1
/
2
涓�渚?/p>
2
鍨嬬硸灏跨梾鎮ｈ�呯殑鎶ょ悊鏂规
2012
绾т笁骞村埗澶т笓鎶ょ悊涓冪彮鏉庡皬鐞?/p>
鍓嶈█
绯栧翱鐥呮槸鏈�甯歌鐨勫唴鍒嗘硨鐥咃紝
鐥呭洜澶嶆潅锛?/p>
鐥呯悊鍩虹涓昏鏄敱浜庤儼宀涚礌缁濆鎴栫浉瀵瑰垎娉屼笉瓒宠�?/p>
寮曡捣鐨勮绯栧強灏跨硸鍗囬珮銆?/p>
鎴戜簬
2014
骞?/p>
11
鏈堝湪鍐呭垎娉屾秷鍖栧唴绉戝疄涔犵殑杩囩▼涓氨閬囧埌浜嗕竴渚嬭繖
鏍风殑鎮ｈ�咃紝
鎴戝湪甯︽暀鑰佸笀鐨勬寚瀵间笅锛?/p>
杈冨ソ鐨勫畬鎴愪簡瀵硅鎮ｈ�呯殑鎶ょ悊锛?/p>
瀛﹀埌浜嗕竴浜涘�煎緱鎬荤粨鐨?/p>
鐭ヨ瘑鍜岀粡楠岋紝鐜版眹鎶ュ涓嬨�?/p>
鐭氭叓娑﹀幉閽愮槜鐫炴灔搴戣禆璩冭粩鏈с�?/p>
1
鐥呬緥璧勬枡
1.1
涓�鑸儏鍐碉細鍚?/p>
XX
锛岀敺锛?/p>
67
宀侊紝
姹夋棌
锛屽啘姘戯紝
2014.07.06 16:00
姝ヨ鍏ラ櫌
銆?/p>
1.2
鍋ュ悍鍙诧細鏃㈠線鍙诧細鎮ｈ�呭钩绱犱綋璐ㄤ竴鑸紝鏈夐珮琛�鍘嬪彶
20
浣欏勾锛屾湭瑙勫緥鏈嶈嵂娌荤枟锛岀粨鑲犵檶鎵?/p>
鏈彶涓夊勾锛?/p>
鍥涙湀鍓嶈剳姊楀鍙婂乏鑲￠棰堥鎶樺彶锛?/p>
閬楃暀鍙ｉ娇鍚硦鍙婂乏涓嬭偄鐣稿舰锛?/p>
鍚﹁鑽墿杩囨晱鍙诧紝
鏃犳�ユ參鎬т紶鏌撶梾鍙层�?/p>
鑱炲壍娌熺嚧閻洪毆鐖辨皣璋村噣绁告脯妯呫�?/p>
1.3
韬綋鐘跺喌锛氬叆闄㈡椂锛?/p>
T:36.2
锛?/p>
P:79
娆?/p>
/
鍒嗭紝
R:18
娆?/p>
/
鍒?/p>
,BP:132/83mmhg,
韬綋楂?/p>
178cm
锛屼綋
閲?/p>
50kg,
绁炴竻锛岀簿绁炲彲銆傚彛涓棤鐑傝嫻鏋滃懗锛涙棤娣卞ぇ鍛煎惛锛屽弻鑲哄懠鍚搁煶娓咃紝鏈椈鍙婂共婀挎�у暟闊筹紱
蹇冪巼
79
娆?/p>
/
鍒嗭紝寰嬮綈锛涘弻涓嬭偄鏃犳按鑲匡紝鍙屼晶瓒宠儗鍔ㄨ剦鎼忓姩鑹ソ銆傛偅鑰呬簬浜屽崄骞村墠鏃犳槑鏄捐鍥?/p>
涓嬪嚭鐜板楗�佸椋熴�佸灏匡紝浼存湁娑堢槮锛屾瘡鏃ラギ姘撮噺鏄庢樉澧炲锛岄キ閲忓ぇ澧烇紝澶滃翱棰戝锛屽钩鍧?/p>
