{"id":133730,"date":"2020-02-18T08:55:24","date_gmt":"2020-04-21T03:25:21","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/133730\/"},"modified":"2020-04-21T11:25:21","modified_gmt":"2020-04-21T03:25:21","slug":"181497442b","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/133730\/","title":{"rendered":"\u597d\u9669\uff01\u60a3\u8005\u8179\u75db\u8179\u6cfb 8 h\uff0c\u5f04\u6e05\u75c5\u56e0\u540e\u4e00\u9635\u540e\u6015"},"content":{"rendered":"
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\"\u597d\u9669\uff01\u60a3\u8005\u8179\u75db\u8179\u6cfb<\/section>\n

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\u611f\u8c22\u7ad9\u53cb @374173360 \u5206\u4eab\u7684\u75c5\u4f8b\uff5e<\/span><\/section>\n

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\u60a3\u8005\u5973\uff0c41 \u5c81\uff0c\u56e0\u300c\u8179\u75db\u3001\u8179\u6cfb\u4f34\u6655\u53a5 8+ \u5c0f\u65f6\u300d\u5165\u9662\u3002<\/span>
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\u73b0\u75c5\u53f2\uff1a8+ \u5c0f\u65f6\u524d\u60a3\u8005\u5403\u9694\u591c\u5269\u83dc\u540e\u51fa\u73b0\u8179\u6cfb\u3001\u8179\u75db\uff0c\u8179\u75db\u5448\u9635\u53d1\u6027\u7ede\u75db\uff0c\u4ee5\u8110\u5468\u4e3a\u4e3b\uff0c\u6392\u4fbf\u540e\u7f13\u89e3\uff0c\u8179\u6cfb\u4ee5\u9ec4\u8272\u7a00\u4fbf\u53ca\u6c34\u6837\u4fbf\u4e3a\u4e3b\uff0c\u672a\u89c1\u7c98\u6db2\u8113\u8840\u4fbf\uff0c10+ \u6b21\uff0c\u6bcf\u6b21\u91cf\u7ea6 100+ ml\uff0c\u4f34\u6709\u91cc\u6025\u540e\u91cd\u611f\u3001\u6076\u5fc3\u3001\u6b32\u5410\uff0c\u9010\u6e10\u51fa\u73b0\u6781\u5ea6\u4e4f\u529b\u3001\u5fc3\u614c\u3001\u6c14\u7d27\u8868\u73b0\uff0c\u65e0\u754f\u5bd2\u3001\u5bd2\u6218\u3001\u53d1\u70ed\u3001\u5455\u5410\u8868\u73b0\uff0c\u5bb6\u4e2d\u81ea\u884c\u53e3\u670d\u85ff\u9999\u6b63\u6c14\u6db2\u6cbb\u7597\u65e0\u7f13\u89e3\uff0c\u5e76\u51fa\u73b0\u6655\u53a5\uff0c\u5171 4 \u6b21\uff0c\u6bcf\u6b21\u7ea6 2-3 \u5206\u949f\uff0c\u81ea\u884c\u6e05\u9192\uff0c\u65e0\u5927\u5c0f\u4fbf\u5931\u7981\u3001\u62bd\u6410\u8868\u73b0\uff0c\u547c 120 \u5165\u4f4f\u4e0b\u7ea7\u533b\u9662\uff0812:00 \u5de6\u53f3\uff09\uff0c\u67e5\u8840\u5e38\u89c4 WBC 23*10^9\/L\u3001NEU 90%\uff0c\u8840\u6c14\u5206\u6790 PH 7.32\u3001\u4e73\u91787.0 mmol\/l\u3001PCT 0.32 ng\/ml\u3001\u8179\u90e8 CT \u60c5\u51b5\u4e0d\u8be6\u3002<\/span><\/section>\n


