B y t

Hng dn chn on v iu tr
bnh h hp

Nh xut bn y hc
H Ni - 2012

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 Li gii thiu

m bo cht lng chn on v iu tr bnh cc c s y t l vic

quan trng gip ngi bnh chng hi phc sc khe, gp phn em li cng
bng trong dch v y t.
Trn th gii, nhiu nc ban hnh cc hng dn chn on v iu
tr. nc ta, B Y t t nhiu nm nay lu tm ti cng tc ban hnh cc
hng dn chn on v iu tr. Nm 2004, B Y t ban hnh 3 tp u
tin ca b sch Hng dn iu tr - y c xem nh nn mng ban u cho
vic xy dng cc hng dn iu tr. Tip theo thnh cng , ngy 05 thng 5
nm 2010, B Trng B Y t ra quyt nh s 2387/Q-BYT v vic thnh
lp Ban bin son Hng dn iu tr, sau l quyt nh s 4819/Q-BYT
ngy 10 thng 12 nm 2010 v vic thnh lp Tiu ban bin son hng dn
chn on v iu tr cc bnh h hp, bao gm cc nh khoa hc u ngnh
trong chuyn ngnh h hp ca c ba min Bc, Trung, Nam.
Cun sch Hng dn chn on v iu tr bnh h hp c xy dng vi
s n lc cao ca cc nh khoa hc u ngnh h hp ca Vit Nam, sch bao gm
38 bi hng dn chn on v iu tr cc bnh h hp, trong tp trung ch
yu vo cng tc thc hnh chn on chn on v iu tr, do vy, s rt hu ch
cho cc thy thuc a khoa, chuyn khoa trong thc hnh hng ngy.
Chng ti xin trn trng cm n s ch o st sao ca PGS.TS. Nguyn
Th Kim Tin, B Trng B Y t v cc thnh vin Ban bin son rt c
gng, dnh nhiu thi gian qu bu bin son cun sch ny.
y l ln n bn u tin ca cun sch, chc chn s cn nhiu thiu
st, chng ti rt mong nhn c s ng gp t Qu c gi ng nghip
cun sch ngy mt hon thin hn.

Nhm tc gi
Trng ban bin son

PGS.TS. Nguyn Th Xuyn

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 B y t Cng ha x hi ch ngha vit nam
S: 4235/Q-BYT c lp - T do - Hnh phc
H ni, ngy 31 thng 10 nm 2012

Quyt nh
V vic ban hnh ti liu chuyn mn
Hng dn chn on v iu tr bnh h hp

B trng b y t

Cn c Lut khm bnh, cha bnh nm 2009;

Cn c Ngh nh s 63/2012/N-CP ngy 31 thng 8 nm 2012 ca
Chnh ph quy nh chc nng, nhim v, quyn hn v c cu t chc ca B
Y t;
Theo ngh ca Cc trng Cc Qun l khm, cha bnh,

Quyt nh:

iu 1. Ban hnh km theo Quyt nh ny ti liu chuyn mn Hng

dn chn on v iu tr bnh h hp.
iu 2. Ti liu chuyn mn Hng dn chn on v iu tr bnh h
hp c p dng ti cc c s khm bnh, cha bnh trong c nc.
iu 3. Quyt nh ny c hiu lc k t ngy k, ban hnh.
iu 4. Cc ng, b: Chnh Vn phng B, Chnh thanh tra B, Tng Cc
trng, Cc trng v V trng cc Tng cc, Cc, V thuc B Y t, Gim c
S Y t cc tnh, thnh ph trc thuc trung ng, Gim c cc Bnh vin,
Vin trc thuc B Y t, Th trng Y t cc ngnh chu trch nhim thi hnh
Quyt nh ny./.

Ni nhn: KT. B trng

- Nh iu 4; th trng
- B trng ( bo co);
- Cc Th trng;
- Cng thng tin in t B Y t; Website Cc KCB;
- Lu: VT, KCB, PC.

Nguyn Th Xuyn

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 DANH SCH BAN BIN SON
HNG DN CHN ON V IU TR BNH H HP

Ch bin
PGS.TS. Nguyn Th Xuyn, Th Trng B Y t.

ng ch bin
GS.TS. Ng Qu Chu, Ph Gim c Bnh vin Bch Mai.
PGS.TS. Lng Ngc Khu, Cc trng Cc Qun l khm, cha bnh.

