{"id":131420,"date":"2020-01-17T03:37:54","date_gmt":"2020-04-21T03:03:01","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/131420\/"},"modified":"2020-04-21T11:03:04","modified_gmt":"2020-04-21T03:03:04","slug":"4e448a9281","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/131420\/","title":{"rendered":"\u6700\u65b0\u4e2d\u6587\u9996\u8bd1\u7248\uff01WHO 2019 \u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\u6307\u5357\u53d1\u5e03"},"content":{"rendered":"
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\u5f15\u8a00<\/span><\/strong><\/span><\/section>\n

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2019 \u5e74 12 \u6708\u4ee5\u6765\uff0c\u6e56\u5317\u7701\u6b66\u6c49\u5e02\u53d1\u73b0\u591a\u8d77\u75c5\u6bd2\u6027\u80ba\u708e\u75c5\u4f8b\uff0c\u7ecf\u76f8\u5173\u75c5\u6bd2\u5206\u578b\u68c0\u6d4b\uff0c2020 \u5e74 1 \u6708 7 \u65e5\uff0c\u5b9e\u9a8c\u5ba4\u68c0\u51fa\u4e00\u79cd\u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\uff0c1 \u6708 10 \u65e5\u5b8c\u6210\u4e86\u75c5\u539f\u6838\u9178\u68c0\u6d4b\uff0c1 \u6708 12 \u65e5\uff0c\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u6b63\u5f0f\u5c06\u9020\u6210\u6b66\u6c49\u80ba\u708e\u75ab\u60c5\u7684\u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\u547d\u540d\u4e3a\u300c<\/span>2019 \u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\uff082019-nCoV<\/span>\uff09<\/span><\/strong><\/span>\u300d\u3002<\/span><\/section>\n

<\/section>\n
\u540c\u65f6\uff0c\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u4e8e\u540c\u65e5\u53d1\u5e03\u4e86\u9488\u5bf9\u7591\u4f3c\u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\u611f\u67d3\u9020\u6210\u4e25\u91cd\u6025\u6027\u547c\u5438\u9053\u611f\u67d3\u7684\u4e34\u5e8a\u5904\u7f6e\u6307\u5357\u3002\u4f5c\u4e3a WHO \u53d1\u5e03\u7684 2019 \u5e74\u7248 MERS \u51a0\u72b6\u75c5\u6bd2\u611f\u67d3\u9020\u6210\u4e25\u91cd\u6025\u6027\u547c\u5438\u9053\u611f\u67d3\u4e34\u5e8a\u5904\u7f6e\u6307\u5357\u7684\u59ca\u59b9\u7bc7\uff0c\u672c\u6307\u5357\u662f\u9488\u5bf9 2019 \u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\u6307\u5357\u7684<\/span>\u7b2c\u4e00\u7248<\/span><\/strong><\/span>\u3002<\/span><\/section>\n

<\/section>\n
\u672c\u6307\u5357\u610f\u5728\u4e3a\u4e34\u5e8a\u533b\u751f\u5904\u7406\u7591\u4f3c\u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\u611f\u67d3\u9020\u6210\u4e25\u91cd\u6025\u6027\u547c\u5438\u9053\u611f\u67d3\uff08SARI\uff09\u7684\u6210\u4eba\u6216\u513f\u7ae5\u60a3\u8005\u65f6\u63d0\u4f9b\u5efa\u8bae\uff0c<\/span>\u672c\u6307\u5357\u5e76\u975e\u66ff\u4ee3\u4e34\u5e8a\u5224\u65ad\u6216\u4e13\u5bb6\u610f\u89c1\uff0c\u800c\u662f\u4e3a\u5f3a\u5316\u4e34\u5e8a\u5904\u7406\u63d0\u4f9b\u6700\u65b0\u7684\u6307\u5bfc<\/span><\/strong>\u3002<\/span><\/span>\u63d0\u4f9b\u7684\u6700\u4f73\u533b\u7597\u5b9e\u8df5\u63aa\u65bd\u4e2d\u5305\u62ec\u611f\u67d3\u9884\u9632\u4e0e\u63a7\u5236\uff08IPC\uff09\u53ca\u5bf9\u91cd\u75c7\u75c5\u60a3\u7684\u6700\u4f73\u652f\u6301\uff0c\u90fd\u662f\u57fa\u672c\u7684\u5e94\u5bf9\u7b56\u7565\u3002<\/span><\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

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\"\u6700\u65b0\u4e2d\u6587\u9996\u8bd1\u7248\uff01WHO<\/section>\n

<\/section>\n
\u7f16\u8bd1\uff1a\u590d\u65e6\u534e\u5c71\u533b\u9662 \u962e\u5de7\u73b2\u3001\u5218\u5176\u4f1a\u3001\u94b1\u5955\u4ea6\u3001\u5f20\u6021\u3001\u9648\u6668<\/span><\/section>\n
\u5ba1\u9605\uff1a\u590d\u65e6\u534e\u5c71\u533b\u9662<\/span> \u91d1\u5609\u7433\u3001\u738b\u65b0\u5b87<\/span><\/section>\n

\u5ba1\u6838\uff1a\u590d\u65e6\u534e\u5c71\u533b\u9662<\/span> \u5f20\u6587\u5b8f<\/span><\/p>\n

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\u6307\u5357\u8981\u70b9<\/strong><\/span><\/p>\n


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1. \u9884\u68c0\u5206\u8bca\uff1a\u8bc6\u522b\u5e76\u5206\u7c7b\u4e25\u91cd\u6025\u6027\u547c\u5438\u9053\u611f\u67d3\uff08SARI\uff09\u60a3\u8005<\/span><\/section>\n
2. \u7acb\u5373\u5b9e\u65bd\u6b63\u786e\u7684\u611f\u67d3\u9884\u9632\u4e0e\u63a7\u5236\u63aa\u65bd\uff08IPC\uff09<\/span><\/section>\n
3. \u65e9\u671f\u652f\u6301\u6cbb\u7597\u4e0e\u76d1\u63a7<\/span><\/section>\n
4. \u91c7\u96c6\u4e34\u5e8a\u6807\u672c\u7528\u4e8e\u5b9e\u9a8c\u5ba4\u8bca\u65ad<\/span><\/section>\n
5. \u5904\u7406\u4f4e\u6c27\u6027\u547c\u5438\u8870\u7aed\u53ca\u6025\u6027\u547c\u5438\u7a98\u8feb\u7efc\u5408\u5f81\uff08ARDS\uff09<\/span><\/section>\n
6. \u8113\u6bd2\u6027\u4f11\u514b\u7684\u7ba1\u7406<\/span><\/section>\n
7. \u5e76\u53d1\u75c7\u7684\u9884\u9632<\/span><\/section>\n
8. \u7279\u5f02\u6027\u7684\u6297\u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\uff08nCoV\uff09\u6cbb\u7597<\/span><\/section>\n
9. \u598a\u5a20\u60a3\u8005\u7684\u7279\u522b\u6ce8\u610f\u4e8b\u9879<\/span><\/section>\n

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\u8bf4\u660e<\/strong><\/span><\/section>\n

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\u2714 <\/span><\/strong><\/span><\/strong><\/span><\/strong><\/span>\u8be5\u5e72\u9884\u63aa\u65bd\u662f\u6709\u76ca\u7684\uff08\u5f3a\u70c8\u5efa\u8bae\uff09\u6216\u76ee\u524d\u6700\u4f73\u7684\u5b9e\u8df5\u65b9\u6848<\/span><\/section>\n
\u00d7 <\/span><\/strong><\/span><\/strong><\/span>\u8be5\u5e72\u9884\u63aa\u65bd\u88ab\u8ba4\u4e3a\u662f\u6709\u5bb3\u7684<\/span><\/section>\n
\uff01<\/span><\/strong><\/span><\/strong><\/span>\u8be5\u5e72\u9884\u63aa\u65bd\u53ef\u80fd\u5bf9\u67d0\u4e9b\u60a3\u8005\u6709\u76ca\uff08\u6709\u6761\u4ef6\u7684\u63a8\u8350\uff09\uff0c\u6216\u8005\u5728\u8003\u8651\u6b64\u5e72\u9884\u63aa\u65bd\u65f6\u8981\u5c0f\u5fc3<\/span><\/section>\n<\/section>\n<\/section>\n
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1. <\/span>\u5206\u8bca\uff1a\u8bc6\u522b\u548c\u5206\u6d41\u4e25\u91cd\u6025\u6027\u547c\u5438\u9053\u611f\u67d3\uff08SARI\uff09\u60a3\u8005<\/span><\/strong><\/section>\n

<\/span><\/strong><\/section>\n<\/section>\n<\/section>\n
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\u5206\u8bca\uff1a\u5728\u6240\u6709 SARI \u7684\u60a3\u8005\u9996\u6b21\u81f3\u533b\u7597\u5355\u4f4d\u5c31\u8bca\uff08\u6bd4\u5982\u6025\u8bca\u79d1\uff09\u65f6\uff0c\u4e34\u5e8a\u533b\u751f\u5c31\u5e94\u5bf9\u5176\u8fdb\u884c\u8bc6\u522b\u548c\u5206\u7c7b\u3002\u5728\u8868 1 \u6240\u63cf\u8ff0\u7684\u60c5\u5f62\u4e0b\uff0c\u5e94\u8003\u8651 nCoV \u662f\u53ef\u80fd\u7684\u75c5\u539f\u4f53\u3002\u5206\u7c7b\u60a3\u8005\u5e76\u6839\u636e\u75be\u75c5\u7684\u4e25\u91cd\u7a0b\u5ea6\u542f\u52a8\u7d27\u6025\u6cbb\u7597\u3002 <\/span><\/section>\n

