{"id":16982,"date":"2022-12-11T16:12:13","date_gmt":"2022-12-11T09:12:13","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=16982"},"modified":"2022-12-11T16:12:13","modified_gmt":"2022-12-11T09:12:13","slug":"be-7-thang-tuoi-co-giat-suy-ho-hap-do-soc-sot-xuat-huyet","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/12\/11\/be-7-thang-tuoi-co-giat-suy-ho-hap-do-soc-sot-xuat-huyet\/","title":{"rendered":"B\u00e9 7 th\u00e1ng tu\u1ed5i co gi\u1eadt, suy h\u00f4 h\u1ea5p do s\u1ed1c s\u1ed1t xu\u1ea5t huy\u1ebft"},"content":{"rendered":"<p>BS.CK2 Nguy\u1ec5n Minh Ti\u1ebfn, Ph\u00f3 gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Th\u00e0nh ph\u1ed1 (TP.HCM) cho bi\u1ebft, b\u1ec7nh vi\u1ec7n ti\u1ebfp nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho m\u1ed9t tru\u1eddng h\u1ee3p tr\u1ebb\u00a0<a class=\"seo-suggest-link\" title=\"\u0110\u00e3 c\u00f3 1.500 t\u00fai d\u1ecbch truy\u1ec1n Dextran \u0111i\u1ec1u tr\u1ecb s\u1ed1c s\u1ed1t xu\u1ea5t huy\u1ebft v\u1ec1 Vi\u1ec7t Nam\" href=\"https:\/\/suckhoedoisong.vn\/da-co-1500-tui-dich-truyen-dextran-dieu-tri-soc-sot-xuat-huyet-ve-viet-nam-169220922071625337.htm\" target=\"_blank\" rel=\"noopener\">s\u1ed1c s\u1ed1t xu\u1ea5t huy\u1ebft<\/a>\u00a0Dengue nguy k\u1ecbch.<\/p>\n<p>\u0110\u01b0\u1ee3c bi\u1ebft, b\u1ec7nh nh\u00e2n l\u00e0 b\u00e9 N.M.\u0110. 7 th\u00e1ng tu\u1ed5i, nam (ng\u1ee5 t\u1ea1i huy\u1ec7n Thanh B\u00ecnh, t\u1ec9nh \u0110\u1ed3ng Th\u00e1p). Khai th\u00e1c b\u1ec7nh s\u1eed ghi nh\u1eadn tr\u1ebb b\u1ec7nh 3 ng\u00e0y, s\u1ed1t nh\u1eb9, ti\u00eau ph\u00e2n l\u1ecfng nhi\u1ec1u l\u1ea7n,\u00a0<a class=\"seo-suggest-link\" title=\"Thu\u1ed1c l\u00e1 \u0111i\u1ec7n t\u1eed len l\u1ecfi v\u00e0o tr\u01b0\u1eddng h\u1ecdc, tr\u1ebb co gi\u1eadt, kh\u00f3 th\u1edf khi th\u1eed c\u1ea3m gi\u00e1c 'l\u00e0m ng\u01b0\u1eddi l\u1edbn'\" href=\"https:\/\/suckhoedoisong.vn\/thuoc-la-dien-tu-len-loi-vao-truong-hoc-tre-ngo-doc-khi-thu-cam-giac-lam-nguoi-lon-169221109090959565.htm\" target=\"_blank\" rel=\"noopener\">co gi\u1eadt<\/a>\u00a0to\u00e0n th\u00e2n, \u0111\u01b0\u1ee3c ph\u00f2ng kh\u00e1m \u0111a khoa t\u01b0 nh\u00e2n x\u1eed tr\u00ed th\u1edf oxy, ch\u1ed1ng co gi\u1eadt sau \u0111\u00f3 chuy\u1ec3n B\u1ec7nh vi\u1ec7n Nhi \u0110\u1ed3ng Th\u00e0nh Ph\u1ed1. Tr\u00ean \u0111\u01b0\u1eddng chuy\u1ec3n \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Th\u00e0nh ph\u1ed1 tr\u1ebb li\u00ean t\u1ee5c co gi\u1eadt.<\/p>\n<p>T\u1ea1i khoa C\u1ea5p c\u1ee9u, tr\u1ebb c\u00f3 t\u00ecnh tr\u1ea1ng t\u00edm m\u00f4i, v\u00e0o s\u1ed1c, m\u1ea1ch nh\u1eb9 kh\u00f3 b\u1eaft, huy\u1ebft \u00e1p kh\u00f3 \u0111o, x\u00e9t nghi\u1ec7m NS1Ag d\u01b0\u01a1ng t\u00ednh. B\u1ec7nh nhi \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p v\u00e0 ch\u1ed1ng s\u1ed1c theo ph\u00e1c \u0111\u1ed3.