{"id":108,"date":"2023-12-25T15:05:10","date_gmt":"2023-12-25T07:05:10","guid":{"rendered":"https:\/\/www.scipmed.cn\/?p=108"},"modified":"2024-01-09T14:10:49","modified_gmt":"2024-01-09T06:10:49","slug":"%e5%85%a8%e8%82%9d%e7%bb%93%e7%9f%b3%e3%80%81%e8%82%9d%e7%a1%ac%e5%8c%96%e3%80%81%e8%82%9d%e9%97%a8%e9%9d%99%e8%84%89%e9%ab%98%e5%8e%8b%e7%97%87%e7%9a%84%e8%83%86%e7%ae%a1%e5%8f%96%e7%9f%b3","status":"publish","type":"post","link":"https:\/\/cspmmed.com\/?p=108","title":{"rendered":"\u6848\u4f8b\u5206\u6790|\u4e00\u4f8b\u96be\u5ea6\u6781\u5927\u7684\u5168\u809d\u7ed3\u77f3\u3001\u809d\u786c\u5316\u3001\u809d\u95e8\u9759\u8109\u9ad8\u538b\u75c7\u7684\u80c6\u7ba1\u53d6\u77f3"},"content":{"rendered":"\n

\u4e3b\u8bc9 <\/strong><\/p>\n\n\n\n

\u60a3\u8005\uff0c\u5973\uff0c66 \u5c81\u3002<\/p>\n\n\n\n

\u73b0\u75c5\u53f2<\/strong><\/p>\n\n\n\n

\u95f4\u53d1\u53f3\u4e0a\u8179\u75db17\u5e74\uff0c\u590d\u53d1\u4f34\u754f\u5bd2\u3001\u53d1\u70ed\u3001\u8db3\u6c34\u80bf\uff16d\u3002<\/p>\n\n\n\n

\u65e2\u5f80\u53f2<\/strong><\/p>\n\n\n\n

1995\u5e74\u56e0\u201c\u80c6\u77f3\u75c5\u201d\u5728\u67d0\u9662\u65bd\u201c\u80c6\u603b\u7ba1\u63a2\u67e5\u3001T\u00a0\u5f62\u7ba1\u5f15\u6d41\u672f\u201d\u3002<\/p>\n\n\n\n

\u4f53\u683c\u68c0\u67e5<\/strong><\/p>\n\n\n\n

T 37\u2103 \uff0cP 76 \u6b21\/\u5206\uff0cR 20\u6b21\/\u5206\uff0cBP 18\/10kPa(135\/75mmHg) \u3002<\/p>\n\n\n\n

\u76ae\u80a4\u3001\u5de9\u819c\u65e0\u9ec4\u67d3\u3002\u5fc3\u5f8b\u9f50\uff0c\u65e0\u6742\u97f3\u3002\u53cc\u80ba\u547c\u5438\u97f3\u6e05\u3002\u8179\u5e73\uff0c \u6d45\u9759\u8109\u4e0d\u66f2\u5f20\uff0c\u8179\u58c1\u8f6f\u3002\u809d\u5728\u5251\u7a81\u4e0b2cm \u53ef\u89e6\u53ca\uff0c \u813e\u5728\u5de6\u808b\u7f18\u4e0b5cm \u53ef\u53ca\uff0c \u80c6\u56ca\u672a\u53ca\u3002Murphy \u5f81(+) \u3002\u5251\u7a81\u53f3\u4e0b\u65b9\u538b\u75db\uff0c\u53f3\u809d\u6d4a\u97f3\u754c\u4e0a\u754c\u4e8e\u9501\u9aa8\u4e2d\u7ebf\u4e0a\u7b2c5 \u808b\u95f4\uff0c \u53e9\u51fb\u53f3\u809d\u533a\u793a\u5251\u7a81\u4e0b\u65b9\u75bc\u75db\u3002 \u8179\u6c34\u5f81(-) \u3002 \u53cc\u4e0b\u80a2\u6c34\u80bf\u3002<\/p>\n\n\n\n

