{"id":10555,"date":"2021-10-20T08:26:32","date_gmt":"2021-10-20T01:26:32","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=10555"},"modified":"2021-10-20T08:26:32","modified_gmt":"2021-10-20T01:26:32","slug":"luu-y-ve-su-dung-cac-lieu-phap-oxy-cho-benh-nhan-covid-19-dieu-tri-tai-nha","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/10\/20\/luu-y-ve-su-dung-cac-lieu-phap-oxy-cho-benh-nhan-covid-19-dieu-tri-tai-nha\/","title":{"rendered":"L\u01b0u \u00fd v\u1ec1 s\u1eed d\u1ee5ng c\u00e1c li\u1ec7u ph\u00e1p oxy cho b\u1ec7nh nh\u00e2n COVID-19 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0"},"content":{"rendered":"

H\u1ed7 tr\u1ee3 oxy l\u00e0 m\u1ed9t trong nh\u1eefng li\u1ec7u ph\u00e1p quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n COVID-19, c\u1ea7n c\u00f3 nh\u1eefng l\u01b0u \u00fd \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n khi s\u1eed d\u1ee5ng.<\/h2>\n
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Theo PGS.TS.BS Ph\u00f9ng Nguy\u1ec5n Th\u1ebf Nguy\u00ean – Tr\u01b0\u1edfng b\u1ed9 m\u00f4n Nhi, \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c TP.HCM, h\u1ed7 tr\u1ee3 oxy l\u00e0 m\u1ed9t trong nh\u1eefng li\u1ec7u ph\u00e1p quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n m\u1eafc COVID-19. Khi ng\u01b0\u1eddi m\u1eafc COVID-19 thi\u1ebfu oxy c\u1ea7n \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 b\u1eb1ng c\u00e1c li\u1ec7u ph\u00e1p oxy.<\/p>\n

V\u1edbi b\u1ec7nh nh\u00e2n m\u1eafc COVID-19 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0, PGS.TS.BS Ph\u00f9ng Nguy\u1ec5n Th\u1ebf Nguy\u00ean cho bi\u1ebft, c\u00f3 nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi m\u1eafc COVID-19 b\u1ecb thi\u1ebfu oxy nh\u01b0ng kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p t\u1ef7 l\u1ec7 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i th\u1ea5p, ng\u01b0\u1eddi b\u1ec7nh sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng nh\u01b0ng ch\u1ec9 s\u1ed1 oxy trong m\u00e1u gi\u1ea3m -\u0111\u00e2y l\u00e0 s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa COVID-19 v\u00e0 nh\u1eefng b\u1ec7nh l\u00fd g\u00e2y thi\u1ebfu oxy kh\u00e1c.<\/p>\n

\n
\"Zalo\"
Theo d\u00f5i ch\u1ec9 s\u1ed1 SpO2 quan tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n m\u1eafc COVID-19<\/figcaption><\/figure>\n<\/div>\n

Theo BS Nguy\u00ean, khi \u0111o ch\u1ec9 s\u1ed1 SpO2 t\u1ea1i nh\u00e0 d\u01b0\u1edbi 95%, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 b\u1eb1ng li\u1ec7u ph\u00e1p oxy; n\u1ebfu d\u01b0\u1edbi 92% ng\u01b0\u1eddi b\u1ec7nh \u0111ang thi\u1ebfu oxy n\u1eb7ng.<\/p>\n

Ngo\u00e0i ra, c\u0169ng c\u00f3 th\u1ec3 d\u1ef1a tr\u00ean c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng nh\u01b0 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nh\u1ecbp th\u1edf nhanh, n\u1eb7ng tr\u00ean 30 l\u1ea7n\/ph\u00fat (nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p tr\u00ean 20 l\u1ea7n c\u0169ng \u0111\u00e3 t\u00ednh nhanh); c\u00f3 k\u00e8m bi\u1ec3u hi\u1ec7n kh\u00f3 th\u1edf, n\u00f3i kh\u00f3 (n\u00f3i t\u1eebng c\u00e2u ng\u1eafn) v\u00e3 m\u1ed3 h\u00f4i \u0111o m\u1ea1ch tr\u00ean 120 l\u1ea7n\/ph\u00fat, m\u00f4i t\u00edm t\u00e1i\u2026<\/p>\n

