{"id":28333,"date":"2026-02-16T09:58:02","date_gmt":"2026-02-16T09:58:02","guid":{"rendered":"https:\/\/cdchaiphong.gov.vn\/?p=28333"},"modified":"2026-03-02T01:22:38","modified_gmt":"2026-03-02T01:22:38","slug":"16-02-2026-cap-cuu-thanh-cong-ca-benh-nhoi-mau-co-tim-cap","status":"publish","type":"post","link":"https:\/\/cdchaiphong.gov.vn\/index.php\/2026\/02\/16\/16-02-2026-cap-cuu-thanh-cong-ca-benh-nhoi-mau-co-tim-cap\/","title":{"rendered":"C\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng ca b\u1ec7nh nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p."},"content":{"rendered":"

Trong kh\u00f4ng kh\u00ed r\u1ed9n r\u00e0ng c\u1ee7a nh\u1eefng ng\u00e0y \u00e1p T\u1ebft B\u00ednh Ng\u1ecd, c\u00e1c b\u00e1c s\u0129 t\u1ea1i Trung t\u00e2m Tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n \u0110a khoa H\u1ea3i D\u01b0\u01a1ng v\u1eabn l\u1eb7ng l\u1ebd ch\u1ea1y \u0111ua v\u1edbi th\u1eddi gian, duy tr\u00ec ch\u1ebf \u0111\u1ed9 tr\u1ef1c \u0111\u1ea7y \u0111\u1ee7 nh\u00e2n l\u1ef1c, \u0111\u1ea3m b\u1ea3o c\u1ea5p c\u1ee9u cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u1ea5p c\u1ee9u. Li\u00ean ti\u1ebfp nh\u1eefng ng\u00e0y g\u1ea7n \u0111\u00e2y Trung t\u00e2m \u0111\u00e3 th\u1ef1c hi\u1ec7n c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng nhi\u1ec1u ca b\u1ec7nh nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p.<\/p>\n

\"\"<\/a><\/p>\n

K\u00edp b\u00e1c s\u0129 th\u1ef1c hi\u1ec7n can thi\u1ec7p c\u1ea5p c\u1ee9u b\u1ec7nh nh\u00e2n<\/em><\/p>\n

“Gi\u1edd v\u00e0ng” quy\u1ebft \u0111\u1ecbnh s\u1ef1 s\u1ed1ng c\u00f2n c\u01a1 tim<\/strong><\/p>\n

23 gi\u1edd ng\u00e0y 14\/2, Trung t\u00e2m Tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n \u0110a khoa H\u1ea3i D\u01b0\u01a1ng ti\u1ebfp nh\u1eadn b\u1ec7nh nh\u00e2n P.V.T (68 tu\u1ed5i) \u1edf x\u00e3 Y\u1ebft Ki\u00eau v\u00e0o c\u1ea5p c\u1ee9u trong t\u00ecnh tr\u1ea1ng \u0111au t\u1ee9c v\u00f9ng ng\u1ef1c sau x\u01b0\u01a1ng \u1ee9c. Theo l\u1eddi k\u1ec3 c\u1ee7a ng\u01b0\u1eddi nh\u00e0, sau khi \u0103n c\u01a1m b\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n \u0111au th\u1eaft v\u00f9ng ng\u1ef1c sau x\u01b0\u01a1ng \u1ee9c, c\u1ea3m gi\u00e1c b\u00f3p ngh\u1eb9t, k\u00e8m kh\u00f3 th\u1edf. c\u01a1n \u0111au k\u00e9o d\u00e0i kho\u1ea3ng 1 gi\u1edd \u0111\u1ed3ng h\u1ed3 tr\u01b0\u1edbc khi v\u00e0o vi\u1ec7n. D\u00f9 tri\u1ec7u ch\u1ee9ng \u0111au ng\u1ef1c kh\u00e1 \u0111i\u1ec3n h\u00ecnh, nh\u01b0ng k\u1ebft qu\u1ea3 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 ban \u0111\u1ea7u ch\u01b0a cho th\u1ea5y d\u1ea5u hi\u1ec7u thi\u1ebfu m\u00e1u c\u01a1 tim r\u00f5 r\u1ec7t. Tuy nhi\u00ean, b\u1eb1ng kinh nghi\u1ec7m l\u00e2m s\u00e0ng, ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c nh\u1edd quy tr\u00ecnh x\u00e9t nghi\u1ec7m nghi\u00eam ng\u1eb7t, vi\u1ec7c x\u1eed tr\u00ed nhanh c\u1ee7a b\u00e1c s\u0129 k\u00edp tr\u1ef1c b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o di\u1ec7n theo d\u00f5i s\u00e1t, ch\u0103m s\u00f3c c\u1ea5p I. Sau khi ti\u1ebfn h\u00e0nh th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m men tim (Troponin) nhi\u1ec1u l\u1ea7n v\u00e0 \u0111\u00e1nh gi\u00e1 \u0111\u1ed9ng h\u1ecdc, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c \u0111\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p kh\u00f4ng ST ch\u00eanh l\u00ean (NSTEMI).<\/p>\n

