{"id":2177,"date":"2023-08-01T12:00:33","date_gmt":"2023-08-01T05:00:33","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=chuyen-de&#038;p=2177"},"modified":"2024-03-20T16:29:49","modified_gmt":"2024-03-20T09:29:49","slug":"benh-an-gay-xuong-canh-tay","status":"publish","type":"chuyen-de","link":"https:\/\/bsvothanhtoan.com\/en\/chuyen-de\/benh-an-gay-xuong-canh-tay\/","title":{"rendered":"B\u1ec7nh \u00e1n g\u00e3y x\u01b0\u01a1ng c\u00e1nh tay"},"content":{"rendered":"<h2><em><span style=\"font-size: 16px;\">G\u00e3y k\u00edn \u2153 gi\u1eefa x\u01b0\u01a1ng c\u00e1nh tay (T) A2 theo AO gi\u1edd th\u1ee9 1 do TNSH , ch\u01b0a ghi nh\u1eadn bi\u1ebfn ch\u1ee9ng\/ \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2, t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9 2 theo ESC 2018.M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb : Li\u1ec1n x\u01b0\u01a1ng , ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng , tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng Ph\u01b0\u01a1ng ph\u00e1p : \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u00ean trong b\u1eb1ng n\u1eb9p v\u00edt<\/span><\/em><\/h2>\n<h2><strong>I. H\u00c0NH CH\u00cdNH <\/strong><\/h2>\n<ol>\n<li>H\u1ecd v\u00e0 t\u00ean: Nguy\u1ec5n Th\u1ecb Minh H Gi\u1edbi t\u00ednh: N\u1eef<\/li>\n<li>N\u0103m sinh: 1958 Tu\u1ed5i : 65<\/li>\n<li>D\u00e2n t\u1ed9c: Kinh<\/li>\n<li>Ngh\u1ec1 nghi\u1ec7p: N\u1ed9i tr\u1ee3<\/li>\n<li>\u0110\u1ecba ch\u1ec9: H\u00f3c M\u00f4n, Tp.HCM<\/li>\n<li>S\u1ed1 \u0111i\u1ec7n tho\u1ea1i: 093xxx<\/li>\n<li>Th\u1eddi gian nh\u1eadp vi\u1ec7n: 19h ng\u00e0y 10\/02\/2023<\/li>\n<li>Ng\u00e0y l\u00e0m b\u1ec7nh \u00e1n: 19h30 ng\u00e0y 10\/02\/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><span style=\"text-decoration: underline;\"><strong>Tr\u01b0\u1edbc khi xem h\u00e3y \u0111\u1ecdc qua c\u00e1c b\u00e0i sau<\/strong><\/span><\/p>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ban-ngon-tay-gay-xuong-ban-tay\/\">B\u00e0i gi\u1ea3ng G\u00e3y x\u01b0\u01a1ng b\u00e0n tay &#8211; ng\u00f3n tay<\/a><\/p>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/en\/chuyen-de\/slide-bai-giang-gay-than-xuong-canh-tay\/\">Lecture slides Fracture of the humerus<\/a><\/p>\n<h2><strong>II. L\u00dd DO NH<\/strong><strong>\u1eac<\/strong><strong>P VI<\/strong><strong>\u1ec6<\/strong><strong>N:<\/strong><\/h2>\n<p>\u0110au c\u00e1nh tay (T)<\/p>\n<h2>III. <strong>B<\/strong><strong>\u1ec6<\/strong><strong>NH S<\/strong><strong>\u1eec<\/strong>:<\/h2>\n<p>&#8211; B\u1ec7nh nh\u00e2n khai, c\u00e1ch nh\u1eadp vi\u1ec7n 1h, b\u1ec7nh nh\u00e2n tr\u01b0\u1ee3t ch\u00e2n ng\u00e3 \u1edf t\u01b0 th\u1ebf ng\u1eeda ch\u1ed1ng khu\u1ef7u tay tr\u00e1i xu\u1ed1ng n\u1ec1n nh\u00e0 v\u1ec7 sinh, kh\u00f4ng va \u0111\u1eadp v\u00f9ng \u0111\u1ea7u. Sau ng\u00e3, b\u1ec7nh nh\u00e2n \u0111au nhi\u1ec1u v\u00e0 s\u01b0ng n\u1ec1 \u1edf v\u00f9ng c\u00e1nh tay (T), \u0111au li\u00ean t\u1ee5c, c\u01b0\u1eddng \u0111\u1ed9 6\/10, \u0111au t\u0103ng khi c\u1eed \u0111\u1ed9ng. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 d\u00f9ng n\u1eb9p c\u1ed1 \u0111\u1ecbnh c\u00e1nh tay -&gt; nh\u1eadp vi\u1ec7n b\u1ec7nh vi\u1ec7n Th\u1ed1ng Nh\u1ea5t.<\/p>\n<p>&#8211; Trong qu\u00e1 tr\u00ecnh b\u1ec7nh, b\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t, da ni\u00eam m\u1ea1c h\u1ed3ng, kh\u00f4ng \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, kh\u00f4ng kh\u00f3 th\u1edf, kh\u00f4ng t\u00ea tay, kh\u00f4ng n\u00f4n, ti\u00eau ti\u1ec3u b\u00ecnh th\u01b0\u1eddng. &#8211; T\u00ecnh tr\u1ea1ng l\u00fac nh\u1eadp vi\u1ec7n:<\/p>\n<p>+ <a href=\"https:\/\/vi.wikipedia.org\/wiki\/B%E1%BB%87nh_nh%C3%A2n\" target=\"_blank\" rel=\"noopener\">B\u1ec7nh nh\u00e2n<\/a> t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t<\/p>\n<p>+ Tim \u0111\u1ec1u, ph\u1ed5i trong, s\u01b0ng \u0111au c\u00e1nh tay tr\u00e1i<\/p>\n<p>+ Sinh hi\u1ec7u:<\/p>\n<ul>\n<li>M\u1ea1ch: 80 l\u1ea7n\/ph\u00fat<\/li>\n<li>Nhi\u1ec7t \u0111\u1ed9: 36.8 \u0111\u1ed9 C<\/li>\n<li>Huy\u1ebft \u00e1p: 120\/80 mmHg<\/li>\n<li>Nh\u1ecbp th\u1edf: 19 l\u1ea7n\/ph\u00fat<\/li>\n<\/ul>\n<p>&#8211; X\u1eed tr\u00ed t\u1ea1i c\u1ea5p c\u1ee9u: Paracetamol 1g\/100mL TTM c g\/ph<\/p>\n<p>&#8211; Nh\u1eadp khoa CTCH l\u00fac 21h00: b\u1ec7nh nh\u00e2n c\u00f2n \u0111au, c\u01b0\u1eddng \u0111\u1ed9 4\/10, s\u01b0ng \u0111au v\u00f9ng c\u00e1nh tay (T), kh\u00f4ng c\u00f3 v\u1ebft th\u01b0\u01a1ng ch\u1ea3y m\u00e1u, b\u1ea7m t\u00edm, kh\u00f4ng d\u1ecb c\u1ea3m \u0111\u1ea7u chi.<\/p>\n<h2><strong>IV. TI<\/strong><strong>\u1ec0<\/strong><strong>N S<\/strong><strong>\u1eec<\/strong><strong>: <\/strong><\/h2>\n<h3>1. B\u1ea3n th\u00e2n:<\/h3>\n<p><strong>N\u1ed9i khoa:<\/strong><\/p>\n<ul>\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<\/li>\n<li>T\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9 II theo ESC 2018, huy\u1ebft \u00e1p th\u00edch nghi 120\/80 mmHg, huy\u1ebft \u00e1p t\u1ed1i \u0111a 150\/90 mmHg<\/li>\n<\/ul>\n<p><strong>Ngo\u1ea1i khoa<\/strong>: ch\u01b0a ghi nh\u1eadn<\/p>\n<p><strong>S\u1ea3n khoa:<\/strong> PARA 2002<\/p>\n<p><strong>Allergy<\/strong>: ch\u01b0a ghi nh\u1eadn<\/p>\n<h3>2. Gia \u0111\u00ecnh:<\/h3>\n<p>Ch\u01b0a ghi nh\u1eadn ti\u1ec1n c\u0103n c\u00e1c b\u1ec7nh li\u00ean quan<\/p>\n<h2><strong>V. Kh\u00e1m (19h30 10\/02\/2023):<\/strong><\/h2>\n<h3><strong style=\"font-size: 16px;\">1. T<\/strong><strong style=\"font-size: 16px;\">\u1ed5<\/strong><strong style=\"font-size: 16px;\">ng tr<\/strong><strong style=\"font-size: 16px;\">\u1ea1<\/strong><strong style=\"font-size: 