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KET QUA LAM VIEC Cain cit dé nghj cita Co quan CSBT- Cong an tinh Vink Phiic; eiin ett t gu, s6 ligu duege lun trit (ai Bgnh vign Da Khoa tink Vinh Phi, dai dign Bénh vign Da khoa tinh Vinh Phic cung cap nlue sau: Bénh nhan Doan Huy Thign néu trén duge Trai tam giam Céng an tinh Vinh Phi lam thi tye nh§p vién tai Bénh vign Ba khoa tinh Vinh Phiie hoi 15 git 05 phit ngay 25 thing 8 nim 2022. Bén 14 gid 37 phat ngay 29 thang 8 nam 2022 thi ravign. “+ Vé két qua chan dodn khi Doan Huy Thign vao vign: Theo déi d6t quy nfo. + Vé két qua khdm bé1 ‘ai Bénh vién Da khoa tinh Vinh Phic Doan Huy ‘Thign da duge thim khém, lam cdc xét nghigm, siéu am, chyp chiéu...(cu thé theo hd so bénh dn), két qu ~ Vé trigu ching lam sani nhan tinh, tiép xiic t6t, nguoi bénh kéu dau Bi bén phai, kéu c6 con co cimg nita ngudi bén phai, khéng nén, khong sot, fn d6ng va thin kinh so nfo. H6i chimg mang ndo am tinh. 5 uu chimg cn lam sang: &t qua chyp cng huéng tir so nfo chua thay t8n thuong; Két qua chp c6ng huéng tir ct song ¢6 chua thay ton thyong. - Vé két qua dién co: Dan chuyén vén dong va cam gidc than kinh ngoai vi, chi binh thuéng. - Két qua xét nghiém céng thtre mau, ngoai vi: Trong gidi han binh thi - Két qua xét nghiém sinh héa: Réi loan chuyén a ga ae - Két qua déng méu co ban: Binh thudng. Scanned with CamScannerScanned with CamScannerScanned with CamScannerSAO YBANGOC agn dining. § nim ange CAL Soh 4. Nghé nghiép: 6. Ngoai kidu: son XB phe? Tinh, think 9, Boi tong: 1. BHYT | ‘96 thé BHYT as aaa ‘Yis. vio whos [7=7I... ng / th /nam Séngay DT. ~git..phit. DB/$./W0RL Foals] ica eee ‘Vio vign do ben ny Hin thi TA Net git bu: Ce quan yet L127 oO 17. Chuyén vign: tino Tuyen audit] 3 et] omg a GE : “$5 16.0 ia Rave : pea eet an Passe «a aT pada CTT e ting onety atu nfl CLASS “IIL. CHAN DOAN MA |20. Nai chuyén dén: ..... 23. Ra vin: ; ane seein Lda. Uglies “Phu tua 4+-Tha thuat + Bign ching: IV. TINH TRANG RA VIEN 24, Ket qua diéw ti 26. Tinh hinh tir vong: 25, Gii pha béah (Ui cd sink thie) 1. tant tok L] 2. nani ng ]s. de weal 1. Kasi 4. Néng hon] |1.D0 benh 2 Do tai bie dia i 2.pa,gidm — [R) 5. Tizvong [] | 1. Trong 24 gird Sau 24 gid vo vign 3. Khong thay adil) 27. Neuyén nbn chinh tt vong: {MG Gidm adc bénh vien Scanned with CamScannerA-BENH AN L.L¥ dovao vier: Dau UL. Hai béah 1. Qué trinh bénh. iu Vio nely thi: 7 cia béah, eh phat, bid, chdn Bn dang tear Alin, eu tc ; Shin vn mm CA, Tn a egal ae ‘ Peto end hen ME og ch wag dau du, Scanned