{"id":1012,"date":"2021-09-22T22:06:03","date_gmt":"2021-09-22T15:06:03","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=1012"},"modified":"2021-09-22T22:06:09","modified_gmt":"2021-09-22T15:06:09","slug":"chan-thuong-nieu-dao-o-tre-em","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/chan-thuong-nieu-dao-o-tre-em\/","title":{"rendered":"Ch\u1ea5n th\u01b0\u01a1ng ni\u1ec7u \u0111\u1ea1o \u1edf tr\u1ebb em"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>Nguy\u00ean nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng:<ul><li>Ch\u1ea5n th\u01b0\u01a1ng t\u1eeb b\u00ean trong ni\u1ec7u \u0111\u1ea1o: nong ni\u1ec7u \u0111\u1ea1o, \u0111\u1eb7t \u1ed1ng soi b\u00e0ng quang l\u1ea1c \u0111\u01b0\u1eddng l\u00e0m ni\u1ec7u \u0111\u1ea1o b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/li><li>Ch\u1ea5n th\u01b0\u01a1ng t\u1eeb b\u00ean ngo\u00e0i ni\u1ec7u \u0111\u1ea1o: tai n\u1ea1n giao th\u00f4ng, tai n\u1ea1n sinh ho\u1ea1t (ni\u1ec7u \u0111\u1ea1o t\u1ed5n th\u01b0\u01a1ng do b\u1ecb k\u1eb9p gi\u1eefa l\u1ef1c b\u00ean ngo\u00e0i v\u00e0 kh\u1edbp mu).<\/li><\/ul><\/li><li>Th\u01b0\u1eddng g\u1eb7p ch\u1ea5n th\u01b0\u01a1ng ni\u1ec7u \u0111\u1ea1o nam h\u01a1n n\u1eef (v\u00ec ni\u1ec7u \u0111\u1ea1o n\u1eef ng\u1eafn).<\/li><li>Ni\u1ec7u \u0111\u1ea1o nam g\u1ed3m (h\u00ecnh 1):<ul><li>Ni\u1ec7u \u0111\u1ea1o tr\u01b0\u1edbc: \u0111i t\u1eeb mi\u1ec7ng s\u00e1o t\u1edbi ni\u1ec7u \u0111\u1ea1o h\u00e0nh \u0111\u01b0\u1ee3c bao b\u1ecdc b\u1edfi v\u1eadt x\u1ed1p, l\u00e0 th\u00e0nh ph\u1ea7n c\u01b0\u01a1ng c\u1ee7a d\u01b0\u01a1ng v\u1eadt.<\/li><li>Ni\u1ec7u \u0111\u1ea1o sau: \u0111i t\u1eeb c\u1ed5 b\u00e0ng quang t\u1edbi ni\u1ec7u \u0111\u1ea1o h\u00e0nh, kh\u00f4ng c\u00f3 v\u1eadt x\u1ed1p bao b\u1ecdc.<\/li><\/ul><\/li><li>Do x\u01b0\u01a1ng ch\u1eadu \u1edf tr\u1ebb em ch\u01b0a ph\u00e1t tri\u1ec3n n\u00ean ch\u1ea5n th\u01b0\u01a1ng ni\u1ec7u \u0111\u1ea1o \u1edf tr\u1ebb em kh\u00e1c v\u1edbi ng\u01b0\u1eddi l\u1edbn, th\u01b0\u1eddng k\u00e8m ph\u1ed1i h\u1ee3p t\u1ed5n th\u01b0\u01a1ng c\u1ed5 b\u00e0ng quang, ni\u1ec7u \u0111\u1ea1o sau v\u00e0 ph\u1ee9c h\u1ee3p c\u01a1 th\u1eaft do \u0111\u00f3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ki\u1ec3m so\u00e1t n\u01b0\u1edbc ti\u1ec3u v\u00e0 kh\u1ea3 n\u0103ng sinh d\u1ee5c v\u1ec1 sau.