{"id":282064,"date":"2025-06-04T16:40:06","date_gmt":"2025-06-04T09:40:06","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/kip-thoi-cuu-song-nguoi-benh-nhoi-mau-co-tim-cap\/"},"modified":"2025-11-08T10:00:20","modified_gmt":"2025-11-08T03:00:20","slug":"kip-thoi-cuu-song-nguoi-benh-nhoi-mau-co-tim-cap","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/kip-thoi-cuu-song-nguoi-benh-nhoi-mau-co-tim-cap\/","title":{"rendered":"K\u1ecbp th\u1eddi c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p"},"content":{"rendered":"\n

Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng c\u01a1 tim b\u1ecb thi\u1ebfu m\u00e1u nu\u00f4i v\u00e0 ho\u1ea1i t\u1eed do m\u1ea1ch v\u00e0nh (m\u1ea1ch m\u00e1u nu\u00f4i c\u01a1 tim) b\u1ecb t\u1eafc ngh\u1ebdn \u0111\u1ed9t ng\u1ed9t b\u1edfi c\u1ee5c huy\u1ebft kh\u1ed1i trong l\u00f2ng m\u1ea1ch. N\u1ebfu l\u01b0u l\u01b0\u1ee3ng m\u00e1u kh\u00f4ng \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i nhanh ch\u00f3ng, c\u01a1n nh\u1ed3i m\u00e1u c\u00f3 tim c\u1ea5p c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim v\u0129nh vi\u1ec5n, th\u1eadm ch\u00ed l\u00e0 t\u1eed vong.<\/em><\/p>\n\n\n\n

V\u1eeba qua, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n ti\u1ebfp nh\u1eadn tr\u01b0\u1eddng h\u1ee3p c\u1ee7a \u00f4ng L.N.H (67 tu\u1ed5i, ng\u1ee5 t\u1ea1i Qu\u1eadn 3, TP. HCM). <\/em>\u00d4ng \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o Khoa C\u1ea5p c\u1ee9u trong t\u00ecnh tr\u1ea1ng l\u01a1 m\u01a1, ch\u1ea9n \u0111o\u00e1n ban \u0111\u1ea7u l\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp tim, theo d\u00f5i nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p. K\u1ebft qu\u1ea3 ghi nh\u1eadn c\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n \u1edf m\u1ee9c nguy hi\u1ec3m: thi\u1ebfu oxy m\u00e1u (SpO2 80%), huy\u1ebft \u00e1p r\u1ea5t th\u1ea5p 70\/50 mm Hg, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 ghi nh\u1eadn t\u00ecnh tr\u1ea1ng block nh\u0129 th\u1ea5t ho\u00e0n to\u00e0n (t\u1eafc ngh\u1ebdn ho\u00e0n to\u00e0n d\u1eabn truy\u1ec1n xung \u0111\u1ed9ng t\u1eeb t\u00e2m nh\u0129 xu\u1ed1ng t\u00e2m th\u1ea5t), nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p th\u00e0nh d\u01b0\u1edbi.<\/p>\n\n\n\n

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

H\u00ecnh \u1ea3nh ch\u1ee5p DSA cho th\u1ea5y m\u1ea1ch v\u00e0nh ph\u1ea3i b\u1ecb t\u1eafc c\u1ee7a \u00f4ng H.<\/em><\/p>\n\n\n\n

