{"id":4123,"date":"2019-11-11T16:02:37","date_gmt":"2019-11-11T09:02:37","guid":{"rendered":"https:\/\/43hr.com\/?p=4123"},"modified":"2019-11-16T10:32:27","modified_gmt":"2019-11-16T03:32:27","slug":"ban-da-hieu-gi-ve-benh-sot-xuat-huyet","status":"publish","type":"post","link":"https:\/\/43hr.com\/ban-da-hieu-gi-ve-benh-sot-xuat-huyet\/","title":{"rendered":"B\u1ea1n \u0111\u00e3 hi\u1ec3u g\u00ec v\u1ec1 b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft?"},"content":{"rendered":"

Theo http:\/\/benhvien108.vn<\/a><\/p>\n

\"\"<\/p>\n

    \n
  1. Ch\u1ea9n \u0111o\u00e1n s\u1ed1t xu\u1ea5t huy\u1ebft dengue<\/strong><\/li>\n<\/ol>\n

    Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng:<\/p>\n

    S\u1ed1t cao \u0111\u1ed9t ng\u1ed9t, li\u00ean t\u1ee5c t\u1eeb 2-7 ng\u00e0y v\u00e0 c\u00f3 \u00edt nh\u1ea5t 2 trong c\u00e1c d\u1ea5u hi\u1ec7u sau th\u00ec nghi m\u1eafc s\u1ed1t xu\u1ea5t huy\u1ebft:<\/p>\n

    – Bi\u1ec3u hi\u1ec7n xu\u1ea5t huy\u1ebft c\u00f3 th\u1ec3 nh\u01b0 nghi\u1ec7m ph\u00e1p d\u00e2y th\u1eaft d\u01b0\u01a1ng t\u00ednh, ch\u1ea5m xu\u1ea5t huy\u1ebft \u1edf d\u01b0\u1edbi da, ch\u1ea3y m\u00e1u ch\u00e2n r\u0103ng ho\u1eb7c ch\u1ea3y m\u00e1u cam.<\/p>\n

    – Nh\u1ee9c \u0111\u1ea7u, ch\u00e1n \u0103n, bu\u1ed3n n\u00f4n.<\/p>\n

    – Da xung huy\u1ebft, ph\u00e1t ban.<\/p>\n

    – \u0110au c\u01a1, \u0111au kh\u1edbp, nh\u1ee9c hai h\u1ed1 m\u1eaft.<\/p>\n

    X\u00e9t nghi\u1ec7m:<\/p>\n

    – Hematocrit b\u00ecnh th\u01b0\u1eddng (kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n c\u00f4 \u0111\u1eb7c m\u00e1u).<\/p>\n

    – S\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u b\u00ecnh th\u01b0\u1eddng ho\u1eb7c gi\u1ea3m.<\/p>\n

    – S\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u th\u01b0\u1eddng gi\u1ea3m.<\/p>\n

    C\u00e1c d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o:<\/p>\n

    Bao g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a s\u1ed1t xu\u1ea5t huy\u1ebft, k\u00e8m theo c\u00e1c d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o sau:<\/p>\n

    – V\u1eadt v\u00e3, l\u1eeb \u0111\u1eeb, li b\u00ec.<\/p>\n

    – \u0110au b\u1ee5ng v\u00f9ng gan ho\u1eb7c \u1ea5n \u0111au v\u00f9ng gan.<\/p>\n

    – Gan to > 2 cm.<\/p>\n

    – N\u00f4n nhi\u1ec1u.<\/p>\n

    – Xu\u1ea5t huy\u1ebft ni\u00eam m\u1ea1c.<\/p>\n

    – Ti\u1ec3u \u00edt.<\/p>\n

    – X\u00e9t nghi\u1ec7m m\u00e1u:<\/p>\n

    + Hematocrit t\u0103ng cao.<\/p>\n

    + Ti\u1ec3u c\u1ea7u gi\u1ea3m nhanh ch\u00f3ng.<\/p>\n

    S\u1ed1t xu\u1ea5t huy\u1ebft Dengue n\u1eb7ng:<\/p>\n

    Khi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 m\u1ed9t trong c\u00e1c bi\u1ec3u hi\u1ec7n sau:<\/p>\n

