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TS.BS.
TRAN
VAN
PHU
H61
sUe
cAP
cUu
Sach
danh
cho
bac
sy
va
sinh vien y
khoa
TS.BS.
TRAN
vAN
PHU
H61
sUe
cAP
cOu
Sach
danh
cho
bac
sy
va
sinh vi{m y
khoa
""'
ti
•oc
TEM
CH6NG
HANG
GIA
0041077
Gia:
6so.ooocr
Ma
so
sach tieu
chu~n
quoc
te
'
,..,
,
,...
,...,
NHA XUAT BAN y HQC- BQ y
TE
ISBN:978-604-66-7611-9
Website:
xuatbanyhoc.vn-
Email:
xuatbanyhoc@fpt.vn
Dja chi: 352
pho
8Qi Can,
phlfcmg
NgQc
Ha,
TP.
Ha
NQi
Hotline: 0934 547
168-
Clt>a
hang
s<kh: 024 37627 816
Chi
nhanh:
139A
Tri~u
Quang
Phvc
,
phlfcmg
ChQ'
L&n,
TP.
Ho
Chi Minh
Di~n
thoC}i:
028 39235
648
TS.BS.
TRAN
VAN
PHU
""~
,
~,
,
H 0 I SlfC
CAP
ClfU
Stich dilnh cho bac
sy
vii sinh vien y khoa
NHA
XUAT
BAN
Y
HQC
HOI
sue
c.AP
c&u
Lirl
TU'A
.
Trong b6i canh dao
t<;to
y khoa
hi~n
d<;ti,
kha nang k6t hqp ki6n thuc liim sang,
k:y
nang
h6i sue
va
phuong
phap giang
d<;ty
hi~u
qua
tra
nen then ch6t d6i
v&i
nang hrc hanh
ngh~.
Cu6n "H6i sue
dp
cilu" cua Ti6n
sy-
Bac sy Trftn
Van
Phu
dap ilng chinh xac nhu
cftu
d6:
Vira la tai
li~u
h~
th6ng cho sinh vien y khoa, vira
la
cAm
nang thvc hanh
ng~n
gQn,
dS
ap
dvng
C<;tnh
giu(mg
b~nh
va
trong
illO
phong liim sang.
Tac gia dm;c dao
t<;to
chuyen sau
v~
h6i sue tim-ph6i
t<;ti
HQc
vi~n
H6i sue Tim - Ph6i
vaSa
CUu
(Hoa Ky), d6ng
thai
hoan thanh chuong trinh "Giang
d<;ty
va
danh gia
ky
nang
liim sang"
t<;ti
D<;ti
hQC
Michigan (Hoa Ky).
Sv
k6t hqp gifra chuyen
m6n
h6i sue
dp
CUu
va
nang lvc
su
ph<;tm
dva
tren
bing
chilng la di€m
m<;tnh
cua cu6n sach: M6i phftn kh6ng chi
trinh
bay
CO'
ch6
b~nh
sinh.
va
huang
ti6p
c~n
chAn
do an, rna con tich hqp cac c6ng
C\1
su
ph<;tm
thi6t
thvc
d€
h6 trq
vi~c
chuy€n giao
k:y
nang.
N<)i
dung duqc t6 chile
m<;tch
l<;tc,
ill
danh gia ban dftu d6n cac
dp
CUu
h6 hftp, tuftn
hoan
va
r6i
lo<;tn
chuy€n
h6a
- phu hqp
v&i
mvc tieu h6
trq
sinh vi
en
da hoan tftt phftn "Cftp
cilu
ban dftu" trong
B~nh
hQc
n<)i
khoa ti6n
t&i
kha nang
xu
tri chuyen sau hon. V
&i
cftu
true
SUC
tfch, nhftn
m<;tnh
thl,IC
hanh
va
cong
C\1
giang
d<;ty
hi~n
d<;ti,
cu6n sach
hua
hvn la ngu6n
tai
nguyen hfru ich cho sinh vi en, bac si tre
va
giang vi en.
T6i tran trQng
gi&i
thi~u
cu6n sach
va
tin tu6ng
ring
n6 se gop phftn nang cao nang
llJC
lam sang
va
an toan
nguai
b~nh
trong
thlJC
hanh
dp
CUu.
2
Hit Ni}i, ngay 22
thang
08 niim 2025
PGS.TS.BS
NQI
TRU. TRAN HOANG THANH
HOI
s&c
CAP
c&u
Tirvi~t
t~t
A
ABC
ABCDE
ABG
ACEI
ACLS
ACTH
ACS
ADH
AED
AF
AFL
AG
AKI
ALP
ALS
AMI
ANP
APACHE
aPTT
ARB
ARDS
AT
ATP
AV
AVNRT
AVPU
4
DANH
MUC
VIET
TAT
.
Di~n
giai
Airway, Breathing, Circulation - Du(mg
thO',
Ho
hcip,
Tufin hoan
Airway, Breathing, Circulation, Disability, Exposure
:Duoog
thO',
Ho
hcip,
Tufin hoan, Tri giac/Thfin kinh,
Kham
toan thfm
Arterial Blood Gas -
Khi
mau
d()ng
m~ch
Angiotensin-Converting Enzyme Inhibitor - Thu6c
uc
chS
men chuySn
Advanced Cardiovascular Life Support - H6i sue tim ph6i nang cao
Adrenocorticotropic Hormone -
Hormon
hu6ng
v6
thuc;mg
th~n
Acute Coronary Syndrome
H()i chl1ng
m~ch
vanh
dp/H()i
chl1ng vanh
dp
Antidiuretic Hormone - Hormon ch6ng bai
ni~u
Automated External Defibrillator -
May
khu
rung
tim
tv'
d()ng
Atrial Fibrillation -
Rung
nh'i
Atrial Flutter - Cu6ng nh'i
Anion Gap - Khoang tr6ng anion
Acute Kidney
Injury-
T6n
thuong
th~n
dp
Alkaline Phosphatease - Men phosphatease ki€m
Amyotrophic Lateral Sclerosis -
Xa
cl1ng c()t
ben
teo ca
Acute Myocardial Infarction -
Nh6i
mau
C(Y
tim
dp
Atrial Natriuretic Peptide - Peptid lqi
ni~u
nh'i
Acute Physiology and Chronic Health Evaluation
Thang
diSm tien
luc;mg
n~ng
(APACHE)
Activated
Partial Thromboplastin Time
Thai
gian thromboplastin tUng phfin
ho~t
h6a
Angiotensin Receptor Blocker/ Angiotensin II Receptor Blocke
Thu6c
uc
chS
th\1
thS
angiotensin
Acute Respiratory Distress Syndrome-
H()i
chirng Suy ho
hcip
ccip
tiSn
triSn
Atrial Tachycardia - Nhip nhanh nhl
Adenosine Triphosphate - Adenozin triphosphate (nang
luc;mg
tS
bao)
Atrioventricular - Nh'i -
thcit
Atrioventricular Nodal Reentrant Tachycardia
Nhip nhanh vao
l~i
nut nh'i -
thcit
Alert, Voice, Pain, Unresponsive - Thang danh gia y thuc nhanh: Tinh
tao, dap irng
l<'ri
n6i, dap irng dau, khong dap
l1ng
AVRT
B
BB
BiPAP
BIS
BLS
BNP
BP
BUN
c
CAB
CABG
CaGluconat
Ca
2
+
CAD
cAI\1P
Ca x P04
CBF
CCB
CHF
CI-
CMROz
CNS
COz
COPD
CPAP
CPET
CPP
CPPopt
CPR
CPR
Quality
CRP
Cr
TS.BS.
