{"id":282222,"date":"2025-07-03T10:49:37","date_gmt":"2025-07-03T03:49:37","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/biet-doi-cap-cuu-916-cuu-song-nguoi-benh-ngung-tim-nguy-kich\/"},"modified":"2025-11-08T09:52:37","modified_gmt":"2025-11-08T02:52:37","slug":"biet-doi-cap-cuu-916-cuu-song-nguoi-benh-ngung-tim-nguy-kich","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/biet-doi-cap-cuu-916-cuu-song-nguoi-benh-ngung-tim-nguy-kich\/","title":{"rendered":"Bi\u1ec7t \u0111\u1ed9i c\u1ea5p c\u1ee9u 916 c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh ng\u01b0ng tim nguy k\u1ecbch"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em>Bi\u1ec7t \u0111\u1ed9i C\u1ea5p c\u1ee9u 916 (c\u1ea5p c\u1ee9u t\u1ea1i nh\u00e0 \u2013 s\u1ed1 \u0111i\u1ec7n tho\u1ea1i 02923 916 916) c\u1ee7a B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long, th\u00e0nh vi\u00ean t\u1eadp \u0111o\u00e0n y khoa Ho\u00e0n M\u1ef9 \u0111\u00e3 c\u1ee9u s\u1ed1ng th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p ng\u01b0ng tim nguy k\u1ecbch do nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p bi\u1ebfn ch\u1ee9ng r\u1ed1i lo\u1ea1n nh\u1ecbp tim.<\/em><\/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\/c686bf87929a26c47f8b-1024x791-1.jpg\" alt=\"\" class=\"wp-image-175041\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long v\u1eeba c\u1ee9u s\u1ed1ng tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh b\u1ecb ng\u01b0ng tim nguy k\u1ecbch <\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c c\u1ee9u s\u1ed1ng l\u00e0 \u00f4ng T.\u0110.H (65 tu\u1ed5i, \u0111\u1ecba ch\u1ec9 t\u1ea1i qu\u1eadn C\u00e1i R\u0103ng, Tp. C\u1ea7n Th\u01a1). C\u00e1ch nh\u1eadp vi\u1ec7n kho\u1ea3ng 4 gi\u1edd, \u00f4ng H \u0111\u1ed9t ng\u1ed9t l\u00ean c\u01a1n \u0111au ng\u1ef1c, v\u00e3 m\u1ed3 h\u00f4i, kh\u00f3 th\u1edf, t\u00ecnh tr\u1ea1ng \u0111au ng\u00e0y c\u00e0ng t\u0103ng. Ng\u01b0\u1eddi nh\u00e0 \u0111\u00e3 \u0111\u01b0a \u00f4ng H \u0111\u1ebfn tr\u1ea1m y t\u1ebf \u0111\u1ecba ph\u01b0\u01a1ng \u0111o huy\u1ebft \u00e1p t\u1ee5t v\u00e0 \u0111o \u0111i\u1ec7n tim c\u00f3 d\u1ea5u hi\u1ec7u nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p. Sau \u0111\u00f3 gia \u0111\u00ecnh \u0111\u00e3 g\u1ecdi c\u1ea5p c\u1ee9u ngo\u1ea1i vi\u1ec7n B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long qua s\u1ed1 \u0111i\u1ec7n tho\u1ea1i 02923 916 916.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1eadn \u0111\u01b0\u1ee3c th\u00f4ng tin, Bi\u1ec7t \u0111\u1ed9i C\u1ea5p c\u1ee9u 916 (c\u1ea5p c\u1ee9u t\u1ea1i nh\u00e0) c\u1ee7a B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long nhanh ch\u00f3ng xu\u1ea5t ph\u00e1t. Khi \u0111\u1ebfn n\u01a1i, c\u00e1c b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p, nguy c\u01a1 ng\u01b0ng tim cao v\u00e0 c\u1ea7n v\u1eadn chuy\u1ec3n kh\u1ea9n c\u1ea5p \u0111\u1ebfn b\u1ec7nh vi\u1ec7n. Trong qu\u00e1 tr\u00ecnh di chuy\u1ec3n, t\u00ecnh hu\u1ed1ng nguy hi\u1ec3m nh\u1ea5t \u0111\u00e3 x\u1ea3y ra: b\u1ec7nh nh\u00e2n ng\u01b0ng tim \u0111\u1ed9t ng\u1ed9t. Kh\u00f4ng \u0111\u1ec3 ch\u1eadm tr\u1ec5 d\u00f9 ch\u1ec9 m\u1ed9t gi\u00e2y, \u0111\u1ed9i c\u1ea5p c\u1ee9u l\u1eadp t\u1ee9c th\u1ef1c hi\u1ec7n h\u1ed3i s\u1ee9c tim ph\u1ed5i ngay tr\u00ean xe c\u1ee9u th\u01b0\u01a1ng, bao g\u1ed3m xoa b\u00f3p tim ngo\u00e0i l\u1ed3ng ng\u1ef1c, h\u1ed7 tr\u1ee3 \u0111\u01b0\u1eddng th\u1edf, ti\u00eam thu\u1ed1c tr\u1ee3 tim, \u0111\u1ed3ng th\u1eddi g\u1ecdi b\u00e1o tr\u01b0\u1edbc cho khoa C\u1ea5p c\u1ee9u \u0111\u1ec3 s\u1eb5n s\u00e0ng ti\u1ebfp nh\u1eadn b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Khi \u0111\u1ebfn b\u1ec7nh vi\u1ec7n, quy tr\u00ecnh CODE BLUE v\u00e0 CODE STEMI ngay l\u1eadp t\u1ee9c \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t. CODE BLUE gi\u00fap c\u1ea5p c\u1ee9u ng\u01b0\u1eddi b\u1ec7nh ng\u01b0ng tim, ng\u01b0ng th\u1edf, trong khi CODE STEMI t\u1ed1i \u01b0u h\u00f3a th\u1eddi gian v\u00e0 ngu\u1ed3n l\u1ef1c \u0111\u1ec3 c\u1ea5p c\u1ee9u ng\u01b0\u1eddi b\u1ec7nh nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p. Ngay khi b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 ti\u1ebfn h\u00e0nh s\u1ed1c \u0111i\u1ec7n kh\u1eed rung k\u1ebft h\u1ee3p h\u1ed3i s\u1ee9c tim ph\u1ed5i n\u00e2ng cao. Sau kho\u1ea3ng 10 ph\u00fat ng\u01b0ng tim, tim b\u1ec7nh nh\u00e2n b\u1eaft \u0111\u1ea7u \u0111\u1eadp tr\u1edf l\u1ea1i.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ngay sau khi tim t\u00e1i l\u1eadp nh\u1ecbp \u0111\u1eadp, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn ph\u00f2ng can thi\u1ec7p m\u1ea1ch s\u1ed1 h\u00f3a x\u00f3a n\u1ec1n (DSA) hai b\u00ecnh di\u1ec7n \u0111\u1ec3 ch\u1ee5p m\u1ea1ch v\u00e0nh, \u0111\u1eb7t m\u00e1y t\u1ea1o nh\u1ecbp t\u1ea1m th\u1eddi h\u1ed7 tr\u1ee3 nh\u1ecbp tim v\u00e0 can thi\u1ec7p \u0111\u1eb7t m\u1ed9t stent ph\u1ee7 thu\u1ed1c m\u1edf th\u00f4ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i. Sau khi can thi\u1ec7p th\u00e0nh c\u00f4ng, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c chuy\u1ec3n v\u00e0o khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c &amp; Ch\u1ed1ng \u0111\u1ed9c (ICU) \u0111\u1ec3 ti\u1ebfp t\u1ee5c h\u1ed3i s\u1ee9c b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p h\u1ea1 th\u00e2n nhi\u1ec7t ch\u1ec9 huy, gi\u00fap gi\u1ea3m t\u1ed1i \u0111a t\u1ed5n th\u01b0\u01a1ng n\u00e3o sau ng\u01b0ng tim. Nh\u1edd quy tr\u00ecnh x\u1eed tr\u00ed nhanh ch\u00f3ng v\u00e0 ch\u00ednh x\u00e1c, b\u1ec7nh nh\u00e2n d\u1ea7n h\u1ed3i ph\u1ee5c v\u00e0 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n sau 7 ng\u00e0y trong t\u00ecnh tr\u1ea1ng \u1ed5n \u0111\u1ecbnh, kh\u1ecfe m\u1ea1nh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Theo BS.CKI. Th\u1ea1ch Som Anh, khoa C\u1ea5p C\u1ee9u, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long: \u201c<em>Th\u1eddi gian l\u00e0 y\u1ebfu t\u1ed1 s\u1ed1ng c\u00f2n trong c\u1ea5p c\u1ee9u nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p. \u0110\u1ed9i ng\u0169 c\u1ea5p c\u1ee9u \u0111\u00e3 t\u1eadn d\u1ee5ng t\u1eebng gi\u00e2y ph\u00fat \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh t\u1eeb c\u1ea5p c\u1ee9u ngo\u1ea1i vi\u1ec7n cho \u0111\u1ebfn c\u00e1c b\u01b0\u1edbc x\u1eed tr\u00ed t\u1ea1i b\u1ec7nh vi\u1ec7n. Vi\u1ec7c k\u00edch ho\u1ea1t CODE STEMI &#8211; CODE BLUE k\u1ecbp th\u1eddi g\u00f3p ph\u1ea7n gi\u00fap c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh.<\/em>\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00f9ng quan \u0111i\u1ec3m, BS.CKI. Tr\u1ea7n Thanh Khi\u1ebft, Tr\u01b0\u1edfng khoa C\u1ea5p C\u1ee9u chia s\u1ebb: \u201c<em>B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long \u0111\u00e3 tri\u1ec3n khai quy tr\u00ecnh CODE STEMI &#8211; CODE BLUE nhi\u1ec1u n\u0103m qua, v\u1edbi s\u1ef1 ph\u1ed1i h\u1ee3p nh\u1ecbp nh\u00e0ng gi\u1eefa c\u00e1c khoa ph\u00f2ng. \u0110\u1ed9i CODE lu\u00f4n s\u1eb5n s\u00e0ng 24\/7, ngay khi k\u00edch ho\u1ea1t, to\u00e0n b\u1ed9 b\u00e1c s\u0129, \u0111i\u1ec1u d\u01b0\u1ee1ng, nh\u00e2n vi\u00ean y t\u1ebf t\u1eeb nhi\u1ec1u chuy\u00ean khoa l\u1eadp t\u1ee9c c\u00f3 m\u1eb7t v\u00e0 ph\u1ed1i h\u1ee3p c\u1ea5p c\u1ee9u \u0111\u1ed3ng b\u1ed9, chuy\u00ean nghi\u1ec7p. \u0110\u00e2y ch\u00ednh l\u00e0 y\u1ebfu t\u1ed1 gi\u00fap n\u00e2ng cao t\u1ef7 l\u1ec7 c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n<\/em>.