钃夌敓闈滀笝鍙兘鍦ㄩ啱(y墨)鐢熺殑鎸囧皫(d菐o)涓嬬敤浜庣浉闂�(gu膩n)鐤剧梾浜虹兢锛屽苟涓斿湪娌荤檪鏈熼枔鏈冩湁涓嶅悓鐨勮〃鐝�(xi脿n)銆傝搲鐢熼潨涓欐不鐧傚師鐧�(f膩)鎬у厤鐤悆铔嬬櫧G缂轰箯鐧�锛屽X鑱�(li谩n)閹栦綆鍏嶇柅鐞冭泲鐧紾琛€鐧�锛屽父瑕嬭畩鐣版€у厤鐤己闄风梾锛屽厤鐤悆铔嬬櫧G浜為缂洪櫡鐥呯瓑銆� 瑭虫儏
鑹炬媺鍙互鐢ㄤ簬鏌愪簺灏栭姵婵曠枺鐨勬不鐧�锛屽湪娌荤檪鏈熼枔鍙兘涔熸渻鏈変笉鍚岀殑琛ㄧ従(xi脿n)锛屼篃鎳�(y墨ng)瑭插湪涓嶅悓鐨勫钩鑷烘湁涓嶅悓鐨勫児鏍艰(gu墨)瀹�銆傝壘鎷夊粻瀹舵槸涓婃捣寰�(f霉)鏃﹀嫉姹熺敓鐗╅啱(y墨)钘ヨ偂浠芥湁闄愬叕鍙�锛岀敤浜庢不鐧傚皷閵虫繒鐤�锛屽挨鍏堕仼鐢ㄤ簬鐧�(f膩)鐢熷湪灏块亾鍙g殑灏栭姵婵曠枺锛屼笖鍠€嬬枺楂旂洿寰戞渶濂戒笉瓒呴亷0.5cm銆� 瑭虫儏
寮风洓锛堢挵(hu谩n)瀛㈢礌杌熻啝鍥婏級瀛曞│鍙婂摵涔虫湡濠﹀コ鐢ㄨ棩锛氭湰钘ュ搧鍙€插叆涔虫眮銆傚湪鏆仠鍝轰钩鏈熼枔锛屽摵涔虫湡濠﹀コ鍙互閬告搰浣跨敤鍏朵粬瀹夊叏鐨勫杺椁�(y菐ng)鏂瑰紡锛屽浜哄伐鍠傞(y菐ng)绛夛紝濡傛灉瀣板厭鍦ㄦ毇鍋滃摵涔虫湡闁撳嚭鐝�(xi脿n)浠讳綍鐣板父鐧ョ媭鎴栧仴搴峰晱椤�锛屾噳(y墨ng)绔嬪嵆灏遍啱(y墨)鍜ㄨ銆� 瑭虫儏
鐠�(hu谩n)瀛㈢礌杌熻啝鍥婇渶瑕佸湪閱�(y墨)鐢熺殑鎸囧皫(d菐o)涓嬫噳(y墨ng)灏嶇梾鎯�锛岃兘澶犻仼鐣�(d膩ng)?sh霉)娣栭緤寮ュ鐓裤伔?锛岃兘澶犳敞鎰忓湪閱�(y墨)鐢熺殑鎸囧皫(d菐o)涓嬪垽鏂峰悗鏈熺殑娌荤檪瑷堝妰銆傜挵(hu谩n)瀛㈢礌杌熻啝鍥婅鏄庢浉涓殑鐢ㄦ硶鐢ㄩ噺s 鎴愪汉鍙f湇甯哥敤閲忥細闁嬪鍔戦噺鎸夐珨閲嶆瘡鏃�12-15mg锛弅g锛�1锝�2鍛ㄥ悗閫愭几娓涢噺锛屼竴鑸瘡鍛ㄦ笡灏戦枊濮嬬敤钘ラ噺鐨�5锛咃紝缍寔閲忕磩鐐烘瘡鏃�5锝�10mg锛弅g锛涘皪浣滅Щ妞嶈(sh霉)鐨勬偅鑰咃紝鍦ㄧЩ妞嶅墠4锝�12灏忔檪绲﹁棩銆� 瑭虫儏
闈炲竷鍙镐粬鐗囦竴鑸笉鑳界敤浜庡瓡濠︼紝涔熶笉鑳界敤浜庡皪钘ュ搧鎴愬垎閬庢晱鐨勪汉缇�锛屼絾鏄€氶亷瑾槑鏇哥殑鍏�(n猫i)瀹瑰彲浠ョ煡閬撳瓡濠︽垨鍙兘鎳峰瓡鐨勫│濂冲儏鍦ㄧ⒑瑾嶆不鐧備笂鐨勭泭铏曞ぇ浜庡嵄闅€х殑鎯呮硜涓嬫柟鍙郸闈炲竷鍙镐粬鐗�銆� 瑭虫儏
