{"id":667,"date":"2021-08-27T15:49:39","date_gmt":"2021-08-27T15:49:39","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=667"},"modified":"2021-08-27T15:49:46","modified_gmt":"2021-08-27T15:49:46","slug":"ruot-xoay-bat-toan","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/ruot-xoay-bat-toan\/","title":{"rendered":"Ru\u1ed9t xoay b\u1ea5t to\u00e0n"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>Ru\u1ed9t xoay b\u1ea5t to\u00e0n (RXBT) l\u00e0 m\u1ed9t b\u1ea5t th\u01b0\u1eddng b\u1ea9m sinh trong \u0111\u00f3 ru\u1ed9t xoay v\u00e0 c\u1ed1 \u0111\u1ecbnh kh\u00f4ng ho\u00e0n to\u00e0n trong qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a b\u00e0o thai.<\/li><li>H\u00ecnh th\u00e1i l\u00e2m s\u00e0ng t\u1eeb kh\u00f4ng tri\u1ec7u ch\u1ee9ng cho \u0111\u1ebfn r\u1ea7m r\u1ed9 c\u1ea7n m\u1ed5 kh\u1ea9n nh\u01b0 xo\u1eafn ru\u1ed9t.<\/li><li>X\u1ea3y ra \u1edf 0,5 &#8211; 1% d\u00e2n s\u1ed1. C\u00f3 bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng l\u00e0 1\/6.000.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u00f4i thai<\/strong><\/p>\n\n\n\n<ul><li>Ru\u1ed9t g\u1ed3m hai quai, quai t\u00e1 h\u1ed7ng tr\u00e0ng v\u00e0 quai manh \u0111\u1ea1i tr\u00e0ng xoay quanh \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean.<\/li><li>Giai \u0111o\u1ea1n 1: quai t\u00e1 h\u1ed7ng tr\u00e0ng xoay ng\u01b0\u1ee3c chi\u1ec1u kim \u0111\u1ed3ng h\u1ed3 ra ph\u00eda sau \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean r\u1ed3i l\u00ean \u00bc tr\u00ean tr\u00e1i \u1ed5 b\u1ee5ng (h\u00ecnh 1A).<\/li><li>Giai \u0111o\u1ea1n 2: quai manh \u0111\u1ea1i tr\u00e0ng xoay 180<sup>o<\/sup>\u00a0t\u1eeb \u00bc d\u01b0\u1edbi tr\u00e1i l\u00ean ph\u00eda tr\u01b0\u1edbc quai t\u00e1 h\u1ed7ng tr\u00e0ng (h\u00ecnh 1B).<\/li><li>Giai \u0111o\u1ea1n 3: quai manh \u0111\u1ea1i tr\u00e0ng ti\u1ebfp t\u1ee5c xoay 90<sup>o<\/sup>\u00a0\u00a0ng\u01b0\u1ee3c chi\u1ec1u kim \u0111\u1ed3ng h\u1ed3 \u0111\u1ebfn \u00bc d\u01b0\u1edbi ph\u1ea3i (h\u00ecnh 1C).<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"527\" height=\"140\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-1.jpg\" alt=\"\" class=\"wp-image-682\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-1.jpg 527w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-1-300x80.jpg 300w\" sizes=\"(max-width: 527px) 100vw, 527px\" \/><figcaption><strong>H\u00ecnh 1: Qu\u00e1 tr\u00ecnh ru\u1ed9t xoay trong ph\u00e1t tri\u1ec3n b\u00e0o thai<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>D\u1ea1ng th\u01b0\u1eddng nh\u1ea5t c\u1ee7a l\u00e0 quai manh \u0111\u1ea1i tr\u00e0ng d\u1eebng l\u1ea1i \u1edf giai \u0111o\u1ea1n 2 l\u00fac n\u00e0y quai manh \u0111\u1ea1i tr\u00e0ng r\u1ea5t g\u1ea7n quai t\u00e1 h\u1ed7ng tr\u00e0ng, ch\u00e2n m\u1ea1c treo ng\u1eafn, d\u1ec5 xo\u1eafn ru\u1ed9t.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u00e1c b\u1ea5t th\u01b0\u1eddng k\u00e8m theo<\/strong><\/p>\n\n\n\n<ul><li>Teo\/h\u1eb9p t\u00e1 tr\u00e0ng.<\/li><li>Teo ru\u1ed9t non<\/li><li>B\u1ea5t th\u01b0\u1eddng h\u1ec7 ni\u1ec7u d\u1ee5c&#8230;<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>L\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<ul><li>H\u1ed9i ch\u1ee9ng t\u1eafc ru\u1ed9t cao do xo\u1eafn ru\u1ed9t ho\u1eb7c d\u00e2y ch\u1eb1ng Ladd.<\/li><li>N\u00f4n l\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p, th\u01b0\u1eddng c\u00f3 d\u1ecbch m\u1eadt.<\/li><li>Ngo\u00e0i ra: \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, ch\u00e1n \u0103n, ti\u00eau m\u00e1u, ch\u1eadm l\u1edbn.<\/li><li>Kh\u00e1m l\u00e2m s\u00e0ng: ph\u1ee5 thu\u1ed9c v\u00e0o c\u00f3 hay kh\u00f4ng c\u00f3 xo\u1eafn ru\u1ed9t.<ul><li>\u0110\u1ed9t ng\u1ed9t qu\u1ea5y kh\u00f3c, \u00f3i.