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 876 ]            鑰冭│绉戠洰鍚嶇ū(ch膿ng)锛氱梾鐞嗙敓鐞嗗(xu茅)

涓€銆佽€冭│鍏�(n猫i)瀹硅垏瑕侀粸(di菐n)

1銆佺窉璜�

     鑰冭│鍏�(n猫i)瀹癸細 

锛�1锛夌梾鐞嗙敓鐞嗗(xu茅)鐨勪换鍕�(w霉)

     浠ヨ警璀夊敮鐗╀富缇╃偤鎸囧皫(d菐o)鎬濇兂锛岀爺绌剁柧鐥呯櫦(f膩)鐢熴€佺櫦(f膩)灞曞拰杞�(zhu菐n)姝哥殑瑕�(gu墨)寰�锛岄棥鏄庣柧鐥呮湰璩�(zh矛)锛岀偤鐤剧梾鐨勯槻娌绘彁渚涚悊璜栧熀绀�(ch菙)銆傜偤浜嗗畬鎴愰€欎簺浠诲嫏(w霉)锛岀梾鐞嗙敓鐞嗗(xu茅)鍦ㄧ爺绌剁柧鐥呮檪(sh铆)鍋�(c猫)閲嶄簬鎮ｇ梾姗�(j墨)楂旀(j墨)鑳戒唬璎濈殑鍕�(d貌ng)鎱�(t脿i)璁婂寲浠ュ強閫欎簺璁婂寲鐨勫師鍥犲拰姗�(j墨)鐞�銆�

锛�2锛夌梾鐞嗙敓鐞嗗(xu茅)鐨勬€ц唱(zh矛)

     鑸囧瀛�(xu茅)绉戝瘑鍒囩浉闂�(gu膩n)鐨勭稖鍚堟€ч倞绶ｅ(xu茅)绉�锛屾棦鏄悊璜栨€ц純寮�(qi谩ng)鐨勫(xu茅)绉戯紝鍙堟槸涓€闁€(m茅n)瀵�(sh铆)椹�(y脿n)鎬у(xu茅)绉�銆傝嚚搴婅(gu膩n)瀵熺壒鍒ユ槸鍕�(d貌ng)鐗╁(sh铆)椹�(y脿n)鍦ㄧ梾鐞嗙敓鐞嗗(xu茅)鐨勭爺绌朵腑璧烽噸瑕佷綔鐢ㄣ€�

锛�3锛夌梾鐞嗙敓鐞嗗(xu茅)鍦ㄩ啱(y墨)瀛�(xu茅)鏁欒偛涓殑鍦颁綅鍜屼綔鐢� 

婧濋€氬熀绀�(ch菙)鑸囪嚚搴婇啱(y墨)瀛�(xu茅)锛岃捣鎵垮墠鍟熷悗鐨勪綔鐢�銆� 

锛�4锛夌梾鐞嗙敓鐞嗗(xu茅)鐧�(f膩)灞曠殑姝峰彶銆�

鑰冭│瑕佹眰锛�

浜嗚В鐥呯悊鐢熺悊瀛�(xu茅)鐨勪换鍕�(w霉)銆佹€ц唱(zh矛)浠ュ強鍦ㄩ啱(y墨)瀛�(xu茅)鏁欒偛涓殑鍦颁綅鍜屼綔鐢�銆�

2銆佺柧鐥呮璜�

鑰冭│鍏�(n猫i)瀹癸細 

锛�1锛夌柧鐥呰垏鍋ュ悍鐨勬蹇�

浜洪(l猫i)灏�(du矛)鐤剧梾瑾�(r猫n)璀�(sh铆)鐨勬鍙叉紨閫�(j矛n)锛岀従(xi脿n)浠ｉ啱(y墨)瀛�(xu茅)灏�(du矛)鐤剧梾鐨勮獚(r猫n)璀�(sh铆)銆傚仴搴�銆佷簽鍋ュ悍鐨勬蹇靛強妯�(bi膩o)婧�(zh菙n)銆傜柧鐥呯殑姒傚康鍙婃湰璩�(zh矛)銆�

锛�2锛夎嚧鐥呭洜绱犲拰鐤剧梾鐧�(f膩)鐢熸浠剁殑涓€鑸蹇�

     鐥呭洜鍜岃嚧鐥呮浠剁殑姒傚康鍙婄壒榛�(di菐n)銆傜梾鍥犵殑绋(l猫i)銆�

锛�3锛夌柧鐥呯櫦(f膩)鐢熺櫦(f膩)灞曠殑涓€鑸(gu墨)寰�

     鎼嶅偡鑸囨姉鎼嶅偡锛屽洜鏋滀氦鏇匡紝灞€閮ㄨ垏鏁撮珨鐨勯棞(gu膩n)绯�銆�

锛�4锛夌柧鐥呯櫦(f膩)鐢熺殑鍩烘湰姗�(j墨)鍒�

绁炵稉(j墨ng)姗�(j墨)鍒讹紝楂旀恫姗�(j墨)鍒�锛岀祫绻旂窗(x矛)鑳炴(j墨)鍒跺拰鍒嗗瓙姗�(j墨)鍒�銆�

锛�5锛夌柧鐥呯殑缍�(j墨ng)閬�(gu貌)鑸囪綁(zhu菐n)姝�

     娼涗紡鏈�銆佸墠椹�(q奴)鏈�銆佽嚚搴婄櫏鐙€鏄庨’鏈熷拰杞�(zhu菐n)姝告湡?锛熺セ?f霉)鐨勬蹇佃垏鍒嗛(l猫i)銆傛浜＄殑姒傚康锛屾浜＄殑鏅�(sh铆)鐩�锛屾浜＄殑妯�(bi膩o)蹇楀拰鍒ゅ畾妯�(bi膩o)婧�(zh菙n)銆�

锛�6锛夎“鑰�

琛拌€佺殑姒傚康鑸囦富瑕佺殑瀛�(xu茅)瑾�(shu艒)銆� 

鑰冭│瑕佹眰锛�

锛�1锛夎姹傛帉鎻＄柧鐥呯殑姒傚康锛岀啛鎮夌柧鐥呯櫦(f膩)鐢熺櫦(f膩)灞曠殑涓€鑸(gu墨)寰�銆�

锛�2锛変簡瑙ｆ浜″拰琛拌€佺殑姒傚康锛涚偤浠ュ悗鍚勭珷鐨勫(xu茅)缈�(x铆)鎵撲笅涓€瀹氱殑鍩虹(ch菙)銆�

3銆佹按銆侀浕瑙ｈ唱(zh矛)浠ｈ瑵绱婁簜

鑰冭│鍏�(n猫i)瀹癸細 

 锛�1锛夎劔姘�

鈶犱綆瀹归噺鎬ч珮閳夎鐧ワ紙楂樻徊鎬ц劔姘达級 

姒傚康銆佸師鍥犲拰姗�(j墨)鍒�銆佽嚚搴婅〃鐝�(xi脿n)鐗归粸(di菐n)銆侀槻娌诲師鍓�銆� 

鈶′綆瀹归噺鎬т綆閳夎鐧ワ紙浣庢徊鎬ц劔姘达級

   姒傚康銆佸師鍥犲拰姗�(j墨)鍒�銆佽嚚搴婅〃鐝�(xi脿n)鐗归粸(di菐n)銆侀槻娌诲師鍓�銆�

鈶㈡甯歌閳夋€ф按绱婁簜锛堢瓑婊叉€ц劔姘达級

   姒傚康銆佸師鍥犲拰姗�(j墨)鍒�銆佽嚚搴婅〃鐝�(xi脿n)鐗归粸(di菐n)銆侀槻娌诲師鍓�銆�

锛�2锛夋按鑵�

  姒傚康銆佸垎椤�(l猫i)銆佸熀鏈(j墨)鍒�銆佹按鑵殑鐗归粸(di菐n)銆佹按鑵皪(du矛)姗�(j墨)楂旂殑褰遍熆銆傚父瑕�(ji脿n)姘磋叓椤�(l猫i)鍨�銆佺壒榛�(di菐n)鍜岀櫦(f膩)鐥呮(j墨)鍒躲€�

锛�3锛夐墍浠ｈ瑵绱婁簜

鈶� 楂橀墍琛€鐧ワ細姒傚康銆佸師鍥犲拰姗�(j墨)鍒�銆侀槻娌诲師鍓囥€�

鈶′綆閴€琛€鐧ワ細姒傚康銆佸師鍥犲拰姗�(j墨)鍒躲€侀槻娌诲師鍓�銆�

鑰冭│瑕佹眰锛�

锛�1锛夋帉鎻℃按鍜岄浕瑙ｈ唱(zh矛)浠ｈ瑵绱婁簜 ( 鑴按銆侀墍浠ｈ瑵绱婁簜) 鐨勪竴鑸梾鍥犵櫦(f膩)鐥呭(xu茅)鍜屾(j墨)楂旇畩鍖栫殑瑕�(gu墨)寰�銆�

锛�2锛夌啛鎮夋按涓瘨銆佹按鑵殑涓€鑸梾鍥犵櫦(f膩)鐥呭(xu茅)鍜屾(j墨)楂旇畩鍖�銆� 

锛�3锛変簡瑙ｆ(j墨)楂斿皪(du矛)姘村拰闆昏В璩�(zh矛)浠ｈ瑵鐨勮(di脿o)绡€(ji茅)姗�(j墨)鍒�銆�

4銆侀吀鍫垮钩琛＄磰浜�

鑰冭│鍏�(n猫i)瀹癸細

 锛�1锛夊弽鏄犺娑查吀鍫垮钩琛″父鐢ㄦ寚妯�(bi膩o)鍙婂叾鎰忕京

  pH鍊�銆丳aCO2銆丼B銆丄B銆丅B銆丅E鍜孉G銆�

 锛�2锛夊洓绋柈绱斿瀷閰稿牽涓瘨

鈶犱唬璎濇€ч吀涓瘨

姒傚康銆佸師鍥犲拰姗�(j墨)鍒讹紙AG澧為珮鍨嬩唬閰�銆丄G姝ｅ父鍨嬩唬閰革級銆佹(j墨)楂旂殑浠ｅ劅瑾�(di脿o)绡€(ji茅)銆佹(j墨)鑳戒唬璎濇敼璁�銆侀槻娌诲師鍓�銆� 

鈶″懠鍚告€ч吀涓瘨

    姒傚康銆佸師鍥犲拰姗�(j墨)鍒�銆佹(j墨)楂旂殑浠ｅ劅瑾�(di脿o)绡€(ji茅)銆佸皪(du矛)姗�(j墨)楂旂殑褰遍熆銆侀槻娌诲師鍓囥€� 

鈶唬璎濇€у牽涓瘨

    姒傚康銆佸師鍥犲拰姗�(j墨)鍒讹紙楣芥按鍙嶆噳(y墨ng)鎬�銆侀菇姘存姷鎶楁€э級銆佹(j墨)楂旂殑浠ｅ劅瑾�(di脿o)绡€(ji茅)銆佹(j墨)鑳戒唬璎濊畩鍖�銆侀槻娌诲師鍓�銆�

   鈶ｅ懠鍚告€у牽涓瘨

    姒傚康銆佸師鍥犲拰姗�(j墨)鍒�銆佷唬鍎熻(di脿o)绡€(ji茅)銆佹(j墨)鑳戒唬璎濊畩鍖�銆侀槻娌诲師鍓�銆�

 锛�3锛夋贩鍚堟€ч吀鍫跨磰浜�

    鐩稿姞鍨�銆佺浉娑堟€с€�

鑰冭│瑕佹眰锛�

锛�1锛夋帉鎻″柈绱斿瀷閰稿牽涓瘨鐨勪竴鑸梾鍥�銆佺櫦(f膩)鐥呭(xu茅)鍜屾(j墨)楂旇畩鍖栬(gu墨)寰嬨€�

锛�2锛夌啛鎮夊弽鏄犻吀鍫垮钩琛＄殑鍚勯爡(xi脿ng)鎸囨(bi膩o)鍙婂叾鎰忕京銆�

锛�3锛変簡瑙ｆ贩鍚堟€ч吀鍫垮钩琛＄磰浜傜梾鍥�銆佺櫦(f膩)鐥呭(xu茅)鍜屾(j墨)楂旇畩鍖栬(gu墨)寰嬨€�

5銆佺己姘�

 鑰冭│鍏�(n猫i)瀹癸細 

锛�1锛夌己姘х殑姒傚康銆� 

锛�2锛夊父鐢ㄧ殑琛€姘ф寚妯�(bi膩o) 

姘у垎澹撱€佹哀瀹归噺銆佹哀鍚噺銆佹哀椋藉拰搴�銆� 

锛�3锛夊悇椤�(l猫i)鍨嬬己姘х殑鐥呭洜銆佽姘ц畩鍖栫壒榛�(di菐n)鍜岀祫绻旂己姘х殑姗�(j墨)鍒� 

涔忔哀鎬х己姘�銆佽娑叉€х己姘�銆佸惊鐠�(hu谩n)鎬х己姘у拰绲勭箶涓瘨鎬х己姘с€� 

锛�4锛夋(j墨)鑳借垏浠ｈ瑵璁婂寲銆� 

锛�5锛夊奖闊挎(j墨)楂斿皪(du矛)缂烘哀鑰愬彈鎬х殑鍥犵礌 

骞撮健銆佷腑妯炵缍�(j墨ng)绯荤当(t菕ng)姗�(j墨)鑳界媭鎱�(t脿i)銆佹(j墨)楂斾唬璎濈媭鎱�(t脿i)銆侀崨鐓夐仼鎳�(y墨ng)鎯呮硜銆� 

锛�6锛夋哀鐧傚強姘т腑姣掋€�

鑰冭│瑕佹眰锛� 

锛�1锛夋帉鎻″悇绋(l猫i)鍨嬬己姘х殑鐥呭洜鍙婂叾鐗归粸(di菐n)銆� 

锛�2锛夌啛鎮夌己姘ф檪(sh铆)姗�(j墨)楂旂殑姗�(j墨)鑳藉拰浠ｈ瑵璁婂寲鍙婂叾鐧�(f膩)鐢熸(j墨)鍒�銆� 

锛�3锛変簡瑙ｅ父鐢ㄧ殑琛€姘ф寚妯�(bi膩o)鍙婃哀鐧傜殑鐥呯悊鐢熺悊瀛�(xu茅)鍩虹(ch菙)銆� 

6銆� 鐧�(f膩)鐔�

鑰冭│鍏�(n猫i)瀹癸細

锛�1锛夌櫦(f膩)鐔辩殑姒傚康 

鍗€(q奴)鍒嗙櫦(f膩)鐔便€侀亷(gu貌)鐔辫垏鐢熺悊鎬ч珨婧崌楂�銆�

锛�2锛夊師鍥犲拰姗�(j墨)鍒�

       鐧�(f膩)鐔辨縺娲荤墿鐨勭ó椤�(l猫i)鑸囨€ц唱(zh矛)

鍏�(n猫i)鐢熻嚧鐔卞師鐨勭窗(x矛)鑳炰締(l谩i)婧愬拰绋(l猫i)銆佸収(n猫i)鐢熻嚧鐔卞師鐨勪綔鐢ㄩ儴浣嶏紙POAH鍜孫VLT锛�

涓鐧�(f膩)鐔变粙璩�(zh矛)锛堝墠鍒楄吅绱�銆佺挵(hu谩n)纾烽吀鑵鸿嫹锛孨a+/Ca2+姣斿€硷級 

鐧�(f膩)鐔遍珨婧笂鍗囩殑鍩烘湰鐠�(hu谩n)绡€(ji茅) 

鐧�(f膩)鐔辩殑鏅�(sh铆)鐩�銆佺啽浠ｈ瑵鐗归粸(di菐n)鍜岃嚚搴婅〃鐝�(xi脿n)

鐔遍檺鍙婂叾鎴愬洜銆�

    锛�3锛夋(j墨)鑳戒唬璎濊畩鍖�銆�

 鐗╄唱(zh矛)浠ｈ瑵鐨勬敼璁婏細绯栥€佽剛鑲�銆佽泲鐧借唱(zh矛)銆佹按楣藉強缍敓绱犱唬璎濈殑璁婂寲銆�

        鐢熺悊鍔熻兘鐨勬敼璁婏細涓绁炵稉(j墨ng)绯荤当(t菕ng)鍔熻兘銆佸惊鐠�(hu谩n)绯荤当(t菕ng)鍔熻兘銆佸懠鍚稿姛鑳藉強娑堝寲鍔熻兘鐨勬敼璁娿€�

 闃插尽鍔熻兘鐨勬敼璁婏細鎶楁劅鏌撹兘鍔涚殑鏀硅畩銆佸皪(du矛)鑵槫绱�(x矛)鑳炵殑褰遍熆銆佹€ユ€ф湡鍙嶆噳(y墨ng)銆�

    锛�4锛夌櫦(f膩)鐔遍槻娌荤殑鐥呯悊鐢熺悊瀛�(xu茅)鍩虹(ch菙)

