{"id":21927,"date":"2023-07-26T11:11:02","date_gmt":"2023-07-26T04:11:02","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=21927"},"modified":"2023-07-26T11:11:02","modified_gmt":"2023-07-26T04:11:02","slug":"benh-vien-san-nhi-an-giang-no-luc-thuc-hien-tuyen-chuyen-mon-cao-nhat-linh-vuc-san-nhi","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/07\/26\/benh-vien-san-nhi-an-giang-no-luc-thuc-hien-tuyen-chuyen-mon-cao-nhat-linh-vuc-san-nhi\/","title":{"rendered":"B\u1ec7nh vi\u1ec7n S\u1ea3n – Nhi An Giang: N\u1ed7 l\u1ef1c th\u1ef1c hi\u1ec7n tuy\u1ebfn chuy\u00ean m\u00f4n cao nh\u1ea5t l\u0129nh v\u1ef1c s\u1ea3n – nhi"},"content":{"rendered":"

B\u1ec7nh vi\u1ec7n S\u1ea3n – Nhi An Giang l\u00e0 b\u1ec7nh vi\u1ec7n chuy\u00ean khoa h\u1ea1ng II, tuy\u1ebfn chuy\u00ean m\u00f4n cao nh\u1ea5t v\u1ec1 kh\u00e1m, ch\u1eefa b\u1ec7nh (KCB) trong l\u0129nh v\u1ef1c s\u1ea3n ph\u1ee5 khoa v\u00e0 nhi khoa c\u1ee7a t\u1ec9nh. V\u1edbi tr\u00e1ch nhi\u1ec7m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe cho 2 \u0111\u1ed1i t\u01b0\u1ee3ng d\u1ec5 t\u1ed5n th\u01b0\u01a1ng nh\u1ea5t trong x\u00e3 h\u1ed9i l\u00e0 ph\u1ee5 n\u1eef v\u00e0 tr\u1ebb em, b\u1ec7nh vi\u1ec7n lu\u00f4n ch\u00fa tr\u1ecdng n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, \u0111i\u1ec1u tr\u1ecb b\u1ec7nh v\u00e0 th\u00e1i \u0111\u1ed9 ph\u1ee5c v\u1ee5 c\u1ee7a \u0111\u1ed9i ng\u0169 c\u00e1n b\u1ed9, v\u1edbi ph\u01b0\u01a1ng ch\u00e2m: \u201cAn to\u00e0n – Th\u00e2n thi\u1ec7n – B\u1ec7nh vi\u1ec7n v\u00ec d\u00e2n\u201d.<\/p>\n

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M\u1ed9t ca ph\u1eabu thu\u1eadt n\u1ed9i soi t\u1ea1i B\u1ec7nh vi\u1ec7n S\u1ea3n Nhi An Giang<\/figcaption><\/figure>\n

N\u0103m 2022, \u0111\u00e1nh d\u1ea5u c\u1ed9t m\u1ed1c quan tr\u1ecdng trong s\u1ef1 nghi\u1ec7p h\u00ecnh th\u00e0nh v\u00e0 ph\u00e1t tri\u1ec3n b\u1ec7nh vi\u1ec7n, v\u1edbi vi\u1ec7c \u0111\u01b0a v\u00e0o ho\u1ea1t \u0111\u1ed9ng kh\u1ed1i S\u1ea3n 200 gi\u01b0\u1eddng g\u1ed3m 9 t\u1ea7ng, c\u00f9ng trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i. \u0110\u1ed3ng th\u1eddi, kh\u1edfi c\u00f4ng giai \u0111o\u1ea1n 2: X\u00e2y d\u1ef1ng kh\u1ed1i Nhi 200 gi\u01b0\u1eddng, v\u01a1\u0301i \u0111\u1ea7y \u0111\u1ee7 c\u00e1c khoa\/ph\u00f2ng quan tr\u1ecdng, hi\u0300nh th\u00e0nh \u0111u\u0309 d\u00e2y chuy\u1ec1n c\u00f4ng n\u0103ng li\u00ean ho\u00e0n c\u1ee7a kh\u1ed1i Nhi \u0111ang ho\u00e0n thi\u1ec7n v\u1edbi quy m\u00f4 l\u1edbn. T\u1eebng b\u01b0\u1edbc ho\u00e0n thi\u1ec7n c\u00f4ng tr\u00ecnh b\u1ec7nh vi\u1ec7n chuy\u00ean khoa c\u00f3 quy m\u00f4 l\u1edbn, nhi\u1ec1u ti\u1ec7n \u00edch hi\u1ec7n \u0111\u1ea1i, \u0111\u00e1p \u1ee9ng nhu c\u1ea7u ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe nh\u00e2n d\u00e2n trong v\u00e0 ngo\u00e0i t\u1ec9nh, gi\u1ea3m t\u1ea3i c\u00e1c b\u1ec7nh vi\u1ec7n tuy\u1ebfn tr\u00ean.<\/p>\n

