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<section><section><p><p><img src="image/20201014/86b79d371e9862b01189f0252a03b2cd_1.png" /></p></p></section><section><section><span><strong></strong></span></section><p><span>医疗器械第一新媒体</span></p><p><span>分享最专业的医疗器械知识</span></p></section><section><section><section>关注</section></section></section></section><section><section powered-by="gulangu"><section><section></section></section></section></section><h3></h3><section><section><section><section data-width="97%"><section><section data-width="96%"><p><img src="image/20201014/b949ad4ebbb278442b5d2f16c31cb6e9_2.jpg" /></p></section></section><section><section><p><span>智惠人才，实力为胜</span><br /></p></section></section><section data-width="100%"><section><section><p>点击查看</p></section></section></section><section><p><img src="image/20201014/7a475f3bb274f92efe0029aa482c5c8a_3.jpg" /></p></section><section><section><p><img src="image/20201014/1d4891ff5d047b0d8415166c401992c3_4.png" /></p></section></section><p><br /></p></section></section></section></section><p><span>【原文部分出处于 中国重症加强治疗病房（ICU）建设与管理指南】</span></p><p><br /></p><section><section data-id="44423"><section><span><strong><span data-bcless="darken" data-brushtype="text">一、ICU设置基本原则</span></strong></span></section><section></section></section><p><br /></p></section><p><span><strong><span>1）</span></strong></span><span>ICU床位一般按全院总床位的3～5%设置。</span></p><p><br /></p><p><span><strong><span>2）</span></strong></span><span>ICU设置应与各医院功能要求相一致。一级医院不设ICU；二级医院设置综合性ICU，不设置专科ICU；三级综合性医院设置综合性ICU，或设重症监护中心下的专科ICU。综合性和专科性ICU应集中管理，资源共享。综合性和各专科ICU床位总数不超过全院床位总数的5%。</span></p><p><br /></p><p><span><strong><span>3）</span></strong></span><span>ICU应有固定的医护人员。ICU医护人员应按标准配备，并经相关的专业培训。二级医院（包括二级医院）以下医院医护人员应在三级甲等医院ICU进修学习三个月以上。</span></p><p><br /></p><p><span><strong>4）</strong></span><span>综合性ICU和专科ICU，均应符合ICU建设的基本标准。</span></p><p><br /></p><p><p><img src="image/20201014/c234a1ce566c8d536f6e2b0cb3bf83a8_5.jpg" /></p></p><p><span></span></p><section><section data-id="44423"><section><span><strong><span data-bcless="darken" data-brushtype="text">二、ICU基本标准</span></strong></span></section><section></section></section><p><br /></p></section><p><span></span></p><p><span><strong><span>1）ICU床位及单元设置</span></strong></span><br /></p><p><span><br /></span></p><p><span>二级医院一般设置4—8张ICU床；三级医院ICU应分隔单元设置或分组管理，每个ICU单元设置8—12张床位，或每组设置8—12张；ICU床应分隔成单间或双间；每张ICU床位面积不小于15M2；电源、负压吸引、空气和氧气等应设置在吊塔或电、气源隔离带上。<br /></span></p><p><br /></p><p><span><strong><span>2）仪器设备</span></strong></span></p><p><span><br /></span></p><p><span></span></p><section><section data-id="2185"><section><section data-width="32px">1</section><section><p><span>监护仪：</span><span>每张ICU床位配置1台监护仪，至少具有监测心电、呼吸、无创和有创血压、氧饱和度的功能。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">2</section><section><p><span>呼吸机：</span><span>每张监护床配1台呼吸机，其中有兼有无创模式的有创呼吸机一台，或另有无创呼吸机（仅有无创模式）一台，呼吸机应具有压控和容控下：A/C、SIMV、PSV、PEEP等基本模式，每张ICU床配备1套简易呼吸器。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">3</section><section><p><span><span>体外除颤仪</span></span><span><span>1台。