NHlFM TkNG HYFT SO SlNH

l. ]NH NGHlA:
Nhom trong hoyot so snh u bonh guy ton thoong nhoo co qoun kom do
khoun hoyot, xuy ru trong thung duo suo snh.
1uc nhun guy nhom trong hoyot ngoyon phut thoong u: S|rcp|ococcu
nhom , L.co, L|cra
V khoun guy nhom trong bonh von thuy do thoo tong don v chum soc
tro, thoong u: S|aph,ococcu cpdcrmd, S|aph,ococcu aurcu, Kcbca,
L.co
ll. CHAN OAN:
1. Cong vicc cban doan:
a) Hoi kbai tbac ticn so san kboa:
! Snh non, snh nho cun.
! Vo o som " 24 go, nooc o doc, ho.
! Snh kho, snh ngut tApgur lphot < 5, 5 phot < 7d).
! Mo co sot huy nhom trong trooc, trong vu suo snh.
! Co ho soc oc snh houc dong cuc tho thout xum un.
b) kbam: tm cac dao bico coa nbicm trong:
b.1. Tong qua|: bo kom, sot " 38
0
C houc hu thun nhot # 36,5$ C.
b.2. Cac co quan:
! 1hun knh: Lo do, hon mo huy tung kch thch, co gut, gum phun xu
ngoyon phut, gum huy tung troong oc co, thop phong, duo thun knh
kho tro.
! 1oo hou: non o, too chuy, choong bong, xout hoyot too hou, gun
uch to.
! Ho hup : tm tu, con ngong tho % 20 guy houc ngong tho # 20 guy
kom nhp tm chum, tho nhunh % 60 un/phot, tho co om .
! 1m much : nhp tm nhunh huy chum, hu hoyot up, du xunh, unh, no
bong.
! Du nom: vung du, xout hoyot du nom, ron mo, mo du, cong b.
b.J. Tm dau hcu nang cua nhcm |rung:
! Cong b.
! Soc: much nho, du no bong, tho gun phoc ho muo du > 3 guy.
b.4. Tm o nhcm |rung: nhom trong du, nhom trong ron, vom tnh
much no tom chch, vom pho do gop tho, nhom trong too do dut
sond too.
c) c ngb| xct ngbicm:
! lhot muo ngou bon.
! Ckl.
! Cuy muo.
! Cuy nooc too.
! Cuy dch co tho: phun, mo du, dch khop kh cun.
! Choc do toy song u dong tuc but booc do ou tro vom mung nuo mo
d kom kh co troo chong thun knh
! lon do, doong hoyot, brobn tnoo co vung du)
! Kh muo dong much tnhom trong hoyot nung, soy ho hup)
! Dong muo toun bo tnhom trong hoyot nung, co boo hon xout hoyot)
2. Cban doan xac d|nb: cuy muo t+).
3. Cban doan co tbc: kh chou co kot qou cuy muo,
! Lum sung: troo chong nhoo co qoun + o nhom trong + Cun um sung
go y nhom trong hoyot:
! Cong thoc muo: phu co t nhut 3 too choun suo:
- uch cuo gum & 5.000/mm
3
houc tung " 25.000/mm
3
.
- 1y o :
buch cuo hut non
buch cuo hut troong thunh

"
0,3.
- Co khong buo, hut doc, tho Doh.
- 1oo cuo dom <l50.000 / mm
3

! Ckl > l0 mg / L.
4. Cban doan pban bict: cuc troo chong um sung thoong khong duc hoo '
chun doun phun bot gom co cuc bonh guy soy ho hup, bonh tm much,
bonh ho too hou, bonh vo muo, bonh ho thun knh trong oong.
lll. lF Tk]:
1. Ngoycn tac dico tr|:
! Dong khung snh nguy kh ngh ngo nhom trong hoyot. 1hoong cuc
khung snh co pho khung khoun rong dooc pho hop vo nhuo houc
chon khung snh dou vuo ou v trong tro co tho b nhom, so nhuy
cum cou v trong, khu nung dut dooc nong do dot khoun tu v tr
nhom trong, tuc dong pho, so non kom cou choc nung gun, thun.
! Do oo, do tho gun.
! lho hop vo doo tr nung do vu doo tr cuc bon chong.
1. ico tr| ban dao:
u) cnh nh chua duoc dcu |r |hang nh: lho hop:
! Ampcno + Contumycn.
! Houc Ampcno + Cootuxm.
! Houc Ampcno + Cootuxm + Contumycn: kh co mot trong cuc
duo hoo suo:
- Nhom trong hoyot trooc 7 nguy too.
- onh co duo hoo nung, ngoy kch nguy to duo.
- Nhom trong hoyot + vom mung nuo mo.
! Noo co soc houc ngh to cuo: Cootuxmo + Oxucn ( Contumycn
b) cnh nh da duoc dcu |r o |u,cn |ruoc vo nhung |hang nh nhu |rcn
nhung |hong ca |hcn hoac ngh nhcm |rung bcnh vcn:
! Cprooxucn / looxucn / Coopm ( Amkucn noo ngh nhom
trong hoyot Crt-)
! Oxucn / Vuncomycno ( Amkucn noo ngh nhom trong hoyot to
cuo, houc:
! Vuncomycno + Cprooxucn ( Amkucn noo chou ro tuc nhun.
t|o ton chon khung snh duo, noo khung snh duo du dong th chon
khung snh ko top. V do: Cprooxucn / Coopm: chon Cprooxucn,
noo du dong chon Coopm ).
3. ico tr| ticp toc: dou vuo kot qou cuy muo vu don ton um sung.
! 1ho gun doo tr khung snh: l0 l4 nguy.
! 1ho gun doo tr koo du hon t3-4 toun) kh:
- Nhom trong hoyot grum um.
- Co vom mung nuo mo d kom.
! 1ho gun so dong Amnogycosdo khong qou 5-7 nguy.
4. ico tr| nang do va dico tr| cac bicn cbong:
! Soc nhom trong, dong muo no much un tou tXom bu soc nhom
trong, DlC)
! Cong cup nung oong tXom bu noo un qou tnh much, qou sondo du
duy)
! Ho tro ho hup tXom bu soy ho hup).
Noo co gum buch cuo nung: troyon buch cuo hut houc thuy muo noo
co tho.