\u8f85\u52a9\u68c0\u67e5<\/strong><\/p>\n\n\n\n

WBC 1.27\u00d7109<\/sup>\/L\uff0cN 0.84\uff0cPLT 26\u00d7109<\/sup>\/L\uff0cHb 72g\/L\uff0cTBIL 46.4 \u03bcmol\/L\uff0cDBIL 40.7\u03bcmol\/L\uff0cTP 54g\/L\uff0cALB 26.3g\/L\uff0cAST 95U\/L\uff0cALT 63U\/L\uff0cPA 120mg\/L\uff0cCHE 2390U\/L\uff0cC12 (\u4e00)\u3002<\/p>\n\n\n\n

\u80c3\u955c\uff1a\u98df\u7ba1\u80c3\u5e95\u9759\u8109\u91cd\u5ea6\u66f2\u5f20\u3002
CT \u5e73\u626b\uff1a\u809d\u8f6e\u5ed3\u6e05\uff0c\u8868\u9762\u5c1a\u5149\u6574\uff0c\u809d\u5f62\u6001\u3001 \u6bd4\u4f8b\u65e0\u660e\u663e\u5931\u8861\u3002\u809d\u5185\u5916\u80c6\u7ba1\u663e\u8457\u6269\u5f20,\uff0c\u80c6\u603b\u7ba1\u5185\u5f84\u7ea62.5cm\uff0c\u5de6\u809d\u5916\u53f6\u80c6\u7ba1\u5185\u5f84\u8fbe2cm\u3002\u5404\u809d\u5185\u80c6\u7ba1\u5747\u5145\u6ee1\u9ad8\u5bc6\u5ea6\u7ed3\u77f3.\u3002\u80c6\u56ca\u80c0\u5927\uff0c\u591a\u4e2a\u80c6\u77f3\u3002\u8179\u6c34\u5f81\u5b58\u5728\u3002\u813e\u59279\u4e2a\u808b\u5355\u5143\u3002\u98df\u7ba1\u65c1\u9759\u8109\u66f2\u5f20(\u56fe1-231)\u3002
CT(\u589e\u5f3a\u626b\u63cf, \u9759\u8109\u671f) \uff1a\u793a\u809d\u95e8\u9759\u8109\u80c0\u5927\uff0c\u5176\u76f4\u5f84\u4e0e\u8179\u4e3b\u52a8\u8109\u4e00\u6837\u5927\u5c0f\uff0c\u80c6\u603b\u7ba1\u5de6\u524d\u58c1\u9759\u8109\u66f2\u5f20(\u56fe1-232) \u3002<\/p>\n\n\n

\n
\"\"<\/figure>\n<\/div>\n\n\n

\u5165\u9662\u8bca\u65ad<\/strong><\/p>\n\n\n\n

\u809d\u80c6\u7ba1\u7ed3\u77f3\uff1bS\uff1a\u5168\u809d\uff1bSt\uff1aCBD\u8fdc\u7aef\u3001LLBD\uff1bA\uff1a\/\uff1bC\uff1a\u80c6\u6c41\u6027\u809d\u786c\u5316\uff0c\u809d\u95e8\u9759\u8109\u9ad8\u538b\u75c7(\u813e\u4ea2\uff0c\u98df\u7ba1\u9759\u8109\u66f2\u5f20\uff0c\u8179\u6c34)\uff1b\u80c6\u7ba1\u58c1\u53ca\u809d\u5341\u4e8c\u6307\u80a0\u97e7\u5e26\u9759\u8109\u66f2\u5f20\uff1b\u4f4e\u86cb\u767d\u8840\u75c7\uff1b\u5de6\u809d\u80a5\u5927\u3001\u53f3\u809d\u840e\u7f29\uff1b\u80c6\u7ba1\u708e \u3002<\/p>\n\n\n\n

\u62df\u65bd\u624b\u672f<\/strong><\/p>\n\n\n\n

\u80c6\u603b\u7ba1\u63a2\u67e5\u3001T \u5f62\u7ba1\u5f15\u6d41\u3002<\/p>\n\n\n\n