Nh\u1eadn th\u1ea5y t\u00ecnh h\u00ecnh nguy c\u1ea5p c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, c\u00e1c b\u00e1c s\u0129 C\u1ea5p c\u1ee9u l\u1eadp t\u1ee9c cho s\u1eed d\u1ee5ng thu\u1ed1c v\u1eadn m\u1ea1ch, gi\u1eef huy\u1ebft \u00e1p \u1ed5n \u0111\u1ecbnh v\u00e0 k\u00edch ho\u1ea1t quy tr\u00ecnh Code STEMI. \u0110\u00e2y l\u00e0 quy tr\u00ecnh chu\u1ea9n h\u00f3a (theo ti\u00eau chu\u1ea9n c\u1ee7a Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch ch\u00e2u \u00c2u \u2013 ESC) v\u1ec1 x\u1eed tr\u00ed nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p, t\u1eadn d\u1ee5ng th\u1eddi gian v\u00e0ng \u0111\u1ec3 mang l\u1ea1i s\u1ef1 s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh g\u1eb7p t\u00ecnh tr\u1ea1ng nguy k\u1ecbch, \u0111\u1ed3ng th\u1eddi gi\u1ea3m \u0111\u00e1ng k\u1ec3 c\u00e1c bi\u1ebfn ch\u1ee9ng n\u1eb7ng n\u1ec1 v\u1ec1 sau.<\/p>\n\n\n\n

\u0110\u1ec3 k\u1ecbp th\u1eddi c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh, c\u00e1c b\u00e1c s\u0129 Khoa N\u1ed9i tim m\u1ea1ch & Can thi\u1ec7p \u0111\u00e3 ch\u1ec9 \u0111\u1ecbnh ng\u01b0\u1eddi b\u1ec7nh ch\u1ee5p m\u1ea1ch v\u00e0nh kh\u1ea9n. Sau khi x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng t\u1eafc ho\u00e0n to\u00e0n \u0111o\u1ea1n gi\u1eefa m\u1ea1ch v\u00e0nh ph\u1ea3i, b\u00e1c s\u0129 th\u00e0nh c\u00f4ng \u0111\u1eb7t stent v\u00e0o \u0111o\u1ea1n b\u1ecb t\u1eafc \u0111\u1ed3ng th\u1eddi tri\u1ec3n khai d\u1ef1 ph\u00f2ng m\u00e1y t\u1ea1o nh\u1ecbp t\u1ea1m th\u1eddi. Tuy nhi\u00ean, do huy\u1ebft kh\u1ed1i (c\u1ee5c m\u00e1u \u0111\u00f4ng) nhi\u1ec1u \u0111\u00e3 ti\u1ebfp t\u1ee5c g\u00e2y t\u1eafc c\u00e1c v\u1ecb tr\u00ed kh\u00e1c trong m\u1ea1ch v\u00e0nh ph\u1ea3i. Nh\u1eb1m x\u1eed l\u00fd tri\u1ec7t \u0111\u1ec3 t\u00ecnh tr\u1ea1ng n\u00e0y, ekip \u0111\u00e3 s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p nh\u01b0 h\u00fat huy\u1ebft kh\u1ed1i trong l\u00f2ng m\u1ea1ch, \u00e9p huy\u1ebft kh\u1ed1i b\u1eb1ng b\u00f3ng, s\u1eed d\u1ee5ng th\u00eam thu\u1ed1c kh\u00e1ng \u0111\u00f4ng v\u00e0 thu\u1ed1c kh\u00e1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u\u2026 <\/p>\n\n\n\n

Sau 2 gi\u1edd, t\u00ecnh tr\u1ea1ng huy\u1ebft kh\u1ed1i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 \u0111\u01b0\u1ee3c x\u1eed l\u00fd \u1ed5n \u0111\u1ecbnh v\u00e0 \u0111\u01b0\u1ee3c chuy\u1ec3n v\u1ec1 Khoa H\u1ed3i s\u1ee9c \u0111\u1ec3 ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb. Ng\u01b0\u1eddi b\u1ec7nh h\u1ed3i ph\u1ee5c s\u1ee9c kh\u1ecfe v\u00e0 xu\u1ea5t vi\u1ec7n sau m\u1ed9t tu\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

