Transcription of 敗血症性肺塞栓症 - JHospitalist Network
1 - CT - Clinical Question 2016 11 14 ADL 65 ROS(-) , , , , , 2 1 20 / vital sign General appearance BP187/82mmHg HR 99 / RR20 / BT38,8 C SpO292% , (-) (+) IIRSBL evineIII/VI (+) LevineIII/VI (+) crackles(-), (-) , , (-) CT Clinical Question CQ1 CQ2 CQ3 CQ4 Septic Pulmonary Embolism SPE CHEST 2005; 128:162 166CQ1 % IV Drug Use26 13 12 9 6 6 Lemierre ssyndrome 5 5 SPE Respir Med.
2 2014 Jan;108(1):1-8 1972 2012 SPE168 systematic reviewLemierre ssyndrome Postgrad Med J. 2004 Jun;80(944):328-34. SPE Fusobacterium necrophorum CQ2 % Staphylococcus aureus26 IVDU 1 SSTI 2 CRBSI 's Klebsiellapneumoniae12 SPE 90 Respir Med. 2014 Jan;108(1):1-8 1intravenous drug use 2 skin soft tissue infection 3 catheter related blood stream infection SPE TTE,TEE vegetation 50% 85% IV drug user 80% SPE 55%Respir Med.
3 2014 Jan;108(1):1-8 Heart 2003;89:577 581 SPE CQ3 % 85-93 22-29 14-19 7-15 CHEST 2005; 128:162 166 Open RespirMed J. 2014 Jul 24;8:28-33 , , CT RadiolClinN Am 43 (2005) 513 542 1 1-2cm RadiolClinN Am 43 (2005) 513 542 HRCT (-) treeInbud(+) (+) , tree in bud(-) SPE RadiolClinN Am 43 (2005) 513 542 CT SPE , CQ4 CT % 82 66 23 36 56 30feeding vessel sign 27 Respir Med.
4 2014 Jan;108(1):1-8 AJR Am J Roentgenol. 2006 Sep;187(3):623-9. SPE IVDU Lemierre ssyndrome 4 TTE,TEE target 4 day1day6day21 Take Home Message SPE , SPE
