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["目录"]
["序号","专业","疾病名称\n（文件发布）","ICD-10 编码\n（文件发布）","疾病名称\n（对应疾病分类代码国家\n临床版2.0）","疾病编码\n（对应疾病分类代码国家\n临床版2.0）","手术名称\n（文件发布）","ICD-9-CM-3\n（文件发布）","手术名称\n（对应手术操作分类代码国家\n临床版2.0）","ICD-9-CM-3编码\n（对应手术操作代码国家临床版2.0）","2012年版价格项目\n规范名称与编码（CCHI）"]
[1,"普通\n外科","肛瘘","K60.3","肛瘘/高位肛瘘/低位肛瘘/\n复杂性肛瘘","K60.300/K60.301/\nK60.302/K60.303","高位复杂肛瘘挂线治疗",49.73,"肛瘘挂线术",49.7301,"高位复杂肛瘘挂线治疗PBEA1201"]
[2,null,"下肢静脉曲张","I83","下肢静脉曲张/大隐静脉曲张","I83.900x004/I83.903","大隐静脉腔内激光闭合术",38.590000000000003,"大隐静脉主干激光闭合术","38.5900x003","大隐静脉腔内激光闭合术HM559301"]
[3,{"$nulls":5},"大隐静脉高位结扎＋剥脱术",null,"大隐静脉高位结扎和剥脱术",38.5901,"大隐静脉高位结扎＋剥脱术HM573301"]
[4,null,"腹股沟疝","K40.2,K40.9","单侧或未特指的腹股沟疝，不伴有梗阻或坏疽/单侧腹股沟疝/单侧腹股沟斜疝/单侧腹股沟直疝/先天性腹股沟斜疝/单侧腹股沟疝，不伴有梗阻或坏疽","K40.900/K40.900x002/K40.900x003/K40.900x004/K40.900x006/K40.900x011","腹股沟疝修补术","53.00","单侧腹股沟疝修补术\n（包括无张力修补及疝囊高位结扎）","53.0","腹股沟疝修补术HQS83301"]
[5,{"$nulls":5},"无张力腹股沟疝修补术",null,null,null,"无张力腹股沟疝修补术HQS83302"]
[6,null,"乳腺良性肿瘤","D24","乳腺良性肿瘤","D24.x00x001","乳腺肿物切除术",85.21,"乳房病损切除术","85.2100x003","乳腺肿物切除术HYA73307"]
[{"$nulls":8},"乳腺区段切除术",null,"乳腺区段切除术HYA73308"]
[{"$nulls":8},"乳腺肿瘤旋切术",null,"乳腺肿瘤旋切术HYA73314"]
[7,"骨科","腰椎间盘突出症","M51.0† G99.2* /M51.1†G55.1*/\nM51.2","腰椎间盘突出伴脊髓病/腰椎间盘突出伴神经根病/腰椎间盘突出伴坐骨神经痛/腰椎间盘突出","M51.003+G99.2*/M51.100x001G99.2*/M51.100x003/\nM51.202","经椎间盘镜髓核摘除术(MED)",80.510000000000005,"内镜下腰椎髓核切除术",80.511099999999999,"经椎间盘镜髓核摘除术(MED)HVF56501"]
[8,null,"闭合性肱骨干骨折","S42.300","肱骨干骨折","S42.300","肱骨干骨折切开复位钢板\n螺丝钉内固定术",78.52,"肱骨骨折切开复位钢板内固定术/肱骨骨折切开复位螺钉内固定术","79.3100x005/79.3100x006","肱骨干骨折切开复位钢板\n螺丝钉内固定术HWH70310"]
[9,null,"闭合性尺骨鹰嘴骨折","S52.001A","尺骨鹰嘴骨折","S52.000x011","尺骨鹰嘴骨折切开复位\n内固定术",79.02,"尺骨骨折切开复位内固定术",79.319999999999993,"尺骨鹰嘴骨折切开复位\n内固定术HWM70302"]
[10,null,"闭合性尺桡骨干骨折","S52.400","桡尺骨骨干骨折","S52.400x001","尺骨干骨折闭合复位钢板\n螺丝钉内固定术",79.319999999999993,"桡尺骨骨折切开复位内固定术",79.319999999999993,"尺骨干骨折闭合复位钢板螺丝钉内固定术HWM70304"]
[11,null,"先天性肌性斜颈","Q68.001","天性胸锁乳突肌性斜颈","Q68.001","肌肉松解术",83.19,"胸锁乳突肌切断术/\n胸锁乳突肌部分切断术","83.1903/\n83.1900x020","肌肉松解术HX857301"]
[12,null,"腱鞘囊肿","M67.4","腱鞘囊肿","M67.400","腱鞘囊肿切除术",82.21,"腱鞘囊肿切除术/手部腱鞘囊肿切除术","83.3101/82.2101","腱鞘囊肿切除术HX873303"]
[13,null,"闭合性髌骨骨折","S82.000","髌骨骨折","S82.000","髌骨骨折闭合复位内固定术",79.19,"髌骨骨折闭合复位空心钉内固定术","79.1900x005","髌骨骨折闭合复位内固定术HXH70303"]
[14,null,"腘窝囊肿","M71.2","腘窝囊肿","M71.200x001","腘窝囊肿切除术",81.47,"腘窝囊肿切除术","83.3902","腘窝囊肿切除术HXJ73304"]
[15,null,"膝关节骨关节炎","M17","膝关节骨关节炎","M17","关节镜下膝关节清理术",80.86,"关节镜膝关节病损切除术","80.8602","关节镜下膝关节清理术HXJ73501"]
[16,null,"多指、趾畸形","Q69.9","多指、趾畸形","Q69","多指/趾切除矫形术",86.26,"多余指切除术/多余趾切除术","86.2601/86.2602","多指/趾切除矫形术HW273301"]
[17,"泌尿\n外科","肾结石","N20.0,N13.201","肾结石","N20.000","经皮肾镜超声碎石取石术",55.04,"经皮肾镜超声碎石取石术(II期)(再次住院)/经皮肾镜超声碎石取石术\n(II期)(同次住院)","55.0400x005/\n55.0400x008","经皮肾镜超声碎石取石术HRB65506"]
[18,null,"输尿管结石","N20.1,N13.202","输尿管结石","N20.100","经尿道输尿管镜激光碎石\n取石术",57,"经尿道输尿管/肾盂激光碎石取石术","56.0x06","经尿道输尿管镜激光碎石\n取石术HRF65604"]
[19,{"$nulls":5},"经尿道输尿管镜气压弹道\n碎石取石术",null,"经尿道输尿管/肾盂气压弹道碎石\n取石术","56.0x07","经尿道输尿管镜气压弹道\n碎石取石术HRF65607"]
[20,{"$nulls":5},"经尿道输尿管镜超声\n碎石取石术",59.95,"经尿道输尿管/肾盂超声碎石取石术","56.0x08","经尿道输尿管镜超声碎石\n取石术HRF65610"]
[21,null,"睾丸鞘膜积液","N43.301","鞘膜积液/睾丸鞘膜积液","N43.300、N43.301","精索或睾丸鞘膜根治术",61.49,"阴囊和睾丸鞘膜的其他修补术",61.49,"精索鞘膜结扎或睾丸鞘膜\n翻转术HSB70301"]
[22,null,"隐睾\n（睾丸可触及）","Q53.1-Q53.9","单侧睾丸未降-隐睾","Q53.1/Q53.9","隐睾下降固定术",62.5,"睾丸固定术","62.5x00","隐睾下降固定术HSB71302"]
[23,null,"精索静脉曲张","I86.1","精索静脉曲张","I86.101","精索静脉曲张高位结扎术",63.1,"精索静脉高位结扎术","63.1x01","精索静脉曲张高位结扎术HSH59301"]
[24,null,"压力性尿失禁/\n张力性尿失禁","N39.3/ N39.301","压力性尿失禁/张力性尿失禁","N39.300/N39.300x001","经阴道前壁尿道悬吊术",null,"经阴道无张力尿道悬吊术（TVT）","59.5x01","经阴道前壁尿道悬吊术HRJ71401"]
[25,"消化\n内科","结肠息肉","D12.6/D12.8/K62.1/K63.5","结肠息肉","K63.500","经电子内镜结肠息肉微波\n切除术",45.42,"纤维结肠镜下结肠息肉切除术","45.4200x003","经电子内镜结肠息肉微波\n切除术HPS72602"]
[26,{"$nulls":5},"经电子内镜结肠息肉激光\n切除术",null,null,null,"经电子内镜结肠息肉激光\n切除术HPS72604"]
[27,null,"直肠息肉","D12.8,M8210/0","直肠息肉","K62.100","经内镜直肠良性肿物切除术",48.35,"内镜下直肠病损切除术",48.3508,"经内镜直肠良性肿物切除术HPU73602"]
[28,"妇科","卵巢良性肿瘤、卵巢非肿瘤性囊肿、输卵管积水、输卵管系膜囊肿",null,"卵巢良性肿瘤/卵巢单纯性囊肿/输卵管积水/输卵管系膜囊肿","D27.x00/N83.200x004/\nN70.103/N83.800x010","经腹腔镜卵巢囊肿剥除术\n（单或双侧）",65.010000000000005,"腹腔镜卵巢病损切除术",65.250100000000003,"（单或双侧）经腹腔镜卵巢囊肿剥除术HTB73501"]
[29,"儿科","慢性扁桃体炎\n（儿童）","J35.0","慢性扁桃体炎","J35.000","扁桃体切除术",28.2,"扁桃体切除术","28.2x00x002","扁桃体切除术HGS75301"]
[30,null,"脐窦","K60.0-K60.2","先天性脐窦","Q43.002","脐窦烧灼术",54.3,"脐病损切除术","54.3x00x027","脐窦烧灼术HQQ72301"]
[31,{"$nulls":5},"脐窦手术切除",null,null,null,"脐茸手术切除HQQ73301"]
[32,{"$nulls":5},"脐窦切除术",null,null,null,"脐窦切除术HQQ73302"]
[33,"眼科","翼状胬肉","H25.901","翼状胬肉","H11.000","翼状胬肉切除组织移植术",11.32,"胬肉切除术伴角膜移植术/翼状胬肉切除伴自体干细胞移植术/翼状胬肉切除术伴异体干细胞移植术/翼状胬肉切除伴羊膜植片移植术/翼状胬肉切除伴结膜移植术","11.3200/11.3201/\n11.3202/11.3203/\n11.3901","翼状胬肉切除组织移植术HEH89309"]
[34,null,"难治性青光眼","H44.501","青光眼术后眼压失控/继发性青光眼/新生血管性青光眼/无晶状体性青光眼/绝对期青光眼/\n青少年型青光眼","H40.000x004/H40.500x002/H40.501/H40.502/\nH44.501/Q15.005","外路经巩膜激光睫状体\n光凝术",12.73,"睫状体光凝固法","12.7300","外路经巩膜激光睫状体\n光凝术HEM72301"]
[35,{"$nulls":5},"睫状体冷冻术",12.72,"睫状体冷冻疗法","12.7200","睫状体冷冻术HEM72302"]
[36,null,"老年性白内障","H25.901","老年性白内障","H25.0-H25.9","白内障超声乳化吸除+\n人工晶状体植入术",13.71,"白内障摘除伴人工晶体一期置入术/\n白内障超声乳化抽吸术","13.7100x001/\n13.4100x001","白内障超声乳化吸除+\n人工晶状体植入术HEP61302"]
[37,{"$nulls":5},"小瞳孔白内障超声乳化吸除+人工晶状体植入术",null,"白内障摘除伴人工晶体一期置入术/\n白内障超声乳化抽吸术","13.7100x001/\n13.4100x001","小瞳孔白内障超声乳化吸除+人工晶状体植入术HEP61303"]
[38,{"$nulls":5},"白内障超声乳化摘除术",13.41,"白内障超声乳化抽吸术","13.4100x001","白内障超声乳化摘除术HEP65302"]
[39,"耳鼻\n喉科","先天性耳前瘘管","Q18.1","先天性耳前瘘管","Q18.102","耳前瘘管切除术",18.21,"耳前瘘管切除术","18.2100x006","耳前瘘管切除术HFA73301"]
[40,null,"慢性化脓性中耳炎","H66.1-H66.3/H71","慢性化脓性中耳炎","H66.301","I型鼓室成形术",19.399999999999999,"鼓室成形术,I型","19.4x01","I型鼓室成形术HFE83301"]
[41,{"$nulls":5},"经耳内镜I型鼓室成形术",null,"内镜下鼓室成形术","19.4x00x005","经耳内镜I型鼓室成形术HFE83601"]
[42,null,"会厌良性肿瘤","D14.1","会厌良性肿瘤","D14.101","经支撑喉镜会厌良性肿瘤\n切除术",30.09,"支撑喉镜下会厌病损切除术","30.0900x008","经支撑喉镜会厌良性肿瘤\n切除术HGN73401"]
[43,null,"声带息肉","J38.102","声带息肉","J38.102","经支撑喉镜激光辅助声带\n肿物切除术",null,"支撑喉镜下声带病损切除术","30.0900x011","经支撑喉镜激光辅助声带\n肿物切除术HGP73601"]
["    \n    注：医疗服务项目的项目编码、项目名称、技术难度来自于《全国医疗服务价格项目规范（2012年版）工作手册》。“技术难度”用于体现项目技术操作相对难易程度，由易至难按1-100分赋值，不同字母代表医疗服务项目所属的不同系统和专业，具体为外科系统-a、内科系统-b、医技系统-c、综合-d、放疗-e、牙科-f、精神-g、理疗-h、康复-j、麻醉-k、中医-m。"]

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["1.肛瘘"]
["高位复杂肛瘘挂线治疗"]
["主要诊断","肛瘘",null,null,"ICD-10码：K60.3"]
["主要操作                                    ","高位复杂肛瘘挂线治疗",null,null,"ICD-9-CM3码：49.73"]
["入院标准","1.第一诊断必须符合ICD-10：K60.3肛瘘疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","24h"]
["变异条件","1.患者住院期间出现合并症，如急性出血、感染或活检病理提示为恶性肿瘤等。\n2.合并感染，需要继续抗感染治疗。"]
["转诊条件","无"]
["再入院\n间隔时间","14天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["ACAA0001"," /Ⅲ级护理","d20",null,null,null,"ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["FPV01401","肛门指诊","a18"]
["FPU01601","直肠镜检查","a34"]
["FPV01601","/肛门镜检查","a27"]
["EDCQT004","经直肠彩色多普勒超声检查","c75"]
["EDCQT001","肝胆胰脾彩色多普勒超声检查","c65"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"KKA28701","院内遥测心电监护","b18","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
[null,null,null,"麻醉"]
[{"$nulls":4},"局部麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42111","/骶管连续阻滞麻醉","k70"]
[null,null,null,"HAC42104","/骶管单次阻滞麻醉","k60"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAC42103","/腰麻复合连续硬膜外阻滞麻醉","k80"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
[null,null,null,"手术"]
[null,null,null,"PBEA1201","高位复杂肛瘘挂线治疗","m78"]
["病理及其它"]
["CJAP8000","一般细菌培养+鉴定",null,"BCAA0001","活检病理诊断","c87"]
["CJBX9000","普通细菌药敏定性试验"]
["CJBY9000","普通细菌药敏定量试验"]
["药物"]
[null,"示踪药物",null,null,"抗菌药物",null,null,"抗菌药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["检查"]
["AADB0001","院内会诊","d80"]
["CLBB8000","结核/非结核分枝杆菌核酸检测"]
["FPV02401","肛门直肠测压","b32"]
["治疗"]
["HYW89305","游离皮瓣移植术","a81","ABJA0001","氧气吸入","d50","PBAA0501","中药局部熏洗治疗","m35"]
["ABHA0001","导尿","d70","ABHA0001","导尿","d70","PBAA1203","中药化腐清创术(大)","m80"]
["ABHA0002","导尿管留置","d70","ABHA0002","导尿管留置","d70","PBCD1401","耳穴压丸治疗","m26"]
[{"$nulls":6},"ABHA0001","导尿","d70"]
[{"$nulls":6},"ABHA0002","导尿管留置","d70"]
["监测"]
[{"$nulls":6},"KKA28701","院内遥测心电监护","b18"]
[{"$nulls":6},"FKA05705","/无创心电监测","b9"]
["药物"]
[null,"促表皮生长药物"]

{"sheet":"2.下肢静脉曲张","index":2,"n_rows":110,"n_cols":9,"rows_kept":110,"cut":false,"hidden":false,"merged":[[89,0,89,8],[102,0,102,8],[104,0,104,8],[80,0,80,8],[82,0,82,8],[84,0,84,8],[86,0,86,8],[87,0,87,2],[87,3,87,5],[87,6,87,8],[13,0,13,8],[15,0,15,8],[47,0,47,8],[52,0,52,8],[60,0,60,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["2.下肢静脉曲张"]
["大隐静脉腔内激光闭合术 "]
["主要诊断","下肢静脉曲张",null,null,"ICD-10码：I83"]
["主要操作                                    ","大隐静脉腔内激光闭合术",null,null,"ICD-9-CM3码：38.59"]
["入院标准"," "]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.严重基础疾病可能对手术造成影响者，术前准备时间会延长。\n2.术后出现伤口感染、下肢深静脉血栓形成等并发症时，住院恢复时间相应延长。"]
["转诊条件","无"]
["再入院\n间隔时间","2周"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["检查"]
["CAAB1000","全血细胞计数+5分类检测"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["EABVN001","胸部X线摄影","c22"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EDCM1001","下肢深静脉彩色多普勒超声检查","c80"]
["未找到","超声血流动力学评估及穿通支定位"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70","ABFA0002","/换药(中)","a18"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100","ABFA0003","/换药(大)","a27"]
[null,null,null,"HAM62401","经口气管插管术","k90","ABFA0004","/换药(特大)","a36"]
["监测",null,null,"监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAC42103","/腰麻复合连续硬膜外阻滞麻醉","k80"]
[null,null,null,"HAJ42101","/腰丛神经单次阻滞麻醉","k70"]
[null,null,null,"HAJ42102","/腰丛神经连续阻滞麻醉","k80"]
[null,null,null,"HAJ42103","/股神经单次阻滞麻醉","k40"]
[null,null,null,"HAJ42104","/股神经连续阻滞麻醉","k50"]
[null,null,null,"HAJ42105","/股外侧皮神经单次阻滞麻醉","k30"]
[null,null,null,"HAJ42106","/股外侧皮神经连续阻滞麻醉","k40"]
[null,null,null,"HAK42101","/坐骨神经单次阻滞麻醉","k40"]
[null,null,null,"HAK42102","/坐骨神经连续阻滞麻醉","k50"]
[null,null,null,"HAK42103","/隐神经阻滞麻醉","k40"]
[null,null,null,"HAK42104","/腘窝入路胫神经单次阻滞麻醉","k40"]
[null,null,null,"HAK42105","/腘窝入路胫神经连续阻滞麻醉","k50"]
[null,null,null,"HAK42106","/腓总神经阻滞麻醉","k40"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
["手术"]
[null,null,null,"HM559301","大隐静脉腔内激光闭合术","a41"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4}," 抗菌药物",null,null," 抗菌药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["检查"]
["EDCM4001","下肢浅静脉彩色多普勒超声检查","c70",null,null,null,"CAAB1000","全血细胞计数+5分类检测"]
["EDCL5001","下肢动脉彩色多普勒超声检查","c80",null,null,null,"CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["EACM1002","下肢静脉切开造影术","a24",null,null,null,"CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["EDFKA005","普通二维超声心动图","c70",null,null,null,"CELA1000","总胆红素(T-Bil)测定"]
["FJE01401","肺活量功能检查","b41",null,null,null,"CELB1000","直接胆红素(D-Bil)测定"]
["FJE01402","/用力肺活量功能检查","b41",null,null,null,"CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["FJE01403","/肺每分通气量功能检查","b41",null,null,null,"CEAA8000","总蛋白(TP)测定"]
["FJE01404","/最大通气量功能检查","b49",null,null,null,"CEAE8000","白蛋白(Alb)测定"]
["FJE01405","肺弥散功能检查-一口气法","b41",null,null,null,"CECD8000","碱性磷酸酶(ALP)测定"]
["FJE01406","或肺弥散功能检查-重复呼吸法","b41",null,null,null,"CEEA8000","尿素(Urea)测定"]
["FJB02401","气道阻力测定","b49",null,null,null,"CEEB8000","肌酐(Cr)测定"]
[{"$nulls":6},"CEEE8000","尿酸(UA)测定"]
["治疗"]
[null,null,null,"ABCD0001","静脉输血","d50"]
["药物"]
[{"$nulls":7},"静脉补液"]
[{"$nulls":4},"硬化剂闭合曲张的侧枝静脉"]
[{"$nulls":4},"镇静镇痛药物"]
[{"$nulls":4},"抗凝药物"]
[{"$nulls":4},"消肿改善循环药物"]

