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鐩寗
I 鑰冩煡鐩(bi膩o) ........................................................................................ 2
II 鑰冭│褰㈠紡鍜岃│鍗风祼(ji茅)妲�(g貌u)................................................................... 2
III 鑰冩煡鍏�(n猫i)瀹�...................................................................................... 2
IV 椤屽瀷绀轰緥鍙婂弮鑰冪瓟妗� .................................................................4
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鍏ㄥ湅(gu贸)纰╁＋鐮旂┒鐢熷叆瀛�(xu茅)绲�(t菕ng)涓€鑰冭│
鐢熺悊瀛�(xu茅)鑰冭│澶х侗
I 鑰冩煡鐩(bi膩o)
鐩殑鏄瀛�(xu茅)銆佸叕骞�銆佹湁鏁堝湴娓�(c猫)瑭﹁€冪敓鏄惁鍏峰倷鏀昏畝鐩搁棞(gu膩n)灏堟キ(y猫)纰╁＋鎵€蹇呴爤鐨勫熀鏈礌璩�(zh矛)銆佷竴
鑸兘鍔涘拰鍩归(y菐ng)娼涜兘锛屼互鍒╃敤閬告嫈鍏锋湁鐧�(f膩)灞�?ji茅)鎽课﹁啲?y艒u)绉€浜烘墠鍏ュ(xu茅)锛岀偤鍦�(gu贸)瀹剁殑缍�(j墨ng)婵�(j矛)寤鸿ō(sh猫)鍩归(y菐ng)鍏锋湁
杓冨挤(qi谩ng)鍒嗘瀽鑸囪В姹哄(sh铆)闅涘晱(w猫n)椤岃兘鍔涚殑楂樺堡娆�銆佹噳(y墨ng)鐢ㄥ瀷銆佸京(f霉)鍚堝瀷鐨勬潗鏂欐垚鍨嬪皥妤�(y猫)浜烘墠銆�
鑰冭│娓�(c猫)瑭﹁€冪敓鎺屾彙鏈(xu茅)绉戜腑閲嶈鐨勫熀鏈蹇靛拰鍩虹(ch菙)鐭ヨ瓨(sh铆)锛岃憲閲嶅煿椁�(y菐ng)瀛�(xu茅)鐢熷垎鏋愬晱(w猫n)椤屻€佽В姹�
鍟�(w猫n)椤岀殑鑳藉姏锛屽悓鏅�(sh铆)閬╃暥(d膩ng)浜嗚В涓€浜涙湰瀛�(xu茅)绉戠殑鏂扮悊璜�銆佹柊閫�(j矛n)灞�銆�
鍏烽珨渚�(l谩i)瑾�(shu艒)锛岃姹傝€冪敓锛�
鎺屾彙妲�(g貌u)鎴愪汉楂斿悇鍊�(g猫)绯荤当(t菕ng)鐨勫櫒瀹樺拰绱�(x矛)鑳炵殑姝ｅ父娲诲嫊(d貌ng)閬�(gu貌)绋�锛屼笉鍚岀殑鍣ㄥ畼鍜岀窗(x矛)鑳炲姛鑳芥椿鍕�(d貌ng)鐨勫収(n猫i)
