{"id":17976,"date":"2023-01-20T11:45:00","date_gmt":"2023-01-20T04:45:00","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=17976"},"modified":"2023-01-20T11:46:05","modified_gmt":"2023-01-20T04:46:05","slug":"nhung-thay-thuoc-mang-lai-tet-doan-vien","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/01\/20\/nhung-thay-thuoc-mang-lai-tet-doan-vien\/","title":{"rendered":"Nh\u1eefng th\u1ea7y thu\u1ed1c mang l\u1ea1i t\u1ebft \u0111o\u00e0n vi\u00ean"},"content":{"rendered":"

B\u1ea5t k\u1ec3 ng\u00e0y hay \u0111\u00eam, h\u1ecd v\u1eabn \u0111ang v\u1eadt l\u1ed9n v\u1edbi t\u1eed th\u1ea7n gi\u00e0nh gi\u1eadt l\u1ea1i s\u1ef1 s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh hi\u1ec3m ngh\u00e8o v\u00e0 mang l\u1ea1i cho gia \u0111\u00ecnh h\u1ecd m\u1ed9t m\u00f9a xu\u00e2n \u1ea5m \u00e1p, \u0111\u00f3n T\u1ebft \u0111o\u00e0n vi\u00ean trong h\u1ea1nh ph\u00fac!<\/p>\n

“C\u1ea3m \u01a1n c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 cho t\u00f4i \u0111\u01b0\u1ee3c s\u1ed1ng ti\u1ebfp cu\u1ed9c \u0111\u1eddi t\u01b0\u01a1i \u0111\u1eb9p n\u00e0y…”<\/h4>\n

\u0110\u00f3 l\u00e0 l\u1eddi t\u00e2m s\u1ef1 tr\u00e0n \u0111\u1ea7y c\u1ea3m x\u00fac c\u1ee7a b\u00e0 L\u00ea Th\u1ecb Kim, \u1edf H\u1ea3i Ph\u00f2ng. \u0110\u00e3 3 n\u0103m tr\u00f4i qua nh\u01b0ng b\u00e0 v\u1eabn nh\u1edb nh\u01b0 in c\u00e1i ng\u00e0y m\u00ecnh nh\u1eadp vi\u1ec7n c\u1ea5p c\u1ee9u t\u1ea1i B\u1ec7nh vi\u1ec7n E trong t\u00ecnh tr\u1ea1ng “th\u1eadp t\u1eed nh\u1ea5t sinh”.<\/p>\n

B\u00e0 m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng h\u01a1n 30 n\u0103m, \u0111\u00e3 c\u00f3 nh\u1eefng bi\u1ebfn ch\u1ee9ng, t\u1eebng \u0111\u01b0\u1ee3c \u0111\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh t\u1ea1i Trung t\u00e2m Tim m\u1ea1ch B\u1ec7nh vi\u1ec7n E. L\u1ea7n n\u00e0y, b\u00e0 nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng ph\u00f9 ph\u1ed5i c\u1ea5p, suy tim, suy th\u1eadn m\u1ea1n. C\u00e1c con \u0111\u01b0a b\u00e0 t\u1eeb H\u1ea3i Ph\u00f2ng l\u00ean B\u1ec7nh vi\u1ec7n E trong t\u00e2m tr\u1ea1ng lo \u00e2u, c\u0103ng th\u1eb3ng v\u00ec di\u1ec5n bi\u1ebfn c\u1ee7a m\u1eb9 m\u00ecnh tr\u1edf n\u1eb7ng r\u1ea5t nhanh. B\u00e0 \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129, \u0111i\u1ec1u d\u01b0\u1ee1ng c\u1ee7a Khoa Th\u1eadn ti\u1ebft ni\u1ec7u v\u00e0 l\u1ecdc m\u00e1u, H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 ch\u1ed1ng \u0111\u1ed9c ph\u1ed1i h\u1ee3p h\u1ed9i ch\u1ea9n \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 quy\u1ebft \u0111\u1ecbnh k\u1ecbp th\u1eddi th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p th\u1ea9m t\u00e1ch si\u00eau l\u1ecdc m\u00e1u, \u0111\u00e3 mang l\u1ea1i hi\u1ec7u qu\u1ea3 ngay l\u1ea7n \u0111\u1ea7u th\u1ef1c hi\u1ec7n.<\/p>\n

