רÀûÃû³Æ£ºÌìÈ»ÆøË®ºÏÎï´¢ÆøÁ¿²â¶¨µÄʵÑé×°ÖõÄÖÆ×÷·½·¨
¼¼ÊõÁìÓò£º
±¾·¢Ã÷Éæ¼°Ò»ÖÖʵÑé×°Öã¬ÓÈÆäÉæ¼°Ò»ÖÖ»ùÓÚÕæ¿ÕÈÝ»ý·¨²â¶¨ÌìÈ»ÆøË®ºÏÎï´¢Æø Á¿µÄʵÑé×°Öá£
±³¾°¼¼Êõ£º
ÏÖÓм¼ÊõÖУ¬²â¶¨Ë®ºÏÎï´¢ÆøÁ¿µÄ·½·¨Ö÷ÒªÓгÆÖØ·¨¡¢¼ä½Ó¼ÆËã·¨ºÍÒÇÆ÷·¨¡£ÒÇÆ÷ ·¨Ö÷Òª²ÉÓÃÀÂü¹âÆ×¡¢ºË´Å¹²Õñ¡¢XÑÜÉäµÈ´óÐÍ·ÖÎö²âÊÔÒÇÆ÷²â¶¨Ë®ºÏÎïµÄË®ºÏÖ¸Êý£¬ÒÇÆ÷ ·¨¶à²ÉÓÃһЩÀíÂÛÄ£ÐÍ£¬¶ÔÓÚ³Á»ýÎïÖи´ÔÓÌìÈ»ÆøË®ºÏÎïË®ºÏÖ¸ÊýµÄ²â¶¨´æÔÚÒ»¶¨À§ÄÑ£¬ ¶øÇҲⶨ³É±¾¸ß£¬ÊµÑé²â¶¨³ÌÐò·±¸´£»¼ä½Ó¼ÆËã·¨Ö÷Òª²ÉÓÃÔÚË®ºÏÎïʵÑé×°ÖÃÉϼÓ×°Á÷Á¿ ¼ÆµÈ¼ÆÁ¿ÒÇ±í£¬Í¨¹ý²â¶¨Ë®ºÏÎïÉú³É¹ý³ÌµÄÆøÌåÏûºÄÁ¿»ò·Ö½â¹ý³ÌµÄ²úÆøÁ¿¼ä½Ó¼ÆËãË®ºÏ ÎïµÄ´¢ÆøÁ¿£¬¸Ã·¨¶ÔÓÚ½â¾öÈ˹¤ºÏ³ÉµÄ´óÁ¿Ë®ºÏÎïµÄº¬ÆøÁ¿ÓÐÒ»¶¨ÒâÒ壬¶ø¶ÔÓÚÄѵõÄÌì ȻˮºÏÎïÑùÆ·´¢ÆøÁ¿²â¶¨ÓÐÒ»¶¨¾ÖÏÞÐÔ£»³ÆÖØ·¨Êǽ«Ë®ºÏÎïÑùÆ··ÅÖÃÔÚ±ê×¼×´¿öÏ·ֽ⣬ ³ÆÁ¿·Ö½âǰºóÑùÆ·µÄÖØÁ¿Ëðʧ¼ÆËãÆøÌåµÄÁ¿£¬¸Ã·½·¨»¹Ðè½èÖúÆäËüÒÇÆ÷²â¶¨Ë®ºÏÎï·Ö½âÆø µÄƽ¾ù·Ö×ÓÁ¿£¬²¢ÇÒÊÜ»·¾³¼°ÈËΪÒòËØÓ°Ïì½Ï´ó¡£
·¢Ã÷ÄÚÈÝ
±¾·¢Ã÷µÄ¼¼ÊõЧ¹ûÄܹ»¿Ë·þÉÏÊöȱÏÝ£¬ÌṩһÖÖÌìÈ»ÆøË®ºÏÎï´¢ÆøÁ¿²â¶¨µÄʵÑé ×°Öã¬Æä½á¹¹¼òµ¥£¬²â¶¨Öµ×¼È·¡£ÎªÊµÏÖÉÏÊöÄ¿µÄ£¬±¾·¢Ã÷²ÉÓÃÈçϼ¼Êõ·½°¸Æä°üÀ¨±ê×¼¹Ü¡¢ÑùÆ·¹Ü£¬±ê×¼¹Ü¡¢ÑùÆ· ¹Ü·Ö±ðͨ¹ýÕæ¿Õ±ä¾¶½ÓÍ·Óë¹ÜµÀÏàÁ¬£¬Õæ¿Õ±ä¾¶½ÓÍ·Óë¹ÜµÀÖ®¼äÉèÓз§ÃÅ£»¹ÜµÀµÄÒ»¶ËÁ¬ ½ÓѹÁ¦´«¸ÐÆ÷£¬ÁíÒ»¶ËÁ¬½ÓÕæ¿Õ±Ã£¬Õæ¿Õ±ÃÓë¹ÜµÀÖ®¼äÉèÖ÷§ÃÅ¡£Îª½â¾öÌìÈ»ÆøË®ºÏÎï´¢ÆøÁ¿Ö±½Ó²â¶¨ÎÊÌ⣬·¢Ã÷Á˲ÉÓÃÕæ¿ÕÈÝ»ý·¨²â¶¨Ë®ºÏÎï´¢ ÆøÁ¿µÄʵÑé×°Öã¬ÀûÓÃË®ºÏÎïÕæ¿ÕÌõ¼þÏ·ֽâÖ±½Ó²â¶¨Ë®ºÏÎïµÄ´¢ÆøÁ¿¡£¸Ã×°ÖòⶨÌìÈ» ÆøË®ºÏÎï´¢ÆøÁ¿µÄÖ÷ÒªÔÀíÈçϼٶ¨µÄÁ½¸ö³äÂú³£Ñ¹¿ÕÆøµÄ¶ÀÁ¢µÄÃܱÕÌåϵ£¬ÖмäÓÐÒ»¸ô°å£¬ÆäÖÐÒ»¸öÃܱÕÌåϵ µÄÌå»ýΪK¡£½«ÁíÒ»¸öÃܱÕÌåϵ³éÕæ¿Õºó´ò¿ª¸ô°å£¬´ýÌåϵÎȶ¨ºóѹÁ¦ÎªPtl £»½«Ë®ºÏÎïÑùÆ· ÖÃÓÚÌåϵÖУ¬´ò¿ª¸ô°å¶ÔÕû¸öÌåϵ³éÕæ¿Õ(ÆÚ¼äÓÃÒºµªÀäÈ´±£³ÖË®ºÏÎï²»·Ö½â)£¬³éÕæ¿Õºó È¥µôÒºµª£¬Ë®ºÏÎïÔÚÕæ¿Õ״̬Ï·ֽ⣻´ýË®ºÏÎïÍêÈ«·Ö½â£¬ÌåϵÄÚÍâÎȶ¨ºó£¬ÌåϵÄÚѹÁ¦ÎªPi¡£¸ù¾ÝµÈεÈÈÝÌõ¼þÏÂÆøÌå״̬·½³Ì¿ÉµÃµ½Ë®ºÏÎïÑùÆ··Ö½â²úÉú¼×Í鯸ÌåµÄÌå»ýV1 ¦Ñ ¦Ã_7] i=iVx=-l^½«Ë®ºÏÎï·Ö½â²úÉúµÄË®³ÆÖز¢»»Ëã³ÉʵÑéζÈÏÂË®µÄÌå»ý 2¦Ï ,×îºó¼´¿ÉµÃµ½Ëù ²âË®ºÏÎïÑùÆ·µÄ´¢ÆøÁ¿(ÆøË®±È)s c V1
^=-V H1OʵÑé×°Öû¹°üÀ¨ÀäÈ´×°Öã¬ÊµÑéʱÀäÈ´×°ÖÃÉèÖÃÔÚ±ê×¼¹Ü»òÑùÆ·¹ÜÍâ²à¡£Ñ¹Á¦´« ¸ÐÆ÷µÄÁíÒ»¶ËÁ¬½ÓÊý¾Ý²É¼¯µ¥Ôª¡£Ó¦ÓøÃ×°ÖòⶨÌìÈ»ÆøË®ºÏÎïµÄ´¢ÆøÁ¿µÄ¼¼Êõ·½·¨£¬Ö÷Òª¼ì²é×°ÖÃÆøÃÜÐÔ£¬È·±£ ʵÑé¹ý³ÌÖв»»áÂ©Æø¡£¸Ã×°Öò»½ö¿ÉÒÔÓÃÓÚÈ˹¤ºÏ³ÉµÄ¸÷ÖÖ²»Í¬ÆøÌåË®ºÏÎïµÄ´¢ÆøÁ¿£¬¶øÇÒ¿ÉÒԲⶨ³Á »ýÎïÖи´ÔÓµÄÌìȻˮºÏÎïÑùÆ·µÄ´¢ÆøÁ¿¡£´ËÏî·½°¸²»½ö¿ÉÒÔ´ó´óÌá¸ßË®ºÏÎï´¢ÆøÁ¿²â¶¨µÄ ×¼¶ÈºÍ¾«¶È£¬»¹¿É¹ã·ºÓÃÓÚÌìÈ»ÆøË®ºÏÎï×ÊÔ´Á¿µÄ¹ÀËãºÍÌìÈ»ÆøË®ºÏÎï´¢Ô˼¼ÊõµÄË®ºÏÎï º¬ÆøÁ¿ÆÀ¼Û¼°¾¼ÃºËËãÁìÓò¡£
ÏÂÃæ½áºÏ¸½Í¼ºÍ¾ßÌåʵʩ·½Ê½
¶Ô±¾·¢Ã÷×öÏêϸÃèÊöͼ1Ϊ±¾·¢Ã÷µÄ½á¹¹Ê¾Òâͼ¡£
¾ßÌåʵʩÀý·½Ê½Èçͼ1Ëùʾ£¬¸Ã×°ÖÃÖ÷Òª°üÀ¨ÑùÆ·¹Ü1¡¢±ê×¼¹Ü2¡¢·§ÃÅI 3¡¢·§ÃÅII 4¡¢·§ÃÅIII 5¡¢Õæ ¿Õ±Ã6¡¢Ñ¹Á¦´«¸ÐÆ÷7¡¢Êý¾Ý²É¼¯µ¥Ôª8ºÍÕæ¿Õ±ä¾¶½ÓÍ·9¡£ÑùÆ·¹Ü1ºÍ±ê×¼¹Ü2ΪʯӢ²£ Á§¹Ü£¬Í¨¹ýÕæ¿Õ±ä¾¶½ÓÍ·9Óë²»Ðâ¸ÖµÄ¹ÜµÀ11Á¬½Ó£¬Õæ¿Õ±ä¾¶½ÓÍ·9ÄÚ²¿ÎªÎª¸ßµ¯ÐÔÏ𽺠ÃÜ·âȦ£¬²»½ö¿ÉÒÔʵÏÖÕæ¿ÕÃܷ⻹Äܹ»³ÐÊÜÒ»¶¨Ñ¹Á¦¡£Ñ¹Á¦´«¸ÐÆ÷7µÄÁ¿³ÌΪ-IOOkPa IOOkPa,Êý¾Ý²É¼¯µ¥Ôª8Äܹ»ÊµÊ±ÏÔʾºÍ´¢´æ×°ÖÃÄÚË®ºÏÎï·Ö½â¹ý³ÌÖÐÆøÌåѹÁ¦µÄ±ä»¯¡£²ÉÓûùÓÚÕæ¿ÕÈÝ»ý·¨²â¶¨ÌìÈ»ÆøË®ºÏÎï´¢ÆøÁ¿ÊµÑé×°ÖòⶨˮºÏÎï´¢ÆøÁ¿µÄ¾ß Ìåʵʩ·½Ê½ÈçÏÂ(1)¼ì²é×°ÖÃÆøÃÜÐÔ½«×°Öð´ÕÕ×°ÖÃͼ°²×°ºó£¬½«·§ÃÅI 3¡¢·§ÃÅII 4¡¢·§ÃÅIII 5 È«²¿´ò¿ª£¬²¢Á¬½ÓÕæ¿Õ±Ã6£¬¿ªÊ¼³éÕæ¿Õ¡£´ýÊý¾Ý²É¼¯µ¥Ôª8ÉÏÏÔʾװÖÃÄÚѹÁ¦Îª-760mmHg Ò»¶Îʱ¼äºó£¬¹Ø±Õ·§ÃÅI 3¡£ÈçÁ¬Ðø10СʱÄÚѹÁ¦²»Ôٱ仯Ôò˵Ã÷×°ÖÃÃÜ·âÁ¼ºÃ¡£·ñÔò£¬Ðè ¼ì²é¹ÜÏߵĸ÷¸öÁ¬½Ó²¿·Ö£¬²¢ÖØÐ¼ì²éÆøÃÜÐÔ£¬Ö±ÖÁ´ïµ½ÃÜ·âÒªÇó¡£(2)ʵÑéǰ£¬×¼È·²â¶¨±ê×¼¹Ü1²¿·ÖµÄÌå»ýV¡£¡£(3)²â¶¨Ð£×¼¹ÜÆøÌåµÄѹÁ¦¹Ø±Õ·§ÃÅII 