二尖瓣置换术后护理课件
合集下载
相关主题
- 1、下载文档前请自行甄别文档内容的完整性，平台不提供额外的编辑、内容补充、找答案等附加服务。
- 2、"仅部分预览"的文档,不可在线预览部分如存在完整性等问题,可反馈申请退款(可完整预览的文档不适用该条件!)。
- 3、如文档侵犯您的权益，请联系客服反馈,我们会尽快为您处理(人工客服工作时间：9:00-18:30)。
�INR
�
2006
Hall INR2.03.0 INR2.53.5
Starr-Edwars Hall INR2.53.5
INR2.53.5
75100mg
� � : � : � : � :
INR 1.8-2.5 INR1.5-2.0 INR1.8-2.0 INR2.0-2.5 INR2.5-3.0
� 100mg/d
� INR 2.5~3.5
1 2 3
--
� ()
� -
�
�
--
�
� K K
K K
k 100gk 4.4mg3.2mg3.0mg 2.8mg0.8mg0.6mg0.16mg 0.8mg0.8mg
�
INR
40
1
2
3 4 5
56
51 528 15"" CT
93 69125ICU9 595 PT12.9 INR0.991# 96 1#98 PT 14.3INR 1.101.5#9 10PT 16.8INR 1.29912PT 20INR 1.53914PT 23.6INR 1.8916PT 24.9INR 1.9,1.5#, 918
PT:Prothrombin Time K PT
PTR Prothrombin Time Ratio= PT/PT
INR International normalized ratio
INR 1982
INR=PTR ISI =PT/PTISI
�ISI:International sensitivity index
� 1
2 <7.5ug.kg1.min-1 1 7.5 10ug.kg-1.min-1 2 >10ug.kg-1.min-1 2
8
CVP
9
3~6
2448h
,3~5mg (PT)INR PT1.5~2 INR2.0.~2.5
KK -
3648h 7296h 34d
1
3 5ug.kg-1.min-1
:
2
�
3
4.5 5.0mmol/L
1ml/kg.h
4
3~5h
ml/kg/hh
5
6
�
36.5
38
7
60/
80 90
1~2mg/kg 300~400mg/d.
.
8
� [3mg�(kg)]NS50ML 1ml/h=1ug.kg-1.min-1
/
� 1. � 2. � 3.
� 4.
� 5. � 6. � 7. � 8.
Mitral stenosis
4 6cm2
1.52.5cm2 11.5cm2 <1 cm2
<2c
< 1.5 c
� 1.
� 2.
� 3. � 4.
�
X
P
P
""
� X
� 1.
� 2.
� 3.
3-4 .
.
. 3 "o".
� 1 � 2 � 3 � 4
1
ICU
2
�
�
3
� �
Biblioteka Baidu
4
� �
� 1 � 2 � 3 � 4 � 5 � 6 � 7 � 8 � 9
2~3INRPTR2~3 2
1 2~33 16
1
PEEP
2
, :,,, , ,,
,,,
3
510ml/kg
4
,, .
,, .
(,)
5
,
6
(1)PTINR 1/42 2~3 5~7 k13~5
7
70%
8
1 B2
� 1.
,
2. (1) (2) (3) (4)
3.
MIVS + MIVS
�
2006
Hall INR2.03.0 INR2.53.5
Starr-Edwars Hall INR2.53.5
INR2.53.5
75100mg
� � : � : � : � :
INR 1.8-2.5 INR1.5-2.0 INR1.8-2.0 INR2.0-2.5 INR2.5-3.0
� 100mg/d
� INR 2.5~3.5
1 2 3
--
� ()
� -
�
�
--
�
� K K
K K
k 100gk 4.4mg3.2mg3.0mg 2.8mg0.8mg0.6mg0.16mg 0.8mg0.8mg
�
INR
40
1
2
3 4 5
56
51 528 15"" CT
93 69125ICU9 595 PT12.9 INR0.991# 96 1#98 PT 14.3INR 1.101.5#9 10PT 16.8INR 1.29912PT 20INR 1.53914PT 23.6INR 1.8916PT 24.9INR 1.9,1.5#, 918
PT:Prothrombin Time K PT
PTR Prothrombin Time Ratio= PT/PT
INR International normalized ratio
INR 1982
INR=PTR ISI =PT/PTISI
�ISI:International sensitivity index
� 1
2 <7.5ug.kg1.min-1 1 7.5 10ug.kg-1.min-1 2 >10ug.kg-1.min-1 2
8
CVP
9
3~6
2448h
,3~5mg (PT)INR PT1.5~2 INR2.0.~2.5
KK -
3648h 7296h 34d
1
3 5ug.kg-1.min-1
:
2
�
3
4.5 5.0mmol/L
1ml/kg.h
4
3~5h
ml/kg/hh
5
6
�
36.5
38
7
60/
80 90
1~2mg/kg 300~400mg/d.
.
8
� [3mg�(kg)]NS50ML 1ml/h=1ug.kg-1.min-1
/
� 1. � 2. � 3.
� 4.
� 5. � 6. � 7. � 8.
Mitral stenosis
4 6cm2
1.52.5cm2 11.5cm2 <1 cm2
<2c
< 1.5 c
� 1.
� 2.
� 3. � 4.
�
X
P
P
""
� X
� 1.
� 2.
� 3.
3-4 .
.
. 3 "o".
� 1 � 2 � 3 � 4
1
ICU
2
�
�
3
� �
Biblioteka Baidu
4
� �
� 1 � 2 � 3 � 4 � 5 � 6 � 7 � 8 � 9
2~3INRPTR2~3 2
1 2~33 16
1
PEEP
2
, :,,, , ,,
,,,
3
510ml/kg
4
,, .
,, .
(,)
5
,
6
(1)PTINR 1/42 2~3 5~7 k13~5
7
70%
8
1 B2
� 1.
,
2. (1) (2) (3) (4)
3.
MIVS + MIVS