{"id":132912,"date":"2020-02-08T05:10:06","date_gmt":"2020-04-21T03:17:18","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/132912\/"},"modified":"2020-04-21T11:17:22","modified_gmt":"2020-04-21T03:17:22","slug":"f77ee238d6","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/132912\/","title":{"rendered":"\u65e0\u75c7\u72b6\u611f\u67d3\u8005\uff0c\u4f1a\u6210\u4e3a\u6f5c\u4f0f\u5728\u4eba\u7fa4\u4e2d\u7684\u300c\u5b9a\u65f6\u70b8\u5f39\u300d\u5417\uff1f"},"content":{"rendered":"
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NEJM<\/span><\/strong><\/span><\/em> \u8bba\u6587\u7684\u4e4c\u9f99<\/span><\/strong><\/span><\/p>\n


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\u56fe\u6e90\uff1aNEJM<\/em><\/span><\/p>\n


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\u56fe\u6e90\uff1aScience<\/em><\/span><\/p>\n


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\u56fe\u6e90\uff1a\u4eba\u6c11\u65e5\u7248<\/span><\/p>\n


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<\/p>\n

\u65e2\u7136\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u6709\u4f20\u67d3\u6027\uff0c\u90a3\u4e48\u8fd9\u6837\u7684\u60a3\u8005\u4f20\u67d3\u80fd\u529b\u5982\u4f55\uff1f\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u6709\u591a\u5c11\uff1f\u6240\u5360\u6bd4\u4f8b\u53c8\u662f\u591a\u5c11\uff1f<\/span><\/p>\n


<\/span><\/p>\n

\u56fd\u5bb6\u536b\u5065\u59d4\u4e13\u5bb6\u7ec4\u6210\u5458\u3001\u5317\u4eac\u5730\u575b\u533b\u9662\u611f\u67d3\u4e8c\u79d1\u4e3b\u4efb\u533b\u5e08\u848b\u8363\u731b\u5728 2 \u6708 3 \u65e5\u6e56\u5317\u7701\u53ec\u5f00\u7684\u65b0\u95fb\u53d1\u5e03\u4f1a\u4e0a\u8868\u793a\uff0c\u300c\u5404\u5730\u53d1\u73b0\u4e86\u4e00\u4e9b\u65e0\u75c7\u72b6\u7684\u611f\u67d3\u8005\u2026\u2026<\/span>\u901a\u5e38\u8ba4\u4e3a\u5b83\u7684\u4f20\u67d3\u6027\u5373\u4fbf\u6709\uff0c\u4e5f\u662f\u975e\u5e38\u5f31\u7684\uff0c\u6240\u4ee5\u6ca1\u6709\u5fc5\u8981\u592a\u62c5\u5fc3\u6ca1\u6709\u75c7\u72b6\u7684\u611f\u67d3\u8005\u3002\u300d<\/span><\/p>\n


<\/p>\n

\u9488\u5bf9\u65e0\u75c7\u72b6\u60a3\u8005\u662f\u5426\u53ef\u4ee5\u4f20\u64ad\u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\uff0c\u4e16\u536b\u7ec4\u7ec7\u7684\u770b\u6cd5\u7c7b\u4f3c\uff1a<\/span>\u65e0\u75c7\u72b6\u60a3\u8005\u53ef\u80fd\u4e0d\u662f\u75c5\u6bd2\u7684\u4e3b\u8981\u4f20\u64ad\u8005\u3002<\/span><\/strong><\/span><\/p>\n


<\/p>\n

\"\u65e0\u75c7\u72b6\u611f\u67d3\u8005\uff0c\u4f1a\u6210\u4e3a\u6f5c\u4f0f\u5728\u4eba\u7fa4\u4e2d\u7684\u300c\u5b9a\u65f6\u70b8\u5f39\u300d\u5417\uff1f\"<\/section>\n

