\u6587\u7ae0\u6765\u6e90:\u300a\u4ecb\u5165\u653e\u5c04\u5b66\u6742\u5fd7\u300b,2023,32\uff1a833-840\u4f5c\u8005\uff1a\u56fd\u9645\u8840\u7ba1\u8054\u76df\u4e2d\u56fd\u5206\u90e8\u62a4\u7406\u4e13\u4e1a\u59d4\u5458\u4f1aStanford B\u578b\u4e3b\u52a8\u8109\u5939\u5c42\uff08type
\nB aortic dissection\uff0c TBAD\uff09\u662f\u4e00\u79cd\u4e25\u91cd\u5371\u5bb3\u751f\u547d\u5065\u5eb7\u7684\u8840\u7ba1\u75be\u75c5\uff0c\u6709\u8f83\u9ad8\u7684\u81f4\u6b7b\u7387\uff3b1\uff3d\u3002\u8fd1\u5e74\u6765\uff0c\u8154\u5185\u6cbb\u7597\u56e0\u521b\u4f24\u5c0f\u3001\u6210\u529f\u7387\u9ad8\u3001\u672f\u540e\u6062\u590d\u5feb\u7b49\u4f18\u70b9\uff0c\u5df2\u6210\u4e3aTBAD\u7684\u4e3b\u8981\u624b\u672f\u6cbb\u7597\u65b9\u5f0f\uff3b1\uff3d\u3002\u76ee\u524d\uff0c\u4e34\u5e8a\u4e0a\u5c1a\u7f3a\u4e4fTBAD\u8154\u5185\u6cbb\u7597\u56f4\u672f\u671f\u62a4\u7406\u89c4\u8303\u3002\u56fd\u9645\u8840\u7ba1\u8054\u76df\u4e2d\u56fd\u5206\u90e8\u62a4\u7406\u4e13\u4e1a\u59d4\u5458\u4f1a\u7ec4\u7ec7\u56fd\u5185\u8840\u7ba1\u5916\u79d1\u53ca\u76f8\u5173\u9886\u57df\u533b\u62a4\u4e13\u5bb6\u5728\u6df1\u5165\u8ba8\u8bba\u7684\u57fa\u7840\u4e0a\u5236\u5b9a\u4e86\u672c\u5171\u8bc6\uff08\u7b80\u79f0\u300a\u5171\u8bc6\u300b\uff09\uff0c\u65e8\u5728\u4e3aTBAD\u8154\u5185\u6cbb\u7597\u56f4\u672f\u671f\u4e34\u5e8a\u62a4\u7406\u5b9e\u8df5\u63d0\u4f9b\u53c2\u8003\u4f9d\u636e\u3002\u6d77\u519b\u519b\u533b\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u8840\u7ba1\u5916\u79d1\u62a4\u7406\u56e2\u961f\u901a\u8fc7\u5168\u9762\u7cfb\u7edf\u67e5\u9605\u56fd\u5185\u5916\u4e3b\u52a8\u8109\u5939\u5c42\uff08aortic
\ndissection\uff0c AD\uff09\u8bca\u6cbb\u62a4\u7406\u76f8\u5173\u6307\u5357\u3001\u5171\u8bc6\u3001\u7cfb\u7edf\u8bc4\u4ef7\u7b49\u6587\u732e\uff0c\u64b0\u5199\u4e86\u300a\u5171\u8bc6\u300b\u521d\u7a3f\u3002\u9074\u9009\u4e34\u5e8a\u4e00\u7ebf\u5de5\u4f5c10\u5e74\u4ee5\u4e0a\u7684\u533b\u62a4\u4e13\u5bb650\u540d\u7ec4\u6210\u4e13\u5bb6\u54a8\u8be2\u7ec4\uff0c\u5305\u62ec\u533b\u7597\u4e13\u5bb614\u540d\uff0c\u62a4\u7406\u4e13\u5bb636\u540d\uff1b\u5e74\u9f84\uff0848.7\u00b16.6\uff09\u5c81\uff1b\u4ece\u4e8b\u8840\u7ba1\u5916\u79d1\u53ca\u76f8\u5173\u9886\u57df\u5de5\u4f5c\u5e74\u9650\uff0820.0\u00b18.3\uff09\u5e74\uff1b\u9ad8\u7ea7\u804c\u79f041\u540d\uff0c\u4e2d\u7ea7\u804c\u79f09\u540d\u3002\u7ecf\u8fc72\u8f6e\u4e13\u5bb6\u51fd\u8be2\uff0c\u6839\u636e\u4e13\u5bb6\u51fd\u8be2\u7ed3\u679c\u5bf9\u5185\u5bb9\u8fdb\u884c\u8ba8\u8bba\u3001\u8c03\u6574\u3001\u4fee\u6539\uff0c\u6700\u7ec8\u8fbe\u6210\u4e00\u81f4\uff0c\u5f62\u6210\u300a\u5171\u8bc6\u300b\u7ec8\u7a3f\u30021.TBAD\u6700\u65b0\u89e3\u5256\u5b9a\u4f4d\uff3b2\uff3d\u7f8e\u56fd\u8840\u7ba1\u5916\u79d1\u5b66\u4f1a\uff08Society for Vascular Surgery\uff0cSVS\uff09\u548c\u7f8e\u56fd\u80f8\u5916\u79d1\u533b\u5e08\u534f\u4f1a\uff08Society of Thoracic Surgeon\uff0cSTS\uff09\u4e8e2020\u5e74\u8054\u5408\u53d1\u5e03\u4e86\u65b0\u7684AD\u89e3\u5256\u5206\u578b\uff0c\u5176\u4e2d\uff0c\u539f\u53d1\u7834\u53e3\u8d77\u81ea\u65e0\u540d\u52a8\u8109\u5f00\u53e3\u8fdc\u7aef\u53ca\u4ee5\u8fdc\u7684AD\uff0c\u5373\u4e3aTBAD\u3002\u7d2f\u53ca\u7684\u5f62\u5f0f\u5305\u62ec\u5047\u8154\u3001\u8840\u6813\u5316\u7684\u5047\u8154\u548c\u58c1\u95f4\u8840\u80bf\u30022.TBAD\u8154\u5185\u6cbb\u7597\u65b9\u5f0f\u53ca\u9002\u5e94\u8bc1\u80f8\u4e3b\u52a8\u8109\u8154\u5185\u4fee\u590d\u672f\uff08thoracic endovascular aortic
