北京28登录网址

危重新生儿转运设备简介

FABUZHE: FABUSHIJIAN:2016-09-13 LIULAN16827CI

SUIZHEGEYILIAOJIGOUXINSHENGERZHUANGUOXITONGDEJIANLI,BIXUYOUXIANGYINGDEYIQI、SHEBEIJIYAOWUPEIZHI,PEIZHIYIQIHUAFEIJIAODA,YIXIAJIESHAODEMOUXIEYIQISHIBIBEIDE,RUZHUANYUNNUANXIANG、YANGBAOHEDUJIDENG,MOUXIEYIQIKEGENJUJINGFEIQINGKUANGZHUJIANPEIZHI,JINGYANBIAOMING,ZHIYAOJIANLIQISHIDANGDEZHUANYUNWANGLUO,ZHUYIZAIWENDINGGESHENGMINGTIZHENGHOUCAIZHESHOUZHUANYUN,BIMIANZHUANYUNTUZHONGBINGQINGTURANBIANHUAERCUOSHOUBUJI,ZEBUYIDINGYAOBASUOYOUYIQIPEIQICAIKAISHIZHUANYUNGONGZUO。

1、ZHUANYUNYONGNUANXIANG(transport incubator)[1]

ZHUYAOYONGYUZHUANYUNQIJIANWEICHIGAOWEIERTIWENDEHENGDING,BAOZHENGYANGGONGJIFANGZHIXIANGNEIXIJUNGANRAN,YITAILIANGHAODEZHUANYUNYONGNUANXIANG,CHUJUYOUYUXINSHENGERSHIZHONGNUANXIANGYIBANDETEDIANWAI,SHANGYAOQIUTIJIXIAO,NENGGUDINGYUJIUHUCHESHANGWAI,YOUYOUYIXIAXINGNENG:①ZUIHAOYOUSHUANGCENGTOUMINGHENGWENZHAO,KEBIMIANHUANERFUSHESANREJIBIMIANWAIJIEWENDUDUIXIANGNEIWENDUDEYINGXIANG;②YAOYOUNEIZHISHIDIANCHI,CHONGDIANHOUNENGSHIYONG2hYISHANG,YIKEJIEQICHE12FUDIANCHIHUOWAIZHISHI12-24FUXUDIANCHI,HOUZHEKELIANXUSHIYONG2-4h;③YOUZUGOUDEXIANGNEIGUANGYUANZHAOMING,YILIYUZHUANYUNQIJIANGUANCHAHUOCHULIHUANER;④KEWEICHIYIDINGDEXIANGWENWENDU,ZHUANYUNYONGGUOCHANNUANXIANGSHEDINGWENDUFANWEIWEI25-37℃,JINKOUNUANXIANGWEI33-39℃,HOUZHECHAOGUO38℃HUIBAOJINGBINGZIDONGQIEDUANDIANYUAN,FANGZHIHUANERGUOGAORE;⑤YOUNEIZHISHIXIYINQI,KEZUOFUYAXIYIN;⑥KEJINXINGXIANGNEIGONGYANG,YOUGONGYANGNONGDUZHISHI(21-60%),DANGGONGYANGSHI,WAIJIEQITIKEJINGXIJUNGUOLVQIYUYANGQIHUNHECHENGHUNHEQI,ZAIJINGSHIHUACAOSHIHUNHEQISHIDUDA60%ZUOYOU,RANHOUJINGPENTOUPENCHU,CONGERWEICHIXIANGNEIYIDINGSHIDU,ERYANGHUATANZEJINGGUOXIANGNEIXIABUQIKONGLIUCHU;⑦XIANGNEIYOUANQUANDAIYIGUDINGHUANER,BIMIANZHUANYUNQIJIANQIANGLIEZHENDONGERDAOZHIOUTUYUXUEYABODONG;⑧YOUGUDINGHUANYISUOJINTOUMINGZHAO,FANGZHIQICHEZHENDONGSHIDAOZHIZHAODEZHENDONG;⑨ZHONGLIANGQING,YIBANZAI25kgZUOYOU(BAOKUOLIANGGEFUSHUDEXIAOYANGQITONG);⑩XIANGTIKEZHIYUSHENGJIANGTAICHESHANG,BIANYUZAIJIUHUCHENEIJINCHUHUOZAIDISHANGXINGZOU。

