{"id":170,"date":"2020-12-04T23:59:50","date_gmt":"2020-12-04T16:59:50","guid":{"rendered":"https:\/\/cdha.edu.vn\/cdha\/?p=170"},"modified":"2020-12-09T19:07:02","modified_gmt":"2020-12-09T12:07:02","slug":"yeu-to-nguy-co-cua-thai-ngoai-tu-cung","status":"publish","type":"post","link":"https:\/\/cdha.edu.vn\/cdha\/yeu-to-nguy-co-cua-thai-ngoai-tu-cung\/","title":{"rendered":"Y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a thai ngo\u00e0i t\u1eed cung"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Tr\u00edch t\u00e0i li\u1ec7u: Ectopic Pregnancy &#8211; A Clinical Casebook&nbsp;<br>B\u1ea3n d\u1ecbch ti\u1ebfng Vi\u1ec7t c\u1ee7a bs Qu\u1ea3n Anh D\u0169ng<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ectopic Pregnancy (EP): thai ngo\u00e0i t\u1eed cung<\/strong><br><br><strong>T\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng:<\/strong><br>BN N\u1eef, 29 tu\u1ed5i nh\u1eadp vi\u1ec7n v\u00ec \u0111au b\u1ee5ng d\u01b0\u1edbi v\u00e0 bu\u1ed3n n\u00f4n c\u00e1ch 20 gi\u1edd.<br>\u0110au t\u0103ng d\u1ea7n, lan l\u00ean 2 vai.<br><br><strong>TCCN<\/strong>: ra m\u00e1u \u00e2m \u0111\u1ea1o, ti\u00eau ch\u1ea3y trong 2-3 ng\u00e0y nay. C\u00f3 c\u1ea3m gi\u00e1c t\u1ee9c ng\u1ef1c n\u00ean t\u01b0\u1edfng r\u1eb1ng m\u00ecnh \u0111\u1ebfn chu k\u1ef3 kinh. Kh\u00f4ng xu\u1ea5t hi\u1ec7n d\u1ecbch b\u1ea5t th\u01b0\u1eddng \u00e2m \u0111\u1ea1o.<br><br><strong>Ti\u1ec1n c\u0103n:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>H\u00fat thu\u1ed1c 30 \u0111i\u1ebfu\/ ng\u00e0y, nghi\u1ec7n r\u01b0\u1ee3u<\/li><li>\u0110ang \u0111\u1ec3 c\u00f3 thai, kh\u00f4ng d\u00f9ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai<\/li><li>Ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c l\u00fac 16 tu\u1ed5i, sinh th\u01b0\u1eddng l\u00fac 17 v\u00e0 20 tu\u1ed5i. C\u00f3 nhi\u1ec1u b\u1ea1n t\u00ecnh trong th\u1eddi gian t\u1eeb 21 \u0111\u1ebfn 26 tu\u1ed5i<\/li><li>\u0110\u00e3 can thi\u1ec7p \u0111\u00ecnh ch\u1ec9 thai ngh\u00e9n 2 l\u1ea7n v\u00ec mang thai ngo\u00e0i \u00fd mu\u1ed1n.<\/li><li>23 tu\u1ed5i m\u1ed5 n\u1ed9i soi u b\u00ec bu\u1ed3ng tr\u1ee9ng ph\u1ea3i<\/li><li>B\u1ecb vi\u00eam v\u00f9ng ch\u1eadu (PID), clamydia (+) \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb kh\u1ecfi<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>TCTT<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Da xanh ni\u00eam nh\u1ee3t, m\u1ea1ch 102 l\u1ea7n\/ ph\u00fat, huy\u1ebft \u00e1p 98\/54mmHg<\/li><li>Kh\u00f4ng s\u1ed1t<\/li><li>SpO<sub>2<\/sub> 97%.<\/li><li>BMI = 19.<\/li><li>S\u1eb9o m\u1ed5 n\u1ed9i soi \u1ed5 b\u1ee5ng.<\/li><li>Ph\u1ea3n \u1ee9ng d\u1ed9i, \u0111\u1ec1 kh\u00e1ng th\u00e0nh b\u1ee5ng (+)<\/li><li>\u0110\u1eb7t m\u1ecf v\u1ecbt: \u00edt m\u00e1u \u0111\u1ecdng \u1edf c\u1ed5 t\u1eed cung. Ph\u1ea7n ph\u1ee5 hai b\u00ean \u1ea5n \u0111i\u1ec3m bu\u1ed3ng tr\u1ee9ng b\u00ean ph\u1ea3i \u0111au.