鑶界磪绱犵殑姝ｅ父浠ｈ瑵

銆€銆€闈炵祼(ji茅)鍚堣喗绱呯礌 绲�(ji茅)鍚堣喗绱呯礌

銆€銆€閬�(y霉n)杓�?sh霉)闉�?nbsp;琛€娓呰泲鐧� 鑲濈窗(x矛)鑳炲収(n猫i)Y銆乑铔嬬櫧

銆€銆€鏄惁婧朵簬姘� 鍚� 鏄�

銆€銆€鑳藉惁寰炶厧灏忕悆?y脿n)V閬�(gu貌) 鍚� 鏄�

銆€銆€灏挎恫涓槸鍚﹀嚭鐝�(xi脿n) 鍚� 鏄�

銆€銆€鏄惁鑸囪憽钀勭硸閱涢吀绲�(ji茅)鍚� 鍚� 鏄�

銆€銆€鍏朵粬鍚嶇ū 娓搁洟鑶界磪绱�銆侀枔鎺ヨ喗绱呯礌 鐩存帴鑶界磪绱� 

銆€銆€姝ｅ父鎴愪汉琛€涓�

銆€銆€绺借喗绱呯礌锛圱B锛�1.7 锝�17.1渭mol/L锛�0.1锝�1.0mg/dl锛�锛�

銆€銆€绲�(ji茅)鍚堣喗绱呯礌锛圕B锛�0 锝�3.42渭mol/L锛�0锝�0.2mg/dl锛�锛�

銆€銆€闈炵祼(ji茅)鍚堣喗绱呯礌锛圲CB锛�1.7 锝�13.68渭mol/L锛�0.1锝�0.8mg/dl锛�銆�

銆€銆€鍒嗛

銆€銆€1.鎸夌梾鍥�?q奴)W鍒嗛

銆€?銆�?锛夋憾琛€鎬ч粌鐤�

銆€銆€锛�2锛夎倽绱�(x矛)鑳炴€ч粌鐤�

銆€?銆�?锛夎喗姹佹筏绌嶆€ч粌鐤�

銆€?銆�?锛夊厛澶╂€ч潪婧惰鎬ч粌鐤革紙缃曡(ji脿n)锛�

銆€銆€2.鎸夎喗绱呯礌鎬ц唱(zh矛)鍒嗛

銆€銆€锛�1锛変互UCB澧為珮鐐轰富鐨勯粌鐤�銆�

銆€銆€锛�2锛変互CB澧為珮鐐轰富鐨勯粌鐤�銆�

銆€銆€鑷ㄥ簥琛ㄧ従(xi脿n)

銆€?銆傘剴鍞敜鑻庮€福S鐤�

銆€銆€1.鑷ㄥ簥琛ㄧ従(xi脿n)

銆€銆€涓€鑸粌鐤哥偤杓曞害锛屽憟娣烘妾壊銆�

銆€銆€2.瀵�(sh铆)椹�(y脿n)瀹ゆ鏌�

銆€銆€TB澧炲姞锛屼互UCB鐐轰富锛孋B鍩烘湰姝ｅ父銆傜碁鑶界礌澧炲姞锛岀碁鑹插姞娣便€傚翱鑶藉師澧炲姞锛屽翱鑶界磪绱狅紙锛嶏級銆�

銆€?銆偳橆應鈹旀腑?x矛)鑳炴€ч粌鐤�

銆€銆€1.鑷ㄥ簥琛ㄧ従(xi脿n)

銆€銆€鐨啔銆佺矘鑶滄泛榛冭嚦娣遍粌鑹�锛岀柌涔忋€侀娆叉笡閫€锛屽毚(y谩n)閲嶈€呭彲鏈夊嚭琛€鍌惧悜銆�

銆€銆€2.瀵�(sh铆)椹�(y脿n)瀹ゆ鏌�

銆€銆€CB鑸嘦CB鍧囧鍔�锛屽翱鑶藉師澧炲姞锛屽翱鑶界磪绱狅紙+锛�銆�

銆€?銆傘剤類屸敔鎳碱厡淇渆鎬ч粌鐤�

銆€銆€鑲濆鎬э細鍙敱鑶界附绠＄祼(ji茅)鐭炽€佺嫻绐�銆佺値鎬ф按鑵€佽叓鐦ゅ強铔旇煵(ch贸ng)闃诲寮曡捣銆�

銆€銆€1.鑷ㄥ簥琛ㄧ従(xi脿n)

銆€銆€鐨啔鍛堟殫榛冭壊锛屽畬鍏ㄩ樆濉炶€呴鑹叉洿娣�锛岀敋鑷冲憟榛冪稜鑹�锛屽苟鏈夌毊鑶氱槞鐧㈠強蹇冨嫊(d貌ng)閬�(gu貌)绶╋紝灏胯壊娣�锛岀碁渚块鑹茶畩娣烘垨鍛堢櫧闄跺湡鑹层€�

銆€銆€2.瀵�(sh铆)椹�(y脿n)瀹ゆ鏌�

銆€銆€CB澧炲姞锛屽翱鑶界磪绱狅紙++锛夛紝灏胯喗鍘熷強绯炶喗绱犳笡灏戞垨缂哄锛岃娓匒LP鍙婄附鑶藉浐閱囧楂樸€� 

銆€銆€涓夌ó榛冪柛瀵�(sh铆)椹�(y脿n)瀹ゆ鏌ョ殑鍗€(q奴)鍒�

銆€銆€闋�(xi脿ng)鐩� 婧惰鎬� 鑲濈窗(x矛)鑳炴€� 鑶芥眮娣ょ⿳鎬�

銆€銆€TB 澧炲姞 澧炲姞 澧炲姞

銆€銆€CB 姝ｅ父 澧炲姞 鏄庨’澧炲姞

銆€銆€灏胯喗绱呯礌 锛� 锛� 锛嬶紜

銆€銆€灏胯喗鍘� 澧炲姞 杓曞害澧炲姞 娓涘皯鎴栨秷澶�

銆€銆€ALT銆丄ST 姝ｅ父 鏄庨’澧為珮 鍙楂�

銆€銆€ALP 姝ｅ父 澧為珮 鏄庨’澧為珮

銆€銆€GGT 姝ｅ父 澧為珮 鏄庨’澧為珮

銆€銆€鑶藉浐閱� 姝ｅ父 杓曞害澧炲姞鎴栭檷浣� 鏄庨’澧炲姞

銆€銆€琛€婕胯泲鐧� 姝ｅ父 Alb闄嶄綆锛孏lob鍗囬珮 姝ｅ父

銆€銆€浼撮毃鐧ョ媭鍜岄珨寰�

銆€銆€1.浼寸櫦(f膩)鐔�

銆€銆€2.浼村彸涓婅吂鍔囩棝锛氳喗閬撶祼(ji茅)鐭�銆�

銆€銆€3.浼存寔绾�(x霉)鎬у彸涓婅吂閳嶇棝鎴栬劰鐥涳細鐥呮瘨鎬ц倽鐐�锛岃倽鑶胯叓锛岃倽鐧�銆�

銆€銆€4.浼磋倽澶�

銆€銆€5.浼磋喗鍥婅叓澶э細鑶界附绠℃闃� 

銆€銆€6.浼磋劸澶э細鑲濈‖鍖栵紝婧惰鎬ц钵琛€锛屾穻宸寸槫绛�锛�

銆€銆€7.浼磋吂姘达細鑲濈‖鍖�锛岃倽鐧�锛�

銆€銆€8.浼存秷鍖栭亾鍑鸿锛氳倽纭寲锛屽：鑵圭檶绛夈€�

銆€銆€鍟�(w猫n)瑷鸿榛�(di菐n)

銆€?銆傘剴鍞攬F(xi脿n)鐥呭彶

銆€銆€1.榛冪柛鐨勮捣鐥�锛屾€ヨ捣鎴栫珐璧�锛岀梾绋嬮暦(zh菐ng)鐭�銆�

銆€銆€2.鏄惁鏈夋槑纰鸿獦鍥犮€傞粌鐤告尝鍙婄殑鑼冨湇锛屾槸鍚︾毊鑶�銆侀瀼鑶滃潎榛冩煋锛岀毊鑶氶粌鏌撶殑鑼冨湇銆傞粌鐤哥殑椤忚壊鐗归粸(di菐n)锛岄粌鐤哥殑鎸佺簩(x霉)鏅�(sh铆)闁�锛屾尝鍕�(d貌ng)鎯呮硜銆�

銆€銆€3.浼撮毃鐧ョ媭锛氭槸鍚︽湁鐨啔鐦欑櫌锛屽翱鑹插浣�锛岀碁渚块鑹插浣�銆傛湁鐒�(w煤)鑳冭吀閬撶櫏鐙€锛屾湁鐒�(w煤)鐧�(f膩)鐔�锛岃吂鐥�锛屽強榛冪柛鑸囩櫦(f膩)鐔�銆佽吂鐥涚殑闂�(gu膩n)绯�銆�

銆€銆€4.瑷虹檪缍�(j墨ng)閬�(gu貌)锛氭槸鍚︽煡琛€鑶界磪绱�锛屽翱鑶界磪绱狅紝灏胯喗鍘�锛屾槸鍚︽煡鑲濆姛鑳斤紝鏄惁琛岃吂閮˙瓒�銆丆T锛屾槸鍚﹁ERCP銆丳TC銆丮RCP妾㈡煡銆傛槸鍚︽湇钘ユ不鐧�锛岃棩鐗╁悕绋憋紝鍔戦噺锛屾檪(sh铆)闁擄紝鐧傛晥濡備綍銆�

銆€銆€5.涓€鑸儏娉併€�

銆€?銆偳橆應鈹㈡笇顛熲垐?

