Bài viết tiến hành báo cáo 2 ca bệnh nhồi máu mạc nối lơn có triệu chứng đau bụng cấp được chẩn đoán xác định trong mổ; tiến hành cắt mạc nối hoại tử qua mổ nội soi ổ bụng tại bệnh viện Bạch Mai.
Trang 1TCNCYH 138 (2) - 2021
Ĉ$8%Ө1*&Ҩ3'21+Ӗ,0È80Ҥ&1Ӕ,/Ӟ1
7+Ð1*%È2&$/Æ06¬1*
7UҫQ4XӃ6ѫQ 1 1JX\ӉQ&KLӃQ4X\ӃW 9NJĈӭF/RQJ 7UҫQ7KDQK7QJ 7UҫQ0LQKĈӭF 1 7UҫQ7KX+ѭѫQJ /XQ3DQKD 1 Yj7UҫQ+LӃX+ӑF 1,
1 7Ú͵QJĈ̹LKͥF<+j1ͱL
2 %͟QKYL͟Q%̹FK0DL
7ӯNKyDPҥFQӕLOӟQQKӗLPiXQKӗLPiXPҥFQӕLOӟQÿDXEөQJFҩSSKүXWKXұWQӝLVRL
1KͫLPiXKR̹LW΅P̹FQͩLOjPͱWQJX\rQQKkQKL͗PJ͏SJk\ÿDXEͽQJF̽SGR[R͇QW͇FP̹FKP̹FQͩLKR͏F QKL͝PWUQJͭEͽQJ%L͛XKL͟QOkPVjQJNK{QJÿ͏FKL͟XQrQQKL͙XE͟QKQKkQÿ́ͻFFK͡ÿͣQKPͭYͳLFḰQÿRiQ WÚͳFPͭOjYLrPW~LPͅWYLrPUXͱWWKDKD\WKͿQJW̹QJUͯQJ9ͳLVΉUDÿ͵LFͿDFKͽSF͇WOͳSYLWtQKQKͫLPiX P̹FQͩLÿ́ͻFFḰQÿRiQ[iFÿͣQKQKL͙XK˿QWÚͳFNKLSK̓XWKXͅW&K~QJW{LEiRFiRFDOkPVjQJQKͫLPiX P̹FQͩLOͳQYjRYL͟QYuÿDXEͽQJǴͳLV́͵QSK̻L&KͽSF͇WOͳSYLWtQKFyG̽XKL͟XWKkPQKL͝PGj\P̹FQͩL +DLE͟QKQKkQÿ͙Xÿ́ͻFPͭQͱLVRLF̽SFXF͇WEͧSK̿QP̹FQͩLOͳQEͣQKͫLPiXF̻E͟QKQKkQNKͧLUDYL͟Q VDXQJj\ÿL͙XWUͣ.͗WOXͅQSK̓XWKXͅWQͱLVRLͭEͽQJQrQÿ́ͻFFK͡ÿͣQKYDÿ͛FḰQÿRiQQJX\rQQKkQYD ÿL͙XWUͣFKRN͗WTX̻WͩW
7iFJL̻OLrQK͟7U̿Q+L͗X+ͥF
7Ú͵QJĈ̹LKͥF<+j1ͱL
(PDLOKLHXKRF#JPDLOFRP
1Jj\QKͅQ
1Jj\ÿ́ͻFFK̽SQKͅQ
,ĈҺ79Ҩ1Ĉӄ
1KӗLPiXPҥFQӕLOӟQOjQJX\rQQKkQKLӃP
JһSJk\ÿDXEөQJFҩSÿѭӧFP{WҧOҫQÿҫXEӣL
%XVKYjRQăPVDXÿyOjWUѭӡQJKӧS[RҳQ
PҥFQӕLÿҫXWLrQÿѭӧFJKLQKұQEӣL(LWHOQăP
7ӯ ÿy ÿӃQ QD\ Fy NKRҧQJ
FD ÿѭӧF WK{QJ EiR0ҥF QӕL OӟQ Fy QKLӅX
PҥFKYjPӥQӕLWӯEӡFRQJOӟQGҥGj\YjSKҫQ
[XӕQJWiWUjQJFKHSKӫSKҫQOӟQUXӝWQRQVDX
ÿy YzQJ OrQ EiP YjR Eӡ Wӵ GR FӫD ÿҥL WUjQJ
QJDQJĈDXEөQJGRQKӗLPiXPҥFQӕLOӟQFy
WKӇ JһS ӣ QKLӅX Yӏ WUt NKiF QKDX FӫD ә EөQJ
FҫQ SKkQ ELӋW YӟL PӝW Vӕ EӋQK Oê QJRҥL NKRD
