CN105079909A - Infusion parameter calculating device and system - Google Patents
Infusion parameter calculating device and system Download PDFInfo
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- CN105079909A CN105079909A CN201410188639.7A CN201410188639A CN105079909A CN 105079909 A CN105079909 A CN 105079909A CN 201410188639 A CN201410188639 A CN 201410188639A CN 105079909 A CN105079909 A CN 105079909A
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Abstract
The invention discloses an infusion parameter calculating device, which comprises a pre-storing module which is used for pre-storing an infusion purpose and a corresponding calculation parameter thereof; a first acquisition module for acquiring body surface area of a patient and the infusion purpose of the patient; and a first calculation module for calculating a total infusion amount according the acquired body surface area and the infusion purpose of the patient; the total infusion amount of the patient is calculated by the first calculation module according to a formula: L=(M*I)*X, wherein L represents the total infusion amount, M stands for the body surface area of the patient, I is an infusion amount in unit body surface area and X represents the calculation parameter corresponding to the infusion purpose. The invention also discloses an infusion parameter calculating system. The infusion parameter calculating device and the calculating system can calculate various infusion parameters of the patient more precisely and can reduce medical errors and risks caused by improper manual estimation or calculation of the infusion parameters.
Description
Technical field
The present invention relates to a kind of infusion parameter accountant and system.
Background technology
China's non-rational use of drug incidence rate is about to be in hospital person-time 19.6 ~ 20%, and the number dying from adverse effect in annual inpatient is 19.2 ten thousand people, is 11 times of 19 kinds of Infectious Diseases death tolls.The main cause of non-rational use of drug is that prescription is unreasonable.According to the inspection of Ministry of Public Health, non-rational use of drug prescription accounts for 11 ~ 26% of prescription sum, and wherein major part is Transfusion Prescriptions.In recent years, adopt fluid transport therapy treatment patient almost to become the first-selected remedy measures of situation of all-level hospitals, every day, the patient of infusion treatment reached 90% of inpatient's sum, 25% of outpatient service flow.According to reports, within 2010 Chinese 1,300,000,000, everyone have input 18 bottles of liquid for each person.Due to the particularity of fluid transport therapy, the liquid of input is not through shielding and the buffering of skin, gastrointestinal, directly enter in blood circulation, and the factors relevant with rational transfusion such as the kind of the state of an illness of patient, dehydration, electrolyte balance problem, acid-base balance problem is very complicated, so whether infusion treatment scheme is reasonable, very big with the life security relation of patient.Especially for children's, critical patient, intentionally, the treatment of the patient of the aspect disease such as lung, kidney is even more important.
The principle of rational transfusion is " discrepancy amount balance, acid-base balance, osmotic balance and electrolyte balance ".Because the calculating of the data such as input quantity, transfusion speed, potassium chloride concentration determining the rational transfusion total amount of transfusion, osmotic pressure, alkalescent medicine is quite complicated.At present to the calculating of the parameter of transfusion, only in most cases estimated by medical worker or use simple kg body weight computing method to calculate transfusion total amount, because complexity of the calculation is led in acid-base balance, osmotic balance, electrolyte balance, medical worker in most cases, only estimate, when causing infusion treatment, be difficult to, accurately by the principle of " discrepancy amount balance, acid-base balance, osmotic balance and electrolyte balance ", calculate infusion parameter more accurately.Cause blindness and the irrationality of infusion treatment, the lighter affects the state of an illness adversely, and extend the disease treatment time, severe one increases the weight of the state of an illness, even causes people desperately.
Summary of the invention
The technical problem that the present invention mainly solves is to provide a kind of infusion parameter accountant and system, can reduce infusion parameter improper due to manual measurement patient and the risk brought.
For solving the problems of the technologies described above, the technical scheme that the present invention adopts is: a kind of infusion parameter accountant, comprising: pre-storing module, for the calculating parameter of prestore transfusion object and correspondence thereof; First acquisition module, for inputting the height of patient, the transfusion object of body weight and patient and calculating parameter; First computing module, the data for obtaining according to the first acquisition module calculate transfusion total amount; According to height, the body weight of the patient got, calculate the body surface area of patient; According to formula: L=(M*l) * X calculates the transfusion total amount of patient, and wherein, L represents transfusion total amount, and M represents the body surface area of patient, l representation unit body surface area amount of infusion, X represents the calculating parameter of transfusion corresponding to object.
