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8/11/2019 Ph Gia Chng Oxy Ha
1/24
I HC QUC GIA THNH PH H CH MINHTRNG I HC BCH KHOA
KHOA K THUT HO HCB m C! !"# $"%& '"(m
Bo co mn Cng ngh ch bin tht, thy sn
PH) GIA CHNG O*+ H,A
G-G./ T"0& 12 N!345 T"6 H789-TH/T:; T" T"6 M7" T"F M99-/ ?@@JN!345 A" T"F M99-/ ?@@
-TPHCM, thng 5 nm 2009-
8/11/2019 Ph Gia Chng Oxy Ha
2/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
M)C =)C
P"; / G77 $"7#3 &"3!LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL
$. Ph% gi& '()ng *+ng ngh, 'h-* h/0....................................................................1
1. Ph% gi& '()ng *+ng ngh, *h2 3i2n 'h'.................................................................4
4. Ph% gi& *h5ng )6y h7& '()ng *+ng ngh, *h2 3i2n 'h'.........................................4
P"; / M$ 1 '" !7< &"! 4 "< $"F! S!
$:! &! !"# &" V7 $"6$LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL?
$. A*i8 &s*)(3i* 9 N&'(i &s*)(3&'..........................................................................;1. A*i8 (y'h)(3i* 9 N&'(i (y'h)(3&'....................................................................0 'ng 'hWi gi&n sc 8%ng.
CLi 'hi,n *hE' >ng *L0 Qu&n *d& 'h-* h/0: *Eu '(e*[ 0u sf*[ 0i
L +>3 &;3 e"7 1d S!/
Ph% gi& *7 '()ng 8&nh 0%* *h) hU sc 8%ng.
pc 8%ng eng >iu >ng Quy nh.
LJ Cf&" 1d S!/
xk '(-* 'i2. Ch) ) 8ung 8*h k.
Nheng.
Ch) ) nk* >0 .
L Cf& '" !7< $"F! 1d S!/
Ph% gi& *h5ng i sinh M'
Ph% gi& *h5ng )6y h7&
Ph% gi& ') *Eu '(e*
Ph% gi& ')
Ph% gi& ') 0u
Ph% gi& ') 0i
JL P" !7< &"! 4 "< $:! &! !"# &" V7 $"6$/
JL C"D& g!/
Ph% gi& *h5ng )6y h7& 8ng '()ng ** sLn h/0 'F 'h' *7 *hj* nng Qu&n '(Zng
> % h)' ** g5* '- 8)[ 'F 7 giL0 '5* 6Ly (& Qu '(nh +i h7& *hE' 3U). C% 'h^ > h%gi& ny s BU) 8i 'hWi gi&n hnh 'hnh nh_ng h *hE' goy (& Qu '(nh )6i h7&. Ng)i
(&[ h% gi& *h5ng )6y h7& *n *7 *hj* nng % h)' ()6i8.
JL C` &"/
Cw *h2 s- '- )6y h7& *hE' 3U):
p- '- )6y h7& *hE' 3U) > hLn jng 8oy *huyn * *ho0 ngi 3zng s- ') 'hnh
** g5* '- 8) 'F ** hon 'c &*i8 3U).
T(&ng =
8/11/2019 Ph Gia Chng Oxy Ha
5/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
Gi&i )n BhSi {u: RH R|H
"k* BhSi {u *7 'h^ * 'ng *Wng 3Si '* 8%ng *d& nguJn nng >ng nh
Bhi gi& nhi,' h)* *hi2u sng q* 3i,' > nguJn nh sng }Vr. Ng)i (&[ ** h *hE'
h_u *w[ + *w q'hWng '0 'hEy 8ki 8ng 0u5i ~ Cur *ng > nh_ng *hE' 6e* '* *7Lnh hSng (E' 0nh[ B`*h 'h`*h Qu '(nh )6y h7& 6Ly (&.
Gi&i )n >&n '(uyn:
R|O1 ROOqg5* ()6i8r
ROO| RH R| ROOH qhy8()()6i8r
Gi&i )n B2' 'he*:
ROO| ROO ROOR | O1
ROO| R ROOR
R
| R
RRC* g5* &>By> RhLn jng ki O1^ hnh 'hnh g5* ()6i8 ROO. PhLn jng
gi_& &>By> O16Ly (& (E' nh&nh '()ng iu Bi,n Bh` Quy^n. D) 7[ nJng *d& &>By> (E'
'hE s) ki g5* ()6i8. G5* ()6i8 hE 'hu i,n 'c 'F ** hon 'c >ii8 Bh* hLn
jng ki i,n 'c ny ^ ') 'hnh hy8()()6i8 ROOH 0' g5* ()6i8 Bh*.
Nh_ng hLn jng ny 6e* '* *h) ** hLn jng Bh*. p- '- )6y h7& >ii8 * gZi >
hLn jng g5* '- 8). mhi ** g5* '- 8) hLn jng ki nh&u[ ** sLn h/0 Bh+ng g5* '- 8)
s ') 'hnh hLn jng B2' 'he*.
Ng)i hi,n 'ng '- )6y h7&[ >ii8 *n *7 'h^ 3 )6y h7& 3zng ny0
>i)6ygn&s.
Cw *h2 *d& *hE' *h5ng )6y h7&:
Nh_ng *hE' *h5ng )6y h7& ngn *hn s- hnh 'hnh nh_ng g5* '- 8) qnh_ng *hE'
*7 >*'()n (iKng >r 3zng **h *h) i nguyKn 'c hy8(). mhi *h) i nguyKn 'c hy8()[ 3Ln
'hon nh_ng *hE' *h5ng )6y h7& *ng '(S 'hnh nh_ng g5* '- 8) nhng nh_ng g5* ny
h)' '`nh BU0 hwn. p&u 7 g5* '- 8) *d& >ii8 qRr B2' h ki g5* '- 8) *d& *hE' *h5ng
)6y h7& qA
r ') 'hnh nh_ng h *hE' 3n.PhLn jng *d& *hE' *h5ng )6y h7& ki g5* '- 8):
R | AH RH | A
RO | AH ROH | A
ROO | AH ROOH | A
R | A RA
RO | A ROA
T(&ng ?
