{"id":31096,"date":"2024-04-23T04:02:11","date_gmt":"2024-04-23T04:02:11","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=31096"},"modified":"2024-04-23T04:02:11","modified_gmt":"2024-04-23T04:02:11","slug":"%e6%8c%87%e5%8d%97%e4%b8%8e%e5%85%b1%e8%af%86%ef%bd%9c%e7%b3%96%e5%b0%bf%e7%97%85%e8%b6%b3%e6%ba%83%e7%96%a1%e5%90%88%e5%b9%b6%e4%b8%8b%e8%82%a2%e8%a1%80%e7%ae%a1%e7%97%85%e5%8f%98%e7%9a%84%e5%a4%96","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=31096","title":{"rendered":"\u6307\u5357\u4e0e\u5171\u8bc6\uff5c\u7cd6\u5c3f\u75c5\u8db3\u6e83\u75a1\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u5916\u79d1\u8bca\u7597\u5168\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082024\u7248\uff09"},"content":{"rendered":"<p>                                        \u7cd6\u5c3f\u75c5\u8db3\u6e83\u75a1\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u5916\u79d1\u8bca\u7597\u5168\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082024\u7248\uff09<\/p>\n<p>\u4e2d\u534e\u533b\u5b66\u4f1a\u70e7\u4f24\u5916\u79d1\u5b66\u5206\u4f1a&nbsp; \u4e2d\u56fd\u8001\u5e74\u533b\u5b66\u5b66\u4f1a\u70e7\u521b\u4f24\u5206\u4f1a&nbsp; \u4e2d\u56fd\u533b\u5e08\u534f\u4f1a\u521b\u9762\u4fee\u590d\u4e13\u4e1a\u59d4\u5458\u4f1a<\/p>\n<p>\u5f15\u7528\u672c\u6587\uff1a\u4e2d\u534e\u533b\u5b66\u4f1a\u70e7\u4f24\u5916\u79d1\u5b66\u5206\u4f1a, \u4e2d\u56fd\u8001\u5e74\u533b\u5b66\u5b66\u4f1a\u70e7\u521b\u4f24\u5206\u4f1a, \u4e2d\u56fd\u533b\u5e08\u534f\u4f1a\u521b\u9762\u4fee\u590d\u4e13\u4e1a\u59d4\u5458\u4f1a. \u7cd6\u5c3f\u75c5\u8db3\u6e83\u75a1\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u5916\u79d1\u8bca\u7597\u5168\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082024\u7248\uff09[J]. \u4e2d\u534e\u70e7\u4f24\u4e0e\u521b\u9762\u4fee\u590d\u6742\u5fd7, 2024, 40(3): 206-220. DOI:&nbsp; 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foot ulcer\uff0cDFU\uff09\u662f\u7cd6\u5c3f\u75c5\u60a3\u8005\u7684\u4e00\u79cd\u4e25\u91cd\u5e76\u53d1\u75c7\uff0c\u4e3b\u8981\u8868\u73b0\u4e3a\u8db3\u90e8\u7ec4\u7ec7\u7684\u611f\u67d3\u3001\u7834\u6e83\u3001\u53d8\u6027\u574f\u6b7b\uff0c\u4ee5\u53ca\u4e0b\u80a2\u8840\u7ba1\u548c\u795e\u7ecf\u75c5\u53d8\u7b49\u4e34\u5e8a\u7279\u5f81\u3002\u7cd6\u5c3f\u75c5\u60a3\u8005\u4e2d\uff0cDFU\u53d1\u75c5\u7387\u9ad8\u8fbe19%~34%<sup>\uff3b1\uff3d<\/sup>\uff0c\u800c\u5176\u4e2d\u7ea620%\u7684\u8db3\u90e8\u6e83\u75a1\u56e0\u53d1\u751f\u611f\u67d3\u7b49\u539f\u56e0\u5bfc\u81f4\u4e0d\u540c\u8282\u6bb5\u7684\u622a\u80a2<sup>\uff3b2\uff3d<\/sup>\uff0c\u662f\u4e0b\u80a2\u975e\u5916\u4f24\u6027\u622a\u80a2\u7684\u4e3b\u8981\u539f\u56e0\u3002\u5916\u5468\u52a8\u8109\u75be\u75c5\uff08peripheral arterial disease\uff0cPAD\uff09\u662f\u5f15\u53d1DFU\u7684\u4e3b\u8981\u56e0\u7d20\u4e4b\u4e00\uff0c\u4e2d\u9ad8\u6536\u5165\u56fd\u5bb6\u7edf\u8ba1\u6570\u636e\u663e\u793a\uff0c\u7ea650%\u7684DFU\u60a3\u8005\u4f1a\u540c\u65f6\u4f34\u6709PAD<sup>\uff3b3\uff3d<\/sup>\u3002\u4f46\u662f\uff0c\u7531\u4e8e\u5927\u591a\u6570\u7cd6\u5c3f\u75c5\u60a3\u8005\u5728\u672a\u51fa\u73b0\u4e0b\u80a2\u6e83\u75a1\u7b49\u5e76\u53d1\u75c7\u524d\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u4e34\u5e8a\u75c7\u72b6\u5c1a\u4e0d\u5178\u578b\uff0c\u56e0\u6b64\u9488\u5bf9\u5176\u8840\u7ba1\u75c5\u7406\u6539\u53d8\u5e38\u7f3a\u4e4f\u6b63\u786e\u7684\u8bca\u7597\u3002\u5728\u56fd\u5185\u5916\u7684\u4e34\u5e8a\u5b9e\u8df5\u4e2d\uff0c\u5bf9DFU\u548c\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u5747\u6709\u76f8\u5e94\u7684\u8bc4\u4f30\u65b9\u6cd5\u3002\u6bd4\u5982\u9488\u5bf9DFU\u8bc4\u4f30\u7684Wagner\u5206\u7ea7<sup>\uff3b4\uff3d<\/sup>\uff0c\u56fd\u9645\u7cd6\u5c3f\u75c5\u8db3\u5de5\u4f5c\u7ec4\uff08International Working Group on the Diabetic Foot\uff0cIWGDF\uff09\u5206\u7ea7<sup>\uff3b5\uff3d<\/sup>\uff0cTexas\u5206\u7ea7<sup>\uff3b6\uff3d<\/sup>\uff0c\u90e8\u4f4d\u3001\u7f3a\u8840\u3001\u795e\u7ecf\u75c5\u53d8\u3001\u7ec6\u83cc\u611f\u67d3\u3001\u9762\u79ef\u3001\u6df1\u5ea6\uff08the site\uff0cischemia\uff0cneuropathy\uff0cbacterial infection\uff0carea\uff0cand depth\uff0cSINBAD\uff09\u5206\u7ea7<sup>\uff3b7\uff3d<\/sup>\uff0c\u521b\u9762\u3001\u7f3a\u8840\u548c\u8db3\u611f\u67d3\uff08wound\uff0c ischemia\uff0c and foot