{"id":2182,"date":"2023-08-04T07:00:59","date_gmt":"2023-08-04T00:00:59","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=chuyen-de&#038;p=2182"},"modified":"2024-03-20T16:12:58","modified_gmt":"2024-03-20T09:12:58","slug":"benh-an-gay-xuong-don","status":"publish","type":"chuyen-de","link":"https:\/\/bsvothanhtoan.com\/en\/chuyen-de\/benh-an-gay-xuong-don\/","title":{"rendered":"B\u1ec7nh \u00e1n g\u00e3y x\u01b0\u01a1ng \u0111\u00f2n"},"content":{"rendered":"<h2><span style=\"font-size: 16px;\"><em>B\u1ec7nh nh\u00e2n<\/em><\/span><span style=\"font-size: 16px;\"><em> c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u ch\u1eafc ch\u1eafn g\u00e3y x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i, bao g\u1ed3m bi\u1ebfn d\u1ea1ng, d\u1ea5u m\u1ea5t li\u00ean t\u1ee5c v\u00e0 d\u1ea5u l\u1ea1o x\u1ea1o x\u01b0\u01a1ng 1\/3 trong x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i, chi\u1ec1u d\u00e0i tuy\u1ec7t \u0111\u1ed1i x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i &lt; ph\u1ea3i; k\u00e8m c\u00e1c d\u1ea5u hi\u1ec7u kh\u00f4ng ch\u1eafc ch\u1eafn g\u00e3y x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i bao g\u1ed3m \u1ea5n \u0111au ch\u00f3i 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i v\u00e0 gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng kh\u1edbp vai tr\u00e1i \u00e0 g\u00e3y 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i<\/em><\/span><\/h2>\n<h2><strong>I. H\u00c0NH CH\u00cdNH:<\/strong><\/h2>\n<ol>\n<li>H\u1ecd v\u00e0 t\u00ean: NGUY\u1ec4N TH\u1eca X.<\/li>\n<li>Gi\u1edbi: N\u1eef<\/li>\n<li>Sinh n\u0103m: 1976 (47 tu\u1ed5i)<\/li>\n<li>Ngh\u1ec1 nghi\u1ec7p: Ph\u1ee5 h\u1ed3<\/li>\n<li>Thu\u1eadn tay v\u00e0 ch\u00e2n ph\u1ea3i<\/li>\n<li>\u0110\u1ecba ch\u1ec9: Qu\u1eadn B\u00ecnh T\u00e2n, TP. H\u1ed3 Ch\u00ed Minh<\/li>\n<li>Ng\u00e0y, gi\u1edd nh\u1eadp C\u1ea5p c\u1ee9u: 10 gi\u1edd 50 ph\u00fat, ng\u00e0y 28 th\u00e1ng 02 n\u0103m 2023<\/li>\n<li>Ng\u00e0y, gi\u1edd nh\u1eadp Khoa Ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh: 11 gi\u1edd 40 ph\u00fat, ng\u00e0y 28 th\u00e1ng 02 n\u0103m 2023<\/li>\n<li>Ng\u00e0y, gi\u1edd l\u00e0m b\u1ec7nh \u00e1n: 18 gi\u1edd 00 ph\u00fat, ng\u00e0y 28 th\u00e1ng 02 n\u0103m 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 coi b\u00e0i gi\u1ea3ng sau:<\/strong><\/span><\/p>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/chuyen-de\/slide-bai-giang-gay-xuong-don-gay-xuong-banh-che\/\">Slide b\u00e0i gi\u1ea3ng G\u00e3y x\u01b0\u01a1ng \u0111\u00f2n, g\u00e3y x\u01b0\u01a1ng b\u00e1nh ch\u00e8<\/a><\/p>\n<h2><strong>II. L\u00dd DO NH\u1eacP VI\u1ec6N:<\/strong><\/h2>\n<p>\u0110au vai tr\u00e1i v\u00e0 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-khop-vai-khuyu-hang\/\">kh\u1edbp vai<\/a> tr\u00e1i<\/p>\n<h2><strong>III. B\u1ec6NH S\u1eec:<\/strong><\/h2>\n<p>&#8211; C\u00e1ch nh\u1eadp vi\u1ec7n 2 gi\u1edd, b\u1ec7nh nh\u00e2n \u0111ang l\u00e1i xe m\u00e1y t\u1ed1c \u0111\u1ed9 30km\/h c\u00f3 \u0111\u1ed9i n\u00f3n b\u1ea3o hi\u1ec3m, b\u1ecb va qu\u1eb9t v\u1edbi xe m\u00e1y \u0111i c\u00f9ng chi\u1ec1u v\u00e0 t\u00e9 v\u1ec1 ph\u00eda b\u00ean tr\u00e1i, xe m\u00e1y \u0111\u00e8 l\u00ean c\u1eb3ng ch\u00e2n tr\u00e1i, \u0111\u1eadp m\u1eb7t ngo\u00e0i vai v\u00e0 g\u1ed1i tr\u00e1i xu\u1ed1ng n\u1ec1n c\u1ee9ng trong t\u01b0 th\u1ebf vai kh\u00e9p, khu\u1ef7u g\u1ea5p, g\u1ed1i g\u1ea5p, kh\u00f4ng \u0111\u1eadp \u0111\u1ea7u, ng\u1ef1c, l\u01b0ng, b\u1ee5ng.<\/p>\n<p>&#8211; Sau t\u00e9, b\u1ec7nh nh\u00e2n t\u1ec9nh, \u0111\u1ee9ng d\u1eady \u0111\u01b0\u1ee3c, c\u1eed \u0111\u1ed9ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/khai-thac-benh-su-va-tien-can-benh-ly-ngoai-chan-thuong\/\">kh\u1edbp g\u1ed1i<\/a> \u0111\u01b0\u1ee3c, th\u1ea5y \u0111au nh\u00f3i v\u00f9ng vai tr\u00e1i, kh\u00f4ng g\u1ea5p v\u00e0 du\u1ed7i hay d\u1ea1ng kh\u1edbp vai \u0111\u01b0\u1ee3c, c\u1eed \u0111\u1ed9ng khu\u1ef7u b\u00ecnh th\u01b0\u1eddng, ng\u1ed3i th\u1eb3ng l\u01b0ng th\u1ea5y \u0111au nhi\u1ec1u. B\u1ec7nh nh\u00e2n \u0111\u1ec3 tay t\u01b0 \u1edf t\u01b0 th\u1ebf vai kh\u00e9p du\u1ed7i khu\u1ef7u, kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed tr\u00ed c\u1ed1 \u0111\u1ecbnh \u00e0 \u0111\u1ebfn b\u1ec7nh vi\u1ec7n An B\u00ecnh, \u0111\u01b0\u1ee3c ch\u1ee5p <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/x-quang-trong-chan-thuong-chinh-hinh\/\">X-Quang<\/a> x\u01b0\u01a1ng \u0111\u00f2n th\u1eb3ng, \u0111eo \u0111ai vai s\u1ed1 8 \u00e0 t\u1ef1 \u0111\u1ebfn b\u1ec7nh vi\u1ec7n Th\u1ed1ng Nh\u1ea5t.