{"id":33035,"date":"2022-06-29T03:06:05","date_gmt":"2022-06-28T20:06:05","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=33035"},"modified":"2022-06-29T03:12:02","modified_gmt":"2022-06-28T20:12:02","slug":"ruot-xoay-bat-toan-intestinal-malrotation","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/ruot-xoay-bat-toan-intestinal-malrotation\/","title":{"rendered":"Ru\u1ed9t xoay b\u1ea5t to\u00e0n &#8211; Intestinal malrotation"},"content":{"rendered":"<p style=\"text-align: right;\">T\u1ea3i file PDF b\u00e0i vi\u1ebft <b>Ru\u1ed9t xoay b\u1ea5t to\u00e0n &#8211; Intestinal malrotation<\/b><b>\u00a0<\/b><a href=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan.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>Ru\u1ed9t xoay b\u1ea5t to\u00e0n l\u00e0 b\u1ea5t th\u01b0\u1eddng b\u1ea9m sinh do s\u1ef1 b\u1ea5t th\u01b0\u1eddng xoay c\u1ee7a ru\u1ed9t trong th\u1eddi k\u1ef3 b\u00e0o thai. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra xo\u1eafn ru\u1ed9t ho\u1eb7c tho\u00e1t v\u1ecb n\u1ed9i, m\u1ed9t t\u00ecnh tr\u1ea1ng \u0111e d\u1ecda \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/p>\n<h2>D\u1ecbch t\u1ec5 h\u1ecdc<\/h2>\n<p><span style=\"font-weight: 400;\">Ru\u1ed9t xoay b\u1ea5t to\u00e0n c\u00f3 th\u1ec3 g\u1eb7p \u1edf 1\/500 tr\u1ebb sinh s\u1ed1ng.<\/span><\/p>\n<h2>Li\u00ean quan<\/h2>\n<p>G\u1ea7n 50% c\u00f3 li\u00ean quan \u0111\u1ebfn b\u1ea5t th\u01b0\u1eddng \u1ed5 b\u1ee5ng kh\u00e1c:<\/p>\n<ul>\n<li>B\u1ea5t th\u01b0\u1eddng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a:\n<ul>\n<li>Teo, h\u1eb9p ho\u1eb7c l\u01b0\u1edbi t\u00e1 tr\u00e0ng.<\/li>\n<li>H\u1edf th\u00e0nh b\u1ee5ng b\u1ea9m sinh ho\u1eb7c tho\u00e1t v\u1ecb cu\u1ed1ng r\u1ed1n.<\/li>\n<\/ul>\n<\/li>\n<li>B\u1ea5t th\u01b0\u1eddng \u0111\u01b0\u1eddng m\u1eadt:\n<ul>\n<li>B\u1ea5t s\u1ea3n t\u00fai m\u1eadt.<\/li>\n<li>Teo \u0111\u01b0\u1eddng m\u1eadt trong v\u00e0 ngo\u00e0i gan.<\/li>\n<\/ul>\n<\/li>\n<li>B\u1ea5t th\u01b0\u1eddng t\u1ee5y: Gi\u1ea3m s\u1ea3n ho\u1eb7c b\u1ea5t s\u1ea3n \u0111u\u00f4i t\u1ee5y<\/li>\n<li>Tho\u00e1t v\u1ecb c\u01a1 ho\u00e0nh b\u1ea9m sinh<\/li>\n<li>H\u1ed9i ch\u1ee9ng heterotaxy: 70% c\u00f3 li\u00ean quan \u0111\u1ebfn b\u1ea5t th\u01b0\u1eddng ru\u1ed9t xoay<\/li>\n<li>H\u1eb9p l\u1ed7 m\u0169i sau<\/li>\n<li>L\u1ed7 \u0111\u00e1i l\u1ec7ch th\u1ea5p.<\/li>\n<\/ul>\n<h2>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng<\/h2>\n<p>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u00f3 m\u1ed1i li\u00ean quan v\u1edbi \u0111\u1ed9 tu\u1ed5i kh\u1edfi ph\u00e1t:<\/p>\n<ul>\n<li>Tr\u1ebb s\u01a1 sinh: th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n xo\u1eafn ru\u1ed9t<\/li>\n<li>Tr\u1ebb l\u1edbn v\u00e0 th\u1eadm ch\u00ed l\u00e0 ng\u01b0\u1eddi l\u1edbn: th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n c\u00e1c \u0111\u1ee3t t\u1eafc t\u00e1 tr\u00e0ng t\u1ef1 ph\u00e1t t\u1ef1 h\u1ed3i ph\u1ee5c, th\u01b0\u1eddng do d\u00e2y ch\u1eb1ng Ladd g\u00e2y g\u1ea5p kh\u00fac t\u00e1 tr\u00e0ng. C\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra tho\u00e1t v\u1ecb n\u1ed9i.