\u56fe\u6e90\uff1a\u4e16\u754c\u536b\u751f\u7ec4\u7ec7<\/span><\/p>\n


<\/p>\n

\u4f20\u67d3\u75c5\u4e13\u5bb6\u7f2a\u6653\u8f89\u544a\u8bc9\uff0c<\/span>\u300c\u73b0\u5728\u5404\u5927\u57ce\u5e02\u90fd\u91c7\u53d6\u4e86\u8fd4\u7a0b\u4eba\u5458 14 \u5929\u533b\u5b66\u9694\u79bb\u7684\u63aa\u65bd\uff0c\u56e0\u6b64\uff0c\u6240\u8c13\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u7684\u4f20\u64ad\uff0c\u5bf9\u4e8e\u975e\u75ab\u6e90\u5730\uff08\u6b66\u6c49\uff09\u4e4b\u5916\u7684\u57ce\u5e02\u800c\u8a00\uff0c\u5176\u5371\u9669\u6027\u5c31\u5927\u5927\u964d\u4f4e\u4e86\u3002<\/strong><\/span>\u800c\u5728\u6b66\u6c49\uff0c\u8fd9\u4e00\u70b9\u5c31\u5f88\u91cd\u8981\u4e86\uff0c\u751a\u81f3\u53ef\u80fd\u9047\u5230\u65b0\u7684\u6311\u6218\uff1a<\/span>\u6838\u9178\u68c0\u6d4b\u53ef\u80fd\u5b58\u5728\u5047\u9634<\/span>\u6027<\/span>\u3002<\/span>\u6709\u4e9b\u4eba\u6838\u9178\u68c0\u6d4b\u9634\u6027\uff0c\u4f46 C<\/span>T \u75c5\u53d8\u660e\u663e\uff0c\u8fd9\u7c7b\u4eba\u662f\u9700\u8981\u5173\u6ce8\u7684\u3002<\/span>\u300d<\/span><\/p>\n


<\/span><\/p>\n

\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u534e\u5c71\u533b\u9662\u611f\u67d3\u79d1\u4e3b\u4efb\u5f20\u6587\u5b8f\u8868\u793a\uff0c\u300c\u4ece\u76ee\u524d\u7684\u6d41\u884c\u75c5\u5b66\u6570\u636e\u770b\uff0c\u81f3\u5c11\u4ece\u5bb6\u5ead\u805a\u96c6\u6027\u75c5\u4f8b\u770b\uff0c\u90fd\u6709\u6e90\u75c5\u4f8b\u53d1\u75c5\u5728\u5148\u3002<\/span>\u6e90\u75c5\u4f8b\u65e0\u75c7\u72b6\u65f6\u5019\u611f\u67d3\u4eba\uff0c\u662f\u6307\u8fd8\u5728\u75c5\u6bd2\u6f5c\u4f0f\u671f\u7684\u65f6\u5019\u611f\u67d3\u4eba\uff0c\u8fd9\u4e0d\u53eb\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u3002<\/strong>\u300d<\/strong><\/span><\/p>\n


<\/span><\/p>\n

\u300c\u6700\u8fd1\u6bd4\u8f83\u50cf\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u7684\u662f\u7f51\u7edc\u4e0a\u62a5\u7684\u6cb3\u5357\u5b89\u9633\u4e00\u5bb6\u4eba\uff0c\u6e90\u75c5\u4f8b\u4e00\u76f4\u6ca1\u6709\u75c7\u72b6\u3002\u8fd9\u79cd\u60c5\u51b5\u4e0d\u4e00\u5b9a\u662f\u65e0\u75c7\u72b6\u75c5\u4f8b\uff0c\u4e5f\u6709\u53ef\u80fd\u8be5\u75c5\u4f8b\u66fe\u6709\u8fc7\u975e\u5e38\u8f7b\u5fae\u7684\u75c7\u72b6\u800c\u4e0d\u81ea\u77e5\uff0c\u5f88\u5feb\u5c31\u8fdb\u5165\u6062\u590d\u671f\u4e86\u3002\u662f\u5426\u65e0\u75c7\u72b6\uff0c\u8fd8\u9700\u5bf9\u5bc6\u5207\u63a5\u89e6\u8005\u4e0d\u53d1\u75c5\u7684\u4eba\u7fa4\u4e2d\u505a\u4e00\u7cfb\u5217\u7684\u75c5\u6bd2\u5b66\u548c\u8840\u6e05\u5b66\u7814\u7a76\u624d\u80fd\u5f97\u51fa\u7ed3\u8bba\u3002\u300d<\/span><\/p>\n


