{"id":52254,"date":"2018-09-23T01:00:00","date_gmt":"2018-09-26T02:26:25","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/2018\/09\/26\/%e5%9b%bd%e5%ae%b6%e5%8d%ab%e5%81%a5%e5%a7%94%e5%8f%91%e5%b8%83%ef%bc%9a%e7%a2%b3%e9%9d%92%e9%9c%89%e7%83%af%e7%b1%bb%e6%8a%97%e8%8f%8c%e8%8d%af%e7%89%a9%e4%b8%b4%e5%ba%8a%e5%ba%94%e7%94%a8%e4%b8%93\/"},"modified":"2018-09-26T10:26:26","modified_gmt":"2018-09-26T02:26:26","slug":"%e5%9b%bd%e5%ae%b6%e5%8d%ab%e5%81%a5%e5%a7%94%e5%8f%91%e5%b8%83%ef%bc%9a%e7%a2%b3%e9%9d%92%e9%9c%89%e7%83%af%e7%b1%bb%e6%8a%97%e8%8f%8c%e8%8d%af%e7%89%a9%e4%b8%b4%e5%ba%8a%e5%ba%94%e7%94%a8%e4%b8%93","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/52254\/","title":{"rendered":"\u56fd\u5bb6\u536b\u5065\u59d4\u53d1\u5e03\uff1a\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u4e13\u5bb6\u5171\u8bc6\u548c\u6263\u5206\u7ec6\u5219"},"content":{"rendered":"
\n

\"\u56fd\u5bb6\u536b\u5065\u59d4\u53d1\u5e03\uff1a\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u4e13\u5bb6\u5171\u8bc6\u548c\u6263\u5206\u7ec6\u5219\"<\/p>\n

\"\u56fd\u5bb6\u536b\u5065\u59d4\u53d1\u5e03\uff1a\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u4e13\u5bb6\u5171\u8bc6\u548c\u6263\u5206\u7ec6\u5219\"<\/span><\/p>\n

\u5404\u7701\u3001\u81ea\u6cbb\u533a\u3001\u76f4\u8f96\u5e02\u53ca\u65b0\u7586\u751f\u4ea7\u5efa\u8bbe\u5175\u56e2\u536b\u751f\u8ba1\u751f\u59d4\uff1a<\/span><\/strong><\/p>\n

\u4e3a\u8fdb\u4e00\u6b65\u89c4\u8303\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\uff0c\u6211\u59d4\u7ec4\u7ec7\u4e13\u5bb6\u7814\u7a76\u5236\u5b9a\u4e86\u300a\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u4e13\u5bb6\u5171\u8bc6\u300b\u300a\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u8bc4\u4ef7\u7ec6\u5219\u300b\u3002\u73b0\u5370\u53d1\u4f60\u4eec\uff0c\u8bf7\u8ba4\u771f\u7ec4\u7ec7\u5b66\u4e60\uff0c\u6301\u7eed\u63d0\u9ad8\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u7279\u6b8a\u4f7f\u7528\u7ea7\u6297\u83cc\u836f\u7269\u7684\u4e34\u5e8a\u5e94\u7528\u6c34\u5e73\uff0c\u79d1\u5b66\u5f00\u5c55\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u8bc4\u4ef7\u5de5\u4f5c\u3002<\/span><\/p>\n

\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528<\/span><\/strong><\/p>\n

\u8bc4\u4ef7\u7ec6\u5219<\/span><\/strong><\/p>\n

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

\u7b2c\u4e00\u90e8\u5206\uff1a\u9002\u5e94\u8bc1<\/span><\/strong><\/p>\n<\/td>\n

\n

\u8bc4\u5206\u8bf4\u660e<\/span><\/strong><\/p>\n<\/td>\n

\n

\u5206\u6570<\/span><\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

\u2460\u591a\u91cd\u8010\u836f\u4f46\u5bf9\u8be5\u7c7b\u836f\u7269\u654f\u611f\u7684\u9700\u6c27\u9769\u5170\u9634\u6027\u6746\u83cc\u6240\u81f4\u4e25\u91cd\u611f\u67d3\uff0c\u5305\u62ec\u8840\u6d41\u611f\u67d3\u3001\u80ba\u708e\u3001\u4e0a\u5c3f\u8def\u611f\u67d3\u3001\u4e2d\u67a2\u795e\u7ecf\u7cfb\u7edf\u611f\u67d3\u3001\u8179\u8154\u611f\u67d3\u7b49\uff1b<\/span><\/p>\n

\u2461\u8106\u5f31\u62df\u6746\u83cc\u7b49\u538c\u6c27\u83cc\u4e0e\u9700\u6c27\u83cc\u6df7\u5408\u611f\u67d3\u7684\u91cd\u75c7\u60a3\u8005\uff1b<\/span><\/p>\n

\u2462\u7c92\u7f3a\u4f34\u53d1\u70ed\u7b49\u75c5\u539f\u83cc\u5c1a\u672a\u67e5\u660e\u7684\u514d\u75ab\u7f3a\u9677\u60a3\u8005\u4e2d\u91cd\u75c7\u611f\u67d3\u7684\u7ecf\u9a8c\u6cbb\u7597\uff1b<\/span><\/p>\n

\u2463\u8010\u78b3\u9752\u9709\u70ef\u7c7b\u80a0\u6746\u83cc\u79d1\u7ec6\u83cc(CRE)\u611f\u67d3[1]<\/sup>\u3002<\/span><\/p>\n<\/td>\n

\n

\u4e0d\u7b26\u5408\u2460\u2014\u2463\uff0c\u6263100\u5206\u3002<\/span><\/p>\n

 <\/span><\/p>\n<\/td>\n


<\/td>\n<\/tr>\n
\n

\u7b2c\u4e8c\u90e8\u5206\uff1a\u54c1\u79cd\u9009\u62e9\u8bc4\u4ef7<\/span><\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

\u2460\u4e2d\u67a2\u795e\u7ecf\u7cfb\u7edf\u611f\u67d3\u5e94\u9009\u7528\u7f8e\u7f57\u57f9\u5357\u548c\u5e15\u5c3c\u57f9\u5357\uff0c\u5982\u8003\u8651\u8010\u836f\u9769\u5170\u9634\u6027\u6746\u83cc\u6240\u81f4\u5e94\u9009\u7528\u7f8e\u7f57\u57f9\u5357\uff1b\u4e0d\u5b9c\u9009\u7528\u4e9a\u80fa\u57f9\u5357\u3001\u6bd4\u963f\u57f9\u5357\u548c\u5384\u4ed6\u57f9\u5357\uff1b<\/span><\/p>\n

\u2461CRE\u611f\u67d3\u53ca\u91cd\u75c7\u611f\u67d3\u5e94\u9009\u7528\u63a8\u8350\u5242\u91cf\u8f83\u5927\u7684\u4e9a\u80fa\u57f9\u5357\u548c\u7f8e\u7f57\u57f9\u5357\uff1b<\/span><\/p>\n

\u2462\u94dc\u7eff\u5047\u5355\u80de\u83cc\u3001\u4e0d\u52a8\u6746\u83cc\u5c5e\u7b49\u975e\u53d1\u9175\u83cc\u7684\u611f\u67d3\u4e0d\u5e94\u9009\u7528\u5384\u4ed6\u57f9\u5357\uff1b<\/span><\/p>\n

\u2463\u598a\u5a20\u60a3\u8005\u4e0d\u63a8\u8350\u9009\u7528\u4e9a\u80fa\u57f9\u5357\u3001\u5e15\u5c3c\u57f9\u5357\u548c\u6bd4\u963f\u57f9\u5357\uff1b<\/span><\/p>\n

\u2464\u513f\u7ae5\u4e0d\u63a8\u8350\u9009\u7528\u6bd4\u963f\u57f9\u5357\u3002<\/span><\/p>\n<\/td>\n

