{"id":93307,"date":"2019-03-25T00:00:50","date_gmt":"2019-05-17T07:38:52","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/93307\/"},"modified":"2019-05-17T15:38:55","modified_gmt":"2019-05-17T07:38:55","slug":"fa5434942d","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/93307\/","title":{"rendered":"\u6025\u6027\u91cd\u75c7\u80f0\u817a\u708e\u9700\u5927\u91cf\u8865\u6db2\u800c ARDS \u5374\u8981\u9650\u5236\uff0c\u5982\u4f55\u5e73\u8861\uff1f"},"content":{"rendered":"
\n
<\/section>\n

\"\u6025\u6027\u91cd\u75c7\u80f0\u817a\u708e\u9700\u5927\u91cf\u8865\u6db2\u800c<\/p>\n


<\/p>\n

\u300c\u5f53\u80f0\u817a\u708e\u5e76\u53d1\u547c\u5438\u7a98\u8feb\u65f6\uff0c\u5982\u4f55\u5408\u7406\u5b9e\u65bd\u6db2\u4f53\u7ba1\u7406\uff1f\u300d<\/span><\/strong>\u6210\u4e3a\u4e86\u4e00\u7ebf\u533b\u751f\u7684\u4e00\u5927\u95ee\u9898\u3002\u6211\u4eec\u7ecf\u5e38\u987e\u8651\u7684\u70b9\u662f\uff1a<\/span><\/p>\n


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

\u8f93\u6db2\u4e0d\u8db3<\/span><\/strong>\u2014\u704c\u6ce8\u4e0d\u8db3\uff0c\u52a0\u91cd\u75c5\u60c5\u3002<\/span><\/p>\n


<\/p>\n

\u8fc7\u5ea6\u8f93\u6db2<\/span><\/strong>\u2014\u9020\u6210\u80ba\u6c34\u80bf\u3001\u8840\u6db2\u7a00\u91ca\u5f15\u8d77\u7684\u4f4e\u6c27\u8840\u75c7\uff0c\u548c\u8179\u8154\u538b\u529b\u589e\u52a0\uff0c\u751a\u81f3\u8179\u8154\u9ad8\u538b\u7efc\u5408\u75c7\u3002<\/span><\/p>\n


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


<\/p>\n

\u90a3\u5728\u8fd9\u79cd\u6025\u75c7\u60c5\u51b5\u4e0b\uff0c<\/span><\/strong><\/span><\/p>\n

\u7a76\u7adf\u5e94\u8be5\u5982\u4f55\u8fdb\u884c\u6db2\u4f53\u590d\u82cf\uff1f<\/span><\/strong><\/span><\/p>\n


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

\u800c\u76ee\u524d\u6587\u732e\u6709\u8bf8\u591a\u4e89\u8bae\u4e4b\u5904\uff0c\u57fa\u4e8e\u7814\u7a76\u65b9\u6cd5\u548c\u60a3\u8005\u4eba\u7fa4\u5dee\u5f02\uff0c\u7f3a\u4e4f\u8be5\u9886\u57df\u7684\u9ad8\u8d28\u91cf\u7814\u7a76\u3002<\/span><\/p>\n


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

\u7f8e\u56fd\u80c3\u80a0\u75c5\u5b66\u5b66\u9662 ACG \u63a8\u8350\uff1a\u5165\u9662\u540e\u6700\u521d 12-24h \u8865\u6db2\u901f\u5ea6\u4e3a 250-500ml\/h\uff0c\u540c\u65f6\u6bcf 6h \u8bc4\u4f30 1 \u6b21\uff0c\u5e0c\u671b BUN \u6c34\u5e73\u5448\u4e0b\u964d\u8d8b\u52bf\uff0cBUN \u4e0b\u964d\u540e\u8865\u6db2\u901f\u5ea6\u53ef\u51cf\u534a\u3002 <\/span><\/p>\n


