嬋(chan)�槼(gui)椋(liang)熷搧鍘(zha)傚簾(lian)姘(pin)翠(cui)竴浣撳(qin)寲澶勭悊(zhe)璁懼(ju)�鎿嶄(zhan)綔(hu)綆€鍗(ti)曟柟渚�

媧(wa)涢(yun)槼(gui)澶(chan)╂嘲鐜(dui)��縐(zhou)戞(jia)妧(wan)鏈夐(xiong)檺鍏�徃鏄(tuan)��騫存潵浠(xi)庝簨(sun)姘邨(cun)�鐞嗙殑(qing)鐢熶駭(hai)鍘(zha)傚(xiao)�錛岀敓浜х殑姹(cha)℃按(an)澶勭悊(zhe)璁懼(ju)�銆(mo)佸噣(zhou)姘磋(cuo)�澶囥€�鐭挎硥(mang)姘(pin)磋(cuo)�澶囥€佽(ci)�娑(suo)査(zha)€忔(qi)瀽姘(pin)邨(cun)�鐞(nou)嗚(wu)�澶(chan)囥(kang)€侀攨鐐夎(cuo)蔣(jiang)鍖栨(ci)按(an)璁懼(ju)�騫(qian)挎硾(zhui)鐢ㄤ簬椋(liang)熷搧銆(mo)佸(huo)�鏂(ou)欍(jiu)€佸(huo)寲宸ャ€佸(huo)尰(zhong)鐤椼(yan)€佺毊闈┿€侀(xing)厭(yan)搴(qian)椼€佺叅(can)鐭跨瓑琛屼笟(gu)錛屽(han)湪(tuan)涓(juan)氱(yang)晫(zhuo)浜(bang)�湁涓€瀹氬(ya)０瑾夈€�

椋(liang)熷(zeng)搧(shan)姹(cha)℃按(an)澶勭(tong)悊(zhe)鏉(shou)ユ簮錛(ben)� 椋(liang)熷搧宸(chen)ヤ笟姹℃按(an)涓(juan)昬(hun)�鏉ユ簮(zan)浜庡(yi)師鏂欏(luo)�鐞嗐(hai)€佹礂(xi)娑ゃ€佽(ci)劚姘(pin)淬€佽繃(beng)婊ゃ€佸悇(tu)縐(zhou)嶅(ao)垎(he)紱(fu)葷(hun)簿(bu)鍒躲€佽劚(zhu)閰(ju)搞€佽劚鑷�拰(nin)钂哥叜絳(jiang)夐�鍝(yu)佸姞(ji)宸ョ敓浜ц繃紼(fu)嬨(ci)€傛(yong)薄(bao)姘翠(cui)腑鍚�湁(chi)澶ч噺鐨(fei)勮泲(ji)鐧借川銆(mo)佹(gui)湁鏈(lian)洪(hong)吀鍜岀⒊姘(pin)邨寲(yi)鍚堢墿(yi)銆傜敱浜(bang)庡(yi)緢澶(chan)氭(dong)誕娓哥敓(duo)鐗╃殑瀛(ying)樺(hua)湪(tuan)錛屾(shen)按(an)涓�憾(han)瑙ｆ€ф湁(chi)鏈虹墿澧炲(tai)姞(ji)寰堝(guo)揩(kai)錛屽(han)�鏄撲駭(hai)鐢熻(xi)厫孌栬(zui)川(chuan)錛屽苟浼(mei)存湁(chi)闅(wen)鵑(juan)椈(ju)姘(pin)斾綋(hong)錛涘(si)悓鏃(zu)惰(duo)繖浜涙(lei)薄姘(pin)翠(cui)腑閾(yu)溿€佷(hen)簹(dang)閾呫€侀(xing)敯(min)銆(mo)侀(xing)摤(chuang)絳(jiang)夐噾(yin)灞(ba)炵�瀛愬惈閲(yue)忚緝(ji)澶氾紝(ren)緇(zi)嗚(wu)弻銆佸(huo)ぇ鑲(xiang)犺弻緹(ti)や篃(mei)甯告湁瓚(zan)呰繃鍥藉(ji)�鎺(zu)掓斁鏍(luo)囧噯錛(ben)屾(shen)墍浠ラ�鍝佸巶搴熸按瑕佺(quan)粡(tong)榪(ma)囧(jiong)�鐞嗗(wa)悗(man)鎵(jia)嶈兘鎺(zu)掓斁(yi)銆�

椋(liang)熷(zeng)搧(shan)宸ヤ笟(gu)姹℃按(an)澶(chan)勭(tong)悊(zhe)鐢ㄨ仛涓欑(cuan)儻閰(ju)拌兒灝(hao)嗗簾姘(pin)翠(cui)腑(fu)鐨勬薄鏌(mo)撶墿(yi)鎴(xi)愬(su)垎杞(qi)�寲(yi)涓(juan)烘棤瀹崇(chong)墿(yi)璐(lu)�紝(ren)浣垮(kua)簾(lian)姘邨緱鍒(rou)闆噣鍖栥€傚父(fu)鐢(fan)ㄧ殑(qing)鑽(zuan)�墏(qiang)鏈夛(duo)細(xi)鑱氫(qing)笝(na)鐑�叞鑳恆(heng)€佺煶鐏(zun)般(ban)€佷(hen)簹(dang)閾(yu)併€佷笁(zhu)姘�寲(yi)閾佸(huo)拰閾濈瓑銆(mo)傜(yao)煶鐏(zun)頒竴(cun)鑸�笉(qin)鍗(ti)曠嫭(hu)浣(huan)跨敤(ke)錛(ben)屽父涓(juan)庡(yi)叾浠栬(zui)嵂(lv)鍓傞(suo)厤(li)鍚堜(lian)嬌(jiao)鐢(fan)�紝(ren)鎶曡(die)嵂閲忓(gan)拰pH鍊煎疁(liu)閫(kun)氳(yun)繃(beng)璿曢(liao)獙(bi)紜(yun)�畾(lei)銆(mo)傜敱(ai)浜(bang)庨�鍝佺(quan)�綾葷(hun)箒澶氾(fan)紝(ren)鍘(zha)熸(jian)枡鏉ユ簮(zan)騫挎硾(zhui)錛岄�鍝佸伐涓氭(dong)薄(bao)姘(pin)邨(cun)叿鏈夋偓嫻�墿銆佹(gui)補鑴傚惈(guo)閲忛(fan)珮(pei)錛岄(yue)噸閲(yue)戝睘(qiong)紱(fu)誨瓙澶(chan)氾(fan)紝(ren)COD鍜(xia)孊OD鏁闆(ban)€煎(jian)ぇ錛岄�鍝佸伐涓(juan)氭(dong)薄姘(pin)邨湪澶(chan)勭悊榪囩▼涓�細(xi)浜(bang)х敓姹℃償銆佸(huo)簾娌廣(guang)€佸(huo)簾(lian)閰(ju)搞(gao)€佸簾紕(pi)便€佸姞宸(chen)ヨ繃紼嬩(yu)腑(fu)浜х敓鐨勫(fan)姩(nian)妞(niu)嶇墿(yi)搴熷純(chun)鐗╅�鍝(yu)佸(huo)伐(fa)涓(juan)氭(dong)薄姘(pin)邨�鐞(nou)嗙(pang)敤(ke)鑱(chan)氫(qing)笝(na)鐑(qie)�叞(wei)鑳(jian)轟(hong)篃鑳借(jie)繘(yu)琛(chen)屾(shen)棤(cuo)瀹衝(chong)寲澶(chan)勭(tong)悊銆�

椋(liang)熷(zeng)搧(shan)搴(qian)熸按(an)澶(chan)勭悊(zhe)宸(chen)ヨ壓錛(ben)� 鐗(jian)╃悊澶勭悊(zhe)娉(ping)� 鐗╃悊澶(chan)勭(tong)悊(zhe)娉(ping)曟槸鎸囧(jiong)簲鐢ㄧ墿鐞(nou)嗕綔鐢(fan)ㄦ敼鍙(hu)樺(hua)簾(lian)姘(pin)存垚(yao)鍒(rou)嗙(pang)殑(qing)澶勭(tong)悊(zhe)鏂槼(gui)硶銆傜(yao)敤(ke)浜庨(xiao)�鍝佸(huo)伐涓氬簾姘(pin)邨(cun)�鐞(nou)嗙殑(qing)鐗╃悊(zhe)澶勭悊娉曟(chen)湁絳涙(lei)護(hu)銆(mo)佹(gui)拠(ju)闄ゃ€佽皟鑺(qu)傘(san)€佹矇娣€銆(mo)佹(gui)皵(que)嫻(xian)�€佺(quan)�蹇(jian)冨(fu)垎(he)紱滙€佹(gui)護銆(mo)佸井婊ょ瓑銆傚墠(shan)浜(bang)旂�宸(chen)ヨ壓(ya)澶(chan)氱(yang)敤(ke)浜(bang)庨(xiao)�澶(chan)勭(tong)悊(zhe)鎴(xi)栦(chou)竴(cun)綰(wan)у�鐞嗭(zhi)紝鍚(yang)庝(tong)笁(zhu)縐(zhou)嶄(zhan)富(fu)瑕(xia)佺(quan)敤(ke)浜庢緐搴(qian)﹀�鐞(nou)嗐€�

錛(ben)�1錛�鎾囬櫎 鏌愪(yun)簺椋熷(zeng)搧宸ヤ笟(gu)搴熸(jian)按涓(juan)�惈鏈(lian)夊(sui)ぇ閲忕殑娌(li)硅剛(gang)錛(ben)岃繖(san)浜(bang)涙(lei)補鑴(xi)傚繀欏(luo)誨湪(tuan)榪涘叆鐢(fan)熺墿澶勭(tong)悊宸(chen)ヨ壓鍓(ji)嶄簣浠ラ櫎鍘伙紝鍚(yang)﹀垯浼氶(zheng)€犳垚綆￠亾銆(mo)佹按(an)娉靛(dian)拰涓(juan)€浜(bang)涜�澶(chan)囩(yun)殑(qing)鍫靛�錛岃繕浼(mei)氬�鐢(fan)熺(xi)墿澶勭悊宸ヨ壓閫(kun)犳(zhuo)垚涓€瀹氱(yang)殑褰(qian)卞(bian)搷(tian)銆傛(yong)�澶(chan)栵(lie)紝娌硅剛闄(yao)ゅ幓騫(qian)跥洖鏀(lu)跥張鏈(lian)夎(cuo)緝澶х殑緇忔(qi)祹(tao)浠峯€箋€� 搴熸按(an)涓�殑(qing)娌硅剛鏍(luo)槼(gui)嵁(kan)鍏剁墿(yi)鐞(nou)嗙(pang)姸(yan)鎬(hao)佸(huo)彲鍒(rou)嗕負娓哥�婕傛(yong)誕鐘(zhong)跥拰(nin)涔衝寲(yi)鐘(zhong)朶(duo)袱(fu)澶х被銆(mo)傞(suo)€氬父(fu)闅(wen)旀補(bu)姹犻(bo)櫎(huang)鍘繪紓(shu)嫻(xian)�姸娌(li)硅剛銆(mo)傞殧娌(li)槼(gui)睜瀵槼(gui)紓嫻(xian)�姸娌硅剛(gang)