ÉîÛÚÊÐ×ÛºÏÒ½ÔºÒ½ÓÃÉ豸»ù±¾ÅäÖñê×¼Ö¸Òý
±í 3-26 Âé×í¿Æ»ù±¾É豸ÅäÖñí
´² λ ¹æ Ä£ £¨´²£©
Éè ±¸ Ãû ³Æ
200
400
600
800
1000
1200
1500
1800
Éè ±¸ Êý Á¿ £¨Ì¨/Ì×/ÕÅ£©
ÊÖ Êõ ¼ä Éè ±¸
¶à¹¦ÄÜÂé×í»ú Âé×í¹¤×÷Õ¾ ¼à»¤ÒÇ Âé×íÉî¶È¼à²âÒÇ ¼¡Ëɼà²âÒÇ Óд´ÐŦÄܼà²âÒÇ ÄýѪ¹¦Äܼà²âÒÇ ²ÊÉ«³¬Éù¶¨Î»ÒÇ Éñ¾¶¨Î»ÒÇ ¸ßƵÅçÉäÍ¨Æø»ú ÏËÎ¬Ö§Æø¹Ü¾µ ¿ÉÊÓºí¾µÏµÍ³ ¹âÏ˲å¹Üºí¾µ ÑªÆø·ÖÎöÒÇ ÑªÆø·ÖÎöÒÇ£¨±ãЯʽ£©
΢Á¿×¢Éä±Ã °Ð¿ØÊä×¢¾²ÂöÂé×í±Ã Âé×í»ú/ºôÎü»ú ¼à»¤ÒÇ Âé×í»ú ¼à»¤ÒÇ
4 0 4 0 1 0 0 0 1 0 0 0 4 0 1 6 0 1 1 0 0
8 0 8 0 1 0 0 0 1 1 0 0 8 0 1 12 2 2 2 0 0
10 2 12 2 2 0 0 0 2 1 1 1 10 0 1 18 3 3 3 3 3
13 3 16 3 2 1 1 1 2 2 2 2 14 1 1 24 5 5 5 4 4
16 4 20 6 4 1 1 1 4 2 2 2 18 1 1 30 7 6 6 5 5
19 5 24 6 4 2 2 1 4 3 3 3 22 1 1 36 9 8 8 6 6
24 6 30 8 6 2 2 1 4 3 3 3 26 1 1 45 11 10 10 7 7
29 7 36 8 6 2 2 1 4 3 3 3 32 1 1 54 13 12 12 8 8
Âé ×í »Ö ¸´ ÊÒ Éè ±¸
Âé ×í ÓÕ µ¼ ÊÒ Éè ±¸
3.15 3.15.1
ÖÐÒ½¿Æ»ù±¾É豸ÅäÖñê×¼
±¾ÅäÖñê×¼¸ù¾Ý±¾ÊÐÒ½ÁÆ»ú¹¹µÄʵ¼ÊÇé¿ö£¬½«¹¦Äܼì²éÉ豸·Ö±ðÅä
ÖÃÔÚÏàӦʹÓÿÆÊÒ¡£ÖÐÒ½¿ÆÒËÅäÖÃÉÙÁ¿±ØÒªµÄ¹¦Äܼì²éÉ豸ÓëÏàÓ¦µÄÖÎÁÆÉ豸¡£
3.15.2
×ÛºÏÒ½ÔºÖÐÒ½¿ÆËùÐè»ù±¾Ò½ÓÃÉ豸£¬°´±í 3-27 ÅäÖá£
±í 3-27 ÖÐÒ½¿Æ»ù±¾É豸ÅäÖñí
´² λ ¹æ Ä£ £¨´²£©
Éè ±¸ Ãû ³Æ
200
400
600
800
1000
1200
1500
1800
Éè ±¸ Êý Á¿ £¨Ì¨/Ì×/ÕÅ£©
µÍƵ´ÅÁÆ»ú ¾Æ¤¸øÒ©ÖÎÁÆÒÇ
0 0
1 1
1 1
25
1 1
1 1
1 1
1 1
1 1
