{"id":15201,"date":"2026-09-05T11:47:20","date_gmt":"2026-09-05T04:47:20","guid":{"rendered":"https:\/\/useful.vn\/?p=15201"},"modified":"2026-09-05T11:47:20","modified_gmt":"2026-09-05T04:47:20","slug":"ghep-tim-lan-2-trong-3-ngay-cuu-benh-nhan-suy-tim-giai-doan-cuoi","status":"publish","type":"post","link":"https:\/\/useful.vn\/?p=15201","title":{"rendered":"Gh\u00e9p tim l\u1ea7n 2 trong 3 ng\u00e0y c\u1ee9u b\u1ec7nh nh\u00e2n suy tim giai \u0111o\u1ea1n cu\u1ed1i"},"content":{"rendered":"
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\n Gh\u00e9p tim l\u1ea7n \u0111\u1ea7u th\u1ea5t b\u1ea1i, b\u1ec7nh nh\u00e2n suy \u0111a t\u1ea1ng, h\u00f4n m\u00ea. 3 ng\u00e0y sau, ca gh\u00e9p tim l\u1ea7n 2 m\u1edf ra c\u01a1 h\u1ed9i s\u1ed1ng ngo\u1ea1n m\u1ee5c. <\/strong><\/h2>\n

Ba ng\u00e0y, hai l\u1ea7n gh\u00e9p tim<\/strong><\/h3>\n

Nam b\u1ec7nh nh\u00e2n 50 tu\u1ed5i nh\u1eadp B\u1ec7nh vi\u1ec7n Trung \u01b0\u01a1ng Qu\u00e2n \u0111\u1ed9i 108 trong t\u00ecnh tr\u1ea1ng suy tim giai \u0111o\u1ea1n cu\u1ed1i v\u1edbi c\u00e1c \u0111\u1ee3t c\u1ea5p suy tim li\u00ean t\u1ee5c, \u0111\u1ed1i m\u1eb7t nguy c\u01a1 t\u1eed vong.<\/p>\n

Ng\u00e0y 25\/7, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c gh\u00e9p tim t\u1eeb ng\u01b0\u1eddi hi\u1ebfn ch\u1ebft n\u00e3o. Ban \u0111\u1ea7u, ca gh\u00e9p di\u1ec5n bi\u1ebfn thu\u1eadn l\u1ee3i. Nh\u01b0ng ch\u01b0a \u0111\u1ea7y 24 gi\u1edd sau, t\u00ecnh th\u1ebf \u0111\u1ed9t ng\u1ed9t \u0111\u1ea3o chi\u1ec1u. Tim gh\u00e9p suy ch\u1ee9c n\u0103ng n\u1eb7ng, s\u1ee9c co b\u00f3p g\u1ea7n nh\u01b0 m\u1ea5t ho\u00e0n to\u00e0n. B\u1ec7nh nh\u00e2n ph\u1ea3i h\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n b\u1eb1ng ECMO, k\u1ebft h\u1ee3p d\u1eabn l\u01b0u th\u1ea5t tr\u00e1i.<\/p>\n

C\u00e1c b\u00e1c s\u0129 kh\u1ea9n tr\u01b0\u01a1ng ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, sinh thi\u1ebft c\u01a1 tim \u0111\u1ec3 t\u00ecm nguy\u00ean nh\u00e2n v\u00e0 x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u00e2n b\u1ecb suy ch\u1ee9c n\u0103ng t\u1ea1ng gh\u00e9p ti\u00ean ph\u00e1t.<\/p>\n

Trong 48 gi\u1edd ti\u1ebfp theo, d\u00f9 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, tim gh\u00e9p v\u1eabn kh\u00f4ng h\u1ed3i ph\u1ee5c. B\u1ec7nh nh\u00e2n nhanh ch\u00f3ng r\u01a1i v\u00e0o suy \u0111a t\u1ea1ng, h\u00f4n m\u00ea v\u00e0 \u0111\u1ee9ng tr\u01b0\u1edbc nguy c\u01a1 t\u1eed vong.<\/p>\n

