{"id":6619,"date":"2021-07-18T10:29:34","date_gmt":"2021-07-18T03:29:34","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=6619"},"modified":"2021-08-07T21:41:56","modified_gmt":"2021-08-07T14:41:56","slug":"thu-truong-bo-y-te-viec-dieu-tri-covid-19-van-trong-tam-kiem-soat-gia-tang-f0-co-trieu-chung-tro-nang","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/07\/18\/thu-truong-bo-y-te-viec-dieu-tri-covid-19-van-trong-tam-kiem-soat-gia-tang-f0-co-trieu-chung-tro-nang\/","title":{"rendered":"Th\u1ee9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf: Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb COVID-19 v\u1eabn trong t\u1ea7m ki\u1ec3m so\u00e1t, gia t\u0103ng F0 c\u00f3 tri\u1ec7u ch\u1ee9ng tr\u1edf n\u1eb7ng"},"content":{"rendered":"

Theo Th\u1ee9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf Nguy\u1ec5n Tr\u01b0\u1eddng S\u01a1n: Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n COVID-19 v\u1eabn \u0111ang trong t\u1ea7m ki\u1ec3m so\u00e1t. Tuy nhi\u00ean, t\u1ea1i m\u1ed9t s\u1ed1 t\u1ec9nh th\u00e0nh t\u1ef7 l\u1ec7 F0 c\u00f3 tri\u1ec7u ch\u1ee9ng tr\u1edf n\u1eb7ng t\u0103ng l\u00ean, g\u1ea7n nh\u01b0 l\u00e0 m\u1ed9t g\u00e1nh n\u1eb7ng r\u1ea5t l\u1edbn cho ng\u00e0nh y t\u1ebf…<\/h2>\n
\n

Th\u00f4ng tin t\u1ea1i h\u1ed9i ngh\u1ecb ban tr\u1ef1c tuy\u1ebfn v\u1ec1 c\u00f4ng t\u00e1c ph\u00f2ng ch\u1ed1ng d\u1ecbch COVID-19 do B\u1ed9 Y t\u1ebf t\u1ed5 ch\u1ee9c h\u00f4m qua (16\/7), Th\u1ee9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf Nguy\u1ec5n Tr\u01b0\u1eddng S\u01a1n cho bi\u1ebft t\u1ea1i m\u1ed9t s\u1ed1 \u0111\u1ecba ph\u01b0\u01a1ng s\u1ed1 ca m\u1eafc COVID-19 t\u0103ng r\u1ea5t nhanh, con s\u1ed1 t\u0103ng h\u1ebft s\u1ee9c ch\u00f3ng m\u1eb7t nh\u01b0ng ph\u1ea3n \u00e1nh \u0111\u00fang ch\u00fang ta \u0111\u00e3 t\u1ea7m so\u00e1t trong c\u00e1c khu phong t\u1ecfa, v\u00f9ng nguy c\u01a1 cao, doanh nghi\u1ec7p, ngo\u00e0i c\u1ed9ng \u0111\u1ed3ng.<\/p>\n

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Th\u1ee9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf Nguy\u1ec5n Tr\u01b0\u1eddng S\u01a1n.<\/em><\/p>\n

Tuy nhi\u00ean, b\u00ean c\u1ea1nh \u0111\u00f3, c\u00f3 con s\u1ed1 h\u1ebft s\u1ee9c \u0111\u00e1ng lo ng\u1ea1i l\u00e0 ph\u00e1t hi\u1ec7n trong c\u00e1c khu c\u00e1ch ly, v\u00f9ng phong t\u1ecfa.<\/p>\n

Theo Th\u1ee9 tr\u01b0\u1edfng, Vi\u1ec7t Nam \u0111\u00e3 \u00e1p d\u1ee5ng r\u1ea5t th\u00e0nh c\u00f4ng c\u00f4ng t\u00e1c d\u1ecbch t\u1ec5 \u0111\u00fang theo c\u00f4ng th\u1ee9c ph\u00e1t “hi\u1ec7n s\u1edbm, truy v\u1ebft, khoanh v\u00f9ng, d\u1eadp d\u1ecbch, thu dung \u0111i\u1ec1u tr\u1ecb” trong l\u00e0n s\u00f3ng tr\u01b0\u1edbc v\u00e0 m\u1ed9t s\u1ed1 t\u1ec9nh khi s\u1ed1 ca m\u1eafc c\u00f2n t\u01b0\u01a1ng \u0111\u1ed1i \u00edt. C\u00f3 th\u1ec3 truy v\u1ebft \u0111\u01b0\u1ee3c t\u1eeb m\u1ed9t F0 ra 20-30 ca F1, c\u00f3 chu\u1ed7i lan ra m\u1ea5y tr\u0103m ng\u01b0\u1eddi.<\/p>\n

