{"id":112680,"date":"2019-06-11T11:52:32","date_gmt":"2019-06-11T03:51:42","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/112680\/"},"modified":"2019-06-11T11:51:44","modified_gmt":"2019-06-11T03:51:44","slug":"251052ccec","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/112680\/","title":{"rendered":"\u4e00\u4e2a\u4e0d\u8be5\u6709\u7684\u6b7b\u4ea1\u6848\u4f8b\uff01\u4ea7\u5987\u8f93\u8840 10000 mL \u540e\u6b7b\u4ea1"},"content":{"rendered":"
\n

\u4ea7\u540e\u51fa\u8840\u662f\u5b55\u4ea7\u5987\u6b7b\u4ea1\u7684\u6700\u91cd\u8981\u539f\u56e0\uff0c\u4e00\u65e6\u51fa\u73b0\u5c31\u9887\u4e3a\u68d8\u624b\uff0c\u5e38\u5e38\u662f\u62fc\u5c3d\u5168\u9662\u4e4b\u529b\u8fdb\u884c\u62a2\u6551\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u6bcf\u4e00\u4e2a\u6b7b\u4ea1\u5371\u91cd\u6848\u4f8b\uff0c\u90fd\u6709\u592a\u591a\u6211\u4eec\u53ef\u4ee5\u5b66\u4e60\u501f\u9274\u7684\u5730\u65b9\u3002<\/span><\/p>\n


<\/p>\n

\n

\u4eca\u5929\uff0c\u6211\u4eec\u4e00\u8d77\u6765\u770b\u4e00\u4e2a\u4ea7\u540e\u51fa\u8840\u6b7b\u4ea1\u7684\u75c5\u4f8b\u3002\u4ece\u8fd9\u4e2a\u75c5\u4f8b\u4e2d\uff0c\u4f60\u662f\u5426\u80fd\u53d1\u73b0\u4ec0\u4e48\u7279\u522b\u7684\u5730\u65b9\u5462\uff1f<\/span><\/p>\n


<\/span><\/p>\n


<\/span><\/p>\n


<\/span><\/p>\n

\u75c5\u53f2\u56de\u987e<\/strong><\/span><\/p>\n


<\/span><\/p>\n

7 \u6708 27 \u65e5\uff1a\u60a3\u8005\u674e X\uff0c \u5973\uff0c34 \u5c81\uff0c\u56e0\u300c\u505c\u7ecf 35+5 \u5468\uff0c\u9634\u9053\u6d41\u8840 4 \u5c0f\u65f6\u300d\u4e8e\u5165\u4ea7\u79d1\u5f85\u4ea7\u3002<\/span>
<\/p>\n


<\/p>\n

\u5b55\u671f\u4ea7\u68c0\u53d1\u73b0\u524d\u7f6e\u80ce\u76d8\uff0c\u4e8e 20 \u65e5\u524d\u5c11\u91cf\u51fa\u8840\u4e00\u6b21\uff0c\u672a\u91cd\u89c6\uff0c\u4eca\u65e5\u518d\u6b21\u51fa\u73b0\u9634\u9053\u6d41\u8840\uff0c\u91cf\u540c\u6708\u7ecf\u91cf\uff0c\u65e0\u8179\u75db\uff0c\u5165\u9662\u5f85\u4ea7\u3002<\/span><\/p>\n


<\/p>\n

\u4f53\u683c\u68c0\u67e5\uff1a<\/span><\/strong>\u53cc\u4e0b\u80a2\u6c34\u80bf++\uff1b\u8840\u5e38\u89c4\u63d0\u793a\u4e2d\u5ea6\u8d2b\u8840\uff08RBC 3.19 1012\/L,   Hb 73.20 g\/L\uff0c Plt 100 109\/L\uff09\uff0c\u809d\u529f\u63d0\u793a\u8f6c\u6c28\u9176\u5347\u9ad8 (\u8c37\u4e19\u8f6c\u6c28\u9176 111 U\/L\uff0c\u8c37\u8349\u8f6c\u6c28\u9176 155 U\/L)\u3001\u80c6\u7ea2\u7d20\u9ad8\uff08\u603b\u80c6\u7ea2\u7d20 41 \u03bcmol\/L\uff0c\u76f4\u63a5\u80c6\u7ea2\u7d20 28 \u03bcmol\/L\uff09\u3001\u86cb\u767d\u504f\u4f4e\uff08\u767d\u86cb\u767d 21 g\/L\uff0c\u7403\u86cb\u767d 47 g\/L\uff09; <\/span><\/p>\n


