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鏀粯鏂瑰紡
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鍞悗鏈嶅嫏(w霉)
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浜虹簴缍泲鐧藉師钘ョ墿鐩镐簰浣滅敤锛氫笉鍙垏鍏朵粬钘ョ墿鍚屾檪(sh铆)鍚堢敤銆傚湪娌荤檪閬�(gu貌)绋嬩腑锛屾偅鑰呰瀵嗗垏閰嶅悎閱�(y墨)鐢熺殑鎸囧皫(d菐o)鍜屽缓璀帮紝鎸夋檪(sh铆)鎸夐噺鏈嶈棩锛屽畾鏈熷京(f霉)鏌ヨ兘澶犲強鏅�(sh铆)浜嗚В鐥呮儏璁婂寲銆傚悓鏅�(sh铆)涔熻娉ㄦ剰瑾�(di脿o)鏁寸敓娲绘柟寮�锛屼繚鎸佽壇濂界殑浣滄伅缈�(x铆)鎱ｏ紝鍚堢悊瀹夋帓涓€鏃ヤ笁椁愯喅椋�锛岄仼搴﹂亱(y霉n)鍕�(d貌ng)锛屽寮�(qi谩ng)韬珨鎶垫姉鍔�銆� 瑭虫儏
浜虹簴缍泲鐧藉師鎬х媭:鏈棩鍝佺偤鐏扮櫧鑹叉垨娣￠粌鑹茬枏鏉鹃珨锛屽京(f霉)婧跺悗鎳�(y墨ng)鐐烘緞鏄庢憾娑�锛屽彲甯惰紩寰钩鍏夈€傜敱姝ゅ彲瑕�(ji脿n)鏈棩鍝佸付杓曞井涔冲厜鏄爆浜庢?锛孎(xi脿n)璞★紝骞朵笉褰遍熆浣跨敤锛屼絾姝ｇ⒑鐨勭敤钘ユ柟寮忔偅鑰呰鍦ㄩ啱(y墨)鐢熺殑鎸囧皫(d菐o)涓嬮€�(j矛n)琛�锛屼篃瑕佸鍙冭€冭(shu艒)鏄庢浉(sh奴)鍏�(n猫i)瀹�锛屾寜鐓ч啱(y墨)鐢熻姹備締(l谩i)闈堟椿鎳�(y墨ng)灏�(du矛)鍟�(w猫n)椤屻€� 瑭虫儏
璜炬濡ワ紙娌欏韩(k霉)宸存洸绾堟矙鍧﹂垑鐗囷級鍏掔鐢ㄨ棩锛氬皻鏈⒑瀹氳娆ｅΕ鍦�18姝蹭互涓嬪厭绔ユ偅鑰呬腑鐨勫畨鍏ㄦ€у拰鏈夋晥鎬�銆傚湪骞虫檪(sh铆)瀹堕暦(zh菐ng)鍜岀洠(ji膩n)璀�(h霉)浜烘噳(y墨ng)鍋氬ソ钘ュ搧鐨勪繚绠″伐浣�锛岀⒑淇濆厭绔ョ劇(w煤)娉曟帴瑙稿埌璜炬濡ョ瓑钘ュ搧锛岄伩鍏嶈鏈嶆垨閬�(gu貌)閲忔湇鐢ㄥ皫(d菐o)鑷寸殑鍤�(y谩n)閲嶅悗鏋�銆� 瑭虫儏
鎵樹紣鏅潶鐗� 鐨勪紒妤�(y猫)鍚嶇ū(ch膿ng)鏄禉姹熷ぇ鍐㈠埗钘ユ湁闄愬叕鍙�锛岀敓鐢�(ch菐n)鍦板潃鏄禉姹熺渷鑷ㄥ畨甯傞對鍗楄閬撲笂鍗︾晥1铏�(h脿o)銆傚緸鐢熺敘(ch菐n)寤犲鍙互鐭ラ亾鏈棩鍝佹槸涓€鍊�(g猫)鍦�(gu贸)鐢�(ch菐n)钘ョ墿锛屼絾鏄篃鏄竴鍊�(g猫)铏曟柟钘ョ墿锛屾噳(y墨ng)瑭插湪閱�(y墨)鐢熺殑鎸囧皫(d菐o)涓嬬敤浜庣柧鐥呬汉缇�銆� 瑭虫儏
