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iMEC12/iMEC10/iMEC8 生理監視器 Patient Monitor 使用說明書 Operator s Manual

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  • iMEC12/iMEC10/iMEC8

    Patient Monitor

    Operators Manual

  • I

    iMEC

    iMEC8iMEC10iMEC12

    2012 3211102

    YZB/ 3781-2012

    20010352

    iMEC

    ECGRESPTEMP SpO2PRNIBPIBPC.O.CO2 ST

    1-4

    9#10#

    11#12#13#

    2013-07

  • II

  • III

    2013

  • IV

    30

  • V

    24

    1-4

    518057

    www.mindray.com

    4007005652

    +86 755 81888998

    +86 755 26582680

    http://www.mindray.com/
  • VI

  • VI

    I

    1 ................................................................................................................................ 1-1

    1.1 ........................................................................................................................ 1-1

    1.1.1 ................................................................................................................... 1-2

    1.1.2 ................................................................................................................... 1-2

    1.1.3 ................................................................................................................... 1-3

    1.1.4 ................................................................................................................... 1-3

    1.2 ........................................................................................................................ 1-4

    2 ................................................................................................................................ 2-1

    2.1 ........................................................................................................................ 2-1

    2.1.1 ............................................................................................................... 2-1

    2.2 ............................................................................................................................ 2-2

    2.3 ............................................................................................................................ 2-4

    2.3.1 iMEC 12/ iMEC 10 .......................................................................................... 2-4

    2.3.2 iMEC 8 ........................................................................................................... 2-5

    2.4 ............................................................................................................................ 2-6

    2.5 ........................................................................................................................ 2-7

    2.6 ................................................................................................................................ 2-9

    3 ........................................................................................................................ 3-1

    3.1 ............................................................................................................................. ... 3-1

    3.1.1 ........................................................................................................... 3-2

    3.1.2 ........................................................................................................... 3-2

    3.2 ................................................................................................................ ........ 3-3

    3.2.1 ................................................................................................................... 3-3

    3.2.2 ........................................................................................................... 3-3

    3.3 ............................................................................................................................. ... 3-3

    3.4 ........................................................................................................................ 3-4

    3.5 ............................................................................................................. 3-4

    3.6 ........................................................................................................................ 3-5

    3.7 .................................................................................................................... 3-6

    3.8 ................................................................................................................ 3-7

    3.9 ........................................................................................................................ 3-8

    3.9.1 ................................................................................................ 3-8

    3.9.2 ........................................................................................................... 3-8

    3.9.3 ................................................................................................... 3-8

    3.9.4 ........................................................................................................... 3-8

    3.9.5 ............................................................................................... 3-9

    3.9.6 ........................................................................................................... 3-9

    3.10 .................................................................................................................... 3-10

    3.10.1 ............................................................................................... 3-10

    3.10.2 ............................................................................................... 3-10

  • VI

    II

    3.11 .................................................................................................................... 3-10

    3.11.1 ....................................................................................................... 3-10

    3.11.2 ....................................................................................................... 3-10

    3.11.3 Demo ........................................................................................................3-11

    3.11.4 ........................................................................................................3-11

    3.11.5 ....................................................................................................... 3-12

    4 ........................................................................................................................ 4-1

    4.1 ........................................................................................................................ 4-1

    4.2 ................................................................................................................ 4-2

    4.3 .................................................................................................... 4-2

    4.4 ................................................................................................................ 4-3

    4.5 ........................................................................................................................ 4-3

    4.6 ........................................................................................................................ 4-3

    4.7 ........................................................................................................................ 4-4

    4.7.1 U S B ..4-4

    4.7.2 U S B ...4-5

    4.8 ................................................................................................................ 4-5

    5 ........................................................................................................................ 5-1

    5.1 ............................................................................................................................. ... 5-1

    5.2 .................................................................................................... 5-2

    5.3 ................................................................................................................ 5-2

    5.4 ................................................................................................................ 5-3

    5.5 ........................................................................................................................ 5-3

    5.6 ........................................................................................................................ 5-4

    5.7 ........................................................................................................................ 5-4

    5.8 ........................................................................................................................ 5-5

    5.9 ................................................................................................................ 5-5

    5.10 ...................................................................................................................... 5-6

    6 ........................................................................................................................ 6-1

    6.1 ................................................................................................................ 6-1

    6.1.1 ........................................................................................................... 6-1

    6.1.2 ................................................................................................................... 6-1

    6.1.3 ................................................................................................... 6-1

    6.2 ............................................................................................................ 6-2

    6.2.1 ............................................................................................... 6-2

    6.2.2 ....................................................................................................... 6-2

    6.3 ............................................................................................................ 6-3

    6.4 ........................................................................................................................ 6-4

    6.4.1 ........................................................................................................... 6-4

  • IX

    6.4.2 ....................................................................................................... 6-4

    6.4.3 ................................................................................................... 6-5

    6.5 .................................................................................................................... 6-6

    7 ................................................................................................................................ 7-1

    7.1 ........................................................................................................................ 7-1

    7.2 ........................................................................................................................ 7-2

    7.3 ........................................................................................................................ 7-2

    7.3.1 ........................................................................................................... 7-2

    7.3.2 ........................................................................................................... 7-2

    7.3.3 ........................................................................................................... 7-3

    7.3.4 ........................................................................................................... 7-3

    7.3.5 ................................................................................................... 7-4

    7.4 ................................................................................................................ 7-4

    7.4.1 ........................................................................................... 7-4

    7.4.2 ................................................................................................... 7-4

    7.4.3 ................................................................................................... 7-5

    7.4.4 ........................................................................................... 7-5

    7.4.5 ............................................................................................... 7-5

    7.5 ................................................................................................................ 7-6

    7.5.1 ................................................................................................... 7-7

    7.5.2 ............................................................................................... 7-7

    7.5.3 ........................................................................................... 7-9

    7.5.4 SpO2 7-10

    7.5.5 ................................................................................................. 7-10

    7.5.6 ......................................................................................................... 7-10

    7.6 ...................................................................................................................... 7-10

    7.7 .......................................................................................................................7-11

    7.8 .......................................................................................................................7-11

    7.9 ...................................................................................................................... 7-12

    7.10 ............................................................................................................ 7-12

    7.11 .................................................................................................................... 7-13

    7.12 ............................................................................................................ 7-13

    7.13 .................................................................................................................... 7-13

    7.13.1 ............................................................................... 7-13

    7.13.2 ........................................................................................... 7-13

    7.13.3 ....................................................................................... 7-14

    8 ECG ............................................................................................................................ 8-1

    8.1 ............................................................................................................................. ... 8-1

    8.2 ........................................................................................................................ 8-1

    8.3 ........................................................................................................................ 8-1

    8.3.1 ........................................................................................................... 8-1

    8.3.2 ........................................................................................................... 8-2

  • X

    8.3.3 ........................................................................................................... 8-2

    8.3.4 ................................................................................................... 8-3

    8.4 ECG .................................................................................................................... 8-4

    8.5 ECG ................................................................................................................... 8-5

    8.5.1 ECG .............................................................................................. 8-5

    8.5.2 ....................................................................................................... 8-5

    8.5.3 ................................................................................................... 8-5

    8.5.4 ................................................................................................... 8-5

    8.5.5 ................................................................................................... 8-6

    8.5.6 ................................................................................................... 8-6

    8.5.7 ............................................................................................... 8-7

