{"id":603575,"date":"2022-05-20T21:47:59","date_gmt":"2022-05-20T14:47:59","guid":{"rendered":"https:\/\/canhco.net\/?p=603575"},"modified":"2022-05-20T22:07:35","modified_gmt":"2022-05-20T15:07:35","slug":"benh-nhan-covid-19-chay-ecmo-cuoi-cung-cua-benh-vien-da-chien-3-tang-so-14","status":"publish","type":"post","link":"https:\/\/m.canhco.net\/benh-nhan-covid-19-chay-ecmo-cuoi-cung-cua-benh-vien-da-chien-3-tang-so-14-p603575.html","title":{"rendered":"B\u1ec7nh nh\u00e2n Covid-19 ch\u1ea1y ECMO cu\u1ed1i c\u00f9ng c\u1ee7a B\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn 3 t\u1ea7ng s\u1ed1 14"},"content":{"rendered":"

C\u00e2u chuy\u1ec7n v\u1ec1 ca ECMO cu\u1ed1i c\u00f9ng l\u00e0 m\u1ed9t minh h\u1ecda cho n\u1ed7 l\u1ef1c c\u1ee7a \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129, tuy\u1ebfn \u0111\u1ea7u ch\u1ed1ng d\u1ecbch \u1edf B\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn 3 t\u1ea7ng s\u1ed1 14. H\u1ecd ch\u1ec9 th\u1ef1c s\u1ef1 tr\u1edf l\u1ea1i cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng, khi c\u01a1 s\u1edf n\u00e0y d\u1eebng ho\u1ea1t \u0111\u1ed9ng. <\/strong><\/p>\n

Ca ECMO cu\u1ed1i c\u00f9ng c\u1ee7a B\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn ba t\u1ea7ng s\u1ed1 14 l\u00e0 b\u00e0 L\u00ea Th\u1ecb L\u1ec7 Th\u1ee7y, qu\u00ea huy\u1ec7n C\u1ee7 Chi, TP.HCM. B\u1ec7nh nh\u00e2n 58 tu\u1ed5i nh\u1eadp vi\u1ec7n ng\u00e0y 14-2. Hai th\u00e1ng sau, d\u1ecbch COVID-19 thuy\u00ean gi\u1ea3m nhi\u1ec1u, B\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c S\u1edf Y t\u1ebf cho ph\u00e9p t\u1ea1m ng\u01b0ng ho\u1ea1t \u0111\u1ed9ng. B\u00e0 Th\u1ee7y cai ECMO v\u00e0 \u0111\u01b0\u1ee3c chuy\u1ec3n v\u1ec1 B\u1ec7nh vi\u1ec7n B\u1ec7nh nhi\u1ec7t \u0111\u1edbi ng\u00e0y 25-4. Tr\u1ea3i qua nh\u1eefng th\u1eddi kh\u1eafc th\u1eadp t\u1eed nh\u1ea5t sinh, nay b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u00e3 h\u1ed3i ph\u1ee5c, chu\u1ea9n b\u1ecb \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n.<\/p>\n

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B\u1ec7nh nh\u00e2n L\u00ea Th\u1ecb L\u1ec7 Th\u1ee7y, ca ECMO cu\u1ed1i c\u00f9ng c\u1ee7a BV d\u00e3 chi\u1ebfn ba t\u1ea7ng s\u1ed1 14, b\u00ean c\u00e1c y b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb cho m\u00ecnh.<\/figcaption><\/figure>\n

Tr\u1ea3i qua ba b\u1ec7nh vi\u1ec7n \u0111i\u1ec1u tr\u1ecb COVID-19<\/strong><\/p>\n

