CN1943505A - Realtime remote monitoring system for high risk heart disease crowd and integrated control type continuous monitoring method - Google Patents

Abstract

The invention belongs to supervisory technical field for distance treatment, particularly for applying far distance patient monitor system and centralized continuously monitoring process to high-risk people of heart disease. Said system comprising portable monitor carried by patients, hospital central monitor center, doctors' far distance group consultation terminal, ambulance monitor, communication net system, etc. The monitor process is, through communication network such as mobile , local, wireless and internet communication, making hospital central monitor center and portable monitor in and out of the hospital , ambulance carrying monitor and far distance group consultation real-time connecting, exchanging and transmitting information such as real-time ECG, blood pressure, etc., patient geographical location, doctor group consultation and advice, and far distance equipment remote measurement & program controlled in each terminal, realizing continuously monitor to high-risk people of heart disease, applying central remote measurements and program control of far distance mobile terminal, prior to coming on of heat disease early period proper diagnosis given and applying real-time treatment to serious patient, etc.

Description

High-risk heart disease crowd's realtime remote monitoring system and centralized-control type continuous monitoring method

Technical field

The invention belongs to the remote medical monitor technical field, be specifically related to a kind of realtime remote monitoring system and corresponding centralized-control type continuous monitoring method thereof at high-risk heart disease crowd.

Background technology

Cardiovascular disease incidence is often very critical, and is in a bad way, changes rapidly, in case outbreak just may bring huge misery even causes fainting and dying suddenly to patient.Especially with coronary heart disease, cardiomyopathy, the patient's condition such as arrhythmia medical history, sudden cardiac death family history, heart transplantation history are arranged, have disease send out suddenly, at random, high sudden death rate characteristics, usually occur just may causing death in back 1 hour at acute symptom, virulent chamber property vibration even cause that in 12 minutes patient dies suddenly suffers from above-mentioned serious cardiopathic patient and is high-risk heart patient.Whenever heart disease, during especially high-risk heart attack, the life of the time of per minute per second for the patient all is vital.Electrocardiogram is the routine of diagnosis of heart disease and effective means, high-risk heart disease is sick send out before, during sick sending out, so that virulent disease faint and faint or all there is multiple high-risk electrocardiogram performance in sudden death etc.But because high-risk cardiopathic sudden and randomness, the electrocardiogram of short time in conventional electrocardiographic examination (several minutes) detects usually can't capture the dangerous information of promptly losing in a twinkle.Utilize dynamic continuously monitoring, the analysis of electrocardiograph, help early discovery and in time diagnose this class disease.

For a long time, in order effective monitoring, the various unusual symptom of early diagnosis to be provided for heart patient (especially high-risk heart patient) and to avoid disease Fa Shiyin to can not get in time rescuing and cause sudden death, concentrate in the heart patient's who has successively occurred the institute that monitoring, the outer Holter formula of institute are dynamic guards and electrocardiogram monitor system such as long distance monitoring.In recent years, be accompanied by the develop rapidly of computer technology and microelectric technique, especially present mobile communication technology increasingly mature and use popularly caused people's very big concern based on the long-range mobile ecg telemonitoring system of present mobile communication technology.Compare with other electrocardiogram monitor system, long-range mobile ecg telemonitoring system based on mobile communication technology has clinical practice characteristics such as on-line monitor, remote alarm, long-range first visit, and communications is reliable, patient activity is free, self-security height, required medical expense are low, remarkable advantages such as medical resource utilization rate height.Mobile monitoring instrument, hospital monitoring center and the mobile communications network etc. mainly carried by patient based on the long-range mobile ecg telemonitoring system of mobile communication technology partly constitute.The mobile monitoring instrument is gathered patient's ecg information, be uploaded to the monitoring center by mobile communications network, the doctor can check the several ecg informations that are positioned at the tutelage patient in different places simultaneously in hospital, when anomalous ecg occurring, and automatic alarm prompt patient of system and doctor; When patient was carried out long distance monitoring, the doctor can issue information such as doctor's advice by mobile communications network.In existing long-range mobile ecg telemonitoring system based on mobile communication technology, the mode that realizes doctor's long distance monitoring patient mainly is that the Holter formula is dynamically guarded to expand on the basis patient is provided successive conventional electrocardio long distance monitoring institute outside.

Existing long-range mobile ecg telemonitoring system has solved the deficiency of monitoring time that traditional monitor system exists and monitoring scope contradiction, yet has but that intensive care is simple, the communications mode is single, deficiencies such as diagnosis and relief link weakness; Usually disease is sent out suddenly, sb.'s sickness becomes critical, it is urgent to rescue at this special populations such as heart patient, especially high-risk heart patients, and often occur in away from the doctor, do not have your place at that time away from hospital even patient, it may occur in the patients home, in block, park, rural area, the tourism way, existing this type systematic can not satisfy long-range anywhere or anytime on-line monitor, early stage accurately diagnosis, the sick specific (special) requirements of sending out clinical practice aspects such as relief in time.

Summary of the invention

The object of the present invention is to provide and a kind ofly can overcome prior art insufficient realtime remote monitoring system and centralized-control type continuous monitoring method at high-risk heart disease crowd.

The high-risk heart disease crowd's that the present invention proposes realtime remote monitoring system, at heart disease, especially high-risk heart disease is in clinical monitoring, the special requirement of diagnosis and relief aspect, on the basis of existing long-range mobile ecg telemonitoring system, pass through mobile network, communication networks such as WLAN and Internet net, make the inside and outside mobile monitoring instrument of hospital monitoring center and institute, vehicle-mounted monitor of first aid and remote medical consultation with specialists terminal interconnect in real time, exchange, transmission patient heart real time, monitoring information such as blood pressure, patient's geographical location information, doctor hold a consultation information and doctor's advice and the program control information of each remote equipment remote measurement realize high-risk heart disease crowd inside and outside the institute is concentrated on-line monitor anywhere or anytime, before sending out, disease gives early stage accurately diagnosis, implement relief in time when malignant diseases are sent out and remote mobile terminal equipment is concentrated remote measurement and program control.

The remote monitoring system that the present invention proposes comprises mobile monitoring instrument, hospital monitoring center, doctor's remote medical consultation with specialists terminal, vehicle-mounted monitor of first aid that patient carries and the communications network system of realizing information exchange between each several part; Wherein:

(1) described mobile monitoring instrument is carried by high-risk heart patient, as the patient end equipment of this realtime remote monitoring system, constitute by basic modules such as physiological parameter acquisition module, main control module, human-computer interface module and wireless communication module and optional modules such as location positioning module, electric defibrillation first aid module; The physiological parameter acquisition module is measured patient's electrocardiosignal and pressure value in real time by lead line and blood pressure cuff of body surface ecg; Wireless communication module inserts in the outer GSM/GPRS mobile communications network of institute (or CDMA, 3G network), the institute or tame interior wireless WiFi LAN, physiological parameter information, geographical location information and equipment state maintenance information after handling are uploaded to hospital monitoring center, and receive diagnostic message, doctor's advice and the equipment regulation and control order that comes from hospital monitoring center; Patient self sign, crosslinking electrode dropping situations and entrained equipment running status are pointed out or alarmed to human-computer interface module by modes such as sound, light, literal demonstrations; The geographical position at location positioning module continuous acquisition patient place assists a physician and instructs the first-aid personnel that disease is sent out in the pernicious tachycardia emergency case of paroxysmal patient to implement timely relief; Show the especial patient that the potential disease of critical heart disease is sent out possible for the clinical diagnosis disease, need apolegamy electric defibrillation first aid module, realize the doctor to disease send out in critical especially heart disease (as chamber property flutter, chamber property fibrillation, cardiac arrest, cardiogenic syncope etc.) and can not get the directly long-range electrical conversion programmed electrical stimulation relief of row of patient of relief in time; The co-ordination under the unification control of main control module of above-mentioned module realizes the functions such as emergency treatment when the mobile monitoring instrument is sent out high-risk heart patient's remote live monitoring, location and disease; Two kinds of duties such as urgent monitoring attitude when the mobile monitoring instrument has normal monitoring attitude and sick sending out, two kinds of duties can be automaticallyed switch according to diagnostic result or be accepted monitoring center command forces and switch by the mobile monitoring instrument;

(2) described hospital monitoring center is arranged in the hospital, center as information exchange, processing, storage and the distribution of this realtime remote monitoring system is made of communication service subsystem, monitoring and diagnosis and treatment subsystem, GIS geo-location subsystem, database subsystem, operation maintenance subsystem etc.; Wherein, the communication service subsystem is the gateway at monitoring center, realize the exchanges data and the distribution of WLAN and Internet network in GSM/GPRS mobile communications network outside the institute between hospital monitoring center and long-range mobile monitoring instrument, the vehicle-mounted monitor of first aid, the doctor's remote medical consultation with specialists terminal (or CDMA, 3G mobile network), the institute, and interconnect with diagnosis and therapy system that hospital has compatible PACS, a DICOM communication standard; Monitoring and each patient's of diagnosis and treatment subsystem real-time monitoring ambulatory ecg signal and pressure value, combine expert database and analyze automatically, sickly send out alarm, assist doctor on duty and remote medical consultation with specialists doctor to carry out early diagnosis, the doctor sends the order of long-range electrical conversion programmed electrical stimulation by this subsystem patient is implemented long-range first aid in case of necessity; GIS geo-location subsystem is tracing display patient position on electronic chart; The operation maintenance subsystem is finished long-range each mobile monitoring instrument, the vehicle-mounted monitor of first aid is carried out operation monitoring, diagnosis and maintenance, and running status, the operating right of each subsystem of Surveillance center of hospital managed;

(3) described doctor's remote medical consultation with specialists terminal has wireless and wired two kinds of communication modes and hospital's monitoring center contact, when disease is sent out, when especially part difficult miscellaneous diseases doctor on duty can't make a definite diagnosis, in time form the expert consultation network, even do not implement the consultation of doctors by different section office, different hospital with geographic expert by the patient's dynamic physiology monitoring information and the historical sick photos and sending messages that present;

(4) the vehicle-mounted monitor of described first aid is installed on the emergency tender, gets in touch in real time by wireless mobile communications and hospital monitoring center as the first aid monitor device, receives dynamic physiology monitoring information and the geographical location information of waiting to rescue patient, exchanges the relief measure with the doctor.

The above-mentioned realtime remote monitoring system that utilizes that the present invention proposes carries out the method that centralized-control type connects continuous monitoring, and concrete steps are as follows:

At first, everyone carries a mobile monitoring instrument the high-risk heart disease crowd of tutelage, be operated in normal monitoring attitude and gather this patient's electrocardiosignal and blood pressure information in real time, carry out the preliminary analysis diagnosis, be uploaded to hospital monitoring center together with the compressed mode that adopts pulsed to transmit in the back of handling of the locating information such as GPS that receive in batches; And adopt the mode of circulation renewal in short-term to be stored in the Flash memorizer, and the automatic diagnosis result is also shown on the mobile monitoring instrument synchronously;

Then, real-time monitoring is carried out to several patients simultaneously in the monitoring center that is arranged in the hospital, the communication service subsystem at monitoring center receives in real time and is positioned at long-range various places outside the institute, in the institute everywhere or the data that send of the mobile monitoring instrument carried of each patient in the family, it is decompressed, after the communication Protocol Conversion place is existing, patient's monitoring information is saved in the monitoring information bank of database subsystem, the running parameter information of mobile monitoring instrument is saved in the facility information storehouse of database subsystem, locating information such as GPS are saved in the geographical location information storehouse of database subsystem; Each patient's ambulatory ecg signal and pressure value in monitoring and the diagnosis and treatment subsystem real-time analysis monitoring information bank, carry out automatic diagnosis and early warning; The patient's of each tutelage electrocardio, blood pressure monitoring information with and early warning information all show in real time by monitoring and diagnosis and treatment subsystem, realize doctor on duty a monitoring center to institute inside and outside several high-risk heart patients' centralized real-time monitoring;

Secondly, when patient's acute disease of certain tutelage is sent out, its entrained mobile monitoring instrument carries out the preliminary analysis diagnosis to abnormal electrocardiogram or blood pressure information, the alarm prompt patient also transfers urgent monitoring state to automatically, adopts the mode and the hospital's monitoring center liaison that transmit in real time continuously to upload real-time monitoring information at full speed; Automatic analyzing and diagnosing is carried out to warning information and indicated patient's monitoring information in the monitoring center, and diagnostic result is for unusually promptly producing an alarm event, by monitoring and diagnosis and treatment subsystem alarm prompt doctor on duty; Then, the monitoring alarm event is done in time to handle in the automatic analyzing and diagnosing result of coupling system by doctor on duty, promptly to the false alarm of disease morbidity people's monitoring information in-depth analysis and diagnosis, eliminating system, and to making sign in short-term and to the non-hazardous unusual monitoring information of patient's life and health; Doctor on duty can issue doctor's advice by the long-range mobile monitoring instrument of mind-set in the monitoring according to patient's monitoring information, suggestion and the relevant points for attention of prompting patient;

Then, the alarm event that can not in time make a definite diagnosis for the complicated doctor on duty of complications shape, in time organize relevant expert doctor by doctor on duty, get in touch with expert's remote medical consultation with specialists terminal composition expert consultation network everywhere by the communication service subsystem at monitoring center, the expert is extracted and is analyzed patient's real-time monitoring information and historical monitoring information by the remote medical consultation with specialists terminal according to the needs of holding a consultation separately, diagnostic recommendations is by transfer of monitoring center and distribution between the expert, then this complications shape is made a definite diagnosis, doctor on duty carries out respective handling according to consultation of doctors suggestion to alarm event;

At last, for making a definite diagnosis through doctor on duty or being the sick patient who sends out in pernicious heart disease and need in time to rescue through expert consultation, doctor on duty indicates according to GIS geo-location subsystem, in time contact patients location emergency center assigns the first-aid personnel to go to relief, the first-aid personnel is by vehicle-mounted monitor of first aid and the real-time Communication for Power contact of monitoring center, receive the relief of monitoring center and instruct, receive patient's electrocardio and blood pressure monitoring information, geographical location information and this patient's historical case information in real time, go to the scene that patient is implemented relief; And send out in heart disease critical especially, that must treat immediately for disease, and under first-aid personnel's situation that can not arrive in the very nick of time, doctor's row Long-distance Control electrical conversion on duty stimulates implements long-range first aid to this patient.

