{"id":2172,"date":"2023-07-30T11:43:48","date_gmt":"2023-07-30T04:43:48","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=chuyen-de&#038;p=2172"},"modified":"2024-03-20T21:36:02","modified_gmt":"2024-03-20T14:36:02","slug":"benh-an-gay-mat-ca-ngoai","status":"publish","type":"chuyen-de","link":"https:\/\/bsvothanhtoan.com\/en\/chuyen-de\/benh-an-gay-mat-ca-ngoai\/","title":{"rendered":"B\u1ec7nh \u00e1n g\u00e3y m\u1eaft c\u00e1 ngo\u00e0i (g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng m\u00e1c)"},"content":{"rendered":"<h2><span style=\"font-size: 16px;\">G\u00e3y k\u00edn x\u01b0\u01a1ng m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i, ph\u00e2n \u0111\u1ed9 44-A1 (theo AO), ch\u01b0a bi\u1ebfn ch\u1ee9ng. G\u00e3y k\u00edn x\u01b0\u01a1ng m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i, ph\u00e2n \u0111\u1ed9 44-A1 (theo AO) \u2013 T\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng delta.<\/span><\/h2>\n<h2>I. H\u00c0NH CH\u00cdNH<\/h2>\n<ol>\n<li>H\u1ecd t\u00ean: MAI V\u0102N \u0110.<\/li>\n<li>Gi\u1edbi: Nam<\/li>\n<li>Tu\u1ed5i: 22 (2001)<\/li>\n<li>\u0110\u1ecba ch\u1ec9: Th\u1ee7 \u0110\u1ee9c, TP.HCM<\/li>\n<li>Ngh\u1ec1 nghi\u1ec7p: sinh vi\u00ean<\/li>\n<li>S\u0110T: 09xxx (m\u1eb9)<\/li>\n<li>Tay thu\u1eadn: tay ph\u1ea3i, ch\u00e2n ph\u1ea3i<\/li>\n<li>Ng\u00e0y nh\u1eadp vi\u1ec7n: 17g30 ng\u00e0y 15\/3\/2023<\/li>\n<li>Ng\u00e0y l\u00e0m b\u1ec7nh \u00e1n: 20g00 ng\u00e0y 15\/3\/2023<\/li>\n<\/ol>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-2114 size-full aligncenter\" 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>II. L\u00dd DO NH\u1eacP VI\u1ec6N<\/h2>\n<p>\u0110au c\u1ed5 ch\u00e2n ph\u1ea3i (P)<\/p>\n<h2>III. B\u1ec6NH S\u1eec<\/h2>\n<p>B\u1ec7nh nh\u00e2n (BN) khai c\u00e1ch nh\u1eadp vi\u1ec7n 20 gi\u1edd, b\u1ec7nh nh\u00e2n trong l\u00fac ch\u01a1i \u0111\u00e1 b\u00f3ng th\u00ec nh\u1ea3y t\u1eeb b\u1eadc th\u1ec1m cao kho\u1ea3ng 50cm gi\u1eabm ph\u1ea3i tr\u00e1i b\u00f3ng, b\u1ec7nh nh\u00e2n ng\u00e3 sang ph\u1ea3i, l\u1eadt b\u00e0n ch\u00e2n ph\u1ea3i ra ngo\u00e0i \u0111\u1eadp xu\u1ed1ng n\u1ec1n c\u1ee9ng nghe ti\u1ebfng \u201cr\u1eafc\u201d, ng\u00e3 \u0111\u1eadp m\u00f4ng, kh\u00f4ng \u0111\u1eadp \u0111\u1ea7u. Sau ng\u00e3, c\u1ed5-b\u00e0n ch\u00e2n ph\u1ea3i s\u01b0ng, \u0111au; ng\u00f3n ch\u00e2n v\u1eabn c\u1eed \u0111\u1ed9ng \u0111\u01b0\u1ee3c, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng v\u00f9ng c\u1ed5 ch\u00e2n ph\u1ea3i, b\u1ec7nh nh\u00e2n kh\u00f4ng t\u1ef1 \u0111\u1ee9ng d\u1eady \u0111\u01b0\u1ee3c. B\u1ec7nh nh\u00e2n ch\u01b0\u1eddm \u0111\u00e1 kho\u1ea3ng 20 ph\u00fat v\u00e0 sau \u0111\u00f3 u\u1ed1ng 1 vi\u00ean thu\u1ed1c gi\u1ea3m \u0111au, c\u00f3 gi\u1ea3m \u0111au nh\u01b0ng b\u1ec7nh nh\u00e2n kh\u00f4ng r\u00f5 gi\u1ea3m s\u01b0ng.<\/p>\n<p>S\u00e1ng c\u00f9ng ng\u00e0y nh\u1eadp vi\u1ec7n, v\u00f9ng c\u1ed5 ch\u00e2n c\u00f2n \u0111au v\u00e0 s\u01b0ng, xu\u1ea5t hi\u1ec7n v\u1ebft b\u1ea7m t\u00edm \u1edf v\u00f9ng m\u1eaft c\u00e1 trong ch\u00e2n ph\u1ea3i. B\u1ec7nh nh\u00e2n \u0111\u1ebfn kh\u00e1m v\u00e0 ch\u1ee5p Xquang t\u1ea1i B\u1ec7nh vi\u1ec7n \u0110a khoa khu v\u1ef1c Th\u1ee7 \u0110\u1ee9c, v\u00e0 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n g\u00e3y m\u1eaft c\u00e1 ngo\u00e0i ph\u1ea3i, kh\u00f4ng x\u1eed tr\u00ed g\u00ec th\u00eam. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 \u0111\u01b0a \u0111\u1ebfn nh\u1eadp vi\u1ec7n t\u1ea1i<a href=\"https:\/\/bsvothanhtoan.com\/\"> B\u1ec7nh vi\u1ec7n Th\u1ed1ng Nh\u1ea5t.<\/a><\/p>\n<p>Trong qu\u00e1 tr\u00ecnh b\u1ec7nh, b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111au \u0111\u1ea7u, kh\u00f4ng ch\u00f3ng m\u1eb7t, kh\u00f4ng bu\u1ed3n n\u00f4n, kh\u00f4ng n\u00f4n, kh\u00f4ng \u0111au b\u1ee5ng, ti\u00eau ti\u1ec3u b\u00ecnh th\u01b0\u1eddng.<\/p>\n<pre><strong>Xquang t\u1ea1i BV\u0110KKV T\u0110:\r\n\r\n<\/strong><\/pre>\n<p><figure id=\"attachment_2173\" aria-describedby=\"caption-attachment-2173\" style=\"width: 719px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-2173 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-mat-ca-ngoai-1.