2022琛�(w猫i)鐢熻硣鏍煎垵绱氭椹�(y脿n)鎶€澹€冭│鑰冮粸(di菐n)绮鹃伕鍖附

鑰冮粸(di菐n)锛氭參鎬х矑绱�(x矛)鑳炵櫧琛€鐥�

1.琛€璞�

(1)绱呯窗(x矛)鑳烇細绱呯窗(x矛)鑳炲拰琛€绱呰泲鐧芥棭鏈熸甯�锛屽皯鏁�(sh霉)鐢氳嚦绋嶅楂�锛岄毃鐥呮儏鐧�(f膩)灞�?ji茅)u鍛堣紩銆佷腑搴﹂檷浣�锛屾€ヨ畩鏈熷憟閲嶅害闄嶄綆銆�

(2)鐧界窗(x矛)鑳烇細鐧界窗(x矛)鑳炴暩(sh霉)椤憲鍗囬珮锛屽垵鏈熶竴鑸偤50×109/L锛屽鏁�(sh霉)鍦�(100锝�300)×109/L锛屾渶楂樺彲閬�(d谩)1000×109/L?锛熸ⅱ濮奸簾A娈电矑绱�(x矛)鑳烇紝鍏朵腑浠ヤ腑鎬т腑骞肩矑鍙婃櫄骞肩矑绱�(x矛)鑳炲澶氬挨鐐虹獊鍑�锛屾】鐙€绮掑拰鍒嗚憠鏍镐篃澧炲銆佸師濮嬬矑绱�(x矛)鑳�(鈪�+鈪�)浣庝簬10%锛屽棞鍫挎€х矑绱�(x矛)鑳炲彲楂橀仈(d谩)10%锝�20%锛屾槸鎱㈢矑鐗瑰緛涔嬩竴銆傚棞閰告€х矑绱�(x矛)鑳炲拰鍠牳绱�(x矛)鑳炰篃鍙澶氥€傞毃鐥呮儏閫�(j矛n)灞�锛屽師濮嬬矑绱�(x矛)鑳炲彲澧炲锛屽姞閫熸湡鍙ぇ浜�10%锛屾€ヨ畩鏈熷彲澶т簬20%銆�

(3)琛€灏忔澘锛氳灏忔澘澧炲瑕嬩簬1/3锝�1/2鐨勫垵瑷虹梾渚嬶紝鏈夋檪鍙珮閬�(d谩)1000×109/L锛屽姞閫熸湡鍙婃€ヨ畩鏈�锛岃灏忔澘鍙€�(j矛n)琛屾€ф笡灏�銆�

2.楠ㄩ珦璞°€€鏈夋牳绱�(x矛)鑳炲鐢熸サ搴︽椿韬�锛岀矑绱呮瘮渚嬫槑椤楂樺彲閬�(d谩)10锝�50:1;椤憲澧炵敓鐨勭矑绱�(x矛)鑳炰腑锛屼互涓€т腑骞肩矑銆佹櫄骞肩矑鍜屾】鐙€鏍哥矑绱�(x矛)鑳炲眳澶�銆傚師绮掔窗(x矛)鑳炲皬浜�10%銆傚棞鍫垮拰鍡滈吀鎬х矑绱�(x矛)鑳炲澶�锛屽辜绱呯窗(x矛)鑳炴棭鏈熷鐢�銆佹櫄鏈熷彈鎶戝埗锛屽法鏍哥窗(x矛)鑳炲澶�锛岄楂撳彲鐧�(f膩)鐢熻紩搴︾簴缍寲銆傚姞閫熸湡鍙婃€ヨ畩鏈熸檪锛屽師濮嬬窗(x矛)鑳為€愭几澧炲銆傛參绮掓槸澶氳兘骞茬窗(x矛)鑳炴按骞充笂绐佽畩鐨勫厠闅嗘€х柧鐥�锛屾晠鍙悜澶氭柟闈㈡€ユ€ц畩銆佹€ョ矑璁�锛屾€ユ穻璁�銆傛澶�锛岄倓鍙湁鎱㈢矑鎬ヨ畩?y艒u)妯殿厓绱楅瓘?銆佸師濮嬬磪绱�(x矛)鑳�銆佸師濮嬪法鏍哥窗(x矛)鑳�銆佹棭骞肩矑绱�(x矛)鑳�銆佸棞閰告垨鍡滃牽鎬х矑绱�(x矛)鑳炵瓑鎬ユ€х櫧琛€鐥�銆傛€ヨ畩鏈熺磪绯�銆佸法鏍哥郴鍧囧彈鎶戝埗銆�

3.绱�(x矛)鑳炲寲瀛�(xu茅)鏌撹壊銆€NAP闄芥€х巼鍙婄⿳鍒嗘槑椤笡浣�锛岀敋鑷崇己濡�銆�

4.鏌撹壊楂斿強鍒嗗瓙鐢熺墿瀛�(xu茅)妾㈤(y脿n)銆€Ph鏌撹壊楂旀槸CML鐨勭壒寰佹€х暟甯告煋鑹查珨锛屾鍑哄瓧鐐�90%锝�95%锛屽叾涓禃澶у鏁�(sh霉)鐐簍(9;22)(q34;q11)绋辩偤鍏稿瀷鏄撲綅銆侾h鏌撹壊楂斿瓨鍦ㄤ簬CML鐨勬暣鍊嬬梾绋嬩腑锛屾不鐧傜珐瑙ｅ悗锛孭h鏌撹壊楂斿嵒鎸佺簩(x霉)瀛樺湪?锛涱媰铓嶆不闇璴(f膩)鐝�(xi脿n)锛屽叾姝ｅ父浣嶄簬鏌撹壊楂�9q34涓婄殑鐧屽熀鍥燾-abl绉讳綅鑷�22q11鐨勬柗瑁傞粸(di菐n)寰為泦鍗€(q奴)bcr鍩哄洜绲勬垚BCR鍜孉BL铻嶅悎鍩哄洜锛岃〃閬�(d谩)鍏锋湁楂橀叒姘ㄩ吀铔嬬櫧婵€閰舵椿鎬х殑BCR/ABL铻嶅悎铔嬬櫧锛岃┎铔嬬櫧鍦ㄦ湰鐥呯櫦(f膩)鐥呬腑璧烽噸瑕佷綔鐢�銆�

鑰冮粸(di菐n)锛氶亷纰橀吀-闆か鍙嶆噳(y墨ng)

01.閬庣閰�-闆か鍙嶆噳(y墨ng)鐨勭祼(ji茅)鏋滃垽璁€

闄芥€х祼(ji茅)鏋滅偤鑳炶唱(zh矛)鍏�(n猫i)鍑虹従(xi脿n)绱呰壊椤嗙矑銆佸鐙€鎴栧憟褰屾极鐙€绱呰壊銆�

鈶�(-)鑳炶唱(zh矛)鐒¤壊锛岀劇椤嗙矑銆�

鈶�(+)鑳炶唱(zh矛)娣＄磪鑹叉垨鏈夊皯閲忕磪鑹查绮�锛岄€氬父<10鍊嬮绮�銆�

鈶�(++)鑳炶唱(zh矛)绱呰壊鎴栨湁10鍊嬩互涓婄磪鑹查绮�銆�

鈶�(+++)鑳炶唱(zh矛)鍛堟殫绱呰壊鎴栨湁绮楀ぇ绱呰壊椤嗙矑锛屽彲鍑虹従(xi脿n)绱呰壊濉婄媭銆�

鈶�(++++)鑳炶唱(zh矛)鍛堢传绱呰壊鎴栨湁绮楀ぇ绱呰壊濉婄媭銆�

02.閬庣閰�-闆か鍙嶆噳(y墨ng)姝ｅ父琛€绱�(x矛)鑳炵殑鏌撹壊鍙嶆噳(y墨ng)

