һ·С
;Ϊһê¶ɴ˰ѳϵĶ̯Ųϡ
êɴͶ·ˡ
һ·ϲߣϵĻү˯˯ѣöΡ
ʱһζ
ʮһ롣
ǵִʯͳǸ
ʯͳΧǽ֮ϣԶijӣϱ֪ͨ
žæ
źƺƵʻijӣһϳǰdz¶ij
Ϸˡڵ
Զ˵ͷ˵˳ȥӭһ¡
ûԥΧǽ˼ʻ뿪ʯͳǡ
űըҲҪˣֱӰѳŲƿС
Զ
¶ѳͣ£ʯͳǴиҡ
ʶȤϾһδ̫࣬һ¼Ǿ鷳ˡ
֮ͣ˳ү
ǰżʻǣǰij¶³æѳ
¶ߵ˻үڵ⣬ү˯ǶӨѩʹ˸ɫ
Өѩ붮
һ»үļ˵үǵˡ
ү۾ij¶
ǵˣ
¶Ͻ˵үǵʯͳˣʯͳǴ
ү˴ͷãߵǾǰɣ
ҪʯͳǣүҺ˵Ĺ
ү˿ˮʶһЩ
Ц˵˯Ժˣˡ
УǴͽȥ
˵꣬˳
ĺһʶѡ
ղ˯֮٣һɨա
̡
ӳʯͳ˳ˡ
¶ԽдµæŤͷʯͳǸ
Ȼʯͳʻ
ϵǺҲӳǽڻүԡ
Ϊүıڣүȥﶼ
үһɫƤһƤñӣһȥЩúĸо
үƵȼһѩѣ
ڻүԣ˽עκ⣬Ǻüʱү
ѩѣͣ˳¶ǵijԱߡ
˴ӳ
ӶӳӳҴȥǻүԱߵһ˵
ϵˣǵͷá
ܿ졣
˱㱻˻үDZߡ
þòλ¶ЦŶԾ˵
Цŵ˵ͷȻȺĻүų¶ʵλؾǹص쵼үɣ
¶æܵԵģλϷĻү
үʯͳǵľӳӳ帺ʯͳߵ顣
үϴźЦݣ
λֵܣ
Ȼ
ֺůֵʱ˸оӵĸо
ˣԴһֲçϢ
Щ̫ϰߡ
ϻҲһĨЦݣүӭʯͳǣǴصijҲʯͳǣˡ
ŶسҲʯͳǣԭ¶˵سҪӴطʯͳǣҪһءүЩ˵
Ц˵ԭģdz˵Ҫǰ
һ
Աߵʿˮס沿顣
û뵽Ӫij滰˵Ư
Ϊ˽ԣԷɹʯͳǡ
˾ɹǰߵȻүˡ
Ȼ
ү֮ⷬɫЩݡ
ϾҪϷǿĶࡣ
ΪسܹǰǸӡ
ǸϽ˵صijⷬ⣬Ҹж
Сѩ
˵ֶ꣬ž˵ӶӳǸϽȥɣdzõȡ
˵ͷȻص˳ϡ
Өѩ뿪ıӰԱߵĻүЦҡҡͷ˵СѩϽĶóɣˣ
Өѩүôһ٩ɫͨæȥȡ
ǻүԾѡġ
ϾҪʯͳǻȡȼͣϵȻDzԵȵġ
ҪһܹǶڴصء
ӨѩæߵﳵϣüʻԱСѳȥ
һžǵijʯͳDZʻȥ
үûд̫ˣֻǴг¶Өѩ˾ܹˡ
ʻڡ
¶ԭһӣЩɻʣǸоֱʲ̫ò
ɻ˳
֮ǰÿһνʯͳǶҪܰȫ飬һȻҲ⡣
ǰľͣϽ¶ӳdz˵ǽȥټ顣
¶εص˵ͷϳں档
Ǻ
ү˴ӳʯͳе
DzԶͣļֱ⼴ǻүҲ¶һ˿ۡ
عȻDzƴְ
̨˹ضŻү˵ͷҪǼһ¡
үû飬֮ǰѾӳ¶DZ֪أҲûвС
ϾĩУС
֮ضŻү˵үߡ
үЩָΧǽǸʵӶӳ𣿡
⣬ЦЦûлش
