{"id":4700,"date":"2020-12-20T04:32:00","date_gmt":"2020-12-20T04:32:00","guid":{"rendered":"https:\/\/quoctesannhihaiphong.vn\/?p=4700"},"modified":"2020-12-20T04:32:00","modified_gmt":"2020-12-20T04:32:00","slug":"cap-cuu-kip-thoi-cuu-be-gai-bi-nga-bien-dang-khuyu-tay-bang-phuong-phap-phau-thuat-ket-hop-xuong-duoi-man-hinh-tang-sang","status":"publish","type":"post","link":"https:\/\/quoctesannhihaiphong.vn\/en\/cap-cuu-kip-thoi-cuu-be-gai-bi-nga-bien-dang-khuyu-tay-bang-phuong-phap-phau-thuat-ket-hop-xuong-duoi-man-hinh-tang-sang\/","title":{"rendered":"C\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi c\u1ee9u b\u00e9 g\u00e1i b\u1ecb ng\u00e3 bi\u1ebfn d\u1ea1ng khu\u1ef7u tay b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt k\u1ebft h\u1ee3p x\u01b0\u01a1ng d\u01b0\u1edbi m\u00e0n h\u00ecnh t\u0103ng s\u00e1ng"},"content":{"rendered":"\n

Trong v\u00e0i n\u0103m g\u1ea7n \u0111\u00e2y t\u1ea1i Vi\u1ec7t Nam, ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt k\u1ebft h\u1ee3p x\u01b0\u01a1ng d\u01b0\u1edbi m\u00e0n h\u00ecnh t\u0103ng s\u00e1ng \u0111\u00e3 m\u1edf ra cu\u1ed9c c\u00e1ch m\u1ea1ng cho \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng n\u00f3i chung v\u00e0 g\u00e3y x\u01b0\u01a1ng d\u00e0i \u1edf tr\u1ebb em n\u00f3i ri\u00eang. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ho\u00e0n to\u00e0n m\u1edbi, v\u1edbi nh\u1eefng \u0111i\u1ec3m \u01b0u vi\u1ec7t h\u01a1n r\u1ea5t nhi\u1ec1u so v\u1edbi ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt m\u1ed5 m\u1edf th\u00f4ng th\u01b0\u1eddng.<\/strong><\/p>\n\n\n\n

M\u1edbi \u0111\u00e2y, B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng \u2013 V\u0129nh B\u1ea3o \u0111\u00e3 ph\u1ed1i k\u1ebft h\u1ee3p v\u1edbi B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi cho b\u00e9 g\u00e1i b\u1ecb ng\u00e3 g\u00e3y k\u00edn tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay.<\/p>\n\n\n\n

T\u1ed1i ng\u00e0y 24\/07\/2020, b\u00e9 \u0110.H.D, 5 tu\u1ed5i \u0111\u01b0\u1ee3c gia \u0111\u00ecnh \u0111\u01b0a t\u1edbi B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng \u2013 V\u0129nh B\u1ea3o c\u1ea5p c\u1ee9u trong t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe r\u1ea5t y\u1ebfu, v\u00f9ng khu\u1ef7u tay ph\u1ea3i bi\u1ebfn d\u1ea1ng s\u01b0ng \u0111au, b\u1ea7m t\u00edm nhi\u1ec1u. Qua th\u0103m kh\u00e1m, b\u00e9 D th\u1eadm ch\u00ed kh\u00f4ng th\u1ec3 c\u1eed \u0111\u1ed9ng \u0111\u01b0\u1ee3c tay ph\u1ea3i, m\u1ea5t c\u1ea3m gi\u00e1c v\u00e0 kh\u00f4ng du\u1ed7i \u0111\u01b0\u1ee3c c\u00e1c ng\u00f3n tay, m\u1ea1ch quay b\u1eaft kh\u00f3. Theo th\u00f4ng tin gia \u0111\u00ecnh b\u00e9 cung c\u1ea5p, b\u00e9 D b\u1ecb tai n\u1ea1n giao th\u00f4ng khi \u0111\u01b0\u1ee3c b\u00e0 n\u1ed9i ch\u1edf b\u1eb1ng xe \u0111\u1ea1p \u0111i\u1ec7n. Nguy\u00ean nh\u00e2n d\u1eabn t\u1edbi t\u00ecnh tr\u1ea1ng ch\u1ea5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng n\u00e0y l\u00e0 do khi ng\u00e3 b\u00e9 \u0111\u00e3 ch\u1ed1ng tay ph\u1ea3i xu\u1ed1ng \u0111\u01b0\u1eddng. Ngay l\u1eadp t\u1ee9c, b\u00e1c s\u0129 \u0111\u00e3 ti\u1ebfn h\u00e0nh ch\u1ee5p X-quang khu\u1ef7u tay ph\u1ea3i c\u1ee7a b\u00e9 v\u00e0 ph\u00e1t hi\u1ec7n b\u00e9 D b\u1ecb g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay ph\u1ea3i di l\u1ec7ch ho\u00e0n to\u00e0n.<\/p>\n\n\n\n

