CN111803287A - Acute cerebral apoplexy emergency management platform based on special transportation flatcar of thrombolysis - Google Patents
Acute cerebral apoplexy emergency management platform based on special transportation flatcar of thrombolysis Download PDFInfo
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- CN111803287A CN111803287A CN202010728408.6A CN202010728408A CN111803287A CN 111803287 A CN111803287 A CN 111803287A CN 202010728408 A CN202010728408 A CN 202010728408A CN 111803287 A CN111803287 A CN 111803287A
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- 208000006011 Stroke Diseases 0.000 title claims abstract description 35
- 230000002537 thrombolytic effect Effects 0.000 title claims abstract description 21
- 206010008190 Cerebrovascular accident Diseases 0.000 title claims description 13
- 230000002490 cerebral effect Effects 0.000 title claims description 12
- 230000001154 acute effect Effects 0.000 title claims description 5
- 238000012546 transfer Methods 0.000 claims abstract description 29
- 238000000034 method Methods 0.000 claims abstract description 21
- 230000008569 process Effects 0.000 claims abstract description 18
- 239000003146 anticoagulant agent Substances 0.000 claims description 9
- 238000002591 computed tomography Methods 0.000 claims description 8
- 239000008280 blood Substances 0.000 claims description 5
- 210000004369 blood Anatomy 0.000 claims description 5
- 239000003527 fibrinolytic agent Substances 0.000 claims description 5
- 238000002601 radiography Methods 0.000 claims description 3
- 238000002347 injection Methods 0.000 claims description 2
- 239000007924 injection Substances 0.000 claims description 2
- 230000002452 interceptive effect Effects 0.000 abstract 1
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- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 4
- 239000003814 drug Substances 0.000 description 3
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- 238000005303 weighing Methods 0.000 description 3
- 230000037396 body weight Effects 0.000 description 2
- 210000003414 extremity Anatomy 0.000 description 2
- 208000024172 Cardiovascular disease Diseases 0.000 description 1
- 206010008132 Cerebral thrombosis Diseases 0.000 description 1
- 208000016988 Hemorrhagic Stroke Diseases 0.000 description 1
- 201000001429 Intracranial Thrombosis Diseases 0.000 description 1
- 208000032382 Ischaemic stroke Diseases 0.000 description 1
- 206010033307 Overweight Diseases 0.000 description 1
- 206010070834 Sensitisation Diseases 0.000 description 1
- 102000003978 Tissue Plasminogen Activator Human genes 0.000 description 1
- 108090000373 Tissue Plasminogen Activator Proteins 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 230000003788 cerebral perfusion Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
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- 229940079593 drug Drugs 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
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- 230000006870 function Effects 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 208000020658 intracerebral hemorrhage Diseases 0.000 description 1
- 230000003340 mental effect Effects 0.000 description 1
- 210000002569 neuron Anatomy 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 230000008313 sensitization Effects 0.000 description 1
- 230000009861 stroke prevention Effects 0.000 description 1
- 229960000187 tissue plasminogen activator Drugs 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
- 210000000707 wrist Anatomy 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G1/00—Stretchers
- A61G1/02—Stretchers with wheels
- A61G1/0206—Stretchers with wheels characterised by the number of supporting wheels if stretcher is extended
- A61G1/0212—2 pairs having wheels within a pair on the same position in longitudinal direction, e.g. on the same axis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G1/00—Stretchers
- A61G1/04—Parts, details or accessories, e.g. head-, foot-, or like rests specially adapted for stretchers
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01G—WEIGHING
- G01G19/00—Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups
- G01G19/44—Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups for weighing persons
- G01G19/445—Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups for weighing persons in a horizontal position
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06K—GRAPHICAL DATA READING; PRESENTATION OF DATA; RECORD CARRIERS; HANDLING RECORD CARRIERS
- G06K17/00—Methods or arrangements for effecting co-operative working between equipments covered by two or more of main groups G06K1/00 - G06K15/00, e.g. automatic card files incorporating conveying and reading operations
- G06K17/0022—Methods or arrangements for effecting co-operative working between equipments covered by two or more of main groups G06K1/00 - G06K15/00, e.g. automatic card files incorporating conveying and reading operations arrangements or provisions for transferring data to distant stations, e.g. from a sensing device
- G06K17/0029—Methods or arrangements for effecting co-operative working between equipments covered by two or more of main groups G06K1/00 - G06K15/00, e.g. automatic card files incorporating conveying and reading operations arrangements or provisions for transferring data to distant stations, e.g. from a sensing device the arrangement being specially adapted for wireless interrogation of grouped or bundled articles tagged with wireless record carriers
