填表说明
安装ECMO者填写此病例报告表。所有患者均填写表1（基线病例报告表），按照患者类型选填表2（心外术后循环辅助附加信息登记表）、表3（呼吸附加信息登记表）、表4（ECPR附加信息登记表）、表5（儿科附加信息登记表）
病例报告表应用圆珠笔用力填写，保证复印件清晰。病例填写务必准确、清晰，不得随意涂改。
所有选择项目的□内用√标注。□为单选项，Δ为多选项。
项为上报ELSO数据，必填。其它栏目均应填写相应的文字或数字，不得留空。因故未查或漏查，请填写“ND”；具体用药剂量和时间不明，请填写“NK”；不适用请选“NA”。
表中“无/有”、“否/是”、“未评价/评价”类选项，选“无”、“否”“未评价”不需填写该项的具体内容，选“有”、“是”、“评价”则填写具体详情。
表1（基线病例报告表）详细填写说明
1.01.门诊号或住院号仅为各单位填写时使用，上报数据时可不填写。
1.02.患者姓名选择汉字或拼音缩写。患者姓名拼音缩写四格需填满，两字姓名填写两字拼音前两个字母；三字姓名填写三字首字母及第三字第二字母；四字姓名填写每一个字的首字母。举例：张红，Z|H|H|O；李淑明，L|S|M|I；欧阳小惠，O|Y|X|H。
BSA=[体重（kg）×身高（m）÷3600]1/2
体重指数（BMI）=体重（kg）÷身高（m）2
成功脱机定义为撤机后存活24小时
ECMO首次辅助时间(h)=ECMO撤机时间-ECMO开始时间
ECMO总辅助时间(h)=ECMO首次辅助时间+ECMO二次辅助时间
总机械通气时间(h)=拔除气管插管时间-气管插管时间
ECMO前机械通气时间(h)=ECMO开始时间-气管插管时间
住院时间(d)=出院时间-入院时间
ICU停留时间(d)=出ICU时间-入ICU时间
ECMO后住院时间(d)=出院时间-ECMO撤机时间
入院诊断:填写患者入院初步诊断，ICD10编码
EF为2D法检查结果。
VTI:心脏收缩期主动脉口速度时间积分kpa7.5=mmHg，例如:20kpa7.5=150mmg
1cmH2O=0.098kPa
PFR=PaO2/FiO2
Temp指直肠温，如无，填膀胱温、鼻咽温、皮肤温。
各项实验室检查缩写所代表的意义及正常值
ALT 丙氨酸氨基转移酶 IU/L 1~38 AST 天门冬氨酸氨基转移酶 IU/L 8~40 TBIL 总胆红素 mg/dl 0.2~1.2 DBIL 直接胆红素 mg/dl 0~0.4 CK 肌酸激酶 IU/L 40~200 CK-MB 肌酸激酶同工酶MB IU/L 0~20 LDH 乳酸脱氢酶 IU/L 85~250 BUN 尿素氮 mg/dl 8.0~20.0 Cr 肌酐 mg/dl 0.6~1.3 GLU 血糖 mg/dl 70~110 ALB 白蛋白 g/dl 3.5~5.5 CRP C反应蛋白 mg/L ＜10 PT 凝血酶原时间 s 10~14 PT-INR PT国际标准化比值 0.8~1.2 Fbg 血浆纤维蛋白原 mg/dl 200~400 注1：不同的实验室由于检测方法不同，所使用的单位或正常值可能会有所差异，如单位或正常值与本表中所列不同，请换算后填写。
注2：尿素氮（BUN）、肌酐（Cr）、总胆红素（TBIL）、直接胆红素（DBIL）、血糖（GLU）的单位均以mg/dl表示。各指标的单位换算方法：
ALT：1ukat/l=0.0167IU/L
BUN：1mmol/L=6mg/dl
Cr：1μmol/L=0.0113mg/dl
TBIL：1μmol/L=0.058mg/dl（DBIL换算关系相同）
GLU：1mmol/L=18mg/dl
6.表2（心脏术后--附加信息登记表）详细填报说明
SOFA评分，详见附件1、2
APACHEⅡ评分，详见附件3
SAVE评分，详见附件4
7.表3（呼吸--附加信息登记表）详细填报说明
呼吸机相关肺炎诊断标准：
插管上机48小时后发病
与机械通气前胸片相比较出现肺内浸润阴影或显示新的炎性病变
肺实变体征或(和)湿性罗音
同时具有下列条件之一：血WBC＞10000/mm3或＜4000/mm3，伴或不伴核左移；体温＞37.5℃；呼吸道有脓性分泌物或较前明显增多；起病后从支气管分泌物中分离到新的病原体。
2）气压伤：根据临床查体、胸片和/或胸部CT诊断，包括间质气肿，纵隔气肿，皮下气肿，肺大泡（最大直径＞2cm），气胸等。
RESP评分，详见附件5
表4（ECPR--附加信息登记表）详细填报说明
ECPR时间(min)=ECPR结束时间-ECPR开始时间
ECMO团队接到求助电话到启动ECMO时间(min)=ECMO团队接到求助电话到病人床旁开始施救的反应时间+开始安置ECMO到启动ECMO时间
ECPR评分,详见附件6
表5（儿科--附加信息登记表）详细填报说明
PRISMIII评分，详见附件7
PIPER评分，详见附件8
P-PREP评分，详见附件9
10.ELSO专用代码见后附件，上报ELSO时可以参考使用。
附件1Glasgow昏迷评分
A.睁眼动作
1.自动睁眼4分
2.言语呼唤后睁眼反应3分
3.痛刺激后睁眼反应2分
4.对疼痛刺激无睁眼反应1分 B.言语反应
1.有定向力5分
2.对话混乱4分
3.不适当的用语3分
4.不能理解语言2分
5.无言语反应1分 C.运动反应
1.能按吩咐作肢体活动6分
2.肢体对疼痛有局限反应5分
3.肢体有屈曲逃避反应4分
4.肢体异常屈曲3分
5.肢体伸直2分
6.肢体无反应1分 总分15分，最好15分，最坏3分
GCS应尽量谨慎（对于接受镇静药物或肌松剂的患者，除非有证据说明存在意识障碍，否则应假设患者有正常反应）
备注：将三类得分相加，即得到GCS评分（最低3分，最高15分）选评判时的最好反应计分运动评分左侧右侧可能不同，用较高的分数进行评分改良的GCS评分应记录最好反应/最差反应和左侧/右侧运动评分三项指标的分数加起来得到的总分，就是所谓的「昏迷指数」，可以做为预后的参考。就头部外伤为例，一开始为3或4分的病患，统计起来有85%的机会会死亡或成为植物人；但若超过11分的病患，大概只有5~10%的机率会如此，而有85%的机会可以部份或全部恢复；其余介於中间分数的恢复机率就随著分数愈低而递减。根据分级可分为：轻型：总分为13~15分，伤后意识障碍20分钟以内。中型：总分为9~12分，伤后意识障碍20分钟~6小时。重型：总分为3~8分，伤后昏迷或再次昏迷6小时以上
SOFA评分（表26.01）
SequentialOrganFailureAssessment(SOFA评分) 系统 检测项目 0 1 2 3 4 得分 呼吸 PaO2/FiO2(Kpa) ＞53.33 40-53.33 26.67-40 13.33-26.67且 <13.33且 呼吸支持(是/否) 是 是 凝血 血小板(109/L) ＞150 101-150 51-100 21-50 <21 肝 胆红素(umol/L) <20 20-32 33-101 102-204 ＞204 循环 平均动脉压(mmHg) ≥70 <70 多巴胺剂量(ug/kg/min) ≤5或 ＞5或 ＞15或 肾上腺素剂量(ug/kg/min) ≤0.1或 ＞0.1或 去甲肾腺剂量(ug/kg/min) ≤0.1 ＞0.1 dobutamine(是/否) 是 神经 GCS评分 15 13～14 10～12 6～9 <6 肾脏 肌酐(umol/L) <110 110-170 171-299 300-440 ＞440 24小时尿量(ml/24h) 201-500 <200 备注:1.每日评估时应采取每日最差值;2.分数越高,预后越差
附件3APACHEII评分（表26.02）
生理学指标 高于正常范围低于正常范围 +4 +3 +2 +1 0 +1 +2 +3 +4 肛温（℃） ≥41 39-40.9 38.5-38.9 36-38.4 34-35.9 32-33.9 30-31.9 ≤29.9 MAP（mmHg） ≥180 130-159 110-129 70-109 50-69 ≤39 心室率 ≥180 140-179 110-139 70-109 50-69 40-54 ≤39 呼吸频率 ≥50 35-49 25-34 12-24 10-11 6-9 ＜5 氧
合 A-aDO2(FiO2≥0.5) ≥500 350-499 200-349 ＜200 PaO2(FiO2<0.5) ＞70 61-70 55-60 ＜54 pH ≥7.7 7.6-7.69 7.5-7.59 7.33-7.49 7.25-7.32 7.15-7.24 ＜7.15 Na（mmol/L） ≥180 160-179 155-159 150-154 130-149 120-129 111-119 ＜110 K（mmol/L） ≥7 6-6.9 5.5-5.9 3.5-5.4 3-3.4 2.5-2.9 ＜2.5 Cr（mg/L）
（急性肾衰时评分加倍）
≥3.5
2-3.4
1.5-1.9
0.6-1.4
＜0.6 HCT（%） ≥60 50-59.9 46-49.9 30-45.9 20-29.9 ＜20 WBC（×1000/mm3） ≥40 20-39.9 15-19.9 3-14.9 1-2.9 ＜1 15－GCS 急性生理学评分（APS）
上述12项指标评分之和 静脉血HCO3（mmol/L，
用于无血气结果时） ≥52 41-51.9 32-40.9 22-31.9 18-21.9 15-17.9 ＜15 注：（A-a）DO2仅用于FiO2≥0.5的气管内插管患者，其余情况只用PaO2
B．年龄评分：
年龄≤4445-5455-6465-74≥75
评分02356
C．慢性健康状况评分：
如果患者有严重的器官系统功能不全病史或免疫抑制，应如下评分：
①非手术或急诊手术后患者—5分；
②择期术后患者—2分。
定义：器官功能不全和免疫功能抑制状态必须在此次入院前即有明显表现，并符合下列标准：
肝脏：活检证实肝硬变，明确的门脉高压，既往由门脉高压造成的上消化道出血；或既往发生过肝脏功能衰竭/肝性脑病/昏迷。
心血管系统：纽约心脏协会心功能第四级。
呼吸系统：慢性限制性、阻塞性或血管性疾病导致的严重活动受限，如不能上楼或从事家务劳动；或明确的慢性缺氧、高碳酸血症、继发性红细胞增多症、严重肺动脉高压（＞40mmHg），或呼吸机依赖。
肾脏：接受长期透析治疗。
免疫功能抑制：患者接受的治疗能抑制对感染的耐受性，如免疫抑制治疗、化疗、放疗、长期或最近大剂量类固醇治疗，或患有足以抑制对感染耐受性的疾病，如白血病、淋巴瘤、AIDS。
总APACHEⅡ评分=A+B+C A=APS评分B=年龄评分C=慢性健康状况评分
附件4SAVE评分（表26.03）（www.save-score.com）
参数 分值 诊断急性心源性休克患者（选一项或多项） 心肌炎 3 难治性室速或室颤 2 心脏移植或肺移植术后 3 先天性心脏病 -3 其它 0 年龄(岁) 18–38 7 39–52 4 53–62 3 ≥63 0 体重(公斤) ≤65 1 65–89 2 ≥90 0 ECMO前急性器官衰竭 肝衰竭a -3 中枢神经系统功能障碍b -3 肾衰竭c -3 慢性肾衰竭d -6 ECMO前气管插管时间(h) ≤10 0 11–29 -2 ≥30 -4 PIP≤20cmH2O 3 Pre-ECMO心脏骤停 -2 ECMO前收缩压≥40mmHge 3 ECMO前脉压差≤20mmHge -2 ECMO前HCO3≤15mmol/L -3 ConstantvaluetoaddtoallcalculationsofSAVE-score -6 总分 -35~17
SAVE总分 风险分级 住院生存率(%) >5 I 75 1–5 II 58 -4to0 III 42 -9to-5 IV 30 ≤-10 V 18
a.肝衰竭定义：胆红素≥33mmol/L或血清转氨酶升高(ALT或AST)>70UI/L。
b.中枢神经系统功能障：合并神经创伤、中风、脑病、脑栓塞以及癫痫发作和症状。
c.肾衰竭：急性肾功能不全（例如，肌酐>1.5mg/dL），伴或不伴有透析。.