<\/li>\n<li>M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n bi\u1ec3u hi\u1ec7n kh\u00f4ng \u0111\u1eb7c hi\u1ec7u nh\u01b0 \u0111au b\u1ee5ng, gi\u1ea3m c\u00e2n, \u0111i ngo\u00e0i ph\u00e2n \u0111en ho\u1eb7c vi\u00eam t\u1ee5y m\u1ea1n.<\/li>\n<\/ul>\n<h2>B\u1ec7nh l\u00fd h\u1ecdc<\/h2>\n<p>Th\u1eddi k\u1ef3 b\u00e0o thai khi ru\u1ed9t quay tr\u1edf l\u1ea1i v\u00e0o \u1ed5 b\u1ee5ng, n\u00f3 xoay 270 \u0111\u1ed9 ng\u01b0\u1ee3c chi\u1ec1u kim \u0111\u1ed3ng h\u1ed3. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn g\u00f3c t\u00e1 h\u1ed7ng tr\u00e0ng n\u1eb1m \u1edf b\u00ean tr\u00e1i \u0111\u01b0\u1eddng gi\u1eefa, c\u00f2n \u0111o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng n\u1eb1m \u1edf h\u1ed1 ch\u1eadu ph\u1ea3i v\u00e0 h\u00ecnh th\u00e0nh 1 m\u1ea1c treo k\u00e9o d\u00e0i t\u1eeb g\u00f3c t\u00e1 h\u1ed7ng tr\u00e0ng \u0111\u1ebfn manh tr\u00e0ng v\u00e0 ng\u0103n s\u1ef1 xoay c\u1ee7a SMA.<\/p>\n<p>Khi c\u00f3 b\u1ea5t th\u01b0\u1eddng x\u1ea3y ra, m\u1ea1c treo th\u01b0\u1eddng ng\u1eafn v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra xo\u1eafn.<\/p>\n<p>S\u1ef1 xoay c\u1ee7a t\u00e1 h\u1ed7ng tr\u00e0ng x\u1ea3y ra v\u00e0o kho\u1ea3ng tu\u1ea7n thai th\u1ee9 5 v\u00e0 ho\u00e0n th\u00e0nh v\u00e0o tu\u1ea7n th\u1ee9 8. C\u00e1c quai \u0111\u1ea1i tr\u00e0ng quay v\u00e0o tu\u1ea7n th\u1ee9 10. \u0110i\u1ec1u n\u00e0y gi\u1ea3i th\u00edch cho s\u1ef1 b\u1ea5t th\u01b0\u1eddng ru\u1ed9t xoay m\u1ed9t ph\u1ea7n.<\/p>\n<h2><span style=\"font-weight: 400;\">\u0110\u1eb7c \u0111i\u1ec3m h\u00ecnh \u1ea3nh<\/span><\/h2>\n<h3>X-quang kh\u00f4ng chu\u1ea9n b\u1ecb:<\/h3>\n<p>C\u00f3 th\u1ec3 th\u1ea5y: C\u00e1c quai h\u1ed7ng tr\u00e0ng n\u1eb1m \u1edf b\u00ean ph\u1ea3i. Kh\u00f4ng c\u00f3 \u0111\u1ea1i tr\u00e0ng ch\u1ee9a \u0111\u1ea7y ph\u00e2n \u1edf \u00bc d\u01b0\u1edbi ph\u1ea3i \u1ed5 b\u1ee5ng.<\/p>\n<h3>Si\u00eau \u00e2m<\/h3>\n<p>C\u00f3 th\u1ec3 th\u1ea5y s\u1ef1 \u0111\u1ea3o ng\u01b0\u1ee3c c\u1ee7a m\u1ed1i li\u00ean quan \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean (SMA) v\u00e0 t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean (SMV), v\u1edbi SMA th\u00ec n\u1eb1m b\u00ean ph\u1ea3i c\u00f2n SMV th\u00ec n\u1eb1m b\u00ean tr\u00e1i.<\/p>\n<p>S\u1ef1 b\u1ea5t th\u01b0\u1eddng SMA\/SMV c\u00f3 th\u1ec3 kh\u00f4ng th\u1ea5y \u1edf 29% b\u1ec7nh nh\u00e2n c\u00f3 ru\u1ed9t xoay b\u1ea5t to\u00e0n, trong khi \u0111\u00f3 11% tr\u01b0\u1eddng h\u1ee3p b\u00ecnh th\u01b0\u1eddng c\u0169ng c\u00f3 s\u1ef1 thay \u0111\u1ed5i v\u1ecb tr\u00ed c\u1ee7a SMA\u00a0 v\u00e0 SMV.<\/p>\n<p>D\u1ea5u hi\u1ec7u h\u1eefu \u00edch tr\u00ean si\u00eau \u00e2m \u0111\u1ec3 lo\u1ea1i tr\u1eeb ru\u1ed9t xoay b\u1ea5t to\u00e0n l\u00e0 ch\u1ee9ng minh D3 t\u00e1 tr\u00e0ng n\u1eb1m \u1edf sau ph\u00fac m\u1ea1c.<\/p>\n<h3>CT<\/h3>\n<p><span style=\"font-weight: 400;\">Ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 xoay:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00f4ng th\u1ea5y D3 t\u00e1 tr\u00e0ng n\u1eb1m sau ph\u00fac m\u1ea1c.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u00e1nh gi\u00e1 m\u1ed1i li\u00ean quan SMA\/SMV<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u1ea1i tr\u00e0ng ch\u1ee7 y\u1ebfu n\u1eb1m b\u00ean tr\u00e1i \u1ed5 b\u1ee5ng c\u00f2n ru\u1ed9t non ch\u1ee7 y\u1ebfu n\u1eb1m \u1edf b\u00ean ph\u1ea3i \u1ed5 b\u1ee5ng.