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转载危通笔记20220520_Newsccm
著名的《Clinical infectious diseases》5月有一个增刊,主题是“Digital Strategy and Social Media in Infectio…
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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…
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人世间
电视剧《人世间》以描写大时代背景变化下小人物的生活百态为切口,通过讲述中国北方城市里“光字片”社区周家三兄妹的成长故事,展现了50年来中国社会的巨大变迁和百姓生活的跌宕起伏,呈现出…
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左心室辅助装置(LVAD)的植入与管理
LVAD适应症 在过去的20年里,左心室辅助装置(LVAD)已成为左心衰竭公认的治疗方法。LVAD适应症一般分为两大类:合适移植候选者的移植桥接治疗(BTT)和终点治疗(DT)。D…
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每日一题_2022.5.10
A 43-year-old man is admitted to the ICU with nausea, vomiting, and jaundice. He says that…