心脏除颤器的概况与技术进展

由于电除颤技术对患者的救治有效性,使心脏除颤器在临床得到广泛应用。本文简要介绍了心脏除颤器的基本结构及工作原理,重点分析了评价心脏除颤器的几个重要性能指标,最后描述了近年心脏除颤技术的发展及其在临床上的应用。     

心脏除颤器的质量控制管理

本文从心脏除颤器的前期质量控制和临床应用质量管理两方面对心脏除颤器的质量控制管理进行探讨,并对除颤器的通用操作规范做了概述。     

美国FDA批准非处方心脏除颤器上市

据报导，美国FDA已在2004年9月批准OTC（非处方）心脏除颤器上市销售。Philips Medical System制造的Heart Start Home Defibrillator除颤器成为美国第一台得到FDA批准的、专门用于家庭的体外自动心脏除颤器。心脏病患者可以不凭医生处方而购买该医疗器械。     

心脏除颤器质量检定方法的分析研究

目的：按照国家计量检定规程,对临床使用中的除颤器进行质量检定,确保其在实际使用中的安全性。方法：依据国家卫生行业标准WSB64-2003“心脏除颤器和心脏除颤监护仪检定规程”,根据实际经验中有效的检定方法,使用除颤分析仪检定除颤器的各项性能参数。结果：按照有效的检定方法,通过定期检定,消除了除颤器的安全隐患,保障患者的生命安全。结论：对除颤器进行质量控制检定,可以预防因设备失准而引起的医疗事故,同时注意日常的维护和保养,确保除颤器在急救时的良好性能及临床使用的安全性。     

美科学家推出新型可穿戴式除颤器

美国食品与药物管理局(FDA)不久前批准了一种可以贴身穿着的背心式心脏除颤器,用于有心性猝死危险的病人,监测并治疗其异常心律。到目前为止,该产品是第一个可以穿着在体外、而非置入体内的心脏复律除颤器。     

剥除心脏“大贝壳”

十多年前,吴大伯患了恶性心律失常,多的时候每分钟颤动320次。除颤不及时,心脏随时会停跳。7年前安装了自动除颤器,因发作频繁,除颤器的电池都换了两次,其间上百次心跳纠错,救他性命。脆弱的心脏又雪上加霜,心脏超声波检查,发现他心脏上长出了脂肪瘤,而且生长速度很快。肿瘤几乎占满了整个左胸,就像给心脏套了     

除颤器能量输出失准分析

本文阐述了除颤器能量形成的原理,及与能量输出有关的几个因素,进而使工程技术人员能通过设备使用原理、元器件特性参数以及对设备的检测分析,判定除颤器能量输出失准的原因。     

444型三导联心脏监护除颤器ECG信号部分原理分析与故障检修

４４４型三导联心脏监护除颤器ＥＣＧ信号部分原理分析与故障检修深圳市宝安区人民医院叶光远，陈想邦４４４型三导联心脏直流监护除颤器为ＢＩＲＴＨＥＲ公司生产的便携式车载心电监护除颤器．具有交直流两用，易于操作等特点。现分析其ＥＣＧ信号通道部价的工作原理及常...     

带来新思维的心脏除颤器

公共场所必须配备灭火器已是人所共识。近年来，美国政府正在考虑逐步实施有关公共场所配备心脏除颤器的法案。据美国心脏协会调查，每年美国有３５万人由于突发性心动骤停而死亡，其最有效的手段是尽早使用心脏除颤器，每延迟１分钟，抢救成功的可能性就下降１０％。如果公共场所配备了自动体外除颤器，就可以使很多病人及时得到抢救。自动体外除颤器要求使用简单、有效、便携等特点。除颤器有语言操作提示，非专业人员可以按照提示完成操作，非常适合公共场所和医院外的急救。美国有一航空公司已在自己的班机上配上了这一设备，并已成功地…     

迈瑞体外除颤器的质量检测

目的 探讨迈瑞体外除颤器(AED)的质量检测方法.方法 按照JJF 1149-2014《心脏除颤器校准规范》、JJG 760-2003《心电监护仪检定规程》、GB 9706.8-2009《医用电气设备第2-4部分:心脏除颤器安全专用要求》的规定,结合使用说明书,使用福禄克(FLUKE)专业质量检测设备对院内的3台迈瑞半...     

术前准备方舱的研制

本文对术前准备方舱舱体、设备配置、舱内布置及舱内微环境设计进行了论述，并对舱内微环境温度进行了试验对比分析。     

研究型医院发展战略的创新特征与建设实践

从分析研究型医院发展战略的指导思想的先进性、医疗技术的尖端性、诊疗手段的先进性、服务品质的极致性、运行管理的科学性和发展途径的融合性等六个方面的创新特征入手,系统探讨学习、创新、质量、文化、低碳、开放等六大建设实践和措施,具有宏观战略的指导意义和操作措施的借鉴价值。     

Perspectives on a New Strategy for Child Protection in Africa

Published findings regarding child abuse in Africa is scarce and in its infancy. Nevertheless, consideration is warranted to identify implementation process stages for a protocol to be used by child protection practitioners in Africa. Children must be protected against the imperfect world that adults have created with its dangers, its wars, its violence, its shootings, its inequalities, its injustices. African children become symbols of the good which needs to be protected against the powerful, against evil ones — molesters, batterers, exploiters, child abusers, who take advantage of innocent children and treat them in selfish, cruel, inhumane, indifferent, callous ways.     

Perspectives on a New Strategy for Child Protection in Africa

Published findings regarding child abuse in Africa is scarce and in its infancy. Nevertheless, consideration is warranted to identify implementation process stages for a protocol to be used by child protection practitioners in Africa. Children must be protected against the imperfect world that adults have created with its dangers, its wars, its violence, its shootings, its inequalities, its injustices. African children become symbols of the good which needs to be protected against the powerful, against evil ones — molesters, batterers, exploiters, child abusers, who take advantage of innocent children and treat them in selfish, cruel, inhumane, indifferent, callous ways.     

温泉与健康

温泉是一种大家都很熟悉的自然地理事物,但人们对其与人类健康的关系还缺乏完整的认识。在查阅大量资料的基础上,从温泉的概念、成因、分类、目前利用中存在的问题,以及利用温泉的过程中的注意事项等方面对温泉与人类的健康的关系进行了全面的分析,得出了只有正确认识温泉,合理利用温泉,才能使它有利于我们的健康和生活。     

Burden of frailty in the elderly population: perspectives for a public health challenge

Frailty is a major health condition associated with ageing. Although the concept is almost universally accepted, its operational definition remains controversial. Anyway, this geriatric condition represents a huge potential public health issue at both the patient and the societal levels because of its multiple clinical, societal consequences and its dynamic nature. Here, we review existing definitions and assessment tools for frailty, we highlight consequences of this geriatric condition and we discuss the importance of its screening and prevention to limit its public health burden.     

Nebraska healthcare system successfully rebrands. Alegent pledges higher standard of care

Omaha, Neb.-based Alegent Health launched a rebranding effort during its fifth anniversary. Seeking an improved the growth rate, the campaign changed its general health and wellness position to one which stressed its high standard of patient care and its commitment to the community. Part of the campaign's success is attributed to its consistent use, and its incorporation into all Alegent collateral and public relations efforts. The 2000 Alegent Health Annual Report also reinforced the new position.     

Clinical epidemiology. what,who, and whither

Clinical epidemiology, the what, was introduced by John Paul in 1938, as a new basic science for preventive medicine. Its definition subsequently took on a more bedside tone, but continues to be adapted to the needs of its practitioners. Clinical epidemiology, the who, centers on Alvan Feinstein and the way that he led the field and nurtured so many of its practitioners. Clinical epidemiology, the whither, describes its more recent development and its impact on five evolutions and revolutions: in evidence generation, its rapid critical appraisal, its efficient storage and retrieval, evidence-based medicine, and evidence synthesis.     

血透临床工程师对血透机的日常管理及维护保养

本文阐述了如何发挥血透室临床工程师的作用和职责，为血液透析装备的安全有效运行提供保障；如何对血液透析机进行有效的管理以及维护保养，确保设备工作性能及稳定性，从而降低使用过程中的风险、保障患者的安全、延长血液透析机使用寿命、提高血液透析机的安全与有效性。     

On the value-ladenness of technology in medicine

The objective of this article is to analyse the value-ladenness of technology in the context of medicine. To address this issue several characteristics of technology are investigated: i) its interventive capacity, ii) its expansiveness and iii) its influence on the concept of disease, iv) its generalising character, v) its independence of the subjective experience of the patient. By this analysis I hope to unveil the double face of technology: Technology has a Janus-face in modern medicine, and the opposite of its factual face is evaluative. This revised version was published online in July 2006 with corrections to the Cover Date.