{"id":3230,"date":"2024-01-19T20:11:18","date_gmt":"2024-01-19T13:11:18","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=3230"},"modified":"2024-01-19T20:11:18","modified_gmt":"2024-01-19T13:11:18","slug":"chuoi-series-benh-an-lam-sang-ho-hap-so-06","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/chuoi-series-benh-an-lam-sang-ho-hap-so-06\/","title":{"rendered":"CHU\u1ed6I SERIES B\u1ec6NH \u00c1N L\u00c2M S\u00c0NG H\u00d4 H\u1ea4P S\u1ed0 06"},"content":{"rendered":"

B\u1ec6NH \u00c1N B\u1ec6NH PH\u1ed4I T\u1eaeC NGH\u1ebcN M\u00c3N T\u00cdNH \u2013 COPD<\/b><\/span><\/h4>\n
H\u1ecd t\u00ean b\u1ec7nh nh\u00e2n: Nguy\u1ec5n V\u0103n Hxxx Tu\u1ed5i: 69<\/span><\/div>\n
Ngh\u1ec1 nghi\u1ec7p: C\u00e1n b\u1ed9 h\u01b0u<\/span><\/div>\n
\u0110\u1ecba ch\u1ec9: D\u00e2n H\u00f2a, Thanh Oai, H\u00e0 T\u00e2y<\/span><\/div>\n
V\u00e0o vi\u1ec7n: 7\/3\/20xx<\/span><\/div>\n
I. H\u1eceI B\u1ec6NH<\/b><\/span><\/h5>\n
1. L\u00dd DO V\u00c0O VI\u1ec6N: KH\u00d3 TH\u1ede<\/b><\/span><\/h5>\n
2. B\u1ec6NH S\u1eec<\/b><\/span><\/h5>\n
B\u1ec7nh xu\u1ea5t hi\u1ec7n 10 n\u0103m nay (t\u1eeb 2002). T\u1eeb 2002 \u0111\u1ebfn 2008, b\u1ec7nh nh\u00e2n ch\u1ec9 c\u00f3 ho v\u00e0 kh\u1ea1c \u0111\u1eddm v\u1ec1 bu\u1ed5i s\u00e1ng v\u00e0 khi thay \u0111\u1ed5i th\u1eddi ti\u1ebft; \u0111\u1eddm nh\u00e0y, trong, \u0111\u00f4i khi kh\u1ea1c \u0111\u1eddm \u0111\u1ee5c. M\u1ed7i \u0111\u1ee3t ho v\u00e0 kh\u1ea1c \u0111\u1eddm k\u00e9o d\u00e0i kho\u1ea3ng 20 ng\u00e0y \u0111\u1ebfn 1 th\u00e1ng. M\u1ed9t n\u0103m th\u01b0\u1eddng b\u1ecb 3 \u0111\u1ebfn 4 \u0111\u1ee3t.<\/span><\/div>\n
4 n\u0103m g\u1ea7n \u0111\u00e2y (2009 \u2013 2012) xu\u1ea5t hi\u1ec7n th\u00eam kh\u00f3 th\u1edf. Th\u1eddi gian \u0111\u1ea7u kh\u00f3 th\u1edf t\u0103ng khi g\u1eafng s\u1ee9c n\u1eb7ng. M\u1ee9c \u0111\u1ed9 kh\u00f3 th\u1edf t\u0103ng d\u1ea7n l\u00ean: li\u00ean quan g\u1eafng s\u1ee9c v\u1eeba (leo c\u1ea7u thang l\u00ean t\u1ea7ng 2 m\u1edbi kh\u00f3 th\u1edf), sau \u0111\u00f3 l\u00e0 g\u1eafng s\u1ee9c nh\u1eb9 (\u0111i b\u1ed9 m\u1ea5y ch\u1ee5c m\u00e9t). M\u1ed9t n\u0103m g\u1ea7n \u0111\u00e2y kh\u00f3 th\u1edf th\u01b0\u1eddng xuy\u00ean, t\u0103ng khi g\u1eafng s\u1ee9c. C\u00f3 nhi\u1ec1u \u0111\u1ee3t di\u1ec5n bi\u1ebfn n\u1eb7ng h\u01a1n v\u1edbi bi\u1ec3u hi\u1ec7n kh\u00f3 th\u1edf t\u0103ng, kh\u1ea1c \u0111\u1eddm t\u0103ng, s\u1ed1t nh\u1eb9, \u0111\u1eddm nhi\u1ec1u h\u01a1n, \u0111\u1ee5c. B\u1ec7nh nh\u00e2n t\u1ef1 \u0111i\u1ec1u tr\u1ecb \u1edf nh\u00e0 ho\u1eb7c \u0111i\u1ec1u tr\u1ecb theo \u0111\u01a1n ngo\u1ea1i tr\u00fa b\u1eb1ng c\u00e1c thu\u1ed1c kh\u00e1ng sinh, long \u0111\u1eddm, b\u1ec7nh thuy\u00ean gi\u1ea3m. B\u1ec7nh nh\u00e2n \u0111\u00e3 ph\u1ea3i n\u1eb1m \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n 2 l\u1ea7n.<\/span><\/div>\n
