{"id":9908,"date":"2026-08-10T22:47:25","date_gmt":"2026-08-10T15:47:25","guid":{"rendered":"https:\/\/useful.vn\/?p=9908"},"modified":"2026-08-10T22:47:25","modified_gmt":"2026-08-10T15:47:25","slug":"be-trai-4-tuoi-suy-gan-cap-phai-loc-mau-lien-tuc-vi-duoc-cho-uong-paracetamol-ha-sot-3-tieng-lan","status":"publish","type":"post","link":"https:\/\/useful.vn\/?p=9908","title":{"rendered":"B\u00e9 trai 4 tu\u1ed5i suy gan c\u1ea5p, ph\u1ea3i l\u1ecdc m\u00e1u li\u00ean t\u1ee5c v\u00ec \u0111\u01b0\u1ee3c cho u\u1ed1ng paracetamol h\u1ea1 s\u1ed1t 3 ti\u1ebfng\/l\u1ea7n"},"content":{"rendered":"
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\n \u0110\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 cho u\u1ed1ng paracetamol c\u00e1ch nhau kho\u1ea3ng 3 ti\u1ebfng\/l\u1ea7n \u0111\u1ec3 h\u1ea1 s\u1ed1t. B\u00e9 4 tu\u1ed5i b\u1ecb ng\u1ed9 \u0111\u1ed9c paracetamol, suy gan c\u1ea5p, ph\u1ea3i thay huy\u1ebft t\u01b0\u01a1ng v\u00e0 l\u1ecdc m\u00e1u \u0111\u1ec3 gi\u00e0nh l\u1ea1i s\u1ef1 s\u1ed1ng. <\/strong><\/h2>\n

Ng\u1ed9 \u0111\u1ed9c paracetamol v\u00ec d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t qu\u00e1 li\u1ec1u<\/strong><\/h3>\n

C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Nhi \u0110\u1ed3ng Th\u00e0nh Ph\u1ed1 v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p ng\u1ed9 \u0111\u1ed9c paracetamol r\u1ea5t n\u1eb7ng \u1edf b\u00e9 trai N.T.T. (4,5 tu\u1ed5i, n\u1eb7ng 17 kg, ng\u1ee5 T\u00e2y Ninh).<\/p>\n

Theo ng\u01b0\u1eddi nh\u00e0, tr\u1ebb s\u1ed1t li\u00ean t\u1ee5c trong ba ng\u00e0y, k\u00e8m \u0111au b\u1ee5ng v\u00e0 n\u00f4n \u00f3i nh\u01b0ng kh\u00f4ng ti\u00eau ch\u1ea3y. Gia \u0111\u00ecnh t\u1ef1 mua thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0, trong \u0111\u00f3 c\u00f3 thu\u1ed1c h\u1ea1 s\u1ed1t paracetamol h\u00e0m l\u01b0\u1ee3ng 325 mg. Do th\u1ea5y tr\u1ebb s\u1ed1t cao k\u00e9o d\u00e0i, ng\u01b0\u1eddi nh\u00e0 li\u00ean t\u1ee5c cho u\u1ed1ng thu\u1ed1c kho\u1ea3ng 3 ti\u1ebfng m\u1ed9t l\u1ea7n, nhi\u1ec1u l\u1ea7n li\u00ean ti\u1ebfp, v\u1edbi t\u1ed5ng li\u1ec1u l\u00ean t\u1edbi kho\u1ea3ng 210 mg\/kg, v\u01b0\u1ee3t xa ng\u01b0\u1ee1ng an to\u00e0n.<\/p>\n

Khi nh\u1eadp vi\u1ec7n, tr\u1ebb trong t\u00ecnh tr\u1ea1ng l\u01a1 m\u01a1, ng\u1ee7 g\u00e0, SpO\u2082 ch\u1ec9 c\u00f2n 90-91%, da v\u00e0 k\u1ebft m\u1ea1c m\u1eaft v\u00e0ng. K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m cho th\u1ea5y gan b\u1ecb t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng v\u1edbi ch\u1ec9 s\u1ed1 men gan AST h\u01a1n 4.200 U\/L, ALT g\u1ea7n 2.840 U\/L, k\u00e8m r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u n\u1eb7ng v\u00e0 t\u0103ng amoniac m\u00e1u, bi\u1ec3u hi\u1ec7n c\u1ee7a suy gan c\u1ea5p.<\/p>\n