    8.5.8 ................................................................................................... 8-7

    8.5.9 ECG .......................................................................................... ..8-7

    8.5.10 ......................................................................................... 8-8

    8.5.11 ..................................................................... 8-8

    8.5.12 QRS ...................................................................................................... 8-8

    8.6 ST .................................................................................................................... 8-8

    8.6.1 ST .............................................................................................. 8-9

    8.6.2 ........................................................................................................... 8-9

    8.6.3 ST ........................................................................................................... 8-9

    8.6.4 ST ................................................................ 8-10

    8.6.5 ..................................................................................................8-11

    8.6.6 ..................................................................................................8-11

    8.6.7 ST ............................................................................................... 8-11

    8.6.8 ST ............................................................................................. 8-11

    8.6.9 ST ................................................................................ 8-11

    8.6.10 ST ...................................................................................... 8-11

    8.7 .............................................................................................................. 8-12

    8.7.1 ................................................................................................. 8-13

    8.7.2 ......................................................................................... 8-14

    8.7.3 ......................................................................................... 8-14

    8.7.4 ......................................................................................... 8-15

    8.7.5 ................................................................................................. 8-15

    8.8 ECG ............................................................................................................... 8-15

    8.8.1 ECG ................................................................................. 8-15

    8.8.2 ECG ................................................................................. 8-16

    9 Resp ............................................................................................................................. 9-1

    9.1 ............................................................................................................................. ... 9-1

    9.2 ........................................................................................................................ 9-1

    9.3 Resp ..................................................................................................................... 9-1

    9.4 ................................................................................................................ 9-2

    9.4.1 ........................................................................................... 9-2

    9.4.2 ................................................................................................... 9-3

  • XI

    9.4.3 ........................................................................................................... 9-3

    9.4.4 ........................................................................................................... 9-3

    9.5 ................................................................................................................ 9-3

    9.6 ................................................................................................................ 9-3

    9.7 ................................................................................................................ 9-3

    9.8 ........................................................................................................................ 9-4

    9.9 RR ............................................................................................................. 9-4

    9.10 .............................................................................................................. 9-5

    9.11 / Resp ................................................................................................ 9-5

    10 PR ........................................................................................................................... 10-1

    10.1 ............................................................................................................................ 10-1

    10.2 PR ................................................................................................................... 10-1

    10.3 ................................................................................................................ 10-2

    10.4 QRS ................................................................................................................ 10-2

    11 SpO2 ........................................................................................................................ 11-1

    11.1 .............................................................................................................................11-1

    11.2 .....................................................................................................................11-2

    11.3 SpO2 ...................................................................................................... 11-2

    11.4 .....................................................................................................................11-3

    11.5 SpO2 ............................................................................................................... 11-3

    11.5.1 SpO2 .......................................................................................... 11-3

    11.5.2 ........................................................................................11-3

    11.5.3 ............................................................................................11-3

    11.5.4 ................................................................................................11-4

    11.5.5 NIBP ......................................................................................... 11-4

    11.5.6 Sat-Seconds ....................................................................................... 11-5

    11.5.7 Pleth .................................................................................. 11-6

    11.5.8 SpO2 ................................................................... 11-6

    11.5.9 SpO2 .................................................................................. 11-6

    11.6 .............................................................................................................11-6

    11.7 Masimo ........................................................................................................... 11-7

    11.8 Nellcor ............................................................................................................ 11-7

    12 NIBP ....................................................................................................................... 12-1

    12.1 ............................................................................................................................ 12-1

    12.2 .................................................................................................................... 12-1

    12.3 .................................................................................................................... 12-2

    12.4 .................................................................................................................... 12-2

    12.5 .................................................................................................................... 12-2

    12.5.1 ....................................................................................................... 12-2

    12.5.2 /.............................................................................................. 12-3

    12.5.3 ............................................................................................... 12-3

  • XI

    I

    12.5.4 ....................................................................................................... 12-3

    12.5.5 ....................................................................................................... 12-3

    12.6 NIBP ............................................................................................................... 12-4

    12.7 NIBP .............................................................................................................. 12-4

    12.7.1 ....................................................................................... 12-4

    12.7.2 ............................................................................................... 12-4

    12.7.3 NIBP ..................................................................................... 12-5

    12.7.4 NIBP ......................................................................................... 12-5

    12.7.5 ............................................................................................... 12-5

    12.8 ............................................................................................................ 12-5

    13 Temp ....................................................................................................................... 13-1

    13.1 ............................................................................................................................ 13-1

    13.2 .................................................................................................................... 13-1

    13.3 .................................................................................................................... 13-1

    13.4 Temp ................................................................................................................ 13-1

    13.5 ............................................................................................................ 13-1

    14 IBP .......................................................................................................................... 14-1

    14.1 ............................................................................................................................ 14-1

    14.2 .................................................................................................................... 14-1

    14.3 ................................................................................................................ 14-2

    14.4 .................................................................................................................... 14-3

    14.5 IBP .................................................................................................................. 14-4

    14.6 IBP ................................................................................................................. 14-5

    14.6.1 ............................................................................................... 14-5

    14.6.2 ............................................................................................... 14-5

    14.6.3 ............................................................................................... 14-6

    14.6.4 IBP ............................................................................................ 14-6

    14.6.5 PPV ......................................................................................... 14-6

    14.6.6 ............................................................................................... 14-6

    14.7 IBP .......................................................................................................... 14-7

    14.8 PAWP .............................................................................................................. 14-8

    14.8.1 ....................................................................................................... 14-8

    14.8.2 ....................................................................................................... 14-9

    14.8.3 PAWP .................................................................................................. 14-9

    15 C.O .......................................................................................................................... 15-1

    15.1 ............................................................................................................................ 15-1

    15.2 C.O. .................................................................................................................. 15-1

    15.3 .................................................................................................................... 15-1

    15.4 C.O ................................................................................................................. 15-2

    15.5 .................................................................................................................... 15-5

    15.6 C.O ................................................................................................................. 15-5

  • XI

    II

    15.6.1 ............................................................................................... 15-5

    15.6.2 ............................................................................................... 15-5

    16 CO2 ......................................................................................................................... 16-1

    16.1 ............................................................................................................................ 16-1

    16.2 .................................................................................................................... 16-2

    16.2.1 CO2 ........................................................................................... 16-2

    16.2.2 CO2 ........................................................................................... 16-3

    16.2.3 CO2 ........................................................................................... 16-3

    16.3 CO2 ................................................................................................................ 16-4

    16.3.1 CO2 ........................................................................................... 16-4

    16.3.2 ............................................................................................... 16-4

    16.3.3 CO2 ........................................................................................... 16-4

    16.3.4 ............................................................................................... 16-5

    16.3.5 ............................................................................................... 16-6

    16.3.6 ............................................................................................... 16-6

    16.3.7 ............................................................................................... 16-6

    16.3.8 ............................................................................................... 16-7

    16.3.9 CO2 ........................................................................................... 16-7

    16.3.10 RR ........................................................................................... 16-7

    16.4 .................................................................................................... 16-7

    16.5 ............................................................................................................ 16-8

    16.6 .................................................................................................................... 16-8

    16.7 .................................................................................................................... 16-8

    16.8 ................................................................................................................ .... 16-8

    16.9 ............................................................................................................................ 16-9

    16.10 Oridion .................................................................................................................. 16-9

