{"id":39594,"date":"2018-09-08T01:00:00","date_gmt":"2018-09-17T06:33:07","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/2018\/09\/17\/2018-%e7%89%88%e4%b8%ad%e5%9b%bd%e6%80%a5%e6%80%a7%e7%bc%ba%e8%a1%80%e6%80%a7%e8%84%91%e5%8d%92%e4%b8%ad%e8%af%8a%e6%b2%bb%e6%8c%87%e5%8d%97%e6%9b%b4%e6%96%b0\/"},"modified":"2018-09-17T14:33:09","modified_gmt":"2018-09-17T06:33:09","slug":"2018-%e7%89%88%e4%b8%ad%e5%9b%bd%e6%80%a5%e6%80%a7%e7%bc%ba%e8%a1%80%e6%80%a7%e8%84%91%e5%8d%92%e4%b8%ad%e8%af%8a%e6%b2%bb%e6%8c%87%e5%8d%97%e6%9b%b4%e6%96%b0","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/39594\/","title":{"rendered":"2018 \u7248\u4e2d\u56fd\u6025\u6027\u7f3a\u8840\u6027\u8111\u5352\u4e2d\u8bca\u6cbb\u6307\u5357\u66f4\u65b0"},"content":{"rendered":"
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\u8fd1\u671f\uff0c\u4e2d\u534e\u533b\u5b66\u4f1a\u795e\u7ecf\u75c5\u5b66\u5206\u4f1a\u8111\u8840\u7ba1\u75c5\u5b66\u7ec4\u5236\u5b9a\u5e76\u53d1\u5e03\u4e86 2018 \u7248\u4e2d\u56fd\u6025\u6027\u7f3a\u8840\u6027\u8111\u5352\u4e2d\u8bca\u6cbb\u6307\u5357\uff08\u4ee5\u4e0b\u7b80\u79f0 18 \u7248\u6307\u5357\uff09\u3002\u8fd9\u662f\u81ea 15 \u5e74\u53d1\u5e03\u4e86 2014 \u7248\u4e2d\u56fd\u6025\u6027\u7f3a\u8840\u6027\u8111\u5352\u4e2d\u8bca\u6cbb\u6307\u5357\uff08\u4ee5\u4e0b\u7b80\u79f0 14 \u7248\u6307\u5357\uff09\u540e\u7684\u518d\u4e00\u6b21\u66f4\u65b0\u3002<\/p>\n


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\u4e0e 14 \u7248\u6307\u5357\u76f8\u6bd4\uff0c18 \u7248\u6307\u5357\u91cd\u65b0\u5b9a\u4e49\u4e86\u6025\u6027\u671f\u7684\u65f6\u95f4\uff0c\u4e00\u822c\u6307\u53d1\u75c5\u540e 2 \u5468\u5185\uff0c\u8f7b\u578b 1 \u5468\u5185\uff0c\u91cd\u578b 1 \u4e2a\u6708\u5185\u3002<\/p>\n


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18 \u7248\u6307\u5357\u5185\u5bb9\u7684\u66f4\u65b0\uff0c\u4e3b\u8981\u96c6\u4e2d\u5728\uff1a\u8111\u5352\u4e2d\u6025\u8bca\u6551\u6cbb\u4f53\u7cfb\u3001\u6025\u6027\u671f\u8bc4\u4f30\u548c\u8bca\u65ad\u3001\u8840\u538b\u63a7\u5236\u3001\u9759\u8109\u6eb6\u6813\u3001\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u3001\u6025\u6027\u671f\u5e76\u53d1\u75c7\u53ca\u5176\u4ed6\u60c5\u51b5\u7684\u9884\u9632\u4e0e\u5904\u7406\u3002<\/p>\n

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\u4e3a 18 \u7248\u65b0\u589e\u5185\u5bb9\uff0c\u63a8\u8350\u610f\u89c1\uff1a\uff081\uff09\u5efa\u8bae\u536b\u751f\u4e3b\u7ba1\u90e8\u95e8\u7ec4\u5efa\u533a\u57df\u8111\u5352\u4e2d\u5206\u7ea7\u6551\u6cbb\u7cfb\u7edf\uff0c\u533b\u7597\u673a\u6784\u5177\u5907\u5206\u7ea7\u5f00\u5c55\u8111\u5352\u4e2d\u9002\u5b9c\u8bca\u6cbb\u6280\u672f\u7684\u80fd\u529b\uff0c\u5e76\u9010\u6b65\u5efa\u7acb\u8ba4\u8bc1\u3001\u8003\u6838\u548c\u8d28\u91cf\u6539\u8fdb\u4f53\u7cfb\uff08\u2160\u7ea7\u63a8\u8350\uff0cC \u7ea7\u8bc1\u636e\uff09\u3002\uff082\uff09\u63a8\u8350\u6025\u6551\u8f6c\u8fd0\u7cfb\u7edf\u4e0e\u533b\u9662\u5efa\u7acb\u6709\u6548\u8054\u7cfb\u53ca\u8f6c\u8fd0\u673a\u5236\uff0c\u533b\u9662\u5efa\u7acb\u9662\u5185\u8111\u5352\u4e2d\u8bca\u6cbb\u7eff\u8272\u901a\u9053\uff0c\u6709\u6761\u4ef6\u7684\u533b\u9662\u9010\u6b65\u5efa\u7acb\u89c4\u8303\u7684\u8fdc\u7a0b\u5352\u4e2d\u8bca\u6cbb\u7cfb\u7edf\uff08\u2160\u7ea7\u63a8\u8350\uff0cB \u7ea7\u8bc1\u636e\uff09\u3002<\/p>\n

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\u5c06\u9001\u5f80\u6551\u6cbb\u7684\u533b\u9662\u6761\u4ef6\u6269\u5145\u4e3a\uff1a\u5e94\u5305\u62ec\u80fd\u5168\u5929\u8fdb\u884c\u6025\u8bca CT \u68c0\u67e5\u3001\u5177\u5907\u6eb6\u6813\u548c\uff08\u6216\uff09\u8840\u7ba1\u5185\u53d6\u6813\u6761\u4ef6<\/p>\n


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\u63a8\u8350\u610f\u89c1\u589e\u52a0\uff1a\u6309\u8bca\u65ad\u6d41\u7a0b\u5bf9\u7591\u4f3c\u8111\u5352\u4e2d\u60a3\u8005\u8fdb\u884c\u5feb\u901f\u8bca\u65ad\uff0c\u5c3d\u53ef\u80fd\u5728\u5230\u8fbe\u6025\u8bca\u5ba4\u540e 60 min \u5185\u5b8c\u6210\u8111 CT \u7b49\u57fa\u672c\u8bc4\u4f30\u5e76\u5f00\u59cb\u6cbb\u7597\uff0c\u6709\u6761\u4ef6\u5e94\u5c3d\u6700\u7f29\u77ed\u8fdb\u9662\u81f3\u6995\u6813\u6cbb\u7597\u65f6\u95f4\uff08\u2160\u7ea7\u63a8\u8350\uff0cB \u7ea7\u8bc1\u636e\uff09\u3002<\/p>\n

