{"id":42372,"date":"2026-07-18T13:49:23","date_gmt":"2026-07-18T06:49:23","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=42372"},"modified":"2026-07-18T13:55:29","modified_gmt":"2026-07-18T06:55:29","slug":"bai-16-07-26-bvdk-ag","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2026\/07\/18\/bai-16-07-26-bvdk-ag\/","title":{"rendered":"Khoa H\u1ed3i s\u1ee9c B\u1ec7nh vi\u1ec7n \u0110a khoa An Giang c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n b\u1ecb ng\u01b0ng h\u00f4 h\u1ea5p tu\u1ea7n ho\u00e0n do nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p"},"content":{"rendered":"<p><iframe loading=\"lazy\" src=\"https:\/\/drive.google.com\/file\/d\/1qdVfs7Mdn3_oOn158ycw5r0kwzVFvOcz\/preview\" width=\"500\" height=\"50\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><\/iframe><\/p>\n<p style=\"text-align: justify;\"><strong><em><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\">Ng\u00e0y 10\/06\/2026, B\u1ec7nh nh\u00e2n Chau Ph. (76 tu\u1ed5i, qu\u00ea \u1edf An C\u01b0, An Giang) \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 \u0111\u01b0a \u0111\u1ebfn TTYT T\u1ecbnh Bi\u00ean c\u1ea5p c\u1ee9u v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng: kh\u00f3 th\u1edf d\u1eef d\u1ed9i k\u00e8m theo nh\u1eefng c\u01a1n \u0111au n\u1eb7ng ng\u1ef1c m\u1edbi kh\u1edfi ph\u00e1t. \u0110\u00e1ng ch\u00fa \u00fd, ch\u1ec9 trong th\u1eddi gian ng\u1eafn, b\u1ec7nh t\u00ecnh di\u1ec5n ti\u1ebfn c\u1ef1c k\u1ef3 nhanh ch\u00f3ng v\u00e0 ph\u1ee9c t\u1ea1p, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng ng\u01b0ng h\u00f4 h\u1ea5p &#8211; tu\u1ea7n ho\u00e0n (ng\u01b0ng tim, ng\u01b0ng th\u1edf). C\u00e1c b\u00e1c s\u0129 tuy\u1ebfn \u0111\u1ea7u \u0111\u00e3 n\u1ed5 l\u1ef1c c\u1ea5p c\u1ee9u, \u00e9p tim ngo\u00e0i l\u1ed3ng ng\u1ef1c gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 nh\u1ecbp tim tr\u1edf l\u1ea1i, sau \u0111\u00f3 \u0111\u01b0\u1ee3c \u0111\u1ebfn B\u1ec7nh vi\u1ec7n \u0110a khoa Ch\u00e2u \u0110\u1ed1c, nh\u01b0ng t\u1ea1i \u0111\u00e2y t\u00ecnh tr\u1ea1ng di\u1ec5n ti\u1ebfn n\u1eb7ng h\u01a1n huy\u1ebft \u00e1p kh\u00f3 \u0111o, b\u1ec7nh \u0111\u01b0\u1ee3c chuy\u1ec3n tuy\u1ebfn ti\u1ebfp t\u1ee5c \u0111\u1ebfn B\u1ec7nh vi\u1ec7n \u0110a khoa An Giang \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/span><\/em><\/strong><\/p>\n<figure id=\"attachment_42373\" aria-describedby=\"caption-attachment-42373\" style=\"width: 376px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-42373\" src=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2026\/07\/Bai-16-07-26-BVDK-AG.webp\" alt=\"\" width=\"376\" height=\"550\" \/><figcaption id=\"caption-attachment-42373\" class=\"wp-caption-text\">B\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c sau \u0111i\u1ec1u tr\u1ecb<\/figcaption><\/figure>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\">Khi v\u00e0o B\u1ec7nh vi\u1ec7n \u0110a khoa An Giang, trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch, h\u00f4n m\u00ea s\u00e2u, t\u1ee9 chi l\u1ea1nh, t\u00edm \u0111\u1ea7u chi, m\u1ea5t ho\u00e0n to\u00e0n kh\u1ea3 n\u0103ng t\u1ef1 th\u1edf v\u00e0 ph\u1ea3i b\u00f3p b\u00f3ng h\u1ed7 tr\u1ee3 qua \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n. M\u1ea1ch nhanh nh\u1eb9 kh\u00f3 b\u1eaft, huy\u1ebft \u00e1p t\u1ee5t ch\u1ec9 c\u00f2n 60\/40 mmHg, n\u1ed3ng \u0111\u1ed9 oxy trong m\u00e1u (SpO2) gi\u1ea3m m\u1ea1nh