Tỷ lệ biến chứng vết thương chọc mạch sau chụp và can thiệp động mạch vành và các yếu tố liên quan tại Bệnh viện Đại học Y Hà Nội





1







1






1







1







7uPWKҩ\PӕLOLrQTXDQFyêQJKƭDWKӕQJNrJLӳDELӃQFKӭQJYӃWWKѭѫQJFKӑFPҥFKYjÿӝQJPҥFK
WKӵFKLӋQ25 &,
1JRjLUDNK{QJWuPWKҩ\WKrPPӕLOLrQTXDQJLӳD
ELӃQFKӭQJYӟLFiF\ӃXWӕÿmNKҧRViWNKiF

,9%¬1/8Ұ1
7URQJQJKLrQFӭXFӫDFK~QJW{LFyWӹOӋELӃQ
FKӭQJYӃWWKѭѫQJFKӑFPҥFKFKXQJJһSSKҧL
ӣ EӋQK QKkQ WKӵF KLӋQ WKӫ WKXұW FKөS KRһF
FDQWKLӋSÿӝQJPҥFKPҥFKYjQKOj%LӃQ
FKӭQJFKXQJÿѭӧFGӵDYjRVӵ[XҩWKLӋQFӫD
ELӃQ FKӭQJ Wө PiX FKҧ\ PiX WҳF PҥFK JLҧ
SKuQKPҥFKWK{QJÿӝQJWƭQKPҥFK
1JKLrQFӭXFӫDFK~QJW{LWuPWKҩ\PӕLOLrQ
TXDQ GX\ QKҩW JLӳD ELӃQ FKӭQJ YӃW WKѭѫQJ
FKӑFPҥFKFKXQJYjÿӝQJPҥFKWKӵFKLӋQWKӫ
WKXұW %LӃQ FKӭQJ YӃW WKѭѫQJ FKӑF PҥFK JһS
ӣEӋQKQKkQ
WKӵFKLӋQWKӫWKXұWTXD
ÿӝQJPҥFKÿLEӋQKQKkQ
ÿӝQJPҥFK


TXD\ĈӝQJPҥFKÿLFyWӹOӋ[ҧ\UDELӃQFKӭQJ
FKXQJ FDR KѫQ ÿӝQJ PҥFK TXD\  OҫQ WURQJ
QJKLrQFӭXFӫDFK~QJW{L25 &,


 1JKLrQ FӭX FӫD FK~QJ W{L SK
KӧSYӟLQKLӅXWiFJLҧWUrQWKӃJLӟL9RUREFVXN
QKұQWKҩ\FyWKӇJLҧPQJX\FѫFKҧ\PiX
WҥL FKӛ FKӑF PҥFK YӟL ÿѭӡQJ WLӃS FұQ ÿӝQJ
PҥFKTXD\9ӟLYLӋFJLҧPWӍOӋELӃQFKӭQJFKҧ\
PiXQj\WLӃSWөFFKX\ӇQWKjQKWӹOӋWKҩSKѫQ
YӟLFiFELӃQFӕEҩWOӧLOLrQTXDQÿӃQWLPPҥFK
Yj Wӱ YRQJ12 &KӑF PҥFK TXD ÿѭӡQJ ÿӝQJ
PҥFK TXD\ Fy QKӳQJ OӧL WKӃ NKL VR ViQK YӟL
ÿӝQJPҥFKÿLÿһFELӋWWURQJFiFWUѭӡQJKӧS
TCNCYH 138 (2) - 2021


7Ҥ3&+Ë1*+,Ç1&Ӭ8<+Ӑ&
Fy FKӍ ÿӏQK GQJ WKXӕF FKӕQJ ÿ{QJ Yj NKiQJ
NӃWWұSWLӇXFҫXOLrQTXDQÿӃQELӃQFKӭQJFKҧ\
PiXWҥLYӏWUtFKӑFPҥFKÿӝQJPҥFKÿLOjPJLD
WăQJWӍOӋPҳFEӋQKYjWKӡLJLDQQҵPYLӋQ'R
ÿyYLӋFWLӃSFұQTXDÿѭӡQJ ÿӝQJPҥFKTXD\
ÿѭӧF[HP[pWÿӇJLҧPWKLӇXELӃQFKӭQJFKҧ\
PiXYLӋFÿLOҥLGLӉQUDVӟPKѫQYjFҧLWKLӋQVӵ
WKRҧL PiL FӫD EӋQK QKkQ13 9u Ot GR Qj\ FKӑF
PҥFKTXDÿѭӡQJ ÿӝQJPҥFKTXD\OjWKӫWKXұW
FDQWKLӋSÿѭӧF ѭDFKXӝQJӣ&KkXỈX&DQDGD
Yj+RD.u
ĈӗQJ WKӡL YӟL ELӃQ FKӭQJ JLҧ SKuQK PҥFK
WKHR -DQXV] 6ODZLQ ELӃQ FKӭQJ JһS ӣ ÿѭӡQJ
WLӃSFұQÿӝQJPҥFKÿLQKLӅXKѫQÿӝQJPҥFK
TXD\YӟLWҫQVXҩW15WKҩ\YӏWUtÿӝQJPҥFK

