07-14锛岃挷鍘跨獊鍙戜竴璧烽噸澶т簨浠讹紝杩呴�熷紩鍙戠ぞ浼氬悇鐣屽紩鍙戠綉鍙嬬儹璁�銆傝挷鍘跨浉鍏抽儴闂ㄥ凡绗�涓�鏃堕棿浠嬪叆澶勭悊锛岀洰鍓嶈挷鍘跨幇鍦虹З搴忔�ｅ湪閫愭�ユ仮澶嶏紝鍏蜂綋鎯呭喌鑳屽悗鐪熺浉浠や汉鍜嬭垖璁╂垜甯︿綘7鍙ヨ瘽璁叉竻妤氾紒銆�

鎶ょ悊宸ヤ綔涓�鐨勭粏鑺傚叧鎬�锛屽皬浼歌繘鎶ゅ＋濡備綍鎻愬崌鎮ｈ�呮弧鎰忓害|

闈欒剦绌垮埡涓�鐨勬��绫崇骇绮惧噯

鍦ㄩ潤鑴夎緭娑叉不鐤楅�嗗煙锛岃祫娣辨姢澹�鐨勭┛鍒鸿�掑害鎺у埗绮剧‘鍒�60-75搴﹁寖鍥淬�傚�逛簬鑴辨按鎮ｈ�呯殑琛�绠″厖鐩堝害璇勪及锛屽皬浼歌繘鎶ゅ＋浼氳繍鐢ㄤ笁鎸囪Е璇婃硶锛岄�氳繃鎰熺煡琛�绠″脊鎬ч�夋嫨鏈�浣崇┛鍒虹偣銆傜壒娈婄梾渚嬩腑濡傚寲鐤楁偅鑰呯殑PICC缁存姢锛岃�佹眰鎶ょ悊浜哄憳鎺屾彙0.9%姘�鍖栭挔婧舵恫鑴夊啿寮忓啿绠℃妧鏈�锛屾瘡娆℃帹娉ㄥ姏搴︽帶鍒跺湪3-5鐗涢】锛岀‘淇濆�肩�￠�氱晠鐨勫悓鏃堕伩鍏嶈��绠″唴鑶滄崯浼ゃ��

閲嶇棁鐩戞姢涓�鐨勫井鎿嶄綔浣撶郴

ICU鎶ょ悊鍥㈤槦寮�鍙戜簡鍖呭惈217椤规搷浣滆�佺偣鐨勫井鎶ょ悊鎵嬪唽銆傚湪鍛煎惛鏈虹�¤矾缁存姢涓�锛岃�佹眰姣忓皬鏃舵��鏌ユ箍鍖栫綈姘翠綅缁存寔鍦�1/2-2/3瀹归噺锛屾俯搴︾洃娴嬬簿纭�鑷陈�0.5鈩冦�傞拡瀵笰RDS鎮ｈ�咃紝灏忎几杩涙姢澹�鍥㈤槦鍒涙柊浜嗗洓璞￠檺鍙╄儗娉曪紝鏍规嵁鑲洪儴CT褰卞儚瀹氫綅瀹炲彉鍖哄煙锛岄噰鐢ㄧ壒瀹氶�戠巼鐨勬尟鍔ㄦ帓鐥颁华杩涜�屾不鐤楋紝浣跨棸娑插紩娴侀噺鎻愬崌40%銆�

寰�閲忔车浣跨敤涓�涓ユ牸鎵ц�屽弻浜烘牳瀵瑰埗搴︼紝鍓傞噺璇�宸�鎺у埗鍦�卤2%浠ュ唴銆傝儼宀涚礌娉电�＄悊鏂归潰锛屽缓绔嬩簡鍔ㄦ�佽��绯栫洃娴嬬郴缁熶笌杈撴敞璁惧�囩殑鏅鸿兘鑱斿姩鏈哄埗锛屽綋琛�绯栧�兼尝鍔ㄨ秴杩�1.7mmol/L鏃惰嚜鍔ㄨЕ鍙戝墏閲忚皟鏁寸▼搴忋�傚�逛簬鏂扮敓鍎跨�戞棭浜у効鐨勮惀鍏绘敮鎸侊紝鎶ょ悊浜哄憳鎺屾彙0.1ml绾ф帹娉ㄦ妧鏈�锛岀‘淇濊偁鍐呰惀鍏荤殑绮剧‘渚涚粰銆�

鍒涢潰鎶ょ悊鐨勬樉寰�绾у�勭悊

绯栧翱鐥呰冻婧冪枴澶勭悊涓�锛屾姢鐞嗗洟闃熻繍鐢�20MHz楂橀�戣秴澹拌繘琛屽垱闈㈡繁搴﹁瘎浼般�傛竻鍒涙搷浣滈噰鐢ㄥ垎灞傚墺绂绘妧鏈�锛屼娇鐢ㄧ壒鍒剁殑0.9mm骞冲彛闀婇�愬眰鍘婚櫎鍧忔�荤粍缁囥�傚湪鍘嬪姏鎬ф崯浼ら�勯槻鏂归潰锛屽紑鍙戜簡鍖呭惈32涓�浣撲綅鐐圭殑鍘嬪姏鍒嗗竷鐩戞祴绯荤粺锛屾瘡2灏忔椂鐢熸垚鍘嬪姏鐑�鍔涘浘鎸囧�间綋浣嶈皟鏁淬��

闄堟��浜�路璁拌�� 闄堟按鎵� 闃挎柉褰� 闃垮皵鏇�/鏂�,閽熸渤銆侀檲鍏撮亾/鎽