Carbon monoxide (CO) \u00a0l\u00e0 kh\u00ed gas kh\u00f4ng m\u00e0u, h\u00edt ph\u1ea3i CO, s\u1ebd k\u1ebft h\u1ee3p v\u1edbi hemoglobin trong m\u00e1u t\u1ea1o th\u00e0nh carboxyhemoglobin (HbCO), khi\u1ebfn ch\u1ee9c n\u0103ng v\u1eadn chuy\u1ec3n oxy c\u1ee7a m\u00e1u b\u1ecb r\u1ed1i lo\u1ea1n, \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn vi\u1ec7c vi\u1ec7c v\u1eadn chuy\u1ec3n chuy\u1ec3n giao oxy g\u00e2y thi\u1ebfu oxy m\u00f4 c\u1ea5p t\u00ednh, h\u00f4 h\u1ea5p, tu\u1ea7n ho\u00e0n v\u00e0 h\u1ec7 th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng. Ng\u1ed9 \u0111\u1ed9c nh\u1eb9 s\u1ebd c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, m\u1ec7t m\u1ecfi, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, n\u00f4n m\u1eeda v\u00e0 t\u1ea7m nh\u00ecn m\u01a1 h\u1ed3; tr\u00fang \u0111\u1ed9c m\u1ee9c \u0111\u1ed9 v\u1eeba s\u1ebd c\u00f3 n\u1ed5i m\u1ea9n v\u00e0 k\u1ebft v\u1ea3y \u1edf da, h\u00f4 h\u1ea5p v\u00e0 nh\u1ecbp tim gia t\u0103ng, t\u1ee9 chi c\u0103ng th\u1eb3ng, g\u1eb7p tr\u1edf ng\u1ea1i trong \u00fd th\u1ee9c, ph\u1ea3n x\u1ea1 v\u1edbi \u00e1nh s\u00e1ng c\u1ee7a \u0111\u1ed3ng t\u1eed, ph\u1ea3n x\u1ea1 gi\u00e1c m\u1ea1c s\u1ebd ch\u1eadm h\u01a1n; ng\u1ed9 \u0111\u1ed9c n\u1eb7ng d\u1eabn \u0111\u1ebfn h\u00f4n m\u00ea s\u00e2u, m\u00f4i \u0111\u1ecf, xanh xao, ch\u00e2n tay l\u1ea1nh, ra m\u00f2 h\u00f4i, gi\u00e3n \u0111\u1ed3ng t\u1eed, co gi\u1eadt x\u1ea3y ra nhanh ch\u00f3ng. Th\u00fa c\u01b0ng ph\u00e1t hi\u1ec7n b\u1ecb tr\u00fang \u0111\u1ed9c, ngay l\u1eadp t\u1ee9c \u0111\u01b0a kh\u1ecfi hi\u1ec7n tr\u01b0\u1eddng, \u0111\u1eb7t \u1edf n\u01a1i c\u00f3 kh\u00f4ng kh\u00ed trong l\u00e0nh, n\u1eb3m ng\u1eeba, r\u1ed3i nhanh ch\u00f3ng \u0111\u01b0a \u0111\u1ebfn b\u1ec7nh vi\u1ec7n.<\/p>\n
1, Sau khi nh\u1eadp vi\u1ec7n ch\u0103m s\u00f3c theo quy \u0111\u1ecbnh c\u1ee7a khoa n\u1ed9i.<\/p>\n
2, Duy tr\u00ec \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p th\u00f4ng su\u1ed1t, l\u00e0m s\u1ea1ch mi\u1ec7ng m\u0169i, d\u1ecbch ti\u1ebft trong c\u1ed5.<\/p>\n
3, Li\u1ec7u ph\u00e1p oxy, ngay l\u1eadp t\u1ee9c n\u00e2ng \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 cao, \u0111\u1ec3 h\u00edt th\u1edf 8 \u2013 10 l\u00edt\/ph\u00fat, c\u00f3 \u0111i\u1ec1u ki\u1ec7n c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng oxy hyperbaric, suy h\u00f4 h\u1ea5p ngay l\u1eadp t\u1ee9c \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n, k\u00edch th\u00edch h\u00f4 h\u1ea5p.<\/p>\n
4, \u0110\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch, cung c\u1ea5p nh\u1eefng lo\u1ea1i thu\u1ed1c theo l\u1eddi d\u1eb7n c\u1ee7a b\u00e1c s\u0129 th\u00fa y, v\u00ed d\u1ee5 nh\u01b0 mannitol, dexamethasone, ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00f9 n\u00e3o, c\u1ea3i thi\u1ec7n s\u1ef1 trao \u0111\u1ed5i ch\u1ea5t c\u1ee7a n\u00e3o, th\u00fac \u0111\u1ea9y s\u1ef1 ph\u1ee5c c\u0169ng c\u00f3 th\u1ec3 cung c\u1ea5p cho dexamethasone ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u1ee7a t\u1ebf b\u00e0o n\u00e3o.<\/p>\n
5, N\u1ebfu v\u1eabn ti\u1ebfp t\u1ee5c h\u00f4n m\u00ea, s\u1ed1t cao v\u00e0 co gi\u1eadt th\u01b0\u1eddng xuy\u00ean n\u00ean l\u00e0m m\u00e1t c\u01a1 th\u1ec3, b\u1ec7nh n\u1eb7ng c\u00f3 th\u1ec3 d\u00f9ng li\u1ec7u ph\u00e1p ng\u1ee7 \u0111\u00f4ng nh\u00e2n t\u1ea1o.<\/p>\n
6, Ch\u00fa \u00fd \u0111\u1ebfn vi\u1ec7c t\u0103ng c\u01b0\u1eddng dinh d\u01b0\u1ee1ng, duy tr\u00ec l\u01b0\u1ee3ng n\u01b0\u1edbc, \u0111i\u1ec7n gi\u1ea3i v\u00e0 c\u00e2n b\u1eb1ng axit \u2013 bazo<\/p>\n