ÿLFyELӃQFKӭQJWөPiXFDRKѫQVRYӟLÿӝQJ
PҥFK TXD\16 7KӵF KLӋQ WKӫ WKXұW TXD ÿѭӡQJ
ÿӝQJ PҥFK TXD\ WURQJ QJKLrQ FӭX FӫD FK~QJ
W{LFKLӃPWӹOӋFDRKѫQӣÿӝQJPҥFKÿL
VRYӟL

1JRjLUDQJKLrQFӭXFӫDFK~QJW{LNK{QJ
WuP WKҩ\ PӕL OLrQ TXDQ JLӳD ELӃQ FKӭQJ YӃW
WKѭѫQJFKӑFPҥFKYӟLFiF\ӃXWӕÿmNKҧRViW
NKiF 7X\ QKLrQ PӝW Vӕ WiF JLҧ ÿm WuP WKҩ\
PӝW Vӕ \ӃX Wӕ OLrQ TXDQ 7KHR WiF JLҧ $QQH
*RGLHUÿLӅXWUӏNKiQJNӃWWұSWLӇXFҫXJLDLÿRҥQ
WUѭӟFWKӫWKXұWFyNKҧQăQJOjPWăQJQJX\Fѫ
FKҧ\PiXWURQJYjVDXWKӫWKXұWW\WKXӝFYjR
ORҥL WKӫ WKXұW WKӵF KLӋQ 1JX\rQ WҳF FKXQJ
QJX\FѫFKҧ\PiXGRFORSLGRJUHOWKҩSKѫQVR
YӟL FiF WKXӕF ӭF FKӃ 3<12 PӟL SUDVXJUHO
WLFDJUHORU /LӋX SKiS NKiQJ NӃW WұS WLӇX FҫX
NpSDVSLULQNӃWKӧSYӟLWKXӕFӭFFKӃWKөWKӇ
3<12
FNJQJFyQJX\FѫFKҧ\PiXKѫQVRYӟL
ÿѫQ WUӏ OLӋX WKѭӡQJ Oj DVSLULQ
17 1JKLrQ FӭX
FӫD WiF JLҧ *HRUJH +DKDOLV ÿm WuP WKҩ\ PӕL
OLrQ TXDQ JLӳD ELӃQ FKӭQJ WҳF PҥFK Yj OLӅX
KHSDULQ ÿѭӧF Vӱ GөQJ Yj WiF JLҧ ÿm ÿӅ QJKӏ
VӱGөQJOLӅXKHSDULQFDRKѫQOLӅXWLrXFKXҭQ
8,NJWURQJFKөSPҥFKYjQKJL~SJLҧPELӃQ
FKӭQJWҳFPҥFK

TCNCYH 138 (2) - 2021

9.ӂ7/8Ұ1
%LӃQ FKӭQJ YӃW WKѭѫQJ FKӑF PҥFK ӣ EӋQK
QKkQVDXFKөSYjFDQWKLӋSÿӝQJPҥFKYjQKTXD
GDFyWӹOӋFDR
%LӃQFKӭQJWKѭӡQJJһS
OjWөPiXFKҧ\PiXWҳFPҥFKJLҧSKuQKPҥFK
%LӃQFKӭQJFKӑFPҥFKFyOLrQTXDQFKһWFKӁYӟL
ÿѭӡQJYjRÿӝQJPҥFKÿӝQJPҥFKÿLFyQJX\
FѫELӃQFKӭQJFDRKѫQÿӝQJPҥFKTXD\


/Ӡ,&Ҧ0Ѫ1
&K~QJW{L[LQEj\WӓOzQJELӃWѫQÿӃQ7UXQJ
WkP7LP PҥFK %ӋQK YLӋQ ĈҥL KӑF KӑF< +j
1ӝL%DQ*LiPKLӋX7UѭӡQJĈҥLKӑF<+j1ӝL
YjWҩWFҧEӋQKQKkQÿmWKDPJLDQJKLrQFӭX
ÿmWҥRÿLӅXNLӋQYjKӛWUӧFK~QJW{LWURQJVXӕW
TXiWUuQKQJKLrQFӭX

7¬,/,ӊ87+$0.+Ҧ2
5DR692X)6:DQJ7<HWDO7UHQGV
LQ WKH SUHYDOHQFH DQG RXWFRPHV RI UDGLDO
DQG IHPRUDO DSSURDFKHV WR SHUFXWDQHRXV
FRURQDU\LQWHUYHQWLRQDUHSRUWIURPWKH1DWLRQDO
&DUGLRYDVFXODU'DWD5HJLVWU\-$&&&DUGLRYDVF
,QWHUY



