604 lines
11 KiB
Plaintext
604 lines
11 KiB
Plaintext
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"Name":"Contraindication_5"
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"Name":"Contraindication_7"
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"Name":"Contraindication_9"
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"Name":"Conclusion"
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"Name":"Doctor"
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"Text":"性别：[#GenderName#] 年龄：[#Age#]"
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"Name":"MemoBox9",
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"Text":"[#OutpatientNumber#]"
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"Left":0.185208,
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"Top":0.608542,
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"Width":15.7956,
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"Height":0.582083,
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"Text":"心电检查结果：[#EcgResult#]"
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"Height":0.608542,
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"Text":"肌钙蛋白结果：[#CTnI_Value#]"
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"Text":"诊断：[#PreliminaryDiagnosis#]"
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"Height":0.78
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"Height":0.78
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"Height":0.78
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"TextAlign":"MiddleCenter",
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"Text":"溶栓适应症"
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},
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"row":1,
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"Text":"筛查结果"
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{
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"row":2,
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"col":1,
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"Text":"1、持续性胸痛≥半小时，含服硝酸甘油症状不缓解。"
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},
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"row":2,
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"col":2,
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"TextAlign":"MiddleCenter",
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"Text":"[#Indication_1#]"
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},
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{
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"row":3,
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"col":1,
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"Text":"2、相邻两个或更多导联 ST 段抬高在肢体导联>0.11mV、胸导>0.2mV。"
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},
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{
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"row":3,
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"col":2,
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"TextAlign":"MiddleCenter",
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"Text":"[#Indication_2#]"
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},
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{
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"row":4,
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"col":1,
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"Text":"3、发病≤6 小时者。"
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},
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{
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"row":4,
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"col":2,
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"TextAlign":"MiddleCenter",
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"Text":"[#Indication_3#]"
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},
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{
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"row":5,
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"col":1,
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||
"WordWrap":true,
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"Text":"4、若患者来院时已是发病后 6～12 小时，心电图 ST 段抬高明显伴有或不伴有严重胸痛者仍可溶栓。"
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},
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{
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"row":5,
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"col":2,
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"TextAlign":"MiddleCenter",
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"Text":"[#Indication_4#]"
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},
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{
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"row":6,
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||
"col":1,
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||
"WordWrap":true,
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||
"Text":"5、年龄≤75 岁。75 岁以上的高龄 AMI 患者，应根据梗塞范围，患者一般状态，有无高血压、糖尿病等因素，因人而异慎重选择。\t\t\r\n"
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},
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{
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"row":6,
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"col":2,
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"TextAlign":"MiddleCenter",
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"Text":"[#Indication_5#]"
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},
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{
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"row":7,
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||
"col":1,
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||
"Text":"6、患者和（或）家属同意签署知情同意书\t。"
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},
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||
{
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"row":7,
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||
"col":2,
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||
"TextAlign":"MiddleCenter",
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"Text":"[#Indication_6#]"
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},
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"row":8,
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"col":1,
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"Charset":134
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},
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"TextAlign":"MiddleCenter",
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"Text":"溶栓禁忌证"
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},
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{
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"row":8,
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"col":2,
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"Font":{
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"Bold":true,
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"Charset":134
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},
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"TextAlign":"MiddleCenter",
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"Text":"筛查结果"
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},
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||
{
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"row":9,
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"col":1,
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"WordWrap":true,
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||
"Text":"\r\n1、两周内有活动性出血 (外伤、外科大手术、胃肠道溃疡、咯血等，月经除外 )，做过内脏手术、活体组织检查 ，有创伤性心肺复苏术， 不能实施压迫的血管穿刺以及有外伤史者。\r\n\r\n"
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||
},
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||
{
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||
"row":9,
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"col":2,
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"TextAlign":"MiddleCenter",
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"Text":"[#Contraindication_1#]"
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},
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||
{
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"row":10,
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||