    17 ............................................................................................................................ 17-1

    17.1 ............................................................................................................ 17-1

    17.2 .................................................................................................................... 17-1

    17.3 ............................................................................................................ 17-2

    17.4 ............................................................................................................ 17-2

    18 ............................................................................................................................ 18-1

    18.1 ............................................................................................................ 18-1

    18.2 ................................................................................................................ 18-1

    18.3 ................................................................................................................ 18-2

    18.4 .................................................................................................................... 18-3

    18.4.1 ....................................................................................................... 18-3

    18.4.2 ....................................................................................................... 18-3

    18.5 ............................................................................................................ 18-5

    19 ............................................................................................................................ 19-1

  • XI

    V

    19.1 ............................................................................................................................ 19-1

    19.2 ................................................................................................................ .... 19-2

    19.2.1 ....................................................................................................... 19-2

    19.2.2 ....................................................................................................... 19-2

    19.2.3 ........................................................................................................... 19-3

    19.2.4 ............................................................................................... 19-3

    19.3 .................................................................................................................... 19-3

    19.3.1 ....................................................................................................... 19-3

    19.3.2 ....................................................................................................... 19-4

    19.3.3 ........................................................................................... 19-5

    19.4 .................................................................................................................... 19-5

    19.4.1 ....................................................................................................... 19-5

    19.4.2 ....................................................................................................... 19-6

    19.4.3 ........................................................................................... 19-6

    19.5 ........................................................................................................ 19-7

    19.5.1 ....................................................................................................... 19-7

    19.5.2 ....................................................................................................... 19-7

    19.5.3 ........................................................................................... 19-8

    19.6 ................................................................................................................ 19-9

    19.6.1 ....................................................................................................... 19-9

    19.6.2 ....................................................................................................... 19-9

    19.6.3 ......................................................................................... 19-10

    19.7 .................................................................................................................. 19-10

    20 ............................................................................................................................ 20-1

    20.1 ........................................................................................................................ 20-1

    20.2 .................................................................................................................... 20-2

    20.3 ........................................................................................................ 20-2

    20.4 ................................................................................................................ 20-3

    20.4.1 ............................................................................................... 20-3

    20.4.2 ........................................................................................... 20-3

    20.4.3 ............................................................................................... 20-3

    20.4.4 ............................................................................................... 20-3

    20.4.5 ............................................................................................... 20-3

    20.4.6 ............................................................................................... 20-4

    20.5 ................................................................................................................ 20-4

    20.6 .................................................................................................................... 20-5

    20.7 ................................................................................................................ 20-5

    21 .................................................................................................................... 21-1

    21.1 .................................................................................................................... 21-1

    21.2 .................................................................................................................... 21-1

    21.2.1 ............................................................................................... 21-1

    21.2.2 ....................................................................................................... 21-1

  • X

    V

    21.3 .................................................................................................................... 21-2

    21.4 .................................................................................................................... 21-3

    21.4.1 ............................................................................................... 21-3

    21.4.2 ....................................................................................................... 21-3

    21.4.3 IP ............................................................ 21-4

    22 ............................................................................................................................ 22-1

    22.1 ............................................................................................................................ 22-1

    22.2 .................................................................................................................... 22-1

    22.3 ............................................................................................................ 22-2

    22.4 .................................................................................................................... 22-3

    22.5 .................................................................................................................... 22-4

    23 ................................................................................................................ 23-1

    23.1 ............................................................................................................................ 23-1

    23.2 ............................................................................................................................ 23-2

    23.3 ............................................................................................................................ 23-2

    24 ............................................................................................................................ 24-1

    24.1 ............................................................................................................................ 24-1

    24.2 .................................................................................................................... 24-2

    24.3 .................................................................................................................... 24-3

    24.4 ECG ................................................................................................................ 24-3

    24.5 NIBP ....................................................................................................... 24-4

    24.6 NIBP ....................................................................................................... 24-5

    24.7 CO2 ................................................................................................................. 24-6

    24.8 .......................................................................................................... 24-7

    24.9 .................................................................................................. 24-7

    25 ............................................................................................................................ 25-1

    25.1 ECG ................................................................................................................ 25-1

    25.2 SpO2 ................................................................................................................ 25-2

    25.3 NIBP ....................................................................................................................... 25-3

    25.4 Temp ............................................................................................................... 25-3

    25.5 IBP/ICP ........................................................................................................... 25-4

    25.6 C.O. ............................................................................................................... 25-4

    25.7 CO2 ................................................................................................................. 25-4

    A ..............................................................................................................A-1

    B ............................................................................................................................. .....B-1

    B.1 ...................................................................................................................... .B-1

    B.2 ...................................................................................................................... .B-2

    B.3 ...................................................................................................................... .B-3

  • X

    VI

    B.4 .......................................................................................................................B-5

    B.5 ...................................................................................................................... .B-5

    B.6 .......................................................................................................................B-5

    C EMC ....................................................................................................C-1

    C.1 EMC ....................................................................................................................... ........C-1

    C.2 .......................................................................................................C-6

    D ..........................................................................................................................D-1

    D.1 .......................................................................................................................D-1

    D.2 .................................................................................................................... .D-11

    D.3 .........................................................................................................................D-14

    E ............................................................................................................................. .....E-1

    E.1 ............................................................................................................... E-2

    E.2 ............................................................................................................... E-3

    F ............................................................................................................................. . F-1

    F.1 .................................................................................................................... F-1

    F.2 .................................................................................................................... F-3

    F.3 .................................................................................................................... F-3

    G ................................................................................................................. G-1

  • 1-1

    1

    1.1

  • 1-2

    1.1.1

    1.1.2

  • 1-3

    1.1.3

    EMC X MRI

    1.1.4

    IEC60601-1-4

  • 1-4

    1.2

    !

    /

    NIBP

    VGA

    USB

    20

    CE

    CF F

    BF F

  • 2-1

    2

    2.1

    iMEC ECGRESPTEMP

    SpO2PRNIBPIBPC.O.

    CO2ST

    iMEC

    2.1.1

    NIBP)

  • 2-2

    2.2

    1 6

    7

    8

    2

    9

    10

    11

    12

    3 4 5

    1.

    2.

    3.

  • 2-3

    4.

    5.

    6.

    7.

    8.

    9.

    10.

    11.

    12.

  • 2-4

    2.3

    2.3.1 iMEC 12/ iMEC 10

    1

    2

    6

    3 7

    8

    4 9

    10

    5 11

    1. 2. 3. C.O.

    4. CO2 5. CO2 6. ECG

    7. SpO2 8. 9. 1

    10. 2 11. IBP

  • 2-5

    2.3.2 iMEC 8

    1

    2

    6

    3 7

    8

    4 9

    10

    5

    11

    1. 2. 3. C.O.

    4. CO2 5. CO2 6. ECG

    7. SpO2 8.

    9. 1

    10. 2

    11. IBP

  • 2-6

    2.4

    iMEC 12/iMEC 10 iMEC 8

    1 2 1 2

    3 5

    4 6

    1.

    2.

    3.

    4. VGA

    VGA

    5. USB

    6.

  • 2-7

    RJ45

    2.5

    TFT

    1 2 3 4

    5 6

    7

    8

    9

    1.

    2.

  • 2-8

    3.

    4.

    5.

    6.

    7.

    8.

    USB

    9.

  • 2-9

    2.6

    NIBP NIBP

    NIBP

    IBP PAWP

    7

    C.O.