16px;\">ng:<\/strong><\/h3>\n<p>T\u1ed5ng tr\u1ea1ng: b\u1ec7nh t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t<\/p>\n<p>Sinh hi\u1ec7u:<\/p>\n<ul>\n<li>M\u1ea1ch: 80 l\u1ea7n\/ph\u00fat<\/li>\n<li>Huy\u1ebft \u00e1p: 120\/80 mmHg<\/li>\n<li>Nh\u1ecbp th\u1edf: 18 l\u1ea7n\/ph\u00fat<\/li>\n<li>Nhi\u1ec7t \u0111\u1ed9: 36,7oC<\/li>\n<\/ul>\n<p>\u2010 C\u00e2n n\u1eb7ng: 50 kg, chi\u1ec1u cao: 158 cm \u2192 BMI: 20.02 \u2192 Th\u1ec3 tr\u1ea1ng trung b\u00ecnh (theo IDI &amp; WPRO)<\/p>\n<p>\u2010 Da, ni\u00eam m\u1ea1c h\u1ed3ng<\/p>\n<p>\u2010 H\u1ea1ch ngo\u1ea1i bi\u00ean kh\u00f4ng s\u1edd ch\u1ea1m<\/p>\n<p>\u2010 Tuy\u1ebfn gi\u00e1p kh\u00f4ng to<\/p>\n<p>\u2010 Kh\u00f4ng c\u00f3 xu\u1ea5t huy\u1ebft d\u01b0\u1edbi da, kh\u00f4ng ph\u00f9<\/p>\n<h2><strong>2. Kh\u00e1m c\u00e1c c<\/strong><strong>\u01a1 <\/strong><strong>quan<\/strong><\/h2>\n<p><strong>Tim m<\/strong><strong>\u1ea1<\/strong><strong>ch: <\/strong><\/p>\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>Ti\u1ebfng T1, T2 \u0111\u1ec1u r\u00f5, kh\u00f4ng \u00e2m th\u1ed5i b\u1ea5t th\u01b0\u1eddng<\/li>\n<\/ul>\n<p><strong>H\u00f4 H<\/strong><strong>\u1ea5<\/strong><strong>p: <\/strong><\/p>\n<ul>\n<li>L\u1ed3ng ng\u1ef1c c\u00e2n \u0111\u1ed1i, di \u0111\u1ed9ng theo nh\u1ecbp th\u1edf<\/li>\n<li>Rung thanh \u0111\u1ec1u 2 b\u00ean<\/li>\n<li>R\u00ec r\u00e0o ph\u1ebf nang \u00eam d\u1ecbu 2 ph\u1ebf tr\u01b0\u1eddng<\/li>\n<li>G\u00f5 trong<\/li>\n<\/ul>\n<p><strong>Ti\u00eau h\u00f3a: <\/strong><\/p>\n<ul>\n<li>B\u1ee5ng m\u1ec1m, c\u00e2n \u0111\u1ed1i, kh\u00f4ng u, kh\u00f4ng s\u1eb9o m\u1ed5 c\u0169<\/li>\n<li>Gan l\u00e1ch kh\u00f4ng s\u1edd ch\u1ea1m<\/li>\n<\/ul>\n<p><strong>Ti<\/strong><strong>\u1ebf<\/strong><strong>t ni<\/strong><strong>\u1ec7<\/strong><strong>u: <\/strong><\/p>\n<ul>\n<li>D\u1ea5u ch\u1ea1m th\u1eadn (-)<\/li>\n<li>C\u1ea7u b\u00e0ng quang (-)<\/li>\n<\/ul>\n<p><strong>Th<\/strong><strong>\u1ea7<\/strong><strong>n kinh: <\/strong><\/p>\n<ul>\n<li>C\u1ed5 m\u1ec1m<\/li>\n<li>Kh\u00f4ng c\u00f3 d\u1ea5u th\u1ea7n kinh \u0111\u1ecbnh v\u1ecb<\/li>\n<\/ul>\n<p><strong>OLD<\/strong><strong>\u01a1 <\/strong><strong>x<\/strong><strong>\u01b0\u01a1<\/strong><strong>ng kh<\/strong><strong>\u1edb<\/strong><strong>p: <\/strong><\/p>\n<p>NH\u00ccN:<\/p>\n<ul>\n<li>S\u01b0ng n\u1ec1 1\/3 gi\u1eefa c\u00e1nh tay (T)<\/li>\n<\/ul>\n<p>S\u1edc:<\/p>\n<ul>\n<li>\u1ea4n \u0111au ch\u00f3i 1\/3 gi\u1eefa c\u00e1nh tay (T)<\/li>\n<li>M\u1ea5t li\u00ean t\u1ee5c 1\/3 gi\u1eefa x\u01b0\u01a1ng c\u00e1nh tay (T)<\/li>\n<li>M\u1ea1ch m\u1ea1ch quay (+), \u0111\u1ec1u r\u00f5 2 b\u00ean, \u0111\u1ea7u c\u00e1c ng\u00f3n h\u1ed3ng<\/li>\n<li>C\u1ea3m gi\u00e1c n\u00f4ng s\u00e2u t\u1ed1t, kh\u00f4ng t\u00ea, kh\u00f4ng di c\u1ea3m<\/li>\n<\/ul>\n<p>\u0110O:<\/p>\n<ul>\n<li>Chi\u1ec1u