BOYTE CONG BOA xA nor em]NGHIA VI~T NAMBQc lip - Tv do-",ub phiic

Ha NiJi, ngay 2..2 thang -11nam 2017S6:5~ IQD-BYT

QUYETfl{NB::vifcban huh tid lifu Huang dAn quy trlnhkY thu~tN:hi khoasa Y TE TiNH KON T

DE"'N. SO:..4.'O£1Q.........I Ngay:,Jd/.jJJ.1.a( .. DO TRUONG DQ Y T£

cir Luat kham benh, chua benh nam 2009;

Lu'Uho SdSO:..................... . ct1Nglli dinh 75f20171ND~CP·ngay20th~g 6 limn 2017 cUa·Chfnh philquy djnh chuc nang, nhi~rn vu, quy~nhliUlva co'cau tA.chuc cuaBQ Y t8;

Xet Biell ban hop ngay 03 tlnWR8 nam 2011 cua l-lQi d6ngrtghi~ni thu QUytrinh ky th~tNhfkhoa cua BQY ta;' .. ., .

111eo <fAnghi ella C\lC truong C\lC Qulin ly Kham, chua b~nh,

QUYET BJND:

DiAn I. Ban hanh kern thea Quy~t dinh m\y tai li~u "Huang d§n qqy tnnh leythu~t Nhi khoa", g6m 200 quy trinh kS thu~t.

f)i~u .1. Taj li~u "Huang· tffin quy trinh ky thu~tNhikhoa' ban hanh kem theaQuy~t dinn hay duQ'Cap dung t~ica,c CO'so kham b~nh, chua b~nh.

Can.cir van tai lieu huang d~n nay va di~u ki~n cu the cua qap. vi, Giam d6cCCI sa l<;Qam~:nh, chUa ~nh xiiy d\l11g,va b~ hanh tai li~uHUang dful ql)Ymnh· kYth~t Nhi khoa phi!,hqp de th\l'Chi~n t~ demvi.

f)i~u 3. Quy8t d!nh nay c6 hi~u l\l'ck~ til ngay k9 ban hanh.

i!i~u 4. ~ac ong, ba: Chanh Van phong ~Q, CllC trtang C\lC Qu4n ly J?iam:chfra b~nh, ChanhThanh tra.BQ, Cl,lCwang va V\l trm.fug cae C\lc.>-Vl) thuQc ;BQY t€. Gim d6c cae b~nh vi~n, vi~n c6 giuang b~nh trp'd thuQc BQ Y t~.Giam d6cSa y t~ cae tinh, thanh ph6 fIVe thuQc trung ucmg, Thil ttuCnig Y t~ cae BQ, Nganhva 11u\ tnrong cae don vi en lien quan chiu tnleh nhi~ thihiinh QU~.djnh ~

N(fI nhg1f: KT. BO TRUON~- NhLr Dieu 4' ; TT' ~- BQtnrO-ngBQY t~(d~ b/e); TR~ ONG-etc Tl1\l.trqr,ng B'YT;- ~aohi!m J(~<h'QiVj~fNam(d~:ph6ihgp);• COng thO'ng tin (.'t'l~ntirBYT; .- WebsiteCvd<'CB;- LUllVT, KCB.

,~oy'rl.'~Chung tbu: B<)Y t~~ " Ngay .kY:2811112017 10:49: 15~" ..;i H~ th6ng VOffice B9 Y Te

BQYTE CQNG IlOAxA HQICHUNGHiA V~TNAMDqc lip ~Til do- Hanh Phuc

DANJI SACH.200·mrONG DA~QlJY miNH,J{Y THUAT NlD KROA(B(m himh kern thea QlI)'itajnh so 5;4+IQD-BYTngay J..9thangll nom2017

cua 86 truang 89 Y ti) .

2. Tha.ox:y qua ;m~tn~ (co tUikhi)

TT TEN QUY TRiNH KY THU~T

3. Tha'pK.Xq:ua 'ffi~tntl khong, tui d.Uttii4. 'Ti'ero trong da

7. TfuyBn,mau va cac ch~ phAromau

10. Choe dich khcpIL Tiem corticoid VaG khapl~. Test lip (Patch test}v6i cac loai thu~c1'3. Test.noibl

15. Ph\lq,h6i c6 rang being Compomer16: Nful:.chinh rang co su dung nee clt~ ,bfuag.khfca c6 4inh cung Ju{ij. (LA)17. Gill'khofmg rung b~ khi cu NanceHt Lam tt6i rang bing khi C\l c6 dinh19. f)i~uchinh dQnghien,g rang bang khi C\lcd dinh20. . Pl&U:th~t tao hlnh xucmg 6 r~g

