{"id":12304,"date":"2022-01-11T22:41:27","date_gmt":"2022-01-11T15:41:27","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=12304"},"modified":"2022-01-11T22:41:27","modified_gmt":"2022-01-11T15:41:27","slug":"tinh-trang-thieu-oxy-tham-lang-nguy-co-khien-benh-nhan-covid-19-tro-nang","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/01\/11\/tinh-trang-thieu-oxy-tham-lang-nguy-co-khien-benh-nhan-covid-19-tro-nang\/","title":{"rendered":"T\u00ecnh tr\u1ea1ng thi\u1ebfu oxy th\u1ea7m l\u1eb7ng: Nguy c\u01a1 khi\u1ebfn b\u1ec7nh nh\u00e2n COVID-19 tr\u1edf n\u1eb7ng"},"content":{"rendered":"<h2 class=\"article-summary\">Nhi\u1ec1u ng\u01b0\u1eddi t\u1ef1 chu\u1ea9n b\u1ecb \u0111\u1ee7 c\u00e1c lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb COVID-19 trong nh\u00e0, nh\u01b0ng khi h\u1ecfi c\u00f3 thi\u1ebft b\u1ecb \u0111o SpO2 kh\u00f4ng th\u00ec l\u1ea1i kh\u00f4ng c\u00f3 ho\u1eb7c ch\u01b0a \u0111\u1ec3 \u00fd \u0111\u1ebfn&#8230;<\/h2>\n<div class=\"article-body-text\">\n<p><strong>Nguy hi\u1ec3m n\u1ebfu ch\u1ec9 s\u1ed1 SpO2 \u1edf b\u1ec7nh nh\u00e2n COVID-19 gi\u1ea3m \u0111\u1ed9t ng\u1ed9t<\/strong><\/p>\n<p>M\u1edbi \u0111\u00e2y, BS Nguy\u1ec5n Huy Ho\u00e0ng, th\u00e0nh vi\u00ean nh\u00f3m b\u00e1c s\u0129 qu\u00e2n y h\u1ed7 tr\u1ee3 ng\u01b0\u1eddi b\u1ec7nh COVID-19 \u1edf H\u00e0 N\u1ed9i, nh\u1eadn \u0111\u01b0\u1ee3c th\u00f4ng tin v\u1ec1 m\u1ed9t ca b\u1ec7nh nam gi\u1edbi 60 tu\u1ed5i \u1edf H\u00e0 N\u1ed9i, c\u00f3 b\u1ec7nh n\u1ec1n (gout) v\u00e0 ch\u01b0a ti\u00eam vaccine. B\u1ec7nh nh\u00e2n \u0111ang c\u00f3 ch\u1ec9 s\u1ed1 SpO2 (n\u1ed3ng \u0111\u1ed9 oxy m\u00e1u) \u1edf m\u1ee9c 97-98%, nh\u01b0ng t\u1ed1i c\u00f9ng ng\u00e0y b\u1ed7ng nhi\u00ean SpO2 t\u1ee5t nhanh v\u00e0 b\u1ec7nh nh\u00e2n t\u1eed vong s\u00e1ng ng\u00e0y h\u00f4m sau.<\/p>\n<p>BS Ho\u00e0ng c\u0169ng n\u00eau th\u1ef1c tr\u1ea1ng m\u1ed9t s\u1ed1 F0 h\u1ebft tri\u1ec7u ch\u1ee9ng (h\u1ebft s\u1ed1t, ng\u01b0\u1eddi kh\u1ecfe l\u00ean&#8230;) th\u1eadm ch\u00ed \u00e2m t\u00ednh sau 4-6 ng\u00e0y nh\u01b0ng \u0111\u1ebfn ng\u00e0y 8-10 th\u00ec \u0111\u1ed9t ng\u1ed9t chuy\u1ec3n n\u1eb7ng, kh\u00f4ng kh\u00f3 th\u1edf nh\u01b0ng SpO2 gi\u1ea3m ch\u1ec9 c\u00f2n 60-70% v\u00e0 c\u00f3 ng\u01b0\u1eddi \u0111\u00e3 kh\u00f4ng qua kh\u1ecfi, \u0111a s\u1ed1 \u0111\u1ec1u ph\u1ea3i nh\u1eadp vi\u1ec7n c\u1ea5p c\u1ee9u.