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本文介绍该工作的基本设施和组织管理。总结ICU收治危重及心肺大手术病例1750余人取得经验与教训:①十分重视代谢性酸中毒的诊治,应自备血气分析仪及钾钠分析仪供随时监测。②要随时观察胸腔引流管是否通畅、引流量、负压波动等情况并作记录。③监测左房压、中心静脉压,此系观察循环功能的窗口,分析其指标变化的原因并及时处理。④强调心电图持续监测是ICU最基本的监护,一旦出现心律失常应分析其原因并作积极处理。⑤鼻翼扇动是缺氧的重要体征,应积极处理,加强呼吸管理,应用呼吸机辅助呼吸,必要时作气管切开术。
This article describes the basic infrastructure and organization of the work. Summary ICU admitted more than 1750 cases of critical and cardiopulmonary major cases of experience and lessons learned: ① attaches great importance to the diagnosis and treatment of metabolic acidosis, blood gas analyzer and potassium sodium analyzer should be provided for monitoring at any time. ② should always observe the chest drainage tube is unobstructed, drainage, negative pressure fluctuations and so on and make a record. ③ monitoring left atrial pressure, central venous pressure, this is the window of observation of circulatory function, analyze the causes of changes in their indicators and timely treatment. ④ emphasis on continuous monitoring of ECG is the most basic custody of the ICU, arrhythmia should be analyzed once the cause and make positive treatment. ⑤ nose flap is an important sign of hypoxia, should be actively managed to strengthen respiratory management, the use of ventilator-assisted breathing, tracheotomy if necessary.