{"sheet":"3.下肢静脉曲张","index":3,"n_rows":110,"n_cols":9,"rows_kept":110,"cut":false,"hidden":false,"merged":[[95,0,95,8],[108,0,108,8],[82,0,82,8],[84,0,84,8],[86,0,86,8],[92,0,92,8],[93,0,93,2],[93,3,93,5],[93,6,93,8],[13,0,13,8],[16,0,16,8],[48,0,48,8],[53,0,53,8],[61,0,61,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["3.下肢静脉曲张"]
["大隐静脉高位结扎＋剥脱术 "]
["主要诊断","下肢静脉曲张",null,null,"ICD-10码：I83"]
["主要操作                                    ","大隐静脉高位结扎＋剥脱术 ",null,null,"ICD-9-CM3码：38.59"]
["入院标准","1.第一诊断必须符合ICD-10：I83下肢静脉曲张疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.PADS评分＜9分\n2.专科评估：出现手术并发症时，需进一步诊断和治疗，住院恢复时间相应延长。"]
["转诊条件","无"]
["再入院\n间隔时间","2周"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAB0001","Ⅱ级护理","d50"]
[{"$nulls":6},"ACAA0001","/Ⅲ级护理","d20"]
["检查"]
["CAAB1000","全血细胞计数+5分类检测"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["EABVN001","胸部X线摄影","c22"]
["FKA03703","十二通道常规心电图检查","b14"]
["EDCM1001","下肢深静脉彩色多普勒超声检查","c80"]
["未找到","超声血流动力学评估及穿通支定位"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70","ABFA0002","/换药(中)","a18"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100","ABFA0003","/换药(大)","a27"]
[null,null,null,"HAM62401","经口气管插管术","k90","ABFA0004","/换药(特大)","a36"]
["监测",null,null,"监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAC42103","/腰麻复合连续硬膜外阻滞麻醉","k80"]
[null,null,null,"HAJ42101","/腰丛神经单次阻滞麻醉","k70"]
[null,null,null,"HAJ42102","/腰丛神经连续阻滞麻醉","k80"]
[null,null,null,"HAJ42103","/股神经单次阻滞麻醉","k40"]
[null,null,null,"HAJ42104","/股神经连续阻滞麻醉","k50"]
[null,null,null,"HAJ42105","/股外侧皮神经单次阻滞麻醉","k30"]
[null,null,null,"HAJ42106","/股外侧皮神经连续阻滞麻醉","k40"]
[null,null,null,"HAK42101","/坐骨神经单次阻滞麻醉","k40"]
[null,null,null,"HAK42102","/坐骨神经连续阻滞麻醉","k50"]
[null,null,null,"HAK42103","/隐神经阻滞麻醉","k40"]
[null,null,null,"HAK42104","/腘窝入路胫神经单次阻滞麻醉","k40"]
[null,null,null,"HAK42105","/腘窝入路胫神经连续阻滞麻醉","k50"]
[null,null,null,"HAK42106","/腓总神经阻滞麻醉","k40"]
[null,null,null,"HAA42902","/无插管全麻","a54"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
["手术"]
[null,null,null,"HM573301","下肢大隐静脉高位结扎曲张静脉剥脱术","a58"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4}," 抗菌药物",null,null," 抗菌药物"]
[{"$nulls":4},"硬化剂闭合曲张的侧枝静脉"]
[{"$nulls":4},"镇静镇痛药物"]
[{"$nulls":4},"抗凝药物"]
[{"$nulls":4},"消肿改善循环药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["检查"]
["EDCM4001","下肢浅静脉彩色多普勒超声检查","c70",null,null,null,"CAAB1000","全血细胞计数+5分类检测"]
["EDCL5001","下肢动脉彩色多普勒超声检查","c80",null,null,null,"CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["EACM1002","下肢静脉切开造影术","a24",null,null,null,"CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["EDFKA005","普通二维超声心动图","c70",null,null,null,"CELA1000","总胆红素(T-Bil)测定"]
["FJE01401","肺活量功能检查","b41",null,null,null,"CELB1000","直接胆红素(D-Bil)测定"]
["FJE01402","/用力肺活量功能检查","b41",null,null,null,"CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["FJE01403","/肺每分通气量功能检查","b41",null,null,null,"CEAA8000","总蛋白(TP)测定"]
["FJE01404","/最大通气量功能检查","b49",null,null,null,"CEAE8000","白蛋白(Alb)测定"]
["FJE01405","肺弥散功能检查-一口气法","b41",null,null,null,"CECD8000","碱性磷酸酶(ALP)测定"]
["FJE01406","或肺弥散功能检查-重复呼吸法","b41",null,null,null,"CEEA8000","尿素(Urea)测定"]
["FJB02401","气道阻力测定","b49",null,null,null,"CEEB8000","肌酐(Cr)测定"]
[{"$nulls":6},"CEEE8000","尿酸(UA)测定"]
["治疗"]
[null,null,null,"ABCD0001","静脉输血","d50"]

{"sheet":"4.腹股沟疝","index":4,"n_rows":97,"n_cols":9,"rows_kept":97,"cut":false,"hidden":false,"merged":[[81,0,81,8],[93,0,93,8],[95,0,95,8],[71,0,71,8],[73,0,73,8],[75,0,75,8],[78,0,78,8],[79,0,79,2],[79,3,79,5],[79,6,79,8],[13,0,13,8],[15,0,15,8],[46,0,46,8],[52,0,52,8],[61,3,61,5],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["4.腹股沟疝"]
["腹股沟疝修补术 "]
["主要诊断","腹股沟疝",null,null,"ICD-10码：K40.2,K40.9"]
["主要操作                                    ","腹股沟疝修补术",null,null,"ICD-9-CM3码：53.00"]
["入院标准","1.第一诊断必须符合ICD-10：K40.2,K40.9腹股沟疝疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.生命体征平稳，符合日间手术出院通用评分9分以上。4.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好，无大面积皮下淤血、无红肿、渗液、裂开及感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.合并有影响腹股沟疝手术治疗实施的疾病，或发生其他严重疾病，退出本路径。\n2.出现手术并发症，需要进行相关的诊断和治疗，可导致住院时间延长和费用增加，转普通病房。"]
["转诊条件","无"]
["再入院\n间隔时间","2周"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["检查"]
["CAAB1000","全血细胞计数+5分类检测"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["EABVN001","胸部X线摄影","c22"]
["FKA03703","十二通道常规心电图检查","b14"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
[null,null,null,"ABCA0001","静脉输液","d70"]
["监测",null,null,"监测"]
[null,null,null,"HQS83301","院内遥测心电监护","b18","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
[null,null,null,"麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAC42109","腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAC42111","/骶管连续阻滞麻醉","k70"]
[null,null,null,"HAA42902","/无插管全麻","a54"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
["手术"]
[null,null,null,"HQS83301","腹股沟疝修补术","a54"]
["病理及其它"]
["ABBB0001","静脉采血","d50"]
["药物"]
[{"$nulls":4},"麻醉常规用药"]
[{"$nulls":4},"补充血容量药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["检查"]
["FJE01401","肺活量功能检查","b41",null,null,null,"CAAB1000","全血细胞计数+5分类检测"]
["FJE01402","/用力肺活量功能检查","b41"]
["FJE01403","/肺每分通气量功能检查","b41"]
["FJE01404","/最大通气量功能检查","b49"]
["FJE01405","肺弥散功能检查-一口气法","b41"]
["FJE01406","或肺弥散功能检查-重复呼吸法","b41"]
["FJB02401","气道阻力测定","b49"]
["EDFKA005","普通二维超声心动图","c70"]
["EDBNK001","腹股沟淋巴结B超检查","c30"]
["EDBRA001","泌尿系B超检查","c45"]
["EBAQT002","下腹部X线计算机体层(CT)平扫","c35"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
["药物"]
[{"$nulls":7},"抗菌药物"]

{"sheet":"5.腹股沟疝","index":5,"n_rows":96,"n_cols":9,"rows_kept":96,"cut":false,"hidden":false,"merged":[[85,0,85,8],[89,0,89,8],[92,0,92,8],[76,0,76,8],[78,0,78,8],[80,0,80,8],[82,0,82,8],[83,0,83,2],[83,3,83,5],[83,6,83,8],[13,0,13,8],[15,0,15,8],[52,0,52,8],[58,0,58,8],[67,0,67,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["5.腹股沟疝"]
["无张力腹股沟疝修补术"]
["主要诊断","腹股沟疝",null,null,"ICD-10码：K40.2,K40.9"]
["主要操作                                    ","无张力腹股沟疝修补术",null,null,"ICD-9-CM3码：53.00"]
["入院标准","1.第一诊断必须符合ICD-10：K40.2,K40.9腹股沟疝疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.因患者术后出现严重并发症而延期出院。\n2.术前检查结果明显异常不适宜日间手术者。"]
["转诊条件","1.手术部位疼痛评分2-3分，需要持续使用止痛药物。"]
["再入院\n间隔时间","2周"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["检查"]
["CAAB1000","全血细胞计数+5分类检测",{"$nulls":4},"EDCNK001","腹股沟淋巴结彩色多普勒超声检查","c50"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","/ABO血型鉴定(反定型)"]
["CAMD1000","/ABO亚型鉴定(正定型)"]
["CAME1000","ABO亚型鉴定(反定型)"]
["CAMF1000","RhD血型鉴定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEKA8000","无机磷(P)测定"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["EDCNK001","腹股沟淋巴结彩色多普勒超声检查","c50"]
["FKA03703","十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["AADB0001","院内会诊","d80"]
["治疗"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测",null,null,"监测"]
[null,null,null,"KKA28701","院内遥测心电监护","b18","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAC42111","/骶管连续阻滞麻醉","k70"]
[null,null,null,"HAA42902","/无插管全麻","a54"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
["手术"]
[null,null,null,"HQS83302","无张力腹股沟疝修补术","a54"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4},"局麻药"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["检查"]
["EBAJT001","胸部X线计算机体层(CT)平扫","c35"]
["EBAQT002","下腹部X线计算机体层(CT)平扫","c35"]
["EBAQU001","盆腔X线计算机体层(CT)平扫","c35"]
["监测"]
[{"$nulls":6},"KKA28701","院内遥测心电监护","b18"]
[{"$nulls":6},"FKA05705","/无创心电监测","b9"]
["药物"]
[{"$nulls":4},"预防性抗生素",null,null,"抗菌药"]
[{"$nulls":7},"止血药"]
[{"$nulls":7},"化痰药"]

{"sheet":"6.乳腺良性肿瘤","index":6,"n_rows":100,"n_cols":9,"rows_kept":100,"cut":false,"hidden":false,"merged":[[84,0,84,8],[92,0,92,8],[94,0,94,8],[97,0,97,8],[74,3,74,5],[76,0,76,8],[78,0,78,8],[81,0,81,8],[82,0,82,2],[82,3,82,5],[82,6,82,8],[13,0,13,8],[15,0,15,8],[56,0,56,8],[62,0,62,8],[70,0,70,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["6.乳腺良性肿瘤"]
["乳腺肿物切除术"]
["主要诊断","乳腺良性肿瘤",null,null,"ICD-10码：D24"]
["主要操作                                    ","乳腺肿物切除术",null,null,"ICD-9-CM3码：85.21"]
["入院标准","1.第一诊断必须符合ICD-10：D24乳腺良性肿瘤疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.PADS评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，伤口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.PADS评分＜9分\n  专科评估：出现手术并发症，需进一步诊断和治疗，住院恢复时间相应延长。\n2.PADS评分≥9分；\n  急性尿潴留；轻微的头晕、恶心等不适，但无需药物治疗；患者缺乏心理准备，担心回家后无法得到及时的医疗照顾。"]
["转诊条件","无"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","/ABO血型鉴定(反定型)"]
["CAMD1000","/ABO亚型鉴定(正定型)"]
["CAME1000","或ABO亚型鉴定(反定型)"]
["CAMF1000","RhD血型鉴定"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["EDCYA001","乳腺彩色多普勒超声检查","c65"]
["EABYA001","乳腺X线摄影","c26"]
["治疗"]
[null,null,null,"ABCA0001","静脉输液","d70","ABFA0001","换药(小)","a9"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABFA0002","/换药(中)","a18"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70","ABFA0003","/换药(大)","a27"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100","ABFA0004","/换药(特大)","a36"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测",null,null,"监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAA42902","/无插管全麻","a54"]
[null,null,null,"手术"]
[null,null,null,"HYA73307","乳腺肿物切除术","a36"]
["病理及其它"]
[null,null,null,"BCBA0001","冷冻切片病理诊断 ","c96"]
["药物"]
[{"$nulls":7},"止血药物"]
[{"$nulls":7},"止痛药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["检查"]
["FJE01401","肺活量功能检查","b41",null,null,null,"CAAA1000","全血细胞计数+3分群检测"]
["FJE01402","/用力肺活量功能检查","b41",null,null,null,"CAAB1000","/全血细胞计数+5分类检测"]
["FJE01403","/肺每分通气量功能检查","b41",null,null,null,"BCBB0001","/特异性感染标本冷冻切片病理诊断","c96"]
["FJE01404","/最大通气量功能检查","b49"]
["EABYA001","乳腺X线摄影","c26"]
["CEJM1000","血气分析"]
["EDFKA005","普通二维超声心动图","c70"]
["治疗"]
[null,null,null,"ABCD0001","静脉输血","d80","ABCA0001","静脉输液","d70"]
["监测"]
[{"$nulls":6},"KKA28701","院内遥测心电监护","b18"]
[{"$nulls":6},"FKA05705","/无创心电监测","b9"]
["药物"]
[{"$nulls":7},"止吐药物"]
[{"$nulls":7},"抗菌药物"]

{"sheet":"7.腰椎间盘突出症","index":7,"n_rows":110,"n_cols":9,"rows_kept":110,"cut":false,"hidden":false,"merged":[[97,0,97,8],[108,0,108,8],[86,0,86,8],[88,0,88,8],[90,0,90,8],[94,0,94,8],[95,0,95,2],[95,3,95,5],[95,6,95,8],[13,0,13,8],[15,0,15,8],[67,0,67,8],[74,0,74,8],[83,0,83,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["7.腰椎间盘突出症"]
["经椎间盘镜髓核摘除术(MED) "]
["主要诊断","腰椎间盘突出症",null,null,"ICD-10码：M51.0† G99.2* /M51.1†G55.1*/M51.2"]
["主要操作                                    ","经椎间盘镜髓核摘除术(MED) ",null,null,"ICD-9-CM3码：80.51"]
["入院标准","1.第一诊断必须符合ICD-10：M51.0† G99.2* /M51.1†G55.1*/M51.2腰椎间盘突出症疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口无持续渗血、无大面积皮下血肿、感染等；②腰椎正侧位片显示手术部位正确。③没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.存在影响手术的合并症，术前需要进行相关的诊断和治疗。\n2.术后出现肺部感染、切口愈合不良等并发症，需要延长治疗时间。"]
["转诊条件","无"]
["再入院\n间隔时间","2周"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["护理"]
["ACAA0001","Ⅲ级护理","d20","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",{"$nulls":4},"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定",{"$nulls":4},"CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定",{"$nulls":4},"CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定",{"$nulls":4},"CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定",{"$nulls":4},"CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定",{"$nulls":4},"CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定",{"$nulls":4},"CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定",{"$nulls":4},"CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定",{"$nulls":4},"CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定",{"$nulls":4},"CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定",{"$nulls":4},"CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定",{"$nulls":4},"CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定",{"$nulls":4},"CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定",{"$nulls":4},"CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定",{"$nulls":4},"CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定",{"$nulls":4},"CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定",{"$nulls":4},"CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定",{"$nulls":4},"CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定",{"$nulls":4},"CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定",{"$nulls":4},"EABVT001","腰椎X线摄影","c22"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["CAMG1000","Rh血型C抗原鉴定"]
["CAMG1000","/Rh血型c抗原鉴定"]
["CAMJ1000","/Rh血型E抗原鉴定"]
["CAMJ1000","/Rh血型e抗原鉴定"]
["CAML1000","/Rh血型其它抗原鉴定"]
["EABVT001","腰椎X线摄影","c22"]
["EBAVT001","腰椎X线计算机体层(CT)平扫","c35"]
["ECAVT001","腰椎磁共振成像","c43"]
["AADB0001","院内会诊","d80"]
["CAAJ1000","红细胞沉降率(ESR)测定"]
["CGPB1000","和抗链球菌溶血素O(ASO)测定"]
["CGFG1000","和类风湿因子(RF)测定"]
["CEAU1000","和超敏C反应蛋白(hs-CRP)测定"]
["CAMW1000","生理盐水介质交叉配血"]
["CAMX1000","/特殊介质交叉配血"]
["CAMY1000","/疑难交叉配血"]
["CGCA1000","C-反应蛋白(CRP)测定"]
["CEJM1000","血气分析"]
["治疗"]
["ABGE0001","一般灌肠","d50","ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
["ABCD0001","静脉输血","d80","FNC06201","自体血采集","b20","ABFA0002","/换药(中)","a18"]
[null,null,null,"ABHA0002","导尿管留置","d70","ABFA0003","/换药(大)","a27"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70","ABZG0001","引流管更换","d20"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100","ABHA0002","导尿管留置","d70"]
[null,null,null,"HAM62401","经口气管插管术","k90","ABCA0001","静脉输液","d70"]
["监测"]
[null,null,null,"KKA28701","院内遥测心电监护","b18","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42902","/无插管全麻","a54"]
["手术"]
[null,null,null,"HVF56501","经椎间盘镜髓核摘除术(MED) ","a54"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4}," 抗菌药物",null,null,"抗生素"]
[{"$nulls":7},"神经营养药物"]
[{"$nulls":7},"消炎止痛药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["检查"]
["FJE01401","肺活量功能检查","b41"]
["FJE01402","/用力肺活量功能检查","b41"]
["FJE01403","/肺每分通气量功能检查","b41"]
["FJE01404","/最大通气量功能检查","b49"]
["FJE01405","肺弥散功能检查-一口气法","b41"]
["FJE01406","/肺弥散功能检查-重复呼吸法","b41"]
["FJB02401","气道阻力测定","b49"]
["EDFKA005","普通二维超声心动图","c70"]
["FCA03710","肌电图监测","b46"]
["CEBD1000","糖化血红蛋白(HbA1c)测定"]
["药物"]
[{"$nulls":7},"镇痛药"]

{"sheet":"8.闭合性肱骨干骨折","index":8,"n_rows":110,"n_cols":9,"rows_kept":110,"cut":false,"hidden":false,"merged":[[86,0,86,8],[98,0,98,8],[108,0,108,8],[75,0,75,8],[77,0,77,8],[79,0,79,8],[83,0,83,8],[84,0,84,2],[84,3,84,5],[84,6,84,8],[13,0,13,8],[15,0,15,8],[57,0,57,8],[62,0,62,8],[71,0,71,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["8.闭合性肱骨干骨折"]
["肱骨干骨折切开复位钢板螺丝钉内固定术"]
["主要诊断","闭合性肱骨干骨折",null,null,"ICD-10码：S42.300"]
["主要操作                                    ","肱骨干骨折切开复位钢板\n螺丝钉内固定术",null,null,"ICD-9-CM3码：78.52"]
["入院标准","1.第一诊断必须符合ICD-10：S42.300闭合性肱骨干骨折疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②胸片呈正常术后改变，无明显异常。③没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.存在影响手术的合并症，术前需要进行相关的诊断和治疗。\n2.术后出现肺部感染、置入物移位、切口愈合不良等并发症，需要延长治疗时间。\n3.开放性骨折不进入本路径。"]
["转诊条件","无"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["护理"]
["ACAA0001","Ⅲ级护理","d20","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"EABWH001","肱骨X线摄影","c22"]
["CCBB2000","尿沉渣镜检"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["CAMG1000","Rh血型C抗原鉴定"]
["CAMG1000","/Rh血型c抗原鉴定"]
["CAMJ1000","/Rh血型E抗原鉴定"]
["CAMJ1000","/Rh血型e抗原鉴定"]
["CAML1000","/Rh血型其它抗原鉴定"]
["EABJT001","胸部X线摄影","c22"]
["EABWH001","肱骨X线摄影","c22"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70","ABFA0002","/换药(中)","a18"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100","ABFA0003","/换药(大)","a27"]
[null,null,null,"HAM62401","经口气管插管术","k90","ABCA0001","静脉输液","d70"]
["监测"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAP28901","麻醉恢复室监护","k40"]
["麻醉"]
[null,null,null,"HAG42101","/臂丛神经单次阻滞麻醉","k50"]
[null,null,null,"HAG42102","/臂丛神经连续阻滞麻醉","k60"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
["手术"]
[null,null,null,"HWH70310","肱骨干骨折切开复位钢板螺丝钉内固定术","a57"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4},"抗菌药物",null,null,"抗菌药物"]
[{"$nulls":4},"镇痛药物",null,null,"镇痛药物"]
[{"$nulls":7},"其他药物（消肿等）"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["检查"]
["FJE01401","肺活量功能检查","b41",null,null,null,"CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["FJE01402","/用力肺活量功能检查","b41",null,null,null,"CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["FJE01403","/肺每分通气量功能检查","b41",null,null,null,"CELA1000","总胆红素(T-Bil)测定"]
["FJE01404","/最大通气量功能检查","b49",null,null,null,"CELB1000","直接胆红素(D-Bil)测定"]
["FJE01405","肺弥散功能检查-一口气法","b41",null,null,null,"CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["FJE01406","/肺弥散功能检查-重复呼吸法","b41",null,null,null,"CEAA8000","总蛋白(TP)测定"]
["FJB02401","气道阻力测定","b49",null,null,null,"CEAE8000","白蛋白(Alb)测定"]
["EDFKA005","普通二维超声心动图","c70",null,null,null,"CECD8000","碱性磷酸酶(ALP)测定"]
["FCA03710","肌电图监测","b46",null,null,null,"CEEA8000","尿素(Urea)测定"]
["CEJM1000","血气分析",{"$nulls":4},"CEEB8000","肌酐(Cr)测定"]
["EBAWA002","上臂X线计算机体层(CT)平扫","c35",null,null,null,"CEEE8000","尿酸(UA)测定"]
["治疗"]
[null,null,null,"ABCD0001","静脉输血","d80","ABCD0001","静脉输血","d80"]
[null,null,null,"ABCE0001","/加压快速输血","d80","ABCE0001","/加压快速输血","d80"]
[null,null,null,"ABHA0002","导尿管留置","d70"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"ABHA0001","导尿","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["药物"]
[{"$nulls":7},"镇痛药"]

