{"id":274264,"date":"2023-03-16T10:01:00","date_gmt":"2023-03-16T03:01:00","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/cuu-song-cu-ong-87-tuoi-bi-phoi-tac-nghen-man-tinh-kem-thung-da-day-ap-xe-o-bung-do-di-vat-duong-tieu-hoa-2\/"},"modified":"2025-11-08T19:13:16","modified_gmt":"2025-11-08T12:13:16","slug":"cuu-song-cu-ong-87-tuoi-bi-phoi-tac-nghen-man-tinh-kem-thung-da-day-ap-xe-o-bung-do-di-vat-duong-tieu-hoa-2","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/cuu-song-cu-ong-87-tuoi-bi-phoi-tac-nghen-man-tinh-kem-thung-da-day-ap-xe-o-bung-do-di-vat-duong-tieu-hoa-2\/","title":{"rendered":"C\u1ee8U S\u1ed0NG C\u1ee4 \u00d4NG 87 TU\u1ed4I B\u1eca PH\u1ed4I T\u1eaeC NGH\u1ebcN M\u00c3N T\u00cdNH K\u00c8M TH\u1ee6NG D\u1ea0 D\u00c0Y, \u00c1P XE \u1ed4 B\u1ee4NG DO D\u1eca V\u1eacT \u0110\u01af\u1edcNG TI\u00caU HO\u00c1"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em>C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho c\u1ee5 \u00f4ng 87 tu\u1ed5i b\u1ecb ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh (COPD) m\u1ee9c \u0111\u1ed9 n\u1eb7ng k\u00e8m th\u1ee7ng d\u1ea1 d\u00e0y, \u00e1p xe \u1ed5 b\u1ee5ng do d\u1ecb v\u1eadt \u0111\u01b0\u1eddng ti\u00eau ho\u00e1.<\/em><strong><em><\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u1ee5 \u00f4ng C.N.N (87 tu\u1ed5i, \u0111\u1ecba ch\u1ec9 t\u1ea1i TP. C\u1ea7n Th\u01a1) v\u00e0o vi\u1ec7n v\u00ec kh\u00f3 th\u1edf, ho, kh\u1ea1c \u0111\u00e0m \u0111\u1ee5c 5 ng\u00e0y, \u0111\u00e3 \u0111i kh\u00e1m l\u1ea5y thu\u1ed1c t\u1ea1i y t\u1ebf \u0111\u1ecba ph\u01b0\u01a1ng nh\u01b0ng kh\u00f4ng gi\u1ea3m n\u00ean nh\u1eadp B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long \u0111i\u1ec1u tr\u1ecb. C\u1ee5 \u00f4ng c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh nh\u00f3m D, di ch\u1ee9ng lao ph\u1ed5i, t\u0103ng huy\u1ebft \u00e1p, suy tim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Qua th\u0103m kh\u00e1m ghi nh\u1eadn b\u1ec7nh nh\u00e2n t\u1ec9nh t\u00e1o, th\u1ec3 tr\u1ea1ng g\u1ea7y, ki\u1ec3u h\u00ecnh cushing, ho kh\u1ea1c \u0111\u00e0m tr\u1eafng \u0111\u1ee5c, kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c nh\u1eb9, kh\u00f4ng s\u1ed1t, kh\u00f4ng l\u1ea1nh run, b\u1ee5ng \u0111au \u00e2m \u1ec9 quanh r\u1ed1n, t\u00e1o b\u00f3n 3 ng\u00e0y. Kho\u1ea3ng 2 tu\u1ea7n g\u1ea7n \u0111\u00e2y c\u1ee5 \u00f4ng th\u01b0\u1eddng xuy\u00ean t\u00e1o b\u00f3n \u0111au \u00e2m \u1ec9 t\u01b0\u01a1ng t\u1ef1 nh\u01b0 th\u1ebf. Qua th\u0103m kh\u00e1m l\u00e2m s\u00e0ng, b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 ch\u1ec9 \u0111inh c\u1eadn l\u00e2m s\u00e0ng v\u00e0 \u0111\u01b0\u1ee3c ghi nh\u1eadn d\u1ecb v\u1eadt c\u1ea3n quang \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 d\u00e0i 34x2mm 1 \u0111\u1ea7u \u1edf hang v\u1ecb 1 \u0111\u1ea7u \u1edf th\u00e0nh sau d\u1ea1 d\u00e0y t\u1ea1o \u00e1p x,chue k\u00edch th\u01b0\u1edbc 132x130x50mm. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n chuy\u00ean khoa v\u00e0 x\u00e1c \u0111inh ch\u1ea9n \u0111o\u00e1n d\u1ecb v\u1eadt \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 g\u00e2y th\u1ee7ng d\u1ea1 d\u00e0y v\u1edbi c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0&nbsp; \u00e1p xe \u1ed5 b\u1ee5ng, nhi\u1ec5m tr\u00f9ng huy\u1ebft. Ngo\u00e0i ra ng\u01b0\u1eddi b\u1ec7nh l\u1ea1i cao tu\u1ed5i, \u0111a b\u1ec7nh \u0111\u1ed3ng m\u1eafc nh\u01b0 COPD, t\u0103ng huy\u1ebft \u00e1p, suy tim, b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, rung nh\u0129 \u0111\u00e1p \u1ee9ng th\u1ea5t nhanh, suy th\u1eadn c\u1ea5p. Sau khi h\u1ed9i ch\u1ea9n, c\u00e1c b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh n\u1ed9i soi g\u1eafp d\u1ecb v\u1eadt ti\u1ec1n m\u00ea k\u1ebft h\u1ee3p ph\u1eabu thu\u1eadt n\u1ed9i soi d\u1eabn l\u01b0u \u00e1p xe c\u1ee9u cho ng\u01b0\u1eddi b\u1ec7nh ngay trong \u0111\u00eam k\u00e8m \u0111i\u1ec1u tr\u1ecb&nbsp; kh\u00e1ng sinh th\u00edch h\u1ee3p, kh\u00e1ng vi\u00eam d\u00e3n ph\u1ebf qu\u1ea3n, h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p v\u00e0 tim m\u1ea1ch t\u00edch c\u1ef1c. \u0110\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p ph\u1eabu thu\u1eadt m\u00e0 nguy c\u01a1 suy h\u00f4 h\u1ea5p di\u1ec5n ti\u1ebfn n\u1eb7ng trong v\u00e0 sau m\u1ed5 r\u1ea5t cao.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh nh\u00e2n&nbsp; ch\u1ecdc h\u00fat \u0111\u01b0\u1ee3c 200ml m\u1ee7 \u0111\u1ee5c \u1edf h\u1eadu cung m\u1ea1c n\u1ed1i, \u0111\u1eb7t d\u1eabn l\u01b0u v\u00e0 c\u1ea5y d\u1ecbch l\u00e0m kh\u00e1ng sinh \u0111\u1ed3. Sau ph\u1eabu thu\u1eadt, do t\u00ecnh tr\u1ea1ng COPD n\u1eb7ng h\u01a1n n\u00ean \u0111\u01b0\u1ee3c chuy\u1ec3n v\u1ec1 khoa h\u00f4 h\u1ea5p \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c. Sau 9 ng\u00e0y \u0111i\u1ec1u tr\u1ecb, ng\u01b0\u1eddi b\u1ec7nh t\u1ec9nh t\u00e1o, kh\u00f4ng c\u00f2n \u0111au b\u1ee5ng, gi\u1ea3m kh\u00f3 th\u1edf, \u0103n u\u1ed1ng sinh ho\u1ea1t nh\u01b0 tr\u01b0\u1edbc v\u00e0o vi\u1ec7n, \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n v\u00e0 tr\u1edf l\u1ea1i cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng, ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh n\u1ec1n ngo\u1ea1i tr\u00fa.