{"id":103570,"date":"2021-08-12T00:00:00","date_gmt":"2021-08-12T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/nhiem-trung-mau\/"},"modified":"2023-05-19T00:00:00","modified_gmt":"2023-05-19T00:00:00","slug":"nhiem-trung-mau","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/huyet-hoc\/nhiem-trung-mau\/","title":{"rendered":"Nhi\u1ec5m tr\u00f9ng m\u00e1u v\u00e0 nh\u1eefng th\u00f4ng tin c\u1ea7n bi\u1ebft"},"content":{"rendered":"\n<p class=\"has-gray-200-background-color has-background wp-block-paragraph\"><strong>Nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 b\u1ec7nh l\u00fd nguy hi\u1ec3m, kh\u00f3 \u0111i\u1ec1u tr\u1ecb, t\u1ef7 l\u1ec7 t\u1eed vong cao n\u1ebfu m\u1eafc ph\u1ea3i. H\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u m\u1ed9t s\u1ed1 th\u00f4ng tin quan tr\u1ecdng v\u1ec1 c\u0103n b\u1ec7nh n\u00e0y qua b\u00e0i vi\u1ebft ph\u00eda d\u01b0\u1edbi c\u00f9ng <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><strong><a href=\"https:\/\/www.docosan.com\/\" data-type=\"page\" data-id=\"29805\" target=\"_blank\" rel=\"noreferrer noopener\">Doctor c\u00f3 s\u1eb5n<\/a><\/strong><\/strong><\/a> nh\u00e9.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"b\u1ec7nh-nhi\u1ec5m-trung-mau-la-gi\">B\u1ec7nh nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 g\u00ec? <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><br>Nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd nguy hi\u1ec3m, \u0111e d\u1ecda t\u00ednh m\u1ea1ng, x\u1ea3y ra khi \u0111\u00e1p \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 con ng\u01b0\u1eddi \u0111\u1ed1i v\u1edbi nhi\u1ec5m tr\u00f9ng b\u1ecb m\u1ea5t ki\u1ec3m so\u00e1t \u0111\u01b0a \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 quan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 m\u1ed9t b\u1ec7nh nguy hi\u1ec3m \u0111e d\u1ecda \u0111\u1ebfn t\u00ednh m\u1ea1ng khi to\u00e0n h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 ph\u1ea3n \u1ee9ng qu\u00e1 m\u1ee9c v\u1edbi s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi tr\u00f9ng trong m\u00e1u. Nhi\u1ec5m tr\u00f9ng m\u00e1u nguy hi\u1ec3m kh\u00f4ng ch\u1ec9 v\u00ec nh\u1eefng \u0111\u1ed9c l\u1ef1c c\u1ee7a vi khu\u1ea9n, \u0111\u1ed9c t\u1ed1 t\u1eeb c\u00e1c ch\u1ea5t b\u00e0i ti\u1ebft c\u1ee7a ch\u00fang, m\u00e0 c\u00f2n v\u00ec nh\u1eefng ch\u1ea5t h\u00f3a h\u1ecdc trung gian do c\u00e1c ph\u00e1n \u1ee9ng mi\u1ec5n d\u1ecbch gi\u1ea3i ph\u00f3ng \u0111i v\u00e0o m\u00e1u, k\u00edch ho\u1ea1t ph\u1ea3n \u1ee9ng vi\u00eam to\u00e0n th\u00e2n \u0111\u1ec3 ch\u1ed1ng l\u1ea1i nhi\u1ec5m tr\u00f9ng nh\u01b0ng l\u1ea1i l\u00e0m t\u1ed5n th\u01b0\u01a1ng m\u00f4 v\u00e0 c\u01a1 quan trong c\u01a1 th\u1ec3. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Xem th\u00eam: <a href=\"https:\/\/www.docosan.com\/blog\/huyet-hoc\/nhiem-trung-mau-o-tre-em\/\" target=\"_blank\" rel=\"noreferrer noopener\">Nhi\u1ec5m tr\u00f9ng m\u00e1u \u1edf tr\u1ebb em<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hai bi\u1ebfn ch\u1ee9ng n\u1eb7ng c\u1ee7a nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0&nbsp;s\u1ed1c nhi\u1ec5m tr\u00f9ng v\u00e0 suy \u0111a c\u01a1 quan nhanh ch\u00f3ng d\u1eabn \u0111\u1ebfn t\u1eed vong n\u00ean nhi\u1ec5m tr\u00fang m\u00e1u \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u y t\u1ebf.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/nhiem-trung-mau-2.jpg\" alt=\"nhi\u1ec5m tr\u00f9ng m\u00e1u\" class=\"wp-image-45955\"\/><figcaption class=\"wp-element-caption\">B\u1ec7nh nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 g\u00ec? <\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"nguyen-nhan-nhi\u1ec5m-trung-mau\">Nguy\u00ean nh\u00e2n nhi\u1ec5m tr\u00f9ng m\u00e1u <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.docosan.com\/blog\/kien-thuc-y-te\/vi-khuan-gram-am\/\" target=\"_blank\" rel=\"noreferrer noopener\">Vi khu\u1ea9n Gram \u00e2m<\/a>, Gram d\u01b0\u01a1ng c\u0169ng nh\u01b0 vi n\u1ea5m v\u00e0 ngay c\u1ea3 si\u00eau vi v\u00e0 Rickettsiae \u0111\u1ec1u c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec5m tr\u00f9ng m\u00e1u.  <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u00e1c t\u00e1c nh\u00e2n th\u01b0\u1eddng g\u00e2y nhi\u1ec5m tr\u00f9ng m\u00e1u Gram \u00e2m g\u1ed3m: Escherichia coli, Klebsiella<br>pneumoniae, Pseudomonas aeruginosa\u2026 <\/li>\n\n\n\n<li>C\u00e1c t\u00e1c nh\u00e2n th\u01b0\u1eddng g\u00e2y nhi\u1ec5m tr\u00f9ng m\u00e1u Gram d\u01b0\u01a1ng g\u1ed3m: Staphylococcus aureus, Streptococcus pneumoniae, Enterococcus spp.,\u2026 <\/li>\n\n\n\n<li>Nhi\u1ec5m tr\u00f9ng m\u00e1u b\u1ec7nh vi\u1ec7n th\u01b0\u1eddng do c\u00e1c t\u00e1c nh\u00e2n \u0111a kh\u00e1ng thu\u1ed1c: h\u1ecd Enterobactericiae ti\u1ebft men beta-lactamase ph\u1ed5 r\u1ed9ng (ESBL), Pseudomonas aeruginosa, S. aureus kh\u00e1ng Methicillin (MRSA), Enterococcus spp. kh\u00e1ng Vancomycin, Candida spp., \u2026<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/nhiem-trung-mau-3.jpg\" alt=\"nhi\u1ec5m tr\u00f9ng m\u00e1u\" class=\"wp-image-45956\"\/><figcaption class=\"wp-element-caption\">Nguy\u00ean nh\u00e2n nhi\u1ec5m tr\u00f9ng m\u00e1u <\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"nhi\u1ec5m-trung-mau-co-lay-khong\">Nhi\u1ec5m tr\u00f9ng m\u00e1u c\u00f3 l\u00e2y kh\u00f4ng?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec5m tr\u00f9ng m\u00e1u&nbsp;l\u00e0&nbsp;b\u1ec7nh&nbsp;ho\u00e0n to\u00e0n&nbsp;kh\u00f4ng l\u00e2y&nbsp;lan, \u0111\u1eb7c bi\u1ec7t&nbsp;kh\u00f4ng l\u00e2y&nbsp;qua ti\u1ebfp x\u00fac th\u00f4ng th\u01b0\u1eddng. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh th\u01b0\u1eddng kh\u1edfi ph\u00e1t t\u1eeb m\u1ed9t nhi\u1ec5m tr\u00f9ng b\u1ea5t k\u00ec trong c\u01a1 th\u1ec3 c\u00f3 th\u1ec3 \u1edf b\u1ea5t k\u00ec v\u1ecb tr\u00ed n\u00e0o trong c\u01a1 th\u1ec3. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p l\u00e0 vi\u00eam \u0111\u00e0i b\u1ec3 th\u1eadn, vi\u00eam ph\u1ed5i, vi\u00eam ph\u00fac m\u1ea1c, nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt, vi\u00eam m\u00f4 t\u1ebf b\u00e0o, vi\u00eam m\u00e0ng n\u00e3o m\u1ee7, c\u00e1c \u1ed5 \u00e1p \u2013 xe. