{"id":274273,"date":"2023-01-15T07:17:00","date_gmt":"2023-01-15T00:17:00","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/bv-hoan-my-sai-gon-phau-thuat-co-dinh-xuong-suon-cho-cu-ong-bi-chan-thuong-long-nguc-sau-tai-nan-giao-thong\/"},"modified":"2025-11-10T11:48:09","modified_gmt":"2025-11-10T04:48:09","slug":"bv-hoan-my-sai-gon-phau-thuat-co-dinh-xuong-suon-cho-cu-ong-bi-chan-thuong-long-nguc-sau-tai-nan-giao-thong","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/bv-hoan-my-sai-gon-phau-thuat-co-dinh-xuong-suon-cho-cu-ong-bi-chan-thuong-long-nguc-sau-tai-nan-giao-thong\/","title":{"rendered":"Ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng s\u01b0\u1eddn cho c\u1ee5 \u00f4ng b\u1ecb ch\u1ea5n th\u01b0\u01a1ng l\u1ed3ng ng\u1ef1c sau tai n\u1ea1n giao th\u00f4ng"},"content":{"rendered":"\n

M\u1ed7i n\u0103m, th\u1ebf gi\u1edbi c\u00f3 \u0111\u1ebfn h\u01a1n 5 tri\u1ec7u ng\u01b0\u1eddi ch\u1ebft v\u00ec ch\u1ea5n th\u01b0\u01a1ng, con s\u1ed1 n\u00e0y g\u1ea5p 1,7 l\u1ea7n t\u1ec9 l\u1ec7 t\u1eed vong c\u1ee7a HIV\/AIDS, lao v\u00e0 s\u1ed1t xu\u1ea5t huy\u1ebft c\u1ed9ng l\u1ea1i, trong \u0111\u00f3 25-50% s\u1ed1 ca t\u1eed vong c\u00f3 ch\u1ea5n th\u01b0\u01a1ng ng\u1ef1c. . Nguy\u00ean nh\u00e2n g\u00e2y ch\u1ea5n th\u01b0\u01a1ng l\u1ed3ng ng\u1ef1c \u0111a ph\u1ea7n l\u00e0 do tai n\u1ea1n giao th\u00f4ng, c\u00e1c tai n\u1ea1n ng\u00e3 t\u1eeb tr\u00ean cao xu\u1ed1ng, tai n\u1ea1n trong lao \u0111\u1ed9ng, c\u00e1c ch\u1ea5n th\u01b0\u01a1ng trong luy\u1ec7n t\u1eadp th\u1ec3 thao\u2026, ho\u1eb7c do m\u1ed9t v\u1eadt th\u1ec3 xuy\u00ean qua nh\u01b0 dao, k\u00e9o, vi\u00ean \u0111\u1ea1n, thanh s\u1eaft,\u2026Ch\u1ea5n th\u01b0\u01a1ng l\u1ed3ng ng\u1ef1c c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong trong nh\u1eefng ph\u00fat \u0111\u1ea7u ti\u00ean ho\u1eb7c v\u00e0i gi\u1edd sau ch\u1ea5n th\u01b0\u01a1ng do t\u1ed5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn h\u1ec7 h\u00f4 h\u1ea5p v\u00e0 tu\u1ea7n ho\u00e0n c\u1ee7a c\u01a1 th\u1ec3 (tim, ph\u1ed5i v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u l\u1edbn).<\/p>\n\n\n\n