infection\uff0cWIfI\uff09\u5206\u7ea7<sup>\uff3b8\uff3d<\/sup>\u7cfb\u7edf\uff1b\u4ee5\u53ca\u9488\u5bf9\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u8bc4\u4f30\u7684\u8840\u7ba1\u5f69\u8272\u591a\u666e\u52d2\u8d85\u58f0\uff0cCT\u8840\u7ba1\u6210\u50cf\uff08computed tomography angiography\uff0cCTA\uff09\uff0c\u78c1\u5171\u632f\u8840\u7ba1\u6210\u50cf\uff08magnetic resonance angiography\uff0cMRA\uff09\uff0c\u6570\u5b57\u51cf\u5f71\u8840\u7ba1\u9020\u5f71\uff08digital subtraction angiography\uff0cDSA\uff09\u7b49\u5f71\u50cf\u5b66\u68c0\u67e5\u548c\u6cdb\u5927\u897f\u6d0b\u5b66\u4f1a\u8054\u76df\uff08Trans-Atlantic Inter-Society Consensus\uff0cTASC\uff09\u5206\u7ea7<sup>\uff3b9\uff3d<\/sup>\u7b49\u3002\u4f46\u662f\u5728\u5f3a\u8c03\u4e2a\u4f53\u5316\u6cbb\u7597\u53ca\u591a\u5b66\u79d1\u8bca\u7597\u7684\u4eca\u5929\uff0cDFU\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u66f4\u9700\u8981\u4e00\u79cd\u7efc\u5408\u6027\u7684\u5206\u7ea7\u53ca\u6cbb\u7597\u5efa\u8bae\u3002\u4e0d\u4ec5\u5982\u6b64\uff0c\u7531\u4e8e\u5404\u533b\u7597\u673a\u6784\u548c\u533b\u62a4\u7fa4\u4f53\u5b58\u5728\u5730\u57df\u6027\u53ca\u77e5\u8bc6\u66f4\u65b0\u7684\u5dee\u5f02\uff0c\u4e00\u4e9b\u66f4\u65b0\u540e\u7684\u9488\u5bf9DFU\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u6cbb\u7597\u7406\u5ff5\u4ee5\u53ca\u65b0\u6280\u672f\u3001\u65b0\u65b9\u6cd5\u5c1a\u672a\u5f97\u5230\u666e\u53ca\uff0c\u4f7f\u5f97\u8be5\u75be\u75c5\u7684\u8bca\u7597\u9009\u62e9\u548c\u9884\u540e\u5b58\u5728\u8f83\u5927\u5dee\u5f02\u3002\u57fa\u4e8e\u4ee5\u4e0a\u95ee\u9898\uff0c\u4e2d\u534e\u533b\u5b66\u4f1a\u70e7\u4f24\u5916\u79d1\u5b66\u5206\u4f1a\u3001\u4e2d\u56fd\u8001\u5e74\u533b\u5b66\u5b66\u4f1a\u70e7\u521b\u4f24\u5206\u4f1a\u3001\u4e2d\u56fd\u533b\u5e08\u534f\u4f1a\u521b\u9762\u4fee\u590d\u4e13\u4e1a\u59d4\u5458\u4f1a\u7ec4\u7ec7\u591a\u5b66\u79d1\u4e13\u5bb6\uff0c\u4e3b\u8981\u57fa\u4e8e\u56fd\u5185\u5916\u8fd1\u5e74\u6765\u5173\u4e8eDFU\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u4e34\u5e8a\u7814\u7a76\u7ed3\u679c\uff0c\u8be6\u5c3d\u8ba8\u8bba\u4fee\u8ba2\u540e\u5236\u8ba2\u672c\u5171\u8bc6\u3002<\/p>\n<h2>1&nbsp;\u5e94\u7528\u8303\u56f4<\/h2>\n<p>\u672c\u5171\u8bc6\u5185\u5bb9\u6db5\u76d6\u9488\u5bf9DFU\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u8bc4\u4ef7\u3001\u8bca\u7597\u7b49\u65b9\u9762\uff0c\u76ee\u6807\u4eba\u7fa4\u662fDFU\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u60a3\u8005\u3002\u672c\u5171\u8bc6\u9002\u7528\u4e8e\u5411\u76ee\u6807\u4eba\u7fa4\u63d0\u4f9b\u536b\u751f\u4fdd\u5065\u670d\u52a1\u7684\u533b\u7597\u673a\u6784\u548c\u536b\u751f\u7ba1\u7406\u90e8\u95e8\u7b49\uff0c\u4e3b\u8981\u4f7f\u7528\u8005\u4e3a\u70e7\u4f24\u6574\u5f62\u79d1\u3001\u521b\u9762\u4fee\u590d\u79d1\u3001\u8840\u7ba1\u5916\u79d1\u3001\u5185\u5206\u6ccc\u79d1\u548c\u75be\u75c5\u9884\u9632\u63a7\u5236\u79d1\u533b\u52a1\u5de5\u4f5c\u8005\u3002<\/p>\n<h2>2&nbsp;\u5171\u8bc6\u5236\u8ba2\u65b9\u6cd5\u5b66<\/h2>\n<p>\u672c\u5171\u8bc6\u9884\u5148\u8fdb\u884c\u4e86\u4e2d\u82f1\u6587\u53cc\u8bed\u6ce8\u518c\uff0c\u5e76\u64b0\u5199\u4e86\u8ba1\u5212\u4e66\u3002\u5171\u8bc6\u5de5\u4f5c\u7ec4\u7531\u70e7\u4f24\u5916\u79d1\u3001\u8840\u7ba1\u5916\u79d1\u3001\u521b\u9762\u4fee\u590d\u79d1\u3001\u5185\u5206\u6ccc\u79d1\u548c\u5faa\u8bc1\u533b\u5b66\u4e13\u4e1a\u9886\u57df\u768469\u4f4d\u4e13\u5bb6\u7ec4\u6210\uff0c\u8bbe\u7acb\u987e\u95ee\u3001\u7ec4\u957f\u3001\u4e13\u5bb6\u7ec4\u3001\u6267\u7b14\u7ec4\u3001\u6587\u732e\u6574\u7406\u7ec4\u3001\u65b9\u6cd5\u5b66\u4e13\u5bb6\u3001\u8bc1\u636e\u8bc4\u4ef7\u7ec4\u53ca\u79d8\u4e66\u7ec4\u3002\u672c\u5171\u8bc6\u7531\u6267\u7b14\u7ec4\u5728\u6587\u732e\u8c03\u7814\u548c\u4e13\u5bb6\u54a8\u8be2\u7684\u57fa\u7840\u4e0a\u62df\u5b9a\u4e34\u5e8a\u95ee\u9898\uff0c\u5e76\u901a\u8fc7\u5728\u7ebf\u95ee\u5377\u8c03\u67e5\u8bc4\u4ef7\u4e34\u5e8a\u95ee\u9898\u7684\u91cd\u8981\u6027\u540e\u8fdb\u884c\u7b5b\u9009\u6574\u7406\uff0c\u6bcf\u4e2a\u4e34\u5e8a\u95ee\u9898\u6309\u7167PICO\uff08P\uff1a\u4eba\u7fa4\/\u60a3\u8005\uff0cI\uff1a\u5e72\u9884\u63aa\u65bd\uff0cC\uff1a\u5bf9\u7167\/\u6bd4\u8f83\uff0cO\uff1a\u7ed3\u5c40\u6307\u6807\uff09\u5f62\u5f0f\u89e3\u6784\uff0c\u5171\u8bc6\u7f16\u5199\u7ec4\u8fdb\u884c1\u6b21\u5171\u8bc6\u4f1a\u8bae\u5ba1\u6838\u786e\u8ba4\u5e76\u7ed9\u51fa\u521d\u6b65\u610f\u89c1\u3002\u6587\u732e\u6574\u7406\u7ec4\u6839\u636e\u4e34\u5e8a\u95ee\u9898\u67e5\u627eDFU\u53ca\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u6cbb\u7597\u76f8\u5173\u7684\u9ad8\u8d28\u91cf\u6587\u732e\uff0c\u68c0\u7d22\u82f1\u6587\u5173\u952e\u8bcd\uff1adiabetic