<\/li><li>V\u1ee1 ni\u1ec7u \u0111\u1ea1o l\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u ni\u1ec7u khoa. M\u1ed9t th\u01b0\u01a1ng t\u1ed5n \u1edf ni\u1ec7u \u0111\u1ea1o s\u1ebd l\u00e0nh b\u1eb1ng c\u00e1c m\u00f4 s\u1eb9o v\u00e0 s\u1eb9o x\u01a1 s\u1ebd l\u00e0m h\u1eb9p ni\u1ec7u \u0111\u1ea1o, m\u1ed9t bi\u1ebfn ch\u1ee9ng kh\u00f3 \u0111i\u1ec1u tr\u1ecb.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/09\/tau-07-04-567-f1-1.jpg\" alt=\"\" class=\"wp-image-1023\" width=\"555\" height=\"444\"\/><figcaption><strong>H\u00ecnh 1: Gi\u1ea3i ph\u1eabu ni\u1ec7u \u0111\u1ea1o nam<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<ul><li>Khai kh\u00e1c c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u1eddng, d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng: b\u1ecb t\u00e9 ng\u1ed3i tr\u00ean m\u1ed9t v\u1eadt c\u1ee9ng (be thuy\u1ec1n, c\u1ea7u kh\u1ec9), sau \u0111\u00f3 \u0111au nh\u00f3i, b\u1ea7m t\u00edm \u1edf t\u1ea7ng sinh m\u00f4n, ra m\u00e1u \u1edf l\u1ed7 ti\u1ec3u v\u00e0 b\u00ed ti\u1ec3u; ho\u1eb7c b\u00ed ti\u1ec3u v\u00e0 b\u1ecb cho\u00e1ng sau tai n\u1ea1n giao th\u00f4ng, tai n\u1ea1n sinh ho\u1ea1t.<\/li><li>C\u1ea7n nghi ng\u1edd v\u00e0 ph\u1ea3i t\u00ecm x\u00e1c \u0111\u1ecbnh c\u00f3 ch\u1ea5n th\u01b0\u01a1ng ni\u1ec7u \u0111\u1ea1o hay kh\u00f4ng khi c\u00f3 3 d\u1ea5u hi\u1ec7u kinh \u0111i\u1ec3n: t\u1ee5 m\u00e1u v\u00f9ng \u0111\u00e1y ch\u1eadu\/d\u01b0\u01a1ng v\u1eadt, ch\u1ea3y m\u00e1u mi\u1ec7ng s\u00e1o\/\u00e2m \u0111\u1ea1o, b\u1ea5t th\u01b0\u1eddng khi \u0111i ti\u1ec3u.<\/li><li>Kh\u00e1m l\u00e2m s\u00e0ng<ul><li>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a cho\u00e1ng: m\u1ea1ch nhanh, huy\u1ebft \u00e1p t\u1ee5t.<\/li><li>V\u1ee1 ni\u1ec7u \u0111\u1ea1o tr\u01b0\u1edbc: m\u00e1u ra \u1edf mi\u1ec7ng s\u00e1o, v\u1ebft b\u1ea7m t\u00edm h\u00ecnh c\u00e1nh b\u01b0\u1edbm \u1edf t\u1ea7ng sinh m\u00f4n lan \u0111\u1ebfn b\u00ecu. N\u1ebfu l\u1ea5y ng\u00f3n tay \u1ea5n nh\u1eb9 v\u00e0o \u0111i\u1ec3m ni\u1ec7u \u0111\u1ea1o \u1edf t\u1ea7ng sinh m\u00f4n, b\u1ec7nh nh\u00e2n th\u1ea5y \u0111au nh\u00f3i, \u0111\u1ed3ng th\u1eddi c\u00f3 m\u00e1u ch\u1ea3y ra \u1edf mi\u1ec7ng s\u00e1o. Kh\u00e1m h\u1ea1 v\u1ecb th\u1ea5y c\u00f3 c\u1ea7u b\u00e0ng quang do b\u1ec7nh nh\u00e2n b\u00ed ti\u1ec3u.