{"id":398045,"date":"2020-06-02T19:30:27","date_gmt":"2020-06-02T12:30:27","guid":{"rendered":"http:\/\/canhco.net\/?p=398045"},"modified":"2020-06-02T20:19:20","modified_gmt":"2020-06-02T13:19:20","slug":"benh-nhan-91-lan-dau-tien-mim-cuoi","status":"publish","type":"post","link":"https:\/\/m.canhco.net\/benh-nhan-91-lan-dau-tien-mim-cuoi-p398045.html","title":{"rendered":"B\u1ec7nh nh\u00e2n 91 l\u1ea7n \u0111\u1ea7u ti\u00ean m\u1ec9m c\u01b0\u1eddi"},"content":{"rendered":"

L\u1ea7n \u0111\u1ea7u ti\u00ean sau hai th\u00e1ng nguy k\u1ecbch v\u00ec Covid-19, b\u1ec7nh nh\u00e2n phi c\u00f4ng m\u1ec9m c\u01b0\u1eddi khi ti\u1ebfp x\u00fac c\u00e1c y b\u00e1c s\u0129,\u00a0ng\u00e0y 2\/6.<\/strong><\/p>\n

Ti\u1ec3u ban \u0110i\u1ec1u tr\u1ecb, B\u1ed9 Y t\u1ebf, chi\u1ec1u 2\/6 \u0111\u00e1nh gi\u00e1 n\u1ee5 c\u01b0\u1eddi c\u1ee7a b\u1ec7nh nh\u00e2n mang nhi\u1ec1u \u00fd ngh\u0129a, cho th\u1ea5y anh \u0111\u00e3 t\u1ec9nh t\u00e1o h\u01a1n.\u00a0H\u1ec7 ti\u00eau h\u00f3a c\u1ee7a b\u1ec7nh nh\u00e2n c\u0169ng t\u1ed1t h\u01a1n, ph\u1ea3n x\u1ea1 ho m\u1ea1nh, s\u1ee9c c\u01a1 t\u0103ng. Ho\u1ea1t \u0111\u1ed9ng chi tr\u00ean \u0111\u1ea1t 3\/5, chi d\u01b0\u1edbi 2\/5, c\u01a1 ho\u00e0nh ph\u1ea3i ho\u1ea1t \u0111\u1ed9ng nh\u01b0ng c\u00f2n y\u1ebfu. Ch\u1ee9c n\u0103ng th\u1eadn \u0111\u00e3 h\u1ed3i ph\u1ee5c.<\/p>\n

T\u00ecnh tr\u1ea1ng ch\u01b0\u1edbng b\u1ee5ng gi\u1ea3m, c\u00f3 nhu \u0111\u1ed9ng l\u1ea1i, b\u1ec7nh nh\u00e2n b\u1eaft \u0111\u1ea7u \u0111\u01b0\u1ee3c cho u\u1ed1ng n\u01b0\u1edbc \u0111\u01b0\u1eddng. Ch\u01b0\u1edbng b\u1ee5ng c\u00f3 th\u1ec3 do h\u1ed9i ch\u1ee9ng cai thu\u1ed1c an th\u1ea7n v\u00e0 fentanyl ho\u1eb7c\u00a0bactrim li\u1ec1u cao.<\/p>\n

\"B\u1ec7nh
B\u1ec7nh nh\u00e2n phi c\u00f4ng c\u01b0\u1eddi khi b\u00e1c s\u0129 tr\u00f2 chuy\u1ec7n, ng\u00e0y 2\/6. \u1ea2nh do b\u1ec7nh vi\u1ec7n cung c\u1ea5p.<\/figcaption><\/figure>\n

B\u00e1c s\u0129 Tr\u1ea7n Thanh Linh, Ph\u00f3 khoa H\u1ed3i s\u1ee9c C\u1ea5p c\u1ee9u, B\u1ec7nh vi\u1ec7n Ch\u1ee3 R\u1eaby,\u00a0cho bi\u1ebft ph\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u1ea3i thi\u1ec7n nhi\u1ec1u. H\u00ecnh \u1ea3nh tr\u00ean phim X-quang ph\u1ed5i ng\u00e0y 25\/5 cho th\u1ea5y x\u01a1 c\u1ea3 hai b\u00ean ph\u1ed5i, t\u1ea5t c\u1ea3 \u0111\u00f4ng \u0111\u1eb7c. \u1ea2nh X-quang ph\u1ed5i ng\u00e0y 2\/6 th\u1ec3 hi\u1ec7n t\u00ecnh tr\u1ea1ng\u00a0x\u01a1,\u00a0t\u1ed5n th\u01b0\u01a1ng \u0111\u00f4ng \u0111\u1eb7c ph\u1ed5i \u1edf b\u00ean tr\u00e1i \u0111\u00e3 kh\u00e1 h\u01a1n r\u1ea5t nhi\u1ec1u. H\u01a1n n\u1eeda\u00a0ph\u1ed5i b\u00ean tr\u00e1i \u0111\u00e3 c\u1ea3i thi\u1ec7n g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n.<\/p>\n