\"This
H\u00ecnh \u1ea3nh ch\u1ee5p X-quang khu\u1ef7u tay ph\u1ea3i b\u1ecb g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u di l\u1ec7ch ho\u00e0n to\u00e0n c\u1ee7a b\u00e9 D.<\/figcaption><\/figure><\/div>\n\n\n\n

Theo B\u00e1c s\u0129 D\u01b0\u01a1ng Qu\u1ed1c Oai \u2013 khoa Ngo\u1ea1i B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng \u2013 V\u0129nh B\u1ea3o: T\u00ecnh tr\u1ea1ng g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 m\u1ed9t trong nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em, v\u00e0 th\u01b0\u1eddng x\u1ea3y ra trong l\u1ee9a tu\u1ed5i t\u1eeb 5-12 tu\u1ed5i. B\u1ec7nh n\u00e0y n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi s\u1ebd g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ea5p ngay sau ch\u1ea5n th\u01b0\u01a1ng nh\u01b0: G\u00e3y x\u01b0\u01a1ng h\u1edf (\u0111\u1ea7u x\u01b0\u01a1ng \u0111\u00e2m ra da) nguy c\u01a1 nhi\u1ec5m tr\u00f9ng, \u0111\u1ee5ng d\u1eadp m\u1ea1ch m\u00e1u th\u1ea7n kinh (g\u00e2y ra li\u1ec7t m\u1ea5t v\u1eadn \u0111\u1ed9ng, m\u1ea5t c\u1ea3m gi\u00e1c, ho\u1ea1i t\u1eed c\u1eb3ng b\u00e0n tay), ch\u00e8n \u00e9p khoang c\u1ea5p\u2026. N\u1ebfu \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u00f9 h\u1ee3p c\u00f3 th\u1ec3 g\u00e2y m\u1ed9t s\u1ed1 h\u1eadu qu\u1ea3 l\u00e2u d\u00e0i v\u1ec1 sau: Khu\u1ef7u tay bi\u1ebfn d\u1ea1ng v\u1eb9o v\u00e0o trong, khu\u1ef7u tay bi\u1ebfn d\u1ea1ng v\u1eb9o ngo\u00e0i, h\u1ed9i ch\u1ee9ng Volkmann (co r\u00fat g\u00e2n c\u01a1 v\u00f9ng c\u1eb3ng tay), vi\u00eam x\u01b0\u01a1ng m\u00e3n t\u00ednh.<\/p>\n\n\n\n

V\u00ec t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m c\u1ee7a b\u00e9, ngay sau khi k\u1ebft lu\u1eadn b\u1ec7nh tr\u1ea1ng, b\u00e1c s\u0129 D\u01b0\u01a1ng Qu\u1ed1c Oai \u0111\u00e3 quy\u1ebft \u0111\u1ecbnh ph\u1ea3i l\u1eadp t\u1ee9c ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u cho b\u00e9. C\u00f3 hai ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c \u0111\u01b0a ra l\u00e0 m\u1ed5 m\u1edf v\u00e0 m\u1ed5 k\u00edn ( n\u1ed9i soi ) k\u1ebft h\u1ee3p x\u01b0\u01a1ng tr\u00ean C-Arm. V\u1edbi s\u1ef1 t\u01b0 v\u1ea5n tr\u1ef1c ti\u1ebfp c\u1ee7a B\u00e1c s\u0129 D\u01b0\u01a1ng Qu\u1ed1c Oai, gia \u0111\u00ecnh b\u00e9 quy\u1ebft \u0111\u1ecbnh ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt k\u1ebft h\u1ee3p x\u01b0\u01a1ng d\u01b0\u1edbi m\u00e0n h\u00ecnh t\u0103ng s\u00e1ng. V\u00ec so v\u1edbi m\u1ed5 m\u1edf th\u00ec ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1ea3m b\u1ea3o t\u00ednh an to\u00e0n, \u00edt t\u1ed5n h\u1ea1i ph\u1ea7n m\u1ec1m xung quanh, th\u1eddi gian m\u1ed5 ng\u1eafn, b\u1ed9c l\u1ed9 ch\u00ednh x\u00e1c v\u1ecb tr\u00ed \u1ed5 g\u00e3y, gi\u1ea3m thi\u1ec3u nguy c\u01a1 nhi\u1ec5m tr\u00f9ng, gi\u1ea3m s\u1ed1 ng\u00e0y n\u1eb1m vi\u1ec7n sau m\u1ed5, gi\u1ea3m \u0111au trong m\u1ed5 v\u00e0 sau m\u1ed5 t\u1ed1t h\u01a1n, t\u1ea1o \u0111i\u1ec1u ki\u1ec7n t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng s\u1edbm, b\u1ec7nh nh\u00e2n s\u1edbm tr\u1edf l\u1ea1i sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n

