mbt shoes on sale Coronary heart disease diagnosis

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Diagnosis and classification of coronary heart disease

, Expansion and application of vasodilator should also be careful so as not to cause pulmonary edema, type IV; clinical manifestations of cardiogenic shock. Pulmonary stasis '2 [9 'blood and tissue hypoperfusion performance, cI 18mmHg, mortality 5l treatment: should be monitored in the CI and the combined application of pwp sympathomimetic amine drugs (dopamine, to norepinephrine) and vasodilators (sodium nitroprusside) to increase the cI, improve tissue perfusion. Although such pwp than normal (12 ~ 14mmHg) but not more than 18mmHg, may be appropriate expansion. Aorta and pulse temporarily stable hemodynamic state. 'L990 unsettled on January 18 draft of malaria episodes of acute abdomen report of 2 cases resembles. . . Chuang Nan Kai emergency department stick Diguo Yu Gao Jie in the British Friendship Hospital, Department of Gastroenterology, Wu iron [side 1] male, years of age. September 30, 1985 Nan Tridacna gigas onset chills fever, right upper quadrant pain 2 free, from outside the hospital diagnosis of acute gallbladder Yi Mountain, cholelithiasis turn my wrist and received hospital emergency room. Of people at the hospital every morning between the temperature at 39 No vomiting, diarrhea, do not mark deposited, denied surgery a week ago by the Colorado extravagant to our study. Medical examination. The highest temperature of 40. C,[link widoczny dla zalogowanych], blood pressure 140/80 (18.7/10.3kpa), thoughts of 80 King / min. No yellow staining of skin according to Gong. Superficial lymph nodes is not, no skin Shatter and bleeding points. Cardiopulmonary (a). Belly roar tension, right upper quadrant pain and McNamara point pressure significantly,[link widoczny dla zalogowanych], no anti-foot pain, spleen, ribs and sides, medium hard quality, intestinal woo sound normal. Free l5.3g reduced blood-red Grand 7.0g, since the first was 17,200 cells. Neutral 92, after several investigations normal. Feces will be conventional (a), feces 32 Winchester units of amylase, liver fat option's box (a), normal serum electrolyte kitchen. ECG loop chest fluoroscopy, chest X-ray are (a). B-parallel to the common bile duct seen in the shadow of two. Slightly larger spleen, liver and gallbladder Zhan mining apparent anomalies. Consider biliary ascariasis, moxibustion billion purulent bile duct. Successively with Amikaein, Ampicyllin, Ccphazolin other antibiotics rear invalid, scheduled for open abalone exploration, common bile duct decompression but the patient did not agree. He found pieces of blood Plasmodium falciparum ring body, to the first dose of chloroquine, 1.0, O. 25Bid, Code 6 days. Primaquine complexes 99.6mg. Od, 8 days. Body temperature normal. Abdominal pain improved - discharged. [Example 2] M. 2l years of age. Students. September 3, 1989 for 3 days with intermittent fever, sore throat with headache, who observed the emergency room. Sudden high fever chills H afternoon news, and then profusely. 4th attack with left upper abdominal pain, only lived Wei malaria strong pocket. Anhui back home before the summer recess. Body Ying BP100/70 (13.3/9.33kpa), tonsil l. Large, pharyngeal congestion,[link widoczny dla zalogowanych], heart and lung (a) of the spleen and ribs can be. Gangrene was devastated when the muscle tension - the upper left acutus tenderness evident. WBC8500, N78, L, Hb11.4g%. Urine (--)。 Emergency B ultrasound showed splenomegaly, a small amount of licensing weeks encapsulated product may tuck, paralytic drying obstruction. KUB 2 are (a). Outside the acute knee surgery consultation is not observed during the peritoneal sac in 4 hours after abdominal pain relief, body temperature normal. Blood smears found in the elbow attack malaria gametocyte, circular body. Antimalarial treatment recover from illness plate discharged. Discussion of the parasite on the body tissue injury and direct invasion of the body's immune response malaria. SUI devices can lead to more damage. The clinical manifestations of the Kai complex disease such as arthritis type, heart type bar death, renal death type, thrombocytopenic purpura, type, etc., but the typical attack of malaria is not exactly like the abdomen that misdiagnosis has not been reported. In non-endemic to medicine, identify the type of special clinical diagnostic products have a certain Kam Yan value. This song spoke from the bed look at 2 sides at a time, although the acute abdomen showed apparent (pressure itch, anti hesitate pain, muscle tension and body temperature higher) but still the following points can be owned Kam-cut side 1.2 have malaria history, health epidemic health just to Beijing j2. Abdominal intermittent paroxysmal itching attacks, and relieve itself, the clinical symptoms of a rare shock Shigeatsu} 3. Clinical data support the lack of acute abdomen, such as the blood is not high, normal abdominal plain film, based on beam discovery led to acute abdomen, such as ulcer disease, cholelithiasis, etc. j. Blood smear attack to shoot can be found in malaria parasites, antimalarial treatment spasm disk. Malaria causes acute abdominal pain, abdominal burning mechanism may be the coarse lines of Plasmodium falciparum or late into the ring and permanent body with the red blood cells in the viscera, blood vessels occurs in core together, resulting in extensive crop of local congestion, hypoxia, caused by mesenteric vascular and peritoneal win control seizures. KirkD recently pointed out that malaria can be angry. Muscle injury, and experiments confirmed that elevated serum creatine kinase levels. Abdominal direct injury of abdominal pain may be one reason for idle (13 January 1989 Emperor l1 Prayer)
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