單病種病態(tài)竇房結(jié)綜合征單腔永久起搏器植入臨床路徑費用明細表1（按階段）

單病種病態(tài)竇房結(jié)綜合征單腔永久起搏器植入臨床路徑費用明細表1（按階段）,,,,,,,

類別,項目名稱,規(guī)格,數(shù)量（最小）,數(shù)量（最大）,單價/元,總價/元（min）,總價/元（max）

一、入院及術(shù)前準備,,,,,,,

1.入院檢查,,,,,,,

血細胞分析+超敏C+血型鑒定,C—反應(yīng)蛋白測定(CRP),項,1,1,8.40,8.40,8.40

,超敏C反應(yīng)蛋白測定（免疫熒光法）,次,1,1,45.00,45.00,45.00

,全血細胞計數(shù)+五分類,套,1,1,25.00,25.00,25.00

,網(wǎng)織紅細胞計數(shù)(Ret)(儀器法),項,1,1,6.00,6.00,6.00

,Rh血型鑒定/次（必要時）,次,0,1,11.00,0.00,11.00

,ABO紅細胞定型/次,次,1,1,3.60,3.60,3.60

凝血五項+FDP,活化部分凝血活酶時間測定(APTT)(儀器法)/,項,1,2,15.00,15.00,30.00

,凝血酶時間測定(TT)(儀器法)/項,項,1,2,20.00,20.00,40.00

,纖維蛋白(原)降解產(chǎn)物測定(FDP)(儀器法)/項,項,1,2,45.00,45.00,90.00

,血漿D-二聚體測定(D-Dimer)(各種免疫學(xué)方法)/項,項,1,2,80.00,80.00,160.00

,血漿凝血酶原時間測定(PT)(儀器法)/項,項,1,2,15.00,15.00,30.00

,血漿纖維蛋白原測定(儀器法)/項,項,1,2,20.00,20.00,40.00

腎功能,肌酐測定/項,項,1,1,7.10,7.10,7.10

,內(nèi)生肌酐清除率試驗/項,項,1,1,8.00,8.00,8.00

,尿素測定/項,項,1,1,7.00,7.00,7.00

,血清尿酸測定/項,項,1,1,7.20,7.20,7.20

,血清碳酸氫鹽(HCO3)測定/項,項,1,1,9.20,9.20,9.20

,血清胱抑素(CystatinC)測定/項,項,1,1,15.00,15.00,15.00

電解質(zhì),鉀測定/項,項,1,1,5.00,5.00,5.00

,鈣測定/項,項,1,1,5.00,5.00,5.00

,氯測定/項,項,1,1,5.00,5.00,5.00

,鈉測定/項,項,1,1,5.00,5.00,5.00

血氣分析,全血乳酸測定/項,項,0,1,12.30,0.00,12.30

,血氣分析/次,次,0,1,42.00,0.00,42.00

微量血糖測定,葡萄糖測定(干化學(xué)法)/次,次,1,7,15.00,15.00,105.00

免疫三項,丙型肝炎抗體測定(Anti-HCV)/項,項,1,1,21.90,21.90,21.90

,梅毒螺旋體特異抗體測定/項,項,1,1,15.00,15.00,15.00

,人免疫缺陷病毒抗體測定(Anti-HIV)/項,項,1,1,22.80,22.80,22.80

尿常規(guī),尿常規(guī)檢查/次,次,1,2,3.50,3.50,7.00

,尿液分析/次,次,1,2,8.00,8.00,16.00

肝功能,腺苷脫氨酶測定/項,項,1,1,8.00,8.00,8.00

,血清α-L-巖藻糖苷酶測定/項,項,1,1,7.70,7.70,7.70

,血清γ-谷氨酰基轉(zhuǎn)移酶測定/項,項,1,1,5.00,5.00,5.00

,血清白蛋白測定/項,項,1,1,3.50,3.50,3.50

,血清丙氨酸氨基轉(zhuǎn)移酶測定/項,項,1,1,5.00,5.00,5.00

,血清膽堿脂酶測定/項,項,1,1,8.20,8.20,8.20

,血清間接膽紅素測定/項,項,1,1,4.00,4.00,4.00

,血清堿性磷酸酶測定/項,項,1,1,5.00,5.00,5.00

,血清前白蛋白測定/項,項,1,1,9.40,9.40,9.40

,血清天門冬氨酸氨基轉(zhuǎn)移酶測定/項,項,1,1,5.00,5.00,5.00

,血清直接膽紅素測定/項,項,1,1,4.00,4.00,4.00

,血清總膽汁酸測定/項,項,1,1,12.00,12.00,12.00

,血清總蛋白測定/項,項,1,1,3.60,3.60,3.60

,血清總膽紅素測定/項,項,1,1,4.00,4.00,4.00

甲狀腺功能,血清促甲狀腺激素測定(化學(xué)發(fā)光法)/項,項,1,1,30.00,30.00,30.00

,血清單胺氧化酶測定/項,項,1,1,6.80,6.80,6.80

,血清甲狀腺素(T4)測定(化學(xué)發(fā)光法)/項,項,1,1,30.00,30.00,30.00