V\u1eeba qua, BV Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n \u0111\u00e3 ti\u1ebfp nh\u1eadn tr\u01b0\u1eddng h\u1ee3p c\u1ee7a \u00f4ng L.\u0110.T (69 tu\u1ed5i, ng\u1ee5 Long An<\/em>) nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng \u0111au ng\u1ef1c d\u1eef d\u1ed9i, suy h\u00f4 h\u1ea5p. Theo chia s\u1ebb t\u1eeb ng\u01b0\u1eddi nh\u00e0, \u00f4ng T. \u0111ang \u0111i\u1ec1u khi\u1ec3n xe m\u00e1y tr\u00ean \u0111\u01b0\u1eddng th\u00ec x\u1ea3y ra tai n\u1ea1n giao th\u00f4ng, ph\u1ea7n ng\u1ef1c b\u1ecb \u0111\u1eadp m\u1ea1nh xu\u1ed1ng \u0111\u01b0\u1eddng khi\u1ebfn \u00f4ng b\u1ecb \u0111au, kh\u00f3 c\u1eed \u0111\u1ed9ng v\u00f9ng ng\u1ef1c, h\u00f4ng l\u01b0ng, c\u00e1nh tay. Ngay l\u1eadp t\u1ee9c, \u00f4ng T. \u0111\u01b0\u1ee3c ng\u01b0\u1eddi d\u00e2n \u0111\u01b0a v\u00e0o b\u1ec7nh vi\u1ec7n \u0111\u1ecba ph\u01b0\u01a1ng nh\u01b0ng c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au v\u00e0 kh\u00f3 th\u1edf kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u thuy\u00ean gi\u1ea3m. T\u1ea1i BV Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n, c\u00e1c b\u00e1c s\u0129 cho bi\u1ebft, \u00f4ng T. nh\u1eadp vi\u1ec7n c\u1ea5p c\u1ee9u sau 3 ng\u00e0y x\u1ea3y ra tai n\u1ea1n, v\u1edbi t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p, \u0111a ch\u1ea5n th\u01b0\u01a1ng ng\u1ef1c, b\u1ee5ng v\u00e0 g\u1ed1i tr\u00e1i, vi\u00eam ph\u1ed5i, d\u1eadp ph\u1ed5i c\u00f9ng v\u1edbi ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n v\u00e0 h\u1ed9i ch\u1ee9ng Cushing do thu\u1ed1c.<\/p>\n\n\n\n

\u0110\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c c\u00e1c t\u1ed5n th\u01b0\u01a1ng, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 ti\u1ebfn h\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh x\u00e9t nghi\u1ec7m m\u00e1u, ki\u1ec3m tra ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p, ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p CT scan ng\u1ef1c c\u1ea3n quang d\u1ef1ng h\u00ecnh khung s\u01b0\u1eddn. K\u1ebft qu\u1ea3 cho th\u1ea5y, \u00f4ng T.  b\u1ecb m\u1ea3ng s\u01b0\u1eddn di \u0111\u1ed9ng, g\u00e3y \u0111a cung c\u00e1c x\u01b0\u01a1ng s\u01b0\u1eddn 5,6,7,8,9,10 tr\u00e1i, c\u00e1c \u1ed5 g\u00e3y di l\u1ec7ch r\u1eddi nhau, g\u00e2y bi\u1ebfn d\u1ea1ng l\u1ed3ng ng\u1ef1c, tr\u00e0n m\u00e1u m\u00e0ng ph\u1ed5i tr\u00e1i, d\u1eadp nhu m\u00f4 ph\u1ed5i d\u01b0\u1edbi t\u1ed5n th\u01b0\u01a1ng. \u0110\u00e2y l\u00e0 m\u1ed9t th\u1ec3 b\u1ec7nh n\u1eb7ng c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng l\u1ed3ng ng\u1ef1c, c\u00f3 th\u1ec3 g\u00e2y suy h\u00f4 h\u1ea5p n\u1eb7ng v\u00e0 c\u1ea5p t\u00ednh do c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0: \u0111au c\u1ee7a t\u1ed5n th\u01b0\u01a1ng r\u1ed9ng th\u00e0nh ng\u1ef1c v\u00e0 g\u00e3y x\u01b0\u01a1ng s\u01b0\u1eddn, d\u1eadp r\u00e1ch nhu m\u00f4 ph\u1ed5i, x\u1eb9p ph\u1ed5i l\u00e0m gi\u1ea3m th\u00f4ng kh\u00ed, m\u00e1u ch\u1ea3y v\u00e0o khoang m\u00e0ng ph\u1ed5i c\u00f3 th\u1ec3 g\u00e2y m\u1ea5t m\u00e1u s\u1ed1 l\u01b0\u1ee3ng nhi\u1ec1u,\u2026<\/p>\n\n\n