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

\u7f8e\u56fd\u80f0\u817a\u75c5\u5b66\u4f1a APA \u63a8\u8350\uff1a\u6700\u521d\u5165\u9662\u6570\u5c0f\u65f6\u5185\u8865\u6db2\u901f\u5ea6\u4e3a 5~10ml\/kg\/h\uff0c\u4e89\u53d6\u5b9e\u73b0\u4ee5\u4e0b\u6cbb\u7597\u76ee\u6807\uff1a\u5fc3\u7387\u964d\u81f3 90~120\/min \u4ee5\u4e0b; \u5e73\u5747\u52a8\u8109\u538b\u8fbe\u5230 65~85mmHg; \u5c3f\u91cf\u8fbe\u5230 0.5-1.0ml\/kg\/h \u4ee5\u4e0a; Hct \u7ef4\u6301\u5728 35%-44%\u3002 <\/span><\/p>\n


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

\u7f8e\u56fd\u80c3\u80a0\u75c5\u5b66\u5b66\u4f1a AGA2018\uff1a\u76ee\u6807\u5bfc\u5411\u7684\u6db2\u4f53\u590d\u82cf\u6cbb\u7597\u6765\u6e90\u4e8e\u8113\u6bd2\u75c7\u65b9\u9762\u7684\u7814\u7a76\u3002\u5e38\u901a\u8fc7\u7279\u5b9a\u7684\u4e34\u5e8a\u53ca\u5b9e\u9a8c\u5ba4\u6307\u6807\uff08\u5982\u5fc3\u7387\u3001\u5e73\u5747\u52a8\u8109\u538b\u3001\u4e2d\u5fc3\u9759\u8109\u538b\u3001\u5c3f\u91cf\u3001\u8840\u5c3f\u7d20\u6c2e\u6d53\u5ea6\u3001\u7ea2\u7ec6\u80de\u538b\u79ef\uff09\u6765\u754c\u5b9a\u3002<\/span><\/p>\n


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

\u56e0\u6b64\uff0c\u5728\u5165\u9662\u540e 12-24h \u7684\u6db2\u4f53\u6cbb\u7597\u6700\u4f73\u65f6\u673a\u4e2d\uff0c\u6211\u4eec\u5e94\u5f53\u9009\u62e9\u4ee5<\/span>\u300c\u6062\u590d\u8840\u6d41\u52a8\u529b\u5b66\u4e3a\u76ee\u6807\u300d<\/strong><\/span>\u7684\u4e2a\u4f53\u5316\u6cbb\u7597\u7b56\u7565 EGDFT\uff0c\u901a\u8fc7\u52a8\u6001\u5b9e\u65f6\u76d1\u6d4b\u8840\u6d41\u52a8\u529b\u5b66\u53c2\u6570\u6307\u5bfc\u6db2\u4f53\u590d\u82cf\u3002<\/span><\/p>\n


<\/p>\n

\u9488\u5bf9\u80f0\u817a\u708e\u7684\u4e00\u7cfb\u5217\u95ee\u9898\uff0c\u6211\u4eec\u9080\u8bf7\u5230\u4e86<\/span>\u6c5f\u82cf\u7701\u4eba\u6c11\u533b\u9662\u674e\u5f3a\u4e3b\u4efb<\/strong><\/span>\u8fdb\u884c<\/span>\u300c\u80f0\u817a\u708e\u7684\u6db2\u4f53\u590d\u82cf\u300d<\/strong><\/span>\u7684\u8be6\u7ec6\u8bfe\u7a0b\u5185\u5bb9\u8bb2\u89e3\u3002<\/span><\/p>\n


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

\u674e\u5f3a\u4e3b\u4efb\u5c06\u7531\u6d45\u5165\u6df1\uff0c\u9996\u5148\u6765\u8c08\u8c08\u300c\u6db2\u4f53\u590d\u82cf\u7684\u5386\u53f2\u300d\uff0c\u4e25\u8c28\u5730\u8bf4\uff0c\u77e5\u9053\u75be\u75c5\u7684\u5386\u53f2\uff0c\u624d\u4e0d\u4f1a\u91cd\u8e48\u8986\u8f99\uff0c\u66f4\u597d\u5730\u5ba1\u89c6\u75be\u75c5\u3002<\/span><\/p>\n


