{"id":195,"date":"2024-04-13T10:59:22","date_gmt":"2024-04-13T10:59:22","guid":{"rendered":"https:\/\/oxycaoap.vn\/HBOT\/?p=195"},"modified":"2024-04-13T10:59:22","modified_gmt":"2024-04-13T10:59:22","slug":"ngo-doc-khi-co-tai-nan-chet-nguoi","status":"publish","type":"post","link":"https:\/\/oxycaoap.vn\/HBOT\/ngo-doc-khi-co-tai-nan-chet-nguoi\/","title":{"rendered":"NG\u00d4 \u0110\u1ed8C KH\u00cd CO – TAI N\u1ea0N CH\u1ebeT NG\u01af\u1edcI"},"content":{"rendered":"

H\u01af\u1edaNG D\u1eaaN L\u00c2M S\u00c0NG V\u1ec0 NG\u1ed8 \u0110\u1ed8C KH\u00cd CARBON MONOXID (CO)<\/strong><\/p>\n

\u00a0<\/strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0GS.TS Nguy\u1ec5n Tr\u01b0\u1eddng S\u01a1n<\/strong><\/p>\n

\u00a0\u00a0 Trung t\u00e2m Y h\u1ecdc d\u01b0\u1edbi n\u01b0\u1edbc v\u00e0 Oxy cao \u00e1p <\/strong><\/p>\n

Vi\u1ec7n Y h\u1ecdc bi\u1ec3n Vi\u1ec7t Nam<\/strong><\/p>\n

\u00a0<\/strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Carbon monoxide (CO) l\u00e0 m\u1ed9t lo\u1ea1i kh\u00ed \u0111\u1ed9c kh\u00f4ng m\u00f9i, kh\u00f4ng m\u00e0u, c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh t\u1eadt v\u00e0 t\u1eed vong \u0111\u1ed9t ng\u1ed9t n\u1ebfu t\u1ed3n t\u1ea1i \u1edf n\u1ed3ng \u0111\u1ed9 v\u1eeba \u0111\u1ee7 trong kh\u00f4ng kh\u00ed xung quanh. Khi m\u1ea5t \u0111i\u1ec7n x\u1ea3y ra trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p nh\u01b0 b\u00e3o ho\u1eb7c b\u00e3o m\u00f9a \u0111\u00f4ng, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c ngu\u1ed3n nhi\u00ean li\u1ec7u ho\u1eb7c \u0111i\u1ec7n thay th\u1ebf \u0111\u1ec3 s\u01b0\u1edfi \u1ea5m, l\u00e0m m\u00e1t ho\u1eb7c n\u1ea5u \u0103n c\u00f3 th\u1ec3 g\u00e2y ra kh\u00ed CO t\u00edch t\u1ee5 trong nh\u00e0, ga ra ho\u1eb7c n\u01a1i c\u1eafm tr\u1ea1i v\u00e0 g\u00e2y ng\u1ed9 \u0111\u1ed9c cho ng\u01b0\u1eddi v\u00e0 \u0111\u1ed9ng v\u1eadt b\u00ean trong . M\u00e1y ph\u00e1t \u0111i\u1ec7n, l\u00f2 n\u01b0\u1edbng, b\u1ebfp c\u1eafm tr\u1ea1i, ho\u1eb7c c\u00e1c thi\u1ebft b\u1ecb \u0111\u1ed1t b\u1eb1ng x\u0103ng, kh\u00ed propan, kh\u00ed \u0111\u1ed1t t\u1ef1 nhi\u00ean ho\u1eb7c than c\u1ee7i kh\u00e1c kh\u00f4ng bao gi\u1edd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nh\u00e0, t\u1ea7ng h\u1ea7m, nh\u00e0 \u0111\u1ec3 xe ho\u1eb7c tr\u1ea1i c\u1eafm tr\u1ea1i – ho\u1eb7c th\u1eadm ch\u00ed b\u00ean ngo\u00e0i g\u1ea7n c\u1eeda s\u1ed5 \u0111ang m\u1edf ho\u1eb7c m\u00e1y \u0111i\u1ec1u h\u00f2a kh\u00f4ng kh\u00ed.<\/p>\n

    \n
  1. C\u00e1ch Nh\u1eadn bi\u1ebft Ng\u1ed9 \u0111\u1ed9c CO<\/strong><\/li>\n<\/ol>\n