"col":1,
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"Text":"2、高血压病患者经治疗后在溶栓前血压仍>180/110mmHg 者。"
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||
},
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||
{
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||
"row":10,
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"col":2,
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"TextAlign":"MiddleCenter",
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"Text":"[#Contraindication_2#]"
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||
},
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{
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||
"row":11,
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||
"col":1,
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"Text":"3、高度怀疑有夹层动脉瘤者、感染性心内膜炎，不能排除前述诊断者。"
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||
},
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||
{
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||
"row":11,
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"col":2,
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"TextAlign":"MiddleCenter",
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"Text":"[#Contraindication_3#]"
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||
},
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||
{
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||
"row":12,
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||
"col":1,
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||
"WordWrap":true,
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||
"Text":"4、有脑出血或蛛网膜下腔出血史， >6小时至半年内有缺血性脑卒中(包括 TIA)史。"
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},
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||
{
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||
"row":12,
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||
"col":2,
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||
"TextAlign":"MiddleCenter",
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"Text":"[#Contraindication_4#]"
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||
},
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||
{
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||
"row":13,
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||
"col":1,
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"Text":"5、有出血性视网膜病史。"
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||
},
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||
{
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||
"row":13,
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||
"col":2,
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||
"TextAlign":"MiddleCenter",
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"Text":"[#Contraindication_5#]"
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||
},
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||
{
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||
"row":14,
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||
"col":1,
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||
"Text":"6、各种血液病、出血性疾病或有出血倾向者。"
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||
},
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||
{
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||
"row":14,
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||
"col":2,
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||
"TextAlign":"MiddleCenter",
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||
"Text":"[#Contraindication_6#]"
|
||
},
|
||
{
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||
"row":15,
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||
"col":1,
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||
"Text":"7、严重的肝肾功能障碍或恶性肿瘤等患者。"
|
||
},
|
||
{
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||
"row":15,
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||
"col":2,
|
||
"TextAlign":"MiddleCenter",
|
||
"Text":"[#Contraindication_7#]"
|
||
},
|
||
{
|
||
"row":16,
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||
"col":1,
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||
"Text":"8、经扩容仍使用血管活性药物无效的心源性休克或者严重左心衰竭、肺水肿患者。"
|
||
},
|
||
{
|
||
"row":16,
|
||
"col":2,
|
||
"TextAlign":"MiddleCenter",
|
||
"Text":"[#Contraindication_8#]"
|
||
},
|
||
{
|
||
"row":17,
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||
"col":1,
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||
"Text":"9、心悸梗死发作前以使用抗凝药（华法林）的患者，不建议溶栓治疗。"
|
||
},
|
||
{
|
||
"row":17,
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||
"col":2,
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||
"TextAlign":"MiddleCenter",
|
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"Text":"[#Contraindication_9#]"
|
||
},
|
||
{
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||
"row":18,
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||
"col":1,
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||
"Text":"10、妊娠期女性。"
|
||
},
|
||
{
|
||
"row":18,
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||
"col":2,
|
||
"TextAlign":"MiddleCenter",
|
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"Text":"[#Contraindication_10#]"
|
||
},
|
||
{
|
||
"row":19,
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||
"col":1,
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||
"Text":"11、患者和（或）家属不同意签署知情同意书。"
|
||
},
|
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{
|
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"row":19,
|
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"col":2,
|
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"TextAlign":"MiddleCenter",
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"Text":"[#Contraindication_11#]"
|
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},
|
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{
|
||
"row":20,
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"col":1,
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||
"Text":"12、医师认为其它不适合静脉溶栓的疾病及情况。"
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||
},
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||
{
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||
"row":20,
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"col":2,
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"TextAlign":"MiddleCenter",
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"Text":"[#Contraindication_12#]"
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"row":21,
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"col":1,
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"Bold":true,
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},
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"TextAlign":"MiddleCenter",
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"Text":"筛查结论",
|
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"ColSpan":2
|
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},
|
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{
|
||
"row":22,
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||
"col":1,
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||
"Text":"结论：能否溶栓治疗"
|
||
},
|
||
{
|
||
"row":22,
|
||
"col":2,
|
||
"TextAlign":"MiddleCenter",
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"Text":"[#Conclusion#]"
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}
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"Height":0.582083,
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"Text":"医生签字：[#Doctor#]"
|
||
},
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{
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"Type":"MemoBox",
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"Name":"MemoBox14",
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"Left":8.20208,
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"Top":21.4048,
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"Width":7.19667,
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"Height":0.582083,
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"Text":"日期：[#ScreeningTime#]"
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}
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]
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}
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]
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} |