{"id":9905,"date":"2013-12-22T17:00:00","date_gmt":"2013-12-22T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/lidocain-thuoc-te\/"},"modified":"2024-03-17T02:13:46","modified_gmt":"2024-03-16T19:13:46","slug":"lidocain-thuoc-te","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/lidocain-thuoc-te\/","title":{"rendered":"Lidocain &#8211; Thu\u1ed1c t\u00ea"},"content":{"rendered":"<p>    Thu\u1ed1c t\u00ea t\u1ea1i ch\u1ed7 thu\u1ed9c nh\u00f3m amid, th\u1eddi gian t\u00e1c d\u1ee5ng trung b\u00ecnh. \u0110\u01b0\u1ee3c    <br \/>    s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1ea5t v\u00ec t\u00ea nhanh, m\u1ea1nh, k\u00e9o d\u00e0i v\u00e0 \u00edt \u0111\u1ed9c h\u01a1n procain.    <br \/>    C\u00f2n l\u00e0 thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim do t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf k\u00eanh Na, nh\u00f3m Ib,    <br \/>    l\u00e0m gi\u1ea3m rung th\u1ea5t trong nghi ng\u1edd nh\u1ed3i m\u00e1u c\u01a1 tim.   <\/p>\n<h2 id=\"ten-chung-quoc-te-lidocain\">    T\u00ean chung qu\u1ed1c t\u1ebf Lidocain   <\/h2>\n<p>    Lidocaine   <\/p>\n<h2 id=\"dang-thuoc-va-ham-luong-lidocain\">    D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng Lidocain   <\/h2>\n<p>    <em>     Thu\u1ed1c ti\u00eam:    <\/em>    <em>    <\/em>    0,5%(50 ml); 1% (2 ml, 5 ml, 10 ml, 20 ml, 30 ml, 50 ml);    <br \/>    1,5% (20 ml); 2% (2 ml, 5 ml, 10 ml, 20 ml, 50 ml&#8230; ); 10% (3 ml, 5 ml,    <br \/>    10 ml); 20% (10 ml, 20 ml).   <\/p>\n<p>    <em>     Thu\u1ed1c d\u00f9ng ngo\u00e0i:    <\/em>    Gel 2% (30 ml), 2,5% (15 ml); thu\u1ed1c m\u1ee1 2,5%, 5%;    <br \/>    dung d\u1ecbch 2% (15 ml, 240 ml); kem 2%.   <\/p>\n<p style=\"text-align: center\">    <img decoding=\"async\" alt=\"lidocain-thuoc-te\" src=\"\/\/yhoccongdong.org\/Documents\/1229_lidocain-thuoc-te.jpg\" style=\"width: 400px;height: 300px\" \/>   <\/p>\n<p style=\"text-align: center\">    <em>     Hi\u0300nh\u00a0Lidocain    <\/em>   <\/p>\n<h2 id=\"chi-dinh-lidocain\">    Ch\u1ec9 \u0111\u1ecbnh Lidocain   <\/h2>\n<p>    G\u00e2y t\u00ea b\u1ec1 m\u1eb7t ni\u00eam m\u1ea1c khi n\u1ed9i soi, l\u00e0m th\u1ee7 thu\u1eadt; g\u00e2y t\u00ea    <br \/>    th\u1ea5m; phong b\u1ebf th\u1ea7n kinh ngo\u1ea1i bi\u00ean v\u00e0 giao c\u1ea3m; g\u00e2y t\u00ea tu\u1ef7 s\u1ed1ng; g\u00e2y    <br \/>    t\u00ea v\u00f9ng t\u0129nh m\u1ea1ch (k\u1ef9 thu\u1eadt Bier); g\u00e2y t\u00ea trong nha khoa; \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1    <br \/>    ph\u00f2ng lo\u1ea1n nh\u1ecbp th\u1ea5t (M\u1ee5c 12.2).   <\/p>\n<h2 id=\"chong-chi-dinh-lidocain\">    Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh Lidocain   <\/h2>\n<p>    Qu\u00e1 m\u1eabn v\u1edbi thu\u1ed1c; nh\u1ecbp tim ch\u1eadm, bloc nh\u0129 th\u1ea5t; suy    <br \/>    tim n\u1eb7ng; v\u00f9ng ti\u00eam b\u1ecb nhi\u1ec5m khu\u1ea9n; r\u1ed1i lo\u1ea1n chuy\u1ec3n ho\u00e1 porphyrin; g\u00e2y    <br \/>    t\u00ea tu\u1ef7 s\u1ed1ng ho\u1eb7c g\u00e2y t\u00ea ngo\u00e0i m\u00e0ng c\u1ee9ng cho ng\u01b0\u1eddi b\u1ecb m\u1ea5t n\u01b0\u1edbc ho\u1eb7c    <br \/>    gi\u1ea3m kh\u1ed1i l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n.   <\/p>\n<h2 id=\"than-trong-lidocain\">    Th\u1eadn tr\u1ecdng Lidocain   <\/h2>\n<p>    C\u1ea7n c\u00f3 ph\u01b0\u01a1ng ti\u1ec7n c\u1ea5p c\u1ee9u \u0111\u1ec3 s\u1eb5n.    <br \/>    Suy h\u00f4 h\u1ea5p; suy gan (Ph\u1ee5 l\u1ee5c 5); suy tim n\u1eb7ng; nh\u01b0\u1ee3c c\u01a1; c\u00f3 thai (Ph\u1ee5    <br \/>    l\u1ee5c 2); cho con b\u00fa (Ph\u1ee5 l\u1ee5c 3).   <\/p>\n<h2 id=\"lieu-luong-va-cach-dung-lidocain\">    Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch d\u00f9ng Lidocain   <\/h2>\n<\/p>\n<p>    <em>     C\u00e1ch d\u00f9ng:    <\/em>    Li\u1ec1u t\u1ed1i \u0111a lidocain an to\u00e0n \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em l\u00e0 4    <br \/>    mg\/kg d\u00f9ng dung d\u1ecbch 0,5% ho\u1eb7c 1% lidocain; dung d\u1ecbch 0,5% ho\u1eb7c 1%    <br \/>    lidocain + adrenalin 5 microgam\/ml (1\/200000), 7 mg\/kg.   <\/p>\n<p>    D\u00f9ng li\u1ec1u th\u1ea5p h\u01a1n \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi suy ki\u1ec7t, cao tu\u1ed5i ho\u1eb7c b\u1ecb b\u1ec7nh r\u1ea5t n\u1eb7ng.    <br \/>    Kh\u00f4ng d\u00f9ng c\u00e1c dung d\u1ecbch ch\u1ee9a c\u00e1c ch\u1ea5t b\u1ea3o qu\u1ea3n \u0111\u1ec3 g\u00e2y t\u00ea tu\u1ef7 s\u1ed1ng,    <br \/>    ngo\u00e0i m\u00e0ng c\u1ee9ng, khoang c\u00f9ng ho\u1eb7c g\u00e2y t\u00ea v\u00f9ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch.   <\/p>\n<p>    <em>     Li\u1ec1u l\u01b0\u1ee3ng:    <\/em>    <br \/>    &#8211; Dung d\u1ecbch kh\u00f4ng pha adrenalin:    <br \/>    G\u00e2y t\u00ea th\u1ea5m v\u00e0 phong b\u1ebf th\u1ea7n kinh ngo\u1ea1i bi\u00ean: d\u00f9ng dung d\u1ecbch 0,5% t\u1ed1i    <br \/>    \u0111a 250 mg (t\u1ed1i \u0111a 50 ml) ho\u1eb7c dung d\u1ecbch 1% t\u1ed1i \u0111a 250 mg (t\u1ed1i \u0111a 25 ml)    <br \/>    cho ng\u01b0\u1eddi l\u1edbn.    <br \/>    G\u00e2y t\u00ea b\u1ec1 m\u1eb7t \u1edf h\u1ea7u, thanh qu\u1ea3n, kh\u00ed qu\u1ea3n, d\u00f9ng dung d\u1ecbch 4%, ng\u01b0\u1eddi    <br \/>    l\u1edbn 40 &#8211; 200 mg (1 &#8211; 5 ml).G\u00e2y t\u00ea b\u1ec1 m\u1eb7t \u1edf ni\u1ec7u \u0111\u1ea1o, d\u00f9ng dung d\u1ecbch 4%, ng\u01b0\u1eddi l\u1edbn 400 mg (10 ml).    <br \/>    G\u00e2y t\u00ea tu\u1ef7 s\u1ed1ng, dung d\u1ecbch 5% (v\u1edbi glucose 7,5%), ng\u01b0\u1eddi l\u1edbn 50 &#8211; 75 mg    <br \/>    (1 &#8211; 1,5 ml).    <br \/>    &#8211; Dung d\u1ecbch c\u00f3 pha adrenalin:    <br \/>    G\u00e2y t\u00ea th\u1ea5m v\u00e0 phong b\u1ebf th\u1ea7n kinh ngo\u1ea1i bi\u00ean, dung d\u1ecbch 0,5% c\u00f3 pha    <br \/>    adrenalin, ng\u01b0\u1eddi l\u1edbn t\u1ed1i \u0111a 400 mg (t\u1ed1i \u0111a 40 ml).    <br \/>    G\u00e2y t\u00ea trong nha khoa, dung d\u1ecbch 2% c\u00f3 pha adrenalin, ng\u01b0\u1eddi l\u1edbn, 20 &#8211;    <br \/>    100 mg (1 &#8211; 5 ml).   <\/p>\n<h2 id=\"tac-dung-khong-mong-muon-adr-lidocain\">    T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n (ADR) Lidocain   <\/h2>\n<p>    Th\u01b0\u1eddng do li\u1ec1u qu\u00e1 cao ho\u1eb7c    <br \/>    ti\u00eam v\u00e0o m\u1ea1ch m\u00e1u: ch\u00f3ng m\u1eb7t, v\u1eadt v\u00e3, nh\u00ecn m\u1edd, m\u1ea5t tri gi\u00e1c, co gi\u1eadt,    <br \/>    h\u00f4n m\u00ea; \u0111\u1ed9c v\u1edbi tim m\u1ea1ch: h\u1ea1 huy\u1ebft \u00e1p, nh\u1ecbp tim ch\u1eadm, bloc d\u1eabn    <br \/>    truy\u1ec1n, ng\u1eebng tim; d\u1ecb \u1ee9ng qu\u00e1 m\u1eabn. G\u00e2y t\u00ea ngo\u00e0i m\u00e0ng c\u1ee9ng \u0111\u00f4i khi g\u00e2y    <br \/>    b\u00ed \u0111\u00e1i, \u0111\u1ea1i ti\u1ec7n kh\u00f4ng t\u1ef1 ch\u1ee7, \u0111au \u0111\u1ea7u, \u0111au l\u01b0ng ho\u1eb7c m\u1ea5t c\u1ea3m gi\u00e1c v\u00f9ng    <br \/>    \u0111\u00e1y ch\u1eadu.   <\/p>\n<h2 id=\"qua-lieu-va-xu-tri-lidocain\">    Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed Lidocain   <\/h2>\n<p>    <em>     Tri\u1ec7u ch\u1ee9ng:    <\/em>    Th\u1ea7n kinh: l\u00fa l\u1eabn, th\u1edd \u01a1, co gi\u1eadt, h\u00f4n m\u00ea; tim m\u1ea1ch: tim    <br \/>    ch\u1eadm, bl\u1ed1c nh\u0129 th\u1ea5t, gi\u1ea3m huy\u1ebft \u00e1p; ng\u1eebng th\u1edf.    <br \/>    <em>     X\u1eed tr\u00ed:    <\/em>    H\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p, truy\u1ec1n d\u1ecbch, thu\u1ed1c v\u1eadn m\u1ea1ch, k\u00e8m ch\u1ed1ng co gi\u1eadt    <br \/>    b\u1eb1ng diazepam ho\u1eb7c thiopental.   <\/p>\n<h2 id=\"do-on-dinh-va-bao-quan-lidocain\">    \u0110\u1ed9 \u1ed5n \u0111\u1ecbnh v\u00e0 b\u1ea3o qu\u1ea3n Lidocain   <\/h2>\n<p>    B\u1ea3o qu\u1ea3n trong bao b\u00ec k\u00edn, \u1edf nhi\u1ec7t \u0111\u1ed9 15 &#8211; 30    <span class=\"do_c\">     o    <\/span>    C.    <br \/>    Kh\u00f4ng d\u00f9ng khi dung d\u1ecbch b\u1ecb k\u1ebft t\u1ee7a hay bi\u1ebfn m\u00e0u.   <\/p>\n<\/p>\n<p>    http:\/\/nidqc.org.vn\/duocthu\/59\/   <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lidocainl\u00e0 Lidocaine. Thu\u1ed1c t\u00ea.Thu\u1ed1c g\u00e2y m\u00ea, thu\u1ed1c t\u00ea.