Wherein, even if described body surface area pass through formula: S=0.0061*H+0.0124*W-0.0099 calculates the body surface area of patient, and wherein, S represents body surface area, and unit is m2; H represents height, and unit is cm; W represents body weight, and unit is kg.
Further, described first acquisition module is also for obtaining the amount L1 that patient infused the same day; Described first computing module is also for passing through formula: L=(M*l) * X+L1 calculates the transfusion total amount of patient.
In addition, also comprise the second acquisition module, for obtaining the dehydrating property of patient; Second computing module, for calculating transfusion character according to the dehydrating property getting patient, wherein, described second computing module passes through formula: S=(Z*1000/F) * J calculates transfusion character, wherein, S represents transfusion character, and Z represents the Solute mass of the medicine of input, F represents molecular weight solute, and J represents solute quantivalence sum.
Also comprise: the 3rd computing module, for calculating the input quantity of transfusion total amount neutral and alkali medicine according to the body weight of patient, wherein, according to use 5% sodium bicarbonate 2 ~ 4ml/kg, the input quantity using 11.2% sodium lactate 1 ~ 1.5ml/kg or use 7.28% tromethane 2 ~ 3ml/kg calculating alkalescent medicine.
Also comprise: the 3rd acquisition module, for obtaining the CO2 adhesion testing data of patient; Described 3rd computing module, also for get patient when the 3rd acquisition module CO2 adhesion testing data after, by formula: (the CO2 adhesion vol% in standard C O2 adhesion vol%-testing data) * 0.5* body weight=m1 determines 5% sodium bicarbonate input quantity or 11.2% sodium lactate solution input quantity; Or determine tromethane input quantity by (standard C O2 adhesion mmol/L-detects the CO2 adhesion mmol/L in data) * 0.6* body weight=mmol.
Also comprise: transport module, for carrying out communication with ancillary equipment.
For solving the problems of the technologies described above, another technical solution used in the present invention is: a kind of infusion parameter computing system, comprising: clinician computer and connected checkout equipment, and described clinician computer comprises above-mentioned infusion parameter accountant; Described clinician computer is provided with input module, for inputting calculating parameter; Described clinician computer is also for exporting the infusion parameter that infusion parameter accountant calculates; Infusion parameter accountant is sent to for transferring the secondary data detected of working as relevant with patient to the checkout equipment that clinician computer connects;
Also comprise server, described server is connected with clinician computer, the packet relevant to patient that described server is uploaded for receiving clinician computer, also sends the packet relevant to this extraction order for the extraction order according to clinician computer.
The invention has the beneficial effects as follows: the situation being different from prior art, infusion parameter accountant of the present invention is by the transfusion object that prestores with in advance for transfusion object carries out calculating parameter classification, with make input patient calculating parameter after, infusion parameter accurately can be obtained by formula accurately, namely to infuse total amount, the osmotic pressure of transfusion, the consumption of alkalescent medicine, be supplied to medical worker, make when for patient infusion, infusion parameter can be grasped accurately, correct transfusion is carried out to patient.Further avoid the unreasonable all serious problem caused of traditional transfusion; Infusion parameter computing system of the present invention can make the clinician computer of hospital, checkout equipment and infusion parameter accountant communicate to connect, each department of hospital can be transmitted infusion parameter, detection data, various data can be learnt more accurately, more easily to make infusion parameter accountant, to calculate accurately the infusion parameter of patient, such that this infusion parameter computing system is more humane, satisfaction is higher.
Accompanying drawing explanation
In order to be illustrated more clearly in the embodiment of the present invention or technical scheme of the prior art, be briefly described to the accompanying drawing used required in embodiment or description of the prior art below, apparently, accompanying drawing in the following describes is only some embodiments of the present invention, for those of ordinary skill in the art, under the prerequisite not paying creative work, other accompanying drawing can also be obtained according to these accompanying drawings;
Fig. 1 is the block diagram of infusion parameter accountant first embodiment of the present invention.
Fig. 2 is the block diagram of infusion parameter accountant second embodiment of the present invention.
Fig. 3 is the block diagram of infusion parameter accountant the 3rd embodiment of the present invention.
Fig. 4 is the block diagram of infusion parameter accountant the 4th embodiment of the present invention.
Fig. 5 is the block diagram of infusion parameter computing system first embodiment of the present invention.
