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NHIEÃM TRUØNG NGOAÏI KHOA Bs Ñoã Ñình Coâng Toå Bm ngoïai Bv NDGÑ 8424423, 0903754943,[email protected]

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  • NHIEM TRUNG NGOAI KHOABs o nh CongTo Bm ngoai Bv NDG8424423, 0903754943,[email protected]

  • MUC TIEU1-nh ngha c nhiem trung ngoai khoa2-Chan oan c ap xe nong, ap xe lanh, nhot, nhot chum, viem hach bach huyet cap, nhiem trung vet thng3-Nhan thc c tnh a dang, phc tap cua benh nham tang cng cong tac d phong

  • nh ngha NTNK la bien chng cua chan thng hay cua vet thng sau nhng can thiep phau thuatNTNK NT can phai co the can phai ieu tr bang phau thuat Bien chng cua phau thuat, chan thng hay vet thng

  • Nhng trng hp NT can phai phau thuat Hoai t mo memNT cua cac xoang trong c the: viem phuc mac, viem mu mang phoiviem mu mang timNT c quan, to chc khep kn: ap xe, viem mu khpNT manh ghep manh ghep thoat v ben, ket hp xng

  • NT sau phau thuat, chan thng hay vet thng NT vet mo, vet thngViem phuc mac sau moNT manh ghepNT benh vien

    NTNK la s mat thang bang sc e khang cua c the kha nang gay benh cua vi sinh vat

  • LaurenceNhiem trung trong ngoai khoa la mot bai toan khong co tuoi luon c thao luan khong bao gi c giai quyet mot cach dt iemhien nay no ang tao ra nhieu moi lo ngai nang ne

  • ieu kien phat sinhO thuan li khac vi NT noi khoao thuan li cho NT phan c the b dap nato tac huyetto chc b hoai t gay tr ngai cho s xam nhapphat huy tac dung cua khang sinh

  • ieu kien phat sinhNgo vao Vi sinh vat xam nhap c the t ben ngoai qua da, niem mac nhot, viem mo te bao, vet thngvi khuan ben trong c the v ruot hay thung tui mat sau ong tac chan oan hay ieu tr vet mo, soi bong ai, tiem thuoc, choc do dch nao tuy

  • ieu kien phat sinhSc e khang s nguyen ven cua c quan yeu to bao ve tai cho ngan chan s xam nhap cua vi khuan vao c theyeu to toan than ong vai tro quan trong tong khi vi khuan a xam nhap vao to chc. sc e khang cua benh nhan gom 2 yeu to

  • ieu kien phat sinh sc e khang Yeu to bao ve tai cho lp bieu mo nhieu tang va sng hoa cua daniem mac cua ng ho hap; tieu hoa; tiet nieus nguyen ven khong cho vi khuan xam nhap. tac dung ra cua nc mat; nc tieuhoat ong cua nhung mao cua ng ho hapsong nhu ong tren ong tieu hoachat nhay va pH trong long ong tieu hoahe thong mien dch cua be mat nh IgA

  • ieu kien phat sinhYeu to toan than mat kha nang hoat ong / giet chetbao gom thc bao, he thong mien dch, he thong bo the, he thong ong mau. Yeu to toan than thay oi theo tuoi, tnh trang dinh dngsau chan thng, sau mo, b phongu ac tnh, sau hoa tr hay s dung thuoc c che mien dch, vai benh ly noi tiet. suy giam mien dch mac phai sau nhiem HIV

  • ieu kien phat sinhKha nang pha hoaioc lc cua vi sinh vatso lng, ng xam nhap, ac tnh rieng cua vi khuan ngoai oc to (vi khuan uon van, bach hau)chat noi oc to (vi khuan gram am)

  • ieu kien phat sinhKy thuat mo nhe nhangcat loc mo hoai tton trong nguyen tac vo trungphan biet th hu trung; vo trungthc hien mot cach hoan hao

  • Tac nhan gay nhiem trung ngoai khoa gii ong vat nh amip gii thc vat nh Mycobacterium virus vi khuan hoa chat

  • PHAN LOAI NHIEM TRUNG NGOAI KHOA Mo memNT cua da, to chc di da hay lp cViem mo te baoViem bach mach Ap xe nongAp xe lanhHoai th sinh hiUon vanXoang trong c theViem phuc macAp xe trong o bungTran mu mang phoiViem mu khpViem mu mang tim

