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19SIÊU ÂM TỔNG QUÁT NAM1{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset238{\*\fname Times New Roman;}Times New Roman CE;}{\f2\froman\fprq2\fcharset163 Times New Roman;}{\f3\fnil\fcharset0 Times New Roman;}{\f4\fnil\fcharset0 Arial;}} \viewkind4\uc1\pard\keepn\fi-540\li540\qj\tx1800\b\f0\fs24 Gan : \b0 C\u7845?\f1 u tr\'fac echo \'f0\f0\u7891?ng nh\u7845?t, m\u7863?t gan ph\u7859?ng, b\u7901?\f1 gan \'f0\f0\u7873?\f2 u, k\'edch th\'fd\f0\u7899?c\par \pard\keepn\fi-180\li540\qj\tx1800\kerning28 b\'ecnh th\f2\'fd\f0\u7901?ng. H\u7879? th\u7889?ng t\u297?nh m\u7841?ch tr\'ean gan, t\u297?nh m\u7841?ch c\u7917?a kh\'f4ng d\'e3n.\par \pard\keepn\fi-540\li540\qj\tx1800\kerning0\b M\u7853?t \b0\f2 : \'d0\'fd\f0\u7901?ng m\u7853?t trong gan, \u7889?ng m\u7853?t ch\u7911? kh\'f4ng d\'e3n. T\'fai m\u7853?t kh\'f4ng s\u7887?i.\par \b T\u7909?y: \b0 C\u7845?\f1 u tr\'fac \'f0\f0\u7891?ng nh\u7845?t, kh\'f4ng u, \u7889?ng Wirsung kh\'f4ng d\'e3n.\par \b L\'e1ch:\b0 C\u7845?\f1 u tr\'fac \'f0\f0\u7891?ng nh\u7845?\f2 t,k\'edch th\'fd\f0\u7899?c b\'ecnh th\f2\'fd\f0\u7901?ng, t\u297?nh m\u7841?ch l\'e1ch kh\'f4ng\par \pard\keepn\li540\qj\tx1800\kerning28 d\'e3n.\par \pard\keepn\qj\tx720\kerning0\b Th\u7853?n:P: \b0 Kh\'f4ng \u7913?\f2 n\'fd\f0\u7899?c, kh\'f4ng s\u7887?i, ph\u7843?n \'e2m t\u7911?y v\u7887? r\'f5.\b\par \pard\keepn\qj\tx540\b0\tab T: Kh\'f4ng \u7913?\f2 n\'fd\f0\u7899?c, kh\'f4ng s\u7887?i, ph\u7843?n \'e2m t\u7911?y v\u7887? r\'f5.\kerning28\par \pard\keepn\qj\tx1260\kerning0\b Ph\u7847?n ph\u7909? : \tab\b0 P: B\'ecnh th\f2\'fd\f0\u7901?ng\par \tab T: B\'ecnh th\f2\'fd\f0\u7901?ng\par \pard\keepn\qj\tx1980\b D\u7883?ch \u7893? b\u7909?ng : \tab\b0 Kh\'f4ng c\'f3\par \b D\u7883?ch m\'e0ng ph\u7893?i : \b0\tab Kh\'f4ng c\'f3\par \b\f1\'d0M ch\f0\u7911? b\u7909?ng : \tab\b0 Kh\'f4ng ph\'ecnh\par \b\f3\fs36 K\u7870?T LU\u7852?N\b0\f0\fs24 : \b\f3\fs28 HI\u7878?N TAI CH\u431?A TH\u7844?Y B\u7844?T TH\u431?\u7900?NG TR\'caN SI\'caU \'c2M.\b0\f0\fs24\par \pard\f4\fs18\par }
18SIÊU ÂM PHẦN PHỤ18{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset163 Times New Roman;}{\f2\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;\red0\green0\blue128;} \viewkind4\uc1\pard\keepn\cf1\f0\fs24 Si\'eau \'e2m ph\u7909? khoa\par \b\f1 T\u7917? cung : Ng\u7843? tr\'fd\u7899?c : DAP = mm;N\u7897?i m\u7841?c = mm\f0\par \b0\f1 C\u7845?u tr\'fac c\'f5 t\u7917? cung \'f0\u7891?ng nh\u7845?t\f0\par L\'f2ng t\u7917? cung kh\'f4ng ph\'e1t hi\u7879?n b\u7845?t th\f1\'fd\u7901?ng\f0\par \b Bu\u7891?ng tr\u7913?ng (P) : Kh\'f4ng h\'ecnh \u7843?nh u nang ,kh\'f4ng pocal\par \b0 (T) : Kh\'f4ng h\'ecnh \u7843?nh u nang ,kh\'f4ng pocal\par \kerning28\b T\'fai cung : kh\'f4ng d\u7883?ch\par \b0\par \pard\sb60\sa60\qj\cf2\kerning0\b K\u7870?T LU\u7852?N : HI\u7878?N T\u7840?I ECHO PH\u7908? KHOA \'c2M T\'cdNH\f2\fs20\par }