<\/p>\n<p>&#8211; Trong qu\u00e1 tr\u00ecnh b\u1ec7nh, b\u1ec7nh nh\u00e2n kh\u00f4ng kh\u00f3 th\u1edf, kh\u00f4ng \u0111au ng\u1ef1c, kh\u00f4ng \u0111au \u0111\u1ea7u, kh\u00f4ng ch\u00f3ng m\u1eb7t, kh\u00f4ng bu\u1ed3n n\u00f4n, \u0111i ti\u1ec3u \u0111\u01b0\u1ee3c.<\/p>\n<p><strong>T\u00ecnh tr\u1ea1ng l\u00fac nh\u1eadp Khoa C\u1ea5p c\u1ee9u:<\/strong><\/p>\n<ul>\n<li>M\u1ea1ch 73 l\u1ea7n\/ph\u00fat; Huy\u1ebft \u00e1p 120\/90 mmHg; Nhi\u1ec7t \u0111\u1ed9 36,5<sup>o<\/sup>C; Nh\u1ecbp th\u1edf 18 l\u1ea7n\/ph\u00fat; SpO2 98%<\/li>\n<li>C\u00e2n n\u1eb7ng 58 kg; Chi\u1ec1u cao 159 cm<\/li>\n<li>B\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t<\/li>\n<li>Da, ni\u00eam m\u1ea1c h\u1ed3ng<\/li>\n<li>Tim \u0111\u1ec1u, th\u1edf \u00eam, ph\u1ed5i kh\u00f4ng ran, b\u1ee5ng m\u1ec1m<\/li>\n<\/ul>\n<p><strong>X\u1eed tr\u00ed t\u1ea1i Khoa C\u1ea5p c\u1ee9u<\/strong>: l\u1ea5y m\u00e1u x\u00e9t nghi\u1ec7m c\u00f4ng th\u1ee9c m\u00e1u v\u00e0 sinh h\u00f3a m\u00e1u, ch\u0103m s\u00f3c c\u1ea5p II<\/p>\n<p><strong>Di\u1ec5n ti\u1ebfn b\u1ec7nh nh\u00e2n \u0111\u1ebfn th\u1eddi \u0111i\u1ec3m kh\u00e1m (17 gi\u1edd 30 ph\u00fat c\u00f9ng ng\u00e0y):<\/strong><\/p>\n<ul>\n<li>B\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t<\/li>\n<li>Sinh hi\u1ec7u \u1ed5n<\/li>\n<li>Vai tr\u00e1i s\u01b0ng nh\u1eb9, \u0111au v\u1eeba, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng do \u0111au<\/li>\n<li>L\u1ea1o x\u1ea1o x\u01b0\u01a1ng (+)<\/li>\n<li>B\u1ec7nh nh\u00e2n \u0111eo \u0111ai vai s\u1ed1 8<\/li>\n<li>\u0110\u01b0\u1ee3c x\u1eed tr\u00ed gi\u1ea3m \u0111au b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng (Paracetamol 0,5g) v\u00e0 kh\u00e1ng vi\u00eam \u0111\u01b0\u1eddng u\u1ed1ng (Cofidec 200mg), th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m ti\u1ec1n ph\u1eabu, ch\u0103m s\u00f3c c\u1ea5p II<\/li>\n<\/ul>\n<h2><strong>IV. TI\u1ec0N C\u0102N:<\/strong><\/h2>\n<h3><strong>N\u1ed9i khoa:<\/strong><\/h3>\n<p>Ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/p>\n<h3><strong>Ngo\u1ea1i khoa:<\/strong><\/h3>\n<p>Ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/p>\n<h3><strong>S\u1ea3n ph\u1ee5 khoa: <\/strong><\/h3>\n<p>PARA 3003<\/p>\n<h3><strong>Th\u00f3i quen:<\/strong><\/h3>\n<p>Kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1, kh\u00f4ng u\u1ed1ng r\u01b0\u1ee3u bia<\/p>\n<h3><strong>Gia \u0111\u00ecnh:<\/strong><\/h3>\n<p>Ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/p>\n<h2><strong>V. KH\u00c1M L\u00c2M S\u00c0NG (17 gi\u1edd 40 ph\u00fat c\u00f9ng ng\u00e0y):<\/strong><\/h2>\n<h3><strong>1. T\u1ed5ng tr\u1ea1ng:<\/strong><\/h3>\n<ul>\n<li>B\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t<\/li>\n<li>M\u1ea1ch 90 l\u1ea7n\/ph\u00fat; Huy\u1ebft \u00e1p 120\/70 mmHg; Nhi\u1ec7t \u0111\u1ed9 36,6<sup>o<\/sup>C; Nh\u1ecbp th\u1edf 19 l\u1ea7n\/ph\u00fat; SpO2 97% kh\u00ed tr\u1eddi<\/li>\n<li>Chi\u1ec1u cao 159 cm; C\u00e2n n\u1eb7ng 58 kg \u00e0 BMI 22,9 kg\/m<sup>2 <\/sup>(b\u00ecnh th\u01b0\u1eddng theo IDI&amp;WPRO)<\/li>\n<li>Da, ni\u00eam m\u1ea1c h\u1ed3ng<\/li>\n<li>Tuy\u1ebfn gi\u00e1p kh\u00f4ng to<\/li>\n<li>H\u1ea1ch ngo\u1ea1i vi kh\u00f4ng s\u1edd ch\u1ea1m<\/li>\n<li>Gi\u1ea3m \u0111au so v\u1edbi khi \u1edf Khoa C\u1ea5p c\u1ee9u<\/li>\n<\/ul>\n<h3><strong>2. Tim m\u1ea1ch:<\/strong><\/h3>\n<ul>\n<li>Kh\u00f4ng rung mi\u00eau, kh\u00f4ng \u1ed5 \u0111\u1eadp b\u1ea5t th\u01b0\u1eddng.