一星期後早上 骨科病房護士站183Please respect copyright.ＰＥＮＡＮＡ3tk71tJuMC
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部門運作經理王志剛正與病房員工開會宣佈事項...183Please respect copyright.ＰＥＮＡＮＡ41Fggj28ui
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「相信大家有留意到醫院大堂嘅通告，都知道最近內科病房病床收爆咁滯，情況去到好惡劣嘅階段，果便阿DOM於是向高層要求協助，希望其他部門都可以幫手舒緩一下，而我衡量過現時骨科病房，無論人手同埋資源安排上都可以應付，決定開闢獨立病房接收4個老人內科新症，會交由內科DR.嚴去主診，Y SIR同莫姑娘負責INCHARGE，日常護理則由亮發，阿占同卿姐負責，莫姑娘跟住會重新再編更，一人睇一更，卿姐呢方面固然經驗豐富，而其他兩位同事，喺經歷過考核之後，呢個係你地表現既好機會，要好好咁把握..」183Please respect copyright.ＰＥＮＡＮＡd4wkabET4e
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「係!!知道!!」兩人連忙點頭回應...183Please respect copyright.ＰＥＮＡＮＡ0gbdKnuAWh
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「如果冇其他問題，今日就係咁多，各位同事加油!!」183Please respect copyright.ＰＥＮＡＮＡnlsKRhxPot
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王志剛出言勉勵後，離開病房.......183Please respect copyright.ＰＥＮＡＮＡTkIN8vCaOU
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同日下午 骨科病房護士長辨公室183Please respect copyright.ＰＥＮＡＮＡPQ8EJ9Y98w
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「亮發，唔經唔覺，你已經黎左呢個WARD半年嘞，，整體上嘅表現都唔錯，我地都好欣賞，今日叫你黎，主要係你份評估報告出左，跟住落嚟，Y SIR會同你講解份報告嘅內容...」莫姑娘先打開引子，並同時向Y SIR示意...183Please respect copyright.ＰＥＮＡＮＡjyipvguq2u
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「係，你既評估大致上分為呢幾方面.......」Y SIR隨即展示報告向亮發講解，直到最後指了指報告左下方橫線上....「如果你同意嘅，就呢度簽個名....」183Please respect copyright.ＰＥＮＡＮＡ8FEKdb8iPk
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「你好大機會晉升做中級助理，只要睇埋你今次嘅表現，問題都應該唔大.....」亮發簽署時，莫姑娘再加以補充....183Please respect copyright.ＰＥＮＡＮＡ0IGTuo4lXf
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「知道...都要多謝你地肯俾機會我.....」亮發表現謙虛，連忙致謝..183Please respect copyright.ＰＥＮＡＮＡOdQVMMLKYv
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「先唔好咁開心住...CARE內科PATIENT比骨科要更加細心咁去觀察，呢4個CASE都係長期臥床長者，其中一個仲係嚴重AD，已經去到表達唔到自己嘅階段，雖然家屬已經簽左DNR，不過都絕對唔可以馬虎，要密切留意佢有咩變化.....」莫姑娘特意說明...183Please respect copyright.ＰＥＮＡＮＡgtzXrR7f3J
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「總之，發覺有咩問題嘅，就要即時報告，知唔知....」Y SIR善意補充....183Please respect copyright.ＰＥＮＡＮＡZf5MBsuJPL
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「係!!明白!!」亮發點頭回應..183Please respect copyright.ＰＥＮＡＮＡmKs4oJwOUS
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「咁唔阻你放工，你可以走喇...」莫姑娘以手勢示意亮發離開...183Please respect copyright.ＰＥＮＡＮＡ0ucMzkuXWw
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「係，咁莫姑娘，Y SIR，我收工喇!!」183Please respect copyright.ＰＥＮＡＮＡ1eTSwBC3NQ
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「唔!!」183Please respect copyright.ＰＥＮＡＮＡbtpqCo8caY
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「拜拜...」 Y SIR回以一句183Please respect copyright.ＰＥＮＡＮＡFfmmi4ePzy
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「希望佢可以順順利利咁升職啦...」望著亮發背影，莫姑娘似感到有隱憂.....183Please respect copyright.ＰＥＮＡＮＡahO2LfYlbc
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阿茲海默氏症（拉丁語：Morbus Alzheimer，德語：Alzheimer-Krankheit，縮寫：AK，英語：Alzheimer's disease，縮寫：AD）或稱腦退化症。舊稱為英語：Senile Dementia of the Alzheimer Type，縮寫：SDAT 、阿爾茨海默病、老人失智症；俗稱老年失智症（但醫學界不建議使用此名稱）。阿茲海默氏症佔了失智症中六到七成的成因，是一種發病進程緩慢、隨著時間不斷惡化的持續性神經功能障礙。最常見的早期症狀，是難以記住最近發生的事情。隨著疾病的發展，症狀可能會包含：譫妄、易怒、具攻擊性、無法正常言語、容易迷路、情緒不穩定、喪失生存動力、喪失長期記憶、難以自理和行為異常等。當患者的狀況變差時，往往會因此脫離家庭和社會關係，並逐漸喪失身體機能，最終導致死亡183Please respect copyright.ＰＥＮＡＮＡMXpJagvlMz
