心乐棋牌

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              2. 厌食症 死亡期(一例误诊为抑郁性厌食症的死亡病例)

                来源:网络整理/编辑:佚名/时间:2018-12-31

                在手机上看

                SAOYISAOJINRUSHOUJIDUAN

                HUANZHE,NAN,85SUI,YIHUN,ZISUYOUNIANSHENGHUOJIAOKU,QINGXUYIZHIDILUO,YU2012NIAN10YUEWUMINGXIANYOUYINXIATURANCHUXIANSHIYUCHA,ZHIZHIJINSHISHAOLIANGBANLIUZHI,WUMINGXIANJIEGAN,WUTUNYANKUNNAN,WUSHANGFUBUBAOZHANGBUSHI。BANGEYUEHOUKAISHIYOUSHICHUXIANEXINYUOUGAN,WEIOUTUGUO。

                心乐棋牌ZAIYIJIAYIYUANJINXINGQUANMIANTIJIAN,TOULUCIGONGZHENSHINAOQUEXUEZAOXINGGAIBIAN,NAOWEISUO;FUBUCTSHIGANDUOFANANGZHONG,YOUGANHOUYUANGAIHUAZAO;QIANLIEXIANGAIHUA;SHUANGSHENNANGZHONG,ZUOSHEN、ZUOSHUNIAOGUANSHANGDUANQINGDUJISHUI;DIANZIWEIJINGSHIMANXINGQIANBIAOXINGWEIYANBANMILAN,SHIGUANGULIJUDAJINGMAIJIE;XUECHANGGUIQINGDUPINXUE;ZHONGLIUBIAOZHIWU、GANSHENGONGNENG、DIANJIEZHI、DAXIAOBIANCHANGGUIDENGJUNWEIJIANMINGXIANYICHANG。

                2012NIAN11YUE22RIMENZHENYI“SHENJINGXINGYANSHIZHENG”SHOUZHURUYUAN。HUANZHEZISUGAOXUEYABINGSHI7NIAN,PINGSUKONGZHIKE,FOURENTANGNIAOBING、XINZANGBINGHUOSHENZANGBINGSHI,FOURENZHONGLIUBINGSHI。TIGEJIANCHAJISHENJINGXITONGTICHAJUNWEIJIANMINGXIANYICHANG,JIAOLVYIYULIANGBIAOCEPINGWEIJIANYICHANG。CHUBUZHENDUAN:(1)SHENJINGXINGYANSHIZHENG;(2)NAOGENGSI;(3)GAOXUEYABING。

                心乐棋牌ZAIYUSANDACHANGGUI、SHENGHUA、ZHONGLIUBIAOZHIWU、JIAZHUANGXIANGONGNENG、SHENGZHIJISUDENGJIANCHAZHIBIAOJUNWEIJIANMINGXIANYICHANG。YUBAIYOUJIEJIZAIPULEZHILIAOHOU,HUANZHEBINGQINGDEYIZHUJIANGAISHAN,JING3ZHOUXITONGZHILIAO,CHUYUANSHIHUANZHEJINZAIZAOCHENGANGQICHUANGSHIJIBANGWANSHIFENYOUQINGWEIDEEXINGAN,WUOUTU,QINGXU、SHIYUJIYEMIANJUNHAO。

                出院后患者坚持服药,前3 周病情稳定,第4周起无明显原因下恶心呕吐症状再次加重,尤以下午明显,食用半流质后即吐厌食症 死亡期,情绪低落、烦躁,于2013年1月2日再次收住入院,患者讲出自己曾于4年前查出患有“前列腺癌”,并行放疗半年。行抑郁自评量表(SDS)评定为中度抑郁,修改诊断:(1)脑器质性疾病所致精神障碍(抑郁综合征);(2)高血压病;(3)前列腺癌放疗后。

                YULEYOU、ZAIPULEJIJINAOKANGKOUFUBINGJIAYIPANLISU、SHUBILIJINGMAIDIZHUZHILIAO,HUANZHEBINGQINGBINGWUMINGXIANGAISHAN。SHENGHUAZHIBIAO:ZONGDANBAI56.2g/L,JIGAN300μmol/L,NIAOSUDAN15.9mmol/L。ZHONGLIUBIAOZHIWU:JIATAIDANBAI1.9ng/ml,AIPEIKANGYUAN82.4ng/ml,TIEDANBAIMIANYIFA707.4ng/ml。

