{"id":281811,"date":"2025-04-08T13:32:47","date_gmt":"2025-04-08T06:32:47","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/kip-thoi-kich-hoat-quy-trinh-code-stemi-cuu-song-nguoi-benh-ngung-tim\/"},"modified":"2025-11-08T10:14:52","modified_gmt":"2025-11-08T03:14:52","slug":"kip-thoi-kich-hoat-quy-trinh-code-stemi-cuu-song-nguoi-benh-ngung-tim","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/kip-thoi-kich-hoat-quy-trinh-code-stemi-cuu-song-nguoi-benh-ngung-tim\/","title":{"rendered":"K\u1ecbp th\u1eddi k\u00edch ho\u1ea1t quy tr\u00ecnh CODE STEMI c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh ng\u01b0ng tim"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em>B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long \u0111\u00e3 c\u1ee9u s\u1ed1ng m\u1ed9t ng\u01b0\u1eddi b\u1ec7nh b\u1ecb ng\u01b0ng tim do nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p nh\u1edd k\u1ecbp th\u1eddi k\u00edch ho\u1ea1t quy tr\u00ecnh CODE STEMI, \u0111\u1ea3m b\u1ea3o c\u00e1c \u201cti\u00eau chu\u1ea9n gi\u1edd v\u00e0ng\u201d c\u1ee7a qu\u1ed1c t\u1ebf trong c\u1ea5p c\u1ee9u nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p. \u0110\u01b0\u1ee3c bi\u1ebft ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed h\u00fat thu\u1ed1c l\u00e1 th\u01b0\u1eddng xuy\u00ean, m\u1ed7i ng\u00e0y kho\u1ea3ng 02 g\u00f3i thu\u1ed1c.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1ch nh\u1eadp vi\u1ec7n 2 gi\u1edd, \u00f4ng N. P. M (48 tu\u1ed5i, \u0111\u1ecba ch\u1ec9 t\u1ea1i qu\u1eadn C\u00e1i R\u0103ng, Tp. C\u1ea7n Th\u01a1) c\u1ea3m th\u1ea5y m\u1ec7t, \u0111\u1ed9t ng\u1ed9t \u0111au n\u1eb7ng ng\u1ef1c tr\u00e1i d\u1eef d\u1ed9i, v\u00e3 m\u1ed3 h\u00f4i, kh\u00f3 th\u1edf n\u00ean \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 \u0111\u01b0a \u0111\u1ebfn c\u1ea5p c\u1ee9u t\u1ea1i B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long. Th\u00f4ng tin t\u1eeb gia \u0111\u00ecnh, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed h\u00fat thu\u1ed1c l\u00e1 th\u01b0\u1eddng xuy\u00ean, m\u1ed7i ng\u00e0y kho\u1ea3ng 02 g\u00f3i thu\u1ed1c.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1ea1i khoa C\u1ea5p c\u1ee9u, ghi nh\u1eadn ng\u01b0\u1eddi b\u1ec7nh \u0111au ng\u1ef1c d\u1eef d\u1ed9i, sau \u0111\u00f3 rung th\u1ea5t ng\u01b0ng tim, \u0111\u1ed9i ng\u0169 y t\u1ebf l\u1eadp t\u1ee9c s\u1ed1c \u0111i\u1ec7n c\u1ea5p c\u1ee9u, h\u1ed3i s\u1ee9c ng\u01b0ng tim v\u00e0 k\u00edch ho\u1ea1t quy tr\u00ecnh CODE STEMI. Sau khi tim \u0111\u1eadp l\u1ea1i, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ph\u00f2ng th\u00f4ng tim nh\u1eb1m t\u00e1i th\u00f4ng s\u1edbm nh\u1ea5t nh\u00e1nh m\u1ea1ch v\u00e0nh th\u1ee7 ph\u1ea1m. Quy tr\u00ecnh CODE STEMI t\u1ea1i b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long \u0111\u01b0\u1ee3c chu\u1ea9n h\u00f3a theo ti\u00eau chu\u1ea9n qu\u1ed1c t\u1ebf c\u1ee7a c\u00e1c t\u1ed5 ch\u1ee9c y t\u1ebf h\u00e0ng \u0111\u1ea7u v\u1ec1 s\u1ee9c kh\u1ecfe tim m\u1ea1ch v\u00e0 huy\u1ebft qu\u1ea3n (ACC\/AHA\/ESC), d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p c\u00f3 ST ch\u00eanh l\u00ean nh\u1eb1m t\u1eadn d\u1ee5ng \u201cti\u00eau chu\u1ea9n gi\u1edd v\u00e0ng\u201d, \u0111\u1ea3m b\u1ea3o th\u1eddi gian t\u00e1i th\u00f4ng ho\u00e0n to\u00e0n nh\u00e1nh m\u1ea1ch v\u00e0nh th\u1ee7 ph\u1ea1m trong th\u1eddi gian d\u01b0\u1edbi 60 ph\u00fat k\u1ec3 t\u1eeb khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Khi CODE \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t qua h\u1ec7 th\u1ed1ng ph\u00e1t thanh to\u00e0n vi\u1ec7n, trong th\u1eddi gian ch\u1ec9 d\u01b0\u1edbi 03 ph\u00fat \u0111\u1ed9i CODE c\u00f3 m\u1eb7t t\u1ea1i c\u1ea5p c\u1ee9u v\u00e0 ti\u1ebfp h\u00e0nh c\u1ea5p c\u1ee9u cho ng\u01b0\u1eddi b\u1ec7nh m\u1ed9t c\u00e1ch h\u1ec7 th\u1ed1ng, nhanh ch\u00f3ng v\u00e0 ch\u00ednh x\u00e1c. K\u1ebft qu\u1ea3 ch\u1ee5p m\u1ea1ch v\u00e0nh qua h\u1ec7 th\u1ed1ng ch\u1ee5p m\u1ea1ch s\u1ed1 h\u00f3a x\u00f3a n\u1ec1n DSA hai b\u00ecnh di\u1ec7n t\u1ea1i b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long cho th\u1ea5y, ng\u01b0\u1eddi b\u1ec7nh b\u1ecb t\u1eafc c\u1ea5p nh\u00e1nh li\u00ean th\u1ea5t tr\u01b0\u1edbc, h\u1eb9p 90% nh\u00e1nh m\u0169, tim co b\u00f3p r\u1ea5t k\u00e9m v\u1edbi 2 lo\u1ea1i thu\u1ed1c v\u1eadn m\u1ea1ch li\u1ec1u cao. Ekip b\u00e1c s\u0129 v\u1eeba th\u1ef1c hi\u1ec7n h\u1ed3i s\u1ee9c tim, \u0111\u1eb7t m\u00e1y t\u1ea1o nh\u1ecbp t\u1ea1m th\u1eddi c\u1ea5p c\u1ee9u, t\u00e1i th\u00f4ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, \u0111\u1eb7t 1 stent v\u00e0o \u0111o\u1ea1n m\u1ea1ch b\u1ecb t\u1eafc.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Theo ghi nh\u1eadn c\u1ee7a \u0111\u1ed9i CODE, sau 44 k\u00edch ho\u1ea1t CODE, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u v\u00e0 t\u00e1i th\u00f4ng ho\u00e0n to\u00e0n nh\u00e1nh m\u1ea1ch m\u00e1u t\u1eafc v\u00e0 sau \u0111\u00f3 \u0111\u01b0\u1ee3c chuy\u1ec3n qua Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c &amp; Ch\u1ed1ng \u0111\u1ed9c (ICU) \u0111i\u1ec1u tr\u1ecb. Sau kho\u1ea3ng 24 gi\u1edd theo d\u00f5i t\u00edch c\u1ef1c, ng\u01b0\u1eddi b\u1ec7nh t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t, th\u1ef1c hi\u1ec7n t\u1ed1t c\u00e1c y l\u1ec7nh, ng\u01b0ng d\u00f9ng thu\u1ed1c tr\u1ee3 tim chuy\u1ec3n v\u1ec1 n\u1ed9i tr\u00fa theo d\u00f5i. Hi\u1ec7n s\u1ee9c kho\u1ebb ng\u01b0\u1eddi b\u1ec7nh \u1ed5n \u0111\u1ecbnh, \u0111\u00e3 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n theo d\u00f5i ngo\u1ea1i tr\u00fa sau 5 ng\u00e0y \u0111i\u1ec1u tr\u1ecb.