{"id":28792,"date":"2024-04-03T12:00:49","date_gmt":"2024-04-03T12:00:49","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=28792"},"modified":"2024-04-03T12:00:49","modified_gmt":"2024-04-03T12:00:49","slug":"%e8%a1%80%e6%b6%b2%e7%a7%91%e9%9a%be%e7%82%b9%e7%bc%96%e7%a0%81%ef%bc%9a%e6%81%b6%e6%80%a7%e6%b7%8b%e5%b7%b4%e7%98%a4%ef%bc%88%e4%b8%8b%ef%bc%89","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=28792","title":{"rendered":"\u8840\u6db2\u79d1\u96be\u70b9\u7f16\u7801\uff1a\u6076\u6027\u6dcb\u5df4\u7624\uff08\u4e0b\uff09"},"content":{"rendered":"<\/p>\n<p>\u8840\u6db2\u79d1\u96be\u70b9\u7f16\u7801\uff1a\u6076\u6027\u6dcb\u5df4\u7624\uff08\u4e0a\uff09<\/p>\n<p>\uff08\u63a5\u4e0a\u7bc7\uff09ICD-10&nbsp;\u7f16\u7801<\/p>\n<p>\u6ce8\u610f\u767d\u8840\u75c5\u4e0e\u6dcb\u5df4\u7624\u7684\u5173\u7cfb<\/p>\n<p>\u767d\u8840\u75c5\u901a\u5e38\u662f\u6307\u9aa8\u9ad3\u3001\u5916\u5468\u8840\u51fa\u73b0\u4e86\u6076\u6027\u7684\u8840\u6db2\u80bf\u7624\u7ec6\u80de\uff0c\u901a\u5e38\u6807\u51c6\u662f\u9aa8\u9ad3\u6216\u8005\u5916\u5468\u8840\u7684\u6076\u6027\u80bf\u7624\u7ec6\u80de\u8d85\u8fc7\u4e86 20%\uff0c\u79f0\u4e4b\u4e3a\u767d\u8840\u75c5\u3002\u2460\u6076\u6027\u8840\u6db2\u80bf\u7624\u7ec6\u80de\u662f\u6dcb\u5df4\u7ec6\u80de\u4e3a\u6dcb\u5df4\u7ec6\u80de\u767d\u8840\u75c5\uff1b\u2461\u662f\u7c92\u7ec6\u80de\u4e3a\u7c92\u7ec6\u80de\u767d\u8840\u75c5\uff1b\u2462\u662f NK \u7ec6\u80de\u4e3a NK \u7ec6\u80de\u767d\u8840\u75c5\u3002\u6dcb\u5df4\u7624\u662f\u6307\u6dcb\u5df4\u7ec6\u80de\u7684\u6076\u6027\u80bf\u7624\uff0c\u901a\u5e38\u662f\u4ee5\u7624\u5757\uff08\u80bf\u7269\u3001\u5305\u5757\uff09\u8d77\u75c5\u591a\u89c1\uff0c\u4e60\u60ef\u4e0a\u53eb\u6dcb\u5df4\u7624\uff1b\u4f46\u5b9e\u9645\u4e0a\u4e5f\u53ef\u4ee5\u4ee5\u767d\u8840\u75c5\u7684\u5f62\u5f0f\u8d77\u75c5\uff0c\u5c31\u662f\u6dcb\u5df4\u7ec6\u80de\u767d\u8840\u75c5\u3002\u56e0\u6b64\u6dcb\u5df4\u7624\u5e7f\u4e49\u4e0a\u5305\u62ec\u6dcb\u5df4\u7ec6\u80de\u767d\u8840\u75c5\u3002\u9aa8\u9ad3\u91cc\u6709\u6dcb\u5df4\u7624\uff0c\u6bd4\u4f8b\u4e0d\u9ad8\uff0c\u4e0d\u591f 