Tuy nhi\u00ean \u0111\u1ebfn gi\u1edd d\u1ecbch “n\u1ed5 ra nh\u01b0 \u0111om \u0111\u00f3m n\u1ed5 kh\u1eafp n\u01a1i” th\u00ec c\u1ea7n xem x\u00e9t \u0111\u1ebfn kh\u1ea3 n\u0103ng truy v\u1ebft. V\u00ed d\u1ee5 t\u1ea1i TPHCM, c\u00f3 kho\u1ea3ng 21.000 tr\u01b0\u1eddng h\u1ee3p F0, nh\u01b0ng c\u0169ng ch\u1ec9 thu dung \u0111\u01b0\u1ee3c kho\u1ea3ng 42.000 F1 nh\u01b0 th\u1ebf l\u00e0 qu\u00e1 \u00edt, kh\u00f4ng ho\u00e0n to\u00e0n ph\u00f9 h\u1ee3p.<\/p>\n

Th\u1ee9 tr\u01b0\u1edfng Nguy\u1ec5n Tr\u01b0\u1eddng S\u01a1n c\u0169ng cho r\u1eb1ng vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n F0 v\u1eabn \u0111ang trong t\u1ea7m ki\u1ec3m so\u00e1t. Tuy nhi\u00ean, t\u1ea1i m\u1ed9t s\u1ed1 t\u1ec9nh th\u00e0nh nh\u01b0 TP. H\u1ed3 Ch\u00ed Minh t\u1ef7 l\u1ec7 F0 theo d\u00f5i c\u00f3 tri\u1ec7u ch\u1ee9ng tr\u1edf n\u1eb7ng t\u0103ng l\u00ean, g\u1ea7n nh\u01b0 l\u00e0 m\u1ed9t g\u00e1nh n\u1eb7ng r\u1ea5t l\u1edbn cho ng\u00e0nh y t\u1ebf. \u0110\u1eb7c bi\u1ec7t, m\u1ed9t s\u1ed1 t\u1ec9nh th\u00e0nh nh\u01b0 t\u1ea1i \u0110\u1ed3ng Th\u00e1p, t\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n n\u1eb7ng \u0111\u00f2i h\u1ecfi h\u1ed7 tr\u1ee3 th\u1edf \u00f4xy, th\u1edf m\u00e1y ch\u1ee9c n\u0103ng cao, ECMO ng\u00e0y c\u00e0ng t\u0103ng. S\u1ed1 l\u01b0\u1ee3ng m\u00e1y th\u1edf t\u1ea1i m\u1ed9t s\u1ed1 \u0111\u1ecba ph\u01b0\u01a1ng v\u01b0\u1ee3t qu\u00e1 kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng.<\/p>\n

“T\u1ef7 l\u1ec7 t\u1eed vong hi\u1ec7n nay c\u1ee7a c\u1ea3 n\u01b0\u1edbc l\u00e0 0,55%, song t\u1ea1i TP. H\u1ed3 Ch\u00ed Minh c\u00f3 kh\u1ea3 n\u0103ng t\u0103ng l\u00ean 0,6%, t\u1ef7 l\u1ec7 n\u00e0y t\u1ea1i \u0110\u1ed3ng Th\u00e1p c\u00f2n cao”- th\u1ee9 tr\u01b0\u1edfng S\u01a1n n\u00f3i.<\/p>\n

V\u00ec th\u1ebf, th\u1ee9 tr\u01b0\u1edfng l\u01b0u \u00fd nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n tr\u1edf n\u1eb7ng b\u1eaft bu\u1ed9c s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3.<\/p>\n

