{"id":398336,"date":"2020-06-03T21:09:01","date_gmt":"2020-06-03T14:09:01","guid":{"rendered":"http:\/\/canhco.net\/?p=398336"},"modified":"2020-06-03T22:06:39","modified_gmt":"2020-06-03T15:06:39","slug":"benh-nhan-91-hoi-phuc-than-ky-cai-ecmo","status":"publish","type":"post","link":"https:\/\/m.canhco.net\/benh-nhan-91-hoi-phuc-than-ky-cai-ecmo-p398336.html","title":{"rendered":"B\u1ec7nh nh\u00e2n 91 h\u1ed3i ph\u1ee5c th\u1ea7n k\u1ef3, cai ECMO"},"content":{"rendered":"

B\u1ec7nh nh\u00e2n 91 \u0111ang c\u00f3 s\u1ef1 h\u1ed3i ph\u1ee5c th\u1ea7n k\u1ef3, \u0111\u1ebfn h\u00f4m nay, nam phi c\u00f4ng t\u1ec9nh t\u00e1o, kh\u00f4ng c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o h\u1ec7 th\u1ed1ng ECMO.<\/strong><\/p>\n

Chi\u1ec1u 3\/6, B\u1ec7nh vi\u1ec7n Ch\u1ee3 R\u1eaby (TP.HCM) cho bi\u1ebft sau v\u00e0i ng\u00e0y gi\u1ea3m d\u1ea7n c\u00e1c th\u00f4ng s\u1ed1 ECMO, s\u00e1ng nay, b\u1ec7nh nh\u00e2n 91 (nam phi c\u00f4ng, ng\u01b0\u1eddi Anh, 43 tu\u1ed5i) \u0111\u00e3 \u0111\u01b0\u1ee3c ng\u01b0ng ECMO (oxy ho\u00e1 m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3).<\/p>\n

Hi\u1ec7n b\u1ec7nh nh\u00e2n t\u1ec9nh, ti\u1ebfp x\u00fac t\u1ed1t, m\u1ea1ch v\u00e0 huy\u1ebft \u00e1p \u1ed5n \u0111\u1ecbnh, \u0111\u01b0\u1ee3c th\u1edf m\u00e1y. Ch\u1ee9c n\u0103ng gan, th\u1eadn c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u00e3 ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n.<\/p>\n

T\u00ecnh tr\u1ea1ng vi\u00eam ph\u1ed5i c\u1ee7a nam phi c\u0169ng \u0111\u00e3 c\u1ea3i thi\u1ec7n, b\u1ea1ch c\u1ea7u v\u00e0 c\u00e1c ch\u1ec9 s\u1ed1 vi\u00eam \u0111\u00e3 v\u1ec1 b\u00ecnh th\u01b0\u1eddng.<\/p>\n

Hi\u1ec7n t\u1ea1i, b\u1ec7nh nh\u00e2n hi\u1ec7n \u0111\u01b0\u1ee3c d\u00f9ng kh\u00e1ng sinh, t\u00edch c\u1ef1c dinh d\u01b0\u1ee1ng v\u00e0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u. B\u1ec7nh nh\u00e2n c\u00f2n c\u1ea7n th\u1eddi gian d\u00e0i \u0111\u1ec3 cai m\u00e1y th\u1edf v\u00e0 ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n c\u00e1c ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng.<\/p>\n

Tr\u01b0\u1edbc \u0111\u00f3, ng\u00e0y 2\/6, b\u1ec7nh nh\u00e2n t\u1ec9nh, c\u00f3 ph\u1ea3n xa ho m\u1ea1nh h\u01a1n v\u00e0 l\u1ea7n \u0111\u1ea7u ti\u00ean \u00f4ng \u0111\u00e3 m\u1ec9m c\u01b0\u1eddi, b\u1eaft tay c\u00e1c y b\u00e1c s\u0129.<\/p>\n

\"\"
B\u1ec7nh nh\u00e2n 91 \u0111ang \u0111\u01b0\u1ee3c b\u00e1c s\u0129 khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c \u2013 B\u1ec7nh vi\u1ec7n Ch\u1ee3 R\u1eaby ch\u0103m s\u00f3c s\u00e1ng nay. \u1ea2nh: N.H.<\/figcaption><\/figure>\n

BSCKII Tr\u1ea7n Thanh Linh, Ph\u00f3 khoa H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u, B\u1ec7nh vi\u1ec7n Ch\u1ee3 R\u1eaby TP.HCM, \u0111\u00e1nh gi\u00e1 \u0111\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i \u0111\u1eb7c th\u00f9 nhi\u1ec5m virus SARS-CoV-2 nh\u01b0 phi c\u00f4ng, t\u1ed5n th\u01b0\u01a1ng x\u01a1 ph\u1ed5i \u0111\u1eb7c bi\u1ec7t l\u00e0 giai \u0111o\u1ea1n n\u00e0y x\u01a1 h\u00f3a ph\u1ed5i th\u01b0\u1eddng n\u1eb7ng.<\/p>\n

Do \u0111\u00f3, d\u00f9 c\u00f3 th\u1ec3 cai \u0111\u01b0\u1ee3c ECMO, b\u1ec7nh nh\u00e2n v\u1eabn c\u00f3 th\u1ec3 ph\u1ea3i ph\u1ee5 thu\u1ed9c r\u1ea5t l\u00e2u v\u1edbi vi\u1ec7c th\u1edf m\u00e1y. Sau \u0111\u00f3, vi\u1ec7c cai m\u00e1y th\u1edf c\u0169ng l\u00e0 v\u1ea5n \u0111\u1ec1 kh\u00f3 kh\u0103n, c\u00f3 th\u1ec3 c\u1ea7n th\u1eddi gian 1 th\u00e1ng ho\u1eb7c d\u00e0i h\u01a1n n\u1eefa.<\/p>\n