foot ulcer\u3001diabetic wound\u3001lower limbs\u3001peripheral arterial disease\u3001PAD\uff0c\u4e2d\u6587\u5173\u952e\u8bcd\uff1a\u7cd6\u5c3f\u75c5\u8db3\u6e83\u75a1\u3001\u7cd6\u5c3f\u75c5\u521b\u9762\u3001\u5916\u5468\u52a8\u8109\u75be\u75c5\u3001\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\uff1b\u6570\u636e\u5e93\uff1aPubMed\u3001Medline\u3001Web of Science\u3001\u4e2d\u56fd\u77e5\u7f51\uff1b\u68c0\u7d22\u65f6\u95f4\u4e3a\u4ece\u5404\u6570\u636e\u5e93\u5efa\u5e93\u81f32023\u5e747\u67081\u65e5\uff1b\u76f8\u5173\u5f15\u7528\u6587\u732e\u8f85\u52a9\u624b\u5de5\u68c0\u7d22\uff0c\u641c\u7d22\u9650\u5b9a\u4e3a\u4eba\u7c7b\u75be\u75c5\u76f8\u5173\uff1b\u6587\u732e\u7c7b\u578b\u4e3a\u968f\u673a\u5bf9\u7167\u8bd5\u9a8c\u3001\u75c5\u4f8b\u5bf9\u7167\u7814\u7a76\u3001\u961f\u5217\u7814\u7a76\u3001\u4e34\u5e8a\u75c5\u4f8b\u7cfb\u5217\u7814\u7a76\u548c\u4e13\u5bb6\u610f\u89c1\u7b49\u3002\u901a\u8fc7Cochrane\u504f\u501a\u98ce\u9669\u5de5\u5177\u5bf9\u7eb3\u5165\u7684\u968f\u673a\u5bf9\u7167\u8bd5\u9a8c\u7814\u7a76\u8bbe\u8ba1\u7684\u65b9\u6cd5\u5b66\u8d28\u91cf\u8fdb\u884c\u8bc4\u4ef7\uff0c\u4f7f\u7528\u7ebd\u5361\u65af\u5c14-\u6e25\u592a\u534e\u91cf\u8868\u5bf9\u75c5\u4f8b\u5bf9\u7167\u7814\u7a76\u548c\u961f\u5217\u7814\u7a76\u7684\u8d28\u91cf\u8fdb\u884c\u8bc4\u4ef7\uff0c\u91c7\u7528Joanna Briggs Institute\u6807\u51c6\u5bf9\u4e34\u5e8a\u75c5\u4f8b\u7cfb\u5217\u7814\u7a76\u3001\u4e13\u5bb6\u610f\u89c1\u7684\u8d28\u91cf\u8fdb\u884c\u8bc4\u4ef7\u3002\u7531\u8bc1\u636e\u8bc4\u4ef7\u7ec4\u6839\u636e2009\u7248\u725b\u6d25\u5927\u5b66\u5faa\u8bc1\u533b\u5b66\u4e2d\u5fc3\u8bc1\u636e\u5206\u7ea7\u6807\u51c6\uff08\u88681\uff09\u5bf9\u6587\u732e\u53ca\u4e13\u5bb6\u610f\u89c1\u8fdb\u884c\u8bc1\u636e\u5206\u7ea7\uff0c\u6bcf\u6761\u8bc1\u636e\u5747\u8fdb\u884c2\u6b21\u72ec\u7acb\u8bc4\u4f30\u5e76\u83b7\u5f97\u4e00\u81f4\u6027\u8bc4\u4ef7\uff0c\u6bcf\u6761\u63a8\u8350\u610f\u89c1\u6709\u4e0d\u540c\u7ea7\u522b\u8bc1\u636e\u65f6\u7eb3\u5165\u6700\u9ad8\u7ea7\u522b\u8bc1\u636e\u3002\u6267\u7b14\u7ec4\u5f62\u6210\u5171\u8bc6\u521d\u7a3f\u540e\uff0c\u5148\u540e\u7ecf\u8fc71\u8f6e\u5fb7\u5c14\u83f2\u6cd5\u8c03\u67e5\u53cd\u9988\u548c3\u8f6e\u5171\u8bc6\u4f1a\u8bae\u8fdb\u884c\u610f\u89c1\u4fee\u6539\uff0c\u660e\u786e\u8bc1\u636e\u7b49\u7ea7\u548c\u63a8\u8350\u5f3a\u5ea6\u3002\u82e5\u63a8\u8350\u610f\u89c1\u83b7&gt;95%\u4e13\u5bb6\u63a8\u8350\uff0c\u5219\u8be5\u63a8\u8350\u610f\u89c1\u4e3a\u5f3a\u63a8\u8350\uff1b\u83b775%~95%\u4e13\u5bb6\u63a8\u8350\uff0c\u5219\u8be5\u63a8\u8350\u610f\u89c1\u4e3a\u4e2d\u63a8\u8350\uff1b\u83b7\u226550%\u4e14&lt;75%\u4e13\u5bb6\u63a8\u8350\uff0c\u5219\u8be5\u63a8\u8350\u610f\u89c1\u4e3a\u5f31\u63a8\u8350\uff1b\u4e00\u81f4\u6027\u7a0b\u5ea6&lt;50%\u7684\u63a8\u8350\u610f\u89c1\u5c06\u4e0d\u88ab\u7eb3\u5165\u3002<\/p>\n<h2>3&nbsp;\u4e34\u5e8a\u95ee\u98981\uff1aDFU\u4e0e\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u4e34\u5e8a\u6d41\u884c\u75c5\u5b66<\/h2>\n<p>\u63a8\u8350\u610f\u89c11\uff1aPAD\u662fDFU\u53d1\u75c5\u7684\u91cd\u8981\u5f71\u54cd\u56e0\u7d20\u53ca\u622a\u80a2\u7684\u72ec\u7acb\u5371\u9669\u56e0\u7d20\uff0c\u5404\u7ea7\u533b\u7597\u536b\u751f\u673a\u6784\u5e94\u8be5\u5bf9\u7cd6\u5c3f\u75c5\u60a3\u8005\u8fdb\u884c\u76f8\u5173\u5ba3\u4f20\u548c\u6559\u80b2\uff0c\u5e2e\u52a9\u60a3\u8005\u8ba4\u8bc6\u5230PAD\u548c\u7cd6\u5c3f\u75c5\u8db3\u7684\u5371\u5bb3\uff0c\u9f13\u52b1\u60a3\u8005\u6bcf\u5e74\u5230\u533b\u9662\u8fdb\u884c\u4e0b\u80a2\u8840\u7ba1\u68c0\u67e5\u8bc4\u4f30\uff08\u8bc1\u636e\u7b49\u7ea7\uff1aA\uff0c\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u3002\u8bc1\u636e\u4e0e\u8bf4\u660e\uff1a\u636e\u5168\u7403\u75be\u75c5\u8d1f\u62c5\u7814\u7a76\u8868\u660e\uff0c\u622a\u81f32021\u5e74\u5168\u7403\u7ea6\u67095.29\u4ebf\u4eba\u60a3\u6709\u7cd6\u5c3f\u75c5\uff0c\u5176\u4e2d\u7ea61\/4\u7684\u60a3\u8005\u4f1a\u53d1\u751fDFU<sup>\uff3b10\uff3d<\/sup>\u3002\u53e6\u5916\uff0c\u7cd6\u5c3f\u75c5\u4e5f\u662f\u5168\u7403\u975e\u521b\u4f24\u6027\u4e0b\u80a2\u622a\u80a2\u7684\u4e3b\u8981\u539f\u56e0\u3002\u8d44\u6599\u663e\u793a\uff0c\u4e0e\u7cd6\u5c3f\u75c5\u76f8\u5173\u7684\u4f4e\u4f4d\u8fdc\u7aef\u622a\u80a2\u60a3\u8005\u5360\u53d1\u8fbe\