8/11/2019 Ph Gia Chng Oxy Ha
6/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
ROO | A ROOA
V` 8%: "HA[ "HT[ ')*)h()>
ChE' *h5ng )6y h7& '* 8%ng ki ** *hE' 6e* '* *d& hLn jng )6y h7& nKn hLn
jng Bh+ng 'h^ 6Ly (&[ *hE' 3U) Bh+ng 3 )6y h7&.V` 8%: &*i8 *i'(i*[ )>yhn)>
ChE' *h5ng )6y h7& '* 8%ng ki ** *hE' *{n 3L) ,[ ') hj* *hE' 3n _ng Bh7
3 )6y h7&
V` 8%: ni'(i'[ ni'(&' '* 8%ng ki ~[ gi_ *h) ~ qIIr Bh+ng 3 )6y h7& 'hnh ~
qIIIr[ '(nh >0 0E' 0u 'h'.
T* 8%ng ki O1Bh+ng Bh`: )6y hLn jng ki ** *hE' *h5ng )6y h7& *hj Bh+ng
hLn jng ki *hE' 3U) nKn *hE' 3U) Bh+ng 3 h hlng 8) )6y h7&.
V` 8%: &*i8 &s*)(3i*[ &*i8 (y'h)(3i* Ngn *hn s- 'i2 6e* *d& O1ki 'h-* h/0.
JLJ +>3 &;3 e"7 1d S!/
Ch * hU 8-ng S h0 >ng 'hE 'y >)i h% gi& sLn h/0 'h'.
PhLi '&n '5' '()ng *hE' 3U) nguyKn >i,u giu 3U).
mh+ng *.
mh+ng >0 3i2n i hwng *d& sLn h/0 'h'.
T(&ng ;
8/11/2019 Ph Gia Chng Oxy Ha
7/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
PHXN / MhT 9 PH) GIA CHNG O*+ H,ATHNG .iNG TRONG CjNG NGHZ CHk BIkN THlT
L A&7S &*')n
h)* 4B')vgu>)u(&n)>&*')n
p5 CAp: ?$
C+ng 'hj* hon 'c: C;HO;
C+ng 'hj* *Eu ')
mh5i >ng hon 'c: $;.$4 g0)> @+ 'L:
Dng 'inh 'h^ h)* 8ng 3' 0u '(fng 2n ng nh'[ Bh+ng 0i
mU0 3n ki nhi,'.
D h& '&n '()ng nk*
YKu *{u:
\nh '`nh:
T`nh '&n: '&n '()ng nk*[ `' '&n '()ng 'h&n)>[ Bh+ng '&n '()ng 'h(.
\nh >ng: Bh+ng nhl hwn
8/11/2019 Ph Gia Chng Oxy Ha
8/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
H0 >ng sc 8%ng: S 'h'[ 'h' gi& *{0 'h' 'he 'wi @v 1 0gBg
ADI: *h& 6* nh
Chj* nng:
A*i8 &s*)(3i* * sc 8%ng (ng (i '()ng ngnh 'h' ki &i '( > *hE' *h5ng )6yh7&. \5i ki 'h' Qu& 6c >][ &*i8 &s*)(3i* *7 = *hj* nng *h`nh:
T) 0u *h) 'h'
* *h2 Qu '(nh hnh 'hnh ni'()s&0in
Ngn 6Ly (& Qu '(nh )6y h7&
Ngn s- 3i2n 0u *d& 'h'
\5i ki 'h' 'wi[ n7 *7 '* 8%ng *h5ng )6y h7& s- 3i2n 0u '()ng Qu '(nh
3L) QuLn 'h'.
Cw *h2:mhi &*i8 &s*)(3i* * 3 sung ) 'h' Qu& 6c >][ n7 s 3 )6y h7& 'hnh
8hy8()&*i8 &s*)(3i*. XLy (& Jng 'hWi ki Qu '(nh )6y h7& ny > s- Bhc ni'()s)0'
0y)g>)3in 'hnh ni'()s)0y)g>)3in[ 'F 7 gi_ * 0u *d& 'h'.
A*i8 &s*)(3i* 3 )6y h7& '(k* ') 'hnh &*i8 8hy8()&s*)(3i* 'h) hwng '(nh:
AA | O1 DAA | H1O
T(&ng
8/11/2019 Ph Gia Chng Oxy Ha
9/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
A*i8 &s*)(3i* ngn *hn s- hnh 'hnh ni'()s&0in 3zng **h Bhc ni'(&' 'hnh
ni'()gn )6i8[ h *hE' ny Bh+ng 'h^ '* 8%ng ki &0in ^ ') 'hnh ni'()s&0in.
A*i8 &s*)(3i* *7 'h^ ngn *hn s- )6y h7& *hE' 3U) S *L 'h' 'wi 'h' Qu& 6c
>]. u '(nh )6y h7& *hE' 3U) goy (& s- +i h7&[ ') 0i +i. A*i8 &s*)(3i* ngn Bh+ng*h) )6y '()ng 0+i '(Wng 'i2 6e* ki *hE' 3U) ^ ') 'hnh ()6i8. @u *d& 'h' 'wi
'h' 6c >] (E' 8 3 3i2n i '()ng Qu '(nh )6y h7& 0y)g>)3in S ** 0+. oy[
&*i8 &s*)(3i* ngn s- )6y h7& 0y)g>)3in 'hnh 0'0y)g>)3in[ 8) 7 'h' Bh+ng 3
*huy^n s&ng 0u nou.
C*h sc 8%ng:
Phwng h 3L) QuLn 'h' '5i u nh s&u: sc 8%ng hn h h7& *hE' gJ0: B&>i
s)(3&' 1.?[ n&'(i >&*'&' 1.?[ pTPP qs)8iu0 '(ih)sh&'r 4 &*i8 &s*)(3i* .?
h& '&n ) nk* s&u 7 8-ng 8ung 8*h h7& *hE' ny ^ nheng 0i2ng 'h' *{n 3L) QuLn.Ng)i (& *{n sc 8%ng Bh&y 65 Pp 0ng 3&) PVC ^ 3&) g7i 0i2ng 'h' 6c >] 3zng
8ung 8*h h7& *hE' nKu '(Kn. nhi,' 1 | 1C[ 'hWi gi&n 3L) QuLn BU) 8i 2n $? ngy.