17SIÊU ÂM THAI17{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset163 Times New Roman;}{\f2\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;\red0\green0\blue128;} \viewkind4\uc1\pard\keepn\cf1\f0\fs24 1/S\u7889? thai: 01\par \pard\keepn\tx1152 \tab -Ng\'f4i thai:\par \tab -Tim thai : (+)\par \pard\keepn\tx1092\b\f1 2/Nhau: \tab -V\u7883? tr\'ed : b\'e1m m\u7863?t tr\'fd\u7899?c th\'e2n t\u7917? cung\f0\par \pard\keepn\tx1152\b0\f1 \tab -\'d0\u7897? tr\'fd\u7903?ng th\'e0nh: I\f0\par \tab -D\'e2y r\u7889?n: B\'ecnh th\f1\'fd\u7901?ng\f0\par \pard\keepn\b\f1 3/N\'fd\u7899?c \u7889?i: B\f0\'ecnh th\f1\'fd\u7901?ng, ch\u7881? s\u7889? \u7889?i AFI/4 = mm\f0\par \pard\keepn\tx2232\tx5040\f1 4/Ch\u7881? s\u7889? sinh h\u7885?c:\tab +\'d0\'fd\u7901?ng k\'ednh l\'fd\u7905?ng \'f0\u7881?nh:\tab mm\f0\par \b0\f1 \tab +\'d0\'fd\u7901?ng k\'ednh ngang b\u7909?ng:\tab mm\f0\par \f1 \tab +Chi\u7873?u d\'e0i x\'fd\'f5ng \'f0\'f9i: \tab mm\f0\par \f1 \tab +Chi\u7873?u d\'e0i \'f0\u7847?u m\'f4ng:\tab mm\f0\par \pard\keepn\f1 5/C\'f5 quan kh\'e1c:\f0\par \b\f1 6/B\u7845?t th\'fd\u7901?ng:\f0\par \pard\sb60\sa60\qj\cf2 K\u7870?T LU\u7852?N : 01 THAI S\u7888?NG TRONG T\u7916? CUNG #\f2\fs20\par }
16SIÊU ÂM TỔNG QUÁT (ĐEN TRẮNG)16{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset238{\*\fname Times New Roman;}Times New Roman CE;}{\f1\froman\fprq2\fcharset0 Times New Roman;}{\f2\froman\fprq2\fcharset163 Times New Roman;}{\f3\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;\red0\green0\blue128;} \viewkind4\uc1\pard\keepn\tx1092\tx1257\cf1\b\f0\fs24 Gan \tab :\tab Kh\'f4ng to c\u7845?u tr\'fac \'f0\u7891?ng nh\u7845?t ; b\u7901? \'f0\u7873?u\f1\par \b0 t\u297?nh m\u7841?ch tr\'ean gan ,t\u297?nh m\u7841?ch c\u7917?a kh\'f4ng d\'e3n\par \kerning28\b T\'fai m\u7853?t \tab :\tab Kh\'f4ng s\u7887?i v\'e1ch kh\'f4ng d\u7847?y \par \f2\'d0\'fd\u7901?ng m\u7853?t :\tab trong v\'e0 ngo\'e0i gan kh\'f4ng d\f1\'e3n\par \f0 T\u7909?y \tab :\tab Kh\'f4ng to ,c\u7845?u tr\'fac \'f0\u7891?ng nh\u7845?t, \u7889?ng Wirsung kh\'f4ng d\f1\'e3n.\par \kerning0\f0 L\'e1ch \tab :\tab Kh\'f4ng to ,c\u7845?u tr\'fac \'f0\u7891?ng nh\u7845?t\f1\par \pard\keepn\tx1602\tx1782\f2 Th\u7853?n : -Ph\u7843?i \tab :\tab Kh\'f4ng s\u7887?i kh\'f4ng \u7913? n\'fd\u7899?c ,ph\u7843?n \'e2m tu\u7927? v\u7887? r\f1\'f5\par \b0\f2 -Tr\'e1i \tab :\tab Kh\'f4ng s\u7887?i kh\'f4ng \u7913? n\'fd\u7899?c ,ph\u7843?n \'e2m tu\u7927? v\u7887? r\f1\'f5\par \b B\'e0ng quang\tab :\tab Kh\'f4ng s\u7887?i v\'e1ch kh\'f4ng d\u7847?y\par T\u7919? cung : Ng\'e3 tr\f2\'fd\u7899?c ,Dap = mm, m\u7853?t \'f0\u7897? c\'f5 t\u7919? cung \'f0\u7891?ng nh\'e2t ,n\u7897?i m\u7841?c m\u7887?ng .\f1\par Bu\u7891?ng tr\u7913?ng P : B\'ecnh th\f2\'fd\u7901?ng\f1\par Bu\u7891?ng tr\u7913?ng T : B\'ecnh th\f2\'fd\u7901?ng\f1\par \pard\keepn\tx1602\tx1797 D\u7883?ch \u7893? b\u7909?ng\tab :\tab Kh\'f4ng d\u7883?ch\par D\u7883?ch m\'e0ng ph\u7893?i\tab :\tab Kh\'f4ng d\u7883?ch\par \pard\keepn\cf2 K\u7870?T LU\u7852?N :\par \pard\sb60\sa60\qj\cf1\b0 HI\u7878?N T\u7840?I SI\'caU \'c2M B\u7908?NG \'c2M T\'cdNH\f3\fs20\par }
15SIÊU ÂM ỐNG CỔ TAY15{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}{\f1\fswiss\fprq2\fcharset163 Arial;}} {\colortbl ;\red0\green0\blue128;} \viewkind4\uc1\pard\keepn\cf1\b\f0\fs20 Si\'eau \'e2m \u7889?ng c\u7893? tay:\par \cf0\b0\par \par \par \par \par \par \cf1\b K\u7870?T LU\u7852?N :\par \pard\sb60\sa60\qj\cf0\b0\f1 CH\'ddA PH\'c1T HI\u7878?N B\u7878?NH L\f0\'dd TR\'caN SI\'caU \'c2M.\par }