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">4</section><section><p><span><span>输液泵和微量注射泵每床均应配备,或者配置1套6-9通道输注工作站.另配备一定数量的肠内营养输注泵。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">5</section><section><p><span>心电图机1台。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">6</section><section><p><span><span>肠外营养配置净化装置1台。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">7</section><section><p><span><span>临时心脏起搏仪1台。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">8</section><section><p><span>降温毯1台。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">9</section><section><p><span><span>设有6张床位的ICU要求配备1台血气生化分析仪。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">10</section><section><p><span><span>设有6张床位的ICU要求配备1台血液净化机（CBP）。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">11</section><section><p><span><span>设有8张床位的ICU要求配备1台支气管镜。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">12</section><section><p><span><span>设立重症监护中心（科）并下设两个及两个以上ICU单元（专科ICU）的要求配备1台床边X光机和床边B超。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">13</section><section><p><span><span>设有8张床位的ICU要求配备中央输液管理系统一套。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">14</section><section><p><span><span>设有8张床位的ICU要求配备心肺功能监测仪一台。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">15</section><section><p><span><span>SICU和MICU要求配备神经肌肉电生理功能监测仪一套。</span></span></p></section></section><section></section></section><p><br /></p></section><p><span></span></p><p><span><strong>3）ICU的感染控制</strong></span></p><p><br /></p><p><span>医院院感控制部门要定期和不定期地对ICU感染控制工作进行检测和管理。ICU一旦发现耐药菌感染如：MRSA等,应立即进行隔离治疗，所有操作均需穿隔离衣、戴手套。每床边应设一套洗手盆和干手装置。ICU生活办公区、病房非污染区、病房污染区必须分开设置洗拖把池和洗抹布盆，各池（盆）不得混用。</span></p><p><br /></p><p><strong><span>4）ICU的噪音控制</span></strong></p><p><br /></p><p><span>ICU应安装噪音检测装置，白天的噪音控制在45分贝（A）以下，傍晚40分贝（A）以下，夜间20分贝（A）以下。</span></p><p><br /></p><p><span><strong><span>5）ICU医护人员配备</span></strong></span></p><p><br /></p><p><span>每张监护床位：医师：护士=1:1:3。根据需要配备护理员和卫生员若干名。</span></p><p><br /></p><p><strong><span>6）具有开展以下监护诊疗技术能力</span></strong></p><p><br /></p><p><span><span></span></span></p><section><section data-id="2185"><section><section data-width="32px">1</section><section><p><span>体温、呼吸、血压、心电、氧饱和度监测术。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">2</section><section><p><span>氧疗术。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">3</section><section><p><span><span>气管插管术。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">4</section><section><p><span><span>机械通气术。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">5</section><section><p><span>深静脉置管术。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">6</section><section><p><span><span>心肺脑复苏术。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">7</section><section><p><span><span><span>电复律术。</span></span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">8</section><section><p><span>肠内营养术。</span></p></section></section></section><section data-id="2185"><section></section></section><p><br /></p></section><p><span></span></p><p><span><strong><span>7）ICU规章制度</span></strong></span></p><p><br /></p><p><span></span></p><section><section data-id="2185"><section><section data-width="32px">1</section><section><p><span>医护人员值班、交接班制度。