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\u8bca\u65ad\u8003\u8651\u611f\u67d3\u6027\u4f11\u514b\u3001\u6025\u6027\u80c3\u80a0\u708e\u3001\u7cd6\u5c3f\u75c5\u3001\u4e73\u9178\u9178\u4e2d\u6bd2\uff0c\u7ed9\u4e88\u8865\u6db2\uff08\u8865\u6db2\u65b9\u6848\u4e0d\u8be6\uff09\u53ca\u6297\u611f\u67d3\u6cbb\u7597\uff0c\u6297\u83cc\u836f\u7269\u65b9\u6848\u4e0d\u8be6\uff0c\u5165\u9662\u81f3\u4eca\u8865\u6db2 3000 ml\uff0c\u591a\u5df4\u80fa 160 mg\u6301\u7eed\u6cf5\u5165\u5347\u8840\u538b\uff0c\u60a3\u8005\u672a\u518d\u51fa\u73b0\u6655\u53a5\uff0c\u4f46\u4ecd\u53cd\u590d\u8179\u6cfb\uff0c\u8179\u75db\u53ca\u91cc\u6025\u540e\u91cd\u611f\u660e\u663e\uff0c\u4f34\u6709\u5fc3\u614c\u3001\u6c14\u7d27\uff0c\u5e76\u51fa\u73b0\u6076\u5fc3\u3001\u5455\u5410\uff0c\u5455\u5410 4 \u6b21\uff0c\u80c3\u5185\u5bb9\u7269\u4e3a\u4e3b\uff08\u603b\u91cf\u4e0d\u8be6\uff09\uff0c\u5bb6\u5c5e\u8981\u6c42\u8f6c\u6211\u9662\uff0c120 \u4ee5\u300c\u611f\u67d3\u6027\u4f11\u514b\u300d\u6536\u5165\u6211\u79d1\u3002<\/span><\/section>\n


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\u65e2\u5f80\u53f2 : 4+ \u5e74\u524d\u60a3\u8005\u56e0\u91cd\u75c7\u80ba\u708e\u4e8e\u6211\u9662 ICU \u4f4f\u9662\u6cbb\u7597\uff0c\u671f\u95f4\u53d1\u73b0\u8840\u7cd6\u5347\u9ad8\uff0c\u4f46\u60a3\u8005\u51fa\u9662\u540e\u95f4\u65ad\u6027\u76d1\u6d4b\u8840\u7cd6\u4e0d\u9ad8\uff0c\u60a3\u8005\u4e00\u76f4\u672a\u670d\u7528\u964d\u7cd6\u836f\u7269\uff0c\u4e5f\u672a\u8fdb\u4e00\u6b65\u8bca\u6cbb\u3002\u60a3\u8005\u5e73\u7d20\u4f53\u5f31\uff0c\u5e38\u56e0\u996e\u98df\u4e0d\u5408\u9002\u5b9c\u51fa\u73b0\u8179\u6cfb\uff0c\u4f46\u75c7\u72b6\u591a\u8f83\u8f7b\uff0c\u80fd\u81ea\u884c\u7f13\u89e3\u3002<\/span><\/section>\n


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\u5165\u9662\u67e5\u4f53\uff1aT\uff1a36.6 \u2103  P\uff1a120 \u6b21\/\u5206 \uff0cR\uff1a26\u6b21\/\u5206\uff0cBP\uff1a94\/45mmHg  \u3002\u6c27\u9971\u548c\u5ea6 99%\uff08\u9f3b\u5bfc\u7ba1\u5438\u6c27 3L \/\u5206\uff09\u7cbe\u795e\u5dee\uff0c\u76ae\u80a4\u6e7f\u51b7\uff0c\u56db\u80a2\u5faa\u73af\u5dee\uff0c\u8179\u90e8\u5916\u5f62\u6b63\u5e38\uff0c\u8179\u808c\u5f20\u529b\u504f\u9ad8\uff0c\u5168\u8179\u538b\u75db\u660e\u663e\uff0c\u65e0\u53cd\u8df3\u75db\uff0c\u65e0\u8179\u90e8\u5305\u5757\uff0c\u809d\u810f\u89e6\u8bca\u672a\u89e6\u53ca\uff0c\u80c6\u56ca\u672a\u89e6\u53ca\uff0c\u809d\u533a\u65e0\u53e9\u51fb\u75db\uff0c\u53e9\u8bca\u5448\u6e05\u97f3\uff0c\u79fb\u52a8\u6027\u6d4a\u97f3\u5448\u9634\u6027\uff0c\u672a\u89e6\u53ca\u5305\u5757\uff0c\u813e\u672a\u89e6\u53ca\u80bf\u5927\uff0c\u542c\u8bca\u80a0\u9e23\u97f3\u4ea2\u8fdb\uff0c\u53cc\u4e0b\u80a2\u65e0\u6c34\u80bf\u3002<\/span><\/section>\n


