{"id":39245,"date":"2024-08-05T05:10:09","date_gmt":"2024-08-05T05:10:09","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=39245"},"modified":"2024-08-05T05:10:09","modified_gmt":"2024-08-05T05:10:09","slug":"2023-svs%e4%b8%8b%e8%82%a2%e9%9d%99%e8%84%89%e6%9b%b2%e5%bc%a0%e4%b8%b4%e5%ba%8a%e6%8c%87%e5%8d%97%ef%bc%88part-ii%ef%bc%89","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=39245","title":{"rendered":"2023 SVS\u4e0b\u80a2\u9759\u8109\u66f2\u5f20\u4e34\u5e8a\u6307\u5357\uff08Part II\uff09"},"content":{"rendered":"

\u3010Ref\uff1aGloviczki P, Lawrence PF, Wasan SM, et al. The 2023 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society Clinical Practice Guidelines for the Management of Varicose Veins of the Lower Extremities. Part II [published online ahead of print, 2023 Aug 29]. J Vasc Surg Venous Lymphat Disord. 2023;S2213-333X(23)00322-0. doi:10.1016\/j.jvsv.2023.08.011\u3011<\/p>\n

\u7f8e\u56fd\u8840\u7ba1\u5916\u79d1\u5b66\u4f1a\uff08SVS\uff09\u3001\u7f8e\u56fd\u9759\u8109\u8bba\u575b\uff08AVF\uff09\u548c\u7f8e\u56fd\u9759\u8109\u548c\u6dcb\u5df4\u5b66\u4f1a\uff08AVLS\uff09\u6700\u8fd1\u53d1\u5e03\u4e862022\u5e74\u9759\u8109\u66f2\u5f20\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\u7684\u7b2c\u4e00\u90e8\u5206\u3002\u8be5\u5efa\u8bae\u662f\u57fa\u4e8e\u5bf9\u5f71\u54cd\u4e0b\u80a2\u9759\u8109\u66f2\u5f20\u60a3\u8005\u7ba1\u7406\u7684\u4e94\u4e2a\u5173\u952e\u95ee\u9898\u8fdb\u884c\u72ec\u7acb\u7cfb\u7edf\u7efc\u8ff0\u548c\u835f\u8403\u5206\u6790\u540e\u7814\u7a76\u7684\u6700\u65b0\u79d1\u5b66\u8bc1\u636e\uff0c\u4f7f\u7528PICO\uff08\u60a3\u8005\u3001\u5e72\u9884\u3001\u5bf9\u7167\u836f\u7269\u548c\u7ed3\u5c40\uff09\u7cfb\u7edf\u56de\u7b54\u5173\u952e\u95ee\u9898\u3002<\/p>\n

\u672c\u6307\u5357\u4e3a\u7b2c\u4e8c\u90e8\u5206\uff0c\u91cd\u70b9\u662f\u5173\u4e8e\u9759\u8109\u66f2\u5f20\u60a3\u8005\u7684\u9884\u9632\u548c\u7ba1\u7406\uff0c\u538b\u529b\u6cbb\u7597\u4e0e\u836f\u7269\u548c\u8425\u517b\u4f9b\u7ed9\uff0c\u8bc4\u4ef7\u548c\u6cbb\u7597\u9759\u8109\u66f2\u5f20\u7684\u5c5e\u652f\u53ca\u6d45\u9759\u8109\u7624\uff0c\u4ee5\u53ca\u9759\u8109\u66f2\u5f20\u7684\u5e76\u53d1\u75c7\u548c\u6cbb\u7597\u7684\u7ba1\u7406\u3002<\/p>\n

\u672c\u6587\u5bf9\u6307\u5357\u4e2d\u7684\u4e34\u5e8a\u6307\u5357\u5185\u5bb9\u4ee5\u53ca\u4e13\u5bb6\u5171\u8bc6\u5185\u5bb9\u505a\u4e86\u7f16\u8bd1\uff0c\u6b22\u8fce\u9605\u8bfb\u3002<\/p>\n

\ud83d\udc49<\/p>\n

\u4e0b\u80a2\u9759\u8109\u66f2\u5f20\u4e34\u5e8a\u6307\u5357\uff08Part II\uff09<\/p>\n

1. \u9759\u8109\u66f2\u5f20\u60a3\u8005\u7684\u8bc4\u4f30<\/p>\n

1.2-1.5 \u591a\u666e\u52d2\u8d85\u58f0\u626b\u63cf\uff08DUS\uff09<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

1.2.1 \u5bf9\u4e8e\u4e0b\u80a2\u6162\u6027\u9759\u8109\u75be\u75c5\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u5c06DUS\u4f5c\u4e3a\u8bca\u65ad\u9759\u8109\u56de\u6d41\u7684\u9996\u9009\u68c0\u67e5\u3002\uff081B\uff09<\/p>\n

\u5171\u8bc6\u58f0\u660e<\/p>\n

1.5.1 \u5728\u60a3\u6709\u6bdb\u7ec6\u8840\u7ba1\u6269\u5f20\u6216\u7f51\u72b6\u9759\u8109\uff08CEAP C1\u7ea7\uff09\u7684\u65e0\u75c7\u72b6\u60a3\u8005\u4e2d\uff0c\u4e0d\u5e94\u5e38\u89c4\u8fdb\u884c\u4e0b\u80a2\u9759\u8109\u7684B\u8d85\u68c0\u67e5\uff0c\u56e0\u4e3a\u68c0\u67e5\u53ef\u80fd\u5bfc\u81f4\u4e0d\u5fc5\u8981\u7684\u9690\u9759\u8109\u6d88\u878d\u672f\u3002<\/p>\n

1.5.2 \u5728\u6709\u75c7\u72b6\u7684CEAP C1\u7ea7\u60a3\u8005\u4e2d\uff0c\u7531\u4e8e\u4e2d\u5ea6\u81f3\u91cd\u5ea6\u6bdb\u7ec6\u8840\u7ba1\u6269\u5f20\u6216\u7f51\u72b6\u9759\u8109\u800c\u4f34\u6709\u51fa\u8840\u6216\u91cd\u5ea6\u75bc\u75db\u6216\u70e7\u707c\u75c7\u72b6\uff0c\u53ef\u8fdb\u884cB\u8d85\u8bc4\u4ef7\u4ee5\u6392\u9664\u76f8\u5173\u7684\u9759\u8109\u529f\u80fd\u4e0d\u5168\uff1b\u7136\u800c\uff0c\u5f88\u5c11\u9700\u8981\u5bf9\u65e0\u51fa\u8840\u7684C1\u671f\u8fdb\u884c\u9690\u9759\u8109\u6d88\u878d\u3002<\/p>\n

1.5.3 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u60a3\u8005\uff08CEAP C2\u7ea7\uff09\uff0c\u5e94\u5e38\u89c4\u8bc4\u4f30\u6df1\u9759\u8109\u7cfb\u7edf\u662f\u5426\u5b58\u5728\u8179\u80a1\u6c9f\u4ee5\u4e0b\u963b\u585e\u6216\u74e3\u819c\u529f\u80fd\u4e0d\u5168\u3002<\/p>\n

1.5.4 \u5728\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u60a3\u8005\uff08CEAP C2\u7ea7\uff09\u4e2d\uff0c\u5982\u679c\u5b58\u5728\u803b\u9aa8\u4e0a\u6216\u8179\u58c1\u9759\u8109\u66f2\u5f20\uff0c\u4ee5\u53ca\u6709\u8fd1\u7aef\u963b\u585e\u75c7\u72b6\uff08\u5305\u62ec\u5927\u817f\u80bf\u80c0\u3001\u6c89\u91cd\u548c\u9759\u8109\u8ddb\u884c\uff09\u7684\u60a3\u8005\uff0c\u5e94\u4f7f\u7528B\u8d85\u6216\u5176\u4ed6\u5f71\u50cf\u5b66\u68c0\u67e5\u8bc4\u4f30\u9ac2\u80a1\u9759\u8109\u963b\u585e\u3002CEAP 3-6\u7ea7\u9700\u8981B\u8d85\u6216\u5176\u4ed6\u5f71\u50cf\u5b66\u68c0\u67e5\u6765\u8bc4\u4ef7\u9ac2\u80a1\u9759\u8109\u6897\u963b\u3002<\/p>\n

