血液動力學監(jiān)測臨床意義課件

無創(chuàng)血液動力學監(jiān)測的臨床應用及意義無創(chuàng)血液動力學監(jiān)測的臨床1主要內容◆血液動力學概論◆血液動力學監(jiān)測方法◆無創(chuàng)血液動力學簡介◆無創(chuàng)血液動力學監(jiān)測提供的重點參數及意義◆無創(chuàng)血液動力學監(jiān)測的臨床應用分析、病例分析及科研探討◆Bi0Z無創(chuàng)血液動力學監(jiān)測儀簡介主要內容2m液動力學概念◆血液動力學:是研完循環(huán)系統(tǒng)血液流動,心內各腔的壓力,體循環(huán)、肺循環(huán)的壓力及阻力引起的機體一系列生理病理變化的科學m液動力學概念3m液動力學概念◆血流動力學是研究由心臟產生動力推動血液在血管系統(tǒng)內流動以使紐織得到灌注的科學。◆血流灌注的好壞直接關系到生命重要臟器的功能。重要臟器的功紊亂都直接或間接與血流動力學變化密切相關m液動力學概念4m液動力學概念及恰慶意義存在問題紂重要臟器的血流灌注不良熟視無睹;2、對迅速恢復臟器血流灌注的時限緊迫性缺乏血壓正常=血流灌注正常?原因m液動力學概念及恰慶意義5m液動力學概念及恰慶意義血液動力學監(jiān)心臟功各臟器血液灌注m液動力學概念及恰慶意義6m液動力學基礎心臟活動:1)電活動2)機械活動電活動:電信號產生及傳導一心律失常監(jiān)測:心電圖,心電監(jiān)護,電生理機械活動:心臟機械做功—血液動力學監(jiān)測:有創(chuàng)—漂浮導管無創(chuàng)m液動力學基礎7影血液動力學的重要因素)心臟前負荷容量負荷前負荷增加—心室代償增大一心衰減低,無血可排休克)心臟后負荷阻力負荷后負荷增加一心衰;高血壓減低休克;低血容量3)心肌收縮力自身心肌纖維收縮能力影血液動力學的重要因素8影所心班功能重要因素前負荷心肌收縮力后負荷120/80肺插抔和體循環(huán)各處的血壓(單位:mFz影所心班功能重要因素9血液動力學評價的重要參數1,心輸出量/心臟指數(COCI1)概念:C0每分鐘心臟泵血量4-8L/minCI按體表面積計算的心輸出2.5-4.2L/min/m22)影響因素:前負荷;后負荷;心肌收縮力;心率3)臨床意義心臟功能評價診斷指標血流灌注好壞的診斷指標EF?血液動力學評價的重要參數10血液動力學監(jiān)測臨床意義課件11血液動力學監(jiān)測臨床意義課件12血液動力學監(jiān)測臨床意義課件13血液動力學監(jiān)測臨床意義課件14血液動力學監(jiān)測臨床意義課件15血液動力學監(jiān)測臨床意義課件16血液動力學監(jiān)測臨床意義課件17血液動力學監(jiān)測臨床意義課件18血液動力學監(jiān)測臨床意義課件19血液動力學監(jiān)測臨床意義課件20血液動力學監(jiān)測臨床意義課件21血液動力學監(jiān)測臨床意義課件22血液動力學監(jiān)測臨床意義課件23血液動力學監(jiān)測臨床意義課件24血液動力學監(jiān)測臨床意義課件25血液動力學監(jiān)測臨床意義課件26血液動力學監(jiān)測臨床意義課件27血液動力學監(jiān)測臨床意義課件28血液動力學監(jiān)測臨床意義課件29血液動力學監(jiān)測臨床意義課件30血液動力學監(jiān)測臨床意義課件31血液動力學監(jiān)測臨床意義課件32血液動力學監(jiān)測臨床意義課件33血液動力學監(jiān)測臨床意義課件34血液動力學監(jiān)測臨床意義課件35血液動力學監(jiān)測臨床意義課件36血液動力學監(jiān)測臨床意義課件37血液動力學監(jiān)測臨床意義課件38血液動力學監(jiān)測臨床意義課件39血液動力學監(jiān)測臨床意義課件40血液動力學監(jiān)測臨床意義課件41血液動力學監(jiān)測臨床意義課件42血液動力學監(jiān)測臨床意義課件43血液動力學監(jiān)測臨床意義課件44血液動力學監(jiān)測臨床意義課件45血液動力學監(jiān)測臨床意義課件46血液動力學監(jiān)測臨床意義課件47血液動力學監(jiān)測臨床意義課件48血液動力學監(jiān)測臨床意義課件49血液動力學監(jiān)測臨床意義課件50血液動力學監(jiān)測臨床意義課件51血液動力學監(jiān)測臨床意義課件52血液動力學監(jiān)測臨床意義課件53血液動力學監(jiān)測臨床意義課件54血液動力學監(jiān)測臨床意義課件55血液動力學監(jiān)測臨床意義課件56血液動力學監(jiān)測臨床意義課件57血液動力學監(jiān)測臨床意義課件58血液動力學監(jiān)測臨床意義課件59血液動力學監(jiān)測臨床意義課件60血液動力學監(jiān)測臨床意義課件61血液動力學監(jiān)測臨床意義課件62血液動力學監(jiān)測臨床意義課件63血液動力學監(jiān)測臨床意義課件64血液動力學監(jiān)測臨床意義課件65血液動力學監(jiān)測臨床意義課件66血液動力學監(jiān)測臨床意義課件67血液動力學監(jiān)測臨床意義課件68血液動力學監(jiān)測臨床意義課件69血液動力學監(jiān)測臨床意義課件70血液動力學監(jiān)測臨床意義課件71血液動力學監(jiān)測臨床意義課件72血液動力學監(jiān)測臨床意義課件73血液動力學監(jiān)測臨床意義課件74血液動力學監(jiān)測臨床意義課件75血液動力學監(jiān)測臨床意義課件76血液動力學監(jiān)測臨床意義課件77血液動力學監(jiān)測臨床意義課件78血液動力學監(jiān)測臨床意義課件79血液動力學監(jiān)測臨床意義課件80血液動力學監(jiān)測臨床意義課件81血液動力學監(jiān)測臨床意義課件82血液動力學監(jiān)測臨床意義課件83血液動力學監(jiān)測臨床意義課件84血液動力學監(jiān)測臨床意義課件85血液動力學監(jiān)測臨床意義課件86血液動力學監(jiān)測臨床意義課件87血液動力學監(jiān)測臨床意義課件88血液動力學監(jiān)測臨床意義課件89血液動力學監(jiān)測臨床意義課件90血液動力學監(jiān)測臨床意義課件91血液動力學監(jiān)測臨床意義課件92血液動力學監(jiān)測臨床意義課件93血液動力學監(jiān)測臨床意義課件94血液動力學監(jiān)測臨床意義課件95血液動力學監(jiān)測臨床意義課件96血液動力學監(jiān)測臨床意義課件97血液動力學監(jiān)測臨床意義課件98血液動力學監(jiān)測臨床意義課件99血液動力學監(jiān)測臨床意義課件100血液動力學監(jiān)測臨床意義課件101血液動力學監(jiān)測臨床意義課件102血液動力學監(jiān)測臨床意義課件103血液動力學監(jiān)測臨床意義課件104血液動力學監(jiān)測臨床意義課件105血液動力學監(jiān)測臨床意義課件106血液動力學監(jiān)測臨床意義課件107血液動力學監(jiān)測臨床意義課件108血液動力學監(jiān)測臨床意義課件109血液動力學監(jiān)測臨床意義課件110血液動力學監(jiān)測臨床意義課件111血液動力學監(jiān)測臨床意義課件112血液動力學監(jiān)測臨床意義課件113血液動力學監(jiān)測臨床意義課件114血液動力學監(jiān)測臨床意義課件115血液動力學監(jiān)測臨床意義課件116血液動力學監(jiān)測臨床意義課件117血液動力學監(jiān)測臨床意義課件118血液動力學監(jiān)測臨床意義課件119血液動力學監(jiān)測臨床意義課件120血液動力學監(jiān)測臨床意義課件121血液動力學監(jiān)測臨床意義課件122血液動力學監(jiān)測臨床意義課件123血液動力學監(jiān)測臨床意義課件124血液動力學監(jiān)測臨床意義課件125血液動力學監(jiān)測臨床意義課件126血液動力學監(jiān)測臨床意義課件127血液動力學監(jiān)