<\/li><li>V\u1ee1 ni\u1ec7u \u0111\u1ea1o sau: v\u1ebft m\u00e1u c\u00f2n \u0111\u1ecdng l\u1ea1i \u1edf l\u1ed7 s\u00e1o; \u0111au nh\u00f3i \u1edf m\u1ecfm ti\u1ec1n li\u1ec7t tuy\u1ebfn khi th\u0103m tr\u1ef1c tr\u00e0ng; c\u00f3 m\u00e1u ra theo g\u0103ng tay trong tr\u01b0\u1eddng h\u1ee3p k\u00e8m r\u00e1ch tr\u1ef1c tr\u00e0ng; c\u00f3 th\u1ec3 c\u00f3 c\u1ea7u b\u00e0ng quang.<\/li><li>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a g\u00e3y x\u01b0\u01a1ng ch\u1eadu: \u0111au nh\u00f3i khi \u1ea5n v\u00e0o kh\u1edbp mu, m\u00e1u b\u1ea7m v\u00f9ng b\u1eb9n b\u00ecu. T\u1ea5t c\u1ea3 c\u00e1c tr\u01a3\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng ch\u1eadu \u1edf tr\u1ebb em \u0111\u1ec1u ph\u1ea3i ngh\u0129 t\u1edbi t\u1ed5n th\u01b0\u01a1ng ni\u1ec7u \u0111\u1ea1o sau ho\u1eb7c ni\u1ec7u \u0111\u1ea1o m\u00e0ng.<\/li><li>T\u00ecm c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p: v\u1ee1 b\u00e0ng quang, r\u00e1ch tr\u1ef1c tr\u00e0ng\u2026<\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<ul><li>Si\u00eau \u00e2m: ph\u00e1t hi\u1ec7n kh\u1ed1i m\u00e1u t\u1ee5 quanh ti\u1ec1n li\u1ec7t tuy\u1ebfn, quanh b\u00e0ng quang, ngo\u00e0i ra c\u00f2n \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u00e0ng quang.<\/li><li>X-quang khung ch\u1eadu: c\u00f3 g\u00e3y x\u01b0\u01a1ng ch\u1eadu ho\u1eb7c gi\u00e3n kh\u1edbp mu, c\u1ea7n nghi ng\u1edd t\u1ed5n th\u01b0\u01a1ng c\u1ed5 b\u00e0ng quang.<\/li><li>UCR: \u00edt khi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong giai \u0111o\u1ea1n c\u1ea5p c\u1ee9u. Th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 kh\u1ea3o s\u00e1t ni\u1ec7u \u0111\u1ea1o trong giai \u0111o\u1ea1n sau \u0111\u1ec3 l\u00ean k\u1ebf ho\u1ea1ch t\u00e1i t\u1ea1o ni\u1ec7u \u0111\u1ea1o.<\/li><li>\u0110\u00f4i khi ch\u1ee5p CT-scan \u1edf nh\u1eefng tr\u1ebb g\u00e1i \u0111\u1ed9 tu\u1ed5i d\u1eady th\u00ec.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/strong><\/p>\n\n\n\n<p><strong><em>V\u1ee1 ni\u1ec7u \u0111\u1ea1o tr\u01b0\u1edbc<\/em><\/strong>: d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng, v\u1ebft b\u1ea7m h\u00ecnh c\u00e1nh b\u01b0\u1edbm l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng r\u1ea5t \u0111i\u1ec3n h\u00ecnh c\u1ee7a v\u1ee1 ni\u1ec7u \u0111\u1ea1o tr\u01b0\u1edbc \u1edf t\u1ea7ng sinh m\u00f4n.<\/p>\n\n\n\n<ul><li><em>V\u1ee1 ni\u1ec7u \u0111\u1ea1o tr\u01b0\u1edbc kh\u00f4ng ho\u00e0n to\u00e0n<\/em>: b\u1ec7nh nh\u00e2n kh\u00f4ng b\u00ed ti\u1ec3u.