{"id":13060,"date":"2019-12-11T01:17:53","date_gmt":"2019-12-10T18:17:53","guid":{"rendered":"https:\/\/www.synphaet.co.th\/children-ramintra\/clinics\/pediatric-icu\/"},"modified":"2026-08-23T11:24:30","modified_gmt":"2026-08-23T04:24:30","slug":"pediatric-icu","status":"publish","type":"clinics","link":"https:\/\/www.synphaet.co.th\/children-ramintra\/zh-hans\/clinics\/pediatric-icu\/","title":{"rendered":"\u513f\u7ae5\u91cd\u75c7\u76d1\u62a4\u75c5\u623f (PICU)"},"content":{"rendered":"<h1>\u65b0\u6cf0\u513f\u7ae5\u533b\u9662\u513f\u7ae5\u91cd\u75c7\u76d1\u62a4\u75c5\u623f (Pediatric Intensive Care Unit)<\/h1>\n<p><strong>\u5728\u6bcf\u4e00\u4e2a\u5371\u6025\u5173\u5934\u4e0e\u60a8\u5e76\u80a9\u5b88\u62a4\uff0c\u5b89\u5168\u9001\u5b9d\u8d1d\u91cd\u56de\u60a8\u6e29\u6696\u7684\u6000\u62b1\u3002<\/strong><\/p>\n<p>\u5f53\u5b69\u5b50\u9762\u4e34\u5371\u53ca\u751f\u547d\u7684\u7a81\u53d1\u91cd\u75c7\u65f6\uff0c\u751f\u547d\u7684\u6bcf\u4e00\u79d2\u90fd\u81f3\u5173\u91cd\u8981\u3002\u513f\u7ae5\u91cd\u75c7\u76d1\u62a4\u75c5\u623f\uff08PICU &#8211; Pediatric Intensive Care Unit\uff09\u662f\u4e00\u4e2a\u6838\u5fc3\u533b\u7597\u90e8\u95e8\uff0c\u4e13\u6ce8\u4e8e\u4e3a\u9762\u4e34\u751f\u547d\u4f53\u5f81\u6025\u5267\u6076\u5316\u3001\u6709\u751f\u547d\u5371\u9669\u7684\u9ad8\u5371\u60a3\u513f\u63d0\u4f9b\u4e25\u5bc6\u76d1\u62a4\u548c\u62a2\u6551\u6cbb\u7597\u3002\u5371\u91cd\u60a3\u513f\u7684\u76d1\u62a4\u4e0d\u4ec5\u9700\u8981\u5148\u8fdb\u7684\u4eea\u5668\u652f\u6301\uff0c\u66f4\u9700\u8981\u6df1\u8c19\u513f\u7ae5\u72ec\u7279\u751f\u7406\u7ed3\u6784\u7684\u4e13\u4e1a\u533b\u62a4\u56e2\u961f\u3002<\/p>\n<p>\u65b0\u6cf0\u513f\u7ae5\u533b\u9662\u513f\u7ae5\u91cd\u75c7\u76d1\u62a4\u75c5\u623f\uff08PICU\uff09\u62e5\u6709\u4e00\u652f\u7531\u513f\u79d1\u4e13\u5bb6\u3001\u91cd\u75c7\u533b\u5b66\u533b\u751f\u548c\u91cd\u75c7\u4e13\u79d1\u62a4\u58eb\u7ec4\u6210\u7684\u4e13\u4e1a\u56e2\u961f\uff0c\u63d0\u4f9b24\u5c0f\u65f61\u5bf91\u7684\u4e25\u5bc6\u751f\u547d\u76d1\u62a4\u3002\u914d\u5907\u5c0f\u513f\u4e13\u7528\u547c\u5438\u673a\u3001\u7cbe\u5bc6\u751f\u547d\u4f53\u5f81\u76d1\u62a4\u4eea\u3001\u62a2\u6551\u8bbe\u5907\u53ca\u6807\u51c6\u5316\u533b\u7597\u6280\u672f\uff0c\u786e\u4fdd\u60a3\u513f\u83b7\u5f97\u53ca\u65f6\u3001\u5b89\u5168\u3001\u9ad8\u8d28\u7684\u6cbb\u7597\uff0c\u4e89\u53d6\u6700\u4f73\u7684\u5eb7\u590d\u673a\u4f1a\u3002<\/p>\n<h2>\u513f\u7ae5\u91cd\u75c7\u76d1\u62a4\u75c5\u623f (PICU) \u8bca\u7597\u8303\u56f4<\/h2>\n<p>\u6211\u4eec\u4e3b\u8981\u6536\u6cbb\u5e74\u9f84\u5728 4 \u4e2a\u6708\u81f3 14 \u5c81\u4e4b\u95f4\u7684\u5371\u91cd\u75c7\u513f\u79d1\u60a3\u8005\uff1a<\/p>\n<ul>\n<li><strong>\u547c\u5438\u7cfb\u7edf\u91cd\u75c7\uff1a<\/strong> \u91cd\u75c7\u80ba\u708e\u3001\u91cd\u75c7\u6bdb\u7ec6\u652f\u6c14\u7ba1\u708e\u3001\u54ee\u5598\u6025\u6027\u91cd\u75c7\u53d1\u4f5c\u3001\u4ee5\u53ca\u9700\u8981\u673a\u68b0\u901a\u6c14\u7684\u547c\u5438\u8870\u7aed\u3002<\/li>\n<li><strong>\u4e25\u91cd\u611f\u67d3\u6027\u75be\u75c5\uff1a<\/strong> \u8d25\u8840\u75c7\uff08Sepsis\uff09\u3001\u611f\u67d3\u6027\u4f11\u514b\uff08Septic Shock\uff09\u3001\u767b\u9769\u70ed\u4f11\u514b\u7efc\u5408\u5f81\u3001\u91cd\u75c7\u8111\u819c\u708e\u53ca\u591a\u5668\u5b98\u4e25\u91cd\u611f\u67d3\u3002<\/li>\n<li><strong>\u5fc3\u8840\u7ba1\u7cfb\u7edf\u5371\u91cd\u75c7\uff1a<\/strong> \u6025\u6027\u5fc3\u529b\u8870\u7aed\u3001\u5fc3\u6e90\u6027\u4f11\u514b\u3001\u4e25\u91cd\u8840\u538b\u5f02\u5e38\u3001\u4ee5\u53ca\u9700\u8981\u4e25\u5bc6\u76d1\u6d4b\u7684\u4e25\u91cd\u5fc3\u5f8b\u5931\u5e38\u3002<\/li>\n<li><strong>\u795e\u7ecf\u7cfb\u7edf\u91cd\u75c7\uff1a<\/strong> \u766b\u75eb\u6301\u7eed\u72b6\u6001\uff08Status Epilepticus\uff09\u3001\u91cd\u75c7\u8111\u708e\u3001\u660f\u8ff7\/\u610f\u8bc6\u969c\u788d\u3001\u8111\u6c34\u80bf\u3001\u9885\u5185\u538b\u589e\u9ad8\u3001\u4ee5\u53ca\u8111\u5916\u79d1\u672f\u540e\u76d1\u62a4\u3002<\/li>\n<li><strong>\u4e25\u91cd\u5916\u4f24\u4e0e\u591a\u53d1\u4f24\uff1a<\/strong> \u4e25\u91cd\u9885\u8111\u5916\u4f24\u3001\u591a\u810f\u5668\u635f\u4f24\u3001\u4f34\u6709\u5371\u91cd\u75c7\u72b6\u7684\u9aa8\u6298\u3001\u6eba\u6c34\u3001\u4e25\u91cd\u70e7\u70eb\u4f24\u3002<\/li>\n<li><strong>\u5916\u79d1\u672f\u540e\u91cd\u75c7\u76d1\u62a4\uff1a<\/strong> \u5fc3\u810f\u624b\u672f\u540e\u3001\u8111\u5916\u79d1\u624b\u672f\u540e\u3001\u8179\u90e8\u5927\u624b\u672f\u540e\u4ee5\u53ca\u5176\u4ed6\u9700\u8981\u7279\u7ea7\u76d1\u62a4\u7684\u624b\u672f\u3002<\/li>\n<li><strong>\u5176\u4ed6\u6025\u6027\u91cd\u75c7\uff1a<\/strong> \u4e25\u91cd\u51fa\u8840\u5f02\u5e38\u3001\u6025\u6027\u80be\u635f\u4f24\uff08AKI\uff09\u3001\u4e25\u91cd\u8fc7\u654f\u53cd\u5e94\uff08Anaphylaxis\uff09\u3001\u836f\u7269\u4e2d\u6bd2\u6216\u836f\u7269\u8fc7\u91cf\u3002<\/li>\n<\/ul>\n<h2>PICU \u533b\u7597\u670d\u52a1\u4e0e\u5148\u8fdb\u6280\u672f<\/h2>\n<ul>\n<li><strong>\u9ad8\u7ea7\u547c\u5438\u652f\u6301\u6280\u672f\uff1a<\/strong> \u63d0\u4f9b\u4e13\u4e3a\u513f\u7ae5\u8bbe\u8ba1\u7684\u65e0\u521b\u548c\u6709\u521b\u673a\u68b0\u901a\u6c14\u652f\u6301\uff08Pediatric Mechanical Ventilator\uff09\uff0c\u5305\u62ec\u7ecf\u9f3b\u9ad8\u6d41\u91cf\u6e7f\u5316\u6c27\u7597\uff08High Flow Nasal Cannula &#8211; HFNC\uff09\u548c\u65e0\u521b\u901a\u6c14\uff08NIV\uff09\u3002<\/li>\n<li><strong>\u4e2d\u592e\u76d1\u62a4\u7cfb\u7edf (Central Monitoring System)\uff1a<\/strong> 24\u5c0f\u65f6\u5b9e\u65f6\u52a8\u6001\u76d1\u6d4b\u60a3\u513f\u5fc3\u7387\u3001\u8840\u538b\u3001\u8840\u6c27\u9971\u548c\u5ea6\u548c\u5fc3\u7535\u56fe\uff08ECG\uff09\u3002<\/li>\n<li><strong>\u5e8a\u65c1\u5373\u65f6\u68c0\u6d4b (Point-of-Care Testing &#8211; POCT)\uff1a<\/strong> \u5feb\u901f\u8fdb\u884c\u5e8a\u65c1\u8840\u6c14\u5206\u6790\uff08Blood Gas Analysis\uff09\u548c\u7535\u89e3\u8d28\u6d4b\u5b9a\uff0c\u4e3a\u4e34\u5e8a\u62a2\u6551\u63d0\u4f9b\u5373\u65f6\u4f9d\u636e\u3002<\/li>\n<li><strong>\u5e8a\u65c1X\u5149\u53ca\u8d85\u58f0\u68c0\u67e5\uff1a<\/strong> \u76f4\u63a5\u5728\u75c5\u5e8a\u65c1\u8fdb\u884c\u5f71\u50cf\u5b66\u68c0\u67e5\uff0c\u6700\u5927\u9650\u5ea6\u51cf\u5c11\u56e0\u642c\u52a8\u91cd\u75c7\u60a3\u513f\u5e26\u6765\u7684\u98ce\u9669\u548c\u5e76\u53d1\u75c7\u3002<\/li>\n<li><strong>\u5fae\u91cf\u6ce8\u5c04\u6cf5\u7cbe\u51c6\u9759\u8109\u8f93\u6db2\u53ca\u7ed9\u836f\u3002<\/strong><\/li>\n<li><strong>\u7cbe\u7ec6\u6c14\u9053\u7ba1\u7406\u4e0e\u6392\u75f0\uff1a<\/strong> \u7531\u91cd\u75c7\u4e13\u79d1\u62a4\u58eb\u63d0\u4f9b\u6c14\u9053\u5438\u75f0\u3001\u96fe\u5316\u6cbb\u7597\u4ee5\u53ca\u80f8\u90e8\u7269\u7406\u6cbb\u7597\uff08\u6392\u75f0\uff09\u3002<\/li>\n<li><strong>\u4f11\u514b\u6025\u6551\u4e0e\u5c0f\u513f\u5fc3\u80ba\u590d\u82cf\u672f (Pediatric Resuscitation)\u3002<\/strong><\/li>\n<\/ul>\n<h2>\u4e3a\u4ec0\u4e48\u9009\u62e9\u65b0\u6cf0\u513f\u7ae5\u533b\u9662\u513f\u7ae5\u91cd\u75c7\u76d1\u62a4\u75c5\u623f (PICU)\uff1f<\/h2>\n<ul>\n<li>\u2713 <strong>\u4e13\u4e1a\u7684\u513f\u7ae5\u91cd\u75c7\u533b\u5b66\u4e13\u5bb6\u56e2\u961f\uff1a<\/strong> \u7531\u5e38\u9a7b\u7684\u5c0f\u513f\u547c\u5438\u4e0e\u91cd\u75c7\u533b\u5b66\u79d1\u4e13\u5bb6\u4e3b\u5bfc\uff0c\u80fd\u6839\u636e\u60a3\u513f\u77ac\u606f\u4e07\u53d8\u7684\u75c5\u60c5\u8fc5\u901f\u8bc4\u4f30\u5e76\u8c03\u6574\u6cbb\u7597\u65b9\u6848\u3002<\/li>\n<li>\u2713 <strong>\u91cd\u75c7\u4e13\u79d1\u62a4\u58eb\uff08PICU\u62a4\u58eb\uff09\u56e2\u961f\uff1a<\/strong> \u62a4\u58eb\u5747\u63a5\u53d7\u8fc7\u89c4\u8303\u7684\u5c0f\u513f\u91cd\u75c7\u62a4\u7406\u57f9\u8bad\uff0c\u63d0\u4f9b24\u5c0f\u65f6\u5168\u5929\u5019\u4e25\u5bc6\u76d1\u62a4\u3002<\/li>\n<li>\u2713 <strong>\u4e13\u4e3a\u513f\u7ae5\u5b9a\u5236\u7684\u6025\u6551\u4e0e\u76d1\u62a4\u8bbe\u5907\uff1a<\/strong> PICU\u75c5\u623f\u7684\u73af\u5883\u3001\u6e29\u5ea6\u4ee5\u53ca\u6240\u6709\u533b\u7597\u4eea\u5668\u5c3a\u5bf8\u5747\u9488\u5bf9 4 \u4e2a\u6708\u81f3 14 \u5c81\u513f\u7ae5\u7684\u8eab\u4f53\u548c\u751f\u7406\u7279\u5f81\u8fdb\u884c\u4e86\u4e13\u5c5e\u8bbe\u8ba1\u3002<\/li>\n<li>\u2713 <strong>24\u5c0f\u65f6\u5e94\u6025\u5c31\u8bca\u4e0e\u76d1\u62a4\u4fdd\u969c\uff1a<\/strong> \u533b\u62a4\u56e2\u961f\u5168\u5929\u5019\u503c\u5b88\uff0c\u5728\u5b69\u5b50\u751f\u547d\u4f53\u5f81\u5c1a\u672a\u5b8c\u5168\u5e73\u7a33\u7684\u8270\u96be\u65f6\u523b\uff0c\u7ed9\u5bb6\u957f\u6700\u8e0f\u5b9e\u7684\u652f\u6491\u3002<\/li>\n<li>\u2713 <strong>\u591a\u5b66\u79d1\u4e13\u5bb6\u8054\u5408\u4fdd\u969c\uff1a<\/strong> \u6574\u5408\u513f\u79d1\u5185\u79d1\u3001\u5c0f\u513f\u5916\u79d1\u3001\u9ebb\u9189\u79d1\u3001\u91cd\u75c7\u4e13\u79d1\u62a4\u7406\u3001\u7269\u7406\u6cbb\u7597\u5e08\u53ca\u4e34\u5e8a\u836f\u5e08\u7684\u591a\u5b66\u79d1\u529b\u91cf\u3002<\/li>\n<li>\u2713 <strong>\u4e0e\u5bb6\u5ead\u4fdd\u6301\u987a\u7545\u6c9f\u901a\uff1a<\/strong> \u5b9a\u671f\u5411\u5bb6\u957f\u544a\u77e5\u60a3\u513f\u75c5\u60c5\u8fdb\u5c55\u53ca\u4e0b\u4e00\u6b65\u6cbb\u7597\u8ba1\u5212\uff0c\u786e\u4fdd\u8bca\u7597\u8fc7\u7a0b\u900f\u660e\u3001\u5b89\u5fc3\u3002<\/li>\n<\/ul>\n<h2>\u5e38\u89c1\u95ee\u9898\u89e3\u7b54 (Q&amp;A)<\/h2>\n<h3>Q: \u513f\u7ae5\u91cd\u75c7\u76d1\u62a4\u5ba4\uff08PICU\uff09\u4e0e\u65b0\u751f\u513f\u91cd\u75c7\u76d1\u62a4\u5ba4\uff08NICU\uff09\u6709\u4ec0\u4e48\u533a\u522b\uff1f<\/h3>\n<p>A: NICU \u4e3b\u8981\u6536\u6cbb\u51fa\u751f\u5f53\u5929\u81f3\u751f\u540e 1-3 \u4e2a\u6708\u5185\u7684\u5a74\u5e7c\u513f\uff08\u91cd\u70b9\u5173\u6ce8\u65e9\u4ea7\u513f\u6216\u51fa\u751f\u65f6\u6709\u5e76\u53d1\u75c7\u7684\u5371\u91cd\u65b0\u751f\u513f\uff09\u3002\u800c PICU \u5219\u6536\u6cbb\u5e74\u9f84\u5728 4 \u4e2a\u6708\u81f3 14 \u5c81\u4e4b\u95f4\u7684\u91cd\u75c7\u53ca\u5371\u91cd\u75c7\u513f\u79d1\u60a3\u8005\u3002<\/p>\n<h3>Q: \u513f\u7ae5\u91cd\u75c7\u76d1\u62a4\u75c5\u623f\u4e0e\u666e\u901a\u513f\u79d1\u75c5\u623f\u6709\u4ec0\u4e48\u533a\u522b\uff1f<\/h3>\n<p>A: PICU \u62e5\u6709\u4e13\u4e1a\u7684\u91cd\u75c7\u533b\u62a4\u4eba\u5458\u3001\u9ad8\u5bc6\u5ea6\u7684\u76d1\u62a4\u4eea\u5668\u4ee5\u53ca\u5404\u7c7b\u5c0f\u513f\u4e13\u7528\u751f\u547d\u652f\u6301\u8bbe\u5907\uff0c\u4e13\u95e8\u7528\u4e8e 24 \u5c0f\u65f6\u76d1\u62a4\u6cbb\u7597\u75c5\u60c5\u5371\u91cd\u7684\u60a3\u513f\u3002<\/p>\n<h3>Q: \u5b69\u5b50\u51fa\u73b0\u4ec0\u4e48\u75c7\u72b6\u65f6\u9700\u8981\u8fdb\u5165 PICU \u6cbb\u7597\uff1f<\/h3>\n<p>A: \u5f53\u5b69\u5b50\u75c5\u60c5\u5371\u91cd\u65f6\uff0c\u5982\u547c\u5438\u8870\u7aed\u4f34\u6709\u4e25\u91cd\u7684\u80f8\u51f9\u9677\u3001\u53d1\u7ec0\uff08\u53d1\u7d2b\uff09\u3001\u9ecf\u6db2\u75f0\u963b\u585e\u6c14\u9053\u3001\u62bd\u6410\u4e0d\u6b62\uff08\u766b\u75eb\u6301\u7eed\u72b6\u6001\uff09\u3001\u795e\u5fd7\u4e0d\u6e05\u3001\u6216\u8005\u7531\u4e8e\u767b\u9769\u70ed\u3001\u4e25\u91cd\u611f\u67d3\u5f15\u8d77\u7684\u611f\u67d3\u6027\u4f11\u514b\u53ca\u8840\u538b\u4e0b\u964d\u3002\u533b\u751f\u8bc4\u4f30\u540e\u4f1a\u5c06\u60a3\u513f\u8f6c\u5165 PICU\uff0c\u4ee5\u4fbf\u4f7f\u7528\u751f\u547d\u652f\u6301\u8bbe\u5907\u5e76\u8fdb\u884c\u4e25\u5bc6\u76d1\u62a4\u3002<\/p>\n<h3>Q: \u4f7f\u7528\u547c\u5438\u673a\u7684\u5b69\u5b50\u8fd8\u80fd\u6062\u590d\u5417\uff1f<\/h3>\n<p>A: \u80fd\u3002\u547c\u5438\u673a\u662f\u5e2e\u52a9\u60a3\u513f\u5ea6\u8fc7\u547c\u5438\u8870\u7aed\u7b49\u5371\u91cd\u9636\u6bb5\u7684\u4e34\u65f6\u751f\u547d\u652f\u6301\u8bbe\u5907\u3002\u5f53\u539f\u53d1\u75c5\u60c5\u597d\u8f6c\u3001\u60a3\u513f\u80fd\u591f\u5efa\u7acb\u81ea\u4e3b\u547c\u5438\u4e14\u901a\u6c14\u826f\u597d\u65f6\uff0c\u533b\u751f\u4f1a\u8bc4\u4f30\u5e76\u9010\u6b65\u3001\u5b89\u5168\u5730\u62d4\u7ba1\uff0c\u534f\u52a9\u60a3\u513f\u8131\u79bb\u547c\u5438\u673a\u3002<\/p>\n<h3>Q: \u5bb6\u957f\u53ef\u4ee5\u8fdb PICU \u63a2\u89c6\u6216\u966a\u62a4\u5b69\u5b50\u5417\uff1f<\/h3>\n<p>A: 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