<\/span><\/p>\n

\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u6570\u91cf\u6709\u591a\u5c11\uff1f<\/span><\/p>\n


<\/span><\/p>\n

\u949f\u5357\u5c71\u5728 2 \u6708 2 \u65e5\u63a5\u53d7\u5a92\u4f53\u91c7\u8bbf\u4e2d\u8868\u793a\uff0c\u300c\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u4e0d\u662f\u5f88\u591a\uff0c\u4f46\u662f\u6709\u3002\u300d<\/span><\/p>\n


<\/span><\/p>\n

\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u7684\u6bd4\u4f8b\u662f\u591a\u5c11\uff1f<\/span><\/p>\n


<\/span><\/p>\n

\u5f20\u6587\u5b8f\u8868\u793a\uff0c\u300c\u5168\u56fd\u5404\u5730\u8fd8\u90fd\u5728\u4e0d\u65ad\u51fa\u73b0\u65b0\u75c5\u4f8b\uff0c\u56e0\u6b64\u5c1a\u4e0d\u80fd\u5f88\u597d\u5730\u8ba1\u7b97\u51fa\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u7684\u6bd4\u4f8b\u3002\u4f46\u5982\u679c\u6709\u53ef\u80fd\u7a0d\u665a\u4e00\u4e9b\u65f6\u95f4\u53bb\u68c0\u6d4b\u7b2c\u4e00\u4ee3\u75c5\u4f8b\uff08\u5982 2019 \u5e74\u5728\u534e\u5357\u6d77\u9c9c\u5e02\u573a\u6709\u8fc7\u66b4\u9732\u7684\u4eba\u7fa4\uff09\u7684\u6297\u4f53\uff0c\u6216\u8bb8\u80fd\u591f\u5927\u6982\u4e86\u89e3\u5230\u5e95\u6709\u591a\u5c11\u6bd4\u4f8b\u7684\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u3002\u300d<\/span><\/p>\n


<\/strong><\/p>\n


<\/strong><\/p>\n

\u600e\u4e48\u529e\uff1f\u91cd\u89c6\u9632\u62a4\u5f88\u91cd\u8981<\/strong><\/p>\n


<\/span><\/p>\n

\u6700\u540e\uff0c\u8ba9\u6211\u4eec\u56de\u5230\u672c\u6587\u5f00\u5934\u7684\u75c5\u4f8b\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u8bb8\u591a\u4eba\u5173\u6ce8\u7684\u91cd\u70b9\u5728\u4e8e\u300c15 \u79d2\u672a\u6234\u53e3\u7f69\u63a5\u89e6\u5373\u611f\u67d3\u300d\uff0c\u8ba4\u4e3a\u60a3\u8005\u611f\u67d3\u7684\u539f\u56e0\u5c31\u662f\u75c5\u6bd2\u5728 15 \u79d2\u5185\u901a\u8fc7\u98de\u6cab\u4f20\u64ad\u3002\u7136\u800c\uff0c<\/span>\u9664\u98de\u6cab\u4f20\u64ad\u5916\uff0c\u4e5f\u53ef\u80fd\u5b58\u5728\u60a3\u8005\u7684\u624b\u63a5\u89e6\u786e\u8bca\u8005\u98de\u6cab\u6c89\u6dc0\uff0c\u5bfc\u81f4\u540e\u7eed\u95f4\u63a5\u63a5\u89e6\u611f\u67d3\u7684\u60c5\u51b5\u5b58\u5728\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u6b64\u5916\uff0c\u6839\u636e\u8fd9\u540d\u60a3\u8005 1 \u6708 23\uff5e24 \u65e5\u671f\u95f4\u7684\u9891\u7e41\u5916\u51fa\u8bb0\u5f55\uff0c\u6211\u4eec\u5e76\u4e0d\u80fd\u975e\u5e38\u80af\u5b9a\u5730\u8bf4\uff0c\u4ed6\u5728 23 \u65e5\u65e9\u6668 15 \u79d2\u63a5\u89e6\u7684\u90a3\u540d\u6c5f\u5317\u533a\u786e\u8bca\u60a3\u8005\u5c31\u662f\u552f\u4e00\u7684\u4f20\u67d3\u6e90\u3002<\/span><\/p>\n


