{"id":42006,"date":"2024-10-08T05:10:49","date_gmt":"2024-10-08T05:10:49","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=42006"},"modified":"2024-10-08T05:10:49","modified_gmt":"2024-10-08T05:10:49","slug":"%e9%ad%8f%e6%b0%b8%e5%88%9a-%e8%85%b9%e8%85%94%e9%95%9c%e6%97%b6%e4%bb%a3%e7%9a%84%e8%82%9d%e5%b0%be%e7%8a%b6%e5%8f%b6%e5%88%87%e9%99%a4%e5%86%8d%e8%ae%a4%e8%af%86","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=42006","title":{"rendered":"\u9b4f\u6c38\u521a | \u8179\u8154\u955c\u65f6\u4ee3\u7684\u809d\u5c3e\u72b6\u53f6\u5207\u9664\u518d\u8ba4\u8bc6"},"content":{"rendered":"

\u8179\u8154\u955c\u65f6\u4ee3\u7684\u809d\u5c3e\u72b6\u53f6\u5207\u9664\u518d\u8ba4\u8bc6<\/p>\n

\u66f9\u4fca\u79cb\uff0c\u9b4f\u6c38\u521a<\/p>\n

\u56db\u5ddd\u5927\u5b66\u534e\u897f\u533b\u9662\u666e\u5916\u79d1\uff0c\u809d\u810f\u5916\u79d1\u75c5\u623f\uff08\u6210\u90fd  610041\uff09<\/p>\n

\u5f15\u7528\u672c\u6587\uff1a\u66f9\u4fca\u79cb, \u9b4f\u6c38\u521a. \u8179\u8154\u955c\u65f6\u4ee3\u7684\u809d\u5c3e\u72b6\u53f6\u5207\u9664\u518d\u8ba4\u8bc6. \u4e2d\u56fd\u666e\u5916\u57fa\u7840\u4e0e\u4e34\u5e8a\u6742\u5fd7, 2023, 30(8): 900-904. doi: 10.7507\/1007-9424.202305049<\/p>\n

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

\u9b4f\u6c38\u521a\uff0c\u6559\u6388\u3001\u4e3b\u4efb\u533b\u5e08\u3001\u535a\u58eb\uff0c\u56db\u5ddd\u5927\u5b66\u534e\u897f\u533b\u9662\u809d\u810f\u5916\u79d1\u526f\u4e3b\u4efb\u3002\u56db\u5ddd\u7701\u5b66\u672f\u6280\u672f\u5e26\u5934\u4eba\u540e\u5907\u4eba\u9009\uff0c\u56db\u5ddd\u7701\u536b\u5065\u59d4\u5b66\u672f\u6280\u672f\u5e26\u5934\u4eba\u540e\u5907\u4eba\u9009\u3002\u4e3b\u8981\u7814\u7a76\u65b9\u5411\u4e3a\u809d\u810f\u5916\u79d1\u5fae\u521b\u5316\u3002\u957f\u671f\u81f4\u529b\u4e8e\u8179\u8154\u955c\u809d\u5207\u9664\u7684\u6280\u672f\u53ca\u4e34\u5e8a\u79d1\u7814\uff0c\u5df2\u53d1\u8868\u8179\u8154\u955c\u809d\u5207\u9664\u76f8\u5173SCI\u6536\u5f55\u8bba\u658742 \u7bc7\u3002\u4efb\u4e2d\u56fd\u533b\u5e08\u534f\u4f1a\u5668\u5b98\u79fb\u690d\u5206\u4f1a\u59d4\u5458\u3001\u6d77\u5ce1\u4e24\u5cb8\u533b\u5b66\u4ea4\u6d41\u4fc3\u8fdb\u4f1a\u79fb\u690d\u5206\u4f1a\u59d4\u5458\u3001\u6d77\u5ce1\u4e24\u5cb8\u533b\u5b66\u4ea4\u6d41\u4fc3\u8fdb\u4f1a\u809d\u80c6\u80f0\u5206\u4f1a\u59d4\u5458\u3001\u56db\u5ddd\u7701\u6297\u764c\u534f\u4f1a\u809d\u764c\u4e13\u4e1a\u59d4\u5458\u4f1a\u526f\u4e3b\u4efb\u59d4\u5458\u3002<\/p>\n

\u6458  \u8981<\/p>\n

\u809d\u5c3e\u72b6\u53f6\u4e00\u76f4\u88ab\u89c6\u4e3a\u809d\u810f\u6700\u4e3a\u6df1\u5728\u3001\u89e3\u5256\u6700\u4e3a\u590d\u6742\u7684\u809d\u6bb5\u3002\u5916\u79d1\u533b\u5e08\u5bf9\u809d\u5c3e\u72b6\u53f6\u53ca\u5176\u4e9a\u6bb5\u7684\u8ba4\u8bc6\u7ecf\u5386\u4e86\u590d\u6742\u3001\u66f2\u6298\u7684\u8fc7\u7a0b\u3002\u8fd1\u5e74\u6765\uff0c\u5728\u809d\u810f\u5927\u4f53\u6807\u672c\u3001\u94f8\u578b\u6807\u672c\u3001\u4e09\u7ef4\u91cd\u5efa\u7684\u4f20\u7edf\u89e3\u5256\u8ba4\u8bc6\u57fa\u7840\u4e0a\uff0c\u8179\u8154\u955c\u809d\u5c3e\u72b6\u53f6\u5207\u9664\u672f\u4e2d\u809d\u5c3e\u72b6\u53f6\u7684\u7279\u6b8a\u89c6\u89d2\u3001\u7cbe\u7ec6\u89e3\u5256\u4e0d\u65ad\u5f97\u5230\u9a8c\u8bc1\u6216\u8005\u6311\u6218\u3002\u6b63\u662f\u8fd9\u4e9b\u9a8c\u8bc1\u548c\u6311\u6218\u4f7f\u5916\u79d1\u533b\u5e08\u4e0d\u65ad\u4fee\u6b63\u3001\u8fd8\u539f\u7740\u809d\u5c3e\u72b6\u53f6\u89e3\u5256\u7684\u771f\u5b9e\u539f\u8c8c\u3002\u672c\u6587\u5c06\u5bf9\u8fd9\u4e9b\u6700\u65b0\u7684\u89c2\u70b9\uff0c\u4ee5\u4e00\u4e2a\u8154\u955c\u5916\u79d1\u533b\u5e08\u7684\u89d2\u5ea6\u8fdb\u884c\u63a2\u8ba8\uff0c\u5e76\u5bf9\u8154\u955c\u4e0b\u5168\u5c3e\u72b6\u53f6\u5207\u9664\u8981\u70b9\u8fdb\u884c\u8be6\u7ec6\u63cf\u8ff0\u3002<\/p>\n