<\/li><li>B\u1ee5ng c\u00f3 th\u1ec3 tr\u01b0\u1edbng nh\u1eb9 l\u1ec7ch sang ph\u1ea3i, \u1ea5n \u0111au.<\/li><li>Giai \u0111o\u1ea1n tr\u1ec5: ti\u00eau m\u00e1u, b\u1ee5ng tr\u01b0\u1edbng, da th\u00e0nh b\u1ee5ng n\u1ec1 \u0111\u1ecf, suy s\u1ee5p nhanh ch\u00f3ng, s\u1ed1c nhi\u1ec5m tr\u00f9ng nhi\u1ec5m \u0111\u1ed9c.<\/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>X-quang b\u1ee5ng \u0111\u1ee9ng kh\u00f4ng s\u1eeda so\u1ea1n.<ul><li>D\u1ea1 d\u00e0y d\u00e3n to, c\u00f3 h\u01a1i \u1edf ru\u1ed9t non<\/li><li>H\u00ecnh \u1ea3nh b\u00f3ng h\u01a1i \u0111\u00f4i k\u00e8m v\u1edbi h\u01a1i \u1edf ru\u1ed9t non<\/li><\/ul><\/li><li>X-quang d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng c\u1ea3n quang.<ul><li>H\u00ecnh \u1ea3nh g\u00f3c t\u00e1 h\u1ed7ng tr\u00e0ng b\u00ean ph\u1ea3i c\u1ed9t s\u1ed1ng (h\u00ecnh 2).<\/li><li>D\u1ea5u \u201cc\u00e1i m\u1edf n\u00fat chai\u201d\u00a0 v\u00e0 d\u1ea5u m\u1ecf chim (h\u00ecnh 3).<\/li><\/ul><\/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\/rxbt-2.jpg\" alt=\"\" class=\"wp-image-683\" width=\"319\" height=\"320\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-2.jpg 425w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-2-300x300.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-2-150x150.jpg 150w\" sizes=\"(max-width: 319px) 100vw, 319px\" \/><figcaption><strong>H\u00ecnh 2: G\u00f3c t\u00e1 h\u1ed7ng tr\u00e0ng n\u1eb1m b\u00ean ph\u1ea3i c\u1ed9t s\u1ed1ng<\/strong><\/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\/rxbt-3.jpg\" alt=\"\" class=\"wp-image-684\" width=\"346\" height=\"374\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-3.jpg 461w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-3-277x300.jpg 277w\" sizes=\"(max-width: 346px) 100vw, 346px\" \/><figcaption><strong>H\u00ecnh 3: D\u1ea5u \u201cc\u00e1i m\u1edf n\u00fat chai\u201d<\/strong><br>\u201c<em>Ngu\u1ed3n: Bonasso, 2019\u201d.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>Si\u00eau \u00e2m ho\u1eb7c CT scan b\u1ee5ng.<ul><li>T\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean kh\u00f4ng n\u1eb1m b\u00ean ph\u1ea3i \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean.<\/li><li>D\u1ea5u \u201cxo\u00e1y n\u01b0\u1edbc\u201d (h\u00ecnh 4)<\/li><\/ul><\/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\/rxbt-4-1.jpg\" alt=\"\" class=\"wp-image-686\" width=\"266\" height=\"200\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-4-1.jpg 355w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-4-1-300x226.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-4-1-326x245.jpg 326w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-4-1-80x60.jpg 80w\" sizes=\"(max-width: 266px) 100vw, 266px\" \/><figcaption><strong>H\u00ecnh 4: D\u1ea5u xo\u00e1y n\u01b0\u1edbc tr\u00ean si\u00eau \u00e2m Doppler.<\/strong><\/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>Ph\u1eabu thu\u1eadt ngay khi c\u00f3 nghi ng\u1edd xo\u1eafn ru\u1ed9t<\/p>\n\n\n\n<p><strong><em>Chu\u1ea9n b\u1ecb ti\u1ec1n ph\u1eabu<\/em><\/strong><\/p>\n\n\n\n<ul><li>Ch\u1ed1ng s\u1ed1c, \u0111i\u1ec1u ch\u1ec9nh r\u1ed1i lo\u1ea1n n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i.<\/li><li>\u0110\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch.<\/li><li>\u0110\u1eb7t th\u00f4ng d\u1ea1 d\u00e0y, th\u00f4ng ti\u1ec3u<\/li><li>Kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng.<\/li><li>\u0110\u0103ng k\u00fd m\u00e1u.<\/li><\/ul>\n\n\n\n<p><strong><em>Nguy\u00ean t\u1eafc ph\u1eabu thu\u1eadt<\/em><\/strong><\/p>\n\n\n\n<ul><li>Th\u00e1o xo\u1eafn (h\u00ecnh 5A v\u00e0 B).<\/li><li>C\u1eaft d\u00e2y ch\u1eb1ng Ladd, gi\u1ea3i ph\u00f3ng manh tr\u00e0ng v\u00e0 \u0111\u1ea1i tr\u00e0ng ph\u1ea3i ra kh\u1ecfi th\u00e0nh b\u1ee5ng sau.