c\u00f2n 80%. K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7n cho th\u1ea5y men tim t\u0103ng r\u1ea5t cao Troponin Ths 1100 ng\/L, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 ghi nh\u1eadn t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u c\u01a1 tim, si\u00eau \u00e2m tim cho k\u1ebft qu\u1ea3 ch\u1ee9c n\u0103ng co b\u00f3p k\u00e9m, EF th\u1ea5t tr\u00e1i 30%. Nh\u1eefng d\u1ea5u hi\u1ec7u tr\u00ean \u0111i\u1ec3n h\u00ecnh c\u1ee7a t\u00ecnh tr\u1ea1ng s\u1ed1c tim do nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 suy h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh nghi\u00eam tr\u1ecdng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\">Ngay l\u1eadp t\u1ee9c, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c chuy\u1ec3n th\u1eb3ng v\u00e0o Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c (ICU). T\u1ea1i \u0111\u00e2y B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n: Ng\u01b0ng h\u00f4 h\u1ea5p &#8211; tu\u1ea7n ho\u00e0n tr\u01b0\u1edbc khi v\u00e0o vi\u1ec7n &#8211; S\u1ed1c tim &#8211; Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p kh\u00f4ng ST ch\u00eanh l\u00ean nguy c\u01a1 r\u1ea5t cao &#8211; Suy tim III &#8211; Vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng m\u1ee9c trung b\u00ecnh &#8211; Lao ph\u1ed5i c\u0169 &#8211; \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 &#8211; T\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p &#8211; H\u1ea1 Kali m\u00e1u. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c cho th\u1edf m\u00e1y x\u00e2m l\u1ea5n \u0111\u1ec3 ki\u1ec3m so\u00e1t h\u00f4 h\u1ea5p; d\u00f9ng thu\u1ed1c t\u0103ng s\u1ee9c co b\u00f3p c\u01a1 tim, thu\u1ed1c v\u1eadn m\u1ea1ch \u0111\u1ec3 ki\u1ec3m so\u00e1t huy\u1ebft \u0111\u1ed9ng. \u0110\u1ed3ng th\u1eddi, c\u00e1c b\u00e1c s\u0129 s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p c\u00e1c lo\u1ea1i thu\u1ed1c chuy\u00ean bi\u1ec7t bao g\u1ed3m: thu\u1ed1c kh\u00e1ng \u0111\u00f4ng, thu\u1ed1c kh\u00e1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u v\u00e0 statin li\u1ec1u cao \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n g\u00e2y nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p. B\u00ean c\u1ea1nh \u0111\u00f3, ph\u00e1c \u0111\u1ed3 c\u0169ng b\u1ed5 sung kh\u00e1ng sinh \u0111\u1ec3 ki\u1ec3m so\u00e1t v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ee9t \u0111i\u1ec3m t\u00ecnh tr\u1ea1ng vi\u00eam ph\u1ed5i k\u00e8m theo.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\">Sau m\u1ed9t tu\u1ea7n l\u1ec5 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, t\u1eeb ng\u00e0y 10\/06 \u0111\u1ebfn 17\/06\/2026, B\u1ec7nh nh\u00e2n \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb r\u1ea5t t\u1ed1t,\u00a0 t\u00ecnh tr\u1ea1ng c\u1ea3i thi\u1ec7n d\u1ea7n, \u0111\u01b0\u1ee3c cai m\u00e1y th\u1edf x\u00e2m l\u1ea5n th\u00e0nh c\u00f4ng v\u00e0 ti\u1ebfn h\u00e0nh r\u00fat \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 ho\u00e0n to\u00e0n t\u1ec9nh t\u00e1o, t\u1ef1 th\u1edf \u0111\u1ec1u, h\u1ebft \u0111au n\u1eb7ng ng\u1ef1c v\u00e0 c\u00f3 th\u1ec3 t\u1ef1 v\u1eadn \u0111\u1ed9ng t\u1ed1t. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ec1n Khoa Tim m\u1ea1ch can thi\u1ec7p \u0111\u1ec3 ti\u1ebfp t\u1ee5c v\u00e0 sau \u0111\u00f3 cho xu\u1ea5t vi\u1ec7n v\u00e0o ng\u00e0y 23\/06\/2026.