<\/li>\n<li>Di\u1ec7n \u0111\u1eadp m\u1ecfm tim 1&#215;1 cm<sup>2<\/sup>, KLS 5, \u0111\u01b0\u1eddng trung \u0111\u00f2n tr\u00e1i<\/li>\n<li>T1,T2 \u0111\u1ec1u, r\u00f5, kh\u00f4ng \u00e2m th\u1ed5i<\/li>\n<li>M\u1ea1ch t\u1ee9 chi \u0111\u1ec1u hai b\u00ean<\/li>\n<\/ul>\n<h3><strong>3. <\/strong>H\u00f4<strong> h\u1ea5p:<\/strong><\/h3>\n<ul>\n<li>L\u1ed3ng ng\u1ef1c di \u0111\u1ed9ng theo nh\u1ecbp th\u1edf; kh\u00f4ng co k\u00e9o c\u01a1 h\u00f4 h\u1ea5p ph\u1ee5; l\u1ed3ng ng\u1ef1c c\u00e2n x\u1ee9ng, kh\u00f4ng s\u1eb9o m\u1ed5 c\u0169<\/li>\n<\/ul>\n<ul>\n<li>Rung thanh \u0111\u1ec1u hai b\u00ean, g\u00f5 trong<\/li>\n<li>R\u00ec r\u00e0o ph\u1ebf nang \u00eam d\u1ecbu hai ph\u1ebf tr\u01b0\u1eddng, kh\u00f4ng ran<\/li>\n<\/ul>\n<h3><strong>4. Ti\u00eau h\u00f3a<\/strong><\/h3>\n<ul>\n<li>B\u1ee5ng kh\u00f4ng to b\u00e8, kh\u00f4ng ch\u01b0\u1edbng, kh\u00f4ng s\u1eb9o m\u1ed5 c\u0169<\/li>\n<li>Kh\u00f4ng tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7<\/li>\n<li>B\u1ee5ng m\u1ec1m, kh\u00f4ng \u0111i\u1ec3m \u0111au khu tr\u00fa<\/li>\n<\/ul>\n<h3><strong>5. C\u01a1 \u2013 X\u01b0\u01a1ng \u2013 Kh\u1edbp: <\/strong><\/h3>\n<p>NH\u00ccN<\/p>\n<ul>\n<li>Vai tr\u00e1i th\u1ea5p h\u01a1n vai ph\u1ea3i<\/li>\n<li>Bi\u1ebfn d\u1ea1ng (kh\u1ed1i g\u1ed3 c\u1ee9ng) 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i<\/li>\n<li>Kh\u00f4ng c\u00f3 v\u1ebft th\u01b0\u01a1ng v\u00f9ng ng\u1ef1c v\u00e0 vai tr\u00e1i<\/li>\n<li>Kh\u00f4ng d\u1ea5u b\u1ea7m t\u00edm v\u00f9ng ng\u1ef1c v\u00e0 vai tr\u00e1i<\/li>\n<li>Kh\u00f4ng m\u00e1u t\u1ee5 v\u00f9ng ng\u1ef1c v\u00e0 vai tr\u00e1i<\/li>\n<li>Kh\u00f4ng m\u1ea5t r\u00e3nh delta \u2013 ng\u1ef1c<\/li>\n<li>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<\/li>\n<li>\u0110eo \u0111ai vai s\u1ed1 8<\/li>\n<\/ul>\n<p>S\u1edc<\/p>\n<ul>\n<li>Chi \u1ea5m, CRT &lt;2 gi\u00e2y<\/li>\n<li>M\u1ea1ch quay, tr\u1ee5 (+)<\/li>\n<li>\u1ea4n \u0111au ch\u00f3i 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i<\/li>\n<li>\u1ea4n kh\u00f4ng \u0111au kh\u1edbp vai v\u00e0 d\u1ecdc x\u01b0\u01a1ng c\u00e1nh tay tr\u00e1i<\/li>\n<li>D\u1ea5u m\u1ea5t li\u00ean t\u1ee5c t\u1ea1i 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n (+)<\/li>\n<li>D\u1ea5u l\u1ea1o x\u1ea1o x\u01b0\u01a1ng t\u1ea1i 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n (+)<\/li>\n<li>S\u1edd 2 x\u01b0\u01a1ng b\u1ea3 vai ph\u00eda sau c\u00e2n x\u1ee9ng, kh\u00f4ng \u0111au<\/li>\n<li>D\u1ea5u ph\u00edm \u0111\u00e0n (-)<\/li>\n<li>D\u1ea5u \u1ed5 kh\u1edbp r\u1ed7ng (-)<\/li>\n<li>C\u1ea3m gi\u00e1c n\u00f4ng s\u00e2u c\u00f2n t\u1ed1t<\/li>\n<\/ul>\n<p>\u0110O<\/p>\n<ul>\n<li>Chi\u1ec1u d\u00e0i tuy\u1ec7t \u0111\u1ed1i x\u01b0\u01a1ng \u0111\u00f2n (\u0111\u1ea7u \u1ee9c \u2013 \u0111\u1ea7u c\u00f9ng vai x\u01b0\u01a1ng \u0111\u00f2n):\n<ul>\n<li>Ph\u1ea3i: 14 cm<\/li>\n<li>Tr\u00e1i: 12 cm<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>V\u1eacN \u0110\u1ed8NG<\/p>\n<ul>\n<li>Kh\u00f4ng g\u1ea5p du\u1ed7i, kh\u00f4ng d\u1ea1ng kh\u00e9p \u0111\u01b0\u1ee3c kh\u1edbp vai tr\u00e1i<\/li>\n<li>V\u1eadn \u0111\u1ed9ng c\u00e1c kh\u1edbp c\u00f2n l\u1ea1i c\u1ee7a tay tr\u00e1i ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/li>\n<li>S\u1ee9c c\u01a1 tay ph\u1ea3i v\u00e0 2 chi d\u01b0\u1edbi 5\/5<\/li>\n<\/ul>\n<h2><strong>VI. T\u00d3M T\u1eaeT B\u1ec6NH \u00c1N:<\/strong><\/h2>\n<p>B\u1ec7nh nh\u00e2n n\u1eef, 47 tu\u1ed5i, nh\u1eadp vi\u1ec7n v\u00ec \u0111au vai tr\u00e1i v\u00e0 gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng kh\u1edbp vai tr\u00e1i gi\u1edd th\u1ee9 9 sau tai n\u1ea1n giao th\u00f4ng. Qua <a href=\"https:\/\/bsvothanhtoan.com\/\">h\u1ecfi b\u1ec7nh v\u00e0 th\u0103m kh\u00e1m<\/a> ghi nh\u1eadn:<\/p>\n<p><strong>Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng:<\/strong><\/p>\n<ul>\n<li>\u0110au \u00bd trong vai tr\u00e1i<\/li>\n<li>Gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng kh\u1edbp vai tr\u00e1i<\/li>\n<\/ul>\n<p><strong>Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3: <\/strong><\/p>\n<ul>\n<li>\u1ea4n \u0111au 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i<\/li>\n<li>Bi\u1ebfn d\u1ea1ng 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i<\/li>\n<li>D\u1ea5u m\u1ea5t li\u00ean t\u1ee5c 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i (+)<\/li>\n<li>D\u1ea5u l\u1ea1o