\u624b\u672f\u8fc7\u7a0b<\/strong><\/p>\n\n\n\n

1.\u5165\u9662\u540e\u7ecf\u6297\u708e\u3001\u62a4\u809d\u7b49\u5904\u740615d\uff0c\u8840\u6e05\u767d\u86cb\u767d\u8fbe29g\/L\uff0c\u62e9\u671f\u624b\u672f\u3002<\/p>\n\n\n\n

2.\u4f53\u4f4d\u3001\u5207\u53e3\u3001\u63a2\u67e5\u3002\u5e73\u4ef0\u5367\u4f4d\uff0c\u53f3\u4e0a\u8179\u53cdL\u5f62\u5207\u53e3\u3002\u8349\u9ec4\u8272\u8179\u6c34\u7ea6700ml\uff0c\u5927\u7f51\u819c\u3001\u80a0\u7cfb\u819c\u8840\u7ba1\u9759\u8109\u66f2\u5f20\uff0c\u80c3\u7aa6\u3001\u6a2a\u7ed3\u80a0\u4e0e\u809d\u3001\u8179\u524d\u74a7\u80fc\u5e95\u6837\u81f4\u5bc6\u7c98\u8fde\uff0c\u7a7a\u80a0\u4e0e\u80c6\u56ca\u3001\u809d\u810f\u9762\u81f4\u5bc6\u7c98\u8fde\u3002\u5341\u4e8c\u6307\u80a0\u3001\u80c6\u56ca\u7c98\u8fde\u3001\u8986\u76d6\u80c6\u603b\u7ba1\uff0c\u80c6\u603b\u7ba1\u626a\u89e6\u4e0d\u6e05\u3002<\/p>\n\n\n\n

3.\u539f\u672f\u8005\u8fdb\u8179\u540e\u5206\u79bb\u8179\u74a7\u7c98\u8fde\u5341\u5206\u56f0\u96be\uff0c\u8fd12h\u5c1a\u672a\u80fd\u5c06\u6a2a\u7ed3\u80a0\u3001\u5927\u7f51\u819c\u4e0e\u809d\u7684\u7c98\u8fde\u5206\u5f00\uff0c\u8c13\u4e3a\u4e3e\u6b65\u96be\u8270\uff0c\u62df\u5173\u8179\uff0c\u4f46\u53c8\u611f\u4e0d\u59a5\uff0c\u8bf7\u7b14\u8005\u4e0a\u53f0\u3002<\/p>\n\n\n\n

4.\u7b14\u8005\u89c9\u624b\u672f\u96be\u5ea6\u5f88\u5927\uff0c\u800c\u75c5\u4eba\u6d41\u51fa\u7684\u8840\u6db2\u50cf\u7ea2\u58a8\u6c34\u6837\uff0c\u8179\u6c34\u4e0d\u505c\u4ea7\u751f\uff0c\u751a\u611f\u56f0\u96be\u3002\u4f46\u89c9\u5f97\u81f3\u5c11\u5e94\u5207\u5f00\u80c6\uff0c\u603b\u7ba1\u53d6\u77f3\uff0c\u6709\u624b\u672f\u6210\u529f\u7684\u53ef\u80fd\u3002<\/p>\n\n\n\n

(1)\u5206\u79bb\u7ed3\u80a0\u3001\u5c0f\u80a0\u4e0e\u8179\u524d\u58c1\u3001\u809d\u524d\u7f18\u7684\u7c98\u8fde\uff0c\u5206\u5f00\u809d\u8188\u7c98\u8fde\uff0c\u663e\u793a\u53f3\u809d\u524d\u53f6\u840e\u7f29\u3001\u5de6\u809d\u7ed3\u77f3\u611f\u660e\u663e\u3002<\/p>\n\n\n\n

(2)\u5c0f\u5fc3\u79bb\u65ad\u7a7a\u80a0\u4e0e\u80c6\u56ca\u3001\u809d\u810f\u9762\u7c98\u8fde\uff0c\u663e\u73b0\u80c3\u7aa6\u3001\u80c6\u56ca\u3001\u5341\u4e8c\u6307\u80a0\u7403\u90e8\u3002<\/p>\n\n\n\n

