20xx年醫(yī)學(xué)專題—全院病例討論模板-wenkub
2024-11-02 02 本頁面
【正文】 前無明顯誘因咯血，起初為暗黑色血塊，后為鮮紅色血液，量不詳，伴有輕咳，痰少，自服中藥及休息后能自行止血，近2年發(fā)作減少，咯血量少，每年發(fā)作12次，常能自行緩解。ikē)、手術(shù)室、放射科,第一頁，共四十一頁。病例(b236。,病例(b236。5個月前咯血再發(fā)，量及次數(shù)較前增多，為鮮紅色血液，2月前于廣州醫(yī)科大學(xué)第一附屬醫(yī)院住院診治，考慮“肺結(jié)核后遺癥”，經(jīng)抗炎，止血化痰處理效果不佳，自動出院。家族史無特殊。 兩上肺、右下肺背段胸膜下多發(fā)肺大泡形成。,第三頁，共四十一頁。GLU5.6，凝血四項與DⅡ聚體：PT（凝血酶原時間)17.7↑，PT/R(凝血酶原比值)1.55↑，PTINR（凝血酶原國際比值）1.52↑，F(xiàn)bg1.36，TT19.0，DⅡ聚體0.06。,第四頁，共四十一頁。住院第三天再次行CT肺動脈造影并行肺動脈栓塞(shuāns232。,一、病例(b236。中青年，男性，反復(fù)間斷咯血13年余，再發(fā)5月，加重3天； 病情重：咯血量較多，約一飯碗，為鮮紅血液。,第七頁，共四十一頁。,第八頁，共四十一頁。,鑒別(ji224。,11,上消化道出血(chū xiě)（無消化道病史及體征，胃鏡檢查正常） 循環(huán)系統(tǒng)病變（無消化系統(tǒng)病史及體征，未完善相關(guān)檢查） 免疫系統(tǒng)，系統(tǒng)性紅斑狼瘡（缺乏病史及體征，未作相關(guān)檢查） 先天性疾病，肺AV瘺、肺A瘤（肺A造影不支持） 慢支肺氣腫（無病史及體征）,第十一頁，共四十一頁。n),放寬思維，要把少見病、罕見病考慮進(jìn)去。n)，可使用抗結(jié)核藥物。,第十四頁，共四十一頁。 Contents mall developed by Guild Design Inc.,Description of the contents,ThemeGallery is a Design Digital Content amp。,Click to edit title style,Growth,Start,Jump,2008 2007 2006,2005 2004 2003,2002 2001 2000,Description of the contents Description of the contents Description of the contents,Description of the contents Description of the contents Description of the contents,Description of the contents Description of the contents Description of the contents,第十七頁，共四十一頁。,Click to edit title style,Text in here,Title in here,Text in here,Text in here,2005,2006,2007,2008,Description of the contents Description of the contents,Description of the contents Description of the contents,Description of the contents Description of the contents,Description of the contents Description of the contents,ThemeGallery is a Design Digital Content amp。,Click to edit title style,ThemeGallery is a Design Digital Content amp。,Click to edit title style,ThemeGallery is a Design Digital Content amp。,Please write down of a slogan for a vision of a company in shortly.,Please write down of a slogan for a vision of a company in shortly.,Please write down of a slogan for a vision of a company in shortly.,Please write down of a slogan for a vision of a company in shortly.,Vision 01,Vision 03,Vision 02,Vision 04,Company LOGO,Click to edit title style,第二十六頁，共四十一頁。,Click to edit title style,Describe a vision of company or strategic contents.,Describe a vision of co
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