1.5.5 \u5728\u5927\u817f\u5185\u4fa7\u6216\u5916\u9634\u9759\u8109\u66f2\u5f20\u60a3\u8005\u4e2d\uff0c\u5982\u679c\u5979\u4eec\u6ca1\u6709\u76c6\u8154\u9759\u8109\u75be\u75c5\u7684\u75c7\u72b6\uff0c\u5219\u4e0d\u9700\u8981\u4f7f\u7528B\u8d85\u6216\u5176\u4ed6\u5f71\u50cf\u5de5\u5177\u8bc4\u4f30\u76c6\u8154\u9759\u8109\u75c5\u7406\u3002<\/p>\n

2. \u538b\u529b\u6cbb\u7597<\/p>\n

2.1 \u538b\u529b\u7597\u6cd5\u4e0e\u624b\u672f\u5e72\u9884<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

2.1.1 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u548c\u6d45\u9759\u8109\u4e3b\u5e72\u8f74\u5411\u53cd\u6d41\u7684\u60a3\u8005\uff0c\u5982\u679c\u60a3\u8005\u7684\u6d3b\u52a8\u72b6\u6001\u6216\u6f5c\u5728\u7684\u533b\u7597\u6761\u4ef6\u9700\u8981\u4fdd\u5b88\u6cbb\u7597\uff0c\u53c8\u6216\u8005\u60a3\u8005\u56e0\u4e3a\u60f3\u8bd5\u9a8c\u4e00\u6bb5\u65f6\u95f4\u6216\u786e\u8ba4\u9009\u62e9\u4fdd\u5b88\u6cbb\u7597\uff0c\u6211\u4eec\u5efa\u8bae\u91c7\u7528\u52a0\u538b\u6cbb\u7597\u4f5c\u4e3a\u521d\u7ea7\u6cbb\u7597\u3002\uff082C\uff09<\/p>\n

2.1.2 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u5408\u5e76GSV\u6216SSV\u8f74\u5411\u53cd\u6d41\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u6d45\u9759\u8109\u624b\u672f\u5e72\u9884\u800c\u4e0d\u662f\u957f\u671f\u5f39\u529b\u889c\u3002\uff081B\uff09<\/p>\n

2.1.3 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u5408\u5e76\u524d\u526f\u9690\u9759\u8109\uff08AAGSV\uff09\u6216\u540e\u526f\u9690\u9759\u8109\uff08PAGSV\uff09\u8f74\u5411\u53cd\u6d41\u7684\u60a3\u8005\uff0c\u4ed6\u4eec\u662f\u9002\u5408\u624b\u672f\u5e72\u9884\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u6d45\u9759\u8109\u624b\u672f\u5e72\u9884\u800c\u4e0d\u662f\u957f\u671f\u5f39\u529b\u889c\u3002\uff082C\uff09<\/p>\n

2.1.4 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u60a3\u8005\uff0c\u5982\u679c\u9002\u5408\u9759\u8109\u8154\u5185\u6cbb\u7597\u5e76\u5f97\u5230\u60a3\u8005\u540c\u610f\uff0c\u6211\u4eec\u5efa\u8bae\u4e0d\u8981\u5728\u624b\u672f\u5e72\u9884\u524d\u8fdb\u884c\u4e3a\u671f3\u4e2a\u6708\u7684\u538b\u529b\u6cbb\u7597\u8bd5\u9a8c\u3002\uff082B\uff09<\/p>\n

2.2 \u624b\u672f\u5e72\u9884\u540e\u538b\u529b\u6cbb\u7597<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

2.2.1 \u5bf9\u4e8e\u56e0\u9690\u9759\u8109\u529f\u80fd\u4e0d\u5168\u800c\u63a5\u53d7\u70ed\u6d88\u878d\u672f\u7684\u60a3\u8005\uff0c\u65e0\u8bba\u662f\u5426\u4f34\u968f\u66f2\u5f20\u9759\u8109\u5265\u8131\u672f\uff0c\u6211\u4eec\u5efa\u8bae\u672f\u540e\u8fdb\u884c\u81f3\u5c111\u5468\u7684\u538b\u529b\u6cbb\u7597\u4ee5\u51cf\u8f7b\u75bc\u75db\u3002\uff082B\uff09<\/p>\n

3. \u836f\u7269\u6cbb\u7597<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

3.1 \u5bf9\u4e8e\u4e0d\u9002\u5408\u8fdb\u884c\u624b\u672f\u7684\u3001\u7b49\u5f85\u624b\u672f\u6216\u624b\u672f\u540e\u51fa\u73b0\u75c7\u72b6\u7684\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u4f7f\u7528\u5fae\u7c89\u5316\u7eaf\u5316\u9ec4\u916e\u7ec4\u5206\uff08MPFF\uff09\uff08\u6ce8\uff1a\u5730\u5965\u53f8\u660e\uff09\u6216Ruscus\u63d0\u53d6\u7269\uff08\u6ce8\uff1a\u4e03\u53f6\u7682\u82f7\uff09\u6cbb\u7597\u9759\u8109\u76f8\u5173\u75bc\u75db\u3001\u817f\u90e8\u6c89\u91cd\u548c\/\u6216\u80bf\u80c0\u611f\u3002\uff082B\uff09<\/p>\n

3.2 \u5bf9\u4e8e\u4e0d\u9002\u5408\u8fdb\u884c\u624b\u672f\u3001\u6216\u6b63\u5728\u7b49\u5f85\u624b\u672f\u6216\u5728\u624b\u672f\u540e\u51fa\u73b0\u75c7\u72b6\u7684\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u4f7f\u7528\u7f9f\u4e59\u57fa\u82b8\u9999\u82f7\u3001\u7f9f\u82ef\u78fa\u9178\u9499\u3001\u4e03\u53f6\u6811\u63d0\u53d6\u7269\u3001\u7ea2\u8461\u8404\u53f6\u63d0\u53d6\u7269\u6216\u8212\u6d1b\u5730\u7279\u6cbb\u7597\u9759\u8109\u76f8\u5173\u75bc\u75db\u3001\u817f\u90e8\u6c89\u91cd\u611f\u3001\u591c\u95f4\u75c9\u631b\u548c\/\u6216\u80bf\u80c0\u611f\u3002\uff082C\uff09<\/p>\n

4.1.\u9759\u8109\u5185\u6d88\u878d\u4e0e\u9ad8\u4f4d\u7ed3\u624e\u5265\u8131\uff08HL&S\uff09<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

4.1.1 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u5408\u5e76GSV\u8f74\u5411\u8fd4\u6d41\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u5728GSV\u8fdb\u884c\u9759\u8109\u5185\u6d88\u878d\u6cbb\u7597\u4f18\u4e8e\u9ad8\u4f4d\u7ed3\u624e\u548c\u5265\u79bb\uff08HL&S\uff09\u672f\u3002\uff081B\uff09<\/p>\n

4.1.2 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u5408\u5e76SSV\u8f74\u5411\u8fd4\u6d41\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u5728SSV\u8fdb\u884c\u9759\u8109\u5185\u6d88\u878d\u6cbb\u7597\u4f18\u4e8e\u7ed3\u624e\u548c\u5265\u79bb\u672f\u3002\uff081C\uff09<\/p>\n

4.1.3 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u4f34\u6709AAGSV\u6216PAGSV\u8f74\u5411\u53cd\u6d41\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u9759\u8109\u5185\u6d88\u878d\u6cbb\u7597+\u989d\u5916\u7684\u9759\u8109\u5207\u9664\u672f\uff08\u5fc5\u8981\u65f6\uff09\uff0c\u4f18\u4e8e\u526f\u9690\u9759\u8109\u9ad8\u4f4d\u7ed3\u624e\u548c\u5265\u8131\u672f\u3002\uff082C\uff09<\/p>\n

