Transcription of 代謝救急 - nagano-picu.jp
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代謝救急 - nagano-picu.jp
PICU consult PICU not doing well 500 1 first line second line CBC, BGA anion gap , , , , , , , 3- , , CK, , MRI , , , , , , , , -20 C , 3-10ml, -20 C , -20 C Guthrie 4 , -20 C 1ml, DNA , 4 C , 6-10mg/kg/min=10g/kg/day 60-100kcal/kg/day 15-20g/kg/day 2g/kg/day CV 10% First line glu, NH3, lac, keton AG HCO3 / / Na THAM; tris (hydroxymethyl) aminomethane Na
どのような症状から先天代謝異常を疑うか • 多臓器にまたがる症状 • 特異顔貌、肝脾腫、異常と思われる皮膚所見
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