{"id":105946,"date":"2023-08-11T00:00:00","date_gmt":"2023-08-11T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/nhiem-khuan-mau-o-tre-em\/"},"modified":"2023-08-10T00:00:00","modified_gmt":"2023-08-10T00:00:00","slug":"nhiem-khuan-mau-o-tre-em","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/huyet-hoc\/nhiem-khuan-mau-o-tre-em\/","title":{"rendered":"Nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em c\u00f3 nguy hi\u1ec3m kh\u00f4ng? \u0110i\u1ec1u tr\u1ecb ra sao?"},"content":{"rendered":"\n<p class=\"has-gray-200-background-color has-background wp-block-paragraph\"><strong>Nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd v\u00f4 c\u00f9ng nguy hi\u1ec3m, r\u1ea5t c\u1ea7n \u0111\u01b0\u1ee3c quan t\u00e2m, \u0111\u1eb7c bi\u1ec7t trong t\u00ecnh h\u00ecnh kh\u00e1ng sinh ng\u00e0y c\u00e0ng b\u1ecb \u0111\u1ec1 kh\u00e1ng g\u00e2y n\u00ean kh\u00f3 kh\u0103n trong \u0111i\u1ec1u tr\u1ecb. C\u00f9ng <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Doctor c\u00f3 s\u1eb5n<\/a> t\u00ecm hi\u1ec3u v\u1ec1 Nhi\u1ec5m khu\u1ea9n huy\u1ebft \u1edf tr\u1ebb em, nguy\u00ean nh\u00e2n, ch\u1ea9n \u0111o\u00e1n, c\u00e1ch \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba b\u1ec7nh th\u00f4ng qua b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em l\u00e0 g\u00ec?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec5m khu\u1ea9n m\u00e1u l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng nhi\u1ec5m khu\u1ea9n c\u1ea5p t\u00ednh n\u1eb7ng do vi khu\u1ea9n l\u01b0u h\u00e0nh trong m\u00e1y g\u00e2y ra bi\u1ec3u hi\u1ec7n b\u1eb1ng c\u00e1c tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ed1c nhi\u1ec5m khu\u1ea9n v\u00e0 suy \u0111a t\u1ea1ng v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong r\u1ea5t cao (t\u1eeb 20 &#8211; 50%).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Nguy\u00ean nh\u00e2n g\u00e2y nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00e1c nh\u00e2n th\u01b0\u1eddng g\u1eb7p g\u00e2y nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em thay \u0111\u1ed5i t\u00f9y theo tu\u1ed5i v\u00e0 \u1ed5 nhi\u1ec5m tr\u00f9ng nguy\u00ean ph\u00e1t.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u00e1c vi khu\u1ea9n Gram d\u01b0\u01a1ng g\u00e2y b\u1ec7nh th\u01b0\u1eddng g\u1eb7p: Li\u00ean c\u1ea7u nh\u00f3m B, ph\u1ebf c\u1ea7u, t\u1ee5 c\u1ea7u v\u00e0ng.&nbsp;<\/li>\n\n\n\n<li>C\u00e1c vi khu\u1ea9n Gram d\u01b0\u01a1ng g\u00e2y b\u1ec7nh th\u01b0\u1eddng g\u1eb7p: Haemophilus influenzae<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Vi khu\u1ea9n g\u00e2y m\u00e1u nhi\u1ec5m khu\u1ea9n \u1edf tr\u1ebb em th\u01b0\u1eddng g\u1eb7p c\u0169ng thay \u0111\u1ed5i tu\u1ef3 theo nh\u00f3m tu\u1ed5i:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Tr\u1ebb s\u01a1 sinh:<\/strong> Streptococcus nh\u00f3m B, E.coli, Listeria monocytogenes, Staphylococcus aureus<\/li>\n\n\n\n<li><strong>Tr\u1ebb nh\u0169 nhi:<\/strong> Haemophilus influenzae, Streptococcus pneumoniae, Staphylococcus aureus, Meningococcus<\/li>\n\n\n\n<li><strong>Tr\u1ebb l\u1edbn:<\/strong> Streptococcus pneumoniae, Meningococcus, Staphylococcus aureus, Enterobacteriaceae<\/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\/2023\/08\/Nhiem-khuan-mau-o-tre-em-2.jpg\" alt=\"nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em\" class=\"wp-image-83302\"\/><figcaption class=\"wp-element-caption\">Vi khu\u1ea9n g\u00e2y nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Tri\u1ec7u ch\u1ee9ng nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec5m khu\u1ea9n huy\u1ebft \u1edf tr\u1ebb em c\u00f3 th\u1ec3 bao g\u1ed3m m\u1ed9t hay nhi\u1ec1u d\u1ea5u hi\u1ec7u d\u01b0\u1edbi \u0111\u00e2y:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u1ed1t ho\u1eb7c h\u1ea1 th\u00e2n nhi\u1ec7t (tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb nh\u1ecf c\u00f3 th\u1ec3 c\u00f3 th\u00e2n nhi\u1ec7t th\u1ea5p)<\/li>\n\n\n\n<li>Nh\u1ecbp tim nhanh<\/li>\n\n\n\n<li>Th\u1edf nhanh<\/li>\n\n\n\n<li>C\u1ea3m th\u1ea5y l\u1ea1nh\/l\u1ea1nh tay ch\u00e2n<\/li>\n\n\n\n<li>Da s\u1ea7n s\u00f9i v\u00e0 nh\u1ee3t nh\u1ea1t<\/li>\n\n\n\n<li>Nh\u1ea7m l\u1eabn, ch\u00f3ng m\u1eb7t ho\u1eb7c m\u1ea5t