    1. >> >>

    2. >>

    3.

    4. >>

    5.

  • 2-10

  • 3-1

    3

    3.1

    IEC IEC 60950

    IEC 60601-1 IEC 60601-1-1 IEC 60601-1-1

  • 3-2

    3.1.1

    3.1.2

    2

    5cm

  • 3-3

    3.2

    3.2.1

    1.

    2.

    3.

    3.2.2

    1.

    2.

    3.

    4.

    5.

    3.3

    1.

    2.

    3.

    4.

  • 3-4

    10

    3.4 3

    3.5

    3

  • 3-5

    3.6

    >> >>

    A

    C

    B

    ECG ECG A

    B C

    A

    B C B

    C B

    C Timer

  • 3-6

    3.7

    1. >> >>

    2.

    3. C Timer C 3.6

    4.

    /

    h:min:s 0~100 5

    10

    0~10 0 10

  • 3-7

    3.8

    1 4

    2

    3

    1.

    2. >>

    3.

    4.

  • 3-8

    3.9

    3.9.1

    1. >> >>

    2.

    3.9.2

    1. >> >>

    2.

    3.

    3.9.3

    1. >>

    2. 1101 10

    3.9.4

    1. >>

    2.

  • 3-9

    3.9.5

    1. >> >>

    2.

    3. ------

    4. 24 12

    3.9.6

    1. >>

    2. X10X

    10

    1. >>

    2. 010 0 10

    QRS

    QRS ECG SpO2

    HR PRQRS SpO2

    SpO2 QRS Pitch Tone

    1. ECG SpO2

    2. 010 0 QRS 10

  • 3-10

    3.10

    3.10.1

    >> >>

    ECG

    3.10.2

    >>

    3.11

    3.11.1

    3.11.2

    /

  • 3-11

    3.11.3 Demo DemoDemoDemo

    Demo 1. >>

    2. Demo >>Demo

    Demo

    1. >>

    2. Demo

    3. Demo

    Demo

    Demo

    3.11.4

    1. >> >>

    2. NIBP NIBP NIBP NIBP NIBP

    3.

    1. >> >>

    2.

  • 3-12

    3.11.5

    >>

  • 4-1

    4

    4.1

    1. >>

    2.

    3.

    ECG

    4.

    QRS ECG

  • 4-2

    4.2

    1. >>

    2.

    3.

    4.3

    eGateway HIS

    HIS

    1. >> >>

    Gateway >>Gateway IP

    ADT

    2.

    3. >>

    4.

    5.

    6.

    Gateway ADT

    HIS

  • 4-3

    4.4

    HIS HIS

    eGateway

    eGateway Integration Manager Installation Guide

    4.5

    1. >>

    2.

    3.

    4.6

    1. >>

    2.

  • 4-4

    4.7

    U

    >>

    4

    HR

    4.7.1 USB

    1. USB

    2. >>

    3.

    4. USBUSB

  • 4-5

    4.7.2 USB

    1. USB

    2.

    USBUSB

    3.

    U

    USB

    U

    4.

    USBUSB

    4.8

    NIBP

  • 4-6

  • 5-1

    5

    5.1

  • 5-2

    5.2

    1.

    2. >> >>

    5.3

    120

    1. >>

    2.

  • 5-3

    10

    5.4

    3

    1. >>

    2.

    5.5

    1. >>

    2. U >>

  • 5-4

    3. >> >> >>

    4.

    5.6

    1. >>

    2. U

    >>

    3.

    5.7

    U

  • 5-5

    1. USB

    2. >>

    3.

    1.

    2. >>

    3.

    5.8

    1. >>

    2. U >>

    3.

    >> >> >>

    4.

    5.9

    60

    120

    60 120

  • 5-6

    5.10

    1. >>

    2.

  • 6-1

    6

    6.1

    6.1.1

    1. >> >>

    2. >>

    3.

    6.1.2

    1. >> >>

    2.

    6.1.3

    >> >>

  • 6-2

    6.2

    6.2.1

    >> >>

    6.2.2

  • 6-3

    6.3

    >> >>

    1 3

    1 2 3 4 5 6

    HR SpO2 RR

    RR CO2

    1. OxyCRG

    2.

    1 min2 min4 min8 min

    3.

    4.

    5.

    6.

  • 6-4

    6.4

    6.4.1

    10

    1.

    >> >>

    2.

    3.

    6.4.2

    #

  • 6-5

    6.4.3

    4

    1

    2

    3

    1.

    2.

    3.

    4.

  • 6-6

    6.5

    1. >> >>

    2.

  • 7-1

    7

    7.1

    NIBP

    NIBP

  • 7-2

    7.2

    /

    7.3

    7.3.1

    :

    7.3.2

    ***

    **

    *

  • 7-3

    7.3.3

    7.3.4

    ISO 1 2.

    ISO

    ---------------

    --

    1

    -

    2

    --

    -

  • 7-4

    7.3.5

    7.4

    7.4.1

    1. >> >>

    2. >>

    3. 010

    7.4.2

    1.

    >>

    2. X10X 10

    3. +0

    +1+2

    4.

    0

  • 7-5

    7.4.3

    1. >> >>

    2. >>

    3.

    1 2

    1

    5 s

    20 s

    2

    1 s

    5 s

    20 s

    7.4.4

    1. >> >>

    2. >>

    3. ISO 1 2

    7.4.5

    0

    1. >> >>

  • 7-6

    2. >>

    1min2min3min

    >>

    7.5

    >>

    ST

    ST

    ECG

  • 7-7

    7.5.1

    >>

    SpO2 100

    7.5.2

    >>

    / /

    ECG

    HR/PR

    (HR0.8)

    40 bpm

    (HR30) 90

    bpm

    (HR1.25)

    240 bpm

    (HR40)

    200 bpm

    /35

    240

    55225

    Resp

    RR

    (RR0.5

    6 rpm

    (RR10) 30

    rpm (RR1.5

    3 rpm (RR+25) 85

    rpm

    /655

    1090

    SpO2

    SpO2

  • 7-8

    / /

    NIBP

    NIBP-S

    (SYS0.68

    10)mmHg

    (SYS15)

    45mmHg

    (SYS0.86

    38)mmHg

    (SYS15)

    105mmHg

    45270

    45185

    35115

    NIBP-D

    (Dia0.68

    6)mmHg

    (Dia15)

    20mmHg

    (Dia0.86

    32)mmHg

    (Dia15)

    80mmHg

    25225

    25150

    2090 NIBP-M

    (Mean0.68

    8)mmHg

    (Mean15)

    35mmHg

    (Mean0.86

    35)mmHg

    (Mean15)

    95mmHg

    30245

    30180

    25105

    Temp

    T1 (T10.5) (T10.5) (T10.5) (T10.5) (149) T2 (T20.5) (T20.5) (T20.5) (T20.5) (149)

    TD

    IBP

    ART/

    Ao/

    UAP/

    BAP/

    FAP/

    LV/ P1-

    P4

    (

    )

    IBP-S

    (SYS0.68

    10)mmHg

    (SYS15)

    45mmHg

    (SYS0.86

    38)mmHg

    (SYS15)

    105mmHg

    45270

    45185

    35115

    IBP-D

    (Dia0.68

    6)mmHg

    (Dia15)

    20mmHg

    (Dia0.86

    32)mmHg

    (Dia15)

