{"id":11987,"date":"2021-12-24T21:19:57","date_gmt":"2021-12-24T14:19:57","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=11987"},"modified":"2021-12-24T21:19:57","modified_gmt":"2021-12-24T14:19:57","slug":"cap-cuu-benh-nhan-thuyen-tac-phoi-ngung-tim-sau-mac-covid-19","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/12\/24\/cap-cuu-benh-nhan-thuyen-tac-phoi-ngung-tim-sau-mac-covid-19\/","title":{"rendered":"C\u1ea5p c\u1ee9u b\u1ec7nh nh\u00e2n thuy\u00ean t\u1eafc ph\u1ed5i, ng\u01b0ng tim sau m\u1eafc COVID-19"},"content":{"rendered":"

B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n kh\u1ea9n v\u00e0 chuy\u1ec3n ngay v\u00e0o ph\u00f2ng m\u1ed5 trong t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf, \u0111\u1ed9 b\u00e3o h\u00f2a oxy m\u00e1u (SpO2) l\u00e0 79%, nh\u1ecbp tim nhanh 127 l\u1ea7n\/ph\u00fat, h\u1ecfi \u0111\u00e1p tr\u1ea3 l\u1eddi r\u1ea5t ch\u1eadm.<\/h2>\n
\n

S\u00e1ng 24\/12, th\u00f4ng tin t\u1eeb B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh (TP.HCM) cho hay, \u0111\u01a1n v\u1ecb n\u00e0y v\u1eeba c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng m\u1ed9t b\u1ec7nh nh\u00e2n m\u1eafc COVID-19 b\u1ecb thuy\u00ean t\u1eafc to\u00e0n b\u1ed9 hai b\u00ean ph\u1ed5i, ng\u01b0ng tim.<\/p>\n

Theo \u0111\u00f3, b\u1ec7nh nh\u00e2n N.B.T., 60 tu\u1ed5i, \u1edf qu\u1eadn G\u00f2 V\u1ea5p nh\u1eadp vi\u1ec7n c\u1ea5p c\u1ee9u v\u00e0o \u0111\u00eam ng\u00e0y 17\/12\/2021 t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n D\u00e2n Gia \u0110\u1ecbnh v\u1edbi tri\u1ec7u ch\u1ee9ng \u0111au ng\u1ef1c, kh\u00f3 th\u1edf v\u00e0 \u0111\u01b0\u1ee3c Khoa N\u1ed9i tim m\u1ea1ch ch\u1ea9n \u0111o\u00e1n thuy\u00ean t\u1eafc ph\u1ed5i g\u1ea7n nh\u01b0 to\u00e0n b\u1ed9 hai b\u00ean k\u00e8m huy\u1ebft kh\u1ed1i trong nh\u0129 ph\u1ea3i. Tr\u01b0\u1edbc \u0111\u00f3, b\u1ec7nh nh\u00e2n m\u1eafc COVID-19 v\u00e0o th\u00e1ng 11\/2021, t\u1ef1 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0, kh\u00f4ng d\u00f9ng thu\u1ed1c kh\u00e1ng \u0111\u00f4ng.<\/p>\n

B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n kh\u1ea9n v\u00e0 chuy\u1ec3n ngay v\u00e0o ph\u00f2ng m\u1ed5 khoa Ph\u1eabu thu\u1eadt tim trong t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf nhanh n\u00f4ng, t\u00edm v\u1edbi \u0111\u1ed9 b\u1ea3o h\u00f2a oxy m\u00e1u (SpO2) l\u00e0 79%, nh\u1ecbp tim nhanh 127 l\u1ea7n\/ph\u00fat, h\u1ecfi \u0111\u00e1p tr\u1ea3 l\u1eddi r\u1ea5t ch\u1eadm.<\/p>\n

