銆愭渻(hu矛)瑷洪�氱煡銆�3鏈�21-23鏃ョ壒閭�鍖椾含灏堝鐢伴亱(y霉n)鑿富浠讳締鎴戦櫌鑱�(li谩n)鍚堟渻(hu矛)瑷�
闋�(y霉)绱勬帥铏�(h脿o)
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銆�銆�涓�鍊�(g猫)鏈┎鍦ㄦ暀瀹よ畝鏇哥殑瀛╁瓙锛岀獊鐒舵嫆绲曡笍鍏ユ牎闁�——閫欎笉鏄彌閫嗭紝鑰屾槸涓�鍫�(ch菐ng)鐒�(w煤)鑱茬殑“绯荤当(t菕ng)宕╂桨”銆�
銆�銆�鐝�(xi脿n)浠ｆ暀鑲查珨绯讳笅锛屽幁瀛�(xu茅)鏃╁凡涓嶆槸绨�(ji菐n)鍠殑“涓嶆剾瀛�(xu茅)缈�(x铆)”銆�
銆�銆�瀹冨彲鑳芥槸鎯呯窉閬庤級鐨勬眰鏁戜俊铏�(h脿o)锛屾槸蹇冪悊鍓�(chu脿ng)鍌风殑闃插尽姗�(j墨)鍒讹紝鐢氳嚦鏄韩楂斿湪楂樺涓嬬殑鏈兘鍙嶆姉銆備笘鐣岃(w猫i)鐢熺祫绻旀暩(sh霉)鎿�(j霉)椤ず锛屼腑鍦�(gu贸)6-16姝插厭绔ラ潚灏戝勾蹇冪悊闅滅鎮ｇ梾鐜囬仈(d谩)17.5%锛屽叾涓幁瀛�(xu茅)鏄渶鍏疯糠鎯戞�х殑琛ㄨ薄涔嬩竴銆�
銆�銆�瀹堕暦(zh菐ng)鑻ュ彧鐪嬪埌“閫冨(xu茅)”閫欏��(g猫)褰堢獥鎻愮ず锛屽嵒璁�涓嶆噦鑳屽悗鐨勭郴绲�(t菕ng)鏃ュ織锛屽彲鑳介尟(cu貌)澶变慨寰�(f霉)鐨勬渶浣虫檪(sh铆)姗�(j墨)銆�
鎴戦櫌鐗归個鍖楀ぇ鍏櫌
鐢伴亱(y霉n)鑿富浠讳締鎴戦櫌鏈�(hu矛)瑷�
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銆�銆�涓�銆佽В纰煎幁瀛�(xu茅)锛氭儏绶掔郴绲�(t菕ng)鐨�“涓夎壊闋�(y霉)璀�”
銆�銆�1. 鎯呯窉绱呭崁(q奴)锛氱劍鎱殑“閬庤級鐔旀柗”
銆�銆�鐢熺悊琛ㄥ緛锛氫笂瀛�(xu茅)鍓嶅様鍚愩�佽吂鐎夈�佷笉鏄庡師鍥犵櫦(f膩)鐕�;
銆�銆�蹇冪悊姗�(j墨)鍒讹細鏉忎粊鏍�(鎭愭嚰涓)灏囧(xu茅)鏍＄挵(hu谩n)澧冭垏鐥涜嫤楂旈(y脿n)缍佸畾锛岃Ц鐧�(f膩)“姊濅欢鎬у幁瀛�(xu茅)”銆傜暥(d膩ng)瀛╁瓙鎯冲埌鑰冭│鎺掑悕銆佸悓浼村鍔涙檪(sh铆)锛屼氦鎰熺缍�(j墨ng)绯荤当(t菕ng)鏈�(hu矛)鍍忛伃閬囩寷鐛歌埇鍟熷嫊(d貌ng)鎴�(zh脿n)閫冨弽鎳�(y墨ng)銆�
銆�銆�闂�(gu膩n)閸垫寚妯�(bi膩o)锛氶�ｇ簩(x霉)3澶╂櫒璧峰績鐜�>100娆�/鍒嗭紝鍞炬恫鐨唱(zh矛)閱囨按骞�>14ng/ml(姝ｅ父鍊�3-10ng/ml)銆�
銆�銆�2. 鎯呯窉榛冨崁(q奴)锛氭姂閮佺殑“鑳介噺榛戞礊”
