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重“郑知”音
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夜猫子笔记
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每日一题_2022.5.19
A 58-year-old man is in the ICU three days after being involved in a motor vehicle acciden…
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NEJM: 肠结核
A 36-year-old woman presented to the emergency department with a 1-day history of severe a…
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每日一题_2022.5.18
A 45-year-old homeless man is admitted to the psychiatric ward for acute psychosis. His vi…
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每日一题_2022.5.17
A 65-year-old woman who had an aortic valve replacement seven months ago is three weeks st…
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Critical Care：脓毒性休克患者何时开始使用加压素：我们提出的策略
精氨酸血管加压素（AVP）的使用指征仍有争议。Wieruszewski和Khanna最近建议从经典的阶梯方案向早期多模式升压药物治疗策略发展。正如作者所提到的，作为二级用药启动血管…
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每日一题_2022.5.16
A 36-year-old man was injured in a high-speed motor vehicle accident. He was unbelted and,…
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Neurology病例：脑死亡中的反射动作：临床查体的挑战
49岁女性，在家中被发现心脏骤停，30分钟后行心肺复苏。脑CT可见弥漫性缺氧损伤。经过72小时的目标体温管理后，脑干检查，脑电图和呼吸暂停试验均符合脑死亡。但是，在对左手甲床施压时…
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Journal of Intensive Care：脑死亡：临床综述
摘要 脑死亡，根据神经学标准通常也被称为死亡，几十年来一直被认为是死亡的法律定义。它的决定涉及许多考虑因素和微妙之处。在这篇综述中，我们讨论了脑死亡的哲学和历史，临床诊断和特殊考虑…
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每日一题_2022.5.15
A 58-year-old man with a history of chronic low back pain, hyperlipidemia, and moderate ch…
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每日一题_2022.5.14
A 73-year-old man presented with 1-month history of fatigue and diffuse bone pain. Laborat…
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每日一题_2022.5.13
A 55-year-old man with hypertension has chest pain and is brought to the emergency departm…
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CCM: Temperature Management in the ICU
OBJECTIVE: Temperature abnormalities are recognized as a marker of human disease, and the …
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每日一题_2022.5.12
A 29-year-old man hanged himself and is resuscitated at the site by emergency medical serv…
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每日一题_2022.5.11
A 27-year-old man with viral pneumonia is significantly short of breath, with negative spu…