\u5c3e\u72b6\u53f6\u6700\u65e9\u572812\u4e16\u7eaa\u7531Sylvius\u5728\u5176\u89e3\u5256\u8bb0\u5f55\u4e2d\u63cf\u8ff0\u3002\u968f\u7740\u5bf9\u5c3e\u72b6\u53f6\u80da\u80ce\u5b66\u6765\u6e90\u548c\u89e3\u5256\u5b66\u8ba4\u8bc6\u7684\u4e0d\u65ad\u6df1\u5165\uff0c\u5c3e\u72b6\u53f6\u7684\u8303\u56f4\u9010\u6b65\u786e\u5b9a\u3002\u5728\u5c3e\u72b6\u53f6\u5b9a\u4e49\u4e2d\uff0c\u5305\u542b\u4e86\u8154\u9759\u8109\u524d\u65b9\u3001\u95e8\u9759\u8109\u4e3b\u5e72\u53ca3\u652f\u809d\u9759\u8109\u540e\u65b9\u7684\u809d\u7ec4\u7ec7\u3002\u5c3e\u72b6\u53f6\u7684\u547d\u540d\u65b9\u6cd5\u81eaHealey\u540e\u4e00\u5171\u7ecf\u5386\u4e864\u4e2a\u4e3b\u8981\u9636\u6bb5\u30021953\u5e74\uff0cHealey\u5c06\u5c3e\u72b6\u53f6\u5b9a\u4e49\u4e3aSpieghel\u53f6\uff0c\u5206\u4e3a\u2160\u6bb5\u5de6\u548c\u2160\u6bb5\u53f3\uff08\u2160\u6bb5\u5de6\u4ee3\u8868\u809d\u4e2d\u9759\u8109\u4e0e\u809d\u53f3\u9759\u8109\u4e4b\u95f4\u540e\u65b9\u7684\u5c3e\u72b6\u53f6\u7ec4\u7ec7\uff0c\u2160\u6bb5\u53f3\u4ee3\u8868\u809d\u53f3\u9759\u8109\u53f3\u4fa7\u7684\u5c3e\u72b6\u53f6\u7ec4\u7ec7\uff09[1]<\/sup>\uff1b1981\u5e74Couinaud\u5c06\u2160\u6bb5\u5de6\u548c\u2160\u6bb5\u53f3\u5206\u522b\u5b9a\u4e49\u4e3a\u53f3\u80cc\u4fa7\u6247\u533ab\u548c\u53f3\u80cc\u4fa7\u6247\u533ad[2]<\/sup>\uff1b2000\u5e74Filipponi\u7b49[3]<\/sup>\u5c06Spieghel\u53f6\u5b9a\u4e49\u4e3a\u2160\u6bb5\uff0c\u800c\u5c06Healey\u7684\u2160\u6bb5\u5de6\u548c\u2160\u6bb5\u53f3\u5206\u522b\u5b9a\u4e49\u4e3a\u2168\u6bb5\u5de6\u548c\u2168\u6bb5\u53f3\uff0c\u81f32002\u5e74\uff0c\u6cbf\u7528\u81f3\u4eca\u7684\u5c3e\u72b6\u53f6\u5b9a\u4e49\u7ec8\u4e8e\u5f62\u6210\uff0c\u2168\u6bb5\u5de6\u548c\u2168\u6bb5\u53f3\u5206\u522b\u88ab\u5b9a\u4e49\u4e3a\u8154\u9759\u8109\u65c1\u90e8\u548c\u5c3e\u72b6\u7a81[4]<\/sup>\u3002\u968f\u7740\u5bf9\u809d\u810f\u5c3e\u72b6\u53f6\u7684\u94f8\u578b\u6807\u672c\u548c\u809d\u810f\u4e09\u7ef4\u91cd\u5efa\u6a21\u578b\u7684\u4e0d\u65ad\u6df1\u5165\u7814\u7a76\uff0c\u5b66\u8005\u4eec\u53d1\u73b0\uff0c\u4ee5\u809d\u810f\u5c3e\u72b6\u53f6\u5207\u8ff9\u548c\u9759\u8109\u97e7\u5e26\u9057\u8ff9\uff08Arantius\u7ba1\uff09\u4e3a\u8868\u9762\u5206\u754c\u89e3\u5256\u6807\u5fd7\u7684Spieghel\u53f6\u4e0e\u8154\u9759\u8109\u65c1\u90e8\u548c\u5c3e\u72b6\u7a81\u4e4b\u95f4\u65e0\u8bba\u5728\u80da\u80ce\u5b66\u6765\u6e90\u8fd8\u662f\u5185\u90e8\u89e3\u5256\u7ed3\u6784\u4e0a\u5747\u6709\u660e\u663e\u533a\u522b\uff0c\u56e0\u6b64Filipponi\u7684\u2160\u6bb5\u4e0e\u2168\u6bb5\u5b9a\u4e49\u4ecd\u7136\u6709\u5176\u5185\u5728\u89e3\u5256\u5b66\u57fa\u7840\u548c\u5bf9\u5b9e\u9645\u64cd\u4f5c\u7684\u6307\u5bfc\u4ef7\u503c[5]<\/sup>\u3002<\/p>\n

\u5c3e\u72b6\u53f6\u4f4d\u7f6e\u6df1\u5728\uff0c\u4e0e\u4e0b\u8154\u9759\u8109\u3001\u95e8\u9759\u8109\u548c\u809d\u9759\u8109\u6bd7\u90bb\uff0c\u5176\u8840\u4f9b\u3001\u80c6\u9053\u53ca\u9759\u8109\u5f15\u6d41\u6765\u6e90\u590d\u6742\uff0c\u5728\u4f20\u7edf\u7684\u5f00\u653e\u5207\u9664\u624b\u672f\u4e2d\u624b\u672f\u89c6\u91ce\u4e0d\u4f73[4-5]<\/sup>\uff0c\u56e0\u800c\u5176\u7ec6\u5fae\u89e3\u5256\u7ed3\u6784\u5f88\u96be\u88ab\u5916\u79d1\u533b\u751f\u53d1\u73b0\u5e76\u91cd\u89c6\u3002\u8fd1\u5e74\u6765\u8179\u8154\u955c\u809d\u5207\u9664\u672f\u9010\u6b65\u53d1\u5c55\u6210\u719f[6-7]<\/sup>\uff0c\u5176\u72ec\u7279\u4f18\u52bf\u5df2\u88ab\u60a3\u8005\u548c\u5916\u79d1\u533b\u751f\u6240\u8ba4\u540c[8]<\/sup>\u3002\u8179\u8154\u955c\u624b\u672f\u63d0\u4f9b\u4e86\u4e00\u4e2a\u5c3e\u72b6\u53f6\u5165\u8def\u7684\u72ec\u7279\u7684\u89c2\u5bdf\u89d2\u5ea6\uff0c\u5176\u653e\u5927\u7684\u5f71\u50cf\u548c\u826f\u597d\u7684\u7167\u660e\uff0c\u4f7f\u5c3e\u72b6\u53f6\u7684\u7cbe\u7ec6\u7ed3\u6784\u80fd\u5728\u672f\u4e2d\u88ab\u7cbe\u786e\u8fa8\u8bc6\u5e76\u8bb0\u5f55[9-10]<\/sup>\u3002\u7b14\u8005\u73b0\u5c31\u957f\u671f\u79ef\u7d2f\u7684\u5c3e\u72b6\u53f6\u5207\u9664\u75c5\u4f8b\u548c\u6587\u732e\u9605\u8bfb\u4e2d\u83b7\u5f97\u7684\u5c3e\u72b6\u53f6\u89e3\u5256\u77e5\u8bc6\u4ee5\u53ca\u8154\u955c\u5207\u9664\u6280\u5de7\u8fdb\u884c\u4e00\u627c\u8981\u5206\u4eab\u3002<\/p>\n