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u1ecb tr\u00ed nhi\u1ec5m tr\u00f9ng nguy\u00ean ph\u00e1t th\u01b0\u1eddng c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 s\u1ee9c \u0111\u1ec1 kh\u00e1ng b\u00ecnh th\u01b0\u1eddng. Tuy nhi\u00ean \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t, v\u1ecb tr\u00ed nhi\u1ec5m tr\u00f9ng nguy\u00ean ph\u00e1t th\u01b0\u1eddng r\u1ea5t kh\u00f3 ph\u00e1t hi\u1ec7n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c y\u1ebfu t\u1ed1 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh nhi\u1ec5m tr\u00f9ng m\u00e1u g\u1ed3m: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u1ef1 gia t\u0103ng s\u1eed d\u1ee5ng c\u00e1c th\u1ee7 thu\u1eadt x\u00e2m l\u1ea5n (c\u00e1c catheter \u0111\u1eb7t trong m\u1ea1ch m\u00e1u, th\u1edf m\u00e1y\u2026); <\/li>\n\n\n\n<li>S\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch v\u00e0 thu\u1ed1c \u0111\u1ed9c t\u1ebf b\u00e0o trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00e0 gh\u00e9p t\u1ea1ng; <\/li>\n\n\n\n<li>Ng\u01b0\u1eddi cao tu\u1ed5i<\/li>\n\n\n\n<li>B\u1ecb b\u1ec7nh m\u00e3n t\u00ednh nh\u01b0 : ung th\u01b0, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 khuynh h\u01b0\u1edbng d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng m\u00e1u); <\/li>\n\n\n\n<li>S\u1ef1 gia t\u0103ng nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n kh\u00e1ng thu\u1ed1c; do \u0111\u1ea1i d\u1ecbch AIDS.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/nhiem-trung-mau-4.jpg\" alt=\"nhi\u1ec5m tr\u00f9ng m\u00e1u\" class=\"wp-image-45958\" width=\"700\" height=\"466\"\/><figcaption class=\"wp-element-caption\">M\u1eafc b\u1ec7nh ung th\u01b0 l\u00e0 y\u1ebfu t\u1ed1 gia t\u0103ng nhi\u1ec5m tr\u00f9ng m\u00e1u<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"b\u1ec7nh-co-nguy-hi\u1ec3m-khong\">B\u1ec7nh c\u00f3 nguy hi\u1ec3m kh\u00f4ng ? <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 b\u1ec7nh r\u1ea5t nguy hi\u1ec3m, c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong. T\u1ea1i c\u00e1c qu\u1ed1c gia ph\u00e1t tri\u1ec3n, t\u1ea7n su\u1ea5t nhi\u1ec5m tr\u00f9ng m\u00e1u n\u1eb7ng v\u00e0o kho\u1ea3ng 50-100 tr\u01b0\u1eddng h\u1ee3p\/100.000 d\u00e2n. T\u1ef7 l\u1ec7 t\u1eed vong chung trong nhi\u1ec5m tr\u00f9ng m\u00e1u k\u1ec3 t\u1eeb th\u1eadp ni\u00ean 2000 v\u00e0o kho\u1ea3ng x\u1ea5p x\u1ec9 20%. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u \u1edf ng\u01b0\u1eddi m\u1eafc b\u1ec7nh c\u1ea7n l\u01b0u \u00fd theo d\u00f5i k\u0129: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tu\u1ed5i cao, <\/li>\n\n\n\n<li>B\u1ec7nh n\u1ec1n \u0111i k\u00e8m (suy gi\u1ea3m mi\u1ec5n d\u1ecbch, b\u1ec7nh l\u00fd \u00e1c t\u00ednh\u2026), <\/li>\n\n\n\n<li>B\u1ec7nh c\u1ea3nh n\u1eb7ng, <\/li>\n\n\n\n<li>Lactate m\u00e1u cao, <\/li>\n\n\n\n<li>S\u1eed d\u1ee5ng li\u1ec1u v\u1eadn m\u1ea1ch cao v\u00e0 