{"id":598546,"date":"2022-03-29T21:55:04","date_gmt":"2022-03-29T14:55:04","guid":{"rendered":"https:\/\/canhco.net\/?p=598546"},"modified":"2022-03-29T21:55:04","modified_gmt":"2022-03-29T14:55:04","slug":"be-gai-ho-ra-mau-suyt-chet-vi-bien-chung-covid-19","status":"publish","type":"post","link":"https:\/\/m.canhco.net\/be-gai-ho-ra-mau-suyt-chet-vi-bien-chung-covid-19-p598546.html","title":{"rendered":"B\u00e9 g\u00e1i ho ra m\u00e1u, su\u00fdt ch\u1ebft v\u00ec bi\u1ebfn ch\u1ee9ng Covid-19"},"content":{"rendered":"

B\u00e9 g\u00e1i 12 tu\u1ed5i kh\u1ecfe m\u1ea1nh kh\u00f4ng b\u1ec7nh n\u1ec1n kh\u00f4ng ng\u1edd khi m\u1eafc Covid-19, b\u00e9 chuy\u1ec3n n\u1eb7ng, kh\u00f3 th\u1edf, ho li\u00ean t\u1ee5c ra m\u00e1u, SpO2 80%, kh\u00f4ng n\u00f3i \u0111\u01b0\u1ee3c, \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n bi\u1ebfn ch\u1ee9ng vi\u00eam c\u01a1 tim.\u00a0<\/strong><\/p>\n

T\u1ea1i khoa C\u1ea5p c\u1ee9u, B\u1ec7nh vi\u1ec7n Tim H\u00e0 N\u1ed9i, b\u1ec7nh nhi \u0111\u01b0\u1ee3c x\u1eed tr\u00ed ban \u0111\u1ea7u r\u1ed3i chuy\u1ec3n l\u00ean khoa H\u1ed3i s\u1ee9c nhi \u0111\u1ec3 \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c d\u00f9ng thu\u1ed1c v\u1eadn m\u1ea1ch li\u1ec1u cao. Ng\u01b0\u1eddi nh\u00e0 cho bi\u1ebft, ti\u1ec1n s\u1eed b\u00e9 kh\u1ecfe m\u1ea1nh, kh\u00f4ng b\u1ec7nh n\u1ec1n.<\/p>\n

M\u1ed9t ng\u00e0y sau, t\u00ecnh tr\u1ea1ng b\u00e9 nguy k\u1ecbch, ng\u01b0ng tim ng\u01b0ng th\u1edf, ph\u1ea3i c\u1ea5p c\u1ee9u ng\u01b0ng tu\u1ea7n ho\u00e0n v\u00e0 s\u1ed1c \u0111i\u1ec7n song kh\u00f4ng c\u1ea3i thi\u1ec7n, ch\u1ee9c n\u0103ng tim co b\u00f3p k\u00e9m. B\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh \u0111\u1eb7t m\u00e1y ECMO (h\u1ec7 th\u1ed1ng tu\u1ea7n ho\u00e0n tim ph\u1ed5i ngo\u00e0i c\u01a1 th\u1ec3) \u0111\u1ec3 c\u1ee9u b\u1ec7nh nh\u00e2n.<\/p>\n

\"B\u1ec7nh
B\u1ec7nh nhi g\u1eb7p bi\u1ebfn ch\u1ee9ng vi\u00eam c\u01a1 tim do Covid-19, ph\u1ea3i \u0111\u1eb7t ECMO. Hi\u1ec7n, s\u1ee9c kh\u1ecfe b\u00e9 \u1ed5n \u0111\u1ecbnh v\u00e0 t\u1ef1 th\u1edf \u0111\u01b0\u1ee3c. \u1ea2nh: B\u1ec7nh vi\u1ec7n cung c\u1ea5p<\/figcaption><\/figure>\n

Ba ng\u00e0y sau khi \u0111\u1eb7t ECMO, t\u00ecnh tr\u1ea1ng c\u1ee7a b\u00e9 t\u1ed1t d\u1ea7n l\u00ean. Ng\u00e0y th\u1ee9 4, b\u1ec7nh nhi \u0111\u01b0\u1ee3c r\u00fat n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 cai m\u00e1y ECMO.<\/p>\n

