{"id":866,"date":"2026-03-28T10:40:14","date_gmt":"2026-03-28T03:40:14","guid":{"rendered":"https:\/\/thuviensuckhoe.vn\/?p=866"},"modified":"2026-03-28T11:12:17","modified_gmt":"2026-03-28T04:12:17","slug":"cap-cuu-kip-thoi-be-trai-13-thang-tuoi-nuot-kim-roi-xuong-phoi","status":"publish","type":"post","link":"https:\/\/thuviensuckhoe.vn\/en\/cap-cuu-kip-thoi-be-trai-13-thang-tuoi-nuot-kim-roi-xuong-phoi\/","title":{"rendered":"Prompt medical attention for 13-month-old boy who swallowed a needle that fell into his lung"},"content":{"rendered":"

B\u1ec7nh vi\u1ec7n Nhi \u0110\u1ed3ng Th\u00e0nh Ph\u1ed1 (H\u1ed3 Ch\u00ed Minh) c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi b\u00e9 trai 13 th\u00e1ng tu\u1ed5i nu\u1ed1t kim r\u01a1i xu\u1ed1ng ph\u1ed5i.<\/h4>\n

B\u00e9 trai N.M.L t\u1eeb B\u1ea1c Li\u00eau v\u1eeba bi\u1ebft \u0111i, tr\u00ean tay c\u1ea7m c\u00e2y kim ghim c\u1ed1 \u0111\u1ecbnh v\u1ea3i, v\u1eeba \u0111\u00f9a gi\u1ee1n v\u1edbi ch\u1ecb. Ch\u1ec9 m\u1ed9t kho\u1ea3nh kh\u1eafc ng\u01b0\u1eddi l\u1edbn l\u01a1 l\u00e0. M\u1ed9t ti\u1ebfng s\u1eb7c. M\u1ed9t nh\u1ecbp th\u1edf g\u1ea5p.<\/p>\n

C\u00e2y kim kh\u00f4ng r\u01a1i xu\u1ed1ng \u0111\u1ea5t, m\u00e0 ghim th\u1eb3ng, s\u00e2u v\u00e0o l\u00f2ng ph\u1ebf qu\u1ea3n, n\u1eb1m im l\u1eb7ng trong \u0111\u01b0\u1eddng th\u1edf non n\u1edbt c\u1ee7a m\u1ed9t \u0111\u1ee9a tr\u1ebb ch\u01b0a bi\u1ebft n\u00f3i \u0111au.<\/p>\n

Kh\u00f4ng kh\u00f3c \u0111\u01b0\u1ee3c. Kh\u00f4ng k\u00eau \u0111\u01b0\u1ee3c.<\/p>\n

Ch\u1ec9 c\u00f3 nguy c\u01a1 ngh\u1eb9t th\u1edf v\u00e0 t\u1eed vong treo l\u01a1 l\u1eedng t\u1eebng ph\u00fat.<\/p>\n

Chuy\u1ec3n vi\u1ec7n nhanh ch\u00f3ng s\u00e1ng nay t\u1eeb B\u1ea1c Li\u00eau l\u00ean B\u1ec7nh Vi\u1ec7n Nhi \u0110\u1ed3ng Th\u00e0nh Ph\u1ed1 Ngay l\u1eadp t\u1ee9c, BS CKII V\u00f5 Th\u00e0nh Nh\u00e2n \u2013 Ph\u00f3 tr\u01b0\u1edfng khoa H\u00f4 H\u1ea5p, c\u00f9ng ekip n\u1ed9i soi, th\u00f4ng tim v\u00e0 team c\u1ea5p c\u1ee9u \u0111\u00e3 \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t kh\u1ea9n tr\u01b0\u01a1ng.<\/p>\n

Trong ph\u00f2ng ph\u1eabu thu\u1eadt, m\u1ed7i gi\u00e2y \u0111\u1ec1u n\u1eb7ng nh\u01b0 ch\u00ec.<\/p>\n