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\">\u0110\u00e2y l\u00e0 ca b\u1ec7nh th\u00e0nh c\u00f4ng kh\u00f4ng ch\u1ec9 nh\u1edd v\u00e0o c\u00e1c ph\u00e1c \u0111\u1ed3 y khoa hi\u1ec7n \u0111\u1ea1i, m\u00e0 c\u00f2n l\u00e0 minh ch\u1ee9ng r\u00f5 n\u00e9t cho s\u1ef1 t\u1eadn t\u00e2m, tinh th\u1ea7n tr\u00e1ch nhi\u1ec7m v\u00e0 t\u00ednh chuy\u00ean nghi\u1ec7p trong vi\u1ec7c ph\u1ed1i h\u1ee3p c\u1ea5p c\u1ee9u, \u0111i\u1ec1u tr\u1ecb b\u1ec7nh c\u1ee7a c\u00e1c y b\u00e1c s\u0129 b\u1ec7nh vi\u1ec7n \u0110a Khoa An Giang. Qua \u0111\u00f3 ch\u1ee9ng minh \u0111\u01b0\u1ee3c n\u0103ng l\u1ef1c v\u1eefng v\u00e0ng trong c\u00f4ng t\u00e1c \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng nh\u1eefng ca b\u1ec7nh n\u1eb7ng, nguy k\u1ecbch \u0111e d\u1ecda tr\u1ef1c ti\u1ebfp \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\"><strong><em>Th\u00f4ng \u0111i\u1ec7p cho ng\u01b0\u1eddi b\u1ec7nh: <\/em><\/strong>\u00a0khi c\u00f3 d\u1ea5u hi\u1ec7u kh\u00f3 th\u1edf, \u0111au n\u1eb7ng ng\u1ef1c m\u1edbi kh\u1edfi ph\u00e1t ng\u01b0\u1eddi d\u00e2n n\u00ean nhanh ch\u00f3ng \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb. Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ee7 quan hay ch\u1ea7n ch\u1eeb, b\u1edfi &#8220;th\u1eddi gian v\u00e0ng&#8221; \u0111\u1ec3 c\u1ea5p c\u1ee9u ph\u1ee5c h\u1ed3i t\u01b0\u1edbi m\u00e1u l\u00e0 r\u1ea5t ng\u1eafn; m\u1ecdi s\u1ef1 ch\u1eadm tr\u1ec5 \u0111\u1ec1u l\u00e0m t\u0103ng nguy c\u01a1 t\u1eed vong ho\u1eb7c \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng t\u00e0n t\u1eadt su\u1ed1t \u0111\u1eddi.\/.<\/span><\/p>\n<p style=\"text-align: right;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\"><em>\u00a0<span style=\"font-size: 14pt;\">Bs. Hu\u1ef3nh Trung Ngh\u0129a, Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c &#8211; BV\u0110K An Giang<\/span><\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\ufeff Ng\u00e0y 10\/06\/2026, B\u1ec7nh nh\u00e2n Chau Ph. (76 tu\u1ed5i, qu\u00ea \u1edf An C\u01b0, An Giang) \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 \u0111\u01b0a \u0111\u1ebfn TTYT T\u1ecbnh Bi\u00ean c\u1ea5p c\u1ee9u v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng: kh\u00f3 th\u1edf d\u1eef d\u1ed9i k\u00e8m theo nh\u1eefng c\u01a1n \u0111au n\u1eb7ng ng\u1ef1c m\u1edbi kh\u1edfi ph\u00e1t. \u0110\u00e1ng ch\u00fa \u00fd, ch\u1ec9 trong th\u1eddi gian ng\u1eafn, b\u1ec7nh t\u00ecnh di\u1ec5n ti\u1ebfn [&hellip;]<\/p>\n","protected":false},"author":419,"featured_media":42373,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[325,349,322],"tags":[],"class_list":["post-42372","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anh_chup","category-bai-viet-dat-hang","category-cham-nhuan-but"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/42372","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\/419"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=42372"}],"version-history":[{"count":3,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/42372\/revisions"}],"predecessor-version":[{"id":42376,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/42372\/revisions\/42376"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/42373"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=42372"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=42372"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=42372"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}