{"id":6012,"date":"2019-12-06T13:51:49","date_gmt":"2019-12-06T05:51:49","guid":{"rendered":"https:\/\/wp-cc.meddatas.com\/?p=6012"},"modified":"2020-12-23T14:02:12","modified_gmt":"2020-12-23T06:02:12","slug":"52%e5%b2%81%e7%94%b7%e6%80%a7%e5%8f%91%e7%83%ad%e3%80%81%e5%92%b3%e5%97%bd%e5%8f%8a%e4%bd%8e%e6%b0%a7%e8%a1%80%e7%97%87","status":"publish","type":"post","link":"https:\/\/wp-cc.meddatas.com\/?p=6012","title":{"rendered":"52\u5c81\u7537\u6027\u53d1\u70ed\u3001\u54b3\u55fd\u53ca\u4f4e\u6c27\u8840\u75c7"},"content":{"rendered":"<p>\u3010Case Report\u3011<\/p>\n<p>52\u5c81\u7537\u6027\u53d1\u70ed\u3001\u54b3\u55fd\u53ca\u4f4e\u6c27\u8840\u75c7<\/p>\n<p>Case 23-2019: A 52-Year-Old Man with Fever, Cough, and Hypoxemia<\/p>\n<p>N Engl J Med 2019; 381:359-369.DOI: 10.1056\/NEJMcpc1900598<\/p>\n<p>\u62a5\u544a\u4eba\uff1a\u5f20\u82ae<\/p>\n<p>\u8bc4\u8bba\uff08\u4ec5\u4ee3\u8868\u4e2a\u4eba\u89c2\u70b9\uff09\uff1a<\/p>\n<p>\u8be5\u60a3\u8005\u4e3a52\u5c81\u7537\u6027\uff0c\u65e0\u660e\u663e\u8bf1\u56e0\u4e0b\u51fa\u73b0\u4e2d\u4f4e\u5ea6\u53d1\u70ed\u3001\u54b3\u55fd\u53ca\u4f4e\u6c27\u8840\u75c7\uff0c\u65e2\u5f80\u6709\u9ad8\u8102\u8840\u75c7\u3001\u9ad8\u8840\u538b\u75c5\u53f2\uff0c\u67e5\u4f53\u5728\u80f8\u9aa8\u53f3\u7f18\u95fb\u53ca\u6536\u7f29\u671f\u6742\u97f3\uff0c\u5b9e\u9a8c\u5ba4\u68c0\u67e5\u63d0\u793a\u767d\u7ec6\u80de\u8ba1\u6570NTpro-BNP\u3001TnT\u53caD-\u4e8c\u805a\u4f53\u5347\u9ad8\uff0c\u80f8\u7247\u793a\u53f3\u4e0a\u80ba\u6d78\u6da6\u5f71\uff0c\u5fc3\u8d85\u793a\u5de6\u5ba4\u9ad8\u52a8\u529b\uff0c\u5148\u540e\u4e88\u9f3b\u5bfc\u7ba1\u5438\u6c27\u3001\u9762\u7f69\u5438\u6c27\u53ca\u9ad8\u6d41\u91cf\u6c27\u7597\u3001\u5e7f\u8c31\u6297\u611f\u67d3\u3001\u5229\u5c3f\u7b49\u6cbb\u7597\uff0c\u547c\u5438\u56f0\u96be\u8fdb\u884c\u6027\u52a0\u91cd\uff0c\u53cc\u80ba\u5e7f\u6cdb\u6d78\u6da6\uff0c\u4ee5\u53f3\u4e0a\u80ba\u4e3a\u8457\uff0c\u5fc3\u7535\u56fe\u793a\u7aa6\u901f\u3001\u80f8\u524d\u5bfc\u8054ST\u6bb5\u538b\u4f4e\u5e76\u9010\u6e10\u6062\u590d\uff0c\u540e\u4e88\u6c14\u7ba1\u63d2\u7ba1\u63a5\u547c\u5438\u673a\u8f85\u52a9\u901a\u6c14\uff0c\u6c14\u9053\u5185\u53ef\u89c1\u6ce1\u6cab\u75f0\uff0c\u65e0\u8113\u75f0\u53ca\u51fa\u8840\uff0c\u4e88\u80ba\u4fdd\u62a4\u6027\u901a\u6c14\u3001\u808c\u677e\u3001\u5438\u5165NO\u7b49\u6cbb\u7597