{"id":44128,"date":"2025-11-24T09:23:49","date_gmt":"2025-11-24T02:23:49","guid":{"rendered":"https:\/\/saigonbiz.com\/vn\/?p=44128"},"modified":"2025-11-26T09:25:07","modified_gmt":"2025-11-26T02:25:07","slug":"kich-hoat-cap-cuu-ngoai-vien-trong-dem-cuu-song-benh-nhan-nguy-kich-tren-dao-phu-quoc","status":"publish","type":"post","link":"https:\/\/saigonbiz.com\/vn\/kich-hoat-cap-cuu-ngoai-vien-trong-dem-cuu-song-benh-nhan-nguy-kich-tren-dao-phu-quoc\/","title":{"rendered":"K\u00edch ho\u1ea1t c\u1ea5p c\u1ee9u ngo\u1ea1i vi\u1ec7n trong \u0111\u00eam, c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n nguy k\u1ecbch tr\u00ean \u0111\u1ea3o Ph\u00fa Qu\u1ed1c"},"content":{"rendered":"<p><em>Nh\u1edd quy tr\u00ecnh can thi\u1ec7p c\u1ea5p c\u1ee9u li\u00ean ho\u00e0n k\u1ecbp th\u1eddi t\u1eeb xe 115 \u0111\u1ebfn ph\u1ed1i h\u1ee3p \u0111a chuy\u00ean khoa n\u1ed9i vi\u1ec7n, ng\u01b0\u1eddi ph\u1ee5 n\u1eef \u201cb\u1ec7nh ch\u1ed3ng b\u1ec7nh\u201d t\u1ea1i Ph\u00fa Qu\u1ed1c (An Giang) \u0111\u00e3 qua c\u01a1n nguy k\u1ecbch ch\u1ec9 sau 48 gi\u1edd.<\/em><\/p>\n<p><strong>3 ph\u00fat v\u00e0ng c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n \u201cb\u1ec7nh ch\u1ed3ng b\u1ec7nh\u201d<\/strong><\/p>\n<p>2h11 ph\u00fat s\u00e1ng ng\u00e0y 21\/10, T\u1ed5ng \u0111\u00e0i c\u1ea5p c\u1ee9u 115 Ph\u00fa Qu\u1ed1c nh\u1eadn cu\u1ed9c g\u1ecdi kh\u1ea9n c\u1ea5p t\u1eeb ng\u01b0\u1eddi th\u00e2n c\u1ee7a b\u00e0 L. (58 tu\u1ed5i, tr\u00fa t\u1ea1i D\u01b0\u01a1ng \u0110\u00f4ng). Ch\u1ec9 sau 3 ph\u00fat ti\u1ebfp nh\u1eadn cu\u1ed9c g\u1ecdi, \u00ea-k\u00edp c\u1ea5p c\u1ee9u ngo\u1ea1i vi\u1ec7n 115 c\u1ee7a \u0111\u1eb7c khu Ph\u00fa Qu\u1ed1c \u0111\u00e3 ti\u1ebfp c\u1eadn hi\u1ec7n tr\u01b0\u1eddng, c\u1ea5p c\u1ee9u b\u1ec7nh nh\u00e2n \u0111ang trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch v\u00e0 chuy\u1ec3n v\u1ec1 b\u1ec7nh vi\u1ec7n Vinmec Ph\u00fa Qu\u1ed1c an to\u00e0n v\u00e0o 2h27 ph\u00fat.<\/p>\n<p>Theo Th\u1ea1c s\u0129, b\u00e1c s\u0129 n\u1ed9i tr\u00fa Mai Xu\u00e2n \u0110\u1ea1t, b\u00e1c s\u0129 H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u tham gia \u00ea-k\u00edp tr\u1ef1c, b\u00e0 L. nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng m\u1ec7t nhi\u1ec1u, y\u1ebfu, th\u1edf nhanh n\u00f4ng. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed m\u1eafc <strong>\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2<\/strong> nhi\u1ec1u n\u0103m, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c u\u1ed1ng k\u1ebft h\u1ee3p ti\u00eam insulin. Tuy nhi\u00ean, b\u1ec7nh nh\u00e2n \u0111\u00e3 <strong>b\u1ecf ti\u00eam insulin kho\u1ea3ng 6 th\u00e1ng,<\/strong> ch\u1ec9 d\u00f9ng thu\u1ed1c u\u1ed1ng.