TRAN
VAN
PHU
Atrioventricular Reentrant Tachycardia- Nhip nhanh vao
lc;ti
nhi
-
th~t
qua du(mg ph\l
Beta-Blocker-
Thu6c
ch~n
beta
Bilevel
Positive Airway Pressure -
Th&
ap
lgc
duong hai
mac
Bispectral
Index-
Chi s6 BIS (theo doi
d()
me)
Basic Life Support - H6i sue tim ph6i
CO'
ban
B-type (Brain) Natriuretic Peptide
Peptid lqi
ni~u
type B/peptid lqi
ni~u
nao
Blood Pressure -
Huy~t
ap
Blood Urea Nitrogen -
Nita
ure
mau
Circulation, Airway, Breathing - Tuftn hoan -
Du0ng
th&
-
H6
h~p
Coronary Artery Bypass Grafting -
Ph~u
thu~t
b~c
cftu
d()ng
mc;tch
vanh
Calcium
Gluconate-
Canxi gluconat (thu6c tiem tinh
mc;tch)
Calcium ion - Ion canxi
Coronary Artery Disease -
B~nh
d()ng
mc;tch
vanh
Cyclic Adenosine Monophosphate -
Ch~t
truy~n
tin
thu
hai ( danh gia
dap1rngPTH)
Calcium-phosphate
product-
Tich s6 canxi-phosphate (nguy ca v6i
h6am6m~m)
Cerebral Blood Flow -
Luu
luqng
mau
nao
Calcium Channel Blocker - Thu6c
ch~n
kenh canxi
Congestive Heart
Failure-
Suy tim sung
huy~t
Chloride ion - Ion clorid
Cerebral Metabolic Rate
of
Oxygen-
T6c
d()
chuy€n h6a Oz nao
Central Nervous System -
H~
thftn kinh trung
uong
Carbon dioxide - Khi carbonic
Chronic
Obstructive Pulmonary Disease-
B~nh
ph6i ilic nghen
mc;tn
tinh
Continuous
Positive Airway Pressure -
Th&
ap lgc duong lien t\lc
Cardiopulmonary Exercise Testing -
Thu
nghi~m
g~ng
sue tim ph6i
Cerebral Perfusion Pressure - Ap lgc
tu&i
mau
nao
Optimal Cerebral Perfusion Pressure - Ap
h,rc
tu&i
mau
nao t6i
uu
Cardiopulmonary Resuscitation - H6i sue tim ph6i
High-Quality Cardiopulmonary Resuscitation
H6i sue tim ph6i
ch~t
luqng cao
C-reactive
Protein - Protein phan 1rng C
Creatinine - Creatinin
5
HOI s&c
CAP
cuu
CRRT
CRT-D
CRT-P
CSF
CT
CTA
CTPA
CVP
D
DBP
DDAVP
D-dimer
DIC
DI
DKA
D02
DSA
D5W
DXA
E
ECG/EKG
ECGQTc
ECMO
ECF
ECHO
EDH
EDTA
EEG
EEG-BIS
EEGc
eGFR
EF
ENaC
EP Study
6
• Continuous Renal Replacement Therapy
L<;>c
mau lien
ti;Lcll<;>c
mau
lien
ti;Lc
ngoai th?n
Cardiac Resynchronization Therapy - Defibrillator
Li~u
phap tai dfmg b9 tim co may
khu
rung
Cardiac Resynchronization Therapy-Pacemaker
Li~u
phap tai dbng b9
tim
v6i may
t:;to
nhip
Cerebrospinal Fluid - Dich nao
my
Computed Tomography - Ch\lp
c~t
16p
vi tinh
Computed Tomography Angiography -
Ch\lp
m:;tch
dt
16p
vi tinh
CT
Pulmonary Angiography - Ch\lp
c~t
16p
vi tinh
m<;lch
mau phbi
Central Venous Pressure - Ap
h;rc
trnh
m:;tch
trung
tam
Diastolic Blood Pressure -
Huy~t
ap
tam
truong
Desmopressin-
Thu6c tbng
hqp
tuong
ti;L'
ADH
D-dimer-
San
ph~m
thoai giang fibrin
(d~u
hi~u
r6i
lo<;ln
dong mau)
Disseminated Intravascular Coagulation - Dong mau rai rae n9i
m:;tch
Diabetes Insipidus - Dai thao
nh<;lt
Diabetic Ketoacidosis -
Nhi~m
toan ceton do dai thao duemg
Delivery
of
Oxygen - Cung
c~p
02 cho
mo
Digital Subtraction Angiography - Ch\lp
m<;lch
s6 h6a
x6a
n~n
5% Dextrose in Water - Dung djch glucose 5%
Dual-energy X-ray Absorptiometry- Do
m?t
d9 xuong
b&ng
tia X hai
muc nang
lm;mg
Electrocardiogram -
Di~n
tam db
Corrected QT Interval - Khoang QT
hi~u
chinh tren
di~n
tam db
Extracorporeal Membrane Oxygenation- Oxy h6a qua mang ngoai C(J
thS
Extracellular Fluid - Dich
ngo:;ti
bao
Echocardiography - Sieu
am
tim
Epidural Hematoma -
Mau
t1;L
ngoai mang c(rng
Ethylenediaminetetraacetic Acid-
Ch~t
t<;to
phuc ( trong thu6c can quang)
Electroencephalogram -
Di~n
nao d6
Bispectral Index via EEG - Chi s6 BIS qua
di~n
nao db
Continuous EEG Monitoring - Theo doi
di~n
nao lien
ti;Lc
Estimated Glomerular Filtration Rate -
lJ
6c
tinh mtrc
l<;>c
du
th?n
Ejection
Fraction-
Phan
su~t
t6ng mau
Epithelial Sodium Channel - Kenh natri bi€u
mo
Electrophysiology Study - Tham do
di~n
sinh ly tim
EPAP/PEEP
ETCOz
ETT
F
FEV1
FEVIIFVC
FcsRI
FFP
FErng
FEphos
FGF23
FiOz
FoCUS/POCUS
FVC
G
GCS
GFR
GNASI
GRACE
H
Hb
HbAIC
HC03-
HEART
HFNC
HHS
I
HIV
Holter
I
HR
Hs&Ts
'
I
IABP
~
~
ICB
TS.BS.
