Thay khớp háng, khớp gối thành công cho cụ bà 105 tuổi

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</p> <div class="VCSortableInPreviewMode active" type="Photo" style=""> <div><img src="https://cdn.tuoitre.vn/thumb_w/586/2020/10/26/hinh-bn-105-tuoi-1603714082791613232420-16037216490301356305207.png" id="img_94ed3b40-1780-11eb-8f56-37d0a63ac5c7" w="1000" h="667" alt="Thay khớp háng, khớp gối thành công cho cụ bà 105 tuổi - Ảnh 1." title="Thay khớp háng, khớp gối thành công cho cụ bà 105 tuổi - Ảnh 1." rel="lightbox" photoid="95b8e320-1795-11eb-81f1-91864e4a64d8" type="photo" data-original="https://cdn.tuoitre.vn/2020/10/26/hinh-bn-105-tuoi-1603714082791613232420-16037216490301356305207.png" width="" height=""/></div> <div class="PhotoCMS_Caption"> <p data-placeholder="[nhập chú thích]" class="">Bệnh nhân 105 tuổi sau phẫu thuật – Ảnh: BVCC</p> </div> </div> <p><span style="">Bệnh viện Đại học Y dược TPHCM vừa thay khớp gối, nội soi lấy sỏi đường mật và thay khớp háng thành công cho một người bệnh 105 tuổi. Đó là bà V.T.S., ngụ TP.HCM.</span><div class="jeg_ad jeg_ad_article jnews_content_inline_ads "><div class='ads-wrapper align-center '></div></div><div class="jeg_ad jeg_ad_article jnews_content_inline_2_ads "><div class='ads-wrapper align-center '></div></div><div class="jeg_ad jeg_ad_article jnews_content_inline_3_ads "><div class='ads-wrapper align-center '></div></div> <p>Bà S. bị thoái hóa khớp gối, đi lại khó khăn. Một lần đang đi trong nhà, bà trượt chân ngã khiến mông và lưng đập xuống sàn. Sau khi ngã, bà đau đớn, không cử động được nên được n<span style="">gười nhà đưa đến Bệnh viện Đại học Y dược TP.HCM cấp cứu. </span></p> <p><span style="">Sau khi thăm khám và chụp X-quang, các bác sĩ cho biết bà bị gãy cổ xương đùi trái. Bà S. còn mắc nhiều bệnh mãn tính như tim thiếu máu cục bộ, tăng huyết áp, xơ vữa động mạch, hạ natri máu, xơ phổi và tăng áp phổi.</span></p> <p>PGS.TS.BS Bùi Hồng Thiên Khanh, trưởng khoa chấn thương chỉnh hình bệnh viện, cho biết nếu không thay khớp, bà S. sẽ phải nằm tại chỗ vì đau nhức, không xoay trở được; gây hạn chế trong ăn uống, tiểu tiện, đại tiện và các biến cố về hô hấp, tuần hoàn, suy thận như nhiễm trùng phổi, nhiễm trùng tiểu, viêm loét da vùng tì đè… dẫn đến tử vong. </p> <p>Đầu tháng 8-2020, các bác sĩ thay khớp háng bán phần cho người bệnh, phối hợp việc gây tê tủy sống và gây tê ngoài màng cứng liên tục. Ca mổ diễn ra thuận lợi. Ngay ngày đầu tiên sau mổ, người bệnh đã có thể tự ngồi dậy xoay trở. </p> <p>Hai tuần sau phẫu thuật đầu tiên, người bệnh đang được tập vật lý trị liệu, chuẩn bị cho phẫu thuật thay khớp gối thì đột ngột xuất hiện triệu chứng đau dưới sườn phải, sốt cao, vàng da. </p> <p>Sau khi xét nghiệm, siêu âm và chụp CT bụng, các bác sĩ phát hiện bệnh nhân bị sỏi đường mật biến chứng. Nếu không can thiệp kịp thời có nguy cơ nhiễm khuẩn nặng, có thể tử vong nên đã<span style=""> gây mê toàn thân liều thấp để nội soi ngược dòng lấy sỏi đường mật.