<\/p>\n<p>K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m cho th\u1ea5y ch\u1ec9 s\u1ed1 kali m\u00e1u t\u0103ng r\u1ea5t cao (g\u1ea5p 2 l\u1ea7n ng\u01b0\u1ee1ng b\u00ecnh th\u01b0\u1eddng), r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i nghi\u00eam tr\u1ecdng. \u201c\u1ede ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh, n\u1ed3ng \u0111\u1ed9 kali m\u00e1u dao \u0111\u1ed9ng kho\u1ea3ng <strong>3,5-5,0 mmol\/L<\/strong>. Khi kali t\u0103ng cao h\u01a1n g\u1ea5p \u0111\u00f4i m\u1ee9c b\u00ecnh th\u01b0\u1eddng (tr\u00ean 9 mmol\/L) s\u1ebd g\u00e2y <strong>r\u1ed1i lo\u1ea1n nh\u1ecbp tim nghi\u00eam tr\u1ecdng,<\/strong> th\u1eadm ch\u00ed <strong>ng\u01b0ng tim \u0111\u1ed9t ng\u1ed9t.<\/strong> Ch\u01b0a k\u1ec3, b\u1ec7nh nh\u00e2n v\u1eeba b\u1ecb toan chuy\u1ec3n h\u00f3a n\u1eb7ng, v\u1eeba c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p, c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed tr\u00ed ngay \u0111\u1ec3 b\u1ea3o v\u1ec7 t\u00ednh m\u1ea1ng v\u00e0 ch\u1ee9c n\u0103ng tim &#8211; th\u1eadn\u201d, b\u00e1c s\u0129 \u0110\u1ea1t cho bi\u1ebft.<\/p>\n<p>Nh\u1edd kinh nghi\u1ec7m v\u00e0 n\u0103ng l\u1ef1c chuy\u00ean m\u00f4n s\u00e2u, \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 tr\u1ef1c c\u1ea5p c\u1ee9u \u0111\u00e3 nhanh ch\u00f3ng x\u00e1c \u0111\u1ecbnh \u0111\u00fang nguy\u00ean nh\u00e2n b\u1ec7nh, t\u1eeb \u0111\u00f3 k\u00edch ho\u1ea1t quy tr\u00ecnh x\u1eed tr\u00ed v\u1edbi <strong>ph\u00e1c \u0111\u1ed3 c\u1ea5p c\u1ee9u \u0111\u01b0\u1ee3c tri\u1ec3n khai \u0111\u1ed3ng b\u1ed9<\/strong>. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c truy\u1ec1n d\u1ecbch v\u00e0 ti\u00eam insulin t\u0129nh m\u1ea1ch nh\u1eb1m h\u1ea1 nhanh ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 kali m\u00e1u v\u1ec1 m\u1ee9c an to\u00e0n. Song song \u0111\u00f3, calci t\u0129nh m\u1ea1ch \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng gi\u00fap ng\u0103n ng\u1eeba nguy c\u01a1 r\u1ed1i lo\u1ea1n nh\u1ecbp tim c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ng\u1eebng tim.<\/p>\n<p>\u0110\u1ec3 gi\u00fap c\u01a1 th\u1ec3 \u0111\u00e0o th\u1ea3i \u0111\u1ed9c ch\u1ea5t v\u00e0 kh\u00f4i ph\u1ee5c s\u1ef1 c\u00e2n b\u1eb1ng trong m\u00f4i tr\u01b0\u1eddng m\u00e1u, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 cho thu\u1ed1c l\u1ee3i ti\u1ec3u, b\u00f9 ki\u1ec1m v\u00e0 \u0111i\u1ec1u ch\u1ec9nh \u0111i\u1ec7n gi\u1ea3i li\u00ean t\u1ee5c. Trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t sao c\u00e1c ch\u1ec9 s\u1ed1 sinh t\u1ed3n nh\u01b0: \u0111\u01b0\u1eddng huy\u1ebft mao m\u1ea1ch (6 l\u1ea7n m\u1ed7i ng\u00e0y), n\u1ed3ng \u0111\u1ed9 oxy trong m\u00e1u (SpO\u2082), huy\u1ebft \u00e1p, nh\u1ecbp tim v\u00e0 \u0111i\u1ec7n tim.