BS CKII T\u00f4n Quang Ch\u00e1nh, Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n S\u1ea3n – Nhi\u00a0An Giang<\/a>\u00a0cho bi\u1ebft: \u201cB\u1ec7nh vi\u1ec7n \u0111\u00e3 n\u00e2ng cao n\u0103ng l\u1ef1c kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb, c\u1ee7ng c\u1ed1 l\u00f2ng tin c\u1ee7a ng\u01b0\u1eddi d\u00e2n v\u1edbi b\u1ec7nh vi\u1ec7n; ph\u00e1t tri\u1ec3n ngu\u1ed3n l\u1ef1c, t\u1eadp trung \u0111\u00e0o t\u1ea1o n\u00e2ng ch\u1ea5t l\u01b0\u1ee3ng chuy\u00ean m\u00f4n cho \u0111\u1ed9i ng\u0169 nh\u00e2n vi\u00ean. Th\u01b0\u1eddng xuy\u00ean ph\u1ed1i h\u1ee3p v\u1edbi b\u1ec7nh vi\u1ec7n tuy\u1ebfn tr\u00ean t\u1eadp hu\u1ea5n tr\u1ef1c tuy\u1ebfn, tr\u1ef1c ti\u1ebfp c\u1eadp nh\u1eadt k\u1ef9 thu\u1eadt m\u1edbi, h\u1ed9i ch\u1ea9n ca b\u1ec7nh kh\u00f3, v\u01b0\u1ee3t qu\u00e1 kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb. Ti\u1ebfp nh\u1eadn \u0111i\u1ec1u tr\u1ecb c\u00e1c d\u1ecbch b\u1ec7nh kh\u00e1c \u0111ang l\u01b0u h\u00e0nh \u1edf nh\u1eefng m\u00f9a cao \u0111i\u1ec3m, nh\u01b0: S\u1ed1t xu\u1ea5t huy\u1ebft, tay – ch\u00e2n – mi\u1ec7ng, trong \u0111\u00f3, c\u1ea5p c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb kh\u1ecfi c\u00e1c ca s\u1ed1t xu\u1ea5t huy\u1ebft n\u1eb7ng…\u201d.<\/p>\n