1)绮掔窗(x矛)鑳炵郴绲�(t菕ng)锛�

鍘熺矑鑳炴伎鍏夐彙涓嬬劇椤嗙矑銆傛墍浠OX闄版€�?锛熺柧鐓滅煔g鍑洪€欓椤岋紝鍝€嬫渶寮�(qi谩ng)鎴栨渶寮�銆傚棞閰搁櫧鎬у弽鎳�(y墨ng)鐨勭▼搴﹀挤(qi谩ng)銆傞吀姊呬富瑕佸叐榛�(di菐n);绮掔郴鐩搁棞(gu膩n)鐨勯叾;闅ㄨ憲绱�(x矛)鑳炴垚鐔�锛岄櫧鎬у弽鎳�(y墨ng)澧炲挤(qi谩ng)銆�

2)绱呯窗(x矛)鑳炵郴绲�(t菕ng)锛氬辜绱呯窗(x矛)鑳炲拰绱呯窗(x矛)鑳炲潎鍛堥櫚鎬у弽鎳�(y墨ng)銆�

3)鍠牳绱�(x矛)鑳炵郴绲�(t菕ng)锛氬垎鍖栧樊鐨勫師濮嬪柈鏍哥窗(x矛)鑳炲憟闄版€�锛屽叾浠栧柈鏍哥窗(x矛)鑳炲憟闄芥€�銆傜禃澶у鏁�(sh霉)闄芥€э紝鍛堢窗(x矛)椤嗙矑鐙€銆傛湁鏅傚湪鑳炶唱(zh矛)鐨勯倞绶ｈ檿闄芥€у弽鎳�(y墨ng)椤嗙矑杓冪矖澶�銆�

4)娣嬪反绱�(x矛)鑳烇細澶у鏁�(sh霉)娣嬪反绱�(x矛)鑳炵偤闄版€у弽鎳�(y墨ng)锛屽皯鏁�(sh霉)娣嬪反绱�(x矛)鑳炲彲鍛�(+)鍙嶆噳(y墨ng)銆�

5)宸ㄦ牳绱�(x矛)鑳炲拰琛€灏忔澘锛氬法鏍哥窗(x矛)鑳炵偤闄芥€у弽鎳�(y墨ng)锛岄櫧鎬у弽鎳�(y墨ng)鐗╄唱(zh矛)鐐虹磪鑹查绮掔媭锛屾湁鏅傜偤绱呰壊濉婄媭銆傝灏忔澘鐐洪櫧鎬у弽鎳�(y墨ng)锛岄櫧鎬у弽鎳�(y墨ng)鐗╄唱(zh矛)鐐虹窗(x矛)椤嗙矑鐙€锛屾湁鏅傜偤绱呰壊灏忓鐙€銆�

6)鍏朵粬绱�(x矛)鑳烇細婕跨窗(x矛)鑳炰竴鑸偤闄版€у弽鎳�(y墨ng)锛屽皯鏁�(sh霉)鍙憟闄芥€у弽鎳�(y墨ng)锛岄櫧鎬у弽鎳�(y墨ng)鐗╄唱(zh矛)鐐虹磪鑹茬窗(x矛)椤嗙矑鐙€銆傚法鍣窗(x矛)鑳炲彲鍛堥櫧鎬у弽鎳�(y墨ng)锛岄櫧鎬у弽鎳�(y墨ng)鐗╄唱(zh矛)鐐虹磪鑹茬窗(x矛)椤嗙矑鐙€銆�

03.閬庣閰�-闆か鍙嶆噳(y墨ng)鐨勮嚚搴婃剰缇�

鏍规摎(j霉)鍙嶆噳(y墨ng)鐨勯櫧鎬х▼搴﹀強闄芥€х壒榛�(di菐n)鍙€�(j矛n)琛岀磪绱�(x矛)鑳炵郴绲�(t菕ng)銆佺櫧绱�(x矛)鑳炵郴绲�(t菕ng)绛夌柧鐥呯殑杓斿姪瑷烘柗鍙婇憭鍒ヨê鏂�锛屽叾闄芥€х壒榛�(di菐n)鎰忕京鏇村ぇ銆�

1.鐧借鐥呴鍨嬮憭鍒�

鎬ユ€х矑绱�(x矛)鑳炵櫧琛€鐥呭師濮嬬矑绱�(x矛)鑳炲憟闄版€ф垨寮遍櫧鎬у弽鎳�(y墨ng)锛岄櫧鎬т互褰屾极鎬х偤涓�;鎬ユ€ф穻宸寸窗(x矛)鑳炵櫧琛€鐥呭師骞兼穻宸寸窗(x矛)鑳炲鍛堝鐙€闄芥€у弽鎳�(y墨ng)锛屼篃鏈夊皯鏁�(sh霉)鍛堥櫚鎬у弽鎳�(y墨ng);鎬ユ€у柈鏍哥窗(x矛)鑳炵櫧琛€鐥呭師骞煎柈

鏍哥窗(x矛)鑳炲憟闄芥€у弽鎳�(y墨ng)锛屽叾椤嗙矑绱�(x矛)灏�锛屽綄鏁ｅ垎甯�銆�

2.娣嬪反绯荤当(t菕ng)澧炵敓鐤剧梾閼掑垾

娣嬪反绯荤当(t菕ng)鎯℃€у鐢熷鎯℃€ф穻宸寸槫銆侀湇濂囬噾鐥�銆佹參鎬ф穻宸寸窗(x矛)鑳炴€х櫧琛€鐥�銆佹€ユ€ф穻宸寸窗(x矛)鑳炴€х櫧琛€鐥呮檪锛屽叾娣嬪反绱�(x矛)鑳為櫧鎬у弽鎳�(y墨ng)鍧囨湁鏄庨’澧為珮锛屽憟绮楅绮掔媭鎴栧鐙€銆傚偝鍠檪娣嬪反绱�(x矛)鑳炵殑PAS杓曞害澧為珮锛岃€屽叾浠栫梾姣掓劅鏌撴檪甯稿湪姝ｅ父鑼冨湇銆�

3.骞肩磪绱�(x矛)鑳炲鐢熺柧鐥呴憭鍒�

绱呰鐥�銆佺磪鐧借鐥�銆侀楂撳鐢熺暟甯哥稖鍚堝緛涓叾骞肩磪绱�(x矛)鑳炲弽鎳�(y墨ng)鏄庨’澧炲挤(qi谩ng)锛屽憟鍧囧嫽绱呰壊鎴栫媭銆傜己閻垫€ц钵琛€銆佸湴涓捣璨ц銆佹憾琛€鎬ц钵琛€鍙婂法骞肩窗(x矛)鑳炴€ц钵琛€鏅傚辜绱呯窗(x矛)鑳濸AS鍙嶆噳(y墨ng)澶氱偤闄版€ф垨鍍呭彲杓曞害澧為珮銆�

4.纰哄畾宸ㄦ牳绱�(x矛)鑳�

鐧�(f膩)鑲叉垚鐔熺殑宸ㄦ牳绱�(x矛)鑳炴鍙嶆噳(y墨ng)澶氬憟闄芥€�锛屽皬宸ㄦ牳绱�(x矛)鑳炴檪浜﹀父鍛堥櫧鎬у弽鎳�(y墨ng)锛屾晠鐐虹⒑瑾�(r猫n)灏忓法鏍哥窗(x矛)鑳炴渶甯哥敤鎵嬫涔嬩竴銆�

5.绱�(x矛)鑳為憭鍒�

閼掑垾宸ㄦ牳绱�(x矛)鑳炲拰Reed-Sternberg绱�(x矛)鑳�锛屽法鏍哥窗(x矛)鑳炲憟寮�(qi谩ng)闄芥€�锛孯eed-Sternberg绱�(x矛)鑳炲憟闄版€ф垨妤靛急闄芥€у弽鎳�(y墨ng);閼掑垾楂橀洩姘忕窗(x矛)鑳炲拰灏兼浖-鍖瑰厠绱�(x矛)鑳烇紝楂橀洩姘忕窗(x矛)鑳炲憟寮�(qi谩ng)闄芥€у凹鏇�-鍖瑰厠绱�(x矛)鑳炲父鐐洪櫚鎬ф垨妤靛急闄芥€�銆�

鑰冮粸(di菐n)锛氱劇姗�(j墨)楣介垼銆佺７銆侀巶鐨勪唬璎濊垏瑾�(di脿o)绡€(ji茅)

鐒℃(j墨)楣介垼鐨勪唬璎濊垏瑾�(di脿o)绡€(ji茅)

鍚告敹閮ㄤ綅锛氬崄浜屾寚鑵�锛屾槸鍦ㄦ椿鎬х董鐢熺礌D3瑾�(di脿o)绡€(ji茅)涓嬬殑涓诲嫊鍚告敹銆�

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纾蜂富瑕佺敱鑵庢帓娉勶紝鍏舵帓鍑洪噺绱勫崰绺芥帓鍑洪噺鐨�70%锛屾瘡澶╃稉(j墨ng)鑵庡皬鐞�?y脿n)V閬庣７绱�5g锛屼絾85%锝�95%琚厧灏忕鍥炲惛鏀�銆�

鐒℃(j墨)楣介巶鐨勪唬璎濊垏瑾�(di脿o)绡€(ji茅)

閹傜殑鏃ユ敐鍏ラ噺绱�250mg锛屽叾涓�2/3渚嗚嚜浜庤胺鐗╁拰钄彍銆�

鍚告敹锛氶儴浣嶄富瑕佸湪鍥炶吀锛屾槸涓诲嫊閬�(y霉n)杞�(zhu菐n)閬庣▼銆�

娑堝寲娑蹭腑涔熸湁澶氶噺閹�锛岄暦鏈熶笩澶辨秷鍖栨恫(濡傛秷鍖栭亾閫犵樅)鏄己閹傜殑涓昏鍘熷洜銆�

鎺掓硠锛氫富瑕佹槸鑵庛€�

缍�(j墨ng)鑵庡皬鐞�?y脿n)V閬庣殑閹傚ぇ閲忚鑵庡皬绠″洖鍚告敹锛屽儏2%锝�5%鐢卞翱鎺掑嚭锛屾瘡鏃ユ帓鍑虹磩100mg銆�

鑰冮粸(di菐n)锛氬父瑕嬭秴鏁忓弽鎳�(y墨ng)鎬х柧鐥�

甯歌鈪犲瀷瓒呮晱鍙嶆噳(y墨ng)鎬х柧鐥�

浜洪鈪犲瀷瓒呮晱鍙嶆噳(y墨ng)鍙〃鐝�(xi脿n)鐐哄叏韬€ц秴鏁忓弽鎳�(y墨ng)鍜屽眬閮ㄦ€ц秴鏁忓弽鎳�(y墨ng)鍏╃ó銆�

(涓€)鍏ㄨ韩瓒呮晱鍙嶆噳(y墨ng)

鏄竴绋渶鍤�(y谩n)閲嶇殑鈪犲瀷瓒呮晱鍙嶆噳(y墨ng)鎬х柧鐥�锛屾(j墨)楂斿啀娆℃帴瑙歌畩鎳�(y墨ng)鍘熷悗鏁�(sh霉)绉掓垨鏁�(sh霉)鍒嗛悩鍏�(n猫i)鍙嚭鐝�(xi脿n)鐧ョ媭锛岃嫢鎼舵晳涓嶅強鏅傦紝鍙皫(d菐o)鑷存浜�銆�

1.钘ョ墿閬庢晱鎬т紤鍏�

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2.琛€娓呴亷鏁忔€т紤鍏�

鑷ㄥ簥鎳�(y墨ng)鐢ㄥ嫊鐗╁厤鐤娓呭鐮村偡棰�(f膿ng)鎶楁瘨绱�銆佺櫧鍠夋姉姣掔礌绛夐€�(j矛n)琛屾不鐧傛垨绶婃€ラ爯(y霉)闃叉檪锛屾湁浜涙偅鑰呭彲鍥犳浘缍�(j墨ng)娉ㄥ皠閬庡悓绋嫊鐗╃殑琛€娓呭埗鍔戣€岀櫦(f膩)鐢熼亷鏁忔€т紤鍏�锛岄噸鑰呭彲鍦ㄧ煭鏅傞枔鍏�(n猫i)姝讳骸銆�

(浜�)灞€閮ㄦ€ц秴鏁忓弽鎳�(y墨ng)

1.鍛煎惛閬撻亷鏁忓弽鎳�(y墨ng)

甯稿洜鍚稿叆鑺辩矇銆佸〉铻ㄣ€佸嫊鐗╂瘺灞�銆佺湡鑿岀瓑璁婃噳(y墨ng)鍘熸垨鍛煎惛閬撶梾鍘熷井鐢熺墿鎰熸煋寮曡捣銆備富瑕佽〃鐝�(xi脿n)鐐洪亷鏁忔€ч蓟鐐庡拰閬庢晱鎬у摦鍠�銆傞亷鏁忔€у摦鍠樻湁鏃╂湡鍜屾櫄鏈熷弽鎳�(y墨ng)鍏╃ó椤炲瀷锛屽墠鑰呯櫦(f膩)鐢熷揩锛屾秷澶变篃蹇�;鍚庤€呯櫦(f膩)鐢熸參锛屾寔绾�(x霉)鏅傞枔闀�锛屽悓鏅傚眬閮ㄥ嚭鐝�(xi脿n)浠ュ棞閰告€х矑绱�(x矛)鑳炲拰涓€х矑绱�(x矛)鑳炴蹈娼ょ偤涓荤殑鐐庣櫏鍙嶆噳(y墨ng)銆�

2.娑堝寲閬撻亷鏁忓弽鎳�(y墨ng)

鏈変簺浜洪€�(j矛n)椋熼瓪銆佽潶銆佽煿銆佽泲銆佺墰濂剁瓑椋熺墿鎴栨湇鐢ㄦ煇浜涜棩鐗╁悗锛屽彲鐧�(f膩)鐢熼亷鏁忔€ц儍鑵哥値锛屼富瑕佽〃鐝�(xi脿n)鐐烘儭蹇�銆佸様鍚�銆佽吂鐥涘拰鑵圭€夌瓑鐧ョ媭锛屽毚(y谩n)閲嶈€呬篃鍙櫦(f膩)鐢熼亷鏁忔€т紤鍏�銆傛湁鐮旂┒鐧�(f膩)鐝�(xi脿n)锛屾偅鑰呰儍鑵搁亾榛忚啘琛ㄩ潰鍒嗘硨鍨婭gA鍚噺鏄庨’娓涘皯鏅傚拰铔嬬櫧姘磋В閰剁己涔忔檪鏄撶櫦(f膩)鐢熸秷鍖栭亾閬庢晱鍙嶆噳(y墨ng)銆�

3.鐨啔閬庢晱鍙嶆噳(y墨ng)