<\/span><\/li>\n<\/ul>\n<h3>X-quang d\u1ea1 d\u00e0y c\u1ea3n quang<\/h3>\n<p>\u0110\u01b0\u1ee3c l\u1ef1a ch\u1ecdn khi c\u00f3 nghi ng\u1edd. \u0110\u00e1nh gi\u00e1 v\u1ecb tr\u00ed c\u1ee7a g\u00f3c Treitz:<\/p>\n<ul>\n<li>Phim th\u1eb3ng:\n<ul>\n<li>G\u00f3c t\u00e1 h\u1ed7ng tr\u00e0ng n\u1eb1m b\u00ean ph\u1ea3i c\u1ed9t s\u1ed1ng.<\/li>\n<li>G\u00f3c t\u00e1 h\u1ed7ng tr\u00e0ng n\u1eb1m \u1edf ph\u00eda d\u01b0\u1edbi h\u00e0nh t\u00e1 tr\u00e0ng.<\/li>\n<\/ul>\n<\/li>\n<li>Phim nghi\u00eang:<\/li>\n<li>\u0110o\u1ea1n D2,D3 t\u00e1 tr\u00e0ng kh\u00f4ng n\u1eb1m \u1edf sau ph\u00fac m\u1ea1c.<\/li>\n<li>H\u1ed7ng tr\u00e0ng n\u1eb1m \u1edf b\u00ean ph\u1ea3i \u1ed5 b\u1ee5ng, nh\u01b0ng kh\u00f4ng ph\u1ea3i l\u00e0 d\u1ea5u hi\u1ec7u \u0111\u1eb7c hi\u1ec7u.<\/li>\n<\/ul>\n<h2>\u0110i\u1ec1u tr\u1ecb v\u00e0 ti\u00ean l\u01b0\u1ee3ng<\/h2>\n<p>Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb chung:<\/p>\n<ul>\n<li>\u0110\u01b0a quai ru\u1ed9t v\u1ec1 v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng k\u1ec3 c\u1ea3 tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng xo\u1eafn<\/li>\n<li>M\u1edf r\u1ed9ng ch\u00e2n m\u1ea1c treo<\/li>\n<li>C\u1eaft b\u1ecf d\u00e2y ch\u1eb1ng Ladd<\/li>\n<li>C\u1ed1 \u0111\u1ecbnh t\u00e1 tr\u00e0ng v\u00e0 manh tr\u00e0ng ra sau ph\u00fac m\u1ea1c.<\/li>\n<li>C\u1eaft ru\u1ed9t th\u1eeba d\u1ef1 ph\u00f2ng.<\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/span><\/h2>\n<p>T\u1ef7 l\u1ec7 d\u01b0\u01a1ng t\u00ednh gi\u1ea3 l\u00e0 15% khi ch\u1ea9n \u0111o\u00e1n b\u1eb1ng u\u1ed1ng barit:<\/p>\n<ul>\n<li>T\u00e1 tr\u00e0ng b\u00ecnh th\u01b0\u1eddng: t\u00e1 tr\u00e0ng n\u1eb1m \u1edf v\u1ecb tr\u00ed th\u1ea5p do d\u1ea1 d\u00e0y c\u0103ng gi\u00e3n ho\u1eb7c do \u1ed1ng nu\u00f4i th\u00f4ng, b\u1ea5t s\u1ea3n th\u1eadn, l\u00e1ch to, \u2026<\/li>\n<li>Duodenum inversum.<\/li>\n<li>T\u00e1 tr\u00e0ng l\u1ea1c ch\u1ed7.<\/li>\n<\/ul>\n<h2>C\u00e1c v\u00ed d\u1ee5<\/h2>\n<figure id=\"attachment_33037\" aria-describedby=\"caption-attachment-33037\" style=\"width: 950px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-33037\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-1.png\" alt=\"H\u00ecnh 1: v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng c\u1ee7a g\u00f3c Treitz. G\u00f3c t\u00e1 h\u1ed7ng tr\u00e0ng n\u1eb1m \u1edf b\u00ean tr\u00e1i c\u1ed9t s\u1ed1ng, ngang m\u1ee9c h\u00e0nh t\u00e1 tr\u00e0ng tr\u00ean phim th\u1eb3ng v\u00e0 \u1edf ph\u00eda sau tr\u00ean phim nghi\u00eang.\" width=\"950\" height=\"315\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-1.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-1-800x265.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-1-768x255.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-1-350x116.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><figcaption id=\"caption-attachment-33037\" class=\"wp-caption-text\">H\u00ecnh 1: v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng c\u1ee7a g\u00f3c Treitz. G\u00f3c t\u00e1 h\u1ed7ng tr\u00e0ng n\u1eb1m \u1edf b\u00ean tr\u00e1i c\u1ed9t s\u1ed1ng, ngang m\u1ee9c h\u00e0nh t\u00e1 tr\u00e0ng tr\u00ean phim th\u1eb3ng v\u00e0 \u1edf ph\u00eda sau tr\u00ean phim nghi\u00eang.