{"id":7715,"date":"2024-09-16T12:20:47","date_gmt":"2024-09-16T04:20:47","guid":{"rendered":"https:\/\/cardiothinklab.com\/khi-tung-phut-deu-quy-gia-di-sau-vao-hanh-trinh-tim-kiem-phuong-phap-phan-loai-nhanh-chong-cho-benh-nhan-dau-nguc-tai-khoa-cap-cuu-cua-benh-vien-ijn-malaysia\/"},"modified":"2026-02-12T00:27:46","modified_gmt":"2026-02-11T16:27:46","slug":"when-every-minute-counts-a-deep-dive-into-ijn-malaysias-quest-for-rapid-triage-for-chest-pain-patients-in-the-ed","status":"publish","type":"post","link":"https:\/\/cardiothinklab.com\/vi\/when-every-minute-counts-a-deep-dive-into-ijn-malaysias-quest-for-rapid-triage-for-chest-pain-patients-in-the-ed\/","title":{"rendered":"Khi t\u1eebng ph\u00fat \u0111\u1ec1u qu\u00fd gi\u00e1: \u0110i s\u00e2u v\u00e0o qu\u00e1 tr\u00ecnh t\u00ecm ki\u1ebfm ph\u01b0\u01a1ng ph\u00e1p ph\u00e2n lo\u1ea1i nhanh ch\u00f3ng cho b\u1ec7nh nh\u00e2n \u0111au ng\u1ef1c t\u1ea1i khoa C\u1ea5p c\u1ee9u c\u1ee7a B\u1ec7nh vi\u1ec7n IJN Malaysia"},"content":{"rendered":"\r\n
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Truy c\u1eadp trang Ng\u00e0y Tim m\u1ea1ch Th\u1ebf gi\u1edbi
<\/a><\/div>\r\n<\/div>\r\n\r\n\r\n\r\n

Nh\u1eefng thi\u1ebfu s\u00f3t v\u00e0 th\u00e1ch th\u1ee9c hi\u1ec7n nay trong vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n \u0111au ng\u1ef1c t\u1ea1i Khoa C\u1ea5p c\u1ee9u c\u1ee7a IJN l\u00e0 g\u00ec? Nh\u1eefng \u0111\u1ed9ng l\u1ef1c ch\u00ednh n\u00e0o th\u00fac \u0111\u1ea9y vi\u1ec7c tri\u1ec3n khai Ph\u00e1c \u0111\u1ed3 hs-TnT 0\/1 gi\u1edd?<\/h4>\r\n\r\n\r\n\r\n

IJN c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m ri\u00eang l\u00e0 h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n c\u1ee7a ch\u00fang t\u00f4i \u0111\u1ec1u g\u1eb7p v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn tim. Do \u0111\u00f3, s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n nh\u01b0 v\u1eady \u1edf b\u1ec7nh vi\u1ec7n ch\u00fang t\u00f4i kh\u00e1 cao so v\u1edbi c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00e1c. Ch\u00fang t\u00f4i g\u1eb7p nhi\u1ec1u th\u00e1ch th\u1ee9c trong vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n \u0111au ng\u1ef1c t\u1ea1i Khoa C\u1ea5p c\u1ee9u v\u00ec h\u1ecd c\u00f3 th\u1ec3 g\u1eb7p nhi\u1ec1u lo\u1ea1i tri\u1ec7u ch\u1ee9ng \u0111au ng\u1ef1c kh\u00e1c nhau c\u0169ng nh\u01b0 c\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c nhau. Ngo\u00e0i ra c\u00f2n c\u00f3 v\u1ea5n \u0111\u1ec1 qu\u00e1 t\u1ea3i \u1edf Khoa C\u1ea5p c\u1ee9u v\u00ec b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd hi\u1ec7u qu\u1ea3 nh\u01b0 mong mu\u1ed1n do th\u1eddi gian l\u00e0m x\u00e9t nghi\u1ec7m c\u0169ng nh\u01b0 vi\u1ec7c ra quy\u1ebft \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Nh\u1eefng thi\u1ebfu s\u00f3t m\u00e0 ch\u00fang t\u00f4i x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c l\u00e0 hi\u1ec7n t\u1ea1i ch\u00fang t\u00f4i ch\u01b0a s\u1eed d\u1ee5ng ph\u00e1c \u0111\u1ed3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh \u0111\u1ec3 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n \u0111au ng\u1ef1c t\u1ea1i Khoa C\u1ea5p c\u1ee9u.<\/p>\r\n\r\n\r\n\r\n