B\u00e1c s\u0129 L\u00ea Tr\u1ecdng T\u00fa, khoa H\u1ed3i s\u1ee9c Nhi, ng\u00e0y 15\/3 \u0111\u00e1nh gi\u00e1 \u0111\u00e2y l\u00e0 ca b\u1ec7nh kh\u00f3, ng\u01b0\u1eddi b\u1ec7nh g\u1eb7p bi\u1ebfn ch\u1ee9ng vi\u00eam c\u01a1 tim do Covid-19 d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n nh\u1ecbp tim kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb thu\u1ed1c, s\u1ed1c tim, ph\u1ea3i can thi\u1ec7p ECMO \u0111\u1ec3 gi\u1eef m\u1ea1ng s\u1ed1ng.<\/p>\n

B\u1ec7nh vi\u00eam c\u01a1 tim th\u01b0\u1eddng kh\u00f3 ph\u00e1t hi\u1ec7n khi c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u1edfi \u0111\u1ea7u r\u1ea5t m\u01a1 h\u1ed3, d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c b\u1ec7nh kh\u00e1c nh\u01b0 c\u1ea3m s\u1ed1t. H\u1eadu qu\u1ea3 c\u1ee7a b\u1ec7nh r\u1ea5t n\u1eb7ng n\u1ec1, th\u1eadm ch\u00ed t\u1eed vong.<\/p>\n

Theo B\u1ed9 Y t\u1ebf, h\u1ea7u h\u1ebft tr\u1ebb m\u1eafc Covid-19 ch\u1ec9 b\u1ecb vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean, s\u1ed1t nh\u1eb9, ho, \u0111au h\u1ecdng, s\u1ed5 m\u0169i, m\u1ec7t m\u1ecfi, vi\u00eam ph\u1ed5i v\u00e0 t\u1ef1 h\u1ed3i ph\u1ee5c sau 1-2 tu\u1ea7n. Kho\u1ea3ng 2% tr\u1edf n\u1eb7ng, th\u01b0\u1eddng v\u00e0o ng\u00e0y 5-8 c\u1ee7a b\u1ec7nh. Trong \u0111\u00f3, kho\u1ea3ng 0,7% c\u1ea7n \u0111i\u1ec1u tr\u1ecb t\u1ea1i c\u00e1c \u0111\u01a1n v\u1ecb h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c, do c\u00f3 c\u00e1c bi\u1ebfn ch\u1ee9ng n\u1eb7ng nh\u01b0 h\u1ed9i ch\u1ee9ng nguy k\u1ecbch h\u00f4 h\u1ea5p c\u1ea5p (ARDS), vi\u00eam c\u01a1 tim, nhi\u1ec5m khu\u1ea9n huy\u1ebft, s\u1ed1c nhi\u1ec5m tr\u00f9ng\u2026<\/p>\n

T\u1ef7 l\u1ec7 t\u1eed vong do m\u1eafc Covid \u1edf tr\u1ebb \u00edt h\u01a1n 0,1%, r\u1ea5t th\u1ea5p, h\u1ea7u h\u1ebft qua \u0111\u1eddi do b\u1ec7nh n\u1ec1n. Sau 7-10 ng\u00e0y, n\u1ebfu kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng n\u1eb7ng, tr\u1ebb s\u1ebd h\u1ebft d\u1ea7n c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 kh\u1ecfi b\u1ec7nh.<\/p>\n

V\u00ec COVID-19 c\u0169ng nh\u01b0 c\u00e1c b\u1ec7nh do virus, ch\u01b0a c\u00f3 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u n\u00ean ch\u00fang ta c\u1ea7n ph\u1ea3i \u0111\u01b0a tr\u1ebb em \u0111i ti\u00eam vaccine ph\u00f2ng COVID-19 \u0111\u1ec3 ch\u1ee7 \u0111\u1ed9ng ph\u00f2ng, ch\u1ed1ng b\u1ec7nh truy\u1ec1n nhi\u1ec5m.<\/p>\n