      娌荤檪鍘熺櫦(f膩)鐥� 

涓€鑸€х櫦(f膩)鐔辩殑铏曠悊

      蹇呴爤鍙婃檪(sh铆)瑙ｇ啽鐨勭梾渚�

鑰冭│瑕佹眰锛� 

锛�1锛夋帉鎻＄櫦(f膩)鐔辩殑姒傚康銆佺梾鍥犲拰鐧�(f膩)鐥呮(j墨)鍒�銆�

锛�2锛夌啛鎮夐珨婧崌楂樼殑鍒嗛(l猫i)锛岀櫦(f膩)鐔辨檪(sh铆)姗�(j墨)楂斾唬璎濊垏鍔熻兘鐨勬敼璁�銆�

锛�3锛変簡瑙ｇ櫦(f膩)鐔遍槻娌荤殑鐥呯悊鐢熺悊鍩虹(ch菙)鍜岃嚚搴婅檿鐞嗗師鍓囥€�

7銆佺窗(x矛)鑳炰俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)鐣板父鑸囩柧鐥�

鑰冭│鍏�(n猫i)瀹癸細 

锛�1锛夌窗(x矛)鑳炰俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)绯荤当(t菕ng)姒傝堪

绱�(x矛)鑳炰俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)鐨勬蹇�銆�

鍙楅珨浠嬪皫(d菐o)鐨勭窗(x矛)鑳炰俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)閫氳矾锛氳啘鍙楅珨浠嬪皫(d菐o)鐨勮法鑶滀俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)閫氳矾锛圙铔嬬櫧鑰﹁伅(li谩n)鍙楅珨銆侀叒姘ㄩ吀铔嬬櫧婵€閰跺瀷鍙楅珨銆佺挡/铇囨皑鍩洪吀婵€閰跺瀷鍙楅珨銆佽叓鐦ゅ姝诲洜瀛愬鏃�銆侀洟瀛愰€氶亾鍨嬪彈楂旓級锛屾牳鍙楅珨浠嬪皫(d菐o)鐨勪俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)閫氳矾銆�

绱�(x矛)鑳炰俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)閫氳矾瑾�(di脿o)绡€(ji茅)闈惰泲鐧芥椿鎬х殑涓昏鏂瑰紡锛氬彲閫嗙７閰稿寲蹇€熻(di脿o)绡€(ji茅)闈惰泲鐧界殑娲绘€�銆佽(di脿o)鎺у熀鍥犺〃閬�(d谩)鐢�(ch菐n)鐢熻純鐐虹珐鎱㈢殑鐢熺墿鏁堟噳(y墨ng)銆� 

锛�2锛変俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)鐣板父鐧�(f膩)鐢熺殑鐠�(hu谩n)绡€(ji茅)鍜屾(j墨)鍒�

绱�(x矛)鑳炲淇¤櫉(h脿o)鐧�(f膩)鏀剧暟甯革細绁炵稉(j墨ng)楂旀恫鍥犲瓙鍒嗘硨鐣板父銆佺梾鍘熼珨鍙婂叾鐢�(ch菐n)鐗╃殑鍓屾縺銆佺悊鍖栧洜绱犲墝婵€銆�

 鍙楅珨鎴栧彈楂斿悗淇¤櫉(h脿o)杞�(zhu菐n)灏�(d菐o)鐣板父锛氶伜鍌虫€у彈楂旂梾銆佽嚜韬厤鐤€у彈楂旂梾銆佺辜鐧�(f膩)鎬у彈楂旂暟甯�銆佸彈楂斿悗鐨勪俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)閫氳矾鎴愬垎鐣板父銆� 

锛�3锛夎垏淇¤櫉(h脿o)杞�(zhu菐n)灏�(d菐o)鐣板父鏈夐棞(gu膩n)鐨勭柧鐥� 

 鑳板扯绱犳姷鎶楁€х硸灏跨梾銆佽叓鐦�銆佸績鑲岃偉鍘氬拰蹇冭“鐨勪俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)鐣板父鐨勭櫦(f膩)鐢熸(j墨)鍒�銆�

鑰冭│瑕佹眰锛� 

锛�1锛夌啛鎮夌窗(x矛)鑳炰俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)鐨勫熀鏈亷(gu貌)绋嬪拰姗�(j墨)鍒躲€�

锛�2锛夋帉鎻＄窗(x矛)鑳炰俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)鐣板父鐧�(f膩)鐢熺殑鐠�(hu谩n)绡€(ji茅)鍜屾(j墨)鍒�銆�

锛�3锛� 鐔熸倝鑸囦俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)鐣板父鏈夐棞(gu膩n)鐨勭柧鐥�銆�

8銆佺窗(x矛)鑳炲娈栧拰鍑嬩骸鐣板父鑸囩柧鐥�

鑰冭│鍏�(n猫i)瀹癸細 

锛�1锛夌窗(x矛)鑳炲娈栫暟甯歌垏鐤剧梾

鈶犵窗(x矛)鑳炲懆鏈熺殑鍩烘湰姒傚康銆佺窗(x矛)鑳炲懆鏈熻(di脿o)鎺х殑姗�(j墨)鍒�銆�

鈶＄窗(x矛)鑳炲懆鏈熻(di脿o)鎺х暟甯歌垏鐤剧梾

  绱�(x矛)鑳炲娈栭亷(gu貌)搴︼細Cyclin鐨勭暟甯�銆丆DK鐨勫澶�銆丆DI琛ㄩ仈(d谩)涓嶈冻銆佹鏌ラ粸(di菐n)鍔熻兘闅滅銆傜窗(x矛)鑳炲娈栫己闄� 

鈶㈣(di脿o)鎺х窗(x矛)鑳炲懆鏈熻垏鐤剧梾闃叉不

鍚堢悊鍒╃敤澧炴畺鐩搁棞(gu膩n)淇¤櫉(h脿o)

鎶戝埗Cyclin銆丆DK鐨勮〃閬�(d谩)鍜屾椿鎬�       

鎻愰珮CDI鐨勮〃閬�(d谩)鍜屾椿鎬�

 淇京(f霉)鎴栧埄鐢ㄧ己闄风殑绱�(x矛)鑳炲懆鏈熸鏌ラ粸(di菐n)

锛� 2锛夌窗(x矛)鑳炲噵浜＄暟甯歌垏鐤剧梾

 鈶犵窗(x矛)鑳炲噵浜＄殑姒傚康銆佺窗(x矛)鑳炲噵浜¤垏澹炴鐨勬瘮杓�銆佺窗(x矛)鑳炲噵浜＄殑鐢熺悊瀛�(xu茅)鎰忕京銆�

 鈶＄窗(x矛)鑳炲噵浜＄殑閬�(gu貌)绋嬶細鍑嬩骸淇¤櫉(h脿o)鐨勮綁(zhu菐n)灏�(d菐o)銆佸噵浜″熀鍥犳縺娲汇€佺窗(x矛)鑳炲噵浜＄殑鍩�(zh铆)琛屽拰鍑嬩骸绱�(x矛)鑳炵殑娓呴櫎銆傜窗(x矛)鑳炲噵浜＄殑涓昏璁婂寲锛氱窗(x矛)鑳炲噵浜＄殑褰㈡厠(t脿i)瀛�(xu茅)鏀硅畩銆佺窗(x矛)鑳炲噵浜＄殑鐢熷寲鏀硅畩锛堝寘鎷珼NA鐗囨鍖�銆佸収(n猫i)婧愭€ф牳閰稿収(n猫i)鍒囬叾婵€娲诲強鍏朵綔鐢ㄣ€佸噵浜¤泲鐧介叾鐨勬縺娲讳綔鐢級銆�

 鈶㈢窗(x矛)鑳炲噵浜＄殑瑾�(di脿o)鎺э細绱�(x矛)鑳炲噵浜＄殑瑾樺皫(d菐o)鍥犵礌鍜屾姂鍒跺洜绱�锛涚窗(x矛)鑳炲噵浜′俊铏�(h脿o)杞�(zhu菐n)灏�(d菐o)绯荤当(t菕ng)鐨勫妯ｆ€�銆佸伓鑱�(li谩n)鎬�銆佺当(t菕ng)涓€鎬у拰澶氶€斿緫鎬э紱绱�(x矛)鑳炲噵浜＄浉闂�(gu膩n)鍩哄洜銆傜窗(x矛)鑳炲噵浜＄殑鐧�(f膩)鐢熸(j墨)鍒讹細姘у寲鎼嶅偡銆侀垼绌�(w臎n)鎱�(t脿i)澶辫　浠ュ強绶�(xi脿n)绮掗珨鎼嶅偡銆�

鈶ｇ窗(x矛)鑳炲噵浜¤垏鐤�?銆傛澀?x矛)鑳炲噵浜′笉瓒冲紩璧风殑鐤�??锛涚窗(x矛)鑳炲噵浜￠亷(gu貌)搴﹀紩璧风殑鐤�??锛涚窗(x矛)鑳炲噵浜′笉瓒冲拰閬�(gu貌)搴﹀苟瀛樺紩璧风殑鐤剧梾銆� 