<\/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\/hinh-2-1-1024x768-1.jpg\" alt=\"\" class=\"wp-image-173449\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c b\u00e1c s\u0129 th\u0103m kh\u00e1m sau ph\u1ee5c h\u1ed3i <\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Theo BS.CKII. Nguy\u1ec5n H\u1eefu Th\u00e1i, Tr\u01b0\u1edfng Khoa N\u1ed9i tim m\u1ea1ch &#8211; Can thi\u1ec7p n\u1ed9i m\u1ea1ch, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long: nh\u1ed3i m\u00e1u c\u01a1 tim l\u00e0 t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u01a1 tim c\u1ea5p t\u00ednh g\u00e2y nh\u1eefng c\u01a1n \u0111au th\u1eaft ng\u1ef1c, sau \u0111\u00f3 l\u00e0 ho\u1ea1i t\u1eed c\u01a1 tim d\u1eabn \u0111\u1ebfn suy tim ho\u1eb7c \u0111\u1ed9t t\u1eed. V\u1edbi ph\u01b0\u01a1ng ch\u00e2m \u201cTh\u1eddi gian l\u00e0 c\u01a1 tim, c\u01a1 tim l\u00e0 s\u1ef1 s\u1ed1ng\u201d, vi\u1ec7c c\u1ea5p c\u1ee9u v\u00e0 x\u1eed tr\u00ed trong th\u1eddi gian v\u00e0ng l\u00e0 y\u1ebfu t\u1ed1 s\u1ed1ng c\u00f2n quy\u1ebft \u0111\u1ecbnh sinh m\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh. Tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim l\u00e0 \u0111au ng\u1ef1c, k\u00e8m c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 v\u00e3 m\u1ed3 h\u00f4i, h\u1ed1t ho\u1ea3ng, xanh t\u00e1i, kh\u00f3 th\u1edf,\u2026 Nh\u1ed3i m\u00e1u c\u01a1 tim n\u1ebfu \u0111\u01b0\u1ee3c nh\u1eadn bi\u1ebft s\u1edbm v\u00e0 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed trong v\u00f2ng 3-6 gi\u1edd \u0111\u1ea7u s\u1ebd \u0111em l\u1ea1i k\u1ebft qu\u1ea3 cao nh\u1ea5t gi\u00fap gi\u1ea3m t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng v\u00e0 t\u1eed vong tr\u00ean ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00e1c s\u0129 Th\u00e1i c\u0169ng khuy\u1ebfn c\u00e1o, nh\u1ed3i m\u00e1u c\u01a1 tim l\u00e0 c\u0103n b\u1ec7nh c\u00f3 di\u1ec5n ti\u1ebfn r\u1ea5t nhanh v\u00e0 b\u1ea5t ng\u1edd, kh\u00f4ng ch\u1ec9 \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn tu\u1ed5i c\u00f3 b\u1ec7nh n\u1ec1n m\u00e0 ng\u01b0\u1eddi tr\u1ebb c\u0169ng c\u00f3 th\u1ec3 b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p. C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch cao g\u1ed3m ng\u01b0\u1eddi b\u1ecb t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u, th\u1eeba c\u00e2n, \u00edt v\u1eadn \u0111\u1ed9ng, h\u00fat thu\u1ed1c l\u00e1, l\u00e0m vi\u1ec7c \u00e1p l\u1ef1c, c\u0103ng th\u1eb3ng&#8230; c\u1ea7n th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra kh\u1ecfe \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 t\u1ea7m so\u00e1t, ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi b\u1ec7nh l\u00fd v\u1ec1 tim m\u1ea1ch c\u0169ng nh\u01b0 b\u1ec7nh