{"sheet":"9.闭合性尺骨鹰嘴骨折","index":9,"n_rows":114,"n_cols":9,"rows_kept":114,"cut":false,"hidden":false,"merged":[[89,0,89,8],[101,0,101,8],[111,0,111,8],[77,0,77,8],[79,0,79,8],[81,0,81,8],[86,0,86,8],[87,0,87,2],[87,3,87,5],[87,6,87,8],[13,0,13,8],[15,0,15,8],[57,0,57,8],[64,0,64,8],[73,0,73,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["9.闭合性尺骨鹰嘴骨折"]
["尺骨鹰嘴骨折切开复位内固定术"]
["主要诊断","闭合性尺骨鹰嘴骨折",null,null,"ICD-10码：S52.001A"]
["主要操作                                    ","尺骨鹰嘴骨折切开复位\n内固定术",null,null,"ICD-9-CM3码：79.02"]
["入院标准","1.第一诊断必须符合ICD-10：S52.001A闭合性尺骨鹰嘴骨折疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②术后X线片证实复位固定满意。③没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.存在影响手术的合并症，术前需要进行相关的诊断和治疗。\n2.术后出现肺部感染、置入物移位、切口愈合不良等并发症，需要延长治疗时间。\n3.开放性骨折不进入本路径。"]
["转诊条件","需康复治疗"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["护理"]
["ACAA0001","Ⅲ级护理","d20","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"EABWJ001","肘关节X线摄影","c22"]
["CCBB2000","尿沉渣镜检"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["CAMG1000","Rh血型C抗原鉴定"]
["CAMG1000","/Rh血型c抗原鉴定"]
["CAMJ1000","/Rh血型E抗原鉴定"]
["CAMJ1000","/Rh血型e抗原鉴定"]
["CAML1000","/Rh血型其它抗原鉴定"]
["EABJT001","胸部X线摄影","c22"]
["EABWJ001","肘关节X线摄影","c22"]
["治疗"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40","ABFA0001","换药(小)","a9"]
[null,null,null,"ABCA0001","静脉输液","d70","ABFA0002","/换药(中)","a18"]
[null,null,null,"HAM62401","经口气管插管术","k90","ABFA0003","/换药(大)","a27"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABCA0001","静脉输液","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["监测"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAP28901","麻醉恢复室监护","k40"]
["麻醉"]
[null,null,null,"HAG42101","/臂丛神经单次阻滞麻醉","k50"]
[null,null,null,"HAG42102","/臂丛神经连续阻滞麻醉","k60"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
["手术"]
[null,null,null,"HWM70302","尺骨鹰嘴骨折切开复位内固定术","a37"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4},"抗菌药物",null,null,"抗菌药物"]
[{"$nulls":4},"胃粘膜保护剂",null,null,"镇痛药物"]
[{"$nulls":4},"止吐药物",null,null,"其他药物（消肿等）"]
[{"$nulls":4},"止痛药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["检查"]
["FJE01401","肺活量功能检查","b41",null,null,null,"CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["FJE01402","/用力肺活量功能检查","b41",null,null,null,"CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["FJE01403","/肺每分通气量功能检查","b41",null,null,null,"CELA1000","总胆红素(T-Bil)测定"]
["FJE01404","/最大通气量功能检查","b49",null,null,null,"CELB1000","直接胆红素(D-Bil)测定"]
["FJE01405","肺弥散功能检查-一口气法","b41",null,null,null,"CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["FJE01406","/肺弥散功能检查-重复呼吸法","b41",null,null,null,"CEAA8000","总蛋白(TP)测定"]
["FJB02401","气道阻力测定","b49",null,null,null,"CEAE8000","白蛋白(Alb)测定"]
["EDFKA005","普通二维超声心动图","c70",null,null,null,"CECD8000","碱性磷酸酶(ALP)测定"]
["FCA03710","肌电图监测","b46",null,null,null,"CEEA8000","尿素(Urea)测定"]
["CEJM1000","血气分析",{"$nulls":4},"CEEB8000","肌酐(Cr)测定"]
["EBAWA002","上臂X线计算机体层(CT)平扫","c35",null,null,null,"CEEE8000","尿酸(UA)测定"]
["治疗"]
["ABCA0001","静脉输液","d70","ABCD0001","静脉输血","d80","ABCD0001","静脉输血","d80"]
[null,null,null,"ABCE0001","/加压快速输血","d80","ABCE0001","/加压快速输血","d80"]
[null,null,null,"ABHA0002","导尿管留置","d70"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"ABHA0001","导尿","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["药物"]
[null,"镇痛药物",{"$nulls":5},"镇痛药"]
[null,"消肿药物"]

{"sheet":"10.闭合性尺桡骨干骨折","index":10,"n_rows":114,"n_cols":9,"rows_kept":114,"cut":false,"hidden":false,"merged":[[89,0,89,8],[101,0,101,8],[111,0,111,8],[77,0,77,8],[79,0,79,8],[81,0,81,8],[86,0,86,8],[87,0,87,2],[87,3,87,5],[87,6,87,8],[13,0,13,8],[15,0,15,8],[57,0,57,8],[64,0,64,8],[73,0,73,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["10.闭合性尺桡骨干骨折"]
["尺骨干骨折闭合复位钢板螺丝钉内固定术"]
["主要诊断","闭合性尺骨干骨折",null,null,"ICD-10码：S52.400"]
["主要操作                                    ","尺骨干骨折闭合复位钢板\n螺丝钉内固定术",null,null,"ICD-9-CM3码：79.32"]
["入院标准","1.第一诊断必须符合ICD-10：S52.400闭合性尺骨干骨折疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②术后X线片证实复位固定满意。③没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.存在影响手术的合并症，术前需要进行相关的诊断和治疗。\n2.术后出现肺部感染、置入物移位、切口愈合不良等并发症，需要延长治疗时间。\n3.开放性骨折不进入本路径。"]
["转诊条件","无"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["护理"]
["ACAA0001","Ⅲ级护理","d20","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"EABWM001","尺桡骨X线摄影","c22"]
["CCBB2000","尿沉渣镜检"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["CAMG1000","Rh血型C抗原鉴定"]
["CAMG1000","/Rh血型c抗原鉴定"]
["CAMJ1000","/Rh血型E抗原鉴定"]
["CAMJ1000","/Rh血型e抗原鉴定"]
["CAML1000","/Rh血型其它抗原鉴定"]
["EABJT001","胸部X线摄影","c22"]
["EABWM001","尺桡骨X线摄影","c22"]
["治疗"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40","ABFA0001","换药(小)","a9"]
[null,null,null,"ABCA0001","静脉输液","d70","ABFA0002","/换药(中)","a18"]
[null,null,null,"HAM62401","经口气管插管术","k90","ABFA0003","/换药(大)","a27"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABCA0001","静脉输液","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["监测"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAP28901","麻醉恢复室监护","k40"]
["麻醉"]
[null,null,null,"HAG42101","/臂丛神经单次阻滞麻醉","k50"]
[null,null,null,"HAG42102","/臂丛神经连续阻滞麻醉","k60"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
["手术"]
[null,null,null,"HWM70304","尺骨干骨折闭合复位钢板螺丝钉内固定术","a50"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4},"抗菌药物",null,null,"抗菌药物"]
[{"$nulls":4},"胃粘膜保护剂",null,null,"镇痛药物"]
[{"$nulls":4},"止吐药物",null,null,"其他药物（消肿等）"]
[{"$nulls":4},"止痛药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["检查"]
["FJE01401","肺活量功能检查","b41",null,null,null,"CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["FJE01402","/用力肺活量功能检查","b41",null,null,null,"CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["FJE01403","/肺每分通气量功能检查","b41",null,null,null,"CELA1000","总胆红素(T-Bil)测定"]
["FJE01404","/最大通气量功能检查","b49",null,null,null,"CELB1000","直接胆红素(D-Bil)测定"]
["FJE01405","肺弥散功能检查-一口气法","b41",null,null,null,"CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["FJE01406","/肺弥散功能检查-重复呼吸法","b41",null,null,null,"CEAA8000","总蛋白(TP)测定"]
["FJB02401","气道阻力测定","b49",null,null,null,"CEAE8000","白蛋白(Alb)测定"]
["EDFKA005","普通二维超声心动图","c70",null,null,null,"CECD8000","碱性磷酸酶(ALP)测定"]
["FCA03710","肌电图监测","b46",null,null,null,"CEEA8000","尿素(Urea)测定"]
["CEJM1000","血气分析",{"$nulls":4},"CEEB8000","肌酐(Cr)测定"]
["EBAWA002","上臂X线计算机体层(CT)平扫","c35",null,null,null,"CEEE8000","尿酸(UA)测定"]
["治疗"]
["ABCA0001","静脉输液","d70","ABCD0001","静脉输血","d80","ABCD0001","静脉输血","d80"]
[null,null,null,"ABCE0001","/加压快速输血","d80","ABCE0001","/加压快速输血","d80"]
[null,null,null,"ABHA0002","导尿管留置","d70"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"ABHA0001","导尿","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["药物"]
[null,"镇痛药物",{"$nulls":5},"镇痛药"]
[null,"消肿药物"]

{"sheet":"11.先天性肌性斜颈","index":11,"n_rows":95,"n_cols":9,"rows_kept":95,"cut":false,"hidden":false,"merged":[[86,0,86,8],[88,0,88,8],[92,0,92,8],[75,3,75,5],[77,0,77,8],[79,0,79,8],[83,0,83,8],[84,0,84,2],[84,3,84,5],[84,6,84,8],[13,0,13,8],[15,0,15,8],[56,0,56,8],[63,0,63,8],[72,3,72,5],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["11.先天性肌性斜颈"]
["肌肉松解术"]
["主要诊断","先天性肌性斜颈",null,null,"ICD-10码：Q68.001"]
["主要操作                                    ","肌肉松解术",null,null,"ICD-9-CM3码：83.19"]
["入院标准","1.第一诊断必须符合ICD-10：Q68.001先天性肌性斜颈疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无渗出、无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.存在影响手术的合并症，术前需要进行相关的诊断和治疗。\n2.术后出现肺部感染、切口愈合不良等并发症，需要延长治疗时间。"]
["转诊条件","无"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["护理"]
["ACAA0001","Ⅲ级护理","d20","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"EABVH001","颈椎X线摄影","c22"]
["CCBB2000","尿沉渣镜检"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["CAMG1000","Rh血型C抗原鉴定"]
["CAMG1000","/Rh血型c抗原鉴定"]
["CAMJ1000","/Rh血型E抗原鉴定"]
["CAMJ1000","/Rh血型e抗原鉴定"]
["CAML1000","/Rh血型其它抗原鉴定"]
["EABVH001","颈椎X线摄影","c22"]
["治疗"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40","ABFA0001","换药(小)","a9"]
[null,null,null,"ABCA0001","静脉输液","d70","ABFA0002","/换药(中)","a18"]
[null,null,null,"HAM62401","经口气管插管术","k90","ABFA0003","/换药(大)","a27"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABCA0001","静脉输液","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70","PBBA0801","外固定架使用","m9"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["监测"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"麻醉"]
[null,null,null,"HAF42101","/颈丛神经阻滞麻醉","k50"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"手术"]
[null,null,null,"HX857301","肌肉松解术","a70"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4},"抗菌药物",null,null,"抗菌药物"]
[{"$nulls":7},"镇痛药物"]
[{"$nulls":7},"其他药物（消肿等）"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务项目名称","技术\n难度"]
["检查"]
[]
["治疗"]
[null,null,null,"ABCD0001","静脉输血","d80","ABCD0001","静脉输血","d80"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["药物"]
[null,"镇痛药物",{"$nulls":5},"镇痛药"]
[null,"消肿药物"]

{"sheet":"12.腱鞘囊肿","index":12,"n_rows":91,"n_cols":9,"rows_kept":91,"cut":false,"hidden":false,"merged":[[84,0,84,8],[86,0,86,8],[88,0,88,8],[90,0,90,8],[73,0,73,8],[75,0,75,8],[77,0,77,8],[81,0,81,8],[82,0,82,2],[82,3,82,5],[82,6,82,8],[13,0,13,8],[15,0,15,8],[53,0,53,8],[59,0,59,8],[67,0,67,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["12.腱鞘囊肿"]
["腱鞘囊肿切除术"]
["主要诊断","腱鞘囊肿",null,null,"ICD-10码：M67.4"]
["主要操作                                    ","腱鞘囊肿切除术",null,null,"ICD-9-CM3码：82.21"]
["入院标准","1.第一诊断必须符合ICD-10：M67.4腱鞘囊肿疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染、伤口干燥，无明显红肿等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.存在影响手术的合并症，术前需要进行相关的诊断和治疗。\n2.术后出现肺部感染、切口愈合不良等并发症，需要延长治疗时间。"]
["转诊条件","无"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAD0001","特级护理","d100","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",{"$nulls":4},"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"CAAB1000","/全血细胞计数+5分类检测"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["CAMG1000","Rh血型C抗原鉴定"]
["CAMG1000","/Rh血型c抗原鉴定"]
["CAMJ1000","/Rh血型E抗原鉴定"]
["CAMJ1000","/Rh血型e抗原鉴定"]
["CAML1000","/Rh血型其它抗原鉴定"]
["治疗"]
[null,null,null,"ABCA0001","静脉输液","d70","ABFA0001","换药(小)","a9"]
[null,null,null,"HAM62401","经口气管插管术","k90","ABCA0001","静脉输液","d70"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["监测"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
["麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAG42108","/指间神经阻滞麻醉","k20"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAA42902","/无插管全麻","a54"]
[null,null,null,"HAG42101","/臂丛神经单次阻滞麻醉","k50"]
["手术"]
[null,null,null,"HX873303","腱鞘囊肿切除术","a26"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4},"抗菌药物",null,null,"抗菌药物"]
[{"$nulls":7},"镇痛药物"]
[{"$nulls":7},"其他药物（消肿等）"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
[]
["治疗"]
[]
["监测"]
[]
["药物"]

{"sheet":"13.闭合性髌骨骨折","index":13,"n_rows":126,"n_cols":9,"rows_kept":126,"cut":false,"hidden":false,"merged":[[101,0,101,8],[113,0,113,8],[123,0,123,8],[89,0,89,8],[91,0,91,8],[93,0,93,8],[98,0,98,8],[99,0,99,2],[99,3,99,5],[99,6,99,8],[13,0,13,8],[15,0,15,8],[57,0,57,8],[64,0,64,8],[73,0,73,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["13.闭合性髌骨骨折"]
["髌骨骨折闭合复位内固定术"]
["主要诊断","闭合性髌骨骨折",null,null,"ICD-10码：S82.000"]
["主要操作                                    ","髌骨骨折闭合复位内固定术",null,null,"ICD-9-CM3码：79.19"]
["入院标准","1.第一诊断必须符合ICD-10：S82.000闭合性髌骨骨折疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好，引流管拔除无积血、感染等；②术后X线片证实复位固定满意。③没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.存在影响手术的合并症，术前需要进行相关的诊断和治疗。\n2.术后出现肺部感染、置入物移位、切口愈合不良等并发症，需要延长治疗时间。\n3.开放性骨折不进入本路径。"]
["转诊条件","1.出院时疼痛剧烈，口服止痛药效果不佳，有意愿转至社区医院进一步治疗。\n2.出院后因客观条件限制，生活无法自理且无人照顾，有意愿转至社区医院进一步治疗。\n3.需康复治疗的患者。"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"EBAXF001","大腿X线计算机体层(CT)平扫","c35"]
["CCBB2000","尿沉渣镜检"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["CAMG1000","Rh血型C抗原鉴定"]
["CAMG1000","/Rh血型c抗原鉴定"]
["CAMJ1000","/Rh血型E抗原鉴定"]
["CAMJ1000","/Rh血型e抗原鉴定"]
["CAML1000","/Rh血型其它抗原鉴定"]
["ECAXJ001","膝关节磁共振成像","c43"]
["EBAXF001","大腿X线计算机体层(CT)平扫","c35"]
["治疗"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40","ABFA0001","换药(小)","a9"]
[null,null,null,"ABCA0001","静脉输液","d70","ABFA0002","/换药(中)","a18"]
[null,null,null,"HAM62401","经口气管插管术","k90","ABFA0003","/换药(大)","a27"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABCA0001","静脉输液","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["监测"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAP28901","麻醉恢复室监护","k40"]
["麻醉"]
[null,null,null,"HAC42103","/腰麻复合连续硬膜外阻滞麻醉","k80"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAJ42101","/腰丛神经单次阻滞麻醉","k70"]
[null,null,null,"HAJ42102","/腰丛神经连续阻滞麻醉","k80"]
[null,null,null,"HAJ42103","/股神经单次阻滞麻醉","k40"]
[null,null,null,"HAJ42104","/股神经连续阻滞麻醉","k50"]
[null,null,null,"HAJ42105","/股外侧皮神经单次阻滞麻醉","k30"]
[null,null,null,"HAJ42106","/股外侧皮神经连续阻滞麻醉","k40"]
[null,null,null,"HAK42101","/坐骨神经单次阻滞麻醉","k40"]
[null,null,null,"HAK42102","/坐骨神经连续阻滞麻醉","k50"]
[null,null,null,"HAK42103","/隐神经阻滞麻醉","k40"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
["手术"]
[null,null,null,"HXH70303","髌骨骨折闭合复位内固定术","a23"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4},"抗菌药物",null,null,"抗菌药物"]
[{"$nulls":4},"胃粘膜保护剂",null,null,"镇痛药物"]
[{"$nulls":4},"止吐药物",null,null,"其他药物（消肿等）"]
[{"$nulls":4},"止痛药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["FJE01401","肺活量功能检查","b41",null,null,null,"CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["FJE01402","/用力肺活量功能检查","b41",null,null,null,"CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["FJE01403","/肺每分通气量功能检查","b41",null,null,null,"CELA1000","总胆红素(T-Bil)测定"]
["FJE01404","/最大通气量功能检查","b49",null,null,null,"CELB1000","直接胆红素(D-Bil)测定"]
["FJE01405","肺弥散功能检查-一口气法","b41",null,null,null,"CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["FJE01406","/肺弥散功能检查-重复呼吸法","b41",null,null,null,"CEAA8000","总蛋白(TP)测定"]
["FJB02401","气道阻力测定","b49",null,null,null,"CEAE8000","白蛋白(Alb)测定"]
["EDFKA005","普通二维超声心动图","c70",null,null,null,"CECD8000","碱性磷酸酶(ALP)测定"]
["FCA03710","肌电图监测","b46",null,null,null,"CEEA8000","尿素(Urea)测定"]
["CEJM1000","血气分析",{"$nulls":4},"CEEB8000","肌酐(Cr)测定"]
["EBAXF001","大腿X线计算机体层(CT)平扫","c35",null,null,null,"CEEE8000","尿酸(UA)测定"]
["治疗"]
["ABCA0001","静脉输液","d70","ABCD0001","静脉输血","d80","ABCD0001","静脉输血","d80"]
[null,null,null,"ABCE0001","/加压快速输血","d80","ABCE0001","/加压快速输血","d80"]
[null,null,null,"ABHA0002","导尿管留置","d70"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"ABHA0001","导尿","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["药物"]
[null,"镇痛药物",{"$nulls":5},"镇痛药"]
[null,"消肿药物"]

{"sheet":"14.腘窝囊肿","index":14,"n_rows":140,"n_cols":9,"rows_kept":140,"cut":false,"hidden":false,"merged":[[105,0,105,8],[127,0,127,8],[137,0,137,8],[93,3,93,5],[95,0,95,8],[97,0,97,8],[102,0,102,8],[103,0,103,2],[103,3,103,5],[103,6,103,8],[13,0,13,8],[15,0,15,8],[61,0,61,8],[68,0,68,8],[77,3,77,5],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["14.腘窝囊肿"]
["腘窝囊肿切除术"]
["主要诊断","腘窝囊肿",null,null,"ICD-10码：M71.2"]
["主要操作                                    ","腘窝囊肿切除术",null,null,"ICD-9-CM3码：81.47"]
["入院标准","1.第一诊断必须符合ICD-10：M71.2腘窝囊肿疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好，引流管拔除，无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.存在影响手术的合并症，术前需要进行相关的诊断和治疗。\n2.术后出现肺部感染、切口愈合不良等并发症，需要延长治疗时间。"]
["转诊条件","1.出院时疼痛剧烈，口服止痛药效果不佳，有意愿转至社区医院进一步治疗。\n2.出院后因客观条件限制，生活无法自理且无人照顾，有意愿转至社区医院进一步治疗。"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"EBAXF001","大腿X线计算机体层(CT)平扫","c35"]
["CCBB2000","尿沉渣镜检"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["CAMG1000","Rh血型C抗原鉴定"]
["CAMG1000","/Rh血型c抗原鉴定"]
["CAMJ1000","/Rh血型E抗原鉴定"]
["CAMJ1000","/Rh血型e抗原鉴定"]
["CAML1000","/Rh血型其它抗原鉴定"]
["EDBX7001","关节B超检查","c45"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","或ABO血型鉴定(反定型)"]
["CAMD1000","或ABO亚型鉴定(正定型)"]
["CAME1000","或ABO亚型鉴定(反定型)"]
["CAMF1000","或RhD血型鉴定"]
["治疗"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40","ABFA0001","换药(小)","a9"]
[null,null,null,"ABCA0001","静脉输液","d70","ABFA0002","/换药(中)","a18"]
[null,null,null,"HAM62401","经口气管插管术","k90","ABFA0003","/换药(大)","a27"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABCA0001","静脉输液","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["监测"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"麻醉"]
[null,null,null,"HAC42103","/腰麻复合连续硬膜外阻滞麻醉","k80"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAJ42101","/腰丛神经单次阻滞麻醉","k70"]
[null,null,null,"HAJ42102","/腰丛神经连续阻滞麻醉","k80"]
[null,null,null,"HAJ42103","/股神经单次阻滞麻醉","k40"]
[null,null,null,"HAJ42104","/股神经连续阻滞麻醉","k50"]
[null,null,null,"HAJ42105","/股外侧皮神经单次阻滞麻醉","k30"]
[null,null,null,"HAJ42106","/股外侧皮神经连续阻滞麻醉","k40"]
[null,null,null,"HAK42101","/坐骨神经单次阻滞麻醉","k40"]
[null,null,null,"HAK42102","/坐骨神经连续阻滞麻醉","k50"]
[null,null,null,"HAK42103","/隐神经阻滞麻醉","k40"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
[null,null,null,"手术"]
[null,null,null,"HXJ73304","腘窝囊肿切除术","a16"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4},"抗菌药物",null,null,"抗菌药物"]
[{"$nulls":4},"胃粘膜保护剂",null,null,"镇痛药物"]
[{"$nulls":4},"止吐药物",null,null,"其他药物（消肿等）"]
[{"$nulls":4},"止痛药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["FJE01401","肺活量功能检查","b41",null,null,null,"CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["FJE01402","/用力肺活量功能检查","b41",null,null,null,"CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["FJE01403","/肺每分通气量功能检查","b41",null,null,null,"CELA1000","总胆红素(T-Bil)测定"]
["FJE01404","/最大通气量功能检查","b49",null,null,null,"CELB1000","直接胆红素(D-Bil)测定"]
["FJE01405","肺弥散功能检查-一口气法","b41",null,null,null,"CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["FJE01406","/肺弥散功能检查-重复呼吸法","b41",null,null,null,"CEAA8000","总蛋白(TP)测定"]
["FJB02401","气道阻力测定","b49",null,null,null,"CEAE8000","白蛋白(Alb)测定"]
["EDFKA005","普通二维超声心动图","c70",null,null,null,"CECD8000","碱性磷酸酶(ALP)测定"]
["FCA03710","肌电图监测","b46",null,null,null,"CEEA8000","尿素(Urea)测定"]
["CEJM1000","血气分析",{"$nulls":4},"CEEB8000","肌酐(Cr)测定"]
["EBAXF001","大腿X线计算机体层(CT)平扫","c35",null,null,null,"CEEE8000","尿酸(UA)测定"]
["ECAXJ001","膝关节磁共振成像","c43",null,null,null,"CEJA8000","钾(K)测定"]
[{"$nulls":6},"CEJB8000","钠(Na)测定"]
[{"$nulls":6},"CEJC8000","氯(Cl)测定"]
[{"$nulls":6},"CEJD1000","总二氧化碳(TCO2)测定"]
[{"$nulls":6},"CEJE8000","镁(Mg)测定"]
[{"$nulls":6},"CEJF8000 ","总钙(Ca)测定"]
[{"$nulls":6},"CAGA1000","凝血酶时间(TT)测定"]
[{"$nulls":6},"CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
[{"$nulls":6},"CAGC1000","/血浆凝血酶原时间(PT)测定"]
[{"$nulls":6},"CAGD1000","/血浆纤维蛋白原测定"]
["治疗"]
["ABCA0001","静脉输液","d70","ABCD0001","静脉输血","d80","ABCD0001","静脉输血","d80"]
[null,null,null,"ABCE0001","/加压快速输血","d80","ABCE0001","/加压快速输血","d80"]
[null,null,null,"ABHA0002","导尿管留置","d70"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"ABHA0001","导尿","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["药物"]
[null,"镇痛药物",{"$nulls":5},"镇痛药"]
[null,"消肿药物"]