2、ZHUANYUNYONGHUXIJI(transport ventllator)[2]

北京28登录网址 YONGYUZHUANYUNQIJIANHUXIZHICHIDEZHUANYUNYONGXINSHENGERHUXIJI,ZHUYAOCAIYONGHENGSUQILIU、SHIJIAN(HUORONGLIANG-SHIJIAN)QIEHUANJIYALIXIANZHIXINGBIANXIESHIHUXIJI。HUXIJILEIXINGBUTONG,XINGNENGLVEYOUCHAYI,QIGONGTONGDIANWEI:①SHIYONGYU6kgYIXIADEXINSHENGERHEYINGYOUER;②)HUXIMOSHIBAOKUOJIANXIEZHENGYATONGQI(IP-PV)、JIANXIEZHILINGTONGQI(IMV)JICHIXUQIDAOZHENGYA(CPAP);③XI/HUQISHIJIAN,HUXIPINLV、XIQILIULIANG、XIQIFENGYA、HUQIMOZHENGYA、XIYANGNONGDUKEDIAO;④YOUDIANYUANBUZU、QILIUBUZU、GAOYAJIDIYABAOJING;⑤NENGJIECHESHANG12FUDIANYUAN;⑥YOUNEIBUDIANCHIBIANYUCHONGDIANHOUSHIYONG;⑦YOUYIDINGDEGUDINGYALIANQUANZHUANGZHI,KEXIANZHIQIDAOYABUGAOYU6.86kPaHUOBUDIYU0.25kPa。QICHAYIZAIYUTIJI、ZHONGLIANGBUYI,CIYUNEIBUDIANCHIDEDAXIAOJIYOUFOUQITAFUZHUGONGNENGYOUGUAN。TIJIDA、ZHONGLIANGZHONG(10.5-12kg)DEHUXIJI,RUONEIBUDIANCHIDA,CHONGDIANHOUKELIANXUSHIYONG10h;RUODIANCHIXIAO,CHONGDIANHOUJINNENGYONG40min,DANJINEIDAIYOUKONGQIYASUOJIERBUBIWAIJIEYASUOKONGQIPING,BINGDAIYOUYANGNONGDUCEDINGYIJIJIARESHIHUAZHUANGZHI;HUOZHEYOUMOUZHONGHUXIMOSHIRUFUZHU/KONGZHITONGQI、TONGBUZHILINGTONGQI、ANXUQILIUJIYOUGUANDAOZUSAIBAOJINGDENG。ERTIJIXIAO、ZHONGLIANGQINGZHE(2-4kg)ZEWUSHANGSHUFUJIAZHUANGZHIHUOHUXIMOSHI,HUOFUDAIYIGEWAIZHISHIKONG-YANGHUNHEQI,NEIBUDIANCHICHONGDIANHOUKEYONG6-8h 。DUIZHUANYUNYONGHUXIJIZONGDEYAOQIUSHITIJIXIAO、ZHONGLIANGQING,CAOZUOFANGBIANQIECANSHUYIYUGUANCHA,HAOYANGLIANGSHAO,NENGGUDINGYUNUANXIANGHUOCHECHUANGSHANG,YOUKANGZHENJIKANGQINGXIEXINGNENG。

3、SHOUWOSHIMAIBOXUEYANGCEDINGYI(protable pulse oxymeter)[3]