l\u00fd kh\u00e1c. N\u1ebfu \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t, ch\u1ea9n \u0111o\u00e1n s\u1edbm, b\u1ec7nh tim m\u1ea1ch ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Khi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u nghi ng\u1edd nh\u1ed3i m\u00e1u c\u01a1 tim nh\u01b0 \u0111au ng\u1ef1c, kh\u00f3 th\u1edf, kh\u00f3 ch\u1ecbu v\u00f9ng ng\u1ef1c, d\u00f9 l\u00e0 nh\u1eefng c\u01a1n \u0111au nh\u1ecf nh\u1ea5t c\u0169ng kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ee7 quan v\u00e0 c\u1ea7n \u0111\u1ebfn ngay trung t\u00e2m tim m\u1ea1ch chuy\u00ean s\u00e2u g\u1ea7n nh\u1ea5t \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed tr\u00ed nhanh nh\u1ea5t.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>B\u1ec7nh vi\u1ec7n \u0111a khoa Ho\u00e0n M\u1ef9 C\u1eedu Long ti\u1ebfp nh\u1eadn thanh to\u00e1n b\u1ea3o hi\u1ec3m y t\u1ebf kh\u00f4ng ph\u00e2n bi\u1ec7t n\u01a1i \u0111\u0103ng k\u00fd ban \u0111\u1ea7u. Khi qu\u00fd kh\u00e1ch h\u00e0ng c\u1ea7n t\u01b0 v\u1ea5n nh\u1eefng th\u00f4ng tin v\u1ec1 y t\u1ebf, s\u1ee9c kho\u1ebb, d\u1ecbch v\u1ee5, h\u00e3y li\u00ean h\u1ec7 ngay v\u1edbi ch\u00fang t\u00f4i:<br>\u0110\u1ecba ch\u1ec9: L\u00f4 20 V\u00f5 Nguy\u00ean Gi\u00e1p, Ph\u01b0\u1eddng Ph\u00fa Th\u1ee9, Qu\u1eadn C\u00e1i R\u0103ng, Th\u00e0nh ph\u1ed1 C\u1ea7n Th\u01a1.<br>Bi\u1ec7t \u0111\u1ed9i C\u1ea5p c\u1ee9u 916 (24\/24): 02923 916 916<br>T\u1ed5ng \u0111\u00e0i Ch\u0103m s\u00f3c kh\u00e1ch h\u00e0ng: 02923 917 901<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long \u0111\u00e3 c\u1ee9u s\u1ed1ng m\u1ed9t ng\u01b0\u1eddi b\u1ec7nh b\u1ecb ng\u01b0ng tim do nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p nh\u1edd k\u1ecbp th\u1eddi k\u00edch ho\u1ea1t quy tr\u00ecnh CODE STEMI, \u0111\u1ea3m b\u1ea3o c\u00e1c \u201cti\u00eau chu\u1ea9n gi\u1edd v\u00e0ng\u201d c\u1ee7a qu\u1ed1c t\u1ebf trong c\u1ea5p c\u1ee9u nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p. \u0110\u01b0\u1ee3c bi\u1ebft ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":281812,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1745],"tags":[],"class_list":["post-281811","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\/281811","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=281811"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281811\/revisions"}],"predecessor-version":[{"id":296542,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281811\/revisions\/296542"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/281812"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=281811"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=281811"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=281811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}