{"id":33015,"date":"2022-06-29T00:14:13","date_gmt":"2022-06-28T17:14:13","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=33015"},"modified":"2022-06-29T00:26:52","modified_gmt":"2022-06-28T17:26:52","slug":"hoai-thu-fournier-fournier-gangrene","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/hoai-thu-fournier-fournier-gangrene\/","title":{"rendered":"Ho\u1ea1i th\u01b0 Fournier &#8211; Fournier gangrene"},"content":{"rendered":"<p style=\"text-align: right;\">T\u1ea3i file PDF b\u00e0i vi\u1ebft <strong>Ho\u1ea1i th\u01b0 Fournier &#8211; Fournier gangrene <\/strong><a href=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner.pptx.pdf\">t\u1ea1i \u0111\u00e2y<\/a><\/p>\n<p style=\"text-align: right;\">B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c d\u1ecbch b\u1edfi Tr\u1ea7n Th\u1ecb Thu, Dr. L\u00ea V\u0169 Duy<\/p>\n<h2>T\u00f3m l\u01b0\u1ee3c<\/h2>\n<p>Ho\u1ea1i th\u01b0 Fournier l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam c\u00e2n m\u1ea1c ho\u1ea1i t\u1eed \u1edf t\u1ea7ng sinh m\u00f4n. B\u1ec7nh hi\u1ebfm g\u1eb7p, t\u1ef7 l\u1ec7 t\u1eed vong cao.<\/p>\n<h2>D\u1ecbch t\u1ec5 h\u1ecdc<\/h2>\n<p>Ho\u1ea1i th\u01b0 Fournier \u0111i\u1ec3n h\u00ecnh g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, \u0111\u1ed9 tu\u1ed5i t\u1eeb 50-70, hi\u1ebfm g\u1eb7p \u1edf n\u1eef gi\u1edbi.<\/p>\n<p>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 bao g\u1ed3m:<\/p>\n<ul>\n<li>B\u00e9o ph\u00ec (BMI &gt; 30)<\/li>\n<li>Suy gan\/ suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i<\/li>\n<li>T\u0103ng huy\u1ebft \u00e1p<\/li>\n<li>S\u1eed d\u1ee5ng \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch<\/li>\n<li>Nghi\u1ec7n r\u01b0\u1ee3u<\/li>\n<li>H\u00fat thu\u1ed1c l\u00e1<\/li>\n<li>G\u1ea7y m\u00f2n<\/li>\n<li>\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/li>\n<\/ul>\n<h2>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng<\/h2>\n<p>B\u00ecu, v\u00f9ng t\u1ea7ng sinh m\u00f4n s\u01b0ng, \u0111au v\u00e0 \u0111\u1ecf. Ti\u1ebfng l\u00e9p b\u00e9p c\u1ee7a kh\u00ed d\u01b0\u1edbi da (65% tr\u01b0\u1eddng h\u1ee3p). S\u1ed1t v\u00e0 t\u0103ng b\u1ea1ch c\u1ea7u.<\/p>\n<h2>B\u1ec7nh l\u00fd h\u1ecdc<\/h2>\n<p>Nguy\u00ean nh\u00e2n g\u00e2y ra nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c, ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 t\u1eeb h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng nh\u01b0 r\u00f2 ho\u1eb7c \u00e1p xe c\u1ea1nh h\u1eadu m\u00f4n, \u00edt g\u1eb7p h\u01a1n l\u00e0 ch\u1ea5n th\u01b0\u01a1ng b\u1ed9 ph\u1eadn sinh d\u1ee5c ho\u1eb7c t\u1ea7ng sinh m\u00f4n. \u0110\u00f4i khi kh\u00f4ng t\u00ecm th\u1ea5y nguy\u00ean nh\u00e2n.<\/p>\n<p>Th\u01b0\u1eddng do nhi\u1ec1u lo\u1ea1i vi khu\u1ea9n nh\u01b0 E.coli, Klebsiella, Proteus, Staphylococcus, v\u00e0 Streptococcus. Th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u l\u00e0 vi\u00eam m\u00f4 t\u1ebf b\u00e0o g\u00e2y ra vi\u00eam n\u1ed9i m\u1ea1ch v\u1edbi h\u00ecnh th\u00e0nh c\u1ee5c huy\u1ebft kh\u1ed1i, sau \u0111\u00f3 ho\u1ea1i t\u1eed nhi\u1ec5m tr\u00f9ng lan ra theo m\u1eb7t c\u00e2n.<\/p>\n<p>Ban \u0111\u1ea7u ho\u1ea1i t\u1eed nhi\u1ec5m tr\u00f9ng \u1edf v\u00f9ng quanh h\u1eadu m\u00f4n v\u00e0 \u0111\u00e1y ch\u1eadu, sau \u0111\u00f3 lan ra \u0111\u1ebfn \u0111\u00f9i v\u00e0 th\u00e0nh b\u1ee5ng tr\u01b0\u1edbc. Tinh ho\u00e0n th\u01b0\u1eddng b\u00ecnh th\u01b0\u1eddng do ngu\u1ed3n c\u1ea5p m\u00e1u kh\u00e1c nhau. C\u00e1c vi khu\u1ea9n sinh kh\u00ed g\u00e2y ra tr\u00e0n kh\u00ed d\u01b0\u1edbi da.<\/p>\n<h2>\u0110\u1eb7c \u0111i\u1ec3m h\u00ecnh \u1ea3nh<\/h2>\n<p>Ch\u1ea9n \u0111o\u00e1n th\u01b0\u1eddng d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng. Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh c\u00f3 vai tr\u00f2:<\/p>\n<ul>\n<li>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/li>\n<li>X\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 lan r\u1ed9ng c\u1ee7a b\u1ec7nh<\/li>\n<li>X\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n t\u1ea1i ch\u1ed7.<\/li>\n<\/ul>\n<h3>X-quang<\/h3>\n<p>Nh\u00ecn th\u1ea5y kh\u00ed \u1edf m\u00f4 m\u1ec1m v\u00f9ng b\u00ecu v\u00e0 \u0111\u00e1y ch\u1eadu. Kh\u00ed d\u01b0\u1edbi da c\u00f3 th\u1ec3 lan r\u1ed9ng t\u1eeb v\u00f9ng b\u00ecu, \u0111\u00e1y ch\u1eadu \u0111\u1ebfn v\u00f9ng b\u1eb9n, th\u00e0nh b\u1ee5ng tr\u01b0\u1edbc v\u00e0 \u0111\u00f9i.