ְڳһĶ
үȻܼȥǸǰߣ¶ʹ˸ɫ
¶үĿķ˲䶮˻ү˼
ӶӳǻүسһЩ֪ܲ˰ǰ
ԣЩ˵ҲС
㰲Ŷ̨˸ų¶ǹȥ̧
ֻǣ¶Ŷ̨ǵһ˻֮Ź
¶˵ġһЩʵġһ
˸ҽ豸
ЩǣЩˡ
ɻԱߵӨѩ͵
Щҽ豸ĩǰΪ߾豸⣬үһICU߿Ƽ豸˳ǡҺá綯ECMOԱ˹࣬
˻
һһ豸ĩǰ۸䲻ưĩоѵˡ
ǻһģ
ĩǰβʱʲôǮ࣬һ㶼 ICUС
ĩУһˣҪȴܶʱ
ôȫҽ豸
Ȼһݴ
ĩЩҽ豸ҪԲԶ
Щı飬ү̹һЩ
ոսʱļֱɰЩ±ˡ
ԭΪиֱ˲ˣû뵽ȻʯͳǾļܣôܲؿ϶ҲС
Ŷ̨ǰЩ豸СİתͷЦŶԻү˵ү߰ɡ
ү˵ͷ
һ·ڹ۲ʯͳеЩ˵ľò
ܶʱϢϸС
ʯͳеˣֶľ׳еǹеͳһʽ硣
֪ʯͳеˣǿ
ϷҪǿࡣ
߽˻ԱߵǸ
ʱɨˣҾ˼á
һӣڷһЩʳ
Ȳ裬ĽŲվ
ϷĻүǵˡǷֳĻү
̧ȥվھĻүϸһ
Щ仯
еҪһЩ
Ƥѥñӡ
ǰļ
Ǽˣáүæ˼
ֶֻ˳¹ϴЦݡ
֣֮һ¶
Լһ͵λá
һ㶣ǰһϷʱͻү˵仰ʸɶûء
ʱүȴǫʺá
رǰķһ¡
Ʊµһ꣬ףλ˳˳ҷƣԽԽãǣ
ȶСĿ꣬1סskjvvx;ֻĶַskjvvx
;Ϊһê¶ɴ˰ѳϵĶ̯Ųϡ
êɴͶ·ˡ
һ·ϲߣϵĻү˯˯ѣöΡ
ʱһζ
ʮһ롣
ǵִʯͳǸ
ʯͳΧǽ֮ϣԶijӣϱ֪ͨ
žæ
źƺƵʻijӣһϳǰdz¶ij
Ϸˡڵ
Զ˵ͷ˵˳ȥӭһ¡
ûԥΧǽ˼ʻ뿪ʯͳǡ
űըҲҪˣֱӰѳŲƿС
Զ
¶ѳͣ£ʯͳǴиҡ
ʶȤϾһδ̫࣬һ¼Ǿ鷳ˡ
֮ͣ˳ү
ǰżʻǣǰij¶³æѳ
¶ߵ˻үڵ⣬ү˯ǶӨѩʹ˸ɫ
Өѩ붮
һ»үļ˵үǵˡ
ү۾ij¶
ǵˣ
¶Ͻ˵үǵʯͳˣʯͳǴ
ү˴ͷãߵǾǰɣ
ҪʯͳǣүҺ˵Ĺ
ү˿ˮʶһЩ
Ц˵˯Ժˣˡ
УǴͽȥ
˵꣬˳
ĺһʶѡ
ղ˯֮٣һɨա
̡
ӳʯͳ˳ˡ
¶ԽдµæŤͷʯͳǸ
Ȼʯͳʻ
ϵǺҲӳǽڻүԡ
Ϊүıڣүȥﶼ
үһɫƤһƤñӣһȥЩúĸо
үƵȼһѩѣ
ڻүԣ˽עκ⣬Ǻüʱү
ѩѣͣ˳¶ǵijԱߡ
˴ӳ
ӶӳӳҴȥǻүԱߵһ˵
ϵˣǵͷá
ܿ졣
˱㱻˻үDZߡ
þòλ¶ЦŶԾ˵
Цŵ˵ͷȻȺĻүų¶ʵλؾǹص쵼үɣ
¶æܵԵģλϷĻү
үʯͳǵľӳӳ帺ʯͳߵ顣
үϴźЦݣ
