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ͷʹ

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ͷʹ
Ѫڿ,ڿ,ʪ,,˿,񲡿,ҽ,ڿ,,
ͷʹؼ
Ĺܲȫ,֧ԭ,̬񼷿ۺ,֢,Էϸ֢,Ѵۺ,Է,ȾĤ,Է,ļ
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ͷʹ

ͷʹٴ֢״֮һϵͳж䲡ʮָʸȺм90%һжͷʹ˳ͷʹǽڸðijʵͷʹһ֢״һּͷʹһָǰüë²ϼͷ­ϰ벿һΧʹ

ͷʹ

һ

­ʹ֢֯ܵ˻ѹǣչλضͷʹ

һ Ѫܱѹǣչλµͷʹ

ڣ1­ռλԲŧѪ׵ʹѪ
ѹǣչλ2­ѹߣԻˮˮѪ˨γҳѹȶ3­ڵѹ˺ԼҺʧ϶­ڵѹ

ԭ­⶯ŵµͷʹ

­⼱ԸȾʱԭ嶾ؿţлԼѪ̼Ѫ֢ȱжԼһ̼жƾжȣ񲲡ͻԸѪѹȸϸ׵ȣ

ĤܵѧԴ̼

1ϸĤ Ĥ˫˫󳦸˾ŧ˾θ˾˾׸˾˸˾ϸ˾

2Ĥ 糦ýײ

3ȾĤ ˴γ没װҳ没Ѫ

4ѪԼҺ ĤǻѪѪܼ˵ӲĤ׼Ĥ֢Ӧ

5Ĥ 簩֢ĤתѪܰĤ

6ӦĤ ̷ȫȾжԼǸȾ

7һעҩӰ ˮԻˮΪѧ֤ʵĤ׷Ӧ

ģͷ־õ

ͷԾ羱׵Թؽڲ˻׵̲

񾭼񾭽ѹȻ֢

ѹȵ

ݵȴIJ

ɢ䵽ͷ沿ķʹ

ڷ

Ůƫͷʹηഺ¾ں÷ڻֹͣͷʹ¾ͷʹʹԼҩʹֹͣ

˥񯲡֢

ͷʹ

һʷ

ͷʹϵͳij֢״ѯʲʷʱӦ1ͷʹķٶ2ͷʹIJλͷʹһǶͷʹΪʹʹʹѿʹʹʹ3ͷʹʱʱ4ͷʹ޹dzעʱλͷλԼԼҺѹʱߵĶűȣ޹ϵ5ͷʹij̶ͷʹ̶ܲ䲿λ𺦳̶ȼ巴ӦӰͷʹij̶ȲܷӦƽйϵ̶ǷӰ칤˯6ͷʹշؼ7ȫԼͷ沿Լݼص8ͷʹİ֢״޶Żʧ̱ʵЩҩЧЩҩЧ

