{"id":31384,"date":"2024-04-25T08:01:36","date_gmt":"2024-04-25T08:01:36","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=31384"},"modified":"2024-04-25T08:01:36","modified_gmt":"2024-04-25T08:01:36","slug":"%e7%bc%96%e7%a0%81%e5%ad%a6%e4%b9%a0-%e8%b5%b0%e8%bf%91%e8%84%8a%e6%9f%b1%e8%9e%8d%e5%90%88%e6%9c%af","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=31384","title":{"rendered":"\u7f16\u7801\u5b66\u4e60\u2014\u2014\u8d70\u8fd1\u810a\u67f1\u878d\u5408\u672f"},"content":{"rendered":"<p>\u6211\u4eec\u90fd\u77e5\u9053\u810a\u67f1\u662f\u4eba\u4f53\u7684\u4e2d\u8f74\u9aa8\u9abc\uff0c\u6709\u8d1f\u91cd\u3001\u51cf\u9707\u3001\u8fd0\u52a8\u548c\u4fdd\u62a4\u795e\u7ecf\u7b49\u529f\u80fd\u3002\u5f53\u5bfc\u81f4\u810a\u67f1\u7a33\u5b9a\u6027\u4e27\u5931\u7684\u75be\u60a3\u53d1\u751f\u65f6\uff0c\u5728\u4fdd\u5b88\u6cbb\u7597\u65e0\u6548\u7684\u60c5\u51b5\u4e0b\uff0c\u5c31\u9700\u8981\u91c7\u53d6\u810a\u67f1\u878d\u5408\u672f\u8fdb\u884c\u624b\u672f\u6cbb\u7597\uff0c\u4e25\u91cd\u8005\u5fc5\u987b\u8fdb\u884c\u810a\u67f1\u7a33\u5b9a\u6027\u91cd\u5efa\u3002\u810a\u690e\u878d\u5408\u672f\u7684\u9002\u5e94\u75c7\u5305\u62ec\u4e25\u91cd\u7684\u810a\u67f1\u9000\u884c\u6027\u75c5\u53d8\uff0c\u8fd8\u5305\u62ec\u7531\u4e8e\u521b\u4f24\u3001\u708e\u75c7\u3001\u80bf\u7624\u7b49\u539f\u56e0\u9020\u6210\u7684\u810a\u67f1\u6b63\u5e38\u7ed3\u6784\u7834\u574f\uff0c\u9700\u8981\u91cd\u5efa\u810a\u67f1\u7ed3\u6784\u7684\u60c5\u51b5\uff0c\u9700\u914d\u5408\u5185\u56fa\u5b9a\u3002<\/p>\n<p>\u672c\u6587\u5c06\u4ecb\u7ecd\u810a\u67f1\u878d\u5408\u672f\u53caICD-9-CM-3\u4e2d\u7684\u76f8\u5173\u7f16\u7801\u77e5\u8bc6\u3002<\/p>\n<p>\u810a\u67f1\u878d\u5408\u624b\u672f\u5b9a\u4e49\u3001\u65b9\u6cd5\u53ca\u5165\u8def\u65b9\u5f0f<\/p>\n<p>\u25b2\u25b2\u25b2&gt;&gt;&gt;&gt;<\/p>\n<p>\u5b9a\u4e49<\/p>\n<p>\u4ee5\u810a\u690e\u75c5\u635f\u533a\u4e3a\u4e2d\u5fc3\u3001\u4e0a\u4e0b\u4f4d\u7684\u6b63\u5e38\u810a\u690e\u4e4b\u95f4\u4e3a\u624b\u672f\u533a\u95f4\u505a\u690d\u9aa8\u672f\uff0c\u4f7f\u591a\u4e2a\u810a\u67f1\u8282\u6bb5\u53d1\u751f\u9aa8\u6027\u878d\u5408\uff0c\u5f62\u6