Gilbert\u7efc\u5408\u5f81\uff08Meulengracht\u75c5\u3001\u5168\u8eab\u6027\u809d\u529f\u80fd\u969c\u788d\u548c\u5bb6\u65cf\u6027\u975e\u6eb6\u8840\u6027\u9ec4\u75b8\uff09\u662f\u4e00\u79cd\u4ee5\u53cd\u590d\u53d1\u4f5c\u9ec4\u75b8\u4e3a\u7279\u5f81\u7684\u826f\u6027\u75be\u75c5\u3002\u9664\u9ec4\u75b8\u5916\uff0c\u60a3\u8005\u901a\u5e38\u65e0\u75c7\u72b6\u3002Gilbert\u7efc\u5408\u5f81\u662f\u6700\u5e38\u89c1\u7684\u80c6\u7ea2\u7d20\u8461\u8404\u7cd6\u919b\u9178\u5316\u9057\u4f20\u6027\u75be\u75c5\uff0c\u4f30\u8ba1\u60a3\u75c5\u7387\u4e3a6%-14%\u3002<\/p>\n
\u60a3\u8005\u901a\u5e38\u5728\u9752\u6625\u671f\u5c31\u8bca\uff0c\u6b64\u65f6\u6027\u7c7b\u56fa\u9187\u6d53\u5ea6\u7684\u6539\u53d8\u4f1a\u5f71\u54cd\u80c6\u7ea2\u7d20\u4ee3\u8c22\uff0c\u5bfc\u81f4\u8840\u6d46\u80c6\u7ea2\u7d20\u6d53\u5ea6\u5347\u9ad8[3]\u8be5\u75c5\u66f4\u5e38\u89c1\u4e8e\u7537\u6027\uff0c\u53ef\u80fd\u662f\u7531\u4e8e\u6bcf\u65e5\u80c6\u7ea2\u7d20\u751f\u6210\u6c34\u5e73\u76f8\u5bf9\u8f83\u9ad8\u3002<\/p>\n
Gilbert\u7efc\u5408\u5f81\u4e0e\u6210\u4eba\u548c\u513f\u7ae5\u80c6\u77f3\u75c7\u98ce\u9669\u589e\u52a0\u6709\u5173\u3002\u4e25\u91cd\u56f0\u6270\u60a3\u8005\u65e5\u5e38\u751f\u6d3b\u548c\u5de5\u4f5c\u3002<\/p>\n
\u897f\u533b\u76ee\u524d\u5c1a\u65e0\u6709\u6548\u6cbb\u7597\u624b\u6bb5\u3002\u4e2d\u533b\u836f\u5177\u6709\u8fa8\u8bc1\u8bba\u6cbb\u7684\u7279\u70b9\uff0c\u53ef\u4ee5\u6839\u636e\u60a3\u8005\u4f53\u8d28\u5904\u65b9\u7528\u836f\uff0c\u5e38\u5e38\u53ef\u4ee5\u6536\u83b7\u610f\u60f3\u4e0d\u5230\u7684\u7597\u6548\u3002<\/p>\n
\u5179\u4e3e\u5218\u65b9\u67cf\u6559\u6388\u8fd0\u7528\u8840\u5e9c\u9010\u7600\u6c64\u6cbb\u7597Gilbert\u7efc\u5408\u5f81\u4e00\u4f8b\uff0c\u7597\u6548\u663e\u8457\uff0c\u4ee5\u98e8\u540c\u9053\u3002<\/p>\n<\/p>\n
\u75c5\u4f8b\u4ecb\u7ecd<\/p>\n
\u60a3\u8005\uff0c\u7537\uff0c31\u5c81\uff0c2023\u5e7411\u670814\u65e5\u5165\u9662\u3002\u4e3b\u8bc9\uff1a\u5de9\u819c\u53ca\u76ae\u80a4\u9ec4\u67d3\u53cd\u590d\u53d1\u4f5c12\u5e74\uff0c\u518d\u53d11\u5468\u3002<\/p>\n
