{"id":267,"date":"2024-09-10T09:09:20","date_gmt":"2024-09-10T09:09:20","guid":{"rendered":"https:\/\/oxycaoap.vn\/HBOT\/?p=267"},"modified":"2024-09-10T09:09:20","modified_gmt":"2024-09-10T09:09:20","slug":"vien-y-hoc-bien-cap-cuu-thanh-cong-04-benh-nhan-ngo-doc-khi-co-nang-nguy-kich","status":"publish","type":"post","link":"https:\/\/oxycaoap.vn\/HBOT\/vien-y-hoc-bien-cap-cuu-thanh-cong-04-benh-nhan-ngo-doc-khi-co-nang-nguy-kich\/","title":{"rendered":"VI\u1ec6N Y H\u1eccC BI\u1ec2N C\u1ea4P C\u1ee8U TH\u00c0NH C\u00d4NG 04 B\u1ec6NH NH\u00c2N NG\u1ed8 \u0110\u1ed8C KH\u00cd CO N\u1eb6NG, NGUY K\u1ecaCH"},"content":{"rendered":"
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Kho\u1ea3ng 8h30 s\u00e1ng ng\u00e0y 9\/9, Vi\u1ec7n Y h\u1ecdc bi\u1ec3n \u0111\u00e3 ti\u1ebfp nh\u00e2n 04 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n ng\u1ed9 \u0111\u1ed9c kh\u00ed CO (trong \u0111\u00f3, 03 tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn t\u1eeb b\u00eanh vi\u1ec7n B\u00e3i Ch\u00e1y v\u00e0 01 tr\u01b0\u1eddng h\u1ee3p t\u1eeb b\u1ec7nh vi\u1ec7n tr\u1ebb em H\u1ea3i Ph\u00f2ng). Qua khai th\u00e1c b\u1ec7nh s\u1eed t\u1eeb l\u1eddi k\u1ec3 c\u1ee7a ng\u01b0\u1eddi nh\u00e0 v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf tuy\u1ebfn tr\u01b0\u1edbc, c\u1ea3 04 tr\u01b0\u1eddng h\u1ee3p n\u00e0y \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ng\u1ed9 \u0111\u1ed9c CO v\u1edbi c\u00f9ng m\u1ed9t nguy\u00ean nh\u00e2n do s\u1eed d\u1ee5ng m\u00e1y ph\u00e1t \u0111i\u1ec7n ch\u1ea1y b\u1eb1ng x\u0103ng. C\u1ee5 th\u1ec3, \u0111\u1ed1i v\u1edbi 03 tr\u01b0\u1eddng h\u1ee3p t\u1eeb b\u1ec7nh vi\u1ec7n B\u00e3i Ch\u00e1y chuy\u1ec3n sang, do m\u1ea5t \u0111i\u1ec7n sau c\u01a1n b\u00e3o s\u1ed1 3, gia \u0111\u00ecnh b\u1ec7nh nh\u00e2n \u0111\u00e3 d\u00f9ng m\u00e1y ph\u00e1t \u0111i\u1ec7n b\u1eb1ng x\u0103ng (\u0111\u1ec3 \u1edf t\u1ea7ng 1 \u1edf trong nh\u00e0 t\u1eeb 8h t\u1ed1i h\u00f4m tr\u01b0\u1edbc). \u0110\u1ebfn kho\u1ea3ng 8h s\u00e1ng ng\u00e0y 09\/09\/2024, t\u1ea1i ph\u00f2ng ng\u1ee7 t\u1ea7ng 3 \u0111\u00f3ng k\u00edn, ng\u01b0\u1eddi nh\u00e0 ph\u00e1t hi\u1ec7n 02 b\u1ec7nh nh\u00e2n (nam 12 tu\u1ed5i, n\u1eef 24 tu\u1ed5i) trong t\u00ecnh tr\u1ea1ng b\u1ea5t t\u1ec9nh, g\u1ecdi h\u1ecfi kh\u00f4ng tr\u1ea3 l\u1eddi. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 s\u01a1 c\u1ee9u trong kho\u1ea3ng 10 ph\u00fat r\u1ed3i \u0111\u01b0a \u0111\u1ebfn c\u1ea5p c\u1ee9u \u1edf b\u1ec7nh vi\u1ec7n B\u00e3i Ch\u00e1y. C\u1ea3 02 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c x\u1eed tr\u00ed \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n tuy\u1ebfn sang Vi\u1ec7n Y h\u1ecdc bi\u1ec3n trong t\u00ecnh tr\u1ea1ng: H\u00f4n m\u00ea s\u00e2u (Glasow 8 \u0111i\u1ec3m), th\u1edf qua b\u00f3p b\u00f3ng n\u1ed9i kh\u00ed qu\u1ea3n. X\u00e9t nghi\u1ec7m kh\u00ed m\u00e1u c\u00f3 n\u1ed3ng \u0111\u1ed9 HbCo > 10%. \u0110\u1ed3ng th\u1eddi, m\u1eb9 c\u1ee7a b\u1ec7nh nhi 12 tu\u1ed5i (s\u1ed1ng c\u00f9ng nh\u00e0) c\u0169ng c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n ng\u1ed9 \u0111\u1ed9c CO (ch\u00f3ng m\u1eb7t, \u0111au \u0111\u1ea7u, bu\u1ed3n n\u00f4n nhi\u1ec1u) n\u00ean c\u0169ng \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn Vi\u1ec7n Y h\u1ecdc bi\u1ec3n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/div>\n<\/div>\n