ph\u01b0\u01a1ng h\u01b0\u1edbng<\/li>\n\n\n\n<li>H\u1ee5t h\u01a1i<\/li>\n\n\n\n<li>\u0110au ho\u1eb7c kh\u00f3 ch\u1ecbu<\/li>\n\n\n\n<li>Bu\u1ed3n n\u00f4n v\u00e0 \u00f3i m\u1eeda<\/li>\n\n\n\n<li>Gi\u1ea3m ho\u1eb7c kh\u00f4ng c\u00f3 n\u01b0\u1edbc ti\u1ec3u<\/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\/2023\/08\/Nhiem-khuan-mau-o-tre-em-3.jpg\" alt=\"nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em\" class=\"wp-image-83303\"\/><figcaption class=\"wp-element-caption\">Tri\u1ec7u ch\u1ee9ng nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec1u d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng trong s\u1ed1 n\u00e0y l\u00e0 ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb nh\u1ecf khi ch\u00fang b\u1ecb b\u1ec7nh. \u0110a s\u1ed1 s\u1ebd kh\u00f4ng ph\u1ea3i nhi\u1ec5m tr\u00f9ng huy\u1ebft. Tuy nhi\u00ean, khi c\u00f3 nhi\u1ec1u h\u01a1n m\u1ed9t trong s\u1ed1 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng n\u00e0y x\u1ea3y ra c\u00f9ng nhau, ho\u1eb7c khi tr\u1ebb c\u00f3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng n\u00ean \u0111\u01b0a tr\u1ebb \u0111\u1ebfn c\u00e1c c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. N\u1ebfu da c\u1ee7a tr\u1ebb l\u1ea1nh, nh\u1ee3t nh\u1ea1t ho\u1eb7c c\u00f3 m\u00e0u s\u1eafc ho\u1eb7c d\u1ea5u hi\u1ec7u l\u1ea1, tr\u1ebb c\u1edb ph\u1ea3n \u1ee9ng k\u00e9m ho\u1eb7c kh\u00f3 th\u1edf; ho\u1eb7c n\u1ebfu t\u00e3 c\u1ee7a con b\u1ea1n kh\u00f4 h\u01a1n 12 gi\u1edd n\u00ean \u0111\u01b0a b\u00e9 \u0111\u1ebfn ph\u00f2ng c\u1ea5p c\u1ee9u ngay l\u1eadp t\u1ee9c.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Kh\u00e1m l\u00e2m s\u00e0ng<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u1ea5u hi\u1ec7u sinh t\u1ed3n: m\u1ea1ch, huy\u1ebft \u00e1p, nhi\u1ec7t \u0111\u1ed9, nh\u1ecbp th\u1edf, n\u01b0\u1edbc ti\u1ec3u,&#8230;<\/li>\n\n\n\n<li>M\u1ee9c \u0111\u1ed9 tri gi\u00e1c<\/li>\n\n\n\n<li>\u1ed4 nhi\u1ec5m tr\u00f9ng: da, v\u1ebft m\u1ed5, ph\u1ed5i<\/li>\n\n\n\n<li>Ban xu\u1ea5t huy\u1ebft, h\u1ed3ng ban,&#8230;<\/li>\n\n\n\n<li>Tim m\u1ea1ch: ph\u00e1t hi\u1ec7n b\u1ec7nh TBS<\/li>\n\n\n\n<li>Ph\u1ed5i ph\u00e1t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng<\/li>\n\n\n\n<li>B\u1ee5ng ph\u00e1t hi\u1ec7n \u0111i\u1ec3m \u0111au khu tr\u00fa ph\u1ea3n \u1ee9ng th\u00e0nh b\u1ee5ng<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">C\u1eadn l\u00e2m s\u00e0ng<\/h3>\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<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/08\/Nhiem-khuan-mau-o-tre-em-4.jpg\" alt=\"nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em\" class=\"wp-image-83304\"\/><figcaption class=\"wp-element-caption\">C\u1ea5y m\u00e1u d\u01b0\u01a1ng t\u00ednh l\u00e0 ti\u00eau chu\u1ea9n v\u00e0ng trong ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m khu\u1ea9n huy\u1ebft<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\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, Creatinin\/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<h3 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n nghi ng\u1edd<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Nghi ng\u1edd nhi\u1ec5m khu\u1ea9n huy\u1ebft \u1edf tr\u1ebb em khi nhi\u1ec1u h\u01a1n hai trong s\u1ed1 c\u00e1c d\u1ea5u hi\u1ec7u sau \u0111\u00e2y sau:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u1ed1t cao ho\u1eb7c h\u1ea1 th\u00e2n nhi\u1ec7t<\/li>\n\n\n\n<li>Tim nhanh<\/li>\n\n\n\n<li>Th\u1edf nhanh<\/li>\n\n\n\n<li>B\u1ea1ch c\u1ea7u &gt;12.000\/mm3 hay &lt; 4.000\/mm3<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng g\u1ee3i \u00fd nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb, c\u00f3 tri\u1ec7u ch\u1ee9ng \u1ed5 nhi\u1ec5m khu\u1ea9n kh\u1edfi \u0111i\u1ec3m ho\u1eb7c c\u00f3 t\u00ecnh tr\u1ea1ng nhi\u1ec5m khu\u1ea9n n\u1eb7ng c\u00f3 ho\u1eb7c kh\u00f4ng k\u00e8m theo s\u1ed1c.<\/li>\n\n\n\n<li>C\u1ea5y m\u00e1u d\u01b0\u01a1ng t\u00ednh l\u00e0 ti\u00eau chu\u1ea9n v\u00e0ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m khu\u1ea9n huy\u1ebft.<\/li>\n\n\n\n<li>C\u1ea5y c\u00e1c b\u1ec7nh ph\u1ea9m kh\u00e1c c\u1ee7a \u1ed5 nhi\u1ec5m khu\u1ea9n kh\u1edfi \u0111i\u1ec3m ho\u1eb7c \u1ed5 nhi\u1ec5m khu\u1ea9n th\u1ee9 ph\u00e1t.