CN111671394A

CN111671394A - Intensive care alarm method and device

Info

Publication number: CN111671394A
Application number: CN202010396751.5A
Authority: CN
Inventors: 隆云; 朱卫国; 周翔; 苏龙翔; 李冬凯; 王郝; 陈焕; 张锋; 由丽李; 姜会珍; 俞沛之
Original assignee: Peking Union Medical College Hospital Chinese Academy of Medical Sciences
Current assignee: Peking Union Medical College Hospital Chinese Academy of Medical Sciences
Priority date: 2020-05-12
Filing date: 2020-05-12
Publication date: 2020-09-18

Abstract

The invention discloses an intensive care alarm method and device. The intensive care alarm method comprises the following steps: acquiring a state database, wherein the state database comprises at least one data judgment condition and at least one piece of alarm information, and one piece of alarm information is mapped with one data judgment condition; acquiring state parameters of a user; comparing the state parameters of the user with the data judgment conditions, and if the state parameters of the user meeting the data judgment conditions exist, acquiring alarm information mapped by the data judgment conditions; and sending alarm information. The intensive care alarm method can detect the condition of the user in real time and give an alarm when the user needs to give an alarm by presetting the state database and acquiring the state parameters of the user.

Description

Intensive care alarm method and device

Technical Field

The invention relates to the technical field of intensive care, in particular to an alarm method for intensive care.

Background

In the prior art, no mature alarm system exists in the intensive care field, in the prior art, the intensive care field only collects various data, and the data monitoring of a user is carried out through the screening or selection of a doctor, so that the mode brings inconvenience and complexity to the doctor in work, and the phenomenon of overlooking is easily caused by the negligence of the doctor.

Disclosure of Invention

It is an object of the present invention to provide a method of intensive care alarm that overcomes or at least alleviates at least one of the above-mentioned disadvantages of the prior art.

In one aspect of the present invention, an intensive care alarm method is provided, including: the intensive care alarm method comprises the following steps:

acquiring a state database, wherein the state database comprises at least one group of data judgment conditions and at least one group of alarm information, and the group of alarm information is mapped to the group of data judgment conditions;

acquiring state parameters of a user;

comparing the state parameters of the user with the data judgment conditions, if the state parameters of the user meeting the data judgment conditions exist, acquiring alarm information mapped by the data judgment conditions, and when the data judgment conditions are multiple groups, respectively acquiring alarm information corresponding to each group of data judgment conditions;

and sending alarm information.

Optionally, the data determination condition includes at least one of:

basic vital sign judgment conditions, basic clinical grading judgment conditions, basic respiratory support judgment conditions, basic blood gas test result judgment conditions, basic input quantity judgment conditions, basic output quantity judgment conditions, basic input and output quantity balance judgment conditions, clinical syndrome judgment conditions, test examination result judgment conditions and blood coagulation management judgment conditions;

the alarm information at least comprises one of the following:

basic vital sign alarm information, basic clinical scoring alarm information, basic respiration support alarm information, basic blood gas inspection result alarm information, basic input and output measurement alarm information, basic output alarm information, basic input and output balance alarm information, clinical syndrome alarm information, inspection and inspection result alarm information and blood coagulation management alarm information.

Optionally, the basic vital sign determination condition includes at least one of the following: heartbeat judgment condition, blood pressure judgment condition, invasive systolic pressure judgment condition, invasive average pressure judgment condition, CVP judgment condition, respiratory rate judgment condition, SPO2 judgment condition, Perf judgment condition, body temperature judgment condition and anal temperature judgment condition;

the basic vital sign alarm information at least comprises one of the following information: a heartbeat alarm corresponding to the heartbeat determination condition, a blood pressure alarm corresponding to the blood pressure determination condition, a constriction pressure alarm corresponding to the constriction pressure determination condition, a mean pressure alarm corresponding to the mean pressure determination condition, a CVP alarm corresponding to the CVP determination condition, a respiratory rate alarm corresponding to the respiratory rate determination condition, an SPO2 alarm corresponding to the SPO2 determination condition, a Perf alarm corresponding to the Perf determination condition, a body temperature alarm corresponding to the body temperature determination condition, and an anal temperature alarm corresponding to the anal temperature determination condition;

the basic clinical scoring judgment condition at least comprises one of the following conditions: a conscious disturbance judgment condition, an organ dysfunction judgment condition, a critical patient judgment condition, and a restlessness judgment condition;

the basic clinical scoring alarm information at least comprises one of the following information: an alarm of consciousness disturbance corresponding to the judgment condition of consciousness disturbance, an alarm of organ dysfunction corresponding to the judgment condition of organ dysfunction, an alarm of critically ill patient corresponding to the judgment condition of critically ill patient, and an alarm of agitation corresponding to the judgment condition of agitation;

the basic respiratory support determination condition includes at least one of: a large tidal volume ventilation judgment condition, a high platform pressure ventilation judgment condition, a high airway peak pressure ventilation judgment condition and a high oxygen uptake concentration ventilation judgment condition;

the basic respiratory support alert information includes at least one of: a large tidal volume alarm corresponding to a large tidal volume aeration judgment condition, a high platform pressure aeration alarm corresponding to a high platform pressure aeration judgment condition, a high airway peak pressure aeration alarm corresponding to a high airway peak pressure aeration judgment condition, and a high oxygen uptake concentration aeration alarm corresponding to a high oxygen uptake concentration aeration judgment condition;

the basic blood gas test result judgment condition at least comprises one of the following conditions: blood potassium judgment condition, blood sodium judgment condition, blood free calcium judgment condition, blood BE judgment condition, PH judgment condition and PCO2 judgment condition;

the basic blood gas test result alarm information at least comprises one of the following information: blood potassium alarm information corresponding to a blood potassium judgment condition, blood sodium alarm information corresponding to a blood sodium judgment condition, blood free calcium alarm information corresponding to a blood free calcium judgment condition, blood BE alarm information corresponding to a blood BE judgment condition, pH alarm information corresponding to a pH judgment condition, and PCO2 alarm information corresponding to a PCO2 judgment condition;

the basic input quantity judgment condition at least comprises one of the following conditions: NE addition amount judgment conditions and E addition amount judgment conditions;

the basic input quantity measuring alarm information at least comprises one of the following information: NE alarm corresponding to NE addition amount judging conditions and E addition amount alarm information corresponding to the E addition amount judging conditions;

the basic amount judgment condition includes at least one of: urine volume judgment conditions, stool volume judgment conditions, and drainage volume judgment conditions;

the basic output alarm information at least comprises one of the following items: a urine volume alarm corresponding to the urine volume judgment condition, a stool volume alarm corresponding to the stool volume judgment condition, and a drainage volume alarm corresponding to the drainage volume judgment condition;

the judgment condition for the balance of the amount of input and output includes at least one of: positive balance judgment conditions and input quantity judgment conditions;

the balance alarm of the access amount at least comprises one of the following alarms: a positive balance alarm corresponding to the positive balance judgment condition and an input alarm corresponding to the input judgment condition;

the clinical syndrome judgment condition at least comprises one of the following conditions: a room entering sepsis judgment condition, a new sending sepsis judgment condition, a room entering sepsis shock judgment condition, a new sending sepsis shock judgment condition, a room entering hypoxic respiratory failure judgment condition, a new sending hypoxic respiratory failure judgment condition, a room entering ARDS judgment condition and a new sending ARDS judgment condition;