<\/li><li><em>V\u1ee1 ni\u1ec7u \u0111\u1ea1o tr\u01b0\u1edbc ho\u00e0n to\u00e0n:<\/em> b\u1ec7nh nh\u00e2n b\u1ecb b\u00ed ti\u1ec3u, ra m\u00e1u nhi\u1ec1u \u1edf l\u1ed7 s\u00e1o.<\/li><li><em>V\u1ee1 ni\u1ec7u \u0111\u1ea1o tr\u01b0\u1edbc c\u00f3 bi\u1ebfn ch\u1ee9ng nhi\u1ec5m tr\u00f9ng t\u1ea7ng sinh m\u00f4n do ng\u1ea5m n\u01b0\u1edbc ti\u1ec3u (Phegmon urineux)<\/em>: do b\u1ec7nh nh\u00e2n \u0111\u1ebfn mu\u1ed9n, b\u00e0ng quang qu\u00e1 c\u0103ng, n\u01b0\u1edbc ti\u1ec3u s\u1ebd r\u1ec9 xu\u1ed1ng ni\u1ec7u \u0111\u1ea1o tr\u00e0n qua l\u1ed7 th\u1ee7ng \u0111\u1ebfn \u1ed5 m\u00e1u t\u1ee5 v\u00f9ng t\u1ea7ng sinh m\u00f4n g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng, nhi\u1ec5m \u0111\u1ed9c n\u1eb7ng.<\/li><\/ul>\n\n\n\n<p><strong><em>V\u1ee1 ni\u1ec7u \u0111\u1ea1o sau<\/em><\/strong>: kh\u00e1c v\u1edbi tr\u01b0\u1eddng h\u1ee3p v\u1ee1 ni\u1ec7u \u0111\u1ea1o tr\u01b0\u1edbc, c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a v\u1ee1 ni\u1ec7u \u0111\u1ea1o sau th\u01b0\u1eddng kh\u00f4ng \u0111i\u1ec3n h\u00ecnh. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng.<\/p>\n\n\n\n<ul><li>V\u1ee1 ni\u1ec7u \u0111\u1ea1o sau \u0111\u01a1n thu\u1ea7n: v\u1ee1 ni\u1ec7u \u0111\u1ea1o k\u00e8m g\u00e3y x\u01b0\u01a1ng ch\u1eadu.<\/li><li>V\u1ee1 ni\u1ec7u \u0111\u1ea1o sau ph\u1ee9c t\u1ea1p: ngo\u00e0i g\u00e3y x\u01b0\u01a1ng ch\u1eadu v\u00e0 v\u1ee1 ni\u1ec7u \u0111\u1ea1o, b\u1ec7nh nh\u00e2n c\u00f2n b\u1ecb v\u1ee1 b\u00e0ng quang, v\u1ee1 m\u1eb7t tr\u01b0\u1edbc tr\u1ef1c tr\u00e0ng d\u01b0\u1edbi ph\u00fac m\u1ea1c, v\u00e0 \u0111\u1ee9t c\u01a1 v\u00f2ng h\u1eadu m\u00f4n (\u0111i\u1ec1u tr\u1ecb s\u1ebd ph\u1ee9c t\u1ea1p, t\u1eed vong cao v\u00e0 d\u1ec5 c\u00f3 nhi\u1ec1u di ch\u1ee9ng).<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n\n\n\n<ul><li>Cho\u00e1ng + ti\u1ec3u m\u00e1u c\u1ee7a v\u1ee1 th\u1eadn, v\u1ee1 b\u00e0ng quang.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<p><strong><em>Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb<\/em><\/strong><\/p>\n\n\n\n<ul><li>\u0110i\u1ec1u tr\u1ecb nh\u1eb1m h\u1ed3i s\u1ee9c ch\u1ed1ng cho\u00e1ng, ch\u1ed1ng nhi\u1ec5m tr\u00f9ng v\u00e0 gi\u1ea3i quy\u1ebft c\u00e1c th\u01b0\u01a1ng t\u1ed5n do v\u1ee1 ni\u1ec7u \u0111\u1ea1o g\u00e2y ra.<\/li><li>T\u00f9y t\u1eebng t\u00ecnh hu\u1ed1ng c\u00f3 th\u00e1i \u0111\u1ed9 x\u1eed tr\u00ed kh\u00e1c nhau.