<\/figcaption><\/figure>\n<figure id=\"attachment_33038\" aria-describedby=\"caption-attachment-33038\" style=\"width: 950px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-33038\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-2.png\" alt=\"A: v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng c\u1ee7a g\u00f3c t\u00e1 h\u1ed7ng tr\u00e0ng. B: h\u00ecnh minh h\u1ecda c\u1ee7a ru\u1ed9t xoay b\u1ea5t to\u00e0n.\" width=\"950\" height=\"718\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-2.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-2-529x400.png 529w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-2-768x580.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-2-350x265.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><figcaption id=\"caption-attachment-33038\" class=\"wp-caption-text\">A: v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng c\u1ee7a g\u00f3c t\u00e1 h\u1ed7ng tr\u00e0ng. B: h\u00ecnh minh h\u1ecda c\u1ee7a ru\u1ed9t xoay b\u1ea5t to\u00e0n.<\/figcaption><\/figure>\n<h3>V\u00ed d\u1ee5 1:<\/h3>\n<p>B\u1ec7nh nh\u00e2n 6 tu\u1ed5i, n\u00f4n t\u1eebng \u0111\u1ee3t.<\/p>\n<p>Phim ch\u1ee5p c\u00f3 u\u1ed1ng barit cho th\u1ea5y g\u00f3c t\u00e1 h\u1ed7ng tr\u00e0ng n\u1eb1m \u1edf b\u00ean ph\u1ea3i \u0111\u01b0\u1eddng gi\u1eefa, ngang m\u1ee9c L3. Ru\u1ed9t non n\u1eb1m \u1edf b\u00ean ph\u1ea3i v\u00e0 \u0111\u1ea1i tr\u00e0ng n\u1eb1m \u1edf b\u00ean tr\u00e1i \u1ed5 b\u1ee5ng.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33039\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-3.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-3.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-3-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-3-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-3-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-3-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-3-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-3-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33040\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-4.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-4.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-4-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-4-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-4-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-4-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-4-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-4-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>V\u00ed d\u1ee5 2:<\/h3>\n<p>B\u1ec7nh nh\u00e2n n\u1eef, 20 tu\u1ed5i, \u0111au b\u1ee5ng t\u1eebng \u0111\u1ee3t.<\/p>\n<p>Phim ch\u1ee5p c\u00f3 u\u1ed1ng c\u1ea3n quang cho th\u1ea5y:<\/p>\n<ul>\n<li>\u0110o\u1ea1n cu\u1ed1i t\u00e1 tr\u00e0ng, g\u00f3c t\u00e1 h\u1ed7ng tr\u00e0ng, v\u00e0 \u0111o\u1ea1n \u0111\u1ea7u h\u1ed7ng tr\u00e0ng kh\u00f4ng th\u1ea5y \u1edf \u0111\u01b0\u1eddng gi\u1eefa hay b\u00ean tr\u00e1i c\u1ed9t s\u1ed1ng.