    – Suy tu\u1ea7n ho\u00e0n c\u1ea5p, th\u01b0\u1eddng x\u1ea3y ra v\u00e0o ng\u00e0y th\u1ee9 3-7 c\u1ee7a b\u1ec7nh, bi\u1ec3u hi\u1ec7n b\u1edfi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 v\u1eadt v\u00e3; b\u1ee9t r\u1ee9t ho\u1eb7c li b\u00ec; l\u1ea1nh \u0111\u1ea7u chi, da l\u1ea1nh \u1ea9m; m\u1ea1ch nhanh nh\u1ecf, huy\u1ebft \u00e1p k\u1eb9t (hi\u1ec7u s\u1ed1 huy\u1ebft \u00e1p t\u1ed1i \u0111a v\u00e0 t\u1ed1i thi\u1ec3u \u2264 20 mmHg) ho\u1eb7c t\u1ee5t huy\u1ebft \u00e1p ho\u1eb7c kh\u00f4ng \u0111o \u0111\u01b0\u1ee3c huy\u1ebft \u00e1p; ti\u1ec3u \u00edt.<\/p>\n

    – Ch\u1ea3y m\u00e1u cam n\u1eb7ng (c\u1ea7n nh\u00e9t g\u1ea1c v\u00e1ch m\u0169i), rong kinh n\u1eb7ng, xu\u1ea5t huy\u1ebft trong c\u01a1 v\u00e0 ph\u1ea7n m\u1ec1m, xu\u1ea5t huy\u1ebft \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 n\u1ed9i t\u1ea1ng, \u0111\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch n\u1eb7ng.<\/p>\n

    – Xu\u1ea5t huy\u1ebft n\u1eb7ng c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf ng\u01b0\u1eddi b\u1ec7nh d\u00f9ng c\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam nh\u01b0 acetylsalicylic acid (aspirin), ibuprofen ho\u1eb7c d\u00f9ng corticoid, ti\u1ec1n s\u1eed lo\u00e9t d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng, vi\u00eam gan m\u1ea1n.<\/p>\n

    Suy t\u1ea1ng n\u1eb7ng:<\/p>\n

    – Suy gan c\u1ea5p: (AST, ALT \u2265 1000 U\/L), prothrombin < 75%, Albumin < 35 g\/l<\/p>\n

    – Suy th\u1eadn c\u1ea5p: thi\u1ec3u ni\u1ec7u, v\u00f4 ni\u00eau; Ure, Creatinine m\u00e1u t\u0103ng, K+ m\u00e1u t\u0103ng<\/p>\n

    – R\u1ed1i lo\u1ea1n tri gi\u00e1c (S\u1ed1t xu\u1ea5t huy\u1ebft th\u1ec3 n\u00e3o).<\/p>\n

    – Vi\u00eam c\u01a1 tim, suy tim, ho\u1eb7c suy ch\u1ee9c n\u0103ng c\u00e1c c\u01a1 quan kh\u00e1c.<\/p>\n

      \n
    1. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft t\u1ea1i nh\u00e0<\/strong><\/li>\n<\/ol>\n

      Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb khi b\u1ec7nh nh\u00e2n khi ch\u01b0a \u0111\u1ebfn b\u1ec7nh vi\u1ec7n:<\/p>\n

      – B\u1ed5 xung d\u1ecbch s\u1edbm, \u0111\u1ee7 b\u1eb1n \u0111\u01b0\u1eddng u\u1ed1ng, u\u1ed1ng \u0111\u1ee7 v\u00e0 \u0111\u00fang: oresol; ch\u00e1o\/s\u00fap; ho\u1eb7c n\u01b0\u1edbc ch\u00e1o lo\u00e3ng v\u1edbi mu\u1ed1i; n\u01b0\u1edbc tr\u00e1i c\u00e2y (n\u01b0\u1edbc d\u1eeba, cam, chanh, \u2026).<\/p>\n

      – N\u1ebfu s\u1ed1t cao \u2265 38,50C, cho thu\u1ed1c h\u1ea1 nhi\u1ec7t, n\u1edbi l\u1ecfng qu\u1ea7n \u00e1o, lau m\u00e1t b\u1eb1ng n\u01b0\u1edbc \u1ea5m. Paracetamol \u0111\u01a1n ch\u1ea5t, li\u1ec1u d\u00f9ng t\u1eeb 10 – 15 mg\/kg c\u00e2n n\u1eb7ng\/l\u1ea7n, c\u00e1ch nhau m\u1ed7i 4-6 gi\u1edd. T\u1ed5ng li\u1ec1u paracetamol kh\u00f4ng qu\u00e1 60mg\/kg c\u00e2n n\u1eb7ng\/24h.<\/p>\n