d.慢性肾衰竭：肾损伤或持续超过3个月肾小球滤过率≤60mL/min/1.73m2。
e.ECMO插管前6小时最差值。
附件5RESP评分(表三5.03）（www.respscore.com）
参数 分数 年龄（岁） 18to49 0 50to59 -2 >60 -3 免疫抑制状态 -2 ECMO前机械通气时间 <48h 3 48h~7d 1 >7d 0 诊断急性呼吸系统疾病患者（选一项） 病毒性肺炎 3 细菌性肺炎 3 哮喘 11 创伤和烧伤 3 吸入性肺炎 4 其他急性呼吸系统疾病 1 非呼吸和慢性呼吸道疾病 0 中枢神经系统功能衰竭? -7 急性非肺炎相关感染? -3 ECMO之前使用神经肌肉阻断剂 1 ECMO之前使用氧化氮 -1 ECMO之前使用碳酸氢盐 -2 ECMO前心脏骤停 -2 PaCO2,mmHg <75 0 ≥75 -1 PIP,cmH2O <42 0 ≥42 -1 总分 -22~15
SAVE总分 风险分级 住院生存率(%) ≥6 I 92% 3~5 II 76% -1~2 III 57% -5~-2 IV 33% ≤-6 V 18%
免疫抑制状态：血液恶性肿瘤、固体肿瘤、固体器官移植、人类免疫缺陷病毒和肝硬化。
?中枢神经系统功能衰竭：合并神经创伤、中风、脑病、脑栓塞以及癫痫发作和症状。
?急性非肺炎相关性感染：不涉及肺部的细菌、病毒、寄生虫或真菌感染。
附件6.ECPR评分（表47.01）
参数 分数 PRE-ECPR因素 年龄≤66岁 2 无脉性电活动 3 室颤或无脉性室速 4 糖尿病 0 心搏停止 0 缺血性心肌病 0 首次监测到骤停节律 0 Intra-ECPR因素 CPR到ECMO运转时间≤38min 3 ECMO起始脉压差>24mmHg 2 Post-ECPR因素 ECMO起始平均动脉压MAP>57mmHg 0 ECMO起始SOFA评分≤14 4
CutoffECPRscore>10
附件7.PRISMIII评分（表55.01）
检查项目测定值分值收缩压（mmHg）40-55 3 ＜40心率（次/分）215-225 3 ＞225体温（℃）＜33或＞40瞳孔反射一侧消失双侧消失神志状态GCS＜8CO2总含量＞34PH值＜7.07.0-7.28或7.48-7.55＞7.55PaO2（mmol/L)42.0-49.9 3 ＜42PCO2（mmol/L)50.0-75.0 1 ＞75血糖（mmol/L）＞11.0Cr（umol/L)＞75BUN（mmol/L）＞4.3白细胞计数（细胞数/mm3）＜3000部分凝血活酶时间（PTT）s＞85血小板计数（细胞数/mm3） 100000-200000 50000-99999 4 ＜50000 其他因素 非手术性心血管疾病、染色体异常、癌症、既往ICU住院、入ICU前心肺复苏、手术后、急性糖尿病、从其他病房转入（除外术后患者) 评分＞20分为极危重组，11-20分为危重组，＜10分为非危重组
附件8PIPER评分（新生儿呼吸衰竭）（表55.02）
（http://www.elso.org/Resources/PIPERScore.aspx）
参数 分数 ECMO前6小时 MAP<49mmHg 6 pO2<34mmHg 7 无iNO 8 pH<7.25 8 Apgar5分钟<7 8 出生体重<3kg 10 年龄>10天 15 先心病 15 总分
PIPER+评分
参数 分数 ECMO运转时间 0.06/h 任何神经系统并发症 24 任何肺部并发症 13 任何肾并发症 12 任何出血并发症 10 任何代谢并发症 6 总分
附件9P-PREP（表55.03）（https://www.picuscientist.org/pprep.）
参数 分数 VAECMOa 0 VVECMO –4 机械通气时间≤14d 0 机械通气时间>14d 5 Pao2/Fio2 >300mmHg 0 201–300 4 101–200 5 ≤100 7 pH <7.11 1 7.11–7.34 0 >7.34 -1 诊断肺原发性 哮喘 Aspiration -5 呼吸道合胞病毒 症导致b 3 百日咳 Pre-ECMO心跳骤停 3 癌症 6 急性肾衰 8 急性肝坏死 18 总分 –13~53 a无论ECMO采用何种模式，只要采用动脉插管就选.
b采用Berlin定义，患者无额外的肺部感染
ELSO所用代码（上报ELSO时可以参考使用）
附件1支持治疗代码（SupportCodes）
SupportCode Description 101 Vasopressor/inotropicdrugs 血管加压药/正性肌力药物 102 Vasodilatordrugs 血管扩张药 103 Intra-aorticballoon 主动脉内气囊 104 Cardiacpacemaker 心脏起搏器 105 Abdominalcompression 腹部加压 201 Cardiopulmonarybypass 体外循环 202 LVAD 左心室辅助装置 203 RVAD 右心室辅助装置 204 BIVAD 双心室辅助装置 205 BerlinHeart 柏林心脏辅助装置 206 AVCO2R 动静脉二氧化碳清除 207 ECMO 体外膜氧合 301 Highfrequencyventilation/oscillation 高频通气/高频振荡通气 302 Nitricoxide 一氧化氮 303 Surfactant 表面活性物质 304 Liquidventilation 液体通气 305 Hyperventilation 过度通气 306 Hypothermia 低体温 307 Inhaledanesthetic 吸入麻醉药 401 Narcotics 麻醉药 402 Neuromuscularblockers 神经肌肉阻滞剂 403 Bicarbonate 碳酸氢钠 404 THAM 氨基丁三醇 501 Plasmapheresis 血浆置换 502 CVVH 持续血液滤过 601 Dopamine 多巴胺 602 Dobutamine 多巴酚丁胺 603 Epinephrine 肾上腺素 604 Norepinephrine 去甲肾上腺素 605 Nitroprusside 硝普盐 606 Inamrinone 氨力农 607 Tolazoline 妥拉苏林 608 Milrinone 米力农 609 Epoprostenol 依前列醇 610 Sildenafil 西地那非 612 Alprostadil 前列地尔 613 Steroids 类固醇
附件2常用心胸手术代码（CommonCPTCodes）
CPTCode Description 31600 Tracheotomy 气管切开 31622 Bronchoscopy,diagnostic 支气管镜，诊断性 31645 Bronchoscopy,therapeutic 支气管镜，治疗性 32000 Thoracentesis 胸腔穿刺术 32020 Tubethoracostomy 管状胸廓造口术 32095 Lungbiopsy 32100 Thoracotomy 胸廓切开术 32440 Pneumonectomy 肺切除术 32480 Lobectomy 叶切除术 32601 Thoracoscopy 胸腔镜检查 32851 Lungtransplant,single 32853 Lungtransplant,double 肺移植，双肺 33010 Pericardiocentesis 心包穿刺术 33210 Temporarypacemaker 临时起搏器 33400 Aorticvalvuloplasty 主动脉瓣瓣膜成形术 33411 Aorticvalvereplacement 主动脉瓣33412 Aorticvalvereplacement(Konno) 主动脉瓣 33413 Mitralvalvuloplasty(Ross) 二尖瓣成形术33430 Mitralvalvereplacement 二尖瓣置换术 33475 Pulmonaryvalvereplacement 33510 Coronaryarterybypass,veingraft 冠状动脉手术，移植静脉 33517 Coronaryarterybypass,artery-veingraft 冠状动脉手术，动脉静脉移植 33533 Coronaryarterybypass,arterygraft 冠状动脉手术，移植33606 Damus-Kaye-Stanzelanastomosis Damus-Kaye-Stanzel吻合 33610 EnlargementofVSDoroutletforamen VSD或出口的扩大孔 33615 SimpleFontan 33617 FenestratedFontan 带窗的丰唐手术 33619 StageINorwood 诺伍德阶段I 33641 ASDrepair 房间隔缺损修补术 33670 AVcanalrepair 房室通道手术 33681 VSDrepair 室间隔缺损修补术 33690 Pulmonaryarterybanding 肺动脉环束术 33697 Tetralogyrepair 33730 Anomalousvenousreturnrepair 静脉回流异常修复 33735 Blalock-Hanlonseptectomy 33750 Blalock-Taussig,classic 经典布-陶二氏手术 33751 Blalock-Taussig,modified 修饰后布-陶二氏手术 33755 Waterstonshunt 沃特斯顿分流 33762 Pottsshunt 波茨分流 33764 Centralshunt 33766 ClassicalGlennshunt 古典格林分流术 33767 BidirectionalGlennshunt 双向格林分流术 33774 Arterialswitch(MustardorSenning) 大动脉调转（芥末或森宁） 33786 Rastellirepair 拉斯泰利修复 33820 PDARepair 33860 Ascendingaorticaneurysmrepair 升主动脉瘤33875 Descendingthoracicaneurysmrepair 降主动脉瘤修补术 33877 Thoraco-abdominalaneurysmrepair 胸腹动脉瘤修补术 33935 Heart-lungtransplant 心肺移植术 33945 Hearttransplant 心脏移植术 33970 Intra-aorticballoonassist 主动脉内球囊33975 Ventricularassistdevice 心室辅助装置 33999 Unlistedcardiacprocedure 未列出的心脏手术 35081 Aorticaneurysmrepair 动脉瘤修补术 35082 Ruptureaorticaneurysmrepair 主动脉瘤破裂35800 Neckexplorationforhemorrhage 领勘探出血36488 Centralvenousline 中心静脉线 36660 UACcannulation UAC的插管38100 Splenectomy 脾切除术 38240 Bonemarrowtransplant,allogenic 38241 Bonemarrowtransplant,autologous 自体骨髓移植 39503 CDHrepair CDH修补 43305 TEfistularepair 特瘘修补43831 Gastrostomy,neonatal 新生儿胃造瘘术 47100 Liverbiopsy 肝脏活检 47135 Livertransplant 肝脏移植 49000 Exploratorylaparotomy 剖腹探查 49600 Omphalocoelerepair 脐疝气修补术 49605 Gastroschisisrepair 腹裂修补 90935 Hemodialysis 血液透析 90945 CVVH/D CVVH/D 92982 PTCA 经皮腔内冠状动脉成形术 92992 Balloonseptostomy ELSORegistryFormInfectionOrganisms
