{"id":126645,"date":"2019-10-18T03:56:50","date_gmt":"2020-04-21T02:18:38","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/126645\/"},"modified":"2020-04-21T10:18:39","modified_gmt":"2020-04-21T02:18:39","slug":"fb108b50d1","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/126645\/","title":{"rendered":"\u4e01\u9999\u75c5\u4f8b | \u5410\u7740\u5410\u7740\u5c31\u300c\u75af\u4e86\u300d\uff1f\u8fd9\u4e2a\u5b55\u5987\u600e\u4e48\u4e86\uff1f"},"content":{"rendered":"
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\u611f\u8c22\u7ad9\u53cb @chenjiayeah \u63d0\u4f9b\u7684\u75c5\u4f8b\uff5e<\/span><\/p>\n


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\u60a3\u8005\uff0c\u5973\uff0c38 \u5c81\uff0c\u65e2\u5f80\u4f53\u5065\u3002<\/span><\/p>\n


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\u56e0\u300c\u505c\u7ecf 2+ \u6708\uff0c\u6076\u5fc3\u3001\u5455\u5410\uff0c\u4e0d\u80fd\u8fdb\u98df 1 \u4e2a\u6708\uff0c\u4f4e\u70ed\uff0c\u7cbe\u795e\u5f02\u5e38 3+ \u5929\u300d\u5165\u9662\u3002\u60a3\u8005 2+ \u6708\u524d\u5728\u6211\u9662\u751f\u6b96\u79d1\u884c\u4eba\u5de5\u6388\u7cbe\u80da\u80ce\u79fb\u690d\u672f\uff0c\u53cc\u80ce\u598a\u5a20\u30021 \u6708\u524d\u9010\u6e10\u51fa\u73b0\u6076\u5fc3\uff0c\u5455\u5410\uff0c\u8fdb\u98df\u540e\u5455\u5410\uff0c\u5455\u5410\u7269\u4e3a\u80c3\u5185\u5bb9\u7269\uff0c\u65e0\u5496\u5561\u8272\uff0c\u975e\u55b7\u5c04\u72b6\u3002\u5230\u793e\u533a\u533b\u9662\u5c31\u8bca\u3002<\/span><\/p>\n


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\u67e5\u5c3f\u5e38\u89c4\u63d0\u793a<\/span><\/strong>\uff1a\u916e\u4f53 3+\uff0c\u7535\u89e3\u8d28\u672a\u89c1\u660e\u663e\u5f02\u5e38\u3002\u8003\u8651\u598a\u5a20\u5267\u5410\uff0c\u4e88\u9759\u6ef4\u8461\u8404\u7cd6\uff0c\u6c28\u57fa\u9178\uff0c\u8102\u80aa\u4e73\u7b49\u6cbb\u7597\uff08\u5177\u4f53\u7528\u836f\u4e0d\u8be6\uff09\uff0c\u6bcf\u5929\u8865\u6db2\u91cf\u7ea6 2500-3000 ml\uff0c\u75c7\u72b6\u65e0\u51cf\u8f7b\u53cd\u800c\u9010\u6e10\u52a0\u91cd\uff0c\u996e\u6c34\u53ca\u8fdb\u98df\u5747\u53ef\u8bf1\u53d1\u5455\u5410\uff0c\u95f4\u6709\u5934\u6655\uff0c\u4e4f\u529b\uff0c\u65e0\u4f34\u660e\u663e\u5934\u75db\uff0c\u53d1\u70ed\uff0c\u65e0\u4f34\u80a2\u4f53\u6d3b\u52a8\u969c\u788d\u3001\u8a00\u8bed\u4e0d\u6e05\uff0c\u65e0\u4f34\u5fc3\u60b8\u3001\u80f8\u95f7\uff0c\u54b3\u55fd\u3001\u54b3\u75f0\u3001\u6c14\u4fc3\uff0c\u65e0\u4f34\u8179\u75db\u3001\u8179\u80c0\u7b49\u4e0d\u9002\u3002<\/span><\/p>\n


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2 \u6708\u6765\u4f53\u91cd\u4e0b\u964d\u7ea6 4 \u516c\u65a4\u30023+ \u5929\u9010\u6e10\u51fa\u73b0\u5934\u6655\uff0c\u65e0\u660e\u663e\u89c6\u7269\u65cb\u8f6c\uff0c\u4f34\u6709\u8033\u9e23\u3001\u89c6\u7269\u8df3\u8dc3\u611f\u53ca\u590d\u89c6\uff0c\u5e76\u95f4\u65ad\u51fa\u73b0\u5bb6\u4eba\u8ba4\u8bc6\u4e0d\u80fd\uff0c\u80e1\u8a00\u4e71\u8bed\u3001\u56db\u80a2\u4e0d\u81ea\u4e3b\u6296\u52a8\uff0c\u4f34\u6709\u53d1\u70ed\u3001\u81ea\u6d4b\u4f53\u6e29 37.8 \u00b0C,\u65e0\u5934\u75db\u3001\u80a2\u4f53\u6d3b\u52a8\u969c\u788d\uff0c\u541e\u54bd\u56f0\u96be\uff0c\u8a00\u8bed\u4e0d\u6e05\u7b49\u4e0d\u9002\u3002<\/span><\/p>\n


