中國(guó)重癥醫(yī)學(xué)專(zhuān)科資質(zhì)培訓(xùn)教材(第2版)(帶目錄)

1、中國(guó)重癥醫(yī)學(xué)專(zhuān)科資質(zhì)培訓(xùn)教材（中國(guó)重癥醫(yī)學(xué)專(zhuān)科資質(zhì)培訓(xùn)教材（2nd2nd）I目錄目錄第一章重癥患者的識(shí)別和評(píng)估............................................................................................................................1第一節(jié)發(fā)現(xiàn)重癥患者...............................

2、.....................................................................................................1第二節(jié)重癥患者的初始評(píng)估..........................................................................................................

3、..............2一、病史................................................................................................................................................2二、查體....................................................

4、............................................................................................2三、表格記錄.........................................................................................................................

5、...................3四、實(shí)驗(yàn)室及影像學(xué)檢查........................................................................................................................3五、治療................................................................

6、................................................................................4第三節(jié)ICU評(píng)分系統(tǒng).................................................................................................................................

7、...4一、評(píng)分系統(tǒng)模型的建立與評(píng)價(jià)............................................................................................................4二、ICU常用評(píng)分系統(tǒng)..................................................................................

8、.........................................4第二章重癥監(jiān)測(cè)理論和原則..............................................................................................................................11第一節(jié)重癥監(jiān)測(cè)的目的和原則.........................

9、.........................................................................................11一、重癥監(jiān)測(cè)的目的........................................................................................................................

10、......11二、重癥監(jiān)測(cè)的一般原則......................................................................................................................12第二節(jié)重癥監(jiān)測(cè)的專(zhuān)業(yè)特征.....................................................................

11、.................................................13一、重癥監(jiān)測(cè)的可預(yù)見(jiàn)性......................................................................................................................13二、重癥監(jiān)測(cè)手段的適用性..........................

12、........................................................................................13三、重癥監(jiān)測(cè)的動(dòng)態(tài)和連續(xù)性..............................................................................................................14四、監(jiān)測(cè)結(jié)

13、果解讀的準(zhǔn)確性..................................................................................................................14五、重癥監(jiān)測(cè)的整體性.......................................................................................

14、...................................14六、重癥監(jiān)測(cè)的治療可反饋性..............................................................................................................15第三節(jié)重癥監(jiān)測(cè)與重癥患者心理需要與應(yīng)對(duì).......................................

15、...................................................15一、導(dǎo)致重癥患者心理危機(jī)的主要原因..............................................................................................15二、改善患者心理危機(jī)的主要措施.......................................

16、...............................................................16第四節(jié)基本生命體征監(jiān)測(cè)..........................................................................................................................17一、心電監(jiān)測(cè)..............

17、............................................................................................................................17二、無(wú)創(chuàng)動(dòng)脈壓監(jiān)測(cè).....................................................................................

18、.........................................19三、脈搏血氧飽和度監(jiān)測(cè)......................................................................................................................21四、體溫監(jiān)測(cè)........................................

19、..................................................................................................22第三章心肺腦復(fù)蘇................................................................................................................

20、..............................25一、心臟停搏的常見(jiàn)原因......................................................................................................................25二、心臟停搏的心電圖類(lèi)型.............................................

21、.....................................................................26三、復(fù)蘇程序..........................................................................................................................................26第四章

22、休克......................................................................................................................................................35第一節(jié)休克的分類(lèi)、病因和發(fā)病機(jī)制..................................................

23、....................................................35第二節(jié)休克的病理生理..............................................................................................................................35第三節(jié)休克治療的基本原則................

24、......................................................................................................36第四節(jié)低血容量休克...........................................................................................................

25、.......................39第五節(jié)分布性休克......................................................................................................................................40中國(guó)重癥醫(yī)學(xué)專(zhuān)科資質(zhì)培訓(xùn)教材（中國(guó)重癥醫(yī)學(xué)專(zhuān)科資質(zhì)培訓(xùn)教材（2nd2nd）III四、并發(fā)癥......

26、......................................................................................................................................105第二節(jié)中心靜脈穿刺插管和測(cè)壓.....................................................................

27、.......................................106一、適應(yīng)證和禁忌證............................................................................................................................106二、穿刺插管方法..................................

28、..............................................................................................106三、中心靜脈壓監(jiān)測(cè)..................................................................................................................

29、..........108四、護(hù)理與拔管....................................................................................................................................109五、并發(fā)癥防治..........................................................

30、..........................................................................109第三節(jié)肺動(dòng)脈漂浮導(dǎo)管............................................................................................................................110一、肺動(dòng)脈漂

31、浮導(dǎo)管的發(fā)展................................................................................................................110二、肺動(dòng)脈漂浮導(dǎo)管簡(jiǎn)介........................................................................................

32、............................110三、肺動(dòng)脈漂浮導(dǎo)管的應(yīng)用指征........................................................................................................111四、肺動(dòng)脈漂浮導(dǎo)管的置管方法......................................................

33、..................................................112五、肺動(dòng)脈漂浮導(dǎo)管的并發(fā)癥及其防治............................................................................................114六、肺動(dòng)脈導(dǎo)管波形分析............................................

34、........................................................................115七、肺動(dòng)脈飄浮導(dǎo)管參數(shù)的測(cè)量........................................................................................................116八、肺動(dòng)脈飄浮導(dǎo)管的臨床應(yīng)用..........

35、..............................................................................................118第四節(jié)脈搏指示劑連續(xù)心排血量測(cè)定及臨床應(yīng)用................................................................................121一、PiCCO原理和方法.......

36、................................................................................................................121二、參數(shù)意義...................................................................................................

37、.....................................123三、臨床應(yīng)用技術(shù)優(yōu)勢(shì)與現(xiàn)狀............................................................................................................126第五節(jié)心阻抗血流圖及臨床應(yīng)用..........................................

38、..................................................................126一、原理............................................................................................................................................126二、方法

39、............................................................................................................................................127三、臨床應(yīng)用.......................................................................

40、.................................................................127第六節(jié)重癥超聲在血流動(dòng)力學(xué)治療中的應(yīng)用........................................................................................128一、前負(fù)荷評(píng)估指標(biāo).................................

41、...........................................................................................128二、超聲在評(píng)估心功能時(shí)的作用........................................................................................................129三、外周阻

42、力的評(píng)估............................................................................................................................130四、超聲評(píng)估脫機(jī)困難的原因............................................................................

43、................................131五、連續(xù)肺部超聲B線評(píng)估有助于指導(dǎo)肺水腫的治療...................................................................131六、重癥超聲有助于快速篩查休克或血流動(dòng)力學(xué)不穩(wěn)定的病因....................................................131第七節(jié)血管外肺水的測(cè)

44、定........................................................................................................................131一、適應(yīng)證...........................................................................................

45、.................................................132二、相對(duì)禁忌證....................................................................................................................................132三、EVLW測(cè)定的臨床應(yīng)用.............

46、..................................................................................................132第八節(jié)氧代謝指標(biāo)在血流動(dòng)力學(xué)治療中的作用....................................................................................133第九節(jié)功能性血流動(dòng)力學(xué)指

47、標(biāo)................................................................................................................134第七章呼吸衰竭及相關(guān)疾病............................................................................................

48、................................135第一節(jié)呼吸衰竭的病因和病理生理改變................................................................................................135一、病因.................................................................

49、...........................................................................135二、病理生理特點(diǎn)................................................................................................................................137第二節(jié)

50、臨床表現(xiàn)和治療原則....................................................................................................................137一、臨床表現(xiàn)......................................................................................