14SIÊU ÂM PHẨN MỀM14{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset163 Times New Roman;}} {\colortbl ;\red0\green0\blue128;} \viewkind4\uc1\pard\keepn\cf1\b\f0\fs24 Si\'eau \'e2m ph\u7847?n m\u7873?m:\par \cf0\b0\par \par \par \par \par \par \cf1\b K\u7870?T LU\u7852?N :\par \pard\sb60\sa60\qj\cf0\b0\f1 CH\'ddA PH\'c1T HI\u7878?N B\u7878?NH L\f0\'dd TR\'caN SI\'caU \'c2M.\par }
13SIÊU ÂM BÌU TINH HOÀN13{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset163 Times New Roman;}} {\colortbl ;\red0\green0\blue128;} \viewkind4\uc1\pard\keepn\cf1\b\f0\fs24 Si\'eau \'e2m b\'ecu, tinh ho\'e0n:\par \cf0\b0 Tinh ho\'e0n (P),(T)\par \pard\keepn\fi432\f1 - Echo d\'e0y, c\u7845?u tr\'fac \'f0\u7891?ng nh\u7845?t, kh\'f4ng t\u7893?n th\'fd\'f5ng khu tr\'fa.\f0\par -D\u7883?ch tinh m\u7841?c : \'e2m t\'ednh\par -Kh\'f4ng th\u7845?y d\u7845?u hi\u7879?u d\'e3n TM th\u7915?ng tinh\par -M\'e0o tinh : b\'ecnh th\f1\'fd\u7901?ng\f0\par -C\'e1c l\u7899?p da b\'ecu : b\'ecnh th\f1\'fd\u7901?ng\f0\par \pard\keepn Doppler :\par \cf1\b K\u7870?T LU\u7852?N :\par \pard\sb60\sa60\qj\cf0\b0\f1 SI\'caU \'c2M TINH HO\'c0N CH\'ddA TH\u7844?Y B\u7844?T TH\'dd\u7900?NG.\f0\par \kerning28\fs20\par }
12SIÊU ÂM MẠCH MÁU CỔ12{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset163 Times New Roman;}{\f2\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue128;} \viewkind4\uc1\pard\keepn\qj\f0\fs24 Si\'eau \'e2m m\u7841?ch m\'e1u c\u7893?:\par \f1 - \'d0M c\u7843?nh chung,\'d0M c\u7843?nh ngo\'e0i v\'e0 trong c\'f3 kh\u7849?u k\'ednh,\f0\par th\'e0nh m\u7841?ch v\'e0 flow b\'ean trong b\'ecnh th\f1\'fd\u7901?ng, kh\'f4ng c\'f3\f0\par plate, kh\'f4ng d\'e3n, kh\'f4ng ph\'ecnh kh\'f4ng h\u7865?p.\par \f1 - \'d0M s\u7889?ng c\u7893? trong nh\u7919?ng \'f0o\u7841?n kh\u7843?o s\'e1t \'f0\'fd\u7907?c kh\'f4ng th\u7845?y b\u7845?t\f0 \f1 th\'fd\u7901?ng.\f0\par - H\u7879? TM c\u7843?nh v\'e0 s\u7889?ng c\u7893? b\'ecnh th\f1\'fd\u7901?ng, kh\'f4ng d\f0\'e3n, \f1\'f0\'e8 x\u7865?p, kh\'f4ng\f0\par huy\u7871?t kh\u7889?i\par \cf1\b K\u7870?T LU\u7852?N :\par \pard\sb60\sa60\qj\cf0\b0\f1 SI\'caU \'c2M M\u7840?CH M\'c1U C\u7892? CH\'ddA TH\u7844?Y B\u7844?T TH\'dd\u7900?NG\f2\fs20\par }
11SIÊU ÂM KHỚP VAI11{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset163 Times New Roman;}{\f2\froman\fprq2\fcharset238{\*\fname Times New Roman;}Times New Roman CE;}{\f3\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue128;} \viewkind4\uc1\pard\keepn\f0\fs24 Si\'eau \'e2m kh\u7899?p vai:\par \pard\keepn\tx1980\tx2340\f1 - G\'e2n c\'f5 nh\u7883? \'f0\u7847?u \tab : \tab B\f0\'ecnh th\f1\'fd\u7901?ng\f0\par \f1 - G\'e2n c\'f5 d\'fd\u7899?i vai \tab : \tab B\f0\'ecnh th\f1\'fd\u7901?ng\f0\par \f1 - G\'e2n c\'f5 tr\'ean gai \tab : \tab B\f0\'ecnh th\f1\'fd\u7901?ng\f0\par \f1 - G\'e2n c\'f5 d\'fd\u7899?i gai \tab : \tab B\f0\'ecnh th\f1\'fd\u7901?ng\f0\par \f1 - G\'e2n c\'f5 tr\f0\'f2n nh\u7887? \tab : \tab B\'ecnh th\f1\'fd\u7901?ng\f0\par \f2 - M\u7845?u \'f0\u7897?ng l\u7899?n \tab : \tab B\f0\'ecnh th\f1\'fd\u7901?ng\f0\par \f1 - C\'f5 Delta \tab : \tab B\f0\'ecnh th\f1\'fd\u7901?ng\f0\par \pard\keepn\cf1\b K\u7870?T LU\u7852?N :\par \pard\sb60\sa60\qj\cf0\b0\f1 SI\'caU \'c2M KH\u7898?P VAI CH\'ddA TH\u7844?Y B\u7844?T TH\'dd\u7900?NG.\f3\fs20\par }
