{"id":273974,"date":"2011-07-01T15:55:00","date_gmt":"2011-07-01T08:55:00","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/xu-tri-thanh-cong-chen-ep-tim-cap-do-tran-dich-mang-tim-luong\/"},"modified":"2025-11-08T19:19:21","modified_gmt":"2025-11-08T12:19:21","slug":"xu-tri-thanh-cong-chen-ep-tim-cap-do-tran-dich-mang-tim-luong","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/xu-tri-thanh-cong-chen-ep-tim-cap-do-tran-dich-mang-tim-luong\/","title":{"rendered":"X\u1eed Tr\u00ed Th\u00e0nh C\u00f4ng Ch\u00e8n \u00c9p Tim C\u1ea5p Do Tr\u00e0n D\u1ecbch M\u00e0ng Tim L\u01b0\u1ee3ng"},"content":{"rendered":"<p style=\"text-align: justify;\"><span style=\"font-size: 16px;\"><em>L\u00fac 10h ng\u00e0y 24 th\u00e1ng 6 n\u0103m 2011, Khoa c\u1ea5p c\u1ee9u b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 L\u1ea1t nh\u1eadn b\u1ec7nh nh\u00e2n Y-H 40 tu\u1ed5i \u1edf \u0110\u1ee9c Tr\u1ecdng v\u00e0o v\u1edbi t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf d\u1eef d\u1ed9i SPO 2 = 80% m\u1ea1ch = 120 l\/p, HA = 60\/40 mmHg.<\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px;\">B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed suy tim \u0111\u1ed9 IV, h\u1eb9p van 2 l\u00e1 kh\u00edt, 3 th\u00e1ng nay ng\u01b0ng thu\u1ed1c.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px;\">XQ t\u1ea1i gi\u01b0\u1eddng , ghi nh\u1eadn b\u00f3ng tim to, ch\u1ec9 s\u1ed1 tim\/l\u1ed3ng ng\u1ef1c = 80% (h\u00ecnh)<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px;\">Si\u00eau \u00e2m tim c\u1ea5p c\u1ee9u ghi nh\u1eadn: tr\u00e0n d\u1ecbch m\u00e0ng tim l\u01b0\u1ee3ng nhi\u1ec1u, h\u1eb9p 2 l\u00e1 kh\u00edt t\u0103ng \u00e1p ph\u1ed5i, EF = 40%. Ti\u1ebfn h\u00e0nh ch\u1ecdc d\u00f2 m\u00e0ng tim l\u1ea7n I r\u00fat 300ml d\u1ecbch h\u1ed3ng nh\u1ea1t. 3 gi\u1edd sau b\u1ec7nh nh\u00e2n kh\u00f3 th\u1edf l\u1ea1i, t\u1ee5t HA \u0111\u01b0\u1ee3c B\u00e1c s\u1ef9 ch\u1ecdc d\u00f2 m\u00e0ng tim l\u1ea7n 2, r\u00fat 500 ml d\u1ecbch. Sau ch\u1ecdc d\u00f2 b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh v\u1ec1 sinh hi\u1ec7u.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px;\">B\u1ec7nh nh\u00e2n \u0111\u01b0a v\u1ec1 khoa h\u1ed3i s\u1ee9c trung t\u00e2m d\u00f9ng thu\u1ed1c tr\u1ee3 tim ( Digoxin Dobutamin) l\u1ee3i ti\u1ec3u, kh\u00e1ng \u0111\u00f4ng, sau 7 ng\u00e0y b\u1ec7nh nh\u00e2n kh\u1ecfe, \u1ed5n \u0111\u1ecbnh cho xu\u1ea5t vi\u1ec7n.<\/span><\/p>\n<p style=\"text-align: right;\"><span style=\"font-size: 16px;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;<strong>&nbsp;BS Nguy\u1ec5n Thanh Vinh<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\">\n","protected":false},"excerpt":{"rendered":"<p>L\u00fac 10h ng\u00e0y 24 th\u00e1ng 6 n\u0103m 2011, Khoa c\u1ea5p c\u1ee9u b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 L\u1ea1t nh\u1eadn b\u1ec7nh nh\u00e2n Y-H 40 tu\u1ed5i \u1edf \u0110\u1ee9c Tr\u1ecdng v\u00e0o v\u1edbi t\u00ecnh&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1249],"tags":[],"class_list":["post-273974","post","type-post","status-publish","format-standard","hentry","category-tin-tuc-y-te"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273974","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=273974"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273974\/revisions"}],"predecessor-version":[{"id":311011,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273974\/revisions\/311011"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=273974"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=273974"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=273974"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}