the clinical syndrome alarm information at least comprises one of the following information: a room entering sepsis alarm corresponding to the room entering sepsis judgment condition, a new sending sepsis alarm corresponding to the new sending sepsis judgment condition, a room entering sepsis shock alarm corresponding to the room entering sepsis shock judgment condition, a new sending sepsis shock alarm corresponding to the new sending sepsis shock judgment condition, a room entering hypoxic respiratory failure alarm corresponding to the room entering hypoxic respiratory failure judgment condition, a new sending hypoxic respiratory failure alarm corresponding to the new sending hypoxic respiratory failure judgment condition, a room entering ARDS alarm corresponding to the room entering ARDS judgment condition, and a new sending ARDS alarm corresponding to the new sending ARDS judgment condition;

the test result judgment condition at least comprises one of the following conditions: HGB judgment conditions and creatinine judgment conditions;

the inspection result alarm information at least comprises one of the following: HGB alarm corresponding to HGB judging condition, creatinine alarm corresponding to creatinine judging condition;

the coagulation management judgment condition includes at least one of: PT judgment condition, APTT judgment condition, FPG judgment condition, PLT judgment condition, AT-III judgment condition and ANTI-Xa judgment condition;

the blood coagulation management alarm information at least comprises one of the following information: a PT alarm corresponding to the PT judgment condition, an APTT alarm corresponding to the APTT judgment condition, an FPG alarm corresponding to the FPG judgment condition, a PLT alarm corresponding to the PLT judgment condition, an AT-III alarm corresponding to the AT-III judgment condition, and an ANTI-Xa alarm corresponding to the ANTI-Xa judgment condition.

Optionally, the user's status parameters include at least one of:

HR parameters, drug use parameters, basal blood pressure parameters, non-invasive systolic blood pressure parameters, invasive mean pressure parameters, CVP parameters, respiratory rate parameters, SPO₂Parameters, perf parameters, body temperature parameters, anal temperature parameters, GCS parameters, sofatotal parameters, APACHEII scoring parameters, RASS parameters, tidal volume ventilation parameters, plateau pressure parameters, airway peak pressure parameters, oxygen uptake concentration parameters, arterial blood gas blood potassium parameters, arterial blood gas sodium parameters, blood free calcium parameters, arterial blood gas BE parameters, arterial blood gas PH parameters, arterial blood gas PCO parameters₂Parameters, epinephrine parameters, urine volume parameters, stool volume parameters, drainage volume parameters of a drainage tube, positive balance parameters, accumulated input parameters, infection information parameters, entrance Sepsis parameters, new release Sepsis parameters, entrance Sepsis Shock parameters, new release Sepsis Shock parameters, oxygenation index parameters, ARDS parameters, HGB parameters, creatinine parameters, PT parameters, APTT parameters, FPG parameters, PLT parameters, AT-III parameters, ANTI-Xa parameters and state information parameters.

Optionally, the heartbeat determining condition includes a too fast heartbeat determining and a too slow heartbeat determining, and the too fast heartbeat determining includes: monitoring that the minimum value of HR is continuously larger than 130 and no one of iodone injection amine, esmolol injection and diltiazem powder injection is pumped in; the judgment of too slow heartbeat comprises the following steps: monitoring that the minimum value of HR is continuously less than 50 and no dopamine injection or dobutamine hydrochloride injection is pumped in;

the blood pressure judging condition comprises that the monitored noninvasive systolic pressure is continuously lower than the minimum systolic pressure value recorded by the body temperature sheet before entering the room by more than 30 mmHg;

the condition for judging the created compression pressure comprises the judgment of the created compression pressure and the judgment of the created compression pressure in the shock-off period, wherein the judgment of the created compression pressure comprises the monitoring that the created compression pressure is continuously lower than 90 mmHg; the judgment of wound contraction pressure in the shock period comprises that the pumping of vasoactive drugs is monitored, and the wound contraction pressure is continuously lower than 90 mmHg;

the invasive average pressure judging condition comprises an invasive average pressure judging condition and an invasive average pressure judging condition in a shock period, wherein the invasive average pressure judging condition comprises that the maximum value of the invasive average pressure is continuously lower than 60 mmHg; the invasive average pressure judgment condition in the shock period comprises that vasoactive drug pumping is monitored, and the invasive average pressure is continuously lower than 60 mmHg;

the CVP judging condition comprises that CVP is more than or equal to 14mmHg for at least 1 time;

the respiratory frequency judging condition comprises that the respiratory frequency is monitored to be more than or equal to 40 times/min for at least 2 times;

the SPO₂The judgment condition includes SPO₂High determination and SPO₂A low judgment, wherein the SPO2 high judgment comprises that at least 2 SpO 2% is monitored to reach 100%, and the SPO2 low judgment comprises that at least 2 SpO 2% is monitored to be less than or equal to 90%;

the Perf judging condition comprises that Perf is lower than 0.6 for at least 2 times;

the body temperature judgment condition comprises body temperature high judgment and body temperature low judgment, wherein the body temperature low judgment comprises that the body temperature is lower than 35.5 ℃ for at least 1 time; the body temperature high judgment comprises monitoring the body temperature to be higher than 38.5 ℃ for at least 1 time;

the anal temperature judging condition comprises anal temperature high judgment and anal temperature low judgment, wherein the anal temperature low judgment comprises monitoring that the anal temperature is lower than 36.0 ℃ for at least 1 time; the judgment of the anal hyperthermia comprises monitoring the body temperature to be 39.0 ℃ for at least 1 time;

the consciousness disturbance judging condition comprises that at least 1 glasgow coma score is monitored to be less than or equal to 7;

the organ function damage judgment condition comprises that SOFATotal is more than or equal to 2 after at least 1 monitoring;

the critical patient judgment condition comprises monitoring that APACHEII score is more than or equal to 15 for at least 1 time;

the restlessness judging condition comprises that RASS is more than or equal to 2 for at least 1 time;

the large tidal volume ventilation judgment condition comprises that the tidal volume/ideal body weight is more than or equal to 10 for at least 2 times;

the high platform pressure ventilation judgment condition comprises H2O with platform pressure of more than or equal to 30cm for at least 1 time;

the high airway peak pressure ventilation judgment condition comprises H2O with peak pressure not less than 55cm monitored for at least 1 time;

the high oxygen uptake concentration ventilation judgment condition comprises that the oxygen uptake concentration is more than or equal to 80% for at least 2 times;

the arterial blood gas data judgment conditions comprise blood potassium high judgment, blood potassium low judgment, blood sodium high judgment, blood sodium low judgment, blood free calcium low judgment, blood BE high judgment, blood BE low judgment, PH high judgment, PCO2 low judgment and PCO2 high judgment; wherein the potassium blood height judgment comprises potassium blood height judgment after potassium supplement and potassium blood height judgment without potassium supplement, the potassium blood height judgment after potassium supplement comprises arterial blood gas potassium content of more than or equal to 5.0mmol/L, and venous/oral potassium supplement exists within 2 hours before detection; the judgment of the potassium in blood without potassium supplement includes that the potassium in blood in arterial blood is more than or equal to 5.5 mmol/L; the blood potassium low judgment comprises that the blood potassium of arterial blood gas is less than or equal to 3.0 mmol/L; the blood sodium high judgment comprises that the blood sodium of arterial blood is more than or equal to 150 mmol/L; the blood sodium low judgment comprises that the blood sodium of arterial blood is less than or equal to 130 mmol/L; the judgment of the low free calcium in the blood comprises that the Ca & lt + & gt in the arterial blood gas is less than or equal to 1.05 mmol/L; the blood BE height judgment comprises that the arterial blood gas BE is more than or equal to 10 mmol/L; the blood BE low judgment comprises that the arterial blood gas BE is less than or equal to-10 mmol/L; the pH value of the arterial blood gas is less than or equal to 7.25; the PH high judgment comprises that the pH value of the arterial blood gas is more than or equal to 7.55; the PCO2 low judgment comprises that the arterial blood gas pCO2 is less than or equal to 35 mmHg; the PCO2 high judgment comprises that the arterial blood gas pCO2 is more than or equal to 55 mmHg;