Simultaneously, the mobile monitoring instrument that patient carries is monitored its work ruuning situation automatically, equipment running parameters such as collecting device supplying cell, Flash memorizer, the contact of cardiac diagnosis lead electrode, GPS communication, GPRS (or CDMA, 3G) communication regularly, same automatic the monitoring and collecting device running status, and running parameter such as the center of monitoring signal intelligence of vehicle-mounted monitor of first aid and remote medical consultation with specialists terminal; When the network service fault, then the mobile monitoring instrument transfers the dynamic mode of monitoring of Holter formula automatically to, and real-time monitoring information deposits in the mobile monitoring instrument self-contained storing devices automatically; The running state parameter of all long-range mobile monitoring instrument, the vehicle-mounted monitor of first aid and remote medical consultation with specialists terminal is uploaded in the facility information storehouse at monitoring center after all handling through Unified coding; When the unusual even fault of duty appearred in equipment, the mobile monitoring instrument was display device fault message, alarm prompt patient automatically, and the vehicle-mounted monitor of first aid is with display device fault message, alarm prompt first-aid personnel automatically; Adjust running parameter maybe can be by modification parameter abatement apparatus fault the time at needs, the operation maintenance subsystem that doctor on duty can be by the monitoring center carries out online long-range accent ginseng and maintenance to the mobile monitoring instrument of being monitored or the vehicle-mounted monitor of first aid; Centralized real-time synchronously monitoring, the maintenance and management of the remote equipment (mobile monitoring instrument, the vehicle-mounted monitor of first aid and remote medical consultation with specialists terminal) to different location, difference in functionality realized at the monitoring center in hospital like this.

The present invention utilizes said method and system can realize a hospital monitoring center a plurality of high-risk heart patients that are positioned at outside hospital and the hospital of on-line monitor simultaneously, insert several different section office, the different hospitals of being positioned at simultaneously not even with geographic appropriate experts, simultaneously and one or many emergency tender nettings, satisfy the special requirement of heart disease, especially high-risk heart disease at aspects such as clinical monitoring, diagnosis and relief.

Only provide the long-range mobile monitoring system of the conventional electrocardio on-line monitor of patient to compare with existing, the present invention also has following characteristics:

(1), the long-range mobile monitoring of raising system is to the clinical practice specific aim of these special populations such as heart patient, especially high-risk heart patient.In the present invention, send out characteristics at heart disease, especially high-risk heart disease clinical diseases such as disease is sent out suddenly usually, sb.'s sickness becomes critical, variation is rapid, expanded existing long-range mobile monitoring system the function aspect long distance monitoring, remedy the deficiency aspect remote diagnosis and relief in time, realize the long-range anywhere or anytime on-line monitor of high-risk heart patient, early stage accurately diagnosis and the sick clinic diagnosis application purpose of sending out aspects such as relief in time.

(2), the present invention adopts real-time monitoring and dynamically guards two-stage automatic monitoring mode, raising system redundancy reliability, the abundant seriality that guarantees high-risk heart patient's monitoring.In the present invention, the one-level automatic monitoring is the real-time monitoring at hospital monitoring center, patient's electrocardio and the blood pressure information of promptly guard center real-time receiving remote mobile monitoring instrument collection, uploading, be presented in real time after handling by analysis and check for doctor on duty on the monitoring center monitor and diagnose, be saved in simultaneously in the monitoring information database; The 2nd, the dynamic monitoring of mobile monitoring instrument, when promptly long section time communication failure appears in mobile monitoring instrument of carrying as patient and monitoring center, the mobile monitoring instrument will transfer the Holter formula automatically to and dynamically guard, electrocardio and the blood pressure information gathered are in real time deposited in the incidental at random high capacity Flash memorizer, and prompting patient communication failure, (in as 144 hours) need go to the monitoring center to guard information synchronization in effective storage monitoring phase of mobile monitoring instrument, realize the seriality to this patient's history monitoring.

(3), the present invention adopts electrocardio to analyze automatically and the recognition methods of multiple high-risk heart symptom, guard information and expert info storehouse in conjunction with the patient's history, row automatic diagnosis assists a physician in time, makes reliably, accurately diagnosis, form multistage diagnostic system, reduce working doctor intensity, disease False Rate, improve diagnostic accuracy.In the present invention, it at first is the preliminary analysis diagnosis of mobile monitoring instrument, it is real-time preliminary analysis, identification patient Electrocardiographic P ripple, QRS ripple, T ripple, ST section, P-P interval, P-R interval, S-T interval, and the characteristic parameters such as systolic pressure, diastolic pressure that detect blood pressure, when diagnostic result occurs when unusual the alarm prompt patient is uploaded to alarm the monitoring center simultaneously; Secondly, the automatic diagnosis at hospital monitoring center, promptly handle the warning information that the mobile monitoring instrument is uploaded, rounded analysis patient's heart real time and blood pressure monitoring information, extract characteristic parameter, and comprehensively this patient's history is guarded information, comparison cardiologist diagnostic message storehouse, makes automatic diagnosis, and results abnormity is then alarmed doctor on duty; The third level be doctor on duty when patient's real-time monitoring information of same is checked in monitoring, selective analysis has warning information patient's monitoring information, in time makes field diagnostic; For the doctor's on duty part difficult miscellaneous diseases that can't make timely diagnosis, carry out remote medical consultation with specialists at last by appropriate experts remote medical consultation with specialists terminal.

(4), the present invention adopts following two-stage first aid protective measure, improve to high-risk heart patient when malignant diseases are sent out, succour ageing, reduce that disease Fa Shiyin can not get rescue in time and the incidence rate that causes dying suddenly.In the present invention, one-level first aid protective measure is the first-aid personnel under doctor's the guidance and under the assistance of the vehicle-mounted monitor of first aid, goes to wait to rescue the patient location patient is implemented field first aid; Secondary is the special high-risk heart patient of a class that electric defibrillation first aid module is arranged for apolegamy, when disease send out in critical especially heart disease (as chamber property flutter, chamber property fibrillation, cardiac arrest, cardiogenic syncope etc.), under the situation that ambulance vehicles can not arrive in the very nick of time, the feasible Long-distance Control electrical conversion of doctor stimulates implements long-range first aid to this patient simultaneously.

(5), the present invention adopts and to comprise that pulsed transmits in batches, transmits in real time continuously and the data transfer mode of three kinds of monitoring center master control real-time Communication for Power etc., at any time carry out transmission means according to patient and switch, effectively reduce the operation power consumption of mobile monitoring instrument, the long-range access communications loading that improves the monitoring center, saving communication cost.In the present invention, the mode that adopts pulsed in batches to transmit when the mobile monitoring instrument is operated in normal monitoring attitude is up communicates by letter with hospital monitoring center, communicate by letter once with the monitoring center (gap periods was less than 10 minutes) at set intervals promptly, sends to the monitoring center after all monitoring Information Compression of this section period are handled; When the mobile monitoring instrument is operated in urgent monitoring attitude, adopt that the mode that transmits in real time continuously is up communicates by letter with hospital monitoring center, promptly carry out the full speed real-time Communication for Power, the not compressed monitoring center that sends to of all monitoring information with the monitoring center; As the center of guarding needs initiatively to communicate by letter down with the mobile monitoring instrument when passing doctor's advice or control command, adopt master control real-time Communication for Power mode, mobile monitoring instrument monitoring information temporary storage remerges the monitoring center that is uploaded to after this Master Communications incident is finished, guarantee the monitoring information integrity.

