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1.鍏╃ó鐗规畩椤炲瀷鎬ユ€т笂鍛煎惛閬撴劅鏌�

鈶犵毎鐤规€у捊宄界値锛氱梾鍘熺偤鏌柀濂嘇绲勭梾姣�锛屽ソ鐧�(f膩)浜庡绉嬪銆傝嚚搴婅〃鐝�(xi脿n)鐐烘€ヨ捣楂樼啽銆佸捊鐥�銆佹祦娑�銆佸幁椋熴€佸様鍚愮瓑銆�

鈶″捊绲�(ji茅)鍚堣啘鐔憋細鐥呭師鐐鸿吅鐥呮瘨3鍨嬪拰7鍨嬶紝甯哥櫦(f膩)鐢熶簬鏄ュ瀛�銆備互鐧�(f膩)鐔�銆佸捊鐐�銆佺祼(ji茅)鑶滅値鐐虹壒寰�銆�

2.鐒�(w煤)璜栨槸鎴愪汉閭勬槸灏忓厭鐨勬€ユ€т笂鍛煎惛閬撴劅鏌撳潎闇€瑕佽垏閬�(gu貌)鏁忔€ч蓟鐐�銆佹祦琛屾€ф劅鍐�銆佹€ユ€у偝鏌撶梾鏃╂湡鐧ョ媭鐩搁憭鍒�锛屼互鍏嶈瑷�銆傞伩鍏嶅彈娑煎拰閬�(gu貌)搴﹀嫗绱�锛屾湁鍔╀簬闄嶄綆鏄撴劅鎬�锛屾槸闋�(y霉)闃蹭笂鍛煎惛閬撴劅鏌撴渶濂界殑鏂规硶銆�

3.鎬ユ€ф敮姘ｇ鐐庡父瑕�(ji脿n)浜庡瘨鍐峰绡€(ji茅)鎴栨埃鍊欑獊璁婃檪(sh铆)锛屼篃鍙敱鎬ユ€т笂鍛煎惛閬撴劅鏌撻伔寤朵笉鎰堟墍鑷�銆傝嚚搴婄櫏鐙€涓昏鐐哄挸鍡�銆佸挸鐥�銆�

4.鎬ユ€ф敮姘ｇ鐐庣殑娌荤檪鍘熷墖锛�

鈶犲挸鍡界劇(w煤)鐥版垨灏戠棸锛屽彲鐢ㄩ幃(zh猫n)鍜宠棩濡傚彸缇庢矙鑺�;

鈶″挸鍡芥湁鐥拌€屼笉鏄撳挸鍑鸿€呭彲閬哥敤鍙ｆ湇绁涚棸钘�锛屽姘ㄦ捍绱�;

鈶㈡敮姘ｇ鐥欐敚鎴栨埃閬撳弽鎳�(y墨ng)鎬ч珮鐨勬偅鑰呭彲閬哥敤瑙ｇ棛骞冲枠鍜屾姉閬�(gu貌)鏁忛钘ョ墿锛屽姘ㄨ尪鍫�;

鈶ｆ湁绱�(x矛)鑿屾劅鏌撴檪(sh铆)閬哥敤鍚堥仼鐨勬姉鐢熺礌銆傜棸鍩归(y菐ng)闄�(y谩ng)鎬э紝鎸夎嚧鐥呰弻鍙婅棩鏁忕祼(ji茅)鏋滈伕鐢ㄦ姉鑿岃棩銆�

5.COPD楂斿緛

鈶犺瑷猴細妗剁媭鑳�锛屽懠鍚歌畩娣�锛岄牷鐜囧蹇�;

鈶¤Ц瑷猴細闆欏伌(c猫)瑾�(y菙)闊抽渿椤笡寮�;

鈶㈠彥瑷猴細鑲洪儴閬�(gu貌)娓呴煶锛屽績婵侀煶鐣岀府灏�锛岃偤涓嬬晫鍜岃倽婵侀煶鐣屼笅闄�;

