{"id":108,"date":"2020-10-27T09:30:29","date_gmt":"2020-10-27T09:30:29","guid":{"rendered":"http:\/\/cdha.edu.vn\/cdha\/?p=108"},"modified":"2020-10-27T09:30:29","modified_gmt":"2020-10-27T09:30:29","slug":"ca-07-nhan-xo-tu-cung-duoi-thanh-mac-da-nhan-xo-tu-cung","status":"publish","type":"post","link":"https:\/\/cdha.edu.vn\/cdha\/ca-07-nhan-xo-tu-cung-duoi-thanh-mac-da-nhan-xo-tu-cung\/","title":{"rendered":"Ca 07: NH\u00c2N X\u01a0 T\u1eec CUNG D\u01af\u1edaI THANH M\u1ea0C\/ \u0110A NH\u00c2N X\u01a0 T\u1eec CUNG."},"content":{"rendered":"\n<figure class=\"wp-block-embed-youtube wp-block-embed is-type-video is-provider-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"ca 07\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/KRyIt22hHWo?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption>Ca 07: N\u1eef 33t, kh\u00e1m s\u1ee9c kho\u1ebb \u0111\u1ecbnh k\u1ef3=>sa: bq \u00edt n\u01b0\u1edbc ti\u1ec3u, th\u1ea5y t\u1eed cung nh\u01b0ng 2 bu\u1ed3ng tr\u1ee9ng kh\u00f3 x\u00e1c \u0111\u1ecbnh. Ngu\u1ed3n video: BS Nguy\u1ec5n \u0110\u00ecnh H\u1ed3<\/figcaption><\/figure>\n\n\n\n<div class=\"separator\" style=\"text-align: justify;\"><b>B\u00c0N LU\u1eacN:<\/b><\/div>\n<div class=\"separator\" style=\"text-align: justify;\">&#8211; C\u01a1 t\u1eed cung c\u00f3 nhi\u1ec1u kh\u1ed1i echo k\u00e9m gi\u1edbi h\u1ea1n r\u00f5 kt#&#8230; mm -&gt; \u0110a nh\u00e2n x\u01a1 t\u1eed cung.<\/div>\n<div class=\"separator\" style=\"text-align: justify;\">&#8211; Kh\u1ed1i v\u00f9ng \u0111\u00e1y b\u00ean ph\u1ea3i t\u1eed cung trong b\u1ed1i c\u1ea3nh bu\u1ed3ng tr\u1ee9ng ph\u1ea3i kh\u00f4ng quan s\u00e1t r\u00f5: c\u00f3 th\u1ec3 l\u00e0 nh\u00e2n x\u01a1 t\u1eed cung d\u01b0\u1edbi thanh m\u1ea1c HO\u1eb6C u \u0111\u1eb7c bu\u1ed3ng tr\u1ee9ng ph\u1ea3i. Ca n\u00e0y l\u00e0 nh\u00e2n x\u01a1 t\u1eed cung d\u01b0\u1edbi thanh m\u1ea1c v\u00ec:<\/div>\n<div class=\"separator\" style=\"text-align: justify;\">\u00a0<\/div>\n<ol style=\"text-align: justify;\">\n<li>Kh\u1ed1i chuy\u1ec3n \u0111\u1ed9ng c\u00f9ng v\u1edbi t\u1eed cung khi \u1ea5n \u00e9p \u0111\u1ea7u d\u00f2<\/li>\n<li>D\u1ea5u c\u1ea7u m\u1ea1ch (+)<\/li>\n<li>Claw sign (+) v\u1edbi c\u01a1 t\u1eed cung.<\/li>\n<\/ol>\n<div style=\"text-align: justify;\"><b>K\u1ebeT LU\u1eacN:<\/b><\/div>\n<div style=\"text-align: justify;\">NH\u00c2N X\u01a0 T\u1eec CUNG D\u01af\u1edaI THANH M\u1ea0C\/ \u0110A NH\u00c2N X\u01a0 T\u1eec CUNG.<br \/><br \/><b>L\u00dd THUY\u1ebeT:<\/b><br \/><i>1. D\u1ea5u m\u00f3ng vu\u1ed1t (Claw sign)<\/i>:\u00a0<br \/>C\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 d\u1ea5u m\u1ecf chim (Beak sign).