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患者,男性,42岁。因发热、乏力8天,双下肢肿胀6天就诊,诊断为坏死性筋膜炎。入院第5天,神志清楚,T39.5度,P100次/min,尿量370ml/24h,行机械通气,FiO260%。实验室检查:血生化K+4.3mmol/L。Na+143mmol/L,Cl一104mmol/L。GPT49U/L,GOT75U/L,BUN61mg/dl,Cr3mg/dl;血气分析:pH7.35,PaO253.4mmHg,PaCO235mmHg,HCOO3一31.5mmol/L。
患者目前诊断坏死性筋膜炎并发
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