鈶ょ窗(x矛)鑳炲噵浜″湪鐤剧梾闃叉不涓殑鎰忕京銆�

鑰冭│瑕佹眰锛� 

锛�1锛夌啛鎮夌窗(x矛)鑳炲懆鏈熻(di脿o)鎺ф(j墨)鍒躲€� 

锛�2锛夋帉鎻＄窗(x矛)鑳炲懆鏈熻(di脿o)鎺х暟甯稿湪鐤剧梾鐧�(f膩)鐢熶腑鐨勪綔鐢�銆� 

锛�3锛変簡瑙ｇ窗(x矛)鑳炲懆鏈熻(di脿o)鎺х暟甯哥殑闃叉不銆�

锛�4锛夋帉鎻＄窗(x矛)鑳炲噵浜＄殑姒傚康銆侀亷(gu貌)绋�銆佽(di脿o)鎺ф(j墨)鍒跺強绱�(x矛)鑳炲噵浜¤垏绱�(x矛)鑳炲姝荤殑鍗€(q奴)鍒�锛涚窗(x矛)鑳炲噵浜＄殑鐧�(f膩)鐢熸(j墨)鍒躲€傜窗(x矛)鑳炲噵浜¤(di脿o)鎺х暟甯稿湪鐤剧梾鐧�(f膩)鐢熶腑鐨勪綔鐢�銆�

锛�5锛変簡瑙ｇ窗(x矛)鑳炲噵浜″湪鐤剧梾闃叉不涓殑鎰忕京銆�

9銆佹噳(y墨ng)婵€

鑰冭│鍏�(n猫i)瀹癸細 

锛�1锛夋噳(y墨ng)婵€鐨勬蹇�

 鎳�(y墨ng)婵€銆佹噳(y墨ng)婵€鍘熺殑姒傚康鑸囧垎椤�(l猫i)銆�

锛�2锛夋噳(y墨ng)婵€鐨勫叏韬€у弽鎳�(y墨ng)

  鈶犵缍�(j墨ng)鍏�(n猫i)鍒嗘硨鍙嶆噳(y墨ng)鑸囧叏韬仼鎳�(y墨ng)缍滃悎寰�

 钘�(l谩n)鏂戜竴浜ゆ劅涓€鑵庝笂鑵洪珦璩�(zh矛)绯荤当(t菕ng)锛氱祼(ji茅)妲�(g貌u)鍩虹(ch菙)銆佷富瑕佷腑妯炴晥鎳�(y墨ng)銆佷富瑕佸鍛ㄦ晥鎳�(y墨ng)銆佷唬鍎熸剰缇╄垏涓嶅埄褰遍熆銆佽垏涓嬩笜鑵︹€斿瀭楂斾竴鑵庝笂鑵虹毊璩�(zh矛)杌哥殑闂�(gu膩n)绯�銆� 

涓嬩笜鑵︹€斿瀭楂斾竴鑵庝笂鑵虹毊璩�(zh矛)杌革細绲�(ji茅)妲�(g貌u)鍩虹(ch菙)銆佷富瑕佷腑妯炴晥鎳�(y墨ng)銆佷富瑕佸鍛ㄦ晥鎳�(y墨ng)銆佷唬鍎熸剰缇╄垏涓嶅埄褰遍熆銆�

 鍏跺畠婵€绱狅細尾涓€鍏�(n猫i)鍟¤偨銆佽儼楂樿绯栫礌鑸囪儼宄剁礌锛屾姉鍒╁翱婵€绱犺垏閱涘浐閰瓑鐨勮畩鍖栧強鍏舵剰缇�銆� 

鍏ㄨ韩閬╂噳(y墨ng)缍滃悎寰佺殑鍒嗘湡鍙婁富瑕佽畩鍖栵細璀﹁(ju茅)鏈�銆佹姷鎶楁湡銆佽“绔湡銆�

鈶℃€ユ€ф湡鍙嶆噳(y墨ng)

  鎬ユ€ф湡鍙嶆噳(y墨ng)銆佹€ユ€ф湡鍙嶆噳(y墨ng)铔嬬櫧鐨勬蹇碉紝鎬ユ€ф湡鍙嶆噳(y墨ng)铔嬬櫧鐨勭ó椤�(l猫i)銆佷締(l谩i)婧愬強鐢熺墿瀛�(xu茅)鍔熻兘銆�

 锛�3锛夌窗(x矛)鑳炴噳(y墨ng)婵€鍙嶆噳(y墨ng)

  鐔变紤鍏嬭泲鐧界殑姒傚康銆佸垎椤�(l猫i)銆佺敓鐗╁(xu茅)鍔熻兘鍙婂叾琛ㄩ仈(d谩)瑾�(di脿o)鎺�銆�

 锛�4锛夋噳(y墨ng)婵€鏅�(sh铆)姗�(j墨)楂旂殑鍔熻兘浠ｈ瑵璁婂寲

浠ｈ瑵璁婂寲(楂樹唬璎濈巼锛岀硸銆佽剛鑲�銆佽泲鐧借唱(zh矛)鍒嗚В浠ｈ瑵澧炲挤(qi谩ng)) 

鍔熻兘璁婂寲锛堝績琛€绠＄郴绲�(t菕ng)璁婂寲锛屼腑妯炵缍�(j墨ng)绯荤当(t菕ng)璁婂寲锛屽厤鐤郴绲�(t菕ng)璁婂寲锛屾秷鍖栫郴绲�(t菕ng)璁婂寲绛夛級銆�

 锛�5锛夋噳(y墨ng)婵€鑸囩柧鐥�

鎳�(y墨ng)婵€鎬х柧鐥呰垏鎳�(y墨ng)婵€鐩搁棞(gu膩n)鐤剧梾鐨勬蹇�銆� 

鎳�(y墨ng)婵€鎬ф桨鐦�銆佸師鐧�(f膩)鎬ч珮琛€澹�銆佹噳(y墨ng)婵€鐩搁棞(gu膩n)蹇冪悊绮剧闅滅鐨勭櫦(f膩)鐥呮(j墨)鍒躲€� 

鑰冭│瑕佹眰锛�

锛�1锛夋帉鎻℃噳(y墨ng)婵€鐨勬蹇�锛屾噳(y墨ng)婵€鍙嶆噳(y墨ng)鍩烘湰琛ㄧ従(xi脿n)涓殑绁炵稉(j墨ng)鍏�(n猫i)鍒嗘硨鍙嶆噳(y墨ng)鍜岀窗(x矛)鑳為珨娑插弽鎳�(y墨ng)銆�

锛�2锛夌啛鎮夋噳(y墨ng)婵€鍘熷強鍏跺垎椤�(l猫i)锛屽叏韬仼鎳�(y墨ng)缍滃悎鐧ョ殑姒傚康鍜屽垎鏈�锛屾噳(y墨ng)婵€鍙嶆噳(y墨ng)涓殑鍔熻兘浠ｈ瑵璁婂寲銆�

锛�3锛変簡瑙ｆ噳(y墨ng)婵€鍙嶆噳(y墨ng)鑸囩柧鐥呯殑闂�(gu膩n)绯汇€�

10銆佺己琛€鈥斿啀鐏屾敞鎼嶅偡

鑰冭│鍏�(n猫i)瀹癸細 

锛�1锛夌己琛€鈥斿啀鐏屾敞鎼嶅偡姒傚康 

缂鸿鈥斿啀鐏屾敞鎼嶅偡銆佹哀鍙嶅父銆侀垼鍙嶅父銆乸H鍙嶅父鐨勬蹇点€� 

锛�2锛夌己琛€鈥斿啀鐏屾敞鎼嶅偡鐨勫師鍥犺垏姊濅欢

缂鸿鈥斿啀鐏屾敞鎼嶅偡鐨勫父瑕�(ji脿n)鍘熷洜 

缂鸿鈥斿啀鐏屾敞鎼嶅偡鐨勫奖闊垮洜绱狅紙缂鸿鏅�(sh铆)闁�锛屽伌(c猫)鏀惊鐠�(hu谩n)锛屽櫒瀹樺皪(du矛)姘х殑闇€姹傜▼搴�锛屽啀鐏屾敞鐨勬浠讹級

     锛�3锛夌己琛€鈥斿啀鐏屾敞鎼嶅偡鐨勭櫦(f膩)鐢熸(j墨)鍒�

鑷敱鍩虹殑姒傚康銆佸垎椤�(l猫i)銆佷締(l谩i)婧愬強鍏跺湪缂鸿鈥斿啀鐏屾敞鎼嶅偡涓殑浣滅敤锛涢垼瓒呰級鐨勬蹇�銆佺櫦(f膩)鐢熸(j墨)鍒跺強鍏跺湪缂鸿鈥斿啀鐏屾敞鎼嶅偡涓殑浣滅敤锛涘湪缂鸿鈥斿啀鐏屾敞鎼嶅偡涓櫧绱�(x矛)鑳炴縺娲荤殑姗�(j墨)鍒跺強鍏舵悕鍌蜂綔鐢�銆� 

