1. 鎵т笟鎶ゅ＋ICU涓村簥鎶ょ悊鍩虹鐭ヨ瘑鐐
銆銆瀵艱錛欼CU(Intensive Care Unit鐨勭緝鍐)鍗抽噸鐥囧姞寮烘姢鐞嗙棶鎴匡紝鍦ㄩ欐腐鍜屾境闂ㄧ殑鍖婚櫌錛孖CU鍙堣縐頒負娣卞垏娌葷枟閮ㄣ備笅闈㈡垜浠涓璧鋒潵鐪嬬湅鍏充簬ICU鐨勮冭瘯鐭ヨ瘑鐐逛笌宸ヤ綔瑕佹眰鍚с
銆銆ICU鎶ょ悊錛
銆銆鏍規嵁鎮ｈ呯棶鎯呭拰鎶ょ悊閲忋佹姢澹宸ヤ綔鑳藉姏瀹夋帓鐩戞姢浜哄憳錛岃繖鏍鋒棦淇濊瘉浜嗙洃鎶よ川閲忥紝閿葷偧鎶ょ悊闃熶紞錛屽張涓哄熀紜鎶ょ悊璐ㄩ噺鎺у埗鎵懼埌渚濇嵁銆備笂鍗堟槸ICU鍖葷敓銆佹姢澹榪涜岃瘖鐤楃殑鏃墮棿錛屾垜浠灝嗘摝嫻淬佹洿鎹㈠簥鍗曠瓑鍩虹鎶ょ悊鎺鏂介泦涓鏀瑰湪娌葷枟媧誨姩鐩稿硅緝灝戠殑鍗堝悗榪涜岋紝鍙浣誇復搴婃不鐤椾笌鍩虹鎶ょ悊鍑忓皯鐩鎬簰騫叉壈錛屾湁鍒╀簬鏁翠綋鐩戞姢宸ヤ綔鐨勬湁搴忓紑灞曪紝涔熷噺灝戜簡澶滈棿鎶ょ悊浜哄憳鐨勫伐浣滈噺銆
銆銆ICU鎶ょ悊浜哄憳瑕佹眰錛
銆銆ICU鎶ゅ＋澶氭潵鑷浜庡栫戙傞夯閱夌戙佹ヨ瘖縐戝拰鍐呯戙備笉璁哄逛簬ICU涓撶戠戠爺宸ヤ綔鐨勮劇疆榪樻槸鍙戝睍鏉ヨ詫紝涓鎵硅緇冩湁緔犵殑鎶ょ悊浜哄憳鏄闈炲父闅懼緱鐨勩傚簲鐩稿逛笓涓氬寲錛屽懆瀹氬寲銆傚嵆浣誇笓縐戠殑鐗圭偣闄愬畾浜嗕漢鍛樼殑娣樻卑鎬э紝鎶ゅ＋鐨勬祦鍔ㄥ強鍙嶅嶇殑寮哄寲璁緇冨繀欏誨彈鍒伴噸瑙嗐
銆銆ICU鎶ゅ＋涓嶄粎瑕佹湁澶氫笓縐戝尰鐤楁姢鐞嗗強鎬ユ晳鍩虹鐭ヨ瘑銆傛洿瑕佸己璋冨圭棶鎯呯郴緇熺殑璁よ瘑錛岃繕搴旀帉鎻″悇縐嶇洃鎶や華鍣ㄧ殑浣跨敤銆佺＄悊銆佺洃嫻嬪弬鏁板拰鍥捐薄鐨勫垎鏋愬強鍏朵復搴婃剰涔夈備粠鏌愪竴涓撶戞娊璋冩潵鐨.楠ㄥ共鎶ゅ＋錛屽彲浠ュ厛榪涜屽氫笓縐戠殑杞杞瀛︿範錛屽啀榪涜孖CU鐨勫己鍖栬緇冦傜劧鍚庛傚湪瀹炶返宸ヤ綔涓閫愭笎杈懼埌ICU鎶ゅ＋鏍囧噯銆
