Warshaw\u624b\u672f\u524d\u4e16\u4eca\u751f<\/p>\n
\u5728\u80f0\u817a\u624b\u672f\u4e2d\uff0c\u4fdd\u7559\u810f\u5668\u529f\u80fd\u8d8a\u6765\u8d8a\u591a\u5f97\u4ee5\u91cd\u89c6\uff0c\u5ef6\u4f38\u8bf8\u591a\u672f\u5f0f\u5982\u4fdd\u7559\u5341\u4e8c\u6307\u80a0\u80f0\u5934\u5207\u9664\u672f\u3001\u4fdd\u813e\u80f0\u4f53\u5c3e\u5207\u9664\u672f\u4ee5\u53ca\u4e2d\u6bb5\u80f0\u817a\u5207\u9664\u672f\u7b49\uff0c\u5176\u4e2d\u4fdd\u7559\u813e\u810f\u7684\u80f0\u4f53\u5c3e\u624b\u672f\u56e0\u672f\u540e\u5e76\u53d1\u75c7\u98ce\u9669\u76f8\u5bf9\u8f83\u4f4e\uff0c\u6162\u6162\u6210\u4e3a\u80f0\u817a\u5916\u79d1\u533b\u751f\u7684\u53ef\u9009\u62e9\u4e4b\u4e00\uff0c\u65e0\u8bba\u662f\u624b\u672f\u6570\u91cf\uff0c\u8fd8\u662f\u6587\u732e\u8d44\u6599\u8fc5\u901f\u8dc3\u5c45\u699c\u9996\uff1b\u5e76\u5728\u8154\u955c\u9886\u57df\u53d1\u626c\u5149\u5927\u3002<\/p>\n
\u4fdd\u813e\u624b\u672f\u7531\u6b64\u51fa\u73b0\u4e24\u79cd\u672f\u5f0f\u6f14\u53d8\uff0cwarshaw\u4e0ekimura\uff0c\u6eaf\u6e90\u8003\u7a76warshaw\u624b\u672f\u51fa\u73b0\u66f4\u52a0\u65e9\uff0c\u6309\u7167\u73b0\u4eca\u533b\u5b66\u601d\u7ef4\uff0c\u662f\u5f88\u96be\u60f3\u8c61\u7684\uff0c\u56e0\u4e3awarshaw\u624b\u672f\u663e\u7136\u66f4\u52a0\u7b80\u6d01\uff0c\u72b9\u5982\u7b80\u4f53\u5b57\uff0c\u800ckimura\u5c31\u50cf\u7e41\u4f53\u5b57\uff0c\u4e0d\u4f46\u96be\u5199\u800c\u4e14\u5e38\u5e38\u51fa\u9519\uff0c\u6709\u65f6\u672f\u4e2d\u4e0d\u5f97\u4e0d\u5c06kimura\u4e2d\u8f6c\u4e3awarshaw\u3002<\/p>\n
\u4f46\u7684\u786ewarshaw\u8981\u65e9\u4e8ekimura\uff0c\u6700\u521d\u6211\u4eec\u53ea\u80fd\u731c\u6d4bwarshaw\u662f\u65e0\u5fc3\u4e4b\u4f5c\uff0c\u8003\u7a76\u4e00\u756a\uff0c\u5374\u53d1\u73b0\u5e76\u975e\u5982\u6b64\uff0cwarshaw\u624b\u672f\u662f80\u5e74\u4ee3\u73b0\u4ee3\u533b\u5b66\u89e3\u5256\u5b66\u8fc5\u901f\u53d1\u5c55\u7684\u4f5c\u54c1\uff0c\u5c31\u50cfappleby\u624b\u672f\u4e00\u6837\uff0c\u8003\u9a8c\u7684\u4e0d\u4ec5\u4ec5\u662f\u6280\u672f\u5c42\u9762\uff0c\u66f4\u662f\u5bf9\u80f0\u80c3\u813e\u95e8\u533a\u57df\u89e3\u5256\u7684\u6df1\u5ea6\u7406\u89e3\uff0c\u5de7\u5999\u5229\u7528\u5e76\u7cbe\u81f4\u8bbe\u8ba1\u3002\u5f53\u7136\uff0c\u6700\u521d\u8bbe\u8ba1\u8005\u521d\u8877\u662f\u7531\u4e8e\u5f53\u65f6\u53d7\u9650\u4e8e\u5916\u79d1\u6280\u672f\u53ca\u533b\u5b66\u5668\u68b0\u65e0\u6cd5\u7cbe\u7ec6\u89e3\u5256\u7684\u7ed3\u679c\uff0c\u4f46\u5230\u4e86\u73b0\u5728\uff0c\u6709\u4e86\u8154\u955c\u653e\u5927\u4f5c\u7528+\u5404\u79cd\u9ad8\u7ea7\u5668\u68b0\uff0c\u8fd9\u79cd\u521d\u8877\u6ca1\u6709\u4e86\uff0c\u4f3c\u4e4ewarshaw\u624b\u672f\u6ca1\u6709\u4e86\u610f\u4e49\uff1f<\/p>\n
\u6211\u4eec\u8981\u8ba4\u8bc6\u5230\uff0c\u533b\u5b66\u8bf8\u591a\u672f\u5f0f\u7684\u521b\u65b0\uff0c\u5e76\u4e0d\u662f\u5929\u9a6c\u884c\u7a7a\uff0c\u800c\u662f\u6709\u4e25\u683c\u7684\u89e3\u5256\u3001\u751f\u7406\u57fa\u7840\u7684\uff0c\u7c7b\u4f3cappleby\u672f\u5f0f\uff0cwarshaw\u672f\u5f0f\u4f9d\u636e\u8840\u6d41\u91cd\u65b0\u5206\u5e03\uff0c\u5b8c\u5168\u53ef\u884c\u3002\u4f46\u6211\u4eec\u5f80\u5f80\u5938\u5927warshaw\u672f\u5f0f\u7684\u5e76\u53d1\u75c7\uff0