{"id":32949,"date":"2022-06-23T15:21:35","date_gmt":"2022-06-23T08:21:35","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=32949"},"modified":"2022-06-23T15:21:35","modified_gmt":"2022-06-23T08:21:35","slug":"vo-co-hoanh-diaphragmatic-rupture","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/vo-co-hoanh-diaphragmatic-rupture\/","title":{"rendered":"V\u1ee1 c\u01a1 ho\u00e0nh &#8211; Diaphragmatic rupture"},"content":{"rendered":"<p style=\"text-align: right;\">T\u1ea3i file PDF b\u00e0i vi\u1ebft <strong>V\u1ee1 c\u01a1 ho\u00e0nh &#8211; Diaphragmatic rupture\u00a0<\/strong><a href=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh.pdf\">t\u1ea1i \u0111\u00e2y<\/a><\/p>\n<p style=\"text-align: right;\">D\u1ecbch b\u1edfi <span style=\"font-weight: 400;\">Tr\u1ea7n Th\u1ecb Thu v\u00e0 <\/span><span style=\"font-weight: 400;\">Dr. L\u00ea V\u0169 Duy<\/span><\/p>\n<h2>Gi\u1edbi thi\u1ec7u<\/h2>\n<p>V\u1ee1 c\u01a1 ho\u00e0nh th\u01b0\u1eddng l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng ch\u1ed9t. Nguy\u00ean nh\u00e2n th\u01b0\u1eddng do ch\u1ea5n th\u01b0\u01a1ng ph\u01b0\u01a1ng ti\u1ec7n c\u01a1 gi\u1edbi.<\/p>\n<h2>D\u1ecbch t\u1ec5<\/h2>\n<ul>\n<li>Nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 ch\u1ea5n th\u01b0\u01a1ng ph\u01b0\u01a1ng ti\u1ec7n c\u01a1 gi\u1edbi.<\/li>\n<li>Nam gi\u1edbi th\u01b0\u1eddng b\u1ecb \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u nh\u1ea5t.<\/li>\n<li>Chi\u1ebfm \u2248 4,5% (0,8-8%) nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng ng\u1ef1c th\u1ea5p.<\/li>\n<\/ul>\n<h2>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng<\/h2>\n<p>Th\u01b0\u1eddng kh\u00f4ng ghi nh\u1eadn \u0111\u01b0\u1ee3c v\u00e0o th\u1eddi \u0111i\u1ec3m ch\u1ea5n th\u01b0\u01a1ng v\u00e0 kho\u1ea3ng th\u1eddi gian t\u1eeb sau khi ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ebfn khi kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng.<\/p>\n<h2>B\u1ec7nh l\u00fd h\u1ecdc<\/h2>\n<ul>\n<li>V\u1ee1 v\u00f2m ho\u00e0nh tr\u00e1i g\u1eb7p nhi\u1ec1u h\u01a1n v\u00f2m ho\u00e0nh ph\u1ea3i g\u1ea5p 3 l\u1ea7n, c\u00f3 th\u1ec3 do b\u00ean ph\u1ea3i c\u00f3 gan.<\/li>\n<li>V\u1ecb tr\u00ed v\u1ee1 ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 m\u1eb7t sau gi\u1eefa c\u01a1 th\u1eaft l\u01b0ng v\u00e0 c\u01a1 li\u00ean s\u01b0\u1eddn.<\/li>\n<li>Th\u01b0\u1eddng v\u1ee1 \u1edf t\u00e2m c\u01a1 ho\u00e0nh v\u00e0 h\u1ea7u h\u1ebft d\u00e0i &gt; 10cm.<\/li>\n<li>T\u1ea1ng tho\u00e1t v\u1ecb th\u01b0\u1eddng l\u00e0 d\u1ea1 d\u00e0y v\u00e0 \u0111\u1ea1i tr\u00e0ng.<\/li>\n<li>Hi\u1ebfm g\u1eb7p v\u1ee1 c\u01a1 ho\u00e0nh m\u00e0 kh\u00f4ng c\u00f3 ch\u1ea5n th\u01b0\u01a1ng \u1ed5 b\u1ee5ng.<\/li>\n<\/ul>\n<h2>\u0110\u1eb7c \u0111i\u1ec3m h\u00ecnh \u1ea3nh<\/h2>\n<h3>X-quang<\/h3>\n<ul>\n<li>C\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a v\u1ee1 c\u01a1 ho\u00e0nh c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y tr\u00ean phim x-quang trong 50% tr\u01b0\u1eddng h\u1ee3p.<\/li>\n<li>C\u00e1c d\u1ea5u hi\u1ec7u gi\u00fap cho ch\u1ea9n \u0111o\u00e1n:\n<ul>\n<li>M\u1ea5t li\u00ean t\u1ee5c c\u1ee7a v\u00f2m ho\u00e0nh.<\/li>\n<li>C\u00e1c t\u1ea1ng tho\u00e1t v\u1ecb l\u00ean l\u1ed3ng ng\u1ef1c (d\u1ea1 d\u00e0y, \u0111\u1ea1i tr\u00e0ng, ru\u1ed9t non) c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 s\u1ef1 th\u1eaft khu tr\u00fa (d\u1ea5u hi\u1ec7u c\u1ed5 \u00e1o \u2013 collar sign).<\/li>\n<li>N\u1ebfu tho\u00e1t v\u1ecb l\u1edbn c\u00f3 th\u1ec3 g\u00e2y hi\u1ec7u \u1ee9ng \u0111\u00e8 \u0111\u1ea9y trung th\u1ea5t.