<\/p>\n<div class=\"image-container\" title=\"C\u00e1c chuy\u00ean gia y t\u1ebf nh\u1ea5n m\u1ea1nh, c\u00f3 nh\u1eefng ng\u01b0\u1eddi n\u1ed3ng \u0111\u1ed9 oxy m\u00e1u th\u1ea5p nh\u01b0ng ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 b\u1ea5t c\u1ee9 tri\u1ec7u ch\u1ee9ng n\u00e0o. V\u00ec v\u1eady F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 m\u1ed7i ng\u00e0y c\u1ea7n ch\u1ee7 \u0111\u1ed9ng \u0111o 1-2 l\u1ea7n theo h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 ph\u00e1t hi\u1ec7n nguy c\u01a1 n\u00e0y. \u1ea2nh: Dung Ng\u1ecdc\" data-fancybox=\"group\">\n<figure><img decoding=\"async\" class=\"img-fake\" src=\"https:\/\/zalo-article-photo.zadn.vn\/784f194f2007c9599016#218490856\" alt=\"Zalo\" \/><figcaption>C\u00e1c chuy\u00ean gia y t\u1ebf nh\u1ea5n m\u1ea1nh, c\u00f3 nh\u1eefng ng\u01b0\u1eddi n\u1ed3ng \u0111\u1ed9 oxy m\u00e1u th\u1ea5p nh\u01b0ng ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 b\u1ea5t c\u1ee9 tri\u1ec7u ch\u1ee9ng n\u00e0o. V\u00ec v\u1eady F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 m\u1ed7i ng\u00e0y c\u1ea7n ch\u1ee7 \u0111\u1ed9ng \u0111o 1-2 l\u1ea7n theo h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 ph\u00e1t hi\u1ec7n nguy c\u01a1 n\u00e0y. \u1ea2nh: Dung Ng\u1ecdc<\/figcaption><\/figure>\n<\/div>\n<p>T\u1ea1i B\u1ec7nh vi\u1ec7n Nhi\u1ec7t \u0111\u1edbi TW hi\u1ec7n \u0111i\u1ec1u tr\u1ecb h\u01a1n 120 b\u1ec7nh nh\u00e2n COVID-19, trong \u0111\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p g\u1eb7p t\u00ecnh tr\u1ea1ng &#8216;thi\u1ebfu oxy th\u1ea7m l\u1eb7ng&#8217;.<\/p>\n<p>Theo TS.BS Ho\u00e0ng Thanh Tu\u1ea5n &#8211; Ph\u00f3 Ch\u1ee7 nhi\u1ec7m Khoa Ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh th\u1ea9m m\u1ef9 v\u00e0 t\u00e1i t\u1ea1o, Vi\u1ec7n B\u1ecfng Qu\u1ed1c gia, m\u1ed9t trong nh\u1eefng th\u00e0nh vi\u00ean s\u00e1ng l\u1eadp &#8220;Nh\u00f3m b\u00e1c s\u0129 qu\u00e2n y h\u1ed7 tr\u1ee3 online ch\u0103m s\u00f3c \u0111i\u1ec1u tr\u1ecb F0 t\u1ea1i nh\u00e0&#8221;, &#8216;thi\u1ebfu oxy th\u1ea7m l\u1eb7ng&#8217; hay c\u00f2n g\u1ecdi l\u00e0 t\u00ecnh tr\u1ea1ng &#8220;Happy Hypoxia&#8221; \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf nh\u01b0ng SpO2 l\u1ea1i gi\u1ea3m d\u01b0\u1edbi 94%.<\/p>\n<p>&#8220;Theo th\u1ed1ng k\u00ea, g\u1ea7n 20% b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n c\u1ea3m th\u1ea5y kh\u00f4ng h\u1ec1 kh\u00f3 th\u1edf trong khi bi\u1ec3u hi\u1ec7n CT scan b\u1ea5t th\u01b0\u1eddng (86%) v\u00e0 c\u1ea7n ph\u1ea3i b\u1ed5 sung oxy (40%). \u0110\u00e2y l\u00e0 m\u1ed9t t\u1ef7 l\u1ec7 kh\u00e1 cao do \u0111\u00f3 m\u1ecdi ng\u01b0\u1eddi c\u1ea7n h\u1ebft s\u1ee9c l\u01b0u \u00fd&#8221;- TS Tu\u1ea5n th\u00f4ng tin.