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Published byMarsha Chandler Modified over 9 years ago
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ICU morbidity and mortality(96/10)
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沈 X 炮, 763508, 84,male APACHE :24 Chief problem: Aspiration pneumonia with respiratory failure s/p ET+MV Underlying problem : 1.Locally recurrent esophageal under radiation therapy 2. COPD 3. Chronic hepatitis B 4. ileus
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唐 X 葉,4008304, 63y/o, female APACHE:22 Chief problem: respiratory failure s/p ET+MV and HE Underlying problem: 1.liver cirrhosis, Child C 2.Left intertrochanteric fracture with massive hematoma 3. SBP 4.HCC 5.DM
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王 X 竹, 126150,84y/o,male APACHE 30 Chief problem: septic shock, aspiration pneumonia related s/p ET+MV Underlying disease 1.ESRD with CAPD 2.Af with RVR 3.Parkinsonism 4.Bladder cancer
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邱黃 X 玉, 4847004, 74y/o, female APACHE 25 Chief problem DOA s/p CPCR Impression: 1. DOA s/p CPCR related to suffocation 2. hypoxic encephalopathy 3. aspiration pneumonia 4.CHF,IHD related
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陳 X 玉, 20284126, 59y/o,female APACHE 23 Chief problem: severe metabolic acidosis with impending respiratory r/o sepsis related Underyling problem 1. Right breast ca T1cN2M1 s/p MRM,local recurrent, with bone and skin metastasis 2.thrombocytopenia,suspected C/T related
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RBC 4.18 milon/cmm M4.5-5.9 F4.0-5.2 HGB 13.0 g/dL M13.5-17.5 F12-16 HCT 39.4 % M41-53 F36-46 MCV 94.3 umm 80-100 MCH 31.1 pg/Cell 26-34 MCHC 33.0 g/dL 31-37 RDW 22.4 % H 11.5-14.5 PLATELET 88 1000/cmm L 150-400 SEGMENT 88.0 % H 55-71 LYMPHOCYTE 7.0 % L 20-56 MONOCYTE 5.0 % 0-12
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TEMP 37 °C PH 7.235 L M7.34-7.4F7.35-7. PCO2 20.7 mmHG L M35-F32-42 PO2 178.5 mmHG H 75-100 HCO3 8.6 mm/L L M22-26 F24 ABE -16.6 mm/L H M 2.3-2.4 F 1 SAT 99.0 % H 95-98 Po2(A-a) 516.0 mmHg FIO2 100.0 %
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BUN(B) 38 mg/dL H 6-21 CR(B) 1.5 mg/dL H 0.4-1.4 OSMO(B) 301 mosm/KgH2O H 275-295 D.BILI 5.2 mg/dL H 0-0.4 BLOOD KETO NEGATIVE NEGATIVE CK-MB 134.5 U/L H <16 U/L TROPONIN-I 0.13 ng/mL 0.5 T.BILI 7.2 mg/dL H 0-1.3 NA(B) 134.6 meq/L 134-148 K(B) 4.59 meq/L 3.0-4.8 CL(B) 106.9 meq/L 102-112
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