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110i\u1ec1u tr\u1ecb s\u1ed1c n\u1ebfu c\u00f3.<\/li>\n\n\n\n<li>\u0110i\u1ec1u tr\u1ecb kh\u00e1ng sinh ban \u0111\u1ea7u s\u1edbm v\u00e0 ph\u00f9 h\u1ee3p, ti\u1ebfp theo t\u00f9y \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng v\u00e0 k\u1ebft qu\u1ea3 vi sinh (c\u1ea5y m\u00e1u tr\u01b0\u1edbc khi d\u00f9ng kh\u00e1ng sinh).<\/li>\n\n\n\n<li>\u0110i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb ban \u0111\u1ea7u<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb s\u1ed1c nhi\u1ec5m tr\u00f9ng (tham kh\u1ea3o th\u00eam v\u1ec1 s\u1ed1c nhi\u1ec5m tr\u00f9ng)<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nhanh ch\u00f3ng kh\u00f4i ph\u1ee5c th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n b\u1eb1ng dung d\u1ecbch \u0111i\u1ec7n gi\u1ea3i, \u0111\u1ea1i ph\u00e2n t\u1eed, li\u1ec1u 20ml\/kg truy\u1ec1n TM nhanh. Trong tr\u01b0\u1eddng h\u1ee3p s\u1ed1c n\u1eb7ng c\u00f3 th\u1ec3 truy\u1ec1n t\u1ed1i \u0111a 60 ml\/kg\/gi\u1edd v\u00e0 xem x\u00e9t ch\u1ec9 \u0111\u1ecbnh CVP.<\/li>\n\n\n\n<li>N\u1ebfu kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u00e0 CVP b\u00ecnh th\u01b0\u1eddng ho\u1eb7c cao th\u00ec d\u00f9ng thu\u1ed1c v\u1eadn m\u1ea1ch: Dopamine v\u00e0 Dobutamine. Li\u1ec1u Dopamin 5 &#8211; 10ug\/kg\/ph\u00fat, t\u1ed1i \u0111a 10ug\/kg\/ ph\u00fat; Dobutamin 5 &#8211; 15 ug\/kg\/ph\u00fat. Trong tr\u01b0\u1eddng h\u1ee3p th\u1ea5t b\u1ea1i v\u1edbi Dopamin, Dobutamin c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p Dobutamin v\u1edbi Noradrenalin li\u1ec1u th\u1ea5p 0,02 &#8211; 0,05 ug\/kg\/ph\u00fat (t\u1ed1i \u0111a 1ml\/gi\u1edd).<\/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\/2023\/08\/Nhiem-khuan-mau-o-tre-em-5.jpg\" alt=\"nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em\" class=\"wp-image-83305\"\/><figcaption class=\"wp-element-caption\">\u0110i\u1ec1u tr\u1ecb nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em b\u1eb1ng kh\u00e1ng sinh \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch s\u1edbm<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb kh\u00e1ng sinh ban \u0111\u1ea7u (tr\u01b0\u1edbc khi c\u00f3 k\u1ebft qu\u1ea3 ph\u00e2n l\u1eadp vi khu\u1ea9n v\u00e0 kh\u00e1ng sinh \u0111\u1ed3)<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">C\u1ea7n d\u00f9ng kh\u00e1ng sinh \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch s\u1edbm ngay sau khi c\u1ea5y m\u00e1u. Ch\u1ecdn l\u1ef1a kh\u00e1ng sinh t\u1ed1t nh\u1ea5t tu\u1ef3 theo t\u00e1c nh\u00e2n. Nh\u01b0ng k\u1ebft qu\u1ea3 c\u1ea5y m\u00e1u th\u01b0\u1eddng ch\u1eadm do \u0111\u00f3 th\u1ef1c t\u1ebf ch\u1ecdn kh\u00e1ng sinh d\u1ef1a v\u00e0o kinh nghi\u1ec7m. C\u00e1c y\u1ebfu t\u1ed1 c\u00e2n nh\u1eafc trong l\u1ef1a ch\u1ecdn kh\u00e1ng sinh:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>&#8211; \u1ed4 nhi\u1ec5m khu\u1ea9n ho\u1eb7c nghi ng\u1edd:<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>\u1ed4 nhi\u1ec5m khu\u1ea9n<\/strong>:<\/td><td><strong>Vi khu\u1ea9n<\/strong>:<\/td><td><strong>Kh\u00e1ng sinh<\/strong>:<\/td><\/tr><tr><td>Nhi\u1ec5m tr\u00f9ng ti\u1ec3u<\/td><td>Vi khu\u1ea9n Gr (-), Enterococcus<\/td><td>Cefotaxime ho\u1eb7c Ceftriaxone<\/td><\/tr><tr><td>Nhi\u1ec5m tr\u00f9ng ti\u00eau h\u00f3aGan m\u1eadt<\/td><td>Vi khu\u1ea9n Gr (-), Enterbacteriacea<\/td><td>Cefotaxime\/CeftriaxoneHo\u1eb7c Fluoroquinolone (Ciprofloxacin ho\u1eb7c Pefloxacine)Ho\u1eb7c Carbapenem (Imipenem\/ Meropenem) khi c\u00f3 s\u1ed1c nhi\u1ec5m khu\u1ea9n- C\u1ea7n ph\u1ed1i h\u1ee3p Aminoglycoside (Gentamycin\/ Amikacin)- C\u00f3 th\u1ec3 th\u00eam Metronidazole n\u1ebfu nghi vi khu\u1ea9n k\u1ef5 kh\u00ed<\/td><\/tr><tr><td>Nh\u1ecdt da, \u00e1p xe,vi\u00eam ph\u1ed5i c\u00f3 b\u00f3ng kh\u00ed<\/td><td>T\u1ee5 c\u1ea7u<\/td><td>Oxacilline ho\u1eb7c Clindamycin ho\u1eb7c Cephalosporin th\u1ebf h\u1ec7 1 + Gentamycine- D\u00f9ng Vancomycine n\u1ebfu nghi ng\u1edd MRSA ho\u1eb7c \u0111ang s\u1ed1c<\/td><\/tr><tr><td>Vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng<\/td><td>H.influenzae, S.pneumoniae<\/td><td>Cefotaxime\/Ceftriaxone + Aminoglycoside<\/td><\/tr><tr><td>Nhi\u1ec5m tr\u00f9ng huy\u1ebft n\u00e3o m\u00f4 c\u1ea7u<\/td><td>N. meningitidis<\/td><td>Cefotaxime\/Ceftriaxone<\/td><\/tr><tr><td>Nhi\u1ec5m tr\u00f9ng \u1ed5 b\u1ee5ng sau ph\u1eabu thu\u1eadt<\/td><td>VK Gram (-) VK k\u1ef5 kh\u00ed<\/td><td>Cefotaxime\/Ceftriaxone ho\u1eb7c Fluoroquinoloneho\u1eb7c Ertapenem khi c\u00f3 s\u1ed1c nhi\u1ec5m khu\u1ea9nph\u1ed1i h\u1ee3p v\u1edbi Aminoglycosideth\u00eam Metronidazole khi nghi ng\u1edd VK k\u1ef5 kh\u00ed<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec5m khu\u1ea9n c\u1ed9ng \u0111\u1ed3ng hay b\u1ec7nh vi\u1ec7n (nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n th\u01b0\u1eddng do vi khu\u1ea9n \u0111a kh\u00e1ng).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>&#8211; Nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Th\u01b0\u1eddng g\u00e2y ra b\u1edfi vi khu\u1ea9n \u0111a kh\u00e1ng nh\u01b0 Klebsiella, Pseudomonas, Acinetobacter,&#8230;&nbsp;<\/li>\n\n\n\n<li>B\u1eaft \u0111\u1ea7u v\u1edbi kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng v\u00e0 th\u01b0\u1eddng c\u1ea7n ph\u1ed1i h\u1ee3p kh\u00e1ng sinh \u0111\u1ec3 t\u0103ng m\u1ee9c \u0111\u1ed9 di\u1ec7t khu\u1ea9n, sau \u0111\u00f3 \u00e1p d\u1ee5ng li\u1ec7u ph\u00e1p xu\u1ed1ng thang. Sau 48 &#8211; 72 gi\u1edd t\u00f9y \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng v\u00e0 k\u1ebft qu\u1ea3 vi sinh s\u1ebd ch\u1ecdn l\u1ef1a kh\u00e1ng sinh ph\u1ed5 h\u1eb9p ph\u00f9 h\u1ee3p.<\/li>\n\n\n\n<li>Kh\u00e1ng sinh: Imipenem\/meropenem ho\u1eb7c Quinolon ho\u1eb7c Ticarcillin \u2013 clavulanic acid ho\u1eb7c Cefoperazone-Sulbactam \u571f&nbsp; Amikacin (ph\u1ed1i h\u1ee3p th\u00eam Vancomycin n\u1ebfu nghi do t\u1ee5 c\u1ea7u).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>&#8211; Nhi\u1ec5m khu\u1ea9n c\u1ed9ng \u0111\u1ed3ng kh\u00f4ng t\u00ecm th\u1ea5y \u1ed5 nhi\u1ec5m khu\u1ea9n:&nbsp;<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong><em>Tr\u1ebb tr\u01b0\u1edbc \u0111\u00f3 b\u00ecnh th\u01b0\u1eddng:<\/em><\/strong>\n<ul class=\"wp-block-list\">\n<li>Tr\u1ebb < 2 th\u00e1ng tu\u1ed5i:\n<ul class=\"wp-block-list\">\n<li>Ampicillin + Gentamycin + Cefotaxim.<\/li>\n\n\n\n<li>N\u1ebfu c\u00f3 k\u00e8m s\u1ed1c: Quinolone ho\u1eb7c Ceftazidime ho\u1eb7c Cefepim ho\u1eb7c Imipenem\/meropenem.<\/li>\n\n\n\n<li>N\u1ebfu nghi t\u1ee5 c\u1ea7u: Cefotaxime + Oxacillin&nbsp; Gentamicin. N\u1ebfu c\u00f3 s\u1ed1c thay Oxacillin b\u1eb1ng Vancomycin.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Tr\u1ebb > 2 th\u00e1ng tu\u1ed5i:\n<ul class=\"wp-block-list\">\n<li>Cefotaxime ho\u1eb7c Ceftriaxone ho\u1eb7c Quinolone \u571f Gentamycin.<\/li>\n\n\n\n<li>N\u1ebfu c\u00f3 k\u00e8m s\u1ed1c: Quinolone ho\u1eb7c Ceftazidime ho\u1eb7c Cefepim ho\u1eb7c Imipenem\/meropenem.<\/li>\n\n\n\n<li>N\u1ebfu nghi t\u1ee5 c\u1ea7u: Th\u00eam Oxacillin ho\u1eb7c Vancomycin khi c\u00f3 s\u1ed1c<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong><em>Tr\u00ean c\u01a1 \u0111\u1ecba suy gi\u1ea3m mi\u1ec5n d\u1ecbch ho\u1eb7c gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t:<\/em><\/strong>\n<ul class=\"wp-block-list\">\n<li>Cefotaxime ho\u1eb7c Ceftriaxone ho\u1eb7c Ceftazidime ho\u1eb7c Fluoroquinolones \u571f Amikacin.<\/li>\n\n\n\n<li>N\u1ebfu c\u00f3 k\u00e8m s\u1ed1c: D\u00f9ng Imipenem\/meropenem \u571f Amikacin<\/li>\n\n\n\n<li>N\u1ebfu nghi ng\u1edd t\u1ee5 c\u1ea7u: Th\u00eam Oxacillin ho\u1eb7c Vancomycin khi c\u00f3 s\u1ed1c.<\/li>\n\n\n\n<li>L\u1ef1a ch\u1ecdn kh\u00e1ng sinh tu\u1ef3 thu\u1ed9c k\u1ebft qu\u1ea3 soi v\u00e0 nhu\u1ed9m Gram m\u1eabu b\u1ec7nh ph\u1ea9m, v\u00e0 t\u00ecnh h\u00ecnh \u0111\u1ec1 kh\u00e1ng kh\u00e1ng sinh t\u1ea1i \u0111\u1ecba ph\u01b0\u01a1ng, b\u1ec7nh vi\u1ec7n, khoa,&#8230;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u:<\/strong> Truy\u1ec1n ti\u1ec3u c\u1ea7u v\u00e0 huy\u1ebft t\u01b0\u01a1ng \u0111\u00f4ng l\u1ea1nh, k\u1ebft t\u1ee7a l\u1ea1nh<\/li>\n\n\n\n<li><strong>Toan chuy\u1ec3n ho\u00e1:<\/strong> Th\u01b0\u1eddng l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a s\u1ed1c n\u00ean c\u1ea7n \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c s\u1ed1c nhi\u1ec5m tr\u00f9ng tr\u00e1nh \u0111\u1ec3 s\u1ed1c k\u00e9o d\u00e0i. Tr\u01b0\u1eddng h\u1ee3p toan h\u00f3a m\u00e1u n\u1eb7ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh b\u1eb1ng Bicarbonate.