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12/29/2006 2006.12.29的流水帐2006.12.27 下午５点，中毒的男孩终于神志转清，留查24小时后今天为其办理了出院手续. 非常高兴!
下午4点, 10床要行颈内动脉支架植入术:
病史简单交代如下: 患者, 男, 56岁, 主因"头昏一月"入院, 基础病变:高血压三级极高危, 腔隙性脑梗塞, 高脂血症, 冠状动脉性心脏病(2006.11.15 在重庆西南医院行冠状动脉内支架植入术(回旋支)),2006.12.26我院行全脑血管照影术提示:左侧颈内动脉起始部狭窄95%,右侧颈内动脉起始部狭窄50%.
手术前
（箭头所指的地方为颈内动脉狭窄处，狭窄大约９５％） 手术后
（支架植入后血管狭窄解除，供血得到明显改善） 12/27/2006 急性酒精中毒事件 昨天夜班凌晨一点收了一个急性酒精中毒的19岁男孩, 来的时候全身皮肤, 口唇紫绀明显, 上了心电监护SPO2才20%, 呈中度昏迷, 双侧瞳孔散大, 6MM, 对光反射迟钝, 马上插管给氧, SPO2升到89%~91%, 接下来是静推纳洛酮, 大剂量补掖.
但是到早上9点患者一直呈中度昏迷, 主任查房后指示请肾内科会诊, 考虑做透析. 但是患者直系亲属一直没有到, 其他人不敢拿主意, 到11点多孩子的母亲才从外地赶回来, 护送患者去了血透室已经是12点, 我才想起还没有吃早饭, 考虑透析要2个多小时, 就赶回家吃了午饭休息了会. 下午到病房患者还是昏迷状态, 但是对疼痛刺激已经有了反应, 气管插管已经取出, 观察了一会, 生命体征都很平稳, SPO2稳定在92%, 和白班医生做了交代后, 才离开病房. 希望他明天能好起来... 12/3/2006 最佳投资＊best investment＊在我看来, 最佳投资莫过于读书, 因为付出后肯定有回报.
参考翻译（suggested translation）
From my prospective, the best investment is reading, because you pay out and you will absolutely gain something beneficial. 12/1/2006 第一天*first day*今天是到神经内科的第一天,空气中充满了挑战和刺激,我喜欢! 参考翻译(suggested translation) This is my first day when I transferred to the Neurology department, full of challenging and exciting in the atmosphere. I like it! Dr. Lei, who starts her medical career earlier than me, she haven’t had time to get home to have a real rest until I left the neurology ward this evening, who had a night duty yesterday . When we talked about neurologists, most of us just might say they belongs to high-income class. However, who can really understand them? |
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