(6), the present invention is with patient and position, emergency tender and can be manually or the communication mode with the monitoring center of automaticallying switch according to the local networks situation, guarantee monitoring information communication transmission reliability, reduce the operating cost of communicating by letter, make things convenient for the daily normal activity of patient.In the present invention, when the mobile monitoring instrument, when the vehicle-mounted monitor of first aid is positioned at outside the institute, communicate contact by GSM/GPRS mobile communications network (or CDMA, 3G mobile network) and hospital monitoring center; For accepting in the institute or the patient of family's real-time monitoring, its entrained mobile monitoring instrument is by inserting the WiFi LAN that inserts Internet in wireless WiFi LAN in the institute or the family and guarding the center liaison with hospital.

(7), the present invention adopts based on GPS (GPS), it in conjunction with cell phone navigation system and short-range radio frequency positive location the patient's that assists combined positioning-method, promptly and accurately provide patient place particular location, position, emergency tender, effectively scheduling and commander salvor in time arrive disease and find the field, for the quality time is won in rescue.In the present invention, the patient GPS positional information that monitoring center real-time receiving remote mobile ecg telemonitoring instrument is uploaded, cell phone location and short-range radio frequency positive location information, input is as the GIS geo-localisation information; Generalized information system is according to the original position-information of input, real-time positioning and follow the tracks of patient location, street, building, and be presented on the electronic chart of hospital monitoring center and the vehicle-mounted monitor of first aid; Wherein, short-range radio frequency positive location mode is for when disease is sent out, the location positioning module of mobile monitoring instrument is initiatively sent the radiofrequency signal of a particular frequency bands, detectable and the radiofrequency signal source position, location of the vehicle-mounted monitor of first aid (as less than 500-1000 rice) in certain short range, it is low not enough to remedy GPS blind area or GPS positioning accuracy, assists search location and the on-the-spot in time relief of first-aid personnel to patient.

The framework of realtime remote monitoring system of the present invention own is simple, flexible, structure is convenient.The present invention only needs on the basis of ready-made mobile communication and GPS global positioning system, each patient carries a mobile monitoring instrument, patient according to tutelage counts practical situation again, make up the hospital monitoring center of different scales, flexible expansion makes up remote medical consultation with specialists network and emergency network as required, thus its applicable with satisfy concentrated monitoring and the medical services of county, city, provincial hospital to heart patient, especially high-risk heart patient.

Description of drawings

Fig. 1 is a kind of embodiment topology diagram of realtime remote monitoring system of the present invention.

Fig. 2 is the hardware module block diagram of the mobile monitoring instrument among Fig. 1 embodiment.

Fig. 3 is the software architecture diagram of the mobile monitoring instrument among Fig. 2 embodiment.

Fig. 4 is the subsystem block diagram at the hospital monitoring center among Fig. 1 embodiment.

Fig. 5 is that Fig. 1 embodiment always schemes in the workflow of the centralized-control type on-line monitor of realizing high-risk heart disease crowd.

The specific embodiment

Specify system of the present invention formation and method below in conjunction with embodiment and accompanying drawing.

With reference to Fig. 1, adopt the embodiment of high-risk heart disease crowd's of the present invention realtime remote monitoring system, comprise mobile monitoring instrument, hospital monitoring center, doctor's remote medical consultation with specialists terminal, the vehicle-mounted monitor of first aid that patient carries, and realize the communications network system of information exchange between each several part.Communications network system mainly comprises in GSM/GPRS network with remote mobile communication function, the family or short-range wireless WiFi LAN and wired ethernet local area network network, Internet network in the hospital; Hospital monitoring center is connected with the Internet network by LAN in the institute by renting the broadband network circuit, again with long-range GSM/GPRS mobile radio communication, expert doctor and patient's family in wireless or wired ethernet local area network network interconnected, realize monitoring center and the vehicle-mounted monitor of first aid, with institute in, reach outside the institute the carry-on entrained mobile monitoring instrument of tutelage patient in the family, and appropriate experts doctor's consultation of doctors terminal carry out transfer of data and liaison anywhere or anytime.

The data of the up transmission of mobile monitoring instrument comprise: monitoring information, geographical location information and equipment working state information etc. such as the real-time electrocardio of patient, blood pressure, the program control order of the long-range electricity irritation of doctor.The data that receive comprise: doctor's diagnostic message, doctor's advice, equipment regulation and control order.

Doctor's remote medical consultation with specialists terminal has wireless and wired two kinds of communication modes and hospital's monitoring center contact, when disease is sent out, when especially part difficult miscellaneous diseases doctor on duty can't make a definite diagnosis, in time form the expert consultation network, even do not implement the consultation of doctors by different section office, different hospital with geographic expert by real-time physiology monitoring information of the patient who presents and historical sick photos and sending messages.

The vehicle-mounted monitor of first aid is installed on the emergency tender, gets in touch in real time by wireless mobile communications and hospital monitoring center as the first aid monitor device, receives dynamic physiology monitoring information and the geographical location information of waiting to rescue patient, exchanges relief information with the doctor.

With reference to Fig. 2, the mobile monitoring instrument is carried by high-risk heart patient, as the patient end equipment of the embodiment of the invention, its hardware system mainly is made of basic modules such as physiological parameter acquisition module, embedded main control module, human-computer interaction module and wireless communication module and optional modules such as location positioning module, electric defibrillation first aid module; The physiological parameter acquisition module is measured patient's electrocardiosignal and pressure value in real time by lead line and blood pressure cuff of body surface ecg, after small-signal amplification, filtering and A/D conversion, form digital information, the single-chip microcomputer of sending in the module is done processing such as packet encapsulation, subpackage, sends into embedded main control module by the IIC port again.Wireless communication module adopts GPRS mobile communication card (or the CDMA with PCMCIA standard interface, 3G network) and wireless WiFi network card, be connected with the main control module by the PCMCIA slot, make the mobile monitoring instrument manually select GSM/GPRS mobile communications network (or CDMA outside the institute automatically or by patient according to patient location network condition, 3G network), wireless WiFi LAN etc. carries out data communication in the institute or in the family, with the physiological parameter information after handling, geographical location information and equipment state maintenance information upload to hospital monitoring center, and receive the diagnostic message that comes from hospital monitoring center, doctor's advice and equipment regulation and control order.Need to prove that this mobile monitoring instrument has disposed the Ethernet cable LAN COM1 of RJ45 port simultaneously, can make things convenient for the wired mode of patient selection to be connected, realize real-time reliable communication with the monitoring center with Internet; Human-computer interaction module disposes the demonstration of LCD picture and text, the alarm of buzzer sound and button input control mode by the universal input/output interface of main control module, patient self sign, crosslinking electrode dropping situations and entrained equipment running status are pointed out or alarmed to realization mobile monitoring instrument in modes such as sound, light, picture and text demonstrations, makes things convenient for patient to check doctor's advice, simple key-press function selecting and equipment operation control; The location positioning module is made of the short-range radio frequency positive location circuit of GPS module that is connected to main control module UART mouth and universal input/output interface, the GPS geographical position at continuous acquisition patient place, realization to patient's the preliminary tracking in GPS geographical position and location and salvor to patient's radio frequency active probe with look for, under the GPS orientation direction, make things convenient for ambulance vehicles disease that arrive in the very nick of time to send out ground when realizing sick sending out, the salvor is again according to the short-range radio frequency signal of surveying the emission of mobile monitoring instrument, active probe and look for patient (especially underground parking lot, the tunnel, wait the region of no gps signal in the building), disease sent out in the pernicious tachycardia emergency case of paroxysmal patient implement timely relief; Show the especial patient that the potential disease of critical heart disease is sent out possible for the clinical diagnosis disease, need apolegamy electric defibrillation first aid module, module links to each other with the main control module by the GPIO mouth, the programmed electrical stimulation order that the receiving remote doctor sends, the external electrical defibrillator that the control patient installs with oneself after amplification, insulation blocking, perhaps the intravital lCD defibrillator of patient Yu is buried in control after amplifying, modulating, and implements first aid; To disease send out in critical especially heart disease (as chamber property flutter, chamber property fibrillation, cardiac arrest, cardiogenic syncope etc.) and can not get the directly long-range electrical conversion programmed electrical stimulation relief of row of patient of relief in time; Embedded main control module by expansion SDRAM, high-capacity FLASH, clock, the power supply that configuration is necessary, resets and the JTAG debug port on the ARM microprocessor based, and COM1s such as PCMCIA mouth, USB mouth, UART mouth, RJ45 Ethernet interface constitute; Mobile monitoring instrument configuration high power capacity lithium battery, can under battery powered or mains-supplied mode, work, and the two kinds of duties such as urgent monitoring attitude when having normal monitoring attitude and sick sending out, two kinds of duties can be automaticallyed switch according to diagnostic result or be accepted monitoring center command forces and switch by the mobile monitoring instrument.