ÉîÛÚÊÐ×ÛºÏÒ½ÔºÒ½ÓÃÉ豸»ù±¾ÅäÖñê×¼Ö¸Òý
ÖÐÒ©Þ¹ÕôÖÎÁÆ´² µçÕëÖÎÁÆÒÇ ³¬¶Ì²¨µçÁÆÒÇ
1 1 1
1 2 1
1 2 1
1 2 1
2 2 1
2 2 1
3 2 1
3 2 1
3.16 3.16.1 ÐèÉ豸¡£
3.16.2
ÐÄÀíҽѧ¿Æ»ù±¾É豸ÅäÖñê×¼
±¾ÅäÖñê×¼ËùÁÐ×ÛºÏÒ½ÔºÐÄÀíҽѧ¿ÆÉ豸£¬ÎªÁÙ´²ÐÄÀíרҵÃÅÕïËù
×ÛºÏÒ½ÔºÐÄÀíҽѧ¿ÆËùÐè»ù±¾Ò½ÓÃÉ豸£¬°´±í 3-28 ÅäÖá£
±í 3-28 ÐÄÀíҽѧ¿Æ»ù±¾É豸ÅäÖñí
´² λ ¹æ Ä£ £¨´²£©
Éè ±¸ Ãû ³Æ 200 400 600 800 1000 1200 1500 1800
Éè ±¸ Êý Á¿ £¨Ì¨/Ì×/ÕÅ£©
ÉúÎï·´À¡ÖÎÁÆÒÇ ¾«ÉñѹÁ¦·ÖÎöÒÇ ÐÄÀí²âÊÔϵͳ
0 0 0
0 0 0
1 1 1
1 1 1
2 2 2
2 2 2
2 2 2
2 2 2
3.17 3.17.1
ÀíÁƿƻù±¾É豸ÅäÖñê×¼
±¾ÅäÖñê×¼¼¯ÖÐÅäÖÃÖÎÁƲ»Í¬¼²»¼ËùÐèÒªµÄÀíÁÆÉ豸£¬²¿·ÖÒ½ÁÆ¿Æ
ÊÒ²»¿ÉÒÆ¶¯×¡Ôº²¡ÈËËù±ØÐèµÄÀíÁÆÉ豸ÅäÖÃÔÚÏàÓ¦¿ÆÊÒ¡£
3.17.2
×ÛºÏÒ½ÔºÀíÁÆ¿ÆËùÐè»ù±¾Ò½ÓÃÉ豸£¬°´±í 3-29 ÅäÖá£
±í 3-29 ÀíÁƿƻù±¾É豸ÅäÖñí
´² λ ¹æ Ä£ £¨´²£©
Éè ±¸ Ãû ³Æ
200
400
600
800
1000
1200
1500
1800
Éè ±¸ Êý Á¿ £¨Ì¨/Ì×/ÕÅ£©
³¬¶Ì²¨ÖÎÁÆÒÇ£¨Á¢Ê½£© ³¬¶Ì²¨µçÁÆ»ú£¨Îå¹Ù£©
΢²¨ÖÎÁÆÒÇ ³¬ÉùÖÎÁÆÒÇ ÖÐÆµÖÎÁÆÒÇ/ ÖÇÄÜÎÂÈÈÖÐÆµÖÎÁÆÒÇ ³¬¼¤¹âÖÎÁÆÒÇ£¨Æ«Õñ¹â£© ÎÂÈÈʽµÍÖܲ¨ÖÎÁÆÒÇ ´ÅÕñÈÈÖÎÁÆÒÇ µÍƵÖÎÁÆ»ú ¸ÉÈŵçÖÎÁÆ»ú º¤Äʼ¤¹âÖÎÁÆÒÇ/
1 1 1 1 1 0 1 0 1 1 0
1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 2 1 1 2 1 1 1
2 1 1 1 3 1 2 3 2 1 2
2 2 2 2 3 1 2 3 2 1 2
2 2 2 2 4 1 3 4 2 1 3
3 2 2 2 4 2 3 4 3 2 3
3 2 2 2 5 2 4 4 3 2 3
26
ÉîÛÚÊÐ×ÛºÏÒ½ÔºÒ½ÓÃÉ豸»ù±¾ÅäÖñê×¼Ö¸Òý
°ëµ¼Ì弤¹âÖÎÁÆÒÇ
