CN105852799B - A kind of method, equipment, ventilator and patient monitor showing CPR monitoring data - Google Patents
A kind of method, equipment, ventilator and patient monitor showing CPR monitoring data Download PDFInfo
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- CN105852799B CN105852799B CN201510027933.4A CN201510027933A CN105852799B CN 105852799 B CN105852799 B CN 105852799B CN 201510027933 A CN201510027933 A CN 201510027933A CN 105852799 B CN105852799 B CN 105852799B
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Abstract
The embodiment of the invention discloses a kind of methods for showing CPR monitoring data, the described method comprises the following steps: during CPR, receiving the monitoring data from ventilator, patient monitor and/or pressing device；The real-time waveform of the real-time waveform of display at least partly monitoring data, the display includes at least CO2 waveform, while the safety limit and early warning limit of corresponding classification monitoring data are marked in the real-time waveform of the display.The embodiment of the present invention accordingly discloses a kind of device, ventilator and patient monitor for showing CPR monitoring data.Implement the embodiment of the present invention, monitoring data that can be of interest with doctor during centralized displaying CPR, and it is very intuitive eye-catching, the quality of CPR process can be improved.
Description
Technical field
The present invention relates to the CPR technical fields more particularly to a kind of display CPR monitoring data in Medical Devices
Method, equipment, ventilator and patient monitor.
Background technique
Cardiopulmonary resuscitation (Cardio Pulmonary Resuscitation, hereinafter referred CPR) refers to when breathing terminates
And when heartbeat pause, merge a kind of technology massaged outside artificial respiration and the heart and carry out first aid.
In AHA(American Heart Association in 2005, American Heart Association) announce CPR guide version
In, Advanced Life supports that the emphasis of concern is the CPR of high quality.AHA and ECC(Emergency Cardiac care in 2010,
Emergency cardiovascular care) guide continue to concern high quality CPR importance, referred in these guides CPR process preferably in life
It manages and implements under the guidance of monitoring, and recommend to carry out quantitative analysis to carbon dioxide waveform, monitor PetCO2(end-expiratory carbon dioxide
Partial pressure) and invasive angiosthenia power to improve CPR mass, and according to detecting the parameters such as pulse, blood pressure, PetCO2, EtCO2, blood oxygen
To assist the diagnosis and first aid strategy during formulation CPR.
In the prior art, in CPR first aid procedures, doctor generally observes the mechanical ventilation waveform of patient by ventilator
And parameter, and the monitoring data such as electrocardio, blood pressure for observing patient by other equipment (patient monitor), therefore in the prior art
It needs to show the physiological parameter detected by a variety of instruments, have the following disadvantages in use:
Firstly, for needing to read various physiological parameters respectively from different instruments, for example, the electrocardio of patient, blood oxygen and
The physiological parameters such as blood pressure are generally shown on patient monitor, and ventilation parameters and respiration parameter etc. are generally shown on ventilator；This
Kind increases observation burden to doctor by the scatter display of different instruments, may especially in the emergent management process of CPR
Appearance is misread to monitoring information or the situation of skip；Moreover, the mode of this scatter display, is presented to the physiological parameter of doctor
The possible synchronous effect of data is bad, causes doctor's inconvenient observation；
In addition, ordinary circumstance, the monitoring data information content shown on various instruments is all bigger, and the parameter of monitoring is more complete
Face, but often without providing suitable monitoring data collection for specific application scenarios, and need medical staff in these displays
Data in find suitable information, in this way, for during the emergent management of CPR, undoubtedly increase to the doctor for implementing first aid
Burden is added；
Furthermore since existing instrument is not shown, medical staff specifically for the data that doctor under CPR needs
Need to carry out the analysis and judgement of data manually, it is same to increase burden to the doctor for implementing CPR first aid.
Summary of the invention
The technical problem to be solved by the embodiment of the invention is that provide it is a kind of show the methods of CPR monitoring data, equipment,
Ventilator and patient monitor, monitoring data that can be of interest with doctor during centralized displaying CPR, and it is very intuitive eye-catching.
In order to solve the above-mentioned technical problem, described the embodiment of the invention provides a kind of method for showing CPR monitoring data
Method comprising steps of
The monitoring data shown as needed, type and each display subregion for selecting display subregion are to display
Monitoring data type, the type of the display subregion include it is following at least one: timer area, average value area, trend area, waveform
Area and monitor value area；
During CPR, the monitoring data from ventilator or/and patient monitor are received；
In each display subregion, shows corresponding with display subregion monitoring data type and corresponding monitor number
According to；Wherein, show that the real-time waveform of at least partly described monitoring data, the real-time waveform of the display include at least in waveform area
CO2 waveform, while marking the safety limit of corresponding classification monitoring data and early warning to limit in the real-time waveform of the display.
Wherein, described during CPR, the step of reception from the monitoring data of ventilator or/and patient monitor, further
It include: to receive the monitoring data from pressing device.
Wherein, the real-time waveform of the monitoring data of the display from ventilator, patient monitor, the real-time waveform are at least wrapped
Include CO2 waveform, at the same the step of marking the safety limit of corresponding classification monitoring data and early warning to limit in the real-time waveform into
One step includes:
It shows ecg wave form, pulse wave, airway pressure waveform, flow velocity waveform, volume waveform, suck in oxygen waveform at least
One real-time waveform, and the safety limit and early warning of corresponding classification monitoring data are marked in the real-time waveform of the display simultaneously
Limit.
Wherein, the method further includes:
At least one monitoring data is selected from the monitoring data, and shows selected monitoring data in a Duan Shichang
The short trend of interior dynamic, the monitoring data be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot,
Ppeak, TVe, it TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, presses
Voltage-frequency rate, according to pressing depth at least one；
The safety limit and early warning limit of corresponding classification monitoring data are marked in the short trend of the dynamic.