MAIBOXUEYANGCEDINGYI,YONGYULIANXUJIANCEHUANERXUEYANGBAOHEDUJIMAILV,GAIYIQIFENLIANGBUFEN,ZHONGXINBUFENWEIYIWEIXINGDIANNAO,ZHOUWEIBUFENWEICHUANGANQI,HOUZHEYOUGUANGYUANERJIGUANJISHEXIANGERJIGUANZUCHENG。GUANGYUANERJIGUANFACHUBOZHANGWEI660nm(HONGGUANG)HE940nm(HONGWAIGUANG)GUANGPU,GUANGBOTONGGUOXUEGUANCHUANGHOUDAODASHEXIANGERJIGUAN,GENJUGUANGYUANTONGGUOZUZHISHIYANGHEXUEHONGDANBAIDUIHONGWAIGUANGYUHAIYUANXUEHONGDANBAIDUIHONGGUANGGUANGPUXISHOULIANGDEBUTONG,YOUWEIDIANNAOJISUANCHUXUEYANGBAOHEDU,YOUYUXISHOULVGENJUMAIBOLVDEBIANHUAERBIANHUA,GUYIKECECHUMAIBOLV。

北京28登录网址 SHOUWOSHIZHUANYUNYONGMAIBOXUEYANGCEDINGYI,TIJIXIAO,ZHONGLIANGQING(0.2-0.5g)BIANYUXIEDAI,YOUSHIJUEBAOJINGXINHAOYIJIANCEHUANERQINGKUANG,SHIYONG6-9GEJIANXINGDIANCHIGONGDIAN,KELIANXUSHIYONG12-100h。ZHONGXINBUFENKESHEZHIRILI、SHIJIAN、BINGYOUBAOHEDUSHANGXIAXIAN、MAIBOLVSHANGXIAXIANJIDIANLIANGBUZU、LIANJIEBUDANGDENGBAOJING。SUOYONGCHUANGANQIWEIZHONGFUSHIHUOYICIXINGSHIYONG。YIBANDUOCAIYONGZHONGFUSHICHUANGANQI:BAOKUOJIAYUDAMUZHITOU、YONGYU2-20kgDEYINGERHUODONGSHICHUANGANQI。WEIZHUNQUECELIANG,SHI≤2kgDEXINSHENGERHUODONGSHICHUANGANQI。WEIZHUNQUECELIANG,SHIYONGSHICHUANGANQIWEIZHIYINGYUXINZANGWEIZHITONGYISHUIPING,JIAODAIWUBANGGUOJIN,YIMIANFANGAIXUEYELIUDONG。

XUEYANGBAOHEDU(SaO2)ZAIYIDINGFANWEINEIYUXUEYANGFENYA(PaO2)XIANGGUAN,DANBUCHENGXIANXINGGUANXI。DIYANGZHUANGTAIXIABIANHUABIPaO2GENGWEIMINGAN,GAOYANGZHUANGTAIXIAPaO2HENGAO,DANSaO2BIANHUAJISHAO,GUBENYIQIKEYONGYUJIANCEDIYANGXUEZHENG,ERBUNENGJIANCEGAOYANGXUEZHENG。SHIYONGBENYIQISHIYINGZHUYILIANGDIAN:①YINGXUANZESHIYONGYUXINSHENGERDEYIQI,CIZHONGYIQIDANGYANGBAOHEDUWEI75-95%SHI,QIJINGQUEDUWEI±3%;②HUANERXUEYA、XINLV、XUEERYANGHUATANFENYA、XUEpH、TIWEN、HONGXIBAOYAJI、XUEQINGDANHONGSUDENG,JUNDUISaO2YOUSUOYINGXIANG。

4、ZHUSHESHUYEBENG(syring pump)[4]

北京28登录网址 PUTONGZHUSHESHUYEBENGYONGYUKANGSHENGSU、YAOWUYIJIJINGMAIGAOYINGYANGYEDESHUZHU,CIWAISHANGYOUTESHUYONGTUZHIZHUSHESHUYEBENGRUYONGYUSHENGLIYANJIU,GANSUKANGNINGZHILIAO、TANGNIAOBINGRENYIDAOSUZHUSHEDENG,ZHUYIWUCUOWUXUANYONG。

