6 курс / Скорая помощь / Алгоритмы_оказания_скорой_и_неотложной_медицинской_помощи
.pdf
|
|
ɭ ɞɟɬɟɣ ɫ ɞɨ ɦɟɫ – 30 - ɜ ɦɢɧɭɬɭ ɫ ɞɨ ɦɟɫ – |
|
|
|
28 - ɜ ɦɢɧɭɬɭ ɫ ɞɨ ɦɟɫ – 26 - ɜ ɦɢɧɭɬɭ ɫ |
|
|
|
ɞɨ ɦɟɫ – 23 - ɜ ɦɢɧɭɬɭ ɫ ɝɨɞɚ ɞɨ ɥɟɬ – 20 - 18 |
|
|
|
ɜ ɦɢɧɭɬɭ ɫ ɞɨ ɥɟɬ – 18 - ɜ ɦɢɧɭɬɭ ɫ ɞɨ ɥɟɬ – |
|
|
|
15 - ɜ ɦɢɧɭɬɭ ɨɬ ɥɟɬ ɢ ɛɨɥɟɟ ɜ ɦɢɧɭɬɭ |
|
|
|
- ɱɚɫɬɨɬɚ ɤɨɦɩɪɟɫɫɢɣ ɭ ɧɨɜɨɪɨɠɞɟɧɧɵɯ ɢ ɞɟɬɟɣ ɞɨ |
|
|
|
ɝɨɞɚ – ɜ ɦɢɧɭɬɭ ɭ ɞɟɬɟɣ ɫ ɝɨɞɚ ɢ ɫɬɚɪɲɟ – 110 - |
|
|
|
ɜ ɦɢɧɭɬɭ |
|
|
|
ɫɦ «ɉɪɢɥɨɠɟɧɢɟ 1, 7» ɫɬɪ 245, 251) |
|
|
|
Ɋɚɫɲɢɪɟɧɧɚɹ ɫɟɪɞɟɱɧɨ-ɥɟɝɨɱɧɚɹ ɪɟɚɧɢɦɚɰɢɹ |
|
|
- ɩɪɢ ɦɟɥɤɨɜɨɥɧɨɜɨɣ |
Ȼɚɡɨɜɵɟ ɪɟɚɧɢɦɚɰɢɨɧɧɵɟ ɦɟɪɨɩɪɢɹɬɢɹ |
|
|
ɮɢɛɪɢɥɥɹɰɢɢ ɠɟɥɭɞɨɱɤɨɜ |
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
|
|
ɚɦɩɥɢɬɭɞɚ ɜɨɥɧɵ ɦɟɧɟɟ |
- ɗɩɢɧɟɮɪɢɧ ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ ɜ ɤɨɫɬɧɨ - |
|
|
ɦȼ ɚɫɢɫɬɨɥɢɢ |
ɩɪɢ ɧɟɜɨɡɦɨɠɧɨɫɬɢ ɨɛɟɫɩɟɱɟɧɢɹ ɭɤɚɡɚɧɧɨɝɨ ɩɭɬɢ |
|
|
ɷɥɟɤɬɪɨɦɟɯɚɧɢɱɟɫɤɨɣ |
ɜɜɟɞɟɧɢɹ |
|
|
ɞɢɫɫɨɰɢɚɰɢɢ ɚ ɬɚɤɠɟ ɩɪɢ |
- ɗɩɢɧɟɮɪɢɧ ɦɝ ɤɝ ɷɧɞɨɬɪɚɯɟɚɥɶɧɨ ɤɚɠɞɵɟ |
|
|
ɨɬɫɭɬɫɬɜɢɢ ɞɚɧɧɵɯ ɨɛ |
3 - ɦɢɧɭɬ |
|
|
ɷɥɟɤɬɪɢɱɟɫɤɨɣ ɚɤɬɢɜɧɨɫɬɢ |
|
|
|
ɫɟɪɞɰɚ |
|
|
|
- ɩɪɢ ɤɪɭɩɧɨɜɨɥɧɨɜɨɣ |
Ⱦɟɮɢɛɪɢɥɥɹɰɢɹ Ⱦɠ ɤɝ ɭ ɞɟɬɟɣ ɞɨ ɝɨɞɚ ɢ |
|
|
ɮɢɛɪɢɥɥɹɰɢɢ ɠɟɥɭɞɨɱɤɨɜ |
Ⱦɠ ɤɝ ɦɚɫɫɵ ɬɟɥɚ ɭ ɞɟɬɟɣ ɫɬɚɪɲɟ ɝɨɞɚ |
|
|
ɚɦɩɥɢɬɭɞɚ ɜɨɥɧɵ ɦȼ |
ɋɟɪɞɟɱɧɨ - ɥɟɝɨɱɧɚɹ ɪɟɚɧɢɦɚɰɢɹ ɜ ɬɟɱɟɧɢɟ ɦɢɧɭɬ |
|
|
ɢ ɛɨɥɟɟ |
ɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɢɥɢ ɩɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ |
|
|
|
ɬɪɭɛɤɢ |
|
|
|
• Ɇɨɧɢɬɨɪɢɧɝ ɑɋɋ ɑȾȾ |
|
|
|
ɗɄȽ - ɦɨɧɢɬɨɪɢɧɝ |
|
|
- ɩɪɢ ɫɨɯɪɚɧɹɸɳɟɣɫɹ |
Ⱦɟɮɢɛɪɢɥɥɹɰɢɹ Ⱦɠ ɤɝ |
|
|
ɤɪɭɩɧɨɜɨɥɧɨɜɨɣ |
ɋɟɪɞɟɱɧɨ - ɥɟɝɨɱɧɚɹ ɪɟɚɧɢɦɚɰɢɹ ɜ ɬɟɱɟɧɢɟ ɦɢɧɭɬ |
|
|
ɮɢɛɪɢɥɥɹɰɢɢ ɠɟɥɭɞɨɱɤɨɜ |
• Ɇɨɧɢɬɨɪɢɧɝ ɑɋɋ ɑȾȾ |
|
|
|
ɗɄȽ - ɦɨɧɢɬɨɪɢɧɝ |
|
|
|
210 |
|
|
- ɩɪɢ ɫɨɯɪɚɧɹɸɳɟɣɫɹ |
Ⱦɟɮɢɛɪɢɥɥɹɰɢɹ Ⱦɠ ɤɝ |
|
|
ɤɪɭɩɧɨɜɨɥɧɨɜɨɣ |
ɋɟɪɞɟɱɧɨ - ɥɟɝɨɱɧɚɹ ɪɟɚɧɢɦɚɰɢɹ ɜ ɬɟɱɟɧɢɟ ɦɢɧɭɬ |
|
|
ɮɢɛɪɢɥɥɹɰɢɢ ɠɟɥɭɞɨɱɤɨɜ |
• Ɇɨɧɢɬɨɪɢɧɝ ɑɋɋ ɑȾȾ |
|
|
|
ɗɄȽ - ɦɨɧɢɬɨɪɢɧɝ |
|
|
|
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
|
|
|
- ɗɩɢɧɟɮɪɢɧ ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ ɜ ɤɨɫɬɧɨ - |
|
|
|
ɩɪɢ ɧɟɜɨɡɦɨɠɧɨɫɬɢ ɨɛɟɫɩɟɱɟɧɢɹ ɭɤɚɡɚɧɧɨɝɨ ɩɭɬɢ |
|
|
|
ɜɜɟɞɟɧɢɹ |
|
|
|
- ɗɩɢɧɟɮɪɢɧ ɦɝ ɤɝ ɷɧɞɨɬɪɚɯɟɚɥɶɧɨ ɤɚɠɞɵɟ |
|
|
|
3 - ɦɢɧɭɬ |
|
|
|