d\u00e0i tuy\u1ec7t \u0111\u1ed1i \u2013 t\u01b0\u01a1ng \u0111\u1ed1i c\u00e1nh tay (T): 26 cm \u2013 28cm<\/li>\n<li>Chi\u1ec1u d\u00e0i tuy\u1ec7t \u0111\u1ed1i \u2013 t\u01b0\u01a1ng \u0111\u1ed1i c\u00e1nh tay (P): 28 cm \u2013 30 cm<\/li>\n<\/ul>\n<p>KH\u00c1M V\u1eacN \u0110\u1ed8NG:<\/p>\n<ul>\n<li>Kh\u00f4ng kh\u00e1m \u0111\u01b0\u1ee3c v\u1eadn \u0111\u1ed9ng v\u00f9ng c\u00e1nh tay do b\u1ec7nh nh\u00e2n \u0111au<\/li>\n<li>Du\u1ed7i \u0111\u01b0\u1ee3c c\u1ed5 tay, du\u1ed7i b\u00e0n <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ban-ngon-tay-gay-xuong-ban-tay\/\">ng\u00f3n tay<\/a>, du\u1ed7i ng\u00f3n c\u00e1i t\u1ed1t<\/li>\n<\/ul>\n<p><strong>C\u00e1c c<\/strong><strong>\u01a1 <\/strong><strong>quan kh\u00e1c: <\/strong>ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/p>\n<h2><strong>VI. T\u00f3m t<\/strong><strong>\u1eaf<\/strong><strong>t b<\/strong><strong>\u1ec7<\/strong><strong>nh \u00e1n:<\/strong><\/h2>\n<p>B\u1ec7nh nh\u00e2n n\u1eef, 65 tu\u1ed5i, nh\u1eadp vi\u1ec7n v\u00ec \u0111au c\u00e1nh tay (T) sau tai n\u1ea1n sinh ho\u1ea1t. Qua h\u1ecfi b\u1ec7nh v\u00e0 <a href=\"https:\/\/bsvothanhtoan.com\/en\/\">th\u0103m kh\u00e1m<\/a> ghi nh\u1eadn :<\/p>\n<p>TCCN: \u0110au c\u00e1nh tay (T), kh\u00f4ng t\u00ea tay<\/p>\n<p>TCTT:<\/p>\n<ul>\n<li>\u2153 gi\u1eefa c\u00e1nh tay (T) s\u01b0ng nh\u1eb9<\/li>\n<li>\u1ea4n \u0111au ch\u00f3i 1\/3 gi\u1eefa c\u00e1nh tay (T)<\/li>\n<li>M\u1ea5t li\u00ean t\u1ee5c 1\/3 gi\u1eefa x\u01b0\u01a1ng c\u00e1nh tay (T)<\/li>\n<li>Chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i \u2013 tuy\u1ec7t \u0111\u1ed1i x\u01b0\u01a1ng c\u00e1nh tay (T) ng\u1eafn h\u01a1n (P) + M\u1ea1ch quay (+), kh\u00f4ng t\u00ea tay<\/li>\n<\/ul>\n<p>TC: \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2, T\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9 II theo ESC 2018<\/p>\n<h2><strong>VII. \u0110<\/strong><strong>\u1eb7<\/strong><strong>t v<\/strong><strong>\u1ea5<\/strong><strong>n \u0111<\/strong><strong>\u1ec1 <\/strong><\/h2>\n<ul>\n<li>Sure sign <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">fracture<\/a><\/li>\n<li>\u0110au + s\u01b0ng n\u1ec1 \u2153 gi\u1eefa c\u00e1nh tay (T)<\/li>\n<\/ul>\n<p><strong>VIII. Ch<\/strong><strong>\u1ea9<\/strong><strong>n \u0111o\u00e1n s<\/strong><strong>\u01a1 <\/strong><strong>b<\/strong><strong>\u1ed9<\/strong><strong>: <\/strong><\/p>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">Closed fracture<\/a> \u2153 gi\u1eefa x\u01b0\u01a1ng c\u00e1nh tay tr\u00e1i (T) gi\u1edd th\u1ee9 1 do tai n\u1ea1n sinh ho\u1ea1t , ch\u01b0a ghi nh\u1eadn bi\u1ebfn ch\u1ee9ng\/ \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2, t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9 2 theo ESC 2018. <strong>IX. Bi<\/strong><strong>\u1ec7<\/strong><strong>n