Detailed description of the invention
Below in conjunction with the accompanying drawing in the embodiment of the present invention, be clearly and completely described the technical scheme in the embodiment of the present invention, obviously, described embodiment is only the present invention's part embodiment, instead of whole embodiments.Based on the embodiment in the present invention, those of ordinary skill in the art, not making the every other embodiment obtained under creative work prerequisite, belong to the scope of protection of the invention.
Before being described embodiment, need to make an explanation to the term of some necessity.Such as:
Use the term such as " first ", " second " to describe various element if occur herein, but these elements should not limited by these terms.These terms are only used for differentiation element and another element.Therefore, hereafter discussed " first " element also can be called as " second " element and not depart from instruction of the present invention.Should be understood that, if when mentioning an element " connection " or " connection " to another element, it can directly connect or directly be connected to another element or also can there is intermediary element.On the contrary, when mentioning that an element " directly connection " or " directly connecting " are to another element, then there is not intermediary element.
The various terms occurred in this article are only not intended to as limitation of the invention for describing the object of concrete embodiment, unless context is clearly pointed out in addition, otherwise singulative intention also comprises plural form.
" comprise " when using term in this manual and/or " including " time, these terms specify the existence of described feature, entirety, step, operation, element and/or parts, but also do not get rid of more than one other features, entirety, step, operation, element, the existence of parts and/or its group and/or additional.
About embodiment:
Refer to Fig. 1, Fig. 1 is the block diagram of infusion parameter accountant first embodiment of the present invention.The present embodiment infusion parameter accountant comprises pre-storing module 101, first acquisition module 102 and the first computing module 103.Wherein:
Described pre-storing module 101, for the calculating parameter of prestore transfusion object and correspondence thereof.Described transfusion object can be such as but be not limited to: transfusion of making up a prescription, physiological need is infused, diarrheal dehydration (age >30 days), neonatal dehydration (age <10 days), neonatal dehydration (age >=10 days), pneumonia is dewatered, premature infant dewaters, brain disorder dewaters, cardiac disorder dewaters, liver disease dewaters, lungs illness is dewatered, kidney disease dewaters, two or three degree of malnutrition dehydrations, acute renal failure (oliguria early stage) transfusion, acute renal failure (oliguria stage) is infused, burn transfusion (first day), burn transfusion (second day), low blood sodium transfusion, hypokalemia is infused, low blood calcium is infused, hypomagnesemia is infused, preoperative transfusion, infuse in art, hernia is repaired and is stated rear transfusion, simple appendicitis postoperative infusion, peritonitis-perforation postoperative infusion, intestinal surgery postoperative infusion, thoracic surgery postoperative infusion, operation on heart postoperative infusion, craniocerebral operations postoperative infusion, neonate states rear transfusion etc.Each class or the corresponding calculating parameter of a few class transfusion object, such as the calculating parameter of neonatal dehydration (age <10 days) is 1 grade, neonatal dehydration (age >=10 days) calculating parameter is 2 grades, the calculating parameter of premature infant dehydration is 3 grades etc., specifies corresponding calculating parameter to transfusion order.Can compute weighted that calculating parameter is distinguished to transfusion object according to the urgency to transfusion demand, the age of patient, the health of patient.Should be appreciated that above-mentioned transfusion object is only illustrate clearly to set forth the present embodiment, in other examples, transfusion object can also be the transfusion object that the above-mentioned any one not exemplifying out may occur.The object of this pre-storing module 101 is to make the holder of this infusion parameter accountant or manager prestore transfusion object and in advance for each object of infusing divides calculating parameter, to make in follow-up use, after getting the body surface area of patient and the transfusion object of this patient, transfusion total amount is calculated accurately.
First acquisition module 102, for the transfusion object of the body surface area He this patient that obtain patient.In the present embodiment, the body surface area about patient in the order data that the doctor that described acquisition module can be transmitted by clinician computer makes obtains, and also can carry out sensitive scanning by sensor to patient, to calculate the body surface area of patient.When doctor is when seeing a doctor for patient, relevant information and the doctor's advice of patient can be inputted in clinician computer, such as: the name of patient, surname not, height, body weight, patient symptom, account of the history etc., in the present embodiment, this first acquisition module 102 can obtain body surface area from clinician computer.Certainly, in other examples, can also by the device of similar scale to detect the body surface area of existing people, or after calculating the body surface area of patient after measuring the height of patient and body weight by Multifunction weighing apparatus, this Multifunction weighing apparatus is again by being wirelessly transmitted to infusion parameter accountant, in such cases, this infusion parameter accountant also needs to be connected with this Multifunction weighing apparatus by transport module, with the body surface area making the first acquisition module 102 wirelessly get patient.