    80mmHg

    25225

    25150

    2090 IBP-M

    (Mean0.68

    8)mmHg

    (Mean15)

    35mmHg

    (Mean0.86

    35)mmHg

    (Mean15)

    95mmHg

    30245

    30180

    25105

    PA

    IBP-S SYS0.75 SYS0.75 SYS1.25 SYS1.25 3120mmHg IBP-D Dia0.75 Dia0.75 Dia1.25 Dia1.25

    IBP-M Mean0.75 Mean0.75 Mean1.25 Mean1.25

    IBP:

    CVP/

    ICP/

    LAP/

    RAP/

    UVP/

    P1-P4

    (

    )

    IBP-M

    Mean0.75

    Mean0.75

    Mean1.25

    Mean1.25

    340mmHg

    CO2

    EtCO2

    0

    32mmHg

    032mmHg

    032mmHg

    032mmHg

  • 7-9

    / /

    32 35mmHg

    29mmHg

    3235mmHg

    29mmHg

    32

    35mmHg

    41mmHg

    3235mmHg

    41mmHg

    35

    45mmHg

    (etCO2

    6)mmHg

    3545mmHg

    (etCO2

    6)mmHg

    35

    45mmHg

    (etCO2

    6)mmHg

    3545mmHg

    (etCO2

    6)mmHg

    45

    48mmHg

    39mmHg

    4548mmHg

    39mmHg

    45

    48mmHg

    51mmHg

    4548mmHg

    51mmHg

    >48mmHg:

    >48mmHg:

    >48mmHg:

    >48mmHg:

    FiCO2

    awRR

    awRR0.5

    6 rpm

    (awRR10)

    30 rpm

    awRR1.5

    30 rpm

    (awRR25)

    85 rpm /655

    1090

    C.O.

    BT

    (BT1)

    (BT1)

    7.5.3

    ST

    ECG

    Resp

    SpO2

    Nellcor SpO2

    FiO2

    HR

  • 7-10

    ST

    7.5.4 SpO2

    5s10s15sSpO2 SpO2

    SpO2 SpO2

    7.5.5

    8 s 4

    16 s 8

    32 s 16

    7.5.6

    Resp CO2

    2

    1. >> >>

    2. >>1 min

    2 min3 min5 min

    7.6

    /

  • 7-11

    2

    1 min2 min3 min5 min10 min15 min

    2

    1. >> >>

    2. >>

    7.7

    /

    7.8

    /

  • 7-12

    7.9

    1. >> >>

    2. >>

    3. &

    &

    7.10

  • 7-13

    7.11

    SpO2 NIBP

    7.12

    1.

    2.

    3.

    4.

    5.

    7.13

    7.13.1

    7.13.2

    1. >> >>

  • 7-14

    2.

    3. >>

    7.13.3

  • 8-1

    8 ECG

    8.1

    ECGECG

    3/5 ST ARR

    8.2

    ECG

    10

    ESU

    8.3

    8.3.1

    1. ECG

    2.

    3.

    4. ECG

  • 8-2

    8.3.2

    1. ECG ECG >>

    2. 3 5

    3. >> >>

    4. >>ECG AHAIEC

    8.3.3

    3

    3

    RA

    LA

    LL

    5

    5

    RA

    LA

    RL

    LL

    V

    V

    V1 4

    V2 4

    V3V2 V4

    V4 5

    V5 V4

    V6 V4

    V3R-V6R

  • 8-3

    VE

    V7 5

    V7R 5

    ECG

    ECG

    ESU ECG

    ECG

    ESU

    ECG

    8.3.4

    ECGECG

    ECG

    ECG

    ECG >>

    ECG

  • 8-4

    QRS ECG

    8.4 ECG 5

    ECG

    HR

  • 8-5

    8.5 ECG

    8.5.1 ECG

    ECG

    ECG ECG

    ECG ECG

    8.5.2

    ECG SpO2

    HR/

    PR/

    ECG ECG

    8.5.3

    ECG >>

    8.5.4

    5

    2 ECG

    ECG 7 7 ECG

    ECG 7 7 ECG

    ECG1 1 ECG 2

  • 8-6

    8.5.5

    ECG ECG ECG

    ECG

    R ST

    ECG QRS ECG

    ST ST

    8.5.6

    1. ECG ECG

    2. >>

    3.

    1. >> >>

    2. >>50 Hz60

    Hz

  • 8-7

    8.5.7

    ECG >>

    ECG

    ECG

    8.5.8

    R 100ms

    +5V

    8.5.9 ECG

    ECG

    ECGECG1ECG2 ECG

    QRS

    QRS

    P T 0.2mV

    ECG

    ECG ECG

    ECG

    ECG

  • 8-8

    8.5.10

    ECG >>

    8.5.11

    >>ECG

    8.5.12 QRS

    QRS ECG >> QRS SpO2 SpO2 QRS Pitch Tone

    8.6 ST

    ST

    ST ST

    ST mV mm

    ST

    ST -2.0+2.0 mV-20.0 mm+20.0 mm

    ST

  • 8-9

    8.6.1 ST

    ST

    1. ECG ST >>

    2. ST

    ST

    /

    ST

    8.6.2

    ST ST ST STST ST

    STST

    STST

    8.6.3 ST

    8.6.3.1 ST

    5 ST

  • 8-10

    8.6.3.2 ST

    ST ST QRS ST ECG ST ST 10 ST

    1. ST ST

    2. ST

    ST ST ST

    8.6.4 ST

    ST ST

    20

    20 ST

    ST

  • 8-11

    8.6.5

    ST ST

    8.6.6

    ST

    8.6.7 ST

    ST ST

    8.6.8 ST

    ST ST >> ST

    8.6.9 ST

    ST

    8.6.10 ST

    ST R ST

    R

    P J T

    ST

    ISO ST

  • 8-12

    ISO ST

    ST QRS

    ST

    ST

    1. ST ST >>ST

    ISOJ ST

    2. J P ECG

    3. ISOJ ST

    ISO R ISO

    P Q P

    J J R ST J

    QRS ST

    ST J J+60/80, J+40, J+60 J+80 J ST ST J+60/80 ST 120 J+60 ST 120 J+80 ST

    8.7 PVC

  • 8-13

    8.7.1

    QRS

    / 6

    V PVC

    PVC

    PVCs/min PVCs/min

    QRS RR 1.75

    300 ms QRS

    NVNVNV NNVNNVNNV R on T R on T

    HR120 1

    V PVC

    PVC PVC (PVC)

    V PVC 2

    QRS

  • 8-14

    8.7.2

    ECG ECG >>

    8.7.3

    ECG >>

    ECG

    HR 30 bpm 10

    PVCs 1100 10 1 / 3~10 5 1

    60~300

    120

    160

    180

    5

    bpm

    15~120

    50

    75

    90

    5

    bpm

    120300 160 180

    200

    5

    bpm

    15~60

    35

    50

    60

    5

    bpm

    PVC 3~31 15 1 /

    100~200

    130

    160 5

    bpm

    PVCs 3~99 6 1 / 1.52.02.5 2 /

    PVCs 3~99 5 1 / 15~60 40 5 bpm

  • 8-15

    8.7.4

    PVC

    >> >>

    >>

    06.01.00

    8.7.5

    8.8 ECG

    8.8.1 ECG

    ECG ECG ECG

    ECG

    ST

    ECG ECG ST ECG ECG

  • 8-16

    ECG ECG

    ECG QRS ECG

    8.8.2 ECG

    ECG

    ECG

    5/12

  • 9-1

    9 Resp

    9.1

    ECG

    RR

    9.2

    EN 60601-1-2 3V/m 1V/m

    9.3 Resp

    RR

    Resp

  • 9-2

    9.4

    ECG

    ECG ECG 3

    5 ECG ECG I RA LA II RA LL

    I RA LA II

    RA LL

    I II

    9.4.1

    ECG

    ECG ECG ST

  • 9-3

    9.4.2

    9.4.3

    9.4.4

    9.5

    Resp III

    9.6

    Resp

    Resp CO2

    9.7

    Resp

    1.