4.1.4 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u4f34GSV\u6216SSV\u8f74\u5411\u8fd4\u6d41\u7684\u60a3\u8005\uff0c\u5982\u679c\u6ca1\u6709\u9759\u8109\u8154\u5185\u6d88\u878d\u7684\u6280\u672f\u6216\u4e13\u4e1a\u77e5\u8bc6\uff0c\u53c8\u6216\u8005\u9759\u8109\u89e3\u5256\u7ed3\u6784\u4e0d\u9002\u5408\u9759\u8109\u8154\u5185\u6cbb\u7597\uff0c\u6211\u4eec\u5efa\u8bae\u91c7\u7528\u9690\u9759\u8109\u9ad8\u4f4d\u7ed3\u624e+\u5265\u8131\u6cbb\u7597\u3002\uff081B\uff09<\/p>\n

4.1.5 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u4f34\u6709AAGSV\u6216PAGSV\u8f74\u5411\u8fd4\u6d41\u7684\u60a3\u8005\uff0c\u5982\u679c\u6ca1\u6709\u9759\u8109\u8154\u5185\u6d88\u878d\u7684\u6280\u672f\u6216\u4e13\u4e1a\u77e5\u8bc6\uff0c\u53c8\u6216\u8005\u9759\u8109\u89e3\u5256\u7ed3\u6784\u4e0d\u9002\u5408\u9759\u8109\u8154\u5185\u6cbb\u7597\uff0c\u6211\u4eec\u5efa\u8bae\u8fdb\u884c\u526f\u9690\u9759\u8109\u9ad8\u4f4d\u7ed3\u624e+\u5265\u8131\uff0c\u5e76\u5728\u5fc5\u8981\u65f6\u8fdb\u884c\u989d\u5916\u7684\u9759\u8109\u5207\u9664\u672f\u3002\uff082C\uff09<\/p>\n

4.1.6 \u5bf9\u4e8e\u5177\u6709\u75c7\u72b6\u6027\u9759\u8109\u66f2\u5f20\u4f34\u5927\u9690\u9759\u8109\u8f74\u5411\u8fd4\u6d41\u7684\u60a3\u8005\uff0c\u5982\u679c\u4ed6\u4eec\u9ad8\u5ea6\u91cd\u89c6\u6cbb\u7597\u7684\u957f\u671f\u7ed3\u679c\uff08\u957f\u671f\u751f\u6d3b\u8d28\u91cf\u6539\u5584\u548c\u51cf\u5c11\u590d\u53d1\uff09\uff0c\u6211\u4eec\u5efa\u8bae\u91c7\u7528\u9759\u8109\u8154\u5185\u6fc0\u5149\u6d88\u878d\u672f\uff08EVLA\uff09\u3001\u5c04\u9891\u6d88\u878d\u672f\uff08RFA\uff09\u6216\u9ad8\u4f4d\u7ed3\u624e+\u5265\u8131\u672f\uff08HL&S\uff09\u6cbb\u7597\uff0c\u800c\u4e0d\u662f\u8d85\u58f0\u5f15\u5bfc\u7684\u6ce1\u6cab\u786c\u5316\u5242\u6ce8\u5c04\u6cbb\u7597\u3002\uff082B\uff09<\/p>\n

4.1.7 \u5bf9\u4e8e\u75c7\u72b6\u6027\u9759\u8109\u66f2\u5f20\u4f34SSV\u8f74\u5411\u8fd4\u6d41\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u91c7\u7528EVLA\u3001RFA\u6216\u4ece\u819d\u5173\u8282\u5230\u5c0f\u817f\u4e0a\u90e8\u6216\u4e2d\u90e8\u7684\u9759\u8109\u7ed3\u624e+\u5265\u8131\u6cbb\u7597\uff0c\u800c\u4e0d\u662f\u8d85\u58f0\u5f15\u5bfc\u7684\u6ce1\u6cab\u786c\u5316\u6ce8\u5c04\u6cbb\u7597\uff0c\u56e0\u4e3a\u53ef\u4ee5\u957f\u671f\u6539\u5584\u751f\u6d3b\u8d28\u91cf\u5e76\u51cf\u5c11\u590d\u53d1\u3002\uff082C\uff09<\/p>\n

4.1.8 \u5bf9\u4e8e\u5177\u6709\u75c7\u72b6\u6027\u9759\u8109\u66f2\u5f20\u4f34AAGSV\u6216PAGSV\u8f74\u5411\u8fd4\u6d41\u7684\u60a3\u8005\uff0c\u5982\u679c\u4ed6\u4eec\u9ad8\u5ea6\u91cd\u89c6\u6cbb\u7597\u7684\u957f\u671f\u7ed3\u679c\uff08\u957f\u671f\u751f\u6d3b\u8d28\u91cf\u6539\u5584\u548c\u51cf\u5c11\u590d\u53d1\uff09\uff0c\u6211\u4eec\u5efa\u8bae\u91c7\u7528\u9759\u8109\u8154\u5185\u6fc0\u5149\u6d88\u878d\u672f\uff08EVLA\uff09\u3001\u5c04\u9891\u6d88\u878d\u672f\uff08RFA\uff09\u6216\u9ad8\u4f4d\u7ed3\u624e+\u5265\u8131\u672f\uff08HL&S\uff09\u6cbb\u7597\uff0c\u5fc5\u8981\u65f6\u53ef\u52a0\u505a\u989d\u5916\u7684\u9759\u8109\u5207\u9664\u672f\uff0c\u800c\u4e0d\u662f\u8d85\u58f0\u5f15\u5bfc\u7684\u6ce1\u6cab\u786c\u5316\u5242\u6ce8\u5c04\u6cbb\u7597\u3002\uff082C\uff09<\/p>\n

4.2.\u6d45\u9759\u8109\u4e3b\u5e72\u7684\u70ed\u6d88\u878d\u4e0e\u975e\u70ed\u6d88\u878d<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

4.2.1 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684GSV\u8f74\u5411\u8fd4\u6d41\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u4ece\u8179\u80a1\u6c9f\u81f3\u819d\u5173\u8282\u4ee5\u4e0b\u8fdb\u884c\u70ed\u6d88\u878d\u6216\u975e\u70ed\u6d88\u878d\uff0c\u5177\u4f53\u53d6\u51b3\u4e8e\u6cbb\u7597\u533b\u751f\u7684\u4e13\u4e1a\u77e5\u8bc6\u548c\u60a3\u8005\u7684\u504f\u597d\u3002\uff081B\uff09<\/p>\n

4.2.2 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684SSV\u8f74\u5411\u8fd4\u6d41\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u4ece\u819d\u5173\u8282\u5230\u5c0f\u817f\u4e0a\u90e8\u6216\u4e2d\u90e8\u8fdb\u884c\u70ed\u6d88\u878d\u6216\u975e\u70ed\u6d88\u878d\uff0c\u8fd9\u53d6\u51b3\u4e8e\u6cbb\u7597\u533b\u751f\u7684\u4e13\u4e1a\u77e5\u8bc6\u548c\u60a3\u8005\u7684\u504f\u597d\u3002\uff081C\uff09<\/p>\n

4.2.3 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684AAGSV\u6216PAGSV\u8f74\u5411\u8fd4\u6d41\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u6839\u636e\u6cbb\u7597\u533b\u751f\u7684\u4e13\u4e1a\u77e5\u8bc6\u548c\u60a3\u8005\u7684\u504f\u597d\uff0c\u8fdb\u884c\u70ed\u6d88\u878d\u6216\u975e\u70ed\u6d88\u878d\uff0c\u5fc5\u8981\u65f6\u8fdb\u884c\u989d\u5916\u7684\u9759\u8109\u5207\u9664\u672f\u3002\uff082C\uff09<\/p>\n

5. \u5f71\u54cd\u6d45\u9759\u8109\u4e3b\u5e72\u6d88\u878d\u672f\u9009\u62e9\u548c\u7597\u6548\u7684\u56e0\u7d20<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