<\/p>\n<p>L\u00e0m r\u00f5 h\u01a1n v\u1ec1 s\u1ef1 nguy hi\u1ec3m c\u1ee7a t\u00ecnh tr\u1ea1ng &#8216;thi\u1ebfu oxy th\u1ea7m l\u1eb7ng&#8217;, theo BS Tu\u1ea5n, \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a b\u1ec7nh, ph\u1ed5i c\u00f3 th\u1ec3 c\u00f2n gi\u00e3n n\u1edf b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng c\u00f3 s\u1ef1 gia t\u0103ng kho\u1ea3ng ch\u1ebft v\u00e0 kh\u00e1ng c\u1ef1 \u0111\u01b0\u1eddng th\u1edf. Do \u0111\u00f3, c\u00f3 th\u1ec3 trung t\u00e2m h\u00f4 h\u1ea5p kh\u00f4ng c\u1ea3m th\u1ea5y b\u1ea5t th\u01b0\u1eddng v\u1ec1 vi\u1ec7c th\u1edf. Tuy nhi\u00ean, di\u1ec5n ti\u1ebfn b\u1ec7nh c\u00f3 th\u1ec3 nhanh v\u00e0 x\u1ea3y ra t\u00ecnh tr\u1ea1ng m\u1ea5t b\u00f9 h\u00f4 h\u1ea5p. N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u1ed9t ng\u1ed9t th\u1edf nhanh, s\u00e2u c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a suy h\u00f4 h\u1ea5p ti\u1ebfn tri\u1ec3n trong COVID-19.<\/p>\n<p>&#8220;C\u00f3 th\u1ec3 hi\u1ec3u ng\u1eafn g\u1ecdn l\u00e0 b\u00ecnh th\u01b0\u1eddng ph\u1ea7n ph\u1ed5i l\u00e0nh s\u1ebd b\u00f9 cho c\u00e1c ph\u1ea7n \u0111\u00e3 t\u1ed5n th\u01b0\u01a1ng, n\u00ean v\u1edbi ng\u01b0\u1eddi h\u01a1i thi\u1ebfu oxy \u0111\u00e3 kh\u00f3 th\u1edf th\u00ec kho\u1ea3ng b\u00f9 tr\u1eeb n\u00e0y c\u00f2n l\u1edbn. Nh\u01b0ng v\u1edbi ng\u01b0\u1eddi g\u1eb7p t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy th\u1ea7m l\u1eb7ng th\u00ec kho\u1ea3ng b\u00f9 r\u1ea5t nh\u1ecf, do \u0111\u00f3 ti\u1ebfn tri\u1ec3n n\u1eb7ng s\u1ebd r\u1ea5t nhanh ch\u00f3ng ngay sau khi xu\u1ea5t hi\u1ec7n kh\u00f3 th\u1edf&#8221;, BS Tu\u1ea5n ph\u00e2n t\u00edch.<\/p>\n<p>BSCK II Nguy\u1ec5n Trung C\u1ea5p &#8211; Ph\u00f3 Gi\u00e1m \u0111\u1ed1c BV B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi TW cho bi\u1ebft, thi\u1ebfu oxy \u1edf b\u1ec7nh nh\u00e2n COVID-19 ph\u1ea3n \u00e1nh t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i m\u00e0 c\u01a1 th\u1ec3 v\u01b0\u1ee3t qua ng\u01b0\u1ee1ng c\u00f3 th\u1ec3 b\u00f9 tr\u1eeb \u0111\u01b0\u1ee3c. T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n COVID-19 \u0111\u1ec1u c\u00f3, ch\u1ec9 kh\u00e1c m\u1ee9c \u0111\u1ed9 nhi\u1ec1u, \u00edt kh\u00e1c nhau.