210\u4e00\u4e2a\u529b\u5b66\u6574\u4f53\uff0c\u4ece\u800c\u8fbe\u5230\u6cbb\u7597\u810a\u67f1\u75be\u60a3\u3001\u6d88\u9664\u75bc\u75db\u3001\u63a7\u5236\u7578\u5f62\u53d1\u5c55\u3001\u91cd\u5efa\u810a\u67f1\u7a33\u5b9a\u6027\u53ca\u4fdd\u62a4\u810a\u9ad3\u795e\u7ecf\u7b49\u76ee\u7684\u3002<sup>[1]<\/sup>\u7b80\u5355\u6765\u8bf4\u5c31\u662f\u5c06\u4e24\u4e2a\u6216\u4e24\u4e2a\u4ee5\u4e0a\u690e\u4f53\u8fde\u63a5\u6216\u878d\u5408\u5728\u4e00\u8d77\uff0c\u4f7f\u4e4b\u4e0d\u80fd\u6d3b\u52a8\uff0c\u79f0\u4e3a\u810a\u67f1\u878d\u5408\u3002<\/p>\n<p>&gt;&gt;&gt;&gt;<\/p>\n<p>\u5e38\u89c1\u65b9\u6cd5<\/p>\n<p>1\uff09\u690e\u95f4\u878d\u5408\u6cd5\uff1a\u5c31\u662f\u5728\u690e\u9aa8\u95f4\u5e94\u7528\u878d\u5408\u5668\uff08cage\uff09\u548c\u79fb\u690d\u9aa8\u4e00\u8d77\u690d\u5165\u3002<\/p>\n<p>2\uff09\u5173\u8282\u8868\u9762\u878d\u5408\u6cd5\uff1a\u5728\u810a\u67f1\u5173\u8282\u8868\u9762\u4f7f\u7528\u949b\u7f51\u3001\u94a2\u677f\u3001\u690e\u5f13\u6839\u9489\u7b49\u6750\u6599\u8fdb\u884c\u56fa\u5b9a\uff0c\u540c\u65f6\u8fd8\u4f34\u6709\u810a\u67f1\u5173\u8282\u95f4\u690d\u9aa8\u3002<\/p>\n<p>\u56e0\u6b64\uff0c\u810a\u67f1\u5173\u8282\u624b\u672f\u4e2d\uff1a<\/p>\n<ul>\n<li>\n<p>\u4f7f\u7528\u878d\u5408\u5668\u7684\u80af\u5b9a\u662f\u878d\u5408\u672f\uff1b<\/p>\n<\/li>\n<li>\n<p>\u6709\u9aa8\u79fb\u690d\uff0c\u6709\u5185\u56fa\u5b9a\uff0c\u4e5f\u662f\u878d\u5408\u672f\uff1b<\/p>\n<\/li>\n<li>\n<p>\u8fd8\u6709\u4e00\u4e9b\u5c11\u89c1\u7684\u6ca1\u6709\u9aa8\u79fb\u690d\uff0c\u53ea\u6709\u5185\u56fa\u5b9a\u7684\u5173\u8282\u8868\u9762\u878d\u5408\u672f\uff08\u6bd4\u5982\u810a\u67f1\u6076\u6027\u80bf\u7624\uff0c\u810a\u67f1\u611f\u67d3\u7b49\u75be\u60a3\uff09\u3002\u968f\u77403D\u6253\u5370\u4eba\u5de5\u690e\u4f53\u548c\u878d\u5408\u5668\u7684\u5e94\u7528\uff0c\u8fd9\u79cd\u60c5\u51b5\uff0c\u4f1a\u8d8a\u6765\u8d8a\u5c11\u3002<\/p>\n<\/li>\n<\/ul>\n<p>&gt;&gt;&gt;&gt;<\/p>\n<p>\u624b\u672f\u5165\u8def\u65b9\u5f0f<\/p>\n<p>&nbsp; &nbsp; &nbsp; \u5206\u4e3a\u7ecf\u53e3\u5165\u8def\u3001\u524d\u5165\u8def\uff08\u524d\u5916\u4fa7\u5165\u8def\uff09\u548c\u540e\u5165