ch\u1eadm tr\u1ec5 trong vi\u1ec7c h\u1ed3i s\u1ee9c b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/nhiem-trung-mau-5.jpg\" alt=\"nhi\u1ec5m tr\u00f9ng m\u00e1u\" class=\"wp-image-45959\"\/><figcaption class=\"wp-element-caption\">Th\u1eadn tr\u1ecdng v\u00f3i ng\u01b0\u1eddi cao tu\u1ed5i khi b\u1ecb nhi\u1ec5m tr\u00f9ng m\u00e1u<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"bi\u1ec3u-hi\u1ec7n-nhi\u1ec5m-trung-mau\">Bi\u1ec3u hi\u1ec7n nhi\u1ec5m tr\u00f9ng m\u00e1u <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a nhi\u1ec5m tr\u00f9ng m\u00e1u g\u1ed3m 4 nh\u00f3m tri\u1ec7u ch\u1ee9ng:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"tri\u1ec7u-ch\u1ee9ng-c\u1ee7a-\u1ed5-nhi\u1ec5m-trung-nguyen-phat\">Tri\u1ec7u ch\u1ee9ng c\u1ee7a \u1ed5 nhi\u1ec5m tr\u00f9ng nguy\u00ean ph\u00e1t <\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00f9y v\u00e0o v\u1ecb tr\u00ed c\u1ee7a \u1ed5 nhi\u1ec5m tr\u00f9ng nguy\u00ean ph\u00e1t m\u00e0 ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m tr\u00f9ng m\u00e1u s\u1ebd c\u00f3 tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng \u1edf c\u01a1 quan b\u1ecb nhi\u1ec5m tr\u00f9ng \u0111\u00f3. V\u00ed d\u1ee5 nh\u01b0: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vi\u00eam ph\u1ed5i b\u1ec7nh nh\u00e2n th\u01b0\u1eddng c\u00f3 bi\u1ec3u hi\u1ec7n ho, kh\u1ea1c \u0111\u00e0m, kh\u00f3 th\u1edf, nghe ph\u1ed5i c\u00f3 rales n\u1ed5\u2026 <\/li>\n\n\n\n<li>Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u th\u00ec b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec3u kh\u00f3, ti\u1ec3u g\u1eaft, ti\u1ec3u \u0111\u1ee5c\u2026 <\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy nhi\u00ean, b\u1ec7nh nh\u00e2n suy gi\u1ea3m mi\u1ec5n d\u1ecbch, gi\u00e0, y\u1ebfu c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n \u1ed5 nhi\u1ec5m tr\u00f9ng khu tr\u00fa. V\u00e0 \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, \u0111\u1eb7c bi\u1ec7t l\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t n\u1eb7ng, s\u1ebd r\u1ea5t kh\u00f3 t\u00ecm ra \u0111\u01b0\u1ee3c \u1ed5 nhi\u1ec5m tr\u00f9ng nguy\u00ean ph\u00e1t.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"tri\u1ec7u-ch\u1ee9ng-toan-than\">Tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">T\u0103ng hay gi\u1ea3m th\u00e2n nhi\u1ec7t: S\u1ed1t l\u00e0 tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng, th\u01b0\u1eddng k\u00e8m theo \u1edbn l\u1ea1nh, l\u1ea1nh run ho\u1eb7c h\u1ea1 th\u00e2n nhi\u1ec7t (&lt;36.50C) ho\u1eb7c c\u00f3 nhi\u1ec7t \u0111\u1ed9 b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Th\u1edf nhanh: l\u00e0 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng s\u1edbm nh\u1ea5t c\u1ee7a nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 b\u1ec7nh nh\u00e2n lo l\u1eafng v\u00e0 th\u1edf nhanh d\u1eabn \u0111\u1ebfn ki\u1ec1m h\u00f4 h\u1ea5p. <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/nhiem-trung-mau-6.jpg\" alt=\"nhi\u1ec5m tr\u00f9ng