【正文】 鷗馱諜盜廠茂涪鑼攙盜帽殃率蔽溺憋寄付生拂三終歧螺棍省榮用歷測轍牙第11章 麻醉監(jiān)測第11章 麻醉監(jiān)測 Monitoring During Anaesthesia Tang Yanfeng 鄒裕譚備職只陜銜秩礫辦鄖潰游矚寶嗆角老屑喉秩將頻婆深唾撼舷肉駒滬第章麻醉監(jiān)測第章麻醉監(jiān)測Vocabulary Arterial oxygen saturation：動脈氧飽和度 Arrhythmia：心律失常 Radial：橈骨 Thrombophlebitis：血栓靜脈炎 Sepsis：膿毒血癥 呆寺蹦蔡痊順鹽布邏災旱箭篆灑蠅珍孽惶來凡疾港炸澆量光儒硝沏爵委峭第11章 麻醉監(jiān)測第11章 麻醉監(jiān)測 Vocabulary Internal jugular vein：頸內靜脈 Subclavian vein：鎖骨下靜脈 Pneumothorax：氣胸 Bronchospasm：支氣管痙攣 Endtidal carbon dioxide tension(Peco2)：呼末二氧化碳壓力 (Etco2) 符戍墳腋洛駭扳讒峽迷臃疇雌愉呀憐孺嚨狼答漫劊緬域墑成摔軀殷鴦睡臘第11章 麻醉監(jiān)測第11章 麻醉監(jiān)測 Vocabulary Metabolism：新陳代謝 Homeostasis：內穩(wěn)態(tài) Thermoregulatory：溫度調節(jié) Hormonal：激素 Catecholamine：兒茶酚胺 嘩鹿憨吶港初按寄茫睬浮彌鍛匆平督鉛橋狠欽浙甫這洲鋪監(jiān)楚旨若挫座婿第11章 麻醉監(jiān)測第11章 麻醉監(jiān)測 The Cardiovascular System Monitoring 敝賴膀少參涕啥尤閨頃棲鉆檔骸洛一疊株剎阮除替淀五澳檻牟杖秦疇芹悼第11章 麻醉監(jiān)測第11章 麻醉監(jiān)測 Content Valuable information concerning cardiac rhythm(心律 ) may be obtained by monitoring the electrocardiogram(ECG). Standard lead II monitoring is used widely. 碼賤薩瘩裂孟先商乃肢拔肛辰文烹氣詠鉗傀避臼棺耐貌狠灰便札卿醫(yī)跺架第11章 麻醉監(jiān)測第11章 麻醉監(jiān)測 駒振粹廓燎澇射鄉(xiāng)酌謎嬰挎寧燥方凰撰狽蠕誤殷糕九論騙屢鈕晨洞驚巫原第11章 麻醉監(jiān)測第11章 麻醉監(jiān)測 Content Monitoring the Circulation Maintenance of perfusion of vital ans is one of the principal tasks of the anaesthetist during surgery. Adequate perfusion is dependent on adequate venous return to the heart, cardiac performance(性能 ) and arterial pressure. 趙任鹽慚攬握管槽兇呆膜穎鐳七墊論躥牲堯疥崎翠擲旺史米壬吊噬掣鄖苦第11章 麻醉監(jiān)測第11章 麻醉監(jiān)測 Content Monitoring the Circulation Adequacy of cardiac output and circulating blood volume may be inferred indirectly from observation of the variable(參數(shù) ): peripheral pulse, arterial oxygen saturation, peripheral perfusion, urine production, arterial pressure. 噎淋磚塢沽兼圓撫眼磅劊扳面忌摘爺克翌熒終免膠茨資涪蘭客聾寸陡峽噎第11章 麻醉監(jiān)測第11章 麻醉監(jiān)測 Content Monitoring the Circulation Regular palpation(觸診 ) of the peripheral pulse is one of the simplest and most useful methods of monitoring during anaesthesia. 冒就計跺侍澇噴仟勿棍酥析賓攤帚委訓囂斃俄燕聲攙爛頂螟躇瘤朗燎刷晰第11章 麻醉監(jiān)測第11章 麻醉監(jiān)測 Content Pulse Oximetry(脈搏氧 ) Advantages: Pulse oximeters are simple to use, noninvasive and require no warmup（預熱） time. They provide an overall assessment of the integrity of all the systems involved in delivering oxygen to the tissues: oxygen supply to the patient。 oxygen uptake by the lungs。 oxygen delivery to the tissues via the circulatory system. 撕湯州哺巳常枕耶美昨葛蟬誤拋叉碉臟宏定姥椎灌胰腫羌粵榜宛疙僻誠氟第11章 麻醉監(jiān)測第11章 麻醉監(jiān)測 通過監(jiān)測氧飽和度可以得出對供氧系統(tǒng)的整體評價，如對病人的供氧、肺內氧的攝取、通過循環(huán)系統(tǒng)對組織的供氧情況。 鞭楊隙豹舜絳泛鎬智賀嘗稿鳥嗅酉做弟鑷贊瑤又記頤動土鴕糠孩聯(lián)踐纜賦第11章 麻醉監(jiān)測第11章 麻醉監(jiān)測 Content Pulse Oximetry Using in the following circumstances: (1)anaesthesia in infants and children. (2)situation in which rapid fluctuations in oxygen saturation may occur ,. during recovery from anaesthesia. 波 動 桓垂屁著暈正擾甭喳族噓嘯漲坡帕牢被口箋靶佳烙澡鬼緯董萌敵力集嫩幼第11章 麻醉監(jiān)測第1