<\/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\/2023\/08\/Nhiem-khuan-mau-o-tre-em-6.jpg\" alt=\"nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em\" class=\"wp-image-83306\"\/><figcaption class=\"wp-element-caption\">Theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng \u1edf tr\u1ebb b\u1ecb m\u00e1u nhi\u1ec5m khu\u1ea9n \u1edf tr\u1ebb em<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb kh\u00e1c<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>L\u1ecdc m\u00e1u li\u00ean t\u1ee5c:<\/strong> Khi b\u1ec7nh nh\u00e2n thi\u1ec3u ni\u1ec7u t\u1eeb 24 gi\u1edd tr\u1edf l\u00ean ho\u1eb7c Creatinin &gt; 0,4 mmol\/L ho\u1eb7c t\u0103ng &gt;0,1 mmol\/L\/ng\u00e0y<\/li>\n\n\n\n<li><strong>Corticoid li\u1ec1u cao t\u0129nh m\u1ea1ch:<\/strong> Nhi\u1ec1u nghi\u00ean c\u1ee9u cho th\u1ea5y hi\u1ec7u qu\u1ea3 ch\u01b0a r\u00f5 r\u00e0ng v\u00e0 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 b\u1ed9i nhi\u1ec5m, xu\u1ea5t huy\u1ebft.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0110i\u1ec1u tr\u1ecb ti\u1ebfp theo:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sau 48 &#8211; 72 gi\u1edd \u0111\u00e1nh gi\u00e1 l\u1ea1i \u0111\u00e1p \u1ee9ng kh\u00e1ng sinh d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng v\u00e0 k\u1ebft qu\u1ea3 vi sinh. Sau \u0111\u00f3 s\u1eed d\u1ee5ng kh\u00e1ng sinh theo k\u1ebft qu\u1ea3 c\u1ea5y m\u00e1u, kh\u00e1ng sinh \u0111\u1ed3 v\u00e0 \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh nh\u00e2n<\/li>\n\n\n\n<li>Ph\u1ea7n l\u1edbn k\u1ebft h\u1ee3p kh\u00e1ng sinh ch\u1ec9 c\u1ea7n thi\u1ebft \u1edf 3 &#8211; 5 ng\u00e0y \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 t\u0103ng kh\u1ea3 n\u0103ng di\u1ec7t khu\u1ea9n, gi\u1ea3m \u0111\u1ec1 kh\u00e1ng.<\/li>\n\n\n\n<li>Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh trung b\u00ecnh 10 \u2013 14 ng\u00e0y ho\u1eb7c k\u00e9o d\u00e0i h\u01a1n t\u00f9y \u1ed5 nhi\u1ec5m khu\u1ea9n, t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh ho\u1eb7c \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng.<\/li>\n\n\n\n<li>Ng\u01b0ng kh\u00e1ng sinh sau khi \u0111\u1ee7 ng\u00e0y \u0111i\u1ec1u tr\u1ecb k\u00e8m b\u1ec7nh nh\u00e2n h\u1ebft s\u1ed1t, t\u1ed5ng tr\u1ea1ng t\u1ed1t, ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m nhi\u1ec5m khu\u1ea9n tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">N\u00ean \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em \u1edf \u0111\u00e2u?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb l\u00e0 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u y t\u1ebf c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nhanh ch\u00f3ng. N\u1ebfu tr\u1ebb c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng nghi ng\u1edd c\u1ea7n nhanh ch\u00f3ng \u0111\u1ee9a tr\u1ebb \u0111\u1ebfn kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n uy t\u00edn nh\u01b0 B\u1ec7nh vi\u1ec7n Nhi Trung \u01af\u01a1ng, B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng th\u00e0nh ph\u1ed1, B\u1ec7nh vi\u1ec7n nhi \u0111\u1ed3ng 1, B\u1ec7nh vi\u1ec7n nhi \u0111\u1ed3ng 2,&#8230;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ph\u00f2ng ng\u1eeba nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ch\u00eca kh\u00f3a \u0111\u1ec3 ng\u0103n ng\u1eeba nhi\u1ec5m khu\u1ea9n huy\u1ebft \u1edf tr\u1ebb em l\u00e0 ng\u0103n ng\u1eeba nhi\u1ec5m khu\u1ea9n x\u1ea3y ra ngay t\u1eeb \u0111\u1ea7u v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m khu\u1ea9n nhanh ch\u00f3ng v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t c\u00f3 th\u1ec3. Gi\u1ed1ng nh\u01b0 \u0111\u1ed9t qu\u1ef5, m\u00e1u nhi\u1ec5m khu\u1ea9n \u1edf tr\u1ebb em l\u00e0 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u y t\u1ebf c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nhanh ch\u00f3ng.