First computing module 103, for calculating transfusion total amount according to the body surface area and transfusion object that get patient, described first computing module 103 is according to formula: L=(M*l) * X calculates the transfusion total amount of patient, wherein, L represents transfusion total amount, M represents the body surface area of patient, l representation unit body surface area amount of infusion, and X represents the calculating parameter of transfusion corresponding to object.Certainly, in other examples, such as in units of sky, patient infused on the same day, this first computing module 103 can pass through formula: L=(M*l) * X+L1 calculates the transfusion total amount of patient, should be appreciated that namely transfusion total amount L as herein described refers to the transfusion total amount on the same day, L1 represents the amount that the same day, patient infused.If during L1=L, then represent the transfusion total amount that patient has been totally lost the same day, then can not infuse to this patient again, unless again assert heavier degree of dehydration, system is infused by the design of heavier degree of dehydration after total amount, just allow to continue to increase transfusion quantity.
In other examples, described infusion parameter accountant also comprises a transport module, described transport module can carry out communication with clinician computer, checkout equipment, server, the infusion parameter that calculates can be transmitted to clinician computer, server etc. by transport module, patient's related data of clinician computer transmission can also be received, detection data that checkout equipment sends etc.
The embodiment of the present invention, described infusion parameter accountant can be independently portable set or a handheld device, or is the computing chip in computer.When described infusion parameter accountant be independently portable set or handheld device time, it can carry out wired or wireless connections with computer, wired or wireless connections can be carried out with multi-functional weighing device, wired or wireless connections can be carried out with the checkout equipment in hospital, wired or wireless connections can be carried out with server, this infusion parameter device can carry out data communication and transmission with the equipment of above-mentioned periphery, to get useful data message or to send infusion parameter.The present embodiment infusion parameter accountant is by the transfusion object that prestores with in advance for transfusion object carries out calculating parameter classification, to make when after body surface area patient being detected and transfusion object, infusion parameter accurately can be obtained by formula accurately, be supplied to medical worker to make reference, make when for patient infusion, infusion parameter can be grasped accurately, avoid the incorrect problem caused of infusion parameter.
Refer to Fig. 2, Fig. 2 is the block diagram of infusion parameter accountant second embodiment of the present invention.The present embodiment comprises and the first example structure or the same or analogous pre-storing module of function and the first computing module.The difference of the present embodiment and the first embodiment is: the first acquisition module 202.First acquisition module 202 of the present embodiment specifically comprises first detection module 2021, second detection module 2022, first receiver module 2023 and body surface area computing module 2024.Particularly:
Described first detection module 2021, for detecting the height of patient.Particularly, described first detection module 2021 can be sensor or an image-scanning device, detected the height of patient by infrared or other modes, after height patient being detected, this height data is sent to body surface area computing module 2024 and calculates.
Described second detection module 2022, for detecting the body weight of patient, similar to first detection module 2021, such as can be detected the body weight of patient by gravity sensor or other modes, and the weight data detected is sent to body surface area computing module 2024 calculates.
First receiver module 2023, for receiving the transfusion object of patient, described receiver module by button or display screen to receive the transfusion object of patient, can also extract the transfusion object of patient from doctor's advice.
Described body surface area computing module 2024, for calculating the body surface area of patient according to the height of patient detected and body weight by S=0.0061*H+0.0124*W-0.0099, namely get the body surface area of patient, wherein, S represents body surface area, and unit is m2; H represents height, and unit is cm; W represents body weight, and unit is kg.
The infusion parameter accountant of the embodiment of the present invention can by first, second self-contained detection module, receiver module to detect the height of patient, body weight and reception transfusion object, without the need to by by the external equipment transmission height of patient, body weight and transfusion object, such that this infusion parameter accountant is more humane, the user that is more convenient for uses.