\u60a3\u8005\u4e8e12\u5e74\u524d\u65e0\u660e\u663e\u8bf1\u56e0\u51fa\u73b0\u5de9\u819c\u4e0e\u76ae\u80a4\u9ec4\u67d3\uff0c\u5c31\u8bca\u4e8e\u5f53\u5730\u533b\u9662\uff0c\u8bca\u65ad\u201c\u9ec4\u75b8\uff08\u809d\u7ec6\u80de\u6027\uff1f\uff09\u201d\uff0c\u540e\u884c\u809d\u7a7f\u523a\u6d3b\u68c0\uff0c\u8bca\u65ad\u201c\u5148\u5929\u6027\u9ec4\u75b8\u201d\uff0c\u4e88\u5bf9\u75c7\u6cbb\u7597\u540e\u7f13\u89e3\u3002<\/p>\n
\u540e\u9ec4\u75b812\u5e74\u6765\u53cd\u590d\u53d1\u4f5c\uff0c1\u5468\u524d\u60a3\u8005\u9ec4\u75b8\u518d\u53d1\uff0c\u4e3a\u6c42\u4e2d\u533b\u6cbb\u7597\uff0c\u9042\u5c31\u8bca\u4e8e\u6df1\u5733\u5e02\u5b9d\u5b89\u7eaf\u4e2d\u533b\u6cbb\u7597\u533b\u9662\u3002<\/p>\n
\u75c5\u4f8b\u4ecb\u7ecd<\/p>\n
\u523b\u4e0b\u75c7\u89c1\uff1a\u89c6\u7269\u6a21\u7cca\uff0c\u773c\u5e72\u773c\u6da9\uff0c\u7761\u7720\u6b20\u4f73\uff0c\u5165\u7761\u82e6\u96be\uff0c\u7761\u540e\u6613\u9192\uff0c\u5927\u4fbf\u6709\u98df\u7269\u6b8b\u6e23\uff0c\u5c0f\u4fbf\u8272\u9ec4\uff0c\u65e0\u5c3f\u9891\u5c3f\u6025\u5c3f\u75db\u3002<\/p>\n
\u820c\u80d6\u5927\u6709\u9f7f\u75d5\uff0c\u82d4\u767d\u539a\u817b\u3002\u8109\u6da9\u3002<\/p>\n
\u5165\u9662\u540e\u67e5\uff1a\u8840\u751f\u5316\uff1a\u603b\u80c6\u6c41\u9178 TBA 14.1umol\/L\uff0c\u603b\u80c6\u7ea2\u7d20 TBIL 154.3umol\/L\uff0c\u76f4\u63a5\u80c6\u7ea2\u7d20 DBIL 16.1umol\/L\uff0c\u95f4\u63a5\u80c6\u7ea2\u7d20 IBIL 138.2umol\/L\uff0c\u5c3f\u7d20 UREA 2.9mmol\/L\u3002\u8840\u5e38\u89c4\uff1a\u7ea2\u7ec6\u80de\u8ba1\u6570 RBC 4.04*1012\/L\uff0c\u7ea2\u7ec6\u80de\u6bd4\u5bb9 HCT 38.8%\uff0c\u7ea2\u7ec6\u80de\u4f53\u79ef\u5206\u5e03\u5bbd\u5ea6-CV RDW-CV 11.8\uff0c\u8840\u5c0f\u677f\u538b\u79ef PCT 0.33%\u3002\u5c3f\u6f5c\u8840\uff08-\uff09\u3002<\/p>\n
\u8bca\u65ad\uff1a<\/p>\n
\u897f\u533b\u8bca\u65ad\uff1aGilbert\u7efc\u5408\u5f81\uff1b<\/p>\n
\u4e2d\u533b\u8bca\u65ad\uff1a\u9ec4\u75b8\uff0c\u7600\u8840\u51dd\u6ede\u8bc1\u3002\u6cbb\u4ee5\u6d3b\u8840\u5316\u7600\u9000\u9ec4\uff0c\u4e88\u8840\u5e9c\u9010\u7600\u6c64\u52a0\u51cf\uff0c<\/p>\n
