{"id":9603,"date":"2021-10-09T18:10:17","date_gmt":"2021-10-09T11:10:17","guid":{"rendered":"https:\/\/trizgyrus.com\/blogtsk\/?p=9603"},"modified":"2021-10-09T18:10:17","modified_gmt":"2021-10-09T11:10:17","slug":"ho-tro-su-song-da-cuu-it-benh-nhan-covid-hon-ke-tu-nam-2020","status":"publish","type":"post","link":"https:\/\/cstc.vn\/blogtsk\/ho-tro-su-song-da-cuu-it-benh-nhan-covid-hon-ke-tu-nam-2020\/","title":{"rendered":"H\u1ed7 tr\u1ee3 s\u1ef1 s\u1ed1ng \u0111\u00e3 c\u1ee9u \u00edt b\u1ec7nh nh\u00e2n COVID h\u01a1n k\u1ec3 t\u1eeb n\u0103m 2020"},"content":{"rendered":"

M\u1ed9t nghi\u00ean c\u1ee9u m\u1edbi cho th\u1ea5y, h\u1ec7 th\u1ed1ng h\u1ed7 tr\u1ee3 s\u1ef1 s\u1ed1ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ECMO c\u00f3 th\u1ec3 c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n COVID-19 kh\u1ecfi b\u1edd v\u1ef1c t\u1eed vong, nh\u01b0ng kh\u00f4ng ph\u1ea3i v\u1edbi t\u1ed1c \u0111\u1ed9 \u0111\u01b0\u1ee3c th\u1ea5y s\u1edbm trong \u0111\u1ea1i d\u1ecbch.<\/p>\n

N\u01a1i t\u1eebng c\u00f3 kho\u1ea3ng 60% b\u1ec7nh nh\u00e2n nh\u01b0 v\u1eady s\u1ed1ng s\u00f3t \u00edt nh\u1ea5t 90 ng\u00e0y v\u00e0o m\u00f9a xu\u00e2n n\u0103m 2020, th\u00ec \u0111\u1ebfn cu\u1ed1i n\u0103m, ch\u1ec9 d\u01b0\u1edbi m\u1ed9t n\u1eeda s\u1ed1 b\u1ec7nh nh\u00e2n COVID d\u00f9ng ECMO s\u1ed1ng s\u00f3t l\u00e2u nh\u01b0 v\u1eady.<\/p>\n

T\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t gi\u1ea3m theo th\u1eddi gian c\u00f3 th\u1ec3 l\u00e0 do s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m c\u1ea3 vi\u1ec7c c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng ch\u1ecdn \u00e1p d\u1ee5ng ECMO cho nh\u1eefng b\u1ec7nh nh\u00e2n n\u1eb7ng khi \u0111\u1ea1i d\u1ecbch \u0111ang di\u1ec5n ra v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u00e0 b\u1ec7nh nh\u00e2n \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng ECMO.<\/p>\n

C\u00e1c ph\u00e1t hi\u1ec7n m\u1edbi cho th\u1ea5y t\u1ea7m quan tr\u1ecdng c\u1ee7a c\u00e1c b\u1ec7nh vi\u1ec7n cung c\u1ea5p ECMO trong vi\u1ec7c l\u1ef1a ch\u1ecdn c\u1ea9n th\u1eadn b\u1ec7nh nh\u00e2n n\u00e0o <\/a>\u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn v\u1edbi m\u1ee9c \u0111\u1ed9 ch\u0103m s\u00f3c c\u1ea7n nhi\u1ec1u s\u1ee9c lao \u0111\u1ed9ng n\u00e0y, c\u00e1c t\u00e1c gi\u1ea3 cho bi\u1ebft.<\/p>\n