10SIÊU ÂM MẠCH MÁU CHI DƯỚI10{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset163 Times New Roman;}{\f1\froman\fprq2\fcharset0 Times New Roman;}{\f2\froman\fprq2\fcharset238{\*\fname Times New Roman;}Times New Roman CE;}{\f3\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue128;} \viewkind4\uc1\pard\keepn\qj\f0\fs24 Kh\u7843?o s\'e1t h\u7879? th\u7889?ng \'d0\u7897?ng-T\u297?nh m\u7841?ch chi d\'fd\u7899?i 2 b\'ean:\f1\par \b\f2\'d0\u7897?ng m\u7841?ch :\f1\par \b0\f0 H\u7879? \'d0M : Kh\u7843?o s\'e1t t\u7915? \'d0M \'f0\'f9i \'f0\u7871?n \'d0M mu b\'e0n ch\'e2n\f1\par \pard\keepn\qj\tx3690\f0 -K\'edch th\'fd\u7899?c : B\f1\'ecnh th\f0\'fd\u7901?ng\tab\f1\par \pard\keepn\qj\f0 -Th\'e0nh m\u7841?ch kh\'f4ng s\'f5 v\u7919?a\f1\par -Kh\'f4ng th\u7845?y huy\u7871?t kh\u7889?i\par \f2 -Ph\u7893? \'d0M 3 pha\f1\par \f2 -V\u7853?n t\u7889?c \'f0\u7881?nh t\'e2m thu t\u7841?i v\u7883? tr\'ed khoeo(PSV): B\f1\'ecnh th\f0\'fd\u7901?ng\f1\par \b T\u297?nh m\u7841?ch :\par \b0 Kh\u7843?o s\'e1t t\u7915? b\u7865?n -1/3 mu b\'e0n ch\'e2n\par -T\u297?nh m\u7841?ch s\'e2u; Th\'e0nh m\u7841?ch kh\'f4ng d\'e0y, kh\'f4ng huy\u7871?t kh\u7889?i\par -Doppler kh\u7843?o s\'e1t d\'f2ng ph\u7909?t ng\f0\'fd\u7907?c\f1\par \pard\keepn\qj\tx747\tx1467\tab *B\'ean ph\u7843?i :\par \f0\tab\tab .Ch\u7895? n\u7889?i TM hi\u7875?n l\u7899?n - \'f0\'f9i : (+)\f1\par \f0\tab\tab .TM \'f0\'f9i\f1\par \tab\tab .TM khoeo (+)\par \tab *B\'ean tr\'e1i :\par \f0\tab\tab .Ch\u7895? n\u7889?i TM hi\u7875?n l\u7899?n - \'f0\'f9i : (+)\f1\par \f0\tab\tab .TM \'f0\'f9i\f1\par \tab\tab .TM khoeo (+)\par \pard\keepn\qj AORTA : kh\'f4ng ph\'ecnh, kh\'f4ng t\'e1ch v\'e1ch, kh\'f4ng tr\'e0n d\u7883?ch m\'e0ng b\u7909?ng.\par \pard\sb60\sa60\qj\cf1\b\f0 K\u7870?T LU\u7852?N : SI\'caU \'c2M CH\'ddA TH\u7844?Y B\u7844?T TH\'dd\u7900?NG.\f3\fs20\par }
9SIÊU ÂM MẠCH MÁU9{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset163 Times New Roman;}{\f2\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue128;} \viewkind4\uc1\pard\keepn\qj\f0\fs24 Si\'eau \'e2m m\u7841?ch m\'e1u chi tr\'ean :\par \f1 -H\u7879? \'d0M chi tr\'ean 2 b\'ean t\u7915? \'d0M n\'e1ch, \'d0M c\'e1nh tay, \'d0M tr\u7909?, quay, gi\u7919?a,\f0\par gi\'e3n \f1\'f0\u7889?t b\'e0n tay ho\'e0n to\'e0n b\f0\'ecnh th\f1\'fd\u7901?ng v\u7873? flow v\'e0 th\'e0nh m\u7841?ch l\u7851?n\f0\par \f1 k\'edch th\'fd\u7899?c, kh\'f4ng d\f0\'e3n, h\u7865?p hay ph\'ecnh.\par \pard\keepn\f1 -H\u7879? TM t\u7915? n\'e1ch cho \'f0\u7871?n c\u7893? tay, b\'e0n tay, gian \'f0\u7889?t b\'e0n tay kh\'f4ng\f0\par \pard\keepn\qj th\u7845?y d\'e3n, \f1\'f0\'e8 x\u7865?p, kh\'f4ng vi\'eam hay thuyu\'ean t\u7855?c.\f0\par \par \cf1\b K\u7870?T LU\u7852?N :\par \pard\sb60\sa60\qj\cf0\b0\f1 SI\'caU \'c2M M\u7840?CH M\'c1U CHI TR\'caN CH\'ddA TH\u7844?Y B\u7844?T TH\'dd\u7900?NG.\f2\fs20\par }