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\u8f85\u52a9\u68c0\u67e5\uff1a\u5165\u9662\u8840\u7cd6 17.7 mmol\/l\uff0c\u4e0b\u7ea7\u533b\u9662\u5168\u8179\u90e8 CT \u5e73\u626b\u793a\u8179\u8154\u3001\u76c6\u8154\u5c11\u91cf\u79ef\u6db2\uff0c\u8179\u819c\u3001\u7f51\u819c\u3001\u80a0\u7cfb\u819c\u7a0d\u663e\u80bf\u80c0\u3002<\/span><\/section>\n

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12:56 \u8840\u5e38\u89c4 WBC 23*10^9\/L\u3001NEU 90%\uff0cHgb 95 g\/l\u3001HCT 27.8%\uff0c\u8840\u6c14\u5206\u6790PH 7.32\uff0c\u4e73\u9178 7.0 mmol\/l\uff0cPCT 0.32 ng\/ml\uff0c\u751f\u5316\u793a\u809d\u80be\u529f\u80fd\u672a\u89c1\u5f02\u5e38\uff0cK+ 4.5 mmol\/l\u3002<\/span><\/section>\n


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\u5165\u9662\u8bca\u65ad\uff1a1. \u611f\u67d3\u6027\u4f11\u514b\uff1f2.\u5168\u8179\u819c\u708e\uff1f\u80a0\u9053\u611f\u67d3\uff1f3.2\u578b\u7cd6\u5c3f\u75c5\uff1f4.\u4e73\u9178\u9178\u4e2d\u6bd2\u3002<\/span><\/section>\n


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\u5165\u9662\u540e\u7ed9\u4e88\u54cc\u62c9\u897f\u6797\u4ed6\u5511\u5df4\u5766\u3001\u5de6\u6c27\u6c1f\u6c99\u661f\u8054\u5408\u6297\u611f\u67d3\uff0c\u6c22\u5316\u53ef\u7684\u677e\u6297\u708e\u6297\u4f11\u514b\uff0c\u53bb\u7532\u80be\u4e0a\u817a\u7d20\u6cf5\u5165\u5347\u8840\u538b\uff0c\u79ef\u6781\u8865\u6db2\u6297\u4f11\u514b\uff1b\u6301\u7eed\u76d1\u62a4\u3001\u7559\u7f6e\u5bfc\u5c3f\u3002<\/span><\/section>\n


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\u5165\u9662\u540e\u8f85\u52a9\u68c0\u67e5\uff1a18:56\uff08\u91c7\u8840\u300119\uff1a25\u62a5\u544a\uff09\u8840\u6c14\u5206\u6790 PH 7.30 \uff0c\u6c27\u5206\u538b144 mmHg\uff0c\u4e8c\u6c27\u5316\u78b3\u5206\u538b 19 mmHg\uff0c\u6807\u51c6\u78b3\u9178\u6c22\u6839 12.9 mmol\/l\uff0c\u5168\u8840\u5269\u4f59\u78b1-15.5\uff0c8.3 mmol\/l\u3002<\/span><\/section>\n


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\u8840\u5e38\u89c4 WBC 19.*10^9\/L\u3001NEU 94.10%\uff0cHgb 85 g\/l\uff0cHCT 26.7% RBC 2.74*10^12\/l \u3001PCT 0.27 ng\/ml\uff0c\u51dd\u8840\u8bd5\u9a8c\u5168\u5957\u672a\u89c1\u5f02\u5e38\uff0c\u751f\u5316\u793a\u809d\u80be\u529f\u80fd\u3001\u5fc3\u808c\u9176\u5b66\u3001\u8840\u6dc0\u7c89\u9176\u6b63\u5e38\uff0c\u9634\u79bb\u5b50\u95f4\u9699 29.27 mmol\/l\u3001\u6e17\u900f\u538b301.68 u\/l\u3001K+6.41 mmol\/l\u3002<\/span><\/section>\n