with CamScanneriM PHUC Mau sé: UI/KBUB Ma BN: Xin I ae 22074988 93 ZB BANG KE CHI PHi DIEU TRI NOI TRU c Thu phi » ei: a iti tok 1 + ‘nim sinh: 1981 ; én ngudibéah: DOAN HUY THIEN Nes ee s ‘Maku wwe (KV/K2/K3): chi hign tai: Dich Vong Hu, Quan Clu Gidy, Thanh phd Ha NOI thé BHYT: ‘TheBHYT tir App: Giri tit aaa (ME: {aang kj KCB ben du: nn kha: 14 git 54 phat, ngay 25/0820: du tr ngos wing ri tat 15 gi 02 phat, pty 28082022 an see didoc 14 gi037 pit nghy 20082022 Téngsbnety itu: § (10) Tinh wang ra vien: [1] pcx: (12) Dingtuyén: Noi chuyéa dén meow ee z (13) Thong tuyén cartes en: TMi aosn xe dink: Rb Toon cim git da KXing xc di vc loan Kc ch dt (16) Ma ben R208 (18) Ma bénh kém theo: Bah kém theo: ; “Toi idm di 5 nd lin tye te nghy (20) Mién cing chi tr trong nim ti nBby ‘hi phi khaim bgnh, choa bent: phi XBCB tinh tirngay: 25/08/2022 dén: 29/08/2022 phi ay a a Neubn thanh coin (ng) bon gié| Don gié| 77 |Thann tén| ‘rr | Thanh aa ‘Newoi pv oa theo | tiém BH | Quy - Noi dung, su} BV | BH Jaen] BY lat bénheing| Khie | bénh ty ‘ 7 |S) cabngy | ctdng) | te | C@Bne) PHY"| (@Bne) | BHYT | cites tr a ool o. Sole | lel o@ [et © co) ay | a | a3) = 2.805.273) 2.805279 4 Cp Ciw 13.500 ina che ce 713.500 2 ( Sr Neay giving Oi tafe a = \ jing HB sc cip obs u ang Erste ese [NeHlosol axr.c0] 427.009 100) 213500) ae ep ers ms 3. Xe nghifin ene Lise panei at SD Tlic] 25.00) 29am 10 29.009 29.000 Beceem [efi] sol zis ve 2s 21.500 serine senor | alia aise] 2120 veo] 21509 21500 ‘penirscosTorF [lia] sie] reso eo] 16109 9 ‘00 sPPighiemeceein Yanlioo] r2son] 12.90q 100] 12900 a 12.800 [Pinkie Creinin“[tanfion] ausoo) 2150q] 10] 21500] 21.500 F]pjnn tegng CRP S5.a00] 53.800] Too] 53.800] 0 33800 ah lang Choleseat 8 Ee dn du) Lan|1,0o] 26,900] 26,900] 100] 26.900] 9) 26900 ‘]ojnh tuong D-Dimer [da [,00] 253,000] 255.000) 100] 253.000] 9 253,00 in ayng Fibrinogen én khic: Dinh huang {olsés 161), phzong phép | Lin|1,00} 102.000] 102.000] 100) 102! auss- phuomg phip tv Hip. ing nty tong we [Binh emg Glucose tifah one wee | anjioo] 21.500) 21.50] 100) 210] || Tagng LDL-C (Law| j ft ep Lin} . om 00] 26.900] 26.900] 100] 26900 of Scanned with CamScanneret q venvrmgrevert in|) 26909 26906 tod 16.900 ‘radu (Mau) a 3inh gg Ure a uae 2130 2150 19) 21509 Maul 1 Sense [ao soa 1 33109] Rota pila an || Dinh nhém mau hé RH(D)| 09] 109] v0 31. 