{"id":5513,"date":"2026-03-10T16:50:30","date_gmt":"2026-03-10T09:50:30","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=5513"},"modified":"2026-03-10T16:50:30","modified_gmt":"2026-03-10T09:50:30","slug":"dien-tam-do-trong-thuc-hanh-lam-sang","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/dien-tam-do-trong-thuc-hanh-lam-sang\/","title":{"rendered":"\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng"},"content":{"rendered":"<p><strong>C\u00e1c n\u1ed9i dung tr\u1ecdng t\u00e2m bao g\u1ed3m:<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li><strong>Nguy\u00ean l\u00fd c\u01a1 b\u1ea3n:<\/strong>\u00a0ECG l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ghi ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n tim kh\u00f4ng x\u00e2m l\u1ea5n, gi\u00fap ph\u00e1t hi\u1ec7n r\u1ed1i lo\u1ea1n nh\u1ecbp, r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n v\u00e0 b\u1ec7nh m\u1ea1ch v\u00e0nh.\u00a0S\u00e1ch h\u01b0\u1edbng d\u1eabn chi ti\u1ebft v\u1ec1 c\u00e1c s\u00f3ng (P, QRS, T, U), c\u00e1c kho\u1ea3ng \u0111o, k\u00edch th\u01b0\u1edbc chu\u1ea9n tr\u00ean gi\u1ea5y ghi v\u00e0 v\u1ecb tr\u00ed \u0111\u1eb7t 12 chuy\u1ec3n \u0111\u1ea1o.<\/li>\n<li><strong>L\u1edbn bu\u1ed3ng tim:<\/strong>\u00a0Ph\u00e2n t\u00edch c\u00e1c thay \u0111\u1ed5i \u0111i\u1ec7n h\u1ecdc do qu\u00e1 t\u1ea3i th\u1ec3 t\u00edch ho\u1eb7c \u00e1p l\u1ef1c g\u00e2y l\u1edbn nh\u0129 v\u00e0 l\u1edbn th\u1ea5t.<\/li>\n<li><strong>B\u1ec7nh m\u1ea1ch v\u00e0nh:<\/strong>\n<ul class=\"gdAMzb\">\n<li><strong>Nh\u1ed3i m\u00e1u c\u01a1 tim (NMCT):<\/strong>\u00a0ECG \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng qua bi\u1ebfn \u0111\u1ed5i \u0111o\u1ea1n ST v\u00e0 s\u00f3ng Q b\u1ec7nh l\u00fd, h\u1ed7 tr\u1ee3 \u0111\u1ecbnh v\u1ecb v\u00f9ng nh\u1ed3i m\u00e1u (tr\u01b0\u1edbc, b\u00ean, th\u00e0nh d\u01b0\u1edbi, sau th\u1ef1c).<\/li>\n<li><strong>B\u1ec7nh m\u1ea1ch v\u00e0nh m\u1ea1n:<\/strong>\u00a0Nh\u1ea5n m\u1ea1nh c\u00e1c bi\u1ebfn \u0111\u1ed5i \u0111o\u1ea1n ST-T v\u00e0 vai tr\u00f2 c\u1ee7a nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c, Holter \u0111i\u1ec7n tim trong ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u00e2n t\u1ea7ng nguy c\u01a1.<\/li>\n<\/ul>\n<\/li>\n<li><strong>R\u1ed1i lo\u1ea1n nh\u1ecbp v\u00e0 d\u1eabn truy\u1ec1n:<\/strong>\u00a0Cung c\u1ea5p ki\u1ebfn th\u1ee9c v\u1ec1 nh\u1ecbp ch\u1eadm, block nh\u0129 th\u1ea5t (\u0111\u1ed9 I, II, III), block nh\u00e1nh (ph\u1ea3i, tr\u00e1i, ph\u00e2n nh\u00e1nh), ngo\u1ea1i t\u00e2m thu (nh\u0129, b\u1ed9 n\u1ed1i, th\u1ea5t) v\u00e0 c\u00e1c lo\u1ea1i nh\u1ecbp nhanh tr\u00ean th\u1ea5t.<\/li>\n<li><strong>Nh\u1ecbp nhanh th\u1ea5t v\u00e0 ng\u01b0ng tim:<\/strong>\u00a0M\u00f4 t\u1ea3 c\u00e1c d\u1ea1ng nh\u1ecbp nhanh th\u1ea5t, h\u1ed9i ch\u1ee9ng k\u00edch th\u00edch s\u1edbm (WPW) v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng ng\u01b0ng tim nguy hi\u1ec3m (rung th\u1ea5t, v\u00f4 t\u00e2m thu, ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n v\u00f4 m\u1ea1ch &#8211; PEA).