tory burch shoes No meningeal irritation _16806 ca

xp574088 · Wysłany: Śro 11:57, 23 Mar 2011

No meningeal irritation report of one case of severe subarachnoid hemorrhage

Neck strong suspicious, Ke Nige's sign of psychiatric symptoms, and so suspicious of the patients without neck strong no meningeal irritation, and intracranial pressure up to 400mmHzO, main clinical manifestations of dizziness, vomiting, clinical rare analysis of the reasons may be mainly the following Point 1. Elderly people suffering from cerebral arteriosclerosis, cerebral atrophy, increased pain threshold caused hypoalgesia. 2, no item of the Iraqi 』marrow Ming Hei, such as dysentery j fz listen to camp in 2 j9 spring accounted for Ben Tang stuffing -1 most complex of ancient forest left foot Medical Information strong, Ke Nige's sign negative, may be related to the risk of severe vomiting, dehydration , muscle relaxation related. 3, the risk of vertebral l containing the line system the existence of certain diseases caused by conduction abnormalities, to be followed. Proteus vulgaris one case of aplastic anemia induced pure red Lu Bu Board Haizhou mine in Fuxin public undress bleeding busy hospital system in this case because Proteus infection sepsis, associated with immune dysfunction, induced by inhibition of interference generated bone marrow erythroid, resulting in net red cell aplastic anemia, reported the following summary of disease commission Yao × ×, F, 30 Lo, hospital No. 891683, fever, dizziness, fatigue, palpitations, shortness of breath more than a month, symptomatic anti-inflammatory treatment did not improve and increase the past four days, 31 July 1990 Head admitted. Three years ago, history of urinary tract infection. Hospital admission in a half months before diagnosis is unclear. Examination IT39.3 ℃, BP12/8KPa, mind clear, indifferent expression, severe anemia appearance, dark green skin and conjunctiva from, no, and rash and bleeding, the body surface lymph nodes not enlarged, no abnormal chest cardiopulmonary perspective and, soft abdomen, liver and ribs do not touch, no tenderness 1.5cm license under the left rib cage,[link widoczny dla zalogowanych], knocking pain in kidney area (X). Laboratory investigations I picked peripheral ABCO. 83 × 1D , lymph 0.09, neutrophils, left New Zealand a nuclear cells,[link widoczny dla zalogowanych], showing that 80% of toxic particles. the entire film is found in the stolen red two, to see abnormal red blood cell morphology, color index = 1, hematocrit 0.057, M, C, Y90tl, M, C, H30Pg, MCHC33. medullary bone marrow increased significantly as active, red seedless red and the ratio of nuclear lOOOI12O, accounting for 68.2 myeloid,[link widoczny dla zalogowanych], erythroid, 13%, grain l red 5.25,1. granulocyte erythroid ratio was significantly increased, the original red no, sooner or later than normal immature red (promyelocytic Red O.4%, 4% in late immature red) visible in the immature red 8, red mature and immature show resistance Delay in the juvenile stage, well see the kind of early juvenile red body of Way Department of megaloblastic changes. granulocyte t busy, middle and late granulocyte ratio of normal, (the original grain o.4%, 8.2 ‰ in the late promyelocytic promyelocytic 3.6) The promyelocytic 9.4% for the normal value, see its shape early pulp. stalk and leaf-like particles of nuclear poisoning in the cytoplasm have been selected 90 shows dissolution, a huge metamorphosis Nuclear bar help, leaf edge of how the section. megakaryocyte, ring-chip check Ke Young megakaryocyte 2, production of platelet megakaryocyte 6, nude school 2, platelet scattered more common. other tests and examination: urine protein characterization (X), since the cells 1/4up RBC 3 ~ 4/HP, urea nitrogen 2.7mmol / L, urine culture detection, (10 ~ - 10 '), three blood culture fish out type) serum iron 13.3Ummol / L, then occult blood (a), serum total protein 52g / L, albumin 32g / L, globulins 20g / L, Ig (} 30Omg%, IgAfSmg, red thin brittle normal, busy Tsui Element (a). B l spleen super long lO7mm, thick 60ram., ribs long 12ram, thickness 2Omm. left kidney 90 × 44 × 40ram, right kidney 92 × 44 × 42mm., dual 1 solitary renal pelvis with I2 × 9ram 4 You-dark area. sunset, pancreas, ear bladder,[link widoczny dla zalogowanych], uterus, and accessories, no abnormal electroretinogram. body temperature after treatment in hospital observation t remittent fever, accompanied by low back pain, frequent urination,[link widoczny dla zalogowanych], the urine, serum identified low immune function test, blood, marrow and other tests such as low-data, node sets 』】 Fou-bed secondary Fu Hung Taiwan pure red barrier. a large number of combination of antibiotics to control infection, penicillin 16 million / day × 5 days, butylamine card that O.4 / day × 22 days, Pioneer 56gx9 days, suck oxygen triazine penicillin I6g / day × 9 days, the adrenal glucocorticoid amidine ●,
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