{"id":71781,"date":"2026-04-15T09:09:30","date_gmt":"2026-04-15T02:09:30","guid":{"rendered":"https:\/\/hbbgroup.net\/thay-van-tim-qua-ong-thong-cho-cu-ba-96-tuoi\/"},"modified":"2026-04-15T11:02:14","modified_gmt":"2026-04-15T04:02:14","slug":"thay-van-tim-qua-ong-thong-cho-cu-ba-96-tuoi","status":"publish","type":"post","link":"https:\/\/hbbgroup.net\/zh\/thay-van-tim-qua-ong-thong-cho-cu-ba-96-tuoi\/","title":{"rendered":"Thay van tim qua \u1ed1ng th\u00f4ng cho c\u1ee5 b\u00e0 96 tu\u1ed5i"},"content":{"rendered":"

TP HCMB\u00e0 M\u1ebfn, 96 tu\u1ed5i, h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 h\u01a1n 10 n\u0103m, nay t\u00ecnh tr\u1ea1ng n\u1eb7ng, suy tim k\u00e8m suy th\u1eadn, \u0111\u01b0\u1ee3c b\u00e1c s\u0129 thay van tim qua \u1ed1ng th\u00f4ng kh\u00f4ng c\u1ea7n x\u1ebb ng\u1ef1c.<\/p>\n

“\u0110\u00e2y l\u00e0 b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i nh\u1ea5t k\u00e8m suy tim v\u00e0 suy th\u1eadn n\u1eb7ng t\u1ea1i B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh TP HCM \u0111\u01b0\u1ee3c thay van tim \u00edt x\u00e2m l\u1ea5n, kh\u00f4ng ph\u1ea3i m\u1edf x\u01b0\u01a1ng \u1ee9c”, GS.TS.BS V\u00f5 Th\u00e0nh Nh\u00e2n, Gi\u00e1m \u0111\u1ed1c Trung t\u00e2m Tim m\u1ea1ch Can thi\u1ec7p, cho bi\u1ebft. Sau m\u1ed5, b\u00e0 M\u1ebfn h\u1ebft kh\u00f3 th\u1edf, ch\u1ee9c n\u0103ng tim \u1ed5n \u0111\u1ecbnh, 5 ng\u00e0y sau xu\u1ea5t vi\u1ec7n, c\u00f3 th\u1ec3 t\u1ef1 \u0111i l\u1ea1i.<\/p>\n

Ph\u00e1t hi\u1ec7n b\u1ec7nh h\u01a1n 10 n\u0103m tr\u01b0\u1edbc, b\u00e0 M\u1ebfn l\u1edbn tu\u1ed5i, m\u1eafc nhi\u1ec1u b\u1ec7nh n\u1ec1n g\u1ed3m t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, suy th\u1eadn, suy tim n\u1eb7ng n\u00ean kh\u00f4ng m\u1ed5, ch\u1ec9 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa. L\u1ea7n n\u00e0y, n\u1ebfu kh\u00f4ng thay van, b\u1ec7nh ng\u00e0y c\u00e0ng ti\u1ebfn tri\u1ec3n, GS Nh\u00e2n ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n s\u1ed1ng kh\u00f4ng qu\u00e1 hai n\u0103m.<\/p>\n

B\u00e1c s\u0129 c\u0169ng \u0111\u00e1nh gi\u00e1 nguy c\u01a1 t\u1eed vong tr\u00ean b\u00e0n m\u1ed5 c\u1ee7a b\u1ec7nh nh\u00e2n cao, kho\u1ea3ng 14%. Th\u00f4ng th\u01b0\u1eddng, d\u01b0\u1edbi 3% l\u00e0 nguy c\u01a1 th\u1ea5p, 3-8% l\u00e0 trung b\u00ecnh, 8-15% cao v\u00e0 tr\u00ean 15% nguy c\u01a1 r\u1ea5t cao, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt.<\/p>\n

