{"id":2158,"date":"2023-07-31T07:00:53","date_gmt":"2023-07-31T00:00:53","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=chuyen-de&p=2158"},"modified":"2024-03-20T21:33:42","modified_gmt":"2024-03-20T14:33:42","slug":"benh-an-gay-lien-mau-chuyen-xuong-dui","status":"publish","type":"chuyen-de","link":"https:\/\/bsvothanhtoan.com\/en\/chuyen-de\/benh-an-gay-lien-mau-chuyen-xuong-dui\/","title":{"rendered":"B\u1ec7nh \u00e1n g\u00e3y li\u00ean m\u1ea5u chuy\u1ec3n x\u01b0\u01a1ng \u0111\u00f9i"},"content":{"rendered":"

G\u00e3y k\u00edn li\u00ean m\u1ea5u chuy\u1ec3n x\u01b0\u01a1ng \u0111\u00f9i (T) gi\u1edd th\u1ee9 8 do tai n\u1ea1n sinh ho\u1ea1t, ch\u01b0a ghi nh\u1eadn bi\u1ebfn ch\u1ee9ng \u2013 Thi\u1ebfu m\u00e1u m\u1ea1n \u2013 Suy ki\u1ec7t\/ B\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 – Lo\u00e3ng x\u01b0\u01a1ng – Ung th\u01b0 v\u00fa (P) \u0111\u00e3 \u0111o\u1ea1n nh\u0169.G\u00e3y k\u00edn c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i (T) gi\u1edd th\u1ee9 8 do tai n\u1ea1n sinh ho\u1ea1t ch\u01b0a ghi nh\u1eadn bi\u1ebfn ch\u1ee9ng \u2013 Thi\u1ebfu m\u00e1u m\u1ea1n \u2013 Suy ki\u1ec7t\/ BTTMCB – Lo\u00e3ng x\u01b0\u01a1ng – Ung th\u01b0 v\u00fa (P) \u0111\u00e3 \u0111o\u1ea1n nh\u0169.<\/span><\/h2>\n

I. H\u00e0nh ch\u00ednh\u00a0<\/h2>\n
    \n
  1. H\u1ecd v\u00e0 t\u00ean: NGUY\u1ec4N TH\u1eca T.<\/li>\n
  2. N\u0103m sinh: 1948 (75 tu\u1ed5i)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/li>\n
  3. Gi\u1edbi: N\u1eef<\/li>\n
  4. Ngh\u1ec1 nghi\u1ec7p: N\u1ed9i tr\u1ee3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/li>\n
  5. D\u00e2n t\u1ed9c: Kinh<\/li>\n
  6. \u0110\u1ecba ch\u1ec9: th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh<\/li>\n
  7. Ng\u00e0y gi\u1edd nh\u1eadp vi\u1ec7n: 14h15 ng\u00e0y 26\/04\/2023<\/li>\n
  8. Ng\u00e0y v\u00e0o khoa CTCH: 16h30 26\/04\/2023<\/li>\n
  9. Ng\u00e0y l\u00e0m b\u1ec7nh \u00e1n: 20h00 ng\u00e0y 26\/04\/2023<\/li>\n<\/ol>\n

    \"Luu-y\"<\/p>\n

    Sinh vi\u00ean c\u00f3 th\u1ec3 \u0111\u1ecdc tr\u01b0\u1edbc b\u00e0i vi\u1ebft:<\/strong> Slide B\u00e0i Gi\u1ea3ng G\u00e3y C\u1ed5 V\u00e0 Th\u00e2n X\u01b0\u01a1ng \u0111\u00f9i – PGS. TS. BS V\u00f5 Th\u00e0nh To\u00e0n (bsvothanhtoan.com)<\/a><\/p>\n