8SIÊU ÂM VÙNG CỔ8{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset163 Times New Roman;}{\f2\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue128;} \viewkind4\uc1\pard\keepn\f0\fs24 Si\'eau \'e2m v\'f9ng c\u7893? :\par \pard\keepn\qj\f1 -Tuy\u7871?n gi\'e1p, tuy\u7871?n mang tai v\'e0 tuy\u7871?n d\'fd\u7899?i h\'e0m :\f0\par \pard\keepn\f1 C\u7845?u tr\'fac, k\'edch th\'fd\u7899?c b\f0\'ecnh th\f1\'fd\u7901?ng, kh\'f4ng t\'e3ng sinh m\u7841?ch.\f0\par \pard\keepn\qj\f1 -Ph\u7847?n m\u7873?m (C\'f5, t\u7893? ch\u7913?c da..) : Kh\'f4ng th\u7845?y b\u7845?t th\'fd\u7901?ng.\f0\par -H\u7841?ch c\u7893? : (-)\par \par \pard\keepn\cf1\b K\u7870?T LU\u7852?N :\par \pard\sb60\sa60\qj\cf0\b0\f1 CH\'ddA PH\'c1T HI\u7878?N B\u7878?NH L\f0\'dd TR\'caN SI\'caU \'c2M.\f2\fs20\par }
7SIÊU ÂM MẮT7{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset163 Times New Roman;}{\f2\froman\fprq2\fcharset238{\*\fname Times New Roman;}Times New Roman CE;}} {\colortbl ;\red0\green0\blue128;\red0\green0\blue0;} \viewkind4\uc1\pard\keepn\tx1092\cf1\b\f0\fs24 M\u7855?t ph\u7843?i:\tab -DAP mm \par \pard\keepn\tx1077\cf2\b0\tab -Th\u7911?y tinh th\u7875? ph\u7843?n \'e2m b\'ecnh th\f1\'fd\u7901?ng\f0\par \f2\tab -D\u7883?ch k\'ednh \'f0\u7891?ng nh\u7845?t\f0\par \tab -Kh\'f4ng h\'ecnh \u7843?nh bong v\'f5ng m\u7841?c\par \pard\keepn\tx1092\cf1\b M\u7855?t tr\'e1i:\tab -DAP mm \par \pard\keepn\tx1077\cf2\b0\tab -Th\u7911?y tinh th\u7875? ph\u7843?n \'e2m b\'ecnh th\f1\'fd\u7901?ng\f0\par \f2\tab -D\u7883?ch k\'ednh \'f0\u7891?ng nh\u7845?t\f0\par \tab -Kh\'f4ng h\'ecnh \u7843?nh bong v\'f5ng m\u7841?c\par \pard\keepn\cf1\b K\u7870?T LU\u7852?N : SI\'caU \'c2M M\u7854?T B\'ccNH TH\f1\'dd\u7900?NG\f0\par \pard\sb60\sa60\qj\cf0\b0 \fs20\par }
6SIÊU ÂM TIM MẠCH6{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset238{\*\fname Times New Roman;}Times New Roman CE;}{\f2\froman\fprq2\fcharset163 Times New Roman;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\keepn\cf1\ul\b\f0\fs24 SI\'caU \'c2M TIM 2D-TM\par \ulnone\b0\f1\'d0K g\u7889?c \'d0MC(AO)\f0 \f1 = mm, Nh\u297? tr\'e1i(LA)\f0 \f1 = mm.\f0\par \lang1046\f1\'d0K m\u7903? van \'d0MC(AVD)\lang1033\f0 \lang1046\f1 = mm.LA/AO ratio =\f0\par \pard\keepn\tx3060\tx3420\tx3960\tx5580\tx5940\f2\'d0K th\u7845?t P: t\'e2m tr\'fd\'f5ng (RVDd)\tab =\tab mm\tab T\'e2m thu (RVDs)\tab =\tab mm\f0\par \f2 V\'e1ch li\'ean th\u7845?t : T\'e2m tr\'fd\'f5ng (IVSd)\tab =\tab mm\tab T\'e2m thu (IVSs)\tab =\tab mm\f0\par \f2\'d0K th\u7845?t T : T\'e2m tr\'fd\'f5ng (LVIDd)\tab =\tab mm \tab T\'e2m thu (LVIDs) \tab = \tab mm\f0\par \pard\keepn\tx4320\tx6120\tx6390\f2 Th\'e0nh sau th\u7845?t T: T\'e2m tr\'fd\'f5ng (LVPWd) = mm\tab ,\f0\par \pard\keepn\tx4320 T\'e2m thu (LVPWs) = mm Ph\'e2n xu\u7845?t t\u7889?ng m\'e1u (EF) : Teichholt= %.