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y m\u1eaft c\u00e1 ngo\u00e0i 1\" width=\"719\" height=\"577\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-mat-ca-ngoai-1.png 719w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-mat-ca-ngoai-1-300x241.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-mat-ca-ngoai-1-15x12.png 15w\" sizes=\"(max-width: 719px) 100vw, 719px\" \/><figcaption id=\"caption-attachment-2173\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y m\u1eaft c\u00e1 ngo\u00e0i 1<\/figcaption><\/figure> <figure id=\"attachment_2174\" aria-describedby=\"caption-attachment-2174\" style=\"width: 719px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-2174 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-mat-ca-ngoai-2.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y m\u1eaft c\u00e1 ngo\u00e0i 2\" width=\"719\" height=\"492\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-mat-ca-ngoai-2.png 719w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-mat-ca-ngoai-2-300x205.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-mat-ca-ngoai-2-18x12.png 18w\" sizes=\"(max-width: 719px) 100vw, 719px\" \/><figcaption id=\"caption-attachment-2174\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y m\u1eaft c\u00e1 ngo\u00e0i 2<\/figcaption><\/figure><\/p>\n<p><strong>\u0110\u1ecdc phim:<\/strong><\/p>\n<ul>\n<li>H\u1ecd t\u00ean: MAI V\u0102N \u0110.<\/li>\n<li>Tu\u1ed5i 22.<\/li>\n<li>Ng\u00e0y ch\u1ee5p: 15\/3\/2023.<\/li>\n<li>T\u01b0 th\u1ebf phim: th\u1eb3ng, nghi\u00eang c\u1ed5 ch\u00e2n ph\u1ea3i.<\/li>\n<li>Ch\u1ea5t l\u01b0\u1ee3ng tia: tia chu\u1ea9n.\n<ul>\n<li>PHIM TH\u1eb2NG.\n<ul>\n<li>M\u00f4 m\u1ec1m: ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng.<\/li>\n<li>X\u01b0\u01a1ng: g\u00e3y m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i, \u0111\u01b0\u1eddng g\u00e3y ngang, kh\u00f4ng di l\u1ec7ch.<\/li>\n<\/ul>\n<\/li>\n<li>PHIM NGHI\u00caNG.\n<ul>\n<li>M\u00f4 m\u1ec1m: ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng.<\/li>\n<li>X\u01b0\u01a1ng: g\u00e3y m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i, \u0111\u01b0\u1eddng g\u00e3y ch\u00e9o, kh\u00f4ng di l\u1ec7ch.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>K\u1ebft lu\u1eadn: <\/strong>g\u00e3y m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i, \u0111\u01b0\u1eddng g\u00e3y ch\u00e9o, kh\u00f4ng di l\u1ec7ch.<\/p>\n<pre><strong>T\u00ecnh tr\u1ea1ng l\u00fac nh\u1eadp vi\u1ec7n:<\/strong><\/pre>\n<ul>\n<li>B\u1ec7nh t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t, GCS 15\u0111.<\/li>\n<li>Sinh hi\u1ec7u: m\u1ea1ch 71 l\u1ea7n\/ph\u00fat, huy\u1ebft \u00e1p 120\/70 mmHg, nhi\u1ec7t \u0111\u1ed9 36.9oC, nh\u1ecbp th\u1edf 18 l\u1ea7n\/ph\u00fat, SpO2 98% (kh\u00ed tr\u1eddi).<\/li>\n<li>X\u1eed tr\u00ed: thu\u1ed1c gi\u1ea3m \u0111au u\u1ed1ng, n\u1eb9p ch\u1ed1ng xoay c\u1eb3ng-b\u00e0n ch\u00e2n, ch\u0103m s\u00f3c c\u1ea5p 2.<\/li>\n<\/ul>\n<h2>IV. TI\u1ec0N S\u1eec<\/h2>\n<h3><strong>1. B\u1ea3n th\u00e2n:<\/strong><\/h3>\n<p><strong> N\u1ed9i khoa: <\/strong>ch\u01b0a ghi nh\u1eadn.<\/p>\n<p><strong> Ngo\u1ea1i khoa: <\/strong>ch\u01b0a ghi nh\u1eadn.<\/p>\n<pre><strong>Th\u00f3i quen sinh ho\u1ea1t:<\/strong><\/pre>\n<ul>\n<li>Kh\u00f4ng h\u00fat l\u00e1.<\/li>\n<li>Kh\u00f4ng u\u1ed1ng r\u01b0\u1ee3u bia.<\/li>\n<li>V\u1eadn \u0111\u1ed9ng: \u0111\u00e1 b\u00f3ng 3 l\u1ea7n\/tu\u1ea7n.<\/li>\n<\/ul>\n<p><strong> D\u1ecb \u1ee9ng: <\/strong>ch\u01b0a ghi nh\u1eadn.<\/p>\n<h3><strong>2. Gia \u0111\u00ecnh: <\/strong>ch\u01b0a ghi nh\u1eadn.<\/h3>\n<h2>V. L\u01af\u1ee2C QUA C\u00c1C C\u01a0 QUAN (20g00 ng\u00e0y 15\/3\/2023):<\/h2>\n<ul>\n<li>Tim m\u1ea1ch: kh\u00f4ng \u0111au ng\u1ef1c, kh\u00f4ng \u0111\u00e1nh tr\u1ed1ng 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, kh\u00f4ng bu\u1ed3n n\u00f4n.<\/li>\n<li>Th\u1eadn-ti\u1ebft ni\u1ec7u: ti\u1ec3u kh\u00f4ng g\u1eaft bu\u1ed1t, n\u01b0\u1edbc ti\u1ec3u v\u00e0ng trong.<\/li>\n<li>Chuy\u1ec3n h\u00f3a: kh\u00f4ng s\u1ed1t.<\/li>\n<li>C\u01a1 x\u01b0\u01a1ng kh\u1edbp: s\u01b0ng, \u0111au c\u1ed5 ch\u00e2n ph\u1ea3i, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng kh\u1edbp c\u1ed5 ch\u00e2n ph\u1ea3i.