picco護(hù)理講課專(zhuān)題知識(shí)

picco護(hù)理講課專(zhuān)題知識(shí)picco護(hù)理講課專(zhuān)題知識(shí)第1頁(yè)2.PiCCO原理內(nèi)容1.什么是PiCCO3.PiCCO操作picco護(hù)理講課專(zhuān)題知識(shí)第2頁(yè)什么是PiCCOpicco護(hù)理講課專(zhuān)題知識(shí)第3頁(yè)P(yáng)ICCO:PulseindexcontinuousCardiacoutput

脈搏指示連續(xù)心排血量監(jiān)測(cè)picco護(hù)理講課專(zhuān)題知識(shí)第4頁(yè)3次熱稀釋校準(zhǔn)經(jīng)肺熱稀釋曲線(xiàn)injectiontT

動(dòng)脈脈搏輪廓分析Pt

經(jīng)熱稀釋方法得到非連續(xù)性參數(shù)

心輸出量 CO

全心舒張末期容積 GEDV

胸腔內(nèi)血容量ITBV

血管外肺水 EVLW*

肺血管通透性指數(shù)PVPI*

心功效指數(shù)CFI

全心射血分?jǐn)?shù)GEF

動(dòng)脈輪廓分析法得到連續(xù)性參數(shù)

連續(xù)心輸出量PCCO

動(dòng)脈壓AP

心率HR

每搏量SV

每搏量變異SVV

脈壓變異PPV

系統(tǒng)血管阻力SVR

左心室收縮力指數(shù)dPmx*血液動(dòng)力學(xué)和容量進(jìn)行監(jiān)護(hù)管理PICCO=兩種技術(shù)+兩個(gè)別參數(shù)picco護(hù)理講課專(zhuān)題知識(shí)第5頁(yè)

熱稀釋參數(shù)

心輸出量 CO

全心舒張末期容積

GEDV

胸腔內(nèi)血容積 ITBV

血管外肺水

EVLW

肺血管通透性指數(shù) PVPI

心功效指數(shù) CFI

全心射血分?jǐn)?shù)

GEFPiCCO測(cè)量以下參數(shù)：

脈搏輪廓參數(shù)

脈搏連續(xù)心輸出量 PCCO

每搏量 SV

心率 HR

每搏量變異 SVV

脈壓變異 PPV

動(dòng)脈壓力 AP

系統(tǒng)血管阻力 SVR

左心室收縮指數(shù) dPmxpicco護(hù)理講課專(zhuān)題知識(shí)第6頁(yè)P(yáng)iCCO

plus

連接示意圖中心靜脈導(dǎo)管注射液溫度探頭容納管（T型管）動(dòng)脈熱稀釋導(dǎo)管

注射液溫度電纜PULSION一次性壓力傳感器PCCIAP13.0316.28

TB37.0AP14011792(CVP)5SVRI2762PCCI3.24HR78SVI42SVV5%dPmx1140(GEDI)625

溫度測(cè)量電纜壓力電纜picco護(hù)理講課專(zhuān)題知識(shí)第7頁(yè)P(yáng)iCCO原理picco護(hù)理講課專(zhuān)題知識(shí)第8頁(yè)彈丸注射肺PiCCO導(dǎo)管如：股動(dòng)脈

經(jīng)肺熱稀釋技術(shù)需要在中心靜脈注射冷鹽水(<8°C)或室溫鹽水(<24°C)RALARVLVPBVEVLWpicco護(hù)理講課專(zhuān)題知識(shí)第9頁(yè)RALARVLVPBVEVLWRALARVLVPBVRALARVLVGEDVITBVITTV胸腔內(nèi)總熱容積，從注射點(diǎn)到測(cè)量熱容積之和胸腔血容積全心舒張末期容積picco護(hù)理講課專(zhuān)題知識(shí)第10頁(yè)P(yáng)BVEVLWEVLWEVLWPTV肺內(nèi)熱容積，在一系列混合腔室中含有最大熱容積血管外肺水picco護(hù)理講課專(zhuān)題知識(shí)第11頁(yè)COxMTtcold=coldindicatorvolumeofdistributionRALARVLVPBVEVLWCOxMTtICG=ICGvolumeofdistributionEVLWEVLWRALARVLVPBVITBVITTVITBVITTV=-picco護(hù)理講課專(zhuān)題知識(shí)第12頁(yè)深入分析熱稀釋曲線(xiàn)MTt:平均傳輸時(shí)間（MeanTransittime）