u56fd\u5bb6\u6240\u6709\u622a\u80a2\u60a3\u8005\u768460%\u5de6\u53f3\uff0c\u4e14\u4f4e\u4f4d\u8fdc\u7aef\u622a\u80a2\u60a3\u8005\u4e2d\u7ea685%\u6709DFU\u75c5\u53f2<sup>\uff3b11-12\uff3d<\/sup>\u3002\u524d\u6587\u63d0\u5230\uff0c\u5728\u4e2d\u9ad8\u6536\u5165\u56fd\u5bb6\uff0c\u670950%\u5de6\u53f3\u7684DFU\u60a3\u8005\u5408\u5e76PAD\uff0c\u800c\u5176\u4e2d\u4e0eDFU\u76f4\u63a5\u76f8\u5173\u7684\u5373\u4e3a\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8<sup>\uff3b3\uff3d<\/sup>\u3002\u7cd6\u5c3f\u75c5\u6027PAD\u4e0d\u4ec5\u662f\u7cd6\u5c3f\u75c5\u8db3\u53d1\u751f\u7684\u9ad8\u5371\u56e0\u7d20\uff0c\u8fd8\u662f\u5bfc\u81f4DFU\u60a3\u8005\u622a\u80a2\u7684\u72ec\u7acb\u5371\u9669\u56e0\u7d20<sup>\uff3b5\uff0c13\uff3d<\/sup>\u3002\u5728\u540c\u5e74\u9f84\u7ec4\u4e2d\uff0c\u7cd6\u5c3f\u75c5\u60a3\u8005PAD\u7684\u53d1\u751f\u7387\u662f\u975e\u7cd6\u5c3f\u75c5\u60a3\u8005\u76842\u500d\uff0c\u4f4f\u9662\u7cd6\u5c3f\u75c5\u60a3\u8005\u7684PAD\u53d1\u751f\u7387\u53ef\u9ad8\u8fbe19.47%~23.80%<sup>\uff3b14\uff3d<\/sup>\u3002\u53e6\u4e00\u9879\u591a\u4e2d\u5fc3\u8c03\u67e5\u7814\u7a76\u5206\u6790\u663e\u793a\u6211\u56fd\u7cd6\u5c3f\u75c5\u6027PAD\u60a3\u75c5\u7387\u9ad8\u8fbe21.2%\uff0c\u7531\u7cd6\u5c3f\u75c5\u5f15\u8d77\u7684\u5927\u8840\u7ba1\u548c\u5fae\u8840\u7ba1\u5e76\u53d1\u75c7\u6bd4\u4f8b\u66f4\u9ad8\u8fbe55.6%\u548c62.1%\uff0c\u7ea6\u670950%\u7684\u7cd6\u5c3f\u75c5\u6027PAD\u60a3\u8005\u6f0f\u8bca\uff0c\u5bfc\u81f4\u5927\u91cf\u60a3\u8005\u9519\u8fc7\u6700\u4f73\u7684\u65e9\u671f\u5e72\u9884\u9636\u6bb5<sup>\uff3b15\uff3d<\/sup>\u3002\u56e0\u6b64\uff0cDFU\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u53ca\u65f6\u3001\u6b63\u786e\u7684\u8bca\u7597\uff0c\u5bf9\u964d\u4f4e\u5176\u81f4\u6b8b\u7387\u548c\u81f4\u6b7b\u7387\u6709\u91cd\u8981\u610f\u4e49\u3002<\/p>\n<h2>4&nbsp;\u4e34\u5e8a\u95ee\u98982\uff1aDFU\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u8bc4\u4f30\u65b9\u6cd5<\/h2>\n<p>\u63a8\u8350\u610f\u89c12\uff1a\u63a5\u8bcaDFU\u60a3\u8005\u540e\uff0c\u5e94\u5bf9\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u95f4\u6b47\u6027\u8ddb\u884c\u3001\u9759\u606f\u75db\u3001\u611f\u89c9\u8fdf\u949d\u7b49\u4e34\u5e8a\u75c7\u72b6\u8fdb\u884c\u95ee\u8bca\uff0c\u5e76\u5bf9\u76ae\u80a4\u6e29\u5ea6\u3001\u8272\u6cfd\u4ee5\u53ca\u4e0b\u80a2\u52a8\u8109\u640f\u52a8\u8fdb\u884c\u89e6\u8bca\u548c\u542c\u8bca\uff0c\u5bf9DFU\u60a3\u8005\u662f\u5426\u4f34\u6709\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u8fdb\u884c\u521d\u5224\u548c\u7b5b\u67e5\uff08\u8bc1\u636e\u7b49\u7ea7\uff1aA\uff0c\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u3002\u4f46\u8981\u6ce8\u610f\uff0c\u4e34\u5e8a\u8868\u73b0\u4e0e\u6709\u65e0\u52a8\u8109\u7cfb\u7edf\u75be\u75c5\u4ee5\u53ca\u5176\u4e25\u91cd\u7a0b\u5ea6\u5e76\u65e0\u5bf9\u5e94\u6027\uff0c\u4ecd\u7136\u9700\u8981\u5229\u7528\u4eea\u5668\u884c\u8fdb\u4e00\u6b65\u8f85\u52a9\u68c0\u67e5\uff08\u8bc1\u636e\u7b49\u7ea7\uff1aB\uff0c\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u3002\u63a8\u8350\u610f\u89c13\uff1a\u9488\u5bf9DFU\u60a3\u8005\u5165\u9662\u540e\u9664\u4e86\u75c7\u72b6\u95ee\u8bca\u53ca\u4f53\u683c\u68c0\u67e5\u4ee5\u5916\uff0c\u63a8\u8350\u5c06\u8e1d\u80b1\u6307\u6570\u68c0\u6d4b\u53ca\u7ecf\u76ae\u6c27\u5206\u538b\uff08transcutaneous oxygen pressure\uff0cTcPO<sub>2<\/sub>\uff09\u68c0\u6d4b\u4f5c\u4e3aDFU\u60a3\u8005\u7684\u5165\u9662\u4e00\u7ebf\u68c0\u67e5\u6307\u6807\uff08\u8bc1\u636e\u7b49\u7ea7\uff1aA\uff0c\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u3002\u63a8\u8350\u610f\u89c14\uff1a\u5bf9\u4e8e\u7cd6\u5c3f\u75c5\u8db3\u60a3\u8005\uff0c\u8e1d\u80b1\u6307\u6570\u548cTcPO<sub>2<\/sub>\u5355\u72ec\u5e94\u7528\u65f6\u5747\u6709\u4e00\u5b9a\u5c40\u9650\u6027\uff0c\u53ef\u7ed3\u5408\u8fd9\u4e24\u8005\u53ca\u4ee5\u4e0a\u6307\u6807\u7684\u68c0\u67e5\u7ed3\u679c\u7efc\u5408\u5224\u5b9a\u3002\u5f53\u8e1d\u80b1\u6307\u6570&gt;0.9\uff0c\u6216TcPO<sub>2<\/sub>\u226560 mmHg\uff081 mmHg=0.133 kPa\uff09\u65f6\u6682\u4e0d\u8003\u8651\u5b58\u5728\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u98ce\u9669\uff1b\u8e1d\u80b1\u6307\u6570\u63d0\u793a\u8f7b\u3001\u4e2d\u5ea6\u8840\u6d41\u51cf\u5c11\uff0c\u621640 mmHg\u2264TcPO<sub>2<\/sub>&lt;60 