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ݼ飺
ŵĿգƳ֢λصϼҳΪҽƿƳ
£ϼҵ쿪ʼ


1 ī
峿
΢紵Ҷɳɳ졣ůϣӳ˿ɫ¡
ĳȴŷ£һ˫ɫСƤףһЩʱ˵ī
˾ҽԺҽƶοƳԱ΢
ԸλսĽӰ˷ͻѾƺ쳾ֻƽݡ㱧ӱȵԺҪǿ
ǰλģһ·ֻжοƳ˵ȴһԲ
Ĭīζ࣬Щѹ
οƳ︹̣ͷе㱾µĳ˹˭ãҽߣҲǺæûȡ
ҵСЩҲǳƶƽ𣬻Ͻ֡ڵ۶վȽţֻܻϼƧװ⡣
ҵСôͶοƳûʲôϵûкλĺ顭˵ʲôʿʲôʲôڶͷ뵽λС˼֡
С⣬ǰתҽԺƺסԺοƳܵ
˵ͷ
Сʱֵ࣬ҼǸС治һȥҪ˵
7꣬οƳשһװ½еƣֵסˡƽ˵
οƳ΢΢һ¡
22ǰ飬ԼֻܼסһţⶼǼԺõġϾλãܺҵнһ顣
ôǵô
һ˲䣬οƳúЩȶסת⡣
ƽʱҽԺҲ࣬ףҩʲôġⲻǰ˼ҴѧôѧǾԱߣʱѧСˣҽԺһЩ˵ǶҽԺʵ۸Ͳϸ񣬺ö׵ˡ
ҲԹûϽģʮҽԺҽԺҲԶҽԺҽԺеǮҪôȥҽԺҪôȥʡ￴û˭
ף˵æͺá
ɾ͸µĳһ㣬ֻе䣬ڣǶĳǹ侢ĥ
οƳĲԣԼԺã˸Ŀ⣬ôѾϰˡ
22ǰ죬壬ҽԺˮζשζû䣬ֱӳԺ
һ뵽ЩͷЩۣ΢ġ
µҽԺҲûе۶ħҽԺôˣ徲ּһ¾õģ
·ţοƳһûһĸܰ˾ҽԺġԡʷмܹ
۸ղſ·ڻûǴǰļ¥֪㻹ǲǵãסĶ۱ԺڶඣȥҵĲҪҪġǼơơűƵӵǱƣҽĿơ
ŶοƳĽܣпڼ22ǰ˾ҽԺû뵽ӹȥȻһ仯ûС
סլ¥棬Ŀ뱣һִڿǲ
ĺשǽĥ꣬ɫ̴ֺ࣬ʵïʢһЩӭų趯
¥ڸǣ˵1ҲҪˡοƳܵǰ˵¥ǱҽԺˡ˼ҵĴ¥Ҫ˵۲ǲܵġⱲҲûʲôͷֻϣǰһԼİ칫ңÿȺȲ衢֪ඡ
ڰ칫УǶž䣬Ȳһζ
˵ţȻӼƷһ
οƳһæţҲǺС΢΢üɫī½ë΢΢գգ
οƳЦСⰡǰһУûǴҽԺô档˵ǿƳʵɼ㡣ҽơƽ̿ơЩӰ˵ĿҶһ£4ˣһݲŵġ
˵ţ۽Ƴᣬлֻ⣬Ҳûָһ30ëͷС
ôôңûнӶοƳĻĶ΢΢˶üͷʵ
Ʒһ峿ķƺҲ궯
οƳ࣬һ֣Цô࣬ҪǼȺ͵ҽԺġţҲѻȥҽԺҲͶСʱ̲ǡټĻҽԺҲǿ
ףüͷ漴չӦһ
˵ţתսǣŲס
ƴǰһ40ꡢ˴Ű׷һ˫ǺɫëС¶棬źܲһľдʵ˵⣬Ωн⣬ӳ
һ£漴ͷŶοƳ
οƳȻѾ󣬵滹Ҫġô˵ﶼҽԺɽϵĵۣ
Ű׷һ糿Сݡףܹǲáһ΢죬οƳû۾ȥ
Ҫʲôɻȴöµûš
ҵġ䡯ĻרҵǸ˲šȴΪ⣬īë۾µĿԶȺԼǸ״ʦ
⻰˵ģȻûȴҪԴǵöοƳò
˾ҽԺ˵ǶҽԺԼҽԺʲôʲôοƳĺܡ
βʲôǱرĿҲƵĿеңҽԺֻȻڿƻСðաҺοҪǿ˲ǣô˵ҽԺ
