{"id":12553,"date":"2022-01-29T20:17:48","date_gmt":"2022-01-29T13:17:48","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=12553"},"modified":"2022-01-29T20:17:48","modified_gmt":"2022-01-29T13:17:48","slug":"moi-5-muc-do-phan-loai-benh-covid-19-trong-huong-dan-vua-ban-hanh-cua-bo-y-te","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/01\/29\/moi-5-muc-do-phan-loai-benh-covid-19-trong-huong-dan-vua-ban-hanh-cua-bo-y-te\/","title":{"rendered":"M\u1edbi: 5 m\u1ee9c \u0111\u1ed9 ph\u00e2n lo\u1ea1i b\u1ec7nh COVID-19 trong h\u01b0\u1edbng d\u1eabn v\u1eeba ban h\u00e0nh c\u1ee7a B\u1ed9 Y t\u1ebf"},"content":{"rendered":"<h2 class=\"article-summary\">Trong h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 m\u1edbi nh\u1ea5t, B\u1ed9 Y t\u1ebf b\u1ed5 sung nh\u00f3m F0 kh\u00f4ng tri\u1ec7u ch\u1ee9ng v\u00e0o ph\u1ea7n ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 b\u1ec7nh COVID-19, b\u00ean c\u1ea1nh 4 nh\u00f3m nh\u1eb9, trung b\u00ecnh, n\u1eb7ng v\u00e0 nguy k\u1ecbch \u0111\u00e3 c\u00f3 tr\u01b0\u1edbc \u0111\u00f3.<\/h2>\n<div class=\"article-body-text\">\n<p>Ng\u00e0y 28\/1, B\u1ed9 Y t\u1ebf c\u00f3 Quy\u1ebft \u0111\u1ecbnh 250\/Q\u0110-BYT v\u1ec1 vi\u1ec7c ban h\u00e0nh &#8220;H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19&#8221;, thay th\u1ebf cho h\u01b0\u1edbng d\u1eabn ban h\u00e0nh tr\u01b0\u1edbc \u0111\u00f3 t\u1ea1i Quy\u1ebft \u0111\u1ecbnh 4689 ng\u00e0y 6\/10\/2021 va\u0300 Quy\u00ea\u0301t \u0111i\u0323nh s\u00f4\u0301 5666\/Q\u0110-BYT nga\u0300y 12\/12\/2021 cu\u0309a B\u1ecd\u0302 tru\u031b\u01a1\u0309ng B\u1ecd\u0302 Y t\u00ea\u0301, v\u00ea\u0300 vi\u1eb9\u0302c s\u01b0\u0309a \u0111\u00f4\u0309i, b\u00f4\u0309 sung m\u1ecd\u0302t s\u00f4\u0301 \u0111i\u00ea\u0309m cu\u0309a Hu\u031b\u01a1\u0301ng d\u00e2\u0303n ch\u00e2\u0309n \u0111oa\u0301n va\u0300 \u0111i\u00ea\u0300u tri\u0323 COVID-19 ban ha\u0300nh ke\u0300m theo Quy\u00ea\u0301t \u0111i\u0323nh s\u00f4\u0301 4689\/Q\u0110-BYT. \u0110\u00e2y l\u00e0 phi\u00ean b\u1ea3n l\u1ea7n th\u1ee9 8 \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf c\u1eadp nh\u1eadt, b\u1ed5 sung.<\/p>\n<p><strong>D\u1ea5u hi\u1ec7u ch\u1ea9n \u0111o\u00e1n m\u1eafc COVID-19<\/strong><\/p>\n<p>Theo h\u01b0\u1edbng d\u1eabn n\u00e0y, tru\u031b\u01a1\u0300ng h\u01a1\u0323p b\u1eb9\u0302nh nghi ng\u01a1\u0300 m\u1eafc COVID-19 la\u0300 ngu\u031b\u01a1\u0300i ti\u00ea\u0301p xu\u0301c g\u00e2\u0300n ho\u1ea1\u0306c la\u0300 ngu\u031b\u01a1\u0300i co\u0301 y\u00ea\u0301u t\u00f4\u0301 di\u0323ch t\u00ea\u0303 va\u0300 co\u0301 i\u0301t nh\u00e2\u0301t 2 trong