﻿{"id":33376,"date":"2022-07-12T00:22:52","date_gmt":"2022-07-11T17:22:52","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=33376"},"modified":"2022-07-12T00:25:13","modified_gmt":"2022-07-11T17:25:13","slug":"dac-diem-cua-soc-giam-the-tich-tren-clvt","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/dac-diem-cua-soc-giam-the-tich-tren-clvt\/","title":{"rendered":"\u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tr\u00ean CLVT"},"content":{"rendered":"<p style=\"text-align: right;\">T\u1ea3i file PDF b\u00e0i vi\u1ebft <a href=\"https:\/\/www.vnras.com\/drug\/2022\/07\/dac-diem-cua-soc-giam-the-tich-tren-clvt.html\">\u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tr\u00ean CLVT<\/a> <a href=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/s___c-gi___m-V.pptx-filename-UTF-8soc-giam-V.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>Gi\u1edbi thi\u1ec7u<\/h2>\n<p>B\u00e0i vi\u1ebft \u0111\u1ec1 c\u1eadp \u0111\u1ebfn \u0111\u1eb7c \u0111i\u1ec3m h\u00ecnh \u1ea3nh c\u1ee7a c\u00e1c t\u1ea1ng trong \u1ed5 b\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch n\u1eb7ng. Nhi\u1ec1u t\u1ea1ng trong \u1ed5 b\u1ee5ng c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m \u0111i\u1ec3n h\u00ecnh li\u00ean quan \u0111\u1ebfn ch\u1ea5n th\u01b0\u01a1ng ban \u0111\u1ea7u nh\u01b0ng c\u00f3 \u1ea3nh h\u01b0\u1edfng do t\u00e1i ph\u00e2n b\u1ed1 m\u1ea1ch m\u00e1u do k\u00edch th\u00edch c\u1ee7a th\u1ea7n kinh giao c\u1ea3m n\u1ed9i t\u1ea1ng. Ru\u1ed9t non th\u01b0\u1eddng b\u1ecb \u1ea3nh h\u01b0\u1edfng h\u01a1n \u0111\u1ea1i tr\u00e0ng.<\/p>\n<h2>B\u1ec7nh l\u00fd h\u1ecdc<\/h2>\n<p>Ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch l\u00e0 sau ch\u1ea5n th\u01b0\u01a1ng nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p:<\/p>\n<ul>\n<li>&#8211; Nhi\u1ec5m tr\u00f9ng huy\u1ebft<\/li>\n<li>&#8211; Ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u ho\u1eb7c c\u1ed9t s\u1ed1ng n\u1eb7ng<\/li>\n<li>&#8211; Vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c nhi\u1ec5m khu\u1ea9n<\/li>\n<li>&#8211; Nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/li>\n<\/ul>\n<h2>\u0110\u1eb7c \u0111i\u1ec3m h\u00ecnh \u1ea3nh<\/h2>\n<h3>CT<\/h3>\n<p>Gi\u1ea3m k\u00edch th\u01b0\u1edbc c\u1ee7a \u0111\u1ed9ng m\u1ea1ch ch\u1ee7: \u0111\u01b0\u1eddng k\u00ednh tr\u01b0\u1edbc sau c\u1ee7a \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 &lt; 13mm v\u00e0 &lt; 2cm \u1edf m\u1ee9c tr\u00ean v\u00e0 d\u01b0\u1edbi ch\u1ed7 ph\u00e2n chia \u0111\u1ed9ng m\u1ea1ch th\u1eadn. D\u1ea5u hi\u1ec7u n\u00e0y x\u1ea3y ra ~ 30% tr\u01b0\u1eddng h\u1ee3p, nh\u01b0ng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u. X\u1eb9p t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi: \u0111\u01b0\u1eddng k\u00ednh tr\u01b0\u1edbc sau c\u1ee7a t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi &lt; 9 mm \u1edf 3 \u0111o\u1ea1n: ~ 20 mm ph\u00eda tr\u00ean v\u00e0 d\u01b0\u1edbi c\u1ee7a t\u0129nh m\u1ea1ch th\u1eadn v\u00e0 g\u1ea7n gan.<\/p>\n<p>D\u1ea5u hi\u1ec7u qu\u1ea7ng Halo<\/p>\n<ul>\n<li>&#8211; D\u1ecbch gi\u1ea3m t\u1ef7 tr\u1ecdng ( &lt; 20HU) \u1edf quanh t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi.<\/li>\n<li>&#8211; X\u1ea3y ra \u1edf kho\u1ea3ng 80% b\u1ec7nh nh\u00e2n gi\u1ea3m th\u1ec3 t\u00edch n\u1eb7ng.<\/li>\n<\/ul>\n<p>D\u00e0y th\u00e0nh ru\u1ed9t (&gt; 3mm), v\u1edbi ng\u1ea5m thu\u1ed1c th\u00e0nh ru\u1ed9t. H\u00ecnh \u1ea3nh n\u00e0y c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 s\u1ed1c ru\u1ed9t.<\/p>\n<ul>\n<li>&#8211; Ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf h\u1ed7ng tr\u00e0ng<\/li>\n<li>&#8211; T\u0103ng t\u1ef7 tr\u1ecdng c\u1ee7a th\u00e0nh ru\u1ed9t so v\u1edbi c\u01a1 th\u1eaft l\u01b0ng ch\u1eadu tr\u00ean phim kh\u00f4ng ti\u00eam thu\u1ed1c<\/li>\n<li>&#8211; D\u00e0y th\u00e0nh ru\u1ed9t do ph\u00f9 n\u1ec1 l\u1edbp d\u01b0\u1edbi ni\u00eam<\/li>\n<li>&#8211; Ng\u1ea5m thu\u1ed1c l\u1edbp ni\u00eam m\u1ea1c.<\/li>\n<\/ul>\n<p>S\u1ed1c t\u1ee5y: t\u1ee5y ng\u1ea5m thu\u1ed1c kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t v\u1edbi d\u1ecbch quanh t\u1ee5y (&lt; 20HU). L\u00e1ch ng\u1ea5m thu\u1ed1c k\u00e9m. Gi\u1ea3m th\u1ec3 t\u00edch c\u1ee7a l\u00e1ch. Gan ng\u1ea5m thu\u1ed1c k\u00e9m: &lt; 25HU so v\u1edbi l\u00e1ch. Ng\u1ea5m thu\u1ed1c m\u1ea1nh c\u1ee7a tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn hai b\u00ean: ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb nh\u1ecf. Th\u1eadn ng\u1ea5m thu\u1ed1c m\u1ea1nh. C\u1ed5 tr\u01b0\u1edbng. S\u1ed1c tuy\u1ebfn gi\u00e1p: tuy\u1ebfn gi\u00e1p t\u0103ng k\u00edch th\u01b0\u1edbc v\u1edbi ng\u1ea5m thu\u1ed1c kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t v\u00e0 d\u1ecbch quanh tuy\u1ebfn gi\u00e1p.