the NE dosage judgment condition comprises the steps of determining the maximum value and the minimum value of the norepinephrine dosage in a time window, and considering the NE dosage if the time point of the maximum value is later than the time point of the minimum value, wherein the dosage proportion is as follows: (maximum-minimum)/minimum is not less than 30%;

the E addition judgment condition comprises that the maximum value and the minimum value of the epinephrine dosage in the time window are determined, if the time point of the maximum value is later than the time point of the minimum value, the E addition is considered, and the addition proportion is as follows: (maximum-minimum)/minimum is not less than 30%;

the urine volume judgment condition comprises judgment of excessive self urine volume and judgment of oliguria, wherein the excessive self urine volume comprises accumulated urine volume more than or equal to 1500mL and no injection of furosemide injection; the oliguria judgment comprises that the accumulated urine volume in a time window is less than or equal to 100mL, and kidney replacement therapy is not carried out for nearly 24 hours;

the excrement volume judging condition comprises that the accumulated excrement volume is more than or equal to 1000 mL;

the drainage quantity judging condition comprises that the accumulated drainage quantity of a single drainage tube is more than or equal to 500 mL;

the positive balance judging condition comprises that the cumulative positive balance is more than or equal to 2000mL in nearly 12 hours;

the input amount judging condition comprises that the accumulated input amount is less than or equal to 20mLx body weight in nearly 12 hours;

the judgment condition of the entrance sepsis comprises that an entrance clinical infection alarm is triggered, and the Delta SOFA (maximum value minus minimum value) 6 hours before entrance is more than or equal to 2;

the new hair sepsis judgment condition comprises that a new hair clinical infection alarm is triggered in nearly 12 hours, and the time window delta SOFA is more than or equal to 2;

the judgment condition of the entrance Sepsis shock comprises that entrance Sepsis alarm is triggered, vasoactive drugs are applied within 6 hours before entrance, and the maximum value of blood gas lactic acid within 6 hours before entrance is more than or equal to 2 mmol/L;

the new Sepsis shock judgment condition comprises that a new Sepsis alarm is triggered in nearly 12 hours, vasoactive drugs are applied in the time window or the previous time window, and the maximum value of blood gas lactic acid in the time window is more than or equal to 2 mmol/L;

the judgment condition of the indoor hypoxic respiratory failure comprises slight judgment of the indoor hypoxic respiratory failure, moderate judgment of the indoor hypoxic respiratory failure and severe judgment of the indoor hypoxic respiratory failure, wherein the slight judgment of the indoor hypoxic respiratory failure comprises that the minimum value of the oxygenation index is less than or equal to 300 and is more than 200 within 6 hours before the indoor; the determination of the degree of the hypoxia respiratory failure in the room comprises that the minimum value of the oxygenation index is less than or equal to 200 and is more than 100; the judgment of the severity of the hypoxia respiratory failure comprises that the minimum value of the oxygenation index is less than or equal to 100;

the new hypoxic respiratory failure judgment condition comprises a new hypoxic respiratory failure mild judgment, a new hypoxic respiratory failure moderate judgment and a new hypoxic respiratory failure severe judgment, wherein the new hypoxic respiratory failure mild judgment comprises an entry-room hypoxic respiratory failure alarm which is not triggered, the minimum value of the oxygenation index in the time window is less than or equal to 300 and is more than 200, the new hypoxic respiratory failure moderate judgment comprises an entry-room hypoxic respiratory failure alarm which is not triggered, and the minimum value of the oxygenation index in the time window is less than or equal to 200 and is more than 100; the newly-sent hypoxic respiratory failure severe judgment does not trigger the room-entering hypoxic respiratory failure alarm, and the minimum value of the oxygenation index in the time window is less than or equal to 100;

the judgment condition of the entrance ARDS comprises triggering entrance hypoxic respiratory failure, and the doctor records- > chest film- > new appearing sheet shadow in the time window as Y;

the new ARDS judgment condition comprises that new hypoxic respiratory failure is triggered in nearly 12 hours, and a doctor records that- > chest film- > new sheet shadow is Y in the time window;

the HGB descending judgment condition comprises an untransfused and HGB descending judgment condition and a post-transfusion HGB descending judgment condition, wherein the untransfused and HGB descending judgment condition comprises that HGB is monitored for at least 2 times in a time window, and the last value is reduced by more than or equal to 20g/L compared with the first value, or HGB is monitored for 1 time in the time window, HGB is monitored for at least 1 time in the previous time window, and HGB is reduced by more than or equal to 20g/L compared with HGB for the last 1 time; the judgment condition for the descending of the HGB after blood transfusion comprises that blood transfusion is monitored in a time window, and HGB is monitored for at least 2 times in the time window, and the last value is reduced compared with the first value, or HGB is monitored for 1 time in the time window, HGB is monitored for at least 1 time in the previous time window, and HGB is reduced compared with HGB for the latest 1 time;

the creatinine increase judgment condition comprises that the kidney replacement therapy is not carried out in the time window, at least 2 times of blood creatinine is monitored in the time window, and the last value is increased by more than or equal to 30% compared with the first value, or 1 time of blood creatinine is monitored in the time window, at least 1 time of blood creatinine is monitored in the previous time window, and the blood creatinine is increased by more than or equal to 30% compared with the latest 1 time of blood creatinine.

Optionally, the drug use parameters include at least one of: whether at least one of iodoketone injection amine is injected, whether esmolol injection is injected, whether diltiazem powder injection is pumped, whether dopamine hydrochloride injection is pumped, whether vasoactive medicine is injected, whether epinephrine is injected and whether furosemide injection is injected is detected;

the status information parameter includes at least one of:

whether to trigger an incoming room hypoxic respiratory failure alarm, whether to trigger a new onset hypoxic respiratory failure, chest radiograph parameters, whether to trigger a new onset Sepsis alarm, whether to trigger an incoming room Sepsis alarm, whether to trigger at least one of a new onset clinical infection alarm, and time window parameters.

Optionally, the intensive care alarm method further comprises:

matching the acquired alarm information with the acquired state parameters of the user;

and sending the state parameters of the user matched with the acquired alarm information.

The application also provides an intensive care alarm device, the intensive care alarm device includes:

the alarm system comprises a state database acquisition module, a state database processing module and a state database management module, wherein the state database acquisition module is used for acquiring a state database, the state database comprises at least one group of data judgment conditions and at least one group of alarm information, and the group of alarm information corresponds to the group of data judgment conditions;

the user state parameter acquisition module is used for acquiring the state parameters of a user;

the comparison module is used for comparing the state parameters of the user with the data judgment conditions;

the acquisition module is used for acquiring alarm information corresponding to the data judgment conditions if the status parameters of the user meeting the data judgment conditions exist after the comparison module compares the status parameters, and acquiring the alarm information corresponding to each data judgment condition when the number of the data judgment conditions is multiple;

and the alarm module is used for sending alarm information.

The present application further provides an electronic device comprising a memory, a processor and a computer program stored in the memory and being executable on the processor, the processor implementing the method of intensive care alarm as described above when executing the computer program.

The present application also provides a computer-readable storage medium having stored thereon a computer program enabling, when being executed by a processor, the method of intensive care alarm as described above.

Advantageous effects

The intensive care alarm method can detect the condition of the user in real time and give an alarm when the user needs to give an alarm by presetting the state database and acquiring the state parameters of the user.

Drawings

Fig. 1 is a flowchart illustrating an intensive care alarm method according to a first embodiment of the present invention.