Refer to Fig. 3, Fig. 3 is the block diagram of infusion parameter accountant the 3rd embodiment of the present invention.The infusion parameter accountant of the present embodiment comprises the same or analogous pre-storing module of one first embodiment or the second example structure or function, the first acquisition module and the first computing module, also comprises: the second acquisition module 304 and the second computing module 305.Wherein:
Described second acquisition module 304, for obtaining the dehydrating property of patient.Described dehydrating property can be divided into hypotonic, etc. blend height and ooze; Described second acquisition module 304 can obtain the dehydrating property of patient in several ways, such as doctor is after the checklist recognizing patient, by the dehydrating property of clinician computer input patient, the second acquisition module 304 gets the dehydrating property of patient by clinician computer; Second acquisition module 304 directly can also get the dehydrating property of patient by infusion parameter accountant, the input through keyboard screen such as carried by infusion parameter accountant directly gets the dehydrating property of patient; The mode that second acquisition module 304 can also be communicated to connect by direct and checkout equipment, directly from checkout equipment dehydrating property getting patient etc.The second acquisition module 304 directly obtain from checkout equipment the real-time dehydrating property of patient detect data time, the detection odd numbers then can opened for patient by doctor, or doctor's advice numbering, date, the various related data of patient name etc. and checkout equipment, clinician computer associates, such as: doctor is when for patient's diagnosis and treatment, first the detection list of doctor's advice and needs detection can be outputed, detect the information single and doctor's advice all identifying this patient of mark, such as be numbered " 00001 " for patient one, so at doctor's advice list, detect numbering list all having " 00001 ", so checkout equipment end is to the blood of patient, the detection data formed after urine etc. detects can be also " 00001 " by volume, so, if when the second acquisition module 304 is wanted directly to obtain data from checkout equipment, as long as associate this to be numbered " 00001 " and the detection data that the time is associated, if checkout equipment has the detection data of the relevant dehydrating property on the same day or the same day, then automatically be sent to infusion parameter accountant according to the request of the second acquisition module 304.Described dehydrating property can draw dehydrating property data, such as, Solute mass J in blood, molecular weight solute F, solute quantivalence J etc. from the remarks detecting patient.
Second computing module 305, for calculating transfusion character according to the dehydrating property getting patient, wherein, described second computing module 305 passes through formula: S=(Z*1000/F) * J calculates transfusion character, wherein, S represents transfusion character, and Z represents Solute mass, F represents molecular weight solute, and J represents solute quantivalence sum.
Wherein dehydrating property and isotonic, height blend low, and transfusion character is osmotic pressure; Namely described transfusion character refer to osmotic pressure, and the osmotic pressure of transfusion liquid must adapt with the dehydrating property of patient, makes the body fluid of patient keep osmotic balance.
Embodiment of the present invention, is not obtained the transfusion total amount of patient accurately, is also got the dehydrating property of patient by the second acquisition module by means of only the first computing module, obtain the transfusion character of patient according to dehydrating property.Namely transfusion liquid osmotic pressure is calculated accurately, too low or too high to guarantee the osmotic pressure that patient may can not bring because of traditional transfusion character manually adopted, reduce the problem brought because of the incorrect of transfusion.
Refer to Fig. 4, Fig. 4 is the block diagram of infusion parameter accountant the 4th embodiment of the present invention.The infusion parameter accountant of the present embodiment comprises and the first embodiment, the second embodiment or the 3rd example structure or the same or analogous pre-storing module of function, the first acquisition module, the first computing module, with the 3rd example structure or same or analogous second acquisition module of function and the second computing module; Also comprise the 3rd acquisition module 405 and the 3rd computing module 406.Wherein:
Described 3rd acquisition module 405, for obtaining CO2 (carbon dioxide) the adhesion testing data of patient.In the present embodiment, described 3rd acquisition module 405 gets CO2 adhesion testing data by checkout equipment, and concrete obtain manner is same or similar with above-mentioned second acquisition module, just repeats no longer one by one herein.
Described 3rd computing module 406, for calculating the input quantity of transfusion total amount neutral and alkali medicine according to the body weight of patient, wherein, calculates the input quantity of alkalescent medicine by two kinds of modes:
One, according to use 5% sodium bicarbonate 2 ~ 4ml/kg, the input quantity using 11.2% sodium lactate 1 ~ 1.5ml/kg or use 7.28% tromethane 2 ~ 3ml/kg calculating alkalescent medicine, which does not need to obtain CO2 adhesion testing data by the 3rd acquisition module, is general conventional treatment mode.
