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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)娌掓湁宸ヤ綔鎺ュ湴锛屾垨缍�(j墨ng)閬庨珮闃绘姉鎺ュ湴?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)瀹ょ瓑鐗规畩鍫存墍锛屽洜鐥呬汉鍦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庣梾浜哄績鑷�锛屽氨鏈冮€犳垚浜洪珨瑙搁浕姝讳骸锛岄啱(y墨)瀛�(xu茅)涓婄ū涔嬬偤鈥滃井闆绘搳鈥�銆傜敱浜庨€欑ó娼涘湪鍗遍毆(xi菐n)锛屽緢澶氬湅瀹跺拰鍦嬮殯妯�(bi膩o)婧�(zh菙n)閮藉皪閱�(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)鐨勫牬鎵€锛屽閲嶇櫏鐩�(ji膩n)璀�(h霉)瀹ゃ€佸績鑷熺洠(ji膩n)璀�(h霉)瀹�銆侀夯閱夊銆佹墜琛�(sh霉)瀹�銆佹墜琛�(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)瀹ょ瓑鍫存墍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)鍦嬮殯闆诲伐鍗�(xi茅)鏈冿紙IEC锛夋湁闂�(gu膩n)瑕�(gu墨)瀹�锛岄啱(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�锛岃ū澶氬湅闅涜垏鍦嬪妯�(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緢闀锋檪(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椤炲牬鎵€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闅旈洟璁婂鍣ㄧ偤閱�(y墨)闄㈤噸瑕佸牬鎵€鎻愪緵闅旈洟鍚庣殑瀹夊叏闆伙紝璁婂姣旂偤1:1銆傞€欑ó璁婂鍣ㄧ殑鍒濈礆绶氬湀鍖濇暩(sh霉)绛変簬娆＄礆绶氬湀鍖濇暩(sh霉)锛屽悓鏅�(sh铆)鍒濈礆绶氬湀鍜屾绱氱窔鍦堜箣闁撻珮搴︾禃绶ｏ紝骞惰ō(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剙

    绲曠罚鐩�(ji膩n)娓剙鐢ㄤ簬鐩�(ji膩n)娓琁T绯荤当(t菕ng)灏嶅湴鐨勭禃绶ｇ媭鎱�(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�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)琛岃檿鐞嗐€傚悓鏅�(sh铆)閭勮兘灏嶈畩澹撳櫒璨�(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�锛屼繚璀夐殧闆㈣畩澹撳櫒鐨勫彲闈�銆佹甯搁亱(y霉n)琛屻€�

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剙鐣�(d膩ng)鍓嶇禃绶ｉ浕闃�銆佽畩澹撳櫒璨�(f霉)鑽风巼绛夌洠(ji膩n)娓暩(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�锛屽苟鍙€氶亷鍫�(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剙鐨勫牨(b脿o)璀﹂柧鍊笺€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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瑭︿俊铏熺櫦(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熸娓浕璺�锛屾娓脯瑭︿俊铏熺櫦(f膩)鐢熷櫒娉ㄥ叆绯荤当(t菕ng)涓殑淇¤櫉锛屾簴(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绛夌壒娈婂牬鎵€鐨勯啱(y墨)鐧傝ō(sh猫)鍌欎笂灏嶇梾浜虹殑瀹夊叏妲�(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)鐨勫皪鍦版晠闅�銆備竴鏃﹂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)灏嶅湴鏁呴殰锛屽洜鍏跺皪鍦颁笉鑳芥(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紡闆绘祦鐨勫偡瀹炽€�

   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)灏嶅湴绲曠罚鏁呴殰鏅�(sh铆)锛屽洜鍏跺皪鍦颁笉鑳芥(g貌u)鎴愬洖璺�锛屽彧鏈冪敘(ch菐n)鐢熶竴鍊�(g猫)寰堝皬鐨勬紡闆绘祦锛屼笉鏈冨皫(d菐o)鑷翠繚璀�(h霉)瑁濈疆锛堝绌洪枊锛夊嫊浣滃垏鏂蜂緵闆�锛屾墜琛�(sh霉)瀹や笉鏈冪櫦(f膩)鐢熺獊鐒跺仠闆讳簨鏁咃紝寰炶€岀浉灏嶇殑淇濊瓑浜嗘墜琛�(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浕婧愰檷浣庝簡灏嶅湴婕忛浕娴�锛屾晠鎻愰珮浜嗛槻鐏畨鍏ㄦ€с€�

   6)閱�(y墨)闄㈠湪灏嶉啱(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)绠便€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

    璐涘崡閱�(y墨)瀛�(xu茅)闄㈢涓€闄勫爆閱�(y墨)闄㈠壍(chu脿ng)濮嬩簬1958骞�锛岄毟灞簬璐涘崡閱�(y墨)瀛�(xu茅)闄㈠拰姹熻タ鐪佽(w猫i)鐢熷怀闆欓噸闋�(l菒ng)灏�(d菐o)锛屼綅浜庢睙瑗跨渷璐涘窞甯傞潚骞磋矾2铏�锛屾槸涓€鎵€闆嗛啱(y墨)鐧傘€佹暀瀛�(xu茅)銆佺鐮旇垏闋�(y霉)闃蹭繚鍋ョ偤涓€楂旂殑澶у瀷缍滃悎鎬т笁绱氱敳绛夐啱(y墨)闄�锛屾槸鍦嬪琛�(w猫i)鐢熼儴鎸囧畾鐨勫湅闅涚穵鎬ユ晳鎻翠腑蹇冪恫(w菐ng)绲�(lu貌)閱�(y墨)闄�銆傝┎閱�(y墨)闄簬2013骞�6鏈堝湪瀹夌鐟為浕姘ｈ▊璩间簡5濂�5浠跺鐢�(ch菐n)鍝併€�

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

4.4 闅旈洟闆绘簮鐩�(ji膩n)鎺ф煖閰嶇疆娓呭柈

5 绲�(ji茅)瑾�

    闅旈洟闆绘簮閫氶亷闅旈洟璁婂鍣ㄧ偤閲嶈鍫存墍鎻愪緵闅旈洟鍚庣殑瀹夊叏闆绘簮锛岀偤璐涘崡閱�(y墨)瀛�(xu茅)闄㈢涓€闄勫爆閱�(y墨)闄㈤啱(y墨)鐧傚牬鎵€鎻愪緵涓€鍊�(g猫)瀹夊叏鍙潬鐨勯浕婧�锛屼繚璀変簡閱�(y墨)鐧傛(j墨)妲�(g貌u)鐢ㄩ浕瀹夊叏銆備娇鐢ㄩ啱(y墨)鐢ㄩ殧闆㈤浕婧愪緵闆荤郴绲�(t菕ng)鏄繚璀夐啱(y墨)鐧傚牬鎵€鐢ㄩ浕瀹夊叏鐨勯棞(gu膩n)閸�锛屽皪浜庨啱(y墨)鐧傚牬鎵€鐨勯浕姘ｅ畨鍏ㄦ湁钁楅噸瑕佺殑浣滅敤銆�

[鍙冭€冩枃鐛�(xi脿n)]

[1]閭靛缓鍕�.閱�(y墨)鐢↖T绯荤当(t菕ng)鍦ㄩ啱(y墨)鐧傚牬鎵€鐨勬噳(y墨ng)鐢╗J].涓湅閱�(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椤炲牬鎵€涓殑鎳�(y墨ng)鐢╗J].寤虹瓚闆绘埃,2006,(4):14-15.

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