\nrepair\uff0cTEVAR\uff09\u662f\u6cbb\u7597TBAD\u7684\u4e3b\u8981\u65b9\u5f0f\u3002\u4e3b\u8981\u5305\u62ec\u5355\u7eaf\u4e3b\u52a8\u8109\u8986\u819c\u652f\u67b6\u690d\u5165\u672f\u3001\u5f00\u7a97\u4e3b\u52a8\u8109\u8986\u819c\u652f\u67b6\u690d\u5165\u672f\u3001\u5206\u652f\u8986\u819c\u652f\u67b6\u690d\u5165\u672f\u7b49\uff3b3\uff3d\u3002\u9ebb\u9189\u65b9\u5f0f\u5305\u62ec\u5c40\u90e8\u9ebb\u9189\u53ca\u5168\u8eab\u9ebb\u9189\u3002\u6025\u6027\u6216\u4e9a\u6025\u6027TBAD\u8154\u5185\u6cbb\u7597\u9002\u5e94\u8bc1\u5305\u62ec\uff1a\u96be\u4ee5\u63a7\u5236\u7684\u75bc\u75db\u3001\u96be\u4ee5\u63a7\u5236\u7684\u9ad8\u8840\u538b\u3001\u4e3b\u52a8\u8109\u7834\u88c2\u6216\u5148\u5146\u7834\u88c2\u3001\u53d7\u7d2f\u5206\u652f\u52a8\u8109\u4e25\u91cd\u7f3a\u8840\u3002\u5373\u4f7f\u672a\u51fa\u73b0\u4ee5\u4e0a\u60c5\u51b5\uff0c\u8154\u5185\u6cbb\u7597\u4ea6\u53ef\u4f5c\u4e3a\u6025\u6027\u6216\u4e9a\u6025\u6027TBAD\u7684\u9009\u62e9\u3002\u6162\u6027TBAD\u8154\u5185\u6cbb\u7597\u9002\u5e94\u8bc1\u5305\u62ec\uff1aAD\u76f4\u5f84\uff1e5.5 cm\u6216\u76f4\u5f84\u6bcf\u5e74\u589e\u5927\uff1e10
\nmm\uff1b\u7834\u88c2\u6216\u5148\u5146\u7834\u88c2\u7684AD\uff1b\u5176\u4ed6AD\u8fdb\u5c55\u7684\u60c5\u51b5\u7b49\uff3b1\uff0c4\uff3d\u3002\u5f53\u7136\uff0c\u968f\u7740\u8154\u5185\u6cbb\u7597\u6280\u672f\u7684\u4e0d\u65ad\u8fdb\u6b65\uff0c\u590d\u5408\u624b\u672f\u4e5f\u5728\u90e8\u5206TBAD\u6cbb\u7597\u4e2d\u5e7f\u6cdb\u5e94\u7528\u3002TBAD\u7684\u590d\u5408\u624b\u672f\u5305\u62ec\u5168\u8eab\u9ebb\u9189\u4e0b\u884c\u5de6\u9888\u603b\u52a8\u8109- \u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u8f6c\u6d41\u672f\u8054\u5408\u4e3b\u52a8\u8109\u8986\u819c\u652f\u67b6\u690d\u5165\u672f\u3001\u814b\u52a8\u8109- \u814b\u52a8\u8109\u8f6c\u6d41\u672f\u8054\u5408\u4e3b\u52a8\u8109\u8986\u819c\u652f\u67b6\u690d\u5165\u672f\u7b49\uff3b5\uff3d\uff0c\u9002\u5e94\u8bc1\u4e3a\u8fd1\u7aef\u951a\u5b9a\u533a\u4e0d\u8db3\uff08\uff1c1.5 cm\uff09\u6216\u951a\u5b9a\u533a\u4e0d\u826f\u6216\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u53d7\u7d2f\uff3b1\uff0c3\uff3d\u30023 \u672f\u524d\u62a4\u74063.1\u4e13\u79d1\u8bc4\u4f303.1.1\u5939\u5c42\u5f62\u6001\u76f8\u5173\u8bc4\u4f30 \u62a4\u7406\u4eba\u5458\u901a\u8fc7\u67e5\u770b\u60a3\u8005\u5f71\u50cf\u5b66\u8d44\u6599\uff0c\u52a0\u5f3a\u4e0e\u4e3b\u7ba1\u533b\u751f\u7684\u6c9f\u901a\uff0c\u4e86\u89e3\u5939\u5c42\u6495\u88c2\u53e3\u90e8\u4f4d\u53ca\u6495\u88c2\u8303\u56f4\uff0c\u6709\u65e0\u7d2f\u53ca\u5206\u652f\u8840\u7ba1\u7b49\u3002\u6839\u636e\u7d2f\u53ca\u5206\u652f\u8840\u7ba1\u7684\u4e0d\u540c\uff0c\u53ca\u65f6\u8bc4\u4f30\u60a3\u8005\u6709\u65e0\u810f\u5668\u3001\u80a2\u4f53\u7f3a\u8840\u6216\u704c\u6ce8\u4e0d\u826f\u7684\u8868\u73b0\u3002\u5982TBAD\u7d2f\u53ca\u5de6\u9888\u603b\u52a8\u8109\u3001\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u5206\u652f\u8840\u7ba1\uff0c\u8bc4\u4f30\u60a3\u8005\u6709\u65e0\u6655\u53a5\u3001\u534f\u8c03\u80fd\u529b\u969c\u788d\u7b49\u8111\u7f3a\u8840\u7f3a\u6c27\u7684\u8868\u73b0\uff1b\u5982\u7d2f\u53ca\u808b\u95f4\u52a8\u8109\u3001\u9ac2\u5185\u52a8\u8109\uff0c\u8bc4\u4f30\u60a3\u8005\u6709\u65e0\u4e0b\u80a2\u8f7b\u762b\u3001\u622a\u762b\u3001\u5927\u5c0f\u4fbf\u5931\u7981\u7b49\u810a\u9ad3\u7f3a\u8840\u7684\u8868\u73b0\uff1b\u5982\u7d2f\u53ca\u5185\u810f\u52a8\u8109\uff08\u80be\u52a8\u8109\u3001\u8179\u8154\u5e72\u3001\u80a0\u7cfb\u819c\u4e0a\u53ca\u80a0\u7cfb\u819c\u4e0b\u52a8\u8109\u7b49\uff09\uff0c\u8bc4\u4f30\u60a3\u8005\u6709\u65e0\u8840\u5c3f\u3001\u5c11\u5c3f\u3001\u65e0\u5c3f\u3001\u9ad8\u8840\u538b\u3001\u8179\u75db\u3001\u8179\u80c0\u3001\u9ed1\u4fbf\u7b49\u8868\u73b0\uff1b\u5982\u7d2f