lu<\/strong><strong>\u1ead<\/strong><strong>n: <\/strong><\/p>\n<p>&#8211; Ngh\u0129 nhi\u1ec1u b\u1ec7nh nh\u00e2n g\u00e3y 1\/3 gi\u1eefa x\u01b0\u01a1ng c\u00e1nh tay (T) do c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng gi\u00e1n ti\u1ebfp l\u00e0 ch\u1ed1ng khu\u1ef7u tay xu\u1ed1ng n\u1ec1n c\u1ee9ng, qua h\u1ecfi b\u1ec7nh v\u00e0 th\u0103m kh\u00e1m ghi nh\u1eadn: + D\u1ea5u hi\u1ec7u ch\u1eafc ch\u1eafn c\u1ee7a g\u00e3y x\u01b0\u01a1ng: m\u1ea5t li\u00ean t\u1ee5c 1\/3 gi\u1eefa x\u01b0\u01a1ng c\u00e1nh tay (T), chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i v\u00e0 tuy\u1ec7t \u0111\u1ed1i c\u00e1nh tay (T) ng\u1eafn h\u01a1n tay (P)<\/p>\n<p>+ D\u1ea5u hi\u1ec7u kh\u00f4ng ch\u1eafc ch\u1eafn c\u1ee7a g\u00e3y x\u01b0\u01a1ng: \u0111au, s\u01b0ng n\u1ec1 c\u00e1nh tay (T), gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng v\u00f9ng c\u00e1nh tay (T), \u1ea5n \u0111au ch\u00f3i 1\/3 gi\u1eefa c\u00e1nh tay (T)<\/p>\n<p>+ Ngh\u0129 nhi\u1ec1u \u0111\u1ebfn <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">closed fracture<\/a> do kh\u00f4ng c\u00f3 v\u1ebft th\u01b0\u01a1ng th\u00f4ng v\u1edbi \u1ed5 g\u00e3y =&gt; \u0110\u1ec1 ngh\u1ecb <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/x-quang-trong-chan-thuong-chinh-hinh\/\">X-ray<\/a> x\u01b0\u01a1ng c\u00e1nh tay (T) th\u1eb3ng nghi\u00eang \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh &#8211; Bi\u1ec7n lu\u1eadn bi\u1ebfn ch\u1ee9ng:<\/p>\n<p>+ Ch\u01b0a ngh\u0129 g\u00e3y k\u00edn sang <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ho\/\">broken open<\/a> v\u00ec kh\u00f4ng nh\u00ecn th\u1ea5y v\u00f9ng c\u00e1nh tay tr\u00e1i c\u00f3 v\u1ebft th\u01b0\u01a1ng xuy\u00ean qua da, kh\u00f4ng ch\u1ea3y m\u00e1u.<\/p>\n<p>+ Ch\u01b0a ngh\u0129 \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/da-chan-thuong-choang-chan-thuong\/\">stunned<\/a> do b\u1ec7nh nh\u00e2n t\u1ec9nh, sinh hi\u1ec7u \u1ed5n, kh\u00f4ng \u0111au \u0111\u1ea7u ch\u00f3ng m\u1eb7t.<\/p>\n<p>+ Ch\u01b0a ngh\u0129 \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/di-chung-ton-thuong-than-kinh-ngoai-bien-liet-than-kinh-quay-giua-tru\/\">th\u1ea7n kinh quay<\/a> do b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 t\u00ea b\u00ec b\u00e0n tay, c\u00f3 c\u1ea3m gi\u00e1c v\u00f9ng mu b\u00e0n tay gi\u1eefa ng\u00f3n I v\u00e0 ng\u00f3n II, c\u00f3 th\u1ec3 du\u1ed7i c\u1ed5 tay, du\u1ed7i b\u00e0n ng\u00f3n tay v\u00e0 du\u1ed7i ng\u00f3n c\u00e1i.<\/p>\n<p>+ Ch\u01b0a ngh\u0129 \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoi-chung-chen-ep-khoang\/\">cavity compression<\/a> do b\u1ec7nh nh\u00e2n gi\u1ea3m \u0111au khi \u0111\u01b0\u1ee3c n\u1eb9p c\u1ed1 \u0111\u1ecbnh v\u00e0 d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au. B\u1ec7nh nh\u00e2n kh\u00f4ng t\u00ea b\u00ec.