璩肩墿淇濋殰
鏀粯鏂瑰紡
閰嶉€佹湇鍕�(w霉)
鍞悗鏈嶅嫏(w霉)
闂�(gu膩n)浜庢垜鍊�
楂樿澹撹純甯歌锛岃绌嶆サ鐨勭敤钘�锛岃€屽ェ缇庢矙鍧﹂叝鐗囬仼鐢ㄤ簬楂樿澹撶殑娌荤檪锛涘叾娆¤棩鐗╅亷閲忥細浜洪珨钘ョ墿閬庨噺鐨勮硣鏂欐湁闄�锛岃棩鐗╅亷閲忔渶鍙兘鐨勮〃鐝�(xi脿n)鏄綆琛€澹撳拰蹇冨嫊閬庨€�锛涘鏋滃壇浜ゆ劅绁炵稉(j墨ng)绯荤当(t菕ng)锛堣糠璧扮缍�(j墨ng)锛夎垐濂彲鑳芥渻鍑虹従(xi脿n)蹇冨嫊閬庣珐锛涘鏋滃嚭鐝�(xi脿n)鐧ョ媭鎬т綆琛€澹�锛屾噳(y墨ng)瑭茬郸浜堥仼鐣�(d膩ng)娌荤檪鍙婃敮鎸佹不鐧�锛涘ェ缇庢矙鍧︽槸鍚﹀彲浠ラ€氶亷琛€娑查€忔瀽娓呴櫎灏氭湭鐭�銆� 瑭虫儏
楂樿澹撳彲浠ョ敤濂х編娌欏潶閰墖锛屽叾鐢ㄦ硶鐢ㄩ噺锛氬姂閲忔噳(y墨ng)鍊嬮珨鍖�锛涗綔鐐哄柈涓€娌荤檪鐨勮棩鐗�锛岄€氬父鎺ㄨ枽璧峰鍔戦噺鐐�20 mg锛屾瘡鏃�1娆�锛涘皪缍�(j墨ng)2鍛ㄦ不鐧傚悗浠嶉渶閫�(j矛n)涓€姝ラ檷浣庤澹撶殑鎮ｈ€�锛屽姂閲忓彲澧炶嚦40 mg锛涘姂閲忓ぇ浜�40 mg鏈’绀哄嚭鏇村ぇ鐨勯檷澹撴晥鏋�锛涚暥(d膩ng)鏃ュ姂閲忕浉鍚屾檪锛屾瘡鏃�2娆＄郸钘ヨ垏姣忔棩1娆＄郸钘ョ浉姣旀矑鏈夐’绀哄嚭鍎�(y艒u)瓒婃€�銆� 瑭虫儏
鑻：閰告皑姘湴骞崇墖澶у鏁�(sh霉)涓嶈壇鍙嶆噳(y墨ng)鏄紩涓害鐨�锛涘父瑕嬬殑涓嶈壇鍙嶆噳(y墨ng)鏄牠鐥涘拰姘磋叓锛涚櫦(f膩)鐢熺巼1锛呯殑鍔戦噺鐩搁棞(gu膩n)鎬т笉鑹弽鎳�(y墨ng)濡備笅锛氭按鑵�銆侀牠鏆�銆佹疆绱呭拰蹇冩偢銆傚ぇ閮ㄥ垎鐨勬偅鑰呭湪姝ｇ⒑鏈嶇敤钘ョ墿鐨勯亷绋嬬暥(d膩ng)涓�锛岃嚜韬墍鍑虹従(xi脿n)鐨勪笉鑹弽鎳�(y墨ng)鎯呮硜锛屽皪浜庢甯哥殑鐢ㄨ棩涓嶆渻鐢�(ch菐n)鐢熷奖闊垮彲浠ュ爡鎸佸幓鏈嶇敤钘ョ墿銆� 瑭虫儏
楂樿澹撶梾鐧ラ渶瑕佺⿳妤电殑娌荤檪锛岃€岃嫰纾洪吀姘ㄦ隘鍦板钩鐗囨不鐧傞珮琛€澹撶殑璧峰鍔戦噺鐐�5mg锛屾瘡鏃ヤ竴娆�锛屾渶澶у姂閲忕偤10mg锛屾瘡鏃ヤ竴娆�锛涜韩鏉愬皬銆佽櫅寮�銆佽€佸勾銆佹垨浼磋倽鍔熻兘涓嶅叏鎮ｈ€�锛岃捣濮嬪姂閲忕偤2.5mg锛屾瘡鏃ヤ竴娆�锛涙鍔戦噺涔熷彲鐐烘湰鍝佽伅(li谩n)鍚堝叾瀹冩姉楂樿澹撹棩鐗╂不鐧傜殑鍔戦噺銆� 瑭虫儏
