Usmle Medicine Secrets Top 100 Secrets 美国医师执照系列.docVIP

Top 100 Secrets The treatment of severe sepsis syndrome should be based on efficient resuscitation, effective antimicrobial therapy, elimination of secondary infections, euglycemia, early targeted and specific drug therapy, and establishment of therapeutic goals. Acute pulmonary embolism (PE) is a difficult diagnosis to establish despite newer advances in imaging; approximately 50percnt; of cases are diagnosed post mortem. In the approach to suspected PE, keep in mind the prudent use of key diagnostic tests: (1) rapid d-dimer by ELISA is an effective screening test; (2) chest CT can help d