\u8def\uff08\u540e\u5916\u4fa7\u5165\u8def\uff09\u3002\u53ef\u4ee5\u901a\u8fc7\u624b\u672f\u65f6\u9996\u5148\u63a5\u89e6\u810a\u67f1\u7684\u89e3\u5256\u90e8\u4f4d\u6765\u5224\u65ad\u3002<\/p>\n<\/p>\n<ul>\n<li>\n<p>\u524d\u5165\u8def\u2014\u2014\u5148\u63a5\u89e6\u690e\u95f4\u76d8\uff0c\u690e\u4f53<\/p>\n<\/li>\n<li>\n<p>\u540e\u5165\u8def\u2014\u2014\u5148\u63a5\u89e6\u690e\u5f13\uff0c\u68d8\u7a81\uff0c\u6a2a\u7a81\uff0c\u690e\u677f<\/p>\n<\/li>\n<\/ul>\n<p>ICD-9\u810a\u67f1\u878d\u5408\u672f\u7684\u7f16\u7801<\/p>\n<p>\u25b2\u25b2\u25b2<\/p>\n<p>\u5728ICD-9-CM-3\u7b2c\u4e8c\u90e8\u5206,\u7d22\u5f15\u4e2d\u67e5\u627e\uff0c\u4e3b\u5bfc\u8bcd\u662f\u878d\u5408\u672f\uff0c\u7136\u540e\u627e\u5173\u952e\u8bcd&#8212;\u810a\u690e\u7684\uff08\u4f34\u6216\u4e0d\u4f34\u79fb\u690d\uff09\uff08\u4f34\u6216\u4e0d\u4f34\u5185\u56fa\u5b9a\uff09\uff08\u4f34\u6216\u4e0d\u4f34\u8f85\u52a9\u88c5\u7f6e\uff09&#8212;\u5206\u7c7b\u523081.0&#8212;\u56de\u5230\u7b2c\u4e00\u90e8\u5206\u3002<\/p>\n<p>81.0-\u7ec6\u76ee\u7684\u5206\u7c7b\u8f74\u5fc3\u662f\u89e3\u5256\u90e8\u4f4d\u548c\u624b\u672f\u5165\u8def\u65b9\u5f0f\uff0c\u6839\u636e\u4e8c\u8005\u7684\u4e0d\u540c\u60c5\u51b5\uff0c81.0-\u53ef\u5206\u4e3a9\u4e2a\u7ec6\u76ee\uff0c\u8be6\u60c5\u89c1\u5de5\u5177\u4e66\u3002<\/p>\n<p>&nbsp;2\u4e2a\u5305\u62ec\u7f16\u7801<\/p>\n<p>\u867d\u7136\u9aa8\u79fb\u690d\u672f\u548c\u5185\u56fa\u5b9a\u90fd\u6709\u76f8\u5e94\u7684\u5206\u7c7b\u7f16\u7801\uff0c\u4f46\u662f\uff0c\u6709\u4e86\u810a\u67f1\u878d\u5408\uff0881.0\uff09\uff0c\u5b83\u4eec\u90fd\u4e0d\u53ef\u4ee5\u518d\u51fa\u73b0\u3002<\/p>\n<p>&nbsp;3\u4e2a\u53e6\u7f16\u7801<\/p>\n<p>(1)84.51&nbsp;&nbsp;\u810a\u67f1\u690e\u4f53\u878d\u5408\u88c5\u7f6e\u7684\u7f6e\u5165<\/p>\n<p>&nbsp; &nbsp; \u5305\u62ec\u7f6e\u5165\uff1a\uff08\u78b3\u7ea4\u7ef4\u805a\u5408\u7269\u5236\u6210\u54c1\uff0c\u9676\u74f7\uff0c\u91d1\u5c5e\uff0c\u5851\u80f6\u6216\u949b\u5408\u91d1\uff09\u7684\u62a4\u67b6\u3001\u690e\u4f53\u878d\u5408\u62a4\u67b6\u3001\u5408\u6210\u62a4\u67b6\u6216\u9694\u7247\u3001\u87ba\u7eb9\u9aa8\u9489<\/p>\n<p>&nbsp; &nbsp; \u53e6\u7f16