{"id":93014,"date":"2019-03-20T00:00:50","date_gmt":"2019-05-17T07:37:03","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/93014\/"},"modified":"2019-05-17T15:37:05","modified_gmt":"2019-05-17T07:37:05","slug":"5e5edd6a77","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/93014\/","title":{"rendered":"\u4e34\u5e8a\u5e38\u7528\u5341\u5927\u8ba1\u7b97\u516c\u5f0f\u6c47\u603b"},"content":{"rendered":"
\n
<\/section>\n

\"\u4e34\u5e8a\u5e38\u7528\u5341\u5927\u8ba1\u7b97\u516c\u5f0f\u6c47\u603b\"<\/p>\n

<\/span>
<\/p>\n

\u4e34\u5e8a\u5de5\u4f5c\u4e2d\uff0c\u5982\u4f55\u5e94\u5bf9\u5927\u91cf\u7684\u533b\u5b66\u8ba1\u7b97\u516c\u5f0f\uff1f\u300c\u80cc\u300d\uff01\u4eca\u5929\uff0c\u836f\u836f\u7ed3\u5408\u7528\u836f\u52a9\u624b\u7684\u300c\u533b\u5b66\u8ba1\u7b97\u300d\u529f\u80fd\u4f7f\u7528\u60c5\u51b5\uff0c\u6574\u7406\u4e86\u300c\u4e34\u5e8a\u5e38\u7528\u8ba1\u7b97\u516c\u5f0f\u300d\u7b2c\u4e00\u5f39\uff0c\u4e00\u8d77\u6765\u770b\u770b\u5427\uff5e\uff08\u4e0d\u613f\u80cc\u7684\u8bf7\u81ea\u89c9\u4e0b\u62c9\u81f3\u5e95\u90e8\uff09<\/span><\/p>\n


<\/span><\/p>\n


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<\/span><\/p>\n

\u5341\u5927\u5e38\u7528\u8ba1\u7b97\u516c\u5f0f\u6c47\u603b<\/span><\/strong><\/p>\n


<\/p>\n


<\/p>\n

1. \u5e73\u5747\u52a8\u8109\u538b\uff08MAP\uff09<\/span><\/strong><\/p>\n


<\/p>\n

MAP\uff1d\u8212\u5f20\u538b(DBP) + 1\/3(\u6536\u7f29\u538b SBP – \u8212\u5f20\u538b DBP)<\/span><\/p>\n


<\/p>\n

2. \u8e1d\u80b1\u8840\u538b\u6307\u6570\uff08ABI\uff09<\/span><\/strong><\/p>\n


<\/p>\n

\u8840\u538b\u6307\u6570\uff1d\u8e1d\u90e8\u8840\u538b\/\u4e0a\u81c2\u8840\u538b<\/span><\/p>\n


<\/p>\n

3. \u4f11\u514b\u6307\u6570<\/span><\/strong><\/p>\n


<\/span><\/p>\n

\u4f11\u514b\u6307\u6570 = \u5fc3\u7387(b\/min)\/\u6536\u7f29\u538b(mmHg)<\/span>
<\/p>\n


<\/p>\n

\u6307\u6570\u4e3a 0.5\uff1a\u8840\u5bb9\u91cf\u6b63\u5e38\uff1b<\/span>\u6307\u6570\u4e3a 1\uff1a\u7ea6\u4e22\u5931 20\uff5e30% \u8840\u5bb9\u91cf\uff1b\u6307\u6570>1\uff1a\u7ea6\u4e22\u5931 30\uff5e50% \u8840\u5bb9\u91cf<\/span><\/p>\n


<\/p>\n

4. \u5fc3\u8f93\u51fa\u91cf\uff08CO\uff09<\/span><\/strong><\/p>\n


<\/p>\n

\u5fc3\u8f93\u51fa\u91cf(mL\/min) = \u6bcf\u640f\u8f93\u51fa\u91cf(mL\/\u6b21) \u00d7 <\/span>\u5fc3\u7387(\u6b21\/min)<\/span><\/p>\n


<\/span><\/p>\n

\u9759\u606f\u65f6\u6b63\u5e38\u503c\uff1a3.5\uff5e5.5L\/min<\/span><\/p>\n


<\/p>\n

5. \u80be\u8870\u6307\u6570\uff08RFI\uff09<\/span><\/strong><\/span><\/p>\n


<\/p>\n

\u80be\u8870\u6307\u6570 = \u5c3f\u94a0 \u00d7 <\/span>\u8840\u808c\u9150\/\u5c3f\u808c\u9150<\/span><\/p>\n


