特点: 医学生应该掌握儿科检查的基本 功。学龄儿童和年长儿的体检基本和 成人相同,但是新生儿和婴幼儿,由 于年龄、体检时不合作以及生理解剖 特点,其体格检查与成人不同
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一、文献综述的概念 是针对某一时期内某一学科或专题 的研究,充分地收集有关文献,并进 行系统全面的分析研究,进而归纳整 理成的综合性叙述,属三次文献
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一、中枢神经系统对氧气的依赖 -<55mmHg病人出现混乱30-55mmHg定向力障碍-<30mmHg昏迷 二、氧疗的目的: 通过增加FiO2改善PaO2通常FiO2控制在0.24-0.5
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肿瘤是正常细胞在不同始动与促进因素长期作 用下所产生的增生与异常分化所形成的新生物。 新生物一旦形成后,不因病因消除而停止增生 。它不受机体生理调节正常生长,而是破坏正常 组织与器官。 细胞组织的异型性、浸润和转移是其基本特征
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It is well known that advances in scientific medicine have occasionally threatened to displace the history and physical examination in the evaluation of the patient. However, we usually discover that technologic advances serve to make the physical examination more rational and provide new understanding or objective documentation of long- appreciated physical finding
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Palpation and percussion usually follow inspection in the examination of the other body systems a Following inspection, the examiner should perform auscultation of the abdomen
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Five Ways of GI Bleeding Hematemesis: vomitting of blood of altered blood coffee grounds) indicates bleeding proximal to ligament of Treitz Melena: Tarry stool. Altered (black) blood per rectum(>60ml) Hematochezia: Bright red or maroon rectal bleeding implies bleeding beyond
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Respiratory Function Test Spirolmetry Airway resistance compliance Diffusion capacity measure CO Exercise respiratory function test
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Significance General condition comprehension Confirm history information Specific sign collection for the diagnosis of certain disease infers certain accessory examines Grossly preclude some certain disorders Contribute a relation between the physician and the patient
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