L N&'
p5 CAp: $4=41
C+ng 'hj* hon 'c: C;HO;N&
C+ng 'hj* *Eu ')
T(&ng
8/11/2019 Ph Gia Chng Oxy Ha
10/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
mh5i >ng hon 'c: $
@+ 'L: *e 8ng 3' 0u '(fng [ Bh+ng 0i[ 3 sb0 0u Bhi g nh sng
YKu *{u:
\nh '`nh:
T`nh '&n: '&n '()ng nk*[ `' '&n '()ng 'h&n)>.
\nh >ng: Bh+ng nhl hwn )i 'h' &03)n h)*
'h' i 0u5i.
L A&7S n:4$":V7& N
8/11/2019 Ph Gia Chng Oxy Ha
11/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
L A&7S n:4$":V7&/
TKn Bh*: Is)&s*)(3i* &*i8[ D&(&3)&s*)(3i* &*i8
@ s5 h% gi&: 4$?
\nh 8&nh:
TKn h7& hZ*: D(y'h()h61n)i* &*i8 8>'& >&*')n[ is)&s*)(3i* &*i8[ D
is)&s*)(3i* &*i8.
p5 CAp: ng hon 'c: $;.$4 g0)>
@+ 'L: Tinh 'h^ (fn '(fng 2n ng nh'[ '5i 8{n Bhi 'i2 6e* nh sng.
YKu *{u:
\nh '`nh:
T`nh '&n: '&n nhiu '()ng nk*[ '&n '()ng 'h&n)>.
Nhi,' n7ng *hLy: $;= 9 $1C
\nh >ng: Bh+ng nhl hwn ng sc 8%ng: Th'[ 'h' gi& *{0[ 'h' 'he 'wi nguyKn 0i2ng h)* *f' nhl:
@v ? 0gBg. ADI: *h& 6* nh
L N
8/11/2019 Ph Gia Chng Oxy Ha
12/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
TKn h7& hZ*: p)8iu0 is)&s*)(3&'[ s)8iu0 Dis)&s*)(3i* &*i8[ 0u5i s)8iu0
*d& 1[4 8i8hy8()D(y'h() h6)n)$[= >&*')n[ 4B')Dgu>)u(&n)
>&*')n s)8iu0 n)>&' 0)n)hy8(&'
p5 CAp: ;4$
C+ng 'hj* hon 'c: C;HO;N&.H1O
C+ng 'hj* *Eu ')
mh5i >ng hon 'c: 1$;.$4 g0)> @+ 'L: 8ng 3' 0u '(fng[ Bh+ng *7 0i.
YKu *{u:
\nh '`nh:
T`nh '&n: '&n nhiu '()ng nk*[ '&n (E' `' '()ng 'h&n)>.
Nhi,' n7ng *hLy: $;= 9 $1C
\nh >ng: Bh+ng nhl hwn
8/11/2019 Ph Gia Chng Oxy Ha
13/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
Dng Bh&n Dng ngM0 $ hon 'c nk*
mh5i >ng hon 'c: $ q8ng Bh&nr[ 1$.$= g0)> q8ng ngM0 $
hon 'c nk*r
@+ 'L: *e 8ng 'inh 'h^ (fn Bh+ng 0i[ Bh+ng 0u h)* 0u '(fng
YKu *{u:
\nh '`nh:
T`nh '&n: '&n nhiu '()ng nk*[ '()ng 'h&n)>[ `' '&n '()ng 'h(.
\nh >ng: Bh+ng nhl hwn kn hwn$.?
\ 'inh Bhi2':
H0 >ng nk*: 8ng Bh&n: Bh+ng Qu .? q'h) hwng h m&(>
~is*h(rt 8ng ngM0 nk*: '()ng Bh)Lng .? 9 . q'h) hwng h m&(>
~is*h(r
T() su>&': Bh+ng Qu .?
O6&>&': Bh+ng Qu $ 0gBg
pu>&': Bh+ng Qu $? 0gBg
Ch: Bh+ng Qu .? 0gBg
ADI: *h& 6* nh
H0 >ng sc 8%ng:
Th' 'wi nguyKn 0i2ng h)* *f' nhl: 1 0gBg
Th' 6&y nhl: $ 0gBg
T`nh *hE':
A*i8 *i'(i* 'Jn 'i S 8ng Bh&n h)* ngM0 $ hon 'c nk*. @* 8 8ng Bh&n *d&&*i8 Bh7 he' /0 nhng n7 bn *7 6u hkng '% >i 'hnh Bh5i. Cn 8ng ngM0 nk* *d&
&*i8 *i'(i* 8 3 he' /0 '(S >i Bhi g h0 >ng /0 *&). mhi 3L) QuLn S nhi,' hng
Bh)Lng 1C[ &*i8 *i'(i* Bh n nh h)n ')n Bh+ng *.
A*i8 *i'(i* * 8ng '()ng Qu '(nh sLn 6uE' s&>&0i nhz0 h '( *h) Qu '(nh
&*i8 h7&. Th+ng 'hWng Bhi 3 sung $ g &*i8 *i'(i* ) $ Bg s&>&0i 'h *7 'h^ giL0 gi '(
T(&ng $4
8/11/2019 Ph Gia Chng Oxy Ha
14/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
H Bh)Lng .1 9 .4 wn . A*i8 *i'(i* 'h^ hi,n BhL nng &*i8 h7& s&>&0i '5' gE 1 2n 4
>{n s) ki GDv qg>u*)n)8>'&>&*')nr[ 0' h *hE' * 8-ng nhz0 giL0 H *d& sLn
h/0.