4¡¢·§ÃÅ1115£¬´ò¿ª·§ÃÅI 3£¬³éÕæ¿ÕÖ±µ½Ñ¹ Á¦²»Ôٱ仯Ϊֹ£¬¼ÇϹ¯Öù²î&¡£¹Ø±Õ·§ÃÅI 3£¬±£³Ö·§ÃÅII 4£¬´ò¿ª·§ÃÅIII 5£¬¼ÇϹ¯Öù²î Ii1£¬Ôò±ê×¼¹ÜÆøÌåµÄѹÁ¦ÎªPQ = h0-hlo(4)²âÁ¿ÆøÌåÌå»ýÔÚÑùÆ·¹Ü2µÄµ×²¿ÉèÖÃÀäÈ´×°ÖÃ12£¬ÀäÈ´×°ÖÃ12ÄÚ×°ÓÐÒºµª£¬È»ºóÑùÆ·¹Ü2ÖзŠÈë´ý²âË®ºÏÎïÑùÆ·10£¬²¢½«ÀäÈ´×°ÖÃ12Ì×ÔÚÑùÆ·¹Ü2ÉÏ£»Á¬½ÓÕæ¿Õ±Ã6£¬´ò¿ª·§ÃÅI 3¡¢·§ ÃÅIII 5£¬Î¢¿ª·§ÃÅII 4£¬¹Û²ìѹÁ¦±ä»¯£¬µ±Ñ¹Á¦ÏÔÖø½µµÍʱȫ¿ª·§ÃÅII 4£¬Ö±ÖÁÌåϵѹÁ¦²»ÔÙ ±ä»¯£¬´Ëʱ¹¯Öù²îӦΪIitl £»¹Ø±Õ·§ÃÅI 3£¬¶Ï¿ªÕæ¿Õ±Ã6;ÒÆ×ßÀäÈ´×°ÖÃ12£¬Ë®ºÏÎïÑùÆ·13·Ö ½â£¬Ñ¹Á¦ÉÏÉý£»´ýѹÁ¦²»Ôٱ仯ʱ£¬Ë®ºÏÎïÑùÆ·13ÍêÈ«·Ö½â£¬¹Ø±Õ·§ÃÅII 4£¬ÔÚ±ê×¼¹Ü2µÄÏ ¶Ë·ÅÀäÈ´×°ÖÃ12£¬½«·Ö½âµÄÆøÌåÊÕ¼¯ÔÚ±ê×¼¹Ü2ÖУ»µ±Ñ¹Á¦²»Ôٱ仯ʱ£¬ÆøÌåÈ«²¿ÊÕ¼¯ÔÚ±ê ×¼¹Ü2ÖУ¬¿ìËÙ¿ª±Õ·§ÃÅII 4Á½´Î(·Å³öÑùÆ·¹Ü1ÖÐµÄÆøÌåºÍ·ÀÖ¹½«ÑùÆ·¹Ü1ÖеÄË®ÎüÈë±ê×¼¹Ü2ÖÐ)£¬´ËʱѹÁ¦Ó¦½Ó½üIitl £»ÒÆ×ßÀäÈ´×°ÖÃ12£¬µÈζÈÉýÖÁÊÒβ¢±£³ÖÒ»¶Îʱ¼ä£¬¼Ç¼ ѹÁ¦Öµh2£¬Ôò±ê×¼¹Ü2ÖÐÆøÌåµÄѹÁ¦Îª=P1 = h0-h2,ÔòÆøÌåµÄÌå»ýV1
ȨÀûÒªÇó
1.Ò»ÖÖÌìÈ»ÆøË®ºÏÎï´¢ÆøÁ¿²â¶¨µÄʵÑé×°Öã¬ÆäÌØÕ÷ÔÚÓÚ£¬°üÀ¨±ê×¼¹Ü¡¢ÑùÆ·¹Ü£¬±ê×¼ ¹Ü¡¢ÑùÆ·¹Ü·Ö±ðͨ¹ýÕæ¿Õ±ä¾¶½ÓÍ·Óë¹ÜµÀÏàÁ¬£¬Õæ¿Õ±ä¾¶½ÓÍ·Óë¹ÜµÀÖ®¼äÉèÓз§ÃÅ£»¹ÜµÀµÄ Ò»¶ËÁ¬½ÓѹÁ¦´«¸ÐÆ÷£¬ÁíÒ»¶ËÁ¬½ÓÕæ¿Õ±Ã£¬Õæ¿Õ±ÃÓë¹ÜµÀÖ®¼äÉèÖ÷§ÃÅ¡£