OrganismID?? Description?? 30 Acinetobactersp. 不动杆菌属 49 Adenovirus 腺病毒 50 Aspergillusfumigatus 烟曲霉 51 Aspergillussp. 曲霉属 79 Bacilliscereus 枯草芽孢杆菌 80 Bacillissp. 芽孢杆菌属 52 Bacteroidessp. 杆菌属 54 Bordatellapertussis 百日咳杆菌 21 Candidaalbicans 白色念珠菌 81 Candidakrusei 克鲁斯假丝酵母 53 Candidaparapsilosis 近平滑念珠菌 99 Candidasp. 假丝酵母属 82 Candidatropicalis 热带念珠菌 84 Chlamydiasp. 衣原体菌属 83 Chlamydiatrachomatis 沙眼衣原体 55 Citrobacterfreundii 弗氏柠檬酸杆菌 85 Citrobactersp. 柠檬酸细菌属 48 Clostridiumdifficile 艰难梭菌 102 Clostridiumperfringes 产气荚膜芽孢梭菌素 86 Corynebacteriumjejunum 棒状杆菌空肠 42 Cytomegalovirus 巨细胞病毒 56 Diptheroides 58 Enterobactercloacae 阴沟肠杆菌 59 Enterobactersp. 肠杆菌属 16 Enterococcus 肠球菌 74 Enterovirus 肠病毒 108 EnterovirusD68 肠病毒D68 47 Epstein-Barrvirus(EBV) EB病毒（EBV） 13 Escherichacoli 大肠杆菌 87 Flavobacteriumsp. 黄杆菌属 19 Gramnegative,other 革兰阴性菌，其他 9 Grampositive,other 革兰阳性菌，其他 34 Hantavirus 汉坦病毒 11 Hemophilusinfluenza 嗜血流感 91 Hemophilusparainfluenzae 副流感嗜血杆菌 88 HepatitisA 甲型肝炎 89 HepatitisB 乙型肝炎 90 HepatitisC 丙型肝炎 44 Herpesgenitalis 生殖器疱疹 43 Herpessimplexvirus(HSV) 单纯疱疹病毒（HSV） 101 Herpeszoster(varicella-zoster) 带状疱疹（水痘带状疱疹） 107 HIV 艾滋 63 InfluenzaA 甲型流感 64 InfluenzaB 乙型流感 92 Klebsiellaoxytocia 克雷伯氏菌快速分娩 14 Klebsiellapneumoniae 肺炎克雷伯氏菌 71 Klebsiellasp. 克雷伯氏菌属 73 Lactobacillissp. 乳酸杆菌属 45 Legionellapneumophilia 嗜肺军团菌 46 Legionellasp. 军团菌属 93 Listeriamonocytogenes 李斯特菌 12 Meningococcus 脑膜炎双球菌 68 Moraxellacatarrhalis(Branhamella) 卡他莫拉菌（布兰汉） 25 Mycobacteriumtuberculosis 结核分枝杆菌 104 Mycoplasmapneumoniae 肺炎支原体 78 Neisseriagonorrhea 淋病奈瑟菌 77 Neisseriameningititis 脑膜炎奈瑟菌 217 Neisseriasp. (氏)菌属 94 Parainfluenza 副流感病毒 65 Pneumocystiscarinii 69 Proteusmirabilis 奇异变形杆菌 70 Proteussp. 变形菌属 15 Pseudomonasaerugenosa 铜绿假单胞菌 95 Pseudomonasfluorescens 荧光假单胞菌 66 Respiratorysyncytialvirus(RSV) 呼吸道合胞病毒（RSV） 218 Rhinovirus 鼻病毒 72 Rotavirus 轮状病毒 106 Salmonellasp. 沙门氏菌属 96 Serratialuginfaciens 粘质沙门氏菌luginfaciens 37 Serratiamarsescens 粘质沙门氏菌marsescens 38 Serratiasp. 沙门氏菌属 1 Staphylococcusaureus 金黄色葡萄球菌 35 Staphylococcusaureus,methresist 甲氧西林耐药的金黄色葡萄球菌 115 Staphylococcusaureus,methsens 甲氧西林敏感的金黄色葡萄球菌 40 Staphylococcusepidermidis 表皮葡萄球菌 97 Staphylococcushominis 溶血性葡萄球菌 98 Staphylococcusscuiri 槽葡萄球菌 32 Staphylococcus,coagneg 凝固酶阴性葡萄球菌 39 Stenotrophomonasmaltophilia(Xanthomonas) 黄(单包)杆菌属 33 Streptococcusfaecalis 粪链球菌 36 Streptococcuspneumoniae 肺炎链球菌 67 Streptococcusviridans 草绿色链球菌 2 Streptococcus,alphahemolytic α溶血的链球菌 31 Streptococcus,betahemolytic β溶血的链球菌 60 Streptococcus,groupA A组链球菌 61 Streptococcus,groupB B组链球菌 62 Streptococcus,groupD D组链球菌 76 Torolopsisglabrata 光滑隐球菌 103 Toxoplasmagondii 鼠弓形体 105 Ureaplasmaurealyticum 解脲支原体 41 Yeastsp. 醇母菌
附件4ELSORegistryFormCannulaList
CannulaID?? Description?? ModelNumber?? Size Length 102 Argyle10Fr ? 10 ? 103 Argyle12Fr ? 12 ? 104 Argyle14Fr ? 14 ? 111 Argyle16Fr ? 16 ? 113 Argyle18Fr ? 18 ? 105 Argyle20Fr 70523 20 ? 106 Argyle24Fr 70531 24 ? 107 Argyle28Fr 70549 28 ? 108 Argyle32Fr 70556 32 ? 112 Argyle32Fr ? 18 ? 109 Argyle36Fr 70564 36 ? 110 Argyle40Fr 70572 40 ? 101 Argyle8Fr ? 8 ? 121 Argyle8FrUAC ? 8 ? 1013 Arterial FA-119 19 ? 1042 Arterial FA-223 23 ? 1043 Arterial A242-55B 17 55.00 1044 Arterial A242-75B 23 75.00 1045 Arterial A252-45B 14 45.00 1010 Arterial14Fr A252-45B 14 45.00 1008 Arterial17Fr A242-55B 17 55.00 1003 Arterial19Fr FA-119 19 ? 1005 Arterial21Fr FA-121 21 ? 1009 Arterial23Fr A242-75B 23 75.00 1007 Arterial23Fr FA-223 23 ? 977 ArterialECMOCannula 982 10 ? 978 ArterialECMOCannula 982 12 ? 1048 ArterialECMOCannula 982 8 ? 975 ArterialECMOCannula10Fr ? 10 ? 976 ArterialECMOCannula12Fr ? 12 ? 979 ArterialECMOCannula14Fr ? 14 ? 980 ArterialECMOCannula16Fr ? 16 ? 974 ArterialECMOCannula8Fr ? 8 ? 1014 ArterialSideholes FA-219 19 ? 1046 ArterialSideholes FA-221 21 ? 1004 ArterialSideholes19Fr FA-219 19 ? 1006 ArterialSideholes21Fr FA-221 21 ? 425 AvalonEliteBiCaval13FrDL 10013 13 ? 426 AvalonEliteBiCaval16FrDL 10016 16 ? 427 AvalonEliteBiCaval19FrDL 10019 19 ? 428 AvalonEliteBiCaval20FrDL 10020 20 ? 429 AvalonEliteBiCaval23FrDL 10023 27 ? 430 AvalonEliteBiCaval27FrDL 10027 23 ? 431 AvalonEliteBiCaval31FrDL 10031 31 ? 440 AvalonEliteMulti-PortVenousFemoral20Fr 11020 20 ? 441 AvalonEliteMulti-PortVenousFemoral22Fr 11022 22 ? 442 AvalonEliteMulti-PortVenousFemoral24Fr 11024 24 ? 443 AvalonEliteMulti-PortVenousFemoral26Fr 11026 26 ? 444 AvalonEliteMulti-PortVenousFemoral28Fr 11028 28 ? 201 Bard10Fr ? 10 ? 211 Bard12Fr17.5cm ? 12 18.00 210 Bard14Fr17.5cm ? 14 ? 202 Bard16Fr17.5cm 7031 16 18.00 203 Bard18Fr17.5cm 7302 18 18.00 204 Bard20Fr17.5cm 7303 20 18.00 205 Bard22Fr40cm 7206 22 40.00 209 Bard24Fr40cm 7207 24 ? 206 Bard26Fr40cm 7208 26 40.00 207 Bard28Fr40cm 7209 28 40.00 208 Bard30Fr40cm 7210 30 40.00 752 Baxter8FrUAC ? 8 ? 302 Biomedicus10Fr19cm 96820-010 10 19.00 303 Biomedicus12Fr19cm 96820-012 12 19.00 304 Biomedicus14Fr19cm 96820-014 14 19.00 311 Biomedicus15Fr18cm 96530-015 15 18.00 321 Biomedicus15Fr50cm 96600-015 15 50.00 312 Biomedicus17Fr18cm 96530-017 17 18.00 322 Biomedicus17Fr50cm 96600-017 17 50.00 313 Biomedicus19Fr18cm 96530-019 19 18.00 323 Biomedicus19Fr50cm 96600-019 19 50.00 314 Biomedicus21Fr18cm 96530-021 21 18.00 344 Biomedicus21Fr50cm 96600-021 21 50.00 315 Biomedicus23Fr18cm 96540-023 23 18.00 316 Biomedicus23Fr25cm ? 