\u201cD\u00f9 c\u00f3 nhi\u1ec1u c\u1ea3i thi\u1ec7n, t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh c\u00f2n n\u1eb7ng v\u00e0 c\u1ea7n r\u1ea5t nhi\u1ec1u th\u1eddi gian \u0111\u1ec3 ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n n\u00e0y\u201d, b\u00e1c s\u0129 Linh n\u00f3i.<\/p>\n

\"benh
B\u1ec7nh nh\u00e2n 91 l\u1ea7n \u0111\u1ea7u m\u0129m c\u01b0\u1eddi trong ph\u00f2ng \u0111i\u1ec1u tr\u1ecb. \u1ea2nh: N.H.<\/figcaption><\/figure>\n

B\u1ec7nh nh\u00e2n 91 l\u00e0 tr\u01b0\u1eddng h\u1ee3p m\u1eafc Covid-19 n\u1eb7ng nh\u1ea5t \u0111ang \u0111i\u1ec1u tr\u1ecb t\u1ea1i n\u01b0\u1edbc ta. Anh \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i khoa H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u, B\u1ec7nh vi\u1ec7n Ch\u1ee3 R\u1eaby TP.HCM. Tr\u01b0\u1edbc \u0111\u00f3, nam phi c\u00f4ng \u0111\u00e3 c\u00f3 65 ng\u00e0y \u0111i\u1ec1u tr\u1ecb Covid-19 t\u1ea1i B\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi TP.HCM.<\/p>\n

Sau 77 ng\u00e0y nh\u1eadp vi\u1ec7n \u0111i\u1ec1u tr\u1ecb, 59 ng\u00e0y can thi\u1ec7p ECMO, nam phi c\u00f4ng l\u1ea7n \u0111\u1ea7u kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o EMCO.<\/p>\n

\u0110\u00e2y l\u00e0 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ghi nh\u1eadn \u0111\u1ea7u ti\u00ean t\u1ea1i \u1ed5 d\u1ecbch bar Buddha (ph\u01b0\u1eddng Th\u1ea3o \u0110i\u1ec1n, qu\u1eadn 2, TP.HCM). B\u1ec7nh nh\u00e2n x\u00e1c \u0111\u1ecbnh d\u01b0\u01a1ng t\u00ednh v\u1edbi SARS-CoV-2 v\u00e0 nh\u1eadp vi\u1ec7n ng\u00e0y 17\/3. Nhi\u1ec1u ng\u00e0y sau nh\u1eadp vi\u1ec7n, t\u00ecnh h\u00ecnh b\u1ec7nh nh\u00e2n di\u1ec5n ti\u1ebfn x\u1ea5u d\u1ea7n. \u0110\u1ebfn ng\u00e0y 6\/4, c\u00e1c b\u00e1c s\u0129 h\u1ed9i ch\u1ea9n v\u00e0 quy\u1ebft \u0111\u1ecbnh can thi\u1ec7p ECMO cho ng\u01b0\u1eddi b\u1ec7nh. T\u1eeb th\u1eddi \u0111i\u1ec3m \u0111\u00f3 \u0111\u1ebfn nay, nam phi c\u00f4ng s\u1ed1ng ph\u1ee5 thu\u1ed9c ho\u00e0n to\u00e0n v\u00e0o ECMO.<\/p>\n

PV<\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh nh\u00e2n 91 \u0111ang c\u00f3 s\u1ef1 h\u1ed3i ph\u1ee5c th\u1ea7n k\u1ef3, \u0111\u1ebfn h\u00f4m nay, nam phi c\u00f4ng t\u1ec9nh t\u00e1o, kh\u00f4ng c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o h\u1ec7 th\u1ed1ng ECMO. Chi\u1ec1u 3\/6, B\u1ec7nh vi\u1ec7n Ch\u1ee3 R\u1eaby (TP.HCM) cho bi\u1ebft sau v\u00e0i ng\u00e0y gi\u1ea3m d\u1ea7n c\u00e1c th\u00f4ng s\u1ed1 ECMO, s\u00e1ng nay, b\u1ec7nh nh\u00e2n 91 (nam phi c\u00f4ng, ng\u01b0\u1eddi Anh, 43 […]<\/p>\n","protected":false},"author":38,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[127982],"tags":[132457,130460,132627],"topics":[130115],"longform":[],"members":[],"story":[],"thematic":[],"_links":{"self":[{"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/posts\/398336"}],"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\/38"}],"replies":[{"embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/comments?post=398336"}],"version-history":[{"count":3,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/posts\/398336\/revisions"}],"predecessor-version":[{"id":398359,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/posts\/398336\/revisions\/398359"}],"wp:attachment":[{"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/media?parent=398336"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/categories?post=398336"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/tags?post=398336"},{"taxonomy":"topics","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/topics?post=398336"},{"taxonomy":"longform","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/longform?post=398336"},{"taxonomy":"members","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/members?post=398336"},{"taxonomy":"story","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/story?post=398336"},{"taxonomy":"thematic","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/thematic?post=398336"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}