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C\u0169ng c\u00f9ng th\u1eddi gian \u0111\u00f3, Vi\u1ec7n Y h\u1ecdc bi\u1ec3n ti\u1ebfp nh\u1eadn 01 tr\u01b0\u1eddng h\u1ee3p ng\u1ed9 \u0111\u1ed9c kh\u00ed CO t\u1eeb b\u1ec7nh vi\u1ec7n Tr\u1ebb em H\u1ea3i Ph\u00f2ng chuy\u1ec3n sang. Nguy\u00ean nh\u00e2n c\u0169ng do gia \u0111\u00ecnh s\u1eed d\u1ee5ng m\u00e1y ph\u00e1t \u0111i\u1ec7n \u0111\u1ec3 trong nh\u00e0 (t\u1eeb 0h00 ng\u00e0y 09\/09\/2024). \u0110\u1ebfn kho\u1ea3ng 3h s\u00e1ng, gia \u0111\u00ecnh th\u1ea5y tr\u1ebb c\u00f3 bi\u1ec3u hi\u1ec7n l\u01a1 m\u01a1, g\u1ecdi h\u1ecfi kh\u00f4ng \u0111\u00e1p \u1ee9ng n\u00ean \u0111\u00e3 \u0111\u01b0a tr\u1ebb \u0111\u1ebfn c\u1ea5p c\u1ee9u t\u1ea1i b\u1ec7nh vi\u1ec7n V\u0129nh B\u1ea3o, sau \u0111\u00f3 \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n tr\u1ebb em H\u1ea3i Ph\u00f2ng c\u1ea5p c\u1ee9u v\u00e0 ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn Vi\u1ec7n Y h\u1ecdc bi\u1ec3n trong t\u00ecnh tr\u1ea1ng c\u00f2n l\u01a1 m\u01a1 (glassgow 10 \u0111i\u1ec3m), c\u00f3 l\u00fac k\u00edch th\u00edch c\u0103ng c\u1ee9ng c\u01a1 to\u00e0n th\u00e2n.<\/div>\n<\/div>\n
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Sau khi h\u1ed9i ch\u1ea9n v\u1edbi GS.TS Nguy\u1ec5n Tr\u01b0\u1eddng S\u01a1n \u2013 Chuy\u00ean gia \u0111\u1ea7u ng\u00e0nh v\u1ec1 l\u0129nh v\u1ef1c Y h\u1ecdc d\u01b0\u1edbi n\u01b0\u1edbc v\u00e0 oxy cao \u00e1p, c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p h\u1ed3i s\u1ee9c cao \u00e1p (H\u1ed3i s\u1ee9c k\u1ebft h\u1ee3p v\u1edbi oxy cao \u00e1p) theo ph\u00e1c \u0111\u1ed3 VINIMAM 4 (do Vi\u1ec7n Y h\u1ecdc bi\u1ec3n Vi\u1ec7t Nam nghi\u00ean c\u1ee9u). Trong bu\u1ed3ng cao \u00e1p, c\u00e1c n\u1ea1n nh\u00e2n v\u1eabn ti\u1ebfp t\u1ee5c gi\u00e3y gi\u1ee5a r\u1ea5t nhi\u1ec1u. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c truy\u1ec1n d\u1ecbch, b\u00f9 \u0111i\u1ec7n gi\u1ea3i, n\u01b0\u1edbc v\u00e0 thu\u1ed1c ch\u1ed1ng co gi\u1eadt k\u1ebft h\u1ee3p v\u1edbi oxy cao \u00e1p (OXCA). Sau 30 ph\u00fat \u0111i\u1ec1u tr\u1ecb, c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u1ee1 co gi\u1eadt v\u00e0 ti\u1ebfn tri\u1ec3n t\u1ed1t d\u1ea7n l\u00ean. Sau ca \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean, t\u00ecnh tr\u1ea1ng c\u00e1c b\u1ec7nh nh\u00e2n c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t v\u00e0 \u0111ang ph\u1ee5c h\u1ed3i t\u1ed1t.<\/div>\n<\/div>\n
