{"id":5474,"date":"2026-09-25T20:28:53","date_gmt":"2026-09-25T12:28:53","guid":{"rendered":"https:\/\/www.hssuaai.com\/guide\/5474.html"},"modified":"2026-09-25T20:28:53","modified_gmt":"2026-09-25T12:28:53","slug":"%e6%96%b0%e7%94%9f%e5%84%bf%e9%bb%84%e7%96%b8%e7%97%87%e7%8a%b6%e5%8f%8a%e6%8a%a4%e7%90%86%e6%8c%87%e5%8d%97%ef%bc%9a%e5%ae%b6%e9%95%bf%e5%bf%85%e7%9f%a5%e7%9a%845%e5%a4%a7%e8%af%b1%e5%9b%a0%e4%b8%8e","status":"publish","type":"post","link":"https:\/\/www.hssuaai.com\/guide\/5474.html","title":{"rendered":"\u65b0\u751f\u513f\u9ec4\u75b8\u75c7\u72b6\u53ca\u62a4\u7406\u6307\u5357\uff1a\u5bb6\u957f\u5fc5\u77e5\u76845\u5927\u8bf1\u56e0\u4e0e\u5e94\u5bf9\u63aa\u65bd"},"content":{"rendered":"

\u65b0\u751f\u513f\u9ec4\u75b8\u75c7\u72b6\u53ca\u62a4\u7406\u6307\u5357\uff1a\u5bb6\u957f\u5fc5\u77e5\u76845\u5927\u8bf1\u56e0\u4e0e\u5e94\u5bf9\u63aa\u65bd<\/p>\n

\n\u4e00\u3001\u65b0\u751f\u513f\u9ec4\u75b8\u7684\u666e\u904d\u6027\u4e0e\u5371\u5bb3\u6027
\n\u6839\u636e\u56fd\u5bb6\u536b\u5065\u59d4\u53d1\u5e03\u7684\u300a\u4e2d\u56fd\u65b0\u751f\u513f\u9ec4\u75b8\u9632\u6cbb\u62a5\u544a\u300b\uff0c\u6211\u56fd\u6bcf\u5929\u7ea6\u670930\u4e07\u65b0\u751f\u513f\u51fa\u73b0\u9ec4\u75b8\u75c7\u72b6\uff0c\u5176\u4e2d\u7ea615%\u9700\u8981\u4e13\u4e1a\u533b\u7597\u5e72\u9884\u3002\u9ec4\u75b8\u4f5c\u4e3a\u5a74\u5e7c\u513f\u6700\u5e38\u89c1\u7684\u5065\u5eb7\u95ee\u9898\uff0c\u82e5\u5904\u7406\u4e0d\u5f53\u53ef\u80fd\u5f15\u53d1\u80c6\u7ea2\u7d20\u8111\u75c5\u7b49\u4e25\u91cd\u5e76\u53d1\u75c7\u3002\u672c\u6587\u5c06\u7cfb\u7edf\u9ec4\u75b8\u7684\u6210\u56e0\u673a\u5236\u3001\u75c7\u72b6\u8bc6\u522b\u53ca\u79d1\u5b66\u62a4\u7406\u65b9\u6848\uff0c\u5e2e\u52a9\u5bb6\u957f\u5efa\u7acb\u7cfb\u7edf\u7684\u9ec4\u75b8\u5e94\u5bf9\u77e5\u8bc6\u4f53\u7cfb\u3002<\/p>\n

