2012年执业医师考试重点要点内容速记大全.pdf

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1、微循环的特点：低、慢、大、变；影响静脉回流因素：血量、体位、三泵(心、呼吸、骨骼肌）；激素的一般特征：无管、有靶、量少、效高；糖皮质激素对代谢作用：升糖、解蛋、移脂；醛固酮的生理作用：保钠、保水、排钾等等。植物性神经对内脏功能调节：交感兴奋心跳快，血压升高汗淋漓，瞳孔扩大尿滞留，胃肠蠕动受抑制；副交兴奋心跳慢，支气管窄腺分泌，瞳孔缩小胃肠动，还可松驰括约肌。生物化学人体八种必须氨基酸（第一种较为顺口）1.“一两色素本来淡些”（异亮氨酸、亮氨酸、色氨酸、苏氨酸、苯丙氨酸、赖氨酸、蛋氨酸、缬氨酸）。2.“写一本胆量色素来”（缬氨酸、异亮氨酸、苯丙氨酸、蛋氨酸、亮氨酸、色氨酸、苏氨酸、赖氨酸）。3.

2、鸡旦酥，晾（亮）一晾（异亮），本色赖。生糖、生酮、生糖兼生酮氨基酸：生酮+生糖兼生酮=“一两色素本来老”（异亮氨酸、亮氨酸、色氨酸、苏氨酸、苯丙氨酸、赖氨酸、酪氨酸），其中生酮氨基酸为“亮赖”；除了这7 个氨基酸外，其余均为生糖氨基酸。酸性氨基酸：天谷酸天上的谷子很酸，（天冬氨酸、谷氨酸）；碱性氨基酸：赖精组没什么好解释的，（Lys、Arg、His）。芳香族氨基酸在280nm处有最大吸收峰色老笨-只可意会不可言传，（色氨酸、酪氨酸、苯丙氨酸），顺序一定要记清，色酪苯丙，今年西医考题-19。一碳单位的来源肝胆阻塞死很好理解，（甘氨酸、蛋氨酸、组氨酸、色氨酸、丝氨酸）。酶的竞争性抑制作用按事物发生

3、的条件、发展、结果分层次记忆：1.“竞争”需要双方底物与抑制剂之间；2.为什么能发生“竞争”二者结构相似；3.“竞争的焦点”酶的活性中心；4.“抑制剂占据酶活性中心”酶活性受抑。糖醛酸，合成维生素C的酶古龙唐僧（的）内子（爱）养画眉（古洛糖酸内酯氧化酶）内 科 学新旧血压单位换算血压 mmHg，加倍再加倍，除 3 再除 10，即得 kpa 值。例如：收缩压120mmHg 加倍为 240，再加倍为480，除以 3 得 160，再除以10，即 16kpa；反之，血压kpa 乘 10 再乘 3，减半再减半，可得mmHg 值。其实，不用那么麻烦，我们只要记住“7.5”这个数值即可，用不着记一长串糖葫芦

4、。题目中若给出Kpa 值，乘以7.5 即可；反之，除以7.5 就 OK了。“什么？你记不住7.5,那你就去吃糖葫芦吧O”冠心病的临床表现：平时无体征，发作有表情，焦虑出汗皮肤冷，心律加快血压升，交替脉，偶可见，奔马律，杂音清，逆分裂，第二音。急性心衰治疗原则端坐位，腿下垂，强心利尿打吗啡，血管扩张氨茶碱，激素结扎来放血，激素,镇静,吸氧。心力衰竭的诱因感染紊乱心失常，过劳剧变负担重，贫血甲亢肺栓塞，治疗不当也心衰。右心衰的体征三水两大及其他三水：水肿、胸水、腹水两大：肝肿大和压痛、颈静脉充盈或怒张其他：右心奔马律、收缩期吹风性杂音、紫绀洋地黄类药物的禁忌症肥厚梗阻二尖窄，急性心梗伴心衰；二度高

5、度房室阻，预激病窦不应该。房性早搏心电表现房早 P 与窦 P 异，P-R 三格至无级；代偿间歇多不全，可见房早未下传。心房扑动心电表现房扑不于房速同，等电位线P无踪，文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档