瑗挎礇浠栧攽鐗囦富瑕佺敤浜庢不鐧傛參鎬у嫊(d貌ng)鑴堥枆濉炵櫏寮曠櫦(f膩)鐨勭己琛€鎬х櫏鐙€锛屽娼扮槏銆佽偄鐥涚瓑锛岄倓鍙爯(y霉)闃查潪蹇冩簮鎬ц叇姊楁鐨勫京(f霉)鐧�(f膩)銆傚ぇ閲忔偅鑰呬娇鐢ㄥ悗鐥呮儏寰楀埌鏀瑰杽锛屾參鎬у嫊(d貌ng)鑴堥枆濉炵櫏鎮ｈ€呯殑鐧ョ媭绶╄В锛岀敓娲昏唱(zh矛)閲忔彁楂�锛涜叇姊楁鎮ｈ€呮寜閱�(y墨)鍥戞湇钘ュ彲闄嶄綆寰�(f霉)鐧�(f膩)棰�(f膿ng)闅�(xi菐n)锛岀附楂旂檪鏁堣純濂�锛屼絾涓嶅悓鎮ｈ€呰(ji脿n)鏁堟檪(sh铆)闁撳瓨鍦ㄥ樊鐣�銆� 瑭虫儏
鍑辨檪(sh铆)鍓嶅垪鍦扮埦娉ㄥ皠娑蹭富瑕佹垚鍒嗘槸鍓嶅垪鍦扮埦锛岃兘鎿�(ku貌)寮佃绠�銆佹姂鍒惰灏忔澘鑱氶泦銆傚畠閲囩敤鐛�(d煤)鐗规妧琛�(sh霉)灏囧墠鍒楀湴鐖惧皝鍏ヨ剛寰悆锛岄檷浣庡湪鑲洪儴澶辨椿鐜�锛屾笡灏戝壇浣滅敤銆備富瑕佺敤浜庢不鐧傛參鎬у嫊(d貌ng)鑴堥枆濉炵櫏寮曡捣鐨勫洓鑲㈡桨鐦嶅強鐩搁棞(gu膩n)鐤肩棝锛岀檪鏁堝劒(y艒u)浜庡墠鍒楀湴鐖剧矇閲濆姂锛屼絾鍤�(y谩n)閲嶅績琛般€佸瓡濠︾瓑浜虹兢绂佹浣跨敤锛岄儴鍒嗘偅鑰呴渶鎱庣敤銆� 瑭虫儏
鏇挎牸鐟炴礇鐗囧彛鏈嶇郸钘�锛岄／鍓嶉／鍚庡潎鍙�銆傝捣濮嬪姂閲忕偤鍠璨�(f霉)鑽烽噺 180mg锛�90mg脳2 鐗囷級锛屾鍚庢瘡娆� 1 鐗囷紙90mg锛�锛屾瘡鏃� 2 娆�锛岄€氬父闇€鑸囬樋鍙稿尮鏋楄伅(li谩n)鍚堢敤钘�銆備笉鍙互闅ㄦ剰瑾�(di脿o)鏁村姂閲忥紝涓嶅悓鐗规畩浜虹兢锛堝 80 姝插強浠ヤ笂銆佽厧鍔熻兘鍙楁悕绛夛級鏈変笉鍚岀殑鎺ㄨ枽鍔戦噺锛岄渶鐢遍啱(y墨)鐢熸牴鎿�(j霉)鍏烽珨鎯呮硜鍒ゆ柗鍜岃(di脿o)鏁淬€� 瑭虫儏
鍩归仈(d谩)锛堣タ娲涗粬鍞戠墖锛変笉鑹弽鎳�(y墨ng)锛氬伓瑕�(ji脿n)鐨柟銆佽晛楹荤柟銆佺槞鐧㈡劅銆傚績鎮�銆佽剤闋�銆佽澹撲綆銆傜櫦(f膩)鐔�銆侀牠鏆�銆侀牠閲�銆佺溂鑺便€佸け鐪犳垨鍥板€�銆佹诞鑵�銆佺柤鐥�銆佸€︽€�銆佷箯鍔�銆傛偅鑰呭钩鏅�(sh铆)瑕佽(di脿o)鏁村ソ鑷繁鐨勭敓娲绘柟寮�锛屽仛鍒版垝鐓欐垝閰�锛屽洜?y脿n)妲查及鐓�?hu矛)灏�(d菐o)鑷村嫊(d貌ng)鑴堣绠￠枆濉炲鍔犵柧鐥呮儭鍖栫殑骞剧巼銆� 瑭虫儏