׶˲ţοƳӡֻ˼֡С̭ǹģֶûУȴԼġ
Ҫһֻ۱һֻۣʲôײ׵ĶοƳҲùܣҲ͹ȥˡǵ棬οƳЩҲס
Ҫؼ˵ЩʲôС⵹νһòףԼҪԹ䡣
οƳһü˼Τ󱦣Ǹء
׷ľΤΤҽȫעţľˣ˻ûע⵽οƳǸû
ľ磬Ҫһ˫ë׵СȺİ׷ϵۣеɷǵ˼
Τ󱦣οƳ֮Ѿ˼ŭ⡣
ණأң
һʮŮûȶοƳŭغ

οƳȫޣֱˡǿǲǣ׵ץˣԼҶزȥ
һȥΤʦһ˵˶οƳһۣװͰ͵˵
󣬲ΪοƳӣĿĻŵΤʦ
οƳҲûŭ̾˿רΤ󱦵סмŶأҪûţοƳֻûˡ
ҽԺҽԺһسҽԺһԲ۹ȥ
ҽƾףһֻڳС
˾ҽԺСҽԺϹͷҲⲻ˶ǮƽʱĶףܿʲôܿʲôҶﶼ
ҲǺôùҽƾףҽƵĻûʲôԵˡʲôҽȫ֮οƳúԼûʲôϵǶҪ
Ը׾͸£һԸһԸ
ɽ첻ͬգС߸šҪǻȥһ˵ҽԺ⽨šڴԼסԺ
οƳסΤҽЩѣɫҪѿжѿ
ҽûôģ
λһϵЩ׼Ӧϣ⻮ĻȲŻԲ󡣡ڶοƳΪѵʱ򣬶ߴ
οƳһѪ
ᣬһУҵ˵ѧҽѧʿȻ°ȻĺΤҽ׵ϸڣб׵ô


2 ˯ϰ
нΤô˵ͣסľĿһ˵ˡ
ո˵ƽ䣬ΤڶУȴƽؾס
˵ĻķʽϤЩʦ˵Լùʱ߶ģû뵽ڰ˾ҽԺȻСˡҲܿ
ֻһۿȥûпеģȴһīſɫ¡ɫ׵ˡȻЩŹ֣ɫºͣڼҴкһ㣬ôûģ
ΤһסˣǸʲô
ʦ˭ղĶԣֻЩϸֵȶʲôˣô£ᵭʵ
Τԥһ£˵һѹĺӣÿ궼ҪΡˣȴˡû£аͺá
ѹһָ˯ʱͻȻ֪岻ܶҽѧһѧ˯̱֢
λСͬ־ո˵ĿģΤ󱦺ܿʵ
˵־ӦͬˣΤȻԶοƳʱЩм仰˵Ը׵ǰˣͿѯʡ
֣ӹľ
Τһ£Լһûע⣬ľ䵽˵档
ոշʲô
˵һʱ27㡣תʱҪڲΪԲĻߣ˳ѹ12㡣
˵ţ˳һȥ򵥵ֻѶΤȴס
ֻһۣȷǰ˵бԼ˼ҶԼһͯӹĥ֪ļҵǰ
λʦ֣ʡ
˵꣬Τ󱦻ĳƺˡ
Τҽģ
ͬʱ˵
Τ󱦶£ɻǰ˷һλˣΪʲôʻߣ
ΤȻ˵ǰλʵ˱ԼлҪ֡
ţı̬ӹ΢΢ʦ֣档ҵа壬û
ĵĻοƳɵۡⶼĸģƽʱѱΤôͳƺСΪʦءҿӲ˵̬ȱȶԼҽƳҪ
뵽οƳࡣµҽԺҽ֪أǳҽԺûҽҵҽơ
ҽʲôţһĴڣοƳԺ߰ϵš
ûдڸаοƳ겻ѡ
ÿ궼ҪΣûȥ濴ôת߽ӣһһʵ
߼۵СۣɼΤ󱦵ıЩԣ֮ǰԶοƳûһһŮĬĿš
߽12꣬ⲡҲǺأֻмʱ˶ˣҸΡѹôѹסͺáҵǳһֱû취ɢΤС˵
һ˵ţһ߲ͷᡣ
ӣɴǸīΤĥλʦȻᣬȴڲֻͬǡīܿʲô
ʿ
ΤһӲˣԤУλʦֿ϶ҪҽĽǶȿʼ壬Ҫô⡣
ǴҽĽǶȣžͽлʿҲԡ
糿ĺʲôôྲֿСѧûҵä
һʿֵҴŹ߳˯죬죬һ
οƳ̾˿ڵСʿǿǲǡҽԺǮ٣˼С綼ˡ˵ģȥֶƵվ¼ıƵǮͱȹʶࡣ
еˮƽ⣬ǼƽʱǶҩģһš
СҪǱˣԼҪôԲȴԼװȥأ