x\u1ea1o x\u01b0\u01a1ng v\u00f9ng 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i (+)<\/li>\n<li>Gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng kh\u1edbp vai tr\u00e1i<\/li>\n<li>Chi\u1ec1u d\u00e0i x\u01b0\u01a1ng \u0111\u00f2n b\u00ean tr\u00e1i ng\u1eafn h\u01a1n b\u00ean ph\u1ea3i<\/li>\n<\/ul>\n<h2><strong>VII. \u0110\u1eb6T V\u1ea4N \u0110\u1ec0:<\/strong><\/h2>\n<ul>\n<li>D\u1ea5u hi\u1ec7u <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">g\u00e3y x\u01b0\u01a1ng<\/a> \u0111\u00f2n tr\u00e1i<\/li>\n<\/ul>\n<h2><strong>VIII. CH\u1ea8N \u0110O\u00c1N:<\/strong><\/h2>\n<p><strong>Ch\u1ea9n \u0111o\u00e1n s\u01a1 b\u1ed9:<\/strong> <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">G\u00e3y k\u00edn<\/a> 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i ch\u01b0a bi\u1ebfn ch\u1ee9ng gi\u1edd th\u1ee9 9 sau tai n\u1ea1n giao th\u00f4ng<\/p>\n<h2><strong>IX. BI\u1ec6N LU\u1eacN L\u00c2M S\u00c0NG:<\/strong><\/h2>\n<p>B\u1ec7nh nh\u00e2n n\u1eef, 47 tu\u1ed5i, nh\u1eadp vi\u1ec7n v\u00ec \u0111au vai tr\u00e1i v\u00e0 gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng kh\u1edbp vai tr\u00e1i gi\u1edd th\u1ee9 9 sau tai n\u1ea1n giao th\u00f4ng c\u00f3 c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng r\u00f5 r\u00e0ng (\u0111\u1eadp m\u1eb7t ngo\u00e0i vai v\u00e0 g\u1ed1i tr\u00e1i xu\u1ed1ng n\u1ec1n c\u1ee9ng trong t\u01b0 th\u1ebf kh\u00e9p vai, g\u1ed1i g\u1ea5p).<\/p>\n<ul>\n<li><a href=\"https:\/\/vi.wikipedia.org\/wiki\/B%E1%BB%87nh_nh%C3%A2n\" target=\"_blank\" rel=\"noopener\">B\u1ec7nh nh\u00e2n<\/a> c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u ch\u1eafc ch\u1eafn <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-chi-tren\/\">g\u00e3y x\u01b0\u01a1ng \u0111\u00f2n<\/a> tr\u00e1i, bao g\u1ed3m bi\u1ebfn d\u1ea1ng, d\u1ea5u m\u1ea5t li\u00ean t\u1ee5c v\u00e0 d\u1ea5u l\u1ea1o x\u1ea1o x\u01b0\u01a1ng 1\/3 trong x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i, chi\u1ec1u d\u00e0i tuy\u1ec7t \u0111\u1ed1i x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i &lt; ph\u1ea3i; k\u00e8m c\u00e1c d\u1ea5u hi\u1ec7u kh\u00f4ng ch\u1eafc ch\u1eafn g\u00e3y x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i bao g\u1ed3m \u1ea5n \u0111au ch\u00f3i 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i v\u00e0 gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng kh\u1edbp vai tr\u00e1i \u00e0 g\u00e3y 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i<\/li>\n<li>B\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 v\u1ebft th\u01b0\u01a1ng v\u00f9ng ng\u1ef1c v\u00e0 vai tr\u00e1i \u00e0 g\u00e3y k\u00edn 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i<\/li>\n<li>Bi\u1ec7n lu\u1eadn c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a g\u00e3y x\u01b0\u01a1ng (ng\u00e0y 1):\n<ul>\n<li>G\u00e3y k\u00edn sang <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ho\/\">g\u00e3y h\u1edf<\/a>: b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 x\u00e2y x\u00e1t hay v\u1ebft th\u01b0\u01a1ng v\u00f9ng ng\u1ef1c v\u00e0 vai tr\u00e1i, kh\u00f4ng th\u1ea5y c\u0103ng da v\u00f9ng ch\u1ea5n th\u01b0\u01a1ng \u00e0 kh\u00f4ng ngh\u0129<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh: b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea3m gi\u00e1c n\u00f4ng v\u00e0 s\u00e2u b\u00ecnh th\u01b0\u1eddng, gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng kh\u1edbp vai do \u0111au, v\u1eadn \u0111\u1ed9ng c\u00e1c kh\u1edbp kh\u00e1c c\u1ee7a tay tr\u00e1i b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng y\u1ebfu li\u1ec7t c\u01a1 v\u00f9ng c\u00e1nh v\u00e0 c\u1eb3ng tay tr\u00e1i \u00e0 kh\u00f4ng ngh\u0129<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u: b\u1ec7nh nh\u00e2n c\u00f3 sinh hi\u1ec7u \u1ed5n, chi \u1ea5m, \u0111\u1ea7u c\u00e1c ng\u00f3n h\u1ed3ng, CRT &lt;2 gi\u00e2y, m\u1ea1ch quay (+), kh\u00f4ng th\u1ea5y kh\u1ed1i m\u00e1u t\u1ee5 v\u00f9ng ng\u1ef1c v\u00e0 vai tr\u00e1i \u00e0 kh\u00f4ng ngh\u0129<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng \u0111\u1ec9nh ph\u1ed5i: b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111au, kh\u00f4ng c\u00f3 v\u1ebft th\u01b0\u01a1ng hay b\u1ea7m t\u00edm v\u00f9ng ng\u1ef1c tr\u00e1i, nghe ph\u1ed5i kh\u00f4ng ran, r\u00ec r\u00e0o ph\u1ebf nang \u00e2m d\u1ecbu hai ph\u1ebf tr\u01b0\u1eddng, rung thanh \u0111\u1ec1u 2 b\u00ean, g\u00f5 trong \u00e0 kh\u00f4ng ngh\u0129 c\u00f3 bi\u1ebfn ch\u1ee9ng d\u1eadp ph\u1ed5i, g\u00e3y x\u01b0\u01a1ng s\u01b0\u1eddn \u0111\u1ec9nh ph\u1ed5i hay tr\u00e0n kh\u00ed, tr\u00e0n m\u00e1u m\u00e0ng ph\u1ed5i<\/li>\n<\/ul>\n<\/li>\n<li>B\u1ec7nh nh\u00e2n c\u00f3 gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng kh\u1edbp vai tr\u00e1i nh\u01b0ng \u1ea5n kh\u1edbp vai tr\u00e1i kh\u00f4ng \u0111au, d\u1ea5u \u1ed5 kh\u1edbp r\u1ed7ng (-), d\u1ea5u ph\u00edm \u0111\u00e0n (-) \u00e0 kh\u00f4ng ngh\u0129 c\u00f3 t\u00ecnh tr\u1ea1ng tr\u1eadt kh\u1edbp vai tr\u00e1i k\u00e8m theo<\/li>\n<li>Kh\u00e1m th\u1ea5y \u1ea5n kh\u00f4ng \u0111au d\u1ecdc x\u01b0\u01a1ng c\u00e1nh tay \u00e0 kh\u00f4ng ngh\u0129 c\u00f3 t\u00ecnh tr\u1ea1ng g\u00e3y \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay k\u00e8m theo<\/li>\n<li>Kh\u00e1m th\u1ea5y 2 x\u01b0\u01a1ng b\u1ea3 vai c\u1ee7a b\u1ec7nh nh\u00e2n c\u00e2n x\u1ee9ng, kh\u00f4ng \u0111au \u00e0 kh\u00f4ng ngh\u0129 c\u00f3 t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng b\u1ea3 vai k\u00e8m theo<\/li>\n<\/ul>\n<h2><strong>X. \u0110\u1ec0 NGH\u1eca C\u1eacN L\u00c2M S\u00c0NG:<\/strong><\/h2>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li><strong>C\u1eadn l\u00e2m s\u00e0ng ch\u1ea9n \u0111o\u00e1n: <\/strong>X-Quang x\u01b0\u01a1ng \u0111\u00f2n b\u00ecnh di\u1ec7n th\u1eb3ng<\/li>\n<li><strong>C\u1eadn l\u00e2m s\u00e0ng ti\u1ec1n ph\u1eabu:<\/strong> c\u00f4ng th\u1ee9c m\u00e1u, ure, creatinine, \u0111\u01b0\u1eddng huy\u1ebft, AST, ALT, \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3, X-Quang ng\u1ef1c th\u1eb3ng, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<h2><strong>XI. K\u1ebeT QU\u1ea2 C\u1eacN L\u00c2M S\u00c0NG:<\/strong><\/h2>\n<p><strong>X-Quang x\u01b0\u01a1ng \u0111\u00f2n th\u1eb3ng<\/strong><\/p>\n<p><figure id=\"attachment_2183\" aria-describedby=\"caption-attachment-2183\" style=\"width: 299px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-2183 size-full\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-don-1.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y x\u01b0\u01a1ng \u0111\u00f2n 1\" width=\"299\" height=\"358\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-don-1.png 299w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-don-1-251x300.png 251w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-don-1-10x12.png 10w\" sizes=\"(max-width: 299px) 100vw, 299px\" \/><figcaption id=\"caption-attachment-2183\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y x\u01b0\u01a1ng \u0111\u00f2n 1<\/figcaption><\/figure> <figure id=\"attachment_2184\" aria-describedby=\"caption-attachment-2184\" style=\"width: 258px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-2184 size-medium\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-don-2-258x300.png\" alt=\"B\u1ec7nh \u00e1n g\u00e3y x\u01b0\u01a1ng \u0111\u00f2n 2\" width=\"258\" height=\"300\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-don-2-258x300.png 258w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-don-2-10x12.png 10w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/07\/gay-xuong-don-2.png 307w\" sizes=\"(max-width: 258px) 100vw, 258px\" \/><figcaption id=\"caption-attachment-2184\" class=\"wp-caption-text\">B\u1ec7nh \u00e1n g\u00e3y x\u01b0\u01a1ng \u0111\u00f2n 2<\/figcaption><\/figure><\/p>\n<p><strong>H\u00e0nh ch\u00ednh:<\/strong> phim X-Quang x\u01b0\u01a1ng \u0111\u00f2n th\u1eb3ng c\u1ee7a b\u1ec7nh nh\u00e2n Nguy\u1ec5n Th\u1ecb X, n\u1eef, 47 tu\u1ed5i; ch\u1ee5p ng\u00e0y 28\/02\/2023<\/p>\n<p><strong>Ti\u00eau chu\u1ea9n phim: <\/strong>c\u01b0\u1eddng \u0111\u1ed9 tia \u0111\u1ee7 (ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c m\u00f4 m\u1ec1m, v\u1ecf x\u01b0\u01a1ng, v\u00e0 t\u1ee7y x\u01b0\u01a1ng), phim ch\u1ee5p \u0111\u1ee7 