    C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a ng\u1ed9 \u0111\u1ed9c carbon monoxide r\u1ea5t kh\u00e1c nhau v\u00e0 kh\u00f4ng \u0111\u1eb7c hi\u1ec7u. C\u00e1c tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a ng\u1ed9 \u0111\u1ed9c CO l\u00e0 nh\u1ee9c \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, m\u1ec7t m\u1ecfi, bu\u1ed3n n\u00f4n, n\u00f4n, \u0111au ng\u1ef1c v\u00e0 t\u00ecnh tr\u1ea1ng t\u00e2m th\u1ea7n b\u1ecb thay \u0111\u1ed5i.<\/p>\n

      \n
    1. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a ng\u1ed9 \u0111\u1ed9c CO<\/strong><\/li>\n<\/ol>\n

      \u0110\u1ed9c t\u00ednh c\u1ee7a kh\u00ed CO t\u00e1c d\u1ee5ng l\u00ean to\u00e0n b\u1ed9 c\u01a1 th\u1ec3. T\u00e1c \u0111\u1ed9ng c\u1ee7a n\u00f3 kh\u00f4ng ch\u1ec9 do s\u1ef1 cung c\u1ea5p oxy b\u1ecb suy gi\u1ea3m m\u00e0 c\u00f2n do l\u00e0m gi\u00e1n \u0111o\u1ea1n qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng oxy v\u00e0 h\u00f4 h\u1ea5p \u1edf c\u1ea5p \u0111\u1ed9 t\u1ebf b\u00e0o, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf c\u00e1c c\u01a1 quan c\u00f3 nhu c\u1ea7u oxy cao (t\u1ee9c l\u00e0 tim v\u00e0 n\u00e3o).<\/p>\n

      3.C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ng\u1ed9 \u0111\u1ed9c CO nghi\u00eam tr\u1ecdng <\/strong><\/p>\n

      Bao g\u1ed3m kh\u00f3 ch\u1ecbu, kh\u00f3 th\u1edf, nh\u1ee9c \u0111\u1ea7u, bu\u1ed3n n\u00f4n, \u0111au ng\u1ef1c, m\u1ea5t kh\u1ea3 n\u0103ng \u0111i\u1ec1u h\u00f2a c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3, tr\u1ea1ng th\u00e1i t\u00e2m th\u1ea7n thay \u0111\u1ed5i, c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh kh\u00e1c, m\u1ea5t \u00fd th\u1ee9c, h\u00f4n m\u00ea v\u00e0 t\u1eed vong; c\u00e1c d\u1ea5u hi\u1ec7u c\u01a1 b\u1ea3n bao g\u1ed3m nh\u1ecbp tim nhanh, th\u1edf nhanh, h\u1ea1 huy\u1ebft \u00e1p, c\u00e1c ph\u00e1t hi\u1ec7n th\u1ea7n kinh kh\u00e1c nhau bao g\u1ed3m suy gi\u1ea3m tr\u00ed nh\u1edb, r\u1ed1i lo\u1ea1n nh\u1eadn th\u1ee9c v\u00e0 c\u1ea3m gi\u00e1c; nhi\u1ec5m toan chuy\u1ec3n h\u00f3a, lo\u1ea1n nh\u1ecbp tim, thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u01a1 tim ho\u1eb7c nh\u1ed3i m\u00e1u, v\u00e0 ph\u00f9 ph\u1ed5i kh\u00f4ng do tim, m\u1eb7c d\u00f9 b\u1ea5t k\u1ef3 h\u1ec7 th\u1ed1ng c\u01a1 quan n\u00e0o c\u0169ng c\u00f3 th\u1ec3 li\u00ean quan.<\/p>\n

      Vi\u1ec7c khai th\u00e1c b\u1ec7nh s\u1eed m\u1ed9t c\u00e1ch c\u1ea9n tr\u1ecdng s\u1ebd gi\u00fap ch\u00fang ta ph\u00e1t hi\u1ec7n b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ebfp x\u00fac v\u1edbi ngu\u1ed3n CO c\u00f3 th\u1ec3 tr\u1edf n\u00ean r\u00f5 r\u00e0ng h\u01a1n. Vi\u1ec7c ki\u1ec3m tra, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p v\u00e0 nhanh ch\u00f3ng l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n