\u3002<\/p>\n<p>\u9274\u522b\u8bca\u65ad\u4ece\u4f4e\u6c27\u8840\u75c7\u5165\u624b\uff0c\u5206\u4e3a\uff1a\u5438\u5165\u6c27\u5206\u538b\u964d\u4f4e\uff1a\u4e3b\u8981\u89c1\u4e8e\u9ad8\u539f\u5730\u533a\uff1b\u901a\u6c14\u4e0d\u8db3\uff1a\u5355\u7eaf\u901a\u6c14\u969c\u788d\u65f6PaCO<sub>2<\/sub>\u660e\u663e\u5347\u9ad8\uff0c\u4e0e\u8be5\u60a3\u8005\u8840\u6c14\u4e0d\u7b26\uff1b\u5f25\u6563\u969c\u788d\uff1a\u591a\u89c1\u4e8e\u9ad8\u5f3a\u5ea6\u8fd0\u52a8\u53ca\u80ba\u95f4\u8d28\u6027\u75be\u75c5\u60a3\u8005\uff1bV\/Q\u5931\u8c03\u53ca\u5206\u6d41\uff1a\u5355\u7eaf\u5206\u6d41\u81f4\u4f4e\u6c27\u8840\u75c7\u96be\u4ee5\u9760\u5438\u6c27\u7ea0\u6b63\uff0c\u8be5\u60a3\u8005\u521d\u671f\u5bf9\u5438\u6c27\u6709\u53cd\u5e94\uff0c\u6392\u9664\u5355\u7eaf\u5206\u6d41\uff0c\u4f46\u63d0\u793a\u5b58\u5728V\/Q\u5931\u8c03\u3002<\/p>\n<p>\u4e3b\u8981\u9274\u522b\u75be\u75c5\u5305\u62ec\uff1a<\/p>\n<ul>\n<li>\u80ba\u708e\uff1a\u8be5\u60a3\u8005\u76f8\u5173\u75c5\u539f\u5b66\u68c0\u67e5\u5747\u4e3a\u9634\u6027\uff0c\u4e14\u5e7f\u8c31\u6297\u751f\u7d20\u6cbb\u7597\u65e0\u660e\u663e\u6548\u679c\u3002<\/li>\n<li>ARDS:\u975e\u5fc3\u6e90\u6027\u80ba\u6c34\u80bf\u3001\u4f4e\u6c27\u4e0e\u80ba\u987a\u5e94\u6027\u964d\u4f4e\u53ca\u5f25\u6f2b\u6027\u80ba\u6d78\u6da6\u76f8\u5173\uff0c\u8be5\u60a3\u8005\u5728\u673a\u68b0\u901a\u6c14\u8fc7\u7a0b\u4e2d\uff0cVCV\u6a21\u5f0fVT 420ml\uff0cPEEP 15cmH<sub>2<\/sub>O\uff0c\u76d1\u6d4bPplat 26cmH<sub>2<\/sub>O\uff0c\u9a71\u52a8\u538b11 cmH<sub>2<\/sub>O\uff0c\u529b\u5b66\u7ed3\u679c\u4e0e\u4e25\u91cd\u4f4e\u6c27\u4e0d\u7b26\uff0c\u6b64\u5916\u8be5\u60a3\u8005\u80f8\u7247\u4e3a\u95f4\u8d28\u6027\u80ba\u6c34\u80bf\u3002<\/li>\n<li>\u80ba\u6813\u585e\uff1a\u4e00\u822c\u4e0d\u5bfc\u81f4\u5e7f\u6cdb\u80ba\u6d78\u6da6\uff0c\u6b64\u5916\u8be5\u60a3\u8005\u65e0\u9ad8\u51dd\u98ce\u9669\u3002<\/li>\n<li>\u95f4\u8d28\u6027\u80ba\u75be\u75c5\uff1a\u9650\u5236\u6027\u901a\u6c14\u969c\u788d\u53ca\u5f25\u6563\u969c\u788d\uff0c\u8be5\u60a3\u8005\u65e0\u76f8\u5173\u75c5\u53f2\u53ca\u7279\u5f81\u6027\u5f71\u50cf\u5b66\u8868\u73b0\u3002<\/li>\n<li>\u5fc3\u6e90\u6027\u80ba\u6c34\u80bf\uff1a\u539f\u56e0\u5305\u62ecACS\u3001\u6025\u6027\u5fc3\u8870\u3001\u6025\u6027\u74e3\u819c\u75be\u75c5\u3002\u60a3\u8005\u5fc3\u8d85\u793a\u5de6\u5ba4\u9ad8\u52a8\