Nh\u1eadn \u0111\u1ecbnh b\u1ec7nh nh\u00e2n s\u1ebd r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p v\u00e0 tu\u1ea7n ho\u00e0n c\u1ea5p, v\u1edbi kinh nghi\u1ec7m c\u1ee7a c\u00e1c ca thuy\u00ean t\u1eafc ph\u1ed5i tr\u01b0\u1edbc \u0111\u00f3, c\u00e1c y b\u00e1c s\u0129 khoa Ph\u1eabu thu\u1eadt tim \u0111\u00e3 kh\u1ea9n tr\u01b0\u01a1ng g\u00e2y m\u00ea h\u1ed3i s\u1ee9c \u0111\u1ec3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt ngay.<\/p>\n

\n
\"Zalo\"
H\u00ecnh \u1ea3nh huy\u1ebft kh\u1ed1i c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c l\u1ea5y ra. \u1ea2nh: BVCC<\/figcaption><\/figure>\n<\/div>\n

Trong khi ti\u1ebfn h\u00e0nh th\u1ef1c hi\u1ec7n c\u00e1c th\u1ee7 thu\u1eadt g\u00e2y m\u00ea h\u1ed3i s\u1ee9c, t\u00ecnh tr\u1ea1ng tim m\u1ea1ch b\u1ec7nh nh\u00e2n di\u1ec5n ti\u1ebfn x\u1ea5u v\u00e0 ng\u01b0ng tim. C\u00e1c y b\u00e1c s\u0129 ti\u1ebfn h\u00e0nh xoa b\u00f3p tim ngo\u00e0i l\u1ed3ng ng\u1ef1c \u0111\u1ed3ng th\u1eddi ti\u00eam thu\u1ed1c adrenaline li\u00ean t\u1ee5c v\u00e0o \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch trung t\u00e2m. Trong 10 ph\u00fat, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng 32 \u1ed1ng adrenaline nh\u01b0ng tim v\u1eabn kh\u00f4ng \u0111\u1eadp l\u1ea1i.<\/p>\n

Tr\u01b0\u1edbc t\u00ecnh hu\u1ed1ng \u0111\u00f3, TS.BS B\u00f9i Minh Th\u00e0nh \u2013 Tr\u01b0\u1edfng khoa Ph\u1eabu thu\u1eadt tim c\u00f9ng \u0111\u1ed3ng nghi\u1ec7p bu\u1ed9c ph\u1ea3i m\u1edf ng\u1ef1c kh\u1ea9n qua \u0111\u01b0\u1eddng c\u01b0a x\u01b0\u01a1ng \u1ee9c v\u00e0 xoa b\u00f3p tim tr\u1ef1c ti\u1ebfp. \u0110\u1ed3ng th\u1eddi \u0111\u1eb7t c\u00e1c m\u0169i kh\u00e2u l\u00ean \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 hai t\u0129nh m\u1ea1ch ch\u1ee7 \u0111\u1ec3 kh\u1edfi \u0111\u1ed9ng h\u1ec7 th\u1ed1ng tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3 nhanh nh\u1ea5t c\u00f3 th\u1ec3 \u0111\u1ec3 gi\u1ea3i quy\u1ebft t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u n\u00e3o, tim v\u00e0 c\u00e1c t\u1ea1ng trong c\u01a1 th\u1ec3.<\/p>\n

“Sau khi h\u1ea1 th\u00e2n nhi\u1ec7t, li\u1ec7t tim, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 ti\u1ebfn h\u00e0nh th\u1ee7 thu\u1eadt l\u1ea5y huy\u1ebft kh\u1ed1i l\u1ea5p \u0111\u1ea7y hai \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i tr\u00e1i, ph\u1ea3i v\u00e0 c\u00e1c nh\u00e1nh, ki\u1ec3m tra huy\u1ebft kh\u1ed1i trong c\u00e1c bu\u1ed3ng tim. Ch\u00ednh c\u00e1c huy\u1ebft kh\u1ed1i n\u00e0y \u0111\u00e3 l\u1ea5p v\u00e0 ng\u0103n kh\u00f4ng cho d\u00f2ng m\u00e1u l\u00ean ph\u1ed5i \u0111\u1ec3 trao \u0111\u1ed5i oxy g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy m\u00e1u tr\u1ea7m tr\u1ecdng v\u00e0 suy tim c\u1ea5p, d\u1eabn \u0111\u1ebfn tr\u1ee5y tim m\u1ea1ch v\u00e0 nguy c\u01a1 t\u1eed vong nhanh”, b\u00e1c s\u0129 Th\u00e0nh cho bi\u1ebft.<\/p>\n