\n
\"Zalo\"
Khi c\u00f3 d\u1ea5u hi\u1ec7u chuy\u1ec3n n\u1eb7ng b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n \u0111\u1ec3 c\u00f3 \u0111i\u1ec1u ki\u1ec7n ch\u0103m s\u00f3c, \u0111i\u1ec1u tr\u1ecb t\u1ed1t h\u01a1n.<\/figcaption><\/figure>\n<\/div>\n

C\u00f3 2 d\u1ee5ng c\u1ee5 c\u00f3 th\u1ec3 cung c\u1ea5p oxy \u0111\u00f3 l\u00e0 c\u00e1c b\u00ecnh oxy v\u00e0 thi\u1ebft b\u1ecb t\u1ea1o kh\u00ed oxy v\u1edbi nh\u1eefng \u01b0u, nh\u01b0\u1ee3c \u0111i\u1ec3m kh\u00e1c nhau.<\/p>\n

V\u1edbi c\u00e1c b\u00ecnh t\u1ea1o ch\u1ee9a kh\u00ed oxy s\u1ebd c\u00f3 dung t\u00edch t\u1eeb 6-14 l\u00edt, khi s\u1eed d\u1ee5ng c\u1ea7n ch\u00fa \u00fd l\u01b0\u1ee3ng kh\u00ed c\u00f3 th\u1ec3 cung c\u1ea5p (6-12 ti\u1ebfng t\u00f9y theo dung t\u00edch ch\u1ee9a c\u1ee7a b\u00ecnh; v\u00ed d\u1ee5 b\u00ecnh 6 l\u00edt \u00e1p su\u1ea5t b\u01a1m kh\u00ed \u0111\u1ea1t 150bar, c\u00f3 th\u1ec3 ch\u1ee9a kho\u1ea3ng 900 l\u00edt kh\u00ed oxy v\u1edbi t\u1ed1c \u0111\u1ed9 s\u1eed d\u1ee5ng 2 l\u00edt\/ ph\u00fat th\u00ec c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng t\u1eeb 7-8 gi\u1edd; n\u1ebfu d\u00f9ng 5 l\u00edt\/ph\u00fat th\u00ec kho\u1ea3ng 3 gi\u1edd).<\/p>\n

B\u00ecnh oxy c\u00f3 khuy\u1ebft \u0111i\u1ec3m l\u00e0 c\u1ed3ng k\u1ec1nh, n\u1eb7ng, d\u1ec5 ch\u00e1y n\u1ed5, nhanh h\u1ebft oxy c\u1ea7n ph\u1ea3i thay b\u00ecnh; \u01b0u \u0111i\u1ec3m c\u00f3 th\u1ec3 cung c\u1ea5p \u0111\u01b0\u1ee3c l\u01b0u l\u01b0\u1ee3ng oxy cao tr\u00ean 6 l\u00edt\/ph\u00fat khi c\u1ea7n th\u1edf mask \u0111\u1ec3 tr\u00e1nh vi\u1ec7c cung c\u1ea5p kh\u00f4ng \u0111\u1ee7 l\u01b0u l\u01b0\u1ee3ng oxy, ng\u01b0\u1eddi b\u1ec7nh h\u00edt ng\u01b0\u1ee3c tr\u1edf l\u1ea1i lu\u1ed3ng kh\u00ed v\u1eeba th\u1edf ra v\u1edbi h\u00e0m l\u01b0\u1ee3ng CO2 cao thay v\u00ec h\u00e0m l\u01b0\u1ee3ng oxy c\u1ea7n cung c\u1ea5p.<\/p>\n