<\/p>\n

\u4ea7\u79d1\u5f69\u8d85\uff1a<\/span><\/strong>\u80ce\u76d8\uff1a\u53f3\u524d\u58c1\uff0c\u80ce\u76d8\u5b8c\u5168\u8986\u76d6\u5bab\u9888\u5185\u53e3\uff0c\u4e0e\u524d\u58c1\u808c\u5c42\u95f4\u53ef\u89c1\u8840\u6d41\u4fe1\u53f7\u3002<\/span><\/p>\n


<\/p>\n

\u521d\u6b65\u8bca\u65ad\uff1a<\/span>1. \u524d\u7f6e\u80ce\u76d8\u4f34\u51fa\u8840 2. \u598a\u5a20\u72b6\u6001\uff0835+5 \u5468\u598a\u5a20 G4P0\u659c\u6a2a\u4f4d\uff093. \u80ce\u76d8\u690d\u5165\u4f34\u51fa\u8840\uff08\uff1f\uff094. \u4e60\u60ef\u6027\u6d41\u4ea7\u3002<\/span><\/strong><\/p>\n


<\/p>\n

8 \u6708 3 \u65e5\uff1a\u7834\u819c\uff0c\u7f8a\u6c34\u9ec4\u67d3\uff0c\u9042\u884c\u6025\u8bca\u5256\u5bab\u4ea7\u3002<\/span><\/p>\n


<\/p>\n

\u672f\u4e2d\u6240\u89c1\uff1a\u80ce\u76d8\u4f4d\u4e8e\u5b50\u5bab\u524d\u58c1\u4e0b\u6bb5\uff0c\u51fa\u8840\u8f83\u591a\uff0c\u7f8a\u6c34\u6c61\u67d3 III\u00b0\uff0c\u5b50\u5bab\u9ec4\u67d3\uff0c\u80ce\u76d8\u5b8c\u5168\u690d\u5165\uff0c\u5b50\u5bab\u58c1\u8f83\u8584\uff0c\u5b50\u5bab\u4e0b\u6bb5\u6e17\u51fa\u8840\u8f83\u591a\uff0c\u80a0\u7ebf\u7f1d\u5408\u6b62\u8840\uff0c\u6548\u679c\u6b20\u4f73\uff0c\u7ecf\u5bb6\u5c5e\u540c\u610f\u540e\u884c\u6b21\u5168\u5b50\u5bab\u5207\u9664\u672f\u3002\u5207\u9664\u90e8\u5206\u5b50\u5bab\uff0c\u4fdd\u7559\u5c11\u90e8\u5206\u5bab\u9888\uff08\u5f88\u96be\u5b8c\u5168\u5207\u9664\u5bab\u9888\uff09\u3002<\/span><\/p>\n


<\/p>\n

\u672f\u4e2d\u8f93\u8840\u53ca\u5347\u538b\u836f\u7269\u7ef4\u6301\u8840\u538b\uff0c\u8109\u640f\u5f31\uff0c\u51fa\u8840\u91cf\u7ea6 3500 mL\uff0c\u672f\u4e2d\u8f93\u7ea2\u7ec6\u80de 8U\uff0c\u8840\u6d46 400 mL\uff0c\u75c5\u4eba\u75c5\u60c5\u5371\u91cd\uff0c\u672f\u540e\u8f6c ICU \u75c5\u623f\u3002\u672f\u4e2d\u53ef\u8ba1\u91cf\u5931\u8840\u7ea6 3500 mL\uff0c\u52a0\u4e0d\u53ef\u8ba1\u91cf\u5171\u7ea6\u8fd1 5000 mL\u3002<\/span><\/p>\n


<\/p>\n

8 \u6708 3 \u65e5\uff1a\u8f6c\u5165 ICU\uff0c\u60a3\u8005\u8840\u538b\u4f4e\uff0c\u9634\u9053\u6d41\u8840\u4e0d\u6b62\u3002<\/span><\/p>\n