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>CLS<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Hemoglobin 100g\/L<\/li><li>Thi\u1ebfu m\u00e1u nh\u01b0\u1ee3c s\u1eafc h\u1ed3ng c\u1ea7u nh\u1ecf<\/li><li>WBC 11.6 x 10<sup>9<\/sup> \/L<\/li><li>PLT 286&#215;10<sup>9 \/L<\/sup><\/li><li>TPTNT: c\u00f3 m\u00e1u, xeton v\u00e0 hormone h\u01b0\u1edbng sinh d\u1ee5c nhau thai \u1edf ng\u01b0\u1eddi (bHCG)<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>H\u01b0\u1edbng x\u1eed tr\u00ed<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1<br><\/strong>EP v\u1eabn l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y t\u1eed vong v\u00e0 b\u1ec7nh t\u1eadt li\u00ean quan \u0111\u1ebfn thai ngh\u00e9n tr\u00ean to\u00e0n th\u1ebf gi\u1edbi, chi\u1ebfm 54% c\u00e1c ca t\u1eed cung \u1edf m\u1eb9 trong ba 3 th\u00e1ng \u0111\u1ea7u thai k\u1ef3 \u1edf Anh, v\u00e0 3-4% t\u1ed5ng s\u1ed1 ca t\u1eed vong li\u00ean quan \u0111\u1ebfn thai ngh\u00e9n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1eb7c d\u00f9 v\u1edbi s\u1ef1 c\u1ea3i ti\u1ebfn c\u1ee7a si\u00eau \u00e2m qua ng\u1ea3 \u00e2m \u0111\u1ea1o (TVS) v\u1edbi s\u1ef1 s\u1eb5n c\u00f3 c\u1ee7a c\u00e1c test \u0111\u1ecbnh l\u01b0\u1ee3ng HCG huy\u1ebft thanh hi\u1ec7n nay \u0111\u00e3 c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb EP, c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 v\u00e0 di\u1ec5n bi\u1ebfn l\u00e2m s\u00e0ng ph\u00f9 h\u1ee3p v\u1eabn lu\u00f4n l\u00e0 ch\u00eca kh\u00f3a \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm, gi\u00fap \u0111\u1ea1t k\u1ebft qu\u1ea3 t\u1ed1i \u01b0u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kh\u1edfi ph\u00e1t \u0111au b\u1ee5ng, t\u1eeb t\u1eeb t\u0103ng d\u1ea7n v\u00e0 sau \u0111\u00f3 lan l\u00ean vai, nh\u1ecbp nhanh nh\u1eb9, xanh xao, kh\u00e1m th\u1ea5y xu\u1ea5t huy\u1ebft khoang ph\u00fac m\u1ea1c l\u00e0 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m c\u01a1 b\u1ea3n. S\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a ti\u00eau ch\u1ea3y trong 2-3 ng\u00e0y tr\u01b0\u1edbc \u0111\u00f3 l\u00e0 m\u1ed9t d\u1eef ki\u1ec7n l\u00e2m s\u00e0ng quan tr\u1ecdng. Ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd v\u00e0 ph\u1eabu thu\u1eadt tr\u01b0\u1edbc \u0111\u00f3 c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 h\u01b0\u1edbng t\u1edbi ch\u1ea9n \u0111o\u00e1n EP.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1ecbp tim nhanh nh\u1eb9 v\u00e0 huy\u1ebft \u00e1p t\u01b0\u01a1ng \u0111\u1ed1i th\u1ea5p, \u0111au b\u1ee5ng, bi\u1ec3u hi\u1ec7n vi\u00eam ph\u00fac m\u1ea1c, ra m\u00e1u \u00e2m \u0111\u1ea1o v\u00e0 \u0111au ph\u1ea7n ph\u1ee5 l\u00e0 d\u1ea5u hi\u1ec7u cho th\u1ea5y l\u00e2m s\u00e0ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh, c\u00f3 kh\u1ea3 n\u0103ng v\u1ee1 kh\u1ed1i EP.