0 (KS hate pin 4) | | ‘Do host) ALT (GPT) st] 2150 EI as] 4 a Uin|io0| 21 PetersOAST COON |ran|ion| 21st] 215 EI aise] 4 [HBSAg test nhanh Tan|1,00 53.600] 33.600] 100] 53.600|__ {HCV Ab testnhanh |LAn[,00|—s3.600|3.c0o] 100] 53.60] [HIV Ab test nhanh_ ‘Lin| 1,00] 53. '53.600|_100| 33. ol Frdng pin ich wna 2fngungoa vi ing my |LAn|,00) 46.200) 46.200) 100] 462 te ase) {Thoi gian prothromt (PT. Prothrombin Time), aftcée én uate: TG; 18 |Lbn}.0o) 63500] 63.500] 00] 63500 ae 8 Fin gan thromboplastin nae aarttssaivardPana|.]soq) gos] nae] 19] soa en Hhde: TCR) bang |may ty dong Heekem og 2slnao macht givong (| LAn|,00] 15.200] 15.200] 100] 15200] i) mal 4. Chin Goin Hah aah Tare 1 Caesteenaonetre Tah anf anne =" vee] saison] d afopexremener ie alan] ea] sae] vol] ca] "Thi db chic ang Tae 1 [Biga tim thudng Tha] 00] 32-800] 32.800) 1 32.800] 0] 8. 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ANH NYoayHHa Fanta) OH LA HOE IVE DNQD AIHA she 1A Wud HNIA ZL AOS Scanned with CamScannerOT ot so so ol X or Dve- O8T 2 avo Yow UN woNy LAT os Ans ovo Kei Bap) 1 OT Bugntp wry AGW glp upkny kyp OE | [o‘os | NYCNVH LdaSVATY) 1 (oss pam ital 9 ot TmyfBuig| suausH jouisoumd | oT [1005 /%6'0 %6'0 PUOTS LEN] 1 07 diturquep suon o9nKT] & o1 (eargd 1 vou 9s] Supp anu Auenby dy] OT GS-0) owt 6s:m Bunny Bago dS] 0% ue qulY UFO UPI) z = (oyu) Baga 1 qotur ovr nyut Sugnp wApIYsH. ‘Budp Ay Apu on (io om ua) Coun, used : Teaueg poreanoy :Ltdv) soy upyd our unseidoquiomn ers ‘Bugp my Apu Tay (uquuo o1 $161 D420 Ua o¥D) ‘Couny] 1 uiquonpoig iLd) miquiomposd ue 3 Gose] mpD A eh ugg) ou nqur ovg gon una! upg] | z yup enw “uu ungHD Aa yoIp Ua, : 1 Scanned with CamScannerofan co orc 0 osteo (30/6 Buy AeSu oomp) BubnI 9S Scanned with CamScannerScanned with CamScanner< vy TE VINEPFUC . CONG HOA XA HOI CHU NGHIA VIET NAM ‘2. ON DA KHOe. TINH D6c lip - Ty do - Hanh phitc PHIEU XAC NHAN TINH TRANG CAP COU VA MUC HUONG BAO HIEM Y TE Ding cho bénh nhdn cb BHYT diéu tri ni tri) hat AUAN... HUY. 1. XAC DINH TINH TRANG CAP COU 1. Chan a o%c trigu chim; at Tinh trang cp ciru Bic si x4c nh§n ,” (Khoanh tron vao muc dénh gid) (ie) va ghi ro ho tén) (ete ecu fun 2. Khong eép eu i La? f Ligue Ve D j IL. XAC DINH MUC HUONG BAO HIEM Y TE | 1. Gifdy ta kém theo: i Tich “X” vo muc c6 Bénh nhan/Newdi Nguoi tiép nhan D. Gidy chuyén vién: nha(&yi, ghi ro ho tén (ky va ghi ro ho tén) 1 Chuyén ding tuyén va mdi quan hé) ‘Theo nguyén vong 1 ‘he bao hiém y té O Giy ching minh nhén din O Khic (ghi 10): 2. Mite huéng BAYT: Mite huéng BHYT (Khoanh tron vaio mize huéng) 1. Ding tuyén 2. Trai tuyén Scanned with CamScannerMs: 42/BV.