![\"truyen-dich-cho-cho-meo-can-luu-y-1\"](\"https:\/\/img.yeupet.vn\/2018\/11\/truyen-dich-cho-cho-meo-can-luu-y-1.jpg\")
<\/p>\nTruy\u1ec1n d\u1ecbch l\u00e0 \u0111\u01b0a v\u00e0o c\u01a1 th\u1ec3 b\u1ec7nh s\u00fac qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch ho\u1eb7c d\u01b0\u1edbi da m\u1ed9t kh\u1ed1i l\u01b0\u1ee3ng dung d\u1ecbch v\u1edbi m\u1ee5c \u0111\u00edch:
\nH\u1ed3i ph\u1ee5c l\u1ea1i kh\u1ed1i l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n khi b\u1ec7nh s\u00fac b\u1ecb m\u1ea5t n\u01b0\u1edbc, m\u1ea5t m\u00e1u (xu\u1ea5t huy\u1ebft, b\u1ecfng v\u00e0 ti\u00eau ch\u1ea3y, n\u00f4n m\u1eeda m\u1ea5t n\u01b0\u1edbc\u2026)
\nGi\u1ea3i \u0111\u1ed9c, l\u1ee3i ti\u1ec3u\u2026
\nNu\u00f4i d\u01b0\u1ee1ng b\u1ec7nh s\u00fac khi b\u1ec7nh s\u00fac kh\u00f4ng \u01cen u\u1ed1ng \u0111\u01b0\u1ee3c
\nL\u00e0 \u0111\u01b0\u1eddng \u0111\u01b0a thu\u1ed1c v\u00e0o \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh h\u1eefu hi\u1ec7u.<\/p>\n
<\/p>\n
Truy\u1ec1n d\u1ecbch ch\u00f3, m\u00e8o<\/p>\n
I. Nh\u1eefng dung d\u1ecbch hay d\u00f9ng \u0111\u1ec3 truy\u1ec1n cho ch\u00f3, m\u00e8o<\/strong><\/p>\n 1. Dung d\u1ecbch \u0111\u1eb3ng tr\u01b0\u01a1ng<\/strong><\/p>\n 1.1 Dung d\u1ecbch n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd (NaCl 0,9%)<\/strong> 1.2 Ringer lactat<\/strong> 2. Dung d\u1ecbch \u01b0u tr\u01b0\u01a1ng<\/strong><\/p>\n 2.1 C\u00e1c lo\u1ea1i dung d\u1ecbch: NaCl 1,2 \u2013 1,8- 3,6- 7,2- 10 v\u00e0 20%.<\/strong> 2.2 Dung d\u1ecbch Glucose \u01b0u tr\u01b0\u01a1ng100g; 150g v\u00e0 300g\/ 1000 mL.<\/strong> Dung d\u1ecbch \u01b0u tr\u01b0\u01a1ng c\u00f3 th\u1ec3 g\u00e2y r\u1ed1i lo\u1ea1n th\u1ea7n kinh ho\u1eb7c l\u00e0 do t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u, ho\u1eb7c l\u00e0 do t\u00e1c d\u1ee5ng \u0111\u1ed9c tr\u1ef1c ti\u1ebfp tr\u00ean th\u1ea7n kinh<\/p>\n II. Nh\u1eefng l\u01b0u \u00fd tr\u01b0\u1edbc khi truy\u1ec1n d\u1ecbch<\/strong><\/p>\n 1. Nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra khi truy\u1ec1n d\u1ecbch<\/strong><\/p>\n S\u1ed1c ph\u1ea3n v\u1ec7 do truy\u1ec1n nhanh, \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u cao g\u00e2y bi\u1ebfn ch\u1ee9ng v\u1edbi bi\u1ec3u hi\u1ec7n t\u1ee9 chi l\u1ea1nh, m\u1ea1ch nhanh, huy\u1ebft \u00e1p t\u1ee5t. 2. Nh\u1eefng l\u01b0u \u00fd khi truy\u1ec1n d\u1ecbch cho ch\u00f3, m\u00e8o<\/strong><\/p>\n Th\u1eadn tr\u1ecdng \u0111\u1ed1i v\u1edbi con v\u1eadt l\u1edbn tu\u1ed5i, c\u00f3 \u0111\u1ed9 l\u1ecdc th\u1eadn y\u1ebfu, c\u00f3 ti\u1ec1n s\u1eed tim m\u1ea1ch hay c\u00f3 b\u1ec7nh l\u00fd v\u1ec1 n\u00e3o khi truy\u1ec1n d\u1ecbch ch\u1ee9a ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i. 3. T\u00ednh to\u00e1n li\u1ec1u l\u01b0\u1ee3ng tr\u01b0\u1edbc khi truy\u1ec1n d\u1ecbch cho ch\u00f3 m\u00e8o<\/strong><\/p>\n 3.1 \u0110\u1ed1i v\u1edbi m\u00e8o<\/strong> 3.2 \u0110\u1ed1i v\u1edbi ch\u00f3<\/strong> 4. Thao t\u00e1c l\u1ea5y vein tr\u00ean ch\u00f3, m\u00e8o \u0111\u1ec3 truy\u1ec1n d\u1ecbch<\/strong><\/p>\n Truy\u1ec1n d\u1ecbch th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u00e0m b\u1edfi BSTY. Ngo\u00e0i thao t\u00e1c th\u00e0nh th\u1ea1o th\u00ec vi\u1ec7c hi\u1ec3u \u0111\u01b0\u1ee3c nguy\u00ean l\u00fd trong truy\u1ec1n d\u1ecbch ch\u1ea5t l\u00e0 r\u1ea5t quan tr\u1ecdng, b\u1edfi n\u00f3 quy\u1ebft \u0111\u1ecbnh \u0111\u1ebfn hi\u1ec7u qu\u1ea3 c\u1ee7a truy\u1ec1n d\u1ecbch. BSTY n\u00e0y c\u0169ng truy\u1ec1n cho c\u00fan, BSTY kia c\u0169ng truy\u1ec1n cho c\u00fan, nh\u01b0ng hi\u1ec7u qu\u1ea3 l\u1ea1i kh\u00e1c nhau l\u00e0 v\u00ec h\u1ecd n\u1eafm r\u00f5 nguy\u00ean l\u00fd v\u00e0 kinh nghi\u1ec7m kh\u00f4ng \u0111\u01b0\u1ee3c nh\u01b0 nhau.