<\/p>\n<h3>Si\u00eau \u00e2m<\/h3>\n<p>D\u00e0y da b\u00ecu: th\u01b0\u1eddng ph\u00f9 n\u1ec1, v\u1edbi c\u00e1c r\u1ea3i gi\u1ea3m \u00e2m c\u1ee7a d\u1ecbch xen k\u1ebd. C\u00e1c ch\u1ea5m kh\u00ed t\u0103ng \u00e2m v\u1edbi b\u00f3ng l\u01b0ng \u1edf v\u00f9ng b\u00ecu b\u1ec7nh l\u00fd. B\u1edd kh\u00f4ng r\u00f5, b\u00f3ng l\u01b0ng c\u1ee7a kh\u00ed th\u01b0\u1eddng \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 l\u00e0 b\u00f3ng l\u01b0ng \u201cb\u1ea9n\u201d. Tinh ho\u00e0n v\u00e0 m\u00e0o tinh ho\u00e0n b\u00ecnh th\u01b0\u1eddng. Tr\u00e0n d\u1ecbch m\u00e0ng tinh ho\u00e0n (d\u1ecbch ph\u1ea3n \u1ee9ng).<\/p>\n<h3>CT<\/h3>\n<p>D\u00e0y m\u00f4 m\u1ec1m v\u00e0 l\u1edbp c\u00e2n. T\u1ee5 kh\u00ed m\u00f4 m\u1ec1m. C\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 b\u1ec7nh tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt. X\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n nh\u01b0 \u00e1p xe hay r\u00f2 quanh h\u1eadu m\u00f4n. \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong cao (dao \u0111\u1ed9ng 15-30%).<\/p>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m:<\/p>\n<ul>\n<li>C\u1eaft b\u1ecf tri\u1ec7t \u0111\u1ec3 t\u1ed5 ch\u1ee9c ho\u1ea1i t\u1eed<\/li>\n<li>Kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch<\/li>\n<li>Li\u1ec7u ph\u00e1p oxy cao \u00e1p.<\/li>\n<\/ul>\n<h2>L\u1ecbch s\u1eed t\u00ean g\u1ecdi<\/h2>\n<p>B\u1ec7nh \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 b\u1edfi gi\u00e1o s\u01b0 da li\u1ec5u ng\u01b0\u1eddi Ph\u00e1p Jean Alfred Fournier (1832-1914) v\u00e0o n\u0103m 1883, khi ghi nh\u1eadn t\u00ecnh tr\u1ea1ng ho\u1ea1i t\u1eed nhi\u1ec5m tr\u00f9ng \u1edf c\u01a1 quan sinh d\u1ee5c c\u1ee7a m\u1ed9t nam gi\u1edbi tr\u1ebb tu\u1ed5i, kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/p>\n<h2>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\n<p>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi t\u00ecnh tr\u1ea1ng \u0111au b\u00ecu c\u1ea5p t\u00ednh:<\/p>\n<ul>\n<li>Vi\u00eam tinh ho\u00e0n-m\u00e0o tinh ho\u00e0n<\/li>\n<li>Xo\u1eafn tinh ho\u00e0n<\/li>\n<li>Ch\u1ea5n th\u01b0\u01a1ng tinh ho\u00e0n<\/li>\n<li>Vi\u00eam m\u00f4 b\u00e0o\/\u00e1p xe b\u00ecu.<\/li>\n<\/ul>\n<h2>C\u00e1c v\u00ed d\u1ee5<\/h2>\n<h3>Case 1:<\/h3>\n<p>B\u1ec7nh nh\u00e2n nam, 30 tu\u1ed5i, ti\u1ec1n s\u1eed ung th\u01b0 tr\u1ef1c tr\u00e0ng, bi\u1ec3u hi\u1ec7n s\u01b0ng v\u00e0 vi\u00eam m\u00f4 t\u1ebf b\u00e0o v\u00f9ng ch\u1eadu v\u00e0 \u0111\u00f9i ph\u1ea3i.<\/p>\n<p>H\u00ecnh \u1ea3nh CT: kh\u00ed xu\u1ea5t ph\u00e1t t\u1eeb c\u1ea1nh tr\u1ef1c tr\u00e0ng, \u0111i \u0111\u1ebfn quanh tr\u1ef1c tr\u00e0ng, h\u1ed1 ng\u1ed3i tr\u1ef1c tr\u00e0ng, sau \u0111\u00f3 \u0111\u1ebfn m\u00f4ng, \u0111\u00f9i ph\u1ea3i v\u00e0 t\u1ea7ng sinh m\u00f4n.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33017\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-1.png\" alt=\"\" width=\"950\" height=\"1057\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-1.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-1-360x400.png 360w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-1-719x800.png 719w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-1-768x855.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-1-350x389.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33018\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-2.png\" alt=\"\" width=\"950\" height=\"1057\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-2.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-2-360x400.png 360w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-2-719x800.png 719w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-2-768x855.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-2-350x389.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33019\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-3.png\" alt=\"\" width=\"950\" height=\"1057\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-3.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-3-360x400.png 360w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-3-719x800.png 719w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-3-768x855.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-3-350x389.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33020\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-4.png\" alt=\"\" width=\"950\" height=\"1057\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-4.