{"id":44005,"date":"2024-08-13T12:12:06","date_gmt":"2024-08-13T05:12:06","guid":{"rendered":"https:\/\/e1ship.com\/?p=44005"},"modified":"2024-08-14T16:42:11","modified_gmt":"2024-08-14T09:42:11","slug":"5-tre-duoi-nuoc-trong-do-4-ca-nguy-kich-do-so-cap-cuu-sai-cach","status":"publish","type":"post","link":"https:\/\/e1ship.com\/5-tre-duoi-nuoc-trong-do-4-ca-nguy-kich-do-so-cap-cuu-sai-cach.html","title":{"rendered":"5 tr\u1ebb \u0111u\u1ed1i n\u01b0\u1edbc, trong \u0111\u00f3 4 ca nguy k\u1ecbch do s\u01a1 c\u1ea5p c\u1ee9u sai c\u00e1ch – B\u00e1o \u0111\u1ed9ng t\u00ecnh tr\u1ea1ng \u0111u\u1ed1i n\u01b0\u1edbc \u1edf tr\u1ebb em v\u00e0 nh\u1eefng sai l\u1ea7m c\u1ea7n tuy\u1ec7t \u0111\u1ed1i tr\u00e1nh khi s\u01a1 c\u1ea5p c\u1ee9u ban \u0111\u1ea7u"},"content":{"rendered":"
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B\u00e9 trai 3 tu\u1ed5i \u0111u\u1ed1i n\u01b0\u1edbc t\u1ea1i b\u1ec3 b\u01a1i<\/em><\/strong>: Ng\u00e0y 10\/8, b\u00e9 trai (3 tu\u1ed5i, Th\u00e1i Nguy\u00ean) \u0111i b\u01a1i c\u00f9ng anh trai (14 tu\u1ed5i) t\u1ea1i b\u1ec3 b\u01a1i. Sau \u0111\u00f3, tr\u1ebb \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n ch\u00ecm trong b\u1ec3 b\u01a1i ng\u01b0\u1eddi l\u1edbn trong t\u00ecnh tr\u1ea1ng m\u00f4i t\u00edm, da tr\u1eafng nh\u1ee3t, kh\u00f4ng c\u1eed \u0111\u1ed9ng. Tr\u1ebb \u0111\u01b0\u1ee3c nh\u00e2n vi\u00ean t\u1ea1i b\u1ec3 b\u01a1i \u00e9p tim v\u00e0 th\u1ed5i ng\u1ea1t kho\u1ea3ng 2 ph\u00fat, s\u1eafc da h\u1ed3ng tr\u1edf l\u1ea1i. Tuy nhi\u00ean, tr\u1ebb l\u1ea1i \u0111\u01b0\u1ee3c v\u00e1c ch\u1ea1y trong 5 ph\u00fat, nh\u1eadn th\u1ea5y t\u00ecnh tr\u1ea1ng tr\u1ebb kh\u00f4ng c\u1ea3i thi\u1ec7n, m\u1edbi chuy\u1ec3n \u0111\u1ebfn tr\u1ea1m y t\u1ebf g\u1ea7n nh\u1ea5t v\u00e0 b\u1ec7nh vi\u1ec7n huy\u1ec7n. T\u1ea1i \u0111\u00e2y, tr\u1ebb \u0111\u01b0\u1ee3c th\u1edf oxy, c\u00f3 nh\u1ecbp tim tr\u1edf l\u1ea1i, nh\u01b0ng ti\u1ec3u ti\u1ec7n kh\u00f4ng t\u1ef1 ch\u1ee7, c\u00f3 c\u01a1n co c\u1ee9ng n\u00ean chuy\u1ec3n b\u1ec7nh vi\u1ec7n t\u1ec9nh. Tr\u1ebb ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 chuy\u1ec3n \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng.<\/p>\n Th\u1eddi \u0111i\u1ec3m nh\u1eadp vi\u1ec7n, b\u1ec7nh nhi h\u00f4n m\u00ea, suy h\u00f4 h\u1ea5p, suy tu\u1ea7n ho\u00e0n, suy \u0111a t\u1ea1ng, \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u1edf m\u00e1y, \u1ed5n \u0111\u1ecbnh huy\u1ebft \u0111\u1ed9ng, l\u1ecdc m\u00e1u,kh\u00e1ng sinh v\u00e0 s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p h\u1ea1 th\u00e2n nhi\u1ec7t ch\u1ee7 \u0111\u1ed9ng \u0111\u1ec3 b\u1ea3o v\u1ec7 n\u00e3o. Tuy nhi\u00ean, sau 3 ng\u00e0y,, t\u00ecnh tr\u1ea1ng c\u1ee7a tr\u1ebb v\u1eabn n\u1eb7ng n\u1ec1, nguy c\u01a1 t\u1eed vong cao do suy \u0111a c\u01a1 quan, th\u1eddi gian thi\u1ebfu oxy n\u00e3o k\u00e9o d\u00e0i v\u00ec kh\u00f4ng \u0111\u01b0\u1ee3c s\u01a1 c\u1ea5p c\u1ee9u ban \u0111\u1ea7u \u0111\u00fang c\u00e1ch.<\/p>\n <\/p>\n B\u00e9 trai 12 tu\u1ed5i \u1edf Nam \u0110\u1ecbnh, \u0111u\u1ed1i n\u01b0\u1edbc \u1edf s\u00f4ng g\u1ea7n nh\u00e0:<\/em><\/strong> Khi v\u1edbt tr\u1ebb l\u00ean, ng\u01b0\u1eddi c\u1ea5p c\u1ee9u kh\u00f4ng r\u00f5 tr\u1ebb c\u00f3 ng\u1eebng th\u1edf, ng\u1eebng tim hay kh\u00f4ng m\u00e0 ch\u1ec9 bi\u1ebft tr\u1ebb t\u00edm t\u00e1i v\u00e0 v\u00e1c ng\u01b0\u1ee3c ch\u1ea1y kho\u1ea3ng 10 ph\u00fat, m\u1eb7c d\u00f9 tr\u1ebb c\u00f3 c\u00e2n n\u1eb7ng kh\u00e1 l\u1edbn (50kg). Khi th\u1ea5y kh\u00f4ng hi\u1ec7u qu\u1ea3, tr\u1ebb m\u1edbi \u0111\u01b0\u1ee3c \u00e9p tim v\u00e0 \u0111\u01b0a \u0111i c\u1ea5p c\u1ee9u t\u1ea1i b\u1ec7nh vi\u1ec7n huy\u1ec7n, tr\u1ebb c\u00f3 nh\u1ecbp tim tr\u1edf l\u1ea1i sau 15 ph\u00fat c\u1ea5p c\u1ee9u. Tuy nhi\u00ean, do th\u1eddi gian ng\u1eebng tim tr\u01b0\u1edbc \u0111\u00f3 k\u00e9o d\u00e0i (tr\u00ean 30 ph\u00fat) n\u00ean m\u1eb7c d\u00f9 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng, tr\u1ebb v\u1eabn h\u00f4n m\u00ea s\u00e2u, suy h\u00f4 h\u1ea5p, ti\u00ean l\u01b0\u1ee3ng di ch\u1ee9ng th\u1ea7n kinh n\u1eb7ng n\u1ec1.