儿科主治考试题3

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8ÊpH6.5,ÔPÕ]Ö஺B×Ø஺ÙÚÛÜÝÞ஺ᨬḄ,-àAஹÎáâ⏚OEBஹäáâ⏚OECஹåᔠBâ⏚OEDஹᐰäáâ⏚OEEஹçYᐰឋâ⏚OE᪗ᫀBḄᫀ37⚪]覲éêëìíÏᐸïᔾEÕñᔩᖹôÖ஺õ覲éêḄ¿ᨬà\⚗Aஹèᡠ÷Bஹøᑁùúᡠ÷CஹᔩᖹOEDஹûüᔾᐭEஹ⚝ᑁ⊈ᡠ÷᪗ᫀCḄᫀ38⚪⚜■ឋᢙ᪶ᱥᶭᑡ⚗ḄAஹINH10mg/(kg,d),243ᨴBஹINH10mg/(kg,d),3~6ᨴCஹINH10mg/(kg-d),649ᨴDஹINH10mg/(kgd),9-12ᨴEஹINH10mg/(kg«d),12ߟ18ᨴ᪗ᫀCḄᫀ39⚪᝕14!"ῳ$2%&'()*ᨵ⏚"-ᓄ⍝ᑬ⚶⌼345ᓝ7ᢣ9ᳫ;<=>?@ABCᵨAஹEFGBஹᝍIJKCஹLMN⏘ᔠᑺDஹRSTU⏚VEஹWX᪍᪗ᫀCḄᫀ40⚪Z[\ក^ᐹᨵ᝞ᱯbc◀᜜Aஹ6ᨴf3ghijkBஹjlmᶇopqᦪlstpCஹu;Svwxyz{|}ᗂDஹ᧕\ឋ^\ឋᾯ[EஹXu;45ᱏ▢3ᡈ[ᮤᕜឋu᪗ᫀCḄᫀ41⚪i2஺ᨵpஹ243d,Cᑈ@|ᓛ᪍⌨p.¢£wxᕏᔢஹ¦ᤊ⍒ᓽª«஺ᾯ¬®v▢ឋ.¯°3cm,ᒃ3.5cm,²³஺⊈µᓣo,

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11ᾯu4WBC5X106/L,ℍ⃔A3.9mmol/L,1060mg/L,ᓄᱥllOmmol/Lo>ὃ⇋AஹDឋᾯBஹᕜ#CஹᮞDஹ᪍-ᑭ,ᔠ.Eஹ᪶ឋᾯᾯ᪗12ᫀ4D5Ḅ2ᫀ4752⚪10;ᨴ᝕+஺_¡ஹ¢ṑ20d,¤¥ஹᕏᔢஹ`¨©ª«ញ>ᐭ▾஺o⛳¯,±ஹ²cWy⚠´µ¶·¸¹.(»)஺ᾯ4᜜¾ᕈÀÁᴻ᪵ĹÅÆ(++);ÉÊᦪ200X106/L,A1.6mmol/L,ᓄᱥ95mmol/L஺ᐸᨬḄ>IAஹ᪶ឋᾯBஹDឋᾯCஹÌឋᾯDDஹᓄᾱឋᾯEஹι,ᔠ.᪗12ᫀ4A5Ḅ2ᫀ4753⚪2^᝕:8ᨴ5ÏÐᯠ¡tÒ38.5࠷,iÔÕÖᜧ×ØÏ2-3ÙÚ,cᾱ⊈3ᜩÛ¡⌨4ᜩÛÝÙ¡ÞᜮÔஹàᐰâ'ᾙäÔஹåæçbè,ᾯéJ.ᶧ73ᜩtÒxyCëᜫ஺ìn!í>ᮞîïðñòAஹ◚ឋôBஹõöòCஹc÷øòDஹò÷øEஹᾯùò÷ø᪗12ᫀ4B5Ḅ2ᫀ4754⚪•n!_᠒ឋû⊈üuý>⃩ÿឋ
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12EஹWᡲY᪗9:ᫀ56⚪ᨵZ[\]G^_Ḅ`ᶭJᱥAஹbcᮣef⏒VhBஹiRjCஹklQK3DஹklQK1EஹWᡲY᪗9:ᫀ57⚪m⊈nop.ᜧᑺrᓄᶭ7t0uஹvᕜᾱ+.ᾱyz{|Ὂᵬ~᪍ℍḄ.✌ᐜ⌱ᵨḄᢙlQAஹᜮQBஹ☘◭Qᡈ☘◭QCஹ◭QDஹ◭QEஹVᓱ◭Q᪗9:ᫀ58⚪10op.⏀7t.|⏀¡\]G.ᨬ¢ញḄᨬᨵᦔḄᜐᳮAஹ§¨©ªBஹiRj«¬Cஹῳ®¯᪆Dஹ⊈y¯᪆Eஹ±²³Q᪗9:ᫀ59⚪1´p.µ|"ᓄᾱឋᾯ®¸".¹ᵨ"☘◭Qº◭Q"`ᶭ.n»¼½.¾3ᜩÀ0u.Áᤊ.ÃÄ39.5࠷,ÆÇÈÉ.ÊË◖.ᾯÍy᜜ÏÈÐ.ᦪ12X106/L,±4mmol/L,ᓄᱥllOmmol/L,Òm²450mg/L஺2✌ᐜὃ⇋|ᔠÖtAஹᾯ×Ø®¸BஹÙ®ÚÛyCஹᾯᾱ+Dஹ*᪶ឋᾯ®¸EஹᾯÝ+᪗9:ᫀ60⚪FᑡÞßyàáឋâᵯb²ßyAஹ10%ℍ⃔±Bஹ1.4%å⏚çèCஹ11.2%é⏚èDஹ5%ℍ⃔±Eஹ0.9%ᓄè

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ᱥAஹᔠBஹCஹDஹEஹ᪗ᫀDḄᫀ63⚪ᵱ"5#"$%⇷'("2ᜩ᣸+ₐ⁐."3ᜩ/ஹ0123"ᜮ᧿ஹ67ᩭ9஺ᓄ<Hb75g/L,WBC13.5X109/L,⊈>?@A"BCDEF0.10,GH⊈DIJKLM<(+),ᨬSTḄ9UVAஹWXYZឋ\⊈ឋ]⊈Bஹ⍡_ឋᳫaEFbcdCஹᙢfg]⊈DஹDEFG-6PDh6ឋ\⊈ឋ]⊈Eஹᝬᗏklfm᪗ᫀDḄᫀ64⚪᝕o"10#"pUq⇪10cᜩ஺stuᖃwJ"01ᦣᙠz⊈{|ᶰᦿ"ஹ|"Hbl10g/L,WBC10X109/L,⊈>?30X109/L,b"ᐰᱏS᪶EF55"?᪶EF"STḄ9UAஹឋ]⊈BஹញឋJ⊈CஹMDSDஹL2ឋ⊈>?ឋ᷆EஹឋDᦿ᪗ᫀDḄᫀ65⚪ᵱo"3#"ᐰX3ᜩ஺ᓄ<.IJ(++++),.RBC041/HP,sᨬSTzḄAஹ⊈¡b¢Bஹ£7⊦¥Ḅt¦CஹBUN7.Ommol/LDஹ§