<\/li>\n<\/ul>\n<h2>VI. KH\u00c1M L\u00c2M S\u00c0NG (20g00 ng\u00e0y 15\/3\/2023):<\/h2>\n<h3><strong style=\"font-size: 16px;\">1. T\u1ed5ng quan:<\/strong><\/h3>\n<ul>\n<li>BN t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t, GCS 15 \u0111i\u1ec3m (m\u1edf m\u1eaft: 4, tr\u1ea3 l\u1eddi: 5, v\u1eadn \u0111\u1ed9ng: 6).<\/li>\n<li>Da ni\u00eam h\u1ed3ng, c\u1ee7ng m\u1ea1c m\u1eaft kh\u00f4ng v\u00e0ng v\u00e0 kh\u00f4ng xu\u1ea5t huy\u1ebft.<\/li>\n<li>Chi \u1ea5m, m\u1ea1ch r\u00f5, kh\u00f4ng ph\u00f9.<\/li>\n<li>Tuy\u1ebfn gi\u00e1p kh\u00f4ng to, h\u1ea1ch ngo\u1ea1i vi kh\u00f4ng s\u1edd ch\u1ea1m.<\/li>\n<li>CRT &lt; 2s.<\/li>\n<li>D\u1ea5u m\u1ea5t n\u01b0\u1edbc (-), l\u01b0\u1ee1i kh\u00f4ng d\u01a1.<\/li>\n<li>M\u1ea1ch mu ch\u00e2n, ch\u00e0y sau hai b\u00ean \u0111\u1ec1u r\u00f5, t\u1ea7n s\u1ed1.<\/li>\n<li>C\u00e2n n\u1eb7ng 68 kg, Chi\u1ec1u cao 170 cm \u21d2 BMI = 23,5 \u21d2 Ti\u1ec1n b\u00e9o ph\u00ec (IDI &amp; WPRO).<\/li>\n<li>Sinh hi\u1ec7u:<\/li>\n<\/ul>\n<p>o M\u1ea1ch: 75 l\u1ea7n\/ ph\u00fat.<\/p>\n<p>o Nhi\u1ec7t \u0111\u1ed9: 35.6 \u0111\u1ed9 C.<\/p>\n<p>o <a href=\"https:\/\/vi.wikipedia.org\/wiki\/Huy%E1%BA%BFt_%C3%A1p\" target=\"_blank\" rel=\"noopener\">Huy\u1ebft \u00e1p:<\/a> 120\/70 mmHg.<\/p>\n<p>o Nh\u1ecbp th\u1edf: 17 l\u1ea7n\/ ph\u00fat.<\/p>\n<h3>2. Tim m\u1ea1ch:<\/h3>\n<ul>\n<li>L\u1ed3ng ng\u1ef1c c\u00e2n \u0111\u1ed1i, di \u0111\u1ed9ng theo nh\u1ecbp th\u1edf, kh\u00f4ng u, kh\u00f4ng s\u1eb9o, kh\u00f4ng sao m\u1ea1ch, kh\u00f4ng tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7.<\/li>\n<li>Kh\u00f4ng \u1ed5 \u0111\u1eadp b\u1ea5t th\u01b0\u1eddng.<\/li>\n<li>T1, T2 \u0111\u1ec1u r\u00f5, kh\u00f4ng \u00e2m th\u1ed5i, kh\u00f4ng ti\u1ebfng tim b\u1ea5t th\u01b0\u1eddng, t\u1ea7n s\u1ed1 75 l\u1ea7n\/ ph\u00fat.<\/li>\n<\/ul>\n<h3>3. H\u00f4 h\u1ea5p:<\/h3>\n<ul>\n<li>L\u1ed3ng ng\u1ef1c c\u00e2n \u0111\u1ed1i, kh\u00f4ng co k\u00e9o c\u01a1 h\u00f4 h\u1ea5p ph\u1ee5.<\/li>\n<li>R\u00ec r\u00e0o ph\u1ebf nang \u00eam d\u1ecbu \u0111\u1ec1u 2 b\u00ean, kh\u00f4ng rale.<\/li>\n<\/ul>\n<h3>4. Ti\u00eau ho\u00e1:<\/h3>\n<ul>\n<li>B\u1ee5ng m\u1ec1m, c\u00e2n \u0111\u1ed1i, di \u0111\u1ed9ng theo nh\u1ecbp th\u1edf, \u1ea5n kh\u00f4ng \u0111au.<\/li>\n<li>Gan, l\u00e1ch kh\u00f4ng s\u1edd ch\u1ea1m.<\/li>\n<\/ul>\n<h3>5. Th\u1eadn &#8211; ti\u1ebft ni\u1ec7u:<\/h3>\n<ul>\n<li>Ch\u1ea1m th\u1eadn (-).<\/li>\n<li>C\u1ea7u b\u00e0ng quang (-).<\/li>\n<\/ul>\n<h3>6. C\u01a1 x\u01b0\u01a1ng kh\u1edbp:<\/h3>\n<p><strong>Kh\u00e1m chi tr\u00ean:<\/strong><\/p>\n<ul>\n<li>Tr\u1ee5c chi tr\u00ean b\u00ecnh th\u01b0\u1eddng, c\u00e2n x\u1ee9ng hai b\u00ean, c\u00f2n r\u00e3nh delta ng\u1ef1c.<\/li>\n<li>Kh\u00e1m c\u1ea3m gi\u00e1c: BN v\u1eabn c\u00f2n c\u1ea3m gi\u00e1c n\u00f4ng (\u0111au, nhi\u1ec7t) \u1edf mu tay, l\u00f2ng b\u00e0n tay, m\u1eb7t tr\u01b0\u1edbc v\u00e0 sau c\u1eb3ng tay hai b\u00ean, m\u1eb7t trong v\u00e0 ngo\u00e0i c\u00e1nh tay hai b\u00ean, v\u1eabn c\u00f2n c\u1ea3m gi\u00e1c s\u00e2u \u1edf b\u00e0n ch\u00e2n hai b\u00ean.<\/li>\n<li>B\u1eaft \u0111\u01b0\u1ee3c m\u1ea1ch quay v\u00e0 m\u1ea1ch tr\u1ee5 hai b\u00ean \u0111\u1ec1u r\u00f5.<\/li>\n<li>Chi\u1ec1u d\u00e0i c\u00e1nh tay hai b\u00ean b\u1eb1ng nhau.<\/li>\n<\/ul>\n<pre><strong>Kh\u00e1m chi d\u01b0\u1edbi (BN n\u1eb1m tr\u00ean gi\u01b0\u1eddng)\r\n\r\n<\/strong>NH\u00ccN:<\/pre>\n<ul>\n<li>C\u1ed5-b\u00e0n ch\u00e2n ph\u1ea3i: s\u01b0ng n\u1ec1, b\u1ea7m t\u00edm v\u00f9ng m\u1eaft c\u00e1 trong, kh\u00f4ng b\u00f3ng n\u01b0\u1edbc d\u01b0\u1edbi da.<\/li>\n<li>\u0110eo n\u1eb9p ch\u1ed1ng xoay c\u1eb3ng-b\u00e0n ch\u00e2n b\u00ean ph\u1ea3i.<\/li>\n<\/ul>\n<p>S\u1edc:<\/p>\n<ul>\n<li>Chi \u1ea5m.<\/li>\n<li>M\u1ea1ch mu ch\u00e2n, ch\u00e0y sau 2 b\u00ean \u0111\u1ec1u r\u00f5.<\/li>\n<li>M\u1ea5t li\u00ean t\u1ee5c m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i.<\/li>\n<li>\u1ea4n \u0111au ch\u00f3i m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i.<\/li>\n<li>\u0110\u1ea7u ng\u00f3n ch\u00e2n ph\u1ea3i \u1ea5n h\u1ed3ng, c\u1eed \u0111\u1ed9ng \u0111\u01b0\u1ee3c, kh\u00f4ng t\u00ea.<\/li>\n<li>C\u1ea3m gi\u00e1c n\u00f4ng, s\u00e2u b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<p>G\u00d5<strong><em>: <\/em><\/strong>BN \u0111au kh\u00f4ng g\u00f5 \u0111\u01b0\u1ee3c.