With reference to Fig. 3, it is core that the software system of mobile monitoring instrument adopts highly reliable embedded system Linux, increase hardware driving formation base software systems such as senior level of abstraction function, spread F LASH memorizer, LCD, IIC, PCMCIA such as file system, procotol and GUI storehouse; The function that the mobile monitoring instrument will be finished is refined as eight core application tasks: monitoring information gathering and first visit, date processing (is analyzed, compression, storage), the program control management of equipment, man-machine interaction task (LCD, button, audible alarm), GRPS communication, WiFi is wireless and the Ethernet wire communication, GPS receives and the radio frequency positive location, tasks such as electric defibrillation is program control, all application tasks are by the unified scheduling of (SuSE) Linux OS, realize the executed in parallel of multitask on the macroscopic view, realize of the unified control of embedded main control module to each operational module, coordinated allocation finally realizes the remote live monitoring of mobile monitoring instrument to high-risk heart patient, functions such as emergency treatment when location and sick sending out.

With reference to Fig. 4, hospital monitoring center is arranged in the hospital, center as information exchange, processing, storage and the distribution of the embodiment of the invention is made of communication service subsystem, monitoring and diagnosis and treatment subsystem, GIS geo-location subsystem, database subsystem, operation maintenance subsystem etc.; Wherein, the communication service subsystem is the communication gate at monitoring center, realize the exchanges data and the distribution of WLAN and Internet network in GSM/GPRS mobile communications network outside the institute between hospital monitoring center and long-range mobile monitoring instrument, the vehicle-mounted monitor of first aid, the doctor's remote medical consultation with specialists terminal (or CDMA, 3G mobile network), the institute, and interconnect with diagnosis and therapy system that hospital has compatible PACS, a DICOM communication standard; Database subsystem is the information centre of whole monitoring center and whole realtime remote monitoring system, by the communication gate unification with the Various types of data information classification, upgrade and deposit in the corresponding database; Historical and real-time patient care information and configuration of each remote equipment and running state information are collected and stored in monitoring information bank and facility information storehouse respectively, tutelage patient's medical record information and expert's diagnosis posterior infromation deposits in respectively in patient's the electronic health record storehouse and expert info storehouse, and geographical information library comprises tutelage patient's the whereabouts information and the electronic chart of location; Monitoring and diagnosis and treatment subsystem according to each patient's of real-time monitoring ambulatory ecg signal and pressure value, combine expert database and analyze automatically, sickly send out alarm, assist doctor on duty and remote medical consultation with specialists doctor to carry out early diagnosis, the doctor sends the order of long-range electrical conversion programmed electrical stimulation by this subsystem patient is implemented long-range first aid in case of necessity; GIS geo-location subsystem is tracing display patient position on electronic chart; The operation maintenance subsystem is finished long-range each mobile monitoring instrument, the vehicle-mounted monitor of first aid is carried out operation monitoring, diagnosis and maintenance, and running status, the operating right of each subsystem of Surveillance center of hospital managed; Doctor on duty can watch physiologic information, tracking and position patient geographical position such as every tutelage patient's electrocardio and blood pressure in real time, consult historical monitoring information by monitoring master interface, center, but equipment such as the mobile monitoring instrument that telemanagement and program control patient carry, the vehicle-mounted monitor of first aid.

With reference to Fig. 5, present embodiment realizes that high-risk heart disease crowd's the work process of centralized-control type on-line monitor is as follows:

At first, in the present embodiment the high-risk heart disease crowd of tutelage everyone carry a mobile monitoring instrument, be operated in normal monitoring attitude and gather this patient's electrocardiosignal and blood pressure information in real time, carry out the preliminary analysis diagnosis, be uploaded to hospital monitoring center together with the compressed mode that adopts pulsed to transmit in the back of handling of the locating information such as GPS that receive in batches; And adopt the mode of circulation renewal in short-term to be stored in the Flash memorizer, and the monitoring diagnosis is also shown on the mobile monitoring instrument synchronously;

Then, real-time monitoring is carried out to several patients simultaneously in the monitoring center that is arranged in the hospital, communication service subsystem in monitoring center receives in real time and is positioned at long-range various places outside the institute, in the institute everywhere or the data that send of the mobile monitoring instrument carried of each patient in the family, it is decompressed, after communication Protocol Conversion is handled, patient's monitoring information is saved in the monitoring information bank of database subsystem, the running parameter information of mobile monitoring instrument is saved in the facility information storehouse of database subsystem, locating information such as GPS are saved in the geographical location information storehouse of database subsystem; Each patient's ambulatory ecg signal and pressure value in monitoring and the diagnosis and treatment subsystem real-time analysis monitoring information bank, carry out automatic diagnosis and early warning; The patient's of each tutelage electrocardio, blood pressure monitoring information with and early warning information all show in real time by monitoring and diagnosis and treatment subsystem, realize doctor on duty a monitoring center to institute inside and outside several high-risk heart patients' centralized real-time monitoring;