B\u00e1c s\u0129 D\u01b0\u01a1ng B\u00edch Th\u1ee7y, Ph\u00f3 Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn ba t\u1ea7ng s\u1ed1 14, cho bi\u1ebft tr\u01b0\u1edbc \u0111\u00f3 b\u1ec7nh nh\u00e2n Th\u1ee7y nh\u1eadp vi\u1ec7n \u0111i\u1ec1u tr\u1ecb COVID-19 t\u1ea1i B\u1ec7nh vi\u1ec7n \u0110a khoa khu v\u1ef1c C\u1ee7 Chi. T\u1ea1i \u0111\u00e2y, b\u00e0 \u0111\u01b0\u1ee3c th\u1edf \u00f4xy l\u01b0u l\u01b0\u1ee3ng cao nh\u01b0ng t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p v\u1eabn ti\u1ebfn tri\u1ec3n n\u1eb7ng n\u00ean \u0111\u01b0\u1ee3c chuy\u1ec3n v\u1ec1 B\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn.<\/p>\n

T\u1ea1i \u0111\u00e2y, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n, th\u1edf m\u00e1y x\u00e2m l\u1ea5n. Sau 4 ng\u00e0y, t\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p v\u1eabn kh\u00f4ng c\u1ea3i thi\u1ec7n, th\u00f4ng s\u1ed1 m\u00e1y th\u1edf cao n\u00ean b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p ECMO, d\u00f9ng m\u00e1y \u00f4xy h\u00f3a m\u00e1u qua m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3.<\/p>\n

B\u00e1c s\u0129 Th\u1ee7y nh\u1edb l\u1ea1i:<\/p>\n

\u201cL\u00fac t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n n\u1eb7ng nh\u1ea5t, c\u00e1c y b\u00e1c s\u0129 ph\u1ea3i ph\u1ed1i h\u1ee3p nhi\u1ec1u bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1edf m\u00e1y, ECMO, th\u00f4ng kh\u00ed n\u1eb1m s\u1ea5p, l\u1ecdc m\u00e1u, d\u00f9ng th\u00eam thu\u1ed1c tr\u1ee3 tim, truy\u1ec1n m\u00e1u v\u00e0 ch\u1ebf ph\u1ea9m m\u00e1u\u2026<\/p>\n

D\u1ea7n d\u1ea7n t\u00ecnh tr\u1ea1ng c\u1ea3i thi\u1ec7n, b\u1ec7nh nh\u1eadn \u0111\u01b0\u1ee3c gi\u1ea3m d\u1ea7n c\u00e1c thu\u1ed1c an th\u1ea7n, gi\u00e3n c\u01a1 \u0111\u1ec3 t\u1ec9nh l\u1ea1i. Sau \u0111\u00f3, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn t\u1eadp th\u1edf v\u00e0 v\u1eadn \u0111\u1ed9ng. Sau 60 ng\u00e0y s\u1eed d\u1ee5ng ECMO, ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p c\u1ee7a b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh nhi\u1ec1u, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ng\u01b0ng ECMO, tuy nhi\u00ean v\u1eabn c\u1ea7n m\u00e1y th\u1edf tr\u1ee3 gi\u00fap\u201d.<\/p>\n

C\u00f2n b\u00e1c s\u0129 Nguy\u1ec5n V\u0103n Th\u00e0nh \u0110\u01b0\u1ee3c \u2013 Tr\u01b0\u1edfng Khoa ICU B\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn 3 t\u1ea7ng s\u1ed1 14 k\u1ec3: Th\u1eddi \u0111i\u1ec3m \u0111\u00f3, c\u1ea3 c\u01a1 s\u1edf ch\u1ec9 c\u00f2n l\u1ea1i ba b\u1ec7nh nh\u00e2n. B\u00e0 Th\u1ee7y l\u00e0 ca n\u1eb7ng nh\u1ea5t trong nh\u00f3m. Do B\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn t\u1ea1m ng\u01b0ng ho\u1ea1t \u0111\u1ed9ng n\u00ean b\u1ec7nh nh\u00e2n Th\u1ee7y \u0111\u01b0\u1ee3c chuy\u1ec3n v\u1ec1 B\u1ec7nh vi\u00ean B\u1ec7nh nhi\u1ec7t \u0111\u1edbi ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb. To\u00e0n b\u1ed9 \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 d\u00e3 chi\u1ebfn c\u0169ng \u0111\u01b0\u1ee3c r\u00fat v\u1ec1 \u0111\u00e2y v\u00e0 ti\u1ebfp t\u1ee5c ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n