23 25.00 331 Biomedicus23Fr50cm 96370-023 23 50.00 332 Biomedicus25Fr50cm 96370-025 25 50.00 333 Biomedicus27Fr50cm 96370-027 27 50.00 334 Biomedicus29Fr50cm 96370-029 29 50.00 301 Biomedicus8Fr19cm 96820-008 8 19.00 1000 BiomedicusMulti-StageFemoralVenous19Fr 96880-019 19 60.00 1001 BiomedicusMulti-StageFemoralVenous21Fr 96880-021 21 60.00 1002 BiomedicusMulti-StageFemoralVenous25Fr 96880-025 25 60.00 702 Cook14Fr ? 14 ? 701 Cook8Fr ? 8 ? 152 DLP10Fr 77010 10 ? 153 DLP12Fr 77012 12 ? 154 DLP14Fr 77014 14 ? 156 DLP15Fr ? 15 ? 155 DLP16Fr 77016 16 ? 157 DLP17Fr ? 17 ? 158 DLP18Fr ? 18 ? 159 DLP19Fr ? 19 ? 164 DLP20Fr ? 20 ? 160 DLP21Fr ? 21 ? 161 DLP24Fr ? 24 ? 162 DLP25Fr ? 25 ? 163 DLP28Fr ? 28 ? 150 DLP6Fr 77006 6 ? 151 DLP8Fr 77008 8 ? 1012 DualLumenECMOCannula 981 12 ? 1047 DualLumenECMOCannula 981 15 ? 981 DualLumenECMOCannula12Fr ? 12 ? 982 DualLumenECMOCannula15Fr ? 15 ? 602 Elecath10Fr ? 10 ? 603 Elecath12Fr ? 12 ? 604 Elecath14Fr ? 14 ? 605 Elecath16Fr ? 16 ? 601 Elecath8Fr ? 8 ? 1011 EOPA 77418 18 30.50 996 EOPA18Fr 77418 18 30.50 997 EOPA20Fr 77420 20 30.50 998 EOPA22Fr 77422 22 30.50 999 EOPA24Fr 77424 24 30.50 1016 Fem-FlexII FEMII-08 8 19.70 1026 Fem-FlexII FEMII-10 10 19.70 1027 Fem-FlexII FEMII-12 12 19.70 1028 Fem-FlexII FEMII-14 14 19.70 1029 Fem-FlexII FEMII-16 16 24.00 1030 Fem-FlexII FEMII-18 18 24.00 1031 Fem-FlexII FEMII-20 20 24.00 1032 Fem-FlexII FEMII-008 8 11.50 1033 Fem-FlexII FEMII-010 10 11.50 1034 Fem-FlexII FEMII-012 12 11.50 1035 Fem-FlexII FEMII-014 14 11.50 1036 Fem-FlexII FEMII-016 16 24.00 1037 Fem-FlexII FEMII-018 18 24.00 1038 Fem-FlexII FEMII-020 20 24.00 983 FemoralCannulaArterial16Fr MEFKA16 16 17.00 984 FemoralCannulaArterial18Fr MEFKA18 ? 17.00 985 FemoralCannulaArterial20Fr MEFKA20 ? 17.00 986 FemoralCannulaArterial22Fr MEFKA22 ? 17.00 987 FemoralCannulaArterial24Fr MEFKA24 ? 17.00 988 FemoralCannulaArterial26Fr MEFKA26 ? 17.00 989 FemoralCannulaVenous18 MEFKV18 ? 59.00 990 FemoralCannulaVenous20 MEFKV20 ? 59.00 991 FemoralCannulaVenous22 MEFKV22 ? 59.00 992 FemoralCannulaVenous24 MEFKV24 ? 59.00 993 FemoralCannulaVenous26 MEFKV26 ? 59.00 994 FemoralCannulaVenous28 MEFKV28 ? 59.00 1019 FemTrak FTV20 20 55.00 1025 FemTrak FTV24 24 68.00 852 Gesco12Fr ? 12 ? 853 Gesco14Fr ? 14 ? 854 Gesco8Fr ? 8 ? 851 Gesco9.6Fr ? 10 ? 936 HLSCannulaeArterial13Fr PAS1315 ? 15.00 947 HLSCannulaeArterial13Fr BEPAS1315 ? 15.00 948 HLSCannulaeArterial15Fr BEPAS1515 ? 15.00 942 HLSCannulaeArterial15Fr PAL1523 ? 23.00 937 HLSCannulaeArterial15Fr PAS1515 ? 15.00 953 HLSCannulaeArterial15Fr BEPAL1523 ? 23.00 954 HLSCannulaeArterial17Fr BEPAL1723 ? 23.00 938 HLSCannulaeArterial17Fr PAS1717 ? 15.00 943 HLSCannulaeArterial17Fr PAL1723 ? 23.00 949 HLSCannulaeArterial17Fr BEPAS1717 ? 15.00 950 HLSCannulaeArterial19Fr BEPAS1915 ? 15.00 939 HLSCannulaeArterial19Fr PAS1915 ? 15.00 944 HLSCannulaeArterial19Fr PAL1923 ? 23.00 955 HLSCannulaeArterial19Fr BEPAL1923 ? 23.00 956 HLSCannulaeArterial21Fr BEPAL2123 ? 23.00 945 HLSCannulaeArterial21Fr PAL2123 ? 23.00 951 HLSCannulaeArterial21Fr BEPAS2115 ? 15.00 940 HLSCannulaeArterial21Fr PAS2115 ? 15.00 941 HLSCannulaeArterial23Fr PAS2315 ? 23.00 952 HLSCannulaeArterial23Fr BEPAS2315 ? 23.00 946 HLSCannulaeArterial23Fr PAL2323 ? 23.00 957 HLSCannulaeArterial23Fr BEPAL2323 ? 23.00 958 HLSCannulaeVenous19Fr PVS1938 19 38.00 966 HLSCannulaeVenous19Fr BEPVS1938 19 38.00 967 HLSCannulaeVenous21Fr BEPVS2138 21 38.00 962 HLSCannulaeVenous21Fr PVS2155 21 55.00 959 HLSCannulaeVenous21Fr PVS2138 21 38.00 970 HLSCannulaeVenous21Fr BEPVS2155 21 55.00 971 HLSCannulaeVenous23Fr BEPVS2355 23 55.00 960 HLSCannulaeVenous23Fr PVS2338 23 38.00 963 HLSCannulaeVenous23Fr PVS2355 23 55.00 968 HLSCannulaeVenous23Fr BEPVS2338 23 38.00 969 HLSCannulaeVenous25Fr BEPVS2538 25 38.00 964 HLSCannulaeVenous25Fr PVS2555 25 55.00 961 HLSCannulaeVenous25Fr PVS2538 25 38.00 972 HLSCannulaeVenous25Fr BEPVS2555 25 55.00 973 HLSCannulaeVenous29Fr BEPVS2955 29 55.00 965 HLSCannulaeVenous29Fr PVS2955 29 55.00 502 Jostra10Fr ? 10 ? 503 Jostra12Fr ? 12 ? 504 Jostra12FrDL ? 12 ? 506 Jostra14Fr ? 14 ? 505 Jostra15FrDL ? 15 ? 501 Jostra8Fr ? 8 ? 802 Kendall10Fr ? 10 ? 803 Kendall12Fr ? 12 ? 805 Kendall14Fr ? 14 ? 804 Kendall14FrDL ? 14 ? 801 Kendall8Fr ? 8 ? 753 Klein-Baker8FrUAC ? 8 ? 732 Kurare10Fr ? 10 ? 733 Kurare12Fr ? 12 ? 731 Kurare8Fr ? 8 ? 821 Medwest14FrDL ? 14 ? 1015 OptiSite Opti16 16 15.00 1039 OptiSite Opti18 18 15.00 1040 OptiSite Opti20 20 15.00 1041 OptiSite Opti22 22 15.00 551 Origen12FrDL VV12F 12 9.00 903 Origen13FrDLreinforced VV13F 13 9.00 552 Origen15FrDLnon-reinforcedstillavailable VV15F 15 10.00 904 Origen16FrDLreinforced VV16F 16 10.00 553 Origen18FrDL VV18F 18 15.00 905 Origen19FrDLreinforced VV19F 19 15.00 906 Origen23FrDLreinforced VV23F 23 20.00 907 Origen28FrDLreinforced VV28F 28 25.00 908 Origen32FrDLreinforced VV32F 32 30.00 901 Other ? ? ? 751 Pharmaseal8FrUAC ? 8 ? 651 Polystan12Fr ? 12 ? 652 Polystan14Fr ? 14 ? 653 Polystan16Fr ? 16 ? 654 Polystan18Fr ? 18 ? 655 Polystan21Fr ? 21 ? 656 Polystan24Fr ? 24 ? 657 Polystan32Fr ? 32 ? 1024 Quickdraw QD-25 25 65.00 1018 Quickdraw QD-22 22 65.00 406 ResearchMedical10Fr11.5cm FEMII-010-V 10 12.00 402 ResearchMedical10Fr6.5cm FEMII-010-A 10 7.00 407 ResearchMedical12Fr11.5cm FEMII-012-V 12 12.00 403 ResearchMedical12Fr6.5cm FEMII-012-A 12 7.00 408 ResearchMedical14Fr11.5cm FEMII-014-V 14 12.00 404 ResearchMedical14Fr6.5cm FEMII-014-A 14 7.00 409 ResearchMedical16Fr15cm FEMII-016-A 16 15.00 410 ResearchMedical18Fr15cm FEMII-018-A 18 15.00 415 ResearchMedical18Fr52cm FEMII-018-V 18 52.00 411 ResearchMedical20Fr15cm FEMII-020-A 20 15.00 412 ResearchMedical20Fr25cm TF-A-020-25 20 25.00 416 ResearchMedical20Fr52cm FEMII-020-V 20 52.00 413 ResearchMedical22Fr25cm TF-A-022-25 22 25.00 414 ResearchMedical24Fr25cm TF-A-024-25 24 25.00 417 ResearchMedical24Fr52cm FEMII-024-V 24 52.00 418 ResearchMedical28Fr52cm FEMII-028-V 28 52.00 405 ResearchMedical8Fr11.5cm FEMII-008-V 8 12.00 401 ResearchMedical8Fr6.5cm FEMII-008-A 8 7.00 1017 VFEM VFE-18 18 55.00 1020 VFEM VFE-20 20 55.00 1021 VFEM VFE-22 22 55.00 1022 VFEM VFE-24 24 68.00 1023 VFEM VFE-28 28 68.00