<\/li>\n<li>C\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y \u1ed1ng sonde d\u1ea1 d\u00e0y n\u1eb1m \u1edf ph\u00eda tr\u00ean c\u01a1 ho\u00e0nh.<\/li>\n<li>V\u00f2m ho\u00e0nh tr\u00e1i cao h\u01a1n v\u00f2m ho\u00e0nh ph\u1ea3i.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>CT<\/h3>\n<ul>\n<li>C\u00f3 s\u1ef1 gi\u00e1n \u0111o\u1ea1n c\u1ee7a c\u01a1 ho\u00e0nh c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 c\u00e1c t\u1ea1ng trong \u1ed5 b\u1ee5ng tho\u00e1t v\u1ecb l\u00ean l\u1ed3ng ng\u1ef1c. D\u1ea1 d\u00e0y v\u00e0 \u0111\u1ea1i tr\u00e0ng th\u01b0\u1eddng b\u1ecb tho\u00e1t v\u1ecb \u1edf b\u00ean tr\u00e1i, c\u00f2n b\u00ean ph\u1ea3i l\u00e0 gan.<\/li>\n<li>C\u00e1c d\u1ea5u hi\u1ec7u kh\u00e1c c\u1ee7a v\u1ee1 c\u01a1 ho\u00e0nh bao g\u1ed3m:\n<ul>\n<li>D\u1ea5u hi\u1ec7u collar sign (hay d\u1ea5u hi\u1ec7u \u0111\u1ed3ng h\u1ed3 c\u00e1t \u2013 hourglass sign): s\u1ef1 th\u1eaft l\u1ea1i c\u1ee7a t\u1ea1ng tho\u00e1t v\u1ecb t\u1eeb \u1ed5 b\u1ee5ng l\u00ean l\u1ed3ng ng\u1ef1c t\u1ea1i v\u1ecb tr\u00ed v\u1ee1 c\u01a1 ho\u00e0nh, \u0111i\u1ec3n h\u00ecnh c\u1ee7a v\u1ee1 c\u01a1 ho\u00e0nh.<\/li>\n<li>D\u1ea5u hi\u1ec7u t\u1ea1ng ph\u1ee5 thu\u1ed9c \u201cthe dependent viscera sign\u201d: khi b\u1ec7nh nh\u00e2n c\u00f3 v\u1ee1 c\u01a1 ho\u00e0nh, khi ch\u1ee5p CT t\u01b0 th\u1ebf n\u1eb1m ng\u1eeda, c\u00e1c t\u1ea1ng (ru\u1ed9t, t\u1ea1ng \u0111\u1eb7c) m\u1ea5t s\u1ef1 n\u00e2ng \u0111\u1ee1 c\u1ee7a c\u01a1 ho\u00e0nh \u1edf ph\u00eda sau n\u00ean th\u01b0\u1eddng n\u1eb1m s\u00e1t cung sau x\u01b0\u01a1ng s\u01b0\u1eddn.<\/li>\n<li>C\u01a1 ho\u00e0nh chia th\u00e0nh nhi\u1ec1u \u0111o\u1ea1n<\/li>\n<li>D\u00e0y v\u00f2m ho\u00e0nh khu tr\u00fa<\/li>\n<li>D\u1ecbch trong l\u1ed3ng ng\u1ef1c ti\u1ebfp gi\u00e1p v\u1edbi c\u00e1c t\u1ea1ng trong \u1ed5 b\u1ee5ng.<\/li>\n<\/ul>\n<\/li>\n<li>C\u00e1c d\u1ea5u hi\u1ec7u ph\u1ee5:\n<ul>\n<li>Tr\u00e0n m\u00e1u khoang m\u00e0ng ph\u1ed5i<\/li>\n<li>Tr\u00e0n m\u00e1u khoang ph\u00fac m\u1ea1c.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Nh\u1eefng h\u00ecnh \u1ea3nh c\u00f3 th\u1ec3 nh\u1ea7m v\u1edbi v\u1ee1 c\u01a1 ho\u00e0nh:\n<ul>\n<li>Tho\u00e1t v\u1ecb ho\u00e0nh<\/li>\n<li>L\u1ed3i m\u00fai c\u01a1 ho\u00e0nh (eventration of the diaphragm)<\/li>\n<li>M\u1ea5t li\u00ean t\u1ee5c d\u00e2y ch\u1eb1ng cung b\u00ean c\u1ea5p t\u00ednh.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>Bi\u1ebfn ch\u1ee9ng<\/h2>\n<ul>\n<li>Th\u1eaft ngh\u1eb9t \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/li>\n<li>Xo\u1eafn d\u1ea1 d\u00e0y<\/li>\n<li>D\u1ea1 d\u00e0y trong l\u1ed3ng ng\u1ef1c c\u0103ng gi\u00e3n qu\u00e1 m\u1ee9c.<\/li>\n<\/ul>\n<h2>V\u00ed d\u1ee5<\/h2>\n<ul>\n<li>Case 1: v\u1ee1 c\u01a1 ho\u00e0nh sau ch\u1ea5n th\u01b0\u01a1ng v\u1edbi t\u1ea1ng tho\u00e1t v\u1ecb l\u00e0 d\u1ea1 d\u00e0y v\u00e0 c\u00f3 xo\u1eafn d\u1ea1 d\u00e0y.<\/li>\n<\/ul>\n<p>Phim ch\u1ee5p cho th\u1ea5y gi\u00e1n \u0111o\u1ea1n c\u01a1 ho\u00e0nh tr\u00e1i v\u1edbi t\u1ea1ng tho\u00e1t v\u1ecb l\u00e0 d\u1ea1 d\u00e0y l\u00ean l\u1ed3ng ng\u1ef1c. D\u1ea1 d\u00e0y xo\u1eafn theo tr\u1ee5c t\u1ea1ng.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32952\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-1.png\" alt=\"\" width=\"768\" height=\"1024\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-1.