鍒嗛浕鍣ㄦ槸榛炵伀绯讳腑浣滈仼鏅傛帶鍒跺垵绱氶浕璺�氭柗锛屾寜闋嗗簭鍒嗛厤鐏姳鍒板悇缂哥伀鑺卞鐨勯儴浠躲�傚垎闆诲櫒涓昏鎳夌敤浜庡偝绲�(t菕ng)榛炵伀绯诲拰鏅�氶浕瀛愰粸鐏郴锛岃�岄�欏叐绋粸鐏郴鍩烘湰涓婂凡缍�(j墨ng)琚窐姹�?锛孎(xi脿n)鍦ㄧ殑姹借粖鐧�(f膩)鍕曟鍩烘湰涓婇兘鍙栨秷浜嗗垎闆诲櫒绋辩劇鍒嗛浕鍣ㄥ井姗熸帶鍒堕粸鐏郴銆�
鍒嗛浕鍣ㄧ敱鏂烽浕鍣�銆侀厤闆诲櫒銆侀浕瀹瑰櫒鍜岄粸鐏彁鍓嶈(di脿o)绡�(ji茅)瑁濈疆绛夌祫鎴�銆傛柗闆诲櫒锛�14-13锛夌殑浣滅敤鏄帶鍒堕粸鐏窔鍦堝垵绱氶浕璺殑閫�銆佹柗锛屼互渚垮湪娆＄礆闆昏矾涓劅鎳夊嚭楂樺闆汇�傚畠鐢辨柗闆诲櫒鍑歌吉9銆佷覆鑱�(li谩n)鍦ㄩ粸鐏窔鍦堝垵绱氱篂绲勯浕璺腑鐨勬柗闆诲櫒瑙搁粸10鍜屾柗闆诲櫒娲诲嫊瑙搁粸鑷�11绲勬垚銆傛柗闆诲櫒鍑歌吉鐨勫嚫瑙掓暩(sh霉)鑸囩櫦(f膩)鍕曟鐨勬埃缂告暩(sh霉)鐩哥瓑锛岄�欐ǎ灏卞彲浠ヤ繚璀夌櫦(f膩)鍕曟鐨勫悇鍊嬫埃缂稿湪涓�鍊嬪伐浣滃惊鐠�(hu谩n)涓悇榛炵伀涓�娆�銆傛柗闆诲櫒鍑歌吉鐢辩櫦(f膩)鍕曟鍑歌吉杌搁﹨(q奴)鍕�锛屽苟浠ョ浉鍚岀殑杞�(zhu菐n)閫熸棆杞�(zhu菐n)銆傜暥鏂烽浕鍣ㄥ嚫杓棆杞�(zhu菐n)鏅�锛屽嚫杓殑鍑歌涓嶆柗鍦伴爞鏂烽浕鍣ㄦ椿鍕曡Ц榛炶噦锛屼娇瑙搁粸涓嶅仠鍦伴枊銆侀枆锛屾帶鍒堕粸鐏窔鍦堝垵绱氶浕璺殑閫�銆佹柗鍜岄粸鐏郴绲�(t菕ng)鐨勫伐浣溿�傚洜姝�锛屾柗闆诲櫒鐩哥暥浜庣敱鏂烽浕鍑歌吉鎺у埗鐨勯枊闂�(gu膩n)銆�
閰嶉浕鍣ㄧ殑浣滅敤鏄皣榛炵伀绶氬湀鐢�(ch菐n)鐢熺殑楂樺闆绘寜鐧�(f膩)鍕曟榛炵伀闋嗗簭鐨勮姹傚垎閰嶅埌鍚勭几鐨勭伀鑺卞銆傞厤闆诲櫒鐢卞垎闆诲櫒钃�12鍜屽垎鐏牠13绲勬垚銆傚垎闆诲櫒钃嬩笂鏈変竴鍊嬩腑蹇冮浕妤靛拰鑻ュ共鍊嬫梺闆绘サ锛屾梺闆绘サ鐨勬暩(sh霉)鐩垏鐧�(f膩)鍕曟姘ｇ几鏁�(sh霉)