C\u0169ng li\u00ean quan \u0111\u1ebfn c\u00f4ng t\u00e1c \u0111i\u1ec1u tr\u1ecb PGS.TS L\u01b0\u01a1ng Ng\u1ecdc Khu\u00ea – C\u1ee5c tr\u01b0\u1edfng C\u1ee5c Qu\u1ea3n l\u00fd Kh\u00e1m ch\u1eefa b\u1ec7nh cho bi\u1ebft, tr\u00ean c\u01a1 s\u1edf ph\u00e2n t\u00edch h\u01a1n 9.400 b\u1ec7nh nh\u00e2n CVOID-19 tr\u00ean t\u1ed5ng s\u1ed1 h\u01a1n 32.000 b\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb t\u1ea1i \u0111\u1ee3t d\u1ecbch l\u1ea7n n\u00e0y, nh\u1eadn th\u1ea5y t\u1ec9 l\u1ec7 b\u1ec7nh nh\u00e2n kh\u00f4ng tri\u1ec7u ch\u1ee9ng ho\u1eb7c c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng nh\u1eb9 v\u1eabn chi\u1ebfm tr\u00ean 80%; s\u1ed1 ca th\u1edf oxy g\u1ecdng k\u00ednh ch\u1ec9 chi\u1ebfm 5,3%; th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp chi\u1ebfm 0,17%; th\u1edf m\u00e1y x\u00e2m nh\u1eadp 1,3% v\u00e0 can thi\u1ec7p ECMO l\u00e0 0,2%.<\/p>\n

Ch\u1ec9 c\u00f3 10-20% b\u1ec7nh nh\u00e2n t\u1eeb trung b\u00ecnh di\u1ec5n bi\u1ebfn n\u1eb7ng. Tuy nhi\u00ean do s\u1ed1 l\u01b0\u1ee3ng ca m\u1eafc m\u1edbi h\u00e0ng ng\u00e0y \u0111\u00f4ng n\u00ean con s\u1ed1 n\u00e0y t\u0103ng nhanh. V\u00ec v\u1eady c\u00e1c c\u01a1 s\u1edf y t\u1ebf ph\u1ea3i chuy\u1ec3n t\u1eeb b\u1ecb \u0111\u1ed9ng sang ch\u1ee7 \u0111\u1ed9ng.<\/p>\n

Hi\u1ec7n B\u1ed9 Y t\u1ebf \u0111ang \u0111\u1ea9y m\u1ea1nh n\u0103ng l\u1ef1c c\u1ee7a c\u00e1c b\u1ec7nh vi\u1ec7n v\u00f9ng.<\/p>\n

Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay v\u1eabn l\u00e0 4 t\u1ea1i ch\u1ed7, ph\u00e2n t\u1ea7ng \u0111i\u1ec1u tr\u1ecb theo di\u1ec5n bi\u1ebfn b\u1ec7nh \u0111\u1ec3 tr\u00e1nh qu\u00e1 t\u1ea3i. C\u1ee5 th\u1ec3, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng tri\u1ec7u ch\u1ee9ng, m\u1ee9c \u0111\u1ed9 nh\u1eb9, \u0111i\u1ec1u tr\u1ecb t\u1ea1i c\u00e1c c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u, b\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn; M\u1ee9c \u0111\u1ed9 v\u1eeba \u0111\u01b0a v\u00e0o qu\u1eadn, huy\u1ec7n ho\u1eb7c ho\u1eb7c c\u00e1c khoa truy\u1ec1n nhi\u1ec5m c\u1ee7a b\u1ec7nh vi\u1ec7n t\u1ec9nh; M\u1ee9c n\u1eb7ng, nguy k\u1ecbch chuy\u1ec3n b\u1ec7nh vi\u1ec7n t\u1ec9nh, b\u1ec7nh vi\u1ec7n truy\u1ec1n nhi\u1ec5m, trung t\u00e2m ICU; Ca b\u1ec7nh qu\u00e1 kh\u1ea3 n\u0103ng, chuy\u1ec3n tuy\u1ebfn l\u00ean c\u00e1c b\u1ec7nh vi\u1ec7n tr\u1ef1c thu\u1ed9c B\u1ed9 Y t\u1ebf, b\u1ec7nh vi\u1ec7n chuy\u00ean khoa c\u1ee7a Trung \u01b0\u01a1ng.<\/p>\n

