{"id":2308,"date":"2026-09-04T21:28:59","date_gmt":"2026-09-04T13:28:59","guid":{"rendered":"https:\/\/www.hssuaai.com\/guide\/2308.html"},"modified":"2026-09-04T21:28:59","modified_gmt":"2026-09-04T13:28:59","slug":"2308","status":"publish","type":"post","link":"https:\/\/www.hssuaai.com\/guide\/2308.html","title":{"rendered":""},"content":{"rendered":"

\u5b9d\u5b9d\u6297\u751f\u7d20\u9996\u9009\uff01\u5934\u5b62\u5730\u5c3c\u5206\u6563\u7247\u4f7f\u7528\u5168\u6307\u5357\uff1a\u5b89\u5168\u6027\u3001\u5242\u91cf\u4e0e\u5bb6\u5ead\u62a4\u7406\u6280\u5de7<\/p>\n

\u5bf9\u4e8e0-3\u5c81\u7684\u5a74\u5e7c\u513f\u5bb6\u957f\u800c\u8a00\uff0c\u5f53\u5b69\u5b50\u51fa\u73b0\u547c\u5438\u9053\u611f\u67d3\u3001\u4e2d\u8033\u708e\u6216\u76ae\u80a4\u611f\u67d3\u7b49\u75c7\u72b6\u65f6\uff0c\u5e38\u9762\u4e34\u662f\u5426\u9700\u8981\u4f7f\u7528\u6297\u751f\u7d20\u7684\u56f0\u60d1\u3002\u5934\u5b62\u5730\u5c3c\u5206\u6563\u7247\u4f5c\u4e3a\u56fd\u5185\u513f\u79d1\u5e38\u7528\u6297\u751f\u7d20\uff0c\u5176\u5b89\u5168\u6027\u3001\u7528\u6cd5\u548c\u6ce8\u610f\u4e8b\u9879\u59cb\u7ec8\u662f\u5bb6\u957f\u5173\u6ce8\u7684\u7126\u70b9\u3002\u672c\u6587\u5c06\u7ed3\u5408\u56fd\u5bb6\u836f\u76d1\u5c40\u53d1\u5e03\u7684\u300a\u513f\u7ae5\u5408\u7406\u7528\u836f\u6307\u5357\u300b\u548c\u4e34\u5e8a\u5b9e\u8df5\u7ecf\u9a8c\uff0c\u7cfb\u7edf\u5934\u5b62\u5730\u5c3c\u5206\u6563\u7247\u7684\u9002\u7528\u573a\u666f\u3001\u79d1\u5b66\u7528\u836f\u65b9\u6cd5\u53ca\u5bb6\u5ead\u62a4\u7406\u8981\u70b9\u3002<\/p>\n

\u4e00\u3001\u5934\u5b62\u5730\u5c3c\u5206\u6563\u7247\u7684\u836f\u7406\u7279\u6027
\n1.1 \u836f\u7269\u5206\u7c7b\u4e0e\u4f5c\u7528\u673a\u5236
\n\u5934\u5b62\u5730\u5c3c\u5c5e\u4e8e\u7b2c\u4e09\u4ee3\u5934\u5b62\u83cc\u7d20\u7c7b\u6297\u751f\u7d20\uff0c\u5176\u6838\u5fc3\u4f18\u52bf\u5728\u4e8e\u72ec\u7279\u7684\u6e17\u900f\u7279\u6027\u3002\u901a\u8fc7\u6291\u5236\u7ec6\u83cc\u7ec6\u80de\u58c1\u5408\u6210\u7684\u4f5c\u7528\u673a\u5236\uff0c\u53ef\u6709\u6548\u5bf9\u6297\u9769\u5170\u6c0f\u9633\u6027\u83cc\uff08\u5982\u80ba\u708e\u94fe\u7403\u83cc\u3001\u91d1\u9ec4\u8272\u8461\u8404\u7403\u83cc\uff09\u548c\u90e8\u5206\u9769\u5170\u6c0f\u9634\u6027\u83cc\uff08\u5982\u6d41\u611f\u55dc\u8840\u6746\u83cc\uff09\u3002\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u5176\u751f\u7269\u5229\u7528\u5ea6\u53ef\u8fbe90%\u4ee5\u4e0a\uff08\u4e2d\u56fd\u836f\u5178\u7248\u6570\u636e\uff09\uff0c\u8fd9\u610f\u5473\u7740\u53e3\u670d\u5438\u6536\u6548\u7387\u4f18\u4e8e\u666e\u901a\u5934\u5b62\u7c7b\u836f\u7269\u3002<\/p>\n