        \n
      1. C\u00e1c ngu\u1ed3n g\u00e2y ng\u1ed9 \u0111\u1ed9c CO<\/strong><\/li>\n<\/ol>\n

        – M\u00e1y ph\u00e1t \u0111i\u1ec7n ch\u1ea1y b\u1eb1ng gas, x\u0103ng, d\u1ea7u<\/p>\n

        – L\u00f2 n\u01b0\u1edbng than, b\u1ebfp propan v\u00e0 than b\u00e1nh \u0111\u1ec3 n\u1ea5u \u0103n v\u00e0 s\u01b0\u1edfi \u1ea5m trong nh\u00e0<\/p>\n

        – Xe c\u01a1 gi\u1edbi c\u00f3 m\u00e1y l\u1ea1nh v\u00e0 \u0111\u1ed9ng c\u01a1 ch\u1ea1y b\u1eb1ng x\u0103ng, d\u1ea7u<\/p>\n

        – Ho\u1ea3 ho\u1ea1n, \u0111\u1ed1t c\u1ee7i ho\u1eb7c r\u01a1m r\u1ea1 \u1edf trong nh\u00e0<\/p>\n

        – T\u00e0u thuy\u1ec1n<\/p>\n

        M\u00e1y r\u1eeda \u0111i\u1ec7n v\u00e0 c\u00e1c d\u1ee5ng c\u1ee5 ch\u1ea1y b\u1eb1ng kh\u00ed gas kh\u00e1c.<\/p>\n

        C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u01a1 bao g\u1ed3m:<\/p>\n

        – Tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb em<\/p>\n

        – Ph\u1ee5 n\u1eef mang thai<\/p>\n

        – Ng\u01b0\u1eddi gi\u00e0<\/p>\n

        – Ng\u01b0\u1eddi b\u1ecb b\u1ec7nh tim m\u00e3n t\u00ednh, thi\u1ebfu m\u00e1u ho\u1eb7c b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/p>\n

          \n
        1. S\u1ef1 \u0111\u00e1nh gi\u00e1<\/strong><\/li>\n<\/ol>\n

          – Ch\u1ea9n \u0111o\u00e1n d\u1ef1a tr\u00ean ti\u1ec1n s\u1eed g\u1ee3i \u00fd v\u00e0 c\u00e1c ph\u00e1t hi\u1ec7n v\u1eadt l\u00fd (\u0111o n\u1ed3ng \u0111\u1ed9 kh\u00ed CO t\u1ea1i n\u01a1i x\u1ea3y ra tan n\u1ea1n) c\u00f9ng v\u1edbi x\u00e9t nghi\u1ec7m kh\u1eb3ng \u0111\u1ecbnh. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c, bao g\u1ed3m h\u00edt ph\u1ea3i kh\u00f3i ch\u1ee9a kh\u00ed \u0111\u1ed9c, ch\u1ea5n th\u01b0\u01a1ng, b\u1ec7nh n\u1ed9i khoa ho\u1eb7c nhi\u1ec5m \u0111\u1ed9c kh\u00e1c.<\/p>\n

          – Ki\u1ec3m tra th\u1ea7n kinh n\u00ean bao g\u1ed3m \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng nh\u1eadn th\u1ee9c, ch\u1eb3ng h\u1ea1n nh\u01b0 ki\u1ec3m tra tr\u1ea1ng th\u00e1i t\u00e2m th\u1ea7n.<\/p>\n

          – T\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh \u0111\u1ebb n\u1ebfu nghi ng\u1edd b\u1ecb ng\u1ed9 \u0111\u1ed9c kh\u00ed CO n\u00ean th\u1eed thai.<\/p>\n

            \n
          1. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/strong><\/li>\n<\/ol>\n

            Ch\u00eca kh\u00f3a \u0111\u1ec3 x\u00e1c nh\u1eadn ch\u1ea9n \u0111o\u00e1n l\u00e0 \u0111o m\u1ee9c carboxyhemoglobin (HbCO) c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

            M\u1ee9c HbCO c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m tra trong m\u00e1u to\u00e0n ph\u1ea7n ho\u1eb7c m\u00e1y \u0111o oxy qua m\u1ea1ch.<\/p>\n

