{"id":563,"date":"2021-08-20T08:06:15","date_gmt":"2021-08-20T08:06:15","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=563"},"modified":"2021-08-25T14:59:35","modified_gmt":"2021-08-25T14:59:35","slug":"563","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/563\/","title":{"rendered":"Th\u1ee7ng d\u1ea1 d\u00e0y \u1edf tr\u1ebb s\u01a1 sinh"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>Th\u1ee7ng d\u1ea1 d\u00e0y trong th\u1eddi k\u00ec s\u01a1 sinh hi\u1ebfm g\u1eb7p, tuy nhi\u00ean t\u1ec9 l\u1ec7 t\u1eed vong do th\u1ee7ng d\u1ea1 d\u00e0y kh\u00e1 cao.<\/li><li>\u0110a s\u1ed1 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p th\u1ee7ng d\u1ea1 d\u00e0y \u1edf tr\u1ebb em th\u01b0\u1eddng kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nguy\u00ean nh\u00e2n<\/strong><\/p>\n\n\n\n<ul><li>V\u00f4 c\u0103n<\/li><li>Thi\u1ebfu oxy, non th\u00e1ng<\/li><li>Teo m\u00f4n v\u1ecb, teo t\u00e1 tr\u00e0ng, xo\u1eafn ru\u1ed9t, d\u00f2 kh\u00ed- th\u1ef1c qu\u1ea3n<\/li><li>Khi\u1ebfm khuy\u1ebft c\u01a1 c\u1ee7a d\u1ea1 d\u00e0y<\/li><li>Do \u0111\u1eb7t th\u00f4ng d\u1ea1 d\u00e0y<\/li><li>Th\u00f4ng kh\u00ed \u00e1p l\u1ef1c d\u01b0\u01a1ng, d\u00f9ng thu\u1ed1c indomethacin, corticosteroid<\/li><\/ul>\n\n\n\n<p><strong>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<ul><li>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a th\u1ee7ng d\u1ea1 d\u00e0y kh\u00e1 \u0111a d\u1ea1ng.<\/li><li>H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t hi\u1ec7n trong v\u00f2ng 5 ng\u00e0y tu\u1ed5i \u0111\u1ea7u ti\u00ean.<\/li><li>Tr\u1ebb th\u01b0\u1eddng non th\u00e1ng hay c\u00f3 ti\u1ec1n s\u1eed thi\u1ebfu oxy.<\/li><li>Tr\u1ebb c\u00f3 th\u1ec3 n\u00f4n ra s\u1eefa hay ra m\u00e1u.<\/li><li>Tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh l\u00e0 tr\u01b0\u1edbng b\u1ee5ng \u0111\u1ed9t ng\u1ed9t.<\/li><li>Sau \u0111\u00f3, ti\u1ebfn tri\u1ec3n \u0111\u1ebfn suy h\u00f4 h\u1ea5p, r\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng v\u00e0 shock v\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 h\u1ea1 th\u00e2n nhi\u1ec7t, t\u00edm, tay ch\u00e2n l\u1ea1nh, kh\u00f4ng ho\u1eb7c ti\u1ec3u \u00edt.<\/li><li>B\u1ee5ng ng\u00e0y c\u00e0ng tr\u01b0\u1edbng, c\u00f3 th\u1ec3 n\u1ec1 \u0111\u1ecf th\u00e0nh b\u1ee5ng v\u00e0 ph\u00f9 n\u1ec1 da b\u00ecu.<\/li><\/ul>\n\n\n\n<p><strong>Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<ul><li>Th\u1ee7ng d\u1ea1 d\u00e0y \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1eb1ng X quang b\u1ee5ng<\/li><li>X quang b\u1ee5ng kh\u00f4ng s\u1eeda so\u1ea1n: c\u00f3 h\u00ecnh \u1ea3nh h\u01a1i t\u1ef1 do v\u1edbi li\u1ec1m h\u01a1i d\u01b0\u1edbi ho\u00e0nh (h\u00ecnh 1), kh\u00f4ng th\u1ea5y b\u00f3ng h\u01a1i d\u1ea1 d\u00e0y.<\/li><li>X quang b\u1ee5ng c\u00f3 thu\u1ed1c c\u1ea3n quang: thu\u1ed1c lan tr\u00e0n t\u1eeb d\u1ea1 d\u00e0y ra \u1ed5 b\u1ee5ng (h\u00ecnh 2).<\/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\/08\/thung-da-day-1.jpg\" alt=\"\" class=\"wp-image-565\" width=\"400\" height=\"454\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thung-da-day-1.jpg 800w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thung-da-day-1-264x300.jpg 264w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thung-da-day-1-768x872.jpg 768w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><figcaption><strong>H\u00ecnh 1: H\u01a1i t\u1ef1 do trong \u1ed5 b\u1ee5ng<\/strong><em><br>&#8220;Ngu\u1ed3n: Teru, 2012&#8221; [1].<\/em><\/figcaption><\/figure><\/div>\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\/08\/thung-da-day-2.jpg\" alt=\"\" class=\"wp-image-566\" width=\"351\" height=\"501\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thung-da-day-2.jpg 468w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thung-da-day-2-210x300.jpg 210w\" sizes=\"(max-width: 351px) 100vw, 351px\" \/><figcaption><strong>H\u00ecnh 2: Thu\u1ed1c c\u1ea3n quang tr\u00e0n ra \u1ed5 b\u1ee5ng<\/strong><br><em>&#8220;Ngu\u1ed3n: Minkes, 2011&#8221; [2].