<\/p>\n

\u67e5\u4f53\uff1aBP\uff1a72\/48 mmHg\uff0cP\uff1a105 \u6b21\/\u5206\uff0c\u795e\u5fd7\u604d\u60da\uff0c\u9762\u8272\u82cd\u767d\uff0c\u773c\u7751\u7ed3\u819c\u82cd\u767d\uff0c\u8179\u90e8\u81a8\u9686\uff0c\u538b\u75db\uff0c\u8179\u8154\u5f15\u6d41\u7ba1\u5904\u6577\u6599\u5305\u624e\uff0c\u53ef\u89c1\u8840\u6027\u6db2\u4f53\u5f15\u51fa\uff0c\u9634\u9053\u53ef\u89c1\u5927\u91cf\u8840\u6027\u6db2\u4f53\u6d41\u51fa\uff0c\u56db\u80a2\u53ef\u81ea\u4e3b\u6d3b\u52a8\uff0c\u8179\u90e8\u8d85\u58f0\u663e\u793a\u79ef\u6db2\u6df1\u5ea6\u7ea6 3 cm\u3002<\/span><\/p>\n


<\/p>\n

\u8840\u5e38\u89c4\uff1aWBC 4.80 109\/L , RBC 1.57 1012\/L\uff0cHb 53.00 g\/L ,Hct 14.30 %\uff0cPlt 21 10^9\/L\u3002\u51dd\u8840\u9879\uff1aPT 17.10 s, PT% 52.00 %, INR 1.60\uff0cAPTT 65.20 s\uff0c TT 15.90 s \uff0cFBG 1.51 g\/L\uff0cD-\u4e8c\u805a\u4f53 2957.00 ng\/mL \uff0cLac : 4.4\u3002<\/span><\/p>\n


<\/p>\n

\u8f6c\u5165 ICU 4 \u5c0f\u65f6\u9634\u9053\u6301\u7eed\u51fa\u8840\u7ea6 2000 mL\u3002\u8bf7\u4ea7\u79d1\u6025\u4f1a\u8bca\uff1a\u53d1\u73b0\u81ea\u5bab\u9888\u9876\u7aef\u6301\u7eed\u6027\u8840\u6db2\u6d41\u51fa\uff0c\u91c7\u53d6\u7eb1\u5e03\u586b\u585e\u63aa\u65bd\u3002<\/span><\/p>\n


<\/p>\n

\u5904\u7406\u540e\uff0c\u9634\u9053\u6d41\u8840\u8f83\u524d\u51cf\u5c11\uff0c\u4f46\u968f\u540e\u53d1\u73b0\u8179\u90e8\u81a8\u9686\uff0c\u8d85\u58f0\u6d4b\u91cf\u8179\u90e8\u79ef\u6db2\u6df1\u5ea6\u8fbe 10 cm\uff0c\u540e\u591a\u6b21\u590d\u67e5\u65e0\u660e\u663e\u53d8\u5316\u3002<\/span><\/p>\n


<\/p>\n

\u60a3\u8005\u51fa\u8840\u8003\u8651\u4e0e\u60a3\u8005\u5b50\u5bab\u6b21\u5168\u5207\u9664\u672f\u540e\uff0c\u60a3\u8005\u51dd\u8840\u529f\u80fd\u969c\u788d\u81f4\u6b8b\u7aef\u51fa\u8840\u6709\u5173\uff0c\u76ee\u524d\u9700\u8981\u79ef\u6781\u8865\u5145\u51dd\u8840\u56e0\u5b50\u3001\u7ea4\u7ef4\u86cb\u767d\u539f\u3001\u8840\u5c0f\u677f\u3001\u7ea2\u7ec6\u80de\uff0c\u9488\u5bf9\u8840 RT \u53ca\u51dd\u8840\u60c5\u51b5\uff0c\u53ca\u65f6\u8865\u5145 RBC\u3001PLT\u3001\u51b7\u6c89\u6dc0\u3001\u65b0\u9c9c\u8840\u6d46\u7b49\u3002<\/span><\/p>\n


<\/p>\n

8 \u6708 6 \u65e5\u4ea7\u79d1\u4f1a\u8bca\uff1a\u5efa\u8bae\u4fdd\u7559\u9634\u9053\u586b\u585e\u7eb1\u5e03\u81f3 8 \u6708 7 \u65e5\uff0c\u9632\u6b62\u7ee7\u7eed\u51fa\u8840\uff1b\u4f46\u540c\u65e5\uff0cBNP \u8fbe 570 pg\/mL\uff0cPa02 42.7 mmHg\uff0c\u60a3\u8005\u547c\u5438\u6d45\u5feb\uff0c\u80f8\u90e8 CR \u68c0\u67e5\uff1a\u8003\u8651\u53cc\u80ba\u708e\u75c7\u3002\u9042\u5347\u7ea7\u6297\u83cc\u836f\u7269\uff0c\u8c03\u6574\u51fa\u5165\u91cf\u53ca\u547c\u5438\u673a\u53c2\u6570\u3002\u540c\u65f6\u8bf7\u4ea7\u79d1\u64a4\u6389\u586b\u585e\u7eb1\u5e03\u3002<\/span><\/p>\n


