附：济南市体弱儿高危儿分级管理规范.doc

附：济南市体弱儿高危儿分级管理规范 济南市体弱儿/高危儿分级管理规范 一、 体弱儿/高危儿分类 ?类 1、家族中有脑瘫、智力低下、遗传病等病史者, 2、生母患有贫血、心脏病等疾病者, 3、生母有异常妊娠及分娩史,自然流产?3次,妊娠次数?4次,死胎、死产史,此次分娩年龄?35岁,或,16岁, 4、孕早期有先兆流产、孕期感染、服药、接触有害理化因素者, 5、胎位不正,胎盘早剥,胎膜早破及脐带、胎盘、羊水问题者, 6、过期产、巨大儿、多胎, 7、满月增重不足600克的婴儿, 8、维生素D缺乏性佝偻病初期。 ?类 1、母亲患中度以上妊娠期高血压综合征、糖尿病、严重感染等, 2、出生体重?2000克且孕周?35周的早产儿、低出生体重儿, 3、满月增重不足600克,经1个月社区管理效果不明显者, 4、活动性维生素D缺乏性佝偻病, 5、轻度营养性缺铁性贫血, 6、中度营养不良, 7、中度肥胖, 8、社区DDST筛查可疑者。 ?类 1、宫内、产时或产后窒息、缺氧缺血性脑病,颅内出血, 2、出生体重,2000克或孕周,35周的早产儿、低出生体重儿, 低出生体重儿中的足月小样儿,早产儿、低出生体重儿经3个月的基 层管理效果不明显者, 3、新生儿期严重感染性疾病、惊厥、低血糖等, 4、病理性黄疸, 5、患有遗传代谢性疾病,如先天愚型、甲状腺功能低下、苯丙 酮尿症等,, application; infection and antibacterial drug of clinical application; transfusion refers to levy; nutrition support of adapted card and clinical application; common life support technology (as cycle breathing support, and nutrition support,) and emergency technology of application; common guardianship instrument using. Look: shock, cardiac respiratory arrest and acute organ failure, systemic inflammatory response syndrome and severe infection and multiple organ dysfunction syndrome (MODS), severe disturbance of body fluid environment such as critical theory and progress of the illness. 2. basic requirements (1) species and cases of study requirements: severe pneumonia in disease-disease myocardial infarction ... 3. high requirements (1) learning disease species: disease species disease species image radiation: rheumatic heart congenital heart intestinal Crohns (Crohn) disease intestinal tuberculosis bile duct cancer chronic pancreatic inflammatory urinary system stone urinary system tumor adrenal disease thyroid disease cranial within infection nervous system tumor nuclear medical: Digest road bleeding explicit like brain blood flow perfusion explicit like testicular blood pool explicit like salivary glands explicit like (2) clinical knowledge, and skills requirements: understand various image check 6、中重度贫血、重度营养不良、重度肥胖及其他疾病基层治疗1个月无改善者, 7、反复感染、哮喘、先天性心脏病、先天性髋关节发育不良等, 8、疑有视