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閱�(y墨)鐢↖T渚涢浕绯荤当(t菕ng)涔熺ū鐐洪啱(y墨)鐢ㄤ笉鎺ュ湴渚涢浕绯荤当(t菕ng)锛屾垨閱�(y墨)鐢ㄩ殧闆㈤浕婧�銆侷T鏂瑰紡渚涢浕绯荤当(t菕ng)鐨�“I”琛ㄧず闆绘簮鍋�(c猫)娌掓湁宸ヤ綔鎺ュ湴锛屾垨缍�(j墨ng)閬庨珮闃绘姉鎺ュ湴銆�“T”琛ㄧず璨�(f霉)杓夊伌(c猫)闆绘埃瑷�(sh猫)鍌欓€�(j矛n)琛屾帴鍦颁繚璀�(h霉)銆傞啱(y墨)闄㈢殑渚涢厤闆绘柟寮忚垏鍏朵粬姘戠敤寤虹瓚鏈夎純澶у崁(q奴)鍒ワ紝鍥�?y脿n)妯靛嵑t(y墨)闄㈢殑鐗规畩鐠�(hu谩n)澧冮噷婕忛浕娴佸皪鐥呬汉妲�(g貌u)鎴愪簡娼涘湪鐨勫嵄闅�(xi菐n)銆傚挨鍏跺湪鎵嬭(sh霉)瀹�銆佺洠(ji膩n)璀�(h霉)瀹ょ瓑鐗规畩鍫存墍锛屽洜鐥呬汉鍦ㄩ夯閱夌媭鎱�(t脿i)涓嬪け鍘绘垨闄嶄綆闃茶(w猫i)鑳藉姏锛屽悇绋浕妤�銆佸偝鎰熷櫒鎴栬€呯閬撶洿鎺ユ彃鍏ョ梾浜洪珨鍏�(n猫i)锛屽鏋滄湁10μA鐨勯浕娴佺洿鎺ユ祦閬庣梾浜哄績鑷燂紝灏辨渻(hu矛)閫犳垚浜洪珨瑙搁浕姝讳骸锛岄啱(y墨)瀛�(xu茅)涓婄ū涔嬬偤“寰浕鎿�”銆傜敱浜庨€欑ó娼涘湪鍗遍毆(xi菐n)锛屽緢澶氬湅瀹跺拰鍦嬮殯妯�(bi膩o)婧�(zh菙n)閮藉皪閱�(y墨)鐧傞牁(l菒ng)鍩燂紝灏ゅ叾鏄偅浜涚敓鍛芥敻闂�(gu膩n)鐨勫牬鎵€锛屽閲嶇櫏鐩�(ji膩n)璀�(h霉)瀹ゃ€佸績鑷熺洠(ji膩n)璀�(h霉)瀹�銆侀夯閱夊銆佹墜琛�(sh霉)瀹�銆佹墜琛�(sh霉)婧�(zh菙n)鍌欏銆佹墜琛�(sh霉)鎭㈠京(f霉)瀹�銆佸績鑷熷皫(d菐o)绠℃彃鍏ュ銆佽绠￠€犲奖鐩�(ji膩n)瀵熷銆佹棭鐢�(ch菐n)鍏掔洠(ji膩n)璀�(h霉)瀹ょ瓑鍫存墍鐨勯厤闆婚渶瑕佸仛鍑轰簡鐗规畩鐨勮(gu墨)瀹氬拰瑕佹眰銆�

鏍规摎(j霉)鍦嬮殯闆诲伐鍗�(xi茅)鏈�(hu矛)锛圛EC锛夋湁闂�(gu膩n)瑕�(gu墨)瀹�锛岄啱(y墨)鐢ㄩ殧闆㈤浕婧愪緵闆荤郴绲�(t菕ng)闇€瑕佸寘鎷細绲曠罚鐩�(ji膩n)瑕栧剙銆侀殧闆㈣畩澹撳櫒銆佽畩澹撳櫒璨�(f霉)杓夊拰婧害鐩�(ji膩n)瑕栬ō(sh猫)鍌�銆佸鎺ュ牨(b脿o)璀﹂’绀鸿ō(sh猫)鍌欑瓑銆傚洜姝�锛岃ū澶氬湅闅涜垏鍦嬪妯�(bi膩o)婧�(zh菙n)瑾�(r猫n)瀹氾紝浣跨敤閱�(y墨)鐢ㄩ殧闆㈤浕婧愪緵闆荤郴绲�(t菕ng)鏄啱(y墨)鐧傚牬鎵€渚涢浕瀹夊叏鍙潬鐨勯棞(gu膩n)閸�銆�

閱�(y墨)鐢ㄩ殧闆㈤浕婧愪緵闆荤郴绲�(t菕ng)鍦ㄤ緵闆昏窛闆笉鏄緢闀锋檪(sh铆)锛屼緵闆荤殑鍙潬鎬ч珮銆佸畨鍏ㄦ€уソ銆備竴鑸敤浜庝笉鍏佽ū鍋滈浕鎴�?q奴)顬呪晣濞築绾�(x霉)鎬ф湁鍤�(y谩n)鏍艰姹傜殑閱�(y墨)鐧�2椤炲牬鎵€銆�

1銆侀啱(y墨)鐢ㄩ殧闆㈤浕婧愪緵闆荤郴绲�(t菕ng)妲�(g貌u)鎴�

1.1闅旈洟璁婂鍣�

闅旈洟闆绘簮閫氶亷闅旈洟璁婂鍣ㄧ偤閱�(y墨)闄㈤噸瑕佸牬鎵€鎻愪緵闅旈洟鍚庣殑瀹夊叏闆�锛岃畩澹撴瘮鐐�1:1銆傞€欑ó璁婂鍣ㄧ殑鍒濈礆绶氬湀鍖濇暩(sh霉)绛変簬娆＄礆绶氬湀鍖濇暩(sh霉)锛屽悓鏅�(sh铆)鍒濈礆绶氬湀鍜屾绱氱窔鍦堜箣闁撻珮搴︾禃绶�锛屽苟瑷�(sh猫)缃潨闆诲睆钄藉睆锛屾渶澶х▼搴﹀湴娓涘皯浜嗗叐绻炵祫涔嬮枔鐨勯浕纾佸共鎿�銆�

1.2绲曠罚鐩�(ji膩n)娓剙

绲曠罚鐩�(ji膩n)娓剙鐢ㄤ簬鐩�(ji膩n)娓琁T绯荤当(t菕ng)灏嶅湴鐨勭禃绶ｇ媭鎱�(t脿i)锛岀暥(d膩ng)绯荤当(t菕ng)鍑虹従(xi脿n)绲曠罚鏁呴殰鏅�(sh铆)锛岃兘澶犲強鏅�(sh铆)鐧�(f膩)鍑哄牨(b脿o)璀︿俊铏�(h脿o)锛屾彁閱掑伐浣滀汉鍝℃牴鎿�(j霉)瀵�(sh铆)闅涙儏娉侀€�(j矛n)琛岃檿鐞�銆傚悓鏅�(sh铆)閭勮兘灏嶈畩澹撳櫒璨�(f霉)鑽烽浕娴併€佽畩澹撳櫒绻炵祫婧害閫�(j矛n)琛岀洠(ji膩n)娓�锛屼繚璀夐殧闆㈣畩澹撳櫒鐨勫彲闈犮€佹甯搁亱(y霉n)琛�銆�

1.3闆嗕腑鍫�(b脿o)璀﹁垏椤ず鍎€

鑳藉?q奴)宕焤(sh铆)椤ず閱�(y墨)鐧傜禃绶ｇ洠(ji膩n)娓剙鐣�(d膩ng)鍓嶇禃绶ｉ浕闃汇€佽畩澹撳櫒璨�(f霉)鑽风巼绛夌洠(ji膩n)娓暩(sh霉)鎿�(j霉)锛屽苟鍦ㄧ郴绲�(t菕ng)鍑虹従(xi脿n)鏁呴殰鏅�(sh铆)鐧�(f膩)鍑鸿伈鍏夊牨(b脿o)璀︿俊铏�(h脿o)锛屽苟鍙€氶亷鍫�(b脿o)璀﹁垏椤ず鍎€閬�(yu菐n)绋嬭ō(sh猫)缃禃绶ｇ洠(ji膩n)娓剙鐨勫牨(b脿o)璀﹂柧鍊�銆傝┎瑁濈疆涓昏瀹夎浜庢墜琛�(sh霉)瀹ゆ垨閲嶇櫏鐩�(ji膩n)璀�(h霉)瀹ゅ収(n猫i)鐨勪俊鎭帶鍒堕潰鏉夸笂锛屼互渚夸簬閱�(y墨)璀�(h霉)浜哄摗浜嗚В闅旈洟闆绘簮绯荤当(t菕ng)鐨勯亱(y霉n)琛岀媭娉侊紝浠ュ強绯荤当(t菕ng)鍑虹従(xi脿n)鏁呴殰鏅�(sh铆)鐨勬晠闅滈鍨�銆�

1.4绲曠罚鏁呴殰瀹氫綅

绲曠罚鏁呴殰瀹氫綅鐢辨晠闅滃畾浣嶅剙鍙婃脯瑭︿俊铏�(h脿o)鐧�(f膩)鐢熷櫒鍏╅儴鍒嗚ō(sh猫)缃畬鎴愶紝涓昏閲囩敤楂橀潏鏁忓害鐨勪簰鎰熷櫒閰嶅悎楂樼簿搴︾殑淇¤櫉(h脿o)妾㈡脯闆昏矾锛屾娓脯瑭︿俊铏�(h脿o)鐧�(f膩)鐢熷櫒娉ㄥ叆绯荤当(t菕ng)涓殑淇¤櫉(h脿o)锛屾簴(zh菙n)纰哄畾浣嶇禃绶ｆ晠闅滄墍鍦ㄧ殑鍥炶矾锛屾柟渚垮伐浣滀汉鍝＄董璀�(h霉)鑸囨淇�銆�

2閱�(y墨)鐢ㄩ殧闆㈤浕婧愪娇鐢ㄧ殑蹇呰鎬�

1锛夋湁鏁堜繚闅滈啱(y墨)鐧傝ō(sh猫)鍌欑殑姝ｅ父閬�(y霉n)琛�銆�

2)闃叉鍏朵粬渚涢浕鍥炶矾涓殑婕忛浕娴侀€氶亷鎺ュ湴绶氱珓鍏ユ墜琛�(sh霉)瀹�銆両CU銆丆CU绛夌壒娈婂牬鎵€鐨勯啱(y墨)鐧傝ō(sh猫)鍌欎笂灏嶇梾浜虹殑瀹夊叏妲�(g貌u)鎴愬嵄闅�(xi菐n)銆�

3锛夐啱(y墨)鐢ㄩ殧闆㈤浕婧愭笡灏戜簡鍚勭ó閱�(y墨)鐧傝ō(sh猫)鍌欏彲鑳藉嚭鐝�(xi脿n)鐨勫皪鍦版晠闅�銆備竴鏃﹂殧闆㈤浕婧愪笂鎵€鎺ョ殑鍚勭ó閱�(y墨)鐧傝ō(sh猫)鍌欏嚭鐝�(xi脿n)灏嶅湴鏁呴殰锛屽洜鍏跺皪鍦颁笉鑳芥(g貌u)鎴愬洖璺紝鎵€浠ュ彧鑳界敘(ch菐n)鐢熶竴鍊�(g猫)寰堝皬鐨勫鎬ф紡闆绘祦锛屾サ澶у湴淇濊(h霉)浜嗙梾浜哄厤閬紡闆绘祦鐨勫偡瀹�銆�

4)閱�(y墨)鐧傝ō(sh猫)鍌欑櫦(f膩)鐢熺禃绶ｆ晠闅滄檪(sh铆)锛屽洜闆绘簮涓€ч粸(di菐n)涓嶆帴鍦�锛岀暥(d膩ng)璨�(f霉)杓夌鍑虹従(xi脿n)绗竴榛�(di菐n)灏嶅湴绲曠罚鏁呴殰鏅�(sh铆)锛屽洜鍏跺皪鍦颁笉鑳芥(g貌u)鎴愬洖璺�锛屽彧鏈�(hu矛)鐢�(ch菐n)鐢熶竴鍊�(g猫)寰堝皬鐨勬紡闆绘祦锛屼笉鏈�(hu矛)灏�(d菐o)鑷翠繚璀�(h霉)瑁濈疆锛堝绌洪枊锛夊嫊(d貌ng)浣滃垏鏂蜂緵闆�锛屾墜琛�(sh霉)瀹や笉鏈�(hu矛)鐧�(f膩)鐢熺獊鐒跺仠闆讳簨鏁咃紝寰炶€岀浉灏嶇殑淇濊瓑浜嗘墜琛�(sh霉)瀹や緵闆荤殑閫ｇ簩(x霉)鎬�銆�

5)閱�(y墨)鐢ㄩ殧闆㈤浕婧愰檷浣庝簡灏嶅湴婕忛浕娴�锛屾晠鎻愰珮浜嗛槻鐏畨鍏ㄦ€�銆�

6)閱�(y墨)闄㈠湪灏嶉啱(y墨)鐧傝ō(sh猫)鍌欐晠闅滄淇董淇檪(sh铆)锛岀稉(j墨ng)甯搁渶瑕佸湪閫氶浕鐙€鎱�(t脿i)涓嬫帴瑙搁浕璺腑鐨勫厓鍣ㄤ欢鎴栭浕璺腑鐨勫湴绶�锛屼娇鐢ㄩ啱(y墨)鐢ㄩ殧闆㈤浕婧愬彲浠ラ槻姝㈤啱(y墨)闄㈣ō(sh猫)鍌欑董淇汉鍝¤Ц闆荤殑鍗遍毆(xi菐n)銆�

3銆佸缓璀版帴鍏ラ殧闆㈤浕婧愮郴绲�(t菕ng)闆荤恫(w菐ng)鐨勭敤闆昏ō(sh猫)鍌�

閱�(y墨)鐧傚牬鎵€寤鸿鎺ュ叆闅旈洟闆绘簮绯荤当(t菕ng)闆荤恫(w菐ng)鐨勭敤闆昏ō(sh猫)鍌欏寘鎷細楂橀牷闆诲垁鍙婂叾浠栭珮闋诲绉戣ō(sh猫)鍌�銆侀櫎椤剙銆佸懠鍚告(j墨)銆侀夯閱夋(j墨)銆佹亽婧煿椁�(y菐ng)绠�銆侀€忔瀽瑷�(sh猫)鍌欍€佺洠(ji膩n)璀�(h霉)鍎€銆佽几娑叉车銆佹敞灏勬车銆佸績鑲烘(j墨)銆侀珨澶栧惊鐠�(hu谩n)姗�(j墨)绛�銆�

4銆侀啱(y墨)鐢ㄩ殧闆㈤浕婧愪緵闆荤郴绲�(t菕ng)閰嶇疆鏂规

灞辨澅娉伴枊鎴愬闆诲櫒鏈夐檺鍏徃鏄敱鍦嬪宸ュ晢灞€娉ㄥ唺鐨勭爺鍒堕枊鐧�(f膩)鐢熺敘(ch菐n)550KV鍙婁互涓嬮浕澹撶瓑绱氳几璁婇浕闆诲櫒鎴愬瑷�(sh猫)鍌欑殑澶у瀷灏堟キ(y猫)浼佹キ(y猫)锛岄泦鍦�(tu谩n)娉ㄥ唺璩囬噾20.08鍎勫厓锛屽崰鍦�413骞虫柟绫筹紝寤犳埧寤虹瓚闈㈢⿳62钀钩鏂圭背锛岃伔宸�7400浣欎汉锛屽叾涓皥妤�(y猫)鎶€琛�(sh霉)浜哄摗2500浣欎汉锛屾搧鏈�17鍊�(g猫)鍏ㄨ硣瀛愬叕鍙�锛岀稖鍚堢稉(j墨ng)婵�(j矛)瀵�(sh铆)鍔涘湪鍏ㄥ湅楂樺闁嬮棞(gu膩n)琛屾キ(y猫)鍒楀墠鍥涗綅锛屽北鏉辩渷灞呴浣嶃€傝┎鍏徃浜�2013骞�7鏈堝湪瀹夌鐟為浕姘ｈ▊璩间簡6濂�5浠跺鐢�(ch菐n)鍝�銆�

4.1鎵嬭(sh霉)瀹ら厤缃柟妗�

4.2 ICU/CCU鐥呮埧閰嶇疆鏂规

4.3闅旈洟闆绘簮鐩�(ji膩n)鎺х郴绲�(t菕ng)閰嶇疆娓呭柈

5绲�(ji茅)瑾�

闅旈洟闆绘簮閫氶亷闅旈洟璁婂鍣ㄧ偤閲嶈鍫存墍鎻愪緵闅旈洟鍚庣殑瀹夊叏闆绘簮锛岀偤灞辨澅娉伴枊鎴愬闆诲櫒鏈夐檺鍏徃鎻愪緵涓€鍊�(g猫)瀹夊叏鍙潬鐨勯浕婧�锛屼繚璀変簡閱�(y墨)鐧傛(j墨)妲�(g貌u)鐢ㄩ浕瀹夊叏銆備娇鐢ㄩ啱(y墨)鐢ㄩ殧闆㈤浕婧愪緵闆荤郴绲�(t菕ng)鏄繚璀夐啱(y墨)鐧傚牬鎵€鐢ㄩ浕瀹夊叏鐨勯棞(gu膩n)閸碉紝灏嶄簬閱�(y墨)鐧傚牬鎵€鐨勯浕姘ｅ畨鍏ㄦ湁钁楅噸瑕佺殑浣滅敤銆�

[鍙冭€冩枃鐛�(xi脿n)]

[1]閭靛缓鍕�.閱�(y墨)鐢↖T绯荤当(t菕ng)鍦ㄩ啱(y墨)鐧傚牬鎵€鐨勬噳(y墨ng)鐢╗J].涓湅閱�(y墨)闄㈠缓绛戣垏瑁濆倷,2008,(6):32-39.

[2]寮靛仴,鏉庡墰.閱�(y墨)鐢↖T绯荤当(t菕ng)鍦ㄩ啱(y墨)闄�2椤炲牬鎵€涓殑鎳�(y墨ng)鐢╗J].寤虹瓚闆绘埃,2006,(4):14-15.

[3]寮靛,鏉滄渻(hu矛)闄�.璜囬啱(y墨)鐧侷T绯荤当(t菕ng)鐨勪緵闆昏垏鎺ュ湴瑷�(sh猫)瑷�(j矛)[J].鏅鸿兘寤虹瓚闆绘埃鎶€琛�(sh霉),2010,(1):13-18.

[4]闄虫棩閶�,姹熶腑鍋�,鑳℃捣闇�.閱�(y墨)鐢ㄩ殧闆㈤浕婧愭煖鐨勮ō(sh猫)瑷�(j矛)鑸囨噳(y墨ng)鐢╗J].鏅鸿兘寤虹瓚闆绘埃鎶€琛�(sh霉),2011,(4):86-89.

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[7]瑷辫槶棣�.娣鸿珖閱�(y墨)闄㈤浕姘ｈō(sh猫)瑷�(j矛)涓殑鎺ュ湴绯荤当(t菕ng)[J].姹熻タ闆诲姏鑱锋キ(y猫)鎶€琛�(sh霉)瀛�(xu茅)闄㈠(xu茅)鍫�(b脿o),2003,(2):30-32.

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