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\n x****0\n

这个病例,比较典型,学习了

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\n \n 回复\n \n \n \n 0\n \n 2019-04-16 20:35:05
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\n y******l\n

学无止境,看清差距,虚心学习!

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\n \n 回复\n \n \n \n 0\n \n 2019-04-16 21:23:39
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\n c****8\n

汲取经验,又学到了诊疗技能

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\n \n 回复\n \n \n \n 0\n \n 2019-04-17 20:06:38
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\n c****2\n

差点废了。

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\n \n 回复\n \n \n \n 0\n \n 2019-04-17 22:08:39
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\n D****5\n

很好的病例,学习了!

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\n \n 回复\n \n \n \n 0\n \n 2019-04-23 03:25:59
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\n 千***生\n

很好的病历总结,值得学习。

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\n \n 回复\n \n \n \n 0\n \n 2019-04-24 12:30:46
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\n l****6\n

很好的病例。婴幼儿婴幼儿发烧三天,高烧不退,就应该考虑是病毒性感染。

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\n \n 回复\n \n \n \n 0\n \n 2019-04-27 07:45:30
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\n h****1\n

早期感冒一般多是病毒性感染,如果发烧反复大于3天就有必要查血常规等检查,3天后是不是需要排除继发细菌感染了吧

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\n \n 回复\n \n \n \n 0\n \n 2019-05-01 08:54:46
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\n 水***秀\n

婴幼儿发热多为感染性发热,因此思路上的排序,不外是上呼吸道,下呼吸道,肠道,泌尿道,心内膜,中枢\n上呼吸道:不外乎咳嗽,咽红,咽峡疱疹,扁桃体肿,声音嘶哑等症状\n下呼吸道:最直观的,拍个胸片排除\n肠道:呕吐腹泻腹胀\n泌尿:最直观的查个尿常规\n心内膜:如果有先心病,这个重点考虑心内膜炎,反复血培养\n中枢:这个就难了,颈软无抵抗也不能排除,神经病理反射,最好脑积液\n以上不外乎病毒、细菌、肺炎支原体等常见\n每年六一儿童节前后,柯萨奇病毒(手足口病,疱疹性咽峡炎最多)\n冬春或春夏交替,流感病毒最多\n秋季轮状病毒与诺如病毒最多\n痉咳的要考虑支原体\n鉴别不外乎血常规,CRP,PCT\n无法鉴别,只能大包围,这种事不少大医院都干。

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\n \n 回复\n \n \n \n 1\n \n 2019-05-04 00:11:55
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\n l****6\n

学习了 谢谢分享 很不错

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\n \n 回复\n \n \n \n 0\n \n 2019-05-04 17:37:39
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