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Serious SES is presented an edema of face and all over,non blood fluid draining out of the needle hole,the wound not healing desiredly with fluid oozing unexpectedly,or pleural effusion on both sides,or pericardial effusion.

临床上常与液体复苏后的第三间隙液体潴留、低蛋白血症致胶体渗透压降低等的临床表现相混淆，很容易被忽略。

sick euthyroid syndromeshould be often found in patients with critical trauma,but it is commonly confused ses with retention of fluid in third space after fluid resuscitation or with lowed colloid osmotic pressure as result of hypoproteinemia in the clinic.serious ses is presented an edema of face and all over,non blood fluid draining out of the needle hole,the wound not healing desiredly with fluid oozing unexpectedly,or pleural effusion on both sides,or pericardial effusion.the pathogenesis of ses is incompletely understood.the inflammatory cytokines are generally accepted as an important pathogenic factor of ses.

甲状腺功能正常性病变综合征（sick euthyroid syndrome，ses）在危重创伤患者中并不少见，严重者表现为颜面及全身肿胀，针眼可见持续的非血性液体流出，伤口渗液较多不易预期愈合，双侧胸腔积液或心包积液等。临床上常与液体复苏后的第三间隙液体潴留、低蛋白血症致胶体渗透压降低等的临床表现相混淆，很容易被忽略。其发病机制还不十分清楚，众多的研究首先考虑的致病因素是炎性因子。

In the United States, chronic alcoholism and hepatitis C are the most common ones.

在美国，慢性酒精中毒，肝炎是最常见的。

If you have any questions, you can contact me anytime.

如果有任何问题，你可以随时联系我。