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p l\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u tim m\u1ea1ch t\u1ed1i kh\u1ea9n c\u1ea5p v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong cao, \u0111\u1eb7c bi\u1ec7t khi c\u00f3 bi\u1ebfn ch\u1ee9ng ng\u01b0ng tim, r\u1ed1i lo\u1ea1n nh\u1ecbp, v\u1ee1 tim. Nh\u1eadn bi\u1ebft s\u1edbm c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng gi\u00fap gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng v\u00e0 t\u1eed vong. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea7n l\u01b0u \u00fd g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110au ng\u1ef1c d\u1eef d\u1ed9i (c\u00f3 th\u1ec3 lan ra tay, h\u00e0m, l\u01b0ng)<\/li>\n\n\n\n<li>V\u00e3 m\u1ed3 h\u00f4i, kh\u00f3 th\u1edf, xanh t\u00e1i<\/li>\n\n\n\n<li>H\u1ed1t ho\u1ea3ng, h\u1ed3i h\u1ed9p, cho\u00e1ng v\u00e1ng<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t k\u1ef3 ai, k\u1ec3 c\u1ea3 ng\u01b0\u1eddi tr\u1ebb. Nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u01a1 cao nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u, th\u1eeba c\u00e2n, h\u00fat thu\u1ed1c l\u00e1, l\u00e0m vi\u1ec7c c\u0103ng th\u1eb3ng, \u00edt v\u1eadn \u0111\u1ed9ng n\u00ean t\u1ea7m so\u00e1t s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n T.\u0110.H. l\u00e0 minh ch\u1ee9ng r\u00f5 n\u00e9t cho hi\u1ec7u qu\u1ea3 c\u1ee7a h\u1ec7 th\u1ed1ng c\u1ea5p c\u1ee9u ngo\u1ea1i vi\u1ec7n v\u00e0 n\u1ed9i vi\u1ec7n. Bi\u1ec7t \u0111\u1ed9i C\u1ea5p c\u1ee9u 916 \u0111\u00e3 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n ngay t\u1eeb tuy\u1ebfn \u0111\u1ea7u, trong khi CODE STEMI &#8211; CODE BLUE \u0111\u1ea3m b\u1ea3o quy tr\u00ecnh c\u1ea5p c\u1ee9u chuy\u00ean nghi\u1ec7p, kh\u00f4ng b\u1ecf l\u1ee1 b\u1ea5t k\u1ef3 c\u01a1 h\u1ed9i n\u00e0o \u0111\u1ec3 gi\u00e0nh l\u1ea1i s\u1ef1 s\u1ed1ng.<strong><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bi\u1ec7t \u0111\u1ed9i C\u1ea5p c\u1ee9u 916 (c\u1ea5p c\u1ee9u t\u1ea1i nh\u00e0 \u2013 s\u1ed1 \u0111i\u1ec7n tho\u1ea1i 02923 916 916) c\u1ee7a B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long, th\u00e0nh vi\u00ean t\u1eadp \u0111o\u00e0n y khoa Ho\u00e0n M\u1ef9 \u0111\u00e3 c\u1ee9u s\u1ed1ng th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p ng\u01b0ng tim nguy k\u1ecbch do nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p bi\u1ebfn ch\u1ee9ng r\u1ed1i lo\u1ea1n nh\u1ecbp tim. [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":282223,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1745],"tags":[],"class_list":["post-282222","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\/282222","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=282222"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282222\/revisions"}],"predecessor-version":[{"id":295965,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282222\/revisions\/295965"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/282223"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=282222"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=282222"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=282222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}