榫欐簮鏈熷垔缃?/p>
http://www.qikan.com.cn
鎬ユ�х‖鑶滃琛�鑲跨殑澶栫娌荤枟鐮旂┒
浣滆�咃細鏉ㄨ秴
鏉ユ簮锛氥�婁腑鍥藉尰瀛﹀垱鏂般�?/p>
2012
骞寸
15
鏈?/p>
銆愭憳瑕併�戠洰鐨勶細鎺㈣鎬ユ�х‖鑶滃琛�鑲跨殑鎵嬫湳娌荤枟鏂规硶銆傛柟娉曪細瀵圭瑪鑰呮墍鍦ㄥ尰闄?/p>
122
渚嬫�ユ�?/p>
纭啘澶栬鑲挎偅鑰呯殑涓村簥璧勬枡杩涜鍥為【鎬у垎鏋愩�傜粨鏋滐細
122
渚嬫偅鑰呭瓨娲荤巼涓?/p>
90.9%
锛屾仮澶嶈壇濂界巼
涓?/p>
62.3%
锛岃交搴﹁嚧娈嬬巼涓?/p>
18.9%
锛岄噸搴﹁嚧娈嬬巼涓?/p>
9.8%
锛屾浜＄巼涓?/p>
9.0%
銆傜粨璁猴細鏃╂湡璇婃柇锛岀‘
瀹氫釜浣撳寲娌荤枟鏂规锛屽強鏃舵墜鏈共棰勶紝娓呴櫎琛�鑲匡紝鍚堝苟鑴戠枬閲囧彇鍘婚櫎楠ㄧ摚绛夌患鍚堟不鐤楁墜娈碉紝鎮ｈ�?/p>
棰勫悗鐞嗘兂銆?/p>
銆愬叧閿瘝銆戠‖鑶滃琛�鑲匡紱鎬ユ�э紱澶栫娌荤枟锛涚爺绌?/p>
doi
锛?/p>
10.3969/j.issn.1674-4985.2012.15.072
鎬ユ�х‖鑶滃琛�鑲挎偅鑰呭父浼存湁绋嬪害涓嶄竴鐨勯楠ㄩ鎶樻垨鑴戞尗瑁備激锛屼笖鏍兼媺鏂摜鏄忚糠璇勫垎
(GCS)
閫氬父涓?/p>
3~9
鍒嗭紝鐥呮儏鍙戝睍蹇紝鍙樺寲澶э紝娌荤枟姣旇緝鍥伴毦銆傝嫢鎶㈡晳鍙婃椂锛屽氨鑳藉噺灏戝洜纭啘澶栬鑲垮
澶ц�屽紩璧风殑缁у彂鎬ц剳鐤濓紝浠庤�岄檷浣庢浜＄巼鍜岃嚧娈嬬巼
[1]
銆傜幇閫夋嫨
2007
骞?/p>
5
鏈?/p>
-2011
骞?/p>
5
鏈堢瑪鑰呮墍
鍦ㄥ尰闄㈡敹娌荤殑
122
渚嬫�ユ�х‖鑶滃琛�鑲挎偅鑰呯殑涓村簥璧勬枡杩涜鍥為【鎬у垎鏋愶紝鐜版姤鍛婂涓嬨�?/p>
1
璧勬枡涓庢柟娉?/p>
1.1
涓�鑸祫鏂欏叏閮ㄦ�ユ�х‖鑶滃琛�鑲挎偅鑰呬腑锛屽叾涓敺
101
渚嬶紝濂?/p>
21
渚嬶紝鐢峰コ鎮ｈ�呮瘮渚嬩负
4.8
锛?/p>
1
锛涘勾榫?/p>
5~72
宀侊紝骞冲潎
(48.5卤
10.3)
宀侊紱鍙椾激鏃堕棿
1~7 h
锛屽钩鍧?/p>
(4.1卤
0.9)h
锛涘彈浼ゅ師鍥狅細杞︾ジ
浼?/p>
61
渚嬶紝璺屽�掍激
31
渚嬶紝鎵撳嚮浼?/p>
