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重症监护中心计算机化监测在诊断、治疗、教学及数据库利用方面的应用

Diagnostic, therapeutic, didactic, data bank utilization of computerized monitoring in a critical care center.

作者信息

Magalini S I, Proietti R, Lorino F

出版信息

Resuscitation. 1984 Mar;11(3-4):193-205. doi: 10.1016/0300-9572(84)90017-0.

Abstract

At the beginning of their discovery informatic technique procedures and methodologies generated a great wave of hopes for progress in theoretical and practical fields of human activity, but when passing to concrete application, an ebb phase followed. Recent theoretical and technical progress, however, has generated an enormous new up-surge of interest for applications of informatic processing in all fields of science. Medicine in the last three decades has gone through the same phases observed in other disciplines. In the ICU the potentiality of exploitation of the informatic techniques appeared enormous, however, initially from a practical point of view it found only limited, sectorial experimentation and implementation, but afterwards a limited and slow process of parcellar infiltration, the high tide of informatic, has broken the dam and deeply advanced in its territory, obliging the staff to a great effort of cultural and technical updating to cope with it. After recalling some of the history of Computer Science or Informatic, even if history was only yesterday, we will present some examples of the hand made experience of an ICU, (namely ours) with limited economical resources, and whose interest in this field arises from actual needs, personal interest and enthusiasm of a staff who works, on its free time, after fulfilling its stressing routine.

摘要

在信息学技术的程序和方法刚被发现时,它们在人类活动的理论和实践领域引发了一股巨大的进步希望浪潮,但在进入具体应用阶段后,却迎来了一个衰退期。然而,最近的理论和技术进步在科学的各个领域引发了对信息处理应用的新一轮巨大兴趣。在过去三十年里,医学经历了与其他学科相同的阶段。在重症监护病房(ICU),信息学技术的应用潜力似乎巨大,然而,最初从实际角度来看,它只得到了有限的、局部的试验和实施,随后是一个有限且缓慢的逐步渗透过程,信息学的高潮冲破了障碍,在其领域内深入发展,迫使医护人员付出巨大努力进行文化和技术更新以应对。在回顾了计算机科学或信息学的一些历史后,即使历史仿佛就在昨天,我们将展示一些在资源有限的情况下,一个重症监护病房(即我们的病房)的实际经验例子,其对该领域的兴趣源于实际需求、个人兴趣以及工作人员在完成繁重日常工作后的业余时间所展现出的热情。

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