GRLM
MFLQ
 &KXL 3: 3DU]\QVNL &6 5RVV -6 HW DO
$VVRFLDWLRQ RI 6WDWHZLGH &HUWL¿FDWH RI 1HHG
5HJXODWLRQV :LWK 3HUFXWDQHRXV &RURQDU\
,QWHUYHQWLRQ $SSURSULDWHQHVV DQG 2XWFRPHV
- $P +HDUW $VVRF 
H
GRL-$+$
+\HRQ&:/HH:.LP6<3DUN-<6KLQ
6+ 3UHYHQWLRQ RI PHGLFDO PDOSUDFWLFH DQG
GLVSXWHVWKURXJKDQDO\VLVRIODZVXLWVUHODWHGWR
FRURQDU\DQJLRJUDSK\DQGLQWHUYHQWLRQ.RUHDQ
-,QWHUQ0HG
GRL
NMLP
$XWKRUV7DVN)RUFHPHPEHUV:LQGHFNHU
6.ROK3HWDO(6&($&76*XLGHOLQHVRQ
P\RFDUGLDOUHYDVFXODUL]DWLRQ7KH7DVN)RUFHRQ
0\RFDUGLDO 5HYDVFXODUL]DWLRQ RI WKH (XURSHDQ



7Ҥ3&+Ë1*+,Ç1&Ӭ8<+Ӑ&
6RFLHW\RI&DUGLRORJ\(6&
DQGWKH(XURSHDQ
$VVRFLDWLRQ IRU &DUGLR7KRUDFLF 6XUJHU\
($&76
'HYHORSHGZLWKWKHVSHFLDOFRQWULEXWLRQ
RI WKH (XURSHDQ $VVRFLDWLRQ RI 3HUFXWDQHRXV

&DUGLRYDVFXODU ,QWHUYHQWLRQV ($3&,
 (XU
+HDUW - 
 GRL
HXUKHDUWMHKX
 1XPDVDZD < .RKVDND 6 8HGD ,
HW DO ,QFLGHQFH DQG SUHGLFWRUV RI EOHHGLQJ
FRPSOLFDWLRQV DIWHU SHUFXWDQHRXV FRURQDU\
LQWHUYHQWLRQ - &DUGLRO 

GRLMMMFF
 5DVKLG 0 .ZRN &6 3DQFKRO\ 6 HW
DO 5DGLDO $UWHU\ 2FFOXVLRQ $IWHU 7UDQVUDGLDO
,QWHUYHQWLRQV $ 6\VWHPDWLF 5HYLHZ DQG
0HWD$QDO\VLV - $P +HDUW $VVRF 

GRL-$+$
 5DR 69 0F&R\ /$ 6SHUWXV -$ HW DO
$Q 8SGDWHG %OHHGLQJ 0RGHO WR 3UHGLFW WKH
5LVN RI 3RVW3URFHGXUH %OHHGLQJ $PRQJ
3DWLHQWV 8QGHUJRLQJ 3HUFXWDQHRXV &RURQDU\
,QWHUYHQWLRQ $ 5HSRUW 8VLQJ DQ ([SDQGHG
%OHHGLQJ 'H¿QLWLRQ )URP WKH 1DWLRQDO
&DUGLRYDVFXODU'DWD5HJLVWU\&DWK3&,5HJLVWU\
-$&& &DUGLRYDVF ,QWHUY 

GRLMMFLQ
6DGDND0$(WPDQ:$KPHG:.DQGLO
6(OWDKDQ6,QFLGHQFHDQGSUHGLFWRUVRIUDGLDO
DUWHU\ RFFOXVLRQ DIWHU WUDQVUDGLDO FRURQDU\

FDWKHWHUL]DWLRQ (J\SW +HDUW - (+- 2II %XOO
(J\SW 6RF &DUGLRO 
 GRL
V
(URO)$UVODQù<NVHOøgHWDO'HWHUPLQDQWV
RI LDWURJHQLF IHPRUDO SVHXGRDQHXU\VP DIWHU
FDUGLDFFDWKHWHUL]DWLRQRUSHUFXWDQHRXVFRURQDU\
LQWHUYHQWLRQYLDWKHIHPRUDODUWHU\7XUN.DUGL\RO
'HUQHJL $UVLYL 7XUN .DUGL\RO 'HUQHJLQLQ 2UJDQLGLU 
 GRL
WNGD
 .HOP 0 3HULQJV 60 -D[ 7 HW DO
,QFLGHQFH DQG FOLQLFDO RXWFRPH RI LDWURJHQLF


IHPRUDO DUWHULRYHQRXV ¿VWXODV ,PSOLFDWLRQV
IRU ULVN VWUDWL¿FDWLRQ DQG WUHDWPHQW - $P &ROO
&DUGLRO 
 GRL
6