ASA分级和麻醉前准备.pptVIP

. * * ASA分级和麻醉前准备 ASA 总部网页上有关分级的描述： ASA Physical Status 1 - A normal healthy patient ASA Physical Status 2 - A patient with mild systemic disease ASA Physical Status 3 - A patient with severe systemic disease ASA Physical Status 4?- A patient with severe systemic disease that is a constant threat to life ASA Physical Status 5?- A moribund patient who is not expected to survive without the operation ASA Physical Status 6 - A declared brain-dead patient whose organs are being removed for donor purposes ASA Ⅰ ASA PS 1 Normal healthy patient No organic, physiologic, or psychiatric disturbance; excludes the very young and very old; healthy with good exercise tolerance ASA Ⅰ 正常健康 患者 没有器官的、生理上的病变以及精神障碍；有健康的体格，很好的运动耐受。不包括婴幼儿及高龄病员。 2个月 80岁 婴幼儿及高龄病员的年龄界定？ ASA Ⅱ ASA PS 2 Patients with mild systemic disease No functional limitations; has a well-controlled disease of one body system; controlled hypertension or diabetes without systemic effects, cigarette smoking without chronic obstructive pulmonary disease (COPD); mild obesity, pregnancy ASA 2 患者有轻度系 统疾病 2个月以内，或80岁以上无功能限制；某一系统疾病得到良好控制；高血压、糖尿病控制良好且无系统症状；抽烟但无COPD；轻度肥胖；妊娠 ASA Ⅲ ASA PS 3 Patients with severe systemic disease Some functional limitation; has a controlled disease of more than one body system or one major system; no immediate danger of death; controlled congestive heart failure (CHF), stable angina, old heart attack, poorly controlled hypertension, morbid obesity, chronic renal failure; bronchospastic disease with intermittent symptoms ASA 3 患者有 严重系 统疾病 有某些功能限制；一个以上系统疾病并得以控制；并未面临即时死亡威胁；充血性心衰得以控制，稳定型心绞痛，陈旧性心梗，高血压控制不良，病态肥胖，慢性肾衰，间歇症状的支气管痉挛性疾病 ASA Ⅳ ASA PS 4 Patients with severe systemic disease that is a constant threat to life Has at least one severe disease that is poorly controlled or at end stage; possible risk of death; unstable angina, symptomatic COPD, symptomatic CHF, hepatorenal failure ASA 4 患者有严重系统疾病经常面临死亡威胁 至少有一种未得到控制的严重疾病或其终末期；可能面临死亡危险；不稳定型心绞痛，有症状COPD，有症状的充血性心衰，肝肾衰竭 AS