{"id":11214,"date":"2021-11-17T21:24:21","date_gmt":"2021-11-17T14:24:21","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=11214"},"modified":"2021-11-17T21:24:21","modified_gmt":"2021-11-17T14:24:21","slug":"dat-ecmo-cuu-song-benh-nhan-beo-phi-mac-covid-19-nguy-kich","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/11\/17\/dat-ecmo-cuu-song-benh-nhan-beo-phi-mac-covid-19-nguy-kich\/","title":{"rendered":"\u0110\u1eb7t ECMO c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n b\u00e9o ph\u00ec m\u1eafc COVID-19 nguy k\u1ecbch"},"content":{"rendered":"

Ng\u00e0y 16\/11, tin t\u1eeb Trung t\u00e2m H\u1ed3i s\u1ee9c COVID-19 TW Hu\u1ebf t\u1ea1i TP HCM (Trung t\u00e2m ICU thu\u1ed9c BV TW Hu\u1ebf) cho bi\u1ebft, th\u00eam m\u1ed9t b\u1ec7nh nh\u00e2n m\u1eafc COVID-19 nguy k\u1ecbch \u0111\u01b0\u1ee3c c\u1ee9u b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p \u0111\u1eb7t ECMO.<\/h2>\n
\n

\u0110\u00f3 l\u00e0 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n n\u1eef (SN 1974, qu\u00ea \u1edf TP V\u0169ng T\u00e0u). Tr\u01b0\u1edbc \u0111\u00f3, b\u1ec7nh nh\u00e2n n\u00e0y nhi\u1ec5m SARS-CoV2 v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i tuy\u1ebfn d\u01b0\u1edbi. Tuy nhi\u00ean, sau 2 ng\u00e0y \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh di\u1ec5n bi\u1ebfn tr\u1edf n\u1eb7ng n\u00ean \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn trung t\u00e2m ICU thu\u1ed9c BV TW Hu\u1ebf v\u00e0o l\u00fac 18h ng\u00e0y 10\/10.<\/p>\n

\n
\"Zalo\"
Sau th\u1eddi gian \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c cho xu\u1ea5t vi\u1ec7n v\u00e0 \u0111\u01b0\u1ee3c \u0111ua v\u1ec1 nh\u00e0 b\u1eb1ng chuy\u1ebfn xe 0 \u0111\u1ed3ng.<\/figcaption><\/figure>\n<\/div>\n

T\u1ea1i th\u1eddi \u0111i\u1ec3m ti\u1ebfp nh\u1eadn, b\u1ec7nh nh\u00e2n h\u00f4n m\u00ea, th\u1edf m\u00e1y, da ni\u00eam m\u1ea1c nh\u1ea1t, m\u1ea1ch nhanh c\u00f9ng ti\u1ec1n s\u1eed b\u00e9o ph\u00ec v\u00e0 t\u0103ng huy\u1ebft \u00e1p. Sau khi h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c b\u1ec7nh v\u1eabn kh\u00f4ng c\u1ea3i thi\u1ec7n c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 ti\u1ebfn h\u00e0nh \u0111\u1eb7t catheter HA \u0111\u1ed9ng m\u1ea1ch x\u00e2m l\u1ea5n v\u00e0o l\u00fac18h30 ng\u00e0y 11\/10.<\/p>\n

BS. CKII V\u00f5 \u0110\u1ea1i Quy\u1ec1n – Tr\u01b0\u1edfng b\u1ed9 ph\u1eadn nguy k\u1ecbch, Trung t\u00e2m ICU thu\u1ed9c BV TW Hu\u1ebf cho bi\u1ebft, sau khi ti\u1ebfp nh\u1eadn b\u1ec7nh nh\u00e2n, \u00ea-k\u00edp b\u00e1c s\u0129 \u0111\u00e3 ti\u00ean l\u01b0\u1ee3ng tr\u01b0\u1eddng h\u1ee3p n\u00e0y s\u1ebd ti\u1ebfn tri\u1ec3n x\u1ea5u, kh\u1ea3 n\u0103ng t\u1eed vong cao, d\u1ef1a v\u00e0o c\u00e1c ch\u1ec9 s\u1ed1 c\u1eadn l\u00e2m s\u00e0ng v\u00e0 kh\u00e1m l\u00e2m s\u00e0ng \u0111\u00e3 \u0111\u1ee7 ti\u00eau chu\u1ea9n \u0111\u1ec3 can thi\u1ec7p cho b\u1ec7nh nh\u00e2n ch\u1ea1y ECMO (tu\u1ea7n ho\u00e0n tim ph\u1ed5i nh\u00e2n t\u1ea1o).<\/p>\n

L\u00fac 9h ng\u00e0y 12\/10, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1eb7t ECM0. Sau khi \u0111\u1eb7t ECMO, t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u1ea3i thi\u1ec7n, \u0111\u1ebfn 15h ng\u00e0y 27\/10, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c d\u1eebng ECMO chuy\u1ec3n sang th\u1edf m\u00e1y. \u0110\u1ebfn ng\u00e0y 11\/11 b\u1ec7nh nh\u00e2n c\u1ea3i thi\u1ec7n nhanh, x\u00e9t nghi\u1ec7m \u00e2m t\u00ednh v\u1edbi SARS-CoV-2.<\/p>\n