1\u3000\u809d\u5c3e\u72b6\u53f6\u7684\u89e3\u5256<\/p>\n

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1.1   \u95e8\u9759\u8109\u4e0e\u80c6\u9053\/\u52a8\u8109\u8d70\u884c\u7684\u4e0d\u4e00\u81f4\u6027\uff0c\u4ee5\u53caGlisson\u7cfb\u7edf\u7684\u677e\u6563\u6027<\/p>\n

\u957f\u671f\u4ee5\u6765\uff0c\u5bf9\u4e8e\u5c3e\u72b6\u53f6\u7684\u7814\u7a76\u5c31\u53d1\u73b0\uff0c\u5176\u95e8\u9759\u8109\u4e0e\u80c6\u9053\/\u809d\u52a8\u8109\u7ec4\u5408\u5e76\u4e0d\u50cf\u5176\u4ed6\u809d\u810f\u7ec4\u7ec7\u4e00\u6837\u662f\u5305\u542b\u5728\u4e00\u4e2aGlisson\u9798\u5185\uff0c\u7adc\u5d07\u6b63\u5728\u5176\u300a\u809d\u810f\u7684\u5916\u79d1\u89e3\u5256\u300b[11]<\/sup>\u4e00\u4e66\u4e2d\u4e5f\u6307\u51fa\uff0c\u95e8\u9759\u8109\u4e0e\u80c6\u9053\/\u52a8\u8109\u8d70\u884c\u5b58\u5728\u4e0d\u4e00\u81f4\u6027\uff0c\u8fd9\u6b63\u662f\u5c3e\u72b6\u53f6\u7684\u72ec\u7279\u7279\u70b9\u3002\u6709\u7ecf\u9a8c\u7684\u809d\u810f\u5916\u79d1\u533b\u751f\u90fd\u4f1a\u6709\u540c\u6837\u7684\u4f53\u4f1a\uff1a\u5728\u809d\u95e8\u80c6\u7ba1\u764c\u6216\u809d\u5185\u80c6\u7ba1\u7ed3\u77f3\u624b\u672f\u4e2d\uff0c\u5728\u809d\u95e8\u677f\u5934\u4fa7\u526a\u5f00\u5c3e\u72b6\u53f6\u5411\u5934\u4fa7\u53d1\u51fa\u7684\u5206\u652f\uff0c\u5e76\u4e0d\u4f1a\u6709\u95e8\u9759\u8109\u7684\u51fa\u8840\uff0c\u4ec5\u6709\u809d\u52a8\u8109\u7684\u51fa\u8840\u548c\u6f0f\u80c6\u3002\u4e00\u822c\u6765\u8bb2\uff0c\u5982\u679c\u53f3\u540e\u652f\u80c6\u9053\u76f8\u5bf9\u95e8\u9759\u8109\u4e3a\u5317\u7ed5\u578b\uff0c\u5c3e\u72b6\u7a81\u53ca\u8154\u9759\u8109\u65c1\u90e8\u5c3e\u72b6\u53f6\u80c6\u7ba1\u591a\u6c47\u5165\u53f3\u540e\u652f\u80c6\u7ba1\u53ca\u809d\u95e8\u6c47\u5408\u90e8\u5934\u4fa7\u809d\u95e8\u677f\uff0c\u6b64\u65f6G1C\uff08\u95e8\u9759\u8109\u81f3\u53f3\u4fa7\u5c3e\u72b6\u53f6\u7b2c1\u5206\u652f\uff09\u6216\u8005G2C\uff08\u95e8\u9759\u8109\u81f3\u53f3\u4fa7\u5c3e\u72b6\u53f6\u7b2c2\u5206\u652f\uff09\u591a\u534a\u4e0d\u4e0e\u80c6\u7ba1\u4f34\u884c\uff1b\u82e5\u53f3\u540e\u652f\u80c6\u7ba1\u76f8\u5bf9\u95e8\u9759\u8109\u4e3a\u5357\u7ed5\u578b\uff0cG1C\u6216\u8005G2C\u591a\u4e0e\u80c6\u7ba1\u4f4d\u4e8e\u540c\u4e00Glisson\u9798\u5185\u3002<\/p>\n

\u5de6\u4fa7\u5c3e\u72b6\u53f6\u95e8\u9759\u8109\u901a\u5e38\u6709\u4e24\u652f\uff0cG1L\uff08\u95e8\u9759\u8109\u81f3\u5de6\u4fa7\u5c3e\u72b6\u53f6\u7b2c1\u5206\u652f\uff09\u548cG2L\uff08\u95e8\u9759\u8109\u81f3\u5de6\u4fa7\u5c3e\u72b6\u53f6\u7b2c2\u5206\u652f\uff09\u76f8\u5bf9\u4e8e\u80c6\u9053\/\u52a8\u8109\u7ec4\u5408\uff0c\u548c\u95e8\u9759\u8109\u4e0e\u80c6\u9053\u7684\u76f8\u5bf9\u4f4d\u7f6e\u76f8\u4f3c\uff0cG1L\u53caG2L\u4f4d\u4e8e\u5de6\u5916\u4fa7\uff0c\u4e0e\u540c\u4e00\u7ec4\u80c6\u9053\/\u52a8\u8109\u7ec4\u5408\u4f4d\u4e8e\u4e00\u677e\u6563\u7684Glisson\u9798\u5185\uff0c\u53ef\u5355\u72ec\u89e3\u5256\u5206\u79bb\uff0c\u4f46\u82e5\u4ed4\u7ec6\u89c2\u5bdf\uff0c\u4ecd\u53ef\u8fa8\u8ba4\u5176Glisson\u9798\u3002G1L\u4e0eG2L\u76f8\u5bf9\u5176\u4ed6\u5c3e\u72b6\u53f6\u95e8\u9759\u8109\u5206\u652f\u66f4\u4e3a\u7c97\u5927\uff0c\u8fdb\u5165\u5b9e\u8d28\u540e\u5f88\u5feb\u5206\u4e3a\u5934\u8179\u4fa7\u4e24\u652f\uff0c\u5176\u4f9b\u5e94\u8303\u56f4\u4e5f\u8f83\u5176\u4ed6\u5c3e\u72b6\u53f6\u95e8\u9759\u8109\u66f4\u5e7f\u3002<\/p>\n

1.2   \u95e8\u9759\u8109\u5206\u5e03\u7684\u4e0d\u89c4\u5219\u6027<\/p>\n

\u5c3e\u72b6\u53f6\u95e8\u9759\u8109\u6309\u7167\u7adc\u5d07\u6b63\u7684\u5206\u7c7b\u6cd5\uff0c\u7531\u5de6\u81f3\u53f3\u53ef\u6a21\u5f0f\u5316\u5206\u4e3aa\u3001b\u3001c\u3001d 4\u652f\uff0c\u5bf9\u5e94G2L\u3001G1L\u3001G1C\u548cG2C\uff0c\u8981\u7406\u89e3\u2160\u6bb5\u548c\u2168\u6bb5\u5728\u6d41\u57df\u4e0a\u7684\u4e0d\u540c\u53ca\u5176\u89e3\u5256\u5b66\u7684\u72ec\u7acb\u6027\uff0c\u5c31\u9700\u8981\u7406\u89e3\u5c3e\u72b6\u53f6\u5207\u8ff9\/Arantius\u7ba1\u4f5c\u4e3a\u8868\u9762\u6807\u5fd7\u5bf9\u5c3e\u72b6\u53f6\u95e8\u9759\u8109\u6d41\u57df\u7684\u6307\u793a\u4f5c\u7528\u3002<\/p>\n