Wherein, using auxiliary line mark or field color notation methods pair in the real-time waveform or the short trend of dynamic
The safety limit and early warning limit of corresponding classification monitoring data are marked.
Wherein, the method further includes:
At least one monitoring data is selected from the monitoring data, and shows that selected all kinds of monitoring data are predetermined one
Average value in time cycle, all kinds of monitoring data be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP,
PR、ftot、Ppeak、TVe、TVe/IBW、MV、WOB、RI、RE、Cstat、Cdyn、RSBI、RCexp、FiO2、Pplat、
Pmean, PEEP, compression frequency, according to pressing depth at least one.
Wherein, the method further includes:
At least one monitoring data is selected from the monitoring data, and shows the real-time of selected all kinds of monitoring data
Monitor value, all kinds of monitoring data be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak,
TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, voltage-frequency is pressed
Rate, according to pressing depth at least one.
Wherein, further comprise:
The alarm limit of the average value of all kinds of monitoring data of the display or real value and the monitoring data is compared
Compared with if current average or real value report the average value or real value beyond its corresponding alarm limit range
Alert processing.
Wherein, short to the real-time waveform, dynamic in the billboard, ventilator or patient monitor of a display CPR monitoring data
Trend, average value, real-time monitoring value are shown by the way of multi-section display.
Wherein, the partially or in whole derived of the monitoring data from ventilator, patient monitor, pressing device will be received；Or
Currently displayed content is gone out by network or serial ports real-time transmission.
Correspondingly, the embodiment of the present invention also provides a kind of equipment for showing CPR monitoring data, comprising:
Setup module, the monitoring data for showing as needed select the type and each display point of display subregion
Area's monitoring data type to display, the type of the display subregion include it is following at least one: timer area, average value
Area, trend area, waveform area and monitor value area；
Information receiving module receives and comes from the ventilator or/and monitor monitors data；
Display module, for showing monitoring data type corresponding with the display subregion in corresponding display subregion
And corresponding monitoring data；Wherein, the real-time waveform of the monitoring data from ventilator, patient monitor is shown in waveform device,
The real-time waveform of the display includes at least CO2 waveform, while corresponding classification monitoring is marked in the real-time waveform of the display
The safety limit and early warning limit of data.
Wherein, the information receiving module further receives the monitoring data from pressing device.
Wherein, the display module shown in a waveform area described in include CO2 waveform real-time waveform, the real-time wave
Type further comprises electrocardio, pulse wave, airway pressure waveform, flow velocity waveform, volume waveform, sucks at least one in oxygen waveform.
Wherein, the display module further comprises at least one in following modules:
Timer display module, for showing CPR monitoring duration and beginning/stopping timing in timer area
Button and reset timer button；
Average value display module for showing the set time cycle in average value area, and is currently being set
The average value of selected all kinds of monitoring data in time cycle, all kinds of monitoring data be PetCO2, EtCO2, SpO2,
HR、Art、pArt、PA、NIBP、PR、ftot、Ppeak、TVe、TVe/IBW、MV、WOB、RI、RE、Cstat、Cdyn、RSBI、
RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one；
Short tendency chart display module, for shown in trend area selected all kinds of monitoring data in one section of duration
The short trend of dynamic, all kinds of monitoring data be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot,
Ppeak, TVe, it TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, presses
Voltage-frequency rate, according to pressing depth at least one；
Monitor value display module, it is selected from ventilator, patient monitor or pressing device for being shown in monitor value area
All kinds of monitoring data real-time monitoring value, all kinds of monitoring data be PetCO2, EtCO2, SpO2, HR, Art, pArt,
PA、NIBP、PR、ftot、Ppeak、TVe、TVe/IBW、MV、WOB、RI、RE、Cstat、Cdyn、RSBI、RCexp、FiO2、
Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one.
Wherein, further comprise:
Safety limit, early warning limit and alarm limit setup module, for the corresponding safety limit of all kinds of monitoring data, early warning limit to be arranged
And alarm limit.
Wherein, the display module further comprises:
Safety limit limits mark module with early warning, for marking corresponding classification prison on the short tendency chart of dynamic in the trend area
The safety limit and early warning limit of measured data；And/or the safety of corresponding classification monitoring data is marked in waveform diagram in the waveform area
Limit and early warning limit；
Wherein, the label is labeled or is labeled using field color form using auxiliary line form.
Wherein, the display module further comprises:
Alert process module, all kinds of monitoring numbers for currently showing the average value area and/or the monitor value area
According to average value or real value be compared with the alarm limit of the monitoring data, if current average or real value exceed it
Corresponding alarm limit range then carries out alert process to the average value or real value.
Wherein, further comprise:
Data export module, for the received data in whole or in part of derived information receiving module；
Data transmitting module, for going out content shown by current each display subregion by network or serial ports real-time transmission
It goes.
Correspondingly, the another further aspect of the embodiment of the present invention also provides a kind of ventilator, interconnects with patient monitor, pressing device,
It is characterized in that, it is integrated with the equipment above-mentioned for showing CPR monitoring data.
Correspondingly, the another aspect of the embodiment of the present invention also provides a kind of patient monitor, interconnects with ventilator, pressing device,
It is characterized in that, it is integrated with the equipment above-mentioned for showing CPR monitoring data.