<\/p>\n<figure id=\"attachment_16983\" aria-describedby=\"caption-attachment-16983\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-16983\" src=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2022\/12\/ards-2-1320x990-16707449861001968762101.png\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2022\/12\/ards-2-1320x990-16707449861001968762101.png 640w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2022\/12\/ards-2-1320x990-16707449861001968762101-300x225.png 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-16983\" class=\"wp-caption-text\">Sau 2 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb hi\u1ec7n t\u00ecnh tr\u1ea1ng b\u1ec7nh nhi \u0111\u00e3 c\u1ea3i thi\u1ec7n v\u00e0 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n.<\/figcaption><\/figure>\n<p>Tuy nhi\u00ean, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u00e9 di\u1ec5n ti\u1ebfn ng\u00e0y c\u00e0ng n\u1eb7ng, tr\u1ebb s\u1ed1c k\u00e9o d\u00e0i, k\u00e8m t\u1ed5n th\u01b0\u01a1ng gan (men gan &gt; 4000 \u0111v\/L) k\u00e8m theo r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a v\u00e0 tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i m\u00e0ng b\u1ee5ng l\u01b0\u1ee3ng nhi\u1ec1u g\u00e2y suy h\u00f4 h\u1ea5p n\u1eb7ng. B\u1ec7nh nhi \u0111\u00e3 nhanh ch\u00f3ng \u0111\u01b0\u1ee3c truy\u1ec1n m\u00e1u v\u00e0 truy\u1ec1n huy\u1ebft t\u01b0\u01a1ng t\u01b0\u01a1i \u0111\u00f4ng l\u1ea1nh.<\/p>\n<p>T\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p c\u1ee7a b\u1ec7nh nhi ti\u1ebfp t\u1ee5c x\u1ea5u \u0111i, qua h\u00ecnh \u1ea3nh Xquang ph\u1ed5i cho th\u1ea5y ph\u1ed5i b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng lan t\u1ecfa 2 b\u00ean, c\u00f3 bi\u1ec3u hi\u1ec7n h\u1ed9i ch\u1ee9ng\u00a0<a class=\"seo-suggest-link\" title=\"BN 456 t\u1eed vong v\u00ec vi\u00eam ph\u1ed5i do COVID-19 bi\u1ebfn ch\u1ee9ng suy h\u00f4 h\u1ea5p c\u1ea5p n\u1eb7ng, suy \u0111a t\u1ea1ng\" href=\"https:\/\/suckhoedoisong.vn\/bn-456-tu-vong-vi-viem-phoi-do-covid-19-bien-chung-suy-ho-hap-cap-nang-suy-da-tang-169178465.htm\" target=\"_blank\" rel=\"noopener\">suy h\u00f4 h\u1ea5p c\u1ea5p<\/a>\u00a0ti\u1ebfn tri\u1ec3n (ARDS acute respiratory distress syndrome) n\u1eb7ng.<\/p>\n<p>C\u00e1c b\u00e1c s\u0129 \u0111\u00e3 ti\u1ebfn h\u00e0nh h\u1ed9i ch\u1ea9n to\u00e0n b\u1ec7nh vi\u1ec7n v\u00e0 quy\u1ebft \u0111\u1ecbnh th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt oxy h\u00f3a m\u00e1u qua m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3 (ECMO). Tr\u1ebb c\u0169ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 gan, \u0111i\u1ec1u ch\u1ec9nh n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i, toan chuy\u1ec3n h\u00f3a, kh\u00e1ng sinh, h\u1ea1 s\u1ed1t, dinh d\u01b0\u1ee1ng.