{"sheet":"15.膝关节骨关节炎","index":15,"n_rows":137,"n_cols":9,"rows_kept":137,"cut":false,"hidden":false,"merged":[[108,0,108,8],[124,0,124,8],[134,0,134,8],[96,0,96,8],[98,0,98,8],[100,0,100,8],[105,0,105,8],[106,0,106,2],[106,3,106,5],[106,6,106,8],[13,0,13,8],[15,0,15,8],[62,0,62,8],[71,0,71,8],[80,0,80,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["15.膝关节骨关节炎"]
["关节镜下膝关节清理术"]
["主要诊断","膝关节骨关节炎",null,null,"ICD-10码：M17"]
["主要操作                                    ","关节镜下膝关节清理术",null,null,"ICD-9-CM3码：80.86"]
["入院标准","1.第一诊断必须符合ICD-10：M17膝关节骨关节炎疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，关节疼痛及肿胀程度缓解，切口愈合好无积血、感染等；②化验指标好转，没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.有影响疾病预后的合并症，需要进行相关的诊断和治疗。\n2.治疗出现肺部感染、呼吸功能衰竭、心脏功能衰竭等，需要延长治疗时间。"]
["转诊条件","1.关节肿胀，影响活动较大。\n2.需要关节内注射药物。"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAD0001","特级护理","d100","ACAC0001","Ⅰ级护理  ","d80"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",{"$nulls":4},"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"EDBX7001","关节B超检查","c45"]
["CCBB2000","尿沉渣镜检"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["CAMG1000","Rh血型C抗原鉴定"]
["CAMG1000","/Rh血型c抗原鉴定"]
["CAMJ1000","/Rh血型E抗原鉴定"]
["CAMJ1000","/Rh血型e抗原鉴定"]
["CAML1000","/Rh血型其它抗原鉴定"]
["EDBX7001","关节B超检查","c45"]
["EABXJ001","膝关节X线摄影","c22"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","或ABO血型鉴定(反定型)"]
["CAMD1000","或ABO亚型鉴定(正定型)"]
["CAME1000","或ABO亚型鉴定(反定型)"]
["CAMF1000","或RhD血型鉴定"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40","ABFA0002","/换药(中)","a18"]
[null,null,null,"ABCA0001","静脉输液","d70","ABFA0003","/换药(大)","a27"]
[null,null,null,"HAM62401","经口气管插管术","k90","ABCA0001","静脉输液","d70"]
[null,null,null,"ABHA0001","导尿","d70"]
[null,null,null,"ABHA0002","导尿管留置","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["监测"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAP28901","麻醉恢复室监护","k40"]
["麻醉"]
[null,null,null,"HAC42103","/腰麻复合连续硬膜外阻滞麻醉","k80"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAJ42101","/腰丛神经单次阻滞麻醉","k70"]
[null,null,null,"HAJ42102","/腰丛神经连续阻滞麻醉","k80"]
[null,null,null,"HAJ42103","/股神经单次阻滞麻醉","k40"]
[null,null,null,"HAJ42104","/股神经连续阻滞麻醉","k50"]
[null,null,null,"HAJ42105","/股外侧皮神经单次阻滞麻醉","k30"]
[null,null,null,"HAJ42106","/股外侧皮神经连续阻滞麻醉","k40"]
[null,null,null,"HAK42101","/坐骨神经单次阻滞麻醉","k40"]
[null,null,null,"HAK42102","/坐骨神经连续阻滞麻醉","k50"]
[null,null,null,"HAK42103","/隐神经阻滞麻醉","k40"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
["手术"]
[null,null,null,"HXJ73501","关节镜下膝关节清理术","a51"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4},"抗菌药物",null,null,"抗菌药物"]
[{"$nulls":4},"胃粘膜保护剂",null,null,"镇痛药物"]
[{"$nulls":4},"止吐药物",null,null,"其他药物（消肿等）"]
[{"$nulls":4},"止痛药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["FJE01401","肺活量功能检查","b41",null,null,null,"CAAA1000","全血细胞计数+3分群检测"]
["FJE01402","/用力肺活量功能检查","b41",null,null,null,"CAAB1000","/全血细胞计数+5分类检测"]
["FJE01403","/肺每分通气量功能检查","b41",null,null,null,"EABXJ001","膝关节X线摄影","c22"]
["FJE01404","/最大通气量功能检查","b49",null,null,null,"EBAXF001","大腿X线计算机体层(CT)平扫","c35"]
["FJE01405","肺弥散功能检查-一口气法","b41",null,null,null,"ECAXJ001","膝关节磁共振成像","c43"]
["FJE01406","/肺弥散功能检查-重复呼吸法","b41"]
["FJB02401","气道阻力测定","b49"]
["EDFKA005","普通二维超声心动图","c70"]
["FCA03710","肌电图监测","b46"]
["CEJM1000","血气分析"]
["EBAXF001","大腿X线计算机体层(CT)平扫","c35"]
["ECAXJ001","膝关节磁共振成像","c43"]
["EDCL5001","下肢动脉彩色多普勒超声检查","c80"]
["EDCM1001","/下肢深静脉彩色多普勒超声检查","c80"]
["EDCM4001","/下肢浅静脉彩色多普勒超声检查","c70"]
["治疗"]
["ABCA0001","静脉输液","d70","ABCD0001","静脉输血","d80","ABCD0001","静脉输血","d80"]
[null,null,null,"ABCE0001","/加压快速输血","d80","ABCE0001","/加压快速输血","d80"]
[null,null,null,"ABHA0002","导尿管留置","d70"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"ABHA0001","导尿","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["药物"]
[null,"镇痛药物",{"$nulls":5},"抗菌药物"]
[null,"消肿药物"]

{"sheet":"16.多指或趾畸形","index":16,"n_rows":129,"n_cols":9,"rows_kept":129,"cut":false,"hidden":false,"merged":[[102,0,102,8],[114,0,114,8],[124,0,124,8],[126,0,126,8],[91,0,91,8],[93,0,93,8],[95,0,95,8],[99,0,99,8],[100,0,100,2],[100,3,100,5],[100,6,100,8],[13,0,13,8],[15,0,15,8],[57,0,57,8],[64,0,64,8],[73,0,73,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["16.多指、趾畸形"]
["多指/趾切除矫形术"]
["主要诊断","多指、趾畸形",null,null,"ICD-10码：Q69.9"]
["主要操作                                    ","多指/趾切除矫形术",null,null,"ICD-9-CM3码：86.26"]
["入院标准","1.第一诊断必须符合ICD-10：Q69.9多指、趾畸形疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，脚趾、手指血供良好，切口愈合好无积血、感染等；②X片手指、趾外形正常术后改变；③没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.存在影响手术的合并症，术前需要进行相关的诊断和治疗。\n2.术后出现肺部感染、切口有红肿痛热等感染征象，需要延长治疗时间。"]
["转诊条件","无"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测",null,"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测",null,"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"EABWT001","手腕关节X线摄影","c22"]
["CCBB2000","尿沉渣镜检"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["CAMG1000","Rh血型C抗原鉴定"]
["CAMG1000","/Rh血型c抗原鉴定"]
["CAMJ1000","/Rh血型E抗原鉴定"]
["CAMJ1000","/Rh血型e抗原鉴定"]
["CAML1000","/Rh血型其它抗原鉴定"]
["EABJT001","胸部X线摄影","c22"]
["EABWT001","手腕关节X线摄影","c22"]
["治疗"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40","ABFA0001","换药(小)","a9"]
[null,null,null,"ABCA0001","静脉输液","d70","ABFA0002","/换药(中)","a18"]
[null,null,null,"HAM62401","经口气管插管术","k90","ABFA0003","/换药(大)","a27"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABCA0001","静脉输液","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["监测"]
[null,null,null,"HAN05902","/全身麻醉下呼吸功能监测","k50","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAP28901","麻醉恢复室监护","k40"]
["麻醉"]
[null,null,null,"HAG42101","/臂丛神经单次阻滞麻醉","k50"]
[null,null,null,"HAG42102","/臂丛神经连续阻滞麻醉","k60"]
[null,null,null,"HAC42103","/腰麻复合连续硬膜外阻滞麻醉","k80"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAJ42101","/腰丛神经单次阻滞麻醉","k70"]
[null,null,null,"HAJ42102","/腰丛神经连续阻滞麻醉","k80"]
[null,null,null,"HAJ42103","/股神经单次阻滞麻醉","k40"]
[null,null,null,"HAJ42104","/股神经连续阻滞麻醉","k50"]
[null,null,null,"HAJ42105","/股外侧皮神经单次阻滞麻醉","k30"]
[null,null,null,"HAJ42106","/股外侧皮神经连续阻滞麻醉","k40"]
[null,null,null,"HAK42101","/坐骨神经单次阻滞麻醉","k40"]
[null,null,null,"HAK42102","/坐骨神经连续阻滞麻醉","k50"]
[null,null,null,"HAK42103","/隐神经阻滞麻醉","k40"]
[null,null,null,"HAC42101","单次腰麻","k60"]
[null,null,null,"HAC42102","连续腰麻","k80"]
["手术"]
[null,null,null,"HW273301","多指/趾切除矫形术","a47"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4},"抗菌药物",null,null,"抗菌药物"]
[{"$nulls":4},"镇痛药物",null,null,"镇痛药物"]
[{"$nulls":4},"其他药物（消肿等）",null,null,"其他药物（消肿等）"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["FJE01401","肺活量功能检查","b41",null,null,null,"CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["FJE01402","/用力肺活量功能检查","b41",null,null,null,"CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["FJE01403","/肺每分通气量功能检查","b41",null,null,null,"CELA1000","总胆红素(T-Bil)测定"]
["FJE01404","/最大通气量功能检查","b49",null,null,null,"CELB1000","直接胆红素(D-Bil)测定"]
["FJE01405","肺弥散功能检查-一口气法","b41",null,null,null,"CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["FJE01406","/肺弥散功能检查-重复呼吸法","b41",null,null,null,"CEAA8000","总蛋白(TP)测定"]
["FJB02401","气道阻力测定","b49",null,null,null,"CEAE8000","白蛋白(Alb)测定"]
["EDFKA005","普通二维超声心动图","c70",null,null,null,"CECD8000","碱性磷酸酶(ALP)测定"]
["FCA03710","肌电图监测","b46",null,null,null,"CEEA8000","尿素(Urea)测定"]
["CEJM1000","血气分析",{"$nulls":4},"CEEB8000","肌酐(Cr)测定"]
["EBAXF001","大腿X线计算机体层(CT)平扫","c35",null,null,null,"CEEE8000","尿酸(UA)测定"]
["治疗"]
["ABCA0001","静脉输液","d70","ABCD0001","静脉输血","d80","ABCD0001","静脉输血","d80"]
[null,null,null,"ABCE0001","/加压快速输血","d80","ABCE0001","/加压快速输血","d80"]
[null,null,null,"ABHA0002","导尿管留置","d70"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"ABHA0001","导尿","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["监测"]
[]
["药物"]
[null,"镇痛药物",{"$nulls":5},"镇痛药"]
[null,"消肿药物"]

{"sheet":"17.肾结石","index":17,"n_rows":94,"n_cols":9,"rows_kept":94,"cut":false,"hidden":false,"merged":[[88,0,88,8],[92,0,92,8],[74,0,74,8],[76,0,76,8],[78,0,78,8],[85,0,85,8],[86,0,86,2],[86,3,86,5],[86,6,86,8],[13,0,13,8],[16,0,16,8],[53,0,53,8],[60,0,60,8],[68,0,68,8],[9,1,9,8],[10,0,10,8],[11,0,11,1],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["17.肾结石"]
["经皮肾镜超声碎石取石术"]
["主要诊断","肾结石",null,null,"ICD-10码：N20.0,N13.201"]
["主要操作                                    ","经皮肾镜超声碎石取石术",null,null,"ICD-9-CM3码：55.04"]
["入院标准","1.第一诊断必须符合ICD-10：N20.0,N13.201肾结石疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好、肾造瘘无漏尿、无出血、感染等；②D-J管位置正常。③没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.术中、术后出现并发症，需要进一步诊治，导致住院时间延长、费用增加。\n2.术后出现结石残留，需要进一步诊治，导致住院时间延长、费用增加。\n3.术后原伴随疾病控制不佳，需请相关科室会诊，进一步诊治。\n4.住院后出现其他内、外科疾病需进一步明确诊断，可进入其他路径。"]
["转诊条件","1.手术部位疼痛评分2-3分，需要持续使用止痛药物。\n2.肾造瘘口有少量渗血。"]
["再入院\n间隔时间","3个月"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAA0001","Ⅲ级护理","d20","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
[{"$nulls":6},"ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03703","十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","/ABO血型鉴定(反定型)"]
["CAMD1000","/ABO亚型鉴定(正定型)"]
["CAME1000","/ABO亚型鉴定(反定型)"]
["CAMF1000","/RhD血型鉴定"]
["治疗"]
["ABHA0002","导尿管留置","d70","HRB50301","肾造瘘术","a59","ABCA0001","静脉输液","d70"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
["手术"]
[null,null,null,"HRB65506","经皮肾镜超声碎石取石术","a76"]
["病理及其它"]
[]
["药物"]
[null,"抗菌药物",null,null,"抗菌药物",null,null,"止痛药"]
[{"$nulls":7},"止血药"]
[{"$nulls":7},"止呕药物"]
[{"$nulls":7},"抗菌素"]
[{"$nulls":7},"营养药物"]
[{"$nulls":7},"促胃肠动力药"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["EEGRB001","肾图检查","c40",null,null,null,"CCBV2000","尿结石成份分析"]
["EBAQT002","下腹部X线计算机体层(CT)平扫","c35",null,null,null,"CCAA2000","尿常规化学分析"]
[{"$nulls":6},"EABRA001","腹部尿路X线摄影(KUB)","c26"]
["药物"]
[{"$nulls":7},"止血药"]

{"sheet":"18.输尿管结石","index":18,"n_rows":96,"n_cols":9,"rows_kept":96,"cut":false,"hidden":false,"merged":[[89,0,89,8],[93,0,93,8],[77,0,77,8],[79,0,79,8],[81,0,81,8],[86,0,86,8],[87,0,87,2],[87,3,87,5],[87,6,87,8],[13,0,13,8],[16,0,16,8],[56,0,56,8],[63,0,63,8],[71,0,71,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["18.输尿管结石"]
["经尿道输尿管镜激光碎石取石术"]
["主要诊断","输尿管结石",null,null,"ICD-10码：N20.1,N13.202"]
["主要操作                                    ","经尿道输尿管镜激光碎石取石术",null,null,"ICD-9-CM3码：57"]
["入院标准","1.第一诊断必须符合ICD-10：N20.1,N13.202输尿管结石疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，伤口愈合好，D-J管位置正常，无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.术中、术后出现并发症，需要进一步诊治，导致住院时间延长、费用增加。\n2.术后出现结石残留，需要进一步诊治，导致住院时间延长、费用增加。\n3.术后原伴随疾病控制不佳，需请相关科室会诊，进一步诊治。\n4.住院后出现其他内、外科疾病需进一步明确诊断，可进入其他路径。"]
["转诊条件","手术部位疼痛评分2-3分，需要持续使用止痛药物。"]
["再入院\n间隔时间","14天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAA0001","Ⅲ级护理","d20","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
[{"$nulls":6},"ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",{"$nulls":4},"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","/ABO血型鉴定(反定型)"]
["CAMD1000","/ABO亚型鉴定(正定型)"]
["CAME1000","/ABO亚型鉴定(反定型)"]
["CAMF1000","/RhD血型鉴定"]
["治疗"]
["ABHA0002","导尿管留置","d70","ABHA0002","导尿管留置","d70","ABCA0001","静脉输液","d70"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
["手术"]
[null,null,null,"HRF65604","经尿道输尿管镜激光碎石取石术","a66"]
["病理及其它"]
[null,null,null,"CCBV2000","尿结石成份分析"]
["药物"]
[null,"抗菌药物",null,null,"抗菌药物",null,null,"抗菌药物"]
[{"$nulls":4},"麻醉用药",null,null,"止痛药"]
[{"$nulls":7},"止血药"]
[{"$nulls":7},"止呕药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["EEGRB001","肾图检查","c40",null,null,null,"CCBV2000","尿结石成份分析"]
["EBAQT002","下腹部X线计算机体层(CT)平扫","c35",null,null,null,"CCAA2000","尿常规化学分析"]
["EACRA001","泌尿系逆行X线造影","a34",null,null,null,"EABRA001","腹部尿路X线摄影(KUB)","c26"]
["药物"]
[null,"抗生素",null,null,"抗菌药物",null,null,"预防结石及排石药物"]
[null,"解疼止痛药物"]

{"sheet":"19.输尿管结石","index":19,"n_rows":96,"n_cols":9,"rows_kept":96,"cut":false,"hidden":false,"merged":[[89,0,89,8],[93,0,93,8],[77,0,77,8],[79,0,79,8],[81,0,81,8],[86,0,86,8],[87,0,87,2],[87,3,87,5],[87,6,87,8],[13,0,13,8],[16,0,16,8],[56,0,56,8],[63,0,63,8],[71,0,71,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["19.输尿管结石"]
["经尿道输尿管镜气压弹道碎石取石术"]
["主要诊断","输尿管结石",null,null,"ICD-10码：N20.1,N13.202"]
["主要操作                                    ","经尿道输尿管镜气压弹道碎石取石术",null,null,"ICD-9-CM3码：57"]
["入院标准","1.第一诊断必须符合ICD-10：N20.1,N13.202输尿管结石疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好，D-J管位置正常，无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.术中、术后出现并发症，需要进一步诊治，导致住院时间延长、费用增加。\n2.术后出现结石残留，需要进一步诊治，导致住院时间延长、费用增加。\n3.术后原伴随疾病控制不佳，需请相关科室会诊，进一步诊治。\n4.住院后出现其他内、外科疾病需进一步明确诊断，可进入其他路径。"]
["转诊条件","手术部位疼痛评分2-3分，需要持续使用止痛药物。"]
["再入院\n间隔时间","14天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAA0001","Ⅲ级护理","d20","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
[{"$nulls":6},"ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",null,"CCBV2000","尿结石成份分析",null,"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","/ABO血型鉴定(反定型)"]
["CAMD1000","/ABO亚型鉴定(正定型)"]
["CAME1000","/ABO亚型鉴定(反定型)"]
["CAMF1000","/RhD血型鉴定"]
["治疗"]
["ABHA0002","导尿管留置","d70","ABHA0002","导尿管留置","d70","ABCA0001","静脉输液","d70"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
["手术"]
[null,null,null,"HRF65607","经尿道输尿管镜气压弹道碎石取石术","a72"]
["病理及其它"]
[]
["药物"]
[null,"抗菌药物",null,null,"抗菌药物",null,null,"抗菌药物"]
[{"$nulls":4},"麻醉用药",null,null,"止痛药"]
[{"$nulls":7},"止血药"]
[{"$nulls":7},"止呕药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["EEGRB001","肾图检查","c40",null,null,null,"CCBV2000","尿结石成份分析"]
["EBAQT002","下腹部X线计算机体层(CT)平扫","c35",null,null,null,"CCAA2000","尿常规化学分析"]
["EACRA001","泌尿系逆行X线造影","a34",null,null,null,"EABRA001","腹部尿路X线摄影(KUB)","c26"]
["药物"]
[null,"抗生素",null,null,"抗菌药物",null,null,"预防结石及排石药物"]
[null,"解疼止痛药物"]