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
- G16H10/65—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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Abstract
The invention belongs to the technical field of medical instruments, and particularly relates to an acute stroke emergency management platform based on a special transportation flatcar for thrombolysis. The invention comprises a transfer flatcar, a plurality of remote terminal devices and a background server; the bed body is provided with a plurality of support columns, universal wheels are arranged at the lower ends of the support columns, a bed plate is arranged above the bed body, a pressure sensor is arranged between the bed plate and the bed body, remote terminal equipment is arranged at the rear end of the bed body, and the bed body is also provided with an RFID reader, a processor and a storage battery; the front end of the bed body is also provided with a flow display screen. The time node recording equipment is arranged on the thrombolysis flat car, uses a large-capacity power supply facility of the flat car, and adopts an RFID means to record related information, thereby achieving the purposes of accurately and stably recording information, completely recording without inductance and not interfering the rescue process of medical staff.
Description
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to an acute stroke emergency management platform based on a special transportation flatcar for thrombolysis.
Background
Acute ischemic stroke is a common clinical disease and frequently encountered diseases, is one of 3 main diseases which harm human life and health and cause human death in the world at present, and has the characteristics of high morbidity, high recurrence rate, high mortality rate and high disability rate. The incidence rate of stroke in China is in the front of the whole world, the annual incidence rate of stroke is 185-219/10 ten thousand, 200 thousand new strokes are estimated to occur every year, and one stroke occurs in every 12 seconds on average. Reports of cardiovascular diseases in China 2014 and 2015 show that cerebral apoplexy is the first cause of death of residents in China. The death or disability of stroke 2/3 causes huge socio-economic burden to the nation and family, and the stroke cost is estimated to be about 120 billion yuan. As the population ages, the incidence of stroke further increases. With the economic development and the change of life style of China, the attack of stroke is in a trend of youthfulness, the attack rate, the recurrence rate and the death rate of stroke are in a trend of rising continuously, and huge mental and economic burden is brought to families and society.
The guidelines at home and abroad recommend that the drug thrombolytic therapy using rt-PA (recombinant human tissue plasminogen activator) is used within 4.5 hours of the occurrence of cerebral apoplexy, which is the only effective means for reducing the disability rate and the fatality rate of patients. Early use of rt-PA helps to minimize disability. The medicine must be strictly administered according to kilogram body weight of a patient, and is divided into the first 10% dose which is quickly pushed in and the rest 1 hour which is slowly injected statically, and the insufficient dose or the excessive dose of r-tPA can theoretically cause incomplete recanalization of cerebral thrombosis or conversion into hemorrhagic stroke respectively. One study by Stroke shows that physicians cannot properly estimate their body weight every time for Stroke patients, especially overweight patients, which results in insufficient thrombolytic therapy. In addition, during emergency treatment, the patients often have difficulty in moving limbs, and need to be transported to different departments such as a CT room and an interventional therapy room, so a medical flat car capable of weighing the weight of the stroke patients automatically and transporting the patients quickly is necessary.
Stroke will die of 190 million neurons, 140 million neurosynaptic every minute before restoring cerebral perfusion; every 30 minutes of thrombolysis delay can cause 12% of patients to be seriously disabled or die, so thrombolysis must be captured in seconds, and the prognosis of acute stroke is directly influenced by a time window. The main problem of the first aid at present is that patients cannot reach the medical institution within a time window after the onset of disease or delay occurs inside the medical institution, so that effective treatment cannot be accepted. Therefore, the time from the patient entering the emergency to the use of thrombolytic Drugs (DNT) becomes an important index for evaluating the emergency treatment capability of a stroke center. The national health commission has promoted the construction of the chinese stroke center for many years and performed relevant assessment with DNT as KPI, so that the recording and reporting of DNT and time nodes by each stroke center become important contents for stroke quality control management. However, at present, a manual record reporting mode is adopted, so that the situations of delay of notification and waiting of each link, delay of issuing registration execution by doctor's advice, delay of information acquisition and entry system of doctors, omission and unreality of key time node registration and the like exist, and the quality control requirement of the national health commission brain stroke prevention and treatment engineering committee cannot be met.