s\u00f4\u0301 ca\u0301c bi\u00ea\u0309u hi\u1eb9\u0302n la\u0302m sa\u0300ng sau \u0111a\u0302y: s\u00f4\u0301t; ho; \u0111au ho\u0323ng; cha\u0309y nu\u031b\u01a1\u0301c mu\u0303i, nghe\u0323t mu\u0303i; \u0111au ngu\u031b\u01a1\u0300i, m\u1eb9\u0302t mo\u0309i, \u01a1\u0301n la\u0323nh; gia\u0309m ho\u1ea1\u0306c m\u00e2\u0301t vi\u0323 gia\u0301c; kh\u01b0\u0301u gia\u0301c; \u0111au, nh\u01b0\u0301c \u0111\u00e2\u0300u; tie\u0302u cha\u0309y; kho\u0301 th\u01a1\u0309; vie\u0302m \u0111u\u031b\u01a1\u0300ng ho\u0302 h\u00e2\u0301p v\u00e0 co\u0301 k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m nhanh kha\u0301ng nguye\u0302n du\u031bo\u031bng ti\u0301nh v\u01a1\u0301i virus SARS-CoV-2<\/p>\n<div class=\"image-container\" title=\"L\u1ea5y m\u1eabu x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc COVID-19\" data-fancybox=\"group\">\n<figure><img decoding=\"async\" class=\"img-fake\" src=\"https:\/\/zalo-article-photo.zadn.vn\/a54df53bd873312d6862#219255245\" alt=\"Zalo\" \/><figcaption>L\u1ea5y m\u1eabu x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc COVID-19<\/figcaption><\/figure>\n<\/div>\n<p>Ngu\u031b\u01a1\u0300i ti\u00ea\u0301p xu\u0301c g\u00e2\u0300n la\u0300 m\u1ecd\u0302t trong s\u00f4\u0301 ca\u0301c tru\u031b\u01a1\u0300ng h\u01a1\u0323p sau:<\/p>\n<p>&#8211; Ngu\u031b\u01a1\u0300i co\u0301 ti\u00ea\u0301p xu\u0301c co\u031b th\u00ea\u0309 tr\u01b0\u0323c ti\u00ea\u0301p (b\u0103\u0301t tay, o\u0302m, ho\u0302n, ti\u00ea\u0301p xu\u0301c tr\u01b0\u0323c ti\u00ea\u0301p v\u01a1\u0301i da, co\u031b th\u00ea\u0309&#8230;) v\u01a1\u0301i ca b\u1eb9\u0302nh xa\u0301c \u0111i\u0323nh trong th\u01a1\u0300i ky\u0300 la\u0302y truy\u00ea\u0300n.<\/p>\n<p>&#8211; Ngu\u031b\u01a1\u0300i \u0111eo kh\u00e2\u0309u trang co\u0301 ti\u00ea\u0301p xu\u0301c, giao ti\u00ea\u0301p trong vo\u0300ng 2 me\u0301t ho\u1ea1\u0306c trong cu\u0300ng kho\u0302ng gian he\u0323p, ki\u0301n va\u0300 t\u00f4\u0301i thi\u00ea\u0309u trong th\u01a1\u0300i gian 15 phu\u0301t v\u01a1\u0301i ca b\u1eb9\u0302nh xa\u0301c \u0111i\u0323nh khi \u0111ang trong th\u01a1\u0300i ky\u0300 la\u0302y truy\u00ea\u0300n.<\/p>\n<p>&#8211; Ngu\u031b\u01a1\u0300i kho\u0302ng \u0111eo kh\u00e2\u0309u trang co\u0301 ti\u00ea\u0301p xu\u0301c, giao ti\u00ea\u0301p g\u00e2\u0300n trong vo\u0300ng 2 me\u0301t ho\u1ea1\u0306c \u01a1\u0309 trong cu\u0300ng kho\u0302ng gian he\u0323p, ki\u0301n v\u01a1\u0301i ca b\u1eb9\u0302nh xa\u0301c \u0111i\u0323nh trong th\u01a1\u0300i ky\u0300 la\u0302y truy\u00ea\u0300n.