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Bnh s
Bnh nhn khoe manh, chiu 12/2 sau n cm vi canh trai khoang 15 phut bnh nhn xut hin au bung, i ngoi phn long nhiu ln, gia nh cho ung thuc Trimazol 0,48 x 2 vin tnh trang khng bnh nhn vn thy au bung kem theo chong mt, mt, kho th gia nh a n vin.
Tin s
Tng huyt ap vn c iu tri 1 vin Amlordipin 5mg/ngy ung bui chiu Khng ro tin s di ng. Hay bi ri loan tiu hoa khi n trai, hn
Kham lm sng
Bnh nhn tinh, tip xuc tt Th trang beo Mt, kho th Tuyn giap khng to Hach ngoai bin khng s thy Khng st Mach 120 ln/phut, HA 60/40 mmHg
Kham b phn
Tim mach: Tim nhanh u, T1T2 bnh thng, khng co ting bnh li H hp: Lng ngc cn i, RRPN hai bn phi ro, co it ran rit hai bn Bung mm, khng chng, gan lach khng s thy, co cn au qun vung ha vi Cac b phn khac cha phat hin g c bit
Tom tt bnh an
Bnh nhn nam 61 tui, vo vin li do: Mt, kho th, ia long sau n canh trai TS: Ri loan tiu hoa khi n trai, hn Hi chng v triu chng - au bung, ia long nhiu ln - Tim nhip nhanh, HA ha: 60/40mmHg - Kho th, phi it ran rit hai bn
Cn lm sng
Hng cu 4,3 T/L Bach cu 12,4 G/L; Ht 0,43 L/L; Hb 147 g/L ng mau 7,5 mmol/L Ure 6,4 mmol/L; Creatinin 96 mol/L GOT 44 U/L; GPT 38 U/L; GGT 56 Bilirubin TP 19,3 mmol/L; TT 12,3 mmol/L; GT 7,0 mmol/L in giai: Na+ 138; K+ 3,9; Cl- 104;Ca++ 1,24
Siu m bung: Bnh thng Chup bung khng chun bi: Khng co hnh mc nc, mc hi, khng co lim hi. Xquang Tim phi: Bnh thng
iu tri
Natriclorit0,9% x 1000ml truyn TM nhanh Buscofan 10mg x 1 ng, tim bp Trimazol 0,48g x 2 vin, ung Smecta x 2 goi, ung
Hi chn lin khoa: Khoa Tiu hoa, khoa Hi sc tich ccngh nhiu n sc phan v. Quyt inh iu tri theo hng Sc phan v.
iu tri
Adrenaline 1mg x ng tim di da Solumedrol 125mg x 1 lo tim TM Natriclorid 0,9% x 500ml + 2mg Adrenaline truyn tm duy tr HAT 100 mmHg Clarityne 10mg x 2 vin ung