呼吸系统病例分析讲课讲稿.doc

《呼吸系统病例分析讲课讲稿.doc》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、精品好文档，推荐学习交流呼吸系统病例分析：病史摘要：死者男性，38岁，4天前开始发热，体温40℃，头痛，周身不适，并有右胸痛，咳嗽，痰呈铁锈色，在当地乡村医院经抗感染治疗无效死亡。主要尸检所见：右侧胸腔内脓性积液约100ml，右肺重850g，右肺中、下叶实变，呈灰色，表面肺膜粗糙，并有脓苔随着。脾体积增大，重365g，用刀背可将脾髓刮下。组织学检查：右下肺肺泡腔内充满纤维素及中性粒细胞，，并可见纤维素通过肺泡相互连接；肺泡壁呈缺血状态。肺膜表面大量纤维素及中性粒细胞渗出。心肌间质水肿，少量中性粒细胞、单核细胞

2、浸润。脾脏内较多中性粒细胞浸润。思考题：1.根据病史和尸检作出病理诊断。2.用病理学的变化解释本病的临床表现。分析本患者的死亡原因。Unit1Afterlivinginthe 24-hourcityofLasVegas,Nevadafornearlytenyears,myfamilyandIdecidedto slowthingsdown. Mydaughterwantedahorse. Myhusbandwanted property. Mysonwanteda dirtbike. Iwantedourfa

3、milytobemore self-sufficient.Noneofusfeltthatthiscouldbe accomplished wherewewerelivingandweallagreedthatamovetothecountrywouldbegreatforeveryone.仅供学习与交流，如有侵权请联系网站删除谢谢3精品好文档，推荐学习交流Beforelongwe setabout lookingforahomeinYucca,Arizona,averysmalltownoflessthan

4、1,000people. ItwaswhileIwasscanninglistingsfromourrealestate agent thatIfirst learnedof it. Therewasahomeforsalethereon40acres. WhenIcalledto inquire abouttheproperty,Iwasinformedthattherewasnoelectricity available inthearea. What?Noelectricity?Ialmostdismi

5、ssedtheideaimmediately.Thepropertywasoffthegrid. Itwasnotconnected whatsoever toany utilities —power,waterorsewer. Powerwassuppliedbyawindturbineandsolarpanels. Waterhadtobe hauled inandstoredintwotanks located ontheproperty. Fortyacreswouldgiveusplentyofro

6、omforallofouranimalsandgivemyhusbandandsonspacetoridetheir ATVs. Besides,whatbetterwayistheretobecomemoreself-sustainable? Aftergivingitsomethought,wedecidedto putin anoffer andmovedinon ThanksgivingDay.Whenwefirstmovedtotheproperty,wedidsomeremodelingandst

7、ayedinourmotorhome. Wewereconfrontedwithrealchallengesatthetime. Thepowerkept goingout,themainwaterlinetothehousebroke, theplumbingbackedupintothefrontyard andthegeneratordied.Butthe setbacks justmadeusworkharder. Weslowlygotthingsfixedandmovedintothehousea

8、fter38daysinthe RV. Thenextchallengewasto becomefamiliarwith yourpower system,and tolearnthe insandouts ofhaulingyourownwaterand generating yourownpower.Ouroff-the-gridsystem consistsof eightsolarpanel