20%\uff0c\u6dcb\u5df4\u7624\u9aa8\u9ad3\u4fb5\u72af\u5c5e\u4e8e IV \u671f\uff1b\u5982\u679c\u6709\uff0c\u5e76\u4e14\u6bd4\u4f8b\u8d85\u8fc7 20%\uff0c\u4e3a\u6dcb\u5df4\u7624\u767d\u8840\u75c5\u3002T \u7ec6\u80de\u6765\u6e90\u7684\u901a\u5e38\u4ee5\u7eb5\u8188\u80bf\u7269\u5f62\u5f0f\u66f4\u591a\u89c1\uff0cB \u7ec6\u80de\u6765\u6e90\u7684\u4ee5\u767d\u8840\u75c5\u5f62\u5f0f\u66f4\u591a\u89c1\u3002\u6162\u6027\u6dcb\u5df4\u7ec6\u80de\u767d\u8840\u75c5\/\u5c0f B \u7ec6\u80de\u6dcb\u5df4\u7624\uff0c\u5e38\u5e38\u4ee5\u767d\u8840\u75c5\u7684\u5f62\u5f0f\u8d77\u75c5\u3002\u6709\u53ef\u80fd\u540c\u65f6\u60a3\u6709\u6dcb\u5df4\u7624\u548c\u767d\u8840\u75c5\u3002\u4ee5\u4e0a\u60c5\u51b5\u7f16\u7801\u65f6\u6ce8\u610f\u7504\u522b\u3002<\/p>\n<p>ICD\u7f16\u7801<\/p>\n<p>\u786e\u5b9a\u57fa\u672c\u5927\u7c7bHL\/NHL\u5148\u75c5\u7406\u540e\u90e8\u4f4d\uff0c\u4e3b\u5bfc\u8bcd\u201c\u6dcb\u5df4\u7624\u201d\u3001\u201c\u970d\u5947\u91d1\u201d\u4e3a\u4e3b\u67e5\u4e09\u5377\u6838\u4e00\u5377B21.2\uff5e\uff08HIV\u9020\u6210\u6216\u4f34\u6709\u7684\u6076\u6027\u6dcb\u5df4\u7624\uff09HL\uff1aC81NHL\uff1aC82\uff5eC85 &nbsp;\u4ee3\u8868\u6027\u7f16\u7801\uff1aC81.\uff5e&nbsp; 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&nbsp;&nbsp;&nbsp;&nbsp;e.g.&nbsp; &nbsp; &nbsp;\u813e\u8fb9\u7f18\u5e26\u6dcb\u5df4\u7624\u4ee5\u5f80\u5206\u7c7b\u4e2d\u672a\u5217\u51fa&nbsp; &nbsp;&nbsp;e.g. &nbsp;&nbsp; &nbsp;\u80a0\u75c5\u578bT\u7ec6\u80de\u6dcb\u5df4\u7624\uff0c\u53ef\u4ee5\u6309\u7ec6\u80de\u514d\u75ab\u5206\u578b\u3002NHL\uff08C82-C85\uff09\u7f16\u7801\u6309\u4ee5\u4e0b\u987a\u5e8f\u8fdb\u884c\uff1aHIV\u76f8\u5173\u7684\u6dcb\u5df4\u7624\uff08\u4ee5B\u7ec6\u80de\u6dcb\u5df4\u7624\u4e3a\u4e3b\uff09\u5f62\u6001\u5b66\u7ec6\u80de\u514d\u75ab\u5206\u578b\u7f16\u7801\u4e3e\u4f8b\u6848\u4f8b1\u514d\u75ab\u7ec4\u5316\u663e\u793a\uff1a\u751f\u53d1\u4e2d\u5fc3\u7ec6\u80de\uff08CD10+\uff09\u4fb5\u72af\u6ee4\u6ce1\u95f4\u533a\uff0c\u4e2a\u522b\u5f02\u5e38\u6ee4\u6ce1\u672a\u89c1CD21\u7f51\uff0c\u7b26\u5408\u975e\u970d\u5947