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Th\u1ef1c hi\u1ec7n can thi\u1ec7p m\u1ea1ch c\u1ea5p c\u1ee9u b\u1ec7nh nh\u00e2n b\u1ecb \u0111\u1ed9t qu\u1ef5 t\u1ea1i Khoa C\u1ea5p c\u1ee9u, BV E.<\/figcaption><\/figure>\n

T\u1ebft n\u0103m \u1ea5y l\u00e0 m\u1ed9t trong nh\u1eefng c\u00e1i T\u1ebft h\u1ea1nh ph\u00fac nh\u1ea5t c\u1ee7a gia \u0111\u00ecnh b\u00e0 m\u00e0 m\u1ed7i l\u1ea7n nh\u1eafc t\u1edbi, b\u00e0 l\u1ea1i x\u00fac \u0111\u1ed9ng k\u1ec3 l\u1ea1i c\u00e2u chuy\u1ec7n c\u1ee7a m\u00ecnh v\u1edbi t\u00ecnh c\u1ea3m y\u00eau th\u01b0\u01a1ng, tr\u00e2n tr\u1ecdng nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 n\u1ed7 l\u1ef1c c\u1ee9u s\u1ed1ng, cho b\u00e0 \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c cu\u1ed9c s\u1ed1ng h\u1ea1nh ph\u00fac b\u00ean gia \u0111\u00ecnh c\u1ee7a m\u00ecnh.<\/p>\n

C\u00f2n \u0111\u1ed1i v\u1edbi b\u00e0 Nguy\u1ec5n Th\u1ecb T. (77 tu\u1ed5i, \u1edf Nam \u0110\u1ecbnh), m\u1ed9t b\u1ec7nh nh\u00e2n b\u1ecb s\u1ed1c tim nguy k\u1ecbch do vi\u00eam c\u01a1 tim c\u1ea5p v\u1eeba \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n E h\u1ed3i sinh th\u00e0nh c\u00f4ng b\u1eb1ng k\u1ef9 thu\u1eadt tim ph\u1ed5i nh\u00e2n t\u1ea1o ECMO c\u0169ng l\u00e0 nh\u1eefng th\u00e1ng ng\u00e0y kh\u00f4ng th\u1ec3 n\u00e0o qu\u00ean.<\/p>\n

Ng\u00e0y 24\/8, b\u00e0 c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf nhi\u1ec1u, \u0111au ng\u1ef1c d\u1eef d\u1ed9i lan ra sau l\u01b0ng, ng\u01b0\u1eddi nh\u00e0 \u0111\u01b0a b\u00e0 \u0111i c\u1ea5p c\u1ee9u t\u1ea1i b\u1ec7nh vi\u1ec7n tuy\u1ebfn huy\u1ec7n v\u00e0 \u0111\u01b0\u1ee3c chuy\u1ec3n c\u1ea5p c\u1ee9u l\u00ean b\u1ec7nh vi\u1ec7n tuy\u1ebfn t\u1ec9nh v\u1edbi ch\u1ea9n \u0111o\u00e1n nghi ng\u1edd nh\u1ed3i m\u00e1u c\u01a1 tim. Sau \u0111\u00f3 b\u00e0 \u0111\u01b0\u1ee3c chuy\u1ec3n l\u00ean c\u1ea5p c\u1ee9u t\u1ea1i Trung t\u00e2m Tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n E trong t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf, m\u1ec7t nhi\u1ec1u, da t\u00e1i l\u1ea1nh, huy\u1ebft \u00e1p t\u1ee5t, x\u00e9t nghi\u1ec7m men tim t\u0103ng cao b\u1ea5t th\u01b0\u1eddng… C\u00e1c b\u00e1c s\u0129 ngh\u0129 \u0111\u1ebfn ng\u01b0\u1eddi b\u1ec7nh b\u1ecb vi\u00eam c\u01a1 tim c\u00f3 bi\u1ebfn ch\u1ee9ng s\u1ed1c tim v\u1edbi nguy c\u01a1 t\u1eed vong r\u1ea5t cao.<\/p>\n