The implementation of the embodiments of the present invention has the following beneficial effects:
Firstly, the embodiment of the present invention provides a kind of comprehensive billboard of CPR monitoring data, or in existing ventilator or monitoring
It is integrated with the function of the synthesis billboard in instrument, can concentrate and be provided from ventilator, patient monitor and pressing device for medical staff
Monitoring data, facilitate medical staff timely and effectively to understand the current monitoring data of patient；
In addition, need the type of monitoring data to be shown due to can be set in advance, the medical worker for implementing CPR can be allowed
The important parameter monitoring of patient needed for display CPR first aid procedures quickly and is intensively obtained or customized on CPR billboard
The monitoring of compression frequency and depth during value and CPR sue and labour, and using such as graphical (waveform diagram, tendency chart) display
Mode and assistant analysis tool can reduce the observation and record burden of doctor；
Meanwhile when providing dynamic trend figure and waveform diagram, the safety of monitoring data is being marked to limit above and early warning limit, with
And can alarm automatically in limited time in monitoring data beyond early warning, facilitate the analysis that doctor is quickly and effectively monitored data,
Improve the efficiency and CPR mass of doctor；
Moreover, the timing during CPR being assisted to rescue using timer, it is convenient to provide observation to doctor；
Finally, data during carrying out CPR can permit output, the burden that medical staff records data is alleviated,
And data remote transmission and connection are provided, so that field first aid personnel can obtain the guidance and suggestion of medical practitioner in time, protect
Demonstrate,prove the timeliness and validity sued and laboured.
Detailed description of the invention
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below
There is attached drawing needed in technical description to be briefly described, it should be apparent that, the accompanying drawings in the following description is only this
Some embodiments of invention, for those of ordinary skill in the art, without any creative labor, according to
These attached drawings obtain other attached drawings and still fall within scope of the invention.
Fig. 1 is a kind of main flow schematic diagram of one embodiment of method for showing CPR monitoring data provided by the invention；
Fig. 2 is a kind of main flow signal of another embodiment of method for showing CPR monitoring data provided by the invention
Figure；
Fig. 3 is the schematic diagram of multi-section display interface one embodiment in Fig. 2；
Fig. 4 is the schematic diagram of a waveform display effect in Tu3Zhong waveform area；
Fig. 5 is the schematic diagram of the display interface in Tu3Zhong trend area；
Fig. 6 is the schematic diagram of the display interface in average area in Fig. 3；
Fig. 7 is that CPR billboard set interface schematic diagram in main menu is arranged in Fig. 2；
Fig. 8 is the schematic diagram that the set interface of monitor value in main menu is arranged in Fig. 2；
Fig. 9 is a kind of structural schematic diagram of one embodiment of equipment for showing CPR monitoring data provided by the invention；
Figure 10 is the structural schematic diagram of setup module in Fig. 9；
Figure 11 is the structural schematic diagram of display module in Fig. 9.
Specific embodiment
In order to make the objectives, technical solutions, and advantages of the present invention clearer, with reference to the accompanying drawings and embodiments, right
The present invention is further elaborated.It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, and
It is not used in the restriction present invention.
As shown in Figure 1, showing an a kind of implementation of method for showing CPR monitoring data provided by the invention.At this
In embodiment, this method comprises the following steps:
Step S10 receives the monitoring data from ventilator, patient monitor and pressing device during CPR；
The real-time waveform of step S20, the real-time waveform of display at least partly monitoring data, display include at least CO2 waveform,
The safety limit and early warning limit of corresponding classification monitoring data are marked in the real-time waveform of display simultaneously.
Wherein, ecg wave form, pulse wave, airway pressure waveform, flow speed wave can be further displayed in step S20
Shape volume waveform, sucks at least one real-time waveform in oxygen waveform, and marks correspond in the real-time waveform of the display simultaneously
The safety limit and early warning limit of classification monitoring data.
In addition, can further comprise at least one in following steps in method provided in an embodiment of the present invention:
At least one monitoring data is selected from the monitoring data, and shows selected monitoring data in a Duan Shichang
The short trend of interior dynamic, the monitoring data be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot,
Ppeak, TVe, it TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, presses
Voltage-frequency rate, according to pressing depth at least one, marked in the short trend of the dynamic corresponding classification monitoring data safety limit and
Early warning limit；Wherein, using auxiliary line mark or field color notation methods pair in the real-time waveform or the short trend of dynamic
The safety limit and early warning limit of corresponding classification monitoring data are marked.
At least one monitoring data is selected from the monitoring data, and shows that selected all kinds of monitoring data are predetermined one
Average value in time cycle, all kinds of monitoring data be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP,
PR、ftot、Ppeak、TVe、TVe/IBW、MV、WOB、RI、RE、Cstat、Cdyn、RSBI、RCexp、FiO2、Pplat、
Pmean, PEEP, compression frequency, according to pressing depth at least one；
At least one monitoring data is selected from the monitoring data, and shows the real-time of selected all kinds of monitoring data
Monitor value, all kinds of monitoring data be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak,
TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, voltage-frequency is pressed
Rate, according to pressing depth at least one；
The alarm limit of the average value of all kinds of monitoring data of the display or real value and the monitoring data is compared
Compared with if current average or real value report the average value or real value beyond its corresponding alarm limit range
Alert processing.
It is understood that can be in the billboard, ventilator or patient monitor of a display CPR monitoring data, to the reality
When waveform, the short trend of dynamic, average value, real-time monitoring value shown by the way of multi-section display.
As shown in Fig. 2, having gone out an a kind of more detailed implementation of method for showing CPR monitoring data provided by the invention
Example, can combine Fig. 3 to Fig. 8 together.In this embodiment, this method comprises the following steps that
Step S20 receives the monitoring data from ventilator, patient monitor and/or pressing device；Specifically, of the invention
In embodiment, can realize the acquisition of data in the equipment of a comprehensive billboard, the synthesis billboard and ventilator, patient monitor,
Pressing device etc. mutually interconnects, to obtain monitoring data one or more in ventilator, patient monitor, pressing device；In addition,
The function of the synthesis billboard can be integrated in existing ventilator, and the ventilator and patient monitor, pressing device are interconnected,
To obtain the monitoring data from patient monitor and pressing device；Alternatively, the synthesis billboard can also be integrated in existing patient monitor
Function, and the patient monitor and ventilator, pressing device are interconnected, to obtain the monitoring number from ventilator and pressing device
According to.