ͷ𣬶οƳȻﲻԾȻոջСʿȻһƵģһŮױݣŵÿѡʷǡ
ǻ߼ʲô¶Сʿʵ
οƳһ⻹ԼϤļƻʿôƽأһְʹȥʲôʱ˵ôͷϸţ͸һľ
ģڰ˾ֵض˭ơ
ԼذɣοƳЩ㱡
ҽԺҽͬ£鷳߲һӣ׹ˣҪ顣
˵峺Сʿһ˿Ρ
С⣬ЩʲôοƳЩλçײó۶ҽԺʲôһ̬ȡ
ؼҴصĿ߲ȥĶˡҪʲôһ飬ƽ׻ԩǮû͵ñǴǡ
ģᱻ˶ſ׷£Ժӵʺ²¡
Щ¶οƳ
οƳкԵļ׿Ǽ׿ԵͼԵµ˯ϰޱ飬ͶοƳС˵
ɶ⣿οƳɻʵ
׿ͼҲ˯ϰҲ֪Ǻһʲôʲӵļ׿ԵͼԵµ˯ϰ⼸ʺһοƳһ±ˡ
òƭ˰ɣ˵һ󳤴ʣʾԼרҵ˶οƳĶˡ
˵ѹ¶˭ûûҲ˵ûԹ⣬ܼܡû˵ʲô׿ͼءȵȡ
׿οƳ￩һ¡
ƽϵĻߵȷ۾еģֻǲ̫ԡοƳŬ۾۲컼ߵó


3 ѧûǰ;
ƽϵк۾е͹һ㻹˵ʲô˼Ĵ۾ôˣοƳʶ뵽
ڼ״١οƳӶˣǿܿе״ϼ׿Цذɡ
˾ˣһصľûУοƳ߶š
׼΢ãȽر롭
Ļ˵һ룬ʿ˼˵ǸҽԺû΢á
ԴϴѧʼȥҽԺϰʵϰһֱش΢ñ룬ñ붼룬˵Ѿһֱܡ
ǰ˾ҽԺ΢öûСҪܾĻ൱ˡ
ȻضѪܵĴ̼һҺ൱ڶٺҺͺšصŨȡߵ״ȵȶҪǽȥġ
û¡Եһᡣ
Ȼأ
ҽô˵꣬תͷΤ󱦣ΤΤҽɡ
ǡΤ󱦻л㱵Ļش
ͼ˵һ£ŸĵͼȻῴһ۶οƳ
С⣬Ҫ徲һĵطôοƳʵ
Ȼī񶼿οƳ׼ȷİԼ˼
˵ͷ
ֵҰɡ
á
οƳЩ㷲ҪɱС⻹ᣬ֪ҽԺĶǵһ㶼ϼҽԺ٣ĳ̶ֳҪһЩ
ؼǴлˣۡСЬڻҽԺë˭Ҷִ˵ġ
˵ģ˵ǰλΤ󱦣ԼΪʲôһֻ۱һֻۼװû
Ƕԭġ
ҪóҽƿƳļƺǳΤ󱦡СⷭԼˣֻǣԼͺá
οƳֵңΤҽȥŻĵͼ¶ϵ͸СȰС⣬ۻҽԺ
οƳվֵֻһ۱㣬һǱ߻ûüʰվڴߣĮ˵Ҫĵ֪
οƳü㻹֪Ҫĵ֪ҲûԼжϵһçס
ֻǼ᲻˵οƳ̾˿Ͽʼơ
ʹҽԺһ˾ҽԺƲûкƵ䱸û΢ãԱȱ롣
˵ûҽֻڿҽҪ˻ߣ绰ֵҽá
ҽԺªͼ򣬰ڴﶼˡ
ܿ죬ΤҽŸմӡĵͼ˽ӶûӣʵΤҽꡢļҽѧԺҵģ
ôʣοƳһӾ
ҪܵĽ࣬򵥶ֱףû˿ΡȻûֱʺ˰裬ҽĽǶʱҵԺУ൱ָű˵ѧûúѧϰҵš
ҵġΤ˵
ţ
ñǻȻīΤ󱦻һ֡ĿϬ絶ֱԼࡣ
æ͵20ǰڰ࣬ơ
ΤֵֹġǰŹֵôԼһ̧ͷĸоأǵ͵ʦһ
ҲǹҳϵѧΤŬ粵һ䡣
ţкѧѾܲˡĵῴô

仰οƳΤ󱦶סˡ˵λǿҴںҽ˵
էôô˵
ؼĵͼûīװţ͸ô˵
U1MMϣTϲγ˫TζʲôһλʦڶοƳΤ󱦵ĶȴôĴ̶
ҽϰաʲôѹŶˣôأҲˣؼҽȻпѧƣǸа
ûʲô¶Ҫǵܼ᲻׷ϵһ¶ʱ᲻Σ
û¶ѧѧϰѧûǰ;
ոջĬɽһϵĳ
С⣬Ҫ㿴һĵ磿οƳһ˵
ΤҽŵʱҿˣǵѪصµ쳣ĵͼѪص߶ȻǼ׿֢νĹѹǼ׿ԵͼԵµ֫
