{"id":10734,"date":"2024-01-29T02:36:53","date_gmt":"2024-01-29T02:36:53","guid":{"rendered":"https:\/\/pato.com.sg\/vascularclinicwebsite\/?p=10734"},"modified":"2025-10-31T10:09:15","modified_gmt":"2025-10-31T10:09:15","slug":"what-is-aortic-dissection","status":"publish","type":"post","link":"https:\/\/www.vascularclinic.sg\/vi\/what-is-aortic-dissection\/","title":{"rendered":"B\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 g\u00ec?"},"content":{"rendered":"
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Aortic dissection<\/a> occurs when the inner lining of the aorta is split into two. It usually occurs when the forces in the blood flow from very high blood pressure damage the inner wall of the artery. The consequence of this is that it creates a double lumen in the artery.<\/p>

N\u1ebfu \u0111i\u1ec1u n\u00e0y x\u1ea3y ra \u1edf ph\u1ea7n \u0111\u1ea7u ti\u00ean c\u1ee7a \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ngo\u00e0i tim \u0111\u1ebfn ngang m\u1ee9c m\u1ea1ch m\u00e1u c\u00e1nh tay tr\u00e1i (\u0111\u1ed9ng m\u1ea1ch d\u01b0\u1edbi \u0111\u00f2n) th\u00ec \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u00f3c t\u00e1ch lo\u1ea1i A. N\u1ebfu qu\u00e1 tr\u00ecnh b\u00f3c t\u00e1ch b\u1eaft \u0111\u1ea7u sau \u0111\u1ed9ng m\u1ea1ch d\u01b0\u1edbi \u0111\u00f2n th\u00ec \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u00f3c t\u00e1ch lo\u1ea1i B.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Nguy\u00ean nh\u00e2n g\u00e2y b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 g\u00ec?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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B\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 th\u01b0\u1eddng do huy\u1ebft \u00e1p cao kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c. Do huy\u1ebft \u00e1p cao, l\u1ef1c c\u1eaft c\u1ee7a huy\u1ebft \u00e1p s\u1ebd l\u00e0m r\u00e1ch l\u1edbp l\u00f3t b\u00ean trong c\u1ee7a m\u1ea1ch m\u00e1u t\u1ea1o ra l\u00f2ng m\u1ea1ch k\u00e9p. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng v\u00e0 th\u01b0\u1eddng l\u00e0 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u ngo\u1ea1i khoa.<\/p>

C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c bao g\u1ed3m m\u1eafc b\u1ec7nh m\u00f4 li\u00ean k\u1ebft. Lo\u1ea1i b\u1ec7nh n\u00e0y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00ednh \u0111\u00e0n h\u1ed3i c\u1ee7a c\u00e1c m\u00f4 trong c\u01a1 th\u1ec3. \u0110i\u1ec1u n\u00e0y x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00e2m m\u1ed9 Mar ho\u1eb7c b\u1ec7nh Ehlers-Danlos.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 g\u00ec?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Aortic dissection normally presents with severe chest and back pain around the left scapula. It can also present with stroke-like symptoms or weakness of the legs depending on the extent of dissection. It\u2019s not uncommon that aortic dissection is presented with symptoms similar to an acute heart attack or an acute stroke<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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H\u1eadu qu\u1ea3 c\u1ee7a vi\u1ec7c b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 g\u00ec?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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H\u1eadu qu\u1ea3 c\u1ee7a b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh giai \u0111o\u1ea1n c\u1ea5p t\u00ednh v\u00e0 m\u00e3n t\u00ednh.<\/p>

Giai \u0111o\u1ea1n c\u1ea5p t\u00ednh<\/span> ph\u1ee5 thu\u1ed9c v\u00e0o n\u01a1i m\u1ed5 x\u1ebb \u0111i. N\u1ebfu v\u1ebft m\u1ed5 \u0111i v\u00e0o m\u1ea1ch m\u00e1u cung c\u1ea5p m\u00e1u cho tim (xoang v\u00e0nh) s\u1ebd c\u1eaft \u0111\u1ee9t ngu\u1ed3n cung c\u1ea5p m\u00e1u cho tim v\u00e0 b\u1ec7nh nh\u00e2n s\u1ebd l\u00ean c\u01a1n \u0111au tim n\u1eb7ng v\u00e0 t\u1eed vong ngay l\u1eadp t\u1ee9c.<\/p>