\u4e8c\u3001\u9ec4\u75b8\u7684\u533b\u5b66\u5b9a\u4e49\u4e0e\u5206\u7c7b
\n1. \u75c5\u7406\u6027\u9ec4\u75b8\uff08\u5360\u6bd4\u7ea65%-10%\uff09
\n– \u6838\u9ec4\u75b8\uff1a\u80c6\u7ea2\u7d20\u76f4\u63a5\u8fdb\u5165\u8111\u7ec6\u80de\uff0824\u5c0f\u65f6\u51fa\u73b0\u75c7\u72b6\uff09
\n– \u611f\u67d3\u6027\u9ec4\u75b8\uff1a\u8d25\u8840\u75c7\u3001\u5c3f\u8def\u611f\u67d3\u7b49\u5f15\u53d1\u7684\u5168\u8eab\u708e\u75c7\u53cd\u5e94
\n– \u80c6\u9053\u95ed\u9501\uff1a\u80c6\u7ea2\u7d20\u65e0\u6cd5\u6b63\u5e38\u6392\u6cc4\uff08\u51fa\u73b0\u540e6\u5468\u672a\u7f13\u89e3\uff09
\n– \u7ea2\u7ec6\u80de\u589e\u591a\u75c7\uff1a\u65b0\u751f\u513f\u6eb6\u8840\u5bfc\u81f4\u7684\u80c6\u7ea2\u7d20\u5347\u9ad8<\/p>\n

2. \u751f\u7406\u6027\u9ec4\u75b8\uff08\u5360\u6bd490%\uff09
\n– \u53d1\u751f\u65f6\u95f4\uff1a\u51fa\u751f\u540e2-3\u5929\u51fa\u73b0\uff0c2\u5468\u8fbe\u9ad8\u5cf0
\n– \u7279\u70b9\uff1a\u76ae\u80a4\u5448\u6e10\u53d8\u9ec4\u75b8\uff0c\u5de9\u819c\u9ec4\u67d3\uff0c\u8bd7\u610f\u6027\u6062\u590d
\n– \u5173\u952e\u6307\u6807\uff1a\u51fa\u751f72\u5c0f\u65f6\u540e\u51fa\u73b0\uff0c2\u5468\u5185\u6d88\u9000<\/p>\n

\u4e09\u3001\u9ec4\u75b8\u76845\u5927\u6838\u5fc3\u8bf1\u56e0
\n1. \u8840\u578b\u4e0d\u5408\uff08ABO\u8840\u578b\u4e0d\u5408\uff09
\n– \u6848\u4f8b\uff1a\u5e7f\u5dde\u67d0\u4e09\u7532\u533b\u9662\u7edf\u8ba1\u663e\u793a\uff0cABO\u8840\u578b\u4e0d\u5408\u5bfc\u81f4\u9ec4\u75b8\u5360\u6bd423.6%
\n– \u673a\u5236\uff1a\u6bcd\u4f53\u6297A\/\u6297B\u6297\u4f53\u81f4\u6eb6\u8840\uff0c\u80c6\u7ea2\u7d20\u751f\u6210\u91cf\u589e\u52a03-4\u500d
\n– \u9884\u9632\uff1a\u52a0\u5f3a\u4ea7\u524d\u8840\u578b\u76d1\u6d4b\uff0c Rh\u9634\u6027\u5b55\u5987\u9700\u6ce8\u5c04\u6297D\u514d\u75ab\u7403\u86cb\u767d<\/p>\n

2. \u6bcd\u4e73\u5582\u517b\u969c\u788d
\n– \u6570\u636e\uff1a\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u7edf\u8ba1\u663e\u793a\uff0c\u54fa\u4e73\u4e0d\u5f53\u4f7f\u9ec4\u75b8\u52a0\u91cd\u98ce\u9669\u589e\u52a02.3\u500d
\n– \u8868\u73b0\uff1a\u51fa\u751f\u540e24\u5c0f\u65f6\u672a\u5f00\u5976\uff0c\u65e5\u5747\u54fa\u4e73<8\u6b21
\n– \u62a4\u7406\u8981\u70b9\uff1a
\n \u2460 \u6309\u9700\u54fa\u4e73\uff08\u5582\u5976\u540e\u89c2\u5bdf\u6392\u4fbf\u60c5\u51b5\uff09
\n \u2461 \u6bcf\u65e5\u4fdd\u8bc18\u6b21\u4ee5\u4e0a\u54fa\u4e73
\n \u2462 \u5976\u74f6\u5582\u517b\u9700\u914d\u5408\u5438\u542e\u8bad\u7ec3<\/p>\n