B\u00e0 \u0111\u01b0\u1ee3c chuy\u1ec3n l\u00ean Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 ch\u1ed1ng \u0111\u1ed9c trong t\u00ecnh tr\u1ea1ng di\u1ec5n bi\u1ebfn n\u1eb7ng ph\u1ea3i \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n th\u1edf m\u00e1y x\u00e2m nh\u1eadp. \u0110\u1ed3ng th\u1eddi ph\u1ed1i h\u1ee3p c\u00e1c thu\u1ed1c v\u1eadn m\u1ea1ch li\u1ec1u cao \u0111\u1ec3 n\u00e2ng huy\u1ebft \u00e1p. Tuy nhi\u00ean huy\u1ebft \u00e1p b\u00e0 v\u1eabn r\u1ea5t th\u1ea5p, r\u1ed1i lo\u1ea1n nh\u1ecbp tim xu\u1ea5t hi\u1ec7n li\u00ean t\u1ee5c v\u00e0 b\u00e0 \u0111\u00e3 ph\u1ea3i s\u1ed1c \u0111i\u1ec7n tr\u00ean 5 l\u1ea7n \u0111\u1ec3 duy tr\u00ec nh\u1ecbp tim.<\/p>\n

X\u00e1c \u0111\u1ecbnh ng\u01b0\u1eddi b\u1ec7nh \u0111ang trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch, kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed3i s\u1ee9c th\u01b0\u1eddng quy (th\u1edf m\u00e1y, d\u00f9ng thu\u1ed1c v\u1eadn m\u1ea1ch…); c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa tim m\u1ea1ch v\u00e0 h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c \u0111\u00e3 kh\u1ea9n tr\u01b0\u01a1ng h\u1ed9i ch\u1ea9n v\u00e0 th\u1ed1ng nh\u1ea5t quy\u1ebft \u0111\u1ecbnh ch\u1ec9 \u0111\u1ecbnh k\u1ef9 thu\u1eadt V-A ECMO (h\u1ec7 th\u1ed1ng tim ph\u1ed5i nh\u00e2n t\u1ea1o ph\u01b0\u01a1ng th\u1ee9c h\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n t\u0129nh m\u1ea1ch – \u0111\u1ed9ng m\u1ea1ch) nh\u1eb1m h\u1ed7 tr\u1ee3 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim v\u00e0 tu\u1ea7n ho\u00e0n cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

Nh\u1edb l\u1ea1i th\u1eddi kh\u1eafc kh\u00f3 kh\u0103n nh\u1ea5t, khi m\u00e0 c\u00e1c b\u00e1c s\u0129 C\u1ea5p c\u1ee9u, Tim m\u1ea1ch, H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 ch\u1ed1ng \u0111\u1ed9c, Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, Huy\u1ebft h\u1ecdc, Sinh h\u00f3a… d\u01b0\u1edbi s\u1ef1 ch\u1ec9 \u0111\u1ea1o tr\u1ef1c ti\u1ebfp c\u1ee7a Ban Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n E n\u1ed7 l\u1ef1c gi\u00e0nh gi\u1eadt l\u1ea1i s\u1ef1 s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh, ThS. BS. \u0110\u1ed7 Qu\u1ed1c Phong, Ph\u00f3 tr\u01b0\u1edfng khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 ch\u1ed1ng \u0111\u1ed9c chia s\u1ebb: Ngay sau khi h\u1ec7 th\u1ed1ng ECMO \u0111\u01b0\u1ee3c “k\u00edch ho\u1ea1t” k\u1ebft n\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh, oxy m\u00e1u c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111\u1ea3m b\u1ea3o, c\u00e1c ch\u1ec9 s\u1ed1 huy\u1ebft \u0111\u1ed9ng d\u1ea7n \u1ed5n \u0111\u1ecbnh. Hy v\u1ecdng s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c “th\u1eafp l\u00ean” nh\u01b0ng c\u00e1c b\u00e1c s\u0129, \u0111i\u1ec1u d\u01b0\u1ee1ng v\u1eabn ph\u1ea3i theo d\u00f5i, ghi ch\u00e9p, \u0111i\u1ec1u ch\u1ec9nh li\u00ean t\u1ee5c t\u1eebng gi\u1edd v\u00e0 lu\u00f4n ph\u1ea3i t\u00fac tr\u1ef1c 24 gi\u1edd\/ng\u00e0y v\u00e0 ti\u1ebfn h\u00e0nh h\u1ed9i ch\u1ea9n li\u00ean t\u1ee5c \u0111\u1ec3 t\u00ecm ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u ch\u1ec9nh t\u1ed1i \u01b0u nh\u1ea5t cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