N\u1ebfu v\u1ebft m\u1ed5 k\u1ebft th\u00fac \u1edf \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh (\u0111\u1ed9ng m\u1ea1ch l\u00ean n\u00e3o) s\u1ebd g\u00e2y ra c\u01a1n \u0111\u1ed9t qu\u1ef5 c\u1ea5p t\u00ednh.<\/p>

Vi\u1ec7c b\u00f3c t\u00e1ch c\u00f3 th\u1ec3 k\u1ebft th\u00fac \u1edf m\u1ea1ch m\u00e1u t\u1edbi ru\u1ed9t (\u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng d\u01b0\u1edbi). Ru\u1ed9t non, ru\u1ed9t gi\u00e0 ho\u1eb7c gan c\u00f3 th\u1ec3 b\u1ecb c\u1eaft ngu\u1ed3n cung c\u1ea5p m\u00e1u v\u00e0 cu\u1ed1i c\u00f9ng c\u00e1c c\u01a1 quan n\u1ed9i t\u1ea1ng s\u1ebd ch\u1ebft \u0111i.<\/p>

Kh\u00f4ng hi\u1ebfm tr\u01b0\u1eddng h\u1ee3p b\u00f3c t\u00e1ch c\u1ea5p t\u00ednh k\u1ebft th\u00fac \u1edf m\u1ed9t ho\u1eb7c c\u1ea3 hai \u0111\u1ed9ng m\u1ea1ch th\u1eadn g\u00e2y suy th\u1eadn t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n.<\/p>

Cu\u1ed1i c\u00f9ng, v\u00e0 hi\u1ebfm khi, vi\u1ec7c m\u1ed5 x\u1ebb c\u00f3 th\u1ec3 g\u00e2y c\u1eaft m\u00e1u \u0111\u1ebfn \u0111\u1ed9ng m\u1ea1ch c\u1ed9t s\u1ed1ng, g\u00e2y li\u1ec7t chi d\u01b0\u1edbi v\u00e0 m\u1ea5t c\u1ea3m gi\u00e1c \u1edf n\u1eeda d\u01b0\u1edbi c\u01a1 th\u1ec3.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Giai \u0111o\u1ea1n m\u00e3n t\u00ednh x\u1ea3y ra sau khi b\u1ec7nh nh\u00e2n s\u1ed1ng s\u00f3t sau ca ph\u1eabu thu\u1eadt ban \u0111\u1ea7u. H\u1eadu qu\u1ea3 s\u1ebd x\u1ea3y ra sau 5 \u0111\u1ebfn 7 n\u0103m. B\u1edfi v\u00ec l\u00f2ng \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ecb chia l\u00e0m hai n\u00ean to\u00e0n b\u1ed9 \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 y\u1ebfu \u0111i v\u00e0 cu\u1ed1i c\u00f9ng n\u00f3 s\u1ebd gi\u00e3n ra v\u00e0 gi\u00e3n ra t\u1ea1o th\u00e0nh c\u00e1i m\u00e0 ch\u00fang ta g\u1ecdi l\u00e0 ch\u1ee9ng ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch m\u1ed5 x\u1ebb. N\u00f3 s\u1ebd n\u1edf ra nh\u01b0 m\u1ed9t qu\u1ea3 b\u00f3ng bay v\u00e0 cu\u1ed1i c\u00f9ng v\u1ee1 ra v\u00e0 \u0111i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c coi l\u00e0 g\u00e2y t\u1eed vong.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 g\u00ec?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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B\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb theo ph\u01b0\u01a1ng ph\u00e1p truy\u1ec1n th\u1ed1ng b\u1eb1ng ph\u1eabu thu\u1eadt tim h\u1edf trong nhi\u1ec1u n\u0103m. Ng\u00e0y nay ch\u1ec9 c\u00f3 b\u00f3c t\u00e1ch lo\u1ea1i A \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt tim h\u1edf v\u00e0 ph\u1ea7n l\u1edbn b\u00f3c t\u00e1ch lo\u1ea1i B hi\u1ec7n nay c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt l\u1ed7 kh\u00f3a - c\u1ee5 th\u1ec3 l\u00e0 \u0111\u1eb7t stent n\u1ed9i m\u1ea1ch.<\/p>