<\/li>\n\n\n\n<li>Ti\u00eam ch\u1ee7ng \u0111\u1ea7y \u0111\u1ee7 cho tr\u1ebb em \u0111\u1ec3 ng\u0103n ng\u1eeba b\u1ec7nh t\u1eadt. N\u1ebfu tr\u1ebb kh\u00f4ng th\u1ec3 ti\u00eam ph\u00f2ng sau khi \u0111\u00e3 c\u00e2n nh\u1eafc l\u1ee3i \u00edch v\u00e0 nguy c\u01a1, nh\u1eefng ng\u01b0\u1eddi ti\u1ebfp x\u00fac th\u01b0\u1eddng xuy\u00ean v\u1edbi tr\u1ebb n\u00ean \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng \u0111\u1ec3 mang l\u1ea1i \u201cmi\u1ec5n d\u1ecbch c\u1ed9ng \u0111\u1ed3ng.<\/li>\n\n\n\n<li>Nguy c\u01a1 b\u1ecb nhi\u1ec5m tr\u00f9ng c\u0169ng gi\u1ea3m xu\u1ed1ng khi r\u1eeda tay \u0111\u00fang c\u00e1ch. R\u1eeda tay k\u1ef9 l\u01b0\u1ee1ng, \u0111\u00fang c\u00e1ch v\u00e0 th\u01b0\u1eddng xuy\u00ean b\u1eb1ng x\u00e0 ph\u00f2ng v\u00e0 n\u01b0\u1edbc ho\u1eb7c c\u00e1c s\u1ea3n ph\u1ea9m kh\u00f4ng ch\u1ee9a x\u00e0 ph\u00f2ng s\u1ebd l\u00e0m gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng m\u1ea7m b\u1ec7nh c\u00f3 th\u1ec3 x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3 c\u1ee7a tr\u1ebb.<\/li>\n\n\n\n<li>Ch\u0103m s\u00f3c, v\u1ec7 sinh \u0111\u00fang c\u00e1ch t\u1ea5t c\u1ea3 c\u00e1c v\u1ebft th\u01b0\u01a1ng c\u0169ng l\u00e0m gi\u1ea3m nhi\u1ec5m tr\u00f9ng, ngay c\u1ea3 v\u1ebft x\u01b0\u1edbc ho\u1eb7c v\u1ebft c\u1eaft nh\u1ecf nh\u1ea5t. L\u00e0m s\u1ea1ch k\u1ef9 l\u01b0\u1ee1ng b\u1eb1ng n\u01b0\u1edbc, n\u01b0\u1edbc mu\u1ed1i ho\u1eb7c c\u1ed3n s\u1ebd gi\u00fap lo\u1ea1i b\u1ecf vi khu\u1ea9n \u1edf v\u1ebft th\u01b0\u01a1ng.<\/li>\n\n\n\n<li>Dinh d\u01b0\u1ee1ng c\u0169ng \u0111\u00f3ng m\u1ed9t vai tr\u00f2 trong vi\u1ec7c duy tr\u00ec s\u1ee9c kh\u1ecfe. Tr\u1ebb b\u1ecb suy dinh d\u01b0\u1ee1ng c\u00f3 nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng cao h\u01a1n.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\"><\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list \">\n<div id=\"faq-question-1691639655818\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">Nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em c\u00f3 nguy hi\u1ec3m kh\u00f4ng?<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng nhi\u1ec5m khu\u1ea9n c\u1ea5p t\u00ednh n\u1eb7ng v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n v\u00e0 c\u00f3 th\u1ec3 d\u1eabn t\u1edbi s\u1ed1c nhi\u1ec5m khu\u1ea9n, suy \u0111a t\u1ea1ng,&#8230; B\u1ec7nh c\u00f3 di\u1ec5n ti\u1ebfn n\u1eb7ng trong kho\u1ea3ng th\u1eddi gian r\u1ea5t nhanh, ti\u00ean l\u01b0\u1ee3ng kh\u00f3 l\u01b0\u1eddng tr\u01b0\u1edbc, t\u1ef7 l\u1ec7 t\u1eed vong r\u1ea5t cao.\u00a0<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1691639659871\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">Tr\u1ebb b\u1ecb nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t \u0111i ngo\u00e0i ra m\u00e1u\u00a0<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Tr\u1ebb b\u1ecb \u0111i ngo\u00e0i ra m\u00e1u l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng trong ph\u00e2n c\u00f3 l\u1eabn m\u00e1u, th\u01b0\u1eddng m\u00e0u \u0111\u1ecf th\u1eabm ho\u1eb7c \u0111\u1ecf t\u01b0\u01a1i, th\u1eadm ch\u00ed l\u00e0 m\u00e0u \u0111en. Nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p khi\u1ebfn tr\u1ebb \u0111i ngo\u00e0i ra m\u00e1u. C\u00e1c d\u1ea5u hi\u1ec7u kh\u00e1c c\u1ee7a tr\u1ebb b\u1ecb nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t bao g\u1ed3m: s\u1ed1t cao, \u0111au b\u1ee5ng, qu\u1ea5y kh\u00f3c, n\u00f4n \u00f3i,&#8230;<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1691639668090\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">Nhi\u1ec5m khu\u1ea9n m\u00e1u tr\u1ebb s\u01a1 sinh\u00a0<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>C\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb s\u01a1 sinh, tr\u1ebb c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m vi khu\u1ea9n ho\u1eb7c virus trong b\u00e0o thai, l\u00fac sinh ho\u1eb7c sau khi sinh. Nhi\u1ec5m khu\u1ea9n huy\u1ebft \u1edf tr\u1ebb s\u01a1 sinh l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u1ebb s\u01a1 sinh d\u01b0\u1edbi 28 ng\u00e0y tu\u1ed5i. Tr\u1ebb s\u01a1 sinh b\u1ecb nhi\u1ec5m khu\u1ea9n huy\u1ebft c\u00f3 th\u1ec3 x\u1ea3y ra \u0111\u00e1p \u1ee9ng vi\u00eam qu\u00e1 m\u1ee9c. T\u00ecnh tr\u1ea1ng vi\u00eam v\u00e0 \u0111\u00f4ng m\u00e1u n\u00e0y l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn tay ch\u00e2n v\u00e0 c\u00e1c c\u01a1 quan quan tr\u1ecdng, th\u1eadm ch\u00ed d\u1eabn \u0111\u1ebfn suy \u0111a t\u1ea1ng v\u00e0 t\u1eed vong.