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-1-300x400.png 300w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-1-600x800.png 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-1-350x467.png 350w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32953\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-2.png\" alt=\"\" width=\"950\" height=\"1267\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-2.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-2-300x400.png 300w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-2-600x800.png 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-2-768x1024.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-2-350x467.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32954\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-3.png\" alt=\"\" width=\"950\" height=\"1267\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-3.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-3-300x400.png 300w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-3-600x800.png 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-3-768x1024.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-3-350x467.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<ul>\n<li>Case 2: c\u00e1c quai ru\u1ed9t v\u00e0 m\u1ed9t ph\u1ea7n gan n\u1eb1m trong l\u1ed3ng ng\u1ef1c b\u00ean ph\u1ea3i, g\u1ee3i \u00fd c\u00f3 v\u1ee1 c\u01a1 ho\u00e0nh.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32955\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-4.png\" alt=\"\" width=\"950\" height=\"956\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-4.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-4-397x400.png 397w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-4-795x800.png 795w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-4-768x773.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-4-350x352.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-4-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32956\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-5.png\" alt=\"\" width=\"950\" height=\"1059\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-5.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-5-359x400.png 359w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-5-718x800.png 718w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-5-768x856.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-5-350x390.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<ul>\n<li>Case 3: d\u1ea5u hi\u1ec7u \u0111\u1ed3ng h\u1ed3 c\u00e1t tr\u00ean phim ch\u1ee5p c\u00f3 u\u1ed1ng barit.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32957\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-6.png\" alt=\"\" width=\"950\" height=\"810\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-6.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-6-469x400.png 469w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-6-938x800.png 938w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-6-768x655.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-6-350x298.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32958\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-7.png\" alt=\"\" width=\"950\" height=\"1131\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-7.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-7-336x400.png 336w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-7-672x800.png 672w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-7-768x914.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-7-350x417.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32959\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-8.png\" alt=\"\" width=\"950\" height=\"1131\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-8.