Cu\u1ed1i c\u00f9ng, sau 7 ng\u00e0y \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, ng\u01b0\u1eddi b\u1ec7nh t\u1ec9nh t\u00e1o ho\u00e0n to\u00e0n, \u0111\u01b0\u1ee3c r\u00fat \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n, th\u1edf oxy qua g\u1ecdng k\u00ednh, ch\u1ee9c n\u0103ng tim co b\u00f3p t\u1ed1t, kh\u00f4ng \u0111au ng\u1ef1c, ng\u1eebng duy tr\u00ec thu\u1ed1c v\u1eadn m\u1ea1ch v\u00e0 \u0111\u01b0\u1ee3c k\u1ebft\u00a0 n\u1ed1i ECMO. B\u00e0 Nguy\u1ec5n Th\u1ecb T. \u0111\u00e3 \u0111\u01b0\u1ee3c h\u1ed3i sinh di\u1ec7u k\u1ef3 b\u1eb1ng s\u1ef1 n\u1ed7 l\u1ef1c, t\u1eadp trung tr\u00ed tu\u1ec7 c\u1ee7a c\u00e1c th\u1ea7y thu\u1ed1c B\u1ec7nh vi\u1ec7n E v\u00e0 k\u1ef9 thu\u1eadt V-A ECMO – m\u1ed9t trong nh\u1eefng k\u1ef9 thu\u1eadt chuy\u00ean s\u00e2u v\u00e0 ph\u1ee9c t\u1ea1p nh\u1ea5t trong chuy\u00ean ng\u00e0nh h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c, m\u1edf ra hy v\u1ecdng s\u1ed1ng cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh nguy k\u1ecbch, \u1edf gi\u1eefa ranh gi\u1edbi mong manh c\u1ee7a s\u1ef1 s\u1ed1ng v\u00e0 c\u00e1i ch\u1ebft.<\/p>\n

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Ni\u1ec1m vui c\u1ee7a b\u00e1c s\u0129 Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 Ch\u1ed1ng \u0111\u1ed9c khi c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n b\u1ecb s\u1ed1c tim \u1edf Nam \u0110\u1ecbnh.<\/figcaption><\/figure>\n

M\u1ed9t tr\u01b0\u1eddng h\u1ee3p may m\u1eafn kh\u00e1c l\u00e0 anh N.A.T (26 tu\u1ed5i, \u1edf C\u1ea7u Gi\u1ea5y, H\u00e0 N\u1ed9i), \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u 115 chuy\u1ec3n \u0111\u1ebfn Khoa C\u1ea5p c\u1ee9u B\u1ec7nh vi\u1ec7n E ng\u00e0y 25\/2\/2021 trong t\u00ecnh tr\u1ea1ng ng\u1eebng th\u1edf, ng\u1eebng tim, \u0111\u1ed3ng t\u1eed 2 b\u00ean gi\u00e3n t\u1ed1i \u0111a, ph\u1ea3n x\u1ea1 \u00e1nh s\u00e1ng y\u1ebfu, t\u00edm t\u00e1i to\u00e0n th\u00e2n, ti\u00ean l\u01b0\u1ee3ng h\u1ebft s\u1ee9c n\u1eb7ng n\u1ec1.<\/p>\n

M\u1eb7c d\u00f9 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 Khoa C\u1ea5p c\u1ee9u nhanh ch\u00f3ng ti\u1ebfn h\u00e0nh c\u1ea5p c\u1ee9u ng\u1eebng tu\u1ea7n ho\u00e0n, kh\u00f4i ph\u1ee5c nh\u1ecbp tim nh\u01b0ng b\u1ec7nh nh\u00e2n v\u1eabn trong t\u00ecnh tr\u1ea1ng h\u00f4n m\u00ea s\u00e2u v\u00e0 ph\u1ea3i duy tr\u00ec ph\u1ed1i h\u1ee3p thu\u1ed1c v\u1eadn m\u1ea1ch li\u1ec1u cao \u0111\u1ec3 duy tr\u00ec nh\u1ecbp tim – huy\u1ebft \u00e1p.<\/p>\n

Cu\u1ed9c h\u1ed9i ch\u1ea9n kh\u1ea9n tr\u01b0\u01a1ng gi\u1eefa c\u00e1c b\u00e1c s\u0129 c\u1ee7a Khoa C\u1ea5p c\u1ee9u, Trung t\u00e2m Tim m\u1ea1ch v\u00e0 Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c – ch\u1ed1ng \u0111\u1ed9c \u0111\u00e3 \u0111\u01b0a ra ph\u01b0\u01a1ng \u00e1n v\u1eeba ph\u1ea3i \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed3i s\u1ee9c c\u1ee9u s\u1ed1ng, v\u1eeba ph\u1ea3i gi\u1ea3m t\u1ed1i \u0111a vi\u1ec7c \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng n\u00e3o r\u1ea5t n\u1eb7ng n\u1ec1 cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