3. \u75c5\u7406\u6027\u611f\u67d3
\n– \u9ad8\u5371\u56e0\u7d20\uff1a
\n – \u547c\u5438\u9053\u611f\u67d3\uff08\u4f53\u6e29>38.5\u2103\u6301\u7eed3\u5929\uff09
\n – \u80be\u76c2\u80be\u708e\uff08\u5c3f\u57f9\u517b\u9633\u6027\uff09
\n – \u8110\u90e8\u611f\u67d3\uff08\u83cc\u843d\u8ba1\u6570>10^4 CFU\/cm\u00b2\uff09
\n– \u8bc6\u522b\u8981\u70b9\uff1a\u9ec4\u75b8\u51fa\u73b0\u540e72\u5c0f\u65f6\u5185\u4f34\u53d1\u70ed\u3001\u7cbe\u795e\u840e\u9761<\/p>\n

4. \u80c6\u9053\u7cfb\u7edf\u53d1\u80b2\u5f02\u5e38
\n– \u5178\u578b\u8868\u73b0\uff1a
\n – \u9ec4\u75b8\u6301\u7eed4\u5468\u4e0d\u9000
\n – \u4f53\u91cd\u589e\u957f\u505c\u6ede\uff08<2000g\/\u5468\uff09
\n – \u809d\u813e\u80bf\u5927\uff08\u89e6\u8bca\u53ef\u53ca\uff09
\n– \u8bca\u65ad\u65b9\u6cd5\uff1a\u7ecf\u76ae\u809d\u7a7f\u523a\u80c6\u9053\u9020\u5f71\uff08PTC\uff09<\/p>\n

5. \u65b0\u751f\u513f\u4ee3\u8c22\u7efc\u5408\u5f81
\n– \u9ad8\u5371\u4eba\u7fa4\uff1a
\n – \u7f8a\u6c34\u80ce\u4fbf\u6c61\u67d3\uff08\u80ce\u4fbf\u6392\u51fa\u5ef6\u8fdf\uff09
\n – \u7f8a\u6c34\u8fc7\u5c11\uff08\u7f8a\u6c34\u6307\u6570<5cm\uff09
\n – \u7f8a\u6c34\u80ce\u819c\u65e9\u7834\uff08>24\u5c0f\u65f6\uff09
\n– \u4ee3\u8c22\u7d0a\u4e71\u68c0\u6d4b\uff1a\u8840\u6c28>35\u03bcmol\/L\uff0c\u51dd\u8840\u9176\u539f\u65f6\u95f4\u5ef6\u957f<\/p>\n

\u56db\u3001\u9ec4\u75b8\u7684\u5178\u578b\u75c7\u72b6\u8bc6\u522b\u56fe\u8c31
\n1. \u76ae\u80a4\u9ec4\u75b8\u5206\u5e03\u89c4\u5f8b
\n– \u751f\u7406\u6027\uff1a
\n – \u59cb\u4e8e\u624b\u638c\/\u8db3\u5e95\uff08\u51fa\u751f\u540e24-48\u5c0f\u65f6\uff09
\n – \u987a\u5e8f\uff1a\u5934\u9888\u90e8\u2192\u8eaf\u5e72\u2192\u56db\u80a2
\n – \u5de9\u819c\u9ec4\u67d3\u51fa\u73b0\u6ede\u540e2-3\u5929<\/p>\n

– \u75c5\u7406\u6027\uff1a
\n – \u5448"\u67e0\u6aac\u9ec4"\u8272\uff08\u8eaf\u5e72\u5206\u5e03\uff09
\n – \u53ef\u9006\u6027\u9752\u7070\u73b0\u8c61\uff08\u6309\u538b\u540e\u892a\u8272\uff09
\n – \u665a\u671f\u51fa\u73b0"\u9ec4\u75b8\u809d"<\/p>\n

2. \u4f34\u968f\u75c7\u72b6\u9884\u8b66
\n| \u9884\u8b66\u4fe1\u53f7 | \u53d1\u751f\u7387 | \u5904\u7406\u65f6\u6548 |
\n|———-|——–|———-|
\n| \u55dc\u7761\/\u62d2\u5976 | 18.7% | <72\u5c0f\u65f6 |
\n| \u4f53\u6e29\u5f02\u5e38 | 9.2% | <24\u5c0f\u65f6 |
\n| \u80a2\u4f53\u786c\u76f4 | 5.4% | \u7acb\u5373\u5c31\u533b |<\/p>\n