鈶ｈ伣(t墨ng)瑷猴細鍏╄偤鍛煎惛闊虫笡寮憋紝鍛兼埃寤堕暦(zh菐ng)锛岄儴鍒嗘偅鑰呭彲鑱炲強骞层€佹繒鍟伴煶銆�

6.鈶犺ê鏂稢OPD鏈€鏈夊児(ji脿)鍊笺€佹渶鏁忔劅鐨勬寚妯�(bi膩o)锛氫竴绉掔巼FEV1/FVC<0.70銆�

鈶″垽鏂稢OPD鐥呮儏杓曢噸鐨勬寚妯�(bi膩o)锛欶EV1%鍗犻爯(y霉)瑷�(j矛)鍊笺€�

鈶㈣ê鏂稢OPD鐨勫繀瑕佹浠舵槸锛氬惛鍏ユ敮姘ｇ鎿�(ku貌)寮佃棩鍚嶧EV1/FVC<0.70鍙奆EV1<0.80闋�(y霉)瑷�(j矛)鍊艰€�銆�

7.鏀埃绠″摦鍠樻€ユ€х櫦(f膩)浣滄不鐧傚師鍓囷細鑳藉惛鍏ヤ笉鍙ｆ湇锛岃兘鍙ｆ湇涓嶆敞灏勩€�

杓曞害——瀹氭檪(sh铆)鍚稿叆绯栫毊璩�(zh矛)婵€绱�銆備笉鑳芥帶鍒跺彛鏈�β2鍙楅珨婵€鍕�(d貌ng)鍔�;

涓害——瑕�(gu墨)鍓囧惛鍏ョ硸鐨唱(zh矛)婵€绱�?锛熸ⅱ閽ヨ瘻顠傝洯顝�?beta;2鍙楅珨婵€鍕�(d貌ng)鍔�;

閲嶅害——闈滆剤婊存敞绯栫毊璩�(zh矛)婵€绱犮€傛寔绾�(x霉)鍚稿叆β2鍙楅珨;

鏈�2鍨嬪懠琛�(鍏╁€�(g猫)鎸囨(bi膩o)涓嶆甯�锛屼簩姘у寲纰虫酱鐣�)锛�——姗�(j墨)姊拌紨鍔╅€氭埃(鍛煎惛姗�(j墨))銆�

8.绶╄В鏀埃绠″摦鍠樼櫦(f膩)浣滅殑棣栭伕钘ョ墿鏄敮姘ｇ鎿�(ku貌)寮佃棩;鎺у埗鏀埃绠″摦鍠樻渶鏈夋晥鐨勮棩鐗╂槸绯栫毊璩�(zh矛)婵€绱�(涓嶆槸鏈€濂界殑鏂规硶)鐨勮棩鐗�;涓昏鐢ㄤ簬闋�(y霉)闃叉敮姘ｇ鍝枠鐨勮棩鐗╂槸鑹茬敇閰搁垑銆�

9.鎬ユ€ф敮姘ｇ鐐庣殑涓昏鐧ョ媭——鍜冲椊;

6鏈堝収(n猫i)瀣板厭鐒�(w煤)鐔辨€ф敮姘ｇ鑲虹値鑰冩叜——琛ｅ師楂旇偤鐐�;

灏忓厭鏀埃绠¤偤鐐庤喛鑳哥殑鐥呭師鑿�——钁¤悇鐞冭弻;

鐨扮柟鎬у捊宄界値——鏌柀濂囩梾姣扐绲�;