鐨勫幓(shan)澶勭(tong)巼(ba)鍙�揫90%浠(xi)ヤ笂(wan)銆(mo)傚�鏋(man)滃�鐞嗘(ji)祦(wu)紼嬩(yu)腑(fu)璁炬湁(chi)璋(zhang)冭妭(ba)姹(cha)犳(zhuo)垨(shou)娌夋穩(wen)姹狅紝鍒(rou)欓殧(jiu)娌槼睜鍙(hu)�笌璋冭妭(ba)姹(cha)犳垨(shou)鍒(rou)濇(se)矇姹犲悎鐢(fan)ㄧ粺(bai)涓€鏋勭(tong)瓚鐗╋紝鍙�妭(ba)鐪佹(gui)姇(fu)璧勫(fan)拰(nin)鍗犲(chai)湴(ban)銆(mo)傚(xiao)�灝忓瀷(yi)澶勭(tong)悊緋葷(hun)粺錛(ben)屽(han)彲(chi)璁(cong)炬補姘邨垎紱(fu)誨櫒(sa)鎾(wen)囨(pian)補(bu)銆(mo)�

錛�2錛�絳(jiang)涙(lei)護 絳涙護鏄��澶勭(tong)悊(zhe)涓(juan)�嬌(jiao)鐢ㄥ箍(gu)娉涚殑涓(juan)€縐(zhou)嶆(cao)柟(nan)娉曘€備(bei)富瑕佷綔(hu)鐢ㄦ槸浠庡簾姘(pin)翠腑鍒(rou)嗙(pang)�鍑鴻緝綺(qi)楃(wo)殑鍒(rou)嗘(ji)暎(ying)鎬ф偓(wo)嫻�浐(chan)浣撶(hua)墿銆傛墍(xi)鐢ㄧ殑璁懼(ju)�鏈(lian)夋牸(zi)鏍(luo)呭拰鏍肩(jian)瓫(pen)銆(mo)傛牸(zi)鏍(luo)呮嫤鎴�緝(ji)綺(qi)楃殑(qing)鎮�誕鍥(qie)轟(hong)綋錛(ben)屽(han)叾浣(huan)滅(mie)敤鏄�繚鎶ゆ按(an)娉(ping)靛(dian)拰鍚(yang)庣(tiao)畫澶勭(tong)悊(zhe)璁懼(ju)�銆(mo)傞(suo)�鍝(yu)佸(huo)伐涓(juan)氬(ya)簾(lian)姘翠(cui)腑甯(ning)哥敤(ke)鐨(fei)勬(juan)牸絳涙湁鍥(qie)鬨(hong)畾絳(jiang)涖(li)€佽(ci)漿鍔(e)ㄧ瓫鍜岄渿(nai)鍔ㄧ瓫絳(jiang)夛紝鏍(luo)肩(jian)瓫(pen)杈�甯(ning)哥敤鐨(fei)勫(fan)瓟(bo)寰(huan)勬槸10鈥(huo)�40鐩�€�

錛�3錛�璋(zhang)冭妭(ba) 瀵逛(guang)簬(lu)姘磋(cuo)川(chuan)姘(pin)撮噺(xin)鍙樺(hua)寲(yi)騫(qian)呭害(hai)澶х殑椋熷(zeng)搧(shan)宸(chen)ヤ笟(gu)搴(qian)熸按錛(ben)屽父(fu)璁(cong)劇疆(jiang)璋(zhang)冭妭(ba)姹犲�搴(qian)熸按鐨勬按(an)璐ㄥ拰姘撮噺(xin)榪(ma)涜�璋冭妭錛(ben)岃皟(ze)鑺傛(yong)椂(lu)闂翠(cui)竴(cun)鑸(lei)�負6鈥�24h錛屽(han)�涓�6鈥(huo)�12h宸(chen)﹀彸銆(mo)傝(tan)皟鑺(qu)傛睜瀹(yue)歸噺涓(juan)烘棩(yuan)澶(chan)勭悊搴熸(jian)按(an)閲(yue)忕殑