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a EP:<br><\/strong><span style=\"font-size: inherit;\">C\u00f3 m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 li\u00ean quan \u0111\u1ebfn EP v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a n\u00f3. TUy nhi\u00ean ch\u1ec9 kho\u1ea3ng 50% ph\u1ee5 n\u1eef \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n EP c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c. Nh\u1eadn bi\u1ebft c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 n\u00e0y c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng kh\u00f4ng ch\u1ec9 trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n s\u01a1m EP m\u00e0 c\u00f2n gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng v\u00e0 t\u1eed vong:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Ti\u1ec1n s\u1eed EP v\u00e0 ph\u1eabu thu\u1eadt v\u00f9ng ch\u1eadu, tai v\u00f2i. Th\u1eaft \u1ed1ng d\u1eabn tr\u1ee9ng kh\u00f4ng th\u00e0nh c\u00f4ng.<\/li><li>PID, nhi\u1ec5m khu\u1ea9n v\u00e0 nhi\u1ec1u b\u1ea1n t\u00ecnh<\/li><li>H\u00fat thu\u1ed1c<\/li><li>V\u00f4 sinh<\/li><li>Y\u1ebfu t\u1ed1 kh\u00e1c: ph\u01a1i nhi\u1ec5m v\u1edbi diethylstilbestrol (DES), d\u1ee5ng c\u1ee5 tr\u00e1nh thai trong t\u1eed cung, ph\u1eabu thu\u1eadt \u0111\u00ecnh ch\u1ec9 thai ngh\u00e9n v\u00e0 tu\u1ed5i.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ti\u1ec1n s\u1eed EP<\/strong> l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 cao, l\u00e0m t\u0103ng t\u1ef7 l\u1ec7 xu\u1ea5t hi\u1ec7n EP trong l\u1ea7n mang thai k\u1ebf ti\u1ebfp. M\u1ed9t ph\u1ee5 n\u1eef \u0111\u00e3 c\u00f3 2 l\u1ea7n EP s\u1ebd t\u0103ng nguy c\u01a1 xu\u1ea5t hi\u1ec7n EP trong t\u01b0\u01a1ng lai l\u00ean g\u1ea5p 10 l\u1ea7n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng tai v\u00f2i. T\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t EP sau \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt ho\u1eb7c kh\u00f4ng ph\u1eabu thu\u1eadt \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o t\u1eeb 8-15% v\u00e0 15% sau \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nguy c\u01a1 EP c\u0169ng t\u0103ng l\u00ean \u1edf nh\u1eefng ph\u1ee5 n\u1eef t\u1eebng c\u00f3 ph\u1eabu thu\u1eadt v\u00f9ng ch\u1eadu<\/strong>, v\u00ed d\u1ee5 c\u1eaft ru\u1ed9t th\u1eeba l\u00e0m t\u0103ng nguy c\u01a1 EP l\u00ean g\u1ea5p \u0111\u00f4i.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trong s\u1ed1 nh\u00f3m ph\u1ee5 n\u1eef <strong>tri\u1ec7t s\u1ea3n th\u1eaft \u1ed1ng d\u1eabn tr\u1ee9ng kh\u00f4ng th\u00e0nh c\u00f4ng<\/strong>, vi\u1ec7c mang thai sau \u0111\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed l\u1ec7 EP cao t\u1edbi 33%, trong s\u1ed1 nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y, nguy c\u01a1 EP cao h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi d\u01b0\u1edbi 30 tu\u1ed5i.