KD\JһSQKѭYLrPW~LPұWFҩSYLrPSKҫQSKө
FҩSYLrPW~LWKӯDÿҥLWUjQJYLrPUXӝWWKӯDW\
YjRYӏWUtÿDX&KҭQÿRiQ[iFÿӏQKFҫQSKҧL
GӵDYjRÿһF ÿLӇPOkPVjQJYjWәQWKѭѫQJWUrQ
SKLP FKөS FҳW OӟS YL WtQK QKLӅX NKL FKӍ ÿѭӧF FKҭQ ÿRiQ WURQJ Pә7KHR \ YăQ QKӗL PiX PҥFQӕLFyWKӇÿѭӧF ÿLӅXWUӏQӝLNKRDWUѭӟFWLrQ NKiQJ VLQK JLҧP ÿDX NKiQJ YLrP Yj WKHR G}L1ӃXGLӉQELӃQOkPVjQJNK{QJJLҧPWKuQrQ FKӍÿӏQKSKүXWKXұW&K~QJW{LWK{QJEiR FDEӋQKQKӗLPiXPҥFQӕLOӟQFyWULӋXFKӭQJ ÿDXEөQJFҩSÿѭӧFFKҭQÿRiQ[iFÿӏQKWURQJ Pә +DL EӋQK QKkQ ÿѭӧF FK~QJ W{L FҳW SKҫQ PҥFQӕLKRҥLWӱTXDPәQӝLVRLәEөQJWҥL%ӋQK YLӋQ%ҥFK0DLFKRNӃWTXҧWӕW
,,ĈӔ,7ѬӦ1*9¬3+ѬѪ1*3+È3
7ӯ ± FK~QJ W{L WKӵF KLӋQ SKүX WKXұW QӝL VRL FҩS FӭX FKR EӋQK QKkQEӏQKӗLPiXKRҥLWӱPҥFQӕLOӟQ
&DEӋQK
%ӋQKQKkQ3KҥP7Kӏ6QӳWXәL1Jj\ YjR YLӋQ 7LӅQ Vӱ NKӓH PҥQK YjR YLӋQYuÿDXGѭӟLVѭӡQSKҧLYjWKѭӧQJYӏQJj\ WKӭEXӗQQ{QYjQ{QNK{QJVӕWKX\ӃWÿӝQJ әQÿӏQK%ӋQKQKkQYjR7UXQJWkPFKӕQJÿӝF
Trang 2TCNCYH 138 (2) - 2021
ÿLӅXWUӏYӟLFKҭQÿRiQQJӝÿӝFWKӭFăQUӕLORҥQWLrXKyD.KiPWKҩ\EөQJFKѭӟQJSKҧQӭQJWKjQK EөQJ GѭӟL VѭӡQ SKҧL ;pW QJKLӋP PiX EҥFK FҫX */ KӗQJ FҫX 7/ WLӇX FҫX */ SURWKURPELQ¿EULQRJHQJ/JOXFRVHPPRO/*278/*378/DP\ODVH 8/OLSDVH8/&53PJG/.DOLPPRO/QDWULPPRO/&KөS;TXDQJәEөQJNK{QJ FKXҭQEӏNK{QJNKtWӵGRәEөQJ6LrXkPWKҩ\JDQWRQKXP{WăQJkPNK{QJWKҩ\NKӕLKD\VӓL ÿѭӡQJPұW7~LPұWWKjQKPӓQJNK{QJVӓL7ө\OiFKKDLWKұQEuQKWKѭӡQJ'ѭӟLJDQFyOӟSGӏFK Gj\PPFҥQKÿyFyWKkPQKLӉPPӥ&ҳWOӟSYLWtQKәEөQJWKkPQKLӉPPӥYjGӏFKPӓQJGѭӟL VѭӡQSKҧLQJD\GѭӟLJDQYjW~LPұWOkQFұQFyYjLKҥFKQKӓ1KXP{JDQÿӗQJQKҩWW~LPұWWKjQK PӓQJNK{QJVӓL7ө\NK{QJWRNK{QJWKҩ\GӏFKTXDQKWө\
+uQK&KөSFҳWOӟSYLWtQKWKҩ\WKkPQKLӉPPӥGѭӟLVѭӡQSKҧLPNJLWrQWUҳQJ
&KҭQÿRiQWUѭӟFPәÿDXEөQJQJRҥLNKRDQJKLWKӫQJәORpWWiWUjQJ%ӋQKQKkQÿѭӧFPәQӝL VRL9jRәEөQJFytWGӏFKWLӃWGѭӟLJDQW~LPұWWKjQKPӓQJNK{QJFyÿLӇPKRҥLWӱJDQKӗQJÿҽS GҥGj\WiWUjQJUXӝWQRQÿҥLWUjQJNK{QJWKҩ\OӛWKӫQJ
+uQK0{WҧWәQWKѭѫQJWURQJPә
7~LPұWNK{QJYLrPJDQKӗQJÿҽSWiWUjQJNK{QJWKӫQJ
Trang 3TCNCYH 138 (2) - 2021
3KҫQPҥFQӕLOӟQWtPÿHQKRҥLWӱNtFKWKѭӟFNKRҧQJ[FPGtQKYjRWKjQKEөQJWUѭӟFYjGk\ FKҵQJWUzQ5XӝWWKӯDYjKDLSKҫQSKөNK{QJYLrP
+uQK0ҥFQӕLOӟQKRҥLWӱWtPÿHQPNJLWrQWUҳQJ
&KҭQÿRiQWURQJPәKRҥLWӱPҥFQӕLOӟQGRQKӗLPiXĈLӅXWUӏSKүXWKXұWQӝLVRLFҳWSKҫQPҥF QӕLOӟQKRҥLWӱ*LҧLSKүXEӋQKPmVӕ$&9ӅÿҥLWKӇWәFKӭFPҥFQӕLOӟQFyQKLӅXYQJFKҧ\ PiX9ӅYLWKӇQKXӝPEӋQKSKҭPEҵQJSKѭѫQJSKiS+(Yj3$6FiFPҧQKVLQKWKLӃWOҩ\YjRWә FKӭFP{OLrQNӃWWKҩ\WәFKӭF[ѫPӥQKLӅXYQJWKRiLKyDFKҧ\PiX[kPQKұSYLrPPҥQWtQK NK{QJWKҩ\WӃEjRiFWtQK&KҭQÿRiQP{EӋQKKӑFOjWәFKӭF[ѫPӥYLrPKRҥLWӱ6DXPәQJj\ EӋQKQKkQKӃWÿDXNK{QJVӕW
+uQK%ӋQKSKҭPVDXPә0ҥFQӕLOӟQKRҥLWӱPNJLWrQWUҳQJ
&DEӋQK
%ӋQKQKkQ0DL7Kӏ&JLӟLQӳWXәLPmVӕEӋQKán%0QJj\YjRYLӋQ 7LӅQVӱNKӓHPҥQKFKѭDWLӅQVӱSKүXWKXұWÿDXEөQJPҥQJVѭӡQSKҧLQJj\WKӭNK{QJQ{Q NK{QJVӕWÿҥLWLӋQEuQKWKѭӡQJ'ѭӟLVѭӡQSKҧLFyNKӕLFKҳFNKRҧQJ[FPҩQÿDXYjSKҧQӭQJ
Trang 4TCNCYH 138 (2) - 2021
;pW QJKLӋP PiX KӗQJ FҫX 7/ WLӇX FҫX */ EҥFK FҫX */ SURWKURPELQ
¿EULQRJHQJ/XUHPPRO/JOXFRVHPPRO/FUHDWLQLQHPRO/*278/*37
*/NDOLPPRO/QDWULPPRO/&53PJG/
6LrXkPW~LPұWWKjQKGj\PPGӏFKPұWWURQJӕQJPұWFKӫNK{QJJLmQNK{QJVӓL7ө\NK{QJ WR7KkPQKLӉPPӥUҩWUӝQJJҫQWRjQEӝPҥFQӕLYQJGѭӟLVѭӡQSKҧL5XӝWWKӯDPPWKkPQKLӉP QKҽNK{QJGӏFKәEөQJ
&ҳWOӟSYLWtQKGѭӟLVѭӡQSKҧLFyWәQWKѭѫQJGҥQJNKӕL[PPWKkPQKLӉPPӥ[XQJTXDQK VDXWLrPQJҩPWKXӕFNpPFyGҩXKLӋX³[Ri\QѭӟF´ӣPҥFKPiXWUXQJWkPQJKL[RҳQPҥFQӕLOӟQ
+uQK&KөSFҳWOӟSYLWtQKWKҩ\NKӕLGѭӟLVѭӡQSKҧL[FPQJKLPҥFQӕLPNJLWrQWUҳQJ
&KҭQÿRiQWUѭӟFPәKRҥLWӱPҥFQӕLOӟQ%ӋQKQKkQÿѭӧFFKӍÿӏQKSKүXWKXұWQӝLVRLәEөQJ әEөQJNK{QJFyGӏFKPҥFQӕLOӟQYQJGѭӟLJDQEӏQKӗLPiXKRҥLWӱPӝWSKҫQ*DQKӗQJÿҽSGҥ GҥWiWUjQJUXӝWQRQWKjQKQKҹQNK{QJWKӫQJ3KѭѫQJSKiSPәSKүXWKXұWQӝLVRLFҳWSKҫQPҥF QӕLOӟQKRҥLWӱEҵQJGDR/LJDVXUH