大約二分之一指示劑經(jīng)過(guò)動(dòng)脈測(cè)量點(diǎn)時(shí)間DSt:下降時(shí)間（DownSlopetime）

熱稀釋曲線(xiàn)指數(shù)下降時(shí)間計(jì)算容積，需要知道…lnTb注射再循環(huán)影響MTtte-1DStTb…以及…

全部容量參數(shù)都是對(duì)熱稀釋曲線(xiàn)更深入分析得到：將熱稀釋曲線(xiàn)取對(duì)數(shù)后進(jìn)行標(biāo)識(shí)，PiCCO將開(kāi)始定點(diǎn)在最大溫度反應(yīng)75%處，終點(diǎn)定在最大溫度反應(yīng)45%處，兩點(diǎn)之間（約30%）時(shí)間差被稱(chēng)為下斜時(shí)間→指數(shù)下斜時(shí)間（DSt）。picco護(hù)理講課專(zhuān)題知識(shí)第13頁(yè)MTt與DStMTt時(shí)間長(zhǎng)短代表了指示劑經(jīng)過(guò)系統(tǒng)需要時(shí)間。假如將心輸出量與MTt相乘，得到結(jié)果就是從注入點(diǎn)和探測(cè)點(diǎn)之間指示劑分布容量。DSt代表了將染料清洗出肺部所需時(shí)間，當(dāng)為溫度指示劑時(shí)，假如將它與流經(jīng)系統(tǒng)流量相乘，得到結(jié)果就是肺溫度容量(PTV)。picco護(hù)理講課專(zhuān)題知識(shí)第14頁(yè)經(jīng)肺熱稀釋測(cè)量：Newman模型Newmanetal,Circulation1951Vall=

V1+V2+V3+V4+V5=MTtxCO

=ITTVMeieretal.JApplPhysiol.1954V3=

最大腔容積 =DStx

CO=PTVNewmanetal.Circulation.1951指示劑由注射點(diǎn)到檢測(cè)點(diǎn)平均傳輸時(shí)間MTt由兩點(diǎn)間總?cè)莘e決定下降時(shí)間DSt由其中最大腔室決定(比其它腔最少大20%成立!)flowV3V4V2V1注射

檢測(cè)V5picco護(hù)理講課專(zhuān)題知識(shí)第15頁(yè)RAEDVPTVLAEDVLVEDVRVEDV胸腔總熱容積（ITTV）ITTV=CO*MTtTDa肺內(nèi)總熱容積（PTV）PTV=CO*DStTDa全心舒張末期容積GEDV

=ITTV-PTVRAEDVRVEDVLAEDVLVEDVRAEDVRVEDVLAEDVLVEDVPTVPTVpicco護(hù)理講課專(zhuān)題知識(shí)第16頁(yè)

全心舒張末期容積（GlobalEnddiastolicVolume，GEDV）是舒張末時(shí)心臟4個(gè)腔室容積之和PTVRAEDVLAEDVLVEDVRVEDVGEDVGEDV=ITTV-PTVITTV

GEDV是ITTV與PTV之差picco護(hù)理講課專(zhuān)題知識(shí)第17頁(yè)