<\/p>\n <\/p>\n B\u00e9 g\u00e1i 4 tu\u1ed5i <\/em><\/strong>\u1edf H\u00e0 N\u1ed9i <\/em><\/strong>b\u1ecb \u0111u\u1ed1i n\u01b0\u1edbc khi \u0111i t\u1eadp b\u01a1i <\/em><\/strong>– may m\u1eafn h\u1ed3i ph\u1ee5c t\u1ed1t do s\u01a1 c\u1ea5p c\u1ee9u ban \u0111\u1ea7u \u0111\u00fang c\u00e1ch:<\/em><\/strong> M\u1eb9 c\u1ee7a b\u00e9 g\u00e1i cho bi\u1ebft: tr\u01b0\u1edbc khi v\u00e0o vi\u1ec7n tr\u1ebb \u0111\u01b0\u1ee3c b\u1ed1 m\u1eb9 cho \u0111i h\u1ecdc b\u01a1i t\u1ea1i b\u1ec3 b\u01a1i g\u1ea7n nh\u00e0, trong qu\u00e1 tr\u00ecnh b\u01a1i tr\u1ebb g\u1ea7n nh\u01b0 \u0111\u00e3 bi\u1ebft b\u01a1i v\u00e0 \u0111\u01b0\u1ee3c cho sang b\u1ec3 c\u1ee7a ng\u01b0\u1eddi l\u1edbn t\u1eadp b\u01a1i d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a b\u1ed1 v\u00e0 c\u00f4 gi\u00e1o d\u1ea1y b\u01a1i. Tuy nhi\u00ean, khi sang b\u1ec3 ng\u01b0\u1eddi l\u1edbn tr\u1ebb kh\u00f4ng th\u00edch b\u01a1i, kh\u00f4ng h\u1ee3p t\u00e1c n\u00ean sau kho\u1ea3ng 5 ph\u00fat c\u00f3 d\u1ea5u hi\u1ec7u b\u1ecb \u0111u\u1ed1i n\u01b0\u1edbc. Khi ph\u00e1t hi\u1ec7n tr\u1ebb t\u00edm t\u00e1i, c\u00f4 gi\u00e1o v\u00e0 b\u1ed1 v\u1edbt tr\u1ebb l\u00ean v\u00e0 ti\u1ebfn h\u00e0nh s\u01a1 c\u1ee9u \u00e9p tim, th\u1ed5i ng\u1ea1t li\u00ean t\u1ee5c, kh\u00f4ng l\u00e0m theo c\u00e1ch s\u01a1 c\u1ea5p c\u1ee9u \u0111u\u1ed1i n\u01b0\u1edbc sai l\u1ea7m th\u01b0\u1eddng m\u1eafc l\u00e0 d\u1ed1c ng\u01b0\u1ee3c ch\u1ea1y, g\u00e2y m\u1ea5t th\u1eddi gian v\u00e0ng \u0111\u1ec3 c\u1ee9u s\u1ed1ng tr\u1ebb. Sau c\u1ea5p c\u1ee9u kho\u1ea3ng 1 ph\u00fat, tr\u1ebb c\u00f3 nh\u1ecbp th\u1edf l\u1ea1i v\u00e0 \u0111\u01b0\u1ee3c chuy\u1ec3n t\u1edbi t\u1edbi c\u01a1 s\u1edf y t\u1ebf. M\u1eb7c d\u00f9 khi tr\u1ebb v\u00e0o B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng trong t\u00ecnh tr\u1ea1ng n\u1eb7ng, nh\u01b0ng ch\u1ec9 sau 3 ng\u00e0y, tr\u1ebb \u0111\u00e3 cai \u0111\u01b0\u1ee3c m\u00e1y th\u1edf. Hi\u1ec7n t\u1ea1i, tr\u1ebb ho\u00e0n to\u00e0n t\u1ec9nh t\u00e1o v\u00e0 chu\u1ea9n b\u1ecb \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n.