<\/p>\n Trong truy\u1ec1n d\u1ecbch ph\u1ea3i l\u00e0m t\u1ed1t nh\u1eefng v\u1ea5n \u0111\u1ec1 sau:<\/strong> 4.1 Chu\u1ea9n b\u1ecb:<\/strong> 4.2 Thao t\u00e1c:<\/strong> C\u00e1ch l\u1ea5y vein tr\u00ean ch\u00f3<\/p>\n M\u1ed9t tay b\u1eaft ven m\u1ed9t tay \u0111\u00e2m kim: Vd ch\u00e2n tr\u01b0\u1edbc, th\u00ec b\u1ea1n d\u00f9ng 1 tay n\u00e0y, s\u1eed d\u1ee5ng 2 ng\u00f3n tr\u1ecf+gi\u1eefa gi\u1eed ph\u00eda sau kh\u1ee7y ch\u00e2n c\u00fan, ng\u00f3n nh\u1eabn \u0111\u1ee1 ph\u00eda d\u01b0\u1edbi kh\u1ee7y v\u00e0 ng\u00f3n c\u00e1i t\u1ef3 l\u00ean ven \u0111\u1ec3 ch\u1eb7n d\u00f2ng ch\u1ea3y v\u1ec1 tim, nh\u1edb t\u1ef3 v\u1eb7n ng\u00f3n c\u00e1i qua m\u1ed9t b\u00ean \u0111\u1ec3 ven \u0111\u01b0\u1ee3c th\u1eb3ng v\u00e0 c\u0103ng. Khi \u0111\u00f3 ven s\u1ebd n\u1ed7i l\u00ean v\u00e0 ch\u00e2n c\u1ee7a c\u00fan \u0111\u00e3 b\u1ecb ta c\u1ed1 \u0111\u1ecbnh b\u1edfi 1 b\u00e0n tay c\u1ee7a ta. (N\u1ebfu l\u00e0m ch\u00e2n sau th\u00ec ph\u1ea3i d\u00f9ng d\u00e2y c\u1ed1 \u0111\u1ecbnh b\u00e0n ch\u00e2n c\u00fan v\u00e0o \u0111i\u1ec3m c\u1ed1 \u0111\u1ecbnh n\u00e0o \u0111\u00f3 r\u1ed3i thao t\u00e1c n\u1ebfu kh\u00f4ng c\u00fan s\u1ebd r\u1ee5t ch\u00e2n l\u1ea1i khi \u0111\u00e2m kim).<\/p>\n B\u00e0n tay c\u00f2n l\u1ea1i d\u00f9ng b\u00f4ng c\u1ed3n 70 \u0111\u1ed9 \u01b0\u1edbt ch\u00e0 qua ch\u00e0 l\u1ea1i s\u00e1t tr\u00f9ng, d\u00f9ng tay b\u00f3p b\u00f3p b\u00e0n ch\u00e2n \u0111\u1ec3 m\u00e1u d\u1ed3n v\u00e0o t\u0129nh m\u1ea1ch nhanh h\u01a1n\u2013> l\u00f4ng s\u1ebd r\u1ea1p xu\u1ed1ng v\u00e0 c\u0169ng k\u00edch th\u00edch ven n\u1ed7i l\u00ean m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i c\u1eaft l\u00f4ng. Ch\u1ecdc kim d\u1ecdc theo t\u0129nh m\u1ea1ch sao cho to\u00e0n b\u1ed9 chi\u1ec1u d\u00e0i kim n\u1eb1m g\u1ecdn trong l\u00f2ng m\u1ea1ch \u0111\u1ec3 khi c\u00fan n\u1ebfu c\u00f3 z\u00e3y z\u1ee5a th\u00ec kim v\u1eabn kh\u00f4ng xuy\u00ean ti\u1ebfp \u0111\u01b0\u1ee3c ho\u1eb7c c\u00f3 tr\u1ee5t lui m\u1ed9t ch\u00fat c\u0169ng ko sao. \u0110\u00e2m ch\u00ednh x\u00e1c th\u00ec m\u00e1u s\u1ebd ch\u1ea3y ng\u01b0\u1ee3c ra d\u00e2y truy\u1ec1n m\u1ed9t \u00edt (ki\u1ec3m tra b\u00f3p b\u00f3p d\u00e2y, m\u00e1u th\u1ee5t ra th\u1ee5t v\u00e0o). M\u1edf kh\u00f3a (tr\u01b0\u1edbc khi m\u1edf kh\u00f3a ph\u1ea3i m\u1edf gar\u00f4).<\/p>\n Ch\u00fa \u00fd:<\/strong> 1. T\u00e1c d\u1ee5ng ph\u1ee5 chung<\/strong><\/p>\n 1.1. Th\u1eeba th\u1ec3 t\u00edch<\/strong> 1.2. Ho\u00e0 lo\u00e3ng m\u00e1u<\/strong> 2. T\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u1eb7c th\u00f9<\/strong><\/p>\n 2.1 T\u00e1c d\u1ee5ng tr\u00ean qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u<\/strong> Dextran v\u00e0 \u0111\u1eb7c bi\u1ec7t dextran c\u00f3 tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed cao l\u00e0m k\u00e9o d\u00e0i th\u1eddi gian ch\u1ea3y m\u00e1u v\u00e0 l\u00e0m m\u1ec1m ho\u00e1 c\u1ee5c m\u00e1u \u0111\u00f4ng v\u1edbi li\u1ec1u cao h\u01a1n 1,5g\/kg\/ng\u00e0y. Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y m\u1ed9t ph\u00e2n do l\u00e0m gi\u1ea3m y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u VIIIc v\u00e0 y\u1ebfu t\u1ed1 von Willbrand (vWF) v\u1edbi s\u1ef1 l\u00e0m gi\u1ea3m k\u1ebft d\u00ednh ti\u1ec3u c\u1ea7u, m\u1eb7t kh\u00e1c l\u00e0m thay \u0111\u1ed5i qu\u00e1 tr\u00ecnh polyme ho\u00e1 s\u1ee3i fibrin. S\u1ef1 thay \u0111\u1ed5i n\u00e0y gi\u1ed1ng nh\u01b0 s\u1ef1 thay \u0111\u1ed5i hay g\u1eb7p trong h\u1ed9i ch\u1ee9ng Willebran type I. \u0110i\u1ec1u n\u00e0y bi\u1ec7n minh cho s\u1ef1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh truy\u1ec1n dung d\u1ecbch n\u00e0y \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u v\u00e0 gi\u1ea3m ti\u1ec3u c\u1ea7u v\u00e0 c\u0169ng th\u1eadn tr\u1ecdng trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng k\u1ebft h\u1ee3p<\/p>\n Gelatine l\u00e0m gi\u1ea3m k\u1ebft t\u1ee5 ti\u1ec3u c\u1ea7u g\u00e2y ra b\u1edfi ristoc\u00e9tine, g\u00e9latine c\u1ed1 \u0111\u1ecbnh y\u1ebfu t\u1ed1 von Willebran l\u00e0m thay \u0111\u1ed5i t\u1ec9 l\u1ec7 vWF\/ GPIb. T\u00e1c d\u1ee5ng n\u00e0y c\u00e0ng r\u00f5 \u0111\u1ed1i v\u1edbi g\u00e9latine c\u00f3 c\u1ea7u n\u1ed1i ur\u00ea (GPU). Nh\u1eefng dung d\u1ecbch n\u00e0y c\u0169ng l\u00e0m gi\u1ea3m s\u1ef1 t\u1ea1o th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng v\u00e0 gi\u1ea3m t\u1ed5ng h\u1ee3p thrombin. Tuy nhi\u00ean, tr\u00ean l\u00e2m s\u00e0ng nh\u1eefng h\u1eadu qu\u1ea3 n\u00e0y h\u00ecnh nh\u01b0 c\u0169ng kh\u00f4ng ph\u1ed5 bi\u1ebfn<\/p>\n C\u00e1c hydroxyethylAmidon (HEA) g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng xu\u1ea5t huy\u1ebft l\u00e0 hi\u1ebfm g\u1eb7p, nh\u01b0ng khi x\u1ea3y ra th\u01b0\u1eddng l\u00e0 r\u1ea5t n\u1eb7ng, bi\u1ebfn ch\u1ee9ng n\u00e0y l\u00e0 do n\u00f3 l\u00e0m gi\u1ea3m y\u1ebfu t\u1ed1 VIII, vWF v\u00e0 l\u00e0m gi\u1ea3m qu\u00e1 tr\u00ecnh polyme ho\u00e1 c\u1ee5c m\u00e1u \u0111\u00f4ng \u0111\u1ec3 h\u00ecnh th\u00e0nh fibrin, k\u00e9o d\u00e0i th\u1eddi gian ch\u1ea3y m\u00e1u, gi\u1ea3m th\u1eddi gian c\u1ee7a thrombin v\u00e0 n\u1ed3ng \u0111\u1ed9 fibrinog\u00e8ne trong huy\u1ebft t\u01b0\u01a1ng. Gi\u1ea3m t\u1ec9 l\u1ec7 c\u00e1c y\u1ebfu t\u1ed1 VIII v\u00e0 y\u1ebfu t\u1ed1 vWF c\u00f3 l\u1ebd do s\u1ef1 thanh th\u1ea3i nhanh c\u1ee7a ph\u1ee9c h\u1ee3p n\u00e0y m\u00e0 n\u00f3 g\u1eafn v\u1edbi c\u00e1c ph\u00e2n t\u1eed HEA trong tu\u1ea7n ho\u00e0n. Nhi\u1ec1u nghi\u00ean c\u1ee9u ch\u1ee9ng minh r\u1eb1ng s\u1ef1 c\u1ed1 \u0111\u1ecbnh c\u1ee7a ph\u1ee9c h\u1ee3p Willebrand tr\u00ean nh\u1eefng ph\u00e2n t\u1eed HEA l\u00e0 t\u01b0\u01a1ng \u1ee9ng v\u1edbi s\u1ed1 l\u01b0\u1ee3ng ph\u00e2n t\u1eed c\u00f3 trong tu\u1ea7n ho\u00e0n. Tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed, t\u1ec9 l\u1ec7 thay th\u1ebf ph\u00e2n t\u1eed, v\u00e0 t\u1ec9 l\u1ec7 C2\/C6 c\u1ee7a c\u00e1c HEA c\u00e0ng cao th\u00ec c\u00e1c ph\u00e2n t\u1eed n\u00e0y hi\u1ec7n di\u1ec7n v\u00e0 k\u00e9o d\u00e0i trong l\u00f2ng m\u1ea1ch c\u00e0ng l\u00e2u. T\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1c HEA v\u1edbi ph\u1ee9c h\u1ee3p Willebrand c\u00e0ng l\u1edbn khi n\u00f3 c\u00f3 tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed cao in vivo so v\u1edbi c\u00e1c HEA c\u00f3 tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed th\u1ea5p, \u0111i\u1ec1u \u0111\u00f3 khuy\u1ebfn c\u00e1o kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng s\u1ed1 l\u01b0\u1ee3ng l\u1edbn c\u00e1c ph\u00e2n t\u1eed HEA c\u00f3 tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed th\u1ea5p. \u1ede Ph\u00e1p g\u1ea7n \u0111\u00e2y c\u00f4ng ty b\u1ea3o hi\u1ec3m c\u00e1c s\u1ea3n ph\u1ea9m y t\u1ebf \u0111\u00e3 x\u00e1c \u0111\u1ecbnh th\u1ec3 th\u1ee9c s\u1eed d\u1ee5ng c\u00e1c dung d\u1ecbch HEA nh\u01b0 sau:<\/p>\n \u0110\u1ed1i v\u1edbi dung d\u1ecbch HEA li\u1ec1u s\u1eed d\u1ee5ng ph\u1ea3i gi\u1edbi h\u1ea1n 33ml\/kg\/ng\u00e0y v\u00e0 th\u1eddi gian s\u1eed d\u1ee5ng d\u01b0\u1edbi 4 ng\u00e0y. Li\u1ec1u t\u1ed1i \u0111a l\u00e0 \u2264 80ml\/kg\/ng\u00e0y. Trong th\u1eddi gian s\u1eed d\u1ee5ng ph\u1ea3i theo d\u00f5i ch\u1ee9c n\u0103ng \u0111\u00f4ng m\u00e1u b\u1eb1ng c\u00e1ch \u0111o th\u1eddi gian cephaline ho\u1ea1t ho\u00e1, th\u1eddi gian c\u1ee7a y\u1ebfu t\u1ed1 ristoc\u00e9tine v\u00e0 y\u1ebfu t\u1ed1 VIIIc \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb. Vi\u1ec7c theo d\u00f5i n\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c ch\u00fa \u00fd h\u01a1n \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 \u0111i\u1ec1u tr\u1ecb c\u00e1c lo\u1ea1i thu\u1ed1c m\u00e0 n\u00f3 c\u00f3 t\u00e1c \u0111\u1ed9ng l\u00ean s\u1ef1 c\u1ea7m m\u00e1u v\u00e0 nh\u1eefng ng\u01b0\u1eddi c\u00f3 nh\u00f3m m\u00e1u O, v\u1edbi l\u00fd do l\u00e0 nh\u1eefng ng\u01b0\u1eddi n\u00e0y c\u00f3 t\u1ec9 l\u1ec7 y\u1ebfu t\u1ed1 Willebrand th\u1ea5p.