附件5ELSORegistryFormMembraneLungList
LungID?? Description?? ModelNumber?? Size 923 AdultPTS ? ? 932 AMG-PMP ? ? 111 Avecor0400-2A 0400-2A 0.4 101 Avecor0600 0600 0.6 102 Avecor0800 0800 0.8 112 Avecor0800-2A 0800-2A 0.8 103 Avecor1500 1500 1.5 113 Avecor1500-2A 1500-2A 1.5 120 AvecorAffinity Affinity 2.5 114 AvecorI-2500-2A I-2500-2A 2.5 115 AvecorI-3500-2A I-3500-2A 3.5 116 AvecorI-4500-2A I-4500-2A 4.5 121 AvecorUltroxI UltroxI 3.5 122 AvecorUltroxII UltroxII 2.5 123 AvecorUltroxIII UltroxIII 2 902 Baxter ? ? 903 Bentley ? ? 216 CardioHelp ? ? 904 Dideco ? ? 922 ECC.O5 C20593 ? 929 ECMOADULT14days EU5019 ? 931 ECMONEWBORN14days EU5056 ? 930 ECMOPAEDIATRIC14days EU5045 ? 905 Electromedics ? ? 921 EOSECMO 050521 ? 906 GishBiomedical ? ? 933 HemolungCartridge 10000 ? 934 HemolungCartridgeintegratedpumphead ? ? 928 iLAActivveMembraneVentilator ? ? 204 JostraM16 M16 1.6 201 JostraM2 M2 0.2 205 JostraM30 M30 3 202 JostraM5 M5 0.5 203 JostraM8 M8 0.8 211 JostraQuadrox Quadrox ? 212 JostraQuadroxD ? ? 920 Lilliput2ECMOPhisiosterile 050511 ? 908 MaquetQAUDROXHLSPediatric(blue) ? ? 909 MaquetQUADROXHLS5.0(red) ? ? 910 MaquetQUADROXHLS7.0(red) ? ? 912 MaquetQUADROXHLSHIT5.0(red) ? ? 913 MaquetQUADROXHLSHIT7.0(red) ? ? 911 MaquetQUADROXHLSPediatricHIT(blue) ? ? 919 MaquetQUADROXPALP(green) ? ? 918 MaquetQUADROX-iNeonatal(white) ? ? 915 MaquetQUADROX-iDPLSAdult(blue) ? ? 917 MaquetQUADROX-iDPLSHITAdult(blue) ? ? 916 MaquetQUADROX-iDPLSHITPediatric(blue) ? ? 914 MaquetQUADROX-iDPLSPediatric(blue) ? ? 604 MedosHILITE1000 1000 ? 605 MedosHILITE2400LT 2400LT ? 606 MedosHILITE2800 2800 ? 601 MedosHILITE7000 7000 ? 602 MedosHILITE7000LT 7000LT ? 607 MedosHILITE800LT 800LT ? 603 MedosHILITE8000LT 8000LT ? 304 Medtronic0600 0600 0.6 305 Medtronic0800 0800 0.8 306 Medtronic1500 1500 1.5 310 MedtronicAffinity Affinity ? 307 MedtronicI-2500 I-2500 2.5 308 MedtronicI-3500 I-3500 3.5 309 MedtronicI-4500 I-4500 4.5 301 MedtronicMaximaPRF MAX-PRF 3.5 302 MedtronicMiniMax MiniMax 0.8 303 MedtronicMiniMaxPlus CB-3381 2.3 926 MiniLungMembraneVentilator ? ? 925 MiniLungpetiteMembraneVentilator ? ? 935 NiproBiocube6000 ? ? 901 Other ? ? 924 PediatricPTS ? ? 213 Quadrox-iAdult ? ? 214 Quadrox-iSmallAdult ? ? 215 Quadrox-iDPediatric ? ? 501 SciMed0400 0600 0.4 502 SciMed0600 0600 0.6 503 SciMed0800 0800 0.8 504 SciMed1500 1500 1.5 907 Seabrook ? ? 401 SenkoSilox Silox 0.8 927 XLungMembraneVentilator ? ?
附件6ELSORegistryFormPumpList
PumpID?? Description?? ModelNumber?? 201 AvecorAffinity 2000 301 BaxterCenturyRollerPump 043605000 102 BiomedicusBP-50Centrifugal BP-50 101 BiomedicusBP-80Centrifugal BP-80 401 CardioHelp ? 103 Cobe4"Roller ? 104 Cobe6"Roller ? 251 DrakeWillock ? 211 HospalRP06Roller ? 112 JostraHL-20Roller HL-20 120 JostraRotaflowCentrifugal ? 262 LevitronixCentriMagCentrifugal1/4 ? 261 LevitronixCentriMagCentrifugal3/8 ? 115 Meta-Plus ? 901 Other ? 237 Picker5"Roller ? 105 Polystan5"Roller 570030 106 Polystan7"Roller 570020 221 Rhone-Poulenc ? 110 Sarns8000Roller 8000 114 SarnsRoller ? 113 SarnsS10KRoller ? 111 Sarns/3MDelphinIICentrifugal 7850 241 SenkoMPS-15 MPS-15 234 ShileyCAPS ? 236 ShileyRoller ? 238 SorinRevolutionCentrifugal 050300000 235 SorinRoller ? 231 Sorin/Shiley ? 108 StockertRoller 10-10-00 109 StockertS3Roller S3 240 StockertS5Roller ? 232 Stockert-Shiley ? 233 Stockert-Sorin ?
附件7ELSORegistryFormHeatExchangers
HeatExchangerID?? Description?? ModelNumber?? 107 Avecor ? 101 AvecorBIOtherm BIOtherm 102 AvecorECMOtherm ECMOtherm 100 AvecorIntegrated ? 103 AvecorOmniTherm OmniTherm 406 Baxter ? 302 Bentley ? 407 DidecoD720 D720 303 Electromedics ? 104 GishHE-3 HE-3 105 GishHE-4 HE-4 108 GishNeonatal ? 203 JostraHEC40 HEC40 110 MedtronicBIOtherm BIOtherm 109 MedtronicECMOthermII ECMOthermII 901 Other ? 501 QuadroxIntegrated ? 405 SciMed ? 403 SciMedECMOtherm ? 404 SciMedOmniTherm ? 401 SciMedPedi ? 106 Seabrook ? 204 Senko ? 410 SenkoHHE0.4 ?
附件8ELSORegistryFormHemofilterList
HemoFilterID?? Description?? ModelNumber?? 201 AmiconDiafilter10 10 202 AmiconDiafilter20 20 203 AmiconDiafilter30 30 205 AmiconMinifilter Minifilter 206 AmiconMinifilter+ Minifilter+ 302 BaxterCA-150 ? 301 BaxterCA-50 CA-50 311 BaxterDiafilter20 Diafilter20 312 BaxterDiafilter30 Diafilter30 320 BaxterMinifilter Minifilter 351 Gambro ? 101 Hospal60 60/60S 107 MinnTechHF-1200 HF-1200 105 MinnTechHF-400 HF-400 106 MinnTechHF-700 HF-700 108 MinnTechMini+ Mini+ 901 Other ? 401 RenalFloHF250 HF-250 402 RenalFloHF400 HF-500 404 RenalFloHF700 HF-700 405 RenalFloII ?
附件9SecondaryCommonICD-10DiagnosesCodes
?