</span></p> <p>Kết quả tái khám vào tháng 10-2020 cho thấy bệnh nhân phục hồi tốt, có thể tự đi đứng, sinh hoạt bình thường. </p> <p>Theo PGS.TS.BS Bùi Hồng Thiên Khanh, bà S. là một trong những trường hợp người bệnh cao tuổi nhất tại Việt Nam được thực hiện cả phẫu thuật thay khớp háng và khớp gối. Trước đây, những phẫu thuật lớn như thế này thường được chống chỉ định đối với người lớn tuổi vì có nguy cơ xảy ra nhiều tai biến, biến chứng trong quá trình phẫu thuật. </p> <p>Tuy nhiên với sự phát triển của y học, các phương pháp gây mê – hồi sức cùng sự phối hợp giữa các chuyên khoa trong cùng một cơ sở y tế đã giúp người bệnh lớn tuổi, có nhiều bệnh lý nội khoa được chẩn đoán, điều trị sớm cũng như thực hiện các phẫu thuật an toàn, hiệu quả.</p> <div type="RelatedOneNews" class="VCSortableInPreviewMode active"> <img style="float: left; width: 150px; height: 120px; margin-right: 10px;" src="https://cdn.tuoitre.vn/zoom/150_120/2020/6/10/thay-khop-hang-cho-cu-ba-103-tuoi-15917522205091860006277-crop-15917522526021058280858.jpg" alt="Thay khớp háng thành công cho cụ bà 103 tuổi" data-cke-saved-src="https://cdn.tuoitre.vn/zoom/150_120/2020/6/10/thay-khop-hang-cho-cu-ba-103-tuoi-15917522205091860006277-crop-15917522526021058280858.jpg"/>Thay khớp háng thành công cho cụ bà 103 tuổi </p> 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/* ]]> */ </script> <script type='text/javascript' src='https://cntt.tv/wp-content/themes/jnews/assets/dist/frontend.min.js?ver=2.1.2'></script> <!--[if lt IE 9]> <script type='text/javascript' src='https://cntt.tv/wp-content/themes/jnews/assets/js/html5shiv.min.js?ver=2.1.2'></script> <![endif]--> <script type='text/javascript' src='https://cntt.tv/wp-includes/js/wp-embed.min.js?ver=5.3.6'></script> <div class="jeg_ad jnews_mobile_sticky_ads "></div><script type='application/ld+json'>{"@context":"http:\/\/schema.org","@type":"article","mainEntityOfPage":{"@type":"WebPage","@id":"https:\/\/cntt.tv\/thay-khop-hang-khop-goi-thanh-cong-cho-cu-ba-105-tuoi\/"},"dateCreated":"2020-10-26 21:26:46","datePublished":"2020-10-26 21:26:46","dateModified":"2020-10-26 07:26:46","url":"https:\/\/cntt.tv\/thay-khop-hang-khop-goi-thanh-cong-cho-cu-ba-105-tuoi\/","headline":"Thay kh\u1edbp h\u00e1ng, kh\u1edbp g\u1ed1i th\u00e0nh c\u00f4ng cho c\u1ee5 b\u00e0 105 tu\u1ed5i","name":"Thay kh\u1edbp h\u00e1ng, kh\u1edbp g\u1ed1i th\u00e0nh c\u00f4ng cho c\u1ee5 b\u00e0 105 tu\u1ed5i","articleBody":"<div id=\"main-detail-body\">\n <title\/><br\/><div class=\"VCSortableInPreviewMode active\" type=\"Photo\" style=\"\"><div><img src=\"https:\/\/cdn.tuoitre.vn\/thumb_w\/586\/2020\/10\/26\/hinh-bn-105-tuoi-1603714082791613232420-16037216490301356305207.png\" id=\"img_94ed3b40-1780-11eb-8f56-37d0a63ac5c7\" w=\"1000\" h=\"667\" alt=\"Thay kh\u1edbp h\u00e1ng, kh\u1edbp g\u1ed1i th\u00e0nh c\u00f4ng cho c\u1ee5 b\u00e0 105 tu\u1ed5i - \u1ea2nh 1.