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\u5305\u62ec\uff1a1. \u75c5\u53f2\u548c\u4f53\u5f81 2. \u8111\u75c5\u53d8\u4e0e\u8840\u7ba1\u75c5\u53d8\u68c0\u67e5 3. \u5b9e\u9a8c\u5ba4\u68c0\u67e5\u53ca\u9009\u62e9 4. \u8bca\u65ad\u6807\u51c6 5. \u75c5\u56e0\u5206\u578b 6. \u8bca\u65ad\u6d41\u7a0b<\/p>\n


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\u65b0\u589e\u5185\u5bb9\u5982\u4e0b<\/p>\n


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\u8111\u75c5\u53d8\u68c0\u67e5\u4e2d\u591a\u6a21\u5f0f MRI\uff1aAHA\/ASA \u4e0d\u63a8\u8350\u5bf9\u53d1\u75c5 6 h \u5185\u7684\u7f3a\u8840\u6027\u8111\u5352\u4e2d\u60a3\u8005\u8fd0\u7528\u704c\u6ce8\u68c0\u67e5\u6765\u9009\u62e9\u9002\u4e8e\u673a\u68b0\u53d6\u6813\u7684\u60a3\u8005\uff0c\u63a8\u8350\u5bf9\u4e8e\u8ddd\u6700\u540e\u6b63\u5e38\u65f6\u95f4 6-24 h \u7684\u524d\u5faa\u73af\u5927\u52a8\u8109\u95ed\u585e\u60a3\u8005\u8fdb\u884c\u5305\u62ec CT \u704c\u6ce8\u3001MRIDWI \u6216 MRI \u704c\u6ce8\u6210\u50cf\u5728\u5185\u7684\u591a\u6a21\u5f71\u50cf\u8f85\u52a9\u60a3\u8005\u7684\u8bc4\u4f30\u3001\u7b5b\u9009\u662f\u5426\u8fdb\u884c\u8840\u7ba1\u5185\u673a\u68b0\u53d6\u6813\u6cbb\u7597\u3002<\/p>\n


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\u8840\u7ba1\u75c5\u53d8\u68c0\u67e5\uff1aHRMRI \u8840\u7ba1\u58c1\u6210\u50cf\u4e00\u5b9a\u7a0b\u5ea6\u4e0a\u53ef\u663e\u793a\u5927\u8111\u4e2d\u52a8\u8109\u3001\u9888\u52a8\u8109\u7b49\u52a8\u8109\u7ba1\u58c1\u7279\u5f81\uff0c\u53ef\u4e3a\u5352\u4e2d\u75c5\u56e0\u5206\u578b\u548c\u660e\u786e\u53d1\u75c5\u673a\u5236\u63d0\u4f9b\u4fe1\u606f\u3002<\/p>\n


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\u5b9e\u9a8c\u5ba4\u68c0\u67e5\u53ca\u9009\u62e9\uff1a\u5728\u5f81\u5f97\u60a3\u8005\u77e5\u60c5\u540c\u610f\u540e\uff0c\u5728\u8840\u6db2\u5316\u9a8c\u7ed3\u679c\u56de\u62a5\u4e4b\u524d\uff0c\u5f00\u59cb\u9759\u8109\u6eb6\u6813\u6cbb\u7597\uff0c\u53ef\u4ee5\u663e\u8457\u7f29\u77ed DNT\uff0c\u4e14\u672a\u964d\u4f4e\u5b89\u5168\u6027\u3002AHA\/ASA \u4e5f\u6709\u76f8\u5173\u63a8\u8350\uff0c\u4e0d\u8fc7\u5728\u6211\u56fd\u4e34\u5e8a\u5b9e\u8df5\u4e2d\u4e00\u5b9a\u5728\u5145\u5206\u8bc4\u4f30\u83b7\u76ca\u4e0e\u98ce\u9669\u540e\u51b3\u5b9a\u3002<\/p>\n


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\u8bca\u65ad\u6d41\u7a0b\uff1a\u8bc4\u4f30\u662f\u5426\u8fdb\u884c\u8840\u7ba1\u5185\u673a\u68b0\u53d6\u6813\u6cbb\u7597?<\/p>\n


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\u63a8\u8350\u610f\u89c1\uff1a\u9664\u90e8\u5206\u8bc1\u636e\u7b49\u7ea7\u6539\u53d8\u5916\uff0c\u589e\u52a0\u4e86\uff1a\u5c3d\u91cf\u7f29\u77ed\u68c0\u67e5\u6240\u9700\u65f6\u95f4\uff08\u2160\u7ea7\u63a8\u8350\uff0cC \u7ea7\u8bc1\u636e\uff09\u3002\u5fc5\u8981\u65f6\u6839\u636e\u8d77\u75c5\u65f6\u95f4\u53ca\u4e34\u5e8a\u7279\u5f81\u884c\u591a\u6a21\u5f71\u50cf\u8bc4\u4f30\uff0c\u4ee5\u51b3\u5b9a\u662f\u518d\u8fdb\u884c\u8840\u7ba1\u5185\u53d6\u6813\uff08\u2161\u7ea7\u63a8\u8350\uff0cA \u7ea7\u8bc1\u636e\uff09\u3002<\/p>\n

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\u5305\u62ec\uff1a1. \u547c\u5438\u4e0e\u5438\u6c27 2. \u5fc3\u810f\u76d1\u6d4b\u4e0e\u5fc3\u810f\u75c5\u53d8\u5904\u7406 3. \u4f53\u6e29\u63a7\u5236 4. \u8840\u538b\u63a7\u5236 5. \u8840\u7cd6<\/p>\n


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\u66f4\u65b0\u7684\u5185\u5bb9\u4e3b\u8981\u4e3a\u8840\u538b\u63a7\u5236\u90e8\u5206\u9ad8\u8840\u538b\u76f8\u5173\u5185\u5bb9<\/strong><\/p>\n


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\u7531\u4e8e\u53d1\u75c5\u540e 48 \u6216 72 h \u5185\u542f\u52a8\u964d\u538b\u6cbb\u7597\u7684\u83b7\u76ca\u5c1a\u4e0d\u660e\u786e\uff0cAHA\/ASA \u63a8\u8350\u5bf9\u6536\u7f29\u538b \u2265 200 mmHg \u6216\u8212\u5f20\u538b \u2265 110 mmHg\u3001\u672a\u63a5\u53d7\u9759\u8109\u6eb6\u6813\u53ca\u8840\u7ba1\u5185\u6cbb\u7597\u3001\u65e0\u9700\u8981\u7d27\u6025\u964d\u538b\u5904\u7406\u7684\u4e25\u91cd\u5408\u5e76\u75c7\u7684\u60a3\u8005\uff0c\u53ef\u5728\u53d1\u75c5\u540e 24 h \u5185\u5c06\u8840\u538b\u964d\u4f4e 15%\u3002<\/p>\n