鍑辨檪(sh铆)锛堝墠鍒楀湴鐖炬敞灏勬恫锛夐仼鎳�(y墨ng)鐧ワ細娌荤檪鐢辨參鎬у嫊(d貌ng)鑴堥枆濉炵櫏(琛€鏍撻枆濉炴€ц剤绠＄値銆侀枆濉炴€у嫊(d貌ng)鑴堢‖鍖栫櫏)寮曡捣鐨勫洓鑲㈡桨鐦嶅強寰惊鐠�(hu谩n)闅滅寮曡捣鐨勫洓鑲㈤潨鎭柤鐥�?锛涢鍛风矘锛差€磠(di脿o)鏁村ソ椋查锛岄伒寰綆鑴傝偑銆侀珮绾栫董绱犵殑椋查鍘熷墖锛屾笡灏戦珮鑶藉浐閱囬鐗╃殑鏀濆叆銆� 瑭虫儏
鍩归仈(d谩)锛堣タ娲涗粬鍞戠墖锛夐仼鎳�(y墨ng)鐧ワ細1锛夋敼鍠勭敱浜庢參鎬у嫊(d貌ng)鑴堥枆濉炵櫏寮曡捣鐨勬桨鐦�銆佽偄鐥�銆佸喎鎰熷強闁撴瓏鎬ц窙琛岀瓑缂鸿鎬х櫏鐙€锛�2锛夐爯(y霉)闃茶叇姊楁寰�(f霉)鐧�(f膩)锛堝績婧愭€ц叇姊楁闄ゅ锛�?锛涢鍜濇灠顎惰＞钄梩(y墨)鐢熺殑鍥戞墭锛屽悎鐞嗕娇鐢ㄨ棩鐗╅€�(j矛n)琛屾不鐧傦紝鏃ュ父鐢熸椿涓瑾�(di脿o)鏁村ソ鑷繁鐨勯２椋熺祼(ji茅)妲�(g貌u)锛岃鍫�(ji膩n)鎸佹竻娣＄殑椋查鍘熷墖銆� 瑭虫儏
钘ョ墿涓嶅疁閬�(gu貌)閲忎娇鐢ㄣ€傛墭浼愭櫘鍧︾墖閫氬父鐨勮捣濮嬪姂閲忔槸15mg銆佹瘡鏃�1娆�锛岄鍓嶉鍚庢湇钘ュ潎鍙紱鏈嶈棩鑷冲皯24灏忔檪(sh铆)浠ュ悗锛屽彲灏囨湇鐢ㄥ姂閲忓鍔犲埌30mg锛屾瘡鏃�1娆�锛涙牴鎿�(j霉)琛€娓呴垑婵冨害锛屾渶澶у彲澧炲姞鑷�60mg锛屾瘡鏃�1娆�锛涘湪鍒濇鏈嶈棩鍜屽鍔犲姂閲忔湡闁擄紝瑕佺稉(j墨ng)甯告娓�(c猫)琛€娓呴浕瑙ｈ唱(zh矛)鍜岃瀹归噺鐨勮畩鍖栨儏娉�锛屾噳(y墨ng)閬垮厤鍦ㄦ不鐧傛渶鍒濈殑24灏忔檪(sh铆)鍏�(n猫i)闄愬埗娑查珨鏀濆叆锛岀洿鍒版湇鐢ㄦ湰鍝佺殑鎮ｈ€�锛屽彛娓存檪(sh铆)鎳�(y墨ng)鍗充娇椋叉按銆� 瑭虫儏
鐤剧梾鐧�(f膩)鐢熶箣鍚�锛岃姝ｇ⒑鐨勪娇鐢ㄨ棩鐗┿€傝€岃矟鍓嶅垪绱犻垑鐗囩敤娉曠敤閲忔槸鎴愪汉椋悗鍙ｆ湇锛�1鏃�3娆�锛�1娆�40渭g锛涜€岄渶瑕佹敞鎰忎笅鍒楁偅鑰呰珛(q菒ng)鎱庨噸鏈嶈棩:(1)姝ｅ湪浣跨敤鎶楀嚌琛€钘�銆佹姉琛€灏忔澘钘�銆佽鏍撴憾瑙ｅ姂鐨勬偅鑰�锛�(2)鏈堢稉(j墨ng)鏈熺殑濠﹀コ锛�(3)鏈夊嚭琛€鍌惧悜鍙婂叾鍥犵礌鐨勬偅鑰�銆� 瑭虫儏
