\n<\/td>\n<td width=\"78\">\n<p>4.5<\/p>\n<\/td>\n<td width=\"185\">\n<p>3.5 &#8211; 5.0<\/p>\n<\/td>\n<td width=\"212\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\">\n<p>Cl-\u00a0<\/p>\n<\/td>\n<td width=\"78\">\n<p>106<\/p>\n<\/td>\n<td width=\"185\">\n<p>98 &#8211; 106<\/p>\n<\/td>\n<td width=\"212\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\">\n<p>Ca<\/p>\n<\/td>\n<td width=\"78\">\n<p>2.3<\/p>\n<\/td>\n<td width=\"185\">\n<p>2.15 &#8211; 2.6<\/p>\n<\/td>\n<td width=\"212\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>=&gt; Glucose BN cao h\u01a1n m\u1ee9c b\u00ecnh th\u01b0\u1eddng tuy nhi\u00ean v\u00ec \u0111\u00e2y l\u00e0 m\u1eabu \u0111\u01b0\u1eddng huy\u1ebft b\u1ea5t k\u1ef3 v\u00e0 BN v\u1eeba \u0103n tr\u01b0a xong n\u00ean \u0111\u1ec1 ngh\u1ecb l\u00e0m l\u1ea1i \u0110\u01b0\u1eddng huy\u1ebft l\u00fac \u0111\u00f3i v\u00e0 HbA1C.<\/p>\n<ol start=\"4\">\n<li><strong> \u0110\u1ed3ng c\u1ea7m m\u00e1u (06\/04\/2023)<\/strong><\/li>\n<\/ol>\n<table width=\"602\">\n<tbody>\n<tr>\n<td width=\"255\">\n<p><strong>T\u00ean XN<\/strong><\/p>\n<\/td>\n<td width=\"95\">\n<p><strong>Results<\/strong><\/p>\n<\/td>\n<td width=\"126\">\n<p><strong>Kho\u1ea3ng tham chi\u1ebfu<\/strong><\/p>\n<\/td>\n<td width=\"126\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"255\">\n<p>aPTT (TCK)<\/p>\n<\/td>\n<td width=\"95\">\n<p>26.4<\/p>\n<\/td>\n<td width=\"126\">\n<p>25-37<\/p>\n<\/td>\n<td width=\"126\">\n<p>Gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"255\">\n<p>Prothrombin Time<\/p>\n<\/td>\n<td width=\"95\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"126\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"126\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"255\">\n<p>TQ<\/p>\n<\/td>\n<td width=\"95\">\n<p>12.0<\/p>\n<\/td>\n<td width=\"126\">\n<p>9.3-14.3<\/p>\n<\/td>\n<td width=\"126\">\n<p>Gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"255\">\n<p>TL<\/p>\n<\/td>\n<td width=\"95\">\n<p>89<\/p>\n<\/td>\n<td width=\"126\">\n<p>&gt;70<\/p>\n<\/td>\n<td width=\"126\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"255\">\n<p>INR<\/p>\n<\/td>\n<td width=\"95\">\n<p>1.09<\/p>\n<\/td>\n<td width=\"126\">\n<p>0.84-1.29<\/p>\n<\/td>\n<td width=\"126\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"255\">\n<p>Fibrinogen<\/p>\n<\/td>\n<td width=\"95\">\n<p>264<\/p>\n<\/td>\n<td width=\"126\">\n<p>180-450<\/p>\n<\/td>\n<td width=\"126\">\n<p>mg\/dL<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>=&gt; Bilan \u0111\u00f4ng c\u1ea7m m\u00e1u b\u00ecnh th\u01b0\u1eddng<\/p>\n<p><strong>Bi\u1ec7n lu\u1eadn C\u1eadn l\u00e2m s\u00e0ng:<\/strong><\/p>\n<ul>\n<li>C\u00e1c phim X quang ghi nh\u1eadn:<\/li>\n<li>H\u00ecnh \u1ea3nh G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i (P) ph\u00e2n lo\u1ea1i A1 theo Muller AO =&gt; ph\u00f9 h\u1ee3p v\u1edbi l\u00e2m s\u00e0ng<\/li>\n<li>Ch\u01b0a ghi nh\u1eadn c\u00e1c b\u1ea5t th\u01b0\u1eddng kh\u00e1c k\u00e8m theo<\/li>\n<\/ul>\n<p>=&gt; C\u0110X\u0110: G\u00e3y k\u00edn \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i (P) lo\u1ea1i A1 theo Muller AO<\/p>\n<ul>\n<li>B\u1ea1ch c\u1ea7u t\u0103ng kh\u00f4ng \u0111\u00e1ng k\u1ec3 (12,1K\/uL), Neu \u01b0u th\u1ebf (87%) ph\u00f9 h\u1ee3p v\u1edbi l\u00e2m s\u00e0ng BN l\u1edbn tu\u1ed5i, c\u00f3 s\u01b0ng n\u1ec1, t\u1ed5n th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m =&gt; ngh\u0129 t\u0103ng b\u1ea1ch c\u1ea7u ph\u1ea3n \u1ee9ng sau ch\u1ea5n th\u01b0\u01a1ng.