D\u1ef1a tr\u00ean nh\u1eefng c\u1eadp nh\u1eadt quan tr\u1ecdng t\u1eeb H\u01b0\u1edbng d\u1eabn c\u1ee7a Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Ch\u00e2u \u00c2u, h\u1ecd \u0111\u00e3 khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng ph\u00e1c \u0111\u1ed3 nhanh 0\/1 gi\u1edd n\u00e0y b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng Troponin T \u0111\u1ed9 nh\u1ea1y cao (hs-TnT) cho nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u1ebfn Khoa C\u1ea5p c\u1ee9u c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111au ng\u1ef1c. L\u00e0 m\u1ed9t trung t\u00e2m tim m\u1ea1ch h\u00e0ng \u0111\u1ea7u, ch\u00fang t\u00f4i th\u1ea5y c\u1ea7n ph\u1ea3i tri\u1ec3n khai ph\u00e1c \u0111\u1ed3 n\u00e0y t\u1ea1i trung t\u00e2m c\u1ee7a m\u00ecnh v\u00ec b\u1ec7nh nh\u00e2n \u0111\u1ebfn kh\u00e1m v\u1edbi bi\u1ec3u hi\u1ec7n \u0111au ng\u1ef1c th\u01b0\u1eddng c\u00f3 k\u1ef3 v\u1ecdng cao. V\u00ec v\u1eady, ch\u00fang t\u00f4i c\u1ea7n ph\u1ea3i qu\u1ea3n l\u00fd h\u1ecd m\u1ed9t c\u00e1ch an to\u00e0n ho\u1eb7c ch\u00fang t\u00f4i c\u1ea7n ph\u1ea3i cho h\u1ecd nh\u1eadp vi\u1ec7n ho\u1eb7c xu\u1ea5t vi\u1ec7n. \u0110\u00e2y l\u00e0 nh\u1eefng \u0111\u1ed9ng l\u1ef1c ch\u00ednh th\u00fac \u0111\u1ea9y ch\u00fang t\u00f4i tri\u1ec3n khai ph\u00e1c \u0111\u1ed3 nhanh 0\/1 gi\u1edd m\u1edbi n\u00e0y trong vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n \u0111au ng\u1ef1c. C\u00e1c b\u00e1c s\u0129 c\u0169ng c\u1ea3m th\u1ea5y an to\u00e0n h\u01a1n khi s\u1eed d\u1ee5ng ph\u00e1c \u0111\u1ed3 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh v\u00e0 \u00e1p d\u1ee5ng tr\u00ean to\u00e0n th\u1ebf gi\u1edbi.<\/p>\r\n\r\n\r\n\r\n

Ph\u00e1c \u0111\u1ed3 nhanh 0\/1 gi\u1edd \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng t\u1ea1i IJN nh\u01b0 th\u1ebf n\u00e0o?<\/h4>\r\n\r\n\r\n\r\n

Nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u1ebfn Khoa C\u1ea5p c\u1ee9u v\u00ec \u0111au ng\u1ef1c c\u00f3 th\u1ec3 r\u1ea5t kh\u00e1c nhau v\u1ec1 th\u1eddi \u0111i\u1ec3m h\u1ecd b\u1ecb \u0111au ng\u1ef1c, b\u1ea3n ch\u1ea5t c\u1ee7a c\u01a1n \u0111au ng\u1ef1c v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a h\u1ecd. V\u00ec v\u1eady, khi b\u1ec7nh nh\u00e2n \u0111\u1ebfn Khoa C\u1ea5p c\u1ee9u, ch\u00fang t\u00f4i mu\u1ed1n c\u00f3 ph\u01b0\u01a1ng ph\u00e1p qu\u1ea3n l\u00fd chu\u1ea9n h\u00f3a cho nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y. V\u00e0 \u0111\u00e2y ch\u00ednh l\u00e0 l\u00fd do t\u1ea1i sao ch\u00fang t\u00f4i mu\u1ed1n tri\u1ec3n khai ph\u00e1c \u0111\u1ed3 nhanh 0\/1 gi\u1edd.<\/p>\r\n\r\n\r\n\r\n