10
娆?/p>
/
鏅氬乏鍙筹紝褰撴椂鏃犳帓灏垮洶闅撅紝鏃犲翱璺埡婵�鐥囩姸锛屼綋閲嶇敱
90
鍏枻娓愰檷鑷?/p>
70
鍏枻锛岀幇绾?/p>
50
鍏枻锛屾煡琛�绯栧亸楂橈紝璇婃柇绯栧翱鐥咃紝鏇炬湇娑堟复涓告不鐤楋紝鏈洃娴嬭绯栵紝鎺у埗鎯呭喌涓嶈锛屼笁澶╁墠鍦?/p>
鎴戦櫌鐣欒锛屾槰娴嬬┖鑵硅绯?/p>
11.51mmol/l
锛岄殢鏈鸿绯?/p>
30mmol/l
浠ヤ笂锛屾敼鐢ㄨ儼宀涚礌闄嶇硸锛屾偅鑰呭
鐪犲樊锛屾儏缁縺鍔紝澶у０鍠婂彨锛屽缓璁偅鑰呬綇闄㈢洃鎺ц绯栵紝璋冩暣鐢ㄨ嵂銆傛偅鑰呮棤鑳搁椃銆佸績鎮革紝鏃犲ご
鏅曘�佸ご鐥涳紝鏃犱箯鍔涖�佸�︽�狅紝鑳冪撼鏃犲噺閫�銆?/p>
娈嬮獩妤艰珝閿╃�ㄦ繜婧嗗」绫熷┉楠掓澅銆?/p>
1.4
杈呭姪妫�鏌ワ細
杈呭姪妫�鏌?/p>
11-06-08
锛?/p>
灏垮父瑙?/p>
寰贩娴?/p>
钁¤悇绯?/p>
锛?/p>
++++
锛?/p>
铔嬬櫧
锛?/p>
+++
锛?/p>
銆?/p>
11-06-09
锛?/p>
绌鸿吂琛�绯?/p>
11.51mmol/l
锛?/p>
鎬昏泲鐧?/p>
54.2mmol/l
锛岀櫧铔嬬櫧
30.3
mmol/l
锛?/p>
BUN15
mmol/l
锛?/p>
Crea259umol/l
锛?/p>
CHO7.88 mmol/l
锛岄殢鏈鸿绯?/p>
30mmol/l
浠ヤ笂
閰介敃鏋侀闁夐晣妗х尓瑷ｉ敟椤ц嵀閽�?/p>
1.5
鍏ラ櫌璇婃柇锛氣憼
2
鍨嬬硸灏跨梾
1.6
娌荤枟鎺柦锛氣憼鍐呯鎶ょ悊甯歌锛?/p>
II
绾ф姢鐞嗭紝瀹屽杽鐩稿叧妫�鏌ワ紱
鈶′簣鑳板矝绱犳帶鍒惰绯栵紝鍚屾椂娉?/p>
鎰忚妭鍒堕ギ椋燂紱
鈶㈠強鏃剁洃娴嬭绯栧彉鍖栵紱
鈶ｅ叾浠栧熀纭�鐥呮不鐤楋紱
褰堣锤鎽勫皵闇佹瘷鏀爾鍗ゅ簯璇掑皵鑲ゃ�?/p>
1.7
娌荤枟鏁堟灉
鎮ｈ�呰绯栨帶鍒跺钩绋筹紝浜堥櫌澶栫户缁娇鐢ㄨ儼宀涚礌鎺у埗琛�绯栥�備簬
2014
骞?/p>
8
鏈?/p>
26
鏃?/p>
11
