{"id":4905,"date":"2020-03-25T14:22:28","date_gmt":"2020-03-25T07:22:28","guid":{"rendered":"https:\/\/vinatom.gov.vn\/?p=4905"},"modified":"2020-03-25T14:22:28","modified_gmt":"2020-03-25T07:22:28","slug":"ct-cung-cap-hinh-anh-chan-doan-tot-nhat-voi-benh-virus-corona-covid-19","status":"publish","type":"post","link":"https:\/\/vinatom.gov.vn\/ct-cung-cap-hinh-anh-chan-doan-tot-nhat-voi-benh-virus-corona-covid-19\/","title":{"rendered":"CT cung c\u1ea5p h\u00ecnh \u1ea3nh ch\u1ea9n \u0111o\u00e1n t\u1ed1t nh\u1ea5t v\u1edbi b\u1ec7nh virus Corona (COVID-19)"},"content":{"rendered":"<p style=\"text-align: justify;\">H\u00ecnh \u1ea3nh CT ng\u1ef1c c\u00f3 th\u1ec3 pha\u0301t hi\u1ec7n nh\u1eefng t\u1ed5n th\u01b0\u01a1ng \u1edf ph\u1ed5i do virus corona tr\u01b0\u1edbc khi x\u00e9t nghi\u1ec7m RT-PCR cho b\u1ec7nh nh\u00e2n.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><em><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-4906\" src=\"https:\/\/vinatom.gov.vn\/wp-content\/uploads\/2020\/03\/25.3.20.1.jpg\" alt=\"\" width=\"750\" height=\"292\" \/>H\u00ecnh \u1ea3nh CT ng\u1ef1c c\u1ee7a m\u1ed9t ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng 29 tu\u1ed5i b\u1ecb s\u1ed1t trong 6 ng\u00e0y. X\u00e9t nghi\u1ec7m RT-PCR v\u1edbi SARS-CoV-2 cho k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh (5\/2\/2020). (C\u1ed9t A) CT ng\u1ef1c b\u00ecnh th\u01b0\u1eddng thu \u0111\u01b0\u1ee3c khi kh\u1edfi ph\u00e1t. (C\u1ed9t B) CT ng\u1ef1c cho th\u1ea5y h\u00ecnh k\u00ednh m\u1edd nh\u1ecf \u1edf ngo\u1ea1i vi ph\u1ed5i (m\u0169i t\u00ean m\u00e0u v\u00e0ng). (C\u1ed9t C) CT ng\u1ef1c cho th\u1ea5y c\u00e1c \u1ed5 k\u00ednh m\u1edd t\u0103ng l\u00ean (\u0111\u1ea7u m\u0169i t\u00ean m\u00e0u v\u00e0ng). (C\u1ed9t D) CT ng\u1ef1c cho th\u1ea5y s\u1ef1 ti\u1ebfn tri\u1ec3n vi\u00eam ph\u1ed5i v\u1edbi nhi\u1ec1u \u1ed5 k\u00ednh m\u1edd, c\u00f3 nh\u1eefng \u1ed5 \u0111\u00f4ng \u0111\u1eb7c, kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t. (C\u1ed9t E) CT ng\u1ef1c cho th\u1ea5y s\u1ef1 kh<\/em><em>\u01b0<\/em><em> tr\u00fa c\u1ee7a c\u00e1c \u1ed5 k\u00ednh m\u1edd. (H\u00ecnh \u1ea3nh X quang v\u1edbi c\u00e1c m\u1eb7t ph\u1eb3ng ngang v\u00e0 \u0111\u1ee9ng ngang)<\/em><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">Ng\u00e0y 26\/2\/2020, m\u1ed9t nghi\u00ean c\u1ee9u tr\u00ean 1.000 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean t\u1ea1p ch\u00ed Radiology nh\u1eadn \u0111\u1ecbnh: CT ng\u1ef1c v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi x\u00e9t nghi\u1ec7m trong ph\u00f2ng th\u00ed nghi\u1ec7m v\u1ec1 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh virus corona 2019 (COVID-19). C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u k\u1ebft lu\u1eadn r\u1eb1ng CT n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0m c\u00f4ng c\u1ee5 s\u00e0ng l\u1ecdc ch\u00ednh cho COVID-19 (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 SARS-CoV 2). [1]<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">Trong tr\u01b0\u1eddng h\u1ee3p ch\u01b0a c\u00f3 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 ho\u1eb7c v\u1eafc-xin cho COVID-19, \u0111i\u1ec1u c\u1ea7n thi\u1ebft l\u00e0 ph\u00e1t hi\u1ec7n b\u1ec7nh \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u v\u00e0 ngay l\u1eadp t\u1ee9c c\u00e1ch ly b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh ho\u1eb7c nghi ng\u1edd m\u1eafc b\u1ec7nh kh\u1ecfi c\u1ed9ng \u0111\u1ed3ng.