Detailed Description

In order to make the implementation objects, technical solutions and advantages of the present application clearer, the technical solutions in the embodiments of the present application will be described in more detail below with reference to the drawings in the embodiments of the present application. In the drawings, the same or similar reference numerals denote the same or similar elements or elements having the same or similar functions throughout. The described embodiments are a subset of the embodiments in the present application and not all embodiments in the present application. The embodiments described below with reference to the drawings are exemplary and intended to be used for explaining the present application and should not be construed as limiting the present application. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present application. Embodiments of the present application will be described in detail below with reference to the accompanying drawings.

In the description of the present application, it is to be understood that the terms "central," "longitudinal," "lateral," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like are used in the orientation or positional relationship indicated in the drawings for convenience in describing the present application and for simplicity in description, and are not intended to indicate or imply that the referenced devices or elements must have a particular orientation, be constructed in a particular orientation, and be operated in a particular manner and are not to be considered limiting of the scope of the present application.

The intensive care alarm method shown in fig. 1 comprises the following steps:

step 1: acquiring a state database, wherein the state database comprises at least one group of data judgment conditions and at least one group of alarm information, and the group of alarm information is mapped to the group of data judgment conditions;

step 2: acquiring state parameters of a user;

and step 3: comparing the state parameters of the user with the data judgment conditions, if the state parameters of the user meeting the data judgment conditions exist, acquiring alarm information mapped by the data judgment conditions, and when the data judgment conditions are multiple groups, respectively acquiring alarm information corresponding to each group of data judgment conditions;

and 4, step 4: and alarming according to the alarm information.

In this embodiment, the comparing the state parameter of the user with the data determining condition specifically includes:

and traversing the acquired state parameters of the user, and when the state parameters meet the data judgment condition, judging that the comparison is successful, and then sending an alarm. In order to avoid the same alarm from triggering the alarm system repeatedly, an absolute refractory period is set. Namely, under the condition of unmanned processing, if the same alarm is monitored within 30min of the alarm, the machine does not trigger the alarm.

In this embodiment, the data determination condition includes at least one of:

the alarm information includes at least one of:

In this embodiment, the basic vital sign determination condition at least includes one of the following conditions: heartbeat judgment condition, blood pressure judgment condition, invasive systolic pressure judgment condition, invasive average pressure judgment condition, CVP judgment condition, respiratory rate judgment condition, SPO2 judgment condition, Perf judgment condition, body temperature judgment condition and anal temperature judgment condition;

in this embodiment, the basic vital sign alarm information at least includes one of: a heartbeat alarm corresponding to the heartbeat determination condition, a blood pressure alarm corresponding to the blood pressure determination condition, a constriction pressure alarm corresponding to the constriction pressure determination condition, a mean pressure alarm corresponding to the constriction pressure determination condition, a CVP alarm corresponding to the CVP determination condition, a respiratory rate alarm corresponding to the respiratory rate determination condition, an SPO2 alarm corresponding to the SPO2 determination condition, a Perf alarm corresponding to the Perf determination condition, a body temperature alarm corresponding to the body temperature determination condition, and an anal temperature alarm corresponding to the anal temperature determination condition.

In this embodiment, the basic clinical score determination condition includes at least one of: a conscious disturbance judgment condition, an organ dysfunction judgment condition, a critical patient judgment condition, and a restlessness judgment condition;

in this embodiment, the basic clinical scoring alarm information includes at least one of: an alarm of consciousness disturbance corresponding to the judgment condition of consciousness disturbance, an alarm of organ dysfunction corresponding to the judgment condition of organ dysfunction, an alarm of critically ill patient corresponding to the judgment condition of critically ill patient, and an alarm of agitation corresponding to the judgment condition of agitation;

in this embodiment, the basic respiratory support determination condition includes at least one of: a large tidal volume ventilation judgment condition, a high platform pressure ventilation judgment condition, a high airway peak pressure ventilation judgment condition and a high oxygen uptake concentration ventilation judgment condition;

in this embodiment, the basic respiratory support alert information includes at least one of: a large tidal volume alarm corresponding to a large tidal volume aeration judgment condition, a high platform pressure aeration alarm corresponding to a high platform pressure aeration judgment condition, a high airway peak pressure aeration alarm corresponding to a high airway peak pressure aeration judgment condition, and a high oxygen uptake concentration aeration alarm corresponding to a high oxygen uptake concentration aeration judgment condition;

in this embodiment, the basic blood gas test result determination condition at least includes one of the following conditions: blood potassium judgment condition, blood sodium judgment condition, blood free calcium judgment condition, blood BE judgment condition, PH judgment condition and PCO2 judgment condition;

in this embodiment, the basic blood gas test result alarm information at least includes one of the following: blood potassium alarm information corresponding to a blood potassium judgment condition, blood sodium alarm information corresponding to a blood sodium judgment condition, blood free calcium alarm information corresponding to a blood free calcium judgment condition, blood BE alarm information corresponding to a blood BE judgment condition, pH alarm information corresponding to a pH judgment condition, and PCO2 alarm information corresponding to a PCO2 judgment condition;

in this embodiment, the basic input amount measurement determination condition includes at least one of: NE addition amount judgment conditions and E addition amount judgment conditions;

in this embodiment, the basic input measurement alarm information includes at least one of: NE alarm corresponding to NE addition amount judging conditions and E addition amount alarm information corresponding to the E addition amount judging conditions;

in this embodiment, the basic amount determination condition includes at least one of: urine volume judgment conditions, stool volume judgment conditions, and drainage volume judgment conditions;

in this embodiment, the basic amount alarm information includes at least one of: a urine volume alarm corresponding to the urine volume judgment condition, a stool volume alarm corresponding to the stool volume judgment condition, and a drainage volume alarm corresponding to the drainage volume judgment condition;

in this embodiment, the condition for judging the balance of the amount of input and output includes at least one of: positive balance judgment conditions and input quantity judgment conditions;

in this embodiment, the balance alarm of the access amount at least comprises one of the following: a positive balance alarm corresponding to the positive balance judgment condition and an input alarm corresponding to the input judgment condition;

in this embodiment, the clinical syndrome judgment condition includes at least one of: a room entering sepsis judgment condition, a new sending sepsis judgment condition, a room entering sepsis shock judgment condition, a new sending sepsis shock judgment condition, a room entering hypoxic respiratory failure judgment condition, a new sending hypoxic respiratory failure judgment condition, a room entering ARDS judgment condition and a new sending ARDS judgment condition;

in this embodiment, the clinical syndrome alarm information at least includes one of: a room entering sepsis alarm corresponding to the room entering sepsis judgment condition, a new sending sepsis alarm corresponding to the new sending sepsis judgment condition, a room entering sepsis shock alarm corresponding to the room entering sepsis shock judgment condition, a new sending sepsis shock alarm corresponding to the new sending sepsis shock judgment condition, a room entering hypoxic respiratory failure alarm corresponding to the room entering hypoxic respiratory failure judgment condition, a new sending hypoxic respiratory failure alarm corresponding to the new sending hypoxic respiratory failure judgment condition, a room entering ARDS alarm corresponding to the room entering ARDS judgment condition, and a new sending ARDS alarm corresponding to the new sending ARDS judgment condition;

in this embodiment, the inspection result determination condition at least includes one of: HGB judgment conditions and creatinine judgment conditions;

in this embodiment, the inspection result alarm information at least includes one of: HGB alarm corresponding to HGB judging condition, creatinine alarm corresponding to creatinine judging condition;

in this embodiment, the coagulation management determination condition includes at least one of: PT judgment condition, APTT judgment condition, FPG judgment condition, PLT judgment condition, AT-III judgment condition and ANTI-Xa judgment condition;

in this embodiment, the coagulation management alarm information includes at least one of: a PT alarm corresponding to the PT judgment condition, an APTT alarm corresponding to the APTT judgment condition, an FPG alarm corresponding to the FPG judgment condition, a PLT alarm corresponding to the PLT judgment condition, an AT-III alarm corresponding to the AT-III judgment condition, and an ANTI-Xa alarm corresponding to the ANTI-Xa judgment condition.

