Biến chứng cấp tính của sỏi ống mật chủ

<h1 style="text-align: center;"><br></h1><div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l3 level3 lfo1; tab-stops: list .75in; text-align: justify; text-indent: -.25in;"><!--[if !supportLists]--><span style="line-height: 150%;">I.<span style="font-stretch: normal; line-height: normal;">      </span></span><!--[endif]--><span style="line-height: 150%;">Thấm mật phúc mạc (tắc mật cấp do sỏi kẹt Oddi) (đây là biến chứng hoàn toàn cơ học):<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l10 level1 lfo2; tab-stops: list .5in; text-align: justify; text-indent: -.25in;"><!--[if !supportLists]--><span style="line-height: 150%;">1.<span style="font-stretch: normal; line-height: normal;">    </span></span><!--[endif]--><span style="line-height: 150%;">Đại cương: <o:p></o:p></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l10 level2 lfo2; tab-stops: list .75in; text-align: justify; text-indent: 0in;"><!--[if !supportLists]--><span style="line-height: 150%;">1)<span style="font-stretch: normal; line-height: normal;">   </span></span><!--[endif]--><span style="line-height: 150%;">Thấm mật phúc mạc là danh từ dùng để chỉ tình trạng tắc mật cấp và hoàn toàn do di chuyển của sỏi ( nhất là sỏi nhỏ nằm vào vùng tương ứng với cơ thắt Oddi) hay nhiều sỏi thấp chặt phần thấp của ống mật chủ cấp tính làm mật ứ đọng trên chỗ tắc của ống mật chủ dẫn đến toàn bộ đường mật trong và ngoài gan kể cả túi mật giãn to cấp tính. áp lực đường mật tăng cao làm nước mật ngấm qua thành đường mật, túi mật và mặt gan vào trong ổ bụng (thấm ra như đổ mồ hôi và không có lỗ thông trực tiếp giữa đường mật với bên ngoài) đem theo các vi khuẩn gây nên tình trạng nhiễm khuẩn ổ phúc mạc và nhiễm độc (ban đầu nước mật còn tương đối sạch, về sau sẽ tương đối bẩn)<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l10 level2 lfo2; tab-stops: list .75in; text-align: justify; text-indent: 0in;"><!--[if !supportLists]--><span style="line-height: 150%;">2)<span style="font-stretch: normal; line-height: normal;">   </span></span><!--[endif]--><span style="line-height: 150%;">thấm mật phúc mạc là một Chẩn đoán trong mổ.</span></div><a href="http://www.chiaseykhoa.net/2014/11/bien-chung-cap-tinh-cua-soi-ong-mat-chu.html#more">Đọc thêm »</a>

Biến chứng cấp tính của sỏi ống mật chủ

I.       Thấm mật phúc mạc (tắc mật cấp do sỏi kẹt Oddi) (đây là biến chứng hoàn toàn cơ học): 1.     Đại cương: 1)    Thấm mật phúc mạc là ...