<\/p>\n","protected":false},"author":143,"featured_media":9906,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5316,5405,5440,5404,5317],"tags":[],"series":[],"coauthors":[2170],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Lidocain - Thu\u1ed1c t\u00ea - D\u1ef1 \u00e1n kh\u00e1c<\/title>\n<meta name=\"description\" content=\"Lidocain - Thu\u1ed1c t\u00ea - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/lidocain-thuoc-te\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Lidocain - Thu\u1ed1c t\u00ea - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:description\" content=\"Lidocain - Thu\u1ed1c t\u00ea - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/lidocain-thuoc-te\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:published_time\" content=\"2013-12-22T10:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T19:13:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6592-thongtin-lidocain-thuoc-te.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"400\" \/>\n\t<meta property=\"og:image:height\" content=\"300\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data1\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 ph\u00fat\" \/>\n\t<meta name=\"twitter:label3\" content=\"Vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data3\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/lidocain-thuoc-te\/\",\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/lidocain-thuoc-te\/\",\"name\":\"Lidocain - Thu\u1ed1c t\u00ea - D\u1ef1 \u00e1n kh\u00e1c\",\"isPartOf\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/lidocain-thuoc-te\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/lidocain-thuoc-te\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6592-thongtin-lidocain-thuoc-te.jpg\",\"datePublished\":\"2013-12-22T10:00:00+00:00\",\"dateModified\":\"2024-03-16T19:13:46+00:00\",\"author\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#\/schema\/person\/6df2c4823301496b552873b34070404a\"},\"description\":\"Lidocain - Thu\u1ed1c t\u00ea - D\u1ef1 \u00e1n kh\u00e1c\",\"breadcrumb\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/lidocain-thuoc-te\/#breadcrumb\"},\"inLanguage\":\"vi\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/yhoccongdong.com\/du-an-khac\/lidocain-thuoc-te\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"vi\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/lidocain-thuoc-te\/#primaryimage\",\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6592-thongtin-lidocain-thuoc-te.jpg\",\"contentUrl\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6592-thongtin-lidocain-thuoc-te.jpg\",\"width\":400,\"height\":300},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/lidocain-thuoc-te\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Trang ch\u1ee7\",\"item\":\"https:\/\/yhoccongdong.com\/du-an-khac\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Lidocain &#8211; 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