銆€銆€1.鏃㈠線鍙诧細鏈夌劇(w煤)鑲濈梾锛岃喗閬撶柧鐥�锛岃娑茬梾鍙�锛屾湁鐒�(w煤)瀵勭敓锜�(ch贸ng)鎰熸煋鍙�锛屾湁鐒�(w煤)鐗规畩钘ョ墿鏈嶇敤鍙诧紝鏈夌劇(w煤)钘ョ墿閬�(gu貌)鏁忓彶銆�

銆€銆€2.鍊�(g猫)浜哄彶锛氭湁鐒�(w煤)鐤崁(q奴)銆佺柅姘存帴瑙稿彶锛屾湁鐒�(w煤)澶ч噺椋查厭鍙�銆�

銆€銆€3.鏈堢稉(j墨ng)濠氳偛鍙层€�

銆€銆€4.瀹舵棌鍙诧細瀹舵棌涓湁鐒�(w煤)椤炰技鐤剧梾鍙�銆�

銆€銆€渚嬮

銆€銆€绨�(ji菐n)瑕佺梾鍙诧細鐢锋€�锛�58姝�锛屼笂鑵圭棝2澶╀即鐧�(f膩)鐔�锛岀毊鑶氶粌鏌�1澶�銆�

銆€銆€锛堜竴锛夌従(xi脿n)鐥呭彶

銆€銆€1.鏄惁鏈夋槑纰鸿獦鍥�锛屽鏄惁鏈変笉娼旈２椋熷彶锛岄珮鑴傞２椋�锛屽ぇ閲忛２閰掔梾鍙�銆�

銆€銆€2.鑵圭棝鐨勫叿楂旈儴浣�锛岃寖鍦�锛屾€ц唱(zh矛)锛岀▼搴�锛屾湁鐒�(w煤)鏀惧皠锛岄櫍鐧�(f膩)鎬ф姂鎴栨寔绾�(x霉)鎬�锛屾湁鐒�(w煤)鍔犻噸鎴栫珐瑙ｇ殑鍥犵礌銆傜櫦(f膩)鐔辩殑绋嬪害锛岀啽鍨�銆傜毊鑶氶粌鏌撶殑椤忚壊锛岀▼搴�锛岃寖鍦�锛屾槸鍚︿即闉忚啘榛冩煋锛岄粌鐤歌垏鑵圭棝銆佺櫦(f膩)鐔辨湁浣曢棞(gu膩n)绯�銆�

銆€銆€3.浼撮毃鐧ョ媭锛氭湁鐒�(w煤)鐨啔鐦欑櫌锛屽翱鑹插浣�锛岀碁渚块鑹插浣�銆傛湁鐒�(w煤)鎯″績銆佸様鍚�銆佹湁鐒�(w煤)涔忓姏锛岄娆蹭笉鎸�锛岄牠鐥涚瓑銆�

銆€銆€4.瑷虹檪缍�(j墨ng)閬�(gu貌)锛氭槸鍚︽煡琛€鑶界磪绱狅紝灏胯喗绱呯礌锛屽翱鑶藉師锛屾槸鍚︽煡鑲濆姛鑳斤紝鏄惁鏌ヨ吂閮˙瓒�銆傛槸鍚︽湇钘�锛岃棩鐗╁悕绋憋紝鍔戦噺锛屾檪(sh铆)闁擄紝鐧傛晥銆�

銆€銆€5.涓€鑸儏娉侊細椋查銆佺簿绁�銆佺潯鐪�銆佷簩渚�锛岄珨閲�銆�

銆€?銆偳橆應鈹㈡笇顛熲垐?

銆€銆€1.鏃㈠線鍙诧細鏈夌劇(w煤)鑲濈梾銆佽喗閬撶柧鐥呫€佽娑茬梾鍙�銆傛湁鐒�(w煤)钘ョ墿閬�(gu貌)鏁忓彶銆�

銆€銆€2.鍊�(g猫)浜哄彶锛氭湁鐒�(w煤)鐤崁(q奴)銆佺柅姘存帴瑙稿彶锛屾湁鐒�(w煤)闀�(zh菐ng)鏈熷ぇ閲忛２閰掑彶銆�

銆€銆€3.濠氳偛鍙�銆�

銆€銆€4.瀹舵棌鍙层€�

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