\u5728\u2160\u6bb5\u548c\u2168\u6bb5\u4e4b\u95f4\uff0c\u95e8\u9759\u8109\u4f9b\u8840\u6709\u4e24\u79cd\u60c5\u51b5\uff1a\u2460 \u5728\u5c3e\u72b6\u53f6\u5207\u8ff9\/Arantius\u7ba1\u4ee5\u5de6\uff0c\u901a\u5e38\u7531G1L\u548cG2L\u95e8\u9759\u8109\u4f9b\u8840\uff0c\u4ee5\u53f3\u7531G1C\u548cG2C\u4f9b\u8840\uff0c\u4e24\u8005\u4e4b\u95f4\u7684\u5c3e\u72b6\u53f6\u5207\u8ff9\/Arantius\u7ba1\u7c7b\u4f3c\u5de6\u53f3\u809d\u4e4b\u95f4\u7684Cantlie\u7ebf\uff1b\u2461 \u5982\u679c\u4e24\u8005\u4e4b\u95f4\u95e8\u9759\u8109\u8840\u4f9b\u6709\u91cd\u5408\uff0c\u4e00\u5b9a\u662f\u5de6\u8fb9\u7684G1L\u548cG2L\u8de8\u8d8a\u5c3e\u72b6\u53f6\u5207\u8ff9\/Arantius\u7ba1\u5411\u53f3\u4fa7\u7684\u8154\u9759\u8109\u65c1\u90e8\u4f9b\u8840\uff0c\u800c\u4e14\u6709\u8da3\u7684\u662f\uff0c\u8de8\u8d8a\u5c3e\u72b6\u53f6\u5207\u8ff9\/Arantius\u7ba1\u7684\u95e8\u9759\u8109\u4f1a\u5f88\u5feb\u5728G1L\u548cG2L\u6839\u90e8\u53d1\u51fa\u5411\u53f3\u7684\u5206\u652f\uff08\u56fe1a\u548c1b\uff09\u3002\u4e0eCantlie\u7ebf\u5bf9\u5e94\u4e2d\u809d\u9759\u8109\u7c7b\u4f3c\uff0c\u5c3e\u72b6\u53f6\u5207\u8ff9\/Arantius\u7ba1\u5728\u6df1\u90e8\u5bf9\u5e94\u7684\u662f\u5c3e\u72b6\u53f6\u56fa\u6709\u9759\u8109[12-13]<\/sup>\u3002<\/p>\n

\u56fe1\u3000\u793a\u5c3e\u72b6\u53f6\u7684\u4e24\u79cd\u95e8\u9759\u8109\u5206\u652f<\/p>\n

a\uff1a\u72ec\u7acb\u7684\u5c3e\u72b6\u7a81\u95e8\u9759\u8109\u5206\u652f\uff1bb\uff1a\u7531\u8154\u9759\u8109\u65c1\u90e8\u95e8\u9759\u8109\u5206\u652f\u53d1\u51fa\u7684\u5c3e\u72b6\u7a81\u95e8\u9759\u8109\u5206\u652f<\/p>\n

1.3   \u5c3e\u72b6\u53f6\u9759\u8109\u56de\u6d41\u7684\u591a\u6837\u6027<\/p>\n

\u5c3e\u72b6\u53f6\u809d\u9759\u8109\u53ef\u5206\u4e3a4\u79cd\u7c7b\u578b\uff1a\u5c3e\u72b6\u53f6\u56fa\u6709\u9759\u8109\u3001\u809d\u77ed\u9759\u8109\u3001\u5411\u524d\u5f15\u6d41\u5165\u4e2d\u809d\u6216\u53f3\u809d\u9759\u8109\u7684\u5c0f\u5206\u652f\u4ee5\u53ca\u5c3e\u72b6\u7a81\u9759\u8109\uff08\u56fe2\uff09\u3002\u5176\u4e2d\u7684\u5c3e\u72b6\u53f6\u56fa\u6709\u9759\u8109\u53ca\u5c3e\u72b6\u7a81\u9759\u8109\u4e5f\u88ab\u8ba4\u4e3a\u662f\u6700\u91cd\u8981\u7684\u4e24\u652f\u5c3e\u72b6\u53f6\u9759\u8109\u56de\u6d41[14-15]<\/sup>\u3002<\/p>\n

\u56fe2\u3000\u793a\u5c3e\u72b6\u53f6\u7684\u809d\u9759\u8109\u7cfb\u7edf<\/p>\n

\u5c3e\u72b6\u53f6\u56fa\u6709\u9759\u8109\u8f83\u591a\u6570\u809d\u77ed\u9759\u8109\u7c97\u5927\uff0c\u5728Spieghel\u53f6\u548c\u8154\u9759\u8109\u65c1\u90e8\u4e4b\u95f4\u7684\u8282\u6bb5\u95f4\u5e73\u9762\u4e0a\u8d70\u884c\uff0c\u5f15\u6d41\u8fd9\u4e24\u4e2a\u4e9a\u8282\u6bb5\u7684\u8840\u6db2\uff0c\u4e8e\u4e0b\u8154\u9759\u8109\u5de6\u524d\u5916\u4fa7\u8868\u9762\u7684\u4e2d\u90e8\u6c47\u5165\u4e0b\u8154\u9759\u8109\uff1b\u5c3e\u72b6\u7a81\u9759\u8109\u81ea\u809d\u53f3\u90e8\u7ecf\u5c3e\u72b6\u7a81\u4e0b\u65b9\u7684\u809d\u5b9e\u8d28\u6c47\u5165\u4e0b\u8154\u9759\u8109\u3002\u5c3e\u72b6\u7a81\u9759\u8109\u4e00\u5ea6\u88ab\u8ba4\u4e3a\u53ef\u4f5c\u4e3a\u5c3e\u72b6\u7a81\u548c\u53f3\u540e\u53f6\u4e4b\u95f4\u7684\u89e3\u5256\u6807\u5fd7\uff0c\u4f46\u7b14\u8005\u5728\u5b9e\u9645\u64cd\u4f5c\u4e2d\uff0c\u53d1\u73b0\u5176\u8fc7\u4e8e\u7ec6\u5c0f\uff0c\u96be\u4ee5\u8ffd\u8e2a\uff0c\u5f88\u96be\u4f5c\u4e3a\u89e3\u5256\u6807\u5fd7\u52a0\u4ee5\u5229\u7528\u3002<\/p>\n

1.4   \u5c3e\u72b6\u53f6\u80c6\u9053\u7684\u5206\u5e03<\/p>\n

\u5c3e\u72b6\u53f6\u80c6\u9053\u7684\u5206\u5e03\u5982\u524d\u6587\u6240\u8ff0\uff0c\u4e0e\u53f3\u540e\u652f\u80c6\u9053\u7684\u8d70\u884c\u65b9\u5f0f\u6709\u5173\u3002\u80c6\u9053\u7684\u5f15\u6d41\u4e3b\u8981\u4f4d\u4e8e\u809d\u95e8\u677f\u524d\u65b9\uff0c\u7531\u4e8e\u5317\u7ed5\u578b\u53f3\u540e\u80c6\u7ba1\u5360\u4eba\u7fa4\u4e2d\u7684\u5927\u591a\u6570\uff0c\u56e0\u6b64\u5f15\u6d41\u5165\u53f3\u540e\u652f\u80c6\u7ba1\u53ca\u5de6\u53f3\u6c47\u5408\u90e8\u7684\u80c6\u7ba1\u6570\u91cf\u8f83\u5f15\u6d41\u5165\u5de6\u4fa7\u7684\u66f4\u4e3a\u53d1\u8fbe\uff08\u56fe3\uff09[16-19]<\/sup>\u3002<\/p>\n

