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ORANGE EKSTRAKLASA
Dołączył: 26 Paź 2010
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Wysłany: Nie 17:27, 13 Mar 2011 |
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287 cases of endometrial ectopic pathological analysis
Tired after the palpitation, shortness of breath history. B-Heart: mild increase of left ventricular, pericardial effusion (small), bilateral pleural effusion, mitral regurgitation. Chest X-ray: pulmonary congestion, pulmonary edema, increased heart shadow, the possibility of large cardiomyopathy. ECG, Ⅱ, m, aVR, T wave low-lying, Ⅱ, Ⅲ, sr segment depression> 0.05mm horizontal type. Diagnosis: peripartum cardiomyopathy, potassium and magnesium to the intravenous infusion of GIK and Shenmai myocardial nutrition therapy. Again after 6 days left heart failure, a strong heart,[link widoczny dla zalogowanych], diuretic, vasodilator correct heart failure, and then continue to GIK intravenous infusion of potassium and magnesium, energy mixture, fructose, half cured. Example 2, pregnant women, 22 years old, pregnant l capacity 0, due to menopause, 40 weeks, 1 month edema, cough, shortness of breath l0 days at 30 January 2004 admission. History of congenital thoracic malformations, pre-pregnancy no palpitation, shortness of breath history. Physical examination: P130 times / min, R38 times / min, BP128/105nunHg, right lung and a little wet bottom 哕 audible sound, the heart does not significantly increase the sector, heart rate 130 beats / min, law Qi, and obviously did not hear noise; pillow right front position, fetal heart rate is good, contractions (I), edema (++)。 The diagnosis: l refers to the cervix, head and one flat pelvis. Hb125g / L, urine protein (+++)。 Urea nitrogen 10. Ommol / L, creatinine 171nanol / L. Because: (1) l 40 weeks of pregnancy, fetal 0, not in labor productivity; (2) right anterior occipital; (3) pregnancy induced hypertension (middle); (4) heart function of a nature to be as one grade Ⅲ; (5) flat pelvis; (6) congenital thoracic deformity. On the day of admission in spasm, blood pressure Israel simultaneously cesarean section, surgery went well and some of the blood units: 716000, Shaanxi Yan'an University Hospital Obstetrics 120ml, patients continued to spasm, hypotension, dehydration, sedation, prevention of infection treatment, palpitation, shortness of breath gradually improved. 6 days after operation, again flustered, shortness of breath. Physical examination: P120 times / min, R26 times / min, BP135/97.5nmd4g, orthopnea, lung sounds could be heard and wet 哕 heart beating unclear sector (due to thoracic deformity), heart rate 120 beats / min, Law Qi, the apex can be heard and Ⅱ systolic murmur. Jugular venous return and positive signs of liver, lower extremity edema. ECG: sinus tachycardia, T wave generally low and even. Chest X-ray: pulmonary congestion. Diagnosis: peripartum cardiomyopathy, cardiac function Ⅳ, anxious to cardiac, diuretic, vasodilator therapy to correct heart failure, and then continue to GIK intravenous infusion of potassium and magnesium, were discharged 1 month of treatment. Example 3, pregnant women, 22 years old, pregnant 2 produced 0, 36 weeks due to menopause,[link widoczny dla zalogowanych], dizziness, palpitation and a half months, abdominal pain 3h in 2OO4 hospitalized in February 4. Half months ago, received hospital with severe anemia. Pre-pregnancy no palpitation, shortness of breath history. 800ml blood transfusion the day after the sudden appearance of sleep the night palpitation, shortness of breath, orthopnea, slightly white foam sputum. ECG: T wave generally low and flat, sI 'segment depression; chest X-ray: pulmonary congestion; cardiac B-: Left ventricular increase; review of 88 different / L; Diagnosis: peripartum cardiomyopathy, cardiac function Ⅳ. Given cardiac, diuretic, vasodilator infusion to correct heart failure and myocardial potassium and magnesium nutrition GIK treatment, improved and discharged. Admitted to hospital because of abdominal pain is 3h. Physical examination: P140 times / min, R plus times / min, BP90/67.5nmd4g, conjunctiva congestion, lungs and the wet and dry 哕 sound not heard, heart rate 140 times / min, law Qi, the valve auscultation area could be heard and Ⅱ grade systolic murmur, edema (++), Hb105g / L. Soon after admission 5h l delivery boy, 30min post-natal heart rate 155 times / min, a bolus cedilanid 0.2mg, followed by heart rate fluctuations in the 100 to 120 times / min,[link widoczny dla zalogowanych], intravenous infusion of potassium and magnesium to cure 10 days after GIK discharged. Example 4, pregnant women, 2l years old, pregnant l yield 0, 40 weeks due to menopause, palpitation, shortness of breath 1 week, abdominal pain 2h in 2OO4 admitted to hospital on March 17. l weeks ago for no apparent reason and incentive to palpitation, shortness of breath, cough, expectoration (yellow-white sputum), general edema, in my hospital inpatient treatment,[link widoczny dla zalogowanych], diagnosed as: peripartum cardiomyopathy, heart function Ⅲ, lung infection , potassium and magnesium to the intravenous infusion of GIK, myocardial fructose nutrition, intravenous amphotericin Vanguard V anti-inflammatory treatment for 4 days. 2h lower abdominal pain that occurs before the transfer to our department. Pre-pregnancy no palpitation, shortness of breath history. Physical examination: P128 times / min, R24 times / min, BPl12.5/75mmHg, orthopnea, full lung sounds could be heard and a lot of blisters, heart rate 128 times / min, law Qi, the apex can be heard and Ⅱ systolic noise, pillow left position, fetal heart rate is good, cervix large 3cm. Edema (+++)。 Hbl10g / L. Bank of Israel immediately cesarean section, smooth operation, bleeding of about 200ml. Postop static
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