M\u1ed9t tu\u1ea7n tr\u01b0\u1edbc v\u00e0o vi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng ho, kh\u1ea1c \u0111\u1eddm v\u00e0 kh\u00f3 th\u1edf t\u0103ng l\u00ean, k\u00e8m theo c\u00f3 s\u1ed1t. Ngo\u00e0i ra c\u00f2n th\u1ea5y \u0111\u00e1i \u00edt h\u01a1n, t\u1ee9c nh\u1eb9 h\u1ea1 s\u01b0\u1eddn ph\u1ea3i. B\u1ec7nh nh\u00e2n xin v\u00e0o vi\u1ec7n 103 ng\u00e0y 7\/3\/2012. B\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh, gi\u00e3n ph\u1ebf qu\u1ea3n, long \u0111\u1eddm, c\u01b0\u1eddng tim, l\u1ee3i ti\u1ec3u, c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean c\u00f3 gi\u1ea3m.<\/span><\/div>\n
Ngo\u00e0i c\u00e1c bi\u1ec3u hi\u1ec7n tr\u00ean \u0111\u00e2y, b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 ho kh\u1ea1c ra m\u00e1u. \u0110\u1eddm kh\u1ea1c ra kh\u00f4ng c\u00f3 m\u00f9i th\u1ed1i.<\/span><\/div>\n
Hi\u1ec7n t\u1ea1i b\u1ec7nh nh\u00e2n kh\u00f4ng s\u1ed1t, c\u00f2n kh\u00f3 th\u1edf nh\u1eb9, ho v\u00e0 kh\u1ea1c \u0111\u1eddm \u00edt v\u1ec1 bu\u1ed5i s\u00e1ng, \u0103n ng\u1ee7 kh\u00e1 h\u01a1n, \u0111i ti\u1ec3u nhi\u1ec1u h\u01a1n, kh\u00f4ng c\u00f2n t\u1ee9c n\u1eb7ng h\u1ea1 s\u01b0\u1eddn ph\u1ea3i n\u1eefa.<\/span><\/div>\n
3. TI\u1ec0N S\u1eec<\/b><\/span><\/h5>\n
    \n
  • \n
    B\u1ea3n th\u00e2n: nghi\u1ec7n thu\u1ed1c l\u00e0o, l\u00e1 20 n\u0103m.<\/span><\/div>\n<\/li>\n
  • \n
    Gia \u0111\u00ecnh: kh\u00f4ng ai c\u00f3 b\u1ec7nh m\u1ea1n t\u00ednh.<\/span><\/div>\n<\/li>\n<\/ul>\n
    II. KH\u00c1M B\u1ec6NH<\/b><\/span><\/h5>\n
    1. TO\u00c0N TH\u00c2N:<\/b><\/span><\/h5>\n
    \u2013 Khi m\u1edbi v\u00e0o vi\u1ec7n s\u1ed1t 3708, m\u00f4i da t\u00edm nhi\u1ec1u h\u01a1n.<\/span><\/div>\n
    \u2013 Sau 2 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb, hi\u1ec7n t\u1ea1i kh\u00e1m th\u1ea5y<\/span><\/div>\n
      \n
    • \n
      BN t\u1ec9nh t\u00e1o, kh\u00f4ng s\u1ed1t (t0 = 3607),<\/span><\/div>\n<\/li>\n
    • \n
      Th\u1ec3 tr\u1ea1ng g\u1ea7y (45kg, cao 1m64),<\/span><\/div>\n<\/li>\n
    • \n
      Da s\u1ea1m, m\u00f4i t\u00edm nh\u1eb9<\/span><\/div>\n<\/li>\n
    • \n
      Kh\u00f4ng ph\u00f9, kh\u00f4ng c\u00f3 ng\u00f3n tay d\u00f9i tr\u1ed1ng tr\u1ed1ng<\/span><\/div>\n<\/li>\n