u529b\u53ef\u9664\u5916\u6025\u6027\u6536\u7f29\u529f\u80fd\u969c\u788d\uff0c\u4e8c\u5c16\u74e3\u72ed\u7a84\u4e3a\u8212\u5f20\u671f\u6742\u97f3\uff0c\u80a5\u539a\u6027\u5fc3\u808c\u75c5\u6d41\u51fa\u9053\u6897\u963b\u53ef\u8868\u73b0\u4e3a\u5de6\u5ba4\u9ad8\u52a8\u529b\u4f46\u4e3b\u8981\u8868\u73b0\u4e3a\u4f4e\u8840\u538b\uff0c\u5408\u5e76\u4f4e\u6c27\u65f6\u5e38\u4f34\u4e8c\u5c16\u74e3\u53cd\u6d41\u3002<\/li>\n<\/ul>\n<p>\u6025\u6027\u4e8c\u5c16\u74e3\u53cd\u6d41\u65f6\u80f8\u9aa8\u53f3\u7f18\u95fb\u53ca\u6742\u97f3\u63d0\u793a\u4e25\u91cd\u524d\u5411\u53cd\u6d41\u671d\u5411\u53f3\u4e0a\u80ba\u9759\u8109\uff0c\u504f\u5fc3\u53cd\u6d41\u5bfc\u81f4\u5c40\u90e8\u80ba\u9759\u8109\u538b\u529b\u5347\u9ad8\uff0c\u4ece\u800c\u5f15\u8d77\u5c40\u9650\u6027\u80ba\u6d78\u6da6\u53ca\u80ba\u6c34\u80bf\u3002\u4e8c\u5c16\u74e3\u5173\u95ed\u4e0d\u5168\u539f\u56e0\u5305\u62ec\u7f3a\u8840\u6027\u56e0\u7d20\u3001\u975e\u7f3a\u8840\u56e0\u7d20\u5305\u62ec\u7c98\u6db2\u7624\u53ca\u7c98\u6db2\u53d8\u6027\u3001\u5fc3\u5185\u819c\u708e\u3001\u98ce\u6e7f\u6027\u5fc3\u810f\u75c5\u3001\u521b\u4f24\u3001\u81ea\u53d1\u6027\u4e73\u5934\u808c\u65ad\u88c2\u3002\u60a3\u8005\u4e8c\u6b21\u5fc3\u8d85\u89c1\u4e8c\u5c16\u74e3\u5173\u95ed\u4e0d\u5168\uff0c\u6e38\u79bb\u4e8c\u5c16\u74e3\u5c0f\u53f6\u53ca\u6e38\u79bb\u8171\u7d22\u671d\u5411\u5de6\u623f\uff0c\u63d0\u793a\u4e73\u5934\u808c\u65ad\u88c2\u3002\u524d\u5916\u4fa7\u4e73\u5934\u808c\u5177\u6709\u53cc\u91cd\u8840\u4f9b\uff0c\u800c\u540e\u5185\u4fa7\u4e73\u5934\u808c\u4ec5\u6709\u540e\u964d\u652f\u8840\u4f9b\uff0c\u5bb9\u6613\u53d7\u7d2f\u3002<\/p>\n<p>\u4e73\u5934\u808c\u65ad\u88c2\u81f4\u6025\u6027\u4e8c\u5c16\u74e3\u5173\u95ed\u4e0d\u5168\u662f\u5916\u79d1\u5e72\u9884\u6307\u5f81\uff0c\u800c\u5185\u79d1\u5904\u7406\u5305\u62ec\u4f7f\u7528\u785d\u666e\u94a0\u3001\u6539\u5584\u5fc3\u810f\u8212\u5f20\u529f\u80fd\uff08\u591a\u5df4\u915a\u4e01\u80fa\u3001\u7c73\u529b\u519c\u7b49\uff09\u3001IABP\u3001VA-ECMO\uff0c\u8840\u7ba1\u6d3b\u6027\u836f\u56e0\u589e\u52a0\u540e\u8d1f\u8377\u81f4\u53cd\u6d41\u52a0\u91cd\uff0c\u4f5c\u4e3a\u76f8\u5bf9\u7981\u5fcc\u75c7\u3002\u8be5\u60a3\u8005\u51a0\u8109\u9020\u5f71\u672a\u89c1\u660e\u663e\u51a0\u8109\u963b\u585e\u6027\u75be\u75c5\uff0c\u672f\u4e2d\u8bc1\u5b9e\u540e\u5185\u4fa7\u4e73\u5934\u808