姘熸瘮娲涜姮鍑濊啝璨艰啅鐢ㄦ硶鏄竴鏃�2娆★紝璨间簬鎮h檿銆傛盁姣旀礇鑺嚌鑶犺布鑶忔暦璨肩殑鏅傞枔涓€鑸6鍊嬪皬鏅傚埌8鍊嬪皬鏅傚乏鍙筹紝鐣�(d膩ng)鐒朵篃鍙牴鎿�(j霉)鍊嬩汉鐨勬儏娉佷締纰哄垏鐨勫畨鎺�锛屽彧瑕佸湪浣跨敤鏈熼枔娌掓湁鍑虹従(xi脿n)绱呰叓鍜岀槞鐧㈢瓑鍓綔鐢�锛岄偅涔堥兘鍙互閬╃暥(d膩ng)?sh霉)闅惧ūL鏁疯布鏅傞枔銆� 瑭虫儏
鎮h€呴渶瑕佽€冩叜鐨勬不鐧傛檪闁撳拰娌荤檪鍛ㄦ湡骞朵笉鐩稿悓锛岃€屾偅鑰呬篃鎳�(y墨ng)瑭茶娉ㄦ剰绌嶆サ鐨勫幓闂�(gu膩n)娉ㄧ敤钘ユ柟妗�锛岄渶瑕侀仼鐣�(d膩ng)?sh霉)濞溿儣榫婄背o鐞嗙浉闂�(gu膩n)鐨勫伐浣�銆傝壘鎷夎帿寰风墖娌荤檪娲诲嫊鎬ч棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐�锛岃鏄庢浉涓殑鐢ㄦ硶鐢ㄩ噺鏄彛鏈�锛屼竴娆�25mg 锛�1鐗囷級锛岄/鍚庢湇鐢紝涓€鏃�2娆★紝鏃�銆佹櫄鍚�1娆�銆� 瑭虫儏
鏄嗘槑灞辨捣妫犵墖鍍规牸鍙楀緢澶氬洜绱犵殑褰遍熆锛屼笉鍚岀殑鍦版柟璨疯棩鐗╁児鏍间笂鏄湁宸暟鐨�锛屽缓璀版偅鑰呰鍦ㄦ瑕�(gu墨)鐨勯€斿緫渚嗚臣璨疯棩鐗�銆傞棰�(f膿ng)婵曟€ч棞(gu膩n)绡€(ji茅)鐐庢偅鑰呰绌嶆サ鐨勯厤鍚堥啱(y墨)甯娇鐢ㄨ棩鐗�锛屽钩鏅備篃瑕佸悆涓€浜涙竻娣$殑椋熺墿渚嗛€茶韬珨鐨勮(di脿o)鐞�銆� 瑭虫儏
钃夌敓闈滀笝锛堥潨娉ㄤ汉鍏嶇柅鐞冭泲鐧�(pH4)锛夐仼鎳�(y墨ng)鐧ワ細娌荤檪鍘熺櫦(f膩)鎬у厤鐤悆铔嬬櫧G缂轰箯鐧�锛屽X鑱�(li谩n)閹栦綆鍏嶇柅鐞冭泲鐧紾琛€鐧�锛屽父瑕嬭畩鐣版€у厤鐤己闄风梾锛屽厤鐤悆铔嬬櫧G浜為缂洪櫡鐥呯瓑銆傛偅鑰呰娉ㄦ剰澶氫紤鎭�锛岄伩鍏嶉亷搴︾殑鍕炵疮锛屼笉瑕侀暦鏅傞枔鐨勪箙绔�銆傞仼閬╃暥(d膩ng)?sh霉)鐢疯徆?锛岀劧鍚庢笡杓曢棞(gu膩n)绡€(ji茅)閮ㄤ綅鐨勮矤鎿�(d膩n)銆� 瑭虫儏
绱拌弻婧惰В鐢�(ch菐n)鐗╄啝鍥婅鏄庢浉涓殑涓嶈壇鍙嶆噳(y墨ng)鐧�(f膩)鐢熺巼鍦�3-4锛呯殑鑼冨湇 鍏�(n猫i)锛屽叾涓渶甯歌鐨勪笉鑹弽鎳�(y墨ng)鏈夎儍鑵搁亾绱婁簜(鎯″績銆佽吂 鐥�銆佸様鍚愶級锛岀毊鑶氬弽鎳�(y墨ng)锛堢柟銆佽晛楹荤柟锛�锛屽懠鍚搁亾涓嶉仼 锛堝挸鍡�銆佸懠鍚稿洶闆�銆佸摦鍠橈級浠ュ強涓€浜涗竴鑸父瑕嬬殑鍟忛锛堢櫦(f膩)鐔�銆佺柌鍕炪€侀亷鏁忓弽鎳�(y墨ng)锛�銆� 瑭虫儏