<\/p>\n <\/p>\n Th\u1eddi gian ch\u1ecbu \u0111\u1ef1ng thi\u1ebfu oxy c\u1ee7a n\u00e3o t\u1ed1i \u0111a 4-5 ph\u00fat, c\u1ea7n h\u1ed3i s\u1ee9c tim ph\u1ed5i ngay \u0111\u1ec3 c\u1ee9u s\u1ed1ng tr\u1ebb \u0111u\u1ed1i n\u01b0\u1edbc:<\/strong><\/p>\n ThS.BS Ho\u00e0ng Ng\u1ecdc C\u1ea3nh – Khoa \u0110i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c N\u1ed9i khoa, B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng cho bi\u1ebft: vi\u1ec7c s\u01a1 c\u1ea5p c\u1ee9u ban \u0111\u1ea7u cho tr\u1ebb \u0111u\u1ed1i n\u01b0\u1edbc r\u1ea5t quan tr\u1ecdng v\u00ec nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eed vong \u1edf tr\u1ebb \u0111u\u1ed1i n\u01b0\u1edbc l\u00e0 t\u1ed5n th\u01b0\u01a1ng n\u00e3o do thi\u1ebfu \u00f4xy. Th\u1eddi gian ch\u1ecbu \u0111\u1ef1ng thi\u1ebfu oxy c\u1ee7a n\u00e3o t\u1ed1i \u0111a ch\u1ec9 kho\u1ea3ng t\u1eeb 4-5 ph\u00fat, n\u1ebfu qu\u00e1 th\u1eddi gian n\u00e0y s\u1ebd d\u1eabn t\u1edbi t\u1ed5n th\u01b0\u01a1ng n\u00e3o kh\u00f4ng h\u1ed3i ph\u1ee5c, g\u00e2y t\u1eed vong ho\u1eb7c di ch\u1ee9ng th\u1ea7n kinh. V\u00ec th\u1ebf, khi th\u1ea5y m\u1ed9t tr\u1ebb b\u1ecb \u0111u\u1ed1i n\u01b0\u1edbc kh\u00f4ng t\u1ec9nh, kh\u00f4ng th\u1edf, ng\u1eebng tim th\u00ec c\u1ea7n ph\u1ea3i h\u1ed3i s\u1ee9c tim ph\u1ed5i (th\u1ed5i ng\u1ea1t, \u00e9p tim) ngay..<\/p>\n Vi\u1ec7c nhi\u1ec1u ng\u01b0\u1eddi c\u00f3 th\u00f3i quen d\u1ed1c ng\u01b0\u1ee3c tr\u1ebb l\u00ean vai r\u1ed3i ch\u1ea1ys\u1ebd l\u00e0m cho c\u00e1c d\u1ecbch \u1edf d\u1ea1 d\u00e0y tr\u00e0o ng\u01b0\u1ee3c h\u00edt v\u00e0o \u0111\u01b0\u1eddng th\u1edf v\u00e0\u00a0l\u00e0m ch\u1eadm tr\u1ec5 h\u1ed3i s\u1ee9c tim ph\u1ed5i\u00a0(\u00e9p tim\/th\u1ed5i ng\u1ea1t), l\u00e0m m\u1ea5t th\u1eddi gian v\u00e0ng \u0111\u1ec3 c\u1ea5p c\u1ee9u tr\u1ebb, th\u1eadm ch\u00ed g\u00e2y th\u00eam c\u00e1c t\u1ed5n th\u01b0\u01a1ng cho tr\u1ebb.<\/p>\n B\u01b0\u1edbc 1: Go\u0323i tr\u01a1\u0323 giu\u0301p<\/strong>:<\/strong> c\u00e2\u0300n nhanh cho\u0301ng ti\u0300m s\u01b0\u0323 tr\u01a1\u0323 giu\u0301p cu\u0309a nh\u01b0\u0303ng ngu\u031b\u01a1\u0300i xung quanh khi th\u00e2\u0301y tre\u0309 bi\u0323 \u0111u\u00f4\u0301i nu\u031b\u01a1\u0301c b\u0103\u0300ng ca\u0301ch g\u1ecdi to, g\u1ecdi c\u1ea5p c\u1ee9u 115.