c\u5982\u813e\u6897\u6b7b\u3001\u533a\u57df\u6027\u95e8\u8109\u9ad8\u538b\u75c7\u7b49\uff0c\u73b0\u4eca\u5faa\u8bc1\u533b\u5b66\u8bc1\u5b9e\u5e76\u975e\u5982\u6b64\uff1b\u8fd9\u4e00\u70b9\u4e0a\uff0c\u540c\u6837\u6709\u4eba\u8ba4\u4e3akimura\u624b\u672f\u7684\u98ce\u9669\u4f3c\u4e4e\u66f4\u5927\uff0c\u5982\u672f\u540e\u80f0\u7618\u611f\u67d3\u5bfc\u81f4\u51fa\u8840\u3001\u813e\u9759\u8109\u6d41\u901f\u964d\u4f4e\u8840\u6813\u5f62\u6210\u7b49\uff0c\u8fd9\u4e00\u70b9\u540c\u6837\u5e76\u975e\u5ba2\u89c2\u8bc4\u4ef7\uff0c\u9644\u5e26\u5927\u91cf\u6587\u732e\u53ef\u4ee5\u81ea\u884c\u9605\u8bfb\uff0c\u5c31\u4e0d\u518d\u4e00\u4e00\u8d58\u8ff0\u3002<\/p>\n
Kimura\u672f\u5f0f\u662f\u7cbe\u7ec6\u533b\u5b66\u7684\u4ee3\u8868\uff0c\u968f\u7740\u533b\u5b66\u6280\u672f\u7684\u53d1\u5c55\uff0c\u5305\u62ec\u89e3\u5256\u3001\u5f71\u50cf\u3001\u5916\u79d1\u533b\u751f\u719f\u7ec3\u7a0b\u5ea6\u4ee5\u53ca\u533b\u7597\u9ad8\u7aef\u5668\u68b0\uff0c\u7279\u522b\u662f\u8154\u955ckimura\u624b\u672f\u5230\u4e86\u7089\u706b\u7eaf\u9752\u7684\u5730\u6b65\uff0c\u6280\u672f\u6c34\u5e73\u9ad8\u8d85\u7684\u533b\u751f\u5f80\u5f80\u65e0\u89c6warshaw\u624b\u672f\u7684\u5b58\u5728\uff0c\u5e76\u5f80\u5f80\u5938\u5927warshaw\u624b\u672f\u7684\u5e76\u53d1\u75c7\uff0c\u8d8a\u6765\u8d8a\u591a\u533b\u751f\u9009\u62e9kimura\u624b\u672f\uff0c\u8ba9\u90a3\u4e9b\u5e74\u8f7b\u80f0\u817a\u5916\u79d1\u7684\u8ffd\u968f\u8005\u5c45\u7136\u5bf9warshaw\u4e00\u65e0\u6240\u77e5\uff0c\u7ecf\u5e38\u8be2\u95ee\u813e\u810f\u6ca1\u6709\u52a8\u9759\u8109\u4e86\u4f1a\u4e0d\u4f1a\u574f\u6b7b\u3002<\/p>\n
Warshaw\u624b\u672f\u7684\u7b80\u6d01\u6027\uff0c\u662f\u533b\u5b66\u4e2d\u65e0\u62db\u80dc\u6709\u62db\u7684\u4ee3\u8868\uff0ckimura\u624b\u672f\u90fd\u80fd\u5f97\u5fc3\u5e94\u624b\uff0c\u90a3warshaw\u624b\u672f\u4e0d\u662f\u4fe1\u624b\u62c8\u6765\u5417\uff1f\u4f46\u523b\u610f\u8ffd\u6c42kimura\u624b\u672f\u7684\u8d4f\u5fc3\u60a6\u76ee\uff0c\u6216\u8bb8\u4e5f\u8ba9\u6211\u4eec\u5fd8\u8bb0\u4e86\u533b\u5b66\u7684\u521d\u8877\uff1a\u5b89\u5168\u3001\u9ad8\u6548\uff01\u4e5f\u5c31\u662f\u6211\u4eec\u8001\u5e08\u544a\u8bc9\u6211\u4eec\u7684\u4e00\u53e5\u81f3\u7406\u540d\u8a00\uff1a\u79d1\u5b66\u4e4b\u4e0a\u662f\u4eba\u9053\uff01\u5c31\u50cf\u6709\u4e86\u8f7f\u8f66\u7684\u4fbf\u5229\uff0c\u6211\u4eec\u4ecd\u7136\u6c89\u8ff7\u4e8e\u7528\u6469\u6258\u8f66\u70ab\u6280\u7684\u65b9\u5f0f\u4e0a\u8def\uff0c\u5f80\u5f80\u6709\u7ffb\u8f66\u7684\u98ce\u9669\u9690\u85cf\u5176\u4e2d\u3002<\/p>\n
\u533b\u5b66\u7684\u53d1\u5c55\uff0c\u7531\u533b\u5b66\u89e3\u5256\u3001\u7cbe\u7ec6\u64cd\u4f5c\u3001\u7cbe\u51c6\u624b\u672f\u4e09\u4e2a\u9636\u6bb5\u53d1\u5c55\u800c\u6765\uff0c\u533b\u5b66\u89e3\u5256\u662f\u6a21\u4eff\u7684\u9636\u6bb5\uff0c\u4e5f\u662f\u6700\u521d\u9636\u6bb5\uff0c\u7136\u540e\u5728\u8ffd\u6c42\u7cbe\u7ec6\u64cd\u4f5c\u4e2d\u8fc5\u901f\u6210\u957f\uff0c\u6700\u540e\u624d\u6709\u4e86\u5b89\u5168\u9ad8\u6548\u7684\u7cbe\u51c6\u624b\u672f\uff0c\u8fd9\u4e5f\u662f\u4ece\u5de5\u5320\u5230\u5927\u5e08\u6210\u957f\u7684\u5fc5\u7ecf\u4e4b\u8def\u3002<\/p>\n
