{"id":281038,"date":"2024-07-19T15:29:17","date_gmt":"2024-07-19T08:29:17","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/cuu-song-thanh-cong-cu-ong-84-tuoi-bi-soc-nhiem-trung-duong-mat-nguy-kich\/"},"modified":"2025-11-10T10:51:54","modified_gmt":"2025-11-10T03:51:54","slug":"cuu-song-thanh-cong-cu-ong-84-tuoi-bi-soc-nhiem-trung-duong-mat-nguy-kich","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/cuu-song-thanh-cong-cu-ong-84-tuoi-bi-soc-nhiem-trung-duong-mat-nguy-kich\/","title":{"rendered":"C\u1ee9u s\u1ed1ng th\u00e0nh c\u00f4ng c\u1ee5 \u00f4ng 84 tu\u1ed5i b\u1ecb s\u1ed1c nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt nguy k\u1ecbch"},"content":{"rendered":"\n

C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long v\u1eeba can thi\u1ec7p c\u1ea5p c\u1ee9u n\u1ed9i soi t\u1ee5y m\u1eadt ng\u01b0\u1ee3c d\u00f2ng (ERCP) th\u00e0nh c\u00f4ng c\u1ee9u s\u1ed1ng c\u1ee5 \u00f4ng 84 tu\u1ed5i b\u1ecb s\u1ed1c nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt nguy k\u1ecbch.<\/em><\/p>\n\n\n\n

C\u1ee5 \u00f4ng H. H. N. (84 tu\u1ed5i, \u0111\u1ecba ch\u1ec9 t\u1ea1i huy\u1ec7n C\u1ea7u K\u00e8, t\u1ec9nh Tr\u00e0 Vinh) nh\u1eadp vi\u1ec7n v\u00ec \u0111au b\u1ee5ng v\u00e0 s\u1ed1t cao li\u00ean t\u1ee5c. Th\u00f4ng tin t\u1eeb gia \u0111\u00ecnh, c\u1ee5 \u00f4ng \u1edf nh\u00e0 \u0111au b\u1ee5ng kho\u1ea3ng 1 ng\u00e0y k\u00e8m s\u1ed1t l\u1ea1nh run, v\u00e0ng m\u1eaft, gia \u0111\u00ecnh \u0111\u00e3 \u0111i mua thu\u1ed1c cho c\u1ee5 \u00f4ng u\u1ed1ng nh\u01b0ng kh\u00f4ng gi\u1ea3m n\u00ean v\u00e0o c\u1ea5p c\u1ee9u B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long.<\/p>\n\n\n\n

Qua th\u0103m kh\u00e1m v\u00e0 th\u1ef1c hi\u1ec7n c\u1eadn l\u00e2m s\u00e0ng c\u1ea7n thi\u1ebft, h\u00ecnh \u1ea3nh ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (MSCT) b\u1ee5ng cho th\u1ea5y gi\u00e3n \u0111\u01b0\u1eddng m\u1eadt trong v\u00e0 ngo\u00e0i gan do s\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7, ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng \u0111o\u1ea1n d\u01b0\u1edbi th\u1eadn c\u00f3 huy\u1ebft kh\u1ed1i b\u00e1m th\u00e0nh. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n: vi\u00eam \u0111\u01b0\u1eddng m\u1eadt c\u1ea5p do s\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7\/Ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng, ti\u00ean l\u01b0\u1ee3ng n\u1eb7ng, c\u00f3 th\u1ec3 di\u1ec5n ti\u1ebfn t\u1eed vong n\u1ebfu kh\u00f4ng can thi\u1ec7p \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n\n

Sau h\u1ed9i ch\u1ea9n c\u00e1c chuy\u00ean khoa, c\u00e1c b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh chuy\u1ec3n c\u1ee5 \u00f4ng qua Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c & Ch\u1ed1ng \u0111\u1ed9c (ICU) \u0111\u1ec3 h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c cho ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc. Sau 6 gi\u1edd h\u1ed3i s\u1ee9c, t\u00ecnh tr\u1ea1nh ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u1ea3i thi\u1ec7n, nhi\u1ec5m tr\u00f9ng c\u00f3 d\u1ea5u hi\u1ec7u n\u1eb7ng l\u00ean, huy\u1ebft \u00e1p b\u1eaft \u0111\u1ea7u t\u1ee5t.<\/p>\n\n\n\n

Tr\u01b0\u1edbc t\u00ecnh tr\u1ea1ng nguy k\u1ecbch c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, ekip b\u00e1c s\u0129 \u0111\u00e3 gi\u1ea3i \u00e1p \u0111\u01b0\u1eddng m\u1eadt c\u1ea5p c\u1ee9u b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng th\u00e0nh c\u00f4ng trong th\u1eddi gian 30 ph\u00fat. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111\u1eb7t stent d\u1eabn l\u01b0u \u0111\u01b0\u1eddng m\u1eadt \u0111\u1ec3 gi\u1ea3i quy\u1ebft t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt, d\u1ecbch m\u1eadt nhi\u1ec1u m\u1ee7.<\/p>\n\n\n\n