胸腔內(nèi)血容積（IntrathoracicBloodVolume，ITBV）是全心舒張末期容積（GEDV）+肺血管內(nèi)血液容積（PBV）ITBV

=PBV+GEDVRVEDVLAEDVLVEDVPBVRAEDVITBV最初用染料稀釋法得到（雙指示劑法，COLD系統(tǒng)），并顯示與經(jīng)過(guò)熱稀釋法測(cè)量得到GEDV之間存在著相關(guān)性ITBV=1.25xGEDVITBVTD(ml)r=0.96ITBV=1.25*GEDV–28.4[ml]GEDVvs.ITBVin57intensivecarepatientsSakkaetal,IntensiveCareMed26:180-187,picco護(hù)理講課專(zhuān)題知識(shí)第18頁(yè)血管外肺水EVLWEVLWRAEDVRVEDVLAEDVLVEDVPTVEVLWITBVITTVRAEDVRVEDVLAEDVLVEDVPBV

血管外肺水（ExtravascularLungWater，EVLW）反應(yīng)肺間質(zhì)內(nèi)含有水量，經(jīng)過(guò)ITTV與ITBV之差得到picco護(hù)理講課專(zhuān)題知識(shí)第19頁(yè)ITTV=CO*MTtTDaPTV=CO*DStTDaITBV

=1.25*GEDVEVLW=ITTV-ITBVGEDV

=ITTV-PTVRAEDVRVEDVLAEDVLVEDVRAEDVRVEDVLAEDVLVEDVPBVRAEDVRVEDVLAEDVLVEDVPTVPTVEVLWEVLW容量計(jì)算——小結(jié)picco護(hù)理講課專(zhuān)題知識(shí)第20頁(yè)肺血管通透性指數(shù)

肺血管通透性指數(shù)（PulmonaryVascularPermeabilityIndex，PVPI）是血管外肺水（EVLW）與肺血容積（PBV），反應(yīng)了肺水腫類(lèi)型PulmonarvBlood

Volume靜水壓肺水腫通透性肺水腫PVPI=PBVEVLW正常升高升高PVPI=PBVEVLW升高升高正常PVPI=PBVEVLW正常正常正常PBVEVLWPBVEVLWPBVEVLW正常ExtraVascularLungWaterpicco護(hù)理講課專(zhuān)題知識(shí)第21頁(yè)全心射血分?jǐn)?shù)（GEF）（經(jīng)肺熱稀釋導(dǎo)管）GEF=GEDV4xSVRVEF=RVEDVSVLVEF=LVEDVSV右心室射血分?jǐn)?shù)（RVEF）（肺動(dòng)脈熱稀釋導(dǎo)管）左心室射血分?jǐn)?shù)（LVEF）（心臟超聲）12&3全心射血分?jǐn)?shù)右心左心肺PBVEVLWEVLWRAEDVRVEDVLVEDV每搏量（SV）LAEDV

射血分?jǐn)?shù)：與每搏量和舒張末期容積相關(guān)picco護(hù)理講課專(zhuān)題知識(shí)第22頁(yè)

經(jīng)過(guò)對(duì)分析每一次心臟跳動(dòng)（beatbybeat）時(shí)動(dòng)脈壓力波型，得到連續(xù)參數(shù)t-?Tt-?T校正t[s]P[mmHg]SV脈搏輪廓分析－原理熱稀釋法測(cè)量得到CO測(cè)量血壓(P(t),MAP,CVP)

經(jīng)過(guò)經(jīng)肺熱稀釋校正后，能夠測(cè)量每一次心臟跳動(dòng)每搏量（SV）picco護(hù)理講課專(zhuān)題知識(shí)第23頁(yè)左心室收縮力指數(shù)t[s]P[mmHg]

dPmx= 動(dòng)脈壓力曲線(xiàn)上數(shù)值最大dP/dt

dPmx反應(yīng)了左心室壓力增加速度，是心肌收縮力參數(shù)picco護(hù)理講課專(zhuān)題知識(shí)第24頁(yè)SVmaxSVminSVmeanSVmax–SVminSVV=SVmean每搏量變異