\u0110\u00fang th\u1eddi \u0111i\u1ec3m \u1ea5y, B\u1ec7nh vi\u1ec7n Trung \u01b0\u01a1ng Qu\u00e2n \u0111\u1ed9i 108 ti\u1ebfp nh\u1eadn m\u1ed9t tr\u01b0\u1eddng h\u1ee3p ch\u1ebft n\u00e3o hi\u1ebfn \u0111a t\u1ea1ng. Tim ng\u01b0\u1eddi hi\u1ebfn thu\u1ed9c nh\u00f3m ti\u00eau chu\u1ea9n m\u1edf r\u1ed9ng, kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi t\u1ea5t c\u1ea3 \u1ee9ng vi\u00ean \u0111ang ch\u1edd gh\u00e9p. Tuy nhi\u00ean, v\u1edbi b\u1ec7nh nh\u00e2n 50 tu\u1ed5i \u0111ang \u1edf ranh gi\u1edbi t\u1eed vong, \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 c\u01a1 h\u1ed9i cu\u1ed1i c\u00f9ng.<\/p>\n

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\"C\u00e1c<\/span><\/p>\n
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<\/div>\n<\/div>\n<\/div>\n<\/div>\n

C\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt gh\u00e9p tim cho b\u1ec7nh nh\u00e2n (\u1ea2nh: BVCC)<\/p>\n

Theo \u0110\u1ea1i t\u00e1, TS Ng\u00f4 Vi H\u1ea3i, Ch\u1ee7 nhi\u1ec7m Khoa Ngo\u1ea1i l\u1ed3ng ng\u1ef1c, th\u1ea5t tr\u00e1i tim hi\u1ebfn d\u00e0y nhi\u1ec1u do ng\u01b0\u1eddi hi\u1ebfn c\u00f3 ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p, suy th\u1eadn. EF Simpson ch\u1ec9 \u0111\u1ea1t 35%, gi\u1ea3m v\u1eadn \u0111\u1ed9ng th\u00e0nh sau v\u00e0 v\u00e1ch li\u00ean th\u1ea5t; proBNP l\u00ean t\u1edbi 11.964 pg\/ml. Trong khi \u0111\u00f3, ng\u01b0\u1eddi nh\u1eadn \u0111\u00e3 suy \u0111a t\u1ea1ng v\u00e0 \u0111ang ph\u1ea3i h\u1ed7 tr\u1ee3 ECMO.<\/p>\n

D\u01b0\u1edbi s\u1ef1 ch\u1ee7 tr\u00ec c\u1ee7a Thi\u1ebfu t\u01b0\u1edbng, PGS.TS Ph\u1ea1m Th\u00e1i Giang, Ph\u00f3 Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n, B\u1ec7nh vi\u1ec7n t\u1ed5 ch\u1ee9c h\u1ed9i ch\u1ea9n kh\u1ea9n c\u1ea5p. C\u00e1c chuy\u00ean gia ph\u1ea3i c\u00e2n nh\u1eafc gi\u1eefa hai l\u1ef1a ch\u1ecdn: t\u00e1i gh\u00e9p b\u1eb1ng m\u1ed9t tr\u00e1i tim kh\u00f4ng ho\u00e0n to\u00e0n l\u00fd t\u01b0\u1edfng ho\u1eb7c ch\u1ea5p nh\u1eadn \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh t\u1eed vong.<\/p>\n

\u201cGh\u00e9p tim l\u1ea7n 2 tr\u00ean m\u1ed9t b\u1ec7nh nh\u00e2n c\u00f3 l\u1ebd \u0111\u00e2y l\u00e0 l\u1ea7n \u0111\u1ea7u ti\u00ean \u1edf Vi\u1ec7t Nam\u201d, Thi\u1ebfu t\u01b0\u1edbng, PGS.TS Ph\u1ea1m Th\u00e1i Giang cho bi\u1ebft, \u0111\u1ed3ng th\u1eddi nh\u1ea5n m\u1ea1nh ca gh\u00e9p l\u1ea7n hai kh\u00f3 kh\u0103n g\u1ea5p b\u1ed9i khi b\u1ec7nh nh\u00e2n v\u1eeba tr\u1ea3i qua \u0111\u1ea1i ph\u1eabu, suy \u0111a t\u1ea1ng v\u00e0 ph\u1ea3i m\u1ed5 trong t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u.<\/p>\n

