doc x quang tim mach duocsy.tk

8/12/2019 Doc X Quang Tim Mach DuocSy.tk

1/67

X QUANG CHN ONX QUANG CHN ON

BNH L TIM MCHBNH L TIM MCHGS TS HONG TRNG KIMGS TS HONG TRNG KIM

CN BM NHI HYD TPHCMCN BM NHI HYD TPHCM


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MC TIU

1. Xc nh c hinh anh X quang binh thngcua tim vtun hon phi

2. Xc nh c tim to v to bung tim no

!. Xc nh "c t#ng tu$n hon ph%i ch& 'ng(

th) 'ng v gi*m tu$n hon ph%i

+. ,i*i th-ch "c c ch giam tun hon phi(t#ng tu$n hon ph%i chung vt#ng tun

hon phi th) 'ng


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M! "U

/hao sat tim-mach0nhiu phng tien chan oan:

X quang quy c

Sieu amY hoc hat nhan (uc!ea" me#icine$

%a&t !p ien toan (%'$

%ong hng t ()*+$


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XQ

QUY

C

S CHN ON YH HTNHN

CT-Scc

nhanh&xon

c

MR !S"

#!TM

!o$-$%'

Q(a )hc*(+n

),./0(

12n3/0(

45H

-bung, van tim ++ 3333 4 33333 33 33 3333 3333 3333

-m vnh + 3 4 33 3 4 333 333 3333

-kthc tim&mmu fi +++++ 33 4 333 33 33 3333 333 333-mng tim & cu trc

ngoi tim++++ 33 4 3 4 4 33333 3333

333

HUY6T 7N4 H8C

-p lc + + 3333 33 4 4 4 3 3

-!"ng mu 33 33 3333 33 4 333 3 3333 33

"n )o9n nh.:/ x; 333 3333 33333

33333 3333 3333 33 33333

33

/ %?n 33333 33333

33333

333 33 33 3333 3333 33

T.@) A.B/ 3333 333 333 333 333 333 33 33 3

!: )hc h.Bn 3333 33 33 33 33 333 333 333 3


5/67

X #$%&' #$( )*+

X quang ng5c0

4 6ng c) h7 t8" ch9n on tim m:ch4 ;hng qui( thng i ...


6/67

I, XQ -./0 +102/$ C3 4125167+ +$5% T08


7/67

XQ -./0 +102/$ C3 4125167+ +$5% T08

K9 THU:T CHP;ca8m nE cF ba8Et= th5c qu*n

6hch t8Cc B v ch)p vCi tia X GuEn thHu 6hch t8Cc ;

Bhim ng5c thIng chu9n nh gi ph%i mng ph%i


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XQ -./0 +102/$ C3 4125167+ +$5% T08

P108 &'


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XQ -./0 +102/$ C3 4125167+ +$5% T08PHIM SAU ? TR@C


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XQ -./0 +102/$ C3 4125 167+ +$5% T08NGHING T


11/67

XQ -./0 +102/$ C3 4125167+ +$5% T08CHCH TR@C P


12/67

XQ -./0 +102/$ C3 4125167+ +$5% T08CHCH TR@C T


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XQ -./0 +102/$ C3 4125167+ +$5% T08XQ BNH TH@NG ? TIM E CC MCH MU LN

A, PHIM NGFC THNG SAU ? TR@C


14/67

XQ -./0 +102/$ C3 4125167+ +$5% T08XQ BNH TH@NG ? TIM E CC MCH MU LN

A, PHIM NGFC THNG SAU ? TR@C


15/67

XQ -./0 +102/$ C3 4125167+ +$5% T08

XQ BNH TH@NG ? TIM E CC MCH MU LN

A, PHIM NGFC THNG SAU TR@C C+ +$&' 408

OV t8i 0

W 6ung Y64Y6 GuRng

W ;hn YB

W ;iKu nhZ t8i

W ;hHt t8i[thHt ph*i

OV ph*i0

W ;Y6;( tuEn Qc( Y6 >n

W PhZ ph*i[ nhZ t8i( thHt ph*i( ;Y6\


16/67

XQ -./0 +102/$ C3 4125 167+ +$5% T08


A, PHIM SAU TR@C


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XQ -./0 +102/$ C3 4125167+ +$5% T08 XQ BNH TH@NG ? TIM E CC MCH MU LN