\u4e94\u3001\u79d1\u5b66\u62a4\u7406\u7684"\u9ec4\u91d1\u56db\u6b65\u6cd5"
\n1. \u5149\u7597\u6807\u51c6\u5316\u6d41\u7a0b
\n– \u8bbe\u5907\u9009\u62e9\uff1a\u6ce2\u957f470nm\u84dd\u5149\u7167\u5c04\u4eea
\n– \u7167\u5c04\u65b9\u6848\uff1a
\n \u2460 \u6bcf\u65e5\u5149\u716712-16\u5c0f\u65f6
\n \u2461 \u5149\u7167\u5f3a\u5ea610-15\u03bcW\/cm\u00b2
\n \u2462 \u6bcf2\u5c0f\u65f6\u76d1\u6d4b\u4f53\u6e29
\n– \u6ce8\u610f\u4e8b\u9879\uff1a
\n – \u907f\u514d\u773c\/\u751f\u6b96\u5668\u66b4\u9732
\n – \u6bcf\u65e5\u68c0\u6d4b\u8840\u9499\uff08>2.2mmol\/L\u9700\u5e72\u9884\uff09
\n – \u7d2b\u5916\u7ebf\u9632\u62a4\uff08\u4f7f\u7528\u9632\u5149\u819c\uff09<\/p>\n

2. \u996e\u98df\u7ba1\u7406\u9ec4\u91d1\u6cd5\u5219
\n– \u6bcd\u4e73\u5582\u517b\uff1a
\n – \u54fa\u4e73\u9891\u7387\uff1a\u6bcf2\u5c0f\u65f61\u6b21\uff08\u751f\u540e6\u5c0f\u65f6\u5185\uff09
\n – \u6bcd\u4e73\u521d\u4e73\uff1a\u51fa\u751f\u540e30\u5206\u949f\u5185\u5f00\u59cb
\n– \u7f8a\u5976\/\u914d\u65b9\u5976\uff1a
\n – \u5242\u91cf\u63a7\u5236\uff1a\u6309\u4f53\u91cd\u8ba1\u7b97\uff0840-60ml\/kg\/d\uff09
\n – \u7a00\u91ca\u6bd4\u4f8b\uff1a1:1\uff08\u6d53\u5ea6>20%\u6613\u81f4\u80c6\u7ea2\u7d20\u8111\u75c5\uff09<\/p>\n

3. \u76ae\u80a4\u62a4\u7406\u516d\u539f\u5219
\n– \u76ae\u80a4\u6e05\u6d01\uff1a
\n – \u751f\u7406\u76d0\u6c34\u6e7f\u6577\uff080.9%\u6d53\u5ea6\uff09
\n – \u6bcf\u65e5\u6c90\u6d742\u6b21\uff08\u6c34\u6e2937\u00b11\u2103\uff09
\n– \u667e\u6652\u65f6\u95f4\uff1a
\n – \u6bcf\u65e52\u6b21\uff0c\u6bcf\u6b2115-20\u5206\u949f
\n – \u907f\u514d\u6b63\u5348\u65f6\u6bb5\uff0810:00-14:00\uff09
\n– \u7834\u635f\u5904\u7406\uff1a
\n – \u6c34\u6ce1\uff1a\u65e0\u83cc\u9488\u5934\u523a\u7834\u540e\u6d82\u62b9\u591a\u78fa\u9178\u7c98\u591a\u7cd6\u4e73\u818f
\n – \u6e83\u75a1\uff1a0.5%\u7898\u4f0f+\u51e1\u58eb\u6797\u6362\u836f<\/p>\n