\u65b9\u836f\u7ec4\u6210\uff1a\u5f53\u5f5210g\uff0c\u751f\u573030g\uff0c\u6843\u4ec115g\uff0c\u7ea2\u82b110g\uff0c\u7099\u7518\u834910g\uff0c\u5ddd\u725b\u819d10g\uff0c\u5ddd\u828e10g\uff0c\u67f4\u80e110g\uff0c\u8d64\u828d10g\uff0c\u6854\u689710g\uff0c\u4eba\u53c210g\uff0c\u832f\u82d320g\uff0c\u7092\u767d\u672f15g\uff0c\u6cd5\u534a\u590f10g\uff0c\u9648\u76ae10g\uff0c\u9ed1\u987a\u724720g\uff0c\u8335\u964815g\uff0c\u82cd\u672f20g\uff0c\u571f\u9cd6\u866b10g\u3002<\/p>\n
\u4e8c\u8bca(2023\u5e7411\u670817\u65e5)<\/p>\n
\u76ae\u80a4\u9ecf\u819c\u53ca\u5de9\u819c\u4e2d\u5ea6\u9ec4\u67d3\u8f83\u524d\u51cf\u8f7b\u653e\uff0c\u7761\u7720\u597d\uff0c\u996e\u98df\u597d\uff0c\u5927\u5c0f\u4fbf\u6b63\u5e38\u3002\u820c\u80d6\u5927\u6709\u9f7f\u75d5\uff0c\u82d4\u767d\u539a\u817b\u3002\u8109\u6da9\u3002\u8bc1\u6cbb\u540c\u524d\u3002<\/p>\n
\u5177\u4f53\u836f\u7269\u5982\u4e0b\uff1a\u5f53\u5f5210g\uff0c\u751f\u5730\u9ec430g\uff0c\u71c0\u6843\u4ec115g\uff0c\u7ea2\u82b110g\uff0c\u7099\u7518\u834910g\uff0c\u5ddd\u725b\u819d10g\uff0c\u5ddd\u828e10g\uff0c\u5317\u67f4\u80e110g\uff0c\u8d64\u828d10g\uff0c\u6854\u689710g\uff0c\u4eba\u53c2\u724710g\uff0c\u832f\u82d320g\uff0c\u9eb8\u7092\u767d\u672f15g\uff0c\u6cd5\u534a\u590f10g\uff0c\u9648\u76ae10g\uff0c\u9ed1\u987a\u724720g\uff0c\u8335\u964815g\uff0c\u9eb8\u7092\u82cd\u672f20g\uff0c\u571f\u9cd6\u866b10g\uff0c\u5927\u67a330g\uff0c\u5c71\u836f30g\u3002<\/p>\n
\u4e09\u8bca(2023\u5e7411\u670824\u65e5)<\/p>\n
\u60a3\u8005\u8bc9\u76ae\u80a4\u9ecf\u819c\u53ca\u5de9\u819c\u9ec4\u67d3\u8f83\u524d\u51cf\u8f7b\uff0c\u4e0b\u80a2\u53d1\u51c9\uff0c\u5165\u7761\u56f0\u96be\uff0c\u996e\u98df\u597d\uff0c\u5927\u5c0f\u4fbf\u6b63\u5e38\uff0c\u820c\u80d6\u5927\u6709\u9f7f\u75d5\uff0c\u82d4\u767d\u539a\u817b\u3002\u8109\u6da9\u3002<\/p>\n
\u5b9e\u9a8c\u5ba4\u68c0\u67e5\uff1a\u603b\u80c6\u7ea2\u7d20 TBIL 84.9umol\/L\uff0c\u76f4\u63a5\u80c6\u7ea2\u7d20 DBIL 11.4umol\/L\uff0c\u95f4\u63a5\u80c6\u7ea2\u7d20 IBIL 73.5umol\/L\u3002\u8bc1\u6cbb\u540c\u524d\u3002<\/p>\n