<\/p>\n<p>\u0110O<strong><em>: <\/em><\/strong>BN \u0111au kh\u00f4ng \u0111o \u0111\u01b0\u1ee3c.<\/p>\n<p><strong>Kh\u00e1m v\u1eadn \u0111\u1ed9ng<em>: <\/em><\/strong>Gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng kh\u1edbp c\u1ed5 ch\u00e2n ph\u1ea3i.<\/p>\n<h3><strong>7. C\u01a1 quan kh\u00e1c: <\/strong><\/h3>\n<pre>Ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng.<strong>\u00a0<\/strong><\/pre>\n<h2>VII. T\u00d3M T\u1eaeT B\u1ec6NH \u00c1N:<\/h2>\n<p>B\u1ec7nh nh\u00e2n nam 22 tu\u1ed5i nh\u1eadp vi\u1ec7n v\u00ec \u0111au c\u1ed5 ch\u00e2n ph\u1ea3i, qua h\u1ecfi b\u1ec7nh v\u00e0 th\u0103m kh\u00e1m ghi nh\u1eadn:<\/p>\n<p><strong>TCCN:<\/strong><\/p>\n<ul>\n<li>S\u01b0ng, \u0111au c\u1ed5-b\u00e0n ch\u00e2n ph\u1ea3i, b\u1ea7m t\u00edm v\u00f9ng m\u1eaft c\u00e1 trong ch\u00e2n ph\u1ea3i.<\/li>\n<li>V\u1eadn \u0111\u1ed9ng h\u1ea1n ch\u1ebf kh\u1edbp c\u1ed5 ch\u00e2n ph\u1ea3i.<\/li>\n<\/ul>\n<p><strong>TCTT:<\/strong><\/p>\n<ul>\n<li>M\u1ea5t li\u00ean t\u1ee5c m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i.<\/li>\n<li>\u1ea4n \u0111au ch\u00f3i m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i.<\/li>\n<\/ul>\n<p><strong>CLS:<\/strong> G\u00e3y m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i, ph\u00e2n \u0111\u1ed9 44-A1 (theo AO).<\/p>\n<h2>VIII. \u0110\u1eb6T V\u1ea4N \u0110\u1ec0:<\/h2>\n<p>D\u1ea5u hi\u1ec7u ch\u1eafc ch\u1eafn <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">g\u00e3y x\u01b0\u01a1ng<\/a> m\u1eaft c\u00e1 ngo\u00e0i b\u00ean ph\u1ea3i.<\/p>\n<h2>IX. CH\u1ea8N \u0110O\u00c1N S\u01a0 B\u1ed8:<\/h2>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">G\u00e3y k\u00edn<\/a> x\u01b0\u01a1ng m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i, ph\u00e2n \u0111\u1ed9 44-A1 (theo AO), ch\u01b0a bi\u1ebfn ch\u1ee9ng.<\/p>\n<h2>X. CH\u1ea8N \u0110O\u00c1N PH\u00c2N BI\u1ec6T<\/h2>\n<p>G\u00e3y k\u00edn x\u01b0\u01a1ng m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i, ph\u00e2n \u0111\u1ed9 44-A1 (theo AO) \u2013 T\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng delta.<\/p>\n<h2>XI. BI\u1ec6N LU\u1eacN L\u00c2M S\u00c0NG<\/h2>\n<ul>\n<li>B\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n v\u00ec \u0111au c\u1ed5 ch\u00e2n ph\u1ea3i sau tai n\u1ea1n sinh ho\u1ea1t, tr\u00ean b\u1ec7nh nh\u00e2n n\u00e0y ngh\u0129 nhi\u1ec1u l\u00e0 g\u00e3y k\u00edn x\u01b0\u01a1ng m\u1eaft c\u00e1 ngo\u00e0i. V\u00ec:\n<ul>\n<li>B\u1ec7nh nh\u00e2n c\u00f3 c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng l\u1eadt xo\u1eafn v\u1eb7n c\u1ed5 ch\u00e2n ph\u1ea3i ra ngo\u00e0i \u0111\u1eadp xu\u1ed1ng n\u1ec1n c\u1ee9ng.<\/li>\n<li>D\u1ea5u hi\u1ec7u ch\u1eafc ch\u1eafn g\u00e3y x\u01b0\u01a1ng:\n<ul>\n<li>S\u1edd m\u1ea5t li\u00ean t\u1ee5c m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i.<\/li>\n<li>CLS: X Quang c\u1ed5 ch\u00e2n ph\u1ea3i: g\u00e3y m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i, \u0111\u01b0\u1eddng g\u00e3y ch\u00e9o, kh\u00f4ng di l\u1ec7ch.<\/li>\n<\/ul>\n<\/li>\n<li>D\u1ea5u hi\u1ec7u kh\u00f4ng ch\u1eafc ch\u1eafn g\u00e3y x\u01b0\u01a1ng:\n<ul>\n<li>S\u01b0ng, \u0111au c\u1ed5-b\u00e0n ch\u00e2n ph\u1ea3i, b\u1ea7m t\u00edm m\u1eaft c\u00e1 trong ch\u00e2n ph\u1ea3i.<\/li>\n<li>Gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng c\u1ed5 ch\u00e2n ph\u1ea3i (g\u1eadp-du\u1ed7i).<\/li>\n<li>\u1ea4n \u0111au ch\u00f3i v\u00f9ng m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i.<\/li>\n<\/ul>\n<\/li>\n<li>Kh\u00f4ng c\u00f3 v\u1ebft th\u01b0\u01a1ng th\u00f4ng v\u1edbi \u1ed5 g\u00e3y n\u00ean ngh\u0129 nhi\u1ec1u g\u00e3y k\u00edn x\u01b0\u01a1ng m\u1eaft c\u00e1 ngo\u00e0i ch\u00e2n ph\u1ea3i.<\/li>\n<\/ul>\n<\/li>\n<li>Bi\u1ebfn ch\u1ee9ng:\n<ul>\n<li>B\u1ec7nh nh\u00e2n t\u1ec9nh, da ni\u00eam h\u1ed3ng, sinh hi\u1ec7u \u1ed5n, kh\u00f4ng c\u00f3 v\u1ebft th\u01b0\u01a1ng g\u00e2y m\u1ea5t m\u00e1u, kh\u00f4ng ch\u00f3ng m\u1eb7t, th\u1ec3 tr\u1ea1ng t\u1ed1t, n\u00ean \u00edt ngh\u0129 c\u00f3 bi\u1ebfn ch\u1ee9ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/da-chan-thuong-choang-chan-thuong\/\">cho\u00e1ng<\/a> do \u0111au, m\u1ea5t m\u00e1u.