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1691639673937\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">Nhi\u1ec5m tr\u00f9ng m\u00e1u \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o?<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng nhi\u1ec5m khu\u1ea9n c\u1ea5p t\u00ednh nguy hi\u1ec3m c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng m\u00e1u bao g\u1ed3m c\u00e1c y\u1ebfu t\u1ed1:u003cbru003e- \u0110i\u1ec1u tr\u1ecb s\u1ed1c n\u1ebfu c\u00f3.u003cbru003e- \u0110i\u1ec1u tr\u1ecb kh\u00e1ng sinh ban \u0111\u1ea7u s\u1edbm v\u00e0 ph\u00f9 h\u1ee3p, ti\u1ebfp theo t\u00f9y \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng v\u00e0 k\u1ebft qu\u1ea3 vi sinh (c\u1ea5y m\u00e1u tr\u01b0\u1edbc khi d\u00f9ng kh\u00e1ng sinh).u003cbru003e- \u0110i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1691639678538\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">Nhi\u1ec5m tr\u00f9ng m\u00e1u giai \u0111o\u1ea1n \u0111\u1ea7u<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 giai \u0111o\u1ea1n c\u1ee7a h\u1ed9i ch\u1ee9ng \u0111\u00e1p \u1ee9ng vi\u00eam to\u00e0n th\u00e2n (SIRS). \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn to\u00e0n b\u1ed9 c\u01a1 th\u1ec3, m\u1ed9t ph\u1ea3n \u1ee9ng th\u01b0\u1eddng xuy\u00ean c\u1ee7a h\u1ec7 mi\u1ec5n d\u1ecbch nh\u1eb1m ch\u1ed1ng l\u1ea1i t\u00ecnh tr\u1ea1ng nhi\u1ec5m khu\u1ea9n. Giai \u0111o\u1ea1n n\u00e0y th\u01b0\u1eddng k\u00e9o d\u00e0i trong v\u00f2ng 5 ng\u00e0y v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n nh\u01b0:u003cbru003e- Nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 r\u1ea5t cao (ho\u1eb7c r\u1ea5t th\u1ea5p)u003cbru003e- Nh\u1ecbp tim nhanhu003cbru003e- Th\u1edf g\u1ea5pu003cbru003e- S\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u trong c\u01a1 th\u1ec3 t\u0103ng cao (ho\u1eb7c h\u1ea1 th\u1ea5p)<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1691639709738\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">B\u1ec7nh m\u00e1u nhi\u1ec5m khu\u1ea9n c\u00f3 l\u00e2y kh\u00f4ng?<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 b\u1ec7nh ho\u00e0n to\u00e0n kh\u00f4ng l\u00e2y lan, \u0111\u1eb7c bi\u1ec7t kh\u00f4ng l\u00e2y qua ti\u1ebfp x\u00fac th\u00f4ng th\u01b0\u1eddng. Tuy nhi\u00ean, vi\u1ec7c ph\u00f2ng ng\u1eeba nhi\u1ec5m khu\u1ea9n m\u00e1u l\u00e0 v\u1ea5n \u0111\u1ec1 \u0111ang r\u1ea5t \u0111\u01b0\u1ee3c quan t\u00e2m hi\u1ec7n nay trong t\u00ecnh h\u00ecnh ng\u00e0y c\u00e0ng nhi\u1ec1u vi khu\u1ea9n \u0111\u1ec1 kh\u00e1ng kh\u00e1ng sinh k\u1ec3 c\u1ea3 kh\u00e1ng sinh n\u1eb7ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c vi khu\u1ea9n g\u00e2y nhi\u1ec5m khu\u1ea9n huy\u1ebft.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1691639722302\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">Nhi\u1ec5m tr\u00f9ng m\u00e1u l\u00e0 g\u00ec c\u00f3 nguy hi\u1ec3m kh\u00f4ng?<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Nhi\u1ec5m tr\u00f9ng m\u00e1u \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 t\u00ecnh tr\u1ea1ng \u0111\u00e1p \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 \u0111\u1ed1i v\u1edbi nhi\u1ec5m khu\u1ea9n b\u1ecb m\u1ea5t ki\u1ec3m so\u00e1t g\u00e2y n\u00ean r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c t\u1ea1ng \u0111e d\u1ecda \u0111\u1ebfn t\u00ednh m\u1ea1ng. B\u1ec7nh c\u00f3 di\u1ec5n ti\u1ebfn n\u1eb7ng trong kho\u1ea3ng th\u1eddi gian ng\u1eafn, ti\u00ean l\u01b0\u1ee3ng kh\u00f3 l\u01b0\u1eddng tr\u01b0\u1edbc, t\u1ef7 l\u1ec7 t\u1eed vong r\u1ea5t cao.