{"id":4791,"date":"2023-12-11T15:04:11","date_gmt":"2023-12-11T08:04:11","guid":{"rendered":"https:\/\/shopabl.com\/?p=4791"},"modified":"2023-12-12T16:06:22","modified_gmt":"2023-12-12T09:06:22","slug":"cap-cuu-thanh-cong-benh-nhan-suy-ho-hap-cap-do-hen-phe-quan-nguy-kich","status":"publish","type":"post","link":"https:\/\/shopabl.com\/cap-cuu-thanh-cong-benh-nhan-suy-ho-hap-cap-do-hen-phe-quan-nguy-kich\/","title":{"rendered":"C\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng b\u1ec7nh nh\u00e2n suy h\u00f4 h\u1ea5p c\u1ea5p nguy k\u1ecbch do hen ph\u1ebf qu\u1ea3n"},"content":{"rendered":"
V\u00e0o l\u00fac 22h ng\u00e0y 25\/11\/2023 Khoa c\u1ea5p c\u1ee9u \u2013 PK\u0110K B\u00ecnh An ti\u1ebfp nh\u1eadn n\u1eef b\u1ec7nh nh\u00e2n (sn 1976)\u00a0 v\u00e0o ph\u00f2ng c\u1ea5p c\u1ee9u trong t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf nhi\u1ec1u, t\u00edm t\u00e1i, k\u00edch th\u00edch, co k\u00e9o c\u01a1 h\u00f4 h\u1ea5p, ph\u1ed5i th\u00f4ng kh\u00ed k\u00e9m, n\u1ed3ng \u0111\u1ed9 oxy trong m\u00e1u gi\u1ea3m c\u00f2n 60%, Huy\u1ebft \u00e1p:170\/110mg, M: 110l\/p, NT: 32l\/p.<\/p>\n
Ngay khi ti\u1ebfp nh\u1eadn b\u1ec7nh nh\u00e2n v\u00e0 th\u0103m kh\u00e1m s\u01a1 b\u1ed9, h\u1ecfi nhanh ti\u1ec1n s\u1eed b\u1ec7nh c\u00e1c b\u00e1c s\u0129 nh\u1eadn bi\u1ebft \u0111\u00e2y l\u00e0 c\u01a1n hen ph\u1ebf qu\u1ea3n \u00e1c t\u00ednh c\u00f3 suy h\u00f4 h\u1ea5p n\u1eb7ng.<\/p>\n
B\u00e1c s\u0129 tr\u1ef1c v\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u00e3 cho b\u1ec7nh nh\u00e2n th\u1edf oxy, phun kh\u00ed dung ventolin, b\u00f3p b\u00f3ng cung c\u1ea5p oxy, ti\u00eam t\u0129nh m\u1ea1ch solumedrol, adrenalin ti\u00eam b\u1eafp.<\/p>\n
Tuy nhi\u00ean t\u00ecnh tr\u1ea1ng kh\u00f4ng c\u1ea3i thi\u1ec7n, b\u1ec7nh nh\u00e2n v\u1eabn t\u00edm t\u00e1i, m\u1ea1ch nhanh nh\u1ecf kh\u00f3 b\u1eaft, oxy trong m\u00e1u gi\u1ea3m h\u01a1n, bn c\u00f3 nguy c\u01a1 r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng ng\u01b0ng tim ng\u01b0ng th\u1edf. Ekip c\u1ea5p c\u1ee9u \u0111\u00e3 ti\u1ebfn h\u00e0nh th\u1ef1c hi\u1ec7n CPR ( k\u0129 thu\u1eadt h\u1ed3i sinh tim ph\u1ed5i b\u1eb1ng c\u00e1ch \u00e9p tim ngo\u00e0i l\u1ed3ng ng\u1ef1c), \u0111\u1ed3ng th\u1eddi \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p. Sau h\u01a1n 5 ph\u00fat c\u1ea5p c\u1ee9u, b\u1ec7nh nh\u00e2n c\u00f3 m\u1ea1ch r\u00f5, huy\u1ebft \u00e1p: 130\/80 mmHg, duy tr\u00ec adrenalin t\u0129nh m\u1ea1ch, oxy trong m\u00e1u \u0111\u1ea1t 93%. Ngay sau \u0111\u00f3 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c chuy\u1ec3n vi\u1ec7n an to\u00e0n l\u00ean tuy\u1ebfn tr\u00ean \u0111\u1ec3 ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb .<\/p>\n