璩�(g貌u)鐗╂寚鍗�
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鏀粯鏂瑰紡
閰嶉€佹湇鍕�(w霉)
鍞悗鏈嶅嫏(w霉)
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鍚堢悊鐢ㄨ棩鎵嶈兘鍦ㄦ不鐧傜柧鐥呮湡闁撴笡灏戝皪(du矛)鑷韩鐨勫偡瀹筹紝鐠�(hu谩n)瀛㈢礌杌熻啝鍥婅鏄庢浉涓殑鐢ㄦ硶鐢ㄩ噺s 鎴愪汉鍙ｆ湇甯哥敤閲忥細闁嬪鍔戦噺鎸夐珨閲嶆瘡鏃�12-15mg锛弅g锛�1锝�2鍛ㄥ悗閫愭几娓涢噺锛屼竴鑸瘡鍛ㄦ笡灏戦枊濮嬬敤钘ラ噺鐨�5锛咃紝缍寔閲忕磩鐐烘瘡鏃�5锝�10mg锛弅g锛涘皪(du矛)浣滅Щ妞嶈(sh霉)鐨勬偅鑰咃紝鍦ㄧЩ妞嶅墠4锝�12灏忔檪(sh铆)绲﹁棩銆� 瑭虫儏
姘熸瘮娲涜姮鍑濊啝璨艰啅鏄竴绋鐢ㄨ啅钘ワ紝鍦ㄦ棩甯哥敓娲讳腑鐨勪娇鐢ㄩ牷鐜囩浉灏�(du矛)杓冮珮銆傛盁姣旀礇鑺嚌鑶犺布鑶忓皪(du矛)瀛曞│鐨勫畨鍏ㄦ€у皻涓嶇⒑瀹氾紝灏�(du矛)浜庡瓡濠︽垨鍙兘濡婂鐨勫│濂筹紝鍙湁鍦ㄥ垽鏂锋不鐧備笂鐨勭泭铏曢珮浜庡嵄闅�(xi菐n)鎬ф檪(sh铆)鎵嶄娇鐢ㄣ€� 瑭虫儏
钃夌敓闈滀笝锛堥潨娉ㄤ汉鍏嶇柅鐞冭泲鐧�(pH4)锛変笉鑹弽鎳�(y墨ng)锛氫竴鑸劇涓嶈壇鍙嶆噳(y墨ng)銆傛サ鍊�(g猫)鍒ョ梾浜哄湪杓告敞鏅�(sh铆)鍑虹従(xi脿n)涓€閬庢€ч牠鐥涖€佸績鎱屻€佹儭蹇冪瓑涓嶈壇鍙嶆噳(y墨ng)锛屽父甯歌垏杓告敞閫熷害閬庡揩鎴栧€�(g猫)楂斿樊鐣版湁闂�(gu膩n)銆傛偅鑰呭湪浣跨敤姝よ棩鐗╃殑鍚屾檪(sh铆)锛岃(di脿o)鏁村ソ鑷繁鐨勭敓娲荤繏(x铆)鎱ｏ紝浠ラ厤鍚堣棩鐗╃殑娌荤檪銆傜洝閲忓悆涓€浜涙竻娣＄殑椋熺墿锛屽皯鍚冩补鑶╁拰涓嶆槗娑堝寲鐨勯鐗╋紝浠ュ厤鍔犻噸韬珨璨�(f霉)鎿�(d膩n)銆備篃瑕佷繚鎸佽壇濂界殑浣滄伅缈�(x铆)鎱ｏ紝淇濊瓑鍏呰冻鐨勭潯鐪犳檪(sh铆)闁擄紝閬垮厤鐔鍜岄亷搴﹀嫗绱€� 瑭虫儏
姘熸瘮娲涜姮鍑濊啝璨艰啅鍜屾墍鏈夎棩鍝佷竴妯ｏ紝鍦ㄦ不鐧傞亷绋嬩腑鏈夊彲鑳芥渻(hu矛)寮曡捣鍓綔鐢ㄣ€傛盁姣旀礇鑺嚌鑶犺布鑶忚鏄庢浉鐨勫毚(y谩n)閲嶄笉鑹弽鎳�(y墨ng)瑾樼櫦(f膩)鍝枠(闃垮徃鍖规灄鍝枠)锛氱敱浜庡彲瑾樼櫦(f膩)鍝枠(闋诲害涓嶆槑)锛屾墍浠ョ暥(d膩ng)鍑虹従(xi脿n)鍛煎惛鐣板父銆佸懠鍚稿洶闆ｇ瓑鍒濇湡鐧ョ媭鏅�(sh铆)鎳�(y墨ng)鍋滄浣跨敤銆� 瑭虫儏