,血清三碘甲狀原氨酸(T3)測定(化學(xué)發(fā)光法)/項,項,1,1,30.00,30.00,30.00

,血清游離甲狀腺素(FT4)測定(化學(xué)發(fā)光法)/項,項,1,1,30.00,30.00,30.00

,血清游離三碘甲狀原氨酸(FT3)測定(化學(xué)發(fā)光法)/項,項,1,1,30.00,30.00,30.00

血脂六項,血清甘油三酯測定/項,項,1,1,4.00,4.00,4.00

,血清高密度脂蛋白膽固醇測定/項,項,1,1,7.90,7.90,7.90

,血清低密度脂蛋白膽固醇測定/項,項,1,1,7.60,7.60,7.60

,血清載脂蛋白AⅠ測定/項,項,1,1,11.00,11.00,11.00

,血清載脂蛋白B測定/項,項,1,1,10.00,10.00,10.00

,血清載脂蛋白α測定/項,項,1,1,15.00,15.00,15.00

,血清總膽固醇測定/項,項,1,1,4.00,4.00,4.00

血同型半胱氨酸,血同型半胱氨酸測定/項,項,0,1,60.00,0.00,60.00

乙肝兩對半（必要時）,乙型肝炎e抗體測定(Anti-HBe)(定量)/項,項,0,1,15.00,0.00,15.00

,乙型肝炎e抗原測定(HBeAg)(定量)/項,項,0,1,15.00,0.00,15.00

,乙型肝炎表面抗體測定(Anti-HBs)(定量)/項,項,0,1,15.00,0.00,15.00

,乙型肝炎表面抗原測定(HBsAg)(定量)/項,項,1,1,15.00,15.00,15.00

,乙型肝炎核心抗原測定(HBcAg)(定量)/項,項,0,1,15.00,0.00,15.00

大便常規(guī)+隱血,糞便常規(guī)/次,項,1,1,2.50,2.50,2.50

,糞便隱血試驗(OB)(免疫法)/項,項,1,1,6.00,6.00,6.00

,糞寄生蟲鏡檢/次,次,1,1,4.60,4.60,4.60

常規(guī)心電圖檢查(十二通道),常規(guī)心電圖檢查（床旁心電圖加收）/次,次,1,1,5.00,5.00,5.00

,常規(guī)心電圖檢查(十二通道)/次,次,1,1,25.00,25.00,25.00

超聲心動圖,室壁運動分析/次,次,1,2,18.00,18.00,36.00

,心內(nèi)膜自動邊緣檢測/次,次,1,2,29.00,29.00,58.00

,心臟彩色多普勒超聲/次,次,1,2,85.00,85.00,170.00

,組織多普勒顯象(TDI)/次,次,1,2,29.00,29.00,58.00

,左心功能測定/次,次,1,2,45.00,45.00,90.00

,彩色室壁動力(CK)/次,次,1,2,29.00,29.00,58.00

,超聲計算機圖文報告/次,次,1,2,8.20,8.20,16.40

胸部正側(cè)位片,X線攝影(加濾線器計費)加收/個,個,2,2,1.00,2.00,2.00

,數(shù)字化攝影(DR)/次,次,2,2,45.00,90.00,90.00

,X線數(shù)字化攝影激光膠片/日本柯尼卡14*17in(新,片,2,2,20.52,41.04,41.04

2.藥品、治療相關(guān)項目,氯化鈉注射液(0.9%塑料瓶),100ml:0.9g/瓶,1,2,7.00,7.00,14.00

,氯化鈉注射液(0.9%塑料安瓿)(H),10ml:0.09g/支,1,8,8.00,8.00,64.00

,注射用頭孢唑林鈉,0.5g/瓶,4,8,1.80,7.20,14.40

,鹽酸異丙腎上腺素注射液,1mg:2ml*2/支,1,4,4.00,4.00,16.00

,硫酸阿托品注射液,0.5mg/1ml/支,0,4,1.60,0.00,6.40

,鹽酸腎上腺注射液,1mg/1ml/支,0,2,45.00,0.00,90.00

,血氧飽和度監(jiān)測,/小時,4,24,3.50,14.00,84.00

,心電監(jiān)測,/小時,4,24,4.10,16.40,98.40

,動脈采血,/次,1,1,10.90,10.90,10.90

,中心吸氧,/小時,4,24,2.70,10.80,64.80

,靜脈輸液(使用輸液泵)加收,/小時,0,24,0.50,0.00,12.00

,靜脈輸液(第二組起),/組,0,3,2.00,0.00,6.00

,靜脈采血,/次,1,2,5.40,5.40,10.80

,靜脈輸液,/組,1,2,7.20,7.20,14.40

,留置靜脈針,/組,1,2,7.20,7.20,14.40

3.耗材,真空采血管/,綠頭31#,1,1,1.30,1.30,1.30

,一次性注射器(溶藥型)/,"10ml,12#,A型",3,3,0.70,2.10,2.10

,真空采血管/藍頭12#,藍頭12#,2,2,1.62,3.24,3.24

,真空采血管/紫頭11#,紫頭11#,2,2,1.62,3.24,3.24

,一次性注射器/1ml31/2#,1ml31/2#,3,3,0.56,1.68,1.68