TRAN
VAN
PHU
Expiratory Positive Airway Pressure/Positive End-Expiratory
Pressure - Ap
h,rc
duong thi
th<'r
rahip
h,rc
duong
cu6i thi
th<'r
ra
End-Tidal Carbon Dioxide -
Ap
su~t
COz
cu6i thi
th<'r
ra
Endotracheal Tube - Ong
n<)i
khi qufm
Forced Expiratory Volume in 1
second-
Th~
tich
th<'r
m~nh
cu5ng hue
trong giay
d~u
FEVII Forced Vital Capacity ratio -
Ti
s6 FEVIIFVC - Chi s6
t~c
nghen dm'mg
th<'r
High-affinity
lgE
receptor - Th\l
th~
ai
lgc
cao cua IgE
Fresh Frozen
Plasma-
Huy~t
tuong
tuai
dong
1~
Fractional Excretion
of
Magnesium -
Ty
1~
bai
ti~t
magie phan
do~
Fractional Excretion
of
Phosphate-
Ty
1~
bai
ti~t
phosphate qua
th~
Fibroblast Growth Factor
23-
Y~u
t6 tang
tru<'rng
nguyen bao sqi 23
Fraction
of
Inspired Oxygen -
Phan
su~t
Oz
hit vao
Focused Cardiac/Point-of-Care
Ultrasound-
Sieu
am
tim
t~i
gim'mg
Forced Vital
Capacity-
Dung tich s6ng cu5ng
hue
Glasgow Coma Scale - Thang
di~m
hon
me
Glasgow
Glomerular Filtration Rate -
Muc
l<.>c
du
th~n
Guanine Nucleotide-binding Protein, Alpha Stimulating Activity
Polypeptide
1-
Gen lien quan gia suy
tuy~n
c~n
giap type Ia
Global Registry
of
Acute Coronary Events - Thang
di~m
GRACE
Hemoglobin -
Huy~t
s~c
t6
Hemoglobin
Ale
(Glycated Hemoglobin) - Hemoglobin glycat h6a
(chi
s6
ki~m
soat glucose mau)
Bicarbonate - Ion bicarbonat
History, ECG, Age, Risk Factors,
Troponin-
Thang
di~m
HEART
High Flow Nasal Cannula -
Ong thong miii
luu
luQ'llg
cao
Hyperosmolar Hyperglycemic State -
H<?i
chfrng tang ap
h.rc
thAm
th~u
tang glucose
mau
Human Immunodeficiency Virus - VIrus gay suy giam
mi~n
dich a ngum
Holter Monitoring - Ghi
di~n
tim lien
tl;lc
24-48
gia
Heart Rate - Nhip tim
6H
& 5T - 6 nguyen nhan H & 5 nguyen nhan T
Intra-Aortic Balloon Pump -
Bam bong d6i xung
d<)ng
m~ch
chu
Intracerebral Bleeding -
Xu~t
huy~t
nao
7
HOI
s&c
cAP
c&u
ICH
ICAMl
ICD
I CD-CRT
I Cis
ICP
ICPM
ICPR
ICU
ICF
IgE
IL
IL-l~
IL-6
IM
INR
IO
IPAP
IU
IV
J
J
JET
JVP
K
K+
KCl
L
LDL
LMA
LMWH
LP
LQT
LVH
M
MAP
MDMA
8
Intracerebral Hemorrhage -
Xu~t
huySt
nhu
m6
nao
Intercellular Adhesion Molecule 1 - Phan
ttr
kSt dinh lien bao 1
Implantable Cardioverter Defibrillator -
May
khir rung
c~y
ghep
Implantable Cardioverter Defibrillator with Cardiac Resynchronization
Therapy -
May
khir rung kern tai
dbng
b9
tim
Immune Checkpoint Inhibitors -
Thu6c
uc
chS
di~m ki~m
soat
mi~n
d!ch
Intracranial Pressure - Ap
h;rc
n9i
SQ
Intracranial Pressure Monitoring - Theo doi
ip
h;rc
n()i
SQ
Intracranial Pressure Reduction -
Giam
ap
h;rc
n()i
SQ
Intensive Care Unit -
Don
vi hbi
sue
tich cvc/khoa hbi sue tich
eve
Intracellular Fluid -
Dich
n()i bao
IgE - Khang
th~
IgE
Interleukin - Interleukin
(lien
b;;tch
t6)
Interleukin-1 beta - Interleukin-1
beta
Interleukin-6 - Cytokine IL-6
Intramuscular -
Tiem
hip
International Normalized Ratio -
Ty
1~
chufin
h6a
qu6c
tS
(dong mau)
Intraosseous -
Duang
trong
xuong
Inspiratory Positive Airway
Pressure-
Ap
lvc
duong
thi hit vao
International Unit -
Don
vi qu6c
tS
Intravenous-
Tiem/truy€n tinh m;;tch!duang tinh
m;;tch
Joule
-Don
vi nang lm;mg (s6c
di~n)
Junctional Ectopic Tachycardia -
Nhip
nhanh
b9
n6i
Jugular Venous Pressure -
Ap
lvc
tinh
m;;tch
canh
Potassium/Potassium
ion
- Kalilion kali
Potassium Chloride - Kali clorid
Low-Density Lipoprotein- Lipoprotein
ti
trQng
th~p
("cholesterol
x~u")
Laryngeal Mask Airway -
M~t
n;;t
thanh quan
Low-Molecular-Weight
Heparin-
Heparin trQng
luQ'Ilg
phan
ttr
th~p
Lumbar
Puncture -
ChQc
do
my
s6ng
Long
QT
Syndrome-
H9i
chU'ng
QT dai
Left Ventricular Hypertrophy - Phi
d;;ti
th~t
trai
Mean
Arterial Pressure - HuySt ap d()ng
m;;tch
trung binh
3,4-methylenedioxymethamphetamine-
Ma
my
t6ng
hqp
(thu6c
lie)
Mgz+
MI
mMRC
mEq/L
mmol/L
mOsmlkg
Mobitz IIII
MRA
MRI
MV
N
TS.BS.