\u0110\u1eb7c bi\u1ec7t khi ph\u1eabu thu\u1eadt b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y b\u1ec7nh nh\u00e2n kh\u00f4ng ph\u1ea3i m\u1ed5 l\u1ea1i l\u1ea7n hai \u0111\u1ec3 r\u00fat \u0111inh nh\u01b0 ph\u01b0\u01a1ng ph\u00e1p m\u1ed5 m\u1edf c\u0169, gi\u00fap gi\u1ea3m thi\u1ec3u chi ph\u00ed y t\u1ebf cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

Ca ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u cho b\u00e9 D \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u ngay l\u1eadp t\u1ee9c v\u1edbi s\u1ef1 th\u1ef1c hi\u1ec7n c\u1ee7a b\u00e1c s\u0129 D\u01b0\u01a1ng Qu\u1ed1c Oai \u2013 khoa Ngo\u1ea1i B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng \u2013 V\u0129nh B\u1ea3o, b\u00e1c s\u0129 Ph\u1ea1m V\u0103n Y\u00ean \u2013 khoa Ngo\u1ea1i Nhi B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng, c\u00f9ng ekip g\u00e2y m\u00ea. B\u1eb1ng kinh nghi\u1ec7m chuy\u00ean m\u00f4n d\u00e0y d\u1eb7n, sau 30 ph\u00fat ca ph\u1eabu thu\u1eadt \u0111\u00e3 th\u00e0nh c\u00f4ng nh\u01b0 mong \u0111\u1ee3i. Tr\u1ee5c x\u01b0\u01a1ng c\u00e1nh tay ph\u1ea3i c\u1ee7a b\u00e9 D \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh th\u1eb3ng, m\u1ea1ch quay b\u1eaft r\u00f5 tr\u1edf l\u1ea1i.<\/p>\n\n\n\n

\n
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  • \"\"<\/figure><\/li>
  • \"\"<\/figure><\/li><\/ul>
    H\u00ecnh \u1ea3nh C-arm v\u00f9ng khu\u1ef7u tay ph\u1ea3i c\u1ee7a b\u00e9 D sau ph\u1eabu thu\u1eadt.<\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n

    Qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c c\u1ee7a b\u00e9 v\u00f4 c\u00f9ng kh\u1ea3 quan khi ch\u1ec9 m\u1ed9t ng\u00e0y sau ph\u1eabu thu\u1eadt, b\u00e9 \u0111\u00e3 c\u00f3 th\u1ec3 c\u1ea3m nh\u1eadn v\u00e0 du\u1ed7i th\u1eb3ng \u0111\u01b0\u1ee3c c\u00e1c ng\u00f3n tay. T\u1edbi ng\u00e0y 01\/08\/2020, s\u1ee9c kh\u1ecfe c\u1ee7a b\u00e9 \u0111\u00e3 \u1ed5n \u0111\u1ecbnh ho\u00e0n to\u00e0n, b\u00e9 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong s\u1ef1 ph\u1ea5n kh\u1edfi c\u1ee7a gia \u0111\u00ecnh v\u00e0 to\u00e0n th\u1ec3 y b\u00e1c s\u0129 b\u1ec7nh vi\u1ec7n.<\/p>\n\n\n\n

    \"This
    BSCKII.Ph\u1ea1m V\u0103n \u0110i\u1ec7p \u2013 Tr\u01b0\u1edfng khoa Nhi B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng kh\u00e1m sau m\u1ed5 cho b\u00e9 D.<\/figcaption><\/figure><\/div>\n\n\n\n

