2 lines
7.9 KiB
JSON
2 lines
7.9 KiB
JSON
[{"id":1,"parentName":"病例","name":"病例","owner":"1","txt":"5岁<color=red>雄性</color>拉布拉多，体重35kg，因<color=red>持续18小时无法自主排尿</color>就诊。患犬频繁呈现排尿姿势但无尿液排出，伴<color=red>腹部进行性膨隆</color>、食欲废绝及精神沉郁。临床检查示：<color=red>膀胱高度充盈</color>（触诊直径>12cm，<color=red>叩诊浊音</color>），<color=red>DR显示膀胱过度充盈，未见高密度阴影</color>，床旁超声确认<color=red>急性膀胱扩张</color>（14×8 cm），<color=red>未见腔内沉积物或结石</color>。诊断为<color=red>急性尿潴留</color>后，<color=red>立即</color>静脉给予布托：0.02ml/Kg镇痛，丙泊酚4-6mg/Kg（1mg=0.1ml）+多咪静(0.01-0.02ml/Kg)进行诱导麻醉，经无菌操作<color=red>置入10Fr硅胶导尿管导尿</color>。","sound":"daoNiaoShu/Sounds/配音1","obj":"","state":"BingLiState","score_kh":"","score":"","score_sx":"","type":""},{"id":2,"parentName":"知识回顾","name":"知识回顾","owner":"1","txt":"","sound":"","obj":"","state":"ZhiShiHuiGuState","score_kh":"","score":"","score_sx":"","type":""},{"id":3,"parentName":"操作前准备","name":"解释","owner":"1","txt":"打字输入/语音输入“先生，您好。一会需要给您的宠物实施导尿术，最主要目的是建立一个将尿液排出的通道，解除它膀胱过度膨胀的危险。我们已经给您的宠物进行了深度镇静和镇痛，您别太担心。我们会尽量轻一点。”","sound":"daoNiaoShu/Sounds/配音2","obj":"男护士文字位置|女助手文字位置","state":"JieShiState","score_kh":"","score":"","score_sx":"5","type":""},{"id":4,"parentName":"操作前准备","name":"物品准备","owner":"1","txt":"","sound":"","obj":"","state":"WuPinZhunBeiState","score_kh":"","score":"","score_sx":"3","type":""},{"id":5,"parentName":"操作前准备","name":"医生准备","owner":"1","txt":"","sound":"","obj":"","state":"YiShengZhunBeiState","score_kh":"","score":"","score_sx":"5","type":""},{"id":6,"parentName":"操作前准备","name":"患犬准备","owner":"1","txt":"用电推剪小心剃除包皮口周围的长毛，范围约直径5-10cm，以充分暴露清洁区域。去除碎毛。","sound":"daoNiaoShu/Sounds/配音3","obj":"","state":"HuanQuanZhunBeiState","score_kh":"","score":"","score_sx":"","type":""},{"id":7,"parentName":"操作前准备","name":"铺巾","owner":"1","txt":"点击高亮一次性医用垫单。","sound":"daoNiaoShu/Sounds/配音4","obj":"医用垫单","state":"PuJinState","score_kh":"","score":"","score_sx":"3","type":""},{"id":8,"parentName":"操作前准备","name":"体位","owner":"1","txt":"打字输入/语音输入“请助手将宠物犬体位摆放为右侧卧位。”","sound":"daoNiaoShu/Sounds/配音5","obj":"","state":"TiWeiState","score_kh":"","score":"","score_sx":"5","type":""},{"id":9,"parentName":"操作前准备","name":"戴无菌手套","owner":"1","txt":"","sound":"","obj":"","state":"DaiWuJunShouTaoState","score_kh":"","score":"","score_sx":"3","type":""},{"id":10,"parentName":"操作前准备","name":"清理生殖器","owner":"1","txt":"请助手轻柔地将包皮向后（向犬只腹部方向）推，使龟头部分暴露。","sound":"daoNiaoShu/Sounds/配音6","obj":"","state":"QingLiShengZhiQiState","score_kh":"","score":"","score_sx":"","type":""},{"id":11,"parentName":"操作前准备","name":"冲洗包皮腔","owner":"1","txt":"点击高亮20ml生理盐水。|将20ml生理盐水推入包皮腔内冲洗污物，冲洗完毕后，将注射器放置于弯盘内。","sound":"daoNiaoShu/Sounds/配音7|daoNiaoShu/Sounds/配音8","obj":"20ml注射器|20ml注射器放置后","state":"ChongXiBaoPiQiangState","score_kh":"","score":"","score_sx":"9","type":""},{"id":12,"parentName":"操作前准备","name":"清洁包皮口及周围皮肤","owner":"1","txt":"点击高亮无菌镊、氯己定棉球。