<\/li>\n<\/ul>\n<p>T\u00e0i li\u1ec7u kh\u1eb3ng \u0111\u1ecbnh ECG l\u00e0 c\u00f4ng c\u1ee5 h\u1ed7 tr\u1ee3 \u0111\u1eafc l\u1ef1c, nh\u01b0ng vi\u1ec7c ch\u1ea9n \u0111o\u00e1n c\u1ea7n k\u1ebft h\u1ee3p ch\u1eb7t ch\u1ebd v\u1edbi d\u1eef ki\u1ec7n l\u00e2m s\u00e0ng v\u00e0 c\u00e1c th\u0103m d\u00f2 c\u1eadn l\u00e2m s\u00e0ng kh\u00e1c.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-5514\" src=\"https:\/\/ykhoataynguyen.com\/site\/wp-content\/uploads\/2026\/03\/Screenshot-2026-03-10-164919.png\" alt=\"\" width=\"796\" height=\"563\" title=\"\" srcset=\"https:\/\/ykhoataynguyen.com\/site\/wp-content\/uploads\/2026\/03\/Screenshot-2026-03-10-164919.png 796w, https:\/\/ykhoataynguyen.com\/site\/wp-content\/uploads\/2026\/03\/Screenshot-2026-03-10-164919-300x212.png 300w, https:\/\/ykhoataynguyen.com\/site\/wp-content\/uploads\/2026\/03\/Screenshot-2026-03-10-164919-768x543.png 768w\" sizes=\"auto, (max-width: 796px) 100vw, 796px\" \/><\/p>\n<p>Link: <a href=\"https:\/\/drive.google.com\/file\/d\/0B5IABervQ8eKRVRBdk9saFNuaWc\/view?usp=sharing&amp;resourcekey=0-aVtz0PSc8ySdQEScd5VeBA\" rel=\"noopener\">https:\/\/drive.google.com\/file\/d\/0B5IABervQ8eKRVRBdk9saFNuaWc\/view?usp=sharing&amp;resourcekey=0-aVtz0PSc8ySdQEScd5VeBA<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e1c n\u1ed9i dung tr\u1ecdng t\u00e2m bao g\u1ed3m: Nguy\u00ean l\u00fd c\u01a1 b\u1ea3n:\u00a0ECG l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ghi ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n tim kh\u00f4ng x\u00e2m l\u1ea5n, gi\u00fap ph\u00e1t hi\u1ec7n r\u1ed1i lo\u1ea1n nh\u1ecbp, r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n v\u00e0 b\u1ec7nh m\u1ea1ch v\u00e0nh.\u00a0S\u00e1ch h\u01b0\u1edbng d\u1eabn chi ti\u1ebft v\u1ec1 c\u00e1c s\u00f3ng (P, QRS, T, U), c\u00e1c kho\u1ea3ng \u0111o, k\u00edch th\u01b0\u1edbc chu\u1ea9n tr\u00ean gi\u1ea5y &hellip;<\/p>\n","protected":false},"author":23,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[172],"tags":[],"class_list":["post-5513","post","type-post","status-publish","format-standard","","category-can-lam-sang"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/5513","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\/23"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=5513"}],"version-history":[{"count":1,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/5513\/revisions"}],"predecessor-version":[{"id":5515,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/5513\/revisions\/5515"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=5513"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=5513"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=5513"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}