\u53ca\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u3001\u4e0b\u80a2\u52a8\u8109\uff0c\u8bc4\u4f30\u60a3\u8005\u53d7\u7d2f\u4fa7\u80a2\u4f53\u52a8\u8109\u640f\u52a8\u60c5\u51b5\uff0c\u6709\u65e0\u80a2\u4f53\u53d1\u51c9\u3001\u75bc\u75db\u7b49\u80a2\u4f53\u7f3a\u8840\u7684\u8868\u73b0\uff0c\u4ec5\u7d2f\u53ca\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u6ce8\u610f\u76d1\u6d4b\u8840\u538b\u65f6\u5e94\u9009\u62e9\u53f3\u4e0a\u80a2\u4f5c\u4e3a\u6d4b\u91cf\u90e8\u4f4d\u3002\u540c\u65f6\uff0c\u8fd8\u5e94\u8bc4\u4f30\u60a3\u8005\u662f\u5426\u5b58\u5728\u5939\u5c42\u538b\u8feb\u5468\u56f4\u7ec4\u7ec7\u7684\u8868\u73b0\uff0c\u5982\u6709\u65e0\u58f0\u97f3\u5636\u54d1\u3001\u547c\u5438\u56f0\u96be\u3001\u54af\u8840\u7b49\u538b\u8feb\u8868\u73b0\uff3b1\uff0c6\uff3d\uff0c\u4e00\u65e6\u53d1\u73b0\u75c5\u60c5\u53d8\u5316\uff0c\u7acb\u5373\u6c47\u62a5\u533b\u751f\uff0c\u9075\u533b\u5631\u8fdb\u884c\u76f8\u5e94\u5904\u7406\u3002<\/p>\n
3.1.2\u751f\u547d\u4f53\u5f81\u8bc4\u4f303.1.2.1\u8840\u538b\u3001\u5fc3\u7387\u8bc4\u4f30 \u8840\u538b\u9ad8\u3001\u5fc3\u7387\u5feb\u662f\u5f71\u54cd\u6025\u6027TBAD\u53d1\u5c55\u548c\u9884\u540e\u7684\u6700\u4e3b\u8981\u5371\u9669\u56e0\u7d20\u4e4b\u4e00\uff3b2\uff3d\u3002\u62a4\u7406\u4eba\u5458\u5e94\u9075\u533b\u5631\u4e25\u5bc6\u76d1\u6d4b\u3001\u63a7\u5236\u60a3\u8005\u7684\u8840\u538b\u3001\u5fc3\u7387\u3002\u5bf9\u4e8e\u6162\u6027TBAD\u9ad8\u8840\u538b\u60a3\u8005\uff0c\u9075\u533b\u5631\u4e88\u53e3\u670d\u964d\u538b\u3001\u51cf\u6162\u5fc3\u7387\u7684\u836f\u7269\u63a7\u5236\u8840\u538b\u548c\u5fc3\u7387\uff1b\u5bf9\u4e8e\u6025\u6027TBAD\u60a3\u8005\u5982\u8840\u538b\u8fc7\u9ad8\uff0c\u5e94\u9075\u533b\u5631\u53ca\u65f6\u3001\u51c6\u786e\u4f7f\u7528\u9759\u8109\u964d\u538b\u836f\u7269\uff0c\u5e73\u7a33\u964d\u538b\uff3b7\uff3d\uff0c\u5e76\u5bc6\u5207\u8bc4\u4f30\u7528\u836f\u540e\u6548\u679c\u548c\u6709\u65e0\u4e0d\u826f\u53cd\u5e94\u7684\u53d1\u751f\uff3b8- 10\uff3d\uff08\u89c1\u88681\uff09\u3002\u5efa\u8bae\u5c06\u6025\u6027TBAD\u60a3\u8005\u6536\u7f29\u538b\u63a7\u5236\u5728100\uff5e120 mmHg\uff0c\u5982\u679c\u5408\u5e76\u7cd6\u5c3f\u75c5\u6216\u6162\u6027\u80be\u529f\u80fd\u8870\u7aed\uff0c\u5efa\u8bae\u5c06\u8840\u538b\u63a7\u5236\u5728130\/80 mmHg\u4ee5\u4e0b\uff1b\u5fc3\u7387\u63a7\u5236\u572860\uff5e80\u6b21\/min\uff3b11- 12\uff3d\u3002\u82e5TBAD\u60a3\u8005\u51fa\u73b0\u8840\u538b\u9aa4\u5347\u4f34\u6709\u7a81\u53d1\u75bc\u75db\u6216\u8005\u4f4e\u8840\u538b\uff0c\u5e94\u7acb\u5373\u660e\u786e\u539f\u56e0\uff0c\u8b66\u60d5TBAD\u7834\u88c2\u5bfc\u81f4\u5931\u8840\u6027\u4f11\u514b\u6216\u9006\u6495\u5bfc\u81f4\u5fc3\u5305\u586b\u585e\uff0c\u5fc5\u8981\u65f6\u79ef\u6781\u914d\u5408\u533b\u751f\u62a2\u6551\uff0c\u505a\u597d\u6025\u8bca\u624b\u672f\u51c6\u5907\u30023.1.2.2\u75bc\u75db\u8bc4\u4f30 \u75bc\u75db\u662fTBAD\u60a3\u8005\u6700\u4e3b\u8981\u7684\u4e34\u5e8a\u8868\u73b0\uff0c\u4e5f\u662f\u5f71\u54cd\u8840\u538b\u3001\u5fc3\u7387\u7684\u91cd\u8981\u56e0\u7d20\uff0c\u53ef\u589e\u52a0TBAD\u7834\u88c2\u7684\u98ce\u9669\uff3b13\uff3d\u3002\u62a4\u7406\u4eba\u5458\u5e94\u5168\u9762\u3001\u52a8\u6001\u8bc4\u4f30\u60a3\u8005\u75bc\u75db\u7684\u6027\u8d28\u3001\u90e8\u4f4d\u3001\u7a0b\u5ea6\u3001\u6301\u7eed\u65f6\u95f4\u3001\u4f34\u968f\u75c7\u72b6\uff3b14\uff3d\uff0c\u8bc4\u4f30\u5de5\u5177\u53ef\u4f7f\u7528\u75bc\u75db\u89c6\u89c9\u6a21\u62df\u91cf\u8868\uff08visual analogue scale\uff0cVAS\uff09\u3001\u6570\u5b57\u7b49\u7ea7\u8bc4\u5b9a\u91cf\u8868\uff08numerical rating