锛�4锛夌己琛€鈥斿啀鐏屾敞鎼嶅偡鏅�(sh铆)姗�(j墨)楂旂殑姗�(j墨)鑳�銆佷唬璎濊畩鍖� 

鈶犲績鑷熺己琛€鈥斿啀鐏屾敞鎼嶅偡

蹇冨姛鑳借畩鍖�銆佸績寰嬪け甯搞€佸績鑲岃兘閲忎唬璎濊畩鍖�銆佸績鑲岃秴寰祼(ji茅)妲�(g貌u)璁婂寲鐨勮〃鐝�(xi脿n)鍙婄櫦(f膩)鐢熸(j墨)鍒躲€� 

鈶¤叇銆佽偤銆佽吀銆佽厧鐨勭己琛€涓€鍐嶇亴娉ㄦ悕鍌风殑涓昏琛ㄧ従(xi脿n)鍙婄櫦(f膩)鐢熸(j墨)鍒�銆� 

锛�5锛夌己琛€鈥斿啀鐏屾敞鎼嶅偡鏅�(sh铆)闃叉不鍘熷墖 

娑堥櫎缂鸿鍘熷洜锛岀洝鏃╂仮寰�(f霉)琛€娴� 鎺у埗鍐嶇亴娉ㄦ浠� 

鏀瑰杽缂鸿绲勭箶浠ｈ瑵 

娓呴櫎鑷敱鍩�銆佹笡杓曢垼瓒呰級銆佹姂鍒朵腑鎬х矑绱�(x矛)鑳炴縺娲� 

绱�(x矛)鑳炰繚璀�(h霉)鍔戠殑浣跨敤銆�

鑰冭│瑕佹眰锛�

锛�1锛夋帉鎻＄己琛€鈥斿啀鐏屾敞鎼嶅偡鐨勬蹇�銆�

锛�2锛夌啛鎮夌己琛€鈥斿啀鐏屾敞鎼嶅偡浣滅敤鐨勫師鍥犺垏褰遍熆鍥犵礌銆�

锛�3锛夋帉鎻＄櫦(f膩)鐥呮(j墨)鍒朵腑鑷敱鍩�銆侀垼瓒呰級鍜岀櫧绱�(x矛)鑳炲湪缂鸿鈥斿啀鐏屾敞鎼嶅偡鐧�(f膩)鐥呮(j墨)鍒朵腑鐨勪綔鐢ㄣ€�

锛�4锛夌啛鎮夊績鑲岀己琛€涓€鍐嶇亴娉ㄦ悕鍌�銆� 

锛�5锛変簡瑙ｈ叇銆佽偤銆佽吀銆佽厧鐨勭己琛€涓€鍐嶇亴娉ㄦ悕鍌�,浜嗚В缂鸿鈥斿啀鐏屾敞鎼嶅偡鐨勯槻娌诲師鍓囥€�

11銆佷紤鍏�

鑰冭│鍏�(n猫i)瀹癸細 

锛�1锛変紤鍏嬬殑姒傚康

浼戝厠鐨勬蹇� 

浼戝厠鐮旂┒鐨勬鍙层€�

浼戝厠鐨勫鍕�(d貌ng)鐠�(hu谩n)绡€(ji茅)锛氳瀹归噺闄嶄綆锛岃绠″簥瀹归噺澧炲姞锛屽績娉靛姛鑳介殰绀�銆�

锛�2锛変紤鍏嬬殑鐥呭洜鍜屽垎椤�(l猫i)

鏍规摎(j霉)鐥呭洜鍒嗛(l猫i)

鏍规摎(j霉)濮嬪嫊(d貌ng)鐠�(hu谩n)绡€(ji茅)鍒嗛(l猫i)

鏍规摎(j霉)琛€娑插嫊(d貌ng)鍔涘(xu茅)鐗归粸(di菐n)鍒嗛(l猫i)銆�

    锛�3锛変紤鍏嬬殑鐧�(f膩)灞曢亷(gu貌)绋�

      浼戝厠鐨勫垎鏈燂紝寰惊鐠�(hu谩n)璁婂寲鐗归粸(di菐n)鍙婄櫦(f膩)鐢熸(j墨)鍒讹紙浼戝厠鏃╂湡銆佷紤鍏嬫湡鍜屼紤鍏嬫櫄鏈燂級銆�

      鏈夐棞(gu膩n)寰惊鐠�(hu谩n)闅滅鐧�(f膩)鐢熺殑姗�(j墨)鍒讹細绁炵稉(j墨ng)姗�(j墨)鍒�-浜ゆ劅-鑵庝笂鑵洪珦璩�(zh矛)绯荤当(t菕ng)鐨勪綔鐢�銆傞珨娑查珨鍒�-鍏掕尪閰氳兒銆佽厧绱�-琛€绠＄穵寮电礌绯荤当(t菕ng)銆佽绠″姞澹撶礌銆佹縺鑲�銆佽姳鐢熷洓鐑吀鐢�(ch菐n)鐗┿€佹哀鑷敱鍩虹瓑鐨勪綔鐢�銆傜窗(x矛)鑳炴(j墨)鍒�銆�

锛�4锛変紤鍏嬫檪(sh铆)鍚勫櫒瀹樼郴绲�(t菕ng)鍔熻兘璁婂寲 

鑵�銆佽偤銆佸績銆佽叇鍜岃倽鑳冭吀绛変富瑕佺郴绲�(t菕ng)鍣ㄥ畼鍔熻兘琛扮鍙婂叾鐧�(f膩)鐢熸(j墨)鍒�锛屽悇鍣ㄥ畼绯荤当(t菕ng)鍔熻兘闅滅灏�(du矛)浼戝厠閬�(gu貌)绋嬬櫦(f膩)灞曠殑褰遍熆銆� 

SIRS, MODS, MSOF鐨勬蹇�銆�

 锛�5锛夐槻娌诲師鍓� 

鐥呭洜?q奴)W娌荤檪 

鎿�(ku貌)鍏呰瀹归噺 

鍚堢悊浣跨敤琛€绠℃椿鎬ц棩鐗� 

绯炬閰镐腑姣� 

闃叉不绱�(x矛)鑳炲櫒瀹樻悕鍌�銆�

鑰冭│瑕佹眰锛�

锛�1锛夋帉鎻′紤鍏嬬殑姒傚康锛屼紤鍏嬬櫦(f膩)鐢熺殑璧峰鐠�(hu谩n)绡€(ji茅)锛屼紤鍏嬬殑鍒嗘湡鍙婂悇鏈熷井寰挵(hu谩n)闅滅鐨勭櫦(f膩)鐢熸(j墨)鍒跺拰鐩告噳(y墨ng)鑷ㄥ簥琛ㄧ従(xi脿n)銆�

锛�2锛夌啛鎮変紤鍏嬪父瑕�(ji脿n)鐥呭洜鍙婂父瑕�(ji脿n)鐨勫垎椤�(l猫i)锛屼紤鍏嬬殑绱�(x矛)鑳炰唬璎濇敼璁�锛屼紤鍏嬫檪(sh铆)閲嶈鍣ㄥ畼鐨勫姛鑳介殰绀欏強鐧�(f膩)鐥呮(j墨)鍒�銆� 

锛�3锛変簡瑙ｅけ琛€鎬т紤鍏�銆佸績婧愭€т紤鍏嬨€侀亷(gu貌)鏁忔€т紤鍏嬬殑鐗归粸(di菐n)鍙婄櫦(f膩)鐢熸(j墨)鍒�锛屼紤鍏嬮槻娌荤殑鐥呯悊鐢熺悊鍩虹(ch菙)銆� 

12銆佸嚌琛€鎶楀嚌琛€骞宠　绱婁簜

鑰冭│鍏�(n猫i)瀹癸細 

锛�1锛塂IC鐨勫熀鏈蹇� 

锛�2锛塂IC鐨勭梾鍥犲拰鐧�(f膩)鐥呮(j墨)鍒� 

琛€绠″収(n猫i)鐨窗(x矛)鑳炲彈鎼嶏紝婵€娲诲嚌琛€鈪洜瀛�锛屽暉鍕�(d貌ng)鍏�(n猫i)婧愭€у嚌琛€绯荤当(t菕ng)銆� 

绲勭箶鍤�(y谩n)閲嶇牬澹炰娇澶ч噺绲勭箶鍥犲瓙鍏ヨ锛屽暉鍕�(d貌ng)澶栨簮鎬у嚌琛€绯荤当(t菕ng)銆� 

琛€绱�(x矛)鑳炲彈鎼�銆傚叾瀹冧績鍑濈墿璩�(zh矛)鍏ヨ銆� 

锛�3锛夊奖闊緿IC鐧�(f膩)鐢熺櫦(f膩)灞曠殑鍥犵礌 

鍠牳鍚炲櫖绱�(x矛)鑳炵郴绲�(t菕ng)鍔熻兘鍙楁悕 

鑲濆姛鑳�?ch膿)?y谩n)閲嶉殰绀� 

琛€娑茬殑楂樺嚌鐙€鎱�(t脿i) 