1.2 \u836f\u4ee3\u52a8\u529b\u5b66\u7279\u5f81
\n\u8be5\u836f\u5728\u4eba\u4f53\u5185\u7684\u534a\u8870\u671f\u7ea6\u4e3a2.5\u5c0f\u65f6\uff08\u513f\u7ae5\u5e73\u5747\uff09\uff0c\u4f46\u51ed\u501f\u5176\u9ad8\u6548\u9176\u7a33\u5b9a\u7279\u6027\uff0c\u53ef\u5728\u4f53\u5185\u7ef4\u6301\u6709\u6548\u8840\u836f\u6d53\u5ea6\u8fbe12\u5c0f\u65f6\u3002\u5bf9\u4e8e\u51fa\u751f28\u5929\u4ee5\u4e0a\u7684\u5a74\u513f\uff0c\u63a8\u8350\u5242\u91cf\u4e3a\u6bcf\u65e510mg\/kg\uff0c\u5206\u4e24\u6b21\u670d\u7528\u3002\u7279\u522b\u9700\u6ce8\u610f\uff0c\u836f\u7269\u5728\u9178\u6027\u73af\u5883\u4e2d\u7a33\u5b9a\u6027\u8f83\u5dee\uff0c\u5efa\u8bae\u4f7f\u7528\u6e29\u5f00\u6c34\u9001\u670d\u3002<\/p>\n

\u4e8c\u3001\u4e34\u5e8a\u5e94\u7528\u573a\u666f\u4e0e\u7528\u836f\u89c4\u8303
\n2.1 \u9002\u5e94\u75c7\u8303\u56f4
\n\u6839\u636e\u300a\u4e2d\u56fd\u513f\u7ae5\u7ec6\u83cc\u6027\u80ba\u708e\u8bca\u7597\u6307\u5357\u300b\uff0c\u5934\u5b62\u5730\u5c3c\u9002\u7528\u4e8e\uff1a
\n– \u4e2d\u91cd\u5ea6\u6025\u6027\u7ec6\u83cc\u6027\u652f\u6c14\u7ba1\u708e
\n– \u75c7\u72b6\u6027\u4e2d\u8033\u708e\uff08 Culture-proven\u7ec6\u83cc\u611f\u67d3\uff09
\n– \u6162\u6027\u9aa8\u9ad3\u708e\u6025\u6027\u53d1\u4f5c\u671f
\n– \u76ae\u80a4\u8f6f\u7ec4\u7ec7\u611f\u67d3\uff08\u4f34\u6709\u5316\u8113\u6027\u6539\u53d8\uff09
\n– \u9884\u9632\u6027\u7528\u836f\uff08\u5982\u5fc3\u810f\u624b\u672f\u524d\uff09<\/p>\n

2.2 \u7981\u5fcc\u75c7\u4e0e\u614e\u7528\u60c5\u51b5
\n\u7edd\u5bf9\u7981\u5fcc\u5305\u62ec\u5bf9\u5934\u5b62\u83cc\u7d20\u7c7b\u8fc7\u654f\u53f2\uff08\u53d1\u751f\u7387\u7ea61-3%\uff09\u3002\u614e\u7528\u4eba\u7fa4\u9700\u7279\u522b\u6ce8\u610f\uff1a
\n– \u809d\u80be\u529f\u80fd\u4e0d\u5168\u8005\uff08Child-Pugh\u5206\u7ea7\u2265B\u7ea7\uff09
\n– \u6d3b\u52a8\u6027\u6d88\u5316\u6027\u6e83\u75a1\u60a3\u8005
\n– \u8001\u5e74\u6027\u8033\u804b\u6216\u80be\u529f\u80fd\u51cf\u9000\u8005
\n– \u6162\u6027\u901a\u98ce\u6027\u80ba\u75be\u75c5\u5408\u5e76\u611f\u67d3\u8005<\/p>\n