    • \n
      H\u1ea1ch ngo\u1ea1i vi kh\u00f4ng s\u1edd th\u1ea5y.<\/span><\/div>\n<\/li>\n<\/ul>\n
      2. H\u00d4 H\u1ea4P<\/b><\/span><\/h5>\n
      \u2013 T\u1ea7n s\u1ed1 th\u1edf 19 l\u1ea7n\/ph\u00fat (l\u00fac v\u00e0o th\u1edf 28 l\u1ea7n\/ph\u00fat, co r\u00fat nhi\u1ec1u h\u01a1n). Co r\u00fat nh\u1eb9 c\u01a1 h\u00f4 h\u1ea5p ph\u1ee5 (r\u00fat l\u00f5m h\u1ed1 tr\u00ean \u1ee9c tr\u00ean \u0111\u00f2n \u1edf th\u00ec th\u1edf ra). Th\u00ec th\u1edf ra k\u00e9o d\u00e0i h\u01a1n th\u00ec th\u1edf v\u00e0o.<\/span><\/div>\n
      \u2013 L\u1ed3ng ng\u1ef1c h\u00ecnh th\u00f9ng, c\u00e1c khoang gian s\u01b0\u1eddn r\u1ed9ng, n\u1eb1m<\/span><\/div>\n
      \u2013 G\u00f5 vang tr\u1ed1ng hai ph\u1ebf tr\u01b0\u1eddng, \u0111\u1eb7c bi\u1ec7t \u1edf 1\/2 d\u01b0\u1edbi l\u1ed3ng ng\u1ef1c c\u1ea3 hai b\u00ean.<\/span><\/div>\n
      \u2013 Nghe ph\u1ed5i: r\u00ec r\u00e0o ph\u1ebf nang gi\u1ea3m r\u00f5 r\u1ec7t c\u1ea3 hai b\u00ean. V\u00f9ng gian s\u1ed1ng b\u1ea3 hai b\u00ean v\u00e0 1\/2 d\u01b0\u1edbi l\u1ed3ng ng\u1ef1c ph\u00eda sau c\u00f3 ran \u1ea9m v\u00e0 ran n\u1ed5 s\u1ed1 l\u01b0\u1ee3ng \u00edt.<\/span><\/div>\n
      3. TU\u1ea6N H\u00d2AN<\/b><\/span><\/h5>\n
      \u2013 M\u1ea1ch 90\/1 ph\u00fat, \u0111\u1ec1u. HA 120\/70mmHg<\/span><\/div>\n
      \u2013 Nh\u00ecn v\u00e0 s\u1edd v\u00f9ng gian s\u01b0\u1eddn V, VI \u0111\u01b0\u1eddng gi\u1eefa \u0111\u00f2n tr\u00e1i kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed c\u1ee7a m\u1ecfm<\/span><\/div>\n
      \u2013 D\u1ea5u hi\u1ec7u Hartzer (+) (t\u00e2m th\u1ea5t ph\u1ea3i \u0111\u1eadp \u1edf v\u00f9ng m\u0169i \u1ee9c).<\/span><\/div>\n
      \u2013 T\u0129nh m\u1ea1ch c\u1ed5 n\u1ed5i nh\u1eb9, d\u1ea5u hi\u1ec7u ph\u1ea3n h\u1ed3i gan t\u0129nh m\u1ea1ch c\u1ed5 d\u01b0\u01a1ng t\u00ednh kh\u00f4ng r\u00f5. G\u00f5 v\u00f9ng \u0111\u1ee5c tr\u01b0\u1edbc tim th\u1ea5y vang<\/span><\/div>\n
      \u2013 Nghe tim: kh\u00f4ng c\u00f3 ti\u1ebfng th\u1ed5i t\u00e2m thu \u1edf huy\u1ec7t van ba l\u00e1 v\u00e0 c\u00e1c huy\u1ec7t nghe tim kh\u00e1c.<\/span><\/div>\n
      4. TI\u00caU H\u00d3A:<\/b><\/span><\/h5>\n
      \u2013 B\u1ee5ng m\u1ec1n, \u1ea5n c\u00e1c \u0111i\u1ec3m ngo\u1ea1i khoa xu\u1ea5t chi\u1ebfu th\u00e0nh b\u1ee5ng kh\u00f4ng \u0111au.<\/span><\/div>\n
      \u2013 B\u1edd d\u01b0\u1edbi gan d\u01b0\u1edbi b\u1edd s\u01b0\u1eddn 2cm. Gi\u1edbi h\u1ea1n tr\u00ean \u1edf gian s\u01b0\u1eddn VI \u0111\u01b0\u1eddng gi\u1eefa \u0111\u00f2n ph\u1ea3i.<\/span><\/div>\n