Trong tr\u01b0\u1eddng h\u1ee3p l\u00fd t\u01b0\u1edfng, khi b\u1ec7nh nh\u00e2n \u0111\u1ebfn kh\u00e1m v\u1edbi tri\u1ec7u ch\u1ee9ng \u0111au ng\u1ef1c, m\u1ed9t trong nh\u1eefng \u0111i\u1ec1u \u0111\u1ea7u ti\u00ean m\u00e0 ch\u00fang t\u00f4i mu\u1ed1n l\u00e0m l\u00e0 th\u1ef1c hi\u1ec7n \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG). \u0110i\u1ec1u n\u00e0y s\u1ebd cho ch\u00fang t\u00f4i bi\u1ebft ngay b\u1ec7nh nh\u00e2n c\u00f3 \u0111ang b\u1ecb c\u01a1n \u0111au tim c\u1ea5p t\u00ednh hay kh\u00f4ng. V\u00e0 sau \u0111\u00f3 ch\u00fang t\u00f4i c\u00f3 th\u1ec3 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n m\u1ed9t c\u00e1ch ph\u00f9 h\u1ee3p n\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim. B\u00ean c\u1ea1nh vi\u1ec7c th\u1ef1c hi\u1ec7n \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG), ch\u00fang t\u00f4i th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m m\u00e1u t\u1ea1i th\u1eddi \u0111i\u1ec3m b\u1ec7nh nh\u00e2n \u0111\u1ebfn, t\u1ee9c l\u00e0 gi\u1edd th\u1ee9 0, v\u00e0 l\u1eb7p l\u1ea1i sau 1 gi\u1edd, t\u1ee9c l\u00e0 x\u00e9t nghi\u1ec7m m\u00e1u hs-TnT sau 1 gi\u1edd. V\u00e0 b\u00e1c s\u0129 c\u00f3 th\u1ec3 xem x\u00e9t nh\u1eefng k\u1ebft qu\u1ea3 n\u00e0y m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3.<\/p>\r\n\r\n\r\n\r\n

V\u1edbi ph\u00e1c \u0111\u1ed3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh n\u00e0y, n\u00f3 th\u1ef1c s\u1ef1 ph\u00e2n lo\u1ea1i b\u1ec7nh nh\u00e2n th\u00e0nh c\u00e1c nh\u00f3m x\u00e1c nh\u1eadn, lo\u1ea1i tr\u1eeb v\u00e0 theo d\u00f5i. V\u00ec v\u1eady, nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 th\u1ea5p, c\u00f3 m\u1ee9c hs-TnT r\u1ea5t th\u1ea5p, ch\u00fang t\u00f4i th\u1ef1c s\u1ef1 c\u00f3 th\u1ec3 cho ra kh\u1ecfi khoa c\u1ea5p c\u1ee9u an to\u00e0n v\u00e0 lo\u1ea1i tr\u1eeb Nh\u1ed3i m\u00e1u c\u01a1 tim hay c\u01a1n \u0111au tim. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ng\u01b0\u1ee1ng tr\u1ecb s\u1ed1 tr\u00ean m\u1ed9t m\u1ee9c nh\u1ea5t \u0111\u1ecbnh, t\u1ee9c l\u00e0 m\u1ee9c hs-TnT cao, ch\u00fang t\u00f4i c\u00f3 th\u1ec3 x\u00e1c nh\u1eadn nh\u1ed3i m\u00e1u c\u01a1 tim theo ph\u00e1c \u0111\u1ed3. V\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u01b0\u1ee3c ti\u1ebfp nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim, trong \u0111\u00f3 h\u1ecd \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n trong nh\u00f3m quan s\u00e1t, b\u00e1c s\u0129 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh xem b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n ra hay v\u00e0o khoa c\u1ea5p c\u1ee9u. Khi \u00e1p d\u1ee5ng t\u1ea5t c\u1ea3 nh\u1eefng \u0111i\u1ec1u n\u00e0y v\u00e0o th\u1ef1c t\u1ebf, b\u00e1c s\u0129 s\u1ebd \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh t\u1ed1t nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n.<\/p>\r\n\r\n\r\n\r\n

