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[Ըϰ] Ϲʽÿո£Ҷȹܿǰ⼸죡

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ҽѧϰ 2017-6-3 12:17:47 | ֻ | |Ķģʽ
ִҵҽʦܿڼƽ̨²Ϲʽÿո£ҹע
ϵͳ
1Էμ COPD=ˣʷ̵Ͱ״أιܼ飬һ FEV1/FVC%С70%
ݣԣԲ̡ϿԿ̵ֺ꣬ѣԼڳŧ̵˫οżʪѪϸ
ϣ ֧֧ţԳѪ˥
һ飺 ز X ߣ̵ͿƬECG,UCG黺Էιܼ
ƣϢӦÿأʹƤʼأʹ֧żƣˮҡҪʱǻеͨ
2֧=ԻԴϢʷ
ݣϺȾ󷢲ԿԴϢΪԴ̼˫οżйʷ
ϣ֧ףCOPD˥ߣԷ
һ飺ιܣѪECGIgEԭƤ
ԭ֧żƤʼ+ڷƤʼأȾ̵ֹȣ ͽ
3֧=ͯտȻ֧ܷǨӲʷԣŧ̵Ѫ
ݣԣԲ̡ԣȴŧ̵鿩Ѫβ̶ʪʱڿײʷ״ָ
ϣ νˣ֧һ飺 ̵ͿƬȾɫϸ+ҩ ߷ֱ CT
ԭ Ϣ֢Ⱦ
4״ҶԷ=ˣȣɫ̵
1.սȡԡճ̵ 2.Ϸߵǣǿżʪ 3.Ѫ WBC ߣϸ
1. ͷףԷףԸ˾ף׵ 2.Էŧ 3.ΰ һ 1.X Ƭ 2.̵+ҩ
ԭ 1.Ⱦ 2.֢
1ײ˾=שɫ̵X Ƭն
2֧ԭ=̼ͯԸɿȣؽۣЧ
3֧ܷ=Ӥ׶ȣ֢״ȶԣ
4ɫ=ȣʹŧѪ̵X Ƭ״Ӱ

˴ӷʱҳʱÿһߵĵ㽫[1ϱ]Ľ,һIPһΡ




һƪ2014ִҵҽʦܿ棨ɴӡ+ֽ̳
һƪ16ִҵҽʦŲʿ

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Ƽ
 ¥| ҽѧϰ 2017-6-7 22:22:31 | ֻ
20170607¡
ϵͳ
1θʳܷ=+عǺƸ+θʳ¶κɫôġᡢ ʳ
ϣIJʳ
һ飺θѪ֬ѪǣļøףĵͼĶͼƬ״Ӱʳ pH ʳѹⶨ̱
ԭһƣʵʳû˶ ҩ ٽθ Ʋ֢ Ѫѹ
2ʳܰ=ѣڣعǺʹڣʳʸУڣ
ϣʳףʳңʳܾţʳʧۻ֢
һ飺ز CTɨ裬ͷ CT
ƷɥʧIJ⣬Ӧѡơڲ˸Ӫ֧֣ƻ֢ƣʹࡣ
3θ=ʳ̼ϸʹ͡Ż
ϣԵףףβס
һ飺θ
ԭȥӦH2ͼӱƼӦθճĤӦý⾷ ֹʹҩԳѪԵӦѪݿˡ
4θ=ԹϸʹͺʹŻѪڱ
1.ԡϸʹ
2.ŻѪڱ㣬Ѫ
3.ϸѹʹ֫ʪ䣬ѹС
4.Hb82g/L(<=4cm
ϣ
һ飺Ƭϸѧ飬 dao ȡ֯飬ǰ滯顣
Ʒ㷺ӹгǻܰͽг
4ӹ=Ů++ӹ+ƶѪò
ϣӹټӹӹ
һ飺B ֶιιǰ
Ʒʸ̽飬гӹ֢ơ

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15#
 ¥| ҽѧϰ 2017-6-16 10:00:01 | ֻ
20170616  ᣬף˳ͨԣ
3ԼĤ=ȡͷʹŻ¡Ƥ+Ĥ̼+ԼҺʻŧԸı䡣
1.𲡽ϼпԺŻµϸк֢״Ҫиȡ׼ǡ
2.壺Բ׼ǣǰضߣеֿ(+)
3.ԼҺϻŧĤױ仯­ѹߣѪ WBC Ա
1.Ĥ
2.Ĥ
3.Ĥ
4.Mollaret Ĥ
һ
1.ԼҺͿƬҲԭ+ҩ
2.ѪPPDѪ
3.X Ƭ
4. CT עӲĤ»ŧ
ԭ
1.Ⱦѡÿ
2.Ƥʼ
3.֢ƣ­ѹƸȵ
4̲=ӴʷȣݣHIV