24. Phduth~t cat 1\Yidi~u til nii quanh rAng

27. Lie,nk~tc6dinhrangluog l~y-.bing n~pkim Ioai28. Dieu tri sau nga mug phuc h6i bing Amalgam c6 stl' d\lng Laser29·. Hiautrisau nga fang ph\lCh6i b~g Glasslonomer Cetn~nt(GIC) ~~thgp Composite30. f)i~u tri sau nga rang ph\lc h6i bftng Compomer

32. Fnau tti g'&unga r~g phuc h6i bang Glasslonomer Cembnt (OIC) c6 Slr d\Ul_gLaser33. Phuc h6i cd rang b~_g Composite co sli dung Laser34. Phue h6i tMn mng'bimg Inlay/dniay Composite I

I 35. Chup my bang MTA36. Dieu tri tUyran_gva han kin h~ thal!g~§l1gt~yb~n& Q~tta percha n6ng ch~37. LAymy bu6J!g ding vinh vi~n38. Dieu trj tUy rang va han kin h~ thdng J. tUy b&ng Gutta percha co sli dung tramong

xoay may39. Di~u tri tuy rang ngoai mi~ng (rang bi b~t.nhd)40. Ph~u thu~t nQinha han ngiroc dng tuy41. flieu tri ttiy fang va han kin h~ thdng ang tuy b~ngGutta-percha ngu{>i42. Mcing nang .k4Q:p, can43. G~band44. Giii khoang rang bimg khi.cu thae lAp45. Mang chang nghi~n fang46. N~ chinh rang xoay sli dung khi cuthao lAp47. Phuc h6i than rang sua bang chup thep him s~ I48. Chich Apxe Ioi (] tre em I

49. Pll&uth~t dieu tri v~t lhuong phArrmem vUng ham m~t lk}long thi~llh8ng t6 chue50. N~ chinh ran_gb&tg ham thao lip51. Dieu tti thai quen xiu dAyluoi sir d\1og'khi,C\l thM lAp52. Tram ~fl h6 rMhvOl Gl&sslollPmer Cement (OIC) quan~ triulg.J:wp53. Tram bit hd ranh bAng_Composite hoa trimg hqp54. Tram bit hB rfu1h bimg Composj~e qu,angtrl1rlghgp55. Gam diilhKirschiler gay d6t bllm.,tiliieud6t ban56. PMu thu~t.gjai pho.l1g<i4vgi~a,tropghQi ch(mg 6ng c6 U!y57. Phfru lh~t dOl!&_diilh nOi luy gily 1 xuong dng,tay58. Phiu thu~t d6ng dinh noi tily gay 2 Xl,IongcAngtay59. j>h~uth~t cAtb6 ngon tay thila60. PMu th~t can l~ch d~u dum xuong quay61. P~u thu~t ehuy~n gan di~u trl co ngon tay do li~t v~ dQhg

f--'62. PM\;!thu~t gay dall dum xuang quay va tr~t khap quay fr\J dum63. Ph~u th~t kSt hqp "uang dieu trl gay xu<.mgdon64. Phi-u th~t;xo Clmg co th~g truac65. C~flQCvdt thu011ggay xttO'ngh(~,n~n chinh c6 dinh t~nl,thai66. Thao kh6p khuYu tay do ung thu67. R(ltnvp vit va cae d\lUgCl)kMc sa1J.ph~u th~t68. Thao kh(1pcAtay,do ung thu69. Thao kh6p vai do ung thu chi tren

2

- -- ---------------

7 L Phiu th1$ di chUng b~ili~tchi trenn. Phiu thuit nQt soi 13n~ nglJC diau tri thQat vi heanh tre sa sinh73. PhAuth~t n9i soi diau tri a c~ m~ ph6i I74. Phiu thuQ,t nQi soi cit h\tch giao ·c~_{f.?!~::.:.'u:..::tr}::.!·...:::;d=a...::::ti=-~t:..::m=o.::...;'..:::ho::,:"i';L..)----------J,75. Phiuthu$,:t DQl sol cit mQt phan tbt,rv pbBi hoac thUY oh6i I76. Phiu thu~t nQi soi l6ng nguc c§t n3i tb\lC cuan di~ ttl hen thuc Quan77. Phiu thu,t di~u tri di t~t h~u mon true tranz nhi~u thi I78. Phdu tbu,t nQi soi di~u tri khong h~u men79. Phdu thult nQi sol diau tri xoantrung trang

