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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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 ¥| 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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 ¥| ҽѧϰ 2017-6-4 09:18:28 | ֻ
20170604£
5ν=׳꣫ѪȣҹЧ
1.5˲ʷƲף2ذ鿩ѪѪ
2.壬еȣϲ쳣 3.ʷڿոѪԸǣ++
1.֧ 2.ŧ 3.ΰ
һ
1.X Ƭ
2.̵ҽ˾Ҫʱά֧ܾȡҽ˾֧Ĥ죬Ѫ˿
3.ȵܣȵͷ飬ͺ2СʱѪǣǻѪ쵰ײⶨ
ԭ
1.濹ƣֹƳƣҩעι
2.򲡣üȵ
6ΰ=Сˣ̵дѪ̼ԿԣݣX ë
ݣԣ̼Կԣ̵дѪڴʷX ߿ɼβſ״ Ӱ ϣ β׼̷Ⱦ
һ飺ز CT֧ܾ־飬̵ϸȷΰҪйɨ 裬 B ͷ CT
ԭ ݲȷƷ߻ Ʒʽ
7˥=Էβʷ礣Ѫָ
ݣѪͿֱ
ϣ˥ߵԭ
һ飺 ̵+ҩ Ѫ+ҩ ԭѪѧʣܼ Ҫʱ CT ֧ܾ
ԭ Ϣʹÿҩ ˮҺƽеͨ
8Ѫ=ʷ㷺ƤףѩУƫƣߵ ʧ
1. ݿˣⲡʷBP80/50mmHg
2.߹ǹۣйDzѹʹԣ
3.أ߹ǹۣݿˣѣϣҪǹ㷺Ƥףƣߵģʧ
1.պأ礣ݿ˵ȣ
2.İ޾ŬţѹѹС
3.Ѫ(ǻҺ˲زߵǵ)
4.ദ߹ǹ(޸رڣ޷)
һ
1.شʽ
2.Ƭλ
3.EKGBp ⣬Ѫ
ԭ
1.ݿˣѪҺ֤ͨ O2
2.ǻ̡ʽҪʱ̽
3.طθȾ֢ƣʹ̶
9߹ǹ=ʷDz
ݣȷʷزͣƬ CT ɼ߻Ρ
ϣȷʷģȷϣ
һ飺ľѹȷǷгѪݿ Ѫ
ԭֹʹҺѪΣǻʽǷ̽

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 ¥| ҽѧϰ 2017-6-5 21:54:23 | ֻ
20170605
Ѫϵͳ
1˥˥=ȷۺɫĭ̵ѣҹ䲻ƽԡ
˥=ŭţ˫֫ˮףδ
ϣ ֧˨ԸβĽʹİҺ
һ飺ĶͼĵͼѪѧ⣬ܣʣѪ֬ز X ߣ B
ԭ λ˫´ΣעȣѪܣҪʱػ
2ʧ
1=ɾԲȣ穣ĵͼ f һǿ
2Ķ=ĻţͻͻֹECG P 160-250/ ֣ 3Ķ=ͻĻţʷECG 3ϵĿٿ QRS Ҷ/ںϲ
3IJ=عǺѹխʹ
1Ľʹ=عǺѹխʹ30ӣϢںͲܻ⣫죫 УECGST ι̧ V1-6㷺ǰĹ V1-3ǰĹ V3-5ǰĹ V5-6ǰĹ aVF ±Ĺ IaVL ߲Ĺ
Ĺ Killip ּļߵĹ״̬
I ޷β͵
II βІķΧС1/2Ұ
III βķΧ1/2Ұˮ)
IV ԴݿIJ
1.IJĽʹĽʹʷһ³ֵĽʹϢҩܻ 壺Ľ粻룬˥߱
2.Ѫѹ(3Σ飩Ѫѹﵽ3Ѫѹ׼(ѹ180 mmHg) δѪѹԭĽʹ
1.ļ
2.ʳ
.ļסİ
4.в㶯
һ
1.Ľʹʱĵͼ Holter
2.ȶ󣬲̴1¿˶ļ
3.Ѫ֬Ѫǡܡļø
4.۵׼飬ĶͼҪʱ״Ӱ
ԭ
1.Ϣĵ໤
2.ҩƣ͡ʹѪСۼҩ
3.ʹԷʱпƣҪʱ PTCA Ĺ
1.Ľʹ2Сʱ⣬Ϣں;Чʷ(Σ)
2.ĵͼʾǰļǰ
3.ߵǰļⲿ S4
1.в㶯
2.Ľʹ
3.İ
һ
1.ĵͼ飬۲䶯̬仯
2.ļø
3.Ѫܼ飬Ա˨
4.Ѫ֬Ѫǡ
5.ָ˶ļѪءHolterĶͼ飬ҳΣأ ״Ӱ
ԭ
1.ԴϢ3-5죬ĵ໤֬ʳִͨ
2.˨ƣ6Сʱڣ޳Ѫϰ˨֤øø t-PA ˨ƣƣ˨øؾΣڷƥ
3.ʹऻȣͣʧ࿨
4.ͱҪʱн

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2017-6-6 15:51:23 | ֻ
ҽѧϰ 2017-6-5 21:54
20170605Ѫϵͳ 1˥˥=ȷۺɫĭ̵ѣҹ䲻ƽԡ  ...

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5#
 ¥| ҽѧϰ 2017-6-6 18:01:06 | ֻ
20170606
4ѪѹߵѪΣվˮƽֲ㣨140/90
1 140-15990-99 160/100 2 160-179100-109 180/110 3 180110
Σճ̶ȷֲ
Σ1  
Σ1+2أ
Σ1-2+3أ𺦡
Σ3 1-2+𺦡в֢ ǿơ
1.ѪѹಡѪѹʷδƣĹܲȫ(ҹѣ ƽԣĹܲȫ(ӯδ͸ξԣ˫֫ˮף ɲ>
2.Ѫѹ(2Σ) ʮѪѹ(170/100mmHg); Bp160/100mmHgĹ IV
3.βȾԣգһϸСʪ
1.IJ
2.ļ
3.ʪಡرղȫ
һ
1.ĵͼĶͼ
2.X ƬҪʱز CT
3. B 1
4.Ѫ A/G Ѫ K+Na+Cl-
ԭ
1.ƣӦýѪѹҩ
2.˥ƣѪܡǿҩ
3.֢ƣƸȾ
5Ĥ
1խ=ѣԡԡҹ䡢Էˮ ףԴѪۺɫĭ̵ģ¡¡
2رղȫ=˥/ڳ˥ȫ˥ļⲿֲڵȫڴҸ»½Ǵ
3խ=ѣĽʹʣ򾱲
4رղȫ=ļ£ĽʹҹԺѣAustinFliht Χ ѪˮMussctz ԡëϸѪܲǹ Durozicz
6İ=ˣİҺǰʹѣϸͣ֫ף
ϣİףİףԷԴಡ
һ飺Ѫ棬ѪѪ˾顣ĵͼİ̻Һ顣ܼ飬ŹҪʱİ졣
ԭҩƣԴϢ İ Ϊ˻֢״ ׼ơ

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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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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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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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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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