<\/p>\n<h2>\u0110i\u1ec1u tr\u1ecb v\u00e0 ti\u00ean l\u01b0\u1ee3ng<\/h2>\n<p>C\u00e1c ph\u00e1t hi\u1ec7n tr\u00ean CT c\u00f3 xu h\u01b0\u1edbng ph\u1ee5c h\u1ed3i khi \u0111\u01b0\u1ee3c b\u00f9 \u0111\u1ee7 d\u1ecbch.<\/p>\n<h2>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\n<p>Ph\u00f9 m\u1ea1ch v\u00f4 c\u0103n. Ph\u00f9 m\u1ea1ch di truy\u1ec1n. Thi\u1ebfu m\u00e1u ru\u1ed9t c\u1ee5c b\u1ed9. Vi\u00eam m\u1ea1ch (h\u1ed9i ch\u1ee9ng Henoch-Schonlein). Vi\u00eam ru\u1ed9t nhi\u1ec5m tr\u00f9ng. B\u1ec7nh vi\u00eam ru\u1ed9t. Vi\u00eam ru\u1ed9t do tia x\u1ea1. T\u1ee5 m\u00e1u d\u01b0\u1edbi ni\u00eam m\u1ea1c ho\u1eb7c trong th\u00e0nh ru\u1ed9t.<\/p>\n<h2>C\u00e1c v\u00ed d\u1ee5<\/h2>\n<h3>V\u00ed d\u1ee5 1<\/h3>\n<p>V\u1ebft th\u01b0\u01a1ng do s\u00fang b\u1eafn v\u00e0 s\u1ed1c ru\u1ed9t. B\u1ec7nh nh\u00e2n nam 20 tu\u1ed5i b\u1ecb s\u00fang b\u1eafn v\u00e0o b\u1ee5ng v\u00e0 c\u00f3 bi\u1ec3u hi\u1ec7n gi\u1ea3m th\u1ec3 t\u00edch. T\u1ee5 m\u00e1u khoang sau ph\u00fac m\u1ea1c v\u1edbi ch\u1ea3y m\u00e1u ho\u1ea1t \u0111\u1ed9ng \u1edf quanh ph\u1ea7n d\u01b0\u1edbi \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng v\u00e0 c\u1ea3 \u0111\u1ed9ng m\u1ea1ch th\u1eadn hai b\u00ean, l\u00e1ch v\u00e0 th\u00e0nh b\u1ee5ng b\u00ean tr\u00e1i. Kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c r\u00f5 ch\u1ea5n th\u01b0\u01a1ng ru\u1ed9t nh\u01b0ng nhi\u1ec1u quai ru\u1ed9t non c\u00f3 ng\u1ea5m thu\u1ed1c kh\u00f4ng \u0111\u1ec1u, ch\u1ec9 ra c\u00f3 thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9. T\u0103ng ng\u1ea5m thu\u1ed1c tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn v\u00e0 t\u00fai m\u1eadt, gi\u1ea3m ng\u1ea5m thu\u1ed1c c\u1ee7a l\u00e1ch so v\u1edbi gan, th\u1eadn ng\u1ea5m thu\u1ed1c kh\u00f4ng \u0111\u1ec1u v\u00e0 t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi b\u1ecb x\u1eb9p.<\/p>\n<p>Th\u00ec \u0111\u1ed9ng m\u1ea1ch<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33380\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-1.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-1.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-1-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-1-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-1-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-1-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-1-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-1-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33381\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-2.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-2.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-2-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-2-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-2-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-2-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-2-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-2-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33382\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-3.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-3.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-3-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-3-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-3-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-3-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-3-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-3-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>Th\u00ec t\u0129nh m\u1ea1ch:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33383\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-4.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-4.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-4-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-4-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-4-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-4-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-4-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-4-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33384\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-5.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-5.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-5-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-5-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-5-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-5-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-5-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-5-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33385\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-6.