Kimura\u624b\u672f\u4e3b\u6d41\u7684\u6c5f\u6e56\u5730\u4f4d\uff0c\u6216\u8bb8\u6162\u6162\u4f1a\u88abwarshaw\u6240\u53d6\u4ee3\u3002\u81f3\u4e8e\u6539\u826fwarshaw\u624b\u672f\u5927\u591a\u4e3a\u9e21\u808b\uff0c\u5f80\u5f80\u662fkimura\u4e0d\u6210\u529f\u7684\u7ed3\u679c\uff0c\u5f88\u5c11\u662f\u8ba1\u5212\u6027\u624b\u672f\uff0c\u5c31\u4e0d\u95f2\u8c08\u3002<\/p>\n
\u6700\u540e\uff0cKimura\u624b\u672f\u7531\u4e8e\u6709\u5929\u751f\u7684\u8bad\u5bfc\u4f18\u52bf\uff0c\u5728\u8840\u7ba1\u7684\u88f8\u9732\u65b9\u9762\u53c8\u6781\u5bcc\u6311\u6218\uff0c\u5e74\u8f7b\u7684\u80f0\u817a\u5916\u79d1\u533b\u751f\u5728\u786e\u4fdd\u624b\u672f\u5b89\u5168\u7684\u540c\u65f6\u53ef\u4ee5\u4e0d\u51e1\u591a\u505a\u4e00\u4e9b\uff0c\u6709\u52a9\u4e8e\u4e2a\u4eba\u80fd\u529b\u7684\u63d0\u5347\u3002\u73b0\u4ee3\u7684warshaw\u624b\u672f\uff0c\u57fa\u4e8e\u5bf9\u89e3\u5256\u7684\u7cbe\u51c6\u7406\u89e3\uff0c\u5728\u672f\u524d\u4e09\u7ef4\u53ef\u89c6\u5316\u3001\u8367\u5149\u8179\u8154\u955c\u3001\u672f\u4e2d\u8d85\u58f0\u534f\u52a9\u4e0b\u5fc5\u5b9a\u5927\u653e\u5f02\u5f69\uff0c\u540c\u65f6\u5916\u79d1\u533b\u751f\u89c6\u91ce\u66f4\u52a0\u5b8f\u89c2\uff0c\u66f4\u6709\u8fdb\u53d6\u5fc3\u3002<\/p>\n
Warshaw\u624b\u672f\u662f\u5982\u6b64\u7b80\u5355\u3001\u5feb\u901f\u3001\u9ad8\u6548\uff0c\u6709\u6807\u51c6\u5316\u6d41\u7a0b\uff0c\u4e14\u53ef\u590d\u5236\u5f3a\u3002\u73b0\u9644\u4e0a\u64cd\u4f5c\u6d41\u7a0b\u4e0e\u624b\u672f\u7b14\u8bb0\uff0c\u4f9b\u5927\u5bb6\u63a2\u8ba8\uff01<\/p>\n
1. 1988 \u5e74\u7531 Warshaw \u7b49\u9996\u6b21\u62a5\u9053\u3002Warshaw AL\uff0eConservation of the spleen with distal pancreatectomy\uff3bJ\uff3d\uff0eArch Surg\uff0c1988\uff0c123(5):550-553\uff0e2. 1996 \u5e74\u7531\u65e5\u672c\u5b66\u8005 Kimura \u7b49\u7387\u5148\u62a5\u9053\u3002Kimura W\uff0cInoue T\uff0cFutakawa N\uff0cet al\uff0eSpleen-preserving distal pancreatectomy with conservation of the splenic artery and vein\uff3bJ\uff3d\uff0eSurgery\uff0c1996\uff0c120(5):885-890\uff0e3. \u9644\u4e2d\u82f1\u6587\u6587\u732e\u6570\u5341\u7bc7\uff0c\u5173\u4e8ewarshaw\u4e0ekimura\u672f\u5f0f\u4e34\u5e8a\u6570\u636e\u3001\u80f0\u5c3e\u90e8\u813e\u95e8\u533a\u57df\u8840\u6d41\u91cd\u65b0\u5206\u5e03\u57fa\u7840\u7406\u8bba\uff0c\u53ef\u4ee5\u53c2\u9605\uff08\u7f51\u76d8\u94fe\u63a5\uff1ahttps:\/\/pan.baidu.com\/s\/1LOdD1ES79Gv8K19RME3VIQ?pwd=3qbj\uff09\u3002<\/p>\n
\u624b\u672f\u7b14\u8bb0 – \u6807\u51c6\u5316\u6d41\u7a0b<\/p>\n
\u672f\u524d\u8bc4\u4f30<\/p>\n
1. \u4e09\u7ef4\u53ef\u89c6\u5316\u662f\u6bd4\u8f83\u597d\u8bc4\u4f30\u624b\u6bb5\uff0c\u7279\u522b\u662f\u521d\u5b66\u8005\uff0c\u6709\u4e00\u5b9a\u6307\u5bfc\u610f\u4e49\uff1b\u4e3a\u4e86\u7701\u94b1\uff0cCT\u5f71\u50cf\u4e5f\u662f\u53ef\u4ee5\u7684\uff0c\u51a0\u72b6\u4f4d\u7247\u5b50\u4e00\u6837\u7684\uff0c\u53ef\u4ee5\u4e00\u76ee\u4e86\u7136\uff1b\u9605\u8bfb\u7247\u5b50\u5230\u4e00\u5b9a\u7a0b\u5ea6\u540e\uff0c\u4f1a\u81ea\u52a8\u9002\u5e94\u4e86\u6a2a\u65ad\u4f4d\u7ed3\u6784\u8111\u4e2d\u91cd\u5851\u7acb\u4f53\u5f71\u50cf\u3002\u7cbe\u7ec6\u5f71\u50cf\u8bc4\u4f30\u540c\u65f6\u5305\u62ec