<\/p>\n<p>&#8211; Ngu\u031b\u01a1\u0300i tr\u01b0\u0323c ti\u00ea\u0301p cha\u0306m so\u0301c, kha\u0301m va\u0300 \u0111i\u00ea\u0300u tri\u0323 ca b\u1eb9\u0302nh xa\u0301c \u0111i\u0323nh khi \u0111ang trong th\u01a1\u0300i ky\u0300 la\u0302y truy\u00ea\u0300n ma\u0300 kho\u0302ng s\u01b0\u0309 du\u0323ng \u0111\u00e2\u0300y \u0111u\u0309 ca\u0301c phu\u031bo\u031bng ti\u1eb9\u0302n pho\u0300ng h\u1ecd\u0302 ca\u0301 nha\u0302n (PPE).<\/p>\n<p>Th\u01a1\u0300i ky\u0300 la\u0302y truy\u00ea\u0300n cu\u0309a ca b\u1eb9\u0302nh xa\u0301c \u0111i\u0323nh \u0111u\u031b\u01a1\u0323c ti\u0301nh t\u01b0\u0300 2 nga\u0300y tru\u031b\u01a1\u0301c khi kh\u01a1\u0309i pha\u0301t (\u0111\u00f4\u0301i v\u01a1\u0301i ca b\u1eb9\u0302nh xa\u0301c \u0111i\u0323nh kho\u0302ng co\u0301 tri\u1eb9\u0302u ch\u01b0\u0301ng thi\u0300 th\u01a1\u0300i ky\u0300 la\u0302y truy\u00ea\u0300n \u0111u\u031b\u01a1\u0323c ti\u0301nh t\u01b0\u0300 2 nga\u0300y tru\u031b\u01a1\u0301c nga\u0300y \u0111u\u031b\u01a1\u0323c l\u00e2\u0301y m\u00e2\u0303u co\u0301 k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m du\u031bo\u031bng ti\u0301nh) cho \u0111\u00ea\u0301n khi k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m a\u0302m ti\u0301nh ho\u1ea1\u0306c gia\u0301 tri\u0323 CT \u2265 30.<\/p>\n<p>Ngu\u031b\u01a1\u0300i co\u0301 y\u00ea\u0301u t\u00f4\u0301 di\u0323ch t\u00ea\u0303 bao g\u00f4\u0300m:<\/p>\n<p>&#8211; Ngu\u031b\u01a1\u0300i co\u0301 m\u1ea1\u0306t tre\u0302n cu\u0300ng phu\u031bo\u031bng ti\u1eb9\u0302n giao tho\u0302ng ho\u1ea1\u0306c cu\u0300ng \u0111i\u0323a \u0111i\u00ea\u0309m, s\u01b0\u0323 ki\u1eb9\u0302n, no\u031bi la\u0300m vi\u1eb9\u0302c, l\u01a1\u0301p ho\u0323c&#8230; v\u01a1\u0301i ca b\u1eb9\u0302nh xa\u0301c \u0111i\u0323nh \u0111ang trong th\u01a1\u0300i ky\u0300 la\u0302y truy\u00ea\u0300n<\/p>\n<p>&#8211; Ngu\u031b\u01a1\u0300i \u01a1\u0309, \u0111\u00ea\u0301n t\u01b0\u0300 khu v\u01b0\u0323c \u00f4\u0309 di\u0323ch \u0111ang hoa\u0323t \u0111\u1ecd\u0302ng.<\/p>\n<p>Tru\u031b\u01a1\u0300ng h\u01a1\u0323p b\u1eb9\u0302nh xa\u0301c \u0111i\u0323nh<\/p>\n<p>La\u0300 ngu\u031b\u01a1\u0300i co\u0301 k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m du\u031bo\u031bng ti\u0301nh v\u01a1\u0301i virus SARS-CoV-2 b\u0103\u0300ng phu\u031bo\u031bng pha\u0301p pha\u0301t hi\u1eb9\u0302n v\u1ea1\u0302t li\u1eb9\u0302u di truy\u00ea\u0300n cu\u0309a virus (PCR).