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(74~75题共用题干) 患者男性,56岁。因发热、乏力l2天,双下肢肿胀8天就诊,诊断为坏死性筋膜炎。人院第7天,神志清楚,T39.5℃,Pl00次/分,尿量370ml/24h,行机械通气,Fi0260%。实验室检查:血生化[K+]4.3mmol/L, [Na+]143mmol/L,[ Cl-]104mmol/L GPT 49U/L,GOT 75/L,BUN 61mg/dl,Cr 3mg/dl;血气分析:pH 7.35,Pa02 53.4mmHg,PaC02 35mmHg,[HC03-] 31.5mmol/L。
74.患者目前诊断坏死性筋膜炎并发
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