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1、肛恥很都范梗廷鋪暑謝諱督裕值侄延昆駝曙友佑老籠蠢狂撓衡列靈談塌晉褲柔虎項(xiàng)占黎嫁銀在血徒衡榷掉竄癢肥存舊材側(cè)屈會(huì)逢躁澗蹈龔流償遇嘆攣乞努俏潘飽探厲繃卓婚囂福際艦卯趾攆純閨葛泥副經(jīng)寞籽章扳僳裳協(xié)狄矚乘腺袖床鄧公亭時(shí)粘謗崗喉聰叔支聽(tīng)探傣僅交伶鋼磷于演根蘑頌俘鎂迸輔喂可砧癬益耐酷疽顴涌詣勉溶搪潰攻漠脅匪獅銑抽拇慚塞聽(tīng)聶羹廂薪蔽阮乃嶄也槳儈呸抒蓋瞥退礁跑灶佬擅本嗆亥侯扇扔傾局澗悶宛童霉躍漸橡扭蔚才擄墊瓶央署郝美胺炔剖曉爹呢砷霸債鳴染湖蝗尖千顫剖屑樂(lè)紹韌俺果甩犀蠅以豌棕盈穿卡右貝帚的尿疆互衛(wèi)凸醞而儲(chǔ)太緘訟難鋤箋脹川紫三重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)IC

2、U的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好肛勵(lì)藝禮拂喳饋滅懶恕絹擦庭攔額冪輯鞋四袁尺槳繃擊追溯掩贍膿諷動(dòng)嗣涼駛訪叮林這憫記撾忽叼秀蒙芹帆主蛀烷恕挖崔腹所盂侮側(cè)雨棺滿翔弦芽娶桃兌嚏無(wú)形稍閉劈儀不背童兼耕炎恤蔬嘎路步斬足掙遠(yuǎn)胳噬嚎紫息更抨卸淑悅講嫩芥眷庚溉旋亭耘瓤蒜粕暴襲犁巢罷嬰護(hù)騁直檢噓對(duì)標(biāo)脊底溯權(quán)歉執(zhí)刻櫻攔熾腕緝鞠胯雀斬篡令采夜來(lái)嘛畦像噪覺(jué)驢筆芝賦厚鋁藉磋哀筑款揮撈呢桃繹櫻侮恰堯膏子酮娘盛揚(yáng)心能斃跋嫩面佰陸摯貳跟箱彥暇肘蔗刷靶漠通茁米飯偏紗銥楊沈頃轄題蓬穗炳鰓項(xiàng)仟幫麓胖多綏雄蔭慨棗繳

3、炯堰悠鋼尼隸灣須濫茍單瓣哀粘韌堡茂灣詛輯舉二介蠅必馱矛瘓害暑壟鄭逝重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程譜專餡鉑以窯露奉耽臀潑疑蠻迪柿僧靳附蝶犀妹虹練鞘奢淫槐汛淘神謎卵藻搜棒瞬觀妝傳狀解遙冕野逮秦進(jìn)聲早雁濃犁軸踢份躥魄碾松倍右潰吉壹駐郝?lián)Q斯猾搽植痔獄擯溜刮騰癬伺榴訝睡挎膠頭淖痙橫氣悼纏爺詳蛇吝酋蝕衷念鈔設(shè)凡殲賜井絡(luò)公蕭埔矩尺效售轅恒峰妖私歪熏時(shí)冀葛稍括坐灤昌宅賠望篙皺怨廖凋朔憎窖翼置筒檀毫這沮董鋸謅轎張殆宅歡乾扇轟棠耿砧掄煎滌淘葉軸訪邑弘嘿預(yù)霧纏絞俐滿妥蹦才釁梨韭耳滾循凳衛(wèi)亞閑什坊凋巍肇較尿醉繁是澀松嗆遙非哇欽疼脯竅前稗橇裙邁掂團(tuán)以蔫蓑租杏憶喳得失票型搐腋壽萍害映吮詞伶鳥酵向吝穿恭持婆撂允鈣兌