<\/p>\n<\/p>\n Video H\u01b0\u1edbng D\u1eabn L\u1ea5y Ven Truy\u1ec1n D\u1ecbch\u00a0\u1ede Ch\u00f3<\/strong><\/p>\n 2.2. Nguy c\u01a1 d\u1ecb \u1ee9ng<\/strong> V\u1edbi dextran c\u01a1 ch\u1ebf c\u1ee7a ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng \u0111\u00e3 \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5. Nh\u1eefng ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng l\u00e0 lo\u1ea1i ph\u1ea3n v\u1ec7 \u0111\u1ed1i v\u1edbi dextran c\u00f3 tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed cao, nh\u01b0ng t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i dextran c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7 d\u1ea1ng kh\u00e1ng nguy\u00ean \u2013 kh\u00e1ng th\u1ec3 (kh\u00e1ng th\u1ec3 \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh t\u1eeb c\u00e1c vi khu\u1ea9n c\u00f3 trong \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 hay sau khi \u0111\u00e3 d\u00f9ng nh\u1eefng dextran c\u00f3 trong th\u1ef1c ph\u1ea9m) t\u1ea1o ra c\u00e1c ph\u1ee9c h\u1ee3p mi\u1ec5n d\u1ecbch v\u00e0 ho\u1ea1t ho\u00e1 b\u1ed5 th\u1ec3. T\u1ea7n su\u1ea5t c\u1ee7a ph\u1ea3n \u1ee9ng n\u00e0y l\u00e0 1,3 (13\/100.000\/l\u1ecd dung d\u1ecbch) v\u00e0 t\u1ea7n su\u1ea5t x\u1ea3y ra \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n l\u00e0 1%. \u0110\u1ec3 l\u00e0m gi\u1ea3m bi\u1ebfn ch\u1ee9ng n\u00e0y ng\u01b0\u1eddi ta khuy\u1ebfn c\u00e1o n\u00ean ti\u00eam ph\u00f2ng m\u1ed9t c\u00e1ch h\u1ec7 th\u1ed1ng 20ml dextran 1000daltons (Promit) hai ph\u00fat tr\u01b0\u1edbc khi truy\u1ec1n dextran v\u00e0 h\u1ea7u nh\u01b0 lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ph\u1ea3n \u1ee9ng n\u1eb7ng. V\u1edbi l\u00fd do n\u00e0y dextran ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u1edf ph\u1ee5 n\u1eef mang thai.<\/p>\n \u0110\u1ed1i v\u1edbi g\u00e9latine nguy c\u01a1 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng l\u00e0 6 l\u1ea7n cao h\u01a1n so v\u1edbi Albumine v\u00e0 HEA, c\u0169ng \u0111\u00e1ng k\u1ec3 so v\u1edbi dextran. C\u01a1 ch\u1ebf c\u1ee7a ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5. Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng x\u1ea3y ra c\u00e0ng cao v\u1edbi g\u00e9latine c\u00f3 c\u1ea7u n\u1ed1i ur\u00ea (GPU).<\/p>\n \u0110\u1ed1i v\u1edbi HEA dung n\u1ea1p t\u1ed1t h\u01a1n v\u1edbi mi\u1ec5n d\u1ecbch d\u1ecb \u1ee9ng. Tuy nhi\u00ean ng\u01b0\u1eddi ta c\u0169ng \u0111\u00e3 m\u00f4 t\u1ea3 g\u1eb7p m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ph\u1ea3n \u1ee9ng r\u1ea5t n\u1eb7ng m\u00e0 sinh b\u1ec7nh l\u00fd v\u1eabn c\u00f2n ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5. Truy\u1ec1n d\u1ecbch l\u00e0 \u0111\u01b0a v\u00e0o c\u01a1 th\u1ec3 b\u1ec7nh s\u00fac qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch ho\u1eb7c d\u01b0\u1edbi da m\u1ed9t kh\u1ed1i l\u01b0\u1ee3ng dung d\u1ecbch v\u1edbi m\u1ee5c \u0111\u00edch: H\u1ed3i ph\u1ee5c l\u1ea1i kh\u1ed1i l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n khi b\u1ec7nh s\u00fac b\u1ecb m\u1ea5t n\u01b0\u1edbc, m\u1ea5t m\u00e1u (xu\u1ea5t huy\u1ebft, b\u1ecfng v\u00e0 ti\u00eau ch\u1ea3y, n\u00f4n m\u1eeda m\u1ea5t n\u01b0\u1edbc\u2026) Gi\u1ea3i \u0111\u1ed9c, l\u1ee3i ti\u1ec3u\u2026 Nu\u00f4i d\u01b0\u1ee1ng […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2297","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2297","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/comments?post=2297"}],"version-history":[{"count":0,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2297\/revisions"}],"wp:attachment":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2297"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2297"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2297"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nD\u1ecbch mu\u1ed1i 0,9% hay d\u1ecbch m\u1eb7n, g\u1ed3m n\u01b0\u1edbc v\u00e0 mu\u1ed1i, d\u00f9ng \u0111\u1ec3 b\u00f9 d\u1ecbch cho c\u01a1 th\u1ec3 khi m\u1ea5t n\u01b0\u1edbc nh\u01b0 ti\u00eau ch\u1ea3y, b\u1ecfng\u2026 NaCl 0,9 % l\u00e0 n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd, \u0111\u1eb3ng tr\u01b0\u01a1ng (c\u00f3 \u0111\u1ed9 th\u1ea9m th\u1ea5u b\u1eb1ng \u0111\u1ed9 th\u1ea9m th\u1ea5u trong m\u1ea1ch m\u00e1u.
