{"id":1146,"date":"2025-09-06T23:23:42","date_gmt":"2025-09-06T16:23:42","guid":{"rendered":"https:\/\/cdha.edu.vn\/cdha\/?p=1146"},"modified":"2025-09-06T23:28:45","modified_gmt":"2025-09-06T16:28:45","slug":"dau-hieu-khoi-thuoc-smoke-sign-y-nghia-nguyen-nhan-tien-luong","status":"publish","type":"post","link":"https:\/\/cdha.edu.vn\/cdha\/dau-hieu-khoi-thuoc-smoke-sign-y-nghia-nguyen-nhan-tien-luong\/","title":{"rendered":"D\u1ea5u hi\u1ec7u kh\u00f3i thu\u1ed1c (Smoke sign): \u00dd ngh\u0129a, nguy\u00ean nh\u00e2n, ti\u00ean l\u01b0\u1ee3ng"},"content":{"rendered":"\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Venous Ultrasound: Smoke Sign \u2013 Meaning, Causes, Prognosis &amp; 4 Case Studies\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/n4UoLTpYthw?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><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">D\u1ea5u hi\u1ec7u kh\u00f3i tr\u00ean si\u00eau \u00e2m B-mode, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng \u00e2m t\u1ef1 ph\u00e1t (spontaneous echo contrast), l\u00e0 nh\u1eefng h\u1ed3i \u00e2m t\u0103ng \u00e2m m\u1edd, xo\u00e1y nh\u1eb9 b\u00ean trong l\u00f2ng t\u0129nh m\u1ea1ch, gi\u1ed1ng nh\u01b0 kh\u00f3i. D\u1ea5u hi\u1ec7u n\u00e0y ph\u1ea3n \u00e1nh d\u00f2ng ch\u1ea3y c\u1ee7a m\u00e1u r\u1ea5t ch\u1eadm ho\u1eb7c \u1ee9 tr\u1ec7, do s\u1ef1 h\u00ecnh th\u00e0nh <strong>rouleaux<\/strong><sup>(<\/sup><sup data-fn=\"c9653e14-8284-44af-9d62-929bc15b8257\" class=\"fn\"><a href=\"#c9653e14-8284-44af-9d62-929bc15b8257\" id=\"c9653e14-8284-44af-9d62-929bc15b8257-link\">1<\/a><\/sup><sup>)<\/sup> c\u1ee7a c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">D\u1ea5u hi\u1ec7u kh\u00f3i c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ghi nh\u1eadn \u1edf nhi\u1ec1u v\u1ecb tr\u00ed t\u0129nh m\u1ea1ch kh\u00e1c nhau: t\u0129nh m\u1ea1ch c\u1ea3nh trong (th\u01b0\u1eddng th\u1ea5y \u1edf t\u01b0 th\u1ebf n\u1eb1m, m\u1ea5t n\u01b0\u1edbc ho\u1eb7c c\u00f3 catheter t\u0129nh m\u1ea1ch trung t\u00e2m), t\u0129nh m\u1ea1ch c\u00e1nh tay \u0111\u1ea7u (do d\u00f2ng m\u00e1u t\u0129nh m\u1ea1ch v\u1ec1 tim th\u1ea5p, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng tim ph\u1ea3i ho\u1eb7c ch\u00e8n \u00e9p t\u1eeb b\u00ean ngo\u00e0i), t\u0129nh m\u1ea1ch khoeo (cho th\u1ea5y t\u00ecnh tr\u1ea1ng \u1ee9 tr\u1ec7, c\u00f3 nguy c\u01a1 cao ti\u1ebfn tri\u1ec3n th\u00e0nh huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u &#8211; DVT), v\u00e0 ch\u1ed7 n\u1ed1i t\u0129nh m\u1ea1ch hi\u1ec3n &#8211; \u0111\u00f9i (th\u01b0\u1eddng do tr\u00e0o ng\u01b0\u1ee3c ho\u1eb7c suy t\u0129nh m\u1ea1ch).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u1ede ng\u01b0\u1eddi l\u1edbn kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, nguy\u00ean nh\u00e2n bao g\u1ed3m b\u1ea5t \u0111\u1ed9ng, m\u1ea5t n\u01b0\u1edbc ho\u1eb7c t\u00ecnh tr\u1ea1ng l\u01b0u l\u01b0\u1ee3ng m\u00e1u th\u1ea5p. Tuy nhi\u00ean, d\u1ea5u hi\u1ec7u kh\u00f3i k\u00e9o d\u00e0i ho\u1eb7c r\u00f5 r\u1ec7t g\u1ee3i \u00fd t\u00ecnh tr\u1ea1ng <strong>\u1ee9 tr\u1ec7 t\u0129nh m\u1ea1ch<\/strong> v\u00e0 c\u00f3 th\u1ec3 l\u00e0 nguy c\u01a1 ti\u1ec1n huy\u1ebft kh\u1ed1i. Ti\u00ean l\u01b0\u1ee3ng nh\u00ecn chung l\u00e0 l\u00e0nh t\u00ednh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p tho\u00e1ng qua, nh\u01b0ng c\u1ea7n \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn b\u1eb1ng <strong>Doppler<\/strong> v\u00e0 qu\u1ea3n l\u00fd c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1.<\/p>\n\n\n<ol class=\"wp-block-footnotes\"><li id=\"c9653e14-8284-44af-9d62-929bc15b8257\">Rouleaux \/ru\u02d0\u02c8l\u0259\u028az\/ l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u d\u00ednh v\u00e0o nhau v\u00e0 x\u1ebfp ch\u1ed3ng l\u00ean nhau th\u00e0nh m\u1ed9t c\u1ed9t gi\u1ed1ng nh\u01b0 nh\u1eefng \u0111\u1ed3ng xu \u0111\u01b0\u1ee3c x\u1ebfp ch\u1ed3ng l\u00ean nhau. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y x\u1ea3y ra khi n\u1ed3ng \u0111\u1ed9 protein trong huy\u1ebft t\u01b0\u01a1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 fibrinogen v\u00e0 globulin, t\u0103ng cao, l\u00e0m gi\u1ea3m \u0111i\u1ec7n t\u00edch \u00e2m tr\u00ean b\u1ec1 m\u1eb7t c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u v\u00e0 khi\u1ebfn ch\u00fang k\u1ebft d\u00ednh v\u1edbi nhau. Hi\u1ec7n t\u01b0\u1ee3ng rouleaux th\u01b0\u1eddng g\u1eb7p trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam, nhi\u1ec5m tr\u00f9ng, b\u1ec7nh \u0111a u t\u1ee7y, ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd c\u00f3 li\u00ean quan \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 protein b\u1ea5t th\u01b0\u1eddng trong m\u00e1u. Trong si\u00eau \u00e2m, s\u1ef1 h\u00ecnh th\u00e0nh rouleaux l\u00e0m cho m\u00e1u ch\u1ea3y ch\u1eadm l\u1ea1i v\u00e0 t\u1ea1o ra d\u1ea5u hi\u1ec7u &#8220;kh\u00f3i thu\u1ed1c&#8221;. <a href=\"#c9653e14-8284-44af-9d62-929bc15b8257-link\" aria-label=\"Chuy\u1ec3n \u0111\u1ebfn ph\u1ea7n tham kh\u1ea3o ch\u00fa th\u00edch cu\u1ed1i trang 1\">\u21a9\ufe0e<\/a><\/li><\/ol>","protected":false},"excerpt":{"rendered":"<p>D\u1ea5u hi\u1ec7u kh\u00f3i tr\u00ean si\u00eau \u00e2m B-mode, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng \u00e2m t\u1ef1 ph\u00e1t (spontaneous echo contrast), l\u00e0 nh\u1eefng h\u1ed3i \u00e2m t\u0103ng<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"[{\"content\":\"Rouleaux \/ru\u02d0\u02c8l\u0259\u028az\/ l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u d\u00ednh v\u00e0o nhau v\u00e0 x\u1ebfp ch\u1ed3ng l\u00ean nhau th\u00e0nh m\u1ed9t c\u1ed9t gi\u1ed1ng nh\u01b0 nh\u1eefng \u0111\u1ed3ng xu \u0111\u01b0\u1ee3c x\u1ebfp ch\u1ed3ng l\u00ean nhau. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y x\u1ea3y ra khi n\u1ed3ng \u0111\u1ed9 protein trong huy\u1ebft t\u01b0\u01a1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 fibrinogen v\u00e0 globulin, t\u0103ng cao, l\u00e0m gi\u1ea3m \u0111i\u1ec7n t\u00edch \u00e2m tr\u00ean b\u1ec1 m\u1eb7t c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u v\u00e0 khi\u1ebfn ch\u00fang k\u1ebft d\u00ednh v\u1edbi nhau. Hi\u1ec7n t\u01b0\u1ee3ng rouleaux th\u01b0\u1eddng g\u1eb7p trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam, nhi\u1ec5m tr\u00f9ng, b\u1ec7nh \u0111a u t\u1ee7y, ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd c\u00f3 li\u00ean quan \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 protein b\u1ea5t th\u01b0\u1eddng trong m\u00e1u. Trong si\u00eau \u00e2m, s\u1ef1 h\u00ecnh th\u00e0nh rouleaux l\u00e0m cho m\u00e1u ch\u1ea3y ch\u1eadm l\u1ea1i v\u00e0 t\u1ea1o ra d\u1ea5u hi\u1ec7u \\\"kh\u00f3i thu\u1ed1c\\\".\",\"id\":\"c9653e14-8284-44af-9d62-929bc15b8257\"}]"},"categories":[2,41],"tags":[],"class_list":["post-1146","post","type-post","status-publish","format-standard","hentry","category-doc-sach-cho-vui","category-english-corner"],"_links":{"self":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/1146","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=1146"}],"version-history":[{"count":3,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/1146\/revisions"}],"predecessor-version":[{"id":1150,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/1146\/revisions\/1150"}],"wp:attachment":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media?parent=1146"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/categories?post=1146"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/tags?post=1146"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}