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분야
ppt2.Initial ROS
3.Initial PE
4.Initial Impression
5.호흡양상
6.혈액응고인자 검사 (HD#1 2010.2.11)
7.영양 (HD#2 2010.2.12)
8.Plan
9.Echocardiography (HD#6 2010.2.16)
C-sec at IUP 32+6wks, Birth wt 2160g
No perinatal asphyxia
No neonatal hyperbilirubinemia
No drug allergy
APGAR score: 1min – 3 / 5min – 7
Family history
N-C
Poor oral intake / Lethargy / Irritability (-/-/-)
Fever (-)
Cough / Sputum / Rhinorrhea (-/-/-)
Vomiting (-)
Constipation / Diarrhea (-/-)
Cyanosis (-)
Respiratory difficulty (-)
Oliguria / frequency (-/-)
Hematuria / Dysuria (-/-)
Hematemesis (-)
Melena / Hematochezia (-/-)
Assessment score of overt DIC
plt count : 0
D-dimer : 3
PT : 1
Fibrinogen : 0
Total score =4
Suggestive for non-overt DIC