閮ㄦ(j墨)鍒讹紝浠ュ強鍚勯儴鍒嗙殑鍔熻兘娲诲嫊(d貌ng)鏄浣曚簰鐩稿崝(xi茅)瑾�(di脿o)銆佷簰鐩稿埗绱勭殑锛屾槸濡備綍缍寔姝ｅ父鐢熷懡娲诲嫊(d貌ng)閬�(gu貌)
绋嬬┅(w臎n)鎱�(t脿i)鐨�銆�
II 鑰冭│褰㈠紡鍜岃│鍗风祼(ji茅)妲�(g貌u)
涓€銆佽│鍗锋豢鍒嗗強鑰冭│鏅�(sh铆)闁�
瑭﹀嵎婊垮垎鐐� 150 鍒�锛岃€冭│鏅�(sh铆)闁� 180 鍒嗛悩銆�
浜�銆佺瓟椤屾柟寮�
闁夊嵎銆佺瓎瑭�銆�
涓�銆佽│鍗峰収(n猫i)瀹硅垏椤屽瀷绲�(ji茅)妲�(g貌u)
鍚嶈瑙ｉ噵锛堝惈鑻辨枃锛夛紙10 鍊�(g猫) 锛屾瘡椤� 5 鍒嗭紝鍏� 50 鍒嗭級
绨�(ji菐n)绛旈(6 灏忛锛屾瘡椤� 10 鍒嗭紝 鍏� 60 鍒�)
璜栬堪椤�(2 灏忛锛屾瘡椤� 20 鍒�锛� 鍏� 40 鍒�)
鍋囧姣忛鍒�?j菒n)?sh霉)鏈夎畩鍖�锛岃畩鍖栬寖鍦嶄害涓嶅ぇ銆�
III 鑰冩煡鍏�(n猫i)瀹�
(涓€) 绶掕珫
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鍥犵礌锛岃桓婕块亱(y霉n)杓革紝绁炵稉(j墨ng)鐨勭嚐(y铆ng)椁�(y菐ng)浣滅敤鍜岀缍�(j墨ng)鐕�(y铆ng)椁�(y菐ng)鍥犲瓙銆傜缍�(j墨ng)鑶犺唱(zh矛)绱�(x矛)鑳炵殑鍔熻兘銆傜獊瑙哥殑绲�(ji茅)妲�(g貌u)鍜屽垎
椤�锛岃垐濂湪绐佽Ц鍌抽仦鐨勯亷(gu貌)绋嬨€佸師鐞嗗強鐗瑰緛锛岀獊瑙哥殑鍙鎬�銆傞潪绐佽Ц鎬у寲瀛�(xu茅)鍌抽仦鍜岄浕绐佽Ц鍌抽仦銆�
绁炵稉(j墨ng)閬炶唱(zh矛)鍜屽彈楂�銆傚弽灏勬椿鍕�(d貌ng)鐨勪竴鑸(gu墨)寰嬶紝鍙嶅皠鍜屽弽灏勫姬鐨勬蹇�锛屼腑妯炵缍�(j墨ng)鍏冮枔鐨勮伅(li谩n)绯绘柟寮忋€�
绁炵稉(j墨ng)绯荤当(t菕ng)鐨勬劅瑕�(ju茅)鍒嗘瀽姗�(j墨)鑳�锛岃剨楂撳湪鎰熻(ju茅)鍔熻兘涓殑浣滅敤锛岀壒鐣版€у拰闈炵壒鐣版€ф姇灏勭郴绲�(t菕ng)鐨勬姇灏勭壒
榛�(di菐n)鍜岀敓鐞嗗姛鑳�锛屽ぇ鑵︾毊灞ゅ湪鎰熻(ju茅)鍒嗘瀽鍔熻兘涓殑浣滅敤锛岃粈楂旀劅瑕�(ju茅)鍜屽収(n猫i)鑷熸劅瑕�(ju茅)锛屽収(n猫i)鑷熺棝鐨勭壒榛�(di菐n)鍜�
鐗芥秹鐥涚敘(ch菐n)鐢熺殑鍘熺悊銆傜缍�(j墨ng)绯荤当(t菕ng)灏�(du矛)杌€楂旈亱(y霉n)鍕�(d貌ng)鍜屽Э鍕�(sh矛)鐨勮(di脿o)绡€(ji茅)锛岄亱(y霉n)鍕�(d貌ng)瑾�(di脿o)绡€(ji茅)鐨勫熀鏈(j墨)鍒讹紝闅ㄦ剰閬�(y霉n)鍕�(d貌ng)鐨�
鐢�(ch菐n)鐢熷拰鍗�(xi茅)瑾�(di脿o)銆傚ぇ鑵︾毊灞ら亱(y霉n)鍕�(d貌ng)鍗€(q奴)鐨勫姛鑳�锛岄亱(y霉n)鍕�(d貌ng)鍌冲皫(d菐o)閫氳矾锛岄寪楂旂郴鍜岄寪楂斿绯荤殑鍔熻兘銆傝剨楂撶殑鏁�
鍚堝姛鑳�锛岃叇骞茬恫(w菐ng)鐙€绲�(ji茅)妲�(g貌u)鏄撳寲鍗€(q奴)鍜屾姂鍒跺崁(q奴)灏�(du矛)鑲岀穵寮靛拰濮垮嫝(sh矛)鐨勮(di脿o)绡€(ji茅)锛屽幓澶ц叇鍍电洿?锛涱姦鍜ㄧ獱?j墨ng)绡€(ji茅)鐨�
鍔熻兘銆傚皬鑵︾殑鍔熻兘銆傜缍�(j墨ng)绯荤当(t菕ng)灏�(du矛)鍏�(n猫i)鑷熸椿鍕�(d貌ng)鐨勮(di脿o)绡€(ji茅)锛岃嚜涓荤缍�(j墨ng)鐨勭祼(ji茅)妲�(g貌u)鐗瑰緛鍙婁富瑕佸姛鑳�锛屽収(n猫i)鑷熸椿
鍕�(d貌ng)鐨勪腑妯炶(di脿o)绡€(ji茅)锛屼笅涓樿叇灏�(du矛)鍏�(n猫i)鑷熸椿鍕�(d貌ng)鐨勮(di脿o)绡€(ji茅)銆傛湰鑳借鐐哄拰鎯呯窉鍙嶆噳(y墨ng)鐨勭缍�(j墨ng)瑾�(di脿o)绡€(ji茅)銆傝叇鐨勯珮绱�(j铆)鍔熻兘銆�
鐨堡瑾樼櫦(f膩)闆讳綅锛岃叇闆诲湒鐨勬尝褰㈣垏鎰忕京銆傝(ju茅)閱掕垏鐫＄湢銆�
锛堝崄涓€锛夊収(n猫i)鍒嗘硨
鍏�(n猫i)鍒嗘硨绯荤当(t菕ng)鍜屾縺绱犵殑姒傚康锛屾縺绱犵殑鍒嗛銆佷綔鐢ㄧ殑鏂瑰紡锛屽強婵€绱犱綔鐢ㄧ殑涓€鑸壒寰佸拰鍘熺悊锛�
婵€绱犵殑鍙楅珨锛岀浜屼俊浣垮(xu茅)瑾�(shu艒)鍜屽熀鍥犺〃閬�(d谩)瀛�(xu茅)瑾�(shu艒)銆備笅涓樿叇鑸囩缍�(j墨ng)鍨傞珨鍜岃吅鍨傞珨鐨勮伅(li谩n)绯�锛屼笅涓樿叇鐨�
鍏�(n猫i)鍒嗘硨鍔熻兘锛岃吅鍨傞珨銆佺缍�(j墨ng)鍨傞珨鍒嗘硨鐨勬縺绱犵殑鐢熺悊浣滅敤鍙婂叾鍒嗘硨鐨勮(di脿o)绡€(ji茅)銆傜敳鐙€鑵烘縺绱犵殑鍚堟垚銆�
鐢熺悊浣滅敤鍙婂叾鍒嗘硨鐨勮(di脿o)绡€(ji茅)锛岃儼宄剁礌銆佽厧涓婅吅鐨唱(zh矛)婵€绱�銆佺敳鐙€鏃佽吅婵€绱犮€侀檷閳ｇ礌鍜� 1锛�25-浜�
缇ョ董鐢熺礌 D3 鐨勭敓鐞嗕綔鐢ㄥ叾鍒嗘硨鐨勮(di脿o)绡€(ji茅)銆傛噳(y墨ng)婵€鍙嶆噳(y墨ng)鐨勬蹇靛強鍏剁敓鐗╁(xu茅)鎰忕京銆�
锛堝崄浜岋級鐢熸畺
鐢锋€х敓娈栵細闆勬縺绱犵殑鐢熺悊浣滅敤锛岀潽涓哥殑鐢熺簿浣滅敤銆佸収(n猫i)鍒嗘硨浣滅敤鍜屽姛鑳借(di脿o)绡€(ji茅)銆傚コ鎬х敓娈栵細
鍗靛发鐨勭敓鍗典綔鐢�銆佸収(n猫i)鍒嗘硨浣滅敤銆侀泴婵€绱犵殑浣滅敤銆佸瓡婵€绱犵殑浣滅敤銆傛湀缍�(j墨ng)鍛ㄦ湡銆傚濞狅細鍙楃簿銆佽憲
搴�銆佽儙鐩ゅ強鍏舵縺绱�銆傚垎濞╄垏鎺堜钩銆�
IV 椤屽瀷绀轰緥鍙婂弮鑰冪瓟妗�
涓€銆佸悕瑭炶В閲�
1. 鍠磾鎿�(ku貌)鏁ｏ細鑴傛憾鎬х殑鐗╄唱(zh矛)闋嗘績搴︽搴︼紙鎴栭浕浣嶆搴︼級锛岀敱鑶滅殑楂樻績搴︼紙闆讳綅锛変竴鍋�(c猫)鍚戣啘鐨�
浣庢績搴︼紙闆讳綅锛変竴鍋�(c猫)鐨勬摯(ku貌)鑶滆綁(zhu菐n)閬�(y霉n)鐨勯亷(gu貌)绋嬶紝绋辩偤鍠磾鎿�(ku貌)鏁�銆傚 O2銆丆O2銆佷箼閱囧強鐢鹃珨锛堥鍥洪唶锛�
椤炴縺绱犵瓑鐗╄唱(zh矛)銆傜壒榛�(di菐n)鏄細涓嶉渶瑕佸鍔涘公鍔�锛岀窗(x矛)鑳炰篃涓嶆秷鑰楄兘閲忋€�
2. Cardiac output: 鍗冲績杓稿嚭閲�锛屾寚涓€鍋�(c猫)蹇冨姣忓垎閻樺皠鍑虹殑琛€閲忥紝浜︽垚鐐烘瘡鍒嗗績杓稿嚭閲�锛屽畠绛�
5
浜庢瘡鎼忚几鍑洪噺鑸囧績鐜囩殑涔樼⿳锛屽乏鍙冲績瀹ょ殑杓稿嚭閲忓熀鏈浉绛�銆�
浜�銆佺啊(ji菐n)绛旈
1. 灞€閮ㄩ浕浣嶅拰鍕�(d貌ng)浣滈浕浣嶆湁浣曚笉鍚�銆�
绛旓細灞€閮ㄩ浕浣嶈垏鍕�(d貌ng)浣滅敤闆讳綅鐨勪富瑕佸崁(q奴)鍒ユ湁锛�
锛�1锛� 灞€閮ㄩ浕浣嶆槸绛夌礆(j铆)鎬х殑锛屽叾澶у皬鑸囧埡婵€鐨勫挤(qi谩ng)搴︽垚姝ｆ瘮锛岃€屽嫊(d貌ng)浣滈浕浣嶆槸鈥滃叏鎴栫劇(w煤)鈥濈殑锛�
锛�2锛� 灞€閮ㄩ浕浣嶅彲浠ョ附鍜�锛岃€屽嫊(d貌ng)浣滈浕浣嶅墖涓嶈兘绺藉拰锛�
锛�3锛� 灞€閮ㄩ浕浣嶄笉鑳藉偝灏�(d菐o)锛屽彧鑳介浕绶婂嫉鎿�(ku貌)甯�锛屽奖闊胯寖鍦嶅緢灏忥紝鑰屽嫊(d貌ng)浣滈浕浣嶈兘娌胯憲绱�(x矛)鑳炶啘閫�(j矛n)琛屼笉琛版笡
鐨勫偝灏�(d菐o)锛�
锛�4锛� 灞€閮ㄩ浕浣嶆矑(m茅i)鏈変笉鎳�(y墨ng)鏈燂紝鑰屽嫊(d貌ng)浣滈浕浣嶅墖鏈変笉鎳�(y墨ng)鏈�銆�
涓夈€佽珫杩伴
1. 瑭﹁堪琛€绠″崌澹撶礌鐨勯噵鏀鹃儴浣�銆佷綔鐢ㄥ強瑾�(di脿o)绡€(ji茅)閬�(gu貌)绋�?
绛旓細琛€绠″崌澹撶礌锛屽嵆鎶楀埄灏挎縺绱�锛屾槸鐢变笅涓樿叇瑕栦笂鏍稿拰瀹ゆ梺鏍哥殑绁炵稉(j墨ng)鍏冨悎鎴愮殑涓€绋縺绱狅紝
鐢辩缍�(j墨ng)鍨傞珨淇濆瓨鍙婇噵鏀惧叆琛€銆�
涓昏浣滅敤锛�
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閲忔笡灏戝拰灏挎恫婵冪府銆�
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瑾�(di脿o)绡€(ji茅)閬�(gu貌)绋嬶細
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楂斿銆�
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鏂囩珷鎼滅储
鎮ㄧ従(xi脿n)鍦ㄧ殑浣嶇疆锛� 