\u00a0<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1691639732047\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">D\u1ea5u hi\u1ec7u tr\u1ebb nhi\u1ec5m khu\u1ea9n m\u00e1u\u00a0<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>C\u00e1c d\u1ea5u hi\u1ec7u tr\u1ebb b\u1ecb nhi\u1ec5m khu\u1ea9n m\u00e1u bao g\u1ed3m:u003cbru003eS\u1ed1t ho\u1eb7c h\u1ea1 th\u00e2n nhi\u1ec7t (tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb nh\u1ecf c\u00f3 th\u1ec3 c\u00f3 th\u00e2n nhi\u1ec7t th\u1ea5p)u003cbru003e- Nh\u1ecbp tim nhanhu003cbru003e- Th\u1edf nhanhu003cbru003e- C\u1ea3m th\u1ea5y l\u1ea1nh\/l\u1ea1nh tay ch\u00e2nu003cbru003e- Da s\u1ea7n s\u00f9i v\u00e0 nh\u1ee3t nh\u1ea1tu003cbru003e- Nh\u1ea7m l\u1eabn, ch\u00f3ng m\u1eb7t ho\u1eb7c m\u1ea5t ph\u01b0\u01a1ng h\u01b0\u1edbngu003cbru003e- H\u1ee5t h\u01a1iu003cbru003e- \u0110au ho\u1eb7c kh\u00f3 ch\u1ecbuu003cbru003e- Bu\u1ed3n n\u00f4n v\u00e0 \u00f3i m\u1eedau003cbru003e- Gi\u1ea3m ho\u1eb7c kh\u00f4ng c\u00f3 n\u01b0\u1edbc ti\u1ec3u<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1691639753826\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">Nguy\u00ean nh\u00e2n nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>T\u00e1c nh\u00e2n th\u01b0\u1eddng g\u1eb7p g\u00e2y nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em thay \u0111\u1ed5i t\u00f9y theo tu\u1ed5i v\u00e0 \u1ed5 nhi\u1ec5m khu\u1ea9n nguy\u00ean ph\u00e1t.\u00a0u003cbru003e- C\u00e1c vi khu\u1ea9n Gram d\u01b0\u01a1ng g\u00e2y b\u1ec7nh th\u01b0\u1eddng g\u1eb7p: Li\u00ean c\u1ea7u nh\u00f3m B, ph\u1ebf c\u1ea7u, t\u1ee5 c\u1ea7u v\u00e0ng.\u00a0u003cbru003e- C\u00e1c vi khu\u1ea9n Gram d\u01b0\u01a1ng g\u00e2y b\u1ec7nh th\u01b0\u1eddng g\u1eb7p: Haemophilus influenzae.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nguy hi\u1ec3m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u c\u01a1 quan, c\u00f3 kh\u1ea3 n\u0103ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng, c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nhanh ch\u00f3ng.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hy v\u1ecdng r\u1eb1ng th\u00f4ng qua b\u00e0i vi\u1ebft n\u00e0y, b\u1ea1n \u0111\u00e3 c\u00f3 c\u00e1i nh\u00ecn r\u00f5 h\u01a1n v\u1ec1 nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em. N\u1ebfu b\u1ea1n ho\u1eb7c ng\u01b0\u1eddi th\u00e2n c\u1ee7a b\u1ea1n c\u00f3 nh\u1eefng th\u1eafc m\u1eafc v\u1ec1 b\u1ec7nh nhi\u1ec5m khu\u1ea9n m\u00e1u, xin vui l\u00f2ng \u0111\u1eb7t l\u1ecbch kh\u00e1m v\u1edbi chuy\u00ean gia ho\u1eb7c b\u00e1c s\u0129 t\u00e2m l\u00fd tr\u00ean <a href=\"https:\/\/www.docosan.com\/\">docosan.com<\/a>.<\/p>\n\n\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/sepsis-in-baby\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.medicalnewstoday.com\/articles\/sepsis-in-baby<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10169116\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10169116\/<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/emedicine.medscape.com\/article\/972559-overview\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/emedicine.medscape.com\/article\/972559-overview<\/a><\/li>\n<\/ul>\n\n\n","protected":false},"excerpt":{"rendered":"<p>Nhi\u1ec5m khu\u1ea9n m\u00e1u \u1edf tr\u1ebb em l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd v\u00f4 c\u00f9ng nguy hi\u1ec3m, r\u1ea5t c\u1ea7n \u0111\u01b0\u1ee3c quan t\u00e2m, \u0111\u1eb7c bi\u1ec7t trong t\u00ecnh h\u00ecnh kh\u00e1ng sinh ng\u00e0y c\u00e0ng b\u1ecb \u0111\u1ec1 kh\u00e1ng g\u00e2y n\u00ean kh\u00f3 kh\u0103n trong \u0111i\u1ec1u tr\u1ecb. C\u00f9ng Doctor c\u00f3 s\u1eb5n t\u00ecm hi\u1ec3u v\u1ec1 Nhi\u1ec5m khu\u1ea9n huy\u1ebft \u1edf tr\u1ebb em, nguy\u00ean nh\u00e2n, [&hellip;]<\/p>\n","protected":false},"author":38,"featured_media":109997,"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-105946","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\/2023\/08\/Nhiem-khuan-mau-o-tre-em-1-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/08\/Nhiem-khuan-mau-o-tre-em-1-600x533.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129 Cao T\u1ea1 Minh To\u00e0n","author_link":"https:\/\/www.docosan.com\/blog\/author\/dscaotaminhtoan\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105946","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\/38"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=105946"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105946\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/109997"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=105946"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=105946"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=105946"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}