Qu\u00e1 tr\u00ecnh tri\u1ec3n khai ph\u00e1c \u0111\u1ed3 nhanh di\u1ec5n ra nh\u01b0 th\u1ebf n\u00e0o? Ph\u00f2ng x\u00e9t nghi\u1ec7m \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng nh\u01b0 th\u1ebf n\u00e0o trong th\u00e0nh c\u00f4ng c\u1ee7a vi\u1ec7c tri\u1ec3n khai?<\/h4>\r\n\r\n\r\n\r\n

Tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng ph\u00e1c \u0111\u1ed3 nhanh 0\/1 gi\u1edd, ch\u00fang t\u00f4i nh\u1eadn th\u1ea5y kh\u00f4ng c\u00f3 nhi\u1ec1u chu\u1ea9n m\u1ef1c trong c\u00e1ch c\u00e1c b\u00e1c s\u0129 x\u1eed l\u00fd b\u1ec7nh nh\u00e2n \u0111au ng\u1ef1c. V\u00ec v\u1eady, ch\u00fang t\u00f4i cho r\u1eb1ng vi\u1ec7c s\u1eed d\u1ee5ng ph\u00e1c \u0111\u1ed3 n\u00e0y s\u1ebd cung c\u1ea5p m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n \u0111\u1ec3 b\u00e1c s\u0129 c\u00f3 th\u1ec3 qu\u1ea3n l\u00fd v\u00e0 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n. M\u1ed9t \u0111i\u1ec1u n\u1eefa l\u00e0 v\u1edbi ph\u00e1c \u0111\u1ed3 nhanh 0\/1 gi\u1edd, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd hi\u1ec7u qu\u1ea3 h\u01a1n, v\u00ec quy\u1ebft \u0111\u1ecbnh s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a ra nhanh ch\u00f3ng h\u01a1n, v\u00ec b\u00e1c s\u0129 ch\u1ec9 c\u1ea7n tu\u00e2n theo ph\u00e1c \u0111\u1ed3 \u0111\u1ec3 xem b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea7n v\u00e0o hay ra kh\u1ecfi khoa c\u1ea5p c\u1ee9u an to\u00e0n hay kh\u00f4ng. V\u00ec v\u1eady, ch\u00fang t\u00f4i tin r\u1eb1ng \u0111i\u1ec1u n\u00e0y s\u1ebd t\u0103ng c\u01b0\u1eddng s\u1ef1 an to\u00e0n cho b\u1ec7nh nh\u00e2n c\u0169ng nh\u01b0 n\u00e2ng cao tr\u1ea3i nghi\u1ec7m c\u1ee7a b\u1ec7nh nh\u00e2n trong su\u1ed1t h\u00e0nh tr\u00ecnh \u0111\u1ebfn Khoa C\u1ea5p c\u1ee9u v\u00ec \u0111au ng\u1ef1c.<\/p>\r\n\r\n\r\n\r\n

\u0110\u1ec3 b\u1eaft \u0111\u1ea7u qu\u00e1 tr\u00ecnh tri\u1ec3n khai n\u00e0y, trong giai \u0111o\u1ea1n tr\u01b0\u1edbc khi tri\u1ec3n khai, c\u1ea7n ph\u1ea3i xem x\u00e9t to\u00e0n b\u1ed9 h\u00e0nh tr\u00ecnh c\u1ee7a b\u1ec7nh nh\u00e2n \u0111au ng\u1ef1c. V\u00e0 ch\u00fang t\u00f4i \u0111\u00e3 th\u1ef1c hi\u1ec7n \u0111i\u1ec1u n\u00e0y th\u00f4ng qua m\u1ed9t s\u1ed1 h\u1ed9i th\u1ea3o. M\u1ed9t h\u1ed9i th\u1ea3o nh\u1eb1m xem x\u00e9t to\u00e0n b\u1ed9 h\u00e0nh tr\u00ecnh c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 x\u00e1c \u0111\u1ecbnh nh\u1eefng b\u1ea5t c\u1eadp. V\u00e0 m\u1ed9t h\u1ed9i th\u1ea3o nh\u00f3m \u0111a ng\u00e0nh kh\u00e1c \u0111\u1ec3 l\u00e0m vi\u1ec7c v\u1edbi c\u00e1c \u0111\u1ed1i t\u00e1c ch\u00ednh c\u1ee7a ch\u00fang t\u00f4i, \u0111\u1ed9i ng\u0169 ph\u00f2ng x\u00e9t nghi\u1ec7m, v\u00e0 x\u00e1c \u0111\u1ecbnh nh\u1eefng b\u1ea5t c\u1eadp trong quy tr\u00ecnh c\u1ee7a nhau c\u0169ng nh\u01b0 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 quy tr\u00ecnh c\u1ee7a nhau, \u0111\u1ec3 ch\u00fang t\u00f4i c\u00f3 th\u1ec3 h\u1ee3p t\u00e1c c\u00f9ng nhau nh\u1eb1m tri\u1ec3n khai th\u00e0nh c\u00f4ng.<\/p>\r\n\r\n\r\n\r\n

