闄�(y谩ng)鐥挎槸鐢锋€у父瑕�(ji脿n)鐨勬€у姛鑳介殰绀欏晱(w猫n)椤�锛岃惉(w脿n)鑹惧彲浣滅偤涓€绋父鐢ㄨ棩鐗�锛岄仼鐢ㄤ簬鍕冭捣鍔熻兘闅滅锛屼絾鍏剁敤閲忛渶鏍规摎(j霉)鍊�(g猫)楂旀儏娉佽(di脿o)鏁�銆傛湰鏂囧皣瑭崇窗(x矛)浠嬬垂钀�(w脿n)鑹惧彲鐨勭敤閲忓強浣跨敤娉ㄦ剰浜嬮爡(xi脿ng)锛屽公鍔╂偅鑰呮纰轰娇鐢ㄨ棩鐗�銆� 瑭虫儏
闄�(y谩ng)鐥挎槸鐢锋€у父瑕�(ji脿n)鐨勬€у姛鑳介殰绀欙紝甯屾剾(脿i)鍔涗綔鐐轰竴绋父鐢ㄧ殑娌荤檪钘ョ墿锛屽叾浣跨敤闇€璎�(j菒n)鎱�锛屽挨鍏舵槸灏�(du矛)浜庡績琛€绠$柧鐥呮偅鑰呫€傛湰鏂囧皣瑭崇窗(x矛)浠嬬垂蹇冭绠$柧鐥呮偅鑰呮槸鍚﹀彲浠ヤ娇鐢ㄥ笇鎰�(脿i)鍔�锛屽苟鎻愪緵涓€浜涘績鐞嗚(h霉)鐞嗗缓璀�锛屽公鍔╂偅鑰呮洿濂藉湴鎳�(y墨ng)灏�(du矛)闄�(y谩ng)鐥垮晱(w猫n)椤�銆� 瑭虫儏
蹇呭埄鍕侀仼鎳�(y墨ng)鐧ワ細蹇呭埄鍕侀仼鐢ㄤ簬娌荤檪绗﹀悎涓嬪垪鎵€鏈夋浠剁殑18鑷�64姝茬敺鎬ф棭娉勶紙PE锛夋偅鑰呫€傚皪(du矛)浜庣敺鎬ф棭娉勭柧鐥呯殑娌荤檪閭勬槸瑕侀伕鎿囨纰虹殑鏂规硶锛屽挨鍏舵槸娉ㄦ剰閬垮厤閬�(gu貌)搴︽墜娣瓑涓嶈壇鐨勭敓娲荤繏(x铆)鎱�锛岃绌嶆サ鐨勯厤鍚堥啱(y墨)鐢�銆� 瑭虫儏
蹇呭埄鍕佸叿楂旀湇鐢ㄦ檪(sh铆)闁撹閬靛緸閱�(y墨)鍥戦€�(j矛n)琛岀殑銆傜敤娉曠敤閲忎竴鑸彛鏈�銆傝棩鐗囨噳(y墨ng)瀹屾暣鐗囧悶涓�銆傚缓璀版偅鑰呰嚦灏戠敤涓€婊�(m菐n)鏉按閫佹湇钘ョ墿?锛涢閭�?y墨ng)鐩¢噺閬垮厤鏆堝帴鎴栭牠鏆堢瓑鍓嶉﹨(q奴)鐧ョ媭鎵€寮曡捣鐨勫彈鍌�銆� 瑭虫儏
鏈枃閲濆皪(du矛)鐢锋€ч櫧(y谩ng)鐥跨柧鐥�锛屾帰瑷庡仴闄�(y谩ng)鐗囩殑鐢ㄨ棩绱�(x矛)绡€(ji茅)锛屽鑲濊厧鍔熻兘涓嶅叏鑰呮厧鐢�锛屽繉鎴夸簨閬�(gu貌)搴︾瓑銆傞倓鎻愬埌鍏舵垚鍒嗗強鍔熻兘涓绘不銆傛偅闄�(y谩ng)鐥垮か濡昏澶氫氦娴�锛屾偅鑰呰鏀规帀涓嶈壇缈�(x铆)鎱o紝瑾�(di脿o)鏁存儏绶�锛屽姞寮�(qi谩ng)閸涚厜銆� 瑭虫儏
蹇呭埄鍕佺蹇岋細蹇呭埄鍕佺姝㈢敤浜庡凡鐭ュ皪(du矛)楣介吀閬�(d谩)娉婅タ姹€鎴栦换浣曡紨鏂欓亷(gu貌)鏁忕殑鎮h€呫€傚繀鍒╁媮绂佹鐢ㄤ簬蹇冭嚐鏈夋槑椤梾鐞嗙媭娉佺殑鎮h€匸渚嬪蹇冨姏琛扮(NYHAII-IV绱�(j铆))銆� 瑭虫儏
鐢熺簿鐗囧姛鑳戒富娌伙細瑁�(b菙)鑵庣泭绮�锛屾粙闄板/闄�(y谩ng)銆傜敤浜庤厧闄�(y谩ng)涓嶈冻鎵€鑷磋叞鑶濋吀杌燂紝闋殘鑰抽炒锛岀鐤蹭箯鍔涳紝鐢峰瓙鐒�(w煤)绮�銆佸皯绮俱€佸急绮�銆佺簿娑蹭笉娑插寲绛�銆� 瑭虫儏
