诊疗常规和技术操作规范汇编(印刷版)(一)-非手术科室.doc

该【诊疗常规和技术操作规范汇编(印刷版)(一)-非手术科室 】是由【夜紫儿】上传分享，文档一共【747】页，该文档可以免费在线阅读，需要了解更多关于【诊疗常规和技术操作规范汇编(印刷版)(一)-非手术科室 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。诊疗常规及技术操作规范汇编(二零一二年修订版)(非手术科室)中国医科大学附属盛京医院第1页,共387页诊疗常规及技术操作规范汇编(非手术科室)第一篇急诊常见疾病诊疗常规...........................10第一章心脏骤停....................................................................................................10第二章意识障碍和昏迷...........................................................................................11第三章休克...........................................................................................................13第四章高热...........................................................................................................15第五章大咯血窒息.................................................................................................16第六章高血压危象.................................................................................................17第七章急腹症........................................................................................................17第八章多发创伤....................................................................................................19第九章急性中毒....................................................................................................20第一节有机磷酸酯类杀虫剂中毒.....................................................................20第二节***中毒..........................................................................................21第三节抗抑郁剂中毒......................................................................................22第四节急性一氧化碳中毒...............................................................................22第五节急性酒精中毒......................................................................................23第十章中暑...........................................................................................................23第十一章电击........................................................................................................24第十二章溺水........................................................................................................24第十三章脑卒中....................................................................................................25第一节脑梗塞.................................................................................................25第二节脑出血.................................................................................................26第十四章急诊常用技术操作规范............................................................................26第一节开放静脉通道......................................................................................26第二节动脉穿刺术和置管术............................................................................28第三节气管插管术、气管切开术、气管内吸引................................................29第四节机械通气的临床应用............................................................................36第五节临时心脏起搏......................................................................................38第六节胸腔引流管插入术...............................................................................39第七节鼻胃管插入法和洗胃术........................................................................40第八节肠梗阻导管插入法...............................................................................41第九节导尿管插入术......................................................................................41第十节连续血液净化......................................................................................41第十一节清创缝合术......................................................................................43第二篇血液内科常见疾病诊疗常规........................43第一章贫血...........................................................................................................43第一节缺铁性贫血..........................................................................................44第二节溶血性贫血..........................................................................................45第2页,共387页第三节巨幼红细胞性贫血...............................................................................46第四节再生障碍性贫血...................................................................................47第二章急性白血病.................................................................................................49第三章慢性粒细胞白血病......................................................................................57第四章慢性淋巴细胞白血病...................................................................................58第五章淋巴瘤........................................................................................................59第六章白细胞减少症及粒细胞缺乏症.....................................................................62第七章弥散性血管内凝血(DIC).........................................................................63第八章恶性组织细胞病..........................................................................................64第九章紫癜...........................................................................................................65第一节过敏性紫癜..........................................................................................65第二节特发性血小板减少性紫癜.....................................................................66第十章血友病........................................................................................................67第十一章骨髓系统疾病..........................................................................................69第一节骨髓增生异常综合症............................................................................69第二节多发性骨髓瘤......................................................................................70第三节特发性骨髓纤维化...............................................................................71第十二章血栓性疾病及溶栓、抗凝治疗.................................................................72第十三章血液内科常用技术操作常规...................................................................73第一节骨髓穿刺术..........................................................................................73第二节骨髓活体组织检查术............................................................................74第三篇肾脏内科常见疾病诊疗常规........................75第一章肾脏病护理常规..........................................................................................75第二章原发性肾病综合征......................................................................................75第三章急性肾小球肾炎..........................................................................................77第四章急骤进行型肾小球肾炎(急进型肾炎).......................................................78第五章慢性肾小球肾炎(慢性肾炎).....................................................................80第六章隐匿性肾小球肾病(无症状性血尿或蛋白尿)............................................80第四篇神经内科常见疾病诊疗常规........................81第一章脑血管疾病.................................................................................................81第一节短暂性脑缺血发作(TIA)...................................................................81第二节脑梗死(脑血栓形成)........................................................................82第三节脑出血.................................................................................................83第四节蛛网膜下腔出血(SAH).....................................................................85第二章重症格林巴利综合征...................................................................................86第三章重症肌无力危象..........................................................................................87第四章重症脑出血.................................................................................................87第五章重症脑梗塞.................................................................................................88第六章重症脑膜炎.................................................................................................89第七章重症脑炎....................................................................................................90第八章脑疝...........................................................................................................90第九章癫痫持续状态.............................................................................................91第3页,共387页第十章变性病........................................................................................................92第一节老年痴呆.............................................................................................92第二节震颤麻痹.............................................................................................94第三节lewy体痴呆.........................................................................................95第四节血管性痴呆..........................................................................................96第十一章周围神经病和肌病诊疗常规.....................................................................96第一节Guillain-barre综合征............................................................................96第二节重症肌无力..........................................................................................98第三节多发性肌炎.........................................................................................100第四节运动神经元病.....................................................................................101第五节进行性肌营养不良.............................................................................102第六节线粒体肌病和线粒体脑病....................................................................103第十二章其它.......................................................................................................103第一节脑囊虫病............................................................................................103第二节脑膜炎................................................................................................104第三节病毒性脑膜炎.....................................................................................105第四节结核性脑膜炎.....................................................................................105第五节隐球菌性脑膜炎..................................................................................106第六节脑炎106第十三章神经内科常见技术操作规范....................................................................107第五篇呼吸内科常见疾病诊疗常规.......................108第一章急性上呼吸道感染.....................................................................................108第二章肺炎..........................................................................................................109第三章肺脓肿.......................................................................................................111第四章支气管扩张................................................................................................113第五章支气管哮喘................................................................................................115第六章慢性支气管炎............................................................................................117第七章慢性阻塞性肺疾病.....................................................................................118第八章肺源性心脏病............................................................................................119第九章呼吸衰竭...................................................................................................122第十章支气管肺癌................................................................................................124第十一章胸腔积液................................................................................................126第十二章气胸.......................................................................................................128第十三章呼吸内科常用技术操作规范....................................................................129第一节纤维支气管镜操作规范.......................................................................129第二节胸腔穿刺术.........................................................................................132第三节经皮针刺抽吸肺活检术.......................................................................132第四节胸膜腔闭式引流术..............................................................................133第五节气胸器胸腔抽气术..............................................................................134第六节呼吸机操作规程..................................................................................134第七节无创呼吸机操作规程...........................................................................135第六篇心血管内科常见疾病诊疗常规.....................136第4页,共387页第一章心力衰竭...................................................................................................136第一节慢性心力衰竭.....................................................................................136第二节急性心力衰竭.....................................................................................139第二章心律失常...............................................