<\/p>\n<p>Tr\u00ean 70% b\u1ec7nh nh\u00e2n COVID-19 c\u00f3 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i \u1edf m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau. Tuy nhi\u00ean, n\u1ebfu t\u1ed5n th\u01b0\u01a1ng r\u1ea5t l\u00e0 nh\u1ecf, c\u01a1 th\u1ec3 b\u00f9 tr\u1eeb \u0111\u01b0\u1ee3c, kh\u00f4ng g\u00e2y \u1ea3nh h\u01b0\u1edfng g\u00ec. T\u1ed5n th\u01b0\u01a1ng l\u1edbn h\u01a1n khi\u1ebfn c\u01a1 th\u1ec3 kh\u00f4ng b\u00f9 tr\u1eeb \u0111\u01b0\u1ee3c, bi\u1ec3u hi\u1ec7n l\u00e0 t\u1ee5t oxy trong m\u00e1u. L\u00fac n\u00e0y c\u1ea7n c\u00f3 s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed3i s\u1ee9c.<\/p>\n<p>SpO2 \u1edf ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng l\u00e0 94-100%. \u1ede b\u1ec7nh nh\u00e2n COVID-19 b\u1ecb vi\u00eam ph\u1ed5i, m\u1ee9c oxy ch\u1ec9 c\u00f2n 60-70%, th\u1eadm ch\u00ed 50%, \u0111e d\u1ecda suy h\u00f4 h\u1ea5p, d\u1eabn \u0111\u1ebfn t\u1eed vong.<\/p>\n<p><strong>Chu\u1ea9n b\u1ecb \u0111\u1ee7 lo\u1ea1i thu\u1ed1c nh\u01b0ng l\u1ea1i qu\u00ean thi\u1ebft b\u1ecb \u0111o SpO2<\/strong><\/p>\n<p>Theo BS Nguy\u1ec5n Huy Ho\u00e0ng, th\u01b0\u1eddng xuy\u00ean \u0111o SpO2 l\u00e0 m\u1ed9t trong nh\u1eefng y\u00eau c\u1ea7u c\u1ea7n thi\u1ebft v\u1edbi ng\u01b0\u1eddi b\u1ec7nh F0. &#8220;Nhi\u1ec1u ng\u01b0\u1eddi t\u1ef1 chu\u1ea9n b\u1ecb \u0111\u1ee7 c\u00e1c lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb COVID-19 trong nh\u00e0, nh\u01b0ng khi h\u1ecfi c\u00f3 thi\u1ebft b\u1ecb \u0111o SpO2 kh\u00f4ng th\u00ec l\u1ea1i kh\u00f4ng c\u00f3 ho\u1eb7c ch\u01b0a \u0111\u1ec3 \u00fd \u0111\u1ebfn. Th\u1eadm ch\u00ed khi h\u1ecfi ch\u1ec9 s\u1ed1 SpO2 c\u1ee7a F0 l\u00e0 bao nhi\u00eau th\u00ec kh\u00f4ng hi\u1ec3u g\u00ec&#8221;- BS Ho\u00e0ng n\u00eau th\u1ef1c tr\u1ea1ng.<\/p>\n<p>Do \u0111\u00f3, c\u00e1c b\u00e1c s\u0129 khuy\u1ebfn c\u00e1o \u0111\u1ed1i v\u1edbi F0 c\u00f3 b\u1ec7nh n\u1ec1n (tim m\u1ea1ch, gout, t\u0103ng huy\u1ebft \u00e1p&#8230;), ch\u01b0a ti\u00eam vaccine ho\u1eb7c ch\u01b0a \u0111\u1ee7 m\u0169i c\u00e0ng ph\u1ea3i ch\u00fa \u00fd h\u01a1n \u0111\u1ebfn t\u00ecnh hu\u1ed1ng n\u00e0y.<\/p>\n<p>Ngo\u00e0i ra, c\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn th\u1eddi gian ng\u00e0y th\u1ee9 7-10 k\u1ec3 t\u1eeb khi ph\u00e1t hi\u1ec7n b\u1ec7nh, \u0111\u00e2y c\u0169ng l\u00e0 th\u1eddi \u0111i\u1ec3m t\u00ecnh tr\u1ea1ng &#8216;happy hypoxia&#8217; c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n. N\u1ebfu SpO2 d\u01b0\u1edbi 95% \u0111\u00e3 l\u00e0 ch\u1ec9 d\u1ea5u nguy hi\u1ec3m, d\u01b0\u1edbi 90% th\u00ec c\u1eadn k\u1ec1 nguy hi\u1ec3m. T\u1eeb th\u1eddi \u0111i\u1ec3m