<\/li>\n<li>B\u1ec7nh nh\u00e2n kh\u00f4ng \u0111au c\u1ed5 ch\u00e2n d\u1eef d\u1ed9i, c\u00f3 \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c gi\u1ea3m \u0111au, b\u1ec1 m\u1eb7t da kh\u00f4ng c\u0103ng b\u00f3ng, kh\u00f4ng c\u00f3 c\u1ea3m gi\u00e1c t\u00ea b\u00ec, kh\u00f4ng r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng, \u0111\u1ed9ng m\u1ea1ch mu ch\u00e2n v\u00e0 ch\u00e0y sau b\u1eaft \u0111\u01b0\u1ee3c n\u00ean \u00edt ngh\u0129 c\u00f3 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoi-chung-chen-ep-khoang\/\">ch\u00e8n \u00e9p khoang<\/a>.<\/li>\n<li>Kh\u00e1m chi \u1ea5m, b\u1eaft \u0111\u01b0\u1ee3c \u0111\u1ed9ng m\u1ea1ch mu ch\u00e2n, \u0111\u1ed9ng m\u1ea1ch ch\u00e0y sau r\u00f5, \u0111\u1ea7u ng\u00f3n ch\u00e2n ph\u1ea3i \u1ea5n h\u1ed3ng, c\u1eed \u0111\u1ed9ng \u0111\u01b0\u1ee3c, kh\u00f4ng t\u00ea n\u00ean \u00edt ngh\u0129 c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u.<\/li>\n<li>C\u1ea3m gi\u00e1c n\u00f4ng s\u00e2u b\u00e0n ch\u00e2n ph\u1ea3i b\u00ecnh th\u01b0\u1eddng n\u00ean \u00edt ngh\u0129 c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh<\/li>\n<\/ul>\n<\/li>\n<li>B\u1ec7nh nh\u00e2n s\u01b0ng, \u0111au c\u1ed5 ch\u00e2n ph\u1ea3i, b\u1ea7m t\u00edm v\u00f9ng m\u1eaft c\u00e1 trong, n\u00ean kh\u00f4ng lo\u1ea1i tr\u1eeb t\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng delta. \u0110\u1ec1 ngh\u1ecb MRI c\u1ed5 ch\u00e2n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1.<\/li>\n<\/ul>\n<h2><strong>\u00a0<\/strong>XII. \u0110\u1ec0 NGH\u1eca C\u1eacN L\u00c2M S\u00c0NG:<\/h2>\n<pre>1. CLS ti\u1ec1n ph\u1eabu:<\/pre>\n<ul>\n<li>CTM, b\u1ed9 \u0111\u00f4ng c\u1ea7m m\u00e1u, glucose m\u00e1u, ure, creatinin, AST, ALT, ion \u0111\u1ed3, TPTNT.<\/li>\n<li>Xquang ng\u1ef1c th\u1eb3ng.<\/li>\n<\/ul>\n<pre>2. CLS ch\u1ea9n \u0111o\u00e1n:<\/pre>\n<ul>\n<li>Xquang th\u1eb3ng, nghi\u00eang c\u1ed5 ch\u00e2n, b\u00e0n ch\u00e2n ph\u1ea3i.<\/li>\n<\/ul>\n<h2>XIII. BI\u1ec6N LU\u1eacN C\u1eacN L\u00c2M S\u00c0NG:<\/h2>\n<table width=\"679\">\n<tbody>\n<tr>\n<td width=\"190\">\n<p><strong>X\u00e9t nghi\u1ec7m<\/strong><\/p>\n<\/td>\n<td width=\"228\">\n<p><strong>K\u1ebft qu\u1ea3<\/strong><\/p>\n<\/td>\n<td width=\"147\">\n<p><strong>CSBT Nam<\/strong><\/p>\n<\/td>\n<td width=\"114\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"190\">\n<p>APTT<\/p>\n<\/td>\n<td width=\"228\">\n<p>37<\/p>\n<\/td>\n<td width=\"147\">\n<p>25 &#8211; 37<\/p>\n<\/td>\n<td width=\"114\">\n<p>Gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"190\">\n<p>PT<\/p>\n<\/td>\n<td width=\"228\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"147\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"114\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table width=\"679\">\n<tbody>\n<tr>\n<td width=\"190\">\n<p>TQ (Th\u1eddi gian Quick)<\/p>\n<\/td>\n<td width=\"228\">\n<p><strong>15.2<\/strong><\/p>\n<\/td>\n<td width=\"147\">\n<p>9.3 &#8211; 14.3<\/p>\n<\/td>\n<td width=\"114\">\n<p>Gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"190\">\n<p>TL Prothrombine<\/p>\n<\/td>\n<td width=\"228\">\n<p>81<\/p>\n<\/td>\n<td width=\"147\">\n<p>&gt;70<\/p>\n<\/td>\n<td width=\"114\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"190\">\n<p>INR<\/p>\n<\/td>\n<td width=\"228\">\n<p>1,15<\/p>\n<\/td>\n<td width=\"147\">\n<p>0.84 &#8211; 1.29<\/p>\n<\/td>\n<td width=\"114\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Nh\u1eadn x\u00e9t:<\/strong><\/p>\n<ul>\n<li>C\u00e1c gi\u00e1 tr\u1ecb \u0111\u00f4ng c\u1ea7m m\u00e1u trong kho\u1ea3ng gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<table width=\"676\">\n<tbody>\n<tr>\n<td width=\"217\">\n<p><strong>X\u00e9t nghi\u1ec7m<\/strong><\/p>\n<\/td>\n<td width=\"195\">\n<p><strong>K\u1ebft qu\u1ea3<\/strong><\/p>\n<\/td>\n<td width=\"173\">\n<p><strong>CSBT Nam<\/strong><\/p>\n<\/td>\n<td width=\"91\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>WBC<\/p>\n<\/td>\n<td width=\"195\">\n<p>11.02<\/p>\n<\/td>\n<td width=\"173\">\n<p>4.01 &#8211; 11.42<\/p>\n<\/td>\n<td width=\"91\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>NEU %<\/p>\n<\/td>\n<td width=\"195\">\n<p>64.2<\/p>\n<\/td>\n<td width=\"173\">\n<p>40 &#8211; 74<\/p>\n<\/td>\n<td width=\"91\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>LYM%<\/p>\n<\/td>\n<td