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-6.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-6-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-6-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-6-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-6-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-6-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-6-100x100.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 35 tu\u1ed5i b\u1ecb tai n\u1ea1n \u00f4 t\u00f4. C\u00f3 l\u01b0\u1ee3ng kh\u00ed v\u00e0 d\u1ecbch t\u1ef1 do \u0111\u00e1ng k\u1ec3. Kh\u00ed khoang sau ph\u00fac m\u1ea1c, quanh th\u1eadn ph\u1ea3i v\u00e0 t\u1ee5 kh\u00ed v\u00e0 t\u1ee5 m\u00e1u d\u01b0\u1edbi da th\u00e0nh b\u1ee5ng. D\u00e0y th\u00e0nh v\u00e0 ph\u00f9 n\u1ec1 c\u00e1c quai ru\u1ed9t \u0111\u1ebfn \u0111o\u1ea1n h\u1ed3i tr\u00e0ng. Gi\u1ea3m t\u1ef7 tr\u1ecdng c\u1ee7a \u0111\u1ea1i tr\u00e0ng xu\u1ed1ng v\u1edbi ng\u1ea5m thu\u1ed1c \u00edt. Ch\u1ea3y m\u00e1u ho\u1ea1t \u0111\u1ed9ng trong v\u00f9ng m\u00e1u t\u1ee5 \u1edf m\u1ea1c treo. X\u1eb9p t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi.<\/p>\n<p>Th\u00ec \u0111\u1ed9ng m\u1ea1ch:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33386\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-7.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-7.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-7-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-7-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-7-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-7-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-7-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-7-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33387\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-8.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-8.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-8-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-8-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-8-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-8-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-8-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-8-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33388\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-9.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-9.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-9-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-9-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-9-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-9-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-9-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-9-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>Th\u00ec t\u0129nh m\u1ea1ch:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33389\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-10.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-10.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-10-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-10-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-10-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-10-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-10-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-10-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33390\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-11.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-11.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-11-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-11-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-11-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-11-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-11-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-11-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33391\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-12.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-12.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-12-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-12-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-12-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-12-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-12-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-12-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>V\u00ed d\u1ee5 3<\/h3>\n<p>M\u1ed9t tr\u01b0\u1eddng h\u1ee3p s\u1ed1c ru\u1ed9t. T\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi x\u1eb9p g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33392\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-13.png\" alt=\"\" width=\"950\" height=\"716\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-13.