  • PHAN LOAI NHIEM TRUNG NGOAI KHOANhiem trung manh ghepcua van tim, khp, mach mauNhiem trung vet thng hay vet moNhiem trung benh vienTo chc y te Hoa ky2 trieu trng hp / nam150.000 trng hp t vongKeo dai thi gian ieu tr (t 2 en 16 ngay)tieu ton them hang t o laBenh ly tng ng cua tng c quan

  • NGUYEN TAC IEU TR ket hp sc e khang cua c the ieu tr noi khoavat ly tr lieu, vo lng, van ong smuong nhieu nc, loang ambat ong va ke chi cao phau thuat e thao mu, cat loc mo hoai t, lay d vatkhau noi hay co lap ong tieu hoa

  • Ap xe nong mot o mu cap tnh khu tru trong cac phan mem cua c the 4 trieu chng c bansng nong o - au Nguyen nhan Tu cau, Lien cau Trc khuan, Phe cauVi khuan k kh hoa chat nha thong, iot, nitrat bac

  • cau tao ap xe nong Vach bao: cau tao bi 3 lpLp trong : ni tiep xuc o mu, la mang li fibrin giam gi cac bach cau va vi khuanLp gia : to chc lien ket non, ch co nhng mach mau mi tao.Lp ngoai : lamot to chc x, mot hang rao ngan can gia nhng mo NT va mo lanhBong cha muMu ac dnh, mau kem sa, khong mui: ap xe do tu cauMu loang, mu pha thanh dch: ap xe do lien cauMu loang xam ban, mui thoi: do vi khuan yem kh

  • Trieu chng lam sang Tien trien Giai oan viem lan toaau nhc, lien tuc tang dan, khu trudau hieu NT toan than4 trieu chng c ban Cng trung tam va ong banh vien ngoaiNongoau khi s an Kem theoMot ngo vao: la mot vet thng nho, mot cho tiem di da hay bap thtNhng dau hieu lan toa: viem bach mach, viem hach C aai thao ng.suy dinh dng, suy thanHIV

  • Trieu chng lam sang Tien trienGiai oan tu mu (sau nam bay ngay)au nhp ap theo mach, / mat nguDau hieu toan than nang hnSL bach cau tang / bach cau a nhanMang cng khu tru lai, gii han ro dan, co dang s thay mem trung tamdau chuyen song (fluctuation)

  • Ap xe lanh trc khuan Eberth Giai oan auLa mot cu lao (tuberculome) khoi u nho, cng, khong au, khong co dau hieu viem tay. Khoi u nay co the ton tai nhieu thang. Neu khong c ieu tr, cu lao se bien thhanh to chc ba au roi thanh mu.b.Giai oan ap xe:o mu: mu loang / mo hoai t / ba auThanh cua o mu gom 2 lp:Lp trong gom cac to chc hoai t con sot lai, lan vi cac mach mau tan taoLp ngoai co nhng thng ton lao ang tien trien

  • Trieu chng3 giai oanGiai oan auGiai oan co muGiai oan ro mu vet loetTrieu chng toan thanNhiem laoVS caoIDR dng tnhXquang phoi co the phat hien cac o lao phoi

  • Viem tay lan toa Viem tay lan toa (VTLT) la tnh trang viem cap tnh cua mo te bao2 ac iem:Xu hng lan toa manh, khong gii hanHoai t cac mo b xam nhap Giai phau benh Viem tay trong 2 ngay aukhong co muo mu nho rai racboc tach cac khoang te bao, lan toa, lam hoai t nhieu mo, ngam ay mot loai mu mau vang xanh

  • Trieu chng va tien trien Trieu chng toan thanRet run va sot cao (40-41o) met nhoc, buon non, mat ngu Li b

  • Trieu chnggan ca vao cua vi khuan sng phong len va lan rongphu ne va au nhcda bong o om tai bam

  • tien trienToi cap dienkhong c ieu tr kp thitnh trang nhiem khuan va nhienm oc nangdan en t vong trong vong 24-48hTien ti giai oan hoai t Tnh trang toan than on nh mo hoai t rung i mot cach t nhien hay c moBien chng khacviem khp mu, viem tac tnh machviem mang phoi mu, viem noi tam macnhiem trung huyet / nhiem khuan mu huyetlanh seo xau