\" title=\"Thay kh\u1edbp h\u00e1ng, kh\u1edbp g\u1ed1i th\u00e0nh c\u00f4ng cho c\u1ee5 b\u00e0 105 tu\u1ed5i - \u1ea2nh 1.\" rel=\"lightbox\" photoid=\"95b8e320-1795-11eb-81f1-91864e4a64d8\" type=\"photo\" data-original=\"https:\/\/cdn.tuoitre.vn\/2020\/10\/26\/hinh-bn-105-tuoi-1603714082791613232420-16037216490301356305207.png\" width=\"\" height=\"\"\/><\/div><div class=\"PhotoCMS_Caption\"><p data-placeholder=\"[nh\u1eadp ch\u00fa th\u00edch]\" class=\"\">B\u1ec7nh nh\u00e2n 105 tu\u1ed5i sau ph\u1eabu thu\u1eadt - \u1ea2nh: BVCC<\/p><\/div><\/div><p><span style=\"\">B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c TPHCM v\u1eeba\u00a0thay kh\u1edbp g\u1ed1i, n\u1ed9i soi l\u1ea5y s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt v\u00e0 thay kh\u1edbp h\u00e1ng th\u00e0nh c\u00f4ng cho m\u1ed9t ng\u01b0\u1eddi b\u1ec7nh 105 tu\u1ed5i. \u0110\u00f3 l\u00e0 b\u00e0 V.T.S., ng\u1ee5 TP.HCM.<\/span><br\/><\/p><p>B\u00e0 S. b\u1ecb tho\u00e1i h\u00f3a kh\u1edbp g\u1ed1i, \u0111i l\u1ea1i kh\u00f3 kh\u0103n. M\u1ed9t l\u1ea7n \u0111ang \u0111i trong nh\u00e0, b\u00e0 tr\u01b0\u1ee3t ch\u00e2n ng\u00e3 khi\u1ebfn m\u00f4ng v\u00e0 l\u01b0ng \u0111\u1eadp xu\u1ed1ng s\u00e0n. Sau khi ng\u00e3, b\u00e0 \u0111au \u0111\u1edbn, kh\u00f4ng c\u1eed \u0111\u1ed9ng \u0111\u01b0\u1ee3c n\u00ean \u0111\u01b0\u1ee3c n<span style=\"\">g\u01b0\u1eddi nh\u00e0 \u0111\u01b0a \u0111\u1ebfn B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c TP.HCM c\u1ea5p c\u1ee9u. <\/span><\/p><p><span style=\"\">Sau khi th\u0103m kh\u00e1m v\u00e0 ch\u1ee5p X-quang, c\u00e1c b\u00e1c s\u0129 cho bi\u1ebft b\u00e0 b\u1ecb g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i tr\u00e1i. B\u00e0 S. c\u00f2n m\u1eafc nhi\u1ec1u b\u1ec7nh m\u00e3n t\u00ednh nh\u01b0 tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, t\u0103ng huy\u1ebft \u00e1p, x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch, h\u1ea1 natri m\u00e1u, x\u01a1 ph\u1ed5i v\u00e0 t\u0103ng \u00e1p ph\u1ed5i.