Kev saib xyuas ntau yam tuaj yeem muab cov ntaub ntawv tseem ceeb rau tus neeg mob rau kev kuaj mob thiab kev saib xyuas.Nws kuaj pom qhov tsis tseem ceeb xws li ECG cov cim, lub plawv dhia, ntshav oxygen saturation, ntshav siab, qhov ua pa thiab lub cev kub hauv lub sijhawm.Nws yog cov cuab yeej siv tiag tiag hauv chav saib xyuas mob hnyav (ICUs), chav ua haujlwm, chav haujlwm xwm txheej ceev, thiab lwm qhov chaw kho mob.
Dab tsi yog cov ntsiab lus tseem ceeb ntawm kev ua haujlwm uas tsis tuaj yeem tsis quav ntsej, thaum koj siv tus neeg mob saib xyuas.
1) Vim li cas thiaj pom zoo kom hnav cov ntshav oxygen saturation ntiv tes ua ntej?
Vim tias hnav cov ntshav oxygen saturation ntiv tes yog nrawm dua li txuas ECG cov hlau lead, tus neeg mob lub plawv dhia thiab cov ntshav oxygen saturation tuaj yeem saib xyuas lub sijhawm luv tshaj plaws, thiab cov neeg ua haujlwm kho mob tuaj yeem ua tiav qhov kev ntsuam xyuas ntawm tus neeg mob cov cim tseem ceeb tshaj plaws.
2) Puas yog SpO2 ntiv tes cuff thiab ntshav siab cuff muab tso rau ntawm tib ceg?
Arterial ntshav ntws yuav raug thaiv thaum ntsuas ntshav siab, ua rau cov ntshav tsis muaj oxygen saturation tau saib xyuas thaum ntsuas ntshav siab.Yog li ntawd, nws tsis pom zoo rau kev kho mob uas cov ntshav oxygen saturation ntiv tes cuffs thiab tsis siv neeg ntshav siab ntsuas cuffs muab tso rau ntawm tib ceg.
3) Qhov txawv ntawm 3-lead thiab 5-lead ECG leads yog dab tsi?
Ib qho 3-lead ECG lead tsuas tuaj yeem tau txais ECG hauv lead I, II, thiab III, thaum 5-lead ECG lead tuaj yeem tau txais ECG hauv leads I, II, III, AVR, AVF, AVL, V.
Txhawm rau kom yooj yim thiab ceev kev sib txuas, peb siv cov xim cim xim kom sai sai muab cov electrode pads ntawm cov haujlwm sib xws.3-lead ECG leads yog xim-coded liab, daj, ntsuab los yog dawb, dub, liab;5-lead ECG leads yog xim-coded dawb, dub, liab, ntsuab, xim av.
Cov hauj lwm ntawm cov electrode pads tso rau ntawm cov xov hlau ntawm tib xim nyob rau hauv ob specifications ntawm leads tsis zoo ib yam.Kev siv cov lus Askiv luv luv RA, LA, RL, LL, thiab C los txiav txim siab txoj haujlwm yog kev ntseeg siab tshaj qhov cim xim.
4) Txhua qhov ntsuas muaj lub tswb nrov, yuav teeb tsa li cas?
Lub hauv paus ntsiab lus ntawm kev teeb tsa lub tswb: xyuas kom muaj kev nyab xeeb ntawm cov neeg mob, txo cov suab nrov cuam tshuam, thiab tsis txhob tso lub tswb ua haujlwm raug kaw, tshwj tsis yog nws tuaj yeem muab tua ib ntus thaum cawm.Qhov kev teeb tsa ntawm lub tswb ntau yam tsis yog qhov ib txwm muaj, tab sis muaj kev nyab xeeb ntau.
Lub tswb ntsuas: lub plawv dhia yog 30% siab dua thiab qis dua lub plawv dhia;ntshav siab yog teem raws li tus kws kho mob txiav txim, tus neeg mob tus mob thiab theem pib ntshav siab;oxygen saturation yog teem raws li tus mob;lub tswb ntim yuav tsum tau hnov nyob rau hauv tus neeg saib mob qhov chaw ua haujlwm;Lub tswb nrov yuav tsum nyob rau txhua lub sijhawm raws li qhov xwm txheej Kho thiab kuaj xyuas tsawg kawg ib zaug ua haujlwm.
5) Dab tsi yog vim li cas vim li cas ECG saib tsis pom qhov waveform?
① Cov electrodes tsis muab tshuaj txhuam kom zoo.
Lub vijtsam zaub qhia tau hais tias cov hlau lead tau poob tawm, uas yog vim cov ntaub qhwv electrode tsis tau muab tso rau kom zoo, lossis cov ntaub qhwv electrode raug rub tawm vim cov neeg mob ua haujlwm.
② hws, av
Tus neeg mob tawm hws los yog daim tawv nqaij tsis huv, thiab nws tsis yooj yim rau kev siv hluav taws xob, uas ua rau tsis muaj kev sib cuag ntawm cov electrode pads.
③ Qhov zoo ntawm lub plawv electrodes
Qee cov electrodes khaws cia tsis raug, tas sij hawm lossis laus.
④ Txoj kev sib txuas tsis raug
Txhawm rau kom txuag tau qhov teeb meem, qee tus kws saib xyuas neeg mob tsuas yog siv peb-txheej txheem kev sib txuas hauv tsib-txheej txheem ntawm lub saib, thiab yuav tsum tsis muaj kev sib tw waveform.
⑤ Cov xaim hauv av tsis txuas nrog
Cov xaim hauv av plays lub luag haujlwm tseem ceeb hauv kev ua haujlwm ib txwm muaj ntawm lub waveform.
Tsis muaj cov xaim hauv av kuj yog qhov ua rau lub waveform tsis tshwm sim.
⑥ Cable muaj hnub nyoog lossis tawg.
⑦ Txoj hauj lwm ntawm lub electrode ncoo tsis raug
⑧ Lub Rooj Tswjhwm Saib ECG, lub ntsiab tswj kev sib txuas kab ntawm ECG pawg thawj coj saib, thiab lub rooj tsavxwm tseem ceeb yog qhov ua txhaum.
Post lub sij hawm: Jun-20-2023