            \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i bi\u1ebft bao nhi\u00eau th\u1eddi gian \u0111\u00e3 tr\u00f4i qua k\u1ec3 t\u1eeb khi b\u1ec7nh nh\u00e2n r\u1eddi kh\u1ecfi m\u00f4i tr\u01b0\u1eddng \u0111\u1ed9c h\u1ea1i, b\u1edfi v\u00ec \u0111i\u1ec1u \u0111\u00f3 s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ee9c HbCO. N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u00e3 h\u00edt th\u1edf kh\u00f4ng kh\u00ed trong ph\u00f2ng b\u00ecnh th\u01b0\u1eddng trong v\u00e0i gi\u1edd, x\u00e9t nghi\u1ec7m HbCO c\u00f3 th\u1ec3 \u00edt h\u1eefu \u00edch h\u01a1n.<\/p>\n

            C\u00f4ng ngh\u1ec7 ph\u1ed5 bi\u1ebfn nh\u1ea5t hi\u1ec7n c\u00f3 trong c\u00e1c khoa x\u00e9t nghi\u1ec7m b\u1ec7nh vi\u1ec7n \u0111\u1ec3 ph\u00e2n t\u00edch m\u00e1u l\u00e0 m\u00e1y quang ph\u1ed5 nhi\u1ec1u b\u01b0\u1edbc s\u00f3ng, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 m\u00e1y \u0111o CO-O2<\/sub>. Ho\u1eb7c m\u00e1y \u0111o kh\u00ed m\u00e1u. M\u00e1u t\u0129nh m\u1ea1ch ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e9t nghi\u1ec7m.<\/p>\n

            M\u00e1y \u0111o CO-O2<\/sub> theo nh\u1ecbp \u0111\u1eadp \u1edf \u0111\u1ea7u ng\u00f3n tay c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111o nh\u1ecbp tim, \u0111\u1ed9 b\u00e3o h\u00f2a oxy v\u00e0 m\u1ee9c HbCO. Lo\u1ea1i m\u00e1y \u0111o oxy xung hai b\u01b0\u1edbc s\u00f3ng th\u00f4ng th\u01b0\u1eddng kh\u00f4ng ch\u00ednh x\u00e1c khi c\u00f3 HbCO.<\/p>\n

            M\u1ee9c HbCO kh\u00f4ng ho\u00e0n to\u00e0n t\u01b0\u01a1ng quan v\u1edbi m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh, k\u1ebft qu\u1ea3 ho\u1eb7c \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb. V\u00ec v\u1eady, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i \u0111\u00e1nh gi\u00e1 c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 ti\u1ec1n s\u1eed ph\u01a1i nhi\u1ec5m khi x\u00e1c \u0111\u1ecbnh lo\u1ea1i v\u00e0 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n

            C\u00f3 th\u1ec3 c\u1ea7n c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 ki\u1ec3m tra l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u, r\u01b0\u1ee3u v\u00e0 ch\u1ea5t \u0111\u1ed9c, ch\u1ee5p CT \u0111\u1ea7u ho\u1eb7c ch\u1ecdc d\u00f2 tu\u1ef7 s\u1ed5ng \u0111o\u1ea1n th\u1eaft l\u01b0ng \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y ra t\u00ecnh tr\u1ea1ng t\u00e2m th\u1ea7n b\u1ecb thay \u0111\u1ed5i khi kh\u00f4ng th\u1ec3 k\u1ebft lu\u1eadn ch\u1ea9n \u0111o\u00e1n ng\u1ed9 \u0111\u1ed9c carbon monoxide.<\/p>\n

            L\u01b0u \u00fd:<\/strong> Carbon monoxide c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t n\u1ed9i sinh nh\u01b0 m\u1ed9t s\u1ea3n ph\u1ea9m ph\u1ee5 c\u1ee7a qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a heme. B\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh h\u1ed3ng c\u1ea7u h\u00ecnh li\u1ec1m c\u00f3 th\u1ec3 c\u00f3 m\u1ee9c HbCO t\u0103ng cao do thi\u1ebfu m\u00e1u huy\u1ebft t\u00e1n ho\u1eb7c ch\u1ee9ng huy\u1ebft t\u00e1n.<\/p>\n

            M\u1ee9c HbCO t\u0103ng 2% \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi kh\u00f4ng h\u00fat thu\u1ed1c v\u00e0 m\u1ee9c HbCO > 10% \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi h\u00fat thu\u1ed1c h\u1ed7 tr\u1ee3 m\u1ea1nh m\u1ebd cho ch\u1ea9n \u0111o\u00e1n ng\u1ed9 \u0111\u1ed9c CO.<\/p>\n