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">2</section><section><p><span>ICU患者出入登记制度。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">3</section><section><p><span><span><span>三级查房制度。</span></span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">4</section><section><p><span><span><span>消毒隔离制度。</span></span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">5</section><section><p><span><span>抢救制度。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">6</section><section><p><span><span><span>医疗文书书写制度。</span></span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">7</section><section><p><span><span><span><span>疑难病例讨论、会诊制度。</span></span></span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">8</section><section><p><span><span>ICU诊疗护理常规。</span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">9</section><section><p><span>ICU质量评估上报制度。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">10</section><section><p><span><span>院内感染控制制度。</span></span></p></section></section><section></section></section><p><br /></p><p><br /></p></section><p><strong><span>8）ICU的物流通道</span></strong></p><p><br /></p><p><span>要有合理的包括医护人员、病人及家属和污物医疗垃圾流向,设置三个不同的进出通道,以最大限度减少各种干扰和交叉感染。</span></p><p><br /></p><p><span><strong><span>9）ICU的采光和照明</span></strong></span></p><p><br /></p><p><span>ICU的天棚灯光要柔和，晚间要有地灯。</span></p><p><br /></p><p><span><strong><span>10）ICU的区域设置</span></strong></span></p><p><br /></p><p><span>ICU的生活区和办工区必须与病房区分开设置。ICU的位置应靠近主要服务对象病区、手术麻醉科、影像科、输血科、检验科等。</span></p><p><br /></p><p><span><strong><span>11）ICU用房</span></strong></span></p><p><br /></p><p><span>ICU的医疗用房和医疗辅助用房面积比为1：1.5。</span></p><p><br /></p><p><span></span></p><section><section data-id="44423"><section><span><strong><span data-bcless="darken" data-brushtype="text">三、综合性ICU分级标准</span></strong></span></section><section></section></section><p><br /></p></section><p><span></span></p><p><span><strong><span>1)<span>A级</span>ICU标准</span></strong></span></p><p><br /></p><section><section data-id="2185"><section><section data-width="32px">1</section><section><p><span>具备ICU基本标准。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">2</section><section><p><span>仪器设备：至少2台监护仪可开展血流动力学和脑功能监测；具备中央监护工作站、多功能监护仪、呼吸机/床≥1台、简易呼吸器/床≥1台、心肺功能监测仪、输注工作站、支气管镜、床边血液净化仪、中央输液管理系统、肠外营养配置净化装置、血气生化分析仪、体外除颤仪、心电图机、临时心脏起搏仪、降温毯、颅内压监测装置、胃PHi监测装置、神经肌肉电生理功能监测仪等。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">3</section><section><p><span><span><span><span>医护人员：每张监护床专职医生≥1名，专职护士≥3名。</span></span></span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">4</section><section><p><span><span><span><span>具有承担所有急危重病患者抢救能力。</span></span></span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">5</section><section><p><span>具有开展下述诊疗技术的能力：</span></p><p><span><span></span></span><span>⑴气管切开术；⑵胸腹腔引流术；</span></p><p><span>⑶肠外营养术；⑷血流动力学和氧动力学监测术；</span></p><p><span>⑸系统与分级监测术；⑹床旁血液净化术；</span></p><p><span>⑺支气管镜诊疗术；⑻呼吸力学、呼气末CO2监测术；</span></p><p><span>⑼体外心内膜临时和永久起搏术；⑽开胸心脏按压术；</span></p><p><span>⑾低温治疗术；⑿床边X线摄片及超声检查的能力。