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˜q‘æ—¥åQŒæˆ‘院血液内¿U‘联合神¾lå¤–¿U‘、输血¿U‘、手术室、麻醉科åQŒæˆåŠŸæ•‘æ²ÖMº†ä¸€åå…¨è¡€¾l†èƒžå‡å°‘合åƈ脑出血患者ã€? </p> <p>   病情持箋发展 患者病情危é‡? </p> <p>   患者,ç”øP¼Œ68岁,因“右侧肢体乏åŠ?月余”由急诊转入血液内¿U‘一病区。经诊断åQŒè¯¥æ‚£è€…有骨髓增生异常¾l¼åˆå¾å¯èƒ½æ€§å¤§ã€è„‘å‡ø™¡€ã€è‚ºéƒ¨æ„ŸæŸ“åƈ胸腔¿U¯æ¶²åQŒå¤´é¢…CT见左侧额部、颞部、顶部、枕部硬膜下å‡ø™¡€åQŒæ–°æ—§ä¸ä¸€ã€‚治疗中åQŒæ‚£è€…病情持¾l­å‘展,出现头痛加重、肢体乏力加剧、神志清醒,¾_„¡¥žçŠ¶æ€è¾ƒå·®ç­‰ç—‡çŠ¶ã€‚急查头颅CTåQŒç¤ºå·¦ä¾§é¢ã€é¢žã€é¡¶ã€æž•éƒ¨æ…¢æ€§ç¡¬è†œä¸‹è¡€è‚¿åƈ脑疝形成、左侧后¾Uµè£‚亚急性硬膜下血è‚ѝ€‚è„‘å‡ø™¡€åŠ å‰§òq¶è„‘疝åŞ成,随时压迫呼吸中枢出现生命危险åQŒç—…情危重ã€? </p> <p>   面äÍ极高风险的手æœ?专家团队å…Þp§£æ‰‹æœ¯éšùN¢˜ </p> <p>   血液内¿U‘立卌™¯·¼œžç»å¤–科急会诊,¾lè¿‡æˆ‘院专家共同会诊åQŒæ‚£è€…具有手术指征,存在脑出血、脑疝,需要急救手术åQŒå¦åˆ™å¾ˆå¿«å¨èƒç”Ÿå‘½ï¼Œä½†å®žæ–½æ‰‹æœ¯å°†ä¼šååˆ†å±é™©ã€? </p> <p>   摆在专家面前的难题是血ž®æ¿è¾ƒä½Žå­˜åœ¨æ˜¯å¼€å±•æ‰‹æœ¯ç›¸å¯¹ç¦å¿Œç—‡ã€‚专家们意见集中汇总,紧æ€?div style="margin:1rem 0;"><script type="text/javascript" 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