C\u00e1c b\u1ec7nh vi\u1ec7n c\u0169ng n\u00ean \u0111\u01b0a ra c\u00e1c ch\u00ednh s\u00e1ch c\u00f3 th\u1ec3 h\u01b0\u1edbng d\u1eabn c\u00e1c l\u1ef1a ch\u1ecdn nh\u01b0 v\u1eady khi c\u00e1c m\u1ea1ch ECMO c\u00f3 nhu c\u1ea7u cao do \u0111\u1ea1i d\u1ecbch b\u00f9ng ph\u00e1t, h\u1ecd khuy\u00ean.<\/p>\n

B\u00e0i b\u00e1o s\u1eed d\u1ee5ng d\u1eef li\u1ec7u t\u1eeb h\u01a1n 4.800 b\u1ec7nh nh\u00e2n tr\u00ean 16 tu\u1ed5i \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ECMO \u0111\u1ed1i v\u1edbi COVID-19 ti\u00ean ti\u1ebfn \u1edf 41 qu\u1ed1c gia trong n\u0103m 2020. D\u1eef li\u1ec7u cho nghi\u00ean c\u1ee9u do c\u00e1c trung t\u00e2m ECMO \u0111\u00f3ng g\u00f3p cho m\u1ed9t c\u01a1 quan \u0111\u0103ng k\u00fd do ELSO, m\u1ed9t t\u1ed5 ch\u1ee9c qu\u1ed1c t\u1ebf d\u00e0nh cho ECMO v\u00e0 c\u00e1c h\u00ecnh th\u1ee9c h\u1ed7 tr\u1ee3 cu\u1ed9c s\u1ed1ng n\u00e2ng cao kh\u00e1c.<\/p>\n

Ph\u01b0\u01a1ng s\u00e1ch cu\u1ed1i c\u00f9ng<\/h5>\n

ECMO, vi\u1ebft t\u1eaft c\u1ee7a oxy h\u00f3a m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3, \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nhi\u1ec1u th\u1eadp k\u1ef7 t\u1ea1i m\u1ed9t s\u1ed1 b\u1ec7nh vi\u1ec7n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn b\u1ecb b\u1ec7nh n\u1eb7ng. N\u00f3 t\u1ea1m th\u1eddi ti\u1ebfp qu\u1ea3n cho c\u1ea3 tim v\u00e0 ph\u1ed5i, l\u01b0u th\u00f4ng m\u00e1u b\u00ean ngo\u00e0i c\u01a1 th\u1ec3 d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t li\u00ean t\u1ee5c c\u1ee7a c\u00e1c nh\u00e0 cung c\u1ea5p \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o.<\/p>\n

Khi b\u1eaft \u0111\u1ea7u x\u1ea3y ra \u0111\u1ea1i d\u1ecbch, m\u1ed9t s\u1ed1 chuy\u00ean gia \u0111\u00e3 r\u1ea5t d\u00e8 d\u1eb7t v\u1ec1 vi\u1ec7c \u0111\u1eb7t b\u1ec7nh nh\u00e2n COVID-19 v\u00e0o ECMO, v\u00ec s\u1ee3 c\u00f3 h\u1ea1i cho ph\u1ed5i c\u1ee7a h\u1ecd. Khi nhi\u1ec1u trung t\u00e2m b\u1eaft \u0111\u1ea7u th\u1eed n\u00f3, t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t ph\u1ea3n \u00e1nh t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t c\u1ee7a vi\u1ec7c s\u1eed d\u1ee5ng ECMO trong c\u00e1c d\u1ea1ng suy ph\u1ed5i c\u1ea5p t\u00ednh kh\u00e1c, nh\u01b0 nh\u00f3m nghi\u00ean c\u1ee9u \u0111\u00e3 b\u00e1o c\u00e1o c\u00e1ch \u0111\u00e2y m\u1ed9t n\u0103m.<\/p>\n