</span><span></span></p><p><span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">6</section><section><p><span><span><span><span>能培养危重症专业中、高级人才。</span></span></span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">7</section><section><p><span><span><span><span><span>具有承担省市级以上科研课题的能力和承担省市级以上继续医学教育项目的能力。</span></span></span></span></span></p></section></section></section><section data-id="2185"><section></section></section><p><br /></p></section><p><span><strong><span>2）<span>B级</span>ICU标准</span></strong></span></p><p><br /></p><p><span></span></p><section><section data-id="2185"><section><section data-width="32px">1</section><section><p><span>具备ICU基本标准。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">2</section><section><p><span>具有承担部分急危重病救治的能力。</span></p></section></section></section><section data-id="2185"><section><section data-width="32px">3</section><section><p><span><span><span><span>具有开展A级ICU开展的十二项诊疗技术中的三项以上。</span></span></span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">4</section><section><p><span><span><span><span>具有一定教学能力，开展学术活动。</span></span></span></span></p></section></section></section><section data-id="2185"><section><section data-width="32px">5</section><section><p><span></span><span>具有承担科研课题的能力。</span><span></span><span></span></p><p><br /></p></section></section></section><section data-id="2185"><section></section></section><p><br /></p></section><p><span></span></p><p><span></span></p><section><section data-id="44423"><section><span><strong><span data-bcless="darken" data-brushtype="text">四、专科ICU基本标准</span></strong></span></section><section></section></section><p><br /></p></section><p><span><strong><span>1）<span>外科</span>监护病房（SICU）</span></strong></span></p><p><br /></p><p><strong><span>1.SICU收治对象包括颅脑、胸外、普外、泌尿、骨外等各个外科专业的危重病人如：</span></strong></p><p><strong><span><br /></span></strong></p><p><strong><span>（1）颅脑外科：</span></strong></p><p><span>①重型颅脑外伤。</span></p><p><span>②颅脑外科手术后。</span></p><p><span>③脑血管病介入术后。</span></p><p><span>④复合外伤患者。</span></p><p><span>⑤其它需收入SICU的患者。</span></p><p><br /></p><p><strong><span>（2）胸外科：</span></strong></p><p><span>①严重胸部外伤。</span></p><p><span>②纵隔肿瘤切除术后。</span></p><p><span>③肺叶切除术后。</span></p><p><span>④胸外高危病人术后。</span></p><p><span>⑤肺移植术后。</span></p><p><span>⑥食道肿瘤切除术后。</span></p><p><span>⑦其它需要收入SICU的患者。</span></p><p><strong><span><br /></span></strong></p><p><strong><span>（3）普外科：</span></strong></p><p><span>①重症胰腺炎。</span></p><p><span>②化脓性胆管炎。</span></p><p><span>③门脉高压大手术后。</span></p><p><span>④消化系统肿瘤根治术后。</span></p><p><span>⑤肠梗阻肠坏死大手术后。</span></p><p><span>⑥空腔脏器穿孔术后。</span></p><p><span>⑦器官移植术后。</span></p><p><span>⑧腹部外伤术后。</span></p><p><span>⑨腹主动脉瘤介入和手术后。</span></p><p><span>⑩其它需要收入SICU的患者。</span></p><p><span><br /></span></p><p><strong><span>（4）其它外科应根据危重病人情况而定。</span></strong></p><p><span><br /></span></p><p><strong><span>2.建设规模：</span></strong><span>二级医院不设SICU，三级医院SICU设置8-12张床为宜。</span></p><p><span><br /></span></p><p><strong><span>3.医护人员：</span></strong><span><span> </span>SICU应由固定的重症医师和护士管理，床位：医师：护士=1：1：3，同时还应配备相应的护工和卫生员。