鑹炬媺鑾痉鐗囧湪甯傞潰涓婄殑鍍�(ji脿)鏍肩附鏄渻(hu矛)瀛樺湪娉㈠嫊(d貌ng)鎬э紝鑰屾偅鑰呬篃鎳�(y墨ng)瑭插埌鍏烽珨鐨勯啱(y墨)闄㈡垨钘ュ簵鍘昏鍟忋€傝壘鎷夎帿寰风墖娌荤檪娲诲嫊(d貌ng)鎬ч棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐庯紝瑾槑鏇镐腑鐨勭敤娉曠敤閲忔槸鍙ｆ湇锛屼竴娆�25mg 锛�1鐗囷級锛岄／鍚庢湇鐢紝涓€鏃�2娆★紝鏃┿€佹櫄鍚�1娆°€� 瑭虫儏
瀛曞│鍦ㄦ不鐧傜柧鐥呮檪(sh铆)瑕佹湁姝ｇ⒑鐨勬柟妗堬紝鐠�(hu谩n)瀛㈢礌杌熻啝鍥婂彲閫�(j矛n)鍏ヤ钩姹侊紱灏�(du矛)鍝轰钩鐨勫鍏掑彲鐢�(ch菐n)鐢熼珮琛€澹撱€佽厧姣掓€с€佹儭鎬ц叓鐦ょ瓑涓嶈壇浣滅敤鐨勬經鍦ㄥ嵄闅�(xi菐n)鎬э紝鏁呯敤鏈搧鏈熼枔涓嶅疁鍝轰钩銆� 瑭虫儏
娉涚鑸掍富瑕佹槸鐢ㄤ簬鍏嶇柅娌荤檪锛屽彲鎻愰珮浣跨敤鑰呯殑鍏嶇柅鍔熻兘锛屽彲鐢ㄤ簬鎬ユ€ф垨鎱㈡€у懠鍚搁亾鎰熸煋绛変汉缇ゃ€傛牴鎿�(j霉)瑾槑鏇稿収(n猫i)瀹瑰彲鐭ユ硾绂忚垝鍕�(d貌ng)鐗╃敓娈栬│椹�(y脿n)鏈灏�(du矛)鑳氳儙鏈変换浣曞嵄闅�(xi菐n)锛屼絾灏氱劇浜洪珨瀛曞│瑭﹂(y脿n)鏁�(sh霉)鎿�(j霉)銆� 瑭虫儏
绲�(ji茅)鍚堟偅鑰呯殑娌荤檪闇€姹傚拰鐥呮儏鍤�(y谩n)閲嶇▼搴︿笉鍚岋紝鍏烽珨鐨勬不鐧傚畨鎺掑苟涓嶄竴妯ｏ紝鎮ｈ€呮湅鍙嬫噳(y墨ng)瑭插湪閱�(y墨)鐢熺殑鎸囧皫(d菐o)涓嬪悎鐞嗙殑浣跨敤姝よ棩鍝併€傜窗(x矛)鑿屾憾瑙ｇ敘(ch菐n)鐗╄啝鍥婅鏄庢浉涓殑鐢ㄦ硶鐢ㄩ噺鏄爯(y霉)闃插拰/鎴栭瀼鍥烘不鐧傦細姣忔棩绌鸿吂鍙ｆ湇涓€绮掞紝姣忔湀閫ｇ敤10澶╋紝閫ｇ簩(x霉)浣跨敤3鍊�(g猫)鏈堢偤涓€鐧傜▼銆� 瑭虫儏
钃夌敓闈滀笝鍙兘鍦ㄩ啱(y墨)鐢熺殑鎸囧皫(d菐o)涓嬬敤浜庣浉闂�(gu膩n)鐤剧梾浜虹兢锛屽苟涓斿湪娌荤檪鏈熼枔鏈�(hu矛)鏈変笉鍚岀殑琛ㄧ従(xi脿n)銆傝搲鐢熼潨涓欐不鐧傚師鐧�(f膩)鎬у厤鐤悆铔嬬櫧G缂轰箯鐧ワ紝濡俋鑱�(li谩n)閹栦綆鍏嶇柅鐞冭泲鐧紾琛€鐧ワ紝甯歌璁婄暟鎬у厤鐤己闄风梾锛屽厤鐤悆铔嬬櫧G浜為缂洪櫡鐥呯瓑銆� 瑭虫儏
