Background technology
Along with the raising of people's living standard, the quickening of rhythm of life, the sickness rate of cardiovascular disease rises rapidly, has become one of principal element that threatens human body health, be in all kinds of diseases at the cardiopathic sickness rate of China the 3rd.Electrocardiogram is the main foundation of treatment cardiovascular disease, has that diagnosis is reliable, method is easy, to the harmless advantage of patient.In modern medicine, it is more and more important that electrocardiogram becomes.At present the CCU of hospital (Coronary Care Unit: the heart intensive care unit(ICU)) and the patient of the back ward of performing the operation all monitor for a long time with electrocardiograph, but because existing electrocardiograph all is a wired connection, monitor terminal and patient's distance is restricted, therefore general each ward all must be equipped with a monitor terminal and several nurse takes turns flow monitoring, has increased the cost of monitoring; Simultaneously because the restriction of distance, may occur can not in time notifying the doctor in unusual in physiological parameter, therefore incured loss through delay the preferably opportunity of treatment, increased medical-risk.Though occurred some new remote ecg wireless monitoring systems in recent years, have following shortcoming mostly: one, communication mode adopts private agreement or standard mostly, and transmission range is limited, can not use whenever and wherever possible; Two, patient occurs when unusual, and the doctor can not fully exchange with patient, and the obtainable information of doctor is limited, makes the doctor dare not make diagnosis and treatment easily; Three,, make design, production, maintenance cost higher owing to adopt the design of nonstandardized technique.
The utility model content
The purpose of this utility model is to provide a kind of remote electrocardiogram monitor system based on wireless transmission and the Internet transmission, and this system provides a cover practical, low-cost solution for hospital to the monitoring of patient's cardiac electrophysiology parameter.
The core component of tele-medicine electrocardiogram monitor system of the present utility model comprises: electrocardiogram monitor, cardiac server, electrocardio monitor terminal, Short message alarm, doctor's terminal, nurse terminal and wireless network and the Internet.Wherein:
Electrocardiogram monitor comprises acquisition module, CPU and mainboard, human-machine interface module and communication module.Acquisition module is gathered physiological parameters of patients, as: 3 lead or 12 lead ecg information, impedance breathing, non-invasive blood pressure, body temperature etc., and acquisition module is connected with CPU by serial ports.This place and hereinafter the indication serial ports can be USB, RS232 etc.CPU and mainboard are finished the analysis and the processing of physiologic informations such as electrocardio.Human-machine interface module can comprise equipment such as liquid crystal display, keyboard, sound, video multimedia assembly, is connected with CPU by serial ports, realizes the information interaction between man-machine.Communication module can be wireless communication module and/or wire communication module, be connected with CPU by serial ports, the communication protocol that all adopt standardization, comes into the open, wireless communication module adopts IEEE 802.11, basket tooth, Zigbee etc., and wire communication module adopts as Ethernet, RJ-485, ADSL etc.CPU reads data from acquisition module, analyzes automatically or manually, handles according to keyboard instruction.Analysis processing result, communicate to connect information etc. and show, the local sound and light alarm of abnormal conditions occurs by liquid crystal display.Communication module makes monitor insert the Internet, receives the instruction of cardiac server, and transmission information also allows patient and monitoring personnel carry out remote interaction by sound, video multimedia assembly to remote server.Above-mentioned acquisition module, human-machine interface module, communication module all can be changed respectively and be upgraded.
Cardiac server can be a private server, also can be desktop computer, the notebook computer of any runtime server software.Cardiac server comprises ecg database and communications control software.The electrocardiogram (ECG) data library storage patient's physiologic informations such as electrocardio, and patient, nurse and doctor's personal information.Access Control, the control of authority of communications control software management electrocardiogram monitor, monitor terminal and doctor's terminal and cardiac server, communicate by letter etc., safeguard the electrocardiogram (ECG) data database data.
The electrocardio monitor terminal is PDA (the Personal Digital Assistant of operation electrocardio monitoring software, personal digital assistant), panel computer, desktop computer or notebook computer, the electrocardio monitoring software can operate in same computer with the electrocardio service software.The electrocardio monitoring software reads patient's real-time or historical data from ecg database, show the line data analyzing and processing of going forward side by side.The electrocardio monitor terminal can show a plurality of patients' data simultaneously, can freely select the data waveform of needs monitoring according to the needs of monitoring.Short message alarm is connected by serial ports with the electrocardio monitor terminal, when patient's cardiac electrophysiology parameter appearance is unusual, the electrocardio monitor terminal by Short message alarm to the monitoring personnel, mobile phone or doctor's terminal as this patient's archiater send warning information, attempt initiatively initiating to connect and send to doctor's terminal of archiater by the Internet this patient's heart real time data simultaneously.In addition, the electrocardio monitor terminal also has the function of managing patient and doctor's personal information.