In this embodiment, the status parameters of the user include at least one of:

HR (heartbeat) parameter, drug use parameter, basal blood pressure parameter, non-invasive systolic pressure parameter, invasive mean pressure parameter, CVP parameter, respiratory rate parameter, SPO2 parameter, perf parameter, body temperature parameter, anal temperature parameter, GCS parameter, sofatotal parameter, APACHEII score parameter, RASS parameter, large tidal volume ventilation parameter, plateau pressure parameter, peak airway pressure parameter, oxygen uptake concentration parameter, arterial blood potassium parameter, arterial blood sodium parameter, blood free calcium parameter, arterial blood BE parameter, arterial blood gas PH parameter, arterial blood PCO2 parameter, epinephrine parameter, urine volume parameter, stool volume parameter, drainage volume parameter of drainage tube, positive balance parameter, cumulative entry parameter, infection information parameter, entry Sepsis parameter, Sepsis parameter, entry siss Shock parameter, new Sepsis Shock parameter, ARDS parameter, and ARDS parameter, HGB parameter, creatinine parameter, PT parameter, APTT parameter, FPG parameter, PLT parameter, AT-III parameter, ANTI-Xa parameter, status information parameter.

In the present embodiment, the heartbeat determination condition includes a too fast heartbeat determination and a too slow heartbeat determination, wherein,

the judgment of the too fast heartbeat includes: in this embodiment, the HR is monitored in a preset period, for example, in a mode of one period every 2 hours, the period is called a time window, and the following description is included;

it will be appreciated that the time window may be self-setting, for example, 4 hours, 5 hours or other times, as desired.

The judgment of too slow heartbeat comprises the following steps: monitoring that the minimum value of HR is continuously less than 50, and no dopamine injection or dobutamine hydrochloride injection is pumped, wherein in the embodiment, the monitoring time window of HR is 2 hours;

in this embodiment, the blood pressure determination condition includes monitoring that the non-invasive systolic blood pressure (NBP-systolic blood pressure) is continuously lower than the minimum systolic blood pressure value recorded by the body temperature chart before entering the room by more than 30mmHg, and in this embodiment, the time window is 2 hours;

in the present embodiment, the conditions for determining the initial contraction pressure include the initial contraction pressure determination and the shock-period initial contraction pressure determination, wherein,

the determination of the inventive contraction pressure comprises monitoring the inventive contraction pressure (ABP (mmHg)) continuously lower than 90mmHg, and the window period is 2 hours;

the judgment of the initial contraction pressure in the shock-down period comprises that the pumping of vasoactive drugs is monitored, the initial contraction pressure (ABP (mmHg) initial average pressure) is continuously lower than 90mmHg, and the window period is 2 hours;

in this embodiment, the condition for determining the induced average pressure includes a condition for determining the induced average pressure and a condition for determining the induced average pressure during the shock period, wherein,

the invasive average pressure judging condition comprises that the maximum value of the invasive average pressure (ABP (mmHg)) is continuously lower than 60mmHg, and the window period is 2 hours;

the judgment condition of the invasive average pressure in the shock period comprises that the pumping of vasoactive drugs is monitored, the invasive average pressure (ABP (mmHg) invasive average pressure) is continuously lower than 60mmHg, and the window period is 2 hours;

CVP judging conditions comprise that CVP is more than or equal to 14mmHg for at least 1 time, and the window period is 4 hours;

the respiratory frequency judging condition comprises that the respiratory frequency is monitored to be more than or equal to 40 times/min for at least 2 times, and the window period is 4 hours;

the SPO2 decision conditions include a SPO2 high decision and a SPO2 low decision, wherein,

the SPO2 high judgment comprises that SpO 2% reaches 100% for at least 2 times, and the window period is 2 hours;

the low SPO2 judgment comprises that SpO2 percent is less than or equal to 90 percent for at least 2 times, and the window period is 2 hours;

the Perf judging condition comprises that Perf is lower than 0.6 for at least 2 times, and the window period is 2 hours;

the body temperature judgment condition includes a body temperature high judgment and a body temperature low judgment, wherein,

determining hypothermia comprises monitoring body temperature (deg.C) below 35.5 deg.C for at least 1 time, with a window period of 4 hr;

determining the body temperature comprises monitoring the body temperature (deg.C) to be higher than 38.5 deg.C for at least 1 time, and setting the window period to be 4 hr;

the anal temperature judging condition comprises an anal temperature high judgment and an anal temperature low judgment, wherein,

the judgment of low anal temperature comprises monitoring that the anal temperature (DEG C) is lower than 36.0 ℃ for at least 1 time, and the window period is 4 hours; (ii) a

The judgment of high anal temperature (DEG C) comprises monitoring the temperature to 39.0 ℃ for at least 1 time, and the window period is 4 hours;

the consciousness disturbance judgment condition comprises that at least 1 time of Glassy coma score (vital sign) is monitored to be less than or equal to 7, and the window period is 4 hours;

the organ function damage judgment condition comprises that at least 1 time of SOFATotal (SOFA score) is monitored to be more than or equal to 2, and the window period is 2 hours;

the critical patient judgment condition comprises monitoring at least 1 APACHEII score (total score) (APACHE score) of not less than 15, and the window period is 24 hours;

the restlessness judgment condition comprises that RASS is more than or equal to 2 for at least 1 time, and the window period is 4 hours;

the large tidal volume ventilation judgment condition comprises that at least 2 times of tidal volume/ideal weight is monitored to be more than or equal to 10, (the ideal weight is male 50+0.91x (height (cm) -152.4), female 45.5+0.91x (height (cm) -152.4), and the window period is 4 hours;

the high platform pressure ventilation judgment condition comprises monitoring H2O with platform pressure more than or equal to 30cm for at least 1 time, and the window period is 4 hours;

the high airway peak pressure ventilation judgment condition comprises monitoring H2O with peak pressure of the airway being more than or equal to 55cm for at least 1 time, and the window period is 4 hours;

the high oxygen uptake concentration ventilation judgment condition comprises that the oxygen uptake concentration is monitored to be more than or equal to 80% for at least 2 times, and the window period is 4 hours;

the arterial blood gas data judgment conditions comprise blood potassium high judgment, blood potassium low judgment, blood sodium high judgment, blood sodium low judgment, blood free calcium low judgment, blood BE high judgment, blood BE low judgment, PH high judgment, PCO2 low judgment and PCO2 high judgment; wherein the content of the first and second substances,

the determination of high blood potassium level includes determination of high blood potassium level after potassium supplementation and determination of high blood potassium level without potassium supplementation, wherein,

the determination of high blood potassium level after potassium supplementation includes that the blood potassium of arterial blood gas is more than or equal to 5.0mmol/L, and intravenous/oral potassium supplementation (such as oral potassium citrate or potassium chloride, and intravenous potassium chloride) exists within 2 hours before detection;

judging the potassium content in blood without potassium supplement to be more than or equal to 5.5 mmol/L;

the judgment of low blood potassium comprises that the blood potassium of arterial blood gas is less than or equal to 3.0 mmol/L;

the judgment of blood sodium level includes that the blood sodium of arterial blood is more than or equal to 150 mmol/L;

the judgment of low blood sodium comprises that the blood sodium of arterial blood is less than or equal to 130 mmol/L;

judging whether the free calcium in blood is low or not, wherein the content of Ca < + > in arterial blood gas is less than or equal to 1.05 mmol/L;

the determination of blood BE height comprises that the arterial blood gas BE is more than or equal to 10 mmol/L;