測臨床意義課件128血液動力學監(jiān)測臨床意義課件129血液動力學監(jiān)測臨床意義課件130血液動力學監(jiān)測臨床意義課件131血液動力學監(jiān)測臨床意義課件132血液動力學監(jiān)測臨床意義課件133血液動力學監(jiān)測臨床意義課件134血液動力學監(jiān)測臨床意義課件135血液動力學監(jiān)測臨床意義課件136血液動力學監(jiān)測臨床意義課件137血液動力學監(jiān)測臨床意義課件138血液動力學監(jiān)測臨床意義課件139血液動力學監(jiān)測臨床意義課件140血液動力學監(jiān)測臨床意義課件141血液動力學監(jiān)測臨床意義課件142血液動力學監(jiān)測臨床意義課件143血液動力學監(jiān)測臨床意義課件144血液動力學監(jiān)測臨床意義課件145血液動力學監(jiān)測臨床意義課件146血液動力學監(jiān)測臨床意義課件147血液動力學監(jiān)測臨床意義課件148血液動力學監(jiān)測臨床意義課件149血液動力學監(jiān)測臨床意義課件150血液動力學監(jiān)測臨床意義課件151血液動力學監(jiān)測臨床意義課件152血液動力學監(jiān)測臨床意義課件153血液動力學監(jiān)測臨床意義課件154血液動力學監(jiān)測臨床意義課件155血液動力學監(jiān)測臨床意義課件156血液動力學監(jiān)測臨床意義課件157血液動力學監(jiān)測臨床意義課件158血液動力學監(jiān)測臨床意義課件159血液動力學監(jiān)測臨床意義課件160血液動力學監(jiān)測臨床意義課件161血液動力學監(jiān)測臨床意義課件162血液動力學監(jiān)測臨床意義課件163血液動力學監(jiān)測臨床意義課件164血液動力學監(jiān)測臨床意義課件165血液動力學監(jiān)測臨床意義課件166血液動力學監(jiān)測臨床意義課件167血液動力學監(jiān)測臨床意義課件168血液動力學監(jiān)測臨床意義課件169血液動力學監(jiān)測臨床意義課件170血液動力學監(jiān)測臨床意義課件171血液動力學監(jiān)測臨床意義課件172血液動力學監(jiān)測臨床意義課件173血液動力學監(jiān)測臨床意義課件174血液動力學監(jiān)測臨床意義課件175血液動力學監(jiān)測臨床意義課件176血液動力學監(jiān)測臨床意義課件177血液動力學監(jiān)測臨床意義課件178血液動力學監(jiān)測臨床意義課件179血液動力學監(jiān)測臨床意義課件180血液動力學監(jiān)測臨床意義課件181血液動力學監(jiān)測臨床意義課件182血液動力學監(jiān)測臨床意義課件183血液動力學監(jiān)測臨床意義課件184血液動力學監(jiān)測臨床意義課件185血液動力學監(jiān)測臨床意義課件186血液動力學監(jiān)測臨床意義課件187血液動力學監(jiān)測臨床意義課件188無創(chuàng)血液動力學監(jiān)測的臨床應用及意義無創(chuàng)血液動力學監(jiān)測的臨床189主要內容◆血液動力學概論◆血液動力學監(jiān)測方法◆無創(chuàng)血液動力學簡介◆無創(chuàng)血液動力學監(jiān)測提供的重點參數及意義◆無創(chuàng)血液動力學監(jiān)測的臨床應用分析、病例分析及科研探討◆Bi0Z無創(chuàng)血液動力學監(jiān)測儀簡介主要內容190m液動力學概念◆血液動力學:是研完循環(huán)系統(tǒng)血液流動,心內各腔的壓力,體循環(huán)、肺循環(huán)的壓力及阻力引起的機體一系列生理病理變化的科學m液動力學概念191m液動力學概念◆血流動力學是研究由心臟產生動力推動血液在血管系統(tǒng)內流動以使紐織得到灌注的科學?！粞鞴嘧⒌暮脡闹苯雨P系到生命重要臟器的功能。