C\u00e1c b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n tr\u1ebb ng\u1ed9 \u0111\u1ed9c paracetamol, suy gan c\u1ea5p v\u00e0 theo d\u00f5i nhi\u1ec5m tr\u00f9ng huy\u1ebft.<\/p>\n

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\"\u1ea2nh:<\/span><\/p>\n
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\u1ea2nh: BVCC<\/p>\n

Thay huy\u1ebft t\u01b0\u01a1ng, l\u1ecdc m\u00e1u li\u00ean t\u1ee5c \u0111\u1ec3 c\u1ee9u tr\u1ebb ng\u1ed9 \u0111\u1ed9c paracetamol<\/strong><\/h3>\n

Ngay sau khi x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng b\u1ec7nh, \u00ea-k\u00edp \u0111i\u1ec1u tr\u1ecb kh\u1ea9n tr\u01b0\u01a1ng tri\u1ec3n khai nhi\u1ec1u bi\u1ec7n ph\u00e1p h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c. Tr\u1ebb \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p b\u1eb1ng th\u1edf oxy, \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n th\u1edf m\u00e1y, truy\u1ec1n d\u1ecbch ch\u1ed1ng s\u1ed1c, s\u1eed d\u1ee5ng thu\u1ed1c v\u1eadn m\u1ea1ch, ch\u1ed1ng ph\u00f9 n\u00e3o, kh\u00e1ng sinh, \u0111i\u1ec1u ch\u1ec9nh r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i v\u00e0 ki\u1ec1m toan.<\/p>\n

Song song \u0111\u00f3, c\u00e1c b\u00e1c s\u0129 truy\u1ec1n thu\u1ed1c gi\u1ea3i \u0111\u1ed9c gan N-acetylcysteine (NAC) v\u00e0 ti\u1ebfn h\u00e0nh thay huy\u1ebft t\u01b0\u01a1ng k\u1ebft h\u1ee3p l\u1ecdc m\u00e1u li\u00ean t\u1ee5c trong ba \u0111\u1ee3t nh\u1eb1m lo\u1ea1i b\u1ecf \u0111\u1ed9c ch\u1ea5t, h\u1ed7 tr\u1ee3 ch\u1ee9c n\u0103ng gan.<\/p>\n

Sau h\u01a1n hai tu\u1ea7n \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, s\u1ee9c kh\u1ecfe tr\u1ebb c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t. T\u00ecnh tr\u1ea1ng v\u00e0ng da, v\u00e0ng m\u1eaft bi\u1ebfn m\u1ea5t, ch\u1ee9c n\u0103ng gan d\u1ea7n tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng, tr\u1ebb t\u1ec9nh t\u00e1o, \u0111\u01b0\u1ee3c cai m\u00e1y th\u1edf v\u00e0 t\u1ef1 th\u1edf kh\u00ed tr\u1eddi.<\/p>\n

B\u00e1c s\u0129 c\u1ea3nh b\u00e1o c\u00e1ch d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t \u0111\u1ec3 tr\u00e1nh ng\u1ed9 \u0111\u1ed9c paracetamol<\/strong><\/h3>\n

Qua tr\u01b0\u1eddng h\u1ee3p tr\u00ean, c\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Nhi \u0110\u1ed3ng Th\u00e0nh Ph\u1ed1 khuy\u1ebfn c\u00e1o ph\u1ee5 huynh tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng t\u1ef1 \u00fd t\u0103ng li\u1ec1u ho\u1eb7c r\u00fat ng\u1eafn kho\u1ea3ng c\u00e1ch gi\u1eefa c\u00e1c l\u1ea7n d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t cho tr\u1ebb.<\/p>\n