mmHg\u65f6\uff0c\u987b\u884c\u8840\u7ba1\u5f69\u8272\u591a\u666e\u52d2\u8d85\u58f0\u68c0\u67e5\u7b49\u4ee5\u8fdb\u4e00\u6b65\u8bc4\u4f30\u8840\u6d41\u60c5\u51b5\uff1b\u8e1d\u80b1\u6307\u6570\u63d0\u793a\u91cd\u5ea6\u8840\u6d41\u51cf\u5c11\uff0c\u6216TcPO<sub>2<\/sub>&lt;40 mmHg\u65f6\uff0c\u5fc5\u987b\u79ef\u6781\u884c\u8840\u7ba1\u5f71\u50cf\u5b66\u68c0\u67e5\u5e76\u8fdb\u4e00\u6b65\u8bc4\u4f30\u662f\u5426\u9700\u8981\u884c\u8840\u8fd0\u91cd\u5efa\u6cbb\u7597\u3002\u53e6\u5916\uff0cTcPO<sub>2<\/sub>\u8d8a\u9ad8\uff0cDFU\u6108\u5408\u7684\u53ef\u80fd\u6027\u8d8a\u5927\u3002\u8bc1\u636e\u7b49\u7ea7\uff1aA\uff0c\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\u3002\u63a8\u8350\u610f\u89c15\uff1a\u8840\u7ba1\u5f69\u8272\u591a\u666e\u52d2\u8d85\u58f0\u68c0\u67e5\u64cd\u4f5c\u7b80\u4fbf\uff0c\u5bf9DFU\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u8bca\u65ad\u51c6\u786e\u7387\u8f83\u9ad8\uff0c\u9002\u7528\u4e8e\u8840\u7ba1\u75c5\u53d8\u5927\u8303\u56f4\u7b5b\u67e5\u4ee5\u53ca\u75c5\u53d8\u8fdb\u5c55\u8ffd\u8e2a\uff0c\u53ef\u4f5c\u4e3aDFU\u60a3\u8005\u5165\u9662\u540e\u7684\u4e8c\u7ebf\u68c0\u67e5\uff08\u8bc1\u636e\u7b49\u7ea7\uff1aB\uff0c\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u3002\u4f46\u8be5\u68c0\u67e5\u9700\u64cd\u4f5c\u8005\u6709\u5145\u8db3\u7684\u4e34\u5e8a\u7ecf\u9a8c\uff0c\u5bf9\u4e25\u91cd\u8840\u7ba1\u9499\u5316\u548c\u591a\u8282\u6bb5PAD\u654f\u611f\u5ea6\u8f83\u4f4e\uff0c\u4e0d\u80fd\u4f5c\u4e3a\u5224\u65ad\u662f\u5426\u884c\u7cd6\u5c3f\u75c5\u8db3\u4ecb\u5165\u624b\u672f\u53ca\u622a\u80a2\u624b\u672f\u7684\u4e3b\u8981\u6307\u6807\uff08\u8bc1\u636e\u7b49\u7ea7\uff1aB\uff0c\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u3002\u63a8\u8350\u610f\u89c16\uff1aDSA\u68c0\u67e5\u662fDFU\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u8bca\u65ad\u7684\u201c\u91d1\u6807\u51c6\u201d\uff0c\u5bf9\u4e8e\u5728\u65e0\u521b\u68c0\u67e5\u63d0\u793a\u5b58\u5728\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u3001\u91cd\u70b9\u6000\u7591\u7cd6\u5c3f\u75c5\u8db3\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75be\u75c5\u4e14\u8003\u8651\u9700\u8981\u884c\u8840\u8fd0\u91cd\u5efa\u672f\u7684\u60a3\u8005\uff0c\u9700\u6839\u636e\u60c5\u51b5\u9009\u62e9CTA\u3001MRA\u6216DSA\u68c0\u67e5\uff08\u8bc1\u636e\u7b49\u7ea7\uff1aB\uff0c\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u3002\u82e5DFU\u60a3\u8005\u521b\u9762\u7ecf\u6b63\u89c4\u6cbb\u7597\u4f46\u8fc1\u5ef6\u4e0d\u61081\u4e2a\u6708\u4ee5\u4e0a\uff0c\u65e0\u8bba\u5176\u65e9\u671f\u8840\u7ba1\u76f8\u5173\u68c0\u67e5\u7ed3\u679c\u662f\u5426\u63d0\u793a\u5b58\u5728\u75c5\u53d8\uff0c\u5747\u5e94\u8be5\u884cDSA\u68c0\u67e5\u8fdb\u884c\u660e\u786e\uff0c\u5e76\u6839\u636e\u7ed3\u679c\u8003\u8651\u662f\u5426\u884c\u8840\u7ba1\u4ecb\u5165\u6cbb\u7597\uff08\u8bc1\u636e\u7b49\u7ea7\uff1aA\uff0c\u63a8\u8350\u5f3a\u5ea6\uff1a\u4e2d\uff09\u3002\u8bc1\u636e\u4e0e\u8bf4\u660e\uff1a\u638c\u63e1\u7b80\u6613\u3001\u6709\u6548\u7684\u8bc4\u4f30\u65b9\u6cd5\uff0c\u5bf9DFU\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u60a3\u8005\u7684\u7b5b\u67e5\u548c\u6cbb\u7597\u6709\u7740\u91cd\u8981\u610f\u4e49\u3002\u8003\u8651\u5230\u56fd\u5bb6\u5206\u7ea7\u8bca\u7597\u653f\u7b56\u7684\u5b9e\u65bd\uff0c\u4e00\u822c\u7cd6\u5c3f\u75c5\u8db3\u60a3\u8005\u7684\u7b2c\u4e00\u5c31\u8bca\u533b\u7597\u673a\u6784\u9996\u9009\u793e\u533a\u95e8\u8bca\uff0c\u6240\u4ee5\u5728\u672c\u5171\u8bc6\u4e2d\u5bf9DFU\u60a3\u8005\u662f\u5426\u5408\u5e76\u6709\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u7b5b\u67e5\u65b9\u6cd5\u8fdb\u884c\u89c4\u8303\u548c\u5206\u7ea7\u8bca\u7597\u63a8\u8350\uff0c\u6709\u5f88\u5f3a\u7684\u4e34\u5e8a\u5b9e\u8df5\u6307\u5bfc\u610f\u4e49\u3002\u540c\u65f6\uff0c\u65b0\u7406\u8bba\u7684\u63d0\u51fa\u4ee5\u53ca\u65b0\u6280\u672f\u548c\u65b0\u65b9\u6cd5\u7684\u51fa\u73b0\uff0c\u4e5f\u5bf9DFU\u4f34\u5927\u8840\u7ba1\u6216\u5fae\u5faa\u73af\u5f02\u5e38\u7684\u8bca\u65ad\u63d0\u4f9b\u4e86\u66f4\u591a\u53ef\u9009\u62e9\u7684\u8bc4\u4f30\u5224\u5b9a\u65b9\u6cd5\uff08\u56fe1\uff09\u3002\u75c7\u72b6\u548c\u4f53\u5f81\u3002\u7cd6\u5c3f\u75c5\u76f8\u5173\u7684\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u5728\u4e34\u5e8a\u4e0a\u5e38\u5448\u9690\u533f\u6027\u8fdb\u5c55\uff0c\u60a3\u8005\u5728\u53d1\u751fDFU\u524d\u5f80\u5f80\u5ffd\u7565\u4e86\u5bf9\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u5e38\u89c4\u4f53\u68c0<sup>\uff3b16\uff3d<\/sup>\u3002\u56