Tham gia bin son

GS.TS. Ng Qu Chu, Ph Gim c Bnh vin Bch Mai.
PGS.TS. Nguyn Vn on, Gim c Trung tm D ng Min dch lm sng, Bnh
vin Bch Mai.
PGS.TS. Trn Vn Ngc, Trng khoa H hp, Bnh vin Ch ry.
PGS.TS. Nguyn Vit Nhung, Gim c Bnh vin Phi Trung ng.
PGS.TS. Quyt, Ph Gim c Bnh vin 103.
PGS.TS. Hong Hng Thi, Trng khoa Ni, Bnh vin Vinmex.
PGS.TS. Trn Hong Thnh, B mn Ni tng hp, Trng i hc Y H Ni.
PGS.TS. Nguyn nh Tin, Trng khoa H hp, Bnh vin TW Qun i 108.
PGS.TS. Bi Cng Ton, Ph Gim c Bnh vin K.
PGS.TS. ng Quc Tun, Ph Trng khoa Hi sc tch cc, Bnh vin Bch Mai.
PGS.TS. Nguyn Th Vn, B mn D ng - Min dch lm sng, Trng i hc Y H Ni.
TS. V Vn Gip, B mn Ni tng hp, Trng i hc Y H Ni.
TS. Chu Th Hnh, Ph Gim c Trung tm H hp, Bnh vin Bch Mai.
TS. Nguyn Thanh Hi, Trung tm H hp, Bnh vin Bch Mai.
TS. Nguyn Th T Nh, Ph Trng khoa H hp, Bnh vin Ch Ry.
TS. Phan Thu Phng, B mn Ni tng hp, Trng i hc Y H Ni.
TS. Nguyn Vn Thnh, Trng khoa H hp, Bnh vin a khoa TW Cn Th.
TS. Trn Qu Tng, Ph Cc trng Cc Qun l khm, cha bnh.
TS. Nguyn S Vin, Trng khoa H hp, Bnh vin C Nng.
ThS. Nguyn Th Thanh Huyn, Trung tm H hp, Bnh vin Bch Mai.

Th k bin son
TS. Nguyn Thanh Hi, Trung tm H hp, Bnh vin Bch Mai.
ThS. Trng L Vn Ngc, Chuyn vin Cc Qun l khm, cha bnh.
ThS. Cao c Phng, Chuyn vin Cc Qun l khm, cha bnh.
ThS. Nguyn c Tin, Trng phng Nghip v-Php ch, Cc Qun l khm, cha bnh.
ThS. V Vn Vng, Chuyn vin Cc Qun l khm, cha bnh.
ThS. L Thng V, Khoa H hp Bnh vin Ch Ry.

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 MC LC

Trang
Li gii thiu 03

1 Hng dn chn on v iu tr ho ko di 11

2 Hng dn chn on v x tr kh th 15

3 Hng dn chn on v x tr au ngc 24

4 Hng dn chn on v iu tr vim ph qun cp 30

5 Hng dn chn on v iu tr vim phi mc phi cng ng 34

6 Hng dn chn on v iu tr vim phi mc phi bnh vin, vim 40

phi lin quan n th my, vim phi lin quan chm sc y t

7 Hng dn chn on v x tr vim phi khng p ng iu tr 49

8 Hng dn chn on v iu tr p xe phi 53

9 Hng dn chn on v iu tr bnh phi tc nghn mn tnh giai on 58

n nh

10 Hng dn chn on v x tr cp cu t cp bnh phi tc nghn mn 68

tnh ti nh

11 Hng dn chn on v iu tr t cp bnh phi tc nghn mn tnh ti 73

cc khoa ni

12 Hng dn chn on v iu tr suy h hp nng do bnh phi tc nghn 77

mn tnh

13 Hng dn phc hi chc nng h hp v chm sc bnh nhn bnh phi 82

tc nghn mn tnh

14 Hng dn chn on v x tr cn hen ph qun nng ngi ln 90

15 Hng dn s dng cc dng c phun ht trong iu tr hen ph qun v 99

bnh phi tc nghn mn tnh

16 Hng dn chn on v iu tr gin ph qun 108

17 Hng dn chn on v iu tr tm ph mn 113

18 Hng dn chn on v iu tr trn dch mng phi 119

19 Hng dn chn on v x tr cp cu trn dch mng phi 125

20 Hng dn chn on v iu tr trn dch mng phi do lao 130

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 21 Hng dn chn on v iu tr trn dch mng phi c tnh 135

22 Hng dn chn on v iu tr trn kh mng phi 139

23 Hng dn iu tr d phng ti pht trn kh mng phi 144

24 Hng dn chn on v iu tr trn m mng phi 150

25 Hng dn chn on ung th ph qun nguyn pht 156

26 Hng dn iu tr ho cht ung th phi nguyn pht 163

27 Hng dn x tr ung th phi 176

28 Hng dn iu tr triu chng trong ung th phi 183

29 Hng dn chn on v nh hng v iu tr u trung tht nguyn pht 190

30 Hng dn chn on v iu tr hi chng ngng th khi ng 197

31 Hng dn chn on v iu tr vim phi k 203

32 Hng dn chn on v iu tr bnh sacoit 211

33 Hng dn chn on v iu tr tng p ng mch phi 216

34 Hng dn chn on v iu tr bnh nm thng gp phi 220

35 Hng dn chn on v iu tr sn l phi 228

36 Hng dn chn on v iu tr bnh sn mng phi 231

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