\u4f5c\u8005\uff1a\u4f55\u627f\u664b\u3001\u5f20\u534e\u3001\u6f06\u6d2a\u6ce2\u5355\u4f4d\uff1a\u91cd\u5e86\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u4e00\u3001\u524d\u8a00\u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u5360\u5206\u5a29\u603b\u6570\u76840.002%~0.04%\uff0c\u5728\u7f8e\u56fd\uff0c\u8113\u6bd2\u75c7\u73b0\u5728\u662f\u5b55\u4ea7\u5987\u6b7b\u4ea1\u7684\u7b2c\u4e8c\u5927\u539f\u56e0\uff0c\u5360\u6240\u6709\u598a\u5a20\u76f8\u5173\u6b7b\u4ea1\u7684 13.9%\u3002\u5ef6\u8bef\u8bca\u65ad\u3001\u7ba1\u7406\u6b20\u4f73\u5f80\u5f80\u662f\u5bfc\u81f4\u8113\u6bd2\u75c7\u4e0d\u826f\u598a\u5a20\u7ed3\u5c40\u7684\u539f\u56e0\uff0c\u636e\u62a5\u9053\uff0c63%\u7684\u8113\u6bd2\u75c7\u5b55\u4ea7\u5987\u6b7b\u4ea1\u5b58\u5728\u4e0d\u6070\u5f53\u533b\u7597\u5904\u7406\uff0c\u4e3b\u8981\u4e0e\u4ea7\u79d1\u5bf9\u8113\u6bd2\u75c7\u7684\u8ba4\u8bc6\u4e0d\u8db3\u6216\u7ba1\u7406\u6ede\u540e\u76f8\u5173\u3002\u672c\u6b21\u7f8e\u56fd\u6bcd\u80ce\u533b\u5b66\u4f1a\u603b\u7ed3\u4e86\u6709\u5173\u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u7684\u76f8\u5173\u7814\u7a76\u4fe1\u606f\uff0c\u5e76\u7ed3\u54082021\u5e74SSC\uff08\u62ef\u6551\u8113\u6bd2\u75c7\u8fd0\u52a8:\u8113\u6bd2\u75c7\u4e0e\u8113\u6bd2\u6027\u4f11\u514b\u6cbb\u7597\u56fd\u9645\u6307\u5357\uff09\uff0c\u65e8\u5728\u4e3a\u598a\u5a20\u671f\u548c\u4ea7\u540e\u8113\u6bd2\u75c7\u7684\u7ba1\u7406\u63d0\u4f9b\u6700\u65b0\u6307\u5bfc\u3002\u4e8c\u3001\u5b9a\u4e49\u66f4\u65b0\u7684\u8113\u6bd2\u75c7\u5b9a\u4e49\u4e0d\u518d\u5305\u542b\u5168\u8eab\u708e\u75c7\u53cd\u5e94\u7efc\u5408\u5f81\uff08systemic inflammatory response syndrome\uff0cSIRS\uff09 \u3002SMFM\u5c06\u8113\u6bd2\u75c7\u5b9a\u4e49\u4e3a\uff1a\u5bbf\u4e3b\u5bf9\u611f\u67d3\u53cd\u5e94\u5931\u8c03\u5f15\u8d77\u7684\u5371\u53ca\u751f\u547d\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\u3002\u5176\u4e2dSMFM\u6839\u636e\u5e8f\u8d2f\u5668\u5b98\u8870\u7aed\u8bc4\u4f30\uff08SOFA\uff09\u8bc4\u5206\uff08\u89c1\u88681\uff09\u5bf9\u5668\u5b98\u529f\u80fd\u969c\u788d\u8bc4\u5b9a\u3002\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\uff08World Health Organization\uff0cWHO\uff09\u5c06\u598a\u5a20\u548c\u4ea7\u8925\u671f\u8113\u6bd2\u75c7\u5b9a\u4e49\u4e3a\u5728\u598a\u5a20\u3001\u5206\u5a29\u3001\u6d41\u4ea7\u6216\u4ea7\u8925\u671f\u53d1\u751f\u7684\uff0c\u7531\u611f\u67d3\u5f15\u8d77\u7684\u5a01\u80c1\u751f\u547d\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\u3002\u8113\u6bd2\u6027\u4f11\u514b\uff1a\u5728\u8113\u6bd2\u75c7\u57fa\u7840\u4e0a\u51fa\u73b0\u8840\u6d41\u52a8\u529b\u5b66\u6539\u53d8\u3001\u7ec6\u80de\u529f\u80fd\u5f02\u5e38\u548c\u4ee3\u8c22\u7d0a\u4e71\uff0c\u7ecf\u8fc7\u5145\u5206\u7684\u6db2\u4f53\u590d\u82cf\u540e\u4ecd\u9700\u8981\u8840\u7ba1\u5347\u538b\u836f\u7269\u6765\u7ef4\u6301\u5e73\u5747\u52a8\u8109\u538b\uff08mean