Nh\u1edd s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ea5p c\u1ee9u nhanh ch\u00f3ng c\u1ee7a \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 Khoa C\u1ea5p c\u1ee9u c\u00f9ng s\u1ef1 n\u1ed7 l\u1ef1c c\u1ee7a t\u1eadp th\u1ec3 c\u00e1c b\u00e1c s\u0129, \u0111i\u1ec1u d\u01b0\u1ee1ng Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c – ch\u1ed1ng \u0111\u1ed9c v\u00e0 \u00e1p d\u1ee5ng k\u1ef9 thu\u1eadt ki\u1ec3m so\u00e1t th\u00e2n nhi\u1ec7t, c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed3i s\u1ee9c \u0111\u00e3 c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ebfn nay anh N.A.T \u0111\u00e3 c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i cu\u1ed9c s\u1ed1ng th\u01b0\u1eddng ng\u00e0y v\u00e0 \u0111i l\u00e0m tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng nh\u01b0 ch\u01b0a h\u1ec1 ph\u1ea3i tr\u1ea3i qua nh\u1eefng ng\u00e0y s\u1ef1 s\u1ed1ng qu\u00e1 \u0111\u1ed7i mong manh…<\/p>\n

M\u1ed7i ng\u00e0y tr\u00f4i qua, m\u1ed7i m\u1ed9t ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c c\u1ee9u s\u1ed1ng, m\u1ed7i m\u1ed9t con ng\u01b0\u1eddi \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c s\u1ed1ng nh\u1eefng ng\u00e0y th\u00e1ng t\u01b0\u01a1i \u0111\u1eb9p, \u0111o\u00e0n vi\u00ean nh\u01b0 b\u00e0 L\u00ea Th\u1ecb Kim, b\u00e0 Nguy\u1ec5n Th\u1ecb T., hay ch\u00e0ng trai tr\u1ebb N.A.T l\u1ea1i \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c th\u1ef1c hi\u1ec7n \u01b0\u1edbc m\u01a1 t\u01b0\u01a1ng lai dang d\u1edf c\u1ee7a m\u00ecnh… l\u00e0 nh\u1eefng ni\u1ec1m vui, \u0111i\u1ec1u k\u1ef3 di\u1ec7u c\u1ee7a cu\u1ed9c s\u1ed1ng. Nh\u01b0ng \u0111\u1ec3 l\u00e0m n\u00ean nh\u1eefng \u0111i\u1ec1u k\u1ef3 di\u1ec7u \u0111\u00f3, t\u00f4i \u0111\u00e3 th\u1ea5y r\u1ea5t nhi\u1ec1u nh\u1eefng v\u1ea5t v\u1ea3, hy sinh, nh\u1eefng tr\u0103n tr\u1edf, c\u1ed1ng hi\u1ebfn v\u00e0 ch\u00e1y h\u1ebft m\u00ecnh b\u1edfi l\u1eddi th\u1ec1 Y \u0111\u1ee9c, l\u00e0m tr\u00f2n ngh\u0129a v\u1ee5 ch\u1eefa b\u1ec7nh c\u1ee9u ng\u01b0\u1eddi c\u1ee7a nh\u1eefng ng\u01b0\u1eddi th\u1ea7y thu\u1ed1c.<\/p>\n

\"\"
H\u1ea1nh ph\u00fac \u0111\u1eddi th\u01b0\u1eddng c\u1ee7a b\u00e0 L\u00ea Th\u1ecb Kim.<\/figcaption><\/figure>\n

“M\u1ed9t cu\u1ed9c \u0111\u1eddi c\u00f3 th\u1ec3 s\u1ed1ng cho ng\u01b0\u1eddi kh\u00e1c m\u1edbi l\u00e0 cu\u1ed9c \u0111\u1eddi \u0111\u00e1ng gi\u00e1”<\/h4>\n

