{"id":30241,"date":"2024-04-15T12:01:01","date_gmt":"2024-04-15T12:01:01","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=30241"},"modified":"2024-04-15T12:01:01","modified_gmt":"2024-04-15T12:01:01","slug":"%e4%b8%ad%e5%9b%bd%e5%84%bf%e7%ab%a5%e5%b7%9d%e5%b4%8e%e7%97%85%e8%af%8a%e7%96%97%e5%be%aa%e8%af%81%e6%8c%87%e5%8d%97%ef%bc%882023%e5%b9%b4%ef%bc%89","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=30241","title":{"rendered":"\u4e2d\u56fd\u513f\u7ae5\u5ddd\u5d0e\u75c5\u8bca\u7597\u5faa\u8bc1\u6307\u5357\uff082023\u5e74\uff09"},"content":{"rendered":"

\u5bfc\u8bfb\uff1a\u4e3a\u8fdb\u4e00\u6b65\u89c4\u8303\u548c\u6807\u51c6\u5316\u6211\u56fd\u513f\u7ae5\u5ddd\u5d0e\u75c5\uff08KD\uff09\u7684\u8bca\u65ad\u3001\u6cbb\u7597\u3001\u957f\u671f\u7ba1\u7406\u548c\u7814\u7a76\uff0c\u6307\u5357\u5de5\u4f5c\u7ec4\u9075\u5faa\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u6307\u5357\u5236\u8ba2\u7684\u539f\u5219\u548c\u65b9\u6cd5\uff0c\u7ec4\u7ec7\u591a\u5b66\u79d1\u4e13\u5bb6\u5236\u5b9a\u4e86 \u300a\u4e2d\u56fd\u513f\u7ae5\u5ddd\u5d0e\u75c5\u8bca\u7597\u5faa\u8bc1\u6307\u5357 \uff082023\u5e74\uff09\u300b\u3002\u8be5\u6307\u5357\u662f\u6211\u56fd\u7b2c\u4e00\u90e8\u513f\u7ae5KD\u8bca\u65ad\u3001\u6cbb\u7597\u6307\u5357\uff0c\u4ee5\u671f\u4e3a\u5e7f\u5927\u533b\u62a4\u4eba\u5458\u5728\u513f\u7ae5KD\u7684\u8bca\u65ad\u4e0e\u6cbb\u7597\u65b9\u9762\u63d0\u4f9b\u6307\u5bfc\u4e0e\u51b3\u7b56\u4f9d\u636e\u3002<\/p>\n

\u6807\u51c6\u00b7\u65b9\u6848\u00b7\u6307\u5357<\/p>\n

2023, 25(12): 1198-1210<\/p>\n

DOI: 10.7499\/j.issn.1008-8830.2309038<\/p>\n

\u4f5c\u8005\u7b80\u4ecb<\/p>\n

\u9655\u897f\u7701\u5ddd\u5d0e\u75c5\u8bca\u7597\u4e2d\u5fc3\/\u9655\u897f\u7701\u4eba\u6c11\u533b\u9662\u513f\u7ae5\u75c5\u9662\uff1b\u56fd\u5bb6\u513f\u7ae5\u533b\u5b66\u4e2d\u5fc3\/\u9996\u90fd\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u5317\u4eac\u513f\u7ae5\u533b\u9662\uff1b\u4e0a\u6d77\u4ea4\u901a\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u513f\u7ae5\u533b\u9662\uff1b\u56fd\u5bb6\u533a\u57df\u533b\u7597\u4e2d\u5fc3\/\u4e2d\u56fd\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u76db\uff1b\u56fd\u5bb6\u4e34\u5e8a\u91cd\u70b9\u4e13\u79d1\/\u4e0a\u6d77\u5e02\u513f\u7ae5\u533b\u9662\u91cd\u75c7\u533b\u5b66\u79d1\uff1b\u4e2d\u56fd\u533b\u5e08\u534f\u4f1a\u513f\u79d1\u533b\u5e08\u5206\u4f1a\u666e\u513f\u79d1\u5b66\u7ec4\uff1b\u4e2d\u56fd\u5987\u5e7c\u5065\u5eb7\u7814\u7a76\u4f1a\u513f\u79d1\u80fd\u529b\u5efa\u8bbe\u4e13\u5bb6\u59d4\u5458\u4f1a\uff1b\u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u5458\u4f1a\u70ed\u5e26\u75c5\u9632\u6cbb\u91cd\u70b9\u5b9e\u9a8c\u5ba4\uff1b\u5ef6\u5b89\u5927\u5b66\u9644\u5c5e\u533b\u9662\uff1b\u300a\u4e2d\u56fd\u5f53\u4ee3\u513f\u79d1\u6742\u5fd7\u300b\u7f16\u8f91\u90e8\u901a\u4fe1\u4f5c\u8005\uff1a\u7126\u5bcc\u52c7\uff0c\u7537\uff0c\u6559\u6388\uff0c\u4e3b\u4efb\u533b\u5e08\uff0c\u9655\u897f\u7701\u5ddd\u5d0e\u75c5\u8bca\u7597\u4e2d\u5fc3\/\u9655\u897f\u7701\u4eba\u6c11\u533b\u9662\u513f\u7ae5\u75c5\u9662\uff1b\u675c\u5fe0\u4e1c\uff0c\u7537\uff0c\u6559\u6388\uff0c\u4e3b\u4efb\u533b\u5e08\uff0c\u56fd\u5bb6\u513f\u7ae5\u533b\u5b66\u4e2d\u5fc3\/\u9996\u90fd\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u5317\u4eac\u513f\u7ae5\u533b\u9662\u3002<\/p>\n