ͷʹʱ˨쳣ӦݲʷĿĵؽкļ۵׼ͷǻ鼰ϵͳλѧ˻Ӧע

1Ѫͼ­ճ ʱƫͷʹԼͷʹ

2CTMRI ڻŧѪ­ѹԻˮˮѪ˨γҳ没

3 ڻ­֢ĤѪԼĤǻѪ

4ڷ߼ ƫͷʹڷµͷʹ

5ƽƬ ڸ׵

6Եͼ ͷʹ׼ų

ͷʹ

ͷʹϽΪһ͵ͷʹԽǽͷʹص£

һ ƫͷʹ

ƫͷʹһֳķ­Ѫ˶񾭹ʧԸԼٴصΪͻȻͷʹͷʹԶҩ󻺽Ъͷʹ֢Լռ˿ڵ10%

ƫͷʹIJŴ񾭼ڷʧһϵƫͷʹƫͷʹмʷܶƫͷʹֲ񾭹ܲȶھ̼ƣ˯߲ͷʹƫͷʹķڷڵӰܶ໼ߵƫͷʹʼഺŮƫͷʹ¾ڱ仯йͷʹڱվֹͣзı

һ ٴص

״ηŮԶͯ಻ټƵʲÿ1ÿ1ÿÿβżÿÿƫͷʹıҪɷΪ5ͣ

1ͨƫͷʹ Լռƫͷʹ80%Ŵʷǰ֢״ͷʹʣ1˫ʼһԲҲ˫ཻ淢2ԣ3ضȻ߿Ӱճ4¥ݻճɼͷʹŻη⼰ηͷʹʱһϳɳ1-3dƣͶշ

2ƫͷʹ ͵ƫͷʹԼռƫͷʹ10%60%-80%Ŵʷഺڿʼÿ11βЪڲ䷢Ϊڣ1ǰڣͷʹǰСʱҪΪʹԲҰⰵʱͬƫäϰڴָľѣɫ԰ȫʵ2ͷʹǰڣǰ֢״ʧͻȻֲͷʹλһ򶥲3ͷʹڣͷʹڣͷʹ˶˯ʱΪ˷

3ۼ̱ƫͷʹ һлƫͷʹʷһƫͷʹ1-2 dͷʹ𽥼֮òۼ̱񾭶ΪΪչָ̱ܺڷͬη̱ܾòܳⰰԲ

4Ĥƫͷʹ ۳ää1h֢״ֺͷʹļ϶1hͷʹ֢״֣ųۻѪܲ

5ͯۺƫͷʹλ֢

Ϊƫͷʹ׻ƫͷʹɷΪ

1ԶͯڷѣΣΪͯͻȻʮصѣηʱƽϰŻϵͳԵͼ

2ͯڽƫ̱Ӥ׶ƫ̱ϰ֢״ǿֱԷ赸춯˶ۼ˶쳣ֲϰ

1Ѫͼ ƫͷʹߵķںͼЪѪͼҪ仯ನԳһƫ߻һƫ

2­ճɨ裨TCD

1ЪڣTCDܼͺͨͷʹṩһЩѧıĻѪٶٲԳѪѪٶȲȶ

2ƫͷʹڣʹƫͷʹƽ٣Vm½Ѫʧ

1ʷһϵͳ鲻ʾԼ

2ͷʹ5ÿγ4-72hǰио˶Ӿ

3ͷʹһ˫ʲͷʹ̶еȻӰճ

4жĺͣŻµֲ֢״

ͷʹ
ͷ־ͷʹƽͷʹһͷͷʹھԼ羱׵Թؽڲ˻׵̲ͷʹһֳʹͷ粿κͣѪȱѪɲƻͷ30ǰŮԽ϶ʷDzԺ;ʹʱƫͷʹΪͷʹƫͷʹʱ䳤żȻּ⾷

ͷʹķмѧ˵1²ѧ˵2˷ѧ˵3ѧ˵4̾ƵDzijƳùʱͷ־õľʹ

ٴ֣׳̽ϳ֢״Ϊصʱʱͷʹ̶ȶΪжʹΪѹȸظ󾱲βѹȸʱɴ1ӲʹԽϵⳤЩ߶಻ԴϢͷʹ˯Ѻɳֻʹ˯ʹλʱΪ򨲿ͷϲʱоֲʹηֻ߻ɰжݵ鲻Ҫշְҵ޶ƼλõҲdzķԭӦϸʲʷƫͷʹͷʹļϼ3-1-1

3-1-1 ƫͷʹͷʹļ
ƫͷʹͨͣ ͷʹ
10-20Ϊ߷ 30-40
Ա ŮԶ Ա
𲡷ʽ ƫͷʹǰ֢״ͨƫͷʹû ûǰ֢״
˯߲ʳ
ͷʹ IJһµIJͷʹƫͷʹ ѹлñСʱʧͨ߳Сʱ1 һгʳرʹ
ͷʹ̶ ͷʹʱӰ칤ʹʱֹܼ
ͷʹλ ҪƫΪҲƫ֢״ жŻͷʹڷͷ͸мʹɰжľпɳֽͷʹ
ҩﷴӦ ʱѪЧ ͼɳڼЧ