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-4-360x400.png 360w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-4-719x800.png 719w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-4-768x855.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-4-350x389.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>Case 2:<\/h3>\n<p>B\u1ec7nh nh\u00e2n nam, 34 tu\u1ed5i, v\u1eeba ph\u1eabu thu\u1eadt r\u00f2 h\u1eadu m\u00f4n, c\u00f3 bi\u1ec3u hi\u1ec7n s\u01b0ng v\u00f9ng b\u00ecu.<\/p>\n<p>H\u00ecnh \u1ea3nh si\u00eau \u00e2m cho th\u1ea5y ph\u00f9 n\u1ec1 da b\u00ecu v\u1edbi t\u1ee5 d\u1ecbch v\u00e0 b\u00f3ng l\u01b0ng b\u1ea9n c\u1ee7a kh\u00ed. Kh\u00f4ng c\u00f3 tr\u00e0n d\u1ecbch m\u00e0ng tinh ho\u00e0n.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33021\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-5.png\" alt=\"\" width=\"950\" height=\"615\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-5.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-5-618x400.png 618w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-5-768x497.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-5-350x227.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33022\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-6.png\" alt=\"\" width=\"950\" height=\"647\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-6.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-6-587x400.png 587w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-6-768x523.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-6-350x238.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33023\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-7.png\" alt=\"\" width=\"950\" height=\"677\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-7.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-7-561x400.png 561w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-7-768x547.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-7-350x249.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>Case 3:<\/h3>\n<p>B\u1ec7nh nh\u00e2n nam, 55 tu\u1ed5i, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c, bi\u1ec3u hi\u1ec7n s\u01b0ng \u0111au v\u00f9ng b\u00ecu v\u00e0 s\u1ed1t.<\/p>\n<p>H\u00ecnh \u1ea3nh x-quang cho th\u1ea5y b\u00ecu s\u01b0ng to v\u1edbi c\u00e1c b\u00f3ng kh\u00ed, ph\u00f9 h\u1ee3p v\u1edbi ho\u1ea1i th\u1eed Fournier.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33024\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-8.png\" alt=\"\" width=\"950\" height=\"1267\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-8.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-8-300x400.png 300w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-8-600x800.png 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-8-768x1024.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-8-350x467.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>Case 4:<\/h3>\n<p>B\u1ec7nh nh\u00e2n nam, 70 tu\u1ed5i, ti\u1ec1n s\u1eed \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, bi\u1ec3u hi\u1ec7n s\u01b0ng v\u00e0 \u0111\u1ecf v\u00f9ng b\u1eb9n tr\u00e1i v\u00e0 b\u00ecu 1 ng\u00e0y tr\u01b0\u1edbc \u0111\u00f3 v\u00e0 s\u1ed1t 38.5\u00b0C.<\/p>\n<p>Si\u00eau \u00e2m:<\/p>\n<ul>\n<li>D\u00e0y da b\u00ecu<\/li>\n<li>Tho\u00e1t v\u1ecb b\u1eb9n tr\u00e1i v\u1edbi m\u1ed9t l\u01b0\u1ee3ng kh\u00ed l\u1edbn \u1edf m\u00f4 m\u1ec1m.<\/li>\n<li>Tinh ho\u00e0n b\u00ecnh th\u01b0\u1eddng<\/li>\n<li>Tinh ho\u00e0n v\u00e0 m\u00e0o tinh ho\u00e0n tr\u00e1i sung huy\u1ebft do ph\u1ea3n \u1ee9ng.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33025\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-9.png\" alt=\"\" width=\"950\" height=\"575\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-9.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-9-661x400.png 661w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-9-768x465.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-9-350x212.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33026\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-10.png\" alt=\"\" width=\"950\" height=\"575\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-10.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-10-661x400.png 661w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-10-768x465.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-10-350x212.