每搏量變異（StrokeVolumeVariation，SVV）反應(yīng)了每搏量隨通氣周期改變情況。SVV是...…過(guò)去30秒測(cè)量結(jié)果…只適合用于心律規(guī)律完全機(jī)械通氣病人picco護(hù)理講課專(zhuān)題知識(shí)第25頁(yè)脈壓變異PPmax–PPminPPV=PPmeanPPmaxPPmeanPPmin

脈壓變異反應(yīng)了脈壓隨通氣周期改變情況PPV是...…過(guò)去30秒測(cè)量結(jié)果…只適合用于心律規(guī)律完全機(jī)械通氣病人picco護(hù)理講課專(zhuān)題知識(shí)第26頁(yè)SVPreloadVVVSVSVSVNormalcontractilityPreload,COandFrank-StarlingMechanismtargetareavolumeresponsivevolumeoverloaded27picco護(hù)理講課專(zhuān)題知識(shí)第27頁(yè)SVV反應(yīng)了心臟對(duì)因機(jī)械通氣造成前負(fù)荷周期性改變敏感性。SVV可用于預(yù)測(cè)擴(kuò)容治療對(duì)每搏量提升程度。對(duì)于沒(méi)有心律失常完全機(jī)械通氣病人而言，每搏量變異-SVVpicco護(hù)理講課專(zhuān)題知識(shí)第28頁(yè)肺水

血管外肺水（EVLW）與ARDS嚴(yán)重程度、機(jī)械通氣天數(shù)、住ICU時(shí)間及死亡率明確相關(guān)，在評(píng)定肺水腫方面優(yōu)于胸部X線(xiàn)。ELWI=7ml/kgELWI=8ml/kgELWI=14ml/kgELWI=19ml/kgExtravascularlung

waterindex

(ELWI)

normalrange:

3–7ml/kgPulmonaryoedemaNormalrangepicco護(hù)理講課專(zhuān)題知識(shí)第29頁(yè)

PiCCO操作picco護(hù)理講課專(zhuān)題知識(shí)第30頁(yè)

任一標(biāo)準(zhǔn)中心靜脈通路

PiCCO熱稀釋動(dòng)脈導(dǎo)管 －獨(dú)特微創(chuàng)設(shè)計(jì)，對(duì)病人進(jìn)行血流動(dòng)力學(xué)和容量監(jiān)測(cè) －全部PiCCO參數(shù)都不需要肺動(dòng)脈導(dǎo)管 －用Seldinger技術(shù)進(jìn)行放置 －針對(duì)成人和兒童病人有各種型號(hào)配置 －在病人身體內(nèi)留置時(shí)間到達(dá)10天甚至更多

注射液溫度探頭容納管（PV4046）壓力傳感系統(tǒng)（PV8115）包含PV4046型號(hào)PVL07PVL08PVL16PVL20PVL50LGWA口徑3F(~20G)/0,9mm4F(~18G)/1,4mm4F(~18G)/1,4mm5F(~16G)/1,7mm4F(~18G)/1,4mm長(zhǎng)度7cm8cm16cm20cm50cm適合放位置兒童，股動(dòng)脈成人，腋動(dòng)脈成人（小體型）股動(dòng)脈成人股動(dòng)脈成人橈動(dòng)脈picco護(hù)理講課專(zhuān)題知識(shí)第31頁(yè)中心靜脈導(dǎo)管注射液溫度探頭容納管PV4046動(dòng)脈熱稀釋導(dǎo)管(e.g.PVL20)注射液溫度電纜PULSION一次性壓力傳感器PCCIAP13.0316.28

TB37.0AP14011792(CVP)5SVRI2762PCCI3.24HR78SVI42SVV5%dPmx1140(GEDI)625

溫度測(cè)量電纜PC80150壓力線(xiàn)PMK-206(e.g.PV8115)PC80109picco護(hù)理講課專(zhuān)題知識(shí)第32頁(yè)擴(kuò)張器和動(dòng)脈溫度電纜連接導(dǎo)絲20G2穿刺針18G測(cè)動(dòng)脈壓力腔