the determination of blood BE low comprises that the arterial blood gas BE is less than or equal to-10 mmol/L;

the pH value of the arterial blood gas is less than or equal to 7.25;

the PH value is judged to be high, wherein the PH value of the arterial blood gas is more than or equal to 7.55;

the PCO2 is low, and the PCO2 is less than or equal to 35 mmHg;

the PCO2 high judgment comprises that the arterial blood gas pCO2 is more than or equal to 55 mmHg;

the NE adding amount judgment condition comprises the steps of determining the maximum value and the minimum value of the noradrenaline dosage in a time window, and considering the NE adding amount if the time point of the maximum value is later than the time point of the minimum value, wherein the adding amount proportion is as follows: (max-min)/min ≥ 30%, in this example, the time window is 6 hours;

determining the maximum value and the minimum value of the epinephrine dosage in a time window under the E dosage judgment condition, and considering the E dosage if the time point of the maximum value is later than the time point of the minimum value, wherein the dosage proportion is as follows: (max-min)/min ≥ 30%, in this example, the time window is 6 hours;

the urine volume judgment condition includes judgment of excessive spontaneous urine volume and judgment of oliguria, wherein,

the amount of the self-urine is large, the accumulated urine amount is more than or equal to 1500mL, no furosemide injection is injected, and the time window is 6 hours;

the oliguria judgment comprises that the accumulated urine volume in a time window is less than or equal to 100mL, and kidney replacement therapy is not carried out for nearly 24 hours, and the time window is 6 hours;

the excrement volume judging condition comprises that the accumulated excrement volume is more than or equal to 1000mL, and the time window is 6 hours;

the drainage quantity judging conditions comprise that the accumulated drainage quantity of a single drainage tube is more than or equal to 500mL, and the time window is 6 hours;

the positive balance judging condition comprises that the cumulative positive balance is more than or equal to 2000mL in nearly 12 hours, and the time window is 12 hours;

the input amount judging conditions comprise that the accumulated input amount is less than or equal to 20mLx body weight in nearly 12 hours, and the time window is 12 hours;

the judgment condition of the entrance sepsis comprises that an entrance clinical infection alarm is triggered, the Delta SOFA (maximum value minus minimum value) 6 hours before entrance is more than or equal to 2, and the time point of the SOFA score maximum value is recorded as the alarm time;

the new sepsis judgment condition comprises that a new clinical infection alarm is triggered in nearly 12 hours, the time window and the previous time window delta SOFA are more than or equal to 2, and the time point of the SOFA score maximum value of the time window is recorded as the alarm time;

the judgment condition of the entrance Sepsis shock comprises that entrance Sepsis alarm is triggered, vasoactive drugs are applied within 6 hours before entrance, the maximum value of the blood gas lactic acid within 6 hours before entrance is more than or equal to 2mmol/L, and the time point of the maximum value of the blood gas lactic acid is recorded as alarm time;

the judgment condition of the new Sepsis shock comprises that the new Sepsis alarm is triggered in nearly 12 hours, vasoactive drugs are applied in the time window or the previous time window, the maximum value of the blood gas lactic acid in the time window is more than or equal to 2mmol/L, and the time point of the maximum value of the blood gas lactic acid is recorded as the alarm time;

the judgment condition of the indoor hypoxic respiratory failure comprises slight judgment of the indoor hypoxic respiratory failure, moderate judgment of the indoor hypoxic respiratory failure and severe judgment of the indoor hypoxic respiratory failure, wherein,

the mild judgment of the low-oxygen respiratory failure in the room comprises that the minimum value of the oxygenation index is less than or equal to 300 and is more than 200 within 6 hours before the room enters;

the determination of the degree of the hypoxia respiratory failure in the room comprises that the minimum value of the oxygenation index is less than or equal to 200 and is more than 100;

the judgment of the severity of the hypoxia respiratory failure comprises that the minimum value of the oxygenation index is less than or equal to 100;

the judgment condition of the new-onset hypoxic respiratory failure comprises mild judgment, moderate judgment and severe judgment of the new-onset hypoxic respiratory failure, wherein,

the mild judgment of the new onset hypoxic respiratory failure comprises that the alarm of the hypoxic respiratory failure of the entering room is not triggered, and the minimum value of the oxygenation index in the time window is less than or equal to 300 and is more than 200;

the newly-sent hypoxic respiratory failure moderate judgment comprises that the room-entering hypoxic respiratory failure alarm is not triggered, and the minimum value of the oxygenation index in the time window is less than or equal to 200 and is more than 100;

newly-sent hypoxic respiratory failure severe judgment does not trigger the room-entering hypoxic respiratory failure alarm, and the minimum value of the oxygenation index in the time window is less than or equal to 100;

the judgment condition of the entrance ARDS comprises triggering entrance hypoxic respiratory failure, and the doctor records- > chest film- > newly-appeared sheet shadow in the time window as Y;

the HGB descent judging conditions include non-transfusion and HGB descent judging conditions and post-transfusion HGB descent judging conditions, wherein,

the judgment conditions of no blood transfusion and HGB descending comprise that at least 2 times of HGB (hemoglobin (HGB)) are monitored in a time window, and the last value is reduced by more than or equal to 20g/L compared with the first value, or 1 time of HGB is monitored in the time window, at least 1 time of HGB is monitored in the previous time window, the current time of HGB is reduced by more than or equal to 20g/L compared with the latest 1 time of HGB, and the window period is 6 hours;

the judgment condition of the descending of the HGB after blood transfusion comprises that blood transfusion is monitored in a time window, at least 2 times of HGB are monitored in the time window, and the last value is reduced compared with the first value, or 1 time of HGB is monitored in the time window, at least 1 time of HGB is monitored in the previous time window, the current HGB is reduced compared with the latest 1 time of HGB, and the window period is 6 hours;

the creatinine rise judging condition comprises that the kidney replacement therapy is not carried out in the time window, at least 2 times of blood creatinine is monitored in the time window, the last value is increased by more than or equal to 30% compared with the first value, or 1 time of blood creatinine is monitored in the time window, at least 1 time of blood creatinine is monitored in the previous time window, the blood creatinine is increased by more than or equal to 30% compared with the latest 1 time of blood creatinine, and the window period is 6 hours;

in this example, the PT (prothrombin time) determination condition was (prothrombin time >12.6s), the APTT (activated partial thromboplastin time) determination condition was activated partial thromboplastin time >26.5, the PLT (platelet) determination condition was (platelet >3.5), the AT-III (antithrombin III) determination condition was antithrombin III (> 120%), the ANTI-Xa (ANTI-ten-factor activation) determination condition was (ANTI-ten-factor activation > 120%), and the window period was 6 hours.

In this embodiment, the drug use parameters include at least one of: whether at least one of iodoketone injection amine is injected, whether esmolol injection is injected, whether diltiazem powder injection is pumped, whether dopamine hydrochloride injection is pumped, whether vasoactive medicine is injected, whether epinephrine is injected and whether furosemide injection is injected is detected;

the status information parameter includes at least one of:

In this embodiment, the alarming according to the alarm information includes:

and displaying alarm and/or sound alarm according to the alarm information.

For example, the heartbeat alarm may be a heartbeat value informed by sound and added with a fixed statement, for example, by sound: note the heartbeat 160.

The blood pressure alarm can inform the current blood pressure value in a sound mode and add a fixed statement, for example, the blood pressure alarm can broadcast in a sound mode: note the blood pressure 160.

The alarm of the created systolic pressure can be that the current blood pressure value is informed in a voice mode and fixed sentences are added, for example, the alarm is broadcasted in a voice mode: note that there is a wound compression pressure 160.

