第二季度疑难病例讨论(重症肺炎)

.20162016-6-1.1562.:3.:42016-3-29-22:5023:50T39HR139/SPO295%BP124/73mmHgR:22/5.6mmol/L4.,Murphys5.1)2)3)CT4)CT:5):WBC:6.87*109/L86.0%:8.7%.:132g/LC210mg/L;4.3mmol/L32U/L;137umol/L::121.2umol/L,:94umol/LI0.014ng/ml;B417pg/ml;87mmHg26mmHgPH7.47-4.8mmol/L;D-D0.87ug/ml6)6.123457.1123452182860%65%34.1230-60356122471238.:3-30-2:45ICUT38.5HR:114/SPO2:96%.BP:110/77mmHgR:20/1.2.3.12(CAP)40,G20%(NPHAP)30G50ICU(VAP)HAP34.CAP/HAP1248h50%34(400mL)177umol/L2mg/dl)130/min2PaO22503490mmHg.560mmHg5.,1.1)30-602)12423.43)1234)5)1311-224a3030b52.1)SIRSWBC12.0109/L4.0109/L0.10PaCO232mmHg.TNF-aIL-1IL-6IL-8NOC2)SIRSsepsissepsisSevereSepsis+ARDS23)51ml/kghDIC41,(2),,,,,()(3),,;,ARDS5)23.038.56:12PaO260mmHgPaC0250mmHg713minDIC100u/Kgq12h2DIC.CRT100109L3133PDIC89