\u6458\u8981<\/p>\n

\u5ddd\u5d0e\u75c5\uff08Kawasaki disease, KD\uff09\u662f\u4e00\u79cd\u6025\u6027\u81ea\u9650\u6027\u8840\u7ba1\u708e\u6027\u75be\u75c5\uff0c\u662f\u5f15\u8d775\u5c81\u4ee5\u4e0b\u513f\u7ae5\u540e\u5929\u83b7\u5f97\u6027\u5fc3\u810f\u75c5\u7684\u6700\u5e38\u89c1\u539f\u56e0\u3002\u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u5458\u4f1a\u5236\u5b9a\u76842023\u5e74\u513f\u79d1\u8d28\u63a7\u5de5\u4f5c\u6539\u8fdb\u76ee\u6807\u4e4b\u4e00\u662f\u964d\u4f4eKD\u60a3\u513f\u5fc3\u810f\u4e8b\u4ef6\u7684\u53d1\u751f\u7387\u53caKD\u76f8\u5173\u75c5\u6b7b\u7387\u3002\u4e3a\u89c4\u8303\u6211\u56fdKD\u7684\u8bca\u65ad\u3001\u6cbb\u7597\u548c\u957f\u671f\u7ba1\u7406\u5b9e\u8df5\uff0c\u6709\u6548\u9884\u9632\u3001\u51cf\u5c11\u51a0\u72b6\u52a8\u8109\u75c5\u53d8\u7684\u53d1\u751f\u53ca\u8fdc\u671f\u4e0d\u826f\u5f71\u54cd\uff0c\u6307\u5357\u5de5\u4f5c\u7ec4\u9075\u5faa\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u6307\u5357\u5236\u8ba2\u7684\u539f\u5219\u548c\u65b9\u6cd5\uff0c\u53c2\u7167\u73b0\u6709\u56fd\u5185\u5916\u8bc1\u636e\u548c\u7ecf\u9a8c\u5236\u5b9a\u4e86\u300a\u4e2d\u56fd\u513f\u7ae5\u5ddd\u5d0e\u75c5\u8bca\u7597\u5faa\u8bc1\u6307\u5357\uff082023\u5e74\uff09\u300b\u3002\u8be5\u6307\u5357\u9488\u5bf9KD\u7684\u5206\u7c7b\u53ca\u5b9a\u4e49\u3001\u4e0d\u540c\u7c7b\u578bKD\u7684\u8bca\u65ad\u3001KD\u6025\u6027\u671f\u6cbb\u7597\u3001\u8d85\u58f0\u5fc3\u52a8\u56fe\u5728KD\u5e76\u53d1\u75c7\u8bc6\u522b\u4e2d\u7684\u5e94\u7528\u548cKD\u5408\u5e76\u5de8\u566c\u7ec6\u80de\u6d3b\u5316\u7efc\u5408\u5f81\u7684\u5904\u7406\u7b49\u4e34\u5e8a\u95ee\u9898\uff0c\u57fa\u4e8e\u6700\u4f73\u8bc1\u636e\u548c\u4e13\u5bb6\u5171\u8bc6\u5f62\u6210\u4e8621\u6761\u63a8\u8350\u610f\u89c1\uff0c\u4ee5\u671f\u4e3a\u5e7f\u5927\u533b\u62a4\u4eba\u5458\u5728\u513f\u7ae5KD\u7684\u8bca\u65ad\u4e0e\u6cbb\u7597\u65b9\u9762\u63d0\u4f9b\u6307\u5bfc\u4e0e\u51b3\u7b56\u4f9d\u636e\u3002<\/p>\n