N\u1ed9i soi \u0111\u01b0\u1eddng th\u1edf tr\u1ebb 13 th\u00e1ng, ph\u1ebf qu\u1ea3n nh\u1ecf m\u1ecfng nh\u01b0 s\u1ee3i b\u00fan.<\/p>\n

M\u1ed9t sai l\u1ec7ch v\u00e0i milimet\u2026 c\u00f3 th\u1ec3 l\u00e0 v\u0129nh vi\u1ec5n.<\/p>\n

V\u00e0 r\u1ed3i, b\u1eb1ng b\u00e0n tay v\u1eefng v\u00e0ng, c\u00e1i \u0111\u1ea7u l\u1ea1nh v\u00e0 tr\u00e1i tim n\u00f3ng, BS Nh\u00e2n \u0111\u00e3 ph\u1ed1i h\u1ee3p nh\u1ecbp nh\u00e0ng c\u00f9ng BS CK2 Tr\u1ea7n C\u00f4ng B\u1ea3o Ph\u1ee5ng – tr\u01b0\u1edfng team th\u00f4ng tim, soi g\u1eafp k\u00e9o d\u1ecb v\u1eadt ra kh\u1ecfi \u0111\u01b0\u1eddng th\u1edf.<\/p>\n

\"\"<\/p>\n

Ekip th\u1ef1c hi\u1ec7n b\u1eaft d\u01b0\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a h\u1ec7 th\u1ed1ng DSA\u00a0(\u1ea2nh b\u1ec7nh vi\u1ec7n cung c\u1ea5p)<\/em><\/p>\n

C\u00e2y kim ghim c\u1ed1 \u0111\u1ecbnh v\u1ea3i, th\u1ee9 \u0111\u00e1ng l\u1ebd ch\u1ec9 n\u1eb1m y\u00ean trong h\u1ed9p kim ch\u1ec9… \u0111\u00e3 \u0111\u01b0\u1ee3c g\u1eafp ra an to\u00e0n.<\/p>\n

\"\"<\/p>\n

Ekip th\u1ef1c hi\u1ec7n g\u1eafp k\u00e9o d\u1ecb v\u1eadt ra kh\u1ecfi \u0111\u01b0\u1eddng th\u1edf cho b\u00e9 d\u01b0\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a h\u1ec7 th\u1ed1ng DSA\u00a0(\u1ea2nh b\u1ec7nh vi\u1ec7n cung c\u1ea5p)<\/em><\/p>\n

B\u00e9 th\u1edf l\u1ea1i. C\u1ea3 ph\u00f2ng th\u1edf ph\u00e0o.<\/p>\n

\"\"<\/p>\n

Ekip vui m\u1eebng sau khi th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng g\u1eafp k\u00e9o d\u1ecb v\u1eadt ra kh\u1ecfi \u0111\u01b0\u1eddng th\u1edf cho b\u00e9 (\u1ea2nh b\u1ec7nh vi\u1ec7n cung c\u1ea5p)<\/em><\/p>\n

