{"id":9608,"date":"2026-10-23T14:29:25","date_gmt":"2026-10-23T06:29:25","guid":{"rendered":"https:\/\/www.hssuaai.com\/guide\/9608.html"},"modified":"2026-10-23T14:29:25","modified_gmt":"2026-10-23T06:29:25","slug":"%e5%ad%95%e6%99%9a%e6%9c%9f%e7%bb%88%e6%ad%a2%e5%a6%8a%e5%a8%a0%e7%9a%84%e5%8f%af%e8%a1%8c%e6%80%a7%e5%8f%8a%e6%b3%a8%e6%84%8f%e4%ba%8b%e9%a1%b9%ef%bc%9a7%e4%b8%aa%e6%9c%88%e8%83%8e%e5%84%bf%e8%83%bd","status":"publish","type":"post","link":"https:\/\/www.hssuaai.com\/guide\/9608.html","title":{"rendered":"\u5b55\u665a\u671f\u7ec8\u6b62\u598a\u5a20\u7684\u53ef\u884c\u6027\u53ca\u6ce8\u610f\u4e8b\u9879\uff1a7\u4e2a\u6708\u80ce\u513f\u80fd\u5426\u5b89\u5168\u6d41\u4ea7\uff1f\u4e13\u4e1a\u533b\u751f\u89e3\u8bfb"},"content":{"rendered":"

\u300a\u5b55\u665a\u671f\u7ec8\u6b62\u598a\u5a20\u7684\u53ef\u884c\u6027\u53ca\u6ce8\u610f\u4e8b\u9879\uff1a7\u4e2a\u6708\u80ce\u513f\u80fd\u5426\u5b89\u5168\u6d41\u4ea7\uff1f\u4e13\u4e1a\u533b\u751f\u89e3\u8bfb\u300b<\/p>\n

\n\u5b55\u665a\u671f\u7ec8\u6b62\u598a\u5a20\uff08\u5b55\u5468\u226528\u5468\uff09\u6d89\u53ca\u590d\u6742\u7684\u533b\u5b66\u8bc4\u4f30\u4e0e\u4f26\u7406\u8003\u91cf\uff0c\u672c\u6587\u5c06\u4ece\u4e34\u5e8a\u533b\u5b66\u3001\u6cd5\u5f8b\u89c4\u8303\u3001\u4f26\u7406\u9053\u5fb7\u53ca\u540e\u7eed\u5eb7\u590d\u7b49\u591a\u7ef4\u5ea6\u7cfb\u7edf\u3002\u6839\u636e\u56fd\u5bb6\u536b\u5065\u59d4\u53d1\u5e03\u7684\u300a\u5b55\u4ea7\u5987\u4fdd\u5065\u670d\u52a1\u89c4\u8303\u300b\uff0c\u5b5528\u5468\u4ee5\u4e0a\u7ec8\u6b62\u598a\u5a20\u9700\u7ecf\u4e25\u683c\u533b\u5b66\u6307\u5f81\u8bc4\u4f30\uff0c\u672c\u6587\u7ed3\u5408\u4e2d\u534e\u533b\u5b66\u4f1a\u5987\u4ea7\u79d1\u5b66\u5206\u4f1a\u6700\u65b0\u6307\u5357\uff0c\u8be6\u7ec6\u8bf4\u660e\u76f8\u5173\u4e8b\u9879\u3002<\/p>\n

\u4e00\u3001\u5b55\u665a\u671f\u7ec8\u6b62\u598a\u5a20\u7684\u533b\u5b66\u5b9a\u4e49\u4e0e\u6cd5\u5f8b\u4f9d\u636e
\n1.1 \u533b\u5b66\u5b9a\u4e49
\n\u5b55\u665a\u671f\u7ec8\u6b62\u598a\u5a20\u6307\u572828\u5468\u81f3\u8db3\u6708\u524d\u7ec8\u6b62\u598a\u5a20\u7684\u884c\u4e3a\uff0c\u6b64\u65f6\u80ce\u513f\u5177\u5907\u5b58\u6d3b\u80fd\u529b\uff08WHO\u6570\u636e\uff1a\u5b5528\u5468\u5b58\u6d3b\u7387\u8fbe90%\uff09\u3002\u6839\u636e\u300a\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\u6bcd\u5a74\u4fdd\u5065\u6cd5\u300b\u7b2c\u4e8c\u5341\u4e94\u6761\uff0c\u7ec8\u6b62\u598a\u5a20\u9700\u7b26\u5408\u4ee5\u4e0b\u6cd5\u5b9a\u60c5\u5f62\uff1a
\n– \u5b55\u5987\u751f\u547d\u53d7\u5230\u4e25\u91cd\u5a01\u80c1
\n– \u80ce\u513f\u5b58\u5728\u4e25\u91cd\u9057\u4f20\u6027\u75be\u75c5\u6216\u5148\u5929\u7578\u5f62
\n– \u6bcd\u80ce\u8840\u578b\u4e0d\u5408\uff08\u5982Rh\u9634\u6027\u8840\u578b\uff09
\n– \u611f\u67d3\u53ef\u4f20\u67d3\u6027\u4e25\u91cd\u75be\u75c5\uff08\u5982HIV\u3001\u6885\u6bd2\uff09
\n– \u5b55\u5987\u4e25\u91cd\u7cbe\u795e\u969c\u788d\u65e0\u6cd5\u7ee7\u7eed\u598a\u5a20<\/p>\n

1.2 \u624b\u672f\u65b9\u5f0f\u9009\u62e9
\n\u5b5528\u5468\u4ee5\u4e0a\u7ec8\u6b62\u598a\u5a20\u4e3b\u8981\u91c7\u7528\u5256\u5bab\u4ea7\uff08\u5360\u6bd475%\uff09\u4e0e\u9009\u62e9\u6027\u5256\u5bab\u4ea7\u7ec8\u6b62\u598a\u5a20\uff08\u5360\u6bd425%\uff09\u3002\u300a\u4e2d\u56fd\u5987\u4ea7\u79d1\u75be\u75c5\u8bca\u7597\u6307\u5357\u300b\u5f3a\u8c03\uff1a
\n– \u5b5530-34\u5468\uff1a\u9996\u9009\u5256\u5bab\u4ea7
\n– \u5b5535-37\u5468\uff1a\u5efa\u8bae\u7b49\u5f85\u81f3\u6700\u4f73\u5206\u5a29\u65f6\u673a
\n– \u5b55\u5468\u226538\u5468\uff1a\u9700\u8bc4\u4f30\u81ea\u7136\u5206\u5a29\u53ef\u884c\u6027<\/p>\n

\u4e8c\u3001\u5b55\u665a\u671f\u7ec8\u6b62\u598a\u5a20\u7684\u533b\u5b66\u53ef\u884c\u6027\u5206\u6790
\n2.1 \u4e34\u5e8a\u8bc4\u4f30\u6807\u51c6
\n\u6839\u636e\u300a\u5b55\u4ea7\u5987\u5b89\u5168\u4e34\u5e8a\u6307\u5357\u300b\uff0c\u9700\u8fdb\u884c\u4ee5\u4e0b\u5173\u952e\u8bc4\u4f30\uff1a
\n1) \u5b55\u5468\u786e\u8ba4\uff1a\u901a\u8fc7\u8d85\u58f0\u786e\u8ba4\u80ce\u9f84\uff08\u5b55\u5468\u8bef\u5dee\u4e0d\u8d85\u8fc7\u00b110\u5929\uff09
\n2) \u5b55\u5987\u751f\u547d\u8bc4\u4f30\uff1a\u8840\u538b\uff08\u6536\u7f29\u538b\uff1e140mmHg\uff09\u3001\u8840\u7ea2\u86cb\u767d\uff08\uff1c70g\/L\uff09\u3001\u5c3f\u86cb\u767d\uff08\uff1e3+\uff09
\n3) \u80ce\u513f\u8bc4\u4f30\uff1a\u7f8a\u6c34\u91cf\uff08\uff1c5cm\uff09\u3001\u80ce\u76d8\u529f\u80fd\uff08\u5b55\u916e\uff1c15ng\/ml\uff09
\n4) \u4ea7\u524d\u8bca\u65ad\uff1a\u67d3\u8272\u4f53\u6838\u578b\uff08\u598221-\u4e09\u4f53\u7efc\u5408\u5f81\uff09\u3001\u7ed3\u6784\u7578\u5f62\uff08\u5982\u65e0\u8111\u7578\u5f62\uff09<\/p>\n