n\u00e0y, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 th\u1edf oxy s\u1edbm v\u00e0 chuy\u1ec3n nhanh nh\u1ea5t \u0111\u1ebfn c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>C\u0169ng v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y, TS.BS Ho\u00e0ng Thanh Tu\u1ea5n nh\u1ea5n m\u1ea1nh, c\u00e1c F0 tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng ch\u1ee7 quan ch\u1ec9 c\u0103n c\u1ee9 v\u00e0o tri\u1ec7u ch\u1ee9ng kh\u00f3 th\u1edf m\u00e0 b\u1ecf qua ch\u1ec9 s\u1ed1 SpO2 tr\u00ean m\u00e1y, khi th\u1ea5y t\u1ee5t SpO2 d\u01b0\u1edbi 94% m\u00e0 ch\u01b0a kh\u00f3 th\u1edf th\u00ec h\u00e3y h\u1ebft s\u1ee9c \u0111\u1ec1 ph\u00f2ng. C\u1ea7n n\u1eb1m t\u01b0 th\u1ebf, t\u1eadp th\u1edf th\u1eadt t\u1ed1t \u0111\u1ec3 c\u1ea3i thi\u1ec7n SpO2 ngay.<\/p>\n<p>&#8220;N\u1eb1m s\u1ea5p gi\u00fap ph\u00e2n b\u1ed1 m\u00e1u cho nh\u1eefng v\u00f9ng ph\u00eda sau, r\u1ea5t quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb Covid-19 \u1edf giai \u0111o\u1ea1n s\u1edbm v\u00e0 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i gi\u00fap c\u1ea3i thi\u1ec7n oxy m\u00e1u. Ngo\u00e0i ra, nh\u1eefng v\u00f9ng ph\u1ed5i ph\u00eda sau l\u01b0ng v\u1ed1n \u00edt \u0111\u01b0\u1ee3c th\u00f4ng kh\u00ed h\u01a1n, khi n\u1eb1m s\u1ea5p nh\u1eefng v\u00f9ng ph\u1ebf nang s\u1ebd \u0111\u01b0\u1ee3c ph\u00e2n b\u1ed1 oxy h\u00edt v\u00e0o, gi\u1ea3m hi\u1ec7n t\u01b0\u1ee3ng ch\u1ed7 nhi\u1ec1u oxy m\u00e0 l\u1ea1i \u00edt m\u00e1u \u0111\u1ebfn, ch\u1ed7 \u00edt oxy m\u00e0 m\u00e1u l\u1ea1i \u0111\u1ebfn nhi\u1ec1u (c\u00e2n b\u1eb1ng th\u00f4ng kh\u00ed- t\u01b0\u1edbi m\u00e1u).&#8221;- TS.BS Ho\u00e0ng Thanh Tu\u1ea5n cho bi\u1ebft.<\/p>\n<p>Theo Quy\u1ebft \u0111\u1ecbnh s\u1ed1 4038\/Q\u0110-BYT v\u1ec1 &#8220;H\u01b0\u1edbng d\u1eabn t\u1ea1m th\u1eddi v\u1ec1 qu\u1ea3n l\u00fd ng\u01b0\u1eddi nhi\u1ec5m COVID-19 t\u1ea1i nh\u00e0&#8221; do B\u1ed9 Y t\u1ebf ban h\u00e0nh, khi ph\u00e1t hi\u1ec7n b\u1ea5t c\u1ee9 m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u d\u01b0\u1edbi \u0111\u00e2y ph\u1ea3i b\u00e1o c\u00e1o ngay v\u1edbi C\u01a1 s\u1edf qu\u1ea3n l\u00fd ng\u01b0\u1eddi nhi\u1ec5m COVID-19 t\u1ea1i nh\u00e0; tr\u1ea1m y t\u1ebf x\u00e3, ph\u01b0\u1eddng; ho\u1eb7c tr\u1ea1m y t\u1ebf l\u01b0u \u0111\u1ed9ng, Trung t\u00e2m v\u1eadn chuy\u1ec3n c\u1ea5p c\u1ee9u,\u2026 \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n vi\u1ec7n k\u1ecbp th\u1eddi:<\/p>\n<p>1) Kh\u00f3 th\u1edf.