{"id":5428,"date":"2021-06-01T20:43:56","date_gmt":"2021-06-01T13:43:56","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=5428"},"modified":"2021-06-01T20:43:56","modified_gmt":"2021-06-01T13:43:56","slug":"dieu-tri-ca-benh-nang-tai-bac-giang-toi-ap-luc-hon-da-nang","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/06\/01\/dieu-tri-ca-benh-nang-tai-bac-giang-toi-ap-luc-hon-da-nang\/","title":{"rendered":"\u201c\u0110i\u1ec1u tr\u1ecb ca b\u1ec7nh n\u1eb7ng t\u1ea1i B\u1eafc Giang t\u00f4i \u00e1p l\u1ef1c h\u01a1n \u0110\u00e0 N\u1eb5ng\u201d"},"content":{"rendered":"

\u201cH\u1ed3i \u1edf \u0110\u00e0 N\u1eb5ng, b\u1ec7nh nh\u00e2n n\u1eb7ng ch\u1ee7 y\u1ebfu \u0111\u1ec1u l\u1edbn tu\u1ed5i v\u00e0 c\u00f3 nhi\u1ec1u b\u1ec7nh n\u1ec1n, c\u00f2n nh\u1eefng ca b\u1ec7nh c\u1ee7a B\u1eafc Giang khi\u1ebfn ch\u00fang t\u00f4i c\u0103ng th\u1eb3ng h\u01a1n v\u00ec b\u1ec7nh nh\u00e2n n\u1eb7ng t\u0103ng nhanh v\u00e0 c\u00e1c b\u1ec7nh nh\u00e2n c\u00f2n tr\u1ebb qu\u00e1\u201d, BS CKII Tr\u1ea7n Thanh Linh-Ph\u00f3 tr\u01b0\u1edfng Khoa H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u, \u0111\u1ed9i tr\u01b0\u1edfng \u0110\u1ed9i ph\u1ea3n \u1ee9ng nhanh c\u1ee7a BV Ch\u1ee3 R\u1eaby<\/h2>\n
\n

Sau 5 ng\u00e0y \u0111\u01b0\u1ee3c t\u0103ng c\u01b0\u1eddng chi vi\u1ec7n cho B\u1eafc Giang, BS Tr\u1ea7n Thanh Linh c\u00f9ng \u0110\u1ed9i ph\u1ea3n \u1ee9ng nhanh BV Ch\u1ee3 R\u1eaby ng\u00e0y \u0111\u00eam theo d\u00f5i, ch\u1eefa tr\u1ecb, c\u1ea5p c\u1ee9u, h\u1ed3i s\u1ee9c cho nh\u1eefng b\u1ec7nh nh\u00e2n COVID-19 n\u1eb7ng \u0111ang \u0111i\u1ec1u tr\u1ecb t\u1ea1i BV Ph\u1ed5i B\u1eafc Giang.<\/p>\n

Anh cho bi\u1ebft, tr\u01b0\u1edbc khi \u0111\u1ebfn B\u1eafc Giang, v\u1edbi kinh nghi\u1ec7m tr\u1ea3i qua t\u1eeb nh\u1eefng tr\u1eadn d\u1ecbch kh\u1ed1c li\u1ec7t tr\u01b0\u1edbc \u0111\u00f3 c\u0169ng nh\u01b0 nghi\u00ean c\u1ee9u v\u1ec1 ch\u1ee7ng m\u1edbi, anh \u0111\u00e3 ti\u00ean l\u01b0\u1ee3ng \u0111\u01b0\u1ee3c c\u00e1c nguy c\u01a1 v\u00e0 s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 di\u1ec5n ti\u1ebfn. Tuy nhi\u00ean, m\u1ed7i \u0111\u1ee3t d\u1ecbch l\u1ea1i c\u00f3 \u0111\u1eb7c th\u00f9 kh\u00e1c nhau. V\u00e0 \u0111\u1eb7c th\u00f9 c\u1ee7a \u0111\u1ee3t d\u1ecbch \u1edf B\u1eafc Giang l\u00e0 g\u00e2y t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i r\u1ea5t nhanh so v\u1edbi nh\u1eefng \u0111\u1ee3t tr\u01b0\u1edbc.<\/p>\n