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">BS. Nguy\u1ec5n Th\u00e0nh Th\u00e1i, Khoa H\u00f4 H\u1ea5p, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long cho bi\u1ebft \u0111\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i, m\u1eafc b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh m\u1ee9c \u0111\u1ed9 n\u1eb7ng v\u00e0o \u0111\u1ee3t c\u1ea5p do nhi\u1ec5m tr\u00f9ng, \u00e1p xe \u1ed5 b\u1ee5ng r\u1ea5t to \u0111a b\u1ec7nh \u0111\u1ed3ng m\u1eafc n\u00ean \u0111\u00f2i h\u1ecfi \u0111\u1ed9i ng\u0169 ekip ph\u1eabu thu\u1eadt gi\u00e0u kinh nghi\u1ec7m v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c sau m\u1ed5, \u0111\u1eb7c bi\u1ec7t l\u00e0 b\u1ec7nh n\u1ec1n COPD c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh b\u1ec7nh c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c. Tuy nhi\u00ean c\u1ea7n c\u00e1 th\u1ec3 ho\u00e1 m\u1ed7i ng\u01b0\u1eddi b\u1ec7nh d\u1ef1a tr\u00ean nh\u1eefng nguy\u00ean t\u1eafc chung, ng\u01b0ng thu\u1ed1c l\u00e1 ho\u1eb7c y\u1ebfu t\u1ed1 nguy c\u01a1, thu\u1ed1c d\u00e3n ph\u1ebf qu\u1ea3n, d\u1ef1 ph\u00f2ng \u0111\u1ee3t c\u1ea5p, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p \u0111\u1ed3ng th\u1eddi \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc. Do \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i th\u01b0\u1eddng xuy\u00ean, khi c\u00f3 tri\u1ec7u ch\u1ee9ng nghi ng\u1edd v\u00ec \u0111i\u1ec1u tr\u1ecb c\u00e0ng mu\u1ed9n th\u00ec hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u00e0ng k\u00e9m. C\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh m\u00e0 b\u00e0 con c\u1ea7n l\u01b0u \u00fd g\u1ed3m: Ho, kh\u1ea1c \u0111\u1eddm m\u1ea1n t\u00ednh, th\u01b0\u1eddng kh\u1ea1c \u0111\u1eddm v\u1ec1 bu\u1ed5i s\u00e1ng, kh\u00f3 th\u1edf dai d\u1eb3ng v\u00e0 ti\u1ebfn tri\u1ec3n n\u1eb7ng d\u1ea7n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00f2n theo Ths.BS. Nguy\u1ec5n H\u1eefu K\u1ef3 Ph\u01b0\u01a1ng, Tr\u01b0\u1edfng Khoa Ngo\u1ea1i ti\u00eau ho\u00e1, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long: D\u1ecb v\u1eadt \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i nh\u01b0ng th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i do m\u1ea5t r\u0103ng, gi\u1ea3m kh\u1ea3 n\u0103ng nhai v\u00e0 nh\u00ecn k\u00e9m, tr\u1ebb em do hi\u1ebfu \u0111\u1ed9ng, ng\u1eadm nu\u1ed1t \u0111\u1ed3 ch\u01a1i, v\u1eadt d\u1ee5ng, h\u1ea1t tr\u00e1i c\u00e2y. D\u1ecb v\u1eadt \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nh\u01b0 t\u1eafc ru\u1ed9t, vi\u00eam ph\u00fac m\u1ea1c, \u00e1p xe \u1ed5 b\u1ee5ng&#8230;th\u1eadm ch\u00ed t\u1eed vong. Kh\u00f4ng \u00edt nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n kh\u00f4ng nh\u1edb m\u00ecnh \u0111\u00e3 t\u1eebng h\u00f3c d\u1ecb v\u1eadt. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n nh\u1ea5t l\u00e0 g\u1eafp d\u1ecb v\u1eadt qua n\u1ed9i soi. Tuy nhi\u00ean m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u1ebfn mu\u1ed9n c\u00f3 bi\u1ebfn ch\u1ee9ng th\u1ee7ng d\u1ea1 d\u00e0y, \u00e1p xe \u1ed5 b\u1ee5ng nh\u01b0 tr\u01b0\u1eddng h\u1ee3p c\u1ee5 \u00f4ng n\u00e0y, \u0111\u00f2i h\u1ecfi ph\u1ea3i \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi, b\u00e1c s\u0129 c\u00f3 nhi\u1ec1u kinh nghi\u1ec7m v\u00e0 h\u1ed3i s\u1ee9c sau m\u1ed5 t\u1ed1t.