华西医院体外循环信息记录系统的介绍及临床应用  

The clinical application of Huaxi record system of cardiopulmonary bypass

作　　者：喻翔 谭赵霞 刘侠丽 周秀娟 罗明[1] 秦臻[1] 刘婷[1] 汪勃 杜磊[1] 熊际月[1] Yu Xiang;Tan Zhaoxia;Liu Xiali;Zhou Xiujuan;Luo Ming;Qin Zhen;Liu Ting;Wang Bo;Du Lei;Xiong Jiyue(Department of Anesthesiology,West China Hospital,Sichuan University,Sichuan Chengdu 610041,China)

机构地区：[1]四川大学华西医院麻醉科,成都610041

出　　处：《中国体外循环杂志》2025年第1期72-75,86,共5页Chinese Journal of Extracorporeal Circulation

摘　　要：建立具有体外循环相关指标的信息系统是提高临床质量的重要一环,并可用于回顾性病例剖析、大样本回顾研究,为临床标准的制定和验证提供依据。四川大学华西医院体外循环信息系统于2021年初开始设计,历时2年半,终于在2023年11月得以在临床中使用。该信息系统包含了自动获取和录入的生命体征数据、体外循环操作数据、操作流程、液体平衡等诸多信息,并最终以曲线形式、表格形式形成规范的体外循环医疗记录文书,能够较为全面反应体外循环全过程,值得推广。An electric record system of cardiopulmonary bypass is key to improve clinical quality,to retrospectively analyze the cases,and to provide information for clinical standards.The Huaxi record system of cardiopulmonary bypass was designed at the beginning of 2021 by West China Hospital of Sichuan University.After 2 and a half years of dedication,the record system has been applied in clinic since November 2023.The system involves patients’information and vital signs data,which are input automatically from HIS system and surgical anesthesia system respectively.However,the cardiopulmonary bypass data,operation data,operation process,and fluid balance are manually input.Some data are presented in curves,such as blood flow,and in tables such as liquid inflow and outflow.The electric system can intuitively and comprehensively record the process of cardiopulmonary bypass,and is worthy to be applied in clinic.

关 键 词：信息系统 体外循环 医疗记录 数据 数字化建设 

分 类 号：R197.323[医药卫生—卫生事业管理]