Sau can thi\u1ec7p, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t ch\u1ec9 s\u1ed1 sinh t\u1ed3n, \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh, ph\u1ed1i h\u1ee3p h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c, b\u1ec7nh nh\u00e2n tho\u00e1t kh\u1ecfi t\u00ecnh tr\u1ea1ng s\u1ed1c, tho\u00e1t nguy c\u01a1 t\u1eed vong… Sau 5 ng\u00e0y \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n t\u1ec9nh t\u00e1o ho\u00e0n to\u00e0n, \u0103n u\u1ed1ng t\u1ed1t, c\u00f3 th\u1ec3 ng\u1ed3i d\u1eady v\u1eadn \u0111\u1ed9ng nh\u1eb9 nh\u00e0ng. Hi\u1ec7n ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n v\u00e0 theo d\u00f5i t\u00e1i kh\u00e1m ngo\u1ea1i tr\u00fa, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c h\u1eb9n r\u00fat stent v\u00e0 l\u1ea5y s\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7 sau 3 th\u00e1ng.<\/p>\n\n\n\n

Theo Bs. CKI. Ph\u1ea1m H\u1eefu D\u0169ng, Ph\u00f3 Tr\u01b0\u1edfng Khoa Ti\u00eau h\u00f3a, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long: \u0110\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p vi\u00eam \u0111\u01b0\u1eddng m\u1eadt c\u1ea5p di\u1ec5n ti\u1ebfn n\u1eb7ng c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a s\u1ed1c nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt tr\u00ean tr\u00ean c\u01a1 \u0111\u1ecba b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i, c\u00f3 k\u00e8m b\u1ec7nh l\u00fd ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p n\u1ed9i soi m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng (ERCP) k\u1ecbp th\u1eddi, tr\u00e1nh \u0111\u01b0\u1ee3c \u0111\u01b0\u1ee3c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m x\u1ea3y ra.<\/p>\n\n\n\n

Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 l\u1ef1a ch\u1ecdn t\u1ed1i \u01b0u \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh cao tu\u1ed5i, th\u1ec3 tr\u1ea1ng k\u00e9m, k\u00e8m b\u1ec7nh l\u00fd n\u1ec1n, \u0111ang trong t\u00ecnh tr\u1ea1ng s\u1ed1c, n\u1ebfu th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt m\u1ed5 h\u1edf truy\u1ec1n th\u1ed1ng s\u1ebd ti\u1ec1m \u1ea9n nhi\u1ec1u r\u1ee7i ro, nguy c\u01a1 t\u1eed vong cao. \u0110\u00e2y l\u00e0 th\u1ee7 thu\u1eadt nh\u1eb9 nh\u00e0ng, gi\u1ea3m \u0111au \u0111\u1edbn, th\u1eddi gian \u0111i\u1ec1u tr\u1ecb r\u00fat ng\u1eafn, b\u1ec7nh nh\u00e2n nhanh ch\u00f3ng h\u1ed3i ph\u1ee5c s\u1ee9c kh\u1ecfe sau can thi\u1ec7p, \u00edt bi\u1ebfn ch\u1ee9ng, chi ph\u00ed \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd, gi\u00fap can thi\u1ec7p hi\u1ec7u qu\u1ea3 c\u00e1c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng m\u1eadt, \u0111\u1eb7c bi\u1ec7t l\u00e0 s\u1ed1c nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt c\u1ea7n gi\u1ea3i \u00e1p \u0111\u01b0\u1eddng m\u1eadt c\u1ea5p c\u1ee9u.<\/p>\n\n\n\n

B\u00ean c\u1ea1nh \u0111\u00f3, s\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7 l\u00e0 b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf Vi\u1ec7t Nam. B\u1ec7nh l\u00fd n\u00e0y n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nh\u01b0: vi\u00eam t\u1ee5y c\u1ea5p, t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt v\u00e0 vi\u00eam \u0111\u01b0\u1eddng m\u1eadt c\u1ea5p. Trong \u0111\u00f3 bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u1ea5t l\u00e0 s\u1ed1c nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt, n\u1ebfu \u0111i\u1ec1u tr\u1ecb kh\u00f4ng k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy \u0111a c\u01a1 quan v\u00e0 t\u1eed vong cao.<\/p>\n\n\n\n

Nh\u00e2n tr\u01b0\u1eddng h\u1ee3p n\u00e0y, b\u00e1c s\u0129 D\u0169ng khuy\u1ebfn c\u00e1o b\u00e0 con n\u00ean s\u1ed5 giun \u0111\u1ecbnh k\u00fd \u0111\u1ec3 tr\u00e1nh b\u1ecb s\u1ecfi m\u1eadt. Khi b\u1ecb s\u1ecfi m\u1eadt n\u00ean \u0111i\u1ec1u tr\u1ecb s\u1edbm \u0111\u1ec3 tr\u00e1nh bi\u1ebfn ch\u1ee9ng x\u1ea3y ra.<\/p>\n\n\n\n

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

C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long v\u1eeba can thi\u1ec7p c\u1ea5p c\u1ee9u n\u1ed9i soi t\u1ee5y m\u1eadt ng\u01b0\u1ee3c d\u00f2ng (ERCP) th\u00e0nh c\u00f4ng c\u1ee9u s\u1ed1ng c\u1ee5 \u00f4ng 84 tu\u1ed5i b\u1ecb s\u1ed1c nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt nguy k\u1ecbch. C\u1ee5 \u00f4ng H. H. N. (84 tu\u1ed5i, \u0111\u1ecba ch\u1ec9 t\u1ea1i huy\u1ec7n C\u1ea7u K\u00e8, t\u1ec9nh Tr\u00e0 Vinh) nh\u1eadp vi\u1ec7n […]<\/p>\n","protected":false},"author":14,"featured_media":281039,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1745],"tags":[],"class_list":["post-281038","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-cuu-long"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281038","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\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=281038"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281038\/revisions"}],"predecessor-version":[{"id":297688,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281038\/revisions\/297688"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/281039"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=281038"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=281038"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=281038"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}