CommonDiagnoses ICD10 Description CardiogenicShock R57.0 ? CerebralHemorrhage I62.00-I22.9 Otherandunspecifiednontraumaticintracranialhemorrhagewww.icd10data.com/ICD10CM/Codes/I00-I99/I60-I69/I62- ? I62.9 Nontraumaticintracranialhemorrhage,unspecified ? I63.00-I63.9 www.icd10data.com/ICD10CM/Codes/I00-I99/I60-I69/I63- CerebralInfarct I63.9 Cerebralinfarction,unspecified KidneyFailure ? ? Acute N17.0-N17.9 www.icd10data.com/ICD10CM/Codes/N00-N99/N17-N19/N17- Chronic N18.1-18.9 http://www.icd10data.com/ICD10CM/Codes/N00-N99/N17-N19/N18- Unspecified N19 Unspecifiedkidneyfailure Posttraumatic T79.5 Posttraumatickidneyfailure LiverFailure K72.00-K72.91 Hepaticfailure,notelsewhereclassifiedhttp://www.icd10data.com/ICD10CM/Codes/K00-K95/K70-K77/K72- ? K72.00 Acuteandsubacutehepaticfailurewithoutcoma ? K72.11 Chronichepaticfailurewithcoma ? K72.90 Hepaticfailure,unspecifiedwithoutcoma PostCardiotomy T81.11XA Postproceduralcardiogenicshock,initialencounter Rhabdomyolysis M62.82 ? StatusEpilepticus G40.901 ?
附件10CommonRespiratoryICD-10DiagnosesCodes
RespiratoryCommonCodes
Neonate
CommonDiagnoses ICD10 Description BirthAsphyxia P84 Otherproblemswithnewborn(applicabletoasphyxia,anoxia,academia) CongenitalDiaphragmaticHernia Q79.0 Congenitaldiaphragmatichernia ? Q79.1 Othercongenitalmalformationsofdiaphragm CongenitalHypoplasiaoftheLung Q33.6 Congenitalhypoplasiaanddysplasiaoflung MeconiumAspirationSyndrome P24.01 Meconiumaspirationwithrespiratorysymptoms.ThereareotherneonatalaspirationsyndromespleaseseeP24formoredetailshttp://www.icd10data.com/ICD10CM/Codes/P00-P96/P19-P29/P24- PersistentPulmonaryHypertensionoftheNewborn P29.3 Persistentfetalcirculation ? Q28.8 Otherspecifiedcongenitalmalformationsofcirculatorysystem Pneumonia,Congenital P23-P23.9 Pneumoniaacquiredasafetusandpresentatbirthhttp://www.icd10data.com/ICD10CM/Codes/P00-P96/P19-P29/P23- Pneumonia,Acquiredafterbirth J13-J18.9 Pneumoniaacquiredafterbirth?http://www.icd10data.com/ICD10CM/Codes/J00-J99/J09-J18/J18- Pneumothorax J93.0 Spontaneoustensionpneumothorax PulmonaryHemorrhage P26.1 Massivepulmonaryhemorrhageoriginatingintheperinatalperiod ? P26.0 Tracheobronchialhemorrhageoriginatingintheperinatalperiod ? P26.8 OtherPulmonaryHemorrhageoriginatingintheperinatalperiod RespiratoryDistressSyndrome P22.0 Respiratorydistresssyndromeofnewborn RespiratoryFailureoftheNewborn P28.5 RespiratoryFailureoftheNewborn ? P28.81 RespiratoryArrestoftheNewborn Sepsis A40-A41.9 TherearemanycodesthatspecifyorganismsforsepsispleaseseeICD10tablehttp://www.elso.org/Registry/SupportDocuments/ICD10DiagnosisCodes.aspx?orhttp://www.icd10data.com/ICD10CM/Codes/A00-B99/A30-A49 TheseareexamplecodesmorespecificcodesmaybemoreappropriateforyoupatientpleaseseelookuptableonELSOwebsiteorathttp://www.icd10data.comformoreinformation ?
?
Pediatric
CommonDiagnoses ICD10 Description Acuterespiratorydistresssyndrome J80 ? Acuterespiratoryfailure J96.00 Acuterespiratoryfailure,unspecifiedwhetherwithhypoxiaorhypercapnia ? J96.01 Acuterespiratoryfailure,withhypoxia ? J96.02 Acuterespiratoryfailure,withhypercapnia Asthma J45.902 Statusasthmaticus Bronchopulmonarydysplasia P27.1 Bronchopulmonarydysplasiaoriginatingintheperinatalperiod Pneumonia,aspiration J69.0 Pneumonitisduetoinhalationoffoodandvomit Pneumonia,bacterial J15.0-J15.9 http://www.icd10data.com/ICD10CM/Codes/J00-J99/J09-J18/J15- ? J15.211 PneumoniaduetoMethicillinsusceptibleStaphylococcusaureus ? J15.212 PneumoniaduetoMethicillinresistantStaphylococcusaureus ? J15.9 Unspecifiedbacterialpneumonia Pneumonia,viral J12.0-J12.9 http://www.icd10data.com/ICD10CM/Codes/J00-J99/J09-J18/J12- ? J12.1 Respiratorysyncytialviruspneumonia ? J12.8 Otherviralpneumonia ? J12.9 Viralpneumonia,unspecified ? J10.1 Influenzaduetootheridentifiedinfluenzaviruswithotherrespiratorymanifestations Pneumonia,unspecifiedorganism J18.9 ? Spontaneoustensionpneumothorax J93.0 ? Sepsis R65.1-R65.2 http://www.icd10data.com/ICD10CM/Codes/R00-R99/R50-R69/R65- ? R65.11 SIRSofnon-infectiousoriginwithacuteorgandysfunction ? R65.21 Severesepsiswithsepticshock Primarypulmonaryhypertension I27.0 ? Pulmonaryinsufficiencyfollowingtraumaandsurgery J95.821 Acutepostproceduralrespiratoryfailure ?
?
Adult
http://www.icd10data.com/ICD10CM/Codes/R00-R99/R50-R69/R65-
CommonDiagnoses ICD10 Description AcuteandorChronicHeartFailure I50.1-150.9 http://www.icd10data.com/ICD10CM/Codes/I00-I99/I30-I52/I50- Acutesystolicheartfailure I50.21 ? Acuteonchronicsystolicheartfailure I50.23 ? Acuterespiratoryfailure J96.00 Acuterespiratoryfailure,unspecifiedwhetherwithhypoxiaorhypercapnia ? J96.01 Acuterespiratoryfailure,withhypoxia ? J96.02 Acuterespiratoryfailure,withhypercapnia Acuterespiratorydistresssyndrome J80 ? Asthma J45.902 StatusAsthmaticus Bronchiectasis J47.9 Withoutacuteexacerbation CysticFibrosis E84.0 ? Pneumonia,aspiration J69.0 Pneumonitisduetoinhalationoffoodandvomit Pneumonia,bacterial J15.0-J15.9 http://www.icd10data.com/ICD10CM/Codes/J00-J99/J09-J18/J15- ? J15.211 PneumoniaduetoMethicillin?susceptible?Staphylococcusaureus ? J15.212 PneumoniaduetoMethicillin?resistant?Staphylococcusaureus ? J15.9 Unspecifiedbacterialpneumonia Pneumonia,viral J12.0-J12.9 http://www.icd10data.com/ICD10CM/Codes/J00-J99/J09-J18/J12- ? J12.1 Respiratorysyncytialviruspneumonia ? J12.8 Otherviralpneumonia ? J12.9 Viralpneumonia,unspecified ? J10.1 Influenzaduetootheridentifiedinfluenzaviruswithotherrespiratorymanifestations Pneumonia,unspecifiedorganism J18.9 ? Pulmonaryembolus I26.02 ? PulmonaryFibrosis J84.10 ? Primarypulmonaryhypertension I27.0 ? ? R65.21 Severesepsiswithsepticshock Pulmonaryvesseldisease I28.9 Unspecified Respiratoryarrest R09.2 Cardiorespiratoryfailure Respiratorybronchiolitisinterstiallungdisease J84.115 ? ? R65.11 SIRSofnon-infectiousoriginwithacuteorgandysfunction ? R65.21 Severesepsiswithsepticshock
附件11CommonCardiacICD-10DiagnosesCodes
CardiacPediatric
CommonDiagnoses ICD10 Description Archobstruction Q25.1 Coarctationoftheaorta Q25.21 Interruptedaorticarch Arrhythmias I47.0-I47.9 http://www.icd10data.com/ICD10CM/Codes/I00-I99/I30-I52/I47- I47.2 Ventriculartachycardias Cardiacarrest I46.2 Cardiacarrestduetounderlyingcardiaccondition I46.8 Cardiacarrest,duetootherunderlyingcondition I46.9 Cardiacarrest,duetounspecifiedcondition Cardiomyopathies I42.0-142.9 http://www.icd10data.com/ICD10CM/Codes/I00-I99/I30-I52/I42- I42.8 OtherCardiomyopathies Commonarterialtrunk Q20.0 Truncusarteriosus Congenitalmalformationsofpulmonaryandtricuspidvalves Q22.0 Pulmonaryvalveatresiaandintactventricularseptum Q22.1 Congenitalpulmonaryvalvestenosis Q22.2 Congenitalpulmonaryvalveinsufficiency Q22.3 Othercongenitalmalformationsofthepulmonaryvalveinludingbicupidandquadricuspidvalves Q22.4 Congenitaltricuspidstenosis Q22.5 Ebstein''sanomaly Q22.6 Hypoplasticrightheartsyndrome;tricuspidatresia Q22.8 Othercongenitalmalformationsofthetricuspidvalve Q22.9 Congenitalmalformationsofthetricuspidvalve,unspecified Discordantventriculoarterialconnection Q20.3 D-transpositionofthegreatarteries,Aortafromrightventricleandpulmonaryarteryfromleftventricle. Q20.5 Correctedtranspositionofthegreatvessels,L-TGA Doubleinletleftventricle Q20.4 Singleventricle Doubleoutletrightventricle Q20.1 Originofbothgreatvesselsfromrightventricle.IncludesTaussig-Binganomaly Endocarditis I33.0 Acuteandsubacuteinfectiveendocarditis HeartFailure I50.1-150.9 http://www.icd10data.com/ICD10CM/Codes/I00-I99/I30-I52/I50- I50.41 