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\u7ee7\u7eed\u5230\u5f53\u5730\u793e\u533a\u8f93\u6db2\u6cbb\u7597\uff0c\u4eca\u65e5\u8f93\u6db2\u8fc7\u7a0b\u4e2d\u9010\u6e10\u610f\u8bc6\u6a21\u7cca\u3001\u70e6\u8e81\u3001\u5168\u8eab\u5927\u6c57\uff0c\u80e1\u8a00\u4e71\u8bed\uff0c\u4e88\u9759\u63a8\u5b89\u5b9a10mg\u540e\u8f6c\u81f3\u6211\u9662\u6025\u8bca\u3002<\/span><\/p>\n


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\u4f53\u67e5\uff1a<\/span><\/strong>T 37.8 \u2103, P 126 \u6b21\/\u5206, R 26 \u6b21\/\u5206, BP 96\/53 mmHg\uff0c\u795e\u5fd7\u604d\u60da\uff0c\u4e0d\u8bed\uff0c\u6d88\u7626\u4f53\u8d28\uff0c\u76ae\u80a4\u5f39\u6027\u53ef\uff0c\u8868\u60c5\u6de1\u6f20\uff0c\u76ee\u5149\u5446\u6ede\uff0c\u53cc\u4fa7\u7751\u7ed3\u819c\u8f7b\u5ea6\u82cd\u767d\uff0c\u53ef\u89c1\u773c\u9707\uff0c\u53cc\u4fa7\u77b3\u5b54\u7b49\u5927\u7b49\u5706\uff0c\u76f4\u5f84\u7ea6 4 mm\u5bf9\u5149\u53cd\u5c04\u7075\u654f\uff0c\u773c\u5e95\u68c0\u67e5\u6b63\u5e38\u3002\u9888\u8f6f\uff0c\u53cc\u80ba\u547c\u5438\u97f3\u7c97\uff0c\u65e0\u5570\u97f3\uff0c\u5fc3\u5f8b\u9f50\uff0c\u65e0\u6742\u97f3\uff0c\u8179\u5e73\u8f6f\uff0c\u65e0\u660e\u663e\u538b\u75db\uff0c\u53cd\u8df3\u75db\uff0c\u809d\u813e\u808b\u4e0b\u672a\u53ca\uff0c\u80a0\u9e23\u97f3\u6d3b\u8dc3\u3002<\/span><\/p>\n


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\u53cc\u4e0a\u80a2\u5c48\u66f2\u5448\u5916\u65cb\u4f4d\uff0c\u5e76\u4e0d\u81ea\u4e3b\u6296\u52a8\uff0c\u53cc\u4e0b\u80a2\u4f38\u76f4\uff0c\u53cc\u8db3\u5448\u4e0b\u5782\u4f4d\uff0c\u56db\u80a2\u808c\u5f20\u529b\u589e\u9ad8\uff0c\u56db\u80a2\u8171\u53cd\u5c04\u6d3b\u8dc3\uff0c\u808c\u529b\u68c0\u67e5\u4e0d\u5408\u4f5c\uff0c\u53cc\u4fa7\u75c5\u7406\u5f81(\u4e00)\uff0c\u611f\u89c9\u53ca\u5171\u6d4e\u8fd0\u52a8\u68c0\u67e5\u4e0d\u5408\u4f5c\u3002<\/span><\/p>\n


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\u8f85\u52a9\u68c0\u67e5\uff1a<\/span><\/strong><\/span><\/p>\n


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\u8840\u5e38\u89c4\uff1a<\/span><\/strong>\u767d\u7ec6\u80de 14.11\u00d710^9\/L\u2191, \u4e2d\u6027\u7c92\u7ec6\u80de\u7edd\u5bf9\u503c11.8\u00d710^9\/L\u2191\uff0c  \u7ea2\u7ec6\u80de 3.86\u00d710^12\/\uff0c\u8840\u7ea2\u86cb\u767d 116g\/L\uff0c\u7ea2\u7ec6\u80de\u538b\u79ef 0.60\uff0c\u8840\u5c0f\u677f 183\u00d710^9\/L \u5feb\u901f-CRP 24 mg\/L\u2191 <\/span><\/p>\n


