{"id":81723,"date":"2026-05-22T09:04:09","date_gmt":"2026-05-22T02:04:09","guid":{"rendered":"https:\/\/hbbgroup.net\/bi-sut-bong-vao-bung-benh-nhi-13-tuoi-nguy-kich-vi-soc-mat-mau-do-chan-thuong-bung-kin-vo-lach\/"},"modified":"2026-05-22T09:04:09","modified_gmt":"2026-05-22T02:04:09","slug":"bi-sut-bong-vao-bung-benh-nhi-13-tuoi-nguy-kich-vi-soc-mat-mau-do-chan-thuong-bung-kin-vo-lach","status":"publish","type":"post","link":"https:\/\/hbbgroup.net\/zh\/bi-sut-bong-vao-bung-benh-nhi-13-tuoi-nguy-kich-vi-soc-mat-mau-do-chan-thuong-bung-kin-vo-lach\/","title":{"rendered":"B\u1ecb s\u00fat b\u00f3ng v\u00e0o b\u1ee5ng, b\u1ec7nh nhi 13 tu\u1ed5i nguy k\u1ecbch v\u00ec s\u1ed1c m\u1ea5t m\u00e1u do ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng k\u00edn, v\u1ee1 l\u00e1ch"},"content":{"rendered":"
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\"B\u1ecb<\/p>

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BS Nguy\u1ec5n Th\u1ebf H\u01b0ng, Tr\u01b0\u1edfng khoa h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 ch\u1ed1ng \u0111\u1ed9c – B\u1ec7nh vi\u1ec7n B\u00e3i Ch\u00e1y, kh\u00e1m l\u1ea1i cho b\u1ec7nh nhi sau ph\u1eabu thu\u1eadt – \u1ea2nh: BVCC<\/p>\n<\/figcaption><\/figure>\n

\u0110au b\u1ee5ng, m\u1ec7t nhi\u1ec1u do b\u00f3ng s\u00fat v\u00e0o b\u1ee5ng kh\u00f4ng ng\u1edd v\u1ee1 l\u00e1ch \u0111\u1ed9 IV<\/h2>\n

C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n B\u00e3i Ch\u00e1y v\u1eeba k\u1ecbp th\u1eddi ph\u1eabu thu\u1eadt c\u1ee9u s\u1ed1ng m\u1ed9t b\u1ec7nh nhi 13 tu\u1ed5i trong t\u00ecnh tr\u1ea1ng s\u1ed1c m\u1ea5t m\u00e1u do v\u1ee1 l\u00e1ch \u0111\u1ed9 IV sau va \u0111\u1eadp m\u1ea1nh v\u00f9ng b\u1ee5ng khi ch\u01a1i b\u00f3ng \u0111\u00e1.<\/p>\n

B\u1ec7nh nh\u00e2n l\u00e0 em V.B.N. (13 tu\u1ed5i, tr\u00fa t\u1ea1i Vi\u1ec7t H\u01b0ng, Qu\u1ea3ng Ninh). Theo ng\u01b0\u1eddi b\u1ec7nh k\u1ec3 l\u1ea1i, trong l\u00fac ch\u01a1i b\u00f3ng \u0111\u00e1 v\u00e0o s\u00e1ng 20-5, em b\u1ecb s\u00fat b\u00f3ng m\u1ea1nh v\u00e0o v\u00f9ng b\u1ee5ng. Sau va ch\u1ea1m, b\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n \u0111au b\u1ee5ng quanh r\u1ed1n, \u0111au t\u0103ng v\u00f9ng th\u01b0\u1ee3ng v\u1ecb, m\u1ec7t nhi\u1ec1u nh\u01b0ng kh\u00f4ng n\u00f4n, kh\u00f4ng s\u1ed1t.\u00a0<\/p>\n