銆�銆�琛岀偤淇¤櫉(h脿o)锛氫綔妤�(y猫)鎷栧欢寰�“鍋剁埦”璁婃垚“甯告厠(t脿i)”锛屽師鏈枩姝＄殑瀛�(xu茅)绉戜篃澶卞幓鑸堣叮;
銆�銆�绁炵稉(j墨ng)鍩虹(ch菙)锛氬墠椤嶈憠鐨堡(鍕�(d貌ng)鍔涗腑妯�)澶氬反鑳哄彈楂旀笡灏戯紝娴烽Μ楂�(瑷樻喍涓)楂旂⿳绺皬5%-8%锛屽皫(d菐o)鑷�“瀛�(xu茅)缈�(x铆)-鐛�(ji菐ng)鍕�(l矛)”鍥炶矾鏂疯;
銆�銆�鍗遍毆(xi菐n)鑷ㄧ晫榛�(di菐n)锛氱暥(d膩ng)瀛╁瓙瑾嚭“瀛�(xu茅)閫欎簺鏈変粈涔堢敤”锛屽彲鑳藉凡閫�(j矛n)鍏ョ繏(x铆)寰楁�х劇(w煤)鍔╃媭鎱�(t脿i)銆�
銆�銆�3. 鎯呯窉榛戝崁(q奴)锛氬壍(chu脿ng)鍌风殑“寮�(qi谩ng)鍒堕棞(gu膩n)姗�(j墨)”
銆�銆�闅卞尶琛ㄧ従(xi脿n)锛氭姉鎷掔壒瀹氳绋�(濡傞珨鑲茶鍙兘鏆楃ず楂旇矊鐒︽叜)銆佹亹鎳兼煇鍊�(g猫)鏍″湌鍗�(q奴)鍩�;
銆�銆�鐢熺墿妯�(bi膩o)瑷橈細鑵﹀扯(鐤肩棝鎰熺煡鍗�(q奴))灏�(du矛)鐩搁棞(gu膩n)鍫�(ch菐ng)鏅殑婵�娲诲挤(qi谩ng)搴︽槸甯镐汉鐨�2.3鍊�;
銆�銆�鏅�(sh铆)闁撶獥鍙ｏ細鍓�(chu脿ng)鍌疯鎲跺湪6鍊�(g猫)鏈堝収(n猫i)骞查爯(y霉)锛岀缍�(j墨ng)鍙鎬т慨寰�(f霉)鐜囧彲閬�(d谩)72%銆�
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銆�銆�浜屻�佸京(f霉)瀛�(xu茅)鎸囧崡锛氫笁鍊�(g猫)缍害鐨�“閲嶅暉妾㈡脯(c猫)”
銆�銆�寮�(qi谩ng)琛岄�佸瀛愬洖鏁欏濡傚悓绲︽晠闅滈浕鑵﹀挤(qi谩ng)琛岄枊姗�(j墨)锛屽彲鑳藉紩鐧�(f膩)鏇村毚(y谩n)閲嶅穿娼般�傜瀛�(xu茅)寰�(f霉)瀛�(xu茅)闇�瑕佸畬鎴愪笁闋�(xi脿ng)绯荤当(t菕ng)鑷锛�
銆�銆�1. 鐢熺悊缍害锛氳粈楂斿寲鐧ョ媭娓呴浂
銆�銆�鐫＄湢閲嶅缓锛氶�ｇ簩(x霉)7澶╄嚜鐒跺叆鐫℃檪(sh铆)闁�<30鍒嗛悩锛屾繁鐫＄湢鍗犳瘮>20%(鏅鸿兘鎵嬬挵(hu谩n)鐩�(ji膩n)娓�(c猫));
銆�銆�鐤肩棝瑙ｉ櫎锛氶牠鐥涖�佽儍鐥涚瓑杌�楂斿寲鐧ョ媭娑堝け≥14澶�;
銆�銆�鑳介噺?j墨)?ch菙)鍌欙細鍩虹(ch菙)浠ｈ瑵鐜囨仮寰�(f霉)鑷冲悓榻′汉姝ｅ父鑼冨湇(鍙�氶亷楂旇剛绉ょ洠(ji膩n)娓�(c猫))銆�
銆�銆�2. 蹇冪悊缍害锛氭儏绶掑付瀵摯(ku貌)瀹�
銆�銆�澹撳姏娓�(c猫)瑭︼細鑳藉湪妯℃摤鑰冭│鐠�(hu谩n)澧冧腑闈滃潗45鍒嗛悩(涓嶈姹傜瓟椤�)锛屽績鐜囨尝鍕�(d貌ng)<15%;
銆�銆�鎯呯窉琛ㄩ仈(d谩)锛氬彲浠ユ竻鏅版弿杩�“瀛�(xu茅)鏍¤畵鎴戝鎬曠殑鏄粈涔�”锛岃�岄潪鍍呰“鎴戝氨鏄笉鎯冲幓”;
銆�銆�鐛�(ji菐ng)鍕�(l矛)鎰熺煡锛氬皪(du矛)闈炲(xu茅)缈�(x铆)椤炴垚灏�(濡傚畬鎴愭嫾鍦�)鐢�(ch菐n)鐢熸剦鎮呮劅锛岃鏄庡宸磋兒绯荤当(t菕ng)闁嬪淇京(f霉)銆�
銆�銆�3. 鐠�(hu谩n)澧冪董搴︼細鏀寔绯荤当(t菕ng)灏辩窉
銆�銆�瀹舵牎绶╂矕甯讹細瀛�(xu茅)鏍″悓鎰忓垵鏈熷彧涓婂崐澶╄锛屾垨鍏佽ū閬告搰鎬у弮鍔犺绋�;
銆�銆�鍚屼即瀹夊叏缍�(w菐ng)锛氳嚦灏戞湁涓�鍊�(g猫)鍙俊璩寸殑鍚屽(xu茅)鎰挎剰鎻愪緵“瀛�(xu茅)缈�(x铆)鎼瓙”鏀寔;
銆�銆�閫冪敓閫氶亾锛氳垏瀛╁瓙绱勫畾“瀹夊叏瑭�”(濡傝“鍚戞棩钁�”鍗冲彲绔嬪嵆闆㈡牎鍥炲)銆�
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銆�銆�涓夈�佷紤瀛�(xu茅)姹虹瓥锛氬叐绋繀闋堟寜涓嬬殑“鏆仠閸�”
銆�銆�鎯呮硜1锛氫富鍕�(d貌ng)浼戝(xu茅)——鐣�(d膩ng)韬珨浜捣绱呯噲
銆�銆�寮�(qi谩ng)鍒舵寚寰侊細
銆�銆�鍑虹従(xi脿n)鑷偡琛岀偤鎴栬嚜娈烘剰蹇�;
銆�銆�楂旈噸涓夊��(g猫)鏈堟尝鍕�(d貌ng)>20%(閫�(j矛n)椋熼殰绀欓ⅷ(f膿ng)闅�(xi菐n));
銆�銆�鍥犵劍鎱紩鐧�(f膩)鐧茬檱妯ｇ櫦(f膩)浣�(蹇冨洜鎬ч潪鐧茬檱鐧�(f膩)浣滐紝PNES)銆�
銆�銆�閱�(y墨)瀛�(xu茅)娴佺▼锛�
銆�銆�闇�涓夌敳閱�(y墨)闄㈢簿绁炵鍑哄叿瑷烘柗璀夋槑锛屾槑纰哄缓璀�“閱�(y墨)瀛�(xu茅)浼戝(xu茅)”锛屼紤瀛�(xu茅)鏈熼�氬父鐐�3-6鍊�(g猫)鏈堛��
銆�銆�鎯呮硜2锛氬挤(qi谩ng)鍒朵紤瀛�(xu茅)——鐣�(d膩ng)绯荤当(t菕ng)鐎曡嚚宕╂桨
銆�銆�瀛�(xu茅)鏍″共闋�(y霉)绶氾細
銆�銆�閫ｇ簩(x霉)缂哄嫟>21澶╀笖鎷掔禃浠讳綍婧濋��;
銆�銆�鍦ㄦ牎鍏�(n猫i)鍑虹従(xi脿n)鏀绘搳琛岀偤(鐮哥墿鍝併�佹帹鎼′粬浜�);
銆�銆�鍥犳儏绶掑け鎺у紩鐧�(f膩)鏁欏(xu茅)绉╁簭娣蜂簜≥3娆°��
銆�銆�娉曞緥閭婄晫锛�
銆�銆�缇╁嫏(w霉)鏁欒偛闅庢瀛�(xu茅)鏍＄劇(w煤)娆�(qu谩n)寮�(qi谩ng)鍒朵紤瀛�(xu茅)锛岄渶缍�(j墨ng)绺ｇ礆(j铆)鏁欒偛琛屾斂閮ㄩ杸鎵规簴(zh菙n)锛屽苟鍚屾鍟熷嫊(d貌ng)瀹舵牎骞查爯(y霉)鏂规銆�
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銆�銆�鍥涖�佷紤瀛�(xu茅)≠鏀炬锛氭寜涓嬫毇鍋滈嵉鍚庣殑“绯荤当(t菕ng)鍗囩礆(j铆)”
銆�銆�1. 绁炵稉(j墨ng)閲嶅鏈�(0-3鍊�(g猫)鏈�)
銆�銆�閬�(y霉n)鍕�(d貌ng)铏曟柟锛氭瘡澶�40鍒嗛悩涓瓑寮�(qi谩ng)搴﹂亱(y霉n)鍕�(d貌ng)(蹇冪巼缍寔鍦�120-140娆�/鍒�)锛屼績閫�(j矛n)娴烽Μ楂旂缍�(j墨ng)鍐嶇敓;
銆�銆�鍏夌収鐧傛硶锛氭櫒闁撴帴鍙�10000鍕掑厠鏂厜鐓�30鍒嗛悩锛岃(di脿o)绡�(ji茅)琛�娓呯礌-瑜粦绱犵瘈(ji茅)寰�;
銆�銆�姝ｅ康瑷�(x霉n)绶达細姣忓ぉ20鍒嗛悩韬珨鎺冩弿绶寸繏(x铆)锛岄檷浣庢潖浠佹牳娲昏簫搴︺��
銆�銆�2. 鍔熻兘閲嶅缓鏈�(4-6鍊�(g猫)鏈�)
銆�銆�闅庢鏆撮湶锛氬緸鍦栨浉椁ㄨ嚜缈�(x铆)→鍙冨姞鑸堣叮鐝�→瑭﹁伣杓斾慨瑾诧紝閫愭閲嶅缓瀛�(xu茅)缈�(x铆)鍫�(ch菐ng)鏅�愬彈鎬�;
銆�銆�瑾�(r猫n)鐭ョ煰姝ｏ細閫氶亷“瀛�(xu茅)缈�(x铆)鍍�(ji脿)鍊奸噸妲�(g貌u)琛�”锛屽皣鐭ヨ瓨(sh铆)鎸�“鐢熷瓨鎶�鑳�”“鑸堣叮鎺㈢储”“绀句氦宸ュ叿”鍒嗛锛岄檷浣庡姛鍒╁寲鐒︽叜;
銆�銆�绀炬渻(hu矛)閫ｆ帴锛氬弮鑸囧嫊(d貌ng)鐗╃檪鎰堛�佺ぞ鍗�(q奴)蹇楁効鏈嶅嫏(w霉)绛夐潪绔�(j矛ng)鐖�(zh膿ng)鎬ф椿鍕�(d貌ng)锛屼慨寰�(f霉)浜洪殯淇′换鎰熴��
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銆�銆�鐣�(d膩ng)瀛╁瓙瑾�“鎴戜笉鎯充笂瀛�(xu茅)”锛屼粬鐪熸鎯宠〃閬�(d谩)鐨勬槸锛�“鎴戠殑绯荤当(t菕ng)姝ｅ湪瓒呰矤(f霉)鑽烽亱(y霉n)杞�(zhu菐n)锛岃珛(q菒ng)骞垜鎵惧埌瀹夊叏妯″紡銆�”瀹堕暦(zh菐ng)瑕佸仛鐨勪笉鏄挤(qi谩ng)琛岄噸鍟燂紝鑰屾槸鎴愮偤閭ｅ��(g猫)璁�鎳傞尟(cu貌)瑾や唬纰肩殑绋嬪簭鍝★紝鐢ㄧ瀛�(xu茅)鍜岃�愬績瀹屾垚閫欐蹇呰鐨勭郴绲�(t菕ng)鍗囩礆(j铆)銆�
銆�銆�瑷樹綇锛氭瘡鍊�(g猫)鍘(xu茅)瀛╁瓙鐨勫績閲岋紝閮戒綇钁椾竴鍊�(g猫)绛夊緟鏁戞彺鐨勫畤瀹欍��
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