4. \u9000\u9ec4\u836f\u7269\u5e94\u7528\u6307\u5357
\n| \u836f\u7269\u7c7b\u578b | \u9002\u7528\u60c5\u51b5 | \u7528\u836f\u65b9\u6848 | \u7981\u5fcc\u75c7 |
\n|———-|———-|———-|——–|
\n| \u767d\u86cb\u767d | RBC\u589e\u591a\u75c7 | 20g ivgtt bid | \u51dd\u8840\u969c\u788d |
\n| \u758f\u7532\u4e19\u809d | \u4e2d\u67a2\u6027\u9ec4\u75b8 | 100mg\/kg\/d\u52063\u6b21 | \u809d\u529f\u80fd\u4e0d\u5168 |
\n| \u975e\u90a3\u96c4\u80fa | \u539f\u53d1\u6027\u80c6\u6c41\u6de4\u79ef | 1mg bid | \u80be\u529f\u80fd\u4e0d\u5168 |<\/p>\n

\u516d\u3001\u4f55\u65f6\u9700\u8981\u7d27\u6025\u5c31\u533b\uff1f
\n\u51fa\u73b0\u4ee5\u4e0b\u4efb\u4e00\u60c5\u51b5\u9700\u7acb\u5373\u5c31\u8bca\uff1a
\n1. \u9ec4\u75b8\u6301\u7eed\u8d85\u8fc72\u5468\u4e14\u8fdb\u884c\u6027\u52a0\u91cd
\n2. 72\u5c0f\u65f6\u5185\u51fa\u73b0\u610f\u8bc6\u969c\u788d\uff08\u5982\u51dd\u89c6\u5f02\u5e38\uff09
\n3. \u6bcf\u65e5\u9ec4\u75b8\u6d88\u9000<50%\u4e14\u4f53\u91cd\u4e0b\u964d>10%
\n4. \u51fa\u73b0Kernig\u5f81\uff08\u9888\u9879\u5f3a\u76f4\u4f34\u4e0b\u80a2\u4f38\u76f4\uff09
\n5. \u9ec4\u75b8\u9762\u79ef\u8d85\u8fc7\u5168\u8eab\u76ae\u80a470%<\/p>\n

\u4e03\u3001\u9884\u9632\u4f53\u7cfb\u7684\u6784\u5efa\u7b56\u7565
\n1. \u5b55\u671f\u4e09\u7ea7\u9884\u9632
\n– \u5b5528\u5468\uff1aRh\u9634\u6027\u5b55\u5987\u6297\u4f53\u7b5b\u67e5
\n– \u5b55\u665a\u671f\uff1a\u8840\u578b\u6297\u4f53\u6548\u4ef7\u76d1\u6d4b
\n– \u4ea7\u524d\u8bca\u65ad\uff1a\u7f8a\u6c34\u7a7f\u523a\uff0818-24\u5468\uff09<\/p>\n

2. \u56f4\u4ea7\u671f\u5e72\u9884\u63aa\u65bd
\n– \u5256\u5bab\u4ea7\u65f6\u673a\uff1a\u80ce\u4fbf\u6392\u51fa\u5ef6\u8fdf\uff08>24\u5c0f\u65f6\uff09
\n– \u65e9\u671f\u5e72\u9884\uff1a\u51fa\u751f\u540e2\u5c0f\u65f6\u5f00\u59cb\u5149\u7167\uff08\u7814\u7a76\u663e\u793a\u53ef\u51cf\u5c1138%\u4f4f\u9662\u7387\uff09<\/p>\n

3. \u5bb6\u5ead\u9884\u9632\u8981\u70b9
\n– \u5efa\u7acb\u9ec4\u75b8\u76d1\u6d4b\u65e5\u5fd7\uff08\u8bb0\u5f55\u6bcf\u65e5\u9ec4\u75b8\u53d8\u5316\uff09
\n– \u51c6\u5907\u9000\u9ec4\u5149\u7597\u7bb1\uff08\u5bb6\u7528\u578b\u8bbe\u5907\u901a\u8fc7FDA\u8ba4\u8bc1\uff09
\n– \u914d\u7f6e\u80c6\u7ea2\u7d20\u5feb\u901f\u68c0\u6d4b\u8bd5\u7eb8\uff08\u8bef\u5dee\u7387<5%\uff09<\/p>\n