\n
\"Zalo\"
B\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c sau ph\u1eabu thu\u1eadt. \u1ea2nh: BVCC<\/figcaption><\/figure>\n<\/div>\n

Sau 4 gi\u1edd ph\u1eabu thu\u1eadt v\u00e0 h\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n h\u00f4 h\u1ea5p b\u1eb1ng m\u00e1y tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb ti\u1ebfp t\u1ee5c. Sau 24 gi\u1edd ph\u1eabu thu\u1eadt, b\u1ec7nh nh\u00e2n t\u1ec9nh d\u1ea7n v\u00e0 \u0111\u01b0\u1ee3c r\u00fat n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 72 gi\u1edd sau \u0111\u00f3 b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh v\u1ec1 h\u00f4 h\u1ea5p tu\u1ea7n ho\u00e0n, nh\u01b0ng v\u1eabn c\u00f2n ng\u1ee7 nhi\u1ec1u v\u00e0 gi\u1ea3m tr\u00ed nh\u1edb. Sau 96 gi\u1edd, b\u1ec7nh nh\u00e2n m\u1edbi ph\u1ee5c h\u1ed3i g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n, d\u1ef1 ki\u1ebfn \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong tu\u1ea7n t\u1edbi.<\/p>\n

C\u0169ng theo TS.BS B\u00f9i Minh Th\u00e0nh, khi m\u1eafc COVID-19, b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u00f4ng m\u00e1u, nh\u1ea5t l\u00e0 h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u ph\u1ed5i, g\u00e2y t\u1eafc ngh\u1ebdn c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf r\u1ed3i c\u00e1c m\u1ea1ch m\u00e1u l\u1edbn, \u0111i k\u00e8m v\u1edbi t\u00ecnh tr\u1ea1ng th\u01b0\u01a1ng t\u1ed5n c\u00e1c ph\u1ebf nang, \u0111\u1ed9c t\u1ed1 g\u00e2y vi\u00eam nhi\u1ec5m xu\u1ea5t ti\u1ebft\u2026d\u1eabn \u0111\u1ebfn suy h\u00f4 h\u1ea5p nhanh tr\u1ea7m tr\u1ecdng v\u00e0 t\u1eed vong sau \u0111\u00f3 n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p k\u1ecbp th\u1eddi.<\/p>\n

V\u1edbi b\u1ec7nh nh\u00e2n h\u1eadu COVID-19, t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u00f4ng v\u1eabn c\u00f2n, tuy c\u00f3 gi\u1ea3m so v\u1edbi tr\u01b0\u1edbc \u0111\u00f3. \u0110i\u1ec1u n\u00e0y c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y n\u00ean s\u1ef1 h\u00ecnh th\u00e0nh c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng trong l\u00f2ng m\u1ea1ch d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng thuy\u00ean t\u1eafc m\u1ea1ch m\u00e1u chi, m\u1ea1ch m\u00e1u t\u1ea1ng v\u00e0 m\u1ea1ch ph\u1ed5i\u2026, nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/p>\n

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

B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n kh\u1ea9n v\u00e0 chuy\u1ec3n ngay v\u00e0o ph\u00f2ng m\u1ed5 trong t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf, \u0111\u1ed9 b\u00e3o h\u00f2a oxy m\u00e1u (SpO2) l\u00e0 79%, nh\u1ecbp tim nhanh 127 l\u1ea7n\/ph\u00fat, h\u1ecfi \u0111\u00e1p tr\u1ea3 l\u1eddi r\u1ea5t ch\u1eadm. S\u00e1ng 24\/12, th\u00f4ng tin t\u1eeb B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh (TP.HCM) cho hay, \u0111\u01a1n v\u1ecb n\u00e0y v\u1eeba c\u1ea5p […]<\/p>\n","protected":false},"author":4,"featured_media":11989,"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-11987","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\/11987","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=11987"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/11987\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/11989"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=11987"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=11987"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=11987"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}