<\/li><\/ul>\n\n\n\n<p><strong><em>\u0110i\u1ec1u tr\u1ecb tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/em><\/strong><\/p>\n\n\n\n<ul><li>H\u1ed3i s\u1ee9c ch\u1ed1ng cho\u00e1ng, ch\u1ed1ng nhi\u1ec5m tr\u00f9ng, nhi\u1ec5m \u0111\u1ed9c.<\/li><\/ul>\n\n\n\n<p><strong><em>\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt<\/em><\/strong><\/p>\n\n\n\n<ul><li>Nguy\u00ean t\u1eafc ph\u1eabu thu\u1eadt<ul><li>Ph\u1eabu thu\u1eadt nh\u1eb1m t\u00e1i t\u1ea1o s\u1ef1 l\u01b0u th\u00f4ng c\u1ee7a ni\u1ec7u \u0111\u1ea1o, theo d\u00f5i v\u00e0 gi\u1ea3i quy\u1ebft bi\u1ebfn ch\u1ee9ng h\u1eb9p ni\u1ec7u \u0111\u1ea1o v\u1ec1 sau.<\/li><\/ul><ul><li>\u0110i\u1ec1u tr\u1ecb c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p (g\u00e3y x\u01b0\u01a1ng ch\u1eadu, v\u1ee1 b\u00e0ng quang, v\u1ee1 tr\u1ef1c tr\u00e0ng\u2026)<\/li><\/ul><\/li><li>Ch\u1ea5n th\u01b0\u01a1ng ni\u1ec7u \u0111\u1ea1o tr\u01b0\u1edbc: \u0111\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p v\u1ee1 ni\u1ec7u \u0111\u1ea1o kh\u00f4ng ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 theo d\u00f5i \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n. \u0110\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p v\u1ee1 ho\u00e0n to\u00e0n <a>\u00b1<\/a> bi\u1ebfn ch\u1ee9ng nhi\u1ec5m tr\u00f9ng t\u1ea7ng sinh m\u00f4n: c\u00f3 th\u1ec3 x\u1eed tr\u00ed c\u1ea5p c\u1ee9u d\u1eabn l\u01b0u tr\u00ean x\u01b0\u01a1ng mu ho\u1eb7c m\u1edf b\u00e0ng quang ra da \u00b1 d\u1eabn l\u01b0u ch\u1ed7 nhi\u1ec5m tr\u00f9ng. Sau \u0111\u00f3 (th\u01b0\u1eddng t\u1eeb 2-3 tu\u1ea7n tr\u1edf l\u00ean) s\u1ebd ch\u1ee5p UCR \u0111\u1ec3 ki\u1ec3m tra t\u00ecnh tr\u1ea1ng ni\u1ec7u \u0111\u1ea1o v\u00e0 l\u00ean k\u1ebf ho\u1ea1ch ph\u1eabu thu\u1eadt t\u00e1i t\u1ea1o ni\u1ec7u \u0111\u1ea1o.<\/li><li>Ch\u1ea5n th\u01b0\u01a1ng ni\u1ec7u \u0111\u1ea1o sau: \u0111\u1ed1i v\u1edbi v\u1ee1 ni\u1ec7u \u0111\u1ea1o sau \u0111\u01a1n thu\u1ea7n c\u1ea7n x\u1eed tr\u00ed c\u1ea5p c\u1ee9u m\u1edf b\u00e0ng quang ra da \u00b1 d\u1eabn l\u01b0u \u1ed5 m\u00e1u t\u1ee5 (n\u1ebfu c\u00f3 nhi\u1ec5m tr\u00f9ng \u1ed5 m\u00e1u t\u1ee5). Trong tr\u01b0\u1eddng h\u1ee3p ph\u1ee9c t\u1ea1p, c\u00f3 th\u1ec3 ph\u1ea3i m\u1edf b\u1ee5ng th\u00e1m s\u00e1t t\u1ed5n th\u01b0\u01a1ng k\u1ebft h\u1ee3p nh\u01b0 v\u1ee1 ru\u1ed9t non, v\u1ee1 b\u00e0ng quang, v\u1ee1 tr\u1ef1c tr\u00e0ng (l\u00e0m h\u1eadu m\u00f4n t\u1ea1m); ch\u1ec9nh l\u1ea1i c\u00e1c di l\u00each x\u01b0\u01a1ng ch\u1eadu\u2026Sau \u0111\u00f3, tr\u1ebb s\u1ebd \u0111\u01b0\u1ee3c ch\u1ee5p UCR v\u00e0 l\u00ean k\u1ebf ho\u1ea1ch t\u00e1i t\u1ea1o ni\u1ec7u \u0111\u1ea1o t\u00f9y theo di\u1ec5n ti\u1ebfn.