\u201cTrong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, ch\u1ecb Th\u1ee7y r\u1ea5t ch\u1ecbu kh\u00f3 h\u1ee3p t\u00e1c c\u00f9ng y b\u00e1c s\u0129. Nh\u1edd v\u1eady sau khi ng\u01b0ng ECMO, qu\u00e1 tr\u00ecnh cai m\u00e1y th\u1edf nh\u1eb9 nh\u00e0ng h\u01a1n c\u00e1c b\u1ec7nh nh\u00e2n kh\u00e1c\u201d \u2013 b\u00e1c s\u0129 \u0110\u01b0\u1ee3c nh\u1eadn x\u00e9t.<\/p>\n

Ho\u00e0n th\u00e0nh s\u1ee9 m\u1ec7nh<\/strong><\/p>\n

Theo b\u00e1c s\u0129 \u0110\u01b0\u1ee3c, sau khi chuy\u1ec3n v\u1ec1 B\u1ec7nh vi\u1ec7n B\u1ec7nh nhi\u1ec7t \u0111\u1edbi \u0111\u01b0\u1ee3c kho\u1ea3ng m\u1ed9t tu\u1ea7n, b\u1ec7nh nh\u00e2n Th\u1ee7y \u0111\u01b0\u1ee3c t\u1eadp ng\u01b0ng m\u00e1y th\u1edf ng\u1eaft qu\u00e3ng r\u1ed3i ng\u01b0ng m\u00e1y th\u1edf ho\u00e0n to\u00e0n, ti\u1ebfp t\u1ee5c v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, t\u1eadp th\u1edf, t\u1eadp v\u1eadn \u0111\u1ed9ng.<\/p>\n

V\u00e0i ng\u00e0y ti\u1ebfp theo, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c r\u00fat \u1ed1ng th\u1edf, t\u1ef1 th\u1edf \u00f4xy m\u0169i v\u00e0 t\u1eadp \u0103n t\u1eeb t\u1eeb. G\u1ea7n \u0111\u00e2y, b\u00e1c s\u0129 \u0111\u00e3 gi\u1ea3m li\u1ec1u \u00f4xy, cho b\u1ec7nh nh\u00e2n cai \u00f4xy ng\u1eaft qu\u00e3ng. B\u1ec7nh nh\u00e2n hi\u1ec7n \u0111\u00e3 t\u1ef1 \u0103n u\u1ed1ng kh\u00e1 h\u01a1n, t\u1ea7m v\u00e0i ng\u00e0y n\u1eefa s\u1ebd xu\u1ea5t vi\u1ec7n.<\/p>\n

Khi h\u1ecfi v\u1ec1 c\u1ea3m gi\u00e1c sau khi \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng ca ECMO cu\u1ed1i c\u00f9ng c\u1ee7a B\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn, b\u00e1c s\u0129 Th\u1ee7y tr\u1ea3i l\u00f2ng: \u201cC\u1ea3 \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 ai c\u0169ng \u0111\u1ec1u r\u1ea5t m\u1eebng. \u00ca-k\u00edp c\u1ee9 n\u00f3i \u0111\u00f9a v\u1edbi nhau r\u1eb1ng ng\u00e0y m\u00e0 c\u00f4 Th\u1ee7y h\u1ed3i ph\u1ee5c l\u00e0 ng\u00e0y c\u1ea3 \u0111\u1ed9i ho\u00e0n th\u00e0nh s\u1ee9 m\u1ec7nh c\u1ee9u ch\u1eefa b\u1ec7nh COVID-19. M\u1ecdi ng\u01b0\u1eddi b\u1ea3o nhau c\u00f9ng c\u1ed1 g\u1eafng v\u00ec b\u1ec7nh nh\u00e2n n\u00e0y. Ca cu\u1ed1i c\u00f9ng m\u00e0 h\u1ed3i ph\u1ee5c t\u1ed1t th\u00ec gi\u1ed1ng nh\u01b0 m\u00ecnh ho\u00e0n th\u00e0nh t\u1ed1t s\u1ee9 m\u1ec7nh\u201d.<\/p>\n