\n
\"Zalo\"
B\u1ee9c th\u01b0 c\u1ea3m \u01a1n c\u00e1c y, b\u00e1c s\u0129 c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh.<\/figcaption><\/figure>\n<\/div>\n

Hi\u1ec7n s\u1ee9c kho\u1ebb c\u1ee7a n\u1eef b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u00e3 ph\u1ee5c h\u1ed3i v\u00e0 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n. Ng\u00e0y 15\/11 b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh g\u1eedi Th\u01b0 c\u1ea3m \u01a1n g\u1eedi \u0111\u1ebfn \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 trung t\u00e2m ICU thu\u1ed9c BV TW Hu\u1ebf.<\/p>\n

TS. BS Nguy\u1ec5n Thanh Xu\u00e2n \u2013 Ph\u00f3 Gi\u00e1m \u0111\u1ed1c BV TW Hu\u1ebf cho bi\u1ebft, Trung t\u00e2m H\u1ed3i s\u1ee9c COVID-19 TW Hu\u1ebf t\u1ea1i TP HCM l\u00e0 tuy\u1ebfn cao nh\u1ea5t chuy\u00ean \u0111i\u1ec1u tr\u1ecb c\u00e1c ca nhi\u1ec5m COVID-19 n\u1eb7ng, nguy k\u1ecbch. Trung t\u00e2m \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp v\u00e0 \u0111i v\u00e0o ho\u1ea1t t\u1eeb th\u00e1ng 8\/2021. Sau g\u1ea7n 3 th\u00e1ng ho\u1ea1t \u0111\u1ed9ng, v\u1edbi \u0111\u1ed9i ng\u0169 nh\u00e2n l\u1ef1c y t\u1ebf c\u00f3 tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n cao v\u00e0 kinh nghi\u1ec7m trong l\u0129nh v\u1ef1c h\u1ed3i s\u1ee9c, trung t\u00e2m \u0111\u00e3 c\u1ee9u s\u1ed1ng nhi\u1ec1u b\u1ec7nh nh\u00e2n n\u1eb7ng nguy k\u1ecbch v\u00e0 g\u00f3p ph\u1ea7n t\u00edch c\u1ef1c ki\u1ec3m so\u00e1t d\u1ecbch COVID t\u1ea1i TP HCM.<\/p>\n

“\u0110\u1ebfn nay trung t\u00e2m \u0111\u00e3 ti\u1ebfp nh\u1eadn, \u0111i\u1ec1u tr\u1ecb g\u1ea7n 1.600 b\u1ec7nh nh\u00e2n n\u1eb7ng v\u00e0 nguy k\u1ecbch. Th\u1ef1c hi\u1ec7n h\u01a1n 150 ca ph\u1eabu thu\u1eadt, h\u01a1n 90.000 th\u1ee7 thu\u1eadt v\u00e0 th\u1ef1c hi\u1ec7n h\u01a1n 200.000 k\u1ef9 thu\u1eadt kh\u00e1c. Hi\u1ec7n trung t\u00e2m \u0111ang \u0111i\u1ec1u tr\u1ecb cho h\u01a1n 200 b\u1ec7nh nh\u00e2n n\u1eb7ng v\u00e0 nguy k\u1ecbch, d\u1ef1 ki\u1ebfn th\u00e1ng 12\/2021 BV TW Hu\u1ebf s\u1ebd b\u00e0n giao trung t\u00e2m n\u00e0y cho b\u1ec7nh vi\u1ec7n D\u00e3 chi\u1ebfn s\u1ed1 14 theo ch\u1ec9 \u0111\u1ea1o c\u1ee7a B\u1ed9 Y t\u1ebf”, TS. BS Nguy\u1ec5n Thanh Xu\u00e2n cho bi\u1ebft th\u00eam.<\/p>\n

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

Ng\u00e0y 16\/11, tin t\u1eeb Trung t\u00e2m H\u1ed3i s\u1ee9c COVID-19 TW Hu\u1ebf t\u1ea1i TP HCM (Trung t\u00e2m ICU thu\u1ed9c BV TW Hu\u1ebf) cho bi\u1ebft, th\u00eam m\u1ed9t b\u1ec7nh nh\u00e2n m\u1eafc COVID-19 nguy k\u1ecbch \u0111\u01b0\u1ee3c c\u1ee9u b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p \u0111\u1eb7t ECMO. \u0110\u00f3 l\u00e0 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n n\u1eef (SN 1974, qu\u00ea \u1edf TP V\u0169ng T\u00e0u). Tr\u01b0\u1edbc \u0111\u00f3, b\u1ec7nh […]<\/p>\n","protected":false},"author":4,"featured_media":11210,"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-11214","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cap-nhat-tin-covid","category-phong-chong-covid-19"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/11214","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=11214"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/11214\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/11210"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=11214"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=11214"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=11214"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}