1.
鑲烘簮鎬у懠鍚稿洶闅撅細鏄寚鍛煎惛绯荤粺鐤剧梾寮曡捣鐥呬汉鑷绌烘皵涓嶈冻锛屽懠鍚歌垂鍔涘苟浼存湁鍛煎惛棰戠巼娣卞害涓庤妭寰嬬殑寮傚父銆?/p>
3 .
鎱㈤樆鑲猴細鏄寚缁堟湯缁嗘敮姘旂杩滅锛堝懠鍚哥粏鏀皵绠★紝鑲烘场绠★紝鑲烘场鍥婂拰鑲烘场锛夌殑姘旈亾寮规�у噺閫�锛岃繃搴﹁啫鑳�锛屽厖
姘斿拰鑲哄绉澶ф垨鍚屾椂浼存湁姘旈亾澹佺牬鍧忕殑鐥呯悊鐘舵�侊紝鏄偤姘旇偪涓渶甯歌鐨勪竴绉嶇被鍨嬨�?/p>
4.
鏀皵绠℃墿寮犵棁锛氭槸鐢变簬鏀皵绠″強鍏跺懆鍥磋偤缁勭粐鐨勬參鎬х値鐥囧拰闃诲瀵艰嚧鏀皵绠＄鑵旀墿寮犲拰鍙樺舰鐨勬參鎬ф敮姘旂鍖?
鑴撴�х柧鐥呫�傝〃鐜颁负鎱㈡�у挸鍡戒即澶ч噺鑴撶棸鍜屽弽澶嶅挴琛�銆?/p>
5.
鍘熷彂缁煎悎寰侊細缁撴牳鑿屼粠鍘熷彂鐥呯伓閫氳繃娣嬪反琛�绠″埌杈捐偤闂ㄦ穻宸寸粨锛屽紩璧锋穻宸寸鐐庡拰鑲洪棬娣嬪反缁撶値锛岀О銆?/p>
銆?/p>
銆?/p>
銆?/p>
銆?/p>
7.
涓婅厰闈欒剦闃诲缁煎悎寰侊細
鑲跨槫渚电姱绾甸殧銆?/p>
鍘嬭揩涓婅厰闈欒剦锛?/p>
浣垮ご閮ㄩ潤鑴夊洖娴佸彈闃伙紝
鍑虹幇澶撮潰閮ㄣ�?/p>
棰堥儴鍜屼笂鑲㈡按鑲匡紝
浠ュ強鑳稿墠閮ㄦ筏琛�鍜岄潤鑴夋洸寮狅紝骞舵湁澶寸棝銆佸ご鏄忔垨鐪╂檿銆?/p>
8. Horner
缁煎悎寰侊細浣嶄簬鑲哄皷閮ㄧ殑鑲虹檶绉颁笂娌熺檶
(Pancoast
鐧?/p>
)
锛屽彲鍘嬭揩棰堥儴浜ゆ劅绁炵粡锛屽紩璧风梾渚х溂鐫戜笅鍨傦紝鐬?
瀛旂缉灏忥紝鐪肩悆鍐呴櫡锛屽悓渚ч閮ㄤ笌鑳稿鏃犳睏鎴栧皯姹楋紝鍘嬭揩鑷備笡绁炵粡鍙紩璧峰悓渚ц偐鍏宠妭銆佷笂鑲㈠唴渚х柤鐥涘拰鎰熻
寮傚父锛屽闂村挨鐢氥�?/p>
9.
ARDS
锛氭槸鎸囩梾浜哄師蹇冭偤鍔熻兘姝ｅ父锛岀敱浜庤偤鍐呭鑷寸梾鍥犵礌锛堝涓ラ噸鎰熸煋锛屼紤鍏嬶紝鐑т激锛屼弗閲嶅垱浼わ紝
DIC
鍜屽ぇ
鎵嬫湳锛夎�屽紩璧疯偤寰绠″拰鑲烘场涓婄毊鎹熶激涓轰富鐨勮偤閮ㄧ値鐥囩患鍚堝緛銆傝〃鐜颁负杩涜鎬у懠鍚哥獦杩拰闅句互绾犳鐨勪綆姘?/p>
琛�鐥囥�?/p>
11.