鍘婚惖閰墖鐨勬不鐧備綔鐢ㄨ〃鐝�(xi脿n)鏄洜浜鸿€岀暟鐨勶紝骞朵笖鍦ㄩ啱(y墨)闄㈠拰钘ュ簵鐨勫児鏍艰(gu墨)瀹氫篃骞朵笉鐩稿悓锛屽洜姝ょ浉闂�(gu膩n)鎮h€呰娉ㄦ剰閰嶅悎娌荤檪銆傚幓閻甸叜鐗囩敤浜庢不鐧傝€愬彈鎴栦笉鎰挎剰鎺ュ彈鐝�(xi脿n)鏈夎灟鍚堝姂娌荤檪鐨勯惖璨犺嵎閬庡鐨勫湴涓捣璨ц鎮h€�銆� 瑭虫儏
姣忎竴鍊嬭棩鍝侀兘鏈変笉鍚岀殑涓绘不浣滅敤锛屾牴鎿�(j霉)瑾槑鏇镐俊鎭彲浠ョ煡閬撴硾绂忚垝鐢ㄤ簬鍏嶇柅娌荤檪锛屽彲闋�(y霉)闃插懠鍚搁亾鐨勫弽寰�(f霉)鎰熸煋鍙婃參鎬ф敮姘g鐐庢€ユ€х櫦(f膩)浣�锛涘彲浣滅偤鎬ユ€у懠鍚搁亾鎰熸煋娌荤檪鐨勫悎骞剁敤钘�銆� 瑭虫儏
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绱拌弻婧惰В鐢�(ch菐n)鐗╄啝鍥婂児鏍肩浉灏嶄締瑾瘮杓冭泊锛屽洜姝ゆ湁闇€瑕佺殑鎮h€呭彲浠ュ埌鍏烽珨鐨勫钩鑷洪€茶鍜ㄨ鍜屼簡瑙�銆傜窗鑿屾憾瑙g敘(ch菐n)鐗╄啝鍥婄敤浜庡厤鐤不鐧�锛屽彲闋�(y霉)闃插懠鍚搁亾鐨勫弽寰�(f霉)鎰熸煋鍙婃參鎬ф敮姘g鐐庢€ユ€х櫦(f膩)浣�锛屽彲浣滅偤鎬ユ€у懠鍚搁亾鎰熸煋娌荤檪鐨勫悎骞剁敤钘ャ€� 瑭虫儏
闈炲竷鍙镐粬鐗囧湪鐩婅棩搴峰痉妯傚ぇ钘ユ埧鐨勫児鏍艰垏鍦ㄥ叾浠栧钩鑷虹殑鍍规牸鍙兘骞朵笉鐩稿悓锛屾墍浠ユ煇浜涙偅鑰呴兘鎳�(y墨ng)瑭茶鍏烽珨鍜ㄨ鍜屼簡瑙�銆傞潪甯冨徃浠栫墖閬╃敤浜庣棝棰�(f膿ng)鎮h€呴珮灏块吀琛€鐧ョ殑闀锋湡娌荤檪锛涗笉鎺ㄨ枽鐢ㄤ簬鐒¤嚚搴婄櫏鐙€鐨勯珮灏块吀琛€鐧�銆� 瑭虫儏
姘熸瘮娲涜姮鍑濊啝璨艰啅鍦ㄩ啱(y墨)闄互鍙婅棩搴楃殑鍍规牸閮芥渻瀛樺湪娉㈠嫊锛屽洜姝ゆ湁闇€瑕佺殑鎮h€呭彲浠ュ叿楂斿挩瑭㈠児鏍肩浉闂�(gu膩n)鐨勪俊鎭�锛屼篃鎳�(y墨ng)瑭茶鎺屾彙姝g⒑鐨勭敤娉曠敤閲�銆傛盁姣旀礇鑺嚌鑶犺布鑶忕敤浜庝笅鍒楃柧鐥呭強鐧ョ媭鐨勯幃(zh猫n)鐥�銆佹秷鐐�:楠ㄩ棞(gu膩n)绡€(ji茅)鐐庛€佽偐鍛ㄧ値銆佽倢鑵卞強鑵遍灅鐐庛€佽叡闉樺懆鍦嶇値銆佽偙楠ㄥ涓婇珌鐐�(缍�(w菐ng)鐞冭倶)銆佽倢鑲夌棝銆佸鍌锋墍鑷磋叓鑴�銆佺柤鐥�銆� 瑭虫儏