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\u5bf9\u4e8e\u63a5\u53d7\u8840\u7ba1\u5185\u6cbb\u7597\u60a3\u8005\u8840\u538b\u7ba1\u7406\uff0c\u5c1a\u65e0\u9ad8\u6c34\u5e73\u4e34\u5e8a\u7814\u7a76\u3002<\/p>\n


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AHA\/ASA \u63a8\u8350\u5bf9\u672a\u63a5\u53d7\u9759\u8109\u6eb6\u6813\u800c\u8ba1\u5212\u8fdb\u884c\u52a8\u8109\u5185\u6cbb\u7597\u7684\u60a3\u8005\uff0c\u624b\u672f\u524d\u5e94\u63a7\u5236\u8840\u538b\u6c34\u5e73\u8fd0 180\/110 mmHg\u3002\u8840\u7ba1\u5f00\u901a\u540e\u5bf9\u4e8e\u9ad8\u8840\u538b\u60a3\u8005\u63a7\u5236\u8840\u538b\u4f4e\u4e8e\u57fa\u7840\u8840\u538b 20\uff5e30 mmHg\uff0c\u4f46\u4e0d\u5e94\u4f4e\u4e8e 90\/60 mmHg\u3002<\/p>\n


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\u6211\u56fd\u63a8\u8350\u63a5\u53d7\u8840\u7ba1\u5185\u53d6\u6813\u6cbb\u7597\u60a3\u8005\u672f\u524d\u8840\u538b\u63a7\u5236\u5728 180\/105 mmHg\u3002<\/p>\n


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\u63a8\u8350\u610f\u89c1\u66f4\u65b0\u5185\u5bb9\u6709\uff1a\u51c6\u5907\u6eb6\u6813\u53ca\u6865\u63a5\u8840\u7ba1\u5185\u53d6\u6813\u8005\uff0c\u8840\u538b\u5e94\u63a7\u5236\u5728\u6536\u7f29\u538b<180 mmHg\u3001\u8212\u5f20\u538b<100 mmHg\u3002\u5bf9\u672a\u63a5\u53d7\u9759\u8109\u6eb6\u6813\u800c\u8ba1\u5212\u8fdb\u884c\u52a8\u8109\u5185\u6cbb\u7597\u7684\u60a3\u8005\u8840\u538b\u7ba1\u7406\u53ef\u53c2\u7167\u8be5\u6807\u51c6\uff0c\u6839\u636e\u8840\u7ba1\u5f00\u901a\u60c5\u51b5\u63a7\u5236\u672f\u540e\u8840\u538b\u6c34\u5e73\uff0c\u907f\u514d\u8fc7\u5ea6\u704c\u6ce8\u6216\u4f4e\u704c\u6ce8\uff0c\u5177\u4f53\u76ee\u6807\u6709\u5f85\u8fdb\u4e00\u6b65\u7814\u7a76\u3002<\/p>\n


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\u5305\u62ec 5 \u90e8\u5206\uff1a\u6539\u5584\u8111\u8840\u5faa\u73af\u3001\u4ed6\u6c40\u836f\u7269\u3001\u795e\u7ecf\u4fdd\u62a4\u3001\u5176\u4ed6\u7597\u6cd5\u548c\u4f20\u7edf\u533b\u836f\u3002<\/p>\n


<\/p>\n

\u5176\u4e2d\u300c\u6539\u5584\u8111\u8840\u5faa\u73af<\/strong>\u300d\u4e3a\u672c\u6b21\u6307\u5357\u66f4\u65b0\u7684\u91cd\u70b9\u3002\u5305\u62ec\u6709\uff1a1. \u9759\u8109\u6eb6\u6813 2. \u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597 3. \u6297\u8840\u5c0f\u677f 4. \u6297\u51dd 5. \u964d\u7ea4 6. \u6269\u5bb9 7. \u6269\u5f20\u8840\u7ba1 8. \u5176\u4ed6\u6539\u5584\u8111\u8840\u5faa\u73af\u836f\u7269<\/p>\n


<\/p>\n

\u4e3b\u8981\u66f4\u65b0\u5185\u5bb9\u6709\uff1a<\/p>\n


<\/p>\n

1. \u9759\u8109\u6eb6\u6813<\/span><\/p>\n


<\/p>\n

\u9759\u8109\u6eb6\u6813\u662f\u76ee\u524d\u6700\u4e3b\u8981\u6062\u590d\u8840\u6d41\u63aa\u65bd\uff0c\u836f\u7269\u5305\u62ec\u91cd\u7ec4\u7ec4\u7ec7\u578b\u7ea4\u6995\u9176\u539f\u6fc0\u6d3b\u5242\uff08rt-PA\uff09\u3001\u5c3f\u6fc0\u9176\u548c\u66ff\u5948\u666e\u9176\u3002rt-PA \u548c\u5c3f\u6fc0\u9176\u662f\u6211\u56fd\u76ee\u524d\u4f7f\u7528\u7684\u4e3b\u8981\u6995\u6813\u836f\uff0c\u73b0\u8ba4\u4e3a\u6709\u6548\u633d\u6551\u534a\u6697\u5e26\u7ec4\u7ec7\u65f6\u95f4\u7a97\u4e3a 4.5 h \u5185\u6216 6 h \u5185\u3002<\/p>\n


<\/p>\n

18 \u7248\u6307\u5357\u7ed3\u5408\u76f8\u5173\u9886\u57df\u7814\u7a76\u8fdb\u5c55\u6216\u5171\u8bc6\uff0c\u5bf9\u963f\u66ff\u666e\u9176\u9759\u8109\u6eb6\u6813\u9002\u5e94\u8bc1\u3001\u7981\u5fcc\u8bc1\u548c\u76f8\u5bf9\u7981\u5fcc\u8bc1\u8fdb\u884c\u4e86\u90e8\u5206\u4fee\u6539\u548c\u8c03\u6574\u3002<\/p>\n


<\/p>\n

\u5bf9\u76f8\u5bf9\u7981\u5fcc\u8bc1\u7684\u4fee\u8ba2\uff0c\u5728\u4e00\u5b9a\u7a0b\u5ea6\u4e0a\u6269\u5927\u4e86\u63a5\u53d7\u6cbb\u7597\u7684\u60a3\u8005\u4eba\u7fa4\uff0c\u4f46\u5bf9\u6709\u76f8\u5bf9\u7981\u5fcc\u8bc1\u7684\u60a3\u8005\u9009\u62e9\u662f\u5426\u8fdb\u884c\u963f\u66ff\u666e\u9176\u9759\u8109\u6eb6\u6813\u65f6\uff0c\u9700\u5145\u5206\u6c9f\u901a\u3001\u6743\u8861\u5229\u5f0a\uff0c\u5bf9\u53ef\u80fd\u83b7\u76ca\u7684\u7a0b\u5ea6\u53ca\u627f\u62c5\u7684\u98ce\u9669\u5145\u5206\u4ea4\u4ee3\uff0c\u4ee5\u4fdd\u969c\u533b\u7597\u5b89\u5168\u3002<\/p>\n