<\/span><\/p><p>PGS.TS.BS B\u00f9i H\u1ed3ng Thi\u00ean Khanh, tr\u01b0\u1edfng khoa ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh b\u1ec7nh vi\u1ec7n, cho bi\u1ebft n\u1ebfu kh\u00f4ng thay kh\u1edbp, b\u00e0 S. s\u1ebd ph\u1ea3i n\u1eb1m t\u1ea1i ch\u1ed7 v\u00ec \u0111au nh\u1ee9c, kh\u00f4ng xoay tr\u1edf \u0111\u01b0\u1ee3c; g\u00e2y h\u1ea1n ch\u1ebf trong \u0103n u\u1ed1ng, ti\u1ec3u ti\u1ec7n, \u0111\u1ea1i ti\u1ec7n v\u00e0 c\u00e1c bi\u1ebfn c\u1ed1 v\u1ec1 h\u00f4 h\u1ea5p, tu\u1ea7n ho\u00e0n, suy th\u1eadn nh\u01b0 nhi\u1ec5m tr\u00f9ng ph\u1ed5i, nhi\u1ec5m tr\u00f9ng ti\u1ec3u, vi\u00eam lo\u00e9t da v\u00f9ng t\u00ec \u0111\u00e8\u2026 d\u1eabn \u0111\u1ebfn t\u1eed vong. <\/p><p>\u0110\u1ea7u th\u00e1ng 8-2020, c\u00e1c b\u00e1c s\u0129 thay kh\u1edbp h\u00e1ng b\u00e1n ph\u1ea7n cho ng\u01b0\u1eddi b\u1ec7nh, ph\u1ed1i h\u1ee3p vi\u1ec7c g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng v\u00e0 g\u00e2y t\u00ea ngo\u00e0i m\u00e0ng c\u1ee9ng li\u00ean t\u1ee5c. Ca m\u1ed5 di\u1ec5n ra thu\u1eadn l\u1ee3i. Ngay ng\u00e0y \u0111\u1ea7u ti\u00ean sau m\u1ed5, ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 c\u00f3 th\u1ec3 t\u1ef1 ng\u1ed3i d\u1eady xoay tr\u1edf. <\/p><p>Hai tu\u1ea7n sau ph\u1eabu thu\u1eadt \u0111\u1ea7u ti\u00ean, ng\u01b0\u1eddi b\u1ec7nh \u0111ang \u0111\u01b0\u1ee3c t\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, chu\u1ea9n b\u1ecb cho ph\u1eabu thu\u1eadt thay kh\u1edbp g\u1ed1i th\u00ec \u0111\u1ed9t ng\u1ed9t xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng \u0111au d\u01b0\u1edbi s\u01b0\u1eddn ph\u1ea3i, s\u1ed1t cao, v\u00e0ng da. <\/p><p>Sau khi x\u00e9t nghi\u1ec7m, si\u00eau \u00e2m v\u00e0 ch\u1ee5p CT b\u1ee5ng, c\u00e1c b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n b\u1ec7nh nh\u00e2n b\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt bi\u1ebfn ch\u1ee9ng. N\u1ebfu kh\u00f4ng can thi\u1ec7p k\u1ecbp th\u1eddi c\u00f3 nguy c\u01a1 nhi\u1ec5m khu\u1ea9n n\u1eb7ng, c\u00f3 th\u1ec3 t\u1eed vong n\u00ean \u0111\u00e3<span style=\"\"> g\u00e2y m\u00ea to\u00e0n th\u00e2n li\u1ec1u th\u1ea5p \u0111\u1ec3 n\u1ed9i soi ng\u01b0\u1ee3c d\u00f2ng l\u1ea5y s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt.<\/span><\/p><p>K\u1ebft qu\u1ea3 t\u00e1i kh\u00e1m v\u00e0o th\u00e1ng 10-2020 cho th\u1ea5y b\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i t\u1ed1t, c\u00f3 th\u1ec3 t\u1ef1 \u0111i \u0111\u1ee9ng, sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng. <\/p><p>Theo PGS.TS.BS B\u00f9i H\u1ed3ng Thi\u00ean Khanh, b\u00e0 S. l\u00e0 m\u1ed9t trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh cao tu\u1ed5i nh\u1ea5t t\u1ea1i Vi\u1ec7t Nam \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u1ea3 ph\u1eabu thu\u1eadt thay kh\u1edbp h\u00e1ng v\u00e0 kh\u1edbp g\u1ed1i. Tr\u01b0\u1edbc \u0111\u00e2y, nh\u1eefng ph\u1eabu thu\u1eadt l\u1edbn nh\u01b0 th\u1ebf n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn tu\u1ed5i v\u00ec c\u00f3 nguy c\u01a1 x\u1ea3y ra nhi\u1ec1u tai bi\u1ebfn, bi\u1ebfn