BS CK2 Tr\u1ea7n C\u00f4ng B\u1ea3o Ph\u1ee5ng chia s\u1ebb: “Tr\u01b0\u1edbc \u0111\u00e2y, nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1ed9i soi l\u1ea5y d\u1ecb v\u1eadt tre nh\u1ecf kh\u00f4ng th\u00e0nh c\u00f4ng th\u00ec ngay c\u1ea3 tr\u00ean th\u1ebf gi\u1edbi, b\u00e1c s\u0129 c\u0169ng ph\u1ea3i m\u1ed5, m\u1edf kh\u00ed qu\u1ea3n \u0111\u1ec3 l\u1ea5y d\u1ecb v\u1eadt ra, g\u00e2y \u0111au \u0111\u1edbn k\u00e9o d\u00e0i v\u00e0 \u0111\u1ec3 l\u1ea1i s\u1eb9o. V\u1edbi pp m\u1edbi n\u00e0y, bs c\u00f3 th\u1ec3 lu\u1ed3n \u1ed1ng th\u00f4ng (catheter) \u0111\u01b0\u1eddng k\u00ednh r\u1ea5t nh\u1ecf kho\u1ea3ng 1mm, k\u00e8m th\u00f2ng l\u1ecdng b\u00ean trong v\u00e0 \u0111\u01b0a v\u00e0o trong \u1ed1ng th\u1edf c\u1ee7a tr\u1ebb nh\u1ecf (v\u1ed1n r\u1ea5t nh\u1ecf) \u0111\u1ec3 l\u1ea5y ra ngo\u00e0i m\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng h\u00f4 h\u1ea5p c\u1ee7a tr\u1ebb l\u00fac thao t\u00e1c. Kh\u00f3 kh\u0103n l\u00e0: c\u1ea7n d\u1ee5ng c\u1ee5 chuy\u00ean bi\u1ec7t (d\u00f9ng trong can thi\u1ec7p tim m\u1ea1ch), v\u00e0 b\u00e1c s\u0129 ph\u1ea3i quen thao t\u00e1c v\u1edbi d\u1ee5ng c\u1ee5 n\u00e0y d\u01b0\u1edbi DSA. Th\u1ef1c hi\u1ec7n d\u01b0\u1edbi DSA th\u00ec r\u1ea5t hi\u1ebfm tai bi\u1ebfn v\u00ec c\u00f3 th\u1ec3 th\u1ea5y r\u00f5 d\u1ecb v\u1eadt kim lo\u1ea1i v\u00e0 t\u01b0\u01a1ng quan v\u1edbi c\u1ea5u tr\u00fac xung quanh.<\/p>\n

\u01afu \u0111i\u1ec3m c\u1ee7a l\u1ea5y d\u1ecb v\u1eadt\/ kh\u00ed qu\u1ea3n b\u1eb1ng d\u1ee5ng c\u1ee5 th\u00f4ng tim d\u01b0\u1edbi DSA:<\/p>\n

1. D\u1ee5ng c\u1ee5 nh\u1ecf h\u01a1n nhi\u1ec1u so v\u1edbi \u1ed1ng n\u1ed9i soi n\u00ean c\u00f3 th\u1ec3 l\u1ea5y qua kh\u00ed qu\u1ea3n m\u00e0 v\u1eabn \u0111\u1ea3m b\u1ea3o SpO2 b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh su\u1ed1t qu\u00e1 tr\u00ecnh th\u1ee7 thu\u1eadt.<\/p>\n

2. \u00cdt x\u00e2m l\u1ea5n h\u01a1n so v\u1edbi n\u1ed9i soi truy\u1ec1n th\u1ed1ng v\u00e0 quan s\u00e1t t\u1ed5ng qu\u00e1t \u0111\u01b0\u1ee3c to\u00e0n b\u1ed9 d\u1ecb v\u1eadt tr\u00ean DSA so v\u1edbi c\u1ea5u tr\u00fac xung quanh.<\/p>\n

Nh\u01b0\u1ee3c \u0111i\u1ec3m: ch\u1ec9 l\u1ea5y \u0111\u01b0\u1ee3c d\u1ee5ng c\u1ee5 c\u1ea3n quang nh\u01b0 kim lo\u1ea1i “.<\/p>\n