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Bệnh phình giãn thực quản

<div class="MsoTitle" style="line-height: 18pt; text-align: center;"><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;">BỆNH PHÌNH GIÃN THỰC QUẢN</span><br><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;"><br></span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;"><span style="font-size: small;">                                                                                                           </span></span><span style="line-height: 18pt; text-align: right;">PGS.TS. Phạm Đức Huấn</span><br><span style="line-height: 18pt; text-align: right;"><br></span><span style="line-height: 18pt; text-align: right;"><br></span></div><div class="MsoSubtitle" style="line-height: 150%;"><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;">I. HÀNH CHÍNH<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: -.25in;"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;">1.<span style="font-family: 'Times New Roman'; font-stretch: normal; line-height: normal;">     </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;">Tên môn học: Ngoại bệnh lý<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: -.25in;"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;">2.<span style="font-family: 'Times New Roman'; font-stretch: normal; line-height: normal;">     </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;">Tên tài liệu học tập: Bệnh phình giãn thực quản<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: -.25in;"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;">3.<span style="font-family: 'Times New Roman'; font-stretch: normal; line-height: normal;">     </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;">Bài giảng: lý thuyết<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: -.25in;"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;">4.<span style="font-family: 'Times New Roman'; font-stretch: normal; line-height: normal;">     </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;">Đối tượng: sinh viên năm thứ 6<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: -.25in;"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;">5.<span style="font-family: 'Times New Roman'; font-stretch: normal; line-height: normal;">     </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;">Thời gan: 2 tiết<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: -.25in;"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;">6.<span style="font-family: 'Times New Roman'; font-stretch: normal; line-height: normal;">     </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;">Địa điểm giảng: giảng đường<o:p></o:p></span><br><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt;"><br></span></div><div class="MsoNormal" style="line-height: 19.0pt; margin-top: 5.0pt; mso-line-height-rule: exactly; text-align: justify;"><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;">II. MỤC TIÊU HỌC TẬP:<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 19.0pt; margin-top: 5.0pt; mso-line-height-rule: exactly; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;">Sau khi học xong bài này, sinh viên có khả năng:<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 19.0pt; margin-top: 5.0pt; mso-line-height-rule: exactly; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;">1.1. Trình bày được cách chẩn đoán bệnh phình giãn thực quản (PGTQ).<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 19.0pt; margin-top: 5.0pt; mso-line-height-rule: exactly; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;">1.2. Trình bày được nguyên tắc và phương pháp điều trị bệnh.<o:p></o:p></span><br><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;"><br></span></div><div class="MsoNormal" style="line-height: 19.0pt; margin-top: 5.0pt; mso-line-height-rule: exactly; text-align: justify;"><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;">III. NỘI DUNG:<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 19.0pt; margin-top: 5.0pt; mso-line-height-rule: exactly; text-align: justify;"><b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;">1. Mở đầu</span></b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;">:<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 19.0pt; margin-top: 5.0pt; mso-line-height-rule: exactly; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;">Bệnh phình giãn thực quản (PGTQ) có nhiều tên gọi khác nhau như co thắt tâm vị, Achalasia, bệnh PGTQ không rõ nguyên nhân. Bệnh được đặc trưng bởi thực quản không có nhu động, cơ thắt dưới của thực quản tăng trương lực và không mở hoặc mở không hoàn toàn khi nuốt. Nguyên nhân và cơ chế bệnh sinh chưa rõ ràng. Do vậy, điều trị chủ yếu nhằm làm mất sự tắc nghẽn cơ năng ở vùng tâm vị thực quản bằng 2 phương pháp nong và phẫu thuật mở cơ tâm vị - thực quản.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 19.0pt; margin-top: 5.0pt; mso-line-height-rule: exactly; text-align: justify;"><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;">2. <b>Dịch tễ học</b>:<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 19.0pt; margin-top: 5.0pt; mso-line-height-rule: exactly; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;">Bệnh PGTQ là một bệnh ít găp. Ở châu Âu tỉ lệ bệnh là 0,4% - 0,6%/100.000 dân. Bệnh gặp ở mọi lứa tuổi, lứa tuổi thờng gặp nhất là 30 - 60 tuổi. Tỉ lệ mắc bệnh ở nam và nữ là nh nhau.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 19.0pt; margin-top: 5.0pt; mso-line-height-rule: exactly; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 14.0pt;">Ở Việt Nam, theo thống kê của chúng tôi từ 1975 - 1984 có 111 bệnh nhân PGTQ vào điều trị tại bệnh viện Việt Đức, nam chiếm 59% và nữ chiếm 41%. Tuổi thờng gặp nhất là 15 - 30 tuổi (56%).</span></div><a href="http://www.chiaseykhoa.net/2014/11/benh-phinh-gian-thuc-quan.html#more">Đọc thêm »</a>

Bệnh phình giãn thực quản

BỆNH PHÌNH GIÃN THỰC QUẢN                                                                                                             PGS.TS...

