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鍙嬫儏鎻愮ず锛氭湰绔欐彁渚涘叏鍦�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�锛�2013骞达紱鍧囨彁渚涙敹璨�(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�鈥� 涓嬭級
1
婀栧崡甯寖澶у(xu茅)纰╁＋鐮旂┒鐢熷叆瀛�(xu茅)鑰冭│鑷懡椤岃€冭│澶х侗
鑰冭│绉戠洰浠ｇ⒓锛歔脳脳脳] 鑰冭│绉戠洰鍚嶇ū锛氱梾鐞嗗(xu茅)
涓€銆佽€冭│褰㈠紡鑸囪│鍗风祼(ji茅)妲�(g貌u)
1)瑭﹀嵎鎴愮妇鍙婅€冭│鏅�(sh铆)闁擄細
鏈│鍗锋豢鍒嗙偤 100 鍒�锛岃€冭│鏅�(sh铆)闁撶偤 180 鍒嗛悩銆�
2)绛旈鏂瑰紡锛氶枆鍗�銆佺瓎瑭�
3)瑭﹀嵎鍏�(n猫i)瀹圭祼(ji茅)妲�(g貌u)
锛堜竴锛夌窉璜� 1%
锛堜簩锛夌窗(x矛)鑳�銆佺祫绻旂殑閬╂噳(y墨ng)鑸囨悕鍌� 5%
锛堜笁锛夋悕鍌风殑淇京(f霉) 5%
锛堝洓锛夊眬閮ㄨ娑插惊鐠�(hu谩n)闅滅 5%
锛堜簲锛夌値 鐧� 6%
锛堝叚锛夎叓 鐦� 7%
锛堜竷锛夊績琛€绠＄郴绲�(t菕ng)鐤剧梾 8%
锛堝叓锛夊懠鍚哥郴绲�(t菕ng)鐤剧梾 10%
锛堜節锛夋秷鍖栫郴绲�(t菕ng)鐤剧梾 10%
锛堝崄锛夐€犺绯荤当(t菕ng)鐤剧梾 8%
锛堝崄涓€锛夋硨灏跨郴绲�(t菕ng)鐤剧梾 10%
锛堝崄浜岋級鐢熸畺绯荤当(t菕ng)鍜屼钩鑵虹柧鐥� 10%
锛堝崄涓夛級鍏�(n猫i)鍒嗘硨绯荤当(t菕ng)鐤剧梾 5%
锛堝崄鍥涳級绁炵稉(j墨ng)绯荤当(t菕ng)鐤剧梾 5%
锛堝崄浜旓級鍌虫煋鐥呭拰瀵勭敓锜茬梾 5%
4)椤屽瀷绲�(ji茅)妲�(g貌u)
2
a: 鍠伕椤�锛�30 灏忛锛屾瘡灏忛 1 鍒�锛屽叡 30 鍒�
b: 濉┖椤�锛�10 灏忛锛屾瘡灏忛 2 鍒嗭紝鍏� 20 鍒�
c: 鍚嶈瑙ｉ噵锛�5 灏忛锛屾瘡灏忛 4 鍒�锛屽叡 20 鍒�
d锛氱啊绛旈锛�2 灏忛锛屾瘡灏忛 5 鍒�锛屽叡 10 鍒�
e锛氱梾姝峰垎鏋愰锛�2 灏忛锛屾瘡灏忛 10 鍒�锛屽叡 20 鍒�
浜�銆佽€冭│鍏�(n猫i)瀹硅垏鑰冭│瑕佹眰
锛堜竴锛夌窉 璜�
鑰冭│瑕佹眰锛氭帉鎻＄梾鐞嗗(xu茅)鐨勬蹇碉紱浜嗚В鐥呯悊瀛�(xu茅)鐨勫(xu茅)缈�(x铆)鍏�(n猫i)瀹瑰拰浠诲嫏(w霉)銆佺梾鐞嗗(xu茅)鐨勭爺绌舵柟娉曪紱鐥�
鐞嗗(xu茅)鍦ㄩ啱(y墨)瀛�(xu茅)涓殑鍦颁綅鍙婄梾鐞嗗(xu茅)鐨勭櫦(f膩)灞�銆�
鑰冭│鍏�(n猫i)瀹癸細鐥呯悊瀛�(xu茅)鐨勬杩�銆佸収(n猫i)瀹瑰拰浠诲嫏(w霉)鍙婄爺绌舵柟娉�銆�
锛堜簩锛夌窗(x矛)鑳�銆佺祫绻旂殑閬╂噳(y墨ng)鑸囨悕鍌�
鑰冭│瑕佹眰锛氭帉鎻￠仼鎳�(y墨ng)鐨勫熀鏈畾缇�銆佸父瑕嬮鍨嬪強褰㈡厠(t脿i)瀛�(xu茅)鐗归粸(di菐n)锛涙帉鎻℃悕鍌风殑鍩烘湰瀹氱京
鍜屽舰鎱�(t脿i)瀛�(xu茅)鐗瑰緛锛涙帉鎻″姝荤殑鍩烘湰姒傚康銆侀鍨嬪拰褰㈡厠(t脿i)瀛�(xu茅)鏀硅畩锛涙帉鎻″姝荤殑绲�(ji茅)灞€銆佺壒
榛�(di菐n)锛涚啛鎮夌窗(x矛)鑳炲噵浜″拰鑰佸寲鐨勬蹇靛拰褰㈡厠(t脿i)鐗归粸(di菐n)銆�
鑰冭│鍏�(n猫i)瀹癸細1锛庤悗绺殑姒傚康銆佸垎椤炪€佺梾鐞嗚畩鍖栧拰绲�(ji茅)灞€锛涜偉澶с€佸鐢�銆佸寲鐢熺殑姒傚康銆�
鐥呯悊璁婂寲鍙婅嚚搴婃剰缇�銆�2锛庣窗(x矛)鑳炴悕鍌风殑姒傚康銆佸師鍥�銆佹(j墨)鍒�銆佸厜閺″拰闆婚彙涓嬬殑褰㈡厠(t脿i)
瀛�(xu茅)璁婂寲鐗归粸(di菐n)銆�3锛庡姝荤殑姒傚康銆佺梾璁婄壒榛�(di菐n)銆佸垎椤炲強绲�(ji茅)灞€銆� 4锛庣窗(x矛)鑳炲噵浜″拰绱�(x矛)鑳炶€�
鍖栫殑姒傚康銆佸舰鎱�(t脿i)鐗归粸(di菐n)鍙婃剰缇┿€�
锛堜笁锛夋悕鍌风殑淇京(f霉)
鑰冭│瑕佹眰锛氬啀鐢熺殑姒傚康銆佺ó椤�锛屽悇绋祫绻旂殑鍐嶇敓閬庣▼銆傝倝鑺界祫绻旂殑姒傚康銆佸舰
鎱�(t脿i)鐗归粸(di菐n)銆佸姛鑳藉拰绲�(ji茅)灞€銆傜槩鐥曠祫绻旂殑姒傚康銆佸舰鎱�(t脿i)鐗归粸(di菐n)銆佷綔鐢ㄥ拰鍗卞銆傚壍(chu脿ng)鍌锋剤鍚堢殑姒�
蹇�銆佸熀鏈亷绋嬪拰椤炲瀷銆傚奖闊垮啀鐢熶慨寰�(f霉)鐨勫洜绱�銆傞鎶樻剤鍚堢殑鍩烘湰閬庣▼鍙婂奖闊垮洜绱犮€�
鑰冭│鍏�(n猫i)瀹癸細1锛庡啀鐢熺殑姒傚康銆佸垎椤烇紱鍚勭ó绲勭箶鐨勫啀鐢熼亷绋�銆�2锛庤倝鑺界祫绻旀蹇点€�
浣滅敤鍙婄祼(ji茅)灞€銆佺枻鐥曠祫绻旂殑褰㈡垚閬庣▼鍙婂悗鏋�銆�3锛庡壍(chu脿ng)鍌锋剤鍚堢殑姒傚康銆佸熀鏈亷绋嬪拰椤�
鍨�銆�4.楠ㄦ姌鎰堝悎锛氶鎶樻剤鍚堢殑鍥涘€�(g猫)闅庢锛氳鑵舰鎴�銆佺簴缍€ч鐥傚舰鎴愩€侀鎬ч鐥�
褰㈡垚銆侀鐥傛敼寤虹殑鐗归粸(di菐n)銆� 5锛庡奖闊垮壍(chu脿ng)鍌锋剤鍚堢殑鍥犵礌銆�
锛堝洓锛夊眬閮ㄨ娑插惊鐠�(hu谩n)闅滅
3
鑰冭│瑕佹眰锛氭帉鎻″厖琛€鐨勬蹇�銆佸師鍥�銆佺梾鐞嗚畩鍖栧強鍚庢灉锛涙帉鎻¤倽銆佽偤娣よ鐨勭梾
璁婄壒寰侊紱鎺屾彙琛€鏍撳舰鎴愮殑姒傚康銆佹浠躲€侀亷绋�銆佸舰鎱�(t脿i)鐗归粸(di菐n)锛岃鏍撶殑绲�(ji茅)灞€鍙婂叾灏嶆(j墨)
楂旂殑褰遍熆锛涙帉鎻℃爴瀛愩€佹爴濉炵殑姒傚康銆侀鍨嬪拰鏍撳瓙鐨勯亱(y霉n)琛屾柟鍚�锛涙帉鎻″父瑕嬫爴濉炵殑
甯歌鍘熷洜鍜屽悗鏋滐紱鎺屾彙姊楁鐨勬蹇�銆佸師鍥犮€侀鍨嬪拰鐥呰畩鐗瑰緛锛涚啛鎮夊嚭琛€鐨勭梾璁娿€�
椤炲瀷鍜屽悗鏋�銆�
鑰冭│鍏�(n猫i)瀹癸細1锛庡厖琛€鐨勬蹇点€佸師鍥�銆佺梾璁婂強鍚庢灉銆�2.鎱㈡€ц倽銆佽偤娣よ鐨勭梾璁婄壒
榛�(di菐n)銆�3.鍑鸿鐨勬蹇靛強椤炲瀷銆�4锛庤鏍撶殑姒傚康銆佸舰鎴愮殑姊濅欢鍜屾(j墨)鍒躲€佸舰鎱�(t脿i)锛岃鏍撶殑
绲�(ji茅)灞€鍙婂皪姗�(j墨)楂旂殑褰遍熆銆�5锛庢爴濉炵殑姒傚康鍜屾爴瀛愮殑閬�(y霉n)琛岄€斿緫锛屾爴濉炵殑椤炲瀷鍙婂叾鍚庢灉銆�
6.姊楁鐨勬蹇�銆佸師鍥�銆佺梾璁婂強鍏堕鍨嬶紱姊楁灏嶆(j墨)楂旂殑褰遍熆鍜岀祼(ji茅)灞€銆�
锛堜簲锛夌値 鐧�
鑰冭│瑕佹眰锛氭帉鎻＄値鐧ョ殑姒傚康鍜屽熀鏈梾鐞嗚畩鍖�锛涙帉鎻＄値鐧ョ殑灞€閮ㄥ弽鎳�(y墨ng)鍜屽叏韬弽
鎳�(y墨ng)锛涙帉鎻＄値鐧ヤ粙璩�(zh矛)鐨勬蹇靛拰浣滅敤锛涙帉鎻℃€ユ€х値鎬х殑鍩烘湰閬庣▼锛涙帉鎻℃€ユ€х値鐧ョ殑鍩�
鏈鍨�銆佸舰鎱�(t脿i)鐗瑰緛锛岀祼(ji茅)灞€鍙婃剰缇�锛涙帉鎻′竴鑸參鎬х値鐧ュ拰鎱㈡€ц倝鑺借叓鎬х値鐧ョ殑鐥呭洜
鍜岀梾鐞嗚畩鍖栫壒榛�(di菐n)銆�
鑰冭│鍏�(n猫i)瀹癸細1锛庣値鐧ョ殑姒傚康銆佸師鍥�銆佽嚚搴婅〃鐝�(xi脿n)锛涚値鐧ュ熀鏈梾鐞嗚畩鍖栧強鑷ㄥ簥琛ㄧ従(xi脿n)銆�
2.鐐庣櫏浠嬭唱(zh矛)鐨勬蹇靛拰浣滅敤銆�3锛庢€ユ€х値鐧ョ殑甯歌椤炲瀷鍙婁富瑕佺壒寰�锛涘奖闊跨値鐧ラ亷绋�
鐨勫洜绱�锛涚値鐧ョ殑缍�(j墨ng)閬庡拰绲�(ji茅)灞€銆�3锛庢參鎬х値鐧ワ細涓€鑸參鎬х値鐧ョ殑鐥呰畩鐗归粸(di菐n)锛涙參鎬ц倝
鑺借叓鎬х値锛氭蹇点€佸舰鎴愭浠跺拰绲勬垚銆�
锛堝叚锛夎叓 鐦�
鑰冭│瑕佹眰锛氭帉鎻¤叓鐦ょ殑姒傚康锛岃叓鐦ゆ€ц垏闈炶叓鐦ゆ€у鐢熺殑鍗€(q奴)鍒�銆傛帉鎻¤叓鐦ょ殑涓€
鑸舰鎱�(t脿i)鑸囩祼(ji茅)妲�(g貌u)鐗归粸(di菐n)銆傛帉鎻¤叓鐦ょ暟鍨嬫€х殑姒傚康銆佸舰鎱�(t脿i)瀛�(xu茅)瑕侀粸(di菐n)銆傛帉鎻¤叓鐦ょ殑鐢熼暦鏂瑰紡
鍙婃摯(ku貌)鏁ｉ€斿緫鍙婅叓鐦ゅ皪姗�(j墨)楂旂殑褰遍熆銆傛帉鎻¤壇鎬ц叓鐦よ垏鎯℃€ц叓鐦ょ殑鍗€(q奴)鍒ャ€佺檶鑸囪倝鐦ょ殑
鍗€(q奴)鍒�銆傛帉鎻¤叓鐦ょ殑鍛藉悕鍙婂垎椤炲師鍓�銆傛帉鎻″父瑕嬬殑鐧屽墠鐤剧梾锛堢梾璁婏級鍙婂師浣嶇檶鐨勭壒
榛�(di菐n)锛涚啛鎮夎叓鐦ょ敓闀风殑鐢熺墿瀛�(xu茅)鐗规€э紙鑵槫鐢熼暦鐨勫嫊(d貌ng)鍔涘(xu茅)銆佽叓鐦よ绠＄敓鎴�銆佽叓鐦ょ殑婕�
閫�(j矛n)鍜岀暟璩�(zh矛)鍖栵級锛岀啛鎮夋儭鎬ц叓鐦ゆ蹈娼ゅ拰杞�(zhu菐n)绉荤殑姗�(j墨)鍒�锛岀啛鎮夎叓鐦ょ殑鍒嗙礆鑸囧垎鏈熴€傜啛鎮�
甯歌鐨勪笂鐨簮鎬у拰闁撹憠婧愭€ц叓鐦ょ殑鍚嶇ū銆佸ソ鐧�(f膩)閮ㄤ綅銆佸舰鎱�(t脿i)鐗归粸(di菐n)鍙婄敓闀风壒鎬�銆備簡瑙�
鑵槫鐥呭洜鍙婄櫦(f膩)鐥呭(xu茅)銆�
鑰冭│鍏�(n猫i)瀹癸細1锛庤叓鐦ょ殑姒傚康锛屽湅鍏�(n猫i)銆佸鑵槫鐨勭櫦(f膩)鐥�銆佹不鐧傚拰鐮旂┒鐙€娉�锛涜叓鐦ゆ€�
澧炵敓鑸囬潪鑵槫鎬у鐢熺殑鏈唱(zh矛)鍗€(q奴)鍒�銆�2锛庤叓鐦ょ殑涓€鑸舰鎱�(t脿i)鑸囩祼(ji茅)妲�(g貌u)銆佽叓鐦ょ殑鐣板瀷鎬�銆�
鑵槫鐨勭敓闀疯垏鎿�(ku貌)鏁�銆傝叓鐦ょ敓闀峰垎?j菒n)?sh霉)鍙婄暟璩�(zh矛)鍖�锛屾儭鎬ц叓鐦ゆ蹈娼�銆佽綁(zhu菐n)绉荤殑姗�(j墨)鍒�銆�3.
