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1.鐢�锛�78 姝�銆傚洜閫�(j矛n)琛屾€ф埃鐭� 2 鍛ㄥ氨瑷�锛岀劇鍜冲椊銆佺櫦(f膩)鐔�銆佽兏鐥涳紝鑳搁儴 X 绶氱墖绀哄乏鍋�(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╔绶氭鏌ユ彁绀哄ぇ閲忚兏鑵旂⿳娑�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ㄥ湇鍨嬭偤鐧岀殑瑷烘柗锛孹绶氱墖鏈彁绀鸿偤閮ㄦ湁鍗犱綅鎬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)鏈夌劇杞�(zhu菐n)绉汇€傝兏閮–T鍙敤浜庤偤鐧岀殑妾㈡煡锛屼絾鐒℃硶纰鸿ê銆�

2.鐢�锛�78 姝�銆傚洜閫�(j矛n)琛屾€ф埃鐭� 2 鍛ㄥ氨瑷�锛岀劇鍜冲椊銆佺櫦(f膩)鐔便€佽兏鐥�锛岃兏閮� X 绶氱墖绀哄乏鍋�(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�锛岀副闅斿彲瑕嬬洿寰�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�锛岀副闅斿彲瑕嬬洿寰�1锝�2cm鐨勮叓澶ф穻宸寸祼(ji茅)锛屽彲鑳界偤鍛ㄥ湇鍨嬭偤鐧�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�锛屽弽寰�(f霉)鎶芥恫鐒℃槑椤不鐧傛晥鏋滃弽鑰屽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�锛屼絾灏嶈兏鑵旂⿳娑茬殑娌荤檪鎰忕京涓嶅ぇ銆傛晠鏈€鏈夋晥娌荤檪鐐哄叏韬寲鐧�锛屽皪鍥犳不鐧傦紝娓涘皯鑳歌厰绌嶆恫鐢�(ch菐n)鐢�銆�

3.鐢凤紝38 姝�銆傝粖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.闁嬫斁鎬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�锛岃粖绂嶈嚧鑳搁儴鎼嶅偡鍚庯紝鐨啔瀹屾暣鑰冩叜鐐洪枆鍚堟€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�銆佺副闅旀埃鑵竴鑸笉鍑虹従(xi脿n)鐨笅姘ｈ叓锛屾偅鑰呯劇鐖嗙偢鐝�(xi脿n)鍫存帴瑙稿彶涔熶笉鑰冩叜鑲虹垎闇囧偡銆�

4.鐢凤紝38 姝�銆傝粖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鐐洪珮澹撴€ф埃鑳�锛屾埃绠�銆佹敮姘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�锛岃兏鑶滆厰鍏�(n猫i)澹撹畩灏忥紝绌烘埃閫�(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�锛屽杩椿鐡ｄ娇涔嬮棞(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)鐐洪枊鏀炬€ф埃鑳搞€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＄櫦(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締鑷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�/鍒嗭紝R 20 娆�/鍒�锛孊P 140/80mmHg锛屽彸涓笅鑲鸿獮闊抽渿椤笡寮憋紝鍙╄ê鍛堟縼闊�锛屽懠鍚搁煶娓涘急锛屽績鐜� 100 娆�/鍒�锛屽緥榻�锛岃吂杌燂紝鑲濊劸鑲嬩笅鏈Ц鍙�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)瑕鸿兏鎮�銆佹埃淇冿紝涓嶈兘骞宠嚗銆傛煡楂斾綆鐔憋紝鍙充腑涓嬭偤瑾為煶闇囬～娓涘急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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鍙╄ê婵侀煶;鑲虹祼(ji茅)鏍告姉鐢熺礌娌荤檪甯哥劇鏁�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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