Ç£Òý´² Ç£ÒýÒΠѬÕôÖÎÁÆ´²
1 1 1
1 1 1
1 1 1
2 2 1
2 2 2
2 2 2
3 3 2
3 3 2
3.18 3.18.1
ÖØÖ¢Ò½Ñ§¿Æ»ù±¾É豸ÅäÖñê×¼
±¾ÅäÖñê×¼°´´²Î»¹æÄ£ 2-6%µÄ±ÈÀýÈ·¶¨±¾ÊÐ×ÛºÏÒ½ÔºÖØÖ¢¼à»¤²¡
´²µÄÊýÁ¿£¬·ÖÉèÄÚ¿Æ¡¢Íâ¿ÆºÍÐÄѪ¹ÜÈý¸öÑÇ×¨ÒµÖØÖ¢¼à»¤²¡Çø£¬É豸£¨ÒÇÆ÷£©Í³ Ò»ÅäÖü°¹ÜÀí¡£
3.18.2
×ÛºÏÒ½ÔºÖØÖ¢Ò½Ñ§¿Æ³ýÅäÖñر¸µÄÒ½ÓÃÉ豸Í⣬Ӧ°´¹ú¼ÒÎÀÉúÖ÷¹Ü
²¿ÃŵÄÓйع涨ÅäÖþ߱¸ÏàӦרҵ×ÊÖʵÄÎÀÉú¼¼ÊõÈËÔ±¡£
3.18.3
×ÛºÏÒ½ÔºÖØÖ¢Ò½Ñ§¿ÆËùÐè»ù±¾Ò½ÓÃÉ豸£¬°´±í 3-30 ÅäÖá£
±í 3-30 ÖØÖ¢Ò½Ñ§¿Æ»ù±¾É豸ÅäÖñí
´² λ ¹æ Ä£ £¨´²£©
Éè ±¸ Ãû ³Æ
200
400
600
800
1000
1200
1500
1800
Éè ±¸ Êý Á¿ £¨Ì¨/Ì×/ÕÅ£©
ICU ²¡´² ÖÐÐļ໤ϵͳ ¼à»¤ÒÇ ±ãЯʽ¼à»¤ÒÇ ³ý²üÆð²«¼à»¤ÒÇ Ðĵçͼ»ú ÑǵÍÎÂÖÎÁÆÒÇ ºôÎü»ú ±ãЯʽºôÎü»ú Õñ¶¯ÅÅ̵»ú ÏËÎ¬Ö§Æø¹Ü¾µ ÏËÎ¬Ö§Æø¹Ü²å¹Ü¾µ ±ãЯʽѪÑõ±¥ºÍ¶ÈÒÇ
ÁÙʱÆð²«Æ÷ ICU É豸רÓõõ¼Ü
ÊäÒº±Ã ΢Á¿×¢Éä±Ã ³¦ÄÚÓªÑøÊä×¢±Ã ÆøÑ¹ÖÎÁÆÒÇ ÑªÌÇÒÇ Ï´Î¸»ú ÑªÆø·ÖÎöÒÇ
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 1 14 2 1 1 3 8 1 2 1 1 2 2 12 12 36 12 3 2 1 1
24 2 28 4 2 2 6 12 2 4 2 2 4 4 24 24 54 18 6 4 1 2
27
40 2 48 4 3 3 8 16 2 6 4 4 6 6 40 40 72 24 8 4 1 2
50 4 60 6 6 6 10 24 4 4 4 4 4 4 4 4 4 4 4 4 4 4
60 5 72 10 8 8 14 40 6 8 6 6 8 10 60 60 180 60 12 10 2 6
90 6 102 12 10 10 16 48 8 10 8 8 8 12 90 90 216 72 16 12 2 8
108 9 120 15 12 12 20 72 10 10 10 10 10 14 108 108 324 108 20 18 2 10
