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鍙嬫儏鎻愮ず锛氭湰绔欐彁渚涘叏鍦�(gu贸)400澶氭墍楂樼瓑闄㈡牎鎷涙敹纰╁＋銆佸崥澹爺绌剁敓鍏ュ(xu茅)鑰冭│姝峰勾鑰冪爺鐪熼銆佽€冨崥鐪熼銆佺瓟妗�锛岄儴鍒嗗(xu茅)鏍℃洿鏂拌嚦2012骞达紝2013骞�锛涘潎鎻愪緵鏀惰不(f猫i)涓嬭級銆� 涓嬭級娴佺▼锛� 鑰冪爺鐪熼 榛�(di菐n)鎿娾€�鑰冪爺瑭﹀嵎鈥濃€濅笅杓�; 鑰冨崥鐪熼 榛�(di菐n)鎿娾€�鑰冨崥瑭﹀嵎搴�(k霉)鈥� 涓嬭級
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鐩寗
I 鑰冩煡鐩(bi膩o)........................................................................................ 2
II 鑰冭│褰㈠紡鍜岃│鍗风祼(ji茅)妲�(g貌u) ..................................................................2
III 鑰冩煡鍏�(n猫i)瀹�..................................................................................... 2
IV 椤屽瀷绀轰緥鍙婂弮鑰冪瓟妗�.................................................................4
2
鍏ㄥ湅(gu贸)纰╁＋鐮旂┒鐢熷叆瀛�(xu茅)绲�(t菕ng)涓€鑰冭│
閱�(y墨)瀛�(xu茅)鍏嶇柅瀛�(xu茅)鑰冭│澶х侗
I 鑰冩煡鐩(bi膩o)
瑷�(sh猫)缃€婇啱(y墨)瀛�(xu茅)鍏嶇柅瀛�(xu茅)銆嬭€冭│鐨勭洰鐨勬槸绉戝(xu茅)銆佸叕骞�銆佹湁鏁堝湴娓�(c猫)瑭﹁€冪敓鏄惁鍏峰倷鏀昏畝閱�(y墨)瀛�(xu茅)鍏嶇柅
瀛�(xu茅)灏堟キ(y猫)纰╁＋鎵€蹇呴爤鐨勫熀鏈礌璩�(zh矛)銆佷竴鑸兘鍔涘拰鍩归(y菐ng)娼涜兘锛屼互鍒╃敤閬告嫈鍏锋湁鐧�(f膩)灞�?ji茅)鎽课﹁啲?y艒u)绉€浜烘墠
鍏ュ(xu茅)锛岀偤鍦�(gu贸)瀹剁殑缍�(j墨ng)婵�(j矛)寤鸿ō(sh猫)鍩归(y菐ng)鍏锋湁鑹ソ鑱锋キ(y猫)閬撳痉銆佹硶鍒惰蹇靛拰鍦�(gu贸)闅涜閲�銆佸叿鏈夎純寮�(qi谩ng)鐮旂┒鑸囧壍(chu脿ng)
鏂拌兘鍔涚殑楂樺堡娆°€佸京(f霉)鍚堝瀷鐨勯啱(y墨)瀛�(xu茅)鍏嶇柅瀛�(xu茅)灏堟キ(y猫)浜烘墠銆傝€冭│瑕佹眰鏄脯(c猫)瑭﹁€冪敓鎺屾彙閱�(y墨)瀛�(xu茅)鍏嶇柅瀛�(xu茅)鐨勫熀
鏈煡璀�(sh铆)銆佸熀绀�(ch菙)鐞嗚珫銆佸熀鏈妧琛�(sh霉)鍜屽父瑕�(ji脿n)鍏嶇柅鐩搁棞(gu膩n)鎬х柧鐥呯殑鐥呭洜銆佺櫦(f膩)鐥呮(j墨)鍒跺拰闃叉不鎺柦銆�
鍏烽珨渚�(l谩i)瑾�(shu艒)銆傝姹傝€冪敓锛�
灏�(du矛)鍏嶇柅瀛�(xu茅)鐨勫熀鏈蹇�銆佸熀鏈悊璜�銆佸厤鐤(xu茅)鎶€琛�(sh霉)鍘熺悊鏈夎純娣辩殑浜嗚В锛涚郴绲�(t菕ng)鎺屾彙鍏嶇柅绯荤当(t菕ng)绲�
鎴�锛屽厤鐤櫒瀹樼殑绲�(ji茅)妲�(g貌u)鍜屽姛鑳�锛屽厤鐤窗(x矛)鑳炲強鍏朵簽缇ゅ拰鍒嗗瓙鐨勭敓鐗╁(xu茅)鐗规€у拰鍔熻兘锛屽浐鏈夊拰鐛插緱鎬�
鍏嶇柅鎳�(y墨ng)绛旂殑鍩烘湰閬�(gu貌)绋�銆佷富瑕佺敓鐗╁(xu茅)鏁堟噳(y墨ng)鍜屽厤鐤(di脿o)绡€(ji茅)鐨勬(j墨)鍒�銆傜啛鎮夋姉鍘熸姉楂斿弽鎳�(y墨ng)鐨勫熀鏈師鐞�锛�
甯哥敤鐨勫厤鐤(xu茅)瑷虹檪鎶€琛�(sh霉)鐨勫師鐞嗗拰鎳�(y墨ng)鐢�銆傜啛鎮夎嚚搴婂父瑕�(ji脿n)鍏嶇柅鐩搁棞(gu膩n)鎬х柧鐥呯殑鐥呭洜銆佺櫦(f膩)鐥呮(j墨)鍒跺拰瑷�
鏂�銆侀槻娌绘柟娉�銆�
II 鑰冭│褰㈠紡鍜岃│鍗风祼(ji茅)妲�(g貌u)
涓€銆佽│鍗锋豢鍒嗗強鑰冭│鏅�(sh铆)闁�
瑭﹀嵎婊垮垎鐐� 150 鍒�锛岃€冭│鏅�(sh铆)闁� 180 鍒嗛悩銆�
浜�銆佺瓟椤屾柟寮�
闁夊嵎銆佺瓎瑭�銆�
涓夈€佽│鍗峰収(n猫i)瀹硅垏椤屽瀷绲�(ji茅)妲�(g貌u)
鍚嶈瑙ｉ噵 10 椤�锛屾瘡灏忛 3 鍒嗭紝鍏� 30 鍒�
鍠爡(xi脿ng)閬告搰椤� 30 椤�锛屾瘡灏忛 1 鍒�锛屽叡 30 鍒�
绨�(ji菐n)绛旈 5 椤岋紝姣忓皬椤� 10 鍒�锛屽叡 50 鍒�
璜栬堪椤� 1 椤岋紝姣忓皬椤� 20 鍒�锛屽叡 20 鍒�
缍滃悎鍒嗘瀽椤� 1 椤�锛屾瘡灏忛 20 鍒�锛屽叡 20 鍒�
III 鑰冩煡鍏�(n猫i)瀹�
1锛庡厤鐤(xu茅)姒傝堪 浜嗚В鍏嶇柅瀛�(xu茅)鐨勭櫦(f膩)灞曟鍙诧紝鐔熺煡鍏嶇柅瀛�(xu茅)鐧�(f膩)灞曞彶涓婄殑閲嶈绉戝(xu茅)瀹跺強鍏堕噸瑕�
璨㈢嵒(xi脿n)锛岀啛鎮夎繎骞翠締(l谩i)浠ュ厤鐤(xu茅)鐮旂┒鎴愭灉鐛插緱璜捐矟鐖剧崕(ji菐ng)鐨勬澃鍑虹瀛�(xu茅)瀹剁殑涓昏璨㈢嵒(xi脿n)鍙婂叾鎰忕京銆�
2锛庡厤鐤郴绲�(t菕ng)锛�
锛�1锛夊厤鐤櫒瀹樼殑绲�(ji茅)妲�(g貌u)鍜屽姛鑳斤細鐔熸倝涓鍏嶇柅鍣ㄥ畼绲勬垚鍜屼富瑕佸姛鑳�锛� 鐔熸倝澶栧懆鍏嶇柅鍣ㄥ畼
绲勬垚鍜屼富瑕佸姛鑳�锛涚啛鎮夋穻宸寸窗(x矛)鑳炵殑姝稿发鍜屽啀寰挵(hu谩n)銆�
锛�2锛夊厤鐤窗(x矛)鑳烇細鎺屾彙鍏嶇柅绱�(x矛)鑳炵殑鍒嗛锛岀啛鎮夊悇椤炲厤鐤窗(x矛)鑳炲強鍏朵簽缇ょ殑琛ㄩ潰妯�(bi膩o)蹇楀拰闂�(gu膩n)閸�
杞�(zhu菐n)閷勫洜瀛愶紝鎺屾彙鍚勯鍏嶇柅绱�(x矛)鑳炵殑涓昏鍔熻兘銆�
锛�3锛夊厤鐤垎瀛愶細
3
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鈶¤(b菙)楂旓細浜嗚В瑁�(b菙)楂旂郴绲�(t菕ng)鐨勭祫鎴愶紝鐔熸倝婵€娲婚€斿緫锛屼簡瑙ｆ椿鍖栫殑瑾�(di脿o)鎺�銆佽(b菙)楂斿彈楂�锛岀啛鎮夎(b菙)楂�
鐨勭敓鐗╁(xu茅)鍔熻兘銆�
鈶㈢窗(x矛)鑳炲洜瀛愶細鐔熸倝绱�(x矛)鑳炲洜瀛愮殑鍒嗛锛屾帉鎻＄窗(x矛)鑳炲洜瀛愮殑鍏卞悓鐗归粸(di菐n)锛岀啛鎮変富瑕佺窗(x矛)鑳炲洜瀛愮殑渚�(l谩i)
婧愬拰鐢熺墿瀛�(xu茅)浣滅敤銆�
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CD 鍒嗗瓙鍜岄粡闄勫垎瀛愪富瑕佸姛鑳�锛屼簡瑙ｅ父瑕�(ji脿n) CD 鍒嗗瓙鍙婂叾鍠厠闅嗘姉楂斿湪鑷ㄥ簥鐨勬噳(y墨ng)鐢�銆�
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鍩哄洜鍙婂叾鐢�(ch菐n)鐗╃殑鍒嗛銆佸熀鏈祼(ji茅)妲�(g貌u)鍜屽姛鑳姐€備簡瑙� HLA 鑸囪嚚搴婇啱(y墨)瀛�(xu茅)鐨勭浉闂�(gu膩n)鎬�銆�
3锛庢姉鍘燂細浜嗚В鎶楀師銆佽秴鎶楀師銆佷綈鍔戝拰鏈夌挡鍒嗚鍘熺殑鍒嗛锛屾帉鎻℃姉鍘熺殑鍩烘湰姒傚康銆佺壒鎬�
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4锛庡厤鐤噳(y墨ng)绛旓細鎺屾彙鍏嶇柅鎳�(y墨ng)绛旂殑椤炲瀷锛岀啛鎮夊厤鐤噳(y墨ng)绛旂殑閬�(gu貌)绋嬨€�
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闂�(gu膩n)闂�(gu膩n)绯�銆�
锛�2锛夌嵅寰楁€у厤鐤噳(y墨ng)绛旓細
鈶燘 绱�(x矛)鑳炰粙灏�(d菐o)鐨勯珨娑插厤鐤噳(y墨ng)绛旓細浜嗚В B 绱�(x矛)鑳炲皪(du矛)鎶楀師鐨勮瓨(sh铆)鍒ワ紝鎺屾彙 B 绱�(x矛)鑳炴椿鍖�銆佸娈栧拰
鍒嗗寲閬�(gu貌)绋嬪拰鐗归粸(di菐n)锛岀啛鎮夐珨娑插厤鐤噳(y墨ng)绛旂殑瑕�(gu墨)寰嬨€佹晥鎳�(y墨ng)鍜屾剰缇�銆�
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鎺屾彙鎶楀師閬炲憟閫斿緫銆侀亷(gu貌)绋嬪拰鐗归粸(di菐n)銆傜啛鎮� T 绱�(x矛)鑳炵殑澧炴畺鍜屽垎鍖�锛屾帉鎻″悇椤� T 绱�(x矛)鑳炰粙灏�(d菐o)鐨勫厤鐤�
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6锛庡厤鐤(di脿o)绡€(ji茅)锛氱啛鎮夊厤鐤窗(x矛)鑳�銆佸垎瀛愬拰鍏朵粬鍏嶇柅瑾�(di脿o)绡€(ji茅)褰㈠紡鍙婂叾姗�(j墨)鍒躲€�
7锛庤秴鏁忓弽鎳�(y墨ng)锛氱啛鎮夎秴鏁忓弽鎳�(y墨ng)鍒嗗瀷鍜� 鐧�(f膩)鐢熸(j墨)鍒�锛屼簡瑙ｅ父瑕�(ji脿n)鐨勮秴鏁忓弽鎳�(y墨ng)鎬х柧鐥呭強鍏堕槻娌�銆�
8锛庤嚜韬厤鐤€х柧鐥咃細浜嗚В鑷韩鍏嶇柅鐥呯殑鍒嗛鍜屽父瑕�(ji脿n)鐤剧梾銆傛帉鎻¤嚜韬厤鐤€х柧鐥呯殑瑾樺洜锛�
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9锛庤叓鐦ゅ厤鐤(xu茅)锛氫簡瑙ｈ叓鐦ゆ姉鍘�锛岀啛鎮夋(j墨)楂旀姉鑵槫鍏嶇柅鍜岃叓鐦ゅ厤鐤€冮€告(j墨)鍒�銆備簡瑙ｈ叓鐦�
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10锛庣Щ妞嶅厤鐤細浜嗚В绉绘鍏嶇柅椤炲瀷锛岀啛鎮夊悓绋Щ妞嶆帓鏂ュ弽鎳�(y墨ng)鐨勯鍨嬪強姗�(j墨)鍒�銆備簡瑙ｅ欢闀�(zh菐ng)绉�
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11锛庢姉鎰熸煋鍏嶇柅锛氫簡瑙ｆ姉鎰熸煋鍏嶇柅椤炲瀷锛岀啛鎮夋姉绱�(x矛)鑿屽拰鐥呮瘨鎰熸煋鐨勫厤鐤(j墨)鍒躲€傜啛鎮夎垏鎶�
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12锛庡厤鐤(xu茅)妾㈡脯(c猫)鎶€琛�(sh霉)锛氱啛鎮夋姉鍘熸姉楂斿弽鎳�(y墨ng)鐨勫師鐞嗗拰褰遍熆鍥犵礌銆備簡瑙ｅ厤鐤(bi膩o)瑷樻妧琛�(sh霉)鐨勫熀鏈�
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