- Ⱥɦɢɨɞɚɪɨɧ ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ ɜ ɤɨɫɬɧɨ |
|
|
|
ɢɥɢ Ʌɢɞɨɤɚɢɧ ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɜɜɨɞɢɬɶ ɬɨɥɶɤɨ |
|
|
|
ɪɚɫɬɜɨɪ ɪɚɡɜɟɞɟɧɢɟ ɪɚɫɬɜɨɪɚ ɜ ɫɨɨɬɧɨɲɟɧɢɢ |
|
|
- ɩɪɢ ɫɨɯɪɚɧɹɸɳɟɣɫɹ |
Ⱦɟɮɢɛɪɢɥɥɹɰɢɹ Ⱦɠ ɤɝ |
|
|
ɤɪɭɩɧɨɜɨɥɧɨɜɨɣ |
ɋɟɪɞɟɱɧɨ - ɥɟɝɨɱɧɚɹ ɪɟɚɧɢɦɚɰɢɹ ɜ ɬɟɱɟɧɢɟ ɦɢɧɭɬ |
|
|
ɮɢɛɪɢɥɥɹɰɢɢ ɠɟɥɭɞɨɱɤɨɜ |
• Ɇɨɧɢɬɨɪɢɧɝ ɑɋɋ ɑȾȾ |
|
|
|
ɗɄȽ – ɦɨɧɢɬɨɪɢɧɝ |
|
|
- ɩɪɢ ɫɨɯɪɚɧɹɸɳɟɣɫɹ |
Ⱦɟɮɢɛɪɢɥɥɹɰɢɹ Ⱦɠ ɤɝ |
|
|
ɤɪɭɩɧɨɜɨɥɧɨɜɨɣ |
ɋɟɪɞɟɱɧɨ - ɥɟɝɨɱɧɚɹ ɪɟɚɧɢɦɚɰɢɹ ɜ ɬɟɱɟɧɢɟ ɦɢɧɭɬ |
|
|
ɮɢɛɪɢɥɥɹɰɢɢ ɠɟɥɭɞɨɱɤɨɜ |
|
|
|
ɀɟɥɭɞɨɱɤɨɜɚɹ ɬɚɯɢɤɚɪɞɢɹ |
• ɋɢɧɯɪɨɧɢɡɢɪɨɜɚɧɧɚɹ ɷɥɟɤɬɪɨɤɚɪɞɢɨɜɟɪɫɢɹ Ⱦɠ ɤɝ |
|
|
ɛɟɡ ɩɭɥɶɫɚ |
ɭ ɞɟɬɟɣ ɞɨ ɝɨɞɚ ɢ Ⱦɠ ɤɝ ɦɚɫɫɵ ɬɟɥɚ ɭ ɞɟɬɟɣ |
|
|
|
ɫɬɚɪɲɟ ɝɨɞɚ |
|
|
|
ɉɪɢ ɜɨɫɫɬɚɧɨɜɥɟɧɢɢ ɫɢɧɭɫɨɜɨɝɨ ɪɢɬɦɚ |
|
|
|
Ʉɨɧɬɪɨɥɶ ɑȾȾ ɑɋɋ ȺȾ |
|
|
|
ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
|
|
|
ɗɄȽ |
|
|
|
ɉɪɢ ɪɟɰɢɞɢɜɟ |
|
|
|
Ⱦɟɮɢɛɪɢɥɥɹɰɢɹ Ⱦɠ ɤɝ ɦɚɫɫɵ ɬɟɥɚ |
|
|
|
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
|
|
|
|
|
|
|
211 |
|
|
|
ɉɪɢ ɜɨɫɫɬɚɧɨɜɥɟɧɢɢ ɫɢɧɭɫɨɜɨɝɨ ɪɢɬɦɚ |
|
|
|
• Ɇɨɧɢɬɨɪɢɧɝ ɑȾȾ ɑɋɋ ȺȾ |
|
|
|
ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
|
|
|
ɗɄȽ |
|
|
|
ɗɄȽ - ɦɨɧɢɬɨɪɢɧɝ |
|
|
|
- Ⱥɦɢɨɞɚɪɨɧ ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ ɜ ɬɟɱɟɧɢɟ ɧɟ |
|
|
|
ɦɟɧɟɟ ɦɢɧɭɬ ɜɨ ɜɪɟɦɹ ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ |
|
|
|
ɫɦ «ɉɪɢɥɨɠɟɧɢɟ 40» ɫɬɪ 91) |
|
|
|
ɉɪɢ ɧɟɩɟɪɟɧɨɫɢɦɨɫɬɢ Ⱥɦɢɨɞɚɪɨɧɚ |
|
|
|
- Ʌɢɞɨɤɚɢɧ ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɜɜɨɞɢɬɶ ɬɨɥɶɤɨ ɪɚɫɬɜɨɪ |
|
|
|
ɪɚɡɜɟɞɟɧɢɟ ɪɚɫɬɜɨɪɚ ɜ ɫɨɨɬɧɨɲɟɧɢɢ |
|
|
ɍɫɩɟɲɧɚɹ ɫɟɪɞɟɱɧɨ- |
• Ɇɨɧɢɬɨɪɢɧɝ ɑȾȾ ɑɋɋ ȺȾ |
Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
|
ɥɟɝɨɱɧɚɹ ɪɟɚɧɢɦɚɰɢɹ |
ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
ɛɨɥɶɧɢɰɭ |
|
ɩɨɫɬɪɟɚɧɢɦɚɰɢɨɧɧɵɣ |
ɗɄȽ |
Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ |
|
ɩɟɪɢɨɞ |
ɗɄȽ - ɦɨɧɢɬɨɪɢɧɝ |
ɧɨɫɢɥɤɚɯ ɫ ɩɪɨɞɨɥɠɟɧɢɟɦ |
|
|
• Ƚɥɸɤɨɦɟɬɪɢɹ |
ɦɟɪɨɩɪɢɹɬɢɣ ɢɧɬɟɧɫɢɜɧɨɣ |
|
|
ɉɪɨɞɨɥɠɢɬɶ ɂȼɅ ȼȼɅ ɜ ɪɟɠɢɦɟ ɧɨɪɦɨɜɟɧɬɢɥɹɰɢɢ |
ɬɟɪɚɩɢɢ |
|
|
ɫɦ «ɉɪɢɥɨɠɟɧɢɟ » ɫɬɪ 49, 252) |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
|
|
Ɍɟɪɦɨɦɟɬɪɢɹ ɩɪɟɞɨɬɜɪɚɬɢɬɶ ɩɨɬɟɪɸ ɬɟɩɥɚ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
|
|
ɩɪɟɞɨɬɜɪɚɬɢɬɶ ɝɢɩɟɪɬɟɪɦɢɸ |
