鎴愯€冨皥鍗囨湰閱�(y墨)瀛�(xu茅)缍滃悎澶栫瀛�(xu茅)鑰冮粸(di菐n)涔嬫按鍜岄垑鐨勪唬璎濈暟甯�
銆€銆€榛�(di菐n)鎿婃煡鐪嬶細鎴愯€冨皥鍗囨湰閱�(y墨)瀛�(xu茅)缍滃悎澶栫瀛�(xu茅)鑰冮粸(di菐n)鍖附
銆€銆€(涓€)绛夋徊鎬х己姘村張绋辨€ユ€х己姘存垨娣峰悎鎬х己姘�锛屾槸澶栫鏈€甯歌鐨勯鍨嬨€傛按鍜岄垑鎸夋瘮渚嬩笩澶�銆傝娓呴垑姝e父鑼冨湇锛岀窗(x矛)鑳炲娑叉徊閫忓涔熶繚鎸佹甯�銆�
銆€銆€1.鐥呭洜
銆€銆€甯歌鐨勬湁锛�(1)娑堝寲娑茬殑鎬ユ€т笩澶憋紝濡傚ぇ閲忓様鍚�銆佽吀鐦虹瓑;(2)楂旀恫鍠け鍦ㄦ劅鏌撳崁(q奴)鎴栬粺绲勭箶鍏�(n猫i)锛屽鑵告闃�銆佺噿鍌风瓑銆�
銆€銆€2.鑷ㄥ簥琛ㄧ従(xi脿n)
銆€銆€涓€鑸垎涓夊害锛�(1)杓曞害锛氬け娑查噺鐐�2%锝�3%楂旈噸锛屾偅鑰呭儏鏈夌己姘寸櫏鐙€(鍙f复銆佸翱灏�)鍜岀己閳夌櫏鐙€(涔忓姏銆侀娆查檷浣�);(2)涓害锛氬け娑查噺鐐�4%锝�6%楂旈噸锛屼笂杩扮櫏鐙€鍔犻噸锛屽苟鍑虹従(xi脿n)楂斿緛锛屽鍙e攪骞茬嚗銆佺溂绐╀笅闄�銆佺毊鑶氬綀鎬у樊銆佹泛闈滆剤鍏呯泩涓嶈壇銆佽剤閫熺瓑;(3)閲嶅害锛氬け娑查噺瓒呴亷7%楂旈噸锛岄櫎涓婅堪鐧ョ媭銆侀珨寰侀€�(j矛n)涓€姝ュ姞閲嶅锛屽皻鏈変紤鍏�(琛€澹撲笅闄�)鑸囩缍�(j墨ng)绮剧鐧ョ媭(濡傜媯韬�銆佽濡勩€佹娊鎼�銆佹垨鏄忕潯銆佹槒杩�)銆�
銆€銆€3.瑷烘柗
銆€銆€涓昏渚濋潬鐥呭彶鍜岃嚚搴婅〃鐝�(xi脿n)銆傚(sh铆)椹�(y脿n)瀹ゆ鏌ュ嚭鐝�(xi脿n)绱呯窗(x矛)鑳炶▓鏁�(sh霉)銆佽绱呰泲鐧藉拰绱呯窗(x矛)鑳炲绌嶆槑椤楂�锛岃娓匩a+鍜孋l-涓€鑸劇鏄庨’闄嶄綆銆�
銆€銆€4.娌荤檪
銆€銆€(1)鐩¢噺鍘婚櫎鐥呭洜;(2)骞宠 楣芥憾娑叉垨绛夋徊楣芥按瑁�(b菙)鍏呭搰鍖濆閲�銆�
銆€銆€(浜�)浣庢徊鎬х己姘�
銆€銆€浣庢徊鎬х己姘村張绋辨參鎬х己姘存垨绻肩櫦(f膩)鎬х己姘�銆�
銆€銆€1.甯歌鐥呭洜
銆€銆€(1)鑳冭吀閬撴秷鍖栨恫鎸佺簩(x霉)鎬т笩澶变互鑷村ぇ閲忛垑闅ㄦ秷鍖栨恫鎺掑嚭锛屽鍙嶅京(f霉)鍢斿悙鎴栨參鎬ц吀姊楅樆;(2)澶у壍(chu脿ng)闈㈢殑鎱㈡€ф徊娑�;