Լͷʹ

ԼͷʹֳȺͷʹ鰷ͷʹһֱΪͷʹ—ѪܹϰΪͷʹ䷢ƳȺԷܼķΪǰٵй

һٴ

ٴҪͷʹʼһΧǰ򢣨ᄆȲλÿηͬһͷʹʳʾʹ޲ΪըżвΪʹʹÿδԼԷͬʱʱ10ʱ9ʱ϶30min2h,ƵΪÿ켸ÿ1ƽÿ1~3

֢״

1Ѫѹ ʼʧĤβǿʹ

2۱Ǵ̼֢״ʹ۾ĤѪ

3ȫHornerۺ ʹ۾´ͫСں磺ǰ沿ˮ

4ͷʹʱþ沿ľѣε

5Լͷʹ-ʹԳ鴤ۺּͬʱȺ

1Ѫ⶯Ѫ

2ѪҺѧ飺5-HFڷڱжʹڼȫѪ5-HFˮƽ½ϸŨȽڼԷںͻ

3Եͼ߿ɳ쳣ı

4۶ռ飺Ϊ۶Ѫ½

5Ӧĸ

ģ
ضλʼڷͷʹ沿ȵİ֢״֢״ĻϰѪѹʸı

˺ͷʹ

ͷʹ漰ͷ֯­ǹ­Ѫ­ѹ߻򽵵ͷͷѪҵȾͷʹ

1ͷʹ ߳Ի߲в̶ͬȵͷʹԴ˻ͷʹԹܷı֯ˮѪ˺ĤǻѪ˺ʱϳѺͷʹҳʱ䳤­ѹֶŻµϵͳжλCTɼ­ڳѪ­ǹ۵ӰԼҺѪԻкϸػ߿֢״

2ȫͷʹ ͷʹָ˺ٴγֵͷʹ˺ͷʹһȼ𽥼˺γɵӲĤѪ׻Һٴв̶ͬȵ­ȫʷͷʹһȻʧ3ֳܺͷʹ𽥼أͷʹʱŻ£Һʱѹʵʿжλ

ͷʹ

ͷʹǼֲֳԷһȻɲͬ²ԹԷͷʹֲ֢״Ϊһ鶯ͷʹﲡٴַżֶκоˮĽչ򵥵طΪԭԺͼ̷Ѿܷӳ﷢ĸŴԲıΪҪ²

1ٴ ԾͷʹΪҪ֢״ɰжŻļɫıкֲ֢״ͷʹǰ˫򨲿򵥲򨲿ȫͷʹͷʹʱ10minСʱ1hϣһϲǿֱ-η5-25ͲмʷǰƼЧҩЧ

2 ԵͼʾԸ߲θδԻɢԼⲨ--ļ-ָ6/ʾйCTԷ̷ּԭ

3Ҫ Ծͷʹлֲ񾭹ϰЪϵͳκԵͼշʾŵ粨һֹʹҩЧҩЧ

ͷʹ

1­ڶͷʹ ΪԺƫͷʹķʹ̶һֻ߿ɳֶԻ֢״ĤǻѪʷѪӰȷ

2Ѫܻ ʱʼͷʹ﷢ĤǻѪԳѪʷѪӰȷ

3­ ͷʹƫһʳо֢״ͷʹŻͷˮ׵­ѹCTMRIȷ

4 ﷢еĸоԷʧԷͶԷʱ̾ԶƫͷʹΪҲϷͷʹڲ͵ƫͷʹȲλϲʷ
ͯҶӻþͷʹʶϰΪʶ仯̴ܶٶƫͷʹʱԵͼ¼Գ־ƫ̱ͺͻ׶ƫͷʹƫͷʹʱԵͼ޾ֲ쳣Ի

5񾭹֢ 񾭹֢ͷʹഺڿʼʱҲͬ񾭹֢ͷʹʧעеڶǷ

6ƫͷʹ ͷʹԼͷʹͬΪʱ϶2-15min ƵŮԣЧ

7ټµͷʹ ǸݵȴIJɢ䵽ͷ沿ķʹһӦٵľֲԷ缱Ըоֲѹʹŧ

8ͷʹ 绷IJ̼ʱʹ߲Ӧ˥񯲡֢ȾͷʹΪͷʹ

ͷʹԤ

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