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>PID, nhi\u1ec5m khu\u1ea9n v\u00e0 nhi\u1ec1u b\u1ea1n t\u00ecnh<\/strong>: ti\u1ec1n s\u1eed nhi\u1ec5m tr\u00f9ng b\u1ed9 ph\u1eadn sinh d\u1ee5c, bao g\u1ed3m b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c, PID v\u00e0 \/ ho\u1eb7c b\u1ea5t k\u1ef3 b\u1ec7nh l\u00fd ho\u1eb7c ph\u1eabu thu\u1eadt \u1ed1ng d\u1eabn tr\u1ee9ng n\u00e0o, l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 cao v\u1edbi EP trong v\u00f2i t\u1eed cung.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>H\u00fat thu\u1ed1c<\/strong>: Nguy c\u01a1 t\u0103ng g\u1ea5p 3-4 l\u1ea7n \u1edf nh\u1eefng ph\u1ee5 n\u1eef h\u00fat nhi\u1ec1u h\u01a1n 1 g\u00f3i thu\u1ed1c l\u00e1\/ ng\u00e0y. H\u00fat h\u01a1n 20 \u0111i\u1ebfu\/ ng\u00e0y l\u00e0m t\u0103ng nguy c\u01a1 EP h\u01a1n h\u00fat 1-5 \u0111i\u1ebfu m\u1ed7i ng\u00e0y v\u1edbi t\u1ef7 su\u1ea5t ch\u00eanh l\u00e0 1.7 &#8211; 3.5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>V\u00f4 sinh<\/strong>: th\u1eddi gian v\u00f4 sinh c\u00f3 li\u00ean quan \u0111\u1ebfn t\u0103ng nguy c\u01a1 EP v\u1edbi m\u1ed9t t\u1ef7 su\u1ea5t ch\u00eanh hi\u1ec7u ch\u1ec9nh l\u00e0 2.7 \u1edf b\u1ec7nh nh\u00e2n v\u00f4 sinh tr\u00ean 2 n\u0103m. T\u1ef7 l\u1ec7 EP cao h\u01a1n 2-3% \u1edf b\u1ec7nh nh\u00e2n l\u00e0m th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m IVF. Ngo\u00e0i ra \u0111i\u1ec1u tr\u1ecb b\u1eb1ng gonadotropin v\u00e0 c\u00e1c thu\u1ed1c kh\u00e1c nh\u01b0 clomiphene trong khi l\u00e0m IVF l\u00e0m t\u0103ng t\u1ef7 l\u1ec7 EP, c\u00f3 th\u1ec3 do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng \u1ed1ng d\u1eabn tr\u1ee9ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Y\u1ebfu t\u1ed1 kh\u00e1c:&nbsp;<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>Ti\u1ebfp x\u00fac v\u1edbi DES<\/em> l\u00e0m t\u0103ng nguy c\u01a1 t\u01b0\u01a1ng \u0111\u1ed1i<\/li><li><em>D\u1ee5ng c\u1ee5 tr\u00e1nh thai<\/em> trong t\u1eed cung b\u1eb1ng \u0111\u1ed3ng (IUCD) hay v\u00f2ng Mirena (IUS) l\u00e0m gi\u1ea3m nguy c\u01a1 EP, nh\u01b0ng n\u1ebfu mang thai khi v\u1eabn c\u00f2n d\u1ee5ng c\u1ee5 tr\u00e1nh thai, nguy c\u01a1 EP cao h\u01a1n.<\/li><li><em>Th\u1ee5t r\u1eeda \u00e2m \u0111\u1ea1o th\u01b0\u1eddng xuy\u00ean<\/em> 3 \u0111\u1ebfn 4 l\u1ea7n m\u1ed7i th\u00e1ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 PID, l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 cao c\u1ee7a EP l\u00ean 3-4 l\u1ea7n.