    CPAP

    IMV

  • 9-4

    2.

    ECG ECG

    9.8

    Resp

    9.9 RR RR

    1. Resp

    2. RR

    RR

    RR RR RR

    RR

  • 9-5

    RR CO2 Resp CO2

    RR RR

    RR

    CO2 CO2 ECG

    9.10

    Resp >>

    9.11 / Resp

    Resp Resp Resp Resp Resp

  • 9-6

  • 10-1

    10 PR

    10.1

    PRPR

    SpO2 IBP PR

    PR SpO2

    2

    1

    1.

    2. PR

    10.2 PR PR

    /PR

    PR PR

    PR

    1. SpO2

    2. PR

    PR

    PR PR PR

    IBP

    PR

  • 10-2

    10.3

    ECG SpO2

    HR/

    PR/

    ECG ECG

    10.4 QRS

    PR QRS SpO2

    QRS SpO2

    SpO2 QRS Pitch Tone

  • 11-1

    11 SpO2

    11.1

    SpO2

    5

    1 2 3 4

    1. Pleth

    2. SpO2

    3. PI Masimo Mindray

    1 0.31 0.3

    4.

    5. PR

  • 11-2

    11.2

    2

    4

    11.3 SpO2

    SpO2 SpO2

    Mindray SpO2

    Masimo SpO2 Masimo SET

    Nellcor SpO2 Nellcor

    SpO2

    *Mindray SpO2 SpO2 CO-

    CO-

    Mindray SpO2 ISO 9919

  • 11-3

    11.4

    1.

    2.

    3.

    4. SpO2

    5.

    11.5 SpO2

    11.5.1 SpO2

    SpO2

    SpO2 SpO2

    11.5.2

    SpO2 >>Desat SpO2 SpO2

    11.5.3

    Masimo SpO2 SpO2

  • 11-4

    11.5.4

    SpO2 SpO2 SpO2

    Mindray SpO2 SpO2

    7 9 11

    Masimo SpO2 SpO2 2-4 s4-6 s

    8 s10 s12 s14 s16 s

    11.5.5 NIBP

    NIBP SpO2 SpO2 NIBP NIBP SpO2 NIBP NIBP NIBP SpO2 SpO2

  • 11-5

    11.5.6 Sat-Seconds

    SpO2 SpO2 SpO2 SpO2

    Nellcor SpO2 SpO2

    Sat-SecondsSat-Seconds SpO2 SpO2

    Sat-Seconds

    Sat-Seconds Sat-Seconds

    50 90 SpO2 882 2 86 3 84 6 Sat-Seconds

    Sat-Seconds

    2 2 4

    4 3 12

    6 6 36

    Sat-Seconds 52

    10.9 Sat-Seconds 50

    SpO2

    SpO2

    SpO2 Sat-Seconds SpO2

  • 11-6

    11.5.7 Pleth

    SpO2

    11.5.8 SpO2

    >>SpO2

    11.5.9 SpO2

    >>SpO2

    1 2

    SpO2

    11.6

    COHb

    MetHb

  • 11-7

    11.7 Masimo

    Masimo 5,758,6446,011,9866,699194

    7,215,9867,254,433

    7,530,955 www.masimo.com/patents.htm

    11.8 Nellcor

    Nellcor 5,485,8475,676,1415,743,263

    6,035,2236,226,539

    6,411,8336,463,3106,591,1236,708,0497,016,7157,039,5387,120,4797,120,480

    7,142,1427,162,2887,190,9857,194,2937,209,7747,212,8477,400,919

    http://www.masimo.com/patents.htm
  • 11-8

  • 12-1

    12 NIBP

    12.1

    NIBP

    IEC 60601-2-30/EN60601-2-30

    NIBP YY 0667

    2008

    NIBP

    12.2

    NIBP

    NIBP

    NIBP

  • 12-2

    12.3

    40bpm 240bpm

    NIBP

    12.4

    NIBP

    NIBP

    5

    12.5

    12.5.1

    1.

    2.

    3.

    4.

    40 50 2/3 5080

    5.

  • 12-3

    12.5.2 /

    NIBP NIBP NIBP NIBP

    12.5.3

    0.75mmHg

    0.10kPa

    0.75mmHg

    0.10kPa

    12.5.4

    1. NIBP NIBP

    2.

    3.

    12.5.5

    1. NIBP NIBP

    2. 5

  • 12-4

    12.6 NIBP

    NIBP NIBP

    1 2 3

    4

    5 6 7

    1.

    2.

    3.

    4. mmHg kPa

    5.

    6.

    7.

    12.7 NIBP NIBP NIBP

    12.7.1

    NIBP

    12.7.2

    NIBP >>

  • 12-5

    12.7.3 NIBP

    NIBP NIBP

    NIBP NIBP

    12.7.4 NIBP

    NIBP

    PR NIBP

    NIBP NIBP

    12.7.5

    >>

    mmHgkPa

    12.8

    NIBP

    1. NIBP >>

    2.

    3.

    4.

    NIBP

  • 12-6

  • 13-1

    13 Temp

    13.1

    iMEC

    13.2

    1 2

    T1 T2

    13.3

    1.

    2.

    3

    4.

    5.

    13.4 Temp

    T1 T2TD Temp

    13.5

    >>

    CF

  • 13-2

  • 14-1

    14 IBP

    14.1

    IBP

    14.2

  • 14-2

    14.3

    1.

    2.

    3. ArtArt Art >>

    4.

    ICP

  • 14-3

    14.4

    1. IBP

    2.

    3.

    4.

    5.

    6.

    7.

  • 14-4

    14.5 IBP

    Art

    6

    1.

    1

    2 3 4 5

    2. 3. 4. 5. 6. PPV

    Art ICPICP CPP CPP Art ICP

  • 14-5

    14.6 IBP

    14.6.1

    1. IBP

    2.

    PA CVP

    Ao LAP

    UAP RAP

    BAP ICP

    FAP UVP

    Art LV

    P1~P4

    14.6.2

    >>

  • 14-6

    14.6.3

    1 8 12

    14.6.4 IBP

    IBP

    IBP

    14.6.5 PPV

    PPV PPV PPV

    PPV PPV

    14.6.6

    >>

    mmHgkPaCVP mmHgcmH2O

    kPa

  • 14-7

    14.7 IBP

    IBP IBP

    1. >> >>

    2.

    3. A IBP

    IBP

    A

    4. IBP

    IBP IBP

    ArtLV

    AoFAPBAPUAP P1~P4 CVP

    ICPLAPRAPUVP P1~P4

    IBP CVP CVP IBP

    CVP

    IBP PA PA

    IBP

    IBP

  • 14-8

    CVP CVP CVP

    14.8 PAWP

    PAWPPAWP

    PAWP

    PAWP PAWP

    PAWP

    14.8.1

    1. C.O. C.O.

    2. PAWP IBP PAWP PA

    IBP PA

    3. PA PAWP PAWP

    P1~P4 PAWP

  • 14-9

    PAWP PA

    14.8.2

    1.