{"sheet":"20.输尿管结石","index":20,"n_rows":96,"n_cols":9,"rows_kept":96,"cut":false,"hidden":false,"merged":[[89,0,89,8],[93,0,93,8],[77,0,77,8],[79,0,79,8],[81,0,81,8],[86,0,86,8],[87,0,87,2],[87,3,87,5],[87,6,87,8],[13,0,13,8],[16,0,16,8],[56,0,56,8],[63,0,63,8],[71,0,71,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["20.输尿管结石"]
["经尿道输尿管镜超声碎石取石术"]
["主要诊断","输尿管结石",null,null,"ICD-10码：N20.1,N13.202"]
["主要操作                                    ","经尿道输尿管镜超声碎石取石术",null,null,"ICD-9-CM3码：59.95"]
["入院标准","1.第一诊断必须符合ICD-10：N20.1,N13.202输尿管结石疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好，D-J管位置正常，无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.术中、术后出现并发症，需要进一步诊治，导致住院时间延长、费用增加。\n2.术后出现结石残留，需要进一步诊治，导致住院时间延长、费用增加。\n3.术后原伴随疾病控制不佳，需请相关科室会诊，进一步诊治。\n4.住院后出现其他内、外科疾病需进一步明确诊断，可进入其他路径。"]
["转诊条件","无"]
["再入院\n间隔时间","14天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAA0001","Ⅲ级护理","d20","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
[{"$nulls":6},"ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",null,"CCBV2000","尿结石成份分析",null,"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","/ABO血型鉴定(反定型)"]
["CAMD1000","/ABO亚型鉴定(正定型)"]
["CAME1000","/ABO亚型鉴定(反定型)"]
["CAMF1000","/RhD血型鉴定"]
["治疗"]
["ABHA0002","导尿管留置","d70","ABHA0002","导尿管留置","d70","ABCA0001","静脉输液","d70"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
["手术"]
[null,null,null,"HRF65610","经尿道输尿管镜超声碎石取石术","a72"]
["病理及其它"]
[]
["药物"]
[null,"抗菌药物",null,null,"抗菌药物",null,null,"抗菌药物"]
[{"$nulls":4},"麻醉用药",null,null,"止痛药"]
[{"$nulls":7},"止血药"]
[{"$nulls":7},"止呕药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["EEGRB001","肾图检查","c40",null,null,null,"CCBV2000","尿结石成份分析"]
["EBAQT002","下腹部X线计算机体层(CT)平扫","c35",null,null,null,"CCAA2000","尿常规化学分析"]
["EACRA001","泌尿系逆行X线造影","a34",null,null,null,"EABRA001","腹部尿路X线摄影(KUB)","c26"]
["药物"]
[null,"抗生素",null,null,"抗菌药物",null,null,"预防结石及排石药物"]
[null,"解疼止痛药物"]

{"sheet":"21.睾丸鞘膜积液","index":21,"n_rows":92,"n_cols":9,"rows_kept":92,"cut":false,"hidden":false,"merged":[[87,0,87,8],[88,0,88,2],[88,3,88,5],[88,6,88,8],[90,0,90,8],[65,0,65,8],[74,0,74,8],[81,0,81,8],[83,0,83,8],[85,0,85,8],[13,0,13,2],[13,3,13,5],[13,6,13,8],[15,0,15,8],[56,0,56,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["21.睾丸鞘膜积液"]
["精索或睾丸鞘膜根治术"]
["主要诊断","睾丸鞘膜积液",null,null,"ICD-10码：N43.301"]
["主要操作                                    ","精索或睾丸鞘膜根治术",null,null,"ICD-9-CM3码：61.49"]
["入院标准","1.第一诊断必须符合ICD-10：N43.301睾丸鞘膜积液疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.术中、术后出现并发症，需要进一步诊治，导致住院时间延长、费用增加。\n2.术后原伴随疾病控制不佳，需请相关科室会诊，进一步诊治。\n3.住院后出现其他内、外科疾病需进一步明确诊断，可进入其他路径。"]
["转诊条件","无"]
["再入院\n间隔时间","6个月"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAMW1000","生理盐水介质交叉配血"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","/ABO血型鉴定(反定型)"]
["CAMD1000","/ABO亚型鉴定(正定型)"]
["CAME1000","/ABO亚型鉴定(反定型)"]
["CAMF1000","/RhD血型鉴定"]
["治疗"]
["ABGE0001","一般灌肠","d50","ABHA0001","导尿","d70","ABFA0001","换药(小)","a9"]
[null,null,null,"ABCA0001","静脉输液","d70","ABFA0002","/换药(中) ","a18"]
[null,null,null,"HAM62401","经口气管插管术","k90","ABFA0003","/换药(大) ","a27"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40"]
[null,null,null,"ABHA0002","导尿管留置","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["监测"]
[null,null,null,"KKA28701","院内遥测心电监护","b18","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","/无创心电监测","b9"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"HAP05902","麻醉深度电生理监测","k60"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
[null,null,null,"HAC42104","/骶管单次阻滞麻醉","k60"]
["手术"]
[null,null,null,"HSB70301","精索鞘膜结扎或睾丸鞘膜翻转术","a17"]
["病理及其它"]
[]
["药物"]
[]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务项目编码","医疗服务项目名称","技术难度","医疗服务项目编码","医疗服务项目名称","技术难度","医疗服务项目编码","医疗服务项目名称","技术难度"]
["检查"]
["EDCSA001","男性生殖系统彩色多普勒超声检查","c65"]

{"sheet":"22.隐睾（睾丸可触及）","index":22,"n_rows":94,"n_cols":9,"rows_kept":94,"cut":false,"hidden":false,"merged":[[92,0,92,8],[81,0,81,8],[83,0,83,8],[85,0,85,8],[89,0,89,8],[90,0,90,2],[90,3,90,5],[90,6,90,8],[13,0,13,8],[15,0,15,8],[56,0,56,8],[65,0,65,8],[74,0,74,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["22.隐睾（睾丸可触及）"]
["隐睾下降固定术"]
["主要诊断","隐睾（睾丸可触及）",null,null,"ICD-10码：Q53.1-Q53.9"]
["主要操作                                    ","隐睾下降固定术",null,null,"ICD-9-CM3码：62.5"]
["入院标准","1.第一诊断必须符合ICD-10：Q53.1-Q53.9隐睾（睾丸可触及）疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患儿体温、饮食、排便正常，体格检查睾丸位于阴囊内，阴囊无明显肿胀，切口愈合好无渗血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","精索紧，经充分游离，睾丸仍然无法下降至阴囊底部，可将睾丸先固定于可以到达的最低位，6–12个月后行二期手术。"]
["转诊条件","无"]
["再入院\n间隔时间","6个月"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAMW1000","生理盐水介质交叉配血"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","/ABO血型鉴定(反定型)"]
["CAMD1000","/ABO亚型鉴定(正定型)"]
["CAME1000","/ABO亚型鉴定(反定型)"]
["CAMF1000","/RhD血型鉴定"]
["治疗"]
["ABHA0002","导尿管留置","d70","ABHA0001","导尿","d70","ABFA0001","换药(小)","a9"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40"]
[null,null,null,"ABHA0002","导尿管留置","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["监测"]
[null,null,null,"KKA28701","院内遥测心电监护","b18","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","/无创心电监测","b9"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"HAP05902","麻醉深度电生理监测","k60"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
[null,null,null,"HAC42104","/骶管单次阻滞麻醉","k60"]
["手术"]
[null,null,null,"HSB71302","隐睾下降固定术","a51"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4},"抗菌药物"]
[{"$nulls":4},"胃粘膜保护剂"]
[{"$nulls":4},"麻醉药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["EDCSA001","男性生殖系统彩色多普勒超声检查","c65"]

{"sheet":"23.精索静脉曲张","index":23,"n_rows":93,"n_cols":9,"rows_kept":93,"cut":false,"hidden":false,"merged":[[91,0,91,8],[80,3,80,5],[82,0,82,8],[84,0,84,8],[88,0,88,8],[89,0,89,2],[89,3,89,5],[89,6,89,8],[13,0,13,8],[15,0,15,8],[56,0,56,8],[65,0,65,8],[74,0,74,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["23.精索静脉曲张"]
["精索静脉曲张高位结扎术"]
["主要诊断","精索静脉曲张",null,null,"ICD-10码：I86.1"]
["主要操作                                    ","精索静脉曲张高位结扎术",null,null,"ICD-9-CM3码：63.1"]
["入院标准","1.第一诊断必须符合ICD-10：I86.1精索静脉曲张疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.术中、术后出现并发症，需要进一步诊治，导致住院时间延长、费用增加；\n2.术后原伴随疾病控制不佳，需请相关科室会诊，进一步诊治；\n3.住院后出现其他内、外科疾病需进一步明确诊断，可进入其他路径。"]
["转诊条件","无"]
["再入院\n间隔时间","6个月"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAMW1000","生理盐水介质交叉配血"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","/ABO血型鉴定(反定型)"]
["CAMD1000","/ABO亚型鉴定(正定型)"]
["CAME1000","/ABO亚型鉴定(反定型)"]
["CAMF1000","/RhD血型鉴定"]
["治疗"]
["ABHA0002","导尿管留置","d70","ABHA0001","导尿","d70","ABFA0001","换药(小)","a9"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40"]
[null,null,null,"ABHA0002","导尿管留置","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["监测"]
[null,null,null,"KKA28701","院内遥测心电监护","b18","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","/无创心电监测","b9"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"HAP05902","麻醉深度电生理监测","k60"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
[null,null,null,"手术"]
[null,null,null,"HSH59301","精索静脉曲张高位结扎术","a25"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4},"抗菌药物"]
[{"$nulls":4},"胃粘膜保护剂"]
[{"$nulls":4},"麻醉药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["EDCSA001","男性生殖系统彩色多普勒超声检查","c65"]

{"sheet":"24.压力性尿失禁或张力性尿失禁","index":24,"n_rows":98,"n_cols":9,"rows_kept":98,"cut":false,"hidden":false,"merged":[[91,0,91,8],[93,0,93,8],[95,0,95,8],[97,0,97,8],[80,0,80,8],[82,0,82,8],[84,0,84,8],[88,0,88,8],[89,0,89,2],[89,3,89,5],[89,6,89,8],[13,0,13,8],[15,0,15,8],[56,0,56,8],[65,0,65,8],[74,0,74,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["24.压力性尿失禁/张力性尿失禁"]
["经阴道前壁尿道悬吊术"]
["主要诊断","压力性尿失禁/张力性尿失禁",null,null,"ICD-10码：N39.3，N39.301"]
["主要操作                                    ","经阴道前壁尿道悬吊术",null,null,"ICD-9-CM3码："]
["入院标准","1.第一诊断必须符合ICD-10：N39.3，N39.301压力性尿失禁/张力性尿失禁疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.术中、术后出现并发症，需要进一步诊治，导致住院时间延长、费用增加；\n2.术后原伴随疾病控制不佳，需请相关科室会诊，进一步诊治；\n3.住院后出现其他内、外科疾病需进一步明确诊断，可进入其他路径。"]
["转诊条件","无"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAMW1000","生理盐水介质交叉配血"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","/ABO血型鉴定(反定型)"]
["CAMD1000","/ABO亚型鉴定(正定型)"]
["CAME1000","/ABO亚型鉴定(反定型)"]
["CAMF1000","/RhD血型鉴定"]
["治疗"]
["ABHA0002","导尿管\n留置","d70","ABHA0001","导尿","d70","ABFA0002","换药(中) ","a18"]
[null,null,null,"ABCA0001","静脉输液","d70"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"ABKB0001","/氧气雾化吸入","d40"]
[null,null,null,"ABHA0002","导尿管留置","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
["监测"]
[null,null,null,"KKA28701","院内遥测心电监护","b18","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","/无创心电监测","b9"]
[null,null,null,"HAN05902","/全身麻醉下呼吸功能监测","k50"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"HAP05902","/麻醉深度电生理监测","k60"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAC42109","/腰部硬膜外单次阻滞麻醉","k60"]
[null,null,null,"HAC42110","/腰部硬膜外连续阻滞麻醉","k70"]
[null,null,null,"HAC42101","/单次腰麻","k60"]
[null,null,null,"HAC42102","/连续腰麻","k80"]
["手术"]
[null,null,null,"HRJ71401","经阴道前壁尿道悬吊术","a59"]
["病理及其它"]
[]
["药物"]
[{"$nulls":4},"抗菌药物"]
[{"$nulls":4},"胃粘膜保护剂"]
[{"$nulls":4},"麻醉药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
[]
["治疗"]
[]
["监测"]
[]
["药物"]

{"sheet":"25.结肠息肉","index":25,"n_rows":85,"n_cols":9,"rows_kept":85,"cut":false,"hidden":false,"merged":[[80,0,80,8],[83,0,83,8],[71,0,71,8],[73,0,73,8],[75,0,75,8],[77,0,77,8],[78,0,78,2],[78,3,78,5],[78,6,78,8],[13,0,13,8],[15,0,15,8],[55,0,55,8],[60,0,60,8],[68,0,68,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["25.结肠息肉"]
["经电子内镜结肠息肉微波切除术  "]
["主要诊断","结肠息肉",null,null,"ICD-10码：D12.6/D12.8/K62.1/K63.5"]
["主要操作                                    ","经电子内镜结肠息肉微波\n切除术",null,null,"ICD-9-CM3码：45.42"]
["入院标准","1.第一诊断必须符合ICD-10：D12.6/D12.8/K62.1/K63.5结肠息肉疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.患者住院期间出现合并症，如急性消化道大出血、肠道穿孔或活检病理提示为恶性肿瘤等，必要时转外科手术，转入相应临床路径。\n2.合并感染，需要继续抗感染治疗，进入肠道感染住院流程。\n3.多发息肉、大息肉或复杂情况：多发大于5枚以上，或息肉直径≥2cm；或广基息肉；或粗蒂息肉（蒂直径≥1cm）；或侧向生长型息肉等。"]
["转诊条件","无"]
["再入院\n间隔时间","28天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAB0001","/Ⅱ级护理","d50","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",null,"FPS01601","电子结肠镜检查","b57"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["EDBQT001","肝胆胰脾B超检查","c45"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","或ABO血型鉴定(反定型)"]
["CAMD1000","或ABO亚型鉴定(正定型)"]
["CAME1000","或ABO亚型鉴定(反定型)"]
["CAMF1000","或RhD血型鉴定"]
["治疗"]
["ABBB0001","静脉采血","d50","ABJA0001","氧气吸入","d50","ABCA0001","静脉输液","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[null,null,null,"HAA42901","全身麻醉","k100"]
[null,null,null,"HAA42902","/无插管全麻","a54"]
["手术"]
[null,null,null,"HPS72602","经电子内镜结肠息肉微波切除术","b53"]
["病理及其它"]
[]
["药物"]
[null,"口服清肠剂",null,null,"止血药"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
[null,null,null,"FPS01602","超声结肠镜检查","b57"]
[null,null,null,"BCAB0001","活检组织病理诊断","c80"]
["药物"]
[{"$nulls":7},"术后抗生素"]

{"sheet":"26.结肠息肉","index":26,"n_rows":85,"n_cols":9,"rows_kept":85,"cut":false,"hidden":false,"merged":[[80,0,80,8],[83,0,83,8],[71,0,71,8],[73,0,73,8],[75,0,75,8],[77,0,77,8],[78,0,78,2],[78,3,78,5],[78,6,78,8],[13,0,13,8],[15,0,15,8],[55,0,55,8],[60,0,60,8],[68,3,68,5],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["26.结肠息肉"]
["经电子内镜结肠息肉激光切除术  "]
["主要诊断","结肠息肉",null,null,"ICD-10码：D12.6/D12.8/K62.1/K63.5"]
["主要操作                                    ","经电子内镜结肠息肉激光\n切除术",null,null,"ICD-9-CM3码：45.42"]
["入院标准","1.第一诊断必须符合ICD-10：D12.6/D12.8/K62.1/K63.5结肠息肉疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.患者住院期间出现合并症，如急性消化道大出血、肠道穿孔或活检病理提示为恶性肿瘤等，必要时转外科手术，转入相应临床路径。\n2.合并感染，需要继续抗感染治疗，进入肠道感染住院流程。\n3.多发息肉、大息肉或复杂情况：多发大于5枚以上，或息肉直径≥2cm；或广基息肉；或粗蒂息肉（蒂直径≥1cm）；或侧向生长型息肉等。"]
["转诊条件","无"]
["再入院\n间隔时间","28天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","/Ⅱ级护理","d50","ACAB0001","/Ⅱ级护理","d50","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",null,"FPS01601","电子结肠镜检查","b57"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["EDBQT001","肝胆胰脾B超检查","c45"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","或ABO血型鉴定(反定型)"]
["CAMD1000","或ABO亚型鉴定(正定型)"]
["CAME1000","或ABO亚型鉴定(反定型)"]
["CAMF1000","或RhD血型鉴定"]
["治疗"]
["ABBB0001","静脉采血","d50","ABJA0001","氧气吸入","d50","ABCA0001","静脉输液","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
[null,null,null,"麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAA42902","/无插管全麻","a54"]
["手术"]
[null,null,null,"HPS72604","经电子内镜结肠息肉激光切除术","b53"]
["病理及其它"]
[]
["药物"]
[null,"口服清肠剂",null,null,"止血药"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
[null,null,null,"FPS01602","超声结肠镜检查","b57"]
[null,null,null,"BCAB0001","活检组织病理诊断","c80"]
["药物"]
[{"$nulls":7},"术后抗生素"]

{"sheet":"27.直肠息肉","index":27,"n_rows":86,"n_cols":9,"rows_kept":86,"cut":false,"hidden":false,"merged":[[81,0,81,8],[84,0,84,8],[71,0,71,8],[73,0,73,8],[75,0,75,8],[78,0,78,8],[79,0,79,2],[79,3,79,5],[79,6,79,8],[13,0,13,8],[15,0,15,8],[55,0,55,8],[60,0,60,8],[68,0,68,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["27.直肠息肉"]
["经内镜直肠良性肿物切除术"]
["主要诊断","直肠息肉",null,null,"ICD-10码：D12.8,M8210/0"]
["主要操作                                    ","经内镜直肠良性肿物切除术",null,null,"ICD-9-CM3码：48.35"]
["入院标准","1.第一诊断必须符合ICD-10：D12.8,M8210/0直肠息肉疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1.患者住院期间出现合并症，如急性消化道大出血、肠道穿孔或活检病理提示为恶性肿瘤等，必要时转外科手术，转入相应临床路径。\n2.合并感染，需要继续抗感染治疗，进入肠道感染住院流程。\n3.多发息肉、大息肉或复杂情况：多发大于5枚以上，或息肉直径≥2cm；或广基息肉；或粗蒂息肉（蒂直径≥1cm）；或侧向生长型息肉等。"]
["转诊条件","无"]
["再入院\n间隔时间","28天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","/Ⅱ级护理","d50","ACAB0001","/Ⅱ级护理","d50","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",null,"FPS01601","电子结肠镜检查","b57"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["EDBQT001","肝胆胰脾B超检查","c45"]
["CAMA1000","ABO血型鉴定(正定型)"]
["CAMB1000","或ABO血型鉴定(反定型)"]
["CAMD1000","或ABO亚型鉴定(正定型)"]
["CAME1000","或ABO亚型鉴定(反定型)"]
["CAMF1000","或RhD血型鉴定"]
["治疗"]
["ABBB0001","静脉采血","d50","ABJA0001","氧气吸入","d50","ABCA0001","静脉输液","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[null,null,null,"HAA42901","全身麻醉","k100"]
[null,null,null,"HAA42902","/无插管全麻","a54"]
["手术"]
[null,null,null,"HPU73602","经电子内镜直肠息肉切除术","a45"]
["病理及其它"]
[]
["药物"]
[null,"口服清肠剂",null,null,"止血药"]
[{"$nulls":4},"消泡剂"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
[null,null,null,"FPS01602","超声结肠镜检查","b57"]
[null,null,null,"BCAB0001","活检组织病理诊断","c80"]
["药物"]
[{"$nulls":7},"术后抗生素"]