鍙敱钘ョ墿銆侀鐗┿€佹补婕�銆佽吀閬撳瘎鐢熻煵鎴栧喎鐔卞埡婵€绛夊紩璧枫€備富瑕佽〃鐝�(xi脿n)鐐虹毊鑶氳晛楹荤柟銆佹繒鐤瑰拰琛€绠＄缍�(j墨ng)鎬ф按鑵瓑銆傜梾璁婁互鐨柟鐐轰富锛岀壒榛�(di菐n)鏄妵鐑堢槞鐧�銆�

甯歌鈪″瀷瓒呮晱鍙嶆噳(y墨ng)鎬х柧鐥�

1.杓歌鍙嶆噳(y墨ng)

澶氱櫦(f膩)鐢熶簬ABO琛€鍨嬩笉鍚堢殑杓歌銆�

2.鏂扮敓鍏掓憾琛€鐧�

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3.鑷韩鍏嶇柅鎬ф憾琛€鎬ц钵琛€

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4.钘ョ墿閬庢晱鎬ц绱�(x矛)鑳炴笡灏戠櫏

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5.鑲哄嚭琛€鑵庣値缍滃悎寰�

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6.鐢茬媭鑵哄姛鑳戒孩閫�(j矛n)

鍙堢ū鐐篏raves鐥�锛屾偅鑰呴珨鍏�(n猫i)鍙敘(ch菐n)鐢熸姉鐢茬媭鑵轰笂鐨窗(x矛)鑳炶〃闈㈢敳鐙€鑵哄埡婵€绱�(TSH)鍙楅珨鐨勮嚜韬姉楂�銆傝┎绋姉楂旇垏鐢茬媭鑵虹窗(x矛)鑳炶〃闈SH鍙楅珨绲�(ji茅)鍚�锛屽彲鍒烘縺鐢茬媭鑵虹窗(x矛)鑳炲悎鎴愬垎娉岀敳鐙€鑵虹礌锛屽紩璧风敳鐙€鑵哄姛鑳戒孩閫�(j矛n)锛岃€屼笉浣跨敳鐙€鑵虹窗(x矛)鑳炵牬澹�銆傚鏁�(sh霉)浜鸿獚(r猫n)鐐哄畠鏄叀鍨嬭秴鏁忓弽鎳�(y墨ng)鐨勪竴绋壒娈婅〃鐝�(xi脿n)褰㈠紡銆�

甯歌鈪㈠瀷瓒呮晱鍙嶆噳(y墨ng)鎬х柧鐥�

(涓€)灞€閮ㄥ厤鐤京(f霉)鍚堢墿鐥�

1.Arthus鍙嶆噳(y墨ng)

鏄竴绋(sh铆)椹�(y脿n)鎬у眬閮ㄢ參鍨嬭秴鏁忓弽鎳�(y墨ng)銆�

2.椤濧rthus鍙嶆噳(y墨ng)

鍙浜庤儼宄剁礌渚濊炒鍨嬬硸灏跨梾鎮ｈ€�锛屽叾灞€閮ㄥ弽寰�(f霉)娉ㄥ皠鑳板扯绱犲悗鍙埡婵€姗�(j墨)楂旂敘(ch菐n)鐢熺浉鎳�(y墨ng)IgG椤炴姉楂�锛岃嫢姝ゆ檪鍐嶆娉ㄥ皠鑳板扯绱�锛屽嵆鍙湪娉ㄥ皠灞€閮ㄥ嚭鐝�(xi脿n)绱呰叓銆佸嚭琛€鍜屽姝荤瓑鑸嘇rthur鍙嶆噳(y墨ng)椤炰技鐨勫眬閮ㄧ値鐧ュ弽鎳�(y墨ng)銆傛鏅�锛屽娆℃敞灏勭媯鐘梾鐤嫍鎴栦娇鐢ㄦ姉姣掔礌(棣娓�)涔熷彲鍑虹従(xi脿n)椤濧rthur鍙嶆噳(y墨ng)銆�

(浜�)鍏ㄨ韩鍏嶇柅寰�(f霉)鍚堢墿鐥�

1.琛€娓呯梾

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