T\u1eeb h\u00f4m nh\u1eadp cu\u1ed9c, anh \u0111\u00e3 ti\u1ebfp nh\u1eadn 3 ca ph\u1ea3i th\u1edf m\u00e1y, l\u1ecdc m\u00e1u li\u00ean t\u1ee5c, 7 ca th\u1edf oxy d\u00f2ng cao. \u0110\u1eb7c bi\u1ec7t c\u00f3 1 ca \u0111\u01b0\u1ee3c chuy\u1ec3n t\u1eeb BV \u0110a khoa t\u1ec9nh B\u1eafc Giang sang BV Ph\u1ed5i B\u1eafc Giang ngay trong \u0111\u00eam. Ca b\u1ec7nh n\u00e0y, ban \u0111\u1ea7u anh ti\u00ean l\u01b0\u1ee3ng x\u1ea5u, ph\u1ea3i l\u00e0m ECMO (tim ph\u1ed5i nh\u00e2n t\u1ea1o), nh\u01b0ng \u0111\u1ed9i ng\u0169 \u0111\u00e3 x\u1eed l\u00fd \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n, sau \u0111\u00f3 l\u1ecdc m\u00e1u l\u00e0 th\u1ea5y \u0111\u1ee1 v\u00e0 kh\u00f4ng c\u1ea7n ECMO.<\/p>\n

\"\"<\/p>\n

TS Tr\u1ea7n Thanh Linh<\/p>\n

\u201cTh\u1ef1c s\u1ef1, nh\u1eefng ca b\u1ec7nh c\u1ee7a B\u1eafc Giang khi\u1ebfn ch\u00fang t\u00f4i ch\u1ecbu c\u0103ng th\u1eb3ng v\u00e0 \u00e1p l\u1ef1c h\u01a1n v\u00ec b\u1ec7nh nh\u00e2n n\u1eb7ng t\u0103ng nhanh v\u00e0 c\u00e1c b\u1ec7nh nh\u00e2n c\u00f2n tr\u1ebb qu\u00e1. B\u1eafc Giang kh\u00f4ng c\u00f3 nhi\u1ec1u b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i c\u00f3 nhi\u1ec1u b\u1ec7nh n\u1ec1n nh\u01b0 \u0111\u1ee3t d\u1ecbch \u0110\u00e0 N\u1eb5ng, nh\u01b0ng v\u00ec ch\u1ee7ng virus l\u1ea7n n\u00e0y bi\u1ebfn th\u1ec3 n\u00ean b\u1ec7nh nh\u00e2n n\u1eb7ng v\u1eabn c\u00f3. \u0110\u1eb7c bi\u1ec7t, hi\u1ec7n s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi m\u1eafc v\u1eabn gia t\u0103ng th\u00ec s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n n\u1eb7ng c\u0169ng s\u1ebd t\u0103ng”, TS Tr\u1ea7n Thanh Linh chia s\u1ebb.<\/p>\n

Theo chuy\u00ean gia c\u1ee7a BV Ch\u1ee3 R\u1eaby, h\u1ed3i \u1edf \u0110\u00e0 N\u1eb5ng nh\u1eefng ca b\u1ec7nh n\u1eb7ng th\u00ec \u0111\u1ec1u cao tu\u1ed5i v\u00e0 c\u00f3 b\u1ec7nh n\u1ec1n, kh\u00f4ng c\u00f3 ca tr\u1ebb, tr\u1ebb nh\u1ea5t l\u00e0 h\u01a1n 40 tu\u1ed5i. \u0110\u1ee3t \u0111\u00f3, b\u1ec7nh nh\u00e2n tr\u1ebb g\u1ea7n nh\u01b0 l\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, kh\u00f4ng c\u00f3 h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i ho\u1eb7c ph\u1ea3i ch\u1ee5p CT m\u1edbi th\u1ea5y r\u00f5 t\u1ed5n th\u01b0\u01a1ng. C\u00f2n l\u1ea7n n\u00e0y, ch\u1ec9 m\u1ea5y ng\u00e0y sau ch\u1ee5p Xquang l\u00e0 th\u1ea5y ph\u1ed5i tr\u1eafng x\u00f3a. Ca t\u1eed vong \u1edf B\u1eafc Giang b\u1ec7nh nh\u00e2n qu\u00e1 tr\u1ebb, con m\u1edbi 6 tu\u1ed5i.<\/p>\n