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">Theo c\u00e1c h\u01b0\u1edbng d\u1eabn m\u1edbi nh\u1ea5t \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 b\u1edfi ch\u00ednh ph\u1ee7 Trung Qu\u1ed1c, ch\u1ea9n \u0111o\u00e1n COVID-19 ph\u1ea3i \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m ph\u1ea3n \u1ee9ng t\u1ed5ng h\u1ee3p chu\u1ed7i polymerase sao ch\u00e9p ng\u01b0\u1ee3c (RT-PCR) ho\u1eb7c gi\u1ea3i tr\u00ecnh t\u1ef1 b\u1ed9 gen cho b\u1ec7nh ph\u1ea9m h\u00f4 h\u1ea5p ho\u1eb7c m\u00e1u. Tuy nhi\u00ean, v\u1edbi nh\u1eefng h\u1ea1n ch\u1ebf c\u1ee7a vi\u1ec7c thu th\u1eadp v\u00e0 v\u1eadn chuy\u1ec3n m\u1eabu, c\u0169ng nh\u01b0 hi\u1ec7u su\u1ea5t c\u1ee7a b\u1ed9 d\u1ee5ng c\u1ee5, t\u1ed5ng t\u1ef7 l\u1ec7 RT-PCR d\u01b0\u01a1ng t\u00ednh \u0111\u1ed1i v\u1edbi c\u00e1c m\u1eabu b\u1ec7nh ph\u1ea9m h\u00f4 h\u1ea5p \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 kho\u1ea3ng 30 \u0111\u1ebfn 60%.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">T\u1ea1i Hoa K\u1ef3, c\u00e1c b\u1ed9 x\u00e9t nghi\u1ec7m RT-PCR t\u01b0\u01a1ng t\u1ef1 t\u1ea1i Trung t\u00e2m ph\u00f2ng ch\u1ed1ng d\u1ecbch b\u1ec7nh v\u00e0 ph\u00f2ng ng\u1eeba b\u1ec7nh (CDC) \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e2m s\u00e0ng b\u1edfi s\u1ef1 ch\u1ea5p thu\u1eadn kh\u1ea9n c\u1ea5p c\u1ee7a C\u01a1 quan qu\u1ea3n l\u00fd d\u01b0\u1ee3c ph\u1ea9m v\u00e0 th\u1ef1c ph\u1ea9m Hoa K\u1ef3 (FDA) (30\/01\/2020). Tuy nhi\u00ean, khi c\u00e1c b\u1ed9 d\u1ee5ng c\u1ee5 n\u00e0y \u0111\u01b0\u1ee3c g\u1eedi \u0111\u1ebfn c\u00e1c ti\u1ec3u bang, ch\u00ednh quy\u1ec1n \u0111\u1ecba ph\u01b0\u01a1ng \u0111\u00e3 th\u1ef1c hi\u1ec7n ki\u1ec3m so\u00e1t ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 ph\u00e1t hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng ch\u00ednh x\u00e1c 100% c\u0169ng nh\u01b0 m\u1ed9t s\u1ed1 k\u1ebft qu\u1ea3 \u00e2m t\u00ednh gi\u1ea3.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">&#8220;R\u00f5 r\u00e0ng ch\u00fang t\u00f4i kh\u00f4ng mu\u1ed1n s\u1eed d\u1ee5ng b\u1ea5t c\u1ee9 th\u1ee9 g\u00ec ngo\u1ea1i tr\u1eeb b\u1ed9 d\u1ee5ng c\u1ee5 ho\u00e0n h\u1ea3o nh\u1ea5t c\u00f3 th\u1ec3&#8221;, B\u00e0 Nancy Messonnier (M.D., gi\u00e1m \u0111\u1ed1c Trung t\u00e2m Mi\u1ec5n d\u1ecbch v\u00e0 B\u1ec7nh h\u00f4 h\u1ea5p Qu\u1ed1c gia t\u1ea1i CDC) n\u00f3i. B\u00e0 cho bi\u1ebft CDC \u0111ang h\u1ee3p t\u00e1c v\u1edbi FDA \u0111\u1ec3 gi\u1ea3i quy\u1ebft c\u00e1c v\u1ea5n \u0111\u1ec1 n\u00e0y. Tuy nhi\u00ean, CDC v\u1eabn xem c\u00f4ng vi\u1ec7c n\u00e0y l\u00e0 \u01b0u ti\u00ean \u0111\u1ec3 \u0111\u01b0a b\u1ed9 d\u1ee5ng c\u1ee5 ph\u1ee5c v\u1ee5 b\u1ec7nh nh\u00e2n c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. CT c\u00f3 th\u1ec3 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf \u0111\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u00e2n d\u01b0\u01a1ng t\u00ednh v\u1edbi COVID-19.