<\/p>\n

\u8868 1. 3 h \u5185 rt-PA \u9759\u8109\u6eb6\u6813\u7684\u9002\u5e94\u8bc1\u3001\u7981\u5fcc\u8bc1\u53ca\u76f8\u5bf9\u7981\u5fcc\u8bc1<\/p>\n


<\/p>\n

\"2018<\/p>\n


<\/p>\n

\u4e0e 14 \u7248\u6307\u5357\u76f8\u6bd4\uff0c\u7981\u5fcc\u8bc1\u548c\u76f8\u5bf9\u7981\u5fcc\u8bc1\u5747\u6709\u589e\u52a0\uff0c\u4e14\u90e8\u5206 14 \u7248\u6307\u5357\u4e2d\u76f8\u5bf9\u7981\u5fcc\u8bc1\u6539\u4e3a\u7981\u5fcc\u8bc1\u3002\u5e76\u5bf9\u90e8\u5206\u65f6\u95f4\u7684\u63cf\u8ff0\u8fdb\u884c\u4e86\u66f4\u65b0\u3002<\/p>\n


<\/p>\n

\u8868 2. 3\uff5e4.5 h \u5185 rt-PA \u9759\u8109\u6eb6\u6813\u7684\u9002\u5e94\u8bc1\u3001\u7981\u5fcc\u8bc1\u548c\u76f8\u5bf9\u7981\u5fcc\u8bc1<\/p>\n


<\/p>\n

\"2018<\/p>\n


<\/p>\n

\u53d1\u75c5 3\uff5e4.5 h \u5185\uff0c\u5e74\u9f84>80 \u5c81\u60a3\u8005\u63a5\u53d7\u963f\u66ff\u666e\u9176\u9759\u8109\u6eb6\u6813\u6709\u6548\u6027\u4e0e\u5b89\u5168\u6027\u4e0e<80 \u5c81\u60a3\u8005\u4e00\u81f4\uff0c\u5bf9\u6709\u5352\u4e2d\u65e2\u5f80\u53f2\u53ca\u7cd6\u5c3f\u75c5\u60a3\u8005\uff0c\u963f\u66ff\u666e\u9176\u9759\u8109\u6995\u6813\u4e0e\u53d1\u75c5 3 h \u5185\u63a5\u53d7\u6cbb\u7597\u540c\u6837\u6709\u6548\u3002<\/p>\n


<\/p>\n

\u60a3\u8005\u670d\u7528\u534e\u6cd5\u6797\u6297\u51dd\u6cbb\u7597\uff0c\u5982\u679c INR \u2264 1.7\uff0cPT \u2264 15s\uff0c\u963f\u66ff\u666e\u9176\u9759\u8109\u6eb6\u6813\u76f8\u5bf9\u5b89\u5168\u6709\u6548\u3002<\/p>\n


<\/p>\n

\u56e0\u6b64\uff0c\u4e0e 14 \u7248\u76f8\u6bd4\uff0c\u76f8\u5bf9\u7981\u5fcc\u8bc1\u4e2d\u5220\u9664\u4e86 1. \u5e74\u9f84>80 \u5c81\uff0c2. \u6709\u7cd6\u5c3f\u75c5\u548c\u7f3a\u8840\u6027\u5352\u4e2d\u75c5\u53f2\u3002\u5c06\u4f7f\u7528\u6297\u51dd\u836f\u7269\uff0c\u4e0d\u8003\u8651 INR \u6c34\u5e73\u6539\u4e3a\uff0cINR \u2264 1.7\uff0cPT \u2264 15s\u3002<\/p>\n


<\/p>\n

\u8868 3. 6 h \u5185\u5c3f\u6fc0\u9176\u9759\u8109\u6eb6\u6813\u7684\u9002\u5e94\u8bc1\u53ca\u7981\u5fcc\u8bc1<\/p>\n


<\/p>\n

\"2018<\/p>\n


<\/p>\n

\u7531\u4e8e\u7f3a\u4e4f\u8fdb\u4e00\u6b65\u4e34\u5e8a\u7814\u7a76\uff0c\u5c3f\u6fc0\u9176\u9759\u8109\u6eb6\u6813\u7684\u9002\u5e94\u8bc1\u3001\u7981\u5fcc\u8bc1\u53ca\u76f8\u5bf9\u7981\u5fcc\u3001\u8bc1\u5c1a\u672a\u4fee\u8ba2\u6216\u66f4\u65b0\uff0c\u6709\u5f85\u8fdb\u4e00\u6b65\u7814\u7a76<\/p>\n


<\/p>\n

\u6b64\u5916\uff0c18 \u7248\u6307\u5357\u4e2d\u63d0\u51fa\uff1a\u76ee\u524d AHA\/ASA \u4e0d\u63a8\u8350\u4f7f\u7528\u5f71\u50cf\u8bc4\u4f30\u65b9\u6cd5\uff08\u591a\u6a21 CT\u3001\u5305\u62ec\u704c\u6ce8\u6210\u50cf\u5728\u5185\u7684 MRl\uff09\u5728\u9192\u540e\u5352\u4e2d\u6216\u53d1\u75c5\u65f6\u95f4\u4e0d\u660e\u60a3\u8005\u4e2d\u7b5b\u9009\u63a5\u53d7\u9759\u8109\u6995\u6813\u5019\u9009\u8005\u3002\u4f46\u6700\u8fd1\u516c\u5e03\u7684 WAKE-UP \u5352\u4e2d\u7814\u7a76\u7ed3\u679c\u6709\u53ef\u80fd\u6539\u53d8\u8fd9\u4e00\u89c2\u70b9\uff0c\u7814\u7a76\u7ed3\u679c\u663e\u793a\u5229\u7528 DWI\/FLAIR \u5931\u5339\u914d\u539f\u5219\u6765\u6307\u5bfc\u9009\u62e9\u53d1\u75c5\u65f6\u95f4\u4e0d\u660e\u60a3\u8005\u63a5\u53d7\u9759\u8109\u6eb6\u6813\u6cbb\u7597\u53ef\u83b7\u76ca\u3002<\/p>\n


<\/p>\n

\u63a8\u8350\u610f\u89c1\u65b0\u589e\u5185\u5bb9\u6709\uff1a<\/p>\n

\n
\n
\n
\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n

\n
\n
\n
\n
\n
\n

\u5c0f\u5242\u91cf\u963f\u66ff\u666e\u9176\u9759\u8109\u6eb6\u6813\uff080.6 mg\/kg\uff09\u51fa\u8840\u98ce\u9669\u4f4e\u4e8e\u6807\u51c6\u5242\u91cf\uff0c\u53ef\u4ee5\u51cf\u5c11\u75c5\u6b7b\u7387\uff0c\u4f46\u5e76\u4e0d\u964d\u4f4e\u6b8b\u75be\u7387\uff0c\u53ef\u7ed3\u5408\u60a3\u8005\u75c5\u60c5\u4e25\u91cd\u7a0b\u5ea6\u3001\u51fa\u8840\u98ce\u9669\u7b49\u56e0\u7d20\u4e2a\u4f53\u5316\u786e\u5b9a\u51b3\u7b56\uff08\u2161\u7ea7\u63a8\u8350\uff0cA \u7ea7\u8bc1\u636e\uff09\u3002
<\/p>\n