Under the big background of internet era, intelligent products of various time node records have also appeared in succession, like intelligent bracelet etc. but there are difficulties such as loaded down with trivial details, frequent charging of use, and some input links that exist in the use still can disturb doctor's rescue procedure, reduce rescue efficiency.
Disclosure of Invention
Aiming at the problems, the invention provides an acute stroke emergency procedure management platform based on a special transportation flat car for thrombolysis.
In order to achieve the purpose, the invention adopts the following technical scheme:
an acute cerebral apoplexy emergency management platform based on a thrombolytic transfer platform comprises a transfer platform, a plurality of remote terminal devices and a background server;
the transfer flat car comprises a bed body, a plurality of support columns are arranged below the bed body, universal wheels are arranged at the lower ends of the support columns, a bed plate is arranged above the bed body, a pressure sensor is arranged between the bed plate and the bed body, remote terminal equipment is arranged at the rear end of the bed body, and an RFID reader, a processor and a storage battery are further arranged on the bed body; the RFID reader, the pressure sensor and the remote terminal equipment are all connected with the processor, and the storage battery is used for supplying power to the pressure sensor, the RFID reader, the remote terminal equipment on the transfer platform and the processor; the RFID reader is used for reading information of RFID electronic tags on the gates of the doctor chest card, the blood collection vehicle, the electrocardiogram machine, the CT machine and the radiography room and transmitting the tag information to the processor; the pressure sensor is used for measuring a pressure signal of a patient and transmitting the pressure signal to the processor; the remote terminal equipment on the transfer platform is used for inputting patient information and displaying output information of the processor or the background server; the processor is used for receiving a pressure signal of the pressure sensor, converting the pressure signal into a weight signal, calculating the total quantity of thrombolytic drugs, the bolus injection dosage and the subsequent micro-pump dosage according to the weight signal, and finally outputting the information to the remote terminal equipment on the transfer platform, and the processor is also used for receiving the information of the RFID electronic tag read by the RFID reader, judging the current flow according to the information of the RFID electronic tag, recording the time nodes of the beginning and the end of the current flow, and outputting the flow information and the time node information corresponding to the flow information to the remote terminal equipment on the transfer platform;
the background server is remotely connected with the remote terminal devices, so that the patient information and the first-aid information can be conveniently acquired and stored, and meanwhile, the information sharing among the remote terminal devices is realized.
Further, the front end of the bed body is also provided with a flow display screen which is connected with the processor and is specially used for displaying flow information and flow time node information, so that doctors or nurses can visually observe completed and unfinished flows, and the coordination of the first-aid flows is facilitated.
Compared with the prior art, the invention has the following advantages:
1. the cerebral apoplexy patient is often accompanied by limb disability or consciousness disturbance, the cerebral apoplexy patient needs to be transported among the diagnosis links through a medical flat car during emergency treatment, the existing weighing bed is based on the transformation of a medical sickbed, the bed body is large and is inconvenient to move, the weighing function of the invention is based on the design of the medical transport flat car, and the cerebral apoplexy patient has the advantages of flexible movement and high patient safety
2. Cerebral apoplexy thrombolysis process relates to a plurality of departments of hospital, if the branch office, the internal medicine room, the special branch office, the room of dealing with, CT room etc. the patient can circulate fast between each department, current apoplexy thrombolysis flow management system is many based on the panel computer, the interface is more complicated, be unfavorable for medical staff's the quick flow information of knowing the patient under the emergency environment, this application has set up the flow display screen at the bed body front end of transporting the flatcar, adopt the mode of similar subway line map, show flow information and flow time node information, let emergency call staff can audio-visual observation to accomplished and unfinished flow, thereby more be favorable to the coordination of first aid flow to go on.