外科专科情况由专科医生处理。</span></p><p><span><br /></span></p><p><strong><span>4.仪器设备：</span></strong><span>SICU的设备主要配置多功能监护仪、呼吸机/床≥1台、简易呼吸器/床≥1台、心肺功能监测仪、输液泵、微量注射泵、支气管镜、床边血液净化仪、中央输液管理系统、肠外营养配置净化装置、血气生化分析仪、体外除颤仪、心电图机、临时心脏起搏仪、降温毯、颅内压监测装置、胃PHi监测装置、神经肌肉电生理功能监测仪等。</span></p><p><span><br /></span></p><p><strong><span>5.诊疗技术：</span></strong><span>除按ICU一般诊疗技术要求外，有条件者还应开展床边脑电、颅内压监测术、血流动力学和氧动力学监测术、系统与分级监测术、床旁血液净化术、支气管镜诊疗术、呼吸力学、呼气末CO2监测术、体外心内膜临时和永久起搏术、开胸心脏按压术、低温治疗术、床边X线摄片及超声检查的能力。</span></p><p><span><br /></span></p><p><strong><span>6.规章制度：</span></strong></p><p><span>①SICU患者入院、科登记制度。</span></p><p><span>②三级查房制度。</span></p><p><span>③医务人员值班、交班制度。</span></p><p><span>④医疗文书书写制度。</span></p><p><br /></p><p><span><strong><span>2）<span>内科</span>监护病房（MICU）</span></strong></span></p><p><br /></p><p><strong><span>1.MICU收治对象包括神经、呼吸、消化、内分泌、血液、风免、职业中毒、肾内等内科各个内科专业的危重病人如：</span></strong></p><p><span>①呼吸功能不全。</span><br /></p><p><span>②肝、肾功能不全。</span></p><p><span>③血糖、电解质紊乱、酸碱失衡。</span></p><p><span>④脑功能不全。</span></p><p><span>⑤心肺脑复苏后。</span></p><p><span>⑥急性脑血管意外。</span></p><p><span>⑦急性重症肌无力。</span></p><p><span>⑧其它需要收入MICU的患者。</span></p><p><span><br /></span></p><p><strong><span>2.建设规模：</span></strong><span>二级医院不设MICU，三级医院MICU设置8-12张床。</span></p><p><span><br /></span></p><p><strong><span>3.医护人员：</span></strong><span>MICU要有固定的重症医生和护士管理，床位：医生：护士=1:1:3，护理员、卫生员适量。</span></p><p><span><br /></span></p><p><strong><span>4.仪器设备：</span></strong><span>多功能监护仪、呼吸机/床≥1台、简易呼吸器/床≥1台、心肺功能监测仪、输注工作站、支气管镜、床边血液净化仪、中央输液管理系统、肠外营养配置净化装置、血气生化分析仪、体外除颤仪、心电图机、临时心脏起搏仪、降温毯、颅内压监测装置、胃PHi监测装置、神经肌肉电生理功能监测仪等。</span></p><p><span><br /></span></p><p><strong><span>5.诊疗技术：</span></strong><span>除按ICU一般诊疗技术要求外，有条件者还应开展床边脑电、颅内压监测术、血流动力学和氧动力学监测术、系统与分级监测术、床旁血液净化术、支气管镜诊疗术、呼吸力学、呼气末CO2监测术、体外心内膜临时和永久起搏术、开胸心脏按压术、低温治疗术、床边X线摄片及超声检查的能力。</span></p><p><span><br /></span></p><p><strong><span>6.规章制度：</span></strong></p><p><span>①患者入院、科登记制度。</span></p><p><span>②三级查房制度。</span></p><p><span>③医务人员值班、交班制度。</span></p><p><span>④医疗文书书写制度。</span></p><p><br /></p><p><span><strong><span>3）<span>心外</span>监护病房（CSICU）</span></strong></span></p><p><br /></p><p><strong><span>1.收治对象：所有心外科手术后病人，如：</span></strong></p><p><span>①先心病矫形术后。</span></p><p><span>②心瓣膜病换瓣术后。</span></p><p><span>③冠脉搭桥术后。</span></p><p><span>④大血管置换或修补术后。</span></p><p><span>⑤心脏移植术后等。</span></p><p><span><br /></span></p><p><strong><span>2.建设规模：</span></strong><span>二级医院不设CSICU，三级医院CSICU设置6-12张床为宜。</span></p><p><span><br /></span></p><p><strong><span>3.医护人员：</span></strong><span>心外科监护病房应有固定的心血管科医生和护士负责，床位：医生：护士=1:1:3，同时还应配备相应的护理员和卫生员。</span></p><p><span><br /></span></p><p><strong><span>4.仪器设备：</span></strong><span><span> </span>CSICU的设备主要配置多功能监护仪、呼吸机/床≥1台、简易呼吸器/床≥1台、输注工作站、心肺功能监测仪、中央输液管理系统、血气生化分析仪、体外除颤仪、心电图机、临时心脏起搏仪、降温毯、降温仪、体外反搏仪等。</span></p><p><span><br /></span></p><p><strong><span>5.诊疗技术：</span></strong><span>除按ICU一般诊疗技术要求外，还应开展临时心脏起搏术和体外反搏术。</span></p><p><span><br /></span></p><p><strong><span>6.规章制度：</span></strong></p><p><span>①CSICU患者入院、科登记制度。</span></p><p><span>②三级查房制度。</span></p><p><span>③医务人员值班、交班制度。</span></p><p><span>④医疗文书书写制度。