TRAN
VAN
PHU
Magnesium ion - Ion magie
Myocardial Infarction - Nh6i mau
CO'
tim
Modified Medical Research Council - Thang
di~m
kh6
tha
mMRC
Milliequivalents per Liter - Miliequivalent
tren lit
Millimoles per Liter - Milimol tren lit
Milliosmole per kilogram - Miliosmol
tren kilogram
Mobitz Type
IIII-
Block
nhi-th~t
d9 II (Wenckebach!c6 dinh)
Magnetic Resonance Angiography - Chgp
m~ch
c()ng
huang
tU
Magnetic Resonance Imaging - C()ng
huang
tU
Mechanical Ventilation - Thong khi nhan
t~o/xam
l~n
Na+
Sodium/Sodium
ion-
Natri/ion natri
Na+CI-
Cotransporter Na+-cl- Cotransporter- B9 d6ng
v~n
chuy~n
Na+-cl-
(NCCT)
NaHC03
NaPi-IIa
NaCl
NaCl
0.9%
NFKB
NIHSS
NIV/NPPV
NIBP
NKCC2
NNT
NO
NOz
NOAC
NSAID
NSTEMI
NSVT
NTG
NT-proBNP
0
Sodium Bicarbonate- Natri bicarbonat
Sodium-Phosphate Cotransporter Type
Ila-
Kenh d6ng
v~n
chuy~n
natri-phosphate
lo~i
Ila
Sodium Chloride- Natri clorid (mu6i sinh ly)
Normal Saline - Dung dich mu6i
d~ng
truoog
Nuclear Factor kappa
B-
Y~u
t6 phien
rna
NFKB
National Institutes
of
Health Stroke
Scale-
Thang
di~m
d()t
quy NIH
Non-Invasive Ventilation/Noninvasive Positive Pressure Ventilation-
Thong khi khong
xam
l~n
Non-Invasive Blood
Pressure-
Huy~t
ap khong xam
l~n
Na+-K+-2Cl- Cotransporter- B9 d6ng
v~n
chuy~n
Na+-K+-2cl-
Number Needed to
Treat-
S6
b~nh
nhan
cfm
di~u
tri
d~
d~t
1
k~t
qua
c6lqi
Nitric Oxide - Oxit nitric
Nitrogen Dioxide -
Nita
dioxit
Non-Vitamin
KOral
Anticoagulant- Thu6c khang dong du0ng u6ng
th~
h~
m&i
Non-Steroidal Anti-Inflammatory Drug-Thu6c ch6ng vi em khong steroid
Non-ST-Elevation Myocardial Infarction-
Nh6i mau ca tim khong ST
chenh len
Non-Sustained Ventricular Tachycardia- Nhip nhanh tMt khong keo dai
Nitroglycerin - Nitroglycerin
N-terminal pro B-type Natriuretic
Peptide-
Ti~n
ch~t
peptid lqi
ni~u
type B
9
HOI
s&c
cAl>
c&u
02
OCT
ODS
p
P2Y12
PaC02
Pa02
PAC
PACU
PAF
PALS
PAWP/PCWP
PCI
PEA
PEEP
PEE Pi
PFTs
pH
PIP
PLT
P~.s
P04
3
-
PR
PRBC
Prednisone
PT
PTH
PTHrP
PVI
PVC/PVCs
Q
QRS
QT
QTc
R
10
.
Oxygen-
Oxy
Optical
Coherence Tomography - ChtJp
c~t
16p
quang
h<;>c
Osmotic Demyelination Syndrome -
H<)i
chUn.g
m.it myelin
th~m
th.iu
P2Y12
Receptor Inhibitor- Thu6c uc
ch~
th\1
th6
P2Y12
(khang ti6u
c~u)
Partial pressure
of
Carbon Dioxide - Ap su.it rieng
ph~n
C02
d<)ng
m~ch
Partial pressure
of
Oxygen - Ap su.it rieng
phk
02
d<)ng
m~ch
Premature Atrial Contraction - N
go~i
tam thu nhl
Post-Anesthesia Care
Unit-
Bon
vi h6i tinh sau gay me
Platelet
Activating
Factor-
Y~u
t6
ho~t
h6a ti6u
du
Pediatric Advanced Life Support - H6i sue nang cao nhi khoa
Pulmonary Artery (Capillary) Wedge
Pressure- Ap
h,rc
bit mao
m~ch
ph6i
Percutaneous Coronary Intervention - Can
thi~p
d<)ng
m~ch
vanh qua da ,
Pulseless
Electrical Activity -
Hoc;tt
d<)ng
di~n
tim kh6ng
mc;tch
Positive End-Expiratory
Pressure-
Ap
lgc
duong
cu6i thi
th&
ra
Intrinsic
Positive End-Expiratory Pressure- Ap lgc duong cu6i thi
th&
ra
n<)i
tc;ti
Pulmonary Function Tests - Xet
nghi~m
chuc nang h6 h.ip
Potential
of
Hydrogen -
B<)
pH
- thang do
d<)
axitlki~m
Peak Inspiratory Pressure -
Ap
lgc dinh thi hit vao
Platelet
- Tieu
du
Particulate
Matter::::;
2.5
)liD-
B\li
min
PM2.5
Phosphate
ion - Ion phosphate
PR
Interval - Khoang
PR
tren
di~n
tam
d6
Packed
Red Blood Cells - Kh6i hflng
du
l~ng
Prednisone - Corticosteroid
Prothrombin Time -
Thai
gian prothrombin
Parathyroid Hormone - Hormone tuy8n
c~n
giap
Par~thyroid
Hormone-related Peptide - Peptide lien quan hormone
tuyen
c~n
giap
Pulmonary Vein Isolation - C6
l~p
tinh
m~ch
ph6i
Premature
Ventricular Contraction(s)-
Ngoc;ti
tam thu th.it
QRS
Complex - Phuc
b<)
QRS
QT Interval - Khofmg
QT
tren
di~n
tam d6
Corrected QT Interval - Khoang QT
hi~u
chinh
RAAS/RAS
RANKL
RBBB
TS.BS.