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\u6ce8\u610f\uff1anCoV \u75c5\u60c5\u53ef\u4ee5\u8868\u73b0\u4e3a\u8f7b\u3001\u4e2d\u3001\u91cd\u5ea6\uff0c\u540e\u8005\u5305\u62ec\u91cd\u75c7\u80ba\u708e\u3001ARDS\u3001\u8113\u6bd2\u75c7\u548c\u8113\u6bd2\u6027\u4f11\u514b\u3002\u65e9\u671f\u8bc6\u522b\u7591\u4f3c\u60a3\u8005\u4e3a\u53ca\u65f6\u542f\u52a8 IPC \u63d0\u4f9b\u4e86\u65f6\u95f4\uff08\u89c1\u8868 2\uff09\u3002\u65e9\u671f\u8bc6\u522b\u6709\u4e25\u91cd\u4e34\u5e8a\u8868\u73b0\u7684\u60a3\u8005\uff08\u8868 2\uff09\uff0c\u53ef\u4ee5\u5bf9\u60a3\u8005\u91c7\u53d6\u53ca\u65f6\u6709\u6548\u7684\u652f\u6301\u6cbb\u7597\uff0c\u5e76\u53ef\u4ee5\u6839\u636e\u6807\u51c6\u6d41\u7a0b\u5feb\u901f\u3001\u5b89\u5168\u5730\u8f6c\u5165 ICU\u3002\u5bf9\u4e8e\u8f7b\u75c7\u60a3\u8005\uff0c\u53ef\u80fd\u4e0d\u9700\u8981\u4f4f\u9662\u6cbb\u7597\uff0c\u9664\u975e\u4e34\u5e8a\u8003\u8651\u6709\u5feb\u901f\u52a0\u91cd\u7684\u53ef\u80fd\u3002\u6240\u6709\u56de\u5bb6\u89c2\u5bdf\u7684\u60a3\u8005\u90fd\u5e94\u8be5\u8981\u6c42\u5176\u4e00\u65e6\u51fa\u73b0\u4efb\u4f55\u75be\u75c5\u7684\u6076\u5316\u8868\u73b0\u5e94\u7acb\u5373\u56de\u5230\u533b\u9662\u3002<\/span><\/section>\n
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\"\u6700\u65b0\u4e2d\u6587\u9996\u8bd1\u7248\uff01WHO\u8868 1\uff1aSARI \u60a3\u8005\uff08\u7591\u4f3c nCoV\uff09\u7684\u5b9a\u4e49<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n

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\"\u6700\u65b0\u4e2d\u6587\u9996\u8bd1\u7248\uff01WHO<\/section>\n
\u8868 2\uff1anCoV \u611f\u67d3\u76f8\u5173\u7684\u4e34\u5e8a\u7efc\u5408\u5f81<\/span><\/section>\n

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2. <\/span><\/strong>\u7acb\u5373\u5b9e\u65bd\u6b63\u786e\u7684\u611f\u67d3\u9884\u9632\u4e0e\u63a7\u5236\u63aa\u65bd\uff08IPC\uff09<\/span><\/strong>
<\/section>\n

<\/span><\/strong><\/section>\n<\/section>\n<\/section>\n<\/section>\n
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IPC \u975e\u5e38\u91cd\u8981\uff0c\u5e94\u8be5\u5728\u60a3\u8005\u8fdb\u5165\u533b\u9662\uff08\u5c24\u5176\u662f\u6025\u8bca\u79d1\uff09\u7684\u65f6\u95f4\u70b9\u5c31\u542f\u52a8\u3002\u6807\u51c6\u9884\u9632\u5e94\u8be5\u59cb\u7ec8\u5e38\u89c4\u88ab\u5e94\u7528\u5728\u533b\u7597\u673a\u6784\u7684\u6240\u6709\u533a\u57df\u3002\u6807\u51c6\u9884\u9632\u5305\u62ec\uff1a\u624b\u536b\u751f\uff1b\u4f7f\u7528\u4e2a\u4eba\u9632\u62a4\u8bbe\u5907\uff08PPE\uff09\u7684\u5e94\u7528\u4ee5\u907f\u514d\u76f4\u63a5\u63a5\u89e6\u60a3\u8005\u8840\u6db2\u3001\u4f53\u6db2\u3001\u5206\u6ccc\u7269\u4ee5\u53ca\u4e0d\u5b8c\u6574\u7684\u76ae\u80a4\u7b49\uff09\uff1b\u8fd8\u5305\u62ec\u9884\u9632\u9488\u523a\u4f24\u6216\u8005\u5207\u5272\u4f24\u3001\u533b\u7597\u5e9f\u7269\u5904\u7406\u3001\u8bbe\u5907\u7684\u6e05\u6d01\u548c\u6d88\u6bd2\u4ee5\u53ca\u73af\u5883\u7684\u6e05\u6d01\u3002<\/span><\/section>\n<\/section>\n
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<\/section>\n<\/section>\n<\/section>\n<\/section>\n
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\"\u6700\u65b0\u4e2d\u6587\u9996\u8bd1\u7248\uff01WHO\u8868 3\uff1a \u7acb\u5373\u5b9e\u65bd\u6b63\u786e\u7684\u611f\u67d3\u9884\u9632\u4e0e\u63a7\u5236\u63aa\u65bd\uff08IPC\uff09<\/span><\/p>\n


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3. <\/span><\/strong>\u65e9\u671f\u652f\u6301\u6cbb\u7597\u4e0e\u76d1\u63a7<\/span><\/strong>
<\/p>\n


<\/span><\/strong><\/p>\n<\/section>\n

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\u2714 <\/span><\/strong><\/span><\/strong><\/span><\/strong> <\/span><\/span><\/strong><\/span><\/strong><\/span><\/strong><\/span><\/strong><\/span>\u7acb\u5373\u5bf9SARI\u548c\u547c\u5438\u7a98\u8feb\uff0c\u4f4e\u6c27\u8840\u75c7\u6216\u4f11\u514b\u7684\u60a3\u8005\u8fdb\u884c\u8865\u6c27\u6cbb<\/span><\/section>\n

<\/span><\/section>\n<\/section>\n
\n
\u5907\u6ce8\uff1a\u4ee5 5 L\/min \u7684\u901f\u5ea6\u5f00\u59cb\u6c27\u7597\u5e76\u6ef4\u5b9a\u6d41\u901f\uff0c\u4ee5\u8fbe\u5230\u975e\u6000\u5b55\u6210\u5e74\u60a3\u8005 SpO2 \u2265 90\uff05 \u548c\u6000\u5b55\u60a3\u8005 SpO2 \u2265 92\uff5e95\uff05 \u7684\u76ee\u6807\u6c27\u9971\u548c\u5ea6\u3002\u4e25\u91cd\u7684\u547c\u5438\u7a98\u8feb\uff0c\u4e2d\u5fc3\u6027\u53d1\u7ec0\uff0c\u4f11\u514b\uff0c\u660f\u8ff7\u6216\u62bd\u6410\u5e94\u5728\u590d\u82cf\u8fc7\u7a0b\u4e2d\u63a5\u53d7\u6c27\u7597\u4f7f\u5f97 SpO2 \u2265 94\uff05\uff0c\u5176\u4ed6\u4eba\u7fa4\u8fbe SpO2 \u2265 90\uff05\u3002\u540c\u65f6\uff0c\u5bf9 SARI \u60a3\u8005\u8fdb\u884c\u7167\u62a4\u7684\u6240\u6709\u8bca\u7597\u533a\u57df\u5747\u5e94\u914d\u5907\u8109\u640f\u8840\u6c27\u4eea\uff0c\u53ef\u8fd0\u884c\u7684\u4f9b\u6c27\u7cfb\u7edf\u4ee5\u53ca\u4e00\u6b21\u6027\u4f7f\u7528\u7684\u6c27\u6c14\u8f93\u9001\u63a5\u53e3\uff08\u9f3b\u63d2\u7ba1\uff0c\u7b80\u6613\u9762\u7f69\u548c\u5e26\u50a8\u7269\u888b\u7684\u53e3\u7f69\uff09\u3002\u5904\u7406 nCoV \u611f\u67d3\u60a3\u8005\u7684\u53d7\u6c61\u67d3\u7684\u6c27\u6c14\u63a5\u53e3\u65f6\uff0c\u5e94\u505a\u597d\u63a5\u89e6\u9884\u9632\u63aa\u65bd\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u2714 <\/span><\/strong><\/span><\/strong><\/span><\/strong> <\/span><\/span><\/strong><\/span><\/strong><\/span>\u82e5SARI\u60a3\u8005\u65e0\u4f11\u514b\u8bc1\u636e\uff0c\u5219\u4f7f\u7528\u4fdd\u5b88\u7684\u8f93\u6db2\u6cbb\u7597\u3002<\/span><\/section>\n

<\/section>\n
\u5907\u6ce8\uff1aSARI \u60a3\u8005\u5e94\u8c28\u614e\u4f7f\u7528\u9759\u8109\u8f93\u6db2\uff0c\u56e0\u4e3a\u6fc0\u8fdb\u7684\u8865\u6db2\u6cbb\u7597\uff0c\u5c24\u5176\u662f\u5728\u673a\u68b0\u901a\u6c14\u6709\u9650\u7684\u60c5\u51b5\u4e0b\u53ef\u80fd\u4f1a\u4f7f\u6c27\u5408\u6076\u5316\u3002<\/span><\/section>\n

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\u2714<\/span><\/strong><\/span><\/strong> <\/span><\/span><\/strong><\/span><\/strong><\/span>\u5bf9 SARI \u60a3\u8005\uff0c\u7ed9\u4e88\u7ecf\u9a8c\u6027\u6297\u5fae\u751f\u7269\u836f\u7269\u4ee5\u6cbb\u7597\u6240\u6709\u53ef\u80fd\u7684\u75c5\u539f\u4f53\u3002\u5bf9\u4e8e\u8113\u6bd2\u75c7\u60a3\u8005\uff0c\u5e94\u5728\u521d\u6b21\u60a3\u8005\u8bc4\u4f30\u540e\u4e00\u5c0f\u65f6\u5185\u7ed9\u4e88\u6297\u5fae\u751f\u7269\u836f\u7269\u3002<\/span><\/section>\n