                心乐棋牌1YUE7RIHUANZHEKAISHICHUXIANSHISHUI,QIEYINJUSHI、OUTUYANZHONGTINGYONGKOUFUYAOWU。1YUE9RIXIAWUQICHUXIANWUNIAO,CHAJIGAN541μmol/L,NIAOSUDAN24.5mmol/L,JIA5.76mmol/L,YUCIRIZHUANRUICU,YU1YUE21RILINGCHENTURANCHUXIANHUXIJICU、XUEYAXIAJIANG、YANGBAOHEDUXIAJIANG,LIUZHIWEIGUANYINCHUXUEXINGANHONGYETI。JINGQIANGJIU(JIASHUJUJUEQIGUANCHAGUANDENGYOUCHUANGQIANGJIUCUOSHI)WUXIAOYUDANGRISIWANG。

                心乐棋牌JINGTAOLUN,SIWANGYUANYINRENDINGWEI“QIANLIEXIANAIBANQUANSHENZHUANYI,DUOZANGQIGONGNENGSHUAIJIE,JIXINGXIAOHUADAOCHUXUEZHIXUNHUANSHUAIJIE,XINTIAOHUXIZHOUTING”。

                TAOLUN

                本例患者恶心、呕吐及消瘦症状明显,情绪低落、睡眠欠佳,且有晨重晚轻的特点,开始起病时的胃镜检查、肿瘤标志物等均未见到明显相关的异常,未暴露癌症病史,且按照“神经性厌食”的方案治疗后病情能明显改善厌食症 死亡期心乐棋牌,符合抑郁性厌食症的特点,这是导致第一次住院误诊的主要原因。

                SHENJINGXINGYANSHIZHENGSHIYIZHONGDUOJIANYUQINGSHAONIANNVXINGDEJINSHIXINGWEIYICHANG,TEZHENGWEIGUYIXIANZHIYINSHI,SHITIZHONGJIANGZHIMINGXIANDIYUZHENGCHANGDEBIAOZHUN,WEICICAIQUGUODUYUNDONG、YINTU、DAOXIEDENGFANGFAYIJIANQINGTIZHONG。CHANGYOUGUOFENDANXINFAPANG,SHENZHIYIJINGMINGXIANXIAOSHOURENGZIRENWEITAIPANG,JISHIYISHENGJINXINGJIESHIYEWUXIAO。BUFENHUANZHEKEYIYONGWEIZHANGBUSHI、SHIYUXIAJIANGDENGLAIJIESHIQIXIANZHIYINSHI。YOUDEHUANZHECHANGYOUYINGYANGBULIANG、DAIXIEHENEIFENMIWENLUAN,NVXINGKECHUXIANBIJING,NANXINGKEYOUXINGGONGNENGJIANTUI,QINGCHUNQIQIANDEHUANZHEXINGQIGUANCHENGYOUZHIXING;YOUDEHUANZHEKEYOUJIANXIEFAZUODEBAOYINBAOSHI。BENZHENGBINGFEIQUTIJIBINGSUOZHIDETIZHONGJIANQING,HUANZHEJIESHIYEBUSHIQITAJINGSHENZHANGAIDEJIFAZHENGZHUANG。KEJIAN,BENBINGLIBUFUHESHANGSHUTEDIAN,YINGPAICHUSHENJINGXINGYANSHIZHENGDEZHENDUAN。

                心乐棋牌BENLIWUZHENDEJIAOXUN:(1)XUNWENBINGSHIBUXIANGXI;(2)QUANMIANFENXIBINGQINGBIANHUAJIZHILIAOFANYINGBUGOU,YOUQIZAICHUXIANBINGQINGBIANHUAHUOYIMUQIANDEJIBINGNANYIJIESHIHUANZHEDESUOYOUZHENGZHUANGSHI,QUEFAJINGJUEXING,WEIZHONGXINPINGGUZHANGWODEZILIAO,SHENHEYOUWULOUZHENJIBING;(3)SHEJIDAOFEIBENZHUANYEBINGLISHI,WEIQINGXIANGGUANKESHIHUIZHEN。

                心乐棋牌(ZUOZHE:CHOUYAJU,LIAOZHENGLUAN,ZHUJUNPENG,TANYUNFEI,SHIMEIFANG,YUENYAN. LAIYUAN:ZHEJIANGLINCHUANGYIXUE.2014;16(6):958-959)

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