寰惊鐠�(hu谩n)闅滅 

涓嶆伆鐣�(d膩ng)浣跨敤绾栨憾鎶戝埗鍔�銆�

锛�4锛塂IC鐨勫垎鏈熷拰鍒嗗瀷 

楂樺嚌鏈�锛屾秷鑰楁€т綆鍑濇湡鍜岀辜鐧�(f膩)鎬х簴婧朵孩閫�(j矛n)鏈熺殑涓昏鐗归粸(di菐n)鍙婂叾鐧�(f膩)鐢熸(j墨)鍒�銆� 

鍒嗗瀷锛氭寜DIC鐧�(f膩)鐢熷揩鎱㈠垎鍨� (鎬ユ€у瀷銆佷簽鎬ユ€у瀷鍜屾參鎬у瀷)锛涙寜DIC浠ｅ劅鎯呮硜鍒嗗瀷 (浠ｅ劅鍨嬶紝澶变唬鍎熷瀷鍜岄亷(gu貌)搴︿唬鍎熷瀷)銆�

锛�5锛塂IC鐨勮嚚搴婅〃鐝�(xi脿n)鍙婄櫦(f膩)鐢熸(j墨)鍒� 

鍑鸿銆佷紤鍏�銆佸櫒瀹樺姛鑳介殰绀�銆佽钵琛€鐨勪富瑕佺櫦(f膩)鐥呮(j墨)鍒躲€� 

锛�6锛夐槻娌诲師鍓� 

闃叉不鍘熺櫦(f膩)鐥� 

鏀瑰杽寰惊鐠�(hu谩n) 

閲嶅缓鍑濊鍜岀簴婧堕枔鐨勫钩琛�銆�

鑰冭│瑕佹眰锛� 

锛�1锛夋帉鎻″綄婕€ц绠″収(n猫i)鍑濊(DIC)鐨勫熀鏈蹇点€佺櫦(f膩)鐥呮(j墨)鍒�銆佸姛鑳戒唬璎濊畩鍖栧強鍏剁櫦(f膩)鐢熸(j墨)鍒�銆� 

锛�2锛夌啛鎮塂IC鐨勫父瑕�(ji脿n)鐥呭洜锛屽奖闊緿IC鐧�(f膩)鐢熺櫦(f膩)灞曠殑鍥犵礌锛孌IC鐨勫垎鏈熴€�

锛�3锛変簡瑙IC鐨勫垎鍨�锛孌IC闃叉不鐨勭梾鐞嗙敓鐞嗗熀绀�(ch菙)銆�

13銆佸績鍔熻兘涓嶅叏

 鑰冭│鍏�(n猫i)瀹癸細 

锛�1锛夊績鍔熻兘涓嶅叏銆佸績鍔涜“绔殑姒傚康 

锛�2锛夊績鍔熻兘涓嶅叏鐨勫師鍥犲拰瑾樺洜 

蹇冨姛鑳戒笉鍏ㄧ殑鍘熷洜锛氬績鑲岃垝绺姛鑳介殰绀�銆佸績鑷燂紙瀹归噺銆佸鍔涳級璨�(f霉)鑽烽亷(gu貌)閲� 

蹇冨姛鑳戒笉鍏ㄧ殑鍘熷洜鍜岃獦鍥狅細鎰熸煋銆佹按闆昏В璩�(zh矛)浠ｈ瑵鍜岄吀鍫垮钩琛＄磰浜�銆佸績寰嬪け甯�銆佸濞犲拰鍒嗗ī銆�

锛�3锛夊績鍔熻兘涓嶅叏鐨勫垎椤�(l猫i)

鎸夌櫦(f膩)鐢熼儴浣嶅垎椤�(l猫i)锛氬乏蹇冭“绔�銆佸彸蹇冭“绔拰鍏ㄥ績琛扮銆� 

鎸夊績鑲屾敹绺垏鑸掑嫉鍔熻兘闅滅鍒嗛(l猫i)锛氭敹绺€у績鍔涜“绔拰鑸掑嫉鎬у績鍔涜“绔�銆� 

鎸夊績杓稿嚭閲忕殑楂樹綆鍒嗛(l猫i)锛氫綆鎺掑嚭閲忔€у績鍔涜“绔拰楂樻帓鍑洪噺鎬у績鍔涜“绔�銆� 

锛�4锛夊績鍔熻兘涓嶅叏鏅�(sh铆)姗�(j墨)楂旂殑浠ｅ劅 

绁炵稉(j墨ng)-楂旀恫瑾�(di脿o)绡€(ji茅)姗�(j墨)鍒剁殑婵€娲伙細浜ゆ劅绁炵稉(j墨ng)绯荤当(t菕ng)婵€娲伙紝鑵庣礌-琛€绠＄穵寮电礌-閱涘浐閰郴绲�(t菕ng)婵€娲� 

蹇冭嚐鐨勪唬鍎熷弽鎳�(y墨ng)锛氬績鐜囧姞蹇�銆佸績鑷熺穵寮�?ji膩n)钁辫┏U(ku貌)寮�銆佸績鑲屾敹绺姏澧炲挤(qi谩ng)銆佸績瀹ら噸妲�(g貌u)

蹇冭嚐浠ュ鐨勪唬鍎燂細琛€瀹归噺澧炲姞銆佽娴侀噸鍒嗗竷銆佺磪绱�(x矛)鑳炲澶�銆佺祫绻斿埄鐢ㄦ哀鑳藉姏澧炲挤(qi谩ng)鐨勭櫦(f膩)鐢熸(j墨)鍒跺強鎰忕京銆�

锛�5锛夊績鍔涜“绔殑鐧�(f膩)鐥呮(j墨)鍒�

蹇冭倢鏀剁府鍔熻兘闄嶄綆锛氬績鑲屾敹绺浉闂�(gu膩n)鐨勮泲鐧借唱(zh矛)鏀硅畩锛屽績鑲岃兘閲忎唬璎濋殰绀欙紝蹇冭倢鑸堝ギ鏀剁府-鑰﹁伅(li谩n)闅滅 

蹇冭倢鑸掑嫉鍔熻兘闅滅锛氶垼闆㈠瓙寰�(f霉)浣嶅欢绶�锛岃倢鐞�-鑲屽嫊(d貌ng)铔嬬櫧寰�(f霉)鍚堥珨瑙ｉ洟闅滅锛屽績瀹よ垝寮靛嫝(sh矛)鑳芥笡灏戙€�

蹇冭嚐鍚勯儴鍒嗚垝绺椿鍕�(d貌ng)涓嶅崝(xi茅)瑾�(di脿o)銆�

锛�6锛夊績鍔熻兘涓嶅叏鏅�(sh铆)鑷ㄥ簥琛ㄧ従(xi脿n)鐨勭梾鐞嗙敓鐞嗗(xu茅)鍩虹(ch菙) 