scale\uff0cNRS\uff09\u3001\u8bed\u8a00\u7b49\u7ea7\u8bc4\u5b9a\u91cf\u8868\uff08verbal rating scale\uff0c VRS\uff09\u3001\u957f\u6d77\u75db\u5c3a\u7b49\uff3b15- 16\uff3d\u3002\u5fc5\u8981\u65f6\u9075\u533b\u5631\u4f7f\u7528\u9547\u75db\u9547\u9759\u836f\u7269\uff08\u89c1\u88682\uff09\uff0c\u53ca\u65f6\u505a\u597d\u7597\u6548\u53ca\u4e0d\u826f\u53cd\u5e94\u89c2\u5bdf\u30023.1.3\u80f8\u90e8\u4f53\u5f81\u8bc4\u4f30 TBAD\u5927\u91cf\u6e17\u51fa\u53ef\u5bfc\u81f4\u80f8\u8154\u79ef\u6db2\uff0c\u8bc4\u4f30\u60a3\u8005\u547c\u5438\u97f3\u3001\u8840\u6c27\u9971\u548c\u5ea6\uff0c\u7ed3\u5408\u8840\u6c14\u5206\u6790\u7ed3\u679c\uff0c\u5224\u65ad\u60a3\u8005\u6709\u65e0\u547c\u5438\u56f0\u96be\u7b49\u60c5\u51b5\uff0c\u9075\u533b\u5631\u505a\u597d\u60a3\u8005\u7684\u5438\u6c27\u62a4\u7406\u30023.1.4\u7898\u8fc7\u654f\u53f2\u8bc4\u4f30 \u8bc4\u4f30\u60a3\u8005\u65e2\u5f80\u6709\u65e0\u7898\u5bf9\u6bd4\u5242\u8fc7\u654f\u53f2\uff0c\u5bf9\u4e8e\u8f7b\u5ea6\u7898\u8fc7\u654f\u60a3\u8005\uff0c\u9075\u533b\u5631\u4e88\u4ee5\u6c34\u5316\u6216\u9884\u9632\u6027\u4f7f\u7528\u76ae\u8d28\u7c7b\u56fa\u9187\u3001\u6297\u7ec4\u80fa\u7c7b\u836f\u7269\u7b49\uff3b18\uff3d\uff0c\u5bf9\u4e8e\u91cd\u5ea6\u8fc7\u654f\u60a3\u8005\u7981\u7528\u7898\u5bf9\u6bd4\u5242\u30023.2\u907f\u514d\u8179\u5185\u538b\u589e\u9ad8\u7684\u62a4\u7406\u7528\u529b\u6392\u4fbf\u3001\u53cd\u590d\u7528\u529b\u54b3\u55fd\u7b49\u884c\u4e3a\u53ef\u4f7f\u60a3\u8005\u8179\u5185\u538b\u589e\u9ad8\u5bfc\u81f4TBAD\u7834\u88c2\uff0c\u662f\u60a3\u8005\u672f\u524d\u731d\u6b7b\u7684\u91cd\u8981\u8bf1\u56e0\uff3b19\uff3d\u3002\u62a4\u7406\u4eba\u5458\u5e94\u4e3b\u52a8\u4e86\u89e3\u60a3\u8005\u751f\u6d3b\u3001\u6392\u4fbf\u4e60\u60ef\uff3b20\uff3d\uff0c\u4e3a\u60a3\u8005\u5236\u5b9a\u4e2a\u6027\u5316\u996e\u98df\u8ba1\u5212\uff0c\u7ed9\u4e88\u4f4e\u76d0\u4f4e\u8102\u9ad8\u86cb\u767d\u9ad8\u7ea4\u7ef4\u7d20\u996e\u98df\uff0c\u82e5\u65e0\u7981\u5fcc\u8bc1\u65f6\u5efa\u8bae\u60a3\u8005\u996e\u6c34\u81f3\u5c111 500\uff5e2 000 mL\/d\uff3b21\uff3d\u3002\u75c5\u60c5\u5141\u8bb8\u65f6\uff0c\u9f13\u52b1\u60a3\u8005\u4e0b\u5e8a\u6d3b\u52a8\uff0c\u4fc3\u8fdb\u80c3\u80a0\u8815\u52a8\u3002\u4fbf\u79d8\u60a3\u8005\u9075\u533b\u5631\u4f7f\u7528\u7f13\u6cfb\u5242\uff0c\u5982\u53e3\u670d\u4e73\u679c\u7cd6\u6eb6\u6db2\u3001\u5f00\u585e\u9732\u7eb3\u809b\u7b49\uff0c\u5fc5\u8981\u65f6\u9075\u533b\u5631\u884c\u5c0f\u91cf\u4e0d\u4fdd\u7559\u704c\u80a0\u3002\u5982\u60a3\u8005\u51fa\u73b0\u6392\u5c3f\u56f0\u96be\uff0c\u5e94\u53ca\u65f6\u5bfb\u627e\u539f\u56e0\uff0c\u534f\u52a9\u5bf9\u75c7\u6cbb\u7597\u3002\u540c\u65f6\uff0c\u6307\u5bfc\u60a3\u8005\u52a0\u5f3a\u4fdd\u6696\uff0c\u9884\u9632\u547c\u5438\u9053\u611f\u67d3\uff0c\u5982\u60a3\u8005\u51fa\u73b0\u9891\u7e41\u54b3\u55fd\uff0c\u5e94\u53ca\u65f6\u5bf9\u56e0\u6cbb\u7597\uff3b22\uff3d\uff0c\u5fc5\u8981\u65f6\u9075\u533b\u5631\u4f7f\u7528\u6b62\u54b3\u836f\u7269\uff0c\u5e76\u8bc4\u4f30\u836f\u7269\u7597\u6548\u53ca\u6709\u65e0\u4e0d\u826f\u53cd\u5e94\u7684\u53d1\u751f\u30023.3\u6d3b\u52a8\u4e0e\u7761\u7720\u5267\u70c8\u8fd0\u52a8\u53ca\u7761\u7720\u969c\u788d\u5747\u53ef\u5bfc\u81f4TBAD\u60a3\u8005\u8840\u538b\u5347\u9ad8\uff0c\u62a4\u7406\u4eba\u5458\u5e94\u505a\u597d\u76f8\u5173\u5065\u5eb7\u6559\u80b2\u3002TBAD\u6025\u6027\u671f\u60a3\u8005\u5e94\u7edd\u5bf9\u5367\u5e8a\u4f11\u606f\uff0c\u6162\u6027\u671f\u60a3\u8005\u53ef\u9002\u5f53\u4e0b\u5e8a\u6d3b\u52a8\uff3b23\uff3d\u3002\u5bf9\u4e8e\u7761\u7720\u969c\u788d\u60a3\u8005\uff0c\u5e94\u4e3a\u5176\u8425\u9020\u5b89\u9759\u3001\u8212\