TRAN
VAN
PHU
Renin-Angiotensin-Aldosterone System/Renin-Angiotensin
System-
H~
renin-angiotensin-aldosterone/h~
renin-angiotensin
Receptor
Activator
of
NF-KB
Ligand-
Th1,1
th~
di€u
hoa
ho<;tt
d()ng
huyxuong
Right
Bundle
Branch
Block
-
Block
nhanh
phai
Ringer Lactate (RL)
Ringer's
Lactate
Solution-
Dung
djch
Ringer
lactat
ROS Reactive
Oxygen
Species -
Oic
ch~t
phan
trng
02
h6a
ROSC
ROSCCare
RR
RSV
s
Sa02
SA
SAH
SBP
sc
SDH
SGA
SGLT2
SIADH
SIDS
SNP
so2
SOFA
Sp02
ST
STEMI
SVT
T
Twave
TBI
TBW
TEE
THAM
Return
of
Spontaneous Circulation - Ph\lc
h6i
tu~n
hoi:m
tv
nhien
Post-Cardiac Arrest Care -
Cham
s6c sau
h6i
sinh
Respiratory Rate -
Tfin s6
th<'r
Respiratory Syncytial Virus - Virus
hQP
bao
ho
h~p
Arterial
Oxygen
Saturation -
D()
bao
hoa
02
d()ng
m<;tch
Sinoatrial -
Xoang-nhi
Subarachnoid
Hemorrhage
-
Xu~t
huy€t du&i
nh~n
Systolic
Blood
Pressure - Huy€t ap
tam
thu
Subcutaneous - Du&i
da
Subdural
Hematoma
-
Mau
tv
du&i
mang
ctrng
Supraglottic
Airway
- Thi€t
bi
dm'mg
th<'r
tren
thanh
mon
Sodium-Glucose Cotransporter 2
Kenh
d6ng
v~n
chuy~n
Natri-Glucose type 2
Syndrome
of
Inappropriate Antidiuretic
Hormone
Secretion
H()i chtrng
ti€tADH
khong
thich
hQP
Sudden
Infant
Death
Syndrome
- H()i chtrng d()t m
<'r
tre
sa
sinh
Sodium
Nitroprusside -
Natri
nitroprussid
Sulfur Dioxide -
Luu
huynh
dioxit
Sequential
Organ
Failure
Assessment
Thang
di~m
danh
gia
suy
t<;tng
tu~n
tv
Peripheral
Oxygen
Saturation -
D()
bao
hoa
02
mau
ngo<;ti
vi
ST
Segment-
Do<;tn
ST
tren
di~n
tam
d6
ST-Elevation Myocardial Infarction-
Nh6i
mau
ca
tim
c6
ST
chenh len
Supraventricular Tachycardia -
Nhip
nhanh
tren
th~t
T Wave -
Song
T
Traumatic
Brain
Injury
-
Ch~n
thuong
S9
nao
Total
Body
Water -
T6ng
lm;mg nu&c
CO'
th~
Transesophageal
Echocardiography
- Sieu
am
tim
qua
thvc
quan
Tromethamine -
Dung
djch
d~m
amin
11
Hoi
sue
c.AP
cuu
TIA
TIMI
TNF/TNF-a
TOF
TPN
TRPM6/TRPM7
TSH
TTM
TX
TXAz
u
Uwave
UA
uc
UF
UFH
v
V/Q
Vz
receptor
VAS
VF
Venturi
VitD
VT
w
WAO
Whipple
WPW
A
M'
MG
~ratio
12
Transient Ischemic Attack -
Con
thi6u
mau
nao thoang qua
Thrombolysis in Myocardial Infarction -
Thang
di€m TIMI
Tumor Necrosis Factor
(alpha)-
Y6u t6
ho;;ti
tir u (alpha)
Train-of-Four- Theo
doi 4 kich thich
CO'
(gay
me)
Total Parenteral Nutrition -
Dinh
du5ng
tinh
m;;tch
toan phftn
Transient Receptor Potential Cation Channel subfamily M member 6/7 -
Kenh
v~
chuy6n magie TRPM6/TRPM7
Thyroid Stimulating Hormone - Hormone kich thich
tuySn giap
Targeted Temperature Management - Ki6m soat
nhi~t
dQ
m1;tc
tieu
Treatment -
Di~u
tri
Thromboxane
Az
- Thromboxane
Az
(
ch~t
gay k6t
~p
ti6u cftu)
U
Wave - Song U
Unstable Angina/Unmeasured Anions
Dau
th~t
ngvc
kh6ng
6n
djnh/cac anion kh6ng
do
duqc
Unmeasured Cations - Cac cation
kh6ng
do
duqc
Ultrafiltration - Sieu
l<;>c
Unfractionated Heparin - Heparin kh6ng
phan
do;;tn
Ventilation/Perfusion - Thong khi/tu6i
mau
Vasopressin Type-2
Receptor-
Th1;t
th6 vasopressin type-2
Visual Analog
Scale - Thang di6m nhin
thi
giac
Ventricular Fibrillation -
Rung
th~t
Venturi Mask -
M~t
n;;t
Venturi (thi6t
bi
dp
oxy)
Vitamin
D-
Vitamin D
Ventricular Tachycardia -
Nhip nhanh thfit
World Allergy Organization -
Hi~p
h{)i
Di
ling Th6 gi6i
Whipple's
triad-
B9
ba
tieu chuAn Whipple
Wolff-Parkinson-White Syndrome-
H{)i
chling Wolff-Parkinson-White
Driving
Pressure-
Chenh ap
lgc
dAy
Delta Anion Gap -
DQ
chenh khoang tr6ng anion
Delta Ratio -
Ty
s6 Delta (Danh gia r6i
lo;;tn
h6n
hqp)
l
r
Ts.ns.