錛(ben)�4錛�姘(pin)旀誕 姘旀(mei)誕涓昬�鐢(fan)ㄤ簬(lu)闄ゅ幓(shan)椋熷搧宸(chen)ヤ笟(gu)搴熸(jian)按(an)涓�殑涔衝(chong)寲(yi)娌廣€佽〃闈(wei)㈡椿鎬(hao)х墿璐(lu)ㄥ拰鍏朶(duo)粬(qu)鎮�誕(dan)鍥(qie)轟(hong)綋銆(mo)傛湁鐪熺┖寮(liao)忔皵嫻(xian)�€佸姞(ji)鍘(zha)嬫(rong)憾(han)姘(pin)旀皵嫻(xian)�拰(nin)鏁ｆ皵綆(geng)★紙(zhi)鏉(shou)匡級寮忔(qi)皵嫻(xian)�€傚綋(hong)搴熸按榪(ma)涘叆瀹瓌(gui)櫒(sa)姘(pin)旀誕(dan)姹(cha)犱箣(ce)鍓(ji)嶏(pei)紝(ren)寰€姘(pin)翠腑(fu)鎶曞(li)姞鍖(chen)栧(yi)�娣峯(feng)嚌(ji)鍓(ji)傛垨(shou)鍔╁嚌鍓(ji)傦(gu)紝鍙(hu)�彁楂樹(shu)鉤鍖栨(ci)補(bu)鑴(xi)傚(xiao)拰(nin)鑳(jian)朶(duo)綋(hong)鎮(zhen)�誕箠(chui)楃(wo)矑鐨勫幓闄(yao)ょ巼銆傛嵁璧(bi)勬枡浠(xi)嬬(ru)粛(su)錛屾(shen)皵(que)嫻(xian)�彲闄(yao)ゅ幓90%浠ヤ笂鐨(fei)勬(juan)補鑴傚(xiao)拰40%鈥(huo)�80%鐨凚(jin)OD5鍜孲(ya)S銆傛皵嫻�睜(zheng)HRT涓(juan)€鑸�30min銆(mo)�

錛�5錛(ben)夋矇娣€ 娌夋(qun)穩鏄(tuan)�敤鏉ラ櫎鍘誨師(shi)搴(qian)熸按(an)涓(juan)�棤(cuo)鏈鬨浐浣撶墿鍜(xia)屾(shen)湁鏈(lian)鬨(hong)浐浣撶(hua)墿(yi)錛(ben)屼互鍙婂(mian)垎(he)紱(fu)葷敓鐗╁�鐞嗗(wa)伐(fa)鑹轟腑鐨勫(fan)浐鐩(sui)槀拰娑茬(cha)浉銆(mo)傜(yao)敤(ke)娌(li)夌爞姹犻(bo)櫎(huang)鍘誨師(shi)搴熸按(an)涓(juan)�殑鏃(zu)犳満鍥(qie)轟綋(hong)鐗╋紱(fu)鐢ㄥ垵(an)娌夋(qun)睜(zheng)闄(yao)ゅ幓鍘熷簾姘翠腑(fu)鐨(fei)勬(juan)湁(chi)鏈鬨(hong)浐浣(huan)撶(hua)墿(yi)錛涚敤(ke)浜屾矇姹犲(chai)垎(he)紱葷(hun)敓鐗╁�鐞(nou)嗗伐(fa)鑹(cuan)轟腑鐨勭(tong)敓(duo)鐗╃浉鍜屾恫鐩(sui)革紝(ren)娌夌(ling)爞(chong)姹(cha)犱竴(cun)鑸(lei)��鍦(shi)ㄦ牸鏍呭(yi)拰鏍肩瓫涔(cen)嬪悗銆備(bei)負(fu)浜嗘(ji)竻闄ゅ簾姘(pin)翠腑鏃(zu)犳(zhuo)満鍥轟(hong)綋鐗╄〃闈㈢殑鏈夋(qun)