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Medscape > Fast Five Quizzes Fast Five Quiz: Are You Prepared to Confront Snakebites? Richard H. Sinert, DO Disclosures | January 10, 2017 Most snakebites are innocuous and are delivered by nonvenomous species. North America is home to 25 species of venomous snakes. Worldwide, only about 15% of the more than 3000 species of snakes are considered dangerous to humans. Although death is rare, local complications from envenomation may occur. 蛇咬伤多数为无毒蛇咬伤因而危害不...
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Medscape > Fast Five Quizzes Fast Five Quiz: Are You Prepared to Confront Snakebites? Richard H. Sinert, DO Disclosures | January 10, 2017 Most snakebites are innocuous and are delivered by nonvenomous species. North America is home to 25 species of venomous snakes. Worldwide, only about 15% of the more than 3000 species of snakes are considered dangerous to humans. Although death is rare, local complications from envenomation may occur. 蛇咬伤多数为无毒蛇咬伤因而危害不...
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Medscape > Fast Five Quizzes Fast Five Quiz: Are You Prepared to Confront Snakebites? Richard H. Sinert, DO Disclosures | January 10, 2017 Most snakebites are innocuous and are delivered by nonvenomous species. North America is home to 25 species of venomous snakes. Worldwide, only about 15% of the more than 3000 species of snakes are considered dangerous to humans. Although death is rare, local complications from envenomation may occur. 蛇咬伤多数为无毒蛇咬伤因而危害不...
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Medscape > Fast Five Quizzes Fast Five Quiz: Are You Prepared to Confront Snakebites? Richard H. Sinert, DO Disclosures | January 10, 2017 Most snakebites are innocuous and are delivered by nonvenomous species. North America is home to 25 species of venomous snakes. Worldwide, only about 15% of the more than 3000 species of snakes are considered dangerous to humans. Although death is rare, local complications from envenomation may occur. 蛇咬伤多数为无毒蛇咬伤因而危害...
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大连医科大学重症医学研究所/附属一院重症医学科(116011)李文雯 万献尧   急性呼吸窘迫综合征(ARDS)是严重威胁患者生命的危重症,其临床发病率和病死率均较高。尽管近年来对其发病机制、治疗策略等研究有了很大的进展,但其病死率仍居高不下,可达36%~45%[1],甚至更高。因此,及时正确的诊断与治疗,在临床工作中起着极其重要的作用。 自1967年Ashbaugh等[2]报告了ARDS的病例以来,ARDS便成了基础和临床的研究热点,但尚缺乏统一的临床诊断标准。直至1994年,欧美联席会议(AECC)提出了急性肺损伤(ALI...
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问题: 对于最近闹得火热的羟乙基淀粉(130/0.4),您怎么看? 好像除了看见您对《严重全身性感染与感染性休克治疗指南2012》的点评外,再木有看见你对此问题的只言片语。 我的问题是 对于感染性休克,我们在临床工作中就真滴不能够使用羟乙基淀粉吗?那我们使用什么胶体?明胶?白蛋白?血浆?其他? 低血容量性休克也不推荐吗?还是可以谨慎使用? 回答(仅代表个人观点,与学会立场无关) 这个问题真的很纠结 我不认为不同的休克结果会不一样,因为CHEST入选的患者并非感染性休克 问题是能否真的不用?...
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首都医科大学附属北京朝阳医院-北京呼吸疾病研究所   李洁 詹庆元 (CSCCM原创,转载请注明) 一、基础篇: 1. 首先,从呼吸机如何送气说起:一般而言,呼吸机的功能是将一口气吹进患者肺内,至于其如何呼出,与呼吸机无关。因此,呼吸机的工作原理即吸气相的送气原理,而送气原理有三要素: 1) 触发: 何时送气:这主要由呼吸机设置的触发灵敏度和患者自主呼吸强度决定,一旦患者自主呼吸强度达到预设值,呼吸机开始送气,称为自主触发;如果患者自主呼吸达不到或...
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[专家课件] 动脉血气分析及高乳酸血症-杜斌已关闭评论
动脉血气分析及高乳酸血症 杜斌 // < ![CDATA[ // < ![CDATA[ AC_FL_RunContent( 'codebase','http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=9,0,28,0','width','630','height','504','src',http://www.csccm.org.cn/Slideshow/lactic/LacticAcidosis.swf','quality','high','pluginspage','http://www.adobe.com/shockwave/download/download.cgi?P1_Prod_Version=ShockwaveFlash','movie','http://sunwardmedical.gicp.net/video/10Anniv/21n_12' ); //end AC c...
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6-step Approach in ABGs 整理及讲解:杜斌 摘录并翻译自:http://www.thoracic.org/sections/clinical-information/critical-care/abgs.html (CSCCM原创,转载请注明) [ 第一步 ] 根据 Henderseon-Hasselbach 公式评估血气数值的内在一致性 [ H+ ]  = 24 x ( PaCO2 ) / [ HCO3- ] o 如果 pH 和 [ H+ ] 数值不一致, 该血气结果可能是错误的 pH 估测 [H+]                           (mmol/L) 7.00 100 7.05 89 7.10 79 7.15 71 7.20 63...
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Explication for APACHE II 整理及讲解:杜斌 (CSCCM原创,转载请注明) [ 有关名称 ] •. APACHE 的英文全称为 Acute Physiology and  Chronic Health Evaluation,中文译为 急性生理与慢性健康评分 •. 有个别文献也将 APACHE 的全文写为 Acute Physiology, Age and  Chronic Health Evaluation,尽管出处不详 [ 内容 ] •. APACHE II 评分 包括三部分,即 急性生理评分、年龄评分 及 慢性健康评分 急性生理评分 (Acute Physiology Score, APS) ...
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