The invasive mean pressure alarm can inform the current blood pressure value in a sound mode and add a fixed statement, for example, the invasive mean pressure alarm broadcasts in a sound mode: note that there is a wound compression pressure 160.

It is understood that in one embodiment, other alarms are also triggered by the preset alarm tone plus the obtained value, so that the guardian can know the alarm tone.

In one embodiment, the sound of just beeping may be used to let the monitor know, and thus let the monitor view the patient's condition by itself.

In one embodiment, text output may also be used, for example, the invasive mean pressure alarm may be a text notification of the current blood pressure value and a fixed statement added, for example, please note the invasive systolic pressure 160.

In this embodiment, the intensive care alarm method further includes:

alarming according to the alarm information further comprises: and displaying the matched acquired state parameters of the user.

The present application is described in further detail below by way of examples, it being understood that the examples do not constitute any limitation to the present application.

Step 1: acquiring a state database, wherein the state database comprises at least one group of data judgment conditions and at least one group of alarm information, and a group of alarm information corresponds to a group of data judgment conditions, for convenience of description, in this embodiment, the data judgment conditions only comprise basic vital sign judgment conditions, and the alarm information comprises basic vital sign alarm information, more specifically, in this embodiment, the data judgment conditions comprise heartbeat judgment conditions, and the heartbeat is judged too fast and too slow, and the heartbeat judgment comprises: monitoring that the minimum value of HR is continuously larger than 130 and no one of iodone injection amine, esmolol injection and diltiazem powder injection is pumped in; the judgment of too slow heartbeat comprises the following steps: monitoring that the minimum value of HR is continuously less than 50 and no dopamine injection or dobutamine hydrochloride injection is pumped in;

step 2: acquiring user status parameters, in this embodiment, the user status parameters include HR parameters and drug use parameters, more specifically, HR parameters are monitored as 148, and no drug is used;

and step 3: comparing the state parameters of the user with the data judgment conditions, if the state parameters of the user meeting the data judgment conditions exist, acquiring alarm information corresponding to the data judgment conditions, specifically, acquiring 148 parameters, and judging whether the heartbeat too fast judgment conditions are met according to the judgment conditions, thereby acquiring heartbeat alarm;

and 4, step 4: and sending alarm information, specifically sending a heartbeat alarm.

It is understood that the alarm information may be a sound message or a text message, for example, the heartbeat alarm may be a sound message or a text message.

In the present embodiment, the acquisition of various parameters may adopt the existing devices, for example, the blood oxygen of the user is acquired by an oximeter, the heartbeat condition of the user is acquired by an electrocardiograph, the blood pressure condition of the user is acquired by an electronic sphygmomanometer, and the temperature of the body temperature, the anal temperature, etc. of the user is acquired by a thermometer. It will be appreciated that these machines are prior art and will not be described again.

The application also provides an intensive care alarm device, which comprises a state database acquisition module, a user state parameter acquisition module, a comparison module, an acquisition module and an alarm module,

the state database acquisition module is used for acquiring a state database, the state database comprises at least one group of data judgment conditions and at least one group of alarm information, and the group of alarm information corresponds to the group of data judgment conditions;

the alarm module is used for sending alarm information.

In this embodiment, the intensive care alarm device further includes a matching module, where the matching module is configured to match the acquired alarm information with the acquired status parameters of the user;

the sending module further sends the state parameters of the user matched with the acquired alarm information.

For example, an electronic device includes an input device, an input interface, a central processing unit, a memory, an output interface, and an output device. The input interface, the central processing unit, the memory and the output interface are mutually connected through a bus, and the input equipment and the output equipment are respectively connected with the bus through the input interface and the output interface and further connected with other components of the computing equipment. Specifically, the input device receives input information from the outside and transmits the input information to the central processing unit through the input interface; the central processing unit processes the input information based on the computer executable instructions stored in the memory to generate output information, temporarily or permanently stores the output information in the memory, and then transmits the output information to the output device through the output interface; the output device outputs the output information to an exterior of the computing device for use by a user.

The present application also provides a computer-readable storage medium, in which a computer program is stored, which, when being executed by a processor, is able to carry out the method of training a classifier as above.

Although the present application has been described with reference to the preferred embodiments, it is not intended to limit the present application, and those skilled in the art can make variations and modifications without departing from the spirit and scope of the present application.

In a typical configuration, a computing device includes one or more processors (CPUs), input/output interfaces, network interfaces, and memory.

The memory may include forms of volatile memory in a computer readable medium, Random Access Memory (RAM) and/or non-volatile memory, such as Read Only Memory (ROM) or flash memory (flash RAM). Memory is an example of a computer-readable medium.

Computer-readable media include both non-transitory and non-transitory, removable and non-removable media that implement information storage by any method or technology. The information may be computer readable instructions, data structures, modules of a program, or other data. Examples of computer storage media include, but are not limited to, phase change memory (PRAM), Static Random Access Memory (SRAM), Dynamic Random Access Memory (DRAM), other types of Random Access Memory (RAM), Read Only Memory (ROM), Electrically Erasable Programmable Read Only Memory (EEPROM), flash memory or other memory technology, compact disc read only memory (CD-ROM), Digital Versatile Discs (DVD) or other optical storage, magnetic cassettes, magnetic tape, magnetic disk storage or other magnetic storage devices, or any other non-transmission medium that can be used to store information that can be accessed by a computing device.

As will be appreciated by one skilled in the art, embodiments of the present application may be provided as a method, system, or computer program product. Accordingly, the present application may take the form of an entirely hardware embodiment, an entirely software embodiment or an embodiment combining software and hardware aspects. Furthermore, the present application may take the form of a computer program product embodied on one or more computer-usable storage media (including, but not limited to, disk storage, CD-ROM, optical storage, and the like) having computer-usable program code embodied therein.

Furthermore, it will be obvious that the term "comprising" does not exclude other elements or steps. A plurality of units, modules or devices recited in the device claims may also be implemented by one unit or overall device by software or hardware. The terms first, second, etc. are used to identify names, but not any particular order.

The flowchart and block diagrams in the figures illustrate the architecture, functionality, and operation of possible implementations of systems, methods and computer program products according to various embodiments of the present application. In this regard, each block in the flowchart or block diagrams may represent a module, segment, or portion of code, which comprises one or more executable instructions for implementing the specified logical function(s). It should also be noted that, in some alternative implementations, the functions noted in the block may occur out of the order noted in the figures. For example, two blocks identified in succession may, in fact, be executed substantially concurrently, or the blocks may sometimes be executed in the reverse order, depending upon the functionality involved. It will also be noted that each block of the block diagrams and/or flowchart illustration, and combinations of blocks in the block diagrams and/or flowchart illustration, can be implemented by special purpose hardware-based systems which perform the specified functions or acts, or combinations of special purpose hardware and computer instructions.

The Processor in this embodiment may be a Central Processing Unit (CPU), other general purpose Processor, a Digital Signal Processor (DSP), an Application Specific Integrated Circuit (ASIC), an off-the-shelf Programmable Gate Array (FPGA) or other Programmable logic device, a discrete Gate or transistor logic device, a discrete hardware component, and so on. A general purpose processor may be a microprocessor or the processor may be any conventional processor or the like.

The memory may be used to store computer programs and/or modules, and the processor may implement various functions of the apparatus/terminal device by running or executing the computer programs and/or modules stored in the memory, as well as by invoking data stored in the memory. The memory may mainly include a storage program area and a storage data area, wherein the storage program area may store an operating system, an application program required by at least one function (such as a sound playing function, an image playing function, etc.), and the like; the storage data area may store data (such as audio data, a phonebook, etc.) created according to the use of the cellular phone, and the like. In addition, the memory may include high speed random access memory, and may also include non-volatile memory, such as a hard disk, a memory, a plug-in hard disk, a Smart Media Card (SMC), a Secure Digital (SD) Card, a Flash memory Card (Flash Card), at least one magnetic disk storage device, a Flash memory device, or other volatile solid state storage device.