Trong c\u00f4ng t\u00e1c KCB \u0111\u1ea1t nhi\u1ec1u th\u00e0nh t\u1ef1u: Khoa Nhi ch\u1ee7 \u0111\u1ed9ng trong vi\u1ec7c ch\u0103m s\u00f3c tr\u1ebb nh\u1eb9 c\u00e2n, non th\u00e1ng, l\u00e0m ch\u1ee7 k\u1ef9 thu\u1eadt thay m\u00e1u \u0111\u00e3 c\u1ee9u s\u1ed1ng th\u00e0nh c\u00f4ng b\u1ec7nh nhi b\u1ecb ng\u1ed9 \u0111\u1ed9c methemoglobin nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng l\u01a1 m\u01a1, t\u00edm to\u00e0n th\u00e2n; k\u1ef9 thu\u1eadt h\u00fat \u0111\u00e0m k\u00edn qua n\u1ed9i kh\u00ed qu\u1ea3n… T\u1eeb \u0111\u00f3, gi\u00fap \u0111i\u1ec1u tr\u1ecb \u0111\u1ea1t k\u1ebft qu\u1ea3 t\u1ed1t h\u01a1n \u1edf c\u00e1c b\u1ec7nh nhi \u0111ang th\u1edf m\u00e1y; c\u1ea5p c\u1ee9u v\u00e0 ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng ca b\u1ec7nh nhi b\u1ecb th\u1ee7ng ph\u1ed5i v\u00e0 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u l\u1edbn\u2026<\/p>\n

Khoa S\u1ea3n ti\u1ebfp t\u1ee5c duy tr\u00ec v\u00e0 ph\u00e1t tri\u1ec3n t\u1ed1t c\u00e1c d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c thi\u1ebft y\u1ebfu s\u01a1 sinh, c\u00e1c g\u00f3i sinh d\u1ecbch v\u1ee5, ph\u00f2ng sinh gia \u0111\u00ecnh, d\u1ecbch v\u1ee5 k\u1ef9 thu\u1eadt \u201c\u0111\u1ebb kh\u00f4ng \u0111au\u201d, ph\u1eabu thu\u1eadt l\u1ea5y thai theo y\u00eau c\u1ea7u. \u0110i\u1ec3m s\u00e1ng nh\u1ea5t l\u00e0 \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng c\u00e1c ca thai kh\u00f3, nh\u01b0: Ti\u1ec1n s\u1ea3n gi\u1eadt n\u1eb7ng – h\u1ed9i ch\u1ee9ng HELLP, nhau ti\u1ec1n \u0111\u1ea1o trung t\u00e2m, nhau c\u00e0i r\u0103ng l\u01b0\u1ee3c; tri\u1ec3n khai t\u1ea7m so\u00e1t c\u00e1c d\u1ecb t\u1eadt thai nhi trong 3 th\u00e1ng \u0111\u1ea7u v\u00e0 3 th\u00e1ng gi\u1eefa thai k\u1ef3 b\u1eb1ng c\u00e1c x\u00e9t nghi\u1ec7m hi\u1ec7n \u0111\u1ea1i (double test, triple test, NIPT), si\u00eau \u00e2m m\u00e0u 4D kh\u1ea3o s\u00e1t h\u00ecnh th\u00e1i v\u00e0 tim thai… \u0110\u1eb7c bi\u1ec7t, \u0111\u00e3 ti\u1ebfp nh\u1eadn \u0111i\u1ec1u tr\u1ecb v\u00e0 ho\u00e0n thi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt chuy\u00ean m\u00f4n cao trong l\u0129nh v\u1ef1c ph\u1ee5 khoa – hi\u1ebfm mu\u1ed9n, nh\u01b0: \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa thai ngo\u00e0i t\u1eed cung.<\/p>\n