5.1.1 \u5728\u6709\u75c7\u72b6\u7684C2\u671f\u60a3\u8005\u4e2d\uff0c\u6211\u4eec\u4e0d\u5efa\u8bae\u4f7f\u7528\u9759\u8109\u4e3b\u5e72\u76f4\u5f84\u6765\u786e\u5b9a\u54ea\u4e9b\u60a3\u8005\u9700\u8981\u9759\u8109\u6d88\u878d\u3002\uff082B\uff09<\/p>\n

\u5171\u8bc6\u58f0\u660e<\/p>\n

5.2.1 \u5728C2\u9636\u6bb5\u7684\u65e0\u75c7\u72b6\u60a3\u8005\u4e2d\uff0c\u9884\u9632\u6027\u5e72\u9884\u4e0d\u80fd\u963b\u6b62\u9759\u8109\u75be\u75c5\u7684\u8fdb\u5c55\u3002\u63a7\u5236\u4f53\u91cd\uff0c\u7a7f\u5f39\u529b\u889c\u889c\u548c\u907f\u514d\u957f\u65f6\u95f4\u7ad9\u7acb\u53ef\u80fd\u662f\u6709\u76ca\u7684\u3002<\/p>\n

5.2.2 \u6cbb\u7597\u9759\u8109\u66f2\u5f20\u7684\u5e72\u9884\u63aa\u65bd\u53ef\u4ee5\u5728\u5199\u5b57\u697c\u8bca\u6240\u3001\u624b\u672f\u4e2d\u5fc3\u6216\u533b\u9662\u624b\u672f\u5ba4\u8fdb\u884c\uff0c\u7531\u4e13\u95e8\u4ece\u4e8b\u9759\u8109\u6cbb\u7597\u7684\u533b\u751f\u51b3\u5b9a\u3002\u636e\u62a5\u544a\uff0c\u5728\u5199\u5b57\u697c\u8bca\u6240\u4e2d\u8fdb\u884c\u7684\u624b\u672f\u5177\u6709\u66f4\u597d\u7684\u60a3\u8005\u4f53\u9a8c\u548c\u66f4\u4f4e\u7684\u6210\u672c\u3002<\/p>\n

5.2.3 \u5728\u6709\u75c7\u72b6\u7684C2\u75be\u75c5\u60a3\u8005\u4e2d\uff0c\u5b64\u7acb\u7684\u9690\u80a1\u4ea4\u754c\u529f\u80fd\u4e0d\u5168\u4e0d\u80fd\u8bc1\u660e\u6d88\u878d\u5176\u4ed6\u529f\u80fd\u6b63\u5e38\u7684GSV\u662f\u5408\u7406\u7684\u3002<\/p>\n

5.2.4 \u5728\u6709\u75c7\u72b6\u7684C2\u75be\u75c5\u60a3\u8005\u4e2d\uff0c\u5373\u4f7f\u8f74\u5411\u53cd\u6d41\u4e0d\u5b8c\u5168\u4e14\u9690\u80a1\u4ea4\u754c\u6709\u529f\u80fd\uff0c\u4e5f\u53ef\u80fd\u9700\u8981\u6d88\u878d\u529f\u80fd\u4e0d\u5168\u7684GSV\u3002\u5728\u8fd1\u7aef\u548c\u8fdc\u7aef\u5b58\u5728\u529f\u80fd\u5b8c\u6574\u7684\u8282\u6bb5\u60c5\u51b5\u4e0b\uff0c\u5f88\u5c11\u9700\u8981\u6d88\u878d\u4e2d\u95f4\u6bb5\u5b64\u7acb\u7684\u8fd4\u6d41GSV\u8282\u6bb5\u3002\u4e0e\u60a3\u8005\u5171\u4eab\u51b3\u7b56\u662f\u5fc5\u8981\u7684\u3002<\/p>\n

5.2.5 \u5728\u819d\u4e0bGSV\u6709\u53cd\u6d41\u7684\u60a3\u8005\u4e2d\uff0c\u6d88\u878d\u81f3\u53cd\u6d41\u7684\u6700\u4f4e\u70b9\u53ef\u83b7\u5f97\u66f4\u597d\u7684\u65e9\u671f\u7ed3\u5c40\u3002.\u975e\u70ed\u6d88\u878d\u6280\u672f\u66f4\u9002\u5408\u4e8e\u5c0f\u817f\u8fdc\u7aef\u5927\u9690\u9759\u8109\u7684\u5904\u7406\uff0c\u4ee5\u907f\u514d\u70ed\u6d88\u878d\u9020\u6210\u7684\u795e\u7ecf\u635f\u4f24\u3002<\/p>\n

5.2.6 \u5728\u6d45\u7b4b\u819c\u4e0a\u6216\u8868\u6d45\u9690\u9759\u8109\u7684\u60a3\u8005\u4e2d\uff0c\u70ed\u6d88\u878d\u53ef\u80fd\u5bfc\u81f4\u76ae\u80a4\u70e7\u4f24\u3001\u8272\u7d20\u6c89\u7740\u8fc7\u5ea6\u6216\u786c\u7ed3\uff0c\u800c\u975e\u70ed\u6280\u672f\u53ef\u80fd\u5bfc\u81f4\u8272\u7d20\u6c89\u7740\u8fc7\u5ea6\u6216\u786c\u7ed3\u3002\u5982\u679c\u9690\u9759\u8109\u9760\u8fd1\u76ae\u80a4\uff08<0.5cm\uff09\uff0c\u5219\u9759\u8109\u5207\u9664\u672f\u6216\u5c40\u90e8\u5265\u8131\u672f\u662f\u5b89\u5168\u6709\u6548\u7684\u3002<\/p>\n

5.2.7 \u5bf9\u4e8e\u76f4\u5f84\u8f83\u5927\uff08>10 mm\uff09\u3001\u975e\u7624\u6837\u6269\u5f20\u6027\u9690\u9759\u8109\u7684\u60a3\u8005\uff0c\u5e94\u4f7f\u7528EVLA\u6216RFA\u8fdb\u884c\u70ed\u6d88\u878d\uff0c\u800c\u4e0d\u662f\u4f7f\u7528\u975e\u70ed\u6d88\u878d\u6280\u672f\u3002<\/p>\n

5.2.8 \u636e\u62a5\u544a\uff0c\u70ed\u6d88\u878d\u548c\u975e\u70ed\u6d88\u878d\u7684\u8840\u6813\u6027\u6d45\u9759\u8109\u708e\u53d1\u751f\u7387\u76f8\u4f3c\u3002<\/p>\n

5.2.9 \u5728\u6d45\u8868\u9759\u8109\u529f\u80fd\u4e0d\u5168\u5408\u5e76\u9ac2\u6216\u9ac2\u80a1\u9759\u8109\u963b\u585e\u9020\u6210\u7684\u65e0\u975e\u590d\u6742\u6027C2\u671f\uff08\u65e0\u9759\u8109\u8ddb\u884c\u3001\u5927\u817f\u80bf\u80c0\u3001\u803b\u9aa8\u4e0a\u6216\u8179\u58c1\u9759\u8109\u66f2\u5f20\uff09\u60a3\u8005\u4e2d\uff0c\u9996\u5148\u6cbb\u7597\u6d45\u8868\u9759\u8109\u529f\u80fd\u4e0d\u5168\u3002<\/p>\n

6. \u4fdd\u7559GSV\u7684\u624b\u672f\u65b9\u6cd5<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

6.1.1 \u5bf9\u4e8e\u65e9\u671f\u75c7\u72b6\u6027\u9759\u8109\u66f2\u5f20\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u4f7f\u7528ASVAL\uff08\u65e5\u95f4\u624b\u672f\u5c40\u90e8\u9ebb\u9189\u4e0b\u9009\u62e9\u6027\u9759\u8109\u66f2\u5f20\u6d88\u878d\u672f\uff09\u6280\u672f\u4fdd\u7559GSV\uff0c\u7531\u719f\u6089\u8be5\u6280\u672f\u7684\u533b\u751f\u6267\u884c\u3002\uff082B\uff09<\/p>\n