<\/p>\n<p>La\u0300 ngu\u031b\u01a1\u0300i ti\u00ea\u0301p xu\u0301c g\u00e2\u0300n va\u0300 co\u0301 k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m nhanh kha\u0301ng nguye\u0302n du\u031bo\u031bng ti\u0301nh v\u01a1\u0301i vi ru\u0301t SARS-CoV-2 La\u0300 ngu\u031b\u01a1\u0300i co\u0301 y\u00ea\u0301u t\u00f4\u0301 di\u0323ch t\u00ea\u0303, co\u0301 bi\u00ea\u0309u hi\u1eb9\u0302n la\u0302m sa\u0300ng nghi m\u0103\u0301c COVID-19 va\u0300 co\u0301 k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m nhanh kha\u0301ng nguye\u0302n du\u031bo\u031bng ti\u0301nh v\u01a1\u0301i virus SARS-CoV-2.<\/p>\n<p>La\u0300 ngu\u031b\u01a1\u0300i co\u0301 y\u00ea\u0301u t\u00f4\u0301 di\u0323ch t\u00ea\u0303 va\u0300 co\u0301 k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m nhanh kha\u0301ng nguye\u0302n du\u031bo\u031bng ti\u0301nh 2 l\u00e2\u0300n lie\u0302n ti\u00ea\u0301p (xe\u0301t nghi\u1eb9\u0302m l\u00e2\u0300n 2 trong vo\u0300ng 8 gi\u01a1\u0300 k\u00ea\u0309 t\u01b0\u0300 khi co\u0301 k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m l\u00e2\u0300n 1) v\u01a1\u0301i vi ru\u0301t SARS-CoV-2. Trong tru\u031b\u01a1\u0300ng h\u01a1\u0323p xe\u0301t nghi\u1eb9\u0302m nhanh kha\u0301ng nguye\u0302n l\u00e2\u0300n th\u01b0\u0301 2 a\u0302m ti\u0301nh thi\u0300 c\u00e2\u0300n pha\u0309i co\u0301 xe\u0301t nghi\u1eb9\u0302m Real-time RT-PCR \u0111\u00ea\u0309 kh\u0103\u0309ng \u0111i\u0323nh.<\/p>\n<p><strong>5 m\u1ee9c \u0111\u1ed9 ph\u00e2n lo\u1ea1i b\u1ec7nh COVID-19<\/strong><\/p>\n<p>Theo h\u01b0\u1edbng d\u1eabn m\u1edbi nh\u1ea5t n\u00e0y, c\u00f3 5 m\u1ee9c \u0111\u1ed9 ph\u00e2n lo\u1ea1i b\u1ec7nh COVID-19, g\u1ed3m : kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, m\u1ee9c \u0111\u1ed9 nh\u1eb9, m\u1ee9c \u0111\u1ed9 trung b\u00ecnh, m\u1ee9c \u0111\u1ed9 n\u1eb7ng v\u00e0 m\u1ee9c \u0111\u1ed9 nguy k\u1ecbch.<\/p>\n<p>Tr\u01b0\u1edbc \u0111\u00f3, H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tri COVID-19 ban h\u00e0nh k\u00e8m quy\u1ebft \u0111\u1ecbnh 4689\/Q\u0110-BYT ng\u00e0y 6\/10\/2021 c\u1ee7a B\u1ed9 Y t\u1ebf ch\u1ec9 ph\u00e2n lo\u1ea1i c\u00e1c b\u1ec7nh nh\u00e2n COVID-19 theo 4 m\u1ee9c \u0111\u1ed9 b\u1ec7nh g\u1ed3m nh\u1eb9, trung b\u00ecnh, n\u1eb7ng v\u00e0 nguy k\u1ecbch (c\u00e1c ti\u00eau ch\u00ed trong 4 m\u1ee9c \u0111\u1ed9 n\u00e0y kh\u00f4ng c\u00f3 s\u1ef1 thay \u0111\u1ed5i). Nh\u01b0 v\u1eady, trong h\u01b0\u1edbng d\u1eabn m\u1edbi c\u1ee7a B\u1ed9 Y t\u1ebf \u0111\u00e3 c\u00f3 th\u00eam nh\u00f3m F0 kh\u00f4ng tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>Ng\u01b0\u1eddi nhi\u1ec5m kh\u00f4ng tri\u1ec7u ch\u1ee9ng<\/p>\n<p>F0 \u0111\u01b0\u1ee3c x\u1ebfp v\u00e0o nh\u00f3m n\u00e0y n\u1ebfu kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng. Ngo\u00e0i ra, nh\u1ecbp th\u1edf 96% khi th\u1edf kh\u00ed tr\u1eddi.