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CHN THNG V VT THNG THU BNG

THS.BS. Nguyn Vn Khoa

Chn thng bng kn


Nguyn

nhn thng gp do TNGT, thng c thng tn kt hp d b b st thng tn bng. Thng c biu hin lm sng ca XHN. Bnh nhn a thng chn on + hi sc ng thi.

Chn on mc trm trng ca chn thng


Hon

cnh xy ra chn thng

C ch chn thng T th lc b tai nn. Thi gian lc b tai nn nhp vin


nh

gi DHST: M, HA, HH, Glassgow

Chn on (tt)
Khm

bng

Cn au bng t nhin Bm, t mu thnh bng khng hay co cng thnh bng au thm trc trng

Chn on (tt)
Chp

Xquang bng khng sa son

Gy xng sn Mt vin sng bn hng, khong cch gia cc quai rut gia tng Hi t do trong bng
XN

huyt hc sinh ha

Hct gim, amylase mu tng, BC, GS, ng mu

Chn on
Siu

m bng

Phng tin u tay chn on XHN Pht hin lng dch nh 250 ml Thc hin ti phng cc, thc hin nhiu ln
CTScan

nh gi tn thng tng c, c hiu cao CC BN c huyt ng khng n nh

Vt thng bng
V

tr: do bch kh hay do ha kh thng gp thnh bng trc, hng, lng hay pha sau lng. Tnh cht ca thu bng
r li rut hay mc ni, chy dch tiu ha qua vt thng nh v l vo l ra v vt thng ha kh

Vt thng thu bng


Khm bng: au bng, khng hay co cng thnh bng, ra mu hu mn, chy mu qua thng mi d dy, l so hnh nh

Xquang bng v ngc tm hi t do trong bng Siu m thng khng pht hin dch bng CTScan kho st gan lch thn Thm st vt thng

Hng x tr
X

tr ban u l HSCC sinh mng

ng th phi thng Chy mu khng ch chy mu Chn p tim phi cp tran mu hay kh MP, XT chc ht mng tim hay DLK MP Thc hin 2 ng truyn TM Che ph vt thng bng gc v trng C nh xng gy.

X tr chn thng bng kn


Huyt

ng khng n nh ng n nh

Da vo siu m, chc d m bng thm d

Huyt

Theo di ti phng cc CTScan tn thng nhu m gan lch, iu tr bo tn c ngh n CTScan t dch bng khng tn thng gan lch tn thng tng rng

X tr vt thng thu bng


Vt

thng do ha kh thng do bch kh

Nguyn tc phi m bng thm st

Vit

Sc khng hi phc, huyt ng khng n nh Phn ng phc mc Li rut hay mc ni i mu sonde dd c mu Tiu mu.

Chn b trc m
t

ng truyn TM Khng sinh d phng t ng thng tiu t sonde mi d dy

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