14Eஹῳª«¬᪗ᫀBḄᫀ66⚪2#ᵱo"2ῳªᜧ2ᨴ஺tsῊ⁐wJ"ஹᜧ"ᨬSTḄ±Aஹ⍡_ឋᳫaDEFbcdBஹ⃩³ឋhHឋ]⊈CஹញឋJ⊈Dஹឋ]⊈Eஹᙢfg]⊈᪗ᫀDḄᫀ67⚪1#´>µ"%¶·"Ὴ⁐¸wJ1•º஺ஹᜧ"Hb62g/L,WBC7.5X109/L,NO.35,L0.67,MO.02,RCO.02,MCV69tl,MCH24pg,MCHC2%,7vA,»ᑡ½¾¿ᶭᨬᔠᳮAஹÂ⏚+ÄÅCBஹÆ⏚ÇH+ÄÅCC,ÄÅB6DஹÄÅCEஹÄÅB12᪗ᫀBḄᫀ68⚪5#஺᝕o"ÈÉஹ672ᕜ஺tËs]⊈Ì"ͪᐙ⊈"⚠ªÐÑᜧ,ÒÓ"ᜧ"Hb96g/L,WBC23X109/L,SÔÕÐEF஺STḄ9UAஹ_Öឋᓫ᪶EFbcdBஹØJ⊈ÙÚCஹឋ]⊈DஹញឋJ⊈EஹÛÜ᪗ᫀDḄᫀ69⚪10ᨴݵ"2ÉஹÞß6ᜩ஺àᔾ30â/ᑖ"åæSç|è᧕êḄfஹëìᗂî"æªï9@A஺ð9VAஹñEòóôõBஹòóôæõCஹòóôöᱥDஹ÷àᔾ⍝ùÖEஹòóôõ᪗ᫀEḄᫀ70⚪4#úµ"û2ü@A"§ýþ344ÿ
2/6ᦈᔿ᪵ᩖ,ᓷᙶ஺ᨬḄAஹ◞!Bஹ"◞!Cஹ#ᾭ%&'(

15Dஹ*ᳮឋᩖ᱃Eஹ.ឋ/01234ᐵ(6ᐰ᪗9:ᫀ71⚪10@஺᝕BCDEஹFG1ᕜC/I1ᜩC/᳛152L/ᑖC/OPQCECGR⚣DTU2ὶOCAஹ.ឋ/WXBஹYZឋ/WXCஹ1Zឋ/WXDஹᵬ\]^_`Eஹᐜᜩឋ/01᪗9:ᫀ72⚪6@bcC*d3eᨴDg/0ᩖ஺hb4LiXஹj"kl344
4/6ᐰᦈᩖC/3mᨵopḄ—rᩖs/%&tu73⚪}~ὶ⌕yAஹᧅWᾙᶱBஹ/ஹᾯ⌕0ᘤḄwὑCஹpDஹᜧCsᔣkᑖ¢£/⊈¤Eஹ¥☟ᾭ£/⊈¤᪗9:ᫀ74⚪◞!bcCj§kl344¨
243/6©ªᐰᦈᔿ᪵ᩖ,/3m
oᨚḄ—rᩖ஺✌ᐜὃ⇋Aஹᔠ°i#ᾭx±Bஹᔠ°234{|Cஹ#ᾭ%&'(Dஹᔠ°"◞!Eஹᑖ¢¤ᜧḄ◞!᪗9:ᫀ75⚪•e3500³ḄᵱµCᙠ·᩟¹º»ᨴ¼C*d36P½Cᩭ½ᐰ¿ÀÁCuÂÃ஺ÄÅtu<ÆÇ⊈ÈAÈCRh(+),µc⊈È஺ÈRh(+),HCT38%,ÉÊËÌÍ5%஺Î☢ÐÑ⚗ᨬÓ⊈ḄÔÕAஹAB஺⊈È6ᔠ

16BஹÖcÆ×⊈CஹØ*c*ᳮឋÓ⊈Dஹ╢ᑐÛËÌÍឋÓ⊈EஹÜឋÓ⊈᪗9:ᫀ76⚪3ᜩØ*cC*d16P½ÝgÞßCàáËâã85.5nmol/L(5mg/dl),>2ᜩ>3ᜩäàWËâᑖåã188.111mmol/L(llmg/dl)290æmol/L(17mg/dl)oãçèé✌⌱ÎᑡÐ⚗tuAஹËÌÍG-6PDìឋäèBஹ⊈íîÁÌÍïᦪCஹ⊈ñᵬÖòÁó¤äèDஹ⊈È⊈ÈᢙtuEஹõ^äè᪗9:ᫀ77⚪bc2@Cbö&iXC÷øᶭ2ᕜúûdCüýþᓣ
ᔾᐰ஺◣⛳ᨬ〉Ḅᜐᳮ#Aஹᦋᵨ'ᨵ)Ḅᢙ+,Bஹᵨ-ᙢᐲCஹ01ឋ34Dஹ5⊈〈89:;?@AB,᪗DEᫀGCHḄEᫀGI78⚪4KLMNO38࠷,QR᱐ṇUVᐙ⊈1ᜩYZ[ᵫ☢^_`1ᜩYab஺3ᜩY@[c⌨᪋YஹὡYghUiᜧᨬklḄ01#AஹmMញ[BஹᲡpNCஹq<ឋ@rDஹs[Eஹt[᪗DEᫀGEHḄEᫀGI79⚪11uᨴᵱxyN5ᜩஹQR2ᜩஹz{1ᜩஹ|}~ᜩᐭ▾஺GO38.2࠷,ᐙ⊈|})IIΎcᜫ஺ᮞAr.|ᑡ⚗~AஹᮞArឮ¡¢£¤¥¦§¨©ᨵᐵBஹ¦Y1«2uᨴᑁ)ឮ¡ᨬCஹ2«3uᨴ®¯°ὅ~¥²ᶭ´´µᾙ·¸Dஹ1-2¹º~ឮ¡ὅY⍡Eஹ¼}ᶚ¾k¿ÀÁÂ᪗DEᫀGEHḄEᫀGI80⚪ÃÄὶᔠÇÈÉ◍¦¦ËᑴÍIÎÏ⊤¼#

17Aஹᓰ᦮uSCID¦ÔḄ10%BஹTÕÖᦪØÂCஹBÕÖᦪØÂÙÚlDஹ~〉ᔠ¯ÛÜÝÞEஹᙠ5KYàZ¼Ãáâ᪗DEᫀGCHḄEᫀGI81⚪ᵱ10KãNஹä)ஹc᷊3uᨴ஺æG⚠^ஹèéghU᝞⇷ìᜧíஹîï©iᜧ஺3^XðG>ñ◞óôõö÷ᨎ஺Hbl32g/L஺WBC9X109/L,PLT210X109/L,PPDùú(+),ESR13mm/h»klḄ01#AஹSLEBஹÿ
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᷈DஹEஹ⁚ឋᾭ᪗ᫀCḄᫀ82⚪⊈!(Hb38g/,L)"#$ᔾ⍝'(Pa஺240mmHg,*+⚗-./0Aஹ"#"1Bஹ23"#"4Cஹ23"#⊈⊤6(☢⁐:;<)Dஹ23"#>?@Eஹ23A6>BᩖD᪗ᫀBḄᫀ83⚪2E!(F"GஹHIJ"Kᐭ▾஺NO$ᔾញQ(Rᖃ"4(ᨵUVᡧXYZ[(\]^_`aᗂD(>᳛180d/ᑖ(>Dgh(ijkl3-4mn^_IIIoᦈqrᩖD(^sᑮᦈqr◫v஺Xwiᱏyk>z{ᜧ(]ᾭ}~A(\]ᨵᦣᙠ.▢(]">⊦(ᐸ"^Aஹzn◞"ᔠ[Bஹn◞Cஹὶ-Dஹzn◞Eஹᾭ¡᪗ᫀDḄᫀ84⚪ᵱ(10E(£ᯠ¥(¦GஹHIஹ§¨©ª2«஺NO§ᐙ⊈(§¨X®☢ᨵ¯ᦪ±²(ᕜ´µ᧿(·¸(>ஹ]/¹(º±²ឋ§஺ᨬ¼½ᶭ¿ᫀAஹᢙÁÂ+ᢙ#ÄBஹÅÆ(ÇÈCஹᢙÁÂ+ÉG╋ªÂDஹᢙ#Ä+ÉG╋ªÂEஹ˨RῚÍÎÏÐ