6、编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文

7、档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6

8、文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G

9、6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3

10、G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q

11、3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5

12、Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6大 F 波呈锯齿状；形态大小间隔匀，QRS 波群不增宽，F不均称不纯。心房颤动心电表现心房颤动P 无踪，小f 波乱纷纷，三百五至六百次；P-R 间期极不均，QRS 波群当正常，增宽合并差传导。房室交界性早搏心电表现房室交界性早搏，QRS波群同室上；P 必逆行或不见，P-R 小于点一二。阵发性室上性心动过速的治疗刺迷胆碱洋地黄，升压电复抗失常（注：“刺迷”为刺激迷走神经）继发性高血压的病因两肾原醛嗜铬瘤、皮质动脉和妊高。两肾肾实质性高血压、肾血管性高血压；原醛原发性醛固酮增多症；嗜铬瘤嗜铬细胞瘤；皮质皮

13、质醇增多症；动脉主动脉缩窄；妊高妊娠高血压。心肌梗塞的症状疼痛发热过速心，恶心呕吐失常心，低压休克衰竭心。心梗与其他疾病的鉴别痛哭流涕、肺腑之言痛心绞痛；流主动脉瘤夹层分离；腑急腹症；肺急性肺动脉栓塞；言急性心包炎。心梗的并发症心梗并发五种症，动脉栓塞心室膨；乳头断裂心脏破，梗塞后期综合症。主动脉瓣狭窄的表现：难、痛、晕二尖瓣狭窄症 状：吸血咳嘶（呼吸困难、咯血、咳嗽、声嘶。）体 征：可参考诊断学相关内容。并发症：房颤有血栓，水肿右室衰，内膜感染少，肺部感染多。主动脉瓣狭窄症 状：难、痛、晕。（呼吸困难，心绞痛，晕厥或晕厥先兆。）体 征：可参考诊断学相关内容。并发症：失常猝死心衰竭、内膜血栓胃

14、出血。文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5

15、Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B

16、5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10

17、B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U1

18、0B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U

19、10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8

20、U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6与慢性支气管炎相鉴别的疾病“爱惜阔小姐”“爱”肺癌“惜”矽肺及其他

21、尘肺“阔”支气管扩张“小”支气管哮喘“姐”肺结核慢性肺心病并发症肺脑酸碱心失常,休克出血DIC.与慢性肺心病相鉴别的疾病“冠丰园”（此为上海一家有名的食品公司）冠心病、风湿性心瓣膜病、原发性心肌病.控制哮喘急性发作的治疗方法两碱激素色甘酸、肾上抗钙酮替芬。两 碱茶碱类药物、抗胆碱能类药物激 素肾上腺糖皮质激素色甘酸色甘酸二钠肾 上拟肾上腺素药物抗 钙钙拮抗剂酮替芬酮替芬重度哮喘的处理一补二纠氨茶碱、氧疗两素兴奋剂一 补补液二 纠纠正酸中毒、纠正电解质紊乱氨茶碱氨茶碱静脉注射或静脉滴注氧 疗氧疗两 素糖皮质激素、抗生素兴奋剂 2 受体兴奋剂雾化吸入感染性休克的治疗“休感激、慢活乱，重点保护心肺肾

22、”“休”补充血容量，治疗休克“感”控制感染“激”糖皮质激素的应用“慢”缓慢输液，防止出现心功不全“活”血管活性物质的应用“乱”纠正水、电解质和酸碱紊乱肺结核的鉴别诊断“直言爱阔农”“直”慢性支气管炎“言”肺炎“爱”肺癌“阔”支气管扩张“农”肺脓肿文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:

23、CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码

24、:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编

25、码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档

26、编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文

27、档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6

28、文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G

29、6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6急性腐蚀性胃炎的处理禁食禁洗快洗胃，蛋清牛奶抗休克。镇静止痛防穿孔，广谱强效抗生素。对症解毒莫忘了，急性期后要扩张。昏迷原因“AEIOU,低低糖肝暑”A.脑动脉瘤，E.精神神经病，I.传染病，O.中毒，U.尿毒症低 低血糖低 低血 k,cl 糖 糖尿病肝 肝性脑病暑 中暑休克的治疗原则上联-扩容纠酸疏血管；下联-强心利尿抗感染；横批-激素还珠格格与降糖药 OHA 有如下几类:1.磺脲类:刺激胰岛素分泌,降糖作用好;2.双胍