c\u65ad\u88c2\uff0c\u672f\u540e\u75c5\u7406\u63d0\u793a\u6e38\u79bb\u74e3\u53f6\u8f7b\u5ea6\u7c98\u6db2\u53d8\u6027\uff0c\u65ad\u88c2\u4e73\u5934\u808c\u63d0\u793a6-10\u5929\u524d\u6897\u6b7b\u3002<\/p>\n<p>\u7f16\u8f91\uff1a<\/p>\n<p>\u4f9b\u7a3f\uff1a\u5218\u827e\u7136\/\u5f20\u82ae<\/p>\n<p>\u5ba1\u6838\uff1a\u5218\u677e\u6865<\/p>\n<blockquote><p><a href=\"https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2020\/12\/Case-23-2019\uff1aA-52-Year-Old-Man-with-Fever-Cough-and-Hypoxemia.pdf\">Case 23-2019\uff1aA 52-Year-Old Man with Fever, Cough, and Hypoxemia.pdf<\/a><\/p><\/blockquote>\n<p><img loading=\"lazy\" class=\"size-full wp-image-6013 aligncenter\" src=\"https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2020\/12\/2020-12-23_135554.png\" alt=\"\" width=\"1026\" height=\"24951\" \/><\/p>\n<div id=\"wrapper\">\n<div id=\"body\">\n<div class=\"inner\">\n<div class=\"right\">\n<div class=\"main\">\n<div class=\"content\">\n<div class=\"maincontent clearfix\">\n<p style=\"text-align: center;\">(\u8bfb\u4e66\u62a5\u544a\uff1a\u5f20\u82ae \u00a0 \u00a0\u7f16\u8f91\uff1a\u5f20\u661f\u661f \u00a0 \u00a0\u5ba1\u6838\uff1a\u5218\u677e\u6865)<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u3010Case Report\u3011 52\u5c81\u7537\u6027\u53d1\u70ed\u3001\u54b3\u55fd\u53ca\u4f4e\u6c27\u8840\u75c7 Case 23-2019: A 52-Year-O &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/wp-cc.meddatas.com\/?p=6012\"> <span class=\"screen-reader-text\">52\u5c81\u7537\u6027\u53d1\u70ed\u3001\u54b3\u55fd\u53ca\u4f4e\u6c27\u8840\u75c7<\/span> \u67e5\u770b\u5168\u6587 &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[88],"tags":[],"_links":{"self":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts\/6012"}],"collection":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6012"}],"version-history":[{"count":1,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts\/6012\/revisions"}],"predecessor-version":[{"id":6015,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts\/6012\/revisions\/6015"}],"wp:attachment":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6012"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6012"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6012"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}