BS CKII T\u00f4n Quang Ch\u00e1nh cho bi\u1ebft, 6 th\u00e1ng \u0111\u1ea7u n\u0103m 2023, b\u1ec7nh vi\u1ec7n kh\u00e1m b\u1ec7nh, \u0111i\u1ec1u tr\u1ecb g\u1ea7n 87.300 l\u01b0\u1ee3t b\u1ec7nh nh\u00e2n; s\u1ed1 l\u01b0\u1ee3t kh\u00e1m c\u00f3 b\u1ea3o hi\u1ec3m y t\u1ebf t\u0103ng 2,3 l\u1ea7n so c\u00f9ng k\u1ef3. S\u1ed1 l\u01b0\u1ee3t kh\u00e1m b\u1ec7nh cho tr\u1ebb em d\u01b0\u1edbi 6 tu\u1ed5i t\u0103ng g\u1ea5p \u0111\u00f4i so c\u00f9ng k\u1ef3; t\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb kh\u1ecfi v\u00e0 gi\u1ea3m \u0111\u1ea1t 96,39%; th\u1ef1c hi\u1ec7n 61% c\u00e1c d\u1ecbch v\u1ee5 k\u1ef9 thu\u1eadt theo ph\u00e2n tuy\u1ebfn k\u1ef9 thu\u1eadt. T\u1ef7 l\u1ec7 h\u00e0i l\u00f2ng ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i tr\u00fa 95,93%, ngo\u1ea1i tr\u00fa 96,86%; s\u1ed1 ca sinh t\u1ea1i b\u1ec7nh vi\u1ec7n t\u0103ng 1,5 l\u1ea7n so c\u00f9ng k\u1ef3. S\u1ed1 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt c\u1eadn l\u00e2m s\u00e0ng cao, nh\u01b0 CT scan t\u0103ng 1,3 l\u1ea7n, n\u1ed9i soi t\u0103ng g\u1ea7n 4,7 l\u1ea7n; gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong \u1edf tr\u1ebb s\u01a1 sinh non th\u00e1ng, nh\u1eb9 c\u00e2n, th\u1edf m\u00e1y… \u0111\u00e1p \u1ee9ng t\u1ed1t nhu c\u1ea7u ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi d\u00e2n trong, ngo\u00e0i t\u1ec9nh.<\/p>\n

\u0110\u1ec3 n\u00e2ng cao n\u0103ng l\u1ef1c \u0111i\u1ec1u tr\u1ecb, \u0111\u1ed9i ng\u0169 y, b\u00e1c s\u0129 lu\u00f4n c\u1eadp nh\u1eadt ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb m\u1edbi t\u1eeb B\u1ed9 Y t\u1ebf v\u00e0 tr\u00ean th\u1ebf gi\u1edbi, qua tham gia c\u00e1c h\u1ed9i th\u1ea3o, nghi\u00ean c\u1ee9u khoa h\u1ecdc, m\u1eddi c\u00e1c chuy\u00ean gia \u0111\u1ea7u ng\u00e0nh v\u1ec1 gi\u1ea3ng d\u1ea1y; t\u1ed5 ch\u1ee9c c\u00e1c l\u1edbp t\u1eadp hu\u1ea5n, \u0111\u00e0o t\u1ea1o nh\u00e2n l\u1ef1c y t\u1ebf ch\u1ea5t l\u01b0\u1ee3ng cao, chuy\u1ec3n giao k\u1ef9 thu\u1eadt t\u1eeb tuy\u1ebfn tr\u00ean v\u00e0 h\u1ed9i ch\u1ea9n v\u1edbi c\u00e1c b\u1ec7nh vi\u1ec7n tuy\u1ebfn \u0111\u1ea7u, ph\u1ed1i h\u1ee3p B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng TP. H\u1ed3 Ch\u00ed Minh KCB t\u1ea1i b\u1ec7nh vi\u1ec7n. \u0110\u1ed3ng th\u1eddi, ti\u1ebfp t\u1ee5c tri\u1ec3n khai c\u00e1c d\u1ecbch v\u1ee5 k\u1ef9 thu\u1eadt cao, nh\u01b0: L\u1ecdc m\u00e1u li\u00ean t\u1ee5c, \u0111\u1eb7t catheter t\u0129nh m\u1ea1ch trung t\u00e2m, thay m\u00e1u s\u01a1 sinh, b\u01a1m surfactant, \u0111\u1eb7t catheter \u0111\u1ed9ng t\u0129nh m\u1ea1ch r\u1ed1n…<\/p>\n