|按箭头指示，用实物氯己定棉球，清洁包皮口及其外围约5-10cm半径范围内的皮肤。","sound":"daoNiaoShu/Sounds/配音10|daoNiaoShu/Sounds/配音11","obj":"氯己定棉球|手拿镊子消毒","state":"QingJieBaoPiKouState","score_kh":"","score":"","score_sx":"9","type":""},{"id":13,"parentName":"操作前准备","name":"清洁尿道口","owner":"1","txt":"点击高亮无菌镊、氯己定棉球。|按箭头指示，用实物氯己定棉球，清洁尿道口、龟头。","sound":"daoNiaoShu/Sounds/配音12|daoNiaoShu/Sounds/配音13","obj":"","state":"QingJieNiaoDaoKouState","score_kh":"","score":"","score_sx":"9","type":""},{"id":14,"parentName":"操作前准备","name":"涂抹利多卡因","owner":"1","txt":"点击高亮利多卡因凝胶。","sound":"daoNiaoShu/Sounds/配音14","obj":"利多卡因凝胶","state":"TuMoLiDuoKaYinState","score_kh":"","score":"","score_sx":"3","type":""},{"id":15,"parentName":"操作前准备","name":"更换无菌手套","owner":"1","txt":"","sound":"","obj":"治疗盘中手套","state":"GengHuanWuJunShouTaoState","score_kh":"","score":"","score_sx":"","type":""},{"id":16,"parentName":"测量导尿管","name":"打开导尿管","owner":"1","txt":"","sound":"","obj":"打开导尿管后","state":"DaKaiDaoNiaoGuanState","score_kh":"","score":"","score_sx":"","type":""},{"id":17,"parentName":"测量导尿管","name":"取出导尿管","owner":"1","txt":"点击高亮一次性导尿管。","sound":"daoNiaoShu/Sounds/配音15","obj":"导尿管","state":"QuChuDaoNiaoGuanState","score_kh":"","score":"","score_sx":"3","type":""},{"id":18,"parentName":"测量导尿管","name":"测量方法","owner":"1","txt":"体外测量预估法：起点为尿道口，终点为坐骨结节。|点击高亮尿道口。|点击高亮坐骨结节。","sound":"daoNiaoShu/Sounds/配音16|daoNiaoShu/Sounds/配音17|daoNiaoShu/Sounds/配音18","obj":"","state":"CeLiangFangFaState","score_kh":"","score":"","score_sx":"10","type":""},{"id":19,"parentName":"插入导尿管","name":"连接集尿袋","owner":"1","txt":"用实物，将导尿管末端与集尿袋连接。","sound":"daoNiaoShu/Sounds/配音19","obj":"","state":"LianJieJiNiaoDaiState","score_kh":"","score":"","score_sx":"2","type":""},{"id":20,"parentName":"插入导尿管","name":"涂抹抗生素软膏","owner":"1","txt":"点击高亮抗生素软膏。","sound":"daoNiaoShu/Sounds/配音20","obj":"","state":"TuMoKangShengSuRuanGaoState","score_kh":"","score":"","score_sx":"3","type":""},{"id":21,"parentName":"插入导尿管","name":"暴露阴茎","owner":"1","txt":"打字输入/语音输入“请助手继续将包皮向后推压，暴露阴茎2-5cm。”","sound":"daoNiaoShu/Sounds/配音21","obj":"","state":"BaoLuYinJingState","score_kh":"","score":"","score_sx":"3","type":""},{"id":22,"parentName":"插入导尿管","name":"插管","owner":"1","txt":"按箭头指示，将导尿管从尿道口插入膀胱，将尿液引流出来。","sound":"daoNiaoShu/Sounds/配音22","obj":"","state":"ChaGuanState","score_kh":"","score":"","score_sx":"10","type":""},{"id":23,"parentName":"拔出导尿管","name":"拔出导尿管","owner":"1","txt":"待尿液全部流出后，将导尿管缓慢拔除。","sound":"daoNiaoShu/Sounds/配音23","obj":"","state":"BaChuDaoNiaoGuanState","score_kh":"","score":"","score_sx":"5","ty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