鍔夐潨

瀹夌鐟為浕姘ｈ偂浠芥湁闄愬叕鍙� 涓婃捣 鍢夊畾 201801

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    閱�(y墨)鐢↖T渚涢浕绯荤当(t菕ng)涔熺ū(ch膿ng)鐐洪啱(y墨)鐢ㄤ笉鎺ュ湴渚涢浕绯荤当(t菕ng)锛屾垨閱�(y墨)鐢ㄩ殧闆㈤浕婧�銆侷T鏂瑰紡渚涢浕绯荤当(t菕ng)鐨勨€淚鈥濊〃绀洪浕婧愬伌(c猫)娌�(m茅i)鏈夊伐浣滄帴鍦帮紝鎴栫稉(j墨ng)閬�(gu貌)楂橀樆鎶楁帴鍦�?锛佺櫉鈥濊〃绀鸿矤(f霉)杓夊伌(c猫)闆绘埃瑷�(sh猫)鍌欓€�(j矛n)琛屾帴鍦颁繚璀�(h霉)銆傞啱(y墨)闄㈢殑渚涢厤闆绘柟寮忚垏鍏朵粬姘戠敤寤虹瓚鏈夎純澶у崁(q奴)鍒ワ紝鍥�?y脿n)妯靛嵑t(y墨)闄㈢殑鐗规畩鐠�(hu谩n)澧冮噷婕忛浕娴佸皪(du矛)鐥呬汉妲�(g貌u)鎴愪簡娼涘湪鐨勫嵄闅�(xi菐n)銆傚挨鍏跺湪鎵嬭(sh霉)瀹�銆佺洠(ji膩n)璀�(h霉)瀹ょ瓑鐗规畩鍫�(ch菐ng)鎵€锛屽洜鐥呬汉鍦ㄩ夯閱夌媭鎱�(t脿i)涓嬪け鍘绘垨闄嶄綆闃茶(w猫i)鑳藉姏锛屽悇绋浕妤点€佸偝鎰熷櫒鎴栬€呯閬撶洿鎺ユ彃鍏ョ梾浜洪珨鍏�(n猫i)锛屽鏋滄湁10渭A鐨勯浕娴佺洿鎺ユ祦閬�(gu貌)鐥呬汉蹇冭嚐锛屽氨鏈�(hu矛)閫犳垚浜洪珨瑙搁浕姝讳骸锛岄啱(y墨)瀛�(xu茅)涓婄ū(ch膿ng)涔嬬偤鈥滃井闆绘搳鈥濄€傜敱浜庨€欑ó娼涘湪鍗遍毆(xi菐n)锛屽緢澶氬湅(gu贸)瀹跺拰鍦�(gu贸)闅涙(bi膩o)婧�(zh菙n)閮藉皪(du矛)閱�(y墨)鐧傞牁(l菒ng)鍩�锛屽挨鍏舵槸閭ｄ簺鐢熷懡鏀搁棞(gu膩n)鐨勫牬(ch菐ng)鎵€锛屽閲嶇櫏鐩�(ji膩n)璀�(h霉)瀹�銆佸績鑷熺洠(ji膩n)璀�(h霉)瀹ゃ€侀夯閱夊銆佹墜琛�(sh霉)瀹ゃ€佹墜琛�(sh霉)婧�(zh菙n)鍌欏銆佹墜琛�(sh霉)鎭㈠京(f霉)瀹ゃ€佸績鑷熷皫(d菐o)绠℃彃鍏ュ銆佽绠￠€犲奖鐩�(ji膩n)瀵熷銆佹棭鐢�(ch菐n)鍏掔洠(ji膩n)璀�(h霉)瀹ょ瓑鍫�(ch菐ng)鎵€鐨勯厤闆婚渶瑕佸仛鍑轰簡鐗规畩鐨勮(gu墨)瀹氬拰瑕佹眰銆�

    鏍规摎(j霉)鍦�(gu贸)闅涢浕宸ュ崝(xi茅)鏈�(hu矛)锛圛EC锛夋湁闂�(gu膩n)瑕�(gu墨)瀹氾紝閱�(y墨)鐢ㄩ殧闆㈤浕婧愪緵闆荤郴绲�(t菕ng)闇€瑕佸寘鎷細绲曠罚鐩�(ji膩n)瑕栧剙銆侀殧闆㈣畩澹撳櫒銆佽畩澹撳櫒璨�(f霉)杓夊拰婧害鐩�(ji膩n)瑕栬ō(sh猫)鍌�銆佸鎺ュ牨(b脿o)璀﹂’绀鸿ō(sh猫)鍌欑瓑銆傚洜姝わ紝瑷卞鍦�(gu贸)闅涜垏鍦�(gu贸)瀹舵(bi膩o)婧�(zh菙n)瑾�(r猫n)瀹�锛屼娇鐢ㄩ啱(y墨)鐢ㄩ殧闆㈤浕婧愪緵闆荤郴绲�(t菕ng)鏄啱(y墨)鐧傚牬(ch菐ng)鎵€渚涢浕瀹夊叏鍙潬鐨勯棞(gu膩n)閸�銆�

    閱�(y墨)鐢ㄩ殧闆㈤浕婧愪緵闆荤郴绲�(t菕ng)鍦ㄤ緵闆昏窛闆笉鏄緢闀�(zh菐ng)鏅�(sh铆)锛屼緵闆荤殑鍙潬鎬ч珮銆佸畨鍏ㄦ€уソ銆備竴鑸敤浜庝笉鍏佽ū鍋滈浕鎴�?q奴)顬呪晣濞築绾�(x霉)鎬ф湁鍤�(y谩n)鏍艰姹傜殑閱�(y墨)鐧�2椤�(l猫i)鍫�(ch菐ng)鎵€銆�

1銆�閱�(y墨)鐢ㄩ殧闆㈤浕婧愪緵闆荤郴绲�(t菕ng)妲�(g貌u)鎴�

1.1闅旈洟璁婂鍣�

    闅旈洟闆绘簮閫氶亷(gu貌)闅旈洟璁婂鍣ㄧ偤閱�(y墨)闄㈤噸瑕佸牬(ch菐ng)鎵€鎻愪緵闅旈洟鍚庣殑瀹夊叏闆�锛岃畩澹撴瘮鐐�1:1銆傞€欑ó璁婂鍣ㄧ殑鍒濈礆(j铆)绶氬湀鍖濇暩(sh霉)绛変簬娆＄礆(j铆)绶氬湀鍖濇暩(sh霉)锛屽悓鏅�(sh铆)鍒濈礆(j铆)绶氬湀鍜屾绱�(j铆)绶氬湀涔嬮枔楂樺害绲曠罚锛屽苟瑷�(sh猫)缃潨闆诲睆钄藉睆锛屾渶澶х▼搴﹀湴娓涘皯浜嗗叐绻炵祫涔嬮枔鐨勯浕纾佸共鎿�銆�

1.2 绲曠罚鐩�(ji膩n)娓�(c猫)鍎€

    绲曠罚鐩�(ji膩n)娓�(c猫)鍎€鐢ㄤ簬鐩�(ji膩n)娓�(c猫)IT绯荤当(t菕ng)灏�(du矛)鍦扮殑绲曠罚鐙€鎱�(t脿i)锛岀暥(d膩ng)绯荤当(t菕ng)鍑虹従(xi脿n)绲曠罚鏁呴殰鏅�(sh铆)锛岃兘澶犲強鏅�(sh铆)鐧�(f膩)鍑哄牨(b脿o)璀︿俊铏�(h脿o)锛屾彁閱掑伐浣滀汉鍝℃牴鎿�(j霉)瀵�(sh铆)闅涙儏娉侀€�(j矛n)琛岃檿鐞�銆傚悓鏅�(sh铆)閭勮兘灏�(du矛)璁婂鍣ㄨ矤(f霉)鑽烽浕娴�銆佽畩澹撳櫒绻炵祫婧害閫�(j矛n)琛岀洠(ji膩n)娓�(c猫)锛屼繚璀夐殧闆㈣畩澹撳櫒鐨勫彲闈�銆佹甯搁亱(y霉n)琛�銆�

1.3 闆嗕腑鍫�(b脿o)璀﹁垏椤ず鍎€

    鑳藉?q奴)宕焤(sh铆)椤ず閱�(y墨)鐧傜禃绶ｇ洠(ji膩n)娓�(c猫)鍎€鐣�(d膩ng)鍓嶇禃绶ｉ浕闃汇€佽畩澹撳櫒璨�(f霉)鑽风巼绛夌洠(ji膩n)娓�(c猫)鏁�(sh霉)鎿�(j霉)锛屽苟鍦ㄧ郴绲�(t菕ng)鍑虹従(xi脿n)鏁呴殰鏅�(sh铆)鐧�(f膩)鍑鸿伈鍏夊牨(b脿o)璀︿俊铏�(h脿o)锛屽苟鍙€氶亷(gu貌)鍫�(b脿o)璀﹁垏椤ず鍎€閬�(yu菐n)绋嬭ō(sh猫)缃禃绶ｇ洠(ji膩n)娓�(c猫)鍎€鐨勫牨(b脿o)璀﹂柧鍊�銆傝┎瑁濈疆涓昏瀹夎浜庢墜琛�(sh霉)瀹ゆ垨閲嶇櫏鐩�(ji膩n)璀�(h霉)瀹ゅ収(n猫i)鐨勪俊鎭帶鍒堕潰鏉夸笂锛屼互渚夸簬閱�(y墨)璀�(h霉)浜哄摗浜嗚В闅旈洟闆绘簮绯荤当(t菕ng)鐨勯亱(y霉n)琛岀媭娉�锛屼互鍙婄郴绲�(t菕ng)鍑虹従(xi脿n)鏁呴殰鏅�(sh铆)鐨勬晠闅滈(l猫i)鍨�銆�

1.4 绲曠罚鏁呴殰瀹氫綅

    绲曠罚鏁呴殰瀹氫綅鐢辨晠闅滃畾浣嶅剙鍙婃脯(c猫)瑭︿俊铏�(h脿o)鐧�(f膩)鐢熷櫒鍏╅儴鍒嗚ō(sh猫)缃畬鎴�锛屼富瑕侀噰鐢ㄩ珮闈堟晱搴︾殑浜掓劅鍣ㄩ厤鍚堥珮绮惧害鐨勪俊铏�(h脿o)妾㈡脯(c猫)闆昏矾锛屾娓�(c猫)娓�(c猫)瑭︿俊铏�(h脿o)鐧�(f膩)鐢熷櫒娉ㄥ叆绯荤当(t菕ng)涓殑淇¤櫉(h脿o)锛屾簴(zh菙n)纰哄畾浣嶇禃绶ｆ晠闅滄墍鍦ㄧ殑鍥炶矾锛屾柟渚垮伐浣滀汉鍝＄董璀�(h霉)鑸囨淇�銆�

2銆�閱�(y墨)鐢ㄩ殧闆㈤浕婧愪娇鐢ㄧ殑蹇呰鎬�

   1锛夋湁鏁堜繚闅滈啱(y墨)鐧傝ō(sh猫)鍌欑殑姝ｅ父閬�(y霉n)琛�銆�

   2锛夐槻姝㈠叾浠栦緵闆诲洖璺腑鐨勬紡闆绘祦閫氶亷(gu貌)鎺ュ湴绶氱珓鍏ユ墜琛�(sh霉)瀹ゃ€両CU銆丆CU绛夌壒娈婂牬(ch菐ng)鎵€鐨勯啱(y墨)鐧傝ō(sh猫)鍌欎笂灏�(du矛)鐥呬汉鐨勫畨鍏ㄦ(g貌u)鎴愬嵄闅�(xi菐n)銆�

   3锛夐啱(y墨)鐢ㄩ殧闆㈤浕婧愭笡灏戜簡鍚勭ó閱�(y墨)鐧傝ō(sh猫)鍌欏彲鑳藉嚭鐝�(xi脿n)鐨勫皪(du矛)鍦版晠闅溿€備竴鏃﹂殧闆㈤浕婧愪笂鎵€鎺ョ殑鍚勭ó閱�(y墨)鐧傝ō(sh猫)鍌欏嚭鐝�(xi脿n)灏�(du矛)鍦版晠闅�锛屽洜鍏跺皪(du矛)鍦颁笉鑳芥(g貌u)鎴愬洖璺�锛屾墍浠ュ彧鑳界敘(ch菐n)鐢熶竴鍊�(g猫)寰堝皬鐨勫鎬ф紡闆绘祦锛屾サ澶у湴淇濊(h霉)浜嗙梾浜哄厤閬紡闆绘祦鐨勫偡瀹�銆�

   4锛夐啱(y墨)鐧傝ō(sh猫)鍌欑櫦(f膩)鐢熺禃绶ｆ晠闅滄檪(sh铆)锛屽洜闆绘簮涓€ч粸(di菐n)涓嶆帴鍦�锛岀暥(d膩ng)璨�(f霉)杓夌鍑虹従(xi脿n)绗竴榛�(di菐n)灏�(du矛)鍦扮禃绶ｆ晠闅滄檪(sh铆)锛屽洜鍏跺皪(du矛)鍦颁笉鑳芥(g貌u)鎴愬洖璺紝鍙渻(hu矛)鐢�(ch菐n)鐢熶竴鍊�(g猫)寰堝皬鐨勬紡闆绘祦锛屼笉鏈�(hu矛)灏�(d菐o)鑷翠繚璀�(h霉)瑁濈疆锛堝绌洪枊(k膩i)锛夊嫊(d貌ng)浣滃垏鏂蜂緵闆伙紝鎵嬭(sh霉)瀹や笉鏈�(hu矛)鐧�(f膩)鐢熺獊鐒跺仠闆讳簨鏁�锛屽緸鑰岀浉灏�(du矛)鐨勪繚璀変簡鎵嬭(sh霉)瀹や緵闆荤殑閫ｇ簩(x霉)鎬�銆�

   5锛夐啱(y墨)鐢ㄩ殧闆㈤浕婧愰檷浣庝簡灏�(du矛)鍦版紡闆绘祦锛屾晠鎻愰珮浜嗛槻鐏畨鍏ㄦ€�銆�

   6)閱�(y墨)闄㈠湪灏�(du矛)閱�(y墨)鐧傝ō(sh猫)鍌欐晠闅滄淇董淇檪(sh铆)锛岀稉(j墨ng)甯搁渶瑕佸湪閫氶浕鐙€鎱�(t脿i)涓嬫帴瑙搁浕璺腑鐨勫厓鍣ㄤ欢鎴栭浕璺腑鐨勫湴绶氾紝浣跨敤閱�(y墨)鐢ㄩ殧闆㈤浕婧愬彲浠ラ槻姝㈤啱(y墨)闄㈣ō(sh猫)鍌欑董淇汉鍝¤Ц闆荤殑鍗遍毆(xi菐n)銆�

3銆�寤鸿鎺ュ叆闅旈洟闆绘簮绯荤当(t菕ng)闆荤恫(w菐ng)鐨勭敤闆昏ō(sh猫)鍌�

    閱�(y墨)鐧傚牬(ch菐ng)鎵€寤鸿鎺ュ叆闅旈洟闆绘簮绯荤当(t菕ng)闆荤恫(w菐ng)鐨勭敤闆昏ō(sh猫)鍌欏寘鎷細楂橀牷闆诲垁鍙婂叾浠栭珮闋诲绉戣ō(sh猫)鍌�銆侀櫎椤剙銆佸懠鍚告(j墨)銆侀夯閱夋(j墨)銆佹亽婧煿椁�(y菐ng)绠�銆侀€忔瀽瑷�(sh猫)鍌�銆佺洠(ji膩n)璀�(h霉)鍎€銆佽几娑�娉�銆佹敞灏勬车銆佸績鑲烘(j墨)銆侀珨澶栧惊鐠�(hu谩n)姗�(j墨)绛�銆�

4銆�閱�(y墨)鐢ㄩ殧闆㈤浕婧愪緵闆荤郴绲�(t菕ng)閰嶇疆鏂规

    鍚堣偉鑱�(li谩n)淇￠浕婧愭湁闄愬叕鍙革紝浣嶄簬涓湅(gu贸)鈥滃悎鑲ュ湅(gu贸)瀹堕珮鏂版妧琛�(sh霉)鐢�(ch菐n)妤�(y猫)闁�(k膩i)鐧�(f膩)鍗€(q奴)鈥濓紝鎴愮珛浜�1997骞�9鏈�锛屾敞鍐�(c猫)璩囬噾鐐�2100钀�(w脿n)鍏冧汉姘戝梗锛屽(sh铆)闅涜硣鐢�(ch菐n)閬�(d谩)7600钀�(w脿n)鍏冧汉姘戝梗锛岀偤鈥滀腑鍦�(gu贸)闆绘簮瀛�(xu茅)鏈�(hu矛)鈥濆拰鈥滀腑鍦�(gu贸)娑堥槻鍗�(xi茅)鏈�(hu矛)鈥濇垚鍝″柈浣�锛屾槸涓€鍊�(g猫)浠ラ珮鎶€琛�(sh霉)鐐鸿捣榛�(di菐n)锛岃憲鐪间簬澶у競鍫�(ch菐ng)銆侀珮鍝佽唱(zh矛)銆佹补鑴傛湇鍕�(w霉)鐨勯珮鏂版妧琛�(sh霉)浼佹キ(y猫)銆傝┎浼佹キ(y猫)浜�2013骞�4鏈堝湪瀹夌鐟為浕姘ｈ▊璩�(g貌u)浜�5濂�5浠跺鐢�(ch菐n)鍝�銆�

4.1 鎵嬭(sh霉)瀹ら厤缃柟妗�

4.2 ICU/CCU鐥呮埧閰嶇疆鏂规

4.3 闅旈洟闆绘簮鐩�(ji膩n)鎺х郴绲�(t菕ng)閰嶇疆娓呭柈

5 绲�(ji茅)瑾�(y菙)

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[1]閭靛缓鍕�.閱�(y墨)鐢↖T绯荤当(t菕ng)鍦ㄩ啱(y墨)鐧傚牬(ch菐ng)鎵€鐨勬噳(y墨ng)鐢╗J].涓湅(gu贸)閱�(y墨)闄㈠缓绛戣垏瑁濆倷,2008,(6):32-39.

[2]寮靛仴,鏉庡墰.閱�(y墨)鐢↖T绯荤当(t菕ng)鍦ㄩ啱(y墨)闄�2椤�(l猫i)鍫�(ch菐ng)鎵€涓殑鎳�(y墨ng)鐢╗J].寤虹瓚闆绘埃,2006,(4):14-15.

[3]寮靛,鏉滄渻(hu矛)闄�.璜囬啱(y墨)鐧侷T绯荤当(t菕ng)鐨勪緵闆昏垏鎺ュ湴瑷�(sh猫)瑷�(j矛)[J].鏅鸿兘寤虹瓚闆绘埃鎶€琛�(sh霉),2010,(1):13-18.

[4]闄虫棩閶�,姹熶腑鍋�,鑳℃捣闇�.閱�(y墨)鐢ㄩ殧闆㈤浕婧愭煖鐨勮ō(sh猫)瑷�(j矛)鑸囨噳(y墨ng)鐢╗J].鏅鸿兘寤虹瓚闆绘埃鎶€琛�(sh霉),2011,(4):86-89.

[5]鍔夊＋榫�,鍔夊亯,鏉庢泬姊�.IT閰嶉浕绯荤当(t菕ng)鍦ㄩ啱(y墨)鐧傚牬(ch菐ng)鎵€鐨勬噳(y墨ng)鐢╗J].涓湅(gu贸)閱�(y墨)鐧傝ō(sh猫)鍌�,2010,25(12):25-27.

[6]鑼冮簵楹�.閱�(y墨)鐧侷T绯荤当(t菕ng)鐨勮ō(sh猫)瑷�(j矛)鑸囨噳(y墨ng)鐢╗J].闆绘埃鎳�(y墨ng)鐢�,2011,(2):48-51.

[7]瑷辫槶棣�.娣鸿珖閱�(y墨)闄㈤浕姘ｈō(sh猫)瑷�(j矛)涓殑鎺ュ湴绯荤当(t菕ng)[J].姹熻タ闆诲姏鑱锋キ(y猫)鎶€琛�(sh霉)瀛�(xu茅)闄㈠(xu茅)鍫�(b脿o),2003,(2):30-32.

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