北京28登录网址 ZHUSHESHUYEBENGBAOKUO:①ZHUSHEZHUANGZHI:YONGYIFANGZHIJIGUDING10-15mlZHUSHEQI;②JIXIEHUODONGZHUANGZHI:TONGCHANGWEIDAIYITUIDONGHUALUNDELUOGANYINDAOHUOYOUDIANDONGJITONGGUOJIAODAIZHIJIEDAIDONGZHUSHEQITUIJIN;③DIANDONGZHUANGZHI:WEIDIANDONGJI,KEYUYINDAOLUOGANHUOZHUANLUNXIANGJIE;④DIANZIKONGZHIZHUANGZHI,YONGYISHEZHISHUYECANSHUJIBAOJING。

BUTONGCHANPIN,QIWAIXING、TIJI、WEILIANGKONGZHICHENGDUJUNYOUBUTONG。SHIYONGYUXINSHENGERDEZHUSHESHUYEBENGYAOQIUYOUYIXIATIAOJIAN:①ZHUSHESUDU:0.1-99.9ml/hKEDIAO;②SHUYEJINGQUEDUWEI±1%;③SHIYONGDEZHUSHEQIFANWEIGUANG:DADUOCHANGJIASHENGCHANDE10-15mlZHUSHEQIJUNNENGYINGYONG;④YOUKUAIJINJIANKEQINGXIGUANDAO;⑤YOUBAOJINGZHUANGZHI:BAOKUOZHUSHEQIXUANYONGBUDANG、FANGZHICUOWU、SHUZHUSHIJIANSHENGYU3min 、ZHUSHEWANBI、KONGZHUSHEQI、YALIGUOGAO(ZUSAI)、CHUANDONGZHUANGZHITUOLUO、NEIBUDIANCHIBUZU、NEIBUGUZHANGDENG;⑥NEIZHIDIANCHICHONGDIANHOUKELIANXUSHIYONG8-15h 。LIANGHAOZHUSHESHUYEBENGSHANGJUYOU:①ZIWOTISHISHEZHI,JIETONGDIANYUANHOU,YIQIDIANZIXUNHAOHUITISHIMEIYICAOZUOBUZHOU,YIBIANYUBUSHUSHIGAIYIQIDERENYUANSHIYONG;②ZIDONGTUISUANZHUSHESUDUHUOZHUSHESHIJIAN:ZHIXUJIANGZHUSHELIANGJISUOXUSHIJIAN(HUOSUDU)SHURU,GAIBENGJIZIDONGQUEDINGZHUSHESUDU(HUOSHIJIAN),CONGERGENGFANGBIANSHIYONG。

YURONGLIANGSHUYEBENGXIANGBI ,ZHUSHESHUYEBENGTIJIXIAO,ZHONGLIANGQING,XIEDAIYUSHIYONGFANGBIAN,ZHUSHESUDUJUNYUN,ZHUSHEJINGQUEDUGAO,GUGENGSHIYUXINSHENGERZHUANYUNSHIYINGYONG。DANCUNZAIXIALIEWENTI:①WUGUANDAOKONGQIBAOJINGZHUANGZHI;②FANFUGENGHUANZHUSHEQIERYONGTONGYIDAOGUAN,GANRANWEIXIANDUJIAOGAO;③BENGFANGZHIGUOYUQINGXIEHUOYINZUSAIYALIGUOGAO,KEDAOZHIYETICONGZHUSHEQIHOUBUWAIYI,GUSHIYONGSHIXUZHUYI。

北京28登录网址 5、WEILIANGXUETANGJI(portable blood glucose monitor)[5]

北京28登录网址 ZHUYAOYONGYUZHUANYUNQIJIANXUETANGDEJIANCE,MUQIANYOUDUOZHONGPINPAI,TEDIANWEIZHONGLIANGQING(80-100g),JIANCESUDUKUAI(20-45MIAO),SHIYONGFANGBIAN(6-9FUJIANXINGDIANCHI,KEJIANCE800-1000CI),ANQIJIANCEYUANLIFENWEIGUANGGANYINGXING(BAOKUOGUANGFANSHEQIANGDUJIANCEJIGUANGXISHOUQIANGDUJIANCE)JISHENGWUGANYINGXING(DIANHUAXUEJIANCE)LIANGLEI,DANJIANCEFANGFAJUNWEIMAOXIXUEGUANQUANXUEDIYUSHIZHISHANG,ZAIFANGRUZHUJIZHONGJIANCE。