  • Viem mach lymphoKhi auqua vet thng vi khuan lot vao bach mach nong di da (viem bach mach li)ke tiep lan en cac ong gop bach huyet(viem bach mach sau hay bach mach than) (viem hach bach huyet)

  • Trieu chng lam sang au nhc mot ngon tay hay ngon channi b vet thngau kieu nong bong, au doc theo chisot 38o5 390C, met moi, nhc au, n lanh.Kham Cho vet thng sng ne.Mot vung o, nong nhng lan ch o ket thanh mang lis an len tren lau da hi tai i va gay au thon (viem bach li)

  • viem than bach mach pha tren lan o sam, thang, song song vi nhau (co khi co mot so nganh noi vi nhau) s cho cam giac giong nh nhng si day com, cng, an rat au (viem than bach mach)

  • Primary herpes simplex virus infection of the palm with lymphangitis of the forearm

  • Viem hach lympho cap tnh Giai phau benh giai oan cng tu (viem hach bach huyet cap sung huyet)hach togiai oan viem hoa muhach bien thanh mot o mudien tien viem xung quanh hach viem tay hach

  • Trieu chng lam sang au vung hach b viemlam giam van ongBenh nhan b nhc au, sot nhe.Kham thayHach to, au chac, b tron, cha dnh vi da, an rat au)ng bach mach lan ch dai hay ket thanh mang lida co mau o.Ca ngo xam nhap cua vi khuan vet choc nho / vet thngvet thng a lien seo

  • Trieu chng lam sangViem xung quanh hachKhoi hach dnh chum vi nhaukhong di ong cthanh mot am quanh lan toa cng va auda ng o Viem tay hachau cang ngay cang tang, lam mat nguToan thanKhoi hach sng to, o, au khi schu yeu la da tay o lan rong.

  • Viem hach lympho nach

  • Nhot Nhot nhiem khuan phat trien t chan longtu cau khuan vangNhiem khuan lan quanh chan long phan bieu b xung quanh tao ra mot am to chc hoai t / ngoi ngoi :tu cau khuan, bach cau manh to chc lien ket hay bieu b hoai t

  • Dien tienLanh seo keo dai khoang 10 ngayBien chng Ap xe nong quanh ni b nhotHoai thViem mach lympho hay viem hach lymphoNhiem khuan huyetViem tac tnh machnhot mat, / moi tren (inh rau)viem tac tnh mach goc, tnh mach mat, ac biet la tnh mach xoang hanggay t vong

  • Hau boi Hau boi cum nhot tap trung mot nikhong bat buoc lngVi khuan / tu cau khuan vangHay xay ra ngi tieu ng suy dinh dng

  • Giai phau benh Mang tm o, to nho khac nhauGiai oan not phong co cac not phong cha nc mau hong hongGiai oan loetnot phong v ra / loet tron nhorai eu nh mot to ong hay mot hoa senGiai oan v ngoicau da con lai gia cac o loet b pha huyo loet to nh mieng nui lacha ay nhng am ngoi.

  • epidermoid cyst

  • HIDRADENITIS SUPPURATIVA

  • Hau boiRach muPha ngoc ngachCam mauCat locCam mau

  • Nhiem trung vet thng Vet thng vet mo cua cuoc phau thuat vet thng do sang chan NT tren lp canNT nongNT di lp canNT sau xay ra trong vong 30 ngay Trong vong 1 nam neu co manh ghep

  • Phan loaio 1 sng, nong, o, au tai vet thngchay dcho 2 mu lp mo 3 mu lp m hay lp c-o 4co viem tay lan rong xung quanh vet thng.

  • Benh anPhan thong tin benh nhanLy do vao vienauSngChay muSot MetHon meHoi auNhieu: mat ngunhp ap

  • Tien canTieu ngSuy dinh dngSuy thanSuy ganNhiem HIVDan tnh mach chi diVet thng, o nhiem cu

  • Benh anKhamNhnMau daMang oKhoi uLoetChay muVet moLan chSSngNong o auMat mau khi anKhoi uViem tay quanh uDau chuyen song

  • Benh anToan thanThan nhiet M, HATri giacChan tay lanhDa noi bong

    Tm ca ngo xam nhap