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Áp xe gan

<div class="MsoNormal"><span style="font-family: "Times New Roman","serif";">Áp xe gan là tình trạng ổ mủ đơn độc hay rải rác trong gan gây nên do ký sinh trùng hoặc côn trùng.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Times New Roman","serif";">phân loại áp xe gan theo Helmut Wolff có thể chia ra:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif";">-<span style="font-family: 'Times New Roman'; font-stretch: normal;">          </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">áp xe gan nguyên phát: có 2 loại chủ yếu<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: .25in;"><span style="font-family: "Times New Roman","serif";">+ áp xe gan do vi trùng như áp xe gan đường máu do vi khuẩn<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: .25in;"><span style="font-family: "Times New Roman","serif";">+ áp xe gan do ký sinh trùng do amip hay giun, sán lá gan<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif";">-<span style="font-family: 'Times New Roman'; font-stretch: normal;">          </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">áp xe gan thứ phát:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: .25in;"><span style="font-family: "Times New Roman","serif";">+ khối u gan áp xe hoá<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: .25in;"><span style="font-family: "Times New Roman","serif";">+ nang gan áp xe hoá<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Times New Roman","serif";">phân loại theo bệnh viện Việt đức chú ý đến tính thường gặp chia ra :<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif";">-<span style="font-family: 'Times New Roman'; font-stretch: normal;">          </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">áp xe gan do amip<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif";">-<span style="font-family: 'Times New Roman'; font-stretch: normal;">          </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">áp xe gan đường mật<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif";">-<span style="font-family: 'Times New Roman'; font-stretch: normal;">          </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">áp xe gan đường máu<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;"><span style="font-family: "Times New Roman","serif";"><br></span></div><ol start="1" style="margin-top: 0in;" type="1"><li class="MsoNormal"><span style="font-family: "Times New Roman","serif";">áp xe gan amip </span></li></ol><div class="MsoNormal" style="margin-left: .25in;"><span style="font-family: "Times New Roman","serif";">Áp xe gan amip là loại áp xe rất thường gặp tại vùng nhiệt đới. Thường là loại áp xe đơn độc ổ lớn, ít khi có 2-3 ổ.</span></div><a href="http://www.chiaseykhoa.net/2014/11/ap-xe-gan.html#more">Đọc thêm »</a>

Áp xe gan

Áp xe gan là tình trạng ổ mủ đơn độc hay rải rác trong gan gây nên do ký sinh trùng hoặc côn trùng. phân loại áp xe gan theo Helmut Wolff có...

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Phân độ tổn thương các tạng trong ổ bụng

