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1.鐢凤紝78 姝�銆傚洜閫�(j矛n)琛屾€ф埃鐭� 2 鍛ㄥ氨瑷�锛岀劇(w煤)鍜冲椊銆佺櫦(f膩)鐔�銆佽兏鐥涳紝鑳搁儴 X 绶�(xi脿n)鐗囩ず宸﹀伌(c猫)澶ч噺鑳歌厰绌嶆恫銆傝 WBC 8.9×109/L锛孨 O.72锛孒B 110g/L锛孍SR 36mm/h銆傜偤鏄庣⒑瑷烘柗锛屾噳(y墨ng)鍏堥€�(j矛n)琛岀殑妾㈡煡鏄�

A.鏀埃绠￠彙

B.鑳歌厰绌垮埡

C.鑳歌厰閺�

D.绺遍殧閺�

E.鑳搁儴 CT

銆愮瓟妗堛€態

銆愯В鏋愩€戞偅鑰呰€佸勾鐢锋€�锛岄€�(j矛n)琛屾€ф埃鐭�锛岃兏閮╔绶�(xi脿n)妾㈡煡鎻愮ず澶ч噺鑳歌厰绌嶆恫锛岃璞′笉楂�(鍩烘湰鎺掗櫎鎰熸煋鎵€鑷�)锛岃娌夊蹇�(姝ｅ父鍊肩偤0锝�20mm/h锛屾彁绀烘儭鎬ц兏姘�)锛岀偤鏄庣⒑瑷烘柗锛屾噳(y墨ng)閫�(j矛n)琛岀殑妾㈡煡鐐鸿兏鑵旂┛鍒哄仛鑳告按鐩搁棞(gu膩n)妾㈡煡锛屽皨鎵剧檶绱�(x矛)鑳�銆傛敮姘ｇ閺′富瑕佺敤浜庝腑蹇冨瀷鑲虹檶鐨勮ê鏂�锛岃兏鑵旈彙涓昏鐢ㄤ簬鍛�?ch膿)顚熷ご浼熲攽鑴慭鏂凤紝X绶�(xi脿n)鐗囨湭鎻愮ず鑲洪儴鏈夊崰浣嶆€х梾璁�锛屾晠涓嶆噳(y墨ng)琛岄€欏叐闋�(xi脿ng)妾㈡煡;绺遍殧閺′富瑕佺敤浜庢槑纰鸿偤鐧屾偅鑰呮槸鍚︽湁绺遍殧娣嬪反绲�(ji茅)鏈夌劇(w煤)杞�(zhu菐n)绉�銆傝兏閮–T鍙敤浜庤偤鐧岀殑妾㈡煡锛屼絾鐒�(w煤)娉曠⒑瑷�銆�

2.鐢凤紝78 姝�銆傚洜閫�(j矛n)琛屾€ф埃鐭� 2 鍛ㄥ氨瑷猴紝鐒�(w煤)鍜冲椊銆佺櫦(f膩)鐔�銆佽兏鐥涳紝鑳搁儴 X 绶�(xi脿n)鐗囩ず宸﹀伌(c猫)澶ч噺鑳歌厰绌嶆恫銆傝 WBC 8.9×109/L锛孨 O.72锛孒B 110g/L锛孍SR 36mm/h銆傝┎鎮ｈ€呰兏閮� CT 绀哄乏鍋�(c猫)鏀埃绠￠€氭殺锛屽乏涓嬭偤鐩村緫 2cm 鍒嗚憠鐙€绲�(ji茅)绡€(ji茅)褰憋紝绺遍殧鍙(ji脿n)鐩村緫1锝�2cm鐨勮叓澶ф穻宸寸祼(ji茅)銆傝┎鎮ｈ€呰兏鑵旂⿳娑叉不鐧傛渶鏈夋晥鐨勬帾鏂界偤

A.鑳歌啘鍥哄畾琛�(sh霉)