19
渚嬶紝鍧犺惤浼?/p>
11
渚嬨�傚叏閮ㄦ偅鑰?/p>
GCS
璇勫垎鍧囦负
3~9
鍒嗭紝涓斿彈
浼ゅ悗鍧囧湪
24 h
鍐呰繘琛屽ご棰?/p>
CT
骞虫壂纭瘖銆備即鏈夊弻渚х灣瀛斿彉鍖?/p>
19
渚嬶紝鍗曚晶鐬冲瓟鍙樺寲
59
渚嬶紝鍚堝苟
鏈夋槑鏄捐剳鎸浼?/p>
38
渚嬶紝鍚堝苟鍛煎惛銆佸惊鐜敼鍙?/p>
13
渚嬨�傝鑲块噺骞曚笂
17~163 ml
锛屽钩鍧?/p>
(53卤
17)ml
锛?/p>
骞曚笅
6~26 ml
锛屽钩鍧?/p>
(9卤
3)ml
銆傝鑲块儴浣嶄互棰濋閮ㄣ�侀閮ㄣ�侀椤堕儴涓轰富鑰?/p>
95
渚嬶紝椤舵灂閮?/p>
19
渚嬶紝
鏋曢儴
8
渚嬨�傚叏閮ㄦ偅鑰呭潎鏈夋伓蹇冦�佸憰鍚愮瓑棰呭唴鍘嬪崌楂樿〃鐜帮紝閮ㄥ垎鎮ｈ�呮湁涓嶅悓绋嬪害鏄忚糠銆佸翱澶辩銆?/p>
鎶芥悙銆傝鍘嬪楂?/p>
91
渚嬶紝鍛煎惛寮傚父涓嶈鍒?/p>
25
渚嬨�?/p>
1.2
鎵嬫湳鎸囧緛
(1)
鎮ｈ�呭瓨鍦ㄦ槑鏄捐嚧棰呭唴鍘嬪崌楂樼殑棰呭唴琛�鑲胯〃鐜帮紱
(2)
褰卞儚瀛﹁祫鏂欐樉绀鸿剳鍙楀帇閫?/p>
鎴愭槑鏄捐鑲匡紱
(3)
鎮ｈ�呰剳骞曚笂琛�鑲块噺鍦?/p>
30 ml
浠ヤ笂锛屽箷涓嬭鑲块噺鍦?/p>
10 ml
浠ヤ笂锛岄鍖鸿鑲块噺鍦?/p>
20
ml
浠ヤ笂锛?/p>
(4)
鎮ｈ�呭瓨鍦ㄦ剰璇嗛殰纰嶉�愭鍔犻噸鎴栨槒杩锋儏鍐点�傛墜鏈�傚簲璇佸寘鎷細
(1)
鎮ｈ�呮剰璇嗕笉瀛樺湪杩?/p>
琛屾�ф伓鍖栨儏鍐碉紱
(2)
鎮ｈ�呬笉瀛樺湪绁炵粡绯荤粺闃虫�т綋寰佹垨宸插瓨鍦ㄧ殑绁炵粡绯荤粺闃虫�т綋寰佹棤杩涜鎬у姞
閲嶏紱
(3)
鏃犻鍐呭帇澧為珮鐥囩姸鍜屼綋寰侊紱
(4)
闄ら鍖哄锛屽ぇ鑴戝嚫闈㈣鑲块噺
4 cm)[2]
銆?/p>
1.3
娌荤枟鏂规硶鍏ㄩ儴鎮ｈ�呭潎閲囧彇鎵嬫湳娌荤枟锛屾湳鍓嶆偅鑰呭墐澶淬�佸琛�鍙婄暀缃翱瀵肩銆傛偅鑰呭瀛樺湪
鑴戠枬鎯呭喌锛屽簲绔嬪嵆浜堜互
20%
鐢橀湶閱?/p>
250 ml
闈欐淮锛屽苟鎻愰珮鍦板绫虫澗搴旂敤鍓傞噺銆傚叏閮ㄦ偅鑰呴噰鐢ㄦ皵
绠℃彃绠″叏楹汇�傞拡瀵规偅鑰呬笉鍚屾儏鍐甸噰鍙栦笉鍚屾湳寮忥細
(1)76
渚嬫偅鑰呯敱浜庡瓨鍦ㄧ‖鑶滃琛�鑲垮悎骞剁‖鑶滀笅