3. The cerebral apoplexy thrombolysis process relates to a plurality of departments of a hospital, and each time node of DNT is accurately recorded, thereby providing important reference information for later quality control. The existing DNT information node recording system is roughly divided into two types, one type is that medical staff are required to manually record at a mobile phone end APP, the defects that errors are large, the medical staff are interfered normally, rescue work is carried out, the other type is that a bracelet wrist strap is applied, automatic time node recording is carried out based on a Bluetooth communication mode, the problems that signal connection is unstable, equipment needs to be charged repeatedly, the recording effect is influenced, and even partial data loss is caused. This application time node recording equipment sets up on the thrombolysis flatcar, uses the self large capacity power facility of flatcar, adopts the RFID means record relevant information to reach the accurate stability of record information, no sensitization record completely, do not disturb the purpose of medical staff's rescue flow.
Drawings
FIG. 1 is a schematic view of a thrombolytic transfer platform vehicle according to the present invention;
fig. 2 is a schematic view of the emergency management process of acute stroke according to the present invention.
Detailed Description
Example 1
An acute stroke emergency management platform based on a thrombolytic transfer flat vehicle comprises a transfer flat vehicle 100, a plurality of remote terminal devices 205 and a background server 208;
the transfer flat car 100 comprises a bed body 101, a plurality of support columns 103 are arranged below the bed body 101, universal wheels 104 are arranged at the lower ends of the support columns 103, a bed plate 102 is arranged above the bed body 101, a pressure sensor 201 is arranged between the bed plate 102 and the bed body 101, remote terminal equipment 205 is arranged at the rear end of the bed body 101, and an RFID reader 202, a processor 203 and a storage battery 206 are further arranged on the bed body 101; the RFID reader 202, the pressure sensor 201 and the remote terminal device 205 are all connected with the processor 203, and the storage battery 206 is used for supplying power to the pressure sensor 201, the RFID reader 202, the remote terminal device 205 on the transfer platform 100 and the processor 203; the RFID reader 202 is used for reading information of RFID electronic tags 207 on the gates of a doctor chest card, a blood collection vehicle, an electrocardiograph, a CT (computed tomography) machine and an imaging room and transmitting the tag information to the processor 203; the pressure sensor 201 is used for measuring a pressure signal of a patient and transmitting the pressure signal to the processor 203; the remote terminal device 205 on the transfer platform 100 is used for inputting patient information and displaying output information of the processor 203 or the background server 208; the processor 203 receives the pressure signal of the pressure sensor 201, converts the pressure signal into a weight signal, calculates the total quantity of thrombolytic drugs, the bolus dose and the subsequent micro-pump dosage according to the weight signal, and finally outputs the information to the remote terminal device 205 on the transfer platform 100, and the processor 203 is also used for receiving the information of the RFID tag 207 read by the RFID reader 202, judging the current flow according to the information of the RFID tag 207, recording the time nodes at which the current flow starts and ends, and outputting the flow information and the time node information corresponding to the flow information to the remote terminal device 205 on the transfer platform 100;
the background server 208 is remotely connected with the plurality of remote terminal devices 205 so as to acquire and store the patient information and the emergency information, and simultaneously, the information sharing among the plurality of remote terminal devices 205 is realized.
The front end of the bed body 101 is also provided with a flow display screen 204, the flow display screen 203 is connected with the processor 203 and is specially used for displaying flow information and flow time node information, so that doctors or nurses can visually observe completed and unfinished flows, and coordination of the first-aid flow is facilitated.
A use method of an acute stroke emergency management platform based on a thrombolytic transfer platform vehicle comprises the following steps:
the emergency call is rescued, the thrombolytic transfer platform car 100 is called in the hospital at the same time, and the acute cerebral apoplexy emergency team is informed to prepare;
the patient is admitted, the patient is transferred to the thrombolytic transfer platform 100 of the invention, the pressure sensor 201 measures the pressure signal of the patient and transmits the pressure signal to the processor 203; the processor 203 receives the pressure signal of the pressure sensor 201, converts the pressure signal into a weight signal, calculates the total quantity of thrombolytic drugs, the bolus dose and the subsequent micro-pump dosage according to the weight signal, and finally outputs the information to the remote terminal device 205 on the transfer platform 100; meanwhile, the flow information and the flow time node information are displayed through a flow display screen 204 which is arranged at the front end of the bed body 101 and connected with the processor 203, so that doctors or nurses can visually observe the completed and unfinished flows, and the coordination of the first-aid flows is facilitated;
the medical history information, the vital sign data information, the physical examination data information, the blood sample data information and the basic identity information of the patient are input through the remote terminal device 205 in the hospital transferring process; and the information is transmitted to the background server 208, and the background server 208 is remotely connected with the plurality of remote terminal devices 205, so as to conveniently acquire and store the patient information and the first-aid information, and simultaneously realize information sharing among the plurality of remote terminal devices 205.