Nh\u1edb l\u1ea1i nh\u1eefng ng\u00e0y \u0111\u00e3 qua, v\u1ecb Ph\u00f3 Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn cho bi\u1ebft t\u1eeb sau T\u1ebft Nguy\u00ean \u0111\u00e1n, d\u00f9 ca b\u1ec7nh COVID-19 gi\u1ea3m nhi\u1ec1u, cu\u1ed9c s\u1ed1ng th\u00e0nh ph\u1ed1 c\u0169ng nh\u01b0 ng\u01b0\u1eddi d\u00e2n \u0111\u00e3 tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng th\u00ec v\u1edbi anh ch\u1ecb em \u0111\u1ed3ng nghi\u1ec7p c\u00f4ng t\u00e1c t\u1ea1i B\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn 3 t\u1ea7ng s\u1ed1 14 v\u1eabn ch\u01b0a c\u00f3 c\u1ea3m gi\u00e1c tr\u1edf l\u1ea1i cu\u1ed9c s\u1ed1ng y\u00ean b\u00ecnh 100%.<\/p>\n

\u201cCh\u1ec9 \u0111\u1ebfn ng\u00e0y B\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn t\u1ea1m ng\u01b0ng ho\u1ea1t \u0111\u1ed9ng, tuy\u1ebfn \u0111\u1ea7u ch\u1ed1ng d\u1ecbch nh\u01b0 ch\u00fang t\u00f4i m\u1edbi c\u1ea3m gi\u00e1c \u0111\u00fang ngh\u0129a l\u00e0 ng\u00e0y cu\u1ed9c chi\u1ebfn k\u1ebft th\u00fac, ng\u00e0y \u0111\u01b0\u1ee3c tr\u1edf v\u1ec1 v\u1edbi cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng nh\u01b0 tr\u01b0\u1edbc\u201d \u2013 b\u00e1c s\u0129 Th\u1ee7y b\u1ed9c b\u1ea1ch.<\/p>\n

L\u1eddi c\u1ea3m \u01a1n g\u1eedi t\u1edbi l\u1ef1c l\u01b0\u1ee3ng tuy\u1ebfn \u0111\u1ea7u ch\u1ed1ng d\u1ecbch<\/strong><\/p>\n

\u0110ang n\u1eb1m \u1edf B\u1ec7nh vi\u1ec7n B\u1ec7nh nhi\u1ec7t \u0111\u1edbi, \u0111\u1ee3i v\u00e0i ng\u00e0y n\u1eefa l\u00e0 xu\u1ea5t vi\u1ec7n, b\u00e0 L\u00ea Th\u1ecb L\u1ec7 Th\u1ee7y (58 tu\u1ed5i) cho bi\u1ebft c\u1ea3m th\u1ea5y r\u1ea5t m\u1eebng. B\u00e0 b\u00e0y t\u1ecf: \u201cS\u1ee9c kh\u1ecfe c\u1ee7a t\u00f4i \u0111\u00e3 d\u1ea7n \u1ed5n \u0111\u1ecbnh, t\u00f4i c\u1ea3m th\u1ea5y r\u1ea5t vui. Sau h\u01a1n 3 th\u00e1ng nh\u1eadp vi\u1ec7n \u0111i\u1ec1u tr\u1ecb, cu\u1ed1i c\u00f9ng t\u00f4i c\u0169ng g\u1ea7n \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n r\u1ed3i. Nh\u1edb l\u1ea1i l\u00fac t\u00ecnh tr\u1ea1ng di\u1ec5n ti\u1ebfn n\u1eb7ng, b\u1ecb \u0111\u01b0a \u0111i vi\u1ec7n, ng\u01b0\u1eddi nh\u00e0 ai c\u0169ng t\u01b0\u1edfng t\u00f4i s\u1ebd kh\u00f4ng qua kh\u1ecfi.<\/p>\n