<\/p>\n

\u5bf9\u53d1\u75c5\u65f6\u95f4\u672a\u660e\u6216\u8d85\u8fc7\u9759\u8109\u6eb6\u6813\u65f6\u95f4\u7a97\u7684\u6025\u6027\u7f3a\u8840\u6027\u8111\u5352\u4e2d\u60a3\u8005\uff0c\u5982\u679c\u7b26\u5408\u8840\u7ba1\u5185\u53d6\u6813\u6cbb\u7597\u9002\u5e94\u8bc1\uff0c\u5e94\u5c3d\u5feb\u542f\u52a8\u8840\u7ba1\u5185\u53d6\u6813\u6cbb\u7597; \u5982\u679c\u4e0d\u80fd\u5b9e\u65bd\u8840\u7ba1\u5185\u53d6\u6813\u6cbb\u7597\uff0c\u53ef\u7ed3\u5408\u591a\u6a21\u5f71\u50cf\u5b66\u8bc4\u4f30\u662f\u5426\u8fdb\u884c\u9759\u8109\u6eb6\u6813\u6cbb\u7597\uff08\u2161\u7ea7\u63a8\u8350\uff0cB \u7ea7\u8bc1\u636e\uff09\u3002<\/p>\n


<\/p>\n

\u9759\u8109\u63a8\u6ce8\u66ff\u5948\u666e\u9176\uff080.4 mg\/kg\uff09\u6cbb\u7597\u8f7b\u578b\u5352\u4e2d\u7684\u5b89\u5168\u6027\u53ca\u6709\u6548\u6027\u4e0e\u963f\u66ff\u666e\u9176\u76f8\u4f3c\uff0c\u4f46\u4e0d\u4f18\u4e8e\u963f\u66ff\u666e\u9176\u3002\u5bf9\u4e8e\u8f7b\u5ea6\u795e\u7ecf\u529f\u80fd\u7f3a\u635f\u4e14\u4e0d\u4f34\u6709\u9885\u5185\u5927\u8840\u7ba1\u95ed\u585e\u7684\u60a3\u8005\uff0c\u53ef\u4ee5\u8003\u8651\u5e94\u7528\u66ff\u5948\u666e\u9176\uff08\u2161\u7ea7\u63a8\u8350\uff0cB \u7ea7\u8bc1\u636e\uff09\u3002<\/p>\n


<\/p>\n

\u9759\u8109\u6eb6\u6813\u6cbb\u7597\u662f\u5b9e\u73b0\u8840\u7ba1\u518d\u901a\u7684\u91cd\u8981\u65b9\u6cd5\uff08\u2160\u7ea7\u63a8\u8350\uff0cA \u7ea7\u8bc1\u636e\uff09\uff0c\u9759\u8109\u6eb6\u6813\u5e94\u5c3d\u5feb\u8fdb\u884c\uff0c\u5c3d\u53ef\u80fd\u51cf\u5c11\u65f6\u95f4\u5ef6\u8bef\uff0c\u5728 DNT60 min \u7684\u65f6\u95f4\u5185\uff0c\u5c3d\u53ef\u80fd\u7f29\u77ed\u65f6\u95f4\u3002<\/p>\n


<\/p>\n

\u9759\u8109\u6eb6\u6813\u6cbb\u7597\u8fc7\u7a0b\u4e2d\uff0c\u533b\u5e08\u5e94\u5145\u5206\u51c6\u5907\u5e94\u5bf9\u7d27\u6025\u7684\u4e0d\u826f\u53cd\u5e94\uff0c\u5305\u62ec\u51fa\u8840\u5e76\u53d1\u75c7\u548c\u53ef\u80fd\u5f15\u8d77\u6c14\u9053\u6897\u963b\u7684\u8840\u7ba1\u6e90\u6027\u6c34\u80bf\uff08\u2160\u7ea7\u63a8\u8350\uff0cB \u7ea7\u8bc1\u636e\uff09<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\n
\n
\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

2. \u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\uff1a<\/span><\/p>\n


<\/p>\n

\u5305\u62ec\uff1a<\/p>\n


<\/p>\n

\uff081\uff09\u8840\u7ba1\u5185\u673a\u68b0\u53d6\u6813\uff1a\u8840\u7ba1\u5185\u673a\u68b0\u53d6\u6813\u662f\u8fd1\u5e74\u6025\u6027\u7f3a\u8840\u6027\u8111\u5352\u4e2d\u6cbb\u7597\u6700\u91cd\u8981\u7684\u8fdb\u5c55\uff0c\u53ef\u663e\u8457\u6539\u5584\u6025\u6027\u5927\u52a8\u8109\u95ed\u585e\u5bfc\u81f4\u7684\u7f3a\u8840\u6027\u8111\u5352\u4e2d\u60a3\u8005\u9884\u540e\u3002<\/p>\n


<\/p>\n

\uff082\uff09\u52a8\u8109\u6eb6\u6813\uff1a\u7531\u4e8e\u7f3a\u4e4f\u5145\u5206\u7684\u8bc1\u636e\u8bc1\u5b9e\u52a8\u8109\u6eb6\u6813\u7684\u83b7\u76ca\uff0c\u56e0\u6b64\uff0c\u76ee\u524d\u4e00\u7ebf\u7684\u8840\u7ba1\u5185\u6cbb\u7597\u662f\u8840\u7ba1\u5185\u673a\u68b0\u53d6\u6813\u6cbb\u7597\uff0c\u800c\u4e0d\u662f\u52a8\u8109\u6eb6\u6813\u3002<\/p>\n


<\/p>\n

\uff083\uff09\u8840\u7ba1\u6210\u5f62\u672f\u300c\u6025\u8bca\u9888\u52a8\u8109\u5185\u8131\u5265\u8131\u672f\uff08CEA\uff09\/\u9888\u52a8\u8109\u652f\u67b6\u76f4\u5165\u672f\uff08CAS\uff09\u300d<\/p>\n


<\/p>\n

\u63a8\u8350\u610f\u89c1\uff1a<\/p>\n


<\/p>\n

\n
\n
\n
\n
\n
\n
\n

\u9075\u5faa\u9759\u8109\u963f\u66ff\u666e\u9176\u6eb6\u6813\u4f18\u5148\u539f\u5219\uff0c\u9759\u8109\u6eb6\u6813\u662f\u8840\u7ba1\u518d\u901a\u7684\u9996\u9009\u65b9\u6cd5\uff08\u2160\u7ea7\u63a8\u8350\uff0cA \u7ea7\u8bc1\u636e\uff09\u5982\u679c\u8be5\u60a3\u8005\u7b26\u5408\u9759\u8109\u6eb6\u6813\u548c\u8840\u7ba1\u5185\u673a\u68b0\u53d6\u6813\u6307\u5f81\uff0c\u5e94\u8be5\u5148\u63a5\u53d7\u963f\u66ff\u666e\u9176\u9759\u8109\u6eb6\u6813\u6cbb\u7597\uff08\u2160\u7ea7\u63a8\u8350\uff0cA \u7ea7\u8bc1\u636e\uff09<\/p>\n


