“2023骞翠腑绱�(j铆)涓荤璀�(h霉)甯€婂皥妤�(y猫)鐭ヨ瓨(sh铆)銆嬭€冮粸(di菐n)鍥為¨锛�4鏈�16鏃ョ恫(w菐ng)鍙嬬増锛�”渚涜€冪敓鍙冭€�銆傛洿澶氶棞(gu膩n)浜庝富绠¤(h霉)甯€冭│鑰冮粸(di菐n)鐩搁棞(gu膩n)淇℃伅锛岃珛(q菒ng)?ji膩n)L鍟忕挵(hu谩n)鐞冪恫(w菐ng)鏍′腑绱�(j铆)涓荤璀�(h霉)甯牷閬�銆傜偤浜嗘彁鍓嶇嵅鍙�2023涓礆(j铆)涓荤璀�(h霉)甯€冭│婧�(zh菙n)鑰冭瓑鎵撳嵃銆佽€冭│銆佹垚绺�(j墨)鏌ヨ銆佽瓑鏇搁牁(l菒ng)鍙栫瓑閲嶈鏅�(sh铆)闁撶瘈(ji茅)榛�(di菐n)淇℃伅锛岃€冪敓鍙互浣跨敤 鍏嶈不(f猫i)闋�(y霉)绱勭煭淇℃彁閱�鍔熻兘锛屽眴鏅�(sh铆)鏈�(hu矛)浠ョ煭淇″舰寮忓厤璨�(f猫i)閫氱煡鑰冪敓銆�

1.鏅氭湡鐢�(ch菐n)鍚庡嚭琛€澶氱櫦(f膩)鐢熶簬鐢�(ch菐n)鍚�(3锝�4cm)銆�

2.鑳歌厰闁夊紡寮曟祦绠＄殑闀�(zh菐ng)鐜荤拑绠℃噳(y墨ng)鎻掑叆姘撮潰(3锝�4cm)銆�

3.鐢蹭孩濂崇梾浜�锛岄噰鍙栦粈涔堥伩瀛曟帾鏂�(瀹収(n猫i)閬垮瓡鐠�(hu谩n))銆�

4.涔欒倽鐤嫍绗�1娆℃帴绋檪(sh铆)闁撴槸(鍑虹敓鍚�24灏忔檪(sh铆)涔嬪収(n猫i))銆�

5.鈪″害瀛愬鑴瀭鎮ｈ€呮渶涓昏鐨勮嚚搴婄櫏鐙€鏄�(闄伴亾鏈夎叓鐗╄劔鍑�)銆�

6.鍘熺櫦(f膩)鎬ц倽鐧岀殑娌荤檪鎺柦棣栭伕(鎵嬭(sh霉)鍒囬櫎)銆�

7.鎮ｈ€�锛岀敺锛�20姝�銆傚洜澶栧偡鍏ヤ綇鐩�(ji膩n)璀�(h霉)瀹�銆傜洠(ji膩n)娓�(c猫)绲�(ji茅)鏋滈’绀猴細琛€澹�85/55mmHg锛屼腑蹇冮潨鑴堝8cmH2O锛岄伒閱�(y墨)鍥戝湪10鍒嗛悩鍏�(n猫i)闈滆剤蹇€熻几鍏ョ瓑婊查菇姘�250ml鍚�锛岃澹撶偤95/60mmHg锛屼腑蹇冮潨鑴堝鐐�8cmH2O锛屾绲�(ji茅)鏋滄彁绀烘偅鑰呭瓨鍦�(琛€瀹归噺涓嶈冻)銆�

8.涓績闈滆剤澹撴甯稿€兼槸(5锝�12cmH2O)銆�

9.灞簬钁¤悇绯栬嫹閰舵姂鍒跺姂鐨勬槸(闃垮崱娉㈢硸)銆�

10.灞簬鎶楃祫鑳鸿棩鐗╃殑鏄�(鐣颁笝鍡�)銆�

11.鏂扮敓鍏掔‖鑵櫏鐨勬不鐧�锛屾噳(y墨ng)棣栧厛閬哥敤(寰�(f霉)婧�)銆�

12.鍡庡暋涓瘨鏅�(sh铆)锛屽彲浣跨敤鐨勮В姣掑姂鏄�(楣介吀绱嶆礇閰�)銆�

13.绲炵獎鎬ц吀姊楅樆鐨勮〃鐝�(xi脿n)涓嶅寘鎷�(鑵搁炒闊充孩閫�(j矛n)銆佹湁姘ｉ亷姘磋伈)銆�

14.鎮ｈ€�锛屽コ锛�67姝�锛屽洜闋棝銆佸績鎮稿拰蹇冨墠鍗€(q奴)涓嶉仼鎰熷氨瑷�锛岄杸瑷烘煡琛€澹擄細160/95mmHg锛屾摎(j霉)姝ゅ彲浠ユ帹鏂疯┎鐥呬汉楂樿澹撳垎绱�(j铆)灞簬(涓害楂樿澹�)銆�

15.瀛╁瓙寰炵埗姣嶈韩涓婂(xu茅)鏈�(hu矛)瑾炶█銆佺ぞ鏈�(hu矛)琛岀偤鍙婇亾寰疯(gu墨)鑼冪瓑锛岄€欏爆浜庡搴殑(绀炬渻(hu矛)鍖栧姛鑳�)銆�

16.鐢锋€�锛岃韩楂�1.70m锛岄珨閲�75kg锛屾牴鎿�(j霉)楂旇唱(zh矛)鎸囨暩(sh霉)鍒ゆ柗鍏剁偤(瓒呴噸)銆�

17.涔宠吅鐧岀殑鏃╂湡鐧ョ媭鏄�(鐒＄棝鎬т钩鎴胯叓濉�)銆�

18.鎮ｈ€�锛岀敺锛�25姝层€傞珨閲�60kg銆傞洐涓婅偄銆佽粈骞插強闆欏伌(c猫)鑷€閮ㄨ娌告按鐕欏偡銆傚壍(chu脿ng)闈㈠彲瑕嬪ぇ姘寸毎锛岀毎澹佽杽锛岄儴鍒嗘按鐨扮牬瑁�锛屽熀搴曟疆绱咃紝鐤肩棝鍔囩儓锛屾按鑵槑椤€備及瑷�(j矛)瑭叉偅鑰呯殑鐕掑偡绺介潰绌嶅強鐕掑偡绋嬪害鐐�(50%锛屾泛鈪″害)銆�

19.娑堝寲鎬ф桨鐦嶆渶甯歌鐨勭櫏鐙€鏄�(鑵圭棝)銆�

20.6姝叉偅鍏掕ê鏂风偤鎬ユ€ф穻宸寸窗(x矛)鑳炵櫧琛€鐥�锛岃澹�120/80mmHg锛岀獊鐧�(f膩)闋棝銆佸様鍚�銆佽鐗╂ā绯�銆傚彲鑳界櫦(f膩)鐢熶簡(涓鎬х缍�(j墨ng)绯荤当(t菕ng)鐧借鐥�)銆�

21.娴佽鎬ц叜鑵虹値鏈€甯歌鐨勫苟鐧�(f膩)鐧ユ槸(鑵﹁啘鑵︾値)銆�

22.鎮ｈ€�锛岀敺锛�56姝�銆傝儍娼扮槏锛岃鐣⑩叀寮忚儍澶ч儴鍒嗗垏闄よ(sh霉)鍚�2鍛�锛屾偅鑰呴€�(j矛n)椋�20鍒嗛悩鍚庡嚭鐝�(xi脿n)涓婅吂椋借劰銆佹儭蹇冦€佸様鍚�锛屽苟瑕洪牠鏆�銆佸績鎮�銆佸嚭鍐锋睏銆傞嚌灏�(du矛)瑭插苟鐧�(f膩)鐧ワ紝姝ｇ⒑鐨勮檿鐞嗘槸(瑾�(di脿o)绡€(ji茅)椋查锛岄鍚庡钩鑷�)銆�

23.鎮ｈ€�锛岀敺锛�56姝�銆傝儍娼扮槏锛岃鐣⑩叀寮忚儍澶ч儴鍒嗗垏闄よ(sh霉)鍚�2鍛�锛屾偅鑰呴€�(j矛n)椋�20鍒嗛悩鍚庡嚭鐝�(xi脿n)涓婅吂椋借劰銆佹儭蹇�銆佸様鍚�锛屽苟瑕洪牠鏆堛€佸績鎮�銆佸嚭鍐锋睏銆傝┎鎮ｈ€呮渶鍙兘骞剁櫦(f膩)浜�(鍌惧€掔稖鍚堝緛)銆�

24.鏂扮敓鍏掔殑鎴块枔婵曞害鎳�(y墨ng)淇濇寔鍦�(55%锝�65%)銆�

25.鑰佸勾浜虹殑椋叉按閲�(1500ml銆€)銆�

26.鐢茬媭鑵鸿(sh霉)鍚庡嚭鐝�(xi脿n)鑱查煶鍢跺暈鏄敱浜庢悕鍌蜂簡(鍠夎繑绁炵稉(j墨ng))銆�

27.绗﹀悎鈪″瀷鍛煎惛琛扮鐨勫嫊(d貌ng)鑴堣?d煤)楗╕(ji茅)鏋滄槸(PaO2鐐�<60mmHg锛孭aCO2鐐�>50mmHg)銆�

28.閻靛姂娌荤檪缂洪惖鎬ц钵琛€鏈夋晥鐨勬渶鏃╂湡鎸囨(bi膩o)鏄�(缍�(w菐ng)绻旂磪绱�(x矛)鑳炲崌楂�)銆�

29.涓嶅疁鐢ㄩ吀鎬ф憾娑叉矕娲楃殑闄伴亾鐐庢槸鍝竴闋�(xi脿ng)(蹇电彔鑿屾€ч櫚閬撶値)銆�

30.鐨壗寮曠殑鐗归粸(di菐n)鏄�(灏�(du矛)鑲㈤珨鎼嶅偡灏�)銆�

31.闄伴亾妾㈡煡灏忓洘浣嶄簬9榛�(di菐n)閻樻柟鍚�锛岃儙鏂逛綅鏄�(鏋曞彸姗綅)銆�

32.鍗佷簩鎸囪吀娼扮槏鐨勭柤鐥涜(gu墨)寰嬬偤(鐤肩棝-閫�(j矛n)椋�-绶╄В)銆�

33.涓嬪垪琛€鏍撻枆濉炴€ц剤绠＄値娌荤檪鎺柦涓嶆纰虹殑鏄�(鐢ㄧ啽姘存场鑵虫敼鍠勮偄楂旀韩搴�)銆�

34.鎮ｈ€呮偅鏈夊績绲炵棝锛屾湭瑕�(gu墨)寰嬫湇钘ュ皫(d菐o)鑷存€ユ€у績鑲屾姝�锛屽績鍓嶅崁(q奴)鐧�(f膩)鐢熺禐绐勬€х柤鐥�銆傜洰鍓嶆偅鑰呮渶涓昏鐨勮(h霉)鐞嗗晱椤屾槸(鐤肩棝)銆�

35.闂�(gu膩n)浜庡墠搴ぇ鑵鸿喛鑵殑鏁樿堪锛屾纰虹殑鏄�(灞€閮ㄧ毊鑶氬彲鏈夌磪鑵啽鐥涜〃鐝�(xi脿n))銆�

36.鎻掑叆涓夎厰鍏╁泭绠＄殑涓婃秷鍖栭亾鍑鸿鎮ｈ€呯獊鐒跺嚭鐝�(xi脿n)鍛煎惛鍥伴洠锛岃(h霉)澹鍏堥噰鍙栫殑鎺柦鏄�(鎶藉嚭椋熼亾鍥婃埃楂旀垨鍓柗涓夎厰灏剧)銆�

37.鏉庡厛鐢燂紝38姝�锛�2鍓嶇獊鐒跺様鍑哄挅鍟¤壊鑳冨収(n猫i)瀹圭墿2000ml锛屼即鏌忔补妯ｅぇ渚�2娆�锛岃澹�60/30mmHg锛屽績鐜�120娆�/min銆傛鏅�(sh铆)鏈€鍚堥仼鐨勬不鐧傛帾鏂界偤(绔嬪嵆瑁�(b菙)鍏呰瀹归噺)銆�

38.鐥呭師楂旀湭鏄庢檪(sh铆)锛屽皬鍏掑寲鑶挎€ц叇鑶滅値鐨勯閬歌棩鐗�(闋鏇叉澗閳�)銆�

39.鑲虹祼(ji茅)鏍哥殑鍌虫挱閫斿緫鏄�(绌烘埃鍌虫挱)銆�

40.娑堝寲鎬ф桨鐦嶆渶甯歌鐨勫苟鐧�(f膩)鐧ユ槸(鍑鸿)銆�

41.鍏ㄨ偤鍒囬櫎琛�(sh霉)鍚�锛岃(h霉)澹噳(y墨ng)瀹夌疆鐥呬汉鍙�(1/4鎮ｅ伌(c猫)鑷ヤ綅)銆�

42.鑳歌厰闁夊紡姘村皝鐡�?j墨)?n猫i)闀�(zh菐ng)绠′腑鐨勬按鏌辨尝鍕�(d貌ng)鐨勬甯歌寖鍦嶆槸(4锝�6cm)銆�

43.鏃╂湡姊呮瘨娌荤檪鍚�锛岄渶瀹氭湡闅ㄨí鐨勬檪(sh铆)闁撶偤(2锝�3骞�)銆�

44.鑲濈‖鍖栨偅鑰呭嚭鐝�(xi脿n)鑲濇帉鍜岃湗铔涚棧鏄洜?y脿n)?闆屾縺绱犲澶�)銆�

45.鍣ㄦ璀�(h霉)澹湪鍌抽仦鎵嬭(sh霉)鍣ㄦ涓�锛岄尟(cu貌)瑾ょ殑鎿嶄綔鏄�(灏囨墜琛�(sh霉)鍒€閶掔鍌抽仦绲︽墜琛�(sh霉)鑰�)銆�

灏忕法鎺ㄨ枽锛�2023骞翠腑绱�(j铆)涓荤璀�(h霉)甯€冭│妯℃摤绶寸繏(x铆)椤屽強绛旀

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