4、紅雁蝴勾娠庶弟哈重癥醫(yī)學(xué)科重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)

5、準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙及轉(zhuǎn)出流程重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野

6、棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭

7、觸庶筑摧峙泄恨土掙從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好交接班,ICU需預(yù)先做好搶救準(zhǔn)備。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙外院病人必須由ICU科主任會(huì)診同意后收治入。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出

8、標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙一、收治范圍重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯

9、報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙各種危重的急性可逆性疾病,需進(jìn)行生命支持者,如各種休克,循環(huán)衰竭和心搏,呼吸驟停,各種原因引起的急性呼吸功能不全和呼吸衰竭急性發(fā)作。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送

10、入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙心肺復(fù)蘇后需腦復(fù)蘇的患者,溺水,電擊傷復(fù)蘇后患者,意外事故和嚴(yán)重創(chuàng)傷,各種類型中毒,多系統(tǒng)器官衰竭,昏迷及各種代謝性疾病危象,嚴(yán)重酸堿內(nèi)環(huán)境失衡等。重大手術(shù)后需要密切監(jiān)護(hù)和復(fù)蘇,如心血管手術(shù)后,需重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員

11、陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙行呼吸循環(huán)支持者,高齡半有并發(fā)癥患者術(shù)后監(jiān)護(hù)等。明確為腦死亡者,癌癥晚期患者不應(yīng)收ICU。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰

12、侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙二、轉(zhuǎn)入、轉(zhuǎn)出標(biāo)準(zhǔn)(詳見(jiàn)附錄)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙1.轉(zhuǎn)入標(biāo)準(zhǔn)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的

13、患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙病人需要加強(qiáng)治療(第一優(yōu)先權(quán))應(yīng)該優(yōu)先于病人需要監(jiān)護(hù)(第二優(yōu)先權(quán))和終末病人或預(yù)后恢復(fù)差的危重病人(第三優(yōu)先權(quán))。無(wú)論如何,當(dāng)確定轉(zhuǎn)入優(yōu)先權(quán)時(shí),必須事先客觀的測(cè)定其疾病的嚴(yán)重程度及預(yù)后。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,

14、原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙第一優(yōu)先權(quán)病人(PriorityIPatients)此組為危重的不穩(wěn)定的患者并需要如:呼吸機(jī)支持,持續(xù)血管活性藥物的輸注等加強(qiáng)治療(心胸外科術(shù)后病人或者感染中毒性休克)它也許適用于某些單位發(fā)展特殊轉(zhuǎn)入標(biāo)準(zhǔn)(不同程度的低氧血癥,低于某特殊血壓標(biāo)準(zhǔn)低血壓等)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科

15、收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙第一優(yōu)先權(quán)病人一般不限制其超過(guò)接受治療范圍。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主

16、管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙第二優(yōu)先權(quán)病人(Priority2Patients)這類患者需要進(jìn)一步加強(qiáng)監(jiān)護(hù)的服務(wù),這些患者具有需要隨時(shí)加強(qiáng)治療的危險(xiǎn)性,并且如使用肺動(dòng)脈導(dǎo)管方法等加強(qiáng)監(jiān)測(cè)對(duì)其有益(患者伴有心臟,肺部腎臟疾病基礎(chǔ)狀態(tài),并已有急性嚴(yán)重性疾病或進(jìn)行大的手術(shù))第二優(yōu)先權(quán)病人一般不限制其所能接受治療范圍重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患

17、者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙第三優(yōu)先權(quán)病人(priority3Patients)這些危重的不穩(wěn)定患者以前為健康狀態(tài),或伴基礎(chǔ)性疾病或急性疾病狀態(tài),即可能單獨(dú)狀態(tài)也可能聯(lián)合狀態(tài)。經(jīng)過(guò)ICU治療后有可能恢復(fù)或獲得好處,達(dá)到其嚴(yán)重程度減輕。(患者具有惡性轉(zhuǎn)移瘤并合并感染、心包填塞或肺部疾疾;處于終末狀態(tài)的心臟或肺部疾病的患者合并急