<\/p>\n

\u5bf9\u5b58\u5728\u9759\u8109\u6995\u6813\u7981\u5fcc\u7684\u90e8\u5206\u60a3\u8005\u4f7f\u7528\u673a\u68b0\u53d6\u6813\u662f\u5408\u7406\u7684\uff08\u2161\u7ea7\u63a8\u8350\uff0cC \u7ea7\u8bc1\u636e\uff09<\/p>\n


<\/p>\n

\u7f29\u77ed\u53d1\u75c5\u5230\u63a5\u53d7\u8840\u7ba1\u5185\u6cbb\u7597\u7684\u65f6\u95f4\uff0c\u6709\u5229\u4e8e\u663e\u82e5\u6539\u5584\u9884\u540e\uff0c\u5728\u6cbb\u7597\u65f6\u95f4\u7a97\u5185\u5e94\u5c3d\u65e9\u5b9e\u73b0\u8840\u7ba1\u518d\u901a\uff0c\u4e0d\u5e94\u7b49\u5f85\u89c2\u5bdf\u5176\u4ed6\u6cbb\u7597\u7684\u7597\u6548\u800c\u5ef6\u8bef\u673a\u68b0\u53d6\u6813\uff08\u2160\u7ea7\u63a8\u8350\uff0cB \u7ea7\u8bc1\u636e\uff09<\/p>\n


<\/p>\n

\u63a8\u8350\u7ed3\u5408\u53d1\u75c5\u65f6\u95f4\u3001\u75c5\u53d8\u8840\u7ba1\u90e8\u4f4d\u3001\u75c5\u60c5\u4e25\u91cd\u7a0b\u5ea6\u7efc\u5408\u8bc4\u4f30\u540e\u51b3\u5b9a\u60a3\u8005\u662f\u518d\u63a5\u53d7\u8840\u7ba1\u5185\u673a\u68b0\u53d6\u6813\u6cbb\u7597\uff08\u2160\u7ea7\u63a8\u8350\uff0cA \u7ea7\u8bc1\u636e\uff09<\/p>\n


<\/p>\n

\u5bf9\u53d1\u75c5\u540e\u4e0d\u540c\u65f6\u95f4\u7a97\u5185\u7684\u60a3\u8005\u300c\u53d1\u75c5\u540e 6 h \u5185\u53ef\u4ee5\u5b8c\u6210\u80a1\u52a8\u8109\u7a7f\u523a\u8005\uff08\u2160\u7ea7\u63a8\u8350\uff0cA \u7ea7\u8bc1\u636e\uff09\u3001\u8ddd\u6700\u540e\u6b63\u5e38\u65f6\u95f4 6-16 h\uff08\u2160\u7ea7\u63a8\u8350\uff0cA \u7ea7\u8bc1\u636e\uff09\u53ca\u8ddd\u6700\u540e\u6b63\u5e38\u65f6\u95f4 16-24 h \u8005\uff08\u2161\u7ea7\u63a8\u8350\uff0cB \u7ea7\u8bc1\u636e\uff09\u300d\uff0c\u7ecf\u4e25\u683c\u4e34\u5e8a\u53ca\u5f71\u50cf\u5b66\u8bc4\u4f30\u540e\uff0c\u53ef\u8fdb\u884c\u8840\u7ba1\u5185\u673a\u68b0\u53d6\u6813\u6cbb\u7597\uff08\u53c2\u89c1\u300a\u4e2d\u56fd\u6025\u6027\u7f3a\u8840\u6027\u8111\u5352\u4e2d\u65e9\u671f\u8840\u7ba1\u5185\u4ecb\u5165\u8bca\u7597\u6307\u5357 2018\u300b\uff09\u3002<\/p>\n


<\/p>\n

\u53d1\u75c5 6 h \u5185\u7531\u5927\u8111\u4e2d\u52a8\u8109\u95ed\u585e\u5bfc\u81f4\u7684\u4e25\u91cd\u5352\u4e2d\u4e14\u4e0d\u9002\u5408\u9759\u8109\u6eb6\u6813\u6216\u672a\u80fd\u63a5\u53d7\u8840\u7ba1\u5185\u673a\u68b0\u53d6\u6813\u7684\u60a3\u8005\uff0c\u7ecf\u8fc7\u4e25\u683c\u9009\u6389\u540e\u53ef\u5728\u6709\u6761\u4ef6\u7684\u533b\u9662\u8fdb\u884c\u52a8\u8109\u6eb6\u6813\uff08\u2160\u7ea7\u63a8\u8350\uff0cB \u7ea7\u8bc1\u636e\uff09<\/p>\n


<\/p>\n

\u7531\u540e\u5faa\u73af\u5927\u52a8\u8109\u95ed\u585e\u5bfc\u81f4\u7684\u4e25\u91cd\u5352\u4e2d\u4e14\u4e0d\u9002\u5408\u9759\u8109\u6eb6\u6813\u6216\u672a\u80fd\u63a5\u53d7\u8840\u7ba1\u5185\u673a\u68b0\u53d6\u6813\u7684\u60a3\u8005\uff0c\u7ecf\u8fc7\u4e25\u683c\u9009\u62e9\u540e\u53ef\u5728\u6709\u6761\u4ef6\u7684\u5355\u4f4d\u8fdb\u884c\u52a8\u8109\u6eb6\u6813\uff0c\u867d\u76ee\u524d\u6709\u5728\u53d1\u75c5 24 h \u5185\u4f7f\u7528\u7684\u7ecf\u9a8c\uff0c\u4f46\u4e5f\u5e94\u5c3d\u65e9\u8fdb\u884c\u907f\u514d\u65f6\u95f4\u5ef6\u8bef\uff08\u2162\u7ea7\u63a8\u8350\uff0cC \u7ea7\u8bc1\u636e\uff09<\/p>\n


<\/p>\n

\u5bf9\u4e8e\u9759\u8109\u6eb6\u6813\u6216\u673a\u68b0\u53d6\u6813\u672a\u80fd\u5b9e\u73b0\u8840\u7ba1\u518d\u901a\u7684\u5927\u52a8\u8109\u95ed\u585e\u60a3\u8005\uff0c\u8fdb\u884c\u8865\u6551\u6027\u52a8\u8109\u6eb6\u6813\uff08\u53d1\u75c5 6 h \u5185\uff09\u53ef\u80fd\u662f\u5408\u7406\u7684\uff08\u2161\u7ea7\u63a8\u8350\uff0cB \u7ea7\u8bc1\u636e\uff09<\/p>\n