\u91d1\u6dcb\u5df4\u7624\uff0cB\u7ec6\u80de\u6027\uff0c\u6ee4\u6ce1\u6027\u6dcb\u5df4\u76243\u7ea7\uff0c\u5408\u5e76DLBCL\uff0cNOS\u5206\u6790\uff1a\u67e5\u9605\u75c5\u53f2\uff0c\u8be5\u60a3\u8005\u65e2\u5f80\u662f\u6ee4\u6ce1\u6027\u6dcb\u5df4\u7624\uff0c\u540e\u8f6c\u5316\u4e3a\u5f25\u6f2b\u5927B\u7ec6\u80de\u6dcb\u5df4\u7624\uff61\u7f16\u7801\u67e5\u627e\uff1a\u67e5\u5377\u4e09\uff1a\u6dcb\u5df4\u7624&nbsp; 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&nbsp; M9699\/3&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;\uff08\u7f16\u7801\u67e5\u627e\u7565\uff09\u6848\u4f8b3T\u6dcb\u5df4\u6bcd\u7ec6\u80de\u767d\u8840\u75c5\/\u6dcb\u5df4\u7624\u5206\u6790\uff1aT\u6dcb\u5df4\u6bcd\u7ec6\u80de\u767d\u8840\u75c5\/\u6dcb\u5df4\u7624\uff08T-ALL\/LBL\uff09\u662f\u4e00\u79cd\u8d77\u6e90\u4e8e\u6dcb\u5df4\u6bcd\u7ec6\u80de\u7684\u80bf\u7624\u3002\u6dcb\u5df4\u6bcd\u7ec6\u80de\u6dcb\u5df4\u7624\u5206\u4e3aB\u6dcb\u5df4\u6bcd\u7ec6\u80de\u6dcb\u5df4\u7624\u548cT\u6dcb\u5df4\u6bcd\u7ec6\u80de\u6dcb\u5df4\u7624\u3002T\u6dcb\u5df4\u6bcd\u7ec6\u80de\u6dcb\u5df4\u7624\u4e0eT\u6dcb\u5df4\u6bcd\u7ec6\u80de\u767d\u8840\u75c5\u662f\u540c\u4e00\u79cd\u75be\u75c5\u7684\u4e0d\u540c\u9636\u6bb5\uff61\u4e34\u5e8a\u4ee5\u80bf\u7624\u6027\u75c5\u7076\u8d77\u75c5\u800c\u65e0\u9aa8\u9ad3\u53ca\u5916\u5468\u8840\u53d7\u4fb5\u6216\u9aa8\u9ad3\u4e2d\u80bf\u7624\u6027\u6dcb\u5df4\u6bcd\u7ec6\u80de&lt;25%\u65f6\u8bca\u65ad\u4e3aLBL\uff1b\u5f53\u6709\u9aa8\u9ad3\u548c\u5916\u5468\u8840\u53d7\u4fb5\uff0c\u9aa8\u9ad3\u4e2d\u6dcb\u5df4\u6bcd\u7ec6\u80de\u226525%\u65f6\uff0c\u5219\u8bca\u65ad\u4e3aALL\u3002\u6240\u5c5e\u5206\u7c7b\uff1a\u6025\u6027\u6dcb\u5df4\u7ec6\u80de\u767d\u8840\u75c5&nbsp; &nbsp; \uff08\u5305\u62ec\u524dT\u3001\u524dB\u3001T\u6dcb\u6bcd\u3001B\u6dcb\u6bcd\u3001\u6162\u7c92\u6025\u6dcb\u53d8etc.