T\u1ec9nh d\u1eady t\u1eeb c\u01a1n h\u00f4n m\u00ea d\u00e0i, t\u00f4i c\u1ea3m th\u1ea5y r\u1ea5t m\u1eebng v\u00ec m\u00ecnh \u0111\u00e3 tho\u00e1t ch\u1ebft. Th\u1eddi gian \u0111\u1ea7u, t\u00f4i g\u1eb7p to\u00e0n \u00e1c m\u1ed9ng n\u00ean r\u1ea5t s\u1ee3. Nh\u01b0ng may c\u00f3 c\u00e1c y b\u00e1 s\u0129 lu\u00f4n quan t\u00e2m, \u0111\u1ed9ng vi\u00ean. L\u00fac t\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, m\u1ecdi ng\u01b0\u1eddi n\u00e2ng t\u1eebng tay, t\u1eebng ch\u00e2n, gi\u00fap t\u00f4i t\u1eebng ly t\u1eebng t\u00ed. M\u1ed7i l\u1ea7n t\u00f4i nh\u00fac nh\u00edch l\u00e0 m\u1ecdi ng\u01b0\u1eddi h\u1ecfi li\u1ec1n t\u00f4i c\u00f3 kh\u00f3 ch\u1ecbu \u1edf \u0111\u00e2u kh\u00f4ng. T\u00f4i r\u1ea5t bi\u1ebft \u01a1n t\u1eadp th\u1ec3 c\u00e1n b\u1ed9 y t\u1ebf \u1edf \u0111\u00e2y \u0111\u00e3 ng\u00e0y \u0111\u00eam t\u1eadn t\u00ecnh c\u1ee9u ch\u1eefa \u0111\u1ec3 t\u00f4i c\u00f3 c\u01a1 h\u1ed9i \u0111\u01b0\u1ee3c s\u1ed1ng\u201d.<\/p>\n

Th\u1ea3o Anh\u00a0<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

C\u00e2u chuy\u1ec7n v\u1ec1 ca ECMO cu\u1ed1i c\u00f9ng l\u00e0 m\u1ed9t minh h\u1ecda cho n\u1ed7 l\u1ef1c c\u1ee7a \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129, tuy\u1ebfn \u0111\u1ea7u ch\u1ed1ng d\u1ecbch \u1edf B\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn 3 t\u1ea7ng s\u1ed1 14. H\u1ecd ch\u1ec9 th\u1ef1c s\u1ef1 tr\u1edf l\u1ea1i cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng, khi c\u01a1 s\u1edf n\u00e0y d\u1eebng ho\u1ea1t \u0111\u1ed9ng. Ca ECMO cu\u1ed1i c\u00f9ng c\u1ee7a […]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28],"tags":[135140],"topics":[130115],"longform":[],"members":[],"story":[],"thematic":[],"_links":{"self":[{"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/posts\/603575"}],"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=603575"}],"version-history":[{"count":1,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/posts\/603575\/revisions"}],"predecessor-version":[{"id":603577,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/posts\/603575\/revisions\/603577"}],"wp:attachment":[{"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/media?parent=603575"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/categories?post=603575"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/tags?post=603575"},{"taxonomy":"topics","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/topics?post=603575"},{"taxonomy":"longform","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/longform?post=603575"},{"taxonomy":"members","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/members?post=603575"},{"taxonomy":"story","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/story?post=603575"},{"taxonomy":"thematic","embeddable":true,"href":"https:\/\/m.canhco.net\/wp-json\/wp\/v2\/thematic?post=603575"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}