{"id":3397,"date":"2024-03-14T11:44:35","date_gmt":"2024-03-14T04:44:35","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=3397"},"modified":"2024-09-13T23:13:00","modified_gmt":"2024-09-13T16:13:00","slug":"%f0%9d%90%84%f0%9d%90%82%f0%9d%90%86-%f0%9d%90%9c%f0%9d%90%a1%f0%9d%90%a8-%f0%9d%90%9b%f0%9d%90%a2e%f0%9d%90%ad-%f0%9d%90%ada%f0%9d%90%9c-%f0%9d%90%a7%f0%9d%90%a0%f0%9d%90%a1e%f0%9d%90%a7-d","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/%f0%9d%90%84%f0%9d%90%82%f0%9d%90%86-%f0%9d%90%9c%f0%9d%90%a1%f0%9d%90%a8-%f0%9d%90%9b%f0%9d%90%a2e%f0%9d%90%ad-%f0%9d%90%ada%f0%9d%90%9c-%f0%9d%90%a7%f0%9d%90%a0%f0%9d%90%a1e%f0%9d%90%a7-d\/","title":{"rendered":"\ud835\udc04\ud835\udc02\ud835\udc06 \ud835\udc1c\ud835\udc21\ud835\udc28 \ud835\udc1b\ud835\udc22\u1ebf\ud835\udc2d \ud835\udc2d\u1eaf\ud835\udc1c \ud835\udc27\ud835\udc20\ud835\udc21\u1ebd\ud835\udc27 \u0111\ud835\udc28\u1ea1\ud835\udc27 \ud835\udc20\u1ea7\ud835\udc27 \ud835\udc0b\ud835\udc00\ud835\udc03 – \ud83c\udf3b\ud835\udc07\u1ed8\ud835\udc08 \ud835\udc02\ud835\udc07\u1ee8\ud835\udc0d\ud835\udc06 \ud835\udc03\ud835\udc04 \ud835\udc16\ud835\udc08\ud835\udc0d\ud835\udc13\ud835\udc04\ud835\udc11’\ud835\udc12 \ud83c\udf3b"},"content":{"rendered":"

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\ud835\udc04\ud835\udc02\ud835\udc06 \ud835\udc1c\ud835\udc21\ud835\udc28 \ud835\udc1b\ud835\udc22\u1ebf\ud835\udc2d \ud835\udc2d\u1eaf\ud835\udc1c \ud835\udc27\ud835\udc20\ud835\udc21\u1ebd\ud835\udc27 \u0111\ud835\udc28\u1ea1\ud835\udc27 \ud835\udc20\u1ea7\ud835\udc27 \ud835\udc0b\ud835\udc00\ud835\udc03 – <\/span>\ud83c\udf3b\ud835\udc07\u1ed8\ud835\udc08 \ud835\udc02\ud835\udc07\u1ee8\ud835\udc0d\ud835\udc06 \ud835\udc03\ud835\udc04 \ud835\udc16\ud835\udc08\ud835\udc0d\ud835\udc13\ud835\udc04\ud835\udc11’\ud835\udc12 \ud83c\udf3b<\/span><\/p>\n

\"\ud83d\udc49\"<\/span>\"\u270d\ufe0f\"<\/span>Nh\u01b0 ch\u00fang ta bi\u1ebft r\u1eb1ng nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p c\u00f3 \u0111o\u1ea1n ST ch\u00eanh l\u00ean \u1edf c\u00e1c chuy\u1ec3n \u0111\u1ea1o s\u1ebd gi\u00fap ph\u00e2n v\u00f9ng v\u00f9ng nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ecbnh khu nh\u00e1nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh chi ph\u1ed1i. Trong b\u00e0i vi\u1ebft n\u00e0y m\u00ecnh mu\u1ed1n gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n H\u1ed9i ch\u1ee9ng De Winter\u2019s.
\n\"\u270d\ufe0f\" V\u1eady h\u1ed9i ch\u1ee9ng De Winter\u2019s l\u00e0 g\u00ec???<\/strong><\/p>\n

\u00a0 \u00a0\"\ud83c\udf35\"<\/span>\"\ud83c\udf35\"<\/span>\"\ud83c\udf35\"<\/span>Thay v\u00ec \u0111o\u1ea1n ST ch\u00eanh l\u00ean \u0111\u1eb7c tr\u01b0ng, \u1edf HC De Winter\u2019s nh\u00ecn tr\u00ean ECG th\u1ea5y \u0111o\u1ea1n ST ch\u00eanh xu\u1ed1ng d\u1ed1c l\u00ean t\u1eeb 1 \u2013 3 mm t\u1ea1i \u0111i\u1ec3m J \u1edf chuy\u1ec3n \u0111\u1ea1o V1 \u0111\u1ebfn V6 v\u00e0 s\u00f3ng T d\u01b0\u01a1ng, cao, \u0111\u1ed1i x\u1ee9ng.