B, PHIM NGHING T


18/67

XQ -./0 +102/$ C3 4125167+ +$5% T08, XQ BNH TH@NG ? TIM E CC MCH MU LN

B, PHIM NGHING T

,ong mach chu,ong mach chu

,ong mach,ong machphoiphoi

'hat phai'hat phai

h. t"aih. t"ai

'hat t"ai'hat t"ai

%ot song ngc%ot song ngc

'.nh mach chu'.nh mach chu#i#i

/a #ay/a #ay


19/67

XQ -./0 +102/$ C3 4125 167+ +$5% T08, XQ BNH TH@NG ? TIM E CC MCH MU LN

B, PHIM NGHING T


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C, PHIM CHCH TR@C PHJI


21/67




h. t"aih. t"ai

h. phaih. phai

,ong mach ch,ong mach ch

,ong mach,ong machphoiphoi

'hat phai'hat phai

/a #ay/a #ay

'.nh mach chu'.nh mach chu#i#i


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23/67


D, PHIM CHCH TR@C TRI


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,ong mach chu,ong mach chu

,ong mach,ong machphoiphoi'ieu nh. phai'ieu nh. phai

'hat phai'hat phai


h. t"aih. t"ai

'hat t"ai'hat t"ai

/a #ay/a #ay


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26/67

II, TIU CHUN TIM TO E LN CC CUNG

A, TIM

C1 408 &'


27/67


A, TIM ? C1 408 &'


28/67


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A, TIM ? C1 408 &'


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B, CC BUnNG TIM

PhZ B0 a [ b

x

a

D

Yiavicu>a8 >in=j6hi>


32/67

TIU CHUN TIM TO E LN CC CUNG

L3/& N1p P L3/& N1p T

Bhim thIng a [ b 1[+ j1[! 6ung ch B

Pghing ; 4 PhZ ; to 9E th5c qu*n 8a ?au

6hch ;8c B YHt Lho*ng ?ng ?au tim PhZ ; to 9E th5c qu*n 8a ?au

6hch ;8c ; ;iKu nhZ B to jgFc thHt Bv Y6 >n

PhZ ; to ch= ca ?% YB4Y6Bhquan ; nm ngang

\Hu hiu ph) ,an to 9E vrm honh >n


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L*& &1p P


34/67


L*& &1p T


35/67


L*& &1p T


36/67


L*& &1p T

0

OFng i

;iKu nhZ ; >Cn

;h5c qu*n >ch B

;Y ph%i


37/67

TIU CHUN TIM TO E LN CCCUNG

B, Lq/N THr/T

L3/& T1g4 P L3/& T1g4 T

Bhim thIng 6ung n

D(;cung nthnh ng5c

?

6hch ;8c ; 4 YHt Lho*ng ?ng ?au tim

\Hu hiuph)

YB gRc toPhZ B to

,an to 'i vrm honh >nyuai ;Y


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L*& 41g4 P


39/67

L*& 41g4 P

+ za>>ot

M5


40/67

L*& 41g4 T


41/67

L*& 41g4 P

YHt Lho*ng ?ng

?au Gng Qc


42/67


43/67

III, X QUANG TU"N HON PHsI

6c thaE %i huEt 'ng *nh hUng bung tim v tu$n hon ph%i

{e tu$n hon ph%i0

;#ng tu$n hon ph%i ch& 'ng ;#ng tu$n hon ph%i th) 'ng

;u$n hon ph%i bAnh thVng

,i*m tu$n hon ph%i ton


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t,d TU"N HON PHsI BNH TH@NG

A, M PHsI

III X QUANG TU"N HON PHsI


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A, M PHsI;Ad P1Z& ^ 4u 46&' % &'60;

- Nh cnh cy

- Lun i song song PQ

MP '+;cung 2 bn b t8i

S086&;chia ! '