\u00a0D\u1ea5u m\u00f3ng vu\u1ed1t r\u1ea5t h\u1eefu \u00edch trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh m\u1ed9t kh\u1ed1i u c\u1ee7a t\u1ea1ng \u0111\u1eb7c c\u00f3 kh\u1ea3 n\u0103ng ph\u00e1t sinh t\u1eeb b\u00ean trong r\u1ed3i nh\u00f4 ra ngo\u00e0i h\u01a1n l\u00e0 u c\u1ee7a c\u01a1 quan kh\u00e1c t\u1eeb b\u00ean ngo\u00e0i ch\u00e8n v\u00e0o. N\u00f3 l\u00e0 c\u00e1c g\u00f3c nh\u1ecdn (nh\u1ecdn ho\u1eaft nh\u01b0 c\u00e1i m\u00f3ng vu\u1ed1t) \u1edf hai b\u00ean kh\u1ed1i u, n\u01a1i nhu m\u00f4 b\u00ecnh th\u01b0\u1eddng bao quanh kh\u1ed1i u khi kh\u1ed1i u n\u00e0y ph\u00e1t tri\u1ec3n t\u1eeb trong ra.\u00a0<br \/>\n<div class=\"separator\">\u00a0<\/div>\n<div class=\"separator\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/1.bp.blogspot.com\/-ps0w5JIbi30\/XlySgTRH4wI\/AAAAAAAAAw4\/DhzNYVwYldoUhkCXAKLkc3sywG1AJGiqACLcBGAsYHQ\/s1600\/021b8192fd61474db1231eca8d2561_jumbo.jpeg\" border=\"0\" data-original-height=\"897\" data-original-width=\"623\" \/><\/div>\n<br \/><br \/>\n<div class=\"separator\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/1.bp.blogspot.com\/-0OHJWBvnIIo\/XlydPcP-TeI\/AAAAAAAAAyQ\/10AgbxmViXUhIFzEncV9G_j7S0VmdnNDgCLcBGAsYHQ\/s1600\/Capture.PNG\" border=\"0\" data-original-height=\"876\" data-original-width=\"836\" \/><\/div>\n<div class=\"separator\">\u00a0<\/div>\n<i>Ca n\u00e0y:<\/i><br \/>\n<div class=\"separator\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/1.bp.blogspot.com\/-FEPftt2Ptsk\/Xl0ZUgbRyLI\/AAAAAAAAAyw\/KP-1vgh9F48U9dxMFfgJrSuCdH-0T2FlQCLcBGAsYHQ\/s1600\/cls.PNG\" border=\"0\" data-original-height=\"524\" data-original-width=\"786\" \/><\/div>\n<i><br \/><\/i><i><br \/><\/i><i>2. D\u1ea5u c\u1ea7u m\u1ea1ch:<\/i><br \/><span class=\"fontstyle0\">Vascular bridging sign (d\u1ea5u hi\u1ec7u c\u1ea7u m\u1ea1ch m\u00e1u)<\/span><span class=\"fontstyle2\">:\u00a0<\/span><span class=\"fontstyle2\">u x\u01a1 l\u1edbn d\u01b0\u1edbi thanh m\u1ea1c (l\u00e0nh\u00a0t\u00ednh) c\u00f3 th\u1ec3 l\u1ea7m v\u1edbi u \u0111\u1eb7c bu\u1ed3ng tr\u1ee9ng (c\u00f3 th\u1ec3 \u00e1c t\u00ednh). \u0110\u1ec3 ph\u00e2n bi\u1ec7t ta d\u1ef1a v\u00e0o d\u1ea5u\u00a0hi\u1ec7u c\u1ea7u m\u1ea1ch m\u00e1u.<br \/>&#8211; S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a nhi\u1ec1u c\u1ea5u tr\u00fac m\u1ea1ch gi\u1eefa t\u1eed cung v\u00e0 c\u1ea5u tr\u00fac b\u1ec7nh l\u00fd \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0\u00a0d\u1ea5u hi\u1ec7u c\u1ea7u m\u1ea1ch m\u00e1u\u00a0<\/span><span class=\"fontstyle3\">&#8211;&gt;\u00a0<\/span><span class=\"fontstyle2\">kh\u1ed1i u l\u00e0 u x\u01a1 d\u01b0\u1edbi thanh m\u1ea1c.<br \/>&#8211; Kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u n\u00e0y\u00a0<\/span><span class=\"fontstyle3\">&#8211;&gt;\u00a0<\/span><span class=\"fontstyle2\">U \u0111\u1eb7c bu\u1ed3ng tr\u1ee9ng.