{"id":4765,"date":"2020-12-21T03:02:57","date_gmt":"2020-12-21T03:02:57","guid":{"rendered":"https:\/\/quoctesannhihaiphong.vn\/?p=4765"},"modified":"2020-12-21T03:10:35","modified_gmt":"2020-12-21T03:10:35","slug":"cac-bac-si-lien-chuyen-khoa-hop-suc-cap-cuu-thanh-cong-san-phu-sot-xuat-huyet-suy-tim-sau-phau-thuat-tim-bam-sinh-phu-phoi-cap-sau-sinh","status":"publish","type":"post","link":"https:\/\/quoctesannhihaiphong.vn\/en\/cac-bac-si-lien-chuyen-khoa-hop-suc-cap-cuu-thanh-cong-san-phu-sot-xuat-huyet-suy-tim-sau-phau-thuat-tim-bam-sinh-phu-phoi-cap-sau-sinh\/","title":{"rendered":"C\u00e1c b\u00e1c s\u0129 li\u00ean chuy\u00ean khoa h\u1ee3p s\u1ee9c c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng s\u1ea3n ph\u1ee5 s\u1ed1t xu\u1ea5t huy\u1ebft\/suy tim sau ph\u1eabu thu\u1eadt tim b\u1ea9m sinh, ph\u00f9 ph\u1ed5i c\u1ea5p sau sinh"},"content":{"rendered":"\n

S\u1ea3n ph\u1ee5 b\u1ecb s\u1ed1t xu\u1ea5t huy\u1ebft\/ suy tim sau ph\u1eabu thu\u1eadt tim b\u1ea9m sinh, ph\u00f9 ph\u1ed5i c\u1ea5p sau sinh \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u1ef9 li\u00ean chuy\u00ean khoa B\u1ec7nh vi\u1ec7n \u0111a khoa qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng x\u1eed tr\u00ed th\u00e0nh c\u00f4ng, c\u1ee9u s\u1ed1ng \u0111\u01b0\u1ee3c c\u1ea3 m\u1eb9 v\u00e0 em b\u00e9.<\/strong><\/p>\n\n\n\n

Ng\u00e0y 15\/08\/2019, t\u1ea1i Khoa s\u1ea3n 1, B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng v\u1eeba ti\u1ebfp nh\u1eadn m\u1ed9t s\u1ea3n ph\u1ee5 nh\u1eadp vi\u1ec7n \u0111\u1ec3 theo d\u00f5i b\u1ec7nh tim m\u1ea1ch v\u00e0 ch\u1edd sinh. Sau khi nh\u1eadp vi\u1ec7n2 ng\u00e0y, s\u1ea3n ph\u1ee5 xu\u1ea5t hi\u1ec7n t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf v\u00e0 s\u1ed1t nh\u1eb9, tim thai nhanh 190-200 nh\u1ecbp\/ph\u00fat. \u0110\u1eb7c bi\u1ec7t, s\u1ea3n ph\u1ee5 c\u00f3 ti\u1ec1n s\u1eed tim b\u1ea9m sinh, \u0111\u00e3 \u0111\u01b0\u1ee3c m\u1ed5 v\u00e1 th\u00f4ng li\u00ean nh\u0129, th\u00f4ng li\u00ean th\u1ea5t, s\u1eeda van 2 l\u00e1, s\u1eeda van 3 l\u00e1 t\u1eeb l\u00fac 7 tu\u1ed5i \u1edf H\u00e0n Qu\u1ed1c, v\u1eabn c\u00f3 h\u1ed3 s\u01a1 \u0111i\u1ec1u tr\u1ecb \u1edf B\u1ea1ch Mai v\u00e0 b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1eebng tr\u1ea3i qua 1 l\u1ea7n sinh m\u1ed5.<\/p>\n\n\n\n