e0\u6b64\uff0c\u63a5\u8bca\u7cd6\u5c3f\u75c5\u60a3\u8005\u5c24\u5176\u662f\u5df2\u7ecf\u51fa\u73b0\u8db3\u90e8\u6e83\u75a1\u7684\u60a3\u8005\uff0c\u9700\u8be6\u7ec6\u8be2\u95ee\u5176\u53d1\u75c5\u65f6\u95f4\u3001\u75c5\u60c5\u8fdb\u5c55\u53ca\u8840\u7cd6\u63a7\u5236\u60c5\u51b5\uff0c\u5e76\u4e86\u89e3\u5176\u6709\u65e0\u95f4\u6b47\u6027\u8ddb\u884c\u3001\u80a2\u7aef\u75bc\u75db\u3001\u611f\u89c9\u8fdf\u949d\u7b49\u75c5\u53f2<sup>\uff3b17-18\uff3d<\/sup>\u3002\u6709\u7814\u7a76\u6307\u51fa\uff0c\u7531\u4e8e\u7cd6\u5c3f\u75c5\u60a3\u8005\u5e38\u5b58\u5728\u5468\u56f4\u795e\u7ecf\u75c5\u53d8\u7b49\u5e76\u53d1\u75c7\uff0c\u56e0\u6b64\u9759\u606f\u75db\u3001\u8ddb\u884c\u7b49\u75c7\u72b6\u53ef\u80fd\u5e76\u4e0d\u660e\u663e<sup>\uff3b16\uff3d<\/sup>\u3002\u5728\u63a5\u8bca\u7cd6\u5c3f\u75c5\u60a3\u8005\u540e\u7684\u4f53\u683c\u68c0\u67e5\u4e2d\uff0c\u8981\u6ce8\u610f\u819d\u5173\u8282\u4ee5\u4e0b\u7684\u76ae\u80a4\u6e29\u5ea6\u964d\u4f4e\u3001\u76ae\u80a4\u8272\u7d20\u6c89\u7740\u3001\u6bdb\u53d1\u8131\u843d\u3001\u4f53\u4f4d\u6027\u76ae\u80a4\u53d1\u7ea2\u7684\u60c5\u51b5<sup>\uff3b19\uff3d<\/sup>\u3002\u53e6\u5916\uff0c\u9700\u5bf9\u80eb\u524d\u52a8\u8109\u548c\u80eb\u540e\u52a8\u8109\u640f\u52a8\u89e6\u8bca\u3001\u5bf9\u80a1\u52a8\u8109\u8840\u7ba1\u6742\u97f3\u542c\u8bca<sup>\uff3b20-21\uff3d<\/sup>\u3002\u636e\u7edf\u8ba1\uff0c\u4f53\u683c\u68c0\u67e5\u5f02\u5e38\u5bf9\u4e8e\u4e0b\u80a2\u52a8\u8109\u75c5\u53d8\u7684\u8bca\u65ad\u6b63\u786e\u7387\u53ef\u8fbe90%\u4ee5\u4e0a<sup>\uff3b22\uff3d<\/sup>\u3002\u4f46\u9700\u6ce8\u610f\uff0c\u8003\u8651\u5230\u60a3\u8005\u53ef\u80fd\u5b58\u5728\u52a8\u9759\u8109\u77ed\u8def\u3001\u65c1\u8def\u8840\u7ba1\u4ee3\u507f\u7b49\u60c5\u51b5\uff0c\u5bf9\u4f53\u683c\u68c0\u67e5\u65e0\u5f02\u5e38\u7684\u60a3\u8005\u5e76\u4e0d\u80fd\u505a\u51fa\u6392\u9664PAD\u7684\u8bca\u65ad\uff0c\u800c\u9700\u8981\u66f4\u5ba2\u89c2\u5730\u8bc4\u4f30<sup>\uff3b23\uff3d<\/sup>\u3002\u8e1d\u80b1\u6307\u6570\u3002\u8e1d\u80b1\u6307\u6570\u662f\u4e00\u9879\u516c\u8ba4\u7684\u80fd\u53ef\u9760\u9884\u6d4b\u4e0b\u80a2\u52a8\u8109\u786c\u5316\u7684\u6307\u6807<sup>\uff3b24\uff3d<\/sup>\uff0c\u5176\u901a\u8fc7\u6d4b\u91cf\u8e1d\u90e8\u80eb\u540e\u52a8\u8109\u6216\u80eb\u524d\u52a8\u8109\u4ee5\u53ca\u80b1\u52a8\u8109\u7684\u6536\u7f29\u538b\uff0c\u5f97\u5230\u8e1d\u90e8\u52a8\u8109\u538b\u4e0e\u80b1\u52a8\u8109\u538b\u4e4b\u95f4\u7684\u6bd4\u503c\u30022006\u5e74\u521d\u7f8e\u56fd\u5fc3\u810f\u75c5\u5b66\u4f1a\/\u7f8e\u56fd\u5fc3\u810f\u534f\u4f1a\u6307\u5357\u5373\u63a8\u8350\u5c06\u8e1d\u80b1\u6307\u6570\u22640.9\u4f5c\u4e3a\u8bca\u65adPAD\u7684\u6807\u51c6<sup>\uff3b25\uff3d<\/sup>\u3002\u8e1d\u80b1\u6307\u6570\u22640.9\u5bf9\u8bca\u65ad\u4e0b\u80a2PAD\u7b49\u7684\u654f\u611f\u5ea6\u548c\u7279\u5f02\u5ea6\u5206\u522b\u4e3a95%\u300199%\uff0c\u88ab\u8ba4\u4e3a\u662f\u8bca\u65ad\u4e0b\u80a2PAD\u7684\u6700\u4f73\u65e0\u521b\u6307\u6807<sup>\uff3b26\uff3d<\/sup>\u3002\u8e1d\u80b1\u6307\u6570\u57280.71~0.90\u65f6\u8868\u660e\u4e0b\u80a2\u52a8\u8109\u8840\u6d41\u8f7b\u5ea6\u51cf\u5c11\uff0c\u8e1d\u80b1\u6307\u6570\u57280.41~0.70\u4e4b\u95f4\u63d0\u793a\u8840\u6d41\u4e2d\u5ea6\u51cf\u5c11\uff0c\u8e1d\u80b1\u6307\u6570\u22640.40\u65f6\u63d0\u793a\u8840\u6d41\u4e25\u91cd\u51cf\u5c11<sup>\uff3b27\uff3d<\/sup>\u3002\u800c\u90e8\u5206\u8e1d\u80b1\u6307\u6570\u6b63\u5e38\u60a3\u8005\uff0c\u53ef\u80fd\u5b58\u5728\u5047\u9634\u6027\u3002\u5bf9\u8e1d\u80b1\u6307\u6570\u6570\u503c\u6b63\u5e38\u7684\u7cd6\u5c3f\u75c5\u8db3\u60a3\u8005\uff0c\u53ef\u8fdb\u884c\u5e73\u677f\u8fd0\u52a8\u540e\u518d\u884c\u8e1d\u80b1\u6307\u6570\u68c0\u6d4b\uff0c\u82e5\u8e1d\u80b1\u6307\u6570\u8f83\u524d\u964d\u4f4e15%~20%\u5e94\u8003\u8651\u4e0b\u80a2\u52a8\u8109\u75c5\u53d8<sup>\uff3b28\uff3d<\/sup>\u3002TcPO<sub>2<\/sub>\u3002TcPO<sub>2<\/sub>\u662f\u4e00\u9879\u65e0\u521b\u3001\u91cd\u590d\u6027\u597d\u7684\u68c0\u6d4b\u8840\u7ba1\u75c5\u53d8\u7684\u65b9\u6cd5\uff0c\u4e0d\u4ec5\u80fd\u76f4\u63a5\u68c0\u6d4b\u76ae\u80a4\u7ec4\u7ec7\u5b9e\u9645\u4f9b\u6c27\u91cf\uff0c\u800c\u4e14\u53ef\u4ee5\u53cd\u6620\u80a2\u4f53\u6574\u4f53\u8840\u4f9b\u60c5\u51b5\uff0c\u56e0\u6b64\uff0c\u5e38\u88ab\u7528\u4e8e\u5224\u65ad\u662f\u5426\u9700\u8981\u8fdb\u884c\u8840\u7ba1\u4ecb\u5165\u7b49\u64cd\u4f5c\uff0c\u8fd8\u88ab\u7528\u4e8e\u8bc4\u4ef7\u7ec4\u7ec7\u5fae\u5faa\u73af\u704c\u6ce8\u529f\u80fd\u72b6\u6001\uff0c\u9884\u6d4b\u8840\u7ba1\u75c5\u53d8\u4ee5\u53ca\u76ae\u80a4\u6e83\u75a1\u6cbb\u7597\u6548\u679c<sup>\uff3b29\uff3d<\/sup>\u3002\u5bf9\u4e8e\u5065\u5eb7\u4eba\uff0cTcPO<sub>2<\/sub>\u5e94&gt;60 