{"sheet":"28.卵巢良性肿瘤","index":28,"n_rows":124,"n_cols":9,"rows_kept":124,"cut":false,"hidden":false,"merged":[[89,0,89,8],[110,0,110,8],[114,0,114,8],[117,0,117,8],[120,0,120,8],[79,0,79,8],[81,0,81,8],[84,0,84,8],[86,0,86,8],[87,0,87,2],[87,3,87,5],[87,6,87,8],[13,0,13,8],[16,0,16,8],[63,0,63,8],[69,0,69,8],[77,0,77,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["28.卵巢良性肿瘤、卵巢非肿瘤性囊肿、输卵管积水、\n输卵管系膜囊肿"]
["（单或双侧）经腹腔镜卵巢囊肿剥除术"]
["主要诊断","卵巢良性肿瘤、卵巢非肿瘤性囊肿、输卵管积水、\n输卵管系膜囊肿",null,null,"ICD-10码："]
["主要操作                                    ","（单或双侧）经腹腔镜卵巢\n囊肿剥除术",null,null,"ICD-9-CM3码：65.01"]
["入院标准","1.第一诊断必须符合ICD-10：卵巢良性肿瘤、卵巢非肿瘤性囊肿、输卵管积水、输卵管系膜囊肿疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","24h"]
["变异条件","1.因化验检查异常需要复查，导致术前住院时间延长。\n2.有影响手术的合并症，需要进行相关的诊断和治疗。\n3.因手术并发症需要进一步治疗。\n4.术中病理提示为恶性肿瘤，则转入相应的路径治疗。"]
["转诊条件","无"]
["再入院\n间隔时间","28天   例外情况：1）因手术并发症需入院治疗；2）术中或术后病理提示恶性肿瘤；3）因其他疾病需入院治疗。"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
[{"$nulls":6},"ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",{"$nulls":4},"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CCCA3000","粪便常规检查"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["CGRN1000","糖类抗原CA-50测定"]
["CGRP1000","/糖类抗原CA-125测定"]
["CGRS1000","/糖类抗原CA-199测定"]
["CGRB8000","/甲胎蛋白(AFP)测定"]
["CGRA1000","/癌胚抗原(CEA)测定"]
["CGSE1000","/人附睾分泌蛋白(HE4)测定"]
["CERS1000","β人绒毛膜促性腺激素(β-HCG)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["EDBQT001","肝胆胰脾B超检查","c45"]
["ECAQU001","盆腔磁共振成像","c43"]
["EBAQU001","盆腔X线计算机体层(CT)平扫","c35"]
["EDCTA002","经腹部妇科彩色多普勒超声检查","c65"]
["治疗"]
["ABGE0001","一般灌肠","d50","ABJA0001","氧气吸入","d50","ABFA0002","换药(中)","a18"]
["ABBB0001","静脉采血","d50","ABHA0002","导尿管留置","d70","ABCA0001","静脉输液","d70"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[null,null,null,"HAA42901","全身麻醉","k100"]
["手术"]
[null,null,null,"HTB73501","经腹腔镜单侧卵巢囊肿剥除术","a65"]
["病理及其它"]
["BBAB0001","妇科脱落细胞学检查与诊断","c20",null,null,null,"BCBC0001","石蜡切片病理诊断","c96"]
["BBAE0001","/妇科液基薄层细胞学检查与诊断","c34"]
["药物"]
[{"$nulls":4}," 抗菌药物",null,null," 抗菌药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["AADB0001","院内会诊","d80"]
["EDBQT001","肝胆胰脾B超检查","c45"]
["ECAQU001","盆腔磁共振成像","c43"]
["EBAQU001","盆腔X线计算机体层(CT)平扫","c35"]
["EACRA001","泌尿系逆行X线造影","a34"]
["FJE01401","肺活量功能检查","b41"]
["FJE01402","/用力肺活量功能检查","b41"]
["FJE01403","/肺每分通气量功能检查","b41"]
["FJE01404","/最大通气量功能检查","b49"]
["FJE01405","肺弥散功能检查-一口气法","b41"]
["FJE01406 ","/肺弥散功能检查-重复呼吸法","b41"]
["FJB02401","气道阻力测定","b49"]
["EDFKJ001","左心室收缩功能超声测定","c70"]
["EDFKJ002","/左心室舒张功能超声测定","c60"]
["CAJY1000","血浆D-二聚体(D-Dimer)测定"]
["CAMX1000","特殊介质交叉配血"]
["CAMY1000","疑难交叉配血"]
["CGRB8000","甲胎蛋白(AFP)测定"]
["CERR8000","人绒毛膜促性腺激素(HCG)测定"]
["CGRA1000","癌胚抗原(CEA)测定"]
["病理及其他"]
[null,null,null,"BCBA0001","冷冻切片病理诊断 ","c96","BEBA0001","免疫组织化学染色诊断 ","c67"]
[null,null,null,"BCBB0001","特异性感染标本冷冻切片病理诊断","c96"]
[null,null,null,"BCBC0001","快速石蜡切片病理诊断","c96"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABJA0001","氧气吸入","d50"]
[null,null,null,"ABCA0001","静脉输液","d70","ABCA0001","静脉输液","d70"]
["监测"]
[null,null,null,"KKA28701","院内遥测心电监护","b18","KKA28701","院内遥测心电监护","b18"]
[{"$nulls":6},"FKA05705","/无创心电监测","b9"]
["药物"]
[{"$nulls":4},"抗菌药物",null,null,"抗菌药物"]
[{"$nulls":4},"止血药"]
[{"$nulls":4},"促子宫收缩药物"]

{"sheet":"29.慢性扁桃体炎","index":29,"n_rows":87,"n_cols":9,"rows_kept":87,"cut":false,"hidden":false,"merged":[[80,0,80,8],[82,0,82,8],[84,0,84,8],[69,0,69,8],[71,0,71,8],[75,0,75,8],[77,0,77,8],[78,0,78,2],[78,3,78,5],[78,6,78,8],[13,0,13,8],[16,0,16,8],[53,0,53,8],[58,0,58,8],[67,0,67,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["29.慢性扁桃体炎"]
["扁桃体切除术"]
["主要诊断","慢性扁桃体炎",null,null,"ICD-10码：J35.0"]
["主要操作                                    ","扁桃体切除术",null,null,"CCHI码：28.2"]
["入院标准","1.第一诊断必须符合ICD-10：J35.0慢性扁桃体炎疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","24h"]
["变异条件","无"]
["转诊条件","无"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["ACAA0001"," /Ⅲ级护理","d20",null,null,null,"ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["EAAHY001","颈部X线透视","c13"]
["EBAHY001","颈部X线计算机体层(CT)平扫","c35"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"KKA28701","院内遥测心电监护","b18","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","/无创心电监测","b9"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
["手术"]
[null,null,null,"HGS75301","扁桃体切除术","a41"]
["病理及其它"]
["CJAP8000","一般细菌培养+鉴定",null,"BCAA0001","活检病理诊断","c87"]
["CJBX9000","普通细菌药敏定性试验"]
["CJBY9000","/普通细菌药敏定量试验"]
["药物"]
[null,"示踪药物",null,null," 抗菌药物",null,null," 抗菌药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["AADB0001","院内会诊","d80"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
["监测"]
[{"$nulls":6},"KKA28701","院内遥测心电监护","b18"]
[{"$nulls":6},"FKA05705","/无创心电监测","b9"]

{"sheet":"30.脐窦","index":30,"n_rows":85,"n_cols":9,"rows_kept":85,"cut":false,"hidden":false,"merged":[[76,0,76,8],[78,0,78,8],[80,0,80,8],[83,0,83,8],[67,0,67,8],[69,0,69,8],[71,0,71,8],[73,0,73,8],[74,0,74,2],[74,3,74,5],[74,6,74,8],[13,0,13,8],[16,0,16,8],[51,0,51,8],[56,0,56,8],[65,0,65,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["30.脐窦"]
["脐窦烧灼术"]
["主要诊断","脐窦",null,null,"ICD-10码：K60.0-K60.2"]
["主要操作                                    ","脐窦烧灼术",null,null,"ICD-9-CM3码：54.3"]
["入院标准","1.第一诊断必须符合ICD-10：K60.0-K60.2脐窦疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，脐部创面无异常分泌物，无明显水肿、出血、感染等；②没有需要住院处理的并发症。"]
["住院时间","24h"]
["变异条件","1.手术后出现继发感染或出血等并发症时，导致住院时间延长与费用增加；\n2.伴发其他基础疾病需要进一步明确诊断，导致住院时间延长与费用增加。"]
["转诊条件","无"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["ACAA0001"," /Ⅲ级护理","d20",null,null,null,"ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"KKA28701","/院内遥测心电监护","b18","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","/无创心电监测","b9"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
["手术"]
[null,null,null,"HQQ72301","脐茸烧灼术","a18"]
["病理及其它"]
[]
["药物"]
[null,"示踪药物",null,null," 抗菌药物",null,null," 抗菌药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["AADB0001","院内会诊","d80"]
["治疗"]
["HYW89305","游离皮瓣移植术","a81","ABJA0001","氧气吸入","d50"]
["监测"]
[{"$nulls":6},"KKA28701","院内遥测心电监护","b18"]
[{"$nulls":6},"FKA05705","/无创心电监测","b9"]
["药物"]
[null,"促表皮生长药物"]

{"sheet":"31.脐窦","index":31,"n_rows":85,"n_cols":9,"rows_kept":85,"cut":false,"hidden":false,"merged":[[76,0,76,8],[78,0,78,8],[80,0,80,8],[83,0,83,8],[67,0,67,8],[69,0,69,8],[71,0,71,8],[73,0,73,8],[74,0,74,2],[74,3,74,5],[74,6,74,8],[13,0,13,8],[16,0,16,8],[51,0,51,8],[56,0,56,8],[65,0,65,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["31.脐窦"]
["脐茸手术切除"]
["主要诊断","脐窦",null,null,"ICD-10码：K60.0-K60.2"]
["主要操作                                    ","脐茸手术切除",null,null,"ICD-9-CM3码：54.3"]
["入院标准","1.第一诊断必须符合ICD-10：K60.0-K60.2脐窦疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，脐部创面无异常分泌物，无明显水肿、出血、感染等；②没有需要住院处理的并发症。"]
["住院时间","24h"]
["变异条件","1.手术后出现继发感染或出血等并发症时，导致住院时间延长与费用增加；\n2.伴发其他基础疾病需要进一步明确诊断，导致住院时间延长与费用增加。"]
["转诊条件","无"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["ACAA0001"," /Ⅲ级护理","d20",null,null,null,"ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"KKA28701","/院内遥测心电监护","b18","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","/无创心电监测","b9"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
["手术"]
[null,null,null,"HQQ73301","脐茸手术切除","a27"]
["病理及其它"]
[]
["药物"]
[null,"示踪药物",null,null," 抗菌药物",null,null," 抗菌药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["AADB0001","院内会诊","d80"]
["治疗"]
["HYW89305","游离皮瓣移植术","a81","ABJA0001","氧气吸入","d50"]
["监测"]
[{"$nulls":6},"KKA28701","院内遥测心电监护","b18"]
[{"$nulls":6},"FKA05705","/无创心电监测","b9"]
["药物"]
[null,"促表皮生长药物"]

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["32.脐窦"]
["脐窦切除术"]
["主要诊断","脐窦",null,null,"ICD-10码：K60.0-K60.2"]
["主要操作                                    ","脐窦切除术",null,null,"ICD-9-CM3码：54.3"]
["入院标准","1.第一诊断必须符合ICD-10：K60.0-K60.2脐窦疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，脐部创面无异常分泌物，无明显水肿、出血、感染等；②没有需要住院处理的并发症。"]
["住院时间","24h"]
["变异条件","1.手术后出现继发感染或出血等并发症时，导致住院时间延长与费用增加；\n2.伴发其他基础疾病需要进一步明确诊断，导致住院时间延长与费用增加。"]
["转诊条件","无"]
["再入院\n间隔时间","无"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",{"$nulls":4},"CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CCCA3000","粪便常规检查"]
["CCCB8000","隐血试验"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70","ABFA0002","换药(中)","a18"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
["手术"]
[null,null,null,"HQQ73302","脐窦切除术","a45"]
["病理及其它"]
[]
["药物"]
[]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["AADB0001","院内会诊","d80"]
["治疗"]
["HYW89305","游离皮瓣移植术","a81","ABJA0001","氧气吸入","d50"]
["监测"]
[{"$nulls":6},"KKA28701","院内遥测心电监护","b18"]
[{"$nulls":6},"FKA05705","/无创心电监测","b9"]
["药物"]
[null,"促表皮生长药物"]

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["33.翼状胬肉"]
["翼状胬肉切除组织移植术"]
["主要诊断","翼状胬肉",null,null,"ICD-10码：H25.901"]
["主要操作                                    ","翼状胬肉切除组织移植术",null,null,"ICD-9-CM3码：11.32"]
["入院标准","1.第一诊断必须符合ICD-10：H25.901翼状胬肉疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，伤口愈合好无积血、游离结膜瓣在位，角膜面无感染迹象等；②眼压正常，裂隙灯检查无明显异常。③没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1. 手术炎症反应或其它并发症。\n2. 患者其他原因(如需要全身麻醉等）。排除复发性及严重睑球粘连。"]
["转诊条件","无"]
["再入院\n间隔时间","1天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAB0001","Ⅱ级护理","d50","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",{"$nulls":4},"FEA01701","普通远视力检查","a1"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"FEA01702","/普通近视力检查","a1"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"FEA01703 ","/光机能检查","a10"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定",{"$nulls":4},"FEA01726","裂隙灯检查","a30"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGLJ1000","/乙肝病毒表面抗原确认试验(HBsAgConfirm)测定"]
["CGLK1000","/乙型肝炎表面抗体定性(抗HBs)测定"]
["CGLL1000","/乙型肝炎表面抗体定量(抗HBs)测定"]
["CGLM1000","/乙型肝炎e抗原定性(HBeAg)测定"]
["CGLN1000","/乙型肝炎e抗原定量(HBeAg)测定"]
["CGLP1000","/乙型肝炎e抗体(HBeAb)测定"]
["CGLQ6000","/乙型肝炎核心抗原(HBcAg)测定"]
["CGLR6000","/乙型肝炎核心抗原定量(HBcAg)测定"]
["CGLS1000","/乙型肝炎核心抗体(抗HBc)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["FEA01701","普通远视力检查","a1"]
["FEA01702","或普通近视力检查","a1"]
["FEA01703","或光机能检查","a10"]
["FEA01707","或视网膜视力检查","a44"]
["FEA01726","裂隙灯检查","a30"]
["FES01704","免散瞳眼底检查","b22"]
["FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["FES01706","/前置镜眼底检查","a30"]
["FES01707 ","/间接眼底镜检查","a38"]
["FEA02705","非接触眼压计(NCT)测量","a23"]
["FEA02704","/压陷式眼压计测量","a23"]
["FEA02706","/压平眼压计(Goldmann眼压计)测量","a38"]
["FEA02707","/动态轮廓眼压计测量","a38"]
["FEA02708","/电子压平眼压计测量","a23"]
["FEA02709","/回弹式眼压计测量","a23"]
["治疗"]
["HEE48401","泪道冲洗","a16","ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
["HEG48302","结膜囊冲洗","a14","HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
[null,null,null,"麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAA42902","无插管全麻","a54"]
[null,null,null,"手术"]
[null,null,null,"HEH89309","翼状胬肉切除组织移植术","a72"]
["病理及其它"]
[]
["药物"]
[null,"抗菌药眼药水",null,null,"抗菌药物",null,null," 抗菌药物"]
[{"$nulls":7},"眼润滑剂"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["EABVN001","胸部X线摄影","c22",null,null,null,"FEA02705","非接触眼压计(NCT)测量","a23"]
["EDBEA001","双眼B超检查","c30",null,null,null,"FEA02704","/压陷式眼压计测量","a23"]
["EDCEA001","双眼彩色多普勒超声检查","c70",null,null,null,"FEA02706","或压平眼压计(Goldmann眼压计)测量","a38"]
["FEA01722","显然验光","a30",null,null,null,"FEA02707","或动态轮廓眼压计测量","a38"]
["FEH01701","角膜结膜染色检查","a23",null,null,null,"FEA02708","或电子压平眼压计测量","a23"]
["FEH01704","/眼前节分析仪角膜厚度检查","a23",null,null,null,"FEA02709","或回弹式眼压计测量","a23"]
["FEH01705","/角膜厚度检查-光学法","a38",null,null,null,"FES01704","免散瞳眼底检查","b22"]
["FEH01707","/角膜知觉检查-棉丝法","a20",null,null,null,"FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["FEH01708","/角膜知觉检查-知觉仪法","a23",null,null,null,"FES01706","/前置镜眼底检查","a30"]
["FEH01709","/角膜刮片检查","a44",null,null,null,"FES01707 ","/间接眼底镜检查","a38"]
["FEH01702","/角膜地形图检查","a55",null,null,null,"FEU01701","眼前节照相","a30"]
["FEE02701","/泪膜破裂时间测定","a23",null,null,null,"FEU02701","/眼前节形态测定","a55"]
["FEE04701","/泪液分泌试验","a14"]
["FEU01701","眼前节照相","a30"]
["FEU02701","/眼前节形态测定","a55"]
["CGLY1000","丙型肝炎核心抗原测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
["监测"]
[null,null,null,"FKA05705","无创心电监测","b9"]
["药物"]
[{"$nulls":4},"抗代谢药",null,null,"肾上腺糖皮质激素"]
[{"$nulls":4},"肾上腺糖皮质激素",null,null,"角膜上皮修复眼用制剂"]
[{"$nulls":4},"眼用消毒剂"]
[{"$nulls":4},"手术缝线"]

{"sheet":"34.难治性青光眼","index":34,"n_rows":123,"n_cols":9,"rows_kept":123,"cut":false,"hidden":false,"merged":[[101,0,101,8],[117,0,117,8],[91,3,91,5],[93,0,93,8],[95,0,95,8],[98,0,98,8],[99,0,99,2],[99,3,99,5],[99,6,99,8],[13,0,13,8],[15,0,15,8],[74,0,74,8],[79,0,79,8],[87,3,87,5],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["34.难治性青光眼"]
["外路经巩膜激光睫状体光凝术"]
["主要诊断","难治性青光眼",null,null,"ICD-10码：H44.501"]
["主要操作                                    ","外路经巩膜激光睫状体\n光凝术",null,null,"ICD-9-CM3码：12.73"]
["入院标准","1.第一诊断必须符合ICD-10：H44.501难治性青光眼疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1. 手术炎症反应或其它并发症。\n2. 患者其他原因(如需要全身麻醉,或者伴全身疾病等)。"]
["转诊条件","无"]
["再入院\n间隔时间","1天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAB0001","Ⅱ级护理","d50","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",{"$nulls":4},"FEA01701","普通远视力检查","a1"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"FEA01702","/普通近视力检查","a1"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"FEA01703 ","/光机能检查","a10"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定",{"$nulls":4},"FEA01726","裂隙灯检查","a30"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定",{"$nulls":4},"FES01704","免散瞳眼底检查","b22"]
["CELA1000","总胆红素(T-Bil)测定",{"$nulls":4},"FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["CELB1000","直接胆红素(D-Bil)测定",{"$nulls":4},"FES01706","/前置镜眼底检查","a30"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定",{"$nulls":4},"FES01707 ","/间接眼底镜检查","a38"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGLJ1000","/乙肝病毒表面抗原确认试验(HBsAgConfirm)测定"]
["CGLK1000","/乙型肝炎表面抗体定性(抗HBs)测定"]
["CGLL1000","/乙型肝炎表面抗体定量(抗HBs)测定"]
["CGLM1000","/乙型肝炎e抗原定性(HBeAg)测定"]
["CGLN1000","/乙型肝炎e抗原定量(HBeAg)测定"]
["CGLP1000","/乙型肝炎e抗体(HBeAb)测定"]
["CGLQ6000","/乙型肝炎核心抗原(HBcAg)测定"]
["CGLR6000","/乙型肝炎核心抗原定量(HBcAg)测定"]
["CGLS1000","/乙型肝炎核心抗体(抗HBc)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["FEA01701","普通远视力检查","a1"]
["FEA01702","或普通近视力检查","a1"]
["FEA01703","或光机能检查","a10"]
["FEA01707","或视网膜视力检查","a44"]
["FEA01726","裂隙灯检查","a30"]
["FES01704","免散瞳眼底检查","b22"]
["FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["FES01706","/前置镜眼底检查","a30"]
["FES01707 ","/间接眼底镜检查","a38"]
["FEA02705","非接触眼压计(NCT)测量","a23"]
["FEA02704","/压陷式眼压计测量","a23"]
["FEA02706","/压平眼压计(Goldmann眼压计)测量","a38"]
["FEA02707","/动态轮廓眼压计测量","a38"]
["FEA02708","/电子压平眼压计测量","a23"]
["FEA02709","/回弹式眼压计测量","a23"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGLY1000","丙型肝炎核心抗原测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["治疗"]
["HEE48401","泪道冲洗","a16","ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
["HEG48302","结膜囊冲洗","a14","HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
[null,null,null,"麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAA42902","无插管全麻","a54"]
[null,null,null,"手术"]
[null,null,null,"HEM72301","外路经巩膜激光睫状体光凝术","a50"]
["病理及其它"]
[]
["药物"]
[null,"抗菌药眼药水",null,null,"抗菌药物",null,null,"抗菌药物"]
[null,"降眼压药",{"$nulls":5},"眼润滑剂"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["EABVN001","胸部X线摄影","c22",null,null,null,"FEA02705","非接触眼压计(NCT)测量","a23"]
["EDBEA001","双眼B超检查","c30",null,null,null,"FEA02704","/压陷式眼压计测量","a23"]
["EDCEA001","双眼彩色多普勒超声检查","c70",null,null,null,"FEA02706","或压平眼压计(Goldmann眼压计)测量","a38"]
["FEA01722","显然验光","a30",null,null,null,"FEA02707","或动态轮廓眼压计测量","a38"]
["FEH01701","角膜结膜染色检查","a23",null,null,null,"FEA02708","或电子压平眼压计测量","a23"]
["FEH01704","/眼前节分析仪角膜厚度检查","a23",null,null,null,"FEA02709","或回弹式眼压计测量","a23"]
["FEH01705","/角膜厚度检查-光学法","a38",null,null,null,"FES01704","免散瞳眼底检查","b22"]
["FEH01707","/角膜知觉检查-棉丝法","a20",null,null,null,"FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["FEH01708","/角膜知觉检查-知觉仪法","a23",null,null,null,"FES01706","/前置镜眼底检查","a30"]
["FEH01709","/角膜刮片检查","a44",null,null,null,"FES01707 ","/间接眼底镜检查","a38"]
["FEH01702","/角膜地形图检查","a55",null,null,null,"FEU02701","眼前节形态测定","a55"]
["FEU02701","眼前节形态测定","a55",null,null,null,"FEU01701","眼前节照相","a30"]
["FEU01701","眼前节照相","a30"]
["FEJ01701","房角镜检查","a50"]
["FEU01702","超声活体显微镜检查","a60"]
["药物"]
[null,"抗菌药",null,null,"眼用消毒剂",null,null,"抗炎镇痛药"]
[null,"降眼压药",{"$nulls":5},"止血药"]
[{"$nulls":7},"散瞳剂"]
[{"$nulls":7},"降眼压药"]
[{"$nulls":7},"角膜上皮修复眼用制剂"]