hai kh\u1edbp qua hai \u0111\u1ea7u \u1ed5 g\u00e3y, b\u00ecnh di\u1ec7n th\u1eb3ng<\/p>\n<p><strong>T\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng:<\/strong> g\u00e3y k\u00edn 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i, \u0111\u01b0\u1eddng g\u00e3y ch\u00e9o, di l\u1ec7ch ch\u1ed3ng ng\u1eafn &gt;1\/2 th\u00e2n x\u01b0\u01a1ng v\u00e0 di l\u1ec7ch sang b\u00ean xu\u1ed1ng d\u01b0\u1edbi, ph\u00e2n lo\u1ea1i nh\u00f3m I theo Allman &amp; Neer<\/p>\n<p><strong>T\u1ed5n th\u01b0\u01a1ng kh\u1edbp v\u00e0 m\u00f4 m\u1ec1m:<\/strong> kh\u00f4ng ghi nh\u1eadn t\u1ed5n th\u01b0\u01a1ng kh\u1edbp v\u00e0 m\u00f4 m\u1ec1m k\u00e8m theo<\/p>\n<p><strong>C\u1eadn l\u00e2m s\u00e0ng ti\u1ec1n ph\u1eabu: <\/strong><\/p>\n<p>Nh\u00f3m m\u00e1u O Rh<sup>+<\/sup><\/p>\n<p>C\u00f4ng th\u1ee9c m\u00e1u ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/p>\n<p>Sinh h\u00f3a m\u00e1u ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/p>\n<p>Ch\u1ee9c n\u0103ng \u0111\u00f4ng c\u1ea7m m\u00e1u ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/p>\n<p>T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u ch\u01b0a ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"184\">\n<p><strong>T\u00ean x\u00e9t nghi\u1ec7m<\/strong><\/p>\n<\/td>\n<td width=\"208\">\n<p><strong>K\u1ebft qu\u1ea3<\/strong><\/p>\n<\/td>\n<td width=\"208\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>WBC<\/p>\n<\/td>\n<td width=\"208\">\n<p>11.19<\/p>\n<\/td>\n<td width=\"208\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>NEU%<\/p>\n<\/td>\n<td width=\"208\">\n<p><strong>83.7 H<\/strong><\/p>\n<\/td>\n<td width=\"208\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>LYM%<\/p>\n<\/td>\n<td width=\"208\">\n<p><strong>10.7 L<\/strong><\/p>\n<\/td>\n<td width=\"208\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>MONO%<\/p>\n<\/td>\n<td width=\"208\">\n<p>4.316<\/p>\n<\/td>\n<td width=\"208\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>EOS%<\/p>\n<\/td>\n<td width=\"208\">\n<p>0.527<\/p>\n<\/td>\n<td width=\"208\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>BASO%<\/p>\n<\/td>\n<td width=\"208\">\n<p>0.743<\/p>\n<\/td>\n<td width=\"208\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>NEU#<\/p>\n<\/td>\n<td width=\"208\">\n<p><strong>9.37 H<\/strong><\/p>\n<\/td>\n<td width=\"208\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>LYM#<\/p>\n<\/td>\n<td width=\"208\">\n<p>1.20<\/p>\n<\/td>\n<td width=\"208\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>MONO#<\/p>\n<\/td>\n<td width=\"208\">\n<p>0.483<\/p>\n<\/td>\n<td width=\"208\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>EOS#<\/p>\n<\/td>\n<td width=\"208\">\n<p>0.059<\/p>\n<\/td>\n<td width=\"208\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>BASO#<\/p>\n<\/td>\n<td width=\"208\">\n<p>0.083<\/p>\n<\/td>\n<td width=\"208\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>RBC<\/p>\n<\/td>\n<td width=\"208\">\n<p>4.90<\/p>\n<\/td>\n<td width=\"208\">\n<p>M\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>HGB<\/p>\n<\/td>\n<td width=\"208\">\n<p>14.2<\/p>\n<\/td>\n<td width=\"208\">\n<p>g\/dL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>HCT<\/p>\n<\/td>\n<td width=\"208\">\n<p>44.2<\/p>\n<\/td>\n<td width=\"208\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>MCV<\/p>\n<\/td>\n<td width=\"208\">\n<p>90.2<\/p>\n<\/td>\n<td width=\"208\">\n<p>fL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>MCH<\/p>\n<\/td>\n<td width=\"208\">\n<p>29.0<\/p>\n<\/td>\n<td width=\"208\">\n<p>Pg<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>MCHC<\/p>\n<\/td>\n<td width=\"208\">\n<p>32.2<\/p>\n<\/td>\n<td width=\"208\">\n<p>g\/dL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>RDW<\/p>\n<\/td>\n<td width=\"208\">\n<p><strong>11.2 L<\/strong><\/p>\n<\/td>\n<td width=\"208\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>PLT<\/p>\n<\/td>\n<td width=\"208\">\n<p>243<\/p>\n<\/td>\n<td width=\"208\">\n<p>K\/uL<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>MPV<\/p>\n<\/td>\n<td width=\"208\">\n<p>8.12<\/p>\n<\/td>\n<td