Nh\u1eadn \u0111\u1ecbnh \u0111\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p: Suy thai \u1edf b\u1ec7nh nh\u00e2n suy tim do b\u1ec7nh tim b\u1ea9m sinh v\u00e0 h\u1eb9p h\u1edf hai l\u00e1;c\u00e1c b\u00e1c s\u1ef9 khoa S\u1ea3n 1 h\u1ed9i ch\u1ea9n v\u1edbi c\u00e1c b\u00e1c s\u0129 Tim m\u1ea1chc\u1ee7a B\u1ec7nh vi\u1ec7n Tim H\u00e0 N\u1ed9i, G\u00e2y M\u00ea H\u1ed3i S\u1ee9c v\u00e0 b\u00e1c s\u0129 Nhi s\u01a1 sinh, quy\u1ebft \u0111\u1ecbnh ti\u1ebfn h\u00e0nh m\u1ed5 \u0111\u1ebb cho s\u1ea3n ph\u1ee5, k\u1ecbp th\u1eddi c\u1ee9u l\u1ea5y thai v\u00e0 gi\u1ea3m g\u00e1nh n\u1eb7ng tim cho m\u1eb9. Qu\u00e1 tr\u00ecnh ca m\u1ed5 di\u1ec5n ra t\u1ed1t \u0111\u1eb9p, em b\u00e9 n\u1eb7ng 2000 gr \u0111\u00e3 ch\u00e0o \u0111\u1eddi \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o l\u1ed3ng \u1ea5p v\u00e0 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t.<\/p>\n\n\n\n

M\u1ecdi chuy\u1ec7n t\u01b0\u1edfng ch\u1eebng \u0111\u00e3 \u1ed5n cho \u0111\u1ebfn 10 ti\u1ebfng sau m\u1ed5, s\u1ea3n ph\u1ee5 xu\u1ea5t hi\u1ec7n kh\u00f3 th\u1edf d\u1eef d\u1ed9i, ho ra d\u1ecbch h\u1ed3ng. C\u00e1c b\u00e1c s\u0129 \u0111\u00e3 ch\u1ea9n \u0111o\u00e1n s\u1ea3n ph\u1ee5 b\u1ecb ph\u00f9 ph\u1ed5i c\u1ea5p tr\u00ean b\u1ec7nh nh\u00e2n sau m\u1ed5 \u0111\u1ebb c\u00f3 h\u1eb9p h\u1edf 2 l\u00e1 \u2013 tim b\u1ea9m sinh. B\u1ec7nh nh\u00e2n nhanh ch\u00f3ng \u0111\u01b0\u1ee3c chuy\u1ec3n ngay xu\u1ed1ng Khoa H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u v\u00e0 \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n v\u1edbi c\u00e1c b\u00e1c s\u1ef9 tim m\u1ea1ch c\u1ee7a b\u1ec7nh vi\u1ec7n.<\/p>\n\n\n\n