    II. L\u00dd DO V\u00c0O VI\u1ec6N<\/strong>: \u0110au h\u00f4ng (T)<\/h2>\n

    III. B\u1ec6NH S\u1eec:<\/strong><\/h2>\n

    B\u1ec7nh nh\u00e2n tr\u1ef1c ti\u1ebfp khai :<\/p>\n

    C\u00e1ch nh\u1eadp vi\u1ec7n 8 gi\u1edd, b\u1ec7nh nh\u00e2n khi \u0111i v\u1ec7 sinh th\u00ec tr\u01b0\u1ee3t ch\u00e2n t\u00e9 nghi\u00eang ng\u01b0\u1eddi v\u1ec1 b\u00ean tr\u00e1i, \u0111\u1eadp v\u00f9ng m\u00f4ng (T) xu\u1ed1ng n\u1ec1n c\u1ee9ng, t\u01b0 th\u1ebf \u0111\u00f9i d\u1ea1ng, c\u00e1c ph\u1ea7n kh\u00e1c c\u01a1 th\u1ec3 kh\u00f4ng va \u0111\u1eadp. Sau khi t\u00e9, b\u1ec7nh nh\u00e2n t\u1ec9nh, \u0111au ch\u00f3i v\u00f9ng h\u00f4ng v\u00e0 m\u00f4ng (T), kh\u00f4ng ch\u1ecbu l\u1ef1c \u0111\u01b0\u1ee3c, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng h\u00f4ng (T), s\u01b0ng n\u1ec1 1\/3 tr\u00ean \u0111\u00f9i (T), kh\u00f4ng b\u1ea7m t\u00edm, kh\u00f4ng ch\u1ea3y m\u00e1u, kh\u00f4ng x\u00e2y x\u00e1t da. BN kh\u00f4ng x\u1eed tr\u00ed g\u00ec v\u00e0 nh\u1eadp vi\u1ec7n BV Th\u1ed1ng Nh\u1ea5t.<\/p>\n

    T\u00ecnh tr\u1ea1ng l\u00fac nh\u1eadp vi\u1ec7n BV Th\u1ed1ng Nh\u1ea5t (c\u1ea5p c\u1ee9u):<\/a><\/strong><\/p>\n

    B\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t<\/p>\n

    Sinh hi\u1ec7u<\/p>\n

    M\u1ea1ch: 108 l\u1ea7n\/ph\u00fat\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Huy\u1ebft \u00e1p: 110\/70 mmHg<\/p>\n

    Nh\u1ecbp th\u1edf: 22 l\u1ea7n\/ph\u00fat\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Nhi\u1ec7t \u0111\u1ed9: 37\u00b0 C<\/p>\n

    BN than \u0111au v\u00f9ng h\u00f4ng (T), ch\u00e2n (T) xoay ngo\u00e0i, m\u1ea1ch mu ch\u00e2n (T) r\u00f5, \u0111\u1ea7u ng\u00f3n ch\u00e2n h\u1ed3ng, kh\u00f4ng t\u00ea b\u00ec ch\u00e2n (T).<\/p>\n

    X\u1eed tr\u00ed c\u1ea5p c\u1ee9u: <\/strong>\u0110eo n\u1eb9p \u0111\u00f9i – c\u1eb3ng \u2013 b\u00e0n ch\u00e2n (T) ch\u1ed1ng xoay. Disomic 50mg\/2ml 1A TB.<\/p>\n

    CLS \u0111\u01b0\u1ee3c l\u00e0m t\u1ea1i c\u1ea5p c\u1ee9u:<\/strong> C\u00f4ng th\u1ee9c m\u00e1u, \u0111\u00f4ng c\u1ea7m m\u00e1u, sinh h\u00f3a m\u00e1u (Glucose, Ure, Creatinine, eGFR, AST, ALT, Cholesterol, Triglyceride, HDL-C, LDL-C,\u00a0 ion \u0111\u1ed3 (Na, Cl, K), Albumin, Protein, Calci to\u00e0n ph\u1ea7n),\u00a0 ch\u1ee5p Xquang khung ch\u1eadu th\u1eb3ng, ch\u1ee5p Xquang x\u01b0\u01a1ng \u0111\u00f9i (T) th\u1eb3ng-nghi\u00eang<\/p>\n

    \u2192 Sau \u0111\u00f3 BN \u0111\u01b0\u1ee3c chuy\u1ec3n khoa CTCH<\/p>\n

    T\u1ea1i khoa CTCH:<\/strong><\/p>\n

    X\u1eed tr\u00ed: Paracetamol 1g 1 chai TTM C gi\u1ecdt\/ph\u00fat<\/p>\n

    T\u00ecnh tr\u1ea1ng hi\u1ec7n t\u1ea1i: B\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t, gi\u1ea3m \u0111au, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng g\u1ea5p-du\u1ed7i, d\u1ea1ng-kh\u00e9p, xoay trong-xoay ngo\u00e0i hip joint<\/a> (T).<\/p>\n

    IV. TI\u1ec0N S\u1eec:<\/strong><\/h2>\n

    1. B\u1ea3n th\u00e2n<\/strong><\/h3>\n

    N\u1ed9i khoa:<\/strong><\/p>\n