M\u00e1y t\u1ea1o oxy d\u00f9 c\u00f3 s\u1ef1 thu\u1eadn ti\u1ec7n tuy nhi\u00ean gi\u00e1 th\u00e0nh cao, g\u00e2y \u1ed3n; dung l\u01b0\u1ee3ng oxy c\u00f3 th\u1ec3 cung c\u1ea5p th\u01b0\u1eddng \u1edf m\u1ee9c t\u1eeb 1-5 l\u00edt\/ph\u00fat, khi c\u1ea7n cung c\u1ea5p l\u01b0u l\u01b0\u1ee3ng oxy cao thi\u1ebft b\u1ecb s\u1ebd kh\u00f4ng th\u1ec3 \u0111\u00e1p \u1ee9ng \u0111\u1ee7.<\/p>\n

V\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u1ea7n h\u1ed7 tr\u1ee3 c\u1ee7a li\u1ec7u ph\u00e1p oxy, n\u1ebfu th\u1ef1c hi\u1ec7n \u0111\u00fang, ph\u00f9 h\u1ee3p sau 20-30 ph\u00fat n\u1ed3ng \u0111\u1ed9 SpO2 s\u1ebd c\u00f3 th\u1ec3 l\u1edbn h\u01a1n 96%, ng\u01b0\u1eddi b\u1ec7nh h\u1ed3ng h\u00e0o, c\u1ea3m th\u1ea5y c\u01a1 th\u1ec3 kh\u1ecfe h\u01a1n, \u00edt \u0111\u1ed5 m\u1ed3 h\u00f4i, kh\u00f4ng c\u00f2n g\u1eafng s\u1ee9c.<\/p>\n

Theo PGS. TS. BS Ph\u00f9ng Nguy\u1ec5n Th\u1ebf Nguy\u00ean, vi\u1ec7c cho ph\u00e9p ng\u01b0\u1eddi b\u1ec7nh COVID-19 \u0111\u01b0\u1ee3c theo d\u00f5i \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 gi\u00fap mang l\u1ea1i t\u00e2m l\u00fd tho\u1ea3i m\u00e1i cho ng\u01b0\u1eddi b\u1ec7nh, tuy nhi\u00ean c\u1ea7n ch\u00fa \u00fd c\u00e1c bi\u1ec7n ph\u00e1p ch\u0103m s\u00f3c cho b\u1ea3n th\u00e2n, t\u00ecm hi\u1ec3u \u0111\u1ea7y \u0111\u1ee7 th\u00f4ng tin, nh\u1eadn bi\u1ebft c\u00e1c c\u00e1c d\u1ea5u hi\u1ec7u chuy\u1ec3n n\u1eb7ng; Khi c\u00f3 d\u1ea5u hi\u1ec7u n\u1eb7ng n\u00ean \u0111\u1ebfn b\u1ec7nh vi\u1ec7n ngay \u0111\u1ec3 c\u00f3 s\u1ef1 h\u1ed7 tr\u1ee3 t\u1ed1t nh\u1ea5t; Bi\u1ebft s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p oxy, t\u00fai thu\u1ed1c B trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ch\u01b0a \u0111\u1ebfn b\u1ec7nh vi\u1ec7n ngay \u0111\u01b0\u1ee3c.<\/p>\n<\/div>\n

Ngu\u1ed3n: B\u1ed9 Y t\u1ebf.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

H\u1ed7 tr\u1ee3 oxy l\u00e0 m\u1ed9t trong nh\u1eefng li\u1ec7u ph\u00e1p quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n COVID-19, c\u1ea7n c\u00f3 nh\u1eefng l\u01b0u \u00fd \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n khi s\u1eed d\u1ee5ng. Theo PGS.TS.BS Ph\u00f9ng Nguy\u1ec5n Th\u1ebf Nguy\u00ean – Tr\u01b0\u1edfng b\u1ed9 m\u00f4n Nhi, \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c TP.HCM, h\u1ed7 tr\u1ee3 oxy l\u00e0 m\u1ed9t trong nh\u1eefng […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[241,235],"tags":[],"class_list":["post-10555","post","type-post","status-publish","format-standard","hentry","category-cap-nhat-tin-covid","category-phong-chong-covid-19"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/10555","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=10555"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/10555\/revisions"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=10555"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=10555"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=10555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}