\u0110\u1ec3 th\u1ef1c hi\u1ec7n s\u1ef1 chuy\u1ec3n \u0111\u1ed5i n\u00e0y, Ph\u00f2ng x\u00e9t nghi\u1ec7m th\u1ef1c s\u1ef1 l\u00e0 \u0111\u1ed1i t\u00e1c r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi ch\u00fang t\u00f4i. T\u1ea1i sao? B\u1edfi v\u00ec ch\u00fang t\u00f4i tin t\u01b0\u1edfng h\u1ecd s\u1ebd x\u1eed l\u00fd x\u00e9t nghi\u1ec7m hs-TnT v\u1edbi th\u1eddi gian x\u1eed l\u00fd hi\u1ec7u qu\u1ea3, v\u00e0 khuy\u1ebfn c\u00e1o l\u00e0 ho\u00e0n th\u00e0nh x\u00e9t nghi\u1ec7m trong v\u00f2ng 1 gi\u1edd. Nh\u1edd \u0111\u00f3, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 xem x\u00e9t k\u1ebft qu\u1ea3 m\u1ed9t c\u00e1ch nhanh ch\u00f3ng v\u00e0 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh hi\u1ec7u qu\u1ea3 cho nh\u1eefng b\u1ec7nh nh\u00e2n t\u1ea1i Khoa C\u1ea5p c\u1ee9u. V\u00ec v\u1eady, ch\u00fang t\u00f4i ph\u1ea3i l\u00e0m vi\u1ec7c r\u1ea5t ch\u1eb7t ch\u1ebd v\u1edbi \u0111\u1ed9i ng\u0169 ph\u00f2ng x\u00e9t nghi\u1ec7m \u0111\u1ec3 th\u1ef1c hi\u1ec7n \u0111i\u1ec1u n\u00e0y.<\/p>\r\n\r\n\r\n\r\n

Vi\u1ec7c ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n k\u1ec3 t\u1eeb khi tri\u1ec3n khai ph\u00e1c \u0111\u1ed3 nhanh \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c nh\u1eefng k\u1ebft qu\u1ea3 v\u00e0 c\u1ea3i ti\u1ebfn ch\u00ednh g\u00ec?<\/h4>\r\n\r\n\r\n\r\n

Theo quan \u0111i\u1ec3m c\u1ee7a c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng, t\u00f4i cho r\u1eb1ng c\u00e1c b\u00e1c s\u0129 s\u1ebd t\u1ef1 tin h\u01a1n trong vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n m\u1ed9t c\u00e1ch an to\u00e0n. Khi s\u1eed d\u1ee5ng ph\u00e1c \u0111\u1ed3 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh n\u00e0y, b\u00e1c s\u0129 bi\u1ebft r\u1eb1ng h\u1ecd \u0111ang tu\u00e2n theo c\u00e1c h\u01b0\u1edbng d\u1eabn qu\u1ed1c t\u1ebf v\u1ec1 vi\u1ec7c cho b\u1ec7nh nh\u00e2n v\u00e0o hay ra khoa c\u1ea5p c\u1ee9u. V\u00e0 h\u1ecd bi\u1ebft r\u1eb1ng h\u1ecd \u0111ang tu\u00e2n theo m\u1ed9t quy tr\u00ecnh r\u00f5 r\u00e0ng v\u00e0 s\u1ef1 an to\u00e0n c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1ea3m b\u1ea3o. Ch\u00fang t\u00f4i th\u1ea5y r\u1eb1ng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd hi\u1ec7u qu\u1ea3 h\u01a1n, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi h\u1ecd \u0111\u01b0\u1ee3c l\u1ea5y m\u1eabu m\u00e1u c\u00e1ch nhau 1 gi\u1edd v\u00e0 c\u00f3 th\u1eddi gian tr\u1ea3 k\u1ebft qu\u1ea3 nhanh t\u1eeb ph\u00f2ng x\u00e9t nghi\u1ec7m \u0111\u1ec3 ch\u00fang t\u00f4i c\u00f3 th\u1ec3 xem x\u00e9t m\u00e0 kh\u00f4ng \u0111\u1ec3 h\u1ecd ph\u1ea3i ch\u1edd \u0111\u1ee3i l\u00e2u, v\u00e0 h\u1ecd c\u0169ng y\u00ean t\u00e2m r\u1eb1ng ch\u00fang t\u00f4i \u0111ang s\u1eed d\u1ee5ng c\u00e1c h\u01b0\u1edbng d\u1eabn qu\u1ed1c t\u1ebf trong vi\u1ec7c ki\u1ec3m so\u00e1t c\u01a1n \u0111au ng\u1ef1c.<\/p>\r\n\r\n\r\n\r\n