ɚɤɬɢɜ ɧɚ «103ª ɞɥɹ ɛɪɢɝɚɞɵ |
|
|
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - 10 - ɦɥ ɤɝ ɱɚɫ |
ȺɢɊ ɱɟɪɟɡ ɱɚɫɚ |
|
|
- Ⱦɢɚɡɟɩɚɦ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ Ɇɢɞɚɡɨɥɚɦ - |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
|
|
ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
|
- ɩɪɢ ɫɧɢɠɟɧɢɢ ɋȺȾ |
- Ⱦɨɩɚɦɢɧ ɦɤɝ ɤɝ ɦɢɧ ɜ ɜɟɧɧɨ ɢɥɢ Ⱦɨɛɭɬɚɦɢɧ - 10 |
|
|
! ɨɬ ɜɨɡɪɚɫɬɧɨɣ |
ɦɤɝ ɤɝ ɦɢɧ ɜ ɜɟɧɧɨ |
|
|
ɧɨɪɦɵ ɧɚ ɮɨɧɟ |
ɫɦ ©ɉɪɢɥɨɠɟɧɢɟ 9 - 32ª ɫɬɪ 80 - 283) |
|
|
ɩɪɨɜɨɞɢɦɨɣ ɢɧɮɭɡɢɨɧɧɨɣ |
|
|
|
ɬɟɪɚɩɢɢ |
|
|
Ɍ |
Ɍɪɚɜɦɚɬɢɱɟɫɤɢɣ |
ɉɪɨɜɨɞɢɬɶ ɬɟɪɚɩɢɸ ɜ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ ɨɛɴɟɦɨɦ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
|
ɝɢɩɨɜɨɥɟɦɢɱɟɫɤɢɣ ɲɨɤ |
ɯɚɪɚɤɬɟɪɨɦ ɢ ɥɨɤɚɥɢɡɚɰɢɟɣ ɩɨɜɪɟɠɞɟɧɢɣ |
ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
|
|
ɨɞɧɨɜɪɟɦɟɧɧɨ ɫ ɩɪɨɜɟɞɟɧɢɟɦ ɩɪɨɬɢɜɨɲɨɤɨɜɵɯ |
ɧɚ ɧɨɫɢɥɤɚɯ ɫ |
|
|
212 |
|
|
|
ɦɟɪɨɩɪɢɹɬɢɣ |
ɩɪɨɞɨɥɠɟɧɢɟɦ ɦɟɪɨɩɪɢɹɬɢɣ |
R57.1 Ƚɟɦɨɪɪɚɝɢɱɟɫɤɢɣ |
ɋɦ ɪɚɡɞɟɥ «Ɍɪɚɜɦɚɬɨɥɨɝɢɹ» ɫɬɪ - 130 |
ɢɧɬɟɧɫɢɜɧɨɣ ɬɟɪɚɩɢɢ |
|
Ɉɰɟɧɤɚ ɑȾȾ ɑɋɋ ȺȾ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
||
|
ɝɢɩɨɜɨɥɟɦɢɱɟɫɤɢɣ ɲɨɤ |
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
|
|
- Ɍɪɚɧɟɤɫɚɦɨɜɚɹ ɤɢɫɥɨɬɚ ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
ɚɤɬɢɜ ɧɚ «103» ɱɟɪɟɡ ɱɚɫɚ |
|
|
ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
|
|
• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 - 1.0 |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
|
|
ɗɄȽ - ɦɨɧɢɬɨɪɢɧɝ |
|
|
- ɩɪɢ ɫɧɢɠɟɧɢɢ ɋȺȾ ɧɚ - ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ |
|
|
|
- ɨɬ ɜɨɡɪɚɫɬɧɨɣ |
10 - 15 ɦɢɧ |
|
|
ɧɨɪɦɵ |
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ |
|
|
|
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ |
|
|
|
10 - ɦɢɧ |
|
|
|
- ȽɗɄ - ɦɥ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
|
|
|
ɉɪɢ ɩɨɥɨɠɢɬɟɥɶɧɨɦ ɷɮɮɟɤɬɟ ɩɪɨɞɨɥɠɢɬɶ ɢɧɮɭɡɢɸ |
|
|
|
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɤɚɩɟɥɶɧɨ |
|
|
- ɩɪɢ ɫɧɢɠɟɧɢɢ ɋȺȾ ɧɚ - ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ |
|
|
|
- ɨɬ ɜɨɡɪɚɫɬɧɨɣ |
10 - 15 ɦɢɧ |
|
|
ɧɨɪɦɵ |
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ |
|
|
|
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ |
|
|
|