,微量泵延長管/LJG-D,LJG-D條,1,2,0.49,0.49,0.98

,三通接頭/德國三通,枚,1,2,6.73,6.73,13.46

,一次性輸液接頭/佛山無針正壓,,2,2,27.11,54.22,54.22

,一次性吸氧裝置/成人單雙鼻A-I型,,3,3,17.06,51.18,51.18

,一次性采血針/成都瑞琦8#,,1,1,0.38,0.38,0.38

,一次性輸液器/A型帶針/緩排空型,,3,3,7.45,22.35,22.35

,真空采血管/英國BD黃頭生化51長,,1,1,1.94,1.94,1.94

,"動脈采血器/美國Westme1cc,3105",,1,1,16.20,16.20,16.20

4.根據(jù)患者病情可選擇項目,,,,,,0.00,0.00

床旁超聲,床旁B超檢查/半小時（必要時）,半小時,0,1,21.00,0.00,21.00

,床旁超聲心動圖/半小時（必要時）,半小時,0,1,38.00,0.00,38.00

糖化血紅蛋白（必要時）,糖化血紅蛋白測定/項,項,0,1,21.00,0.00,21.00

心功能測定（心肌標志物）（必要時）,血清肌鈣蛋白T測定(化學(xué)發(fā)光法)/項,項,0,1,65.00,0.00,65.00

,血清肌鈣蛋白Ⅰ測定(化學(xué)發(fā)光法)/項,項,0,1,65.00,0.00,65.00

,血清肌紅蛋白測定(化學(xué)發(fā)光法)/項,項,0,1,40.00,0.00,40.00

,血清肌酸激酶－MB同工酶活性測定/項,項,0,1,13.00,0.00,13.00

小計,,,,,,1440.89,2858.51

二、術(shù)中費用,,,,,,,

1.麻醉,局部浸潤麻醉/次,次,1,1,16.9000,16.90,16.90

2.治療,永久起搏器安置術(shù)/次,次,1,1,1440.0000,1440.00,1440.00

,臨床操作DSA引導(dǎo)(不含臨床操作)/每小時,/每小時,1,3,120.0000,120.00,360.00

,C型臂術(shù)中透視/半小時,,2,4,38,76.00,152.00

,數(shù)字化攝影(DR)/次,,4,10,42.8,171.20,428.00

,術(shù)中使用高頻電刀/臺次,臺次,0,1,50.0000,0.00,50.00

3.藥品,氯化鈉注射液(0.9%塑料瓶),100ml:0.9g/瓶,0,1,7.00,0.00,7.00

,氯化鈉注射液(0.9%塑料安瓿)(H),10ml:0.09g/支,0,8,8.00,0.00,64.00

,注射用頭孢唑林鈉,0.5g/瓶,0,4,1.80,0.00,7.20

,鹽酸異丙腎上腺素注射液,1mg:2ml*2/支,0,1,4.00,0.00,4.00

,肝素鈉注射液/,1.25萬單位:2ml*10/支,1,1,9.25,9.25,9.25

,硫酸阿托品注射液,0.5mg/1ml/支,0,2,1.60,0.00,3.20

,鹽酸利多卡因注射液(2%塑料安瓿)(H),5ml:0.1g/支,4,6,1.9100,7.64,11.46

,氯化鈉注射液(0.9%塑料瓶),500ml:4.5g/瓶,1,2,2.9200,2.92,5.84

4.耗材,電極(螺旋)/美國各規(guī)格,,1,1,5160.3000,5160.30,5160.30

,慕絲縫線/美國W666,,1,1,10.5000,10.50,10.50

,撕開鞘/美敦力7F-11F,,1,1,387.4000,387.40,387.40

,心臟起搏器/美敦力RES01,,1,1,16123.6200,16123.62,16123.62

,一次性手術(shù)包/新鄉(xiāng)市華西血管造影,,1,1,138.2400,138.24,138.24

,一次性留置針(靜脈)/美國直型帶翼各規(guī)格,,1,1,46.44,46.44,46.44

,一次性電刀筆/PD400S,,0,1,59.18,0.00,59.18

,"粘貼敷料/FB,9*15cm3L",,1,1,3.46,3.46,3.46

,X線數(shù)字化攝影激光膠片/日本柯尼卡14*17in(新,片,1,1,20.52,20.52,20.52

小計：,,,,,,23734.39,24508.51

三、術(shù)后恢復(fù),,,,,,,

1.傷口換藥,小換藥/次,,7,10,10.4000,72.80,104.00

,中換藥/次,,0,1,19.5000,0.00,19.50

2.術(shù)后復(fù)查,,,,,,,

常規(guī)心電圖檢查(十二通道),常規(guī)心電圖檢查（床旁心電圖加收）/次,次,1,2,5.00,5.00,10.00

,常規(guī)心電圖檢查(十二通道)/次,次,1,2,25.00,25.00,50.00

胸部正位片（DR）,X線攝影(加濾線器計費)加收/個,個,