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拒絕心肺復甦術（英語：Do not resuscitate，縮寫為DNR），又譯為放棄心肺復甦術、放棄急救同意書，也稱為拒絕緊急救治（No Code）或No CPR，是一種法律文書，病患在平時或在醫院時預先簽署，表明當他們面臨心跳停止或呼吸停止的狀況時，不願意接受心肺復甦術（Cardiopulmonary resuscitation, CPR）或高級心臟救命術（Advanced cardiac life support, ACLS）來延長生命。患者通常為老年人，或者長期多病住院，或患有預後不良的晚期癌症。DNR不影響除了氣管插管與心肺復甦術以外的其他搶救手段，患者仍可接受化療、抗生素治療、透析等。
三天後晚上183Please respect copyright.ＰＥＮＡＮＡlao7b8fh3V
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浸浴中的ANNIE，回憶起日間....183Please respect copyright.ＰＥＮＡＮＡiedWUe63jF
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「ANNIE，希望我同阿DOM可以幫到妳...」183Please respect copyright.ＰＥＮＡＮＡ1oJEUZb4yS
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莫姑娘將一個內有推薦信的信封交予ANNIE..183Please respect copyright.ＰＥＮＡＮＡos29Rr8URN
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「唔該哂妳，莫姑娘...」ANNIE欣然接過後...183Please respect copyright.ＰＥＮＡＮＡceLvmINU4A
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「先排咁忙，而家先至得閒問妳，妳真係.....唔需要再認真咁考慮?」183Please respect copyright.ＰＥＮＡＮＡ6AcFlUoJkf
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「莫姑娘，我已經考慮得好清楚㗎嘞，妳係怕我能力上應付唔到?」ANNIE說時面帶一絲疑惑183Please respect copyright.ＰＥＮＡＮＡvKpofwpTXo
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「我唔係驚妳技能上應付唔到，妳一直都表現咁出色同細心，絕對係難得嘅護理人材，我係擔心妳身體上支唔支撐到咁密集嘅訓練同埋工作，妳應該明白，過度操勞對妳身體絕對有害無益，甚至容易引發再次中風...」183Please respect copyright.ＰＥＮＡＮＡsayr0aT8x9
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「多謝莫姑娘關心，我就係知道自己時間有限，所以更加要把握每一分每一秒，盡力咁做好佢，不過，我唔會太勉強自己，一定會分配時間休息，應承妳，我畢左業之後，如果妳需要我嘅，我第一時間返黎歸隊」ANNIE目光一貫堅定...183Please respect copyright.ＰＥＮＡＮＡoBR5tPGY0a
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「既然係咁，我唯有尊重同支持妳嘅決定，希望妳成功......」莫姑娘少有的語重心長.......183Please respect copyright.ＰＥＮＡＮＡ4OjX4NnkhK
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「ANNIE，有D野想問下妳....」剛進PANTRY的MIKE見ANNIE在內休息，連忙呼喚...183Please respect copyright.ＰＥＮＡＮＡg4XCselHTL
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「唔，咩事呀? MIKE..」正坐著舉杯的ANNIE，停下來望了望MIKE...183Please respect copyright.ＰＥＮＡＮＡRDkUA87lgq
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「我想去紋身，妳幫下眼俾D意見吖..」 MIKE說時，連隨遞了數張印上了圖案的紙讓ANNIE過目...183Please respect copyright.ＰＥＮＡＮＡDI9x5diJ0i
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「啊...呢D圖案...都幾靚喎...」 ANNIE看見圖案中，包括自己胸口上的"鳳凰再生圖"，先是一愕，再裝作若無其事..183Please respect copyright.ＰＥＮＡＮＡhmsmqhfRs9
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「我發夢見過一個圖案，覺得好靚喎，於是憑記憶上網搵左幾幅類似既...」MIKE於桌上分開排列圖案...183Please respect copyright.ＰＥＮＡＮＡgcNjNUNyZV
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「咁你係想紋落隻手度?」 ANNIE扮作細心檢視其他圖案....183Please respect copyright.ＰＥＮＡＮＡbkTQh00fIV
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「我發夢見果個圖案位置係喺心口，所以我都會紋番落心口度..」183Please respect copyright.ＰＥＮＡＮＡJ2H476zIKK
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「好.....痛果噃，你唔怕咩?」知道MIKE對那晚自己的裸體仍有所印象，ANNIE不禁一怔....183Please respect copyright.ＰＥＮＡＮＡnVqqA1sUPT