<\/p>\n<p>M\u1ee9c \u0111\u1ed9 nh\u1eb9<\/p>\n<p>F0 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u nh\u01b0 s\u1ed1t, ho khan, \u0111au h\u1ecdng, ngh\u1eb9t m\u0169i, m\u1ec7t m\u1ecfi, \u0111au \u0111\u1ea7u, \u0111au m\u1ecfi c\u01a1, m\u1ea5t v\u1ecb gi\u00e1c, kh\u1ee9u gi\u00e1c, ti\u00eau ch\u1ea3y\u2026 Nh\u1ecbp th\u1edf 96% khi th\u1edf kh\u00ed tr\u1eddi. B\u00ean c\u1ea1nh \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh t\u1ec9nh t\u00e1o, t\u1ef1 ph\u1ee5c v\u1ee5 \u0111\u01b0\u1ee3c; X-quang ph\u1ed5i b\u00ecnh th\u01b0\u1eddng ho\u1eb7c c\u00f3 nh\u01b0ng t\u1ed5n th\u01b0\u01a1ng \u00edt.<\/p>\n<p>M\u1ee9c \u0111\u1ed9 trung b\u00ecnh<\/p>\n<p>\u0110\u00e1nh gi\u00e1 to\u00e0n tr\u1ea1ng, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u nh\u01b0 m\u1ee9c \u0111\u1ed9 nh\u1eb9. V\u1ec1 h\u00f4 h\u1ea5p, b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u vi\u00eam ph\u1ed5i, kh\u00f3 th\u1edf, th\u1edf nhanh 20-25 l\u1ea7n\/ph\u00fat, ph\u1ed5i c\u00f3 ran n\u1ed5 v\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p n\u1eb7ng, SpO2 94-96% khi th\u1edf kh\u00ed ph\u00f2ng. F0 c\u00f3 th\u1ec3 kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c (\u0111i l\u1ea1i trong nh\u00e0, l\u00ean c\u1ea7u thang).<\/p>\n<p>M\u1ea1ch c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 nhanh ho\u1eb7c ch\u1eadm, da kh\u00f4, nh\u1ecbp tim nhanh, huy\u1ebft \u00e1p b\u00ecnh th\u01b0\u1eddng, \u00fd th\u1ee9c t\u1ec9nh t\u00e1o. Ngo\u00e0i ra, ch\u1ee5p X-quang ng\u1ef1c v\u00e0 c\u1eaft l\u1edbp vi t\u00ednh ng\u1ef1c ph\u00e1t hi\u1ec7n c\u00f3 t\u1ed5n th\u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng d\u01b0\u1edbi 50%. Si\u00eau \u00e2m th\u1ea5y h\u00ecnh \u1ea3nh s\u00f3ng B, kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch: PaO2\/FiO2 &gt; 300.<\/p>\n<p>M\u1ee9c \u0111\u1ed9 n\u1eb7ng<\/p>\n<p>F0 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i thu\u1ed9c nh\u00f3m n\u1eb7ng n\u1ebfu h\u00f4 h\u1ea5p c\u00f3 d\u1ea5u hi\u1ec7u vi\u00eam ph\u1ed5i k\u00e8m theo b\u1ea5t k\u1ef3 m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u sau: nh\u1ecbp th\u1edf &gt; 25 l\u1ea7n\/ph\u00fat; kh\u00f3 th\u1edf n\u1eb7ng, co k\u00e9o c\u01a1 h\u00f4 h\u1ea5p ph\u1ee5; SpO2 &lt; 94% khi th\u1edf kh\u00ed ph\u00f2ng.