\uff1a\u80f0\u80c3\u813e\u95e8\u533a\u57df\u8840\u7ba1\u5206\u5e03\u3001\u80f0\u5c3e\u90e8\u4e0e\u813e\u95e8\u5bc6\u5207\u7a0b\u5ea6\uff0c\u6709\u65e0\u533a\u57df\u95e8\u8109\u9ad8\u538b\u75c7\u7b49\uff0c\u4f46\u5f80\u5f80\u5ffd\u89c6\u4e86\u4e00\u70b9\uff0c\u80f0\u5c3e\u90e8\u817a\u4f53\u7a00\u5c11\u7c7b\u4f3c\u8102\u80aa\u7ed3\u6784\u800c\u5f71\u50cf\u5f80\u5f80\u6ca1\u6709\u663e\u793a\uff0c\u5177\u6709\u8ff7\u60d1\u6027\uff0c\u4e00\u5b9a\u8981\u91cd\u89c6\u30022. \u9002\u7528\u4e8e\u80f0\u4f53\u5c3e\u90e8\u826f\u6027\u6216\u4f4e\u5ea6\u6076\u6027\u75c5\u53d8\uff0c\u4ee5\u56ca\u6027\u80bf\u7624\u3001\u795e\u7ecf\u5185\u5206\u6ccc\u80bf\u7624\u4e3a\u4e3b\uff1b\u5408\u5e76\u80f0\u817a\u708e\u3001\u813e\u80bf\u5927\u3001\u533a\u57df\u95e8\u8109\u9ad8\u538b\u75c7\u53ca\u5047\u6027\u56ca\u80bf\u7b49\u8840\u7ba1\u7c98\u8fde\u81f4\u5bc6\u8c28\u614e\u9009\u62e9\uff1b\u80f0\u4f53\u5c3e\u764c\u4e0d\u91c7\u7528\u6b64\u672f\u5f0f\uff0c\u5e76\u975e\u6280\u672f\u4e0a\u4e0d\u53ef\u884c\u3002<\/p>\n
\u5e03\u5b54\u8981\u70b9<\/p>\n
1. \u4e0d\u540c\u4e8e\u8154\u955c\u80f0\u5341\u4e8c\u6307\u80a0\u624b\u672f\u5f27\u5f62\u5e03\u5b54\uff0c\u6211\u4eec\u7684\u91cd\u70b9\u533a\u57df\u5728\u80f0\u5c3e\u90e8\u53ca\u813e\u95e8\u7684\u89e3\u5256\uff0c\u8fd8\u6709\u5c31\u662f\u80f0\u817a\u4e0a\u4e0b\u7f18\u5904\u7406\uff0c\u4ee5\u6b64\u8bbe\u8ba1\u4e3b\u5200\u5e03\u5b54\u66f4\u52a0\u5408\u7406\u3002<\/p>\n
2. \u4e00\u5b9a\u8981\u5148\u6446\u597d\u60a3\u8005\u4f53\u4f4d\uff0c\u518d\u6839\u636e\u60a3\u8005\u5b9e\u9645\u60c5\u51b5\uff0c\u5982\u80d6\u7626\u3001\u80bf\u7269\u4f4d\u7f6e\u3001\u662f\u5426\u9700\u8981\u60ac\u540a\u7b49\u5e03\u5b54\uff1b\u4e3b\u5200\u64cd\u4f5c\u5b54\u7a0d\u4f4e\u4e8e\u80f0\u817a\u4e0b\u7f18\u7ebf\uff0c\u8f85\u52a9\u5b54\u7a0d\u9ad8\u4e8e\u80f0\u817a\u4e0a\u7f18\u7ebf\uff0c\u7531\u4e8e\u662f\u8179\u90e8\u662f\u4e00\u7acb\u4f53\u7ed3\u6784\uff0c\u6545\u5e03\u5b54\u5e76\u975e\u4e00\u6210\u4e0d\u53d8\u3002<\/p>\n
3. \u4f53\u4f4d\uff1a\u53d6\u4ef0\u5367\u4f4d\uff0c\u5e76\u901a\u8fc7\u8c03\u6574\u624b\u672f\u5e8a\u5c06\u60a3\u8005\u7684\u89d2\u5ea6\u8c03\u6574\u4e3a\u5934\u9ad8\u811a\u4f4e\uff0c\u53f3\u4fa7\u503e\u659c\u3002<\/p>\n
\u60ac\u540a\u6280\u672f<\/p>\n
1. \u9664\u975e\u7279\u522b\u80a5\u80d6\uff0c\u975e\u5fc5\u8981\u6b65\u9aa4\uff0c\u521d\u5b66\u8005\u53ef\u4ee5\u91c7\u7528\u3002<\/p>\n
2. \u60ac\u540a\u6280\u672f\uff0c\u5728LPD\u53caLRAMPS\u624b\u672f\u4e2d\u7ecf\u5e38\u4f7f\u7528\uff0c\u53ef\u4ee5\u89e3\u653e\u52a9\u624b\uff0c\u7b80\u5355\u53ef\u884c\uff0c\u4f46\u57fa\u4e8ewarshaw\u624b\u672f\u91cd\u70b9\u662f\u80f0\u5c3e\u90e8\u813e\u95e8\u533a\u57df\u89e3\u5256\uff0c\u5e38\u7528\u7ecf\u80c3\u5de6\u52a8\u8109\u53f3\u4fa7\u60ac\u540a\u80c3\u90e8\u5f80\u5f80\u5e76\u4e0d\u80fd\u5b8c\u5168\u89e3\u51b3\u95ee\u9898\uff0c\u5efa\u8bae\u4e09\u89d2\u7ebf\u6027\u963b\u6321\u60ac\u540a\u80c3\u4f53\u80c3\u5e95\u6216\u662f\u53cc\u60ac\u540a\u4e3a\u4f73\u3002<\/p>\n
\u6253\u5f00\u5927\u7f51\u819c<\/p>\n