<\/p>\n<h2><strong>X . \u0110<\/strong><strong>\u1ec1 <\/strong><strong>ngh<\/strong><strong>\u1ecb <\/strong><strong>c<\/strong><strong>\u1ead<\/strong><strong>n l\u00e2m s\u00e0ng : <\/strong><\/h2>\n<ul>\n<li>CLS ch\u1ea9n \u0111o\u00e1n : X-quang x\u01b0\u01a1ng c\u00e1nh tay th\u1eb3ng nghi\u00eang<\/li>\n<li>CLS ti\u1ec1n ph\u1eabu<\/li>\n<\/ul>\n<h2><strong>XI. Bi<\/strong><strong>\u1ec7<\/strong><strong>n lu<\/strong><strong>\u1ead<\/strong><strong>n CLS:<\/strong><\/h2>\n<p>&#8211; X-quang x\u01b0\u01a1ng c\u00e1nh tay (T):<\/p>\n<figure id=\"attachment_2178\" aria-describedby=\"caption-attachment-2178\" style=\"width: 594px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-2178 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-canh-tay-1.png\" alt=\"g\u00e3y x\u01b0\u01a1ng c\u00e1nh tay 1\" width=\"594\" height=\"346\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-canh-tay-1.png 594w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-canh-tay-1-300x175.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-canh-tay-1-18x10.png 18w\" sizes=\"(max-width: 594px) 100vw, 594px\" \/><figcaption id=\"caption-attachment-2178\" class=\"wp-caption-text\"><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-chi-tren\/\">broken arm bone<\/a> 1<\/figcaption><\/figure>\n<p><strong>H\u00e0nh ch\u00ednh: <\/strong><\/p>\n<p>T\u00ean: Nguy\u1ec5n Th\u1ecb Minh H.<\/p>\n<p>MSBN: 18121791<\/p>\n<p>Ng\u00e0y ch\u1ee5p: 19h28 10\/02\/2023<\/p>\n<p>T\u01b0 th\u1ebf ch\u1ee5p: Phim th\u1eb3ng<\/p>\n<p>V\u1ecb tr\u00ed: Tay (T)<\/p>\n<p><strong>Ti\u00eau chu<\/strong><strong>\u1ea9<\/strong><strong>n phim: <\/strong><\/p>\n<p>Tia v\u1eeba<\/p>\n<p>L\u1ea5y \u0111\u1ee7 2 kh\u1edbp tr\u00ean v\u00e0 d\u01b0\u1edbi x\u01b0\u01a1ng g\u00e3y<\/p>\n<p>X-quang x\u01b0\u01a1ng c\u00e1nh tay th\u1eb3ng, thi\u1ebfu phim nghi\u00eang<\/p>\n<p>T\u1ec9 l\u1ec7 phim 25%<\/p>\n<p><strong>\u0110<\/strong><strong>\u1ecd<\/strong><strong>c phim: <\/strong><\/p>\n<p>X\u01b0\u01a1ng g\u00e3y: x\u01b0\u01a1ng c\u00e1nh tay (T)<\/p>\n<p>V\u1ecb tr\u00ed g\u00e3y: 1\/3 gi\u1eefa c\u00e1nh tay (T)<\/p>\n<p>G\u00e3y \u0111\u01a1n gi\u1ea3n, \u0110\u01b0\u1eddng g\u00e3y ch\u00e9o, di l\u1ec7ch sang b\u00ean, ch\u1ed3ng ng\u1eafn<\/p>\n<p>&#8211; C\u00f4ng th\u1ee9c m\u00e1u:<\/p>\n<figure id=\"attachment_2179\" aria-describedby=\"caption-attachment-2179\" style=\"width: 646px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-2179 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-canh-tay-2.png\" alt=\"G\u00e3y x\u01b0\u01a1ng c\u00e1nh tay 2\" width=\"646\" height=\"299\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-canh-tay-2.png 646w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-canh-tay-2-300x139.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-canh-tay-2-18x8.png 18w\" sizes=\"(max-width: 646px) 100vw, 646px\" \/><figcaption id=\"caption-attachment-2179\" class=\"wp-caption-text\">G\u00e3y x\u01b0\u01a1ng c\u00e1nh tay 2<\/figcaption><\/figure>\n<p>B\u1ea1ch c\u1ea7u t\u0103ng, %Neu chi\u1ebfm \u01b0u th\u1ebf ngh\u0129 t\u0103ng do qu\u00e1 tr\u00ecnh ch\u1ea5n th\u01b0\u01a1ng v\u00ec kh\u00f4ng t\u00ecm th\u1ea5y \u1ed5 nhi\u1ec5m tr\u00f9ng kh\u00e1c<\/p>\n<h2>XII. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh :<\/h2>\n<p>G\u00e3y k\u00edn \u2153 gi\u1eefa x\u01b0\u01a1ng c\u00e1nh tay (T) A2 theo AO gi\u1edd th\u1ee9 1 do TNSH , ch\u01b0a ghi nh\u1eadn bi\u1ebfn ch\u1ee9ng\/ \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2, t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9 2 theo ESC 2018.<\/p>\n<h2><strong>XIII. \u0110i<\/strong><strong>\u1ec1<\/strong><strong>u tr<\/strong><strong>\u1ecb <\/strong><\/h2>\n<p>M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb : <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/cham-lanh-xuong-va-khong-lanh-xuong\/\">Li\u1ec1n x\u01b0\u01a1ng<\/a> , <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/phuc-hoi-chuc-nang-benh-nhan-cut-chi\/\">Rehabilitation<\/a> , tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng Ph\u01b0\u01a1ng ph\u00e1p : \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u00ean trong b\u1eb1ng n\u1eb9p v\u00edt<\/p>\n<h2><strong>XIV. Theo d\u00f5i <\/strong><\/h2>\n<p>&#8211; K\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb<\/p>\n<p>&#8211; V\u1ebft th\u01b0\u01a1ng sau m\u1ed5, c\u1eaft ch\u1ec9 sau 10-14 ng\u00e0y<\/p>\n<p>&#8211; Ch\u1ebf \u0111\u1ed9 ch\u0103m s\u00f3c, dinh d\u01b0\u1ee1ng<\/p>\n<p>&#8211; T\u1eadp PHCN<\/p>\n<p>&#8211; X\u00e9t nghi\u1ec7m v\u00e0 c\u00e1c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m<\/p>\n<p>&nbsp;<\/p>","protected":false},"featured_media":1762,"comment_status":"open","ping_status":"open","template":"","tags":[205,54],"chuyen-muc":[188],"class_list":["post-2177","chuyen-de","type-chuyen-de","status-publish","has-post-thumbnail","hentry","tag-benh-an-gay-xuong-canh-tay","tag-gay-xuong-canh-tay","chuyen-muc-benh-an-mau"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2177","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=2177"}],"version-history":[{"count":2,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2177\/revisions"}],"predecessor-version":[{"id":2681,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2177\/revisions\/2681"}],"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=2177"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=2177"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=2177"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}