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

\u63a5\u4e0b\u6765\uff0c\u5982\u4f55\u5c06\u7406\u8bba\u77e5\u8bc6\u7d27\u5bc6\u5730\u4e0e\u4e34\u5e8a\u5b9e\u8df5\u76f8\u7ed3\u5408\uff1f\u600e\u6837\u6b63\u786e\u5b9e\u65bd\u6db2\u4f53\u6cbb\u7597\uff1f\u5982\u4f55\u8fdb\u884c\u6db2\u4f53\u590d\u82cf\u76d1\u6d4b\uff1f<\/span><\/p>\n


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

\u674e\u5f3a\u4e3b\u4efb\u5c06\u7ed3\u5408\u5177\u4f53\u7684\u4e34\u5e8a\u75c5\u4f8b\u4e00\u4e00\u5256\u6790\uff0c\u4e00\u8282\u8bfe\u5e26\u4f60<\/span>\u638c\u63e1\u6db2\u4f53\u590d\u82cf\u7684\u91cd\u70b9\u548c\u96be\u70b9<\/strong><\/span>\u3002<\/span><\/span><\/p>\n

 <\/span><\/p>\n


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

\"\u6025\u6027\u91cd\u75c7\u80f0\u817a\u708e\u9700\u5927\u91cf\u8865\u6db2\u800c<\/p>\n

  <\/span><\/p>\n

 <\/span><\/p>\n

\u8bfe\u7a0b\u5185\u5bb9\u5927\u7eb2<\/strong><\/span><\/p>\n

 <\/span><\/p>\n

1. \u6db2\u4f53\u6cbb\u7597\u7684\u5386\u53f2\u80cc\u666f<\/span>
<\/p>\n

2. \u6db2\u4f53\u6cbb\u7597\u6025\u6027\u80f0\u817a\u708e\u7684\u7406\u8bba\u57fa\u7840<\/span><\/p>\n

3. \u6db2\u4f53\u6cbb\u7597\u6025\u6027\u80f0\u817a\u708e\u7684\u5b9e\u65bd\uff08\u5982\u4f55\u9009\u62e9\u6cbb\u7597\u65f6\u673a\u3001\u79cd\u7c7b\u548c\u8865\u6db2\u901f\u5ea6\u7b49\uff09<\/span><\/p>\n

4. \u6db2\u4f53\u6cbb\u7597\u6025\u6027\u80f0\u817a\u708e\u7684\u76d1\u6d4b<\/span><\/p>\n

5. \u56de\u987e\u603b\u7ed3<\/span><\/p>\n

 <\/span><\/p>\n

 <\/span><\/p>\n

\u8bb2\u5e08\u4ecb\u7ecd<\/strong><\/span>
<\/p>\n

 <\/span><\/p>\n

\u674e\u5f3a\u4e3b\u4efb<\/span><\/strong>\uff0c\u5357\u4eac\u533b\u79d1\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u80f0\u817a\u4e2d\u5fc3\u4e3b\u4efb\u533b\u5e08\uff0cSICU \u7855\u58eb\u7814\u7a76\u751f\u5bfc\u5e08\u3002<\/span><\/p>\n

 <\/span><\/p>\n

\u4e2d\u56fd\u533b\u5e08\u534f\u4f1a\u5916\u79d1\u533b\u5e08\u5206\u4f1a\u4e34\u5e8a\u8425\u517b\u533b\u5e08\u59d4\u5458\u4f1a\u59d4\u5458\uff0c\u6c5f\u82cf\u7701\u5916\u79d1\u5b66\u5206\u4f1a\u611f\u67d3\u4e0e\u5371\u91cd\u75c5\u5b66\u7ec4\u526f\u7ec4\u957f\uff0c\u56fd\u9645\u5916\u79d1\u533b\u5e08\u5b66\u9662\u4e2d\u56fd\u533a\u7406\u4e8b,\u6c5f\u82cf\u7701\u91cd\u75c7\u533b\u5b66\u5206\u4f1a\u91cd\u75c7\u6d88\u5316\u4e0e\u8425\u517b\u5b66\u7ec4\u59d4\u5458,\u6c5f\u82cf\u7701\u4e2d\u897f\u533b\u7ed3\u5408\u91cd\u75c7\u533b\u5b66\u4e13\u4e1a\u59d4\u5458\u4f1a\u59d4\u5458\u3002<\/span><\/p>\n

