2022年医院危急值报告制度与工作流程 .pdf

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1、危急值报告制度与工作流程一、“危急值”定义“危急值”是指当此种检验（查）结果出现时，表明患者可能正处于有生命危险的边缘状态，临床医生需要及时得到检验（查）信息，迅速给予患者有效的干预措施或治疗，就可能挽救患者生命，否则就有可能出现严重后果，失去最佳抢救机会。二、“危急值”报告制度目的（一）“危急值”信息可供临床医生对生命处于危险边缘状态的患者采取及时、有效的治疗，避免患者意外发生，出现严重后果。（二）“危急值”报告制度的制定与实施，能有效增强医技工作人员的主动性和责任心，提高医技工作人员的理论水平，增强医技人员主动参与临床诊断的服务意识，促进临床、医技科室之间的有效沟通与合作。（三）医技科室及

2、时准确的检查、检验报告可为临床医生的诊断和治疗提供可靠依据，能更好地为患者提供安全、有效、及时的诊疗服务。三、“危急值”报告程序和登记制度(一)医技科室工作人员发现“危急值”情况时，检查（验）者首先要确认仪器、设备和检查过程是否正常，操作是否正确；核查检验标本是否有错，检验项目质控、定标、试剂是否正常，仪器传输是否有误。在确认检查（验）过程各环节无异常的情况下，需立即电话通知临床科室人员“危急值”结果，并在危急值报告登记本上逐项做好“危急值”报告登记。（二）临床科室人员在接到“危急值”报告电话后，应在临床科室危急值报告登记本上做好记录，同时及时通知主管医生或值班医生。（三）主管医生或值班医生应

3、及时识别，如果认为该结果与患者的临床病情不相符，应进一步对病人进行检查；如认为检验结果不符，应关注标本留取情况。必要时，应重新留取标本送检进行复查。若该结果与临床相符，应结合临床情况立即采取相应处理措施，同时及时报告上级医师或科主任。（四）主管医生或值班医生需6 小时内在病程中记录接收到的“危急值”报告结果和所采取的相关诊疗措施。（五）登记管理“危急值”报告与接收均遵循“谁报告（接收），谁记录”原则。各临床科室、医技科室应分别建立检查（验）“危急值”报告登记本，对“危急值”处理的过程和相关信息做详细记录。四、监督机制文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P

4、9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH

5、6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P

6、9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH

7、6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P

8、9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH

9、6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P

10、9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9科室要有专人负责本科室“危急值”报告制度落实情况，确保制度落实到位。医技科室如未按要求向临床科室报告危急值结果，一次扣罚 1 分；临床科室未及时处理一次扣罚1 分，病历无记录一次扣罚 0.5 分；危急值报告登记本登记不及时、漏登或缺项过多，扣 0.5 分。五、工作要求（一）临床、医技科室要认真组织学习“危急值”报告制度，人人掌握“危急值”报告项目与“危急值”范围和报告程序。科室要有专人负责本科室“危急值”报告制度落实情况，确保制度落实

11、到位。（二）文件下发之日起，“危急值”报告制度的落实执行情况将纳入科室质量考核内容。质控办对各临床医技科室“危急值”报告制度的执行情况进行检查，提出“危急值”报告制度持续改进的具体措施。（三）各科室要把“危急值”报告登记表放在值班人员随时可以找到的位置，以便及时登记、处理并接受检查。六、持续改进措施质控办定期进行总结“危急值”报告工作，每年至少有一次总结。各临床、医技科室在实际诊疗工作中，如发现现定的“危急值”项目及“危急值”范围需要更改或增减，请及时与质控办联系，文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K

12、9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:

13、CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K

14、9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:

15、CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K

16、9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:

17、CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K

18、9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9根据我院临床实际情况，不断完善“危急值”项目及范围的相关规定。附件 1：“危急值”报告及处理流程附件 2：“危急值”项目及报告范围人民医院二 0 一一年六月十七日文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码

19、:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9

20、K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码

21、:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9

22、K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码

23、:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9

24、K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9附件 1：危急值报告及处理流程辅检科室发现并确认危急值电话通知相关病区并登记值班人员接收

25、电话报告并登记主管医生或值班医生迅速采取相应措施上级医师、科主任,必要时上报医务科决定方案，采取措施在病历中记录处置细节文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9

26、文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6

27、T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9

28、文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6

29、T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9

30、文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6

31、T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9附件 2：危急值项目及危急值报告范围（一）检验部门1.检验科检验项目单位低值高值备注白细胞计数（放化疗、血液病患者）109/L 2.5 100 静脉血、末梢血白细胞计数（其他患者）109/L 1 100 静脉血、末梢血血红蛋白含量g/L 5

32、0 200 静脉血、末梢血血小板计数109/L 20 1000 静脉血、末梢血凝血活酶时间S 20 血浆激活部分凝血活酶时间S 70 血浆纤维蛋白原定量g/L 1 血浆钾mmol/L 2.5 6.5 血清钠mmol/L 120 160 血清氯mmol/L 80 130 血清钙mmol/L 1.5 3.5 血清葡萄糖mmol/L；2.5 22.2 血清尿素氮nmol/L 36 血清肌酐mol/L530 血清酮症mmol/L 1.5 血清淀粉酶U/l 正常参考值上限3倍以上血清文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T

33、3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文

34、档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T

35、3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文

36、档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T

37、3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文

38、档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T

39、3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9检验项目危急值报告内容细菌培养及药敏培养出耐甲氧西林金黄葡萄球菌（MRSA）、产超广谱 -内酰胺酶（ESBLs）肠杆菌科细菌、耐万古霉素肠球菌、多重耐药的鲍曼不动杆菌无菌部位标本细菌培养血液、骨髓、脑脊液培养阳性脑脊液涂片发现脑膜炎双球菌2、血库：输血配血型与之前血型检测不符。（二）检查部门1.电诊科（1）心电图检查(1)心脏停搏；(2)急性心肌梗死；(3)致命性心律失常：心室扑动、颤动；室性心动过速；多源性、RonT 型室性早搏；频发室性早搏并Q-T 间期延长；预激综合征伴快

40、速心室率心房颤动；心室率大于180 次分的心动过速；二度型及二度型以上的房室传导阻滞；心室率小于40 次分的心动过缓；大于 2 秒的心室停搏；（2）超声检查急诊外伤或介入治疗后见腹腔积液，疑似肝脏、脾脏或肾脏文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2

41、H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4

42、 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2

43、H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4

44、 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2

45、H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4

46、 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9等内脏器官破裂出血的危重患者；考虑急性坏死性胰腺炎；怀疑宫外孕破裂并腹腔内出血；晚期妊娠出现羊水过少5cm，合并胎儿呼吸、心率过快（160bpm）或过慢

47、（120bpm）；超声检查发现患者有动脉瘤；大面积心肌坏死；大量心包积液合并心包填塞。2.影像科（1）中枢神经系统及五官：重型颅脑损伤（严重颅内血肿、脑挫裂伤、蛛网膜下腔出血的急性期）；颅内急性大面积脑梗塞，脑出血伴脑疝形成；眼球破裂；（2）脊柱、脊髓疾病：X 线检查诊断为脊柱外伤长轴成角畸形、锥体粉碎性骨折压迫硬膜囊、脊髓重度损伤；多发肋骨骨折伴肺挫裂伤及或液气胸（肺压缩50%以上）；骨盆环骨折；（3）呼吸系统：气管、支气管异物致呼吸困难；肺压缩 50%以上的液气胸，尤其是张力性气胸；肺栓塞、肺梗塞、急性肺水肿；（4）循环系统：文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5

48、I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3

49、P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5

50、I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3P2T4 HH6T3U9K9M4 ZX5I1T2H5P9文档编码:CC8Y4N3