V\u1edbi nh\u1eefng ti\u1ebfn b\u1ed9 y h\u1ecdc, m\u1ed9t s\u1ed1 ph\u1ea7n c\u1ee7a ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch lo\u1ea1i A gi\u1edd \u0111\u00e2y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt Keyhole t\u00f9y thu\u1ed9c v\u00e0o gi\u1ea3i ph\u1eabu v\u00e0 chuy\u00ean m\u00f4n c\u1ee7a \u0111\u1ecba ph\u01b0\u01a1ng.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"treatments\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Ch\u00fang ta c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 kh\u00f4ng?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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V\u1edbi vi\u1ec7c ki\u1ec3m so\u00e1t t\u1ed1t huy\u1ebft \u00e1p \u1edf b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p v\u00e0 \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh, vi\u1ec7c ki\u1ec3m tra th\u01b0\u1eddng xuy\u00ean v\u1edbi b\u00e1c s\u0129 khi b\u1ea1n tr\u00ean 40 tu\u1ed5i, vi\u1ec7c b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c.<\/p>

T\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean v\u00e0 ng\u1eebng h\u00fat thu\u1ed1c c\u0169ng s\u1ebd l\u00e0m gi\u1ea3m nguy c\u01a1 b\u1ecb b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Li\u00ean h\u1ec7 v\u1edbi ch\u00fang t\u00f4i h\u00f4m nay<\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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B\u00e1c s\u0129 ph\u1eabu thu\u1eadt t\u1ed5ng qu\u00e1t v\u00e0 m\u1ea1ch m\u00e1u cao c\u1ea5p <\/a><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Ti\u1ebfn s\u0129 Tang Tjun Yip<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tB\u00e1c s\u0129 Tang \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 cao v\u1ec1 s\u1edf th\u00edch v\u00e0 k\u1ef9 n\u0103ng l\u00e2m s\u00e0ng chuy\u00ean bi\u1ec7t trong nhi\u1ec1u t\u00ecnh tr\u1ea1ng m\u1ea1ch m\u00e1u.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tFacebook-f<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tLinkedin-in<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\"Dr\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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B\u00e1c s\u0129 ph\u1eabu thu\u1eadt t\u1ed5ng qu\u00e1t v\u00e0 m\u1ea1ch m\u00e1u cao c\u1ea5p <\/a><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Ti\u1ebfn s\u0129 Julian Wong<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tB\u00e1c s\u0129 Wong \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 cao v\u1ec1 s\u1edf th\u00edch v\u00e0 k\u1ef9 n\u0103ng l\u00e2m s\u00e0ng chuy\u00ean bi\u1ec7t trong nhi\u1ec1u t\u00ecnh tr\u1ea1ng m\u1ea1ch m\u00e1u.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tFacebook-f<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tLinkedin-in<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

B\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 x\u1ea3y ra khi l\u1edbp l\u00f3t b\u00ean trong c\u1ee7a \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ecb t\u00e1ch th\u00e0nh hai. N\u00f3 th\u01b0\u1eddng x\u1ea3y ra khi c\u00e1c l\u1ef1c trong d\u00f2ng m\u00e1u t\u1eeb huy\u1ebft \u00e1p r\u1ea5t cao l\u00e0m h\u1ecfng th\u00e0nh b\u00ean trong c\u1ee7a \u0111\u1ed9ng m\u1ea1ch. H\u1eadu qu\u1ea3 c\u1ee7a vi\u1ec7c n\u00e0y l\u00e0 n\u00f3 t\u1ea1o ra m\u1ed9t khoang k\u00e9p trong \u0111\u1ed9ng m\u1ea1ch. N\u1ebfu \u0111i\u1ec1u n\u00e0y x\u1ea3y ra t\u1ea1i\u2026<\/p>","protected":false},"author":1,"featured_media":10735,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[8],"tags":[],"featured-on":[],"class_list":["post-10734","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doctors-column"],"acf":[],"yoast_head":"\nWhat is Aortic Dissection?<\/title>\n<meta name=\"description\" content=\"What is aortic dissection, its causes, sign and symptoms? 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