Gi\u1ea3i ph\u00e1p duy nh\u1ea5t l\u00e0 thay van tim qua \u1ed1ng th\u00f4ng (TAVI). \u00cak\u00edp b\u00e1c s\u0129 Ngo\u1ea1i tim m\u1ea1ch v\u00e0 H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c c\u00f9ng h\u1ec7 th\u1ed1ng tim ph\u1ed5i nh\u00e2n t\u1ea1o (ECMO) t\u00fac tr\u1ef1c, h\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n suy tim<\/a> c\u1ea5p, ng\u01b0ng tim.<\/p>\n

\n
\"Gi\u00e1o <\/picture><\/div>
Gi\u00e1o s\u01b0 Nh\u00e2n (ngo\u00e0i c\u00f9ng b\u00ean tr\u00e1i) c\u00f9ng \u00eak\u00edp thay van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 qua \u1ed1ng th\u00f4ng cho b\u1ec7nh nh\u00e2n. \u1ea2nh: B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh<\/em><\/p>\n<\/figcaption><\/figure>\n

\u0110\u1ec3 tr\u00e1nh nguy c\u01a1 ph\u00f9 n\u1ec1 v\u00f9ng kh\u00ed qu\u1ea3n, b\u00e1c s\u0129 ch\u1ecdn k\u1ef9 thu\u1eadt g\u00e2y t\u00ea t\u1ea1i ch\u1ed7. B\u00e0 M\u1ebfn ho\u00e0n to\u00e0n t\u1ec9nh t\u00e1o, kh\u00f4ng \u0111au trong su\u1ed1t 60 ph\u00fat can thi\u1ec7p. \u00cak\u00edp \u0111\u01b0a \u1ed1ng th\u00f4ng “l\u00e1ch” qua c\u00e1c \u0111o\u1ea1n \u0111\u1ed9ng m\u1ea1ch g\u1eadp g\u00f3c, tr\u00e1nh l\u00e0m t\u1ed5n th\u01b0\u01a1ng th\u00e0nh m\u1ea1ch, sau \u0111\u00f3 nong b\u00f3ng \u0111\u1ec3 m\u1edf r\u1ed9ng l\u1ed7 van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, t\u1ea1o \u0111\u01b0\u1eddng \u0111\u01b0a van nh\u00e2n t\u1ea1o v\u00e0o v\u1ecb tr\u00ed c\u1ea7n \u0111\u1eb7t. B\u00e1c s\u0129 ch\u1ecdn van Sapien 3 v\u1edbi c\u00f4ng ngh\u1ec7 bung van b\u1eb1ng b\u00f3ng, c\u00f3 \u1ed1ng th\u00f4ng m\u1ec1m m\u1ea1i, d\u1ec5 d\u00e0ng u\u1ed1n cong theo \u0111\u01b0\u1eddng \u0111i c\u1ee7a \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, gi\u00fap \u0111\u01b0a van v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed.<\/p>\n

B\u1ec7nh nh\u00e2n suy th\u1eadn, \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn ch\u1ec9 c\u00f2n 30 ml\/ph, n\u1ebfu d\u00f9ng qu\u00e1 100 ml thu\u1ed1c c\u1ea3n quang nh\u01b0 th\u00f4ng th\u01b0\u1eddng c\u00f3 th\u1ec3 khi\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn suy gi\u1ea3m th\u00eam, d\u1eabn t\u1edbi ph\u1ea3i ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o sau can thi\u1ec7p. \u00cak\u00edp d\u00f9ng 50 ml thu\u1ed1c c\u1ea3n quang, b\u1ea3o t\u1ed3n ch\u1ee9c n\u0103ng th\u1eadn cho b\u1ec7nh nh\u00e2n. Sau 2 gi\u1edd, ca can thi\u1ec7p th\u00e0nh c\u00f4ng, van m\u1edbi \u0111\u01b0\u1ee3c \u0111\u1eb7t \u0111\u00fang v\u1ecb tr\u00ed, \u0111\u00f3ng m\u1edf hi\u1ec7u qu\u1ea3, ch\u1ee9c n\u0103ng co b\u00f3p c\u01a1 tim (EF) c\u1ea3i thi\u1ec7n, t\u0103ng c\u01b0\u1eddng b\u01a1m m\u00e1u nu\u00f4i c\u01a1 th\u1ec3.<\/p>\n