18᪗ᫀCḄᫀ85⚪ᵱ(10E("ÑឋÒᤊ2(⊤6ºÔÕÖᜫ(Øᨵ⁚ÙᙢÒ(ÛdᢝÝ5Þ10ᑖß஺NOàá¹(ᾯᵯäåᐰç᠒é(ºêë஺ᐸ"ÑìíºAஹᐰîឋïð"ÑBஹᐰîឋ▣ò"ÑCஹᐰîឋïð-▣ò"ÑDஹô▣ò"ÑEஹ2ᐺöᜫ÷"Ñ᪗ᫀBḄᫀ86⚪ᐜᜩឋᓿû"ü2ᐰᔠ[Ḅýþ0¿ºAஹÿ
BஹXCஹ⊈ᵬDஹ⁐EஹDNA᪗ᫀDḄᫀ87⚪!"#$%ஹᾦ'()ᓄᱥ,-Ḅ./0ᓰ2./Ḅ3456ᑡ8⚗ᨬ〉ᔠ=>%ᾦ')ᓄᱥAஹ8%?10%30%?40%50%?60%Bஹ10%?15%25%?30%50%?60%Cஹ10%?15%35%?40%40%?50%Dஹ10%?20%20%?25%55%?65%Eஹ15%?20%25%?30%55%?65%᪗ᫀBḄᫀ88⚪ABCḄDEF6ᑡ8GHIJᐵ=>LAஹMNO/P6BஹQRSTCஹ⊤☢WXYZᜧDஹ\⁐ᾦ']Eஹ^6ᾦ'⛳(ᾦ'⏚abZc᪗ᫀCḄᫀ89⚪defgh᧕jD=>Aஹ$fឋᾯeBஹgᾱnCஹᾱoDஹpoEஹP.᪗ᫀAḄᫀ90⚪qr⁐ℍ⃔ᳫvghwxᯠz{|ᔾញ5✌ᐜ0ὃ⇋=>

19Aஹ.Bஹ⊦Cஹ⏚$fDஹghEஹᾱpo᪗ᫀEḄᫀ91⚪ᔠ.Ḅe=>AஹBஹ⃬᜻efCஹdefDஹBᳫvEஹℍ⃔ᳫv᪗ᫀCḄᫀ92⚪ῳ᧕DEῃḄ=>Aஹ]Bஹ⏚PCஹ¡¢£Dஹ⊈$IgMஹIgA¤PEஹ¥ᓄ⏘ᑖ¨]᪗ᫀCḄᫀ93⚪ញឋ©hweª«¬xᯠz{®50ὃ⇋=>AஹP⊈¯BஹP┛®Cஹ.®DஹP±²ᔠ³Eஹ⊈´ᾯe᪗ᫀEḄᫀ94⚪©e²ᔠ³ᨬµ¶ḄeᳮEᳮᦋ¹=>AஹBBஹ⊈ºCஹºDஹP⊈CEஹ»¼⏣⊈C᪗ᫀCḄᫀ95⚪⚜■ÀÁឋÂ⊈5«ÃᡈPÅEÆÇÈÉÊÁᑺ=AஹzEÆBஹzEÆ1?2ÌᨴCஹzEÆ12Ìᨴ

20DஹzEÆ3ÌᨴEஹzEÆ4?6Ìᨴ᪗ᫀBḄᫀ96⚪6ᑡ8⚗Î⃩ÐឋÑÒÓÔÂ⊈ḄÕD!=>Aஹᵱ×56Ìᨴ5ᓫÙÚᗎÐ5ÚܬÝ#Bஹᵱ!55L5w"ញឋßàÓÔ⊈e"2áâ5ܬãᵬä≈æç6-èµéæêᢝìᶭCஹ᝕×55Ìᨴ5ᩭðᱣò5ܬÚᗎÐDஹᵱ!53L5ᩭðó᩟5Jõ#ஹᢧ#÷ø5ùúûᙠýþÿEஹᐜᜩឋ⏚᪗ᫀDḄᫀ97⚪ឋឋḄ⊤Aஹ!ᜧ#ᦪᙠ4-8&'()ᨵ+,-.ὅBஹ0ᵱ2#3(ᓰᵱ2ឋḄ80%05Cஹ-6789:;☘᧡-6>?Dஹ@ABCDEF᠒EஹHI-6JK᪗ᫀAḄᫀ98⚪LMNᶭPCὶᔠSTU◍
SCIDḄᨬXNᶭ⌱ZAஹ[\]^BஹH_]^Cஹᾮ⊈bcd]^Dஹ[ef]^EஹghNᶭ᪗ᫀBḄᫀ99⚪1&i-jklm(ᨬ;3Ḅn.oAஹpqrstuvBஹpwឋxyCஹCz{|DஹAjlmEஹẚ~᪗ᫀDḄᫀ100⚪{p(ᵯ◀Aஹ1Bஹ2Cஹ3Dஹ4Eஹ5᪗ᫀCḄᫀ101⚪_ᮞ|ᔠT(ᑡ⚗>:Ḅ

21Aஹ4&STBஹᵨj¢£¤¥¦ᓄK¨ᵨCஹ©ª2«ᨴ05Ḅ:;iDஹgẠST◤¨ᵨ3(¯°◞1«ᨴEஹK²ᱯ´µ¶(ᨵᨵ·jᡈ¹ºῳ¼᪗ᫀBḄᫀ102⚪i{|-½ញឋ⊦(0ᜐᳮ⚗>:AஹᔾÃஹ╋☟Bஹ☟ÆÇᙢᐲCஹ¨ᵨᙢAÊDஹËᵨᑭÍᑺEஹËᵨ⊈ÏÐឋÑᱥ᪗ᫀCḄᫀ103⚪᠒ឋÓᗞᜐᳮp⚗┯ÖAஹE,¶ᵨ×ØÙBஹÚS¶ᵨÛ5fÜÝÞCஹß◀ÓᗞàhDஹáâB2ãÝäᑺEஹᢙæῃèᶭé᪗ᫀBḄᫀ104⚪ê°◞UëḄᐺíᩖïAஹeHðñ2ò3ó°HIô05—ö,ᩖïBஹeHðñ2ò3ó°IHô05ឋᩖïCஹeHðñ3ò4ó°HIô05—ö,ᩖïDஹeHðñ3ò4ó°IHô05ᦈø,ᩖïEஹ05ù>᪗ᫀDḄᫀ105⚪ᨵᐵéûüὶzḄᶚþ¶◀᜜
Aஹ◞BஹᾭCஹDஹᾭEஹᾭ᪗ᫀEḄᫀ106⚪!"#$%&2ஹ3'HI(ᦈ*+ᔿ-᪵ᩖ01ᾭ234056ஹ78ᑖ:1ECG;ᜧ஺>?ὃ⇋
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22CஹC◞DஹᾭEஹDEFὶH᪗ᫀCḄᫀ107⚪IJ⊡LM
ORSNOLP
Aஹ1/5QLBஹ1/3QLCஹ1/2QLDஹ2/3QLEஹRQL᪗ᫀDḄᫀ108⚪ᐵT⊡UḄ⌕WX⚗Zᔠ〉
Aஹ]^_`⊡Uabᢥ3d4mmol/kg,ef⊡UBஹ☟ᾭ⊡UḄhiZjk0.3%Cஹ]`⊡UbZlT6d8mnoᐭDஹ]^_`⊡Uabᢥ3d4mmol/kgEஹᔢrstuvnwx⊡U᪗ᫀEḄᫀ109⚪yz{⁚Ḅῳr~ᨬeḄ~P
Aஹ~Bஹ~Cஹ~Dஹ⃬᜻~Eஹᮞ~᪗ᫀCḄᫀ110⚪m"ῳrឋ⏚Ḅᨬ⌕P
Aஹ⛭ឋHBஹ᣸⏚Cஹῳrᜫ¡ឋᱥDஹ⏚ឋ£ᱥ¤¥Eஹ¦§¨ZP᪗ᫀCḄᫀ111⚪©ᑡX⚗ZP«¬ឋIḄ~
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23112⚪ᡃ½ᜧb¾¿fḄ8b᪗À(Aஹ250mg/Ãgd)Bஹ70mg/(kg,d)Cஹ275mg/(kgd)Dஹ^100m/g/(kg,d)E^Ä150mg/(kg,d)᪗ᫀDḄᫀ113⚪ÅÆfHḄÇÈ⊤ÊᨵX⚗ZÌ()AஹᨵÎÏÐஹÑÒÓ©BஹÔÕ¿ḓ×ØÙÚCஹᜮÜᕈ·⋎⁐DஹßᨵàáEஹfᨵâãᕡ᪗ᫀAḄᫀ114⚪ÅÆfHḄåæᶭD1┯éḄP()Aஹêëì]íî>ïᓽñòåæóᑴBஹåæᶭDñòõៜ÷1⚜ìៜsCஹᨬᳮúḄåæÀûÅÆü⏚åæDஹåæýᑴþlÿᢝᑮ☘᧡Eஹ◤⊈⏚᪗ᫀCḄᫀ115⚪!ᵨ#$ᓛ᪍'ᶭ)*ᑡ,⚗.┯0Ḅ()Aஹ34ᑺ6730450mg/(kg*d)Bஹ8⌨ᑺ63~5mg/(kgd)C⊈:;⊈<=>?,ᦋ7B5mg/(kgd)DஹᨵDEFᾭHIJKᵨLMN3~5mg/(kg,d)EஹP•Rᵨ2~6Sᨴ᪗ᫀCḄᫀ116⚪ᙠVWឋᾯZ[\]VW^)*ᑡ,P_`abcᨬef()Aஹg⊈hBஹᨚjk⊈hCஹlmᔾ⍝`aஹpq]Dஹ`arkE᝱EஹᓄᾱឋᾯZ[\]᪗ᫀDḄᫀ117⚪*ᑡ,⚗v.ញឋxkឋyz^{|Ḅ}~ᱯ()Aஹef247!Bஹញ8)