<div class="MsoNormal"><div class="MsoNormal"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">PHÂN ĐỘ TỔN THƯƠNG CÁC TẠNG TRONG Ổ BỤNG DO CƠ CHẾ CHẤN THƯƠNG<o:p></o:p></span></b></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;"><br /></span></b></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">I.Vỡ tá tràng(phân loại AAST-1990):<o:p></o:p></span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"> <tbody><tr> <td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 125.9pt;" valign="top" width="168"> <div class="MsoNormal" style="margin-left: 45.0pt;"><b><span lang="EN-US" style="color: red; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Độ<o:p></o:p></span></b></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208"> <div class="MsoNormal"><b><span lang="EN-US" style="color: red; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Tá tràng<o:p></o:p></span></b></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><b><span lang="EN-US" style="color: red; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Tụy(tổn thươngWirsung)<o:p></o:p></span></b></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 125.9pt;" valign="top" width="168"> <div class="MsoNormal" style="margin-left: 45.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">I <o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Rách thanh mạc+Tụ máu/Đụng dập+Ko thủng<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><br /></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 125.9pt;" valign="top" width="168"> <div class="MsoNormal" style="margin-left: 45.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">II<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Rách hoàn toàn<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><span lang="EN-US" style="color: #0070c0; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Không<o:p></o:p></span></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 125.9pt;" valign="top" width="168"> <div class="MsoNormal" style="margin-left: 45.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">III<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Độ I/II<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><span lang="EN-US" style="color: #0070c0; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Đụng dập+Tụ máu+Rách+Wirsung normal.<o:p></o:p></span></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 125.9pt;" valign="top" width="168"> <div class="MsoNormal" style="margin-left: 45.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">IV<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Tổn thương nặng<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><span lang="EN-US" style="color: #0070c0; font-family: 'Times New Roman', serif;">Tổn thương nặng đầu tụy.<o:p></o:p></span></div></td> </tr></tbody></table><div class="MsoNormal"><i><span lang="EN-US" style="color: lime; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Trên CLVT:Trong chấn thương bụng kín, không thấy tổn thương tạng đặc, không thấy thủng dạ dày mà có dịch ổ bụng =>Chẩn đoán 100%vỡ tá tràng( lưu ý tìm xem có khí ở rốn gan, thành bụng trước)<o:p></o:p></span></i></div><div class="MsoNormal"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">II. Gan (theo Moore)<o:p></o:p></span></div><div class="MsoNormal"><br /></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"> <tbody><tr> <td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 125.9pt;" valign="top" width="168"> <div class="MsoNormal" style="margin-left: 54.0pt;"><b><span lang="EN-US" style="color: red; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Độ<o:p></o:p></span></b></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208"> <div class="MsoNormal"><b><span lang="EN-US" style="color: red; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Rách nhu mô<o:p></o:p></span></b></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><b><span lang="FR" style="color: red; font-family: "Times New Roman","serif"; mso-ansi-language: FR; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Tụ máu dưới bao Glisson<o:p></o:p></span></b></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 125.9pt;" valign="top" width="168"> <div class="MsoNormal" style="margin-left: 54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">I<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;"><1cm,đang CM/không<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><span lang="EN-US" style="color: #0070c0; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Rách bao<o:p></o:p></span></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 125.9pt;" valign="top" width="168"> <div class="MsoNormal" style="margin-left: 54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">II<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Sâu 1-3cm<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><span lang="EN-US" style="color: #0070c0; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Hoặc <10cm^2<o:p></o:p></span></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 125.9pt;" valign="top" width="168"> <div class="MsoNormal" style="margin-left: 54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">III<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">>3cm<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><span lang="EN-US" style="color: #0070c0; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">>10 cm²<o:p></o:p></span></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 125.9pt;" valign="top" width="168"> <div class="MsoNormal" style="margin-left: 54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">IV<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Tổn thương liên thuỳ<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><span lang="FR" style="color: #0070c0; font-family: "Times New Roman","serif"; mso-ansi-language: FR; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Tụ máu center lan rộng<o:p></o:p></span></div></td> </tr></tbody></table><div style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 0cm 1.0pt 4.0pt;"> <div class="MsoNormal" style="border: none; mso-border-alt: solid windowtext .5pt; mso-border-between: .5pt solid windowtext; mso-padding-alt: 1.0pt 0cm 1.0pt 4.0pt; mso-padding-between: 1.0pt; padding: 0cm;"><span lang="FR" style="font-family: "Times New Roman","serif"; mso-ansi-language: FR; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">                   V                Vỡ rộng 2thuỳ +rách TM trên gan+TMchủ dưới<o:p></o:p></span></div></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">III.Lách:<o:p></o:p></span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"> <tbody><tr> <td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.75pt;" valign="top" width="149"> <div class="MsoNormal" style="margin-left: 63.0pt;"><b><span lang="EN-US" style="color: #993300; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Độ<o:p></o:p></span></b></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"> <div class="MsoNormal"><b><span lang="EN-US" style="color: #993300; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Tụ máu dưới bao<o:p></o:p></span></b></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><b><span lang="EN-US" style="color: #993300; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Rách bao+ Rách nhu mô<o:p></o:p></span></b></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.75pt;" valign="top" width="149"> <div class="MsoNormal" style="margin-left: 63.0pt;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">I<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"> <div class="MsoNormal"><b><span lang="EN-US" style="color: #cc99ff; font-family: 'Times New Roman', serif;"><10%S, ko lan rộng nữa<o:p></o:p></span></b></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><b><span lang="EN-US" style="color: #0070c0; font-family: 'Times New Roman', serif;"><1cm,ko còn CM<o:p></o:p></span></b></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.75pt;" valign="top" width="149"> <div class="MsoNormal" style="margin-left: 63.0pt;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">II<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"> <div class="MsoNormal"><b><span