蹇冭緭鍑洪噺鐩戞祴鎶�鏈?/p>
銆愬涔犵洰鏍囥�?/p>
1
銆佹帉鎻″績杈撳嚭閲忕洃娴嬫妧鏈殑鎿嶄綔鏂规硶鍙婃楠ゃ�?/p>
2
銆佺啛鎮夊績杈撳嚭閲忕洃娴嬫妧鏈殑娉ㄦ剰浜嬮」銆?/p>
3
銆佷簡瑙ｅ績杈撳嚭閲忕洃娴嬫妧鏈殑鍘熺悊銆?/p>
銆愮煡璇嗗噯澶囥�?/p>
1
銆佸績杈撳嚭閲?/p>
:
姣忓垎閽熶竴渚у績瀹ゅ皠鍑虹殑琛�娑叉�婚噺锛?/p>
鍙堢О姣忓垎杈撳嚭閲忥紝
涓哄績鐜囦笌姣忔悘杈撳嚭閲?/p>
鐨勪箻绉紝銆傚乏銆佸彸蹇冨鐨勮緭鍑洪噺鍩烘湰鐩哥瓑銆傚績瀹ゆ瘡娆℃悘鍔ㄨ緭鍑虹殑琛�閲忕О涓烘瘡鎼忚緭鍑洪噺锛屼汉浣?/p>
闈欐伅鏃剁害涓?/p>
70
姣崌锛?/p>
60
锝?/p>
80
姣崌锛夛紝濡傛灉蹇冪巼姣忓垎閽熷钩鍧囦负
75
娆★紝鍒欐瘡鍒嗛挓杈撳嚭鐨勮閲?/p>
绾︿负
5L
锛堬綖
6L/min
锛夛紝鍗虫瘡鍒嗗績杈撳嚭閲忋�傞�氬父鎵�绉板績杈撳嚭閲忥紝涓�鑸兘鏄寚姣忓垎蹇冭緭鍑洪噺銆?/p>
蹇冭緭鍑洪噺鏄瘎浠峰惊鐜郴缁熸晥鐜囬珮浣庣殑閲嶈鎸囨爣銆?/p>
2
銆?/p>
PiCCO
锛?/p>
pulse indicated continuous cardiac output
锛夎剦娉㈣疆寤撴俯搴︾█閲婅繛缁績
鎺掗噺娴嬮噺锛?/p>
璇ョ洃娴嬫妧鏈彧闇�閰嶇疆涓績闈欒剦鍙婂姩鑴夊绠★紝閲囩敤鐑█閲婃柟娉曟祴閲忓崟娆＄殑蹇冭緭鍑洪噺
(pulse
contour
cardiac
output
锛?/p>
PCC0
)
锛?/p>
骞堕�氳繃鍒嗘瀽鍔ㄨ剦鍘嬪姏娉㈠舰鏇茬嚎涓嬮潰绉潵鑾峰緱杩炵画鐨?/p>
PCC0
锛?/p>
鍙悓鏃剁洃娴?/p>
PCC0
鍜屽閲忔寚鏍囷紝骞跺彲鐩戞祴琛�绠￠樆鍔涘彉鍖栥�?/p>
2
銆?/p>
PICCO
宸ヤ綔鍘熺悊锛氱疆鍏?/p>
1
鏍逛腑蹇冮潤鑴夊绠″拰
1
鏍硅偂鍔ㄨ剦瀵肩锛岄殢鏃剁洃娴嬬梾浜鸿娓╀笖淇?/p>
鎸佸湪
>30
鈩?/p>
,%
姘寲閽犳敞灏勬恫鎴?/p>
5%
钁¤悇绯栨敞灏勬恫
10-15ml,
娓╁害涓�鑸?/p>
<8
鈩?
锛?/p>
1
锛?
娉ㄥ叆涓績闈欒剦鍚庯紝
瀹圭Н鍜屾俯搴﹀緢蹇讥鏁ｈ嚦蹇冭剰鍙婅偤鍐咃紝
褰撳姩鑴夌儹鏁忔帰澶存帰娴嬪埌鐑噺淇″彿鏃讹紝
鍗冲彲璇嗗埆娓╁害宸苟
姹囨垚鏇茬嚎锛?/p>
璁＄畻鏈鸿嚜琛屽璇ユ洸绾胯繘琛屽垎鏋愬緱鍑哄崟娆″績杈撳嚭閲忥紝
骞剁粨鍚?/p>
PICCO
瀵肩娴嬪緱鐨勮偂鍔?/p>
鑴夊帇鍔涙尝褰紝寰楀嚭涓�绯诲垪鍏锋湁鐗规畩鎰忎箟鐨勯噸瑕佷复搴婂弬鏁帮細蹇冭剰鎸囨暟銆佸姩鑴夊帇銆佽绠″鑲烘按銆?/p>
鑲烘按鎸囨暟绛夈�?/p>
銆愭儏澧冦�?/p>
鐜嬫煇锛岀敺锛?/p>
60
宀侊紝浣忛櫌鍙?/p>
A209233
锛屽洜鍛煎惛绐樿揩锛屽挸绮夌孩鑹叉场娌牱鐥帮紝绔嬪嵆杞叆閲嶇棁鐩?/p>
鎶ゅ鎶㈡晳娌荤枟锛?/p>
HR138
娆?/p>
/
鍒嗭紝
SPO
2
78%
锛?/p>
R35
娆?/p>
/
鍒嗭紝绔嬪嵆琛岀粡鍙ｆ皵绠℃彃绠★紝鏈烘閫氭皵锛屽崗鍔?/p>
鍖荤敓缃叆棰堝唴闈欒剦瀵肩鍙?/p>
PICCO
鑲″姩鑴変笓鐢ㄥ绠★紝
娆茶繛鎺?/p>
PICCO
鐩戞祴瀵肩嚎锛?/p>
琛屽績杈撳嚭閲忕洃娴嬨�?/p>
銆愮敤鐗┿�?/p>
PICCO
鐩戞祴瑁呯疆鐨勭洃鎶や华
1
濂楋紝
PICCO
鐩戞祴瀵肩嚎
2
鏍?/p>
锛?/p>
1
鏍瑰帇鍔涚洃娴嬪绾匡紝
1
鏍规俯搴︾洃娴嬪绾匡級
锛?