H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 x\u1ea3y ra khi van kh\u00f4ng th\u1ec3 m\u1edf ra ho\u00e0n to\u00e0n, l\u00e0m gi\u1ea3m ho\u1eb7c ch\u1eb7n l\u01b0u l\u01b0\u1ee3ng m\u00e1u t\u1eeb tim \u0111i nu\u00f4i c\u01a1 th\u1ec3. B\u1ec7nh ti\u1ebfn tri\u1ec3n h\u1eb9p c\u00e0ng ng\u00e0y c\u00e0ng n\u1eb7ng d\u1eabn t\u1edbi c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c, lo\u1ea1n nh\u1ecbp tim, \u0111\u1ed9t qu\u1ef5 do c\u1ee5c m\u00e1u \u0111\u00f4ng, t\u1eed vong.<\/p>\n

Theo gi\u00e1o s\u01b0 Nh\u00e2n, tr\u01b0\u1edbc \u0111\u00e2y, ph\u1eabu thu\u1eadt thay van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/a> v\u1edbi tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3 l\u00e0 bi\u1ec7n ph\u00e1p duy nh\u1ea5t \u0111i\u1ec1u tr\u1ecb h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u00f3 tri\u1ec7u ch\u1ee9ng. Tuy nhi\u00ean, kho\u1ea3ng 1\/3 s\u1ed1 b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 m\u1ed5 do c\u00e1c b\u1ec7nh l\u00fd n\u1ed9i khoa k\u00e8m theo nh\u01b0 suy tim tr\u00e1i n\u1eb7ng, suy th\u1eadn, b\u1ec7nh ph\u1ed5i m\u1ea1n (COPD), \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng…<\/p>\n

K\u1ef9 thu\u1eadt c\u1ea5y hay thay van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 qua \u1ed1ng th\u00f4ng (TAVI) \u0111\u01b0\u1ee3c tri\u1ec3n khai \u1edf h\u01a1n 80 qu\u1ed1c gia, t\u1ed1c \u0111\u1ed9 gia t\u0103ng 40% s\u1ed1 ca m\u1ed7i n\u0103m. B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh TP HCM \u0111\u00e3 \u0111\u01b0\u1ee3c trao ch\u1ee9ng nh\u1eadn “Trung t\u00e2m \u0111\u1ed9c l\u1eadp th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt TAVI” v\u1edbi c\u1ea3 hai lo\u1ea1i c\u00f4ng ngh\u1ec7 l\u00e0 van t\u1ef1 bung v\u00e0 van bung b\u1eb1ng b\u00f3ng v\u00e0o th\u00e1ng 5 v\u00e0 th\u00e1ng 11\/2025.<\/p>","protected":false},"excerpt":{"rendered":"

TP HCMB\u00e0 M\u1ebfn, 96 tu\u1ed5i, h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 h\u01a1n 10 n\u0103m, nay t\u00ecnh tr\u1ea1ng n\u1eb7ng, suy tim k\u00e8m […]<\/p>","protected":false},"author":5,"featured_media":71782,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[94],"tags":[],"class_list":["post-71781","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc-trong-nuoc"],"acf":[],"_links":{"self":[{"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/posts\/71781","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/comments?post=71781"}],"version-history":[{"count":1,"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/posts\/71781\/revisions"}],"predecessor-version":[{"id":72069,"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/posts\/71781\/revisions\/72069"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/media\/71782"}],"wp:attachment":[{"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/media?parent=71781"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/categories?post=71781"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/tags?post=71781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}