<\/span>\u00a0(c\u1ea7n check l\u1ea1i, kh\u00f4ng l\u1ebd \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 100%?, n\u00ean ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t cho ch\u1eafc)<br \/>\n<div class=\"separator\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/1.bp.blogspot.com\/-4kofqxN71JM\/XlyVfrDtXGI\/AAAAAAAAAxk\/vpMdB-CCF_kN5kMjNG1L5ertJdGqJ1isQCLcBGAsYHQ\/s1600\/cm1.PNG\" border=\"0\" data-original-height=\"318\" data-original-width=\"688\" \/><\/div>\n<div class=\"separator\">\u00a0<\/div>\nTr\u00ean m\u1ea1ng ch\u1ee7 y\u1ebfu ghi l\u00e0 bridging vessel sign ho\u1eb7c Vascular Bridging Vessels sign<br \/><br \/>Ca n\u00e0y:<br \/>\n<div class=\"separator\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/1.bp.blogspot.com\/-k9jx2LeziLQ\/Xl0Z9uJ3xZI\/AAAAAAAAAy4\/jJ5ke4ZBMHMKVRbU8Mc5E8SUx7rNdH2rgCLcBGAsYHQ\/s1600\/cm.PNG\" border=\"0\" data-original-height=\"606\" data-original-width=\"619\" \/><\/div>\n<br \/><br \/><i>3. D\u1ea5u khuy\u1ebft ti\u1ec1n t\u00e2m tr\u01b0\u01a1ng:\u00a0<\/i><br \/>Khi \u0111\u1eb7t doppler xung v\u00e0o m\u1ea1ch m\u00e1u trong u hay t\u1ea1i c\u1ea7u m\u1ea1ch, n\u1ebfu th\u1ea5y ph\u1ed5 Doppler c\u00f3 khuy\u1ebft ti\u1ec1n t\u00e2m tr\u01b0\u01a1ng ch\u1ee9ng t\u1ecf m\u1ea1ch m\u00e1u c\u1ee7a u c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb \u0111\u1ed9ng m\u1ea1ch t\u1eed cung &#8211;&gt; nh\u00e2n x\u01a1 t\u1eed cung d\u01b0\u1edbi thanh m\u1ea1c.<br \/>\n<div class=\"separator\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/1.bp.blogspot.com\/-khqwvaEQHBc\/XlyWn-V8NkI\/AAAAAAAAAxs\/ISatweYcuzcqgRgbEY-XzB95kldFbjYDQCLcBGAsYHQ\/s1600\/cm2.PNG\" border=\"0\" data-original-height=\"346\" data-original-width=\"496\" \/><\/div>\n<div class=\"separator\">\u00a0<\/div>\n<\/div>\n<div style=\"text-align: justify;\"><b>T\u00c0I LI\u1ec6U THAM KH\u1ea2O:<\/b><br \/><a href=\"https:\/\/drive.google.com\/file\/d\/0B83IqcbI1DGyQk0tZkdvU01EQ0k\/view\" target=\"_blank\" rel=\"noopener noreferrer\">1. Si\u00eau \u00e2m t\u1eed cung &#8211; th\u1ea7y Tr\u1ecdng 2016:<\/a><br \/><a href=\"https:\/\/drive.google.com\/file\/d\/0B0V6R9lDbtE7ZGhEejhlRU5vT1U\/view\" target=\"_blank\" rel=\"noopener noreferrer\">2. Si\u00eau \u00e2m t\u1eed cung &#8211; th\u1ea7y Tr\u1ecdng 2015:<\/a><br \/><a href=\"https:\/\/link.springer.com\/book\/10.1007\/978-3-319-04013-4\" target=\"_blank\" rel=\"noopener noreferrer\">3. Metaphorical Signs in Computed Tomography of Chest and Abdomen<\/a><br \/><br \/><br \/><b>M\u1ed8T S\u1ed0 C\u00c2U TR\u1ea2 L\u1edcI SAI:<\/b><br \/>\n<div class=\"separator\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/1.bp.blogspot.com\/-DH9ie2-S--c\/Xl0ay5YPYbI\/AAAAAAAAAzI\/CG9TZla7Zlc925VHo0lQ-wREVw2uApCHgCLcBGAsYHQ\/s1600\/TL1.PNG\" border=\"0\" data-original-height=\"250\" data-original-width=\"548\" \/><\/div>\n<div class=\"separator\">1. Thi\u1ebfu ph\u1ea7n m\u00f4 t\u1ea3 l\u00fd gi\u1ea3i ch\u1ea9n \u0111o\u00e1n. H\u01a1n n\u1eefa \u0111\u00e1p \u00e1n \u0111\u00fang l\u00e0 Nh\u00e2n x\u01a1 t\u1eed cung d\u01b0\u1edbi thanh m\u1ea1c \/ \u0111a nh\u00e2n x\u01a1 t\u1eed cung.