C\u00f3 l\u1ebd \u0111\u00f3 l\u00e0 t\u00e2m ni\u1ec7m c\u1ee7a bi\u1ebft bao ng\u01b0\u1eddi khi ch\u1ecdn ngh\u1ec1 Y, m\u1ed9t c\u00e1i ngh\u1ec1 c\u00f3 \u00fd ngh\u0129a cao \u0111\u1eb9p nh\u01b0ng v\u00f4 c\u00f9ng gian tru\u00e2n, v\u1ea5t v\u1ea3, c\u1ea7n nhi\u1ec1u c\u00f4ng s\u1ee9c, tr\u00ed tu\u1ec7, c\u1ea3 \u0111\u1eddi h\u1ecdc t\u1eadp v\u00e0 t\u00f4i luy\u1ec7n b\u1ea3n l\u0129nh v\u1eefng v\u00e0ng. 16 n\u0103m tr\u01b0\u1edbc, ch\u00e0ng sinh vi\u00ean \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i \u0110\u1ed7 Qu\u1ed1c Phong (nay l\u00e0 Ph\u00f3 Tr\u01b0\u1edfng khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 ch\u1ed1ng \u0111\u1ed9c, B\u1ec7nh vi\u1ec7n E) \u0111\u00e3 ch\u1ecdn con \u0111\u01b0\u1eddng l\u00e0m b\u00e1c s\u0129 c\u1ea5p c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c v\u1edbi mong mu\u1ed1n s\u1ebd n\u1ed7 l\u1ef1c c\u1ea3 cu\u1ed9c \u0111\u1eddi m\u00ecnh \u0111\u1ec3 mang l\u1ea1i s\u1ef1 s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh. V\u1edbi BS. Phong c\u0169ng nh\u01b0 c\u00e1c b\u00e1c s\u0129 c\u1ea5p c\u1ee9u v\u00e0 h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c kh\u00e1c: “M\u1ed9t cu\u1ed9c \u0111\u1eddi c\u00f3 th\u1ec3 s\u1ed1ng cho ng\u01b0\u1eddi kh\u00e1c m\u1edbi l\u00e0 cu\u1ed9c \u0111\u1eddi \u0111\u00e1ng gi\u00e1”!<\/p>\n

T\u1ea1i Khoa C\u1ea5p c\u1ee9u c\u1ee7a B\u1ec7nh vi\u1ec7n E, Tr\u01b0\u1edfng khoa C\u1ea5p c\u1ee9u – ThS. BSCKII. Ph\u1ea1m Xu\u00e2n Hi\u1ebfu cho bi\u1ebft, m\u1ed7i ng\u00e0y khoa ti\u1ebfp nh\u1eadn kho\u1ea3ng 200 ca c\u1ea5p c\u1ee9u, trong \u0111\u00f3 c\u00f3 nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p r\u1ea5t n\u1eb7ng nh\u01b0 \u0111\u1ed9t qu\u1ef5, ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o, nh\u1ed3i m\u00e1u c\u01a1 tim… C\u00f3 nh\u1eefng l\u00fac v\u00e0o th\u1eddi \u0111i\u1ec3m b\u00f9ng ph\u00e1t c\u00e1c b\u1ec7nh nh\u01b0: S\u1ed1t xu\u1ea5t huy\u1ebft, vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, ti\u00eau ch\u1ea3y hay thay \u0111\u1ed5i th\u1eddi ti\u1ebft \u0111\u1ed9t ng\u1ed9t chuy\u1ec3n l\u1ea1nh, gia t\u0103ng nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb \u0111\u1ed9t qu\u1ef5… th\u00ec t\u1eeb s\u00e1ng \u0111\u1ebfn \u0111\u00eam, c\u00e1c b\u00e1c s\u0129 li\u00ean t\u1ee5c kh\u00e1m c\u1ea5p c\u1ee9u cho ng\u01b0\u1eddi b\u1ec7nh, c\u00f3 l\u00fac hai b\u00e0n ch\u00e2n t\u00ea c\u1ee9ng, b\u1ee5ng \u0111\u00f3i c\u1ed3n c\u00e0o nh\u01b0ng kh\u00f4ng th\u1ec3 ngh\u1ec9 ng\u01a1i v\u00ec ng\u01b0\u1eddi b\u1ec7nh qu\u00e1 \u0111\u00f4ng, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p nguy k\u1ecbch ph\u1ea3i x\u1eed tr\u00ed can thi\u1ec7p t\u00edch c\u1ef1c ngay.<\/p>\n