mmHg\u3002\u6839\u636e\u7f8e\u56fd\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u8bca\u7597\u6807\u51c6\uff0cTcPO<sub>2<\/sub>&lt;25 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mmHg\u65f6\uff0cDFU\u60a3\u8005\u521b\u9762\u6108\u5408\u7387\u63d0\u9ad825%<sup>\uff3b55-56\uff3d<\/sup>\u3002TcPO<sub>2<\/sub>\u540c\u6837\u662f\u76d1\u6d4b\u8840\u8fd0\u91cd\u5efa\u662f\u5426\u6709\u6548\u7684\u91cd\u8981\u6307\u6807\uff0c\u4f46\u9700\u8981\u6ce8\u610f\u7684\u662f\u8840\u8fd0\u91cd\u5efa\u6210\u529f\u540eTcPO<sub>2<\/sub>\u5e76\u4e0d\u4f1a\u7acb\u523b\u4e0a\u5347\uff0c\u800c\u662f\u5728\u63a5\u4e0b\u6765\u76843~4\u5468\u5185\u9010\u6e10\u5347\u9ad8\u3002\u7814\u7a76\u8868\u660e\uff0c\u8840\u8fd0\u91cd\u5efa\u6210\u529f1\u5468\u540e\u7ea638.5%\u7684\u60a3\u8005\u6e83\u75a1\u5468\u56f4TcPO<sub>2<\/sub>\u226530 mmHg\uff0c\u672f\u540e4\u5468TcPO<sub>2<\/sub>\u226530 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e5\u533b\u9662\u70e7\u4f24\u6574\u5f62\u79d1\u9f50\u9e3f\u71d5\uff0c\u56db\u5ddd\u5927\u5b66\u534e\u897f\u533b\u9662\u6574\u5f62\u5916\u79d1\/\u70e7\u4f24\u79d1\u9648\u4fca\u6770\uff0c\u540c\u6d4e\u533b\u5b66\u9662\u9644\u5c5e\u68a8\u56ed\u533b\u9662\u521b\u9762\u4fee\u590d\u79d1\u674e\u70b3\u8f89\uff0c\u6e29\u5dde\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u521b\u9762\u4fee\u590d\u4e0e\u518d\u751f\u533b\u5b66\u4e2d\u5fc3\u521b\u9762\u4fee\u590d\u79d1\u9676\u514b\uff0c\u6b66\u6c49\u5927\u5b66\u540c\u4ec1\u533b\u9662\u66a8\u6b66\u6c49\u5e02\u7b2c\u4e09\u533b\u9662\u70e7\u4f24\u79d1\u738b\u5fb7\u8fd0\u3001\u5218\u6dd1\u534e\u3001\u8c22\u536b\u56fd\uff0c\u65b0\u7586\u7ef4\u543e\u5c14\u81ea\u6cbb\u533a\u4eba\u6c11\u533b\u9662\u70e7\u4f24\u521b\u9762\u4fee\u590d\u79d1\u5218\u5c0f\u9f99\uff0c\u6d59\u6c5f\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u7b2c\u4e8c\u533b\u9662\u70e7\u4f24\u4e0e\u521b\u9762\u4fee\u590d\u79d1\u9648\u56fd\u8d24\u3001\u97e9\u6625\u8302\uff0c\u90d1\u5dde\u5e02\u7b2c\u4e00\u4eba\u6c11\u533b\u9662\u70e7\u4f24\u79d1\u590f\u6210\u5fb7\uff0c\u300a\u4e2d\u534e\u70e7\u4f24\u4e0e\u521b\u9762\u4fee\u590d\u6742\u5fd7\u300b\u6881\u5149\u840d\uff0c\u4e2d\u5357\u5927\u5b66\u6e58\u96c5\u533b\u9662\u70e7\u4f24\u6574\u5f62\u5916\u79d1\u5f20\u4e15\u7ea2\uff0c\u4e2d\u5c71\u5927\u5b66\u9644\u5c5e\u7b2c\u4e03\u533b\u9662\u70e7\u4f24\u6574\u5f62\u79d1\u7f57\u5947\u5fd7\uff0c\u4e2d\u5c71\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u70e7\u4f24\u4e0e\u521b\u9762\u4fee\u590d\u79d1\u7941\u5c11\u6d77\u3001\u5218\u65ed\u76db\uff0c\u9075\u4e49\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u533b\u9662\u70e7\u4f24\u6574\u5f62\u5916\u79d1\u738b\u8fbe\u5229\u6267\u7b14\u7ec4\u6210\u5458\uff1a\u738b\u514b\u7532\uff08\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u5168\u519b\u70e7\u4f24\u4e2d\u5fc3\uff09\u3001\u77f3\u6587\u9f99\uff08\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u7532\u4e73\u8840\u7ba1\u5916\u79d1\uff09\uff0c\u9676\u514b\uff08\u6e29\u5dde\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u521b\u9762\u4fee\u590d\u4e0e\u518d\u751f\u533b\u5b66\u4e2d\u5fc3\u521b\u9762\u4fee\u590d\u79d1\uff09\u6587\u732e\u6574\u7406\u7ec4\u6210\u5458\uff1a\u6c88\u62ec\u3001\u738b\u8018\u5ddd\uff08\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u5168\u519b\u70e7\u4f24\u4e2d\u5fc3\uff09\u65b9\u6cd5\u5b66\u4e13\u5bb6\uff1a\u590f\u7ed3\u6765\uff08\u519b\u4e8b\u9884\u9632\u533b\u5b66\u7cfb\u519b\u4e8b\u536b\u751f\u5b66\u6559\u7814\u5ba4\uff09\u8bc1\u636e\u8bc4\u4ef7\u7ec4\u6210\u5458\uff1a\u80e1\u5927\u6d77\uff08\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u5168\u519b\u70e7\u4f24\u4e2d\u5fc3\uff09\u3001\u51cc\u745e\uff08\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u7532\u4e73\u8840\u7ba1\u5916\u79d1\uff09\uff0c\u9ec4\u8dc3\u751f\uff08\u5357\u65b9\u79d1\u6280\u5927\u5b66\u533b\u5b66\u9662\u521b\u9762\u4fee\u590d\u4e0e\u518d\u751f\u533b\u5b66\u7814\u7a76\u6240\uff09\u79d8\u4e66\u7ec4\uff1a\u738b\u514b\u7532\u3001\u90ed\u51ef\uff08\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u5168\u519b\u70e7\u4f24\u4e2d\u5fc3\uff09<\/p>\n<h2>\u5229\u76ca\u51b2\u7a81\u58f0\u660e<\/h2>\n<p>\u6240\u6709\u7f16\u5199\u7ec4\u6210\u5458\u5747\u58f0\u660e\u4e0d\u5b58\u5728\u5229\u76ca\u51b2\u7a81\uff0c\u65e0\u5546\u4e1a\u7ec4\u7ec7\u5411\u672c\u5171\u8bc6\u7f16\u5199\u7ec4\u652f\u4ed8\u8d39\u7528\u3002\u672c\u5171\u8bc6\u5236\u8ba2\u8fc7\u7a0b\u4e2d\u9700\u8981\u7684\u8d44\u91d1\u5747\u6765\u81ea\u672c\u6587\u8457\u5f55\u7684\u57fa\u91d1\u9879\u76ee\uff0c\u4e14\u63a8\u8350\u610f\u89c1\u672a\u53d7\u8d44\u52a9\u5f71\u54cd<\/p>\n<p>\u53c2\u8003\u6587\u732e\u7565<\/p>\n<p>\u76f8\u5173\u6587\u732e\uff08\u70b9\u51fb\u6587\u7ae0\u6807\u9898\u6d4f\u89c8\u5168\u6587\uff09<\/p>\n<p>1.