\u5173\u952e\u8bcd\uff1a\u5ddd\u5d0e\u75c5\uff1b\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\uff1b\u8bca\u65ad\uff1b\u6cbb\u7597\uff1b\u513f\u7ae5<\/p>\n

\u6b63\u6587<\/p>\n

\u5ddd\u5d0e\u75c5\uff08Kawasaki disease, KD\uff09\u53c8\u79f0\u76ae\u80a4\u9ecf\u819c\u6dcb\u5df4\u7ed3\u7efc\u5408\u5f81\uff0c1967\u5e74\u7531\u65e5\u672cKawasaki\uff3b1\uff3d<\/sup>\u9996\u6b21\u62a5\u9053\uff0c\u8ddd\u4eca\u5df2\u670950\u4f59\u5e74\u65f6\u95f4\uff0c\u4f46\u76ee\u524d\u5bf9\u4e8e\u8be5\u75c5\u7684\u8ba4\u8bc6\u5c1a\u672a\u5b8c\u5168\u9610\u660e\uff0c\u5c24\u5176\u662f\u5176\u75c5\u56e0\u4e0e\u8fdc\u671f\u9884\u540e\uff3b2\uff3d<\/sup>\uff0c\u4e14\u5728\u8bca\u65ad\u548c\u6cbb\u7597\u65b9\u9762\u8fd8\u6709\u5f85\u89c4\u8303\u7edf\u4e00\u3002\u8fd1\u5e74\u6765\uff0c\u4e0d\u5b8c\u5168\u6027\u5ddd\u5d0e\u75c5\uff08incomplete Kawasaki disease, IKD\uff09\u7684\u53d1\u75c5\u7387\u5728\u6211\u56fd\uff3b3\uff3d<\/sup>\u3001\u65e5\u672c\uff3b4\uff3d<\/sup>\u7b49\u56fd\u5bb6\u9010\u5e74\u589e\u9ad8\uff0c\u56e0\u6b64\u52a0\u5f3a\u5bf9KD\/IKD\u7684\u8bca\u65ad\u548c\u6cbb\u7597\u5341\u5206\u91cd\u8981\u3002\u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u5458\u4f1a\u5236\u5b9a\u76842023\u5e74\u513f\u79d1\u4e13\u4e1a\u8d28\u63a7\u5de5\u4f5c\u6539\u8fdb\u76ee\u6807\u4e4b\u4e00\u662f\u201c\u964d\u4f4e\u5ddd\u5d0e\u75c5\u60a3\u8005\u5fc3\u810f\u4e8b\u4ef6\u53d1\u751f\u7387\u53ca\u5ddd\u5d0e\u75c5\u76f8\u5173\u6b7b\u4ea1\u7387\u201d\uff3b5\uff3d<\/sup>\u3002\u5728\u8be5\u76ee\u6807\u7b80\u8ff0\u4e2d\u63d0\u53ca\uff0c\u76ee\u524d\u56fd\u5185\u5404\u5730KD\u8bca\u7597\u6c34\u5e73\u53c2\u5dee\u4e0d\u9f50\uff0c\u5df2\u6210\u4e3a\u513f\u79d1\u4e13\u4e1a\u533b\u7597\u8d28\u91cf\u6539\u8fdb\u7684\u91cd\u8981\u6311\u6218\u3002\u5c3d\u7ba1\u8fd1\u5e74\u6765KD\u7684\u4e34\u5e8a\u7814\u7a76\u6c34\u5e73\u6709\u6240\u63d0\u9ad8\uff0c\u4f46\u4e34\u5e8a\u7814\u7a76\u7684\u6570\u91cf\u4ecd\u7136\u6709\u9650\u30022021\u20142022\u5e74\u6211\u56fd\u76f8\u7ee7\u5f62\u6210\u4e86\u9759\u8109\u6ce8\u5c04\u514d\u75ab\u7403\u86cb\u767d\uff08intravenous immunoglobulin, IVIG\uff09\uff3b6\uff3d<\/sup>\u3001\u963f\u53f8\u5339\u6797\uff08acetylsalicylic acid, ASA\uff09\uff3b7\uff3d<\/sup>\u53ca\u7cd6\u76ae\u8d28\u6fc0\u7d20\uff08glucocorticosteroid, GC\uff09\uff3b8\uff3d<\/sup>\u5728\u513f\u7ae5KD\u4e2d\u5e94\u7528\u7684\u4e13\u5bb6\u5171\u8bc6\uff0c\u5bf9KD\u7684\u4e34\u5e8a\u8bca\u7597\u53ca\u7ba1\u7406\u8d77\u5230\u4e86\u91cd\u8981\u7684\u6307\u5bfc\u4f5c\u7528\u3002\u4f46\u5728\u4e34\u5e8a\u5b9e\u8df5\u4e2d\u5bf9\u4e8eKD\u7684\u8bca\u6cbb\u4ecd\u7136\u9762\u4e34\u8bb8\u591a\u6311\u6218\uff0c\u76ee\u524d\u56fd\u5185\u5728\u513f\u7ae5KD\u8bca\u65ad\u5b9e\u8df5\u65b9\u9762\u5c1a\u7f3a\u4e4f\u57fa\u4e8e\u7cfb\u7edf\u8bc4\u4ef7\u7684\u8bc1\u636e\u548c\u5e73\u8861\u4e0d\u540c\u5e72\u9884\u63aa\u65bd\u5229\u5f0a\u7684\u76f8\u5173\u63a8\u8350\u610f\u89c1\uff08\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\uff09\u3002<\/p>\n