<\/li><li><em>Ph\u1ee5 n\u1eef t\u1eeb 35-44 tu\u1ed5i<\/em> c\u00f3 nguy c\u01a1 EP cao g\u1ea5p 3 l\u1ea7n so v\u1edbi ph\u1ee5 n\u1eef tr\u1ebb<\/li><li><em>Ph\u00e1 thai b\u1eb1ng ph\u1eabu thu\u1eadt, s\u1ea3y thai t\u1ef1 nhi\u00ean<\/em> c\u0169ng \u0111\u01b0\u1ee3c ch\u1ee9ng m\u00ecnh l\u00e0m t\u0103ng nguy c\u01a1 EP<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C\u00e1c lo\u1ea1i EP:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>90-98% l\u00e0 mang thai trong v\u00f2i t\u1eed cung<\/li><li>EP \u1edf c\u1ed5 t\u1eed cung 1%<\/li><li>EP \u1edf bu\u1ed3ng tr\u1ee9ng 1-3%<\/li><li>EP \u1edf m\u00f4 k\u1ebd&nbsp;<\/li><li>EP \u1edf s\u1eb9o m\u1ed5 l\u1ea5y thai hi\u1ebfm g\u1eb7p nh\u01b0ng t\u1ef7 l\u1ec7 m\u1eafc ng\u00e0y c\u00e0ng t\u0103ng.<\/li><li>EP s\u1eebng t\u1eed cung (\u0111\u1ecdc th\u00eam b\u00e0i <a rel=\"noopener noreferrer\" href=\"https:\/\/cdhaonline.net\/forums\/index.php?threads\/thu%E1%BA%ADt-ng%E1%BB%AF-thai-s%E1%BB%ABng-n%C3%AAn-b%E1%BB%8B-lo%E1%BA%A1i-b%E1%BB%8F-bs-v%C3%B5-t%C3%A1-s%C6%A1n-d%E1%BB%8Bch.654\/\" target=\"_blank\">The Term \u201cCornual Pregnancy\u201d Should Be Abandoned<\/a>)<\/li><li>EP trong \u1ed5 b\u1ee5ng 1-2%<\/li><\/ul>\n\n\n\n<blockquote>\n<p><strong>T\u00f3m l\u1ea1i, c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a EP bao g\u1ed3m:<\/strong><\/p>\n<ol>\n<li>Ti\u1ec1n s\u1eed EP<\/li>\n<li>T\u1eebng c\u00f3 ph\u1eabu thu\u1eadt v\u00f9ng ch\u1eadu<\/li>\n<li>Tri\u1ec7t s\u1ea3n th\u1eaft \u00f4ng d\u1eabn tr\u1ee9ng kh\u00f4ng th\u00e0nh c\u00f4ng<\/li>\n<li>Vi\u00eam nhi\u1ec5m v\u00f9ng ch\u1eadu, nhi\u1ec1u b\u1ea1n t\u00ecnh<\/li>\n<li>H\u00fat thu\u1ed1c<\/li>\n<li>V\u00f4 sinh<\/li>\n<li>DES<\/li>\n<li>D\u1ee5ng c\u1ee5 tr\u00e1nh thai<\/li>\n<li>Th\u1ee5t r\u1eeda \u00e2m \u0111\u1ea1o th\u01b0\u1eddng xuy\u00ean<\/li>\n<li>Tu\u1ed5i tr\u00ean 35<\/li>\n<li>Ph\u00e1 thai b\u1eb1ng ph\u1eabu thu\u1eadt, s\u1ea3y thai t\u1ef1 nhi\u00ean<\/li>\n<\/ol>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>Tr\u00edch t\u00e0i li\u1ec7u: Ectopic Pregnancy &#8211; A Clinical Casebook&nbsp;B\u1ea3n d\u1ecbch ti\u1ebfng Vi\u1ec7t c\u1ee7a bs Qu\u1ea3n Anh D\u0169ng Ectopic Pregnancy (EP): thai ngo\u00e0i t\u1eed cung T\u00ecnh<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,34],"tags":[],"class_list":["post-170","post","type-post","status-publish","format-standard","hentry","category-doc-sach-cho-vui","category-ectopic-pregnancy-a-clinical-casebook"],"_links":{"self":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/170","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=170"}],"version-history":[{"count":10,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/170\/revisions"}],"predecessor-version":[{"id":621,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/170\/revisions\/621"}],"wp:attachment":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media?parent=170"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/categories?post=170"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/tags?post=170"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}