Phẫu thuật lấy thận để ghép từ người cho chết não tại bệnh viện Việt Đức: Nhân 3 trường hợp đầu tiên

2. Cac benh nhan hen phe quan dilu trj tai benh

vien 175 c6 dae diem lam sang va can lam sang

tUdng ddi dien hinh vdi trieu chimg: ho, khd khe, kho

thd, eo keo ed hd hap d cac mifc dp khac nhau, trong

cdn hen ed ran rit, ran ngay. Da sd benh nhan co cae

CO trieu chimg bao triTde cdn hen va cdn hen chii yeu

d mirc trung binh va nhe, Hen bac 2 chiem ehii ylu,

nhirng d tat ca eae bac hen, khi dang c6 cdn hen, thi

edn CO the la cdn nhe, trung binh hay cdn nang. Ty le

benh nhan c6 rdi loan thdng khi, sd lirpng bach cau ai

toan, va ndng dp khang the IgE toan phan tang cao

chiem da sd. Trong dilu trj, ddi vdi cdn hen nang:

100% phai phdi hpp ea 3 nhdm thudc cat cPn, edn

hen trung binh: hau het phai diing phdi hdp a2 giao

cam va Corticoid, edn hen nhe: eo 42,86% ehi diing

a2 giao earn. Hau hit cac benh nhan cat edn trong 1

tuan dieu tri.

TAI LIEU THAM KHAO

1. Nguyin Nang An va cs. (2000), Mgt so' die

diim dich t§ hgc hen phi quan d mgt so tinh mien

bic VN, Hpi thao hen phe quan Qudc te. Ha noi.

2. Dai Duy Ban, Pham Duy Linh (2002), Mien

dich di img hen, Nha xuat ban Y hpc. Ha npi.

3. Dao Van Chinh, Nguyin Qudc Tuan (1999),

Hen phi quan, Nha xua't ban Y hpc. Ha npi.

4. Nguyin Oinh Hai, Nguyin Hoai Nam, Lirong

Thj Bich Thiiy (2005), "Khao sat benh hen phe quan

va dieu tri tai khoa kham Benh vien Nhan dan Gia

djnh", YHgc TP.HCM, Tap 9-S6 4/2005. tr. 235-243.

5. To My Hifdng, Nguyin Thj Oanh (2007),

"Khao sat yeu td dj img d benh nhan hen phe quan",

Hdi nghi khoa hoc lao va benh phoi, Hdi lao va benh

phdi TP'HCM,tr.'36-40.

6. Pham Duy Linh (1996), Bade dau dieu tra

dich te benh hen phi quan tai TP.HCM, Hoi nghi ve

benh phdi Phap-Viet lan thLr5! TP.HCM, tr.59-83.

7. VUdng My Ngpc, Le Thj Tuyet Lan (2006),

"Ode diem lam sang va ho hap ky d benh nhan hen

Idn tudi", Y Hoc TP.HCM, Tap 10 Phu ban So

f/2006, tr. 6-13.

8. Global initiative for asthma GINA (2002),

Asthma: Diagnosis and classification, pp. 67-132.

9. Global initiative for asthma (2006), Global

Strategy for Asthma Management and Prevention.

National Heart, Lung and Blood Institude. Available

from: http://vvvvw.ginaasthma.org, update 2008.

10. National heart lung and blood institute

(NHLBI) National institute of health (NIH) (1998),

Guidelines for the diagnosis and management of

asthma, pp. 12-85.

PHAU THUAT LAY THAN DE GHEP TUTNGUlOn CHO CHET NAO TAI BENH VIET DUTC:

NHANSTRUlOrNGHOPDAUTIEN

TOM TAT:

Myc dich: O nw&c ta hipn nay ghdp thpn da la mgt

phau thupt thuong qui tpi mgt so tmng tam phau thupt

l&n. Tuy nhien nguon tpng ghep li tir nguoi cho song.

Trong th&i gian qua bpnh vipn Vipt Dire to chirc phau

thupt lay tpng tir ba nguoi cho chit nao vi ghep thinh

cdng cho 6 bpnh nhan nhin thpn. Tir 3 tnr&ng hgp lay

tpng ghep nay, chung tdi tong kit, dinh gii vi nit ra

nhQng bai hgc cho vipc lay thpn vi ghep thpn tir nguoi

cho chit nao. So lipu va phwong phap nghien ciru:

nghien ciru tien ciru tren ba truong hgp lay da phii tpng

de ghdp. Ket qui : thai gian phau thupt liy tpng tmng

binh la 3h30phiit. Phau thupt liy tpng tir 3 nguoi cho

chet nao; 3 tpng gan: 2 de nghien cim, 1 di ghep. 6

thpn dugc ghep cho 6 bpnh nhan suy thpn man giai

dopn cuoi. S6 lirgng djch ara tpng trong mo tmng binh li

7 lit (custodllol). Ket lupn: tin dau tien bpnh vipn Vipt

Dire thyc hipn thinh cdng liy tpng td nguoi eho chit

nao. Phau thupt dtrgc tht/c hipn theo qui tnnh liy da phu

tpng. Cic tpng dirge liy bao gom: 6 thpn vi 3 gan diu

dpt chit lirgng tot.

Tir khda: ghip thin, nguoi cho chit nao

SUMMARY:

3 CLINICAL CASES TAKING ORGAN DONOR

FROM BRAIN DEAD IN VIET- DUC HOSPITAL

Objective: In Vietnam now kidney transplantation Is

routine in a large surgical center However the source

organs fmm living donor In may 2010, Viet-Duc hospital

0 6 TRU'ONG THAN H

pedonved surgery removed organs from brain dead

patient and three donors for successful transplants of six

patients receiving kidney. Fmm 3 cases, we mvlew,

evaluate and draw lessons for the taking of kidney and

kidney transplants from brain dead people. Results:

Initial experience and organs for transplants from brain

dead people. The most important result is that groups

together to wori< well coordinated with each other to

ensure shorten warm ischemic time and cold ischemic

organ. Time since the iJiagnosis of brain death to get

organ transplants Is 48 hours average. Conclusion:

Model of organs for transplant from brain dead for which

our hospital has made significant progress in the

application field transplants.

Key words: Brain death donor, kidney transplantation.

OAT VAN Dfe:

Ghep thdn Id mpt phirong phdp dilu tri tien tiln eho

benh nhan suy than man giai doan cuoi, giiip ngirdi

benh ed sire khde vd chat lupng cupe song tot nhat [2].

d My, hdng ndm ed khoang 65.000 benh nhdn chd

ghep, nhu'ng chi ed thi thyc hien ghep du'pc cho 10.000

b$nh nhdn [2].

Ghep thdn ttr ngudi eho sdng du'pc thyc hipn d

nu'dc ta ttr ndm 1992, tuy nhien nd ehi du-pc thyc hipn

mpt each bpt phdt, khdng thydng xuyen tgi cac bpnh

vipn Idn do nguon thgn ghep phy thupc vdo sy hy sinh

cao ca eiia ngu'di hiin thdn. Phan Idn nhtrng bpnh nhan

mudn du'pc ghep thgn phai tim den nhtrng trung tam

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