u9002\u7684\u7761\u7720\u73af\u5883\uff0c\u5fc5\u8981\u65f6\u9075\u533b\u5631\u4f7f\u7528\u50ac\u7720\u836f\u30023.4\u5fc3\u7406\u62a4\u7406\u7d27\u5f20\u3001\u7126\u8651\u7b49\u4e0d\u826f\u60c5\u7eea\u5bb9\u6613\u5bfc\u81f4\u60a3\u8005\u8840\u538b\u589e\u9ad8\u3001\u5fc3\u7387\u52a0\u5feb\uff0c\u589e\u52a0\u5939\u5c42\u7834\u88c2\u7684\u98ce\u9669\uff3b24\uff3d\u3002\u56e0\u6b64\uff0c\u62a4\u7406\u4eba\u5458\u5e94\u8be5\u5bc6\u5207\u89c2\u5bdf\u60a3\u8005\u60c5\u7eea\u53d8\u5316\uff0c\u591a\u4e0e\u60a3\u8005\u6c9f\u901a\uff0c\u53ca\u65f6\u4e86\u89e3\u5176\u5fc3\u7406\u9700\u6c42\uff0c\u5efa\u7acb\u826f\u597d\u7684\u62a4\u60a3\u5173\u7cfb\uff0c\u4e3a\u5176\u4ecb\u7ecdTBAD\u6cbb\u7597\u8fdb\u5c55\u53ca\u6210\u529f\u6848\u4f8b\uff0c\u589e\u5f3a\u60a3\u8005\u6218\u80dc\u75be\u75c5\u7684\u4fe1\u5fc3\u30023.5\u672f\u524d\u51c6\u5907\u62a4\u7406\u4eba\u5458\u5e94\u5411\u60a3\u8005\u548c\uff08\u6216\uff09\u5bb6\u5c5e\u7cfb\u7edf\u6027\u8bb2\u89e3\u75be\u75c5\u3001\u624b\u672f\u76f8\u5173\u77e5\u8bc6\uff1b\u672f\u524d\u9075\u533b\u5631\u8fdb\u884c\u6297\u751f\u7d20\u8fc7\u654f\u8bd5\u9a8c\u3001\u5907\u8840\u548c\u76ae\u80a4\u51c6\u5907\uff0c\u76ae\u80a4\u51c6\u5907\u5e94\u4ee5\u526a\u6bdb\u7684\u65b9\u5f0f\u53bb\u9664\u6bdb\u53d1\uff3b25\uff3d\uff0c\u76ae\u80a4\u51c6\u5907\u8303\u56f4\u5305\u62ec\u4f1a\u9634\u90e8\u3001\u53cc\u4fa7\u8179\u80a1\u6c9f\u53ca\u5927\u817f\u4e0a1\/3\u6bdb\u53d1\uff1b\u5982\u8ba1\u5212\u80b1\u52a8\u8109\u7a7f\u523a\u65f6\uff0c\u76ae\u80a4\u51c6\u5907\u8303\u56f4\u8fd8\u5e94\u5305\u62ec\u4ee5\u7a7f\u523a\u70b9\u4e3a\u4e2d\u5fc3\u4e0a\u4e0b15\uff5e20 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\u672f\u540e\u62a4\u74064.1\u996e\u98df\u62a4\u7406\u884c\u5168\u8eab\u9ebb\u9189\u60a3\u8005\u672f\u540e\u6e05\u9192\u4e14\u751f\u547d\u4f53\u5f81\u5e73\u7a33\uff0c\u65e9\u671f\u53ef\u5c11\u91cf\u996e\u6c34\uff0c\u672f\u540e 6 h \u540e\u5982\u65e0\u545b\u54b3\u3001\u6076\u5fc3\u3001\u5455\u5410\u7b49\u4e0d\u826f\u53cd\u5e94\uff0c\u53ef\u9075\u533b\u5631\u4e88\u6d41\u8d28\u3001\u534a\u6d41\u8d28\u6216\u5e38\u89c4\u996e\u98df\uff3b27\uff3d\uff1b\u884c\u5c40\u90e8\u9ebb\u9189\u60a3\u8005\u672f\u540e\u4e88\u4f4e\u76d0\u3001\u4f4e\u8102\u3001\u9ad8\u7ea4\u7ef4\u7d20\u996e\u98df\uff0c\u5982\u60a3\u8005\u5408\u5e76\u5176\u4ed6\u75be\u75c5\uff0c\u4e88\u76f8\u5e94\u6cbb\u7597\u996e\u98df\u30024.2\u8154\u5185\u6cbb\u7597\u672f\u540e\u5e76\u53d1\u75c7\u7684\u9884\u9632\u4e0e\u62a4\u74064.2.1\u8154\u5185\u4fee\u590d\u672f\u540e\u7efc\u5408\u5f81\uff08post endovascular repair syndrome\uff0c 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cm\uff0c\u56f4\u672f\u671f\u4f4e\u8840\u538b\uff08\u6536\u7f29\u538b\uff1c90 mmHg\u6216\u5e73\u5747\u52a8\u8109\u538b\uff1c70 mmHg\uff09\uff3b44\uff3d\u7b49\u3002\uff082\uff09\u9884\u9632\u63aa\u65bd\uff1a\u672f\u540e\u5bc6\u5207\u8bc4\u4f30\u60a3\u8005\u56db\u80a2\u6d3b\u52a8\u80fd\u529b\uff0c\u611f\u89c9\u529f\u80fd\u3002\u5efa\u8bae\u5c06\u60a3\u8005\u6536\u7f29\u538b\u7ef4\u6301\u5728120\uff5e140 mmHg\uff0c\u5e73\u5747\u52a8\u8109\u538b\uff1e70