46/67



A, M PHsI;

MP P; 1v&1 Ww0 W60

Ngi ln:de?dx 88 &%8[ y?dz &{

Tr em:*& 13& -)3|&' 0/&1 1V #$}&

T ~ MP; PQ d[



47/67



A, M PHsI;T$& 16& &'60 ^02&;

PgVi >Cn0 Vng L-nh

1[ ! t8ong 2^ mm1[ ! gi}a @ mm

1[ ! ngoi 1 mm nn Lhng thHE [ Xq



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A, M PHsI;

A, P1Z& ^ 4u 42& k$&'

;u$n hon ph%i0

4u >"ng cao

4~p >5c thHp

4/hng >5c thHp

Bhn bR th=o t8ng >5c ; chia ! vkng nh hAnh bn

/h9u L-nh Y 1[ ! t8n w Y 1[ !


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A, TM PHsI;

2 ;YB t8n thIng Qng(

nm ngoi YB BT;

2 ;YB


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t,d TNG TU"N HON PHsI CH NG

Y tahinh anh Xquang0

Y to( m t8n phi 8a ngoai bin( tJ gRc n cc nhnh

Bhn bR nh hinh 8=quat( nh Go=ngon taE

6 ch0 n phi nhiu ...

;Anh huRng0

;#ng 6;0 cF thai( thiu mu m:n( cVng gip( thiu vit O1(


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52/67



;#ng >u >"ng mu >n ph%i Lhng t-m



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;#ng >u >"ng mu ph%i Lhng t-m j\


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55/67



;#ng >u >"ng mu ph%i t-m j\4;,



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OAnh thVng ;#ng >u >"ng mu ph%i0


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t, TNG TU"N HON PHsI TH NG

Y taX quang0 ti phn bR m:ch mu U dnh ph%i jLh9u L-nh 1[!

t8n gHp i 1[!

uE tim ;

;huEn tc YB nhieu ch7 U 2 E

/h- th&ng ton tiKu thkE



58/67



O; ;i phn bR tu$n hon ph%i

/=8>=E O( ;8n


59/67



G0} 41$(b4 4 (C ch c hc)

W Bv&1 41)m&';

P06& &1p T P 41,4p&1TM a10 88H'

P06& 6 TM a10 88H' ^}6 W~ +1&' a1 a10 GUYTON

W K10 + 4+ &'1& 408 T;

P 41,4p&1TM a10 P 6 a1 8. P 8. +1$(& TM a10 -(ka 8$ \& 2& -&1 a10

M+1 ^+1 1$(b4 1ga 41$ l+1 &2& 46 %; -)m&' K( W+1 02& 40$ 41(

W K1} &&' ^ 4u +% 16}&' ; 40 -% xe & l+1 4164 W6 a12/&%&'

W T1


60/67



61/67



T0 a1Z& ^ 4$& 16& a10[

K([ T& l+1 h&1 02& 41( ^ P



62/67





63/67

Q


P1 a10 6 408 M04% 4&60 W ARDS



64/67

Q

t,t GIJM TU"N HON PHsI

A, G0}8 4$& 16& a10 46& 0~&W Y ta0 ,i*m tJ t8ong 8a ngoi T c* phn bR t8n4m jt8J Lhi sp YB t:i van

Rn ph%i ?ng Bh t8Vng ?ng( m:ch mu m*nh mai

;8Vng h"p c bit0 cF tu$n hon bng h ;u$n hon ph%i g$n

nh bAnh thVngW 6 ch( tinh hung0 ;O cF tc nghln YB( ;huEn tc YB t:i gRc



65/67


A, G0}8 4$& 16& a10 46& 0~&; z %64



66/67


A, G0}8 4$& 16& a10 46& 0~&; ^40&



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B, Hv&1 }&1 +4 +`4

W ;#ng p ph%i nguEn pht

W 'i chQng i?=nm=ng=8

W ;m ph m:n

W ;huEn tc ph%i ti >u n#m

H0 +1&' 0&8&' TLN

doc x quang tim mach duocsy.tk

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