tOAN SAN FHOl

l. ]NH NGHlA:
Loun sun pho con go u bonh pho mun tnh, boo mo cuc pho qoun nho b
hou to vu song hou, gum chut hout don tsoructunt), mo ko tung snh dung so,
huo qou guy xo hou pho. Ngoyon nhun cou oun sun pho u do thong kh up
oc doong vo up oc cuo houc tho gun du.
ll. CHAN OAN:
1. Cong vicc cban doan:
a) Hoi :
Khu thuc ton so suo sunh:
! Sunh non
! Soy ho hup suo sunh co ho tro ho hup vo up oc doong tClAl, tho
muy) vo up oc cuo houc nong do Oxy cuo
b) kbam:
! oo hon soy ho hup: tho nhunh, rot om ngoc, tm tu kh ngong Oxy
! SuO
2
< 90% kh ngong Oxy.
c) c ngb| xct ngbicm:
! X qoung:
! Cuc xot nghom tum sout nhom trong tphot muo, Ckl)
! Soo um tm: ou tro ngoyon nhun soy ho hup do con ong dong much.
2. Cban doan xac d|nb: dou vuo:
Lo thooc Oxy > 28 nguy + but thoong tron phm X qoung pho:
! Cu doun l: kho phun bot bonh mung trong tl-3 nguy).
! Cu doun 2: dum mo 2 pho troong t4-l0 nguy).
! Cu doun 3: dum mo choyon sung dung nung tl0-20 nguy).
! Cu doun 4: tung tho tch pho, so, nhoo vong o kh t> l thung).
3. Cban doan co tbc: Lo thooc Oxy > 36 toun too suo sunh, khong con bung
chong nhom trong tvom pho).
4. Cban doan pban bict:
! Vom pho koo du do khong dup ong khung snh: X qoung pho ton
thoong nho mo + cuc xot nghom vo nhom trong tphot muo, Ckl).
! Con ong dong much: khum tm um tho on toc houc tum tho + soo
um tm Doppor.
lll. lF Tk]:
1. Ngoycn tac dico tr|:
! Ho tro ho hup.
! 1hooc.
! Hun cho dch.

2. Cong cap Oxy:
! Cong cup Oxy vo nong do thup nhut suo cho SuO
2
o moc 90-95%, non
chon phoong phup tho Oxy qou cunnou, gum dun oo oong Oxy vu
choyon dun qou tho Oxy gun doun trooc kh ngong tho Oxy.
! Noo bonh nhun dung gop tho: trunh guy tung thong kh pho nung
bung cuch gum up oc doong tho o moc thup nhut suo cho go luCO
2

o moc 45-55 mmHg vu SuO
2
to 90-95%.
3. Han cbc d|cb:
! Hun cho dch nghom ngut chou co chong co um cu thon bonh mu
con um gum cong cup nung oong cho bonh nhun
! Doy tr oong dch nhup o moc l30-l50 m/kg/nguy vu tung dun noo
tnh trung soy ho hup cu thon.
4. Tbooc:
4.1. toi tico:
! Lo too co tuc dong um gum khung oc doong tho vu cu thon do dun
cou pho. Do co nhoo tuc dong pho vu hoo qou uo du hun cho, ch
non so dong trong tho gun ngun khong qou l toun.
lorosomdo: 0,5 -l mg/kg tom much l-2 un/nguy, co tho dong cuch
nguy do gum ngoy co tuc dong pho cou thooc o too, thoo do on do
vu bo song Ku.
4.2. Dcxamctbasonc:
a) Ch dnh:
! Lo thooc muy tho houc Oxy t2-3 toun)
! Doo kon: phu ou tro cuc ngoyon nhun khuc
- Nhom trong.
- Con ong dong much.
- 1uc nghon ong no kh qoun.
b) Lcu:
! 0,5 mg/kg/nguy chu um 2 oo " 3 nguy
! 0,3 mg/kg/nguy chu um 2 oo " 3 nguy
! 0,2 mg/kg/nguy chu um 2 oo " 2 nguy
! 0,l mg/kg/nguy chu um 2 oo " 2 nguy
! 0,05 mg/kg/nguy l oo l nguy " 4 nguy
Cu doun duo non tom much, suo do co tho choyon sung doong oong.
c) Can |hco do cac |ac dung phu: xout hoyot too hou, tung doong hoyot,
nhom trong.

4.3. Tbooc va dico tr| kbac:
a) Thcoph,nc Caffcn:
! O tro so snh non thung, 1hoophyno houc Cuon ngou tuc dong dun
pho qoun, con gop kch thch nhp to tho o bonh nhun tho muy, tung
soc co bop co hounh, o too.
! Co tho cong cup thooc dung tom qou doong oong.
b) Thuoc dan phc quan |h dung:
Subotumo kh dong dooc ch dnh vu co hoo qou trong troong hop oun
sun pho co boo hon co thut pho qoun. Loo: 0,02 0,04 m/kg dong
dch 0,5% phu thom 2 m NuC 0,9% kh dong mo 6-8 go.
c) Tru,cn mau:
1rong gu doun con o thooc Oxy non doy tr Hct o moc 30-35% tHb: 8-
l0 g/), noo troyon muo oo y cho o too nguy suo kh troyon muo trunh
guy qou tu.
d) Va| , |r cu ho hap:
Vut y tr oo ho hup rut qoun trong trong qou trnh doo tr gop tong
dum ru ngou um gum khung oc doong tho.
S. Tbco doi:
a) Trong |ho gan nam vcn:
! SuO
2
non dooc thoo do thoong xoyon ko cu oc ngo, bo.
! Kh muo ch cun thot trong gu doun con gop tho, gop doo chnh up
oc thch hop trunh guy tung thong kh pho nung.
! lon do cun thoo do mo nguy trong tho gun so dong o too.
! Hct, xot nghom kom sout nhom trong non kom tru mo toun.
b) Xua| vcn:
Hon tu khum dnh ky do thoo do ho hup, tung troong trong tho gun
du l-2 num.

Van dc Moc do cbong co
Doxumothusono co hoo qou trong doo tr oun sun pho
cho so snh > 3 toun too b o thooc muy tho
l
Cochruno
Ch dnh Doxumuthosono som hon tl-2 toun too) cho tro
so snh o thooc muy tho co hoo qou
um gum bonh y oun sun pho vu to vong, toy nhon
oon cun nhuc vo tuc dong pho cou Doxumothusono
l
Cochruno
1huzdo vu Spronouctono co hoo qou cu thon do dun
cou pho toong doong lorosomdo o tro > 3 toun too
l
Cochruno
1hooc o too cu thon choc nung pho to du trong 7
nguy, so dong uo hon nou khong co hoo qou hon
l
Cochruno