Two, after the 3rd acquisition module 405 gets the CO2 adhesion testing data of patient, by formula: (the CO2 adhesion vol% in standard C O2 adhesion vol%-testing data) * 0.5* body weight=m1 determines 5% sodium bicarbonate input quantity or 11.2% sodium lactate solution input quantity; Or determine tromethane input quantity by (standard C O2 adhesion mmol/L-detects the CO2 adhesion mmol/L in data) * 0.6* body weight=mmol.Which is preferably processing mode, and even patient detects CO2 adhesion, then adopt the manner to calculate the input quantity of alkalescent medicine.In the present embodiment, described standard C O2 adhesion measurement unit is mmol/L (mM/l)
Embodiment of the present invention, transfusion total amount is calculated exactly by the first acquisition module and the first computing module, the real osmotic pressure of patient is calculated exactly by the second acquisition module and the second computing module, the input quantity of alkalescent medicine is calculated by the 3rd acquisition module and the 3rd computing module, avoid the error of traditional manual measurement alkalescent medicine input quantity and alkalescent medicine input quantity may be caused excessive, then there is the symptom of input quantity less than pedopathy people of alkalosis or alkalescent medicine, acidosis can not be corrected, embodiment of the present invention, from total amount, the angle of the input quantity of osmotic pressure and alkalescent medicine controls each infusion parameter accurately, greatly reduce in traditional infusion model, artificial estimation transfusion total amount, estimation osmotic pressure, alkali drug dose and estimation transfusion speed are mended in estimation, may exist unreasonable and the serious problems brought.
Refer to Fig. 5, Fig. 5 is the block diagram of infusion parameter computing system first embodiment of the present invention.The infusion parameter computing system of the present embodiment comprises:
Clinician computer 50, described clinician computer 50 comprises the infusion parameter accountant 501 of above-mentioned any embodiment;
The checkout equipment 60 be connected with described clinician computer 50;
Described clinician computer 50 is provided with input module 502, and for inputting order data and this order data being sent to infusion parameter accountant 501, described order data comprises height, the body weight of patient; Described clinician computer 50 is also for exporting the infusion parameter that infusion parameter accountant 501 calculates, and described infusion parameter includes but not limited to the input quantity etc. of total amount, transfusion character and osmotic pressure that patient should infuse the same day, alkalescent medicine;
Infusion parameter accountant 501 is sent to for transferring the secondary data detected of working as relevant with patient to the checkout equipment 60 that clinician computer 50 connects;
Infusion parameter accountant 501, by order data or the height, the body weight that are got by detection module, is received by transport module the data detected that checkout equipment 60 sends and calculates, to calculate infusion parameter.
In other examples, described infusion parameter computing system can also be independently mancarried device or a hand-held device, it can carry out with clinician computer and/or checkout equipment the data communicating to transmit needs by transport module, carry out the calculating of infusion parameter again according to the detection data, order data etc. that receive, the output module also by self exports infusion parameter or transfers to clinician computer output infusion parameter by transport module.
In other embodiment, this infusion parameter computing system also can comprise server, described server can directly be connected with clinician computer, for storing essential information, infusion parameter, detection data etc. the information of doctor's advice that clinician computer uploads, patient, relevant data can also be sent according to the request of clinician computer and calculating to doctor; Described server can also directly be connected with infusion parameter accountant, sends out the related data of pound for storing infusion parameter computing system, or data to the infusion parameter device relevant according to the request transmission of infusion parameter accountant carries out processing etc.
Embodiment of the present invention, this infusion parameter computing system can be one of whole hospital system independently system, it passes through clinician computer, checkout equipment, infusion parameter accountant, server etc. carries out mutual communication connection, interconnect with the equipment of each end reaching whole hospital, the effect of intercommunication, to make doctor, nurse, toll collector, testing staff " can go out " and can inquire about related data, use, transfer etc., the needs decreasing transmission are manually inquired about, transfer, notify the drawback that related personnel checks related data, for hospital bring very convenient, while the utilization of hommization, the parameters of transfusion can be calculated accurately.Greatly reduce cause because of inappropriate medication accidental injury, more even to the problem of patient death.
These are only embodiments of the present invention; not thereby the scope of the claims of the present invention is limited; every utilize description of the present invention and accompanying drawing content to do equivalent structure or equivalent flow process conversion; or be directly or indirectly used in other relevant technical fields, be all in like manner included in scope of patent protection of the present invention.