<\/p>\n

\u7d27\u6025\u9888\u52a8\u8109\u652f\u67b6\u548c\u8840\u7ba1\u6210\u578b\u672f\u7684\u83b7\u76ca\u5c1a\u672a\u8bc1\u5b9e\uff0c\u5e94\u9650\u4e8e\u4e34\u5e8a\u8bd5\u9a8c\u7684\u73af\u5883\u4e0b\u4f7f\u7528\uff08\u2162\u7ea7\u63a8\u8350\uff0cC \u7ea7\u8bc1\u636e\uff09<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

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<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

3. \u6297\u8840\u5c0f\u677f<\/span><\/p>\n


<\/p>\n

\u8fd1\u671f\u5b8c\u6210\u7684 POINT \u7814\u7a76\u663e\u793a\u65e9\u671f\uff08\u53d1\u75c5\u540e 12 h \u5185\uff09\u4f7f\u7528\u8054\u5408\u6c2f\u5421\u683c\u96f7\u548c\u963f\u53f8\u5339\u6797\u5e76\u7ef4\u6301 90d \u4e5f\u964d\u4f4e\u7f3a\u6027\u5352\u4e2d\u590d\u53d1\u98ce\u9669\uff0c\u4f46\u589e\u52a0\u51fa\u8840\u7684\u98ce\u9669\u3002<\/p>\n


<\/p>\n

\u63a8\u8350\u610f\u89c1\u66f4\u65b0\u6709\uff1a<\/p>\n


<\/p>\n

\n
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\n
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\u5982\u679c\u60a3\u8005\u5b58\u5728\u5176\u4ed6\u7279\u6b8a\u60c5\u51b5\uff08\u5982\u5408\u5e76\u75be\u75c5\uff09\uff0c\u5728\u8bc4\u4f30\u83b7\u76ca\u5927\u4e8e\u98ce\u9669\u540e\u53ef\u4ee5\u8003\u8651\u5728\u963f\u66ff\u666e\u9176\u9759\u8109\u6995\u6813 24 h \u5185\u4f7f\u7528\u6297\u8840\u5c0f\u677f\u836f\u7269\uff08\u2162\u7ea7\u63a8\u5b58\uff0cC \u7ea7\u8bc1\u636e\uff09\u3002<\/p>\n


<\/p>\n

\u5bf9\u4e8e\u672a\u63a5\u53d7\u9759\u8109\u6995\u6813\u6cbb\u7597\u7684\u8f7b\u578b\u5352\u4e2d\u60a3\u8005\uff08NIHSS \u8bc4\u5206 \u2264 3 \u5206\uff09\uff0c\u5728\u53d1\u75c5 24 h \u5185\u5e94\u5c3d\u65e9\u542f\u52a8\u53cc\u91cd\u6297\u8840\u5c0f\u677f\u6cbb\u7597\uff08\u963f\u53f8\u5339\u6797\u548c\u6c2f\u5421\u683c\u96f7\uff09\u5e76\u7ef4\u6301 21d\uff0c\u6709\u76ca\u4e8e\u964d\u4f4e\u53d1\u75c5 90d \u5185\u7684\u5352\u4e2d\u590d\u53d1\u98ce\u9669\uff0c\u4f46\u5e94\u5bc6\u5207\u89c2\u5bdf\u51fa\u8840\u98ce\u9669\uff08\u2160\u7ea7\u63a8\u8350\uff0cA \u7ea7\u8bc1\u636e\uff09\u3002<\/p>\n


<\/p>\n

\u8840\u7ba1\u5185\u673a\u68b0\u53d6\u6813\u540e 24 h \u5185\u4f7f\u7528\u6297\u8840\u5c0f\u677f\u836f\u7269\u66ff\u7f57\u4f5c\u73ed\u7684\u7597\u6548\u4e0e\u5b89\u5168\u6027\u6709\u5f85\u8fdb\u4e00\u6b65\u7814\u7a76\uff0c\u53ef\u7ed3\u5408\u60a3\u8005\u60c5\u51b5\u4e2a\u4f53\u5316\u8bc4\u4f30\u540e\u51b3\u7b56\uff08\u662f\u5426\u8054\u5408\u9759\u8109\u6eb6\u6813\u6cbb\u7597\u7b49\uff09\uff08\u2162\u7ea7\u63a8\u62d2\uff0cC \u7ea7\u8bc1\u636e\uff09\u3002<\/p>\n


<\/p>\n

\u4e34\u5e8a\u7814\u7a76\u672a\u8bc1\u5b9e\u66ff\u683c\u745e\u6d1b\u6cbb\u7597\u8f7b\u578b\u5352\u4e2d\u4f18\u4e8e\u963f\u53f8\u5339\u6797\uff0c\u4e0d\u63a8\u8350\u66ff\u683c\u745e\u6d1b\u4ee3\u66ff\u963f\u53f8\u5339\u6797\u7528\u4e8e\u8f7b\u578b\u5352\u4e2d\u7684\u6025\u6027\u671f\u6cbb\u7597\u3002\u66ff\u683c\u745e\u6d1b\u7684\u5b89\u5168\u6027\u4e0e\u963f\u53f8\u5339\u6797\u76f8\u4f3c\uff0c\u53ef\u8003\u8651\u4f5c\u4e3a\u6709\u4f7f\u7528\u963f\u53f8\u5339\u6797\u7981\u5fcc\u8bc1\u7684\u66ff\u4ee3\u836f\u7269\uff08\u2162\u7ea7\u63a8\u8350\uff0cB \u7ea7\u8bc1\u636e\uff09\u3002<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

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<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

4. \u9664\u6b64\u4e4b\u5916\uff0c\u4e3b\u8981\u4e3a\u90e8\u5206\u63a8\u8350\u53ca\u8bc1\u636e\u7b49\u7ea7\u53d8\u66f4<\/p>\n


<\/p>\n

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<\/section>\n<\/section>\n<\/section>\n
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\u6025\u6027\u671f\u5e76\u53d1\u75c7\u53ca\u5176\u4ed6\u60c5\u51b5\u7684\u9884\u9632\u4e0e\u5904\u7406<\/strong><\/p>\n<\/section>\n<\/section>\n

\n
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<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\u5305\u62ec 9 \u65b9\u9762\uff1a\u8111\u6c34\u80bf\u4e0e\u9885\u5185\u538b\u589e\u9ad8\u3001\u6897\u6b7b\u540e\u51fa\u8840\u6027\u8f6c\u5316\u3001\u766b\u75eb\u3001\u80ba\u708e\u3001\u6392\u5c3f\u969c\u788d\u4e0e\u5c3f\u8def\u611f\u67d3\u3001\u6df1\u9759\u8109\u8840\u6813\u5f62\u6210\u548c\u80ba\u6813\u585e\u3001\u538b\u75ae\u3001\u8425\u517b\u652f\u6301\u3001\u5352\u4e2d\u540e\u60c5\u611f\u969c\u788d\u3002<\/p>\n


<\/p>\n

\u4e3b\u8981\u66f4\u65b0\u4e3a\uff1a<\/p>\n


<\/p>\n

1. \u8111\u6c34\u80bf\u4e0e\u9885\u5185\u538b\u589e\u9ad8<\/span><\/p>\n


<\/p>\n

\u63a8\u8350\u610f\u89c1\u9664\u90e8\u5206\u8bc1\u636e\u7b49\u7ea7\u6539\u53d8\u5916\uff0c\u65b0\u589e\u5185\u5bb9\uff1a<\/p>\n