\nmmHg\uff3b45\uff3d\u3002\u5bf9\u4e8e\u672f\u540e\u7559\u7f6e\u8111\u810a\u6db2\u5f15\u6d41\u7ba1\u7684\u60a3\u8005\uff0c\u62a4\u7406\u4eba\u5458\u5e94\u5145\u5206\u544a\u77e5\u60a3\u8005\u8111\u810a\u6db2\u5f15\u6d41\u7684\u91cd\u8981\u6027\uff0c\u4e25\u683c\u65e0\u83cc\u64cd\u4f5c\uff0c\u59a5\u5584\u56fa\u5b9a\u5bfc\u7ba1\uff0c\u505a\u597d\u6807\u8bc6\uff3b46\uff3d\u3002\u89c2\u5bdf\u5f15\u6d41\u6db2\u7684\u989c\u8272\u3001\u6027\u72b6\uff0c\u6bcf\u73ed\u8bb0\u5f55\u5f15\u6d41\u91cf\uff0c\u63a7\u5236\u5f15\u6d41\u91cf\u5728200 mL\/d\u4ee5\u5185\uff0c\u5e73\u5747\u5f15\u6d41\u901f\u5ea6\uff1c15\uff5e20 mL\/h\uff3b47\uff3d\u3002\u5b9a\u671f\u68c0\u67e5\u7a7f\u523a\u90e8\u4f4d\u6709\u65e0\u7ea2\u80bf\u548c\u6e17\u8840\u6e17\u6db2\uff0c\u8be2\u95ee\u60a3\u8005\u6709\u65e0\u5934\u75db\u3001\u7729\u6655\u3001\u5455\u5410\u7b49\u8868\u73b0\uff3b48\uff3d\u3002\u5f15\u6d41\u671f\u95f4\u4e88\u60a3\u8005\u53bb\u6795\u5e73\u5367\u4f4d\uff0c\u5f53\u9047\u5230\u6539\u53d8\u4f53\u4f4d\u65f6\uff0c\u5e94\u6682\u65f6\u5939\u95ed\u5f15\u6d41\u7ba1\u3002\u5982\u53d1\u73b0\u5f02\u5e38\uff0c\u5e94\u7acb\u5373\u6c47\u62a5\u533b\u751f\u3002\uff083\uff09\u62a4\u7406\u63aa\u65bd\uff1a\u9075\u533b\u5631\u4f7f\u7528\u5347\u538b\u836f\u7269\u63d0\u9ad8\u60a3\u8005\u5e73\u5747\u52a8\u8109\u538b\uff0c\u4e88\u5229\u5c3f\u3001\u6fc0\u7d20\u3001\u8425\u517b\u795e\u7ecf\u7b49\u836f\u7269\uff0c\u505a\u597d\u836f\u7269\u7597\u6548\u53ca\u4e0d\u826f\u53cd\u5e94\u89c2\u5bdf\uff3b38\uff3d\u3002\u505a\u597d\u8111\u810a\u6db2\u5f15\u6d41\u671f\u95f4\u7684\u62a4\u7406\uff08\u63aa\u65bd\u540c\u9884\u9632\u63aa\u65bd\u4e2d\u76f8\u5173\u5185\u5bb9\uff09\u3002\u540c\u65f6\uff0c\u62a4\u7406\u4eba\u5458\u5e94\u53ca\u65f6\u89c2\u5bdf\u60a3\u8005\u53cc\u4e0b\u80a2\u8840\u8fd0\u60c5\u51b5\uff0c\u5305\u62ec\u53cc\u4e0b\u80a2\u52a8\u8109\u640f\u52a8\u60c5\u51b5\u3001\u76ae\u80a4\u989c\u8272\u53ca\u6e29\u5ea6\uff0c\u534f\u52a9\u60a3\u8005\u8fdb\u884c\u53cc\u4e0b\u80a2\u88ab\u52a8\u6d3b\u52a8\uff0c\u4ee5\u9632\u51fa\u73b0\u808c\u8089\u840e\u7f29\u548c\u5173\u8282\u50f5\u786c\uff1b\u4fdd\u6301\u8db3\u90e8\u529f\u80fd\u4f4d\uff0c\u907f\u514d\u8db3\u4e0b\u5782\u3002\u5bf9\u4e8e\u5927\u5c0f\u4fbf\u5931\u7981\u7684\u60a3\u8005\u505a\u597d\u6392\u4fbf\u62a4\u7406\uff0c\u4fdd\u6301\u9ab6\u5c3e\u90e8\u76ae\u80a4\u6e05\u6d01\u5e72\u71e5\uff3b49\uff3d\uff0c\u534f\u52a9\u7ffb\u8eab\uff0c\u9884\u9632\u538b\u529b\u6027\u635f\u4f24\u7684\u53d1\u751f\u30024.2.6\u6025\u6027\u80be\u635f\u4f24\uff08acute kidney injury\uff0c AKI\uff09\uff081\uff09\u5e38\u89c1\u539f\u56e0\uff1a\u672f\u524d\u5408\u5e76\u6162\u6027\u80be\u810f\u75be\u75c5\u3001\u672f\u4e2d\u4f7f\u7528\u5bf9\u6bd4\u5242\u3001\u672f\u4e2d\u64cd\u4f5c\u9020\u6210\u5047\u8154\u4e2d\u8840\u6813\u8131\u843d\u6813\u585e\u80be\u52a8\u8109\uff3b50\uff3d\u3001\u8840\u5bb9\u91cf\u4e0d\u8db3\u3001\u771f\u5047\u8154\u8840\u6d41\u91cd\u65b0\u5206\u5e03\u540e\u9020\u6210\u80be\u810f\u7f3a\u8840\u7b49\uff3b51\uff3d\u3002\uff082\uff09\u9884\u9632\u63aa\u65bd\uff1a\u5bc6\u5207\u76d1\u6d4b\u60a3\u8005\u5c3f\u91cf\u3001\u5c3f\u989c\u8272\u53d8\u5316\uff0c\u8bc4\u4f30\u60a3\u8005\u6709\u65e0\u8170\u80cc\u90e8\u75bc\u75db\u4e0d\u9002\uff0c\u53ca\u65f6\u67e5\u770b\u8840\u808c\u9150\u3001\u5c3f\u7d20\u7b49\u80be\u529f\u80fd\u6307\u6807\u3002\u5bf9\u4e8e\u672f\u524d\u5408\u5e76\u6162\u6027\u80be\u810f\u75be\u75c5\u7684\u60a3\u8005\uff0c\u614e\u7528\u6216\u7981\u7528\u80be\u6bd2\u6027\u836f\u7269\uff0c\u9075\u533b\u5631\u672f\u524d3\uff5e12 h\u548c\u672f\u540e6\uff5e24 