    \u0110\u00e2y l\u00e0 m\u1ed9t ca b\u1ec7nh c\u00f3 \u00fd ngh\u0129a r\u1ea5t l\u1edbn cho s\u1ef1 h\u1ee3p t\u00e1c c\u1ee7a hai b\u1ec7nh vi\u1ec7n: B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng v\u00e0 B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng \u2013 V\u0129nh B\u1ea3o. Tuy ch\u1ec9 v\u1eeba khai tr\u01b0\u01a1ng v\u00e0 \u0111i v\u00e0o ho\u1ea1t \u0111\u1ed9ng ch\u01b0a \u0111\u1ea7y m\u1ed9t th\u00e1ng, nh\u01b0ng B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng \u2013 V\u0129nh B\u1ea3o lu\u00f4n c\u1ed1 g\u1eafng cung c\u1ea5p nh\u1eefng d\u1ecbch v\u1ee5 y t\u1ebf ch\u1ea5t l\u01b0\u1ee3ng cao, mang l\u1ea1i cho ng\u01b0\u1eddi d\u00e2n s\u1ef1 ph\u1ee5c v\u1ee5 t\u1ed1t nh\u1ea5t. Qua vi\u1ec7c ph\u1ed1i k\u1ebft h\u1ee3p trong x\u1eed tr\u00ed v\u00e0 \u0111i\u1ec1u tr\u1ecb, \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u nh\u01b0 ca b\u1ec7nh tr\u00ean, hai b\u1ec7nh vi\u1ec7n \u0111\u00e3 n\u00e2ng nguy\u00ean t\u1eafc \u201cV\u0103n h\u00f3a b\u1ec7nh vi\u1ec7n\u201d \u201dH\u1ee3p t\u00e1c, s\u00e1t c\u00e1nh v\u00ec m\u1ed9t m\u1ee5c ti\u00eau t\u1ed1i th\u01b0\u1ee3ng l\u00e0 ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb\u201d<\/em><\/strong> l\u00ean m\u1ed9t t\u1ea7m cao m\u1edbi. Gi\u1edd \u0111\u00e2y, s\u1ef1 h\u1ee3p t\u00e1c kh\u00f4ng c\u00f2n n\u1eb1m trong ph\u1ea1m vi m\u1ed9t b\u1ec7nh vi\u1ec7n, m\u00e0 l\u00e0 s\u1ef1 h\u1ee3p t\u00e1c r\u1ed9ng l\u1edbn h\u01a1n, k\u1ebft n\u1ed1i ch\u1eb7t ch\u1ebd gi\u1eefa c\u00e1c b\u1ec7nh vi\u1ec7n trong h\u1ec7 th\u1ed1ng, li\u00ean k\u1ebft b\u1ec7nh vi\u1ec7n tuy\u1ebfn huy\u1ec7n v\u00e0 b\u1ec7nh vi\u1ec7n tuy\u1ebfn th\u00e0nh ph\u1ed1 th\u00e0nh m\u1ed9t m\u1ea1ng l\u01b0\u1edbi, h\u01b0\u1edbng t\u1edbi m\u1ee5c \u0111\u00edch cu\u1ed1i c\u00f9ng l\u00e0 \u0111\u1ea3m b\u1ea3o s\u1ef1 ph\u1ee5c v\u1ee5 ho\u00e0n h\u1ea3o nh\u1ea5t cho nh\u00e2n d\u00e2n.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Trong v\u00e0i n\u0103m g\u1ea7n \u0111\u00e2y t\u1ea1i Vi\u1ec7t Nam, ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt k\u1ebft h\u1ee3p x\u01b0\u01a1ng d\u01b0\u1edbi m\u00e0n h\u00ecnh t\u0103ng s\u00e1ng \u0111\u00e3 m\u1edf ra cu\u1ed9c c\u00e1ch m\u1ea1ng cho \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng n\u00f3i chung v\u00e0 g\u00e3y x\u01b0\u01a1ng d\u00e0i \u1edf tr\u1ebb em n\u00f3i ri\u00eang. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ho\u00e0n to\u00e0n m\u1edbi, v\u1edbi nh\u1eefng \u0111i\u1ec3m \u01b0u<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[57,65,58],"tags":[],"class_list":["post-4700","post","type-post","status-publish","format-standard","hentry","category-cap-cuu","category-khoa-nhi","category-tin-moi"],"_links":{"self":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/4700","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/comments?post=4700"}],"version-history":[{"count":0,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/4700\/revisions"}],"wp:attachment":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media?parent=4700"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/categories?post=4700"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/tags?post=4700"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}