Ca gh\u00e9p tim ch\u01b0a t\u1eebng c\u00f3<\/strong><\/h3>\n

Ng\u00e0y 28\/7, ch\u1ec9 3 ng\u00e0y sau ca gh\u00e9p \u0111\u1ea7u ti\u00ean, b\u1ec7nh nh\u00e2n b\u01b0\u1edbc v\u00e0o cu\u1ed9c \u0111\u1ea1i ph\u1eabu l\u1ea7n th\u1ee9 hai. Tuy nhi\u00ean, b\u1ec7nh nh\u00e2n \u0111ang ch\u1ea1y ECMO A-V ng\u00e0y th\u1ee9 3, v\u00f4 ni\u1ec7u, ph\u1ea3i l\u1ecdc m\u00e1u li\u00ean t\u1ee5c; ph\u1ed5i vi\u00eam lan t\u1ecfa, x\u1eb9p ph\u1ed5i, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u v\u00e0 nguy c\u01a1 ch\u1ea3y m\u00e1u cao. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 h\u00f4n m\u00ea 3 ng\u00e0y, ch\u1ec9 s\u1ed1 b\u00e3o h\u00f2a oxy n\u00e3o rSO\u2082 ch\u1ec9 25-30%, nguy c\u01a1 kh\u00f4ng t\u1ec9nh l\u1ea1i sau m\u1ed5.<\/p>\n

\u0110\u1ea1i t\u00e1, PGS.TS Nguy\u1ec5n Minh L\u00fd, Ch\u1ee7 nhi\u1ec7m Khoa G\u00e2y m\u00ea h\u1ed3i s\u1ee9c, cho bi\u1ebft \u00ea-k\u00edp ph\u1ea3i \u0111\u1ed3ng th\u1eddi ki\u1ec3m so\u00e1t huy\u1ebft \u0111\u1ed9ng, t\u01b0\u1edbi m\u00e1u n\u00e3o v\u00e0 c\u00e1c t\u1ea1ng, \u0111i\u1ec1u ch\u1ec9nh r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, c\u00e2n b\u1eb1ng d\u1ecbch, gi\u1ea3m s\u1ee9c c\u1ea3n ph\u1ed5i v\u00e0 x\u1eed l\u00fd h\u00e0ng lo\u1ea1t nguy c\u01a1.<\/p>\n

Kh\u00f3 kh\u0103n c\u00f2n n\u1eb1m \u1edf vi\u1ec7c c\u00e1c t\u1ed5 ch\u1ee9c ph\u00eda ng\u01b0\u1eddi nh\u1eadn kh\u00f4ng c\u00f2n nguy\u00ean v\u1eb9n sau l\u1ea7n gh\u00e9p tr\u01b0\u1edbc, khi\u1ebfn qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt v\u00e0 gh\u00e9p n\u1ed1i ph\u1ee9c t\u1ea1p h\u01a1n.<\/p>\n

Nh\u01b0ng \u0111i\u1ec1u k\u1ef3 di\u1ec7u sau ca gh\u00e9p l\u1ea7n 2 \u0111\u00e3 \u0111\u1ebfn: tr\u00e1i tim b\u1eaft \u0111\u1ea7u \u0111\u1eadp, huy\u1ebft \u0111\u1ed9ng b\u1ec7nh nh\u00e2n d\u1ea7n \u1ed5n \u0111\u1ecbnh. Tuy nhi\u00ean,\u00a0cu\u1ed9c chi\u1ebfn ch\u01b0a k\u1ebft th\u00fac.<\/p>\n

\"B\u1ec7nh<\/span><\/p>\n

B\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c ngo\u1ea1n m\u1ee5c (\u1ea2nh: BVCC)<\/p>\n

H\u00e0nh tr\u00ecnh tr\u1edf v\u1ec1 t\u1eeb c\u1eeda t\u1eed<\/strong><\/h3>\n

Sau gh\u00e9p, b\u1ec7nh nh\u00e2n ti\u1ebfp t\u1ee5c ph\u1ea3i h\u1ed7 tr\u1ee3 ECMO, sau \u0111\u00f3 k\u1ebft h\u1ee3p b\u00f3ng \u0111\u1ed1i xung n\u1ed9i \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (IABP), l\u1ecdc m\u00e1u li\u00ean t\u1ee5c v\u00e0 th\u1edf m\u00e1y. Ch\u1ea3y m\u00e1u, nhi\u1ec5m tr\u00f9ng v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng nhi\u1ec1u c\u01a1 quan ti\u1ebfp t\u1ee5c \u0111e d\u1ecda t\u00ednh m\u1ea1ng. Nh\u01b0ng v\u1edbi s\u1ef1 ch\u0103m s\u00f3c, \u0111i\u1ec1u tr\u1ecb t\u1eadn t\u00ecnh t\u1eebng ph\u00fat c\u1ee7a t\u1eadp th\u1ec3 y, b\u00e1c s\u0129, c\u00e1c d\u1ea5u m\u1ed1c h\u1ed3i ph\u1ee5c xu\u1ea5t hi\u1ec7n t\u1eebng ng\u00e0y.<\/p>\n