6.1.2 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u4f7f\u7528CHIVA\uff08\u9759\u8109\u529f\u80fd\u4e0d\u5168\u7684\u52a8\u6001\u4fdd\u5b88\u6027\u8840\u6d41\u52a8\u529b\u5b66\u7ea0\u6b63\u65e5\u95f4\u624b\u672f\uff09\u6280\u672f\u4fdd\u7559\u5927\u9690\u9759\u8109\uff0c\u7531\u719f\u6089\u8be5\u6280\u672f\u7684\u533b\u751f\u6267\u884c\u3002\uff082B\uff09<\/p>\n

7. \u9759\u8109\u66f2\u5f20\u5c5e\u652f\u7684\u6cbb\u7597<\/p>\n

7.1 \u6bdb\u7ec6\u8840\u7ba1\u6269\u5f20\u548c\u7f51\u72b6\u9759\u8109<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

7.1.1 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u6bdb\u7ec6\u8840\u7ba1\u6269\u5f20\u548c\u7f51\u72b6\u9759\u8109\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u4f7f\u7528\u6db2\u4f53\u6216\u6ce1\u6cab\u8fdb\u884c\u786c\u5316\u6cbb\u7597\u3002\uff081B\uff09<\/p>\n

7.1.2 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u6bdb\u7ec6\u8840\u7ba1\u6269\u5f20\u6216\u7f51\u72b6\u9759\u8109\u60a3\u8005\uff0c\u5982\u679c\u60a3\u8005\u6709\u786c\u5316\u5242\u8fc7\u654f\uff0c\u9488\u5934\u6050\u60e7\u75c7\uff0c\u786c\u5316\u6cbb\u7597\u5931\u8d25\u6216\u6bdb\u7ec6\u8840\u7ba1\u5e8a\u6269\u5f20\u9759\u8109\u504f\u5c0f\uff08<1mm\uff09\uff0c\u6211\u4eec\u5efa\u8bae\u7ecf\u76ae\u6fc0\u5149\u6cbb\u7597\u3002\uff082B\uff09<\/p>\n

7.2 \u9759\u8109\u66f2\u5f20\u5c5e\u652f<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

7.2.1 \u5bf9\u4e8e\u75c7\u72b6\u6027\u9759\u8109\u66f2\u5f20\u7684\u6cbb\u7597\uff0c\u6211\u4eec\u63a8\u8350\u4f7f\u7528\u70b9\u72b6\u9759\u8109\u5265\u8131\uff0c\u6216\u8d85\u58f0\u5f15\u5bfc\u4e0b\u786c\u5316\u5242\u6ce8\u5c04\u3002\uff081B\uff09<\/p>\n

7.2.2 \u5bf9\u4e8e\u75c7\u72b6\u6027\u9759\u8109\u66f2\u5f20\u7684\u6cbb\u7597\uff0c\u6211\u4eec\u5efa\u8bae\u7531\u63a5\u53d7\u8fc7\u624b\u672f\u57f9\u8bad\u7684\u533b\u751f\u8fdb\u884c\u900f\u7167\u9759\u8109\u5207\u9664\u672f\u4f5c\u4e3a\u7c07\u72b6\u9759\u8109\u66f2\u5f20\u60a3\u8005\u7684\u66ff\u4ee3\u6cbb\u7597\u65b9\u6cd5\u3002\uff082C\uff09<\/p>\n

\u5171\u8bc6\u58f0\u660e<\/p>\n

7.2.3 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u5206\u652f\u7684\u60a3\u8005\uff0c\u5373\u4f7f\u6d45\u9759\u8109\u4e3b\u5e72\u5c1a\u597d\uff0c\u4e5f\u8981\u8fdb\u884c\u5206\u652f\u7684\u6cbb\u7597\u3002<\/p>\n

7.2.4 \u6ca1\u6709\u4e34\u5e8a\u8bc1\u636e\u8868\u660e\u4f7f\u7528\u5ba4\u5185\u7a7a\u6c14\u7684\u6ce1\u6cab\u786c\u5316\u7597\u6cd5\u6bd4\u4f7f\u7528CO2\u6c14\u4f53\u6df7\u5408\u7269\u7684\u5b89\u5168\u6027\u548c\u6709\u6548\u6027\u4f4e\u3002<\/p>\n

7.2.5 \u76ee\u524d\u8fd8\u6ca1\u6709\u4e34\u5e8a\u7814\u7a76\u8868\u660ePCF\uff08\u7528Tessari\u65b9\u6cd5\u5236\u5907\uff09\u7684\u786c\u5316\u6cbb\u7597\u6bd4PEM\u5b89\u5168\u6027\u6216\u6709\u6548\u6027\u4f4e\u3002<\/p>\n

8. \u6d45\u9759\u8109\u4e3b\u5e72\u6d88\u878d\u672f\u540e\u540c\u671f\u6216\u5206\u671f\u6cbb\u7597\u5c5e\u652f\u9759\u8109\u66f2\u5f20<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

8.1.1 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684GSV\u6216SSV\u53cd\u6d41\u548c\u76f8\u5173\u5c5e\u652f\u9759\u8109\u66f2\u5f20\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u6d88\u878d\u53cd\u6d41\u9759\u8109\u4e3b\u5e72\uff0c\u540c\u671f\u8fdb\u884c\u9759\u8109\u5207\u9664\u672f\u6216\u8d85\u58f0\u5f15\u5bfc\u4e0b\u6cab\u786c\u5316\u6ce8\u5c04\u6cbb\u7597\u3002\uff081C\uff09<\/p>\n

8.1.2 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u9759\u8109\u66f2\u5f20\u4f34AAGSV\u6216PAGSV\u53cd\u6d41\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u540c\u671f\u6d88\u878d\u53cd\u6d41\u9759\u8109\u4e3b\u5e72\u548c\u9759\u8109\u5207\u9664\u672f\u6216\u8d85\u58f0\u5f15\u5bfc\u4e0b\u6ce1\u6cab\u786c\u5316\u6ce8\u5c04\u6cbb\u7597\u3002\uff082C\uff09<\/p>\n

8.1.3 \u5bf9\u4e8e\u75c7\u72b6\u6027\u9759\u8109\u66f2\u5f20\u4f34GSV\u6216SSV\u53cd\u6d41\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u53ea\u6709\u5728\u5b58\u5728\u89e3\u5256\u5b66\u7981\u5fcc\u6216\u5176\u4ed6\u533b\u5b66\u539f\u56e0\u7981\u5fcc\u7684\u60c5\u51b5\u4e0b\uff0c\u624d\u8fdb\u884c\u53cd\u6d41\u9759\u8109\u4e3b\u5e72\u6d88\u878d\u548c\u5206\u671f\u9759\u8109\u5207\u9664\u672f\u6216\u8d85\u58f0\u5f15\u5bfc\u4e0b\u6ce1\u6cab\u786c\u5316\u6ce8\u5c04\u6cbb\u7597\u3002\u6211\u4eec\u5efa\u8bae\u8fd9\u9700\u4e0e\u60a3\u8005\u5171\u540c\u5546\u5b9a\u624b\u672f\u65f6\u673a\u3002\uff082C\uff09<\/p>\n

8.1.4 \u5bf9\u4e8e\u75c7\u72b6\u6027\u9759\u8109\u66f2\u5f20\u4f34AAGSV\u6216PAGSV\u53cd\u6d41\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u53ea\u6709\u5728\u5b58\u5728\u89e3\u5256\u5b66\u7981\u5fcc\u6216\u5176\u4ed6\u533b\u5b66\u539f\u56e0\u7981\u5fcc\u7684\u60c5\u51b5\u4e0b\uff0c\u624d\u8fdb\u884c\u53cd\u6d41\u9759\u8109\u4e3b\u5e72\u6d88\u878d\u548c\u5206\u671f\u9759\u8109\u5207\u9664\u672f\u6216\u8d85\u58f0\u5f15\u5bfc\u4e0b\u6ce1\u6cab\u786c\u5316\u6ce8\u5c04\u6cbb\u7597\u3002\u6211\u4eec\u5efa\u8bae\u8fd9\u9700\u4e0e\u60a3\u8005\u5171\u540c\u5546\u5b9a\u624b\u672f\u65f6\u673a\u3002\uff082C\uff09<\/p>\n