銆€銆€(3)鎳�(y墨ng)鐢ㄦ帓閳夊埄灏垮姂濡傛隘鍣诲棯銆佸埄灏块吀鏅傦紝鏈敞鎰忚(b菙)閳�;
銆€銆€(4)绛夋徊鎬х己姘存不鐧傛檪瑁�(b菙)鍏呮按鍒嗛亷澶�銆�
銆€銆€2.鑷ㄥ簥琛ㄧ従(xi脿n)
銆€銆€鏍规摎(j霉)缂洪垑绋嬪害锛屼綆婊叉€х己姘村彲鍒嗙偤涓夊害锛�
銆€銆€(1)杓曞害缂洪垑锛岃娓呴垑婵冨害鍦�135mmol/L浠ヤ笅锛岀梾浜烘劅鐤蹭箯銆侀牠鏆堛€佹墜瓒抽夯鏈�锛屽彛娓翠笉鏄庨’锛屽翱閳夋笡灏�銆�
銆€銆€(2)涓害缂洪垑锛岃娓呴垑婵冨害鍦�130mmol/L浠ヤ笅锛岄櫎涓婅堪鐧ョ媭澶栵紝灏氭湁鎯″績銆佸様鍚�銆佽剤鎼忕窗(x矛)閫燂紝琛€澹撲笉绌�(w臎n)瀹氭垨涓嬮檷锛岃剤澹撹畩灏�锛屾泛闈滆剤钀庨櫡锛岃鍔涙ā绯�锛屽嚭鐝�(xi脿n)绔欑珛鎬ф殘鍊�銆傚翱灏戯紝灏垮彲骞句箮涓嶅惈閳夊拰姘�銆�
銆€銆€(3)閲嶅害缂洪垑鑰呰娓呴垑婵冨害鍦�120mmol/L浠ヤ笅锛岀梾浜虹蹇椾笉娓咃紝鑲岀棛鏀f€ф娊鐥�锛岃叡鍙嶅皠娓涘急鎴栨秷澶�;鍑虹従(xi脿n)鏈ㄥ兊锛岀敋鑷虫槒杩枫€傚父鐧�(f膩)鐢熶紤鍏�銆�
銆€銆€绶ㄨ集鎺ㄨ枽锛�
銆€銆€2011骞存垚浜洪珮绛夊(xu茅)鏍″皥鍗囨湰閱�(y墨)瀛�(xu茅)鐪熼绛旀瑙f瀽
銆€銆€鎴愪汉楂樿€冨皥鍗囨湰閱�(y墨)瀛�(xu茅)缍滃悎楂樻晥闋�(y霉)娓│鍗蜂竴
銆€銆€鐠�(hu谩n)鐞冪恫(w菐ng)鏍″弸鎯呮彁绀�:濡傛灉鎮ㄩ亣鍒颁换浣曠枒鍟忥紝璜嬬櫥閷勭挵(hu谩n)鐞冪恫(w菐ng)鏍�鎴愪汉楂樿€�闋婚亾鍜�鎴愪汉楂樿€冭珫澹�锛屾煡瑭簡瑙g浉闂�(gu膩n)淇℃伅銆傚鏋滆寰楅€欑瘒鏂囩珷灏嶆偍鏈夋墍骞姪锛屽彲浠ユ墜鍕旵trl+D鏀惰棌锛屾柟渚挎煡闁�銆傚皬绶ㄥ強鏅傛洿鏂扮浉闂�(gu膩n)璩囪▕锛屾杩庢寔绾�(x霉)闂�(gu膩n)娉ㄣ€備互涓婃槸灏忕法鐐哄ぇ瀹舵帹钖︾殑銆�鎴愯€冨皥鍗囨湰閱�(y墨)瀛�(xu茅)缍滃悎澶栫瀛�(xu茅)鑰冮粸(di菐n)涔嬫按鍜岄垑鐨勪唬璎濈暟甯�銆嬬浉闂�(gu膩n)淇℃伅銆�
銆€銆€銆愭憳瑕併€戣儍鑵搁亾娑堝寲娑叉寔绾�(x霉)鎬т笩澶变互鑷村ぇ閲忛垑闅ㄦ秷鍖栨恫鎺掑嚭锛屽鍙嶅京(f霉)鍢斿悙鎴栨參鎬ц吀姊楅樆銆傜偤浜嗚畵澶у鏇村ソ鍦伴珨鏈冨埌閲嶈鑰冮粸(di菐n)锛岃憲閲嶈鎲�锛岀挵(hu谩n)鐞冪恫(w菐ng)鏍℃垚浜洪珮鑰冮牷閬撹獱鎰忔暣鐞嗐€婃垚鑰冨皥鍗囨湰閱�(y墨)瀛�(xu茅)缍滃悎澶栫瀛�(xu茅)鑰冮粸(di菐n)涔嬫按鍜岄垑鐨勪唬璎濈暟甯搞€�锛屾洿鏈夐啱(y墨)瀛�(xu茅)灏堟キ(y猫)鍏朵粬绮惧搧寰�(f霉)缈�(x铆)璩囨枡锛屾ā鎿│椤�锛屽厤璨�(f猫i)绛変綘渚嗘寫鎴�(zh脿n)!
銆€銆€榛�(di菐n)鎿婃煡鐪嬶細鎴愯€冨皥鍗囨湰閱�(y墨)瀛�(xu茅)缍滃悎澶栫瀛�(xu茅)鑰冮粸(di菐n)鍖附
銆€銆€3.瑷烘柗
銆€銆€濡傜梾浜烘湁涓婅堪楂旀恫涓熷け鐥呭彶鍜岃嚚搴婅〃鐝�(xi脿n)锛屽彲鍒濇瑷烘柗鐐轰綆婊叉€х己姘�銆傞€�(j矛n)涓€姝ョ殑妾㈡煡鍖呮嫭锛�
銆€銆€(1)灏挎恫妾㈡煡锛氬翱姣旈噸甯哥偤1.010浠ヤ笅锛屽翱Na+鍜孋l-甯告槑椤笡灏�;
銆€銆€(2)琛€娓呴垑娓畾锛氳閳夋績搴︿綆浜�135mmol/L锛岃〃鏄庢湁浣庨垑琛€鐧�銆傝閳夋績搴﹁秺浣庯紝鐥呮儏瓒婇噸;
銆€銆€(3)绱呯窗(x矛)鑳炶▓鏁�(sh霉)銆佽绱呰泲鐧介噺銆佽绱�(x矛)鑳炴瘮瀹瑰強琛€灏跨礌姘€煎潎鏈夊楂�銆�
銆€銆€4.娌荤檪
銆€銆€(1)绌嶆サ鍘婚櫎鐥呭洜;
銆€銆€(2)閲囩敤鍚菇婧舵恫鎴栭珮婊查菇姘撮潨鑴堟淮娉�;
銆€銆€(3)浼戝厠鑰咃紝鎳�(y墨ng)瑁�(b菙)瓒宠瀹归噺鍚庝互楂樻徊楣芥按杓稿叆銆�
銆€銆€(涓�)楂樻徊鎬х己姘�
銆€銆€鍙堢ū鍘熺櫦(f膩)鎬х己姘�銆傜己姘村浜庣己閳�銆傝娓呴垑楂樹簬姝e父鑼冨湇锛岀窗(x矛)鑳炲娑插憟楂樻徊鐙€鎱�(t脿i)銆�
銆€銆€1.鐥呭洜
銆€銆€涓昏鏈夛細(1)鏀濆叆姘村垎涓嶈冻;(2)姘村垎鍠け閬庡锛屽楂樼啽銆佺噿鍌锋毚闇茬檪娉曠瓑銆�
銆€銆€2.鑷ㄥ簥琛ㄧ従(xi脿n)
銆€銆€涓€鑸垎涓夊害锛�(1)杓曞害锛氬け姘撮噺鍗犻珨閲�2锝�4%锛岄櫎鍙f复澶栵紝鐒″叾浠栫櫏鐙€;(2)涓害锛氬け姘撮噺鍗犻珨閲�4锝�6%锛屾サ搴﹀彛娓�锛屼箯鍔�銆佸翱灏戙€佸翱姣旈噸楂�銆傚攪鑸屽共鐕ワ紝鐨啔褰堟€у樊锛岀溂鐞冨嚬闄�锛屽父鍑虹従(xi脿n)鐓╃嚗;(3)閲嶅害锛氬け姘撮噺瓒呴亷楂旈噸6%锛岄櫎涓婅堪鐧ョ媭澶栵紝鍑虹従(xi脿n)韬佺媯銆佸够瑕�銆佹竟濡�銆佺敋鑷虫槒杩�銆�
銆€銆€3.瑷烘柗
銆€銆€渚濇摎(j霉)鐥呭彶鍜岃嚚搴婅〃鐝�(xi脿n)鍔犱互鍒ゆ柗銆傚(sh铆)椹�(y脿n)瀹ゆ鏌ユ湁锛�
銆€銆€(1)灏挎瘮閲嶉珮;
銆€銆€(2)绱呯窗(x矛)鑳炶▓鏁�(sh霉)銆佽绱呰泲鐧�銆佺磪绱�(x矛)鑳炲绌嶈紩搴﹀楂�;
銆€銆€(3)琛€Na+鍗囬珮鍦�150mmol/L浠ヤ笂銆�
銆€銆€4.娌荤檪
銆€銆€鐥呬汉濡傝兘閫�(j矛n)椋�锛岀郸浜堥2姘村強閫�(j矛n)椋燂紝鐥呮儏寰堝揩鍙互濂借綁(zhu菐n)銆傚涓嶈兘椋叉按鎴栧け姘寸▼搴﹀毚(y谩n)閲�锛屾噳(y墨ng)寰為潨鑴堣几绲�5%钁¤悇绯栨恫锛屽湪澶辨按鍩烘湰涓婂凡绯炬锛屽翱閲忓鍔�锛屾瘮閲嶉檷浣庡悗銆傞倓鎳�(y墨ng)瑁�(b菙)鍏ラ仼閲忕殑绛夋徊楣芥按鍜岄墍楣姐€�
銆€銆€浼拌▓瑁�(b菙)娑查噺鏈夊叐绋柟娉曪細
銆€銆€(1)鏍规摎(j霉)鑷ㄥ簥鍒嗗害锛屾寜楂旈噸鍠け鎯呮硜渚嗕及瑷堬紝姣忓柂澶遍珨閲嶇殑1%锛岃(b菙)娑�400锝�500ml銆�
銆€銆€(2)鏍规摎(j霉)琛€閳夋績搴﹁▓绠�锛屽叕寮忥細
銆€銆€瑁�(b菙)姘撮噺(ml)=[琛€閳夋脯寰楀€�(mmol)-琛€閳夋甯稿€�(mmol)]×楂旈噸(kg)×4
銆€銆€(鍥�)姘翠腑姣�
銆€銆€鎸囨(j墨)楂旀敐鍏ユ垨杓稿叆姘撮亷澶氾紝浠ヨ嚧姘村湪楂斿収(n猫i)娼寸暀锛屽紩璧疯娑叉徊閫忓涓嬮檷鍜屽惊鐠�(hu谩n)琛€閲忓澶�锛岀ū“姘翠腑姣�”鎴栫█閲嬫€т綆閳夎鐧�銆�
銆€銆€1.鐥呭洜
銆€銆€鍦ㄦ姉鍒╁翱婵€绱犲垎娉岄亷澶氭垨鑵庡姛鑳戒笉鍏ㄦ儏娉佷笅锛屾敐鍏ユ按閬庡鎴栬几娑叉渶閬庡锛岃厧鑷熶笉鑳芥湁鏁堟帓鍑烘按鍒嗭紝姘村湪楂斿収(n猫i)钃勭⿳锛屽皫(d菐o)鑷存按涓瘨銆�
銆€銆€2.鑷ㄥ簥琛ㄧ従(xi脿n)
銆€銆€鍙垎鐐烘€ユ€у拰鎱㈡€ф按涓瘨銆�
銆€銆€(1)鎬ユ€ф按涓瘨锛氱敱浜庢按鍚戠窗(x矛)鑳炲収(n猫i)杞�(zhu菐n)绉�锛屼娇绱�(x矛)鑳炲収(n猫i)銆佸娑查噺澧炲锛岃叇绱�(x矛)鑳炴按鑵彲閫犳垚椤卞収(n猫i)澹撳楂樼櫏鐙€銆傚闋棝銆佸け瑾炪€佺簿绁為尟浜傘€佸畾鍚戝姏澶卞父銆佸棞鐫�銆佽簛鍕�銆佽瀹夌敋鑷虫槒杩�銆傞€�(j矛n)涓€姝ョ櫦(f膩)灞�锛屽墖鍙兘鐧�(f膩)鐢熻叇鐤�銆�
銆€銆€(2)鎱㈡€ф按涓瘨锛氬彲鐢辫粺寮辩劇鍔涖€佹儭蹇冨様鍚愬強鍡滅潯绛�锛岄珨閲嶅鍔�銆傜櫏鐙€涓嶆槑椤紝寰€寰€琚師鐧�(f膩)鐤剧梾鐨勭櫏鐙€鎵€鎺╄搵銆�
銆€銆€3.瑷烘柗
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2023鎴愪汉楂樼瓑瀛︽牎鎷涚敓鍏ㄥ浗缁熶竴鑰冭瘯璇枃(楂樿捣鐐�)
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2022鎴愪汉楂樼瓑瀛︽牎鎷涚敓鍏ㄥ浗缁熶竴鑰冭瘯璇枃(楂樿捣鐐�)
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2021鎴愪汉楂樼瓑瀛︽牎鎷涚敓鍏ㄥ浗缁熶竴鑰冭瘯璇枃(楂樿捣鐐�)
闂傚倸鍊搁崐鎼佸磹閹间礁纾归柟闂寸绾惧綊鏌熼梻瀵割槮缂佺姷濞€閻擃偊宕堕妸褉妲堢紒鐐礃濞夋洟鍩€椤掑喚娼愭繛鍙夌墪鐓ら柣妯款嚙绾惧鏌熼幑鎰厫闁哥姴妫濋弻娑㈠即閵娿儰绨梺鍝勵儐閻熲晛顫忛悜妯诲闁规鍣Σ顔剧磽娴e壊妲归柟鍛婂▕閺佹劙鎮欓崫鍕垫綂闂侀潧鐗嗛幊搴☆嚕閻戣姤鈷戦悹鎭掑妼濞呮劙鏌熼崙銈嗗 0濠电姷鏁告慨鐑藉极閹间礁纾绘繛鎴欏灪閸嬨倝鏌曟繛褍鍟悘濠囨倵閸忓浜鹃梺鍛婃处閸嬪棝顢欓幇顒夋富闁靛牆妫楁慨褏绱掗悩鍐茬仼缂侇喖鐗撳畷鐔碱敍濞戞艾寮抽梻浣虹帛閺屻劑骞栭銏㈡懃缂傚倷鐒﹂崕铏櫠閻e苯鍨濇い鏍仜缁犵偤鏌曟繛鍨姉闁衡偓娴犲鐓曢柕澶涚到婵$兘鏌$€h埖瀚� 闂傚倸鍊搁崐鎼佸磹閻戣姤鍤勯柤鍝ユ暩娴犳碍淇婇悙顏勨偓鏍垂闂堟党娑樜旈崨顔间患濠电娀娼ч鍛不閻熸噴褰掓晲閸ヨ埖姣岄梺绋款儐閹瑰洤鐣烽幒妤佸€烽悗娑櫳戦鐔兼⒒娴h姤纭堕柛锝忕畵楠炲繘鏁撻敓锟� -
2020鎴愪汉楂樼瓑瀛︽牎鎷涚敓鍏ㄥ浗缁熶竴鑰冭瘯璇枃(楂樿捣鐐�)
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