李洪阿花 (77,F) 316785 APACH II 29

• Admission 11/081.Sepsis

2.Bilateral lobe hepatomas s/p RFA ,TACE , r/o lung metastasis

3.Liver cirrhosis , Child C ,HBV related

• MICU 11/171. Sepsis with shock due to aspiration pneumonia with respiratory failur

e s/p intubation with ventilator support

2. Hypernatremia

3. Liver cirrhosis, HBV related,Child C complicated with jaundice ,hypoalbumiemia ,coagulopathy

4. Bilateral lobe hepatomas s/p RFA, TACE & PEIT with with left and main portal vein thrombosis

5. Hepatic encephalopathy grade I

• Death 11/251. Death of cardiopulmonary failure2. Sepsis shock with respiratory failure s/p intubation with ventilator support sin

ce 11/123. Left aspiration pneumonia (MRSA)4. Sepsis (Kleb.pneumoniae)5. Massive gastrointestine bleeding, origin?6. Bilateral lobe hepatomas s/p radiofrequency ablation, transarterial embolizati

on and percutaneous ethanol injectio therapy, with left and main portal vein thrombosis

7. Liver cirrhosis, HBV related, Child C complicated with severe jaundice, hypoalbumiemia, coagulopathy and ascites

8. Hypernatremia, favor over-dehydration

吳宗標 (54,M) 4879993 APACH II 34

• Admission 11/21<active>1. Mixed type respiratory failure s/p ET+MV on 11/212. ARDS, favor acute on CRF and/or sepsis related3. Acute on CRF, suspect sepsis, r/o drug4. Suspect sepsis, origin?5. DKA6. AF episode s/p cardioversion and CPCR, favor severe meta+ repirat

ory acidosis related<underlying>1. DM2. CRF3. Gout4. HTN

• AAD 11/221. Mixed type respiratory failure s/p intubation+ ventilation on 11/212. Acute respiratory distress syndrome, favor acute on chronic renal fail

ure and/or sepsis related3. Acute on chronic renal failure, suspect sepsis, r/o drug induced4. Suspect sepsis, origin?5. Diabetes ketoacidosis6. Atrial flutter episode s/p cardioversion and CPCR, favor severe meta

bolic+ respiratory acidosis related7. Diabetes mellitus8. Gout9. Hypertension

闕凌玉葉 (84,F) 4140085 APACH II 13

• Admission 10/041. Severe left side pleural effusion cause to be determinted.

2. Urinary tract infection

3. Essential hypertension.

4. Bilateral hip status post THR

• MICU 10/111. Massive left side pleural effusion, suspect lung cancer rel

ated

2. Suspect SVC syndrome

3. Urinary tract infection

4. Essential hypertension.

5. Cirrhosis with splenomegaly and ascites

6. Bilateral hip status post THR with bedridden status

7. Old CVA

• AAD 11/191. Impending respiratory failure under extubation+ ventilator support2. Consciousness loss, favor new stroke and hyperammonemia related3. Right side seizure attack with shock, favor new stroke4. Massive left side pleural effusion and then with moderate right side pleural ef

fusion, origin undeterminated5. Nosocomial pneumonia6. Acute respiratory distress syndrome7. Acute renal failure favor sepsis or hepatorenal syndrome with bilateral pulmo

nary edema and hyperkalemia8. Hypoalbuminemia9. Macrocytic anemia, favor liver cirrhosis related10. Palpable and soft right upper abdomen mass, favor hematoma11. Atrial fibrillation12. Bilateral hips status post total hip replacement under bed-ridden status13. Old stroke14. Essential hypertension15. Cirrhosis with splenomegaly and ascites, Child C16. Gastric ulcer, A2 with H. PYLORI infection

鄭武雄 (68,M) 1503859 APACHII 31

• Admission 10/141.Chronic obstructive airway disease with acute exacerbation

2.Bilatral pneumonia

3.Lung cancer, stage IV

4.Systemic inflammatory response syndrome

5.Benign prostate hyperplasia

• MICU 10/261.Hypercapnia respiratory s/p intubation

2.bilateral lung pneumonia r/o PJP r/o viral infection

3.Chronic obstructive airway disease with acute exacerbation

4.Old MI s/p stent

5.Lung cancer (Pathology and current medication were unknown)

6.Systemic inflammatory response syndrome

7.Benign prostate hyperplasia

8.Oral candidiasis

• AAD 11/171. Hypercapnia respiratory failure s/p intubation+ mechanical ventilator

since 10/26, desaturation and shock on 11/17 => critical 自動出院2. Bilateral lung pneumonia with acute respiratory distress syndrome3. Lung cancer, stage IV (SQUAMOUS CELL CARCINOMA)4. Highly suspect upper gastrointestine bleeding5. Old myocardial infarction s/p stent6. Chronic obstructive airway disease7. Atrial Flutter episode8. Acute renal insufficiency9. Benign prostate hyperplasia10. Abdomen distension with conspitation