\n $\"Thi\u1ebfu$ \n <\/div>

Nam thi\u1ebfu ni\u00ean ph\u1ea3i nh\u1eadp vi\u1ec7n sau th\u1ee5t d\u1ea7u 300 c\u00e1i. \u1ea2nh minh ho\u1ea1.<\/p>\n<\/figcaption><\/figure>\n

K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m m\u00e1u, si\u00eau \u00e2m tim, b\u1ee5ng, c\u01a1, X-quang ph\u1ed5i ghi nh\u1eadn, tr\u1ebb t\u1ed5n th\u01b0\u01a1ng gan, men gan t\u0103ng > 2000 \u0111v\/L, toan chuy\u1ec3n h\u00f3a, lactate m\u00e1u t\u0103ng, t\u0103ng kali, phosphate m\u00e1u. \u0110\u1eb7c bi\u1ec7t, x\u00e9t nghi\u1ec7m men c\u01a1 CPK (Creatine Phosphokinase\/Creatine Kinase \u2013 CK) t\u0103ng cao 215 – 240 \u0111v\/L (b\u00ecnh th\u01b0\u1eddng 30 \u2013 200 \u0111v\/L) myoglobin m\u00e1u t\u0103ng cao 10 – 221 ng\/ml (b\u00ecnh th\u01b0\u1eddng 36.4 \u2013 110 ng\/ml) v\u00e0 xu\u1ea5t hi\u1ec7n myoglobin trong n\u01b0\u1edbc ti\u1ec3u r\u1ea5t cao > 12 000 ng\/ml (b\u00ecnh th\u01b0\u1eddng < 2.03 ng\/ml).<\/p>\n

Myoglobin l\u00e0 protein th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong c\u00e1c c\u01a1 x\u01b0\u01a1ng c\u1ee7a \u0111\u1ed9ng v\u1eadt n\u00f3i chung v\u00e0 con ng\u01b0\u1eddi n\u00f3i ri\u00eang. Myoglobin c\u00f3 ch\u1ee9c n\u0103ng nh\u01b0 m\u1ed9t \u0111\u01a1n v\u1ecb d\u1ef1 tr\u1eef, cung c\u1ea5p oxy cho c\u01a1 b\u1eafp l\u00e0m vi\u1ec7c. Khi c\u01a1 x\u01b0\u01a1ng (c\u01a1 v\u00e2n) g\u1eb7p t\u1ed5n th\u01b0\u01a1ng, myoglobin \u0111\u01b0\u1ee3c ph\u00f3ng th\u00edch v\u00e0o m\u00e1u, n\u1ed3ng \u0111\u1ed9 t\u0103ng c\u00f3 th\u1ec3 tho\u00e1t qua m\u00e0ng l\u1ecdc c\u1ea7u th\u1eadn v\u00e0o n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<\/p><\/div>\n<\/div>\n

Theo Ph\u00f3 Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Th\u00e0nh ph\u1ed1, b\u1ec7nh nhi \u0111\u01b0\u1ee3c truy\u1ec1n d\u1ecbch g\u1ea5p r\u01b0\u1ee1i nhu c\u1ea7u, \u0111i\u1ec1u ch\u1ec9nh \u0111i\u1ec7n gi\u1ea3i, \u0111\u01b0\u1eddng huy\u1ebft, truy\u1ec1n bicarbonate \u0111\u1ec3 ki\u1ec1m h\u00f3a n\u01b0\u1edbc ti\u1ec3u, truy\u1ec1n N Acetyl Cystein \u0111\u1ec3 gi\u1ea3i \u0111\u1ed9c gan.<\/p>\n

K\u1ebft qu\u1ea3 sau 7 ng\u00e0y \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng tr\u1ebb c\u1ea3i thi\u1ec7n, t\u1ec9nh t\u00e1o, men gan v\u00e0 men c\u01a1 c\u00f3 c\u1ea3i thi\u1ec7n d\u1ea7n, \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n t\u00e1i kh\u00e1m.<\/p>\n

Qua tr\u01b0\u1eddng h\u1ee3p n\u00e0y, BS.CKII Nguy\u1ec5n Minh Ti\u1ebfn khuy\u1ebfn c\u00e1o, ph\u1ee5 huynh n\u00ean gi\u00e1o d\u1ee5c h\u01b0\u1edbng d\u1eabn con em m\u00ecnh t\u1eadp th\u1ec3 d\u1ee5c, v\u1eadn \u0111\u1ed9ng ph\u00f9 h\u1ee3p v\u1edbi s\u1ee9c kh\u1ecfe, tr\u00e1nh ch\u01a1i v\u1eadn \u0111\u1ed9ng m\u1ea1nh, g\u1eafng s\u1ee9c nhi\u1ec1u trong th\u1eddi gian d\u00e0i (t\u1ed1i \u0111a kh\u00f4ng qu\u00e1 30 \u2013 45 ph\u00fat), \u0111\u1ec3 tr\u00e1nh x\u1ea3y ra h\u1ed9i ch\u1ee9ng h\u1ee7y c\u01a1 v\u00e2n g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan nh\u01b0 gan<\/a>, th\u1eadn,\u2026<\/p>\n

