{"id":12053,"date":"2026-08-21T07:17:27","date_gmt":"2026-08-21T00:17:27","guid":{"rendered":"https:\/\/useful.vn\/?p=12053"},"modified":"2026-08-21T07:17:27","modified_gmt":"2026-08-21T00:17:27","slug":"an-thit-chuot-ba-chi-em-nguy-kich-do-ngo-doc","status":"publish","type":"post","link":"https:\/\/useful.vn\/?p=12053","title":{"rendered":"\u0102n th\u1ecbt chu\u1ed9t, ba ch\u1ecb em nguy k\u1ecbch do ng\u1ed9 \u0111\u1ed9c"},"content":{"rendered":"
\n


\n \u0102n th\u1ecbt chu\u1ed9t trong nhi\u1ec1u ng\u00e0y li\u00ean ti\u1ebfp, 3 ch\u1ecb em trong c\u00f9ng m\u1ed9t gia \u0111\u00ecnh nguy k\u1ecbch do ng\u1ed9 \u0111\u1ed9c thu\u1ed1c di\u1ec7t chu\u1ed9t nghi nh\u00f3m si\u00eau warfarin. <\/strong><\/h2>\n

Ng\u00e0y 10\/8, BS.CKII Nguy\u1ec5n Minh Ti\u1ebfn, Ph\u00f3 Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng TP H\u1ed3 Ch\u00ed Minh cho bi\u1ebft, b\u1ec7nh vi\u1ec7n v\u1eeba ti\u1ebfp nh\u1eadn 3 tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn v\u1edbi ch\u1ea9n \u0111o\u00e1n ng\u1ed9 \u0111\u1ed9c th\u1ee9c \u0103n, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u. C\u1ee5 th\u1ec3, 3 tr\u01b0\u1eddng h\u1ee3p l\u00e0 3 ch\u1ecb em. Ch\u1ecb l\u1edbn V. (10 tu\u1ed5i), H. (9 tu\u1ed5i), b\u00e9 trai A. (7 tu\u1ed5i).<\/p>\n

Khai th\u00e1c b\u1ec7nh s\u1eed ghi nh\u1eadn, kho\u1ea3ng m\u1ed9t tu\u1ea7n tr\u01b0\u1edbc khi nh\u1eadp vi\u1ec7n, c\u1ea3 3 tr\u1ebb \u0111\u01b0\u1ee3c gia \u0111\u00ecnh cho \u0103n th\u1ecbt chu\u1ed9t \u0111\u1ed3ng h\u1eb1ng ng\u00e0y. \u0110\u1ebfn ng\u00e0y th\u1ee9 7, c\u1ea3 ba tr\u1ebb c\u00f9ng xu\u1ea5t hi\u1ec7n \u0111au b\u1ee5ng, n\u00f4n \u00f3i, ti\u00eau ch\u1ea3y v\u00e0 c\u00e1c v\u1ebft b\u1ea7m da r\u1ea3i r\u00e1c \u1edf tay, \u0111\u00f9i, c\u1eb3ng ch\u00e2n, m\u00f4ng v\u00e0 b\u1ee5ng. Ri\u00eang b\u00e9 \u00c2. c\u00f3 bi\u1ec3u hi\u1ec7n n\u1eb7ng h\u01a1n v\u1edbi n\u00f4n ra m\u00e1u \u0111en, b\u1ee5ng ch\u01b0\u1edbng v\u00e0 ti\u1ec3u \u0111\u1ecf.<\/p>\n

\"Em<\/span><\/p>\n

Em trai \u00fat t\u00ean \u00c2. \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ng\u1ed9 \u0111\u1ed9c thu\u1ed1c di\u1ec7t chu\u1ed9t nghi lo\u1ea1i si\u00eau warfarin, bi\u1ec3u hi\u1ec7n n\u1eb7ng nh\u1ea5t xu\u1ea5t huy\u1ebft da ni\u00eam, n\u1ed9i t\u1ea1ng, suy h\u00f4 h\u1ea5p, \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, ph\u1ee5c h\u1ed3i d\u1ea7n.<\/p>\n