V\u00ec th\u1ebf, c\u00f4ng t\u00e1c h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c l\u1ea7n n\u00e0y kh\u00f3 h\u01a1n v\u00ec ranh gi\u1edbi b\u1ec7nh nh\u00e2n n\u1eb7ng di\u1ec5n ti\u1ebfn t\u1edbi nguy k\u1ecbch r\u1ea5t nhanh. N\u00ean n\u1ebfu kh\u00f4ng theo d\u00f5i s\u00e1t, kh\u00f4ng ch\u1ee7 \u0111\u1ed9ng th\u00ec t\u1eed vong d\u1ec5 x\u1ea3y ra. Th\u00e0nh ra \u0111\u1ed9i ng\u0169 y t\u1ebf ph\u1ea3i theo d\u00f5i nhi\u1ec1u, c\u1ef1c h\u01a1n h\u1ed3i \u1edf \u0110\u00e0 N\u1eb5ng. “Nh\u01b0ng ch\u00ednh v\u00ec nh\u1eefng \u0111i\u1ec1u n\u00e0y m\u00e0 ch\u00fang t\u00f4i quy\u1ebft t\u00e2m ph\u1ea3i c\u1ee9u b\u1eb1ng \u0111\u01b0\u1ee3c c\u00e1c b\u1ec7nh nh\u00e2n, b\u1ec7nh nh\u00e2n tr\u1ebb n\u00ean th\u1ea7y thu\u1ed1c ph\u1ea3i c\u1ed1 g\u1eafng c\u1ee9u \u0111\u01b0\u1ee3c. Ph\u1ea3i ki\u00ean quy\u1ebft kh\u00f4ng \u0111\u1ec3 t\u1eed vong!”, BS Linh n\u00f3i.<\/p>\n

B\u00e1c s\u0129 Linh c\u0169ng cho bi\u1ebft, ch\u00ednh v\u00ec nh\u1eefng \u00e1p l\u1ef1c \u0111i\u1ec1u tr\u1ecb n\u00ean anh ph\u00e2n c\u00f4ng, b\u1ed1 tr\u00ed r\u1ea5t c\u1ee5 th\u1ec3 \u0111\u1ec3 l\u00fac n\u00e0o t\u1ea1i khu ICU c\u0169ng c\u00f3 c\u00e1c y, b\u00e1c s\u0129 Ch\u1ee3 R\u1eaby.<\/p>\n

\u201cBan ng\u00e0y ch\u00fang t\u00f4i t\u1eadp trung l\u1ef1c l\u01b0\u1ee3ng theo d\u00f5i ch\u0103m s\u00f3c c\u00e1c b\u1ec7nh nh\u00e2n n\u1eb7ng r\u1ea5t s\u00e1t v\u00e0 gi\u1ea3i quy\u1ebft \u1ed5n tho\u1ea3. C\u00f2n ca t\u1ed1i ch\u1ec9 b\u1ed1 tr\u00ed 1 b\u00e1c s\u0129, 1 \u0111i\u1ec1u d\u01b0\u1ee1ng Ch\u1ee3 R\u1eaby \u1edf l\u1ea1i tr\u1ef1c v\u00e0 x\u1eed l\u00fd c\u00e1c t\u00ecnh hu\u1ed1ng. L\u00fac n\u00e0o c\u0169ng c\u00f3 ng\u01b0\u1eddi c\u1ee7a Ch\u1ee3 R\u1eaby tr\u1ef1c th\u00ec t\u00f4i m\u1edbi y\u00ean t\u00e2m \u0111\u01b0\u1ee3c\u201d.<\/p>\n