\u56fe3\u3000\u793a\u5c3e\u72b6\u53f6\u7684\u80c6\u9053\u5f15\u6d41<\/p>\n

a\uff1a\u5c3e\u72b6\u53f6\u53f3-\u5de6\u4ea4\u53c9\u5f15\u6d41\u5165\u5de6\u809d\u7ba1\uff1bb\uff1a\u5c3e\u72b6\u53f6\u5de6-\u53f3\u4ea4\u53c9\u5f15\u6d41\u5165\u53f3\u540e\u809d\u7ba1\uff1bCP\uff1a\u5c3e\u72b6\u7a81\uff1bPC\uff1a\u8154\u9759\u8109\u65c1\u90e8\uff1bSP\uff1aSpieghel \u53f6<\/p>\n

\u5c3e\u72b6\u53f6\u80c6\u7ba1\u5206\u5e03\u65b9\u5f0f\u7684\u6700\u5927\u610f\u4e49\u4f53\u73b0\u5728\u65bd\u884c\u809d\u95e8\u80c6\u7ba1\u764c\u6839\u6cbb\u672f\u65f6\uff0c\u5224\u65ad\u5207\u9664\u5c3e\u72b6\u53f6\u7684\u91cd\u8981\u6027\uff0c\u4ee5\u53ca\u5728\u8fdb\u884c\u534a\u809d\u5207\u9664\u65f6\uff0c\u79bb\u65ad\u809d\u95e8\u677f\u4e4b\u540e\u6f0f\u80c6\u7684\u6765\u6e90\u3002\u201c\u6240\u6709\u80c6\u7ba1\u53d8\u5f02\u5747\u53d1\u751f\u4e8e\u809d\u95e8\u677f\u5185\u201d\uff0c\u8bb0\u4f4f\u8fd9\u53e5\u8bdd\uff0c\u6709\u52a9\u4e8e\u5728\u79bb\u65ad\u809d\u95e8\u677f\u65f6\u8b66\u60d5\u8bef\u4f24\u7684\u53d1\u751f\u3002<\/p>\n

\u5728\u809d\u95e8\u677f\u7684\u5934\u4fa7\uff0c\u7ecf\u5e38\u6709\u4e00\u652f\u5782\u76f4\u5411\u4e0a\u8d70\u884c\u7684\u7c97\u5927\u80c6\u7ba1\u5206\u652f\uff0c\u8fd9\u4e00\u5206\u652f\u53ef\u8d70\u884c\u81f3\u7b2c\u4e8c\u809d\u95e8\u5904\uff0c\u800c\u540e\u5411\u8179\u4fa7\u8d70\u884c\u5f15\u6d41\u2167\u6bb5\u3002\u7adc\u5d07\u6b63\u79f0\u4e4b\u4e3a\u2167\u6bb5\u5185\u4fa7\u652f[11]<\/sup>\u3002\u8fa8\u8ba4\u8fd9\u4e00\u5206\u652f\u7684\u8981\u70b9\u5728\u4e8e\u5176\u6c38\u8fdc\u5728\u4e2d\u809d\u9759\u8109\u80cc\u4fa7\u8d70\u884c\u3002<\/p>\n

2\u3000\u8179\u8154\u955c\u5c3e\u72b6\u53f6\u5207\u9664\u7684\u672f\u524d\u8bc4\u4f30\u3001\u9002\u5e94\u8303\u56f4\u53ca\u7981\u5fcc<\/p>\n

\u6b63\u5e38\u5c3e\u72b6\u53f6\u5360\u809d\u810f\u4f53\u79ef\u76849%\uff5e12%\uff0c\u5355\u72ec\u7684\u5168\u5c3e\u72b6\u53f6\u5207\u9664\u672f\u524d\u5e38\u89c4\u8bc4\u4f30\u4e0e\u5176\u4ed6\u809d\u810f\u5207\u9664\u5e76\u65e0\u592a\u5927\u5dee\u5f02\u3002\u9700\u8981\u6ce8\u610f\u7684\u662f\uff0c\u5355\u72ec\u7684\u5168\u5c3e\u72b6\u53f6\u5207\u9664\u9700\u8981\u8bc4\u4f30\u75c5\u53d8\u7684\u5177\u4f53\u4f4d\u7f6e\u3001\u5927\u5c0f\u3001\u6027\u8d28\u548c\u8d28\u5730\u3002\u8fc7\u5927\u7684\u80bf\u7624\u53ef\u80fd\u9020\u6210\u7b2c\u4e09\u809d\u95e8\u6e38\u79bb\u3001\u5b9e\u8d28\u79bb\u65ad\u56f0\u96be\uff1b\u80c6\u7ba1\u7ec6\u80de\u764c\u53ef\u80fd\u4fb5\u72af\u809d\u9759\u8109\u3001\u8154\u9759\u8109\u53caGlisson\u9798\uff0c\u5bb9\u6613\u9020\u6210\u80bf\u7624\u6b8b\u7559\uff1b\u8d28\u5730\u8fc7\u8f6f\u7684\u80bf\u7624\u53ef\u80fd\u5728\u5207\u9664\u8fc7\u7a0b\u4e2d\u7834\u88c2\u3002\u7531\u4e8e\u2160\u6bb5\u548c\u2168\u6bb5\u5728\u95e8\u9759\u8109\u6d41\u57df\u4e0a\u7684\u72ec\u7acb\u6027\uff0c\u5355\u72ec\u7684\u2160\u6bb5\u548c\u2168\u6bb5\u5207\u9664\u5b9e\u8d28\u4e0a\u4e5f\u53ef\u88ab\u89c6\u4e3a\u89e3\u5256\u6027\u5207\u9664\u3002\u4f7f\u7528\u672f\u524d\u4e09\u7ef4\u91cd\u5efa\u53ef\u4ee5\u6e05\u695a\u5730\u663e\u793a\u5c3e\u72b6\u53f6\u80bf\u5757\u4e0e\u5468\u56f4\u8840\u7ba1\u7684\u5bc6\u5207\u5173\u7cfb\uff0c\u6709\u52a9\u4e8e\u624b\u672f\u7684\u89c4\u5212\u548c\u5b9e\u65bd[20-22]<\/sup>\u3002\u4f46\u9700\u8981\u6ce8\u610f\u7684\u662f\uff0c\u4e09\u7ef4\u91cd\u5efa\u5b9e\u9645\u4e0a\u662f\u57fa\u4e8e\u4e8c\u7ef4\u56fe\u50cf\u7684\u201c\u51cf\u6cd5\u201d\uff0c\u5176\u5b9e\u9645\u4fe1\u606f\u5c11\u4e8e\u4e8c\u7ef4\u56fe\u50cf\uff0c\u867d\u7136\u6709\u52a9\u4e8e\u76f4\u89c2\u7406\u89e3\uff0c\u4f46\u7ed3\u5408\u4e8c\u7ef4\u56fe\u50cf\u8fdb\u884c\u624b\u672f\u89c4\u5212\u662f\u809d\u810f\u5916\u79d1\u533b\u5e08\u5fc5\u5907\u7684\u80fd\u529b\u3002\u5728\u60a3\u8005\u5ba2\u89c2\u6761\u4ef6\u4e0d\u5229\u4e8e\u5b9e\u65bd\u5355\u72ec\u5c3e\u72b6\u53f6\u5207\u9664\u65f6\uff0c\u5e94\u53ca\u65f6\u8c03\u6574\u624b\u672f\u65b9\u6848\uff0c\u8054\u5408\u90e8\u5206\u809d\u5207\u9664\u6709\u5229\u4e8e\u4fdd\u8bc1\u5207\u7f18\u53ca\u624b\u672f\u5b89\u5168\u6027\u3002<\/p>\n