鐩哥瓑銆傚垎鐏牠瀹夎鍦ㄦ柗闆诲櫒鍑歌吉鐨勫欢闀疯桓涓婏紝鑸囧垎闆诲櫒涓�璧锋棆杞�(zhu菐n)銆傚湪鐧�(f膩)鍕曟宸ヤ綔閬庣▼涓紝鐣跺垎鐏牠鑸囨煇涓�鏃侀浕妤垫帴閫氭檪锛岄粸鐏窔鍦堟绱氱篂绲勪腑鐢�(ch菐n)鐢熺殑楂樺闆荤稉(j墨ng)鍒嗛浕鍣ㄨ搵涓婄殑涓績闆绘サ銆佸垎鐏牠銆佹梺闆绘サ銆侀珮澹撳皫绶氶�佸埌鑸囪┎鏃侀浕妤甸�ｆ帴鐨勬埃缂哥殑鐏姳濉�銆傞浕瀹瑰櫒鐨勪綔鐢ㄦ槸鐢ㄤ締娓涘皬鏂烽浕鍣ㄨЦ榛炲垎闁嬬灛闁擄紝鍦ㄨЦ榛炰箣闁撶敘(ch菐n)鐢熺殑鐏姳銆傚畠瀹夎鍦ㄥ垎闆诲櫒娈间笂锛岃垏鏂烽浕鍣ㄨЦ榛炲苟鑱�(li谩n)銆傞粸鐏彁鍓嶈(di脿o)绡�(ji茅)瑁濈疆鐨勪綔鐢ㄦ槸鍦ㄧ櫦(f膩)鍕曟宸ヤ綔鏅�锛屾牴鎿�(j霉)鐧�(f膩)鍕曟宸ユ硜鐨勮畩鍖栬嚜鍕曞湴瑾�(di脿o)绡�(ji茅)榛炵伀鎻愬墠瑙掋�傚畠鐢遍洟蹇冨拰鐪熺┖鍏╁榛炵伀鎻愬墠瑾�(di脿o)绡�(ji茅)瑁濈疆绲勬垚锛屽垎鍒ュ畨瑁濆湪鏂烽浕鍣ㄥ簳鏉跨殑涓嬫柟鍜屽垎闆诲櫒鐨勫娈间笂銆�
鍌崇当(t菕ng)榛炵伀绯讳腑鐨勫垎闆诲櫒鐨勭祼(ji茅)妲�(g貌u)
閫氬父灏囬厤闆诲櫒銆佹柗闆诲櫒銆侀浕瀹瑰櫒鍙婇粸鐏彁鍓嶈(di脿o)鏁磋缃斁鍦ㄤ竴鍊嬬附鎴愬収(n猫i)锛岀当(t菕ng)绋辩偤鍒嗛浕鍣�锛屽叾妲�(g貌u)閫犲鍦�1鎵�绀恒��
鏂烽浕鍣�
鏂烽浕鍣ㄤ綅浜庡垎闆诲櫒涓儴锛屽浐瀹氳Ц榛炲強鏀灦3涓�绔鍦ㄩ姺杌�12涓�锛屽彟涓�绔鍦ㄦ椿鍕曞簳鏉�6涓�?锛涢浣憒榛炶噦2鐨勪竴绔浐瀹氭湁娲诲嫊瑙搁粸锛屽彟涓�绔篃濂楄鍦ㄩ姺杌�12涓�锛岃Ц榛炶噦褰堢哀浣挎椿鍕曡Ц榛炵穵澹撳湪鍥哄畾瑙搁粸涓婂苟浣胯Ц榛炶噦涓枔鐨勮啝鏈ㄩ爞濉�11鑸囨柗闆诲嚫杓帴瑙搞�傝Ц榛炵敱閹㈠悎閲戝埗鎴�銆傚叐鍊嬭Ц榛炲垎闁嬫檪鐨勯枔闅�锛岀ū鐐鸿Ц榛為枔闅�銆傝Ц榛為枔闅欎笉鑳介亷澶т篃涓嶈兘閬庡皬锛岄亷灏忔檪锛屾槗浣胯Ц榛為枔褰㈡垚鐏姳