<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<p>\u0110i\u1ec1u tr\u1ecb th\u1ee7ng d\u1ea1 d\u00e0y l\u00e0 ph\u1eabu thu\u1eadt<\/p>\n\n\n\n<p><strong>Chu\u1ea9n b\u1ecb tr\u01b0\u1edbc m\u1ed5<\/strong><\/p>\n\n\n\n<ul><li>Truy\u1ec1n d\u1ecbch v\u00e0 truy\u1ec1n m\u00e1u ch\u1ed1ng Shock<\/li><li>\u0110\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n gi\u00fap th\u1edf trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p suy h\u00f4 h\u1ea5p<\/li><li>Kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng<\/li><li>X\u00e9t nghi\u1ec7m: c\u00f4ng th\u1ee9c m\u00e1u, ch\u1ee9c n\u0103ng \u0111\u00f4ng m\u00e1u, ion \u0111\u1ed3, ch\u1ee9c n\u0103ng gan th\u1eadn, kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch<\/li><\/ul>\n\n\n\n<p><strong>Ph\u1eabu thu\u1eadt<\/strong><\/p>\n\n\n\n<ul><li>\u0110\u01b0\u1eddng m\u1ed5 ngang tr\u00ean r\u1ed1n<\/li><li>Th\u00e1m s\u00e1t t\u00ecm l\u1ed7 th\u1ee7ng, th\u01b0\u1eddng l\u00e0 \u1edf b\u1edd cong l\u1edbn<\/li><li>C\u1eaft l\u1ecdc m\u00f4 ho\u1ea1i t\u1eed. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p l\u1ed7 th\u1ee7ng l\u1edbn, ho\u1ea1i t\u1eed d\u1ea1 d\u00e0y lan r\u1ed9ng ph\u1ea3i c\u1eaft b\u1ecf m\u1ed9t ph\u1ea7n d\u1ea1 d\u00e0y.<\/li><li>Kh\u00e2u l\u1ea1i d\u1ea1 d\u00e0y.<\/li><li>R\u1eeda \u1ed5 b\u1ee5ng v\u1edbi n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd \u1ea5m<\/li><li>Kh\u00e2u v\u1ebft m\u1ed5<\/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\/08\/thung-da-day-3.jpg\" alt=\"\" class=\"wp-image-567\" width=\"395\" height=\"276\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thung-da-day-3.jpg 790w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thung-da-day-3-300x210.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thung-da-day-3-768x537.jpg 768w\" sizes=\"(max-width: 395px) 100vw, 395px\" \/><figcaption><strong>H\u00ecnh 3: Kh\u00e2u l\u1ed7 th\u1ee7ng d\u1ea1 d\u00e0y<\/strong><br><em>&#8220;Ngu\u1ed3n: Minkes, 2011&#8221; [2].<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u0103m s\u00f3c sau m\u1ed5<\/strong><\/p>\n\n\n\n<ul><li>Nu\u00f4i \u0103n t\u0129nh m\u1ea1ch<\/li><li>Kh\u00e1ng sinh<\/li><li>Thay b\u0103ng v\u1ebft m\u1ed5<\/li><li>Cho \u0103n l\u1ea1i khi d\u1ecbch d\u1ea1 d\u00e0y ra trong, ch\u1ee5p d\u1ea1 d\u00e0y c\u1ea3n quang kh\u00f4ng th\u1ea5y x\u00ec d\u00f2, th\u01b0\u1eddng sau m\u1ed5 7 ng\u00e0y.<\/li><li>Xu\u1ea5t vi\u1ec7n khi b\u1ec7nh nh\u00e2n \u0103n l\u1ea1i \u0111\u01b0\u1ee3c v\u00e0 v\u1ebft m\u1ed5 l\u00e0nh.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>T\u00e1i kh\u00e1m<\/strong><\/p>\n\n\n\n<p>M\u1ed9t tu\u1ea7n, 3 th\u00e1ng , 6 th\u00e1ng sau m\u1ed5. t\u00e1i kh\u00e1m ngay n\u1ebfu c\u00f3 tri\u1ec7u ch\u1ee9ng gi\u1ed1ng l\u1ea7n \u0111\u1ea7u<\/p>\n\n\n\n<p><strong><em>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/strong><\/p>\n\n\n\n<ol><li>Teru K, Iwa J, et al. (2012), \u201cEtiology of neonatal gastric perforation: a review of 20&nbsp;years\u2019 experience\u201d.<em>Pediatric Surgery International<\/em>,28,&nbsp;pp 9-14.<\/li><li>Robert K Minkes (2011) &#8220;Gastric Perforation&#8221;. <em>Newborn Surgery,<\/em> (3), pp.450-454.<\/li><li>Richard J. Leone, Jr, and Irwin H. Krasna (2000) \u201cSpontaneous Neonatal Gastric Perforation: Is It Really Spontaneous?\u201d <em>J Pediatr Surg<\/em>, 35,pp1066-1069.<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng Th\u1ee7ng d\u1ea1 d\u00e0y trong th\u1eddi k\u00ec s\u01a1 sinh hi\u1ebfm g\u1eb7p, tuy nhi\u00ean t\u1ec9 l\u1ec7 t\u1eed vong do th\u1ee7ng d\u1ea1 d\u00e0y kh\u00e1 cao. \u0110a s\u1ed1 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p th\u1ee7ng d\u1ea1 d\u00e0y \u1edf tr\u1ebb em <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/563\/\" title=\"Th\u1ee7ng d\u1ea1 d\u00e0y \u1edf tr\u1ebb s\u01a1 sinh\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":565,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,18],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/563"}],"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=563"}],"version-history":[{"count":3,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/563\/revisions"}],"predecessor-version":[{"id":664,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/563\/revisions\/664"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/565"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=563"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=563"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=563"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}