單病種病態(tài)竇房結(jié)綜合征單腔永久起搏器植入臨床路徑費(fèi)用明細(xì)表2（按類(lèi)別）,,,,,,,

類(lèi)別,項(xiàng)目名稱(chēng),規(guī)格,數(shù)量（最?。?數(shù)量（最大）,單價(jià)/元,總價(jià)/元（min）,總價(jià)/元（max）

一、檢查,,,,,,,

常規(guī)心電圖檢查(十二通道),常規(guī)心電圖檢查（床旁心電圖加收）/次,次,2,3,5.00,10.00,15.00

,常規(guī)心電圖檢查(十二通道)/次,次,2,3,25.00,50.00,75.00

超聲心動(dòng)圖,室壁運(yùn)動(dòng)分析/次,次,1,2,18.00,18.00,36.00

,心內(nèi)膜自動(dòng)邊緣檢測(cè)/次,次,1,2,29.00,29.00,58.00

,心臟彩色多普勒超聲/次,次,1,2,85.00,85.00,170.00

,組織多普勒顯象(TDI)/次,次,1,2,29.00,29.00,58.00

,左心功能測(cè)定/次,次,1,2,45.00,45.00,90.00

,彩色室壁動(dòng)力(CK)/次,次,1,2,29.00,29.00,58.00

,超聲計(jì)算機(jī)圖文報(bào)告/次,次,1,2,8.20,8.20,16.40

胸部正側(cè)位片（DR）,X線攝影(加濾線器計(jì)費(fèi))加收/個(gè),個(gè),4,4,1.00,4.00,4.00

,數(shù)字化攝影(DR)/次,次,4,4,45.00,180.00,180.00

,X線數(shù)字化攝影激光膠片/日本柯尼卡14*17in(新,片,4,4,20.52,82.08,82.08

小計(jì),,,,,,569.28,842.48

二、檢驗(yàn),,,,,,,

血細(xì)胞分析+超敏C+血型鑒定,C—反應(yīng)蛋白測(cè)定(CRP),項(xiàng),1,1,8.40,8.40,8.40

,超敏C反應(yīng)蛋白測(cè)定（免疫熒光法）,次,1,1,45.00,45.00,45.00

,全血細(xì)胞計(jì)數(shù)+五分類(lèi),套,1,1,25.00,25.00,25.00

,網(wǎng)織紅細(xì)胞計(jì)數(shù)(Ret)(儀器法),項(xiàng),1,1,6.00,6.00,6.00

,Rh血型鑒定/次（必要時(shí)）,次,0,1,11.00,0.00,11.00

,ABO紅細(xì)胞定型/次,次,1,1,3.60,3.60,3.60

凝血五項(xiàng)+FDP,活化部分凝血活酶時(shí)間測(cè)定(APTT)(儀器法)/,項(xiàng),1,2,15.00,15.00,30.00

,凝血酶時(shí)間測(cè)定(TT)(儀器法)/項(xiàng),項(xiàng),1,2,20.00,20.00,40.00

,纖維蛋白(原)降解產(chǎn)物測(cè)定(FDP)(儀器法)/項(xiàng),項(xiàng),1,2,45.00,45.00,90.00

,血漿D-二聚體測(cè)定(D-Dimer)(各種免疫學(xué)方法)/項(xiàng),項(xiàng),1,2,80.00,80.00,160.00

,血漿凝血酶原時(shí)間測(cè)定(PT)(儀器法)/項(xiàng),項(xiàng),1,2,15.00,15.00,30.00

,血漿纖維蛋白原測(cè)定(儀器法)/項(xiàng),項(xiàng),1,2,20.00,20.00,40.00

腎功能,肌酐測(cè)定/項(xiàng),項(xiàng),1,1,7.10,7.10,7.10

,內(nèi)生肌酐清除率試驗(yàn)/項(xiàng),項(xiàng),1,1,8.00,8.00,8.00

,尿素測(cè)定/項(xiàng),項(xiàng),1,1,7.00,7.00,7.00

,血清尿酸測(cè)定/項(xiàng),項(xiàng),1,1,7.20,7.20,7.20

,血清碳酸氫鹽(HCO3)測(cè)定/項(xiàng),項(xiàng),1,1,9.20,9.20,9.20

,血清胱抑素(CystatinC)測(cè)定/項(xiàng),項(xiàng),1,1,15.00,15.00,15.00

電解質(zhì),鉀測(cè)定/項(xiàng),項(xiàng),1,1,5.00,5.00,5.00

,鈣測(cè)定/項(xiàng),項(xiàng),1,1,5.00,5.00,5.00

,氯測(cè)定/項(xiàng),項(xiàng),1,1,5.00,5.00,5.00

,鈉測(cè)定/項(xiàng),項(xiàng),1,1,5.00,5.00,5.00

血?dú)夥治?全血乳酸測(cè)定/項(xiàng),項(xiàng),1,8,12.30,12.30,98.40

,血?dú)夥治?次,次,1,8,42.00,42.00,336.00

微量血糖測(cè)定,葡萄糖測(cè)定(干化學(xué)法)/次,次,1,7,15.00,15.00,105.00

免疫三項(xiàng),丙型肝炎抗體測(cè)定(Anti-HCV)/項(xiàng),項(xiàng),1,1,21.90,21.90,21.90

,梅毒螺旋體特異抗體測(cè)定/項(xiàng),項(xiàng),1,1,15.00,15.00,15.00

,人免疫缺陷病毒抗體測(cè)定(Anti-HIV)/項(xiàng),項(xiàng),1,1,22.80,22.80,22.80

尿常規(guī),尿常規(guī)檢查/次,次,1,2,3.50,3.50,7.00

,尿液分析/次,次,1,2,8.00,8.00,16.00

肝功能,腺苷脫氨酶測(cè)定/項(xiàng),項(xiàng),1,1,8.00,8.00,8.00

,血清α-L-巖藻糖苷酶測(cè)定/項(xiàng),項(xiàng),1,1,7.70,7.70,7.70

,血清γ-谷氨?；D(zhuǎn)移酶測(cè)定/項(xiàng),項(xiàng),1,1,5.00,5.00,5.00

,血清白蛋白測(cè)定/項(xiàng),項(xiàng),1,1,3.50,3.50,3.50

,血清丙氨酸氨基轉(zhuǎn)移酶測(cè)定/項(xiàng),項(xiàng),1,1,5.00,5.00,5.00

,血清膽堿脂酶測(cè)定/項(xiàng),項(xiàng),1,1,8.20,8.20,8.20

,血清間接膽紅素測(cè)定/項(xiàng),項(xiàng),1,1,4.00,4.00,4.00

,血清堿性磷酸酶測(cè)定/項(xiàng),項(xiàng),1,1,5.00,5.00,5.00

,血清前白蛋白測(cè)定/項(xiàng),項(xiàng),1,1,9.40,9.40,9.40

,血清天門(mén)冬氨酸氨基轉(zhuǎn)移酶測(cè)定/項(xiàng),項(xiàng),1,1,5.00,5.00,5.00

,血清直接膽紅素測(cè)定/項(xiàng),項(xiàng),1,1,4.00,4.00,4.00

,血清總膽汁酸測(cè)定/項(xiàng),項(xiàng),1,1,12.00,12.00,12.00

,血清總蛋白測(cè)定/項(xiàng),項(xiàng),1,1,3.60,3.60,3.60

,血清總膽紅素測(cè)定/項(xiàng),項(xiàng),1,1,4.00,4.00,4.00

,血清總膽固醇測(cè)定/項(xiàng),項(xiàng),1,1,4.00,4.00,4.00

乙肝表面抗原測(cè)定,乙型肝炎表面抗原測(cè)定(HBsAg)(定量)/項(xiàng),項(xiàng),1,1,15.00,15.00,15.00

大便常規(guī)+隱血,糞便常規(guī)/次,項(xiàng),1,1,2.50,2.50,2.50

,糞便隱血試驗(yàn)(OB)(免疫法)/項(xiàng),項(xiàng),1,1,6.00,6.00,6.00

,糞寄生蟲(chóng)鏡檢/次,次,1,1,4.60,4.60,4.60

小計(jì),,,,,,613.50,1301.10