锛屼娇鍒濈礆闆昏矾鏂烽浕涓嶈壇锛涢亷澶ф檪鍓囦娇瑙搁粸闁夊悎鏅傞枔閬庣煭锛屾墍寰楃殑鍒濈礆闆绘祦涓嶅澶�锛岄�欓兘鏈冧娇娆＄礆闆诲涓嬮檷锛屼竴鑸(gu墨)瀹氳Ц榛為枔闅欑偤0.35-0.45mm銆傜偤浜嗕娇瑭查枔闅欒兘澶犺(di脿o)鏁�锛屽湪鍥哄畾瑙搁粸鐨勬敮鏋朵笂闁嬩竴闀锋Ы锛屽収(n猫i)瑁濅竴鍊嬪亸蹇冭灪閲�5銆傝(di脿o)鏁存檪锛屾澗闁嬪浐瀹氳灪閲�4锛岃綁(zhu菐n)鍕曞亸蹇冭灪閲�5锛屽彲浣垮浐瀹氳Ц榛炵篂閵疯桓12杞�(zhu菐n)鍕曪紝寰炶�屾敼璁婇枔闅欑殑澶у皬銆傝(di脿o)鏁村ソ浠ュ悗锛屽皣鍥哄畾铻洪嚇鎿扮穵銆�
閰嶉浕鍣�
閰嶉浕鍣ㄤ綅浜庡垎闆诲櫒涓婇儴銆傚垎闆诲櫒钃�1鐢辫啝鏈ㄥ埗鎴�锛屼腑闁撶偤涓ぎ鎻掑瓟30锛屽洓鍛ㄦ湁鑸囨埃缂告暩(sh霉)鐩哥瓑鐨勬梺鎻掑瓟29锛屾彃瀛斿収(n猫i)閮ㄥ祵鏈夐妳濂�銆傜敱榛炵伀绶氬湀楂樺鎺ョ窔闋紩鍑虹殑楂樺灏庣窔鎻掑叆涓ぎ鎻掑瓟鍏�(n猫i)锛岀敱鍥涘懆鐨勬梺鎻掑瓟寮曞嚭鐨勯珮澹撶窔鎸夌櫦(f膩)鐏爢搴忓垎鍒ヨ垏鍚勭几鐏姳濉炵殑绲曠罚闆绘サ鐩搁��銆傜敤鐐簿鍒舵垚鐨勪腑蹇冮浕妤�28瑁濆湪涓ぎ鎻掑瓟閵呭涓嬮儴鐨勫嚬鍧戝収(n猫i)锛屽苟鍊熷姪褰堢哀鑸囧垎鐏牠2涓婄殑灏庨浕鐗囩穵瀵嗘帴瑙�銆傚垎鐏牠鐢辫啝鏈ㄥ埗鎴愶紝濂楀湪鍑歌吉杌搁爞绔�锛岃垏鍑歌吉鍚屾杞�(zhu菐n)鍕曘�傛柗闆诲櫒瑙搁粸鍒嗛枊鏅�锛屽垎鐏牠鐨勫皫闆荤墖鎭拌垏鏌愬�嬫梺鎻掑瓟涓嬮潰鐨勬梺闆绘サ鐩稿皪銆傚皫闆荤墖鑸囨梺闆绘サ涔嬮枔鏈�0.25-0.8mm鐨勯枔闅�锛屼互闃叉鐏姳濉炲洜姹℃煋鑰屾紡闆绘檪锛屽皫鑷磋烦鐏�锛岄浕澹撲笅闄嶏紝涔熺郸鍔犲伐鍒堕�犲付渚嗘柟渚�銆�
闆诲鍣�
姹芥补姗熼粸鐏郴绲�(t菕ng)浣跨敤鐨勯浕瀹瑰櫒閫氬父鏄礄璩�(zh矛)鐨勩�傚叾妤电墖鏄叐姊濈嫻闀风殑閲戝爆绠�2銆傜敤鍚屾ǎ鍏╂鐙归暦鐨勫緢钖勭殑绲曠罚绱�1鑸囨サ鐗囦氦閷噸鐤婏紝鍗锋垚鍦撴煴褰�锛屽湪娴告棘锠熺禃绶ｄ粙璩�(zh矛)鍚�锛岃鍏ュ湏绛掑舰鐨勯噾灞娈�4涓姞浠ュ瘑灏�銆傛サ鐗囦箣涓�鑸囬噾灞娈煎湪鍏�(n猫i)閮ㄦ帴瑙�锛涘彟涓�妤电墖鑸囧紩鍑哄娈肩殑灏庣窔5閫ｆ帴銆�
閰嶉浕鍣ㄧ殑妾慨 1) 鍒嗛浕鍣ㄨ搵鐨勬鏌� 鍒嗛浕鍣ㄨ搵鑸囧垎闆诲櫒娈奸珨鐨勯厤鍚堢穵瀵嗗彲闈�锛屼笉鍏佽ū鏈夐’钁楃殑寰戝悜绉诲嫊鍜岃綁(zhu菐n)鍕�銆傚綀绨ч墹鎳夊皣鍒嗛浕鍣ㄨ搵閴ょ穵锛屽湪鍙楅渿鎶栨檪涓嶅緱鏉捐劔銆傚垎闆诲櫒钃嬬殑琛ㄩ潰鎳変繚鎸佹竻娼旓紝鑻ユ湁鐏板〉銆佹薄鍨㈡噳浜堟竻闄ゃ�傛鏌ュ垎闆诲櫒钃嬬殑鏃侀浕妤靛拰涓績闆绘サ鏈夌劇鏄庨’鐕掕潟銆佺己鎼嶃�佽搵瀛愭槸鍚﹀瓨鍦ㄨ绱�銆傚鏈変笉鑹�锛屾噳浜堟洿鎻�銆� 2) 鍒嗛浕鍣ㄨ搵鐨勭禃绶ｆ�ц兘妾㈡煡 鍦ㄥ垎闆诲櫒瑁濊粖鐨勭媭鎱�(t脿i)涓嬶紝鎶婂垎闆诲櫒钃嬫墦闁嬪苟鎳哥┖锛屽皣鐏姳濉炰笂鐨勯珮澹撶窔鍏ㄩ儴鎷斾笅锛屼竴鎵嬫彙鎸佸叏閮ㄩ珮澹撶窔锛屽叾绔牠璺濇埃缂搁珨3~4mm锛屽彟涓�鎵嬬敤璧峰瓙鎾ュ嫊娲诲嫊瑙搁粸鑷�锛屼娇瑙搁粸涓�闁嬩竴闁夈�傚鏋滄煇楂樺绶氱闋垏姘ｇ几楂斾箣闁撴湁鐏姳璺抽亷锛屽墖琛ㄦ槑瑭查珮澹撶窔鎻掑瓟鑸囦腑蹇冮珮澹撶窔鎻掑瓟闁撴紡闆汇�傚悓妯ｅ湴锛屼篃鍙敤姝ゆ柟娉曟鏌ュ悇缂搁珮澹撶窔鎻掑瓟鏄惁婕忛浕銆傝嫢鍒嗛浕鍣ㄨ搵婕忛浕锛屾噳鏇存彌鏂扮殑鍒嗛浕鍣ㄨ搵銆� 3) 鍒嗙伀闋殑妾㈡煡 鍒嗙伀闋垏鍑歌吉闋傜鐨勯厤鍚堟噳绌�(w臎n)鍥哄彲闈狅紱鍒嗙伀闋啝鏈ㄨ〃闈笉鑳芥湁瑁傜磱锛屽惁鍓囨渻閫犳垚楂樺婕忛浕銆傚垎鐏牠鐨勫皫闆婚妳鐗囪〃闈笉鍏佽ū鏈夌噿缂恒�佹柗瑁傜瓑缂洪櫡銆傚鏈変笉鑹紝鎳変簣鏇存彌銆� 榛炵伀鎻愬墠瑾�(di脿o)绡�(ji茅)瑁濈疆鐨勬淇� 鈶犻洟蹇冩彁鍓嶈(di脿o)绡�(ji茅)瑁濈疆鐨勬淇� 