10 - ɦɢɧ |
|
|
|
- ȽɗɄ - ɦɥ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
|
|
|
ɉɪɢ ɩɨɥɨɠɢɬɟɥɶɧɨɦ ɷɮɮɟɤɬɟ ɩɪɨɞɨɥɠɢɬɶ ɢɧɮɭɡɢɸ |
|
|
|
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɤɚɩɟɥɶɧɨ |
|
|
- ɩɪɢ ɫɧɢɠɟɧɢɢ ɋȺȾ ! |
ɍɫɬɚɧɨɜɤɚ ɜɬɨɪɨɝɨ ɜ ɜɟɧɧɨɝɨ ɤɚɬɟɬɟɪɚ |
|
|
ɨɬ ɜɨɡɪɚɫɬɧɨɣ ɧɨɪɦɵ |
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ |
|
|
|
10 - ɦɢɧ |
|
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ
-ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ 10 - ɦɢɧ
-ȽɗɄ - 15ɦɥ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ
213
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɫɬɚɛɢɥɢɡɚɰɢɢ ɫɨɫɬɨɹɧɢɹ ɜ ɬɟɱɟɧɢɟ
20 - 30 ɦɢɧɭɬ:
- ɇɨɪɷɩɢɧɟɮɪɢɧ - ɦɤɝ ɤɝ ɦɢɧɫɦ ©ɉɪɢɥɨɠɟɧɢɹ 35 - 37ª ɫɬɪ 86 - 288)
ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ
- Ⱦɨɩɚɦɢɧ 10 - ɦɤɝ ɤɝ*ɦɢɧɫɦ ©ɉɪɢɥɨɠɟɧɢɹ 29 - 31» ɫɬɪ 80 - 282)
- ɩɪɢ ɧɚɪɭɲɟɧɢɢ ɞɵɯɚɧɢɹ ɉɟɪɟɞ ɢɧɬɭɛɚɰɢɟɣȾɇ ,,,-,9 ɫɬ - Ⱥɬɪɨɩɢɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɩɨ ɩɨɤɚɡɚɧɢɹɦ
|
|
ȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜ |
|
|
|
ɩɪɨɢɡɜɨɞɢɬɫɹ ɩɪɢ ɭɪɨɜɧɟ ɫɨɡɧɚɧɢɹ ! ɛɚɥɥɨɜ ɩɨ |
|
|
|
ɲɤɚɥɟ ɤɨɦɵ ȽɅȺɁȽɈ |
|
|
|
- Ɇɢɞɚɡɨɥɚɦ ɦɝ ɤɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ Ʉɟɬɚɦɢɧ |
|
|
|
1 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
|
|
|
ɢɥɢ - Ⱦɢɚɡɟɩɚɦ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢ Ʉɟɬɚɦɢɧ |
|
|
|
1 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
|
|
|
ɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ |
|
|
|
ɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɢɥɢ ɩɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ |
|
|
|
ɬɪɭɛɤɢ |
|
|
|
ɂȼɅ ȼȼɅ |
|
R57.1 Ƚɢɩɨɜɨɥɟɦɢɱɟɫɤɢɣ ɲɨɤ |
ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
|
|
|
• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 - 1.0 |
ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
|
|
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɧɚ ɧɨɫɢɥɤɚɯ ɫ |
|
|
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - 2 ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ |
ɩɪɨɞɨɥɠɟɧɢɟɦ ɦɟɪɨɩɪɢɹɬɢɣ |
|
|
10 - 15 ɦɢɧ |
ɢɧɬɟɧɫɢɜɧɨɣ ɬɟɪɚɩɢɢ |
|
|
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
|
|
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