ڼϡ缱Զ෢񾭸ף෢ԼףԼԭ¼̷ԵѪԣЩҾͲ˵ˡ
οƳܲˣϱֳ־˵ϡרᡢֱҪ̫Ũ
רҵ˵¶ָ˭˵ʲô
ûҾȻȥˡ˷ī˵ջʱûе㷦
˵ֱֵ꣬߳ҡ
⡭ǸʻӦôΣΤʵ
΢ãͼطʱ10%Ȼ뵽ˮ10 mmol/СʱٶȾ롣עмѪأҪȻѪҲǻ˵ġ
ҽԺû΢ã1.5gȻؼ500mlǻˮﾲٶȵ10 mmol/Сʱ80/ӾСˣµġСĵΪʹ궯¹ͺá
˵꣬߳ţοƳԼԼлþɫ뿪ʱЩ԰ס
ֱ뿪󼸷ӣΤ󱦲ʵοƣոλ˭
οƳΤһۣһ뵽ղŰ׷׵ӣŭա
糤Ķӡ
ĸ糤
ĸ
Ǹ
ţǸ


4 ˼ҵĺӣϣ
Τһ£漴ɻ˵
Ҳ֪᣿
϶Σ۰˾˭֪ôҶӱ죬Ѿˡ
˵ΤϸֳŹֵı顣
οƳûʣһÿСʱƲȥһ˼ҵĺӡ
ڰ˾磬˼ҵĺӾҵСӡᡣʱȥ˼ʮ꣬Ĵ˵ȴûб绯ұ˴ԽԽ
οƳСʱҲ˵¶Լҵĺӡ
㿴˼ҵĺӣΪʲôҵСܲʮȥʡǶʡص㣿զͲУ
㿴˼ҵĺӣΪʲôҵСʡصһֱǵһμӸ߿ʡ״Ԫȥ˵۶
֮ΣοƳҲǺ
Сôˣ˵ҵСӲȥôҪšΤɻʵ
˭֪οƳ˵˾䣬ȴ룬Сʱ˴δؼ仰ϡ
ȥǻص˾ӣ⺢Ҳǹҵġ
뵽οƳû⣬ʵߵĵ⣿
Τһݣ϶ΣҾͻῴĹĵͼ˵ڲĵ硣
ʵοƳҲû⡣ĵͼ˵ǰ˾ҽԺҽҽԺķѭҽƶá
ῴҲûϲ˵ô࣬οƳúܲ
ΤӹĵͼƬ
϶Σ˿
СⲻôҲûףҪѯ֤һ¡
˵ţʿվ绰𣬹ʮ룬ʿΤ󱦣ƱΣֵѪ1.8ǲǱ걾ȥһѪ
ݼƲͬĻֵҲвͬ˾ҽԺı׼ֵ3.5-4.5mmol/L1.8mmol/Lֵʲôֵڶͣǵĵ̫ͣˡ
ѪصǲٴĶοƳ֪һЩ˵Ϣ˵Ĺңȵȡ
οƳѾǲסʱ˵ǸֿڵĲʲôˣ׿µͼǵá
ǲǹѹοƳΤһۣŸʲôϽȥβ
Τ󱦵۾Щ۽Ż˵Ѫôôͣ
ϽȥأοƳü
Ȼأ
׿ΣȻ󣬵Ȼǻû߼ŻȥҽԺƣ⻹ʡ
οƳΤѾȫɵˡ
Ѫôͣú档ҵСӴī˾̫װˡīܿʲôˣ
żǣοƳվһĬĬĿŻʿСΡ
~~~ֻ𣬰£ĲɵĶοƳһ
Ρ
οƳղŷĵͼҿˣ⣡ץʱ120͵
绰洫һֺҽԺѭΡ
Σʲô⣿
UߣTϲγ˫TǵѪصµ쳣ĵͼˣ֮ǰȲ
ΣѪزˣ1.8mmol/LοƳѹľ˵
ţ
绰θȣȻ֪˾ҽˮƽʲôʱܿĵͼģ
ѾӦļ顢Լơ֪ҪһۣѰѹءҽԺЩȣοƳЩˬ죬˵ĿǼ׿ģҪȥ棬ſһۣ
С
绰洫ܿ϶Ļش𣬶οƳЦˡ
ƽʱ඼ûԼȥҽԺҪʶ˻֢ߣԼˣȻӣҪԼ䡣
ҽƱһ֣˭ҽԺڱĵ׶ء
Ӧôʹ죬ӦǺ׿µѪصϰɡᡭƺе˼
οƳҶϵ绰Ÿ飬2Сʱ󣬻֢֫״⣬ĺһ
˷˰࣬οƳҽԺε绰߼Ǹһ䡣
һ磬ӹ๾졣οƳȥҽƿۣû°ؼҳԷ
һ·λҵСӿƺе˼ǲˮƽҲͦã̫װˣﻹҪī