Nh\u01b0ng t\u1ea5t c\u1ea3 c\u00e1c trung t\u00e2m trong nghi\u00ean c\u1ee9u \u0111\u1ea7u ti\u00ean \u0111\u00f3 \u0111\u00e3 b\u1eaft \u0111\u1ea7u cung c\u1ea5p ECMO tr\u01b0\u1edbc th\u00e1ng 5 n\u0103m 2020 v\u00e0 h\u1ea7u h\u1ebft \u0111\u1ec1u c\u00f3 kinh nghi\u1ec7m cung c\u1ea5p ECMO n\u00f3i chung, \u0111\u1ed3ng t\u00e1c gi\u1ea3 \u0111\u1ea7u ti\u00ean Ryan Barbaro, ph\u00f3 gi\u00e1o s\u01b0 t\u1ea1i \u0110\u1ea1i h\u1ecdc Y Michigan v\u00e0 b\u00e1c s\u0129 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t t\u1ea1i Michigan Medicine, trung t\u00e2m y t\u1ebf h\u1ecdc thu\u1eadt c\u1ee7a tr\u01b0\u1eddng \u0111\u1ea1i h\u1ecdc.<\/p>\n

Nghi\u00ean c\u1ee9u m\u1edbi chia b\u1ec7nh nh\u00e2n th\u00e0nh ba nh\u00f3m: nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc ng\u00e0y 1 th\u00e1ng 5 n\u0103m 2020, nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n \u201c\u00e1p d\u1ee5ng s\u1edbm\u201d sau ng\u00e0y 1 th\u00e1ng 5 v\u00e0 nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ECMO \u1edf c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00e1c t\u1eeb ng\u00e0y 1 th\u00e1ng 5 \u0111\u1ebfn cu\u1ed1i n\u0103m 2020. Ng\u00e0y 1 th\u00e1ng 5 \u0111\u01b0\u1ee3c ch\u1ecdn v\u00ec b\u1eb1ng ch\u1ee9ng v\u1ec1 c\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n COVID-19 b\u1ecb b\u1ec7nh n\u1eb7ng \u0111\u00e3 ti\u1ebfn tri\u1ec3n \u0111\u00e1ng k\u1ec3 v\u00e0o th\u1eddi \u0111i\u1ec3m \u0111\u00f3.<\/p>\n

\u201c\u0110i\u1ec1u ch\u00fang t\u00f4i nh\u1eadn th\u1ea5y ngay l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb mu\u1ed9n h\u01a1n trong \u0111\u1ea1i d\u1ecbch s\u1ebd \u1edf l\u1ea1i ECMO l\u00e2u h\u01a1n, trung b\u00ecnh t\u1eeb 14 ng\u00e0y xu\u1ed1ng c\u00f2n 20 ng\u00e0y. H\u1ecd ch\u1ebft th\u01b0\u1eddng xuy\u00ean h\u01a1n, v\u00e0 nh\u1eefng c\u00e1i ch\u1ebft n\u00e0y kh\u00e1c nhau, \u201dBarbaro n\u00f3i.<\/p>\n

\u201c\u0110i\u1ec1u n\u00e0y cho th\u1ea5y r\u1eb1ng ch\u00fang ta c\u1ea7n ph\u1ea3i suy ngh\u0129 v\u1ec1 \u0111\u1ed1i t\u01b0\u1ee3ng m\u00e0 ch\u00fang ta \u0111ang \u0111\u01b0a v\u00e0o ECMO v\u00e0 khi ch\u00fang ta \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh lo\u1ea1i b\u1ecf nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng kh\u00e1 h\u01a1n. Tr\u00ean kh\u1eafp Hoa K\u1ef3 ngay b\u00e2y gi\u1edd, ch\u00fang t\u00f4i c\u00f3 nh\u1eefng n\u01a1i m\u00e0 ECMO l\u00e0 m\u1ed9t ngu\u1ed3n t\u00e0i nguy\u00ean khan hi\u1ebfm trong khi \u1edf Michigan, n\u00f3 kh\u00f4ng ho\u00e0n to\u00e0n \u0111\u00fang v\u00e0o th\u1eddi \u0111i\u1ec3m \u0111\u00f3, nh\u01b0ng ch\u00fang t\u00f4i d\u1ef1 \u0111o\u00e1n n\u00f3 c\u00f3 th\u1ec3 x\u1ea3y ra. ”<\/p>\n