\n

\u8fdd\u53cd\u2460\u2014\u2464\u4e2d\u4efb\u610f\u4e00\u6761\uff0c\u6bcf\u6761\u626310\u5206\u3002<\/span><\/p>\n<\/td>\n


<\/td>\n<\/tr>\n
\n

\u7b2c\u4e09\u90e8\u5206\uff1a\u7528\u6cd5\u3001\u7528\u91cf\u53ca\u914d\u4f0d<\/span><\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

\u2460\u7528\u6cd5\u9519\u8bef\uff1b<\/span><\/p>\n

\u2461\u7528\u91cf\u9519\u8bef[2] <\/sup>\uff1b<\/span><\/p>\n

\u2462\u80be\u529f\u80fd\u4e0d\u5168\u60a3\u8005\uff0c\u7ed9\u836f\u65b9\u6848\u6839\u636e\u80be\u529f\u80fd\u8fdb\u884c\u8c03\u6574[2]<\/sup>\uff1b<\/span><\/p>\n

\u2463\u5b9c\u5355\u74f6\u8f93\u6ce8\uff0c\u4e0d\u4e0e\u4efb\u4f55\u836f\u7269\u914d\u4f0d\uff1b<\/span><\/p>\n

\u2464\u5384\u4ed6\u57f9\u5357\u4e0d\u5f97\u4f7f\u7528\u542b\u8461\u8404\u7cd6\u7684\u6db2\u4f53\u4f5c\u4e3a\u6eb6\u5a92\uff1b<\/span><\/p>\n

\u2465\u672c\u7c7b\u836f\u7269\u5747\u5e94\u907f\u514d\u4e0e\u4e19\u620a\u9178\u8054\u5408\u4f7f\u7528\uff1b<\/span><\/p>\n

\u2466\u4e9a\u80fa\u57f9\u5357\u5e94\u907f\u514d\u4e0e\u66f4\u6614\u6d1b\u97e6\u8054\u5408\u4f7f\u7528\u3002<\/span><\/p>\n<\/td>\n

\n

\u8fdd\u53cd\u2460\u2014\u2466\u4e2d\u4efb\u610f\u4e00\u6761\uff0c\u6bcf\u6761\u626310\u5206\u3002<\/span><\/p>\n

 <\/span><\/p>\n<\/td>\n


<\/td>\n<\/tr>\n
\n

\u7b2c\u56db\u90e8\u5206\uff1a\u75c5\u539f\u5b66\u53ca\u7597\u6548\u8bc4\u4f30<\/span><\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

\u2460\u4f7f\u7528\u6297\u83cc\u836f\u7269\u524d\u6709\u76f8\u5e94\u75c5\u539f\u5b66\u9001\u68c0\uff0c\u6307\u7ec6\u83cc\u57f9\u517b\uff08\u542b\u9662\u5916\u6709\u6548\u75c5\u539f\u5b66\u8bc1\u636e\uff09\uff1b<\/span><\/p>\n

\u2461\u6cbb\u7597\u4e2d\u5e94\u6709\u5bf9\u7597\u6548\u8fdb\u884c\u8bc4\u4f30\u7684\u52a8\u6001\u5b9e\u9a8c\u5ba4\u68c0\u67e5\uff0c\u5982\u8840\u5e38\u89c4\u3001\u964d\u9499\u7d20\u539f\u53ca\u7ec6\u83cc\u57f9\u517b\u7b49\u3002<\/span><\/p>\n<\/td>\n

\n

\u4e0d\u7b26\u5408\u2460\u626320\u5206\uff1b<\/span><\/p>\n

\u4e0d\u7b26\u5408\u2461\u626310\u5206<\/span><\/p>\n<\/td>\n


<\/td>\n<\/tr>\n
\n

\u7b2c\u4e94\u90e8\u5206\uff1a\u7279\u6b8a\u4f7f\u7528\u7ea7\u6297\u83cc\u836f\u7269\u5904\u65b9\u4e0e\u4f1a\u8bca<\/span><\/strong>[3]<\/span><\/sup><\/p>\n<\/td>\n<\/tr>\n

\n

\u2460\u5904\u65b9\u7531\u5177\u6709\u9ad8\u7ea7\u804c\u79f0\u7684\u533b\u751f\u5f00\u5177\uff0c\u987b\u6709\u4fe1\u606f\u5316\u652f\u6301\uff1b<\/span><\/p>\n

\u2461\u53ca\u65f6\u8bf7\u9662\u5185\u6216\u9662\u5916\u7279\u6b8a\u4f7f\u7528\u7ea7\u6297\u83cc\u836f\u7269\u4f1a\u8bca\u4e13\u5bb6\u8fdb\u884c\u4f1a\u8bca\uff0c\u5e76\u6709\u4f1a\u8bca\u8bb0\u5f55\uff1b<\/span><\/p>\n

\u2462\u8d8a\u7ea7\u4f7f\u7528\u4ec5\u965024\u5c0f\u65f6\u5185\uff0c\u5e76\u6709\u76f8\u5e94\u75c5\u7a0b\u8bb0\u5f55\uff1b<\/span><\/p>\n

\u2463\u6309\u7167\u201c\u56fd\u536b\u529e\u533b\u53d1\u30142017\u301510\u53f7\u201d\u6587\u4ef6\u89c4\u5b9a\u8fdb\u884c\u4e13\u6863\u767b\u8bb0\u7ba1\u7406\uff1b<\/span><\/p>\n

\u2464\u5bf9\u6388\u4e88\u7279\u6b8a\u4f7f\u7528\u7ea7\u6297\u83cc\u836f\u7269\u5904\u65b9\u6743\u7684\u533b\u5e08\u6709\u5b9a\u671f\u57f9\u8bad\u53ca\u8003\u6838\u5e76\u6709\u8bb0\u5f55\u3002<\/span><\/p>\n<\/td>\n

\n

\u4e0d\u7b26\u5408\u2460\u2014\u2464\uff0c\u6bcf\u6761\u626310\u5206<\/span><\/p>\n<\/td>\n


<\/td>\n<\/tr>\n

<\/td>\n		\n

\u603b\u5f97\u5206\uff1a<\/span><\/strong><\/p>\n<\/td>\n


<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u6ce8\u91ca\uff1a<\/span><\/strong><\/span><\/p>\n

[1]\u9002\u7528\u4e8eMIC\u22648\u03bcg\/ml\u7684CRE\u611f\u67d3\uff08\u5982\u4e0e\u591a\u9ecf\u83cc\u7d20\u8054\u7528\u65f6\u5219CRE\u7684MIC\u53ef\u4e3a16\u201432\u03bcg\/ml\uff09\uff0c\u4f7f\u7528\u65f6\u5e94\u52a0\u5927\u5242\u91cf\u3001\u5ef6\u957f\u8f93\u6ce8\u65f6\u95f4\u5e76\u8054\u5408\u5176\u4ed6\u6297\u83cc\u836f\u7269\u3002<\/span><\/p>\n

[2]\u63a8\u8350\u5242\u91cf\uff08\u89c1\u9644\u5f55\uff09<\/span><\/strong><\/span><\/p>\n

[3]\u90e8\u5206\u5730\u533a\u5384\u4ed6\u57f9\u5357\u5728\u6297\u83cc\u836f\u7269\u5206\u7ea7\u7ba1\u7406\u76ee\u5f55\u4e2d\u5c5e\u4e8e\u9650\u5236\u4f7f\u7528\u7ea7\uff0c\u9047\u6b64\u60c5\u51b5\u65e0\u9700\u8fdb\u884c\u7b2c\u4e94\u90e8\u5206\u8bc4\u4ef7\u3002<\/span><\/p>\n