\u826f\u597d\u4e34\u5e8a\u5b9e\u8df5\u89c4\u8303\u58f0\u660e<\/p>\n

8.2 \u5bf9\u4e8e\u5728\u6d45\u9759\u8109\u4e3b\u5e72\u4e2d\u5177\u6709\u75c7\u72b6\u6027\u53cd\u6d41\u5e76\u6709\u76f8\u5173\u9759\u8109\u66f2\u5f20\u4e14\u53ea\u7ecf\u5386\u4e86\u521d\u6b21\u6d88\u878d\u7684\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u968f\u8bbf>3\u4e2a\u6708\u4ee5\u8bc4\u4f30\u5bf9\u4e8e\u6301\u7eed\u6216\u590d\u53d1\u75c7\u72b6\u662f\u5426\u9700\u8981\u5206\u671f\u9759\u8109\u5207\u9664\u672f\u6216\u8d85\u58f0\u5f15\u5bfc\u786c\u5316\u7597\u6cd5\u3002\u5bf9\u4e8e\u590d\u53d1\u6216CEAP\u5206\u7ea7\u66f4\u9ad8\u7684\u60a3\u8005\uff0c\u5efa\u8bae\u5ef6\u957f\u968f\u8bbf\u65f6\u95f4\u3002<\/p>\n

9. \u9759\u8109\u66f2\u5f20\u590d\u53d1\u7684\u5904\u7406<\/p>\n

\u5171\u8bc6\u58f0\u660e<\/p>\n

9.1.1 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u590d\u53d1\u6027\u9759\u8109\u66f2\u5f20\u60a3\u8005\uff0c\u5e94\u5728\u6cbb\u7597\u524d\u8fdb\u884c\u4e34\u5e8a\u548c\u591a\u666e\u52d2B\u8d85\u8bc4\u4f30\uff0c\u4ee5\u786e\u5b9a\u590d\u53d1\u7684\u6f5c\u5728\u6765\u6e90\u3002<\/p>\n

9.1.2 \u5bf9\u4e8e\u56e0GSV\u6216AAGSV\u6301\u7eed\u6216\u590d\u53d1\u6027\u53cd\u6d41\u800c\u5bfc\u81f4\u75c7\u72b6\u6027\u590d\u53d1\u6027\u9759\u8109\u66f2\u5f20\u7684\u60a3\u8005\uff0c\u53ef\u4ee5\u91c7\u7528\u5f00\u653e\u624b\u672f\u6216\u8840\u7ba1\u8154\u5185\u6280\u672f\u8fdb\u884c\u6cbb\u7597\uff0c\u9884\u540e\u826f\u597d\u3002<\/p>\n

9.1.3 \u5bf9\u4e8e\u56e0\u8179\u80a1\u6c9f\uff08\u9690\u80a1\u4ea4\u754c\uff0c\u8bd1\u8005\u6ce8\uff09\u6301\u7eed\u6216\u590d\u53d1\u6027\u53cd\u6d41\u800c\u51fa\u73b0\u75c7\u72b6\u6027\u590d\u53d1\u6027\u9759\u8109\u66f2\u5f20\u7684\u60a3\u8005\uff0c\u5982\u679c\u5b58\u5728\u76f4\u7684GSV\u6b8b\u7aef\uff0c\u4e14\u957f\u5ea6\u8db3\u4ee5\u8fdb\u884c\u70ed\u6d88\u878d\uff0c\u5219\u53ef\u4ee5\u4f7f\u7528EVLA\u6216RFA\u3002\u82e5\u662f\u56e0\u65b0\u751f\u8840\u7ba1\u800c\u590d\u53d1\u8005\u5e94\u884c\u786c\u5316\u6cbb\u7597\u6216\u9759\u8109\u5265\u8131\u672f\u3002<\/p>\n

9.1.4 \u5bf9\u4e8e\u56e0\u6301\u7eed\u6216\u590d\u53d1\u6027SSV\u53cd\u6d41\u800c\u51fa\u73b0\u75c7\u72b6\u6027\u590d\u53d1\u6027\u9759\u8109\u66f2\u5f20\u7684\u60a3\u8005\uff0c\u5e94\u8fdb\u884c\u8d85\u58f0\u5f15\u5bfc\u6ce1\u6cab\u786c\u5316\u6cbb\u7597\u3002<\/p>\n

9.1.5 \u5bf9\u4e8e\u56e0\u7a7f\u901a\u652f\u9759\u8109\u529f\u80fd\u4e0d\u5168\u5bfc\u81f4\u9759\u8109\u66f2\u5f20\u6b8b\u7559\u6216\u590d\u53d1\u7684\u60a3\u8005\uff0c\u9700\u6839\u636e\u533b\u751f\u7684\u7ecf\u9a8c\u3001\u60a3\u8005\u7684\u9009\u62e9\u548c\u6280\u672f\u662f\u5426\u53ef\u7528\uff0c\u6765\u51b3\u5b9a\u4f7f\u7528\u5f00\u653e\u548c\u8840\u7ba1\u8154\u5185\u6280\u672f\u6cbb\u7597\u3002<\/p>\n

10. \u529f\u80fd\u4e0d\u5168\u7684\u7a7f\u901a\u652f\u9759\u8109\u6d88\u878d<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

10.1.1 \u5bf9\u4e8e\u9759\u8109\u66f2\u5f20\uff08CEAP C2\u7ea7\uff09\u60a3\u8005\uff0c\u5982\u679c\u6709\u660e\u663e\u7684\u75c7\u72b6\u6027GSV\u6216SSV\u8f74\u5411\u8fd4\u6d41\uff0c\u6211\u4eec\u5efa\u8bae\u4e0d\u8981\u540c\u671f\u5728\u9690\u9759\u8109\u521d\u59cb\u6d88\u878d\u65f6\u6cbb\u7597\u7a7f\u901a\u9759\u8109\u529f\u80fd\u4e0d\u5168\u3002\uff081C\uff09<\/p>\n

10.1.2 \u5bf9\u4e8e\u9759\u8109\u66f2\u5f20\uff08CEAP C2\u7ea7\uff09\u60a3\u8005\uff0c\u5982\u679c\u6709\u660e\u663e\u7684\u75c7\u72b6\u6027AAGSV\u6216PAGSV\u8f74\u5411\u8fd4\u6d41\uff0c\u6211\u4eec\u5efa\u8bae\u4e0d\u8981\u540c\u671f\u5728\u526f\u9690\u9759\u8109\u521d\u59cb\u6d88\u878d\u65f6\u6cbb\u7597\u7a7f\u901a\u9759\u8109\u529f\u80fd\u4e0d\u5168\u3002\uff081C\uff09<\/p>\n

\u5171\u8bc6\u58f0\u660e<\/p>\n

10.2 \u5bf9\u4e8e\u75c5\u7406\u6027\u4ea4\u901a\u652f\u529f\u80fd\u4e0d\u5168\u4f34\u75c7\u72b6\u6027\u6b8b\u4f59\u3001\u590d\u53d1\u548c\u7f55\u89c1\u539f\u53d1\u6027\u9759\u8109\u66f2\u5f20\uff0c\u65e0\u76f8\u5173\u9690\u9759\u8109\u529f\u80fd\u4e0d\u5168\u7684\u60a3\u8005\uff0c\u5f00\u653e\u6216\u8840\u7ba1\u8154\u5185\u6280\u672f\u5747\u53ef\u7528\u4e8e\u6cbb\u7597\u7a7f\u901a\u652f\u9759\u8109\u3002<\/p>\n

11.\u9759\u8109\u8154\u5185\u6d88\u878d\u672f\u540e\u624b\u672f\u76f8\u5173\u8840\u6813\u8fdb\u5c55\uff08ARTE\uff09\u548c\u6df1\u9759\u8109\u8840\u6813\u5f62\u6210\uff08DVT\uff09\u7684\u5904\u7406<\/p>\n

11.1 \u672f\u540e\u591a\u666e\u52d2\u8d85\u58f0\u626b\u63cf\uff08DUS\uff09<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