TRAN
vAN
PHlJ
MUCLUC
. .
LOITl}A
................................................................................................................................. 2
LOI NOI
DAU
......................................................................................................................... 3
DANH
Ml)C
VIET TAT ......................................................................................................... 4
DANH
Ml)C
HiNH
............................................................................................................... 14
DANH
GIA
BAN
DAU
B:BNH
NHAN
cAP
CUD
................................................................
15
PHAN
VB
v A
soc
PHAN
v:e
.............................................................................................
55
soc
.......................................................................................................................................
7o
HOI
sue
DJCH ····················································································································
81
CAN
BANG
NUde
-
DI:BN
GrAI.. ..................................................................................... 102
KHOTH0
........................................................................................................................... 125
SUY HO HAP································································································ ..................... 136
HOI
CHUNG
sUY
H6
HAP
cAP
TrEN TRIEN ................................................................. 160
CON
HENPHE
QUAN ....................................................................................................... 167
DQT
KJCH
PHAT
B:BNH
PHOI TAC
NGHEN
MAN
TiNH
............................................... 174
CON
TANG GLUCOSE
MAU
CAP
CUD
........................................................................... 184
HA
GLUCOSE
MAU
cAP
CUD
......................................................................................... 203
TANGHVYET
APcAPcUD
............................................................................................ 214
DAU
NGl}c
v A HOI
CHUNG
MACH
v
ANH
cAP
.......................................................... 239
ROI
LOAN
NHJP TIM ........................................................................................................ 255
GIAM y
THUC
v A
HON
ME
............................................................................................ 274
NGVNG
roAN
HOAN
...................................................................................................... 298
HOI SINH TIM PHOI. ......................................................................................................... 307
ROI
LOAN
NONG
DO KALI ································ .............. ·················· ····························· 331
ROI
LOAN
NONG
DO
NATRI ................................ ································ ··························· 345
ROI
LOAN
NONG
DO CANXI .......................................................................................... 361
ROI
LOAN
NONG
DO MAGIE .......................................................................................... 377
ROI
LOAN
NONG
DO PHOSPHATE ................................................................................. 385
HOI
CHUNG
TIET HORMON CHONG
BAI
NI:BU
KHONG THICH HQP ....................... 392
" ' > ' > 5
ROI LOAN
VA
DIEU
HOA
TOAN KIEM .......................................................................... 39
'
~
, 430
TAl
LI~U
THAM
KHAO ................................................................................................... .
13
HOI
s&c
cAP
c&u
DANH
MUC
HINH
.
Hinh
1:
ST binh thu6ng (ben trai) va ST chenh len ................................................... 246
Hinh 2: ST binh
thu6ng (ben tnli)
vaST
chenh xu6ng .............................................. 246
Hinh
3:
Nh6i mau
C<J
tim
dp
(y
b~nh
nhan c6 Block nhanh trai ................................. 247
Hinh
4:
Nh6i mau
C<J
tim khong ST chenh len .......................................................... 247
Hinh
5:
Nhip nhanh vao
l~i
nhi-
thiit ........................................................................ 260
Hinh
6:
Nhip nhanh vao
l~i
nut
nhi-
thiit.. ................................................................ 261
Hinh
7:
Nhip nhanh nhi ............................................................................................ 262
Hinh
8:
Rung nhi ...................................................................................................... 262
Hinh
9:
Cu6ng nhi .................................................................................................... 263
Hinh
10: Nhip nhanh nhi da 6
...................................................................................
264
Hinh
11:
Nhip nhanh
b<)
n6i ...................................................................................... 264
Hinh
12:
Nhip nhanh thiit khong keo dai ................................................................... 265
Hinh 13:
Nhip nhanh thiit
dan
hinh ........................................................................... 266
Hinh 14: Rung
thiit ................................................................................................... 267
Hinh 15:
Xo~n
dinh .................................................................................................. 268
Hinh 16:
Nhip
ch~m
xoang ....................................................................................... 270
Hinh 17: Block
A-
V
d<)
III ......................................................................................
271
Hinh 18:
H<)i
chlffig nut xoang .................................................................................. 273
14
r
?~"
TS.BS.
TRAN
VAN
PHU
DANH
GIA
BAN
DAU
BENH
NHAN
CAP
CtrU
.
Ml)CTIEU
1.
Trinh bay nguyen t!ic va cac
bu:&c
aanh gia ban adu b¢nh nhan cdp
cU:u
(ABC).
2.
Nh{in bidt ddu hi¢u de
dra
tinh
mqng
va
chi
atnh can thi¢p kip
thiri.
3.
V{in
d~;~ng
kfJ
nang aanh gia lam
sang
va
c{in
lam sang trong
xu
tri ban
afzu.
I.
NHJ.\N
D
JNH
CHUNG
H6i sue
dp
ctru la
m9t
qua trinh toan
di~n
nh~m
phat
hi~n
s6m
va
can
thi~p
kip thai
cac r6i
loc;m
sinh ly nghiem trQng c6 nguy ca de d9a tinh
mc;tng.
Ml,lc
tieu chinh trong giai
doC;ln
danh gia
ban
dftu la nhanh chong 6n dinh cac chuc nang s6ng, ngan ngira
t6n
thuang
vinh vi€n
va
tc;to
n~n
tang cho
di~u
tri chuyen sau
ti~p
theo.
Quy
trinh danh gia ban
dftu
a
b~nh
nhfm
C~p
CUu
dUQ'C
tri€n khai qua
bf>n
bu<Jc
lien
1\}C.
1.1.