V\u1ec1 g\u00f3c \u0111\u1ed9 b\u1ec7nh vi\u1ec7n, ch\u00fang t\u00f4i mu\u1ed1n th\u1ef1c h\u00e0nh hi\u1ec7u qu\u1ea3. \u0110i\u1ec1u \u0111\u00f3 c\u00f3 ngh\u0129a l\u00e0 khi ch\u00fang t\u00f4i \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n nh\u01b0 nh\u1eadp vi\u1ec7n, ch\u00fang t\u00f4i mu\u1ed1n \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh nhanh ch\u00f3ng v\u00e0 \u0111\u1ea3m b\u1ea3o b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1ebfn khoa \u0111\u1ec3 ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb. V\u00ec v\u1eady, \u0111i\u1ec1u n\u00e0y c\u1ea3i thi\u1ec7n hi\u1ec7u qu\u1ea3 v\u00e0 n\u0103ng su\u1ea5t \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n t\u1ea1i Khoa C\u1ea5p c\u1ee9u. Nh\u1edd \u0111\u00f3, b\u1ec7nh nh\u00e2n kh\u00f4ng ph\u1ea3i ch\u1edd \u0111\u1ee3i l\u00e2u \u1edf Khoa C\u1ea5p c\u1ee9u \u0111\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh nh\u1eadp vi\u1ec7n. T\u00f4i ngh\u0129 \u0111i\u1ec1u n\u00e0y r\u1ea5t quan tr\u1ecdng trong qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n v\u00ec ch\u00fang t\u00f4i kh\u00f4ng mu\u1ed1n c\u00f3 t\u00ecnh tr\u1ea1ng qu\u00e1 t\u1ea3i \u1edf Khoa C\u1ea5p c\u1ee9u. Ngo\u00e0i ra, x\u00e9t v\u1ec1 vi\u1ec7c ph\u00e0n n\u00e0n c\u1ee7a b\u1ec7nh nh\u00e2n, ch\u00fang t\u00f4i th\u1ea5y th\u1eddi gian ch\u1edd \u0111\u1ee3i \u0111\u01b0\u1ee3c gi\u1ea3m b\u1edbt v\u00e0 kh\u00f4ng c\u00f3 ph\u00e0n n\u00e0n n\u00e0o v\u1ec1 c\u00e1ch x\u1eed l\u00fd b\u1ec7nh nh\u00e2n li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng \u0111au ng\u1ef1c.<\/p>\r\n\r\n\r\n\r\n

Ph\u00e1c \u0111\u1ed3 nhanh n\u00e0y ph\u00f9 h\u1ee3p nh\u01b0 th\u1ebf n\u00e0o v\u1edbi c\u00e1c c\u1ea3i ti\u1ebfn ho\u1eb7c \u0111\u1ed5i m\u1edbi kh\u00e1c \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n t\u1ea1i IJN Malaysia?<\/h4>\r\n\r\n\r\n\r\n