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\u5907\u6ce8\uff1a\u5c3d\u7ba1\u60a3\u8005\u53ef\u80fd\u7591\u4f3c\u6709 nCoV \u611f\u67d3\uff0c\u4f46\u5e94\u5728\u8bca\u65ad\u4e3a\u8113\u6bd2\u75c7\u4e00\u5c0f\u65f6\u5185\u7ed9\u4e88\u9002\u5f53\u7684\u7ecf\u9a8c\u6027\u6297\u5fae\u751f\u7269\u836f\u7269\u3002\u7ecf\u9a8c\u6027\u6297\u751f\u7d20\u6cbb\u7597\u5e94\u57fa\u4e8e\u4e34\u5e8a\u8bca\u65ad\uff08\u5305\u62ec\u5f53\u5730\u6d41\u884c\u75c5\u5b66\uff0c\u836f\u654f\u6570\u636e\u4ee5\u53ca\u6cbb\u7597\u6307\u5357\u7b49\uff09\u3002\u82e5\u6709\u5730\u65b9\u6027\u6d41\u884c\u75c5\u5b66\u53f2\u6216\u5176\u4ed6\u611f\u67d3\u76f8\u5173\u7684\u5371\u9669\u56e0\u7d20\uff08\u5305\u62ec\u51fa\u884c\u53f2\u6216\u63a5\u89e6\u52a8\u7269\u6d41\u611f\u75c5\u6bd2\uff09\u65f6\uff0c\u7ecf\u9a8c\u7597\u6cd5\u5e94\u5305\u62ec\u4e00\u79cd\u795e\u7ecf\u6c28\u9178\u9176\u6291\u5236\u5242\u4ee5\u6cbb\u7597\u6d41\u611f\u3002\u7ecf\u9a8c\u7597\u6cd5\u5e94\u6839\u636e\u5fae\u751f\u7269\u5b66\u7ed3\u679c\u548c\u4e34\u5e8a\u5224\u65ad\u8fdb\u884c\u964d\u9636\u68af\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u00d7 <\/span><\/strong><\/span><\/strong><\/span><\/strong><\/span><\/strong><\/span>\u9664\u975e\u7279\u6b8a\u539f\u56e0\uff0c\u5426\u5219\u8bf7\u52ff\u5728\u4e34\u5e8a\u8bd5\u9a8c\u4e4b\u5916\u5e38\u89c4\u7ed9\u4e88\u5168\u8eab\u6027\u76ae\u8d28\u7c7b\u56fa\u9187\u6fc0\u7d20\u6cbb\u7597\u75c5\u6bd2\u6027\u80ba\u708e\u6216 ARDS\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8\uff1a\u5bf9 SARS \u60a3\u8005\u8fdb\u884c\u7684\u76ae\u8d28\u7c7b\u56fa\u9187\u6fc0\u7d20\u7684\u89c2\u5bdf\u6027\u7814\u7a76\u7684\u7cfb\u7edf\u8bc4\u4ef7\u672a\u53d1\u73b0\u751f\u5b58\u76ca\u5904\u548c\u53ef\u80fd\u7684\u5371\u5bb3\uff08\u65e0\u8840\u7ba1\u574f\u6b7b\uff0c\u7cbe\u795e\u75c7\u72b6\uff0c\u7cd6\u5c3f\u75c5\u548c\u75c5\u6bd2\u6e05\u9664\u5ef6\u8fdf\u7b49\uff09\u3002\u5bf9\u6d41\u611f\u7684\u89c2\u5bdf\u6027\u7814\u7a76\u7684\u7cfb\u7edf\u8bc4\u4ef7\u663e\u793a\u5e94\u7528\u76ae\u8d28\u7c7b\u56fa\u9187\u6fc0\u7d20\u60a3\u8005\u6b7b\u4ea1\u7387\u548c\u7ee7\u53d1\u611f\u67d3\u7684\u98ce\u9669\u66f4\u9ad8\uff0c\u4f46\u7531\u4e8e\u9002\u5e94\u75c7\u7684\u6df7\u6742\uff0c\u8be5\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\u88ab\u5224\u5b9a\u4e3a\u8f83\u4f4e\u3002\u968f\u540e\u7684\u7814\u7a76\u901a\u8fc7\u8c03\u6574\u968f\u65f6\u95f4\u53d8\u5316\u7684\u6df7\u6742\u56e0\u7d20\u89e3\u51b3\u4e86\u8fd9\u4e00\u5c40\u9650\u6027\uff0c\u7ed3\u679c\u663e\u793a\u76ae\u8d28\u7c7b\u56fa\u9187\u6fc0\u7d20\u7684\u5e94\u7528\u5bf9\u6d41\u611f\u60a3\u8005\u6b7b\u4ea1\u7387\u65e0\u5f71\u54cd\u3002\u6700\u8fd1\u4e00\u9879\u9488\u5bf9\u63a5\u53d7\u7cd6\u76ae\u8d28\u6fc0\u7d20\u6cbb\u7597\u7684 MERS \u60a3\u8005\u7684\u7814\u7a76\u53d1\u73b0\u76ae\u8d28\u7c7b\u56fa\u9187\u5bf9\u6b7b\u4ea1\u7387\u6ca1\u6709\u5f71\u54cd\uff0c\u4f46\u5ef6\u8fdf\u4e86\u4e0b\u547c\u5438\u9053\uff08LRT\uff09\u7684 MERS-CoV \u75c5\u6bd2\u6e05\u9664\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u7531\u4e8e\u7f3a\u4e4f\u6709\u6548\u6027\u548c\u53ef\u80fd\u7684\u5371\u5bb3\uff0c\u9664\u975e\u7279\u6b8a\u539f\u56e0\uff0c\u5426\u5219\u5e94\u907f\u514d\u5e38\u89c4\u76ae\u8d28\u7c7b\u56fa\u9187\u4f7f\u7528\u3002\u5173\u4e8e\u8113\u6bd2\u75c7\u60a3\u8005\u5982\u4f55\u4f7f\u7528\u76ae\u8d28\u7c7b\u56fa\u9187\uff0c\u5177\u4f53\u53ef\u89c1\u7b2c 6 \u8282\u3002<\/span><\/section>\n

<\/span><\/section>\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong><\/span>\u5bc6\u5207\u76d1\u6d4b SARI \u60a3\u8005\u662f\u5426\u51fa\u73b0\u75c7\u72b6\u6076\u5316\u7684\u8ff9\u8c61\uff0c\u4f8b\u5982\u5feb\u901f\u8fdb\u5c55\u6027\u547c\u5438\u8870\u7aed\u548c\u8113\u6bd2\u75c7\uff0c\u5e76\u7acb\u5373\u91c7\u53d6\u652f\u6301\u5e72\u9884\u63aa\u65bd\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8\uff1a\u5bf9\u4e8e\u51fa\u73b0\u4e25\u91cd nCoV \u8868\u73b0\u7684\u60a3\u8005\uff0c\u53ca\u65f6\u3001\u6709\u6548\u548c\u5b89\u5168\u7684\u652f\u6301\u7597\u6cd5\u662f\u6cbb\u7597\u7684\u57fa\u77f3\u3002<\/span><\/section>\n

<\/span><\/section>\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong><\/span>\u5728\u4e86\u89e3\u60a3\u8005\u7684\u5408\u5e76\u75be\u75c5\u540e\uff0c\u9488\u5bf9\u6027\u5236\u5b9a\u6cbb\u7597\u65b9\u6cd5\u5e76\u8bc4\u4f30\u9884\u540e\u3002\u548c\u60a3\u8005\u53ca\u5176\u5bb6\u4eba\u6709\u6548\u6c9f\u901a\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8\uff1a\u5728 SARI \u7684\u91cd\u75c7\u76d1\u62a4\u8bca\u6cbb\u671f\u95f4\uff0c\u5e94\u786e\u5b9a\u5e94\u7ee7\u7eed\u4f7f\u7528\u4f55\u79cd\u6162\u6027\u7597\u6cd5\u4ee5\u53ca\u5e94\u6682\u65f6\u505c\u7528\u4f55\u79cd\u7597\u6cd5\u3002\u4e0e\u60a3\u8005\u548c\u5bb6\u4eba\u8fdb\u884c\u79ef\u6781\u6c9f\u901a\uff0c\u5e76\u63d0\u4f9b\u60a3\u8005\u7684\u6cbb\u7597\u548c\u9884\u540e\u4fe1\u606f\u3002\u4e86\u89e3\u60a3\u8005\u5bf9\u7ef4\u6301\u751f\u547d\u7684\u5e72\u9884\u63aa\u65bd\u7684\u770b\u6cd5\u548c\u503e\u5411\u6027\u3002<\/span><\/section>\n

<\/span><\/strong><\/section>\n

<\/span><\/strong><\/section>\n
4.<\/span><\/strong> \u91c7\u96c6\u4e34\u5e8a\u6807\u672c\u7528\u4e8e\u5b9e\u9a8c\u5ba4\u8bca\u65ad<\/span><\/strong><\/section>\n

<\/span><\/strong><\/section>\n<\/section>\n
\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong><\/span>\u6700\u597d\u5728\u6297\u5fae\u751f\u7269\u6cbb\u7597\u4e4b\u524d\u6536\u96c6\u8840\u57f9\u517b\u6807\u672c\u4ee5\u5224\u65ad\u5f15\u8d77\u7ec6\u83cc\u6027\u80ba\u708e\u548c\u8113\u6bd2\u75c7\u7684\u75c5\u539f\u4f53\u3002\u52ff\u4e3a\u6536\u96c6\u8840\u57f9\u517b\u6807\u672c\u800c\u5ef6\u8fdf\u6297\u5fae\u751f\u7269\u6cbb\u7597\u3002<\/span><\/section>\n

<\/span><\/section>\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong><\/span>\u540c\u65f6\u6536\u96c6\u4e0a\u547c\u5438\u9053\uff08upper respiratory tract\uff0cURT\uff0c\u5305\u62ec\u9f3b\u54bd\u548c\u53e3\u54bd\uff09\u548c\u4e0b\u547c\u5438\u9053\uff08lower respiratory tract\uff0cLRT\uff0c\u5305\u62ec\u75f0\u3001\u6c14\u7ba1\u5185\u5438\u51fa\u7269\u6216\u652f\u6c14\u7ba1\u80ba\u6ce1\u704c\u6d17\u6db2\uff09\u7684\u6807\u672c\uff0c\u901a\u8fc7 RT-PCR \u8fdb\u884c nCoV \u68c0\u6d4b\u3002\u5728\u4e0b\u547c\u5438\u9053\u6837\u672c\u6613\u4e8e\u83b7\u5f97\u7684\u60c5\u51b5\u4e0b\uff08\u4f8b\u5982\u673a\u68b0\u901a\u6c14\u7684\u60a3\u8005\uff0c\u4e34\u5e8a\u533b\u751f\u53ef\u4ee5\u9009\u62e9\u4ec5\u6536\u96c6\u4e0b\u547c\u5438\u9053\u6837\u672c\uff09\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u2714 <\/span><\/strong><\/span><\/strong><\/span><\/strong><\/span><\/strong><\/span><\/strong><\/span>\u4ec5\u5728\u65e0\u6cd5\u4f7f\u7528 RT-PCR \u65f6\u624d\u5efa\u8bae\u4f7f\u7528\u8840\u6e05\u5b66\u8fdb\u884c\u8bca\u65ad\u3002<\/span><\/section>\n