\nPh\u1ee9c b\u1ed9 QRS th\u01b0\u1eddng kh\u00f4ng gi\u00e3n r\u1ed9ng ho\u1eb7c ch\u1ec9 gi\u00e3n ra m\u1ed9t ch\u00fat v\u00e0 \u1edf m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p m\u1ea5t s\u00f3ng R ti\u1ebfn tri\u1ec3n \u1edf chuy\u1ec3n \u0111\u1ea1o tr\u01b0\u1edbc tim. \u1ede h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n \u0111o\u1ea1n ST ch\u00eanh l\u00ean t\u1eeb 1 – 2mm \u1edf chuy\u1ec3n \u0111\u1ea1o avR.
\n\u00a0 \u00a0 \u00a0 \"\ud83c\udf35\"<\/span>Nh\u01b0 v\u1eady, ti\u00eau chu\u1ea9n ECG c\u1ee7a h\u1ed9i ch\u1ee9ng De Winter\u2019s:
\n\"\ud83d\udc49\"<\/span>\u0110o\u1ea1n ST ch\u00eanh xu\u1ed1ng d\u1ed1c l\u00ean t\u1eeb 1 \u2013 3 mm t\u1ea1i \u0111i\u1ec3m J \u1edf chuy\u1ec3n \u0111\u1ea1o V1 \u0111\u1ebfn V6
\n\"\ud83d\udc49\"<\/span>S\u00f3ng T d\u01b0\u01a1ng, cao, \u0111\u1ed1i x\u1ee9ng \u1edf V1 – V6
\n\"\ud83d\udc49\"<\/span>Kh\u00f4ng c\u00f3 \u0111o\u1ea1n ST ch\u00eanh l\u00ean \u1edf chuy\u1ec3n \u0111\u1ea1o tr\u01b0\u1edbc tim
\n\"\ud83d\udc49\"<\/span>C\u00f3 th\u1ec3 k\u00e8m \u0111o\u1ea1n ST ch\u00eanh l\u00ean t\u1eeb 1 – 2mm \u1edf chuy\u1ec3n \u0111\u1ea1o avR.
\n\"\ud83c\udf44\" <\/span>Tuy nhi\u00ean, C\u1ea7n nh\u1edb r\u1eb1ng, h\u00ecnh \u1ea3nh ECG c\u1ee7a HC De Winter r\u1ea5t \u0111a d\u1ea1ng bao g\u1ed3m: thay \u0111\u1ed5i s\u00f3ng T v\u00e0 \u0111o\u1ea1n ST ch\u00eanh xu\u1ed1ng ho\u1eb7c l\u00ean >1mm \u1edf \u0111i\u1ec3m J \u1edf \u0111\u1ea1o tr\u00ecnh tr\u01b0\u1edbc tim r\u1ea5t kh\u00e1c nhau (H\u00ecnh minh ho\u1ea1). \u0110\u00e2y ch\u00ednh l\u00e0 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng nh\u1ed3i m\u00e1u c\u01a1 tim th\u00e0nh tr\u01b0\u1edbc nh\u01b0ng kh\u00f4ng c\u00f3 \u0111o\u1ea1n ST ch\u00eanh l\u00ean r\u00f5 r\u00e0ng.
\n\"\u26d4\ufe0f\"<\/span>\ud835\ude73\ud835\ude98 \ud835\ude9f\u1ead\ud835\udea2, \ud835\ude9f\u1ea5\ud835\ude97 \u0111\u1ec1 \u0111\ud835\ude92\u1ec1\ud835\ude9e \ud835\ude9d\ud835\ude9b\u1ecb \ud835\ude95\u00e0 \ud835\ude94\ud835\ude91\ud835\ude92 \ud835\ude90\u1eb7\ud835\ude99 \ud835\ude8b\u1ec7\ud835\ude97\ud835\ude91 \ud835\ude97\ud835\ude91\u00e2\ud835\ude97 \ud835\ude8c\u00f3 \u0111\ud835\ude98\u1ea1\ud835\ude97 \ud835\ude82\ud835\ude83 \ud835\ude9f\u00e0 \ud835\ude9c\u00f3\ud835\ude97\ud835\ude90 \ud835\ude83 \ud835\ude73\ud835\ude8e \ud835\ude86\ud835\ude92\ud835\ude97\ud835\ude9d\ud835\ude8e\ud835\ude9b\u2019\ud835\ude9c \ud835\ude9d\ud835\ude9b\u00ea\ud835\ude97 \ud835\ude74\ud835\ude72\ud835\ude76 \ud835\ude9d\u1ee9\ud835\ude8c \ud835\ude95\u00e0 \ud835\ude91\u1ecd \u0111\ud835\ude8a\ud835\ude97\ud835\ude90 \ud835\ude8b\u1ecb \ud835\ude97\ud835\ude91\u1ed3\ud835\ude92 \ud835\ude96\u00e1\ud835\ude9e \ud835\ude8c\u01a1 \ud835\ude9d\ud835\ude92\ud835\ude96 \ud835\ude8c\u1ea5\ud835\ude99. \u0110\ud835\ude92\u1ec1\ud835\ude9e \ud835\ude9d\ud835\ude9b\u1ecb \ud835\ude7d\ud835\ude7c\ud835\ude72\ud835\ude83 \ud835\ude8b\ud835\ude8a\ud835\ude98 \ud835\ude90\u1ed3\ud835\ude96 \ud835\ude7e\ud835\udea1\ud835\udea2, \ud835\ude96\ud835\ude98\ud835\ude9b\ud835\ude99\ud835\ude91\ud835\ude92\ud835\ude97\ud835\ude8e, \ud835\ude7d\ud835\ude92\ud835\ude9d\ud835\ude9b\ud835\ude98\ud835\ude90\ud835\ude95\ud835\udea2\ud835\ude8c\ud835\ude8e\ud835\ude9b\ud835\ude92\ud835\ude97\ud835\ude8e \ud835\ude9f\u00e0 \ud835\ude70\ud835\ude9c\ud835\ude99\ud835\ude92\ud835\ude9b\ud835\ude92\ud835\ude97 \ud835\ude94\ud835\ude91\ud835\ude92 \ud835\ude8c\u1ea7\ud835\ude97 \ud835\ude9d\ud835\ude91\ud835\ude92\u1ebf\ud835\ude9d. \ud835\ude7b\ud835\ude92\u1ec7\ud835\ude9e \ud835\ude99\ud835\ude91\u00e1\ud835\ude9d \ud835\ude9d\ud835\ude92\u00ea\ud835\ude9e \ud835\ude9c\u1ee3\ud835\ude92 \ud835\ude91\ud835\ude9e\ud835\udea2\u1ebf\ud835\ude9d \ud835\ude94\ud835\ude91\ud835\ude92 \ud835\ude8b\u1ec7\ud835\ude97\ud835\ude91 \ud835\ude97\ud835\ude91\u00e2\ud835\ude97 \u0111\u1ebf\ud835\ude97 \ud835\ude9c\u1edb\ud835\ude96 < \ud835\udffc \ud835\ude90\ud835\ude92\u1edd. \ud835\ude7f\ud835\ude72\ud835\ude78 \ud835\ude91\ud835\ude98\u1eb7\ud835\ude8c \ud835\ude72\ud835\ude70\ud835\ude76\ud835\ude71 \ud835\ude99\ud835\ude91\u1ea3\ud835\ude92 \u0111\u01b0\u1ee3\ud835\ude8c \ud835\ude9d\ud835\ude91\u1ef1\ud835\ude8c \ud835\ude91\ud835\ude92\u1ec7\ud835\ude97 \u0111\u1ec3 \ud835\ude9d\u00e1\ud835\ude92 \ud835\ude9d\u01b0\u1edb\ud835\ude92 \ud835\ude96\u00e1\ud835\ude9e!\"\u274c\"\"\"<\/a><\/span><\/p>\n

Ngu\u1ed3n n\u1ed9i dung & \u1ea3nh: Th\u1ea7y Nguy\u1ec5n V\u0103n Long – B\u1ed9 M\u00f4n N\u1ed9i – TNU.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\ud835\udc04\ud835\udc02\ud835\udc06 \ud835\udc1c\ud835\udc21\ud835\udc28 \ud835\udc1b\ud835\udc22\u1ebf\ud835\udc2d \ud835\udc2d\u1eaf\ud835\udc1c \ud835\udc27\ud835\udc20\ud835\udc21\u1ebd\ud835\udc27 \u0111\ud835\udc28\u1ea1\ud835\udc27 \ud835\udc20\u1ea7\ud835\udc27 \ud835\udc0b\ud835\udc00\ud835\udc03 – \ud83c\udf3b\ud835\udc07\u1ed8\ud835\udc08 \ud835\udc02\ud835\udc07\u1ee8\ud835\udc0d\ud835\udc06 \ud835\udc03\ud835\udc04 \ud835\udc16\ud835\udc08\ud835\udc0d\ud835\udc13\ud835\udc04\ud835\udc11’\ud835\udc12 \ud83c\udf3b Nh\u01b0 ch\u00fang ta bi\u1ebft r\u1eb1ng nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p c\u00f3 \u0111o\u1ea1n ST ch\u00eanh l\u00ean \u1edf c\u00e1c chuy\u1ec3n \u0111\u1ea1o s\u1ebd gi\u00fap ph\u00e2n v\u00f9ng v\u00f9ng nh\u1ed3i m\u00e1u c\u01a1 tim …<\/p>\n","protected":false},"author":32,"featured_media":3398,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[138],"tags":[],"class_list":["post-3397","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-tin-tuc"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3397","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\/32"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=3397"}],"version-history":[{"count":3,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3397\/revisions"}],"predecessor-version":[{"id":4400,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3397\/revisions\/4400"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/3398"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=3397"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=3397"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=3397"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}