Paracetamol ch\u1ec9 n\u00ean s\u1eed d\u1ee5ng khi tr\u1ebb s\u1ed1t t\u1eeb 38,5 \u0111\u1ed9 C tr\u1edf l\u00ean, v\u1edbi li\u1ec1u 10-15 mg\/kg\/l\u1ea7n, kho\u1ea3ng c\u00e1ch gi\u1eefa hai l\u1ea7n u\u1ed1ng \u00edt nh\u1ea5t 4-6 gi\u1edd v\u00e0 t\u1ed5ng li\u1ec1u t\u1ed1i \u0111a trong 24 gi\u1edd kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 60 mg\/kg.<\/p>\n

B\u00ean c\u1ea1nh vi\u1ec7c d\u00f9ng thu\u1ed1c \u0111\u00fang c\u00e1ch, cha m\u1eb9 n\u00ean cho tr\u1ebb m\u1eb7c qu\u1ea7n \u00e1o tho\u00e1ng m\u00e1t, ch\u1ea5t li\u1ec7u cotton, b\u1ed5 sung \u0111\u1ee7 n\u01b0\u1edbc v\u00e0 theo d\u00f5i s\u00e1t di\u1ec5n bi\u1ebfn b\u1ec7nh. N\u1ebfu tr\u1ebb s\u1ed1t k\u00e9o d\u00e0i tr\u00ean 24-48 gi\u1edd ho\u1eb7c xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng nh\u01b0 li b\u00ec, n\u00f4n nhi\u1ec1u, co gi\u1eadt, kh\u00f3 th\u1edf…, 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 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, kh\u00f4ng n\u00ean t\u1ef1 \u00fd mua ho\u1eb7c ph\u1ed1i h\u1ee3p nhi\u1ec1u lo\u1ea1i thu\u1ed1c h\u1ea1 s\u1ed1t t\u1ea1i nh\u00e0.<\/p>\n

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\"B\u00e9<\/div>\n
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\n B\u00e9 g\u00e1i su\u00fdt ch\u1ebft do u\u1ed1ng 8 vi\u00ean paracetamol ch\u1eefa \u0111au \u0111\u1ea7u\n <\/div>\n
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Ph\u00fa Th\u1ecd – B\u00e9 g\u00e1i 14 tu\u1ed5i \u0111au \u0111\u1ea7u n\u00ean u\u1ed1ng ba vi\u00ean thu\u1ed1c paracetamol 500 mg \u0111\u1ec3 gi\u1ea3m \u0111au, sau \u0111\u00f3 u\u1ed1ng th\u00eam 5 vi\u00ean n\u1eefa g\u00e2y ng\u1ed9 \u0111\u1ed9c.<\/p>\n<\/div>\n

B\u1ea5m xem >>\n <\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n
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\u0110\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 cho u\u1ed1ng paracetamol c\u00e1ch nhau kho\u1ea3ng 3 ti\u1ebfng\/l\u1ea7n \u0111\u1ec3 h\u1ea1 s\u1ed1t. B\u00e9 4 tu\u1ed5i b\u1ecb ng\u1ed9 \u0111\u1ed9c paracetamol, suy gan c\u1ea5p, ph\u1ea3i thay huy\u1ebft t\u01b0\u01a1ng v\u00e0 l\u1ecdc m\u00e1u \u0111\u1ec3 gi\u00e0nh l\u1ea1i s\u1ef1 s\u1ed1ng. Ng\u1ed9 \u0111\u1ed9c paracetamol v\u00ec d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t qu\u00e1 li\u1ec1u C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Nhi \u0110\u1ed3ng Th\u00e0nh Ph\u1ed1<\/p>\n","protected":false},"author":1,"featured_media":9909,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-9908","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\/9908","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=9908"}],"version-history":[{"count":0,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts\/9908\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/media\/9909"}],"wp:attachment":[{"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9908"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9908"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9908"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}