11.1.1 \u5bf9\u4e8e\u9690\u9759\u8109\u70ed\u6d88\u878d\u540e\u65e0\u75c7\u72b6\u7684\u666e\u901a\u98ce\u9669\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u4e0d\u8981\u8fdb\u884c\u5e38\u89c4\u7684\u672f\u540e\u65e9\u671fDUS\u4ee5\u68c0\u6d4b\u6d88\u878d\u76f8\u5173\u8840\u6813\u8fdb\u5c55\uff08ARTE\uff0c\u6b63\u5f0f\u540d\u79f0\u4e3a\u9759\u8109\u5185\u70ed\u8bf1\u5bfc\u8840\u6813\u5f62\u6210\uff0cEHIT\uff09\u6216DVT\u3002\uff081B\uff09<\/p>\n

\u5171\u8bc6\u58f0\u660e<\/p>\n

11.1.2 \u5728\u9690\u9759\u8109\u975e\u70ed\u6d88\u878d\u540e\u65e0\u75c7\u72b6\u7684\u4e00\u822c\u98ce\u9669\u60a3\u8005\u4e2d\uff0c\u53ef\u4ee5\u8fdb\u884c\u5e38\u89c4\u7684\u672f\u540e\u65e9\u671f\u68c0\u6d4b\u662f\u5426\u6709\u6d88\u878d\u76f8\u5173\u8840\u6813\u5ef6\u4f38\uff08ARTE\uff09\u6216DVT<\/p>\n

11.1.3 \u5728\u70ed\u6216\u975e\u70ed\u9690\u9759\u8109\u6d88\u878d\u540e\u65e0\u75c7\u72b6\u7684\u9ad8\u5371\u60a3\u8005\u4e2d\uff0c\u5e94\u8fdb\u884c\u65e9\u671f\u591a\u666e\u52d2\u8d85\u58f0\u4ee5\u6392\u9664\u6d88\u878d\u76f8\u5173\u8840\u6813\u5ef6\u4f38\uff08ARTE\uff09\u6216DVT\u3002<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

11.1.4 \u5728\u70ed\u6d88\u878d\u6216\u975e\u70ed\u6d88\u878d\u540e\u51fa\u73b0\u75c7\u72b6\u7684\u60a3\u8005\u4e2d\uff0c\u6211\u4eec\u5efa\u8bae\u65e9\u671fDUS\u4ee5\u6392\u9664\u6d88\u878d\u76f8\u5173\u8840\u6813\u8fdb\u5c55\uff08ARTE\uff09\u6216DVT\u3002\uff081A\uff09<\/p>\n

11.2 \u9759\u8109\u8840\u6813\u836f\u7269\u9884\u9632<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

11.2.1 \u5bf9\u4e8e\u63a5\u53d7\u9759\u8109\u8154\u5185\u6d88\u878d\u672f\u7684\u9ad8\u5371\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u4f7f\u7528\u836f\u7269\u8840\u6813\u9884\u9632\u3002\uff082C\uff09<\/p>\n

11.3 \u5bf9\u4e8e\u63a5\u53d7\u9759\u8109\u8154\u5185\u6d88\u878d\u672f\u7684\u9ad8\u5371\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u4f7f\u7528\u836f\u7269\u8840\u6813\u9884\u9632<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

11.3.1 \u5bf9\u4e8e\u9759\u8109\u66f2\u5f20\u672f\u540e\u6025\u6027\u5b64\u7acb\u6027\u8fdc\u7aefDVT\u60a3\u8005\uff0c\u5982\u679c\u6ca1\u6709\u75c7\u72b6\u6216\u5371\u9669\u56e0\u7d20\uff0c\u6211\u4eec\u5efa\u8bae\u8fdb\u884c2\u5468\u7684\u6df1\u9759\u8109\u8fde\u7eed\u6210\u50cf\u3002\uff082B\uff09<\/p>\n

11.3.2 \u5bf9\u4e8e\u9759\u8109\u66f2\u5f20\u624b\u672f\u540e\u5b64\u7acb\u6027\u8fdc\u7aefDVT\u4e14\u6709\u75c7\u72b6\u6216\u5371\u9669\u56e0\u7d20\u53ef\u6269\u5c55\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u6297\u51dd\u6cbb\u7597\u3002\uff082C\uff09<\/p>\n

11.3.3 \u5bf9\u4e8e\u9759\u8109\u66f2\u5f20\u672f\u540e\u6025\u6027\u8fd1\u7aefDVT\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u76f4\u63a5\u53e3\u670d\u6297\u51dd\u5242\uff08\u4f18\u4e8e\u7ef4\u751f\u7d20K\u62ee\u6297\u5242\uff09\u8fdb\u884c\u6297\u51dd\u6cbb\u7597\u3002\uff081B\uff09<\/p>\n

11.3.4 \u5bf9\u4e8e\u9759\u8109\u8154\u5185\u6d88\u878d\u672f\u540e\u51fa\u73b0\u75c7\u72b6\u6027ARTE\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u4f7f\u7528\u76f4\u63a5\u53e3\u670d\u6297\u51dd\u5242\u8fdb\u884c\u6297\u51dd\u6cbb\u7597\uff08\u800c\u975e\u7ef4\u751f\u7d20K\u62ee\u6297\u5242\uff09\uff081C\uff09<\/p>\n

\u5171\u8bc6\u58f0\u660e<\/p>\n

11.4.1 \u5bf9\u4e8e\u9759\u8109\u8154\u5185\u6d88\u878d\u672f\u540e\u65e0\u75c7\u72b6ARTE III\u548cIV\u7684\u60a3\u8005\uff0c\u5e94\u4f7f\u7528\u76f4\u63a5\u53e3\u670d\u6297\u51dd\u5242\uff08\u4f18\u4e8e\u7ef4\u751f\u7d20K\u62ee\u6297\u5242\uff09\u8fdb\u884c\u6297\u51dd\u6cbb\u7597\u3002<\/p>\n

11.4.2 \u5bf9\u4e8e\u9759\u8109\u5185\u6d88\u878d\u540e\u63a5\u53d7\u6297\u51dd\u6cbb\u7597ARTE\u7684\u60a3\u8005\uff0c\u5e94\u7ee7\u7eed\u6cbb\u7597\u76f4\u81f3\u8840\u6813\u7f29\u5c0f\u3002<\/p>\n

12. \u6d45\u9759\u8109\u8840\u6813\u5f62\u6210\uff08SVT\uff09\u7684\u5904\u7406<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

12.1.1 \u5bf9\u4e8e\u9690\u9759\u8109\u4e3b\u5e72\u548c\u819d\u4e0a\u652f\u8dddSFJ> 3cm\u4e14\u957f\u5ea6> 5cm\u7684SVT\u60a3\u8005\uff0c\u65e0\u8bba\u662f\u5426\u4f34\u6709\u9759\u8109\u66f2\u5f20\uff0c\u6211\u4eec\u5efa\u8bae\u78fa\u8fbe\u809d\u7678\u94a02.5mg\uff0c\u6bcf\u65e5\u76ae\u4e0b\u6ce8\u5c04\uff0c\u6301\u7eed45\u5929\u3002\u6216\u8005\u5229\u4f10\u6c99\u73ed10mg\u6bcf\u65e5\u4e00\u6b21\uff0c\u6301\u7eed45\u5929\uff0c\u53ef\u80fd\u9002\u5408\u4e0d\u613f\u610f\u6216\u4e0d\u80fd\u8fdb\u884c\u76ae\u4e0b\u6ce8\u5c04\u7684\u60a3\u8005\u3002\uff081A\uff09<\/p>\n

\u5171\u8bc6\u58f0\u660e<\/p>\n

12.1.2 \u5bf9\u4e8e\u8ddd\u79bb\u9690\u80a1\u4ea4\u754c \u2264 3 cm\u7684\u9690\u9759\u8109\u4e3b\u5e72SVT\u60a3\u8005\uff0c\u5e94\u7ee7\u7eed\u8fdb\u884c\u81f3\u5c116\u5468\u7684\u8db3\u91cf\u6297\u51dd\u6cbb\u7597\u3002<\/p>\n