ch\u1ee9ng trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt. <\/p><p>Tuy nhi\u00ean v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a y h\u1ecdc, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p g\u00e2y m\u00ea - h\u1ed3i s\u1ee9c c\u00f9ng s\u1ef1 ph\u1ed1i h\u1ee3p gi\u1eefa c\u00e1c chuy\u00ean khoa trong c\u00f9ng m\u1ed9t c\u01a1 s\u1edf y t\u1ebf \u0111\u00e3 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh l\u1edbn tu\u1ed5i, c\u00f3 nhi\u1ec1u b\u1ec7nh l\u00fd n\u1ed9i khoa \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb s\u1edbm c\u0169ng nh\u01b0 th\u1ef1c hi\u1ec7n c\u00e1c ph\u1eabu thu\u1eadt an to\u00e0n, hi\u1ec7u qu\u1ea3.<\/p><div type=\"RelatedOneNews\" class=\"VCSortableInPreviewMode active\"> <img style=\"float: left; width: 150px; height: 120px; margin-right: 10px;\" src=\"https:\/\/cdn.tuoitre.vn\/zoom\/150_120\/2020\/6\/10\/thay-khop-hang-cho-cu-ba-103-tuoi-15917522205091860006277-crop-15917522526021058280858.jpg\" alt=\"Thay kh\u1edbp h\u00e1ng th\u00e0nh c\u00f4ng cho c\u1ee5 b\u00e0 103 tu\u1ed5i\" data-cke-saved-src=\"https:\/\/cdn.tuoitre.vn\/zoom\/150_120\/2020\/6\/10\/thay-khop-hang-cho-cu-ba-103-tuoi-15917522205091860006277-crop-15917522526021058280858.jpg\"\/>Thay kh\u1edbp h\u00e1ng th\u00e0nh c\u00f4ng cho c\u1ee5 b\u00e0 103 tu\u1ed5i <p class=\"VCObjectBoxRelatedNewsItemSapo\">TTO - C\u1ee5 b\u00e0 Tr\u1ea7n Th\u1ecb C\u00e1nh (103 tu\u1ed5i, \u1edf huy\u1ec7n Phong \u0110i\u1ec1n, TP C\u1ea7n Th\u01a1) b\u1ecb nhi\u1ec1u b\u1ec7nh l\u00fd tim m\u1ea1ch, huy\u1ebft \u00e1p v\u00e0 n\u1ed9i khoa k\u1ebft h\u1ee3p v\u1eeba \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 m\u1ed5 thay kh\u1edbp h\u00e1ng th\u00e0nh c\u00f4ng.<\/p> <\/div>\n <\/div>\r\n\r\n=> Xem th\u00eam: <a href=\"https:\/\/cntt.tv\/suc-khoe\/\">S\u1ee9c kh\u1ecfe v\u00e0 \u0111\u1eddi s\u1ed1ng <\/a>","author":{"@type":"Person","name":"cntttv","url":"https:\/\/cntt.tv\/author\/cntttv\/"},"articleSection":["S\u1ee9c Kh\u1ecfe"],"image":{"@type":"ImageObject","url":"https:\/\/cntt.tv\/wp-content\/uploads\/2020\/10\/hinh-bn-105-tuoi-1603714082791613232420-crop-16037141706101431695529.jpg","width":600,"height":315},"publisher":{"@type":"Organization","name":"","url":"https:\/\/cntt.tv","logo":{"@type":"ImageObject","url":""},"sameAs":["http:\/\/facebook.com","http:\/\/twitter.com","http:\/\/plus.google.com","http:\/\/pinterest.com","#","#"]}}</script> <script type='application/ld+json'>{"@context":"http:\/\/schema.org","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"item":{"@id":"https:\/\/cntt.tv","name":"Home"}},{"@type":"ListItem","position":2,"item":{"@id":"https:\/\/cntt.tv\/suc-khoe\/","name":"S\u1ee9c Kh\u1ecfe"}}]}</script> </body> </html>