lang="EN-US" style="color: #cc99ff; font-family: 'Times New Roman', serif;">10%-15%S hoặc tụ máu nhu mô<2cm²,ko lan rộng thêm<o:p></o:p></span></b></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><b><span lang="EN-US" style="color: #0070c0; font-family: 'Times New Roman', serif;">1-3cm+ ko tổn thương mạch<o:p></o:p></span></b></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.75pt;" valign="top" width="149"> <div class="MsoNormal" style="margin-left: 63.0pt;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">III<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"> <div class="MsoNormal"><b><span lang="EN-US" style="color: #cc99ff; font-family: 'Times New Roman', serif;">>50%S hoặc đang lan rộng<o:p></o:p></span></b></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><b><span lang="EN-US" style="color: #0070c0; font-family: 'Times New Roman', serif;">Vỡ tụ máu dưới bao đang CM+Máu tụ nhu mô>2cm² hoặc đang to lên<o:p></o:p></span></b></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.75pt;" valign="top" width="149"> <div class="MsoNormal" style="margin-left: 63.0pt;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">IV<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"> <div class="MsoNormal"><b><span lang="EN-US" style="color: #cc99ff; font-family: 'Times New Roman', serif;">Vùng thiếu máu>25%lách do rách mm ở rốn hoặc thuỳ lách<o:p></o:p></span></b></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><b><span lang="EN-US" style="color: #0070c0; font-family: 'Times New Roman', serif;">Vỡ tụ máu nm đang CM<o:p></o:p></span></b></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.75pt;" valign="top" width="149"> <div class="MsoNormal" style="margin-left: 63.0pt;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">V<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"> <div class="MsoNormal"><b><span lang="EN-US" style="color: #cc99ff; font-family: 'Times New Roman', serif;">Vỡ nát lách<o:p></o:p></span></b></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"> <div class="MsoNormal"><b><span lang="EN-US" style="color: #0070c0; font-family: 'Times New Roman', serif;">Tổn thương cuống lách<o:p></o:p></span></b></div></td> </tr></tbody></table><div class="MsoNormal"><br /></div><div class="MsoNormal" style="text-indent: 36.0pt;"><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Note:Tổn thương đầu tụy thường kèm theo vỡ tá tràng, Vỡ đuôi tụy thường kèm theo vỡ lách.<o:p></o:p></span></i></div><div class="MsoNormal" style="text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">IV.Tụy(theo Hervé và Arrighi):<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 36.0pt;"><br /></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"> <tbody><tr> <td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal" style="margin-left: 54.0pt;"><b><span lang="EN-US" style="color: red; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Độ<o:p></o:p></span></b></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><b><span lang="EN-US" style="color: red; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Rách nhu mô<o:p></o:p></span></b></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><b><span lang="EN-US" style="color: red; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">ống tụy<o:p></o:p></span></b></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal" style="margin-left: 54.0pt; tab-stops: 54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">I<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Nhu mô dập, rỉ máu<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #0070c0; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Bao tuỵ không tổn thương<o:p></o:p></span></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal" style="margin-left: 54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">II<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Ko hoàn toàn<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #0070c0; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Ko tổn thương<o:p></o:p></span></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal" style="margin-left: 54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">III<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Hoàn toàn<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #0070c0; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Tổn thương<o:p></o:p></span></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal" style="margin-left: 54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">IV<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Dập nát rộng+ tổn thương phức tạp<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><br /></div></td> </tr></tbody></table><div class="MsoNormal" style="text-indent: 36.0pt;"><br /></div><div class="MsoNormal" style="text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">V.Thận<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 36.0pt;"><br /></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"> <tbody><tr> <td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal" style="margin-left: 27.0pt; tab-stops: 63.0pt;"><b><span lang="EN-US" style="color: red; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Độ<o:p></o:p></span></b></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal" style="margin-left: 23.4pt;"><b><span lang="EN-US" style="color: red; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Bao thận<o:p></o:p></span></b></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal" style="margin-left: 28.8pt;"><b><span lang="EN-US" style="color: red; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Nhu mô <o:p></o:p></span></b></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal" style="margin-left: 27.0pt; tab-stops: 63.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">I (Đụng giập thận)<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Tụ máu,ko vỡ bao thận<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #0070c0; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Giập thận <o:p></o:p></span></div></td> </tr><tr style="height: 26.5pt; mso-yfti-irow: 2;"> <td style="border-top: none; border: solid windowtext 1.0pt; height: 26.5pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal" style="margin-left: 27.0pt; tab-stops: 63.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">II (Giập thận)<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 26.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Rách bao+tụ máu quanh thận<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 26.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #0070c0; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Giập vùng vỡ, lan tới tuỷ thận-đài bể thận<o:p></o:p></span></div></td> </tr><tr style="height: 22.0pt; mso-yfti-irow: 3;"> <td style="border-top: none; border: solid windowtext 1.0pt; height: 22.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal" style="margin-left: 27.0pt; tab-stops: 63.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">III (Vỡ thận)<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 22.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #cc99ff; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Tụ máu lớn quanh thận<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 22.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #0070c0; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Vỡ nhiều mảnh<o:p></o:p></span></div></td> </tr><tr> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal" style="margin-left: 27.0pt; tab-stops: 63.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">IV (Đứt thận)<o:p></o:p></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><br /></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197"> <div class="MsoNormal"><span lang="EN-US" style="color: #0070c0; font-family: "Times New Roman","serif"; mso-ascii-theme-font: major-latin; mso-bidi-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Đứt 1phần/toàn bộ cuống thận<o:p></o:p></span></div></td> </tr></tbody></table><div class="MsoNormal" style="text-indent: 36.0pt;"><br /></div><div class="MsoNormal"> </div><div class="MsoNormal"><br /></div></div>

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