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\"\"<\/figure>\n<\/div>\n\n\n

H\u00ecnh 1. H\u00ecnh \u1ea3nh CT scan d\u1ef1ng h\u00ecnh tr\u01b0\u1edbc ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng s\u01b0\u1eddn cho \u00f4ng T.<\/em><\/p>\n\n\n\n

Nh\u1eadn th\u1ea5y di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p, \u0111\u1ec3 nhanh ch\u00f3ng c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh, \u00f4ng T. \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111i\u1ec1u tr\u1ecb h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c, truy\u1ec1n kh\u00e1ng sinh \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ed5i, truy\u1ec1n gi\u1ea3m \u0111au t\u00edch c\u1ef1c. Sau h\u01a1n 1 tu\u1ea7n, t\u00ecnh tr\u1ea1ng n\u1ed9i khoa \u0111\u00e3 \u1ed5n \u0111\u1ecbnh, tuy nhi\u00ean t\u00ecnh tr\u1ea1ng \u0111au do x\u01b0\u01a1ng s\u01b0\u1eddn g\u00e3y v\u1eabn c\u00f2n, ng\u01b0\u1eddi b\u1ec7nh v\u1eabn ph\u1ea3i n\u1eb1m m\u1ed9t ch\u1ed7, m\u1ecdi sinh ho\u1ea1t ch\u1ec9 di\u1ec5n ra tr\u00ean gi\u01b0\u1eddng b\u1ec7nh. Da v\u00f9ng c\u00f9ng c\u1ee5t b\u1eaft \u0111\u1ea7u lo\u00e9t do n\u1eb1m l\u00e2u. \u0110\u1ec3 x\u1eed tr\u00ed tri\u1ec7t \u0111\u1ec3 t\u00ecnh tr\u1ea1ng n\u00e0y, \u00f4ng T. \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 Khoa Ngo\u1ea1i Tim m\u1ea1ch \u2013 L\u1ed3ng ng\u1ef1c ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng s\u01b0\u1eddn \u0111\u1ec3 gi\u1ea3m \u0111au, gi\u00fap x\u01b0\u01a1ng nhanh h\u1ed3i ph\u1ee5c, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i sinh ho\u1ea1t th\u01b0\u1eddng ng\u00e0y, tr\u00e1nh nh\u1eefng bi\u1ebfn ch\u1ee9ng do n\u1eb1m l\u00e2u. <\/p>\n\n\n\n

ThS.BS.CKI. Nguy\u1ec5n \u0110\u1ee9c Ngh\u0129a \u2013 ng\u01b0\u1eddi tr\u1ef1c ti\u1ebfp th\u1ef1c hi\u1ec7n ca ph\u1eabu thu\u1eadt c\u1ee7a \u00f4ng T. cho bi\u1ebft: \u201cNg\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng s\u01b0\u1eddn tr\u00e1i, v\u1edbi \u0111\u01b0\u1eddng r\u1ea1ch da ch\u1ec9 kho\u1ea3ng 10m. C\u00e1c x\u01b0\u01a1ng s\u01b0\u1eddn g\u00e3y \u0111\u01b0\u1ee3c n\u1eafn, x\u1ebfp l\u1ea1i \u0111\u00fang v\u1ecb tr\u00ed. Ri\u00eang x\u01b0\u01a1ng s\u01b0\u1eddn 7,8 do di l\u1ec7ch qu\u00e1 xa, \u0111\u00e2m v\u00e0o c\u00e2n c\u01a1, g\u00e2y \u0111au v\u00e0 m\u1ea5t v\u1eefng th\u00e0nh ng\u1ef1c n\u00ean \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh b\u1eb1ng n\u1eb9p v\u00edt. Sau ph\u1eabu thu\u1eadt 3 ng\u00e0y, ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c \u0111\u01b0\u1ee3c 90%, kh\u00f4ng c\u00f2n c\u1ea3m gi\u00e1c \u0111au \u0111\u1edbn c\u1ee7a x\u01b0\u01a1ng \u0111\u00e2m v\u00e0o da th\u1ecbt nh\u01b0 tr\u01b0\u1edbc v\u00e0 xu\u1ea5t vi\u1ec7n sau 5 ng\u00e0y ph\u1eabu thu\u1eadt\u201d.<\/em><\/p>\n\n\n