\u0110\u1ebfn kho\u1ea3ng 20h c\u00f9ng ng\u00e0y, t\u00ecnh tr\u1ea1ng \u0111au b\u1ee5ng<\/a> t\u0103ng l\u00ean, c\u01a1 th\u1ec3 m\u1ec7t l\u1ea3 n\u00ean \u0111\u01b0\u1ee3c gia \u0111\u00ecnh \u0111\u01b0a v\u00e0o c\u1ea5p c\u1ee9u t\u1ea1i B\u1ec7nh vi\u1ec7n B\u00e3i Ch\u00e1y.<\/p>\n

Qua th\u0103m kh\u00e1m v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m, ch\u1ee5p CT \u1ed5 b\u1ee5ng, c\u00e1c b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh b\u1ec7nh nhi b\u1ecb nhi\u1ec1u d\u1ecbch t\u1ef1 do trong \u1ed5 b\u1ee5ng, ch\u1ea5n th\u01b0\u01a1ng l\u00e1ch \u0111\u1ed9 IV theo ph\u00e2n lo\u1ea1i AAST, g\u00e2y s\u1ed1c m\u1ea5t m\u00e1u do ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng k\u00edn. B\u1ec7nh nh\u00e2n nhanh ch\u00f3ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u c\u1eaft l\u00e1ch, truy\u1ec1n m\u00e1u, ch\u1ed1ng s\u1ed1c, c\u00e2n b\u1eb1ng d\u1ecbch \u0111i\u1ec7n gi\u1ea3i v\u00e0 h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c.<\/p>\n

Sau h\u01a1n 1 gi\u1edd, ca ph\u1eabu thu\u1eadt c\u1eaft l\u00e1ch th\u00e0nh c\u00f4ng. B\u1ec7nh nhi \u0111\u01b0\u1ee3c chuy\u1ec3n v\u1ec1 khoa h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 ch\u1ed1ng \u0111\u1ed9c ch\u0103m s\u00f3c, \u0111i\u1ec1u tr\u1ecb.<\/p>\n

M\u1ed9t ng\u00e0y sau ph\u1eabu thu\u1eadt v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c g\u1ed3m truy\u1ec1n m\u00e1u, kh\u00e1ng sinh, gi\u1ea3m \u0111au, dinh d\u01b0\u1ee1ng v\u00e0 h\u1ed3i s\u1ee9c to\u00e0n di\u1ec7n, \u0111\u1ebfn s\u00e1ng 21-5, t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n \u0111\u00e3 \u1ed5n \u0111\u1ecbnh h\u01a1n: t\u1ec9nh t\u00e1o, t\u1ef1 th\u1edf oxy k\u00ednh, huy\u1ebft \u00e1p \u1ed5n \u0111\u1ecbnh, SpO2<\/sub> \u0111\u1ea1t 98%, n\u01b0\u1edbc ti\u1ec3u \u0111\u1ea3m b\u1ea3o.<\/p>\n

BS Nguy\u1ec5n Th\u1ebf H\u01b0ng, Tr\u01b0\u1edfng khoa h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 ch\u1ed1ng \u0111\u1ed9c – B\u1ec7nh vi\u1ec7n B\u00e3i Ch\u00e1y, khuy\u1ebfn c\u00e1o kh\u00f4ng n\u00ean ch\u1ee7 quan v\u1edbi tai n\u1ea1n khi ch\u01a1i th\u1ec3 thao \u1edf tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c ch\u1ea5n th\u01b0\u01a1ng v\u00f9ng b\u1ee5ng, ng\u1ef1c ho\u1eb7c \u0111\u1ea7u.\u00a0<\/p>\n

Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng t\u1ea1ng k\u00edn nh\u01b0 gan, l\u00e1ch c\u00f3 th\u1ec3 di\u1ec5n bi\u1ebfn \u00e2m th\u1ea7m trong nh\u1eefng gi\u1edd \u0111\u1ea7u nh\u01b0ng sau \u0111\u00f3 nhanh ch\u00f3ng d\u1eabn \u0111\u1ebfn s\u1ed1c m\u1ea5t m\u00e1u, \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/p>\n