2.¸ù¾ÝȨÀûÒªÇó1ËùÊöµÄÌìÈ»ÆøË®ºÏÎï´¢ÆøÁ¿²â¶¨µÄʵÑé×°Öã¬ÆäÌØÕ÷ÔÚÓÚ£¬ÊµÑé×° Öû¹°üÀ¨ÀäÈ´×°Öã¬ÊµÑéʱÀäÈ´×°ÖÃÉèÖÃÔÚ±ê×¼¹Ü»òÑùÆ·¹ÜÍâ²à¡£
3.¸ù¾ÝȨÀûÒªÇó1»ò2ËùÊöµÄÌìÈ»ÆøË®ºÏÎï´¢ÆøÁ¿²â¶¨µÄʵÑé×°Öã¬ÆäÌØÕ÷ÔÚÓÚ£¬Ñ¹Á¦ ´«¸ÐÆ÷µÄÁíÒ»¶ËÁ¬½ÓÊý¾Ý²É¼¯µ¥Ôª¡£
È«ÎÄÕªÒª
±¾·¢Ã÷Éæ¼°Ò»ÖÖʵÑé×°Öã¬ÓÈÆäÉæ¼°Ò»ÖÖ»ùÓÚÕæ¿ÕÈÝ»ý·¨²â¶¨ÌìÈ»ÆøË®ºÏÎï´¢ÆøÁ¿µÄʵÑé×°Öᣱ¾·¢Ã÷µÄÌìÈ»ÆøË®ºÏÎï´¢ÆøÁ¿²â¶¨µÄʵÑé×°Ö㬰üÀ¨±ê×¼¹Ü¡¢ÑùÆ·¹Ü£¬±ê×¼¹Ü¡¢ÑùÆ·¹Ü·Ö±ðͨ¹ýÕæ¿Õ±ä¾¶½ÓÍ·Óë¹ÜµÀÏàÁ¬£¬Õæ¿Õ±ä¾¶½ÓÍ·Óë¹ÜµÀÖ®¼äÉèÓз§ÃÅ£»¹ÜµÀµÄÒ»¶ËÁ¬½ÓѹÁ¦´«¸ÐÆ÷£¬ÁíÒ»¶ËÁ¬½ÓÕæ¿Õ±Ã£¬Õæ¿Õ±ÃÓë¹ÜµÀÖ®¼äÉèÖ÷§ÃÅ¡£¸Ã×°Öò»½ö¿ÉÒÔÓÃÓÚÈ˹¤ºÏ³ÉµÄ¸÷ÖÖ²»Í¬ÆøÌåË®ºÏÎïµÄ´¢ÆøÁ¿£¬¶øÇÒ¿ÉÒԲⶨ³Á»ýÎïÖи´ÔÓµÄÌìȻˮºÏÎïÑùÆ·µÄ´¢ÆøÁ¿¡£´ËÏî·½°¸²»½ö¿ÉÒÔ´ó´óÌá¸ßË®ºÏÎï´¢ÆøÁ¿²â¶¨µÄ×¼¶ÈºÍ¾«¶È£¬»¹¿É¹ã·ºÓÃÓÚÌìÈ»ÆøË®ºÏÎï×ÊÔ´Á¿µÄ¹ÀËãºÍÌìÈ»ÆøË®ºÏÎï´¢Ô˼¼ÊõµÄË®ºÏÎïº¬ÆøÁ¿ÆÀ¼Û¼°¾¼ÃºËËãÁìÓò¡£
Îĵµ±àºÅG01N7/14GK102042942SQ20101022211
¹«¿ªÈÕ2011Äê5ÔÂ4ÈÕ ÉêÇëÈÕÆÚ2010Äê7ÔÂ1ÈÕ ÓÅÏÈȨÈÕ2010Äê7ÔÂ1ÈÕ
·¢Ã÷ÕßÒµÓå¹â, Áõ²ýÁë, ÃÏÇì¹ú, ³Ì¾ü ÉêÇëÈË:Çൺº£ÑóµØÖÊÑо¿Ëù