Secondly, when patient's acute disease of certain tutelage is sent out, its entrained mobile monitoring instrument carries out the preliminary analysis diagnosis to abnormal electrocardiogram or blood pressure information, the alarm prompt patient also transfers urgent monitoring attitude to automatically, adopts the mode and the hospital's monitoring center liaison that transmit in real time continuously to upload real-time monitoring information at full speed; Automatic analyzing and diagnosing is carried out to warning information and indicated patient's monitoring information in the monitoring center, and diagnostic result is for unusually promptly producing an alarm event, by monitoring and diagnosis and treatment subsystem alarm prompt doctor on duty; Then, the monitoring alarm event is done in time to handle in the automatic analyzing and diagnosing result of coupling system by doctor on duty, promptly to the false alarm of disease morbidity people's monitoring information in-depth analysis and diagnosis, eliminating system, and to making sign in short-term and to the non-hazardous unusual monitoring information of patient's life and health; Doctor on duty can issue doctor's advice by the long-range mobile monitoring instrument of mind-set in the monitoring according to patient's monitoring information, suggestion and the relevant points for attention of prompting patient;

Then, the alarm event that can not in time make a definite diagnosis for the complicated doctor on duty of complications shape, in time organize relevant expert doctor by doctor on duty, get in touch with expert's remote medical consultation with specialists terminal composition expert consultation network everywhere by the communication service subsystem at monitoring center, the expert is extracted and is analyzed patient's real-time monitoring information and historical monitoring information by the remote medical consultation with specialists terminal according to the needs of holding a consultation separately, diagnostic recommendations is by transfer of monitoring center and distribution between the expert, then this complications shape is made a definite diagnosis, doctor on duty carries out respective handling according to consultation of doctors suggestion to alarm event;

At last, for making a definite diagnosis through doctor on duty or being the sick patient who sends out in pernicious heart disease and need in time to rescue through expert consultation, doctor on duty indicates according to GIS geo-location subsystem, in time contact patients location emergency center assigns the first-aid personnel to go to relief, the first-aid personnel is by vehicle-mounted monitor of first aid and the real-time Communication for Power contact of monitoring center, receive the relief of monitoring center and instruct, receive patient's electrocardio and blood pressure monitoring information, geographical location information and this patient's historical case information in real time, go to the scene that patient is implemented relief; And send out in heart disease critical especially, that must treat immediately for disease, and under first-aid personnel's situation that can not arrive in the very nick of time, doctor's row Long-distance Control electrical conversion on duty stimulates implements long-range first aid to this patient.

Simultaneously, the mobile monitoring instrument that patient carries is monitored its work ruuning situation automatically, equipment running parameters such as collecting device supplying cell, Flash memorizer, the contact of cardiac diagnosis lead electrode, GPS communication, GPRS (or CDMA, 3G) communication regularly, same automatic the monitoring and collecting device running status, and running parameter such as the center of monitoring signal intelligence of vehicle-mounted monitor of first aid and remote medical consultation with specialists terminal; When the network service fault, then the mobile monitoring instrument transfers the dynamic mode of monitoring of Holter formula automatically to, and real-time monitoring information deposits in the mobile monitoring instrument self-contained storing devices automatically; The running state parameter of all long-range mobile monitoring instrument, the vehicle-mounted monitor of first aid and remote medical consultation with specialists terminal is uploaded in the facility information storehouse at monitoring center after all handling through Unified coding; When the unusual even fault of duty appearred in equipment, the mobile monitoring instrument was display device fault message, alarm prompt patient automatically, and the vehicle-mounted monitor of first aid is with display device fault message, alarm prompt first-aid personnel automatically; Adjust running parameter maybe can be by modification parameter abatement apparatus fault the time at needs, the operation maintenance subsystem that doctor on duty can be by the monitoring center carries out online long-range accent ginseng and maintenance to the mobile monitoring instrument of being monitored or the vehicle-mounted monitor of first aid; Centralized real-time synchronously monitoring, the maintenance and management of the remote equipment (mobile monitoring instrument, the vehicle-mounted monitor of first aid and remote medical consultation with specialists terminal) to different location, difference in functionality realized at the monitoring center in hospital like this.

In the above-described embodiments, electrical defibrillator, the vehicle-mounted monitor of first aid, the remote medical consultation with specialists terminal, the GPS module of mobile monitoring instrument, the GPRS module, the physiological parameter acquisition module, hardware module and uC/OS-II such as battery powered module, the ICP/IP protocol stack, file system, software systems such as GUI storehouse, the data base management system at monitoring center, computer system, conventional remote ecg mobile monitoring principle, it is conventional that the long-range programmed control method of electric defibrillation and high-risk cardiopathic electrocardio are analyzed identification and diagnostic method etc. automatically, so provide and do not elaborate, specifically can realize with reference to correlation technique data and existing remote electrocardiogram monitor system based on mobile communication system.

Claims (11)

1, a kind of realtime remote monitoring system at high-risk heart disease crowd comprises mobile monitoring instrument, hospital monitoring center, doctor's remote medical consultation with specialists terminal, the vehicle-mounted monitor of first aid and communications network system that patient carries; This system is at heart disease, especially high-risk heart disease is in clinical monitoring, the special requirement of aspects such as diagnosis and relief, pass through communication network, make the inside and outside mobile monitoring instrument of hospital monitoring center and institute, vehicle-mounted monitor of first aid and remote medical consultation with specialists terminal interconnect in real time, exchange, transmission patient heart real time, monitoring information such as blood pressure, patient's geographical location information, doctor hold a consultation information and doctor's advice and the program control information of each remote equipment remote measurement realize high-risk heart disease crowd inside and outside the institute is concentrated on-line monitor anywhere or anytime, before sending out, disease gives early stage accurately diagnosis, implement relief in time when malignant diseases are sent out and remote mobile terminal equipment is concentrated remote measurement and program control; It is characterized in that:

(1) described mobile monitoring instrument is carried by high-risk heart patient, patient end equipment as this realtime remote monitoring system, by basic module: physiological parameter acquisition module, embedded main control module, human-computer interaction module and wireless communication module, and optional module: location positioning module, electric defibrillation first aid module constitute; Wherein, the physiological parameter acquisition module is measured patient's electrocardiosignal and pressure value in real time by lead line and blood pressure cuff of body surface ecg; Wireless communication module inserts in the outer GSM/GPRS mobile communications network of institute or CDMA or 3G network, the institute or tame interior wireless WiFi LAN, physiological parameter information, equipment state maintenance information after handling are uploaded to hospital monitoring center, and reception comes from the doctor's advice at hospital monitoring center, diagnostic message; Patient self sign, crosslinking electrode dropping situations and entrained equipment running status are pointed out or alarmed to human-computer interaction module by modes such as sound, light, literal demonstrations; The geographical position at location positioning module continuous acquisition patient place assists a physician and instructs the first-aid personnel that disease is sent out in the pernicious tachycardia emergency case of paroxysmal patient to implement timely relief; Show the especial patient that the potential disease of critical heart disease is sent out possible for the clinical diagnosis disease, apolegamy electric defibrillation first aid module realizes that the doctor sends out the patient who can not get relief in time in critical especially heart disease to disease and directly carries out long-range electrical conversion programmed electrical stimulation relief; The function of the emergency treatment the when co-ordination under the unification control of embedded main control module of above-mentioned module, realization mobile monitoring instrument are sent out high-risk heart patient's remote live monitoring, location and disease;