B\u1ec7nh vi\u1ec7n l\u00e0 n\u01a1i t\u1ea5t c\u1ea3 ch\u00fang ta kh\u00f4ng ai mu\u1ed1n t\u1edbi. Tuy nhi\u00ean, n\u1ebfu \u0111\u01b0\u1ee3c ch\u1ee9ng ki\u1ebfn m\u1ed9t \u0111\u00eam tr\u1ef1c t\u1ea1i Ph\u00f2ng C\u1ea5p c\u1ee9u hay Ph\u00f2ng \u0110i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, ch\u00fang ta m\u1edbi th\u1ea5u hi\u1ec3u \u0111\u01b0\u1ee3c nh\u1eefng v\u1ea5t v\u1ea3, c\u0103ng th\u1eb3ng, hy sinh c\u1ee7a \u0111\u1ed9i ng\u0169 th\u1ea7y thu\u1ed1c t\u1ea1i \u0111\u00e2y.<\/em><\/strong><\/p><\/blockquote>\n

Th\u1eddi \u0111i\u1ec3m t\u00f4i c\u00f3 m\u1eb7t t\u1ea1i Ph\u00f2ng C\u1ea5p c\u1ee9u l\u00e0 l\u00fac m\u1ed9t b\u1ec7nh nh\u00e2n n\u1eef \u1edf H\u00e0 N\u1ed9i b\u1ecb \u0111\u1ed9t qu\u1ef5 \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 \u0111\u01b0a v\u00e0o trong t\u00ecnh tr\u1ea1ng li\u1ec7t n\u1eeda ng\u01b0\u1eddi. Tr\u01b0\u1edbc \u0111\u00f3, l\u00fac 5h s\u00e1ng, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n ng\u1ee7 kh\u00f4ng d\u1eady \u0111\u01b0\u1ee3c, g\u1ecdi, h\u1ecfi kh\u00f3 \u0111\u00e1p \u1ee9ng…<\/p>\n

C\u00e1c b\u00e1c s\u0129 l\u1eadp t\u1ee9c kh\u00e1m k\u1ef9 v\u00e0 h\u1ed9i ch\u1ea9n ng\u01b0\u1eddi b\u1ec7nh b\u1ecb nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p trong giai \u0111o\u1ea1n gi\u1edd v\u00e0ng (4 – 5 gi\u1edd) c\u1ea7n ph\u1ea3i x\u1eed tr\u00ed can thi\u1ec7p m\u1ea1ch \u0111\u1ec3 h\u00fat huy\u1ebft kh\u1ed1i (c\u1ee5c m\u00e1u \u0111\u00f4ng) \u0111\u1ed9ng m\u1ea1ch n\u00e3o ngay \u0111\u1ec3 gi\u1eef t\u00ednh m\u1ea1ng v\u00e0 h\u1ea1n ch\u1ebf di ch\u1ee9ng n\u1eb7ng n\u1ec1 sau \u0111\u1ed9t qu\u1ef5.<\/p>\n

V\u1eady l\u00e0 ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c chuy\u1ec3n v\u00e0o ph\u00f2ng can thi\u1ec7p m\u1ea1ch. Ngay trong gi\u1edd ngh\u1ec9 tr\u01b0a, c\u00e1c b\u00e1c s\u0129 v\u1eabn l\u00e0m vi\u1ec7c li\u00ean t\u1ee5c v\u00e0 c\u0103ng th\u1eb3ng, c\u1ed1 g\u1eafng t\u1eebng gi\u00e2y ph\u00fat gi\u00e0nh gi\u1eadt l\u1ea1i s\u1ef1 s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

Kh\u00f4ng th\u1ec3 c\u00f3 th\u1eddi gian \u0111\u1ee9ng l\u1ea1i \u0111\u1ec3 tr\u1ea3 l\u1eddi t\u00f4i, b\u00e1c s\u0129 tr\u1ebb Nguy\u1ec5n Ng\u1ecdc V\u0129nh Y\u00ean, Khoa C\u1ea5p c\u1ee9u lu\u00f4n trong tr\u1ea1ng th\u00e1i t\u1ea5t b\u1eadt, v\u1ed9i v\u00e3, anh n\u00f3i nhanh cho t\u00f4i bi\u1ebft, sau khi can thi\u1ec7p m\u1ea1ch, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c chuy\u1ec3n l\u00ean Khoa H\u1ed3i s\u1ee9c \u0111\u1ec3 ti\u1ebfp t\u1ee5c th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c.<\/p>\n