\par \pard\keepn\tx4320\tx6120\tx6390\lang1033 MOD-SIMSON = %.Ph\'e2n xu\u7845?t co ng\u7855?n (FS) = %\par \pard\keepn\fi-720\li720 Th\'f4ng li\'ean th\u7845?t : kh\'f4ng c\'f3 Th\'f4ng li\'ean nh\u297? : kh\'f4ng c\'f3\par Tr\'e0n d\u7883?ch m\'e0ng tim: kh\'f4ng c\'f3 V\'f9ng gi\u7843?m co b\'f3p khu tr\'fa: kh\'f4ng c\'f3\par \pard\keepn\ul\b SI\'caU \'c2M DOPPLER M\'c0U\par \ulnone 1. D\'f2ng van 2 l\'e1 :\par \b0\f2 V\u7853?n t\u7889?c t\u7889?i \'f0a (Vmax)= m/s \'d0\u7897? ch\'eanh \'e1p t\u7889?i \'f0a(Gpeak)= mmHg\f0\par V\u7853?n t\u7889?c trung b\'ecnh (Vmean) = m/s\par \f2\'d0\u7897? ch\'eanh \'e1p trung b\f0\'ecnh(Gmean)= mmHg\par \ul\b\f1 H\u7865?p van 2 l\'e1 : kh\'f4ng c\'f3 .M\u7913?c \'f0\u7897? : .Di\u7879?n t\'edch l\u7895? van (MVA):\f0\par \lang1046\ulnone\b0 (PHT)= cm\super 2\nosupersub . (2D)= cm\super 2\nosupersub \par \ul\b H\u7903? van 2 l\'e1 : (+) . \f1 M\u7913?c \'f0\u7897?: .\f0\par \ulnone\b0\f1 V\u7853?n t\u7889?c t\u7889?i \'f0a d\f0\'f2ng h\u7903? van 2 l\'e1 (Vmax): m/s\par \b 2. D\'f2ng van \f1\'d0MC:\f0\par \b0 Vmax= m/s. Gpeak = mmHg. Vmean= m/s.Gmean= mmHg\par \ul\b\f1 H\u7865?p van \'d0MC: kh\'f4ng c\'f3. M\u7913?c \'f0\u7897?: .Di\u7879?n t\'edch l\u7895? van (AVA)= cm2\f0\par \f1 H\u7903? van \'d0MC: (+) . M\u7913?c \'f0\u7897?: . \lang1033\f0 PHT= mm/s. EDDE= mm/s\par \ulnone\b0\f2\'d0\'fd\u7901?ng k\'ednh v\f0\'f2ng ph\u7909?t ng\f2\'fd\u7907?c= mm.\f0\par \f1 M\u7913?c \'f0\u7897? vlan c\u7911?a d\f0\'f2ng ph\u7909?t ng\f2\'fd\u7907?c:\f0\par \lang1046\b 3.D\'f2ng van 3 l\'e1 : H\u7903? van 3 l\'e1: (+).M\u7913?c \f1\'f0\u7897?: .\f0\par \b0\f1 V\u7853?n t\u7889?c t\u7889?i \'f0a d\f0\'f2ng h\u7903? van = m/s Gpeak = mmHg.\par \f2 Gmean = mmHg.A\'efp l\u7921?c t\'e2m thu \'d0MP (PAPs) = mmHg\f0\par \lang1033\b 4. D\'f2ng van \f1\'d0M ph\u7893?i :\f0\par \b0 Vmax= m/s . Gpeak= mmHg. Vmean= m/s. Gmean= mmHg\par \ul\b\f1 H\u7865?p van \'d0M ph\u7893?i : kh\'f4ng c\'f3\f0\par \f1 H\u7903? van \'d0M ph\u7893?i : kh\'f4ng c\'f3\f0\par \ulnone\b0\f2 A\'efp l\u7921?c \'d0MP trung b\f0\'ecnh (PAP mean)= mmHg.\par \f2 A\'efp l\u7921?c \'d0MP t\'e2m tr\'fd\'f5ng (PAPd)= mmHg. Qp/Qs=\f0\par \b 5. D\'f2ng b\u7845?t th\f2\'fd\u7901?ng qua v\'e1ch li\'ean th\u7845?t : kh\'f4ng c\'f3;\f0\par 6. D\'f2ng b\u7845?t th\f2\'fd\u7901?ng qua v\'e1ch li\'ean nh\u297? : kh\'f4ng c\'f3\f0\par \pard\sb60\sa60\qj\cf0 K\u7870?T LU\u7852?N :\par \kerning28\b0\fs20\par }
5SIÊU ÂM VÚ5{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset163 Times New Roman;}{\f2\froman\fprq2\fcharset238{\*\fname Times New Roman;}Times New Roman CE;}{\f3\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue128;\red0\green0\blue0;} \viewkind4\uc1\pard\keepn\tqc\tx3597\tqc\tx5757\cf1\b\f0\fs24 1-V\'fa ph\u7843?i :\par \cf2\b0 -M\'f4 tuy\u7871?n s\u7907?i d\'e0y trung b\'ecnh,c\'e1c \u7889?ng tuy\u7871?n kh\'f4ng d\'e3n\tab\par \f1 -Kh\'f4ng c\'f3 t\u7893?n th\'fd\'f5ng khu tr\'fa\tab\f0\par -H\u7841?ch v\'f9ng ph\'ec \f2\'f0\u7841?i kh\'f4ng c\'f3 \tab\f0\par \cf1\b 2-V\'fa Tr\'e1i :\par \cf2\b0 -M\'f4 tuy\u7871?n s\u7907?i d\'e0y trung b\'ecnh,c\'e1c \u7889?ng tuy\u7871?n kh\'f4ng d\'e3n\tab\par \f1 -Kh\'f4ng c\'f3 t\u7893?n th\'fd\'f5ng khu tr\'fa\tab\f0\par -H\u7841?ch v\'f9ng ph\'ec \f2\'f0\u7841?i kh\'f4ng c\'f3\f0\par \cf1\b\f1 3-V\'f9ng n\'e1ch & th\'fd\u7907?ng \'f0o\'e0n : Kh\'f4ng h\u7841?ch\f0\par \cf2\b0\par \pard\sb60\sa60\qj\cf1\b K\u7870?T LU\u7852?N : HI\u7878?N T\u7840?I ECHO V\'da \'c2M T\'cdNH\f3\fs20\par }