Ng)i (&[ &*i8 ny *ng 7ng &i '( '* nhon ') hj* Bhi n7 B2' h ki nh_ngi)n Bi0 >)i nng nh Cu[ ~. Nh_ng i)n Bi0 >)i nng ny *7 BhL nng 'ng '5*
hLn jng )6y h7&. mhi &*i8 *i'(i* ') hj* ki nh_ng i)n '(Kn[ *heng s Bh+ng 'h^ )6y
h7& *hE' 3U) * n_&. T()ng 3Ln 'hon *hE' 3U) *d& ng M'[ h0 >ng i)n Bi0 >)i
nng Bh+ng *&)[ nhng '()ng nh_ng sLn h/0 nh 6e* 6`*h[ h0 >ng ny Bh *&) 8)
nh_ng i)n ny 6o0 nhM 'F 'h' '()ng Qu '(nh *h2 3i2n.
Tuy nhiKn[ *h 3 sung &*i8 *i'(i* ki >ng F& d ^ '(nh >0 giL0 H *d& sLn
h/0.
L T&'"n:]/
GJ0 ** >)i: [ [ ')*)h()>.
@ s5 h% gi&: 4[ 5i ki ')*)h()> hn h 0 s5 *7 'h^ > 43 h&y
4*.
\nh 8&nh:
C+ng 'hj* hon 'c: C1
8/11/2019 Ph Gia Chng Oxy Ha
15/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
9 ')*)h()>
9 ')*)h()>
9 ')*)h()>
mh5i >ng hon 'c: =4.$ g0)>
@+ 'L: 8{u 0u ng nh' h)* nou l[ Bh+ng 0i[ nhk'
YKu *{u:
\nh '`nh:
T`nh '&n: Bh+ng '&n '()ng nk*[ '&n '()ng 'h&n)>[ '(n >bn ki 'h( \nh >ng: 'y 'Fng >)i ')*)h()>
\ 'inh Bhi2':
Ch: Bh+ng Qu 1 0gBg
Cw *h2[ *hj* nng:
Ch5ng )6y h7&[ *h5ng >i '* 8%ng *d& ** g5* '- 8). Nh_ng g5* '- 8) ny *
') 'hnh 'F nh_ng Qu '(nh *huy^n h7& 3nh 'hWng h&y 8ki '* ng *d& nh_ng nhon
'5 6ung Qu&nh.
Vi'&0in *7 BhL nng ngn *hn hLn jng *d& ** g5* '- 8) 3zng **h nhWng
0' nguyKn 'c hy8() *d& g5* hn)> *h) g5* >i)()6i8 qvOOr ^ 3i2n g5* '- 8) ny
'hnh hy8()()6i8 qvOOHr. PhLn jng nh s&u:
vOO | T)*)h()>OH vOOH | T)*)h()>O
T(&ng $?
8/11/2019 Ph Gia Chng Oxy Ha
16/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
H)* '()ng Qu '(nh hLn jng[ ')*)h()> q')*)h()>OHr 3 *huy^n h7& 'hnh
g5* ')*)h(y> q')*)h()>Or 3n q0* 8 > g5*r nKn *hE0 8j' nh_ng hLn jng g5*.
G5* ')*)h(y> 3 Bhc )6y ^ '(S >i ')*)h()> 3Si *hE' Bhc > )6y h& '&n '()ng nk*.
mhi '5* )6y h7& 8{u 'hE[ ')*)h(y> hLn jng ki nh&u ^ hnh 'hnh
')*)h(y> Quin)n. mhi '5* )6y h7& 8{u *&)[ ')*)h(y> hLn jng ki g5* ()6y ^hnh 'hnh hj* ')*)h()>()6y qTOORr. Phj* ny *7 'h^ 3 'hdy hon 'hnh
')*)h(y> Quin)n hy8()()6i8.
T| T T | T)*)h(y> Quin)n
T| ROO T OOR T)*)h(y> Quin)n | ROOH
Hi,u QuL *h5ng )6y h7& *d& ')*)h()> h% 'hu* ) 8ng Jng hon nJng
sc 8%ng. mhL nng 8M 'f' g5* '- 8) *&) nhE' S ')*)h()>[ 'i2 'h) > [ [
')*)h()>. H0 >ng ')*)h()> *{n 'hi2' ^ *h5ng +i h7& *hE' 3U) 'y 'hu* )
3n )6y h7& *d& *heng. \ 3n )6y h7& *d& ')*)h()> *ng 'hE 'h h0 >ng')*)h()> *{n 8ng *ng 'hE. ')*)h()> *7 3n 'hE nhE' '()ng s5 ** Jng hon
')*)h()>[ *{n 8ng ki nJng $ 0 'h 'h^ hi,n h)' '`nh *h5ng )6y h7& *&) nhE'
*d& n7. T()ng Bhi 7[ ')*)h()> *7 3n )6y h7& *&) hwn nKn ^ 'h^ hi,n h)'
'`nh *h5ng )6y h7& *&) nhE'[ *{n 8ng nJng 'wng jng *d& 1 Jng hon ny > 1?
? 0.
H0 >ng sc 8%ng: h0 >ng giki hn 'y 'Fng >)i *% 'h^
ADI: .$? 9 1. 5i ki ')*)h()>
L BHAo BHT/
"HA "HT > nh_ng *hE' *h5ng )6y h7& 'ng h[ *7 8ng > nh_ng h *hE'
hn)>i*. "HA > hn h *d& h&i Jng hon 1'('i&(y3u'y>=hy8()6y&nis)> q*hi20
1?r 4'('i&(y3u'y>=hy8()6y&nis)> q*hi20 $?$r. H&i *hE' ny *7 '`nh *hE'
T(&ng $;
8/11/2019 Ph Gia Chng Oxy Ha
17/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
'wng 5i gi5ng nh&u. "HA "HT `' * sc 8%ng '()ng ** sLn h/0 'F 'h'. N2u sc
8%ng 'h *h 3 sung ) ** 8ng 6e* 6`*h S 0j* .$ h0 >ng *hE' 3U) qn2u 8-ng
(iKng >r .1 qn2u 8-ng *L h&i *hE'r.