\u56e0\u6b64\uff0c\u4e3a\u8fdb\u4e00\u6b65\u89c4\u8303\u548c\u6807\u51c6\u5316\u6211\u56fd\u513f\u7ae5KD\u7684\u8bca\u65ad\u3001\u6cbb\u7597\u3001\u957f\u671f\u7ba1\u7406\u548c\u7814\u7a76\uff0c\u6211\u4eec\u6309\u7167\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u6307\u5357\u5236\u8ba2\u7684\u539f\u5219\u548c\u65b9\u6cd5\uff0c\u7ec4\u7ec7\u591a\u5b66\u79d1\u4e13\u5bb6\u5236\u5b9a\u4e86\u300a\u4e2d\u56fd\u513f\u7ae5\u5ddd\u5d0e\u75c5\u8bca\u7597\u5faa\u8bc1\u6307\u5357\uff082023\u5e74\uff09\u300b\uff08\u4ee5\u4e0b\u7b80\u79f0\u201c\u672c\u6307\u5357\u201d\uff09\u3002\u672c\u6307\u5357\u7cfb\u7edf\u5168\u9762\u5730\u6536\u96c6\u3001\u8bc4\u4ef7\u548c\u7efc\u5408\u73b0\u6709\u7684\u7814\u7a76\u8fdb\u5c55\u548c\u76f8\u5173\u7814\u7a76\u6570\u636e\uff0c\u53c2\u8003\u56fd\u5185\u5916KD\u7684\u8bca\u7597\u6307\u5357\uff0c\u5e76\u7efc\u5408\u8003\u8651\u4e00\u7ebf\u533b\u62a4\u4eba\u5458\u610f\u89c1\u4ee5\u53ca\u56fd\u5185\u533b\u7597\u536b\u751f\u8d44\u6e90\u7b49\u56e0\u7d20\uff0c\u9080\u8bf7\u56fd\u5185\u4e13\u5bb6\u5145\u5206\u8ba8\u8bba\uff0c\u5bf9\u513f\u7ae5KD\u7684\u5b9a\u4e49\u548c\u5206\u7c7b\u3001\u4e0d\u540c\u7c7b\u578bKD\u7684\u8bca\u65ad\u65b9\u6cd5\u3001KD\u6025\u6027\u671f\u6cbb\u7597\u3001\u8d85\u58f0\u5fc3\u52a8\u56fe\u5728KD\u5e76\u53d1\u75c7\u8bc6\u522b\u4e2d\u7684\u5e94\u7528\u548cKD\u5408\u5e76\u5de8\u566c\u7ec6\u80de\u6d3b\u5316\u7efc\u5408\u5f81\uff08macrophage activation syndrome, MAS\uff09\u7684\u5904\u7406\u7b49\u4e34\u5e8a\u95ee\u9898\u63d0\u51fa\u4e86\u63a8\u8350\u610f\u89c1\uff0c\u65e8\u5728\u4e3a\u6211\u56fd\u513f\u7ae5KD\u7684\u4e34\u5e8a\u89c4\u8303\u5316\u7ba1\u7406\u63d0\u4f9b\u6307\u5bfc\uff0c\u6709\u6548\u9884\u9632KD\u540e\u9057\u75c7\uff0c\u964d\u4f4eKD\u5fc3\u8840\u7ba1\u4e8b\u4ef6\u53d1\u751f\u53ca\u6b7b\u4ea1\u98ce\u9669\u3002<\/p>\n