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B\u00ean trong khu \u0111i\u1ec1u tr\u1ecb B\u1ec7nh nh\u00e2n COVID-19 n\u1eb7ng \u1edf B\u1ec7nh vi\u1ec7n \u0110a khoa G\u00f2 V\u1ea5p, TP. H\u1ed3 Ch\u00ed Minh<\/p>\n

“C\u00e1c b\u1ec7nh vi\u1ec7n ph\u1ea3i ch\u00fa \u00fd c\u00e1c \u0111i\u1ec1u ki\u1ec7n ch\u0103m s\u00f3c y t\u1ebf, \u0111\u1eb7c bi\u1ec7t quan t\u00e2m \u0111\u1ebfn t\u00ecnh h\u00ecnh oxy, m\u00e1y th\u1edf… h\u1ea1n ch\u1ebf th\u1ea5p nh\u1ea5t b\u1ec7nh nh\u00e2n t\u1eed vong. T\u1ea5t c\u1ea3 c\u00e1c khu v\u1ef1c \u0111i\u1ec1u tr\u1ecb \u0111\u1ec1u c\u1ea7n oxy, khu v\u1ef1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n nh\u1eb9 c\u0169ng ph\u1ea3i chu\u1ea9n b\u1ecb s\u1eb5n oxy ph\u00f2ng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n nh\u1eb9 nh\u01b0ng c\u00f3 b\u1ec7nh n\u1ec1n d\u1ec5 chuy\u1ec3n n\u1eb7ng.<\/p>\n

C\u00e1c t\u1ec9nh b\u1ed1 tr\u00ed t\u1ed1i thi\u1ec3u \u1edf b\u1ec7nh vi\u1ec7n h\u1ea1ng 2, h\u1ea1ng 3 ph\u1ea3i c\u00f3 h\u1ec7 th\u1ed1ng oxy trung t\u00e2m \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o th\u1edf m\u1eb7t n\u1ea1, th\u1edf oxy d\u00f2ng cao\u201d- PGS. L\u01b0\u01a1ng Ng\u1ecdc Khu\u00ea l\u01b0u \u00fd.<\/p>\n

Theo B\u1ed9 Y t\u1ebf, hi\u1ec7n t\u1ed5ng l\u01b0\u1ee3ng oxy v\u1eabn \u0111\u1ea3m b\u1ea3o nh\u01b0ng m\u1ed9t s\u1ed1 n\u01a1i ph\u1ea3i t\u0103ng \u0111i\u1ec1u ph\u1ed1i, x\u00e2y d\u1ef1ng l\u1ea1i ph\u01b0\u01a1ng \u00e1n. M\u1ed9t s\u1ed1 \u0111\u1ecba ph\u01b0\u01a1ng c\u00f3 nguy c\u01a1 thi\u1ebfu oxy n\u1ebfu d\u1ecbch x\u1ea3y ra c\u1ee5c b\u1ed9.\/.<\/p>\n

Ngu\u1ed3n B\u1ed9\u00a0 Y t\u1ebf<\/strong><\/em><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Theo Th\u1ee9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf Nguy\u1ec5n Tr\u01b0\u1eddng S\u01a1n: Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n COVID-19 v\u1eabn \u0111ang trong t\u1ea7m ki\u1ec3m so\u00e1t. Tuy nhi\u00ean, t\u1ea1i m\u1ed9t s\u1ed1 t\u1ec9nh th\u00e0nh t\u1ef7 l\u1ec7 F0 c\u00f3 tri\u1ec7u ch\u1ee9ng tr\u1edf n\u1eb7ng t\u0103ng l\u00ean, g\u1ea7n nh\u01b0 l\u00e0 m\u1ed9t g\u00e1nh n\u1eb7ng r\u1ea5t l\u1edbn cho ng\u00e0nh y t\u1ebf… Th\u00f4ng tin t\u1ea1i h\u1ed9i ngh\u1ecb […]<\/p>\n","protected":false},"author":3,"featured_media":6621,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[241,235],"tags":[],"class_list":["post-6619","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cap-nhat-tin-covid","category-phong-chong-covid-19"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/6619","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=6619"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/6619\/revisions"}],"predecessor-version":[{"id":6622,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/6619\/revisions\/6622"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/6621"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=6619"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=6619"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=6619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}