<\/p>\n

RFI \uff1c 1\uff0c\u63d0\u793a\u80be\u8870\u7531\u80be\u524d\u6027\u6c2e\u8d28\u8840\u75c7\uff1bRFI <\/span>\uff1e 2 \u63d0\u793a\u80be\u8870\u7531\u6025\u6027\u80be\u5c0f\u7ba1\u574f\u6b7b\u6240\u81f4\u3002<\/span><\/p>\n


<\/p>\n

6. \u808c\u9150\u6e05\u9664\u7387\uff08Ccr\uff09<\/span><\/strong><\/p>\n


<\/p>\n

\u7537\u6027\uff1a\u808c\u9150\u6e05\u9664\u7387 = (140 – \u5e74\u9f84) \u00d7 \u4f53\u91cd(kg)\/72 \u00d7 \u808c\u9150\u6d53\u5ea6(mg\/dL)<\/span><\/p>\n


<\/span><\/p>\n

\u5973\u6027\uff1a\u808c\u9150\u6e05\u9664\u7387 = (140 – \u5e74\u9f84) \u00d7 <\/span>\u4f53\u91cd(kg) \u00d7 0.85\/72 \u00d7 \u808c\u9150\u6d53\u5ea6 (mg\/dL)<\/span><\/p>\n


<\/p>\n

7. \u80be\u5c0f\u7403\u6ee4\u8fc7\u7387\u4f30\u6d4b\uff08<\/span><\/strong>eGFR\uff09<\/span><\/span><\/strong><\/p>\n


<\/p>\n

eGFR(MORD) = 186 \u00d7 [\u8840\u6e05\u808c\u9150<\/span> (\u03bcmol\/L)\/]^-1.154 \u00d7 \u5e74\u9f84^<\/span>-0.203 \u00d7 0.742\uff08\u5982\u679c\u662f\u5973\u6027\uff09<\/span><\/p>\n


<\/p>\n

8. \u6210\u4eba\u4f53\u8868\u9762\u79ef<\/span><\/strong><\/p>\n


<\/p>\n

\u4f53\u8868\u9762\u79ef(m^<\/span>2) = 0.0061 \u00d7 \u8eab\u9ad8(cm) + 0.0128\u00d7\u4f53\u91cd(kg) – 0.1529<\/span><\/p>\n


<\/p>\n

9. \u5c0f\u513f\u836f\u7269\u8ba1\u7b97 \u2014 \u4f53\u8868\u9762\u79ef<\/span><\/strong><\/p>\n


<\/p>\n

\u5c0f\u513f\u7528\u836f\u5242\u91cf =(\u6210\u4eba\u5242\u91cf\u00d7\u5c0f\u513f\u4f53\u8868\u9762\u79ef)\/1.73<\/span><\/p>\n


<\/p>\n

10. \u5c0f\u513f\u4f53\u8868\u9762\u79ef<\/span><\/strong><\/p>\n


<\/span><\/p>\n

\uff081\uff09\u4f53\u91cd \u2264 30 kg \u7684\u513f\u7ae5\u7684\u4f53\u8868\u9762\u79ef\u53ca\u7528\u836f\u5242\u91cf\u8ba1\u7b97\uff1a<\/span>
<\/p>\n


<\/span><\/p>\n

\u5c0f\u513f\u4f53\u8868\u9762\u79ef(m^<\/span>2) = \u4f53\u91cd (kg)\u00d70.035 + 0.1<\/span><\/p>\n


<\/span><\/p>\n

\uff082\uff09\u4f53\u91cd >30 kg \u7684\u513f\u7ae5\u7684\u4f53\u8868\u9762\u79ef\u53ca\u7528\u836f\u5242\u91cf\u8ba1\u7b97\uff1a<\/span><\/p>\n


<\/span><\/p>\n

\u513f\u7ae5\u4f53\u8868\u9762\u79ef(m^<\/span>2) = 1.05 + (\u4f53\u91cd – 30) \u00d7 0.02<\/span><\/p>\n


<\/span><\/p>\n

\u7ecf\u9a8c\u4e0a\u4f53\u91cd\u6bcf\u589e\u52a0 5 kg\uff0c\u4f53\u8868\u9762\u79ef\u589e\u52a0 0.1m^<\/span>2\uff0c\u4f53\u91cd>50 kg\uff0c\u4f53\u91cd\u6bcf\u589e\u52a0 10 kg\uff0c\u4f53\u8868\u9762\u79ef\u589e\u52a0 0.1m^<\/span>2\u3002<\/span><\/p>\n