蹇冩簮鎬у懠鍚稿洶闅撅細鍙堢О姘斾績鎴栨皵鎬ワ紝鏄梾浜哄湪浼戞伅鎴栬緝杞荤殑浣撳姏娲诲姩涓嚜鎴戞劅瑙夊埌鐨勫懠鍚稿紓甯搞�?/p>
12 .
鏈熷墠鏀剁缉锛氭槸鐢变簬绐︽埧缁撲互澶栫殑寮備綅璧峰崥鐐硅繃鏃╁彂鍑哄啿鍔ㄦ帶鍒跺績鑴忔敹缂╂墍鑷淬�?/p>
13.
棰勬縺缁煎悎寰侊紙
WPW
锛?/p>
锛氭槸蹇冩埧鍐插姩鎻愬墠婵�鍔ㄥ績瀹ょ殑涓�閮ㄥ垎鎴栧叏閮紝鎴栧績瀹ゅ啿鍔ㄦ彁鍓嶆縺鍔ㄥ績鎴跨殑涓�閮ㄥ垎鎴栧叏
閮ㄣ�?/p>
14
鍘熷彂鎬ч珮琛�鍘嬶細鎸囩梾鍥犳湯鏄庣殑浠ュ姩鑴夎鍘嬪崌楂樹负涓荤殑涓村簥缁煎悎寰侊紝鍙紩璧峰績鑴戣偩涓ラ噸骞跺彂鐥囥�?/p>
15.
蹇冭剰楠ゅ仠锛氭寚鍘熸潵鍏ㄨ韩涓庡績鑴忚緝濂界殑鎯呭喌涓嬶紝鎰忓鍦板彂鐢熷績鑴忓皠琛�鍔熻兘鐨勭獊鐒跺仠姝€�?/p>
17.
楂樿鍘嬪嵄璞?/p>
锛氳鍘嬪湪鐭椂闂村唴鍓у崌锛屾敹缂╁帇杈?/p>
260mmHg
锛?/p>
34.7Kpa
锛変互涓婏紝鑸掑紶鍘?/p>
20mmHg(16Kpa)
浠ヤ笂锛岀梾浜哄嚭鐜板ご鐥涳紝鐑︾嚗锛屽績鎮革紝澶氭睏锛屾伓蹇冿紝鍛曞悙锛岄潰鑹茶媿鐧芥垨娼孩锛岃鍔涙ā绯婄瓑寰佽薄銆?/p>
锛堜氦鎰熺缁忓叴
濂嬪鑷村効鑼堕厷鑳哄垎娉岃繃澶氾級
20.
澶ч噺铔嬬櫧灏?/p>
锛氭瘡鏃ュ翱铔嬬櫧鍚噺鎸佺画瓒呰繃
3.5g/1.73m2
鎴栬�?/p>
50mg/kg
浣撻噸銆?/p>
22.
鑲濇�ц剳鐥?/p>
锛氭槸涓ラ噸鑲濈梾寮曡捣鐨勶紝浠ヤ唬璋㈢磰涔变负鍩虹鐨勪腑鏋㈢缁忕郴缁熷姛鑳藉け璋冪殑缁煎悎鐥呯棁锛屼富瑕佽〃鐜版槸鎰忚瘑
闅滅锛岃涓哄け甯稿拰鏄忚糠銆?/p>
23.
鎬ユ�ц儼鑵虹値
锛氭槸鎸囪儼鑵哄強鍏跺懆鍥寸粍缁囪鑳拌吅鍒嗘硨鐨勬秷鍖栭叾鑷韩娑堝寲鐨勫寲瀛︽�х値鐥囥�備复搴婁互鎬ユ�ц吂鐥涳紝鍙戠儹
浼存伓蹇冿紝鍛曞悙锛岃涓庡翱娣�绮夐叾澧為珮涓虹壒鐐广�?/p>
24.