V\u1ec1 vi\u1ec7c ti\u1ebfp nh\u1eadn, ph\u00e2n lu\u1ed3ng b\u1ec7nh nh\u00e2n, anh chia s\u1ebb, BV Ph\u1ed5i B\u1eafc Giang nh\u1eadn t\u1ea5t c\u1ea3 c\u00e1c ca ph\u1ea3i th\u1edf oxy \u1edf c\u00e1c b\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn v\u00ec c\u00e1c BV d\u00e3 chi\u1ebfn kh\u00f4ng \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n c\u01a1 s\u1edf v\u1eadt ch\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb. N\u1ebfu b\u1ec7nh nh\u00e2n chuy\u1ec3n n\u1eb7ng h\u01a1n th\u00ec \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 t\u1ea1i \u0111\u00f3 kh\u00f4ng c\u00f3 \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n, c\u01a1 s\u1edf v\u1eadt ch\u1ea5t \u0111\u1ec3 x\u1eed l\u00fd n\u00ean BV Ph\u1ed5i s\u1eb5n s\u00e0ng ti\u1ebfp nh\u1eadn.<\/p>\n

\u201cTr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb t\u1ea1i BV \u0110a khoa t\u1ec9nh B\u1eafc Giang r\u1ed3i, ph\u1ea3i l\u00e0 ca b\u1ec7nh th\u1edf HFNC th\u00ec BV Ph\u1ed5i B\u1eafc Giang m\u1edbi nh\u1eadn. T\u00f4i mu\u1ed1n ph\u00e2n b\u1ed1 h\u1ee3p l\u00fd, \u0111\u1ec3 d\u00e0nh ch\u1ed7 cho b\u1ec7nh nh\u00e2n n\u1eb7ng h\u01a1n\u201d, BS Tr\u1ea7n Thanh Linh chia s\u1ebb.<\/p>\n

\u0110\u1ebfn th\u1eddi \u0111i\u1ec3m hi\u1ec7n t\u1ea1i, theo BS Linh, \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 Ch\u1ee3 R\u1eaby \u0111\u00e3 quen v\u1edbi c\u00f4ng vi\u1ec7c v\u00e0 \u0111ang ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c t\u00ecnh h\u00ecnh \u0111i\u1ec1u tr\u1ecb nh\u1eefng ca n\u1eb7ng t\u1ea1i B\u1eafc Giang. Anh hy v\u1ecdng g\u00f3p ph\u1ea7n c\u00f9ng B\u1eafc Giang d\u1eadp d\u1ecbch nhanh ch\u00f3ng v\u00e0 h\u1ea1n ch\u1ebf tr\u01b0\u1eddng h\u1ee3p t\u1eed vong \u0111\u00e1ng ti\u1ebfc.<\/p>\n

Ngu\u1ed3n B\u1ed9 Y t\u1ebf<\/strong><\/em><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

\u201cH\u1ed3i \u1edf \u0110\u00e0 N\u1eb5ng, b\u1ec7nh nh\u00e2n n\u1eb7ng ch\u1ee7 y\u1ebfu \u0111\u1ec1u l\u1edbn tu\u1ed5i v\u00e0 c\u00f3 nhi\u1ec1u b\u1ec7nh n\u1ec1n, c\u00f2n nh\u1eefng ca b\u1ec7nh c\u1ee7a B\u1eafc Giang khi\u1ebfn ch\u00fang t\u00f4i c\u0103ng th\u1eb3ng h\u01a1n v\u00ec b\u1ec7nh nh\u00e2n n\u1eb7ng t\u0103ng nhanh v\u00e0 c\u00e1c b\u1ec7nh nh\u00e2n c\u00f2n tr\u1ebb qu\u00e1\u201d, BS CKII Tr\u1ea7n Thanh Linh-Ph\u00f3 tr\u01b0\u1edfng Khoa H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u, \u0111\u1ed9i […]<\/p>\n","protected":false},"author":3,"featured_media":5429,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[235],"tags":[],"class_list":["post-5428","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-phong-chong-covid-19"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/5428","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=5428"}],"version-history":[{"count":2,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/5428\/revisions"}],"predecessor-version":[{"id":5431,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/5428\/revisions\/5431"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/5429"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=5428"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=5428"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=5428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}