- x 86 vao vign: onabuaasS MaBN: 220749} Pini Kee BENE Vio view UI PK C4p Citu 2. Ngiy sinh: 198] Tudi: 41 tudi 4. Nghé nghigp: Khéc 0 6.Neoai kidu: Viet nam 234 Phung xa: Dich Vong Hau 1011315 Tinh thanh: Thanh phé Ha N6i 101 9. Déituong: Thu phi ‘86 thé BHYT: |. Ho tén ngudi cén béo tin: chi: ere 14:58 25/08/2022 | Chin don noi giéi thi LY DO VAO VIEN: dau diu | HOI BENE: (Qué trinh ben I¥: Theo 1oi Bn va cOng an dura vio cung efp: BN dang Ia pham nhén tai trai tam giam CA Tses a hign dau dau, yéu ligt tay Chin Phai-—> vv SéDT: 13. Nady git vio vign: 15:02 25/08/2022 (Tin sir bénh: Bin than: (Gia dink: KHAM XET: ee ty ea foan thn: BN tinh, da mdi héng, dau dau vas 7/10 vai an phit Nhigt a6: Hic bp phn: Tim nhip dBu, phoi oRRPN 10, bung mém, ety img, 1/2 ‘Haye nant Phai co lye tay 2/5, chan 1/5, gay cimg, vach mang néo(+/-) Nhip tho: Tan/ phiit (Canning: kg ‘tit két qua lam sang: doan vao vign: D9t qui, khong xic djnh do xudt huyé i Viém mang nio, khong biét dink cr ly: iu trj tai khoa: Khoa CAp Ciru by: thay nhdi mau (Tai bién mach méu nao); ‘Ngdy 25 thing 8 nam 2022PHUC ) ii Ey a ani me 10a Tinh 22074988 HIEU CHi DINH XET NGHIEM VI SINH (VS) AN HUY N Ngiy sinh: 1981 Gigi tinh: Nam Dich Von; (Cau Gidy, Thanh phé Ha Néi _Vigt nam CMNDICCCD: Khoa Cfp Ciru Phong/giuémg: G02 ui, khéng xée dinh do xuat huy nhdi méu (Tai bién mach méu nfo) - 164 Vien bigt dinh;Viém mang nao, khong biét dit Tr: én: Noi cip BHYT: Tink trang: Thong Ghi chit SBT: Ma SL] Neiy ehi aint 37TDI942 [HIV Ab test nhanh 1_ [25/08/2022 15:05| 1 [25/08/2022 15:05 a7mpism@ [HCV Ab test nhanh 37TDI913 [HBsAg test nhanh 1 [psvow2022 15.05 SIT: 16 ‘THYC HIEN: Phong 17- Tang 1 Nha A Ney 25 thing 08 nam 2022 Bic sy chi djnh2 " * Ma BN: I g SOY TE VINH PHUC il ‘Bénh Vign Ba Khoa Tinh eee PHIGU TRA KET QUA XET NGHIEM Ho a ngubi bec: DOAN HUY NS: 1981 Giéi tinh: Nam a chi: Di iy, Thanh pho Ha NOI Khoa phong: mae conch, Me Budng: CC3-C Giutng: G02 ae Det qui, Khong xéc dinh do xuft huyét hay soba (Ta i no a én: $6 the: Béc 7 ditu ti: Ths Bs. Ten Giép ‘Tén xét nghiém Kétqua || CSBT Donvi_ | Ghicha | i HBsAg test nhanh AM TINE Tin thé BH Anti HCV (ahah ANTINE chi: HIV Ab test nhank am Nha xét: AMTINH Mi 37D Ngay 25 thang 8 néim 2022 i Khoa Vi sinh TH ee 4 Lv ¥ ign tir bat: TRAN XUAN HOA BINH 4 | a | Scanned with CamScannerScanned with CamScanner5 < 3 # SOY TE VINHPHUC yte bi trong: ‘Bénh Viga Ba Khoa Tinh 6 miu: 4 a PRIeU TRA KET QUA XET NGHIEM . : GiGi tinh: 3 i bgah: DOAN HUY THIEN Ne PR acca Dek Vong fu, Quén Ch Gy, Thanh pb HANGS 003-0 50a Khoaphing: Khoa Cép Cia BHYT ti: Chin dodn: gt