BS.CKII Nguy\u1ec5n Minh Ti\u1ebfn \u2013 Ph\u00f3 Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng th\u00e0nh ph\u1ed1 cho bi\u1ebft th\u00eam, h\u1ed9i ch\u1ee9ng ly gi\u1ea3i c\u01a1 v\u00e2n (rhabdomyolysis) \u1edf tr\u1ebb em l\u00e0 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng c\u01a1 v\u00e2n c\u1ea5p t\u00ednh, l\u00e0m gi\u1ea3i ph\u00f3ng h\u00e0ng lo\u1ea1t ch\u1ea5t n\u1ed9i b\u00e0o (ck, myoglobin, kali, phosphate\u2026) v\u00e0o m\u00e1u, c\u00f3 th\u1ec3 d\u1eabn t\u1edbi suy th\u1eadn c\u1ea5p v\u00e0 r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i nguy hi\u1ec3m. B\u1ec7nh n\u00e0y \u00edt g\u1eb7p h\u01a1n \u1edf tr\u1ebb em, tuy nhi\u00ean r\u1ea5t d\u1ec5 b\u1ecb b\u1ecf s\u00f3t.<\/p>\n

Nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em c\u00f3 th\u1ec3 do nhi\u1ec5m tr\u00f9ng virus: influenza a\/b, Dengue, COVID-19, EBV; vi khu\u1ea9n: t\u1ee5 c\u1ea7u, li\u00ean c\u1ea7u ho\u1eb7c g\u1eafng s\u1ee9c – ch\u1ea5n th\u01b0\u01a1ng: v\u1eadn \u0111\u1ed9ng qu\u00e1 m\u1ee9c (tr\u1ebb ch\u01a1i th\u1ec3 thao c\u01b0\u1eddng \u0111\u1ed9 cao), \u0111\u00e8 \u00e9p k\u00e9o d\u00e0i, b\u1ecb v\u00f9i l\u1ea5p do tai n\u1ea1n ho\u1eb7c thu\u1ed1c \u2013 \u0111\u1ed9c ch\u1ea5t ho\u1eb7c r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a \/di truy\u1ec1n.<\/p>\n

B\u1ec7nh nhi s\u1ebd c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n nh\u01b0: \u0110au c\u01a1, y\u1ebfu c\u01a1, n\u01b0\u1edbc ti\u1ec3u s\u1eabm m\u00e0u, c\u00f3 th\u1ec3 k\u00e8m s\u1ed1t (n\u1ebfu do nhi\u1ec5m tr\u00f9ng), bu\u1ed3n n\u00f4n, n\u00f4n, thi\u1ec3u ni\u1ec7u, r\u1ed1i lo\u1ea1n tri gi\u00e1c (n\u1eb7ng) khi m\u1eafc h\u1ed9i ch\u1ee9ng ly gi\u1ea3i c\u01a1 v\u00e2n.<\/p>\n<\/p><\/div>\n<\/div>\n

\n $\"Thi\u1ebfu$ <\/a>CSGT l\u00ean ti\u1ebfng c\u00e1ch ph\u1ea1t ‘th\u1ee5t d\u1ea7u’ v\u1edbi nh\u00f3m thanh, thi\u1ebfu ni\u00ean kh\u00f4ng \u0111\u1ed9i m\u0169 b\u1ea3o hi\u1ec3m<\/a><\/p>\n

SK\u0110S – M\u1ed9t nh\u00f3m thanh, thi\u1ebfu ni\u00ean b\u1ecb C\u1ea3nh s\u00e1t giao th\u00f4ng (CSGT) \u1edf Kh\u00e1nh H\u00f2a x\u1eed ph\u1ea1t b\u1eb1ng h\u00ecnh th\u1ee9c \u201cth\u1ee5t d\u1ea7u\u201d do kh\u00f4ng \u0111\u1ed9i m\u0169 b\u1ea3o hi\u1ec3m.<\/p>\n<\/div>\n

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

Ng\u00e0y 11\/2, th\u00f4ng tin t\u1eeb B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Th\u00e0nh ph\u1ed1 (TPHCM) cho bi\u1ebft, b\u1ec7nh vi\u1ec7n v\u1eeba c\u1ea5p c\u1ee9u m\u1ed9t tr\u01b0\u1eddng h\u1ee3p tr\u1ebb b\u1ecb h\u1ed9i ch\u1ee9ng ly gi\u1ea3i c\u01a1 do th\u1ee5t d\u1ea7u (\u0111\u1ed9ng t\u00e1c d\u00f9ng hai tay b\u1eaft ch\u00e9o qua ng\u1ef1c n\u1eafm v\u00e0o hai d\u00e1i tai b\u00ean \u0111\u1ed1i di\u1ec7n, \u0111\u1ee9ng l\u00ean ng\u1ed3i xu\u1ed1ng…). C\u1ee5 th\u1ec3, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-2078","post","type-post","status-publish","format-standard","hentry","category-tin-y-te"],"_links":{"self":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/2078","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2078"}],"version-history":[{"count":0,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/2078\/revisions"}],"wp:attachment":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2078"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2078"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2078"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}