三、手術(shù)費(fèi),先心病介入治療/次,次,1,1,2240.00,2240.00,2240.00

,經(jīng)皮選擇性動(dòng)脈造影術(shù)/次,次,1,1,1170.00,1170.00,1170.00

,臨床操作DSA引導(dǎo)(不含臨床操作)/每小時(shí),次,1,1,120.00,120.00,120.00

,右心導(dǎo)管檢查術(shù)/次,次,1,1,1080.00,1080.00,1080.00

,左心導(dǎo)管檢查術(shù)/次,次,1,1,1188.00,1188.00,1188.00

小計(jì),,,,,,5798.00,5798.00

四、麻醉費(fèi),麻醉中監(jiān)測(cè)/小時(shí),小時(shí),1,2,61.10,61.10,122.20

,全身麻醉/2小時(shí),2小時(shí),1,2,572.00,572.00,1144.00

,特殊方法氣管插管術(shù)/次,次,1,1,169.00,169.00,169.00

小計(jì),,,,,,802.10,1435.20

五、藥品,注射用頭孢唑林鈉,0.5g/瓶,0,2,1.80,0.00,3.60

,葡萄糖氯化鈉注射液(5%塑料瓶)/,250ml:12.5g:2.25g/瓶,2,2,3.47,6.94,3.47

,氫溴酸東莨菪堿注射液/0.3mg:1ml*5/支,0.3mg:1ml*5/支,1,1,1.96,1.96,62.72

,氯化鈉注射液(0.9%塑料瓶),100ml:0.9g/瓶,14,32,2.80,39.20,89.60

,氯化鈉注射液(0.9%塑料安瓿)(H),10ml:0.09g/支,2,10,1.39,2.78,13.90

,注射用頭孢唑林鈉,0.5g/瓶,24,58,1.80,43.20,104.40

,肝素鈉注射液,1.25萬(wàn)單位:2ml*10/支,1,1,9.25,9.25,9.25

,枸櫞酸芬太尼注射液/0.1mg:2ml/支,,1,4,4.1,4.10,16.40

,甲硫酸新斯的明注射液/0.5mg:1ml*10/支,,4,4,2.6,10.40,10.40

,鹽酸麻黃堿注射液/30mg:1ml/支,,1,2,0.61,0.61,1.22

,硫酸阿托品注射液/0.5mg:1ml*10/支,,1,2,1.6,1.60,3.20

,鹽酸納洛酮注射液/0.4mg:1ml*5/支,,1,1,4.35,4.35,4.35

,氟馬西尼注射液/0.2mg:2ml/支,,1,2,32.5,32.50,65.00

,鹽酸戊乙奎醚注射液/1mg:1ml/支,,1,1,40.49,40.49,40.49

,復(fù)方利多卡因乳膏/5g/支,,5,5,7.598,37.99,37.99

,碘佛醇注射液/50ml:33.9g/瓶,,1,1,128,128.00,128.00

,丙泊酚注射液(J)/0.2g:20ml*5/支,,2,3,75.43,150.86,226.29

,注射用苯磺順阿曲庫(kù)銨/10mg/瓶,,1,1,92.44,92.44,92.44

,鹽酸托烷司瓊注射液(H)/1ml:5mg/支,,1,1,61.67,61.67,61.67

,注射用鹽酸瑞芬太尼/2mg*5/支,,1,1,135,135.00,135.00

,低分子量肝素鈉注射液/5000IU:0.4ml/支,,4,6,16.60,66.40,99.60

,葡萄糖氯化鈉注射液(5%塑料瓶)/250ml:12.5g:2.25g/瓶,,4,6,1.99,7.96,11.94

,維生素C注射液/0.5g:2ml*10/支,,8,12,0.15,1.20,1.80

,阿司匹林腸溶片(J)/0.1g*30/片,,4,20,0.52,2.07,10.34

,苯扎氯銨貼/100貼(25mm*18mm)/貼,貼,1,1,0.1850,0.19,0.19

小計(jì),,,,,,880.97,1233.07

六、耗材,一次性留置針(靜脈)/潔瑞Y型18G-24G等號(hào),,1,2,14.36,14.36,28.72

,真空采血管/綠頭31#,,1,1,1.3,1.30,1.30

,一次性注射器/5ml,,1,1,0.45,0.45,0.45