楂樿澹撻渶瑕佸爡鎸佺敤钘ユ不鐧傦紝鑰岃嫰纾洪吀姘ㄦ隘鍦板钩鐗囨不鐧傞珮琛€澹撶殑璧峰鍔戦噺鐐�5mg锛屾瘡鏃ヤ竴娆★紝鏈€澶у姂閲忕偤10mg锛屾瘡鏃ヤ竴娆�锛涜韩鏉愬皬銆佽櫅寮�銆佽€佸勾銆佹垨浼磋倽鍔熻兘涓嶅叏鎮ｈ€�锛岃捣濮嬪姂閲忕偤2.5mg锛屾瘡鏃ヤ竴娆★紱姝ゅ姂閲忎篃鍙偤鏈搧鑱�(li谩n)鍚堝叾瀹冩姉楂樿澹撹棩鐗╂不鐧傜殑鍔戦噺銆� 瑭虫儏
鎷滄柊鍚屾敞鎰忎簨闋�(xi脿ng)灏嶄簬蹇冨姏琛扮鍙婂毚(y谩n)閲嶄富鍕曞姏鑴堢摚鐙圭獎鐨勬偅鑰�锛岀暥(d膩ng)琛€澹撳緢浣庢檪锛堟敹绺<90mmHg鐨勫毚(y谩n)閲嶄綆琛€澹擄級锛屾湇鐢ㄦ湰鍝佹噳(y墨ng)鍗佸垎鎱庨噸銆傚缓璀版偅鑰呰鍚堢悊鐨勪娇鐢ㄨ棩鐗�锛岀劧鍚庢寜鐓ч啱(y墨)甯粙绱圭殑鏂规硶浣跨敤钘ョ墿銆� 瑭虫儏
绲�(lu貌)娲诲枩鍙互鍦ㄧ泭钘ュ悍寰锋▊澶ц棩鎴胯卜钘ョ墿锛岄€欏€嬭棩鎴垮爆浜庢瑕�(gu墨)鐨�锛屽湪鍏ㄥ湅寰堝鍦版柟閮芥湁鍒嗗簵璩艰卜鏄瘮杓冩柟渚跨殑锛岄€欓噷璨峰埌鐨勮棩鐗╅珮琛€澹撶殑鎮ｈ€呰兘鏀惧績浣跨敤銆傝棩鐗╄卜鍥炰締涔嬪悗涓嶈兘鐩茬洰浣跨敤锛岃鎺屾彙鍏烽珨鐨勭敤娉曠敤閲�锛岀劧鍚庡皪鐧ョ敤钘�銆� 瑭虫儏
楣介吀鎷夎矟娲涚埦鐗囦綔鐐轰竴绋父鐢ㄧ殑钘ョ墿鍙楀埌寤ｆ硾闂�(gu膩n)娉紝楣介吀鎷夎矟娲涚埦鐗囩敤娉曠敤閲忔槸鍙ｆ湇銆備竴娆�100mg锛�2鐗囷級锛屾瘡鏃�2-3娆�锛�2-3澶╁悗鏍规摎(j霉)闇€瑕佸姞閲�銆傚父鐢ㄧ董鎸侀噺鐐�200-400mg锛�4-8鐗囷級锛屾瘡鏃�2娆°€傞／鍚庢湇銆傛サ閲忔瘡鏃�2400mg锛�48鐗囷級銆傜敤钘ユ湡闁撴敞鎰忓毚(y谩n)鏍奸伒閱�(y墨)鍥�锛屼笉鍙洸鐩娇鐢�銆� 瑭虫儏
鍊嶅崥鐗逛笉鑹弽鎳�(y墨ng)閫氬父杓曞井涓旂煭鏆�锛屽彧鏈夋サ灏戞暩(sh霉)鎯呮硜涓嬮渶瑕佸仠钘ワ紱涓嶈壇鍙嶆噳(y墨ng)鐨勭附楂旂櫦(f膩)鐢熺巼鐐洪潪鍔戦噺渚濊炒鎬т笖鑸囨€у垾銆佸勾榻″拰绋棌鍧囩劇闂�(gu膩n)锛涘湪瀹夋叞鍔戝皪鐓х殑鑷ㄥ簥鐮旂┒涓�锛岀簣娌欏潶姘ㄦ隘鍦板钩鐗囨不鐧傜祫鏈�1.8锛呯殑鎮ｈ€呯敱浜庡壇浣滅敤鑰屽仠钘�锛屽畨鎱板姂绲勪腑姝ゆ偅鑰呮瘮渚嬬偤2.1锛�锛屾渶甯歌鐨勫仠钘ュ師鍥�?y脿n)姗ュ旱鑺╊啗[(0.4锛�)鍜岀湬鏆�(0.2锛�)銆� 瑭虫儏