(3)\u7a7f\u523a\u3001\u6233\u5b54\u80c6\u56ca\u5e95\u90e8\uff0c\u51cf\u538b\u80c6\u56ca\u3002\u5206\u79bb\u80c6\u56ca\u4e0e\u5341\u4e8c\u6307\u80a0\u3001\u7ed3\u80a0\u7c98\u8fde\uff0c\u663e\u9732\u80c6\u603b\u7ba1\uff0c\u5176\u5916\u5f84\u7ea62.5cm\uff0c\u5de6\u4fa7\u66f2\u5f20\u9759\u8109\u5305\u7ed5\uff0c\u6700\u7c97\u7684\u9759\u8109\u5916\u5f84\u8fbe0.7cm\u3002<\/p>\n\n\n\n

(4)\u7f1d\u624e\u3001\u201c\u56f4\u5830\u201d\u62df\u5207\u5f00\u7684\u80c6\u603b\u7ba1\u74a7\uff0c\u7a7f\u523a\u83b7\u80c6\u6c41\uff0c\u201c\u56db\u8fb9\u6cd5\"\u4e88\u4ee5\u5207\u5f00(\u56fe1-233)\uff0c\u5207\u53e3\u957f\u8fbe3.5cm\uff0c\u80c6\u7ba1\u58c1\u539a0.4cm\uff0c\u5176\u5185\u9759\u8109\u66f2\u5f20(\u56fe1-234)\u3002\u76f4\u89c6\u4e0b\u9010\u4e00\u6e05\u9664\u80c6\u7ba1\u5185\u5927\u91cf\u80c6\u77f3\u7ea6100g(\u56fe1-235)\uff0c\u5e76\u4ee510%\u6d53\u5ea6\u805a\u7ef4\u916e\u6db2\u51b2\u6d17\u3001\u6e05\u6d01\u809d\u5185\u80c6\u7ba1\u3002<\/p>\n\n\n

\n
\"\"<\/figure>\n<\/div>\n\n\n

\u5b9e\u65bd\u624b\u672f<\/strong><\/p>\n\n\n\n

\u5de6\u809d\u5b9e\u8d28\u5207\u5f00\u53d6\u77f3\u3001 \u80c6\u603b\u7ba1\u5207\u5f00\u53d6\u77f3\u3001T \u5f62\u7ba1\u5f15\u6d41\u672f\u3002<\/p>\n\n\n\n

\u70b9\u8bc4<\/strong><\/p>\n\n\n\n

1.\u7ea0\u8bef<\/p>\n\n\n\n

\uff081\uff09\u5145\u5206\u8ba4\u8bc6\u672c\u624b\u672f\u7684\u5371\u9669\u6027\u3001\u56f0\u96be\u6027\u3002<\/p>\n\n\n\n

\u2460\u80c6\u6c41\u6027\u809d\u786c\u5316\u3001\u809d\u95e8\u9759\u8109\u9ad8\u538b\u3002<\/p>\n\n\n\n

\u2461\u8179\u58c1\u3001\u80a0\u66f2\u3001\u7f51\u819c\u7c98\u8fde\uff0c\u8179\u58c1\u9759\u8109\u66f2\u5f20\uff0c\u5206\u79bb\u7c98\u8fde\u56f0\u96be\uff0c\u6e29\u6c0f\u5b54\u4e0d\u901a\uff0c\u65e0\u6cd5\u963b\u65ad\u809d\u8840\u6d41\u3002<\/p>\n\n\n\n

\u2462\u809d\u5341\u4e8c\u6307\u80a0\u97e7\u5e26\u3001\u80c6\u7ba1\u58c1\u5de6\u4fa7\u9759\u8109\u66f2\u5f20\u660e\u663e\u3002<\/p>\n\n\n\n

\u2463\u4e00\u7ea7\u809d\u95e8\u6df1\u5728\uff0c\u201c\u4e09\u5c42\u201d\u7c98\u8fde\u8986\u76d6\uff0c\u5373\u7ed3\u80a0\u7c98\u8fde\u3001\u80c3\u7a7a\u80a0\u7c98\u8fde\u3001\u80c6\u56ca\u5341\u4e8c\u6307\u80a0\u7c98\u8fde\u3002<\/p>\n\n\n\n