<\/p>\n <\/p>\n B\u01b0\u1edbc<\/strong> 2. <\/strong>Nhanh<\/strong> ch\u00f3ng \u0111\u01b0a <\/strong>tre\u0309 ra kho\u0309i nu\u031b\u01a1\u0301c<\/strong> b\u1eb1ng m\u1ecdi c\u00e1ch<\/strong>:<\/strong> \u0111a\u0302y la\u0300 bu\u031b\u01a1\u0301c r\u00e2\u0301t quan tro\u0323ng, co\u0301 hai phu\u031bo\u031bng pha\u0301p l\u00e0 c\u01b0\u0301u \u0111u\u00f4\u0301i gia\u0301n ti\u00ea\u0301p va\u0300 c\u01b0\u0301u \u0111u\u00f4\u0301i tr\u01b0\u0323c ti\u00ea\u0301p.<\/p>\n –\u00a0C\u01b0\u0301u \u0111u\u00f4\u0301i gia\u0301n ti\u00ea\u0301p:<\/em>\u00a0la\u0300 s\u01b0\u0309 du\u0323ng ca\u0301c du\u0323ng cu\u0323 c\u01b0\u0301u \u0111u\u00f4\u0301i s\u0103\u0303n co\u0301 (phao, da\u0302y, g\u1ea1\u0302y, qu\u00e2\u0300n a\u0301o, ca\u0301c v\u1ea1\u0302t co\u0301 th\u00ea\u0309 n\u00f4\u0309i tre\u0302n nu\u031b\u01a1\u0301c,\u2026) \u0111\u00ea\u0309 c\u01b0\u0301u ngu\u031b\u01a1\u0300i tre\u0309 \u0111u\u00f4\u0301i nu\u031b\u01a1\u0301c khi v\u00e2\u0303n co\u0300n \u0111ang ti\u0309nh. Tu\u0300y theo ti\u0300nh hi\u0300nh v\u00e0 ti\u0301nh ch\u00e2\u0301t cu\u0309a m\u00f4\u0303i tru\u031b\u01a1\u0300ng h\u01a1\u0323p cu\u0323 th\u00ea\u0309 ma\u0300 ngu\u031b\u01a1\u0300i c\u01b0\u0301u \u0111u\u00f4\u0301i l\u01b0\u0323a cho\u0323n phu\u031bo\u031bng a\u0301n c\u01b0\u0301u \u0111\u00ea\u0309 phu\u0300 h\u01a1\u0323p, an toa\u0300n va\u0300 hi\u1eb9\u0302u qua\u0309.<\/p>\n –\u00a0C\u01b0\u0301u \u0111u\u00f4\u0301i tr\u01b0\u0323c ti\u00ea\u0301p:<\/em>\u00a0la\u0300 xu\u00f4\u0301ng nu\u031b\u01a1\u0301c, bo\u031bi \u0111\u00ea\u0301n c\u01b0\u0301u na\u0323n nha\u0302n; c\u01b0\u0301u \u0111u\u00f4\u0301i tr\u01b0\u0323c ti\u00ea\u0301p n\u00ean da\u0300nh cho \u0111\u00f4\u0301i tu\u031b\u01a1\u0323ng c\u01b0\u0301u h\u1ecd\u0302 chuye\u0302n nghi\u1eb9\u0302p, \u0111u\u031b\u01a1\u0323c \u0111a\u0300o ta\u0323o co\u0301 \u0111u\u0309 s\u01b0\u0301c kho\u0309e va\u0300 na\u0306ng l\u01b0\u0323c \u01a1\u0309 th\u01a1\u0300i \u0111i\u00ea\u0309m th\u01b0\u0323c hi\u1eb9\u0302n ho\u1eb7c \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00f4ng chuy\u00ean c\u00f3 k\u1ef9 n\u0103ng b\u01a1i v\u00e0 c\u1ee9u \u0111u\u1ed1i.