<\/p>\n<p>\u201cV\u1edbi quy tr\u00ecnh can thi\u1ec7p c\u1ea5p c\u1ee9u li\u00ean ho\u00e0n k\u1ecbp th\u1eddi t\u1eeb xe 115 \u0111\u1ebfn ph\u1ed1i h\u1ee3p \u0111a chuy\u00ean khoa t\u1ea1i n\u1ed9i vi\u1ec7n, b\u1ec7nh nh\u00e2n qua c\u01a1n nguy k\u1ecbch ch\u1ec9 sau 48 gi\u1edd\u201d, b\u00e1c s\u0129 \u0110\u1ea1t cho bi\u1ebft.<\/p>\n<p><strong>\u0110\u1ea3o \u0111\u1ea7u ti\u00ean tri\u1ec3n khai m\u00f4 h\u00ecnh \u201cph\u00f2ng c\u1ea5p c\u1ee9u di \u0111\u1ed9ng\u201d chu\u1ea9n qu\u1ed1c t\u1ebf <\/strong><\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n L. l\u00e0 <strong>minh ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh cho hi\u1ec7u qu\u1ea3 m\u00f4 h\u00ecnh \u201cc\u1ea5p c\u1ee9u ngo\u1ea1i vi\u1ec7n &#8211; n\u1ed9i vi\u1ec7n \u0111\u1ed3ng b\u1ed9\u201d <\/strong>m\u00e0 \u0111\u1eb7c khu Ph\u00fa Qu\u1ed1c \u0111ang tri\u1ec3n khai. Th\u1eddi gian ph\u1ea3n \u1ee9ng c\u1ee7a c\u1ea5p c\u1ee9u 115 ch\u1ec9 <strong>3 ph\u00fat<\/strong> t\u1eeb khi ti\u1ebfp nh\u1eadn cu\u1ed9c g\u1ecdi \u0111\u1ebfn khi c\u00f3 m\u1eb7t t\u1ea1i hi\u1ec7n tr\u01b0\u1eddng v\u00e0 10-<strong>15 ph\u00fat <\/strong>\u0111\u1ec3 v\u1eadn chuy\u1ec3n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n \u0111\u00e3 gi\u00fap b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb trong <strong>\u201cth\u1eddi gian v\u00e0ng\u201d<\/strong>.<\/p>\n<p>Ph\u00fa Qu\u1ed1c hi\u1ec7n l\u00e0 \u0111\u1ecba ph\u01b0\u01a1ng<strong> \u0111\u1ea7u ti\u00ean t\u1ea1i Vi\u1ec7t Nam<\/strong> tri\u1ec3n khai th\u1eed nghi\u1ec7m m\u00f4 h\u00ecnh <strong>c\u1ea5p c\u1ee9u ngo\u1ea1i vi\u1ec7n 115 theo ti\u00eau chu\u1ea9n qu\u1ed1c t\u1ebf<\/strong>, n\u1eb1m trong \u0110\u1ec1 \u00e1n tr\u1ecdng \u0111i\u1ec3m\u00a0c\u1ea5p c\u1ee9u ngo\u1ea1i vi\u1ec7n\u00a0c\u1ea5p qu\u1ed1c gia c\u1ee7a B\u1ed9 Y t\u1ebf trong giai \u0111o\u1ea1n 2025-2030, \u0111\u01b0\u1ee3c T\u1eadp \u0111o\u00e0n Vingroup t\u00e0i tr\u1ee3 1.000 t\u1ec9 \u0111\u1ed3ng.<\/p>\n<p>H\u1ec7 th\u1ed1ng \u0111\u01b0\u1ee3c v\u1eadn h\u00e0nh v\u00e0 \u0111\u00e1nh gi\u00e1 d\u1ef1a tr\u00ean <strong>thang ph\u00e2n lo\u1ea1i \u01b0u ti\u00ean c\u1ea5p c\u1ee9u ATS (Australian Triage Scale)<\/strong> &#8211; ti\u00eau chu\u1ea9n \u0111ang \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng t\u1ea1i nhi\u1ec1u qu\u1ed1c gia ph\u00e1t tri\u1ec3n, gi\u00fap chu\u1ea9n h\u00f3a quy tr\u00ecnh x\u1eed tr\u00ed v\u00e0 r\u00fat ng\u1eafn th\u1eddi gian ph\u1ea3n \u1ee9ng.<\/p>\n<p>M\u1ed7i \u201cph\u00f2ng c\u1ea5p c\u1ee9u di \u0111\u1ed9ng\u201d \u0111\u01b0\u1ee3c trang b\u1ecb m\u00e1y th\u1edf, m\u00e1y s\u1ed1c \u0111i\u1ec7n t\u00edch h\u1ee3p monitor, si\u00eau \u00e2m x\u00e1ch tay FAST exam, \u0111i\u1ec7n tim 12 \u0111\u1ea1o tr\u00ecnh k\u1ebft n\u1ed1i t\u1eeb xa, b\u1ed9 \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n c\u00f3 camera, n\u1eb9p c\u1ed1 \u0111\u1ecbnh ch\u1ea5n th\u01b0\u01a1ng v\u00e0 \u0111\u1ea7y \u0111\u1ee7 d\u1ee5ng c\u1ee5 h\u1ed3i s\u1ee9c\u2026 H\u1ec7 th\u1ed1ng xe \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf nh\u1ecf g\u1ecdn, ch\u1ed1ng n\u01b0\u1edbc, ch\u1ed1ng b\u1ee5i, ch\u1ecbu rung l\u1eafc, ph\u00f9 h\u1ee3p v\u1edbi \u0111i\u1ec1u ki\u1ec7n \u0111\u1ecba h\u00ecnh v\u00e0 kh\u00ed h\u1eadu bi\u1ec3n \u0111\u1ea3o.<\/p>\n<p>Ch\u1ec9 sau h\u01a1n m\u1ed9t th\u00e1ng v\u1eadn h\u00e0nh, <strong>T\u1ed5ng \u0111\u00e0i 115 Ph\u00fa Qu\u1ed1c<\/strong> \u0111\u00e3 ti\u1ebfp nh\u1eadn g\u1ea7n <strong>100 tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u<\/strong>, \u0111\u00e1p \u1ee9ng 100% cu\u1ed9c g\u1ecdi v\u1edbi <strong>th\u1eddi gian ph\u1ea3n \u1ee9ng trung b\u00ecnh d\u01b0\u1edbi 3 ph\u00fat, <\/strong>c\u00f3 m\u1eb7t v\u00e0 s\u01a1 c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi cho t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nh\u1edd quy tr\u00ecnh can thi\u1ec7p c\u1ea5p c\u1ee9u li\u00ean ho\u00e0n k\u1ecbp th\u1eddi t\u1eeb xe 115 \u0111\u1ebfn ph\u1ed1i h\u1ee3p \u0111a chuy\u00ean khoa n\u1ed9i vi\u1ec7n, ng\u01b0\u1eddi ph\u1ee5 n\u1eef \u201cb\u1ec7nh ch\u1ed3ng b\u1ec7nh\u201d t\u1ea1i Ph\u00fa Qu\u1ed1c (An Giang) \u0111\u00e3 qua c\u01a1n nguy k\u1ecbch ch\u1ec9 sau 48 gi\u1edd. 3 ph\u00fat v\u00e0ng c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n \u201cb\u1ec7nh ch\u1ed3ng b\u1ec7nh\u201d 2h11 ph\u00fat s\u00e1ng [&#8230;]\n","protected":false},"author":2782,"featured_media":44129,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-44128","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doi-song"],"aioseo_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.6 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>K\u00edch ho\u1ea1t c\u1ea5p c\u1ee9u ngo\u1ea1i vi\u1ec7n trong \u0111\u00eam, c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n nguy k\u1ecbch tr\u00ean \u0111\u1ea3o Ph\u00fa Qu\u1ed1c<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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