qui, khdng xéc dinh do xudt huyét hay nhdi mau (Tai bién mach méu nfio) i én: 6 thé: ‘Bac sf digutri: Ths Bs. Trin Gidép ‘Tén xét nghigm Két qua CSBT Donyj | Ghicha ‘Téng phin tich #6 bio méu ngoai vi (bing may dém laser) ‘WBC 6.69 4-12 GL NEUT 65.7 40-74 % LYMPH 269 19-48 % ‘%MONO 35 39 % ‘BOS 16 0-7 % ‘%BASO 03 0-15 % au 439 19-8 GL et 1.80 09-52 GL MONO 0.37 016-1 GL Os oar aaa 0.02 a 0.02 NRBC 0.00 sue 5.38 HGB a HCT 0.44 MCV 81.6 MCH 283 MCHC 346 RDW-SD_ 37.4 RDW-CV 12.6 PLT 239 MEV. 9.0 PDW 10.0 Nhfin xét: Scanned with CamScannerScanned with CamScannerSOY TE VINHPHUC nee oe ITE ‘Bénh Vign Da Khoa Tinh weal ree TRAKET QUA XET NGBIEM ‘Hig tén ngudi beah: pOAN BUY NS: 1981 Gi6i tink: Nam pia chi: ‘Dich Vong Hau, Quin acts ‘Thanh phd HANG: of Budng:CC3-C — Giudmng: G02 Khoa phing: Khoa Cép ‘Chin doain: a BHYT ti: Bac sf didutri; Ths Bs. Trin Giép { Ten xét nghigm ponvi | Ghichi Bi ain ma ABO CK ‘Dinh nhom méu he Rh(D) (Ky thus phi 8) Lin ‘han xét: Nagy 25 thdng 8nd 2007 Khoa Huyét hge vi Truyén| a Scanned with CamScannerScanned with CamScannerSOY TE VINK PHUC NIU | ‘Bénh Vign Da Khoa Tinh PHIEU TRA KET QUA XET NGHIEM ‘Ho tén ngudi bénh: DOAN HUY iN NS: 1981 Dia chi: Dich Vong Hu, Quén Cau Gidy, Thanh ph Ha NGi Khoa phong: Khoa Cp Ciru Bubng:CC3-C_ gi, a oan: D8 Hn de in do sult Eh imu (Ts bin mgch mana BHYT ti: én: S6 the: Bac sf didutri: Ths Bs, Trin. Giap. : Tén xét nghigm Két qua CSBT Don yj Dinh lugng D-Dimer 370.1 <500 nell Pint lope Fitton (Tén khée: Dinh hong Phép Clauss- 2m diapte iby rg aoe phuong 8 24 el Ta Rehombin (; Potro Tne) (Cis ta BRST ia © 129 (%) 1. ae 19 ‘Thdi gian thromboplastin a Bag miytdgag Panel bok (PTT: (R)APTT 0.86 = Sart 9851.25 hin xét; Scanned with CamScannerScanned with CamScannerMABN: SOY TE VINK PHUC pha Bénh Vign Da Khoa Tinh ae a ae M Ho tén ngudi bénh: DOAN HUY THIEN iS: Dia chi: Dich ‘Vong Hi, Quin Clu Gify, Thanh pho Ha 7 én: Bac sf ditutri: Ths Bs. Trin Giép Tén xét nghigm Digan giti dB (Na, K, Cl [Miu q Nat 138 [135-145 | mmol/L. aS 35-50 | mmol/L cr +106 | mmoV/ Dinh lugng Bilirubin toin phin [Méu} 1 oT Dinh lung Bilirubin tryo tiép [Mau] a 7 Dinh lugng Calci ion hoa [Mau] 129 | mmol. Dinh lugng Calei toan. ee Dinh lugng Creafinin (méu) aaa Dinh Ivgng CRP iE Dinh Iugng Cholesterol to&n phn (muy ee Sc oe ol lugng LDL - C (Low density lipoprotei Cholestrnt Ih) ty lipoprotein Sail iglycerid (mau) [Mau] Saree be Tne Bo hoat 46 ALT (GPT) [Mau] = Bo hoat 45 AST (GOT) [Mau} a — Nhgn xét: T Scanned with CamScannerJa Khoa Tinh OA IU CHI