<\/span><\/p>\n

35 kg\uff0c\u4f53\u8868\u9762\u79ef = 1.15m^<\/span>2 (\u7ecf\u9a8c\u4e0a 1.10 + 0.10 = 1.20m^<\/span>2)<\/span><\/p>\n

40 kg\uff0c\u4f53\u8868\u9762\u79ef = 1.25m^<\/span>2 (\u7ecf\u9a8c\u4e0a 1.10 + 0.20 = 1.30m^<\/span>2)<\/span><\/p>\n

50 kg\uff0c\u4f53\u8868\u9762\u79ef = 1.45m^<\/span>2 (\u7ecf\u9a8c\u4e0a 1.10 + 0.40 = 1.50m^<\/span>2)<\/span><\/p>\n

60 kg\uff0c\u4f53\u8868\u9762\u79ef = 1.60m^<\/span>2\uff08\u56fa\u5b9a\u503c\uff09<\/span><\/p>\n

70 kg\uff0c\u4f53\u8868\u9762\u79ef = 1.70m^<\/span>2\uff08\u56fa\u5b9a\u503c\uff09<\/span><\/p>\n


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<\/span><\/p>\n


<\/span><\/p>\n

\u80cc\u4e0d\u4e0b\u6765\uff1f\u770b\u8fd9\u91cc<\/span><\/strong><\/p>\n


<\/p>\n

\u8fd9\u4e48\u591a\u590d\u6742\u7684\u8ba1\u7b97\u516c\u5f0f\uff0c\u80cc\u4e0b\u6765\u81f3\u5c11\u534a\u5c0f\u65f6\uff0c\u8fd8\u8981\u53cd\u590d\u5e94\u7528\u3001\u56de\u5fc6\u3001\u8ba1\u7b97\u51c6\u786e\uff0c\u624d\u80fd\u52c9\u5f3a\u4fdd\u8bc1\u5b9e\u9645\u5e94\u7528\u4e2d\u4e0d\u51fa\u9519\u3002\u5e76\u4e14\uff0c\u5927\u90e8\u5206\u4eba\u80cc\u4e86\u5c31\u5fd8\uff0c\u771f\u8981\u7528\u65f6\u53c8\u662f\u4e00\u987f\u7ffb\u4e66\u3001\u767e\u5ea6\uff5e\u600e\u4e48\u529e\uff1f<\/span><\/p>\n


<\/span><\/p>\n

\"\u4e34\u5e8a\u5e38\u7528\u5341\u5927\u8ba1\u7b97\u516c\u5f0f\u6c47\u603b\"<\/p>\n

<\/span>
<\/p>\n

\u597d\u8bb0\u6027\u4e0d\u5982\u597d\u5de5\u5177\uff01\u300c\u7528\u836f\u52a9\u624b App\u300d\u4e3a\u4e13\u4e1a\u7248\u4f1a\u5458\u63d0\u4f9b\u7684\u300c\u533b\u5b66\u8ba1\u7b97\u300d\u529f\u80fd\uff0c\u5c06\u4e34\u5e8a\u516c\u5f0f\u6570\u636e\u5316\uff0c\u8ba9\u4e34\u5e8a\u8ba1\u7b97\u66f4\u5bb9\u6613\u3001\u66f4\u51c6\u786e\uff01<\/span>
<\/p>\n


<\/span><\/p>\n

\u6253\u5f00\u300c\u7528\u836f\u52a9\u624b App\u300d\uff0c\u8fdb\u5165\u300c\u533b\u5b66\u8ba1\u7b97\u300d\u529f\u80fd\u6a21\u5757\uff0c\u9009\u62e9\u4f60\u60f3\u8981\u4f7f\u7528\u7684\u516c\u5f0f\uff0c\u8f93\u5165\u5177\u4f53\u6570\u503c\uff0c\u7acb\u523b\u5f97\u51fa\u51c6\u786e\u7ed3\u679c\uff01<\/span><\/p>\n


<\/span><\/p>\n

\"\u4e34\u5e8a\u5e38\u7528\u5341\u5927\u8ba1\u7b97\u516c\u5f0f\u6c47\u603b\"<\/p>\n