PiCCOPULSIOCATH動(dòng)脈熱稀釋導(dǎo)管內(nèi)容:picco護(hù)理講課專(zhuān)題知識(shí)第33頁(yè)一旦改動(dòng)病人住院號(hào)，日期時(shí)間或者病人相關(guān)信息，系統(tǒng)就會(huì)默認(rèn)開(kāi)始監(jiān)測(cè)新病人假如對(duì)同一個(gè)病人進(jìn)行監(jiān)測(cè),直接按.開(kāi)機(jī)，經(jīng)過(guò)自檢以后：病人信息PatientHeight0020075.0kg175cmNo09.12.14:37Newpatient?PULSIONPiCCOplusWeightLastpatientcalibrationat:V5.2.2nonUS1221picco護(hù)理講課專(zhuān)題知識(shí)第34頁(yè)把壓力傳感器和外界壓力相通按調(diào)零...下個(gè)頁(yè)面壓力調(diào)零菜單APZEROING15mmHgZeroadjustmeasuredAPapply0mmHg123先為PiCCOplus調(diào)零然后是床邊監(jiān)護(hù)調(diào)零！picco護(hù)理講課專(zhuān)題知識(shí)第35頁(yè)如有需要,把壓力傳感器和心臟之間壓力差經(jīng)過(guò)按

輸入AP調(diào)整菜單…去主菜單APCORRECTIONAPCorrection0cm每次更改過(guò)AP-correction值以后，都要對(duì)連續(xù)心輸出量重新校準(zhǔn)（連續(xù)三次熱稀釋測(cè)量）!!!picco護(hù)理講課專(zhuān)題知識(shí)第36頁(yè)輸入菜單(I)為了計(jì)算index值，務(wù)必鍵入病人身高體重。*更改此處數(shù)值會(huì)刪除全部之前數(shù)據(jù)!PatientWeightHeightCathetertypePVL20InjectatetempsensorInjectatetemperatureInjVol(min.15ml)CVPRangePCCORangeAPWarningPCCO0020075.0kg175cmACC:342PV<24°C15ml10mmHg0..10l/min60..160mmHg0.2..8.6l/minINPUT*4046picco護(hù)理講課專(zhuān)題知識(shí)第37頁(yè)輸入菜單(II)假如耗材連接正常，ACC（動(dòng)脈導(dǎo)管常量）和

InjectatetemperatureSensorHousing（注射液溫度探頭容納管）會(huì)自動(dòng)被識(shí)別,。<24°C=室溫水注射<8°C=冰水注射PatientWeightHeightCathetertypePVL20InjectatetempsensorInjectatetemperatureInjVol(min.15ml)CVPRangePCCORangeAPWarningPCCO0020075.0kg175cmACC:342PV<24°C15ml10mmHg0..10l/min60..160mmHg0.2..8.6l/minINPUT4046picco護(hù)理講課專(zhuān)題知識(shí)第38頁(yè)最小推薦注射量會(huì)依據(jù)病人體重出現(xiàn)在括號(hào)里面(),參數(shù)能夠能夠經(jīng)過(guò)按來(lái)更改