Acutesystolic(congestive)anddiastolic(congestive)heartfailure I5.43 Acuteonchronicsystolic(congestive)anddiastolic(congestive)heartfailure I50.9 Heartfailure,unspecified Hypoplasticleftheartsyndrome Q23.4 HLHSincludingallcombinationsofmitralstenosis/atresiaandaorticstenosis/atresia SeptalDefects Q21.0-Q21.9 http://www.icd10data.com/ICD10CM/Codes/Q00-Q99/Q20-Q28/Q21- VentricularSeptalDefect Q21.0 Includesperimembranous,inlet,outlet(infundibular),centralmuscular,marginalmuscular,orapicalmusculardefect AtrialSeptalDefect Q21.1 IncludesPFO,secundumASD,coronarysinusASDandsinusvenosusASD.DoesnotincludeostiumprimumASD Atrioventricularseptaldefect Q21.2 IncludesallformofAVSDorendocardialcushiondefectsincludingprimumASD TetralogyofFallot Q21.3 IncludesTOF,TOFwithpulmonaryatresiaandTOFwithabsentpulmonaryvalve Totalanomalouspulmonaryvenousconnection Q26.2 Includescardiac,supracardiacandinfracardiacTAPVC Malformationofcoronaryvessels Q24.5 Includesanomalousoriginsofcoronaryarteries;coronaryarteryatresia;arteriovenousfistula;coronaryaneurysm;myocardialbridging;andothershttp://www.icd10data.com/ICD10CM/Codes/Q00-Q99/Q20-Q28/Q24-/Q24.5 Myocarditis I40.0-I40.9 http://www.icd10data.com/ICD10CM/Codes/I00-I99/I30-I52/I40- I40.0 Infectivemyocarditis(excludesrheumaticheartdisease)
CardiacPediatric
CommonDiagnoses ICD10 Description CommonDiagnoses ICD10 Description Cardiacarrest I46.2 Cardiacarrestduetounderlyingcardiaccondition I46.8 Cardiacarrest,duetootherunderlyingcondition I46.9 Cardiacarrest,duetounspecifiedcondition CardiogenicShock R57.0 Cardiomyopathies I25.7 Ischemiccardiomyopathy I42.0-142.9 http://www.icd10data.com/ICD10CM/Codes/I00-I99/I30-I52/I42- I42.9 Cardiomyopathies,unspecified ChronicIschemicHeartDisease I25.10-I25.9 STelevationandnonSTelevationmyocardialinfarction http://www.icd10data.com/ICD10CM/Codes/I00-I99/I20-I25/I25- I25.7 Ischemiccardiomyopathy I25.9 STelevation(STEMI)myocardialinfarctionofunspecifiedsite Endocarditis I33.0 Acuteandsubacuteinfectiveendocarditis I33.9 Acuteandsubacuteendocarditis,unspecified HeartFailure I50.1-150.9 Heartfailureincludingsystolic,diastolicandcombinedheartfailureaswellacuteheartfailure,chronicheartfailureandacuteonchronicheartfailure.http://www.icd10data.com/ICD10CM/Codes/I00-I99/I30-I52/I50- I50.1 Leftventricularfailure I50.41 Acutesystolic(congestive)anddiastolic(congestive)heartfailure I5.43 Acuteonchronicsystolic(congestive)anddiastolic(congestive)heartfailure I50.9 Heartfailure,unspecified HeartTransplantFailure T86.22 MyocardialInfarction I21.01-I21.4 STelevationandnonSTelevationmyocardialinfarction http://www.icd10data.com/ICD10CM/Codes/I00-I99/I20-I25/I21- I21.3 STelevation(STEMI)myocardialinfarctionofunspecifiedsite Myocarditis I40.0 Infectivemyocarditisexcludesrheumaticheartdisease I40.1 Isolatedmyocarditis I40.8 Otheracutemyocarditis I40.9 Acutemyocarditis,unspecified Poisoningwithcardiovasculareffects T46.0X1A-T46.996D Poisoningby,adverseeffectofandunderdosingofagentsprimarilyaffectingthecardiovascularsystem?http://www.icd10data.com/ICD10CM/Codes/S00-T88/T36-T50/T46- PulmonaryEmbolism I26.01-I26.09 http://www.icd10data.com/ICD10CM/Codes/I00-I99/I26-I28/I26- I26.02 Saddleembolusofpulmonaryarterywithacutecorpulmonale Shock R57.0 Cardiogenicshock R57.8 Othershock ValvularDisease AorticValvularDisease Nonrheumaticaorticvalvedisordershttp://www.icd10data.com/ICD10CM/Codes/I00-I99/I30-I52/I35- I35.9 Nonrheumaticaorticvalvedisorder,unspecified ?MitralValvularDisease I34.0-I34.9 Nonrheumaticmitralvalvedisordershttp://www.icd10data.com/ICD10CM/Codes/I00-I99/I30-I52/I34- I34.9 Nonrheumaticmitralvalvedisorder,unspecified
附件12ELSOCardiacDiagnosesCodes
CardiacCommonDiagnosesCodes
ELSOCardiacDiagnosesCodes(Enterboldedcodesonly,othercodesareforclassificationgroupingonly)
CardiacDxCode Description 1000 Diagnosis 1100 SeptalDefects 1110 Atrial 1111 PFO 1112 SecundumASD 1113 SVASD 1114 SVASD+PAPVR 1115 MultipleASD''s 1116 CommonAtrium 1117 UnroofedCoronarySinus 1118 Residual/RecurrantASD 1119 OtherAtrialdefects 1120 Ventricular 1121 Perimembranous 1122 Inlet(AVCanalType) 1123 Conal(Supracrystal) 1124 Muscular 1125 MultipleVSD''s 1128 Residual/RecurrantVSD 1129 OtherVentriculardefects 1130 Atrioventricular 1131 PrimumASD 1132 PrimumASD+cleftMV 1133 TransitionalAVCanal 1134 CompleteAVCanal(Balanced) 1135 UnbalancedAVCanal 1139 OtherAVdefects 1140 GreatVessel 1141 PatentDuctusArteriosus 1142 RightsidedPDA 1143 BilateralPDA''s 1144 AortopulmonaryWindow 1149 OtherGreatVesselseptationdefects 1200 LSidedObstructions 1210 Atrial 1211 CorTriatriatum 1212 Supraannularring(MV) 1213 Malposition/MalattachmentSeptPrimum 1214 MitralStenosis 1215 ParachuteMV 1219 OtherLAobstructions 1220 Ventricular 1221 TunnelLVOTobstruction 1222 IHSS 1223 SAM 1224 SubAorticMembrane 1225 AS-Unicuspid 1226 AS-Bicuspid 1227 AS-Tricuspid 1229 OtherLVObstruction 1230 Aortic 1231 SupravalvarStenosis 1232 HypoplasticAorticArch 1233 InterruptedAoArchA 1234 InterruptedAoArchB 1235 InterruptedAoArchC 1236 Coarctation 1239 OtherAorticObstruction 1240 Mixed 1241 Shone''sSyndrome(>3sites) 1300 RSidedObstructions 1310 Atrial 1311 CorTriatriatumDexter 1312 TricuspidStenosis 1313 EbsteinsAnomaly 1319 OtherRAobstruction 1320 Ventricular 1321 Infundibularstenosis 1322 Pulmonarystenosis,Valvar 1323 TetralogyofFallot-PS 1324 TetralogyofFallot-PA 1325 TOF/CAVC 1326 PA-IntactVentricularSeptum 1327 DoublechamberRV 1329 OtherRVObstruction 1330 PulmonaryArtery 1331 SupravalvarPS 1332 BranchPAStenosis 1333 PA-DiminutivePA''s 1334 PeripheralPulmonicStenosis 1339 OtherPAStenosis 1400 GreatVesselAnomalies 1410 Transposition 1411 D-TGA/IVS 1412 D-TGA/VSD 1413 L-TGA 1419 OtherTGA 1420 DoubleOutletRV 1421 DORVw/SubAorticVSD 1422 DORVw/PS(TOFtype) 1423 DORVw/subpulmVSD(Taussig-Bing) 1424 OtherDORV 1430 TruncusArteriosus 1431 TypeITruncus 1432 TypeIITruncus 1433 TypeIIITruncus 1434 Truncusw/IAA 1439 OtherTruncus 1440 Vascularrings 1441 DoubleAorticArch 1442 PulmonaryArterySling 1443 OtherCompletering 1444 Incompleteringw/airwaycompression 1450 Other 1459 OtherGreatVesselAnomalies 1500 VenousAnomalies 1510 SystemicVeins 1511 SVCstenosis/obstruction 1512 IVCstenosis/obstruction 1513 InterruptedIVC 1514 LSVCw/innominatevein 1515 LSVCw/oinnominatevein 1516 LSVCwabsentRSVC(notSI) 1517 SVCorIVCtoLeftAtrium 1519 Othersystemicveinanomalies 1520 PulmonaryVeins 1521 PAPVR(notSVASD) 1522 TAPVRtypeI(supracardiac) 1523 TAPVRtypeII(intracardiac) 1524 TAPVRtypeIII(infradiaphragmatic) 1525 TAPVRtypeIV(mixeddrainage) 1526 PVstenosis(primary) 1527 PVstenosisafterrepairTAPVR 1528 ScimitarSyndrome 1529 OtherPulmonaryveinanomalies 1600 Valveinsuffciencies 1610 Tricuspid 1611 Tricuspidregurgitation(mod-severe) 1620 Pulmonary 1621 PulmonaryInsufficiency(mod-severe) 1630 Mitral 1631 MitralRegurgitation(mod-severe) 1640 Aortic 1641 AorticInsufficiency(mod-severe) 1650 Prosthetic 1651 ProstheticValveinsuffic(includeperivalvular) 1700 Complexw/SingleVentricle 1710 AbsentLV 1711 HLHSw/MSorMA,ASorAA 1712 Othercomplexw/RVonly 1720 AbsentRV 1721 TricuspidAtresiaw/orw/oPA 1722 OtherComplexw/LVonly 1730 Undetermined 1731 SV,unknownorundetermined 1740 Complex 1741 Complex,nototherwiselisted 1800 Miscellaneous 1810 Dilatedcardiomyopathy 1811 Post-viral 1812 ischemic 1813 Post-transplant 1814 Drug-induced 1815 Valvular 1816 Idiopathic 1819 Othercardiomyopathy 1820 CardiacTumors 1821 CongenitalBenign 1822 CongenitalMalignant 1823 AquiredBenign 1824 AquiredMalignant,Primary 1825 AquiredMalignant,metastatic 1829 