BS.CKII Tr\u1ea7n Nguy\u1ec5n An Huy \u2013 b\u00e1c s\u0129 tr\u1ef1c ti\u1ebfp \u0111i\u1ec1u tr\u1ecb cho \u00f4ng H. cho bi\u1ebft \u201cNg\u01b0\u1eddi b\u1ec7nh n\u00e0y \u0111\u00e3 c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u kh\u1edfi ph\u00e1t t\u1eeb 2-3 ng\u00e0y tr\u01b0\u1edbc l\u00e0 c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi khi \u0111i l\u1ea1i, tuy nhi\u00ean kh\u00f4ng \u0111\u1ebfn b\u1ec7nh vi\u1ec7n th\u0103m kh\u00e1m. \u0110\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u1ed3i m\u00e1u c\u01a1 tim, th\u1eddi gian v\u00e0ng \u0111\u1ec3 c\u1ee9u ng\u01b0\u1eddi b\u1ec7nh l\u00e0 trong nh\u1eefng gi\u1edd \u0111\u1ea7u sau khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng. V\u00ec n\u1ebfu \u0111\u1ec3 t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn k\u00e9o d\u00e0i c\u00e0ng l\u00e2u, c\u01a1 tim s\u1ebd b\u1ecb t\u1ed5n th\u01b0\u01a1ng c\u00e0ng nhi\u1ec1u. Do \u0111\u00f3, vi\u1ec7c t\u00e1i th\u00f4ng m\u1ea1ch v\u00e0nh c\u00e0ng s\u1edbm s\u1ebd c\u00e0ng mang l\u1ea1i nh\u1eefng k\u1ebft qu\u1ea3 kh\u1ea3 quan trong \u0111i\u1ec1u tr\u1ecb\u201d<\/em><\/p>\n\n\n\n

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

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

C\u0169ng theo BS. Huy, m\u1eb7c d\u00f9 nh\u1ed3i m\u00e1u c\u01a1 tim th\u01b0\u1eddng x\u1ea3y ra b\u1ea5t ng\u1edd nh\u01b0ng v\u1eabn c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c c\u1ea3nh b\u00e1o tr\u01b0\u1edbc h\u00e0ng gi\u1edd, h\u00e0ng ng\u00e0y b\u1eb1ng c\u00e1c d\u1ea5u hi\u1ec7u r\u00f5 r\u00e0ng, \u0111i\u1ec3n h\u00ecnh nh\u1ea5t l\u00e0 c\u01a1n \u0111au th\u1eaft ng\u1ef1c. Ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u00f3 c\u1ea3m gi\u00e1c \u0111au t\u1ee9c, \u0111\u00e8 n\u1eb7ng, xo\u1eafn v\u1eb7n trong l\u1ed3ng ng\u1ef1c, th\u01b0\u1eddng x\u1ea3y ra khi ng\u1ed3i ngh\u1ec9. C\u01a1n \u0111au k\u00e9o d\u00e0i tr\u00ean 15 ph\u00fat, \u0111au lan ra sau l\u01b0ng, v\u00f9ng c\u1ed5, c\u1eb1m, vai ho\u1eb7c c\u00e1nh tay. \u0110\u1ed3ng th\u1eddi, c\u1ea3m th\u1ea5y m\u1ec7t, h\u1ed3i h\u1ed9p, kh\u00f3 th\u1edf, v\u00e3 m\u1ed3 h\u00f4i, h\u1ed1t ho\u1ea3ng ho\u1eb7c ng\u1ea5t x\u1ec9u. C\u01a1n \u0111au kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u thuy\u00ean gi\u1ea3m. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t nh\u01b0 ng\u01b0\u1eddi cao tu\u1ed5i, ph\u1ee5 n\u1eef ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng th\u01b0\u1eddng c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0: kh\u00f3 th\u1edf, thay \u0111\u1ed5i tri gi\u00e1c, ng\u1ea5t ho\u1eb7c t\u1ee5t huy\u1ebft \u00e1p (<90\/60 mg).<\/p>\n\n\n\n