Ch\u1edb ch\u1ee7 quan v\u1edbi c\u00e1c ch\u1ea5n th\u01b0\u01a1ng kh\u00f4ng c\u00f3 v\u1ebft th\u01b0\u01a1ng h\u1edf<\/h2>\n
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\"s\u00fat<\/p>

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Ph\u1ea7n l\u00e1 l\u00e1ch v\u1ee1 \u0111\u01b0\u1ee3c c\u1eaft th\u00e0nh c\u00f4ng – \u1ea2nh: BVCC<\/p>\n<\/figcaption><\/figure>\n

BS L\u00fd V\u0103n B\u1eb1ng, khoa ngo\u1ea1i B\u1ec7nh vi\u1ec7n \u0110a khoa khu v\u1ef1c C\u1ea9m Ph\u1ea3, cho bi\u1ebft ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng k\u00edn l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ee5ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng, c\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y c\u00f3 th\u1ec3 \u1edf ngo\u00e0i th\u00e0nh b\u1ee5ng hay b\u00ean trong c\u00e1c t\u1ea1ng r\u1ed7ng nh\u01b0: d\u1ea1 d\u00e0y, ru\u1ed9t, b\u00e0ng quang ho\u1eb7c trong c\u00e1c t\u1ea1ng \u0111\u1eb7c nh\u01b0 gan, l\u00e1ch, t\u1ee5y.<\/p>\n

C\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y s\u1ebd g\u00e2y m\u1ea5t m\u00e1u c\u1ea5p \u0111\u1ed1i v\u1edbi t\u1ea1ng \u0111\u1eb7c v\u00e0 vi\u00eam ph\u00fac m\u1ea1c \u0111\u1ed1i v\u1edbi t\u1ea1ng r\u1ed7ng. C\u00e1c t\u1ed5n th\u01b0\u01a1ng t\u1ea1ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t ho\u1eb7c nhi\u1ec1u c\u01a1 quan c\u00f9ng l\u00fac.<\/p>\n

Ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng k\u00edn l\u00ean th\u00e0nh b\u1ee5ng s\u1ebd h\u00ecnh th\u00e0nh b\u1ea7m m\u00e1u, ph\u00f9 n\u1ec1 d\u01b0\u1edbi da ho\u1eb7c c\u00e1c kh\u1ed1i m\u00e1u t\u1ee5 do \u0111\u1ee9t \u0111\u1ed9ng m\u1ea1ch th\u01b0\u1ee3ng v\u1ecb, l\u00f3c da. Ch\u1ea5n th\u01b0\u01a1ng l\u00e1ch l\u00e0 m\u1ed9t trong nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng k\u00edn v\u1edbi t\u1ec9 l\u1ec7 cao nh\u1ea5t.<\/p>\n

L\u00e1 l\u00e1ch n\u1eb1m \u1edf v\u1ecb tr\u00ed g\u00f3c ph\u1ea7n t\u01b0 ph\u00eda b\u00ean tr\u00e1i c\u1ee7a c\u01a1 th\u1ec3 ng\u01b0\u1eddi, c\u00f3 ch\u1ee9c n\u0103ng quan tr\u1ecdng gi\u00fap c\u01a1 th\u1ec3 ch\u1ed1ng nhi\u1ec5m tr\u00f9ng v\u00e0 l\u1ecdc c\u00e1c t\u1ebf b\u00e0o m\u00e1u c\u0169. V\u1ee1 l\u00e1ch hay ch\u1ea5n th\u01b0\u01a1ng l\u00e1ch l\u00e0 tr\u01b0\u1eddng h\u1ee3p th\u01b0\u1eddng th\u1ea5y nh\u1ea5t trong c\u00e1c ca ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng k\u00edn c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. C\u00f3 t\u1edbi 60% s\u1ed1 ng\u01b0\u1eddi t\u1ed5n th\u01b0\u01a1ng l\u00e1 l\u00e1ch v\u1edbi t\u1ec9 l\u1ec7 t\u1eed vong l\u00e0 1%.<\/p>\n