+uQK3KүXWKXұWQӝLVRLFҳWSKҫQPҥFQӕLOӟQKRҥLWӱEҵQJ/LJDVXUH0ҥFQӕLOӟQKRҥLWӱ
PNJLWrQWUҳQJÿҥLWUjQJJyFJDQPNJLWrQ[DQK
Trang 5TCNCYH 138 (2) - 2021
*LҧLSKүXEӋQKÿҥLWKӇWKҩ\WәFKӭFPҥFQӕLOӟQFyQKLӅXYQJFKҧ\PiXWҳFPҥFK9LWKӇEӋQK SKҭPÿѭӧFQKXӝQ+(Yj3$6WKҩ\WәFKӭFP{OLrQNӃWWKҩ\WәFKӭF[ѫPӥQKLӅXYQJWKRiLKyD KRҥLWӱ[kPQKұSYLrPPҥQWtQKNK{QJWKҩ\WӃEjRiFWtQK6DXPәEӋQKQKkQKӃWÿDXăQWӕW NK{QJVӕWYӃWPәNK{NK{QJELӃQFKӭQJUDYLӋQVDXQJj\
,,,%¬1/8Ұ1
0һFGFyNKRҧQJFDEӋQKÿѭӧF báo
FiR OLrQ TXDQ ÿӃQ QKӗL PiX PҥF QӕL OӟQ
.KRҧQJ FiF WUѭӡQJ KӧS [ҧ\ UD ӣ QJѭӡL
WUѭӣQJWKjQKKҫXKӃWWURQJÿӝWXәLWӯÿӃQ
QӳFDRJҩSÿ{LQDPJLӟL1KӗLPiXPҥF
QӕL WKѭӡQJ ÿѭӧF FKLD WKjQK KDL ORҥL FKtQK Oj
QKӗL PiX QJX\rQ SKiW Yj WKӭ SKiW ' Oj WәQ
WKѭѫQJ GҥQJ Ju WKu WLӃQ WULӇQ EӋQK Oê WUrQ P{
EӋQKKӑFWӯYLrPSKQӅWҳFQJKӁQPҥFKKRҥL
Wӱ Yj WKRiW GӏFK YjR әEөQJ+DL EӋQK QKkQ
FK~QJW{LJһSÿӅXOjQӳYjWUrQWXәLFNJQJ
SKKӧSYӟLÿһF ÿLӇPGӏFKWӉKD\JһS
9͙ QJX\rQ QKkQ QKӗL PiX PҥF QӕL OӟQ
FKRÿӃQQD\YүQFKѭD[iFÿӏQK ÿѭӧFQJX\rQ
QKkQYjWҥLVDRErQSKҧLPҥFQӕLOӟQWKѭӡQJ
EӏKѫQ1KLӅXWiFJLҧFKRUҵQJFKtQKVӵEҩW
WKѭӡQJEҭPVLQKPҥFKPiXFXQJFҩSFKRSKҫQ
PҥF QӕL OӟQ GѭӟL ErQ SKҧL QrQ GӉ Jk\ QKӗL
PiXQJKLrQFӭXNKiFFKRUҵQJGRVӵNKiFELӋW
YӅQJXӗQJӕFSK{LWKDLQrQPҥFKPiXYQJEӡ
SKҧLPҥFQӕLOӟQQKӓYjPRQJPDQKKѫQQrQ
GӉEӏNpRGjLYjWҳFQJKӁQKѫQ1KӳQJ\ӃXWӕ
WKXұQOӧLEDRJӗPFKҩQWKѭѫQJWұSWKӇWKDR
TXi PӭF WLӅQ Vӱ SKүX WKXұW EөQJ EӋQK WLP
PҥFKWăQJiSOӵFәEөQJÿӝWQJӝWYjWuQKWUҥQJ
WăQJÿ{QJPiXÿһFELӋWOjWuQKWUҥQJEpRSKu
OjPWăQJOҳQJÿӑQJPӥWURQJPҥFKPiXFXQJ
FҩSFKRPҥFQӕL+DLFDEӋQKFK~QJW{LJһS
SKҧLÿӅXEӏӣSKҫQPҥFQӕLOӟQErQSKҧLÿӗQJ
WKӡLWUrQ[pWQJKLӋPÿ{QJPiXFӫDEӋQKQKkQ
