A/D R µp Ambulatory Monitor System Holter 24 Holter Holter Holter Holter Holter Holter 60 Flash Memory 2-2 Flash RAM / 8 3

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1 18 2. / 6-8 T 2.1 S-T A/D µp A/D Hz,

2 A/D R µp Ambulatory Monitor System Holter 24 Holter Holter Holter Holter Holter Holter 60 Flash Memory 2-2 Flash RAM / 8 3dB Hz 486 Multicolor High Resolution, High Speed, Graphical Interface Built-in On-Screen Help Manual On-Screen Review and General Data Editing 3 Channel ECG Reporting Relative and Absolute ST Values ST Slope Reporting On-Screen Review and Edit of All Morphologies 3 Levels of "Undo Edits" in Morphologies Episode Display Options with Strip Review Mass Delete/Undelete of Episodes On-Screen Review and Edit of Episodes Complete Strip Labeling with; Date, Time, Event, Duration, # of Beats, Rate

Reporting Relative and Absolute ST Values ST Slope Reporting On-Screen Review and Edit of All Morphologies 3 Levels of "Undo Edits" in Morphologies Episode

3 20 Insert for Patient Diary Info onto Episode Strips On-Screen Graphs for Review Zoom-in Graphs with Jump to Full Disclosure R-R Distribution with 4 Daily Periods On-Screen Review and Edit of Tabular Data Narrative Style Summary Tabular Style Summary Textfile Output (ASCII) Hospital/Clinic Header for Reports HiLite "Chaos" Periods; On-Screen and Printout ECG Context Strips Complete with 1 Minute of ECG Programmable User Level (Beginner or Advanced) Unlimited Patient Storage Programmable Reports; Quick, Standard, Custom Batch Printing of Patient Reports Batch Save/Delete/Restore Features Batch Copy/Move with Complete Archiving to Secondary Drives Store Patient Reports in Full or Summary Mode Print Patient List for Easy Cataloging SV Morphology Editing For Atrial Beat Arrhythmia s Heart Rate Variability (HRV) Complete with SDNN, SDANN, RMS and TRI Frequency Domain (FD) HRV with Spectral and LF/HF Graphs QT & QTC Analysis Atrial Fibrillation Detection Color-Coded Beat Markers Pacer Spike Markers VE, Interpolated & PVC Reporting Superimposition J Point and ST Point Adjustment Capabilities ST Absolute or Relative Value Measurements On-Screen ECG Calipers Individual Beat Annotation Retrospective Analysis 2.2 Blood Pressure, BP 100mmHg 100mmHg 0mmHg mmhg cmh 2 O

of ECG Programmable User Level (Beginner or Advanced) Unlimited Patient Storage Programmable Reports; Quick, Standard, Custom Batch Printing of Patient Reports Batch Save/Delete/Restore Features

4 a b 1~6 2~ mmHg

5 Hz 5-12V mmHg (1) (2) (3) 100cm (4) 2-6

6 23 2ml/h = a b cb c

7 HbO 2 HbO 2 +Hb Pulse Oximeter (Lambert Beer Law) I I0 I= I0e Cd I I0 D 2-9 D=In(II0)=kCd C ( ) d k d D HbO2 Hb 6OO-700nm (RED) Hb HbO2 80O1000nm (IR) Hb HbO2 8O5nm (LED) 660nm 940nm 2-10 HbO 2 Hb HbO2 Hb HbO2 Hb

1 (Lambert Beer Law) I I0 I= I0e Cd I I0 D 2-9

8 SaO2= KlR 2 + K2R + K3 K1K2K3 R R = RED/IR SpO LED (1) LED (2) IED LED (3) IED 480 ( 60Hz )4O0 (5OH7 ) LED IED SaO2 SaO2 6s ) 2.4

9 / / A T T f Q (T-T f )A T f Q T (NiMnCoFCuMgTi ) (SiC) (1/T - 1/To) R T = R 0 e R0 T0 T RT ( ) RL RF Z x 2-12 V kHz

10 CO 2 4.3m CO (body core temperature) Fick Fick Q=(dV/dt) / (Ca-Cv) dv/dt Ca Fick Swan-Ganz Stewart-Hamilton

11 b C V Q = T T 0 T i ( b i ) ' Tbdt 0 / 1.08 b 0 60 C T V i T i T b T b SwanGanz 2-13 A B SWAN-GANZ C SWAN-GANZ ICUCCU 2.7 (FHR) 120bpm-160bpm (14020bpm) 5-30bpm 2-15

