{"id":1794,"date":"2026-09-09T16:06:23","date_gmt":"2026-09-09T16:06:23","guid":{"rendered":"https:\/\/thuchanhmic6.id.vn\/?p=1794"},"modified":"2026-09-09T16:06:24","modified_gmt":"2026-09-09T16:06:24","slug":"sk-tac-dong-mach-vanh-gay-nhoi-mau-co-tim-cap","status":"publish","type":"post","link":"https:\/\/thuchanhmic6.id.vn\/?p=1794","title":{"rendered":"SK-T\u1eafc \u0111\u1ed9ng m\u1ea1ch v\u00e0nh g\u00e2y nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p"},"content":{"rendered":"\n

TP HCM\u00d4ng V\u1ef9, 49 tu\u1ed5i, \u0111au ng\u1ef1c t\u1eebng c\u01a1n k\u00e8m kh\u00f3 th\u1edf, v\u00e0o vi\u1ec7n ph\u00e1t hi\u1ec7n t\u1eafc \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i.<\/p>\n\n\n\n

\u00d4ng V\u1ef9 b\u1ecb r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u 10 n\u0103m qua, t\u1ef1 \u00fd ng\u01b0ng \u0111i\u1ec1u tr\u1ecb 6 th\u00e1ng nay. \u00d4ng h\u00fat kho\u1ea3ng 3 \u0111i\u1ebfu thu\u1ed1c l\u00e1 m\u1ed7i ng\u00e0y trong v\u00f2ng 30 n\u0103m.<\/p>\n\n\n\n

ThS.BS.CKI Nguy\u1ec5n Th\u1ecb \u0110\u00e0o Ti\u00ean, khoa N\u1ed9i t\u1ed5ng h\u1ee3p, B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh TP HCM, cho bi\u1ebft r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u x\u1ea3y ra khi c\u00e1c th\u00e0nh ph\u1ea7n m\u1ee1 trong m\u00e1u b\u1ecb m\u1ea5t c\u00e2n b\u1eb1ng. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t, t\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n h\u00ecnh th\u00e0nh v\u00e0 th\u00fac \u0111\u1ea9y c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa trong th\u00e0nh m\u1ea1ch, l\u00e0m h\u1eb9p l\u00f2ng \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, nh\u1ed3i m\u00e1u c\u01a1 tim, \u0111\u1ed9t qu\u1ef5. H\u00fat thu\u1ed1c l\u00e1 \u0111\u1ed3ng th\u1eddi l\u00e0m gia t\u0103ng nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u v\u00e0 th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh x\u01a1 v\u1eefa.<\/p>\n\n\n\n

X\u00e9t nghi\u1ec7m hs-Troponin T (ch\u1ec9 s\u1ed1 men tim) c\u1ee7a \u00f4ng V\u1ef9 ghi nh\u1eadn 64,8 ng\/L, cao h\u01a1n ng\u01b0\u1ee1ng tham chi\u1ebfu (14,0 ng\/L), cho th\u1ea5y d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim. K\u1ebft qu\u1ea3 si\u00eau \u00e2m tim ghi nh\u1eadn c\u01a1 tim c\u00f3 d\u1ea5u hi\u1ec7u d\u00e0y b\u1ea5t th\u01b0\u1eddng, \u0111\u1eb7c bi\u1ec7t \u1edf v\u00f9ng v\u00e1ch ng\u0103n gi\u1eefa hai bu\u1ed3ng tim, v\u1edbi \u0111\u1ed9 d\u00e0y g\u1ea7n 18 mm.<\/p>\n\n\n\n

Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1eb1ng h\u1ec7 th\u1ed1ng CT 1975 l\u00e1t c\u1eaft ghi nh\u1eadn nhi\u1ec1u v\u1ecb tr\u00ed h\u1eb9p tr\u00ean \u0111\u1ed9ng m\u1ea1ch v\u00e0nh tr\u00e1i, \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i t\u1eafc ho\u00e0n to\u00e0n \u0111o\u1ea1n g\u1ea7n, nguy c\u01a1 cao do huy\u1ebft kh\u1ed1i. B\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n \u00f4ng V\u1ef9 nh\u1ed3i m\u00e1u c\u01a1 tim<\/a> c\u1ea5p – t\u00ecnh tr\u1ea1ng x\u1ea3y ra khi m\u1ed9t \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb t\u1eafc ngh\u1ebdn, khi\u1ebfn d\u00f2ng m\u00e1u mang oxy v\u00e0 dinh d\u01b0\u1ee1ng kh\u00f4ng th\u1ec3 \u0111\u1ebfn nu\u00f4i m\u1ed9t ph\u1ea7n c\u01a1 tim.<\/p>\n\n\n\n