北京28登录网址 BINGFEISUOYOUWEILIANGXUETANGJIDOUNENGYINGYONGYUXINSHENGER,SHIYONGYUXINSHENGERDELIANGHAODEWEILIANGXUETANGJIYAOQIU:①JIANCEFANWEI:XINSHENGERZHENGCHANGXUETANGDIYUCHENGREN,<2.2mmol/LSHUXINSHENGERDIXUETANG,GUSHIYUXINSHENGERYONGDEXUETANGJI,QIJIANCEXIAXIANYINGWEI1.1SHENHUO0.55mmol/L(10mg/dL),XUETANGJISHANGXIANDUOZAI22.2-33.3mmol/L(400-600mg/dL)ZHIJIAN;②JIANCEXUELIANG:XINSHENGERBUYIHUODEJIAODADIDEMAOXIXUEGUANXUE,GUXUETANGJISUOXUXUELIANGYINGJINLIANGJIANSHAO。CAIXUELIANGYINGZAI3.5-5ulFANWEI,YINGZHUYIXUELIANGBUZUKEDAOZHIXUETANGZHIMINGXIANDIXIA;③JINGQUEDU:YUYIYUANSHENGHUASHIJIANCEDEJINGMAIXUEJIANGPUTAOTANG(VPG)XIANGBI,WEILIANGXUETANGJISUOJIANCEDESHIMAOXIXUEGUANQUANXUE(DONGJINGMAIHUNHEXUE)PUTAOTANG(CBG),DANGVPG<4.44mmol/L(80mg/dl)SHI,XIBAONEIWAIPUTAOTANGNONGDUWUDACHAYI,XUEJIANGYUQUANXUEPUTAOTANGLIANGXIANGDENG,DANYINDONGMAIXUETANGLVEGAOYUJINGMAIXUETANG,GUCBGLVEGAOYUVPG,DANWUCHAJIN0-2.9%,SHIYONGYUXINSHENGERDEXUETANGJI,YINGDADAOCIJINGQUEDU。DANGVPG>4.44mmol/LSHI,YINXIBAOWAIYETANGJINRUXIBAONEICUNZAIMOUZHONGCHENGDUDEZHANGAI,XIBAOWAIYETANGKAISHIZHUJIANGAOYUXIBAONEITANG(JIXUEJIANGTANGKAISHIGAOYUQUANXUETANG),CISHICBGDIYUVPG,WUCHADADAO 7.7-8.4%;④YAOYOUKEZHONGFUXINGHUOWENDINGXING:XIANGTONGPIHAOSHIZHITIAOFANFUJIANCE,BICIJIANWUCHAYING<5%;⑤KANGGANRAOXING:ZAIXINSHENGERCHANGJIANDENEIYUANXINGWUZHI,TAIDANHONGSU、RUSUAN、JIGANDENG,WAIYUANXINGWUZHIRUDUOBAAN、WEISHENGSUC、GOUCHUANSUANNADENG,JUNKEDAOZHIXUETANGZHIPIANGAO。MOUXIESHENGWUGANYINGXINGWEILIANGXUETANGJI,KECECHUQIANZAIGANRAOWUZHIBINGJIANGQIYINGXIANGJIANCHU,YIBAOZHENGXUETANGZHIBUSHOUGANRAO。