 <\/span><\/p>\n

\u6c5f\u82cf\u7701\u516d\u5927\u9ad8\u5cf0\u4eba\u624d\uff0c\u300c333 \u5de5\u7a0b\u300d <\/span>\u57f9\u517b\u5bf9\u8c61\uff0c\u53d1\u8868\u672c\u9886\u57df\u9ad8\u8d28\u91cf\u5b66\u672f\u6587\u7ae0\u56db\u5341\u4f59\u7bc7\uff0c\u83b7\u5f97\u6c5f\u82cf\u7701\u536b\u751f\u5385\u65b0\u6280\u672f\u5f15\u8fdb\u5956\u4e00\u7b49\u5956\u4e8c\u9879\uff0c\u6c5f\u82cf\u533b\u5b66\u79d1\u6280\u5956\u4e00\u7b49\u5956\u4e00\u9879\uff0c\u6559\u80b2\u90e8\u79d1\u5b66\u6280\u672f\u4e8c\u7b49\u5956\u4e00\u9879\uff0c\u4e2d\u534e\u533b\u5b66\u4e8c\u7b49\u5956\u4e00\u9879\uff0c\u6c5f\u82cf\u7701\u79d1\u6280\u8fdb\u6b65\u4e00\u7b49\u5956\u4e00\u9879\uff0c\u53c2\u4e0e\u56fd\u5bb6\u79d1\u6280\u90e8\u5341\u4e00\u4e94\u56fd\u5bb6\u79d1\u6280\u652f\u6491\u8ba1\u5212\u4e00\u9879\u7b49\u3002<\/span><\/p>\n


<\/p>\n

 <\/span><\/p>\n

\u674e\u5f3a\u4e3b\u4efb\u7684\u8bfe\u7a0b\u9002\u5408\u8c01\u770b\u5462\uff1f<\/strong>
<\/span><\/p>\n

\u6765\u542c\u542c\u79cd\u5b50\u7528\u6237\u600e\u4e48\u8bc4\u4ef7<\/strong><\/span><\/p>\n

 <\/span><\/p>\n

\u79cd\u5b50\u7528\u6237\u8bc4\u8bba 1\uff1a\u6211\u4f1a\u63a8\u8350\u7ed9<\/span>\u5185\u79d1\u3001\u6025\u8bca\u3001ICU\u3001\u6d88\u5316<\/strong><\/span>\u7684\u540c\u884c\uff0c\u6211\u89c9\u5f97\u674e\u4e3b\u4efb\u628a\u80f0\u817a\u708e\u8fd9\u4e2a\u75c5\u8bb2\u900f\u4e86\u3002<\/span><\/p>\n

 <\/span><\/p>\n

\u79cd\u5b50\u7528\u6237\u8bc4\u8bba 2\uff1a\u5373\u4f7f\u975e\u6d88\u5316\u4e13\u4e1a\u7684\uff0c\u6700\u5173\u5fc3\u7684\u8fd8\u662f\u4e34\u5e8a\u95ee\u9898\uff0c\u56e0\u4e3a\u5bf9\u4e8e\u8fd9\u7c7b\u75c5\u4eba\u5904\u7406\u8d77\u6765\u5fc3\u4e2d\u5c31\u6709\u4e2a\u8c31\u3002<\/span><\/p>\n

 <\/span><\/p>\n

\u79cd\u5b50\u7528\u6237\u8bc4\u8bba 3\uff1a<\/span>\u975e\u5e38\u613f\u610f\u63a8\u8350\u7ed9\u6211\u7684\u670b\u53cb\u5b66\u4e60\uff0c\u56e0\u4e3a\u80fd\u591f\u8d34\u8fd1\u4e8e\u4e34\u5e8a\uff0c\u800c\u4e14\u7ed3\u5408\u6587\u732e\u8fdb\u884c\u8bb2\u89e3\uff0c\u66f4\u6709\u8bf4\u670d\u529b\u3002\"\u6025\u6027\u91cd\u75c7\u80f0\u817a\u708e\u9700\u5927\u91cf\u8865\u6db2\u800c<\/span><\/p>\n

