Anonymous
Anonymous asked in 社會與文化語言 · 1 decade ago

物理治療!!病例翻譯

This 82 y/o male has underlying bf Diabetes millitus and HTN for 10 years under medical control.He just discharge due to CAD,LM+3-V-D,MR,TR, s/p CABG+MVP+TVP on 1/09.This times,he suffered acute onset of breathe and loss of cinsciousses.He was brought to our ER,conscious coma and saturation 88﹪,intubation was performed.hypotention was notrd,CVP was inserted and inotropices agent was administed.There was no fever with chills,no cough with sputm.no rhinorrhea,no sorethroat,no abdominal pain.The laboratory data shows WBC:10680;Hb:12.4;Cre:2.4;Na:129;k:6.1.correct hyperkalemia with Glucose water with RI infusion and Rolikan were given.D-d dimer test show 1608 was noted,EKG show sinus tachycardia.Under the impression of 1.Acute respirtaory failure,cause? 2.sepsis shock 3.chronic kindey disease,he was

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  • 小兵
    Lv 5
    1 decade ago
    Favorite Answer

    82歲男性病人,本身有糖尿病及高血壓超過10年,一直都有用藥控制中!

    他才在一月9日出院而已,而當時住院診斷是:冠心病,病灶是左冠狀動脈主幹,而且3條冠狀動脈都有阻塞,二尖瓣及三尖瓣閉鎖不全;冠狀動脈繞道手術;二尖瓣及三尖瓣脫垂!

    這次,他忽然有急性呼吸窘迫及意識喪失的情形;因此就被送到我們的急診來醫治

    當時病人意識昏迷,血氧濃度88%;所以立刻作氣管插管,當時發現到血壓偏低!

    所以施行中央靜脈導管術,並給強心劑!病人沒有發燒或冷顫的情形;也沒有咳嗽或痰;也沒有流鼻涕;也沒有喉嚨痛;也沒有腹痛等等情形!

    實驗室數據顯示白血球10680;血色素12.4;鈉離子129;鉀離子6.1

    為了矯正鉀離子過高的情形,當下給予葡萄糖水加胰島素注射加Rolikan注射

    纖維蛋白降解產物D-二聚體數據為1608;心電圖顯示竇性心搏過速

    因此在第1:急性呼吸衰竭,原因不明

    第2:敗血性休克

    第3:慢性腎臟病

    這3個初步診斷之下;他被 .....(收住院治療)

    Source(s): me
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