PGS.TS. D\u01b0\u01a1ng Th\u1ecb H\u1ed3ng, Ph\u00f3 Vi\u1ec7n tr\u01b0\u1edfng Vi\u1ec7n V\u1ec7 sinh d\u1ecbch t\u1ec5 Trung \u01b0\u01a1ng cho bi\u1ebft: c\u00f3 vaccine nh\u01b0ng tr\u1ebb kh\u00f4ng \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn ti\u00eam ch\u1ee7ng v\u00e0 \u0111\u00e3 x\u1ea3y ra nh\u1eefng h\u1eadu qu\u1ea3 \u0111\u00e1ng ti\u1ebfc. \u0110\u00f3 l\u00e0 v\u1ee5 d\u1ecbch s\u1edfi c\u00e1ch \u0111\u00e2y v\u00e0i n\u0103m, r\u1ea5t th\u01b0\u01a1ng t\u00e2m, nhi\u1ec1u tr\u1ebb ch\u01b0a \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng m\u1eafc s\u1edfi v\u00e0 c\u00e1c ch\u00e1u \u0111\u00e3 c\u00f3 nh\u1eefng bi\u1ebfn ch\u1ee9ng r\u1ea5t tr\u1ea7m tr\u1ecdng v\u00e0 t\u1eed vong. T\u01b0\u01a1ng t\u1ef1 \u0111\u1ed1i v\u1edbi COVID-19 c\u0169ng nh\u01b0 v\u1eady. M\u1ed9t l\u1ea7n n\u1eefa ch\u00fang t\u00f4i r\u1ea5t mong mu\u1ed1n c\u00e1c b\u1eadc cha m\u1eb9 h\u00e3y tin t\u01b0\u1edfng, t\u1edbi \u0111\u00e2y c\u00f4ng t\u00e1c t\u1ed5 ch\u1ee9c ti\u00eam ch\u1ee7ng vaccine COVID-19 s\u1ebd ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c tri\u1ec3n khai m\u1ed9t c\u00e1ch an to\u00e0n, t\u1eeb kinh nghi\u1ec7m c\u1ee7a c\u00e1c \u0111\u1ee3t ti\u00eam ch\u1ee7ng tr\u01b0\u1edbc \u0111\u00e2y v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed1i v\u1edbi \u0111\u1ee3t tri\u1ec3n khai cho tr\u1ebb em t\u1eeb 12-17 tu\u1ed5i. Ch\u00fang ta s\u1ebd c\u00f3 m\u1ed9t chi\u1ebfn d\u1ecbch th\u00e0nh c\u00f4ng, c\u00f4ng t\u00e1c ti\u00eam ch\u1ee7ng an to\u00e0n. M\u1ed9t l\u1ea7n n\u1eefa, ch\u00fang t\u00f4i r\u1ea5t v\u1eefng tay \u0111\u1ec3 ch\u00fang ta c\u00f3 m\u1ed9t chi\u1ebfn d\u1ecbch ti\u00eam ch\u1ee7ng an to\u00e0n \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m cho nh\u00f3m tr\u1ebb em t\u1eeb 5-11 tu\u1ed5i, v\u1edbi mong mu\u1ed1n \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ed9 bao ph\u1ee7 tr\u00ean 90%, th\u1eadm ch\u00ed 95% c\u00e1c ch\u00e1u s\u1ebd \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7, ch\u1ee7 \u0111\u1ed9ng ph\u00f2ng, ch\u1ed1ng d\u1ecbch COVID-19.<\/p>\n

\"\"
Ti\u00eam vaccine ng\u1eeba COVID-19 cho tr\u1ebb t\u1eeb 5-11 tu\u1ed5i l\u00e0 vi\u1ec7c h\u1ebft s\u1ee9c c\u1ea7n thi\u1ebft, mang l\u1ea1i nhi\u1ec1u l\u1ee3i \u00edch \u0111\u1ec3 b\u1ea3o v\u1ec7 tr\u1ebb- \u1ea2nh minh h\u1ecda<\/figcaption><\/figure>\n

Th\u1eddi gian qua, Vi\u1ec7t Nam \u0111\u00e3 \u0111\u1ea9y m\u1ea1nh vi\u1ec7c ti\u00eam ph\u00f2ng vaccine COVID-19 cho tr\u1ebb em 12-17 tu\u1ed5i. \u0110\u1ebfn th\u1eddi \u0111i\u1ec3m n\u00e0y, vi\u1ec7c ti\u00eam vaccine m\u0169i 1 \u0111\u1ea1t 98,4%, m\u0169i 2 \u0111\u1ea1t 93,2%. V\u1edbi tr\u1ebb em t\u1eeb 5-11 tu\u1ed5i, ng\u00e0y 28\/3, B\u1ed9 Y t\u1ebf y\u00eau c\u1ea7u c\u00e1c \u0111\u1ecba ph\u01b0\u01a1ng l\u1eadp danh s\u00e1ch tr\u1ebb t\u1eeb 5 \u0111\u1ebfn d\u01b0\u1edbi 12 tu\u1ed5i, chu\u1ea9n b\u1ecb ti\u00eam ch\u1ee7ng Covid-19 ngay khi \u0111\u01b0\u1ee3c ph\u00e2n b\u1ed5 vaccine.<\/p>\n