ÉîÛÚÊÐ×ÛºÏÒ½ÔºÒ½ÓÃÉ豸»ù±¾ÅäÖñê×¼Ö¸Òý
Ö÷¶¯ÂöÇòÄÒ·´²«±Ã ѪҺ¾»»¯»ú ³¬ÉùÕï¶ÏÒÇ ±ãЯʽ³¬ÉùÕï¶ÏÒÇ Âö²«Ö¸Ê¾Á¬ÐøÐÄÅÅѪÁ¿
¼ì²âÒÇ ³¬ÉùÄÚ¾µÇåÏ´Ïû¶¾»ú Ðķθ´ËÕÇÀ¾È³µ
0 0 0 0 0 0 0
1 0 1 1 1 1 1
1 2 1 2 2 2 2
2 2 1 2 2 2 2
4 4 4 4 4 4 4
3 6 4 4 3 4 6
4 8 6 6 4 5 8
4 10 6 6 4 6 10
3.19 Ô¤·À±£½¡¿Æ»ù±¾É豸ÅäÖñê×¼
Ô¤·À±£½¡¿ÆÖ÷Òª¸ºÔð¹æ¶¨ÇøÓò·¶Î§ÄÚµÄÎÀÉúÐû´«¡¢½¡¿µ½ÌÓýºÍÔ¤·À½ÓÖֵȹ¤ ×÷£¬ËùÐèÉ豸Ïà¶Ô½ÏÉÙÇÒ¼Û¸ñ½ÏµÍ£¬Ó¦ÄÉÈëרÏî×ʽðÁÐÖ§¡£
4 Ò½¼¼¿ÆÊÒÒ½ÓÃÉ豸»ù±¾ÅäÖñê×¼
4.1 Ò½¼¼¿ÆÊÒÉ豸¶àΪҽÁÆÕï¶ÏÉ豸£¬×ÛºÏÒ½ÔºÒ½¼¼¿ÆÊÒËùÐè»ù±¾Ò½ÓÃÉè
±¸£¬°´ÏàÓ¦¿ÆÊÒµÄÉ豸ÅäÖñíËùÁÐÅäÖá£
4.2 4.2.1
Ò©¼Á¿Æ»ù±¾É豸ÅäÖñê×¼
ÃÅÕïÒ©·¿£¨¼±Õï¿ÆÒ©·¿¡¢¸ÐȾ¿ÆÒ©·¿£©ºÍ²¡·¿Ò©·¿µÄÖ÷ÒªÉ豸Ϊҩ
Æ··Ö°ü»ú¡¢µ÷¼Ą́¡¢Ò©Æ·¹ñ¡¢Ò©Æ·À䲨É豸¼°ÌØÊâÒ©Æ·´¢´æÉ豸¡£ÆäÖÐÒ©Æ··Ö°ü »úºÍÒ©Æ·À䲨É豸ÁÐÈë±¾ÅäÖñê×¼²¢ÄÉÈëÉ豸¹ºÖÃÏîÄ¿½¨ÒéÊéºÍ¿ÉÐÐÐÔÑо¿±¨ ¸æ£¬ÓëÆäËüÒ½ÓÃÉ豸һ²¢±¨É󡣯äÓàÉ豸ÄÉÈëרÏî×ʽðÁÐÖ§¡£
4.2.2
¾Ò©Æ·¼à¶½¹ÜÀí²¿ÃÅÅú×¼ÉèÖõÄÔºÄÚÖÆ¼ÁÊÒ¡¢¾»»¯ÉèʩӦÓëÓ÷¿µÈ
»ù´¡Éèʩͬ²½Íê³É»òרÏîÁÐÖ§½¨É裬Ö÷ÒªÅäÖÆÉ豸¡¢¼ì²âÒÇÆ÷µÈÓ¦°´¹ú¼ÒÏà¹Ø±ê ×¼Óë¹æ·¶µÄÒªÇóÌá³öÅäÖÃÇåµ¥¼°ÏàÓ¦·ÑÓã¬ÓëÆäËûÒ½ÓÃÉ豸һ²¢±¨Éó¡£
4.2.3
ÉèÖÃÅäÒºÊÒ¡¢¾»»¯ÉèʩӦÓëÓ÷¿µÈ»ù´¡Éèʩͬ²½Íê³É»òרÏîÁÐÖ§½¨
Éè¡£ËùÐèÉ豸Ӧ°´Ïà¹Ø±ê×¼Óë¹æ·¶µÄÒªÇóÌá³öÅäÖÃÇåµ¥¼°ÏàÓ¦·ÑÓã¬ÓëÆäËûÒ½Óà É豸һ²¢±¨Éó¡£
4.2.4 4.3 4.3.1
Ò©Æ·¿â·¿Öеĸ÷ÀàÉ豸£¬ÄÉÈëרÏî×ʽðÁÐÖ§¡£ ҽѧ¼ìÑé¿Æ»ù±¾É豸ÅäÖñê×¼
±¾ÅäÖñê×¼¶Ôҽѧ¼ìÑé¿ÆËùÐèÉ豸£¬°´ÁÙ´²ÌåÒº¡¢ÑªÒº¡¢ÁÙ´²Î¢Éú
28