鐣�(d膩ng)鍓嶄綅缃細 棣栭爜 > 鑷ㄥ簥鍩�(zh铆)妤�(y猫)閱�(y墨)甯� > 鑷ㄥ簥鍩�(zh铆)妤�(y猫)閱�(y墨)甯骞磋│椤� > 鑷ㄥ簥鍩�(zh铆)妤�(y猫)閱�(y墨)甯€冭│姝峰勾楂橀牷瑭﹂锛堝惈绛旀瑙f瀽锛�

鑷ㄥ簥鍩�(zh铆)妤�(y猫)閱�(y墨)甯€冭│姝峰勾楂橀牷瑭﹂锛堝惈绛旀瑙f瀽锛�

鏇存柊鏅�(sh铆)闁擄細2014-08-28 15:02:29 渚嗘簮锛殀0 鐎忚0鏀惰棌0

鑷ㄥ簥鍩�(zh铆)妤�(y猫)閱�(y墨)甯牨(b脿o)鍚嶃€佽€冭│銆佹煡鍒嗘檪(sh铆)闁� 鍏嶈不(f猫i)鐭俊鎻愰啋

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銆€銆€鑷ㄥ簥鍩�(zh铆)妤�(y猫)閱�(y墨)甯�鑰冭│姝峰勾楂橀牷瑭﹂(鍚瓟妗堣В鏋�)锛岀挵(hu谩n)鐞冪恫(w菐ng)鏍¢啱(y墨)瀛�(xu茅)鑰冭│缍�(w菐ng)鎼滈泦鏁寸悊渚涘嵆灏囧弮鍔犺€冭│鐨勮€冪敓鍊戝弮鑰�锛屽笇鏈涘皪(du矛)澶у鏈夊公鍔┿€�

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銆€銆€椤岀洰9锛氳ê鏂峰懠鍚歌“绔渶閲嶈鐨勮?d煤)澶ユ不椴嬬瑴?bi膩o)鏄�

銆€銆€閬搁爡(xi脿ng)A锛氬嫊(d貌ng)鑴堣姘у垎澹撲綆浜�60mmHg

銆€銆€閬搁爡(xi脿ng)B锛氬嫊(d貌ng)鑴堣浜屾哀鍖栫⒊鍒嗗楂樹簬50mmHg

銆€銆€閬搁爡(xi脿ng)C锛歱H鍊间綆浜�7.35

銆€銆€閬搁爡(xi脿ng)D锛氫簩姘у寲纰崇祼(ji茅)鍚堝姏楂樹簬29mmol/L

銆€銆€閬搁爡(xi脿ng)E锛欱E<-2.3mmol/L

銆€銆€绛旀锛欰

銆€銆€鑰冩煡鐩殑锛氬懠鍚歌“绔殑鍒嗗瀷

銆€銆€瑙f瀽锛氭寜鍕�(d貌ng)鑴堣?d煤)澶ユ不榫囪灏氬仠瀛╅浌瑁ヨ殙aO2灏忎簬60mmHg锛孭aCO2姝e父鈷夆叀鍨婸aO2灏忎簬60mmHg锛孭aCO2澶т簬50mmHg

銆€銆€椤岀洰10锛氬懠鍚歌“绔渶涓昏鐨勮嚚搴婅〃鐝�(xi脿n)鏄�

銆€銆€閬搁爡(xi脿ng)A锛氬懠鍚歌不(f猫i)鍔涗即鍛兼埃寤堕暦(zh菐ng)

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銆€銆€閬搁爡(xi脿ng)E锛氶洐鑲哄ぇ閲忔繒?闊�

銆€銆€绛旀锛欳

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銆€銆€瑙f瀽锛氫腑妯炴€у懠鍚歌“绔憟娼紡锛岄枔姝囨垨鎶芥常妯e懠鍚�;鎱㈡€ч樆濉炴€ц偤鐤剧梾鍛艰“鎮h€呴枊濮嬪父琛ㄧ従(xi脿n)鐐哄懠鍚歌不(f猫i)鍔涗即鍛兼埃寤堕暦(zh菐ng)锛屽毚(y谩n)閲嶆檪(sh铆)鍑虹従(xi脿n)娣哄揩鍛煎惛锛岃紨鍔╁懠鍚歌倢娲诲嫊(d貌ng)鍔犲挤(qi谩ng)锛屽憟榛�(di菐n)闋ǎ鎴栨彁鑲╂ǎ鍛煎惛锛屽毚(y谩n)閲岰O2娼寸暀鎮h€呭墖鍑虹従(xi脿n)娣烘參鍛煎惛锛屼腑妯炵缍�(j墨ng)鎶戝埗鎬ц棩钘ヤ腑姣掕〃鐝�(xi脿n)鐐哄懠鍚稿嫽绶�銆佹槒鐫�銆�

銆€銆€椤岀洰11锛氭參鎬ф敮姘g鐐庢€ユ€х櫦(f膩)浣滄湡鏈€閲嶈鐨勬不鐧傛帾鏂芥槸

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銆€銆€閬搁爡(xi脿ng)C锛氭噳(y墨ng)鐢ㄧ鐥版鍜宠棩

銆€銆€閬搁爡(xi脿ng)D锛氬寮�(qi谩ng)鍏嶇柅鍔熻兘

銆€銆€閬搁爡(xi脿ng)E锛氭姉鎰熸煋娌荤檪

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銆€銆€閬搁爡(xi脿ng)C锛歅PD鐨│闄芥€�

銆€銆€閬搁爡(xi脿ng)D锛氫綆鐔�銆佺洔姹�

銆€銆€閬搁爡(xi脿ng)E锛氱祼(ji茅)鏍告帴瑙稿彶

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銆€銆€椤岀洰13锛氱祼(ji茅)鏍告€у共鎬ц兏鑶滅値鏈€閲嶈鐨勯珨寰佹槸

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銆€銆€閬搁爡(xi脿ng)C锛氬懠鍚搁煶娓涗綆

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銆€銆€瑙f瀽锛氬垵鏈熺敱浜庤兏鑶滅簴缍9婊插嚭鑰屾湁鑳歌啘濮撶柤鐥涳紝娣卞懠鍚告檪(sh铆)鍔犻噸锛岃伣瑷烘湁鑳歌啘鎽╂摝闊炽€傞毃婊叉恫澧炲锛岀柤鐥涙几娑�锛屼唬涔嬩互閫愭几鍔犻噸鐨勫懠鍚稿洶闆�銆�

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銆€銆€閬搁爡(xi脿ng)C锛氳兏姘存贰榛冪稜鑹�锛屾瘮閲�>1.018锛岀櫧绱�(x矛)鑳為珮浜�500xl09/L锛宲H<7.30锛孯ivalta瑭﹂(y脿n)闄芥€�

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銆€銆€閬搁爡(xi脿ng)E锛氳鎬ц兏姘达紝绱呯窗(x矛)鑳�>5.0脳1012/L锛岃喗鍥洪唶鍚噺澧為珮锛孡DH>500IU/L

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銆€銆€鑰冩煡鐩殑锛氬偝鏌撶梾绺借珫

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銆€銆€鑰冩煡鐩殑锛氬偝鏌撶梾绺借珫

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銆€銆€鑰冩煡鐩殑锛氳В鐔遍幃(zh猫n)鐥涙姉鐐庤棩闃垮徃鍖规灄钘ョ悊浣滅敤鍙婅嚚搴婃噳(y墨ng)鐢�銆�

銆€銆€瑙f瀽锛氶樋鍙稿尮鏋�

銆€銆€涓€銆佽棩鐞嗕綔鐢�

銆€銆€鎶戝埗鍓嶅垪鑵虹礌鍚堟垚

銆€銆€(涓€)瑙g啽銆侀幃(zh猫n)鐥�銆佹姉鐐庢姉棰�(f膿ng)婵曚綔鐢ㄥ彧鑳介檷浣庣櫦(f膩)鐔辫€呴珨婧�;灏�(du矛)鎱㈡€ч垗鐥涙晥鏋滃ソ;杓冨挤(qi谩ng)鐨勬姉鐐庢姉棰�(f膿ng)婵曚綔鐢�銆�

銆€銆€(浜�)灏�(du矛)琛€鏍撶殑褰遍熆灏忓姂閲忔姂鍒惰灏忔澘鍏�(n猫i)琛€鏍撶兎绱燗2(TXA2)鍚堟垚锛屾姂鍒惰鏍撶敓鎴�;澶у姂閲忔姂鍒惰绠″収(n猫i)鍓嶅垪鐠�(hu谩n)绱�(PGI2)鍚堟垚锛屼績閫�(j矛n)琛€鏍撶敓鎴�銆�

銆€銆€浜�銆佽嚚搴婃噳(y墨ng)鐢�

銆€銆€(涓€)瑙g啽銆侀幃(zh猫n)鐥涖€佹姉棰�(f膿ng)婵曠敤浜庢劅鍐掔櫦(f膩)鐔�;鐗欑棝銆佽倢鑲夌棝銆佺缍�(j墨ng)鐥涚瓑鎱㈡€ч垗鐥�;灏�(du矛)鎬ユ€чⅷ(f膿ng)婵曪紝鏈夎ê鏂峰拰娌荤檪浣滅敤銆�

銆€銆€(浜�)闋�(y霉)闃插績鑲屾姝诲拰鑵﹁鏍撳舰鎴�锛屾不鐧傚績绲炵棝锛屽繀闋堜娇鐢ㄥ皬鍔戦噺銆�

銆€銆€椤岀洰37锛氬皪(du矛)蹇嫊(d貌ng)鐪肩潯鐪犳檪(sh铆)鐩稿奖闊垮皬锛屾垚鐧€ц純杓曠殑鍌湢钘ユ槸

銆€銆€閬搁爡(xi脿ng)A锛氬搶鏇垮暥

銆€銆€閬搁爡(xi脿ng)B锛氬湴瑗挎钞

銆€銆€閬搁爡(xi脿ng)C锛氭隘涓欏棯

銆€銆€閬搁爡(xi脿ng)D锛氱敳涓欐皑閰�

銆€銆€閬搁爡(xi脿ng)E锛氳嫰宸存瘮濡�

銆€銆€绛旀锛欱

銆€銆€鑰冩煡鐩殑锛氶幃(zh猫n)闈滃偓鐪犺棩鑻簩姘崜椤炶棩鐞嗕綔鐢ㄥ強鑷ㄥ簥鎳�(y墨ng)鐢�銆�

銆€銆€瑙f瀽锛氳嫰浜屾爱鍗撻(浠h〃钘ワ細鍦拌タ娉�)钘ョ悊浣滅敤鍙婅嚚搴婃噳(y墨ng)鐢�

銆€銆€(涓€)鎶楃劍鎱綔鐢ㄥ皬鍔戦噺鏈夋槑椤殑鎶楃劍鎱綔鐢�锛岀敤浜庣劍鎱櫏鐨勬不鐧傘€�

銆€銆€(浜�)閹�(zh猫n)闈滃偓鐪犲皪(du矛)蹇嫊(d貌ng)鐪肩潯鐪犳檪(sh铆)鐩稿奖闊垮皬锛屽仠钘ュ悗鍙嶈烦鐝�(xi脿n)璞¤紩;閫g簩(x霉)鐢ㄨ棩渚濊炒鎬ц紩;娌荤檪鎸囨暩(sh霉)楂�;灏�(du矛)鑲濊棩閰剁劇瑾樺皫(d菐o)浣滅敤銆傚悇绋師鍥犲け鐪犵櫏棣栭伕锛屽皪(du矛)鐒︽叜澶辩湢灏や匠銆傚皻鍙敤浜庨夯閱夊墠绲﹁棩锛屼娇鐥呬汉閹�(zh猫n)闈�锛岀珐瑙e皪(du矛)鎵嬭(sh霉)鐨勬亹鎳�锛屾笡灏戦夯閱夎棩鐨勭敤閲忋€�

銆€銆€(涓�)涓鎬ц倢鑲夋澗寮涗綔鐢�锛屽彲鐢ㄤ簬鑵﹁绠℃剰澶栫瓑澶ц叇鎼嶅偡寮曡捣鐨勮倢鑲夊挤(qi谩ng)鐩�銆�

銆€銆€(鍥�)鎶楅鍘ユ姉鐧茬檱浣滅敤闈滄敞鍦拌タ娉槸娌荤檪鐧茬檱鎸佺簩(x霉)鐙€鎱�(t脿i)鐨勯閬歌棩銆�

銆€銆€椤岀洰38锛氳伔妤�(y猫)鐥呰ê鏂风殑棣栬姊濅欢鏄�

銆€銆€閬搁爡(xi脿ng)A锛氭湁鏄庣⒑鐨勮伔妤�(y猫)鍙�

銆€銆€閬搁爡(xi脿ng)B锛氱敓鐢�(ch菐n)鐠�(hu谩n)澧冭(di脿o)鏌�

銆€銆€閬搁爡(xi脿ng)C锛氱壒鏈夌殑鑷ㄥ簥琛ㄧ従(xi脿n)