IJN l\u00e0 trung t\u00e2m tim m\u1ea1ch m\u1edf c\u1eeda 24 gi\u1edd. Ch\u00fang t\u00f4i c\u00f3 c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p nh\u01b0 ch\u1ee5p m\u1ea1ch v\u00e0nh v\u00e0 can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh qua da, trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 t\u1eafc ngh\u1ebdn trong m\u1ea1ch m\u00e1u tim c\u1ee7a b\u1ec7nh nh\u00e2n, ch\u00fang t\u00f4i c\u00f3 th\u1ec3 x\u1eed l\u00fd ngay t\u1ea1i ph\u00f2ng th\u00f4ng tim. \u0110i\u1ec1u n\u00e0y ph\u00f9 h\u1ee3p \u1edf ch\u1ed7 nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng b\u1ecb \u0111au tim c\u1ea5p t\u00ednh nh\u01b0ng c\u00f3 th\u1ec3 b\u1ecb m\u1ed9t d\u1ea1ng \u0111au tim kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim. Khi \u0111\u00f3, b\u00e1c s\u0129 tim m\u1ea1ch c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m h\u1ecd mu\u1ed1n th\u1ef1c hi\u1ec7n ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh cho b\u1ec7nh nh\u00e2n. V\u00ec v\u1eady, \u0111i\u1ec1u n\u00e0y c\u0169ng gi\u1ed1ng nh\u01b0 s\u1ef1 ph\u00e2n t\u1ea7ng nguy c\u01a1 \u0111\u1ed1i v\u1edbi h\u1ecd.<\/p>\r\n\r\n\r\n\r\n

N\u1ebfu tr\u1ecb s\u1ed1 x\u00e9t nghi\u1ec7m hs-TnT c\u1ee7a qu\u00fd v\u1ecb l\u00ean t\u1edbi h\u00e0ng ngh\u00ecn, qu\u00fd v\u1ecb c\u00f3 th\u1ec3 n\u00ean \u01b0u ti\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u1ec3 can thi\u1ec7p, \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 c\u00e1c tri\u1ec7u ch\u1ee9ng ho\u1eb7c b\u1ea5t k\u1ef3 thay \u0111\u1ed5i n\u00e0o tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3. \u0110i\u1ec1u n\u00e0y r\u1ea5t ph\u00f9 h\u1ee3p v\u1edbi vi\u1ec7c qu\u1ea3n l\u00fd chung cho b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh tim t\u1ea1i IJN.<\/p>\r\n\r\n\r\n\r\n

Qu\u00fd v\u1ecb c\u00f3 th\u1ec3 chia s\u1ebb l\u1eddi khuy\u00ean ho\u1eb7c ki\u1ebfn th\u1ee9c n\u00e0o cho c\u00e1c t\u1ed5 ch\u1ee9c y t\u1ebf ho\u1eb7c chuy\u00ean gia kh\u00e1c \u0111ang t\u00ecm c\u00e1ch tri\u1ec3n khai c\u00e1c ph\u00e1c \u0111\u1ed3 nhanh \u0111\u1ec3 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n kh\u00f4ng?<\/h4>\r\n\r\n\r\n\r\n

D\u1ef1a tr\u00ean c\u00e1c h\u01b0\u1edbng d\u1eabn qu\u1ed1c t\u1ebf, c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 khuy\u1ebfn c\u00e1o kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 0\/2 gi\u1edd v\u00e0 0\/3 gi\u1edd. Nh\u01b0ng ph\u00e1c \u0111\u1ed3 0\/1 gi\u1edd \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o c\u1ea5p \u0111\u1ed9 m\u1ed9t t\u1eeb Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Qu\u1ed1c t\u1ebf. V\u00e0 do \u0111\u00f3, ch\u00fang t\u00f4i th\u1ea5y r\u1eb1ng n\u1ebfu c\u00f3 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ho\u1eb7c ph\u00e1c \u0111\u1ed3 hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 an to\u00e0n, th\u00ec t\u00f4i ngh\u0129 r\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng \u0111\u00e1ng \u0111\u01b0\u1ee3c tri\u1ec3n khai \u1edf c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00e1c. Nh\u01b0ng \u0111\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u n\u00e0y, t\u00f4i khuy\u00ean qu\u00fd v\u1ecb c\u1ea7n ph\u1ea3i ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd v\u1edbi c\u00e1c \u0111\u1ed1i t\u00e1c ch\u00ednh c\u1ee7a m\u00ecnh v\u00e0 x\u00e1c \u0111\u1ecbnh quy tr\u00ecnh x\u1eed l\u00fd b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c b\u1ea3n \u0111\u1ecba h\u00f3a t\u1ea1i Khoa C\u1ea5p c\u1ee9u c\u1ee7a m\u00ecnh, xem x\u00e9t nh\u1eefng thi\u1ebfu s\u00f3t v\u00e0 gi\u1ea3i quy\u1ebft ch\u00fang m\u1ed9t c\u00e1ch t\u1ed5ng th\u1ec3 tr\u01b0\u1edbc khi tri\u1ec3n khai ph\u00e1c \u0111\u1ed3 nhanh 0\/1 gi\u1edd n\u00e0y.<\/p>\r\n\r\n\r\n\r\n