B.鎵嬭(sh霉)娌荤檪

C.鍙嶅京(f霉)绌垮埡鎶芥恫

D.鍏ㄨ韩鍖栫檪

E.鍏嶇柅娌荤檪

銆愮瓟妗堛€慏

銆愯В鏋愩€戞偅鑰呰€冩叜鎯℃€ц兏鑵旂⿳娑插彲鑳芥€уぇ锛岃兏閮–T绀哄乏涓嬭偤鐩村緫2cm鍒嗚憠鐙€绲�(ji茅)绡€(ji茅)褰�锛岀副闅斿彲瑕�(ji脿n)鐩村緫1锝�2cm鐨勮叓澶ф穻宸寸祼(ji茅)锛屽彲鑳界偤鍛�?ch膿)顚熷ご浼�?锛屼即鏈夋穻宸寸祼(ji茅)杞�(zhu菐n)绉�?锛涢鍚ｅ３淇洪湀F(xi脿n)娣嬪反绲�(ji茅)杞�(zhu菐n)绉诲爆浜庢墜琛�(sh霉)鐩稿皪(du矛)绂佸繉鐧�锛屼笉鎳�(y墨ng)琛屾墜琛�(sh霉)娌荤檪?锛涢閭介柣鐩掑瓡鍘嶇幆e娑诧紝鍙嶅京(f霉)鎶芥恫鐒�(w煤)鏄庨’娌荤檪鏁堟灉鍙嶈€屽鍔犺泲鐧芥祦澶�锛岃€岃兏鑶滃浐瀹氳(sh霉)涓昏鐢ㄤ簬鍏ㄨ韩鎴栧眬閮ㄦ不鐧傜劇(w煤)鏁堥渶瑕佸弽寰�(f霉)鎶藉彇鑳歌厰绌嶆恫鐨�銆傚厤鐤不鐧傚彲鐢ㄤ簬鑲虹檶鐨勮紨鍔╂不鐧傦紝浣嗗皪(du矛)鑳歌厰绌嶆恫鐨勬不鐧傛剰缇╀笉澶�銆傛晠鏈€鏈夋晥娌荤檪鐐哄叏韬寲鐧傦紝灏�(du矛)鍥犳不鐧�锛屾笡灏戣兏鑵旂⿳娑茬敘(ch菐n)鐢�銆�

3.鐢凤紝38 姝�銆傝粖(ch膿)绂嶈嚧鑳搁儴鎼嶅偡锛屽嚭鐝�(xi脿n)鍤�(y谩n)閲嶅懠鍚稿洶闆�锛屾煡楂旓細BP 80/60mmHg锛岃剤鎼忕窗(x矛)閫�锛岀毊鑶氬畬鏁�锛屾埃绠″乏绉�锛岄牳闈滆剤鍏呯泩锛岄牳閮ㄥ強鍙宠兏閮ㄧ毊涓嬫埃鑵�锛屽彸鑳稿粨椋芥豢(m菐n)锛岃倠闁撻殭澧炲锛屽彥瑷洪紦闊�锛屽彸鑲哄懠鍚搁煶娑堝け銆傛渶鍙兘鐨勮ê鏂锋槸

A.寮靛姏鎬ф埃鑳�

B.闁夊悎鎬ф埃鑳�

C.闁�(k膩i)鏀炬€ф埃鑳�

D.绺遍殧姘ｈ叓

E.鑲虹垎闇囧偡

銆愯В鏋愩€戦潚骞寸敺鎬ф偅鑰�锛岃粖(ch膿)绂嶈嚧鑳搁儴鎼嶅偡鍚�锛岀毊鑶氬畬鏁磋€冩叜鐐洪枆鍚堟€ф悕鍌�锛屾煡楂旓細姘ｇ宸︾Щ锛岄牳闈滆剤鍏呯泩锛岄牳閮ㄥ強鍙宠兏閮ㄧ毊涓嬫埃鑵�(寮靛姏鎬ф埃鑳稿吀鍨嬭嚚搴婅〃鐝�(xi脿n))锛屽彸鑳稿粨椋芥豢(m菐n)锛岃倠闁撻殭澧炲锛屽彥瑷洪紦闊�锛屽彸鑲哄懠鍚搁煶娑堝け锛岄珮搴︽彁绀烘埃鑳镐笖鐐哄嫉鍔涙€ф埃鑳�锛岄枆鍚堟€ф埃鑳搞€佺副闅旀埃鑵竴鑸笉鍑虹従(xi脿n)鐨笅姘ｈ叓锛屾偅鑰呯劇(w煤)鐖嗙偢鐝�(xi脿n)鍫�(ch菐ng)鎺ヨЦ鍙蹭篃涓嶈€冩叜鑲虹垎闇囧偡銆�

4.鐢凤紝38 姝�銆傝粖(ch膿)绂嶈嚧鑳搁儴鎼嶅偡锛屽嚭鐝�(xi脿n)鍤�(y谩n)閲嶅懠鍚稿洶闆ｏ紝鏌ラ珨锛欱P 80/60mmHg锛岃剤鎼忕窗(x矛)閫燂紝鐨啔瀹屾暣锛屾埃绠″乏绉�锛岄牳闈滆剤鍏呯泩锛岄牳閮ㄥ強鍙宠兏閮ㄧ毊涓嬫埃鑵�锛屽彸鑳稿粨椋芥豢(m菐n)锛岃倠闁撻殭澧炲锛屽彥瑷洪紦闊�锛屽彸鑲哄懠鍚搁煶娑堝け銆傚叾涓昏鐨勭梾鐞嗙敓鐞嗙磰浜傜偤

A.闈滆剤鍥炲績琛€閲忓鍔�

B.绺遍殧鎾插嫊(d貌ng)