被選中參數(shù)能夠經(jīng)過(guò)按來(lái)更改數(shù)值

20ml15ml100kg15ml10ml<100kg10ml5ml<50kg5ml3ml<25kg3ml2ml<10kg3ml2ml<3kgWeightofpat.ForcoldinjectateForroomtemp.injectatePV4046輸入菜單(III)PatientWeightHeightCathetertypePVL20InjectatetempsensorInjectatetemperatureInjVol(min.15ml)CVPRangePCCORangeAPWarningPCCO0020075.0kg175cmACC:342PV<24°C15ml10mmHg0..10l/min60..160mmHg0.2..8.6l/minINPUT4046picco護(hù)理講課專(zhuān)題知識(shí)第39頁(yè)輸入菜單(IV)當(dāng)CVP值改變±5，則需要更新CVP值來(lái)準(zhǔn)確計(jì)算SVR連續(xù)心輸出量和動(dòng)脈壓顯示上下限范圍連續(xù)心輸出量報(bào)警上下限PatientWeightHeightCathetertypePVL20InjectatetempsensorInjectatetemperatureInjVol(min.15ml)CVPRangePCCORangeAPWarningPCCO0020075.0kg175cmACC:342PV<24°C15ml10mmHg0..10l/min60..160mmHg0.2..8.6l/minINPUT4046picco護(hù)理講課專(zhuān)題知識(shí)第40頁(yè)主菜單壓力調(diào)零菜單

脈搏輪廓測(cè)量顯示頁(yè)

輸入菜單

熱稀釋測(cè)量顯示頁(yè)

V5.2.2nonUSPULSIONPiCCOplus設(shè)置菜單

3215412345picco護(hù)理講課專(zhuān)題知識(shí)第41頁(yè)CONFIGURATIONDate (changedeletespreviousresults)Parameterselection individualDisplayspan

ENG5dLoudnessTime15:33409.12.02 LanguageConfigureDisplay(CVP) SVR

PVPI(individual)SVVSVPPV/dPmxGEF/CFITBPPV/dPmxGEF/CFIITBV/GEDVondPmxGEDVonononononononCFI個(gè)體參數(shù)設(shè)置:基礎(chǔ)設(shè)置: 最常見(jiàn)參數(shù)作為默認(rèn)顯示個(gè)體選擇:用戶(hù)能夠依據(jù)自己需要選擇顯示參數(shù) (除了最關(guān)鍵一些PiCCO參數(shù))*假如更改了時(shí)間日期，病人相關(guān)數(shù)據(jù)會(huì)被刪除，系統(tǒng)準(zhǔn)備監(jiān)測(cè)一個(gè)新病人.設(shè)置菜單–參數(shù)選擇**picco護(hù)理講課專(zhuān)題知識(shí)第42頁(yè)1177109.12.15:33TB37.0AP97**.****788%153012*************TIMESTCICFIGEDIELWIMEANREADY TI20(CVP)PCHRSVI*****.****.*****SVRICISVVdPmx(GEDI)010s20s熱稀釋測(cè)量顯示頁(yè)(I)2按進(jìn)行一次熱稀釋測(cè)量.首先是基線(xiàn)測(cè)量，等出現(xiàn)“STABLE“3注射要穩(wěn)而快，注射時(shí)間需要小于5秒鐘.010s20s1177109.12.15:33TB37.0AP97**.****788%153012*************TIMESTCICFIGEDIELWIMEAN(CVP)PCHRSVI*****.****.*****SVRICISVVdPmx(GEDI)010s20sINJECTION TI2000200002002311picco護(hù)理講課專(zhuān)題知識(shí)第43頁(yè)按進(jìn)行下一次熱稀釋測(cè)量

010s20s010s20s010s20s

1177109.1215:33

TB37.0AP9712

TIMESTCICFIGEDIELWI

T0.24/TI12(CVP)(GEDI)SVRICIHRSVISVVPPVPC21572.3878388%12%4792.92

4.3479

11:492.924.37

7

010s20s2初始連續(xù)進(jìn)行3次熱稀釋測(cè)量，對(duì)連續(xù)心輸出量進(jìn)行校準(zhǔn)3.....按到info頁(yè)面MEAN*002004791123不要忘記去輸入菜單把注射水更改為<8°C*假如EVLWI10ml/kg則推薦冰水注射.熱稀釋測(cè)量顯示頁(yè)(II)picco護(hù)理講課專(zhuān)題知識(shí)第44頁(yè)