\u8d1f\u538b\u4f24\u53e3\u7597\u6cd5\u5728\u7cd6\u5c3f\u75c5\u8db3\u521b\u9762\u6cbb\u7597\u4e2d\u7684\u5e94\u7528\u5168\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082021\u7248\uff09<\/p>\n<p>\u5f15\u7528\u672c\u6587:&nbsp;\u6d77\u5ce1\u4e24\u5cb8\u533b\u836f\u536b\u751f\u4ea4\u6d41\u534f\u4f1a\u70e7\u521b\u4f24\u66a8\u7ec4\u7ec7\u4fee\u590d\u4e13\u59d4\u4f1a. \u8d1f\u538b\u4f24\u53e3\u7597\u6cd5\u5728\u7cd6\u5c3f\u75c5\u8db3\u521b\u9762\u6cbb\u7597\u4e2d\u7684\u5e94\u7528\u5168\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082021\u7248\uff09[J]. \u4e2d\u534e\u70e7\u4f24\u6742\u5fd7, 2021, 37(6): 508-518. DOI: 10.3760\/cma.j.cn501120-20210107-00010.<\/p>\n<p>2.\u7cd6\u5c3f\u75c5\u8db3\u521b\u9762\u5916\u79d1\u6cbb\u7597\u6a21\u5f0f\u63a2\u8ba8<\/p>\n<p>\u5f15\u7528\u672c\u6587:&nbsp;\u9b4f\u5728\u8363, \u7b80\u626c. \u7cd6\u5c3f\u75c5\u8db3\u521b\u9762\u5916\u79d1\u6cbb\u7597\u6a21\u5f0f\u63a2\u8ba8[J]. \u4e2d\u534e\u70e7\u4f24\u4e0e\u521b\u9762\u4fee\u590d\u6742\u5fd7, 2023, 39(4): 305-310. DOI: 10.3760\/cma.j.cn501225-20230213-00044.<\/p>\n<p>3.\u6297\u751f\u7d20\u9aa8\u6c34\u6ce5\u6cbb\u7597\u7cd6\u5c3f\u75c5\u8db3\u6e83\u75a1\u7684\u524d\u77bb\u6027\u968f\u673a\u5bf9\u7167\u7814\u7a76<\/p>\n<p>\u5f15\u7528\u672c\u6587:&nbsp;\u66f9\u6d9b, \u8ba1\u9e4f, \u5f20\u667a, \u7b49. \u6297\u751f\u7d20\u9aa8\u6c34\u6ce5\u6cbb\u7597\u7cd6\u5c3f\u75c5\u8db3\u6e83\u75a1\u7684\u524d\u77bb\u6027\u968f\u673a\u5bf9\u7167\u7814\u7a76[J]. \u4e2d\u534e\u70e7\u4f24\u4e0e\u521b\u9762\u4fee\u590d\u6742\u5fd7, 2023, 39(4): 311-318. DOI: 10.3760\/cma.j.cn501225-20221111-00485.<\/p>\n<p>4.\u513f\u7ae5\u6df1\u2161\u5ea6\u70e7\u4f24\u521b\u9762\u5904\u7406\u4e13\u5bb6\u5171\u8bc6\uff082023\u7248\uff09<\/p>\n<p>\u5f15\u7528\u672c\u6587:&nbsp;\u4e2d\u534e\u533b\u5b66\u4f1a\u70e7\u4f24\u5916\u79d1\u5b66\u5206\u4f1a. \u513f\u7ae5\u6df1\u2161\u5ea6\u70e7\u4f24\u521b\u9762\u5904\u7406\u4e13\u5bb6\u5171\u8bc6\uff082023\u7248\uff09[J]. \u4e2d\u534e\u70e7\u4f24\u4e0e\u521b\u9762\u4fee\u590d\u6742\u5fd7, 2023, 39(10): 901-910. DOI: 10.3760\/cma.j.cn501225-20230730-00026.<\/p>\n<p>5.\u2161\u5ea6\u70e7\u4f24\u521b\u9762\u6cbb\u7597\u4e13\u5bb6\u5171\u8bc6\uff082024\u7248\uff09\u2161\uff1a\u624b\u672f\u6cbb\u7597\u548c\u611f\u67d3\u9632\u6cbb<\/p>\n<p>\u5f15\u7528\u672c\u6587:&nbsp;\u4e2d\u534e\u533b\u5b66\u4f1a\u70e7\u4f24\u5916\u79d1\u5b66\u5206\u4f1a, \u6d77\u5ce1\u4e24\u5cb8\u533b\u836f\u536b\u751f\u4ea4\u6d41\u534f\u4f1a\u66a8\u70e7\u521b\u4f24\u7ec4\u7ec7\u4fee\u590d\u4e13\u59d4\u4f1a. \u2161\u5ea6\u70e7\u4f24\u521b\u9762\u6cbb\u7597\u4e13\u5bb6\u5171\u8bc6\uff082024\u7248\uff09\u2161\uff1a\u624b\u672f\u6cbb\u7597\u548c\u611f\u67d3\u9632\u6cbb[J]. \u4e2d\u534e\u70e7\u4f24\u4e0e\u521b\u9762\u4fee\u590d\u6742\u5fd7, 2024, 40(2): 101-118. DOI: 10.3760\/cma.j.cn501225-20240112-00015.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u7cd6\u5c3f\u75c5\u8db3\u6e83\u75a1\u5408\u5e76\u4e0b\u80a2\u8840\u7ba1\u75c5\u53d8\u7684\u5916\u79d1\u8bca\u7597\u5168\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082024\u7248\uff09 \u4e2d\u534e\u533b\u5b66\u4f1a\u70e7\u4f24 &hellip; <a href=\"http:\/\/zydq.1006ss.com\/?p=31096\">\u7ee7\u7eed\u9605\u8bfb <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-31096","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/31096","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=31096"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/31096\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=31096"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=31096"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=31096"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}