Ng\u00e0y th\u1ee9 8 sau gh\u00e9p, b\u1ec7nh nh\u00e2n cai ECMO th\u00e0nh c\u00f4ng. Ng\u00e0y th\u1ee9 10, \u0111\u01b0\u1ee3c r\u00fat \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n. \u0110\u1ebfn ng\u00e0y h\u1eadu ph\u1eabu th\u1ee9 11, IABP c\u0169ng \u0111\u01b0\u1ee3c ng\u1eebng. Ch\u1ee9c n\u0103ng tim gh\u00e9p t\u1eebng b\u01b0\u1edbc c\u1ea3i thi\u1ec7n, \u0111\u1ee7 kh\u1ea3 n\u0103ng \u0111\u1ea3m b\u1ea3o tu\u1ea7n ho\u00e0n m\u00e0 kh\u00f4ng c\u1ea7n c\u00e1c thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 c\u01a1 h\u1ecdc.<\/p>\n

\u0110\u1ebfn ng\u00e0y 25\/8 b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1ec9nh t\u00e1o, b\u1eaft \u0111\u1ea7u t\u1eadp \u0111\u1ee9ng, t\u1eadp ng\u1ed3i gh\u1ebf v\u00e0 t\u1eadp \u0111\u1ea1p xe. Hi\u1ec7n, b\u1ec7nh nh\u00e2n v\u1eabn c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t do \u0111\u00e3 tr\u1ea3i qua hai l\u1ea7n gh\u00e9p tim trong th\u1eddi gian r\u1ea5t ng\u1eafn, k\u00e8m nhi\u1ec1u bi\u1ebfn ch\u1ee9ng n\u1eb7ng v\u00e0 th\u1eddi gian h\u1ed3i s\u1ee9c k\u00e9o d\u00e0i.<\/p>\n

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\"Gh\u00e9p<\/div>\n
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\n Gh\u00e9p tim th\u00e0nh c\u00f4ng cho thi\u1ebfu ni\u00ean 15 tu\u1ed5i\n <\/div>\n
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B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c TP HCM v\u1eeba gh\u00e9p tim th\u00e0nh c\u00f4ng cho m\u1ed9t thi\u1ebfu ni\u00ean 15 tu\u1ed5i \u0111ang trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch.<\/p>\n<\/div>\n

B\u1ea5m xem >>\n <\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n
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https:\/\/www.24h.com.vn\/suc-khoe\/ghep-tim-lan-2-trong-3-ngay-cuu-benh-nhan-suy-tim-giai-doan-cuoi-c62a1789677.html<\/p>\n

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

Gh\u00e9p tim l\u1ea7n \u0111\u1ea7u th\u1ea5t b\u1ea1i, b\u1ec7nh nh\u00e2n suy \u0111a t\u1ea1ng, h\u00f4n m\u00ea. 3 ng\u00e0y sau, ca gh\u00e9p tim l\u1ea7n 2 m\u1edf ra c\u01a1 h\u1ed9i s\u1ed1ng ngo\u1ea1n m\u1ee5c. Ba ng\u00e0y, hai l\u1ea7n gh\u00e9p tim Nam b\u1ec7nh nh\u00e2n 50 tu\u1ed5i nh\u1eadp B\u1ec7nh vi\u1ec7n Trung \u01b0\u01a1ng Qu\u00e2n \u0111\u1ed9i 108 trong t\u00ecnh tr\u1ea1ng suy tim giai \u0111o\u1ea1n cu\u1ed1i<\/p>\n","protected":false},"author":1,"featured_media":15202,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-15201","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\/15201","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=15201"}],"version-history":[{"count":0,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts\/15201\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/media\/15202"}],"wp:attachment":[{"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15201"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15201"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15201"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}