    PA

    2. PAWP

    3. PAWP

    PAWP

    4. PAWP

    PAWP PA

    PAWP

    14.8.3 PAWP

    PAWP ECG

    PA

  • 14-10

  • 15-1

    15 C.O.

    15.1

    C.O.

    C.O.

    C.O. C.O. C.O. C.O. 6

    15.2 C.O.

    C.O. C.O.C.I. TB

    C.O.C.O.

    C.O.

    15.3 C.O.

    /

  • 15-2

    C.O. IV

    C.O.

    15.4 C.O.

    1. C.O. C.O.

    2.

    C.O.

  • 15-3

    PN6000-10-02079

    3. C.O.C.O.

    4. C.O.

    C.O.

    C.O. C.O.

    5. C.O. C.O. C.O.

    A

    F

    B

    C E

    D

    A.

    B. C.O.

    C.

    D.

    E. C.O. C.I.

    F.

    6.

  • 15-4

    C.O.

    C.O.

    C.O.

    7. 6 3 5

    C.O. C.I.

    C.O.

    >>C.O.

    >> >>

    30 60

    0.51 2.0

    C.O.

    C.O.

  • 15-5

    15.5

    C.O.

    15.6 C.O.

    15.6.1

    >>

    15.6.2

    C.O. >>

  • 15-6

  • 16-1

    16 CO2

    16.1

    CO2 CO2 CO2 CO2 CO2 CO2

    CO2

    1. Mainstream

    CO2

    2. Sidestream/Microstream

    CO2

    CO2

    1. CO2

    2. CO2 EtCO2 CO2

    3. CO2FiCO2 CO2

    4. awRR

  • 16-2

    16.2

    16.2.1 CO2

    1. CO2

    2. CO2

    3.

    CO2 CO2

  • 16-3

    16.2.2 CO2

    CO2

    16.2.3 CO2

    1. CO2 CO2

    2.

    3.

    4.

    5.

  • 16-4

    16.3 CO2

    16.3.1 CO2

    CO2 CO2

    16.3.2

    CO2

    CO2

    CO2

    CO2

    CO2

    CO2 CO2 0

    CO2

    CO2

    CO2

    CO2 CO2

    CO2

    CO2

    CO2

    16.3.3 CO2

    >>CO2

    mmHgkPa

  • 16-5

    16.3.4

    CO2

    1. CO2

    2.

    CO2

    CO2

    1. CO2

    2.

    O2 30

    O2

  • 16-6

    16.3.5

    CO2

    1. ATPDAmbient Temperature and PressureDry Gas

    2. BTPSBody Temperature and Pressure, Saturated 37 C 95

    47 mmHg

    CO2

    CO2

    ATPD Pco2 (mmHg) = CO2 (vol%) Pamb /100

    BTPS PCO 2 (mmHg ) = CO2 (vol%) (Pamb 47) /100

    PCO 2 CO2 vol%

    Pamb mmHg

    CO2 CO2

    CO2

    1. CO2

    2. BTPS ATPD BTPS

    16.3.6

    CO2

    Resp CO2,

    16.3.7

    CO2 EtCO2 FiCO2 CO2 CO2

    EtCO2 FiCO2

    1. CO2

    2.

    EtCO2 FiCO2

    10 s.20 s.30 s CO2 EtCO2

    FiCO2

  • 16-7

    16.3.8

    CO2

    CO2

    16.3.9 CO2

    CO2

    CO2

    CO2

    16.3.10 RR

    RR

    1. CO2

    2. RR

    Resp CO2 RR RR

    Resp RR

    16.4

    CO2

    CO2 760 mmHg

    1. >> >>

    CO2

    >>CO2 >>

    2.

  • 16-8

    CO2

    CO2

    16.5

    10 kPa100 cmH2O

    16.6

    CO2 CO2 CO2

    CO2 >>

    16.7

    CO2

    16.8

    CO2 CO2

  • 16-9

    16.9

    CO2 CO2

    CO2

    16.10 Oridion

    Oridion

    CO2 6,428,4836,997,880

    6,437,3167,488,2297,726,954

    CO2

    / CO2

  • 16-10

  • 17-1

    17

    17.1

    1.

    2.

    3.

    17.2

    0 s

    -1 s-2 s-3 s

  • 17-2

    17.3

    17.4

    1. 1 2 3

    2.

  • 18-1

    18

    18.1

    1. >>

    2.

    18.2

    1 2

    4 3

    5

    1. 2. 3.

    4. 5.

    1

    2

  • 18-2

    18.3

    1

    2

    5 s30 s 5 30 4

    1 min5 min10 min15 min30 min1 h2 h3 h 1 5 10 15 30 1 2 3 120

    NIBP NIBP

  • 18-3

    18.4

    18.4.1

    >>

    18.4.2

    4 8 16

  • 18-4

    1 2

    1. 2.

    ECG

    3

  • 18-5

    18.5

    1 2

    1. 2.

    >>

    ECG

  • 18-6

  • 19-1

    19

    19.1

    >>

  • 19-2

    19.2

    19.2.1

    1. >> >>

    >>

    2. 15 ABCDE

    ABCDE

    3.

    4.

    5.

    6.

    19.2.2

    ABC

    gmgmcg

    DUnitKUMU

    E mEq

    ABCD E

  • 19-3

    19.2.3

    >>

    19.2.4

    Conc. g/ml, unit/ml mEq/ml Amount / Volume Dose Dose/hr, Dose/kg/min Rate Conc. Volume ml Rate Duration Amount g, unit, mEq Rate Duration Duration h Amount/Dose Drip Rate gtt/min INF Rate Drop Size / 60

    19.3

    19.3.1

    1. >>

    >>

    2.

    3.

  • 19-4

    ---

    Hb

    19.3.2

    C.O. L/min cardiac output

    FiO2 % percentage fraction of inspired oxygen PaO2 mmHg partial pressure of oxygen in the arteries

    PaCO2 mmHg partial pressure of carbon dioxide in the arteries

    SaO2 % arterial oxygen saturation PvO2 mmHg partial pressure of oxygen in venous blood

    SvO2 % venous oxygen saturation Hb g/L hemoglobin CaO2 ml/L arterial oxygen content

    CvO2 ml/L venous oxygen content VO2 ml/min oxygen consumption RQ respiratory quotient ATMP mmHg atmospheric pressure cm / height kg / weight

  • 19-5

    19.3.3

    BSA

    m2

    body surface area

    Wt 0.425

    Ht 0.725

    0.007184

    VO2 calc ml/min oxygen consumption C(a-v)O2 C.O.

