中國重癥醫(yī)學(xué)?？瀑Y質(zhì)培訓(xùn)教材(第2版)(帶目錄)

1、中國重癥醫(yī)學(xué)?？瀑Y質(zhì)培訓(xùn)教材（中國重癥醫(yī)學(xué)專科資質(zhì)培訓(xùn)教材（2nd2nd）I目錄目錄第一章重癥患者的識別和評估............................................................................................................................1第一節(jié)發(fā)現(xiàn)重癥患者...............................

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

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

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

5、...................3四、實驗室及影像學(xué)檢查........................................................................................................................3五、治療................................................................

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

7、...4一、評分系統(tǒng)模型的建立與評價............................................................................................................4二、ICU常用評分系統(tǒng)..................................................................................

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

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

10、......11二、重癥監(jiān)測的一般原則......................................................................................................................12第二節(jié)重癥監(jiān)測的專業(yè)特征.....................................................................

11、.................................................13一、重癥監(jiān)測的可預(yù)見性......................................................................................................................13二、重癥監(jiān)測手段的適用性..........................

12、........................................................................................13三、重癥監(jiān)測的動態(tài)和連續(xù)性..............................................................................................................14四、監(jiān)測結(jié)

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

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

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

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

17、............................................................................................................................17二、無創(chuàng)動脈壓監(jiān)測.....................................................................................

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

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

20、..............................25一、心臟停搏的常見原因......................................................................................................................25二、心臟停搏的心電圖類型.............................................

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、病因和發(fā)病機制..................................................

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中國重癥醫(yī)學(xué)?？瀑Y質(zhì)培訓(xùn)教材（中國重癥醫(yī)學(xué)?？瀑Y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..................................................................................................................

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

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

31、浮導(dǎo)管的發(fā)展................................................................................................................110二、肺動脈漂浮導(dǎo)管簡介........................................................................................

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

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

34、........................................................................115七、肺動脈飄浮導(dǎo)管參數(shù)的測量........................................................................................................116八、肺動脈飄浮導(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)重癥超聲在血流動力學(xué)治療中的應(yīng)用........................................................................................128一、前負(fù)荷評估指標(biāo).................................

41、...........................................................................................128二、超聲在評估心功能時的作用........................................................................................................129三、外周阻

42、力的評估............................................................................................................................130四、超聲評估脫機困難的原因............................................................................

43、................................131五、連續(xù)肺部超聲B線評估有助于指導(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力學(xué)不穩(wěn)定的病因....................................................131第七節(jié)血管外肺水的測

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

45、.................................................132二、相對禁忌證....................................................................................................................................132三、EVLW測定的臨床應(yīng)用.............

46、..................................................................................................132第八節(jié)氧代謝指標(biāo)在血流動力學(xué)治療中的作用....................................................................................133第九節(jié)功能性血流動力學(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................................................................................................................................137第二節(jié)

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