\u0110\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe cho b\u1ea3n th\u00e2n v\u00e0 nh\u1eefng ng\u01b0\u1eddi xung quanh, \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p ph\u00e1t hi\u1ec7n ng\u01b0\u1eddi b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p, ng\u01b0\u1eddi th\u00e2n c\u1ea7n gi\u1eef b\u00ecnh t\u0129nh v\u00e0 g\u1ecdi ngay c\u1ea5p c\u1ee9u. Vi\u1ec7c l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p th\u01b0\u1eddng ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 quan tr\u1ecdng nh\u01b0 th\u1eddi gian nh\u1eadp vi\u1ec7n, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, h\u1ec7 th\u1ed1ng trang thi\u1ebft b\u1ecb v\u00e0 tay ngh\u1ec1 chuy\u00ean m\u00f4n c\u1ee7a b\u00e1c s\u0129.<\/p>\n\n\n\n

B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n hi\u1ec7n \u0111ang s\u1edf h\u1eefu \u0111\u1ea7y \u0111\u1ee7 c\u00e1c k\u1ef9 thu\u1eadt \u0111i\u1ec1u tr\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p bao g\u1ed3m: can thi\u1ec7p c\u1ea5p c\u1ee9u \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 – m\u1ea1ch v\u00e0nh c\u1ea5p c\u1ee9u. V\u1edbi \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 – chuy\u00ean gia nhi\u1ec1u kinh nghi\u1ec7m trong l\u0129nh v\u1ef1c can thi\u1ec7p, \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch c\u00f9ng quy tr\u00ecnh c\u1ea5p c\u1ee9u (Code Blue, Code STEMI) \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng khoa h\u1ecdc, chuy\u00ean nghi\u1ec7p, b\u1ec7nh vi\u1ec7n \u0111\u00e3 th\u1ef1c hi\u1ec7n c\u1ea5p c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh l\u00fd nh\u1ed3i m\u00e1u c\u01a1 tim ph\u1ee9c t\u1ea1p \u1edf c\u1ea3 ng\u01b0\u1eddi tr\u1ebb v\u00e0 ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, mang l\u1ea1i s\u1ee9c kh\u1ecfe v\u00e0 hi v\u1ecdng s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

BS. CKII Tr\u1ea7n Nguy\u1ec5n An Huy | Tr\u01b0\u1edfng Khoa N\u1ed9i Tim m\u1ea1ch & Can thi\u1ec7p<\/em><\/strong><\/p>\n\n\n\n

B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n
60-60A (S\u1ed1 m\u1edbi 295) Phan X\u00edch Long, P.1, Q.Ph\u00fa Nhu\u1eadn, TP.HCM
T: (028) 3990 2468
Li\u00ean h\u1ec7 v\u1edbi B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n:
Fanpage<\/a> – Website<\/a> – Tiktok<\/a> – Youtube<\/a>
Chat v\u1edbi ch\u00fang t\u00f4i: m.me\/HoanMySaiGon<\/strong><\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

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

Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng c\u01a1 tim b\u1ecb thi\u1ebfu m\u00e1u nu\u00f4i v\u00e0 ho\u1ea1i t\u1eed do m\u1ea1ch v\u00e0nh (m\u1ea1ch m\u00e1u nu\u00f4i c\u01a1 tim) b\u1ecb t\u1eafc ngh\u1ebdn \u0111\u1ed9t ng\u1ed9t b\u1edfi c\u1ee5c huy\u1ebft kh\u1ed1i trong l\u00f2ng m\u1ea1ch. N\u1ebfu l\u01b0u l\u01b0\u1ee3ng m\u00e1u kh\u00f4ng \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i nhanh ch\u00f3ng, c\u01a1n nh\u1ed3i m\u00e1u c\u00f3 tim c\u1ea5p c\u00f3 th\u1ec3 […]<\/p>\n","protected":false},"author":3,"featured_media":282065,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1263],"tags":[],"class_list":["post-282064","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\/282064","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=282064"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282064\/revisions"}],"predecessor-version":[{"id":296169,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282064\/revisions\/296169"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/282065"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=282064"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=282064"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=282064"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}