銆€銆€閬搁爡(xi脿ng)D锛氱壒鐣版€х敓鍖栨椹�(y脿n)

銆€銆€閬搁爡(xi脿ng)E锛氬悓宸ョó宸ヤ汉鎮g梾鎯呮硜

銆€銆€绛旀锛欰

銆€銆€鑰冩煡鐩殑锛氳伔妤�(y猫)鎬ф湁瀹冲洜绱犺垏鑱锋キ(y猫)鐥�銆�

銆€銆€瑙f瀽锛氳伔妤�(y猫)鐥呯殑瑷烘柗浠ヨ伔妤�(y猫)鍙茬偤鍏堟焙姊濅欢锛岀祼(ji茅)鍚堢敓鐢�(ch菐n)鐠�(hu谩n)澧冭(di脿o)鏌ュ強鑷ㄥ簥琛ㄧ従(xi脿n)鍙婂(sh铆)椹�(y脿n)瀹ゆ鏌�锛岀敱鑱锋キ(y猫)鐥呰ê鏂风祫闆嗛珨瑷烘柗鐐哄師鍓囥€�

銆€銆€椤岀洰39锛氳瀵熷悇绋浜″師鍥犳墍鍗犵殑姣旈噸澶у皬锛屾渶濂界躬鍒剁殑鍦栧舰鐐�

銆€銆€閬搁爡(xi脿ng)A锛氱洿姊濆湒

銆€銆€閬搁爡(xi脿ng)B锛氱洿鏂瑰湒

銆€銆€閬搁爡(xi脿ng)C锛氬湏鍦�

銆€銆€閬搁爡(xi脿ng)D锛氭櫘閫氱窔鍦�

銆€銆€閬搁爡(xi脿ng)E锛氬崐灏�(du矛)鏁�(sh霉)绶氬湒

銆€銆€绛旀锛欳

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銆€銆€瑙f瀽锛氬彲鏍规摎(j霉)浠ヤ笅鍘熷墖閬告搰鍚堥仼鐨勫湒褰細

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銆€銆€2.璩囨枡鏄€g簩(x霉)鎬х殑锛屼絾鍒嗘瀽鐨勭洰鐨勬槸鐢ㄧ窔娈靛崌闄嶈〃閬�(d谩)浜嬬墿鍕�(d貌ng)鎱�(t脿i)璁婂寲鐨勯€熷害锛岄伕鎿囧崐灏�(du矛)鏁�(sh霉)绶氬湒;

銆€銆€3.鏁�(sh霉)鍊艰畩閲忕殑闋绘暩(sh霉)琛ㄨ硣鏂�锛屽叾鍒嗘瀽鐩殑鏄敤鐩存柟鐨勯潰绌嶈〃閬�(d谩)鍚勭祫娈电殑闋绘暩(sh霉)鎴栭牷鐜囧垎甯冩儏娉�锛屽疁閬告搰鐩存柟鍦�;

銆€銆€4.璩囨枡鏄浉浜掔崹(d煤)绔嬬殑锛岀洰鐨勬槸鐢ㄧ洿姊濈殑闀�(zh菐ng)鐭瘮杓冩暩(sh霉)鍊肩殑澶у皬锛岄伕鐢ㄧ洿姊濆湒;

銆€銆€5.浜嬬墿鍏�(n猫i)閮ㄥ悇閮ㄥ垎鐨勭櫨鍒嗘(g貌u)鎴愭瘮璩囨枡锛岀洰鐨勬槸鐢ㄩ潰绌嶅ぇ灏忚〃閬�(d谩)鍚勯儴鍒嗘墍鍗犵殑姣旈噸澶у皬锛屽墖鎳�(y墨ng)閬告搰鍦撳舰鍦栨垨鐧惧垎鐩存鍦�銆�

銆€銆€椤岀洰40锛氭祦琛岀梾瀛�(xu茅)涓昏鐮旂┒

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銆€銆€閬搁爡(xi脿ng)B锛氭甯镐汉缇ょ殑鍋ュ悍姘村钩