<\/li>\n<li>C\u00e1c quai ru\u1ed9t non n\u1eb1m \u1edf b\u00ean ph\u1ea3i c\u1ed9t s\u1ed1ng.<\/li>\n<li>\u0110\u1ea1i tr\u00e0ng l\u00ean n\u1eb1m \u1edf \u0111\u01b0\u1eddng gi\u1eefa v\u00e0 b\u00ean tr\u00e1i c\u1ed9t s\u1ed1ng.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33041\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-5.png\" alt=\"\" width=\"950\" height=\"1004\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-5.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-5-378x400.png 378w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-5-757x800.png 757w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-5-768x812.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-5-350x370.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33042\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-6.png\" alt=\"\" width=\"950\" height=\"1139\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-6.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-6-334x400.png 334w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-6-667x800.png 667w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-6-768x921.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-6-350x420.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>V\u00ed d\u1ee5 3:<\/h3>\n<p>H\u00ecnh \u1ea3nh si\u00eau \u00e2m cho th\u1ea5y s\u1ef1 \u0111\u1ea3o ng\u01b0\u1ee3c c\u1ee7a SMA v\u00e0 SMV:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33043\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-7.png\" alt=\"\" width=\"950\" height=\"754\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-7.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-7-504x400.png 504w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-7-768x610.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-7-350x278.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e1c quai ru\u1ed9t non n\u1eb1m \u1edf h\u1ed1 ch\u1eadu ph\u1ea3i v\u00e0 ru\u1ed9t th\u1eeba n\u1eb1m \u1edf h\u1ed1 ch\u1eadu tr\u00e1i.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33044\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-8.png\" alt=\"\" width=\"950\" height=\"691\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-8.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-8-550x400.png 550w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-8-768x559.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-8-350x255.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33045\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-9.png\" alt=\"\" width=\"950\" height=\"745\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-9.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-9-510x400.png 510w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-9-768x602.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-9-350x274.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>V\u00ed d\u1ee5 4:<\/h3>\n<p>B\u1ec7nh nh\u00e2n bi\u1ec3u hi\u1ec7n xo\u1eafn ru\u1ed9t.<\/p>\n<p>Tr\u00ean CT c\u00f3 d\u1ea5u hi\u1ec7u xo\u00e1y n\u01b0\u1edbc \u201cWhirlpool\u00a0 sign\u201d.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33046\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-10.