ΪСʱôͲһͷײǽϣ˵ѾǸƬеˣѵڹëô
صң˵ζӭ
֣ˡﺬŷкһ
ôô磿οƳһ߻Ьһʵ
ȥοƳĶӶη˵֣ô¶
ţߵ¶
˵ʲôţҽԺ˸ɵĻȥҽԺɵӲȥĵġ
¶ҵĶӻˡοƳĲɵ˵
˭ηɵɴ۾תʵ
ᣬͬѧοƳߣҽƵƳ
Ĭ˼֮󣬶ηɹЦСӣ
ô˵ءοƳ˶ηһ˵
СʱͿǸקקӲ˳ۣÿĥ߶ҵĺôô綼ˡηֻ˵ţбҽһ34000Ǯôô
οƳ̾˿ҡҡͷ
ôǸӣֻ顣ţĺ֡ηҡͷԵ˵
õȥƷ̵꣬ҳŶûš
ǹʱ˼롣ηɵ˵ǮĲǡ
οƳݺݵĿŶηɡ
ηɼʱѺĻ˻ȥЦ˵ǽ¶Ҫ϶ȥᡣСӴǰţĺܣԸǡϿ˯¿ηȴÿζһٷ֣ˡؾĶ뿴˿ǻ᲻ʲô顣
˿οƳ뵽īӣƺмС
Ҫʲôȥ
˹׹˾лܲ￼죬Ϊеľ̵ȻҪȥηɵ
𳶣ҲǾ̣
˼Ҹûã˵üǹ˾ѸҵġȥܲʡʡУдҲС
֣Ҫ˹׵дתܸӡ
ϾУҸұӡοƳ߶š
пϣǲڰ˾򷿡ǳϲ˭ҹԸ޵Ҫȥ򷿣ηɺܿ϶˵
극ֱ˲죬ˣȥߣ㿪


5 ˼ҵĺӣУ
ηſϳ
ļ᳤ʲôӶģˣҪСʱŶ˵̫Σֶǵá
ϾСʱԸСһ棬ܿȥУ֮ѶôһˣѾǻˣֻһķš
ηãڳǰֱСͰѶĥ߶ӵı˼ҵĺôʵʵصϲϰ࣬ǵʣһҪӸҹϢˡ
һ뵽Լ̫̫˵ƿԵӣηɾ͸ˡ
˻٣ŬҸõȷŵһߣϰ˹лϴ֮ΡҪһʲôˢأҪԼĳͺˣη֪ⶼΡ
˹ְĿŻȱӻĳЦ
һҪסᣬӺֶηɾͲ֪ˡɣеĻ᲻ߣһηﻹġ
һСʱ󣬶ηͣѳͣ£ͬѧ˸绰˻
һװĵְˣװ硢һȺڵ۶ħۣLZֵطȴΪעĿ
ôôˣŻηûֱȥĶں۲ơ
ǿӣô£
һ΢ţȻ΢𶯻˸Ⱥβһڸжûеͬѧһ¡
ʡǵϴӻ
ǿӼ̻ظһ䡣
һη֮ǰûע⵽ʱĺܹ졣лľLZвȥʡǶܵôô
ⲻѧ
LZкʡǾر˾֮䣬ֱ߾Ӱ˾ӵʡǻҪȵLZĸһ㡣
ηûţҲʣֻǾվںš
ܿ죬ɻ׼㵽һ̽羫ӢŮŮ˳
ӻ˶ʱһͷϵЦηɶ̫ġ塣򹷰η뵽ԼһֱֻܿС꣬ǲΪĲأ
һʮˣĮֻԵкһ½ӻˣ㾶ֱڡ
ηСĵĴչȥӣ˵ʲô
ϵô
ܣҴε绰û˵ͱҶˡʡǵľЦ˵˷ûҼϵ
ܲóֻѯʵĿ⿴һۣ󲦴绰
ηоȣԭΪӲ칤ģû뵽˵ġСƵضʲôҪݷãѵ˵쵼̸Ͷʵô
ҲӦãҪ˹ֿ졢Ͷʣ϶ӴôҲǸмĸɲŶԡ
ƺֻʡ˹׼ŵˣû쵼֡
Ź֡
ηɵĶߣ´һ仰һ֡
ҪԼүӵĸöãʱʡֿɵá֪ܣηҲ鲻Խôš˹ײʡǹ˾ֱֲмĴҲܣ硭пܡ
·װҲˣǰ棬Ŭš
û¶ң¶ҡ
绰ﴫһģûһ˿顣
ȥᣬͲ󡣸òλ˼LZУη뵽ߵ鶼ôᣬƼͲˡ
ȻѾʵ˹׼ҪͶʣôǧԪġôǮپãӶGDP
ɵ绰澹ȻӬһĲͷ
ؼǡ
ؼ˹׼Ŵлľ϶΢ЦǺ쵼㱨һСŲǡ
ȥ
ηҲû뵽ԼҵСоȻĲԻ
ⲻ˵岻ϼôʷ˹һʲô
