除顫儀說明書.pdf

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1、2008 年 1 月 9650-0200-15 版本 B 操作手冊 在扉頁中提供了本手冊的出版和修訂日期。 在超過本出版日期三年后，用戶可以與 ZOLL 醫(yī)療器械公司聯(lián)系，以確認(rèn)是否可以獲得產(chǎn)品更新信息。 ZOLL、 M系列、 CPR-Dpadz 和 stat padz 是 ZOLL醫(yī)療公司的注冊商標(biāo)。 ZOLL數(shù)據(jù)控制軟件、 CPR即時(shí)輔 助，以及“ Advancing Resusciation. Today”為 ZOLL醫(yī)療公司的商標(biāo)。 12SL和 Catalyst MUSE為 GE醫(yī)療器械

2、公司的商標(biāo)。 2008 年 ZOLL 醫(yī)療器械公司版權(quán)所有。 i 目 錄 第 1 章 基本信息 .................................................................................................. 1-1 產(chǎn)品描述 ................................................................................................................................ 1-1 如何使

3、用本手冊 .................................................................................................................... 1-2 操作手冊的更新 .................................................................................................................... 1-2 拆箱 ..........................................

4、.............................................................................................. 1-2 附件 ........................................................................................................................................ 1-2 設(shè)備上所使用的符號 ...............................................

5、............................................................. 1-3 除顫器功能 ............................................................................................................................ 1-4 用途 -手動操作 ..........................................................................................

6、.............................................1-4 用途 -半自動操作（ AED） ...................................................................................................................1-4 對于年齡小于 8 歲的患兒，不建議使用 CPR監(jiān)護(hù)功能。 ..................................................................1-4 半自動操作模式的禁忌癥 .....

7、................................................................................................................1-4 除顫器并發(fā)癥 .........................................................................................................................................1-4 除顫器輸出端量 ............................

8、.........................................................................................................1-4 體外起搏器（只用于起搏器型） ........................................................................................ 1-5 用途 -起搏器 ...........................................................................

9、................................................................1-5 兒科心臟起搏 .........................................................................................................................................1-6 顯示器 ................................................................................

10、.................................................... 1-6 記錄功能 ................................................................................................................................ 1-6 除顫板 -電極選項(xiàng) ...............................................................................................

11、................... 1-6 電池 ........................................................................................................................................ 1-6 內(nèi)部電池充電 ........................................................................................................................ 1-6

12、外接電池充電器 .................................................................................................................... 1-7 診斷 ........................................................................................................................................ 1-7 安全注意事項(xiàng) ....................

13、.................................................................................................... 1-8 設(shè)備重新啟動 ...................................................................................................................... 1-10 FDA規(guī)定 ..........................................................

14、....................................................................1-11 產(chǎn)品跟蹤要求 .......................................................................................................................................1-11 不良事件通報(bào) .........................................................................

15、..............................................................1-11 軟件許可證 .......................................................................................................................... 1-12 維修 ................................................................................................

16、...................................... 1-12 除顫器波形信息 .................................................................................................................. 1-13 概述 .............................................................................................................................

17、.........................1-13 心電圖分析算法的準(zhǔn)確性 .................................................................................................. 1-14 臨床結(jié)果 ...............................................................................................................................................1-14 第

18、 2 章 操作控制和指示燈 .................................................................................. 2-1 操作標(biāo)記 Code Markers ..................................................................................................... 2-3 簡要報(bào)告 Summary Report........................................................

19、........................................ 2-4 簡要報(bào)告格式 .........................................................................................................................................2-4 除顫報(bào)告格式和內(nèi)容 Defibrillation Format............................................................................

20、.............2-4 起搏報(bào)告格式 Pacer Format (僅限起搏款 ) ..........................................................................................2-5 心率報(bào)警簡要報(bào)告格式和內(nèi)容 Heart Rate Alarm Activated Format...................................................2-5 室顫報(bào)警簡要報(bào)告格式和內(nèi)容 VF Alarm Activated (參看第 8 章 ).............

