BNH VIN A KHOA BC NINH CHUYN C XNG KHP

Bc Ninh, ngy 16 thng 3 nm 2012

Bo co vin: Bs. V Quang Vnh

THNG TIN BNH NHN Bnh nhn nam, 62 tui a ch: TP Bc Ninh - Tnh Bc Ninh Ngh nghip: Cng nhn hu Ngy vo vin: 23/02/2012 L do: au vng ct sng tht lng

TIN S Bn thn: Thnh thong au m vng ct sng tht lng tng t 2 nm nay, khng iu tr g t khi Gia nh: Khng c g c bit

BNH S B bnh ngy th 1, au d di vng ct sng tht lng, lan xung mt sau i 2 bn, au tng khi ho, rn, ht hi. C lc tiu kh, vn ng i li kh khn, vo vin.

KHM LM SNG Tnh, da nim mc bnh thng. Ct sng tht lng khng g vo, co cng khi c cnh sng 2 bn, n au. Nghim php Lasegue 30, Valleix (+) 2 bn. Khng teo c. Khm vn ng, cm gic, phn x 2 bn bnh thng. Khng ri lon c trn. Cc b phn khc khng thy g c bit.

CN LM SNG CT scanner ct sng tht lng: a m L1, L2 bnh thng. Li a m trung tm hon ton cc a m cn li ca ct sng tht lng. Ch li ra ngoi nhiu nht: 4mm, ngang mc L4 - L5 lm hp cc l tip hp 2 bn cng mc, ch hp nht cn 1mm. B trc thn cc t sng t L1L5 c hnh gai xng. Kt lun: Hnh nh li a m a tng/ Thoi ho ct sng tht lng.

CN LM SNG

CN LM SNG

CN LM SNG XQ ct sng tht lng: Hnh nh thoi ho ct sng tht lng. Cc xt nghim khc: o long xng ct sng(T-Score: - 0,1), CTM, MCB, Nc tiu, T, S, XQ tim phi bnh thng.

CN LM SNG

CHN ON
AU THN KINH TO 2 BN DO THOT V A M/ THOI HO CSTL

IU TR Felden 20mg x 1ng/ngy x 5ngy, sau chuyn dng ung. Mydocalm 50mg x 4vin/ ngy Glucosamin 250mg x 4vin/ ngy Synapain 75mg x 4vin/ ngy Kt hp phc hi chc nng: ko gin ct sng, xoa bp, chiu n, siu m, sng ngn. iu tr khc: Bao nim mc d dy, gim tit H+, vitamin, an thn.

DIN BIN LM SNG Sau 20 ngy iu tr: bnh nhn au, vn ng i li cn hn ch.

CU HI THO LUN Cc phng php iu tr ni khoa khc? C cn phi tim ngoi mng cng khng? C nn tim cnh ct sng khng? Khi no c ch nh iu tr Ngoi khoa?

Xin trn trng cm n !