010s20s010s20s010s20s

1177109.1215:33TB37.0AP9712TIMESTCIGEFGEDIELWI15:29

T0.31/TI12(CVP)(GEDI)02.96244808SVRICIHRSVISVVPPVPC21572.3878388%12%479

010s20s

010s20s010s20s010s20s

09.1215:33TB37.0

T0.31/TI1202.8126450807:0303.0624474807:053.16264898011:5603.2226496811:582.9025475711:5903.2426509815:0502.922415:063.1525502815:292.96244808MEAN2.96244808TIMESTCIGEFGEDIELWI11771AP9712(CVP)(GEDI)SVRICIHRSVISVVPPVPC21572.3878388%12%47907:02按鍵還能夠顯示最近5次測(cè)量曲線(xiàn)。熱稀釋測(cè)量info頁(yè)面Info頁(yè)面提供前50次熱稀釋測(cè)量情況細(xì)節(jié)002000020000052061221刪除一個(gè)有效熱稀釋測(cè)量結(jié)果,先選中要?jiǎng)h除測(cè)量結(jié)果，再按功效鍵兩次。picco護(hù)理講課專(zhuān)題知識(shí)第45頁(yè)

010s20s010s20s010s20s

09.1215:33

TB37.0TIMESTCICFIGEDIELWI

T0.31/TI1215:0502.925.0489

11:5903.245.045015:0603.155.0520

15:29

2.96480

11771AP9712(CVP)(GEDI)SVRICIHRSVISVVdPmxPC21572.3878388%1530479

010s20s熱稀釋測(cè)量所得最主要參數(shù)連續(xù)心輸出量(PCCO)(最近12秒鐘平均值)熱稀釋測(cè)量參數(shù)值連續(xù)參數(shù)每搏量變異(SVV)ELWI=血管外肺水指數(shù)CI=心指數(shù)GEDI=全心舒張末期容積指數(shù)CFI=心功效指數(shù)2.965.048000200088MW8885.0或者GEF=全心射血分?jǐn)?shù)ITBI=胸腔內(nèi)血容積指數(shù)或者picco護(hù)理講課專(zhuān)題知識(shí)第46頁(yè)

010s20s1177109.1215:33TB37.0AP9712(CVP)(GEDI)SVRICIHRSVISVVPPVPC21572.3878388%12%479APPCCI62020160脈搏輪廓測(cè)量顯示頁(yè)連續(xù)心輸出量(PCCO)趨勢(shì)圖所顯示時(shí)間范圍能夠在設(shè)置頁(yè)面(Configurationmenu)中更改(1小時(shí)–5天)1h 000200.....按到info頁(yè)面picco護(hù)理講課專(zhuān)題知識(shí)第47頁(yè)

010s20s1177109.1215:33TB37.0AP9712(CVP)(GEDI)SVRICIHRSVISVVPPVPC21572.3878388%12%479APPCCI1h

620201600

010s20s010s20s010s20s

1177109.1215:33TB37.0AP972.38788%12%122157

38

479(ZVD)PCCRSVISVRIHISVVPPV(GEDI)LastPCCOcalibration1600APInfo頁(yè)面按

來(lái)取得最近一次對(duì)連續(xù)心輸出量PCCO所作校準(zhǔn)信息

......病人正常值范圍屏幕00200002001221picco護(hù)理講課專(zhuān)題知識(shí)第48頁(yè)

1177109.1215:33

TB37.0AP9712(CVP)(GEDI)SVRICISVISVVdPmxPC21572.3878388%1530479HR...Normal--Resultat15:301086420422618103000240018001200600020161284050ContractilityCFIGEFdPmxSVV

010s20s1177109.1215:33

TB37.0AP9712(CVP)(GEDI)SVRICISVISVVdPmxPC21572.3878388%1530479HR...Normal--Resultat15:306.04.82.41.20.0806040200.01601289664320.040003200