21、.......................................2-5 打印機(jī)開啟簡要報(bào)告格式 Recorder On Format ..................................................................................2-5 自動分析簡要報(bào)告格式 Analyze Format .............................................................................................2-6 激活手動模式 ..........

22、...............................................................................................................................2-6 打印報(bào)告 Printing a Report................................................................................................ 2-7 打印部分報(bào)告 .......................................

23、................................................................................. 2-7 在報(bào)告中添加患者姓名和 ID ............................................................................................... 2-7 打印突發(fā)病變?nèi)罩?..........................................................................................

24、...................... 2-7 簡要報(bào)告內(nèi)存的清除 Erasing Summary Report Memory .............................................. 2-8 第 3 章 手動除顫 .................................................................................................. 3-1 使用除顫板進(jìn)行除顫操作 ........................................................

25、............................................ 3-1 按照臨床操作規(guī)范確定患者的狀態(tài) .....................................................................................................3-1 確定： ..............................................................................................................................

26、......................3-1 按臨床規(guī)范進(jìn)行心肺復(fù)蘇 .....................................................................................................................3-1 能量選擇 ........................................................................................................................................

27、.........3-1 除顫手柄的準(zhǔn)備 .....................................................................................................................................3-2 除顫板的使用 .......................................................................................................................................

28、..3-2 使用多功能電極片進(jìn)行緊急除顫 ........................................................................................ 3-4 根據(jù)臨床規(guī)范確定患者狀況 .................................................................................................................3-4 準(zhǔn)備工作 ...................................................

29、..............................................................................................3-4 開胸后使用胸內(nèi)除顫板除顫操作 ........................................................................................ 3-6 故障解決 .........................................................................................

30、....................................... 3-6 第 4 章 建議除顫 .................................................................................................. 4-1 建議除顫 ................................................................................................................................ 4-1 準(zhǔn)備患者

31、 .................................................................................................................................................4-1 選擇能量 .................................................................................................................................................

32、4-2 心電重復(fù)直到分析 .................................................................................................................................4-3 連續(xù)患者監(jiān)護(hù) .........................................................................................................................................4-3 建議功能提示

33、信息 ................................................................................................................ 4-3 警告信息 Warning Messages.............................................................................................. 4-3 故障解決 .......................................................

34、......................................................................... 4-4 第 5 章 自動體外除顫（ AED）操作 ................................................................. 5-1 介紹 ................................................................................................................................

35、........ 5-1 AED半自動操作 ................................................................................................................... 5-1 按照臨床醫(yī)療規(guī)范確定患者狀況 .........................................................................................................5-1 按照臨床醫(yī)療規(guī)范實(shí)施心肺復(fù)蘇 ...................

36、......................................................................................5-1 準(zhǔn)備患者 .................................................................................................................................................5-1 多功能電極片的粘貼 ..............................................

37、...............................................................................5-2 選擇能量 .................................................................................................................................................5-2 連續(xù)或者監(jiān)護(hù) ........................................................

38、.................................................................................5-3 操作信息 ................................................................................................................................ 5-3 語音和屏幕顯示信息 ...................................................................

39、..........................................................5-4 iii 自動體外除顫手動操作 ........................................................................................................ 5-5 AED聲音提示 .......................................................................................................

40、.................................5-5 故障解決 ................................................................................................................................ 5-5 第 6 章 同步心臟復(fù)律術(shù) ...................................................................................... 6-1 概述 .................

41、....................................................................................................................... 6-1 同步心臟復(fù)律術(shù) .................................................................................................................... 6-1 按照臨床醫(yī)療規(guī)范確定患者狀況并提供護(hù)理。 ..........................

42、.......................................................6-1 準(zhǔn)備患者 .................................................................................................................................................6-1 脫去患者上衣暴露胸部，按需要擦干患者胸部。如果患者毛發(fā)過多，剃去毛發(fā)以保證電極片粘貼 牢固。 ........................................