<\/div>\n<div class=\"separator\">\u00a0<\/div>\n<div class=\"separator\">2. \u0110\u00e2y c\u00f3 ph\u1ea3i nh\u00e2n x\u01a1 t\u1eed cung d\u01b0\u1edbi thanh m\u1ea1c\u00a0<b>c\u00f3 cu\u1ed1ng<\/b>:<\/div>\n<div class=\"separator\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/1.bp.blogspot.com\/-N0rLuVpNLso\/Xl5mMgGFVvI\/AAAAAAAAAzk\/-dJVxS_NnMAbT2OWtgWFy8wib4ld7XptgCLcBGAsYHQ\/s1600\/nxtc.PNG\" border=\"0\" data-original-height=\"450\" data-original-width=\"502\" \/><\/div>\n<div class=\"separator\">D\u1ef1a v\u00e0o h\u00ecnh tr\u00ean em \u00edt ngh\u0129 \u0111\u00e2y l\u00e0 nh\u00e2n x\u01a1 t\u1eed cung c\u00f3 cu\u1ed1ng, v\u00ec n\u1ebfu c\u00f3 cu\u1ed1ng (c\u00f3 th\u1ec3) n\u00f3 s\u1ebd kh\u00f4ng di chuy\u1ec3n c\u00f9ng v\u1edbi t\u1eed cung v\u00e0 kh\u00f4ng c\u00f3 claw sign.<\/div>\n<br \/>\n<div class=\"separator\">\u00a0<\/div>\n<b>TR\u1ea2 L\u1edcI C\u00c2U H\u1eceI:<\/b><br \/>T\u00e0i li\u1ec7u v\u1ec1 d\u1ea5u khuy\u1ebft ti\u1ec1n t\u00e2m tr\u01b0\u01a1ng: Xem trong b\u00e0i\u00a0<a href=\"https:\/\/drive.google.com\/file\/d\/0B83IqcbI1DGyQk0tZkdvU01EQ0k\/view\" target=\"_blank\" rel=\"noopener noreferrer\">Si\u00eau \u00e2m t\u1eed cung &#8211; th\u1ea7y Tr\u1ecdng 2016<\/a>\u00a0(h\u00ecnh \u1edf tr\u00ean)<\/div>\n","protected":false},"excerpt":{"rendered":"<p>B\u00c0N LU\u1eacN: &#8211; C\u01a1 t\u1eed cung c\u00f3 nhi\u1ec1u kh\u1ed1i echo k\u00e9m gi\u1edbi h\u1ea1n r\u00f5 kt#&#8230; mm -&gt; \u0110a nh\u00e2n x\u01a1 t\u1eed cung. &#8211; Kh\u1ed1i v\u00f9ng<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,16,5],"tags":[26,25,24],"class_list":["post-108","post","type-post","status-publish","format-standard","hentry","category-bung-tq","category-phu-khoa","category-sieu-am","tag-beak-sign","tag-claw-sign","tag-nhan-xo-tu-cung"],"_links":{"self":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/108","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/comments?post=108"}],"version-history":[{"count":1,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/108\/revisions"}],"predecessor-version":[{"id":109,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/108\/revisions\/109"}],"wp:attachment":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media?parent=108"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/categories?post=108"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/tags?post=108"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}