T\u1ea1i Khoa H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi b\u1eb1ng c\u00e1ch th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp, l\u1ee3i ti\u1ec3u. Sau 24 ti\u1ebfng, \u0111\u00e3 d\u1eebng th\u1edf m\u00e1y chuy\u1ec3n sang th\u1edf \u00f4 xi g\u1ecdng k\u00ednh. Tuy nhi\u00ean, \u1edf \u0111\u00e2y b\u1ec7nh nh\u00e2n v\u1eabn s\u1ed1t. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c t\u00edch c\u1ef1c, l\u00e0m th\u00eam c\u00e1c th\u0103m d\u00f2 ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u00e1c \u0111\u1ecbnh c\u00f3 b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue. Nh\u1eefng ng\u00e0y sau \u0111\u00f3, b\u1ec7nh nh\u00e2n ti\u1ebfp t\u1ee5c s\u1ed1t cao li\u00ean t\u1ee5c, ti\u1ec3u c\u1ea7u gi\u1ea3m t\u1eeb 198 xu\u1ed1ng 54 G\/l\u2026. v\u00e0 c\u00f3 bi\u1ec3u hi\u1ec7n ch\u1ea3y m\u00e1u m\u0169i \u2013 t\u00ecnh hu\u1ed1ng r\u1ea5t nguy hi\u1ec3m \u0111e do\u1ea1 t\u00ednh m\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh, do xu\u1ea5t hi\u1ec7n tr\u00ean s\u1ea3n ph\u1ee5 v\u1eeba m\u1ed5 \u0111\u1ebb, s\u1ebd c\u00f3 nguy c\u01a1 ch\u1ea3y m\u00e1u sau \u0111\u1ebb n\u1eb7ng n\u1ec1. Nh\u1eadn \u0111\u1ecbnh \u0111\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p nguy c\u1ea5p, c\u00e1c b\u00e1c s\u1ef9 \u0111\u00e3 nhanh ch\u00f3ng \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c theo ph\u00e1c \u0111\u1ed3: B\u00f9 n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i, truy\u1ec1n Amumin l\u00ean tr\u00ean 30 G\/L, theo d\u00f5i s\u00e1t bi\u1ebfn \u0111\u1ed9ng c\u1ee7a ti\u1ec3u c\u1ea7u \u0111\u1ec3 b\u00f9 k\u1ecbp th\u1eddi. \u0110\u1eb7c bi\u1ec7t, tr\u01b0\u1eddng h\u1ee3p b\u00f9 albumin v\u00e0 d\u1ecbch truy\u1ec1n \u1edf \u0111\u00e2y l\u00e0 tr\u00e1i ng\u01b0\u1ee3c theo ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a suy tim c\u00f3 ph\u00f9 ph\u1ed5i c\u1ea5p, n\u00ean ph\u1ea3i b\u00f9 r\u1ea5t th\u1eadn tr\u1ecdng v\u00e0 \u0111\u00f2i h\u1ecfi b\u00e1c s\u0129 H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u ph\u1ea3i l\u00e0 ng\u01b0\u1eddi c\u00f3 chuy\u00ean m\u00f4n cao, gi\u00e0u kinh nghi\u1ec7m v\u00e0 theo d\u00f5i s\u00e1t sao ng\u01b0\u1eddi b\u1ec7nh. N\u1ebfu kh\u00f4ng b\u00f9 th\u1eadn tr\u1ecdng th\u00ec b\u1ec7nh nh\u00e2n r\u1ea5t d\u1ec5 b\u1ecb t\u00e1i ph\u00e1t ph\u00f9 ph\u1ed5i c\u1ea5p ( n\u1ebfu truy\u1ec1n nhi\u1ec1u) ho\u1eb7c tru\u1ef5 m\u1ea1ch do s\u1ed1t xu\u1ea5t huy\u1ebft (n\u1ebfu truy\u1ec1n \u00edt).<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

C\u0169ng ch\u00ednh t\u1ea1i \u0111\u00e2y, \u0111\u1ed9i ng\u0169 c\u00e1c b\u00e1c s\u1ef9 li\u00ean chuy\u00ean khoa c\u1ee7a B\u1ec7nh vi\u1ec7n g\u1ed3m:H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u, S\u1ea3n, G\u00e2y M\u00ea, Tim m\u1ea1ch c\u00f9ng c\u00e1c chuy\u00ean gia b\u1ec7nh vi\u1ec7n tuy\u1ebfn Trung \u01b0\u01a1ng \u0111\u00e3 c\u00f9ng h\u1ed9i ch\u1ea9n, h\u1ee3p s\u1ee9c ti\u1ebfn h\u00e0nh h\u1ed7 tr\u1ee3 v\u00e0 x\u1eed tr\u00ed k\u1ecbp th\u1eddi cho s\u1ea3n ph\u1ee5. Cho \u0111\u1ebfn hi\u1ec7n t\u1ea1i, b\u1ec7nh nh\u00e2n \u0111\u00e3 h\u1ebft s\u1ed1t, h\u1ebft ch\u1ea3y m\u00e1u, ti\u1ec3u c\u1ea7u \u0111\u00e3 tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng 273 g\/l, s\u1ee9c kh\u1ecfe d\u1ea7n h\u1ed3i ph\u1ee5c. C\u00f3 th\u1ec3 n\u00f3i, th\u00e0nh c\u00f4ng c\u1ee7a ca b\u1ec7nh ch\u00ednh l\u00e0 s\u1ef1 ph\u1ed1i h\u1ee3p nh\u1ecbp nh\u00e0ng v\u00e0 hi\u1ec7u qu\u1ea3 gi\u1eefa c\u00e1c li\u00ean chuy\u00ean khoa c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111a khoa qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng v\u00e0 s\u1ef1 h\u1ed7 tr\u1ee3 k\u1ecbp th\u1eddi t\u1eeb c\u00e1c b\u00e1c s\u1ef9 B\u1ec7nh vi\u1ec7n B\u1ea1ch Mai; B\u1ec7nh vi\u1ec7n Tim H\u00e0 N\u1ed9i.<\/p>\n\n\n\n