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-8-336x400.png 336w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-8-672x800.png 672w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-8-768x914.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-8-350x417.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<ul>\n<li>Case 4: v\u1ee1 c\u01a1 ho\u00e0nh m\u1ea1n t\u00ednh. B\u1ec7nh nh\u00e2n nam, 50 tu\u1ed5i, \u0111au gi\u1eefa ng\u1ef1c.<\/li>\n<\/ul>\n<p>Phim x-quang cho th\u1ea5y quai \u0111\u1ea1i tr\u00e0ng v\u00e0 d\u1ea1 d\u00e0y gi\u00e3n n\u1eb1m trong trung th\u1ea5t, \u0111\u1ea1i di\u1ec7n cho v\u1ee1 c\u01a1 ho\u00e0nh l\u1edbn. Kh\u00f4ng c\u00f3 tr\u00e0n kh\u00ed trung th\u1ea5t.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32960\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-9.png\" alt=\"\" width=\"950\" height=\"926\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-9.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-9-410x400.png 410w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-9-821x800.png 821w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-9-768x749.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-9-350x341.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<ul>\n<li>Case 5: b\u1ec7nh nh\u00e2n nam, 70 tu\u1ed5i, ng\u00e3 t\u1eeb \u0111\u1ed9 cao 15m. Phim x-quang cho th\u1ea5y b\u00f3ng h\u01a1i d\u1ea1 d\u00e0y gi\u00e3n l\u1edbn n\u1eb1m trong l\u1ed3ng ng\u1ef1c b\u00ean tr\u00e1i, \u1ed1ng sonde d\u1ea1 d\u00e0y cu\u1ed9n l\u1ea1i \u1edf \u0111\u00e1y d\u1ea1 d\u00e0y<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32961\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-10.png\" alt=\"\" width=\"950\" height=\"780\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-10.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-10-487x400.png 487w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-10-768x631.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/vo-co-hoanh-10-350x287.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h2>Ngu\u1ed3n tham kh\u1ea3o<\/h2>\n<p>C\u00e1c b\u1ea1n c\u00f3 th\u1ec3 tham kh\u1ea3o t\u1ea1i \u0111\u01b0\u1eddng link sau: https:\/\/radiopaedia.org\/articles\/diaphragmatic-rupture<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ea3i file PDF b\u00e0i vi\u1ebft V\u1ee1 c\u01a1 ho\u00e0nh &#8211; Diaphragmatic rupture\u00a0t\u1ea1i \u0111\u00e2y D\u1ecbch b\u1edfi Tr\u1ea7n Th\u1ecb Thu v\u00e0 Dr. L\u00ea V\u0169 Duy Gi\u1edbi thi\u1ec7u V\u1ee1 c\u01a1 ho\u00e0nh th\u01b0\u1eddng l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng ch\u1ed9t. Nguy\u00ean nh\u00e2n th\u01b0\u1eddng do ch\u1ea5n th\u01b0\u01a1ng ph\u01b0\u01a1ng ti\u1ec7n c\u01a1 gi\u1edbi. D\u1ecbch t\u1ec5 Nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 ch\u1ea5n th\u01b0\u01a1ng [&#8230;]\n","protected":false},"author":1,"featured_media":32962,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-32949","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/32949","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=32949"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/32949\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/32962"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=32949"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=32949"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=32949"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}