銆銆ICU鎶ゅ＋搴斿綋鏄鎶鏈鍏ㄩ潰銆佸簲鍙樺伐浣滆兘鍔涘己錛屽湪涓村簥瀹炶返鍙婃姢鐞嗙戠爺鏂歸潰璧烽噸瑕佷綔鐢ㄧ殑涓撹亴鐩戞姢浜哄憳銆傚叾緔犺川鏍囧噯涓猴細
銆銆1銆佹湁涓烘姢鐞嗕簨涓氬嬫枟鐨勭尞韜綺劇炲強寮鎷撶簿紲炪
銆銆2銆佹湁涓瀹氱殑浜轟綋鍋ュ悍涓庣柧鐥呯殑鍩虹鐥呯悊鐢熺悊瀛︾煡璇嗐
銆銆3銆佹湁杈冨箍娉涚殑澶氫笓縐戞姢鐞嗙煡璇嗘垨瀹炶返緇忛獙銆
銆銆4銆佸杽浜庡壋鏂板強搴旂敤閫昏緫鎬濈淮銆傚彂鐜伴棶棰樺強鎬葷粨緇忛獙銆
銆銆5銆佸疄闄呭伐浣滃強鎺ュ彈鏂頒簨鐗╄兘鍔涜緝寮猴紝鎿嶄綔鏁忔嵎銆佸杽浜庨捇鐮斻佸伐浣滅粏鑷磋愬績銆
銆銆ICU鎶ゅ＋涓庣棶浜虹殑鏁板瓧姣斾緥涓2鍀3錛
銆銆鐩鍓嶏紝鍥藉唴灝氭湭鏈塈CU鎶ゅ＋鐨勫煿璁涓蹇冿紝鐜版湁鐨処CU鎶ゅ＋鏃犱笓涓氳瘉涔︼紝寰呴亣鏂歸潰涔熸棤鐩稿簲鏀瑰彉錛岃繖涓庡浗闄呭嵄閲嶇棶鎶ょ悊瀛︾殑鍙戝睍瑕佹眰鏄鏈夊樊璺濈殑銆傚湪嬈ф床錛屽尰|瀛︽暀鑲茬綉鎼滈泦鏁寸悊鑻卞浗鎶ゅぇ浠庝笓縐戝︽牎姣曚笟鍚庡啀欏昏繘琛6鍀12涓鏈堢殑ICU涓撲笟璁緇;鐟炲吀鏄1騫達紝濂ュ湴鍒╂槸9涓鏈堬紝涓歸害鏄1騫村崐銆傜粨涓氳呮巿浜圛CU鎶ゅ＋璇佷功錛屽緟閬囨柟闈浼樹簬鏅閫氱棶瀹ゆ姢澹銆
銆銆ICU鎶ょ悊錛
銆銆鏍規嵁鎮ｈ呯棶鎯呭拰鎶ょ悊閲忋佹姢澹宸ヤ綔鑳藉姏瀹夋帓鐩戞姢浜哄憳錛岃繖鏍鋒棦淇濊瘉浜嗙洃鎶よ川閲忥紝閿葷偧鎶ょ悊闃熶紞錛屽張涓哄熀紜鎶ょ悊璐ㄩ噺鎺у埗鎵懼埌渚濇嵁銆備笂鍗堟槸ICU鍖葷敓銆佹姢澹榪涜岃瘖鐤楃殑鏃墮棿錛屾垜浠灝嗘摝嫻淬佹洿鎹㈠簥鍗曠瓑鍩虹鎶ょ悊鎺鏂介泦涓鏀瑰湪娌葷枟媧誨姩鐩稿硅緝灝戠殑鍗堝悗榪涜岋紝鍙浣誇復搴婃不鐤椾笌鍩虹鎶ょ悊鍑忓皯鐩鎬簰騫叉壈錛屾湁鍒╀簬鏁翠綋鐩戞姢宸ヤ綔鐨勬湁搴忓紑灞曪紝涔熷噺灝戜簡澶滈棿鎶ょ悊浜哄憳鐨勫伐浣滈噺銆