,一次性采血針/湖北仙明7#,,1,1,0.22,0.22,0.22

,一次性輸液器/7#~51/2#(配頭皮針,,1,1,1.17,1.17,1.17

,真空采血管/藍(lán)頭12#,,1,1,1.62,1.62,1.62

,真空采血管/紫頭11#,,3,3,1.62,4.86,4.86

,動(dòng)脈鞘/日本各規(guī)格(IKII型),,2,2,222.48,444.96,444.96

,一次性注射器/5ml,,2,2,0.45,0.90,0.90

,"一次性注射器(溶藥型)/10ml,12#,A型",,1,2,0.7,0.70,1.40

,微量泵延長(zhǎng)管/LJG-D,,2,3,0.49,0.98,1.47

,三通接頭/德國(guó)三通,,1,2,6.73,6.73,13.46

,圈套器/上海各規(guī)格,,0,1,3510.15,0.00,3510.15

,"導(dǎo)絲(M型血管造影用)/日本0.035""80/120cm",,1,1,263.52,263.52,263.52

,導(dǎo)絲(交換加硬)/美國(guó)0.035*260/502,,1,1,264.6,264.60,264.60

,動(dòng)脈鞘/日本各規(guī)格(IKII型),,2,2,222.48,444.96,444.96

,封堵器/(PDA)北京華醫(yī),,1,1,9217.47,9217.47,9217.47

,壓力延長(zhǎng)管/美國(guó)50P112,,2,2,59.24,118.48,118.48

,一次性手術(shù)包/新鄉(xiāng)市華西血管造影,,1,1,138.24,138.24,138.24

,一次性針筒(高壓注射泵用)/四川125mlDSA-N125,,1,1,122.04,122.04,122.04

,造影導(dǎo)管/美國(guó)INFINITI,,2,2,202.28,404.56,404.56

,三通接頭/浙江HS-TB020二聯(lián)三通,,2,2,25.92,51.84,51.84

,體腔體溫探頭/珠海ES-DG-09A,,1,1,272.16,272.16,272.16

,微量泵延長(zhǎng)管/LJG-D,,2,2,0.49,0.98,0.98

,吸痰管/浙江A2組合式/一次性,,2,2,3.02,6.04,6.04

,一次性輸液接頭/佛山肝素帽100只/盒,,1,1,2.48,2.48,2.48

,"一次性輸液器(滴定管式)/150ml,5.5#",,1,1,2.17,2.17,2.17

,"一次性吸引管/2.5M,帶接頭",,1,1,6.05,6.05,6.05

,一次性輸液器/A型帶針/緩排空型,,2,2,7.45,14.90,14.90

,一次性注射器/1ml31/2#,,2,2,0.56,1.12,1.12

,負(fù)壓引流器/日月星I型3000ml,,1,1,4.41,4.41,4.41

,呼吸回路/河南駝人/成人/人工鼻,,1,1,162,162.00,162.00

,面罩/蘇州氧氣成人,,1,1,10.8,10.80,10.80

,氣管插管(加強(qiáng)型鋼絲)/健琪2.5#-10.5#等各號(hào),,1,1,95.26,95.26,95.26

小計(jì),,,,,,12082.33,15614.76

七、護(hù)理床位及診療,二級(jí)護(hù)理,日,5,10,9.00,45.00,90.00

,重癥監(jiān)護(hù),小時(shí),8,12,11.30,90.40,135.60

,二級(jí)護(hù)工,日,5,10,6.00,30.00,60.00

,一級(jí)護(hù)工,日,1,1,12.00,12.00,12.00

,住院診查費(fèi)/日,日,,14,12.0000,0.00,168.00

,雙人間床位費(fèi)（外科大樓）/床天,床天,5,10,54.0000,270.00,540.00

,重癥監(jiān)護(hù)病房床位費(fèi)（外科大樓）/床/天,床天,1,1,43.0000,43.00,43.00

,陪人床（醫(yī)保）/床.天,床天,0,4,10.00