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鍏嬭幈鍏嬬壒 2019/1/2
姘旂浉鑹茶氨娉曚綔涓轟竴縐嶄華鍣ㄥ垎鏋愭柟娉曪紝騫挎硾搴旂敤浜庡悇涓鍩燂紝鍏惰繘鏍鋒妧鏈殑閫夋嫨涓庢搷浣滃鍒嗘瀽緇撴灉鐨勫噯紜害鍜岄噸鐜版ф湁鐩存帴褰卞搷銆傚父瑙佺殑鑹茶氨鍒嗘瀽榪涙牱鎶鏈湁錛氬~鍏呮煴榪涙牱銆佸垎嫻?/span>/涓嶅垎嫻佽繘鏍楓佸喎鏌變笂榪涙牱銆佺▼搴忓崌娓╁寲榪涙牱銆佸ぇ浣撶Н榪涙牱銆侀榾榪涙牱絳夈備笅闈㈠厠鑾卞厠鐗硅嚜鍔ㄨ繘鏍峰櫒灝辨潵璁茶鍑犵甯歌鐨勮壊璋卞垎鏋愯繘鏍鋒妧鏈?/span>
1銆?/span>濉厖鏌辮繘鏍楓傚~鍏呮煴榪涙牱鍙f槸鐩墠鏈涓哄父鐢ㄣ佷篃鏄渶綆鍗曘佹渶鏄撴搷浣滅殑 GC 榪涙牱鍙o紝璇ヨ繘鏍峰彛鐨勪綔鐢ㄥ氨鏄彁渚涗竴涓牱鍝佹苯鍖栧錛屾墍浠ユ苯鍖栫殑鏍峰搧閮借杞芥皵甯﹀叆鑹茶氨鏌辮繘琛屽垎紱匯?榪涙牱鍙e彲榪炴帴鐜葷拑鎴栦笉閿堥挗濉厖鏌憋紝榪樺彲榪炴帴澶у彛寰勬瘺緇嗙鏌辯洿鎺ヨ繘鏍峰垎鏋愩?/span>
2銆?/span>鍒嗘祦/涓嶅垎嫻佽繘鏍楓傚垎嫻侊紡涓嶅垎嫻佽繘鏍峰彛鏄瘺緇嗙GC鏈甯哥敤鐨勮繘鏍峰彛錛屽畠鏃㈠彲鐢ㄤ綔鍒嗘祦榪涙牱錛屼篃鍙互鐢ㄤ綔涓嶅垎嫻佽繘鏍楓傝鏈夊垎嫻佹皵鍑哄彛鍙?qiáng)鍏舵帶鍒惰缃Q屽湪鍒嗘祦姘旇礬涓婃湁涓涓煴鍓嶅帇璋冭妭闃銆?/span>
3銆佸喎鏌變笂榪涙牱銆傚喎涓婃煴榪涙牱灝辨槸灝嗘牱鍝佺洿鎺ユ敞鍏ュ浜庡娓╂垨鏇翠綆娓╁害涓嬬殑鑹茶氨鏌卞唴錛岀劧鍚庡啀閫愭鍗囬珮娓╁害浣挎牱鍝佺粍鍒嗕緷嬈℃苯鍖栭氳繃鑹茶氨鏌辮繘琛屽垎紱匯傚畠娑堥櫎浜?jiǎn)杩涙牱鍙e?guī)牱鍝佺殑姝ц鏁堝簲錛岄伩鍏嶄簡(jiǎn)鏍峰搧鐨勫垎瑙o紝寰堝鏄撳疄鐜版棭嫻佸嚭宄扮殑婧跺墏鑱氱劍錛屽叾鍒嗘瀽鍑嗙‘搴︺佺簿瀵嗗害杈冮珮銆?/span>
4銆?/span>紼嬪簭鍗囨俯姹藉寲榪涙牱銆傜▼搴忓崌娓╂苯鍖栵紙PTV錛夎繘鏍峰氨鏄皢娑蹭綋鎴栨皵浣撴牱鍝佹敞灝勫叆澶勪簬浣庢俯鐨勮繘鏍峰彛琛鍐咃紝鐒跺悗鎸夎瀹氱▼搴忓崌娓╁崌楂樿繘鏍峰彛娓╁害銆?/span>PTV榪涙牱灝辨槸鎶婂垎嫻?/span>/涓嶅垎嫻佽繘鏍峰拰鍐蜂笂鏌辮繘鏍風(fēng)粨鍚堜負(fù)涓浣擄紝鍏呭垎鍙戞尌浜?jiǎn)鍚効U嶈繘鏍峰彛鐨勯暱澶勩?/span>
5銆?/span>澶т綋縐繘鏍楓傚ぇ浣撶Н榪涙牱錛?/span>LVI錛夋妧鏈槸榪戝嚑騫村彂灞曡搗鏉ョ殑涓縐嶆湁鏁堟彁楂樼伒鏁忓害鐨勬柟娉曘傞噰鐢ㄦ瘮甯歌GC澶у嚑鍗佸埌鍑犵櫨鍊嶇殑榪涙牱閲忓氨鍙彁楂樼伒鏁忓害1-2涓暟閲忕駭銆傜敤鍐蜂笂鏌辮繘鏍峰彛瀹炵幇澶т綋縐繘鏍鳳紝婧跺墏鏀劇┖闃鐨勫叧闂椂闂撮渶瑕佹牴鎹墍鐢ㄦ憾鍓傜殑娌哥偣銆佸垵濮嬫煴娓┿佽澆姘旀祦閫熷拰榪涙牱浣撶Н榪涜浼樺寲璁劇疆銆?/span>
6銆?/span>闃榪涙牱銆傞榾榪涙牱鏄敤鏈烘闃灝嗘皵浣撴垨娑蹭綋鏍峰搧瀹氶噺寮曞叆鑹茶氨緋葷粺錛屽父鐢ㄤ簬鍔ㄦ佹皵嫻佹垨娑叉祦鐨勭洃嫻嬨傞榾榪涙牱鍙互鏄墜鍔ㄧ殑錛屼篃鍙互鏄嚜鍔ㄧ殑錛屽彲鐩存帴涓庤壊璋辨煴鐩歌繛錛屼篃鍙帴鍒拌壊璋變?nèi)A榪涙牱鍙c傝繛鎺ョ閬撶殑娓╁害搴旀帶鍒跺湪鏍峰搧涓渶閲嶇粍鍒嗙殑娌哥偣浠ヤ笂錛岃澆姘旀祦閫熻澶т簬 20 mL/min錛屾墠鑳芥湁鏁堝湴灝嗘牱鍝佽漿縐誨埌鑹茶氨鏌憋紝鎵浠ラ榾榪涙牱澶氱敤濉厖鏌卞垎鏋愩?/span>