Othercardiactumors 1830 CoronaryAnomalies 1831 Kawasaki''s,aneurysm 1832 AnomalousLCAoffPA 1833 AnomalousRCAoffPA 1834 CoronaryArteryFistula 1835 RVsinusoids 1839 Othercoronaryanomalies 1840 Infection(SBE) 1841 Valvularendocarditis 1842 ProstheticValveendocarditis 1843 Intracardiacendocarditis 1844 Intracardiacprostheticendocarditis 1845 Arteritis,PDA 1846 Arteritis,Other 1849 Otherinfection 1850 Trauma 1851 ValveInjury 1852 SeptalInjury 1853 Chamberrupture 1854 Greatvesselinjury 1859 OtherTrauma 1860 Conduction 1861 CongenitalHeartBlock 1862 Post-surgicalHeartBlock 1863 Post-transplantHeartBlock 1869 OtherConductionabnormality 1870 Pericardium 1871 PericardialEffusion,Simple 1872 Pericardialeffusion,w/tamponade 1873 Post-opTamponade 1874 Pneumopericardium 1875 Constrictivepericarditis 1876 Post-pericardotomysyndrome 1879 OtherPericardialdisorders 1900 OtherCardiacDx 1910 Anatomic 1911 RightAorticArch 1912 Dextrocardia,normalsitus 1913 Situsinversus,thoracis 1914 Heterotaxia,asplenia 1915 Heterotaxia,polysplenia 1919 OtherAnatomicDx 1920 Physiologic/Genetic 1921 DiGeorgeSyndrome 1922 DownSyndrome 1929 OtherGeneticSyndromes
附件13ELSOCardiacAddendumCardiacProcedureList
ELSOCardiacProcedureCodes(Enterboldedcodesonly,othercodesareforclassificationgroupingonly)
CardiacPxCode Description 2000 Repairs 2100 SeptalDefects 2110 Atrialdefects 2111 PrimaryclosurePFO,ASD 2112 PericardialPatch/bafflerepair 2113 ProstheticPatchrepair 2114 PartialorfenestratedASDclosure 2119 RedoRepairASD 2120 Ventriculardefects 2121 PrimaryclosureVSD 2122 PericardialpatchVSD 2123 ProstheticPatchVSD 2124 PartialorfenestratedVSDclosure 2129 RedoRepairVSD 2130 Atrioventriculardefects 2131 PericardialPatchPrimumASD 2132 ProstheticPatchPrimumASD 2133 SinglePatchCAVC-Pericardium 2134 SinglePatchCAVC-Prosthetic 2135 DoublePatch 2139 RedoRepairAVCanaldefect 2140 GreatVesselseptation 2141 PDALigation/Division 2142 APWindowrepair 2149 RedoRepair 2200 LSidedObstructions 2210 Atrial 2211 RepairCorTriatriatum 2212 ExciseSupravalvularring 2213 RepairMalpositionSeptumPrimum 2214 MVcommisurotomy 2215 RepairParachuteMV 2216 MVRAllograft 2217 MVRTissue(Porcine/Bovine) 2218 MVRMechanical 2219 RedoMVoperation 2220 Ventricular 2221 AorticannularEnlargement(Konno,etc) 2222 SeptalMyotomy 2223 ExciseSubaorticmembrane 2224 AVRRossprocedure 2225 AVRAllograft 2226 AVRstentedtissue 2227 AVRunstentedtissue 2228 AVRMechanical 2229 RedoAVoperation 2230 Aortic 2231 RepairSupravalvarAS 2232 RepairHypoplasticArch(DHCA) 2233 RepairIAAw/CPB 2234 RepairIAAw/oCPB 2235 SubclavianFlapforCoarctation 2236 End-to-EndRepairCoarctation 2237 OtherRepairCoarctation 2239 OtherRepairAorticObstruction 2300 RSidedObstructions 2310 Atrial 2311 RepairCorTriatriatumDexter 2312 RepairTricuspidValve 2313 ExciseTricuspidValve 2314 ReplaceTricuspidValve 2315 RepairEbstein''sAnomaly 2319 RepairOtherRightAtrialObstruction 2320 Ventricular 2321 Resect/RepairInfundibularStenosis 2322 PulmonaryValvotomy/Resection 2323 TransannularPatch 2324 RepairTOF/PSorPA 2325 RepairTOF/CAVC 2326 RepairDoubleChamberRV 2327 RV-PAHomograft 2328 PulmonaryValveReplacement 2329 OtherRepairRVObstruction 2330 PulmonaryArtery 2331 RepairSupravalvarPS 2332 RepairBranchPAstenosis 2333 Unifocalization 2339 OtherRepairofPAobstruction 2400 GreatVessels 2410 Transposition 2411 ArterialSwitch 2412 MustardAtrialSwitch 2413 SenningAtrialSwitch 2414 RastelliRepair 2420 DORV 2421 RepairDORV,(SubAorticVSD),VSDBaffle 2422 RepairDORV,(TOFtype)RVOTreconstruction 2423 RepairDORV,Rastelliw/conduit 2424 OtherRepairDORV 2430 TruncusArteriosus 2431 RepairTruncus 2432 RepairTruncus,IAA 2440 Vascularrings 2441 DivideVascularring/DoubleAorticArch 2442 RepairPulmonaryarterysling 2500 Venous 2510 SystemicVeins 2511 RepairSVCObstruction,patch 2512 SVCGraft/bypass 2513 OtherSystemicveinrepair 2520 PulmonaryVeins 2521 RepairPAPVR(Baffle) 2522 RepairTAPVRanytype 2523 RepairPVstenosis 2524 RepairScimitarSyndrome 2600 ValveInsufficiencies 2610 TricuspidValve(see2312-2314) 2620 PulmonaryValve(see2328) 2630 MitralValve(see2216-2218) 2640 AorticValve(see2224-2228) 2700 ComplexCHD 2710 ExcessPulmbloodflow 2711 PulmonaryArteryBand 2720 InadeqPulmbloodflow 2721 Systemic-Pulmonaryarteryshunt 2730 SingleVentricle 2731 Norwood(StageIPalliation) 2732 Damus-Kaye-Stancil(Aorta-PA) 2733 GlennShunt(classic) 2734 BidirectionalGlennShunt 2735 Fontan(anyvariation) 2740 RestrictiveAtrialSeptum 2741 RashkindBalloonSeptostomy 2742 ClosedAtrialSeptectomy(Blalock-Hanlon) 2743 OpenAtrialSeptectomy 2800 Miscellaneous 2810 Cardiomyopathy 2811 VentricularAssistDevice 2812 OrthotopicTransplantation(anyindication) 2820 Tumors 2821 Excisionintracardiactumor 2822 Biopsyintracardiactumor 2830 Coronaries 2831 CABGforKawasaki''sAneurysm 2832 ReimplantAnomalousLCAoffPA 2833 LigateAnomolousLCA 2834 TakeuchiTunnelforLCAoffPA 2835 ReimplantAnomalousRCAoffPA 2836 LigateAnomolousTCA 2837 LigationCoronaryArteryFistula 2839 OtherCoronaryrepairs 2840 Endocarditis(seeTVR,PVR,MVR,AVR) 2841 Debridementofvegetations 2850 Trauma 2851 RepairRightAtrium 2852 RepairRightVentricle 2853 RepairLeftAtrium 2854 RepairLeftVentricle 2855 GreatVessellinjury 2859 OtherCardiacRepairfortrauma 2860 Conduction 2861 Insertionepicardialpacersystem 2862 Upgrade/revisepacersystem(epicardial) 2863 InsertionoftransvenousPacer 2864 Upgrade/revisepacersystem 2865 InsertionTransvenousAICD 2866 InsertionEpicardialAICDsystem 2867 Upgrade/revisePacerorDefibrillator 2869 OtherConductionprocedures 2870 Pericardium 2871 PericardialBiopsy 2872 PericardialWindow 2873 Pericardectomy
附件14ECLSComplicationsCodes
ECLSComplicationscodes
Code Description 101 Mechanical:Oxygenatorfailure 102 Mechanical:Racewayrupture 103 Mechanical:Othertubingrupture 104 Mechanical:Pumpmalfunction 105 Mechanical:Heatexchangermalfunction 111 Mechanical:Clots:oxygenator 112 Mechanical:Clots:bridge 113 Mechanical:Clots:bladder 114 Mechanical:Clots:hemofilter 115 Mechanical:Clots:other 121 Mechanical:Airincircuit 122 Mechanical:Cracksinpigtailconnectors 131 Mechanical:Cannulaproblems 201 Hemorrhagic:GIhemorrhage 202 Hemorrhagic:Cannulationsitebleeding 203 Hemorrhagic:Surgicalsitebleeding 211 Hemorrhagic:Hemolysis(hgb>50mg/dl) 221 Hemorrhagic:Disseminatedintravascularcoagulation(DIC) 301 Neurologic:Braindeathclinicallydetermined 311 Neurologic:Seizures:clinicallydetermined 312 Neurologic:Seizures:EEGdetermined 321 Neurologic:CNSinfarctionbyUS/CT 322 Neurologic:CNShemorrhagebyUS/CT 401 Renal:Creatinine1.5-3.0 402 Renal:Creatinine>3.0 411 Renal:Dialysisrequired 412 Renal:Hemofiltrationrequired 414 Renal:CAVHDrequired 501 Cardiovascular:InotropesonECLS 502 Cardiovascular:CPRrequired 503 Cardiovascular:Myocardialstunbyecho 504 Cardiovascular:Cardiacarrhythmia 514 Cardiovascular:Hypertensionrequiringvasodilators 521 Cardiovascular:PDA:R->L 522 Cardiovascular:PDA:L->R 523 Cardiovascular:PDA:bidirectional 524 Cardiovascular:PDA:unknown 541 Cardiovascular:Tamponade:blood 542 Cardiovascular:Tamponade:serous 543 Cardiovascular:Tamponade:air 601 Pulmonary:Pneumothoraxrequiringtreatment 602 Pulmonary:Pulmonaryhemorrhage 701 Infectious:Cultureproveninfection(seeInfections) 711 Infectious:WBC<1,500 801 Metabolic:Glucose<40 802 Metabolic:Glucose>240 811 Metabolic:pH<7.20 812 Metabolic:pH>7.60 821 Metabolic:Hyperbilirubinemia(>2director>15total) 901 Limb:Ischemia 902 Limb:CompartmentSyndrome 903 Limb:Fasciotomy 904 Limb:Amputation
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