2024骞磋(h霉)澹煼(zh铆)妤�(y猫)璩囨牸鑰冭│绉戠洰鍖呮嫭灏堟キ(y猫)瀵�(sh铆)鍕�(w霉)鍜屽(sh铆)韪愯兘鍔涘叐绉�锛岃€冪敓鍦ㄥ倷鑰冮亷(gu貌)绋嬩腑闇€瑕佺悊瑙ｅ苟鑳岃鐭ヨ瓨(sh铆)銆傜挵(hu谩n)鐞冪恫(w菐ng)鏍″煼(zh铆)妤�(y猫)璀�(h霉)澹牷閬撶偤澶у?gu墨)顫�?l谩i)“2024骞磋(h霉)澹煼(zh铆)妤�(y猫)璩囨牸鑰冭│瑷�(j矛)绠楀叕寮忓尟绺�”锛屼竴璧蜂締(l谩i)瑷樻喍鍚�銆�

娉ㄦ剰锛氭兂鍙婃檪(sh铆)浜嗚В2024骞磋(h霉)澹煼(zh铆)妤�(y猫)璩囨牸鑰冭│鍫�(b脿o)鍚嶆檪(sh铆)闁撱€佺钩璨�(f猫i)鏅�(sh铆)闁�銆佹簴(zh菙n)鑰冭瓑鎵撳嵃鏅�(sh铆)闁�銆佹垚绺�(j墨)鏌ヨ鏅�(sh铆)闁撱€佽瓑鏇搁牁(l菒ng)鍙栨檪(sh铆)闁撶瓑鏅�(sh铆)闁撶瘈(ji茅)榛�(di菐n)锛屾杩庝娇鐢�“ 鍏嶈不(f猫i)闋�(y霉)绱勭煭淇℃彁閱�”鏈嶅嫏(w霉)锛屽眴鏅�(sh铆)鎴戝€戝皣浠ョ煭淇″舰寮忔彁閱掓偍閲嶈鑰冭│绡€(ji茅)榛�(di菐n)锛�

1.灏忓厭楂旈噸(kg)鐨勮▓(j矛)绠�

1鈭�6鍊�(g猫)鏈堬細鍑虹敓楂旈噸+鏈堥健×0.7銆�

7鈭�12鍊�(g猫)鏈堬細6+鏈堥健×0.25銆�

2鈭�12姝诧細骞撮健×2+8銆�

娉細鍑虹敓楂旈噸骞冲潎鐐�3kg锛岀敓鍚�3鈭�4鍊�(g猫)鏈堟檪(sh铆)楂旈噸绱勭偤鍑虹敓鏅�(sh铆)鐨�2鍊�銆�1姝叉檪(sh铆)绱勭偤3鍊嶏紝2姝叉檪(sh铆)绱勭偤4鍊�銆�

2.灏忓厭韬珮鐨勮▓(j矛)绠�

鍑虹敓鏅�(sh铆)绱勭偤50cm锛屽崐姝叉檪(sh铆)绱勭偤65cm锛�1姝叉檪(sh铆)75cm锛�2姝叉檪(sh铆)85cm锛�2鈭�12姝茶韩楂�(cm) =骞撮健×7+77銆�

娉細韬珮浣庝簬姝ｅ父鐨�30%鍗崇偤鐣板父銆�

3.闋湇锛氬嚭鐢熸檪(sh铆)鐐�33鈭�34cm锛�1姝蹭互鍏�(n猫i)澧為暦(zh菐ng)鏈€蹇�銆�1姝叉檪(sh铆)46cm锛�2 姝叉檪(sh铆)48cm锛�5姝叉檪(sh铆)50cm锛�15姝叉帴杩戞垚浜�54鈭�58cm銆�

娉細闋湇娓�(c猫)閲忓湪2姝插墠鏈€鏈夊児(ji脿)鍊�銆�

4.鑳稿湇

鍑虹敓鏅�(sh铆)骞冲潎32cm锛�1姝叉檪(sh铆)闋湇鑸囪兏鍦嶅ぇ鑷寸浉绛�锛岀磩46cm銆�

5.鐗欓綊

2姝蹭互鍏�(n猫i)涔崇墮瑷�(j矛)绠楀叕寮忥細鏈堥健锛�(4鈭�6)銆�

娉細鍑虹敓鍚�4鈭�10鍊�(g猫)鏈堜钩鐗欓枊(k膩i)濮嬭悓鍑�锛�12鍊�(g猫)鏈堟湭钀屽嚭鑰呯偤鍑虹墮寤堕伈銆�

6.鍓嶅洘

鍑虹敓鏅�(sh铆)鐐�1.5鈭�2.0cm锛�1鈭�1.5 姝�(12鈭�18鍊�(g猫)鏈�)鎳�(y墨ng)闁夊悎銆�

7.鍏ㄨ剛濂剁矇鎸夐噸閲忛厤缃檪(sh铆)锛屽叾姣斾緥1: 8;锛涙寜瀹圭⿳1: 4銆�

灏忓厭姣忔棩姣忓崈鍏嬮珨閲嶉渶瑕�8% 鐨勭硸鐗涗钩110ml銆備緥濡傦細灏忓厭3鍊�(g猫)鏈�锛�5kg锛屾瘡鏃ラ渶瑕�8%鐨勭硸鐗涗钩鐨勯噺鐐哄灏戯紵 鍗�5×110=550銆�

8.灏忓厭钘ョ墿鐨勫姂閲忚▓(j矛)绠�

(1)鎸夐珨閲嶏細姣忔棩(1娆�)鍔戦噺=鎮ｅ厭楂旈噸(kg) ×姣忔棩(1娆�)姣忓叕鏂ら珨閲嶆墍闇€钘ラ噺銆�

(2)鎸夐珨琛ㄩ潰绌嶏細楂旈噸<30kg锛屽皬鍏掗珨琛ㄩ潰绌�=楂旈噸×0.035 +0.1.

楂旈噸>30kg锛屽皬鍏掗珨琛ㄩ潰绌�=(楂旈噸-30) ×0.02 +1.05銆�

灏忓厭鍔戦噺=姣忓钩鏂圭背楂旇〃闈㈢⿳鐨勫姂閲�×灏忓厭楂旇〃闈㈢⿳銆�

(3)鎸夋垚浜哄姂閲忔姌绠楋細灏忓厭鍔戦噺=鎴愪汉鍔戦噺×灏忓厭楂旈噸/50銆�

9.琛€澹�(2姝蹭互鍚庢敹绺鍏紡)

鏀剁府澹�= 骞撮健×2+80mmHg( 骞撮健×0.26 +10.7kpa)銆�

鑸掑嫉澹�=鏀剁府澹�×2/3銆�

娉細鏂扮敓鍏掓敹绺骞冲潎鐐�60鈭�70mmHg锛�1姝叉檪(sh铆)70鈭�80mmHg锛屾脯(c猫)琛€澹撴檪(sh铆)锛岃甯跺搴︾磩鐐轰笂鑷傞暦(zh菐ng)搴︾殑2/3 鐐哄疁銆�

10.鐕掑偡瑁�(b菙)娑插強闈㈢⿳鐨勮▓(j矛)绠楋細 鐕掑偡闈㈢⿳鏄互鐕掑偡閮ㄤ綅鑸囧叏韬珨琛ㄩ潰绌嶇櫨鍒嗘瘮瑷�(j矛)绠楃殑銆�

绗竴鍊�(g猫)24灏忔檪(sh铆)瑁�(b菙)娑�=楂旈噸(kg) ×鐕掑偡闈㈢⿳(%) ×1.5(ml)鍔�2000ml 鐢熺悊闇€瑕侀噺銆�

绗簩鍊�(g猫)24 灏忔檪(sh铆)瑁�(b菙)娑查噺鐐虹涓€鍊�(g猫)24灏忔檪(sh铆)瑷�(j矛)绠楅噺鐨勪竴鍗�锛屾棩鐢熺悊闇€瑕侀噺涓嶈畩銆�

11.瑷�(j矛)绠楀熀绀�(ch菙)浠ｈ瑵鐜囷細BMR=鑴堢巼锛嬭剤澹�-111銆�

12.鍚告哀婵冨害(%) =21锛�4 ×姘ф祦閲�(L/min )

13.娓�(c猫)閲�5鍊�(g猫)鎴�5鍊�(g猫)浠ヤ笂鐨凱-P 鎴朢-R 闁撴湡锛岃▓(j矛)绠楀叾骞冲潎鍊硷紝60 闄や互瑭插懆鏈熷嵆鐐烘瘡鍒嗛悩鐨勫績鐜�锛屼緥濡傦細鏌愯€佸勾浜哄績闆诲湒妾㈡煡锛屽父瑕�(gu墨)蹇冮浕鍦栧钩鍧嘝-P 闁撻殧鐐�15 鍊�(g猫)灏忔牸锛屽叾蹇冪巼鐐猴紵

鍗�60/(15×0.04)=100(娆�/鍒�)銆�

14.娴侀€熷拰杓告恫鎵€鐢ㄦ檪(sh铆)闁撶殑瑷�(j矛)绠�

姣忓垎閻樻淮鏁�(sh霉)= [娑查珨绺介噺(ml) ×榛�(di菐n)婊寸郴鏁�(sh霉)]/杓告恫鎵€鐢ㄦ檪(sh铆)闁�(鍒嗛悩)銆�

杓告恫鎵€鐢ㄦ檪(sh铆)闁�(灏忔檪(sh铆))= [娑查珨绺介噺(ml) × 榛�(di菐n)婊寸郴鏁�(sh霉)]/姣忓垎閻樻淮鏁�(sh霉)×60( 鍒嗛悩)銆�

娉細榛�(di菐n)婊寸郴鏁�(sh霉)鐐烘瘡姣崌婧舵恫鐨勬淮鏁�(sh霉)锛屽彲鏈夊绋紝鏈€甯歌(ji脿n)鐨勬槸15婊�/ml銆�

15.鑰佸勾浜洪亱(y霉n)鍕�(d貌ng)鍚庢渶瀹滃績鐜�=170-骞撮健銆�

16.闋�(y霉)鐢�(ch菐n)鏈熻▓(j矛)绠�

鏈鏈堢稉(j墨ng)绗竴澶╄捣锛屾湀浠芥笡3鎴栧姞9锛屾棩鏈熷姞7(闄版鏃ユ湡鍔�15)銆�

17.鑳庡厭韬暦(zh菐ng)銆侀珨閲嶈▓(j矛)绠楀叕寮�

濡婂20鍛ㄥ墠锛氳韩闀�(zh菐ng)(cm)=濡婂鏈堟暩(sh霉)鐨勫钩鏂�锛涢珨閲�(B)=濡婂鏈堟暩(sh霉)鐨勭珛鏂�×2锛涘濞�20鍛ㄥ悗锛氳韩闀�(zh菐ng)(em)=濡婂鏈堟暩(sh霉)×5锛涢珨閲�(B)=濡婂鏈堟暩(sh霉)鐨勭珛鏂�×3銆�

18.鐕掑偡闈㈢⿳瑷�(j矛)绠楁柟娉�(蹇呰儗)

(1)鏂颁節鍒嗘硶锛氶牠銆侀牳銆侀潰鍚勫崰3%锛屽叡鍗�9%锛涢洐涓婅偄( 闆欎笂鑷�7%銆侀洐鍓嶈噦6%銆侀洐鎵�5% )鍏卞崰18%锛涜粈骞�( 鍓�139%銆佸悗13%銆佹渻(hu矛)璺�1%)鍏卞崰27%锛涢洐涓嬭偄(鍏╁ぇ鑵�21%銆佸叐灏忚吙13%銆侀洐鑷€5%銆佽冻7% )鍏卞崰46%銆�

(2) 鎵嬫帉娉曪細鍌峰摗鑷繁鎵嬫帉鐨勯潰绌嶏紝绛変簬鑷繁韬珨闈㈢⿳鐨�1%瑷�(j矛)绠�銆�

(3)鍏掔楂旇〃闈㈢⿳鐨勮▓(j矛)绠楋細灏忓厭闋儴闈㈢⿳鐐�9 + (12锛嶅勾榻�)锛涘皬鍏掗洐涓嬭偄闈㈢⿳鐐�46 锛�(12锛嶅勾榻�)銆�

浠ヤ笂灏辨槸鐠�(hu谩n)鐞冪恫(w菐ng)鏍＄法杓偤澶у鏁寸悊鐨�“2024骞磋(h霉)澹煼(zh铆)妤�(y猫)璩囨牸鑰冭│瑷�(j矛)绠楀叕寮忓尟绺�”鐩搁棞(gu膩n)鍏�(n猫i)瀹广€傚悇浣嶈€冪敓濡傛兂浜嗚В鏇村鑰冭│璩囪▕锛岃珛(q菒ng)瀵嗗垏闂�(gu膩n)娉ㄨ(h霉)澹煼(zh铆)妤�(y猫)璩囨牸鑰冭│娆勭洰锛屼篃鍙互浣跨敤 鍏嶈不(f猫i)闋�(y霉)绱勭煭淇℃彁閱�鍔熻兘鐛插彇閲嶈鑰冭│鏅�(sh铆)闁撶瘈(ji茅)榛�(di菐n)銆傜挵(hu谩n)鐞冪恫(w菐ng)鏍＄偤澶у婧�(zh菙n)鍌欎簡璀�(h霉)澹煼(zh铆)妤�(y猫)璩囨牸鑰冭│绮捐瑳鐭ヨ瓨(sh铆)榛�(di菐n)銆佺湡椤岀瓟妗堣垏瑙ｆ瀽绛夊倷鑰冭硣鏂欙紝榛�(di菐n)鎿�鍏嶈不(f猫i)涓嬭級鍗冲彲闋�(l菒ng)鍙栬硣鏂�锛屽笇鏈涜€冪敓鍊戝ソ濂藉京(f霉)缈�(x铆)锛侀爯(y霉)绁濆ぇ瀹惰€冭│闋嗗埄~