\u8d85\u58f0\u5200\u7f51\u819c\u8840\u7ba1\u5f13\u5916\u6253\u5f00\u7f51\u819c\u65e0\u8840\u7ba1\u533a\uff0cwarshaw\u624b\u672f\u5fc5\u987b\u5b8c\u6574\u4fdd\u7559\u4fdd\u7559\u7f51\u819c\u5de6\u652f\u8840\u7ba1\u901a\u7545\uff0c\u7531\u4e8e\u7f51\u819c\u67d4\u97e7\u6027\u597d\uff0c\u65e0\u9700\u4e3a\u4e86\u5145\u5206\u66b4\u9732\u813e\u95e8\u968f\u610f\u79bb\u65ad\u8fd1\u813e\u95e8\u7f51\u819c\u8840\u7ba1\uff1b\u5de6\u4fa7\u81f3\u8fd1\u7f51\u819c\u5de6\u8840\u7ba11cm\u5904\uff0c\u53f3\u4fa7\u53ef\u4ee5\u5145\u5206\u5904\u7406\u81f3\u80f0\u5934\u90e8\u8fd1\u7f51\u819c\u53f3\u8840\u7ba1\u5904\u3002<\/p>\n
\u4fdd\u7559\u7f51\u819c\u5de6\u8840\u7ba1<\/p>\n
\u5904\u7406\u80f0\u817a\u4e0a\u7f18<\/p>\n
\u7531\u80c3\u5de6\u52a8\u8109\u6839\u90e8\u5f00\u59cb\uff0c\u5f80\u4fa7\u65b9\u5feb\u901f\u6253\u5f00\u80f0\u80c3\u76b1\u895e\uff0c\u663e\u9732Toldt\u2019s\u4e0eGerota\u7b4b\u819c\uff0c\u6b64\u5904\u586b\u585e\u7eb1\u5e03\u6807\u8bb0\uff0c\u4ee5\u4fbf\u4e8e\u4e0e\u4e0b\u7f18\u6e38\u79bb\u4f1a\u5e08\u3002\u540c\u65f6\u6e38\u79bb\u89e3\u5256\u80f0\u5c3e\u90e8\u813e\u52a8\u8109\u4e3b\u5e72\u7ec8\u672b\u90e8\uff08\u624b\u8155\u5904\uff0c\u9a6c\u4e0a\u5206\u652f\u5165\u813e\uff09\uff0c92%\u7684\u52a8\u8109\u4f4d\u4e8e\u80f0\u817a\u540e\u4e0a\u65b9\uff0c\u6b64\u65f6\u4e0d\u5b9c\u8fc7\u591a\u4ece\u4e0a\u6e38\u79bb\u89e3\u5256\u80f0\u5c3e\u90e8\u52a8\u8109\u5206\u652f\u3002<\/p>\n
\u6253\u5f00\u4e0a\u7f18\u663e\u9732G\u7b4b\u819c<\/p>\n<\/p>\n
\u80f0\u5c3e\u90e8\u4e0a\u7f18\u6e38\u79bb\u813e\u52a8\u8109\u4e3b\u5e72<\/p>\n
\u5904\u7406\u80f0\u817a\u4e0b\u7f18<\/p>\n
\u6cbf\u7740\u80f0\u817a\u4e0b\u7f18\u6e38\u79bb\uff0c\u6ce8\u610f\u4fdd\u6301Gerota\u7b4b\u819c\u7684\u5b8c\u6574\u6027\uff0c\u4ee5\u514d\u8bef\u5165\u6b67\u9014\uff0c\u5934\u4fa7\u5e73\u63a8\u81f3\u4e0e\u4e0a\u7f18\u9884\u7f6e\u7eb1\u5e03\u4f1a\u5e08\uff0c\u53f3\u4fa7\u8fbe\u813e\u52a8\u8109\u8d77\u59cb\u90e8\uff0c\u5047\u5982\u80bf\u7269\u504f\u5411\u80f0\u9888\u90e8\uff0c\u5fc5\u8981\u65f6\u79bb\u65adIMV\uff0c\u6216\u662f\u6253\u901a\u80f0\u540e\u96a7\u9053\uff0c\u79bb\u65ad\u80f0\u9888\u90e8\u518d\u5904\u7406\u813e\u52a8\u9759\u8109\u3002\u5de6\u4fa7\u7ee7\u7eed\u8d8a\u8fc7\u80be\u5468\u8102\u80aa\u56ca\uff0c\u5916\u4e0b\u65b9\u8fbe\u5230\u813e\u95e8\u90e8\uff0c\u6b64\u65f6\u8fdb\u5165\u89e3\u5256\u5173\u952e\u70b9\u80f0\u5c3e\u90e8\u6e38\u79bb\uff1b\u5de6\u4fa7\u5916\u4e0a\u65b9\u907f\u514d\u8fc7\u591a\u6e38\u79bb\uff0c\u4f24\u53ca\u80c3\u77ed\u8840\u7ba1\u3001\u80c3\u540e\u8840\u7ba1\u3002<\/p>\n
\u80f0\u817a\u4e0b\u7f18\u6e38\u79bb<\/p>\n<\/p>\n
\u4fdd\u62a4G\u7b4b\u819c\u5b8c\u6574\u6027<\/p>\n
\u5904\u7406\u80f0\u5c3e\u90e8<\/p>\n
1. \u6b64\u5904\u89e3\u5256\u53ca\u5176\u5173\u952e\uff0c\u6211\u4eec\u5fc5\u987b\u7406\u89e3\u80f0\u817a\u5c5e\u4e8e\u8179\u819c\u540e\u810f\u5668\uff0c\u80f0\u817a\u80da\u80ce\u53d1\u80b2\u5f62\u6210\u8fc7\u7a0b\u4e2d\uff0c\u5c06\u813e\u8482\u5f80\u5934\u4fa7\u63a8\u79fb\uff0c\u5f80\u5f80\u6b64\u5904\u813e\u52a8\u9759\u8109\u5747\u4f4d\u4e8e\u80f0\u817a\u5934\u4fa7\uff0c\u52a8\u8109\u5728\u4e0a\u65b9\uff0c\u9759\u8109\u5728\u5176\u4e2d\uff0c\u6b64\u65f6\u80f0\u5c3e\u90e8\u8840\u7ba1\u5206\u652f\u8fdb\u