2022骞翠腑閱�(y墨)鍩�(zh铆)妤�(y猫)閱�(y墨)甯(sh铆)韪愭妧鑳借€冭│12澶цê鏂峰叕寮忓尟绺�

1.鎱㈡€ч樆濉炴€ц偤鐤剧梾(COPD)

COPD = 鎱㈡€у弽寰�(f霉)鍜�銆佺棸銆佸枠鎴栧懠鍚稿洶闆澶氬勾 + 鑲烘埃鑵珨寰�(妗剁媭鑳搞€侀亷娓呴煶绛�) + 鍚稿叆鏀埃绠℃摯(ku貌)寮靛姂鍚嶧EV1/FVC<0.70銆�

2.鏀埃绠″摦鍠�

鏀埃绠″摦鍠� = 閬庢晱鍘� + 鐧�(f膩)浣滄€у枠鎭�銆佸懠姘ｆ€у懠鍚稿洶闆� + 鑲洪儴寤ｆ硾鍝炒闊� + 澶滈枔鍙婂噷鏅ㄥ姞閲� + 鑷/娌荤檪鍚庣珐瑙�銆�

婧Θ鎻愮ず锛�鐐轰簡閬垮厤鎮ㄩ尟(cu貌)閬�2022骞翠腑閱�(y墨)鍩�(zh铆)妤�(y猫)閱�(y墨)甯硣鏍煎(sh铆)韪愭妧鑳借€冭│?y谩n)U璨�(f猫i)銆佹簴(zh菙n)鑰冭瓑鎵撳嵃銆佽€冭│銆佹垚绺�(j墨)鏌ヨ銆佽瓑鏇搁牁(l菒ng)鍙栫瓑閲嶈鏅�(sh铆)闁撶瘈(ji茅)榛�(di菐n)淇℃伅锛岃€冪敓鍙互浣跨敤 鍏嶈不(f猫i)闋�(y霉)绱勭煭淇℃彁閱�鍔熻兘锛屽眴鏅�(sh铆)鐠�(hu谩n)鐞冪恫(w菐ng)鏍℃渻(hu矛)浠ョ煭淇″舰寮忕涓€鏅�(sh铆)闁撻€氱煡澶у銆�

3.鏀埃绠℃摯(ku貌)寮�(鍔╃悊涓嶈€�)

鏀摯(ku貌) = 鎱㈡€у挸鍡�銆佸挸澶ч噺鑶跨棸鍜�(鎴�)鍙嶅京(f霉)鍜 + 鍥哄畾鑰屾寔涔呯殑灞€闄愭€ф繒鍟伴煶 + X绶氬憟鍗风櫦(f膩)鐙€鎴栭洐杌屽緛 + 鏉电媭鎸�(鎱㈡€ф偅鑰呭彲鏈�)銆�

4.鑲虹値

鑲虹値 = 鐭湡鍜冲椊銆佸挸鐥� + 鐧�(f膩)鐔� + 鑲洪儴婵曞暟闊� + 鑳哥墖鐩告噳(y墨ng)琛ㄧ従(xi脿n)銆�

5.鑲虹祼(ji茅)鏍�

鑲虹祼(ji茅)鏍� = 闈掑勾/鎴愪汉澶氳 + 浣庣啽銆佺洔姹� + 鍜冲椊銆佸挸鐥板拰(鎴�)鍜 + 鎶楃敓绱犳不鐧傜劇鏁�(琛€甯歌(gu墨)鐧界窗(x矛)鑳炰笉楂�)銆�

6.鑲烘爴濉�

鑲鸿鏍撴爴濉炵櫏 = 涓嬭偄娣遍潨鑴堣鏍撳舰鎴�(楠ㄦ姌銆佸濞犺嚗搴婄瓑) + 绐佺櫦(f膩)鍛煎洶銆佽兏鐥涖€佸挴琛€銆佹殘鍘� + P2浜㈤€�(j矛n)銆�

7.鑲虹檶

鑲虹檶 = 涓€佸勾 + 鍒烘縺鎬у挸鍡� + 琛€鐥�(鐥颁腑甯惰) + 娑堢槮銆佽钵琛€璨�(鎯＄梾璩�(zh矛)) + X绶�/CT鍗犱綅鎬х梾璁�銆�

8.鍛煎惛琛扮(鍔╃悊涓嶈€�)

鈪犲瀷鍛艰“ = PaO2<60mmHg + PaC02姝ｅ父(甯歌浜庨噸鐧ヨ偤鐐�)銆�

鈪″惛琛扮 = PaO2<60mmHg + PaC02> 50mmHg(甯歌浜嶤OPD)銆�

9.鑳歌厰绌嶆恫(鎯℃€�銆佺祼(ji茅)鏍告€�)(鍔╃悊涓嶈€�)

鑳歌厰绌嶆恫 = 鍛煎惛鍥伴洠 + 鎮ｅ伌(c猫)鑳稿粨椋芥豢 + 鑲洪儴鍙╄ê婵侀煶/瀵�(sh铆)闊� + 鍛煎惛闊虫笡寮辨垨娑堝け + 鑳哥墖绀哄楂樺収(n猫i)浣庡姬褰㈠奖(绌嶆恫闄板奖)銆�

10.琛€鑳稿拰姘ｈ兏

琛€鑳� = 鍛煎惛鍥伴洠 + 鑲洪儴鍙╄ê婵侀煶鎴�?q奴)宓�?+ 姘ｇ銆佺副闅斿彲鍚戝仴鍋�(c猫)绉讳綅 + 浣庤澹撳強澶辫鎬т紤鍏嬭〃鐝�(xi脿n)銆�

闁夊悎鎬�(鍠磾鎬�)姘ｈ兏 = 绐佺櫦(f膩)鑳哥棝銆佸懠鍥� + 鑲洪儴鍙╄ê榧撻煶 + 姘ｇ銆佺副闅斿悜鍋ュ伌(c猫)绉讳綅 + 绌烘埃涓嶈兘鑷敱閫�(j矛n)鍑鸿兏鑶滆厰銆�

寮靛姏鎬�(楂樺鎬�)姘ｈ兏 = 绐佺櫦(f膩)鑳哥棝銆佸懠鍥� + 鑲洪儴鍙╄ê榧撻煶 + 姘ｇ銆佺副闅斿悜鍋ュ伌(c猫)绉讳綅 + 绌烘埃鍙兘閫�(j矛n)銆佷笉鑳藉嚭 + 绺遍殧銆佺毊涓嬫埃鑵�銆�

闁嬫斁鎬�(浜ら€氭€�)姘ｈ兏 = 绐佺櫦(f膩)鑳哥棝銆佸懠鍥� + 鑲洪儴鍙╄ê榧撻煶 + 姘ｇ銆佺副闅斿悜鍋ュ伌(c猫)绉讳綅 + 绌烘埃鍙嚜鐢遍€�(j矛n)鍑鸿兏鑶滆厰 + 鑳搁儴鍚稿惍鍌峰彛 + 绺遍殧鎾插嫊(d貌ng)銆�

11.鑶胯兏(鍔╃悊涓嶈€�)

鎬ユ€ц喛鑳� = 楂樼啽銆佽兏鐥�銆佺櫧绱�(x矛)鑳炲楂� + 鑲洪儴鍙╄ê婵侀煶鎴�?q奴)宓�?+ 姘ｇ銆佺副闅斿彲鍚戝仴鍋�(c猫)绉讳綅銆�

鎱㈡€ц喛鑳� = 闀�(zh菐ng)鏈熶綆鐔� + 鑲洪儴鍙╄ê婵侀煶鎴�?q奴)宓�?+ 姘ｇ銆佺副闅斿彲鍚戞偅鍋�(c猫)绉讳綅銆�

12.鑲嬮楠ㄦ姌

鑲嬮楠ㄦ姌 = 鑳搁儴澶栧偡鍙� + 鑳稿粨鎿犲寰侀櫧(y谩ng)鎬� + 楠ㄦ摝闊虫垨楠ㄦ摝鎰�銆�

澶氭牴澶氳檿鑲嬮楠ㄦ姌 = 鑳搁儴澶栧偡鍙� + 鑳稿粨鎿犲寰侀櫧(y谩ng)鎬� + 鍙嶅父鍛煎惛(閫ｆ灧鑳�)+ 楠ㄦ摝闊虫垨楠ㄦ摝鎰� + 涔熷彲鍑虹従(xi脿n)鐨笅姘ｈ叓鑸囩副闅旀挷鍕�(d貌ng)銆�

銆愪腑閱�(y墨)鍩�(zh铆)妤�(y猫)閱�(y墨)甯ā鎿│椤屻€�

鐩搁爤銆佺浉浣块厤浼嶅彲鐢�(ch菐n)鐢燂細

A.鍗�(xi茅)鍚屼綔鐢�锛屽閫�(j矛n)鐧傛晥

B .鎷姉浣滅敤锛岄檷浣庣檪鏁�

C .娓涙瘨浣滅敤

D.姣掑壇浣滅敤

E.浠ヤ笂閮戒笉鏄�

[绛旀] A

[椤岃В]鐩搁爤銆佺浉浣垮彲浠ヨ捣鍒板崝(xi茅)鍚屼綔鐢紝鑳芥彁楂樿棩鏁�锛屾槸鑷ㄥ簥甯哥敤鐨勯厤浼嶆柟娉曪紝鏁呮噳(y墨ng)閬窤銆�

绶ㄨ集鎺ㄨ枽锛�2022骞村叏鍦�(gu贸)涓啱(y墨)鍩�(zh铆)妤�(y猫)閱�(y墨)甯硣鏍艰€冭│鍚勮€冮粸(di菐n)鑱�(li谩n)绯绘柟寮忓尟绺�

2022骞翠腑閱�(y墨)鍩�(zh铆)妤�(y猫)閱�(y墨)甯硣鏍艰€冭│閲嶈鏅�(sh铆)闁撻粸(di菐n)姊崇悊

2022骞翠腑閱�(y墨)鍩�(zh铆)妤�(y猫)閱�(y墨)甯悇鍦板(sh铆)韪愭妧鑳界钩璨�(f猫i)鏅�(sh铆)闁撳強鏂瑰紡

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