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Carbon monoxide (CO) l\u00e0 m\u1ed9t ch\u1ea5t kh\u00ed kh\u00f4ng m\u00f9i, kh\u00f4ng v\u1ecb, kh\u00f4ng m\u00e0u, \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh do qu\u00e1 tr\u00ecnh \u0111\u1ed1t ch\u00e1y hydrocacbon kh\u00f4ng ho\u00e0n to\u00e0n. \u1ede Vi\u1ec7t Nam ch\u01b0a c\u00f3 th\u1ed1ng k\u00ea c\u1ee5 th\u1ec3 nh\u01b0ng qua c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n truy\u1ec1n th\u00f4ng v\u00e0 c\u00e1c c\u01a1 s\u1edf y t\u1ebf ng\u1ed9 \u0111\u1ed9c CO g\u1eb7p kh\u00e1 nhi\u1ec1u. Ng\u1ed9 \u0111\u1ed9c kh\u00ed CO l\u00e0m cho t\u1ebf b\u00e0o n\u00e3o b\u1ecb t\u1ed5n th\u01b0\u01a1ng d\u1eabn \u0111\u1ebfn tho\u00e1t d\u1ecbch, ph\u00f9 n\u1ec1 n\u00e3o, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb m\u1ea5t \u00fd th\u1ee9c, h\u00f4n m\u00ea s\u00e2u, s\u1ed1ng th\u1ef1c v\u1eadt c\u1ea3 \u0111\u1eddi, th\u1eadm ch\u00ed t\u1eed vong n\u1ebfu kh\u00f4ng c\u1ea5p c\u1ee9u, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n ng\u1ea1t kh\u00ed CO d\u00f9 \u0111\u01b0\u1ee3c c\u1ee9u s\u1ed1ng nh\u01b0ng \u0111\u1ec3 l\u1ea1i c\u00e1c di ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 suy gi\u1ea3m tr\u00ed nh\u1edb, gi\u1ea3m t\u1eadp trung, li\u1ec7t c\u01a1 m\u1eb7t, v\u1eadn \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng, \u0111i \u0111\u1ee9ng kh\u00f3 kh\u0103n, tay ch\u00e2n c\u1ee9ng v\u00e0 run, li\u1ec7t n\u1eeda ng\u01b0\u1eddi.<\/div>\n
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Th\u1eddi \u0111i\u1ec3m sau c\u01a1n b\u00e3o Yagi ho\u00e0nh h\u00e0nh g\u00e2y s\u1ef1 c\u1ed1 m\u1ea5t \u0111i\u1ec7n tr\u00ean di\u1ec7n r\u1ed9ng, nhi\u1ec1u gia \u0111\u00ecnh s\u1eed d\u1ee5ng m\u00e1y ph\u00e1t \u0111i\u1ec7n \u0111\u1ec3 duy tr\u00ec sinh ho\u1ea1t. C\u00e1c b\u00e1c s\u0129 khuy\u1ebfn c\u00e1o ng\u01b0\u1eddi d\u00e2n s\u1eed d\u1ee5ng m\u00e1y ph\u00e1t \u0111i\u1ec7n n\u00ean \u0111\u1ec3 \u1edf ph\u00f2ng c\u00f3 lu\u1ed3ng kh\u00f4ng kh\u00ed l\u01b0u th\u00f4ng \u0111\u1ec3 kh\u00ed th\u1ea3i tho\u00e1t ra ngo\u00e0i, kh\u00f4ng \u0111\u1ec3 trong ph\u00f2ng k\u00edn, ho\u1eb7c m\u00e1y ph\u00e1t \u0111i\u1ec7n n\u00ean \u0111\u1ec3 ri\u00eang bi\u1ec7t v\u1edbi khu ph\u00f2ng \u1edf.<\/div>\n
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Khi ph\u00e1t hi\u1ec7n ng\u01b0\u1eddi b\u1ecb ng\u1ea1t kh\u00ed CO v\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 bu\u1ed3n n\u00f4n, nh\u1ee9c \u0111\u1ea7u, y\u1ebfu ng\u01b0\u1eddi, kh\u00f3 th\u1edf, tinh th\u1ea7n l\u01a1 m\u01a1, c\u1ea7n nhanh ch\u00f3ng m\u1edf h\u1ebft t\u1ea5t c\u1ea3 c\u1eeda \u0111\u1ec3 kh\u00f4ng kh\u00ed tr\u00e0n v\u00e0o nh\u00e0; \u0111\u01b0a n\u1ea1n nh\u00e2n ra kh\u1ecfi n\u01a1i c\u00f3 kh\u00ed \u0111\u1ed9c v\u00e0 chuy\u1ec3n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t \u0111\u1ec3 c\u1ea5p c\u1ee9u.<\/div>\n

\u0110i\u1ec1u tr\u1ecb ng\u1ed9 \u0111\u1ed9c kh\u00ed CO b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p tr\u1ecb li\u1ec7u Oxy cao \u00e1p\u00a0<\/strong><\/h4>\n