2.2 \u6280\u672f\u5b9e\u73b0\u6761\u4ef6
\n1) \u624b\u672f\u8bbe\u5907\u8981\u6c42\uff1a\u5177\u5907\u65b0\u751f\u513f\u62a2\u6551\u5ba4\uff08NICU\uff09\u3001\u8840\u5e93\u3001ECMO\u652f\u6301
\n2) \u533b\u62a4\u56e2\u961f\u914d\u7f6e\uff1a\u4ea7\u79d1\u533b\u751f\uff083\u5e74\u4ee5\u4e0a\u7ecf\u9a8c\uff09+\u9ebb\u9189\u79d1\u533b\u751f+\u65b0\u751f\u513f\u79d1\u533b\u751f
\n3) \u672f\u524d\u51c6\u5907\u65f6\u95f4\uff1a\u970072\u5c0f\u65f6\u51c6\u5907\uff08\u5305\u62ec\u836f\u7269\u51c6\u5907\u3001\u8840\u6db2\u4ea4\u53c9\u914d\u578b\u3001\u65b0\u751f\u513f\u7528\u54c1\uff09<\/p>\n

\u4e09\u3001\u5b89\u5168\u98ce\u9669\u4e0e\u5e76\u53d1\u75c7\u9632\u63a7
\n3.1 \u4e3b\u8981\u5e76\u53d1\u75c7\uff08\u636e\u300a\u4e2d\u56fd\u5987\u4ea7\u79d1\u4e34\u5e8a\u8def\u5f84\u300b\u7edf\u8ba1\uff09
\n| \u5e76\u53d1\u75c7\u7c7b\u578b | \u53d1\u751f\u7387 | \u5904\u7406\u65b9\u6848 |
\n|————|——–|———-|
\n| \u80ce\u76d8\u65e9\u5265 | 12.3% | \u7acb\u5373\u884c\u9009\u62e9\u6027\u5256\u5bab\u4ea7 |
\n| \u5b50\u5bab\u7a7f\u5b54 | 5.7% | \u8d85\u58f0\u5f15\u5bfc\u4e0b\u4fee\u8865\u672f |
\n| \u598a\u5a20\u671f\u9ad8\u8840\u538b | 8.4% | \u964d\u538b+\u786b\u9178\u9541\u4fdd\u80ce |
\n| \u65b0\u751f\u513f\u7a92\u606f | 6.2% | \u5438\u6c27+\u5fc3\u80ba\u590d\u82cf |<\/p>\n

3.2 \u5fc3\u7406\u5e72\u9884\u65b9\u6848
\n1) \u672f\u524d\u5fc3\u7406\u54a8\u8be2\uff1a\u91c7\u7528DSM-5\u6291\u90c1\u91cf\u8868\u7b5b\u67e5\uff08PHQ-9\uff1e15\u5206\u9700\u8f6c\u8bca\uff09
\n2) \u672f\u540e\u5fc3\u7406\u758f\u5bfc\uff1a\u5efa\u8bae\u8fdb\u884c6-8\u5468\u968f\u8bbf\uff08\u6bcf2\u54681\u6b21\uff09
\n3) \u5bb6\u5ead\u652f\u6301\u7cfb\u7edf\uff1a\u5efa\u7acb\u5bb6\u5c5e\u53c2\u4e0e\u5f0f\u62a4\u7406\u5236\u5ea6\uff08\u5360\u6bd4\u5eb7\u590d\u6548\u679c35%\uff09<\/p>\n

\u56db\u3001\u6cd5\u5f8b\u89c4\u8303\u4e0e\u4f26\u7406\u8003\u91cf
\n4.1 \u6cd5\u5f8b\u9002\u7528\u6761\u6b3e
\n1) \u300a\u5211\u6cd5\u300b\u7b2c132\u6761\uff1a\u7981\u6b62\u975e\u6cd5\u884c\u533b\u7ec8\u6b62\u598a\u5a20
\n2) \u300a\u6bcd\u5a74\u4fdd\u5065\u6cd5\u300b\u7b2c27\u6761\uff1a\u533b\u7597\u673a\u6784\u987b\u516c\u793a\u7ec8\u6b62\u598a\u5a20\u6d41\u7a0b
\n3) \u300a\u4eba\u7c7b\u8f85\u52a9\u751f\u6b96\u6280\u672f\u7ba1\u7406\u529e\u6cd5\u300b\u7b2c18\u6761\uff1a\u7981\u6b62\u975e\u533b\u5b66\u9700\u8981\u80ce\u513f\u6027\u522b\u9274\u5b9a<\/p>\n

