Tài liệu Khám và theo dõi bệnh nhân chấn thương sọ não ppt

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Tài liệu Khám và theo dõi bệnh nhân chấn thương sọ não ppt

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                Môn ho ̣ c: Ngoa ̣ i cơ ̉ Ba ̀ i gia ̉ ng: ly ́ thuyê ́ t lâm sa ̀ ng Ngoa ̣ I Khô ́ i: Y3-CT2 Thơ ̀ i gian: 2 tiê ́ t Đi ̣ a diê ̉ m: hô ̣ I trươ ̀ ng BVĐKTW Câ ̀ n thơ GV: BS. Đa ̀ m xuân Tu ̀ ng.                •      !" # $%!!  &'()* •   +  $,"  -,!  &-  ./()    ) •  ! "   0)1)  !,"  -%)23!/   -  4# $     5     # 6 78           7878"  (. # 6%   " &  '&&    ' •  " (   '    )!  &  *    + •   &  ''  &  ' !+*&+    '  + •   ,  * " '  !  ' !     " &  ' ! •   ' "   -  .   &  )  . $ ), "  • /& " '  ' " '&  )  (  '    '  ' !   7828!"  (. # 6 0 "   1&  '& " ' $ '  2 0, " '   !  )'.. "   '  1),  * "  " 1'.)',     ,) " , "  03 "   ',     7898  $6 4 " & " &  ' ! "  $ &   ! " (-.     "  &  ' !  "  4,"  -,!  :$"&   '  .  !2      !    '  . "    " & - Đươ ̀ ng hô hâ ́ p trên (Airway): 5  .' !  ,&  1(-.  ',,+5', !  '!  '*    " . "  ',  .*&  6 " & " ')  '  .!  ')'    )  '.     '. " 0&  )-  * ! $ ' !  ) " '*-. " 0&  789:)  '    " ', "   2  .!    2    &   - Ca ́ ch thơ ̉ cua ̉ bê ̣ nh nhân (Breathing): 5  . " 1'!  )  '!    ,)   " &'!     '!   1    1'!    '',  ;  1  .  '!   - Tuâ ̀ n hoa ̀ n: 5  .. " )  '  1  '.<   " & "   1  '  .& &(&  '  '!  !   ,   " ).  1,  ) $ & "  1.3.1. Kha ́ m thần kinh: :  ;()  '  .  '  ).  ' " !  6&  ),    '!    . " )* $ . " <6&  !      " 6&  .  &.)  6 "  $ '  .  2. $ )  .  6 "   $ '  2')6&  &  .'6&  4''*-<  .,  ( !. " ' ,   .  ')( !. $ )( !  .  )( !  .')( !  .6 !   %!!  &    '     " &6  "   '  .,.   /*=<,  .>  ',  .  '.!  )*!      & " , "   # 78%!!  &0) !" # $:$"'()*<0)=">4-%4?6 / # $@  <A0);0!?  " .!  .  '* " '? / " '  .!  .  '> 5  '  .!  .!  .  '@ A  .   $ ,.!  .  'B B  ;.  ,@  C-   :  :  -  <0($))%%0(;)(0(? -* "  "  !    C  " !  '  D * "  "   '  ? &  '' !    '  > 3,$&  '' !    '  @ 5,., " ', " '    B % # '/  !:  -  <0($))%%0(;)(0(?   *!    (  &  D   *!  *  *&$?   *!  '   $ ,'  ! " 1>   *!    &.', $ @ 5,'  *!  B   .,.  /*=     .*  6$'-6 $ )  2)  $    "   ,  !   $  " & ! " ).!    2   -'  ./*=  '  1&'  >.  , "  "  0, " - " B>0BD  .  .EFG' !  ! " 1 0'  H0B@  .IIBFGJJ 0 " KE  .IIIIBFGJJ DB:  . #  5  .  ' !  '  ,  '    1  ( "     )  ' !  ',  '  L B *       $ )6 $ ,  '    .&  '1  ( "     B  *'  ' "  ,    . $ 2-*  '   $  D-   :    .  !)  ' !    !*  DMD<'  .  * " '   !   ' !  !  1  ,  !  ',  ' ! D # >  -  ): • 1  ( " '  0.  ' • 1  ( "      • 1  ( "   . "  • 1  ( " (.  'N(&   • O  ( " (.  'N(&        '6   • O  ( " .  ''. D-  +!()  6 &    .  6&'&   " ' !   " 1 6&,  P)PP)PPP)QP)QPP   ',  ' !6&'&   "  " 1' " & " !     "  D-  4$    ),    )6&  5-6(&  '  '.   "  1.3.2.Dấu hiê ̣ u sinh tồn: A&  . " )  '  1) " 1'!     " ', " <%C0A4(!& " '&     '  1* " ' " &  16,    ,   .  ' " - $ 6&$'!  . " & " .) '  '  1  ,  * "  " 1'!  <. " &    ,  * " ,&  1&   ! "    2  '   " '  ( $ - $ *  .1   $  " '. 1.3.3. Kha ́ m ca ́ c cơ quan kha ́ c6 0 " ) " ), " ',  )'     " & " ' !    1,  ! " 1!  ',   ' !  !2  '?F0DFG' !  ! " 1 28  E      =  6 • Chu ̣ p Xquang so ̣ đơn gia ̉ n:,  .>' '  @ # F!"F)*0 1-  1'  . !    ' " )* $ . " )' "   ' "  &       " &' $     ' " - $ '!$  44  %)()  '"3GG '-   • X quang cô ̣ t ́ ng cô ̉    " &,.)    D0BDG  " & "   -  .',  ' !, " ',  ,   • Xquang ngư ̣ c:&  '  ' " &.  11  ' "   ',  ' !  " 1,  ! " 1 • Chu ̣ p că ́ t lơ ́ p điê ̣ n toa ́ n (CT Scanner) na ̃ o : &   " &,.),  * " '  )',  ' !'&  '  )   6&  '  1* " , "  " ) " 1  '*!  1'  *  1 !1  1',  '&  ' "    &     • Ma ̣ ch na ̃ o đô ̀ :  !!  ,  -)  '  6  . "  $ ,   • Ca ́ c xe ́ t nhiê ̣ m thươ ̀ ng qui,'  .   !    ').  ),   , "  ! " LF)DM*) %PQ)  ..  )(-  ' " .,.   98          6 4 " &&   ! " '-6 $   ''?E!  &           .  ' " ' " )'  1* " ' " &  1' !  (  ''!     RFG 3.1. Lâm sa ̀ ng7,$BD0>FS'@?!  &    .,$@!  ' $     00)1)  !%!!  &'-'  .,./*=<  '  .  .@   .!  &  *       $  0-  4!"  4(!:  *&  . " )  '  1) " 1'!     " ', "   . " & " . 6&  )  '  1'6&  )   " 1'!  , "      "    , "   '  1* " , "  " -7**AT)  ;'.  &-$4 @H7I$$)  $  &&-  $/7I*&  M1  '< " 1'!  ''2G '-  J;4  *  &  '' !  !   !  'BD',  )    '  1* " , "  "  &  '' !  !  1,   0-  4-  +!+4%4  '  .  * " '   !  )6 $ ,  '    ',   ' !)  .)&  ',  (    1  ( " &( !1  ( " 4 0  K  %  .  & -  4  A&  @F+0  $:)  ! $ *  6&   "  '  1* " , "  " &       "  " ' D-  '-  ;, # 0)1)  !'  ./*=),  '    ' !  '  1  ( "      )& " , " )6&   " ',  .,$ " &  1  ' "  " 1'!    " &     " '  1* " , "  "  3.2. Câ ̣ n lâm sa ̀ ng: D4  ;'  !&0%   " & $  " 1!  .'>!  &   )%!!  &! # $2 !" # $!  '  .'  &   " (&  '  " 1-  4-  +!+4%4  ) " &  , "   '  1* " , "  "  0  $   A$@  1  ' " '8A  '  (&  ' "      &  ' ! 0B) !"    ) :    1  ' "  " &, "  D4  ;$  &  ) :  6  '  .      . " .   6  , " . "    0()  ',  , " . "  $    =   #  BA(&  BHHRChâ ́ n thương va ̀ vê ́ t thương so ̣ na ̃ o ơ ̉ tre ̉ em va ̀ ngươ ̀ I trươ ̉ ng tha ̀ nh.A(-6"  )  &)  !-  +!<& " 1P< U%93O%7)B?E @7**ATBHHCHead injuryP0&!'01(L0>,))+)M010&!0<BF-6) 7/=0%**V8)@B>D0>E  # =    )  7&-4 4  6 • 3&   " *&.  5%W/*2   " & " !     "  • &  .2,  .  ' • * " ''&   " • 6&  4''*-M  .  ' • '  '  1X •   ,  !    !     " !  YYYYYYYY4YYYYYYYYYYYYYY  " &  6&   " 4''*- • ,   " ' !   • ,   "  $  • *,  &  . • *,  7 • 4 " &.)@D',  P) ! "     &  1  &   " & & " 1        ,',6' " ',5  .'  '&   "  &.!  .  ')  ''  '    '  *!  P    '  ,     ./*=   " &   • C • HX • B@ • BD • ,'   ! "  • Z-  ' " .  &     "  " &'+ •  " 1. "  $  • '  1' " '-6  P,&  (-  ' " .'    ./*=  . •  " 1 $ X •  " 6  6 "  $ '   •  " 1Z2 " D7, " ',   " &&  ' ! "  $      " '  1* " , " P " &  1   6&   "   '.   o '  '  1). " )'!   o '  '  1). " & " .)'!  X o   .  '  1). " )'!   o   .  '  1). " & " .)'!  & " .  88B  $E4-4   . =   #  BA(&  BHHRChâ ́ n thương va ̀ vê ́ t thương so ̣ na ̃ o ơ ̉ tre ̉ em va ̀ ngươ ̀ I trươ ̉ ng tha ̀ nh.A(-6". .!    2    &   - Ca ́ ch thơ ̉ cua ̉ bê ̣ nh nhân (Breathing): 5  . " 1'!  )  '!  

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