瀹夊崥璜鹃洊鐒舵槸涓€绋父瑕嬬殑钘ョ墿锛屼絾骞朵笉閬╁悎鎵€鏈変汉缇�銆傚畨鍗氳鍘勮矟娌欏潶姘隘鍣诲棯鐗囩蹇屾槸鎳峰瓡鐨勭4鑷崇9鍊嬫湀锛堣[瀛曞│鍙婂摵涔虫湡濠﹀コ鐢ㄨ棩]锛�銆傚摵涔虫湡锛堣[瀛曞│鍙婂摵涔虫湡濠﹀コ鐢ㄨ棩]锛夈€備换浣曡棩鐗╃殑浣跨敤閮芥噳(y墨ng)鍦ㄥ皥妤�(y猫)鎸囧皫(d菐o)涓嬮€�(j矛n)琛�锛屽垏鍕胯嚜琛岃(di脿o)鏁村姂閲忔垨鍋滆棩銆� 瑭虫儏
绲�(lu貌)娲诲枩娉ㄦ剰浜嬮爡(xi脿ng)鏄瘮杓冨鐨�锛屾湁浜涗汉鐢ㄩ噺閬庡鍙兘鏈冨嚭鐝�(xi脿n)浣庤澹擄紝鐣�(d膩ng)鐒跺鏋滄湁涓€浜涘熀绀�(ch菙)鐤剧梾鐨勪汉涔熻璎�(j菒n)鎱庣敤钘�锛屽鏋滅敤钘ヤ笉澶ф渻灏嶅仴搴烽€犳垚褰遍熆鐨�锛屾墍浠ヨ閰嶅悎閱�(y墨)甯締鐢ㄨ棩瑾�(di脿o)鐞�锛岄倓瑕侀(y菐ng)鎴愬ソ鐨勭敓娲荤繏(x铆)鎱ｄ締閫�(j矛n)琛岄珮琛€澹撶殑闋�(y霉)闃�銆� 瑭虫儏
鑻：閰告皑姘湴骞崇墖鏄鍛ㄥ嫊鑴堟摯(ku貌)寮靛姂锛岀洿鎺ヤ綔鐢ㄤ簬琛€绠″钩婊戣倢锛岄檷浣庡鍛ㄨ绠￠樆鍔�锛屽緸鑰岄檷浣庤澹擄紱娌荤檪楂樿澹撶殑璧峰鍔戦噺鐐�5mg锛屾瘡鏃ヤ竴娆�锛屾渶澶у姂閲忕偤10mg锛屾瘡鏃ヤ竴娆�锛涜韩鏉愬皬銆佽櫅寮�銆佽€佸勾銆佹垨浼磋倽鍔熻兘涓嶅叏鎮ｈ€咃紝璧峰鍔戦噺鐐�2.5mg锛屾瘡鏃ヤ竴娆�锛涙鍔戦噺涔熷彲鐐烘湰鍝佽伅(li谩n)鍚堝叾瀹冩姉楂樿澹撹棩鐗╂不鐧傜殑鍔戦噺銆� 瑭虫儏
鎷滄柊鍚屽彲浠ュ湪鐩婅棩搴峰痉妯傚ぇ钘ユ埧璩艰卜钘ョ墿锛岄€欓噷璨疯棩鐗╁児鏍间笂鐩稿皪姣旇純渚垮疁锛岃卜鍥炰締鐨勮棩鐗╄閰嶅悎閱�(y墨)甯€�(j矛n)琛屼娇鐢�銆傜暥(d膩ng)鐒跺钩鏅傜殑鐢熸椿涓篃瑕佸仛濂界柧鐥呯殑闋�(y霉)闃插伐浣�锛屾瘮濡傝娉ㄦ剰鍚冧竴浜涙竻娣＄殑椋熺墿锛岄亷鍜哥殑椋熺墿鏄笉寤鸿鍚冪殑锛岃€屼笖瑕佸閬�(y霉n)鍕曟帶鍒堕珨閲�锛岄伩鍏嶈韩楂旇偉鑳�锛岄€欐ǎ灏嶉珮琛€澹撲篃鏈夐爯(y霉)闃蹭綔鐢�銆� 瑭虫儏
鎷滄柊鍚岀泭钘ュ悍寰锋▊澶ц棩鎴跨洰鍓嶆槸鏈夐姺鍞殑锛屽缓璀伴渶瑕佺殑浜鸿鍦ㄦ瑕�(gu墨)鐨勫ぇ钘ユ埧璩艰卜姝ｈ(gu墨)閫斿緫璨峰洖鐨勮棩鐗�锛屽児鏍煎搧璩�(zh矛)鏈変繚闅�锛屾偅鑰呬篃鑳芥斁蹇冧娇鐢ㄧ殑銆傝卜鍥炰締鐨勮棩鐗╄閰嶅悎閱�(y墨)甯粙绱圭殑鏂规硶鎿嶄綔锛屽钩鏅傞倓瑕侀仼鐣�(d膩ng)?sh霉)鍊猏(y霉n)鍕�锛岀暥(d膩ng)鐒朵篃瑕佹敞鎰忔纰虹殑椋查锛岄€欐ǎ鍙互娓涘皯鐤剧梾鐧�(f膩)鐢�銆� 瑭虫儏