      \u2013 L\u00e1ch kh\u00f4ng s\u1edd th\u1ea5y<\/span><\/div>\n
      \u2013 G\u00f5 \u0111\u1ee5c v\u00f9ng th\u1ea5p (-)<\/span><\/div>\n
      5. C\u00c1C C\u01a0 QUAN KH\u00c1C<\/b>: KH\u00d4NG KH\u00c1M TH\u1ea4Y C\u00c1C TRI\u1ec6U CH\u1ee8NG B\u1ec6NH L\u00dd<\/span><\/h5>\n
      6. C\u00c1C X\u00c9T NGHI\u1ec6M \u0110\u00c3 L\u00c0M<\/b><\/span><\/h5>\n
      \u2013 C\u00f4ng th\u1ee9c m\u00e1u: HC 4,0 T\/l; HST 120g\/l; HCT: 0,324.<\/span><\/div>\n
      WBC: 4,6 G\/l; N 72%; L 28%; VS 60\/90mm<\/span><\/div>\n
      \u2013 ECG: Nh\u1ecbp xoang nhanh (100l\u1ea7n\/1 ph\u00fat), P ph\u1ebf (P cao, nh\u1ecdn)<\/span><\/div>\n
      \u2013 Xquang:<\/span><\/div>\n
        \n
      • \n
        Hai tr\u01b0\u1eddng ph\u1ed5i t\u0103ng s\u00e1ng, x\u01b0\u01a1ng s\u01b0\u1eddn n\u1eb1m ngang, khoang gian s\u01b0\u1eddn gi\u00e3n, v\u00f2m ho\u00e0nh h\u1ea1 th\u1ea5p, g\u00f3c s\u01b0\u1eddn ho\u00e0nh t\u00f9, kho\u1ea3ng s\u00e1ng tr\u01b0\u1edbc tim v\u00e0 sau \u1ee9c r\u1ed9ng ra, b\u00f3ng tim h\u00ecnh gi\u1ecdt n\u01b0\u1edbc, m\u1ea1ch m\u00e1u ngo\u1ea1i vi th\u01b0a th\u1edbt.<\/span><\/div>\n<\/li>\n
      • \n
        C\u00e1c m\u1ea1ch m\u00e1u ph\u1ed5i \u1edf trung t\u00e2m t\u0103ng \u0111\u1eadm, r\u01b0\u1eddm r\u00e0, th\u00e0nh ph\u1ebf qu\u1ea3n d\u1ea7y, nhi\u1ec1u n\u1ed1t m\u1edd r\u1ea3i r\u00e1c theo h\u01b0\u1edbng ph\u1ebf qu\u1ea3n (vi\u00eam xung quanh ph\u1ebf qu\u1ea3n).<\/span><\/div>\n<\/li>\n<\/ul>\n
        \u2013 Soi \u0111\u1eddm: AFB \u00e2m t\u00ednh.<\/span><\/div>\n
        III. K\u1ebeT LU\u1eacN<\/b><\/span><\/h5>\n
        1. T\u00d3M T\u1eaeT B\u1ec6NH \u00c1N<\/b><\/span><\/h5>\n
        B\u1ec7nh nh\u00e2n nam, 69 tu\u1ed5i, v\u00e0o vi\u1ec7n v\u1edbi l\u00fd do kh\u00f3 th\u1edf, b\u1ec7nh di\u1ec5n bi\u1ebfn b\u1eb1ng c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ed9i ch\u1ee9ng sau:<\/span><\/div>\n
        \u2013 Ho v\u00e0 kh\u1ea1c \u0111\u1eddm 8 n\u0103m, th\u01b0\u1eddng xuy\u00ean v\u1ec1 bu\u1ed5i s\u00e1ng v\u00e0 khi thay \u0111\u1ed5i th\u1eddi ti\u1ebft.<\/span><\/div>\n
        \u2013 H\u1ed9i ch\u1ee9ng ph\u1ebf qu\u1ea3n lan t\u1ecfa 2 ph\u1ed5i: ran \u1ea9m 2 ph\u1ed5i, Xquang c\u00f3 h\u00ecnh \u1ea3nh \u201cph\u1ed5i b\u1ea9n\u201d.<\/span><\/div>\n
        \u2013 Kh\u00ed th\u0169ng 2 ph\u1ed5i: l\u1ed3ng ng\u1ef1c h\u00ecnh th\u00f9ng, g\u00f5 2 ph\u1ed5i vang, RRRN gi\u1ea3m, rung thanh gi\u1ea3m, Xquang c\u00f3 h\u00ecnh \u1ea3nh c\u0103ng gi\u00e3n 2 ph\u1ed5i.<\/span><\/div>\n
