心力衰竭的疑难病例讨论PPT课件.pptx

1、This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller

2、and DS18B20 temperature sensor.慢性心力衰竭的护理慢性心力衰竭的护理疑难护理病例讨论崂山急诊内科2016.7This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcom

3、puter. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.心衰概述 慢性心衰的总发病率0.5-2%，发达国家达10% 慢性心衰是大多数心血管疾病的最终归宿，也是最重要的死亡原因 半数4年内死亡，重症患者半数1年内死亡This paper mainly introduces the design of an intelligent temperature control system which realizes the function of tempe

4、rature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.病例汇报 一般情况：张某，女性，81岁 主诉：胸闷憋气5天 现病史：于5天前无明显诱因出现胸闷、憋气，伴乏力，咳嗽，咳痰困难，伴双手、双下肢水肿，自行吸氧未好转，2天前憋气加重，不

5、能平卧，以“心力衰竭”于2016.5.23收入院 既往史：冠心病 高血压 糖尿病 脑梗死 下肢深静脉血栓形成 肺栓塞 主要诊断：心力衰竭 This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcom

6、puter. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.病例汇报 查体：患者神志清，双肺呼吸音粗，可闻及干湿性啰音，心率85次/分，律齐，血压154/93mmHg，双下肢水肿This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement a

7、nd control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.辅助检查 D二聚体2600ng/ml 肌红蛋白347ng/ml B型脑利尿钠肽3030pg/ml 尿素氮12.10mmol/L肌酐144.96umol/LThis paper mainly introduces the

8、design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.辅助

9、检查 胸部CT:右肺多条片影，考虑炎症可能性大，双侧少量胸腔积液可能性大，心影增大 超声心动图：心肌梗死后改变，左室舒张与收缩功能减低，肺动脉高压 下肢B超：右侧股浅动脉闭塞，左下肢皮下水肿This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B2

10、0 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.治疗 入院后给予呋塞米利尿，爱倍扩血管，地高辛强心，凯韦可抗感染，枢维新平喘，科素亚降血压，糖适平降糖This paper mainly introduces the design of an intelligent temperature control system which realizes the function of tempera

11、ture measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.This paper mainly introduces the design of an intelligent temperature control system which r

12、ealizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.This paper mainly introduces the design of an intelligent tem

13、perature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.讨论主题 1.下肢深静脉血栓的护理 2.心衰病人的液体及电解

14、质管理 3.癫痫发作的护理 4.皮肤粘膜的护理This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are A

15、T89C51 microcontroller and DS18B20 temperature sensor.下肢深静脉血栓(DVT)崂山普外科This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microc

16、omputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.定义 下肢静脉血栓形成是指血液在下肢静脉内不正常凝结，堵塞管腔，导致静脉回流障碍的一种疾病。This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control

17、by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.DVT病因 静脉内膜损伤：静脉内膜损伤：静脉内注射刺激性药物和高渗溶液；静脉局部挫伤、撕裂伤或骨折碎片损伤；骨颈骨折损伤股总静脉，骨盆骨折和盆腔手术 血流缓慢血流缓慢： 血流缓慢是造成下肢深静脉血栓形成的首要因素（卧床或者麻醉后缺乏下肢肌对静

18、脉的挤压作用） 血液高凝状态血液高凝状态：各种大型手术是引起血液高凝状态的常见原因。（脾切除术后血小板增加；烧伤或者严重脱水增加血液凝固性；癌细胞释放的物质增加血液凝固性；避孕药、止血药、脱水剂的使用增加血液凝固性）This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature

19、sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.高危人群 高危人群如果没有预防措施,患小腿DVT的机会为40%80% 髋部骨折及术后 下肢骨折及术后尤其是术中应用止血带的 原发下肢血管疾病 高龄、女性、吸烟、糖尿病、肥胖 心功能不全和以往有DVT形成史This paper mainly introduces the design of an intelligent t

20、emperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.临 床 表 现 疼痛疼痛：最早出现的症状 肿胀肿胀：最常

21、见的症状： 下肢肿胀是最主要的或者是唯一的症状，大多数为单侧下肢肿胀。膝关节以下肿胀提示血栓累及腘或股浅静脉整个下肢肿胀表明髂-股静脉血栓形成 浅静脉曲张（后遗症）浅静脉曲张（后遗症）： 深静脉血栓形成后的继发反应This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature s

22、ensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.检查 血浆D二聚体测定 彩色多普勒超声探查 静脉造影：是DVT诊断的“金标准” 放射性核素血管扫描检查 螺旋CT静脉造影This paper mainly introduces the design of an intelligent temperature control system which realizes th

23、e function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.分型周围型周围型中央型中央型混合型混合型This paper mainly introduces the design of an intel

24、ligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.周围型This paper mainly

25、 introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 tempe

26、rature sensor.中央型This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51

27、 microcontroller and DS18B20 temperature sensor.混合型This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core co

28、mponents of the system are AT89C51 microcontroller and DS18B20 temperature sensor.股白肿This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and sing