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19:25 \u8bf7 ICU \u53ca\u80be\u75c5\u5185\u79d1\u4f1a\u8bca\u8003\u8651\u9662\u5916\u8865\u6db2\u6240\u81f4\u9ad8\u94be\u8840\u75c7\uff0c\u7ed9\u4e88\u6bd4\u4f8b\u7cd6\u6c34\u8865\u6db2\u3001\u9499\u5242\u3001\u5c0f\u5242\u91cf\u901f\u5c3f\u5bf9\u75c7\u6cbb\u7597\uff0c\u4e8e 2 \u5c0f\u65f6\u540e\u590d\u67e5\u8840\u94be 3.97 mmol\/l\u3002<\/span><\/section>\n


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\u5165\u9662\u7ecf\u79ef\u6781\u8865\u6db2\u53ca\u6297\u4f11\u514b\u6cbb\u7597\uff0c\u60a3\u8005\u4e8e 21:50 \u5de6\u53f3\u8865\u6db2 2200 ml\uff0c\u53e3\u670d\u6e29\u5f00\u6c34 400 ml\uff0c\u5c3f\u91cf 1100 ml\uff1b\u60a3\u8005\u4ecd\u547c\u5438\u6025\u4fc3\u3001\u5fc3\u614c\u660e\u663e\uff0c\u7cbe\u795e\u5dee\uff1a\u67e5\u4f53\uff1aP: 150 \u6b21\/\u5206\uff0cR: 32 \u6b21\/\u5206\uff0cBP: 92\/46 mmHg\uff0c\u6c27\u9971\u548c\u5ea6\uff08\u9f3b\u5bfc\u7ba1\u5438\u6c27\uff09100%\uff0c\u795e\u5fd7\u6e05\u9192\uff0c\u5bf9\u7b54\u5207\u9898\uff0c\u70e6\u8e81\u4e0d\u5b89\uff0c \u76ae\u80a4\u6e7f\u51b7\uff0c\u56db\u80a2\u5faa\u73af\u5dee\uff0c\u9762\u8272\u82cd\u767d\uff0c\u8d2b\u8840\u8c8c\uff0c\u8179\u90e8\u5916\u5f62\u6b63\u5e38\uff0c\u8179\u808c\u5f20\u529b\u504f\u9ad8\uff0c\u5168\u8179\u538b\u75db\u660e\u663e\uff0c\u6709\u53cd\u8df3\u75db\uff0c\u65e0\u8179\u90e8\u5305\u5757\uff0c\u809d\u810f\u89e6\u8bca\u672a\u89e6\u53ca\uff0c\u80c6\u56ca\u672a\u89e6\u53ca\uff0c\u809d\u533a\u65e0\u53e9\u51fb\u75db\uff0c\u53e9\u8bca\u5448\u6e05\u97f3\uff0c\u79fb\u52a8\u6027\u6d4a\u97f3\u5448\u5f31\u9633\u6027\uff0c\u672a\u89e6\u53ca\u5305\u5757\uff0c\u813e\u672a\u89e6\u53ca\u80bf\u5927\uff0c\u542c\u8bca\u80a0\u9e23\u97f3\u51cf\u5f31\uff0c\u53cc\u4e0b\u80a2\u65e0\u6c34\u80bf\u3002<\/span><\/section>\n


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\u590d\u67e5\u8840\u5e38\u89c4WBC 22.48*10^9\/l\u3001 RBC 2.30*10^9\/L\u3001Hgb 71g\/l\u3001HCT 22.70%\u3001NEU 89.90% \u3001BNP 21.44pg\/ml\uff1b<\/span><\/section>\n


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\u76ee\u524d\u60a3\u8005\u4f11\u514b\u96be\u4ee5\u7ea0\u6b63\u7684\u539f\u56e0\u6216\u8005\u4f11\u514b\u539f\u56e0\u662f\u4ec0\u4e48\u5462\uff1f<\/span><\/section>\n

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


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\u70b9\u51fb\u9605\u8bfb\u539f\u6587\u67e5\u770b\u66f4\u591a\u8ba8\u8bba\u53ca\u7b54\u6848<\/strong><\/strong><\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

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\u2193\u2193\u2193<\/span><\/p>\n<\/section>\n<\/section><\/div>\n","protected":false},"excerpt":{"rendered":"

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