arterial pressure\uff0cMAP\uff09\u226565mmHg\uff081mmHg=0.133kPa\uff09\uff0c\u540c\u65f6\u4f34\u6709\u8840\u6e05\u4e73\u9178\u6d53\u5ea6\uff1e2mmol\/L\u3002<\/p>\n
\u25b2\u88681\uff1a\u5e8f\u8d2f\u5668\u5b98\u8870\u7aed\u8bc4\u5206\uff08SOFA\uff09<\/p>\n
\u4e09\u3001\u6d41\u884c\u75c5\u5b663.1 \u5371\u9669\u56e0\u7d20 \u4ea7\u524d\uff1a\u5982B\u65cf\u94fe\u7403\u83cc\u611f\u67d3\u53f2\uff0cA\u65cf\u94fe\u7403\u83cc\u611f\u67d3\uff0c\u591a\u80ce\u598a\u5a20\uff0c\u8425\u517b\u4e0d\u826f\uff0c\u80a5\u80d6\uff0c\u8d2b\u8840\uff0c\u7cd6\u5c3f\u75c5\uff0c\u9ad8\u8840\u538b\uff0c\u8f85\u52a9\u751f\u6b96\u6280\u672f\uff0c\u7f8a\u819c\u8154\u7a7f\u523a\u672f\u6216\u5176\u4ed6\u4fb5\u5165\u6027\u624b\u672f\u53f2\uff1b\u4ea7\u65f6\uff1a\u5982\u80ce\u819c\u7834\u88c2\u65f6\u95f4\u8fc7\u957f\u3001\u4ea7\u7a0b\u6d3b\u8dc3\u671f\u5ef6\u957f\u3001\u5bab\u53e3\u5f00\u5168\u65f6\u9634\u9053\u68c0\u67e5\u6b21\u6570\u8fc7\u591a\uff08\uff1e5\u6b21\uff09\u3001\u4ea7\u94b3\u52a9\u4ea7\u3001\u8d1f\u538b\u5438\u5f15\u52a9\u4ea7\u3001\u7d27\u6025\u5256\u5bab\u4ea7\uff1b\u4ea7\u540e\uff1a\u5982\u80ce\u76d8\u6b8b\u7559\uff0c\u4e73\u817a\u708e\uff0c\u6162\u6027\u80be\u810f\u75c5\u3001\u809d\u75c5\uff0c\u5145\u8840\u6027\u5fc3\u529b\u8870\u7aed\u3002<\/p>\n
3.2\u75c5\u56e0<\/p>\n
\u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u7684\u611f\u67d3\u6e90\u53ef\u4ee5\u662f\u76c6\u8154\u6216\u975e\u76c6\u8154\u3002\u88682\u5217\u51fa\u4e86\u6700\u5e38\u89c1\u7684\u539f\u56e0\u3002\u4ea7\u79d1\u8113\u6bd2\u75c7\u4e2d\u7ea630%\u7684\u75c5\u4f8b\u6ca1\u6709\u53d1\u73b0\u660e\u786e\u7684\u611f\u67d3\u6e90\u3002\u6bcd\u80ce\u533b\u5b66\u534f\u4f1a\u3002\u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u3002Am J Obstet Gynecol 2023\u3002<\/p>\n
\u25b2\u88682\uff1a\u8113\u6bd2\u75c7\u7684\u5e38\u89c1\u611f\u67d3\u6e90<\/p>\n
3.3\u5e38\u89c1\u75c5\u539f\u4f53a\uff09\u5927\u80a0\u6746\u83cc\u548cA\u7ec4\u548cB\u7ec4\u94fe\u7403\u83cc\uff08\u6700\u5e38\u89c1\uff09b\uff09\u8461\u8404\u7403\u83cc\uff0c\u9769\u5170\u6c0f\u9634\u6027\u83cc\u548c\u538c\u6c27\u83cc\uff1a\u6709\u53d1\u73b0\u3002c\uff09\u6df7\u5408\u611f\u67d3\uff1a\u5728\u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u6b7b\u4ea1\u7684\u75c5\u4f8b\u4e2d\uff0c\u670915%\u7684\u611f\u67d3\u662f\u591a\u83cc\u611f\u67d3\u3002\u56db\u3001 \u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u7684\u521d\u6b65\u7b5b\u67e54.1\u65e9\u671f\u8bc6\u522b\u6000\u5b55\u548c\u4ea7\u540e\u60a3\u8005\u8d25\u8840\u75c7\u5bf9\u4e8e\u964d\u4f4e\u4e25\u91cd\u53d1\u75c5\u7387\u548c\u6b7b\u4ea1\u7387\u81f3\u5173\u91cd\u8981\u3002\u6307\u5efa\u8bae\u5c06\u6000\u5b55\u671f\u95f4\u7684\u8d25\u8840\u75c7\u548c\u8d25\u8840\u75c7\u4f11\u514b\u89c6\u4e3a\u533b\u7597\u7d27\u6025\u60c5\u51b5\uff0c\u5e76\u7acb\u5373\u5f00\u59cb\u6cbb\u7597\u548c\u590d\u82cf\uff08BEST\uff09\u3002\u5728\u7591\u4f3c\u6216\u786e\u8bca\u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u65f6\uff0c\u65e0\u8bba\u60a3\u8005\u662f\u5426\u53d1\u70ed\uff0c\u5b58\u5728\u5176\u4ed6\u539f\u56e0\u65e0\u6cd5\u89e3\u91ca\u7684\u7ec8\u672a\u5668\u5b98\u635f\u5bb3\u65f6\uff0c\u5373\u53ef\u8bca\u65ad\uff081C\uff09\u3002\u7531\u4e8e\u598a\u5a20\u751f\u7406\u6539\u53d8\u5bf9\u8113\u6bd2\u75c7\u76f8\u5173\u5b9e\u9a8c\u5ba4\u68c0\u67e5\u6307\u6807\u7684\u5f71\u54cd\u3001\u4ee5\u53ca\u611f\u67d3\u6027\u75be\u75c5\u8868\u73b0\u5177\u6709\u591a\u6837\u6027\uff0c\u6b64\u5916\u591a\u6570\u8113\u6bd2\u75c7\u7ba1\u7406\u6307\u5357\u6392\u9664\u4e86\u5b55\u4ea7\u5987\uff0c\u6545\u5176\u5728\u4ea7\u79d1\u4eba\u7fa4\u4e2d\u7684\u771f\u5b9e\u6709\u6548\u6027\u5c1a\u672a\u5f97\u5230\u5145\u5206\u9a8c\u8bc1\u3002\u6307\u5357\u5efa\u8bae\uff1a\u5355\u4e00\u7684\u7b5b\u67e5\u5de5\u5177\u6709\u5c40\u9650\u6027\uff0c\u533b\u7597\u673a\u6784\u5236\u5b9a\u7a0b\u5e8f\u5316\u65b9\u6848\u7b5b\u67e5\u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\uff0c\u907f\u514d\u4f7f\u7528\u5355\u4e00\u7b5b\u67e5\u5de5\u5177\uff081B\uff09\uff0c\u53ef\u8054\u5408\u4f7f\u7528\u8113\u6bd2\u75c7\u7b5b\u67e5\u624b\u6bb5\u548c\u6307\u6807\uff0c\u6539\u826f\u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u7684\u786e\u8bca\u65b9\u6848\uff081B\uff09\u30024.2\u5e38\u7528\u8bc6\u522b\u8113\u6bd2\u75c7\u7684\u65e9\u671f\u9884\u8b66\u8ff9\u8c61\u7684\u7b5b\u67e5\u5de5\u5177\u5305\u62ec\uff1a\uff081\uff09\u6539\u826f\u7684\u65e9\u671f\u4ea7\u79d1\u9884\u8b66\u7cfb\u7edf\uff3bMEOWS\uff08Modified Obstetric Early Warning System\uff09\uff3d\uff082\uff09\u4ea7\u79d1\u8113\u6bd2\u75c7\u8bc4\u5206S.O.S.\uff08Sepsis in Obstetrics Score\uff09\uff083\uff09SOFA\u8bc4\u5206\u3001 qSOFA \u3001\u4ea7\u79d1\u6539\u826fqSOFA\uff3b omqSOFA\uff08obstetric modified quick SOFA\uff09\uff3d\uff084\uff09\u52a0\u5dde\u5b55\u4ea7\u5987\u533b\u7597\u8d28\u91cf\u7ba1\u7406\u5408\u4f5c\u5e73\u53f0\uff08California Maternal Quality Care Collaborative\uff09CMQCC\u201c\u4e24\u6b65\u6cd5\u201d\u3002\u8be6\u89c1\uff08\u56fe1\uff09<\/p>\n