Qua tr\u01b0\u1eddng h\u1ee3p n\u00e0y BS CK2 Tr\u1ea7n C\u00f4ng B\u1ea3o Ph\u1ee5ng khuy\u00ean c\u00e1c b\u1eadc ph\u1ee5 huynh c\u1ea7n l\u01b0u \u00fd: “Nh\u00e0 c\u1eeda b\u1ec1 b\u1ed9n. Kim ch\u1ec9, ghim b\u0103ng r\u00f4n, t\u0103m tre, h\u1ea1t d\u01b0a, pin n\u00fat \u00e1o, \u0111\u1ed3 ch\u01a1i nh\u1ecf\u2026Ch\u1ec9 c\u1ea7n m\u1ed9t ph\u00fat l\u01a1 l\u00e0 c\u00f3 th\u1ec3 \u0111\u1ec3 l\u1ea1i h\u1eadu qu\u1ea3 v\u00e0 k\u00fd \u1ee9c \u00e1m \u1ea3nh c\u1ea3 \u0111\u1eddi. V\u1edbi tr\u1ebb nh\u1ecf, m\u1ecdi v\u1eadt nh\u1ecf \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0 d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf. Tr\u1ebb kh\u00f4ng bi\u1ebft nguy hi\u1ec3m, ch\u1ec9 ng\u01b0\u1eddi l\u1edbn ph\u1ea3i bi\u1ebft s\u1ee3 thay con. Xin h\u00e3y c\u1ea5t k\u1ef9 kim, ghim, v\u1eadt nh\u1ecdn, h\u00f3a ch\u1ea5t ngo\u00e0i t\u1ea7m tay tr\u1ebb. M\u1ed9t ph\u00fat c\u1ea9n th\u1eadn c\u1ee7a ng\u01b0\u1eddi l\u1edbn, c\u00f3 th\u1ec3 l\u00e0 c\u1ea3 cu\u1ed9c \u0111\u1eddi an to\u00e0n c\u1ee7a con”.<\/p>\n

T\u1ed5ng h\u1ee3p theo th\u00f4ng tin t\u1eeb\u00a0<\/em>B\u1ec7nh vi\u1ec7n Nhi \u0110\u1ed3ng Th\u00e0nh Ph\u1ed1<\/em><\/a><\/i><\/p>","protected":false},"excerpt":{"rendered":"

B\u1ec7nh vi\u1ec7n Nhi \u0110\u1ed3ng Th\u00e0nh Ph\u1ed1 (H\u1ed3 Ch\u00ed Minh) c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi b\u00e9 trai 13 th\u00e1ng tu\u1ed5i nu\u1ed1t kim r\u01a1i xu\u1ed1ng ph\u1ed5i. B\u00e9 trai N.M.L t\u1eeb B\u1ea1c Li\u00eau v\u1eeba bi\u1ebft \u0111i, tr\u00ean tay c\u1ea7m c\u00e2y kim ghim c\u1ed1 \u0111\u1ecbnh v\u1ea3i, v\u1eeba \u0111\u00f9a gi\u1ee1n v\u1edbi ch\u1ecb. Ch\u1ec9 m\u1ed9t kho\u1ea3nh kh\u1eafc ng\u01b0\u1eddi l\u1edbn l\u01a1 l\u00e0. M\u1ed9t…<\/p>","protected":false},"author":1,"featured_media":881,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[89,90,91],"class_list":["post-866","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc-su-kien","tag-benh-vien-nhi-dong-thanh-pho","tag-bs-ck2-tran-cong-bao-phung","tag-nuot-kim-roi-xuong-phoi"],"_links":{"self":[{"href":"https:\/\/thuviensuckhoe.vn\/en\/wp-json\/wp\/v2\/posts\/866","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thuviensuckhoe.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/thuviensuckhoe.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/thuviensuckhoe.vn\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/thuviensuckhoe.vn\/en\/wp-json\/wp\/v2\/comments?post=866"}],"version-history":[{"count":9,"href":"https:\/\/thuviensuckhoe.vn\/en\/wp-json\/wp\/v2\/posts\/866\/revisions"}],"predecessor-version":[{"id":880,"href":"https:\/\/thuviensuckhoe.vn\/en\/wp-json\/wp\/v2\/posts\/866\/revisions\/880"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/thuviensuckhoe.vn\/en\/wp-json\/wp\/v2\/media\/881"}],"wp:attachment":[{"href":"https:\/\/thuviensuckhoe.vn\/en\/wp-json\/wp\/v2\/media?parent=866"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thuviensuckhoe.vn\/en\/wp-json\/wp\/v2\/categories?post=866"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thuviensuckhoe.vn\/en\/wp-json\/wp\/v2\/tags?post=866"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}