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33027\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-11.png\" alt=\"\" width=\"950\" height=\"575\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-11.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-11-661x400.png 661w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-11-768x465.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-11-350x212.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33028\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-12.png\" alt=\"\" width=\"950\" height=\"575\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-12.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-12-661x400.png 661w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-12-768x465.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-12-350x212.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>CT: \u0111\u01b0\u1eddng r\u00f2 trong c\u01a1 th\u1eaft h\u1eadu m\u00f4n v\u1edbi m\u1ed9t l\u01b0\u1ee3ng kh\u00ed nh\u1ecf. Kh\u00ed d\u01b0\u1edbi da d\u1ecdc theo b\u00ean tr\u00e1i t\u1ea7ng sinh m\u00f4n, b\u1eb9n v\u00e0 b\u00ecu tr\u00e1i. Th\u00e2m nhi\u1ec5m m\u1ee1 v\u00e0 d\u00e0y da \u1edf b\u1eb9n, b\u00ecu v\u00e0 t\u1ea7ng sinh m\u00f4n.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33029\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-13.png\" alt=\"\" width=\"950\" height=\"1207\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-13.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-13-315x400.png 315w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-13-630x800.png 630w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-13-768x976.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-13-350x445.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33030\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-14.png\" alt=\"\" width=\"950\" height=\"605\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-14.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-14-628x400.png 628w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-14-768x489.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-14-350x223.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33031\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-15.png\" alt=\"\" width=\"950\" height=\"605\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-15.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-15-628x400.png 628w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-15-768x489.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-15-350x223.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33032\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-16.png\" alt=\"\" width=\"950\" height=\"1045\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-16.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-16-364x400.png 364w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-16-727x800.png 727w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-16-768x845.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/fourner-16-350x385.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h2>Ngu\u1ed3n tham kh\u1ea3o<\/h2>\n<p>Assoc Prof Craig Hacking, <a href=\"https:\/\/radiopaedia.org\/articles\/fournier-gangrene\" rel=\"noopener\">Fournier gangrene<\/a>, Radiopaedia. Truy c\u1eadp ng\u00e0y 28\/06\/2022<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ea3i file PDF b\u00e0i vi\u1ebft Ho\u1ea1i th\u01b0 Fournier &#8211; Fournier gangrene t\u1ea1i \u0111\u00e2y B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c d\u1ecbch b\u1edfi Tr\u1ea7n Th\u1ecb Thu, Dr. L\u00ea V\u0169 Duy T\u00f3m l\u01b0\u1ee3c Ho\u1ea1i th\u01b0 Fournier l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam c\u00e2n m\u1ea1c ho\u1ea1i t\u1eed \u1edf t\u1ea7ng sinh m\u00f4n. B\u1ec7nh hi\u1ebfm g\u1eb7p, t\u1ef7 l\u1ec7 t\u1eed vong cao. D\u1ecbch t\u1ec5 h\u1ecdc Ho\u1ea1i th\u01b0 [&#8230;]\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-33015","post","type-post","status-publish","format-standard","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/33015","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=33015"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/33015\/revisions"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=33015"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=33015"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=33015"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}