<\/section>\n
\u5907\u6ce8 1\uff1a\u4f7f\u7528\u9002\u5f53\u7684 PPE \u8fdb\u884c\u6807\u672c\u6536\u96c6\uff08\u6ce8\u610f URT \u6807\u672c\u7684\u6db2\u6ef4\u548c\u63a5\u89e6\u9884\u9632\u63aa\u65bd\uff0c\u4ee5\u53ca LRT \u6807\u672c\u7684\u7a7a\u6c14\u9884\u9632\u63aa\u65bd\uff09\u3002\u6536\u96c6 URT \u6837\u54c1\u65f6\uff0c\u4f7f\u7528\u75c5\u6bd2\u91c7\u6837\u68c9\u7b7e\uff08\u65e0\u83cc\u6da4\u7eb6\u6216\u4eba\u9020\u4e1d\uff0c\u800c\u4e0d\u662f\u68c9\u82b1\uff09\u548c\u75c5\u6bd2\u8fd0\u8f93\u4ecb\u8d28\u3002\u4e0d\u8981\u4ece\u9f3b\u5b54\u6216\u6241\u6843\u4f53\u4e0a\u91c7\u6837\u3002\u5bf9\u4e8e\u6000\u7591\u60a3\u6709 nCoV \u7684\u60a3\u8005\uff0c\u7279\u522b\u662f\u60a3\u6709\u80ba\u708e\u6216\u4e25\u91cd\u75be\u75c5\u7684\u60a3\u8005\uff0c\u5355\u4e2a URT \u6837\u672c\u4e0d\u80fd\u6392\u9664\u8bca\u65ad\uff0c\u5efa\u8bae\u589e\u52a0 URT \u548c LRT \u6837\u672c\u3002LRT\uff08\u76f8\u5bf9\u4e8e URT\uff09\u6837\u672c\u66f4\u53ef\u80fd\u5448\u9633\u6027\uff0c\u4e14\u5982 4.1 \u6240\u8ff0\uff0c\u5728\u4e0b\u547c\u5438\u9053\u6837\u672c\u6613\u4e8e\u83b7\u5f97\u7684\u60c5\u51b5\u4e0b\uff08\u4f8b\u5982\u673a\u68b0\u901a\u6c14\u7684\u60a3\u8005\uff09\uff0c\u4e34\u5e8a\u533b\u751f\u53ef\u4ee5\u9009\u62e9\u4ec5\u6536\u96c6\u4e0b\u547c\u5438\u9053\u6837\u672c)\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8 2\uff1a\u76ee\u524d\u5728 SARS \u548c MERS \u75c5\u4f8b\u4e2d\u53d1\u73b0\u4e86\u4e0e\u5176\u4ed6\u547c\u5438\u9053\u75c5\u6bd2\u611f\u67d3\u7684\u53cc\u91cd\u611f\u67d3\u3002\u56e0\u6b64\u6211\u4eec\u9700\u8981\u5bf9\u6240\u6709\u53ef\u7591\u75c5\u4f8b\u8fdb\u884c\u8be6\u7ec6\u7684\u5fae\u751f\u7269\u5b66\u7814\u7a76\u3002URT \u548c LRT \u6807\u672c\u5747\u53ef\u6d4b\u8bd5\u5176\u4ed6\u547c\u5438\u9053\u75c5\u6bd2\uff0c\u4f8b\u5982\u7532\u578b\u548c\u4e59\u578b\u6d41\u611f\uff08\u5305\u62ec\u4eba\u755c\u5171\u60a3\u7684\u7532\u578b\u6d41\u611f\uff09\uff0c\u547c\u5438\u9053\u5408\u80de\u75c5\u6bd2\uff0c\u526f\u6d41\u611f\u75c5\u6bd2\uff0c\u9f3b\u75c5\u6bd2\uff0c\u817a\u75c5\u6bd2\uff0c\u80a0\u75c5\u6bd2\uff08\u4f8b\u5982 EVD68\uff09\uff0c\u4eba\u95f4\u8d28\u80ba\u75c5\u6bd2\u548c\u5730\u65b9\u6027\u4eba\u7c7b\u51a0\u72b6\u75c5\u6bd2\uff08\u4f8b\u5982 HKU1\uff0cOC43\uff0cNL63 \u548c 229E\uff09\u3002LRT \u6807\u672c\u8fd8\u53ef\u4ee5\u68c0\u6d4b\u7ec6\u83cc\u7b49\u75c5\u539f\u4f53\uff0c\u5305\u62ec\u519b\u56e2\u83cc\u7b49\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u2714 <\/span><\/strong><\/span><\/strong><\/span><\/strong><\/span><\/strong><\/span><\/strong><\/span>\u5728\u786e\u8bca nCoV \u611f\u67d3\u7684\u4f4f\u9662\u60a3\u8005\u4e2d\uff0c\u5e94\u91cd\u590d\u6536\u96c6\u7684 URT \u548c LRT \u6837\u672c\u4ee5\u8bc1\u5b9e\u75c5\u6bd2\u6e05\u9664\u3002\u6807\u672c\u7684\u91c7\u96c6\u9891\u7387\u53d6\u51b3\u4e8e\u5f53\u5730\u60c5\u51b5\uff0c\u4f46\u5e94\u81f3\u5c11\u6bcf 2\uff5e4 \u5929\u6536\u96c6\u4e00\u6b21\u3002\u76f4\u5230\u60a3\u8005\u51fa\u73b0\u4e24\u4e2a\u8fde\u7eed\u7684\u81f3\u5c11\u95f4\u9694 24 \u5c0f\u65f6\u7684\u9634\u6027\u7ed3\u679c\uff08\u82e5\u540c\u65f6\u6536\u96c6 URT \u548c LRT \u6837\u672c\uff0c\u9700\u5747\u4e3a\u9634\u6027\uff09\uff0c\u53ef\u4ee5\u770b\u4f5c\u662f\u4e34\u5e8a\u5eb7\u590d\u3002\u82e5\u5f53\u5730\u7684\u611f\u67d3\u63a7\u5236\u63aa\u65bd\u8981\u6c42\u5728\u53bb\u9664\u98de\u6cab\u9884\u9632\u63aa\u65bd\u4e4b\u524d\u83b7\u5f97\u4e24\u4e2a\u9634\u6027\u7ed3\u679c\uff0c\u5219\u53ef\u4ee5\u6bcf\u5929\u591a\u6b21\u6536\u96c6\u6807\u672c\u3002<\/span><\/section>\n

<\/span><\/section>\n

<\/span><\/strong><\/section>\n
5. <\/span><\/strong>\u5904\u7406\u4f4e\u6c27\u6027\u547c\u5438\u8870\u7aed\u53ca\u6025\u6027\u547c\u5438\u7a98\u8feb\u7efc\u5408\u5f81\uff08ARDS<\/span><\/strong>\uff09<\/span><\/strong><\/section>\n

<\/span><\/strong><\/section>\n<\/section>\n
\n
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<\/section>\n<\/section>\n<\/section>\n<\/section>\n
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<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong><\/span>\u5f53\u60a3\u8005\u51fa\u73b0\u547c\u5438\u7a98\u8feb\u3001\u6807\u51c6\u6c27\u6c14\u6cbb\u7597\u65e0\u65e0\u6548\u65f6\uff0c\u5e94\u8bc6\u522b\u51fa\u4e25\u91cd\u7684\u4f4e\u6c27\u6027\u547c\u5438\u8870\u7aed\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8\uff1a\u5373\u4f7f\u901a\u8fc7\u9762\u7f69\u548c\u50a8\u6c27\u6c27\u6c14\u888b\u5438\u6c27\uff08\u6d41\u901f\u4e3a 10\uff5e15 L\/min\uff0c\u901a\u5e38\u662f\u7ef4\u6301\u888b\u81a8\u80c0\u6240\u9700\u7684\u6700\u5c0f\u6d41\u91cf\uff1bFiO2 0.60\uff5e0.95\uff09\uff0c\u60a3\u8005\u4ecd\u51fa\u73b0\u6301\u7eed\u547c\u5438\u6b21\u6570\u589e\u52a0\u548c\u4f4e\u6c27\u8840\u538b\u3002ARDS \u4e2d\u7684\u4f4e\u6c27\u8840\u75c7\u6027\u547c\u5438\u8870\u7aed\u901a\u5e38\u662f\u7531\u4e8e\u80ba\u5185\u901a\u6c14-\u704c\u6ce8\u4e0d\u5339\u914d\u6216\u5206\u6d41\u6240\u81f4\uff0c\u901a\u5e38\u9700\u8981\u673a\u68b0\u901a\u6c14\u3002<\/span><\/section>\n

