临床话题

30-50%重症监护室患者营养不良;营养不良与更糟糕的结果相关。 什么时候开始肠内注射? 1. 早期肠内营养(重症发病后<48小时)可降低死亡率和感染发生率(特别是肺炎)。 …

An 18-year-old man is transferred from an outside facility for management of a pneumothora…

A 30-year-old man was severely burned in a house fire and explosioncaused by a gas leak. H…

 一名59岁瓦工因疲劳、手掌和脚掌皮肤逐渐变黑1年就诊。查体：患者舌部可见斑点状黏膜变黑区域，手掌和脚底也有色素沉着。实验室检查：血红蛋白水平为9.4 g/dL（参考范围为14~1…

A 74-year-old man with coronary artery disease presented to the emergency department with …

A 38-year-old man sustains a cerebral hemorrhage in a motor vehicle accident. He requires …

A 32-year-old woman who is gravida 2, para 1, at 29 weeks’ gestation loses consciousness d…

A 41-year-old woman with history of systemic lupus erythematosus, controlled on disease-mo…

A 37-year-old man is admitted to the hospital for alcoholic-induced pancreatitis and has b…

A 70-year-old woman with a history of nephrolithiasis and myocardial infarction is admitte…

A 58-year-old man who is postoperative day one after a Whipple procedure develops increase…

A 53-year-old landscaper presented to the dermatology clinic with a 4-month history of red…

A 65-year-old man presents to the emergency department with pleuritic …

A 27-year-old woman with a history of depression and chronic pain is found unresponsive af…

脉搏血氧仪是一种无创连续测量血红蛋白氧饱和度的方法。它利用了含氧和去氧血红蛋白不同地吸收红光和红外光的事实。 测量过程：通过皮肤照射红光和红外光，并测量其吸收→ DeoxyHb和O…

A 27-year-old woman with morbid obesity who is at 37 we…

Which of the following is true about perioperative 5-lead telemetry monitoring in noncardi…

重症监护医学学会(SCCM)选择Wisely®日常护理查房检查表的目标是提供一种结构化方法，以最大限度地整合循证实践，避免浪费，并提供安全、高价值的重症监护。在考虑当天实施的每项建…