Gia \u0111\u00ecnh \u0111\u00e3 \u0111\u01b0a c\u00e1c tr\u1ebb \u0111\u1ebfn b\u1ec7nh vi\u1ec7n \u0111\u1ecba ph\u01b0\u01a1ng. T\u1ea1i \u0111\u00e2y, c\u00e1c b\u1ec7nh nhi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ng\u1ed9 \u0111\u1ed9c th\u1ee9c \u0103n, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng truy\u1ec1n d\u1ecbch v\u00e0 kh\u00e1ng sinh. K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m cho th\u1ea5y c\u1ea3 3 \u0111\u1ec1u b\u1ecb r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u ngo\u1ea1i sinh (PT) tr\u00ean 20 gi\u00e2y, ch\u1ec9 s\u1ed1 INR tr\u00ean 3.<\/p>\n

Do t\u00ecnh tr\u1ea1ng n\u1eb7ng, c\u00e1c tr\u1ebb \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng th\u00e0nh ph\u1ed1. T\u1ea1i b\u1ec7nh vi\u1ec7n, c\u00e1c b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh nhi b\u1ecb ng\u1ed9 \u0111\u1ed9c thu\u1ed1c di\u1ec7t chu\u1ed9t nghi nh\u00f3m si\u00eau warfarin – ch\u1ea5t kh\u00e1ng vitamin K c\u00f3 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i, c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i nhi\u1ec1u tu\u1ea7n, th\u1eadm ch\u00ed nhi\u1ec1u th\u00e1ng trong m\u00f4 c\u01a1 th\u1ec3. C\u00e1c tr\u1ebb \u0111\u01b0\u1ee3c r\u1eeda d\u1ea1 d\u00e0y, u\u1ed1ng than ho\u1ea1t t\u00ednh, theo d\u00f5i ch\u1ee9c n\u0103ng \u0111\u00f4ng m\u00e1u h\u1eb1ng ng\u00e0y. K\u1ebft qu\u1ea3 cho th\u1ea5y t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u di\u1ec5n ti\u1ebfn n\u1eb7ng d\u1ea7n.<\/p>\n

C\u00e1c b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng vitamin K1 truy\u1ec1n t\u0129nh m\u1ea1ch, sau \u0111\u00f3 chuy\u1ec3n sang vitamin K1 \u0111\u01b0\u1eddng u\u1ed1ng li\u1ec1u cao 20 mg m\u1ed7i 6 gi\u1edd. \u0110\u1ed3ng th\u1eddi, c\u00e1c b\u1ec7nh nhi \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i, toan ki\u1ec1m v\u00e0 theo d\u00f5i s\u00e1t t\u00ecnh tr\u1ea1ng xu\u1ea5t huy\u1ebft. Ri\u00eang b\u00e9 A. C\u00e1c b\u00e1c s\u0129 \u0111\u00e3 ti\u1ebfn h\u00e0nh \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n, th\u1edf m\u00e1y do tr\u00e0n m\u00e1u m\u00e0ng ph\u1ed5i hai b\u00ean g\u00e2y suy h\u00f4 h\u1ea5p. B\u1ec7nh nhi \u0111\u01b0\u1ee3c truy\u1ec1n huy\u1ebft t\u01b0\u01a1ng t\u01b0\u01a1i \u0111\u00f4ng l\u1ea1nh v\u00e0 truy\u1ec1n m\u00e1u do xu\u1ea5t huy\u1ebft n\u1eb7ng. K\u1ebft qu\u1ea3 si\u00eau \u00e2m v\u00e0 ch\u1ee5p CT cho th\u1ea5y tr\u1ebb b\u1ecb tr\u00e0n m\u00e1u m\u00e0ng ph\u1ed5i, ti\u1ec3u m\u00e1u, n\u00f4n ra m\u00e1u, t\u1ee5 m\u00e1u quanh bao th\u1eadn v\u00e0 khoang sau ph\u00fac m\u1ea1c.<\/p>\n

Sau g\u1ea7n 3 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a c\u1ea3 3 b\u1ec7nh nhi \u1ed5n \u0111\u1ecbnh d\u1ea7n, kh\u00f4ng c\u00f2n bi\u1ec3u hi\u1ec7n xu\u1ea5t huy\u1ebft tr\u00ean l\u00e2m s\u00e0ng, c\u00e1c ch\u1ec9 s\u1ed1 \u0111\u00f4ng m\u00e1u tr\u1edf v\u1ec1 g\u1ea7n m\u1ee9c b\u00ecnh th\u01b0\u1eddng. B\u00e9 A. \u0111\u00e3 \u0111\u01b0\u1ee3c cai m\u00e1y th\u1edf. C\u00e1c b\u1ec7nh nhi ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb vitamin K1 \u0111\u01b0\u1eddng u\u1ed1ng v\u00e0 theo d\u00f5i \u00edt nh\u1ea5t 5 ng\u00e0y sau khi ng\u1eebng thu\u1ed1c.<\/p>\n