\uff09\u67e5\u9605\u75c5\u5386\u6700\u7ec8\u7f16\u7801\u4e3a\uff1aC91.000\u00d7016 &nbsp;&nbsp; M9727\/3\u6848\u4f8b4ICD\u7f16\u7801\u539f\u53d1\u4e8e\u6dcb\u5df4\u7ed3\u5185\u548c\u7ed3\u5916\u7684\u6dcb\u5df4\u7624\u6ca1\u6709\u533a\u5206,\u539f\u53d1\u4e8e\u7ed3\u5916\u7ec4\u7ec7\u7684\u6dcb\u5df4\u7624\uff0c\u5728\u80bf\u7624\u8868\u4e2d\u6ca1\u6709\u90e8\u4f4d\u7f16\u7801\uff61\u7ed3\u5916\u6dcb\u5df4\u7624\u9996\u5148\u786e\u8bca\u7684\u79d1\u5ba4\u53ef\u80fd\u4e0d\u662f\u8840\u6db2\u79d1\uff61e.g.\u80c3\u6076\u6027\u6dcb\u5df4\u7624\u5916\u79d1\u5728\u5207\u9664\u75c5\u7076\u540e\uff0c\u75c5\u7406\u62a5\u544a\u63d0\u793a\u201c\u5f25\u6f2b\u5927B\u7ec6\u80de\u6dcb\u5df4\u7624\u201d\u4e34\u5e8a\u586b\u5199\uff1a\u80c3\u6076\u6027\u6dcb\u5df4\u7624&nbsp; &nbsp;C85.900&#215;023&nbsp; &nbsp;M9680\/3ICD\u7f16\u7801\uff1a&nbsp;\u5f25\u6f2b\u6027\u5927B\u7ec6\u80de\u6dcb\u5df4\u7624&nbsp; C83.3&nbsp; &nbsp; M9680\/3\u6709\u9488\u5bf9\u7ed3\u5916\u539f\u53d1\u6dcb\u5df4\u7624\u75c5\u7076\u884c\u624b\u672f\u5207\u9664,\u4e14ICD\u8bcd\u5178\u5e93\u4e2d\u6709\u8be5\u90e8\u4f4d\u6dcb\u5df4\u7624C85.9\u7684\u6269\u5c55\u8bca\u65ad,\u4ee5\u6b64\u8bca\u65ad\u7f16\u7801\uff1b\u5426\u5219\u6309\u4f20\u7edf\u7684ICD\u7f16\u7801\uff61\u6848\u4f8b5\u6dcb\u5df4\u7624\u7ec6\u80de\u767d\u8840\u75c5&nbsp;&nbsp;\uff08LCL\uff09Lymphosarcoma cell leukaemia\u51fa\u9662\u8bca\u65ad\uff1a\u6025\u6027\u6dcb\u5df4\u7ec6\u80de\u767d\u8840\u75c5&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;\u975e\u970d\u5947\u91d1\u6dcb\u5df4\u7624\u5206\u6790\uff1aLCL\u53c8\u540d\u201c\u6dcb\u5df4\u8089\u7624\u7ec6\u80de\u767d\u8840\u75c5\u201d\u662f\u7531\u6dcb\u5df4\u7624\u8f6c\u5316\u800c\u6765\u7684\u4e00\u79cd\u6dcb\u5df4\u7ec6\u80de\u767d\u8840\u75c5\uff0c\u80bf\u7624\u4fb5\u72af\u9aa8\u9ad3\u548c\u5916\u5468\u8840\uff0c\u665a\u671f\u591a\u6570\u8868\u73b0\u4e3a\u6025\u3001\u6162\u6027\u6dcb\u5df4\u7ec6\u80de\u767d\u8840\u75c5\u3002\u5c5e\u6dcb\u5df4\u7624\u2163\u671f\uff0c\u7d2f\u53ca\u9aa8\u9ad3\uff0c\u665a\u671f\u6dcb\u5df4\u7624\u3002\u6700\u5e38\u89c1\u7684\u662f\u975e\u970d\u5947\u91d1\u6dcb\u5df4\u7624\u3002\u6dcb\u5df4\u7624\u7ec6\u80de\u767d\u8840\u75c5\u53d1\u75c5\u7387\u5728\u665a\u671f\u975e\u970d\u5947\u6dcb\u5df4\u7624\u4e2d\u7ea6\u5360 