DINH DUONG MAU MAO MACH* DOAN HUY THIEN 7 Neay sinh: 1981 Gigi tinh: Nar B22 Dich Vong Hi (Chu Gidy, Thanh phd Ha NGi ie Vigt nam CMNDICCCD: spr: Khoa Cip Ciru Phong/giumg: G02 2 Ot qui, khong xéc dinh do xuét huyét hay nhdiméu (Tai bién mach méu nfo) - 164 ‘Vigm ming nfo, khéng bigt djnh; Viém ming nfo, khong bigt diah J Te: én: Noi cép BHYT: chic Tinh trang: Thuimg Ma Dich ve SL] Neiy ehi aint Chien pt} 1 | s7rpe705 [et nghifm durbng miu mao mach glug (mt In) 1 [25/08/2022 15:05] peel NOITHYCHIEN: Phong Dudng mau mao mach* Gps 08 FOr ‘Nally 25 thing 08 nim 2022 Bac sf chi djnh80 Y TE VINH PHUC bi twone: ‘Bénh Vién Da Khoa Tinh es PHIEU TRA KET QUA XET NGHIEM ingubi bénh: DOAN HUY THIEN NS: 1981 Gii tinh: Nam — Dich Vong Hau, Quin Cau Gify, Thanh phé Ha Noi : Khoa Clip Cir Budng:CC3-C Giutmg: G02 ‘Ot qui, khong xéc dinh do xuét huyét hay nhéi méu (Tai bién mach mau no) fn: 6 thé: ‘tri: Ths Bs. 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LUA truyén van dng va cim gide céc day TK ngoei vi tit chi trong giéi hen binh thuémg [Sime [ABms(122mV_(82.1mVms (CO TAY-KHUYU "ime Sime (12tmV31.8nVine 271m [Atma [96m [22.1mVms [CO TAY-KHUYU caval 188m “eanvine 230mScanned with CamScannerScanned with CamScannerScanned with CamScannereen SSS SS ) PRR Se Scanned with CamScannerScanned with CamScannerpa KHOA TiNH VINH PHUC BAN... BANG KER a Cae CONG HUONG TU (MRI) i , doin im sing: sinh chup: - @ N@i dung C6 Khong {ky BS: anh cho BS chi dinh va KTV phong chyp MRI on Neay xée nhan: énh nhdin da timg chyp cong huéng tir chira? YW a @nh nbn da timg phiu thu@t chia? a b/ ‘rong co thé bénh nin dang c6 loai no sau day khOng? (Chong djnh tuyét d6i) ay tao nhip tim/May Khir rung/ Thiet bj bom thube tx dng fay tro thinh/Cy 6c tai dign ti. o (fanh dan, manh bom, kim loai Jan tim ea hoe/Loe tinh mach/ Van nfo thit mang bung 6 tir tinh. 120kg ‘Déi véi nie: Cé thai/ Vong trénh thai alojojo Doi voi bénh nhan cé tiém ‘thude d6i quang tir ‘Tigh sit di img voi thudc d6i quang tir HTign sir di tmg/ Tien sit hen suyén khéng kiém sodt uy gidm chire ning thin (eGFR: 30 — 60 ml/phit/1,73m*) Say thin giai doan cubi(eGFR vv - Djnh lugng Uré mau [Mau] x 1 Kham vv: ~Djnh lugng Calci toan phan [Maul] x 1 Lin Ba tinh =Dohost 49 ALT (GPT) (Mux Ln Da niém mec hong, Dinh lugng Bilirubin toan phan [Mau] x1 Lan Dau du nhiéu 7/10 = Djnh nhém imu hg Rh(D) (Kg thust phién 4) x 1 Lin IM: 80 es eat besos vi (bing méy dém laser) x 1 Lin i = ign tim x HAS ae 5 ~ Chup Xquang ngye thing (36 héa 1 phim] x 1 Lan ‘Tim nhip déuT1 