h\u4e88\u4ee5\u6c34\u5316\u589e\u52a0\u80be\u8840\u6d41\u91cf\uff3b52\uff3d\u3002\u5e38\u7528\u6c34\u5316\u6db2\u5305\u62ec\u751f\u7406\u76d0\u6c34\u30015%\u8461\u8404\u7cd6\u6eb6\u6db2\u3001\u78b3\u9178\u6c22\u94a0\u6eb6\u6db2\uff0c\u8865\u6db2\u65b9\u5f0f\u5305\u62ec\u53e3\u670d\u3001\u9759\u8109\u6269\u5bb9\u6216\u53e3\u670d\u8054\u5408\u9759\u8109\u6269\u5bb9\uff3b18\uff3d\uff08\u884c\u5168\u8eab\u9ebb\u9189\u60a3\u8005\u5728\u7981\u98df\u7981\u6c34\u671f\u95f4\u4e0d\u5e94\u996e\u6c34\uff09\u3002\u8865\u6db2\u91cf\u5e94\u9075\u5faa\u91cf\u51fa\u4e3a\u5165\u7684\u539f\u5219\u3002\uff083\uff09\u62a4\u7406\u63aa\u65bd\uff1a\u62a4\u7406\u4eba\u5458\u5e94\u4e25\u5bc6\u76d1\u6d4b\u60a3\u8005\u8840\u7535\u89e3\u8d28\u3001\u8840\u6d46pH\u503c\u7b49\u68c0\u9a8c\u6307\u6807\uff0c\u53ca\u65f6\u7ea0\u6b63\u7535\u89e3\u8d28\u548c\u9178\u78b1\u5e73\u8861\u7d0a\u4e71\u3002\u5e76\u914d\u5408\u533b\u751f\u5bf9\u56e0\u6cbb\u7597\uff0c\u5bf9\u4e8e\u6025\u6027\u80be\u52a8\u8109\u6813\u585e\u60a3\u8005\u505a\u597d\u6eb6\u6813\u6216\u624b\u672f\u53d6\u6813\u51c6\u5907\uff1b\u5bf9\u4e8e\u4f4e\u8840\u5bb9\u91cf\u60a3\u8005\uff0c\u9075\u533b\u5631\u5feb\u901f\u8f93\u6ce8\u6676\u4f53\u6eb6\u6db2\uff3b53\uff3d\u7b49\u3002\u5fc5\u8981\u65f6\u9075\u533b\u5631\u4f7f\u7528\u8840\u7ba1\u6d3b\u6027\u836f\u7269\u6269\u5f20\u80be\u52a8\u8109\uff0c\u884c\u80be\u810f\u66ff\u4ee3\u6cbb\u7597\uff08renal
\nreplacement therapy\uff0cRRT\uff09\uff3b54\uff3d\u30024.2.7\u8179\u8154\u5206\u652f\u52a8\u8109\u7f3a\u8840\uff081\uff09\u5e38\u89c1\u539f\u56e0\uff1a\u672f\u4e2d\u64cd\u4f5c\u9020\u6210\u5047\u8154\u4e2d\u8840\u6813\u8131\u843d\u6813\u585e\u80a0\u7cfb\u819c\u52a8\u8109\uff0c\u672f\u540e\u6025\u6027\u80a0\u7cfb\u819c\u52a8\u8109\u8840\u6813\u5f62\u6210\uff3b55\uff3d\uff1b\u672f\u540e\u771f\u5047\u8154\u8840\u6d41\u91cd\u65b0\u5206\u5e03\u540e\u9020\u6210\u80a0\u7f3a\u8840\u3001\u809d\u810f\u7f3a\u8840\u7b49\u3002\uff082\uff09\u75c5\u60c5\u8bc4\u4f30\uff1a\u89c2\u5bdf\u60a3\u8005\u6709\u65e0\u8179\u75db\u3001\u9ed1\u4fbf\u7b49\u8868\u73b0\uff0c\u5982\u51fa\u73b0\u8179\u75db\uff0c\u53ca\u65f6\u8bc4\u4f30\u8179\u75db\u7a0b\u5ea6\u3001\u6027\u8d28\u3001\u6301\u7eed\u65f6\u95f4\uff0c\u8fdb\u98df\u540e\u8179\u75db\u6709\u65e0\u52a0\u5267\uff0c\u662f\u5426\u5408\u5e76\u8179\u80c0\u3001\u8179\u819c\u523a\u6fc0\u5f81\u3001\u80a0\u9e23\u97f3\u6d88\u5931\u3001\u8840\u4fbf\u7b49\u3002\u8bc4\u4f30\u60a3\u8005\u6709\u65e0\u4e4f\u529b\u3001\u6076\u5fc3\u3001\u538c\u98df\u3001\u9ec4\u75b8\u3001\u76ae\u80a4\u7619\u75d2\u7b49\u8868\u73b0\uff0c\u53ca\u65f6\u67e5\u770b\u8840\u4e19\u6c28\u9178\u8f6c\u6c28\u9176\u3001\u78b1\u6027\u78f7\u9178\u9176\u7b49\u809d\u529f\u80fd\u6307\u6807\u4ee5\u8bc4\u4f30\u809d\u529f\u80fd\u60c5\u51b5\u3002<\/p>\n
\uff083\uff09\u62a4\u7406\u63aa\u65bd\uff1a\u4e00\u65e6\u60a3\u8005\u51fa\u73b0\u9635\u53d1\u6027\u8179\u75db\u4f34\u8179\u80c0\u3001\u8179\u819c\u523a\u6fc0\u5f81\u7b49\u8868\u73b0\uff0c\u5e94\u7acb\u5373\u6c47\u62a5\u533b\u751f\uff0c\u534f\u52a9\u533b\u751f\u884c\u6025\u8bcaCT\u68c0\u67e5\uff0c\u4ee5\u5224\u65ad\u662f\u5426\u51fa\u73b0\u80a0\u7cfb\u819c\u52a8\u8109\u7f3a\u8840\u3002\u5982\u51fa\u73b0\u80a0\u7cfb\u819c\u52a8\u8109\u7f3a\u8840\uff0c\u9075\u533b\u5631\u4e88\u7981\u98df\u7981\u6c34\uff0c\u5fc5\u8981\u65f6\u8fdb\u884c\u80c3\u80a0\u51cf\u538b\uff0c\u5f00\u901a\u9759\u8109\u901a\u8def\uff0c\u9075\u533b\u5631\u4f7f\u7528\u6297\u751f\u7d20\u9884\u9632\u611f\u67d3\uff0c\u8865\u6db2\u589e\u52a0\u5185\u810f\u704c\u6ce8\uff0c\u540c\u65f6\u505a\u597d\u8154\u5185\u624b\u672f\u6216\u5256\u8179\u63a2\u67e5\u624b\u672f\u51c6\u5907\uff3b55\uff3d\u3002\u5bf9\u4e8e\u809d\u529f\u80fd\u4e0d\u5168\u60a3\u8005\uff0c\u4e88\u4ee5\u4f4e\u86cb\u767d\u4f4e\u8102\u9ad8\u70ed\u91cf\u996e\u98df\uff0c\u540c\u65f6\u9075\u533b\u5631\u4f7f\u7528\u4fdd\u809d\u836f\u7269\uff0c\u5fc5\u8981\u65f6\u505a\u597d\u624b\u672f\u51c6\u5907\u3002<\/p>\n
4.2.8\u4e0b\u80a2\u52a8\u8109\u6813\u585e\u6216\u8840\u6813\u5f62\u6210<\/p>\n