\u7801\uff1a\u810a\u67f1\u878d\u5408\uff0881.00-81.08\uff09\u6216\u810a\u67f1\u518d\u878d\u5408\uff0881.30-81.39\uff09<\/p>\n<p>&nbsp; &nbsp; \u6700\u5e38\u4f7f\u7528\u7684\u6750\u6599\u662f\uff1a\u78b3\u7ea4\u7ef4\u548c\u949b\u5408\u91d1\u810a\u690e\u878d\u5408\u88c5\u7f6e\u3002<\/p>\n<ul>\n<li>\n<p>\u5982\u679c\u53ea\u4f7f\u7528\u690e\u95f4\u878d\u5408\u6cd5\u690d\u5165\u878d\u5408\u5668\uff0c\u53ea\u7f16\u878d\u5408\u5668\u7684\u6750\u6599\uff0c\u7f16\u780184.51<\/p>\n<\/li>\n<li>\n<p>\u5982\u679c\u53ea\u4f7f\u7528\u5173\u8282\u8868\u9762\u878d\u5408\u6cd5\uff0c\u6839\u636e\u5185\u56fa\u5b9a\u7684\u6750\u6599\uff0c\u7f16\u780184.51<\/p>\n<\/li>\n<li>\n<p>\u5982\u679c\u4e24\u79cd\u65b9\u6cd5\u8054\u5408\u4f7f\u7528\uff0c\u9700\u89812\u4e2a84.51\uff0c\u6839\u636e\u878d\u5408\u5668\u7684\u6750\u6599\u548c\u5185\u56fa\u5b9a\u7684\u6750\u6599\uff0c\u9700\u8981\u7f16\u78012\u4e2a84.51\uff0c\u4ee5\u6b64\u4f53\u73b02\u79cd\u878d\u5408\u65b9\u6cd5\u3002<\/p>\n<\/li>\n<\/ul>\n<p>(2)84.52&nbsp;&nbsp;\u91cd\u7ec4\u9aa8\u5f62\u6001\u5f62\u6210\u86cb\u767d\u7684\u7f6e\u5165<\/p>\n<p>&nbsp; &nbsp; \u7ecf\u80f6\u539f\u86cb\u767d\u6d77\u7ef5\uff0c\u73ca\u745a\uff0c\u9676\u74f7\u548c\u5176\u4ed6\u8f7d\u4f53\u7684\u91cd\u7ec4\u9aa8\u5f62\u6001\u5f62\u6210\u86cb\u767d\u7684\u7f6e\u5165\u3002<\/p>\n<p>\u53e6\u7f16\u7801\uff1a\u6240\u6267\u884c\u7684\u4e3b\u8981\u64cd\u4f5c\uff1a<\/p>\n<p>\u9aa8\u6298\u4fee\u8865\u672f\uff0879.00-79.99\uff09<\/p>\n<p>\u810a\u67f1\u878d\u5408\uff0881.00-81.08\uff09<\/p>\n<p>\u810a\u67f1\u518d\u878d\u5408\uff0881.30-81.39\uff09<\/p>\n<p>*\u91cd\u7ec4\u9aa8\u5f62\u6001\u5f62\u6210\u86cb\u767d(BMP)\uff0c\u662f\u4e00\u79cd\u80fd\u591f\u8bf1\u5bfc\u52a8\u7269\u6216\u4eba\u4f53\u95f4\u5145\u8d28\u7ec6\u80de\u5206\u5316\u4e3a\u9aa8\u3001\u8f6f\u9aa8\u3001\u97e7\u5e26\u3001\u808c\u8171\u548c\u795e\u7ecf\u7ec4\u7ec7\uff0c\u4e0e\u80da\u80ce\u9aa8\u9abc\u5f62\u6210\u6709\u5173\u7684\u86cb\u767d\u8d28\u3002\u624b\u672f\u65f6\u9700\u8981\u548c\u79fb\u690d\u9aa8\u6df7\u5408\u690d\u5165\u3002<\/p>\n<p>(3)81.62-81.64&nbsp;&nbsp;\u60a3\u8005\u878d\u5408\u690e\u9aa8\u7684\u603b\u6570<\/p>\n<ul>\n<li>\n<p>81.62&nbsp;&nbsp; 