3.下肢靜脈曲張,,,,,,,,

大隱靜脈高位結(jié)扎＋剝脫術(shù),,,,,,,,

主要診斷,下肢靜脈曲張,,,ICD-10碼：I83,,,,

主要操作,大隱靜脈高位結(jié)扎＋剝脫術(shù),,,ICD-9-CM3碼：38.59,,,,

入院標(biāo)準(zhǔn),1.第一診斷必須符合ICD-10：I83下肢靜脈曲張疾病編碼；2.當(dāng)患者合并其他疾病，但住院期間不需要特殊處理也不影響第一診斷的臨床路徑流程實(shí)施時(shí)，可進(jìn)入日間手術(shù)路徑；3.原則上ASA分級Ⅱ級及以下；4.需經(jīng)過術(shù)前麻醉評估。,,,,,,,

出院標(biāo)準(zhǔn),"1.麻醉后出院評分系統(tǒng)（PADS）：評分總分≥9時(shí)，方可準(zhǔn)予患者離院。PADS評分項(xiàng)目包括：①基本生命體征；②活動(dòng)能力；③疼痛；④術(shù)后惡心和嘔吐；⑤切口出血。各單項(xiàng)評分0-2分，相加后總分10為滿分。

2.?？魄闆r：①患者體溫正常，切口愈合好無積血、感染等；②沒有需要住院處理的并發(fā)癥。",,,,,,,

住院時(shí)間,≤24h,,,,,,,

變異條件,"1.PADS評分＜9分

2.?？圃u估：出現(xiàn)手術(shù)并發(fā)癥時(shí)，需進(jìn)一步診斷和治療，住院恢復(fù)時(shí)間相應(yīng)延長。",,,,,,,

轉(zhuǎn)診條件,無,,,,,,,

"再入院

間隔時(shí)間",2周,,,,,,,

"基本項(xiàng)目

（必須要完成的醫(yī)療服務(wù)）",,,,,,,,

術(shù)前,,,術(shù)中,,,術(shù)后,,

"醫(yī)療服務(wù)

項(xiàng)目編碼","醫(yī)療服務(wù)

項(xiàng)目名稱","技術(shù)

難度","醫(yī)療服務(wù)

項(xiàng)目編碼","醫(yī)療服務(wù)

項(xiàng)目名稱","技術(shù)

難度","醫(yī)療服務(wù)

項(xiàng)目編碼",醫(yī)療服務(wù)項(xiàng)目名稱,"技術(shù)

難度"