FyFKӍVӕ¿EULQRJHQWăQJKѫQEuQKWKѭӡQJ
J/YjJ/FKRWKҩ\WuQKWUҥQJWăQJÿ{QJ
PiXFӫDEӋQKQKkQFyWKӇOjQJX\rQQKkQJk\
QKӗLPiXPҥFQӕLOӟQ
9͙FḰQÿRiQOkPVjQJQKӗLPiXPҥFQӕL
NK{QJ ÿһF KLӋX YӟL ELӇX KLӋQ EDQ ÿҫX là ÿDX EөQJ FҩS EXӗQ Q{Q Q{Q yL FKiQ ăQ KiP WKӵF WKӇ WKѭӡQJ Fy SKҧQ ӭQJ WKjQK EөQJ ӣ QӱDEөQJWѭѫQJӭQJYӟLYӏWUtPҥFQӕLEӏQKӗL PiX7URQJÿDVӕWUѭӡQJKӧSFyWăQJVӕOѭӧQJ EҥFK FҫX Yj &53 9u Yұ\ QKӗL PiX PҥF QӕL OӟQWKѭӡQJNKySKkQELӋWYӅOkPVjQJYӟLFiF EӋQK EөQJ QJRҥL NKRD WKѭӡQJ JһS QKѭ YLrP UXӝWWKӯDYLrPW~LPұWYLrPW~LWKӯDYLrPW~L WKӯD PDQK WUjQJ +DL EӋQK QKkQ FK~QJ W{LJһSSKҧLÿӅXFyWULӋXFKӭQJÿDXEөQJYQJ GѭӟL VѭӡQSKҧLQ{Q QrQ EDQ ÿҫXFKҭQ ÿRiQ QKҫPYӟLQJӝÿӝFWKӭFăQYjWKӫQJWҥQJUӛQJ KD\YLrPW~LPұWFҩS
6LrX kP Yj FKөS FҳW OӟS YL WtQK ә EөQJ Oj SKѭѫQJWLӋQFKҭQÿRiQWLQFұ\6LrXkPFyWKӇ ORҥLWUӯYLrPW~LPұWFҩS+uQKҧQKWәQWKѭѫQJ Fy KuQK { YDQ KD\ KuQK EiQK WăQJ kP WKkP QKLӉP Pӥ WѭѫQJ ӭQJ YӟL ÿLӇP ÿDX GӏFK ә EөQJ 6LrX kP GRSSOHU FKR WKҩ\ KuQK ҧQK WҳF PҥFK PiX WURQJ NKӕL Qj\ Yj WăQJ WѭӟL PiX [XQJTXDQKYQJWәQWKѭѫQJ
&ҳW OӟS YL WtQK ә EөQJ Fy YDL WUz UҩW TXDQ WUӑQJWURQJ FKҭQÿRiQQKӗL PiXPҥFQӕL OӟQ FKҭQÿRiQSKkQELӋWYӟLYLrPUXӝWWKӯDYLrP W~L PұW YLrP W~L WKӯD PDQK WUjQJ YLrP Wө\ FҩSKD\WKӫQJWҥQJUӛQJ+uQKҧQKWәQWKѭѫQJ WKѭӡQJ WKҩ\ QKѭ WKkP QKLӉP Pӥ NK{QJ ÿӅX JLmQWƭQKPҥFKWURQJNKӕLPҥFQӕLWәQWKѭѫQJ QӃX[RҳQFyGҩXKLӋX³OӕF[Ri\´9ӏWUtWKѭӡQJ QҵPӣErQSKҧLJLӳDWKjQKEөQJKD\WUrQUӕQ ĈӇ FKҭQ ÿRiQ [iF ÿӏQK QKLӅX WiF JLҧ ÿӅ QJKӏ QӝLVRLәEөQJFKҭQÿRiQYjNӃWKӧSÿLӅXWUӏ
+DLEӋQKQKkQFK~QJW{LJһSWUrQVLrXkP ÿӅX FyÿһF ÿLӇPWKkPQKLӉPPӥYQJGѭӟLJDQFy
Trang 6TCNCYH 138 (2) - 2021
NKӕLWәQWKѭѫQJӣPҥFQӕLÿһFELӋWU}ӣEӋQK
QKkQ WKӭ KDL 'R EӋQK Oê KLӃP JһS tW ÿѭӧF
TXDQ WkP QrQ FKӍ PӝW EӋQK QKkQ ÿѭӧF FKҭQ
ÿRiQFKtQK[iFWUѭӟFPә