娴锋槅鑵庡枩鑶犲泭鏈嶇敤鏅�(sh铆)寤鸿姣忔2绮掞紝涓€鏃�3娆�锛�2鍊�(g猫)鏈堢偤涓€鍊�(g猫)鐧傜▼?锛涢鍜磋盁鐩熷工闄俫鎳�(y墨ng)娉ㄦ剰椋查瑾�(di脿o)鐞�锛岄伩鍏嶆毚椋叉毚椋�锛屾帶鍒惰澹撳拰琛€绯栵紝骞朵繚鎸佸厖瓒崇殑浼戞伅鍜岄仼鐣�(d膩ng)?sh霉)鍊猏(y霉n)鍕�(d貌ng)銆� 瑭虫儏
淇濆垪娌绘敞鎰忎簨闋�(xi脿ng)锛氫竴鑸敞鎰忎簨闋�(xi脿ng)锛氫娇鐢ㄤ繚鍒楁不鍓嶆噳(y墨ng)闄ゅ鍜岃壇鎬у墠鍒楄吅澧炵敓锛圔PH锛夐(l猫i)浼肩殑鍏朵粬鐤剧梾锛屽鎰熸煋銆佸墠鍒楄吅鐧屻€佸翱閬撶嫻绐�銆佽唨鑳变綆寮靛姏銆佺缍�(j墨ng)婧愭€� 瑭虫儏
鍙冭尭寮�(qi谩ng)鑵庣墖鏄竴绋彲浠ョ敤浜庨櫧(y谩ng)鐥�銆佹棭娉�銆佷笉瀛曚笉鑲�銆佽厧闄�(y谩ng)铏涚瓑鐤剧梾鐨勬不鐧傦紝骞朵笖鍏锋湁瑁�(b菙)鑵庡/闄�(y谩ng)鐨勫姛鏁�銆備絾鎮h€呮湇钘ュ墠鎳�(y墨ng)鍏堝挩瑭�(x煤n)閱�(y墨)鐢�锛岀劧鍚庡悎鐞嗙敤钘ワ紝鍥�?y脿n)姗涚洘骞夊垝?d膩ng)涓嶅儏鏈�(hu矛)绶╄В鐤剧梾鐧ョ媭銆� 瑭虫儏
閫欏€�(g猫)鏄竴绋仼鐢ㄤ簬娌荤檪鐢锋€у媰璧峰姛鑳介殰绀欑殑钘ョ墿锛屽湪闄�(y谩ng)鐥跨殑娌荤檪涓櫦(f膩)鎻憲閲嶈浣滅敤鐨勮棩鐗╀箣涓€锛屽皪(du矛)浜庤棩鐗╄姝g⒑閫�(j矛n)琛屼娇鐢ㄦ墠琛屻€� 瑭虫儏
鏃╂硠褰遍熆鐢锋€у仴搴疯垏蹇冩厠(t脿i)锛屽繀鍒╁媮閬╃敤浜庣壒瀹氭浠朵笅 18 鑷� 64 姝茬敺鎬ф棭娉勬偅鑰�?锛涢鍜€搭悵_灏�(du矛)寰呮€х敓娲伙紝鏈嶅繀鍒╁媮鏈熼枔椁�(y菐ng)鎴愬ソ缈�(x铆)鎱�锛屽弮鍔犳椿鍕�(d貌ng)銆侀崨鐓夈€侀2椋熸竻娣�銆傛棭娉勬偅鑰呭爡(ji膩n)鎸佹不鐧�锛屼簡瑙i爯(y霉)闃茶(h霉) 瑭虫儏
鐤忚倽鐩婇櫧(y谩ng)鑶犲泭鏄竴鍊�(g猫)涓垚钘�锛屼富瑕佺殑鎴愬垎鍦ㄨ(shu艒)鏄庢浉(sh奴)閲岄潰閮芥湁浠嬬垂銆傜枏鑲濈泭闄�(y谩ng)鑶犲泭鐢ㄦ硶鐢ㄩ噺鏄彛鏈嶏紝涓€娆�4绮�锛屼竴鏃�3娆★紝4鍛ㄧ偤涓€鐧傜▼锛涙湰鍝佺偤鑶犲泭鍔�锛屽収(n猫i)瀹圭墿鐐烘瑜愯壊椤嗙矑锛涙埃寰叆锛屽懗婢€銆佸捀銆� 瑭虫儏
钘ュ搧鐨勬垚鍒嗚垏鍔熸晥涔嬮枔鐨勯棞(gu膩n)绯绘槸绶婂瘑鐨�锛岄€氶亷(gu貌)瑾�(shu艒)鏄庢浉(sh奴)鐨勫収(n猫i)瀹硅兘澶犱簡瑙i噾铓х墖鎴愪唤鏈夐噾娅诲瓙銆佽洡铓�銆佹帆缇婅椏銆侀煭鑿滃瓙銆佸北鑼辫惛锛岀敤浜庤厧闄�(y谩ng)铏涘紩璧风殑鎬ф娓涢€€銆侀櫧(y谩ng)鐥裤€侀伜绮�銆佹棭娉勩€佸灏�銆佸皬渚夸綑鐎�銆佺櫧甯堕亷(gu貌)澶�銆佽叞鑶濋吀杌�銆� 瑭虫儏