\u8bc4\u4ef7\u7ec6\u5219\u8bf4\u660e<\/strong><\/p>\n

1.\u672c\u8bc4\u4ef7\u7ec6\u5219\u662f\u4e3a\u8bc4\u4ef7\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u5408\u7406\u6027\u63d0\u4f9b\u53c2\u8003\uff0c\u4f9b\u4e13\u6863\u7ba1\u7406\u548c\u7763\u5bfc\u68c0\u67e5\u65f6\u4f7f\u7528\u3002<\/span><\/p>\n

2.\u6240\u6307\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u5305\u62ec\u4ee5\u4e0b\u54c1\u79cd\uff1a\u4e9a\u80fa\u57f9\u5357\u3001\u7f8e\u7f57\u57f9\u5357\u3001\u5e15\u5c3c\u57f9\u5357\u3001\u6bd4\u963f\u57f9\u5357\u3001\u5384\u4ed6\u57f9\u5357\u3002<\/span><\/p>\n

3.\u8bc4\u4ef7\u8868\u4e2d\u6743\u91cd\u5206\u6570\u9ad8\u7684\u90e8\u5206\u4ec5\u4ee3\u8868\u7ba1\u7406\u4fa7\u91cd\u70b9\uff0c\u5e76\u4e0d\u4ee3\u8868\u5728\u4e34\u5e8a\u5e94\u7528\u4e2d\u6743\u91cd\u5206\u6570\u4f4e\u7684\u90e8\u5206\u4e0d\u91cd\u8981\u3002<\/span><\/p>\n

4.\u8bc4\u4ef7\u8868\u5206\u4e3a5\u90e8\u5206\uff1a\u9002\u5e94\u8bc1\u3001\u54c1\u79cd\u9009\u62e9\u3001\u7ed9\u836f\u65b9\u6848\u3001\u75c5\u539f\u5b66\u53ca\u7597\u6548\u8bc4\u4f30\u3001\u4f1a\u8bca\u6743\u9650\u3002<\/span><\/p>\n

5.\u6bcf\u5f20\u8868\u9488\u5bf91\u4e2a\u75c5\u4f8b\u8fdb\u884c\u8bc4\u4ef7\uff0c\u5982\u75c5\u4f8b\u4e2d\u4f7f\u75281\u4e2a\u4ee5\u4e0a\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u65f6\uff0c\u8fdb\u884c\u603b\u4f53\u8bc4\u4ef7\u3002\u6839\u636e\u4e0d\u5408\u7406\u60c5\u51b5\uff0c\u4e88\u4ee5\u6263\u5206\u3002<\/span><\/p>\n

6.\u8bc4\u4ef7\u8868\u5171100\u5206\uff0c\u5b9e\u884c\u6263\u5206\u5236\uff0c\u6263\u5b8c\u4e3a\u6b62\uff0c\u6700\u4f4e0\u5206\u3002<\/span><\/p>\n

\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528<\/strong><\/span><\/p>\n

\u4e13\u5bb6\u5171\u8bc6<\/strong><\/span><\/p>\n

\u8fd1\u5e74\u6765\uff0c\u6211\u56fd\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u5728\u4e34\u5e8a\u5e94\u7528\u4e2d\u51fa\u73b0\u4e86\u4e00\u4e9b\u4e0d\u5408\u7406\u73b0\u8c61\uff0c\u90e8\u5206\u7ec6\u83cc\u5bf9\u5176\u8010\u836f\u6027\u5448\u660e\u663e\u4e0a\u5347\u8d8b\u52bf\u3002\u7ecf\u76f8\u5173\u9886\u57df\u4e13\u5bb6\u591a\u6b21\u7814\u7a76\u8bba\u8bc1\uff0c\u5bf9\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u7684\u4e34\u5e8a\u5e94\u7528\u8fbe\u6210\u4ee5\u4e0b\u5171\u8bc6\u3002<\/span><\/p>\n

\u4e00\u3001\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u5728\u6cbb\u7597\u611f\u67d3\u6027\u75be\u75c5\u4e2d\u53d1\u6325\u7740\u91cd\u8981\u4f5c\u7528<\/strong><\/span><\/p>\n

\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u7684\u6297\u83cc\u8c31\u5e7f\u3001\u6297\u83cc\u6d3b\u6027\u5f3a\uff0c\u5bf9\u9700\u6c27\u3001\u538c\u6c27\u83cc\u5747\u5177\u6709\u6297\u83cc\u4f5c\u7528\uff0c\u7279\u522b\u662f\u5bf9\u591a\u91cd\u8010\u836f\u9769\u5170\u9634\u6027\u6746\u83cc\uff0c\u5982\u4ea7\u8d85\u5e7f\u8c31\u03b2\u2014\u5185\u9170\u80fa\u9176\uff08ESBL\uff09\u80a0\u6746\u83cc\u79d1\u7ec6\u83cc\u5177\u5f88\u5f3a\u6297\u83cc\u6d3b\u6027\u3002<\/strong>\u8be5\u7c7b\u836f\u7269\u7684\u4e34\u5e8a\u9002\u5e94\u8bc1\u5e7f\uff0c\u5728\u591a\u91cd\u8010\u836f\u83cc\u611f\u67d3\u3001\u9700\u6c27\u83cc\u4e0e\u538c\u6c27\u83cc\u6df7\u5408\u611f\u67d3\u3001\u91cd\u75c7\u611f\u67d3\u53ca\u514d\u75ab\u7f3a\u9677\u60a3\u8005\u611f\u67d3\u7b49\u7684\u6297\u83cc\u6cbb\u7597\u4e2d\u53d1\u6325\u7740\u91cd\u8981\u4f5c\u7528\u3002<\/span><\/p>\n

\u76ee\u524d\u6211\u56fd\u4e0a\u5e02\u7684\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u67095\u4e2a\u54c1\u79cd\uff1a\u4e9a\u80fa\u57f9\u5357\u3001\u7f8e\u7f57\u57f9\u5357\u3001\u5e15\u5c3c\u57f9\u5357\u3001\u6bd4\u963f\u57f9\u5357\u548c\u5384\u4ed6\u57f9\u5357\u3002\u5384\u4ed6\u57f9\u5357\u6297\u83cc\u8c31\u76f8\u5bf9\u8f83\u7a84\uff0c\u5bf9\u94dc\u7eff\u5047\u5355\u80de\u83cc\u3001\u4e0d\u52a8\u6746\u83cc\u7b49\u975e\u53d1\u9175\u7cd6\u7ec6\u83cc\u6297\u83cc\u4f5c\u7528\u5dee\uff1b\u5176\u4ed64\u4e2a\u54c1\u79cd\u7684\u836f\u6548\u5b66\u7279\u6027\u76f8\u4eff\u3002<\/strong>\u4e9a\u80fa\u57f9\u5357\u3001\u5e15\u5c3c\u57f9\u5357\u5206\u522b\u4e0e\u897f\u53f8\u4ed6\u4e01\u53ca\u500d\u4ed6\u7c73\u9686\u7ec4\u6210\u5408\u5242\uff0c\u540e\u4e8c\u8005\u5206\u522b\u4e3a\u80be\u8131\u6c22\u80bd\u9176\u6291\u5236\u5242\u53ca\u8fd1\u7aef\u80be\u5c0f\u7ba1\u6709\u673a\u9634\u79bb\u5b50\u8f93\u9001\u7cfb\u7edf\u6291\u5236\u5242\uff0c\u5e76\u4e0d\u8d77\u5230\u6297\u83cc\u4f5c\u7528\u3002<\/span><\/p>\n

\u4e8c\u3001\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u5b58\u5728\u7684\u95ee\u9898<\/span><\/strong><\/span><\/p>\n

1\u3001\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u4f7f\u7528\u91cf\u9010\u5e74\u4e0a\u5347\u3002<\/span><\/strong><\/span><\/p>\n

\u5168\u56fd\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u76d1\u6d4b\u7f51\u6570\u636e\u663e\u793a\uff0c\u81ea2011\u5e74\u6211\u56fd\u5f00\u5c55\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u4e13\u9879\u6574\u6cbb\u4ee5\u6765\uff0c\u6211\u56fd\u4f4f\u9662\u60a3\u8005\u6297\u83cc\u836f\u7269\u4f7f\u7528\u7387\u75312011\u5e74\u768459.4%\u964d\u81f32017\u5e74\u768436.8%\uff0c\u6297\u83cc\u836f\u7269\u4f7f\u7528\u5f3a\u5ea6\u540c\u671f\u753185.1 DDDs\/100\u4eba\u00b7\u5929\u964d\u81f349.7DDDs\/100\u4eba\u00b7\u5929\u3002\u591a\u6570\u7c7b\u522b\u6297\u83cc\u836f\u7269\u5305\u62ec\u7b2c\u4e09\u4ee3\u5934\u5b62\u83cc\u7d20\u3001\u55b9\u8bfa\u916e\u7c7b\u7684\u4f7f\u7528\u5f3a\u5ea6\u5747\u5448\u4e0b\u964d\u8d8b\u52bf\uff0c\u800c\u540c\u671f\u8be5\u76d1\u6d4b\u7f51\u4e2d\u5fc3\u6210\u5458\u5355\u4f4d\u7684\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4f7f\u7528\u5f3a\u5ea6\u75311.83 DDDs\/100\u4eba\u00b7\u5929\u4e0a\u5347\u81f33.28DDDs\/100\u4eba\u00b7\u5929\u3002\u5728\u90e8\u5206\u5730\u533a\u5b58\u5728\u4e2a\u522b\u54c1\u79cd\u5e94\u7528\u8fc7\u591a\u6216\u4e0a\u5347\u8fc7\u5feb\u7684\u73b0\u8c61\u3002<\/span><\/p>\n

\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4f7f\u7528\u91cf\u589e\u52a0\u7684\u4e3b\u8981\u539f\u56e0\uff1a1.\u591a\u91cd\u8010\u836f\u83cc\u611f\u67d3\u60a3\u8005\u589e\u591a\u3002\u8fd1\u5e74\u6765\uff0c\u5168\u7403\u8303\u56f4\u5185\u4e34\u5e8a\u5206\u79bb\u7ec6\u83cc\u5bf9\u6297\u83cc\u836f\u7269\u7684\u8010\u836f\u6027\u603b\u4f53\u5448\u4e0a\u5347\u8d8b\u52bf\uff0c\u56e0\u800c\u9009\u62e9\u8be5\u7c7b\u836f\u7269\u7684\u51e0\u7387\u589e\u52a0\u30022.\u514d\u75ab\u7f3a\u9677\/\u514d\u75ab\u6291\u5236\u6cbb\u7597\u60a3\u8005\u589e\u591a\u30023.\u90e8\u5206\u533b\u52a1\u4eba\u5458\u4e34\u5e8a\u5e94\u7528\u4e0d\u5408\u7406\u3002<\/span><\/p>\n

2\u3001\u9769\u5170\u9634\u6027\u6746\u83cc\u5bf9\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u8010\u836f\u5448\u4e0a\u5347\u8d8b\u52bf\u3002<\/span><\/strong><\/span><\/p>\n

\u5168\u56fd\u7ec6\u83cc\u8010\u836f\u76d1\u6d4b\u7f51\u663e\u793a\uff0c2017\u5e74\u5168\u56fd\u78b3\u9752\u9709\u70ef\u7c7b\u8010\u836f\u80ba\u708e\u514b\u96f7\u4f2f\u83cc\u7684\u68c0\u51fa\u7387\u5e73\u5747\u4e3a9.0%\uff0c\u8f832014\u5e74\u4e0a\u5347\u4e862.6\u4e2a\u767e\u5206\u70b9\uff0c\u4e2a\u522b\u7701\u4efd\u68c0\u51fa\u7387\u6700\u9ad8\u8fbe\u523026.9%\u3002\u8001\u5e74\u3001\u513f\u7ae5\u548c\u6210\u4eba\u60a3\u8005\u78b3\u9752\u9709\u70ef\u7c7b\u8010\u836f\u80ba\u708e\u514b\u96f7\u4f2f\u83cc\u7684\u68c0\u51fa\u7387\u4f9d\u6b21\u4e3a10.2%\u30019.1%\u548c7.8%\u3002\u78b3\u9752\u9709\u70ef\u8010\u836f\u9c8d\u66fc\u4e0d\u52a8\u6746\u83cc\uff08CRAB\uff09\u7684\u68c0\u51fa\u7387\u6301\u7eed\u8f83\u9ad8\uff0c2017\u5e74\u5168\u56fd\u5e73\u5747\u68c0\u51fa\u7387\u4e3a56.1%\uff0c\u4e2a\u522b\u7701\u4efd\u68c0\u51fa\u7387\u6700\u9ad8\u8fbe\u523080.4%\u3002<\/span><\/p>\n

\u4e09\u3001\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u7684\u4e13\u5bb6\u5efa\u8bae<\/span><\/strong><\/span><\/p>\n

1\u3001\u4e25\u683c\u638c\u63e1\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u9002\u5e94\u8bc1\u3002<\/strong><\/span><\/p>\n

\u300a\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u6307\u5bfc\u539f\u5219\uff082015\u5e74\u7248\uff09\u300b\u660e\u786e\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u9002\u5e94\u8bc1\uff1a<\/strong>\u591a\u91cd\u8010\u836f\u4f46\u5bf9\u672c\u7c7b\u836f\u7269\u654f\u611f\u7684\u9700\u6c27\u9769\u5170\u9634\u6027\u6746\u83cc\u6240\u81f4\u4e25\u91cd\u611f\u67d3\uff1b\u8106\u5f31\u62df\u6746\u83cc\u7b49\u538c\u6c27\u83cc\u4e0e\u9700\u6c27\u83cc\u6df7\u5408\u611f\u67d3\u7684\u91cd\u75c7\u60a3\u8005\uff1b\u75c5\u539f\u83cc\u5c1a\u672a\u67e5\u660e\u7684\u4e25\u91cd\u514d\u75ab\u7f3a\u9677\u60a3\u8005\u611f\u67d3\u7684\u7ecf\u9a8c\u6cbb\u7597\u3002\u5bf9\u7167\u8fd93\u4e2a\u9002\u5e94\u8bc1\uff0c\u4e34\u5e8a\u5408\u7406\u5e94\u7528\u7684\u91cd\u70b9\u6709\uff1a<\/span><\/p>\n

    \n
  • \n

    \u201c\u91cd\u75c7\u611f\u67d3\u201d\u662f\u6307\u56e0\u611f\u67d3\u5bfc\u81f4\u60a3\u8005\u51fa\u73b0\u4f4e\u8840\u538b\u3001\u4f4e\u6c27\u8840\u75c7\u3001\u810f\u5668\u529f\u80fd\u635f\u5bb3\u7b49\u4e34\u5e8a\u8868\u73b0\u7684\u60a3\u8005\u3002<\/span><\/strong>\u800c\u5bf9\u4e8e\u201c\u91cd\u75c7\u60a3\u8005\u201d\uff0c\u5219\u9700\u8981\u8ba4\u771f\u9274\u522b\u662f\u5426\u5b58\u5728\u611f\u67d3\u540e\uff0c\u518d\u51b3\u5b9a\u662f\u5426\u9700\u8981\u4f7f\u7528\u6297\u83cc\u836f\u7269\uff0c\u7279\u522b\u662f\u78b3\u9752\u9709\u70ef\u7c7b\u836f\u7269\u3002<\/span><\/p>\n<\/li>\n