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea3n th\u00e2n, vi\u1ec7c \u00fd th\u1ee9c ph\u00f2ng tr\u00e1nh b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh h\u1ebft s\u1ee9c quan tr\u1ecdng, c\u00e1c b\u00e1c s\u0129 khuy\u1ebfn c\u00e1o b\u00e0 con c\u1ea7n n\u00e2ng cao th\u1ec3 tr\u1ea1ng b\u1eb1ng c\u00e1ch \u0103n u\u1ed1ng h\u1ee3p l\u00fd, kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1, thu\u1ed1c l\u00e0o, n\u1ebfu l\u00e0m vi\u1ec7c trong m\u00f4i tr\u01b0\u1eddng \u0111\u1ed9c h\u1ea1i c\u1ea7n \u0111\u01b0\u1ee3c trang b\u1ecb \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ed3 b\u1ea3o h\u1ed9 v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u0169ng nh\u01b0 ph\u00f2ng ng\u1eeba d\u1ecb v\u1eadt \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, ch\u00fang ta c\u1ea7n \u0103n ch\u1eadm, nhai k\u1ef9, tr\u00e1nh v\u1eeba \u0103n v\u1eeba c\u01b0\u1eddi n\u00f3i. Khi nghi ng\u1edd \u0111\u00e3 nu\u1ed1t d\u1ecb v\u1eadt ho\u1eb7c c\u1ea3m th\u1ea5y c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu nh\u01b0 nu\u1ed1t v\u01b0\u1edbng \u0111au r\u00e1t h\u1ecdng, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u1ebfn kh\u00e1m t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n c\u00f3 chuy\u00ean khoa ti\u00eau h\u00f3a \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb can thi\u1ec7p ngay. Ng\u01b0\u1eddi b\u1ec7nh tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng n\u00ean t\u1ef1 \u00fd \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0, kh\u00f4ng ch\u1eefa theo m\u1eb9o d\u00e2n gian, kh\u00f4ng c\u1ed1 nu\u1ed1t th\u00eam th\u1ee9c \u0103n v\u1edbi m\u1ee5c \u0111\u00edch l\u00e0m d\u1ecb v\u1eadt \u201ctr\u00f4i\u201d xu\u1ed1ng v\u00ec \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng th\u00eam \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 c\u00f3 th\u1ec3 g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00ednh m\u1ea1ng n\u1ebfu kh\u00f4ng x\u1eed tr\u00ed k\u1ecbp th\u1eddi&nbsp; nh\u01b0 tr\u01b0\u1eddng h\u1ee3p n\u00eau tr\u00ean.<br><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/Picture86-1024x578-1.jpg\" alt=\"\" class=\"wp-image-4013\"\/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho c\u1ee5 \u00f4ng 87 tu\u1ed5i b\u1ecb ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh (COPD) m\u1ee9c \u0111\u1ed9 n\u1eb7ng k\u00e8m th\u1ee7ng d\u1ea1 d\u00e0y, \u00e1p xe \u1ed5 b\u1ee5ng do d\u1ecb v\u1eadt \u0111\u01b0\u1eddng ti\u00eau ho\u00e1. C\u1ee5 \u00f4ng C.N.N (87 tu\u1ed5i, \u0111\u1ecba ch\u1ec9 t\u1ea1i TP. 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