濒临死亡的几种特殊表现
<P><SPAN style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">鉴于当前的医疗纠纷处理政策，作为基层医务人员，特别是个体门诊医生，熟知患者濒临死亡的几种特殊表现，及时采取抢救、转院、病危告知、书写抢救纪录、规范医疗文书等措施，掌握主动权，尽量避免不必要的医疗纠纷，是非常重要的。以下是供参考的几个方面：</SPAN></P><P><SPAN style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA"></SPAN><SPAN lang=EN-US style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体"><BR></SPAN><SPAN style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">一，鼻小柱歪邪。在危重病中，特别是心肌梗塞的患者，若鼻小柱歪邪，说明病已非常危重。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体"><BR></SPAN><SPAN style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">二，散脉。所谓散脉，是脉管和周围组织的界限模糊不清，农药中毒的患者若出现这种情况，提示濒临死亡。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体"><BR></SPAN><SPAN style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">三，舌短缩。慢性病患者若见舌体变短变粗，即为短缩，说明正气将绝，濒临死亡。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体"><BR></SPAN><SPAN style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">四，额纹变浅。老年患者若额纹变浅，或额纹展平，属危象。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体"><BR></SPAN><SPAN style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">五，上肢水肿超过肘关节，下肢水肿超过膝关节。凡脏和腑的实质性病变，如肾炎、肺癌、尿毒症、风湿性心脏病等，若上肢水肿超过肘关节，下肢水肿超过膝关节，属危象。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体"><BR></SPAN><SPAN style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">六，人中沟歪邪或鼻尖歪邪。无论何种疾病，若见人中沟歪邪或鼻尖歪邪，应高度重视。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体"><BR></SPAN><SPAN style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">七，两耳向后平贴。在疾病过程中出现两耳向后平贴，是肾气衰败的危象。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体"><BR></SPAN><SPAN style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">八，目光晦暗如有雾，呆滞。这是无神的表现，病属危候。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体"><BR></SPAN><SPAN style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">九，脉无神气。所谓脉无神气，是脉无从容和缓之象。无论何种疾病，无论症状有多严重，若脉从容和缓，都是有生机的表现。相反，若脉无从容和缓之象，即便症状暂不严重，也应高度重视。古人言，有一分和缓便有一分生机，此言真实可信。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体"><BR></SPAN><SPAN style="FONT-SIZE: 11.5pt; COLOR: #520000; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">十，尸味。若患者散发出尸味，是脏腑腐败所致，必是濒临死亡之兆。</SPAN></P>
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