Nguy\u00ean nh\u00e2n g\u00e2y ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng k\u00edn<\/a> \u0111a ph\u1ea7n l\u00e0 do tai n\u1ea1n giao th\u00f4ng chi\u1ebfm 75% c\u00e1c ca ch\u1ea5n th\u01b0\u01a1ng. Ngo\u00e0i ra c\u00f2n do tai n\u1ea1n trong sinh ho\u1ea1t, lao \u0111\u1ed9ng, r\u01a1i t\u1eeb tr\u00ean cao, c\u00e1c tai n\u1ea1n trong luy\u1ec7n t\u1eadp th\u1ec3 thao, \u0111\u00e1nh nhau \u1ea9u \u0111\u1ea3 d\u1eabn \u0111\u1ebfn ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng.<\/p>\n

V\u1ee1 l\u00e1ch d\u00f9 \u1edf m\u1ee9c \u0111\u1ed9 n\u00e0o c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi tr\u00e1nh nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n. B\u00e1c s\u0129 c\u00f3 th\u1ec3 d\u1ef1a tr\u00ean m\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng sau:<\/p>\n

– B\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y \u0111au \u1edf b\u00ean tr\u00e1i ph\u00eda d\u01b0\u1edbi b\u1ee5ng, m\u1ee9c \u0111\u1ed9 \u0111au c\u00f2n t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng;<\/p>\n

– \u0110au vai tr\u00e1i do v\u1ecb tr\u00ed l\u00e1 l\u00e1ch v\u1ee1 g\u00e2y k\u00edch th\u00edch c\u00e1c d\u00e2y th\u1ea7n kinh;<\/p>\n

– L\u00e1 l\u00e1ch v\u1ee1 g\u00e2y ch\u1ea3y m\u00e1u b\u00ean trong, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng t\u1ee5t huy\u1ebft \u00e1p l\u00e0m b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ed3n ch\u1ed3n, lo l\u1eafng, xanh xao, cho\u00e1ng v\u00e1ng, nh\u00ecn m\u1edd, ng\u1ea5t x\u1ec9u…<\/p>\n

Theo Hi\u1ec7p h\u1ed9i Ngo\u1ea1i ch\u1ea5n th\u01b0\u01a1ng M\u1ef9, v\u1ee1 l\u00e1ch trong ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng k\u00edn \u0111\u01b0\u1ee3c chia ra th\u00e0nh 5 c\u1ea5p \u0111\u1ed9 kh\u00e1c nhau:<\/p>\n

– C\u1ea5p \u0111\u1ed9 1: V\u1ebft r\u00e1ch tr\u00ean l\u00e1 l\u00e1ch s\u00e2u d\u01b0\u1edbi 1cm, t\u1ee5 m\u00e1u d\u01b0\u1edbi v\u1ecf th\u01b0\u1eddng nh\u1ecf h\u01a1n 10% di\u1ec7n t\u00edch b\u1ec1 m\u1eb7t l\u00e1 l\u00e1ch v\u00e0 kh\u00f4ng g\u00e2y ch\u1ea3y m\u00e1u.<\/p>\n

– C\u1ea5p \u0111\u1ed9 2: V\u1ebft r\u00e1ch s\u00e2u t\u1eeb 1-3cm, c\u00e1c b\u00e8 m\u1ea1ch m\u00e1u kh\u00f4ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng, t\u1ee5 m\u00e1u trong m\u00f4 l\u00e1ch nh\u1ecf h\u01a1n 5cm, t\u1ee5 m\u00e1u d\u01b0\u1edbi v\u1ecf t\u1eeb 10-50% b\u1ec1 m\u1eb7t, ch\u1ea3y m\u00e1u \u00edt.<\/p>\n

– C\u1ea5p \u0111\u1ed9 3: V\u1ebft r\u00e1ch s\u00e2u tr\u00ean 3cm, c\u00e1c b\u00e8 m\u1ea1ch m\u00e1u b\u1ecb t\u1ed5n th\u01b0\u01a1ng, t\u1ee5 m\u00e1u trong m\u00f4 l\u00e1ch l\u1edbn h\u01a1n 5cm v\u00e0 c\u00f3 d\u1ea5u hi\u1ec7u lan t\u1ecfa, tr\u00ean 50% di\u1ec7n t\u00edch b\u1ec1 m\u1eb7t xu\u1ea5t hi\u1ec7n t\u1ee5 m\u00e1u.<\/p>\n