\u201cT\u00ecnh tr\u1ea1ng y\u1ebfu li\u1ec7t c\u01a1 ho\u00e0nh so v\u1edbi tr\u01b0\u1edbc \u0111\u00f3 c\u0169ng \u0111\u00e3 c\u1ea3i thi\u1ec7n h\u01a1n, ph\u1ed5i ph\u1ea3i c\u0169ng b\u1eaft \u0111\u1ea7u c\u00f3 c\u1ea3i thi\u1ec7n v\u1ec1 m\u1eb7t ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p. Do \u0111\u00f3, \u0111\u00e2y l\u00e0 th\u1eddi \u0111i\u1ec3m th\u00edch h\u1ee3p \u0111\u1ec3 c\u00f3 th\u1ec3 t\u1eebng b\u01b0\u1edbc gi\u1ea3m d\u1ea7n c\u00e1c th\u00f4ng s\u1ed1 ECMO v\u00e0 ti\u1ebfn \u0111\u1ebfn cai m\u00e1y cho b\u1ec7nh nh\u00e2n\u201d, b\u00e1c s\u0129 Linh n\u00f3i.<\/p>\n

Trong nh\u1eefng ng\u00e0y t\u1edbi, c\u00e1c b\u00e1c s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 \u0111\u1ec3 cai ECMO s\u1edbm. Khi \u1ea5y s\u1ebd h\u1ea1n ch\u1ebf nh\u1eefng nguy c\u01a1 c\u0169ng nh\u01b0 c\u00e1c bi\u1ebfn ch\u1ee9ng do ph\u1ea3i duy tr\u00ec vi\u1ec7c s\u1eed d\u1ee5ng ECMO k\u00e9o d\u00e0i.<\/p>\n

B\u1ec7nh nh\u00e2n ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng kh\u00e1ng sinh \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n Burkholderia Cepacia v\u00e0 ph\u00f2ng ng\u1eeba nguy c\u01a1 nhi\u1ec5m khu\u1ea9n m\u1edbi. Anh c\u0169ng \u0111\u01b0\u1ee3c t\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u \u0111\u1ec3 ph\u1ee5c h\u1ed3i s\u1ee9c c\u01a1 c\u0169ng nh\u01b0 ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p.<\/p>\n

\"B\u1ec7nh
B\u1ec7nh nh\u00e2n t\u1eadp t\u1ef1 c\u1ea7m ly u\u1ed1ng n\u01b0\u1edbc. \u1ea2nh do b\u1ec7nh vi\u1ec7n cung c\u1ea5p.<\/figcaption><\/figure>\n

C\u00e1c b\u00e1c s\u0129 cho b\u1ec7nh nh\u00e2n \u0103n \u0111\u1ea3m b\u1ea3o nhu c\u1ea7u dinh d\u01b0\u1ee1ng trong giai \u0111o\u1ea1n h\u1ed3i ph\u1ee5c. \u0110\u1ed3ng th\u1eddi c\u00e2n b\u1eb1ng r\u1ed1i lo\u1ea1n n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t.<\/p>\n

B\u1ec7nh nh\u00e2n phi c\u00f4ng Anh, 43 tu\u1ed5i, \u0111\u01b0\u1ee3c ghi nh\u1eadn m\u1eafc Covid-19 h\u00f4m 18\/3, l\u00e0 \u201cb\u1ec7nh nh\u00e2n 91\u201d. \u0110\u1ebfn nay anh \u0111\u00e3 tr\u1ea3i qua 76 ng\u00e0y \u0111i\u1ec1u tr\u1ecb COVID-19, trong \u0111\u00f3\u00a057 ng\u00e0y can thi\u1ec7p ECMO.<\/p>\n

B\u1ec7nh nh\u00e2n hi\u1ec7n \u0111\u00e3 h\u1ebft nCoV, chuy\u1ec3n sang B\u1ec7nh vi\u1ec7n Ch\u1ee3 R\u1eaby \u0111i\u1ec1u tr\u1ecb ti\u1ebfp.\u00a0B\u1ed9 Y t\u1ebf\u00a0ch\u1ec9 \u0111\u1ecbnh gh\u00e9p ph\u1ed5i.<\/p>\n","protected":false},"excerpt":{"rendered":"

L\u1ea7n \u0111\u1ea7u ti\u00ean sau hai th\u00e1ng nguy k\u1ecbch v\u00ec Covid-19, b\u1ec7nh nh\u00e2n phi c\u00f4ng m\u1ec9m c\u01b0\u1eddi khi ti\u1ebfp x\u00fac c\u00e1c y b\u00e1c s\u0129,\u00a0ng\u00e0y 2\/6. Ti\u1ec3u ban \u0110i\u1ec1u tr\u1ecb, B\u1ed9 Y t\u1ebf, chi\u1ec1u 2\/6 \u0111\u00e1nh gi\u00e1 n\u1ee5 c\u01b0\u1eddi c\u1ee7a b\u1ec7nh nh\u00e2n mang nhi\u1ec1u \u00fd ngh\u0129a, cho th\u1ea5y anh \u0111\u00e3 t\u1ec9nh t\u00e1o h\u01a1n.\u00a0H\u1ec7 ti\u00eau h\u00f3a c\u1ee7a b\u1ec7nh […]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[8],"tags":[132735,130460,129533],"topics":[130115],"longform":[],"members":[126329],"story":[],"thematic":[],"_links":{"self":[{"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/posts\/398045"}],"collection":[{"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/comments?post=398045"}],"version-history":[{"count":2,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/posts\/398045\/revisions"}],"predecessor-version":[{"id":398050,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/posts\/398045\/revisions\/398050"}],"wp:attachment":[{"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/media?parent=398045"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/categories?post=398045"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/tags?post=398045"},{"taxonomy":"topics","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/topics?post=398045"},{"taxonomy":"longform","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/longform?post=398045"},{"taxonomy":"members","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/members?post=398045"},{"taxonomy":"story","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/story?post=398045"},{"taxonomy":"thematic","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/thematic?post=398045"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}