width=\"195\">\n<p>25.2<\/p>\n<\/td>\n<td width=\"173\">\n<p>19 &#8211; 48<\/p>\n<\/td>\n<td width=\"91\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>MONO%<\/p>\n<\/td>\n<td width=\"195\">\n<p>8.02<\/p>\n<\/td>\n<td width=\"173\">\n<p>3.4 &#8211; 9.0<\/p>\n<\/td>\n<td width=\"91\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>EOS%<\/p>\n<\/td>\n<td width=\"195\">\n<p>2.25<\/p>\n<\/td>\n<td width=\"173\">\n<p>0.0 &#8211; 7.0<\/p>\n<\/td>\n<td width=\"91\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>BASO%<\/p>\n<\/td>\n<td width=\"195\">\n<p>0.25<\/p>\n<\/td>\n<td width=\"173\">\n<p>0.0 &#8211; 1.5<\/p>\n<\/td>\n<td width=\"91\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>NEU#<\/p>\n<\/td>\n<td width=\"195\">\n<p>7.08<\/p>\n<\/td>\n<td width=\"173\">\n<p>1.7 &#8211; 7.5<\/p>\n<\/td>\n<td width=\"91\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>LYM#<\/p>\n<\/td>\n<td width=\"195\">\n<p>2.78<\/p>\n<\/td>\n<td width=\"173\">\n<p>1.2- 4.0<\/p>\n<\/td>\n<td width=\"91\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>MONO#<\/p>\n<\/td>\n<td width=\"195\">\n<p><strong>0.88<\/strong><\/p>\n<\/td>\n<td width=\"173\">\n<p>0.2 &#8211; 0.8<\/p>\n<\/td>\n<td width=\"91\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>EOS#<\/p>\n<\/td>\n<td width=\"195\">\n<p>0.25<\/p>\n<\/td>\n<td width=\"173\">\n<p>0.0 &#8211; 0.6<\/p>\n<\/td>\n<td width=\"91\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>BASO#<\/p>\n<\/td>\n<td width=\"195\">\n<p>0.03<\/p>\n<\/td>\n<td width=\"173\">\n<p>0.0 &#8211; 0.1<\/p>\n<\/td>\n<td width=\"91\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>RBC<\/p>\n<\/td>\n<td width=\"195\">\n<p>5.55<\/p>\n<\/td>\n<td width=\"173\">\n<p>4.01 &#8211; 5.79<\/p>\n<\/td>\n<td width=\"91\">\n<p>M\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>HGB<\/p>\n<\/td>\n<td width=\"195\">\n<p><strong>16.4<\/strong><\/p>\n<\/td>\n<td width=\"173\">\n<p>11.5 &#8211; 15.0<\/p>\n<\/td>\n<td width=\"91\">\n<p>g\/dL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">\n<p>HCT<\/p>\n<\/td>\n<td width=\"195\">\n<p><strong>52.1<\/strong><\/p>\n<\/td>\n<td width=\"173\">\n<p>34.4 &#8211; 48.6<\/p>\n<\/td>\n<td width=\"91\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<table width=\"644\">\n<tbody>\n<tr>\n<td width=\"198\">\n<p>MCV<\/p>\n<\/td>\n<td width=\"199\">\n<p>93.9<\/p>\n<\/td>\n<td width=\"147\">\n<p>80 &#8211; 99<\/p>\n<\/td>\n<td width=\"100\">\n<p>fL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"198\">\n<p>MCH<\/p>\n<\/td>\n<td width=\"199\">\n<p>29.5<\/p>\n<\/td>\n<td width=\"147\">\n<p>27 &#8211; 33<\/p>\n<\/td>\n<td width=\"100\">\n<p>Pg<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"198\">\n<p>MCHC<\/p>\n<\/td>\n<td width=\"199\">\n<p><strong>31.5<\/strong><\/p>\n<\/td>\n<td width=\"147\">\n<p>32 &#8211; 36<\/p>\n<\/td>\n<td width=\"100\">\n<p>g\/dL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"198\">\n<p>RDW<\/p>\n<\/td>\n<td width=\"199\">\n<p>11.6<\/p>\n<\/td>\n<td width=\"147\">\n<p>11.5 &#8211; 15.0<\/p>\n<\/td>\n<td width=\"100\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"198\">\n<p>PLT<\/p>\n<\/td>\n<td width=\"199\">\n<p>19.3<\/p>\n<\/td>\n<td width=\"147\">\n<p>150 &#8211; 450<\/p>\n<\/td>\n<td width=\"100\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"198\">\n<p>MPV<\/p>\n<\/td>\n<td width=\"199\">\n<p>8.6<\/p>\n<\/td>\n<td width=\"147\">\n<p>7.4 &#8211; 10.9<\/p>\n<\/td>\n<td width=\"100\">\n<p>fL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"198\">\n<p>\u0110\u1ecbnh nh\u00f3m m\u00e1u h\u1ec7 Rh(D)<\/p>\n<\/td>\n<td width=\"199\">\n<p>+<\/p>\n<\/td>\n<td width=\"147\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"100\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"198\">\n<p>\u0110\u1ecbnh nh\u00f3m m\u00e1u h\u1ec7 ABO<\/p>\n<\/td>\n<td width=\"199\">\n<p>A<\/p>\n<\/td>\n<td width=\"147\">\n<p>&nbsp;<\/p>\n<\/td>\n<td width=\"100\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Nh\u1eadn x\u00e9t:<\/strong><\/p>\n<ul>\n<li>CTM ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<table width=\"657\">\n<tbody>\n<tr>\n<td width=\"242\">\n<p><strong>X\u00e9t nghi\u1ec7m<\/strong><\/p>\n<\/td>\n<td width=\"73\">\n<p><strong>K\u1ebft