Li\u1ec7u ph\u00e1p oxy cao \u00e1p l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u ng\u1ed9 \u0111\u1ed9c kh\u00ed CO, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ng\u1ed9 \u0111\u1ed9c kh\u00ed n\u1eb7ng. Ng\u1ed9 \u0111\u1ed9c CO c\u00f3 nguy c\u01a1 x\u1ea3y ra \u1edf b\u1ea5t k\u00ec n\u01a1i n\u00e0o (k\u1ec3 c\u1ea3 l\u00e0 \u1edf gia \u0111\u00ecnh hay t\u1ea1i n\u01a1i l\u00e0m vi\u1ec7c), do \u0111\u00f3 ngo\u00e0i nh\u1eefng v\u1ea5n \u0111\u1ec1 \u0111\u1ea3m b\u1ea3o an to\u00e0n lao \u0111\u1ed9ng, s\u1ef1 hi\u1ec3u bi\u1ebft c\u1ee7a c\u1ed9ng \u0111\u1ed3ng trong vi\u1ec7c ph\u00f2ng tr\u00e1nh ng\u1ed9 \u0111\u1ed9c v\u00e0 x\u1eed tr\u00ed c\u1ea5p c\u1ee9u ban \u0111\u1ea7u \u0111\u00fang c\u00e1ch th\u00ec nhanh ch\u00f3ng v\u1eadn chuy\u1ec3n b\u1ec7nh nh\u00e2n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf c\u00f3 trang thi\u1ebft b\u1ecb oxy cao \u00e1p v\u1edbi c\u00e1c b\u00e1c s\u0129 chuy\u00ean ng\u00e0nh c\u00f3 ki\u1ebfn th\u1ee9c chuy\u00ean s\u00e2u v\u1ec1 c\u1ea5p c\u1ee9u \u0111i\u1ec1u tr\u1ecb ch\u1ed1ng \u0111\u1ed9c l\u00e0 v\u00f4 c\u00f9ng quan tr\u1ecdng. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi b\u1eb1ng li\u1ec7u ph\u00e1p oxy cao \u00e1p s\u1ebd c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n v\u00e0 gi\u1ea3m thi\u1ec3u t\u1ed1i \u0111a nh\u1eefng di ch\u1ee9ng t\u00e2m th\u1ea7n kinh mu\u1ed9n sau n\u00e0y.<\/div>\n
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M\u1ecdi th\u00f4ng tin chi ti\u1ebft v\u1ec1 \u0111i\u1ec1u tr\u1ecb oxy cao \u00e1p t\u1ea1i Vi\u1ec7n Y h\u1ecdc bi\u1ec3n, xin vui l\u00f2ng li\u00ean h\u1ec7 hotline 02253.519.687 (M\u00e1y l\u1ebb 107) ho\u1eb7c \u0111\u1ec3 l\u1ea1i tin nh\u1eafn t\u1ea1i fanpage \u201cVi\u1ec7n Y h\u1ecdc bi\u1ec3n Vi\u1ec7t Nam\u201d \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 gi\u1ea3i \u0111\u00e1p.<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Kho\u1ea3ng 8h30 s\u00e1ng ng\u00e0y 9\/9, Vi\u1ec7n Y h\u1ecdc bi\u1ec3n \u0111\u00e3 ti\u1ebfp nh\u00e2n 04 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n ng\u1ed9 \u0111\u1ed9c kh\u00ed CO (trong \u0111\u00f3, 03 tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn t\u1eeb b\u00eanh vi\u1ec7n B\u00e3i Ch\u00e1y v\u00e0 01 tr\u01b0\u1eddng h\u1ee3p t\u1eeb b\u1ec7nh vi\u1ec7n tr\u1ebb em H\u1ea3i Ph\u00f2ng). Qua khai th\u00e1c b\u1ec7nh s\u1eed t\u1eeb l\u1eddi k\u1ec3 c\u1ee7a ng\u01b0\u1eddi […]\n","protected":false},"author":1,"featured_media":268,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"yst_prominent_words":[],"class_list":["post-267","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc-tong-hop"],"_links":{"self":[{"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/posts\/267","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/comments?post=267"}],"version-history":[{"count":1,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/posts\/267\/revisions"}],"predecessor-version":[{"id":269,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/posts\/267\/revisions\/269"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/media\/268"}],"wp:attachment":[{"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/media?parent=267"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/categories?post=267"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/tags?post=267"},{"taxonomy":"yst_prominent_words","embeddable":true,"href":"https:\/\/oxycaoap.vn\/HBOT\/wp-json\/wp\/v2\/yst_prominent_words?post=267"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}