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-10.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-10-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-10-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-10-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-10-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-10-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-10-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>V\u00ed d\u1ee5 5:<\/h3>\n<p>B\u1ec7nh nh\u00e2n n\u1eef, 65 tu\u1ed5i, bi\u1ec3u hi\u1ec7n kh\u00f3 ch\u1ecbu v\u00f9ng b\u1ee5ng v\u00e0 ch\u01b0\u1edbng 2 th\u00e1ng nay.<\/p>\n<p>H\u00ecnh \u1ea3nh CT cho th\u1ea5y c\u00e1c quai ru\u1ed9t non ch\u1ee7 y\u1ebfu n\u1eb1m b\u00ean ph\u1ea3i, \u0111\u1ea1i tr\u00e0ng n\u1eb1m b\u00ean tr\u00e1i v\u00e0 c\u00f3 s\u1ef1 \u0111\u1ea3o ng\u01b0\u1ee3c v\u1ecb tr\u00ed c\u1ee7a SMA va SMV.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33047\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-11.png\" alt=\"\" width=\"950\" height=\"1071\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-11.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-11-355x400.png 355w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-11-710x800.png 710w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-11-768x866.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-11-350x395.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33048\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-12.png\" alt=\"\" width=\"950\" height=\"1071\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-12.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-12-355x400.png 355w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-12-710x800.png 710w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-12-768x866.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/ruot-xoay-bat-toan-12-350x395.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h2>Ngu\u1ed3n tham kh\u1ea3o<\/h2>\n<p>Dr Yair Glick, <a href=\"https:\/\/radiopaedia.org\/articles\/intestinal-malrotation\" rel=\"noopener\">Intestinal malrotation<\/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 Ru\u1ed9t xoay b\u1ea5t to\u00e0n &#8211; Intestinal malrotation\u00a0t\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 Ru\u1ed9t xoay b\u1ea5t to\u00e0n l\u00e0 b\u1ea5t th\u01b0\u1eddng b\u1ea9m sinh do s\u1ef1 b\u1ea5t th\u01b0\u1eddng xoay c\u1ee7a ru\u1ed9t trong th\u1eddi k\u1ef3 b\u00e0o thai. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 kh\u00f4ng [&#8230;]\n","protected":false},"author":1,"featured_media":33050,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-33035","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\/33035","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=33035"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/33035\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/33050"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=33035"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=33035"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=33035"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}