鎮ｈ€呭彲浠ュ湪鐩婅棩搴峰痉妯傚ぇ钘ユ埧璩艰卜閫欏€嬭棩鐗╋紝鍥�?y脿n)妯佃皩鐝栴増鏆姀鍤匱搴楅兘鏈夐姺鍞�銆傜怠(lu貌)娲诲枩涓€鑸殑鍔戦噺瑾�(di脿o)鏁存噳(y墨ng)鍦�7-14澶╁悗闁嬪閫�(j矛n)琛�锛涘鑷ㄥ簥闇€瑕�锛屽湪灏嶆偅鑰呴€�(j矛n)琛屽毚(y谩n)瀵嗙洠(ji膩n)娓殑鎯呮硜涓�锛屽彲鏇村揩鍦伴€�(j矛n)琛屽姂閲忚(di脿o)鏁淬€� 瑭虫儏
鍊嶅崥鐗硅鏄庢浉鐢ㄦ硶鐢ㄩ噺锛氬湪姣忔棩涓€娆＄簣娌欏潶姘ㄦ隘鍦板钩鐗囨不鐧傜殑鑷ㄥ簥瑭﹂(y脿n)涓紝浣跨敤5mg-10mg鐨勬皑姘湴骞冲拰80mg-320mg鐨勭簣娌欏潶锛岄檷澹撶檪鏁堥毃钁楀姂閲忓崌楂樿€屽鍔�銆傚湪娌荤檪涓棩鐗╁瓨鍦ㄦ湁涓嶈壇鍙嶆噳(y墨ng)锛屼笉閬庝笉鑹弽鎳�(y墨ng)閫氬父杓曞井涓旂煭鏆�锛屽彧鏈夋サ灏戞暩(sh霉)鎯呮硜涓嬮渶瑕佸仠钘�锛涙渶甯歌鐨勫仠钘ュ師鍥�?y脿n)姗ュ旱鑺╊啗[(0.4锛�)鍜岀湬鏆�(0.2锛�)銆� 瑭虫儏
绲�(lu貌)娲诲枩鑳藉惁鍫遍姺瑕佸埌鐣�(d膩ng)?sh霉)姘愬凹t(y墨)闄㈡垨鑰呮槸钘ュ簵鍘诲挩瑭紝寤鸿闇€瑕佺殑浜哄彲浠ラ伕鎿囧湪姝ｈ(gu墨)钘ュ簵璩艰卜锛屾瘮濡傜泭钘ュ悍寰锋▊澶ц棩鎴挎湁閵峰敭锛岄€欓噷璨疯棩鐗╂偅鑰呰兘鏀惧績浣跨敤銆傝卜鍥炰締鐨勮棩鐗╀篃瑕佹敞鎰忚鍦ㄥ皥妤�(y猫)閱�(y墨)甯殑鎸囧皫(d菐o)涓嬮€�(j矛n)琛屾搷浣�锛屽钩鏅備篃瑕佹牴鎿�(j霉)鐥呮儏渚嗗仛濂介爯(y霉)闃�銆� 瑭虫儏
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钘ュ搧鐨勯€氱敤鍚嶅拰鍟嗗搧鍚嶄竴鑸槸涓嶄竴妯ｇ殑锛屾偅鑰呮湅鍙嬫噳(y墨ng)瑭茶澶氶棞(gu膩n)娉ㄨ鏄庢浉鐨勫収(n猫i)瀹�锛屽洜姝よ兘澶犵煡閬撴嫓鏂板悓瑕侀伄鍏夛紝30鈩冧互涓嬪瘑灏佷繚瀛�锛屽緸閶佸鏉夸腑鍙栧嚭鍚庢噳(y墨ng)绔嬪嵆鏈嶇敤锛涘皣钘ュ搧缃簬鍏掔瑙稿強涓嶅埌鐨勫湴鏂�銆� 瑭虫儏
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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€�
