临床话题
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每日一题_2023.11.30
A 53-year-old woman presented with a 3-month history of worsening vascular skin lesions an…
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鱼精蛋白
鱼精蛋白作为肝素的逆转剂,在临床上主要用于治疗肝素过量所致的出血,以及中和在体外循环、血液透析、侵入性心血管手术中应用肝素抗凝处置后体内残留的肝素。然而,肝素类药物种类繁多,鱼精蛋…
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每日一题_2023.11.24
A 69-year-old woman with a history of asbestos exposure presented to the emergency departm…
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ICUOnePage:经皮气管切开术
关于气管切开我的感受: 1)这个也是纵行切开皮肤,类似于外科操作,避开横向血管,和内科的操作有所不同。 2)这里提到了可以使用先穿刺后切开的顺序,目的防止切开后位置移位。 3)纤支…
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ICUOnePage:呼吸机脱机流程
气囊漏气试验阳性标准 (VTi – VTe)/ VTi≤15.5%为阳性(AARC临床实践指南-气管导管的拔除) (VTi-VTe)≤110ml或(VTi-VTe)/ …
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每日一题_2023.11.16
A 53-year-old man presented with a 3-year history of an itchy rash, Raynaud’s phenomenon, …
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每日一题_2023.11.10
A 60-year-old woman with hypertension and chronic kidney disease of unknown cause was refe…
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他汀类药物真的需要夜间服用吗?-丁香园用药指南
为什么需要在夜间服用? 人体内胆固醇合成是个超级复杂的工程,简单说分三阶段:甲羟戊酸的合成、鲨烯的合成、胆固醇的合成。 乙酰 CoA 经过 3 步酶促反应合成甲羟戊酸(胆固醇的前体…
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每日一题_2023.10.29
An 83-year-old woman with a history of type 2 diabetes mellitus presented with a 4-month h…
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米力农的用法用量和注意事项
国内批准适应症 注射给药: 适用于对洋地黄、利尿剂、血管扩张治疗无效或效果欠佳的各种原因引起的急、慢性顽固性充血性心力衰竭。 国内常规剂量 注射给药: 负荷量 25~75 µg/k…
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每日一题_2023.10.20
An 8-year-old girl was brought to the dermatology clinic with a 3-day history of painful l…
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每日一题_2023.10.06
A 72-year-old man presented to the emergency department with a 2-day history of an itchy r…
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FAST-HUG法则
F:喂养 营养不良会增加重症患者的并发症并使得患者预后更差(17)。许多患者在进入ICU时已存在营养不良,需要足够和适当的营养支持,并每天检查喂养情况。 A:镇痛 疼痛可以影响患者…
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每日一题_2023.09.29
A 55-year-old man presented with 10 years of progressive handwriting impairment and rapid,…
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每日一题_2023.09.28
A 158.8-kg (350-lb) man with a body mass index of 40 kg/m2 comes to the physician complain…
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每日一题_2023.09.27
A 19-year-old mother of two rushes to her obstetrician’s office at 35 weeks’ gestation bec…
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每日一题_2023.09.26
A 72-year-old retired man recently diagnosed with heart disease arrives at the emergency d…
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每日一题_2023.09.25
A 7-year-old boy is brought to the physician by his parents because of recurrent sinus inf…