<\/p>\n<p>2) Nh\u1ecbp th\u1edf t\u0103ng:<\/p>\n<p>3) SpO2 \u2264 95% (n\u1ebfu c\u00f3 th\u1ec3 \u0111o).<\/p>\n<p>4) M\u1ea1ch nhanh &gt; 120 nh\u1ecbp\/ph\u00fat ho\u1eb7c d\u01b0\u1edbi 50 l\u1ea7n\/ph\u00fat.<\/p>\n<p>5) HA th\u1ea5p: HAT\u0110 &lt; 90 mmHg, HATT &lt; 60 mmHg.<\/p>\n<p>6) \u0110au t\u1ee9c ng\u1ef1c th\u01b0\u1eddng xuy\u00ean.<\/p>\n<p>7) Thay \u0111\u1ed5i \u00fd th\u1ee9c.<\/p>\n<p>8) T\u00edm-nh\u1ee3t m\u00f4i, \u0111\u1ea7u m\u00f3ng tay, m\u00f3ng ch\u00e2n, da xanh&#8230;<\/p>\n<p>9) Kh\u00f4ng th\u1ec3 u\u1ed1ng, b\u00fa, n\u00f4n.<\/p>\n<p>10) \u0110\u1ed1i v\u1edbi tr\u1ebb em: S\u1ed1t cao, \u0111\u1ecf m\u1eaft, m\u00f4i \u0111\u1ecf, xu\u1ea5t huy\u1ebft&#8230;<\/p>\n<p>11) B\u1ea5t k\u1ef3 t\u00ecnh tr\u1ea1ng n\u00e0o c\u1ea3m th\u1ea5y kh\u00f4ng \u1ed5n, lo l\u1eafng<\/p>\n<p>C\u00e1c chuy\u00ean gia y t\u1ebf nh\u1ea5n m\u1ea1nh, c\u00f3 nh\u1eefng ng\u01b0\u1eddi n\u1ed3ng \u0111\u1ed9 oxy m\u00e1u th\u1ea5p nh\u01b0ng ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 b\u1ea5t c\u1ee9 tri\u1ec7u ch\u1ee9ng n\u00e0o. V\u00ec v\u1eady F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 m\u1ed7i ng\u00e0y c\u1ea7n ch\u1ee7 \u0111\u1ed9ng \u0111o 1-2 l\u1ea7n theo h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 ph\u00e1t hi\u1ec7n nguy c\u01a1 n\u00e0y.<\/p>\n<p><strong>B\u1ed9 Y t\u1ebf.<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Nhi\u1ec1u ng\u01b0\u1eddi t\u1ef1 chu\u1ea9n b\u1ecb \u0111\u1ee7 c\u00e1c lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb COVID-19 trong nh\u00e0, nh\u01b0ng khi h\u1ecfi c\u00f3 thi\u1ebft b\u1ecb \u0111o SpO2 kh\u00f4ng th\u00ec l\u1ea1i kh\u00f4ng c\u00f3 ho\u1eb7c ch\u01b0a \u0111\u1ec3 \u00fd \u0111\u1ebfn&#8230; Nguy hi\u1ec3m n\u1ebfu ch\u1ec9 s\u1ed1 SpO2 \u1edf b\u1ec7nh nh\u00e2n COVID-19 gi\u1ea3m \u0111\u1ed9t ng\u1ed9t M\u1edbi \u0111\u00e2y, BS Nguy\u1ec5n Huy Ho\u00e0ng, th\u00e0nh vi\u00ean nh\u00f3m b\u00e1c [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":12301,"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-12304","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\/12304","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=12304"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12304\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/12301"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=12304"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=12304"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=12304"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}