1֯ԻŧԸȾ=ʹ
Ӹ=+η+ƤӲ׽+״
Ƥ¼Է֯=+ʹ+Ƥ¸+ײС߽粻+ŧ
=֫沿+ƤƬ״+߽¡+׸
ܰ͹/ܰͽ=Ƥºɫ+ֲܰͽ״ʹ
2=︾Ů+鷿ʹ++WBC +=ŧγ
ϣ鷿ڻ 鷿Ƥ
һ飺Ѫ ֭ϸ B
ԭŧγǰ ŧγɺп
3ٰ=Σ+ʹӲ⻬׿+Ҹܰͽ״
ϣά ٵ֢
һ飺B X ߼ 봩̻
ԭ
ƣƣڷƣƣƣҩ
4һ̼ж=ú¯ӣҺ죫COHB
1.һ̼жͻȻԣ壬ڴӣҺɫ޸Ρ򲡲ʷðҩһú¯һ̼жԴж֤
2.Ѫѹ I ڣ1Σ飩 ѪѹδѪѹߵԭδ𺦵Ŀ͹֤
1. Ѫܲ
2.жҩж
3. ȫԼ»ԣλԣ֢ԣ֢ͪж
һ
1.̼Ѫ쵰׶ԺͶ
2.Ѫ
3. CT
ԭ
1.ѹ
2.ˮס֯л
3. ֢ƣֹ֤ͨԤȾ
4.β֢Ԥٷ񾭲
5лж=ũҩӴʷͫı䣫ζβʪø
1.Żдζлũҩжص㣬ٴָʹġŻ¡󺹵ȣѸ־
2.巢ּͫ׳ѣʪȶަֺ̼
3.Եļʷ
1.ȫԼ»ԣλԣ֢ԣ֢ͪж
2.жҩж
3.Ѫܲ
һ
1.Ѫøⶨ
2.Ѫ
3.ܡѪǡѪ
ԭ
1.Ѹڶϴθк
2.Чⶾø׶ӦõȣҩƷӦ
3.֢ƣάķιܡֺͨơҪʱ˹ȡ
ᣬף˳ͨԣ

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14#
 ¥| ҽѧϰ 2017-6-16 09:39:59 | ֻ
20170616   
2Ӥ׶к״Ⱦ=ڣﶬ+ϡˮ+
ˮֶ
1ȣ
2жȣ֫
3ضȣ֫Ѫѹ ˮʣѪˮƽ 130-150
1.Ըк
2.ϸ
3.Գ
4.׵
һ
1.Ѫʺ CO2-CP 2.Ҳԭ(Ҫʱ)
ԭ
1.֢
2.ҺƷ:ۻʧ䣬άֲ
3.Ͳƣά D 3ά D
3ȱͲ=С鷳+ι+ı䣨ܸO ȣ +Ѫ+Ѫ׵
ϣͬͲѪ׿ά D ͲͲ ȡӪ
һ Ѫ X Ƭ
ؼѪ Ѫ
Ʒ ƻǿӪʱӸʳֻ˶ʵ
4СԼ
1=+ϸ+ȫ+Ĥ
2=+ϸ+ɫ+ܰͽ״ʹ
3=ͻ+˺
4ˮ=+ˮ+Էֲ
5ɺ=+ʹ+ݮ+ƤƤĦλܼ

Ⱦϵͳ
1Ը׼׸=ȣ㣫HAVڴ Ҹ=ȣ㣫HBVҺ =ȣ㣫HCVѪҺ
1.ȡȫʡʳˡŻ¡ϸʵȻǰڱ֣1ܺ ֻ
2.巢ƤĤȾƢ״󣬸ѹʹߵʹ
3.򣺵ؼԭ
1.͸׵
2.ѪԻ
3.Ի
һ
1.ιܣѪأ
2.ײѧָ
3. B
ԭ
1.һƣϢάءϽƵ
2.ƣء򶨵
3.ҩ
4.ҽҩ
2ϸ=ԴӴ+䡢ȡʹкＱءҺŧѪ
1.𲡼ȣ20СʱųָкŧѪ
2.һΣ鴤һֱ˯־壬dzδ˫(+)֫ 礣ʿ죬Ѫѹ(ݿͱ)
3.㳣 WBC30-40/HPѪ WBC ߰
1.ԻԳ
2.кСףװ׵
3.Ⱦ
һ
1.ѪʡCO2-CPCa2+
2.+ҩ
ԭ
1.ԭƣ
2.ݿƣҺƣѪܻҩǿҩ
3.­ѹƣ¶
4.ƤʼӦ
5.֢ƣ£ֺͨ