Cw *h2 *h5ng )6y h7& *d& nh_ng *hE' ny 3f' gi_ ** g5* '- 8) '()ng *hE' 3U).Hi,n n&y[ 0' s5 nk* *E0 sc 8%ng "HA "HT.
L BHA/
@ s5 h% gi&: 41
\nh 8&nh:
TKn h7& hZ*: 4'('i&(y3u'y>=hy8()6y&nis)>[ hn h *d& h&i Jng hon 4
1'('i&(y3u'y>=hy8()6y&nis)>
p5 CAp: 1?$4$;?
C+ng 'hj* hon 'c: C$$H$;O1 C+ng 'hj* *Eu ')
mh5i >ng hon 'c: $.1? g0)>
@+ 'L: 'inh 'h^ 0u '(fng h)* ng nh'[ h&y S 8ng *hE' s (fn[ 0i nh *
'(ng.
YKu *{u:
\nh '`nh:
T`nh '&n: Bh+ng '&n '()ng nk*[ '&n '5' '()ng 'h&n)> ()&n$[18i)>
\nh >ng: mh+ng nhl hwn : Bh+ng Qu .?
Ch: Bh+ng Qu 1 0gBg
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8/11/2019 Ph Gia Chng Oxy Ha
18/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
ADI: 9 .?
H0 >ng sc 8%ng: 'h'[ 'h' gi& *{0 'h' 'he 'wi @v $ 0gBg
L BHT/
@ s5 h% gi&: 41$
\nh 8&nh:
TKn h7& hZ*: 1[;8i'('i&(y3u'y>*(s)> h&y =0'hy>1[;8i'('i&(y3u'y>
hn)>
p5 CAp: $14
C+ng 'hj* hon 'c: C$?H1=O
C+ng 'hj* *Eu ')
mh5i >ng hon 'c: 11.4; g0)>
@+ 'L: *hE' (fn 8ng 'inh 'h^ h)* 8ng 'E0[ Bh+ng 0i
YKu *{u:
\nh '`nh:
T`nh '&n: Bh+ng '&n '()ng nk* ()&n$[18i)>[ '&n '()ng 'h&n)>.
Nhi,' n7ng *hLy: ;< 9 1C
\nh >ng: Bh+ng nhl hwn : Bh+ng Qu .?
Ch: Bh+ng Qu 1 0gBg ADI: 9 .4
H0 >ng sc 8%ng: 'h'[ 'h' gi& *{0 'h' 'he 6&y nhl @v $ 0gBg q'`nh
'(Kn >ng 8{u 0 *hi2' 'F sLn h/0r
?L M$ 1 '" !7< e"f&/
K"7/
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8/11/2019 Ph Gia Chng Oxy Ha
19/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
Thnh h{n *d& Bh7i: *hj& Bh)Lng 4 h *hE' Bh* nh&u[ 3&) gJ0:
C* h *hE' hn)>: '()ng Bh7i *7 Bh)Lng 1 h *hE' hn)> Bh* nh&u[ '()ng 7
gu&i&*)>[ =0'y>gu&i&*)>[ ='hy>gu&i&*)>[ =()y>gu&i&*)>[ =ynu>gu&i&*)>[ hn)>[ )
*()>[ 0*()>[ *()>[ &ni>in *hi20 ' >, nhiu nhE'. T* 8%ng *d& ** h *hE' ny> *h5ng >i ** Qu '(nh )6y h7&[ ') (& 0i 0u * 3i,' *h) sLn h/0[ 'iKu 8i,' **
i sinh M' nhi0 ) 'h-* h/0.
C* h *hE' &>*)h)>: 0'&n)> *hi20 ' >, *&) nhE' s) ki ** h *hE' &>*)h)> *7
'()ng Bh7i. C* h *hE' ny '* ng Bh+ng nhiu 2n sLn h/0. Cheng *h *7 '* 8%ng
nhl '()ng i,* 'iKu 8i,' i sinh M'.
C* &*i8 h_u *w: ** &*i8 h_u *w '()ng Bh7i *7 0*h *&*3)n 3i2n ng 'F $ 2n $
nhng nhiu nhE' > ** &*i8 h_u *w *7 0*h *&*3)n 'F $ 2n =. T* 8%ng *d& *heng >
>0 *h) H 3 0' 6+ng Bh7i giL0 6u5ng >0 +ng '% ()'in 3 0' sLn h/0. C* h *hE' *&*3)ny>: *7 Bh)Lng 1 h *hE' *&*3)ny> * '0 'hEy '()ng Bh7i.
C* h *hE' *&*3)ny> 0*h ngfn *7 &i '( Qu&n '(Zng '()ng i,* ') 0u 0i *h)
sLn h/0 6+ng Bh7i (Theo L Vn Lin v cng !, "99#$.
T* 8%ng *d& Bh7i:
Chd y2u 'h+ng Qu& '* 8%ng *d& ** h *hE' hn)>. Cheng * hE 'hu *7 *hZn
>Z* 'hE0 sou ) 0+ 'h'[ j* *h2 'iKu 8i,' i Bhu/n >0 hlng 'h'[ *h5ng )6y h7&
'hnh h{n *hE' 3U) Bh+ng n) '()ng 'h'[ *Li 'hi,n 0i[ [ 0u sf* *d& 'h'.
C* h *hE' hn)> )y>hn)> *7 6u hkng hLn jng ki nh70
hy8()su>hu( ') h *hE' *7 BhL nng 'wng '* ki nh70 &0y> *d& ()'in. C* 'wng
'* ny >0 giL0 ** &*i8 &0in '()ng sLn h/0 nhE' > >ysin. X+ng Bh7i *7 'h^ goy nKn
0' s5 h hlng *d& 'hi&0in nhng `' Lnh hSng 2n ni&*in (i3)>&in. \* '`nh *h5ng
)6y h7& *d& Bh7i gie *h) i,* gi_ * ** i'&0in '&n '()ng 0 *h5ng )6y h7& *d&
3 0' sLn h/0 6+ng Bh7i.