2-3\u5757\u690e\u4f53\u878d\u5408\u6216\u518d\u878d\u5408<\/p>\n<\/li>\n<li>\n<p>81.63&nbsp;&nbsp; 4-8\u5757\u690e\u4f53\u878d\u5408\u6216\u518d\u878d\u5408<\/p>\n<\/li>\n<li>\n<p>81.64&nbsp;&nbsp; 9\u5757\u6216\u66f4\u591a\u7684\u690e\u4f53\u878d\u5408\u6216\u518d\u878d\u5408<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp; &nbsp; \u5047\u5982\u60a3\u8005\u505a\u4e86\u81701-\u52303\u7684\u878d\u5408\uff0c\u878d\u5408\u690e\u9aa8\u7684\u603b\u6570\u662f3\u5757\u3002\u5047\u5982\u60a3\u8005\u505a\u4e86\u81701-\u52303\u7684\u690e\u95f4\u878d\u5408\uff0c\u540c\u65f6\u81702-3-4-5\u7684\u5173\u8282\u8868\u9762\u878d\u5408\uff0c\u878d\u5408\u690e\u9aa8\u7684\u603b\u6570\u662f5\u5757\uff0c\u800c\u4e0d\u662f\u7b80\u5355\u76843+4=7\u5757\u3002<\/p>\n<p>&nbsp;1\u4e2a\u4e0d\u5305\u62ec\u7f16\u7801<\/p>\n<p>\u810a\u67f1\u5047\u5173\u8282\u77eb\u6b63\u672f\u6216\u810a\u67f1\u518d\u878d\u5408\uff0881.30-81.39\uff09\uff0c\u5b83\u662f\u6307\u60a3\u8005\u56e0\u4e3a\u67d0\u4e9b\u75c5\u56e0\uff0c\u5728\u5148\u524d\u5df2\u7ecf\u505a\u8fc7\u810a\u67f1\u878d\u5408\u7684\u90e8\u4f4d\uff0c\u518d\u6b21\u505a\u878d\u5408\u672f\u3002\u5982\u679c\u672a\u5728\u5148\u524d\u5df2\u7ecf\u505a\u8fc7\u810a\u67f1\u878d\u5408\u90e8\u4f4d\u505a\u878d\u5408\uff0c\u5219\u7b97\u662f\u9996\u6b21\u878d\u5408\uff0c\u5206\u7c7b\u5230\uff1a\u810a\u67f1\u878d\u5408(81.0-)\u3002<\/p>\n<p>\u5b9e\u9645\u6848\u4f8b\u8bb2\u6790<\/p>\n<p>\u25b2\u25b2\u25b2<\/p>\n<p>\u6848\u4f8b\u8bb2\u6790<\/p>\n<p>\u9996\u5148\u6765\u5224\u65ad\u624b\u672f\u5165\u8def\uff0c\u6839\u636e\uff08\u9aa8\u819c\u4e0b\u5265\u79bbL2-\u52305\u53cc\u4fa7\u690e\u65c1\u808c\uff0c\u66b4\u9732\u53cc\u4fa7L2\u52305\u690e\u677f\u53ca\u5173\u8282\u7a81)\u8fd9\u53e5\u8bdd\uff0c\u5b83\u6700\u5148\u63a5\u89e6\u810a\u67f1\u89e3\u5256\u90e8\u4f4d\u662f\u690e\u677f\u53ca\u5173\u8282\u7a81\uff0c\u6240\u4ee5\u624b\u672f\u5165\u8def\u662f\u540e\u5165\u8def\u3002<\/p>\n<p>\u540e\u9762\u7684\uff08\u4e8eL2-\u52305\u53cc\u4fa7\u690e\u5f13\u94bb\u5b54\uff0c\u63d2\u5165\u514b