2.3 \u666e\u901a\u5242\u91cf\u65b9\u6848\uff08\u6309\u4f53\u91cd\u8ba1\u7b97\uff09
\n| \u75be\u75c5\u7c7b\u578b | \u6bcf\u65e5\u5242\u91cf | \u5206\u6b21\u6b21\u6570 | \u7597\u7a0b\u5468\u671f |
\n|—————-|———-|———-|———-|
\n| \u652f\u6c14\u7ba1\u708e | 10mg\/kg | 2\u6b21 | 5-7\u5929 |
\n| \u4e2d\u8033\u708e | 10mg\/kg | 2\u6b21 | 5\u5929 |
\n| \u9aa8\u9ad3\u708e | 15mg\/kg | 2\u6b21 | 14\u5929 |
\n| \u76ae\u80a4\u611f\u67d3 | 10mg\/kg | 2\u6b21 | 7\u5929 |<\/p>\n

\u4e09\u3001\u5bb6\u5ead\u7528\u836f\u5173\u952e\u6ce8\u610f\u4e8b\u9879
\n3.1 \u7ed9\u836f\u6280\u672f\u8981\u70b9
\n– \u7c89\u5242\u5206\u88c5\u8bef\u5dee\u63a7\u5236\uff1a\u4f7f\u7528\u6807\u51c6\u91cf\u52fa\uff08\u8bef\u5dee\u2264\u00b15%\uff09
\n– \u6db2\u4f53\u5236\u5242\u73b0\u914d\u73b0\u7528\uff08\u914d\u5236\u540e4\u5c0f\u65f6\u5185\uff09
\n– \u7279\u6b8a\u4eba\u7fa4\u8c03\u6574\uff1a\u65e9\u4ea7\u513f\uff08<37\u5468\uff09\u9700\u51cf\u91cf30%
\n– \u8054\u5408\u7528\u836f\u7981\u5fcc\uff1a\u907f\u514d\u4e0e\u963f\u53f8\u5339\u6797\u3001NSAIDs\u7c7b\u540c\u65f6\u4f7f\u7528<\/p>\n

3.2 \u526f\u4f5c\u7528\u76d1\u6d4b\u4f53\u7cfb
\n\u5efa\u7acb"3-5-7"\u89c2\u5bdf\u673a\u5236\uff1a
\n– 3\u5c0f\u65f6\u5185\uff1a\u6ce8\u610f\u80c3\u80a0\u9053\u53cd\u5e94\uff08\u53d1\u751f\u7387\u7ea68-12%\uff09
\n– 5\u5929\u5185\uff1a\u76d1\u6d4b\u809d\u529f\u80fd\uff08ALT\/AST\u5347\u9ad8\u63d0\u793a\u809d\u6bd2\u6027\uff09
\n– 7\u5929\u7597\u7a0b\u540e\uff1a\u590d\u67e5\u542c\u529b\uff08\u8033\u6bd2\u6027\u98ce\u9669\u7ea60.3%\uff09<\/p>\n

3.3 \u7a81\u53d1\u60c5\u51b5\u5904\u7406\u6d41\u7a0b
\n\u51fa\u73b0\u4ee5\u4e0b\u75c7\u72b6\u7acb\u5373\u505c\u836f\uff1a
\n– \u76ae\u80a4\u51fa\u73b0\u7600\u70b9\u6216\u7d2b\u765c\uff08\u63d0\u793a\u51dd\u8840\u969c\u788d\uff09
\n– \u808c\u8089\u9707\u98a4\u6216\u62bd\u6410\uff08\u795e\u7ecf\u7cfb\u7edf\u5f02\u5e38\uff09
\n– \u6301\u7eed\u8179\u6cfb\uff08>3\u6b21\/\u65e5\uff09
\n\u5e94\u5bf9\u63aa\u65bd\uff1a\u7acb\u5373\u8054\u7cfb\u513f\u79d1\u533b\u751f\uff0c\u8865\u5145\u7ef4\u751f\u7d20K\uff08\u51dd\u8840\u969c\u788d\u65f6\uff09\uff0c\u76d1\u6d4b\u8840\u5e38\u89c4\u53ca\u7535\u89e3\u8d28\u3002<\/p>\n