9͙P{E͟QKKͥFQKӗLPiXPҥFQӕLFyQKLӅX
KuQKҧQKNKiFQKDXW\WKHRWKӡLJLDQÿҫXWLrQ
OjVXQJKX\ӃWYӟLKRҥLWӱPӥNӃÿӃQOjWKkP
QKLӉPO\PSKRYjP{EjRFXӕLFQJOjQJX\rQ
EjRVӧL[ѫKyDYjWҥRVҽR1KӗLPiXPҥFQӕL
FyWKӇFyELӃQFKӭQJiS[HKyDJk\GtQKYj
QKLӉPWUQJWURQJәEөQJ
9͙ÿL͙XWUͣSKүXWKXұWKD\ÿLӅXWUӏNK{QJPә
YүQFKѭDFyVӵWKӕQJQKҩW0ӝWVӕWiFJLҧӫQJ
KӝYLӋFNK{QJPәFKRUҵQJQKӗLPiXOjEӋQK
Wӵ JLӟL KҥQ Yj KӃW WULӋX FKӭQJ VDX NKRҧQJ
WXҫQQrQFyWKӇÿLӅXWUӏWKXӕFNKiQJVLQKJLҧP
ÿDXFKӕQJYLrP&zQFiFQKjSKүXWKXұWFKR
UҵQJPәVӟPVӁOjPJLҧPWKӡLJLDQQҵPYLӋQ
Yj FҧL WKLӋQ WULӋX FKӭQJ ÿDX FӫD EӋQK QKkQ
KѫQQӳDSKүXWKXұWFNJQJFytWELӃQFKӭQJQKѭ
iS[HGtQKKD\QKLӉPWUQJӬQJGөQJSKүX
WKXұWQӝLVRLFyPӝWVӕѭX ÿLӇPQKѭNLӇP
WUDWRjQEӝәEөQJÿӇFKҭQÿRiQ[iFÿӏQK
K~W UӱD GӏFK YLrP QKLӉP WUQJ WURQJ ә SK~F
PҥF JLҧP WKLӇX [kP OҩQ JLҧP ÿDX KҥQ
FKӃWҳFUXӝWQKLӉPWUQJYӃWPә.KLPә
QӝL VRL GDR VLrX kP Yj GDR KjQ PҥFK ÿѭӧF
VӱGөQJUӝQJUmLFyWKӇWKӵFKLӋQFҳWEӓPҥF
QӕLWәQWKѭѫQJUҩWKLӋXTXҧJLҧPFKҧ\PiX
&K~QJW{LFKӍÿӏQKPәKDLFDEӋQKQj\YuOkP
VjQJEӋQKQKkQUҩWÿDXNK{QJORҥLWUӯÿѭӧF
EӋQKOêWKӫQJWiWUjQJKD\YLrPW~LPұWFҩSYӟL
YLӋFVӱGөQJWURFDUWURFDUPPUӕQFKR
FDPHUDWURFDUPPӣPҥQJVѭӡQSKҧLYj
GѭӟLVѭӡQWUiLFҳWSKҫQPҥFQӕLOӟQKRҥLWӱ
EҵQJGDR/LJDVXUH.ӃWTXҧÿLӅXWUӏWӕWKӃWÿDX
YjUDYLӋQVDXQJj\
,9.ӂ7/8Ұ1
1KӗL PiX PҥF QӕL OӟQ Oj PӝW WURQJ QKӳQJ
QJX\rQ QKkQ ÿDX EөQJ FҩS KLӃP JһS %ӋQK
OêQj\QrQÿѭӧFQJKƭÿӃQNKLÿӭQJWUѭӟFPӝW EӋQKQKkQÿDXEөQJFҩSYjFyWәQWKѭѫQJQJKL QJӡWUrQFKөSFҳWOӟSYLWtQK3KүXWKXұWQӝLVRL QrQÿѭӧFFKӍÿӏQKYӯDÿӇFKҭQÿRiQQJX\rQ nhân ÿDXEөQJFҩSÿӗQJWKӡLÿLӅXWUӏFҳWPҥF QӕLOӟQKRҥLWӱYӟLNӃWTXҧWӕW
/Ӡ,&Ҧ0Ѫ1
1KyP WiF JLҧ FKkQ WKjQK FҧP ѫQ FiF
%iFVƭQKkQYLrQÿLӅXGѭӥQJ.KRD&ҩSFӭX 1JRҥL.KRD1JRҥLWәQJKӧS%ӋQKYLӋQ%ҥFK 0DLÿmWKDPJLDSKүXWKXұWFKăPVyFYjWKHR G}LVDXPә
7¬,/,ӊ87+$0.+Ҧ2
