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2. 鐔熸倝缂烘哀鏅傛(j墨)楂旂殑姗�(j墨)鑳藉拰浠ｈ瑵璁婂寲鍙婂叾鐧�(f膩)鐢熸(j墨)鍒�銆�
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銆愯€冩煡鐩(bi膩o)銆�
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2.鐔熸倝楂旀韩鍗囬珮鐨勫垎椤烇紝鐧�(f膩)鐔辨檪姗�(j墨)楂斾唬璎濊垏鍔熻兘鐨勬敼璁�銆�
3.浜嗚В鐧�(f膩)鐔遍槻娌荤殑鐥呯悊鐢熺悊鍩虹(ch菙)鍜岃嚚搴婅檿鐞嗗師鍓囥€�
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鍗€(q奴)鍒嗙櫦(f膩)鐔�銆侀亷鐔辫垏鐢熺悊鎬ч珨婧崌楂�銆�
浜�銆佸師鍥犲拰姗�(j墨)鍒�
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涓鐧�(f膩)鐔变粙璩�(zh矛)锛堝墠鍒楄吅绱�銆佺挵(hu谩n)纾烽吀鑵鸿嫹锛孨a
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鐧�(f膩)鐔辩殑鏅傜浉銆佺啽浠ｈ瑵鐗归粸(di菐n)鍜岃嚚搴婅〃鐝�(xi脿n)
鐔遍檺鍙婂叾鎴愬洜銆�
涓�銆佹(j墨)鑳戒唬璎濊畩鍖�銆�
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娌荤檪鍘熺櫦(f膩)鐥�
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1. 鐔熸倝绱�(x矛)鑳炰俊铏熻綁(zhu菐n)灏�(d菐o)鐨勫熀鏈亷绋嬪拰姗�(j墨)鍒�銆�
2. 鎺屾彙绱�(x矛)鑳炰俊铏熻綁(zhu菐n)灏�(d菐o)鐣板父鐧�(f膩)鐢熺殑鐠�(hu谩n)绡€(ji茅)鍜屾(j墨)鍒躲€�
3. 鐔熸倝鑸囦俊铏熻綁(zhu菐n)灏�(d菐o)鐣板父鏈夐棞(gu膩n)鐨勭柧鐥�銆�
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绱�(x矛)鑳炰俊铏熻綁(zhu菐n)灏�(d菐o)鐨勬蹇�銆�
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绱�(x矛)鑳炰俊铏熻綁(zhu菐n)灏�(d菐o)閫氳矾瑾�(di脿o)绡€(ji茅)闈惰泲鐧芥椿鎬х殑涓昏鏂瑰紡锛氬彲閫嗙７閰稿寲蹇€熻(di脿o)绡€(ji茅)闈惰泲鐧界殑娲绘€�銆�
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浜�銆佷俊铏熻綁(zhu菐n)灏�(d菐o)鐣板父鐧�(f膩)鐢熺殑鐠�(hu谩n)绡€(ji茅)鍜屾(j墨)鍒�
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1. 鐔熸倝绱�(x矛)鑳炲懆鏈熻(di脿o)鎺ф(j墨)鍒�銆�
2. 鎺屾彙绱�(x矛)鑳炲懆鏈熻(di脿o)鎺х暟甯稿湪鐤剧梾鐧�(f膩)鐢熶腑鐨勪綔鐢ㄣ€�
3. 浜嗚В绱�(x矛)鑳炲懆鏈熻(di脿o)鎺х暟甯哥殑闃叉不銆�
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姗�(j墨)鍒躲€傜窗(x矛)鑳炲噵浜¤(di脿o)鎺х暟甯稿湪鐤剧梾鐧�(f膩)鐢熶腑鐨勪綔鐢�銆�
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缂鸿鈥斿啀鐏屾敞鎼嶅偡
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鎺у埗鍐嶇亴娉ㄦ浠�
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2.鐔熸倝浼戝厠甯歌鐥呭洜鍙婂父瑕嬬殑鍒嗛锛屼紤鍏嬬殑绱�(x矛)鑳炰唬璎濇敼璁婏紝浼戝厠鏅傞噸瑕佸櫒瀹樼殑鍔熻兘闅滅鍙婄櫦(f膩)
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SIRS, MODS, MSOF 鐨勬蹇�銆�
浜斻€侀槻娌诲師鍓�
鐥呭洜?q奴)W娌荤檪
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寰惊鐠�(hu谩n)闅滅
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鍏�銆侀槻娌诲師鍓�
闃叉不鍘熺櫦(f膩)鐥�
鏀瑰杽寰惊鐠�(hu谩n)
閲嶅缓鍑濊鍜岀簴婧堕枔鐨勫钩琛°€�
蹇冨姛鑳戒笉鍏�
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鐢熸(j墨)鍒跺強鎰忕京銆傘€�
浜�銆佸績鍔涜“绔殑鐧�(f膩)鐥呮(j墨)鍒�
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鑰﹁伅(li谩n)闅滅
蹇冭倢鑸掑嫉鍔熻兘闅滅锛氶垼闆㈠瓙寰�(f霉)浣嶅欢绶╋紝鑲岀悆-鑲屽嫊铔嬬櫧寰�(f霉)鍚堥珨瑙ｉ洟闅滅锛屽績瀹よ垝寮靛嫝鑳�
娓涘皯銆�
蹇冭嚐鍚勯儴鍒嗚垝绺椿鍕曚笉鍗�(xi茅)瑾�(di脿o)銆�
涓�銆佸績鍔熻兘涓嶅叏鏅傝嚚搴婅〃鐝�(xi脿n)鐨勭梾鐞嗙敓鐞嗗(xu茅)鍩虹(ch菙)
蹇冭几鍑洪噺娓涘皯锛氬績鑷熸车琛€鍔熻兘闄嶄綆銆佸櫒瀹樿娴侀噺閲嶅垎閰嶇殑琛ㄧ従(xi脿n)鍙婄櫦(f膩)鐢熸(j墨)鍒�銆�
闈滆剤娣よ锛氬彸蹇冭“寮曡捣鐨勯珨寰挵(hu谩n)娣よ鍜屽乏蹇冭“绔紩璧风殑鑲哄惊鐠�(hu谩n)娣よ鐨勪富瑕佽〃鐝�(xi脿n)銆�
鍏�銆佸績鍔熻兘涓嶅叏鐨勯槻娌诲師鍓囥€�
闃叉不鍘熺櫦(f膩)鐥呭強娑堥櫎瑾樺洜
瑾�(di脿o)鏁寸缍�(j墨ng)-楂旀恫绯荤当(t菕ng)澶辫 鍙婂共闋�(y霉)蹇冨閲嶅
娓涜紩蹇冭嚐鍓�銆佸悗璨�(f霉)鑽�
鏀瑰杽蹇冭倢鐨勬敹绺拰鑸掑嫉鍔熻兘
鏀瑰杽蹇冭倢鐨勮兘閲忎唬璎濄€�
鑲哄姛鑳戒笉鍏�
銆愯€冩煡鐩(bi膩o)銆�
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娌荤檪鏅傜殑鐥呯悊鐢熺悊瀛�(xu茅)鍩虹(ch菙)銆�
2.鐔熸倝鍛煎惛琛扮鏅傜殑琛€?d煤)搴惧厯?锛屾€ユ€у懠鍚哥獦杩稖鍚堢櫏鐨勬蹇�銆佸師鍥犲拰鐧�(f膩)鐥呮(j墨)鍒�銆�
3.浜嗚В鍛煎惛琛扮鐨勯槻娌诲師鍓�銆�
銆愯€冩煡鍏�(n猫i)瀹广€�
涓€銆佸懠鍚歌“绔殑姒傚康
鍛煎惛琛扮鐨勬蹇�銆佽ê鏂锋(bi膩o)婧�(zh菙n)鍜屽垎椤�銆�
浜�銆佸懠鍚歌“绔殑鍘熷洜鍜岀櫦(f膩)鐥呮(j墨)鍒�
锛堜竴锛夎偤閫氭埃鍔熻兘闅滅锛氶檺鍒舵€ч€氭埃涓嶈冻銆侀樆濉炴€ч€氭埃涓嶈冻鐨勫父瑕嬬梾鍥�銆傚鍛ㄦ€ф埃閬撻樆濉炲紩
璧峰懠鍚歌“绔殑鐧�(f膩)鐥呮(j墨)鍒�銆傝偤娉￠€氭埃涓嶈冻鏅傜殑琛€?d煤)搴惧厯顖佹敻c(di菐n)銆�
锛堜簩锛夎偤鎻涙埃鍔熻兘闅滅
褰屾暎闅滅锛氬父瑕嬬梾鍥�銆佽?d煤)搴惧厯顖佹敻c(di菐n)銆�
鑲烘场閫氭埃鑸囪娴佹瘮渚嬪け瑾�(di脿o)锛氬垎椤�銆佸父瑕嬬梾鍥�銆佺櫦(f膩)鐥呮(j墨)鍒跺強琛€?d煤)搴惧厯顖佹敻c(di菐n)銆�
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涓�銆佸懠鍚歌“绔殑姗�(j墨)鑳戒唬璎濊畩鍖�
閰稿牽骞宠 鍙婇浕瑙ｈ唱(zh矛)浠ｈ瑵绱婁簜
涓绁炵稉(j墨ng)绯荤当(t菕ng)鍔熻兘绱婁簜锛涜偤鎬ц叇鐥呯殑鑷ㄥ簥琛ㄧ従(xi脿n)鍙婄櫦(f膩)鐥呮(j墨)鍒�
鍛煎惛鍔熻兘璁婂寲
寰挵(hu谩n)绯荤当(t菕ng)鍔熻兘璁婂寲
鑵庡姛鑳界殑璁婂寲
鍥�銆侀槻娌诲師鍓囥€�
闃叉鑸囧幓闄ょ梾鍥�
鎻愰珮 PaO2
闄嶄綆 PaCO2
鏀瑰杽鍏�(n猫i)鐠�(hu谩n)澧冨強閲嶈鍣ㄥ畼鍔熻兘
鑲濆姛鑳戒笉鍏�
銆愯€冩煡鐩(bi膩o)銆�
1.鐔熸倝鑲濆姛鑳戒笉鍏ㄧ殑姒傚康銆佸父瑕嬬梾鍥犲拰姗�(j墨)鍒�銆�
2.鎺屾彙鑲濇€ц叇鐥呯殑姒傚康锛屾帉鎻¤倽鎬ц叇鐥呯櫦(f膩)鐥呮(j墨)鍒朵腑姣旇純鍏獚(r猫n)鐨勫咕绋(xu茅)瑾�銆�
3.鐔熸倝鑲濇€ц叇鐥呯殑褰遍熆鍥犵礌銆�
4.浜嗚В鑲濇€ц叇鐥呰嚚搴婃不鐧傜殑鐥呯悊鐢熺悊鍩虹(ch菙)銆�
浜嗚В鑲濊厧缍滃悎寰佺殑姒傚康銆佸垎椤炲強鐧�(f膩)鐥呮(j墨)鍒�銆�
銆愯€冩煡鍏�(n猫i)瀹广€�
涓€銆佽倽鍔熻兘涓嶅叏
鑲濆姛鑳戒笉鍏ㄥ拰鑲濆姛鑳借“绔殑姒傚康
鑲濆姛鑳戒笉鍏ㄧ殑甯歌鐥呭洜鍜岀櫦(f膩)鐥呮(j墨)鍒�
鑲濈窗(x矛)鑳炲強鑲濋潪瀵﹁唱(zh矛)绱�(x矛)鑳炴悕瀹宠垏鑲濆姛鑳介殰绀�銆�
浜屻€佽倽鎬ц叇鐥�
锛堜竴锛夎倽鎬ц叇鐥呯殑姒傚康銆佸垎椤炪€�
锛堜簩锛夎倽鎬ц叇鐥呯殑鐧�(f膩)鐥呮(j墨)鍒�
姘ㄤ腑姣掑(xu茅)瑾�銆佸亣鎬х缍�(j墨ng)閬炶唱(zh矛)瀛�(xu茅)瑾�銆佹皑鍩洪吀浠ｈ瑵澶辫 瀛�(xu茅)瑾�銆丟ABA 瀛�(xu茅)瑾殑涓昏瑙€榛�(di菐n)鍙�
鍚勫(xu茅)瑾湪鑲濇€ц叇鐥呯櫦(f膩)鐥呮(j墨)鍒朵腑鐨勫湴浣�銆�
锛堜笁锛夎倽鎬ц叇鐥呯殑褰遍熆鍥犵礌
姘矤(f霉)鑽峰鍔�
琛€鑵﹀睆闅滈€氶€忔€у楂�
鑵︽晱鎰熸€у楂�
锛堝洓锛夐槻娌诲師鍓�
闃叉不瑾樺洜
闄嶄綆琛€姘�
宸︽棆澶氬反銆佹敮閺堟皑鍩洪吀鐨勪娇鐢�銆�
涓�銆佽倽鑵庣稖鍚堝緛
鑲濊厧缍滃悎寰佺殑姒傚康銆佸垎椤�
鑲濊厧缍滃悎寰佺殑鐧�(f膩)鐥呮(j墨)鍒讹細鑵庝氦鎰熺缍�(j墨ng)寮靛姏澧為珮锛岃厧绱�-琛€绠＄穵寮电礌-閱涘浐閰郴绲�(t菕ng)婵€娲伙紝
婵€鑲界郴绲�(t菕ng)娲诲嫊鐣板父锛屽墠鍒楄吅绱�銆佺櫧涓夌儻鐨勪綔鐢紝鍏�(n猫i)鐨礌鐨勪綔鐢�锛屽収(n猫i)姣掔礌琛€鐧ャ€�
鑵庡姛鑳戒笉鍏�
銆愯€冩煡鐩(bi膩o)銆�
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鐧�(f膩)鐢熸(j墨)鍒跺拰灏戝翱鏈熺殑浠ｈ瑵绱婁簜銆�
2. 鐔熸倝闈炲皯灏垮瀷鎬ユ€ц厧鍔熻兘涓嶅叏銆�
3. 浜嗚В鎬ユ€ц厧鍔熻兘涓嶅叏鏅傝厧绲勭箶鎼嶅偡鍙婂叾姗�(j墨)鍒�,鎬ユ€ц厧鍔熻兘涓嶅叏闃叉不鐨勭梾鐞嗙敓鐞嗗熀绀�(ch菙)銆�
4. 鎺屾彙鎱㈡€ц厧鍔熻兘涓嶅叏鐨勬蹇点€佺梾鍥�銆佺櫦(f膩)鐥呮(j墨)鍒跺拰灏嶆(j墨)楂旂殑褰遍熆銆�
5. 鐔熸倝鎱㈡€ц厧鍔熻兘涓嶅叏鐨勭櫦(f膩)鐥呴亷绋�锛涘翱姣掔櫏鐨勬蹇�銆�
6. 浜嗚В灏挎瘨鐧ョ殑鍔熻兘浠ｈ瑵璁婂寲銆佺櫦(f膩)鐥呮(j墨)鍒跺強鍏堕槻娌荤殑鐥呯悊鐢熺悊鍩虹(ch菙)銆�
銆愯€冩煡鍏�(n猫i)瀹广€�
涓€銆佽厧鍔熻兘涓嶅叏鐨勫熀鏈櫦(f膩)鐥呯挵(hu谩n)绡€(ji茅)锛氳厧灏忕悆婵鹃亷鍔熻兘鐨勮畩鍖�锛涜厧灏忕鍔熻兘闅滅銆�
浜�銆佹€ユ€ц厧鍔熻兘琛扮
锛堜竴锛夋€ユ€ц厧鍔熻兘琛扮姒傚康銆佸垎椤烇紙鑵庡墠鎬ф€ユ€ц厧鍔熻兘琛扮锛岃厧鍚庢€ф€ユ€ц厧鍔熻兘琛扮锛岃厧鎬�
鎬ユ€ц厧鍔熻兘琛扮锛�銆�
鎬ユ€ц厧灏忕澹炴鐨勭梾鍥狅細鑵庣己琛€锛岃厧涓瘨銆�
锛堜簩锛夋€ユ€ц厧鍔熻兘琛扮鐨勭櫦(f膩)鐥呮(j墨)鍒讹細鑵庤娴侀噺娓涘皯銆佽厧灏忕闃诲銆佽厧灏忕鍘熷翱杩旀祦銆佽厧灏忕悆
瓒呮烤绯绘暩(sh霉)闄嶄綆銆�
锛堜笁锛夌櫦(f膩)鐥呴亷绋嬶細灏戝翱鏈�(灏戝翱鎴栫劇灏�銆佹按涓瘨銆侀珮閴€琛€鐧ャ€佷綆閳夎鐧�銆佷唬璎濇€ч吀涓瘨銆佹爱
璩�(zh矛)琛€鐧�)锛涘灏挎湡锛屾仮寰�(f霉)鏈熴€�
锛堝洓锛夐潪灏戝翱鍨嬬殑鍩烘湰鐥呯悊璁婂寲鍙婄壒榛�(di菐n)銆�
涓夈€佹參鎬ц厧鍔熻兘琛扮
锛堜竴锛夋參鎬ц厧鍔熻兘琛扮姒傚康銆佺梾鍥�銆�
锛堜簩锛夋參鎬ц厧鍔熻兘涓嶅叏鐨勭櫦(f膩)灞曢亷绋嬶細浠ｅ劅鏈�銆佽厧鍔熻兘涓嶅叏鏈�銆佽厧鍔熻兘琛扮鏈�銆佸翱姣掔櫏鏈�銆�
锛堜笁锛夋參鎬ц厧鍔熻兘涓嶅叏鐨勭櫦(f膩)鐥呮(j墨)鍒讹細鍋ュ瓨鑵庡柈浣嶆笡灏戙€佺煰鏋夊け琛�锛岃厧灏忕悆閬庡害婵鹃亷銆�
锛堝洓锛夋參鎬ц厧鍔熻兘涓嶅叏鐨勬(j墨)鑳戒唬璎濊畩鍖栵細姘唱(zh矛)琛€鐧�锛屾按銆侀浕瑙ｈ唱(zh矛)鍙婇吀鍫垮钩琛＄磰浜� ( 澶滃翱銆�
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鍥�銆佸翱姣掔櫏
灏挎瘨鐧ョ殑姒傚康銆�
灏挎瘨鐧ヤ富瑕佽嚚搴婅〃鐝�(xi脿n)鐨勭櫦(f膩)鐥呮(j墨)鍒讹細绁炵稉(j墨ng)绯荤当(t菕ng)銆佹秷鍖栫郴绲�(t菕ng)銆佸績琛€绠＄郴绲�(t菕ng)銆佸懠鍚哥郴绲�(t菕ng)鐨勯殰绀�锛�
鐨啔鐧ョ媭锛岀墿璩�(zh矛)浠ｈ瑵闅滅锛堢硸鑰愰噺闄嶄綆锛岃矤(f霉)姘钩琛�锛岄珮鑴傝鐧ワ級銆�
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鐢�锛屽叾瀹冩瘨鎬х墿璩�(zh矛)鐨勪綔鐢� (灏跨礌銆佽兒椤�銆侀厷绛� )銆�
鑵﹀姛鑳戒笉鍏�
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鏆ㄥ崡澶у(xu茅)鐮旂┒鐢熸嫑鐢熶俊鎭恫(w菐ng)锛歨ttp://yz.jnu.edu.cn/
寤ｆ澅鐪侀噸榛�(di菐n)瀛�(xu茅)绉�-鐥呯悊瀛�(xu茅)鑸囩梾鐞嗙敓鐞嗗(xu茅)缍�(w菐ng)绔欙細http://bsszd.jnu.edu.cn/
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3锛嶨uyton AG and Holl JE. Medical physiology. 10th
edition. Philadelphia: Saunders Comp, 2002.
4. Mcphee SJ, Lingappa VR, Ganong WF et al. Pathophysiology of Disease: An Introduction to
Clinical Medicine. Mc Grow-Hill, 2000.
5. Poith CM, Kunert MP: Pathophysiology: Concepts of Altered Health States. Lippinott Willians
& Wilkins, Philadelphia, 6
th
edition, 2002.
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鎮ㄧ従(xi脿n)鍦ㄧ殑浣嶇疆锛� 