灏忓厭閲嶇櫏鑲虹値鑵硅劰鏄庨’锛岃吀槌撮煶娑堝け——涓瘨鎬ц吀楹荤椆銆�

10.鎶楁劅鏌撴不鐧傛槸鑲虹値娌荤檪鐨勬渶涓昏鐠�(hu谩n)绡€(ji茅)銆傞潚澹勾鍜岀劇(w煤)鍩虹(ch菙)鐤剧梾鐨勭ぞ鍗€(q奴)鐛插緱鎬ц偤鐐庣梾浜�锛屽父鐢ㄩ潚闇夌礌椤炪€佺涓€浠ｉ牠瀛㈣弻绱犵瓑锛屽皪(du矛)鑰愯棩鑲虹値閺堢悆鑿屽彲浣跨敤灏�(du矛)鍛煎惛绯绘劅鏌撴湁鐗规晥鐨勬盁鍠硅閰(鑾タ娌欐槦銆佸悏绫虫矙鏄熷拰宸︽哀姘熸矙鏄�)銆傝€佸勾浜�銆佹湁鍩虹(ch菙)鐤剧梾鎴栭渶瑕佷綇闄㈢殑绀惧崁(q奴)鐛插緱鎬ц偤鐐�锛屽父鐢ㄦ盁鍠硅閰鍜岀浜屻€佷笁浠ｉ牠瀛㈣弻绱犲強β-鍏�(n猫i)閰拌兒椤�/β-鍏�(n猫i)閰拌兒閰舵姂鍒跺姂锛屾垨鍘勪粬鍩瑰崡锛屽彲鑱�(li谩n)鍚堝ぇ鐠�(hu谩n)鍏�(n猫i)閰銆傞啱(y墨)闄㈢嵅寰楁€ц偤鐐庡父鐢ㄧ浜屻€佷笁浠ｉ牠瀛㈣弻绱犲強β-鍏�(n猫i)閰拌兒椤�/β-鍏�(n猫i)閰拌兒閰舵姂鍒跺姂銆佹盁鍠硅閰鎴栫⒊闈掗湁鐑銆�

11.閲嶇櫏鑲虹値瑷烘柗妯�(bi膩o)婧�(zh菙n) 涓昏妯�(bi膩o)婧�(zh菙n)锛氣憼闇€瑕佹湁鍓�(chu脿ng)姗�(j墨)姊伴€氭埃;鈶℃劅鏌撴€т紤鍏嬮渶瑕佽绠℃敹绺姂娌荤檪銆傛瑕佹(bi膩o)婧�(zh菙n)锛氣憼鍛煎惛闋荤巼≥30娆�/鍒�;鈶℃哀鍚堟寚鏁�(sh霉)(PaO2/FiO2)≤250;鈶㈠鑲鸿憠娴告饯(r霉n);鈶ｆ剰璀�(sh铆)闅滅/瀹氬悜闅滅;鈶ゆ爱璩�(zh矛)琛€鐧�(BUN≥7mmol/L);鈶ョ櫧绱�(x矛)鑳炴笡灏�(<4.0×109/L);鈶﹁灏忔澘娓涘皯(<100×109/L);鈶т綆楂旀韩(<36鈩�);鈶ㄤ綆琛€澹�锛岄渶瑕佸挤(qi谩ng)鍔涚殑娑查珨鐧傛硶鏀寔銆傜鍚�1闋�(xi脿ng)涓昏妯�(bi膩o)婧�(zh菙n)鎴�3闋�(xi脿ng)娆¤妯�(bi膩o)婧�(zh菙n)浠ヤ笂鑰呭彲瑷烘柗鐐洪噸鐧ヨ偤鐐�锛屾噳(y墨ng)鑰冩叜鏀跺叆ICU娌荤檪銆�

12.鍘熺櫦(f膩)鎬ц偤绲�(ji茅)鏍革細澶氳(ji脿n)浜庡皯骞村厭绔�銆傝兏鐗囩ず鍟為埓鍨�(鐗归粸(di菐n))闄板奖锛屽嵆鍘熺櫦(f膩)鐥呯伓銆佸紩娴佹穻宸寸鐐庡拰鑲洪杸娣嬪反绲�(ji茅)鑵ぇ锛屽舰鎴愬吀鍨嬬殑鍘熺櫦(f膩)缍滃悎寰�銆傜辜鐧�(f膩)鎬ц偤绲�(ji茅)鏍革細澶氱櫦(f膩)鐢熷湪鎴愪汉锛屽ソ鐧�(f膩)鍦ㄤ笂钁夊皷鍚庢鍜屼笅钁夎儗娈点€�

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