SwanGanz 2-13 A B SWAN-GANZ C 24 2-14 SWAN-GANZ

12 (UP: Uterine Pressure, UC: Uterine Contraction) FHR FHR (FM) FHR 20bpm/cm (50-210bpm), 25mmHg/cm (0-100mmHg) 1 2cm/min ph ( ) 2-1 ( ) ( ) ) v 2MHz (40), 15s min 120 min 160 min min 3540 min 2

13 30 a b 2-16 a B 2.8 (IBPNIBP) (CO) (SpO2) 2.8.1

14 31 A/D CPU ( ) (CRT) 25mm/s 50mm/s CPU ROM (X-Y) 1 CRT T 2-17

15 32 : / Recovery Room/SICU CCU 5. PICU/NICU ICU ICU ICU(CCU) U 6-8 ICU ( )

16 ICU ECG II EEG phpo2pco2 ICU CO2 CO2 PO2 PCO2 ICU ICU CRT CRT 2-18 ICU ICU Ethernet (Alarm watch) 13 ALARM WARCH 8 (Remote view) 13 PCMS (Ethernet) (CCU)

17 34 CCU( ) CCU 10-15s 0.1Hz 40Hz , 2-20

18 EEG phpo2pco (NICU), ECG CO2 CO2 CO2 PO CO / 100 / 160 ECG 35 ECG 10-30s 10s ECG ECG CRT

19 36 Po 2 Po Holter ICU 24. ICU 25. ICU 26. CCU 27. CCU

20 A s =K s C s L s A s =K s C s L s L k A s /A x =C s /C x C x =(A x /A s )C s I C A = KCb A I I 0 A= lg(i 0 /I)K C b K I 0 b

A s /A x =C s /C x C x =(A x /A s )C s 3.

21 38 mol/l cm K ( ) 6~12V (320~1100nm) T M (480nm) (T M 2) AB 2-λ1 530nm-430nm100nm a b c

22 3.1.3 T A nm (T=0) =100%) 2 (T=0) 1 / D/A E=hv I c I=ac

23 Atomic Absorption SpectrometryAAS 60 ng/ml (Hollow Cathode Lamp)

24 ( ) 2~ Skeggs

25 ( ) ( ) ( ) ( ) ( ) ( ) ( )

26 ( ) ( ) 2 46, 20 ( ) Anderson ( 1-50µL µL) ( 600 )

27 44, (IL )IL Multistat III IL MONARCH PLUS (Baker) Encore T4IgAIgGIgMMg T4 LKB Hycel RaBoSuper

28 (ph ) (PC02) (P02) ph HCO3 PCO 2 (BE) PO 2 ( ) ( )ph PCO2P h phpco 2 PO 2 phpco 2 PO 2 PH PH 70 PH PH PH PH PH PH

29 ( ) KCl KCl l2 ph 12 PCO 2 PO 2 ( ) 37 KCl KCI Na+K+CL-HCO3-Ca++ PVC

30 Na K + Na + K ( ) ( ) ( ) 7 ( mmol/L mmol/L) 3.5 5% l0% (RBC) (WBC) (PLT) (HGB) (HCT) (MCV) (MCH) (MCHC) 3.5.1

31 48 45% 8%~9% 55% 91%~92% ( ) 50 (Coulter) Oetho (

32 ) ( ) ( 3-14 ) ~10m 20m 100m

33 50 (Poisson) ~ l g100m1( gl) ( ) nm 690nm B 540nm A 540nm 1 690nm 2 1 A 1 K 1 CL As 1 A 1 1 K 1 1 C L As 1 2 A 2 K 2 CL As 2 A 2 2 K 2 2 As nm 690nm As 1 As 2 A A(K 2 K 1 )CL (Total Laboratory AutomationTLA)

34 80 (Atuomation D1vi sion) TLA TLA TLA ( ) SySmex HS TM (SysmeX CoLtd., Japan) ACCELNETTM(Beckman Coulter Co Ltd., US) L

35 SD l mm ( ) PO2PCO2

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