<\/p>\n

\u56e0\u4e3a\u7f3a\u4e4f\u6709\u6548\u7684\u8bc1\u636e\u53ca\u5b58\u5728\u589e\u52a0\u611f\u67d3\u6027\u5e76\u53d1\u75c7\u7684\u6f5c\u5728\u98ce\u9669\uff0c\u4e0d\u63a8\u8350\u4f7f\u7528\u7cd6\u76ae\u8d28\u6fc0\u7d20 (\u5e38\u89c4\u6216\u5927\u5242\u91cf) \u6cbb\u7597\u7f3a\u8840\u6027\u8111\u5352\u4e2d\u5f15\u8d77\u7684\u8111\u6c34\u80bf\u548c\u9885\u5185\u538b\u589e\u9ad8 ( \u2160\u7ea7\u63a8\u8350\uff0c A \u7ea7\u8bc1\u636e)\u3002<\/p>\n


<\/p>\n

\u4e0d\u63a8\u8350\u5728\u7f3a\u8840\u6027\u8111\u6c34\u80bf\u53d1\u751f\u65f6\u4f7f\u7528\u5df4\u6bd4\u59a5\u7c7b\u836f\u7269 (\u2161\u7ea7\u63a8\u5b58\uff0c C \u7ea7\u8bc1\u636e) \uff0c\u5e94\u8fdb\u4e00\u6b65\u7814\u7a76\u4f4e\u6e29\u6cbb\u7597\u91cd\u5ea6\u7f3a\u8840\u6027\u8111\u7262\u4e2d\u7684\u6709\u6548\u6027\u548c\u5b89\u5168\u6027 (\u2161 \u7ea7\u63a8\u8350\uff0c B \u7ea7\u8bc1\u636e)<\/p>\n


<\/p>\n

2. \u6df1\u9759\u8109\u8840\u6813\u5f62\u6210\u548c\u80ba\u6813\u585e<\/span><\/p>\n


<\/p>\n

\u63a8\u8350\u610f\u89c1\u589e\u52a0\uff1a\u6297\u51dd\u6cbb\u7597\u672a\u663e\u8457\u6539\u5584\u795e\u7ecf\u529f\u80fd\u53ca\u964d\u4f4e\u75c5\u6b7b\u7387\uff0c\u4e14\u589e\u52a0\u51fa\u8840\u98ce\u9669\uff0c\u4e0d\u63a8\u8350\u5728\u5367\u5e8a\u60a3\u8005\u4e2d\u5e38\u89c4\u4f7f\u7528\u9884\u9632\u6027\u6297\u51dd\u6cbb\u7597 (\u76ae\u4e0b\u6ce8\u5c04\u4f4e\u5206\u5b50\u809d\u7d20\u6216\u666e\u901a\u809d\u7d20) (\u2160\u7ea7\u63a8\u8350\uff0c A \u7ea7\u8bc1\u636e)\u3002<\/p>\n


<\/p>\n

3. \u5c0614 \u7248\u6307\u5357\u4e2d\u541e\u54bd\u56f0\u96be\u76f8\u5173\u5185\u5bb9\u6539\u4e3a\u8425\u517b\u652f\u6301<\/span><\/p>\n


<\/p>\n

\u63a8\u8350\u610f\u89c1\u589e\u52a0\uff1a\u53d1\u75c5\u540e\u6ce8\u610f\u8425\u517b\u652f\u6301\uff0c\u6025\u6027\u671f\u4f34\u541e\u54bd\u56e0\u96be\u8005\uff0c\u5e94\u5728\u53d1\u75c5 7 d \u5185\u63a5\u53d7\u80a0\u5185\u8425\u517b\u652f\u6301\u3002<\/p>\n


<\/p>\n

4. \u65b0\u589e\u4e86\u538b\u75ae\u3001\u5352\u4e2d\u540e\u60c5\u611f\u969c\u788d\u76f8\u5173\u5185\u5bb9<\/span><\/p>\n


<\/p>\n

\n
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<\/section>\n<\/section>\n<\/section>\n
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\u5176\u4ed6<\/strong><\/p>\n<\/section>\n<\/section>\n

\n
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<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n
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<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\u5305\u62ec\uff1a\u65e9\u671f\u5eb7\u590d\u3001\u533b\u60a3\u6c9f\u901a\u3001\u4e8c\u7ea7\u9884\u9632\uff0c\u533b\u60a3\u6c9f\u901a\u4e3a 18 \u7248\u6307\u5357\u65b0\u589e\u5185\u5bb9\u3002<\/p>\n


<\/p>\n

\u65b0\u589e\u63a8\u8350\u610f\u89c1: \u7531\u4e8e\u6025\u6027\u7f3a\u8840\u6027\u8111\u5352\u4e2d\u6cbb\u7597\u65b9\u6848\u5bf9\u60a3\u8005\u53ca\u5bb6\u5c5e\u5b58\u5728\u6f5c\u5728\u7684\u5f71\u54cd\uff0c\u5305\u62ec\u6cbb\u7597\u98ce\u9669\u3001\u8d39\u7528\u3001\u9884\u671f\u7597\u6548\u7b49\uff0c\u5e94\u6ce8\u610f\u4e0e\u60a3\u8005\u53ca\u5bb6\u5c5e\u5145\u5206\u6c9f\u901a\uff0c\u4ea4\u4ee3\u6cbb\u7597\u7684\u83b7\u76ca\u4e0e\u98ce\u9669\uff0c\u7efc\u5408\u8bc4\u4f30\u540e\u9009\u62e9\u4e34\u5e8a\u8bca\u7597\u65b9\u6848\u3002<\/p>\n


<\/p>\n

\u63a8\u8350\u9605\u8bfb\uff1a<\/span><\/strong>
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<\/p>\n

\u4e3b\u4efb\u63d0\u95ee\uff1a\u5b89\u7720\u7c7b\u836f\u7269\u80fd\u5426\u8fde\u7eed\u670d\u7528\uff1f<\/a>
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<\/p>\n

\u4e09\u53c9\u795e\u7ecf\u75db\uff0c\u9664\u4e86\u5361\u9a6c\u897f\u5e73\u8fd8\u80fd\u600e\u4e48\u6cbb\uff1f<\/a>
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<\/p>\n

\u6025\u6027\u8111\u6897 CT \u8bfb\u7247\uff0c\u770b\u5b8c\u8fd9 6 \u4f8b\u5c31\u4f1a\u4e86<\/a><\/p>\n


<\/p>\n

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\u7f16\u8f91 | \u738b\u5f18
<\/span><\/p>\n

\u6295\u7a3f\u53ca\u5408\u4f5c | wanghong@dxy.cn
\u9898\u56fe\u6765\u6e90 | shutterstock<\/span><\/p>\n

\"2018<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


<\/p>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

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