    C(a-v)O2

    ml/L

    arteriovenous oxygen

    content difference CaO2 CvO2

    O2ER

    %

    oxygen extraction

    ratio

    100C(a-v)O2/ CaO2

    DO2 ml/min oxygen transport C.O. CaO2

    PAO2

    mmHg

    partial pressure of

    oxygen in the alveoli

    FiO2 / 100 ATMP47

    PaCO2 [ FiO2 /100 (1

    FiO2 /100) / RQ ]

    AaDO2

    mmHg -

    alveolar-arterial

    oxygen difference PAO2 PaO2

    CcO2

    ml/L

    capillary oxygen

    content Hb 1.34 0.031 PAO2

    Qs/Qt

    %

    venous admixture

    100 [1.34 Hb (1SaO2

    /100) 0.031 (PAO2

    PaO2)] / [1.34 Hb (1

    SvO2 /100) 0.031 (PAO2

    PvO2 )]

    C.O. calc

    L/min

    calculated cardiac

    output VO2 / (CaO2 CvO2 )

    19.4

    19.4.1

    1. >>

    2.

    3.

    ---

  • 19-6

    19.4.2

    FiO2 % percentage fraction of inspired oxygen RR rpm respiration rate

    PeCO2 mmHg partial pressure of mixed expiratory CO2

    PaCO2

    mmHg partial pressure of carbon dioxide in the

    arteries PaO2 mmHg partial pressure of oxygen in the arteries TV ml tidal volume RQ respiratory quotient ATMP mmHg atmospheric pressure

    19.4.3

    PAO2

    mmHg

    partial pressure of

    oxygen in the alveoli

    ATMP47 FiO2 /100

    PaCO2 [FiO2 /100 (1

    FiO2 /100) / RQ ]

    AaDO2

    mmHg

    alveolar-arterial

    oxygen difference PAO2 PaO2

    Pa/FiO2 mmHg oxygenation ratio 100 PaO2 / FiO2

    a/AO2

    %

    arterial to alveolar

    oxygen ratio

    100 PaO2 / PAO2

    MV L/min minute volume TV RR/ 1000

    Vd

    ml

    volume of

    physiological dead

    space

    TV 1 PeCO2 / PaCO2

    Vd/Vt

    %

    physiologic dead

    space in percent of

    tidal volume

    100 Vd/TV

  • 19-7

    VA

    L/min

    alveolar volume TV Vd) RR / 1000

    19.5

    19.5.1

    1. >>

    2.

    HRArt MeanPA Mean CVP C.O C.O. C.O.

    3.

    ---

    19.5.2

    C.O. L/min cardiac output HR bpm heart rate PAWP mmHg pulmonary artery wedge pressure

    Art Mean mmHg artery mean pressure PA Mean mmHg pulmonary artery mean pressure CVP mmHg central venous pressure EDV ml end-diastolic volume cm / height kg / weight

  • 19-8

    19.5.3

    C.I. L/min/m2 cardiac index C.O. / BSA BSA m2 body surface area Wt 0.425 Ht 0.725 0.007184 SV ml stroke volume C.O. / HR 1000

    SI

    ml/m2

    stroke index

    SV/ BSA

    SVR

    DS/cm5

    systemic vascular

    resistance 79.96 AP MAP CVP/

    C.O.

    SVRI

    DSm2/cm

    5

    systemic vascular

    resistance index

    SVR BSA

    PVR

    DS/cm5

    pulmonary

    vascular resistance 79.96 PAMAP PAWP/

    C.O.

    PVRI

    DSm

    2/cm

    5

    pulmonary

    vascular resistance

    index

    PVR BSA

    LCW kgm left cardiac work 0.0136 APMAP C.O.

    LCWI

    kgm/m2

    left cardiac work

    index

    LCW / BSA

    LVSW

    gm

    left ventricular

    stroke work

    0.0136 APMAP SV

    LVSWI

    gm/m2

    left ventricular

    stroke work index

    LVSW / BSA

    RCW kgm right cardiac work 0.0136 PAMAP C.O.

    RCWI

    kgm/m2

    right cardiac work

    index

    RCW / BSA

    RVSW

    gm

    right ventricular

    stroke work

    0.0136 PAMAP SV

    RVSWI

    gm/m2

    right ventricular

    stroke work index

    RVSW / BSA

    EF % ejection fraction 100 SV / EDV

  • 19-9

    19.6

    19.6.1

    1. >>

    2.

    3.

    ---

    19.6.2

    URK mmol/L urine pstassium URNa mmol/L urinary sodium

    Urine ml/24h urine Posm mOsm/ kgH2O plasm osmolality Uosm mOsm/ kgH2O urine osmolality

    SerNa mmol/L serum sodium Cr mol/L creatinine

    UCr mol/L urine creatinine BUN mmol/L blood urea nitrogen cm / height kg / weight

  • 19-10

    19.6.3

    URNaEx mmol/24h urine sodium excretion Urine URNa / 1000

    URKEx

    mmol/24h urine potassium excretion

    Urine URK / 1000

    Na/K

    % / sodium potassium

    ratio

    100 URNa / URK

    CNa ml/24h clearance of sodium URNa Urine / SerNa

    Clcr

    ml/min creatinine clearance

    rate Ucr Urine / Cr / (BSA

    / 1.73) / 1440

    FENa

    % fractional excretion of sodium

    100 URNa Cr ) /

    (SerNa Ucr

    Cosm

    ml/min

    osmolar clearance Uosm Urine / Posm /

    1440

    CH2O

    ml/h

    free water clearance Urine (1Uosm / Posm/ 24

    U/P osm /

    urine to plasma

    osmolality ratio

    Uosm / Posm

    BUN/Cr * /

    blood urea nitrogen

    creatinine ratio

    1000 BUN / Cr

    U/Cr /

    urine-serum creatinine

    ratio

    Ucr / Cr

    *BUN/Cr mol

    19.7

  • 20-1

    20

    20.1

    3

    1 2

    5

    3

    4

    1.

    2.

    3.

    4.

    5.

  • 20-2

    20.2

    1.

    2.

    3.

    4.

    20.3

    *

    *

  • 20-3

    20.4

    20.4.1

    >>

    20.4.2

    3 1 2 3 1

    20.4.3

    1.

    2.

    8 s 4

    20.4.4

    8

    1.

    2.

    3.

    20.4.5

    1.

    2. 25 mm/s50 mm/s

  • 20-4

    20.4.6

    1.

    2.

    20.5

    1.

    2.

    3.

    4.

  • 20-5

    20.6

    1.

    2.

    3.

    20.7

    1.

    2.

    3.

    4.

  • 20-6

  • 21-1

    21

    21.1

    21.2

    PC

    PC

    21.2.1

    PC

    21.2.2

    1. PC

    2. PC IP IP IP

    3. PC

  • 21-2

    1. >>

    2.

    3. PC IP

    4.

    1. PC PC IP

    2. PC

    21.3

    1.

    2.

    3.

    1. >> >>

    2. >>

    3. >>

  • 21-3

    1

    21.4

    21.4.1

    Wi-Fi

    >> >>

    >>

    21.4.2

    Wi-Fi

    1. >> >>

    >>

    2.

  • 21-4

    3. >>

    4. SSID)

    5.

    >> AP IP

    Wi-Fi IEEE 802.11b/g/n

    21.4.3 IP

    IP

    IP IP

    32

  • 22-1

    22

    22.1

    22.2

    1.

    iMEC 12/iMEC 10 iMEC 8

  • 22-2

    2.

    3.

    4.

    22.3

    3 3

    50% 6 6

    50%

  • 22-3

    22.4

    1.

    2.

    3. 10

    4.

    5. 10

    6.

    1.

    2. 10

    3.

    4.

  • 22-4

    NIBP

    22.5

  • 23-1

    23

    23.1

  • 23-2

    23.2

    3

    70

    70

    1.