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13#
 ¥| ҽѧϰ 2017-6-15 22:53:57 | ֻ
20170615  ϣҹע
ʪϵͳ
1ϵͳԺǴ=ŮԣԺߣǻ񣫹ؽףANA
1.ʷƶѪ֢״ɫƣ칮ĤɻȾƢ󣻻 Hb ͣ֯ϸ ߣѪӵߣCoombs
2.SLE
Ůԣȣؽʹʱǻ
壺ȣǻճĤ Ƣ״
¿ѪƶѪ
ಡ
1.ԭѪƶѪ
2.ҩԼѪƶѪ
3.ԻԸ
һ
1.贩̼
2.Ѫ鵰׵йѪƶѪļ
3.ANA ׼߿
4.Ѫ򵰰ף C3 C4
5.ܡ B
ԭ
1.ѡƤʼ
2.Ƽ
3.֢
2ʪԹؽ=ŮԣԳСؽڣRF
ϣ
ǹؽ ǿֱԼ мؽ ʹ Խ֯ɵĹ ȾԹؽ
һ飺 CCP ˿ ENA Ѫ ι ؽ X ߼
ԭ֢״, Ʋչؽڹܡʹøı䲡ҩҩ עҩӦ
ϵͳ
1֧ԭ=̼ͯԸɿȣؽۣЧ ֧ܷ=Ӥ׶ȣ֢״ȶԣ
1.ϸбֿԵ,Դ١ΪҪ
2.壺ܷ礣(+),(+)οżʪ,˥ >60/֣(>180/),Ͷ,δ,˫֫ˮ
3.Ѫ WBC ԷҶϸ
1.Է
2.
3.֧ԭ
һ
1.鲡ԭ壨ϸѪ忹壩
2.ѪX Ƭ
3.ܡѪ
4.ĵͼĶͼ
ԭ
1.ԭƣ
2.˥ƣǿġѪܼ
3.֢ƣ̵⾷ƽ
4.ƤʼصӦãҪƽ⾷

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12#
 ¥| ҽѧϰ 2017-6-14 21:55:09 | ֻ
20170614
˶ϵͳ
1֫״۹ר
/Dz/
Źƾ=粿+֫ϰ
ŹǸɹ=ʷ+ϱۻϰ+
ŹϹ=С+ŵ+ǹϵ+ؽʹ
1.÷(10)
2.˻
3.ֲѹʹѹʹ۽
һX Ƭ

2Źؽںλ=+Ųʹ+һ֫+֫
1. ͵˻
2.¡
3.͵֫α
4.֫ؽڹо˵δϲ
1.ɹǾۺתӼۻ·ʱŤת»֫ų Σ
һ λ X Ƭ֤ʵλ˽λ޺ϲ
ԭ
1.޹ۻֻСƬ۵ĵԺλӦַλƤ̶
2.žʺԵдۻۻɹͷۣԺλĿǰƣпλڹ̶

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11#
syyyy 2017-6-12 18:31:39 | ֻ
ҽѧϰ 2017-6-12 18:16
20170612ϵͳ 1ԳѪ=껼ߣѪѹʷ𲡣ʶϰλ ϣԹ ...

ܲ,ͣ
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10#
 ¥| ҽѧϰ 2017-6-12 18:16:04 | ֻ
20170612
ϵͳ
1ԳѪ=껼ߣѪѹʷ𲡣ʶϰλ
ϣԹʶϰ򲡣Իԣ֢ԾƾѪǣҩжCO ж
һ飺CT/MRI ԼҺ ΧѪҺɷּ ѪѪ֬
ԭܾͽƣͨѪѹ­ѹƣϲ֢Ѫѹ­Ѫ
2Թ=Ѫѹʷƫ̱CT δ
ϣԳѪ ˨
һ飺CT/MRI ԼҺ ΧѪҺɷֵļ ѪѪ֬ Ѫ׵Ŀ
ԭ
˨
˨
˨Ʒ
ѪҺϡͷ
ѪС
һ㴦
3ĤǻѪ=Ĥ̼CT
ϣԳѪ˨ һ飺׵̣ MRICTѪӰ
ԭһ
4ӲĤѪ=ˣмڣ--ԣCT Ѫ
1. ȷʷ
2.е͵м
3.ͷ㴦ι
4.ֽ­ѹ߲޼
ӲĤѪ׼­Ѫף
ͬʷѪ׶ڶԳ岿λʶϰأ
ȷϿ CT һ ͷ­ CT ƽɨ
ԭ п­Ѫ