<\/p>\n

8 \u6708 8 \u65e5\uff1a\u60a3\u8005\u8840\u538b\u4e0b\u964d\uff0c\u9760\u5347\u538b\u836f\u7269\u7ef4\u6301\u8840\u538b\uff0c\u6c27\u5408\u964d\u4f4e\uff0cWBC \u51fa\u73b0\u65ad\u5d16\u5f0f\u964d\u4f4e\u3002\u5165 ICU \u540e\u81f3 8 \u6708 8 \u65e5\uff0c\u5171\u8865\u5145 RBC 52U\uff0c\u51b7\u6c89\u6dc0 78U\uff0c\u8840\u6d46 8800 mL\uff0cPlt 8 \u4e2a\u6cbb\u7597\u5355\u4f4d\u3002<\/span><\/p>\n


<\/span><\/p>\n

\"\u4e00\u4e2a\u4e0d\u8be5\u6709\u7684\u6b7b\u4ea1\u6848\u4f8b\uff01\u4ea7\u5987\u8f93\u8840<\/p>\n

<\/span>\u4e34\u5e8a\u5de5\u4f5c\uff0c\u5982\u4e34\u6df1\u6e0a\uff0c\u5982\u5c65\u8584\u51b0<\/span><\/p>\n

\u56fe\u7247\u6765\u6e90\uff1a\u7ad9\u9177\u6d77\u6d1b<\/span><\/p>\n


<\/p>\n

\u4e2d\u5348\u65f6\u5206\uff0c\u60a3\u8005\u7a81\u7136\u5fc3\u7387\u8840\u538b\u4e0b\u964d\uff0c\u7ecf\u62a2\u6551\u65e0\u6548\u6b7b\u4ea1\u3002<\/span><\/strong><\/p>\n


<\/span><\/strong><\/p>\n


<\/span><\/strong><\/p>\n


<\/span><\/strong><\/p>\n

\u53ef\u80fd\u7684\u5904\u7f6e\u4e0d\u5f53<\/strong><\/span><\/strong><\/p>\n


<\/span><\/p>\n

\u5bf9\u4e8e\u8fd9\u4e2a\u6848\u4f8b\uff0c\u4e0d\u77e5\u9053\u5927\u5bb6\u600e\u4e48\u770b\uff1f<\/span><\/p>\n


<\/span><\/p>\n

\u4e2a\u4eba\u89c9\u5f97\uff0c\u53ef\u80fd\u6709\u51e0\u5904\u5904\u7406\u4e0d\u6070\u5f53\u7684\u5730\u65b9\uff1a<\/span><\/p>\n


<\/p>\n

1. \u9057\u6f0f HELLP \u7efc\u5408\u5f81\uff1f<\/span><\/strong><\/p>\n


<\/span><\/strong><\/p>\n

HELLP \u7efc\u5408\u5f81\u662f\u6307<\/span>\u4ee5\u6eb6\u8840\u3001\u809d\u9176\u5347\u9ad8\u548c\u8840\u5c0f\u677f\u51cf\u5c11\u4e3a\u7279\u70b9\u7684\u4e34\u5e8a\u75c7\u72b6\uff0c\u662f\u598a\u5a20\u671f\u9ad8\u8840\u538b\u75be\u75c5\u7684\u4e25\u91cd\u5e76\u53d1<\/span>\u75c7\u3002<\/span><\/span><\/p>\n


<\/p>\n

\u6b64\u4f8b\u6848\u4f8b\u4e2d\uff0c\u4f4e\u86cb\u767d\uff0cALT\u3001AST \u5347\u9ad8\uff0cPLT \u7a0d\u4f4e\uff0c\u662f\u5426\u9700\u8003\u8651 HELLP\uff1f\u6848\u4f8b\u4e2d\u6ca1\u6709\u63cf\u8ff0\u8840\u538b\uff0c\u4f30\u8ba1\u610f\u601d\u8840\u538b\u662f\u6b63\u5e38\u7684\uff0c\u4f46\u662f\u4f1a\u4e0d\u4f1a\u662f\u51fa\u8840\u5f15\u8d77\u7684\u8840\u538b\u4e0b\u964d\u63a9\u76d6\u4e86\u75c5\u60c5\uff1f<\/span><\/p>\n


