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ID:36022967
大小:104.50 KB
页数:14页
时间:2019-04-29
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1、第三军医大学新桥医院血液净化中心应急预案目录1.低血压22.肌肉痉挛33.恶心呕吐44.头痛55.失衡综合症66.空气栓塞77.透析器反应88.透析器破膜99.体外循环凝血1010.火灾1111.意外停水1212.意外停电1313.地震14forcomputersoftwareengineeringGB/T50314-2000ofelectricalinstallationscodeforconstructionandacceptanceofGBJ232-92intelligentbuildingweakdesignconstruct
2、ionfiguresetGJBT-4712.systemdescriptionthistimesengineeringweakdesignincluding:hoursaKokinformationfacilitiessystemintegratedwiringsystem(containingroomnetwork,communicationspart)wiredTVsysteminformationguideandthereleasedsystemhoursIIKokpublicsecuritysystemfireautomati
3、callyalarmsystem(containingpublicbroadcastpart)securitytechnologypreventionsystemsecuritymonitoringsystemoutentrancecontrolsystemcarlibrarymanagementsystemhoursthreeKokbuildingequipmentmonitoringsystemhoursfourKokinformationapplicationsystemqueuedstationICUvisitationsys
4、temoperationthesystemmonitoringandtrainingsystemcallintercomsystemhours,fivehoursKokKokintelligentintegratedsystemofinformationsystem(1)cablingsystems(includingcomputerroomnetwork,communicationcomponent)computernetworksystemsandvoicecommunicationssystemsCenterofinformat
5、iononmedicalfloorcomputerroomlocatedintheengineroom.Voicecommunicationsystemusingalocaltelecommunicationsoperatorprovidingvoiceservice,configuration-independentintegratedservicesdigitalprogram-controlledswitchboards.Operatorsprovidingcommunications...Ifanycompatibilityr
6、equirements,bywayofincreasedaccesstotheCommunicationsBoardwithinthechassistomeet131.低血压透析中低血压采取头低脚高位立即采取措施停止超滤减慢血流速度补充生理盐水100ml报告医生查看病人,分析原因,对症处理无好转好转密切观察血压,逐步恢复超滤继续补充生理盐水扩容,根据情况使用升压药准确记录病情必要时停止透析下次转换透析模式:序贯超滤,CRRT等透析中常见低血压原因分析:(1)容量相关性因素:包括超滤速度过快(0.35ml·Kg-1·min-1)、设定的
7、干体重过低、透析机超滤故障或透析液钠浓度偏低等。(2)血管收缩功能障碍:包括透析液温度较高、透前应用降压药物、透析中进食、中重度贫血、自主神经功能障碍(如糖尿病神经病变患者)及采用醋酸盐透析者。(3)心脏因素:如心脏舒张功能障碍、心律失常(如房颤)、心脏缺血、心包填塞、心肌梗死等。(4)其它少见原因:如出血、溶血、空气栓塞、透析器反应、脓毒血症等。forcomputersoftwareengineeringGB/T50314-2000ofelectricalinstallationscodeforconstructionandacce
8、ptanceofGBJ232-92intelligentbuildingweakdesignconstructionfiguresetGJBT-4712.systemdescriptionthistimesenginee
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