Danh
gia
ban
dau
Ti~p
c~n
ngay
l~p
rue
v&i
m\}C
tieu
6n
dinh
duang
tha, h6
h~p,
tuftn hoan
va
muc
d9
tinh tao.
Ar
d\lllg
phuang
phap danh gia tufin
tv
d€
phat
hi~n
va
xu
ly
s6m
cac tinh
trc;tng
de
dQa
tinh
mc;tng.
1.2. Hoi swc
cap
ciru
Thgc
hi~n
cac can
thi~
chuyen sau ban dftu
nhu
d~t
n()i khi quan,
h6
trq
thong khi,
bu
dich,
su
dl,lng
thu6c
v~n
mc;tch
va
ki€m soat dau
dp
tinh.
Tu:ln thu phac db chufm
va
huang
d~n
Him
sang d€ dam bao tinh
h~
th6ng
va
hi~u
qua
di~u
tri.
1.3.
Danh
gia
chuyen
sau
Kham
Him
sang toan
di~n
gbm khai thac
ti~n
su, tham
kham
chi
ti~t
m dftu
d~n
chan,
danh gia thftn
kinh (theo thang di€m h6n me), da
va
m6
ngoC;li
bien,
h~
h6
h~p,
tim
mc;tch,
ca
-
xuang
-
kh&p
trong cung
mQt
quy trinh
ch~t
che.
Ti~n
hanh cac
c~n
lam sang gbm
ch~n
doan hinh anh (X - Quang, sieu am
tc;ti
giuang)
va
xet
nghi~m
mau
ca ban.
1.4.
:DH~u
tr!
to~m
di~n
Xac dinh nguyen nhan chinh gay
ra
tinh
trc;tng
dp
CUu
va
xay d\]llg
k~
hoC;lCh
di~u
tri
d~c
hi~u.
15
HOI
s&c CAP c&u
Ph6i
hqp
da
chuyen.khoa, bao
gbm
hbi sue tich C\fC,
ph~u
thu~t
va
cac chuyen nganh
h6
trq
khac.
1.5.
Phan
IOC;li
cap
ClrU
ban
dau
6n
dinh
tuong
d6i: Khong c6
diu
hi~u
de
d<,m
tinh
m:;tng
ngay
l~p
me.
Khong 6n djnh: BiSu
hi~n
giam y thuc,
mit
6n
dinh huySt dong
ho~c
suy ho
hip
cip.
Nguy
kich:
Nguy
ca
tt'r
vong cao trong thm gian ngfui.
Tt'r
vong:
B~nh
nhan khong con
diu
hi~u
sinh tbn.
Qua
trinh danh gia
dn
duqc tiSn hanh ngay m thai diSm tiSp xuc
d~u
tien, bao
gbm
quan sat
s~c
m~t,
nhip
th&,
tu
thS
va
cu
dong tv nhien.
Dbng
thai, thu
th~p
thong tin v€
di~n
bisn
b~nh,
b~nh
1-y
nen, tien su di rrng
va
di€u tri dang
di:mg
cling
rit
quan trQng
d@
dinh
hu6ng
can
thi~p.
lf
U tien
tuy~t
d6i cho cac
bi~n
phap
dp
CUu
theo trinh tv
du<'rng
th(y
- ho
hip
-
tu~n
hoan (ABC
-Airway-
du<'rng
th&;
Breathing-
ho
hip;
Circulation-
tu~n
hoan) ngay khi tiSp
xuc
v&i
b~nh
nhan, tru&c bftt
kY
danh gia
hay
can
thi~p
nao khac.
D~u
tien,
dam
bao
du<'rng
th&
thong thoang bilng thu
thu~t
dS
duy tri thong khi, c6 dinh cot s6ng c6 nSu nghi nga
chin
thuong
va
sgn sang
d~t
6ng noi khi quan nSu c6
diu
hi~u
suy ho
hip
n~g.
TiSp
d6, h6 trq ho
hip
bilng
02lieu
cao
ho~c
thong khi ap lvc duong, danh gia
hi~u
qua thong qua quan sat chuysn
dong lbng ngvc,
nghe am ph6i va theo doi do bao hoa oxy. Song song, thvc
hi~n
h6i sue
tu~n
hoan
b~ng
truy€n djch nhanh
ho~c
dl:mg
thu6c
v~
m:;tch
nSu huySt dong chua 6n dinh, dbng
thm
theo doi lien
1\lc
m:;tch,
huySt ap va tum mau
ngo:;ti
vi.
Chi khi
ba
ySu t6 s6ng con -
du<'rng
th&,
ho
hip
va
tu~n
hoan - da duqc kiSm soat 6n
dinh,
mm
ti€n hanh danh gia toan
di~n,
thvc
hi~n
xet
nghi~m
c~
lam
sang
va
di€u tri chuyen
sau
nh~m
xac djnh cling
nhu
XU
trf nguyen nhan g6c cua tinh
tr:;tng
cip
CUu.
II.
DANH
GIA
HO
HAP
Khm
d~u
danh gia ho
hip
t~p
trung vao kha nang duy tri
du<'rng
th&
thong su6t,
hi~u
qua trao d6i 02 va thong khi, d6ng thm
phat
hi~n
kip thm cac
diu
hi~u
suy ho
hip
dp.
Ml)c
tieu la xac djnh
ngay nhiing
bit
thu<'rng
v€
t~n
s6
th&,
mile do
g~ng
sue khi
th&,
ki@u
th&,
am
th&
va
do bao hoa 02 trong mau
d@
c6
th@
tiSn hanh cac can
thi~p
CUu
s6ng
s&m
nhit.
Vi~c
danh gia nay
dn
thvc
hi~n
nhanh bilng each quan sat hinh
d:;tng
va
chuy@n
dong
cua 16ng ngvc, am
th&,
su
dl)ng
may
do
do
bao
hoa
02 mao
m:;tch
va
khi
c~n
thiSt
liy
khi
mau
dong
m:;tch
d@
xac dinh tinh
tr:;tng
trao d6i khi. D6ng thai,
dn
can
nh~c
cac ySu t6 nguy
ca t6n thuong ph6i
nhu
chin
thuong ngvc,
b~nh
ph6i
t~c
nghen
m:;tn
tinh
ho~c
phu
ph6i
dS
s&m
dieu chinh phac d6 thong khi
va
li~u
phap
02
phu
hqp ngay m phut
d~u
tiSp xuc
vm
b~nhnhan.