\u6c0f\u9488\uff0c\u900f\u89c6\u8bc1\u5b9e\u4f4d\u7f6e\u6ee1\u610f\uff0c\u62e7\u5165\u690e\u5f13\u6839\u87ba\u9489\uff09\u8fd9\u53e5\u8bdd\u8bf4\u660e\u4e86\uff0c\u5728\u81702\u52305\u4f7f\u7528\u4e86\u690e\u5f13\u6839\u87ba\u9489\u56fa\u5b9a\u3002<\/p>\n<p>\u518d\u540e\u9762\u51e0\u53e5\u8bdd\uff08\u5207\u9664\u81702\u68d8\u7a81\u690e\u677f\u7684\u4e0b\u534a\u90e8\u53ca\u81705\u7684\u4e0a\u534a\u90e8\u68d8\u7a81\u690e\u677f\uff0c\u505a\u81703\uff0c\u81704\u5168\u690e\u677f\u5207\u9664\uff0c\u5207\u9664\u53cc\u4fa7\u81702\u52305\u5173\u8282\u7a81\u7684\u5185\u4fa7\u677f\uff09\uff08\u677e\u89e3\u786c\u819c\u5916\u53ca\u795e\u7ecf\u6839\u4e4b\u7c98\u8fde\u5e26\uff09\uff08\u4ece\u53cc\u4fa7\u5c06L3\u548c4\uff0cL4\u548c5\u95f4\u76d8\u5207\u9664\uff0c\u5b89\u653e\u7eb5\u5411\u8fde\u63a5\u6746\uff0c\u505a\u6ed1\u8131\u590d\u4f4d\uff09\uff0c\u8fd9\u4e9b\u662f\u51cf\u538b\uff0c\u677e\u89e3\uff0c\u8170\u690e\u6ed1\u8131\u590d\u4f4d\u624b\u672f\u3002<\/p>\n<p>\u4e0b\u9762\uff08\u4ee5\u788e\u9aa8\u586b\u51452\u679a11\u53f7\u690e\u95f4\u878d\u5408\u5668\u5907\u7528\u3002\u5c06\u9002\u91cf\u788e\u9aa8\u690d\u5165L3\u548c4\uff0cL4\u548c5\u690e\u4f53\u95f4\uff0c\u538b\u5b9e\u540e\u5404\u7f6e\u51651\u679a\u690e\u95f4\u878d\u5408\u5668\uff09\uff08\u4e8eL2\u548c3\u53cc\u4fa7\u540e\u5916\u4fa7\u690d\u9aa8\uff09\u8fd92\u6bb5\u8bdd\uff0c\u6211\u4eec\u5f97\u77e5\uff0c\u624b\u672f\u5728\u81703\u52305\u5e94\u7528\u4e86\u690e\u95f4\u878d\u5408\u5668\uff0c\u5728\u81702\u548c3\u53cc\u4fa7\u540e\u5916\u4fa7\u505a\u7528\u4e86\u5173\u8282\u8868\u9762\u878d\u5408\uff0c\u6240\u7528\u79fb\u690d\u9aa8\u90fd\u662f\u624b\u672f\u5207\u4e0b\u7684\u81ea\u4f53\u788e\u9aa8\u3002<\/p>\n<p>\u518d\u770b\u6700\u540e\u4e00\u884c\u8bdd\uff08\u672f\u4e2d\u6240\u7528\u5185\u56fa\u5b9a\u5668\u68b0\u4e3aXX\u516c\u53f8\u591a\u8f74\u5411\u690e\u5f13\u6839\u87ba\u9489\u7cfb\u7edf\uff08\u949b\u5408\u91d1\u6750\u6599\uff09\u53caCage\uff08PEEK\u6750\u6599\uff09\uff09\uff0c\u660e\u786e\u4e86\u878d\u5408\u88c5\u7f6e\u7684\u6750\u6599\u3002<\/p>\n<p>&nbsp; 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