\u5177\u4f53\u836f\u7269\u5982\u4e0b\uff1a\u5f53\u5f5210g\uff0c\u751f\u5730\u9ec430g\uff0c\u71c0\u6843\u4ec115g\uff0c\u7ea2\u82b110g\uff0c\u7099\u7518\u834910g\uff0c\u5ddd\u725b\u819d10g\uff0c\u5ddd\u828e10g\uff0c\u5317\u67f4\u80e110g\uff0c\u8d64\u828d10g\uff0c\u6854\u689710g\uff0c\u4eba\u53c2\u724710g\uff0c\u832f\u82d320g\uff0c\u9eb8\u7092\u767d\u672f15g\uff0c\u6cd5\u534a\u590f10g\uff0c\u9648\u76ae10g\uff0c\u9ed1\u987a\u724720g\uff0c\u8335\u964815g\uff0c\u9eb8\u7092\u82cd\u672f20g\uff0c\u571f\u9cd6\u866b10g\uff0c\u5927\u67a330g\uff0c\u5c71\u836f30g\uff0c\u767d\u77fe2g\u3002<\/p>\n
\u7535\u8bdd\u968f\u8bbf\uff0c\u5b88\u65b9\u6cbb\u7597\uff0c\u60a3\u8005\u9ec4\u75b8\u597d\u8f6c\uff0c\u575a\u6301\u670d\u836f\u6cbb\u7597\u3002<\/p>\n<\/p>\n
\u8ba8\u8bba<\/p>\n
\u5409\u5c14\u4f2f\u7279\u7efc\u5408\u5f81\u662f\u4e00\u79cd\u80c6\u7ea2\u7d20\u7ed3\u5408\u969c\u788d\u7684\u826f\u6027\u9057\u4f20\u6027\u75be\u75c5\u3002\u4e3b\u8981\u662f\u7531\u4e8e\u5c3f\u82f7\u4e8c\u78f7\u9178\u8461\u8404\u7cd6\u919b\u9178\u8f6c\u79fb\u9176 1A1\uff08UGT1A1\uff09\u57fa\u56e0\u542f\u52a8\u5b50\u4e2d\u7684\u7eaf\u5408\u591a\u6001\u6027 A\uff08TA\uff097TAA \u63d2\u5165\u542f\u52a8\u5b50 UGT1A1*28 \u4e2d\uff0c\u4f7f UGT \u6d3b\u6027\u964d\u4f4e\u81f3\u6b63\u5e38\u503c\u7684 30%\uff0c\u4e0d\u80fd\u5c06\u5faa\u73af\u4e2d\u7684\u8102\u6eb6\u6027\u95f4\u63a5\u80c6\u7ea2\u7d20\u8f6c\u5316\u4e3a\u6c34\u6eb6\u6027\u7684\u7ed3\u5408\u80c6\u7ea2\u7d20\uff0c\u5bfc\u81f4\u9ad8\u95f4\u63a5\u80c6\u7ea2\u7d20\u8840\u75c7\u3002<\/p>\n
\u7531\u4e8e\u5176\u8868\u73b0\u4e3b\u8981\u4e3a\u5168\u8eab\u76ae\u80a4\u9ecf\u819c\u9ec4\u67d3\uff0c\u5728\u4e2d\u533b\u4e34\u5e8a\u4e0a\u5f52\u4e3a\u9ec4\u75b8\u7684\u8303\u7574\u3002\u300a\u4e2d\u533b\u5185\u79d1\u5b66\u300b\u6559\u6750\u8ba4\u4e3a\uff0c\u9ec4\u75b8\u53ef\u5206\u4e3a\u9633\u9ec4\u4e0e\u9634\u9ec4\u4e24\u5927\u7c7b\uff0c\u6025\u9ec4\u5c5e\u4e8e\u9633\u9ec4\u91cd\u75c7\u3002\u6cbb\u7597\u603b\u4ee5\u5316\u6e7f\u90aa\u3001\u5229\u5c0f\u4fbf\u4e3a\u4e3b\u8981\u5927\u6cd5\u3002\u5c5e\u4e8e\u6e7f\u70ed\u7684\u5b9c\u6d88\u70ed\u5316\u6e7f\uff0c\u6216\u52a0\u51c9\u8425\u89e3\u6bd2\uff1b\u5c5e\u4e8e\u5bd2\u6e7f\u7684\u5b9c\u6e29\u4e2d\u5316\u6e7f\u3002<\/p>\n
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