width=\"208\">\n<p>fL<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u00a0<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"184\">\n<p><strong>T\u00ean x\u00e9t nghi\u1ec7m<\/strong><\/p>\n<\/td>\n<td width=\"208\">\n<p><strong>K\u1ebft qu\u1ea3<\/strong><\/p>\n<\/td>\n<td width=\"208\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>APTT<\/p>\n<\/td>\n<td width=\"208\">\n<p>25.6<\/p>\n<\/td>\n<td width=\"208\">\n<p>Gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>TQ<\/p>\n<\/td>\n<td width=\"208\">\n<p>11.3<\/p>\n<\/td>\n<td width=\"208\">\n<p>Gi\u00e2y<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>TL Prothrombine<\/p>\n<\/td>\n<td width=\"208\">\n<p>96<\/p>\n<\/td>\n<td width=\"208\">\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>INR<\/p>\n<\/td>\n<td width=\"208\">\n<p>1.03<\/p>\n<\/td>\n<td width=\"208\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u00a0<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"228\">\n<p><strong>T\u00ean x\u00e9t nghi\u1ec7m<\/strong><\/p>\n<\/td>\n<td width=\"204\">\n<p><strong>K\u1ebft qu\u1ea3<\/strong><\/p>\n<\/td>\n<td width=\"168\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"228\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Glucose [M\u00e1u]<\/p>\n<\/td>\n<td width=\"204\">\n<p><strong>6.2 H<\/strong><\/p>\n<\/td>\n<td width=\"168\">\n<p>mmol\/l<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"228\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Ur\u00ea [M\u00e1u]<\/p>\n<\/td>\n<td width=\"204\">\n<p>5.8<\/p>\n<\/td>\n<td width=\"168\">\n<p>mmol\/l<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"228\">\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng Creatinin [M\u00e1u]<\/p>\n<\/td>\n<td width=\"204\">\n<p>64<\/p>\n<\/td>\n<td width=\"168\">\n<p>umol\/l<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"228\">\n<p>eGFR<\/p>\n<\/td>\n<td width=\"204\">\n<p>91.7<\/p>\n<\/td>\n<td width=\"168\">\n<p>mL\/ph\u00fat<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"228\">\n<p>\u0110o ho\u1ea1t \u0111\u1ed9 AST (GOT) [M\u00e1u]<\/p>\n<\/td>\n<td width=\"204\">\n<p><strong>44<\/strong><\/p>\n<\/td>\n<td width=\"168\">\n<p>U\/L \u2013 37<sup>o<\/sup>C<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"228\">\n<p>\u0110o ho\u1ea1t \u0111\u1ed9 ALT (GPT) [M\u00e1u]<\/p>\n<\/td>\n<td width=\"204\">\n<p><strong>82<\/strong><\/p>\n<\/td>\n<td width=\"168\">\n<p>U\/L \u2013 37<sup>o<\/sup>C<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\" width=\"600\">\n<p>\u0110i\u1ec7n gi\u1ea3i \u0111\u1ed3 (Na, K, Cl)<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"228\">\n<p>Na<sup>+<\/sup><\/p>\n<\/td>\n<td width=\"204\">\n<p>138<\/p>\n<\/td>\n<td width=\"168\">\n<p>mmol\/l<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"228\">\n<p>K<sup>+<\/sup><\/p>\n<\/td>\n<td width=\"204\">\n<p>3.9<\/p>\n<\/td>\n<td width=\"168\">\n<p>mmol\/l<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"228\">\n<p>Cl<sup>&#8211;<\/sup><\/p>\n<\/td>\n<td width=\"204\">\n<p>101<\/p>\n<\/td>\n<td width=\"168\">\n<p>mmol\/l<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u00a0<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"184\">\n<p><strong>T\u00ean x\u00e9t nghi\u1ec7m<\/strong><\/p>\n<\/td>\n<td width=\"208\">\n<p><strong>K\u1ebft qu\u1ea3<\/strong><\/p>\n<\/td>\n<td width=\"208\">\n<p><strong>\u0110\u01a1n v\u1ecb<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>URO<\/p>\n<\/td>\n<td width=\"208\">\n<p>nom<\/p>\n<\/td>\n<td width=\"208\">\n<p>umol\/l<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>GLU<\/p>\n<\/td>\n<td width=\"208\">\n<p>nom<\/p>\n<\/td>\n<td width=\"208\">\n<p>mmol\/l<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>BIL<\/p>\n<\/td>\n<td width=\"208\">\n<p>neg<\/p>\n<\/td>\n<td width=\"208\">\n<p>umol\/l<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>KET<\/p>\n<\/td>\n<td width=\"208\">\n<p>0.5<\/p>\n<\/td>\n<td width=\"208\">\n<p>mmol\/l<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>S.G<\/p>\n<\/td>\n<td width=\"208\">\n<p><strong>1.027 H<\/strong><\/p>\n<\/td>\n<td