  • \n

    \u591a\u91cd\u8010\u836f\u83cc\u611f\u67d3\u7684\u91cd\u75c7\u60a3\u8005\u624d\u6709\u4f7f\u7528\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u7684\u6307\u5f81<\/span><\/strong>\u3002\u5e94\u5f53\u63d0\u5021\u8010\u836f\u83cc\u611f\u67d3\u6297\u83cc\u6cbb\u7597\u7684\u591a\u6837\u5316\uff0c\u5bf9\u4e8e\u4e00\u4e9b\u8f7b\u4e2d\u5ea6\u7684\u591a\u91cd\u8010\u836f\u83cc\u611f\u67d3\uff0c\u5b9c\u9009\u62e9\u5176\u4ed6\u7c7b\u522b\u7684\u6297\u83cc\u836f\u7269\uff0c\u5982\u4ea7ESBL\u7ec6\u83cc\u6240\u81f4\u7684\u8f7b\u4e2d\u5ea6\u611f\u67d3\u4e5f\u53ef\u6839\u636e\u836f\u654f\u7ed3\u679c\u9009\u7528\u5176\u4ed6\u7c7b\u522b\u6297\u83cc\u836f\u7269\u3002<\/span><\/p>\n<\/li>\n

  • \n

    \u6709\u7528\u836f\u9002\u5e94\u8bc1\u7684\u60a3\u8005\u5e94\u5f53\u5f3a\u8c03\u75c5\u539f\u5b66\u8bca\u65ad\uff0c\u53ca\u65f6\u964d\u9636\u68af\u6cbb\u7597\u3002\u5728\u5e94\u7528\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u524d\uff0c\u5fc5\u987b\u9001\u68c0\u6807\u672c\u505a\u75c5\u539f\u5b66\u68c0\u67e5<\/strong>\uff0c\u660e\u786e\u75c5\u539f\u53ca\u836f\u654f\u7ed3\u679c\u65f6\uff0c\u5e94\u5f53\u53ca\u65f6\u8fdb\u884c\u75c5\u60c5\u8bc4\u4f30\uff0c\u5408\u7406\u91c7\u7528\u964d\u9636\u68af\u6cbb\u7597\u3002<\/span><\/p>\n<\/li>\n

  • \n

    \u6309\u75c5\u539f\u83cc\u7c7b\u522b\u53ca\u6297\u83cc\u836f\u7269\u836f\u4ee3\u52a8\u529b\u5b66\/\u836f\u6548\u5b66\u7279\u6027\u9009\u62e9\u5408\u9002\u7684\u78b3\u9752\u9709\u70ef\u7c7b\u54c1\u79cd\u3002\u2460\u4e9a\u80fa\u57f9\u5357\u3001\u7f8e\u7f57\u57f9\u5357\u3001\u5e15\u5c3c\u57f9\u5357\u53ca\u6bd4\u963f\u57f9\u5357\u7684\u4f53\u5916\u6297\u83cc\u6d3b\u6027\u76f8\u4eff\uff08\u6700\u4f4e\u6291\u83cc\u6d53\u5ea6\u63a5\u8fd1\uff09\uff0c\u5bf9\u4e8e\u67d0\u4e9b\u91cd\u75c7\u611f\u67d3\u53ca\u5e7f\u6cdb\u8010\u836f\u83cc\u611f\u67d3\uff08\u5982CRE\u611f\u67d3\uff09\u5219\u5e94\u4fdd\u8bc1\u8db3\u591f\u7684\u7528\u91cf\uff0c\u9009\u62e9\u8bf4\u660e\u4e66\u6216\u6709\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\u7684\u6743\u5a01\u6307\u5357\u63a8\u8350\u7ed9\u836f\u5242\u91cf\u8f83\u5927\u7684\u54c1\u79cd\u3002\u2461\u5384\u4ed6\u57f9\u5357\u53ef\u7528\u4e8e\u4e2d\u3001\u91cd\u5ea6\u7ec6\u83cc\u6027\u611f\u67d3\uff0c\u5176\u534a\u8870\u671f\u957f\uff0c\u53ef\u4ee5\u4e00\u5929\u4e00\u6b21\u7ed9\u836f\u3002<\/span><\/p>\n<\/li>\n

  • \n

    \u9664\u5384\u4ed6\u57f9\u5357\u53ef\u7528\u4e8e\u76f4\u7ed3\u80a0\u62e9\u671f\u624b\u672f\u7684\u9884\u9632\u7528\u836f\u5916\uff0c\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u65e0\u5176\u4ed6\u9884\u9632\u7528\u836f\u6307\u5f81\uff0c\u4e0d\u53ef\u4f5c\u4e3a\u9884\u9632\u7528\u836f<\/span><\/strong>\u3002<\/span><\/p>\n<\/li>\n

  • \n

    \u591a\u91cd\u8010\u836f\u5b9a\u690d\u83cc\u6216\u643a\u5e26\u72b6\u6001\uff0c\u4e0d\u5b9c\u4f7f\u7528\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u6cbb\u7597\u3002<\/span><\/p>\n<\/li>\n<\/ul>\n

    2\u3001\u89c4\u8303\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u5728\u513f\u7ae5\u60a3\u8005\u4e2d\u7684\u5e94\u7528\u3002<\/span><\/strong><\/span><\/p>\n

    \u8fd1\u5e74\u6765\uff0c\u513f\u7ae5\u7fa4\u4f53\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u7684\u4f7f\u7528\u91cf\u53ca\u8010\u836f\u6027\u660e\u663e\u4e0a\u5347\uff0c\u4e3b\u8981\u539f\u56e0\uff1a1.\u611f\u67d3\u60a3\u513f\u53ef\u4ee5\u9009\u7528\u7684\u6297\u83cc\u836f\u7269\u8f83\u6210\u4eba\u5c11\uff0c\u5305\u62ec\u78b3\u9752\u9709\u70ef\u7c7b\u5728\u5185\u7684\u03b2\u2014\u5185\u9170\u80fa\u7c7b\u6297\u83cc\u836f\u7269\u4e3a\u4e3b\u8981\u9009\u62e9\u30022.\u8d8a\u6765\u8d8a\u591a\u7684\u533b\u7597\u673a\u6784\u5efa\u7acb\u4e86\u513f\u79d1\u91cd\u75c7\u76d1\u62a4\u5ba4\uff0c\u6536\u6cbb\u4e86\u66f4\u591a\u91cd\u75c7\u611f\u67d3\u60a3\u513f\u3002<\/span><\/p>\n

    \u5927\u4e8e1\u6708\u9f84\u513f\u7ae5\u7684\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u9002\u5e94\u8bc1\u4e0e\u6210\u4eba\u76f8\u4eff\uff0c\u5728\u65b0\u751f\u513f\u53ca\u80be\u529f\u80fd\u4e0d\u5168\u7684\u513f\u7ae5\u7528\u836f\u5b89\u5168\u6027\u5c1a\u672a\u786e\u5b9a\u3002\u4e3a\u51cf\u8f7b\u7ec6\u83cc\u8010\u836f\u9009\u62e9\u6027\u538b\u529b\uff0c\u5e94\u5f53\u4e25\u683c\u63a7\u5236\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u5728\u611f\u67d3\u60a3\u513f\u4e2d\u7684\u5e94\u7528\u3002<\/span><\/p>\n

      \n
    • \n

      \u4e25\u683c\u638c\u63e1\u7528\u836f\u6307\u5f81\u3002\u4e34\u5e8a\u79d1\u5ba4\u5e94\u5f53\u4e25\u683c\u638c\u63e1\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u6307\u5f81\uff0c\u6309\u7167\u89c4\u5b9a\u4f1a\u8bca\uff0c\u7531\u5177\u6709\u76f8\u5e94\u5904\u65b9\u6743\u7684\u533b\u5e08\u5f00\u5177\u5904\u65b9\uff0c\u5e76\u7ecf\u836f\u5e08\u5ba1\u6838\u540e\u4f7f\u7528\u3002<\/span><\/p>\n<\/li>\n

    • \n

      \u5236\u5b9a\u5408\u7406\u7684\u7ed9\u836f\u65b9\u6848\u3002\u60a3\u513f\u53d1\u751f\u611f\u67d3\u65f6\uff0c\u53ca\u65f6\u6b63\u786e\u7559\u53d6\u5fae\u751f\u7269\u6807\u672c\uff0c\u4f9d\u636e\u6807\u672c\u57f9\u517b\u53ca\u836f\u654f\u8bd5\u9a8c\u7ed3\u679c\uff0c\u5408\u7406\u9009\u62e9\u76f8\u5e94\u7684\u7ed9\u836f\u65b9\u6848\u3002\u5f3a\u8c03\u901a\u8fc7\u75c5\u539f\u5b66\u8bca\u65ad\u5c3d\u65e9\u5b9e\u65bd\u76ee\u6807\u6027\u6cbb\u7597\u3002<\/span><\/p>\n<\/li>\n<\/ul>\n

      3\u3001\u89c4\u8303\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u5728\u7279\u6b8a\u4eba\u7fa4\u4e2d\u7684\u5e94\u7528\u3002<\/span><\/strong><\/span><\/p>\n

      \u8be5\u7c7b\u836f\u7269\u4e3b\u8981\u901a\u8fc7\u80be\u810f\u6392\u6cc4\uff0c\u80be\u529f\u80fd\u4e0d\u5168\u60a3\u8005\u6216\u5b58\u5728\u80be\u529f\u80fd\u4e0b\u964d\u7684\u8001\u5e74\u4eba\u9700\u8981\u51cf\u91cf\u4f7f\u7528\uff1b\u809d\u529f\u80fd\u4e0d\u5168\u60a3\u8005\u4f7f\u7528\u65f6\u4e00\u822c\u65e0\u9700\u5242\u91cf\u8c03\u6574\u3002<\/span>\u7f8e\u7f57\u57f9\u5357\u4e0e\u5384\u4ed6\u57f9\u5357\u4e3a\u598a\u5a20B\u7c7b\u836f\u7269\uff0c\u6709\u660e\u786e\u6307\u5f81\u65f6\u53ef\u7528\u4e8e\u5b55\u5987\uff0c\u5176\u4ed6\u54c1\u79cd\u4e3aC\u7c7b\u3002<\/span><\/span><\/p>\n

      \u56db\u3001\u52a0\u5927\u8010\u836f\u83cc\u533b\u9662\u611f\u67d3\u9632\u63a7\u529b\u5ea6\uff0c\u843d\u5b9e\u4e13\u6863\u7ba1\u7406\u8981\u6c42<\/span><\/strong><\/span><\/p>\n

      1\u3001\u52a0\u5927\u533b\u9662\u611f\u67d3\u9632\u63a7\u529b\u5ea6\u3002<\/span><\/strong><\/span><\/p>\n

      \u624b\u536b\u751f\u7b49\u533b\u9662\u611f\u67d3\u57fa\u7840\u9632\u63a7\u63aa\u65bd\u9002\u7528\u4e8e\u6240\u6709\u8010\u836f\u83cc\u7684\u9632\u63a7\u3002\u5e94\u5f53\u91cd\u89c6CRE\u611f\u67d3\u9ad8\u5371\u4eba\u7fa4\u7684\u4e3b\u52a8\u7b5b\u67e5\uff0c\u9010\u6b65\u5efa\u7acb\u533b\u9662CRE\u7b49\u8010\u836f\u83cc\u7684\u7b5b\u67e5\u5236\u5ea6\uff0c\u5bf9\u611f\u67d3\u53ca\u643a\u5e26\u8005\u9700\u8fdb\u884c\u9694\u79bb\u3002\u5bf9\u4e8eCRAB\u611f\u67d3\uff0c\u5219\u901a\u8fc7\u52a0\u5f3a\u73af\u5883\u6d88\u6bd2\u3001\u963b\u65ad\u63a5\u89e6\u4f20\u64ad\u6765\u52a0\u5f3a\u533b\u9662\u611f\u67d3\u9632\u63a7\u63aa\u65bd\u3002\u901a\u8fc7\u5f3a\u5316\u533b\u9662\u611f\u67d3\u9632\u63a7\uff0c\u904f\u5236\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u8010\u836f\u83cc\u682a\u7684\u64ad\u6563\u3002<\/span><\/p>\n

      2\u3001\u843d\u5b9e\u4e13\u6863\u7ba1\u7406\u8981\u6c42\u3002<\/span><\/strong><\/span><\/p>\n

      \u4f5c\u4e3a\u7279\u6b8a\u4f7f\u7528\u7ea7\u6297\u83cc\u836f\u7269\uff0c\u5e94\u5f53\u6309\u7167\u300a\u5173\u4e8e\u8fdb\u4e00\u6b65\u52a0\u5f3a\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u7ba1\u7406\u904f\u5236\u7ec6\u83cc\u8010\u836f\u7684\u901a\u77e5\u300b\uff08\u56fd\u536b\u529e\u533b\u53d1\u30142017\u301510\u53f7\uff09\u8981\u6c42\uff0c\u52a0\u5f3a\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u7684\u4e13\u6863\u7ba1\u7406\u3002<\/span><\/p>\n

      \u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u63a8\u8350\u7ed9\u836f\u5242\u91cf<\/span><\/strong>
      <\/p>\n

      1.<\/strong>\u4e9a\u80fa\u57f9\u5357<\/strong>\uff08\u5242\u91cf\u4ee5\u4e9a\u80fa\u57f9\u5357\u8ba1\u7b97\uff09<\/span><\/p>\n

      \u4e00\u822c\u4e3a\u9759\u8109\u6ef4\u6ce8\u7ed9\u836f\uff0c\u4ea6\u53ef\u808c\u5185\u6ce8\u5c04\u7ed9\u836f\uff0c\u4e25\u7981\u9759\u8109\u6ce8\u5c04\u7ed9\u836f\u3002<\/span><\/p>\n

      \uff081\uff09\u9759\u8109\u7ed9\u836f<\/strong><\/span><\/p>\n

      \u2460\u6210\u4eba\uff1a\u80be\u529f\u80fd\u6b63\u5e38\u60a3\u8005\u6839\u636e\u611f\u67d3\u4e25\u91cd\u7a0b\u5ea6\u3001\u7ec6\u83cc\u654f\u611f\u6027\u4ee5\u53ca\u60a3\u8005\u4f53\u91cd\u800c\u5b9a\uff0c\u6bcf\u65e52\uff5e3g\u6bcf6\uff5e8\u5c0f\u65f6\u7ed9\u836f1\u6b21\uff1b\u6bcf\u65e5\u6700\u5927\u5242\u91cf\u4e0d\u5f97\u8d85\u8fc750mg\/kg\u62164g\uff0c\u4e14\u65e0\u8d44\u6599\u663e\u793a\u5242\u91cf\u8d85\u8fc74g\u53ef\u63d0\u9ad8\u7597\u6548\u3002<\/span><\/p>\n