<\/p>\n B\u01b0\u1edbc<\/strong> 3<\/strong>. Ki\u00ea\u0309m tra xem tre\u0309 co\u0301 th\u01a1\u0309 kho\u0302ng va\u0300 co\u0301 ti\u0309nh kho\u0302ng <\/strong><\/p>\n Khi tr\u1ebb \u0111\u01b0\u1ee3c \u0111\u01b0a l\u00ean b\u1edd, ngay l\u1eadp t\u1ee9c xem tre\u0309 co\u0301 th\u01a1\u0309 kho\u0302ng b\u1eb1ng c\u00e1ch: nhi\u0300n l\u00f4\u0300ng ng\u01b0\u0323c cu\u0309a tre\u0309 co\u0301 di \u0111\u1ecd\u0302ng kho\u0302ng? \u0110\u1ea1\u0306t tai cu\u0309a ba\u0323n g\u00e2\u0300n mi\u1eb9\u0302ng va\u0300 mu\u0303i tre\u0309 co\u0301 ca\u0309m th\u00e2\u0301y kho\u0302ng khi\u0301 th\u01a1\u0309 ra cu\u0309a tre\u0309 \u01a1\u0309 tre\u0302n ma\u0301 cu\u0309a ba\u0323n kho\u0302ng? (th\u01a1\u0309 nga\u0301p \u0111u\u031b\u01a1\u0323c xem la\u0300 kho\u0302ng th\u01a1\u0309). Trong khi ki\u00ea\u0309m tra ho\u031bi th\u01a1\u0309, ba\u0323n cu\u0303ng co\u0301 th\u00ea\u0309 lay go\u0323i tre\u0309 \u0111\u00ea\u0309 xem \u0111\u01b0\u0301a tre\u0309 co\u0301 pha\u0309n \u01b0\u0301ng kho\u0302ng.<\/p>\n B\u01b0\u1edbc<\/strong> 4<\/strong>. N\u00ea\u0301u tre\u0309 kho\u0302ng th\u01a1\u0309, ha\u0303y b\u0103\u0301t \u0111\u00e2\u0300u h\u00f4\u0300i s\u01b0\u0301c tim ph\u00f4\u0309i (CPR) <\/strong>ngay: <\/strong><\/p>\n C\u00e2\u0309n th\u1ea1\u0302n \u0111\u1ea1\u0306t tre\u0309 n\u0103\u0300m ng\u01b0\u0309a tre\u0302n n\u1ec1n<\/strong> c\u01b0\u0301ng.<\/strong><\/p>\n N\u00ea\u0301u nghi ng\u01a1\u0300 ch\u00e2\u0301n thu\u031bo\u031bng c\u00f4\u0309<\/strong>:<\/strong> ha\u0303y di chuy\u00ea\u0309n tre\u0309 tre\u0309 b\u0103\u0300ng ca\u0301ch di chuy\u00ea\u0309n toa\u0300n b\u1ecd\u0302 co\u031b th\u00ea\u0309 (\u0111\u00e2\u0300u, c\u00f4\u0309, c\u1ecd\u0302t s\u00f4\u0301ng va\u0300 ho\u0302ng) v\u01a1\u0301i nhau, gi\u01b0\u0303 cho t\u00e2\u0301t ca\u0309 chu\u0301ng th\u0103\u0309ng ha\u0300ng; kho\u0302ng ng\u01b0\u0309a \u0111\u00e2\u0300u n\u00e2ng c\u1eb1m, chi\u0309 c\u00e2\u0300n \u00e2\u0301n g\u00f3c ha\u0300m.<\/p>\nC\u00e1c b\u01b0\u1edbc c\u1ea5p c\u1ee9u \u0111u\u1ed1i n\u01b0\u1edbc <\/strong>\u0111\u00fang<\/strong> c\u00e1ch \u0111\u01b0\u1ee3c H\u1ed9i Nhi khoa Vi\u1ec7t Nam v\u00e0 B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng khuy\u1ebfn c\u00e1o \u00e1p d\u1ee5ng<\/strong>:<\/strong><\/h3>\n