DWDRND - 1LWWD 7 2WD 0 HW DO /DSDURVFRSLF RPHQWHFWRP\ LQ SULPDU\ WRUVLRQ
RIWKHJUHDWHURPHQWXPUHSRUWRIDFDVH6XUJ
&DVH5HS
0HGLQD*DOODUGR 1$ &XUEHOR3HQD < 6WLFNDU 7 HW DO RPHQWDO LQIDUFWLRQ VXUJLFDO RU FRQVHUYDWLYHWUHDWPHQW"DFDVHUHSRUWVDQGFDVH
VHULHVV\VWHPDWLFUHYLHZ$QQ0HG6XUJ/RQG
0F0LOOHQ%+HNPDQ'31JX\HQ07 HO DO ,GLRSDWKLF RPHQWDO LQIDUFWLRQ PDQDJHG
FRQVHUYDWLYHO\%0-&DVH5HS
3DUN78 2K -+ &KDQJ , 7 HW DO 2PHQWDOLQIDUFWLRQFDVHVHULHVDQGUHYLHZRIWKH
OLWHUDWXUH-(PHUJ0HG
*XSWD 5 )DUKDW : $PPDU + HW DO ,GLRSDWKLFVHJPHQWDOLQIDUFWLRQRIWKHRPHQWXP
PLPLFNLQJDFXWHDSSHQGLFLWLV$FDVHUHSRUW,QW- 6XUJ&DVH5HS
8GHFKXNZX 16 '¶6RX]D 56
$EGXONDUHHP $ HW DO &RPSXWHG WRPRJUDSK\ GLDJQRVLVRIRPHQWDOLQIDUFWLRQSUHVHQWLQJDVDQ
DFXWHDEGRPHQ5DGLRO&DVH5HS
0F&XVNHU 5 *HQW 5 *RK ' : 'LDJQRVLV DQG PDQDJHPHQW RI RPHQWDO
Trang 7TCNCYH 138 (2) - 2021
LQIDUFWLRQ LQ FKLOGUHQ 2XU \HDU H[SHULHQFH
ZLWK XOWUDVRXQG - 3HGLDWU 6XUJ
$EH 7 DML\DPD +DULPRWR 1 HW DO
/DSDURVFRSLF RPHQWHFWRP\ IRU SUHRSHUDWLYH
GLDJQRVLVRIWRUVLRQRIWKHJUHDWHURPHQWXP,QW
-6XUJ&DVH5HS
6XPPDU\
/$3$526&23,&20(17(&720<)25,1)$5&7,212)7+(
*5($7(520(17807:2&$6(65(32576
7KHRPHQWXPLVWKHODUJHVWSHULWRQHDOIROGLQWKHDEGRPHQZLWKPDQ\EORRGYHVVHOV2PHQWDO LQIDUFWLRQ LV D UDUH FDXVH RI DFXWH DEGRPLQDO SDLQ ZLWK UHSRUWHG LQFLGHQFH EHLQJ OHVV WKDQ SHU
FDVHVRIDSSHQGLFLWLV,QPRVWFDVHVRPHQWDOLQIDUFWLRQZHUHFDXVHGE\URWDWLRQWRUVLRQRI WKHRPHQWXPRULQWUDDEGRPLQDOLQIHFWLRQZKLFKLQGXFHVREVWUXFWLRQRIYHVVHOVDQGOHDGVWRRPHQWDO QHFURVLV&OLQLFDOPDQLIHVWDWLRQVZHUHQRQVSHFL¿FVRPDQ\SDWLHQWVZHQWWKURXJKVXUJHU\RQO\ZLWK DFXWH DEGRPLQDO VLJQV VXFK DV FKROHF\VWLWLV DSSHQGLFLWLV RU SHSWLF XOFHU SHUIRUDWLRQ +LVWRULFDOO\ RPHQWDOLQIDUFWLRQZDVGLDJQRVHGRQO\LQWUDRSHUDWLYHO\GXULQJVXUJHU\IRUSUHVXPHGDSSHQGLFLWLVRU RWKHUFDXVHVRIDFXWHDEGRPHQ%XWZLWKWKHLQFUHDVHLQWKHXVHRILPDJLQJHVSHFLDOO\DEGRPLQDO FRPSXWHG WRPRJUDSK\ &7 VFDQ PRUH FDVHV RI RPHQWDO LQIDUFWLRQ ZHUH EHLQJ GLDJQRVHG SUHRSHUDWLYHO\ :H UHSRUW WZR SDWLHQWV ZKR ZHUH UHIHUUHG WR RXU HPHUJHQF\ GHSDUWPHQW IRU ULJKW ORZHU TXDGUDQW DEGRPLQDO SDLQ &7 VKRZHG VLJQV RI LQ¿OWUDWLRQ WKLFNHQLQJ RI WKH RPHQWXP :H SHUIRUPHGHPHUJHQF\ODSDURVFRSLFRPHQWHFWRP\7KHVHSDWLHQWVZHUHGLVFKDUJHGZLWKLQGD\V
&RQFOXVLRQJUHDWHURPHQWDOLQIDUFWLRQZDVRQHRIWKHUDUHFDXVHVRIDFXWHDEGRPLQDOSDLQVRGLI¿FXOW WRDFFXUDWHO\GLDJQRVHEHIRUHVXUJHU\/DSDURVFRSLFRPHQWHFWRP\ZDVUHFRPPHQGHGWRLQLWLDWHDV HDUO\DVSRVVLEOHZLWKJRRGRXWFRPHV
.H\ZRUGVRPHQWXPLQIDUFWLRQRPHQWDOLQIDUFWLRQDFXWHDGRPLQDOSDLQODSDURVFRSLF RPHQWHFWRP\
1JX\ӉQ7KDQK3KRQJ1KӗLPiXPҥFQӕL
OӟQĈһFÿLӇPOkPVjQJYjÿLӅXWUӏ7̹SFKt<KͥF 73+ͫ&Kt0LQK±
1LMNDPS -/ *HUUHWVHQ 6& DQG 6WDVVHQ 3 0 /HIWVLGHG RPHQWDO LQIDUFWLRQ D UDUHFDXVHRIDEGRPLQDOSDLQGLVFRYHUHGE\&7
VFDQ%0-&DVH5HS
...0F0LOOHQ%+HNPDQ''31JX\HQ07 HO DO ,GLRSDWKLF RPHQWDO LQIDUFWLRQ PDQDJHG
FRQVHUYDWLYHO\%0-&DVH5HS
3DUN78 2K -+ &KDQJ , 7 HW DO 2PHQWDOLQIDUFWLRQFDVHVHULHVDQGUHYLHZRIWKH...
FDVHVRIDSSHQGLFLWLV,QPRVWFDVHVRPHQWDOLQIDUFWLRQZHUHFDXVHGE\URWDWLRQWRUVLRQRI WKHRPHQWXPRULQWUDDEGRPLQDOLQIHFWLRQZKLFKLQGXFHVREVWUXFWLRQRIYHVVHOVDQGOHDGVWRRPHQWDO QHFURVLV&OLQLFDOPDQLIHVWDWLRQVZHUHQRQVSHFL¿FVRPDQ\SDWLHQWVZHQWWKURXJKVXUJHU\RQO\ZLWK...
7KHRPHQWXPLVWKHODUJHVWSHULWRQHDOIROGLQWKHDEGRPHQZLWKPDQ\EORRGYHVVHOV2PHQWDO LQIDUFWLRQ LV D UDUH FDXVH RI DFXWH DEGRPLQDO SDLQ ZLWK UHSRUWHG LQFLGHQFH EHLQJ