24CஹMmᔾ⊦Dஹj⍝hEJvEஹ?ᨵᾯ\᪗ᫀEḄᫀ118⚪1:80,H>180Bஹ0>180,H>1160Cஹ0>1160,H>180Dஹ0>1160,H>1160EஹÇlÈv.᪗ᫀBḄᫀ121⚪

25123⚪'ᶭ⃩öv÷!j)øᱥ⌱úḄËᑣ.
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◤⌕ḄᱥBஹᱥ᪷ᩭ▲ᑴCஹ⃩
⊡ᐙᔜ!Dஹ⃩
"#$ᱥ%&#'Eஹ()*⌱ᵨ-.ஹ-/Ḅᱥ᪗12ᫀ4A5Ḅ2ᫀ46124⚪8⚗:;<=>?᪵ABᚮDḄ⊤FGHAஹIJ᜜LBஹ⚝?NᓄCஹPQRDஹSTUEஹ஺WX᪗12ᫀ4A5Ḅ2ᫀ46125⚪%YḄZ[8⚗:\]ḄGHAஹ^_`1a3bᨴBஹdef1a3bᨴCஹgh2~3bᨴDஹij5a6bᨴEஹᾙl7a9bᨴ᪗12ᫀ4C5Ḅ2ᫀ46126⚪mnoᱥᑺḄqrᨬtᵨḄuv:GHAஹᢥx⊤☢DqrBஹ᪷ᡂ{ᑺqrCஹᢥZ[qrDஹᢥx$qrEஹ|ᵨᡂ{Ḅ1/4᪗12ᫀ4D5Ḅ2ᫀ46127⚪~8⚗:n⊈Ḅ⊤FGAஹhBஹᤊCஹṑDஹ⚝ᑁ⊈Eஹᔛஹஹxᓣ᪗12ᫀ4D5Ḅ2ᫀ46128⚪n⊈.Ḅ᪗1G.Aஹ⊈.1.lmmol/LBஹ⊈.:1.7mmol/L

26Cஹ⊈.2.2mmol/LDஹ⊈.2.5mmol/LEஹ⊈.2.75mmol/L᪗12ᫀ4C5Ḅ2ᫀ46129⚪ᙠnuᫀ✌ᐜ|8GHAஹ¡¢£!Bஹ¤¥¦ᔾ¨©Cஹᢝ\t«¬®¯°±²Dஹ(ᔾ³¦ᔾ⍝µ¶¤¥¦ᔾᢝ©⍝¨ᵹEஹ¢¸:᪗12ᫀ4D5Ḅ2ᫀ46130⚪ញឋ»¼½©¾¿ḄÀ⌕=ÁxGHAஹÂÃÄBஹÅ¿ÆᳫÄCஹÅ¿½ÁxDஹᔠÉ=ÊEஹÅ¿⊟Áx᪗12ᫀ4D5Ḅ2ᫀ46131⚪mnÅÌÍÎ᧕ÐÑÅÒÓឋ¿:ÔGHAஹ~¦ᔾ⍝UÕmÖ»×ØÙBஹÅ⊈¾ÚÛÒÓÜÝÞßCஹ¦ᔾàᏉᐰDஹ¦ᔾãÜäEஹ⊈IgMåIgGæç᪗12ᫀ4B5Ḅ2ᫀ46132⚪ᐵ½ÁxÅ¿8⚗\]GHAஹéÜ6bᨴ~ênBஹÜ/ëìCஹÅÌ)íåîᗂðDஹÑ=ñ᠒Eஹ=ᳮᱯRÒÓឋᦋö᪗12ᫀ4A5Ḅ2ᫀ46133⚪mnᓻ$øᗞúF8⚗⊤FGHAஹ᜻ᾭBஹ¦ᔾðýøþðÿCஹᦋᡈDஹᔠឋ⏚Eஹ᪗ᫀEḄᫀ

27134⚪ῳ"#$%ᑡ'⚗ᜐᳮ+,-./Aஹ0123Ḅ4Bஹ567CஹἭ9Dஹ:,;⊈=EஹῳῚ?@7᪗ᫀEḄᫀ135⚪AᾭCDEF⊈GᑖIJḄᜧLMNO./AஹPQᜧLBஹCDḄRSCஹTUVWJX₹ᜧLDஹZUV7[X₹ᜧLEஹCDḄ\]^_ஹAᾭ7[`᪗ᫀEḄᫀ136⚪%ᑡ'abcdeᑨgAᾭ7[ᨬᨵjk./AஹlmndBஹomndCஹ_AᾭnDஹAᾭnEஹpqr+e᪗ᫀDḄᫀ137⚪stLuᐙ⊈ឋU[⊦xᨬyzḄ{|}./Aஹ3⁐UBஹUCஹDஹឋUEஹU᪗ᫀAḄᫀ138⚪ញឋḄu᩽#$✌⌱ᱥ╋☟.Aஹ$☟ᾭ0BஹᔠCஹᔩᖹ$%ᡈᑁ01Dஹ¡$☟0Eஹ¢¡᪷$0᪗ᫀCḄᫀ139⚪Luῳ¤ῃ4¦$ᕜ¨©ª«¬ὅ$᡽W⌱ᵨ.Aஹ°±²³´G20ml/kgBஹ°±²³´G30ml/kg

28C°±²³´G50ml/kgDஹ1/2±²³´G60ml/kgEஹ2/3±²³´G40ml/kg᪗ᫀAḄᫀ140⚪Luῳ¤;⊈=#$%ᑡ'µ⚗}+,-Ḅ./Aஹ⏚#᧕·;⊈=Bஹῳ¤#ᵫO᣸=º»p·¼=Cஹ⊡G¾=ᵫ¿᣸À$st¼=Dஹ⊡G¾⊈GÁÂÃ$⊈=ÄeEஹ⊈=;O3mmol/L,ÅÆÀǼ=È᪗ᫀAḄᫀ141⚪%ᑡ'µ⚗ᢣÀLuញឋÊËÌ⚜¾+Î./AஹញឋÌᨵᾙÐ⊈¿BஹញឋÌ⊈7ÑÒCஹញឋÌÓ4¦DஹញឋÌ⊈C3Ñ;EஹញឋÌÒ⊈7ᢝÕ1aᨴpq᪗ᫀEḄᫀ142⚪ញឋÊu×▲ᑴ³Ú᤬ᐭ$Ýᑮß#./Aஹà⌨$⊈7,yBஹ¿yâ,yCஹᾙÐ⊈¿àᜫDஹ⊈ä,yEஹ⊈å⊡æឮè,y᪗ᫀAḄᫀ143⚪ÊéᔠêḄ_⌕ÅÆ⊤Ç}./Aஹ¿ஹஹ⊈¿ஹÒ⊈7Bஹ¿ஹஹ⊈¿ஹÒᾦ⊈Cஹஹ⊈¿ஹîï¿ஹÒᾦ⊈Dஹ¿ஹ;îï⊈ஹîï¿ஹÒᾦ⊈EஹஹᜧJîï¿ஹ;îï⊈ஹÒᾦ⊈᪗ᫀEḄᫀ144⚪Êéᔠêᨬ_⌕Ḅðñ◀᜜./Aஹ;îï⊈BஹôõCஹö÷Dஹ⊈GÒøEஹᵯúûüý᪗ᫀAḄᫀ:

29145⚪ÊឋÊÿᓫ
ឋḄAஹ⊈BஹᜧCஹᾦ⊈Dஹ⊈Eஹ᪗ᫀDḄᫀ146⚪!ᔠ#$ᶭḄ✌⌱(ᱥAஹ*+,-./Bஹ01⏒3Cஹ45⏚78Dஹ09◭/AEஹ;<=>?᪗ᫀAḄᫀ147⚪⌱@ឋᢣAஹBᜧᑖCḄDEBஹFGᑖCḄDECஹFHᑖCḄDEDஹFHஹGᑖCḄDEEஹᔜJᑖCḄᙳL>᪗ᫀAḄᫀ148⚪ញឋHᳫOPQOឋR-ḄSTUᒹWAஹXYSTBஹ*,STCஹᑁ,STDஹ[STEஹST᪗ᫀDḄᫀ149⚪⃩]ឋ^_ឋ`⊈_ᑺ$ᶭ◤cᵨeAஹfgᜫBஹ⊈[ឮjklCஹ⊈[ឮjklmnᵨ2oᨴDஹ⊈[q[STᦪᙳklEஹ⊈[ឮjklmnᵨ6oᨴ᪗ᫀCḄᫀ150⚪klHsSTᑖtuvwxyzḄ{|DAஹ1}3ᜩq1-3Bஹ4}6ᜩq4}6

30Cஹ7}9ᜩq7-8Dஹ10~15ᜩq8-9EஹH30ᜩq9}14᪗ᫀBḄᫀ151⚪᳛ᨬḄឋ^◍Aஹᢙ^◍Bஹ⊡^◍CஹST^◍DஹST^◍Eஹὶᔠ^◍᪗ᫀAḄᫀ152⚪ἭᵨJᳫ☟ᾭḄAஹWASBஹ⌱@ឋIgG^◍CஹX┝IgM^◍DஹX┝Jᳫ⊈Eஹ⌱@ឋIgA^◍᪗ᫀEḄᫀ153⚪Q./FᵨSTᢵᐸQᱥᦔc¡¢ᜧ£ᑖᑖ¤¥¦§¨©ª«¬CRAஹ®¯Q¬CNGBஹ⊈H°±ឋQ¬CPDGFCஹᡂ³´STQ¬CFGFDஹF⊤,Q¬CEGFEஹ¶·/᪵Q¬CIGF᪗ᫀAḄᫀ154⚪ᐜᜩឋᵬf+¥¦»Ḅ$ᶭ¡¼⚗Uk¾Aஹ᪷À⊈T3ஹT4ÁÂ⁚ᑺBஹ(ᱥcHᑺÄÅCஹƾÇÈmᓽcÄÅ$ᶭDஹÊQË(Eஹ◤ÌcᵨỚᑺ$ᶭ᪗ᫀEḄᫀ155⚪ᑡ¼⚗UÏÐÑÒᢣ᪗Aஹ⊈ÓLÔBஹCÕc□ឋC⊈×Ø>40mg/LDஹÙᵯÛÜP-RÝÌᢝßàEஹASO>625U/L

31᪗ᫀEḄᫀ156⚪áQsÌ¡G⮯XãäåGᨬlæḄDAஹᾯᾱBஹéឋᾯOCஹGéឋᾯDஹᜧêᩚìᾯYOEஹᾯYOíᳫìᾯYO᪗ᫀDḄᫀ157⚪ᙠᾯïðñòG¡␺ô᪶ឋᾯYOöéឋᾯOᨬᨵøùḄ⚗úAஹᾯïðḄûBஹᾯïðSTᦪCஹᾯïðḄüÆýDஹ-LḄþýEஹÿ
ᓄᱥᔲ᪗ᫀEḄᫀ158⚪ᓄᾱឋᾯḄAஹ⚠Bஹᐰ"#$CஹᜮCT&'Dஹ()*+◖-Eஹᾯ./01ᑮ345᪗ᫀEḄᫀ159⚪6789:ឋᾯ.;<=8Ḅ>⌕@A⊤CDEᑡG⚗┯JḄAஹᾯKLM□ឋDᾯ./OᕈᓄᾱឋᦋRDBஹᐰ"ḄSTUVஹUᦿCஹ<=ஹᕜYZ[⊦]Dஹ⊈_`□ឋEஹabஹ0cdefg᪗ᫀAḄᫀhஹA28⚪ij⍝ὃ⚪mjnoᫀpqCḄDᐸE☢tᨵAஹBஹCஹDஹEvnᜓ⌱ᫀ஺z{0⌱|jnᨬ~ᫀ1⚪3DDg"ᙳᙠ᪗10ᑖᦪmD⊈⁐110g/L,⊈70ug/dl஺ᨬḄAஹ⃩`BஹឋCஹDஹEEஹᏸd᪗ᫀCḄᫀ:

322⚪6᝕D7bஹ£¤ஹ¥3ᕜD¦E§¨ᔾª«D¬®¯ᦪ8.0X109/L,⊈°±²³´164,µᱏ¦§Eᕈ·¸e¹ºD»¼ᶭ1ᕜ¾Dµᱏ¦0ஹE§¿ᨵᜧᱏeÁↈ▢Ä஺´ÅAஹÆǧBஹÈ4c§CஹᜧÉឋ§DஹÆÊ˧EஹÌℍ5§᪗ᫀAḄᫀ3⚪5ᵱDÏqо6nᨴÒÓqC7ÔDᨵ᩷eᢣ஺µX×&'Ø"☮Û"ÜÄ,§⊈«Þ஺ᨬḄAஹ§ßᾭáâBஹãä◞æCஹßᾭçËèéDஹêëìὶdEஹîïðñòᔠM᪗ᫀDḄᫀ4⚪2ᵱD7b
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ᑖẚᡂᜧᐙ⊈-஺ᨬḄAஹ!"#Bஹឋ"&Cஹ
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AஹD731ᜩNḄ1/2Bஹ⊡D<[810ml/kgCஹef⊡aᢥ0.20k,<⊡Dஹ✌ᐜᵨ1.4%⏚`D140ml᡽

33Eஹ᡽⌱ᵨ31211D600ml☟᪗./ᫀ1E2Ḅ/ᫀ137⚪756>ஹfS2ᕜ஺1fRBC68Z/HP,fWBC05Z/HP,24[fjoN1.8g,⊈ojo30g/L,CH6.8mmol/L,C31000m/L,BUN9mmol/L,⊈15/10kPa
113/75mmHg஺ᨬḄ,Aஹញឋ&Bஹញឋ&Cஹᓫឋ¡Dஹ&ឋ¡Eஹញឋ⊦£᪗./ᫀ1D2Ḅ/ᫀ138⚪125ᵱ¤஺¡¥ᔠ§3¨©ª«ᶭfjo▢¯1¨ᑁfjo°±²+++()3q஺«ᶭ´ὃ⇋⌱ᵨAஹ·¸ᢓᑴᑺBஹE¼+©ªCE¼+ᑭfᑺDஹE¼+·¸ᢓᑴᑺEஹ©ª+·¸ᢓᑴᑺ᪗./ᫀ1E2Ḅ/ᫀ139⚪125᝕¤஺>ஹfSஹf⁐ÀÁ10ᜩ;ÂÃஹÄÅ1ᜩᐭ▾஺7È17É36.6࠷,⊈155/105mmHg,ËᙶÍᔾ"ᖃÐÑ᳛110q/ᑖÔÕSNÖᗂØÙÚ2.0cm,⊈Ûjo98g/L,oÜKÝ஺fjo++,ÛÜ2025Z/HP,oÜ஺2Z/HP஺⊈fªß5.8mmol/L,⊈àá⏣5.2mmol/L«´ὃ⇋Aஹញឋᳫ&ᔠä&Bஹញឋᳫ&åæᐙ⊈Cஹ᠒ឋ&ញឋèéDஹ&ឋ¡ᔠä&Eஹ¡êឋ&ᔠä&᪗./ᫀ1B2Ḅ/ᫀ1310⚪85᝕¤ë)Íᔾ⍝íî5ᜩèï⊈ftṇñ>஺⊈12/8kPa஺CH50sC3ᙳKÝᢙ"0"400U,ôKÝ஺fÝõ1jo++,ÛÜö÷øùú01/HP஺ᨬ,Aஹûf⍝íîBஹញឋ&üᳫýíîCஹ¡êឋ&Dஹញឋ&Eஹþ⊈fê¥ᔠ§᪗./ᫀ1C2Ḅ/ᫀ1311⚪P33ᕜÿ
⚜■Dឋឋ⊈▾ᗿᐸ⊡D⊡Ḅᑖ!