重要臟器的功紊亂都直接或間接與血流動力學變化密切相關m液動力學概念192m液動力學概念及恰慶意義存在問題紂重要臟器的血流灌注不良熟視無睹;2、對迅速恢復臟器血流灌注的時限緊迫性缺乏血壓正常=血流灌注正常?原因m液動力學概念及恰慶意義193m液動力學概念及恰慶意義血液動力學監(jiān)心臟功各臟器血液灌注m液動力學概念及恰慶意義194m液動力學基礎心臟活動:1)電活動2)機械活動電活動:電信號產生及傳導一心律失常監(jiān)測:心電圖,心電監(jiān)護,電生理機械活動:心臟機械做功—血液動力學監(jiān)測:有創(chuàng)—漂浮導管無創(chuàng)m液動力學基礎195影血液動力學的重要因素)心臟前負荷容量負荷前負荷增加—心室代償增大一心衰減低,無血可排休克)心臟后負荷阻力負荷后負荷增加一心衰;高血壓減低休克;低血容量3)心肌收縮力自身心肌纖維收縮能力影血液動力學的重要因素196影所心班功能重要因素前負荷心肌收縮力后負荷120/80肺插抔和體循環(huán)各處的血壓(單位:mFz影所心班功能重要因素197血液動力學評價的重要參數1,心輸出量/心臟指數(COCI1)概念:C0每分鐘心臟泵血量4-8L/minCI按體表面積計算的心輸出2.5-4.2L/min/m22)影響因素:前負荷;后負荷;心肌收縮力;心率3)臨床意義心臟功能評價診斷指標血流灌注好壞的診斷指標EF?血液動力學評價的重要參數198血液動力學監(jiān)測臨床意義課件199血液動力學監(jiān)測臨床意義課件200血液動力學監(jiān)測臨床意義課件201血液動力學監(jiān)測臨床意義課件202血液動力學監(jiān)測臨床意義課件203血液動力學監(jiān)測臨床意義課件204血液動力學監(jiān)測臨床意義課件205血液動力學監(jiān)測臨床意義課件206血液動力學監(jiān)測臨床意義課件207血液動力學監(jiān)測臨床意義課件208血液動力學監(jiān)測臨床意義課件209血液動力學監(jiān)測臨床意義課件210血液動力學監(jiān)測臨床意義課件211血液動力學監(jiān)測臨床意義課件212血液動力學監(jiān)測臨床意義課件213血液動力學監(jiān)測臨床意義課件214血液動力學監(jiān)測臨床意義課件215血液動力學監(jiān)測臨床意義課件216血液動力學監(jiān)測臨床意義課件217血液動力學監(jiān)測臨床意義課件218血液動力學監(jiān)測臨床意義課件219血液動力學監(jiān)測臨床意義課件220血液動力學監(jiān)測臨床意義課件221血液動力學監(jiān)測臨床意義課件222血液動力學監(jiān)測臨床意義課件223血液動力學監(jiān)測臨床意義課件224血液動力學監(jiān)測臨床意義課件225血液動力學監(jiān)測臨床意義課件226血液動力學監(jiān)測臨床意義課件227血液動力學監(jiān)測臨床意義課件228血液動力學監(jiān)測臨床意義課件229血液動力學監(jiān)測臨床意義課件230血液動力學監(jiān)測臨床意義課件231血液動力學監(jiān)測臨床意義課件232血液動力學監(jiān)測臨床意義課件233血液動力學監(jiān)測臨床意義課件234血液動力學監(jiān)測臨床意義課件235血液動力學監(jiān)測臨床意義課件236血液動力學監(jiān)測臨床意義課件237血液動力學監(jiān)測臨床意義課件238血液動力學監(jiān)測臨床意義課件239血液動力學監(jiān)測臨床意義課件240血液動力學監(jiān)測臨床意義課件241血液動力學監(jiān)測臨床意義課件242血液動力學監(jiān)測臨床意義課件243血液動力學監(jiān)測臨床意義課件244血液動力學監(jiān)測臨床意義課件245血液動力學監(jiān)測臨床意義課件246血液動力學監(jiān)測臨床意義課件247血液動力學監(jiān)測臨床意義課件248血液動力學監(jiān)測臨床意義課件249血液動力學監(jiān)測臨床意義課件250血液動力學監(jiān)測臨床意義課件251血液動