Nh\u1edd s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a nhi\u1ec1u chuy\u00ean khoa; s\u1ef1 \u0111\u1ed3ng l\u00f2ng c\u1ee9u ch\u1eefa c\u1ee7a c\u00e1c b\u00e1c s\u0129 b\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng v\u00e0 c\u00e1c chuy\u00ean gia h\u00e0ng \u0111\u1ea7u H\u00e0 N\u1ed9i c\u00f9ng theo d\u00f5i, \u0111i\u1ec1u tr\u1ecb, ch\u0103m s\u00f3c; s\u1ea3n ph\u1ee5 kh\u00f4ng nh\u1eefng v\u01b0\u1ee3t c\u1ea1n th\u00e0nh c\u00f4ng m\u00e0 c\u00f2n \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb t\u1ed1t. T\u1eeb \u0111\u00f3 g\u00f3p ph\u1ea7n kh\u1eb3ng \u0111\u1ecbnh, vi\u1ec7c ph\u1ed1i h\u1ee3p \u0111a chuy\u00ean khoa ch\u1eb7t ch\u1ebd c\u00f9ng s\u1ef1 h\u1ee3p t\u00e1c s\u00e2u r\u1ed9ng v\u1edbi \u0111\u1ed9i ng\u0169 chuy\u00ean gia \u0111\u1ea7u ng\u00e0nh t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n tuy\u1ebfn Trung \u01b0\u01a1ng, ng\u01b0\u1eddi b\u1ec7nh t\u1ea1i b\u1ec7nh vi\u1ec7n \u0111a khoa qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng lu\u00f4n nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 ch\u0103m s\u00f3c, \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3, to\u00e0n di\u1ec7n v\u00e0 an to\u00e0n nh\u1ea5t.<\/p>\n","protected":false},"excerpt":{"rendered":"

S\u1ea3n ph\u1ee5 b\u1ecb s\u1ed1t xu\u1ea5t huy\u1ebft\/ suy tim sau ph\u1eabu thu\u1eadt tim b\u1ea9m sinh, ph\u00f9 ph\u1ed5i c\u1ea5p sau sinh \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u1ef9 li\u00ean chuy\u00ean khoa B\u1ec7nh vi\u1ec7n \u0111a khoa qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng x\u1eed tr\u00ed th\u00e0nh c\u00f4ng, c\u1ee9u s\u1ed1ng \u0111\u01b0\u1ee3c c\u1ea3 m\u1eb9 v\u00e0 em b\u00e9. Ng\u00e0y 15\/08\/2019, t\u1ea1i Khoa s\u1ea3n 1, B\u1ec7nh vi\u1ec7n \u0111a<\/p>\n","protected":false},"author":1,"featured_media":4773,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[57,56,58],"tags":[55,80,81],"class_list":["post-4765","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cap-cuu","category-khoa-san","category-tin-moi","tag-khoa-san","tag-suy-tim","tag-xuat-huyet"],"_links":{"self":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/4765","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=4765"}],"version-history":[{"count":0,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/4765\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media\/4773"}],"wp:attachment":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media?parent=4765"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/categories?post=4765"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/tags?post=4765"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}