Ph×nh gi·n thùc qu¶n
(Co th¾t t©m vÞ)
Môc tiªu häc tËp
!"#$
% &'()*')+,-
./01/2
3 & '( "4 ) ,5
,),'6"&7+
§Æt vÊn ®Ò
+1/!)" )8
•
9"4"":7
•
;<
•
1/&= :
DÞch tÔ häc
ë:>8
–
?<++<@ABC@DBE%@@@@@F:
–
G"H"IJ,"<K@CD@"H
–
?<+4+LMM<N
ë ViÖt Nam:
–
MOM
–
H"IJ,8%PCK@"H0PDB2
Gi¶I phÉu bÖnh, Nguyªn nh©n
Tæn th ¬ng GPB:
–
"#8/.FQFR"
–
S"#8"));TTU')
&VW5/QFR<X,5/"<<X,5
Y
Nguyªn nh©n (2 gØa thuyÕt):
–
M ,)"8")))"R
–
,)"8 )WF&*
Sinh BÖnh häc
+1/<F&V<"R5U/8
•
/!'L,)"
•
"&5<Z5"4"FX/
•
95"4"FX/LJL"
V"
TriÖu chøng l©m sµng
% MV"[8%@@B
3 \[8J,LD@C]@B
K 6' )^
,H
A _":8`"J,
TriÖu chøng X quang
1. X quang Phæi:
–
&"".&
–
9!"X5L"&""
TriÖu chøng X quang
2. Chôp C¶n quang TQ:
•
/.'"Va
•
/":7"b<cbcJc&d
Uc
•
VVFF"e'(""'Ib
•
W!"_5FF8]@B
•
8/!'J'^
TriÖu chøng X quang
3 giai ®o¹n:
•
Cf1'g8/.!'?
!,R/":7"b<
•
Cff1'gg8/he!'F7"&
/
•
Cff1'ggg8/."J[!c^
`"""c
TriÖu chøng soi TQ
•
/.'
•
:7<'!`
•
èa":7Fd
TriÖu chøng ¸p lùc TQ
% Wi"j"'8'N'+ZQ" "T&
3 &+8
–
/!'
–
),<Z5"4"FX/
–
95"4"FXLJL"
K 1)"&78
–
9*'))'7
–
9*')X
§IÒu trÞ
1. ®IÒu trÞ néi:
–
kl'`8<.5"4"FX/
–
9)<"V8
m1.5"&58M"&"0n&F2
m^0MoTF,T<6K@E2
–
W^"aU8""I F")Fl,l
–
9?'78
m®6"&7"IH
mMa)^5H
§IÒu trÞ
1. ®IÒu trÞ nong TQ:
–
kl'`8<.'"5"4"FX/
–
9),5,),8
mMN),<Z!X
mMN),<Z!5g8+aU
"I),Fl
§IÒu trÞ nong TQ ( tiÕp):
Kü thuËt:
–
®J"K$AP":7$/
–
5),<Z3@@"&%,)"
"K@@
–
kp'("3$A<R
KÕt qña:"V"q@BC]@B
BiÕn chøng:r/0KCPB2
§IÒu trÞ nong TQ ( tiÕp):
Chèng chØ ®Þnh:
–
M5,")8"H":"R
–
Ws"_"e/%EKFX
–
":7FFRH
–
W<'([F:5
§IÒu trÞ phÉu thuËt
PT Heller:
–
M "48L5/$":7
–
96F'IL58q0P,`/K
,`FF2
–
®IH8HL
–
W^"aU8q@BC]@B
§IÒu trÞ phÉu thuËt
C¸c PP chèng trµo ng îc kÌm theo:
–
PP NT: ,7KD@$
–
,T"8,73t@$
–
u&8,7,`"&X
–
G&""$v8:!