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\"\"<\/figure>\n<\/div>\n\n\n

H\u00ecnh 2. BS. Ngh\u0129a th\u0103m kh\u00e1m cho \u00f4ng T. tr\u01b0\u1edbc khi xu\u1ea5t vi\u1ec7n<\/em><\/p>\n\n\n\n

C\u0169ng theo BS. Ngh\u0129a, v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p sau ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng s\u01b0\u1eddn, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 l\u00e0m vi\u1ec7c l\u1ea1i sau 1 tu\u1ea7n, tuy nhi\u00ean c\u1ea7n tr\u00e1nh v\u1eadn \u0111\u1ed9ng n\u1eb7ng trong 1 th\u00e1ng \u0111\u1ea7u ti\u00ean v\u00e0 c\u1ea7n tu\u00e2n th\u1ee7 l\u1ecbch t\u00e1i kh\u00e1m c\u1ee7a b\u00e1c s\u0129. <\/p>\n\n\n\n

T\u1ed5n th\u01b0\u01a1ng l\u1ed3ng ng\u1ef1c r\u1ea5t ph\u1ed5 bi\u1ebfn trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ea5n th\u01b0\u01a1ng, nh\u1ea5t l\u00e0 sau tai n\u1ea1n giao th\u00f4ng. BS. Ngh\u0129a khuy\u1ebfn c\u00e1o n\u1ebfu c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au, m\u1ec7t, kh\u00f3 th\u1edf sau ch\u1ea5n th\u01b0\u01a1ng, ng\u01b0\u1eddi b\u1ec7nh n\u00ean \u0111\u1ebfn ngay c\u00e1c c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, tr\u00e1nh nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u00f3 th\u1ec3 \u0111e d\u1ecda \u0111\u1ebfn t\u00ednh m\u1ea1ng.\/.<\/p>\n\n\n\n

ThS.BS.CKI. Nguy\u1ec5n \u0110\u1ee9c Ngh\u0129a \u2013 Khoa Ngo\u1ea1i Tim m\u1ea1ch \u2013 L\u1ed3ng ng\u1ef1c \u2013 BV Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

M\u1ed7i n\u0103m, th\u1ebf gi\u1edbi c\u00f3 \u0111\u1ebfn h\u01a1n 5 tri\u1ec7u ng\u01b0\u1eddi ch\u1ebft v\u00ec ch\u1ea5n th\u01b0\u01a1ng, con s\u1ed1 n\u00e0y g\u1ea5p 1,7 l\u1ea7n t\u1ec9 l\u1ec7 t\u1eed vong c\u1ee7a HIV\/AIDS, lao v\u00e0 s\u1ed1t xu\u1ea5t huy\u1ebft c\u1ed9ng l\u1ea1i, trong \u0111\u00f3 25-50% s\u1ed1 ca t\u1eed vong c\u00f3 ch\u1ea5n th\u01b0\u01a1ng ng\u1ef1c. . Nguy\u00ean nh\u00e2n g\u00e2y ch\u1ea5n th\u01b0\u01a1ng l\u1ed3ng ng\u1ef1c \u0111a ph\u1ea7n l\u00e0 […]<\/p>\n","protected":false},"author":3,"featured_media":274274,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1263],"tags":[],"class_list":["post-274273","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-sai-gon___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274273","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=274273"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274273\/revisions"}],"predecessor-version":[{"id":310879,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274273\/revisions\/310879"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/274274"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=274273"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=274273"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=274273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}