\u25b2\u56fe1\uff1aCMQCC\u201c\u4e24\u6b65\u6cd5\u201d<\/p>\n
\u4e94\u3001\u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u7684\u8bca\u65ad5.1 \u6309\u7167\u5668\u5b98\u529f\u80fd\u969c\u788d\u6839\u636e\u5e8f\u8d2f\u5668\u5b98\u8870\u7aed\u8bc4\u5206\uff08sequential organ failure assessment\uff0cSOFA\uff0c\u88681\uff09\uff0c\u8fdb\u884c\u5224\u65ad\uff0c\u8bc4\u5206\u8f83\u57fa\u7ebf\u4e0a\u5347\u2265\uff12\u5206\u8bca\u65ad\u4e3a\u8113\u6bd2\u75c7\u30025.2 \u6309\u7167\u7f8eCMQCC\u201c\u4e24\u6b65\u6cd5\u201d\uff08\u56fe1\uff09\u7b5b\u67e5\uff0c\u5982\u679c\u8113\u6bd2\u75c7\u7b5b\u67e5\u5448\u9633\u6027\uff0c\u5e76\u6000\u7591\u6216\u5b58\u5728\u611f\u67d3\u8bc1\u636e\u65f6\uff0c\u65e0\u8bba\u662f\u5426\u53d1\u70ed\uff0c\u9700\u8fdb\u4e00\u6b65\u8bc4\u4f30\u5668\u5b98\u635f\u4f24\u7684\u8bc1\u636e\u8fdb\u884c\u8113\u6bd2\u75c7\u7684\u8bca\u65ad\u3002\u4ee5\u4e0b\u68c0\u67e5\u7b26\u54081\u9879\u6216\u591a\u9879\u5373\u53ef\u8bca\u65ad\u8113\u6bd2\u75c7\uff1a\uff081\uff09\u547c\u5438\u7cfb\u7edf\uff1a\u6025\u6027\u547c\u5438\u8870\u7aed\uff0c\u9700\u8981\u6709\u521b\u6216\u65e0\u521b\u673a\u68b0\u901a\u6c14\u6216\u6c27\u5408\u6307\u6570\uff1c300mmHg\u3002\uff082\uff09\u51dd\u8840\uff1a\u8840\u5c0f\u677f\u8ba1\u6570\uff1c100\u00d7109\/L\u6216\u51dd\u8840\u9176\u539f\u65f6\u95f4\u56fd\u9645\u6807\u51c6\u5316\u6bd4\u503c\uff1e1.5\u6216\u6d3b\u5316\u90e8\u5206\u51dd\u8840\u6d3b\u9176\u65f6\u95f4\uff1e60s\u3002\uff083\uff09\u809d\u529f\u80fd\uff1a\u603b\u80c6\u7ea2\u7d20\uff1e20mg\/L\u3002\uff084\uff09\u5fc3\u8840\u7ba1\u529f\u80fd\uff1a\u6536\u7f29\u538b\uff1c85mmHg\u6216MAP\uff1c65mmHg\u6216\u6536\u7f29\u538b\u4e0b\u964d\uff1e40mmHg\uff08\u8f93\u6db2\u540e\uff09\u3002\uff085\uff09\u80be\u529f\u80fd\uff1a\u808c\u9150\uff1e106\u03bcmol\/L\u6216\u5347\u9ad81\u500d\u6216\u5c3f\u91cf\uff1c0.5mL\/\uff08kg\u00b7h\uff09\uff0c\u6301\u7eed2h\u3002\uff086\uff09\u7cbe\u795e\u72b6\u6001\u8bc4\u4f30\uff1a\u6fc0\u52a8\u3001\u6df7\u4e71\u6216\u53cd\u5e94\u8fdf\u949d\u3002\uff087\uff09\u975e\u5206\u5a29\u8fc7\u7a0b\u4e2d\u4e73\u9178\uff1e2mmol\/L\u3002\u516d\u3001\u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u7684\u6cbb\u75976.1 \u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u7684\u9996\u8981\u5904\u7406\u6307\u5357\u63a8\u8350\uff1a\u5bf9\u53ef\u80fd\u51fa\u73b0\u8113\u6bd2\u75c7\u5b55\u4ea7\u5987\u8fdb\u884c\u611f\u67d3\u6027\u548c\u975e\u611f\u67d3\u6027\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\u8bc4\u4f30\uff08best\uff09\u3002\u5728\u5f00\u59cb\u6297\u83cc\u6cbb\u7597\u4e4b\u524d\uff0c\u5bf9\u7591\u4f3c\u6216\u786e\u8bca\u8113\u6bd2\u75c7\u7684\u5b55\u4ea7\u5987\u7684\u611f\u67d3\u539f\u56e0\u8fdb\u884c\u4e34\u5e8a\u8868\u578b\u548c\u5b9e\u9a8c\u5ba4\u6307\u6807\u8bc4\u4f30\uff0c\u5c3d\u65e9\u4f7f\u7528\u7ecf\u9a8c\u6027\u6297\u751f\u7d20\u6cbb\u7597\u30026.1.1\u5feb\u901f\u8bc4\u4f30\u6025\u6027\u75be\u75c5\u7684\u611f\u67d3\u6027\u548c\u975e\u611f\u67d3\u6027\u539f\u56e0\uff083\u5c0f\u65f6\u5185\uff096.1.2\u5982\u679c\u75c5\u53f2\u548c\u4f53\u683c\u68c0\u67e5\u652f\u6301\u8113\u6bd2\u75c7\u5408\u5e76\u4f11\u514b\u5c5e\u5219\u5e94\u57281\u5c0f\u65f6\u5185\u5c3d\u5feb\u8fdb\u884c\u8bc4\u4f30\u30026.1.3\u5b9e\u9a8c\u5ba4\u6307\u6807\u8bc4\u4f30\u901a\u5e38\u5305\u62ec\u5b8c\u6574\u7684\u8840\u7ec6\u80de\u8ba1\u6570\u548c\u9274\u522b\u3001\u4f53\u6db2\u57f9\u517b\uff08\u8840\u3001\u75f0\u3001\u5c3f\u7b49\uff09 \u3001\u8840\u6e05\u4e73\u9178\u6c34\u5e73\u3001\u7efc\u5408\u4ee3\u8c22\u7ec4\uff08\u5305\u62ec\u80be\u529f\u80fd\u548c\u809d\u529f\u80fd\uff09\u3001\u56fd\u9645\u6807\u51c6\u5316\u6bd4\u503c\u7684\u51dd\u8840\u6307\u6807\u3001\u8fd8\u6709\u52a8\u8109\u8840\u6c14\u3002<\/p>\n
6.2 \u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u7684\u96c6\u675f\u5316\u6cbb\u7597<\/p>\n
6.2.1 \u8113\u6bd2\u75c7\u4e00\u5c0f\u65f6\u96c6\u675f\u5316\u6cbb\u7597\uff0c\u5177\u4f53\u63aa\u65bd\u5305\u62ec\uff1a<\/p>\n
\u2460\u68c0\u6d4b\u8840\u4e73\u9178\u6c34\u5e73\uff081B\uff09 \uff0c\u5982\u679c\u8840\u4e73\u9178>2mmol\/L\uff0c\u9700\u8981\u52a8\u6001\u76d1\u6d4b\uff1b<\/p>\n
\u2461\u53ea\u8981\u4e0d\u4e25\u91cd\u803d\u8bef\u6297\u751f\u7d20\u7684\u53ca\u65f6\u6cbb\u7597\uff0c\u7ed9\u4e88\u6297\u751f\u7d20\u6cbb\u7597\u524d\u8fdb\u884c\u5fae\u751f\u7269\u57f9\u517b\uff08\u5305\u62ec\u8840\u57f9\u517b\uff09 \uff08BEST\uff09\uff1b<\/p>\n
\u2462\u7ecf\u9a8c\u6027\u4f7f\u7528\u5e7f\u8c31\u6297\u83cc\u836f\u7269\u6cbb\u7597\uff0c\u6700\u597d\u5728\u786e\u8bca1\u5c0f\u65f6\u5185\u8fdb\u884c\uff081C\uff09 \uff1b<\/p>\n
\u2463\u4f4e\u8840\u538b\u6216\u4e73\u9178\u22654mmol\/L\u65f6\u5feb\u901f\u8865\u5145\u6676\u4f53\u6db230ml\/kg\uff1b<\/p>\n
\u2464\u6db2\u4f53\u590d\u82cf\u671f\u95f4\u6216\u4e4b\u540e\u5982\u6709\u6301\u7eed\u4f4e\u8840\u538b\u65f6\u4f7f\u7528\u8840\u7ba1\u5347\u538b\u836f\u4ee5\u7ef4\u6301MAP\u226565mmHg\u3002<\/p>\n
6.2.2 \u4e73\u9178\u76d1\u6d4b<\/p>\n