Can thi\u1ec7p k\u1ecbp th\u1eddi\u00a0<\/strong><\/p>\n

Ngay sau khi c\u00f3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh, \u00ea-k\u00edp can thi\u1ec7p tim m\u1ea1ch \u0111\u00e3 \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t. B\u1ec7nh nh\u00e2n nhanh ch\u00f3ng \u0111\u01b0\u1ee3c \u0111\u01b0a l\u00ean ph\u00f2ng DSA \u0111\u1ec3 ch\u1ee5p v\u00e0 can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. K\u1ebft qu\u1ea3 ch\u1ee5p cho th\u1ea5y nh\u00e1nh \u0111\u1ed9ng m\u1ea1ch li\u00ean th\u1ea5t tr\u01b0\u1edbc b\u1ecb t\u1eafc ngh\u1ebdn \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00e1i th\u00f4ng ho\u00e0n to\u00e0n b\u1eb1ng k\u1ef9 thu\u1eadt \u0111\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (khung gi\u00e1 \u0111\u1ee1 kim lo\u1ea1i). Sau can thi\u1ec7p, b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh to\u00e0n tr\u1ea1ng, \u0111\u1ee1 \u0111au ng\u1ef1c. S\u00e1ng ng\u00e0y 16\/2, B\u1ec7nh nh\u00e2n s\u1ee9c kh\u1ecfe \u1ed5n \u0111\u1ecbnh \u0111\u00e3 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n v\u1ec1 \u0111\u00f3n T\u1ebft c\u00f9ng gia \u0111\u00ecnh.<\/p>\n

Nh\u1ed3i m\u00e1u c\u01a1 tim kh\u00f4ng ST ch\u00eanh l\u00ean r\u1ea5t “nguy hi\u1ec3m” v\u00ec bi\u1ec3u hi\u1ec7n tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 c\u00f3 th\u1ec3 kh\u00f4ng r\u00f5 r\u00e0ng \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u, d\u1ec5 khi\u1ebfn l\u1ea7m t\u01b0\u1edfng b\u1ec7nh nh\u00e2n \u0111au d\u1ea1 d\u00e0y ho\u1eb7c m\u1ec7t m\u1ecfi th\u00f4ng th\u01b0\u1eddng b\u1ecf l\u1ee1 th\u1eddi gian c\u1ea5p c\u1ee9u qu\u00fd gi\u00e1.<\/p>\n

