临床科室常见技术操作规范 VIP专享

1 临床科室技术操作规范 目录 第一章 内科 ......................................................................................................................8 第一节 心血管内科 .............................................................................................................8 临时心脏起搏器植入术.................................................................................................8 永久起搏器植入术........................................................................................................9 PCI术后处理常规.......................................................................................................10 心脏电复律 ................................................................................................................10 心包穿刺术 ................................................................................................................12 第二节 呼吸内科...............................................................................................................12 动脉血气分析 .............................................................................................................12 经口、鼻腔吸痰 .........................................................................................................16 氧气吸入 .................................................................................................................17 胸膜腔穿刺术 .............................................................................................................18 胸腔闭式引流术 .........................................................................................................21 胸腔减压术 ................................................................................................................22 雾化吸入 ....................................................................................................................22 腹膜腔穿刺术 .............................................................................................................23 骨髓穿刺术操作规范 ..................................................................................................26 腰椎穿刺术操作规范 ..................................................................................................28 人工呼吸术操作规范 ..................................................................................................29 成人心肺复苏 .............................................................................................................31 导尿术........................................................................................................................33 纤维支气管内镜检查常规及操作规范 .........................................................................34 无创呼吸机的应用......................................................................................................38 肺功能测定操作规范 ..................................................................................................41 机械通气 ....................................................................................................................42 第三节 内分泌科...............................................................................................................53 血糖检测 ....................................................................................................................53 胰岛素笔使用 .............................................................................................................53 甲状腺细针穿刺抽吸术...............................................................................................54 甲状腺粗针穿刺活检术...............................................................................................56 胰岛素泵操作 .............................................................................................................57 第四节 消化内科...............................................................................................................58 上消化道内镜检查......................................................................................................58 结肠镜检查 ................................................................................................................60 内镜逆行胰胆管造影检查(ERCP ) ..............................................................................63 超声内镜检查 .............................................................................................................67 急诊内镜检查 .............................................................................................................69 第五节 肾病科 ..................................................................................................................70 经皮肾活检术 .............................................................................................................70 股静脉临时导管置管术...............................................................................................72