84. PhAuth'ujt nQi soi b~ tinhhoan trongB bung 2 thi

82. Phiu thu~t diSu~ixoin trung_~,=.'.:::c;:g'------------~---_l83. phiu thuit di~u tri ro hiu mOD tien dinh 1 thi

85. Phlu thujt DQi soi h~ tiOOhoan trong B bvng 1 thi I86. Phdu th~t chuy@n vi d{ii dQngm~ch

88. ThAt ong dOng m\\ch J1-8:..:9..:... -t--:P::..!h=j=u...::th::::u:r:~",1t::...:d=i=eu::_ttt=-··t.::k::::e=nh:.:_.::::;nh::::i~th::::a::::.·t..::::b:::an.:_,pl::Ih::::§.:::.n-------------.----ll90. Chich ~eh mling 00191. Phau thu~t n{li soi d~t 6ng thong kb!92. Phftu th~t n¢i soi chinh hiOOvach ngan93. PMu thuat OQI s.oi culm giita va cu6n dllOi.94. .PhAu thuattit eua mlii sau tre em95. BOngl~ ra dulmg l~96. cAt ~6 tid Ie

98. N6i thong l~ mlii ±® bng Silicon± apMMC99. PMu thu~t dit 6ng Silicon l~ qUan - bng l~ mui I

I-l~O~O.~N~.6~i...::fu=o~ng~~~m~m='~n~~1!~·S~0~i------------------------_J101. Ghepmang 6i, k~t m~c dieu tri loet, thUng giae m\lc j

i--1:....::0.::..2.~T::.::a=ch=-d=i::.:nh:.:.·.::::;m:.:_i.::.::eA::.:u~,R::::.:ghe:c_'p ...:::k1:::::et:...:m::::~cc....:.ri:::a...:::h=o~:c:'c:...:m:.::an=l:lO!.g...:::;6.:_,i--------------J103. Ghep gi.licm~c xoay I

~I O:._:_4::_.~P~h=~=-u.::th~u:l:~t::...:b::::o::.:n:Qg_:v.:::::.on::.:l.g:Lm::;::.:cSlc:::,t,..:::c=~t:...:d:.;.:ic::.:.:h:..:±:....;I:=as:::.:e:.:..r ..::.nQ:r.:A i_:n::;h=an:;_±=-.::d;::Au::;_/...:::k::_:h:_:( n:.:::!Q:..::_i ;:,::n::.;:.:hlI=n:_ l,l.

105. C~t dich kinh, hOc mang truoc vong m~c

3

109. Khau cung mac110, Tao hinh m6ng mat (khan m6ng mat, chan m6ng m~t ... )Ill. LAy dj v~t nQi nh~ bAng nam cham112. Ph§:u thu$t giam ap hBc m~t (pha thanh h6c mtt. rna IVng 16thi giac ... )113. CAt u htlc mAt ben va sau nhan cdu co rna XU(1Ilg hBc m~t114. Va da, niem mac tao cimg de' ± tach dmh miCAll I1J5~ Ph!u thuat tao hlnh mi mAt toan bQt 16. Mucn{)i nhan I117. Ph§:u thuat lac c6 chinh chi I

118. Nut d{)ngmach d! di~u tri u mau Cr viing .dAllva ham m~t119. Nong dQng mach t1$1120. Nut dQng m~eh kat hqp hoa;chAtdi~u, tri thong <:tQngm~ch canh trong ~oliUlghang121. Nut dQng mach k~!P:9P~hmi chAt di~u tri una thu zan122. Nut 4Q~gmach chUa ro d{)ng tinh.m~4. ph~ng dQllg·mach123. SPECT n~o v6i 99mTc- Pertechnetate I124. SPECT nao vOi 99mTc- DTP A125. SPECT nao v&i 99mTc- ECD 1126. SPEeT nao vo; ~c - HMPAO1.27. X~ hlnh. nao veri 99mTcPerteehnetate I128. X~ hinb nao veri ~c - DTPA !

129. X~ binh nao vai '~c - ECD--no. X(lhlnh nao v&i 99"Tc - HMPAO131. X~ hinh lUll thong <liehnao tuy voo 99mTc- DTPA132. X(i\hinh b~h ml,lch vrn 99m Te-Sulfur Conoid133. X~ hinh chan doan xuAt huyat duang tieu hon veri hAng cAu danh ddu Tc-99mho~c

99lritc-sulfur colloid 431134. X~ hlnh lach vOi 99inTe Sulfur Colloid135. x~ hinh gan vai 99mTeSulfur Colloid136. X~ hinh xuang vai 99mTc- MDP137. X~ hinh tuY~n map v&i 99mTcPertechnetate138. X~ hinh chtrc niing th~ v&i 99Il1Te-DTP A I139. X~ hlnh ehuc nang than veri 99mTe- MAG3140. X~ hlnh ehtre Ilang than - tie.tni~u sau .ghep th~ bang 9~mTc - MAG3141. f)~t stent Bug dong m\lch142. D~t stent dOn~tn(lCh vAnh I