5165\uff0c\u7406\u89e3\u6b64\u70b9\uff0cC\u5b57\u53cd\u5411\u4e0a\u4f4d\u89e3\u5256\u6210\u4e3a\u7ecf\u5178\u3002\u4e0b\u7f18\u770b\u4f3c\u6df1\u5965\uff0c\u5b9e\u9645\u662f\u5e76\u65e0\u8840\u7ba1\u5206\u652f\uff0c\u53ef\u4ee5\u5927\u80c6\u6e38\u79bb\uff0c\u540c\u65f6\u5c06\u4e0a\u7f18\u80f0\u5c3e\u90e8\u6df1\u9677\u90e8\u5206\u5206\u79bb\u653e\u5728\u6700\u540e\u4e5f\u662f\u6709\u9053\u7406\u7684\u3002\u6b64\u5904\u4e5f\u53ef\u4ee5\u501f\u52a9\u4e8e\u4e09\u7ef4\u53ef\u89c6\u5316\u6280\u672f\uff0c\u53ef\u4ee5\u66f4\u52a0\u5f97\u5fc3\u5e94\u624b\u3002<\/p>\n
2. \u540c\u65f6\u5fc5\u987b\u4ed4\u7ec6\u8fa8\u8ba4\u8102\u80aa\u4e0e\u817a\u4f53\u533a\u522b\uff0c\u6b64\u5904\u6b8b\u7559\u817a\u4f53\u662f\u80f0\u7618\u91cd\u8981\u7684\u6839\u6e90\u3002<\/p>\n
3. \u5f53\u80f0\u5c3e\u90e8\u6df1\u9677\u813e\u95e8\uff0c\u5206\u652f\u8f83\u591a\u65f6\uff0c\u53ef\u4ee5\u8003\u8651\u4f18\u5148\u79bb\u65ad\u813e\u52a8\u8109\uff0c\u6b64\u65f6\u813e\u95e8\u8840\u6d41\u9aa4\u964d\uff0c\u5206\u79bb\u65f6\u51fa\u8840\u98ce\u9669\u964d\u4f4e\u3002\u6216\u662f\u4f18\u5148\u6574\u4f53\u79bb\u65ad\u80f0\u817a\u9888\u90e8\uff0c\u4e0a\u63d0\u80f0\u5c3e\u90e8\u89e3\u5256\u5206\u652f\u8840\u7ba1\u76f8\u5bf9\u5bb9\u6613\u3002<\/p>\n<\/p>\n
C\u5b57\u53cd\u5411\u4e0a\u4f4d\u89e3\u5256\u80f0\u5c3e\u90e8<\/p>\n
\u79bb\u65ad\u80f0\u817a\u9888\u90e8<\/p>\n
1. \u53ea\u8981\u7406\u89e3\u6211\u4eec\u7684\u76ee\u7684\u662f\u95ed\u5408\u813e\u52a8\u9759\u8109\u53ca\u80f0\u7ba1\uff0c\u90a3\u4e48\u767d\u9489\u5fc5\u7136\u662f\u5e38\u89c4\u9009\u62e9\uff0c\u800c\u8bd5\u56fe\u7528\u84dd\u9489\u6216\u662f\u5176\u4ed6\u9489\u9ad8\u95ed\u5408\u80f0\u817a\u7ec4\u7ec7\u6070\u5f97\u5176\u53cd\u30022. \u52a0\u538b\u5851\u5f62\u662f\u5fc5\u4e0d\u53ef\u5c11\u7684\u6b65\u9aa4\uff0c\u540c\u65f6\u907f\u514d\u65ad\u7aef\u659c\u5f62\uff0c\u6839\u636e\u80f0\u817a2\u30013\u7ea7\u5206\u652f\u5206\u5e03\uff0c\u659c\u5f62\u79bb\u65ad\u53ef\u80fd\u589e\u52a0\u80f0\u7618\u98ce\u9669\u3002\u7279\u522b\u662f\u5728\u80f0\u817a\u77ed\u5c0f\u80a5\u80d6\u7c7b\u578b\u65f6\uff0c\u53ef\u4ee5\u901a\u8fc7\u4f18\u5148\u79bb\u65ad\u80f0\u5c3e\u90e8\u6765\u907f\u514d\u8fd9\u4e2a\u98ce\u9669\u30023. \u6587\u732e\u8bc1\u5b9e\u813e\u9759\u8109\u5206\u79bb\u51fa\u6765\u540e\u79bb\u65ad\u6ca1\u6709\u5fc5\u8981\uff0c\u9664\u975e\u662f\u4e34\u8fd1\u80f0\u5934\u90e8\u80bf\u7624\uff0c\u95ed\u5408\u65f6\u4e0d\u4f46\u8981\u6ce8\u610f\u663e\u9732\u8179\u8154\u5e72\uff0c\u5fc5\u8981\u65f6\u79bb\u65adIMV\u4f7f\u5f97\u624b\u672f\u7b80\u5316\u3002<\/p>\n
\u80f0\u9888\u90e8\u65ad\u7aef\u5e73\u9f50<\/p>\n
\u79bb\u65ad\u5c3e\u90e8<\/p>\n
\u5145\u5206\u6e38\u79bb\uff0c\u907f\u514d\u6b8b\u7559\u817a\u4f53\uff0c\u79bb\u65ad\u80f0\u9888\u90e8\u540e\uff0c\u4ee5\u201c\u51b2\u5929\u70ae\u201d\u65b9\u5f0f\u79bb\u65ad\u4f18\u52bf\u660e\u663e\u3002\u6b64\u5904\u9009\u62e9\u4f7f\u7528\u5939\u5b50\u6216\u662f\u8840\u7ba1\u95ed\u5408\u5668\uff0c\u540e\u8005\u66f4\u52a0\u6574\u9f50\uff0c\u5728\u80f0\u7618\u611f\u67d3\u65f6\u662f\u5426\u66f4\u52a0\u5b89\u5168\uff0c\u4e0d\u5f97\u800c\u77e5\u3002\u8003\u8651\u5230\u5939\u5b50\u662f\u5f02\u7269\u957f\u671f\u5b58\u5728\uff0c\u82e5\u672f\u540e\u51fa\u73b0\u80f0\u7618\u5408\u5e76\u611f\u67d3\uff0c\u5939\u5b50\u957f\u671f\u6ce1\u5728\u6fc0\u6d3b\u7684\u80f0\u6db2\u4e2d\u98ce\u9669\u662f\u80af\u5b9a\uff0c\u53ef\u80fd\u662f\u672f\u540e\u8fdf\u53d1\u6027\u51fa\u8840\u7684\u98ce\u9669\u56e0\u5b50\u3002\u6709\u6761\u4ef6\u53ef\u4ee5\u7528\u666e\u7406\u7075\u7f1d\u5408\uff0c\u66f4\u52a0\u5408\u7406\u3002<\/p>\n