満(man)鐗╋紝閬垮(kua)厤搴(qian)熸(jian)按(an)涓�湁鏈(lian)鬨(hong)浐(chan)浣(huan)撶墿鍦(shi)ㄦ矇鐮傛睜(zheng)涓�駭(hai)鐢(fan)熸矇娣€錛屽彲閲(yue)囩(yun)敤鏇(xuan)濇(se)皵(que)娌夌爞(chong)姹(cha)犮€傞噰鐢ㄥ垵娌(li)夋睜(zheng)鍙(hu)�檷浣庡悗(man)緇�伐(fa)鑹(cuan)虹(hong)殑(qing)璐熻(xi)嵎銆(mo)傚(xiao)垵(an)娌夋睜闄(yao)ゅ幓(shan)鎮�誕(dan)鍥轟(hong)綋(hong)鐨(fei)勬(juan)晥(wan)鏋滀笌鍔犲伐(fa)鐨(fei)勫(fan)師鏂(ou)欏拰(nin)浜(bang)у搧(shan)鏈(lian)夊(sui)叧(gua)銆(mo)傛(yong)寜姹(cha)犱腑鐨勬按(an)嫻(xian)佹柟鍚戝垎(he)涓鬨鉤(gou)嫻(xian)佹矇娣(di)€姹(cha)犮(ba)€佺珫嫻(xian)佹(gui)矇娣€姹(cha)犮€佽(ci)緪嫻佹(gui)矇(meng)娣(di)€姹犮€備負浜嗘(ji)彁(ge)楂樻(kui)矇娣(di)€姹(cha)犵殑(qing)娌夋穩(wen)鏁堢巼錛(ben)屽彲(chi)鍦ㄦ矇(meng)娣€姹(cha)犲唴璁(cong)劇疆(jiang)騫(qian)寵�鐨(fei)勬(juan)枩(song)鏉挎垨鏂(ou)滅�鑰屾(shen)垚鏂滄澘錛堢�錛夋矇(meng)娣(di)€姹(cha)犮(ba)€備竴(cun)鑸(lei)�矇(meng)娣€鏃(zu)墮(duo)棿(ni)1.5鈥(huo)�2.0h銆� 鍦(shi)闆(ban)煁寮忕(shi)敓(duo)媧繪(hui)薄(bao)姘(pin)邨(cun)�鐞嗚(wu)�緗�彲(chi)鍩(tian)嬪叆(ai)鍦拌〃浠(xi)ヤ笅錛(ben)屽(han)湴(ban)琛ㄥ彲(chi)浣(huan)滀(chu)負(fu)緇(zi)垮(kua)寲(yi)鎴(xi)栧(yi)箍鍦(shi)虹(hong)敤(ke)鍦(shi)幫(bang)紝鍥犳�璿ヨ�澶囦(yuan)笉鍗(ti)犲(chai)湴(ban)琛(chen)ㄩ潰縐(zhou)�紝涓嶉渶鐩(sui)栨(ci)埧錛屾(shen)洿(wu)涓嶉渶閲(yue)囨(pian)殩(cuan)淇濇頫(fu)銆傝(tan)�緗(xiang)�厤濂(lian)楀(yu)叏(guai)鑷(nie)�姩鐢靛(dian)櫒鎺у埗緋(fei)葷粺(bai)鍙婅�澶(chan)囨崯(yin)鍧忔姤(gou)璀(cui)︾郴緇(zi)燂紝(ren)璁懼�鍙(hu)�潬鎬уソ錛(ben)屽(han)洜(luo)姝ゅ鉤鏃(zu)朶竴鑸�棤闇€涓(juan)撲漢(han)綆＄悊(zhe)錛屽彧(yu)闇(an)€姣(jiao)忔湀(gui)鎴(xi)栨瘡瀛ｅ害(hai)鐨勭(tong)淮淇(qi)�繚鍏(wei)滙€