      \u2461\u80be\u529f\u80fd\u51cf\u9000\u6210\u4eba\uff1a\u80be\u529f\u80fd\u51cf\u9000\u60a3\u8005\u9700\u8c03\u6574\u5242\u91cf\uff0c\u5185\u751f\u808c\u9150\u6e05\u9664\u738750\uff5e90ml\/min\u8005\u6bcf\u6b210.25\uff5e0.5g\uff0c\u6bcf6\uff5e8\u5c0f\u65f6\u7ed9\u836f1\u6b21\uff1b\u5185\u751f\u808c\u9150\u6e05\u9664\u738710\uff5e50ml\/min\u8005\u6bcf\u6b210.25\uff0c\u6bcf6\uff5e12\u5c0f\u65f6\u7ed9\u836f1\u6b21\uff1b\u5185\u751f\u808c\u9150\u6e05\u9664\u73876\uff5e9ml\/min\u8005\u6bcf\u6b210.125\uff5e0.25g\uff0c\u6bcf12\u5c0f\u65f6\u7ed9\u836f1\u6b21\u3002\u8840\u6db2\u900f\u6790\u60a3\u8005\u5e94\u5728\u900f\u6790\u540e\u7ed9\u836f\uff0c\u8fde\u7eed\u6027\u975e\u5367\u5e8a\u8179\u819c\u900f\u6790\uff08CAPD\uff09\u60a3\u8005\u5242\u91cf\u4e0e\u5185\u751f\u808c\u9150\u6e05\u9664\u7387< 10ml\/min\u8005\u540c\uff0c\u8fde\u7eed\u80be\u810f\u66ff\u4ee3\u7597\u6cd5\uff08CRRT\uff09\u6bcf\u6b210.5\uff5e1g\uff0c\u6bcf\u65e52\u6b21\u3002\u5185\u751f\u808c\u9150\u6e05\u9664\u7387< 20ml\/min\u8005\u8d85\u8fc7\u63a8\u8350\u5242\u91cf\u65f6\u766b\u75eb\u53d1\u751f\u7387\u4e0a\u5347\u3002<\/span><\/p>\n

      \u2462\u65b0\u751f\u513f\uff1a<7\u5929\u65b0\u751f\u513f\uff0c\u4e00\u6b2120mg\/kg\uff0c\u6bcf12\u5c0f\u65f61\u6b21\uff1b7-21\u5929\u65b0\u751f\u513f\uff0c\u4e00\u6b2120mg\/kg\uff0c\u6bcf8\u5c0f\u65f61\u6b21\uff1b21-28\u5929\u65b0\u751f\u513f\uff0c\u4e00\u6b2120mg\/kg\uff0c\u6bcf6\u5c0f\u65f61\u6b21\u3002<\/span><\/p>\n

      \u2463\u513f\u7ae5\uff1a1-3\u4e2a\u6708\u5a74\u513f\uff0c\u4e00\u6b2120mg\/kg\uff0c\u6bcf6\u5c0f\u65f61\u6b21\uff1b3\u4e2a\u6708-18\u5c81\u6216\u8005\u4f53\u91cd<40kg\u513f\u7ae5\uff0c\u4e00\u6b2115mg\/kg\uff08\u6700\u5927\u5242\u91cf500mg\uff09\uff0c\u6bcf6\u5c0f\u65f61\u6b21\uff1b\u4f53\u91cd\u226540kg\u513f\u7ae5\uff0c\u4e00\u6b21250-500mg\uff0c\u6bcf6\u5c0f\u65f61\u6b21\u3002<\/span><\/p>\n

      \u2464\u5bf9\u80be\u529f\u80fd\u635f\u5bb3\u7684\u513f\u7ae5\uff08\u8840\u6e05\u808c\u9150>2mg\/dl\uff09\uff0c\u5c1a\u65e0\u8db3\u591f\u7684\u4e34\u5e8a\u8d44\u6599\u4f5c\u4e3a\u63a8\u8350\u4f9d\u636e\u3002<\/span><\/p>\n

      \uff082\uff09\u808c\u5185\u6ce8\u5c04<\/strong><\/span><\/p>\n

      \u5242\u91cf\u4e3a\u6bcf\u6b210.5\uff5e0.75g\uff0c\u6bcf12\u5c0f\u65f6\u7ed9\u836f1\u6b21\u3002\u672c\u54c10.5g\u548c0.75g\u5e94\u5206\u522b\u6eb6\u89e3\u4e8e1%\u5229\u591a\u5361\u56e0\u6eb6\u6db22ml\u548c3ml\u4e2d\u4f9b\u808c\u8089\u6ce8\u5c04\u3002 <\/span><\/p>\n

      2.<\/strong>\u7f8e\u7f57\u57f9\u5357<\/strong><\/span><\/p>\n

      \u2460\u6210\u4eba\uff1a\u80be\u529f\u80fd\u6b63\u5e38\u60a3\u8005\u6839\u636e\u611f\u67d3\u4e25\u91cd\u7a0b\u5ea6\u3001\u7ec6\u83cc\u654f\u611f\u6027\u4ee5\u53ca\u60a3\u8005\u4f53\u91cd\u7b49\u800c\u5b9a\uff0c\u5e38\u7528\u91cf\u4e3a\u6bcf\u6b210.5\uff5e1g\uff0c\u6bcf8\uff5e12\u5c0f\u65f6\u7ed9\u836f1\u6b21\uff1b\u7ec6\u83cc\u6027\u8111\u819c\u708e\u60a3\u8005\u53ef\u589e\u81f3\u6bcf\u6b212g\uff0c\u6bcf8\u5c0f\u65f6\u7ed9\u836f1\u6b21\uff1b\u6bcf\u65e5\u6700\u5927\u5242\u91cf\u4e0d\u5f97\u8d85\u8fc76g\u3002<\/span><\/p>\n

      \u2461\u80be\u529f\u80fd\u51cf\u9000\u6210\u4eba\uff1a\u80be\u529f\u80fd\u51cf\u9000\u60a3\u8005\u9700\u8c03\u6574\u5242\u91cf\uff0c\u5185\u751f\u808c\u9150\u6e05\u9664\u7387>50\uff5e90ml\/min\u8005\u6bcf\u6b211g\uff0c\u6bcf8\u5c0f\u65f6\u7ed9\u836f1\u6b21\uff1b\u5185\u751f\u808c\u9150\u6e05\u9664\u738726\uff5e50ml\/min\u8005\u6bcf\u6b211g\uff0c\u6bcf12\u5c0f\u65f6\u7ed9\u836f1\u6b21\uff1b\u5185\u751f\u808c\u9150\u6e05\u9664\u738710\uff5e25ml\/min\u8005\u6bcf\u6b210.5g\uff0c\u6bcf12\u5c0f\u65f6\u7ed9\u836f1\u6b21\uff1b\u5185\u751f\u808c\u9150\u6e05\u9664\u7387<10ml\/min\u8005\u6bcf\u6b210.5g\uff0c\u6bcf24\u5c0f\u65f6\u7ed9\u836f1\u6b21\u3002\u8840\u6db2\u900f\u6790\u60a3\u8005\u5242\u91cf\u4e3a\u6bcf\u6b210.5g\uff0c\u6bcf24\u5c0f\u65f6\u7ed9\u836f1\u6b21\uff0c\u6bcf\u6b21\u900f\u6790\u7ed3\u675f\u540e\u5e94\u8865\u51450.5g\u3002CAPD\u60a3\u8005\u5242\u91cf\u4e0e\u5185\u751f\u808c\u9150\u6e05\u9664\u7387<10ml\/min\u8005\u540c\u3002<\/span><\/p>\n

      \u2462\u8001\u5e74\u4eba\u5185\u751f\u808c\u9150\u6e05\u9664\u7387>50ml\/min\u8005\u4e0d\u9700\u8c03\u6574\u5242\u91cf\uff0c<50ml\/min\u8005\u6309\u80be\u529f\u80fd\u6765\u8c03\u6574\u5242\u91cf\u3002<\/span><\/p>\n

