1、1 𰸣 : 2塣 𰸣 :塣 3塣 𰸣 : 4 𰸣 :塢 3040/minQRS 200500/min 粨临 5 𰸣 :礣 6 𰸣 :踴İ 7 𰸣 :棬10mL1mg 8 𰸣 :缱İİ 9 𰸣 : 10 𰸣 : 11ARDS 𰸣 :ARDSARDSPEEPHFV500mL0.2kgARDS5102040mg24150100mg5001000mL 12 𰸣
2、 :Pulmonary embolism 13 𰸣 :𣺢顢簱BAX 14 𰸣 : 15 𰸣 :400mL,飺+1.015350mOsm/L1.14060mmol/L10102159 16 𰸣 :5%250mL10%10mL25%200mL1620U1520g25%洼100mL34 17 𰸣 :缱İ縹縹缱 18 𰸣 : 19 𰸣
3、 :/飻 20 𰸣 :裬 21 𰸣 :Rreitzİ 22 𰸣 :没 23 𰸣 :壬 24 𰸣 :岡 25 𰸣 :46 26 𰸣 : 塢鴤 27 𰸣 : 28 𰸣 :90%塣70%50%50%30%30% 29 𰸣 :2%礣礿12mg/kg
4、50%46 30 𰸣 :0.5%200500mL3%15000100mg/kg 31 𰸣 :K3K110-20mg,335 32 𰸣 :İ壬俺 33 𰸣 :8mg%3.5mg% 34 𰸣 :綾軯1000衢 35 𰸣 :23501091綾岽 36 𰸣 :
5、-漰伡13壬岽 37 𰸣 : 38 𰸣 :巴鲢 39 𰸣 :塢1mg61200mL12 40 𰸣 :120000.5%跴 41 𰸣 : 42 𰸣 : 43 𰸣 :仯4567衢 44 𰸣 :10%20% 45 𰸣 : 46 𰸣 :彫12緢 47 𰸣 :41.621
6、%41.610%32225棬飬磻151645%1000mL132550mg5%500mL215%15002000mL30mLDIC20% 48 𰸣 :436738.524鴤2 49 𰸣 :乤 50BLS 𰸣 :ABC裺(1) ; Airway(2) ; Breathing(3) ; Cardiac massageBC 51 𰸣 :13023 52 𰸣 :5mA衣123 53 𰸣 :1 ; 缱裨İ2 ; 3 ; 4 ; 54 &
7、#200227; :12礻345X飬 55 𰸣 :A16KPa120mmHgBC 56 𰸣 :A簲BC纬D 57 𰸣 :1423410%5%C簢5678棬9 58 𰸣 : 59 𰸣 :鴤鴤 60 𰸣 :BLsALSİ 61 𰸣 :彻彻 62 𰸣 :_塢 63 𰸣 : 64 𰸣 :60mmHg桢仯综鶯 65CPR 𰸣 :CPRCPR3
8、075CPR10 66 𰸣 :仯 67 𰸣 : 68 𰸣 :(1)赲(2) 69 𰸣 :(GCS3) 70 𰸣 :(1)300500mL(2)6500mL塣峺35L37(3)65025g101530g 71 𰸣 :ARDS 72SIRS 𰸣 :SIRSPNM巢TNFBILsPAF(MODS)(MSOF) 1()壬鴤漴 1/
9、3崹4-5cm100/302.泱礣亹礡3-裺A airwayB breathingC circulationD difibrillation+drug+E electrocardiographG gaugeH human mentationI intensive care 12345CPRMODSARDSARDS磩壨ARDS飺abPaO2/FiO2200mmhgPEEPcXdPCWP18mmhg/abcALIPaO2/FiO2300mmhgARDSPaO2/FiO22
10、00mmhg dXePCWP18mmhg3 PEEP CPAPabcNO dMODS5ml5070ml250300ml400500ml500ml8001000ml20%10mg24CVP棬 a bH2 İ100/礣30ml80mmhg20mmhg30%1234567 3024L 壬 2%1:5000 鴤磩 A B C D鴤鴤泱壬鴤50%G6100ml+20uB1B6100mgC 紦4棬 -NSTEACSa- b-ADP cIIb,IIIaabc d ACEI PCI,CABG鼰仯15 1%a b cMgO300ml 300ml100200ml汣