        \u2013 H\u1ed9i ch\u1ee9ng suy tim ph\u1ea3i: nh\u1ecbp tim nhanh, d\u1ea5u hi\u1ec7u Hartzer (+), t\u0129nh m\u1ea1ch c\u1ed5 n\u1ed1i nh\u1eb9, gan to, d\u1ea5u hi\u1ec7u ph\u1ea3n h\u1ed3i gan t\u0129nh m\u1ea1ch c\u1ed5 d\u01b0\u01a1ng t\u00ednh. \u0110i\u1ec7n tim c\u00f3 d\u00e0y nh\u0129 ph\u1ea3i.<\/span><\/div>\n
        \u2013 Ti\u1ec1n s\u1eed b\u1ea3n th\u00e2n: nghi\u1ec7n thu\u1ed1c l\u00e0o, thu\u1ed1c l\u00e1 20 n\u0103m.<\/span><\/div>\n
        2. CH\u1ea8N \u0110O\u00c1N<\/b><\/span><\/h5>\n
        B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh \u0111\u1ee3t b\u00f9ng ph\u00e1t, bi\u1ebfn ch\u1ee9ng t\u00e2m ph\u1ebf m\u1ea1n.<\/span><\/div>\n
        3. H\u01af\u1edaNG X\u1eec TR\u00cd<\/b><\/span><\/h5>\n
        \u2013 L\u00e0m th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m: \u0111o th\u00f4ng kh\u00ed ph\u1ed5i v\u00e0 l\u00e0m test h\u1ed3i ph\u1ee5c ph\u1ebf qu\u1ea3n, si\u00eau \u00e2m tim Doppler x\u00e1c \u0111\u1ecbnh \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/span><\/div>\n
        \u2013 Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb:<\/span><\/div>\n
        + \u0110i\u1ec1u tr\u1ecb \u0111\u1ee3t b\u00f9ng ph\u00e1t: kh\u00e1ng sinh ch\u1ed1ng nhi\u1ec5m tr\u00f9ng<\/span><\/div>\n
        + \u0110i\u1ec1u tr\u1ecb c\u1ea3i thi\u1ec7n r\u1ed1i lo\u1ea1n th\u00f4ng kh\u00ed t\u1eafc ngh\u1ebdn:<\/span><\/div>\n
          \n
        • \n
          Thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n: ph\u1ed1i h\u1ee3p nh\u00f3m xanthin v\u00e0 k\u00edch th\u00edch beta 2, k\u1ebft h\u1ee3p d\u1ea1ng vi\u00ean v\u00e0 kh\u00ed<\/span><\/div>\n<\/li>\n
        • \n
          Ch\u1ed1ng vi\u00eam: corticoide (d\u1ea1ng vi\u00ean + kh\u00ed dung).<\/span><\/div>\n<\/li>\n
        • \n
          Oxy li\u1ec7u ph\u00e1p: th\u1edf qua sonde m\u0169i, li\u1ec1u nh\u1ecf (2 \u2013 3 l\/ph\u00fat), ng\u1eaft qu\u00e3ng.<\/span><\/div>\n<\/li>\n<\/ul>\n
          + \u0110i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng suy tim ph\u1ea3i: c\u01b0\u1eddng tim, l\u1ee3i ti\u1ec3u, thu\u1ed1c gi\u00e3n m\u1ea1ch.<\/span><\/div>\n
          \u2013 \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3: \u0111\u01a1n 1 ng\u00e0y.<\/span><\/div>\n
            \n
          • \n
            Rofine 1g x 2 l\u1ecd\/ ng\u00e0y ti\u00eam t\u0129nh m\u1ea1ch 12 gi\u1edd 1 l\u1ea7n (10 ng\u00e0y).<\/span><\/div>\n<\/li>\n
          • \n