鎷嗕笅鍒嗛浕鍣ㄨ搵锛岀敤鎵嬭綁(zhu菐n)鍕曞垎鐏牠锛堥爢鏅傞嚌鏂瑰悜锛�锛屽苟鏀鹃枊鍒嗙伀闋�锛屾鏌ュ垎鐏牠鍦ㄩ洟蹇冭(di脿o)绡�(ji茅)褰堢哀鐨勪綔鐢ㄤ笅鏄惁娌块�嗘檪閲濇柟鍚戦潏娲诲洖浣嶃�傝嫢鍒嗙伀闋洖浣嶈繀閫�锛屽墖瑾槑闆㈠績鎻愬墠瑾�(di脿o)绡�(ji茅)瑁濈疆姝ｅ父锛涘惁鍓�锛岃〃鏄庡叾瑾�(di脿o)绡�(ji茅)褰堢哀寮靛姏閬庡皬锛屾噳浜堟洿鎻�銆� 鈶＄湡绌烘彁鍓嶈缃殑妾慨 鎷嗕笅鍒嗛浕鍣�锛屽緸鐪熺┖鎻愬墠瑁濈疆涓婃媶涓嬬湡绌鸿粺绠�锛岀敤涓�鍙湡绌烘车琛ㄦ帴鍒扮湡绌虹鎺ラ牠涓娿�傚湪鐪熺┖娉佃〃涓婂姞涓婄湡绌猴紙鎵嬪嫊鐪熺┖娉碉級绱�53.3kPa锛�400mmHg锛�锛岀劧鍚庣獊鐒堕噵鏀炬帀鐪熺┖锛岃瀵熻Ц榛炲壇鐨勬椿鍕曞簳鏉挎槸鍚﹀钩婊戠Щ鍕�銆傝嫢娲诲嫊搴曟澘涓嶅嫊锛屽墖瑾槑娲诲嫊搴曟澘鍗℃化鎴栫湡绌烘彁鍓嶈缃け鏁�锛屾噳鎷嗕笅淇京鎴栨洿鎻�銆� 闆诲鍣ㄧ殑妾㈡煡 1) 闆诲鍣ㄧ殑娓│ 鐢ㄨ惉鐢ㄨ〃妾㈡煡闆诲鍣ㄥ彲鍦ㄥ畨瑁濈媭鎱�(t脿i)涓嬫鏌�锛屼篃鍙互鎷嗕笅渚嗘鏌�銆傚湪瀹夎鐙�鎱�(t脿i)涓嬫鏌ユ檪锛屾噳鏂烽枊鏂烽浕鍣ㄧ殑瑙搁粸锛屾鏌ユ柟娉曞涓嬶細 浣块浕瀹瑰櫒鐨勫皫绶氬拰娈奸珨鎼惖锛屽皣钀敤琛ㄦ挜鍒� RXlk 姝愭搵锛岀敤钀敤琛ㄧ殑鍏╄〃绛嗘脯閲忛浕瀹瑰櫒鐨勫皫绶氳垏娈奸珨闁撶殑闆婚樆鍊�銆傝嫢钀敤琛ㄧ殑鍏╄〃绛嗘帴瑙搁浕瀹瑰櫒娈奸珨鍜屽皫绶氭檪锛岃〃閲濈珐鎱㈠湴寰炩�溾垶鈥濅綅缃悜鈥�0鈥濅綅缃柟鍚戞摵鍕�锛岀劧鍚庡張杩呴�熷洖鍒扳�溾垶鈥濅綅缃�锛屽墖琛ㄦ槑闆诲鍣ㄦ甯革紱鍚﹀墖锛岃鏄庨浕瀹瑰櫒鎬ц兘璁婂樊锛屾噳浜堟洿鎻�銆傚井鍨嬫苯杌婂垎闆诲櫒鐢ㄩ浕瀹瑰櫒瀹归噺鐐猴細鈶犻暦瀹夈�佹澗鑺辨睙銆佸悏鏋椼�佹槍娌冲井杌婂垎闆诲櫒鐨勯浕瀹瑰櫒瀹归噺鐐� 0.25/渭F銆傗憽澶╂触澶х櫦(f膩)銆佷簲鑿卞井杌婂垎闆诲櫒鐨勯浕瀹瑰櫒瀹归噺鐐� 0.225~0.275渭F銆� 2) 闆诲鍣ㄧ殑灏辫粖瑭︾伀妾㈡煡 