鑹�銆佹儭鎬ц叓鐦ょ殑鍗€(q奴)鍒ュ強灏嶆(j墨)楂旂殑褰遍熆锛岀檶鑸囪倝鐦ょ殑鍗€(q奴)鍒�銆�4.鑵槫鐨勫懡鍚嶅師鍓囧強鍒�
椤�銆傚父瑕嬭叓鐦わ紙濡備钩闋媭鐦�銆佽吅鐦ゃ€侀睏鐙€绱�(x矛)鑳炵檶銆佽吅鐧屻€佺Щ琛屼笂鐨窗(x矛)鑳炵檶銆佺簴缍�
4
鐦�銆佽剛鑲槫銆佽剤绠＄槫銆佸钩婊戣倢鐦�銆佺簴缍倝鐦ゃ€侀鑲夌槫鍙婄暩鑳庣槫锛夌殑濂界櫦(f膩)閮ㄤ綅锛屽舰
鎱�(t脿i)鐗归粸(di菐n)鍙婄敓闀风壒鎬�锛涚檶鍓嶇梾璁婏紙鐧屽墠鐤剧梾锛�銆佸師浣嶇檶鍙婁氦鐣屾€ц叓鐦ょ殑姒傚康銆�4.鑵�
鐦ょ殑鐥呭洜鍙婄櫦(f膩)鐥呭(xu茅)銆�
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5
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6
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鑵虹檶鐨勭梾璁�銆佽敁寤跺強杞�(zhu菐n)绉汇€佽嚚搴婄梾鐞嗚伅(li谩n)绯�銆�7.鍓嶅垪鑵哄鐢熺櫏鐨勭梾鍥犮€佺櫦(f膩)鐥呮(j墨)鍒跺強
鐥呰畩鐗归粸(di菐n)銆�8.闄拌帠鐧岀殑鐥呰畩鐗归粸(di菐n)銆�
锛堝崄涓夛級 鍏�(n猫i)鍒嗘硨绯荤当(t菕ng)鐤剧梾
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搴婄梾鐞嗚伅(li谩n)绯�銆傛帉鎻＄敳鐙€鑵鸿吅鐦ょ殑鐥呯悊璁婂寲鍙婄梾鐞嗛鍨�锛屾帉鎻＄敳鐙€鑵虹檶鐨勭梾鐞嗛鍨�
鍜岃綁(zhu菐n)绉荤壒榛�(di菐n)锛涚啛鎮夌敳鐙€鑵哄姛鑳戒綆涓�銆佺敳鐙€鑵虹値鐨勭梾鐞嗚畩鍖栧拰鑷ㄥ簥鐥呯悊鑱�(li谩n)绯汇€傜啛鎮�
绯栧翱鐥呯殑鍒嗛銆佺梾鍥犮€佺櫦(f膩)鐥呮(j墨)鍒跺拰鐥呯悊璁婂寲锛涗簡瑙ｅ瀭楂旂柧鐥呫€佽厧涓婅吅鐤剧梾銆佽儼宄�
绱�(x矛)鑳炵槫鐨勫熀鏈梾璁婄壒榛�(di菐n)銆備簡瑙� APUD 鑵槫鐨勬蹇�銆�
鑰冭│鍏�(n猫i)瀹癸細 1.涓嬩笜鑵﹀拰鍨傞珨鐤剧梾锛氬翱宕╃櫏鐨勬蹇�銆傚瀭楂斿姛鑳戒綆涓嬪拰浜㈤€�(j矛n)鐨勬蹇�銆�
鐥呭洜鍜岄鍨�銆傚法浜虹櫏銆佽偄绔偉澶х櫏鐨勬蹇点€傚瀭楂旇吅鐦ょ殑椤炲瀷鍜岀梾璁�銆�2.鐢茬媭鑵虹柧