<\/li><\/ul>\n\n\n\n<p><strong><em>\u0110i\u1ec1u tr\u1ecb sau ph\u1eabu thu\u1eadt<\/em><\/strong><\/p>\n\n\n\n<ul><li>Ti\u1ebfp t\u1ee5c h\u1ed3i s\u1ee9c sau m\u1ed5.<\/li><li>Ch\u0103m s\u00f3c v\u1ebft m\u1ed5: thay b\u0103ng m\u1ed7i ng\u00e0y.<\/li><li>R\u00fat d\u1eabn l\u01b0u khi kh\u00f4ng c\u00f2n ho\u1ea1t \u0111\u1ed9ng (th\u01b0\u1eddng 48<a>&#8211;<\/a>72 gi\u1edd sau m\u1ed5).<\/li><li>R\u00fat th\u00f4ng ti\u1ec3u: 7-14 ng\u00e0y (v\u1ee1 ni\u1ec7u \u0111\u1ea1o tr\u01b0\u1edbc), 14-21 ng\u00e0y (v\u1ee1 ni\u1ec7u \u0111\u1ea1o sau).<\/li><li>C\u1eaft ch\u1ec9 sau 7 ng\u00e0y (n\u1ebfu ch\u1ec9 kh\u00f4ng tan).<\/li><li>Th\u1eddi gian n\u1eb1m vi\u1ec7n: 7-14 ng\u00e0y (v\u1ee1 ni\u1ec7u \u0111\u1ea1o tr\u01b0\u1edbc), 14-21 ng\u00e0y (v\u1ee1 ni\u1ec7u \u0111\u1ea1o sau).<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Theo d\u00f5i v\u00e0 t\u00e1i kh\u00e1m<\/strong><\/p>\n\n\n\n<p><strong><em>Theo d\u00f5i bi\u1ebfn ch\u1ee9ng<\/em><\/strong><\/p>\n\n\n\n<ul><li>H\u1eb9p ni\u1ec7u \u0111\u1ea1o: khi b\u1ec7nh nh\u00e2n ti\u1ec3u tia y\u1ebfu, nh\u1ecf; \u0111\u1eb7t th\u00f4ng ti\u1ec3u kh\u00f4ng qua \u0111\u01b0\u1ee3c, X-quang ni\u1ec7u \u0111\u1ea1o ng\u01b0\u1ee3c d\u00f2ng c\u00f3 d\u1ea5u hi\u1ec7u h\u1eb9p ni\u1ec7u \u0111\u1ea1o =&gt; nong ni\u1ec7u \u0111\u1ea1o (ch\u00fa \u00fd nong nh\u1eb9 nh\u00e0ng, c\u1ea9n th\u1eadn tr\u00e1nh g\u00e2y th\u00eam th\u01b0\u01a1ng t\u1ed5n cho ni\u1ec7u \u0111\u1ea1o ho\u1eb7c l\u1ea1c \u0111\u01b0\u1eddng); ho\u1eb7c c\u1eaft \u0111\u1ed1t ch\u1ed7 h\u1eb9p qua m\u00e1y n\u1ed9i soi + \u0111\u1eb7t th\u00f4ng ti\u1ec3u l\u00e0m n\u00f2ng \u0111\u1ec3 ni\u1ec7u \u0111\u1ea1o l\u00e0nh quanh \u1ed1ng th\u00f4ng.<\/li><li>R\u00f2 ni\u1ec7u \u0111\u1ea1o \u2013 tr\u1ef1c tr\u00e0ng =&gt; v\u00e1 r\u00f2.<\/li><li>R\u00f2 ni\u1ec7u \u0111\u1ea1o \u2013 \u00e2m \u0111\u1ea1o \u1edf n\u1eef =&gt; v\u00e1 r\u00f2.