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1. i cng: 1.1. nh ngha: Rau khng bm y TC m bm eo, l trong c TC, cn tr ng ra ca thai khi chuyn d

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1.2. Thng tin chung: - T l RT/tng s - T l MLT v RT/tng s MLT - tui: 26 35 chim 62,6% - Vo vin v chy mu

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2. Nguyn nhn: C so m c TC Tin s sy, no, ht thai nhiu ln Tin s nhiu ln

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3. Phn loi:3.1.Phn loi theo gii phu:RT bm bnRT bm mpRTTT khng hon tonRTTT hon ton

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3.2. Phn loi theo lm sng:RT chy mu tRT chy mu nhiu

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5. C ch chy mu: Hnh thnh on di 3 thng cui Cn co t cung 3 thng cui Thnh lp u i khi chuyn d Khi thai i ngang qua bnh rau

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6. Triu chng, chn on

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6.1. Cha chuyn d: C nng: Tin s chy mu 3 thng cui Ra mu t nhin, ti, mu cc T cm, ti pht nhiu ln Ln sau ko di hn, khong cch gn li

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Thc th: - Thiu mu, mch, HA tu mc mt mu - Ngi thai bt thng, hoc ngi u cao - Tim thai nhanh, chm, hoc mt tu theo mc mt mu

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- t m vt, van m o phn bit chy mu do nguyn nhn khc- Khm trong: hn ch, c th s thy m rau

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Cn lm sng:Siu m: o mp bnh rau n l trong CTC < 20mmX quang: hin nay khng lmXt nghim CTM: nh gi tnh trng thiu mu

Nhau tin o trung tm

Nhau tin o bn trung tm

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6.2. Trong chuyn d: C nng: Tin s chy mu 3 thng cui T nhin ra mu t au bng, c cn co t cung Khng r du hiu ra nhy hng

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Thc th: - Ton trng thiu mu - tu mc mt mu - Ngi thai bt thng, hoc ngi u cao - Tim thai nhanh, chm, hoc mt tu theo mc mt mu

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- Tim thai nhanh, chm, hoc mt tu theo mc mt mu- Khm bng tay, m vt hoc van thy mp bnh rau hoc mi rau

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Cn lm sng: C th dng siu m xc nh v tr bnh rau

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7. X tr: 7.1. Cha chuyn d:Chm sc, iu dng: Nm vin, ngh ngi tuyt i Ch h l tu loi RT Dn d: khng v v, khng xoa bng

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Thuc: Gim co, khng sinh, vin st Corticoid ( trng thnh phi)Can thip sn khoa: khi thai thngRa mu nhiu bo Bc s

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7.2. Khi chuyn d:Nguyn tc cu m l chnhRau tin o trung tm, bn trung tm phi m ly thai ngay,kt hp hi scKhi m, x tr tu theo tn thng

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RT bm mp, bm bn ra mu t c th bm i theo di thmK thut bm i:K thut m RT:K thut cm mu:

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8.Tin trin, bin chng: Cho m Cho con