<\/span><\/section>\n
\uff01<\/span><\/strong><\/span><\/strong>\u9ad8\u6d41\u91cf\u9f3b\u5bfc\u7ba1\u6c27\u5438\u6c27\uff08HFNO\uff09\u6216\u65e0\u521b\u901a\u6c14\uff08NIV\uff09\u4ec5\u5e94\u7528\u4e8e\u7279\u5b9a\u7684\u4f4e\u6c27\u8840\u75c7\u6027\u547c\u5438\u8870\u7aed\u3002MERS \u60a3\u8005\u4f7f\u7528 NIV \u7684\u6cbb\u7597\u5931\u8d25\u7387\u9ad8\uff0c\u63a5\u53d7 HFNO \u548c NIV \u6cbb\u7597\u7684\u60a3\u8005\u5e94\u8be5\u5bc6\u5207\u76d1\u6d4b\u662f\u5426\u51fa\u4e34\u5e8a\u6076\u5316\u7684\u60c5\u51b5\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8 1\uff1aHFNO \u7cfb\u7edf\u53ef\u4ee5\u63d0\u4f9b 60 L\/min\u7684\u6c14\u6d41\u548c\u9ad8\u8fbe 1.0 \u7684 FiO2\uff1b\u513f\u79d1\u8bbe\u5907\u901a\u5e38\u6700\u591a\u53ea\u80fd\u8bbe\u7f6e 15 L\/min\uff0c\u8bb8\u591a\u513f\u7ae5\u9700\u8981\u6210\u4eba\u7684\u8bbe\u5907\u624d\u80fd\u63d0\u4f9b\u8db3\u591f\u7684\u6d41\u91cf\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u4e0e\u6807\u51c6\u6c27\u6c14\u7597\u6cd5\u76f8\u6bd4\uff0cHFNO \u51cf\u5c11\u4e86\u63d2\u7ba1\u7684\u9700\u8981\u3002\u9ad8\u78b3\u9178\u8840\u75c7\uff08\u963b\u585e\u6027\u80ba\u75be\u75c5\u52a0\u91cd\uff0c\u5fc3\u6e90\u6027\u80ba\u6c34\u80bf\u7684\u52a0\u91cd\uff09\u3001\u8840\u6d41\u52a8\u529b\u5b66\u4e0d\u7a33\u5b9a\u3001\u591a\u5668\u5b98\u529f\u80fd\u8870\u7aed\u6216\u7cbe\u795e\u72b6\u6001\u5f02\u5e38\u901a\u5e38\u4e0d\u5e94\u63a5\u53d7 HFNO\uff0c\u5c3d\u7ba1\u6700\u65b0\u6570\u636e\u8868\u660e\uff0cHFNO \u5bf9\u4e8e\u8f7b\u5ea6\u4e2d\u5ea6\u548c\u65e0\u6076\u5316\u9ad8\u78b3\u9178\u8840\u75c7\u7684\u60a3\u8005\u53ef\u80fd\u662f\u5b89\u5168\u7684\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u63a5\u53d7 HFNO \u7684\u60a3\u8005\u5e94\u8fdb\u884c\u5bc6\u5207\u76d1\u89c6\uff0c\u5e76\u7531\u6709\u7ecf\u9a8c\u7684\u80fd\u591f\u6c14\u7ba1\u63d2\u7ba1\u7684\u4eba\u5458\u8fdb\u884c\u62a4\u7406\uff0c\u4ee5\u9632\u60a3\u8005\u5728\u77ed\u65f6\u95f4\uff08\u7ea6 1 \u5c0f\u65f6\uff09\u540e\u51fa\u73b0\u6025\u5267\u6076\u5316\u6216\u6ca1\u6709\u6539\u5584\u3002\u5173\u4e8e HFNO \u7684\u5faa\u8bc1\u6307\u5357\u5c1a\u4e0d\u5b58\u5728\uff0c\u6709\u5173 HFNO \u5728 MERS \u60a3\u8005\u4e2d\u7684\u7814\u7a76\u6709\u9650\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8 2\uff1aNIV \u6307\u5357\u4e0d\u63a8\u8350\u7528\u4e8e\u4f4e\u6c27\u8840\u75c7\u6027\u547c\u5438\u8870\u7aed\uff08\u9664\u5fc3\u6e90\u6027\u80ba\u6c34\u80bf\u548c\u672f\u540e\u547c\u5438\u8870\u7aed\uff09\u6216\u75c5\u6bd2\u6027\u75be\u75c5\u5927\u6d41\u884c\uff08\u6307\u5bf9 SARS \u548c\u5927\u6d41\u884c\u6027\u6d41\u611f\u7684\u7814\u7a76\uff09\u3002NIV \u76f8\u5173\u7684\u98ce\u9669\u5305\u62ec\u63d2\u7ba1\u5ef6\u8fdf\uff0c\u6f6e\u6c14\u91cf\u5927\u548c\u4f24\u5bb3\u6027\u7ecf\u80ba\u538b\u3002\u6709\u9650\u7684\u6570\u636e\u8868\u660e MERS \u60a3\u8005\u63a5\u53d7 NIV \u6cbb\u7597\u5931\u8d25\u7387\u9ad8\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u63a5\u53d7 NIV \u7684\u60a3\u8005\u5e94\u5bc6\u5207\u76d1\u6d4b\uff0c\u5e76\u7531\u7ecf\u9a8c\u4e30\u5bcc\u7684\u4eba\u5458\uff0c\u5982\u679c\u60a3\u8005\u5728\u77ed\u65f6\u95f4\uff08\u7ea6 1 \u5c0f\u65f6\uff09\u540e\u4e25\u91cd\u6076\u5316\u6216\u65e0\u6cd5\u6539\u5584\uff0c\u53ef\u4ee5\u8fdb\u884c\u6c14\u7ba1\u63d2\u7ba1\u3002\u8840\u6db2\u52a8\u529b\u5b66\u4e0d\u7a33\u5b9a\uff0c\u591a\u5668\u5b98\u529f\u80fd\u8870\u7aed\u6216\u7cbe\u795e\u72b6\u6001\u5f02\u5e38\u7684\u60a3\u8005\u4e0d\u5e94\u63a5\u53d7 NIV\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8 3\uff1a\u6700\u8fd1\u53d1\u8868\u7684\u6587\u732e\u8868\u660e\uff0c\u5177\u6709\u826f\u597d\u63a5\u53e3\u9002\u914d\u6027\u7684\u8f83\u65b0\u7684 HFNO \u548c NIV \u7cfb\u7edf\u4e0d\u4f1a\u4ea7\u751f\u5e7f\u6cdb\u7684\u5f71\u54cd\u547c\u51fa\u7a7a\u6c14\u7684\u6269\u6563\uff0c\u56e0\u6b64\u5e94\u8be5\u5177\u6709\u8f83\u4f4e\u7684\u7a7a\u4e2d\u4f20\u64ad\u98ce\u9669\u3002<\/span><\/section>\n
 <\/span><\/section>\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong><\/span>\u6c14\u7ba1\u5185\u63d2\u7ba1\u5e94\u7531\u7ecf\u8fc7\u57f9\u8bad\u7684\uff0c\u7ecf\u9a8c\u4e30\u5bcc\u7684\u4eba\u5458\u8fdb\u884c\uff0c\u5e76\u9884\u9632\u7a7a\u6c14\u4f20\u64ad\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8\uff1aARDS \u60a3\u8005\uff0c\u7279\u522b\u662f\u5e7c\u513f\u3001\u80a5\u80d6\u6216\u6000\u5b55\u7684\u60a3\u8005\uff0c\u53ef\u80fd\u4f1a\u5728\u63d2\u7ba1\u8fc7\u7a0b\u4e2d\u6c27\u9971\u548c\u5ea6\u8fc5\u901f\u4e0b\u964d\u3002\u901a\u8fc7\u5e26\u50a8\u6c27\u888b\u7684\u9762\u7f69\uff0c\u888b\u9600\u9762\u7f69\uff0cHFNO \u6216 NIV\uff0c\u7528 100\uff05FiO2 \u9884\u5145\u6c27 5 \u5206\u949f\u3002\u7ecf\u6c14\u9053\u8bc4\u4f30\u540e\u5982\u679c\u6ca1\u6709\u63d2\u7ba1\u56f0\u96be\u7684\u8ff9\u8c61\uff0c\u53ef\u4ee5\u5feb\u901f\u63d2\u7ba1\u662f\u5408\u9002\u7684\u3002<\/span><\/section>\n
 <\/span><\/section>\n
\u672c\u8282\u4e2d\u7684\u4ee5\u4e0b\u5efa\u8bae\u9002\u7528\u4e8e ARDS \u673a\u68b0\u901a\u6c14\u60a3\u8005\u3002\u6709\u9488\u5bf9\u6210\u5e74\u4eba\uff0c\u9488\u5bf9\u513f\u7ae5\u7684\u5171\u8bc6\u548c\u63a8\u8350\u3002<\/span><\/section>\n
 <\/span><\/section>\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong><\/span>\u4f7f\u7528\u8f83\u4f4e\u7684\u6f6e\u6c14\u91cf\uff08\u9884\u8ba1\u4f53\u91cd 4\uff5e8ml\/kg\uff0cPBW\uff09\u548c\u8f83\u4f4e\u7684\u5438\u6c14\u91cf\u8fdb\u884c\u673a\u68b0\u901a\u6c14\u538b\u529b\uff08\u5e73\u53f0\u538b\u529b < 30cmH2O\uff09\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8\uff1a\u8fd9\u662f ARDS \u60a3\u8005\u4e34\u5e8a\u6307\u5357\u4e2d\u7684\u5f3a\u70c8\u5efa\u8bae\uff0c\u4e5f\u5efa\u8bae\u7528\u4e8e\u4e0d\u7b26\u5408 ARDS \u6807\u51c6\u7684\u53c8\u8d25\u8840\u75c7\u5f15\u8d77\u7684\u547c\u5438\u8870\u7aed\u3002\u6700\u521d\u7684\u6f6e\u6c14\u91cf\u4e3a 6 ml\/kg PBW\u3002\u5982\u679c\u53d1\u751f\u4e0d\u826f\u53cd\u5e94\uff08\u4f8b\u5982\uff0c\u4e0d\u540c\u6b65\uff0cpH < 7.15\uff09\uff0c\u5219\u5141\u8bb8\u4f7f\u7528\u6f6e\u6c14\u91cf\u9ad8\u8fbe 8 ml\/kg PBW\u3002\u5982\u679c\u6ee1\u8db3 pH \u76ee\u6807\u4e3a 7.30\uff5e7.45\uff0c\u53ef\u4ee5\u5141\u8bb8\u9ad8\u78b3\u9178\u8840\u75c7\u3002\u53ef\u4ee5\u4f7f\u7528\u547c\u5438\u673a\u89c4\u7a0b\u3002\u53ef\u80fd\u9700\u8981\u4f7f\u7528\u6df1\u5ea6\u9547\u9759\u5242\u6765\u63a7\u5236\u547c\u5438\u9a71\u52a8\u5e76\u8fbe\u5230\u6f6e\u6c14\u91cf\u76ee\u6807\u3002\u5c3d\u7ba1\u8f83\u9ad8\u7684\u9a71\u52a8\u538b\u529b\uff08\u5e73\u53f0\u538b – PEEP\uff09\uff0c\u76f8\u6bd4\u9ad8\u6f6e\u6c14\u91cf\u6216\u9ad8\u5e73\u53f0\u538b\uff0c\u4e0e ARDS \u7684\u6b7b\u4ea1\u7387\u66f4\u76f8\u5173\u3002\u76ee\u524d\u5c1a\u65e0\u9488\u5bf9\u9a71\u52a8\u538b\u529b\u7684\u901a\u6c14\u7b56\u7565\u7684 RCT \u7814\u7a76\u3002<\/span><\/section>\n
 <\/span><\/section>\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong><\/span>\u5bf9\u4e8e\u91cd\u5ea6 ARDS \u7684\u60a3\u8005\uff0c\u5efa\u8bae\u6bcf\u5929\u8fdb\u884c >12 \u5c0f\u65f6\u7684\u901a\u6c14\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8\uff1a\u5f3a\u70c8\u5efa\u8bae\u5bf9\u60a3\u6709\u4e25\u91cd ARDS \u7684\u6210\u4eba\u548c\u513f\u7ae5\u60a3\u8005\u4f7f\u7528\u4fef\u5367\u901a\u6c14\uff0c\u4f46\u9700\u8981\u8db3\u591f\u7684\u4eba\u529b\u8d44\u6e90\u548c\u4e13\u4e1a\u77e5\u8bc6\u624d\u80fd\u5b89\u5168\u5730\u6267\u884c\u5de5\u4f5c\u3002<\/span><\/section>\n