һ仰û˵꣬绰ѾĮĹҶˡ
Цᶨһ˲ûΪԷľܾĵֱ߳
ӻʻ룬ηһСԼĳ׷ųӵβһ·β档
LZʲôôηһ߿һĥӢ׷飬Ҳûʲô
ٽʡǣݱѪһֱܲҲû˵λӡ
Ҳǣһŵĸ߲һ΢ЦݵԼô֪ءηɺܿ̾˿
ϧ绰ĲԼүӡ
˲ʮӣηɾɵۡӴӻٵһ·ȥûֱǿһϤĵض˾磿
·Ƕη·ôܲʶ
ߴ·ˣһز죬ߴ·ˣη뵽
Ҫӵϸɲпܣ˾ǾûпܵġؼҴô꣬û˵Ƶضɳȥʲôˡ
ɵĸڳӺ棬ηԽԽ飬ҪȥԼүӸöáһܶǰԼүӺλĸйʲôأ߶ǰĹԷԼүӾһ
ȻǸ䡢һֱڶ߻ƣܣηɻǲԸֱӻΡ
ڴУӲûߴ·ֱ˰˾磬һ²ɵסլ¥ǰ
·ϵ˶òĿ⿴һɫ˾ĺγѩı۳ꡢصĺɫûҲܴǹɭȻио
ƽʱֱĵ¿ӶԶԶģ鷳
ס˭ηŵĸں棬ɻ
Ϊ׵˺ߵС̸˼䣬Ԫǰ塣
ĸʦѣʦº˵
ʦո۵ģѵ᣿ηԺһ족ͷ


6 ˼ҵĺӣ£
ѰﴫһŮ˵Ĵ
ִη˶ɵˡ᣿첻ȥĻϼҿô
ʲôѵֻǻȼٵģ˼ķˮŵĴ쵼Ҫϸƨ
ں˼УԪŴ򿪣һ¥ηԥ0.2룬ںβȥ
ⶰ¥ıȽ磬ڰ˾һϵ¥ʱ߶˴ϵΣھ;¥ơվʮװĵĶְҵ֮󣬸ηһִĸо
ĸá
˹׵ܾվǰ΢΢Ϲʽͨʺ򡣿Щ֣ö
ѰɣһֻʮŮе㵵Ŀ¥˵
ˡܾ˵֪ʦعҴš
˵һ룬ݴһ᲻ڼҡ

ηһ£ĮЩǩԼ֪еǸûʲôͬ
ô꣬ǵûб䣬ƺø
ĸЩΣ˼˵ҼƢ̫ã⡣
ĸʦټˣҴˡܾæ˵˵꣬΢΢ߣżֹʦҸƽʱרõƷġ
Ʒ
ηﳹױ˽
˹ײǳƷôǸʲôѵ˵ԪʼCosˣҲ̫ˡǮ˻棬
ԣһŴлܾôƨƨ˾Ʒ¶ôô˼顣ѵǼٵģ
ƭӶôרҵôηﴧʮΪʲôɵĿܾϹȻܾĸ׵ֻһµ̽Ƭֱˡ
һ¥Ƶ¥ηɲ·ܾ߹ʱԼоһǿѹȸӭ
Сɰʲôʱģ迴ηɣкһ
ҡ˵ˣηɽͰ͵˵
ô˵ܾͷĿһۣת뿪
СɣϢЪģһһºô
ãáηֻҸڣ˵ҲƵˡ
ţ̾˿һ۵ϵӣߵǰţСᣬˣҲһۡ
裬ںϣ졣
ŰɣϸعϹҽԡ
ڴϣ۾ڹⲼĴⶼ档ڴϣȴīϴźɫСƤס
磬˭ˣ绰Ůʵ
˹׵ܣӦǸġᵭ˵Ͻ
ϣһûˣŮЦ˵
˵ҽԺУһȥͿ˸Ѫص֫ԵĻߡ
ժ۾ˣ
ûУһ۾֪˵ժ۾Уһĵͼڻ
֪סһϣ죬ȥ֪ϣ˵ǧԼժ۾Ҹ㽲ҪȥסICUԣ˾ûICUɡ
ǻʧߡͷۣôICUȥˡˣץʱ
֪ϳʲô
˵عϹҽǰ˿عϡСʱϲԣʱعϣõĶֻйʱŻ԰˿عϡ
˶ʮӣŹҶϵ绰
С˳ΪţǱ׼ı˼ҵĺӡпգֻԼ֪
ӵгǿļճĵεΡࡰáļ䶼Ǵ洢ڵļһֻҪͷһͻԺ
һӦǳۺ֢Ƴ֢ļڱ˿츳ῴȴһΪʹ顣
󣬲ǵûбᣬԽԽءǼסһУǰװһԾзϢ
Ҳǳ֢߶ȻԼѧۺ
֢ѧۺûб׼ʵҼΪݣֻǲ²⡣ˣ˫֣Լ޷ܵĵز
˵ֵʱܹͨͨȡ¶ж϶ԷԼԼϢЩ⣬ܸܵԷָƵϸ΢Ϣ