Step S22, the monitoring data shown as needed determine type and each display subregion institute of display subregion
Monitoring data type to be shown, wherein show subregion type include it is following at least one: timer area, becomes at average value area
Gesture area, waveform area and monitor value area；Specifically, the monitoring data that can be paid close attention to according to doctor during current CPR, to determine
Part or complete in synthesis billboard Zhong Yao display timer area, average value area, trend area, waveform area and the monitor value area
Portion, and determine in each display subregion which monitoring data type and corresponding display format be particularly shown；I.e. this was determined
Journey can be to be determined according to scheduled strategy, can also be adjusted according to actual needs；
It is understood that may include in this step be arranged all kinds of monitoring data it is corresponding safety limit, early warning limit with
Alarm limit, wherein alarm limit can be a range, including the alarm limit upper limit and alarm limit lower limit.
Step S24, in corresponding display subregion, display with show the corresponding monitoring data type of subregion and corresponding
Monitoring data will at least show the real-time waveform including CO2 waveform in step S24.
Specifically, step S24 further comprises:
Show that CPR monitoring duration and beginning/stopping timing button and reset timer are pressed in timer area
Button；
The set time cycle is shown in average value area, and within the time cycle currently set it is selected each
The average value of class monitoring data, all kinds of monitoring data be PetCO2(partial pressure of carbon dioxide in endexpiratory gas), EtCO2(end-tidal dioxy
Change carbon), SpO2(blood oxygen saturation), HR(heart rate), Art(aortic pressure), pArt, PA(pulmonary arterial pressure), the noninvasive blood of NIBP(
Pressure), PR(pulse frequency), the total respiratory rate of ftot(), Ppeak(surge pressure), TVe, TVe/IBW(breathe out tidal volume/ideal body weight),
MV(minute ventilation), PEEP(end-expiratory positive pressure), WOB(work of breathing), RI(inspiratory resistance), RE(expiratory resistance), Cstat
(static compliance), Cdyn(dynamic compliance), RSBI(Rapid-shallow-breathing index), RCexp(time constant), FiO2(suck oxygen
Concentration), Pplat(platform airway pressure), Pmean(mean airway pressure), compression frequency, according to pressing depth etc. at least one in monitoring data
It is a；Wherein, when EtCO2 unit is mmHg, which is PetCO2；It is understood that above-mentioned only list comes from
The main monitoring parameters of part of ventilator, patient monitor, pressing device, in other examples, may include from ventilator,
Above-mentioned unlisted, other monitoring ginsengs for reflecting patient's physical signs, reflecting patient's metabolic index of patient monitor, pressing device
Number, or other ventilation parameters and others CPR operating parameter；
The short trend of dynamic in one section of duration of selected all kinds of monitoring data, all kinds of monitorings are shown in trend area
Data be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB,
RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, the monitoring parameters such as according to pressing depth
In at least one；
Show that the selected real-time waveform from ventilator or patient monitor, real-time waveform are electrocardio, arteries and veins in waveform area
It fights wave, CO2 waveform, airway pressure waveform, flow velocity waveform, volume waveform, at least one in the sucking waveforms such as oxygen waveform；
The selected real-time monitoring value from ventilator, patient monitor or pressing device is shown in monitor value area, is supervised in real time
Measured value be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB,
RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, the monitoring parameters such as according to pressing depth
In at least one.
It is possible to further which the safety limit of corresponding classification monitoring data and pre- is marked on the short tendency chart of dynamic in trend area
Alert limit；And/or the safety limit and early warning limit of corresponding classification monitoring data are marked in waveform diagram in waveform area；Wherein, label can
Using auxiliary line mark or field color labeling form.
Meanwhile further comprising in step s 24:
The average value or real value and prison for all kinds of monitoring data types that average value area and/or monitor value area are currently shown
The alarm limit of measured data type is compared, if current average or real value are beyond its corresponding alarm limit range (such as height
The upper limit in alarm limit or the lower limit lower than alarm limit), then alert process is carried out to corresponding average value or real value.
It is understood that following work can be carried out while current composite billboard shows monitoring data or later
Make:
The partially or in whole derived of the monitoring data from ventilator, patient monitor and/or pressing device will be received, specifically,
Doctor can export the data in comprehensive billboard according to demand, use as treatment record, illness analysis diagnostic materials or scientific research etc.
On the way；Or
Content shown by current each display subregion is gone out by network or serial ports real-time transmission, such as in an example
In, the ventilator for being integrated with comprehensive billboard function transfers data to patient monitor by serial ports, and patient monitor is sent the data to far
The monitoring center of journey, these available data of the medical staff of monitoring center, and understand the current monitoring data of patient and apply
Situation is rescued, to provide the guidance of profession.
Content to facilitate the understanding of the present invention, following Fig. 3 to Fig. 8 that will refer to are to involved in method provided by the present invention
Details be described in detail.
As shown in figure 3, its schematic diagram for showing multi-section display interface one embodiment in synthesis billboard of the invention, is scheming
In 2, the multi-section display interface of comprehensive billboard is divided into multiple display subregions, comprising: timer area 90, average value area 91,
Trend area 92, waveform area 93 and monitor value area 94.It is understood that it is merely illustrative in Fig. 2, in practical applications, on
Stating each display subregion can be configured to show or does not show and (hereinafter will do it explanation), and the arrangement of each display subregion is not limited to
Mode shown in Fig. 2.