Trong c\u00e1c trung t\u00e2m \u201cti\u1ebfp nh\u1eadn s\u1edbm\u201d, t\u1ef7 l\u1ec7 t\u1eed vong t\u0103ng t\u1eeb 37% trong nh\u1eefng th\u00e1ng tr\u01b0\u1edbc th\u00e1ng N\u0103m, l\u00ean 52% sau th\u00e1ng N\u0103m. T\u1ea1i c\u00e1c trung t\u00e2m kh\u00f4ng b\u1eaft \u0111\u1ea7u cung c\u1ea5p ECMO cho \u0111\u1ebfn \u00edt nh\u1ea5t l\u00e0 th\u00e1ng 5, 58% b\u1ec7nh nh\u00e2n \u0111\u00e3 ch\u1ebft trong v\u00f2ng 90 ng\u00e0y sau khi \u0111\u01b0\u1ee3c \u0111\u1eb7t m\u1ea1ch ECMO.<\/p>\n

Nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ECMO sau \u0111\u1ea1i d\u1ecbch c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng \u0111\u00e3 \u0111\u01b0\u1ee3c d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 remdesivir <\/a>v\u00e0 dexamethasone, v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c th\u00f4ng kh\u00ed kh\u00f4ng x\u00e2m l\u1ea5n tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n \u0111\u1ec3 h\u1ed7 tr\u1ee3 th\u1edf to\u00e0n b\u1ed9.<\/p>\n

Nh\u1eefng th\u00e1ch th\u1ee9c v\u1ec1 \u0111\u1ea1o \u0111\u1ee9c<\/h5>\n

Vi\u1ec7c \u0111\u1ec3 b\u1ec7nh nh\u00e2n \u1edf l\u1ea1i ECMO trong th\u1eddi gian d\u00e0i h\u01a1n \u0111\u00f2i h\u1ecfi nhi\u1ec1u ngu\u1ed3n l\u1ef1c, bao g\u1ed3m c\u1ea3 m\u00e1y m\u00f3c v\u00e0 \u0111\u01b0\u1eddng \u1ed1ng t\u1ea1o n\u00ean m\u1ea1ch ECMO v\u00e0 c\u00e1c y t\u00e1 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o \u0111\u1eb7c bi\u1ec7t, b\u00e1c s\u0129 tr\u1ecb li\u1ec7u h\u00f4 h\u1ea5p v\u00e0 c\u00e1c nh\u00e2n vi\u00ean kh\u00e1c c\u1ea7n c\u00f3 \u0111\u1ec3 gi\u1eef cho m\u1ea1ch ho\u1ea1t \u0111\u1ed9ng an to\u00e0n.<\/p>\n

Khi m\u1ed9t b\u1ec7nh vi\u1ec7n c\u00f3 m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn b\u1ec7nh nh\u00e2n COVID-19 v\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00e1c \u0111ang \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t, kh\u1ea3 n\u0103ng c\u1ee7a nh\u00f3m cung c\u1ea5p m\u1ee9c \u0111\u1ed9 ch\u0103m s\u00f3c t\u01b0\u01a1ng t\u1ef1 nh\u01b0 h\u1ecd \u0111\u00e3 l\u00e0m tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng v\u00e0 t\u1ef7 l\u1ec7 t\u1eed vong c\u00f3 th\u1ec3 t\u0103ng l\u00ean.<\/p>\n