4SIÊU ÂM TUYẾN GIÁP4{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset163 Times New Roman;}{\f1\froman\fprq2\fcharset0 Times New Roman;}{\f2\fnil\fprq2\fcharset0 VNI-Times;}} {\colortbl ;\red51\green51\blue153;\red0\green0\blue0;\red0\green0\blue128;} \viewkind4\uc1\pard\keepn\cf1\b\f0\fs24 K\'edch th\'fd\u7899?c tuy\u7871?n gi\'e1p:\f1\par \cf2 Thu\u7923? Ph\u7843?i : a= mm\par \b0 b= mm\par c= mm\par \f0 C\u7845?u tr\'fac nhu m\'f4 gi\'e1p \'f0\u7891?ng nh\u7845?t -T\u7893?n th\'fd\'f5ng khu tr\'fa : kh\'f4ng\f1\par \lang1046\b Thu\u7923? Tr\'e1i : a= mm\par \b0 b= mm\par c= mm\par \f0 C\u7845?u tr\'fac nhu m\'f4 gi\'e1p \'f0\u7891?ng nh\u7845?t -T\u7893?n th\'fd\'f5ng khu tr\'fa : kh\'f4ng\f1\par \lang1033\b Eo gi\'e1p = mm(BT < 5 mm)\par \b0\f0 Kh\'f4ng h\u7841?ch c\u7893? v\'e0 d\u7885?c c\'f5 \u7913?c \'f0\f1\'f2n ch\u361?m hai b\'ean\par \f0 V\u7853?n t\u7889?c \'d0M gi\'e1p d\'fd\u7899?i = cm/s\f1\par \par \cf3\b K\u7870?T LU\u7852?N : HI\u7878?N T\u7840?I ECHO GI\'c1P \'c2M T\'cdNH\par \pard\sb60\sa60\qj\cf2\b0 \f2\fs20\par }
3SIÊU ÂM PHỤ KHOA3{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset163 Times New Roman;}} {\colortbl ;\red0\green0\blue0;\red0\green0\blue128;} \viewkind4\uc1\pard\keepn\cf1\f0\fs24 Si\'eau \'e2m ph\u7909? khoa\par \b\f1 T\u7917? cung : Ng\u7843? tr\'fd\u7899?c : DAP = mm;N\u7897?i m\u7841?c = mm\f0\par \b0\f1 C\u7845?u tr\'fac c\'f5 t\u7917? cung \'f0\u7891?ng nh\u7845?t\f0\par L\'f2ng t\u7917? cung kh\'f4ng ph\'e1t hi\u7879?n b\u7845?t th\f1\'fd\u7901?ng\f0\par \b Bu\u7891?ng tr\u7913?ng (P) : Kh\'f4ng h\'ecnh \u7843?nh u nang ,kh\'f4ng pocal\par \b0 (T) : Kh\'f4ng h\'ecnh \u7843?nh u nang ,kh\'f4ng pocal\par \kerning28\b T\'fai cung : kh\'f4ng d\u7883?ch\par \b0\par \pard\sb60\sa60\qj\cf2\kerning0\b K\u7870?T LU\u7852?N : HI\u7878?N T\u7840?I ECHO PH\u7908? KHOA \'c2M T\'cdNH\par }
2SIÊU ÂM TỔNG QUÁT NỮ84{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset238{\*\fname Times New Roman;}Times New Roman CE;}{\f2\froman\fprq2\fcharset163 Times New Roman;}{\f3\fnil\fcharset0 Times New Roman;}{\f4\fnil\fcharset0 Arial;}} \viewkind4\uc1\pard\keepn\fi-540\li540\qj\tx1800\b\f0\fs24 Gan : \b0 C\u7845?\f1 u tr\'fac echo \'f0\f0\u7891?ng nh\u7845?t, m\u7863?t gan ph\u7859?ng, b\u7901?\f1 gan \'f0\f0\u7873?\f2 u, k\'edch th\'fd\f0\u7899?c\par \pard\keepn\fi-180\li540\qj\tx1800\kerning28 b\'ecnh th\f2\'fd\f0\u7901?ng. H\u7879? th\u7889?ng t\u297?nh m\u7841?ch tr\'ean gan, t\u297?nh m\u7841?ch c\u7917?a kh\'f4ng d\'e3n.\par \pard\keepn\fi-540\li540\qj\tx1800\kerning0\b M\u7853?t \b0\f2 : \'d0\'fd\f0\u7901?ng m\u7853?t trong gan, \u7889?ng m\u7853?t ch\u7911? kh\'f4ng d\'e3n. T\'fai m\u7853?t kh\'f4ng s\u7887?i.\par \b T\u7909?y: \b0 C\u7845?\f1 u tr\'fac \'f0\f0\u7891?ng nh\u7845?t, kh\'f4ng u, \u7889?ng Wirsung kh\'f4ng d\'e3n.\par \b L\'e1ch:\b0 C\u7845?\f1 u tr\'fac \'f0\f0\u7891?ng nh\u7845?\f2 t,k\'edch th\'fd\f0\u7899?c b\'ecnh th\f2\'fd\f0\u7901?ng, t\u297?nh m\u7841?ch l\'e1ch kh\'f4ng\par \pard\keepn\li540\qj\tx1800\kerning28 d\'e3n.\par \pard\keepn\qj\tx720\kerning0\b Th\u7853?n:P: \b0 Kh\'f4ng \u7913?