<\/span><\/p>\n

\"\u65e0\u75c7\u72b6\u611f\u67d3\u8005\uff0c\u4f1a\u6210\u4e3a\u6f5c\u4f0f\u5728\u4eba\u7fa4\u4e2d\u7684\u300c\u5b9a\u65f6\u70b8\u5f39\u300d\u5417\uff1f\"<\/section>\n

\u56fe\u6e90\uff1a\u5065\u5eb7\u6c5f\u5317 \u516c\u4f17\u53f7<\/span><\/p>\n


<\/p>\n

\u56e0\u6b64\uff0c\u6211\u4eec\u4e0d\u80fd\u901a\u8fc7\u5355\u4e00\u75c5\u4f8b\u6765\u76f4\u63a5\u5f97\u51fa\u300c\u75c5\u6bd2\u5728 15 \u79d2\u5185\u5b9e\u73b0\u98de\u6cab\u4f20\u64ad\u300d\u7684\u56e0\u679c\u5173\u7cfb\u7ed3\u8bba\uff0c\u4e5f\u4e0d\u80fd\u8fc7\u4e8e\u653e\u5927\u8fd9 15 \u79d2\u63a5\u89e6\u5728\u6d41\u884c\u75c5\u5b66\u4e2d\u7684\u4f5c\u7528\u3002<\/span><\/p>\n


<\/span><\/p>\n

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<\/span><\/p>\n

2 \u6708 2 \u65e5\uff0c\u949f\u5357\u5c71\u5728\u91c7\u8bbf\u4e2d\u8868\u793a\uff0c\u300c\u6709\u62a5\u9053\u79f0\uff0c\u4e2a\u522b\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u53ef\u4ee5\u81ea\u5df1\u6cbb\u6108\uff0c\u4e5f\u6709\u4e2a\u522b\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u53ef\u4ee5\u4f20\u67d3\u7ed9\u522b\u4eba\u3002\u6240\u4ee5\u53ea\u8981\u68c0\u6d4b\u662f\u6838\u9178\u9633\u6027\uff0c\u5c31\u4e00\u5b9a\u8981\u9694\u79bb\uff0c\u8981\u91cd\u89c6\u8fd9\u4e2a\u95ee\u9898\u3002\u300d<\/span><\/p>\n


<\/p>\n

\u5bf9\u4e8e\u4e00\u822c\u4eba\u7fa4\u800c\u8a00\uff0c\u901a\u8fc7\u5b8c\u5584\u73b0\u6709\u7684\u9632\u62a4\u63aa\u65bd\uff0c\u5c31\u662f\u9884\u9632\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u6216\u7591\u4f3c\/\u786e\u8bca\u60a3\u8005\u4f20\u67d3\u6700\u6709\u6548\u7684\u624b\u6bb5\u3002<\/span><\/span><\/p>\n


<\/span><\/p>\n

\u5728\u9ad8\u53d1\u5730\u533a\uff0c\u5e94\u8be5\u5c45\u5bb6\u9694\u79bb\uff0c\u51cf\u5c11\u5916\u51fa\u6d3b\u52a8\u63a5\u89e6\uff1b\u5728\u4f4e\u53d1\u5730\u533a\uff0c\u5e94\u8be5\u5f3a\u8c03\u54b3\u55fd\u793c\u4eea\u4e0e\u624b\u536b\u751f\uff0c\u9002\u5f53\u51cf\u5c11\u4e0d\u5fc5\u8981\u7684\u805a\u96c6\u3002<\/span><\/p>\n