Specifically, timer region 90 has for providing CPR clocking capability and stops timing, reset timer and beginning
The function of timing；Wherein, start timing and stopping timing being shown on the button in timing course using the same button
Printed words are " stopping timing ", press the button at this time, then can stop current timing；After timer stopping, being shown on the button
The printed words shown are " starting timing ", press the button at this time, then start timing；Reset timer button is pressed, then timer is multiple
Position is reset, and timer becomes 00:00:00；It is clicked after timer reset and starts timing button, then timer will be from 00:00:
00 restarts timing.
It is assessed for showing the average value of certain monitoring data whithin a period of time so that doctor analyzes in average value area 91
The effect of CPR.Wherein, the duration for calculating average value can be set in user, and the region is arranged and wishes to show which is supervised
The average value of measured data；When the average value of some monitoring data in the region (is such as higher than the upper of alarm limit beyond alarm limit range
Limit or lower than alarm limit lower limit) when, then alert process can be carried out to the monitoring data, such as will be where the monitoring data
Background becomes the red background or yellow background such as flashed.
Trend area 92 is used to show the short tendency chart of dynamic in one section of duration of certain monitoring data, for doctor's analysis
With assessment CPR effect and quality, can specifically show PetCO2, EtCO2 in a period of time, SpO2, HR, Art, pArt, PA,
NIBP、PR、ftot、Ppeak、TVe、TVe/IBW、MV、WOB、RI、RE、Cstat、Cdyn、RSBI、RCexp、FiO2、Pplat、
The short trend of the dynamic of the monitoring data such as Pmean, PEEP；Wherein, the duration of the short trend of dynamic can be set in user, and setting should
Which wish to show the short trend of the dynamic of monitoring data in region.It is understood that can be shown in these short tendency charts of dynamic
Show vernier, when the mobile vernier and stop, then dynamically shows the corresponding monitoring number of vernier indicating positions from short tendency chart at this
According to numerical value.Meanwhile early warning limit and safety limit can be marked on these short tendency charts of dynamic, in Fig. 2, which is limited with void
The mode of line auxiliary line is marked, and safety limit is marked in a manner of solid line auxiliary line, wherein if in short tendency chart
Numerical value indicates that patient is in the hole lower than early warning limit, improves or be temporarily disengaged from danger if being higher than safety limit and indicating that patient is in
The state of danger can intuitively help medical staff in this way by the way that label early warning limits on the short tendency chart of dynamic and safety limits very much
Monitoring data are analyzed and are judged.It is understood that early warning limit and the label limited safely can use others side
Formula, such as in one example, i.e., limit tendency chart below for early warning and retouch line and be shown as warning color (as red), and safety is limited
Above tendency chart retouches line and is shown as safety instruction color (such as green), and the tendency chart between early warning limit and safety limit is retouched line
It is shown as normally indicating color (such as black)；Alternatively, in another example, can be limited according to early warning, safety is limited tendency chart
Background divides into three regions: normal background color (such as white), safety zone background colour (such as green), early warning by different colours
Region background color (such as red).In addition, the occurrence of safety limit and early warning limit also can be set in user；Also it can choose at this
Safety limit and early warning limit are not marked in tendency chart.
Waveform area 93 can be shown for showing from ventilator and/or patient monitor real-time waveform obtained and showing
The physiological status of patient provides such as electrocardio, pulse wave, CO2 waveform, airway pressure waveform, flow velocity waveform, volume waveform, inhales
Enter the combination of any a few road waveforms in the waveforms such as oxygen waveform；It is understood that can show trip in these real-time waveforms
Mark when the mobile vernier and stops, then shows the numerical value of the corresponding monitoring data of vernier indicating positions on the real-time waveform figure.
User can be set the region and wish to show the real-time waveform of which monitoring data.Meanwhile it can be on these real-time waveform figures
Mark early warning limit and safety limit, the early warning limit and the mark mode that limits safely can with reference to it is aforementioned to early warning limit in trend area 92 and
The mark mode description limited safely, herein without repeating.
Monitor value area 94 is for showing that the real-time monitoring value from ventilator, patient monitor and/or pressing device, real-time monitoring are suffered from
Person's physiology or CPR status of implementation, provide PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak,
TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, voltage-frequency is pressed
The real-time monitoring value of rate, the parameters such as according to pressing depth.Wherein, user can be set this region and wish which monitor value shown.In addition,
It, then can be with to the monitoring data when the monitor value of some monitoring data in the region is beyond early warning limit (such as less than early warning limit)
Alert process is carried out, such as the background where the monitoring data is become into the red background such as flashed or yellow background, it can be with
Understand, in other examples, can be using other type of alarms, such as can be referred to by changing text color
Show alarm, or indicates to alarm by changing text importing mode (such as text flashing display).
As shown in figure 4, being the schematic diagram of a waveform display effect in Tu3Zhong waveform area；Fig. 5 shows Fig. 3 simultaneously
The schematic diagram of the display interface in middle trend area；Wherein, it shows or when short trend in real time, while providing peace carrying out waveform
The mark function of full limit and early warning limit, user is after setting safety limit or early warning limit, in the tendency chart of Fig. 4 or the waveform diagram of Fig. 5
In, it will show that (solid line is safety limit to horizontal auxiliary line in figure, and dotted line is pre- in the position that safety limit or early warning limit corresponding numerical value
Alert limit), help user to judge waveform or tendency chart；When patient physiological parameter lower than early warning limit, then need to improve CPR mass or
Change CPR strategy；When the physiological parameter of patient is stable more than safety limit whithin a period of time, then it represents that the patient after CPR
It is improved, can continue to treat.