</span></p><p><br /></p><p><span><strong><span>4）<span>急诊</span>监护病房（EICU）</span></strong></span></p><p><br /></p><p><strong><span>1.收治对象：</span></strong><span>收治急诊科的急危重病患者，主要病种包括</span></p><p><span>①心肺脑复苏。</span></p><p><span>②休克。</span></p><p><span>③中毒。</span></p><p><span>④威胁生命的心脑血管病。</span></p><p><span>⑤急性呼吸衰竭。</span></p><p><span>⑥重症哮喘。</span></p><p><span>⑦高热患者。</span></p><p><span>⑧电击伤、溺水、蛇咬伤。</span></p><p><span>⑨严重创伤、多发伤。</span></p><p><span>⑩其它需要收入EICU的患者。</span></p><p><span><br /></span></p><p><strong><span>2.建设规模：</span></strong><span>二级医院不设EICU，三级医院设置4-8张床为宜。</span></p><p><span><br /></span></p><p><strong><span>3.医护人员：</span></strong><span>EICU应有固定的重症监护专业医护人员管理，三级综合性医院EICU应归重症监护中心（或科）管理。</span></p><p><span><br /></span></p><p><strong><span>4.仪器设备：</span></strong><span>除具有ICU基本仪器设备外，每个EICU必须配备1台洗胃机、体外除颤仪、临时心脏起搏仪、呼吸机和降温仪等。</span></p><p><span><br /></span></p><p><strong><span>5.诊疗技术：</span></strong></p><p><span>①气管插管术。</span></p><p><span>②洗胃术。</span></p><p><span>③氧疗术。</span></p><p><span>④机械通气术。</span></p><p><span>⑤生命体征监测术。</span></p><p><span>⑥电击除颤术。</span></p><p><span>⑦临时起搏术。</span></p><p><span>⑧心肺脑复苏术。</span></p><p><span>⑨颅内血肿引流术。</span></p><p><span>⑩低温术。</span></p><p><span><br /></span></p><p><strong><span>6.规章制度：</span></strong></p><p><span>①患者出入EICU登记制度。</span></p><p><span>②三级查房制度。</span></p><p><span>③医务人员值班、交班制度。</span></p><p><span>④医疗文书书写制度。</span></p><p><span>⑤抢救制度。</span></p><p><br /></p><p><span><strong><span>5）<span>心血管内科</span>监护病房（CICU、CCU）</span></strong></span></p><p><br /></p><p><strong><span>1.收治对象：</span></strong></p><p><span>①急性心肌梗塞。</span></p><p><span>②心绞痛。</span></p><p><span>③心律失常。</span></p><p><span>④心力衰竭。</span></p><p><span>⑤感染性心内膜炎。</span></p><p><span>⑥急性心肌炎。</span></p><p><span>⑦介入性心血管诊疗术后。</span></p><p><span>⑧急性心肌病。</span></p><p><span>⑨出现呼吸功能不全、急性肝肾功能不全等应转入内科监护病房。</span></p><p><br /></p><p><strong><span>2.建设规模：</span></strong><span>CCU二级医院可设4-8张床，三级医院设置8-12张床为宜。</span></p><p><br /></p><p><strong><span>3.医护人员：</span></strong><span>CCU要有固定的心血管内科医生管理，床位：医生：护士=1:1:3，护理员、卫生员适量。</span></p><p><span><br /></span></p><p><strong><span>4.仪器设备：</span></strong><span>多功能监</span><span>护仪、输注工作站、心电图机、临时起搏器、除颤器、CCU不配备呼吸机。</span></p><p><span><br /></span></p><p><strong><span>5.诊疗技术：</span></strong></p><p><span>①生命体征监测术。</span></p><p><span>②氧疗术。</span></p><p><span>③人工心脏起搏术。</span></p><p><span>④电复律术。</span></p><p><span>⑤深静脉置管术。</span></p><p><span>⑥血液动力学监测术。</span></p><p><span><br /></span></p><p><strong><span>6.规章制度：</span></strong></p><p><span>①患者出入院、科登记制度。</span></p><p><span>②查房制度。</span></p><p><span>③医务人员值班、交班制度。</span></p><p><span>④医疗文书书写制度。</span></p><p><br /></p><p><span><strong><span>6）<span>儿童</span>监护病房（PICU）</span></strong></span></p><p><span><strong><span><br /></span></strong></span></p><p><strong><span>1.收治对象：</span></strong></p><p><span>①儿童急性脏器功能不全（心功能不全、呼吸功能不全、肾功能不全等）。</span></p><p><span>②儿童重症感染。</span></p><p><span>③儿童急性心肌炎。</span></p><p><span>④其它需要收入PICU的重症儿童。</span></p><p><span><br /></span></p><p><strong><span>2.建设规模：</span></strong><span>二级医院不设PICU，少数规模较大的三级甲等医院可设置PICU ，以6-8张床为宜。