In this embodiment, the module/unit integrated with the apparatus/terminal device may be stored in a computer-readable storage medium if it is implemented in the form of a software functional unit and sold or used as a separate product. Based on such understanding, all or part of the flow in the method according to the embodiments of the present invention may also be implemented by a computer program to instruct related hardware, where the computer program may be stored in a computer readable storage medium, and when the computer program is executed by a processor, the computer program may implement the steps of the embodiments of the method. Wherein the computer program comprises computer program code, which may be in the form of source code, object code, an executable file or some intermediate form, etc. The computer readable medium may include: any entity or device capable of carrying computer program code, recording medium, U.S. disk, removable hard disk, magnetic disk, optical disk, computer Memory, Read-Only Memory (ROM), Random Access Memory (RAM), electrical carrier wave signals, telecommunications signals, software distribution media, and the like. It should be noted that the computer readable medium may contain content that is appropriately increased or decreased as required by legislation and patent practice in the jurisdiction. Although the invention has been described in detail hereinabove with respect to a general description and specific embodiments thereof, it will be apparent to those skilled in the art that modifications or improvements may be made thereto based on the invention. Accordingly, such modifications and improvements are intended to be within the scope of the invention as claimed.

Claims

1. An intensive care alarm method, comprising:

acquiring state parameters of a user;

and sending alarm information.

2. The intensive care alarm method of claim 1, wherein the data decision condition comprises at least one of:

the alarm information at least comprises one of the following:

3. The intensive care alarm method according to claim 2, wherein the basic vital sign determination condition comprises at least one of: heartbeat judgment condition, blood pressure judgment condition, invasive systolic pressure judgment condition, invasive average pressure judgment condition, CVP judgment condition, respiratory rate judgment condition, SPO2 judgment condition, Perf judgment condition, body temperature judgment condition and anal temperature judgment condition;

the blood coagulation management alarm information at least comprises one of the following information: a PT alarm corresponding to the PT judgment condition, an APTT alarm corresponding to the APTT judgment condition, a PLT alarm corresponding to the PLT judgment condition, an AT-III alarm corresponding to the AT-III judgment condition, and an ANTI-Xa alarm corresponding to the ANTI-Xa judgment condition.

4. The intensive care alarm method of claim 3, wherein the user's status parameters include at least one of:

HR parameters, drug use parameters, basal blood pressure parameters, non-invasive systolic blood pressure parameters, invasive mean pressure parameters, CVP parameters, respiratory rate parameters, SPO2 parameters, perf parameters, body temperature parameters, anal temperature parameters, GCS parameters, sofatotal parameters, APACHEII scoring parameters, RASS parameters, tidal volume ventilation parameters, plateau pressure parameters, peak airway pressure parameters, oxygen uptake concentration parameters, arterial blood gas potassium parameters, arterial blood sodium oxygen, blood free calcium parameters, arterial blood gas BE parameters, arterial blood gas PH parameters, arterial blood gas PCO2 parameters, epinephrine parameters, urine volume parameters, stool volume parameters, new drainage volume parameters, positive balance parameters, cumulative entry parameters, infection information parameters, entry Sepsis parameters, Sepsis parameters, entry Sepsis Shock parameters, new Sepsis Shock parameters, drainage tube index parameters, ARDS parameters, HGB parameters, wound pressure parameters, wound mean pressure parameters, wound pressure, Creatinine parameters, PT parameters, APTT parameters, FPG parameters, PLT parameters, AT-III parameters, ANTI-Xa parameters and state information parameters.

5. The intensive care alarm method according to claim 4, wherein the heartbeat determination condition includes a too fast heartbeat determination and a too slow heartbeat determination, the too fast heartbeat determination including: monitoring that the minimum value of HR is continuously larger than 130 and no one of iodone injection amine, esmolol injection and diltiazem powder injection is pumped in; the judgment of too slow heartbeat comprises the following steps: monitoring that the minimum value of HR is continuously less than 50 and no dopamine injection or dobutamine hydrochloride injection is pumped in;

the SPO₂The judgment condition includes SPO₂High determination and SPO₂Low determination, wherein the SPO₂The high determination includes monitoring at least 2 times that the SpO 2% reaches 100%, the SPO₂Low determination includes monitoring SpO for at least 2 times₂％≤90％；

the high airway peak pressure ventilation judgment condition comprises monitoring H with peak pressure not less than 55cm for at least 1 time₂O；

the arterial blood gas data judgment conditions comprise high blood potassium judgment, low blood potassium judgment, high blood sodium judgment, low blood sodium judgment and low blood free calcium judgmentJudgment, blood BE high judgment, blood BE low judgment, pH high judgment, PCO₂Low judgment, PCO₂Judging the height; wherein the potassium blood height judgment comprises potassium blood height judgment after potassium supplement and potassium blood height judgment without potassium supplement, the potassium blood height judgment after potassium supplement comprises arterial blood gas potassium content of more than or equal to 5.0mmol/L, and venous/oral potassium supplement exists within 2 hours before detection; the judgment of the potassium in blood without potassium supplement includes that the potassium in blood in arterial blood is more than or equal to 5.5 mmol/L; the blood potassium low judgment comprises that the blood potassium of arterial blood gas is less than or equal to 3.0 mmol/L; the blood sodium high judgment comprises that the blood sodium of arterial blood is more than or equal to 150 mmol/L; the blood sodium low judgment comprises that the blood sodium of arterial blood is less than or equal to 130 mmol/L; the judgment of the low free calcium in the blood comprises that the Ca & lt + & gt in the arterial blood gas is less than or equal to 1.05 mmol/L; the blood BE height judgment comprises that the arterial blood gas BE is more than or equal to 10 mmol/L; the blood BE low judgment comprises that the arterial blood gas BE is less than or equal to-10 mmol/L; the pH value of the arterial blood gas is less than or equal to 7.25; the PH high judgment comprises that the pH value of the arterial blood gas is more than or equal to 7.55; the PCO2 low judgment comprises an arterial blood gas pCO₂Less than or equal to 35 mmHg; the PCO₂The high judgment includes that the arterial blood gas pCO2 is more than or equal to 55 mmHg;

6. The intensive care alarm method of claim 5, wherein the medication use parameters include at least one of: whether at least one of iodoketone injection amine is injected, whether esmolol injection is injected, whether diltiazem powder injection is pumped, whether dopamine hydrochloride injection is pumped, whether vasoactive medicine is injected, whether epinephrine is injected and whether furosemide injection is injected is detected;

the status information parameter includes at least one of:

7. The intensive care alarm method according to claim 6, further comprising:

8. An intensive care alarm device, characterized in that the intensive care alarm device includes:

the alarm system comprises a state database acquisition module, a state database processing module and a state database management module, wherein the state database acquisition module is used for acquiring a state database, the state database comprises at least one group of data judgment conditions and at least one group of alarm information, and the group of alarm information is mapped to the group of data judgment conditions;

the acquisition module is used for acquiring alarm information mapped by the data judgment conditions if the state parameters of the user meeting the data judgment conditions exist after the comparison module compares the state parameters, and acquiring the alarm information corresponding to each data judgment condition when the number of the data judgment conditions is multiple;

and the alarm module is used for sending alarm information.

9. An electronic device comprising a memory, a processor and a computer program stored in the memory and executable on the processor, characterized in that the processor implements the intensive care alarm method according to any one of claims 1 to 7 when executing the computer program.

10. A computer-readable storage medium, in which a computer program is stored which, when being executed by a processor, is able to carry out the intensive care alarm method according to any one of claims 1 to 7.