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\u751f\u5316\uff1a<\/span><\/strong>Cr(E) 118\u03bcmol\/L\uff0cUrea 9.2 mmol\/L\uff0c\u8461\u8404\u7cd6 8.3 mmol\/L\uff0c\u94a0\u79bb\u5b50 116 mmol\/L\u2193\uff0c\u6c2f\u79bb\u5b50 86 mmol\/L\u2193\uff0c\u94be\u79bb\u5b50 2.85 mmol\/L\u2193\uff0c\u9499\u79bb\u5b50 1.92 mmol\/L\u3002\u8840\u6c14\u5206\u6790\uff1a\u9178\u78b1\u5ea6 7.31\uff0c \u4e8c\u6c27\u5316\u78b3\u5206\u538b 4.23 kPa\uff0c\u6c27\u5206\u538b 14.3kPa\uff0c \u78b1\u5269\u4f59 -6.70mmol\/l\u2193 \uff0c  \u5b9e\u9645\u78b3\u9178\u6c22\u76d0 21.2 mmol\/l\uff0ccLac 2.6mmol\/L\u2191\u3002<\/span><\/p>\n


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\u5e8a\u8fb9 NT-proBNP 106.58pg\/ml\uff0c\u5fc3\u808c\u6807\u5fd7\u7269\uff1aCK-MB <0.05ng\/ml\uff0c\u808c\u7ea2\u86cb\u767d\u9634\u6027\uff0cCK-MB 85U\/L \uff0c\u809d\u529f\u80fd\uff1aAlb 31g\/L,ALT 36U\/L\u3002\u51dd\u8840\u529f\u80fd\u672a\u89c1\u5f02\u5e38\u3002\u5c3f\u5e38\u89c4\uff1a\u916e\u4f533+\u3002<\/span><\/p>\n


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\u5fc3\u7535\u56fe\u63d0\u793a\uff1a<\/span><\/strong>\u7aa6\u6027\u5fc3\u52a8\u8fc7\u901f\u3002\u8170\u7a7f\u68c0\u67e5\uff0c\u538b\u529b 110 mmH2O\uff0c\u8111\u810a\u6db2\u751f\u5316\uff1aCSF-Pro 0.81\uff0cCSF-Cl 89 mmol\/L\uff0cCSF- Glu\uff1a5.23 mmol\/L\u3002\u8111\u810a\u6db2\u5e38\u89c4\uff1a\u767d\u7ec6\u80de\u603b\u6570 148\u00d7106\/L\u3002\u5355\u6838%  85.6 %\uff0c\u591a\u6838%  17.8 %\uff0c\u5916\u89c2\u65e0\u8272\u900f\u660e\u3002\u8ddf\u60a3\u8005\u53ca\u5bb6\u5c5e\u5145\u5206\u4ea4\u4ee3\u75c5\u60c5\u597d\u884cMRI\u68c0\u67e5\uff1a<\/span><\/p>\n


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\u60a3\u8005\u4e08\u592b\u975e\u5e38\u7126\u6025\u5730\u95ee\uff1a<\/span>\u5927\u592b\uff0c\u505a\u4e86\u90a3\u4e48\u591a\u68c0\u67e5,\u6211\u5ab3\u5987\u5230\u5e95\u662f\u4ec0\u4e48\u75c5\u554a\uff1f<\/span>\u5979\u662f\u4e0d\u662f\u5410\u75af\u4e86\u5462\uff1f<\/span><\/p>\n


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\u9762\u5bf9\u5bb6\u5c5e\u7684\u95ee\u9898\uff0c\u697c\u4e3b\u4e5f\u662f\u7709\u5934\u7d27\u9501\uff0c\u8fd9\u5b55\u5987\u5230\u5e95\u53d1\u751f\u4e86\u4ec0\u4e48\u5462\uff1f<\/span>\u4e0b\u4e00\u6b65\u8fd8\u9700\u8981\u5b8c\u5584\u54ea\u4e9b\u68c0\u67e5\u5462\uff1f<\/span>\u4e0b\u4e00\u6b65\u7684\u6cbb\u7597\u65b9\u5411\u5e94\u8be5\u600e\u4e48\u6837\u5462\uff1f<\/span><\/span><\/span><\/p>\n


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\u6587\u4e2d\u56fe\u7247\u53ca\u9898\u56fe\u6765\u6e90\uff1a\u4f5c\u8005\u63d0\u4f9b<\/span><\/p>\n


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\u70b9\u51fb<\/span>\u9605\u8bfb\u539f\u6587<\/span><\/strong>\u67e5\u770b<\/span>\u7b54\u6848<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

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\u611f\u8c22\u7ad9\u53cb @chenjiayeah \u63d0\u4f9b\u7684\u75c5\u4f8b\uff5e \u60a3\u8005\uff0c\u5973\uff0c38 \u5c81\uff0c\u65e2\u5f80\u4f53\u5065\u3002 \u56e0\u300c\u505c\u7ecf 2+ \u6708\uff0c\u6076\u5fc3\u3001\u5455 […]<\/p>\n","protected":false},"author":1,"featured_media":126646,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[2],"tags":[],"_links":{"self":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/126645"}],"collection":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/comments?post=126645"}],"version-history":[{"count":1,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/126645\/revisions"}],"predecessor-version":[{"id":126653,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/126645\/revisions\/126653"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media\/126646"}],"wp:attachment":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media?parent=126645"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/categories?post=126645"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/tags?post=126645"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}