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鐢�(ch菐n)鐢熷拰鍗�(xi茅)瑾�(di脿o)銆傚ぇ鑵︾毊灞ら亱鍕曞崁(q奴)鐨勫姛鑳斤紝閬嬪嫊鍌冲皫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€绲愭鏄撳寲鍗€(q奴)鍜屾姂鍒跺崁(q奴)灏嶈倢绶婂嫉鍜屽Э鍕㈢殑瑾�(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)灏嶅収(n猫i)鑷熸椿鍕曠殑瑾�(di脿o)绡€(ji茅)锛岃嚜涓荤缍�(j墨ng)鐨勭祼妲嬬壒寰佸強涓昏鍔熻兘锛屽収(n猫i)鑷熸椿
鍕曠殑涓瑾�(di脿o)绡€(ji茅)锛屼笅涓樿叇灏嶅収(n猫i)鑷熸椿鍕曠殑瑾�(di脿o)绡€(ji茅)銆傛湰鑳借鐐哄拰鎯呯窉鍙嶆噳鐨勭缍�(j墨ng)瑾�(di脿o)绡€(ji茅)銆傝叇鐨勯珮绱氬姛鑳�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瑾拰鍩哄洜琛ㄩ仈瀛歌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)銆傛噳婵€鍙嶆噳鐨勬蹇靛強鍏剁敓鐗╁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ㄣ€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犮€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. 鍠磾鎿存暎锛氳剛婧舵€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︼紙闆讳綅锛変竴鍋村悜鑶滅殑
浣庢績搴︼紙闆讳綅锛変竴鍋寸殑鎿磋啘杞�(zhu菐n)閬嬬殑閬庣▼锛岀ū鐐哄柈绱旀摯鏁ｃ€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)銆傜壒榛炴槸锛氫笉闇€瑕佸鍔涘公鍔�锛岀窗鑳炰篃涓嶆秷鑰楄兘閲�銆�
2. Cardiac output: 鍗冲績杓稿嚭閲�锛屾寚涓€鍋村績瀹ゆ瘡鍒嗛悩灏勫嚭鐨勮閲�锛屼害鎴愮偤姣忓垎蹇冭几鍑洪噺锛屽畠绛�
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�銆佺啊绛旈
1. 灞€閮ㄩ浕浣嶅拰鍕曚綔闆讳綅鏈変綍涓嶅悓銆�
绛旓細灞€閮ㄩ浕浣嶈垏鍕曚綔鐢ㄩ浕浣嶇殑涓昏鍗€(q奴)鍒ユ湁锛�
锛�1锛� 灞€閮ㄩ浕浣嶆槸绛夌礆鎬х殑锛屽叾澶у皬鑸囧埡婵€鐨勫挤搴︽垚姝ｆ瘮锛岃€屽嫊浣滈浕浣嶆槸鈥滃叏鎴栫劇鈥濈殑锛�
锛�2锛� 灞€閮ㄩ浕浣嶅彲浠ョ附鍜�锛岃€屽嫊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�锛屽彧鑳介浕绶婂嫉鎿村竷锛屽奖闊胯寖鍦嶅緢灏�锛岃€屽嫊浣滈浕浣嶈兘娌胯憲绱拌優鑶滈€茶涓嶈“娓�
鐨勫偝灏庯紱
锛�4锛� 灞€閮ㄩ浕浣嶆矑鏈変笉鎳夋湡锛岃€屽嫊浣滈浕浣嶅墖鏈変笉鎳夋湡銆�
涓�銆佽珫杩伴
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)閬庣▼?
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�锛�
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�
锛�2锛� 鍗囬珮琛€澹�銆傛甯告儏娉佷笅锛岃婕夸腑琛€绠″崌澹撶礌鍗囬珮鏅�锛岄鍏堝嚭鐝�(xi脿n)鎶楀埄灏挎晥鎳�锛屽彧鏈夌暥
鍏惰婕挎績搴︽槑椤珮浜庢甯告檪锛屾墠寮曡捣琛€澹撳崌楂�锛涘彲浠ヨ垏琛€绠″钩婊戣倢鐨� V1 鍙楅珨绲愬悎锛屽紩璧疯
绠″钩婊戣倢鏀剁府銆�
瑾�(di脿o)绡€(ji茅)閬庣▼锛�
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琛€婕挎櫠楂旀徊閫忓涓嬮檷锛屾姉鍒╁翱婵€绱犲垎娉屾笡灏�锛屾按閲嶅惛鏀舵槑椤笡灏�,灏块噺澧炲,浣垮浣欑殑姘存帓鍑�
楂斿銆�
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鍏嶈铂鑱叉槑锛氭湰鏂囩郴杞�(zhu菐n)杓夎嚜缍�(w菐ng)绲�锛屽鏈変镜鐘�锛岃珛鑱�(li谩n)绯绘垜鍊戠珛鍗冲埅闄�锛屽彟锛氭湰鏂囧儏浠ｈ〃浣滆€呭€嬩汉瑙€榛烇紝鑸囨湰缍�(w菐ng)绔欑劇闂溿€傚叾鍘熷壍(chu脿ng)鎬т互鍙婃枃涓櫝杩版枃瀛楀拰鍏�(n猫i)瀹规湭缍�(j墨ng)鏈珯璀夊锛屽皪鏈枃浠ュ強鍏朵腑鍏ㄩ儴鎴栬€呴儴鍒嗗収(n猫i)瀹�銆佹枃瀛楃殑鐪熷鎬�銆佸畬鏁存€�銆佸強鏅傛€ф湰绔欎笉浣滀换浣曚繚璀夋垨鎵胯锛岃珛璁€鑰呭儏浣滃弮鑰冿紝骞惰珛鑷鏍稿鐩搁棞鍏�(n猫i)瀹�銆�
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鏂囩珷鎼滅储
鎮ㄧ従(xi脿n)鍦ㄧ殑浣嶇疆锛� 