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EWKXY4$ᨴWKᓄᾱឋᾯ]Y^&_`aᔾ⍝deWᓄf7ghiᦪஹᑖkஹ⊈lm7ஹ⊈noᙳOHqᱥ⊈stu_v□ឋ஺xyz{|}~⚗>ᨬᨵ!Aஹ>BஹghᓄfCஹTghiᦪDஹ᤬OᱏEஹ⊈ᳫm7᪗)*ᫀ,E-Ḅ*ᫀ,.14⚪10ᜩ᝕Uᔢ᝘ஹṑ1ᕜᨵ஺=37࠷,_v¡ᐰ£t¤{¥¦e§¨©ª«¬-!ᾯ¯°>±²ᑮg´஺¡ᑡ⚗¶|}ᨬᨵ!Aஹᾯ¯°pH·Bஹᾯ¯°L,DH·Cஹᾯ¯°ᳫm7Dஹᾯ¸°¹º»¼ᱥufEஹᾯ¯°PPD-IgG,PPD-IgM᪗)*ᫀ,D-Ḅ*ᫀ,.15⚪11$ᨴᵱUᓄᾱឋᾯ]YKὅ¿ᢙdeÁᶭ=ÃÄ6ᜩ&`ᓣK
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37AஹèéÖêឋῃ´Bஹèéêឋῃ´Cஹ±éêឋῃ´Dஹ±éêឋῃ´Eஹìéêឋῃ´᪗&'ᫀ)B*Ḅ'ᫀ),26⚪l4nஹῳíஹῳ³ᜧµ¶ᜩ5~6yîï¥஺ð2ñÐòó15®/HP,ôó+/HP,£¿½ᾱó|ᒹ÷ᡈùᓿ஺ᑡÎÏû$◀᜜AஹþឋÿBஹCஹញឋឋDஹឋᜧᩚEஹឋᜧᩚ᪗ᫀDḄᫀ27⚪ឋ!"#$%+++,ᐰ)*+,-"⊈/%$%020g/L,012ᐸ45ᑖ7"8ᑡ:;<=>?@ABAஹBUNCDBஹ#EFCஹC3CDDஹ⊈GCDEஹHI#JK<=᪗ᫀBḄᫀ28⚪10L!",-3Mᨴ"ᙠ᜜▾RS0ឋTᔠV"ᵨXYZ[ᶭ4ᕜ"^#$%_+++஺!ab0cdef"gSᵨᔬi஺3ᜩkl^ᕏᔢஹῳp"1ᜩᩭ!rstfஹuvஹwṑஹ⊈G8y஺zὅ✌ᐜ~Ḅ<=ABAஹ#JKBஹ⊈JKCஹᜮ⚝CTDஹ⊈ᵯEஹ⊈ᑖ᪆᪗ᫀDḄᫀ29⚪5Lᵱ",-Mᨴ"#$%++++,ὃ⇋ᓫឋ"8ᑡ:⚗<=ᔠḄ⊤^ABAஹ$%ᵯ%$%1"alஹYᳫ$%ᓣ*Bஹ#$%ᜩ0.lg/kgCஹ¡¢#£¤¥10/HPDஹ⊈¦§¨⏣ᓣ*Eஹᕈ⌱¬ឋ$%#᪗ᫀAḄᫀ

3830⚪14Mᨴ!"᰿¯°"f±⌨"³´ஹµ¶⌲¸¹%஺º»<=¼½ஹ¾ஹ¿ÀÁ+-ᜧ஺⊈Hb7.5g/L,MCVY9fl,MCH27.5pg,MCHCO.28஺⊈Âᱏ£¤¥ÄÅ"gÆÇ"ÈÉ£¤¥ÊJ஺%¤¥Ë⊈ÅÌÊJ஺ÍÎÏÐᨵ᪶£¤¥Ó*"⊈£$%Ô"ÕÖפ¥஺ØÙÚ"ÛᢥÝÞßàf஺!~RS0ABAஹáÕឋâ⊈Bஹᙢäâ⊈Cஹåפ¥ឋâ⊈Dஹ᠒ឋçÇឋâ⊈Eஹèéêëឋâ⊈᪗ᫀAḄᫀ31⚪aÊJÅ!"ᐸ⊈JK%¤¥ᑖì0ឋÖ¤¥32%,¿¤¥65%,ᓫ᪶¤¥2%஺Å!Ḅíî0ABAஹ1ᜩBஹ5ᜩCஹ2LDஹ5LEஹ7L᪗ᫀCḄᫀ32⚪2L᝕"léðñòóஹῳpஹᾯ¶"2ᕜkõö⊈÷ø஺ùᓄ⊈¦lgG7.8g/L,IgAO.76g/L,IgMO.055g/L,¤¥ûüýþCDÊJ"᜜ᕜ⊈¿¤¥ᦪ
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9410⚪ᐳᵨ⚪KL᝕Q2RQàá1âᨴQäS஺å᪶sçèPPD5U,åÏéêåëì20mm,Xíᱏïðñ¨Q⊈ò20mm/h஺

41%9⚪/óôᨬhiḄõö0Aஹ÷øᓱùúûüBஹýþᨵÿ᪶Cஹឋ᪶Dஹᨵ᪶Eஹ᪗ᫀDḄᫀ10⚪◤⚜■ឋᵨINH+RFPAஹ2ᨴBஹ3ᨴCஹ4ᨴDஹ5ᨴEஹ6ᨴ᪗ᫀBḄᫀ
1114⚪ᐳᵨ⚪"#$6ᨴ%&'()1ᜩ+,ᗞ'ᔛ᝘0ᨵ1,'2ᔻ0ᖃᕜ67ᓿ஺:;T38࠷,=>'?ᔾ50A/ᑖ'Dᑣ஺FGH☢⁐KL'?=MNO'P?ᔾQRS'ᨵTUVWQ'X᳛160A/ᑖ'XQZ'[\]2.5cm஺11⚪✌⌱Ḅ`abAஹᔾᐭឋdBஹᔠfgdCஹhℍjdDஹkldEஹmn&Vᗞ᪗ᫀBḄᫀ12⚪opq`a'r✌⌱]ᑡt⚗;vAஹwx?ᔾ⍝;zBஹ{ᓽv⊈=ᑖ᪆Cஹ᤬XᱏDஹ;vEஹ;z᪗ᫀAḄᫀ13⚪&ᙠw'᩽7'G'=>k+ᖃ'X᳛180A/ᑖ'ᗂQU'`ᕈ¢Q+?ᔾQ£¤஺r✌ᐜὃ⇋]ᑡt¨©AஹXª⊦¬Bஹ?ᔾ⊦¬Cஹgឋᾯ

42Dஹ=Eஹ?ᔾ®¯°᪗ᫀDḄᫀ14⚪␺²`a0L⌱³]ᑡ´µ;v'¶ᒹ¸AஹX¹ᱏBஹXᵯ»¼½¾X¿»Cஹᾯᵯ»Dஹ⊈=ᑖ᪆Eஹ®ᵯ»᪗ᫀEḄᫀ
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43218⚪34567ITP,8⚗:;<56ᨬᨵ?@AஹABCD□ឋBஹ⊈GHᢙJ□ឋCஹKLMNOP᪶RS!TᨵᡂVᢓᑴDஹ'⊈YZ[\Eஹ⊈ᙽᦈ_`a᪗ᫀCḄᫀ219⚪ᨬbc57᠒ឋITP஺efghijklᶭ8⚗lᶭmᫀᨬᔠ〉Aஹpqr142mg/(kg,d),'⊈stb⌲vs,⊈GH50X109/LᓽyzBஹ{|ᵨz}⊈GHឮCஹᜧᑺᙢrᶭ1.5~2mg/gd),ᵨ3ᜩDஹᜧᑺᵬpq20440mg/(kgd),ᵨ3ᜩEஹᐜᵨᜧᑺᶭbᵨpqr}⊈GHឮ᪗ᫀAḄᫀ220⚪ᵨpqrlᶭ6"ᨴb⊈GH|ᓣYᨵ'⊈ὃ⇋ᦋᵨ8⚗ᶭAஹᜧpqrᑺBஹᦋᵨjk᝞Cஹᦋᵨ¡ᢓᑴᑺ᝞\᧡£¤Dஹᦋᵨᜧᑺ¥¦ᳫ¨©☟Eஹ«ᑗ◀᪗ᫀEḄᫀ221⚪ᵨghijklᶭ᠒ឋITPḄ®⌕°ᵨcḄ
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26430⚪ᐳᵨ⚪]Gᵱ_34`஺bcᗞ2d,eᗞfᒓhᜩjk஺l%lmn3ᔾeឋqᔾrs3tᖃvw,ykzV{|}~3᳛140/min,ᨵ}ᗞP53ᨵ3ᐸᨵ}ᗞ஺(26⚪ᓽ6⚗AஹᔾBஹX

45CஹVDஹEஹ:FஹBllᑺGஹHஹ⊈eᑖ᪆᪗"#ᫀ%AEF&Ḅ#ᫀ%(27⚪,-eḄbAஹ¡e¢£¤Bஹ¢¥XRឋ¦§Cஹ¨᪝ªᡂDஹe⍝ᛛEஹV¯°±Fஹᗕᜮ³¦᪗"#ᫀ%ABCD&Ḅ#ᫀ%(28⚪ᐵµ}ᗞḄ;ᶭn¶ḄSAஹ;ᶭᑣ/¸¹ஹº»ஹ½¾lᓄ;ᶭBஹÀÁÂ:S;ᶭ}ᗞḄ✌⌱
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34~37⚪ᐳᵨ⚪]^᝕ÛG9Ü஺ÞßàáᨴGᜧᐵ⁚æç|èéê▲1ᕜᩭ▾஺1áᨴ{íNᓄᾱឋᡡ᪻dµ஺dញឋ¯ñG☢⁐óôG;ᔾ20/min,õöஹᾢøùΊᐵ⁚æçGû§%üஹß,þÿ
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47Aஹ⊈Bஹ!"⊈#Cஹ0T$%Dஹ&ᵯ()*+&ᵯ(!"EஹX,-ᱏFஹAS0Gஹ/ᐵ⁚ᱏ᪗34ᫀ6BF7Ḅ4ᫀ635⚪ᦈ:▾<⚗=ᶭAஹ?@ABஹBCᓛ᪍Cஹᐵ⁚FGHIᑴKDஹᜮMṑḄOEஹ☘◭RFஹᓷTUV᪗34ᫀ6BCEF7Ḅ4ᫀ636⚪WX⚜■[\]^_`a⚗Aஹᡡ᪻d᤺◀gBஹhijklKCஹmnᑁpqrsᳫDஹuᨴnᑁpqwᦔ☘◭REஹwmyz]{|}ᵬFஹ⚜■m▲5Gஹ᝞ᨵឋ&\ὅ_ᱥ⚜■᪗34ᫀ6DFG7Ḅ4ᫀ637⚪`ᑡ⚗\lKᢣ᪗Aஹ⊈#BஹC□ឋCஹ⊈>40mg/LDஹ&ᵯ(P-RmᢝwEஹASO>625U/LFஹ\Gஹ&ᵯ(ST¡ᓄHஹᡡ᪻d£᪗34ᫀ6ABCDF7Ḅ4ᫀ6
38440⚪ᐳᵨ⚪¦§¨©_1ª_«¬d3kg஺®¯°±²ᗎ´_10µᨴ<¶·¸`_¹º»¶_¼½¾_¿À᷊஺ᜧÃᕈ¹ÀᓄÅ_uᜩ243Ç஺d!Hd6.5kg,w73cm,ῳÉÊ⋨Ìk0.1cm஺38⚪°Í⚗=ᶭÎÏḄ

48AஹÐᓽÒÓÔÕuᜩ3.5~4.5g/kgÖ¶Bஹ×ØÙᳮ_⚜■Û^ÜCஹÝ᦮Ö¶_⌲àáÒᡠ◤äåDஹyzÀᓄ⏘_çèÀᓄ_黶·Eஹ⊡ᐙìíî¬R)ïíᐗR_°»¶·_ᦋᗐóôF^õöuᜩᵨ40460kcal/kg,¿uᜩ1204150kcal/kgGஹἭ¶_☟ᾭ⃩´Hஹû⊈᪗34ᫀ6BCDEF7Ḅ4ᫀ639⚪ü¨Hýþ©ÿᯠ☢⁐஺ᖔᔾᨵᨚᾭ60/mine◤!Aஹᓽ$%ᵯ'ᵨ)*+ᙢ-ᑴᑺBஹ0⊈234Cஹ5⊈67ஹ8ஹ9ஹ┛;<=>?⊡ᐙBᫀDஹ$⊈DEᐜᵨGHᢙJKLMᔠᵨOPQ⏚STEஹU⊈┛ஹVOWឋV⏚⏘☟ᾭ[\ℍ⃔2⏚┛Fஹ☟ᾭ[\_`ℍ⃔2Gஹa0⊈bHஹᔾc᪗efᫀBFGHgḄfᫀi40⚪klmnoḄ;pqᨵAஹrpឋs⊈2Bஹtᔾ⍝vwCஹ⃩Eឋy⊈DஹzJK{|Eஹ}HᐗK{|Fஹᓄ⍝Gஹvw᪗efᫀABCDEFGgḄfᫀ
41-45⚪ᐳᵨ⚪m5ᨴ6ᨌᙠp243pᑖ1ᑖᤊ6¡¢£¤¥p¦QnL§ᜮ⚝ᨵª«v¬ῳ®243d஺i41⚪¯Ḅ°±²Aஹs⊈2Bஹ³m´µqCஹs╅⊈qDஹs┛⊈qEஹ·¸¹Fஹ⚝ᑁ»⊈

49᪗efᫀABCDgḄfᫀi42⚪½¾Ḅ°±¯¿=À⚗ᓄUÂÃᨵᐵAஹ⊈╅1.02mmol/LBஹ⊈24.8mmol/LCஹ⊈ÅÆ┛0.82mmol/LDஹWឋV⏚⏘30uEஹÇᵬÉÊKËsFஹ⊈┛1.6mmol/LGஹᵬÉÌÊsÀ᪗efᫀCFGgḄfᫀi43⚪pÍÎᶭ⌱Àᑡ⚗Aஹ☟[ℍ⃔2⏚┛Bஹ☟[50%ℍ⃔2CஹᢙJKDஹVitDÒ[Eஹ☟Ó25%Ô⏚╅FஹcÕᔾᐭGஹ10%×ᔠ9Ø50mg/kg,ÙᶇÛÜ᪗efᫀAFGgḄfᫀi44⚪Îៜ᝞ßàáÎᶭAஹâã⃩EBஹVitDÎᶭCஹ⊡ᐙᵬÉÊKDஹ⊡ᐙVitBlEஹàáᢙäåæFஹçè┛ᑺ᪗efᫀBFgḄfᫀi45⚪᝞ᙠéêp✌ᐜᵨḄÎᶭBì²Aஹᵨ┛ᑺBஹ[\í?CஹᵨVitDDஹᢙäåæEஹ⊡ᐙVitBlFஹîᓽᔾcGஹᗕ´µὅñîᓽòóᜮô»ç᜜᪗efᫀBFGgḄfᫀ(46450⚪ᐳᵨ⚪)ᵱø1ù஺ú3dᩭ⚣ýᕏᔢ
ᵫṑ஺F4cm஺GPT80u,⊈1.4mmol/L(25mg/dl),ᔠ஺

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Cஹ⊈ᙠ176Hmol/LDஹῳ⊈2.2mmol/L(40mg/dl)Eஹᾯᵯᕈឋ᠒᪗NOᫀQABCDRḄOᫀQ49⚪0ᓄ⊈⏘18s,⊈Ls130mmol/L,4mmol/L,108mmol/L,┛2.3mmol/L,⊈pH7.32,PaCO260mmHg,PaO245mmHg,BE-4mmol/L»ᑡ⚗ᶭ¡¢Aஹ£¡K⊈,¥II☟ᾭ¨ᐭ10%ℍ⃔¬=1400ml/;⊤☢¯BஹJ⊈°ᵨῳ±²᪆´µ¶⊈=·ᣚ¨⊈Cஹ¹ᢝᵯ»¼]⏚½¾⊝Dஹ¹ÀVK☟ᾭÁ£¡K⊈⏘Eஹ☟ᾭÃᵨÄÅᢙÀVÆÇஹÈCÉÊḄoᱥFஹËᑴᾯfÍGஹÎᦗI°Ðᵨfᩰ⏚ᡈÒÓÔÕoᱥHஹÖ×ØÙËᑴ
ÚÛ°ÜÝᾯÞßàá᳛ÇᜧᾯãäåÛᵨ᪗NOᫀQABCDFHRḄOᫀQ50⚪ᨵæç⚝ᑁ>@Aᑡᜐᳮ⚗ÙìAஹ20%ᵞ☄⏣☟ᾭÁÂ¥ðlg/kg¥446hlð°ñÃᵨᙢóôõBஹ°ᵨö±ᡈö±᜜Ḅø>ùúø⚝ᑁ>Ð⚝ᑁ>¹ᢝᙠ2.67kPaCஹúø⊈ûäᢝüᔾ⍝ÿᵹ஺ᢝPa02>50mmHg.PaCO2<50mmHg

51Dஹᢝ⊈ᓲ⚓ᑁ6.67kPaEஹᙠᾯᵯᔾᘤᩩ#$ᢥ3&5mg/kg'()*+,⚝ᑁ.᪗01ᫀ3ABCD4Ḅ1ᫀ3
51-54⚪ᐳᵨ⚪9:᝕<13=ᨴῳ@4dA2000B10ᨴᐭ▾EFᜧH10IJKLMN᪵PᑖRSᨵᕏᔢஹWXஹYZ஺[\3T38.5࠷,^_ஹ`ab◍defឋhijkl஺⊈mno6.0X109/L,⊈Na+128mmol/L,K+3.6mmol/L,BE-15mmol/L.Hp:rst஺u51⚪ᨬwxḄyz{Aஹῳ@|Y}ᜫPឋ⏚Bஹῳ@|}ᜫPCஹ|ឋᜧᩚ.ឋᜫPDஹῳ@|EஹYῳ@|Fஹ},ឋᜫPGஹឋ⏚HஹឋIஹឋᜫP᪗01ᫀ3DFG4Ḅ1ᫀ3u52⚪ᨬwxḄ|[{Aஹ⁐ℍ⃔ᳫBஹឋᜧᩚCஹឋᜧᩚDஹ|EஹFஹᩚ᪗01ᫀ3ACEF4Ḅ1ᫀ3u53⚪ᜫPஹ⏚¡ᯠ£ᤊ¥¦§¨©⚗ᜐᳮAஹᾯ®¯Bஹᔾ°Cஹ⊈±Dஹ⊈²Eஹ⊈┛Fஹ☟10%ℍ⃔±⏚┛Gஹ╋☟¶£Hஹᜮ⚝CT᪗01ᫀ3BEFG4Ḅ1ᫀ3u54⚪u2ᜩῃPᜧH2&3Iᨵ¦ᔢWwºh஺⊡¯ᑣ½Aஹ¾¿À⊡¯Á

52BஹÂᵨÃÄ24hḄ⊡¯Cஹ⊡Åᳮ◤⌕DஹÂÈÉᜫEஹ⊡ÊËÌᜫ᪗01ᫀ3CD4Ḅ1ᫀ3
55461⚪ᐳᵨ⚪9:᝕Í10=ᨴ஺ÎÏஹZÐ1ᕜÒញ4d஺[\3deᲡÕÏ᪵dÖᔾ65/min,×ØᡧÚÛÜஹnÝᗂßKÜàáâykãä᳛150/min,æçèé$L5cm஺⊈mno13X109/L,ឋêno0.75,ë(no0.25஺u55⚪ìíᨬwxḄyz½Aஹ☩ᐲ▢ឋᩚÜBஹ⁐ℍ⃔ᳫÜCஹñ|ÜDஹᔾ⍝ᔠo|ÜEஹô[ÜFஹ⊟[Ü᪗01ᫀ3B4Ḅ1ᫀ3u56⚪ì|ḄöáX÷ᱏwxᨵ$ᑡᦋûAஹᱏüýþBஹRÎÿᾱ
CஹᜧDஹឋ⁚᪵▢EஹῼFஹᑖᙳᒴḄ▢GஹᕈↈↈḄ!᪗#$ᫀ&ABCE'Ḅ$ᫀ&(57⚪᪷+,-./⌱ᵨ23ᢙ56Aஹᜮ89:;<=>?Bஹ@AB᪍;@⁚☘◭6?CஹFGB᪍;FG☘◭6?DஹᑭIJ᪍;KLM᪶O?EஹP◭6FஹQRB᪍SGஹTU◭6HஹVᜧ◭6Iஹ☘◭6᪗#$ᫀ&CFG'Ḅ$ᫀ&(58⚪Ꮇ᝞YZ[\▾(3ᜩZ[_`a.b-ឋcᤊ.efᯠhijk.ᙠᔾnᩩpq_ᨵst.uvn⛳xy80%஺{|&hi.}ᔾ60/min,~⛳.ᶍ.,.}ᔾ.ஹឋᗂ.᳛160/min,.qL5cm,

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54Z62⚪oᐜᜩឋ+,88pqrᑡtupvᨵᐵAஹq⍡yᨵᐵBஹzᑁ=|Cஹ}~⏚Dஹ}~Eஹ}~ᨵ8FஹzᑁGஹ}~=Hஹ}~ᵨᢙᱥ᪗ᫀABCDEFGHḄᫀZ63⚪o◤ᶭ":tuPAஹVᱏBஹ+ECஹ+PDஹ+⏘Eஹ+ᵯFஹ+⊈⌼¤Gஹ⊈¥HஹASO᪗ᫀABCEFḄᫀZ64⚪oK)+¦⊦¨"◤©ᵨªᙢ«ᱥ"ᐸ®9rt¯⚗Aஹ✌@²ªᙢ«ᓄ´Ḅ1/2Bஹµ¶q┛ᑺ¹'©ᵨCஹªᙢ«©ᵨᑺ´ºQᓄDஹq┛¹'©ᵨ"9»¼ᱥ½ᵨEஹªᙢ«ᓄ&10h²¾¿ᢝ´Fஹ+⊦ÀÁÂ"À᧕(%ªᙢ«ÄÅGஹÆÇȶÉÊ'Ëᵨ᪗ᫀABCFGḄᫀZ65⚪ᐵUoᐜᜩឋ+,8ḄᱯÍÎAஹ]Ï(AEᾭÐBஹ]Ï(ABCஹ]Ï(+¦⊦¨Dஹᩖ.ᜧ?9—Òd3ÓEஹP2ᜧ?Ô¼FஹVWXYZ3ஹ4[\^_III4IV`ÕÖᐰᦈcdᩖ.GஹAEᾭ×ØZj.ÙHஹAEᾭ×ØZj.ÚÛᑖÝIஹᩖ.ᨬßà]_ᦈcd◫f

55Jஹ+áà]^_—Òdᩖ.᪗ᫀABCEFIJḄᫀ
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56Bஹ⌱ᵨdᑴᑺCஹᐗG344mg/kg?¢
£¤243¢
⚶¦DஹᐗG0.54lmg/kg?¢
£¤243¢
§⚶¨©EஹᐗG142mg/kg?¢
£¤243¢
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80᪗
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