C*h ') Bh7i:
NguyKn M' >i,u ') Bh7i *7 nhiu **h Bh* nh&u[ *hd y2u > 0n *&[ g[ l 3)*d& ** >)i *7 hwng 'hw0 nh 8[ sJi[ '({0[ h)ng S ** nk* nhi,' ki 'hWng sc
8%ng ** >)i g '(fng h)* g *7 0u sng. G *7 0u '5i 'hWng ') (& 3J h7ng >0 3/n
sLn h/0[ *7 'h^ ') 0i > >0 sLn h/0 Bh+ng hE 8bn[ +i Bhi Bh+ng n *... \
/0 nhiKn >i,u Bh)Lng 4[ nhi,' 5' > 44?C 'h *h) Bh7i '5' nhE'.
mh7i * ') (& 3zng nhiu **h Bh* nh&u :
\5' '(-* 'i2 0n *& nhng Bh+ng *7 ngZn >c& S nhi,' 44?C.
T(&ng $
8/11/2019 Ph Gia Chng Oxy Ha
20/24
PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
m2' h Bh7i hwi nk* n7ng: Bh7i 'F 0ng 0n *& *7 nhi,' 4? C i ) h,
'h5ng 5ng 8bn h& '(n ) hwi nk* n7ng. p&u Bhi * >0 0' hn h Bh7i hwi
nk* * 'hi ) 3uJng 6+ng Bh7i. m2' QuL > sLn h/0 * 6+ng Bh7i >0 *h`n
*ng >e*. Phwng h ny * iu Bhi^n '- ng[ (E' hj* ' f' 'in. T) Bh7i 3zng 0& s': @' 0i2ng g * U ) '()ng 0' ng Bi0 >)i 6)&y
'(n ki 3 0' Bh+ng 3zng hng. Nhi,' ') (& 'F 0& s' s 5' n7ng g Bh7i sinh (& s
* 'hi ) 3Kn '()ng 3uJng. xu i^0 *d& Bi^u ny > * iu Bhi^n 0' **h '-
ng nhi,' 'wng 5i 'hE. N7 * sc 8%ng '()ng 6+ng Bh7i >nh.
C7 1 hwng h 6+ng Bh7i: 6+ng Bh7i n7ng 6+ng Bh7i >nh. p- Bh* nh&u
gi_& 1 hwng h ny > nhi,' Bhi 6+ng Bh7i. Nhi,' 6+ng Bh7i n7ng ) Bh)Lng
C[ * sc 8%ng '()ng nh_ng nh 0y *h2 3i2n 6e* 6`*h[ &03)n 0' s5
Bh* nh 'h' h) 0u5i[ 'h' *hon gi[ g[ '[ 6+ng Bh7i. p- h&) h%' '(Zng >ng '()ng'hWi gi&n 6+ng Bh7i n7ng 'u 'hu* ) /0 Bh+ng Bh` 3uJng 'hWi gi&n 6+ng Bh7i.
\ /0 'wng 5i '5i u > ng 'ki hwn $[ n2u ^ 'hWi gi&n 6+ng Bh7i >ou hwn *7 'h^ h&) h%' 'ki 44?.
\^ 6+ng Bh7i 'h'[ ngWi '& /y 6 '() 'h'[ 6e* 6i*h[ &03)n ) 3uJng sEy[
sEy 4 he' S nhi,' hng > ;?C[ s&u 7 6+ng Bh7i ?? he' S nhi,' hng > C
'i2 '%* sEy *h) 2n Bhi nhi,' 'o0 sLn h/0 ' C qki nhi,' hng '
Bh)Lng Cr. ThWi gi&n ny *hi20 Bh)Lng giW.
V '(` 3uJng 6+ng Bh7i * ' '()ng nh 0y[ 7ng B`n *c& s&) *h) Bh7i nhi,'
sinh (& '()ng 3uJng Bh+ng Lnh hSng 'ki Bhu -* *h2 3i2n.Nh_ng M' >i,u ^ 6oy 8-ng3uJng 6+ng Bh7i hi,n n&y * 8-ng > >)i *hu nhi,'[ *7 '* 8%ng **h >y *&) q&0ing[
g 'hdy 'inhr. TWng h`& '()ng 3uJng > 'hU '(fng s*h h)* 'hi2* '(ng B0[ ^ hLn
6 nhi,' L0 3L) , sinh *h) sLn h/0. C+ng suE' ** 3uJng 6+ng Bh7i Bh+ng '
Qu $ 2n $?Bg. Nh_ng sLn h/0 ^ 6+ng Bh7i * '() '(Kn nh_ng *i Qu 07*
3zng in)6 ' '(Kn 6 /y[ & ) 3uJng 6+ng Bh7i.
P]4'"n]/
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PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
P)>yhn)>s '()ng '( 6&nh nh *&'*hin qig&>>)*&'*hin g&>>&'r > nh_ng *hE'
*h5ng )6y h7& 0nh hwn i'&0in A[ C [ nhng (E' f' 'in ^ >i 0' 0u '()ng
** sLn h/0 'h'.
Coy hwng 'hL) (&u )(g&n) q'hu* hZ Binh gikir *hj& h *hE' hn)>i* >&*i8 *&(n)si*. A*i8 *&(n)si* 'h^ hi,n '`nh *h5ng )6y h7& 3zng **h *h) i hy8() ^
*huy^n 'hnh *&(n)s)>[ 'F 7 % h)' ** g5* '- 8). R)s0&n)>[ 0' *hE' *h5ng )6y h7&
Bh*[ * hnh 'hnh 'F *&(n)s)> '()ng gi&i )n 'i2 'h) s&u 7 0' *hE' *h5ng )6y
h7& n_& > g&>8)s)> *ng 'hu * 'F ()s0&n)>. Chui hLn jng ny giLi 'h`*h >] 8) &*i8
*&(n)si* 'h^ hi,n BhL nng *h5ng )6y h7& 3zng nhiu **h Bh* nh&u ** h *hE'
nh ()s0&n)> *&(n)s)> *h 'h^ hi,n Bh)Lng = '`nh *h5ng )6y h7& s) ki &*i8
*&(n)si*. Coy hwng 'hL) *hE' *hi2' 'F (&u )(g&n) (E' *7 hi,u QuL Bhi 8-ng S 0j*
.?. gBg sLn h/0 *hE' *hi2' 'F (&u )(g&n) *7 '* 8%ng *&) hwn *oy hwng'hL). Nh_ng h *hE' hn)>i* ny *ng *7 '* ng 2n ** i Bhu/n G(&0 8wng i
Bhu/nLite%i& monoc'togene.