7, Trong qu\u00e1 tr\u00ecnh c\u1ee9u h\u1ed9 n\u00ean theo d\u00f5i ch\u1eb7t ch\u1ebd nh\u1eefng thay \u0111\u1ed5i c\u1ee7a b\u1ec7nh t\u00ecnh v\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u quan tr\u1ecdng.<\/p>\n
\u0111o l\u01b0\u1ee3ng carboxyhemoglobin trong m\u00e1u \u0111\u1ec3 \u0111\u01b0a ra l\u1eddi khuy\u00ean \u0111i\u1ec1u tr\u1ecb, th\u00fa c\u01b0ng tr\u00fang \u0111\u1ed9c nh\u1eb9 th\u00f4ng th\u01b0\u1eddng\u00a0 c\u00f3 n\u1ed3ng \u0111\u1ed9 carboxyhemoglobin b\u00e3o h\u00f2a kho\u1ea3ng 10% ~ 20%, tr\u00fang \u0111\u1ed9c n\u1eb7ng th\u01b0\u1eddng tr\u00ean 50%. Nh\u01b0ng h\u00e0m l\u01b0\u1ee3ng carboxyhemoglobin b\u00e3o h\u00f2a v\u00e0 \u0111\u1ed9 n\u1eb7ng nh\u1eb9 c\u1ee7a tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng kh\u00f4ng ph\u1ea3i ho\u00e0n to\u00e0n c\u00f3 m\u1ed1i qua h\u1ec7 song song.<\/p>\n
Nhanh ch\u00f3ng \u0111\u1ec3 ch\u00fang \u0111\u01b0\u1ee3c h\u00edt oxy, t\u1ed1t nh\u1ea5t h\u00edt oxy c\u00f3 ch\u1ee9a 5%~7% CO2, th\u00fa c\u01b0ng c\u00f3 \u0111i\u1ec1u ki\u1ec7n cho th\u00fa c\u01b0ng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng oxy hyperbaric, c\u00f3 hi\u1ec7u qu\u1ea3 cao h\u01a1n b\u00ecnh th\u01b0\u1eddng, \u0111\u1ed1i v\u1edbi ng\u1ed9 \u0111\u1ed9c c\u1ea5p t\u00ednh \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb s\u1edbm c\u00f3 hi\u1ec7u qu\u1ea3 tr\u00ean 95%. C\u00f3 th\u1ec3 cho n\u00f3 50% glucose v\u1edbi li\u1ec1u l\u01b0\u1ee3ng 50ml th\u00eam v\u00e0o 2~4g vitamin C ti\u00eam v\u00e0o t\u0129nh m\u1ea1ch. Vitamin C l\u00e0 m\u1ed9t ch\u1ea5t gi\u1ea3m t\u1ebf b\u00e0o oxy h\u00f3a, c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n s\u1ef1 trao \u0111\u1ed5i ch\u1ea5t. Th\u00fa c\u01b0ng b\u1ecb \u00e1p l\u1ef1c trong s\u1ecd cao c\u00f3 th\u1ec3\u00a0 truy\u1ec1n 0.5~1g\/kg mannitol 25% nh\u1ecf gi\u1ecdt trong n\u1eeda gi\u1edd. C\u0169ng\u00a0 c\u00f3 th\u1ec3 cung c\u1ea5p dexamethasone. Nh\u01b0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ecb t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p ho\u1eb7c d\u1ecbch ti\u1ebft \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p qu\u00e1 nhi\u1ec1u, c\u00f3 th\u1ec3 ch\u1ecdc kh\u00ed qu\u1ea3n ho\u1eb7c m\u1edf kh\u00ed qu\u1ea3n. H\u00f4n m\u00ea, s\u1ed1t cao c\u00f3 th\u1ec3 d\u00f9ng li\u1ec7u ph\u00e1p ng\u1ee7 \u0111\u00f4ng nh\u00e2n t\u1ea1o, m\u00e1y h\u00f4 h\u1ea5p cho th\u00fa c\u01b0ng suy h\u00f4 h\u1ea5p.<\/p>\n
<\/p>\n
Carbon monoxide (CO) \u00a0l\u00e0 kh\u00ed gas kh\u00f4ng m\u00e0u, h\u00edt ph\u1ea3i CO, s\u1ebd k\u1ebft h\u1ee3p v\u1edbi hemoglobin trong m\u00e1u t\u1ea1o th\u00e0nh carboxyhemoglobin (HbCO), khi\u1ebfn ch\u1ee9c n\u0103ng v\u1eadn chuy\u1ec3n oxy c\u1ee7a m\u00e1u b\u1ecb r\u1ed1i lo\u1ea1n, \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn vi\u1ec7c vi\u1ec7c v\u1eadn chuy\u1ec3n chuy\u1ec3n giao oxy g\u00e2y thi\u1ebfu oxy m\u00f4 c\u1ea5p t\u00ednh, h\u00f4 h\u1ea5p, tu\u1ea7n ho\u00e0n […]<\/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-776","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/776","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=776"}],"version-history":[{"count":0,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/776\/revisions"}],"wp:attachment":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/media?parent=776"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/categories?post=776"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/tags?post=776"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}