qu\u1ea3<\/strong><\/p>\n<\/td>\n<td width=\"220\">\n<p><strong>CSBT Nam<\/strong><\/p>\n<\/td>\n<td width=\"122\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"242\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Glucose [M\u00e1u]<\/p>\n<\/td>\n<td width=\"73\">\n<p>4.9<\/p>\n<\/td>\n<td width=\"220\">\n<p>4.1 &#8211; 5.9<\/p>\n<\/td>\n<td width=\"122\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"242\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Ure m\u00e1u [M\u00e1u]<\/p>\n<\/td>\n<td width=\"73\">\n<p>4.0<\/p>\n<\/td>\n<td width=\"220\">\n<p>2.8 &#8211; 7.2<\/p>\n<\/td>\n<td width=\"122\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"242\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Creatinin [M\u00e1u]<\/p>\n<\/td>\n<td width=\"73\">\n<p>94<\/p>\n<\/td>\n<td width=\"220\">\n<p>&gt; 50T: 72 &#8211; 127<\/p>\n<\/td>\n<td width=\"122\">\n<p>\u03bcmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"242\">\n<p>EGFR<\/p>\n<\/td>\n<td width=\"73\">\n<p>92.52<\/p>\n<\/td>\n<td width=\"220\">\n<p>&gt;=60<\/p>\n<\/td>\n<td width=\"122\">\n<p>ml\/ph\u00fat<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"242\">\n<p>\u0110o ho\u1ea1t \u0111\u1ed9 AST (GOT) [M\u00e1u]<\/p>\n<\/td>\n<td width=\"73\">\n<p>23<\/p>\n<\/td>\n<td width=\"220\">\n<p>&lt;50<\/p>\n<\/td>\n<td width=\"122\">\n<p>U\/L &#8211; 37 \u0111\u1ed9 C<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"242\">\n<p>\u0110o ho\u1ea1t \u0111\u1ed9 ALT (GPT) [M\u00e1u]<\/p>\n<\/td>\n<td width=\"73\">\n<p>21<\/p>\n<\/td>\n<td width=\"220\">\n<p>&lt;50<\/p>\n<\/td>\n<td width=\"122\">\n<p>U\/L &#8211; 37 \u0111\u1ed9 C<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"242\">\n<p>Na+<\/p>\n<\/td>\n<td width=\"73\">\n<p>142<\/p>\n<\/td>\n<td width=\"220\">\n<p>135 &#8211; 145<\/p>\n<\/td>\n<td width=\"122\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"242\">\n<p>K+<\/p>\n<\/td>\n<td width=\"73\">\n<p>3.5<\/p>\n<\/td>\n<td width=\"220\">\n<p>3.5 &#8211; 5.0<\/p>\n<\/td>\n<td width=\"122\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"242\">\n<p>Cl-<\/p>\n<\/td>\n<td width=\"73\">\n<p>104<\/p>\n<\/td>\n<td width=\"220\">\n<p>98- 106<\/p>\n<\/td>\n<td width=\"122\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"242\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Calci to\u00e0n ph\u1ea7n [M\u00e1u]<\/p>\n<\/td>\n<td width=\"73\">\n<p>2.4<\/p>\n<\/td>\n<td width=\"220\">\n<p>2.15 &#8211; 2.6<\/p>\n<\/td>\n<td width=\"122\">\n<p>mmol\/L<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Nh\u1eadn x\u00e9t:<\/strong><\/p>\n<ul>\n<li>C\u00e1c ch\u1ec9 s\u1ed1 sinh h\u00f3a gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<table width=\"670\">\n<tbody>\n<tr>\n<td width=\"164\">\n<p><strong>X\u00e9t nghi\u1ec7m<\/strong><\/p>\n<\/td>\n<td width=\"186\">\n<p><strong>K\u1ebft qu\u1ea3<\/strong><\/p>\n<\/td>\n<td width=\"173\">\n<p><strong>CSBT Nam<\/strong><\/p>\n<\/td>\n<td width=\"147\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"164\">\n<p>URO<\/p>\n<\/td>\n<td width=\"186\">\n<p>Norm<\/p>\n<\/td>\n<td width=\"173\">\n<p>&lt;17.1<\/p>\n<\/td>\n<td width=\"147\">\n<p>Umol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"164\">\n<p>GLU<\/p>\n<\/td>\n<td width=\"186\">\n<p>Neg<\/p>\n<\/td>\n<td width=\"173\">\n<p>&lt;0.84<\/p>\n<\/td>\n<td width=\"147\">\n<p>Umol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"164\">\n<p>BIL<\/p>\n<\/td>\n<td width=\"186\">\n<p>Neg<\/p>\n<\/td>\n<td width=\"173\">\n<p>&lt;3.4<\/p>\n<\/td>\n<td width=\"147\">\n<p>Umol\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"164\">\n<p>KET<\/p>\n<\/td>\n<td width=\"186\">\n<p>Neg<\/p>\n<\/td>\n<td width=\"173\">\n<p>&lt;5<\/p>\n<\/td>\n<td width=\"147\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"164\">\n<p>S.G<\/p>\n<\/td>\n<td width=\"186\">\n<p>1.022<\/p>\n<\/td>\n<td width=\"173\">\n<p>1.015-1.025<\/p>\n<\/td>\n<td width=\"147\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<table width=\"610\">\n<tbody>\n<tr>\n<td width=\"148\">\n<p>BLD<\/p>\n<\/td>\n<td width=\"197\">\n<p>Neg<\/p>\n<\/td>\n<td width=\"138\">\n<p>&lt;5<\/p>\n<\/td>\n<td width=\"127\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"148\">\n<p>pH<\/p>\n<\/td>\n<td