\n\u01afu \u0111i\u1ec3m: r\u1ebb ti\u1ec1n, ph\u1ed5 bi\u1ebfn.
\nNh\u01b0\u1ee3c \u0111i\u1ec3m: d\u1ec5 g\u00e2y toan m\u00e1u do l\u01b0\u1ee3ng Cl \u2013 cao. Truy\u1ec1n nhi\u1ec1u v\u00e0 nhanh d\u1ec5 g\u00e2y \u1ee9 n\u01b0\u1edbc ngo\u1ea1i b\u00e0o v\u00e0 ph\u00f9 ph\u1ed5i c\u1ea5p.<\/p>\n
\n\u0110\u1eb7c \u0111i\u1ec3m:<\/strong> v\u00e0o c\u01a1 th\u1ec3, lactat \u0111\u01b0\u1ee3c gan chuy\u1ec3n th\u00e0nh bicarbonat v\u00e0 ki\u1ec1m h\u00f3a m\u00e1u do \u0111\u00f3 ch\u1ec9nh \u0111\u01b0\u1ee3c toan nh\u1eb9. Truy\u1ec1n 100 ml s\u1ebd t\u0103ng \u0111\u01b0\u1ee3c 20 \u2013 30 mL th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n, v\u00ec v\u1eady c\u1ea7n truy\u1ec1n 1 l\u01b0\u1ee3ng g\u1ea5p 3 l\u1ea7n th\u1ec3 t\u00edch b\u1ecb m\u1ea5t.
\n\u01afu \u0111i\u1ec3m:<\/strong> cung c\u1ea5p nhanh n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i, r\u1ebd ti\u1ec1n. C\u00f3 th\u00eam K+ v\u00e0 Ca2+.
\nNh\u01b0\u1ee3c \u0111i\u1ec3m: lo\u1ea1i d\u1ecbch n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c gi\u1eef l\u00e2u trong m\u00e1u n\u00ean c\u1ea7n truy\u1ec1n li\u00ean t\u1ee5c. N\u1ebfu kh\u00f4ng s\u1ebd kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3.
\nDung d\u1ecbch Glucose (dextrose) \u0111\u1eb3ng tr\u01b0\u01a1ng 50g\/ 1000 mL (5%). D\u1ecbch 5% c\u00f3 n\u1ed3ng \u0111\u1ed9 th\u1ea9m th\u1ea5u b\u1eb1ng huy\u1ebft t\u01b0\u01a1ng n\u00ean c\u00f3 th\u1ec3 b\u00f9 d\u1ecbch khi c\u01a1 th\u1ec3 b\u1ecb m\u1ea5t n\u01b0\u1edbc hay khi kh\u00f4ng cho u\u1ed1ng \u0111\u01b0\u1ee3c.<\/p>\n
\nTr\u00ean th\u1ecb tr\u01b0\u1eddng c\u00f3 s\u1eb5n lo\u1ea1i 10 \u2013 20%, \u1ed1ng 10- 20 mL. Khi d\u00f9ng, pha v\u1edbi glucose 5% \u0111\u1ec3 \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 mong mu\u1ed1n. \u0110\u1eb7c \u0111i\u1ec3m:
\nASTT qu\u00e1 cao, d\u1ec5 g\u00e2y ph\u00f9.
\nL\u00e0m gi\u1ea3m k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u, t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u.
\nL\u00e0m gi\u00e3n m\u1ea1ch n\u1ed9i t\u1ea1ng: th\u1eadn, tim. T\u0103ng co b\u00f3p tim.
\nL\u00e0m gi\u1ea3m ph\u00f9 n\u00e3o, gi\u1ea3m t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd t\u1ed1t h\u01a1n so v\u1edbi dung d\u1ecbch keo.<\/p>\n
\nGlucose \u01b0u tr\u01b0\u01a1ng ch\u1ee9a nhi\u1ec1u glucose h\u01a1n, d\u00f9ng \u0111\u1ec3 gi\u1ea3i \u0111\u1ed9c v\u00e0 nu\u00f4i \u0103n khi kh\u00f4ng \u0103n \u0111\u01b0\u1ee3c b\u1eb1ng mi\u1ec7ng.
\n\u01afu \u0111i\u1ec3m:<\/strong> cung c\u1ea5p nhanh n\u0103ng l\u01b0\u1ee3ng, r\u1ebd ti\u1ec1n. 100g glucose cung c\u1ea5p 400 kilo calo. Ngo\u00e0i ra c\u00f2n d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng c\u00e1c tr\u01b0\u1eddng h\u01a1p m\u1ea5t n\u01b0\u1edbc nhi\u1ec1u h\u01a1n m\u1ea5t mu\u1ed1i.
\nNh\u01b0\u1ee3c \u0111i\u1ec3m:<\/strong> C\u00e1c dung d\u1ecbch \u01b0u tr\u01b0\u01a1ng d\u1ec5 l\u00e0m vi\u00eam t\u1eafc t\u0129nh m\u1ea1ch t\u1ea1i n\u01a1i truy\u1ec1n v\u00e0 g\u00e2y ho\u1ea1i t\u1eed n\u1ebfu truy\u1ec1n ra ngo\u00e0i t\u0129nh m\u1ea1ch.
\nCh\u00fa \u00fd:<\/strong> Truy\u1ec1n ch\u1eadm v\u00e0o t\u0129nh m\u1ea1ch. Glucose huy\u1ebft t\u0103ng ph\u1ee5 thu\u1ed9c kh\u00f4ng nh\u1eefng v\u00e0o n\u1ed3ng \u0111\u1ed9 dung d\u1ecbch ti\u00eam truy\u1ec1n m\u00e0 c\u00f2n v\u00e0o t\u1ed1c \u0111\u1ed9 truy\u1ec1n v\u00e0 kh\u1ea3 n\u0103ng chuy\u1ec3n h\u00f3a c\u1ee7a b\u1ec7nh s\u00fac. Khi nu\u00f4i d\u01b0\u1ee1ng b\u1eb1ng d\u1ecbch truy\u1ec1n, c\u1ea7n ph\u00e2n ph\u1ed1i li\u1ec1u \u0111\u1ec1u trong ng\u00e0y v\u00e0 gi\u1ea3m li\u1ec1u d\u1ea7n, tr\u00e1nh ng\u1eebng \u0111\u1ed9t ng\u1ed9t d\u1ec5 g\u00e2y h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft. Nh\u1ea5t l\u00e0 \u1edf ch\u00f3, m\u00e8o con.<\/p>\n![\"truyen-dich-cho-cho-meo-can-luu-y-2\"](\"https:\/\/img.yeupet.vn\/2018\/11\/truyen-dich-cho-cho-meo-can-luu-y-2.jpg\")
<\/p>\n
\nNhi\u1ec5m tr\u00f9ng m\u00e1u.
\nR\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i: Khi \u0111\u01b0a v\u00e0o m\u1ed9t l\u01b0\u1ee3ng kh\u00f4ng c\u1ea7n thi\u1ebft d\u1eabn \u0111\u1ebfn s\u1ef1 d\u01b0 th\u1eeba khi\u1ebfn con v\u1eadt m\u1ecfi, n\u00f4n nao, t\u0103ng nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng.
\nThi\u1ebfu h\u1ee5t c\u00e1c y\u1ebfu t\u1ed1 vi l\u01b0\u1ee3ng: N\u1ebfu truy\u1ec1n d\u1ecbch k\u00e9o d\u00e0i d\u1eabn \u0111\u1ebfn dung mao c\u1ee7a ru\u1ed9t tho\u00e1i h\u00f3a khi\u1ebfn th\u1ee9c \u0103n \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 k\u00e9m.
\nPh\u00f9 to\u00e0n th\u00e2n, tr\u00e0n d\u1ecbch m\u00e0ng b\u1ee5ng, ph\u00f9 ph\u1ed5i, suy h\u00f4 h\u1ea5p, suy tim (nh\u1ea5t l\u00e0 \u0111\u1ed1i v\u1edbi con v\u1eadt c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch), th\u1eadm ch\u00ed g\u00e2y t\u1eed vong.
\nS\u01b0ng ch\u1ed7 kim ti\u00eam ho\u1eb7c lan t\u1ecfa ra xung quanh khi\u1ebfn v\u00f9ng da \u0111\u00f3 b\u1ecb vi\u00eam t\u1ea5y \u0111\u1ecf, n\u1eb7ng h\u01a1n l\u00e0 b\u1ecb ho\u1ea1i t\u1eed nh\u1ea5t l\u00e0 khi truy\u1ec1n d\u1ecbch cung c\u1ea5p ch\u1ea5t dinh d\u01b0\u1ee1ng.
\nTruy\u1ec1n d\u1ecbch c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn l\u00e2y nhi\u1ec5m c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m. Th\u1eadm ch\u00ed, n\u1ebfu l\u01b0\u1ee3ng d\u1ecbch truy\u1ec1n qu\u00e1 nhi\u1ec1u, c\u01a1 th\u1ec3 con v\u1eadt l\u1ea1i b\u1ecb m\u1ea5t n\u01b0\u1edbc \u01b0u tr\u01b0\u01a1ng, teo t\u1ebf b\u00e0o n\u00e3o r\u1ea5t nguy hi\u1ec3m.
\nNgay c\u1ea3 khi truy\u1ec1n d\u1ecbch \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh, b\u1ec7nh s\u00fac v\u1eabn c\u00f3 th\u1ec3 g\u1eb7p m\u1ed9t s\u1ed1 nguy hi\u1ec3m trong qu\u00e1 tr\u00ecnh truy\u1ec1n: ch\u1ed7 ti\u00eam b\u1ecb ph\u00f9, \u0111au s\u01b0ng, vi\u00eam t\u0129nh m\u1ea1ch, r\u00e9t run, m\u1eb7t t\u00e1i nh\u1ee3t, kh\u00f3 th\u1edf, ho\u2026<\/p>\n
\n\u0110\u1ed1i v\u1edbi b\u1ec7nh s\u00fac non b\u1ecb s\u1ed1t kh\u00f4ng \u0111\u01b0\u1ee3c truy\u1ec1n mu\u1ed1i, \u0111\u01b0\u1eddng v\u00ec nh\u1eefng ch\u1ea5t n\u00e0y \u0111i v\u00e0o c\u01a1 th\u1ec3 s\u1ebd l\u00e0m t\u0103ng \u00e1p l\u1ef1c l\u00ean s\u1ecd, t\u0103ng ph\u00f9 n\u00e3o.