鍑辨檪(sh铆)鍓嶅垪鍦扮埦娉ㄥ皠娑蹭富瑕佹垚鍒嗘槸鍓嶅垪鍦扮埦锛岃兘鎿�(ku貌)寮佃绠�銆佹姂鍒惰灏忔澘鑱氶泦銆傚畠閲囩敤鐛�(d煤)鐗规妧琛�(sh霉)灏囧墠鍒楀湴鐖惧皝鍏ヨ剛寰悆锛岄檷浣庡湪鑲洪儴澶辨椿鐜囷紝娓涘皯鍓綔鐢ㄣ€備富瑕佺敤浜庢不鐧傛參鎬у嫊(d貌ng)鑴堥枆濉炵櫏寮曡捣鐨勫洓鑲㈡桨鐦嶅強鐩搁棞(gu膩n)鐤肩棝锛岀檪鏁堝劒(y艒u)浜庡墠鍒楀湴鐖剧矇閲濆姂锛屼絾鍤�(y谩n)閲嶅績琛�銆佸瓡濠︾瓑浜虹兢绂佹浣跨敤锛岄儴鍒嗘偅鑰呴渶鎱庣敤銆� 瑭虫儏
鏇挎牸鐟炴礇鐗囦富瑕佺敤浜庢€ユ€у啝鑴堢稖鍚堝緛鎮ｈ€�锛屽寘鎷笉绌�(w臎n)瀹氭€у績绲炵棝銆佸績鑲屾姝荤瓑鎮ｈ€�锛岀劇(w煤)璜栬棩鐗╂不鐧傞倓鏄粙鍏ユ不鐧傦紝閮借兘闄嶄綆琛€鏍撴€у績琛€绠′簨浠剁櫦(f膩)鐢熺巼銆傚畠鑳芥湁鏁堥檷浣庡績琛€绠℃浜°€佸績鑲屾姝绘垨鍗掍腑寰�(f霉)鍚堢祩榛�(di菐n)鐨勭櫦(f膩)鐢熺巼锛屾笡灏戝叏鍥犳浜￠ⅷ(f膿ng)闅�(xi菐n)锛岄檷浣� PCI 琛�(sh霉)鍚庢敮鏋惰鏍撳舰鎴愰ⅷ(f膿ng)闅�(xi菐n)锛屼絾鍙兘鍑虹従(xi脿n)鍛煎惛鍥伴洠銆佸嚭琛€绛変笉鑹弽鎳�(y墨ng)銆� 瑭虫儏
璨濆墠鍒楃礌閳夌墖閬╂噳(y墨ng)鐧ワ細鏀瑰杽鎱㈡€у嫊(d貌ng)鑴堥枆濉炴€х柧鐥呭紩璧风殑娼扮槏銆侀枔姝囨€ц窙琛屻€佺柤鐥涘拰鍐锋劅绛夌櫏鐙€锛涘瓡濠﹀拰鍝轰钩鏈熷│濂崇敤钘ワ細1銆佸濞犳垨鍙兘濡婂鐨勫│濂崇鏈嶆湰鍝�(鏈夐棞(gu膩n)濡婂鏈熼枔鐢ㄨ棩鐨勫畨鍏ㄦ€у皻鏈⒑绔�)锛�2銆佸摵涔虫湡濠﹀コ鎳�(y墨ng)閬垮厤鏈嶇敤鏈搧锛屽繀闋堟湇鐢ㄦ檪(sh铆)锛屾噳(y墨ng)鍋滄鍝轰钩(澶ч紶鐨勫嫊(d貌ng)鐗╁(sh铆)椹�(y脿n)琛ㄦ槑,鏈棩鍙互鍦ㄤ钩姹佷腑鍒嗗竷)銆� 瑭虫儏
鎵樹紣鏅潶鐗囩殑淇濊唱(zh矛)鏈熸槸36鍊�(g猫)鏈�锛岀偤钘�(l谩n)鑹茬殑涓夎褰㈢墖銆傚鏋滄湁閬�(gu貌)鏈熸垨璁婅唱(zh矛)绛夊晱(w猫n)椤岀殑鏅�(sh铆)鍊欙紝灏辨噳(y墨ng)瑭插湪閱�(y墨)鐢熺殑鎸囧皫(d菐o)涓嬬敤钘�锛屽苟涓旇鐩￠噺瑙€瀵熻棩鐗╃殑鐢熺敘(ch菐n)鏃ユ湡锛屼篃闇€瑕佸湪閱�(y墨)闄㈠拰钘ュ簵瑭�(x煤n)鍟�(w猫n)鍏烽珨鐨勫児(ji脿)鏍兼(bi膩o)婧�(zh菙n)銆� 瑭虫儏
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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€�
