{"id":3209,"date":"2020-08-24T04:13:48","date_gmt":"2020-08-23T21:13:48","guid":{"rendered":"http:\/\/bvnguyentrai.org.vn\/gay-co-xuong-dui-nguoi-phu-nu-nhap-vien-moi-biet-suyt-chet-vi-can-benh-rat-nguy-hiem-o-phoi\/"},"modified":"2020-08-24T04:13:48","modified_gmt":"2020-08-23T21:13:48","slug":"gay-co-xuong-dui-nguoi-phu-nu-nhap-vien-moi-biet-suyt-chet-vi-can-benh-rat-nguy-hiem-o-phoi","status":"publish","type":"post","link":"https:\/\/bvnguyentrai.org.vn\/en\/gay-co-xuong-dui-nguoi-phu-nu-nhap-vien-moi-biet-suyt-chet-vi-can-benh-rat-nguy-hiem-o-phoi\/","title":{"rendered":"G\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i, ng\u01b0\u1eddi ph\u1ee5 n\u1eef nh\u1eadp vi\u1ec7n m\u1edbi bi\u1ebft su\u00fdt ch\u1ebft v\u00ec c\u0103n b\u1ec7nh r\u1ea5t nguy hi\u1ec3m \u1edf ph\u1ed5i"},"content":{"rendered":"<p><span style=\"color: #993366;\"><img fetchpriority=\"high\" decoding=\"async\" class=\"dAvatarCover\" src=\"http:\/\/bvnguyentrai.org.vn\/wp-content\/uploads\/2026\/01\/anh-chup-man-hinh-2020-08-22-luc-144352-1598082526612277925750-238-0-833-952-crop-15980826726902063755720.png\" border=\"0\" width=\"691\" height=\"432\" data-role=\"avatar\" \/><\/span><\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">M\u1ee5c l\u1ee5c<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/bvnguyentrai.org.vn\/en\/gay-co-xuong-dui-nguoi-phu-nu-nhap-vien-moi-biet-suyt-chet-vi-can-benh-rat-nguy-hiem-o-phoi\/#Nhap_vien_vi_gay_co_xuong_dui_va_tut_huyet_ap_nhung_tham_kham_cac_bac_si_phat_hien_benh_nhan_bi_mot_van_de_rat_nghiem_trong_o_phoi_neu_dieu_tri_tre_co_the_nguy_hiem_den_tinh_mang\" >Nh\u1eadp vi\u1ec7n v\u00ec g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 t\u1ee5t huy\u1ebft \u00e1p nh\u01b0ng th\u0103m kh\u00e1m, c\u00e1c b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n b\u1ec7nh nh\u00e2n b\u1ecb m\u1ed9t v\u1ea5n \u0111\u1ec1 r\u1ea5t nghi\u00eam tr\u1ecdng \u1edf ph\u1ed5i, n\u1ebfu \u0111i\u1ec1u tr\u1ecb tr\u1ec5 c\u00f3 th\u1ec3 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/bvnguyentrai.org.vn\/en\/gay-co-xuong-dui-nguoi-phu-nu-nhap-vien-moi-biet-suyt-chet-vi-can-benh-rat-nguy-hiem-o-phoi\/#i\" >\u00a0<\/a><\/li><\/ul><\/nav><\/div>\n<h1 class=\"afcb-title\" data-role=\"title\"><span class=\"ez-toc-section\" id=\"Nhap_vien_vi_gay_co_xuong_dui_va_tut_huyet_ap_nhung_tham_kham_cac_bac_si_phat_hien_benh_nhan_bi_mot_van_de_rat_nghiem_trong_o_phoi_neu_dieu_tri_tre_co_the_nguy_hiem_den_tinh_mang\"><\/span><span style=\"font-size: 24px;\">Nh\u1eadp vi\u1ec7n v\u00ec g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 t\u1ee5t huy\u1ebft \u00e1p nh\u01b0ng th\u0103m kh\u00e1m, c\u00e1c b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n b\u1ec7nh nh\u00e2n b\u1ecb m\u1ed9t v\u1ea5n \u0111\u1ec1 r\u1ea5t nghi\u00eam tr\u1ecdng \u1edf ph\u1ed5i, n\u1ebfu \u0111i\u1ec1u tr\u1ecb tr\u1ec5 c\u00f3 th\u1ec3 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/span><span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p>\u0110\u00f3 l\u00e0 tr\u01b0\u1eddng h\u1ee3p c\u1ee7a b\u00e0 Xu\u00e2n (68 tu\u1ed5i, ng\u1ee5 TP.HCM, t\u00ean \u0111\u00e3 thay \u0111\u1ed5i).<\/p>\n<p>Theo b\u1ec7nh s\u1eed, b\u1ec7nh nh\u00e2n \u0111\u00e3 g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i c\u00e1ch 1 tu\u1ea7n v\u00e0 \u0111ang ch\u1edd l\u00ean l\u1ecbch m\u1ed5 thay kh\u1edbp h\u00e1ng.<\/p>\n<p>Khi kh\u00e1m b\u1ec7nh t\u1ea1i m\u1ed9t b\u1ec7nh vi\u1ec7n (BV) chuy\u00ean khoa Ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, c\u00e1c b\u00e1c s\u0129 ghi nh\u1eadn b\u1ec7nh nh\u00e2n huy\u1ebft \u00e1p th\u1ea5p, c\u00f3 kh\u00f3 th\u1edf n\u00ean \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn BV Nguy\u1ec5n Tr\u00e3i (qu\u1eadn 5, TP.HCM).<\/p>\n<p>T\u1ea1i khoa C\u1ea5p c\u1ee9u, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ghi nh\u1eadn huy\u1ebft \u00e1p 70\/50mmHg, m\u1ea1ch nhanh n\u00ean ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c chuy\u1ec3n v\u00e0o \u0111\u01a1n v\u1ecb H\u1ed3i s\u1ee9c Tim m\u1ea1ch.<\/p>\n<div><a class=\"detail-img-lightbox\" href=\"https:\/\/afamilycdn.com\/150157425591193600\/2020\/8\/22\/base64-15980825872511006761034.png\" target=\"_blank\" title=\"B\u1ec7nh nh\u00e2n v\u00f4 t\u00ecnh ph\u00e1t hi\u1ec7n thuy\u00ean t\u1eafc ph\u1ed5i sau khi g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i.\" data-fancybox-group=\"img-lightbox\"><img decoding=\"async\" class=\"lightbox-content\" src=\"http:\/\/bvnguyentrai.org.vn\/wp-content\/uploads\/2026\/01\/base64-15980825872511006761034.png\" border=\"0\" alt=\"V\u00f4 t\u00ecnh g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i, ng\u01b0\u1eddi ph\u1ee5 n\u1eef nh\u1eadp vi\u1ec7n m\u1edbi bi\u1ebft su\u00fdt ch\u1ebft v\u00ec c\u0103n b\u1ec7nh r\u1ea5t nguy hi\u1ec3m \u1edf ph\u1ed5i - \u1ea2nh 1.\" title=\"V\u00f4 t\u00ecnh g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i, ng\u01b0\u1eddi ph\u1ee5 n\u1eef nh\u1eadp vi\u1ec7n m\u1edbi bi\u1ebft su\u00fdt ch\u1ebft v\u00ec c\u0103n b\u1ec7nh r\u1ea5t nguy hi\u1ec3m \u1edf ph\u1ed5i - \u1ea2nh 1.\" width=\"693\" height=\"483\" data-original=\"https:\/\/afamilycdn.com\/150157425591193600\/2020\/8\/22\/base64-15980825872511006761034.png\" \/><\/a><\/div>\n<p data-placeholder=\"[Nh\u1eadp ch\u00fa th\u00edch \u1ea3nh]\">B\u1ec7nh nh\u00e2n v\u00f4 t\u00ecnh ph\u00e1t hi\u1ec7n thuy\u00ean t\u1eafc ph\u1ed5i sau khi g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i.<\/p>\n<p>C\u00e1c b\u00e1c s\u0129 tim m\u1ea1ch nh\u1eadn \u0111\u1ecbnh ng\u01b0\u1eddi ph\u1ee5 n\u1eef t\u1ee5t huy\u1ebft \u00e1p k\u00e8m kh\u00f3 th\u1edf tr\u00ean n\u1ec1n b\u1ec7nh ph\u1ea3i b\u1ea5t \u0111\u1ed9ng k\u00e9o d\u00e0i, kh\u1ea3 n\u0103ng cao b\u1ecb thuy\u00ean t\u1eafc ph\u1ed5i.<\/p>\n<p>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 ban \u0111\u1ea7u ghi nh\u1eadn nh\u1ecbp nhanh xoang ph\u00f9 h\u1ee3p v\u1edbi ch\u1ea9n \u0111o\u00e1n.<\/p>\n<p>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c truy\u1ec1n d\u1ecbch, th\u00eam v\u1eadn m\u1ea1ch v\u00e0 \u0111\u01b0\u1ee3c ch\u1ee5p CT kh\u1ea9n \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i d\u01b0\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a khoa Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh.<\/p>\n<p>K\u1ebft qu\u1ea3 ch\u1ee5p ghi nh\u1eadn huy\u1ebft kh\u1ed1i \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i t\u1eeb th\u00e2n chung, 2 nh\u00e1nh v\u00e0 c\u00e1c nh\u00e1nh nh\u1ecf.<\/p>\n<p>Si\u00eau \u00e2m c\u0169ng ghi nh\u1eadn huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u ch\u00e2n ph\u1ea3i (b\u00ean g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i \u0111ang d\u00f9ng n\u1eb9p ch\u1ed1ng xoay), th\u1ea5t ph\u1ea3i d\u00e3n l\u1edbn tr\u00ean si\u00eau \u00e2m tim.<\/p>\n<div><a class=\"detail-img-lightbox\" href=\"https:\/\/afamilycdn.com\/150157425591193600\/2020\/8\/22\/base64-15980826130371073634875.png\" target=\"_blank\" title=\"H\u00ecnh \u1ea3nh \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 c\u1ee7a b\u1ec7nh nh\u00e2n.\" data-fancybox-group=\"img-lightbox\"><img decoding=\"async\" class=\"lightbox-content\" src=\"http:\/\/bvnguyentrai.org.vn\/wp-content\/uploads\/2026\/01\/base64-15980826130371073634875.png\" border=\"0\" alt=\"V\u00f4 t\u00ecnh g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i, ng\u01b0\u1eddi ph\u1ee5 n\u1eef nh\u1eadp vi\u1ec7n m\u1edbi bi\u1ebft su\u00fdt ch\u1ebft v\u00ec c\u0103n b\u1ec7nh r\u1ea5t nguy hi\u1ec3m \u1edf ph\u1ed5i - \u1ea2nh 2.\" title=\"V\u00f4 t\u00ecnh g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i, ng\u01b0\u1eddi ph\u1ee5 n\u1eef nh\u1eadp vi\u1ec7n m\u1edbi bi\u1ebft su\u00fdt ch\u1ebft v\u00ec c\u0103n b\u1ec7nh r\u1ea5t nguy hi\u1ec3m \u1edf ph\u1ed5i - \u1ea2nh 2.\" width=\"692\" height=\"414\" data-original=\"https:\/\/afamilycdn.com\/150157425591193600\/2020\/8\/22\/base64-15980826130371073634875.png\" \/><\/a><\/div>\n<p data-placeholder=\"[Nh\u1eadp ch\u00fa th\u00edch \u1ea3nh]\">H\u00ecnh \u1ea3nh \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>Sau khi ti\u1ebfn h\u00e0nh h\u1ed9i ch\u1ea9n, ekip \u0111i\u1ec1u tr\u1ecb ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u00e2n b\u1ecb thuy\u00ean t\u1eafc ph\u1ed5i l\u1edbn (massive PE), t\u00ecnh tr\u1ea1ng c\u00f3 th\u1ec3 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/p>\n<p>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft Alteplase.<\/p>\n<p>Sau can thi\u1ec7p, huy\u1ebft \u00e1p b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh d\u1ea7n, ng\u01b0ng \u0111\u01b0\u1ee3c v\u1eadn m\u1ea1ch, gi\u1ea3m \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch trung t\u00e2m v\u00e0 qua c\u01a1n nguy k\u1ecbch.<\/p>\n<p>B\u00e1c s\u0129 H\u1ed3 D\u0169ng Ti\u1ebfn, Tr\u01b0\u1edfng khoa Tim m\u1ea1ch 1, B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i cho bi\u1ebft, thuy\u00ean t\u1eafc ph\u1ed5i l\u00e0 t\u00ecnh tr\u1ea1ng t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i th\u01b0\u1eddng do huy\u1ebft kh\u1ed1i t\u1eeb h\u1ec7 t\u0129nh m\u1ea1ch s\u00e2u chi d\u01b0\u1edbi.\u00a0<\/p>\n<p>Nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu xu\u1ea5t ph\u00e1t t\u1eeb huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u chi d\u01b0\u1edbi ho\u1eb7c c\u00e1c t\u0129nh m\u1ea1ch ch\u1eadu, th\u1eadn, chi tr\u00ean ho\u1eb7c t\u1eeb tim ph\u1ea3i.<\/p>\n<div><a class=\"detail-img-lightbox\" href=\"https:\/\/afamilycdn.com\/150157425591193600\/2020\/8\/22\/base64-15980825457331034727215.png\" target=\"_blank\" title=\"B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n t\u1ea1i khoa Tim m\u1ea1ch 1, BV Nguy\u1ec5n Tr\u00e3i (TP.HCM).\" data-fancybox-group=\"img-lightbox\"><img loading=\"lazy\" decoding=\"async\" class=\"lightbox-content\" src=\"http:\/\/bvnguyentrai.org.vn\/wp-content\/uploads\/2026\/01\/base64-15980825457331034727215.png\" border=\"0\" alt=\"V\u00f4 t\u00ecnh g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i, ng\u01b0\u1eddi ph\u1ee5 n\u1eef nh\u1eadp vi\u1ec7n m\u1edbi bi\u1ebft su\u00fdt ch\u1ebft v\u00ec c\u0103n b\u1ec7nh r\u1ea5t nguy hi\u1ec3m \u1edf ph\u1ed5i - \u1ea2nh 3.\" title=\"V\u00f4 t\u00ecnh g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i, ng\u01b0\u1eddi ph\u1ee5 n\u1eef nh\u1eadp vi\u1ec7n m\u1edbi bi\u1ebft su\u00fdt ch\u1ebft v\u00ec c\u0103n b\u1ec7nh r\u1ea5t nguy hi\u1ec3m \u1edf ph\u1ed5i - \u1ea2nh 3.\" width=\"690\" height=\"864\" data-original=\"https:\/\/afamilycdn.com\/150157425591193600\/2020\/8\/22\/base64-15980825457331034727215.png\" \/><\/a><\/div>\n<p data-placeholder=\"[Nh\u1eadp ch\u00fa th\u00edch \u1ea3nh]\">B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n t\u1ea1i khoa Tim m\u1ea1ch 1, BV Nguy\u1ec5n Tr\u00e3i (TP.HCM).<\/p>\n<p>Thuy\u00ean t\u1eafc ph\u1ed5i kh\u00f4ng qu\u00e1 hi\u1ebfm g\u1eb7p tr\u00ean l\u00e2m s\u00e0ng nh\u01b0ng kh\u00f4ng d\u1ec5 ch\u1ea9n \u0111o\u00e1n, khi \u0111\u00e2y th\u01b0\u1eddng l\u00e0 ch\u1ea9n \u0111o\u00e1n lo\u1ea1i tr\u1eeb.<\/p>\n<div id=\"admzone480454\">\n<div id=\"zone-480454\">\n<div id=\"share-jvrkmjd9\">\n<div id=\"placement-566077\">\n<div id=\"banner-480454-566091\">\n<div id=\"slot-1-480454-566091\">\n<div id=\"ssppagebid_1265\">\n<div id=\"iplayzone_475498_3315\" class=\"banner0\" data-ssp=\"sspbid_3315\" data-admssprqid=\"fc9dbe18-fa34-4d02-8097-1393b33f0177-5f433c3c\" data-width=\"640\" data-height=\"320\">\u00a0<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>C\u00e1c d\u1ea5u hi\u1ec7u \u0111i\u1ec3n h\u00ecnh \u0111\u1ec3 c\u00e1c b\u00e1c s\u0129 ngh\u0129 \u0111\u1ebfn thuy\u00ean t\u1eafc ph\u1ed5i \u1edf ng\u01b0\u1eddi b\u1ec7nh l\u00e0 kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, t\u1ee5t huy\u1ebft \u00e1p ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n;<\/p>\n<p>B\u1ea5t th\u01b0\u1eddng \u1edf th\u1ea5t ph\u1ea3i tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 v\u00e0 si\u00eau \u00e2m tim.<\/p>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 thuy\u00ean t\u1eafc nh\u01b0 ung th\u01b0, n\u1eb1m b\u1ea5t \u0111\u1ed9ng, s\u1eed d\u1ee5ng thu\u1ed1c ng\u1eeba thai,&#8230; ho\u1eb7c ghi nh\u1eadn huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u chi d\u01b0\u1edbi.<\/p>\n<p>\u0110\u1ec3 ph\u00f2ng tr\u00e1nh thuy\u00ean t\u1eafc kh\u1ed1i, b\u00e1c s\u0129 khuy\u00ean ng\u01b0\u1eddi d\u00e2n c\u1ea7n gi\u1eef c\u00e2n n\u1eb7ng h\u1ee3p l\u00fd, th\u01b0\u1eddng xuy\u00ean t\u1eadp th\u1ec3 d\u1ee5c, tr\u00e1nh n\u1eb1m qu\u00e1 l\u00e2u, kh\u00f4ng h\u00fat thu\u1ed1c&#8230;<\/p>\n<p>Khi c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh, ph\u1ea3i \u0111\u1ebfn BV ngay v\u00e0 tu\u00e2n th\u1ee7 h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u00e1c s\u0129. 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