<\/section>\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong><\/span>\u5bf9\u6ca1\u6709\u7ec4\u7ec7\u704c\u6ce8\u4e0d\u8db3\u7684 ARDS \u60a3\u8005\u4f7f\u7528\u4fdd\u5b88\u7684\u6db2\u4f53\u7ba1\u7406\u7b56\u7565\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8\uff1a\u8fd9\u662f\u4e00\u4e2a\u5f3a\u6709\u529b\u7684\u6307\u5bfc\u5efa\u8bae\uff1b\u4e3b\u8981\u4f5c\u7528\u662f\u7f29\u77ed\u901a\u6c14\u65f6\u95f4\u3002<\/span><\/section>\n
 <\/span><\/section>\n
\uff01<\/span><\/strong><\/span><\/strong><\/span>\u5728\u4e2d\u5ea6\u6216\u91cd\u5ea6 ARDS \u60a3\u8005\u4e2d\uff0c\u5efa\u8bae\u4f7f\u7528\u8f83\u9ad8\u7684 PEEP \u800c\u4e0d\u662f\u8f83\u4f4e\u7684 PEEP\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8\uff1aPEEP \u8bbe\u5b9a\u9700\u8981\u8003\u8651\u6536\u76ca\uff08\u51cf\u5c11\u80ba\u4e0d\u5f20\u548c\u6539\u5584\u80ba\u6ce1\u8865\u5145\uff09\u4e0e\u98ce\u9669\u4e4b\u95f4\u7684\u5173\u7cfb\uff08\u5438\u6c14\u672b\u8fc7\u5ea6\u6269\u5f20\u5bfc\u81f4\u80ba\u635f\u4f24\u548c\u66f4\u9ad8\u7684\u80ba\u8840\u7ba1\u963b\u529b\uff09\u3002\u8868\u683c\u53ef\u4f9b\u6307\u5bfc\u6839\u636e\u7ef4\u6301 SpO2 \u6240\u9700\u7684 FiO2 \u8fdb\u884c PEEP \u8c03\u6574\uff0c\u6301\u7eed\u9ad8\u6c14\u9053\u6b63\u538b[30\uff5e40 cmH2O]<\/span>\u53ef\u4ee5\u4f5c\u4e3a\u80ba\u590d\u5f20\u7684\u76f8\u5173\u63aa\u65bd\u7ed9\u4e88\uff0c\u9010\u6e10\u589e\u52a0\u5177\u6709\u6052\u5b9a\u9a71\u52a8\u538b\u529b\u6216\u9ad8\u9a71\u52a8\u538b\u529b\u7684 PEEP\uff1b\u6536\u76ca\u4e0e\u98ce\u9669\u7684\u8003\u91cf\u76f8\u4f3c\u3002\u8f83\u9ad8\u7684 PEEP \u548c\u5728\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\u4e2d\u6709\u6761\u4ef6\u5730\u63a8\u8350\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5bf9\u4e8e PEEP\uff0c\u8be5\u6307\u5357\u8003\u8651\u4e86 3 \u9879 RCT \u7684\u60a3\u8005\u6570\u636e\u835f\u8403\u5206\u6790\u3002\u7136\u800c\uff0c\u968f\u540e\u5173\u4e8e\u9ad8 PEEP \u548c\u5ef6\u957f\u7684\u9ad8\u538b\u529b\u80ba\u590d\u5f20\u7684 RCT \u7814\u7a76\u53d1\u73b0 RMs \u7684 RCT \u63d0\u793a\u4e86\u5b58\u5728\u5371\u5bb3\uff0c\u5efa\u8bae\u907f\u514d\u4f7f\u7528\u8be5 RCT \u4e2d\u7684\u65b9\u6848\u3002\u63a8\u8350\u8fdb\u884c\u76d1\u63a7\uff0c\u4ee5\u8bc6\u522b\u5bf9\u521d\u59cb\u9ad8 PEEP \u6216\u8005\u5176\u4ed6\u80ba\u590d\u5f20\u65b9\u6848\u6709\u53cd\u5e94\u7684\u60a3\u8005\uff0c\u5e76\u5728\u65e0\u53cd\u5e94\u7684\u60a3\u8005\u4e2d\u505c\u6b62\u8fd9\u4e9b\u5e72\u9884\u63aa\u65bd\u3002<\/span><\/section>\n
 <\/span><\/section>\n
\uff01<\/span><\/strong><\/span><\/strong><\/span>\u5bf9\u4e8e\u4e2d\u5ea6\u91cd\u5ea6 ARDS\uff08PaO2 \/ FiO2 <150\uff09\u7684\u60a3\u8005\uff0c\u6301\u7eed\u8f93\u6ce8\u795e\u7ecf\u808c\u8089\u963b\u6ede\u836f\u7269\u4e0d\u5e94\u5e38\u89c4\u4f7f\u7528\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8\uff1a\u4e00\u9879\u8bd5\u9a8c\u53d1\u73b0\uff0c\u8be5\u7b56\u7565\u53ef\u6539\u5584\u91cd\u5ea6 ARDS\uff08PaO2\/FiO2 <150\uff09\u60a3\u8005\u7684\u751f\u5b58\u7387\uff0c\u800c\u4e0d\u4f1a\u5f15\u8d77\u660e\u663e\u865a\u5f31\uff0c\u4f46\u662f\u6700\u8fd1\u4e00\u9879\u8f83\u5927\u7684\u8bd5\u9a8c\u7ed3\u679c\u53d1\u73b0\uff0c\u5c06\u795e\u7ecf\u808c\u8089\u963b\u6ede\u4e0e\u9ad8 PEEP \u7b56\u7565\u7ed3\u5408\u4f7f\u7528\u4e0e\u6ca1\u6709\u795e\u7ecf\u808c\u8089\u963b\u6ede\u7684\u8f7b\u5ea6\u9547\u9759\u7b56\u7565\u76f8\u6bd4\uff0c\u5b83\u4e0e\u6539\u5584\u751f\u5b58\u7387\u65e0\u5173\u3002\u5728\u67d0\u4e9b\u60c5\u51b5\u4e0b\uff0c\u4ecd\u53ef\u8003\u8651\u5bf9 ARDS \u60a3\u8005\u8fde\u7eed\u4f7f\u7528\u795e\u7ecf\u808c\u8089\u963b\u6ede\uff1a\u4f7f\u7528\u9547\u9759\u836f\u7269\u540e\u4ecd\u6709\u4eba\u673a\u62b5\u6297\u8005\uff0c\u4f7f\u6f6e\u6c14\u91cf\u9650\u5236\u65e0\u6cd5\u8fbe\u6807\uff1b\u6216\u96be\u6cbb\u6027\u4f4e\u6c27\u8840\u75c7\u6216\u9ad8\u78b3\u9178\u8840\u75c7\u3002<\/span><\/section>\n
 <\/span><\/section>\n
\uff01<\/span><\/strong><\/span><\/strong><\/span>\u5728\u53ef\u4ee5\u83b7\u5f97\u4f53\u5916\u751f\u547d\u652f\u6301\uff08ECLS\uff09\u4e13\u4e1a\u77e5\u8bc6\u7684\u60c5\u51b5\u4e2d\uff0c\u5bf9\u80ba\u90e8\u4fdd\u62a4\u6027\u901a\u6c14\u540e\u4ecd\u6709\u53cd\u590d\u4f4e\u6c27\u8840\u75c7\u7684\u60a3\u8005\u53ef\u4ee5\u8fdb\u884c\u8f6c\u8bca\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8\uff1a\u6700\u8fd1\u7684\u6307\u5357\u672a\u5bf9 ARDS \u60a3\u8005\u7684 ECLS \u63d0\u51fa\u4efb\u4f55\u5efa\u8bae\u3002\u4e00\u9879\u5173\u4e8e ARDS \u60a3\u8005\u5e94\u7528 ECLS \u7684 RCT \u7814\u7a76\u63d0\u524d\u7ec8\u6b62\uff0c\u56e0\u4e3a\u7814\u7a76\u53d1\u73b0 ECLS \u548c\u6807\u51c6\u7684\u533b\u7597\u5904\u7f6e\uff08\u5305\u62ec\u4fef\u5367\u4f4d\u548c\u4f7f\u7528\u795e\u7ecf\u808c\u8089\u963b\u6ede\uff09\u76f8\u6bd4 60 \u5929\u6b7b\u4ea1\u7387\u7684\u4e3b\u8981\u7ed3\u5c40\u65e0\u7edf\u8ba1\u5b66\u5dee\u5f02\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u7136\u800c\uff0cECLS \u53ef\u4ee5\u964d\u4f4e\u6b7b\u4ea1\u7684\u7ec4\u5408\u7ed3\u5c40\u7684\u98ce\u9669\uff0c\u4e8b\u540e\u8be5 RCT \u7814\u7a76\u7684\u7efc\u5408\u8d1d\u53f6\u65af\u7efc\u5408\u98ce\u9669\u76f8\u5173\u5206\u6790\u8868\u660e\uff1a\u5728\u4e00\u7cfb\u5217\u5148\u524d\u7684\u5047\u8bbe\u4e0b\uff0cECLS \u5f88\u6709\u53ef\u80fd\u964d\u4f4e\u6b7b\u4ea1\u7387\u3002\u5728\u4e00\u9879\u961f\u5217\u7814\u7a76\u4e2d\uff0cMERS-CoV \u611f\u67d3\uff0cECLS \u4e0e\u5e38\u89c4\u6cbb\u7597\u76f8\u6bd4\u53ef\u964d\u4f4e\u6b7b\u4ea1\u7387\u3002<\/span><\/section>\n

<\/section>\n
\u6000\u7591\u60a3\u6709\u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\uff08nCoV\uff09\u611f\u67d3\u65f6\uff0c\u4ec5\u5728\u5177\u6709\u6536\u6cbb\u8db3\u591f\u6848\u4f8b\u7684\u4e13\u4e1a\u4e2d\u5fc3\u4fdd\u8bc1\u5176\u4e13\u4e1a\u77e5\u8bc6\u7684\u60c5\u51b5\u4e0b\uff0c\u53ef\u4ee5\u5bf9\u4e8e nCoV \u60a3\u8005\u5e94\u7528\u6240\u9700\u7684 IPC \u63aa\u65bd\u3002<\/span><\/section>\n
 <\/span><\/section>\n
\u00d7 <\/span><\/strong><\/span><\/strong>\u907f\u514d\u65ad\u5f00\u60a3\u8005\u4e0e\u547c\u5438\u673a\u7684\u8fde\u63a5\uff0c\u5426\u5219\u4f1a\u5bfc\u81f4 PEEP \u6d88\u5931\u548c\u80ba\u4e0d\u5f20\u3002\u4f7f\u7528\u76f4\u63d2\u5f0f\u5bfc\u7ba1\u8fdb\u884c\u6c14\u7ba1\u62bd\u5438\u5e76\u5728\u9700\u8981\u65ad\u5f00\u8fde\u63a5\u65f6\u5939\u4f4f\u6c14\u7ba1\u5bfc\u7ba1\uff08\u4f8b\u5982\uff0c\u8f6c\u79fb\u81f3\u8f6c\u8fd0\u547c\u5438\u673a\uff09\u3002<\/span><\/section>\n

<\/section>\n

<\/span><\/section>\n

<\/span><\/section>\n
6. <\/span><\/strong>\u8113\u6bd2\u6027\u4f11\u514b\u7684\u7ba1\u7406<\/span><\/strong><\/section>\n