N\u1ebfu nhi\u1ec1u b\u1ec7nh vi\u1ec7n trong m\u1ed9t khu v\u1ef1c ho\u1eb7c t\u1eadp h\u1ee3p c\u00e1c bang \u0111ang ph\u1ea3i \u0111\u1ed1i ph\u00f3 v\u1edbi m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn b\u1ec7nh nh\u00e2n COVID-19 b\u1ecb b\u1ec7nh n\u1eb7ng, c\u00f3 th\u1ec3 kh\u00f3 t\u00ecm \u0111\u01b0\u1ee3c b\u1ec7nh vi\u1ec7n c\u00f3 kh\u1ea3 n\u0103ng ECMO \u0111\u1ec3 chuy\u1ec3n b\u1ec7nh nh\u00e2n \u0111\u1ebfn. Vi\u1ec7c g\u1eedi th\u00eam m\u1ea1ch ECMO \u2014 m\u00e1y b\u01a1m, \u1ed1ng v\u00e0 b\u1ed9 \u0111i\u1ec1u khi\u1ec3n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb \u2014 cho c\u00e1c b\u1ec7nh vi\u1ec7n n\u00e0y l\u00e0 kh\u00f4ng \u0111\u1ee7; C\u00e1c \u0111\u1ed9i \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o \u0111\u1eb7c bi\u1ec7t, ngu\u1ed3n cung c\u1ea5p m\u00e1u \u0111\u1ea7y \u0111\u1ee7 v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c \u0111\u1ec1u c\u1ea7n thi\u1ebft \u0111\u1ec3 h\u1ed7 tr\u1ee3 t\u1eebng b\u1ec7nh nh\u00e2n ECMO.<\/p>\n

V\u00ec v\u1eady, c\u00e1c t\u00e1c gi\u1ea3 cho bi\u1ebft, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 c\u00e1c trung t\u00e2m ECMO ph\u1ea3i xem x\u00e9t c\u1ea9n th\u1eadn c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u00e1 nh\u00e2n n\u00e0o c\u00f3 th\u1ec3 khi\u1ebfn b\u1ec7nh nh\u00e2n \u00edt nhi\u1ec1u c\u00f3 kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t n\u1ebfu \u0111\u01b0\u1ee3c \u0111\u1eb7t ECMO, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu h\u1ecd c\u00f3 th\u1ec3 ph\u1ea3i n\u1eb1m trong m\u1ed9t th\u1eddi gian. ELSO cung c\u1ea5p c\u00e1c ngu\u1ed3n l\u1ef1c v\u00e0 h\u01b0\u1edbng d\u1eabn c\u00f3 th\u1ec3 gi\u00fap \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n.<\/p>\n

Nh\u00f3m nghi\u00ean c\u1ee9u \u0111\u00e3 s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1edfi nh\u00e0 th\u1ed1ng k\u00ea Philip Boonstra thu\u1ed9c Tr\u01b0\u1eddng Y t\u1ebf C\u00f4ng c\u1ed9ng \u0110\u1ea1i h\u1ecdc Michigan \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh d\u1eef li\u1ec7u nh\u1eb1m so s\u00e1nh gi\u1eefa t\u00e1o v\u00e0 t\u00e1o. \u0110i\u1ec1u n\u00e0y cho ph\u00e9p h\u1ecd \u0111\u1ea3m b\u1ea3o r\u1eb1ng t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi th\u1ef1c t\u1ebf l\u00e0 c\u00f3 r\u1ea5t nhi\u1ec1u b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c chuy\u1ec3n ra kh\u1ecfi b\u1ec7nh vi\u1ec7n ECMO c\u1ee7a h\u1ecd sau \u0111\u1ea1i d\u1ecbch so v\u1edbi l\u00fac \u0111\u1ea7u.<\/p>\n