      – Kh\u00f4ng d\u00f9ng nh\u00f3m salicylate (aspirin) v\u00e0 analgin, ibuprofen \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb v\u00ec c\u00f3 th\u1ec3 g\u00e2y xu\u1ea5t huy\u1ebft, toan m\u00e1u.<\/p>\n

      Khi n\u00e0o c\u1ea7n kh\u00e1m v\u00e0 theo d\u00f5i b\u1ec7nh nh\u00e2n t\u1ea1i c\u01a1 s\u1edf y t\u1ebf?<\/p>\n

      – T\u1ea5t c\u1ea3 m\u1ecdi b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u1ebfn c\u00e1c c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t (n\u1ebfu c\u00f3 th\u1ec3) \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n v\u00e0 h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa.<\/p>\n

      – Khi b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o nh\u01b0 tr\u00ean, ho\u1eb7c ng\u01b0\u1eddi cao tu\u1ed5i, ng\u01b0\u1eddi c\u00f3 c\u00e1c b\u1ec7nh n\u1ec1n: \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, \u0111\u1eb7t stend m\u1ea1ch v\u00e0nh, suy th\u1eadn, t\u0103ng huy\u1ebft \u00e1p\u2026<\/p>\n

      III. Ph\u00f2ng b\u1ec7nh<\/strong><\/p>\n

      – Tr\u00e1nh mu\u1ed7i \u0111\u1ed1t: ng\u1ee7 m\u00e0n, m\u1eb7c qu\u1ea7n \u00e1o d\u00e0i, \u0111i t\u1ea5t\u2026<\/p>\n

      – Ng\u0103n ch\u1eb7n vec t\u01a1 truy\u1ec1n b\u1ec7nh: phun thu\u1ed1c ch\u1ed1ng mu\u1ed7i, h\u1ea1n ch\u1ebf mu\u1ed7i sinh s\u1ea3n, ph\u00e1t tri\u1ec3n: c\u00e1c v\u1eadt d\u1ee5ng ch\u1ee9a n\u01b0\u1edbc trong nh\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u1eady k\u00edn, tr\u00e1nh \u0111\u1ec3 mu\u1ed7i \u0111\u1ebb tr\u1ee9ng sinh b\u1ecd g\u1eady, lo\u1ea1i b\u1ecf c\u00e1c \u0111\u1ed3 v\u1eadt ch\u1ee9a n\u01b0\u1edbc \u0111\u1ecdng, ph\u00e1t quang b\u1ee5i c\u00e2y \u1edf xung quanh nh\u00e0; kh\u01a1i th\u00f4ng c\u1ed1ng r\u00e3nh.<\/p>\n

      Khi n\u00e0o kh\u00f4ng \u0111\u1ec3 mu\u1ed7i \u0111\u1ed1t, khi \u0111\u00f3 kh\u00f4ng m\u1eafc s\u1ed1t xu\u1ea5t huy\u1ebft!<\/em><\/strong><\/p>\n

       <\/p>\n

      \u00a0\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0TS, BS B\u00f9i Tr\u00ed C\u01b0\u1eddng – Khoa b\u1ec7nh l\u00e2y \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/strong><\/p>\n

      \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Vi\u1ec7n L\u00e2m s\u00e0ng c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m BV T\u01afQ\u0110108<\/strong><\/p>\n

       <\/p>\n

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

      Theo http:\/\/benhvien108.vn Ch\u1ea9n \u0111o\u00e1n s\u1ed1t xu\u1ea5t huy\u1ebft dengue Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng: S\u1ed1t cao \u0111\u1ed9t ng\u1ed9t, li\u00ean t\u1ee5c t\u1eeb 2-7 ng\u00e0y v\u00e0 c\u00f3 \u00edt nh\u1ea5t 2 trong c\u00e1c d\u1ea5u hi\u1ec7u sau th\u00ec nghi m\u1eafc s\u1ed1t xu\u1ea5t huy\u1ebft: – Bi\u1ec3u hi\u1ec7n…<\/p>\n","protected":false},"author":8,"featured_media":4124,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"image","meta":[],"categories":[26,3],"tags":[154],"yoast_head":"\nB\u1ea1n \u0111\u00e3 hi\u1ec3u g\u00ec v\u1ec1 b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft? - Tr\u01b0\u1eddng Cao \u0111\u1eb3ng Y D\u01b0\u1ee3c H\u00e0 N\u1ed9i<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/43hr.com\/ban-da-hieu-gi-ve-benh-sot-xuat-huyet\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u1ea1n \u0111\u00e3 hi\u1ec3u g\u00ec v\u1ec1 b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft? 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