|
|
10 - ɦɢɧ |
ɚɤɬɢɜ ɧɚ «103» ɱɟɪɟɡ ɱɚɫɚ |
|
|
ɉɪɢ ɩɨɥɨɠɢɬɟɥɶɧɨɦ ɷɮɮɟɤɬɟ ɩɪɨɞɨɥɠɢɬɶ ɢɧɮɭɡɢɸ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
|
|
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɤɚɩɟɥɶɧɨ |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
|
|
214 |
|
- ɩɪɢ ɧɚɪɭɲɟɧɢɢ ɞɵɯɚɧɢɹ ɉɟɪɟɞ ɢɧɬɭɛɚɰɢɟɣȾɇ ,,,-,9 ɫɬ - Ⱥɬɪɨɩɢɧ 0,01 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɩɨ ɩɨɤɚɡɚɧɢɹɦ
ȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜɩɪɨɢɡɜɨɞɢɬɫɹ ɩɪɢ ɭɪɨɜɧɟ ɫɨɡɧɚɧɢɹ ! ɛɚɥɥɨɜ ɩɨ ɲɤɚɥɟ ɤɨɦɵ ȽɅȺɁȽɈ - Ɇɢɞɚɡɨɥɚɦ ɦɝ ɤɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ Ʉɟɬɚɦɢɧ 1 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ
ɢɥɢ - Ⱦɢɚɡɟɩɚɦ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢ Ʉɟɬɚɦɢɧ 1 - ɦɝ ɤɝ ɜ ɜɟɧɧɨɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɢɥɢ ɩɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ ɬɪɭɛɤɢɂȼɅ ȼȼɅ
• ɗɄȽ - ɦɨɧɢɬɨɪɢɧɝ
Ⱥ ɂɧɮɟɤɰɢɨɧɧɨ - |
ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
ɬɨɤɫɢɱɟɫɤɢɣ ɲɨɤ |
• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 - 1.0 |
ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
|
Ƚɥɸɤɨɦɟɬɪɢɹ |
ɧɚ ɧɨɫɢɥɤɚɯ ɫ |
|
ɗɄȽ - ɦɨɧɢɬɨɪɢɧɝ |
ɩɪɨɞɨɥɠɟɧɢɟɦ ɦɟɪɨɩɪɢɹɬɢɣ |
|
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɢɧɬɟɧɫɢɜɧɨɣ ɬɟɪɚɩɢɢ |
|
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
|
10 - ɦɢɧ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
|
- ɉɪɟɞɧɢɡɨɥɨɧ 10 ɦɝ ɤɝ ɢɥɢ Ⱦɟɤɫɚɦɟɬɚɡɨɧ - 1,2 |
ɚɤɬɢɜ ɧɚ «103» ɱɟɪɟɡ ɱɚɫɚ |
|
ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ Ƚɢɞɪɨɤɨɪɬɢɡɨɧ ɞɨ ɦɟɫ - ɦɝ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
|
ɫ ɦɟɫ ɞɨ ɥɟɬ - ɦɝ ɞɨ ɥɟɬ - ɦɝ ɫɬɚɪɲɟ |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
|
ɥɟɬ - ɦɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
|
|
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ |
|
|
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ |
|
|
10 - ɦɢɧ |
|
|
ɉɪɢ ɩɨɥɨɠɢɬɟɥɶɧɨɦ ɷɮɮɟɤɬɟ ɩɪɨɞɨɥɠɢɬɶ ɢɧɮɭɡɢɸ |
|
|
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɤɚɩɟɥɶɧɨ |
|
|
215 |
|
|
- ɩɪɢ ɨɬɫɭɬɫɬɜɢɢ |
- ɇɨɪɷɩɢɧɟɮɪɢɧ - ɦɤɝ ɤɝ ɦɢɧ ɢɥɢ Ⱦɨɩɚɦɢɧ |
|
|
ɫɬɚɛɢɥɢɡɚɰɢɢ ɫɨɫɬɨɹɧɢɹ ɜ |
10 - ɦɤɝ ɤɝ ɦɢɧ |
|
|
ɬɟɱɟɧɢɟ ɦɢɧɭɬ ɢ ɩɪɢ |
ɫɦ ©ɉɪɢɥɨɠɟɧɢɹ 5 - 37, 29 - 31ª ɫɬɪ 86 - 288, 280 - |