\u201c\u51b2\u5929\u70ae\u201d\u65b9\u5f0f\u6e38\u79bb\u5c3e\u90e8<\/p>\n
\u672f\u4e2d\u8d85\u58f0\u6216\u8367\u5149\u8bc4\u4f30\u813e\u810f\u8840\u8fd0<\/p>\n
\u8367\u5149\u8179\u8154\u955c\u4f7f\u7528\uff0c\u66f4\u52a0\u76f4\u89c2\u8bc4\u4f30\u813e\u810f\u8840\u8fd0\uff0c\u901a\u8fc7\u9759\u8109\u6ce8\u5c040.10-0.15 mg\/kg ICG,\u53ef\u89c1\u813e\u810f\u4e8e15~235 s \u663e\u793a\u8367\u5149\uff0c\u540c\u65f6\u7b2c\u4e00\u65f6\u95f4\u89c2\u5bdf\u813e\u95e8\u52a8\u8109\u53ca\u9759\u8109\u5206\u652f\u8840\u6d41\u5206\u5e03\u60c5\u51b5\u3002\u672f\u4e2d\u5f69\u8d85\u53ef\u4ee5\u5bf9\u7167\u8bc4\u4f30\u813e\u810f\u8840\u6d41\u60c5\u51b5\u3002<\/p>\n<\/p>\n
\u8367\u5149\u663e\u793a\u813e\u810f\u53ca\u8840\u7ba1\u5206\u652f\u8840\u6d41\u5206\u5e031<\/p>\n<\/p>\n
\u8367\u5149\u663e\u793a\u813e\u810f\u53ca\u8840\u7ba1\u5206\u652f\u8840\u6d41\u5206\u5e032<\/p>\n
\u7559\u7f6e\u5f15\u6d41\u7ba1<\/p>\n
\u5f15\u6d41\u7ba1\u7ecf\u4e3b\u5200\u64cd\u4f5c\u5b54\u7f6e\u5165\uff0c\u7531\u53f3\u5411\u5de6\uff0c\u7f6e\u5165\u80c3\u4f53\u540e\u65b9\u3001\u813e\u95e8\u524d\u65b9\uff0c\u4e0e\u672f\u533a\u5b8c\u5168\u543b\u5408\uff0c\u5f15\u6d41\u66f4\u52a0\u5145\u5206\uff0c\u65e0\u80f0\u7618\u672f\u540e2-3\u5929\u62d4\u7ba1\u3002<\/p>\n
\u521b\u9762\u5904\u7406<\/p>\n
\u521b\u9762\u53ca\u672f\u533a\u4e0d\u63a8\u8350\u586b\u585e\u4efb\u4f55\u5f02\u7269\uff0c\u5305\u62ec\u6b62\u8840\u6750\u6599\u4e0e\u7f51\u819c\uff0c\u672f\u540e\u4e00\u65e6\u51fa\u73b0\u80f0\u7618\uff0c\u586b\u585e\u7684\u5f02\u7269\u662f\u53cd\u590d\u611f\u67d3\u7684\u6839\u6e90\uff1b\u53e6\u5916\u586b\u585e\u7684\u7f51\u819c\u88ab\u6fc0\u6d3b\u7684\u80f0\u9176\u6d88\u5316\uff0c\u4e0d\u4f46\u5f71\u54cd\u5438\u6536\uff0c\u4e5f\u4f7f\u5f97\u6297\u751f\u7d20\u96be\u4ee5\u5230\u8fbe\uff0c\u5371\u5bb3\u660e\u663e\u3002<\/p>\n<\/p>\n
\u672f\u533a\u907f\u514d\u7f51\u819c\u586b\u585e\u53ca\u7559\u7f6e\u5f15\u6d41\u7ba1<\/p>\n
\u672f\u540e\u601d\u8003<\/p>\n
1. \u4e0b\u65b9\u6e38\u79bb\u663e\u9732\u813e\u52a8\u8109\u53ef\u884c\u5417\uff1f—\u813e\u52a8\u8109\u5c31\u5728\u4e0a\u65b9\uff0c\u7ecf\u80f0\u817a\u4e0b\u65b9\u6e38\u79bb\u53cd\u5176\u9053\u884c\u4e4b\uff0c\u975e\u9ad8\u624b\uff0c\u4e0d\u63d0\u5021\u30022. \u80fd\u5426\u91c7\u7528\u7ecf\u4fa7\u65b9\u5165\u8def\uff1f—\u7c7b\u4f3c\u6ccc\u5c3f\u79d1\u624b\u672f\u8def\u5f84\uff0c\u7279\u522b\u662f\u5728C\u578b\u6e38\u79bb\u813e\u95e8\u533a\u80f0\u5c3e\u90e8\u4f18\u52bf\u660e\u663e\uff0c\u7b97\u662f\u9006\u884c\u5207\u9664\u80f0\u5c3e\u90e8\uff0c\u53ef\u4ee5\u63a2\u7d22\u3002<\/p>\n
\u4fa7\u65b9\u6e38\u79bb\uff1a\u9006\u884c\u63a2\u7d22<\/p>\n