北京28登录网址 JINGUANSHIYONGSHIYONGYUXINSHENGERDEXUETANGJI,YINGZHUYIBUTONGCHANPIN,DANGHONGXIBAOYAJI<20-40%SHI,XUETANGZHIHUIPIANGAO;>60-76%SHI,XUETANGZHIHUIPIANDI。ZAIYANZHONGTUOSHUI、XIUKESHI,XUETANGZHIYIHUIPIANDIQIEWUCHAJIAODA。DANGFAXIANYOUDIXUETANGSHI,ZUIHAOZUOXIAOZHENGHOUZAICEDINGYICI,YIPAICHURENWEIWUCHA(RUSHIZHIGUOQI、XUELIANGBUZU)。

6、ZHUANYUNYONGHUXIZANTINGJIANHUYI(transport apnea monitor )[6]

北京28登录网址 HUXIZANTINGJIANHUYI,YONGYUJIANCEYUJIANHUHUANERHUXIZHUANGKUANG,QIJIANCEFANGFAZHUYAOYOULIANGLEIXING:JIANJIECELIANGFA:HUXITONGGUOYALIDIAN、FUBUCHUANGANQIHUOQIDAOHUXIYINJIANCEQI,CHUANDAOXUNHAOZHIHUXIZUKANGMIAOJIQIHUOTIJIGANYINGMIAOJIQIZHONGERBEIGANZHI。ZHIJIECELIANGFA:CAIYONGJINTIYALICHUANGANQIJIERYANGHUATANCHUANGANQI,CEDINGFEIBUJINCHUQILIUBINGJIANGXUNHAOCHUANSONGZHIREMINDIANZUQIERBEIGANZHI。DANGHUXITINGZHIYIDUANSHIJIANHOU,YIQIJIKEFACHUBAOJING。

北京28登录网址 HUXIZANTINGJIANHUYIZHONGLEIJIAODUO、GONGNENGBUYI,YOUDANDUYONGYUJIANCEHUXIZHUANGKUANGZHE,YIYOUJIANZUOXINDIANTUJIANCEZHE,HOUZHELEISIYUHUXIXINDIANJIANHUYI,YIYOUKEZUOXUEYANGBAOHEDUJIWUCHUANGXUEYAJIANCEZHE。

ZAOCHANER、DICHUSHENGTIZHONGERHUOGAOWEIERYIFASHENGHUXIZANTING、YOUYUZHUANYUNQIJIANQICHEDEZHENDONG,HUXIWEIRUODEHUANER,QIHUXIZHUANGKUANGBUYIYONGROUYANGUANCHA,CAIYONGHUXIZANTINGJIANHUYI,SHEDINGYIDINGDEJIANHUCANSHU,YUHUXIZANTINGSHIJIANCHAOGUOSHEDINGZHISHIJIKEBAOJING,YOULIYUDUIHUANERDECHULI。

YITAILIANGHAODEXINSHENGERZHUANYUNYONGHUXIZANTINGJIANHUYI,YAOQIU:①GONGNENGDANYI:XINSHENGERCHUFEIYOUXINZANGJIHUAN,YIBANZAIZHUANYUNQIJIANZUOXINDIANTUJIANHUYIYIBUDA,YINZHUANYUNQIJIANXINDIANJIFANGZHICHANGBUZHUNQUE,CISHIXIANSHIDEXINDIANBOXINGYUSHIJIBOXINGYOUYIDINGCHAJUERWUFENXIJIAZHI,JINJIANCEXINLVZEYONGMAIBOXUEYANGCEDINGYIYIDAMUDE;②TIJIXIAO、ZHONGLIANGQING,BIANYUXIEDAI:ZHONGLIANGXUANYONG0.3-0.6kgZHE;③LINGMINDUGAO,YIBANWEI0.1-0.2OUMUZUKANG;④HUXIZANTINGSHIJIANSHEZHIWEI10-20MIAOKEDIAO,YOUHUXIPINLVXIANSHIJISHIJUE、TINGJUEBAOJING;⑤CAIYONG1-4GEJIANXINGDIANCHI,GONGZUOSHIJIANWEI400-2000h,MOUXIEZEYONGNIUKOUDIANCHI,GEBIESHANGKEWAIJIEJIAOLIUDIAN;⑥CHUANGANQICAIYONGFUBUCHUANGANQIHUOYALIDIAN。