Claims (9)
1. an infusion parameter accountant, comprising:
Pre-storing module, for the calculating parameter of prestore transfusion object and correspondence thereof;
First acquisition module, for inputting the height of patient, the transfusion object of body weight and patient and calculating parameter;
First computing module, the data for obtaining according to the first acquisition module calculate transfusion total amount;
According to height, the body weight of the patient got, calculate the body surface area of patient;
According to formula: L=(M*l) * X calculates the transfusion total amount of patient, and wherein, L represents transfusion total amount, and M represents the body surface area of patient, l representation unit body surface area amount of infusion, X represents the calculating parameter of transfusion corresponding to object.
2. infusion parameter accountant as claimed in claim 1, is characterized in that: even if described body surface area pass through formula: S=0.0061*H+0.0124*W-0.0099 calculates the body surface area of patient, and wherein, S represents body surface area, and unit is m2; H represents height, and unit is cm; W represents body weight, and unit is kg.
3. infusion parameter accountant as claimed in claim 2, is characterized in that: described first acquisition module is also for obtaining the amount L1 that patient infused the same day; Described first computing module is also for passing through formula: L=(M*l) * X+L1 calculates the transfusion total amount of patient.
4. infusion parameter accountant as claimed in claim 3, is characterized in that, also comprise:
Second acquisition module, for obtaining the dehydrating property of patient;
Second computing module, for calculating transfusion character according to the dehydrating property getting patient, wherein, described second computing module passes through formula: S=(Z*1000/F) * J calculates transfusion character, wherein, S represents transfusion character, and Z represents the Solute mass of the medicine of input, F represents molecular weight solute, and J represents solute quantivalence sum.
5. infusion parameter accountant as claimed in claim 4, is characterized in that, also comprise:
3rd computing module, for the body weight according to patient, calculate the input quantity of transfusion total amount neutral and alkali medicine, wherein, according to use 5% sodium bicarbonate 2 ~ 4ml/kg, the input quantity using 11.2% sodium lactate 1 ~ 1.5ml/kg or use 7.28% tromethane 2 ~ 3ml/kg calculating alkalescent medicine.
6. infusion parameter accountant as claimed in claim 5, is characterized in that, also comprise:
3rd acquisition module, for obtaining the CO2 adhesion testing data of patient;
Described 3rd computing module, also for get patient when the 3rd acquisition module CO2 adhesion testing data after, by formula: (the CO2 adhesion vol% in standard C O2 adhesion vol%-testing data) * 0.5* body weight=m1 determines 5% sodium bicarbonate input quantity or 11.2% sodium lactate solution input quantity; Or determine tromethane input quantity by (standard C O2 adhesion mmol/L-detects the CO2 adhesion mmol/L in data) * 0.6* body weight=mmol.
7. the infusion parameter accountant any one of claim 1 to 6 as described in claim, is characterized in that, also comprise:
Transport module, for carrying out communication with ancillary equipment.
8. an infusion parameter computing system, is characterized in that, comprising:
Clinician computer and connected checkout equipment, described clinician computer comprises above-mentioned infusion parameter accountant;
Described clinician computer is provided with input module, for inputting calculating parameter; Described clinician computer is also for exporting the infusion parameter that infusion parameter accountant calculates;
Infusion parameter accountant is sent to for transferring the secondary data detected of working as relevant with patient to the checkout equipment that clinician computer connects.
9. infusion parameter computing system as claimed in claim 8, is characterized in that, also comprise:
Server, described server is connected with clinician computer, the packet relevant to patient that described server is uploaded for receiving clinician computer, also sends the packet relevant to this extraction order for the extraction order according to clinician computer.
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| CN106823065A (en) * | 2017-04-06 | 2017-06-13 | 刘杰 | A kind of nursing in operating room venous transfusion anti-intrusion device |
| CN113499510A (en) * | 2021-07-14 | 2021-10-15 | 刘银环 | Infusion bag body tube drawing notification platform |
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| CN106823065A (en) * | 2017-04-06 | 2017-06-13 | 刘杰 | A kind of nursing in operating room venous transfusion anti-intrusion device |
| CN113499510A (en) * | 2021-07-14 | 2021-10-15 | 刘银环 | Infusion bag body tube drawing notification platform |
| CN113499510B (en) * | 2021-07-14 | 2022-04-22 | 嘉兴市天和制药有限公司 | Infusion bag body tube drawing notification platform |
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