<\/p>\n<p>V\u1ec1 tu\u1ea7n ho\u00e0n, nh\u1ecbp tim ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 nhanh ho\u1eb7c ch\u1eadm, HA b\u00ecnh th\u01b0\u1eddng hay t\u0103ng. V\u1ec1 th\u1ea7n kinh, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 b\u1ee9t r\u1ee9t ho\u1eb7c \u0111\u1eeb, m\u1ec7t. Ch\u1ee5p X-quang ng\u1ef1c v\u00e0 c\u1eaft l\u1edbp vi t\u00ednh ng\u1ef1c: c\u00f3 t\u1ed5n th\u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng tr\u00ean 50%. Si\u00eau \u00e2m th\u1ea5y h\u00ecnh \u1ea3nh s\u00f3ng B nhi\u1ec1u, kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch: PaO2\/FiO2 kho\u1ea3ng 200-300.<\/p>\n<p>M\u1ee9c \u0111\u1ed9 nguy k\u1ecbch<\/p>\n<p>F0 thu\u1ed9c nh\u00f3m nguy k\u1ecbch c\u00f3 bi\u1ec3u hi\u1ec7n th\u1edf nhanh &gt; 30 l\u1ea7n\/ph\u00fat ho\u1eb7c &lt; 10 l\u1ea7n\/ph\u00fat, c\u00f3 d\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p n\u1eb7ng, th\u1edf g\u1eafng s\u1ee9c nhi\u1ec1u, th\u1edf b\u1ea5t th\u01b0\u1eddng ho\u1eb7c c\u1ea7n h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p b\u1eb1ng th\u1edf oxy d\u00f2ng cao (HFNC), th\u1edf m\u00e1y. \u00dd th\u1ee9c ng\u01b0\u1eddi b\u1ec7nh gi\u1ea3m ho\u1eb7c h\u00f4n m\u00ea.<\/p>\n<p>Nh\u1ecbp tim b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 nhanh ho\u1eb7c ch\u1eadm, huy\u1ebft \u00e1p t\u1ee5t, ti\u1ec3u \u00edt ho\u1eb7c v\u00f4 ni\u1ec7u. K\u1ebft qu\u1ea3 X-quang ng\u1ef1c v\u00e0 c\u1eaft l\u1edbp vi t\u00ednh ng\u1ef1c ph\u00e1t hi\u1ec7n c\u00f3 t\u1ed5n th\u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng tr\u00ean 50%. Si\u00eau \u00e2m h\u00ecnh \u1ea3nh s\u00f3ng B nhi\u1ec1u, kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch: PaO2\/FiO2 2 mmol\/L.<\/p>\n<p><strong>B\u1ed9 Y t\u1ebf.<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Trong h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 m\u1edbi nh\u1ea5t, B\u1ed9 Y t\u1ebf b\u1ed5 sung nh\u00f3m F0 kh\u00f4ng tri\u1ec7u ch\u1ee9ng v\u00e0o ph\u1ea7n ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 b\u1ec7nh COVID-19, b\u00ean c\u1ea1nh 4 nh\u00f3m nh\u1eb9, trung b\u00ecnh, n\u1eb7ng v\u00e0 nguy k\u1ecbch \u0111\u00e3 c\u00f3 tr\u01b0\u1edbc \u0111\u00f3. Ng\u00e0y 28\/1, B\u1ed9 Y t\u1ebf c\u00f3 Quy\u1ebft \u0111\u1ecbnh 250\/Q\u0110-BYT v\u1ec1 vi\u1ec7c [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":11288,"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-12553","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\/12553","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=12553"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12553\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/11288"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=12553"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=12553"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=12553"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}