病理讨论(国外英文资料).docVIP

病理讨论(国外英文资料) ? ? ? Back to the course page ? Case discussion In the following cases, the students may judge the pathologic process according to the pattern of the case, then point out the mechanism and then proceed It is the principle of prevention and control. Case in case two cases of cases of case two cases of cases of cases of cases of cases of cases of cases of cases, cases of cases of cases, cases of cases, cases of cases of cases of cases, cases of disease, disease, disease, disease Cases of cases of 11 cases were 13 Case 1: return The woman, 36, weighed 50kg and was hospitalized for burns. Burn area of 85% (60%) Ⅲ degree, with severe respiratory tract burn. When you were admitted to the hospital, your mind was clear, but your face was indifferent, your breathing was difficult, your blood pressure was 10.0/7.3 kPa (75/55mmhg), and you had haemoglobinuria. Laboratory examination: Hb 152g/L, RBC 5.13 x 1012 / L, pH 7.312, [HCO3 -] 15.1 mmol/L, PaCO27.33 kPa (55mmHg), [K +] 4.2 mmol/L, [Na +] 101mmol/L. Immediately the trachea is cut open to oxygen and intravenous fluids And other emergency treatment. After injury 24h total plasma 1400ml, dextrose 500ml, 5%, 1400ml of glucose, 20% mannitol 200 ml, 10 ml of 10% KCl. Patients generally get better with blood pressure 12.0/9.3 kPa (90/70mmhg), urine volume 1836ml. 24h, Hb 119g/L, pH7.380, [HCO3 -] 23.4 mmol/L, PaCO2 5.5 kPa (41mmHg). There was a sense of creme in the 28th day of admission (pseudomonas aeruginosa), the blood pressure dropped to 9.3/6.7 kPa (70/50mmhg), with low urine and no urine, pH 7.088, [HCO3 -] 9.8 Mmol/L, PaCO24.45 kPa (33.4 mmHg), [K +] 5.8 mmol/L, [sodium +] 102mmol/L. though With positive treatment, the disease still does not improve, even death. (excerpts from sick student guidance) Pathologic processes: 1, breathing is incomplete, respiratory burn history, breathing difficulty, PaCO2 up. Shock (hypovolemic shock to sepsis shock) : BP 75/55 mmHg in hospital, BP 70/50 mmHg before death Acute