width=\"208\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>BLD<\/p>\n<\/td>\n<td width=\"208\">\n<p>neg<\/p>\n<\/td>\n<td width=\"208\">\n<p>ery\/ul<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>pH<\/p>\n<\/td>\n<td width=\"208\">\n<p>5<\/p>\n<\/td>\n<td width=\"208\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>PRO<\/p>\n<\/td>\n<td width=\"208\">\n<p>neg<\/p>\n<\/td>\n<td width=\"208\">\n<p>g\/l<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>NIT<\/p>\n<\/td>\n<td width=\"208\">\n<p>neg<\/p>\n<\/td>\n<td width=\"208\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"184\">\n<p>LEU<\/p>\n<\/td>\n<td width=\"208\">\n<p>25\/ul<\/p>\n<\/td>\n<td width=\"208\">\n<p>ug\/dl<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h2><strong>XII. CH\u1ea8N \u0110O\u00c1N X\u00c1C \u0110\u1ecaNH: <\/strong><\/h2>\n<p>G\u00e3y k\u00edn 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n \u0111\u1ed9 I theo Allman &amp; Neer ch\u01b0a bi\u1ebfn ch\u1ee9ng gi\u1edd th\u1ee9 9 sau tai n\u1ea1n giao th\u00f4ng<\/p>\n<h2><strong>XIII. H\u01af\u1edaNG X\u1eec TR\u00cd: <\/strong><\/h2>\n<h3><strong>1. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb:<\/strong><\/h3>\n<ul>\n<li>N\u1eafn ch\u1ec9nh x\u01b0\u01a1ng \u0111\u00f2n tr\u00e1i v\u1ec1 v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu<\/li>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/so-cuu-bat-dong-gay-xuong\/\">B\u1ea5t \u0111\u1ed9ng<\/a> t\u1ed1t<\/li>\n<li>T\u1eadp v\u1eadn \u0111\u1ed9ng s\u1edbm<\/li>\n<\/ul>\n<h3><strong>2. S\u01a1 c\u1ee9u: <\/strong><\/h3>\n<p>\u0111eo \u0111ai vai s\u1ed1 8<\/p>\n<h3><strong>3. \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3: <\/strong><\/h3>\n<ul>\n<li>Gi\u1ea3m \u0111au<\/li>\n<li>L\u00ean ch\u01b0\u01a1ng tr\u00ecnh ph\u1eabu thu\u1eadt k\u1ebft h\u1ee3p x\u01b0\u01a1ng c\u1ed1 \u0111\u1ecbnh trong theo mong mu\u1ed1n quay l\u1ea1i c\u00f4ng vi\u1ec7c s\u1edbm v\u00ec b\u1ec7nh nh\u00e2n l\u00e0m ph\u1ee5 h\u1ed3 khi\u00eang v\u00e1c nhi\u1ec1u, d\u00f9ng \u0111ai vai nhi\u1ec1u<\/li>\n<li>Trong th\u1eddi gian ch\u1edd ti\u1ebfp t\u1ee5c cho b\u1ec7nh nh\u00e2n \u0111eo \u0111ai vai s\u1ed1 8<\/li>\n<li>Sau ph\u1eabu thu\u1eadt, cho b\u1ec7nh nh\u00e2n <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> \u2013 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/li>\n<\/ul>\n<h2><strong>XIV. TI\u00caN L\u01af\u1ee2NG:<\/strong><\/h2>\n<ul>\n<li>G\u1ea7n: T\u1ed1t \u2013 b\u1ec7nh nh\u00e2n tr\u1ebb, kh\u00f4ng b\u1ec7nh n\u1ec1n, g\u00e3y k\u00edn 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n \u00e0 kh\u1ea3 n\u0103ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/cham-lanh-xuong-va-khong-lanh-xuong\/\">li\u1ec1n x\u01b0\u01a1ng<\/a> t\u1ed1t<\/li>\n<li>Xa: Kh\u00e1 \u2013 c\u00f3 th\u1ec3 b\u1ecb nh\u1eefng bi\u1ebfn ch\u1ee9ng ph\u1eabu thu\u1eadt (bi\u1ebfn ch\u1ee9ng v\u00f4 c\u1ea3m, t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh v\u00e0 m\u1ea1ch m\u00e1u trong qu\u00e1 tr\u00ecnh k\u1ebft h\u1ee3p x\u01b0\u01a1ng, nhi\u1ec5m tr\u00f9ng v\u00e0 ch\u1ea3y m\u00e1u v\u1ebft m\u1ed5), ch\u1eadm li\u1ec1n x\u01b0\u01a1ng, can l\u1ec7ch<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"featured_media":1312,"comment_status":"open","ping_status":"open","template":"","tags":[206,53],"chuyen-muc":[188],"class_list":["post-2182","chuyen-de","type-chuyen-de","status-publish","has-post-thumbnail","hentry","tag-benh-an-gay-xuong-don","tag-gay-xuong-don","chuyen-muc-benh-an-mau"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2182","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=2182"}],"version-history":[{"count":2,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2182\/revisions"}],"predecessor-version":[{"id":2669,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-de\/2182\/revisions\/2669"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/1312"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=2182"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=2182"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=2182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}