<\/span><\/p>\n

\u5982\u679c HELLP \u6210\u7acb\uff0c\u90a3\u5c31\u4e0d\u5e94\u8be5\u7b49\u8fd9\u4e48\u591a\u5929\u624d\u7ec8\u6b62\u598a\u5a20\u4e86\u3002<\/span><\/p>\n


<\/p>\n

2. \u80ce\u76d8\u690d\u5165\u5904\u7406\u4e0d\u6070\u5f53<\/span><\/strong><\/p>\n


<\/p>\n

\u65e2\u7136\u672f\u524d\u5df2\u7ecf\u8003\u8651\u4e86\u690d\u5165\uff0c\u5c31\u5e94\u8be5\u505a\u597d\u4ecb\u5165\u7684\u51c6\u5907\uff0c\u6839\u636e\u75c5\u4eba\u60c5\u51b5\u9009\u62e9\u5408\u9002\u7684\u4ecb\u5165\u65f6\u673a\u53ca\u65b9\u5f0f\uff0c\u5982\u679c\u81ea\u5df1\u533b\u9662\u6ca1\u6709\u6761\u4ef6\u7684\u8bdd\u5c31\u8981\u8003\u8651\u662f\u4e0d\u662f\u8be5\u8f6c\u9662\u4e86<\/span><\/p>\n


<\/p>\n

3. \u7ec8\u6b62\u598a\u5a20\u65f6\u673a\u4e0d\u5bf9<\/span><\/strong><\/p>\n


<\/p>\n

\u524d\u7f6e\u80ce\u76d8\uff0c\u65e2\u7136\u51fa\u8840\u91cf\u5982\u6708\u7ecf\uff0c\u5b55 35+ \u5468\uff0c\u4e3a\u4f55\u4e0d\u662f\u5c3d\u5feb\u8003\u8651\u62e9\u671f\u7ec8\u6b62\uff0c\u800c\u662f\u88ab\u52a8\uff0c\u5f85\u4ea7\u5987\u7834\u6c34\u540e\u624d\u6025\u8bca\u5256\u3002<\/span><\/p>\n


<\/p>\n

4. \u8f93\u8840\u6210\u5206\u914d\u6bd4\u4e0d\u6b63\u786e<\/span><\/strong><\/p>\n


<\/p>\n

\u672f\u4e2d\u51fa\u8840\u591a\uff0c\u5347\u538b\u836f\u7ef4\u6301\uff0c\u672f\u4e2d\u51fa 3500 mL\uff0c\u8840\u5bb9\u91cf\u90fd\u6362\u5f97\u4e03\u4e03\u516b\u516b\u4e86\uff0c\u800c\u4ec5\u8f93\u6ce8 8 U \u7ea2\u7ec6\u80de\u53ca 400 mL \u8840\u6d46\uff0c\u663e\u7136\u5dee\u8fdc\u5566\uff0c\u800c\u4e14\u8fd8\u4e0d\u77e5\u9053\u8f93\u6ce8\u662f\u65b0\u6d46\u662f\u51b0\u51bb\u3002\u4e0d\u4ec5\u672f\u4e2d\u6ca1\u8f93\uff0c\u8f6c ICU \u540e\u4e5f\u6ca1\u8ddf\u4e0a\u3002<\/span><\/p>\n


<\/p>\n

5. \u8179\u8154\u51fa\u8840\u672a\u53ca\u65f6\u5904\u7406<\/span><\/strong><\/p>\n


<\/p>\n

\u672f\u540e\u8179\u8154\u5185\u79ef\u6db2\uff0c\u8003\u8651\u51fa\u8840\u8fd8\u662f\u6e17\u51fa\uff1f\u5982\u679c\u662f\u8003\u8651\u4e86\u51fa\u8840\uff0c\u6ca1\u6709\u9009\u62e9\u505a\u7b2c\u4e8c\u6b21\u5256\u8179\u63a2\u67e5\u662f\u5426\u5408\u9002\uff1f<\/span><\/p>\n


<\/span><\/p>\n


<\/span><\/p>\n


<\/span><\/p>\n

\u4e34\u5e8a\u8ba8\u8bba<\/strong><\/span><\/strong><\/span><\/p>\n


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