Coy 6+ 'hw0 *ng *7 BhL nng *h5ng )6y h7& (E' '5't *ng ki *oy hwng 'hL)[
>)i *oy ny *7 'h^ '( h)n Bh)Lng 'hWi gi&n nh_ng sLn h/0 'F 'h' *hj& *hE' 3U) 3 +i
h7& Bh)Lng $= >{n. Coy hwng 'hL) *oy 6+ 'hw0 *hj& Bh)Lng .4 &*i8 *&(n)si*[
>ng *hE' ny 'h^ hi,n *hj* nng *h5ng )6y h7& '5' hwn hn s) ki ')*)h()> qi'&0in
r "HT. h{n >kn ** nk*[ &*i8 *&(n)si* Bh+ng * 60 > 0' h% gi& 'h-*
h/0[ nhng n7 >u+n *7 0' 'h^ hi,n '`nh *h5ng )6y h7& hi,u QuL '()ng *oy hwng
'hL)[ *oy 6+ 'hw0 (&u )(g&n).
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'(e* 0*h ng *d& n7 h)* nhWng i hy8() ^ n nh ** g5* '- 8)[ 'F 7 'h^ hi,n
'`nh *h5ng )6y h7&.
T(&ng 1$
8/11/2019 Ph Gia Chng Oxy Ha
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PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
PHXN J/ THjNG TIN MYI -p PH) GIA CHNG O*+H,A TRONG CjNG NGHZ CHk BIkN THlT
L C"q$ &"7$ $r "0$ " a! W$:! 1t '"(m &" V7 $r $"6$/
C* nghiKn *ju 0ki ng '(Kn ' *h` ~))8 p*in*
*h) 'hEy *hE' *hi2' giu )>yhn)> 'F h' nh) *7 'i0
nng > *hE' *h5ng )6y h7& hi,u QuL S 'h' nkng[ '(nh
* s- +i h7& 0 Bh+ng >0 Lnh hSng 2n 0u sf*
0i2ng 'h'. Vi,* 'hK0 .1 *hE' *hi2' ny ) 'h' h)
g7 h{n giL0 nh_ng 0i sinh (& '()ng Qu '(nh )6y h7&
*hE' 3U) S 'h' Bh+ng Lnh hSng 0u sf* 'h'. Th) **nh nghiKn *ju S '(Wng \i hZ* I>>in)is[ *hE' *hi2' ny *7
'* 8%ng '5' nh nh_ng *hE' *h5ng )6y h7& 'ng h "HA q3u'y>hy8()6y&nis)>r
"HT q3u'y>hy8()6y')>unr. Th) 3) *) *d& ~()s' pu>>i&n ) n0 14[ i,* sc
8%ng nh_ng *hE' *h5ng )6y h7& 'ng h ngy *ng giL0 '()ng Bhi nh_ng *hE' *7 nguJn
g5* 'F 'hiKn nhiKn nh 8*h *hi2' 'F 'hL) 0* q* 3i,' > *oy hwng 'hL)r[ i'&0in
i'&0in C * u 'iKn >-& *hZn. D) 7[ *hE' *hi2' 'F h' nh) ny *ng * & *hung.
C% 'h^ > ** nh Bh)& hZ*[ jng {u > pus&n "(([ nghiKn *ju Lnh hSng
*d& ** *hE' *h5ng )6y h7& Bh* nh&u 5i ki nh_ng 0i2ng 'h' nkng '(k* Bhi nEu
'h+ng Qu& i,* sc 8%ng *hE' *hi2' 'F h' nh)[ nh-& *oy hwng 'hL)[ *hE' *hi2' '&n '()ng
nk* *d& *oy )(g&n) q0' *oy 'hu* hZ Binh gikir[ ()y> g&>>&'[ "HA "HT S **
0bu 'h' Bh* nh&u. TE' *L nh_ng h *hE' '(Kn u * 8-ng S nJng .1. p&u Bhi
3L) QuLn ** 0i2ng 'h' '()ng ; 'hng S nhi,' $C[ ** nh Bh)& hZ* 'hEy (zng
nh_ng 0i2ng 'h' Bh+ng sc 8%ng *hE' *h5ng )6y h7& s *7 nh_ng 0i +i h7& ng&y 'F
'hng 'hj nhE' 'hng 'hj h&i *d& Qu '(nh 3L) QuLn. Ng)i (&[ 0i 'F 8%ng *% *hj& *7
'h^ 'ng >Kn s&u = 'hng 3L) QuLn.mhi s) snh hi,u QuL sc 8%ng *d& ** *hE' *h5ng )6y h7& 8-ng[ ** nh nghiKn
*ju 'hEy (zng 0bu 'h' sc 8%ng *hE' *hi2' 'F h' nh) `' 0i +i hwn nh_ng 0bu 8-ng "HT[
nh-& *oy hwng 'hL)[ "HA. @j* *d& Qu '(nh )6y h7& * 6* nh 'h+ng Qu& gi
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*h5ng )6y h7& *&) nhE'.
T(&ng 11
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PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
C* nh Bh)& hZ* B2' >uMn (zng *hE' *hi2' 'F h' nh) *7 'i0 nng '()ng i,*
ngn *hn s- +i h7& 7ng &i '( *hE' *h5ng )6y h7& hi,u QuL *7 nguJn g5* 'F 'hiKn
nhiKn 8ng '()ng ** sLn h/0 *h2 3i2n h)* >nh +ng 'F 'h'[ 0 Bh+ng Lnh hSng 2n
0u sf* 'h'.