\u2464\u5de6\u809d\u80a5\u5927\uff0c\u53f3\u809d\u840e\u7f29\uff0c\u4e00\u7ea7\u809d\u95e8\u79fb\u4f4d\u3002<\/p>\n\n\n\n

\u2465\u5168\u809d\u7ed3\u77f3\uff0c\u9ad8\u4f4d\u80c6\u7ba1\u72ed\u7a84\uff0c\u96be\u4e8e\u5f7b\u5e95\u6e05\u9664\u80c6\u77f3\u3002<\/p>\n\n\n\n

\u2466\u80c6\u7ba1\u708e\u75c7\u672a\u80fd\u5f88\u597d\u63a7\u5236\uff0c\u6613\u51fa\u8840\u3002<\/p>\n\n\n\n

\u2467\u80c6\u56ca\u80c0\u5927\uff0c\u80c6\u56ca\u7ba1\u9759\u8109\u66f2\u5f20\uff0c\u4e25\u91cd\u963b\u788d\u4e00\u7ea7\u809d\u95e8\u7684\u663e\u9732\u548c\u80c6\u56ca\u5207\u9664\u3002<\/p>\n\n\n\n

\u2468\u813e\u5de8\u5927\uff0c\u5de6\u809d\u80a5\u5927\uff0c\u963b\u788d\u809d\u7684\u7ffb\u8f6c\u548c\u5904\u7406\u809d\u5185\u80c6\u77f3\u3002<\/p>\n\n\n\n

\u2469\u76ee\u524d\u957f\u6c99\u201c\u65e0\u8840\u201d\uff0c\u7ed9\u672f\u8005\u7cbe\u795e\u3001\u5fc3\u7406\u5de8\u5927\u538b\u529b\u3002<\/p>\n\n\n\n

\uff082\uff09\u7ecf\u53f3\u8def\u80c6\u603b\u7ba1\u659c\u5207\u3001\u63a2\u67e5\u53d6\u77f3\u52a0\u5de6\u809d\u7ed3\u77f3\u611f\u9014\u5f84\u53d6\u77f3\u662f\u672c\u4f8b\u7406\u60f3\u7684\u9009\u62e9\u3002<\/p>\n\n\n\n

2.\u5916\u79d1\u624b\u672f\u6280\u672f\u8981\u70b9<\/p>\n\n\n\n

\uff081\uff09\u7ecf\u53f3\u8def\u663e\u9732\u80c6\u603b\u7ba1\u3002<\/p>\n\n\n\n

\uff082\uff09\u51cf\u538b\u3001\u655e\u5f00\u80c6\u56ca\uff0c\u201c\u5f03\u8f66\u4fdd\u5e05\u201d\uff0c\u4fdd\u62a4\u597d\u5341\u4e8c\u6307\u80a0\u3002<\/p>\n\n\n\n

\uff083\uff09\u7ecf\u80c6\u603b\u7ba1\u53f3\u4fa7\u201c\u56f4\u5830\u6cd5\u201d\u5207\u5f00\u80c6\u603b\u7ba1\uff0c\u5b9c\u5148\u4e8e\u7ed3\u77f3\u611f\u660e\u663e\u5904\u6a2a\u65ad\u80c6\u7ba1\uff0c\u800c\u540e\u4ee5\u201c\u56db\u8fb9\u6cd5\u201d\u5207\u5f00\u80c6\u603b\u7ba1\u3001\u809d\u603b\u7ba1\u3002<\/p>\n\n\n\n

\uff084\uff09\u53d6\u77f3\u5e94\u5316\u6574\u4e3a\u96f6\uff0c\u4e0d\u8981\u5f3a\u6c42\u6574\u5757\u80c6\u77f3\u53d6\u51fa\uff0c\u4ee5\u514d\u635f\u4f24\u80c6\u7ba1\u58c1\u66f2\u5f20\u8840\u7ba1\u800c\u81f4\u5927\u51fa\u8840\u3002<\/p>\n\n\n\n

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