作者Pardice (一直走下去)
看板medstudent
标题Re: [申覆] 医学(四) 72
时间Wed Aug 4 22:59:52 2010
前文恕删
资料来源:Kliegman: Nelson Textbook of Pediatrics, 18th ed.
Copyright c 2007 Saunders, An Imprint of Elsevier
Chapter 176 – Sepsis, Septic Shock, and Systemic Inflammatory Response
Syndrome
Supportive Care最後一段:
Monitoring patients with septic shock should minimally include central venous
pressure, arterial blood pressure, pulse oximetry, and hourly urine output.
Other clinical parameters that should be monitored include heart rate,
capillary refill, and mental status. Superior vena cava oxygen saturation may
be an indicator of adequate resuscitation. A superior vena cava oxygen
saturation of >70% in the 1st 6 hours after shock resuscitation has been
associated with improved outcome. There is not enough information to
determine whether or not cardiac echocardiography, pulmonary arterial
catheterization, and gastric tonography should be used to direct therapy in
patients with septic shock.
Resuscitation goals include capillary refill <2
sec, normal pulses with no differential between central and peripheral
pulses, warm extremities, urine output of >1 mL/kg/hr, normal mental status,
and normal blood pressure for age.
申覆理由:根据国考指定用书,resuscitation goal的每小时尿量应该>1 mL/kg/hr,本
题幼儿之体重为25kg,尿量每小时应>25ml即可。
故四个选项皆可,建议本题送分。
Nelson都这样写了...应该没有不过的道理吧= =
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