B\u00ean c\u1ea1nh nh\u1eefng th\u00e0nh qu\u1ea3 \u0111\u1ea1t \u0111\u01b0\u1ee3c, b\u1ec7nh vi\u1ec7n c\u0169ng c\u00f2n nhi\u1ec1u kh\u00f3 kh\u0103n, nh\u01b0: B\u1ec7nh vi\u1ec7n v\u1eeba x\u00e2y d\u1ef1ng, v\u1eeba ho\u1ea1t \u0111\u1ed9ng n\u00ean \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00f4ng t\u00e1c \u0111i\u1ec1u tr\u1ecb; c\u00f4ng su\u1ea5t s\u1eed d\u1ee5ng gi\u01b0\u1eddng b\u1ec7nh c\u00f3 t\u0103ng nh\u01b0ng c\u00f2n th\u1ea5p; s\u1ed1 ca chuy\u1ec3n vi\u1ec7n c\u00f2n cao (ch\u1ee7 y\u1ebfu b\u1ec7nh ung th\u01b0, huy\u1ebft h\u1ecdc, h\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0). C\u00f4ng t\u00e1c cung \u1ee9ng thu\u1ed1c, h\u00f3a ch\u1ea5t x\u00e9t nghi\u1ec7m, v\u1eadt t\u01b0 y t\u1ebf ch\u01b0a k\u1ecbp th\u1eddi; vi\u1ec7c mua s\u1eafm trang thi\u1ebft b\u1ecb y t\u1ebf ch\u1eadm ti\u1ebfn \u0111\u1ed9, do c\u00f3 nhi\u1ec1u thay \u0111\u1ed5i trong \u0111\u1ea5u th\u1ea7u…<\/p>\n

\u0110\u1ec3 ho\u1ea1t \u0111\u1ed9ng hi\u1ec7u qu\u1ea3 h\u01a1n, B\u1ec7nh vi\u1ec7n S\u1ea3n – Nhi An Giang \u0111ang nghi\u00ean c\u1ee9u \u00e1p d\u1ee5ng m\u00f4 h\u00ecnh qu\u1ea3n tr\u1ecb m\u1edbi, \u00e1p d\u1ee5ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin v\u00e0o qu\u1ea3n l\u00fd KCB, h\u01b0\u1edbng t\u1edbi cung c\u1ea5p c\u00e1c g\u00f3i d\u1ecbch v\u1ee5, chuy\u00ean s\u00e2u. B\u00ean c\u1ea1nh ph\u00e1t tri\u1ec3n c\u00e1c k\u1ef9 thu\u1eadt m\u1edbi, n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng KCB, ti\u1ebfp t\u1ee5c ph\u00e1t tri\u1ec3n s\u1ef1 nghi\u1ec7p y t\u1ebf theo h\u01b0\u1edbng hi\u1ec7n \u0111\u1ea1i, ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 b\u1ec1n v\u1eefng, \u0111\u00e1p \u1ee9ng nhu c\u1ea7u ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe nh\u00e2n d\u00e2n.\/.<\/p>\n

Ngu\u1ed3n S\u1edf Y t\u1ebf An Giang<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh vi\u1ec7n S\u1ea3n – Nhi An Giang l\u00e0 b\u1ec7nh vi\u1ec7n chuy\u00ean khoa h\u1ea1ng II, tuy\u1ebfn chuy\u00ean m\u00f4n cao nh\u1ea5t v\u1ec1 kh\u00e1m, ch\u1eefa b\u1ec7nh (KCB) trong l\u0129nh v\u1ef1c s\u1ea3n ph\u1ee5 khoa v\u00e0 nhi khoa c\u1ee7a t\u1ec9nh. V\u1edbi tr\u00e1ch nhi\u1ec7m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe cho 2 \u0111\u1ed1i t\u01b0\u1ee3ng d\u1ec5 t\u1ed5n th\u01b0\u01a1ng nh\u1ea5t trong x\u00e3 h\u1ed9i l\u00e0 ph\u1ee5 […]<\/p>\n","protected":false},"author":3,"featured_media":21928,"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-21927","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\/21927","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=21927"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/21927\/revisions"}],"predecessor-version":[{"id":21929,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/21927\/revisions\/21929"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/21928"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=21927"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=21927"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=21927"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}