1  \u6307\u5357\u5236\u8ba2\u65b9\u6cd5\u672c\u6307\u5357\u4e25\u683c\u9075\u5faa\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u6307\u5357\u5236\u8ba2\u624b\u518c\u4e2d\u6807\u51c6\u6307\u5357\u5236\u8ba2\u7684\u6d41\u7a0b\u548c\u65b9\u6cd5\uff3b9\uff3d<\/sup>\u8fdb\u884c\u5236\u8ba2\uff0c\u5e76\u6309\u7167\u536b\u751f\u4fdd\u5065\u5b9e\u8df5\u6307\u5357\u7684\u62a5\u544a\u6761\u76ee\uff3b10\uff3d<\/sup>\u8fdb\u884c\u62a5\u544a\uff0c\u7b26\u5408\u7f8e\u56fd\u533b\u5b66\u7814\u7a76\u6240\u5173\u4e8e\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\u7684\u5b9a\u4e49\uff3b11\uff3d<\/sup>\u3002\u672c\u6307\u5357\u5df2\u5728\u56fd\u9645\u5b9e\u8df5\u6307\u5357\u6ce8\u518c\u4e0e\u900f\u660e\u5316\u5e73\u53f0\uff08http:\/\/www.\/\uff09\u6ce8\u518c\uff0c\u6ce8\u518c\u53f7\u4e3a\uff1aPREPARE-2023CN120\u3002\u672c\u6307\u5357\u901a\u8fc7\u7f51\u7edc6\u8f6e\u5f81\u6c42\u5168\u56fd20\u591a\u4f4d\u513f\u79d1\u76f8\u5173\u4e13\u5bb6\u5efa\u8bae\uff0c\u5e76\u901a\u8fc73\u6b21KD\u76f8\u5173\u5b66\u672f\u4f1a\u8bae\u516c\u5f00\u5f81\u96c6\u6765\u81ea\u5168\u56fd\u591a\u4e2a\u7701\u3001\u5e02\u3001\u81ea\u6cbb\u533a\u4e34\u5e8a\u533b\u751f\u7684\u610f\u89c1\u6536\u96c6\u76f8\u5173\u4e34\u5e8a\u95ee\u9898\u540e\uff0c\u5728UpToDate\u3001BMJ\u3001Clinical Evidence\u3001\u7f8e\u56fd\u56fd\u7acb\u6307\u5357\u6587\u5e93\uff08National Guideline Clearinghouse\uff09\u3001\u5faa\u8bc1\u536b\u751f\u4fdd\u5065\u56fe\u4e66\u9986\uff08Joanna Briggs Institute Library\uff09\u3001Cochrane Library\u3001PubMed\u7b49\u82f1\u6587\u6570\u636e\u5e93\uff0c\u4ee5\u53ca\u4e2d\u56fd\u751f\u7269\u533b\u5b66\u6587\u732e\u670d\u52a1\u7cfb\u7edf\u3001\u4e2d\u56fd\u77e5\u7f51\u3001\u4e07\u65b9\u6570\u636e\u5e93\u7b49\u4e2d\u6587\u6570\u636e\u5e93\u8fdb\u884c\u7cfb\u7edf\u68c0\u7d22\u3002\u68c0\u7d22\u5173\u952e\u8bcd\u4e3a\uff1a\u5ddd\u5d0e\u75c5\u3001\u76ae\u80a4\u9ecf\u819c\u6dcb\u5df4\u7ed3\u7efc\u5408\u5f81\u3001\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\u3001\u4e13\u5bb6\u5171\u8bc6\u3001\u513f\u7ae5\u7b49\uff1b\u6240\u6709\u6587\u732e\u68c0\u7d22\u65f6\u9650\u622a\u81f32023\u5e747\u670815\u65e5\u3002\u6700\u7ec8\u7eb3\u516583\u7bc7\u6587\u732e\uff0c\u5305\u62ec\u6307\u535722\u7bc7\uff0c\u4e13\u5bb6\u5171\u8bc6\/\u6807\u51c610\u7bc7\uff0cMeta\u5206\u6790\/\u7cfb\u7edf\u8bc4\u4ef716\u7bc7\uff0c\u968f\u673a\u5bf9\u7167\u8bd5\u9a8c11\u7bc7\uff0c\u89c2\u5bdf\u6027\u7814\u7a7624\u7bc7\u3002\u672c\u6307\u5357\u4e13\u5bb6\u7ec4\u5bf9\u6240\u7eb3\u5165\u6587\u732e\u8fdb\u884c\u6574\u5408\u4e0e\u8d28\u91cf\u8bc4\u4ef7\uff0c\u5e76\u91c7\u7528\u8bc1\u636e\u63a8\u8350\u5206\u7ea7\u8bc4\u4f30\u3001\u5236\u8ba2\u4e0e\u8bc4\u4ef7\uff08Grading of Recommendations Assessment, Development and Evaluation, GRADE\uff09\u65b9\u6cd5\u5bf9\u8bc1\u636e\u8d28\u91cf\u548c\u63a8\u8350\u610f\u89c1\u8fdb\u884c\u5206\u7ea7\uff08\u88681\uff09\uff3b12-18\uff3d<\/sup>\uff1b\u4f9d\u636e\u4e13\u5bb6\u4e34\u5e8a\u7ecf\u9a8c\u5bf9\u5c1a\u65e0\u76f4\u63a5\u8bc1\u636e\u652f\u6301\u7684\u4e34\u5e8a\u95ee\u9898\u5f62\u6210\u57fa\u4e8e\u4e13\u5bb6\u5171\u8bc6\u7684\u63a8\u8350\u610f\u89c1\uff0c\u5373\u826f\u597d\u5b9e\u8df5\u4e3b\u5f20\uff08good practice statement, GPS\uff09\uff3b19\uff3d<\/sup>\u3002\u6700\u540e\uff0c\u901a\u8fc72\u8f6e\u4e13\u5bb6\u51fd\u8be2\u548c1\u6b21\u6307\u5357\u5f62\u6210\u4f1a\u8bae\uff0c\u5bf921\u6761\u63a8\u8350\u610f\u89c1\u8fbe\u6210\u4e86\u5171\u8bc6\u3002\u672c\u6307\u5357\u5168\u6587\u5df2\u7531\u5916\u90e8\u540c\u884c\u4e13\u5bb6\u8fdb\u884c\u8bc4\u5ba1\uff0c\u5e76\u7ecf\u6307\u5357\u6307\u5bfc\u59d4\u5458\u4f1a\u5ba1\u5b9a\u901a\u8fc7\uff0c\u5c06\u6309\u8ba1\u5212\u4f20\u64ad\u3001\u5b9e\u65bd\u548c\u66f4\u65b0\u3002\u672c\u6307\u5357\u4f9b\u513f\u7ae5\u4e13\u79d1\u533b\u9662\u3001\u5987\u5e7c\u4fdd\u5065\u9662\u6216\u7efc\u5408\u533b\u9662\u3001\u57fa\u5c42\u533b\u9662\u7684\u513f\u79d1\u533b\u5e08\u3001\u62a4\u7406\u4eba\u5458\u53ca\u4ece\u4e8b\u76f8\u5173\u4e34\u5e8a\u3001\u6559\u5b66\u3001\u79d1\u7814\u548c\u7ba1\u7406\u5de5\u4f5c\u7684\u4e13\u4e1a\u4eba\u5458\u4f7f\u7528\uff1b\u672c\u6307\u5357\u7684\u76ee\u6807\u4eba\u7fa4\u662f\u5404\u7ea7\u533b\u9662\u76840~18\u5c81\u95e8\u8bca\u53ca\u4f4f\u9662\u513f\u7ae5\u3002\u88681\u3000GRADE\u8bc1\u636e\u8d28\u91cf\u4e0e\u63a8\u8350\u5f3a\u5ea6\u5206\u7ea7\uff3b12-18\uff3d<\/sup><\/sup>\u7c7b\u522b<\/p>\n","protected":false},"excerpt":{"rendered":"

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