15% \uff5e63%\u3002\u75c5\u7406\u8bca\u65ad\u4e3a\u6076\u6027\u6dcb\u5df4\u7624\uff0c\u5e76\u6709\u767d\u8840\u75c5\u8840\u8c61\uff0c\u5373\u8840\u6d82\u7247\u4e2dLY\u7edd\u5bf9\u503c\u8fbe5 \u00d710^9\/L\u4ee5\u4e0a\uff1b\u9aa8\u9ad3\u6d82\u7247\u4e2d\u6dcb\u5df4\u7624\u7ec6\u80de\u8fbe20%\u4ee5\u4e0a\u8005\u5747\u8bca\u65ad\u4e3a\u6dcb\u5df4\u7624\u7ec6\u80de\u767d\u8840\u75c5\u3002\u67e5\u9605\u75c5\u7a0b\u53ca\u76f8\u5173\u68c0\u67e5e.g.\u4e0e\u4e34\u5e8a\u533b\u751f\u6c9f\u901a\uff0c\u7ed3\u5408\u56fd\u4e34\u72482.0\u4e3b\u8981\u8bca\u65ad\u7f16\u7801\uff1aC94.7 &nbsp; M9850\/3\u4e3b\u8981\u8bca\u65ad\u9009\u62e9<\/p>\n<p>\u6076\u6027\u80bf\u7624\u7684\u9009\u62e9<\/p>\n<p>\uff08A\uff09\u9996\u5148\u9075\u5faa\u4e3b\u8bca\u9009\u62e9\u57fa\u672c\u539f\u5219\u3002\uff08B\uff09\u75be\u75c5\u4e0e\u6b7b\u4ea1\u7f16\u7801\u7684\u89c4\u5219\u548c\u6307\u5bfc&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;ICD-10\uff1a\u75be\u75c5\u548c\u6709\u5173\u5065\u5eb7\u95ee\u9898\u7684\u56fd\u9645\u7edf\u8ba1\u5206\u7c7b&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; \u7b2c\u4e8c\u5377&nbsp; \u6307\u5bfc\u624b\u518c&nbsp; \uff08\u8282\u9009\uff09\u2460\u540c\u65f6\u5728C81-C96 \u4e2d\u7684\u4e24\u4e2a\u6216\u4e24\u4e2a\u4ee5\u4e0a\u6dcb\u5df4\u3001\u9020\u8840\u548c\u6709\u5173\u7ec4\u7ec7\u7684\u6076\u6027\u80bf\u7624\uff0c\u4e0d\u80fd\u4f7f\u7528 C97\u72ec\u7acb\uff08\u539f\u53d1)\u591a\u4e2a\u90e8\u4f4d\u7684\u6076\u6027\u80bf\u7624\u3002&nbsp;\u2461C81-C96\u4e0e\u5176\u4ed6\u90e8\u4f4d\u75c5\u7406\u5f62\u6001\u5b66\u4e0d\u540c\u7684\u539f\u53d1\u6076\u6027\u80bf\u7624\u540c\u65f6\u5b58\u5728\u65f6\uff0c\u53ef\u4f7f\u7528 C97\u3002&nbsp;e.g.&nbsp; &nbsp; &nbsp; \u970d\u5947\u91d1\u6dcb\u5df4\u7624&nbsp; &nbsp; &nbsp; \u8180\u80f1\u764c&nbsp; &nbsp; &nbsp;&nbsp;\u4e3b\u8981\u8bca\u65ad\u7f16\u7801\uff1a&nbsp; C97&nbsp; &nbsp; &nbsp;&nbsp;\u767d\u8840\u75c5&nbsp; &nbsp; &nbsp; \u975e\u970d\u5947\u91d1\u6dcb\u5df4\u7624&nbsp; &nbsp; &nbsp; \u5375\u5de2\u764c&nbsp; &nbsp; &nbsp;&nbsp;\u4e3b\u8981\u8bca\u65ad\