Doctor's terminal can be special-purpose built-in terminal, also can be PDA, panel computer, desktop computer or the notebook computer etc. of operation doctor terminal software.Doctor's terminal keeps being connected with the electrocardio monitor terminal by the Internet constantly.Doctor's terminal has two kinds of patterns available: passive type and active.General doctor's terminal all is in passive type, and when physiological parameter occurs unusual the time, after doctor's terminal received the warning information of electrocardio monitor terminal, the ecg database server that is dynamically connected certainly took out this patient's heart real time data and shows on screen.Doctor's terminal also can be selected active, and this moment, doctor's terminal can obtain patient's tabulation from the data base, specified after the monitored patient, and this patient's electrocardiogram (ECG) data can show on doctor's terminal.
Nurse terminal can be special-purpose built-in terminal, also can be PDA, panel computer, desktop computer or the notebook computer etc. of operation doctor terminal software, have wireless communication module, insert Local wireless network, the wireless communication module of communicating by letter with monitor is communicated by letter, and to the monitor sending controling instruction, obtains patient's physiological parameters such as electrocardio from monitor, convenient, fast management patient's electrocardiogram (ECG) data is finished other program of making the rounds of the wards.All electrocardiogram monitor in the nurse terminal end of scan wireless module coverage detect after the electrocardiogram monitor, manually specify the electrocardiogram (ECG) data of checking some specified patients by the nurse.
The tele-medicine electrocardiogram monitor system that the utility model proposes has overcome traditional cardiac monitoring wired connection, has been subjected to the shortcoming of distance limit, realized the cardiac electrophysiology parameter of collection and medical worker's wireless messages exchange, made and in hospital, can utilize limited medical resource to provide medical services for more patient.Adopt the agreement of sealing at a large amount of wireless medical system, this utility model adopts standardized open communication standard IEEE 802.11 and Internet, uses the standardization device, produces and maintenance cost thereby can reduce, and promotes industry development.System adopts modularized design in a large number, convenient according to the practical situation configuration-system, can only use a common computer as electrocardio server, monitor terminal, doctor's terminal etc., thereby reduce cost greatly, make this system also be applicable to patient's domestic, the use of small-sized and community hospital.When patient occurs when unusual, patient's the doctor in charge, no matter whenever, message can not only be received the very first time in any place, obtain detailed monitoring parameter by doctor's terminal, and can pass through multimedia meanses such as sound, video and patient mutual, even effect that also can be on-the-spot the same under remote scenario, thereby improve the speed of making diagnosis, the accuracy that improves remote diagnosis.Electrocardiogram monitor of the present utility model has increased patient's comfort, and hospital also can change common berth into the monitoring berth at any time.Nurse terminal makes nurse handle official business digitized and automatization, raises the efficiency less error rate.
In sum, this utility model is suitable for remote electrocardiogram monitor, uses standardized module, and cost is low, is easy to promote.
The specific embodiment
Below in conjunction with accompanying drawing, describe tele-medicine electrocardiogram monitor system of the present utility model in detail by embodiment, but limit scope of the present utility model never in any form.
Native system can have embodiment flexibly according to application scenarios.Use with small-middle hospital to be example, as shown in Figure 1, the network of native system is made up of three sub-networks, and wherein network 1 is LAN or Metropolitan Area Network (MAN), and network 2 is Internet Internets, and network 3 is mobile network, LAN or Metropolitan Area Network (MAN).Electrocardiogram monitor and nurse terminal are separately by wireless communication module access network 1; The direct access network 2 of cardiac server, cardiac monitoring terminal and doctor's terminal, monitor by communication module via gateway access network 2, Short message alarm and doctor's accessing terminal to network 3.As shown in Figure 1, electrocardiogram monitor, nurse terminal and gateway all can be 1 or many, and doctor's terminal also can be one or more, and cardiac server and electrocardio monitor terminal are generally one.Newly-increased electrocardiogram monitor, nurse terminal, doctor's terminal, access network is convenient and swift automatically.
Wherein server moves cardiac server software and electrocardio monitoring software, cardiac server and electrocardio monitor terminal in the corresponding diagram 1; Short message alarm is connected on the PC server; Every doctor carries small-sized doctor's terminal; Electrocardiogram monitor and nurse terminal can dispose one or more according to practical situation, and monitor and nurse terminal communication module adopt the IEEE802.11 wireless module.The nurse carries nurse terminal when entering the ward and making the rounds of the wards, and nurse terminal is connected to monitor automatically, obtains patient's information such as personal information, monitoring parameter.Every monitor is monitored patient's physiological parameters such as electrocardio, and inserts cardiac server by wireless communication module via gateway, uploads data to ecg database, accepts the monitoring of electrocardio monitor terminal; The cardiac monitoring personnel monitor patient status by the electrocardio monitor terminal always, when monitoring software according to automatic discovery patient parameter being set when unusual or monitoring personnel when thinking that patient is unusual, the electrocardio monitor terminal is reported to the police by Short message alarm or the Internet; Patient's the doctor in charge at home, meeting room or receive warning message Anywhere after, obtain necessary diagnostic message by doctor's terminal from cardiac server at once, carry out multimedia interactive with patient and obtain other necessary information, the doctor judges rapidly according to these information then, gives treatment to.