{"id":274249,"date":"2023-03-17T09:18:00","date_gmt":"2023-03-17T02:18:00","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/uong-50-vien-thuoc-tang-can-khong-ro-loai-mot-nguoi-benh-roi-vao-tinh-trang-nguy-kich-2\/"},"modified":"2025-11-08T19:13:07","modified_gmt":"2025-11-08T12:13:07","slug":"uong-50-vien-thuoc-tang-can-khong-ro-loai-mot-nguoi-benh-roi-vao-tinh-trang-nguy-kich-2","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/uong-50-vien-thuoc-tang-can-khong-ro-loai-mot-nguoi-benh-roi-vao-tinh-trang-nguy-kich-2\/","title":{"rendered":"U\u1ed0NG 50 VI\u00caN THU\u1ed0C T\u0102NG C\u00c2N KH\u00d4NG R\u00d5 LO\u1ea0I, M\u1ed8T NG\u01af\u1edcI B\u1ec6NH R\u01a0I V\u00c0O T\u00ccNH TR\u1ea0NG NGUY K\u1ecaCH"},"content":{"rendered":"\n

Khoa H\u1ed3i s\u1ee9c T\u00edch c\u1ef1c & ch\u1ed1ng \u0111\u1ed9c, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p ng\u1ed9 \u0111\u1ed9c c\u1ea5p do u\u1ed1ng thu\u1ed1c t\u0103ng c\u00e2n kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c.<\/em><\/p>\n\n\n\n

Th\u00f4ng tin t\u1eeb gia \u0111\u00ecnh cho bi\u1ebft, b\u00e0 B.T.L (60 tu\u1ed5i, \u0111\u1ecba ch\u1ec9 t\u1ea1i huy\u1ec7n Ch\u00e2u Th\u00e0nh A, t\u1ec9nh H\u1eadu Giang) c\u00f3 t\u00ecnh tr\u1ea1ng l\u00fac nh\u1edb l\u00fac qu\u00ean v\u00e0 \u0111\u01b0\u1ee3c ng\u01b0\u1eddi quen gi\u1edbi thi\u1ec7u d\u00f9ng thu\u1ed1c t\u0103ng c\u00e2n. Sau khi u\u1ed1ng thu\u1ed1c \u0111\u01b0\u1ee3c 2 ng\u00e0y kho\u1ea3ng 50 vi\u00ean thu\u1ed1c trong h\u1ee7 thu\u1ed1c 100 vi\u00ean, b\u00e0 L c\u00f3 bi\u1ec3u hi\u1ec7n l\u01a1 m\u01a1, t\u00edm t\u00e1i v\u00e0 co gi\u1eadt, ng\u01b0\u1eddi nh\u00e0 \u0111\u01b0a b\u00e0 L \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long c\u1ea5p c\u1ee9u.<\/p>\n\n\n\n

            \u200bQua th\u0103m kh\u00e1m v\u00e0 th\u1ef1c hi\u1ec7n c\u1eadn l\u00e2m s\u00e0ng: K\u1ebft qu\u1ea3 kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch pH 7,1 (b\u00ecnh th\u01b0\u1eddng pH 7,35 – 7,45), HCO3-: 8 mmol\/l (b\u00ecnh th\u01b0\u1eddng HCO3-: 22 – 28 mmol\/l) v\u00e0 Lactat m\u00e1u 14,23 mmol\/l (b\u00ecnh th\u01b0\u1eddng 0,5 – 2,2 mmol\/l). Ekip b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n \u0111\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p ng\u1ed9 \u0111\u1ed9c c\u1ea5p do d\u00f9ng thu\u1ed1c kh\u00f4ng r\u00f5 lo\u1ea1i, bi\u1ebfn ch\u1ee9ng toan chuy\u1ec3n ho\u00e1 n\u1eb7ng, nguy c\u01a1 t\u1eed vong cao.<\/p>\n\n\n\n

            Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c kh\u1ea9n tr\u01b0\u01a1ng \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c & Ch\u1ed1ng \u0111\u1ed9c (ICU) \u0111i\u1ec1u tr\u1ecb. Qua 24 gi\u1edd l\u1ecdc m\u00e1u li\u00ean t\u1ee5c, c\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m t\u1ed1t l\u00ean, tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng ng\u01b0\u1eddi b\u1ec7nh c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t. Sau 48 gi\u1edd ng\u01b0\u1eddi b\u1ec7nh t\u1ec9nh t\u00e1o, cai m\u00e1y th\u1edf th\u00e0nh c\u00f4ng v\u00e0 \u0111\u01b0\u1ee3c r\u00fat \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n. Hi\u1ec7n \u0111\u00e3 \u0111\u01b0\u1ee3c chuy\u1ec3n \u0110\u01a1n v\u1ecb ti\u00eau ho\u00e1 theo d\u00f5i, d\u1ef1 ki\u1ebfn s\u1ebd \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong v\u00e0i ng\u00e0y t\u1edbi.<\/p>\n\n\n\n

            Theo BS. Nguy\u1ec5n Tu\u1ea5n Ngh\u0129a, Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c & Ch\u1ed1ng \u0111\u1ed9c (ICU), B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long: Ng\u1ed9 \u0111\u1ed9c thu\u1ed1c l\u00e0 t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh d\u00f9ng qu\u00e1 li\u1ec1u thu\u1ed1c, ho\u1eb7c d\u00f9ng nh\u1eefng lo\u1ea1i thu\u1ed1c kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c B\u1ed9 Y T\u1ebf cho ph\u00e9p l\u01b0u h\u00e0nh, ng\u01b0\u1eddi ng\u1ed9 \u0111\u1ed9c c\u00f3 nguy c\u01a1 t\u1eed vong cao n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Qua tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh n\u00e0y, xin l\u01b0u \u00fd v\u1edbi nh\u1eefng ng\u01b0\u1eddi th\u1ec3 tr\u1ea1ng g\u1ea7y, mu\u1ed1n t\u0103ng c\u00e2n an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3, n\u00ean \u0111i th\u0103m kh\u00e1m \u1edf c\u00e1c chuy\u00ean khoa dinh d\u01b0\u1ee1ng v\u00e0 t\u1eeb \u0111\u00f3 c\u00f3 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng h\u1ee3p l\u00fd, kh\u00f4ng n\u00ean t\u1ef1 \u00fd d\u00f9ng thu\u1ed1c t\u0103ng c\u00e2n kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c, v\u1eeba kh\u00f4ng hi\u1ec7u qu\u1ea3, l\u1ea1i c\u00f3 th\u1ec3 g\u00e2y nguy h\u1ea1i \u0111\u1ebfn s\u1ee9c kho\u1ebb.<\/p>\n\n\n\n

            C\u00e1c b\u00e1c s\u0129 c\u0169ng khuy\u1ebfn c\u00e1o: Ng\u01b0\u1eddi d\u00e2n kh\u00f4ng n\u00ean t\u1ef1 \u00fd s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c m\u00e0 ph\u1ea3i tu\u00e2n th\u1ee7 theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129, k\u1ec3 c\u1ea3 c\u00e1c thu\u1ed1c th\u00f4ng th\u01b0\u1eddng c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ng\u1ed9 \u0111\u1ed9c n\u1ebfu s\u1eed d\u1ee5ng qu\u00e1 li\u1ec1u. Khi c\u00f3 b\u1ea5t k\u00ec tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn vi\u1ec7c d\u00f9ng thu\u1ed1c, ph\u1ea3i \u0111\u1ebfn b\u1ec7nh vi\u1ec7n th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb tr\u00e1nh r\u1ee7i ro \u0111\u00e1ng ti\u1ebfc c\u00f3 th\u1ec3 x\u1ea3y ra.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n","protected":false},"excerpt":{"rendered":"

Khoa H\u1ed3i s\u1ee9c T\u00edch c\u1ef1c & ch\u1ed1ng \u0111\u1ed9c, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p ng\u1ed9 \u0111\u1ed9c c\u1ea5p do u\u1ed1ng thu\u1ed1c t\u0103ng c\u00e2n kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c. Th\u00f4ng tin t\u1eeb gia \u0111\u00ecnh cho bi\u1ebft, b\u00e0 B.T.L (60 tu\u1ed5i, \u0111\u1ecba ch\u1ec9 t\u1ea1i huy\u1ec7n Ch\u00e2u Th\u00e0nh A, t\u1ec9nh H\u1eadu Giang) […]<\/p>\n","protected":false},"author":1,"featured_media":177139,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1249],"tags":[],"class_list":["post-274249","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc-y-te"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274249","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=274249"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274249\/revisions"}],"predecessor-version":[{"id":310865,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274249\/revisions\/310865"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/177139"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=274249"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=274249"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=274249"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}