 <\/span><\/p>\n

\"\u6025\u6027\u91cd\u75c7\u80f0\u817a\u708e\u9700\u5927\u91cf\u8865\u6db2\u800c<\/p>\n

\u56fe\uff1a\u4e01\u9999\u64ad\u5496\u80f0\u817a\u708e\u4e13\u4e1a\u533b\u5e08\u8ba8\u8bba\u7fa4<\/span><\/p>\n

 <\/span><\/p>\n

\u60f3\u548c\u5404\u9662\u80f0\u817a\u708e\u540c\u9053\u4e00\u8d77\u4ea4\u6d41\uff1f\u5165\u7fa4\u65b9\u5f0f\u8be6\u89c1\u4e0b\u6587\u3002<\/span><\/p>\n

 <\/span><\/p>\n

 <\/span><\/p>\n

\u65b0\u8bfe\u4e0a\u7ebf\uff0c\u514d\u8d39\u62a5\u540d\uff01<\/strong><\/span><\/p>\n

 <\/span><\/p>\n

\u73b0\u5728\u626b\u63cf\u4e0b\u65b9\u6d77\u62a5\u4e8c\u7ef4\u7801\u52a0\u5165\u8bfe\u7a0b\uff0c<\/strong>\u514d\u8d39\u62a5\u540d<\/span><\/strong><\/span>\uff01<\/span><\/span><\/p>\n

 <\/span><\/p>\n

\u73b0\u62a5\u540d\u8bfe\u7a0b\u8fd8\u53ef\u52a0\u5165<\/span>\u80f0\u817a\u708e\u4e13\u4e1a\u533b\u5e08\u8ba8\u8bba\u7fa4<\/strong><\/span>\uff0c\u6d77\u5185\u5916\u80f0\u817a\u708e\u540c\u884c\u7ebf\u4e0a\u96f6\u8ddd\u79bb\u4ea4\u6d41\uff0c\u4e92\u76f8\u5728\u5b66\u672f\u4e0a\u4ea4\u6d41\u548c\u78b0\u649e\u3002<\/span><\/span><\/p>\n

 <\/span><\/p>\n

\u6dfb\u52a0\u5ba2\u670d\u4e01\u9999\u5c0f\u5fae\uff08WeChatID\uff1adxyxiaowei\uff09\u4e3a\u597d\u53cb\uff0c\u5907\u6ce8 \uff62\u80f0\u817a\u708e<\/strong>\uff63 \u5373\u53ef\u52a0<\/span>\u5165\u4e13\u4e1a\u533b\u5e08\u8ba8\u8bba\u7fa4\u3002<\/span><\/p>\n

 <\/span><\/p>\n

\u957f\u6309\u8bc6\u522b\u4e0b\u65b9\u6d77\u62a5\u4e8c\u7ef4\u7801<\/span><\/strong><\/span>
<\/p>\n

\u7acb\u5373\u62a5\u540d\u8bfe\u7a0b \u514d\u8d39\u542c\u8bfe<\/span><\/strong><\/span><\/p>\n

\"\u6025\u6027\u91cd\u75c7\u80f0\u817a\u708e\u9700\u5927\u91cf\u8865\u6db2\u800c<\/span><\/p>\n

 <\/span><\/p>\n

\"\u6025\u6027\u91cd\u75c7\u80f0\u817a\u708e\u9700\u5927\u91cf\u8865\u6db2\u800c<\/p>\n

 <\/span><\/p>\n

 <\/span><\/p>\n

\u8d76\u7d27\u62a5\u540d\u4e00\u8d77\u5b66\u4e60\u5427\uff01<\/span><\/strong><\/span>
<\/p>\n

\u70b9\u51fb\u300c\u9605\u8bfb\u539f\u6587\u300d\u62a5\u540d\u8bfe\u7a0b<\/strong><\/span><\/strong><\/span><\/p>\n

 <\/span><\/p>\n

\"\u6025\u6027\u91cd\u75c7\u80f0\u817a\u708e\u9700\u5927\u91cf\u8865\u6db2\u800c<\/p>\n

\"\u6025\u6027\u91cd\u75c7\u80f0\u817a\u708e\u9700\u5927\u91cf\u8865\u6db2\u800c<\/p>\n


<\/p>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

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