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9#
 ¥| ҽѧϰ 2017-6-11 10:39:59 | ֻ
ڷϵͳ
1׿=ļ£ͻູͣ״״
飺
T3/T4/TSH131I ״ٺ
1.ȶູ鼱
2.ʳӣ½
3.״״ͻ
4.ʼӿ죬ѹ
1.Լ״
2.񾭹֢
3.ˣ
һ
1. B ͬλɨ
2.T3T4TSH ⶨ
3.131 ȡ
ԭ
1.ڿҩ
2.Ҫʱм״ٴȫг
2Լ״=״ٹ+״
ϣܰϸԼ״ףԶԼ״
һ飺Ӱѧ飬B CT ȼ״ٺɨ裬״򵰰ףѪˮƽTSH,TSAb ȡ
ԭƣһ㲻ơ

3=һ٣ѪDzⶨո7.0ͺ11.1OGTT
һƣ
ָעʳ˶⡢Ԥ֢
ҩƣ
ڼ-2ͷǷ֣ʳ˶Ʋ ˫- ȵ-1ͺ2Ͳ֢ a øƼ-ͺѪǸߡ

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8#
 ¥| ҽѧϰ 2017-6-10 11:47:53 | ֻ
20170610
3Ѫ=ȣѪعѹʹȫѪϸ
1.԰ѪԷзȺͳѪ֣壺ƤѪ㣬عѹʹ(+) 飺Hb plt ٣ѪƬ20%ԭϸ
2.θȾԣ38巢·ʪ
1.Ѫͼ
2.쳣ۺ
һ
1.贩̼鼰黯ȾɫҪʱ
2. MIC ͼ
3.Ƭ̵ϸѧ
4. B
ԭ
1.ƣϸѡʵĻƷ
2.ֶ֧֢ƣؿƸȾ
3.ȫйֲ
4ܰ=ʹܰͽ״ ϣϵͳԺǴܰͽ
һ飺 ܰͽᲡ֯ѧ飬ϸѧ飬Ѫѧ飬Ӱѧ飬
ԭܰͺͷѡƷҪʱѪϸֲ
5طѪС=ŮԣѪѪС彵ͣС100-109ϸ
ϣϵͳԺǴҩѪС
һ飺飬ѪСؿ壬 B Ѫ ANA
ԭѪСɷע򵰰סעƤʼءƢгƼơ

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7#
 ¥| ҽѧϰ 2017-6-9 22:15:55 | ֻ
20170609
5ѳ=Ů++׿+
ϣӹĤλ֢ԸĤףתѳֳ
һ飺B X ߣCT,MRI־飬ǻ飬ϸѧ
ԭ
6ѳŤת=¸ʹݿƶѪHCG-ͣ dao Ѫʷ
ϣλѣѳѣǻ һ飺B Ѫ CA125ǰ
Ʒ ￪
ѪҺϵͳ
1ȱƶѪ=Ѫ½ƶѪòƤĤ԰ףŮ¾ϵͳ
1.ƶѪ֢״ĻšСϸɫƶѪѪ(+)йĻ֧֡
2.
1.θ
2.ԲƶѪ
3.ƶѪ
4.ϸƶѪ
һ
1.Ⱦɫ
2.θȫӰ೦ά
3.Ѫ尩߿ԭ CEA) 4. B CT
ԭ
1.ȥΪӦ
2.
3.ǰƶѪأŨϸ
2ϰƶѪ=ƶѪòѪϵ
1.ʷƶѪ֢״ͳѪ
2.ƶѪò˫֫Ѫ㣬Ƣ
3.Ѫϵ٣֯ϸͣϸܰϸ
4.NAP ʺͻ־Ѫ׺Ѫߣͣ Rous
1.쳣ۺ(MDS)
2.˯Ѫ쵰(PNH) 1
3.԰Ѫ
4.ϸƶѪ
һ
1.贩̻
2.ϸ
3.ˮ Ham Գ PNH
4.(ι쳣Լ)
ԭ
1.֢ƣɷѪѪ
2.Էҩ
ԸϸԼأѪɿǹֲ
΢ѭ654-2һҶʿ(ѡһ)
ߣǿɣ
3.ҽҩ:֤ʩ

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