λֵܣ
Ȼ
ֺůֵʱ˸оӵĸо
ˣԴһֲçϢ
Щ̫ϰߡ
ϻҲһĨЦݣүӭʯͳǣǴصijҲʯͳǣˡ
ŶسҲʯͳǣԭ¶˵سҪӴطʯͳǣҪһءүЩ˵
Ц˵ԭģdz˵Ҫǰ
һ
Աߵʿˮס沿顣
û뵽Ӫij滰˵Ư
Ϊ˽ԣԷɹʯͳǡ
˾ɹǰߵȻүˡ
Ȼ
ү֮ⷬɫЩݡ
ϾҪϷǿĶࡣ
ΪسܹǰǸӡ
ǸϽ˵صijⷬ⣬Ҹж
Сѩ
˵ֶ꣬ž˵ӶӳǸϽȥɣdzõȡ
˵ͷȻص˳ϡ
Өѩ뿪ıӰԱߵĻүЦҡҡͷ˵СѩϽĶóɣˣ
Өѩүôһ٩ɫͨæȥȡ
ǻүԾѡġ
ϾҪʯͳǻȡȼͣϵȻDzԵȵġ
ҪһܹǶڴصء
ӨѩæߵﳵϣüʻԱСѳȥ
һžǵijʯͳDZʻȥ
үûд̫ˣֻǴг¶Өѩ˾ܹˡ
ʻڡ
¶ԭһӣЩɻʣǸоֱʲ̫ò
ɻ˳
֮ǰÿһνʯͳǶҪܰȫ飬һȻҲ⡣
ǰľͣϽ¶ӳdz˵ǽȥټ顣
¶εص˵ͷϳں档
Ǻ
ү˴ӳʯͳе
DzԶͣļֱ⼴ǻүҲ¶һ˿ۡ
عȻDzƴְ
̨˹ضŻү˵ͷҪǼһ¡
үû飬֮ǰѾӳ¶DZ֪أҲûвС
ϾĩУС
֮ضŻү˵үߡ
үЩָΧǽǸʵӶӳ𣿡
⣬ЦЦûлش
ְڳһĶ
үȻܼȥǸǰߣ¶ʹ˸ɫ
¶үĿķ˲䶮˻ү˼
ӶӳǻүسһЩ֪ܲ˰ǰ
ԣЩ˵ҲС
㰲Ŷ̨˸ų¶ǹȥ̧
ֻǣ¶Ŷ̨ǵһ˻֮Ź
¶˵ġһЩʵġһ
˸ҽ豸
ЩǣЩˡ
ɻԱߵӨѩ͵
Щҽ豸ĩǰΪ߾豸⣬үһICU߿Ƽ豸˳ǡҺá綯ECMOԱ˹࣬
˻
һһ豸ĩǰ۸䲻ưĩоѵˡ
ǻһģ
ĩǰβʱʲôǮ࣬һ㶼 ICUС
ĩУһˣҪȴܶʱ
ôȫҽ豸
Ȼһݴ
ĩЩҽ豸ҪԲԶ
Щı飬ү̹һЩ
ոսʱļֱɰЩ±ˡ
ԭΪиֱ˲ˣû뵽ȻʯͳǾļܣôܲؿ϶ҲС
Ŷ̨ǰЩ豸СİתͷЦŶԻү˵ү߰ɡ
ү˵ͷ
һ·ڹ۲ʯͳеЩ˵ľò
ܶʱϢϸС
ʯͳеˣֶľ׳еǹеͳһʽ硣
֪ʯͳеˣǿ
ϷҪǿࡣ
߽˻ԱߵǸ
ʱɨˣҾ˼á
һӣڷһЩʳ
Ȳ裬ĽŲվ
ϷĻүǵˡǷֳĻү
̧ȥվھĻүϸһ
Щ仯
еҪһЩ
Ƥѥñӡ
ǰļ
Ǽˣáүæ˼
ֶֻ˳¹ϴЦݡ
֣֮һ¶
Լһ͵λá
һ㶣ǰһϷʱͻү˵仰ʸɶûء
ʱүȴǫʺá
رǰķһ¡
Ʊµһ꣬ףλ˳˳ҷƣԽԽãǣ
ȶСĿ꣬1סskjvvx;ֻĶַskjvvx