C.鎮ｅ伌(c猫)鑳歌啘鑵旀澹�

D.姣忓垎閫氭埃閲忓鍔�

E.鎬ユ€ц偤姘磋叓

銆愮瓟妗堛€慍

銆愯В鏋愩€戝嫉鍔涙€ф埃鑳革細浜︾ū(ch膿ng)鐐洪珮澹撴€ф埃鑳�锛屾埃绠°€佹敮姘ｇ鍙婅偤鎼嶅偡铏曟垨鑰呰兏澹佸偡鍙ｈ檿褰㈡垚鍠悜娲荤摚锛屽惛姘ｆ檪(sh铆)鑳稿粨鎿�(ku貌)澶э紝鑳歌啘鑵斿収(n猫i)澹撹畩灏�锛岀┖姘ｉ€�(j矛n)鍏ヨ兏鑶滆厰;鍛兼埃鏅�(sh铆)鑳歌啘鑵斿収(n猫i)澹撳崌楂橈紝澹撹揩娲荤摚浣夸箣闂�(gu膩n)闁�锛岃嚧浣胯兏鑶滆厰鍏�(n猫i)绌烘埃瓒婄⿳瓒婂锛屽収(n猫i)澹撴寔绾�(x霉)鍗囬珮锛屽皫(d菐o)鑷磋兏鑶滆厰澹撳姏鍦ㄧ煭鏅�(sh铆)闁撳収(n猫i)楂樹簬澶ф埃澹�(鑳歌啘鑵旀澹�)锛屼娇鑲鸿嚐杩呴€熷彈澹�锛岀副闅斿悜鍋ュ伌(c猫)绉讳綅锛屽奖闊垮績鑷熻娑插洖娴�锛岃繀閫熷嚭鐝�(xi脿n)鍤�(y谩n)閲嶅懠鍚稿惊鐠�(hu谩n)闅滅銆傛晠涓昏鐥呯悊鐢熺悊绱婁簜鐐烘偅鍋�(c猫)鑳歌啘鑵旀澹�?锛焩闅旀挷鍕�(d貌ng)鐐洪枊(k膩i)鏀炬€ф埃鑳�銆佸拰闁夊悎鎬у鏍瑰铏曡倠楠ㄩ鎶樼殑琛ㄧ従(xi脿n)銆傛€ユ€ц偤姘磋叓鐐烘€ユ€у乏蹇冭“鐨勪富瑕佽〃鐝�(xi脿n)銆�

5.鐢�锛�68 姝�?锛熶汉?20 澶╋紝鑳告偠姘ｄ績 l 鍛�銆�20 澶╁墠鍙楁都鍚庡共鍜筹紝鐒�(w煤)鐧�(f膩)鐔�銆佸挴琛€锛岃嚜鏈�“鏉胯棈(l谩n)鏍归牠瀛㈣弻绱犲強鍜冲椊绯栨伎”锛屽挸鍡界◢鏈夋笡杓�锛岃繎 1 鍛ㄤ締(l谩i)鑷(ju茅)鑳告偠銆佹埃淇冿紝涓嶈兘骞宠嚗銆傛棦寰€楂斿仴銆傛煡楂旓細T 37.2鈩�锛孭 96 娆�/鍒�锛孯 20 娆�/鍒�锛孊P 140/80mmHg锛屽彸涓笅鑲鸿獮(y菙)闊抽渿椤笡寮�锛屽彥瑷哄憟婵侀煶锛屽懠鍚搁煶娓涘急锛屽績鐜� 100 娆�/鍒嗭紝寰嬮綂锛岃吂杌�锛岃倽鑴捐倠涓嬫湭瑙稿強銆傝┎鎮ｈ€呮渶鍙兘鐨勮ê鏂锋槸

A.鑳歌厰绌嶆恫

B.鏀埃绠″摦鍠�

C.鑲虹値

D.蹇冨姏琛扮

E.鑲虹祼(ji茅)鏍�

銆愮瓟妗堛€慉

銆愯В鏋愩€戞偅鑰呰€佸勾鐢锋€�锛屽彈娑煎悗鍑虹従(xi脿n)鍜冲椊锛岃嚜鏈嶈棩鐗╂不鐧傚悗绋嶆湁娓涜紩锛岀従(xi脿n)瑕�(ju茅)鑳告偠銆佹埃淇�锛屼笉鑳藉钩鑷�銆傛煡楂斾綆鐔�锛屽彸涓笅鑲鸿獮(y菙)闊抽渿椤笡寮�锛屽彥瑷哄憟婵侀煶锛屽懠鍚搁煶娓涘急(鑳歌厰绌嶆恫甯歌(ji脿n)楂斿緛)锛屾晠鎮ｈ€呮渶鍙兘瑷烘柗鐐鸿兏鑵旂⿳娑�銆傛敮姘ｇ鍝枠甯哥偤闈掑勾璧风梾锛岀櫦(f膩)浣滄檪(sh铆)鍙仦鍙婂摦槌撮煶;鑲虹値涓€鑸劇(w煤)鍙╄ê婵侀煶;蹇冨姏琛扮鏅�(sh铆)鍙仦鍙婇洐鑲烘繒鍟伴煶涓旂劇(w煤)鍙╄ê婵侀煶;鑲虹祼(ji茅)鏍告姉鐢熺礌娌荤檪甯哥劇(w煤)鏁�銆�

2024骞磋嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯€冪敓娉ㄦ剰锛�

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