鑹炬媺鍙互鐢ㄤ簬鏌愪簺灏栭姵婵曠枺鐨勬不鐧傦紝鍦ㄦ不鐧傛湡闁撳彲鑳戒篃鏈�(hu矛)鏈変笉鍚岀殑琛ㄧ従(xi脿n)锛屼篃鎳�(y墨ng)瑭插湪涓嶅悓鐨勫钩鑷�(t谩i)鏈変笉鍚岀殑鍍�(ji脿)鏍艰(gu墨)瀹氥€傝壘鎷夊粻瀹舵槸涓婃捣寰�(f霉)鏃﹀嫉姹熺敓鐗╅啱(y墨)钘ヨ偂浠芥湁闄愬叕鍙革紝鐢ㄤ簬娌荤檪灏栭姵婵曠枺锛屽挨鍏堕仼鐢ㄤ簬鐧�(f膩)鐢熷湪灏块亾鍙ｇ殑灏栭姵婵曠枺锛屼笖鍠€�(g猫)鐤ｉ珨鐩村緫鏈€濂戒笉瓒呴亷0.5cm銆� 瑭虫儏
寮�(qi谩ng)鐩涳紙鐠�(hu谩n)瀛㈢礌杌熻啝鍥婏級瀛曞│鍙婂摵涔虫湡濠﹀コ鐢ㄨ棩锛氭湰钘ュ搧鍙€�(j矛n)鍏ヤ钩姹併€傚湪鏆仠鍝轰钩鏈熼枔锛屽摵涔虫湡濠﹀コ鍙互閬告搰浣跨敤鍏朵粬瀹夊叏鐨勫杺椁�(y菐ng)鏂瑰紡锛屽浜哄伐鍠傞(y菐ng)绛夛紝濡傛灉瀣板厭鍦ㄦ毇鍋滃摵涔虫湡闁撳嚭鐝�(xi脿n)浠讳綍鐣板父鐧ョ媭鎴栧仴搴峰晱椤岋紝鎳�(y墨ng)绔嬪嵆灏遍啱(y墨)鍜ㄨ銆� 瑭虫儏
鐠�(hu谩n)瀛㈢礌杌熻啝鍥婇渶瑕佸湪閱�(y墨)鐢熺殑鎸囧皫(d菐o)涓嬫噳(y墨ng)灏�(du矛)鐥呮儏锛岃兘澶犻仼鐣�(d膩ng)?sh霉)娣栭緤寮ュ鐓裤伔槌庮儫杌岃渻鈷佸籂鍗簍(y墨)鐢熺殑鎸囧皫(d菐o)涓嬪垽鏂峰悗鏈熺殑娌荤檪瑷�(j矛)鍔冦€傜挵(hu谩n)瀛㈢礌杌熻啝鍥婅鏄庢浉涓殑鐢ㄦ硶鐢ㄩ噺s 鎴愪汉鍙ｆ湇甯哥敤閲忥細闁嬪鍔戦噺鎸夐珨閲嶆瘡鏃�12-15mg锛弅g锛�1锝�2鍛ㄥ悗閫愭几娓涢噺锛屼竴鑸瘡鍛ㄦ笡灏戦枊濮嬬敤钘ラ噺鐨�5锛咃紝缍寔閲忕磩鐐烘瘡鏃�5锝�10mg锛弅g锛涘皪(du矛)浣滅Щ妞嶈(sh霉)鐨勬偅鑰咃紝鍦ㄧЩ妞嶅墠4锝�12灏忔檪(sh铆)绲﹁棩銆� 瑭虫儏
闈炲竷鍙镐粬鐗囦竴鑸笉鑳界敤浜庡瓡濠︼紝涔熶笉鑳界敤浜庡皪(du矛)钘ュ搧鎴愬垎閬庢晱鐨勪汉缇わ紝浣嗘槸閫氶亷瑾槑鏇哥殑鍏�(n猫i)瀹瑰彲浠ョ煡閬撳瓡濠︽垨鍙兘鎳峰瓡鐨勫│濂冲儏鍦ㄧ⒑瑾�(r猫n)娌荤檪涓婄殑鐩婅檿澶т簬鍗遍毆(xi菐n)鎬х殑鎯呮硜涓嬫柟鍙郸闈炲竷鍙镐粬鐗囥€� 瑭虫儏