Hi\u1ebfm hoi bi\u1ebft m\u1ea5y c\u00f3 \u0111\u01b0\u1ee3c \u0111\u00f4i ch\u00fat y\u00ean \u1ea3, b\u1edfi d\u01b0\u1eddng nh\u01b0 kh\u00f4ng gian ng\u1ed9t ng\u1ea1t, c\u0103ng th\u1eb3ng c\u1ee7a Ph\u00f2ng C\u1ea5p c\u1ee9u li\u00ean t\u1ee5c nh\u01b0 b\u1ecb x\u00e9 toang b\u1edfi ti\u1ebfng c\u00f2i xe c\u1ea5p c\u1ee9u, ti\u1ebfng ch\u00e2n b\u01b0\u1edbc d\u1ed3n d\u1eadp, nh\u1eefng ti\u1ebfng g\u1ecdi b\u00e1c s\u0129 \u01a1i v\u00e0 r\u1ed3i nh\u1eefng b\u00f3ng \u00e1o tr\u1eafng l\u1ea1i tho\u0103n tho\u1eaft, v\u1ed9i v\u00e3. Ng\u00e0y tr\u00f4i qua, \u0111\u00eam \u0111\u1ebfn, cho \u0111\u1ebfn khi v\u1eebng \u0110\u00f4ng h\u00e9 r\u1ea1ng, m\u1ed9t ng\u00e0y m\u1edbi t\u1ea5t b\u1eadt l\u1ea1i b\u1eaft \u0111\u1ea7u…<\/p>\n

R\u1eddi Ph\u00f2ng C\u1ea5p c\u1ee9u cu\u1ed1i gi\u1edd tan t\u1ea7m, khi \u00e1nh \u0111\u00e8n kh\u1eafp c\u00e1c n\u1ebbo \u0111\u01b0\u1eddng \u0111\u00e3 b\u1eadt s\u00e1ng, nh\u1eefng ng\u01b0\u1eddi trong ca tr\u1ef1c \u0111\u00eam tr\u01b0\u1edbc tr\u1edf v\u1ec1 nh\u00e0. H\u1ecd c\u00f3 th\u1ec3 ngh\u1ec9 ng\u01a1i v\u1edbi gia \u0111\u00ecnh sau m\u1ed9t ng\u00e0y \u0111\u00eam c\u0103ng th\u1eb3ng, v\u1ea5t v\u1ea3 nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 ph\u1ea3i quay l\u1ea1i b\u1ec7nh vi\u1ec7n ngay sau ti\u1ebfng chu\u00f4ng \u0111i\u1ec7n tho\u1ea1i. N\u01a1i \u1ea5y – b\u1ec7nh vi\u1ec7n – l\u00e0 n\u01a1i h\u1ecd c\u1ea7n \u0111\u1ebfn \u0111\u1ec3 ch\u1eefa b\u1ec7nh cho m\u1ecdi ng\u01b0\u1eddi. H\u1ecd – nh\u1eefng thi\u00ean th\u1ea7n \u00e1o tr\u1eafng v\u1edbi tr\u00e1i tim y\u00eau th\u01b0\u01a1ng, v\u1edbi tr\u00e1ch nhi\u1ec7m cao c\u1ea3 v\u1eabn \u0111ang t\u1eebng ng\u00e0y, t\u1eebng gi\u1edd g\u00f3p ph\u1ea7n \u0111em l\u1ea1i m\u00f9a xu\u00e2n \u1ea5m \u00e1p cho m\u1ecdi ng\u01b0\u1eddi, m\u1ecdi gia \u0111\u00ecnh !<\/p>\n

Ngu\u1ed3n b\u00e1o S\u1ee9c kh\u1ecfe & \u0110\u1eddi s\u1ed1ng<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ea5t k\u1ec3 ng\u00e0y hay \u0111\u00eam, h\u1ecd v\u1eabn \u0111ang v\u1eadt l\u1ed9n v\u1edbi t\u1eed th\u1ea7n gi\u00e0nh gi\u1eadt l\u1ea1i s\u1ef1 s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh hi\u1ec3m ngh\u00e8o v\u00e0 mang l\u1ea1i cho gia \u0111\u00ecnh h\u1ecd m\u1ed9t m\u00f9a xu\u00e2n \u1ea5m \u00e1p, \u0111\u00f3n T\u1ebft \u0111o\u00e0n vi\u00ean trong h\u1ea1nh ph\u00fac! “C\u1ea3m \u01a1n c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 cho t\u00f4i \u0111\u01b0\u1ee3c s\u1ed1ng ti\u1ebfp cu\u1ed9c \u0111\u1eddi […]<\/p>\n","protected":false},"author":3,"featured_media":17977,"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-17976","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\/17976","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=17976"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17976\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/17977"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=17976"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=17976"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=17976"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}