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「唔怕!!咁妳覺得邊張好睇呀?」MIKE天真的拍了拍胸口...183Please respect copyright.ＰＥＮＡＮＡyWpjBFZVyK
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「咁...就呢張啦...夠鐘喇，我返出去先，你慢慢...」ANNIE隨手選了一張不是"鳳凰再生圖"的給MIKE後，藉故離去......183Please respect copyright.ＰＥＮＡＮＡSk8dUlc56E
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「佢始終忘記唔到果晚.....點算好....」183Please respect copyright.ＰＥＮＡＮＡojECOooaKe
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未知如何面對的ANNIE，此刻抱膝浸於浴缸中，一臉苦惱.....183Please respect copyright.ＰＥＮＡＮＡz0iAKjYBTr
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然而，她沒有為意，從PANTRY返回護士站途中，經過獨立病房時，內裡所發生的，正是即將令整個骨科病房出現危機的源頭..........183Please respect copyright.ＰＥＮＡＮＡLPUgBUEJTH
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「臨收工都要換片，仲要一個人做，真係.....」阿占正於嚴重AD長者床邊抱怨，此時一人步進.....183Please respect copyright.ＰＥＮＡＮＡnac1UuRjfs
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「卿姐，唔該妳幫幫手...佢雙腳硬哂駄咁，擘極都擘唔開...」阿占見來人正是卿姐，心中暗喜有人可出手相助....183Please respect copyright.ＰＥＮＡＮＡRuT2ohNICT
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「睇過....真係梗哂喎，唯有咁啦....唏!!」卿姐重施故技，猛力將長者雙腳抬高，就在此時.....183Please respect copyright.ＰＥＮＡＮＡaZ2VFU0a36
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阿占窺見長者的面容扭曲了一下，但未有作聲，登時呆住..183Please respect copyright.ＰＥＮＡＮＡBWKqmHNmoB
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「阿占，夠哂鐘喇你，冇特別野交低就走啦..D手尾我跟得喇....」卿姐邊替長者蓋被，邊催促阿占離開....183Please respect copyright.ＰＥＮＡＮＡ7xVDKSRTPh
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「哦.....咁走喇卿姐...拜拜...」阿占還以為是自己錯覺，故沒向卿姐明言....183Please respect copyright.ＰＥＮＡＮＡtikuJxSzZC
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「拜拜.....」卿姐邊忙邊回以一句...183Please respect copyright.ＰＥＮＡＮＡoxOFRf25RH
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一直到晚上，除吃飯時可稍作休息外，卿姐都忙過不停...183Please respect copyright.ＰＥＮＡＮＡMrt7O6b8tU
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「血壓同脈搏都低左...要通知姑娘先...」於常規量度病人生命表徵過程中，卿姐正要將量度嚴重AD長者所得出的異常數據記錄於病人牌板內的MEWS CHART時...183Please respect copyright.ＰＥＮＡＮＡXehNsCfgtX
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「~~~~~嘟嘟~~~~~~~~~~~~~~嘟嘟~~~~~~」護士站傳來電話響聲...........183Please respect copyright.ＰＥＮＡＮＡhekHkNy34T
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「骨科....」卿姐拿著牌板趕往護士站拿起話筒..183Please respect copyright.ＰＥＮＡＮＡohmrgOL4kh
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「唔該卿姐....」183Please respect copyright.ＰＥＮＡＮＡEC1qZG3He5
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「我係，咩事呀阿占?」卿姐認出來電者是阿占...183Please respect copyright.ＰＥＮＡＮＡWiCtGtzDnT
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「有D野我越諗越唔妥要通知妳呀...」阿占語氣變得慌張..183Please respect copyright.ＰＥＮＡＮＡkxCKeg6vb9
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「咩事呀?講啦!!我忙到踢哂腳呀...」卿姐開始不耐煩....183Please respect copyright.ＰＥＮＡＮＡXbCxyXFvoM
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「今日妳幫我同阿伯換片果陣，我睇到佢表情好似好痛咁，怕妳會唔會整親佢唔知....」183Please respect copyright.ＰＥＮＡＮＡLB4z1pdbUN
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「你睇錯啫....佢冇事喎....我大把野未搞掂，唔講喇!!...」卿姐自知大禍臨頭，藉故掛線，放回話筒急謀對策，忽然，計上心頭，立即返回長者床邊，關掉顯示長者異常血壓脈搏數據的血壓計，圍上床簾，掀開長者被舖，先拉下其褲子，再解開剛更換不久尿片...183Please respect copyright.ＰＥＮＡＮＡYQZPDa2uKy