<\/li><li>M\u1edf r\u1ed9ng ch\u00e2n m\u1ea1c treo \u0111\u1ec3 \u0111\u01b0a manh tr\u00e0ng v\u00e0 \u0111\u1ea1i tr\u00e0ng sang tr\u00e1i, \u0111\u01b0a ru\u1ed9t non sang ph\u1ea3i (h\u00ecnh 5D).<\/li><li>C\u1eaft ru\u1ed9t th\u1eeba (\u00b1).<\/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\/rxbt-5.jpg\" alt=\"\" class=\"wp-image-688\" width=\"404\" height=\"599\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-5.jpg 404w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/rxbt-5-202x300.jpg 202w\" sizes=\"(max-width: 404px) 100vw, 404px\" \/><figcaption><strong>H\u00ecnh 5: Ph\u1eabu thu\u1eadt Ladd \u0111i\u1ec1u tr\u1ecb ru\u1ed9t xoay b\u1ea5t to\u00e0n.<\/strong><br>\u201c<em>Ngu\u1ed3n: Bonasso, 2019\u201d.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p><strong><em>Ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi<\/em><\/strong><\/p>\n\n\n\n<ul><li>Huy\u1ebft \u0111\u1ed9ng h\u1ecdc \u1ed5n \u0111\u1ecbnh<\/li><li>Kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u ho\u1ea1i t\u1eed ru\u1ed9t do xo\u1eafn ru\u1ed9t<\/li><\/ul>\n\n\n\n<p><strong><em>Ch\u0103m s\u00f3c h\u1eadu ph\u1eabu<\/em><\/strong><\/p>\n\n\n\n<ul><li>Kh\u00e1ng sinh\u00a0<\/li><li>Nu\u00f4i \u0103n t\u0129nh m\u1ea1ch ng\u1eafn ng\u00e0y<\/li><li>B\u1eaft \u0111\u1ea7u cho \u0103n l\u1ea1i khi d\u1ecbch d\u1ea1 d\u00e0y trong ho\u1eb7c &lt; 1ml\/kg\/ng\u00e0y<\/li><li>Xu\u1ea5t vi\u1ec7n khi \u0103n ho\u00e0n to\u00e0n b\u1eb1ng \u0111\u01b0\u1eddng mi\u1ec7ng<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ti\u00ean l\u01b0\u1ee3ng v\u00e0 theo d\u00f5i<\/strong><\/p>\n\n\n\n<ul><li>N\u1ebfu c\u00f3 xo\u1eafn ho\u1ea1i t\u1eed ru\u1ed9t th\u00ec t\u00ecnh tr\u1ea1ng t\u00f9y m\u1ee9c \u0111\u1ed9 lan r\u1ed9ng c\u1ee7a ho\u1ea1i t\u1eed ru\u1ed9t c\u1ea7n c\u1eaft b\u1ecf g\u00e2y h\u1ed9i ch\u1ee9ng ru\u1ed9t ng\u1eafn. \u0110\u00f4i khi c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u1eaft g\u1ea7n h\u1ebft ru\u1ed9t v\u00e0 b\u1ec7nh nh\u00e2n s\u1ebd t\u1eed vong m\u1ed9t th\u1eddi gian ng\u1eafn sau \u0111\u00f3.<\/li><li>T\u1eafc ru\u1ed9t v\u00e0 xo\u1eafn ru\u1ed9t c\u00f3 th\u1ec3 x\u1ea3y ra sau ph\u1eabu thu\u1eadt (10-20% c\u00e1c tr\u01b0\u1eddng h\u1ee3p)<\/li><li>T\u00e1i kh\u00e1m theo h\u1eb9n<\/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 2.<\/li><li><a>Bonasso<\/a> P.C. II, Dassinger M.S. III, and Smith S.D. (2019), Malrotation, Holcomb and Ashcraft\u2019s Pediatric Surgery , 7th ed, Elsevier, pp. 506 &#8211; 516.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng Ru\u1ed9t xoay b\u1ea5t to\u00e0n (RXBT) l\u00e0 m\u1ed9t b\u1ea5t th\u01b0\u1eddng b\u1ea9m sinh trong \u0111\u00f3 ru\u1ed9t xoay v\u00e0 c\u1ed1 \u0111\u1ecbnh kh\u00f4ng ho\u00e0n to\u00e0n trong qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a b\u00e0o thai. H\u00ecnh th\u00e1i l\u00e2m s\u00e0ng <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/ruot-xoay-bat-toan\/\" title=\"Ru\u1ed9t xoay b\u1ea5t to\u00e0n\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":681,"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\/667"}],"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=667"}],"version-history":[{"count":3,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/667\/revisions"}],"predecessor-version":[{"id":690,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/667\/revisions\/690"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/681"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=667"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=667"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=667"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}