<\/span><\/strong><\/section>\n<\/section>\n
\n
\n
\n

<\/section>\n<\/section>\n<\/section>\n<\/section>\n
\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong><\/span>\u5f53\u6000\u7591\u6216\u786e\u8bca\u611f\u67d3\u5e76\u4e14\u9700\u8981\u5347\u538b\u836f\u4ee5\u7ef4\u6301\u5e73\u5747\u52a8\u8109\u538b MAP\u226565mmHg \u5e76\u4e14\u4e73\u9178 \u2265 2mmol\/L \u65f6\uff0c\u9664\u5916\u4f4e\u8840\u5bb9\u91cf\uff0c\u9700\u8981\u8bc6\u522b\u513f\u7ae5\u7684\u8113\u6bd2\u6027\u4f11\u514b\uff08\u6536\u7f29\u538b[SBP] < \u540c\u9f84\u4eba\u7b2c 5 \u4e2a\u767e\u5206\u4f4d\u6570\u6216\u4f4e\u4e8e\u6b63\u5e38\u6c34\u5e73 2SD\uff09\uff0c\u6216\u51fa\u73b0\u4ee5\u4e0b 2\uff5e3 \u9879\uff1a\u7cbe\u795e\u72b6\u6001\u6539\u53d8\uff1b\u5fc3\u52a8\u8fc7\u901f\u6216\u5fc3\u52a8\u8fc7\u7f13\uff08\u5a74\u513f\u5fc3\u7387 < 90bpm \u6216 > 160bpm\uff0c\u513f\u7ae5\u5fc3\u7387 < 70bpm \u6216 > 150bpm\uff09\uff1b\u5ef6\u957f\u6bdb\u7ec6\u8840\u7ba1\u5145\u76c8\u65f6\u95f4\uff08> 2\u79d2\uff09\u6216\u4f34\u6709\u6d2a\u8109\u7684\u8840\u7ba1\u8212\u5f20; \u547c\u5438\u6025\u4fc3; \u76ae\u80a4\u82b1\u6591\u6216\u76ae\u75b9\u6216\u7d2b\u765c\u6027\u76ae\u75b9\uff1b\u4e73\u9178\u589e\u52a0\uff1b\u5c11\u5c3f\uff1b\u4f53\u6e29\u8fc7\u9ad8\u6216\u4f53\u6e29\u8fc7\u4f4e\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8\uff1a\u5728\u6ca1\u6709\u4e73\u9178\u6d4b\u91cf\u7684\u60c5\u51b5\u4e0b\uff0c\u4f7f\u7528 MAP \u548c\u704c\u6ce8\u7684\u4e34\u5e8a\u4f53\u5f81\u6765\u5b9a\u4e49\u4f11\u514b\u3002\u6807\u51c6\u8bca\u6cbb\u5305\u62ec\u65e9\u671f\u8bc6\u522b\u548c\u8bc6\u522b\u540e 1 \u5c0f\u65f6\u5185\u7684\u4ee5\u4e0b\u6cbb\u7597\uff1a\u6297\u5fae\u751f\u7269\u6cbb\u7597\uff0c\u6db2\u4f53\u8d1f\u8377\u4ee5\u53ca\u5347\u538b\u836f\u7528\u4e8e\u4f4e\u8840\u538b\u4f11\u514b\u3002\u6839\u636e\u8d44\u6e90\u7684\u53ef\u83b7\u5f97\u6027\u548c\u60a3\u8005\u4e2a\u4f53\u60c5\u51b5\u6765\u4f7f\u7528\u4e2d\u592e\u9759\u8109\u548c\u52a8\u8109\u5bfc\u7ba1\uff0c\u76ee\u524d\u6709\u8be6\u7ec6\u7684\u6307\u5357\u53ef\u7528\u4e8e\u5904\u7406\u6210\u4eba\u548c\u513f\u7ae5\u7684\u8113\u6bd2\u6027\u4f11\u514b\u3002<\/span><\/section>\n

<\/section>\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong><\/span>\u5728\u6210\u5e74\u4eba\u8113\u6bd2\u6027\u4f11\u514b\u4e2d\u8fdb\u884c\u590d\u82cf\u65f6\uff0c\u5e94\u5728\u524d 3 \u5c0f\u65f6\u5185\u7ed9\u6210\u5e74\u4eba\u81f3\u5c11\u6ce8\u5165 30ml\/kg \u7b49\u6e17\u6676\u4f53\u3002\u5bf9\u513f\u7ae5\u8113\u6bd2\u6027\u4f11\u514b\u4e2d\u8fdb\u884c\u6db2\u4f53\u590d\u82cf\u65f6\uff0c\u5feb\u901f\u63a8\u6ce8\u5242\u91cf\u4e3a 20ml\/kg\uff0c\u5728\u6025\u6551\u65f6\u5242\u91cf\u4e3a 40\uff5e60ml\/kg\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u00d7 <\/span><\/strong><\/span><\/strong>\u524d 1 \u5c0f\u65f6\u8bf7\u52ff\u4f7f\u7528\u4f4e\u6e17\u6676\u4f53\uff0c\u6dc0\u7c89\u6216\u660e\u80f6\u8fdb\u884c\u590d\u82cf\u3002<\/span><\/section>\n

<\/span><\/section>\n
\uff01<\/span><\/strong><\/span><\/strong>\u6db2\u4f53\u590d\u82cf\u53ef\u80fd\u5bfc\u81f4\u5bb9\u91cf\u8d85\u8d1f\u8377\uff0c\u5305\u62ec\u547c\u5438\u8870\u7aed\u3002\u5982\u679c\u5bf9\u6db2\u4f53\u8d1f\u8377\u65e0\u53cd\u5e94\uff0c\u4e14\u51fa\u73b0\u5bb9\u91cf\u8d85\u8d1f\u8377\u7684\u4f53\u5f81\uff08\u4f8b\u5982\uff0c\u9888\u9759\u8109\u6269\u5f20\uff0c\u542c\u8bca\u65f6\u6709\u7206\u88c2\u97f3\uff0c\u5f71\u50cf\u5b66\u63d0\u793a\u80ba\u6c34\u80bf\u6216\u51fa\u73b0\u513f\u7ae5\u809d\u80bf\u5927\uff09\uff0c\u9700\u8981\u51cf\u5c11\u6216\u4e2d\u65ad\u8f93\u6db2\u3002\u8be5\u6b65\u9aa4\u5728\u673a\u68b0\u901a\u6c14\u4e0d\u53ef\u7528\u7684\u60c5\u51b5\u4e0b\u5c24\u5176\u91cd\u8981\u3002\u5f53\u5728\u8d44\u6e90\u6709\u9650\u7684\u60c5\u51b5\u4e0b\uff0c\u53ef\u4ee5\u4f7f\u7528\u5176\u4ed6\u8865\u6db2\u65b9\u6848\u3002<\/span><\/section>\n

<\/section>\n
\u5907\u6ce8\uff1a\u6676\u4f53\u5305\u62ec\u751f\u7406\u76d0\u6c34\u548c\u6797\u683c\u6c0f\u4e73\u9178\u76d0\u3002\u786e\u5b9a\u662f\u5426\u9700\u8981\u989d\u5916\u7684\u6db2\u4f53\u63a8\u6ce8\uff08250\uff5e1000 ml \u6210\u4eba\u6216\u513f\u7ae5 10\uff5e20 ml\/kg\uff09\uff0c\u53d6\u51b3\u4e8e\u4e34\u5e8a\u53cd\u5e94\u548c\u6539\u5584\u704c\u6ce8\u6307\u6807\u3002\u704c\u6ce8\u76ee\u6807\u5305\u62ec MAP\uff08> 65 mmHg \u6216\u9002\u5408\u513f\u7ae5\u5e74\u9f84\u7684\u76ee\u6807\uff09\uff0c\u5c3f\u91cf\uff08\u6210\u4eba > 0.5 ml\/kg\/hr\uff0c\u513f\u7ae5 1 ml\/ kg\/hr\uff09\u548c\u76ae\u80a4\u82b1\u6591\u3001\u6bdb\u7ec6\u8840\u7ba1\u518d\u5145\u76c8\u3001\u610f\u8bc6\u6c34\u5e73\u548c\u4e73\u9178\u7684\u6539\u5584\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u6839\u636e\u5f53\u5730\u7684\u8d44\u6e90\u60c5\u51b5\u548c\u7ecf\u9a8c\uff0c\u5728\u521d\u6b65\u6db2\u4f53\u590d\u82cf\u540e\uff0c\u8003\u8651\u5bb9\u91cf\u53cd\u5e94\u7684\u52a8\u6001\u6307\u6570\u6765\u6307\u5bfc\u540e\u7eed\u7684\u6db2\u4f53\u8f93\u6ce8\u3002\u65b9\u6cd5\u5305\u62ec\u88ab\u52a8\u62ac\u817f\uff0c\u8fde\u7eed\u640f\u52a8\u91cf\u6d4b\u91cf\uff0c\u6536\u7f29\u538b\u7684\u52a8\u6001\u53d8\u5316\uff0c\u8109\u538b\u548c\u4e0b\u8154\u9759\u8109\u5bbd\u5ea6\uff0c\u673a\u68b0\u901a\u6c14\u8fc7\u7a0b\u4e2d\u80f8\u8154\u5185\u538b\u529b\u53d8\u5316\u5bf9\u5bb9\u91cf\u7684\u5f71\u54cd\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u4e0e\u6676\u4f53\u76f8\u6bd4\uff0c\u6dc0\u7c89\u4e0e\u6b7b\u4ea1\u548c\u6025\u6027\u80be\u635f\u4f24\u7684\u98ce\u9669\u589e\u52a0\u6709\u5173\u3002\u660e\u80f6\u7684\u4f5c\u7528\u6548\u679c\u4e0d\u8be6\uff0c\u4e14\u4ef7\u683c\u9ad8\u4e8e\u6676\u4f53\u6db2\u3002\u4f4e\u6e17\u6eb6\u6db2\uff08\u76f8\u5bf9\u4e8e\u7b49\u6e17\u6eb6\u6db2\uff09\u5728\u589e\u52a0\u8840\u7ba1\u5185\u5bb9\u91cf\u7684\u65b9\u9762\u6548\u679c\u8f83\u5dee\u3002\u62ef\u6551\u8113\u6bd2<\/span><\/section>\n
\u8fd0\u52a8\u5efa\u8bae\u5982\u679c\u60a3\u8005\u9700\u8981\u5927\u91cf\u6676\u4f53\u6db2\u65f6\uff0c\u53ef\u4ee5\u8003\u8651\u4f7f\u7528\u767d\u86cb\u767d\u8fdb\u884c\u6db2\u4f53\u590d\u82cf\uff0c\u4f46\u662f\u57fa\u4e8e\u4f4e\u8d28\u91cf\u7684\u8bc1\u636e\u7684\u4e00\u5b9a\u6761\u4ef6\u4e0b\u7684\u63a8\u8350\u3002<\/span><\/section>\n

<\/section>\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong><\/span>\u5728\u6db2\u4f53\u590d\u82cf\u540e\u4ecd\u5b58\u5728\u4f11\u514b\uff0c\u5e94\u4f7f\u7528\u5347\u538b\u836f\u3002\u521d\u59cb\u8840\u538b\u76ee\u6807\u662f MAP \u6210\u4eba \u2265 65mmHg \u6216\u9002\u5408\u513f\u7ae5\u5e74\u9f84\u7684\u76ee\u6807\u3002<\/span><\/section>\n

<\/span><\/section>\n
\uff01<\/span><\/strong><\/span><\/strong>\u5982\u679c\u6ca1\u6761\u4ef6\u653e\u7f6e\u4e2d\u592e\u9759\u8109\u5bfc\u7ba1\uff0c\u53ef\u4ee5\u901a\u8fc7\u5916\u5468\u9759\u8109\u8f93\u6ce8\u5347\u538b\u836f\uff0c\u4f46\u8981\u4f7f\u7528\u5927\u9759\u8109\u5e76\u7d27\u5bc6\u76d1\u6d4b\u6e17\u51fa\u548c\u5c40\u90e8\u7ec4\u7ec7\u574f\u6b7b\u7684\u8ff9\u8c61\u3002\u5982\u679c\u53d1\u751f\u6e17\u51fa\uff0c\u505c\u6b62\u8f93\u6db2\u3002\u8840\u7ba1\u52a0\u538b\u5242\u4e5f\u53ef\u4ee5\u901a\u8fc7\u9aa8\u5185\u9488\u7ed9\u836f\u3002<\/span><\/section>\n
\uff01<\/span><\/strong><\/span><\/strong>\u5982\u679c\u5c3d\u7ba1\u901a\u8fc7\u8865\u6db2\u548c\u8840\u7ba1\u5347\u538b\u836f\u8fbe\u5230\u4e86 MAP \u6307\u6807\uff0c\u4f46\u4ecd\u5b58\u5728\u704c\u6ce8\u4e0d\u826f\u548c\u5fc3\u810f\u529f\u80fd\u969c\u788d\u7684\u8ff9\u8c61\uff0c\u8003\u8651\u5f3a\u5fc3\u836f\u7269\u5982\u591a\u5df4\u915a\u4e01\u80fa\u3002<\/span><\/section>\n

<\/span><\/section>\n
\u5907\u6ce8\uff1a\u5347\u538b\u836f\uff08\u5982\u53bb\u7532\u80be\u4e0a\u817a\u7d20\u3001\u80be\u4e0a\u817a\u7d20\u3001\u8840\u7ba1\u52a0\u538b\u7d20\u548c\u591a\u5df4\u80fa\uff09\u901a\u8fc7\u4e2d\u5fc3\u9759\u8109\u548c\u4e25\u683c\u63a7\u901f\u7ed9\u836f\u662f\u6700\u5b89\u5168\u7684\uff0c\u4f46\u4e5f\u53ef\u4ee5\u901a\u8fc7\u5916\u5468\u9759\u8109\u548c\u9aa8\u9ad3\u5185\u5b89\u5168\u4f7f\u7528\u3002\u7ecf\u5e38\u76d1\u6d4b\u8840\u538b\uff0c\u5e76\u5c06\u5347\u538b\u836f\u6ef4\u5b9a\u81f3\u7ef4\u6301\u704c\u6ce8\u548c\u7ef4\u6301\u8840\u538b\u6240\u9700\u7684\u6700\u5c0f\u5242\u91cf\u4ee5\u9632\u6b62\u526f\u4f5c\u7528\u3002\u53bb\u7532\u80be\u4e0a\u817a\u7d20\u88ab\u8ba4\u4e3a\u662f\u6210\u5e74\u60a3\u8005\u7684\u4e00\u7ebf\u836f\u7269\uff1b\u53ef\u4ee5\u52a0\u7528\u80be\u4e0a\u817a\u7d20\u6216\u8840\u7ba1\u52a0\u538b\u7d20\u6765\u8fbe\u5230 MAP \u76ee\u6807\u3002\u7531\u4e8e\u5b58\u5728\u5feb\u901f\u6027\u5fc3\u5f8b\u5931\u5e38\u7684\u98ce\u9669\uff0c\u9009\u62e9\u5728\u5feb\u901f\u6027\u5fc3\u5f8b\u5931\u5e38\u4f4e\u98ce\u9669\u6216\u8005\u6709\u5fc3\u52a8\u8fc7\u7f13\u7684\u60a3\u8005\u4e2d\u4f7f\u7528\u591a\u5df4\u80fa\u3002\u5bf9\u4e8e\u51b7\u4f11\u514b\u7684\u513f\u7ae5\uff08\u8f83\u5e38\u89c1\uff09\uff0c\u80be\u4e0a\u817a\u7d20\u88ab\u8ba4\u4e3a\u662f\u4e00\u7ebf\u836f\u7269\uff0c\u800c\u53bb\u7532\u80be\u4e0a\u817a\u7d20\u8003\u8651\u7528\u4e8e\u70ed\u4f11\u514b\uff08\u8f83\u5c11\u89c1\uff09\u7684\u60a3\u8005\u3002<\/span><\/section>\n

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\u76ee\u524d\u5c1a\u65e0 RCT \u5c06\u591a\u5df4\u915a\u4e01\u80fa\u4e0e\u5b89\u6170\u5242\u8fdb\u884c\u4e34\u5e8a\u6bd4\u8f83\u3002<\/span><\/section>\n

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7. <\/span><\/strong>\u5e76\u53d1\u75c7\u7684\u9884\u9632<\/span><\/strong><\/section>\n<\/section>\n
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\"\u6700\u65b0\u4e2d\u6587\u9996\u8bd1\u7248\uff01WHO<\/section>\n<\/section>\n<\/section>\n<\/section>\n
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\u8868 4\uff1a\u9884\u9632\u5e76\u53d1\u75c7<\/span><\/section>\n

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8. <\/span><\/strong>\u7279\u5f02\u6027\u7684\u6297\u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\uff08\u6297 nCOV\uff09\u6cbb\u7597 <\/span><\/strong>
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<\/span><\/section>\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong>\u672a\u83b7\u6279\u7684\u6cbb\u7597\u65b9\u6848\u4ec5\u80fd\u5728\u4f26\u7406\u59d4\u5458\u4f1a\u6279\u51c6\u7684\u4e34\u5e8a\u7814\u7a76\u6216 Monitored Emergency Use of Unregistered Interventions Framework \uff08MEURI\uff09\u4e2d\u53ef\u91c7\u7528\uff0c\u4e14\u9700\u8981\u8fdb\u884c\u4e25\u5bc6\u7684\u76d1\u6d4b\u3002<\/span><\/section>\n
https:\/\/www.who.int\/ethics\/publications\/infectious-disease-outbreaks\/en\/<\/span><\/section>\n

<\/span><\/section>\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong>\u4e34\u5e8a\u624b\u518c\u53ef\u4ee5\u5728\u4e0b\u9762\u83b7\u5f97\uff1a<\/span><\/section>\n
SPRINT-SARI \u7248\u672c<\/span><\/section>\n
https:\/\/isaric.tghn.org\/sprint-sari\/<\/span><\/section>\n
WHO-ISARIC \u7248\u672c<\/span><\/section>\n
https:\/\/isaric.tghn.org\/protocols\/severe-acute-respiratory-infection-data-tools\/<\/span><\/section>\n
\u5173\u4e8e\u5176\u4ed6\u95ee\u9898\u8054\u7cfb oubreak@who.int <\/span><\/section>\n

<\/span><\/strong><\/section>\n

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9. <\/span><\/strong>\u598a\u5a20\u60a3\u8005\u7684\u7279\u522b\u6ce8\u610f\u4e8b\u9879<\/span><\/strong><\/section>\n

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\n
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<\/span><\/section>\n
<\/span><\/strong><\/span><\/strong>\u2714 <\/span><\/strong><\/span><\/span><\/strong><\/span><\/strong>\u7d27\u6025\u5206\u5a29\u548c\u7ec8\u6b62\u598a\u5a20\u7684\u51b3\u5b9a\u57fa\u4e8e\u591a\u4e2a\u56e0\u7d20\uff1a\u5b55\u9f84\u3001\u6bcd\u4eb2\u7684\u72b6\u51b5\u3001\u80ce\u513f\u7684\u7a33\u5b9a\u6027\u3002\u5fc5\u987b\u54a8\u8be2\u4ea7\u79d1\u3001\u65b0\u751f\u513f\u79d1\u548c ICU \u7684\u4e13\u5bb6\uff08\u89c6\u6bcd\u4eb2\u60c5\u51b5\uff09\u3002<\/span><\/section>\n

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\u672c\u6587\u9996\u53d1\u4e8e\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u534e\u5c71\u533b\u9662\u611f\u67d3\u79d1\u516c\u4f17\u53f7\uff1a\u534e\u5c71\u611f\u67d3\uff08ID\uff1ahsinfect\uff09\uff0c\u6388\u6743\u53d1\u5e03\uff0c<\/span>\u6392\u7248\uff1a<\/span>\u5510\u96e8\u6615<\/span><\/section>\n


<\/p>\n

\"\u6700\u65b0\u4e2d\u6587\u9996\u8bd1\u7248\uff01WHO<\/p>\n


<\/p>\n

\u9898\u56fe\u6765\u6e90\uff1aWHO 2019 \u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\uff082019-nCoV\uff09\u6307\u5357\u622a\u56fe<\/span><\/p>\n

\u53c2\u8003\u6587\u732e\uff1a<\/span><\/section>\n
[1]World Health Organization: Clinical management of severe acute respiratory infection when Novel coronavirus (nCoV) infection is suspected: Interim Guidance.<\/span><\/section>\n

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\u25bc<\/span> \u70b9\u51fb\u9605\u8bfb\u539f\u6587\u53ef\u67e5\u770b\u6307\u5357\u539f\u6587<\/span><\/span><\/section>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

\u5f15\u8a00 2019 \u5e74 12 \u6708\u4ee5\u6765\uff0c\u6e56\u5317\u7701\u6b66\u6c49\u5e02\u53d1\u73b0\u591a\u8d77\u75c5\u6bd2\u6027\u80ba\u708e\u75c5\u4f8b\uff0c\u7ecf\u76f8\u5173\u75c5\u6bd2\u5206\u578b\u68c0\u6d4b\uff0c2020 \u5e74 1 \u6708 […]<\/p>\n","protected":false},"author":1,"featured_media":131421,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[2],"tags":[],"_links":{"self":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/131420"}],"collection":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/comments?post=131420"}],"version-history":[{"count":1,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/131420\/revisions"}],"predecessor-version":[{"id":131429,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/131420\/revisions\/131429"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media\/131421"}],"wp:attachment":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media?parent=131420"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/categories?post=131420"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/tags?post=131420"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}