Fig. 6 is the schematic diagram of the display interface in average area in Fig. 3；The flat of monitoring data in a period of time is provided in the figure
The display of mean value, user can choose valuable monitoring data (showing to be Art, EtCO2, SpO2 and HR in figure), put down
Mean value can carry out in the region.In figure, and show a period of time when it is 15 minutes a length of；When putting down for some monitoring data
Mean value is prescribed a time limit lower than the alarm limit of user setting or early warning, and the average value region of corresponding monitoring data can be shown in a manner of alarm
(SpO2 in such as figure) out.
Fig. 7 is that CPR billboard set interface schematic diagram in main menu is arranged in Fig. 2；It can be seen from figure 7 that at the interface
In, which display subregion can be set will show first in comprehensive billboard, it can be seen that in this example from the lower right Fig. 7,
Monitor value area, waveform area, timer area, average value area and trend area are respectively provided with by user at " CPR billboard display setting "
For " display is opened " state, it is possible to understand that, user, which also can choose, sets " display is closed " for one or more
State.
Furthermore it is possible to which the type and sequence of the monitoring data to display of waveform area 93 is arranged, shown in figure
ECG is set by waveform 1 at " setting of CPR billboard waveform ", waveform 2 is set as Pleth and CO2 is arranged in waveform 3；Therefore in waveform
Area can show the real-time waveform figure of ECG, Pleth and CO2 in order.
Furthermore, it is possible to which the type of trend area monitoring data to display, sequence and trend duration value is arranged；It is shown in figure
At " setting of CPR billboard trend " EtCO2 is set by trend 1, SpO2 is set as at trend 2, is set as HR at trend 3,
Art is set as at trend 4, and trend duration value is set as 30 minutes.Therefore trend area can show in order EtCO2, SpO2,
Dynamic short tendency chart of tetra- monitoring data of HR and Art in nearest 30 minutes.
Fig. 8 is the schematic diagram that the set interface of monitor value in main menu is arranged in Fig. 2；Monitoring can be set in the Fig. 8
It is worth the type and sequence of area's monitoring data to display.In this example embodiment, monitor value area is divided into four from top to bottom
Part, each part can show one to three parameter.Be provided with for " OFF " monitor value indicate in monitor value area not
Give display.
As shown in Figs. 9 to 11, an a kind of implementation of equipment for showing CPR monitoring data provided by the invention is shown
Example.In this embodiment, the equipment of display CPR monitoring data can be a comprehensive billboard, with ventilator, patient monitor,
Pressing device interconnection comprising:
Information receiving module 12 receives the monitoring data from ventilator, patient monitor and pressing device；
Setup module 14, the monitoring data for showing as needed select the type and each display of display subregion
Subregion monitoring data type to display, show subregion type include it is following at least one: timer area, average value area,
Trend area, waveform area and monitor value area；
Display module 16, in corresponding display subregion, display monitoring data type corresponding with subregion is shown with
And corresponding monitoring data, at least show the real-time waveform of the monitoring data from ventilator, patient monitor, and show real-time
Waveform includes at least CO2 waveform, while marking in the real-time waveform of display the safety limit of corresponding classification monitoring data and pre-
Alert limit；
Data export module 18, for the received data in whole or in part of derived information receiving module；
Data transmitting module 19, for content shown by current each display subregion to be passed through network or serial ports real-time transmission
It goes out.
Wherein, setup module 14 further comprises:
Display area setting unit 140, the viewing area for current billboard to be arranged in need the number of display subregion to be shown
Amount；
Average parameters setting unit 142 for the calculative time cycle to be arranged, and is selected in average value area and needs
Monitoring data type to be shown；
Short trend parameter set unit 144 for the duration needed to be arranged, and is selected in trend area and needs prison to be shown
Measured data type；
Waveform parameter setting unit 146 needs the type of monitoring data to be shown for being selected in waveform area；
Monitor value parameter set unit 148 needs the type of monitoring data to be shown for being selected in monitor value area；
Safety limit, early warning limit and alarm limit setup module 149 limit for the corresponding safety of all kinds of monitoring data to be arranged, are pre-
Alert limit and alarm limit, wherein alarm limit can be a range, including the alarm limit upper limit and alarm limit lower limit.
Wherein, display module 16 further comprises:
Timer display module 160, for showing CPR monitoring duration and beginning/stopping meter in timer area
When button and reset timer button；
Average value display module 162 is set for showing the set time cycle in average value area, and currently
Time cycle in selected all kinds of monitoring data average value, all kinds of monitoring data be PetCO2, EtCO2, SpO2, HR,
Art、pArt、PA、NIBP、PR、ftot、Ppeak、TVe、TVe/IBW、MV、WOB、RI、RE、Cstat、Cdyn、RSBI、
RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, at least one in monitoring parameters such as according to pressing depth；
Short tendency chart display module 164, for shown in trend area selected monitoring data in one section of duration
The short trend of dynamic, monitoring data PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak,
TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, voltage-frequency is pressed
Rate, at least one in monitoring parameters such as according to pressing depth；
Waveform display module 166, for showing the selected real-time wave from ventilator or patient monitor in waveform area
Shape, real-time waveform are electrocardio, pulse wave, CO2 waveform, airway pressure waveform, flow velocity waveform, volume waveform, sucking oxygen waveform etc.