銆€銆€閬搁爡(xi脿ng)C锛氫簽鍋ュ悍浜虹兢鐨勫仴搴锋按骞�

銆€銆€閬搁爡(xi脿ng)D锛氫汉缇や腑鐤剧梾鑸囧仴搴风媭娉佺殑鍒嗗竷鍙婂叾褰遍熆鍥犵礌

銆€銆€閬搁爡(xi脿ng)E锛氱ぞ鍗€(q奴)鍏�(n猫i)楂樺嵄浜虹兢鍙婂仴搴锋按骞�

銆€銆€绛旀锛欴

銆€銆€鑰冩煡鐩殑锛氭祦琛岀梾瀛�(xu茅)姒傝堪銆�

銆€銆€瑙f瀽锛氭祦琛岀梾瀛�(xu茅)鐮旂┒鑼冨湇鍜岀敤閫�

銆€銆€(涓€)鎻忚堪鐤剧梾鑸囧仴搴风媭娉佺殑鍒嗗竷锛屽緸鑰屾彁鍑烘煇浜涚梾鍥犳垨娴佽鍥犵礌鐨勫亣瑷�(sh猫)锛屼害鍙偤琛�(w猫i)鐢熻鏀挎焙绛栨彁渚涘弮鑰冭硣鏂�銆�

銆€銆€(浜�)鎺㈣◣鐥呭洜鑸囨祦琛屽洜绱�銆�

銆€銆€(涓�)鐢ㄤ簬鑷ㄥ簥瑷烘柗銆佹不鐧傝垏浼拌▓(j矛)闋�(y霉)鍚�銆傛祦琛岀梾瀛�(xu茅)鐭ヨ瓨(sh铆)鍙崝(xi茅)鍔�鑷ㄥ簥閱�(y墨)甯�鎻愰珮瑷烘柗姘村钩;鏈夊姪浜�鑷ㄥ簥閱�(y墨)甯�閬告搰娌荤檪鏂规鍜屽悎鐞嗙敤钘�;閭勫彲鐢ㄤ締浼拌▓(j矛)闋�(y霉)鍚�銆�

銆€銆€(鍥�)鐢ㄤ簬鐤剧梾鐨勯爯(y霉)闃茶垏鎺у埗銆�

銆€銆€(浜�)鐢ㄤ簬琛�(w猫i)鐢熸焙绛栧拰瑭�(p铆ng)鍍�(ji脿)銆�

銆€銆€椤岀洰41锛氬皪(du矛)閱�(y墨)甯殑妤�(y猫)鍕�(w霉)姘村钩銆佸伐浣滄垚绺�(j墨)鍜岃伔妤�(y猫)閬撳痉鐙€娉�锛屼緷娉曚韩鏈夊畾鏈熻€冩牳娆�(qu谩n)鐨勫柈浣嶆槸

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銆€銆€閬搁爡(xi脿ng)B锛氱福绱�(j铆)浠ヤ笂浜烘皯鏀垮簻琛�(w猫i)鐢熻鏀块儴闁€

銆€銆€閬搁爡(xi脿ng)C锛氬彈绺g礆(j铆)浠ヤ笂浜烘皯鏀垮簻琛�(w猫i)鐢熻鏀块儴闁€濮旀墭鐨勬(j墨)妲�(g貌u)鎴栬€呯祫绻�

銆€銆€閬搁爡(xi脿ng)D锛氶啱(y墨)甯墍鍦ㄥ湴鐨勯啱(y墨)瀛�(xu茅)鏈�(hu矛)鎴栬€呴啱(y墨)甯崝(xi茅)鏈�(hu矛)

銆€銆€閬搁爡(xi脿ng)E锛氶啱(y墨)甯墍宸ヤ綔鐨勯啱(y墨)鐧傘€侀爯(y霉)闃�銆佷繚鍋ユ(j墨)妲�(g貌u)

銆€銆€绛旀锛欳

銆€銆€鑰冩煡鐩殑锛氬煼(zh铆)妤�(y猫)閱�(y墨)甯硶銆�

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銆€銆€椤岀洰42锛氶啱(y墨)鐧傛(j墨)妲�(g貌u)鐨勯啱(y墨)鍕�(w霉)浜哄摗閬曞弽銆婄嵒(xi脿n)琛€娉曘€嬭(gu墨)瀹�锛屽皣涓嶇鍚堝湅瀹惰(gu墨)瀹氭(bi膩o)婧�(zh菙n)鐨勮娑茬敤浜庢偅鑰呯殑锛岀敱绺d互涓婅(w猫i)鐢熻鏀块儴闁€绲︿簣鐨勮鏀胯檿缃版槸

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