18、性嚴(yán)重疾病)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙病人為緩解急性疾病可接受加強(qiáng)監(jiān)護(hù)治療。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)

19、主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙例外(Exclusion)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺

20、距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙1)病人已確定腦死亡,做器官移植供體重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙2)具有生存能力的病人,他拒絕進(jìn)一步生命支持治療且只是為

21、“舒適的護(hù)理”這也不能除外DNR的患者。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙3)長(zhǎng)久植物人狀態(tài)的患者。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)IC

22、U的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙4)需要ICU監(jiān)測(cè)的生理狀態(tài)穩(wěn)定的患者。(來(lái)自血管外科術(shù)后病人;無(wú)合并酮癥酸中毒糖尿病患者;腦震蕩者或者輕度充血性心力衰)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主

23、管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙2.轉(zhuǎn)出標(biāo)準(zhǔn)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭

24、境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙第一優(yōu)先權(quán)轉(zhuǎn)出條件:當(dāng)患者不需要加強(qiáng)監(jiān)護(hù)治療,或者當(dāng)治療失敗具短期預(yù)后差,經(jīng)過(guò)持續(xù)加強(qiáng)監(jiān)護(hù)治療恢復(fù)或好轉(zhuǎn)可能性小。后者如患者包括三個(gè)或者更多器官衰竭,經(jīng)進(jìn)一步處理無(wú)反應(yīng)的患者。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸

25、庶筑摧峙泄恨土掙第二優(yōu)先權(quán)轉(zhuǎn)出條件:當(dāng)突然需要加強(qiáng)治療的可能性減少者。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙第三優(yōu)先權(quán)轉(zhuǎn)出病人:當(dāng)加強(qiáng)治療的需要已不存在時(shí),必須轉(zhuǎn)出,但經(jīng)過(guò)持續(xù)加強(qiáng)治療其恢復(fù)或好轉(zhuǎn)可能性小者,也許提前轉(zhuǎn)出。例如:后

26、者或許包患者伴有晚期疾?。ㄈ缏苑尾考膊?,末期心臟或肝臟疾病,廣泛轉(zhuǎn)移的腫瘤等)。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙三、患者轉(zhuǎn)出流程重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收

27、入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙患者轉(zhuǎn)出ICU原則上由主管醫(yī)師決定,轉(zhuǎn)出時(shí)必須向病房醫(yī)師仔細(xì)介紹當(dāng)前診斷,電解質(zhì),血常規(guī)及血?dú)夥治銮闆r,目前治療原則和用藥情況,現(xiàn)有液體的成分和濃度,有無(wú)特殊用藥及劑量,濃度,有無(wú)并發(fā)癥,需特別注意觀察和處理的問(wèn)題,進(jìn)一步治療和護(hù)理的問(wèn)題的等,并將上述內(nèi)容寫入轉(zhuǎn)科記錄中?;颊叩霓D(zhuǎn)出應(yīng)由

28、ICU主管醫(yī)生及科主任決定,少數(shù)患者可直接出院。重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙附錄:重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn)

29、,經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙1.心臟收治標(biāo)準(zhǔn)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎

30、鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙1SBP90mmHg2.尿量30ml/h3需要應(yīng)用升血壓藥4.需要血液動(dòng)力學(xué)監(jiān)測(cè)轉(zhuǎn)出標(biāo)準(zhǔn)1.無(wú)休克癥狀2.重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙

31、泄恨土掙不需要有創(chuàng)監(jiān)測(cè)3.心律穩(wěn)定并無(wú)致死性心律失常4.SBP90mmHgHR45次/分RR12次/分x12小時(shí)無(wú)發(fā)熱重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙2.血液系統(tǒng)收治標(biāo)準(zhǔn)1活動(dòng)性出血2.BP90/60mmHg3.尿量30ml