width=\"197\">\n<p><strong>7.5<\/strong><\/p>\n<\/td>\n<td width=\"138\">\n<p>4.8-7.4<\/p>\n<\/td>\n<td width=\"127\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"148\">\n<p>PRO<\/p>\n<\/td>\n<td width=\"197\">\n<p>Neg<\/p>\n<\/td>\n<td width=\"138\">\n<p>&lt;0.1<\/p>\n<\/td>\n<td width=\"127\">\n<p>g\/L<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"148\">\n<p>NIT<\/p>\n<\/td>\n<td width=\"197\">\n<p>Neg<\/p>\n<\/td>\n<td width=\"138\">\n<p>Negative<\/p>\n<\/td>\n<td width=\"127\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"148\">\n<p>LEU<\/p>\n<\/td>\n<td width=\"197\">\n<p>Neg<\/p>\n<\/td>\n<td width=\"138\">\n<p>&lt;10<\/p>\n<\/td>\n<td width=\"127\">\n<p>Ug\/dL<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Nh\u1eadn x\u00e9t: <\/strong><\/p>\n<ul>\n<li>C\u00e1c ch\u1ec9 s\u1ed1 t\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<h2>XIV. CH\u1ea8N \u0110O\u00c1N X\u00c1C \u0110\u1ecaNH:<\/h2>\n<p>G\u00e3y k\u00edn m\u1eaft c\u00e1 ngo\u00e0i ph\u00e2n \u0111\u1ed9 44-A2 (theo AO), ch\u01b0a c\u00f3 bi\u1ebfn ch\u1ee9ng.<\/p>\n<h2>XV. \u0110I\u1ec0U TR\u1eca:<\/h2>\n<ul>\n<li>Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb:\n<ul>\n<li>Ph\u1ee5c h\u1ed3i c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu, \u0111\u1ea3m b\u1ea3o \u0111\u1ed9 v\u1eefng ch\u1eafc c\u1ee7a g\u1ecdng ch\u00e0y-m\u00e1c c\u1ed5 ch\u00e2n.<\/li>\n<li>\u0110\u1ea3m b\u1ea3o x\u01b0\u01a1ng l\u00e0nh t\u1ed1t m\u00e0 kh\u00f4ng nhi\u1ec5m tr\u00f9ng.<\/li>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/phuc-hoi-chuc-nang-benh-nhan-cut-chi\/\">Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/a> kh\u1edbp c\u1ed5 ch\u00e2n v\u00e0 to\u00e0n th\u00e2n.<\/li>\n<\/ul>\n<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb th\u1ef1c th\u1ee5\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n: n\u1eafn b\u1ed9t c\u1eb3ng-b\u00e0n ch\u00e2n, Xquang ki\u1ec3m tra t\u1ed1t gi\u1eef b\u1ed9t 6-8 tu\u1ea7n.<\/li>\n<li>T\u1eadp v\u1eadn \u0111\u1ed9ng trong b\u1ed9t \u2013 sau 4 tu\u1ea7n c\u00f3 th\u1ec3 ch\u1ed1ng ch\u00e2n ch\u1ecbu 1 ph\u1ea7n s\u1ee9c n\u1eb7ng trong b\u1ed9t.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt: do b\u1ec7nh nh\u00e2n n\u00e0y tr\u1ebb, v\u1eadn \u0111\u1ed9ng nhi\u1ec1u n\u00ean \u01b0u ti\u00ean ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>XVI. TI\u00caN L\u01af\u1ee2NG:<\/h2>\n<ul>\n<li>Ti\u00ean l\u01b0\u1ee3ng g\u1ea7n: t\u1ed1t v\u00ec b\u1ec7nh nh\u00e2n c\u00f2n tr\u1ebb, kh\u00f4ng b\u1ec7nh n\u1ec1n, ch\u01b0a c\u00f3 bi\u1ebfn ch\u1ee9ng, kh\u00f4ng di l\u1ec7ch.<\/li>\n<li>Ti\u00ean l\u01b0\u1ee3ng xa: nguy c\u01a1 bi\u1ebfn ch\u1ee9ng xa nh\u01b0 cal l\u1ec7ch, kh\u1edbp gi\u1ea3, c\u1ee9ng kh\u1edbp c\u1ed5 ch\u00e2n.<\/li>\n<\/ul>\n<h2>XVII. D\u1ef0 PH\u00d2NG:<\/h2>\n<ul>\n<li>C\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng v\u1eefng ch\u1eafc.<\/li>\n<li>T\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u.<\/li>\n<li>Dinh d\u01b0\u1ee1ng \u0111\u1ea7y \u0111\u1ee7 h\u1ee3p l\u00fd.<\/li>\n<li>Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u00e1i kh\u00e1m \u0111\u00fang h\u1eb9n.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<pre>\u00a0<\/pre>\n","protected":false},"featured_media":1350,"comment_status":"open","ping_status":"open","template":"","tags":[201,203,202],"chuyen-muc":[188],"class_list":["post-2172","chuyen-de","type-chuyen-de","status-publish","has-post-thumbnail","hentry","tag-benh-an-gay-mat-ca-ngoai-gay-dau-duoi-xuong-mac","tag-gay-dau-duoi-xuong-mac","tag-gay-mat-ca-ngoai","chuyen-muc-benh-an-mau"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2172","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=2172"}],"version-history":[{"count":3,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2172\/revisions"}],"predecessor-version":[{"id":2693,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2172\/revisions\/2693"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/1350"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=2172"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=2172"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=2172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}