{"sheet":"35.难治性青光眼","index":35,"n_rows":120,"n_cols":9,"rows_kept":120,"cut":false,"hidden":false,"merged":[[100,0,100,8],[116,0,116,8],[101,9,102,9],[90,3,90,5],[92,0,92,8],[94,0,94,8],[97,0,97,8],[98,0,98,2],[98,3,98,5],[98,6,98,8],[13,0,13,8],[15,0,15,8],[73,0,73,8],[78,0,78,8],[86,0,86,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["35.难治性青光眼"]
["睫状体冷冻术"]
["主要诊断","难治性青光眼",null,null,"ICD-10码：H44.501"]
["主要操作                                    ","睫状体冷冻术",null,null,"ICD-9-CM3码：12.72"]
["入院标准","1.第一诊断必须符合ICD-10：H44.501难治性青光眼疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1. 手术炎症反应或其它并发症。\n2. 患者其他原因(如需要全身麻醉,或者伴全身疾病等)。"]
["转诊条件","无"]
["再入院\n间隔时间","1天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAB0001","Ⅱ级护理","d50","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",{"$nulls":4},"FEA01701","普通远视力检查","a1"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"FEA01702","/普通近视力检查","a1"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"FEA01703 ","/光机能检查","a10"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定",{"$nulls":4},"FEA01726","裂隙灯检查","a30"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定",{"$nulls":4},"FES01704","免散瞳眼底检查","b22"]
["CELA1000","总胆红素(T-Bil)测定",{"$nulls":4},"FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["CELB1000","直接胆红素(D-Bil)测定",{"$nulls":4},"FES01706","/前置镜眼底检查","a30"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定",{"$nulls":4},"FES01707 ","/间接眼底镜检查","a38"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGLJ1000","/乙肝病毒表面抗原确认试验(HBsAgConfirm)测定"]
["CGLK1000","/乙型肝炎表面抗体定性(抗HBs)测定"]
["CGLL1000","/乙型肝炎表面抗体定量(抗HBs)测定"]
["CGLM1000","/乙型肝炎e抗原定性(HBeAg)测定"]
["CGLN1000","/乙型肝炎e抗原定量(HBeAg)测定"]
["CGLP1000","/乙型肝炎e抗体(HBeAb)测定"]
["CGLQ6000","/乙型肝炎核心抗原(HBcAg)测定"]
["CGLR6000","/乙型肝炎核心抗原定量(HBcAg)测定"]
["CGLS1000","/乙型肝炎核心抗体(抗HBc)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["FEA01701","普通远视力检查","a1"]
["FEA01702","或普通近视力检查","a1"]
["FEA01703","或光机能检查","a10"]
["FEA01707","或视网膜视力检查","a44"]
["FEA01726","裂隙灯检查","a30"]
["FES01704","免散瞳眼底检查","b22"]
["FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["FES01706","/前置镜眼底检查","a30"]
["FES01707 ","/间接眼底镜检查","a38"]
["FEA02705","非接触眼压计(NCT)测量","a23"]
["FEA02704","/压陷式眼压计测量","a23"]
["FEA02706","或压平眼压计(Goldmann眼压计)测量","a38"]
["FEA02707","或动态轮廓眼压计测量","a38"]
["FEA02708","或电子压平眼压计测量","a23"]
["FEA02709","或回弹式眼压计测量","a23"]
["治疗"]
["HEE48401","泪道冲洗","a16","ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
["HEG48302","结膜囊冲洗","a14","HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAA42902","无插管全麻","a54"]
[null,null,null,"手术"]
[null,null,null,"HEM72302","睫状体冷冻术","a75"]
["病理及其它"]
[]
["药物"]
[null,"抗菌药眼药水",null,null,"抗菌药物",null,null," 抗菌药物"]
[null,"降眼压药",{"$nulls":5},"眼润滑剂"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["EABVN001","胸部X线摄影","c22",null,null,null,"FEA02705","非接触眼压计(NCT)测量","a23"]
["EDBEA001","双眼B超检查","c30",null,null,null,"FEA02704","/压陷式眼压计测量","a23"]
["EDCEA001","双眼彩色多普勒超声检查","c70",null,null,null,"FEA02706","或压平眼压计(Goldmann眼压计)测量","a38"]
["FEA01722","显然验光","a30",null,null,null,"FEA02707","或动态轮廓眼压计测量","a38"]
["FEH01701","角膜结膜染色检查","a23",null,null,null,"FEA02708","或电子压平眼压计测量","a23"]
["FEH01704","/眼前节分析仪角膜厚度检查","a23",null,null,null,"FEA02709","或回弹式眼压计测量","a23"]
["FEH01705","/角膜厚度检查-光学法","a38",null,null,null,"FES01704","免散瞳眼底检查","b22"]
["FEH01707","/角膜知觉检查-棉丝法","a20",null,null,null,"FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["FEH01708","/角膜知觉检查-知觉仪法","a23",null,null,null,"FES01706","/前置镜眼底检查","a30"]
["FEH01709","/角膜刮片检查","a44",null,null,null,"FES01707 ","/间接眼底镜检查","a38"]
["FEH01702","/角膜地形图检查","a55",null,null,null,"FEU02701","眼前节形态测定","a55"]
["FEU02701","眼前节形态测定","a55",null,null,null,"FEU01701","眼前节照相","a30"]
["FEU01701","眼前节照相","a30"]
["FEJ01701","房角镜检查","a50"]
["FEU01702","超声活体显微镜检查","a60"]
["药物"]
[null,"抗菌药",null,null,"眼用消毒剂",null,null,"抗炎镇痛药"]
[null,"降眼压药",{"$nulls":5},"止血药"]
[{"$nulls":7},"散瞳剂"]

{"sheet":"36.老年性白内障","index":36,"n_rows":143,"n_cols":9,"rows_kept":143,"cut":false,"hidden":false,"merged":[[112,0,112,8],[134,0,134,8],[136,0,136,8],[138,0,138,8],[99,0,99,8],[101,0,101,8],[103,0,103,8],[109,0,109,8],[110,0,110,2],[110,3,110,5],[110,6,110,8],[13,0,13,8],[16,0,16,8],[82,0,82,8],[87,0,87,8],[95,0,95,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["36.老年性白内障"]
["白内障超声乳化吸除+人工晶状体植入术"]
["主要诊断","老年性白内障",null,null,"ICD-10码：H25.901"]
["主要操作                                    ","白内障超声乳化吸除+\n人工晶状体植入术",null,null,"ICD-9-CM3码：13.71"]
["入院标准","1.第一诊断必须符合ICD-10：H25.901老年性白内障疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等，前房形成；②眼压正常，裂隙灯检查无明显异常，人工晶状体位置良好；③没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1. 手术炎症反应或其它并发症。\n2. 患者其他原因。"]
["转诊条件","无"]
["再入院\n间隔时间","1天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["ACAA0001"," /Ⅲ级护理","d20","ACAB0001","/Ⅱ级护理","d50","ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",{"$nulls":4},"FEA01701","普通远视力检查","a1"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"FEA01702","/普通近视力检查","a1"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"FEA01703 ","/光机能检查","a10"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定",{"$nulls":4},"FEA01726","裂隙灯检查","a30"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定",{"$nulls":4},"FES01704","免散瞳眼底检查","b22"]
["CELA1000","总胆红素(T-Bil)测定",{"$nulls":4},"FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["CELB1000","直接胆红素(D-Bil)测定",{"$nulls":4},"FES01706","/前置镜眼底检查","a30"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定",{"$nulls":4},"FES01707 ","/间接眼底镜检查","a38"]
["CEAA8000","总蛋白(TP)测定",{"$nulls":4},"FEA02705","非接触眼压计(NCT)测量","a23"]
["CEAE8000","白蛋白(Alb)测定",{"$nulls":4},"FEA02704","/压陷式眼压计测量","a23"]
["CECD8000","碱性磷酸酶(ALP)测定",{"$nulls":4},"FEA02706","/压平眼压计(Goldmann眼压计)测量","a38"]
["CEEA8000","尿素(Urea)测定",{"$nulls":4},"FEA02707","/动态轮廓眼压计测量","a38"]
["CEEB8000","肌酐(Cr)测定",{"$nulls":4},"FEA02708","/电子压平眼压计测量","a23"]
["CEEE8000","尿酸(UA)测定",{"$nulls":4},"FEA02709","/回弹式眼压计测量","a23"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGLJ1000","/乙肝病毒表面抗原确认试验(HBsAgConfirm)测定"]
["CGLK1000","/乙型肝炎表面抗体定性(抗HBs)测定"]
["CGLL1000","/乙型肝炎表面抗体定量(抗HBs)测定"]
["CGLM1000","/乙型肝炎e抗原定性(HBeAg)测定"]
["CGLN1000","/乙型肝炎e抗原定量(HBeAg)测定"]
["CGLP1000","/乙型肝炎e抗体(HBeAb)测定"]
["CGLQ6000","/乙型肝炎核心抗原(HBcAg)测定"]
["CGLR6000","/乙型肝炎核心抗原定量(HBcAg)测定"]
["CGLS1000","/乙型肝炎核心抗体(抗HBc)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["FEA01701","普通远视力检查","a1"]
["FEA01702","或普通近视力检查","a1"]
["FEA01703","或光机能检查","a10"]
["FEA01707","或视网膜视力检查","a44"]
["FEA01726","裂隙灯检查","a30"]
["FES01704","免散瞳眼底检查","b22"]
["FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["FES01706","/前置镜眼底检查","a30"]
["FES01707 ","/间接眼底镜检查","a38"]
["FEA02705","非接触眼压计(NCT)测量","a23"]
["FEA02704","/压陷式眼压计测量","a23"]
["FEA02706","/压平眼压计(Goldmann眼压计)测量","a38"]
["FEA02707","/动态轮廓眼压计测量","a38"]
["FEA02708","/电子压平眼压计测量","a23"]
["FEA02709","/回弹式眼压计测量","a23"]
["FEH01703","角膜内皮镜检查","a55"]
["FEA01724","电脑验光"]
["FEA01721","云雾实验"]
["FEA01720","综合验光"]
["FEJ02702","中央前房深度测量-光学法/次"]
["CGLY1000","丙型肝炎核心抗原测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["FES01709","相干光断层(OCT)眼底扫描"]
["治疗"]
["HEE48401","泪道冲洗","a16","ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
["HEG48302","结膜囊冲洗","a14","HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAA42902","无插管全麻","a54"]
["手术"]
[null,null,null,"HEP61302","白内障超声乳化吸除+人工晶状体植入术","a88"]
["病理及其它"]
[]
["药物"]
[null,"散瞳剂",null,null,"眼用消毒剂",null,null,"抗菌药眼用制剂"]
[null,"抗生素",null,null,"灌注液",null,null,"肾上腺糖皮质激素眼用制剂"]
[{"$nulls":4},"粘弹剂"]
[{"$nulls":4},"肾上腺糖皮质激素"]
[{"$nulls":4},"抗菌药"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["EABVN001","胸部X线摄影","c22",null,"术中导航系统（定位散光轴）",null,"FEA01722","显然验光","a30"]
["EDBEA001","双眼B超检查","c30",null,null,null,"FEU01701","眼前节照相","a30"]
["EDCEA001","双眼彩色多普勒超声检查","c70"]
["FEA01722","显然验光","a30"]
["FEH01701","角膜结膜染色检查","a23"]
["FEH01704","/眼前节分析仪角膜厚度检查","a23"]
["FEH01705","/角膜厚度检查-光学法","a38"]
["FEH01707","/角膜知觉检查-棉丝法","a20"]
["FEH01708","/角膜知觉检查-知觉仪法","a23"]
["FEH01709","/角膜刮片检查","a44"]
["FEH01702","/角膜地形图检查","a55"]
["FEU02701","眼前节形态测定","a55"]
["FEU01701","眼前节照相","a30"]
["FEE02701","泪膜破裂时间测定","a23"]
["FEE04701","/泪液分泌试验","a14"]
["FEA01716","对比敏感度仪检查","a50"]
["FEA03701","图形视网膜电流图(P-ERG)检查","a60"]
["FEA03704","视诱发电位(VEP)检查","a60"]
["FEA02701","眼轴测量","a44"]
["FES01709","#相干光断层(OCT)眼底扫描/次"]
["FES01712","#激光扫描检眼镜眼底检查/次"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
["监测"]
[null,null,null,"FKA05705","无创心电监测","b9"]
["药物"]
[null,"抗菌药",null,null,"缩瞳剂",null,null,"非甾体类消炎药"]
[{"$nulls":4},"角膜保护剂",null,null,"散瞳剂"]
[{"$nulls":4},"囊膜染色剂",null,null,"降眼压药"]
[{"$nulls":4},"肾上腺素",null,null,"角膜上皮修复制剂"]

{"sheet":"37.老年性白内障","index":37,"n_rows":144,"n_cols":9,"rows_kept":144,"cut":false,"hidden":false,"merged":[[135,0,135,8],[137,0,137,8],[139,0,139,8],[99,0,99,8],[101,0,101,8],[103,0,103,8],[110,0,110,8],[111,0,111,2],[111,3,111,5],[111,6,111,8],[13,0,13,8],[16,0,16,8],[82,0,82,8],[87,0,87,8],[95,0,95,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["37.老年性白内障"]
["小瞳孔白内障超声乳化吸除+人工晶状体植入术"]
["主要诊断","老年性白内障",null,null,"ICD-10码：H25.901"]
["主要操作                                    ","小瞳孔白内障超声乳化吸除+人工晶状体植入术",null,null,"ICD-9-CM3码：13.71"]
["入院标准","1.第一诊断必须符合ICD-10：H25.901老年性白内障疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等，前房形成；②眼压正常，裂隙灯检查无明显异常，人工晶状体位置良好；③没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1. 手术炎症反应或其它并发症。\n2. 患者其他原因。"]
["转诊条件","无"]
["再入院\n间隔时间","1天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["ACAA0001"," /Ⅲ级护理","d20","ACAB0001","/Ⅱ级护理","d50","ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",{"$nulls":4},"FEA01701","普通远视力检查","a1"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"FEA01702","/普通近视力检查","a1"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"FEA01703 ","/光机能检查","a10"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定",{"$nulls":4},"FEA01726","裂隙灯检查","a30"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定",{"$nulls":4},"FES01704","免散瞳眼底检查","b22"]
["CELA1000","总胆红素(T-Bil)测定",{"$nulls":4},"FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["CELB1000","直接胆红素(D-Bil)测定",{"$nulls":4},"FES01706","/前置镜眼底检查","a30"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定",{"$nulls":4},"FES01707 ","/间接眼底镜检查","a38"]
["CEAA8000","总蛋白(TP)测定",{"$nulls":4},"FEA02705","非接触眼压计(NCT)测量","a23"]
["CEAE8000","白蛋白(Alb)测定",{"$nulls":4},"FEA02704","/压陷式眼压计测量","a23"]
["CECD8000","碱性磷酸酶(ALP)测定",{"$nulls":4},"FEA02706","/压平眼压计(Goldmann眼压计)测量","a38"]
["CEEA8000","尿素(Urea)测定",{"$nulls":4},"FEA02707","/动态轮廓眼压计测量","a38"]
["CEEB8000","肌酐(Cr)测定",{"$nulls":4},"FEA02708","/电子压平眼压计测量","a23"]
["CEEE8000","尿酸(UA)测定",{"$nulls":4},"FEA02709","/回弹式眼压计测量","a23"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGLJ1000","/乙肝病毒表面抗原确认试验(HBsAgConfirm)测定"]
["CGLK1000","/乙型肝炎表面抗体定性(抗HBs)测定"]
["CGLL1000","/乙型肝炎表面抗体定量(抗HBs)测定"]
["CGLM1000","/乙型肝炎e抗原定性(HBeAg)测定"]
["CGLN1000","/乙型肝炎e抗原定量(HBeAg)测定"]
["CGLP1000","/乙型肝炎e抗体(HBeAb)测定"]
["CGLQ6000","/乙型肝炎核心抗原(HBcAg)测定"]
["CGLR6000","/乙型肝炎核心抗原定量(HBcAg)测定"]
["CGLS1000","/乙型肝炎核心抗体(抗HBc)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["FEA01701","普通远视力检查","a1"]
["FEA01702","或普通近视力检查","a1"]
["FEA01703","或光机能检查","a10"]
["FEA01707","或视网膜视力检查","a44"]
["FEA01726","裂隙灯检查","a30"]
["FES01704","免散瞳眼底检查","b22"]
["FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["FES01706","/前置镜眼底检查","a30"]
["FES01707 ","/间接眼底镜检查","a38"]
["FEA02705","非接触眼压计(NCT)测量","a23"]
["FEA02704","/压陷式眼压计测量","a23"]
["FEA02706","/压平眼压计(Goldmann眼压计)测量","a38"]
["FEA02707","/动态轮廓眼压计测量","a38"]
["FEA02708","/电子压平眼压计测量","a23"]
["FEA02709","/回弹式眼压计测量","a23"]
["FEH01703","角膜内皮镜检查","a55"]
["FEA01724","电脑验光"]
["FEA01721","云雾实验"]
["FEA01720","综合验光"]
["FEJ02702","中央前房深度测量-光学法/次"]
["CGLY1000","丙型肝炎核心抗原测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["FES01709","相干光断层(OCT)眼底扫描"]
["治疗"]
["HEE48401","泪道冲洗","a16","ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
["HEG48302","结膜囊冲洗","a14","HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAA42902","无插管全麻","a54"]
["手术"]
[null,null,null,"HEP61303","小瞳孔白内障超声乳化吸除+人工晶状体植入术","a94"]
["病理及其它"]
[]
["药物"]
[null,"散瞳剂",null,null,"眼用消毒剂",null,null,"抗菌药眼用制剂"]
[null,"抗生素",null,null,"灌注液",null,null,"肾上腺糖皮质激素眼用制剂"]
[{"$nulls":4},"粘弹剂"]
[{"$nulls":4},"肾上腺素"]
[{"$nulls":4},"肾上腺糖皮质激素"]
[{"$nulls":4},"抗菌药"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["EABVN001","胸部X线摄影","c22",null,"术中导航系统（定位散光轴）",null,"FEA01722","显然验光","a30"]
["EDBEA001","双眼B超检查","c30",null,null,null,"FEU01701","眼前节照相","a30"]
["EDCEA001","双眼彩色多普勒超声检查","c70"]
["FEA01722","显然验光","a30"]
["FEH01701","角膜结膜染色检查","a23"]
["FEH01704","/眼前节分析仪角膜厚度检查","a23"]
["FEH01705","/角膜厚度检查-光学法","a38"]
["FEH01707","/角膜知觉检查-棉丝法","a20"]
["FEH01708","/角膜知觉检查-知觉仪法","a23"]
["FEH01709","/角膜刮片检查","a44"]
["FEH01702","/角膜地形图检查","a55"]
["FEU02701","眼前节形态测定","a55"]
["FEU01701","眼前节照相","a30"]
["FEE02701","泪膜破裂时间测定","a23"]
["FEE04701","/泪液分泌试验","a14"]
["FEA01716","对比敏感度仪检查","a50"]
["FEA03701","图形视网膜电流图(P-ERG)检查","a60"]
["FEA01708","阿姆斯勒(Amsler)表检查","a1"]
["FEA02701","眼轴测量","a44"]
["FES01709","#相干光断层(OCT)眼底扫描/次"]
["FES01712","#激光扫描检眼镜眼底检查/次"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
["监测"]
[null,null,null,"FKA05705","无创心电监测","b9"]
["药物"]
[null,"抗菌药",null,null,"缩瞳剂",null,null,"非甾体类消炎药"]
[{"$nulls":4},"角膜保护剂",null,null,"散瞳剂"]
[{"$nulls":4},"囊膜染色剂",null,null,"降眼压药"]
[{"$nulls":7},"角膜上皮修复制剂"]