32、/h4.需要應(yīng)壓藥物5.需要血液動(dòng)力學(xué)監(jiān)測(cè)轉(zhuǎn)出標(biāo)準(zhǔn)1.明確出血部位并且控制出血達(dá)24小時(shí)2.BP90/60mmHgx24小時(shí)3.重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙靜脈升壓藥不持續(xù)應(yīng)用x24小時(shí)4.不需血液動(dòng)力學(xué)監(jiān)測(cè)5.Hb10

33、g/dl3.急性呼吸窘迫收治標(biāo)準(zhǔn)1急性呼吸困難伴呼吸暫?;騊co260mmHgPH7.352.急性CHFPco260mmHg重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙3.需要輔助通氣4.急性肺栓塞5.手術(shù)后肺部合并癥6.不能有效排出氣

34、道分泌物7.氣胸轉(zhuǎn)出標(biāo)準(zhǔn)1.自主通氣、氧飽和度92%x24小時(shí)2.呼吸功能穩(wěn)定x24小時(shí)不伴有機(jī)械輔助通氣(ABG重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙s正常范圍或代償正常范圍)3.肺部分泌物通過(guò)普通護(hù)理單位和呼吸治療可以控制4.

35、穩(wěn)定抗凝治療,并且PT及重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙P(guān)TT處于可接受的范圍5.終末及即將發(fā)生終末狀態(tài)6.無(wú)主要心律失常、無(wú)致死性心律失常可終止監(jiān)護(hù)7.轉(zhuǎn)出重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)

36、入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙IMC進(jìn)行輔助機(jī)械通氣(家庭呼吸機(jī))4.內(nèi)分泌系統(tǒng)收治標(biāo)準(zhǔn)1體溫過(guò)高/體溫過(guò)低2.酮癥酸中毒3.嚴(yán)重的電解質(zhì)紊亂K2.5mmol/L或5.5mmol/LCa7.5mg/dl或11mg/dlPO41.5或5.5重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收

37、住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙Na120mmol/L或150mmol/L4.損傷的LOC(ImpairedLOC)轉(zhuǎn)出標(biāo)準(zhǔn)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師

38、會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙1.體溫處于可按受范圍2.正常電解質(zhì)、3.神經(jīng)系統(tǒng)功能完整重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭

39、堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙x24小時(shí)(無(wú)神經(jīng)系統(tǒng)功能損傷)x245、嚴(yán)重高血壓(惡性高血壓)收治標(biāo)準(zhǔn)1.SBP210mmHg/L,DSP110mmHg/L2.需要持續(xù)靜脈點(diǎn)抗高血壓藥3.尿量30ml/h(在24小時(shí)內(nèi))4.持續(xù)性有創(chuàng)性監(jiān)護(hù)轉(zhuǎn)出標(biāo)準(zhǔn)1.持續(xù)靜脈點(diǎn)滴抗高血壓已不持續(xù)應(yīng)用x24小時(shí)2.血壓控制重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管

40、醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙x24小時(shí)3.在24小時(shí)尿量30ml/h4.不持續(xù)應(yīng)用有創(chuàng)監(jiān)護(hù)6、急性心肌梗塞重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙

41、腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙收治標(biāo)準(zhǔn)1胸痛2.心律失常3.EKG/心肌酶改變4.需要溶栓治療5.需要血液動(dòng)力學(xué)監(jiān)測(cè)6.需要主動(dòng)脈內(nèi)泵反博重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑

42、摧峙泄恨土掙7.生命體征不穩(wěn)定轉(zhuǎn)出標(biāo)準(zhǔn)1.胸痛消失x24小時(shí),并且被診斷非心源性胸痛2.尿量在25-30ml/h3.可行性遠(yuǎn)距離遙測(cè)4.生命體征穩(wěn)定并無(wú)致死性改變達(dá)24小時(shí)5.無(wú)危脅生命(致死性)心律失?;騻鲗?dǎo)障礙達(dá)24小時(shí)6.心肌酶有所改善7.無(wú)進(jìn)展性EKG改變8.溶栓治療已不續(xù)x24小重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距

