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[{"id":1,"parentName":"病例","name":"病例信息","owner":"1","txt":"姓名贝贝品种拉布拉多犬性别年龄1 岁 2 月龄体重30kg主人姓名张先生病例情况主人为预防犬只生殖系统疾病要求为其进行绝育手术。犬已完成诱导麻醉目前你作为手术医生需首先为该犬只行术前气管插管操作。","sound":"QiGuanChaGuan/Sounds/配音1","obj":"","state":"BingLiXinXiState","score_kh":"","score":"","score_sx":"","type":""},{"id":0,"parentName":"操作前准备","name":"术者准备","owner":"1","txt":"已完成手与手臂的洗刷、消毒操作,请按顺序点击选择手术时的所需穿戴。","sound":"QiGuanChaGuan/Sounds/配音2","obj":"","state":"ShuZheZhunBeiState","score_kh":"7","score":"","score_sx":"5","type":"无菌观念"},{"id":0,"parentName":"操作前准备","name":"物品准备","owner":"1","txt":"","sound":"","obj":"","state":"WuPinZhunBeiState","score_kh":"4","score":"","score_sx":"5","type":"基础操作"},{"id":0,"parentName":"操作前准备","name":"选择喉镜尺寸","owner":"1","txt":"","sound":"","obj":"","state":"XuanZeHouJingChiCunState","score_kh":"4","score":"","score_sx":"5","type":"基础操作"},{"id":0,"parentName":"操作前准备","name":"检查喉镜","owner":"1","txt":"请点击治疗车上的喉镜,安装镜片并检查前端光源是否正常。","sound":"QiGuanChaGuan/Sounds/配音3","obj":"160mm喉镜","state":"JianChaHouJingState","score_kh":"4","score":"","score_sx":"5","type":"基础操作"},{"id":0,"parentName":"操作前准备","name":"选择气管导管尺寸","owner":"1","txt":"","sound":"","obj":"","state":"XuanZeQiGuanDaoGuanChiCunState","score_kh":"4","score":"","score_sx":"5","type":"基础操作"},{"id":0,"parentName":"操作前准备","name":"检查套囊气密性","owner":"1","txt":"需准备预计使用的气管内导管及其上下两个型号的气管内导管请拖拽10ml注射器分别为三根不同型号的气管内导管进行充气检查其套囊密闭性。","sound":"QiGuanChaGuan/Sounds/配音4","obj":"5ml注射器|10mm气管导管|10气管导管气密性|12mm气管导管|12气管导管检查气密性|14mm气管导管|14气管导管检查气密性","state":"JianChaTaoNangQiMiXingState","score_kh":"16","score":"","score_sx":"5","type":"基础操作"},{"id":0,"parentName":"操作前准备","name":"测算导管插入长度","owner":"1","txt":"请拖拽预计使用的气管内导管至犬头部区域,测算导管所需插入长度。|请在气管内导管上点击选择固定绳标记位置,确定所需插入长度。","sound":"QiGuanChaGuan/Sounds/配音5|QiGuanChaGuan/Sounds/配音6","obj":"固定绳标记位置","state":"CeSuanDaoGuanChaRuChangDuState","score_kh":"8","score":"","score_sx":"10","type":"临床思维"},{"id":0,"parentName":"操作前准备","name":"涂抹利多卡因凝胶","owner":"1","txt":"请拖拽利多卡因溶液喷壶到气管导管处喷洒导管前端。|请拖拽蘸取了利多卡因凝胶的纱布块至气管内导管处,将利多卡因凝胶涂布于气管内导管尖端。","sound":"QiGuanChaGuan/Sounds/配音7|QiGuanChaGuan/Sounds/配音8","obj":"利多卡因喷壶|测算导管插入长度触发|测算导管插入长度|利多卡因纱布","state":"TuMoLiDuoKaYinState","score_kh":"4","score":"","score_sx":"10","type":"基础操作"},{"id":0,"parentName":"插管操作","name":"选择体位","owner":"1","txt":"","sound":"","obj":"","state":"XuanZeTiWeiState","score_kh":"7","score":"","score_sx":"5","type":"临床思维"},{"id":0,"parentName":"插管操作","name":"打开口腔","owner":"1","txt":"请拖拽固定用的纱布条至犬的口腔处进行打开口腔操作。|请在犬模型上操作,使用纱布条将犬口腔打开。","sound":"QiGuanChaGuan/Sounds/配音9|QiGuanChaGuan/Sounds/配音10","obj":"","state":"DaKaiKouQiangState","score_kh":"6","score":"","score_sx":"6","type":"技能重点"},{"id":0,"parentName":"插管操作","name":"暴露会厌","owner":"1","txt":"请拖拽喉镜至犬的口腔处,插入喉镜暴露会厌。|请在犬模型上操作,一手将犬舌头拉出,另一手使用喉镜插入犬口腔进行暴露会厌操作。","sound":"QiGuanChaGuan/Sounds/配音11|QiGuanChaGuan/Sounds/配音12","obj":"","state":"BaoLuHuiYanState","score_kh":"6","score":"","score_sx":"6","type":"技能重点"},{"id":0,"parentName":"插管操作","name":"插入气管导管","owner":"1","txt":"请拖拽喉镜至犬的口腔处,插入喉镜暴露会厌。|请在犬模型上操作,使用气管内导管沿着喉镜在直视状态下从杓状软骨中间插入至预估深度。","sound":"QiGuanChaGuan/Sounds/配音13|QiGuanChaGuan/Sounds/配音14","obj":"","state":"ChaRuQiGuanDaoGuanState","score_kh":"9","score":"","score_sx":"8","type":"技能重点"},{"id":0,"parentName":"插管后操作","name":"确认插管位置","owner":"1","txt":"请拖拽治疗车上的二氧化碳监测装置至气管内导管接口处。|请点击呼吸机管路,连接至二氧化碳监测装置上,监测二氧化碳分压。","sound":"QiGuanChaGuan/Sounds/配音15|QiGuanChaGuan/Sounds/配音16","obj":"二氧化碳监测装置|二氧化碳监测装置位置|呼吸机","state":"QueRenChaGuanWeiZhiState","score_kh":"8","score":"","score_sx":"10","type":"技能重点"},{"id":0,"parentName":"插管后操作","name":"固定导管","owner":"1","txt":"请拖拽纱布固定绳至气管内导管处,将气管内导管固定于犬上颌犬齿位置。","sound":"QiGuanChaGuan/Sounds/配音17","obj":"固定导管的高亮","state":"GuDingDaoGuanState","score_kh":"7","score":"","score_sx":"5","type":"基础操作"},{"id":0,"parentName":"插管后操作","name":"充盈套囊","owner":"1","txt":"请拖拽治疗车上的5ml注射器到气管内导管的套囊充气连接管处。|请使用实物5ml注射器抽取一定量空气并连接到气管内导管的套囊充气连接管处。|请点击注射器的活塞,向套囊内缓慢注入适量空气。|请向套囊内缓慢注入适量气体。","sound":"QiGuanChaGuan/Sounds/配音18|QiGuanChaGuan/Sounds/配音19|QiGuanChaGuan/Sounds/配音20|QiGuanChaGuan/Sounds/配音21","obj":"实物5ml注射器","state":"ChongYingTaoNangState","score_kh":"6","score":"","score_sx":"10","type":"基础操作"}]