143. £)~t s.tent dong m~ch tI$l I

144. £)~t stent hy]) eO dong ~eh chu145. D6ng cae 16 ro ,

i 146. f)~t stent phinh dong m\lch ehu

4

148. Khoan cact5n thucmg voi hea 6' ctQhgmach] 4.9. LAy 4i v~t trong bu6ng tim150. Nong h¢p eo dQrtg mach chu i151. Nongh~pv~llai lab~g>o<.... _b_6n.....lg,_ln_' ,_Qu_e ----j

152. Do hru.lueng tim PICCO153. Do bIp h,l'gng tim qua catheter swanganz154. Do ap h,rc cac bu6ng tim

ISS. K,9 nang sinh ho~tbang ngay (anlu6nglve sinbJthay quAn ao ... )156. Hoat dQng tri li~uj 57. Hoa; d.Qng tri li~u theo nh6m 30 phut158. Banh gia k9 nang v~n d(lf!g_tinh va sinh hoat hang ngay159. Ky nang Ph~L~!l£~'!i'.-_;;ma:::.:..::;:'t _

160. K9 nWlg v~ d{>ngmoimi~ng ch~ b] cho n6i161. 'E>Anh gMIcy I$lgngon ngif- giao.ti~p162. Ky th~t ABA

f-16-,-3_. +-E);;;;...;:;,,~t;_;d;;,.:.·~;,;,;'.;_;Jtru,;;_.;;_.. ~b_;;,d.:.;;;ic_;;h/;_;a;,:.&lP;_;·xe~'.:.,_6:_b.:..:,\Ul!.:,::1:Jiii·g~s..:::..au;:;_·,:;:;m,:;:;6....;;d,...:;u..:;,0l,:,.;·h::.;U:;_;6n;,::;l.J.io!g_.;_;dan_·~;_;·;_;si_~._u;_;am__. ..----j164. Nuol duoog nguoi beM qua catheter hdng trang I16.5. ChQ(( cI~nhru A ap xe du6i sieu am !166. Nuoi ducmg ngU01 b~nh lien t\1CbAn_gmay truy6n thfrc anJlua th\lc quan d~ day167. Do fl"p 1\IC(:,bl,lIlg

170. ChQC hut lip xc thanh. b\lng111. Nang hQ.u mon

,!

173. Dfu1hru djch mang b\lDg174. Rlia toan bQ M th6ng.tieu hoa I175. Ph~u th~t 4~tkhung. n~p hQ'P 19111tire thi sau dt dosm xuan_g_ham dum Ir----t-"""::r..;;.;....;, .................""""""'=.;.~.;;;.u;-..... ....,,~~. ~.:.:..,..-.......;;...c;,.;;..._;.c;,.;;..._;.c~--:.. .... ,............"'---------l176. Phau thw.t 4io hinh cae khu)'_ethOl1g_ lOll yimg ham m~t bd__!1g_v~t da co '

178. Phau thJm.,t lAyduqng ro b4tn sinh c& ben179. PMu thuat chinh .hinh luahga-hQng ...man h~u{UVPPl180. PMu thuit nang va ro khe .mang I ~ bao tAn day VII181. PMu thuit ~o hinh di€u tIi khe h6 vom mi~J!g_{Khon_g_ toan b(»182. Phdu {huat t~o hlnh dieu tri khe h6 yom mi~ng (Toan bQl183. C~t u.mall dum da d~u e6 dUOn_g_kinh 5 d~n 10 em184. e~tu nang b~ch huySt viIng96185. B6c. c!t u:roO'dum da dAu dU<mg kinh dum 1Qem

5

! 186.

189.

ca.t u mau hay bach mach vnng c6, vung tren xuang lton, vung nach xam I~ cacmach !Pau Ian

187.188. PMu th~t tae hiIlh khe homoi

PMu th~t ~o hinh vanh tai bing d.yglJep sun suon t1J than190. pillu th~t cit b6 St;O xAu dai trSn Scm: T~o hinh phtrc ~p191.

.,Xaa,xWn bang laser C02

192.I 193. Chuy8n var da c6 cuAng mach nuoi di~u t:ri seo bong I

194.

195. Thao bo cac 1_l&6n'~ dAt 1_l&6nta_y196. Chuyeri xoay v,t cia ghep co cuAn_g_m~ch li~n khong n6i197.198. SPECT_g_anJ99. NQi soi <W tting tiem cAmm4u200. NQi soi ~i,. tlVc tranA c6 the sinh thiet

6