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">Trong tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p v\u1ec1 s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng hi\u1ec7n nay, \u0111\u1ed9 nh\u1ea1y th\u1ea5p c\u1ee7a RT-PCR cho th\u1ea5y r\u1eb1ng m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn b\u1ec7nh nh\u00e2n COVID-19 s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m tra nhanh ch\u00f3ng v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ho\u1eb7c c\u00e1ch ly k\u1ecbp th\u1eddi. Ngo\u00e0i ra, do t\u00ednh ch\u1ea5t r\u1ea5t d\u1ec5 l\u00e2y lan c\u1ee7a virus, ch\u00fang c\u00f3 nguy c\u01a1 l\u00e2y nhi\u1ec5m cho s\u1ed1 l\u01b0\u1ee3ng d\u00e2n s\u1ed1 l\u1edbn h\u01a1n.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: right;\"><strong>H\u1ed3 Th\u1ecb Th\u1ea3o, Phan Vi\u1ec7t C\u01b0\u01a1ng, Trung t\u00e2m VINAGAMMA<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><strong>Ch\u00fa th\u00edch<\/strong>:<\/p>\n<p style=\"text-align: justify;\">[1]. Tao Ai, Zhenlu Yang, Hongyan Hou, Chenao Zhan, Chong Chen, Wenzhi Lv, Qian Tao, Ziyong Sun, Liming Xia. Correlation of Chest CT and RT-PCR Testing in Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology. Published Online: Feb 26 2020. https:\/\/doi.org\/10.1148\/radiol.2020200642. Accessed Feb 26, 2020.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u00ecnh \u1ea3nh CT ng\u1ef1c c\u00f3 th\u1ec3 pha\u0301t hi\u1ec7n nh\u1eefng t\u1ed5n th\u01b0\u01a1ng \u1edf ph\u1ed5i do virus corona tr\u01b0\u1edbc khi x\u00e9t nghi\u1ec7m RT-PCR cho b\u1ec7nh nh\u00e2n. &nbsp; H\u00ecnh \u1ea3nh CT ng\u1ef1c c\u1ee7a m\u1ed9t ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng 29 tu\u1ed5i b\u1ecb s\u1ed1t trong 6 ng\u00e0y. X\u00e9t nghi\u1ec7m RT-PCR v\u1edbi SARS-CoV-2 cho k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh (5\/2\/2020). (C\u1ed9t A) CT [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":4906,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[],"class_list":["post-4905","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tong-hop"],"_links":{"self":[{"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/posts\/4905","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/comments?post=4905"}],"version-history":[{"count":0,"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/posts\/4905\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vinatom.gov.vn\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/media?parent=4905"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/categories?post=4905"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/tags?post=4905"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}