u7f16\u7801\uff1a&nbsp; C97\uff08C\uff09\u9996\u9875\u586b\u5199\u89c4\u8303\u7b2c13\u6761\u80bf\u7624\u7c7b\u75be\u75c5\u4e3b\u8981\u8bca\u65ad\u9009\u62e9\u539f\u5219\u533b\u4fdd\u57fa\u91d1\u7ed3\u7b97\u6e05\u5355\u89c4\u8303\u7b2c\u4e00\u7ae0\u7b2c21\u6761\u80bf\u7624\u4e3b\u8981\u8bca\u65ad\u9009\u62e9\u539f\u5219\uff08\u5177\u4f53\u5185\u5bb9\u7565\uff09\uff08D\uff09\u4e34\u5e8a\u4e0e\u75c5\u7406\u4e0d\u4e00\u81f4\uff1a\u539f\u5219\u4e0a\u7f16\u7801\u65f6\u4ee5\u75c5\u7406\u8bca\u65ad\u4e3a\u51c6\uff1b\u53d1\u75c5\u60c5\u51b5\u7b26\u5408\u4e34\u5e8a\u8bca\u65ad\u903b\u8f91\uff0c\u7f16\u7801\u4ee5\u4e34\u5e8a\u8bca\u65ad\u4e3a\u6807\u51c6\uff1b\u4e34\u5e8a\u8bca\u65ad\u540d\u79f0\u4e0e\u75c5\u7406\u7ed3\u679c\u80bf\u7624\u5177\u4f53\u90e8\u4f4d\u4e0d\u4e00\u81f4\u65f6\uff0c\u6309\u75c5\u7406\u62a5\u544a\u63cf\u8ff0\u7684\u90e8\u4f4d\u7f16\u7801\uff1b\u65e0\u9aa8\u9ad3\u7247\u8bca\u65ad\uff1a\u6076\u6027\u6dcb\u5df4\u7624&nbsp; &nbsp; &nbsp;M959000\/3(NOS)\u767d\u8840\u75c5&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; M980000\/3(NOS)\uff08E\uff09\u75c5\u79cd\u76ee\u5f55\u5e93\u5728\u75be\u75c5\u4e25\u91cd\u7a0b\u5ea6\u5206\u578b\u8f85\u52a9\u76ee\u5f55\u7684\u57fa\u7840\u4e0a\u53e0\u52a0\u80bf\u7624\u8f6c\u79fb\u3001\u653e\u5316\u7597\u7b49\u5c06\u75c5\u4f8b\u6309\u7167\u4e25\u91cd\u7a0b\u5ea6\u5206\u4e3a\u6b7b\u4ea1\u75c5\u4f8b\uff08VI \u7ea7\uff09\u653e\u5316\u7597\u75c5\u4f8b\uff08\u2164 \u7ea7\uff09\u8f6c\u79fb\u75c5\u4f8b\uff08IV \u7ea7\uff09\u91cd\u5ea6\u75c5\u4f8b\uff08\u2162 \u7ea7\uff09\u4e2d\u5ea6\u75c5\u4f8b\uff08\u2161 \u7ea7\uff09\u6b21\u8981\u8bca\u65ad\u75c5\u79cd\uff08\u2160 \u7ea7\uff09\u80bf\u7624\u4e25\u91cd\u7a0b\u5ea6\u5206\u578b\u8d8a\u9ad8\uff0c\u533b\u9662\u83b7\u5f97\u7684\u533b\u4fdd\u6536\u5165\u8d8a\u9ad8\u3002<\/p>\n<p>\u6ce8\u610f<\/p>\n<p>\u2460\u547c\u5438\u673a\u4f7f\u7528\u226596h\u3001\u9aa8\u9ad3\u79fb\u690d\u5165MDCA\u7ec4\u2461\u5165RA1\u3001RA2\u7ec4\u7684\u91cd\u5927\u624b\u672f\u64cd\u4f5c\u3001&nbsp; 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