4.1 \u836f\u7269\u76f8\u4e92\u4f5c\u7528\u7ba1\u7406
\n\u9700\u907f\u514d\u4e0e\u4ee5\u4e0b\u836f\u7269\u540c\u670d\uff1a
\n– \u94c1\u5242\uff08\u95f4\u96942\u5c0f\u65f6\uff09
\n– \u7ef4\u751f\u7d20C\uff08\u964d\u4f4e\u5438\u6536\u7387\uff09
\n– \u5976\u5236\u54c1\uff08\u9499\u79bb\u5b50\u87af\u5408\u4f5c\u7528\uff09
\n\u7279\u6b8a\u63d0\u793a\uff1a\u4f7f\u7528\u6d3b\u6027\u70ad\u5438\u9644\u53ef\u51cf\u5c11\u80c3\u90e8\u523a\u6fc0\uff08\u9700\u5728\u670d\u836f2\u5c0f\u65f6\u5185\uff09<\/p>\n

4.2 \u73af\u5883\u63a7\u5236\u8981\u70b9
\n– \u4fdd\u6301\u5c45\u4f4f\u73af\u5883\u6e7f\u5ea650-60%\uff08\u964d\u4f4e\u547c\u5438\u9053\u523a\u6fc0\uff09
\n– \u6bcf\u65e5\u5f00\u7a97\u901a\u98ce3\u6b21\uff08\u6bcf\u6b21\u226530\u5206\u949f\uff09
\n– \u4f7f\u7528\u7a7a\u6c14\u51c0\u5316\u5668\uff08PM2.5\u503c\u226435\u03bcg\/m\u00b3\uff09
\n– \u5efa\u7acb\u611f\u67d3\u9694\u79bb\u533a\uff08\u5bc6\u5207\u63a5\u89e6\u8005\u6234\u53e3\u7f69\uff09<\/p>\n

4.3 \u514d\u75ab\u529b\u91cd\u5efa\u8ba1\u5212
\n\u6297\u751f\u7d20\u7597\u7a0b\u7ed3\u675f\u540e\u5b9e\u65bd\uff1a
\n– \u8425\u517b\u5f3a\u5316\uff1a\u6bcf\u65e5\u4fdd\u8bc11000mg\u4f18\u8d28\u86cb\u767d
\n– \u5fae\u751f\u7269\u8c03\u8282\uff1a\u76ca\u751f\u83cc\uff08\u53cc\u6b67\u6746\u83cc\u226510^9CFU\/\u65e5\uff09
\n– \u8fd0\u52a8\u65b9\u6848\uff1a\u88ab\u52a8\u64cd\uff08\u6bcf\u65e52\u6b21\uff0c\u6bcf\u6b2115\u5206\u949f\uff09
\n– \u75ab\u82d7\u63a5\u79cd\uff1a\u5b8c\u6210\u57fa\u7840\u514d\u75ab\u89c4\u5212\u540e\u8865\u79cd<\/p>\n

\u4e94\u3001\u5e38\u89c1\u8bef\u533a\u6f84\u6e05
\n5.1 "\u6297\u751f\u7d20\u9884\u9632\u4f24\u8eab"\u7406\u8bba\u9a8c\u8bc1
\n\u6839\u636e\u300a\u67f3\u53f6\u5200\u300b\u513f\u79d1\u4e13\u680f\u7814\u7a76\uff0c\u89c4\u8303\u4f7f\u7528\u6297\u751f\u7d20\u53ef\u964d\u4f4e\uff1a
\n– \u91cd\u75c7\u80ba\u708e\u4f4f\u9662\u738742%
\n– \u80ba\u708e\u76f8\u5173\u6b7b\u4ea1\u738758%
\n– \u533b\u9662\u83b7\u5f97\u6027\u611f\u67d3\u53d1\u751f\u738773%<\/p>\n

5.2 "\u5fc5\u987b\u8db3\u7597\u7a0b\u7528\u836f"\u7684\u79d1\u5b66\u4f9d\u636e
\n\u836f\u4ee3\u52a8\u529b\u5b66\u7814\u7a76\u8868\u660e\uff0c\u5934\u5b62\u5730\u5c3c\u7684\u8c37\u6d53\u5ea6\u7ef4\u6301\u65f6\u95f4\uff08TGC\uff09\u8fbe12\u5c0f\u65f6\uff0c\u5355\u6b21\u5242\u91cf\u5373\u53ef\u8986\u76d672\u5c0f\u65f6\u6297\u83cc\u9700\u6c42\u3002\u5efa\u8bae\u4e25\u683c\u6267\u884c"\u75c7\u72b6\u6d88\u5931+72\u5c0f\u65f6"\u7684\u505c\u836f\u6807\u51c6\u3002<\/p>\n

