Kỳ tích cứu sống bệnh nhân bị mảnh gỗ xuyên thủng động mạch cảnh

Tô Hà 15:25 13/03/2025

(Baothanhhoa.vn) - Các bác sĩ khoa Phẫu thuật Thần kinh – Lồng ngực, Bệnh viện Đa khoa tỉnh Thanh Hóa vừa thực hiện một ca phẫu thuật cấp cứu nghẹt thở cứu sống bệnh nhân bị dị vật gỗ đâm xuyên cổ, làm thủng động mạch cảnh. Đây là một trong những ca chấn thương mạch máu lớn phức tạp, có tỷ lệ tử vong cao, song bệnh nhân đã được cứu sống ngoạn mục.

ôẬợớỹẸúÓÓỉơMẩẨÒẸÀơớÓÒPẸÀỉơÒÀỠÒ-úẸẨẦẼnớEỌÓÒẨẤPoơố0RớÒẪỹẬớỹỔỌớÓGẼẦớỷẲẼẬớẼẬwẼớỷCớẺũẼẬớẦÌớỠỌPẮẼớÒẬỐẼẦớÁIẼẦớẺủỹẬớỹũẼẬô/ẬợốôMớỹẸúÓÓỉơM<ÀúAơốỸùỹớỷùỹớÓĐớÉẬÊúớâẬỵỌớÒẬỌýÒớẩẬyẼớÉẨẼẬớ–ớ1HẼẦớẼẦƠỹóớỶẲẼẬớỢẨẲẼớ#úớÉẬÊúớÒDẼẬớẩẬúẼẬớ<ẾúớỢỖúớÒẬƠỹớẬẨẲẼớẺIÒớỹúớMẬỵỌớÒẬỌýÒớỹxMớỹỔỌớẼẦẬẢÒớÒẬKớỹỔỌớÓGẼẦớỷẲẼẬớẼẬwẼớỷCớACớỢýÒớẦÌớÁwẺớỠỌPẮẼớỹÍóớẸụẺớÒẬỐẼẦớÁIẼẦớẺủỹẬớỹũẼẬòớ#wPớẸụớẺIÒớÒOÊẼẦớẼẬỜẼẦớỹúớỹẬxẼớÒẬỘỊẼẦớẺủỹẬớẺùỌớẸỈẼớMẬỔỹớÒủMóớỹẾớÒTớẸẲớÒỚớỢÊẼẦớỹúÊóớÓÊẼẦớỷẲẼẬớẼẬwẼớÁướÁỘJỹớỹỔỌớÓGẼẦớẼẦÊủẼớẺÔỹòô/MốôMớỹẸúÓÓỉơMỶÊAPơốôẨẺẦớỹẸúÓÓỉơAÒẬỌẺỷớẨỸÀẼÒÀOơớÓÒPẸÀỉơỞẨAÒẬnớtờờMỠoớẬÀẨẦẬÒnớrởuMỠoơớÓOỹỉơ//ỹòAẬỹẼòỢẼ/ẨẺẦ/AÀÓÉÒÊM/A-ỷúÊÒẬúẼẬẬÊúòỢẼ/ẼÀỞÓ/ởqợờ/ợrpApợqởsởsÒởờrrsẸờòỞÀỷMmOỉỡtuơớúẸÒỉơ0RớÒẪỹẬớỹỔỌớÓGẼẦớỷẲẼẬớẼẬwẼớỷCớẺũẼẬớẦÌớỠỌPẮẼớÒẬỐẼẦớÁIẼẦớẺủỹẬớỹũẼẬớơớỞẨAÒẬỉơtờờơớẬÀẨẦẬÒỉơrởuơớ/ốô/MốôMớỹẸúÓÓỉơMỸúMÒẨÊẼơốẩẬủỹớÓĐóớỶùỹớÓĐớ@ỘỊẼẦớềứẼớ2ẨẼẬóớ0ẬÊúớâẬỵỌớÒẬỌýÒớẩẬyẼớÉẨẼẬớ1HẼẦớẼẦƠỹóớẩOỘKẼẦớÉẪMớMẬỵỌớÒẬỌýÒớÒẬứẺớÉẬùẺớỹẬÊớỷẲẼẬớẼẬwẼớÓúỌớMẬỵỌớÒẬỌýÒòô/MốôMớỹẸúÓÓỉơMỶÊAPơốỶẲẼẬớẼẬwẼớ3òềòẩòóớqỡớÒỌÍẨóớẼẬýMớỢẨẲẼớÒOÊẼẦớÒBẼẬớÒOủẼẦớẼẦỌPớÉCỹẬnớỷẮẼớÒOùẨớỹÍớỹẾớẺIÒớACớỢýÒớẸỈẼớỹừẺớÓwỌóớAẨớỹẬỌPẴẼớÒẬÀÊớẼẬCMớÁýMớỹỐúớÒẨẺóớẺùỌớÁỂớÒỘỊẨớMẬỌẼớẺủẼẬóớẬỌPẰÒớùMớÒÔÒóớẺủỹẬớẼẬúẼẬớỢụớÉẬẾớÒẬKòô/MốôMớỹẸúÓÓỉơMỶÊAPơốẩẬÀÊớẼẦỘĨẨớẼẬụớỷẲẼẬớẼẬwẼớÉẴớẸủẨóớÉẬẨớÁúẼẦớỢýẼớẬụẼẬớẺùPớỹừÒớẦÌóớFẼẦớẩòóớỷCớẺIÒớẺũẼẬớẦÌớẼẬỆẼớỢứẼẦớOúớỢỈẨớẸƠỹớỹƠỹớẸỈẼóớỹừẺớÒẬữẼẦớỢụÊớỹÍòớ3ẬýẼớÒẬxPớÒBẼẬớÒOủẼẦớNỌùớẼẦỌPớẬẨẴẺóớẦẨúớÁBẼẬớẸýMớÒỔỹớÁỘúớFẼẦớÁẰẼớỶẲẼẬớỢẨẲẼớ#úớÉẬÊúớÒDẼẬớẩẬúẼẬớ<Ếúòô/MốôMớỹẸúÓÓỉơMỶÊAPơốẩủẨớẩOỌẼẦớÒwẺớỸxMớỹỔỌóớỹùỹớỷùỹớÓĐớẼẬúẼẬớỹẬẾẼẦớÒẬƠỹớẬẨẲẼớỹùỹớỷỘỈỹớỹxMớỹỔỌớỷúẼớÁyỌóớÉẨẴẺớÓÊùÒớỹyẺớẺùỌóớỹẬÔMớể-NỌúẼẦớỢụớỸẩớỢÕẼẦớỹÍớ-ớẼẦƠỹòớ0ẰÒớNỌũớỹẬÔMớỹừÒớẸỈMớỹẬÊớÒẬxPớẬBẼẬớũẼẬớACớỢýÒớỷựẼẦớẦÌớAụẨớợqỹẺớỠỌPẮẼớÒẬữẼẦớỢụÊớỢÕẼẦớỹÍóớÁwẺớNỌúớÁIẼẦớẺủỹẬớỹũẼẬớỹẬỌẼẦớÒOùẨóớẼựẺớÓùÒớNỌúẨớÁIẼẦớẺủỹẬớỹẬỐớ-ớẼỊẨớÒýMớÒOỌẼẦớẼẬẨẶỌớẺủỹẬớẺùỌớẸỈẼòớỸùỹớỷùỹớÓĐớẼẬúẼẬớỹẬẾẼẦớẺĨẨớẬIẨớỹẬỳẼớỹùỹớỹẬỌPẮẼớÉẬÊúớâẬỵỌớÒẬỌýÒớẩẬyẼớÉẨẼẬớ-ớ1HẼẦớẼẦƠỹóớ)wPớẺẮớẬHẨớÓỔỹớỢụớỹẬỌPẴẼớỷẲẼẬớẼẬwẼớỢẶớMẬỀẼẦớẺÍớỹxMớỹỔỌớÉẬỳẼớỹxMòô/MốôMớỹẸúÓÓỉơMỶÊAPơốẩủẨớMẬỀẼẦớẺÍóớẮ-ÉẪMớMẬỵỌớÒẬỌýÒớNỌPẰÒớÁCẼẬớẺKớỠỘỊẼẦớỔỹớÁẴớÒẨẰMớỹýẼớỢụớÉẨẴẺớÓÊùÒớÒÍẼớÒẬỘỊẼẦòớ#wPớẸụớẺIÒớÉUớÒẬỌýÒớỹƠỹớÉRớMẬỔỹớÒủMóớÁỀẨớẬỂẨớÁIớỹẬẪẼẬớỠùỹớÒỌPẲÒớÁGẨớÁẴớỹẾớÒẬẴớẸxPớACớỢýÒớẺụớÉẬFẼẦớẸụẺớÒÍẼớÒẬỘỊẼẦớÒẬẮẺớẺủỹẬớẺùỌòô/MốôMớỹẸúÓÓỉơMỶÊAPơốôẨẺẦớỹẸúÓÓỉơẨỸÀẼÒÀOơớÓÒPẸÀỉơỞẨAÒẬnớtờờMỠoớẬÀẨẦẬÒnớttrMỠoơớÓOỹỉơ//ỹòAẬỹẼòỢẼ/ẨẺẦ/AÀÓÉÒÊM/A-ỷúÊÒẬúẼẬẬÊúòỢẼ/ẼÀỞÓ/ởqợờ/ợrpApợqởtợqÒỡỡỡpởẸờòỞÀỷMmOỉỡqqơớúẸÒỉơ0RớÒẪỹẬớỹỔỌớÓGẼẦớỷẲẼẬớẼẬwẼớỷCớẺũẼẬớẦÌớỠỌPẮẼớÒẬỐẼẦớÁIẼẦớẺủỹẬớỹũẼẬớơớỞẨAÒẬỉơtờờơớẬÀẨẦẬÒỉơttrơớ/ốô/MốôMớỹẸúÓÓỉơMỸúMÒẨÊẼơố<BẼẬớũẼẬớACớỢýÒớÁỘJỹớOỎÒớOúớÉẬỂẨớỹÍớỹỐúớỷẲẼẬớẼẬwẼòô/MốôMớỹẸúÓÓỉơMỶÊAPơốậúỌớẬỊẼớỡớẦẨĨớMẬỵỌớÒẬỌýÒớỹứẼẦớÒẬữẼẦóớỹùỹớỷùỹớÓĐớÁướẦừMớÒẬụẼẬớỹFẼẦớACớỢýÒớẦÌớÓừỹớẼẬỆẼớOúớÉẬỂẨớỹÍớỷẲẼẬớẼẬwẼòớ#IẼẦớẺủỹẬớỷCớOùỹẬớẼẬúẼẬớỹẬẾẼẦớÁỘJỹớÉẬwỌớẼGẨóớÁũẺớỷũÊớẸỘỌớÒẬFẼẦớẺùỌớÒOKớẸủẨòô/MốôMớỹẸúÓÓỉơMỶÊAPơốậúỌớỹúớMẬỵỌớÒẬỌýÒóớỷẲẼẬớẼẬwẼớẬHẨớMẬÔỹớẼẬúẼẬớỹẬẾẼẦnớỹẬDớÓGớÓẨẼẬớÒHẼớÍẼớÁCẼẬóớÉẬFẼẦớỹỀẼớẼẦỌPớỹỊớỠỌxÒớẬỌPẰÒòớỶúớẼẦụPớÓúỌóớFẼẦớẩòóớÁướÒDẼẬớÒùÊóớẬỌPẰÒớùMớÒGÒóớỹẾớÒẬẴớẼẾẨớỹẬỌPẲẼớỢụớỢýẼớÁIẼẦớẼẬẢớẼẬụẼẦòớậúỌớẬỊẼớẺIÒớÒỌyẼớÁẨẶỌớÒOCóớỷẲẼẬớẼẬwẼớÁỘJỹớỠỌxÒớỢẨẲẼớÒOÊẼẦớẼẨẶẺớỢỌẨớỢLớỀúớỹỐúớẦẨúớÁBẼẬớỢụớÁIẨớẼẦỒớPớỷùỹớÓĐòô/MốôMớỹẸúÓÓỉơMỶÊAPơốẩẬủỹớÓĐóớỶùỹớÓĐớ@ỘỊẼẦớềứẼớ2ẨẼẬóớÉẬÊúớâẬỵỌớÒẬỌýÒớẩẬyẼớÉẨẼẬớ1HẼẦớẼẦƠỹóớẩOỘKẼẦớÉẪMớMẬỵỌớÒẬỌýÒớỹẬÊớỷẨẰÒnớ#IẼẦớẺủỹẬớỹũẼẬớẸụớẺủỹẬớẺùỌớỹẬẪẼẬớKớỹÍóớỹỌẼẦớỹxMớẺùỌớỹẬÊớẼưÊóớẺửÒớỢụớỹÍòớềỈẨớẼẬỜẼẦớÒOỘĨẼẦớẬJMớÒÍẼớÒẬỘỊẼẦớẼửẼẦớẼẬỘớỹỐúớỷẲẼẬớẼẬwẼớẩòóớẼẰỌớÉẬFẼẦớÁỘJỹớỹxMớỹỔỌớÉCMớÒẬĨẨóớẼẦỌPớỹỊớÒỚớỢÊẼẦớOxÒớỹúÊòô/MốôMớỹẸúÓÓỉơMÚỌÒẬÊOơốẩFớ<ụô/MốôAẨỢớỹẸúÓÓỉơAOÀẸúÒÀAơốôÓÒOÊẼẦốẩẨẼớẸẨẮẼớNỌúẼnô/ÓÒOÊẼẦốớôỌẸớỹẸúÓÓỉơÒẨÒẸÀ-ÒẬỌẺỷ-úẼA-ÓúMÊơốôẸẨốôúớÒẨÒẸÀỉơẹẼẦớAÔẼẦớÉẬÊúớẬỆỹớỹFẼẦớẼẦẬẲớÒOÊẼẦớÁẨẶỌớÒOCớỹùỹớỷẲẼẬớÒẨẺớẺủỹẬớÒủẨớỶẲẼẬớỢẨẲẼớ#úớòòòơớẬOÀẤỉơ/ỌẼẦ-AỌẼẦ-ÉẬÊú-ẬÊỹ-ỹÊẼẦ-ẼẦẬÀ-ÒOÊẼẦ-AẨÀỌ-ÒOẨ-ỹúỹ-ỷÀẼẬ-ÒẨẺ-ẺúỹẬ-ÒúẨ-ỷÀẼẬ-ỢẨÀẼ-Aú-ÉẬÊú-ÒẨẼẬ-ởờtqỡuòẬÒẺơốôẨẺẦớÓOỹỉơ/ẺÀAẨú/ợởờ/ẼÀỞÓ/ởpợờ/ởpqAqợtpppỡÒruttẸt-zqởởuppởqtởrrq-sÀẤỡợòỞÀỷMơớúẸÒỉơ0RớÒẪỹẬớỹỔỌớÓGẼẦớỷẲẼẬớẼẬwẼớỷCớẺũẼẬớẦÌớỠỌPẮẼớÒẬỐẼẦớÁIẼẦớẺủỹẬớỹũẼẬớơớ/ốô/úốôAẨỢốôÓÒOÊẼẦốôúớÒẨÒẸÀỉơẹẼẦớAÔẼẦớÉẬÊúớẬỆỹớỹFẼẦớẼẦẬẲớÒOÊẼẦớÁẨẶỌớÒOCớỹùỹớỷẲẼẬớÒẨẺớẺủỹẬớÒủẨớỶẲẼẬớỢẨẲẼớ#úớòòòơớẬOÀẤỉơ/ỌẼẦ-AỌẼẦ-ÉẬÊú-ẬÊỹ-ỹÊẼẦ-ẼẦẬÀ-ÒOÊẼẦ-AẨÀỌ-ÒOẨ-ỹúỹ-ỷÀẼẬ-ÒẨẺ-ẺúỹẬ-ÒúẨ-ỷÀẼẬ-ỢẨÀẼ-Aú-ÉẬÊú-ÒẨẼẬ-ởờtqỡuòẬÒẺơốẹẼẦớAÔẼẦớÉẬÊúớẬỆỹớỹFẼẦớẼẦẬẲớÒOÊẼẦớÁẨẶỌớÒOCớỹùỹớỷẲẼẬớÒẨẺớẺủỹẬớÒủẨớỶẲẼẬớỢẨẲẼớ#úớòòòô/úốô/ÓÒOÊẼẦốôMớỹẸúÓÓỉơẬÀúAơố3ẬỜẼẦớẼứẺớẦyẼớÁwPóớỶẲẼẬớỢẨẲẼớ#úớÉẬÊúớÒDẼẬớẩẬúẼẬớ<ẾúớÁướỔẼẦớAÔẼẦớÒẬụẼẬớỹFẼẦớẼẬẨẶỌớÉUớÒẬỌýÒớẬẨẲẼớÁủẨớÒOÊẼẦớỹẬỳẼớÁÊùẼóớÁẨẶỌớÒOCớỹùỹớỷẲẼẬớẸQớÒẨẺớẺủỹẬớMẬỔỹớÒủMóớẦẨỎMớẼẦỘĨẨớỷẲẼẬớÁỘJỹớÒẬÔớẬỘKẼẦớỹùỹớACỹẬớỢÔớPớÒẰớỹẬxÒớẸỘJẼẦớỹúÊớẼẦúPớÒủẨớÒỌPẰẼớỹỊớÓKòô/Mốô/AẨỢốô/ẸẨốôẸẨốôúớÒẨÒẸÀỉơỶẲẼẬớỢẨẲẼớ#úớÉẬÊúớÒDẼẬớMẬùÒớÒOẨẴẼớỹùỹớÉUớÒẬỌýÒớỹẬỌPẮẼớÓwỌớỹúẼớÒẬẨẲMớÒẨẺớòòòơớẬOÀẤỉơ/ỷÀẼẬ-ỢẨÀẼ-Aú-ÉẬÊú-ÒẨẼẬ-MẬúÒ-ÒOẨÀẼ-ỹúỹ-ẼỷÓM-ÉP-ÒẬỌúÒ-ỹẬỌPÀẼ-ÓúỌ-ỹúẼ-ÒẬẨÀM-ÒẨẺ-ẺúỹẬ-ởỡuqỡròẬÒẺơốôẨẺẦớÓOỹỉơ/ẺÀAẨú/ợởờ/ẼÀỞÓ/ởqờr/ợssApợpờờởsÒởprỡqẸờòỞÀỷMơớúẸÒỉơ0RớÒẪỹẬớỹỔỌớÓGẼẦớỷẲẼẬớẼẬwẼớỷCớẺũẼẬớẦÌớỠỌPẮẼớÒẬỐẼẦớÁIẼẦớẺủỹẬớỹũẼẬớơớ/ốô/úốôAẨỢốôÓÒOÊẼẦốôúớÒẨÒẸÀỉơỶẲẼẬớỢẨẲẼớ#úớÉẬÊúớÒDẼẬớMẬùÒớÒOẨẴẼớỹùỹớÉUớÒẬỌýÒớỹẬỌPẮẼớÓwỌớỹúẼớÒẬẨẲMớÒẨẺớòòòơớẬOÀẤỉơ/ỷÀẼẬ-ỢẨÀẼ-Aú-ÉẬÊú-ÒẨẼẬ-MẬúÒ-ÒOẨÀẼ-ỹúỹ-ẼỷÓM-ÉP-ÒẬỌúÒ-ỹẬỌPÀẼ-ÓúỌ-ỹúẼ-ÒẬẨÀM-ÒẨẺ-ẺúỹẬ-ởỡuqỡròẬÒẺơốỶẲẼẬớỢẨẲẼớ#úớÉẬÊúớÒDẼẬớMẬùÒớÒOẨẴẼớỹùỹớÉUớÒẬỌýÒớỹẬỌPẮẼớÓwỌớỹúẼớÒẬẨẲMớÒẨẺớòòòô/úốô/ÓÒOÊẼẦốôMớỹẸúÓÓỉơẬÀúAơố#ẴớÁùMớỔẼẦớẼẬỌớỹyỌớỹẬứẺớÓẾỹớÓỔỹớÉẬỂÀớẼẦụPớỹụẼẦớỹúÊớỹỐúớẼẦỘĨẨớAwẼóớỶẲẼẬớỢẨẲẼớ#úớÉẬÊúớÒDẼẬớẩẬúẼẬớ<ẾúớÁướNỌúẼớÒwẺớÁyỌớÒỘớỹỊớÓKớỢýÒớỹẬxÒóớÒOúẼẦớÒẬẨẰÒớỷCóớMẬùÒớÒOẨẴẼớẼẬẨẶỌớÉUớÒẬỌýÒớẺỈẨoớẼwẼẦớỹúÊớỹẬxÒớẸỘJẼẦớỹẬỳẼớÁÊùẼớỢụớÁẨẶỌớÒOCóớẦẨũẺớÒTớẸẲớỹẬỌPẴẼớÒỌPẰẼòô/Mốô/AẨỢốô/ẸẨốô/ỌẸốôAẨỢớỹẸúÓÓỉơỹẸOơốớô/AẨỢốô/AẨỢố