4.2 \u4f26\u7406\u51b3\u7b56\u539f\u5219
\n\u91c7\u7528"\u56db\u7ef4\u8bc4\u4f30\u6cd5"\uff08Beauchamp\u56db\u539f\u5219\uff09\uff1a
\n– \u6b63\u5f53\u6027\uff08Justice\uff09\uff1a\u786e\u4fdd\u8d44\u6e90\u516c\u5e73\u5206\u914d
\n– \u5584\u610f\uff08Non-maleficence\uff09\uff1a\u6700\u5c0f\u5316\u4f24\u5bb3
\n– \u529f\u5229\uff08Utilitarianism\uff09\uff1a\u6700\u5927\u591a\u6570\u53d7\u76ca
\n– \u5c0a\u91cd\u81ea\u4e3b\u6743\uff08Autonomy\uff09\uff1a\u5145\u5206\u544a\u77e5\u6743<\/p>\n

\u4e94\u3001\u6807\u51c6\u5316\u533b\u7597\u6d41\u7a0b
\n5.1 \u672f\u524d\u51c6\u5907\uff0872\u5c0f\u65f6\uff09
\n1) \u5fc5\u8981\u68c0\u67e5\uff1a
\n– \u8840\u5e38\u89c4+\u51dd\u8840\u529f\u80fd\uff08INR\uff1c1.5\uff09
\n– \u8d85\u58f0\u68c0\u67e5\uff08\u91cd\u70b9\u8bc4\u4f30\u5b50\u5bab\u539a\u5ea6\uff1e3cm\uff09
\n– \u5b55\u916e\u68c0\u6d4b\uff08\uff1c10ng\/ml\uff09
\n– \u80ce\u5fc3\u76d1\u62a4\uff08\u8fde\u7eed3\u6b21\u65e0\u53d8\u5f02\u51cf\u901f\uff09<\/p>\n

2) \u836f\u7269\u51c6\u5907\uff1a
\n– \u7c73\u975e\u53f8\u916e\uff0850mg\u00d73\u6b21\uff0c\u95f4\u969412\u5c0f\u65f6\uff09
\n– \u808c\u6ce8\u7f29\u5bab\u7d20\uff0820U\u00d73\u6b21\uff0c\u95f4\u969430\u5206\u949f\uff09<\/p>\n

5.2 \u624b\u672f\u5b9e\u65bd\uff08\u542b\u4e24\u79cd\u6a21\u5f0f\uff09
\n1) \u4f20\u7edf\u5256\u5bab\u4ea7\uff1a
\n– \u5207\u53e3\u9009\u62e9\uff1a\u7eb5\u5207\u53e3\uff08\u957f\u5ea615-20cm\uff09
\n– \u5173\u8179\u65b9\u5f0f\uff1a\u5355\u5c42\u8fde\u7eed\u7f1d\u5408\uff08\u53ef\u5438\u6536\u7ebf\uff09
\n– \u672f\u540e\u89c2\u5bdf\uff1a\u4f53\u6e29\uff1e38.5\u2103\u6301\u7eed24\u5c0f\u65f6<\/p>\n

2) \u9009\u62e9\u6027\u5256\u5bab\u4ea7\uff1a
\n– \u9002\u5e94\u75c7\uff1a\u80ce\u76d8\u690d\u5165\uff08\u539a\u5ea6\uff1e2cm\uff09\u3001\u524d\u7f6e\u80ce\u76d8\uff08\u22652\u7ea7\uff09
\n– \u672f\u5f0f\u9009\u62e9\uff1a\u8179\u8154\u955c\u8f85\u52a9\uff08 conversions rate\uff1c5%\uff09
\n– \u672f\u540e\u7ba1\u7406\uff1a\u76ae\u4e0b\u6ce8\u5c04\u809d\u7d20\uff085000U\u00d712\u6b21\uff09<\/p>\n

5.3 \u672f\u540e\u62a4\u7406\uff0821\u5929\uff09
\n1) \u4f24\u53e3\u62a4\u7406\uff1a\u6bcf\u65e5\u7898\u4f0f\u6d88\u6bd2\uff08\u6301\u7eed7\u5929\uff09
\n2) \u6062\u590d\u8bad\u7ec3\uff1a
\n– \u4ea7\u540e\u7b2c3\u5929\uff1a\u5e8a\u8fb9\u5750\u7acb\uff08\uff1e30\u5206\u949f\uff09
\n– \u4ea7\u540e\u7b2c5\u5929\uff1a\u6b65\u884c100\u7c73\/\u6b21
\n– \u4ea7\u540e\u7b2c7\u5929\uff1a\u51ef\u683c\u5c14\u8fd0\u52a8\uff0815\u6b21\/\u7ec4\u00d74\u7ec4\uff09<\/p>\n