– C\u1ea5p \u0111\u1ed9 4: Ch\u1ea3y m\u00e1u trong m\u00f4, \u0111\u1ee9t cu\u1ed1ng l\u00e1ch khi\u1ebfn 25% th\u1ec3 t\u00edch l\u00e1ch b\u1ecb thi\u1ebfu m\u00e1u nu\u00f4i.<\/p>\n

– C\u1ea5p \u0111\u1ed9 5: L\u00e1 l\u00e1ch b\u1ecb v\u1ee1 ho\u00e0n to\u00e0n, \u0111\u1ee9t cu\u1ed1ng l\u00e1ch.<\/p>\n

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“Ph\u1ee5 huynh c\u1ea7n h\u01b0\u1edbng d\u1eabn tr\u1ebb kh\u1edfi \u0111\u1ed9ng k\u1ef9 tr\u01b0\u1edbc khi ch\u01a1i th\u1ec3 thao, s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5 b\u1ea3o h\u1ed9 ph\u00f9 h\u1ee3p, tr\u00e1nh ch\u01a1i qu\u00e1 s\u1ee9c ho\u1eb7c va ch\u1ea1m m\u1ea1nh. <\/p>\n

Sau ch\u1ea5n th\u01b0\u01a1ng, n\u1ebfu tr\u1ebb c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n nh\u01b0 \u0111au b\u1ee5ng t\u0103ng d\u1ea7n, m\u1ec7t l\u1ea3, ch\u00f3ng m\u1eb7t, da xanh t\u00e1i, bu\u1ed3n n\u00f4n, v\u00e3 m\u1ed3 h\u00f4i ho\u1eb7c kh\u00f3 th\u1edf c\u1ea7n nhanh ch\u00f3ng \u0111\u01b0a tr\u1ebb \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m k\u1ecbp th\u1eddi. <\/p>\n

\u0110\u1ed3ng th\u1eddi, nh\u00e0 tr\u01b0\u1eddng v\u00e0 gia \u0111\u00ecnh c\u1ea7n t\u0103ng c\u01b0\u1eddng gi\u00e1o d\u1ee5c k\u1ef9 n\u0103ng ch\u01a1i th\u1ec3 thao an to\u00e0n nh\u1eb1m h\u1ea1n ch\u1ebf c\u00e1c tai n\u1ea1n \u0111\u00e1ng ti\u1ebfc x\u1ea3y ra \u1edf tr\u1ebb nh\u1ecf”, BS Nguy\u1ec5n Th\u1ebf H\u01b0ng khuy\u00ean.<\/p>\n<\/div>\n

<\/pattern> <\/defs> <\/svg> \u0110\u1ecdc ti\u1ebfp <\/a> <\/pattern> <\/defs> <\/svg> V\u1ec1 trang Ch\u1ee7 \u0111\u1ec1 <\/a> <\/p>\n<\/p><\/div>","protected":false},"excerpt":{"rendered":"

BS Nguy\u1ec5n Th\u1ebf H\u01b0ng, Tr\u01b0\u1edfng khoa h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 ch\u1ed1ng \u0111\u1ed9c – B\u1ec7nh vi\u1ec7n B\u00e3i Ch\u00e1y, kh\u00e1m l\u1ea1i […]<\/p>","protected":false},"author":5,"featured_media":81725,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[221],"tags":[],"class_list":["post-81723","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chung-khoan"],"acf":[],"_links":{"self":[{"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/posts\/81723","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=81723"}],"version-history":[{"count":0,"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/posts\/81723\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/media\/81725"}],"wp:attachment":[{"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/media?parent=81723"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/categories?post=81723"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hbbgroup.net\/zh\/wp-json\/wp\/v2\/tags?post=81723"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}