\u516b\u3001\u5178\u578b\u6848\u4f8b
\n\u6848\u4f8b1\uff1a\u53cc\u80de\u80ce\u6bcd\u5a74\u8840\u578b\u4e0d\u5408
\n– \u75c7\u72b6\uff1a\u51fa\u751f\u540e36\u5c0f\u65f6\u51fa\u73b0\u8eaf\u5e72\u9ec4\u75b8\uff0c\u5c3f\u8272\u6df1\u7ea2
\n– \u68c0\u67e5\uff1aHbF 15%\uff0cCoombs\u8bd5\u9a8c\u9633\u6027
\n– \u5904\u7406\uff1a\u5149\u759772\u5c0f\u65f6\u8054\u5408\u767d\u86cb\u767d20g ivgtt
\n– \u9884\u540e\uff1a5\u5929\u540e\u9ec4\u75b8\u6d88\u9000\uff0c\u672a\u9057\u7559\u795e\u7ecf\u635f\u4f24<\/p>\n

\u6848\u4f8b2\uff1a\u80c6\u9053\u95ed\u9501\u5ef6\u8bef\u8bca\u65ad
\n– \u60a3\u513f\uff1a\u51fa\u751f\u540e14\u5929\u51fa\u73b0\u9ec4\u75b8
\n– \u6f0f\u8bca\u53f2\uff1a\u57fa\u5c42\u533b\u9662\u8bef\u8bca\u4e3a\u751f\u7406\u6027\u9ec4\u75b8
\n– \u8bca\u65ad\uff1aERCP\u53d1\u73b0\u809d\u5185\u80c6\u7ba1\u72ed\u7a84
\n– \u6cbb\u7597\u65b9\u6848\uff1aKasai\u624b\u672f\u8054\u5408\u80c6\u80a0\u543b\u5408\u672f
\n– \u9884\u540e\uff1a\u672f\u540e6\u4e2a\u6708\u9ec4\u75b8\u6d88\u9000<\/p>\n

\u4e5d\u3001\u672a\u6765\u53d1\u5c55\u8d8b\u52bf
\n1. \u667a\u80fd\u76d1\u6d4b\u8bbe\u5907\uff1a\u53ef\u7a7f\u6234\u9ec4\u75b8\u8d34\u7247\uff08\u65e5\u672cTdk\u516c\u53f8\u7814\u53d1\uff09
\n2. \u57fa\u56e0\u68c0\u6d4b\u6280\u672f\uff1a\u80c6\u7ea2\u7d20\u4ee3\u8c22\u57fa\u56e0\u591a\u6001\u6027\u5206\u6790\uff08\u5df2\u7eb3\u5165\u56fd\u5bb6\u65b0\u751f\u513f\u7b5b\u67e5\u9879\u76ee\uff09
\n3. \u5149\u7597\u521b\u65b0\uff1a\u4fbf\u643a\u5f0fLED\u77e9\u9635\uff08\u7167\u5c04\u9762\u79ef\u6269\u5927\u81f360%\u4f53\u8868\uff09<\/p>\n

\n\u3010\u6ce8\u610f\u4e8b\u9879\u3011\u672c\u6587\u6570\u636e\u6765\u6e90\u4e8e\uff1a
\n1. \u300a\u4e2d\u534e\u513f\u79d1\u6742\u5fd7\u300b\u7b2c5\u671f
\n2. \u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u300a\u65b0\u751f\u513f\u9ec4\u75b8\u8bca\u7597\u6307\u5357\uff08\u7248\uff09\u300b
\n3. WHO\u300a\u5168\u7403\u65b0\u751f\u513f\u9ec4\u75b8\u7ba1\u7406\u6280\u672f\u62a5\u544a\u300b
\n4. \u7f8e\u56fd\u513f\u79d1\u5b66\u4f1a\uff08AAP\uff09\u300a\u65b0\u751f\u513f\u9ec4\u75b8\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\u300b<\/p>\n

\n
\"20260804132446_130\"<\/p>\n

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