43、攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙時(shí)9.血液動(dòng)力學(xué)監(jiān)測(cè)已不持續(xù)10.IABP已不連續(xù)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙x24小時(shí)7.不穩(wěn)定心絞痛R/O心肌梗塞收治

44、標(biāo)準(zhǔn)1胸痛2.心律失常重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙轉(zhuǎn)出標(biāo)準(zhǔn)1.無(wú)胸痛除外,胸痛由硝酸甘油緩解重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU

45、的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙2.血壓趨于可接受的參數(shù)內(nèi)3.一系列EKGs及血清酶學(xué)不反應(yīng)急性心肌x24小時(shí)4.胸部無(wú)特殊改變或X-證實(shí)8、心臟的介入治療收治標(biāo)準(zhǔn)1.PTCA經(jīng)皮經(jīng)腔冠狀動(dòng)脈形術(shù),DCA,或冠狀動(dòng)脈支架術(shù)后2.出血3.BP不穩(wěn)定4.IMC無(wú)床轉(zhuǎn)出標(biāo)準(zhǔn)1.血壓被控制2.BP處于接受的參數(shù)3.腹股溝處穩(wěn)定,鞘不需連續(xù)監(jiān)護(hù)9、多系統(tǒng)損傷收

46、治標(biāo)準(zhǔn)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙1.氣道梗阻2.需要輔助通氣通3.需要血液動(dòng)力學(xué)監(jiān)測(cè)4.在術(shù)前及術(shù)后期間,需要密切護(hù)士觀察5.活動(dòng)性出血或休克6.生命體征或者神經(jīng)系統(tǒng)功能處于變動(dòng)或超出可接受參數(shù)之處轉(zhuǎn)出標(biāo)準(zhǔn)1.呼吸不需

47、要機(jī)械通氣輔助達(dá)24小時(shí)(ABGs處于正?;虼鷥斦7秶畠?nèi))2.血液動(dòng)力學(xué)不需持續(xù)監(jiān)測(cè)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙3.生命體征,神經(jīng)系統(tǒng)功能及腎功能處于可接受的范圍內(nèi)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住

48、患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)

49、由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙4.BUN重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙及肌酐有所改善或無(wú)

50、明白改變重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙x24重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班

51、收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙小時(shí)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼

52、誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙5.重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管

53、醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙無(wú)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥

54、掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙發(fā)熱重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上

55、需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙6.DNR重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊

56、賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙10.重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙心律失常(致死性心律失常)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收

57、住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,

58、應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙收治標(biāo)準(zhǔn)重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙重癥醫(yī)學(xué)收治范圍轉(zhuǎn)

59、入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙1重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。

60、從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯儒母轉(zhuǎn)馭觸庶筑摧峙泄恨土掙明確或惡性心律失常重癥醫(yī)學(xué)收治范圍轉(zhuǎn)入轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程重癥醫(yī)學(xué)科收住患者的范圍、轉(zhuǎn)入和轉(zhuǎn)出標(biāo)準(zhǔn)及轉(zhuǎn)出流程轉(zhuǎn)入收入ICU的患者,原則上需根據(jù)ICU的收治標(biāo)準(zhǔn),經(jīng)主管醫(yī)師會(huì)診同意后收入,節(jié)假日及夜班收治患者需及時(shí)向主管醫(yī)師匯報(bào)。從院內(nèi)其他科室經(jīng)會(huì)診后轉(zhuǎn)入的患者,應(yīng)由原科室醫(yī)護(hù)人員陪送入ICU,且做好趴蘭堰狗咋撬甘訟徊賀菜蔭堅(jiān)殺距攙腎鏈野棠練濾棧嫩府舅拽藥掄樁皚液走芯拔澀麥俄著寓罰侄稼誘繃圖分韭境路魯

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