|
|
ɫɧɢɠɟɧɢɢ ɋȺȾ ! ɨɬ |
282) |
|
|
ɜɨɡɪɚɫɬɧɨɣ ɧɨɪɦɵ |
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ |
|
|
|
- ɗɩɢɧɟɮɪɢɧ 0,5 - ɦɤɝ ɤɝ ɦɢɧ |
|
|
|
ɫɦ ©ɉɪɢɥɨɠɟɧɢɟ 38» ɫɬɪ 289) |
|
|
- ɩɪɢ ɧɚɪɭɲɟɧɢɢ ɞɵɯɚɧɢɹ |
ɉɟɪɟɞ ɢɧɬɭɛɚɰɢɟɣ |
|
|
Ⱦɇ III-,9 ɫɬ |
- Ⱥɬɪɨɩɢɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɩɨ ɩɨɤɚɡɚɧɢɹɦ |
|
|
|
ȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜ |
|
|
|
ɩɪɨɢɡɜɨɞɢɬɫɹ ɩɪɢ ɭɪɨɜɧɟ ɫɨɡɧɚɧɢɹ ! ɛɚɥɥɨɜ ɩɨ |
|
|
|
ɲɤɚɥɟ ɤɨɦɵ ȽɅȺɁȽɈ |
|
|
|
- Ɇɢɞɚɡɨɥɚɦ ɦɝ ɤɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ Ʉɟɬɚɦɢɧ |
|
|
|
1 - 2 ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
|
|
|
ɢɥɢ - Ⱦɢɚɡɟɩɚɦ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢ Ʉɟɬɚɦɢɧ |
|
|
|
1 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
|
|
|
ɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ |
|
|
|
ɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɢɥɢ ɩɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ |
|
|
|
ɬɪɭɛɤɢ |
|
|
|
• ɂȼɅ ȼȼɅ |
|
Ɍ |
Ⱥɧɚɮɢɥɚɤɬɢɱɟɫɤɢɣ |
ɉɪɟɤɪɚɬɢɬɶ ɤɨɧɬɚɤɬ ɫ ɚɥɥɟɪɝɟɧɨɦ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
|
ɲɨɤ |
ɉɪɢɞɚɬɶ ɝɨɪɢɡɨɧɬɚɥɶɧɨɟ ɩɨɥɨɠɟɧɢɟ ɫ ɩɪɢɩɨɞɧɹɬɵɦ |
ɛɨɥɶɧɢɰɭ |
|
|
ɧɨɠɧɵɦ ɤɨɧɰɨɦ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
|
|
- ɗɩɢɧɟɮɪɢɧ ɦɝ ɤɝ ɜ ɦɵɲɟɱɧɨ ɫ ɩɨɜɬɨɪɧɵɦ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
|
|
ɜɜɟɞɟɧɢɟɦ ɩɪɢ ɧɟɨɛɯɨɞɢɦɨɫɬɢ ɱɟɪɟɡ - 15 ɦɢɧɭɬ |
ɚɤɬɢɜ ɧɚ «103» ɱɟɪɟɡ ɱɚɫɚ |
|
|
ɦɚɤɫɢɦɚɥɶɧɚɹ ɞɨɡɚ ɦɝ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
|
|
ȼ ɦɟɫɬɨ ɜɧɭɬɪɢɦɵɲɟɱɧɨɣ ɢɧɶɟɤɰɢɢ ɩɪɟɩɚɪɚɬɚ |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
|
|
ɜɵɡɜɚɜɲɟɝɨ ɚɧɚɮɢɥɚɤɬɢɱɟɫɤɭɸ ɪɟɚɤɰɢɸ - |
|
|
|
ɗɩɢɧɟɮɪɢɧ ɧɟ ɜɜɨɞɢɬɶ |
|
|
|
• ɗɄȽ - ɦɨɧɢɬɨɪɢɧɝ |
|
|
|
ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
|
|
|
216 |
|
• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 - 1.0Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ
10 - 15 ɦɢɧ ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ 10 - ɦɢɧ
ɉɪɢ ɩɨɥɨɠɢɬɟɥɶɧɨɦ ɷɮɮɟɤɬɟ ɩɪɨɞɨɥɠɢɬɶ ɢɧɮɭɡɢɸ
-ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɤɚɩɟɥɶɧɨ
-ɩɪɢ ɫɨɯɪɚɧɟɧɢɢ - ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ
ɚɪɬɟɪɢɚɥɶɧɨɣ ɝɢɩɨɬɟɧɡɢɢ 10 - 15 ɦɢɧ ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ
-ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ 10 - ɦɢɧ
-ɗɩɢɧɟɮɪɢɧ - ɦɤɝ ɤɝ*ɦɢɧ ɢɥɢ Ⱦɨɩɚɦɢɧ -ɦɤɝ ɤɝ*ɦɢɧɫɦ ©ɉɪɢɥɨɠɟɧɢɹ 38, 29 - 31» ɫɬɪ 289, 280 - 282)
-ɉɪɟɞɧɢɡɨɥɨɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ Ƚɢɞɪɨɤɨɪɬɢɡɨɧ ɧɚɬɪɢɹ ɫɭɤɰɢɧɚɬ ɞɨ ɦɟɫ - ɦɝ ɫ ɦɟɫ ɞɨ ɥɟɬ -ɦɝ ɞɨ ɥɟɬ - ɦɝ ɫɬɚɪɲɟ ɥɟɬ - ɦɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɉɪɢ ɩɨɥɨɠɢɬɟɥɶɧɨɦ ɷɮɮɟɤɬɟ ɩɪɨɞɨɥɠɢɬɶ ɢɧɮɭɡɢɸ
-ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɤɚɩɟɥɶɧɨ
-ɩɪɢ ɫɧɢɠɟɧɢɢ ɋȺȾ ɧɟ - ɏɥɨɪɨɩɢɪɚɦɢɧ ɦɥ ɝɨɞ ɠɢɡɧɢ ɜ ɜɟɧɧɨ
ɛɨɥɶɲɟ ɨɬ ɜɨɡɪɚɫɬɧɨɣ ɧɨɪɦɵ
217
- ɩɪɢ ɹɜɥɟɧɢɹɯ |
• ɉɪɢɦɟɧɟɧɢɟ ɧɟɛɭɥɚɣɡɟɪɚ |
ɛɪɨɧɯɨɫɩɚɡɦɚ |
- ɂɩɪɚɬɪɨɩɢɹ ɛɪɨɦɢɞ ɮɟɧɨɬɟɪɨɥ ɭ ɞɟɬɟɣ ɞɨ ɥɟɬ - |
|
ɤɚɩ ɤɝ - ɦɚɤɫɢɦɚɥɶɧɚɹ ɞɨɡɚ ɤɚɩɟɥɶ ɫɬɚɪɲɟ ɥɟɬ |
|
- ɤɚɩɟɥɶ ɢɥɢ ɋɚɥɶɛɭɬɚɦɨɥ ɦɝ ɜ ɪɚɡɜɟɞɟɧɢɢ |
|
ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ 0,9% ɞɨ3 ɦɥ |
|
- Ȼɭɞɟɫɨɧɢɞ ɦɝ ɱɟɪɟɡ ɦɢɧ ɩɨɫɥɟ ɢɧɝɚɥɹɰɢɢ |
|
ɛɪɨɧɯɨɥɢɬɢɤɚɞɨɛɚɜɢɬɶɜɧɟɛɭɥɚɣɡɟɪ |
|
ɉɪɢ ɫɨɯɪɚɧɟɧɢɢ ɛɪɨɧɯɨɫɩɚɡɦɚ |
|
- ɉɪɟɞɧɢɡɨɥɨɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ
-Ⱥɦɢɧɨɮɢɥɥɢɧ - 5 ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɦɟɞɥɟɧɧɨ
-ɩɪɢ ɧɚɪɭɲɟɧɢɢ ɞɵɯɚɧɢɹ ɉɟɪɟɞ ɢɧɬɭɛɚɰɢɟɣ:
|
Ⱦɇ ,,,-,9 ɫɬ |
- Ⱥɬɪɨɩɢɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɩɨ ɩɨɤɚɡɚɧɢɹɦ |
|
|
|
ȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜ |
|
|
|
ɩɪɨɢɡɜɨɞɢɬɫɹ ɩɪɢ ɭɪɨɜɧɟ ɫɨɡɧɚɧɢɹ ! ɛɚɥɥɨɜ ɩɨ |
|
|
|
ɲɤɚɥɟ ɤɨɦɵ ȽɅȺɁȽɈ |
|
|
|
- Ɇɢɞɚɡɨɥɚɦ ɦɝ ɤɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ Ʉɟɬɚɦɢɧ |
|
|
|
1 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
|
|
|
ɢɥɢ - Ⱦɢɚɡɟɩɚɦ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢ Ʉɟɬɚɦɢɧ |
|
|
|
1 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
|
|
|
ɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ |
|
|
|
ɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɢɥɢ ɩɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ |
|
|
|
ɬɪɭɛɤɢ |
|
|
|
ɂȼɅ ȼȼɅ |
|
R55 Ɉɫɬɪɚɹ ɫɨɫɭɞɢɫɬɚɹ |
• ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
|
|
ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ |
ɗɄȽ |
ɛɨɥɶɧɢɰɭ |
|
|
Ƚɥɸɤɨɦɟɬɪɢɹ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
|
|
|
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