\u6307\u5357\u5185\u5bb9<\/p>\n

12.1.3 \u5bf9\u4e8e\u9690\u9759\u8109\u4e3b\u5e72SVT\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u4e0d\u8981\u4f7f\u7528\u9884\u9632\u6027\u6216\u6cbb\u7597\u5242\u91cf\u7684LMWH\u548cNSAID\u3002\u867d\u7136\u5df2\u7ecf\u53d1\u73b0\u4e24\u8005\u90fd\u53ef\u4ee5\u51cf\u5c11SVT\u75bc\u75db\u548c\u5ef6\u957f\uff0c\u4f46\u5b83\u4eec\u672a\u80fd\u9884\u9632VTE\u3002\u5982\u679c\u4f7f\u7528NSAID\u6cbb\u7597\u77ed\u8282\u6bb5\u8fdc\u7aefSVT\uff0c\u7531\u4e8e\u5408\u5e76DVT\u7684\u60a3\u75c5\u7387\u8f83\u9ad8\uff0c\u5efa\u8bae\u4f7f\u7528DUS\u76d1\u6d4bVTE\u6269\u5c55\u3002\uff081A\uff09<\/p>\n

12.1.4 \u5bf9\u4e8e\u5b64\u7acb\u6027\u9759\u8109\u66f2\u5f20\u5c5e\u652f\u8840\u6813\u5f62\u6210\u6216\u5c40\u9650\u6027\u7d2f\u53ca\u5927\u9690\u9759\u8109\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u9759\u8109\u5207\u9664\u672f\u662f\u4e00\u79cd\u5b89\u5168\u7684\u9009\u62e9\u3002\uff082B\uff09<\/p>\n

\u5171\u8bc6\u58f0\u660e<\/p>\n

12.1.5 \u5bf9\u4e8e\u9690\u9759\u8109\u8840\u6813\u6027\u9759\u8109\u708e\u60a3\u8005\uff0c\u5982\u679c\u591a\u666e\u52d2\u8d85\u58f0\u663e\u793a\u6709\u75c5\u7406\u6027\u53cd\u6d41\u8bc1\u636e\uff0c\u5219\u5e94\u5728\u708e\u75c7\u6d88\u9000\u540e\u7acb\u5373\u8fdb\u884c\u6d88\u878d\u3002<\/p>\n

13. \u9759\u8109\u66f2\u5f20\u51fa\u8840\u7684\u5904\u7406<\/p>\n

\u5171\u8bc6\u58f0\u660e<\/p>\n

13.1 \u5bf9\u4e8e\u9759\u8109\u66f2\u5f20\u6025\u6027\u51fa\u8840\u7684\u60a3\u8005\uff0c\u5728\u7f1d\u5408\u7ed3\u624e\u524d\u5e94\u5c1d\u8bd5\u817f\u90e8\u62ac\u9ad8\u3001\u76f4\u63a5\u538b\u8feb\u548c\u786c\u5316\u6cbb\u7597\u4ee5\u63a7\u5236\u51fa\u8840\u3002<\/p>\n

13.2 \u5bf9\u4e8e\u9759\u8109\u66f2\u5f20\u51fa\u8840\u7684\u60a3\u8005\uff0c\u5e94\u53ca\u65f6\u8f6c\u8bca\u7ed9\u9759\u8109\u4e13\u79d1\u533b\u751f\u3002<\/p>\n

13.3 \u5bf9\u4e8e\u9759\u8109\u66f2\u5f20\u51fa\u8840\u7684\u60a3\u8005\uff0c\u5728\u51fa\u8840\u5f97\u5230\u63a7\u5236\u540e\uff0c\u5e94\u8bc4\u4f30\u6d45\u9759\u8109\u529f\u80fd\u4e0d\u5168\u5e76\u5bf9\u8d23\u4efb\u9759\u8109\u8fdb\u884c\u9002\u5f53\u5e72\u9884\uff0c\u4ee5\u63a7\u5236\u9759\u8109\u9ad8\u538b\u5e76\u964d\u4f4e\u590d\u53d1\u6027\u51fa\u8840\u7684\u98ce\u9669\u3002<\/p>\n

13.4 \u5e94\u544a\u77e5\u9759\u8109\u66f2\u5f20\u6216\u9759\u8109\u6e83\u75a1\u60a3\u8005\u9759\u8109\u51fa\u8840\u7684\u53ef\u80fd\u6027\uff0c\u5e76\u5bf9\u5176\u5bb6\u4eba\u3001\u62a4\u7406\u4eba\u5458\u6216\u670b\u53cb\u5ba3\u6559\u817f\u90e8\u62ac\u9ad8\u548c\u7b80\u5355\u538b\u8feb\u6280\u672f\u4ee5\u63a7\u5236\u4e25\u91cd\u51fa\u8840\u3002<\/p>\n

14. \u6d45\u9759\u8109\u7624\u7684\u6cbb\u7597<\/p>\n

\u5171\u8bc6\u58f0\u660e<\/p>\n

14.1 \u5bf9\u4e8e\u4f4d\u4e8e\u9690\u80a1\u4ea4\u754c\u6216\u9690\u8158\u4ea4\u754c 3 cm\u8303\u56f4\u5185\u7684\u6d45\u9759\u8109\u4e3b\u5e72\u9759\u8109\u7624\u60a3\u8005\uff0c\u5e94\u8fdb\u884c\u5f00\u653e\u624b\u672f\u5207\u9664\uff0c\u8fd1\u7aef\u9ad8\u4f4d\u7ed3\u624e\u5e76\u4e14\u8fdc\u7aef\u7ed3\u624e\u3002\u5982\u679c\u5b58\u5728\u75c7\u72b6\u6027\u9690\u9759\u8109\u8fd4\u6d41\uff0c\u5e94\u8fdb\u884c\u8fdc\u7aef\u9690\u9759\u8109\u7684\u9759\u8109\u5185\u6d88\u878d\u6216\u5f00\u653e\u624b\u672f\uff08\u9759\u8109\u5207\u9664\u672f\u6216\u5c40\u90e8\u5265\u8131\u672f\uff09\u3002<\/p>\n

14.2 \u5bf9\u4e8e\u65e0\u75c7\u72b6\u7684\u6d45\u8868\u9759\u8109\u4e3b\u5e72\u9759\u8109\u7624\uff0c\u4e14\u4f4d\u4e8e\u9690\u80a1\u4ea4\u754c\u8fdc\u7aef>3 cm\u7684\u60a3\u8005\uff0c\u5e94\u5355\u72ec\u8fdb\u884c\u9759\u8109\u5185\u6d88\u878d\u3002\u8fd9\u4e9b\u60a3\u8005\u91c7\u53d6\u8840\u6813\u9884\u9632\u63aa\u65bd\u53ef\u964d\u4f4eVTE\u7684\u98ce\u9669\u3002<\/p>\n

14.3 \u5bf9\u4e8e\u6709\u75c7\u72b6\u7684\u3001\u8840\u6813\u5f62\u6210\u7684\u6216\u7624\u4f53\u8f83\u5927\u7684\uff08> 3cm\uff09\u6d45\u9759\u8109\u7624\uff0c\u6700\u597d\u91c7\u7528\u624b\u672f\u5207\u9664\u6cbb\u7597\u3002<\/p>\n

\u5ba1\u6821\u53ca\u7ec4\u7a3f\uff1a\u6d59\u6c5f\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u7b2c\u4e00\u533b\u9662 \u5546\u5f22 \u526f\u4e3b\u4efb\u533b\u5e08<\/p>\n

\u7f16\u8f91\uff1a\u8840\u7ba1\u8d44\u8baf Oliver<\/p>\n

#artContent h1#artContent p img#artContent table<\/p>\n","protected":false},"excerpt":{"rendered":"

\u3010Ref\uff1aGloviczki P, Lawrence PF, Wasan SM, … \u7ee7\u7eed\u9605\u8bfb →<\/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-39245","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/39245","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=39245"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/39245\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39245"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39245"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39245"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}