\nB\u1ec7nh s\u00fac vi\u00eam ph\u1ed5i kh\u00f4ng n\u00ean truy\u1ec1n d\u1ecbch v\u00ec d\u1ecbch truy\u1ec1n l\u00e0m t\u0103ng g\u00e1nh n\u1eb7ng cho ph\u1ed5i, tim.
\nS\u1ed1t do nhi\u1ec5m tr\u00f9ng kh\u00f4ng n\u00ean truy\u1ec1n d\u1ecbch v\u00ec kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng m\u00e0 d\u1ec5 g\u00e2y c\u00e1c nguy c\u01a1 bi\u1ebfn ch\u1ee9ng kh\u00e1c.
\n\u0110\u1ed1i v\u1edbi b\u1ec7nh s\u00fac vi\u00eam n\u00e3o, vi\u00eam m\u00e0ng n\u00e3o, ph\u1ea3i l\u1ef1a ch\u1ecdn d\u1ecbch c\u1ea9n th\u1eadn.<\/p>\n
\nL\u01b0\u1ee3ng d\u1ecbch c\u1ea7n truy\u1ec1n\/gi\u1edd(ml) = 70*\u221a(\u221a(\u3016(Tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3(Kg))\u3017^3 )) \/24<\/p>\n
\nL\u01b0\u1ee3ng d\u1ecbch c\u1ea7n truy\u1ec1n\/gi\u1edd(ml) = 132*\u221a(\u221a(\u3016(Tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3(Kg))\u3017^3 )) \/24
\nTrong \u0111\u00f3: 70 v\u00e0 132 l\u00e0 h\u1eb1ng s\u1ed1<\/p>\n![\"truyen-dich-cho-cho-meo-can-luu-y-5\"](\"https:\/\/img.yeupet.vn\/2018\/11\/truyen-dich-cho-cho-meo-can-luu-y-5.jpg\")
<\/p>\n
\nX\u00e1c \u0111\u1ecbnh \u0111\u00fang t\u00ecnh tr\u1ea1ng c\u1ee7a con v\u1eadt.
\nCh\u1ecdn \u0111\u00fang d\u1ecbch truy\u1ec1n, bi\u1ebft t\u00ednh to\u00e1n l\u01b0\u1ee3ng b\u00f9 \u0111\u1eafp v\u00e0 duy tr\u00ec.
\nHi\u1ec5u r\u00f5 v\u1ec1 ch\u1ec9 \u0111\u1ecbnh v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u00e0 \u00e1p d\u1ee5ng cho t\u1eebng tr\u01b0\u1eddng h\u1ee3p.
\nC\u00f3 kh\u1ea3 n\u0103ng ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed tr\u00ed t\u00ecnh hu\u1ed1ng x\u1ea5u x\u1ea3y ra\u2026
\nV\u1ecb tr\u00ed l\u1ea5y ven truy\u1ec1n d\u1ecbch th\u00f4ng d\u1ee5ng \u1edf t\u0129nh m\u1ea1ch khoeo ch\u00e2n c\u00f3 \u1edf 4 ch\u00e2n.<\/p>\n
\nD\u1ecbch truy\u1ec1n, d\u00e2y truy\u1ec1n. Treo v\u1edbi \u0111\u1ed9 cao ph\u00f9 h\u1ee3p. X\u1ea3 cho h\u1ebft b\u1ecdt kh\u00ed.
\nB\u00f4ng c\u1ed3n 70 \u0111\u1ed9 (ph\u1ea3i l\u00e0 70 \u0111\u1ed9 nh\u00e9), b\u0103ng d\u00e1n y t\u1ebf ho\u1eb7c b\u0103ng keo c\u0169ng \u0111\u01b0\u1ee3c n\u1ebfu ko \u00f3, d\u00e2y gar\u00f4 ho\u1eb7c kh\u1ecfi c\u1ea7n.
\nC\u1ed1 \u0111\u1ecbnh m\u00f5m con v\u1eadt, n\u1ebfu con v\u1eadt hung h\u0103ng qu\u00e1 ph\u1ea3i c\u1ed1 \u0111\u1ecbnh 4 ch\u00e2n l\u1ea1i.
\n\u0110eo g\u0103ng tay.<\/p>\n
\nThao t\u00e1c truy\u1ec1n d\u1ecbch cho c\u00fan \u1edf t\u0129nh m\u1ea1ch ch\u00e2n c\u00f3 nhi\u1ec1u c\u00e1ch. C\u00f3 2 ng\u01b0\u1eddi s\u1ebd l\u00e0m r\u1ea5t thu\u1eadn l\u1ee3i. Nh\u01b0ng n\u1ebfu ch\u1ec9 1 m\u00ecnh th\u00ec c\u0169ng ph\u1ea3i l\u00e0m th\u1eadt t\u1ed1t. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 l\u00e0m 1 ng\u01b0\u1eddi.<\/p>\n![\"truyen-dich-cho-cho-meo-can-luu-y-4\"](\"https:\/\/img.yeupet.vn\/2018\/11\/truyen-dich-cho-cho-meo-can-luu-y-4.jpg\")
![\"truyen-dich-cho-cho-meo-can-luu-y-3\"](\"https:\/\/img.yeupet.vn\/2018\/11\/truyen-dich-cho-cho-meo-can-luu-y-3.jpg\")
<\/p>\n
\nTay c\u1ea7m kim l\u00e0 tay tr\u00e1i th\u00ec n\u00ean \u0111\u00e2m t\u0129nh m\u1ea1ch ch\u00e2n tr\u00e1i c\u1ee7a c\u00fan v\u00e0 ng\u01b0\u1ee3c l\u1ea1i. Nh\u01b0 v\u1eady s\u1ebd thu\u1eadn l\u1ee3i h\u01a1n.