<\/span><\/p>\n

\u76ee\u524d\uff0c\u7528\u836f\u52a9\u624b\u5df2\u7ecf\u6536\u5f55\u4e86 312 \u4e2a\u5e38\u7528\u7684\u4e34\u5e8a\u8ba1\u7b97\u516c\u5f0f\uff0c\u4e14\u8fd1\u671f\u4f1a\u7ee7\u7eed\u589e\u52a0 500+ \u516c\u5f0f\uff0c\u8986\u76d6\u4e86\u513f\u79d1\u3001\u5fc3\u8840\u7ba1\u3001\u5987\u4ea7\u3001\u80bf\u7624\u3001\u9ebb\u9189\u7b49\u4e8c\u5341\u4e2a\u5b66\u79d1\u7684\u4e3b\u6d41\u516c\u5f0f\u3001\u56fe\u8868\uff0c\u5e76\u63d0\u4f9b\u5b8c\u6574\u7684\u8ba1\u7b97\u6b65\u9aa4\u3001\u4e34\u5e8a\u610f\u4e49\u89e3\u8bfb\u4e0e\u6587\u732e\u53c2\u8003\u6765\u6e90\uff0c\u5b9e\u73b0\u591a\u65b9\u4f4d\u6570\u636e\u6821\u9a8c\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u6b64\u5916\uff0c\u7528\u836f\u52a9\u624b\u8fd8\u652f\u6301\u300c\u516c\u5f0f\u6536\u85cf\u300d\uff0c\u60f3\u770b\u5c31\u770b\uff0c\u6548\u7387\u7ffb\u500d\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u8fd9\u4e48\u597d\u7528\u7684\u529f\u80fd\uff0c\u5f00\u901a\u7528\u836f\u52a9\u624b\u4e13\u4e1a\u7248\u5373\u53ef\u83b7\u5f97\uff0c\u8fd8\u80fd\u7545\u4eab\u4e5d\u5927\u4e13\u4e1a\u529f\u80fd\uff0c\u300c\u533b\u5b66\u8ba1\u7b97\u300d\u3001\u300c\u533b\u5b66\u68c0\u9a8c\u300d\u5373\u5f00\u5373\u7528\uff0c\u300c\u5b55\u4ea7\u7528\u836f\u300d\u3001\u300c\u6307\u5357\u67e5\u8be2\u300d\u8f7b\u677e\u638c\u63e1\uff01<\/span><\/p>\n


<\/span><\/p>\n

\"\u4e34\u5e8a\u5e38\u7528\u5341\u5927\u8ba1\u7b97\u516c\u5f0f\u6c47\u603b\"<\/p>\n

\n
\n
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\u7528\u836f\u52a9\u624b\u4e13\u4e1a\u7248\u4f1a\u5458 <\/span><\/span><\/span><\/p>\n

\u4e00\u5e74\u4ec5\u9700 108 \u5143<\/span><\/p>\n

\u73b0\u5728\u4e0b\u5355\u518d<\/span>\u989d\u5916\u8d60\u9001 6 \u4e2a\u6708<\/span><\/p>\n

\u4f18\u60e0\u4e0d\u7b49\u4eba<\/span><\/p>\n

\u65e9\u4e70\u65e9\u7701\u5fc3<\/span><\/p>\n

\u626b\u63cf\u6d77\u62a5\u4e0b\u65b9\u4e8c\u7ef4\u7801\u7acb\u4eab\u4f18\u60e0<\/span><\/p>\n

\ufe3d<\/span><\/p>\n

\ufe3d<\/span><\/p>\n

\"\u4e34\u5e8a\u5e38\u7528\u5341\u5927\u8ba1\u7b97\u516c\u5f0f\u6c47\u603b\"<\/p>\n<\/section>\n<\/section>\n<\/section>\n


<\/p>\n

\u25bc<\/strong> \u70b9\u51fb\u300c\u9605\u8bfb\u539f\u6587\u300d\u7acb\u4eab\u4f18\u60e0<\/span><\/p>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

\u4e34\u5e8a\u5de5\u4f5c\u4e2d\uff0c\u5982\u4f55\u5e94\u5bf9\u5927\u91cf\u7684\u533b\u5b66\u8ba1\u7b97\u516c\u5f0f\uff1f\u300c\u80cc\u300d\uff01\u4eca\u5929\uff0c\u836f\u836f\u7ed3\u5408\u7528\u836f\u52a9\u624b\u7684\u300c\u533b\u5b66\u8ba1\u7b97\u300d\u529f\u80fd\u4f7f\u7528\u60c5\u51b5\uff0c\u6574\u7406\u4e86\u300c\u4e34\u5e8a […]<\/p>\n","protected":false},"author":1,"featured_media":93015,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/93014"}],"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=93014"}],"version-history":[{"count":1,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/93014\/revisions"}],"predecessor-version":[{"id":93021,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/93014\/revisions\/93021"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media\/93015"}],"wp:attachment":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media?parent=93014"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/categories?post=93014"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/tags?post=93014"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}