B\u1ec7nh nh\u00e2n C.T.N.T 39t. V\u00f4 sinh I (VS I- 5) V\u00e0o vi\u1ec7n 29.12.2011 v\u00ec nh\u1ee9c \u0111\u1ea7u v\u00e0 ph\u00f9.<\/p>\n
Khi v\u00e0o vi\u1ec7n ghi nh\u1eadn HA: 140\/90mmHg, Ph\u00f9 (+), Protein ni\u1ec7u (+)<\/p>\n
Si\u00eau \u00e2m: \u0110\u01a1n thai thu\u1eadn s\u1ed1ng ph\u00e1t tri\u1ec3n t\u01b0\u01a1ng \u1ee9ng tu\u1ed5i thai 36W4D. Nhau \u1ed1i b\u00ecnh th\u01b0\u1eddng<\/p>\n
CTG: Nh\u1ecbp tim thai c\u01a1 b\u1ea3n 140l\/ph\u00fat. Giao \u0111\u1ed9ng n\u1ed9i t\u1ea1i (+) Nh\u1ecbp t\u0103ng (+) Nh\u1ecbp gi\u1ea3m (-) Kh\u00f4ng c\u00f3 c\u01a1n go t\u1eed cung.<\/p>\n
Ch\u1ea9n \u0111o\u00e1n: Thai con so 36W4D. Ti\u1ec1n s\u1ea3n gi\u1eadt. Con qu\u00fd<\/p>\n
B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i khoa s\u1ea3n v\u1edbi Sulfat Magnesie 15%, h\u1ea1 huy\u1ebft \u00e1p<\/p>\n
\u0110\u1ebfn 09.01.2012 si\u00eau \u00e2m ki\u1ec3m tra: \u0111\u01a1n thai thu\u1eadn s\u1ed1ng t\u01b0\u01a1ng \u1ee9ng tu\u1ed5i thai 38W.<\/p>\n
HA 130\/80mmHg, Ph\u00f9(+). CTG tim thai trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng.<\/p>\n
B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111inh m\u1ed5 l\u1ea5y thai v\u1edbi ch\u1ea9n \u0111o\u00e1n: Thai con so 38W TSG Con qu\u00fd.<\/p>\n
L\u00fac 9h 09.01.2012 m\u1ed5 ngang \u0111o\u1ea1n d\u01b0\u1edbi t\u1eed cung l\u1ea5y ra b\u00e9 g\u00e1i IA 9\/1\u2019 P 3200g<\/p>\n
Sau khi l\u00f3c nhau b\u1eb1ng tay v\u00e0 lau b\u01b0\u1eddng t\u1eed cung, t\u1eed cung kh\u00f4ng c\u00f3 tr\u01b0\u01a1ng l\u1ef1c, \u0111\u00e3 x\u1eed tr\u00ed Oxytocin 10UI ti\u00eam c\u01a1 t\u1eed cung, Oxytocin 20UI truy\u1ec1n TM v\u00e0 Methergin TB nh\u01b0ng kh\u00f4ng c\u00f3 k\u1ebft qu\u1ea3.<\/p>\n
B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c kh\u00e2u \u00e9p t\u1eed cung theo ph\u01b0\u01a1ng ph\u00e1p B-Lynch. Theo d\u00f5i trong 15 ph\u00fat kh\u00f4ng th\u1ea5y b\u0103ng huy\u1ebft ti\u1ebfp t\u1ee5c, \u0111\u00f3ng b\u1ee5ng chuy\u1ec3n h\u1ed3i s\u1ee9c theo d\u00f5i ti\u1ebfp.<\/p>\n
Trong th\u1eddi gian n\u1eb1m h\u1eadu ph\u1ea9u t\u1ea1i khoa s\u1ea3n s\u1ea3n dich l\u01b0\u1ee3ng trung b\u00ecnh, t\u1eed cung go th\u00e0nh kh\u1ed1i an to\u00e0n. B\u1ec7nh nh\u00e2n xu\u1ea5t vi\u1ec7n sau 3 ng\u00e0y \u0111i\u1ec1u tr\u1ecb.<\/p>\n
Qua tr\u01b0\u1eddng h\u1ee3p n\u00e0y cho th\u1ea5y n\u1ebfu quy\u1ebft \u0111\u1ecbnh kh\u00e2u \u00e9p t\u1eed cung s\u1edbm v\u00e0 k\u1ecbp th\u1eddi trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u1edd t\u1eed cung b\u0103ng huy\u1ebftth\u00ec t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng s\u1ebd cao, gi\u1eef l\u1ea1i \u0111\u01b0\u1ee3c cho b\u1ec7nh nh\u00e2n c\u01a1 h\u1ed9i c\u00f3 con sau n\u00e0y.<\/p>\n
Bs Nguy\u1ec5n Thanh L\u00e2m<\/p>\n
Tr\u01b0\u1edfng khoa S\u1ea3n BV Ho\u00e0n M\u1ef9 \u0110\u00e0 L\u1ea1t<\/p>\n","protected":false},"excerpt":{"rendered":"
B\u1ec7nh nh\u00e2n C.T.N.T 39t. V\u00f4 sinh I (VS I- 5) V\u00e0o vi\u1ec7n 29.12.2011 v\u00ec nh\u1ee9c \u0111\u1ea7u v\u00e0 ph\u00f9. Khi v\u00e0o vi\u1ec7n ghi nh\u1eadn HA: 140\/90mmHg…<\/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-273975","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\/273975","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=273975"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273975\/revisions"}],"predecessor-version":[{"id":311005,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273975\/revisions\/311005"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=273975"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=273975"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=273975"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}