3. Kimura\u672f\u4e2d\u4e34\u65f6\u8f6c\u5411\u6539\u826fwarshaw\uff08\u4fdd\u7559\u813e\u52a8\u8109\u6216\u662f\u813e\u9759\u8109\uff09\u624b\u672f\u53ef\u884c\u5417\uff1f—\u4e0d\u8981\u56e0\u8fc7\u5206\u5938\u5927\u813e\u810f\u7684\u529f\u80fd\uff0c\u800c\u91c7\u53d6\u7684\u975e\u8ba1\u5212\u6027\u4e2d\u8f6cwarshaw\u624b\u672f\uff0c\u5f80\u5f80\u672f\u4e2d\u5df2\u7ecf\u9669\u8c61\u73af\u751f\uff0c\u5fc5\u8981\u65f6\u53ef\u5207\u9664\u813e\u810f\u5e76\u505a\u813e\u8584\u7247\u7f51\u819c\u79fb\u690d\uff0c\u66f4\u52a0\u7b80\u5355\u5b89\u5168\u3002<\/p>\n
\u6539\u826fwarshaw\uff1a\u4fdd\u7559\u813e\u9759\u8109<\/p>\n
4. \u80f0\u4f53\u5c3e\u6076\u6027\u80bf\u7624\u9009\u62e9warshaw\u53ef\u884c\u5417\uff1f—Warshaw\u624b\u672f\u540c\u65f6\u5f7b\u5e95\u6e05\u626b\u813e\u95e8\u6dcb\u5df4\u7ed3\uff0c\u6e05\u626b\u8fc7\u7a0b\u5e76\u975e\u56f0\u96be\uff0c\u4f46\u4e00\u5b9a\u8981\u8bb0\u4f4f\u4e00\u70b9\u80f0\u817a\u624b\u672f\u4e0d\u540c\u4e8e\u80c3\u624b\u672f\uff0c\u80f0\u4f53\u5c3e\u624b\u672f\u672f\u540e\u80f0\u7618\u5c45\u9ad8\u4e0d\u4e0b\uff0c\u867d\u7136\u5927\u591a\u662f\u751f\u5316\u7618\uff0c\u4f46\u80f0\u9176\u6fc0\u6d3b\u60c5\u51b5\u4e0b\u5927\u91cf\u9aa8\u9abc\u5316\u7684\u813e\u8840\u7ba1\u5206\u652f\u59cb\u7ec8\u5b58\u5728\u51fa\u8840\u98ce\u9669\u3002<\/p>\n
\u540e\u8bb0<\/p>\n
Warshaw\u624b\u672f\u6f2b\u8c08\uff0c\u7279\u522b\u624b\u672f\u7b14\u8bb0\u90e8\u5206\u4ec5\u4ee3\u8868\u73b0\u9636\u6bb5\u4e2a\u4eba\u624b\u672f\u4f53\u4f1a\uff0c\u968f\u7740\u65f6\u95f4\u63a8\u79fb\u3001\u624b\u672f\u7684\u79ef\u7d2f\uff0c\u624b\u672f\u89c2\u4e00\u5b9a\u4f1a\u6709\u6240\u4e0d\u540c\uff0c\u671f\u5f85\u5927\u5bb6\u591a\u591a\u6279\u8bc4\u6307\u6b63\u3002\u81f3\u4e8e\u524d\u4e16\u4eca\u751f\u90e8\u5206\uff0c\u53ea\u662f\u5c06warshaw\u624b\u672f\u8003\u7a76\u4e00\u756a\uff0c\u5e76\u65e0\u8d2c\u4f4ekimura\u672f\u5f0f\u4e4b\u610f\uff0c\u5404\u79cd\u672f\u5f0f\u5747\u6709\u751f\u547d\u529b\uff0c\u53ea\u8981\u5408\u7406\u7684\u4f7f\u7528\u3002<\/p>\n
\u626b\u7801\u89c2\u770b\u5b8c\u6574\u624b\u672f\u89c6\u9891<\/p>\n
\u8367\u5149\u8179\u8154\u955c\u4fdd\u813e\u80f0\u4f53\u5c3e\u5207\u9664\u672f\uff08\u6807\u51c6Warshaw\uff09<\/p>\n<\/p>\n
\u626b\u7801\u89c2\u770b\u5b8c\u6574\u624b\u672f\u89c6\u9891<\/p>\n
\u8367\u5149\u8179\u8154\u955c\u4fdd\u813e\u80f0\u4f53\u5c3e\u5207\u9664\u672f\uff08Warshaw\uff09 <\/p>\n<\/p>\n
\u5e94\u6653\u6b66\u6559\u6388\u6240\u505a\u7684\u624b\u672f\u7b14\u8bb0\uff0c\u4e00\u5468\u5185\u4ed3\u4fc3\u6210\u7a3f\uff0c\u4e0d\u5f53\u4e4b\u5904\uff0c\u8bf7\u5404\u4f4d\u6559\u6388\u6279\u8bc4\u6307\u6b63\uff01\u540c\u65f6\u611f\u8c22\u201c\u80f0\u8def\u6653\u8c08\u201d\u5e73\u53f0\u7ed9\u4e2d\u56fd\u5e74\u8f7b\u80f0\u817a\u5916\u79d1\u533b\u751f\u63d0\u4f9b\u826f\u597d\u5b66\u4e60\u4ea4\u6d41\u7684\u673a\u4f1a\uff01<\/p>\n
END<\/p>\n","protected":false},"excerpt":{"rendered":"
Warshaw\u624b\u672f\u524d\u4e16\u4eca\u751f \u5728\u80f0\u817a\u624b\u672f\u4e2d\uff0c\u4fdd\u7559\u810f\u5668\u529f\u80fd\u8d8a\u6765\u8d8a\u591a\u5f97\u4ee5\u91cd\u89c6\uff0c\u5ef6\u4f38\u8bf8\u591a … \u7ee7\u7eed\u9605\u8bfb