Ch\u00ednh ph\u1ee7 Australia \u0111\u00e3 ch\u00ednh th\u1ee9c cam k\u1ebft vi\u1ec7n tr\u1ee3 cho Vi\u1ec7t Nam kho\u1ea3ng 13,7 tri\u1ec7u li\u1ec1u vaccine Pfizer v\u00e0 Moderna \u0111\u1ec3 ti\u00eam cho tr\u1ebb 5-11 tu\u1ed5i ngay trong tu\u1ea7n \u0111\u1ea7u th\u00e1ng 4\/2022.<\/p>\n

Hi\u1ec7n nay, Ch\u01b0\u01a1ng tr\u00ecnh Ti\u00eam ch\u1ee7ng m\u1edf r\u1ed9ng \u0111ang t\u00edch c\u1ef1c ph\u1ed1i h\u1ee3p v\u1edbi \u0110\u1ea1i s\u1ee9 qu\u00e1n Australia \u0111\u1ec3 \u0111\u01b0a vaccine v\u1ec1 Vi\u1ec7t Nam trong tu\u1ea7n t\u1edbi.<\/p>\n

Tr\u01b0\u1edbc \u0111\u00f3, Ch\u00ednh ph\u1ee7 \u0111\u1ed3ng \u00fd mua g\u1ea7n 22 tri\u1ec7u li\u1ec1u vaccine COVID-19 c\u1ee7a Pfizer \u0111\u1ec3 ti\u00eam cho tr\u1ebb em t\u1eeb 5-11 tu\u1ed5i.<\/p>\n

Trong c\u00f4ng \u0111i\u1ec7n ng\u00e0y 23\/2, Th\u1ee7 t\u01b0\u1edbng Ph\u1ea1m Minh Ch\u00ednh y\u00eau c\u1ea7u chu\u1ea9n b\u1ecb s\u1eb5n s\u00e0ng m\u1ecdi \u0111i\u1ec1u ki\u1ec7n v\u1ec1 c\u01a1 s\u1edf v\u1eadt ch\u1ea5t, trang thi\u1ebft b\u1ecb, ph\u01b0\u01a1ng ti\u1ec7n b\u1ea3o qu\u1ea3n, \u0111\u1ecba \u0111i\u1ec3m, nh\u00e2n l\u1ef1c \u0111\u1ec3 ti\u00eam ch\u1ee7ng cho tr\u1ebb em t\u1eeb 5 tu\u1ed5i \u0111\u1ebfn d\u01b0\u1edbi 12 tu\u1ed5i ngay sau khi \u0111\u01b0\u1ee3c cung \u1ee9ng vaccine.<\/p>\n

Tr\u00e2m Anh\u00a0<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

B\u00e9 g\u00e1i 12 tu\u1ed5i kh\u1ecfe m\u1ea1nh kh\u00f4ng b\u1ec7nh n\u1ec1n kh\u00f4ng ng\u1edd khi m\u1eafc Covid-19, b\u00e9 chuy\u1ec3n n\u1eb7ng, kh\u00f3 th\u1edf, ho li\u00ean t\u1ee5c ra m\u00e1u, SpO2 80%, kh\u00f4ng n\u00f3i \u0111\u01b0\u1ee3c, \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n bi\u1ebfn ch\u1ee9ng vi\u00eam c\u01a1 tim.\u00a0 T\u1ea1i khoa C\u1ea5p c\u1ee9u, B\u1ec7nh vi\u1ec7n Tim H\u00e0 N\u1ed9i, b\u1ec7nh nhi \u0111\u01b0\u1ee3c x\u1eed tr\u00ed ban \u0111\u1ea7u r\u1ed3i chuy\u1ec3n […]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28],"tags":[149937,149168,152640],"topics":[146493],"longform":[],"members":[],"story":[],"thematic":[],"_links":{"self":[{"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/posts\/598546"}],"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=598546"}],"version-history":[{"count":1,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/posts\/598546\/revisions"}],"predecessor-version":[{"id":598556,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/posts\/598546\/revisions\/598556"}],"wp:attachment":[{"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/media?parent=598546"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/categories?post=598546"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/tags?post=598546"},{"taxonomy":"topics","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/topics?post=598546"},{"taxonomy":"longform","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/longform?post=598546"},{"taxonomy":"members","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/members?post=598546"},{"taxonomy":"story","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/story?post=598546"},{"taxonomy":"thematic","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/thematic?post=598546"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}