CA LÂM SÀNG
BIẾN CỐ RƠI DỤNG CỤ TRONG ĐMV
Ths.Bs. Hoàng Việt Anh
Viện Tim mạch quốc gia Việt Nam
Đà Nẵng 10/2018
Ca lâm sàng
Nữ 67 tuổi,vào viện vì đau thắt ngực giờ thứ 7:
• Tiền sử:Tăng huyết áp
•Đau ngực nhiều CCS 3,4; Killip 1
•NT 86ck/ph;HA 110/60mmHg
•Troponin: 10ng/mL (Bt <0.01); Creatinin: 60𝛍mol/L
• Điện tâm đồ: NMCT trước rộng
•Siêu âm tim: Giảm vđ VLT và mỏm,EF 37%; Dd 46mm
Tắc LAD từ lỗ vào, Hẹp khít RCA2
Đưa dây, hút HK, nong bóng tổn thương
Đặt stent, nong bóng thêm sau đặt
![Bài giảng nguyên tắc sử dụng kháng sinh dự phòng nhiễm khuẩn trong phẫu thuật (năm 2022) [Chuẩn nhất]](https://cdn.tailieu.vn/images/document/thumbnail/2025/20250424/laphongkim0906/135x160/6551745494238.jpg)
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