At least one in waveform；
Monitor value display module 167, it is selected from ventilator, patient monitor or pressing for being shown in monitor value area
The real-time monitoring value of device, real-time monitoring value be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot,
Ppeak, TVe, it TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, presses
Voltage-frequency rate, at least one in monitoring parameters such as according to pressing depth；
Safety limit limits mark module 168 with early warning, for marking corresponding classification prison on the short tendency chart of dynamic in trend area
The safety limit and early warning limit of measured data；And/or marked in waveform diagram in waveform area corresponding classification monitoring data safety limit and
Early warning limit；Wherein, label is labeled or is labeled using field color form using auxiliary line form；
Alert process module 169, all kinds of monitoring data for currently showing average value area and/or monitor value area it is flat
Mean value or real value are compared with the alarm limit of monitoring data type, if current average or real value are corresponding beyond its
Alarm limit range then carries out alert process to average value or real value.
It is understood that more details, please refer to the aforementioned description to Fig. 3 to Fig. 8, herein without being described in detail.
Correspondingly, the another further aspect of the embodiment of the present invention also provides a kind of ventilator, interconnects with patient monitor, pressing device,
It is integrated with the equipment of display CPR monitoring data above-mentioned.
Correspondingly, the another aspect of the embodiment of the present invention also provides a kind of patient monitor, interconnects with ventilator, pressing device,
It is integrated with the equipment of display CPR monitoring data above-mentioned.
The implementation of the embodiments of the present invention has the following beneficial effects:
Firstly, the embodiment of the present invention provides a kind of comprehensive billboard of CPR monitoring data, or in existing ventilator or monitoring
It is integrated with the function of the synthesis billboard in instrument, can concentrate and be provided from ventilator, patient monitor and pressing device for medical staff
Monitoring data, facilitate medical staff timely and effectively to understand the current monitoring data of patient；
In addition, need the type of monitoring data to be shown due to can be set in advance, the medical worker for implementing CPR can be allowed
The important parameter monitoring of patient needed for display CPR first aid procedures quickly and is intensively obtained or customized on CPR billboard
The monitoring of compression frequency and depth during value and CPR sue and labour, and using such as graphical (waveform diagram, tendency chart) display
Mode and assistant analysis tool can reduce the observation and record burden of doctor；
Meanwhile when providing dynamic trend figure and waveform diagram, the safety of monitoring data is being marked to limit above and early warning limit, with
And can alarm automatically in limited time in monitoring data beyond early warning, facilitate the analysis that doctor is quickly and effectively monitored data,
Improve the efficiency and CPR mass of doctor；
Moreover, the timing during CPR being assisted to rescue using timer, it is convenient to provide observation to doctor；
Finally, data during carrying out CPR can permit out, the burden that medical staff records data is alleviated, and
Data remote transmission and connection are provided, so that field first aid personnel can obtain the guidance and suggestion of medical practitioner in time, guaranteed
The timeliness and validity sued and laboured.
Those of ordinary skill in the art will appreciate that implement the method for the above embodiments be can be with
Instruct relevant hardware to complete by program, program can be stored in a computer readable storage medium, deposit
Storage media, such as ROM/RAM, disk, CD.
The above is merely preferred embodiments of the present invention, be not intended to limit the invention, it is all in spirit of the invention and
Made any modifications, equivalent replacements, and improvements etc., should all be included in the protection scope of the present invention within principle.
Claims (20)
1. a kind of method for showing CPR monitoring data, which is characterized in that described method includes following steps:
The monitoring data shown as needed select the type and the monitoring to display of each display subregion of display subregion
Data type, the type of the display subregion include it is following at least one: timer area, average value area, trend area, waveform area with
And monitor value area；
During CPR, the monitoring data from ventilator or/and patient monitor are received；
In each display subregion, show and the corresponding monitoring data type of display subregion and corresponding monitoring data；Its
In, show that the real-time waveform of at least partly described monitoring data, the real-time waveform of the display include at least CO2 wave in waveform area
Shape, while marking the safety limit of corresponding classification monitoring data and early warning to limit in the real-time waveform of the display.
2. a kind of method for showing CPR monitoring data as described in claim 1, which is characterized in that it is described during CPR,
The step of receiving from the monitoring data of ventilator or/and patient monitor further comprise: receiving the monitoring number from pressing device
According to.
3. a kind of method for showing CPR monitoring data as described in claim 1, which is characterized in that the display is at least partly
The real-time waveform of the monitoring data, the real-time waveform include at least CO2 waveform, while the label pair in the real-time waveform
The step of answering the safety limit of classification monitoring data and early warning to limit further comprises:
It shows ecg wave form, pulse wave, airway pressure waveform, flow velocity waveform, volume waveform, suck at least one in oxygen waveform
Real-time waveform, and the safety limit and early warning limit of corresponding classification monitoring data are marked in the real-time waveform of the display simultaneously.
4. a kind of method for showing CPR monitoring data as claimed in claim 2, which is characterized in that the method is further wrapped
It includes:
At least one monitoring data is selected from the monitoring data, and shows selected all kinds of monitoring data in a Duan Shichang
The short trend of interior dynamic, all kinds of monitoring data be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR,
ftot、Ppeak、TVe、TVe/IBW、MV、WOB、RI、RE、Cstat、Cdyn、RSBI、RCexp、FiO2、Pplat、Pmean、
PEEP, compression frequency, according to pressing depth at least one；
The safety limit and early warning limit of corresponding classification monitoring data are marked in the short trend of the dynamic.
5. such as the method for the described in any item display CPR monitoring data of claim 2 to 4, which is characterized in that in the real-time wave
The safety of corresponding classification monitoring data is limited using auxiliary line mark or field color notation methods in shape or the short trend of dynamic
And early warning limit is marked.
6. the method for display CPR monitoring data as claimed in claim 2, which is characterized in that the method further includes:
At least one monitoring data is selected from the monitoring data, and shows selected all kinds of monitoring data in a predetermined time
Average value in period, all kinds of monitoring data be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR,
ftot、Ppeak、TVe、TVe/IBW、MV、WOB、RI、RE、Cstat、Cdyn、RSBI、RCexp、FiO2、Pplat、Pmean、
PEEP, compression frequency, according to pressing depth at least one.