涓婃秷鍖栭亾鍑鸿
锛氭槸鎸囨皬闊у甫浠ヤ笂鐨勬秷鍖栭亾锛屽寘鎷閬擄紝鑳冨崄浜屾寚鑲犲拰鑳帮紝鑳嗛亾鐥呭紩璧风殑鍑鸿锛屼互鍙婅儍绌鸿偁
鍚诲悎鏈悗鐨勭┖鑲犵梾鍙樻墍鑷寸殑鍑鸿銆?/p>
25.
涓婃秷鍖栭亾澶ч噺鍑鸿
锛氭暟灏忔椂鍐呭け琛�閲?/p>
>1000ml
鎴栧惊鐜嚭琛�閲忕殑
20%
锛屼复搴婅〃鐜板憰琛�鎴栭粦绮紝甯镐即琛�鍑洪噺
鍑忓皯锛屽紩璧锋�ユ�у懆鍥村惊鐜“绔紝瀵艰嚧澶辫鎬т紤鍏嬭�岀劧鍙婄梾浜虹敓鍛姐�?/p>
26.
鎬ユ�ц偩灏忕悆鑲剧値
锛氭槸涓�缁勮捣鐥呮�ヤ互琛�灏匡紝铔嬬櫧灏挎按鑲垮拰楂樿鍘嬩负涓昏琛ㄧ幇锛屼笖鍙湁涓�杩囨�ф爱璐ㄨ鐥囩殑涓�缁?
鐤剧梾銆傛瘺缁嗚绠″唴澧炵敓鎬ц偩鐐庯紝浠ヨ偩灏忕悆鍐呯毊鍙婄郴鑶滅粏鑳炲鐢熶负涓汇�?/p>
IgG
銆?/p>
C3
鍛堥绮掔姸娌夌Н浜庣郴鑶滃尯鍙婃瘺
缁嗚绠″銆?/p>
27
.
鑲剧梾缁煎悎寰侊細鏄敱鍚勭鑲捐剰鐤剧梾寮曡捣鐨勫叿鏈変互涓嬪叡鍚屼复搴婅〃鐜扮殑涓�缁勭患鍚堝緛锛?/p>
锛?/p>
1
锛夊ぇ閲忚泲鐧藉翱锛堝翱铔嬬櫧瀹?
閲?/p>
>3
銆?/p>
5g/d
锛?/p>
锛?/p>
2
锛変綆铔嬬櫧琛�鐥囷紙琛�娴嗘竻铔嬬櫧
<30g/L
锛?/p>
锛?/p>
3
锛夋按鑲匡紝
锛?/p>
4
锛夐珮鑴傝鐥囥�?/p>
28.
鍐嶇敓闅滅鎬ц传琛�
锛氭槸鐢卞绉嶅師鍥犺嚧閫犺骞茬粏鑳炵殑鏁伴噺鍑忓皯鍜岋紙鎴栵級鍔熻兘寮傚父鑰屽紩璧?/p>
ida
鐨勪竴绫昏传琛�銆傚鍛?
琛�娑蹭腑绾㈢粏鑳炪�佷腑鎬х矑缁嗚優銆佽灏忔澘鍧囨槑鏄惧噺灏戯紝涓昏琛ㄧ幇杩涜鎬ц传琛�銆佹劅鏌撳拰鍑鸿銆?/p>
29.
DIC
锛?/p>
锛堝讥鏁ｆ�ц绠″唴鍑濊锛夋槸璁稿鐤剧梾鍙戝睍杩囩▼涓彲鑳藉嚭鐜扮殑涓�绉嶅鏉傜殑鐥呯悊杩囩▼锛屾槸涓�缁勪弗閲嶇殑鍑鸿鎬?
缁煎悎寰侊紝鍏剁壒鐐规槸寰惊鐜腑褰㈡垚骞挎硾鐨勫井琛�鏍擄紝娑堣�楀ぇ閲忚灏忔澘鍜屽嚌琛�鍥犲瓙锛岀户鍙戞�х氦婧朵孩杩涳紝涓村簥琛ㄧ幇