T2 inh lugng Bilirubin truc tiép (Méu] x 1 Lin [Phdi RRPN 15, kh6ng rale “pjnh Iugng Creatinin (méu) x 1 Lan Byng mém ~ Binh long Glucose [Mau] x 1 Lan ong tif 2 bén déu2mm pxas(+) _| - Dinh lung Triglycerid (mau) [Mau] x 1 Lin (25/08/2022 15:00 7 2 yiNHPHUC ‘én Da Khoa Tinh pOAN HUY THIEN T kta Cép Cou toin: 64 Ot qui, khong xéc dinh do xuét huyét hay nhdi mau (Tai ‘Viém mang no, khéng bigt dinh; Viém ming nio, khéng bigt dink TO DIEU TRI sé: 1 Tw 41 tudi Budng: CC3-C Ligt 1/2 Phai co lye tay 2/5, chan 1/5} Gay cing | Vach mang nao (+/-) |Gmmm: 6,2 [Chin doan: Bot qui nto TD vo phinh mgch nio# Viém mang nao ‘pé nghj link dao duyét cho BN chyp| MRI so nfo ign gidi 48 (Na, K, Cl) [Mau] x 1 Lan = Do hogt 49 AST (GOT) [Mau] x.1 Lin = Dinh Iwgng Cholesterol toan phan (mau) x 1 Lan Dinh Iugng LDL - C (Low density lipoprotein Cholesterol) [Mau] x 1 Lan - Thdi gian thromboplastin mt phan hoat hos (APT: Activated ie ‘Thromboplastin Time), (Tén khéc: TCK) bling may ty dng x 1 Dinh nh6m mau hé ABO (Ky thuét phién 4) x 1 Lan = Dinh lugng D-Dimer x 1 Lan Dinh lugng Fibrinogen (Tén khéc: Dinh lugng yéui t6 1), phyong hip Clauss- phurong php trvc tiép, baing may tw dng x 1 Lan = Thi gian prothrombin (PT: Prothrombin Time), (Cée tén khéc: TQ; ‘Ty 1g Prothrombin) bang méy tw 4Gng x 1 Lan - HIV Ab test nhanh x 1 Lan |- HCV Ab test nhanh x 1 Lan - HBsAg test nhanh x 1 Lin ~ Chyp cng huréng tir so nfio (0.2-1.5T) x 1 Lin + DINH DUONG VA CHAM SOc: ‘Tem nbjn an |csct TDM.HA, § thite Scanned with CamScanners ‘Ben nan tinh Theo d6i tiép |Gmmm: 6,2 MRI so nfo: chua théy hin anh bat thutng. WBC: 6.69 G/L %NEUT: 65.7% Nat: 138mmoVL K+: 3.58 /mmoVL CRP: 4.00 mg/L. )Béoh nhén tink Tiép xtc duge (Da niém mac hong DS dau dau 25/08/2022 | Dau doc cénh tay pha, chan phai 18:00 |M: 80 /ph HA: 130/70 mmHg {Tim nhip déu TI T2 16 Phdi RRPN 16, kh6ng rale Gay etmg (+/-) Scanned with CamScannerTO DIEU TRI 86: 2 Ot qui, kh6ng. ‘Viém mang nao, xée dink do xuét huyét hay nhdi méu (Tai bién mg kh6ng biét dinh; Viém man MS: 39/BV-01 ‘86 vio vign: 00028 GiGi tinh: Nam Giuimg: G16 wach méu nao) g nfo, Khong biét dinh Y LENE Tudi: 41 tudi Budng: NB2-NTK chan KG, trong mot qua bénh nhdn xuat hign hai ‘co giat nira ngudi pha vao bénh. ‘vinmec chiyp phim (khOng 1 ‘hign phinh mach mau tinge hign durge cfc dome tée Kt no Am tinh. 86 85 ck/p i déu sm khong chudng Bung | HA 140/80 mmhg MRI so no: cchura thy bat thurtmg Chin doan: co giét- ting nuyét Ap * THUOC: - Nati clorid 0,9% 0,97! (Truyén /500ml x 01 Tai tinh mach xx 