椤為ⅷ(f膿ng)婵曟€ч棞(gu膩n)绡€(ji茅)鐐庢偅鑰呰閰嶅悎閱�(y墨)鐢熺殑娌荤檪宸ヤ綔锛岄渶瑕佺⿳妤电殑鍘讳簡瑙g敤钘ヤ笂鐨勭窗绡€(ji茅)鍜屾柟妗�锛岃兘澶犺€愬績鐨勫幓鍋氬ソ铏曠悊涓婄殑宸ヤ綔銆傝壘鎷夎帿寰风墖娌荤檪娲诲嫊鎬ч棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐庯紝瑾槑鏇镐腑鐨勭敤娉曠敤閲忔槸鍙f湇锛屼竴娆�25mg 锛�1鐗囷級锛岄/鍚庢湇鐢紝涓€鏃�2娆�锛屾棭銆佹櫄鍚�1娆�銆� 瑭虫儏
钃夌敓闈滀笝锛堥潨娉ㄤ汉鍏嶇柅鐞冭泲鐧�(pH4)锛夋帹钖﹀姂閲忥細鍘熺櫦(f膩)鎬у厤鐤悆铔嬬櫧G缂洪櫡鐥咃細棣栨鍔戦噺鐐�400mg/kg楂旈噸锛涚董鎸佸姂閲忕偤200~400mg/kg楂旈噸/娆★紝绲﹁棩闁撻殧鏅傞枔瑕栫梾浜鸿娓匢gG姘村钩鍜岀梾鎯呰€屽畾锛屼竴鑸瘡鏈堜竴娆�?锛涢鍜傜秿r鍙仼鐣�(d膩ng)閫茶鎴跺閬嬪嫊锛屽閸涚厜韬珨锛屽寮疯韩楂旂殑楂旇唱(zh矛)銆� 瑭虫儏
鏄嗘槑灞辨捣妫犵墖鐢ㄦ硶鐢ㄩ噺鍙f湇锛屼竴娆�2鐗囷紝涓€鏃�3娆�銆傝鏄庢浉閲岄潰灏嶄簬钘ョ墿鐨勪娇鐢ㄦ柟娉曟槸鏈夎┏绱颁粙绱圭殑锛屾墍浠ヨ鏍规摎(j霉)韬珨鎯呮硜渚嗗皪鐧ョ敤钘�锛屽钩鏅備篃瑕佹敞鎰忛伩鍏嶉亷浜庡嫗绱殑鎯呮硜鍑虹従(xi脿n)锛岀暥(d膩ng)鐒跺ぇ瀹朵篃瑕佹敞鎰忛(y菐ng)鎴愬ソ鐨勯2椋熺繏(x铆)鎱o紝閫欐ǎ鍙互娓涘皯鐤剧梾鐨勭櫦(f膩)鐢�銆� 瑭虫儏
钃夌敓闈滀笝锛堥潨娉ㄤ汉鍏嶇柅鐞冭泲鐧�(pH4)锛変笉鑹弽鎳�(y墨ng)锛氫竴鑸劇涓嶈壇鍙嶆噳(y墨ng)銆傛サ鍊嬪垾鐥呬汉鍦ㄨ几娉ㄦ檪鍑虹従(xi脿n)涓€閬庢€ч牠鐥涖€佸績鎱�銆佹儭蹇冪瓑涓嶈壇鍙嶆噳(y墨ng)锛屽父甯歌垏杓告敞閫熷害閬庡揩鎴栧€嬮珨宸暟鏈夐棞(gu膩n)?锛涢鍜傜秿r瑕佹敞鎰忓浼戞伅锛屼繚璀夎嚜宸卞厖瓒崇殑鐫$湢鏅傞枔锛屾笡灏戠柌鍕炵瓑鐨勭櫏鐙€锛屾彁楂樿韩楂旂殑鍏嶇柅鍔�銆� 瑭虫儏
姝e搧淇濋殰 鏀惧績閬歌臣
鐢ㄨ棩鍏ㄧ▼鎸囧皫(d菐o)
寤犲鎺堟瑠(qu谩n) 姝e搧娓犻亾
瀹夊叏鏀惧績 闅辩閰嶉€