      \u2463\u65b0\u751f\u513f\uff1a<7\u5929\u65b0\u751f\u513f\uff0c\u4e00\u6b2120mg\/kg\uff0c\u6bcf12\u5c0f\u65f61\u6b21\uff1b7-28\u5929\u65b0\u751f\u513f\uff0c\u4e00\u6b2120mg\/kg\uff0c\u6bcf8\u5c0f\u65f61\u6b21\u3002\u6cbb\u7597\u8111\u819c\u708e\u65f6\uff1a<7\u5929\u65b0\u751f\u513f\uff0c\u4e00\u6b2140mg\/kg\uff0c\u6bcf12\u5c0f\u65f61\u6b21\uff1b7-28\u5929\u65b0\u751f\u513f\uff0c\u4e00\u6b2140mg\/kg\uff0c\u6bcf8\u5c0f\u65f61\u6b21\u3002<\/span><\/p>\n

      \u2464\u513f\u7ae5\uff1a1\u4e2a\u6708-12\u5c81\u6216\u8005\u4f53\u91cd<50kg\u513f\u7ae5\uff0c\u4e00\u6b2110mg\/kg\uff0c\u6bcf8\u5c0f\u65f61\u6b21\uff1b12-18\u5c81\u6216\u8005\u4f53\u91cd\u226550kg\u513f\u7ae5\uff0c\u4e00\u6b21500mg\uff0c\u6bcf8\u5c0f\u65f61\u6b21\u3002\u6cbb\u7597\u9662\u5185\u611f\u67d3\u80ba\u708e\u3001\u8179\u819c\u708e\u3001\u8840\u6d41\u611f\u67d3\u4ee5\u53ca\u4e2d\u6027\u7c92\u7ec6\u80de\u7f3a\u4e4f\u7684\u611f\u67d3\u65f6\uff0c\u5242\u91cf\u53ef\u52a0\u500d\u3002\u6cbb\u7597\u8111\u819c\u708e\u65f6\uff1a1\u4e2a\u6708-12\u5c81\u6216\u8005\u4f53\u91cd<50kg\u513f\u7ae5\uff0c\u4e00\u6b2140mg\/kg\uff0c\u6bcf8\u5c0f\u65f61\u6b21\uff1b12-18\u5c81\u6216\u8005\u4f53\u91cd\u226550kg\u513f\u7ae5\uff0c\u4e00\u6b212g\uff0c\u6bcf8\u5c0f\u65f61\u6b21\u3002<\/span><\/p>\n

      \u2465\u5bf9\u80be\u529f\u80fd\u635f\u5bb3\u60a3\u8005\uff0c\u5982\u679c\u808c\u9150\u6e05\u9664\u7387\u6bcf\u5206\u949f25-50ml\/1.73m2<\/sup>\uff0c\u6b63\u5e38\u5242\u91cf\u6bcf12\u5c0f\u65f61\u6b21\uff1b\u5982\u679c\u808c\u9150\u6e05\u9664\u7387\u6bcf\u5206\u949f10-25ml\/1.73m2<\/sup>\uff0c\u6b63\u5e38\u534a\u91cf\u6bcf12\u5c0f\u65f61\u6b21\uff1b\u5982\u679c\u808c\u9150\u6e05\u9664\u7387\u6bcf\u5206\u949f<10ml\/1.73m2<\/sup>\uff0c\u6b63\u5e38\u534a\u91cf\u6bcf24\u5c0f\u65f61\u6b21\u3002 <\/strong><\/span><\/p>\n

      3.<\/strong>\u5e15\u5c3c\u57f9\u5357<\/strong><\/span><\/p>\n

      \u2460\u6210\u4eba\u6bcf\u65e51\uff5e2g\uff0c\u6bcf8\uff5e12\u5c0f\u65f6\u7ed9\u836f1\u6b21\uff1b<\/span><\/p>\n

      \u2461\u513f\u7ae5\u6bcf\u65e530\uff5e60mg\/kg\uff0c\u6bcf8\u5c0f\u65f6\u7ed9\u836f1\u6b21\uff1b<\/span><\/p>\n

      \u2462\u91cd\u75c7\u6216\u96be\u6cbb\u611f\u67d3\u53ef\u589e\u52a0\u81f3\u6bcf\u65e5100mg\/kg\uff0c\u6bcf6\uff5e8\u5c0f\u65f6\u7ed9\u836f1\u6b21\uff0c\u6700\u5927\u5242\u91cf\u4e0d\u8d85\u8fc7\u6bcf\u65e52g\u3002 <\/span><\/p>\n

      4.<\/strong>\u6bd4\u963f\u57f9\u5357<\/strong><\/span><\/p>\n

      \u2460\u6210\u4eba\u6bcf\u6b21300mg\uff0c\u6bcf12\u5c0f\u65f61\u6b21\u9759\u8109\u6ef4\u6ce8\u3002\u91cd\u75c7\u60a3\u8005\u53ef\u9002\u5f53\u589e\u52a0\u5242\u91cf\uff0c\u6bcf\u65e5\u6700\u5927\u5242\u91cf1.2g\u3002 <\/strong><\/span><\/p>\n

      5.<\/strong>\u5384\u4ed6\u57f9\u5357<\/strong><\/span><\/p>\n

      \u2460\u80be\u529f\u80fd\u6b63\u5e38\u6210\u4eba\u548c13\u5c81\u4ee5\u4e0a\u513f\u7ae5\u5242\u91cf\u4e3a\u6bcf\u65e51\u6b21\uff0c\u6bcf\u6b211g\uff1b3\u4e2a\u6708\uff5e12\u5c81\u513f\u7ae5\u4e3a\u6bcf\u65e52\u6b21\uff0c\u6bcf\u6b2115mg\/kg\uff0c\u6bcf\u65e5\u5242\u91cf\u4e0d\u8d85\u8fc71g\u3002<\/span><\/p>\n

      \u2461\u5185\u751f\u808c\u9150\u6e05\u9664\u7387>30ml\/min\u8005\u65e0\u9700\u8c03\u6574\u5242\u91cf\uff0c\u5185\u751f\u808c\u9150\u6e05\u9664\u7387\u226430ml\/min\u8005\u5242\u91cf\u8c03\u6574\u4e3a\u6bcf\u65e51\u6b21\uff0c\u6bcf\u6b210.5g\u3002<\/span><\/p>\n

      \u2462\u8840\u900f\u60a3\u8005\u5982\u5728\u8840\u6db2\u900f\u6790\u524d6\u5c0f\u65f6\u5185\u7ed9\u836f\uff0c\u900f\u6790\u540e\u9700\u8865\u5145\u7ed9\u836f0.15g\uff1b\u5982\u5728\u8840\u900f\u65f6\u95f4\u524d\u8d85\u8fc76\u5c0f\u65f6\u7ed9\u836f\uff0c\u5219\u900f\u6790\u540e\u4e0d\u9700\u8981\u8865\u5145\u7ed9\u836f\u3002<\/span><\/p>\n

      \n

      \u8bf7\u60a8\u957f\u6309\u4e8c\u7ef4\u7801\u5173\u6ce8\u836f\u8bc4\u4e2d\u5fc3\uff01<\/span><\/p>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

      \u5404\u7701\u3001\u81ea\u6cbb\u533a\u3001\u76f4\u8f96\u5e02\u53ca\u65b0\u7586\u751f\u4ea7\u5efa\u8bbe\u5175\u56e2\u536b\u751f\u8ba1\u751f\u59d4\uff1a \u4e3a\u8fdb\u4e00\u6b65\u89c4\u8303\u78b3\u9752\u9709\u70ef\u7c7b\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\uff0c\u6211\u59d4\u7ec4\u7ec7\u4e13\u5bb6\u7814\u7a76\u5236 […]<\/p>\n","protected":false},"author":1,"featured_media":52255,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[2],"tags":[],"_links":{"self":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/52254"}],"collection":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/comments?post=52254"}],"version-history":[{"count":1,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/52254\/revisions"}],"predecessor-version":[{"id":52258,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/52254\/revisions\/52258"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media\/52255"}],"wp:attachment":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media?parent=52254"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/categories?post=52254"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/tags?post=52254"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}