29、le chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.股青肿This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital t

30、emperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.DVT并发症 肺栓塞 出血This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measureme

31、nt and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.肺栓塞This paper mainly introduces the design of an intelligent temperature control system which realizes the

32、 function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.肺栓塞的临床表现This paper mainly introduces the design of an intelligent temper

33、ature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.急性肺栓塞的急救处理立即平卧避免做深呼吸咳嗽剧烈翻动报告医生同时高

34、流量吸氧建立静脉通道心电监护配合医生抢救急性呼吸窘迫者行气管插管或机械通气心跳骤停者心肺复苏术This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core compon

35、ents of the system are AT89C51 microcontroller and DS18B20 temperature sensor. 现代护理的发展方向防治结合预防在先预防在先加强评估加强评估及时处理及时处理This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temp

36、erature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.基本预防 抬高患肢，禁止腘窝及小腿下单独垫枕；加强观察 避免下肢静脉穿刺，特别是反复穿刺、尤其是左侧 避免脱水 戒烟戒酒 控制血糖血脂 多作深呼吸及咳嗽动作 手术操作轻巧 避免静脉内膜损伤 规范下肢止血带的应用 鼓励患者主动活动 尽早下床This paper mainly introduces the d

37、esign of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.物理预

38、防 遵医嘱应用：足底静脉泵间歇充遵医嘱应用：足底静脉泵间歇充气加压装置梯度压力弹力袜气加压装置梯度压力弹力袜 下列情况禁用下列情况禁用： 充血性心力衰竭，肺水肿和下肢严重水肿充血性心力衰竭，肺水肿和下肢严重水肿 下肢深静脉血栓症，血栓性静脉炎或肺栓塞下肢深静脉血栓症，血栓性静脉炎或肺栓塞 下肢局部情况异常下肢局部情况异常(皮炎皮炎,坏疽坏疽,近期接受皮肤移植术近期接受皮肤移植术),下下肢血管严重硬化或其他缺血性血管病及下肢严重畸形等肢血管严重硬化或其他缺血性血管病及下肢严重畸形等 This paper mainly introduces the design of an intelligent

39、 temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.物理预防方法梯度压力弹力袜梯度压力弹力袜（GCS）

40、间歇充气加压装置间歇充气加压装置（IPC）足底静脉泵足底静脉泵（ VFP）This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of th

41、e system are AT89C51 microcontroller and DS18B20 temperature sensor.药物预防 遵医嘱正确应用：遵医嘱正确应用： 低分子肝素钙等药物、普通肝素低分子肝素钙等药物、普通肝素UFH 慎用止血药慎用止血药This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single

42、bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.DVT护理措施 绝对卧床休息1014d，抬高患肢2030、制动，禁止按摩、热敷、理疗及做剧烈运动，避免用力排便，以免造成栓子脱落，并发肺栓塞 每班观察下肢肿胀程度及皮肤温度、色泽及足背动脉搏动，每日测量并记录患肢不同平面的周径并记录，以判断疗效This paper main

43、ly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 tem

44、perature sensor.溶栓护理 DVT护理措施 并发症观察：严密观察有无牙龈出血、鼻衄、注射部位及消化道出血倾向。要特别注意有无头痛、呕吐、意识障碍、肢体瘫痪麻木等颅内出血迹象，如有出血倾向及时报告医生、护士。同时监测凝血酶原时间、出凝血时间 为了保证疗效，溶栓药物现配现用，遵医嘱或按要求滴注 观察有无胸痛、呼吸困难、咳嗽、出汗、咯血、休克、晕厥等肺栓塞症状。对突然发生的呼吸困难、紫绀、高度提示肺栓塞（PE） This paper mainly introduces the design of an intelligent temperature control system whi

45、ch realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.DVT治疗新进展 导管溶栓治疗 腔静脉滤器联合溶栓治疗This paper mainly introduces t

46、he design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor

47、.心衰患者的液体及电解质管理心衰患者的液体及电解质管理崂山重症监护室This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the s

48、ystem are AT89C51 microcontroller and DS18B20 temperature sensor.心衰的症状心衰的症状 左心衰：肺循环淤血、心排血量降低：进行性劳力性呼吸困难夜间阵发性呼吸困难端坐呼吸急性肺水肿 右心衰：体循坏淤血，腹部纳差，恶心呕吐，颈静脉充盈，肝颈静脉回流症阳性，肝脏肿大，水肿，胸水，腹水，紫绀This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperatur

49、e measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.液体潴留的评估液体潴留的评估 症状：劳力性呼吸困难，端坐呼吸，夜间阵发性呼吸困难，心慌心悸，尿量减少，腹胀 查体：体重增加（短时间内体重增加是液体潴留的可靠指标），颈静脉怒张（容量超载最可靠

50、的体征），双下肢或全身水肿，胸水、腹水。 辅助检查：肺部罗音，胸片提示肺淤血、肺水肿，心界扩大，BNP升高This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core