The RFID reader 202 reads information of the RFID electronic tag 207 on the gates of the doctor chest card, the blood collection vehicle, the electrocardiograph, the CT machine and the radiography room, the processor 203 receives the information of the RFID electronic tag 207 read by the RFID reader 202, judges the current process according to the information of the RFID electronic tag 207, records time nodes of the beginning and the ending of the current process, outputs the process information and time node information corresponding to the process information to the remote terminal device 205 on the transfer flat car 100, and simultaneously transmits the process information and the process time node information to the process display screen 204 to display the process information and the process time node information.
Those skilled in the art will appreciate that the invention may be practiced without these specific details. Although illustrative embodiments of the present invention have been described above to facilitate the understanding of the present invention by those skilled in the art, it should be understood that the present invention is not limited to the scope of the embodiments, and various changes may be made apparent to those skilled in the art as long as they are within the spirit and scope of the present invention as defined and defined by the appended claims, and all matters of the invention which utilize the inventive concepts are protected.
Claims (2)
1. The utility model provides an acute cerebral apoplexy first aid management platform based on dissolve bolt transportation flatcar which characterized in that: the transfer platform comprises a transfer platform (100), a plurality of remote terminal devices (205) and a background server (208);
the transfer flat car (100) comprises a bed body (101), a plurality of supporting columns (103) are arranged below the bed body (101), universal wheels (104) are arranged at the lower ends of the supporting columns (103), a bed board (102) is arranged above the bed body (101), a pressure sensor (201) is arranged between the bed board (102) and the bed body (101), remote terminal equipment (205) is arranged at the rear end of the bed body (101), and an RFID reader (202), a processor (203) and a storage battery (206) are further arranged on the bed body (101); the RFID reader (202), the pressure sensor (201) and the remote terminal device (205) are connected with the processor (203), and the storage battery (206) is used for supplying power to the pressure sensor (201), the RFID reader (202), the remote terminal device (205) on the transfer flat car (100) and the processor (203); the RFID reader (202) is used for reading information of RFID electronic tags (207) on gates of a doctor chest card, a blood collection vehicle, an electrocardiograph, a CT (computed tomography) machine and a radiography room and transmitting the tag information to the processor (203); the pressure sensor (201) is used for measuring a pressure signal of a patient and transmitting the pressure signal to the processor (203); a remote terminal device (205) on the transfer cart (100) for inputting patient information and displaying output information of a processor (203) or a background server (208); the processor (203) receives a pressure signal of the pressure sensor (201), converts the pressure signal into a weight signal, calculates the total quantity of thrombolytic drugs, the bolus injection dosage and the subsequent micro-pump dosage according to the weight signal, and finally outputs information to the remote terminal device (205) on the transfer platform, and the processor (203) is also used for receiving information of the RFID electronic tag (207) read by the RFID reader (202), judging the current process according to the information of the RFID electronic tag (207), recording the time nodes of the start and the end of the current process, and outputting the process information and the time node information corresponding to the process information to the remote terminal device (205) on the transfer platform (100);
the background server (208) is remotely connected with the plurality of remote terminal equipment (205) so as to acquire and store the patient information and the first aid information, and meanwhile, information sharing among the plurality of remote terminal equipment (205) is realized.
2. The acute stroke emergency management platform of the thrombolytic transfer platform of claim 1, wherein: the front end of the bed body (101) is also provided with a flow display screen (204), the flow display screen (203) is connected with the processor (203) and is specially used for displaying flow information and flow time node information, so that doctors or nurses can visually observe completed and unfinished flows, and the coordination of the first-aid flow is facilitated.
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CN115116587A (en) * | 2021-03-19 | 2022-09-27 | 安徽智恒信科技股份有限公司 | Apoplexy treatment management system based on medical cabinet |
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