常见危重症早期识别及处理原则2017ppt课件

ThispapermainlyintroducesthedesignofanintelligenttemperaturecontrolsystemwhichrealizesthefunctionoftemperaturemeasurementandcontrolbyusingsinglebusdigitaltemperaturesensorDS18B20andsinglechipmicrocomputer.ThecorecomponentsofthesystemareAT89C51microcontrollerandDS18B20temperaturesensor.成都市双流区第一人民医院THEFIRSTPEOPLE’SHOSPITALOFSHUANGLIUCOUNTY国家“三级乙等”综合医院ThispapermainlyintroducesthedesignofanintelligenttemperaturecontrolsystemwhichrealizesthefunctionoftemperaturemeasurementandcontrolbyusingsinglebusdigitaltemperaturesensorDS18B20andsinglechipmicrocomputer.ThecorecomponentsofthesystemareAT89C51microcontrollerandDS18B20temperaturesensor.常见危重症早期识别及处理原则双流区一医院急诊科主任医师唐力ThispapermainlyintroducesthedesignofanintelligenttemperaturecontrolsystemwhichrealizesthefunctionoftemperaturemeasurementandcontrolbyusingsinglebusdigitaltemperaturesensorDS18B20andsinglechipmicrocomputer.ThecorecomponentsofthesystemareAT89C51microcontrollerandDS18B20temperaturesensor.危重病医学危重病医学是急诊医学的核心内容，危重病患者，尤其是意外伤害导致的危重病患者，发病时间突然，发病地点远离医院，发病现场缺乏相应的救护人员和设备。如得不到及时处置，就会危及患者生命，错失最佳抢救时机。因此，危重病患者必须尽快早期处置，稳定生命体征，为后续进一步诊治提供有利条件。ThispapermainlyintroducesthedesignofanintelligenttemperaturecontrolsystemwhichrealizesthefunctionoftemperaturemeasurementandcontrolbyusingsinglebusdigitaltemperaturesensorDS18B20andsinglechipmicrocomputer.ThecorecomponentsofthesystemareAT89C51microcontrollerandDS18B20temperaturesensor.危重疾病早期常见的“紧急状况”脉搏40次/分或130次/分收缩压80mmHg或比平时低20mmHg呼吸频率8次/分或35次/分SpO290%(即使在给予氧疗时）意识丧失或瞳孔不等大癫痫持续发作气道阻塞紫绀无尿…ThispapermainlyintroducesthedesignofanintelligenttemperaturecontrolsystemwhichrealizesthefunctionoftemperaturemeasurementandcontrolbyusingsinglebusdigitaltemperaturesensorDS18B20andsinglechipmicrocomputer.ThecorecomponentsofthesystemareAT89C51microcontrollerandDS18B20temperaturesensor.“紧急状况”处理原则确保生命安全（心肺复苏急救ABCD）保证氧合建立静脉通道，进行循环支持判断病人的器官储备能力评估可能的诊断和处理“精炼”的、“确定性”的处理措施评估对治疗的反应调整措施进行恰当的器官功能支持求助（专科或ICU）ThispapermainlyintroducesthedesignofanintelligenttemperaturecontrolsystemwhichrealizesthefunctionoftemperaturemeasurementandcontrolbyusingsinglebusdigitaltemperaturesensorDS18B20andsinglechipmicrocomputer.ThecorecomponentsofthesystemareAT89C51microcontrollerandDS18B20temperaturesensor.VIP急救程序1．V（Ventilation）气道的通畅2．I（Infusion）迅速建立静脉通路3．P（Pulsation）心泵功能的监测ThispapermainlyintroducesthedesignofanintelligenttemperaturecontrolsystemwhichrealizesthefunctionoftemperaturemeasurementandcontrolbyusingsinglebusdigitaltemperaturesensorDS18B20andsinglechipmicrocomputer.ThecorecomponentsofthesystemareAT89C51microcontrollerandDS18B20temperaturesensor.