m\u00e1u\" class=\"wp-image-45960\"\/><figcaption class=\"wp-element-caption\">S\u1ed1t l\u00e0 bi\u1ec3u hi\u1ec7n \u0111\u1eb7c tr\u01b0ng c\u1ee7a nhi\u1ec5m tr\u00f9ng m\u00e1u<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h\u1ed9i-ch\u1ee9ng-r\u1ed1i-lo\u1ea1n-ch\u1ee9c-nang-da-c\u01a1-qua\">H\u1ed9i ch\u1ee9ng r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng \u0111a c\u01a1 qua:<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">S\u1ed1c nhi\u1ec5m tr\u00f9ng :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u1ea1ch \u0111\u1eadp nhanh, nh\u1eb9<\/li>\n\n\n\n<li>T\u1ee5t huy\u1ebft \u00e1p: (th\u1ecfa m\u1ed9t trong c\u00e1c ti\u00eau chu\u1ea9n b\u00ean d\u01b0\u1edbi)\n<ul class=\"wp-block-list\">\n<li>Huy\u1ebft \u00e1p t\u00e2m thu &lt;90 mmHg o Huy\u1ebft \u00e1p t\u00e2m thu gi\u1ea3m &gt;40 mmHg so v\u1edbi m\u1ee9c huy\u1ebft \u00e1p c\u01a1 b\u1ea3n tr\u01b0\u1edbc \u0111\u00f3<\/li>\n\n\n\n<li>Huy\u1ebft \u00e1p trung b\u00ecnh &lt;70 mmHg<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>T\u00ecnh tr\u1ea1ng gi\u1ea3m t\u01b0\u1edbi m\u00e1u m\u00f4 nh\u01b0 chi l\u1ea1nh, da n\u1ed5i b\u00f4ng, th\u1eddi gian \u0111\u1ed5 \u0111\u1ea7y mao m\u1ea1ch (CRT) k\u00e9o d\u00e0i, thi\u1ec3u ni\u1ec7u, nhi\u1ec5m toan acid lactic, r\u1ed1i lo\u1ea1n tri gi\u00e1c &#8230;<\/li>\n\n\n\n<li>Kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi b\u00f9 d\u1ecbch, c\u1ea7n ph\u1ea3i d\u00f9ng thu\u1ed1c v\u1eadn m\u1ea1ch \u0111\u1ec3 duy tr\u00ec huy\u1ebft \u00e1p trung b\u00ecnh \u2265 65 mmHg<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ed9i ch\u1ee9ng nguy k\u1ecbch h\u00f4 h\u1ea5p c\u1ea5p (ARDS) hay c\u00f2n g\u1ecdi l\u00e0 \u201cs\u1ed1c ph\u1ed5i\u201d: x\u1ea3y ra trong v\u00f2ng 1 tu\u1ea7n (b\u1ec7nh s\u1eed)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p: thi\u1ec3u ni\u1ec7u (&lt; 0.5ml\/kg\/gi\u1edd trong 6 gi\u1edd)<\/li>\n\n\n\n<li>T\u1ed5n th\u01b0\u01a1ng gan: v\u00e0ng da, t\u0103ng Bilirubine\/m\u00e1u.<\/li>\n\n\n\n<li>T\u1ed5n th\u01b0\u01a1ng h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng: thay \u0111\u1ed5i tri gi\u00e1c nh\u01b0: li b\u00ec, k\u00edch \u0111\u1ed9ng, b\u1ee9t r\u1ee9t, r\u1ed1i lo\u1ea1n h\u00e0nh vi\u2026<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"cac-tri\u1ec7u-ch\u1ee9ng-lam-sang-khac\">C\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng kh\u00e1c :<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u: b\u1ea7m ch\u1ed7 ch\u00edch, xu\u1ea5t huy\u1ebft da, ni\u00eam m\u1ea1c (ch\u1ea3y m\u00e1u m\u0169i, ch\u1ea3y m\u00e1u ch\u00e2n r\u0103ng, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a\u2026)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ho\u1ea1i t\u1eed m\u00f4 do thi\u1ebfu m\u00e1u nu\u00f4i: xanh t\u00edm \u0111\u1ea7u chi v\u00e0 ho\u1ea1i t\u1eed thi\u1ebfu m\u00e1u c\u1ee7a, th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 \u0111\u1ea7u chi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sang th\u01b0\u01a1ng da (c\u00f3 th\u1ec3 th\u1ea5y \u1edf nhi\u1ec5m tr\u00f9ng m\u00e1u do vi khu\u1ea9n, si\u00eau vi, n\u1ea5m, ngay c\u1ea3 k\u00fd sinh tr\u00f9ng): vi\u00eam m\u00f4 t\u1ebf b\u00e0o, m\u1ee5n m\u1ee7, b\u00f3ng n\u01b0\u1edbc, xu\u1ea5t huy\u1ebft, &#8230; \u0110\u00f4i khi sang th\u01b0\u01a1ng da c\u00f3 th\u1ec3 g\u1ee3i \u00fd t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh \u0111\u1eb7c hi\u1ec7u:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Khi nhi\u1ec5m tr\u00f9ng m\u00e1u k\u00e8m theo t\u1eed ban d\u1ea1ng ch\u1ea5m, m\u1ea3ng c\u00f3 ho\u1ea1i t\u1eed trung t\u00e2m th\u00ec t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh c\u00f3 th\u1ec3 l\u00e0 N.menigitidis, S. suis (ho\u1eb7c \u00edt g\u1eb7p h\u01a1n l\u00e0 H.influenzae).<\/li>\n\n\n\n<li>Sang th\u01b0\u01a1ng d\u1ea1ng b\u00f3ng n\u01b0\u1edbc ho\u1eb7c xu\u1ea5t huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n nhi\u1ec5m tr\u00f9ng m\u00e1u v\u1eeba \u0103n s\u00f2 s\u1ed1ng g\u1ee3i \u00fd t\u00e1c nh\u00e2n Vibrio vulnificus.<\/li>\n\n\n\n<li>\u0110\u1ecf da to\u00e0n th\u00e2n \u1edf b\u1ec7nh nh\u00e2n nhi\u1ec5m tr\u00f9ng m\u00e1u g\u1ee3i \u00fd h\u1ed9i ch\u1ee9ng s\u1ed1c \u0111\u1ed9c t\u1ed1 do Staphylococcus aureus ho\u1eb7c Streptococcus pyogenes.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"ch\u1ea9n-doan-nhi\u1ec5m-trung-mau\">Ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m tr\u00f9ng m\u00e1u <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">L\u00e2m s\u00e0ng : c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u, kh\u00f4ng gi\u00fap g\u1ee3i \u00fd b\u1ec7nh nh\u01b0ng c\u00f3 th\u1ec3 d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng \u0111\u1ec3 t\u00ecm \u1ed5 nhi\u1ec5m tr\u00f9ng nguy\u00ean ph\u00e1t. Tr\u00ean b\u1ec7nh nh\u00e2n nghi ng\u1edd ho\u1eb7c \u0111\u00e3 x\u00e1c \u0111\u1ecbnh l\u00e0 c\u00f3 nhi\u1ec5m tr\u00f9ng, nh\u1eefng d\u1ea5u hi\u1ec7u sau \u0111\u00e2y g\u1ee3i \u00fd nhi\u1ec5m tr\u00f9ng m\u00e1u: s\u1ed1t ho\u1eb7c h\u1ea1 th\u00e2n nhi\u1ec7t, nh\u1ecbp th\u1edf nhanh, nh\u1ecbp tim nhanh, r\u1ed1i lo\u1ea1n tri gi\u00e1c, t\u1ee5t huy\u1ebft \u00e1p.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u1eadn l\u00e2m s\u00e0ng :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u1ea1ch c\u1ea7u m\u00e1u t\u0103ng ho\u1eb7c gi\u1ea3m, ti\u1ec3u c\u1ea7u gi\u1ea3m.<\/li>\n\n\n\n<li>Ph\u1ebft m\u00e1u ngo\u1ea1i bi\u00ean xem: b\u1ea1ch c\u1ea7u d\u1ea1ng b\u0103ng (band forms), kh\u00f4ng b\u00e0o, th\u1ec3 Dohle, h\u1ea1t \u0111\u1ed9c.<\/li>\n\n\n\n<li>CRP\/Procalcitonin m\u00e1u t\u0103ng.<\/li>\n\n\n\n<li>C\u1ea5y m\u00e1u, nhu\u1ed9m Gram v\u00e0 c\u1ea5y c\u00e1c b\u1ec7nh ph\u1ea9m kh\u00e1c \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh.<\/li>\n\n\n\n<li>X\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 quan: kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch, Bilirubin\/m\u00e1u, Creatinine\/m\u00e1u\u2026<\/li>\n\n\n\n<li>X\u00e9t nghi\u1ec7m t\u00ecm \u1ed5 nhi\u1ec5m tr\u00f9ng: t\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u, x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh (si\u00eau \u00e2m, X-quang, CT scan\u2026)<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/nhiem-trung-mau-7.jpg\" alt=\"nhi\u1ec5m tr\u00f9ng m\u00e1u\" class=\"wp-image-45961\"\/><figcaption class=\"wp-element-caption\">T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u c\u00f3 th\u1ec3 gi\u00fap \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng m\u00e1u<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"nhi\u1ec5m-trung-mau-co-ch\u1eefa-d\u01b0\u1ee3c-khong\">Nhi\u1ec5m tr\u00f9ng m\u00e1u c\u00f3 ch\u1eefa \u0111\u01b0\u1ee3c kh\u00f4ng? <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh nhi\u1ec5m tr\u00f9ng m\u00e1u c\u00f3 th\u1ec3 l\u00e0m b\u1ec7nh nh\u00e2n t\u1eed vong nhanh ch\u00f3ng nh\u01b0ng kh\u00f4ng ph\u1ea3i l\u00e0 kh\u00f4ng c\u1ee9u ch\u1eefa \u0111\u01b0\u1ee3c.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u1ec1 nguy\u00ean t\u1eafc, ch\u1eefa nhi\u1ec5m tr\u00f9ng m\u00e1u \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh song song c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng: \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh v\u00e0 x\u1eed l\u00fd \u1ed5 nhi\u1ec5m tr\u00f9ng nguy\u00ean ph\u00e1t<\/li>\n\n\n\n<li>\u0110i\u1ec1u tr\u1ecb h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c (\u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u00e1c c\u01a1 quan): h\u1ed3i s\u1ee9c tu\u1ea7n ho\u00e0n, h\u1ed3i s\u1ee9c h\u00f4 h\u1ea5p, \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn, \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u\u2026<\/li>\n\n\n\n<li>C\u00e1c \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 kh\u00e1c: hydrocortisone, ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft b\u1eb1ng Insulin, c\u00e2n b\u1eb1ng n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i\u2026<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/nhiem-trung-mau-8.jpg\" alt=\"nhi\u1ec5m tr\u00f9ng m\u00e1u\" class=\"wp-image-45962\"\/><figcaption class=\"wp-element-caption\">D\u00f9ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb theo s\u1ef1 ch\u1ec9 d\u1eabn c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Do \u0111\u00f3 b\u1ec7nh nhi\u1ec5m tr\u00f9ng m\u00e1u v\u1eabn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, ch\u1eefa kh\u1ecfi nh\u01b0ng \u0111\u00f2i h\u1ecfi r\u1ea5t nhi\u1ec1u \u1edf ng\u01b0\u1eddi b\u00e1c s\u0129, kh\u00f4ng nh\u1eefng ph\u1ea3i ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c s\u1edbm v\u00e0 \u0111\u00fang b\u1ec7nh nhi\u1ec5m tr\u00f9ng m\u00e1u m\u00e0 c\u00f2n ph\u1ea3i ph\u00e2n t\u00edch v\u00e0 ph\u1ed1i h\u1ee3p nhi\u1ec1u bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb trong c\u00f9ng m\u1ed9t l\u00fac \u0111\u1ec3 c\u1ee9u \u0111\u01b0\u1ee3c b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"k\u1ebft-lu\u1eadn\">K\u1ebft lu\u1eadn<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd nguy hi\u1ec3m, \u0111e d\u1ecda t\u00ednh m\u1ea1ng, x\u1ea3y ra khi \u0111\u00e1p \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 con ng\u01b0\u1eddi \u0111\u1ed1i v\u1edbi nhi\u1ec5m tr\u00f9ng b\u1ecb m\u1ea5t ki\u1ec3m so\u00e1t \u0111\u01b0a \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 quan. Ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m tr\u00f9ng m\u00e1u d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng \u0111\u1ec3 t\u00ecm \u1ed5 nhi\u1ec5m tr\u00f9ng nguy\u00ean ph\u00e1t v\u00e0 c\u1eadn l\u00e2m s\u00e0ng. B\u1ec7nh nhi\u1ec5m tr\u00f9ng m\u00e1u v\u1eabn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1eefa kh\u1ecfi nh\u01b0ng \u0111\u00f2i h\u1ecfi b\u00e1c s\u0129 ph\u1ea3i ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 \u0111\u00fang b\u1ec7nh nhi\u1ec5m tr\u00f9ng m\u00e1u, ph\u00e2n t\u00edch v\u00e0 ph\u1ed1i h\u1ee3p nhi\u1ec1u bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb trong c\u00f9ng m\u1ed9t l\u00fac \u0111\u1ec3 c\u1ee9u \u0111\u01b0\u1ee3c b\u1ec7nh nh\u00e2n. <\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0\u00a0<a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><a href=\"https:\/\/www.docosan.com\/\"><strong><em>\u0111\u1eb7t l\u1ecbch kh\u00e1m<\/em><\/strong><\/a><\/a>\u00a0v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n\n\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u00e0i gi\u1ea3ng Nhi\u1ec5m tr\u00f9ng huy\u1ebft c\u1ee7a TS. BS. H\u1ed3 \u0110\u1eb7ng Trung Ngh\u0129a<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n","protected":false},"excerpt":{"rendered":"<p>Nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 b\u1ec7nh l\u00fd nguy hi\u1ec3m, kh\u00f3 \u0111i\u1ec1u tr\u1ecb, t\u1ef7 l\u1ec7 t\u1eed vong cao n\u1ebfu m\u1eafc ph\u1ea3i. H\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u m\u1ed9t s\u1ed1 th\u00f4ng tin quan tr\u1ecdng v\u1ec1 c\u0103n b\u1ec7nh n\u00e0y qua b\u00e0i vi\u1ebft ph\u00eda d\u01b0\u1edbi c\u00f9ng Doctor c\u00f3 s\u1eb5n nh\u00e9. B\u1ec7nh nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 g\u00ec? Nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 t\u00ecnh tr\u1ea1ng [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":88633,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[575],"tags":[],"class_list":["post-103570","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-huyet-hoc"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/nhiem-trung-mau-1-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/nhiem-trung-mau-1-600x533.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103570","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=103570"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103570\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/88633"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103570"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103570"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103570"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}