¥|ªÏ¡BÁy³¡¬ðµM¯B¸~¡B¤ô¸~¡A«Ü¦h¥Á²³Áp·Q¨ìµÇŦ¯e¯f¡A¦ý³y¦¨¯B¸~ªºì¦]¦Ü¤Ö6ºØ¥H¤W¡A®Ñ¥Ð¶E©Ò®aÂå¬ì¥D¥ôÂå®v¦ó¤@¦¨ªí¥Ü¡A¦pªG¨Åé¯B¸~«ùÄò1¡B2¶g¡A°È¥²´NÂå§ä¥X¯f¦]¡A¨Ã½Õ¾ã¶¼¹¤Î¥Í¬¡²ßºD¡C
6¤j¯e¯fµo¥Í¡I ¥i¯à³y¦¨¨Åé¯B¸~
¦ó¤@¦¨ªí¥Ü¡A³y¦¨¥|ªÏ¡BÁy³¡µ¥³¡¦ì¯B¸~ªºì¦]²³¦h¡A¤U¦C6ºØ¯e¯f¸û¬°±`¨£¡G
▸1.¥R¦å©Ê¤ßŦ°IºÜ
▸2.µÇ¯f¯gÔ¸s
▸3.«æºC©ÊµÇŦ¯f
▸4.¨xµw¤Æ
▸5.¥Òª¬¸¢¥\¯à²§±`
▸6.ÀR¯ßªý¶ë
¤@¯ë¨Ó»¡¡A½T¹ê»PµÇŦ¥\¯à²§±`ªºÃö³s©Ê³Ì¤j¡A¦ýÁ{§Éµo²{¡A¥Òª¬¸¢¥\¯à²§±`¤]¤£¦b¤Ö¼Æ¡A¦ó¤@¦¨«ü¥X¡A¥Òª¬¸¢¥\¯à´î°h¡A·|¤Þµo¯B¸~¡A¦Ó¥Òª¬¸¢¥\¯à¤®¶i¡A¤Ö¼Æ¤]·|³y¦¨¯B¸~¡A¥i¯à¥Òª¬¸¢¥\¯àªº¦ÛÅé§ÜÅé¨ë¿E¤F¥Ö¤U·|§l¤ôªºÂH¦hÁÞ¡A³y¦¨¹L«×¤Àªc¡C
¤k¤lÅ髬ð´î»´ ÀË¥X¥Òª¬¸¢¤®¶i
40¦h·³¤k©Ê¤ý¤p©j¡A³sÄò¦n´X¶g²´¥Ö¡B¸}¯B¸~¡A¾á¤ßµÇŦ²§±`¡A¦Ü®aÂå¬ì¨D¶E¡A¦å²GµÇ¥\¯àÀˬdµo²{¡AµÇµ·²y¹LÂo²v(EGFR)156 (¥¿±`È90-110mL/min per 1.73 m2)¡AµÇ¥\¯à¨Ã¥¼¤U°«o°¾°ª¡C
¥t¤ý¤p©j³Ìªñ2Ó¤ëÅ髲ö¦W´î»´5¤½¤ç¡A¥B±`¦³¤ß±ª¡A²z¾ÇÀˬdµo²{¤ß²v98(¥¿±`½d³ò60¦Ü90 beat/min)¡A¦åÀ£¥¿±`122/78¡A¤â«ü¦³»´·LŸ§Ý¡A¥Òª¬¸¢¦³¨Ç³\¸~¤j¡A§¿²GµL¬õ¦å²y¡BµL³J¥Õ½è¡C
¦å²GÀˬdÅã¥Ü¡A¦å¿}È¥¿±`¡A¥Ò«P¯ÀTSH¼ÆÈ0.05(¥¿±`½d³ò0.4-5 µu/ml)¡A¥Òª¬¸¢¯ÀfreeT4¼ÆÈ2.14(¥¿±`½d³ò0.89-1.79ng/dL)¡A¦³¥Òª¬¸¢¾÷¯à¤®¶i¡C¦ó¤@¦¨ªí¥Ü¡A¸gÃĪ«ªvÀø1Ó¤ë«á¡A¸ÓÓ®×¥Òª¬¸¢¥\¯à±±¨î¦b¥¿±`½d³ò¡AµÇµ·²y¹LÂo²v106 mL/min per 1.73 m2¡A«ì´_¥¿±`¡C
¥Òª¬¸¢¤®¶i±`¨£¯gª¬ ¤Ö¦Y§t¸K¹ª«
¥Òª¬¸¢¤®¶i±`¨£¯gª¬¬°¤ß±ª¡B¤â§Ý¡BÅ髤U°¡B¦Ù¦×µL¤O¡B©È¼ö®e©ö¬y¦½¡B¥Òª¬¸¢¸~¤j¡Bºò±i¡B¥¢¯v¡B¥Y²´¡B±¼¾v¡B¤k©Ê¤ë¸g¤£³W«hµ¥¡C¤@¯ëªvÀø¤è¦¡¬°ÃĪ«¡B©ñ®g¸K¡B¤â³Nµ¥¡C
¦ó¤@¦¨´£¿ô¡A¥Òª¬¸¢¤®¶i±wªÌÀ³¸Ó¤Ö¦Y®ü±a¡Bµµµæ¡B®üaµ¥§t¸K¶q°ªªº¹ª«¡A¥tÁקKµÒ¡B°s¡B¤Ö³Ü§t©@°Ø¦]¶¼®Æ¡FÕ¬O±Ä¥ÎÃĪ«ªvÀø¡An«ö®ÉªAÃÄ°lÂÜ¡A¤Å¦Û¦æ°±ÃĩνվãÃĶq¡CªvÀø«á¼ÆÈ«ì´_¥¿±`¡A¤´¶·©w´Á¦^¶E°lÂÜ¡C¡]³¯¾å§Í¡þ¥x¥_³ø¾É¡^
¡]®Ö½Z½s¿è¡G³¯¬Ã©g¡^
¡]¹Ï¡þNOW°·±d»s§@¡F¹Ï¤ù¨Ó·½¡þingimage¡^
¨Ó·½¡G¨Åé¯B¸~¦h¤[¦³°ÝÃD¡HY«DµÇ²§±` ®£¬O¥Òª¬¸¢¤®¶i©Ò®`
¥X³B¡GNOW°·±d