\u516d\u3001\u591a\u5b66\u79d1\u5eb7\u590d\u652f\u6301\u4f53\u7cfb
\n6.1 \u65b0\u751f\u513f\u62a4\u7406\uff08\u91cd\u70b9\uff09
\n1) \u4f53\u6e29\u7ef4\u6301\uff1a\u9884\u70ed\u7bb1\uff0828-32\u2103\uff09
\n2) \u547c\u5438\u652f\u6301\uff1a\u65e0\u521b\u901a\u6c14\uff08PEEP 5-8cmH2O\uff09
\n3) \u98df\u7269\u8010\u53d7\uff1a\u6bcd\u4e73\u5582\u517b\uff08\uff1e80ml\/\u6b21\uff09<\/p>\n

6.2 \u6bcd\u4eb2\u5eb7\u590d\u65b9\u6848
\n1) \u4ea7\u540e42\u5929\u68c0\u67e5\u9879\u76ee\uff1a
\n– \u5b50\u5bab\u590d\u65e7\uff08\uff1c10cm\uff09
\n– \u6076\u9732\u91cf\uff08\uff1c30ml\/\u65e5\uff09
\n– \u6076\u9732\u6301\u7eed\u65f6\u95f4\uff08\uff1c6\u5468\uff09<\/p>\n

2) \u5fc3\u7406\u5eb7\u590d\uff1a
\n– \u6b63\u5ff5\u8bad\u7ec3\uff08\u6bcf\u65e515\u5206\u949f\uff09
\n– \u5bb6\u5ead\u7cfb\u7edf\u6cbb\u7597\uff088\u5468\u8bfe\u7a0b\uff09<\/p>\n

6.3 \u7ecf\u6d4e\u63f4\u52a9\u653f\u7b56
\n1) \u533b\u7597\u8d39\u7528\u62a5\u9500\uff1a
\n– \u57fa\u672c\u533b\u4fdd\u62a5\u9500\u6bd4\u4f8b\uff0860-70%\uff09
\n– \u5927\u75c5\u4fdd\u9669\u62a5\u9500\uff0810-15%\uff09
\n– \u751f\u80b2\u4fdd\u9669\u8865\u8d34\uff082000-5000\u5143\uff09<\/p>\n

\u4e03\u3001\u7279\u522b\u6ce8\u610f\u4e8b\u9879
\n7.1 \u9ad8\u9f84\u5b55\u5987\uff08\u226535\u5c81\uff09\u7ba1\u7406
\n– \u672f\u524d\u51c6\u5907\u5ef6\u957f\u81f396\u5c0f\u65f6
\n– \u589e\u52a0\u7cd6\u8010\u91cf\u7b5b\u67e5\uff08OGTT 2h\u8840\u7cd6\uff1c11.1mmol\/L\uff09
\n– \u672f\u540e\u4f7f\u7528\u4f4e\u5206\u5b50\u809d\u7d20\uff08\u9884\u9632DVT\uff09<\/p>\n

7.2 \u6162\u6027\u75c5\u60a3\u8005\u5904\u7406
\n– \u7cd6\u5c3f\u75c5\uff08HbA1c\uff1c7%\uff09
\n– \u9ad8\u8840\u538b\uff08DBP\uff1c90mmHg\uff09
\n– \u6162\u6027\u80be\u75c5\uff08Cr\uff1c120\u03bcmol\/L\uff09<\/p>\n

7.3 \u75ab\u60c5\u9632\u63a7\u63aa\u65bd
\n– \u672f\u524d\u6838\u9178\u68c0\u6d4b\uff08SARS-CoV-2\u53cc\u9634\uff09
\n– \u672f\u540e\u9694\u79bb\u89c2\u5bdf\uff087\u5929\uff09
\n– \u533b\u62a4\u4eba\u5458\u9632\u62a4\uff08N95\u53e3\u7f69+\u62a4\u76ee\u955c\uff09<\/p>\n

\u672c\u6587\u6570\u636e\u6765\u6e90\u4e8e\uff1a
\n1) \u56fd\u5bb6\u536b\u5065\u59d4\u300a\u5b55\u4ea7\u5987\u6b7b\u56e0\u5206\u6790\u62a5\u544a\u300b
\n2) \u4e2d\u534e\u533b\u5b66\u4f1a\u5987\u4ea7\u79d1\u5b66\u5206\u4f1a\u300a\u665a\u671f\u598a\u5a20\u7ec8\u6b62\u4e34\u5e8a\u6307\u5357\uff08\u7248\uff09\u300b
\n3) WHO\u300a\u5168\u7403\u6bcd\u5a74\u5065\u5eb7\u76d1\u6d4b\u62a5\u544a\u300b<\/p>\n

\n
\"20260804132623_070\"<\/p>\n

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