43、............................................................................................................6-1 粘貼心電監(jiān)護(hù)電極片 .............................................................................................................................6-1 按下同步工作模式按鍵 SYNC .................................

44、...........................................................................6-2 故障解決 ................................................................................................................................ 6-3 如果 M系列不能進(jìn)行預(yù)期的操作運(yùn)行，可參見第 B-5 頁的除顫器故障解決。 ............. 6-3 第 7 章 CPR輔助 ...............

45、................................................................................... 7-1 患者準(zhǔn)備以及連接 CPRD與 MFC的接頭 ............................................................................ 7-1 CPR輔助的顯示 ....................................................................................................

46、................ 7-1 CPR按壓指示器 .................................................................................................................... 7-2 CPR空閑時(shí)間顯示 ................................................................................................................ 7-2 CPR節(jié)拍器 ...............

47、............................................................................................................ 7-2 第 8 章 臨時(shí)體外無創(chuàng)起搏（僅起搏型） .......................................................... 8-1 無創(chuàng)體外臨時(shí)起搏 ..............................................................................................

48、.................. 8-1 準(zhǔn)備患者 .................................................................................................................................................8-1 粘貼多功能電極片 ..................................................................................................................

49、...............8-1 輸出電流設(shè)置為 0mA...........................................................................................................................8-1 起搏有效 ..........................................................................................................................................

50、.......8-2 4:1 模式 .................................................................................................................................................8-3 起搏錯誤 ................................................................................................................................

51、.................8-3 特殊起搏應(yīng)用 ........................................................................................................................ 8-3 后備起搏 ..............................................................................................................................................

52、...8-3 非同步起搏 .............................................................................................................................................8-4 兒童起搏 .........................................................................................................................................

53、........8-4 故障解決 ................................................................................................................................ 8-4 第 9 章 心電監(jiān)護(hù) .................................................................................................. 9-1 介紹 .................................

54、....................................................................................................... 9-1 準(zhǔn)備 ........................................................................................................................................ 9-1 電極片放置 ..........................................

55、...................................................................................................9-1 粘貼心電監(jiān)護(hù)電極片 .............................................................................................................................9-2 故障解決 .....................................................

56、........................................................................... 9-2 選擇功能 ................................................................................................................................ 9-2 來自內(nèi)置起搏器的電刺激 ......................................................................

57、.............................. 9-2 心率報(bào)警 ................................................................................................................................ 9-3 設(shè)置報(bào)警 ..........................................................................................................................

58、.......................9-3 警報(bào)功能 .................................................................................................................................................9-3 警報(bào)極限值 ...............................................................................................................

59、..............................9-3 智能警報(bào) .................................................................................................................................................9-4 打印機(jī)操作 ..........................................................................................................

60、.................. 9-4 診斷用頻段寬度 .....................................................................................................................................9-4 5 導(dǎo)聯(lián)監(jiān)護(hù) .............................................................................................................................

61、 9-4 同步 3 導(dǎo)聯(lián)打?。ㄈ缗渲茫?.................................................................................................................9-5 從 5 導(dǎo)聯(lián)改變?yōu)?3 導(dǎo)聯(lián) ECG監(jiān)護(hù) .........................................................................................................9-5 生命特征趨勢 ..........................

62、.............................................................................................. 9-5 在顯示器上查看生命特征趨勢 .............................................................................................................9-5 打印生命特征趨勢報(bào)告 ...............................................................

63、..........................................................9-6 NIBP趨勢操作 ........................................................................................................................................9-6 清除生命特征趨勢記錄 ..............................................................................

64、...........................................9-6 第 10 章 日常維護(hù) ................................................................................................ 10-1 定期測試 .............................................................................................................................. 10-1 檢查

65、 ......................................................................................................................................................10-1 清潔 .............................................................................................................................................

66、.........10-1 清潔打印機(jī)的打印頭 ...........................................................................................................................10-1 半自動除顫模式測試 .......................................................................................................... 10-2 1. 開機(jī)自檢程序 ................................................................................................................................10-2 2. 除顫測試 ...........................................................................