甯屾剾(脿i)鍔涚敤娉曠偤涓嶅彈閫�(j矛n)椋熷奖闊�锛屾寜闇€鏈嶇敤璧峰鍔戦噺 10mg锛屼緷鍊�(g猫)楂旀儏娉佸彲瑾�(di脿o)鏁村姂閲忋€傛不鐧傝┎鐤剧梾瑕侀伕鎿囨纰烘柟娉�锛屾敼鎺変笉鑹敓娲绘柟寮�锛岄仼搴︿紤鎭�锛岄厤鍚堟不鐧傚師鐧�(f膩)鐤剧梾銆� 瑭虫儏
鐖藉害鏄竴鍊�(g猫)鍙互鐢ㄤ簬闄�(y谩ng)鐥跨殑钘ョ墿锛屽苟涓斿皪(du矛)浜庡ぇ澶氭暩(sh霉)鎮h€呬締(l谩i)瑾�(shu艒)锛屽垵濮嬬敤钘ュ姂閲忕偤10姣厠銆傜埥搴﹁棩鐞嗕綔鐢ㄦ槸鎬у埡婵€閬�(gu貌)/绋嬩腑锛岄櫚鑾栧洜闄拌帠鍕�(d貌ng)鑴堝拰闄拌帠娴风犊楂斿钩婊戣倢鏉惧紱寮曡捣闄拌帠琛€娴佸鍔犺€屽媰璧枫€� 瑭虫儏
鍙冭尭寮�(qi谩ng)鑵庣墖鎴愪唤锛氫汉鍙�銆侀箍鑼�銆侀箍闉�銆佺墰闉€佹捣鐙楄厧銆侀粌鑺�銆佺暥(d膩ng)姝�銆佽倝钃搲銆侀櫧(y谩ng)璧风煶銆佹灨鏉炲瓙銆佹潨鑵€侀粦闋嗙墖銆佽幀绲插瓙銆佺啛鍦伴粌銆佹帆缇婅椏銆侀煭鑿滃瓙銆� 瑭虫儏
绌嶉洩鑻风墖鍔熻兘涓绘不锛氭湁淇冮€�(j矛n)鍓�(chu脿ng)鍌锋剤鍚堜綔鐢�銆傜敤浜庢不鐧傚鍌�銆佹墜琛�(sh霉)鍓�(chu脿ng)鍌�銆佺噿鍌�銆佺枻鐥曠枡鐦╁強纭毊鐥�銆傜枻鐥曠殑淇京(f霉)鏂规硶瑕佽(j菒n)鎱庣殑閬告搰锛屽缓璀拌鍏堝挩瑭�(x煤n)涓€涓嬮啱(y墨)鐢�锛岄伕鎿囨瑕�(gu墨)鐨勯啱(y墨)闄㈤€�(j矛n)琛屼慨寰�(f霉)銆� 瑭虫儏
钀�(w脿n)鑹惧彲鐢ㄦ硶鐢ㄩ噺锛氬皪(du矛)澶у鏁�(sh霉)鎮h€�锛屾帹钖﹀姂閲忕偤50姣厠锛屽湪鎬ф椿鍕�(d貌ng)鍓嶇磩1灏忔檪(sh铆)鎸夐渶鏈嶇敤锛涗絾鍦ㄦ€ф椿鍕�(d貌ng)鍓�0.5鈥斺€�4灏忔檪(sh铆)鍏�(n猫i)鐨勪换浣曟檪(sh铆)鍊欐湇鐢ㄥ潎鍙€� 瑭虫儏
閹栭櫧(y谩ng)瑁�(b菙)鑵庤啝鍥婂姛鑳戒富娌伙細瑁�(b菙)鑵庡/闄�(y谩ng)锛屽~绮惧浐鐪熴€傜敤浜庤厧闄�(y谩ng)铏涙垨鑵庨櫚铏涘紩璧风殑闄�(y谩ng)钀�銆侀伜绮俱€佹棭娉勭瓑鐧�銆傚皪(du矛)浜庣敺鎬ч櫧(y谩ng)鐥挎偅鑰呰閬告搰姝h(gu墨)鐨勯啱(y墨)闄㈤€�(j矛n)琛岀柧鐥呯殑娌荤檪锛屽钩鏅�(sh铆)鏇磋閲嶈涓€浜涚敓娲讳腑鐨勭窗(x矛)绡€(ji茅)锛屽緸鑹ソ鐨勭繏(x铆)鎱i枊(k膩i)濮嬨€� 瑭虫儏
姝e搧淇濋殰 鏀惧績閬歌臣(g貌u)
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€