飞利浦监护仪简易使用手册

GuanWeiPCCI2012-12-13飞利浦监护仪简易使用手册ConfidentialPCCI,GuanWei,2012-12-1326/27/2020ConfidentialPCCI,GuanWei,2012-12-133IntelliVuePatientMonitorFamily•MP20/30MP40/50MP60/70X2X2•X2MP80/90FMSConfidentialPCCI,GuanWei,2012-12-13更多内容请详读随机配发的使用手册4ConfidentialPCCI,GuanWei,2012-12-13一般介绍5ConfidentialPCCI,GuanWei,2012-12-13主屏幕信息联网状态床位号病人姓名病人种类是否起搏日期时间监护设置改变屏幕报警/信息波形显示数字显示数字显示灵巧键自由填空6ConfidentialPCCI,GuanWei,2012-12-13状态条测量选择状态信息有未工作的参数标名冲突状态正常7ConfidentialPCCI,GuanWei,2012-12-13报警状态区域三星红色重度报警一星蓝色轻度报警二星黄色中度报警8ConfidentialPCCI,GuanWei,2012-12-13屏幕上的按键永久键静音报警暂停主设定主屏幕9ConfidentialPCCI,GuanWei,2012-12-13屏幕上的按键灵巧键10ConfidentialPCCI,GuanWei,2012-12-13屏幕上的按键跳出键11ConfidentialPCCI,GuanWei,2012-12-13操作方式旋钮主屏幕静音总报警开关菜单逐级返回操纵杆/旋钮触屏12ConfidentialPCCI,GuanWei,2012-12-13填满空白处13ConfidentialPCCI,GuanWei,2012-12-13快捷键-测量选择14ConfidentialPCCI,GuanWei,2012-12-13病人类别选择15ConfidentialPCCI,GuanWei,2012-12-13病人是否佩戴起搏器选择16ConfidentialPCCI,GuanWei,2012-12-13监护仪主设定菜单17ConfidentialPCCI,GuanWei,2012-12-13待机19ConfidentialPCCI,GuanWei,2012-12-13ECG(心电)20ConfidentialPCCI,GuanWei,2012-12-13ECG菜单21ConfidentialPCCI,GuanWei,2012-12-13导联放置1234SAIE22ConfidentialPCCI,GuanWei,2012-12-13调整报警上下限23ConfidentialPCCI,GuanWei,2012-12-13关闭ECG报警24ConfidentialPCCI,GuanWei,2012-12-13心律失常报警链25ConfidentialPCCI,GuanWei,2012-12-13心律失常分析内容•Asystole停搏•VentricularFibrillation/Tachycardia室颤/室速•ExtremeBradycardia极端心动过缓•ExtremeTachycardia极端心动过速•Highheartrate心率快•Lowheartrate心率慢•VentricularTachycardia室性心动过速•PacerNotCapture起搏器未捕获•PacerNotPacing起搏器未起搏•PVCs/minHIGH(PVClimit/min频发室早•Afib房颤•SupraventricularTach室上性心动过速•MissedBeat漏搏•Pause暂停•IrregularHR心律不齐•VENRICULARRHYTHM室性节律•RUNPVCsHigh多个连发室早•PairPVCs成对室早•R-on-TPVCsR-on-T•Ventricularbigeminy室性二联律•Ventriculartrigeminy室性三联律•Non-sustainVT阵发室速•MultiformPVCs多源室早26ConfidentialPCCI,GuanWei,2012-12-13心律失常心搏标名27ConfidentialPCCI,GuanWei,2012-12-13ECG菜单ST分析窗口28ConfidentialPCCI,GuanWei,2012-12-13ECG菜单ST报警范围调整29ConfidentialPCCI,GuanWei,2012-12-13ST测量点的确定30ConfidentialPCCI,GuanWei,2012-12-13ECG菜单ST环31ConfidentialPCCI,GuanWei,2012-12-13调整观察ST环的间隔时间32ConfidentialPCCI,GuanWei,2012-12-13如何选择优质信号导联33ConfidentialPCCI,GuanWei,2012-12-13可以监测的导联34ConfidentialPCCI,GuanWei,2012-12-13RESP(呼吸)35ConfidentialPCCI,GuanWei,2012-12-13呼吸菜单36ConfidentialPCCI,GuanWei,2012-12-13调整报警上下限37ConfidentialPCCI,GuanWei,2012-12-13呼吸检测模式38ConfidentialPCCI,GuanWei,2012-12-13NIBP(无创血压)39ConfidentialPCCI,GuanWei,2012-12-13测量原理40ConfidentialPCCI,GuanWei,2012-12-13注意事项41ConfidentialPCCI,GuanWei,2012-12-13测量限制42ConfidentialPCCI,GuanWei,2012-12-13测量模式43ConfidentialPCCI,GuanWei,2012-12-13测量的修正44ConfidentialPCCI,GuanWei,2012-12-13NBP菜单45ConfidentialPCCI,GuanWei,2012-12-13NBP报警源调整46ConfidentialPCCI,GuanWei,2012-12-13调整报警上下限47ConfidentialPCCI,GuanWei,2012-12-13NBP测压模式48ConfidentialPCCI,GuanWei,2012-12-13自动测压重复时间49ConfidentialPCCI,GuanWei,2012-12-13SpO2(血氧饱和度)50ConfidentialPCCI,GuanWei,2012-12-13SpO2菜单51ConfidentialPCCI,GuanWei,2012-12-13SpO2报警调整52ConfidentialPCCI,GuanWei,2012-12-13TEMP(体温)53ConfidentialPCCI,GuanWei,2012-12-13TEMP菜单54ConfidentialPCCI,GuanWei,2012-12-13更改标名55ConfidentialPCCI,GuanWei,2012-12-13调整报警56ConfidentialPCCI,GuanWei,2012-12-13IBP(有创血压)57ConfidentialPCCI,GuanWei,2012-12-13IBP菜单数字窗口58ConfidentialPCCI,GuanWei,2012-12-13IBP菜单脉搏设定59ConfidentialPCCI,GuanWei,2012-12-13IBP菜单波形窗口60ConfidentialPCCI,GuanWei,2012-12-13冻结波形61ConfidentialPCCI,GuanWei,2012-12-13IBP菜单按冻结波形调整光标观察压力62ConfidentialPCCI,GuanWei,2012-12-13•ABParterialbloodpressure动脉血压•ARTarterialbloodpressure(alternative)动脉血压（另一种表示方法）•AOaorticpressure主动脉压•CVPcentralvenouspressure中心静脉压•ICPintracranialpressure颅内压•LAPleftatrialpressure左房压•RAPrightatrialpressure右房压•Pnon-specificpressurelabel非特异的压力标名•PAPpulmonaryarterypressure肺动脉•UAPumbilicalarterialpressure脐动脉压•UVPumbilicalvenouspressure脐静脉压有创血压标名63ConfidentialPCCI,GuanWei,2012-12-13归零64ConfidentialPCCI,GuanWei,2012-12-13IBP常见故障与排除65ConfidentialPCCI,GuanWei,2012-12-13二氧化碳监护•主路Mainstream•插管病人，传感器的重量，不适合新生儿和婴幼儿•旁路sidestream•非插管病人，最小取样容积100-150CC，不适合新生儿•微流MicrostreamTM•非插管病人，取样容积50CC，适合新生儿ConfidentialPCCI,GuanWei,2012-12-13主路CO2监测•优势–传感器在气道上，滞后时间短–对潮气量没有严格要求ConfidentialPCCI,GuanWei,2012-12-13主路CO2M3014AA01ExtensionA02ExtensionwithMainstreamSensorConfidentialPCCI,GuanWei,2012-12-13旁路CO2A03ExtensionwithSidestreamSensorSupplies!M2741ASidestreamCO2SensorandAccessoriesConfidentialPCCI,GuanWei,2012-12-13旁路CO2监测•优势–没有传感器干扰患者气道–一次性采样管–可用于插管、非插管患者•缺点–需要经常校准–需要150-250ml/min气体用于精确采样，影响潮气量–延迟的反应时间：没有实时图形–分泌物阻塞采样管ConfidentialPCCI,GuanWei,2012-12-13MicrostreamCO2•灵活多样-插管和非插管患者–口和鼻呼吸–输送氧气（低流量O2解决方案；解决高流量O2传输）–成人、儿童和婴幼儿ConfidentialPCCI,GuanWei,2012-12-13测量原理72ConfidentialPCCI,GuanWei,2012-12-13管路连接方法-主路73ConfidentialPCCI,GuanWei,2012-12-13管路连接方法-主路74ConfidentialPCCI,GuanWei,2012-12-13主路管路连接的注意事项75ConfidentialPCCI,GuanWei,2012-12-13管路连接方法-旁路76ConfidentialPCCI,GuanWei,2012-12-13管路连接方法-旁路-插管病人77ConfidentialPCCI,GuanWei,2012-12-13管路连接方法-旁路-非插管病人78ConfidentialPCCI,GuanWei,2012-12-13旁路管路连接的注意事项79ConfidentialPCCI,GuanWei,2012-12-13CO2菜单80ConfidentialPCCI,GuanWei,2012-12-13报警调整81ConfidentialPCCI,GuanWei,2012-1