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-13-531x400.png 531w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-13-768x579.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-13-350x264.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33393\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-14.png\" alt=\"\" width=\"950\" height=\"1249\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-14.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-14-304x400.png 304w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-14-608x800.png 608w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-14-768x1010.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-14-350x460.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>V\u00ed d\u1ee5 4<\/h3>\n<p>B\u1ec7nh nh\u00e2n nam, 25 tu\u1ed5i. L\u1edbp ni\u00eam m\u1ea1c h\u1ed3i tr\u00e0ng d\u00e0y l\u00ean v\u00e0 ng\u1ea5m thu\u1ed1c. T\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi x\u1eb9p v\u00e0 gi\u1ea3m \u0111\u01b0\u1eddng k\u00ednh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33394\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-15.png\" alt=\"\" width=\"950\" height=\"1092\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-15.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-15-348x400.png 348w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-15-696x800.png 696w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-15-768x883.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-15-350x402.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33395\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-16.png\" alt=\"\" width=\"950\" height=\"1092\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-16.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-16-348x400.png 348w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-16-696x800.png 696w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-16-768x883.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-16-350x402.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>V\u00ed d\u1ee5 5<\/h3>\n<p>B\u1ec7nh nh\u00e2n nam, 60 tu\u1ed5i. Ti\u1ec1n s\u1eed tai n\u1ea1n \u00f4 t\u00f4 1 tu\u1ea7n tr\u01b0\u1edbc, bi\u1ec3u hi\u1ec7n \u0111au b\u1ee5ng c\u1ea5p. T\u0103ng t\u1ef7 tr\u1ecdng d\u1ecbch \u1ed5 b\u1ee5ng do c\u00f3 tho\u00e1t thu\u1ed1c c\u1ea3n quang \u0111\u01b0\u1eddng u\u1ed1ng (m\u0169i t\u00ean v\u00e0ng). M\u1ed9t v\u00e0i \u1ed5 kh\u00ed nh\u1ecf \u1edf v\u00f9ng b\u1ee5ng tr\u00ean (m\u0169i t\u00ean tr\u1eafng). C\u00e1c quai ru\u1ed9t non d\u00e0y th\u00e0nh v\u00e0 ng\u1ea5m thu\u1ed1c (m\u0169i t\u00ean n\u00e2u). M\u1ea5t li\u00ean t\u1ee5c \u1edf quanh m\u00f4n v\u1ecb g\u1ee3i \u00fd th\u1ee7ng \u1ed5 lo\u00e9t (m\u0169i t\u00ean \u0111\u1ecf).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33396\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-17.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-17.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-17-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-17-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-17-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-17-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-17-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/soc-giam-the-tich-tren-CLVT-17-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h2>Ngu\u1ed3n tham kh\u1ea3o<\/h2>\n<p>Dr Joshua Yap, <a href=\"https:\/\/radiopaedia.org\/articles\/ct-hypoperfusion-complex?lang=us\" rel=\"noopener\">CT hypoperfusion complex<\/a>, Radiopaedia. Truy c\u1eadp ng\u00e0y 11\/7\/2022<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ea3i file PDF b\u00e0i vi\u1ebft \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tr\u00ean CLVT 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 Gi\u1edbi thi\u1ec7u B\u00e0i vi\u1ebft \u0111\u1ec1 c\u1eadp \u0111\u1ebfn \u0111\u1eb7c \u0111i\u1ec3m h\u00ecnh \u1ea3nh c\u1ee7a c\u00e1c t\u1ea1ng trong \u1ed5 b\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch n\u1eb7ng. Nhi\u1ec1u t\u1ea1ng [&#8230;]\n","protected":false},"author":1,"featured_media":33380,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-33376","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\/33376","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=33376"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/33376\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/33380"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=33376"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=33376"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=33376"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}