\"B\u00e1c
B\u00e1c s\u0129 Duy kh\u00e1m cho \u00f4ng V\u1ef9. \u1ea2nh: <\/strong>B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh<\/em><\/figcaption><\/figure>\n\n\n\n

B\u1ec7nh vi\u1ec7n k\u00edch ho\u1ea1t quy tr\u00ecnh c\u1ea5p c\u1ee9u nh\u1ed3i m\u00e1u c\u01a1 tim code Stemi\/Nstemi. B\u00e1c s\u0129 B\u00f9i V\u0103n Duy, khoa C\u1ea5p c\u1ee9u, v\u00e0 \u00eak\u00edp h\u1ed9i ch\u1ea9n v\u1edbi b\u00e1c s\u0129 Trung t\u00e2m Tim m\u1ea1ch Can thi\u1ec7p \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng, l\u00ean k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb \u00f4ng V\u1ef9.<\/p>\n\n\n\n

Trong ca can thi\u1ec7p g\u1ea7n m\u1ed9t gi\u1edd, BS.CKII Nguy\u1ec5n V\u0103n D\u01b0\u01a1ng, Trung t\u00e2m Tim m\u1ea1ch Can thi\u1ec7p, B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh TP HCM, c\u00f9ng \u00eak\u00edp \u0111\u1eb7t stent<\/a> \u0111\u01b0\u1eddng k\u00ednh 4 mm t\u00e1i th\u00f4ng nh\u00e1nh m\u1ea1ch v\u00e0nh ph\u1ea3i cho ng\u01b0\u1eddi b\u1ec7nh. \u00d4ng V\u1ef9 h\u1ebft kh\u00f3 th\u1edf ngay sau th\u1ee7 thu\u1eadt, kh\u00f4ng c\u00f2n \u0111au ng\u1ef1c, \u0111i l\u1ea1i v\u00e0 sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng, xu\u1ea5t vi\u1ec7n sau 4 ng\u00e0y.<\/p>\n\n\n\n

\"\u00cak\u00edp
\u00cak\u00edp b\u00e1c s\u0129 Trung t\u00e2m Tim m\u1ea1ch Can thi\u1ec7p \u0111\u1eb7t stent t\u00e1i th\u00f4ng m\u1ea1ch v\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh. \u1ea2nh: B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh<\/em><\/figcaption><\/figure>\n\n\n\n

Theo b\u00e1c s\u0129 D\u01b0\u01a1ng, \u0111au ng\u1ef1c, kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c c\u00f3 th\u1ec3 l\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u s\u1edbm c\u1ee7a b\u1ec7nh tim m\u1ea1ch, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0 h\u00fat thu\u1ed1c l\u00e1, r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u, r\u1ed1i lo\u1ea1n \u0111\u01b0\u1eddng huy\u1ebft, t\u0103ng huy\u1ebft \u00e1p<\/a>, th\u1eeba c\u00e2n. Ng\u01b0\u1eddi d\u00e2n n\u00ean kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 tim m\u1ea1ch to\u00e0n di\u1ec7n, ch\u1ec9 \u0111\u1ecbnh th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh chuy\u00ean s\u00e2u khi c\u1ea7n, qua \u0111\u00f3 ph\u00e1t hi\u1ec7n s\u1edbm t\u00ecnh tr\u1ea1ng x\u01a1 v\u1eefa, h\u1eb9p ho\u1eb7c t\u1eafc ngh\u1ebdn m\u1ea1ch m\u00e1u.<\/p>\n\n\n\n

Nh\u01b0 Ng\u1ecdc – Thu H\u00e0<\/strong><\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

TP HCM\u00d4ng V\u1ef9, 49 tu\u1ed5i, \u0111au ng\u1ef1c t\u1eebng c\u01a1n k\u00e8m kh\u00f3 th\u1edf, v\u00e0o vi\u1ec7n ph\u00e1t hi\u1ec7n t\u1eafc \u0111\u1ed9ng<\/p>\n","protected":false},"author":1,"featured_media":1799,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[37],"tags":[],"class_list":["post-1794","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-suc-khoe"],"yoast_head":"\nSK-T\u1eafc \u0111\u1ed9ng m\u1ea1ch v\u00e0nh g\u00e2y nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p - TIN 24H.<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/thuchanhmic6.id.vn\/?p=1794\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"SK-T\u1eafc \u0111\u1ed9ng m\u1ea1ch v\u00e0nh g\u00e2y nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p - 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