2/7] - Partamol Tab. 500mg x 01 Vién fudng 21h) _ Vinrovit 100mg+50mg+0,Smg x 01 Vien (uéng 2 ng 21h) BG day truyén dich ‘MPV kim thudng x 01 BG + DINH DUONG VA CHAM 6c: Ché 46 an2, Chim s6¢ cp 461sy TE VINHPHUC opie TRI sé: 2 ‘Béoh Vign Da Khoa Tink “Hgttangatibi: DOANHUY THIEN ‘NB2-NTK Chin doin: 164 eee tg inh dot yay abi mu (Tal ie ng bigt nh; Viem ming nfo, khong bigt dink “Banh kim theo: G039;6039 __Viemming nfo INGAY Gid) DIEN BIEN BENE ip xi a *THUOC: eee oe -Natri clorid 0,9% 0,9%/500m! x 01 Tai inh mgch xox g/P] King co gift Dau nia ngudi phi Khéng 16 ligt (gah nhén dau khéng! ‘ tage en Cs mee i = Pracetam 1200 120mg x 02 Vign ecto gb lp (ng ee Petia ob - BO day truyn dich MPV kim thutng x 01 BO /Byng mém khéng chwéng *DINH ; HA 140/80 mmbg DUONG VA CHAM SOC: - Partamol Tab. 500mg x 02 Vien 5 i Scanned with CamScannerScanned with CamScannera en ie 7S MS: 39/BV-0), TODIRU TRESS 3g a. en ~ Ho tén ngudibéah: DOAN HUY THIEN Tub: 41 tubi Gigi tak: Nam Khoa: Khoa N6i Thin Kinh Budng: NB2-NTK Giuimg: G16 ~ Chin doin: 164 Gt qui, khéng xéc djnh do xulit huyét hay nhdi mau (Tai bién mech méu nfo) ’ ~Bgahkém theo: G039;G039 Vim ming nflo, khéng biét inh; Viém mang nfo, kh6ng bigt dinh, NGAY GIO) DIEN BIEN BENE, YLENE 27108/2022| Bénh nhan tinh ‘* THUOC: 08:00 [Khong sét | Nate clorid 0,9% 0,9%/S00ml x 01 Ti Set weensenia; eee Hen ché vn dng nia ngudi phai (| ab. 500mg x 02 Vien Dodax?) maa Yb th 1h Dau nira ngudi phai ee ier meena x 02 Vién i mg, aoe an zt Bn xuong chi Bat. 200 200mg 02 Vien Khong 6 loan co ron a ee Tim nhip 4a tin s6 78 1in/phit |. Rin Geer n ey Ki rong x01 89 |PHOi khéng cé ral Byung mém gan lach khong to * DINH DUONG VA CHAM séc: HA 120/80 mmiig |Chim s6e clip 1 JAN BT 01 KY Gién ti Bot: 4 HOANG Ncoc TUAN | eaoen| ana tk *THUOC: g rio ee Han ché van dng nira nguisi phai (_{-Partamol Tab. 500mg x 02 Vien i Do dau?) __ {ubng 8h- 16h) Dau nira ngudi phai r Mesh ree x02 Vin fg TIEN Mb hd 200mg x02 Vin {ubng 8h- 16h} [Khong 16i logn eg tron Be tod f Ti nhip db tn 367m /rhst | Kime PY Ca ene OED Bung mém gan lich khéng to * DINH DUONG VA CHAM soc: HA 120/80 mmHg [Cham sée efp 11 ee |ANBTo1 Amd mid thease Vid, UV 1 MN . Ky dién tir bax ’ HOANG NGOCTUAN Scanned with CamScannerScanned with CamScannerNee nal B. TONG KET BENH AN: 1, Qué trinh bénh IY ne llbhedacnen { mee 2A. mp adit at of Carnet 3. Phutong phép diéu ‘5. HuGng digu tri va cée ché d9 tip theo:. va dign bién Lam sing: .. i ‘Hé so phim, anh Neay..2 thang 2. nam 2 = 4 Bae sy didu tri Scanned with CamScanner