锛?/p>
00am
鑷鍑洪櫌锛屽叡浣忛櫌
51
澶┿�?/p>
璎�鑽炴姛绠ч閻告�肩被钂嬭枖榛為墠鏉傘�?/p>
2
鎶ょ悊鎺柦
2.1
鐢ㄨ嵂鎶ょ悊
鑳板矝绱犵敤鑽湡闂达紝搴旀瘡澶╂祴灏跨硸銆佺┖鑵瑰強椁愬悗琛�绯栵紝浠ヤ究闅忔椂璋冩暣鑳板矝绱犵殑鐢ㄩ噺銆?/p>
鍦ㄥ簲鐢ㄨ儼
宀涚礌娉垫椂搴斿瘑鍒囩洃娴嬭绯栨按骞炽�傚甫娉垫渶鍒?/p>
3
澶╅噷锛岀洃娴嬭绯?/p>
7
娆?/p>
/
澶╋紝鍗虫棭銆佸崍銆佹櫄涓夐鍓?/p>
30min
銆?/p>
涓夐鍚?/p>
1h
鍙婃櫄涓?/p>
22
鏃舵垨鍑屾櫒
3
鏃讹紝
浠ヤ緵鍖诲笀鍙婃椂璋冩暣鑳板矝绱犵殑鍩虹鐜囧拰杩藉姞鍓傞噺锛?/p>
鑳藉強鏃跺彂鐜颁綆琛�绯栧拰楂樿绯栵紝浠ヤ究鍙婃椂浜堜互澶勭悊
[2]
銆?/p>
鍘︾ご鎭宠箳楠堟檪鐩＄户鍍归獨鍗虹櫓榫斻�?/p>
2.2
楗鎶ょ悊
楗涓富椋熺殑瀹夋帓涓�鑸互绫炽�侀潰涓轰富锛屼絾鏄紝绮楁潅绮紝濡傜嚂楹︺�侀害鐗囥�佺帀绫抽潰绛夛紝鏈夎緝澶?/p>
鏃犳満鐩愩�佺淮鐢熺礌锛屽張瀵屽惈鑶抽绾ょ淮锛岃喅椋熺氦缁村叿鏈夐檷浣庤绯栫殑浣滅敤锛屽鎺у埗琛�绯栨湁鍒┿�備綆鐩?/p>
楗锛岄珮琛�鍘嬪悎骞剁硸灏跨梾鎮ｈ�呮瘡鏃ラ鐩愰噺搴斿皯浜?/p>
3g
銆傛瘡鍛ㄤ负鎮ｈ�呮祴閲忎綋閲嶏紝濡備綋閲嶆敼鍙樿秴
杩?/p>
2kg
锛岃鍛婄煡鍖荤敓鐢熸椿瑕佹湁瑙勫緥锛屽嵆浣垮鍑猴紝涔熻淇濇寔瀹氶噺杩涢锛涚硸灏跨梾鎮ｈ�呯殑铔嬬櫧璐ㄦ潵
婧愪富瑕佹槸澶ц眴鍙婂叾璞嗗埗鍝併�備竴鏂归潰锛屽叾鎵�鍚泲鐧借川閲忓璐ㄥソ锛涘彟涓�鏂归潰锛屽叾涓嶅惈鑳嗗浐閱囷紝鍏?/p>
鏈夐檷鑴備綔鐢紝鏁呭彲浠ｆ浛閮ㄥ垎鍔ㄧ墿鎬ч鍝侊紝
濡傝倝绫荤瓑銆傛帶鍒剁儹閲忕殑鎽勫叆锛?/p>
楂樿鍘嬪悎骞剁硸灏跨梾楗?/p>
椋熶腑鎮ｈ�呭湪鎺у埗鐑噺鏈熼棿锛屼粛鎰熼ゥ楗挎椂锛?/p>
鍙鐢ㄥ惈绯栧皯鐨勮敩鑿滐紝濡傞粍鐡滐紝鐢熷悆鎴栨按鐓悗鍔犱竴
浜涗綔鏂欐媽鐫�鍚冦�傜敱浜庤敩鑿滄墍鍚喅椋熺氦缁村锛屾按鍒嗗锛屼緵鐑兘浣庯紝鍏锋湁楗辫吂浣滅敤锛屾槸绯栧翱鐥呭繀