?銆傛倣宓屾嫎闄㈡姇鎷樼害璋為挄鍊孾鐨勭梾鍥�銆佺櫦(f膩)鐥呮(j墨)鍒�銆佺梾鐞嗚畩鍖栧拰鑷ㄥ簥鐥呯悊鑱�(li谩n)绯�锛涚敳鐙€
鑵虹値鐨勭梾鐞嗚畩鍖栧拰鑷ㄥ簥鐥呯悊鑱�(li谩n)绯�锛涚敳鐙€鑵鸿吅鐦ゅ拰鑵虹檶鐨勯鍨嬪拰鐥呰畩銆�3.鑵庝笂鑵虹柧
鐥咃細鑵庝笂鑵虹毊璩�(zh矛)鍔熻兘浜㈤€�(j矛n)銆佹煰鑸堬紙Cushing)缍滃悎鐧�銆佸師鐧�(f膩)鎬ч啗鍥洪叜澧炲鐧ョ殑姒傚康銆�
鐥呰畩鍜岃嚚搴婄梾鐞嗚伅(li谩n)绯�銆傝厧涓婅吅鐨唱(zh矛)鑵虹槫鍜岃吅鐧岀殑鐥呰畩銆傝厧涓婅吅楂撹唱(zh矛)鑵槫鐨勭梾璁婄壒
榛�(di菐n)銆�4.绯栧翱鐥�銆佽儼宄剁窗(x矛)鑳炵槫鐨勭梾璁婂強鑷ㄥ簥鐥呯悊鑱�(li谩n)绯�锛汚PUD 鐦ょ殑姒傚康銆�
锛堝崄鍥涳級绁炵稉(j墨ng)绯荤当(t菕ng)鐤剧梾
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鐞嗚畩鍖栧拰鑷ㄥ簥鐥呯悊鑱�(li谩n)绯�锛涗簡瑙ｇ缍�(j墨ng)绯荤当(t菕ng)鐤剧梾鐨勫熀鏈梾璁�銆佺缍�(j墨ng)绯荤当(t菕ng)璁婃€х柧鐥呭強鑵�
鐦わ紝浜嗚В涓绁炵稉(j墨ng)绯荤当(t菕ng)鐤剧梾甯歌骞剁櫦(f膩)鐧�銆�
鑰冭│鍏�(n猫i)瀹癸細1锛庢祦琛屾€ц叇鑴婇珦鑶滅値鐨勬蹇点€佺梾鍥犲強鍌虫煋閫斿緫锛岀梾鐞嗚畩鍖栫壒榛�(di菐n)锛�
鑷ㄥ簥鐥呯悊鑱�(li谩n)绯昏垏绲�(ji茅)灞€銆�2锛庢祦琛屾€т箼鍨嬭叇鐐庣殑姒傚康銆佺梾鍥犲強鍌虫煋閫斿緫锛岀梾鐞嗚畩鍖�
鐗归粸(di菐n)锛岃嚚搴婄梾鐞嗚伅(li谩n)绯汇€�3.娴风犊鐙€鑵︾梾鐨勭梾鍥犲拰鐥呯悊璁婂寲銆�4.绁炵稉(j墨ng)绯荤当(t菕ng)鑵槫锛氭槦褰�
绱�(x矛)鑳炵槫銆佸皯绐佽啝璩�(zh矛)绱�(x矛)鑳炵槫銆侀珦姣嶇窗(x矛)鑳炵槫銆佸绠¤啘鐦ゃ€佽叇鑶滅槫銆佽缍�(w菐ng)鑶滅窗(x矛)鑳炵槫銆佺
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7
锛堝崄浜旓級鍌虫煋鐥呭拰瀵勭敓锜茬梾
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