護(hù)理,,,,,,,,

ACAB0001,Ⅱ級護(hù)理,d50,ACAC0001,Ⅰ級護(hù)理,d80,ACAB0001,Ⅱ級護(hù)理,d50

,,,,,,ACAA0001,/Ⅲ級護(hù)理,d20

檢查,,,,,,,,

CAAB1000,全血細(xì)胞計(jì)數(shù)+5分類檢測,,,,,,,

CECA1000,丙氨酸氨基轉(zhuǎn)移酶(ALT)測定,,,,,,,

CECB1000,天門冬氨酸氨基轉(zhuǎn)移酶(AST)測定,,,,,,,

CELA1000,總膽紅素(T-Bil)測定,,,,,,,

CELB1000,直接膽紅素(D-Bil)測定,,,,,,,

CECC8000,γ-谷氨?；D(zhuǎn)移酶(GGT)測定,,,,,,,

CEAA8000,總蛋白(TP)測定,,,,,,,

CEAE8000,白蛋白(Alb)測定,,,,,,,

CECD8000,堿性磷酸酶(ALP)測定,,,,,,,

CEEA8000,尿素(Urea)測定,,,,,,,

CEEB8000,肌酐(Cr)測定,,,,,,,

CEEE8000,尿酸(UA)測定,,,,,,,

CEJA8000,鉀(K)測定,,,,,,,

CEJB8000,鈉(Na)測定,,,,,,,

CEJC8000,氯(Cl)測定,,,,,,,

CEJD1000,總二氧化碳(TCO2)測定,,,,,,,

CEJE8000,鎂(Mg)測定,,,,,,,

CEJF8000,總鈣(Ca)測定,,,,,,,

CAGA1000,凝血酶時(shí)間(TT)測定,,,,,,,

CAGB1000,/活化部分凝血活酶時(shí)間(APTT)測定,,,,,,,

CAGC1000,/血漿凝血酶原時(shí)間(PT)測定,,,,,,,

CAGD1000,/血漿纖維蛋白原測定,,,,,,,

CGLG1000,乙型肝炎表面抗原定性(HBsAg)測定,,,,,,,

CGLH1000,/乙型肝炎表面抗原定量(HBsAg)測定,,,,,,,

CGMA1000,丙型肝炎抗體(抗HCV)測定,,,,,,,

CGMF1000,人免疫缺陷病毒抗體(抗HIV)測定,,,,,,,

CGPP1000,梅毒螺旋體抗體(抗TP)測定,,,,,,,

EABVN001,胸部X線攝影,c22,,,,,,

FKA03703,十二通道常規(guī)心電圖檢查,b14,,,,,,

EDCM1001,下肢深靜脈彩色多普勒超聲檢查,c80,,,,,,

未找到,超聲血流動(dòng)力學(xué)評估及穿通支定位,,,,,,,

治療,,,,,,,,

,,,ABJA0001,氧氣吸入,d50,ABFA0001,換藥(小),a9

,,,HL962202,外周動(dòng)脈穿刺置管術(shù),k70,ABFA0002,/換藥(中),a18

,,,ABDA0001,經(jīng)外周靜脈置入中心靜脈導(dǎo)管術(shù),d100,ABFA0003,/換藥(大),a27

,,,HAM62401,經(jīng)口氣管插管術(shù),k90,ABFA0004,/換藥(特大),a36

監(jiān)測,,,監(jiān)測,,,,,

,,,FKA02203,檢測儀中心靜脈壓測定,d80,HAP28901,麻醉恢復(fù)室監(jiān)護(hù),k40

,,,FKA05705,無創(chuàng)心電監(jiān)測,b9,,,

,,,HAN05201,/有創(chuàng)連續(xù)動(dòng)脈血壓監(jiān)測,k70,,,

,,,FKA05709,無創(chuàng)血壓監(jiān)測,b9,,,

,,,FKA05710,無創(chuàng)指脈血氧飽和度監(jiān)測,b5,,,

,,,HAN05702,術(shù)中體溫監(jiān)測,k5,,,

,,,HAN05902,全身麻醉下呼吸功能監(jiān)測,k50,,,

麻醉,,,,,,,,

,,,,/局部麻醉,,,,

,,,HAA42901,/全身麻醉,k100,,,

,,,HAC42109,/腰部硬膜外單次阻滯麻醉,k60,,,

,,,HAC42110,/腰部硬膜外連續(xù)阻滯麻醉,k70,,,

,,,HAC42103,/腰麻復(fù)合連續(xù)硬膜外阻滯麻醉,k80,,,

,,,HAJ42101,/腰叢神經(jīng)單次阻滯麻醉,k70,,,

,,,HAJ42102,/腰叢神經(jīng)連續(xù)阻滯麻醉,k80,,,

,,,HAJ42103,/股神經(jīng)單次阻滯麻醉,k40,,,

,,,HAJ42104,/股神經(jīng)連續(xù)阻滯麻醉,k50,,,

,,,HAJ42105,/股外側(cè)皮神經(jīng)單次阻滯麻醉,k30,,,

,,,HAJ42106,/股外側(cè)皮神經(jīng)連續(xù)阻滯麻醉,k40,,,

,,,HAK42101,/坐骨神經(jīng)單次阻滯麻醉,k40,,,

,,,HAK42102,/坐骨神經(jīng)連續(xù)阻滯麻醉,k50,,,

,,,HAK42103,/隱神經(jīng)阻滯麻醉,k40,,,

,,,HAK42104,/腘窩入路脛神經(jīng)單次阻滯麻醉,k40,,,

,,,HAK42105,/腘窩入路脛神經(jīng)連續(xù)阻滯麻醉,k50,,,

,,,HAK42106,/腓總神經(jīng)阻滯麻醉,k40,,,

,,,HAA42902,/無插管全麻,a54,,,

,,,HAC42101,/單次腰麻,k60,,,

,,,HAC42102,/連續(xù)腰麻,k80,,,

手術(shù),,,,,,,,

,,,HM573301,下肢大隱靜脈高位結(jié)扎曲張靜脈剝脫術(shù),a58,,,

病理及其它,,,,,,,,

CJBY9000,普通細(xì)菌藥敏定量試驗(yàn),,,,,,,

藥物,,,,,,,,

,示蹤藥物,,,抗菌藥物,,,抗菌藥物,

"選擇項(xiàng)目

（可以根據(jù)患者病情或個(gè)體差異選擇性做的醫(yī)療服務(wù)）",,,,,,,,

術(shù)前,,,術(shù)中,,,術(shù)后,,

"醫(yī)療服務(wù)

項(xiàng)目編碼","醫(yī)療服務(wù)

項(xiàng)目名稱","技術(shù)

難度","醫(yī)療服務(wù)

項(xiàng)目編碼","醫(yī)療服務(wù)

項(xiàng)目名稱","技術(shù)

難度","醫(yī)療服務(wù)

項(xiàng)目編碼",醫(yī)療服務(wù)項(xiàng)目名稱,"技術(shù)

難度"

檢查,,,,,,,,

AADB0001,院內(nèi)會(huì)診,d80,,,,,,

CLBB8000,結(jié)核/非結(jié)核分枝桿菌核酸檢測,,,,,,,

FPV02401,肛門直腸測壓,b32,,,,,,

治療,,,,,,,,

HYW89305,游離皮瓣移植術(shù),a81,ABJA0001,氧氣吸入,d50,PBAA0501,中藥局部熏洗治療,m35

ABHA0001,導(dǎo)尿,d70,ABHA0001,導(dǎo)尿,d70,PBAA1203,中藥化腐清創(chuàng)術(shù)(大),m80

ABHA0002,導(dǎo)尿管留置,d70,ABHA0002,導(dǎo)尿管留置,d70,PBCD1401