<\/li>\n<li>BN \u0111\u00e3 l\u1edbn tu\u1ed5i, ch\u01b0a ghi nh\u1eadn ti\u1ec1n c\u0103n \u0110T\u0110 nhung c\u00f3 Glucose m\u00e1u cao h\u01a1n m\u1ee9c b\u00ecnh th\u01b0\u1eddng (7,2 mmol\/L) =&gt; l\u01b0u \u00fd \u0110T\u0110 type II, tuy nhi\u00ean v\u00ec \u0111\u00e2y l\u00e0 m\u1eabu \u0111\u01b0\u1eddng huy\u1ebft b\u1ea5t k\u1ef3, BN v\u1eeba \u0103n tr\u01b0a xong, v\u1eeba g\u1eb7p ch\u1ea5n th\u01b0\u01a1ng =&gt; \u0111\u1ec1 ngh\u1ecb l\u00e0m l\u1ea1i \u0110\u01b0\u1eddng huy\u1ebft l\u00fac \u0111\u00f3i v\u00e0 HbA1C<\/li>\n<li>Ch\u01b0a c\u00f3 k\u1ebft qu\u1ea3 \u0111o Lo\u00e3ng x\u01b0\u01a1ng =&gt; Theo d\u00f5i v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 lo\u00e3ng x\u01b0\u01a1ng \u1edf BN l\u1edbn tu\u1ed5i<\/li>\n<li>Theo d\u00f5i HA h\u00e0ng ng\u00e0y<\/li>\n<\/ul>\n<h2><strong>XIII. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh:<\/strong><\/h2>\n<p>G\u00e3y k\u00edn \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i (P) lo\u1ea1i A1 theo Muller AO gi\u1edd th\u1ee9 2 do TNSH\/ Tho\u00e1i h\u00f3a kh\u1edbp g\u1ed1i 2 b\u00ean &#8211; Suy gi\u00e3n TM chi d\u01b0\u1edbi<\/p>\n<h2><strong>XIV. \u0110i\u1ec1u tr\u1ecb:<\/strong><\/h2>\n<p>\u0110i\u00ea\u0300u tri\u0323 n\u00f4\u0323i:<\/p>\n<ul>\n<li>B\u00e2\u0301t \u0111\u00f4\u0323ng v\u01a1\u0301i ne\u0323p ch\u00f4\u0301ng xoay.<\/li>\n<li>Gia\u0309m \u0111au.<\/li>\n<li>Ch\u00f4\u0301ng phu\u0300 n\u00ea\u0300.<\/li>\n<li>\u0110i\u00ea\u0300u tri\u0323 b\u00ea\u0323nh n\u00ea\u0300n.<\/li>\n<li>Bu\u0300 di\u0323ch.<\/li>\n<li>Theo d\u00f5i HA h\u1eb1ng ng\u00e0y<\/li>\n<\/ul>\n<p>\u0110i\u00ea\u0300u tri\u0323 ngoa\u0323i:<\/p>\n<ul>\n<li>N\u1eb9p v\u00edt k\u1ebft h\u1ee3p x\u01b0\u01a1ng \u0111\u00f9i (P)<\/li>\n<\/ul>","protected":false},"featured_media":1762,"comment_status":"open","ping_status":"open","template":"","tags":[197,196],"chuyen-muc":[188],"class_list":["post-2148","chuyen-de","type-chuyen-de","status-publish","has-post-thumbnail","hentry","tag-benh-an-gay-dau-duoi-xuong-dui","tag-gay-dau-duoi-xuong-dui","chuyen-muc-benh-an-mau"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2148","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=2148"}],"version-history":[{"count":4,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2148\/revisions"}],"predecessor-version":[{"id":4502,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2148\/revisions\/4502"}],"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=2148"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=2148"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=2148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}