<\/li><li>Nguy c\u01a1 sau t\u1ea1o h\u00ecnh ni\u1ec7u \u0111\u1ea1o sau: ti\u1ec3u kh\u00f4ng ki\u1ec3m so\u00e1t (4%); li\u1ec7t d\u01b0\u01a1ng (5%); h\u1eb9p t\u00e1i ph\u00e1t (10%)<\/li><\/ul>\n\n\n\n<p><strong><em>T\u00e1i kh\u00e1m<\/em><\/strong><\/p>\n\n\n\n<ul><li>T\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3: 1-2 tu\u1ea7n, 1-2 th\u00e1ng, 6 th\u00e1ng, 1-2 n\u0103m.<\/li><li>B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00ec nguy c\u01a1 h\u1eb9p ni\u1ec7u \u0111\u1ea1o v\u1ec1 sau. Nong ni\u1ec7u \u0111\u1ea1o ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 6 th\u00e1ng m\u1ed9t l\u1ea7n trong 2 n\u0103m.<\/li><\/ul>\n\n\n\n<p><strong><em>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/strong><\/p>\n\n\n\n<ul><li>Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb B\u1ec7nh vi\u1ec7n Nhi \u0110\u1ed3ng 1<\/li><li>Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb B\u1ec7nh vi\u1ec7n Nhi \u0110\u00f4ng 2<\/li><li>Au J. and Janzen N. (2017), \u201cPediatric Genitourinary Trauma\u201d , Pediatric Trauma: Pathophysiology, Diagnosis, And Treatment, 2nd Ed, pp. 239-251.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng Nguy\u00ean nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng: Ch\u1ea5n th\u01b0\u01a1ng t\u1eeb b\u00ean trong ni\u1ec7u \u0111\u1ea1o: nong ni\u1ec7u \u0111\u1ea1o, \u0111\u1eb7t \u1ed1ng soi b\u00e0ng quang l\u1ea1c \u0111\u01b0\u1eddng l\u00e0m ni\u1ec7u \u0111\u1ea1o b\u1ecb t\u1ed5n th\u01b0\u01a1ng. Ch\u1ea5n th\u01b0\u01a1ng t\u1eeb b\u00ean ngo\u00e0i ni\u1ec7u <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/chan-thuong-nieu-dao-o-tre-em\/\" title=\"Ch\u1ea5n th\u01b0\u01a1ng ni\u1ec7u \u0111\u1ea1o \u1edf tr\u1ebb em\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":1026,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,8],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/1012"}],"collection":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/comments?post=1012"}],"version-history":[{"count":3,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/1012\/revisions"}],"predecessor-version":[{"id":1025,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/1012\/revisions\/1025"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/1026"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=1012"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=1012"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=1012"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}