Sau khi hoan
tit
danh gia ban
d~u,
dn
phan tich ba thanh t6 -
duy
tri
du<'rng
th&,
trao
d6i khi
va
thong khi -
nh~m
dinh hu6ng cac can
thi~p
mot each chinh xac
va
kip thai.
16
TS.BS.
THAN
VAN
PHU
2.1. Nguyen tac chung
(1)
DuJng
tha-
H6
hdp-
Twin hoan:
Luon dam bao duemg th6 thong su6t tru6c tien.
Sau d6 m6i danh gia chuc nang ho
h~p
va tulin hoan.
(2)
Nhin - Nghe - Sa:
Quan sat chuy€n
d(>ng
16ng
ngvc.
Nghe am th6
nhu
rit, ran, kho khe.
Sa
rung thanh d€ ki€m tra
d(>
d6i xtrng cua thong khi.
(3)
Thea doi lien tl!c:
Do
d(>
bao hoa 02 mao
m<;tch
nh&m
danh gia
luQTig
02 trong
mau
ngo<;ti
vi.
Theo
doi n6ng
d(>
C02 cu6i thi th6 ra d€ danh gia
hi~u
qua thong khi.
Quan
sat song
th6
n~u
b~nh
nhan dang duqc h6 trq
b&ng
may th6.
2.2. Danh gia ho hap tirng bml'c
(1)
Tdn
s6
h6 hdp:
Nguai
Ian:
12-
20 Ilin!phut.
Tre
em:
./
Sa
sinh: 30 - 60 llin/phut.
./
Du6i 1 tu6i: 25 - 40 llin/phut.
./
Tir 1
d~n
5 tu6i:
20-
30 llin/phut.
./
Tren 5 tu6i:
15
-
25
llin/phut.
R6i
lo<;tn:
Th6
ch~m
(dum 12llin/phut): Do suy ho
h~p
trung uang,
ng(>
d(>c
opioid, t6n thuang nao.
Th6
nhanh (tren 20 llin/phut):
Gi;ip
trong nhi6m trimg
nl;ing,
t~c
m<;tch
ph6i, phu ph6i
dp,
toan chuy€n h6a.
Ngirng th6 (ngirng
~
15
giay): Do ngung tim,
ch~n
thuang
nl;ing.
(2)
Di)
sau h6 hdp
(thi
tich luu thong):
Tang thong khi: Th€ tich luu thong tang lam giam n6ng
d(>
C02 trong mau; thuemg do
toan
chuy€n h6a
hol[tc
tang ap
1\IC
n(>i
SQ.
Giam thong khi: Th€ tich luu thong giam lam tang n6ng
d(>
C02 trong mau; thuemg
gl;ip
trong
t~c
nghen duemg th6,
li~t
ca ho
h~p,
su d\]llg thu6c
uc
ch~
thlin kinh trung uang.
17
HOI sfrc
cAP
cfru
(3)
Kidu h6 hdp:
Ki~uthO'
D~c
di~m
Nguyen
nhan
chinh
Cheyne - Stokes
Nhip
thO'
tang
diu
r6i giam
diu
xen
Suy tim
n~g,
t6n thuong trung tam
ke cac
dqt:
ngung
thO'
hOh~p
Biot
(thO'
khong
d~u)
Nhip
thO'
th~t
thm'mg,
ngung d9t ng9t
T6n
thuong hanh nao, ng9 d9c opioid
Kussmaul
ThO'
nhanh, sau,
lien
4J.c
khong Toan ceton do dai thao du6'ng, toan
ngat quang
chuySn
h6a
n~ng
N ghich thu6'ng L6ng
nglJC
lorn vfw khi hit vfw
Li~t
CO'
hO
h~p,
ch~n
thuong
cQt
song
ng\l'C
( 4) Ddu hi¢u ttic nghen auimg tha:
Kh6 n6i
ho~c
khong n6i duqc: BiSu
hi~n
tic
nghen nghiem
tn;mg.
Am
th&
rit, kho khe: Gqi
-y
h~p
duemg
th&
tren.
Rut lorn
hom
uc,
hom
lien
suem:
Sir dvng
CO'
ho
h~p
ph\1
qua muc.
Tim tai:
D~u
hi~u
mu()n cua
thi~u
02
n~ng.
Thay d6i
giQng
n6i, tang cong
th<'r,
ti~ng
ngay: Gqi y
tic
nghen m()t
ph~n.
(5)
Kham thvc
thi
ma
r(mg:
Quan sat:
Tu
th~
ng6i chdng tay, ng6i thfulg, biSu
hi~n
dau
ng\fc
ho~c
kh6
th<'r.
Sa: Rung thanh khong
d~u,
giam a ben c6 tn'm khi
ho~c
tr~m
dich mang ph6i.
Go:
Am
dvc (tran dich), vang (tran khi).
Nghe:
./
Ran
Am,
ran n6: Vi em ph6i, phu ph6i
c~p,
xa
ph6i .
./
Ran rit, ran ngay: Hen
ph~
qmin,
b~nh
ph6i
tic
nghen
m~n
tinh, viem
ph~
quan
m~.
v Giam
ho~c
m~t
am
th&:
X~p
ph6i,
tr~m
khi mang ph6i.
(6)
Tham
do
chuc nang
va
chi
s6:
D9 bao hoa
02
(Sp02):
./
Mvc tieu
2:
94%
n~u
khong c6
b~nh
n~n
.
./
Mvc tieu 88 - 92%
<'r
b~nh
nhan c6
b~nh
ph6i
tic
nghen
m~n
tinh.
Ap
llJc C02 cubi
ky
th<'r
ra (EtC02): Theo doi kha nang thong khi
va
kiSm tra vi tri dng
n9i
khi quan.
Khi mau d()ng
m~ch:
Danh gia cac thong sb Pa02, PaC02,
pH
va
bicarbonate.
Sieu am
~i
giuang, X -Quang ngvc di
d()ng:
Phat
hi~n
tran
khi,
phu ph6i, dong
d~c
ph6i.
18

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