\uff081\uff09\u5e38\u89c1\u539f\u56e0\uff1a\u672f\u4e2dAD\u5047\u8154\u5185\u9644\u58c1\u8840\u6813\u3001\u786c\u5316\u6591\u5757\u6216\u5f62\u6210\u7684\u8840\u6813\u8131\u843d\u8fdb\u5165\u4e0b\u80a2\u52a8\u8109\u8fdc\u7aef\uff1b\u672f\u4e2d\u6297\u51dd\u4e0d\u8db3\uff0c\u80a1\u52a8\u8109\u505a\u5207\u53e3\u6682\u65f6\u963b\u65ad\u52a8\u8109\uff0c\u5bfc\u81f4\u52a8\u8109\u635f\u4f24\u3001\u8840\u6813\u5f62\u6210\uff3b56\uff3d\u7b49\u3002<\/p>\n
\uff082\uff09\u9884\u9632\u63aa\u65bd\uff1a\u672f\u524d\u5145\u5206\u8bc4\u4f30\u60a3\u8005\u4e0b\u80a2\u52a8\u8109\u8840\u8fd0\u60c5\u51b5\uff0c\u672f\u540e\u89c2\u5bdf\u5e76\u8bb0\u5f55\u8158\u52a8\u8109\u3001\u80eb\u540e\u52a8\u8109\u53ca\u8db3\u80cc\u52a8\u8109\u640f\u52a8\u60c5\u51b5\uff0c\u53cc\u4e0b\u80a2\u76ae\u80a4\u989c\u8272\u3001\u6e29\u5ea6\uff3b57\uff3d\uff0c\u53ca\u65f6\u8bc4\u4f30\u6709\u65e0\u80a2\u4f53\u9ebb\u6728\u3001\u75bc\u75db\u53ca\u8fd0\u52a8\u969c\u788d\u7b49\u8868\u73b0\uff0c\u505a\u597d\u4e0e\u672f\u524d\u7684\u5bf9\u6bd4\u3002<\/p>\n
\uff083\uff09\u62a4\u7406\u63aa\u65bd\uff1a\u7acb\u5373\u9075\u533b\u5631\u6297\u51dd\u6cbb\u7597\uff0c\u53ef\u4f7f\u7528\u6269\u8840\u7ba1\u836f\u7269\u6539\u5584\u5fae\u5faa\u73af\u3002\u60a3\u80a2\u75bc\u75db\u5267\u70c8\u65f6\uff0c\u9075\u533b\u5631\u4e88\u4ee5\u9547\u75db\u6cbb\u7597\u3002\u533b\u751f\u6839\u636e\u60a3\u8005\u75c5\u56e0\u53ca\u75c5\u53d8\u90e8\u4f4d\u9009\u62e9\u4e0d\u540c\u624b\u672f\u65b9\u5f0f\uff0c\u5982Fogarty\u5bfc\u7ba1\u53d6\u6813\u672f\u3001\u7ecf\u5bfc\u7ba1\u6eb6\u6813\u672f\uff08catheter- directed
\nthrombolysis\uff0c CDT\uff09\u7b49\uff3b58\uff3d\uff0c\u62a4\u7406\u4eba\u5458\u505a\u597d\u76f8\u5e94\u7684\u56f4\u672f\u671f\u62a4\u7406\uff3b34\uff3d\u3002<\/p>\n
4.2.9\u9888\u90e8\u4f24\u53e3\u51fa\u8840\u751a\u81f3\u7a92\u606f\uff08\u590d\u5408\u624b\u672f\uff09<\/p>\n
\uff081\uff09\u5e38\u89c1\u539f\u56e0\uff1a\u9888\u90e8\u6b62\u8840\u4e0d\u5f7b\u5e95\u3001\u52a8\u8109\u7f1d\u5408\u4e0d\u4e25\u5bc6\u3001\u51dd\u8840\u529f\u80fd\u5f02\u5e38\u3001\u672f\u540e\u60a3\u8005\u9888\u90e8\u9891\u7e41\u3001\u5927\u5e45\u5ea6\u6d3b\u52a8\u7b49\uff3b59\uff3d\u3002<\/p>\n
\uff082\uff09\u9884\u9632\u63aa\u65bd\uff1a\u672f\u540e\u5bc6\u5207\u89c2\u5bdf\u60a3\u8005\u9888\u90e8\u4f24\u53e3\u6577\u6599\u6709\u65e0\u6e17\u8840\u53ca\u5c40\u90e8\u6709\u65e0\u80bf\u80c0\u4e0d\u9002\uff0c\u6c14\u7ba1\u662f\u5426\u504f\u79fb\uff0c\u8bc4\u4f30\u60a3\u8005\u547c\u5438\u9891\u7387\u3001\u8840\u6c27\u9971\u548c\u5ea6\u3002\u89c2\u5bdf\u60a3\u8005\u6709\u65e0\u5934\u75db\u3001\u6076\u5fc3\u5455\u5410\u3001\u547c\u5438\u56f0\u96be\u7b49\u8868\u73b0\uff3b60\uff3d\u3002\u534f\u52a9\u60a3\u8005\u7ffb\u8eab\u65f6\u52a8\u4f5c\u8f7b\u67d4\uff0c\u907f\u514d\u5934\u9888\u90e8\u5927\u5e45\u5ea6\u6d3b\u52a8\u3002\u5e8a\u65c1\u5907\u7528\u6c14\u7ba1\u5207\u5f00\u5305\u3002<\/p>\n
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4.2.10\u91cd\u5efa\u7684\u4e3b\u52a8\u8109\u5f13\u4e0a\u5206\u652f\u52a8\u8109\u8840\u6813\u5f62\u6210\/\u543b\u5408\u53e3\u72ed\u7a84\uff08\u590d\u5408\u624b\u672f\uff09<\/p>\n
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5\u5c0f\u7ed3<\/p>\n
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\uff3b\u53c2 \u8003 \u6587 \u732e\uff3d\uff08\u7565\uff09<\/p>\n
\uff08\u6536\u7a3f\u65e5\u671f\uff1a2023- 05- 15\uff09<\/p>\n
\uff08\u672c\u6587\u7f16\u8f91\uff1a\u8339 \u5b9e\uff09 <\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
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