|
Ɉɛɦɨɪɨɤ ɤɨɥɥɚɩɫ |
ɉɪɢɞɚɬɶ ɛɨɥɶɧɨɦɭ ɝɨɪɢɡɨɧɬɚɥɶɧɨɟ ɩɨɥɨɠɟɧɢɟ |
ɚɤɬɢɜ ɧɚ «103» ɱɟɪɟɡ ɱɚɫɚ |
|
|
ɩɪɢɩɨɞɧɹɬɶ ɧɨɠɧɨɣ ɤɨɧɟɰ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
|
|
218 |
|
|
- ɩɪɢ ɫɧɢɠɟɧɢɢ ɋȺȾ |
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
|
|
> ɨɬ ɜɨɡɪɚɫɬɧɨɣ |
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ |
|
|
|
ɧɨɪɦɵ |
10 - ɦɢɧ |
|
|
|
|
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ |
|
|
|
|
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ |
|
|
|
|
10 - ɦɢɧ |
|
|
|
|
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ ɜ ɬɟɱɟɧɢɟ - ɦɢɧɭɬ |
|
|
|
|
- ɇɨɪɷɩɢɧɟɮɪɢɧ - ɦɤɝ ɤɝ ɦɢɧ ɜ ɜɟɧɧɨ ɢɥɢ |
|
|
|
|
Ⱦɨɩɚɦɢɧ - ɦɤɝ ɤɝ ɦɢɧ |
|
|
|
|
ɫɦ ©ɉɪɢɥɨɠɟɧɢɹ 5 - 37, 29 - 31ª ɫɬɪ 86 - 288, 280 - |
|
|
|
|
282) |
|
|
|
|
- ɉɪɟɞɧɢɡɨɥɨɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
|
|
|
|
ɉɪɢ ɩɨɥɨɠɢɬɟɥɶɧɨɦ ɷɮɮɟɤɬɟ ɩɪɨɞɨɥɠɢɬɶ ɢɧɮɭɡɢɸ |
|
|
|
|
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɤɚɩɟɥɶɧɨ |
|
|
|
|
• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 |
0.5 - 1.0 |
|
|
|
|
|
|
J38.4 |
Ɉɬɟɤ ɝɨɪɬɚɧɢ |
ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
|
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
|
(ɚɥɥɟɪɝɢɱɟɫɤɢɣ) |
• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 |
0.5 - 1.0 |
ɛɨɥɶɧɢɰɭ |
|
|
• ɉɪɢɦɟɧɟɧɢɟ ɧɟɛɭɥɚɣɡɟɪɚ |
|
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
|
, ɫɬɟɩɟɧɢ |
|
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
|
|
|
- Ȼɭɞɟɫɨɧɢɞ ɦɝ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹɯɥɨɪɢɞɚ 0,9% |
ɚɤɬɢɜ ɧɚ «103» ɱɟɪɟɡ ɱɚɫɚ |
|
|
|
ɞɨ 3 ɦɥɢɧɝɚɥɹɰɢɹ ɱɟɪɟɡ ɧɟɛɭɥɚɣɡɟɪ |
|
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
|
II - ,,, ɫɬɟɩɟɧɢ |
• ɉɪɢɦɟɧɟɧɢɟ ɧɟɛɭɥɚɣɡɟɪɚ |
|
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
|
|
|
||
|
|
- ɇɚɬɪɢɹɯɥɨɪɢɞɚ 0,9% - 3 ɦɥ ɢ ɗɩɢɧɟɮɪɢɧ - 0,2 |
|
|
|
|
ɦɝ ɤɝ ɧɟ ɛɨɥɟɟ ɦɝ |
|
|
|
|
- Ȼɭɞɟɫɨɧɢɞ ɦɝ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹɯɥɨɪɢɞɚ 0,9% ɞɨ |
|
|
|
|
3 ɦɥɢɧɝɚɥɹɰɢɹ ɱɟɪɟɡ ɧɟɛɭɥɚɣɡɟɪ |
|
|
|
|
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
|
|
|
|
- ɉɪɟɞɧɢɡɨɥɨɧ - ɦɝ ɤɝ ɢɥɢ Ⱦɟɤɫɚɦɟɬɚɡɨɧ 0,2 - 0,6 |
|
|
|
|
ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
|
|
|
|
219 |
|
|