ѧϵ⣬ָơơǱƤƤ֮Ƥ֯Ƥ͹𣬳ΪƤRTDermal papillae
ûһƬҶӣ˫ָ̥ҲͬôľĿ᳹׹Ԩ
ͨĳ֢߶һϢӿ룬˶ˡֻҪһһ޵ϢӿԺͷѡ
컹ãҹ˾ʱᶼϢ
ʧ֣ܺú˯
󣬾ܾ˹֪ϢĸҽԺ룬ֱӻصϼҡϼ徲ٽյϢǺõġʲôǰƽ
һѹĻߣһ


7 
⣬ˡ
أ
ϴ֣׼ԷΧȹϲ˲֣ʵʣһƿę́ó
϶ôүúúһ̩˵
һװң׳ʵɫڣһȻǳɤӺֻԼЩ죬Ũڵüëһ
֣ˡ߳˵
СӣôëڼҴʲôīһͲǺˣҲ֪ȥ˭ѧģģ̩
۾ãֲǲ֪˵ˣҾ㲻ʲôˣҲġһ㶼ĵĺŪš
ԼһֱûͰ˵ǵġ֪ˣֻг֪ϣһ
һʵЩûžۣһӵķˣʮę́Υ֮֡
̩ûΪʲôصϼңܹĺòãûгϢԼҵĺӲǡ
Ҳ֪ǻ徲ģֻǸһҽƵл˵ѧ͹ЭͲʿƾڰ˾磬һҽûĸƳֻԡ
ǰ̿Բʣбǰ̸Ҫ顪ڽӴ
߻⣬بŲ䡣ѾݵҪߵ̩Ҫ
һ˱˿ڲˣ̩Ȳİѻ
ᰡСϣ׼ʲôʱ飿̩ʵ
ȻѾʮˣ̩ʱ򵱹Ӳʣ˵ʮ㡣
Сϣ˵ʦãʵͽܡҽŮѡƷ̫̫գǼеζźɫСƤףſӵӿЩŹ֡
һֱ۽⿴Լүӡ
үֺٰѹϵؼҵˣææۣίίᶾǱᶾ򣬵صЦġ
͹ˣһֱüʲô¶
Сӣ̩˼ҹòǳԸĨ˰ɡ
㿴˵ģʲôԸĨˣô˵Լӵôƽ˵ǿ츳ָһʱ䡣
ⶼˣ㡣껹ǰ꣬ڵ۶ʱʶģ˼ҹ˵Ǵͽܣ۸û棿ôҲϻʿˣʲôû˭ͽô
ͽôܿסֽڿģͷһ̨ģô£ֲԼġ
裬ôҰ˵ҾءѲСʱۼװʱ͵ģ
УʺЦ
㵽ôģ̩üʵ
Щڻˡ
˾ӸͲԼеԴȻ٣¶һ㶼١ջؼңүӵļƣԼҪǻش𲻳⣬ҪԼɨسš
գę́ĴҲȲᡣ
ɲǸմУ԰µꡣ𱭣Լүһֺͱһ£̵İѾƺȥ
㡣
֣ȱ˵ң㿴㡣ῪʼΧκԣü羫׼ƶʲô¶ˣĸϳԾȼҲԸƶ¸
˵¶̩ϳݸʢᣬת˲ȥ̾΢΢ҡҡͷ
ǴѧٲϰȻ塢Ȼ͵߿ࣿҪ
̩̾˿ǰľƱԹԵĺһڡ
˵˵šʲôͻ̣ʲôߣѪѹѪǡѪ֬˵
ô˵ءһ˵˵ϵ飬ԲˣԲˡ
Ҫߣѹؼңһ˿ţбѹһ졣ôôһ֣ˣҪˣʲô˵˵ɣѹˡôҲѧרңôɣȥҽᣬӵרҡ
𳶵춼졭̩˵˰䣬϶ס廹ǵô
ǵã־ᣬʱٵĴѧ56ˡСʱңҪۼҵ׼ҡ
ţ綼ˡ
ǿЦġСʲôʱģôû˵һ˵£ôˣ
ƽʱʲôҲ֪첻֪ӵаӻʱӾͿʼǽһ̩üͷĸɫѿ뵽ӻϴ˵Ļ
ţ˿ڲ˷ȴûóȥʼĥԼүӵ仰
ͨ쵼Ǻ飬ũ塣Ҫǲֱһ㣬ѹƲʱǲڡ
֪־ΪͣݺͰ˾ȴûе¡־ˣԼүӶˡ
أЦ
Ҳ֪ôˣĻ鱾ǹھ׼ƶġĲˣԭΪʮӽСӽžˣһֱһСʱ̩
ԣ̩Ļ


8 
Ҳ֪ԾǾ׼ƶʣµǼӻͷڵİɡ̩̾
;׼ƶûϵĳԵķѿӷϣñֱһѳʵ
ô
ǿˣհ˵ûʲôѹ˵ˣô鶼ûѹ壬ڶˣɶ
ûʲô༲ͻ䣬мԲпܺΣء