(2) described hospital monitoring center is arranged in the hospital, center as information exchange, processing, storage and the distribution of this realtime remote monitoring system is made of communication service subsystem, monitoring and diagnosis and treatment subsystem, GIS geo-location subsystem, database subsystem, operation maintenance subsystem; Wherein, the communication service subsystem is the gateway at monitoring center, realize the exchanges data and the distribution of WiFi WLAN and Internet network in GSM/GPRS mobile communications network outside the institute between hospital monitoring center and long-range mobile monitoring instrument, the vehicle-mounted monitor of first aid, the doctor's remote medical consultation with specialists terminal or CDMA or 3G mobile network, the institute, and interconnect with diagnosis and treatment information system that hospital has compatible PACS, a DICOM communication standard; Monitoring and each patient's of diagnosis and treatment subsystem real-time monitoring ambulatory ecg signal and pressure value, automatically analyze in conjunction with expert database, and implement sick sending out and alarm, assist doctor on duty and remote medical consultation with specialists doctor to carry out early diagnosis, the doctor sends the order of long-range electric defibrillation programmed electrical stimulation by this subsystem patient is implemented long-range first aid; GIS geo-location subsystem is tracing display patient position on electronic chart; The operation maintenance subsystem is finished long-range each mobile monitoring instrument, the vehicle-mounted monitor of first aid is carried out operation monitoring, diagnosis and maintenance, and running status, the operating right of each subsystem of Surveillance center of hospital managed;

(3) described doctor's remote medical consultation with specialists terminal has wireless and wired two kinds of communication modes and hospital's monitoring center contact, when disease is sent out, when especially part difficult miscellaneous diseases doctor on duty can't make a definite diagnosis, in time form the expert consultation network, even do not implement the consultation of doctors by different section office, different hospital with geographic expert by the patient's dynamic physiology monitoring information and the historical sick photos and sending messages that present;

(4) the vehicle-mounted monitor of described first aid is installed on the emergency tender, gets in touch in real time by wireless mobile communications and hospital monitoring center as the first aid monitor device, receives dynamic physiology monitoring information and the geographical location information of waiting to rescue patient, exchanges the relief measure with the doctor.

2, realtime remote monitoring system according to claim 1, it is characterized in that in the described mobile monitoring instrument, described physiological parameter acquisition module is with electrocardiosignal and the pressure value measured, after small-signal amplification, filtering and A/D conversion, form digital information, the single-chip microcomputer of sending in the module is done packet encapsulation, subpackage processing, sends into embedded main control module by the IIC port again; Described wireless communication module adopts GPRS mobile communication card and the wireless WiFi network card with PCMCIA standard interface, is connected with the main control module by the PCMCIA slot; Described human-computer interaction module disposes the demonstration of LCD picture and text, the alarm of buzzer sound and button input control mode by the universal input/output interface of main control module; Described location positioning module is made of the short-range radio frequency positive location circuit of GPS module that is connected to main control module UART mouth and universal input/output interface, the GPS geographical position at continuous acquisition patient place; Described electric defibrillation first aid module links to each other with the main control module by the GPIO mouth, the programmed electrical stimulation order that the receiving remote doctor sends, the external electrical defibrillator that the control patient installs with oneself after amplification, insulation blocking, perhaps through amplifying, the intravital ICD defibrillator of patient Yu is buried in the control of modulation back, implements first aid; Described embedded main control module is a core with the ARM microprocessor, and expansion has SDRAM, high-capacity FLASH, and configurable clock generator, power supply, resets and the JTAG debug port, and PCMCIA mouth, USB mouth, UART mouth, RJ45 Ethernet interface.

3, a kind of realtime remote monitoring system that utilizes the described high-risk heart disease crowd of claim 1 carries out the method for centralized-control type on-line monitor, it is characterized in that concrete steps are as follows:

(1) the high-risk heart disease crowd of tutelage everyone carry a mobile monitoring instrument, when normal monitoring state, gather in real time this patient electrocardiosignal and blood pressure information, carry out the preliminary analysis diagnosis, be uploaded to hospital monitoring center together with the compressed mode that adopts pulsed to transmit in the back of handling of the GPS locating information that receives in batches; And adopt mode that circulation in short-term upgrades with above-mentioned information storage in the Flash memorizer, the automatic diagnosis result is also shown on the mobile monitoring instrument synchronously;

(2) real-time monitoring is carried out to several patients simultaneously in the monitoring center that is arranged in the hospital, the communication service subsystem at monitoring center receives in real time and is positioned at long-range various places outside the institute, in the institute everywhere or the data that send of the mobile monitoring instrument carried of each patient in the family, it is decompressed, communication Protocol Conversion is handled, monitoring information with patient is saved in the monitoring information bank of database subsystem then, the running parameter information of mobile monitoring instrument is saved in the facility information storehouse of database subsystem, the GPS locating information is saved in the geographical location information storehouse of database subsystem each patient's ambulatory ecg signal and pressure value in monitoring and the diagnosis and treatment subsystem real-time analysis monitoring information bank, carry out automatic diagnosis and early warning; The patient's of each tutelage electrocardio, blood pressure monitoring information with and early warning information all show in real time by monitoring and diagnosis and treatment subsystem, make doctor on duty a monitoring center to institute inside and outside several high-risk heart patients' centralized real-time monitoring;

(3) when patient's acute disease of certain tutelage is sent out, its entrained mobile monitoring instrument carries out the preliminary analysis diagnosis to abnormal electrocardiogram or blood pressure information, the alarm prompt patient also transfers urgent monitoring state to automatically, adopts the mode and the hospital's monitoring center liaison that transmit in real time continuously to upload real-time monitoring information at full speed; Automatic analyzing and diagnosing is carried out to warning information and indicated patient's monitoring information in the monitoring center, and diagnostic result is for unusually promptly producing an alarm event, by monitoring and diagnosis and treatment subsystem alarm prompt doctor on duty; Then, the monitoring alarm event is done in time to handle in the automatic analyzing and diagnosing result of coupling system by doctor on duty, comprise disease morbidity people's monitoring information is analysed in depth and diagnosed, picks out the false alarm of system, and to making sign in short-term and to the non-hazardous unusual monitoring information of patient's life and health; Doctor on duty issues doctor's advice according to patient's monitoring information by the long-range mobile monitoring instrument of mind-set in the monitoring, suggestion and the relevant points for attention of prompting patient;

(4) for complications shape complexity, the alarm event that doctor on duty can not in time make a definite diagnosis, in time organize relevant expert doctor by doctor on duty, get in touch with expert's remote medical consultation with specialists terminal composition expert consultation network everywhere by the communication service subsystem at monitoring center, the expert is extracted and is analyzed patient's real-time monitoring information and historical monitoring information by the remote medical consultation with specialists terminal according to the needs of holding a consultation separately, diagnostic recommendations is by transfer of monitoring center and distribution between the expert, then this complications shape is made a definite diagnosis, doctor on duty carries out respective handling according to consultation of doctors suggestion to alarm event;

(5) for making a definite diagnosis through doctor on duty or being the sick patient who sends out in pernicious heart disease and need in time to rescue through expert consultation, doctor on duty indicates according to GIS geo-location subsystem, in time contact patients location emergency center assigns the first-aid personnel to go to relief, the first-aid personnel is by vehicle-mounted monitor of first aid and the real-time Communication for Power contact of monitoring center, receive the relief of monitoring center and instruct, receive patient's electrocardio and blood pressure monitoring information, geographical location information and this patient's historical case information in real time, go to the scene that patient is implemented relief; And send out in heart disease critical especially, that must treat immediately for disease, and under first-aid personnel's situation that can not arrive in the very nick of time, doctor's row Long-distance Control electrical conversion on duty stimulates implements long-range first aid to this patient;

Simultaneously, the mobile monitoring instrument that patient carries is monitored its work ruuning situation automatically, regularly collecting device supplying cell, Flash memorizer, the contact of cardiac diagnosis lead electrode, GPS communication, GPRS or CDMA or 3G communication device works parameter, same monitoring automatically of vehicle-mounted monitor of first aid and remote medical consultation with specialists terminal and collecting device running status, and the center of monitoring these running parameters of signal intelligence; The running state parameter of all long-range mobile monitoring instrument, the vehicle-mounted monitor of first aid and remote medical consultation with specialists terminal is uploaded in the facility information storehouse at monitoring center after all handling through Unified coding; When the unusual even fault of duty appearred in equipment, the mobile monitoring instrument was display device fault message, alarm prompt patient automatically, and the vehicle-mounted monitor of first aid is with display device fault message, alarm prompt first-aid personnel automatically; Adjust running parameter maybe can be by modification parameter abatement apparatus fault the time at needs, the operation maintenance subsystem of doctor on duty by the monitoring center carries out online long-range accent ginseng and maintenance to the mobile monitoring instrument of being monitored or the vehicle-mounted monitor of first aid; Monitoring center centralized monitoring, the maintenance and management in real time synchronously of realizing in hospital that remote equipment to different location, difference in functionality comprises mobile monitoring instrument, the vehicle-mounted monitor of first aid and remote medical consultation with specialists terminal like this.

4, centralized-control type continuous monitoring method according to claim 3, it is characterized in that adopting real-time monitoring and dynamically guard the on-line monitor of two-stage automatic monitoring method assurance high-risk heart patient, the one, the real-time monitoring at hospital monitoring center: the real-time receiving remote mobile monitoring instrument collection of monitoring center, patient's electrocardio and the blood pressure information uploaded, be presented in real time after handling by analysis and check for doctor on duty on the monitoring center monitor and diagnose, be saved in simultaneously in the monitoring information database; The 2nd, the dynamic monitoring of mobile monitoring instrument: when long section time communication failure appears in mobile monitoring instrument of carrying as patient and monitoring center, the mobile monitoring instrument will transfer the Holter formula automatically to and dynamically guard, electrocardio and the blood pressure information gathered are in real time deposited in the incidental at random high capacity Flash memorizer, and prompting patient communication failure, go to the monitoring center in effective storage monitoring phase domestic demand of mobile monitoring instrument.

5, centralized-control type continuous monitoring method according to claim 3, it is characterized in that adopting multistage diagnosis preventive measure, comprise: the preliminary analysis of (1) mobile monitoring instrument diagnosis: real-time preliminary analysis, the Electrocardiographic P ripple of identification patient, QRS ripple, T ripple, ST section, P-P interval, P-R interval, S-T interval, and the characteristic parameters such as systolic pressure, diastolic pressure that detect blood pressure, when diagnostic result occurs when unusual the alarm prompt patient is uploaded to alarm the monitoring center simultaneously; (2) automatic diagnosis at hospital's monitoring center: handle the warning information that the mobile monitoring instrument is uploaded, rounded analysis patient's heart real time and blood pressure monitoring information, extract characteristic parameter, and comprehensively this patient's history is guarded information, comparison cardiologist diagnostic message storehouse, make automatic diagnosis, results abnormity is then alarmed doctor on duty; (3) third level be doctor on duty when patient's real-time monitoring information of same is checked in monitoring, selective analysis has warning information patient's monitoring information, in time makes field diagnostic; (4) for the doctor's on duty part difficult miscellaneous diseases that can't make timely diagnosis, carry out remote medical consultation with specialists by appropriate experts remote medical consultation with specialists terminal.

6, centralized-control type continuous monitoring method according to claim 3, it is characterized in that adopting the first aid protective measure of the high-risk heart patient of following two-stage when disease is sent out: one-level is the first-aid personnel under doctor's the guidance and under the assistance of the vehicle-mounted monitor of first aid, goes to wait to rescue the patient location patient is implemented field first aid; Secondary is the special high-risk heart patient of a class that electric defibrillation first aid module is arranged for apolegamy, when disease is sent out in critical especially heart disease, simultaneously under the situation that ambulance vehicles can not arrive in the very nick of time, the doctor goes the Long-distance Control electrical conversion to be stimulated this patient is implemented long-range first aid.

7, centralized-control type continuous monitoring method according to claim 3, it is characterized in that the two kinds of duties of urgent monitoring attitude when described mobile monitoring instrument adopts normal monitoring attitude and sick sending out, two kinds of duties are automaticallyed switch according to diagnostic result or are accepted monitoring center command forces by the mobile monitoring instrument and switch.

8, centralized-control type continuous monitoring method according to claim 3, it is characterized in that described mobile monitoring instrument and monitoring center adopt following several data transfer mode: when the mobile monitoring instrument is operated in normal monitoring attitude, the mode that adopts pulsed in batches to transmit is up communicates by letter with hospital monitoring center, promptly communicate by letter once with the monitoring center at set intervals, send to the monitoring center after all monitoring Information Compression of this section period are handled; When the mobile monitoring instrument is operated in urgent monitoring attitude, adopt that the mode that transmits in real time continuously is up communicates by letter with hospital monitoring center, when the full speed real-time Communication for Power is carried out at the monitoring center, the not compressed monitoring center that sends to of all monitoring information; As the center of guarding needs initiatively to communicate by letter down with the mobile monitoring instrument when passing doctor's advice or control command, adopt master control real-time Communication for Power mode, mobile monitoring instrument monitoring information temporary storage remerges the monitoring center that is uploaded to after this Master Communications incident is finished, guarantee the monitoring information integrity.

9, centralized-control type continuous monitoring method according to claim 3, it is characterized in that described mobile monitoring instrument, when the vehicle-mounted monitor of first aid is positioned at outside the institute, communicate contact by GSM/GPRS mobile communications network or CDMA or 3G mobile network and hospital monitoring center; For accepting in the institute or the patient of family's real-time monitoring, its entrained mobile monitoring instrument is by inserting the WiFi LAN that inserts Internet in wireless WiFi LAN in the institute or the family and guarding the center liaison with hospital.

10, centralized-control type continuous monitoring method according to claim 3 is characterized in that adopting based on GPS, is the patient's that assists locate mode in conjunction with cell phone navigation system and short-range radio frequency positive location; Wherein, short-range radio frequency positive location mode is for when disease is sent out, the location positioning module of mobile monitoring instrument is initiatively sent the radiofrequency signal of a particular frequency bands, the radiofrequency signal source position is surveyed and located to the vehicle-mounted monitor of first aid in 500-1000 rice distance range, it is low not enough to remedy GPS blind area or GPS positioning accuracy, assists search location and the on-the-spot in time relief of first-aid personnel to patient.

11, centralized-control type continuous monitoring method according to claim 3 is characterized in that patient GPS positional information, cell phone are located and short-range radio frequency positive location information is imported as the GIS geo-localisation information; Generalized information system is according to the original position-information of input, real-time positioning and follow the tracks of patient location, street, building, and be presented on the electronic chart of hospital monitoring center and the vehicle-mounted monitor of first aid.

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