<\/p>\n<p>Sau 2 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb, t\u00ecnh tr\u1ea1ng tr\u1ebb c\u1ea3i thi\u1ec7n d\u1ea7n, b\u1ec7nh nhi \u0111\u01b0\u1ee3c\u00a0<a class=\"seo-suggest-link\" title=\"B\u1ec7nh nh\u00e2n COVID-19 l\u00e0 Vi\u1ec7t ki\u1ec1u \u0111\u00e3 cai ECMO th\u00e0nh c\u00f4ng sau 26 ng\u00e0y n\u1ed7 l\u1ef1c \u0111i\u1ec1u tr\u1ecb\" href=\"https:\/\/suckhoedoisong.vn\/benh-nhan-covid-19-la-viet-kieu-da-cai-ecmo-thanh-cong-sau-26-ngay-no-luc-dieu-tri-169194746.htm\" target=\"_blank\" rel=\"noopener\">cai ECMO<\/a>, cai m\u00e1y th\u1edf, th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp, th\u1edf oxy qua cannula r\u1ed3i tr\u1ebb t\u1ef1 th\u1edf \u0111\u01b0\u1ee3c v\u1edbi kh\u00ed tr\u1eddi.<\/p>\n<p>Theo Ph\u00f3 gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Th\u00e0nh ph\u1ed1 (TP.HCM), b\u00e9 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n sau 49 ng\u00e0y n\u1eb1m vi\u1ec7n v\u00e0 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c t\u1ea1i nh\u00e0 v\u00e0 t\u1edbi t\u00e1i kh\u00e1m, theo d\u00f5i \u0111\u1ecbnh k\u1ef3. Theo k\u1ebft qu\u1ea3 t\u00e1i kh\u00e1m g\u1ea7n nh\u1ea5t cho th\u1ea5y t\u00ecnh tr\u1ea1ng tr\u1ebb ph\u00e1t tri\u1ec3n t\u1ed1t.<\/p>\n<p>Trung t\u00e2m Ki\u1ec3m so\u00e1t B\u1ec7nh t\u1eadt TP.HCM (HCDC) khuy\u1ebfn c\u00e1o, d\u00f9 t\u00ecnh h\u00ecnh d\u1ecbch s\u1ed1t xu\u1ea5t huy\u1ebft t\u1ea1i TP.HCM \u0111ang c\u00f3 xu h\u01b0\u1edbng gi\u1ea3m nh\u01b0ng ng\u01b0\u1eddi d\u00e2n tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c l\u01a1 l\u00e0 ch\u1ee7 quan tr\u01b0\u1edbc d\u1ecbch b\u1ec7nh. C\u1ea7n ti\u1ebfp t\u1ee5c th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ti\u00eau di\u1ec7t n\u01a1i sinh s\u1ea3n c\u1ee7a mu\u1ed7i h\u00e0ng tu\u1ea7n t\u1ea1i n\u01a1i l\u00e0m vi\u1ec7c v\u00e0 n\u01a1i c\u01b0 tr\u00fa.\/.<\/p>\n<p style=\"text-align: right;\"><em><strong>Ngu\u1ed3n B\u00e1o S\u1ee9c kh\u1ecfe &amp; \u0110\u1eddi s\u1ed1ng<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>BS.CK2 Nguy\u1ec5n Minh Ti\u1ebfn, Ph\u00f3 gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Th\u00e0nh ph\u1ed1 (TP.HCM) cho bi\u1ebft, b\u1ec7nh vi\u1ec7n ti\u1ebfp nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho m\u1ed9t tru\u1eddng h\u1ee3p tr\u1ebb\u00a0s\u1ed1c s\u1ed1t xu\u1ea5t huy\u1ebft\u00a0Dengue nguy k\u1ecbch. \u0110\u01b0\u1ee3c bi\u1ebft, b\u1ec7nh nh\u00e2n l\u00e0 b\u00e9 N.M.\u0110. 7 th\u00e1ng tu\u1ed5i, nam (ng\u1ee5 t\u1ea1i huy\u1ec7n Thanh B\u00ecnh, t\u1ec9nh \u0110\u1ed3ng Th\u00e1p). Khai [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":16983,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[303],"tags":[],"class_list":["post-16982","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/16982","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=16982"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/16982\/revisions"}],"predecessor-version":[{"id":16984,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/16982\/revisions\/16984"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/16983"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=16982"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=16982"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=16982"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}