病情分级1级濒危病人：病情可能随时危及病人生命，需立即采取挽救生命的干预措施。包括：无呼吸/无脉搏病人，急性意识障碍病人，以及其他需要采取挽救生命干预措施的病人，这类病人应立即就地抢救。2级危重病人：有潜在生命危险，病情有可能在短时间内进展至1级，或可能导致严重伤残者，包括急性意识模糊、定向力障碍、复合伤、心绞痛等，应尽快安排接诊，给予及时处置及治疗，并提供必要的监护设备。ThispapermainlyintroducesthedesignofanintelligenttemperaturecontrolsystemwhichrealizesthefunctionoftemperaturemeasurementandcontrolbyusingsinglebusdigitaltemperaturesensorDS18B20andsinglechipmicrocomputer.ThecorecomponentsofthesystemareAT89C51microcontrollerandDS18B20temperaturesensor.病情分级3级急症病人：病人目前明确没有在短时间内危急生命或严重致残的征象，病情进展为严重疾病和出现并发症的可能性低，但有状态变差的危险，需要急诊处理缓解病人症状，并在一定的时间段内安排病人就诊。4级非急症病人：病人目前没有急性发病症状，无或很少不适，患者无需急诊治疗，如有要求可等待就诊。ThispapermainlyintroducesthedesignofanintelligenttemperaturecontrolsystemwhichrealizesthefunctionoftemperaturemeasurementandcontrolbyusingsinglebusdigitaltemperaturesensorDS18B20andsinglechipmicrocomputer.ThecorecomponentsofthesystemareAT89C51microcontrollerandDS18B20temperaturesensor.急诊病人分类标准（4级分诊）类型预检定义分诊要求1级/A级（濒危病人）收缩压＜60mmHg昏迷GCS＜9生命体征不稳定，需立即抢救心跳呼吸骤停、有或紧急需要气管插管、休克、昏迷（短时间）、惊厥、多发伤、明确心肌梗塞、脑疝立即诊治2级/B级（危重病人）呼吸＞30次/分脉搏＞120次/分收缩压＜90mmHg其他项目正常范围生命体征不稳定，有潜在生命危险状态内脏性胸痛、气促，含服硝酸甘油不缓解ECG提示急性心肌梗塞呼吸窘迫，非COPD患者SPO2＜90%活动性出血、大面积脑梗塞、脑出血优先诊治＜10分钟3级/C级（急症病人）疼痛＞5分体温＞38.5℃其他项目正常生命体征不稳定，有状态变差的危险，如急性哮喘、剧烈腹泻、肾绞痛等优先诊治＜30分钟4级/D级（非急症病人）各项目正常范围医疗问题不属于真正的急诊范围，可在其他医疗场所包括社区医院、门诊等解决患者无需急诊治疗，如有要求可等待就诊。ThispapermainlyintroducesthedesignofanintelligenttemperaturecontrolsystemwhichrealizesthefunctionoftemperaturemeasurementandcontrolbyusingsinglebusdigitaltemperaturesensorDS18B20andsinglechipmicrocomputer.ThecorecomponentsofthesystemareAT89C51microcontrollerandDS18B20temperaturesensor.简易病情评估法A类D类B类C类极危重生命体征三项异常如颅内高压危重生命体征二项异常如高血压急症潜危生命体征一项异常如快速房颤普通生命体征正常的病人如颈椎病意识血压呼吸脉搏ThispapermainlyintroducesthedesignofanintelligenttemperaturecontrolsystemwhichrealizesthefunctionoftemperaturemeasurementandcontrolbyusingsinglebusdigitaltemperaturesensorDS18B20andsinglechipmicrocomputer.ThecorecomponentsofthesystemareAT89C51microcontrollerandDS18B20temperaturesensor.有生命危险的急危重症表现AAsphyxia窒息及呼吸困难BBleeding大出血与休克CComa昏迷DDying正在发生的死亡ThispapermainlyintroducesthedesignofanintelligenttemperaturecontrolsystemwhichrealizesthefunctionoftemperaturemeasurementandcontrolbyusingsinglebusdigitaltemperaturesensorDS18B20andsinglechipmicrocomputer.ThecorecomponentsofthesystemareAT89C51microcontrollerandDS18B20temperaturesensor.常见危重症分类呼吸衰竭脑功能衰竭休克肾功能衰竭心力衰竭Thispapermainlyintroducesthedesignofanintelligenttemperaturecontrolsystemwhichrealizesthefunctionoftemperat