姘熸瘮娲涜姮鍑濊啝璨艰啅鐢ㄦ硶鏄竴鏃�2娆★紝璨间簬鎮ｈ檿銆傛盁姣旀礇鑺嚌鑶犺布鑶忔暦璨肩殑鏅�(sh铆)闁撲竴鑸6鍊�(g猫)灏忔檪(sh铆)鍒�8鍊�(g猫)灏忔檪(sh铆)宸﹀彸锛岀暥(d膩ng)鐒朵篃鍙牴鎿�(j霉)鍊�(g猫)浜虹殑鎯呮硜渚嗙⒑鍒囩殑瀹夋帓锛屽彧瑕佸湪浣跨敤鏈熼枔娌掓湁鍑虹従(xi脿n)绱呰叓鍜岀槞鐧㈢瓑鍓綔鐢紝閭ｄ箞閮藉彲浠ラ仼鐣�(d膩ng)?sh霉)闅惧ūL(zh菐ng)鏁疯布鏅�(sh铆)闁撱€� 瑭虫儏
鎮ｈ€呴渶瑕佽€冩叜鐨勬不鐧傛檪(sh铆)闁撳拰娌荤檪鍛ㄦ湡骞朵笉鐩稿悓锛岃€屾偅鑰呬篃鎳�(y墨ng)瑭茶娉ㄦ剰绌嶆サ鐨勫幓闂�(gu膩n)娉ㄧ敤钘ユ柟妗堬紝闇€瑕侀仼鐣�(d膩ng)?sh霉)濞溿儣榫婄背o(h霉)鐞嗙浉闂�(gu膩n)鐨勫伐浣溿€傝壘鎷夎帿寰风墖娌荤檪娲诲嫊(d貌ng)鎬ч棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐庯紝瑾槑鏇镐腑鐨勭敤娉曠敤閲忔槸鍙ｆ湇锛屼竴娆�25mg 锛�1鐗囷級锛岄／鍚庢湇鐢紝涓€鏃�2娆★紝鏃┿€佹櫄鍚�1娆°€� 瑭虫儏
鏄嗘槑灞辨捣妫犵墖鍍�(ji脿)鏍煎彈寰堝鍥犵礌鐨勫奖闊匡紝涓嶅悓鐨勫湴鏂硅卜钘ョ墿鍍�(ji脿)鏍间笂鏄湁宸暟鐨勶紝寤鸿鎮ｈ€呰鍦ㄦ瑕�(gu墨)鐨勯€斿緫渚嗚臣(g貌u)璨疯棩鐗┿€傞棰�(f膿ng)婵曟€ч棞(gu膩n)绡€(ji茅)鐐庢偅鑰呰绌嶆サ鐨勯厤鍚堥啱(y墨)甯娇鐢ㄨ棩鐗╋紝骞虫檪(sh铆)涔熻鍚冧竴浜涙竻娣＄殑椋熺墿渚嗛€�(j矛n)琛岃韩楂旂殑瑾�(di脿o)鐞嗐€� 瑭虫儏
钃夌敓闈滀笝锛堥潨娉ㄤ汉鍏嶇柅鐞冭泲鐧�(pH4)锛夐仼鎳�(y墨ng)鐧ワ細娌荤檪鍘熺櫦(f膩)鎬у厤鐤悆铔嬬櫧G缂轰箯鐧ワ紝濡俋鑱�(li谩n)閹栦綆鍏嶇柅鐞冭泲鐧紾琛€鐧ワ紝甯歌璁婄暟鎬у厤鐤己闄风梾锛屽厤鐤悆铔嬬櫧G浜為缂洪櫡鐥呯瓑銆傛偅鑰呰娉ㄦ剰澶氫紤鎭紝閬垮厤閬庡害鐨勫嫗绱紝涓嶈闀�(zh菐ng)鏅�(sh铆)闁撶殑涔呯珯銆傞仼閬╃暥(d膩ng)?sh霉)鐢疯徆鈪差儯缂撻瑏p杓曢棞(gu膩n)绡€(ji茅)閮ㄤ綅鐨勮矤(f霉)鎿�(d膩n)銆� 瑭虫儏
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