<\/p>\n

\u5bf9\u4e8e\u4e13\u4e1a\u533b\u751f\u800c\u8a00\uff0c\u6709\u4e13\u5bb6\u544a\u8bc9\uff0c\u300c<\/span>\u786e\u8bca\u60a3\u8005\u63a5\u89e6\u8fc7\u7684\u4eba\uff0c\u5f88\u53ef\u80fd\u4f1a\u6210\u4e3a\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u4f20\u67d3\u4ed6\u4eba\u3002<\/span>\u800c\u786e\u8bca\u60a3\u8005\u5982\u679c\u6ca1\u6709\u6d41\u884c\u75c5\u5b66\u53f2\uff0c\u5982 12 \u6708\u4efd\u6700\u65e9\u4e00\u6279\u65b0\u51a0\u60a3\u8005\u4e2d\u6709\u90e8\u5206\u6ca1\u6709\u534e\u5357\u6d77\u9c9c\u5e02\u573a\u5173\u8054\u7684\u60a3\u8005\uff0c\u4ed6\u4eec\u5f88\u53ef\u80fd\u662f\u88ab\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u4f20\u67d3\u6240\u81f4\u3002\u300d<\/span><\/p>\n


<\/span><\/p>\n

\u8fd9\u540d\u4e13\u5bb6\u5f3a\u8c03\uff0c\u300c<\/span>\u76ee\u524d\u6240\u91c7\u53d6\u7684\u9632\u63a7\u63aa\u65bd\uff0c\u8db3\u4ee5\u628a\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u4f20\u64ad\u75c5\u6bd2\u7684\u98ce\u9669\u964d\u5230\u6700\u4f4e\uff0c\u666e\u901a\u4eba\u7fa4\u65e0\u9700\u8fc7\u5ea6\u62c5\u5fc3\u3002<\/strong><\/span>\u76f8\u5bf9\u800c\u8a00\uff0c\u666e\u901a\u95e8\u6025\u8bca\u7684\u533b\u62a4\u4eba\u5458\u9700\u8981\u63a5\u8bca\u5927\u91cf\u964c\u751f\u672a\u77e5\u60a3\u8005\uff0c\u88ab\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u4f20\u67d3\u7684\u98ce\u9669\u8f83\u5927\uff0c\u9700\u8981\u6709\u610f\u8bc6\u5730\u52a0\u5f3a\u9632\u62a4\u3002\u300d<\/span><\/strong><\/span><\/section>\n

<\/span><\/section>\n
<\/span><\/strong><\/span>\u300c\u8fd1\u65e5\uff0c\u4e0d\u5c11\u533b\u9662\u90fd\u6682\u505c\u4e86\u666e\u901a\u95e8\u8bca\u6216\u8005\u4e94\u5b98\u79d1\u8fd9\u7c7b\u9700\u8981\u4e0e\u60a3\u8005\u8fd1\u8ddd\u79bb\u63a5\u89e6\u7684\u79d1\u5ba4\uff0c\u76ee\u7684\u4e4b\u4e00\u4e5f\u662f\u907f\u514d\u65e0\u75c7\u72b6\u611f\u67d3\u8005\u5bf9\u533b\u62a4\u4eba\u5458\u548c\u5468\u56f4\u5176\u4ed6\u75c5\u4eba\u7684\u4f20\u67d3\u3002<\/span>\u300d<\/span>\uff08\u8d23\u4efb\u7f16\u8f91\uff1agyouza\uff09<\/span><\/section>\n
<\/span><\/section>\n


<\/span><\/p>\n


<\/span><\/p>\n

\u81f4\u8c22\uff1a\u672c\u6587\u7ecf\u897f\u90e8\u6218\u533a\u603b\u533b\u9662\u547c\u5438\u4e0e\u5371\u91cd\u75c7\u533b\u5b66\u79d1\u4e3b\u6cbb\u533b\u5e08 \u8fde\u4ea8\u5b81\u3001<\/span><\/strong><\/span>\u82cf\u5dde\u5927\u5b66\u9644\u5c5e\u513f\u7ae5\u533b\u9662\u836f\u5242\u79d1\u4e3b\u7ba1\u836f\u5e08 \u5468\u5bc6<\/span><\/strong>\u3001\u82cf\u5dde\u5e02\u7acb\u533b\u9662\u547c\u5438\u79d1\u4e3b\u4efb\u533b\u5e08 \u674e\u52c7 \u4e13\u4e1a\u5ba1\u6838<\/span><\/strong><\/span><\/strong><\/p>\n


<\/p>\n


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\u6b63\u9762\u5411\u5168\u4f53\u8bfb\u8005\u5f81\u7a3f\uff01<\/span><\/strong><\/span><\/section>\n
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