蹇冭几鍑洪噺娓涘皯锛氬績鑷熸车琛€鍔熻兘闄嶄綆銆佸櫒瀹樿娴侀噺閲嶅垎閰嶇殑琛ㄧ従(xi脿n)鍙婄櫦(f膩)鐢熸(j墨)鍒�銆�

       闈滆剤娣よ锛氬彸蹇冭“寮曡捣鐨勯珨寰挵(hu谩n)娣よ鍜屽乏蹇冭“绔紩璧风殑鑲哄惊鐠�(hu谩n)娣よ鐨勪富瑕佽〃鐝�(xi脿n)銆� 

锛�7锛夊績鍔熻兘涓嶅叏鐨勯槻娌诲師鍓�銆� 

闃叉不鍘熺櫦(f膩)鐥呭強娑堥櫎瑾樺洜

瑾�(di脿o)鏁寸缍�(j墨ng)-楂旀恫绯荤当(t菕ng)澶辫　鍙婂共闋�(y霉)蹇冨閲嶅

娓涜紩蹇冭嚐鍓�銆佸悗璨�(f霉)鑽� 

鏀瑰杽蹇冭倢鐨勬敹绺拰鑸掑嫉鍔熻兘 

鏀瑰杽蹇冭倢鐨勮兘閲忎唬璎�銆�

鑰冭│瑕佹眰锛�

锛�1锛夋帉鎻″績鍔熻兘涓嶅叏鍜屽績鍔涜“绔殑姒傚康锛屽績鍔涜“绔殑鐥呭洜鍜屽熀鏈櫦(f膩)鐢熸(j墨)鍒�銆佸績鑷熷拰蹇冨鐨勪唬鍎�

鍙嶆噳(y墨ng)銆�

锛�2锛夌啛鎮夊績鍔涜“绔殑瑾樺洜鑸囧垎椤�(l猫i)锛屽績鍔涜“绔嚚搴婅〃鐝�(xi脿n)鐨勭梾鐞嗙敓鐞嗗熀绀�(ch菙)銆傚悇閲嶈鍣ㄥ畼鍔熻兘鐨勮畩鍖�銆�

锛�3锛変簡瑙ｅ績鍔涜“绔檪(sh铆)绁炵稉(j墨ng)鈥旈珨娑茬殑浠ｅ劅鍙嶆噳(y墨ng)锛岄槻娌诲績鍔涜“绔殑鐥呯悊鐢熺悊鍩虹(ch菙)銆�

14銆佽偤鍔熻兘涓嶅叏

鑰冭│鍏�(n猫i)瀹癸細

锛�1锛夊懠鍚歌“绔殑姒傚康

 鍛煎惛琛扮鐨勬蹇点€佽ê鏂锋(bi膩o)婧�(zh菙n)鍜屽垎椤�(l猫i)銆�

锛�2锛夊懠鍚歌“绔殑鍘熷洜鍜岀櫦(f膩)鐥呮(j墨)鍒�

鈶犺偤閫氭埃鍔熻兘闅滅锛氶檺鍒舵€ч€氭埃涓嶈冻銆侀樆濉炴€ч€氭埃涓嶈冻鐨勫父瑕�(ji脿n)鐥呭洜銆傚鍛ㄦ€ф埃閬撻樆濉炲紩璧峰懠鍚歌“绔殑鐧�(f膩)鐥呮(j墨)鍒躲€傝偤娉￠€氭埃涓嶈冻鏅�(sh铆)鐨勮?d煤)搴惧厯顖佹敻c(di菐n)銆�

鈶¤偤鎻涙埃鍔熻兘闅滅 

 褰屾暎闅滅锛氬父瑕�(ji脿n)鐥呭洜銆佽?d煤)搴惧厯顖佹敻c(di菐n)銆� 

鑲烘场閫氭埃鑸囪娴佹瘮渚嬪け瑾�(di脿o)锛氬垎椤�(l猫i)銆佸父瑕�(ji脿n)鐥呭洜銆佺櫦(f膩)鐥呮(j墨)鍒跺強琛€?d煤)搴惧厯顖佹敻c(di菐n)銆�

鎬ユ€у懠鍚哥獦杩稖鍚堝緛銆佹參鎬ч樆濉炴€ц偤鐤剧梾鐨勭櫦(f膩)鐥呮(j墨)鍒躲€�

锛�3锛夊懠鍚歌“绔殑姗�(j墨)鑳戒唬璎濊畩鍖� 

閰稿牽骞宠　鍙婇浕瑙ｈ唱(zh矛)浠ｈ瑵绱婁簜 

涓绁炵稉(j墨ng)绯荤当(t菕ng)鍔熻兘绱婁簜锛涜偤鎬ц叇鐥呯殑鑷ㄥ簥琛ㄧ従(xi脿n)鍙婄櫦(f膩)鐥呮(j墨)鍒� 

鍛煎惛鍔熻兘璁婂寲 

寰挵(hu谩n)绯荤当(t菕ng)鍔熻兘璁婂寲 

鑵庡姛鑳界殑璁婂寲 

锛�4锛夐槻娌诲師鍓�銆�

闃叉鑸囧幓闄ょ梾鍥� 

鎻愰珮PaO2 

闄嶄綆PaCO2 

鏀瑰杽鍏�(n猫i)鐠�(hu谩n)澧冨強閲嶈鍣ㄥ畼鍔熻兘

鑰冭│瑕佹眰锛�

锛�1锛夋帉鎻″懠鍚歌“绔殑姒傚康銆佺梾鍥犮€佸熀鏈櫦(f膩)鐥呮(j墨)鍒�锛屽懠鍚歌“绔檪(sh铆)鐨勬(j墨)鑳戒唬璎濊畩鍖栥€傝偤鎬ц叇鐥呯敤姘ф不鐧傛檪(sh铆)鐨勭梾鐞嗙敓鐞嗗(xu茅)鍩虹(ch菙)銆�

锛�2锛夌啛鎮夊懠鍚歌“绔檪(sh铆)鐨勮?d煤)搴惧厯顕橆儣姣欓櫌绮戭弶鐙℃煋C鍚堢櫏鐨勬蹇�銆佸師鍥犲拰鐧�(f膩)鐥呮(j墨)鍒�銆�

锛�3锛変簡瑙ｅ懠鍚歌“绔殑闃叉不鍘熷墖銆�

15銆佽倽鍔熻兘涓嶅叏

    鑰冭│鍏�(n猫i)瀹癸細

锛�1锛夎倽鍔熻兘涓嶅叏 

鑲濆姛鑳戒笉鍏ㄥ拰鑲濆姛鑳借“绔殑姒傚康 

鑲濆姛鑳戒笉鍏ㄧ殑甯歌(ji脿n)鐥呭洜鍜岀櫦(f膩)鐥呮(j墨)鍒� 

鑲濈窗(x矛)鑳炲強鑲濋潪瀵�(sh铆)璩�(zh矛)绱�(x矛)鑳炴悕瀹宠垏鑲濆姛鑳介殰绀欍€� 

锛�2锛夎倽鎬ц叇鐥� 

鈶犺倽鎬ц叇鐥呯殑姒傚康銆佸垎椤�(l猫i)銆� 

鈶¤倽鎬ц叇鐥呯殑鐧�(f膩)鐥呮(j墨)鍒� 

姘ㄤ腑姣掑(xu茅)瑾�(shu艒)銆佸亣鎬х缍�(j墨ng)閬炶唱(zh矛)瀛�(xu茅)瑾�(shu艒)銆佹皑鍩洪吀浠ｈ瑵澶辫　瀛�(xu茅)瑾�(shu艒)銆丟ABA瀛�(xu茅)瑾�(shu艒)鐨勪富瑕佽(gu膩n)榛�(di菐n)鍙婂悇瀛�(xu茅)瑾�(shu艒)鍦ㄨ倽鎬ц叇鐥呯櫦(f膩)鐥呮(j墨)鍒朵腑鐨勫湴浣嶃€� 

鈶㈣倽鎬ц叇鐥呯殑褰遍熆鍥犵礌 

姘矤(f霉)鑽峰鍔� 

琛€鑵﹀睆闅滈€氶€忔€у楂� 

鑵︽晱鎰熸€у楂� 

鈶ｉ槻娌诲師鍓� 

闃叉不瑾樺洜 

闄嶄綆琛€姘� 

宸︽棆澶氬反銆佹敮閺堟皑鍩洪吀鐨勪娇鐢ㄣ€� 

锛�3锛夎倽鑵庣稖鍚堝緛 

鑲濊厧缍滃悎寰佺殑姒傚康銆佸垎椤�(l猫i) 

鑲濊厧缍滃悎寰佺殑鐧�(f膩)鐥呮(j墨)鍒讹細鑵庝氦鎰熺缍�(j墨ng)寮靛姏澧為珮锛岃厧绱�-

琛€绠＄穵寮电礌-閱涘浐閰郴绲�(t菕ng)婵€娲伙紝婵€鑲界郴绲�(t菕ng)娲诲嫊(d貌ng)鐣板父锛屽墠鍒楄吅绱�銆佺櫧涓夌儻鐨勪綔鐢�锛屽収(n猫i)鐨礌鐨勪綔鐢�锛屽収(n猫i)姣掔礌琛€鐧ャ€�

鑰冭│瑕佹眰锛�

锛�1锛夌啛鎮夎倽鍔熻兘涓嶅叏鐨勬蹇�銆佸父瑕�(ji脿n)鐥呭洜鍜屾(j墨)鍒�銆� 

锛�2锛夋帉鎻¤倽鎬ц叇鐥呯殑姒傚康锛屾帉鎻¤倽鎬ц叇鐥呯櫦(f膩)鐥呮(j墨)鍒朵腑姣旇純鍏獚(r猫n)鐨勫咕绋(xu茅)瑾�(shu艒)銆� 

锛�3锛夌啛鎮夎倽鎬ц叇鐥呯殑褰遍熆鍥犵礌銆� 

锛�4锛変簡瑙ｈ倽鎬ц叇鐥呰嚚搴婃不鐧傜殑鐥呯悊鐢熺悊鍩虹(ch菙)銆� 

浜嗚В鑲濊厧缍滃悎寰佺殑姒傚康銆佸垎椤�(l猫i)鍙婄櫦(f膩)鐥呮(j墨)鍒�銆�

16銆佽厧鍔熻兘涓嶅叏

    鑰冭│鍏�(n猫i)瀹癸細

锛�1锛夎厧鍔熻兘涓嶅叏鐨勫熀鏈櫦(f膩)鐥呯挵(hu谩n)绡€(ji茅)锛氳厧灏忕悆?y脿n)V閬�(gu貌)鍔熻兘鐨勮畩鍖栵紱鑵庡皬绠″姛鑳介殰绀�銆� 

锛�2锛夋€ユ€ц厧鍔熻兘琛扮 

鈶犳€ユ€ц厧鍔熻兘琛扮姒傚康銆佸垎椤�(l猫i)锛堣厧鍓嶆€ф€ユ€ц厧鍔熻兘琛扮锛岃厧鍚庢€ф€ユ€ц厧鍔熻兘琛扮锛岃厧鎬ф€ユ€ц厧鍔熻兘琛扮锛�銆�

鎬ユ€ц厧灏忕澹炴鐨勭梾鍥狅細鑵庣己琛€锛岃厧涓瘨銆� 

鈶℃€ユ€ц厧鍔熻兘琛扮鐨勭櫦(f膩)鐥呮(j墨)鍒讹細鑵庤娴侀噺娓涘皯銆佽厧灏忕闃诲銆佽厧灏忕鍘熷翱杩旀祦銆佽厧灏忕悆瓒呮烤绯绘暩(sh霉)闄嶄綆銆� 

鈶㈢櫦(f膩)鐥呴亷(gu貌)绋嬶細灏戝翱鏈�(灏戝翱鎴栫劇(w煤)灏�銆佹按涓瘨銆侀珮閴€琛€鐧�銆佷綆閳夎鐧�銆佷唬璎濇€ч吀涓瘨銆佹爱璩�(zh矛)琛€鐧�)锛涘灏挎湡锛屾仮寰�(f霉)鏈熴€� 

鈶ｉ潪灏戝翱鍨嬬殑鍩烘湰鐥呯悊璁婂寲鍙婄壒榛�(di菐n)銆�

锛�3锛夋參鎬ц厧鍔熻兘琛扮 

鈶犳參鎬ц厧鍔熻兘琛扮姒傚康銆佺梾鍥�銆� 

鈶℃參鎬ц厧鍔熻兘涓嶅叏鐨勭櫦(f膩)灞曢亷(gu貌)绋嬶細浠ｅ劅鏈�銆佽厧鍔熻兘涓嶅叏鏈熴€佽厧鍔熻兘琛扮鏈�銆佸翱姣掔櫏鏈熴€� 

鈶㈡參鎬ц厧鍔熻兘涓嶅叏鐨勭櫦(f膩)鐥呮(j墨)鍒讹細鍋ュ瓨鑵庡柈浣嶆笡灏�銆佺煰鏋夊け琛★紝鑵庡皬鐞冮亷(gu貌)搴︽烤閬�(gu貌)銆� 

鈶ｆ參鎬ц厧鍔熻兘涓嶅叏鐨勬(j墨)鑳戒唬璎濊畩鍖栵細姘唱(zh矛)琛€鐧�锛屾按銆侀浕瑙ｈ唱(zh矛)鍙婇吀鍫垮钩琛＄磰浜� ( 澶滃翱銆佸灏�銆佷綆婊插翱锛岄垑銆侀墍銆侀巶浠ｈ瑵闅滅锛屼唬璎濇€ч吀涓瘨锛岄珮琛€纾凤紝浣庤閳� )锛涜厧鎬ч珮琛€澹�锛涜钵琛€锛涘嚭琛€鍌惧悜锛氬厤鐤姛鑳介殰绀欙紱鑵庢€ч鐕�(y铆ng)椁�(y菐ng)涓嶈壇銆� 

锛�4锛夊翱姣掔櫏 

灏挎瘨鐧ョ殑姒傚康銆� 

灏挎瘨鐧ヤ富瑕佽嚚搴婅〃鐝�(xi脿n)鐨勭櫦(f膩)鐥呮(j墨)鍒讹細绁炵稉(j墨ng)绯荤当(t菕ng)銆佹秷鍖栫郴绲�(t菕ng)銆佸績琛€绠＄郴绲�(t菕ng)銆佸懠鍚哥郴绲�(t菕ng)鐨勯殰绀�锛岀毊鑶氱櫏鐙€锛岀墿璩�(zh矛)浠ｈ瑵闅滅锛堢硸鑰愰噺闄嶄綆锛岃矤(f霉)姘钩琛�锛岄珮鑴傝鐧ワ級銆� 

灏挎瘨鐧ョ殑姣掓€х墿璩�(zh矛)浣滅敤锛氱敳鐙€鏃佽吅婵€绱犵殑浣滅敤锛岃儘椤�(l猫i)鍖栧悎鐗╃殑浣滅敤锛屼腑鍒嗗瓙鐗╄唱(zh矛)鐨勪綔鐢�锛屽叾瀹冩瘨鎬х墿璩�(zh矛)鐨勪綔鐢� (灏跨礌銆佽兒椤�(l猫i)銆侀厷绛� )銆�

鑰冭│瑕佹眰锛�

锛�1锛夋帉鎻℃€ユ€ц厧鍔熻兘涓嶅叏鐨勬蹇�銆佺梾鍥犲拰椤�(l猫i)鍨�銆傚皯灏垮瀷鎬ユ€ц厧鍔熻兘涓嶅叏鐨勭櫦(f膩)鐥呯稉(j墨ng)閬�(gu貌)銆佸皯灏跨殑鐧�(f膩)鐢熸(j墨)鍒跺拰灏戝翱鏈熺殑浠ｈ瑵绱婁簜銆� 

锛�2锛� 鐔熸倝闈炲皯灏垮瀷鎬ユ€ц厧鍔熻兘涓嶅叏銆�

锛�3锛変簡瑙ｆ€ユ€ц厧鍔熻兘涓嶅叏鏅�(sh铆)鑵庣祫绻旀悕鍌峰強鍏舵(j墨)鍒讹紝鎬ユ€ц厧鍔熻兘涓嶅叏闃叉不鐨勭梾鐞嗙敓鐞嗗熀绀�(ch菙)銆� 

锛�4锛夋帉鎻℃參鎬ц厧鍔熻兘涓嶅叏鐨勬蹇�銆佺梾鍥�銆佺櫦(f膩)鐥呮(j墨)鍒跺拰灏�(du矛)姗�(j墨)楂旂殑褰遍熆銆� 

锛�5锛夌啛鎮夋參鎬ц厧鍔熻兘涓嶅叏鐨勭櫦(f膩)鐥呴亷(gu貌)绋�锛涘翱姣掔櫏鐨勬蹇�銆� 

锛�6锛変簡瑙ｅ翱姣掔櫏鐨勫姛鑳戒唬璎濊畩鍖�銆佺櫦(f膩)鐥呮(j墨)鍒跺強鍏堕槻娌荤殑鐥呯悊鐢熺悊鍩虹(ch菙)銆� 

17銆佽叇鍔熻兘涓嶅叏

鑰冭│鍏�(n猫i)瀹癸細

锛�1锛夎叇鐨勭祼(ji茅)妲�(g貌u)銆佷唬璎濊垏鍔熻兘鐗瑰緛銆佽叇鐨勭柧鐥呰〃鐝�(xi脿n)鐗瑰緛銆� 

锛�2锛夎獚(r猫n)鐭ラ殰绀� 

瑾�(r猫n)鐭ラ殰绀欑殑姒傚康 

瑾�(r猫n)鐭ョ殑鑵︾祼(ji茅)妲�(g貌u)鍩虹(ch菙) 

瑾�(r猫n)鐭ラ殰绀欑殑涓昏琛ㄧ従(xi脿n)褰㈠紡銆佺梾鍥犲拰鐧�(f膩)鐥呮(j墨)鍒� 

瑾�(r猫n)鐭ラ殰绀欓槻娌荤殑鐥呯悊鐢熺悊鍩虹(ch菙)銆� 

锛�3锛夋剰璀�(sh铆)闅滅

鎰忚瓨(sh铆)闅滅鐨勬蹇� 

鎰忚瓨(sh铆)缍寔鍜屾剰璀�(sh铆)闅滅鑵︾祼(ji茅)妲�(g貌u)鍩虹(ch菙) 

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浜�銆佷富瑕佸弮鑰冩浉(sh奴)

銆婄梾鐞嗙敓鐞嗗(xu茅)銆嬬9鐗�锛屼簲骞村埗鏁欏(xu茅)锛岀帇寤烘灊锛岄將(qi谩n)鐫垮摬涓荤法锛屼汉姘戣(w猫i)鐢熷嚭鐗堢ぞ