\u6307\u5357\u63a8\u8350\uff1a\u5bf9\u7591\u4f3c\u6216\u786e\u8bca\u8113\u6bd2\u75c7\u7684\u598a\u5a20\u6216\u4ea7\u540e\u60a3\u8005\u4e2d\u68c0\u6d4b\u8840\u6e05\u4e73\u9178\u6c34\u5e73(1B)\u3002<\/p>\n
\u89e3\u8bfb\uff1a\u867d\u7136\u5728\u5206\u5a29\u8fc7\u7a0b\u4e2d\uff0c\u9aa8\u9abc\u808c\u6536\u7f29\u4f1a\u5bfc\u81f4\u4e73\u9178\u6c34\u5e73\u4f1a\u6709\u6240\u5347\u9ad8\uff0c\u76ee\u524d\u4ecd\u7136\u8ba4\u4e3a\u68c0\u6d4b\u6bcd\u4f53\u8840\u6db2\u4e2d\u7684\u57fa\u7840\u4e73\u9178\u6d53\u5ea6\u6709\u52a9\u4e8e\u8bc6\u522b\u56e0\u611f\u67d3\u800c\u6b7b\u4ea1\u7684\u9ad8\u98ce\u9669\u60a3\u8005\u3002<\/p>\n
6.2.3 \u5fae\u751f\u7269\u57f9\u517b<\/p>\n
\u6307\u5357\u63a8\u8350\uff1a\u53ea\u8981\u4e0d\u4e25\u91cd\u803d\u8bef\u6297\u751f\u7d20\u7684\u53ca\u65f6\u6cbb\u7597\uff0c\u7ed9\u4e88\u6297\u751f\u7d20\u6cbb\u7597\u524d\u8fdb\u884c\u5fae\u751f\u7269\u57f9\u517b\uff08\u5305\u62ec\u8840\u57f9\u517b\uff09 \uff08BEST\uff09<\/p>\n
\u89e3\u8bfb\uff1a\u7ed9\u4e88\u6297\u751f\u7d20\u540e\uff0c\u5c3d\u7ba1\u5fae\u751f\u7269\u57f9\u517b\u7684\u654f\u611f\u6027\u663e\u8457\u964d\u4f4e\uff0c\u4f46\u4ecd\u5efa\u8bae\u8fdb\u884c\u57f9\u517b\u3002<\/p>\n
6.2.4 \u5fae\u751f\u7269\u57f9\u517b<\/p>\n
\u6307\u5357\u63a8\u8350\uff1a\u5bf9\u4e8e\u611f\u67d3\u6027\u4f11\u514b\u6216\u6781\u6709\u53ef\u80fd\u53d1\u751f\u8113\u6bd2\u75c7\u7684\u5b55\u4ea7\u5987\uff0c\u7ecf\u9a8c\u6027\u4f7f\u7528\u5e7f\u8c31\u6297\u83cc\u836f\u7269\u6cbb\u7597\uff0c\u6700\u597d\u5728\u786e\u8bca1\u5c0f\u65f6\u5185\u8fdb\u884c(1C)<\/p>\n
\u786e\u8bca\u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u540e\uff0c\u5e94\u5feb\u901f\u8bc6\u522b\u611f\u67d3\u6e90\uff0c\u5fc5\u8981\u65f6\u7d27\u6025\u63a7\u5236\u611f\u67d3\u6e90(best)<\/p>\n
\u89e3\u8bfb\uff1a\u4f7f\u7528\u6297\u751f\u7d20\u524d\uff0c\u7559\u57f9\u517b\uff1b\u5c3d\u65e9\u4f7f\u7528\u6297\u751f\u7d20\uff0c\u9009\u62e9\u5408\u9002\u6297\u751f\u7d20\uff1a\u521d\u59cb\u8986\u76d6\u8303\u56f4\u5e94\u5305\u62ec\u538c\u6c27\u548c\u9700\u6c27\u9769\u5170\u9633\u6027\u83cc\u548c\u9769\u5170\u9634\u6027\u83cc\u3002\u598a\u5a20\u6e90\u6027\u611f\u67d3\u8113\u6bd2\u75c7\u7684\u5e7f\u8c31\u7ecf\u9a8c\u6027\u6297\u751f\u7d20\u8986\u76d6\u7387\u89c1\u88683\u3002<\/p>\n<\/p>\n
\u25b2\u88683\uff1a\u598a\u5a20\u6e90\u6027\u611f\u67d3\u8113\u6bd2\u75c7\u7684\u5e7f\u8c31\u7ecf\u9a8c\u6027\u6297\u751f\u7d20\u8986\u76d6\u7387<\/p>\n
6.2.5 \u6db2\u4f53\u590d\u82cf\u6307\u5357\u63a8\u8350\uff1a\u5728\u8113\u6bd2\u75c7\u5408\u5e76\u4f4e\u8840\u538b\u6216\u7591\u4f3c\u5668\u5b98\u704c\u6ce8\u4e0d\u8db3\u65f6\uff0c\u65e9\u671f\uff08\u5728\u786e\u8bca3\u5c0f\u65f6\u5185\uff09\u9759\u8109\u7ed9\u4e881-2L\u5e73\u8861\u76d0\u6676\u4f53\u6eb6\u6db2\u6269\u5bb9(1C);\ufeff\u4f7f\u7528\u5e73\u8861\u76d0\u6676\u4f53\u6eb6\u6db2\u4f5c\u4e3a\u4e00\u7ebf\u6db2\u4f53\u6db2\uff08\u5982\u4e73\u9178\u6797\u683c\u6db2\u3001\u8840\u6d46\u7535\u89e3\u8d28\uff09(1B)\uff1b\ufeff\ufeff\u4e0d\u5efa\u8bae\u4f7f\u7528\u6dc0\u7c89\u6216\u80f6\u4f53\u6db2(1A)\uff1b\ufeff\u8fdb\u884c\u52a8\u6001\u524d\u8d1f\u8377\u6d4b\u91cf\uff0c\u6301\u7eed\u3001\u8be6\u7ec6\u5730\u8bc4\u4f30\u60a3\u8005\u5bf9\u6db2\u4f53\u590d\u82cf\u7684\u53cd\u5e94(1B)\u3002\u89e3\u8bfb\uff1a2021\u5e74SSC\u6307\u5357\u5efa\u8bae\u5728\u524d3\u5c0f\u65f6\u5185\u81f3\u5c11\u63d0\u4f9b30\u6beb\u5347\/\u516c\u65a4\u7684\u6db2\u4f53\uff0c\u7531\u4e8e\u598a\u5a20\u671f\u60a3\u8005\u7684\u6e17\u900f\u538b\u4f4e\uff0c\u5927\u91cf\u8f93\u6db2\u53ef\u589e\u52a0\u80ba\u6c34\u80bf\u98ce\u9669\uff0c\u56e0\u6b64\uff0c\u5efa\u8bae\u65e9\u671f\uff08\u5728\u786e\u8bca3\u5c0f\u65f6\u5185\uff09\u9759\u8109\u7ed9\u4e881-2L\u5e73\u8861\u76d0\u6676\u4f53\u6eb6\u6db2\u6269\u5bb9(1C)\uff0c\u8fdb\u4e00\u6b65\u7684\u6db2\u4f53\u6cbb\u7597\u5e94\u4ee5\u52a8\u6001\u76d1\u6d4b\u524d\u8d1f\u8377\u4e3a\u6307\u5bfc\uff0c\u4ee5\u907f\u514d\u53d1\u751f\u5fc3\u6e90\u6027\u6216\u975e\u5fc3\u6e90\u6027\u80ba\u6c34\u80bf\uff1b\u7f9f\u4e59\u57fa\u6dc0\u7c89\u548c\u660e\u80f6\u589e\u52a0\u6025\u6027\u80be\u635f\u4f24\u548c\u6b7b\u4ea1\u98ce\u9669\u6709\u5173\uff0c\u4e0d\u63a8\u8350\u4f7f\u7528\u30026.2.6\u8840\u7ba1\u5347\u538b\u836f\u7269\u6307\u5357\u63a8\u8350\uff1a\u5c06\u53bb\u7532\u80be\u4e0a\u817a\u7d20\u4f5c\u4e3a\u4e00\u7ebf\u8840\u7ba1\u52a0\u538b\u836f(1C)\u89e3\u8bfb\uff1a\u5c3d\u7ba1\u8fdb\u884c\u6db2\u4f53\u590d\u82cf\uff0c\u4f46\u4ecd\u4f34\u6709\u6301\u7eed\u4f4e\u8840\u538b\u548c\/\u6216\u704c\u6ce8\u4e0d\u8db3\uff0c\u5efa\u8bae\u4f7f\u7528\u53bb\u7532\u80be\u4e0a\u817a\u7d20\u4ee5\u7ef4\u6301MAP\u3002\u8113\u6bd2\u75c7\u8840\u7ba1\u6d3b\u6027\u836f\u7269\u7ba1\u7406\u89c1\u56fe2\u3002<\/p>\n
\u25b2\u56fe2\uff1a\u8113\u6bd2\u75c7\u8840\u7ba1\u6d3b\u6027\u836f\u7269\u7ba1\u7406<\/p>\n
6.2.7\u5176\u4ed6\u5bf9\u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u6709\u76ca\u7684\u7597\u6cd5<\/p>\n
\u6307\u5357\u63a8\u8350\uff1a\u9700\u8981\u52a0\u5f3a\u8840\u7ba1\u52a0\u538b\u6cbb\u7597\u65f6\uff0c\u53ef\u9759\u8109\u6ce8\u5c04\u76ae\u8d28\u7c7b\u56fa\u9187(2B)\u89e3\u8bfb\uff1a\u5bf9\u4e8e\u8113\u6bd2\u6027\u4f11\u514b\u60a3\u8005,\u5728\u7ecf\u8fc7\u5145\u5206\u7684\u6db2\u4f53\u590d\u82cf\u53ca\u8840\u7ba1\u6d3b\u6027\u836f\u7269\u6cbb\u7597\u540e\u5982\u679c\u8840\u6d41\u52a8\u529b\u5b66\u4ecd\u4e0d\u7a33\u5b9a,\u5efa\u8bae\u9759\u8109\u4f7f\u7528\u6c22\u5316\u53ef\u7684\u677e,\u5242\u91cf\u4e3a\u6bcf\u5929200mg \u3002\u6307\u5357\u63a8\u8350\uff1a\u5efa\u8bae\u4f7f\u7528\u836f\u7269\u9884\u9632\u9759\u8109\u8840\u6813\u6813\u585e(1B)\u89e3\u8bfb\uff1a\u8113\u6bd2\u75c7\u60a3\u8005\u53d1\u751f\u9759\u8109\u8840\u6813\u6813\u585e\uff08VTE\uff09\u7684\u98ce\u9669\u9ad8\u8fbe37%\uff0c\u9996\u9009\u4f4e\u5206\u5b50\u809d\u7d20\u9884\u9632VTE\u3002\u6307\u5357\u63a8\u8350\uff1a\ufeff\u5371\u91cd\u598a\u5a20\u5408\u5e76\u8113\u6bd2\u75c7\u60a3\u8005\u8840\u7cd6\u6c34\u5e73>180mg\/dL\u65f6\uff081mmol\/L=18mg\/dL\uff09\uff0c\u8fdb\u884c\u80f0\u5c9b\u7d20\u6cbb\u7597\uff082C\uff09\u3002\u89e3\u8bfb\uff1a\u666e\u901a\u4eba\u7fa4\u4e2d\u8840\u7cd6\u6c34\u5e73>180mg\/dL\uff0c\u4e0e\u5371\u91cd\u75c5\u4eba\u7684\u6b7b\u4ea1\u7387\u589e\u52a0\u6709\u5173\uff0c\u76ee\u6807\u8840\u7cd6\u4e3a\u226410mmol\/L\u3002<\/p>\n
6.3 \u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u7ec8\u6b62\u598a\u5a20\u7684\u65f6\u673a\u548c\u4ea7\u79d1\u5904\u7406<\/p>\n
6.3.1 \u63a7\u5236\u611f\u67d3\u6e90<\/p>\n
\u6307\u5357\u63a8\u8350\uff1a\u7591\u4f3c\u6216\u786e\u8bca\u5b50\u5bab\u6765\u6e90\u7684\u8113\u6bd2\u75c7\uff0c\u4e0d\u8bba\u80ce\u9f84\u5982\u4f55\uff0c\u53ca\u65f6\u5206\u5a29\u6216\u6392\u51fa\u5b50\u5bab\u5185\u5bb9\u7269\uff0c\u4ee5\u63a7\u5236\u611f\u67d3\u6e90\uff081C\uff09<\/p>\n
\u89e3\u8bfb\uff1a\u611f\u67d3\u6e90\u7684\u63a7\u5236\u5305\u62ec\u6709\u9488\u5bf9\u6027\u7684\u6297\u751f\u7d20\u65b9\u6848\u3001\u624b\u672f\u6e05\u521b\u3001\u5206\u5a29\u3001\u751a\u81f3\u5b50\u5bab\u5207\u9664\u672f\u3002<\/p>\n
6.3.2 \u7ec8\u6b62\u598a\u5a20\u7684\u65f6\u673a<\/p>\n
\u5305\u62ecSMFM\u7684\u591a\u6570\u6307\u5357\u666e\u904d\u4e00\u81f4\u8ba4\u4e3a\uff0c\u4e0d\u5efa\u8bae\u4ec5\u4ee5\u8113\u6bd2\u75c7\u4e3a\u552f\u4e00\u6307\u5f81\u800c\u7acb\u5373\u7ec8\u6b62\u598a\u5a20\uff0c\u7ec8\u6b62\u598a\u5a20\u5e94\u4f9d\u636e\u4ea7\u79d1\u6307\u5f81\u3002\u82e5\u660e\u786e\u5b58\u5728\u5bab\u5185\u611f\u67d3\uff0c\u5e94\u7acb\u5373\u7ec8\u6b62\u598a\u5a20\u3002<\/p>\n
\u53c2\u8003\u6587\u732e\uff1a\u7565<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"
\u4f5c\u8005\uff1a\u4f55\u627f\u664b\u3001\u5f20\u534e\u3001\u6f06\u6d2a\u6ce2\u5355\u4f4d\uff1a\u91cd\u5e86\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u4e00\u3001\u524d\u8a00\u5b55\u4ea7\u5987\u8113\u6bd2\u75c7\u5360\u5206 … \u7ee7\u7eed\u9605\u8bfb