3\u3000\u8179\u8154\u955c\u5c3e\u72b6\u53f6\u7684\u624b\u672f\u65b9\u5f0f<\/p>\n

\u7531\u4e8e\u7bc7\u5e45\u6240\u9650\uff0c\u672c\u90e8\u5206\u4ec5\u8ba8\u8bba\u5355\u72ec\u7684\u5168\u5c3e\u72b6\u53f6\u5207\u9664\u3002<\/p>\n

3.1   \u60a3\u8005\u4f53\u4f4d\u3001\u4e3b\u5200\u533b\u5e08\u53ca\u52a9\u624b\u4f4d\u7f6e\u3001\u6c14\u8179\u538b\u3001\u4e2d\u5fc3\u9759\u8109\u538b\u53caTrocar\u5e03\u5c40<\/p>\n

\u5355\u72ec\u7684\u5168\u5c3e\u72b6\u53f6\u5207\u9664\uff0c\u5404\u4e2d\u5fc3\u4f9d\u636e\u672f\u8005\u7684\u4e60\u60ef\u4e0d\u540c\uff0c\u91c7\u53d6\u7684\u4f53\u4f4d\u548cTrocar\u5e03\u5c40\u5747\u6709\u6240\u4e0d\u540c\uff0c\u4e3b\u5200\u53f3\u4fa7\u7ad9\u4f4d\u548c\u5206\u817f-\u4e3b\u5200\u4e2d\u95f4\u7ad9\u4f4d\u5747\u53ef[23-30]<\/sup>\u3002\u7b14\u8005\u4e60\u60ef\u4e8e\u53f3\u4fa7\u7ad9\u4f4d\uff0c\u5176\u4f18\u70b9\u5728\u4e8e\u5de6\u4fa7\u7684\u5c3e\u72b6\u53f6\u6e38\u79bb\u66f4\u4e3a\u65b9\u4fbf\u3002\u5efa\u7acb\u6c14\u8179\u540e\uff0c\u4f9d\u636e\u60a3\u8005\u4f53\u578b\uff0c\u901a\u5e38\u7ecf\u8fc7\u8110\u4e0a\u6216\u8110\u4e0b12 mm\u7684Trocar\u7f6e\u5165\u6444\u50cf\u5934\uff0c\u60a3\u8005\u53d6\u53cdTrendelenberg\u4f53\u4f4d\uff0c\u5411\u5de6\u4fa7\u503e\u659c\u65cb\u8f6c30\u00b0\uff0c\u6c14\u8179\u538b\u7ef4\u6301\u572812\uff5e14 mmHg\uff081 mmHg=0.133 kPa\uff09\uff0c\u4e2d\u5fc3\u9759\u8109\u538b\u63a7\u5236\u4e3a4\uff5e6 mmHg\uff0c\u5728\u8154\u955c\u4e0b\u53e6\u7f6e\u51654\uff5e5\u4e2aTrocar\u4f5c\u4e3a\u64cd\u4f5c\u5b54\u3002\u76ee\u524d\u64cd\u4f5c\u5b54\u4f4d\u7f6e\u6ca1\u6709\u6807\u51c6\u7edf\u4e00\u5316\uff0c\u6839\u636e\u5c3e\u72b6\u53f6\u75c5\u53d8\u60c5\u51b5\u53ca\u4e3b\u5200\u533b\u5e08\u4e60\u60ef\u5404\u6709\u4e0d\u540c\uff0c\u4e3b\u64cd\u4f5c\u5b54\u4e00\u822c\u4f4d\u4e8e\u53f3\u4fa7\u814b\u4e2d\u7ebf\uff0c\u5176\u4f59\u64cd\u4f5c\u5b54\u6839\u636e\u5b9e\u9645\u9700\u8981\u53ef\u7075\u6d3b\u8c03\u6574\u3002<\/p>\n

3.2   \u8179\u8154\u955c\u5c3e\u72b6\u53f6\u5207\u9664\u5165\u8def\u65b9\u5f0f<\/p>\n

\u5355\u72ec\u7684\u8179\u8154\u955c\u5168\u5c3e\u72b6\u53f6\u5207\u9664\u5165\u8def\u6709\uff1a\u5de6\u4fa7\u5165\u8def\u3001\u53f3\u4fa7\u5165\u8def\u3001\u6df7\u5408\u5165\u8def\u548c\u524d\u5165\u8def[25-27, 31-34]<\/sup>\u3002\u5de6\u4fa7\u5165\u8def\u662f\u6307\u5b8c\u5168\u4ece\u5de6\u4fa7\u8fdb\u884c\u7b2c\u4e09\u809d\u95e8\u7684\u6e38\u79bb\u548c\u809d\u7ec4\u7ec7\u7684\u79bb\u65ad\uff0c\u53f3\u4fa7\u5165\u8def\u5219\u53cd\u5176\u9053\u800c\u884c\u4e4b\uff0c\u524d\u5165\u8def\u662f\u6307\u5288\u5f00\u809d\u810f\u5b9e\u8d28\u540e\u8fdb\u884c\u5c3e\u72b6\u53f6\u7684\u5207\u9664\u3002\u5177\u4f53\u65b9\u6cd5\u4f9d\u636e\u8188\u4e0b\u4f53\u8154\u7684\u5927\u5c0f\u3001\u809d\u786c\u5316\u7684\u7a0b\u5ea6\u3001\u809d\u810f\u7ffb\u8f6c\u53ca\u7b2c\u4e09\u809d\u95e8\u89e3\u5256\u7684\u96be\u6613\u7a0b\u5ea6\u800c\u5b9a\u3002\u5728\u5b9e\u9645\u64cd\u4f5c\u4e2d\uff0c\u4e0d\u80fd\u62d8\u6ce5\u4e8e\u67d0\u4e00\u7279\u5b9a\u5165\u8def\uff0c\u4e3b\u8981\u539f\u5219\u662f\u5728\u809d\u810f\u7ffb\u8f6c\u548c\u6e38\u79bb\u65f6\u80fd\u83b7\u5f97\u5145\u5206\u7684\u7ba1\u9053\u5206\u79bb\u95f4\u9699\u548c\u5f20\u529b\uff0c\u624d\u80fd\u5728\u72ed\u5c0f\u7684\u7a7a\u95f4\u5185\u6e38\u5203\u6709\u4f59\uff0c\u8fdb\u884c\u7ec6\u81f4\u51c6\u786e\u7684\u64cd\u4f5c\u3002<\/p>\n