Ngo\u00e0i vi\u1ec7c l\u00e0m vi\u1ec7c tr\u00ean s\u1ed5 \u0111\u0103ng k\u00fd ELSO COVID-19, Barbaro \u0111ang d\u1eabn \u0111\u1ea7u m\u1ed9t nghi\u00ean c\u1ee9u quan s\u00e1t l\u00e2m s\u00e0ng c\u00f3 t\u00ean ASCEND nh\u1eb1m theo d\u00f5i k\u1ebft qu\u1ea3 ECMO \u1edf tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean t\u1ea1i g\u1ea7n 100 b\u1ec7nh vi\u1ec7n tr\u00ean kh\u1eafp th\u1ebf gi\u1edbi. Khi bi\u1ebfn th\u1ec3 Delta <\/a>c\u1ee7a coronavirus m\u1edbi l\u00e2y lan nhanh ch\u00f3ng, nh\u00f3m nghi\u00ean c\u1ee9u \u0111\u00e3 nh\u1eadn th\u1ea5y r\u1eb1ng ph\u1ea7n l\u1edbn b\u1ec7nh nhi \u0111\u01b0\u1ee3c \u0111\u1eb7t ECMO t\u1ea1i th\u1eddi \u0111i\u1ec3m n\u00e0y \u0111ang c\u1ea7n n\u00f3 v\u00ec COVID-19.<\/p>\n

\u201cTrong nh\u1eefng th\u1eddi \u0111i\u1ec3m kh\u1ee7ng ho\u1ea3ng n\u00e0y, kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng nhu c\u1ea7u c\u1ee7a ch\u00fang t\u00f4i \u0111\u1eb7t ra nh\u1eefng th\u00e1ch th\u1ee9c v\u1ec1 \u0111\u1ea1o \u0111\u1ee9c v\u00e0 COVID \u0111\u00e3 ch\u1ec9 ra nh\u1eefng \u0111i\u1ec3m y\u1ebfu trong h\u1ec7 th\u1ed1ng c\u1ee7a ch\u00fang t\u00f4i, c\u0169ng nh\u01b0 ch\u1ec9 ra c\u00e1ch nh\u1eefng ng\u01b0\u1eddi c\u00f3 ngu\u1ed3n l\u1ef1c v\u00e0 ng\u01b0\u1eddi th\u00e2n c\u00f3 th\u1ec3 v\u1eadn \u0111\u1ed9ng thay m\u1eb7t h\u1ecd c\u00f3 th\u1ec3 t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 ECMO v\u00e0 t\u00ecm ki\u1ebfm c\u01a1 h\u1ed9i cho ng\u01b0\u1eddi th\u00e2n c\u1ee7a h\u1ecd \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, \u201dBarbaro n\u00f3i.<\/p>\n

\u201cTrong khi \u0111\u00f3, c\u00e1c b\u1ec7nh vi\u1ec7n \u1edf nh\u1eefng khu v\u1ef1c kh\u00f4ng x\u1ea3y ra \u0111\u1ed9t bi\u1ebfn c\u1ea7n ph\u1ea3i ph\u1ea3n \u00e1nh v\u1ec1 nh\u1eefng ch\u00ednh s\u00e1ch v\u00e0 th\u1ee7 t\u1ee5c m\u00e0 h\u1ecd s\u1ebd s\u1eed d\u1ee5ng n\u1ebfu h\u1ecd tr\u1ea3i qua m\u1ed9t \u0111\u1ee3t t\u0103ng kh\u00e1c, \u0111\u1ec3 th\u00fac \u0111\u1ea9y ph\u00e2n b\u1ed5 \u0111\u1ea1o \u0111\u1ee9c khi ngu\u1ed3n l\u1ef1c b\u1ecb h\u1ea1n ch\u1ebf.\u201d<\/p>\n

Nghi\u00ean c\u1ee9u xu\u1ea5t hi\u1ec7n tr\u00ean t\u1ea1p ch\u00ed The Lancet <\/a>. Nh\u1eefng ng\u01b0\u1eddi \u0111\u00f3ng g\u00f3p b\u1ed5 sung \u0111\u1ebfn t\u1eeb \u0110\u1ea1i h\u1ecdc Michigan, H\u1ec7 th\u1ed1ng Y t\u1ebf \u0110\u1ea1i h\u1ecdc Qu\u1ed1c gia \u1edf Singapore v\u00e0 \u0110\u1ea1i h\u1ecdc Columbia.<\/p>\n