7. the method for display CPR monitoring data as claimed in claim 2, which is characterized in that the method further includes:
At least one monitoring data is selected from the monitoring data, and shows the real-time monitoring of selected all kinds of monitoring data
Value, all kinds of monitoring data be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe,
TVe/IBW, MV, it WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, presses
Press at least one in depth.
8. a kind of method of display CPR monitoring data as claimed in claims 6 or 7, which is characterized in that further comprise:
The average value of all kinds of monitoring data of the display or real value are compared with the alarm limit of the monitoring data, such as
Fruit current average or real value exceed its corresponding alarm limit range, then carry out at alarm to the average value or real value
Reason.
9. such as the method for the described in any item CPR monitoring data in claim 2-4,6,7, which is characterized in that in a display CPR prison
In the billboard of measured data, ventilator or patient monitor, the real-time waveform, the short trend of dynamic, average value, real-time monitoring value are used
The mode of multi-section display is shown.
10. a kind of method for showing CPR monitoring data as claimed in claim 2, further comprises:
The partially or in whole derived of the monitoring data from ventilator, patient monitor, pressing device will be received；Or
Currently displayed content is gone out by network or serial ports real-time transmission.
11. a kind of equipment for showing CPR monitoring data characterized by comprising
Setup module, the monitoring data for showing as needed select type and each display subregion institute of display subregion
Monitoring data type to be shown, the type of the display subregion include it is following at least one: timer area, becomes at average value area
Gesture area, waveform area and monitor value area；
Information receiving module receives the monitoring data from ventilator or/and patient monitor；
Display module, in corresponding display subregion, display monitoring data type corresponding with the display subregion and
Corresponding monitoring data；Wherein, the real-time waveform of at least partly described monitoring data, the reality of the display are shown in waveform device
When waveform include at least CO2 waveform, while the safety limit of corresponding classification monitoring data is marked in the real-time waveform of the display
And early warning limit.
12. a kind of equipment for showing CPR monitoring data as claimed in claim 11, which is characterized in that the information receiving module
Further receive the monitoring data from pressing device.
13. a kind of equipment for showing CPR monitoring data as claimed in claim 11, which is characterized in that the display module is one
Waveform area show described in include CO2 waveform real-time waveform, the real-time wave mode further comprises electrocardio, pulse wave, air flue
Pressure waveform, volume waveform, sucks at least one in oxygen waveform at flow velocity waveform.
14. a kind of equipment for showing CPR monitoring data as claimed in claim 12, which is characterized in that the display module is into one
Step includes at least one in following modules:
Timer display module, for showing CPR monitoring duration and beginning/stopping timing button in timer area
With reset timer button；
Average value display module, for showing the set time cycle in average value area, and in the time currently set
The average value of selected all kinds of monitoring data in period, all kinds of monitoring data be PetCO2, EtCO2, SpO2, HR,
Art、pArt、PA、NIBP、PR、ftot、Ppeak、TVe、TVe/IBW、MV、WOB、RI、RE、Cstat、Cdyn、RSBI、
RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one；
Short tendency chart display module, for showing the dynamic in one section of duration of selected all kinds of monitoring data in trend area
The short trend of state, all kinds of monitoring data be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot,
Ppeak, TVe, it TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, presses
Voltage-frequency rate, according to pressing depth at least one；
Monitor value display module, it is selected from each of ventilator, patient monitor or pressing device for being shown in monitor value area
The real-time monitoring value of class monitoring data, all kinds of monitoring data be PetCO2, EtCO2, SpO2, HR, Art, pArt, PA,
NIBP、PR、ftot、Ppeak、TVe、TVe/IBW、MV、WOB、RI、RE、Cstat、Cdyn、RSBI、RCexp、FiO2、Pplat、
Pmean, PEEP, compression frequency, according to pressing depth at least one.
15. a kind of equipment for showing CPR monitoring data as claimed in claim 14, which is characterized in that the setup module into
One step includes:
Safety limit, early warning limit and alarm limit setup module, for the corresponding safety limit of all kinds of monitoring data to be arranged, early warning limits and
Alarm limit.
16. a kind of equipment for showing CPR monitoring data as claimed in claim 15, which is characterized in that the display module into
One step includes:
Safety limit limits mark module with early warning, for marking corresponding classification to monitor number on the short tendency chart of dynamic in the trend area
According to safety limit and early warning limit；And/or marked in waveform diagram in the waveform area corresponding classification monitoring data safety limit and
Early warning limit；
Wherein, the label is labeled or is labeled using field color form using auxiliary line form.
17. a kind of equipment for showing CPR monitoring data as claimed in claim 15, which is characterized in that the display module into
One step includes:
Alert process module, all kinds of monitoring data for currently showing the average value area and/or the monitor value area
Average value or real value are compared with the alarm limit of the monitoring data, if current average or real value are beyond its correspondence
Alarm limit range, then alert process is carried out to the average value or real value.
18. such as a kind of described in any item equipment for showing CPR monitoring data of claim 11 to 17, which is characterized in that into one
Step includes:
Data export module, for the received data in whole or in part of derived information receiving module；
Data transmitting module, for content shown by current each display subregion to be gone out by network or serial ports real-time transmission.
19. a kind of ventilator interconnects, which is characterized in that it is integrated just like claim 11 to 18 times with patient monitor, pressing device
The equipment of CPR monitoring data is shown described in one.
20. a kind of patient monitor interconnects, which is characterized in that it is integrated just like claim 11 to 18 times with ventilator, pressing device
The equipment of CPR monitoring data is shown described in one.
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