</span></p><p><span><br /></span></p><p><strong><span>3.医护人员：</span></strong><span>要有固定的儿童重症医生和护士管理，床位：医生：护士=1:1:3，护理员、卫生员适量。</span></p><p><span><br /></span></p><p><strong><span>4.仪器设备：</span></strong><span>多功能监护仪、呼吸机、简易呼吸器/床≥1台、输注工作站、体外除颤仪、心电图机、血气生化分析仪、降温毯等。</span></p><p><span><br /></span></p><p><strong><span>5.诊疗技术：</span></strong></p><p><span>①生命体征监测术。</span></p><p><span>②氧疗术。</span></p><p><span>③气管插管术。</span></p><p><span>④气管切开术。</span></p><p><span>⑤人工机械通气术。⑥复苏术。⑦电复律术。</span></p><p><span><br /></span></p><p><strong><span>6.规章制度：</span></strong></p><p><span>①患儿出入登记制度。</span></p><p><span>②医务人员值班、交班制度。</span></p><p><span>③查房制度。</span></p><p><span>④抢救制度。</span></p><p><span>⑤医疗文书书写制度。</span></p><p><span>⑥消毒隔离制度。</span></p><p><span>⑦家属探视制度。</span></p><p><br /></p><p><span><strong><span>7）<span>新生儿</span>监护病房（NICU）</span></strong></span></p><p><span><strong><span><br /></span></strong></span></p><p><strong><span>1.收治对象：</span></strong></p><p><span>①新生儿急性脏器功能不全（心功能不全、呼吸功能不全、肾功能不全等）。</span></p><p><span>②新生儿重症感染。</span></p><p><span>③急性心肌炎。</span></p><p><span>④其它需要收入NICU的重症新生儿。</span></p><p><span><br /></span></p><p><strong><span>2.建设规模：</span></strong><span>二级医院不设NICU，少数规模较大的三级甲等医院可设置NICU ，以6-12张床为宜。</span></p><p><span><br /></span></p><p><strong><span>3.医护人员：</span></strong><span>要有固定的新生儿重症医生和护士管理，床位：医生：护士=1:1:3，护理员、卫生员适量。</span></p><p><span><br /></span></p><p><strong><span>4.仪器设备：</span></strong><span>多功能监护仪、呼吸机、简易呼吸器/床≥1台、输注工作站、体外除颤仪、心电图机、血气生化分析仪、降温毯等。</span></p><p><span><br /></span></p><p><strong><span>5.诊疗技术：</span></strong></p><p><span>①生命体征监测术。</span></p><p><span>②氧疗术。</span></p><p><span>③气管插管术。</span></p><p><span>④气管切开术。</span></p><p><span>⑤人工机械通气术</span></p><p><span>⑥复苏术。</span></p><p><span>⑦电复律术。</span></p><p><span><br /></span></p><p><strong><span>6.规章制度：</span></strong></p><p><span>①患儿出入院、科登记制度。</span></p><p><span>②医务人员值班、交班制度。</span></p><p><span>③查房制度。</span></p><p><span>④抢救制度。</span></p><p><span>⑤医疗文书书写制度。</span></p><p><span>⑥消毒隔离制度。</span></p><p><span>⑦家属探视制度。</span></p><p><br /></p><p><span><strong><span>8）<span>其它</span>，如麻醉复苏室</span></strong></span></p><p><span><strong><span><br /></span></strong></span></p><p><span>由麻醉科管理，主要供术后复苏病人使用。由麻醉科医生和护士对术后病人进行复苏监护和处理。复苏后生命体征不稳定者要转ICU监护和处理。</span></p><p><span><strong>____________</strong></span></p><section data-id="1658"><section><section><section data-id="1658"><section><section><section data-id="1658"><section><section><section data-id="1658"><section><section><p><span><strong>相关阅读</strong></span></p></section><p><p><img src="image/20201014/ec237188ae1e9c03eb4d9814f31b18ab_6.gif" /></p></p><p><span>你知道ICU，但是你知道什么是PICU吗？</span></p><p><br /></p><p><span>人工智能走进重症监护室：可预测病人死亡，准确率达 93%</span></p><p><br /></p><p><span>围观！功能强大的ICU多功能监护床</span></p><p><br /></p><p><span>【ICU病人之死】重症监护室失去监护？</span></p></section></section></section></section></section></section></section></section></section></section></section><p><br /></p><p><p><img src="image/20201014/ddc723b50bcaa3c373cb35a0033daacd_7.jpg" /></p></p>
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发表于 2020-10-14 16:53:38