力學監(jiān)測臨床意義課件252血液動力學監(jiān)測臨床意義課件253血液動力學監(jiān)測臨床意義課件254血液動力學監(jiān)測臨床意義課件255血液動力學監(jiān)測臨床意義課件256血液動力學監(jiān)測臨床意義課件257血液動力學監(jiān)測臨床意義課件258血液動力學監(jiān)測臨床意義課件259血液動力學監(jiān)測臨床意義課件260血液動力學監(jiān)測臨床意義課件261血液動力學監(jiān)測臨床意義課件262血液動力學監(jiān)測臨床意義課件263血液動力學監(jiān)測臨床意義課件264血液動力學監(jiān)測臨床意義課件265血液動力學監(jiān)測臨床意義課件266血液動力學監(jiān)測臨床意義課件267血液動力學監(jiān)測臨床意義課件268血液動力學監(jiān)測臨床意義課件269血液動力學監(jiān)測臨床意義課件270血液動力學監(jiān)測臨床意義課件271血液動力學監(jiān)測臨床意義課件272血液動力學監(jiān)測臨床意義課件273血液動力學監(jiān)測臨床意義課件274血液動力學監(jiān)測臨床意義課件275血液動力學監(jiān)測臨床意義課件276血液動力學監(jiān)測臨床意義課件277血液動力學監(jiān)測臨床意義課件278血液動力學監(jiān)測臨床意義課件279血液動力學監(jiān)測臨床意義課件280血液動力學監(jiān)測臨床意義課件281血液動力學監(jiān)測臨床意義課件282血液動力學監(jiān)測臨床意義課件283血液動力學監(jiān)測臨床意義課件284血液動力學監(jiān)測臨床意義課件285血液動力學監(jiān)測臨床意義課件286血液動力學監(jiān)測臨床意義課件287血液動力學監(jiān)測臨床意義課件288血液動力學監(jiān)測臨床意義課件289血液動力學監(jiān)測臨床意義課件290血液動力學監(jiān)測臨床意義課件291血液動力學監(jiān)測臨床意義課件292血液動力學監(jiān)測臨床意義課件293血液動力學監(jiān)測臨床意義課件294血液動力學監(jiān)測臨床意義課件295血液動力學監(jiān)測臨床意義課件296血液動力學監(jiān)測臨床意義課件297血液動力學監(jiān)測臨床意義課件298血液動力學監(jiān)測臨床意義課件299血液動力學監(jiān)測臨床意義課件300血液動力學監(jiān)測臨床意義課件301血液動力學監(jiān)測臨床意義課件302血液動力學監(jiān)測臨床意義課件303血液動力學監(jiān)測臨床意義課件304血液動力學監(jiān)測臨床意義課件305血液動力學監(jiān)測臨床意義課件306血液動力學監(jiān)測臨床意義課件307血液動力學監(jiān)測臨床意義課件308血液動力學監(jiān)測臨床意義課件309血液動力學監(jiān)測臨床意義課件310血液動力學監(jiān)測臨床意義課件311血液動力學監(jiān)測臨床意義課件312血液動力學監(jiān)測臨床意義課件313血液動力學監(jiān)測臨床意義課件314血液動力學監(jiān)測臨床意義課件315血液動力學監(jiān)測臨床意義課件316血液動力學監(jiān)測臨床意義課件317血液動力學監(jiān)測臨床意義課件318血液動力學監(jiān)測臨床意義課件319血液動力學監(jiān)測臨床意義課件320血液動力學監(jiān)測臨床意義課件321血液動力學監(jiān)測臨床意義課件322血液動力學監(jiān)測臨床意義課件323血液動力學監(jiān)測臨床意義課件324血液動力學監(jiān)測臨床意義課件325血液動力學監(jiān)測臨床意義課件326血液動力學監(jiān)測臨床意義課件327血液動力學監(jiān)測臨床意義課件328血液動力學監(jiān)測臨床意義課件329血液動力學監(jiān)測臨床意義課件330血液動力學監(jiān)測臨床意義課