Nh\u00ecn v\u1ec1 ph\u00eda tr\u01b0\u1edbc, IJN Malaysia c\u00f3 nh\u1eefng m\u1ee5c ti\u00eau v\u00e0 mong mu\u1ed1n d\u00e0i h\u1ea1n g\u00ec trong vi\u1ec7c t\u1eadn d\u1ee5ng c\u00f4ng ngh\u1ec7 \u0111\u1ec3 ph\u00e2n lo\u1ea1i b\u1ec7nh nh\u00e2n t\u1ed1t h\u01a1n v\u00e0 c\u1ea3i thi\u1ec7n vi\u1ec7c ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n?<\/h4>\r\n\r\n\r\n\r\n

IJN \u0111\u1eb7t m\u1ee5c ti\u00eau tr\u1edf th\u00e0nh m\u1ed9t trung t\u00e2m xu\u1ea5t s\u1eafc. Ri\u00eang t\u1ea1i khoa c\u1ee7a ch\u00fang t\u00f4i, ch\u00fang t\u00f4i mu\u1ed1n tr\u1edf th\u00e0nh trung t\u00e2m xu\u1ea5t s\u1eafc v\u1ec1 c\u1ea5p c\u1ee9u tim m\u1ea1ch. Ch\u00fang t\u00f4i kh\u00f4ng ch\u1ec9 mu\u1ed1n s\u1eed d\u1ee5ng c\u00f4ng ngh\u1ec7 v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi nh\u1ea5t hi\u1ec7n c\u00f3 trong ch\u1ea9n \u0111o\u00e1n v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 tim, ch\u00fang t\u00f4i c\u00f2n mu\u1ed1n xem x\u00e9t d\u1eef li\u1ec7u v\u00e0 quy tr\u00ecnh c\u1ee7a ch\u00fang t\u00f4i \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng c\u00f3 hi\u1ec7u qu\u1ea3. Khi xem x\u00e9t d\u1eef li\u1ec7u, ch\u00fang t\u00f4i mu\u1ed1n \u0111\u1ea3m b\u1ea3o vi\u1ec7c li\u00ean t\u1ee5c c\u1ea3i ti\u1ebfn c\u00e1c quy tr\u00ecnh trong Khoa C\u1ea5p c\u1ee9u, \u0111\u1ed3ng th\u1eddi h\u1ee3p t\u00e1c ch\u1eb7t ch\u1ebd v\u1edbi c\u00e1c b\u00e1c s\u0129 tim m\u1ea1ch trong vi\u1ec7c s\u1eed d\u1ee5ng c\u00f4ng ngh\u1ec7 m\u1edbi nh\u1ea5t \u0111\u1ec3 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n.<\/p>\r\n\r\n\r\n\r\n

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Truy c\u1eadp trang Ng\u00e0y Tim m\u1ea1ch Th\u1ebf gi\u1edbi
<\/a><\/div>\r\n<\/div>\r\n","protected":false},"excerpt":{"rendered":"

Nh\u1eefng thi\u1ebfu s\u00f3t v\u00e0 th\u00e1ch th\u1ee9c hi\u1ec7n nay trong vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n \u0111au ng\u1ef1c t\u1ea1i Khoa C\u1ea5p c\u1ee9u c\u1ee7a IJN l\u00e0 g\u00ec? Nh\u1eefng \u0111\u1ed9ng l\u1ef1c ch\u00ednh n\u00e0o th\u00fac \u0111\u1ea9y vi\u1ec7c tri\u1ec3n khai Ph\u00e1c \u0111\u1ed3 hs-TnT 0\/1 gi\u1edd? IJN c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m ri\u00eang l\u00e0 h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n c\u1ee7a ch\u00fang t\u00f4i \u0111\u1ec1u g\u1eb7p v\u1ea5n […]<\/p>\n

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