1231234552112345612312??112182222243??50%60%4305?(dB)35405060?906712123456123123456781240~4234()()1.2.3.4.5.24h23------------123123412312341.2.3.1231212341234512312341234540~42112345623()()()1234563-NWHO1212312346h1602h1701h180122/3317012300m2min34hkPamin102.97137.301211261530205.813251012204040%60%35734412345612340.2%12min0.02%1270%75%2.5%70%75%1234a)b)c)d)7e)5a)b)c)d)e)f)g)h)???1.---2.3.4.5.6.SARS--///12341234567123123126345612312345?denture??2310.9%pH20.02%pH31%3%pH41%4%pH52%3%pH60.1%pH70.08%123??43-45?30%30%35?????2241-4612345612?Braden12?Norton1431212h30min2313021231?302??3??,4???+1123421?????2120-30min10min210h10-12h8-9h7-8h507h31212???3441234567123??20mmHg?0123450123412345ROMROM,PRE123451(1)(2)2?????1(1)(2)2(1)(2)?-(PO/AO)???137.036.337.297.399.037.536.537.797.799.036.536.037.096.898.620.51?2616??0.3?3737.51237.338.038.139.039.141.041.03,4394024139,241,395130233000ml4????5???35123235303230232534122-24234()12()1700.13030235403mm0.21352;30min3430min567860100min125/34()1110026021()2312~34541234590-139mmHg120-186kPa60-89mmHg80-120kPa30-40mmHg40-53kPakPammHgkPammHg1mmHg=0133kPa1kPa=75mmHg12345671140mmHg90mmHg290mmHg60mmHg312123412316201:41:5123456()1124/min212/min21231-(5-30s)241251()23123451231234541234(48h)55.1:20min234566.1energy2nutrient316-19456VitA/D/E/KVitB1/B2/B6/B12/C712313I45681234567840g/d950g40g/d10300mg/d112g120.7g/d0.5g/d1314341516331711813I291AB:C:2ABC3ABC1011tubefeeding:12nasogastricgavage1321015cm345384062712elementaldiet1:2A46250400mlB46400500ml3060C12243ABCD4ABCD424E374142FGHIJK1212ABCDEFGH312ABDECabc4catheterization1231000ml456512361234512h24h612ABCDEFGHIJ712ABCDEFGH812ABCDE9(enema)10.12..340.1%-0.2%500-1000ml200-500ml39-4128-32412500ml30cm30.9%45611200ml3810%2%0.5%1%1231520cm412123411234521ABCD2345678910ABC31,23ABC4.ID123123H12123IMIV123IV121V342V3VIDHIMIV70%530~40V1530VV905051/2~2/32/32.5VVV10.5%22%+70%5cm1a4b2a.b310cm,10cm7.5cm.4235A()1520BC56(hypersensitivity)allergyanaphylaxis7G---120u/0.1ml20.1ml3TATTAT1ml150U0.1ml1ml150U0.1ml812IH0.1%0.5~1ml0.5ml345~10mg200~400mg5%10%500ml25~50mg40mg91intravenousinfusion24060/2040/31ABCDE2AB3AB4ABC41ABCD2ABCDEF200300ml3ABCDEFG4ABCDEFG5bloodtransfusion67ABC81291ABabcd2Aabc4dBabcd3AabcdBabcdefgh4A24Bab:b1b2b3b4c:1000ml1010ml510123411ml12=60ml13=1412ABCDE31512...:.:.::()()().:.::()5ml15ml():():......::()100ml()()().::():5ml().1224:()12()24()()()30....24h.12h24h..17.17...:().:4.:2~56~7cm.:5~10g:()()()()......::()()95%10%.24:2477.:()()():()()()229.....:5ml15ml:5ml:1717::95%10%:1231231231NRS2(VDS3VAS4FES5Prince-Henry6WHOWHO0123WHO(PCA)(1)(2)PCATENS1212345612345611ABCDEF23(Consciousness)(disturbanceofconsciousness)4AB25mmC56ABC7231ABabcde2ABCDEFG451EMSS--10EMSS120AED23--2-3cm104circulationC1/35cm1001:13025S2215airway,AAB6breathing,B10-12/15/20/7defibrillation,D6CPR18KPa234567123308gastriclavage91011123412160510594049DDT6665%3%1150001200002%4%1%1150001200002%4%1%11500012000050%1150001200001150001200001150001200000.2-0.5%1150001200000.1%0.5%1%10ml510min13%1%123451231-2-34-5-674123456512,34561denialABC2angerABC3bargainingABC4depressionABCDE5acceptanceABCD71234567812ABCD121ABCD1E-,F14,,71/82/93/10,,14240~424042243AxOBC35DOEv(verified)F4042Gq2h4ABOCO5ARRB6AB0EE241E122E24CCDEKgFmmHg(kPa)GH31242243A(pm)24hB(sos)12h4ABC5ABC6AB12h783ABC