            Ouabain 1\/4mg x 1 \u1ed1ng pha 10ml HTN 30% ti\u00eam t\u0129nh m\u1ea1ch (15 ng\u00e0y).<\/span><\/div>\n<\/li>\n
          • \n
            Prednisolon 5mg x 6 vi\u00ean u\u1ed1ng 1 l\u1ea7n sau \u0103n s\u00e1ng (d\u00f9ng 10 ng\u00e0y sau \u0111\u00f3 h\u1ea1 d\u1ea7n li\u1ec1u v\u00e0 c\u1eaft).<\/span><\/div>\n<\/li>\n
          • \n
            Exomuc x 3 g\u00f3i chia 2 l\u1ea7n ng\u00e0y u\u1ed1ng no sau \u0103n s\u00e1ng \u2013 tr\u01b0a (d\u00f9ng 10 ng\u00e0y).<\/span><\/div>\n<\/li>\n
          • \n
            Theophylin 0,1 x 4 vi\u00ean u\u1ed1ng s\u00e1ng chi\u1ec1u sau \u0103n.<\/span><\/div>\n<\/li>\n
          • \n
            Volmax 4mg x 2 vi\u00ean u\u1ed1ng sau \u0103n c\u00e1ch 12 gi\u1edd 1 l\u1ea7n.<\/span><\/div>\n<\/li>\n
          • \n
            Lasix 40mg x 1 vi\u00ean u\u1ed1ng s\u00e1ng (u\u1ed1ng 2 ng\u00e0y).<\/span><\/div>\n<\/li>\n
          • \n
            Kaleorid 0,6 x 2 vi\u00ean u\u1ed1ng s\u00e1ng chi\u1ec1u (2 ng\u00e0y).<\/span><\/div>\n<\/li>\n
          • \n
            Lenitral 2,5mg x 2 vi\u00ean u\u1ed1ng s\u00e1ng chi\u1ec1u (d\u00f9ng 30 ng\u00e0y).<\/span><\/div>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

            B\u1ec6NH \u00c1N B\u1ec6NH PH\u1ed4I T\u1eaeC NGH\u1ebcN M\u00c3N T\u00cdNH \u2013 COPD H\u1ecd t\u00ean b\u1ec7nh nh\u00e2n: Nguy\u1ec5n V\u0103n Hxxx Tu\u1ed5i: 69 Ngh\u1ec1 nghi\u1ec7p: C\u00e1n b\u1ed9 h\u01b0u \u0110\u1ecba ch\u1ec9: D\u00e2n H\u00f2a, Thanh Oai, H\u00e0 T\u00e2y V\u00e0o vi\u1ec7n: 7\/3\/20xx I. H\u1eceI B\u1ec6NH 1. L\u00dd DO V\u00c0O VI\u1ec6N: KH\u00d3 TH\u1ede 2. B\u1ec6NH S\u1eec B\u1ec7nh xu\u1ea5t hi\u1ec7n 10 n\u0103m nay (t\u1eeb …<\/p>\n","protected":false},"author":11,"featured_media":3231,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[91],"tags":[],"class_list":["post-3230","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-benh-an"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3230","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=3230"}],"version-history":[{"count":1,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3230\/revisions"}],"predecessor-version":[{"id":3232,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3230\/revisions\/3232"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/3231"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=3230"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=3230"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=3230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}