罗伊模式护理个案

201511.P32P3-53P5-154P15-175.P17-186P18-307P30-318P319P321.ICUICUICU[9][1]2.632015-4-318:4612015040321CT,CTA1020302036.785/19/130/55mmHg163cm50kgBMI18.8CT201543CTA201543,1.2.32015-4-510:00-19:002015-4-93subarachnoidhemorrhageSAH10%2.0/106-20/10150-85%22%3moyamoya1%454%30~601/3SAHKernigBrudzinski25%CT1SAH50%241220%~30%130%170mmHgCT220-30%SAH3~55~142~4315-20%SAH1SAH2~3CTMRI45%~10%2/3115%~30%[3]1CTSAHCTSAHCTCTCT2490-95%380%150%2MRICTMRI4T12FLAIR1-2CTMRICSFCTCTCSF12CSFSAH1DSA95%DSA33~42CTCTAMRMRACTAMRADSADSA3TCDCVS.CTCTCTCSF1SAHSAHSAHCTDSA2SAHCSFCT31.5%SAHCNSCSFCSF/CT4SAHCTCSF[2]SAHCTCTASAH14-6234SAH[3]13HSAH2312--4.4.11964DorothyE.Johson[2]4.2.1.2.3.234565.1MckennaRAMRAM[3]2)RAM()ICUICU3RAMRAMICUICUICU6RAM62015-4-511SIMV+PSVT450mlRR12/,PEEP5cmH2O,FiO20.4PS9cmH2O2PH7.435PO2186mPCO231.9mmHg3:2128-165/62-89mmHgHR68/50150ml/hr32mm450-150ml/hrPH7.435HCO323.4mmol/LK3.76mmol/LNa141mmol/LCl104mmol/L5163cm50kg18.8,25.9g/L:650-150ml/hr78910Glu5.9mmol/L12ICU3ICU()712345671.121SIMV+PSVT450ml,RR12/FiO240%2.30453.4ABGSpO22015-4-519:20SpO25100%1-26789.99%2015-4-1010:00SpO2100%RR16/21.232015-4-1010:20RR14-20/45631236ICU1234,2015-4-6:2.85mmol2015-4-7:3.12mmol2015-4-9:3.85mmol41.2,LDVT138LDVT50320-302015-4-10:.512122015-4-825.9g/L342015-4-1235.9g/L612182250%70%.32015-4-101500-2000ml/47.1.2.3.4.2015-4-105.6.7ICUICURAMICURAMICURAMICURAM12345RAM8RAMRAM4[10]RAMICUICU9[1].[M]:,2008:26.[2]()[M].2006,131,4[3],ICUSARS[J].,2005,40(8):593-596[4].,4[J]2010,09,11[5].31[J]..2010(36)[6],.[J]...2000(05)[7].[J]..2001(04)[8].79[J]..2011(06)[9],.[J],,2008,5513-515[10].[J].2013,274964-965