{"sheet":"38.老年性白内障","index":38,"n_rows":143,"n_cols":9,"rows_kept":143,"cut":false,"hidden":false,"merged":[[109,0,109,8],[134,0,134,8],[136,0,136,8],[138,0,138,8],[96,0,96,8],[98,0,98,8],[100,0,100,8],[106,0,106,8],[107,0,107,2],[107,3,107,5],[107,6,107,8],[13,0,13,8],[16,0,16,8],[79,0,79,8],[84,0,84,8],[92,0,92,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["38.老年性白内障"]
["白内障超声乳化摘除术"]
["主要诊断","老年性白内障",null,null,"ICD-10码：H25.901"]
["主要操作                                    ","白内障超声乳化摘除术",null,null,"ICD-9-CM3码：13.41"]
["入院标准","1.第一诊断必须符合ICD-10：H25.901老年性白内障疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等，前房形成；②眼压正常，裂隙灯检查无明显异常；③没有需要住院处理的并发症。"]
["住院时间","≤24h"]
["变异条件","1. 手术炎症反应或其它并发症。\n2. 患者其他原因。"]
["转诊条件","无"]
["再入院\n间隔时间","1天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["ACAA0001"," /Ⅲ级护理","d20","ACAB0001","/Ⅱ级护理","d50","ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",{"$nulls":4},"FEA01701","普通远视力检查","a1"]
["CAAB1000","/全血细胞计数+5分类检测",{"$nulls":4},"FEA01702","/普通近视力检查","a1"]
["CCAA2000","尿常规化学分析",{"$nulls":4},"FEA01703 ","/光机能检查","a10"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定",{"$nulls":4},"FEA01726","裂隙灯检查","a30"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定",{"$nulls":4},"FES01704","免散瞳眼底检查","b22"]
["CELA1000","总胆红素(T-Bil)测定",{"$nulls":4},"FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["CELB1000","直接胆红素(D-Bil)测定",{"$nulls":4},"FES01706","/前置镜眼底检查","a30"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定",{"$nulls":4},"FES01707 ","/间接眼底镜检查","a38"]
["CEAA8000","总蛋白(TP)测定",{"$nulls":4},"FEA02705","非接触眼压计(NCT)测量","a23"]
["CEAE8000","白蛋白(Alb)测定",{"$nulls":4},"FEA02704","/压陷式眼压计测量","a23"]
["CECD8000","碱性磷酸酶(ALP)测定",{"$nulls":4},"FEA02706","/压平眼压计(Goldmann眼压计)测量","a38"]
["CEEA8000","尿素(Urea)测定",{"$nulls":4},"FEA02707","/动态轮廓眼压计测量","a38"]
["CEEB8000","肌酐(Cr)测定",{"$nulls":4},"FEA02708","/电子压平眼压计测量","a23"]
["CEEE8000","尿酸(UA)测定",{"$nulls":4},"FEA02709","/回弹式眼压计测量","a23"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGLJ1000","/乙肝病毒表面抗原确认试验(HBsAgConfirm)测定"]
["CGLK1000","/乙型肝炎表面抗体定性(抗HBs)测定"]
["CGLL1000","/乙型肝炎表面抗体定量(抗HBs)测定"]
["CGLM1000","/乙型肝炎e抗原定性(HBeAg)测定"]
["CGLN1000","/乙型肝炎e抗原定量(HBeAg)测定"]
["CGLP1000","/乙型肝炎e抗体(HBeAb)测定"]
["CGLQ6000","/乙型肝炎核心抗原(HBcAg)测定"]
["CGLR6000","/乙型肝炎核心抗原定量(HBcAg)测定"]
["CGLS1000","/乙型肝炎核心抗体(抗HBc)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["FEA01701","普通远视力检查","a1"]
["FEA01702","或普通近视力检查","a1"]
["FEA01703","或光机能检查","a10"]
["FEA01707","或视网膜视力检查","a44"]
["FEA01726","裂隙灯检查","a30"]
["FES01704","免散瞳眼底检查","b22"]
["FES01705","/非散瞳直接检眼镜眼底检查","a26"]
["FES01706","/前置镜眼底检查","a30"]
["FES01707 ","/间接眼底镜检查","a38"]
["FEA02705","非接触眼压计(NCT)测量","a23"]
["FEA02704","/压陷式眼压计测量","a23"]
["FEA02706","/压平眼压计(Goldmann眼压计)测量","a38"]
["FEA02707","/动态轮廓眼压计测量","a38"]
["FEA02708","/电子压平眼压计测量","a23"]
["FEA02709","/回弹式眼压计测量","a23"]
["FEH01703","角膜内皮镜检查","a55"]
["FEA01724","电脑验光"]
["FEA01721","云雾实验"]
["FEA01720","综合验光"]
["FEJ02702","#中央前房深度测量-光学法/次"]
["治疗"]
["HEE48401","泪道冲洗","a16","ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
["HEG48302","结膜囊冲洗","a14","HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA05705","无创心电监测","b9"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"HAA42902","无插管全麻","a54"]
["手术"]
[null,null,null,"HEP65302","白内障超声乳化摘除术","a80"]
["病理及其它"]
[]
["药物"]
[null,"散瞳剂",null,null,"眼用消毒剂",null,null,"抗菌药眼用制剂"]
[null,"抗生素",null,null,"灌注液",null,null,"肾上腺糖皮质激素眼用制剂"]
[{"$nulls":4},"粘弹剂"]
[{"$nulls":4},"肾上腺糖皮质激素"]
[{"$nulls":4},"抗菌药"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["EABVN001","胸部X线摄影","c22",null,"术中导航系统（定位散光轴）",null,"FEA01722","显然验光","a30"]
["EDBEA001","双眼B超检查","c30",null,null,null,"FEU01701","眼前节照相","a30"]
["EDCEA001","双眼彩色多普勒超声检查","c70"]
["FEA01722","显然验光","a30"]
["FEH01701","角膜结膜染色检查","a23"]
["FEH01704","/眼前节分析仪角膜厚度检查","a23"]
["FEH01705","/角膜厚度检查-光学法","a38"]
["FEH01707","/角膜知觉检查-棉丝法","a20"]
["FEH01708","/角膜知觉检查-知觉仪法","a23"]
["FEH01709","/角膜刮片检查","a44"]
["FEH01702","/角膜地形图检查","a55"]
["FEU02701","眼前节形态测定","a55"]
["FEU01701","眼前节照相","a30"]
["FEE02701","泪膜破裂时间测定","a23"]
["FEE04701","/泪液分泌试验","a14"]
["FEA01716","对比敏感度仪检查","a50"]
["FEA03701","图形视网膜电流图(P-ERG)检查","a60"]
["FEA03704","视诱发电位(VEP)检查","a60"]
["FEA02701","眼轴测量","a44"]
["FES01709","相干光断层(OCT)眼底扫描/次"]
["FES01712","激光扫描检眼镜眼底检查/次"]
["CGLY1000","丙型肝炎核心抗原测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["FES01709","相干光断层(OCT)眼底扫描"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
["监测"]
[null,null,null,"FKA05705","无创心电监测","b9"]
["药物"]
[null,"抗菌药",null,null,"缩瞳剂",null,null,"非甾体类消炎药"]
[null,"降眼压药",null,null,"角膜保护剂",null,null,"散瞳剂"]
[{"$nulls":4},"囊膜染色剂",null,null,"降眼压药"]
[{"$nulls":4},"肾上腺素",null,null,"角膜上皮修复制剂"]

{"sheet":"39.先天性耳前瘘管","index":39,"n_rows":86,"n_cols":9,"rows_kept":86,"cut":false,"hidden":false,"merged":[[77,0,77,8],[79,0,79,8],[81,0,81,8],[84,0,84,8],[68,3,68,5],[70,0,70,8],[72,0,72,8],[74,0,74,8],[75,0,75,2],[75,3,75,5],[75,6,75,8],[13,0,13,8],[16,0,16,8],[51,0,51,8],[56,0,56,8],[64,3,64,5],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["39.先天性耳前瘘管"]
["耳前瘘管切除术"]
["主要诊断","先天性耳前瘘管",null,null,"ICD-10码：Q18.1"]
["主要操作                                    ","耳前瘘管切除术",null,null,"ICD-9-CM3码：18.21"]
["入院标准","1.第一诊断必须符合ICD-10：Q18.1先天性耳前瘘管疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","24h"]
["变异条件","1.伴有影响手术的合并症，需进行相关诊断和治疗等，导致住院时间延长，治疗费用增加。\n2.出现手术并发症，需进一步诊断和治疗，导致住院时间延长，治疗费用增加。"]
["转诊条件","转住院和转社区可以合并，如果下级医院无法处理，则转院，否则转社区。"]
["再入院\n间隔时间","14天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["ACAA0001"," /Ⅲ级护理","d20",null,null,null,"ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA05705","无创心电监测","b9","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
[null,null,null,"麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42902","/无插管全麻","a54"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"手术"]
[null,null,null,"HFE73301","耳前瘘管切除术","a82"]
["病理及其它"]
[null,null,null,"BCAA0001","活检病理诊断","c87"]
["药物"]
[null,"示踪药物",null,null," 抗菌药物",null,null," 抗菌药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["AADB0001","院内会诊","d80"]
["治疗"]
["HYW89305","游离皮瓣移植术","a81","ABJA0001","氧气吸入","d50"]
["监测"]
[{"$nulls":6},"KKA28701","院内遥测心电监护","b18"]
[{"$nulls":6},"FKA05705","/无创心电监测","b9"]
["药物"]
[null,"促表皮生长药物"]

{"sheet":"40.慢性化脓性中耳炎","index":40,"n_rows":94,"n_cols":9,"rows_kept":94,"cut":false,"hidden":false,"merged":[[77,0,77,8],[83,0,83,8],[85,0,85,8],[87,0,87,8],[90,0,90,8],[70,3,70,5],[72,0,72,8],[74,0,74,8],[75,0,75,2],[75,3,75,5],[75,6,75,8],[13,0,13,8],[15,0,15,8],[53,0,53,8],[58,0,58,8],[66,3,66,5],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["40.慢性化脓性中耳炎"]
["I型鼓室成形术"]
["主要诊断","慢性化脓性中耳炎",null,null,"ICD-10码：H66.1-H66.3/H71"]
["主要操作                                    ","I型鼓室成形术",null,null,"ICD-9-CM3码：19.4"]
["入院标准","1.第一诊断必须符合ICD-10：H66.1-H66.3/H71慢性化脓性中耳炎疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","24h"]
["变异条件","1.伴有影响手术的合并症，需进行相关诊断和治疗等，导致住院时间延长，治疗费用增加。\n2.出现手术并发症，需进一步诊断和治疗，导致住院时间延长，治疗费用增加。"]
["转诊条件","无"]
["再入院\n间隔时间","14天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50",null,null,null,"ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["EBAFA001","耳部X线计算机体层(CT)平扫","c30"]
["AADB0001","院内会诊","d80"]
["FFA02701","纯音听阈测定","a18"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA05705","无创心电监测","b9","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
[null,null,null,"麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42902","/无插管全麻","a54"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
[null,null,null,"手术"]
[null,null,null,"HFE83301","I型鼓室成形术","a54"]
["药物"]
[null," 抗菌药物",null,null," 抗菌药物",null,null," 抗菌药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["FCH03702","面神经功能电脑检测","f7","FCH03702","面神经功能电脑检测","f7"]
["FFH02401","咽鼓管压力测定","a9"]
["FFA02710","听性脑干反应潜伏期测试","a27"]
["FFA02711","听性脑干反应阈值测试","a27"]
["FFA02712","听性脑干反应骨导阈值测试","a27"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABJA0001","氧气吸入","d50"]
["监测"]
[{"$nulls":6},"FKA05705","无创心电监测","b9"]
["药物"]
[{"$nulls":4},"糖皮质激素"]
[{"$nulls":4},"非耳毒性抗菌药物"]
["病理及其它"]
["CJAP8000","一般细菌培养+鉴定"]
["CJBX9000","普通细菌药敏定性试验"]
["CJBY9000","普通细菌药敏定量试验"]

{"sheet":"41.慢性化脓性中耳炎","index":41,"n_rows":97,"n_cols":9,"rows_kept":97,"cut":false,"hidden":false,"merged":[[81,0,81,8],[89,0,89,8],[91,0,91,8],[94,0,94,8],[70,0,70,8],[72,0,72,8],[76,0,76,8],[78,0,78,8],[79,0,79,2],[79,3,79,5],[79,6,79,8],[13,0,13,8],[15,0,15,8],[53,0,53,8],[58,0,58,8],[66,0,66,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["41.慢性化脓性中耳炎"]
["经耳内镜I型鼓室成形术"]
["主要诊断","慢性化脓性中耳炎",null,null,"ICD-10码：H66.1-H66.3/H71"]
["主要操作                                    ","经耳内镜I型鼓室成形术",null,null,"ICD-9-CM3码：19.4"]
["入院标准","1.第一诊断必须符合ICD-10：H66.1-H66.3/H71慢性化脓性中耳炎疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","24h"]
["变异条件","1.伴有影响手术的合并症，需进行相关诊断和治疗等，导致住院时间延长，治疗费用增加；\n2.出现手术并发症，需进一步诊断和治疗，导致住院时间延长，治疗费用增加。"]
["转诊条件","无"]
["再入院\n间隔时间","14天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAB0001","Ⅱ级护理","d50","ACAB0001","Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["EBAFA001","耳部X线计算机体层(CT)平扫","c30"]
["AADB0001","院内会诊","d80"]
["FFA02701","纯音听阈测定","a18"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABFA0001","换药(小)","a9"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA05705","无创心电监测","b9","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[{"$nulls":4},"/局部麻醉"]
[null,null,null,"HAA42902","/无插管全麻","a54"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
["手术"]
[null,null,null,"HFE83601","经耳内镜I型鼓室成形术","a54"]
["病理及其它"]
["CJAP8000","一般细菌培养+鉴定",null,"BCAA0001","活检病理诊断","c87"]
["CJBX9000","普通细菌药敏定性试验"]
["CJBY9000","普通细菌药敏定量试验"]
["药物"]
[null," 抗菌药物",null,null," 抗菌药物",null,null," 抗菌药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度","医疗服务\n项目编码","医疗服务\n项目名称","技术难度","医疗服务\n项目编码","医疗服务\n项目名称","技术\n难度"]
["检查"]
["FCH03702","面神经功能电脑检测","f7","FCH03702","面神经功能电脑检测","f7"]
["FFA02710","听性脑干反应潜伏期测试","a27"]
["FFA02711","听性脑干反应阈值测试","a27"]
["FFA02712","听性脑干反应骨导阈值测试","a27"]
["CJAP8000","一般细菌培养+鉴定"]
["CJBX9000","普通细菌药敏定性试验"]
["CJBY9000","普通细菌药敏定量试验"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABJA0001","氧气吸入","d50"]
["监测"]
[{"$nulls":6},"KKA28701","院内遥测心电监护","b18"]
[{"$nulls":6},"FKA05705","/无创心电监测","b9"]
["药物"]
[{"$nulls":4},"糖皮质激素"]
[{"$nulls":4},"非耳毒性抗菌药物"]

{"sheet":"42.会厌良性肿瘤","index":42,"n_rows":89,"n_cols":9,"rows_kept":89,"cut":false,"hidden":false,"merged":[[76,0,76,8],[80,0,80,8],[83,0,83,8],[86,0,86,8],[67,0,67,8],[69,0,69,8],[71,0,71,8],[73,0,73,8],[74,0,74,2],[74,3,74,5],[74,6,74,8],[13,0,13,8],[16,0,16,8],[52,0,52,8],[57,0,57,8],[65,0,65,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["42.会厌良性肿瘤"]
["经支撑喉镜会厌良性肿瘤切除术"]
["主要诊断","会厌良性肿瘤",null,null,"ICD-10码：D14.1"]
["主要操作                                    ","经支撑喉镜会厌良性肿瘤\n切除术",null,null,"ICD-9-CM3码：30.09"]
["入院标准","1.第一诊断必须符合ICD-10：D14.1会厌良性肿瘤疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","24h"]
["变异条件","1.伴有影响手术的合并症，需进行相关诊断和治疗等，导致住院时间延长，治疗费用增加；\n2.出现手术并发症，需进一步诊断和治疗，导致住院时间延长，治疗费用增加。"]
["转诊条件","无"]
["再入院\n间隔时间","14天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术难度","医疗服务\n项目编码","医疗服务\n项目名称","技术难度","医疗服务项目编码","医疗服务\n项目名称","技术难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["ACAA0001"," /Ⅲ级护理","d20",null,null,null,"ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["FGM01602","纤维喉镜检查","a27"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA05705","无创心电监测","b9","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
["手术"]
[null,null,null,"HGN73401","经支撑喉镜会厌良性肿瘤切除术","a45"]
["病理及其它"]
[null,null,null,"BCAA0001","活检病理诊断","c87"]
["药物"]
[null," 抗菌药物",null,null," 抗菌药物",null,null," 抗菌药物"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务\n项目编码","医疗服务\n项目名称","技术难度","医疗服务\n项目编码","医疗服务\n项目名称","技术难度","医疗服务项目编码","医疗服务\n项目名称","技术难度"]
["检查"]
["AADB0001","电子喉镜检查","d80"]
["FGM01601","频闪喉镜检查","a32"]
["AADB0001","院内会诊","d80"]
["治疗"]
[null,null,null,"ABJA0001","氧气吸入","d50","ABJA0001","氧气吸入","d50"]
[{"$nulls":6},"ABKA0001","超声雾化吸入","d40"]
["监测"]
[{"$nulls":6},"KKA28701","院内遥测心电监护","b18"]
[{"$nulls":6},"FKA05705","/无创心电监测","b9"]
["药物"]
[{"$nulls":4},"糖皮质激素"]
[{"$nulls":4},"抗生素"]

{"sheet":"43.声带息肉","index":43,"n_rows":92,"n_cols":9,"rows_kept":92,"cut":false,"hidden":false,"merged":[[79,0,79,8],[84,0,84,8],[86,0,86,8],[89,0,89,8],[69,0,69,8],[71,0,71,8],[73,0,73,8],[76,0,76,8],[77,0,77,2],[77,3,77,5],[77,6,77,8],[13,0,13,8],[16,0,16,8],[54,0,54,8],[59,0,59,8],[67,0,67,8],[9,1,9,8],[10,0,10,8],[11,0,11,2],[11,3,11,5],[11,6,11,8],[4,1,4,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[0,0,0,8],[1,0,1,8],[2,1,2,3],[2,4,2,8],[3,1,3,3],[3,4,3,8]]}
["43.声带息肉"]
["经支撑喉镜激光辅助声带肿物切除术"]
["主要诊断","声带息肉",null,null,"ICD-10码：J38.102"]
["主要操作                                    ","经支撑喉镜激光辅助\n声带肿物切除术",null,null,"ICD-9-CM3码：30.09"]
["入院标准","1.第一诊断必须符合ICD-10：J38.102声带息肉疾病编码；2.当患者合并其他疾病，但住院期间不需要特殊处理也不影响第一诊断的临床路径流程实施时，可进入日间手术路径；3.原则上ASA分级Ⅱ级及以下；4.需经过术前麻醉评估。"]
["出院标准","1.麻醉后出院评分系统（PADS）：评分总分≥9时，方可准予患者离院。PADS评分项目包括：①基本生命体征；②活动能力；③疼痛；④术后恶心和呕吐；⑤切口出血。各单项评分0-2分，相加后总分10为满分。\n2.专科情况：①患者体温正常，切口愈合好无积血、感染等；②没有需要住院处理的并发症。"]
["住院时间","24h"]
["变异条件","1.PADS评分＜9分；\n2.专科评估：出现手术并发症，需进一步诊断和治疗。"]
["转诊条件","1.PADS评分≥9分； \n2.急性尿潴留；轻微的头晕、恶心等不适，但无需药物治疗；患者缺乏心理准备，担心回家后无法得到及时的医疗照顾，应排除麻醉因素。"]
["再入院\n间隔时间","5天"]
["基本项目\n（必须要完成的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务项目编码","医疗服务\n项目名称","技术难度","医疗服务\n项目编码","医疗服务\n项目名称","技术难度","医疗服务\n项目编码","医疗服务\n项目名称","技术难度"]
["护理"]
["ACAB0001","Ⅱ级护理","d50","ACAC0001","Ⅰ级护理  ","d80","ACAC0001","Ⅰ级护理  ","d80"]
["ACAA0001"," /Ⅲ级护理","d20",null,null,null,"ACAB0001","/Ⅱ级护理","d50"]
["检查"]
["CAAA1000","全血细胞计数+3分群检测",{"$nulls":4},"FGM01602","纤维喉镜检查","a27"]
["CAAB1000","/全血细胞计数+5分类检测"]
["CAAJ1000","红细胞沉降率(ESR)测定"]
["CEAU1000","超敏C反应蛋白(hs-CRP)测定"]
["CCAA2000","尿常规化学分析"]
["CECA1000","丙氨酸氨基转移酶(ALT)测定"]
["CECB1000","天门冬氨酸氨基转移酶(AST)测定"]
["CELA1000","总胆红素(T-Bil)测定"]
["CELB1000","直接胆红素(D-Bil)测定"]
["CECC8000","γ-谷氨酰基转移酶(GGT)测定"]
["CEAA8000","总蛋白(TP)测定"]
["CEAE8000","白蛋白(Alb)测定"]
["CECD8000","碱性磷酸酶(ALP)测定"]
["CEEA8000","尿素(Urea)测定"]
["CEEB8000","肌酐(Cr)测定"]
["CEEE8000","尿酸(UA)测定"]
["CEJA8000","钾(K)测定"]
["CEJB8000","钠(Na)测定"]
["CEJC8000","氯(Cl)测定"]
["CEJD1000","总二氧化碳(TCO2)测定"]
["CEJE8000","镁(Mg)测定"]
["CEJF8000 ","总钙(Ca)测定"]
["CEFA8000","葡萄糖(Glu)测定"]
["CAGA1000","凝血酶时间(TT)测定"]
["CAGB1000","/活化部分凝血活酶时间(APTT)测定"]
["CAGC1000","/血浆凝血酶原时间(PT)测定"]
["CAGD1000","/血浆纤维蛋白原测定"]
["CGLG1000","乙型肝炎表面抗原定性(HBsAg)测定"]
["CGLH1000","/乙型肝炎表面抗原定量(HBsAg)测定"]
["CGMA1000","丙型肝炎抗体(抗HCV)测定"]
["CGMF1000","人免疫缺陷病毒抗体(抗HIV)测定"]
["CGPP1000","梅毒螺旋体抗体(抗TP)测定"]
["FKA03701","单通道常规心电图检查","b14"]
["FKA03702","/多通道常规心电图检查","b14"]
["FKA03703","/十二通道常规心电图检查","b14"]
["EABVN001","胸部X线摄影","c22"]
["FGM01602","纤维喉镜检查","a27"]
["治疗"]
["ABKA0001","超声雾化吸入","d40","ABJA0001","氧气吸入","d50","ABKA0001","超声雾化吸入","d40"]
[null,null,null,"HL962202","外周动脉穿刺置管术","k70","ABJA0001","氧气吸入","d50"]
[null,null,null,"ABDA0001","经外周静脉置入中心静脉导管术","d100"]
[null,null,null,"HAM62401","经口气管插管术","k90"]
["监测"]
[null,null,null,"FKA05705","无创心电监测","b9","FKA05705","无创心电监测","b9"]
[null,null,null,"FKA02203","检测仪中心静脉压测定","d80","HAP28901","麻醉恢复室监护","k40"]
[null,null,null,"HAN05201","/有创连续动脉血压监测","k70"]
[null,null,null,"FKA05709","无创血压监测","b9"]
[null,null,null,"FKA05710","无创指脉血氧饱和度监测","b5"]
[null,null,null,"HAN05702","术中体温监测","k5"]
[null,null,null,"HAN05902","全身麻醉下呼吸功能监测","k50"]
["麻醉"]
[null,null,null,"HAA42901","/全身麻醉","k100"]
["手术"]
[null,null,null,"HGP73601","经支撑喉镜激光辅助声带肿物切除术","a45"]
["病理及其它"]
[null,null,null,"BCAA0001","活检病理诊断","c87"]
["药物"]
[{"$nulls":4},"抗菌药物",null,"生理盐水"]
[{"$nulls":4},"激素"]
["选择项目\n（可以根据患者病情或个体差异选择性做的医疗服务）"]
["术前",null,null,"术中",null,null,"术后"]
["医疗服务项目编码","医疗服务\n项目名称","技术难度","医疗服务\n项目编码","医疗服务\n项目名称","技术难度","医疗服务\n项目编码","医疗服务\n项目名称","技术难度"]
["检查"]
["FGM01603","电子纤维喉镜检查","a27",null,null,null,"FGM01601","频闪喉镜检查","a32"]
["FGM01601","频闪喉镜检查","a32",null,null,null,"FGM01603","电子纤维喉镜检查","a27"]
["FGM01701","嗓音频谱检查","a32"]
["AADB0001","院内会诊","d80"]
["治疗"]
[{"$nulls":6},"ABJA0001","氧气吸入","d50"]
["监测"]
[{"$nulls":6},"KKA28701","院内遥测心电监护","b18"]
[{"$nulls":6},"FKA05705","/无创心电监测","b9"]
["药物"]
[null,"抗菌药物",{"$nulls":4},"激素"]
[{"$nulls":6},"漱口水"]