              \n
            1. H\u01b0\u1edbng d\u1eabn x\u1eed tr\u00ed ng\u1ed9 \u0111\u1ed9c CO \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn ho\u1eb7c nghi ng\u1edd<\/strong><\/li>\n<\/ol>\n

              Cho th\u1edf oxy 100% cho \u0111\u1ebfn khi b\u1ec7nh nh\u00e2n h\u1ebft tri\u1ec7u ch\u1ee9ng, th\u01b0\u1eddng kho\u1ea3ng 4-5 gi\u1edd. Kh\u00e1m th\u1ea7n kinh n\u1ed1i ti\u1ebfp n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ti\u1ebfn tri\u1ec3n v\u00e0 ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u ph\u00e1t tri\u1ec3n ph\u00f9 n\u00e3o.<\/p>\n

              C\u00e1c c\u01a1 s\u1edf y t\u1ebf c\u00f3 \u0111i\u1ec1u ki\u1ec7n ph\u1ea3i cho b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng oxy cao \u00e1p (OXCA) \u00a0ngay khi b\u1ec7nh nh\u00e2n c\u00f3 m\u1ee9c HbCO tr\u00ean 25-30%, c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 tim, nhi\u1ec5m toan n\u1eb7ng, b\u1ea5t t\u1ec9nh tho\u00e1ng qua ho\u1eb7c k\u00e9o d\u00e0i, suy gi\u1ea3m th\u1ea7n kinh, x\u00e9t nghi\u1ec7m t\u00e2m th\u1ea7n kinh b\u1ea5t th\u01b0\u1eddng ho\u1eb7c b\u1ec7nh nh\u00e2n \u2265 36 tu\u1ed5i. HBOT c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf m\u1ee9c HbCO th\u1ea5p h\u01a1n (<25%) n\u1ebfu \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb b\u1edfi t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng v\u00e0 \/ ti\u1ec1n s\u1eed ph\u01a1i nhi\u1ec5m. Theo kinh nghi\u1ec7m c\u1ee7a ch\u00fang t\u00f4i, ch\u1ec9 \u0111\u1ecbnh Oxy cao \u00e1p tr\u1ecb li\u1ec7u c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh ngay c\u1ea3 khi HbCO \u0111\u00e3 tr\u1edf v\u1ec1 m\u1ee9c b\u00ecnh th\u01b0\u1eddng v\u00ec t\u1ed5n th\u01b0\u01a1ng do kh\u00ed CO v\u00e0 t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy s\u1ebd c\u00f2n ti\u1ebfp t\u1ee5c k\u00e9o d\u00e0i v\u00e0 \u0111\u1ec3 l\u1ea1i nh\u1eefng h\u1eadu qu\u1ea3 n\u1eb7ng n\u1ec1 v\u1ec1 sau.<\/p>\n

              OXCA l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn cho ph\u1ee5 n\u1eef mang thai, ngay c\u1ea3 khi h\u1ecd b\u1ecb ng\u1ed9 \u0111\u1ed9c \u00edt nghi\u00eam tr\u1ecdng h\u01a1n. Oxy cao \u00e1p l\u00e0 r\u1ea5t an to\u00e0n \u0111\u1ec3 s\u1eed d\u1ee5ng v\u00e0 qu\u1ed1c t\u1ebf c\u0169ng c\u00f3 s\u1ef1 \u0111\u1ed3ng thu\u1eadn v\u00e0 \u1ee7ng h\u1ed9 n\u00f3 nh\u01b0 l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c h\u01a1n trong \u0111i\u1ec1u tr\u1ecb ph\u1ee5 n\u1eef mang thai.<\/p>\n

                \n
              1. Nh\u1eefng \u00fd ki\u1ebfn \u200b\u200bkh\u00e1c<\/strong><\/li>\n<\/ol>\n

                T\u1ed5n th\u01b0\u01a1ng tim khi ng\u1ed9 \u0111\u1ed9c l\u00e0m t\u0103ng nguy c\u01a1 t\u1eed vong trong h\u01a1n 10 n\u0103m sau khi ng\u1ed9 \u0111\u1ed9c, v\u00ec v\u1eady \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ng\u1ed9 \u0111\u1ed9c CO n\u1eb7ng, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i th\u1ef1c hi\u1ec7n l\u00e0m \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 v\u00e0 \u0111\u1ecbnh l\u01b0\u1ee3ng enzym troponin v\u00e0 enzym CKMB.<\/p>\n

                Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p tr\u00fang \u0111\u1ed9c n\u0103ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy \u0111a t\u1ea1ng, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng oxy cao \u00e1p s\u1ebd gi\u00fap kh\u00f4i ph\u1ee5c c\u00e1c ch\u1ee9c n\u0103ng c\u01a1 quan b\u1ecb suy nhanh ch\u00f3ng ph\u1ee5c h\u1ed3i. Kinh nghi\u1ec7m c\u1ee7a ch\u00fang t\u00f4i cho th\u1ea5y ch\u01b0a c\u00f3 ca suy \u0111a t\u1ea1ng n\u00e0o do ng\u1ed9 \u0111\u1ed9c oxy ph\u1ea3i l\u1ecdc m\u00e1u. C\u00f3 l\u1ebd c\u00e1c tr\u01b0\u1eddng h\u1ee3p qu\u00e1 n\u0103ng th\u00ec c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p l\u1ecdc m\u00e1u v\u00e0 h\u1ed3i s\u1ee9c cao \u00e1p.<\/p>\n

                Ch\u1ee5p X quang ng\u1ef1c \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch cho nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb ng\u1ed9 \u0111\u1ed9c n\u1eb7ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng ng\u01b0\u1eddi b\u1ecb m\u1ea5t \u00fd th\u1ee9c ho\u1eb7c c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng tim ph\u1ed5i. Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh n\u00e3o ho\u1eb7c MRI c\u0169ng \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y; nh\u1eefng x\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 th\u1ec3 cho th\u1ea5y d\u1ea5u hi\u1ec7u c\u1ee7a nh\u1ed3i m\u00e1u n\u00e3o th\u1ee9 ph\u00e1t do thi\u1ebfu oxy ho\u1eb7c thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 v\u00e0 ph\u00f9 n\u00e3o.<\/p>\n

                T\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n xu\u1ea5t vi\u1ec7n c\u1ea7n \u0111\u01b0\u1ee3c c\u1ea3nh b\u00e1o v\u1ec1 c\u00e1c bi\u1ebfn ch\u1ee9ng th\u1ea7n kinh c\u00f3 th\u1ec3 x\u1ea3y ra ch\u1eadm v\u00e0 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn v\u1ec1 nh\u1eefng vi\u1ec7c c\u1ea7n l\u00e0m n\u1ebfu nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u00e0y x\u1ea3y ra. Vi\u1ec7c theo d\u00f5i n\u00ean bao g\u1ed3m m\u1ed9t cu\u1ed9c ki\u1ec3m tra y t\u1ebf v\u00e0 th\u1ea7n kinh l\u1eb7p l\u1ea1i sau 2 tu\u1ea7n.<\/p>\n","protected":false},"excerpt":{"rendered":"

                H\u01af\u1edaNG D\u1eaaN L\u00c2M S\u00c0NG V\u1ec0 NG\u1ed8 \u0110\u1ed8C KH\u00cd CARBON MONOXID (CO) \u00a0\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0GS.TS Nguy\u1ec5n Tr\u01b0\u1eddng S\u01a1n \u00a0\u00a0 Trung t\u00e2m Y h\u1ecdc d\u01b0\u1edbi n\u01b0\u1edbc v\u00e0 Oxy cao \u00e1p Vi\u1ec7n Y h\u1ecdc bi\u1ec3n Vi\u1ec7t Nam \u00a0\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Carbon monoxide (CO) l\u00e0 m\u1ed9t lo\u1ea1i kh\u00ed \u0111\u1ed9c kh\u00f4ng m\u00f9i, kh\u00f4ng […]\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"yst_prominent_words":[],"class_list":["post-195","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/posts\/195","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/comments?post=195"}],"version-history":[{"count":1,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/posts\/195\/revisions"}],"predecessor-version":[{"id":196,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/posts\/195\/revisions\/196"}],"wp:attachment":[{"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/media?parent=195"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/categories?post=195"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/tags?post=195"},{"taxonomy":"yst_prominent_words","embeddable":true,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/yst_prominent_words?post=195"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}