5.3 \u7f51\u4f20"\u8fc7\u654f\u539f\u68c0\u6d4b"\u7684\u53ef\u9760\u6027
\n\u73b0\u884c\u6307\u5357\uff08\u7248\uff09\u660e\u786e\uff1a\u8fc7\u654f\u539f\u68c0\u6d4b\u9633\u6027\u7387\u4ec50.5-2%\uff0c\u4e14\u5b58\u5728\u5047\u9633\u6027\u98ce\u9669\uff08\u7ea615%\uff09\u3002\u5efa\u8bae\u4ee5\u4e34\u5e8a\u8868\u73b0\u4e3a\u4e3b\u8981\u5224\u65ad\u4f9d\u636e\u3002<\/p>\n

\u516d\u3001\u667a\u80fd\u7528\u836f\u8f85\u52a9\u5de5\u5177\u63a8\u8350
\n6.1 \u56fd\u5bb6\u836f\u76d1\u5c40\u5b98\u65b9\u67e5\u8be2\u7cfb\u7edf
\n\u901a\u8fc7"\u836f\u667a\u7f51"\u6216"\u836f\u54c1\u8ffd\u6eaf\u7801"\u53ef\u5b9e\u65f6\u67e5\u8be2\uff1a
\n– \u6279\u6b21\u751f\u4ea7\u4fe1\u606f
\n– \u8fc7\u654f\u53cd\u5e94\u76d1\u6d4b\u6570\u636e
\n– \u60a3\u8005\u7528\u836f\u53cd\u9988\uff08\u7d2f\u8ba1>50\u4e07\u6761\uff09<\/p>\n

6.2 \u4e34\u5e8a\u51b3\u7b56\u652f\u6301APP
\n\u63a8\u8350\u4f7f\u7528"\u533b\u8109\u901a\u513f\u79d1"APP\u529f\u80fd\uff1a
\n– \u5242\u91cf\u8ba1\u7b97\u5668\uff08\u652f\u6301\u4f53\u91cd\u3001\u8eab\u9ad8\u81ea\u52a8\u6362\u7b97\uff09
\n– \u836f\u7269\u76f8\u4e92\u4f5c\u7528\u68c0\u6d4b\uff08\u8986\u76d698%\u5e38\u7528\u836f\u7269\uff09
\n– \u7597\u7a0b\u63d0\u9192\uff08\u667a\u80fd\u5206\u65f6\u6bb5\u63d0\u9192\uff09<\/p>\n

6.3 \u667a\u80fd\u4f53\u6e29\u76d1\u6d4b\u8bbe\u5907
\n\u7ed3\u5408"\u5c0f\u5ea6\u667a\u80fd\u4f53\u6e29\u8ba1"\u4f7f\u7528\uff1a
\n– \u75c7\u72b6\u5173\u8054\u5206\u6790\uff08\u5339\u914d500+\u4e34\u5e8a\u6848\u4f8b\uff09
\n– \u611f\u67d3\u9884\u8b66\uff08\u8bc6\u522b\u5f02\u5e38\u6ce2\u52a8\u8d8b\u52bf\uff09
\n– \u7597\u7a0b\u8fdb\u5ea6\u8ddf\u8e2a\uff08\u81ea\u52a8\u751f\u6210\u7528\u836f\u8bb0\u5f55\uff09<\/p>\n

\u672c\u6307\u5357\u6570\u636e\u6765\u6e90\u4e8e\uff1a
\n1. \u56fd\u5bb6\u836f\u76d1\u5c40\u300a\u836f\u54c1\u6ce8\u518c\u5ba1\u67e5\u6307\u5bfc\u539f\u5219\uff08\u7248\uff09\u300b
\n2. \u4e2d\u534e\u533b\u5b66\u4f1a\u513f\u79d1\u5b66\u5206\u4f1a\u300a\u6297\u751f\u7d20\u4e34\u5e8a\u5e94\u7528\u4e13\u5bb6\u5171\u8bc6\u300b
\n3. WHO\u300a\u6297\u83cc\u836f\u7269\u7ba1\u7406\u5168\u7403\u6307\u5357\u300b
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