L ME e" aF^& S! $:! u3f $:v" &"! 4 "< w $"6$ V[ u3& '(Wng \i hZ* T6&s
A@ u Bhng nh 'i0 nng *d& 0Mn '()ng ** sLn h/0 'h' Qu& *h2 3i2n.
C% 'h^ > Qu '(nh )6y h7& S 'h' ** sLn h/0 'F 'h' 6Ly (& 8) nh_ng hLnjng 3i2n i *hE' 3U) ** sf* '5 '()ng 'h'. u '(nh )6y h7& *7 'h^ 8bn 2n giL0 0i
[ 0u sf* Lnh hSng *Eu '(e* sLn h/0. C)n ngWi ngy *ng *7 Bhuynh hkng sc
8%ng ** *hE' h% gi& *7 nguJn g5* 'F 'hiKn nhiKn ^ 'h&y 'h2 nh_ng *hE' 'ng h nh
"HA q3u'y>hy8()6y&nis)>r "HT q3u'y>hy8()6y')>unr '()ng i,* giL0 Qu '(nh
)6y h7& S 'h-* h/0. Th) ~()s' pu>>i&n[ 'h '(Wng *hE' *h5ng )6y h7& 'ng h *7
8)&nh s5 ngy *ng giL0[ '()ng Bhi i,* sc 8%ng nh_ng *hE' 'F '- nhiKn nh 8*h *hi2'
'F 'hL) 0* q* 3i,' > *oy hwng 'hL)r[ i'&0in i'&0in C ngy *ng 'ng. C*
nh Bh)& hZ* '()ng nh70 nghiKn *ju 0Mn Bh+ S C&>i)(ni& nghiKn *ju n+ng sLn
S T6&s *hjng 0inh * (zng u( *d& 0Mn Bh+ h)* 0Mn Bh+ '(n ki ') *7 'h^
* 8-ng nh 0' nguyKn >i,u '()ng i,* *h2 3i2n ** sLn h/0 n >in 'F 'h' nh 'h'
3 Qu&y.
C* nh Bh)& hZ*[ jng {u > Gi) s i00y m')n *hu/n 3 ** 0bu 'h' 3
Qu&y 3 sung 8ung 8*h nk* 0u5i 'wng jng nh s&u: 0bu *7 nk* 0u5i Bh+ng *hj&
nk* *5' 0Mn[ 0bu *7 *hj& 8*h 'F 0Mn Bh+ q1.? 9 ?r[ 0bu *7 nk* *5' 'F 0Mn 'wi
q1.? 9 ?r 0bu * hun 3' sEy Bh+ 'F 0Mn q1.? 9 ?r. Th' 3 Qu&y s&u 7 *0 nEu[ 3&) g7i *hon Bh+ng 3L) QuLn >nh '()ng $ 'u{n. m2' QuL *h) 'hEy i,* 3
sung 8*h 'F 0Mn Bh+ h&y nk* *5' 'F 0Mn 'wi ki h0 >ng 1.? ) 'h' 3 Qu&y
'(k* Bhi nEu giL0 Qu '(nh )6y h7&[ 'ng *Wng 0i *d& 'h'. Gi) s m')n
** Jng nghi, Bhng nh (zng 0Mn 7ng &i '( nh *hE' *h5ng )6y h7&[ *7 '* 8%ng
>0 giL0 h)' >-* *d& &*i8 'hi)3&(3i'u(i*[ &*i8 goy (& Qu '(nh ()6y h7& )6y h7&
*hE' 3U)[ 'F 7 *Li 'hi,n ** '`nh *hE' 0u sf*[ 0i 00 *d& 'h'.
T(&ng 14
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PH GIA CHNG OXY HA TRONG GVHD: Th.s Nguyn Th Hin
CNG NGH CH! "I!N TH#T
JL C 8) Ri) G(&n8 8)
pu> S "(&i> *hjng 'l (zng '()ng Qu '(nh 'hdy hon[ *&si
sLn sinh (& ** 'i8 *7 h)' '`nh *7 BhL nng ngn ngF& s- h hlng *d& **
sLn h/0 'h' nhW '`nh *hE' *h5ng )6y h7& '- nhiKn *d& *hent hW My ngn ngF& s- hnh
'hnh ** 0i Bh+ng 0)ng 0u5n '()ng 'h-* h/0 BU) 8i 'hWi gi&n 3L) QuLn *d& 'h'
** sLn h/0 'F 'h'
C* nh nghiKn *ju sc 8%ng ** ny0 'hwng 0i nh ~>&)u(y0
A>*&>&s qN))y0sr ^ 'hdy hon *&sin. m2' QuL 'hu nhMn * > ** 'i8 'hu
nhMn * 8) s- 'hdy hon *d& ~>&)u(y0 *hj& nhiu ()'in h& '&n &0in) &*i8 '-
8) hwn > ** 'i8 'hu * 'F s- 'hdy hon *&sin *d& A>*&>&s. mhi ) >Wng h)'
'`nh *h5ng )6y h7& *d& h&i >)i 'i8 '(Kn[ ngWi '& *ng 'hu nhMn * B2' QuL 'wng
'-.
mhi 'i2n hnh *% 'h^ '(Kn 'h' 3 'h' gi& *{0 (e' 6wng[ ** nh nghiKn *ju
nhMn 'hEy ** 'i8 i 'F *&sin 'hM' s- hi,u QuL '()ng i,* ngn ngF& Qu '(nh
)6y h7& *hE' 3U)[ hn *h2 s- ') 'hnh ** ()6i8. \5i ki 'h' 3[ hi,u QuL *d& n7 '
2n g{n nh $ *n S 'h' gi& *{0 'h *h Bh)Lng 1$.
m2' QuL ny 'hM' s- 7ng &i '( + *ng Qu&n '(Zng 5i ki *+ng ngh, sLn 6uE' 'h'
** nh sLn 6uE' 'h-* h/0[ * 3i,' '()ng gi&i )n ngy n&y[ Bhi 0 *)n ngWi &ng
hkng 'ki nh_ng 'h-* h/0 Bh+ng *hj& nh_ng h% gi& 3L) QuLn 0&ng '`nh * hi
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