鍙栦笅鍒嗛浕鍣ㄨ搵鐨勪腑蹇冮珮澹撶窔锛屼娇楂樺绶氱闋窛鐧�(f膩)鍕曟姘ｇ几钃嬶紙鎴栬粖楂旓級5~7mm锛屾帴閫氶粸鐏枊闂�(gu膩n)锛岀敤璧峰瓙鎾ュ嫊瑙搁粸锛屼娇瑙搁粸涓�闁変竴鏂�锛屽療鐪嬮珮澹撶伀鑺卞挤搴�锛涘啀寰炲垎闆诲櫒涓婃媶闁嬮浕瀹瑰櫒锛岄噰鐢ㄥ悓妯ｆ柟娉�锛屽療鐪嬪叾楂樺鐏姳寮峰害銆傝嫢鍏╂鐏姳寮峰害鐩稿悓锛屽墖琛ㄦ槑闆诲鍣ㄥ凡鎼嶅锛屾噳浜堟洿鎻�銆� 鍒嗛浕鍣ㄨ桓鍙婇綊杓殑妾慨 鈶犲垎闆诲櫒杌哥殑妾慨 A銆� 鍒嗛浕鍣ㄨ桓寰戝悜璺冲嫊搴︾殑妾㈡煡銆傛妸鍒嗛浕鍣ㄦ楂斿瀭鐩村ぞ鎸佸湪鑷洪墬涓�锛岃綁(zhu菐n)鍕曞垎闆诲櫒杌�锛岀敤鐧惧垎琛ㄦ脯閲忓叾寰戝悜璺冲嫊搴�銆傚垎闆诲櫒杌哥殑寰戝悜璺冲嫊搴︿笉鎳夊ぇ浜� 0.05mm锛屽惁鍓囨噳浜堟牎姝ｆ垨鏇存彌銆� B銆佸垎闆诲櫒杌歌桓鍚戦枔闅欑殑妾㈡煡銆傜敤鎵嬩笂銆佷笅鎷夊嫊鍒嗛浕鍣ㄨ桓锛屽苟鐢ㄥ帤钖勮(gu墨)娓噺鍏惰桓鍚戦枔闅�銆傚垎闆诲櫒杌镐笂銆佷笅绔勫嫊闁撻殭涓嶅緱澶т簬0.25mm锛涘惁鍓囨噳鍔犺(di脿o)鏁村鐗囦簣浠ヨ(di脿o)鏁淬�� C銆佸垎闆诲櫒杌镐笅绔彃闋殑妾㈡煡銆傚垎闆诲櫒杌镐笅绔彃闋垏鎻掑骇鐨勯厤鍚堟噳绌�(w臎n)鍥哄彲闈�銆傝嫢鎻掗牠纾ㄦ悕瓒呴亷 0.30mm鏅傦紝鎳夋洿鎻涙垨淇悊锛涜嫢姗姺鏉炬洜鏅傦紝鎳夋彌鏂版┇閵�銆� 鈶″垎闆诲櫒榻掕吉鐨勬鏌� 妾㈡煡榻掕吉鐨勮吉榻掓槸鍚︾（鎼嶃�佹柗瑁傜己榻�銆佽绱嬬瓑锛屼互鍙婇綊杓垏鍑歌吉杌搁綊杓厤鍚堥枔闅欐槸鍚︽甯�銆傚鏈変笉鑹紝鎳夋洿鎻涘垎闆诲櫒榻掕吉銆�
绲�(ji茅)璜�
鍒嗛浕鍣ㄦ�ц兘鐨勫ソ澹炲皣鐩存帴褰遍熆鐧�(f膩)鍕曟鐨勫伐浣滐紝涔熺洿鎺ュ奖闊挎苯杌婄殑浣跨敤鎬ц兘锛屽彲瑕�锛屽皪姹借粖鍒嗛浕鍣ㄦ晠闅滈�茶妾慨灏嶆苯杌婄殑姝ｅ父浣跨敤鍏锋湁閲嶈鐨勬剰缇�銆�
缍韩闆诲瓙閫�锛岄浕瀛愮煡璀橈紝涓�鏌ョ櫨閫�锛�
宸叉敹閷勮姊�162542鍊�
