VlFM MANG NAO M SO SlNH

l. ]NH NGHlA:
Vom mung nuo mo so snh u nhom trong ho thong thun knh trong oong
trong thung duo cou do song.
Khoung l/3 cuc troong hop nhom trong hoyot so snh co kom vom mung
nuo.
Huo hot nhong v trong guy nhom trong hoyot so snh doo co tho guy vom
mung nuo mo.
ll. CHAN OAN:
1. Cong vicc cban doan:
u) Hoi: xom bu nhom trong hoyot so snh.
b) kbam: xom bu nhom trong hoyot so snh.
c) c ngb| xct ngbicm:
Cac xct ngbicm mao:
! Cong thoc muo, Ckl.
! Cuy muo.
! Doong hoyot cong oc choc dch nuo toy.
! lon do muo.
D|cb nao toy:
! Snh hou
! 1o buo
! So, cuy, tho nghom khung ngoyon hou tun gop chun doun ngoyon
nhun.
Sico am nao: gop chun doun phun bot xout hoyot nuo vu phut hon bon
chong vom nuo thut, nuo ong thoy
2. Cban doan xac d|nb: dou vuo kot qou dch nuo toy:
! lundy t+).
! Dum > l70 mg / d.
! Doong < l/2 doong muo tho cong oc.
! 1o buo tung > 32 buch cuo/mm
3
.
3. Cban doan ngoycn nban: kot qou so, cuy dch nuo toy.
lll. lF Tk]:
1. Ngoycn tac dico tr|:
! Doo tr duc hoo: khung snh
! Doo tr ho tro: chong pho nuo, chong co gut, dnh doong
2. kbang sinb:
! Kho duo pho hop 3 khung snh:
Ampcno + Cootuxm + Contumycn.
! Choc do toy song un 2: 36 48 go suo
Dch nuo toy tot hon, um sung tot hon " top toc khung snh du dong.
Dch nuo toy xuo hon, um sung khong cu thon " do khung snh dou
vuo:
+ Cuy dch nuo toy doong tnh: thoo khung snh do.
+ Cuy dch nuo toy um tnh: nhoom grum, khung ngoyon hou tun
doong tnh: dou vuo khu nung nhuy cum cou v trong:
. Ngh do Staphylococus: dong Vuncomycn thuy cho Ampcno.
. Ngh do v trong yom kh: dong thom Motronduzo.
. Ngh Crt-): Cootuxmo + looxucn/ Cprooxucn # Amkucn,
houc Coopm # Amkucn
. Ngh do Pseudomonas: dong Cotuzdmo.
. Ngh do Hemophilus influenzae: dong looxucn / Cprooxucn.
! 1ho gun doo tr khung snh: 2l 28 nguy.
! Nhom Amnogycosdo khong dong qou 5-7 nguy.
3. ico tr| bo tro:
! Chong pho nuo:
- Num duo cuo 30$.
- Cong cup do oxy.
- Hun cho nooc: noo co ro oun tr guc: oong dch nhup bung l/2 - 2/3
nho cuo.
! Chong co gut: phonoburbtu l5 20 mg/kg troyon tnh much l5 30
phot. Suo 30 phot noo con co gut, up u oo tho 2, co tho to oo
tho 3. 1ong oo khong qou 40 mg/kg. Hot co gut: doy tr phonoburbtu
3 5 mg/kg tom bup houc oong.
! Doo chnh cuc ro oun pho hop: hu Nu hoyot, hu doong hoyot, thoo
muo.
! Dnh doong qou sondo du duy don kh tro co tho bo dooc
lV. THFO DOl & TAl kHAM:
! 1hoo do: vong duo, cun nung mo nguy. lon do muo mo nguy kh
bonh nhun mo.
! 1u khum: mo 3 6 thung do phut hon d chong thun knh.