\"\"<\/a><\/p>\n

B\u00e1c s\u0129 Trung t\u00e2m Tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n \u0110a khoa H\u1ea3i D\u01b0\u01a1ng khuy\u1ebfn c\u00e1o m\u1ecdi ng\u01b0\u1eddi nh\u1ea5t l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed tim m\u1ea1ch khi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng nh\u01b0: t\u1ee9c ng\u1ef1c, \u0111au ng\u1ef1c d\u1eef d\u1ed9i c\u1ea3m gi\u00e1c b\u00f3p ngh\u1eb9t lan l\u00ean c\u1ed5, tay; kh\u00f3 th\u1edf c\u1ea5p t\u00ednh, t\u00edm t\u00e1i, nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng qu\u00e1 nhanh ho\u1eb7c qu\u00e1 ch\u1eadm, huy\u1ebft \u00e1p t\u0103ng cao\u2026c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a ngay \u0111\u1ebfn b\u1ec7nh vi\u1ec7n x\u1eed tr\u00ed k\u1ecbp th\u1eddi tr\u00e1nh m\u1ea5t th\u1eddi gian v\u00e0ng trong c\u1ea5p c\u1ee9u ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

\u0110\u1ea1i di\u1ec7n l\u00e3nh \u0111\u1ea1o Trung t\u00e2m Tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n \u0110a khoa H\u1ea3i D\u01b0\u01a1ng cho bi\u1ebft: Trong k\u1ef3 ngh\u1ec9 T\u1ebft nguy\u00ean \u0111\u00e1n B\u00ednh Ng\u1ecd, Trung t\u00e2m duy tr\u00ec ch\u1ebf \u0111\u1ed9 tr\u1ef1c 24\/24, \u0111\u1ea3m b\u1ea3o nh\u00e2n l\u1ef1c \u0111\u1ea7y \u0111\u1ee7 t\u1ea1i c\u00e1c v\u1ecb tr\u00ed c\u1ea5p c\u1ee9u, h\u1ed3i s\u1ee9c v\u00e0 can thi\u1ec7p. S\u1eb5n s\u00e0ng thi\u1ebft b\u1ecb: H\u1ec7 th\u1ed1ng m\u00e1y ch\u1ee5p m\u1ea1ch s\u1ed1 h\u00f3a x\u00f3a n\u1ec1n (DSA) v\u00e0 c\u00e1c trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i. Quy tr\u00ecnh c\u1ea5p c\u1ee9u \u0111\u1ea3m b\u1ea3o kh\u1ea9n tr\u01b0\u01a1ng t\u1eeb kh\u00e2u ti\u1ebfp nh\u1eadn, x\u00e9t nghi\u1ec7m \u0111\u1ebfn can thi\u1ec7p m\u1ea1ch v\u00e0nh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nhanh nh\u1ea5t, r\u00fat ng\u1eafn t\u1ed1i \u0111a “th\u1eddi gian can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh”.<\/p>\n

Th\u00e0nh Th\u1eafng<\/p>\n","protected":false},"excerpt":{"rendered":"

Trong kh\u00f4ng kh\u00ed r\u1ed9n r\u00e0ng c\u1ee7a nh\u1eefng ng\u00e0y \u00e1p T\u1ebft B\u00ednh Ng\u1ecd, c\u00e1c b\u00e1c s\u0129 t\u1ea1i Trung t\u00e2m Tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n \u0110a khoa H\u1ea3i D\u01b0\u01a1ng v\u1eabn l\u1eb7ng l\u1ebd ch\u1ea1y \u0111ua v\u1edbi th\u1eddi gian, duy tr\u00ec ch\u1ebf \u0111\u1ed9 tr\u1ef1c \u0111\u1ea7y \u0111\u1ee7 nh\u00e2n l\u1ef1c, \u0111\u1ea3m b\u1ea3o c\u1ea5p c\u1ee9u cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u1ea5p c\u1ee9u. Li\u00ean ti\u1ebfp […]<\/p>\n","protected":false},"author":21,"featured_media":28334,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[121,125],"tags":[],"class_list":{"0":"post-28333","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-tin-noi-bat","8":"category-tin-tuc-su-kien"},"_links":{"self":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/28333","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/comments?post=28333"}],"version-history":[{"count":2,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/28333\/revisions"}],"predecessor-version":[{"id":28412,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/28333\/revisions\/28412"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media\/28334"}],"wp:attachment":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media?parent=28333"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/categories?post=28333"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/tags?post=28333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}