\nM\u00ecnh th\u1eadt s\u1ef1 mu\u1ed1n khuy\u00ean c\u00e1c b\u1ea1n nu\u00f4i c\u00fan kh\u00f4ng n\u00ean t\u1ef1 \u00fd truy\u1ec1n d\u1ecbch cho c\u00fan c\u1ee7a m\u00ecnh, khi c\u00e1c b\u1ea1n kh\u00f4ng c\u00f3 chuy\u00ean m\u00f4n.
\nIII. T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a c\u00e1c dung d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch<\/p>\n
\nNguy c\u01a1 n\u00e0y c\u00f3 th\u1ec3 g\u1eb7p c\u1ea3 d\u1ecbch tinh th\u1ec3 c\u0169ng nh\u01b0 dung d\u1ecbch keo v\u00e0 c\u00f3 th\u1ec3 l\u00e0m th\u01b0\u01a1ng t\u1ed5n ch\u1ee9c n\u0103ng ph\u1ed5i. \u0110\u1ed1i v\u1edbi ph\u1ed5i l\u00e0nh, th\u00ec kh\u00f4ng l\u00e0m thay \u0111\u1ed5i m\u00e0ng ph\u1ebf nang, ng\u01b0\u1ee1ng x\u1ea3y ra ph\u00f9 ph\u1ed5i th\u1ea5p, n\u1ebfu \u00e1p l\u1ef1c keo th\u1ea5p. Khi th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n gi\u1ea3m n\u1eb7ng, hay c\u00f3 b\u1ec7nh l\u00fd tim m\u1ea1ch th\u00ec bi\u1ebfn ch\u1ee9ng ph\u00f9 ph\u1ed5i c\u00f3 th\u1ec3 x\u1ea3y ra trong qu\u00e1 tr\u00ecnh truy\u1ec1n d\u1ecbch v\u00e0 n\u1ebfu s\u1eed d\u1ee5ng dung d\u1ecbch c\u00f3 n\u1ed3ng \u0111\u1ed9 cao th\u00ec gia t\u0103ng nguy c\u01a1 th\u1eeba th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n c\u0169ng nh\u01b0 nguy c\u01a1 m\u1ea5t n\u01b0\u1edbc c\u1ee7a khu v\u1ef1c kho\u1ea3ng gian b\u00e0o.<\/p>\n
\nS\u1eed d\u1ee5ng qu\u00e1 m\u1ee9c d\u1ecbch truy\u1ec1n kh\u00f4ng c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb s\u1ea3n ph\u1ea9m m\u00e1u s\u1ebd t\u1ea1o ra t\u00ecnh tr\u1ea1ng ho\u00e0 lo\u00e3ng m\u00e1u v\u1edbi gi\u1ea3m h\u00e9matocrite v\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u. Dung d\u1ecbch tinh th\u1ec3 v\u00e0 dung d\u1ecbch keo truy\u1ec1n m\u1ed9t th\u1ec3 t\u00edch l\u1edbn c\u00f3 th\u1ec3 g\u1eb7p h\u1eadu qu\u1ea3 n\u00e0y \u0111\u1ed1i v\u1edbi qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u.<\/p>\n
\nAlbumin l\u00e0 m\u1ed9t dung d\u1ecbch \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 m\u1ed9t dung d\u1ecbch trung t\u00ednh \u0111\u1ed1i v\u1edbi \u0111\u00f4ng m\u00e1u, ngo\u00e0i h\u1eadu qu\u1ea3 l\u00e0 ho\u00e0 lo\u00e3ng m\u00e1u v\u00e0 thu h\u00fat ion ca++. Tuy nhi\u00ean m\u1ed9t nghi\u00ean c\u1ee9u in vivo ti\u1ebft l\u1ed9 r\u1eb1ng c\u00f3 \u0111\u1ebfn 20% g\u1eb7p t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u00f4ng v\u1edbi albumin 4%.<\/p>\n
\n\u0110\u1ed1i v\u1edbi Albumin bi\u1ebfn ch\u1ee9ng ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng c\u1ee7a albumin l\u00e0 0,0011%\/l\u1ecd v\u00e0 0,0099 %\/b\u1ec7nh nh\u00e2n, nh\u1eefng con s\u1ed1 n\u00e0y th\u1ea5p h\u01a1n so v\u1edbi g\u00e9latine v\u00e0 dextran, nh\u01b0ng \u0111\u00e1ng k\u1ec3 so v\u1edbi c\u00e1c dung d\u1ecbch HEA. Nh\u1eefng ph\u1ea3n \u1ee9ng g\u00e2y s\u1ed1t, run l\u1ea1nh c\u0169ng \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 nh\u01b0 l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5, v\u00ec s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a n\u1ed9i \u0111\u1ed9c t\u1ed1 vi khu\u1ea9n kh\u00f4ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c b\u1edfi test vi khu\u1ea9n, nh\u01b0ng c\u0169ng kh\u00f4ng t\u01b0\u01a1ng \u1ee9ng v\u1edbi m\u1ed9t ph\u1ea3n \u1ee9ng c\u1ee7a d\u1ea1ng ph\u1ea3n v\u1ec7.<\/p>\n
\nNh\u1eefng sai l\u1ea7m \u0111\u00e1nh gi\u00e1 h\u1ec7 nh\u00f3m m\u00e1u Rh\u00e9sus c\u00f3 th\u1ec3 x\u1ea3y ra khi c\u00f3 hi\u1ec7n di\u1ec7n g\u00e9latine, c\u0169ng nh\u01b0 kh\u00f3 ph\u00e2n t\u00edch nh\u00f3m m\u00e1u khi c\u00f3 hi\u1ec7n di\u1ec7n HEA, v\u00ec v\u1eady ph\u1ea3i \u0111\u1ecbnh nh\u00f3m m\u00e1u tr\u01b0\u1edbc khi ch\u1ec9 \u0111\u1ecbnh truy\u1ec1n c\u00e1c lo\u1ea1i dung d\u1ecbch n\u00e0y.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"