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「對唔住喇亮發，唔好怪我.......」卿姐拿著開水壺，將水倒往長者下體，露出陰險笑容後，連隨貼好尿片拉上褲子蓋好被舖，拉開床簾，將一切整理如常.............183Please respect copyright.ＰＥＮＡＮＡX52MkWlhK3
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再望向MEWS CHART上剛才以紅筆輕輕圈上的一點，卿姐更惡向膽邊生.......183Please respect copyright.ＰＥＮＡＮＡhoF9oC01Oy
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卿姐下班後，輪到亮發接手，直至夜深時分，即將完成晚間恆常工作.....183Please respect copyright.ＰＥＮＡＮＡPe0r5MlvFp
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「亮發，你睇睇獨立房果幾個條片有冇濕，冇就一齊去PANTRY消夜，我整左D曲奇餅....」DAISY邀亮發一同消夜.....183Please respect copyright.ＰＥＮＡＮＡRet08ioAd6
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「係!!」亮發如常到獨立病房進行檢視，發現嚴重AD長者需要更換尿片，便告知DAISY......183Please respect copyright.ＰＥＮＡＮＡQoh8URoWN0
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「有一個條片好濕，妳行先啦，我一陣過黎...」183Please respect copyright.ＰＥＮＡＮＡfLJxrup8F2
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「駛唔駛我幫手呀?」183Please respect copyright.ＰＥＮＡＮＡPrtK0QVbAn
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「唔使喇，我一個攪得掂...」亮發受過正統扶抱訓練，懂得運用技巧避重就輕，不令自己受傷時，亦不會傷及病人，只是，長者肢體實在太硬，過程中，少不免要出了一點力....183Please respect copyright.ＰＥＮＡＮＡ2qAQflwktW
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「終於換好喇....希望冇整痛你啦伯伯..」見長者似在沉睡般沒有知覺，再乍看其胸口尚有起伏，亮發不以為然，心想乃嚴重AD患者正常情況，然後離開.....183Please respect copyright.ＰＥＮＡＮＡyquC53xUZb
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清晨時份，亮發替獨立病房長者進行常規量度生命表徵期間......183Please respect copyright.ＰＥＮＡＮＡoW5BWp6O2F
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「伯伯..同你量血壓喇.伯伯...咦?!..」亮發輕拍長者臉頰沒反應，且感覺其皮膚冰冷，再看長者胸口，已無起伏，心感不妙...183Please respect copyright.ＰＥＮＡＮＡjLzS8rr2dd
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「DAISY姑娘....獨立房1號床伯伯，好似冇左知覺....」亮發急步往護士站通知正在整理文件的DAISY183Please respect copyright.ＰＥＮＡＮＡiIvACETt7c
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「吓!?...我去睇睇....你跟番其他床先....」DAISY來到長者床前替長者檢查，確是脈搏血壓呼吸全無，即回到護士站傳呼當值醫生到病房，經醫生確認長者已離世後，亮發與DAISY隨即進行最後護理，一切看似告一段落，.然而.....183Please respect copyright.ＰＥＮＡＮＡqytWt9jfLe
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一星期後183Please respect copyright.ＰＥＮＡＮＡ2u6XU1EMM8
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【即時新聞】愛善醫院發生懷疑醫療事故，上星期，一名內科男病人留院兩天後離世，經剖屍後，發現乃髖部骨折導致休克失救致死，院方現正調查事件成因，並已向最高管理機構通報事件。183Please respect copyright.ＰＥＮＡＮＡ8fQlSlGCTZ
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生命表徵( Vital Signs)即是心跳,血壓,體溫,血氧量,呼吸等表面看到的維生指數. 醫護人員會每天量度病人的生命表徵,以評估病人的病情及觀察病情的轉變.183Please respect copyright.ＰＥＮＡＮＡT609pTBV5u
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MEWS(Modified Early Warning Scores)CHART 專門用作記錄生命表徵數據，方便醫護人員檢視，有系統地對病情進行評估，觀察及制定治療方案183Please respect copyright.ＰＥＮＡＮＡtmSVjD7lpT
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髖部骨折(hip fracture)導致休克失救致死 : 若骨折後搶救不及時，就會容易發生休克這種現象。由於骨折後會造成體內大量出血，導致血液循環減緩、身體各項機能衰退、身體細胞缺血/缺氧/酸鹼度不平衡，引發缺血性休克。患者主要表現癥狀為意識模糊、說話不清、短暫昏迷、血壓降低、脈搏微弱、四肢冰冷，需要特別留意的是，四肢冰冷是休克最重要的特癥。可以從四肢是否冰冷、脈搏是否微弱、意識是否模糊等方面判斷患者有沒有出現休克情況。
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and then Add to home screen.