30、类:不刺激胰岛素分泌,降低食欲;3、葡萄糖苷酶抑制剂:等等。记忆第一类药物时可如此联想:磺，皇，皇帝，所以甲苯磺丁脲是第一代。而格列本脲（优降糖）格列甲嗪（美比哒）等第二代可联想成还珠格格。诊 断 学肺的下界锁中六，腋中八；肩胛十肋查。胸膜下界相应向下错两个肋间。（今年北大医学部硕士研究生入学考试诊断学填空题3 分）通气/血流比值记忆血液（河水），进入肺泡的氧气（人），血液中的红细胞（载人的船）。通气/血流比值加大时即氧气多，血流相对少，喻为：“水枯船舶少，来人渡不完”。就是说要乘船的人（氧气）多，河水（血流）枯船（红细胞）少，就不能全部到达目的地，不能执行正常的生理功能，像肺循环障碍。文档编

31、码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档

32、编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文

33、档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6

34、文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G

35、6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3

36、G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q

37、3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6通气/血流比值减小时即意味着通气不足，而血流相对有余，喻为：“水涨船舶多，人少

38、船空载”。同样不能执行正常的生理功能，可见于大叶性肺炎、肺实变等。心原性水肿和肾原性水肿的鉴别心足肾眼颜，肾快心原慢。心坚少移动，软移是肾原。蛋白血管尿，肾高眼底变。心肝大杂音，静压往高变。第一句是开始部位，第二句是发展速度，三四句是水肿性质，后四句是伴随症状。肾高的高指高血压,心肝大指心大和肝大。各热型及常见疾病败风驰化脓肺结，败血症，风湿热，驰张热，化脓性炎症，重症肺结核 只身使节不规则。支气管肺炎,渗出性胸膜炎,风湿热,结核病,不规则热 大寒稽疾盂间歇，大叶肺炎，斑疹伤寒和伤寒高热期，稽留热 疟疾，急性肾盂肾炎，间歇热 布菌波状皆高热。布鲁菌病，波状热 以上热型都是指高热 百凤持花弄飞结

39、，只身使节不规则。大汗积极雨间歇，步军薄装皆高热。咯血与呕血的鉴别呼心咯，呕消化，呕伴胃液和残渣。喉痒胸闷呕先咳，血中伴痰泡沫化。上腹不适先恶呕，咯有血痰呕无它。咯碱呕酸有黑便，咯便除非痰咽下。呕血发暗咯鲜红，呕咯方式个不同。关于心电轴尖朝天，不偏；尖对口，朝右偏；口对口，向左走；口朝天，重右偏！（以上的图形变化是从第1，3 导联的主波方向来判断）具体的度数要算正负的代数和查心电图医生专门的图表！钾离子对心电图的影响之简单记忆我们可以将T 波看成是钾离子的TENT(帐篷)，血钾浓度降低时，T波下降，甚至倒置，出现 U波；血钾浓度升高时，T 波也升高。外 科 学乳房的淋巴回流外中入胸肌，上入尖锁

40、上，二者皆属腋。内侧胸骨旁，吻合入对侧。文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S

41、6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4

42、S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ

43、4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 H

44、J4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10

45、HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10

46、 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6内下入膈上，吻合腹前上膈下，联通

47、肝上面。深入胸肌间或尖，前者又称Rotter结。烧伤病人早期胃肠道营养少食多餐，先流后干，早期高脂，逐渐增糖，蛋白量宽.烧伤补液先快后慢，先盐后糖，先晶后碱，见尿补钾，适时补碱。烧伤新九分法头颈面 333（9%*1）；手臂肱 567（9%*2）；躯干会阴27（9%*3）；臀为 5 足为 7，小腿大腿13，21（9%*5+1%）。手的皮肤管理手掌正中三指半，剩尺神经一指半，手背挠尺各一半，正中占去三指尖半。肱骨髁上骨折肱髁上折多儿童，伸屈两型前者众。后上前下斜折线，尺挠侧偏两端重。侧观肘部呈靴形，但与肘脱实不同。牵引反旋再横挤，端提屈肘骨合拢。屈肘固定三四周，末端血运防不通。屈型移位侧观反，手法

48、复位亦不同。休克可以概括为“三字四环节五衰竭”三字缩,扩,凝，即:微血管收缩,微血管扩张,弥散性血管内凝血。四环节即：休克发生的原因、发病机理、病理变化及其转归。五衰竭即：急性呼衰、心衰、肾衰、脑衰、肝衰。解 剖 学 12对脑神经一嗅二视三动眼，四划五叉六外展，七面八听九舌咽，文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 Z

49、B8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4

50、ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4 ZB8U10B5Q3G6文档编码:CN4A1Y6J9D10 HJ4S6F10B1B4