Ngu\u1ed3n: Futurity<\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p ch\u00ednh l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a tr\u00ed tu\u1ec7. Ai ai c\u0169ng c\u00f3 s\u1eb5n ti\u1ec1m n\u0103ng s\u1eed d\u1ee5ng tr\u00ed tu\u1ec7 c\u1ee7a m\u00ecnh \u0111\u1ec3 v\u1eadn h\u00e0nh c\u00f4ng vi\u1ec7c, cu\u1ed9c s\u1ed1ng. Nh\u1eefng c\u00f4ng c\u1ee5 m\u1ea1nh \u0111\u1ec3 h\u1ed7 tr\u1ee3 ch\u00fang ta \u0111\u01b0a ra c\u00e1c gi\u1ea3i ph\u00e1p t\u1ed1i \u01b0u cho c\u00e1c kh\u00f3 kh\u0103n \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng t\u1eeb r\u1ea5t l\u00e2u b\u1edfi nh\u00e0 khoa h\u1ecdc ng\u01b0\u1eddi Nga. N\u1ebfu b\u1ea1n quan t\u00e2m \u0111\u1ebfn vi\u1ec7c c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 v\u00e0 ra quy\u1ebft \u0111\u1ecbnh m\u1ed9t c\u00e1ch m\u1edbi m\u1ebb, nhanh ch\u00f3ng th\u00ec kh\u00f3a h\u1ecdc PH\u01af\u01a0NG PH\u00c1P LU\u1eacN S\u00c1NG T\u1ea0O v\u00e0 \u0110\u1ed4I M\u1edaI<\/a> t\u1ea1i Trung t\u00e2m S\u00e1ng t\u1ea1o Khoa h\u1ecdc\u2013k\u1ef9 thu\u1eadt (TSK) thu\u1ed9c tr\u01b0\u1eddng Khoa H\u1ecdc T\u1ef1 Nhi\u00ean l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn ph\u00f9 h\u1ee3p. B\u1ea1n c\u00f3 th\u1ec3 \u0111i\u1ec1n th\u00f4ng tin t\u1ea1i \u0111\u00e2y<\/a> ho\u1eb7c li\u00ean h\u1ec7 s\u1ed1 \u0111i\u1ec7n tho\u1ea1i: (028) 38 301 743; 0939 795 225 \u0111\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u0103ng k\u00fd.<\/p>\n","protected":false},"excerpt":{"rendered":"

M\u1ed9t nghi\u00ean c\u1ee9u m\u1edbi cho th\u1ea5y, h\u1ec7 th\u1ed1ng h\u1ed7 tr\u1ee3 s\u1ef1 s\u1ed1ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ECMO c\u00f3 th\u1ec3 c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n COVID-19 kh\u1ecfi b\u1edd v\u1ef1c t\u1eed vong, nh\u01b0ng kh\u00f4ng ph\u1ea3i v\u1edbi t\u1ed1c \u0111\u1ed9 \u0111\u01b0\u1ee3c … <\/p>\n","protected":false},"author":1,"featured_media":9604,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[82],"tags":[],"yoast_head":"\nH\u1ed7 tr\u1ee3 s\u1ef1 s\u1ed1ng \u0111\u00e3 c\u1ee9u \u00edt b\u1ec7nh nh\u00e2n COVID h\u01a1n k\u1ec3 t\u1eeb n\u0103m 2020 - Blog TSK<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cstc.vn\/blogtsk\/ho-tro-su-song-da-cuu-it-benh-nhan-covid-hon-ke-tu-nam-2020\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"H\u1ed7 tr\u1ee3 s\u1ef1 s\u1ed1ng \u0111\u00e3 c\u1ee9u \u00edt b\u1ec7nh nh\u00e2n COVID h\u01a1n k\u1ec3 t\u1eeb n\u0103m 2020 - 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