3.3   \u8179\u8154\u955c\u5c3e\u72b6\u53f6\u5207\u9664\u65f6\u7684\u8154\u955c\u5668\u68b0\u9009\u62e9<\/p>\n

\u76ee\u524d\u4e3b\u6d41\u7684\u8179\u8154\u955c\u4e0b\u809d\u810f\u79bb\u65ad\u5668\u68b0\u5305\u62ec\u8d85\u58f0\u5200\u548c\u8d85\u58f0\u5438\u5f15\u5668[15, 26-27, 30]<\/sup>\uff0c\u6b62\u8840\u5668\u68b0\u5305\u62ec\u53cc\u6781\u7c7b\u5668\u68b0\u548c\u5c04\u9891\u6b62\u8840\u5668\u68b0[35]<\/sup>\u3002\u7b14\u8005\u5728\u6b62\u8840\u65f6\u66f4\u504f\u5411\u4f7f\u7528\u7b49\u79bb\u5b50\u6b62\u8840\u88c5\u7f6e\uff0c\u8be5\u88c5\u7f6e\u5177\u6709\u6b62\u8840\u51dd\u95ed\u6548\u7387\u9ad8\u3001\u901f\u5ea6\u5feb\u548c\u70df\u96fe\u5c0f\u7684\u4f18\u52bf\uff0c\u53ef\u5927\u5927\u7f29\u77ed\u624b\u672f\u65f6\u95f4\u3002<\/p>\n

3.4   \u8179\u8154\u955c\u5c3e\u72b6\u53f6\u5207\u9664\u7684\u624b\u672f\u6b65\u9aa4<\/p>\n

\u4ee5\u4e0b\u4ee5\u5de6\u53f3\u8054\u5408\u5165\u8def\u4e3a\u4f8b\u7b80\u5355\u63cf\u8ff0\u8179\u8154\u955c\u5168\u5c3e\u72b6\u53f6\u5207\u9664\u7684\u64cd\u4f5c\u6b65\u9aa4\u53ca\u8981\u70b9\u3002<\/p>\n

3.4.1   \u809d\u810f\u7684\u6e38\u79bb<\/p>\n

\u5168\u5c3e\u72b6\u53f6\u5207\u9664\u4e00\u822c\u8981\u6c42\u505a\u809d\u810f\u7684\u5b8c\u6574\u6e38\u79bb\uff0c\u7b14\u8005\u4e00\u822c\u5148\u79bb\u65ad\u809d\u5706\u97e7\u5e26\u53ca\u9570\u72b6\u97e7\u5e26\uff0c\u81f3\u9570\u72b6\u97e7\u5e26\u4e0e\u5de6\u53f3\u51a0\u72b6\u97e7\u5e26\u79fb\u884c\u90e8\u540e\u8f6c\u5411\u5de6\u4fa7\u51a0\u72b6\u97e7\u5e26\uff0c\u76f4\u81f3\u79bb\u65ad\u5de6\u4fa7\u4e09\u89d2\u97e7\u5e26\uff0c\u5c06\u5de6\u809d\u5b8c\u5168\u6e38\u79bb\u3002\u800c\u540e\u5206\u79bb\u53f3\u4fa7\u51a0\u72b6\u97e7\u5e26\u81f3\u8154\u9759\u8109\u8868\u9762\uff0c\u663e\u9732\u8154\u9759\u8109\u9677\u51f9\uff0c\u800c\u540e\u6e38\u79bb\u81f3\u53f3\u51a0\u72b6\u97e7\u5e26\u81f3\u8154\u9759\u8109\u53f3\u4fa7\u7f18\u4ee5\u8fdc\u3002\u52a9\u624b\u62ac\u8d77\u53f3\u809d\uff0c\u4e3b\u5200\u6e38\u79bb\u809d\u80be\u97e7\u5e26\u81f3\u5176\u4e0e\u53f3\u4e09\u89d2\u53ca\u51a0\u72b6\u97e7\u5e26\u79fb\u884c\u90e8\uff0c\u800c\u540e\u7531\u53f3\u809d\u4fa7\u9762\u6e38\u79bb\u53f3\u51a0\u72b6\u97e7\u5e26\u76f4\u81f3\u4e0e\u8154\u9759\u8109\u53f3\u4fa7\u5df2\u6e38\u79bb\u90e8\u6c47\u5408\u3002\u53f3\u4fa7\u80be\u4e0a\u817a\u7684\u6e38\u79bb\u9700\u7531\u5185\u4fa7\u8d77\u59cb\uff0c\u5fc5\u8981\u65f6\u8d85\u58f0\u5200\u79bb\u65ad\u5782\u76f4\u6c47\u5408\u5165\u53f3\u80be\u4e0a\u817a\u9759\u8109\u7684\u809d\u77ed\u9759\u8109\uff0c\u627e\u5230\u8154\u9759\u8109\u4e0e\u53f3\u80be\u4e0a\u817a\u4e4b\u95f4\u7684\u95f4\u9699\uff0c\u4f9d\u636e\u53f3\u80be\u4e0a\u817a\u4e0e\u809d\u810f\u8054\u7cfb\u7684\u7d27\u5bc6\u7a0b\u5ea6\u51b3\u5b9a\u662f\u5426\u5207\u9664\u90e8\u5206\u80be\u4e0a\u817a\u6216\u5b8c\u6574\u6e38\u79bb\u3002<\/p>\n

3.4.2   \u7b2c\u4e09\u809d\u95e8\u7684\u6e38\u79bb<\/p>\n

\u81ea\u53f3\u4fa7\u663e\u9732\u8154\u9759\u8109\u53f3\u4fa7\u7f18\uff0c\u8d85\u58f0\u5200\u6216Hem-o-lok\u79bb\u65ad\u809d\u77ed\u9759\u8109\uff0c\u82e5\u9047\u7c97\u5927\u7684\u53f3\u540e\u4e0b\u53ca\u53f3\u540e\u4e2d\u9759\u8109\u5e94\u4f7f\u7528\u76f4\u7ebf\u5207\u5272\u95ed\u5408\u5668\u79bb\u65ad\uff0c\u907f\u514d\u4f7f\u7528Hem-o-lok\u6216\u949b\u5939\u3002\u81ea\u8db3\u4fa7\u62ac\u8d77\u809d\u810f\uff0c\u83b7\u5f97\u7a7a\u95f4\u540e\u79bb\u65ad\u53f3\u4fa7\u8154\u9759\u8109\u97e7\u5e26\uff0c\u5728\u53f3\u4fa7\u6e38\u79bb\u5145\u5206\u540e\u8f6c\u5411\u5de6\u4fa7\uff0c\u62ac\u8d77Spieghel\u53f6\uff0c\u79bb\u65ad\u5de6\u4fa7\u8154\u9759\u8109\u97e7\u5e26\uff0c\u79bb\u65ad\u5de6\u4fa7\u809d\u77ed\u9759\u8109\u3002\u6b64\u5904\u5e94\u6ce8\u610f\u4f4d\u4e8eSpieghel\u53f6\u4e0e\u8154\u9759\u8109\u65c1\u90e8\u7684\u5c3e\u72b6\u53f6\u56fa\u6709\u9759\u8109\uff0c\u901a\u5e38\u6bd4\u8f83\u7c97\u5927\u4e14\u884c\u7a0b\u8f83\u77ed\uff0c\u6ca1\u6709\u8db3\u591f\u7684\u7a7a\u95f4\u5939\u95ed\u79bb\u65ad\uff0c\u4e3a\u907f\u514d\u5f3a\u884c\u79bb\u65ad\u540e\u809d\u810f\u4fa7\u7684\u5939\u5b50\u8131\u843d\u51fa\u8840\uff0c\u53ef\u6682\u884c\u5939\u95ed\u63a7\u5236\uff0c\u7b49\u5f85\u809d\u810f\u79bb\u65ad\u5230\u6709\u8db3\u591f\u7a7a\u95f4\u540e\u518d\u884c\u79bb\u65ad\u3002\u53f3\u809d\u9759\u8109\u548c\u5de6\/\u4e2d\u809d\u9759\u8109\u662f\u5426\u60ac\u540a\u4f9d\u636e\u672f\u8005\u7684\u4e60\u60ef\u800c\u5b9a\uff0c\u90e8\u5206\u533b\u5e08\u8ba4\u4e3a\u53f3\u809d\u9759\u8109\u60ac\u540a\u6709\u52a9\u4e8e\u6307\u793a\u79bb\u65ad\u7ebf\u3002<\/p>\n

3.4.3   \u809d\u810f\u7684\u79bb\u65ad<\/p>\n

\u7b14\u8005\u4e60\u60ef\u4e8e\u81ea\u5934\u4fa7\u5f00\u59cb\u809d\u810f\u7684\u79bb\u65ad\uff0c\u6cbfArantius\u7ba1\u80cc\u4fa7\u7f18\u5e73\u9762\u5206\u79bb\u809d\u810f\u5b9e\u8d28\uff0c\u5728\u6b64\u5904\u4ec5\u80fd\u663e\u9732\u5de6\u809d\u9759\u8109\u6839\u90e8\u7684\u4e00\u5c0f\u90e8\u5206\uff0c\u79bb\u65ad\u4f4d\u4e8e\u677e\u6563Glisson\u9798\u5185\u7684G1L\u548cG2L\uff0c\u5728\u5176\u6df1\u90e8\u53ef\u89c1\u4e0e\u5176\u4f34\u884c\u7684\u76f8\u5e94\u80c6\u7ba1\/\u52a8\u8109\uff0c\u5206\u522b\u5939\u95ed\u79bb\u65ad\uff0c\u6b64\u540e\u6cbf\u5de6\u4fa7Glisson\u9798\u4e0eArantius\u7ba1\u4e4b\u95f4\u7684\u8fde\u7ebf\u4e0e\u8154\u9759\u8109\u5e73\u884c\u7684\u9762\u5411\u53f3\u63a8\u8fdb\uff0c\u6b64\u65f6\u663e\u9732\u8110\u88c2\u9759\u8109\u548c\u809d\u4e2d\u9759\u8109\u80cc\u4fa7\u6709\u52a9\u4e8e\u5e73\u9762\u7684\u51c6\u786e\u628a\u63e1\uff0c\u7275\u5f15Spieghel\u53f6\u548cArantius\u7ba1\u6709\u52a9\u4e8e\u663e\u9732\u5c3e\u72b6\u53f6\u6c47\u5165\u8fd9\u4e9b\u4e3b\u809d\u9759\u8109\u7684\u5c0f\u5206\u652f\u3002\u5f85\u5de6\u4fa7\u809d\u5b9e\u8d28\u79bb\u65ad\u81f3\u65e0\u6cd5\u83b7\u5f97\u826f\u597d\u5f20\u529b\u65f6\uff0c\u8f6c\u5411\u53f3\u4fa7\uff0c\u6cbfGlisson\u9798\u4e3b\u5e72\u53ca\u53f3\u540e\u652f\u5206\u79bb\u809d\u5b9e\u8d28\uff0c\u4f9d\u6b21\u79bb\u65adG1C\u548cG2C\u3002\u7531\u4e8e\u5c3e\u72b6\u7a81\u4e0e\u53f3\u540e\u53f6\u4e4b\u95f4\u7f3a\u4e4f\u660e\u786e\u6307\u5f15\uff0c\u53ef\u727a\u7272\u4e00\u90e8\u5206\u53f3\u540e\u809d\u7ec4\u7ec7\u4ee5\u4fbf\u4e8e\u66f4\u597d\u663e\u9732\u53f3\u809d\u9759\u8109\u6839\u90e8\uff0c\u6b64\u65f6\u5728\u809d\u95e8\u677f\u5934\u4fa7\u548c\u2166\u6bb5\u809d\u8482\u5934\u4fa7\u53ef\u663e\u793a\u7ec6\u5c0f\u7684\u80c6\u7ba1\/\u52a8\u8109\u5206\u652f\u3002\u6cbf\u8fd9\u4e00\u5e73\u9762\u63a8\u8fdb\u81f3\u53f3\u809d\u9759\u8109\u8fd1\u6839\u90e8\u5904\uff0c\u8f6c\u5411\u5de6\u4fa7\u5165\u8def\uff0c\u5373\u53ef\u8f7b\u677e\u6cbf\u53f3\u809d\u9759\u8109\u5934\u4fa7\u5411\u5c3e\u4fa7\u63a8\u8fdb\uff0c\u4ece\u800c\u5b8c\u6574\u5207\u9664\u5c3e\u72b6\u53f6\u3002<\/p>\n

3.4.4   \u79bb\u65ad\u7684\u8981\u70b9<\/p>\n

\u79bb\u65ad\u5e73\u9762\u5c3d\u91cf\u97603\u652f\u809d\u9759\u8109\u80cc\u4fa7\uff0c\u53ef\u907f\u514d\u51fa\u73b0\u8ff7\u8def\u7684\u60c5\u51b5\uff0c\u2167\u6bb5\u5185\u4fa7\u652f\u53ef\u4f5c\u4e3a\u91cd\u8981\u8def\u6807\uff0c\u79bb\u65ad\u9762\u4f4d\u4e8e\u5176\u80cc\u4fa7\u63d0\u793a\u8fc7\u6d45\uff0c\u5e94\u53ca\u65f6\u8c03\u6574\u81f3\u8179\u4fa7\uff1b\u4f4d\u4e8e\u809d\u95e8\u677f\u7684\u5934\u4fa7\u7684\u7ec6\u5c0f\u80c6\u7ba1\u5e94\u8c28\u614e\u5904\u7406\uff0c\u907f\u514d\u672f\u540e\u53d1\u751f\u6301\u7eed\u7684\u4e2d\u592e\u578b\u6f0f\u80c6\uff1b\u809d\u77ed\u8840\u7ba1\u7684\u5939\u95ed\u5e94\u7ec6\u81f4\u8f7b\u67d4\uff0c\u5207\u5fcc\u7c97\u66b4\uff1b\u4e3b\u809d\u9759\u8109\u7684\u5206\u79bb\u5e94\u81ea\u5934\u4fa7\u5411\u8db3\u4fa7\u63a8\u8fdb\uff0c\u907f\u514d\u9006\u8840\u7ba1\u8d70\u884c\u7684\u6495\u88c2\u51fa\u8840\u3002<\/p>\n

4\u3000\u5c0f\u7ed3<\/p>\n

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\u91cd\u8981\u58f0\u660e\u548c\u53c2\u8003\u6587\u732e\u7565\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

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