???????ICU ??? - PowerPoint PPT Presentation

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Title:

???????ICU ???

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Title: Author: sun Last modified by: Chinese User Created Date: 8/10/2002 1:51:11 AM Document presentation format: – PowerPoint PPT presentation

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Title: ???????ICU ???


1
????
  • ???????ICU ???

2
??
  • 1958????Peter safar??????????
  • 1960?Kouwenhoven?????????,??????????????
  • ???1966,1973,1985,1992??????CPR??1983??????CPR??(
    ??)2000???????CPR?ECC??2005?1?23-30,????????????
    ?CPR?ECC???
  • 1974?AHA??????????,1980,1986,1992????????1992,1996
    ,1998???????

3
??
  • ??????????????????????????????????????????????,?
    ?????,??????????
  • ???????CPR(Cardial Pulmonary Resuscitation)???????
    BLS(Basic Life Support)???????????????????????????
    ???

4
??
  • ??????ALS(Advanced Life Support)??????????????????
    ?????????50-60???????????????,???????CPR?????,????
    ??????CPR???????????????

5
??
  • 70??????????????,??????????????,?????3-4??????????
    ???????,??????????????,???????????????????????????
    ?????,????????????4?????BLS,8?????ALS,?????????

6
??
  • ?????????
  • ???????
  • ??CPR,?????????CPR,????????2-3?
  • ?????,???????3-5?????CPR???,??????49-758(VFSCA)
  • ????????

7
??
  • ?????????????,80?????????????????????????????????
    ?????????????????????????

8
????
  • ???
    ???????????
    ???????????(???)? ??????????
  • ??
    ????
    ?????

    ??????

9
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10
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11
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12
CPR????
  • ?? ABC AAirway BBreathing
    CCirculation???????????,??CAB?????
  • ????
    1.??????,????????
    2.????

    3.???? ?????,???
    4.???????????????????
  • ????????????????,????,??????????

13
????
  • ???????? ????,??????????????
  • ????2?
  • ?????1???,?????????(500-600ml,6-7ml/kg),????????
    ??????????,??????,?????????302????8-10?/?, ?????
    ???,???????????

14
????
  • ???????,?5-6??????(10-12?/?)????????????????????
    ????????2????????,???????10???

15
??????
  • ????????1/2,????,?????
  • ????100?/?,????4-5cm,?push hard and push fast
    ,?????????????????,????????????
  • ????????????

16
??????
  • ?CPR?,???????????????
  • ?2???????,?????????,???2?????????????,?????2?????
    ,??????5???
  • CPR?,??????????,???????????????(?2??),?????????10?
    ?

17
?????????????
  • ???????????????,?????????,????????????????,?????
    ?
  • ???????????????,????????????????????,???????????
    ???

18
CPR?????
  • ????????,???????????,??????10????CPR??????,??????
    ?????,??????????????????

19
CPR????
  • ?????????????????????????????????????????

20
??????
  • ????????,??,?????,?????,????
  • ???????? ???????,IABP,????,?????????
  • ?????? ??????,????,????,????,??,??????,?????????
    ?
  • ????

21
(No Transcript)
22
(No Transcript)
23
(No Transcript)
24
(No Transcript)
25
(No Transcript)
26
(No Transcript)
27
(No Transcript)
28
????
  • ????????????????????
  • ????????????????????????,????????????????????????
    ?????????,????????????????????????,?????????

29
????
  • ?????????????????,??????5-10 ml??,?????4-5?,?????
    ???????,???,????????????,?????,????????,??????????
    ????????????
  • ????????

30
????
  • ?????CPR???????,1mg/?,?3-5??????????????????
  • ?????
  • ???

31
????
  • ????????????????,1-1.5mg/kg??,???0.5-0.75mg/kg??,
    ???3?,???????3mg/kg,???????1-4mg/min,??????????2?,
    ???????
  • ?????CPR????,?????????????????

32
????
  • ??????????CPR?????,?????????????????????????????
    ????????????????????????????????????1mmol/kg?????
    ,????????????????

33
???
  • ?????????40??????????????????????????????????
    ???????????????
  • ?????????????????????,???1???????7-10?

34
???
  • ??????????????????????????
  • ???????120-200J,????360J?
  • ??????????(AED)?

35
??
  • ????????????????????????????????????????,????,???
    ?????????????????,?????????,????????

36
?????
  • ??????????,?????????
  • ??????????????,????
  • ??????,???????????
  • ???????????????
  • ???????
  • ????????

37
???
  • ?????????,????????(????,????????,????????3-4??)?,?
    ?????????????????????????????????????????????????
    ????????

38
  • ????????
  • ?????,???????30-35
  • ???????PaO2100mmHg
  • ??????????????

39
?????
  • ???????,????,???????,??,??,??????????????????????
    ?,????
  • ????????????????MODS(MOF)????????

40
MODS??????
  • ???????
  • ???????
  • ??????
  • ???????
  • ??????
  • ??

41
??
  • ????
  • ??????????? ??????
    ??????

    ?????????? ??????????
    ????????

42
??
  • ??????
  • ?????
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