\f2 n\'fd\f0\u7899?c, kh\'f4ng s\u7887?i, ph\u7843?n \'e2m t\u7911?y v\u7887? r\'f5.\b\par \pard\keepn\qj\tx540\b0\tab T: Kh\'f4ng \u7913?\f2 n\'fd\f0\u7899?c, kh\'f4ng s\u7887?i, ph\u7843?n \'e2m t\u7911?y v\u7887? r\'f5.\par \b\f3 B\'e0ng quang\b0\f0 : Th\'e0nh kh\'f4ng d\'e0y kh\'f4ng s\u7887?i.\par \b\f3 T\u7917? cung\b0\f0 : Ng\'e3 tr\u432?\u7899?c, Dap=34mm, m\u7853?t \u273?\u7897? t\u7917? cung \u273?\u7891?ng nh\u7845?t, n\u7897?i m\u7841?c=mm\kerning28\par \pard\keepn\qj\tx1260\kerning0\b Ph\u7847?n ph\u7909? : \tab\b0 P: B\'ecnh th\f2\'fd\f0\u7901?ng\par \tab T: B\'ecnh th\f2\'fd\f0\u7901?ng\par \pard\keepn\qj\tx1980\b D\u7883?ch \u7893? b\u7909?ng : \tab\b0 Kh\'f4ng c\'f3\par \b D\u7883?ch m\'e0ng ph\u7893?i : \b0\tab Kh\'f4ng c\'f3\par \b\f1\'d0M ch\f0\u7911? b\u7909?ng : \tab\b0 Kh\'f4ng ph\'ecnh\par \b\f3\fs36 K\u7870?T LU\u7852?N\b0\f0\fs24 : \b\f3\fs28 HI\u7878?N TAI CH\u431?A TH\u7844?Y B\u7844?T TH\u431?\u7900?NG TR\'caN SI\'caU \'c2M.\b0\f0\fs24\par \pard\f4\fs18\par }
1SIÊU ÂM TỔNG QUÁT NỮ84{\rtf1\ansi\ansicpg1252\deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fprq2\fcharset0 Times New Roman;}{\f1\froman\fprq2\fcharset238{\*\fname Times New Roman;}Times New Roman CE;}{\f2\froman\fprq2\fcharset163 Times New Roman;}{\f3\fnil\fcharset0 Times New Roman;}} \viewkind4\uc1\pard\keepn\fi-540\li540\qj\tx1800\b\f0\fs24 Gan : \b0 C\u7845?\f1 u tr\'fac echo \'f0\f0\u7891?ng nh\u7845?t, m\u7863?t gan ph\u7859?ng, b\u7901?\f1 gan \'f0\f0\u7873?\f2 u, k\'edch th\'fd\f0\u7899?c\par \pard\keepn\fi-180\li540\qj\tx1800\kerning28 b\'ecnh th\f2\'fd\f0\u7901?ng. H\u7879? th\u7889?ng t\u297?nh m\u7841?ch tr\'ean gan, t\u297?nh m\u7841?ch c\u7917?a kh\'f4ng d\'e3n.\par \pard\keepn\fi-540\li540\qj\tx1800\kerning0\b M\u7853?t \b0\f2 : \'d0\'fd\f0\u7901?ng m\u7853?t trong gan, \u7889?ng m\u7853?t ch\u7911? kh\'f4ng d\'e3n. T\'fai m\u7853?t kh\'f4ng s\u7887?i.\par \b T\u7909?y: \b0 C\u7845?\f1 u tr\'fac \'f0\f0\u7891?ng nh\u7845?t, kh\'f4ng u, \u7889?ng Wirsung kh\'f4ng d\'e3n.\par \b L\'e1ch:\b0 C\u7845?\f1 u tr\'fac \'f0\f0\u7891?ng nh\u7845?\f2 t,k\'edch th\'fd\f0\u7899?c b\'ecnh th\f2\'fd\f0\u7901?ng, t\u297?nh m\u7841?ch l\'e1ch kh\'f4ng\par \pard\keepn\li540\qj\tx1800\kerning28 d\'e3n.\par \pard\keepn\qj\tx720\kerning0\b Th\u7853?n:P: \b0 Kh\'f4ng \u7913?\f2 n\'fd\f0\u7899?c, kh\'f4ng s\u7887?i, ph\u7843?n \'e2m t\u7911?y v\u7887? r\'f5.\b\par \pard\keepn\qj\tx540\b0\tab T: Kh\'f4ng \u7913?\f2 n\'fd\f0\u7899?c, kh\'f4ng s\u7887?i, ph\u7843?n \'e2m t\u7911?y v\u7887? r\'f5.\par \pard\keepn\qj\tx1800\b B\'e0ng quang \b0 : Th\'e0nh kh\'f4ng d\'e0y, kh\'f4ng s\u7887?i.\par \pard\keepn\qj\tx1260\b\f3 Ti\u7873?n li\u7879?t tuy\u7871?n\b0\f0 : kh\'f4ng to c\u7845?u tr\'fac \u273?\u7891?ng nh\u7845?t\par \pard\keepn\qj\tx1980\b D\u7883?ch \u7893? b\u7909?ng : \tab\b0 Kh\'f4ng c\'f3\par \b D\u7883?ch m\'e0ng ph\u7893?i : \b0\tab Kh\'f4ng c\'f3\par \b\f1\'d0M ch\f0\u7911? b\u7909?ng : \tab\b0 Kh\'f4ng ph\'ecnh\par \b\f3\fs36 K\u7870?T LU\u7852?N\b0\f0\fs24 : \b\f3\fs28 HI\u7878?N TAI CH\u431?A TH\u7844?Y B\u7844?T TH\u431?\u7900?NG TR\'caN SI\'caU \'c2M.\b0\f0\fs24\par }