Theo BS.CKII Nguy\u1ec5n Minh Ti\u1ebfn, vi\u1ec7c theo d\u00f5i k\u00e9o d\u00e0i l\u00e0 c\u1ea7n thi\u1ebft b\u1edfi ch\u1ea5t si\u00eau warfarin c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i l\u00e2u trong m\u00f4 c\u01a1 th\u1ec3, khi\u1ebfn t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u c\u00f3 nguy c\u01a1 t\u00e1i di\u1ec5n.<\/p>\n

\u201cQua tr\u01b0\u1eddng h\u1ee3p tr\u00ean, ch\u00fang t\u00f4i khuy\u1ebfn c\u00e1o ph\u1ee5 huynh c\u1ea7n l\u1ef1a ch\u1ecdn th\u1ef1c ph\u1ea9m an to\u00e0n cho tr\u1ebb, c\u00f3 ngu\u1ed3n g\u1ed1c r\u00f5 r\u00e0ng, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t v\u00e0 c\u1ea5p ph\u00e9p theo quy \u0111\u1ecbnh. Khi tr\u1ebb xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng nh\u01b0 n\u00f4n \u00f3i, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, b\u1ea7m t\u00edm ho\u1eb7c ch\u1ea3y m\u00e1u kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n sau khi \u0103n u\u1ed1ng, c\u1ea7n \u0111\u01b0a tr\u1ebb \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 x\u1eed tr\u00ed k\u1ecbp th\u1eddi\u201d, BS.CKII Nguy\u1ec5n Minh Ti\u1ebfn khuy\u1ebfn c\u00e1o.<\/p>\n

\n
\n
\"Nhi\u1ec1u<\/div>\n
\n
\n Nhi\u1ec1u ng\u01b0\u1eddi n\u00f3i \u0103n th\u1ecbt b\u00f2 t\u00e1i l\u00e0 b\u1ed5 d\u01b0\u1ee1ng, b\u00e1c s\u0129 tr\u1ea3 l\u1eddi th\u1ebf n\u00e0o?\n <\/div>\n
\n

Th\u1ecbt b\u00f2 l\u00e0 m\u00f3n \u0103n gi\u00e0u dinh d\u01b0\u1ee1ng cho c\u01a1 th\u1ec3 v\u1edbi c\u00e1c nh\u00f3m ch\u1ea5t \u0111\u1ea1m, s\u1eaft v\u00e0 k\u1ebdm. V\u1edbi th\u00f3i quen c\u1ee7a ng\u01b0\u1eddi Vi\u1ec7t, nhi\u1ec1u ng\u01b0\u1eddi truy\u1ec1n mi\u1ec7ng r\u1eb1ng \u0103n th\u1ecbt b\u00f2…<\/p>\n<\/div>\n

B\u1ea5m xem >>\n <\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n
\n

https:\/\/www.24h.com.vn\/suc-khoe\/an-thit-chuot-ba-chi-em-nguy-kich-do-ngo-doc-c62a1785498.html<\/p>\n

\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0102n th\u1ecbt chu\u1ed9t trong nhi\u1ec1u ng\u00e0y li\u00ean ti\u1ebfp, 3 ch\u1ecb em trong c\u00f9ng m\u1ed9t gia \u0111\u00ecnh nguy k\u1ecbch do ng\u1ed9 \u0111\u1ed9c thu\u1ed1c di\u1ec7t chu\u1ed9t nghi nh\u00f3m si\u00eau warfarin. Ng\u00e0y 10\/8, BS.CKII Nguy\u1ec5n Minh Ti\u1ebfn, Ph\u00f3 Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng TP H\u1ed3 Ch\u00ed Minh cho bi\u1ebft, b\u1ec7nh vi\u1ec7n v\u1eeba ti\u1ebfp nh\u1eadn 3 tr\u01b0\u1eddng h\u1ee3p<\/p>\n","protected":false},"author":1,"featured_media":12054,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-12053","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-suc-khoe"],"_links":{"self":[{"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts\/12053","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=12053"}],"version-history":[{"count":0,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts\/12053\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/media\/12054"}],"wp:attachment":[{"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=12053"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=12053"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=12053"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}