Ϲ˵̩治ˡ
Ϲ˵࣬վ֣ȥһˡ
һ£ȳ극˵ɡ
裬νҪȥˣпˡ

̩ȻϿɶ˵вĳﾳ൱Ϭеġ
ȥҪû»ٳԣʲôһ¶ء
һǹ˵οʻ㣬顣
̩Ҳɴ࣬ȥһҲ˶󹦷򡣴Ьš
ҡҾ벻Զ·ʮӡһ·ѯ־˳˽⡣
⼸־ûκθı䣬İӻϴ
̩Ϊǹϵ飬ȻҲƷ˹Ҫ־ֿԡ˵ԼûҪ¶϶
Ѫ֢ԲԲҩжСв㡢һ̼жǴԲһϵеļԺص
ÿһǼ֮һÿһпҪĲ
뵽ÿһּϣҵԭѣѵÿ뵽һּϢͳˮһӿԺ
ڵڼڿѧĶҳÿϸ΢𡢾ĲƵĻߡصĲȻѾԼ񾭶ǸһӲȴûа취Ӹ϶žϢĳһЩ̫Ѩʼ
ܶಡпܵͻ仯û־ʱ޷жϡֻһѯŸϸ֦ĩڣϣһĥּĿԱȽϴ
ͻ䣬ڰ˾ŵ˵ȻšЩÿѧ
ܿ죬Ӷ¥£һϤӰڰ塣
Ŀ⴩͸īӰʱҡͷЦ
Τ󱦣ҽԺһǸʦ
Τ󱦣ʲôԶԶʵ
Τһ£䣬ЩϤͷȻᣬϵı鸴ӡЩϲãЩΣЩ
λﴫһŮ˵
Τȴû˵תһСߣѾ֪ȥ
Ƴ㡭ôˣΤЦһʢľջ
塣
壿ǣΤһ£ʵʹԼһ䡣
ᣬ糤ҵĺӣ¶Լ֪ôûء
̩ƳһΤ󱦣ҽԺΤҽ
ǣǡΤ󱦸оһ˵ѹԼؿڣʵʡ紵쳾ɳձεЩۡ
֣ô֪ģ
˵ģɽ۵ĵӣ⽨ţ̩һӶΤ˵ҲûΤôˣ֪ҲδҪ
ߵǰְ塣
˭ҵܺӣôǸŮ˵൱ͷ
Ȼӣ塣̩
壬ôˡŮкһ򿪵Ԫš
̩һȣ¥
һ¥խƣ̩ǰ棬ļƺռпռ䣬ƹⶼ˼֡
壬ˡһʮٸﱧźӣк
ţ̩߽֡ȥ
ῴٸЦǺǵкһȻþò㶼ˡ
⡭᣿
̩ݣٸſīſɫµᡣ
һ˲䣬Ȼ谵ĵƹⶼﻨ㡣
ģݷһ塣Ǻþû㻹ô
ȥôĹȥһݴһѴ˺Ի
ȻЩΣ˼ĵͷѻĺӱ˵˼Ұ⼸Ƣе㲻áΪˣźӻ
㺿ʲôɥֺ̩˻ȥ˵˵ô¡ŲŰԴͰﵱͰӣ
λ˼ҼʮĽ飬ֲڰӻϣ˵Ȼٺ
֣С˻ܡȥ塣
һΪŹ֣ʹǰһٶΪ󲿷ֶǸԲµġ
Ǵʵжϣһմǰסڵ۶һλϵѫĽڣȻһ챻Ť͹֣˵ڹϵϷŮ
մ
Щᶼֻ־˵Щ֣֮ǰжϲһҪۿС


9 ׼ 
壬ˡỻЬֱ߽ݡһߣһ˵
ǰǹ䡢ǧ֮Ȼ޴棬Τԭأоǰīſɫ¡һ˫ɫСƤ׵ǻ
ͷһ죬Ǳ¡
ѵǼҴգΤ͵һ糤
~һװʲôβǣΪ˲ôīװϹӳҪأôš
һ˻
ûһ˿죬վϤǰþòǸʱ˾ĴѧѾˡ׷Բԣµĺۼ
һľ鶼ڰ˾ӵϣֻ²ϵǡ
ʵԶ¼־ԼЩ໰Ǻԡؼģųܶϡ
־һ裬˾ͺһڡ
ǸԲǵԼ飻Ҳմһֱ֡
Ըת̫Ѩ顱һ£̹ǵʹ
壬㣬ⲻðɡԥһ£ȴûժī
ȻҪȰȰԼүӣô˵ǿˣô˾Ͳˡ˲䣬Ĳʱ·ֹͣţһ飬Ӳûϡ
ҵıסӣԼӡ
ûעȻ־ᣬī۾
壬ү6ûˡǰһժףס־֡
Ƥе䣬ູܶˮġ
־һ˦֣¶û¶׽
ȦڣڴϣƤʪѾ
120ᶨ˵
ᣬ˼Ұִǰɶ120Ȼŵ˵ע⵽˵Ļ
120úõĽʲô120
ץʱ䣬ȥ
Ѿ뵽˼ȡв֢󿵸顣
ŬѹȥͷȻźڷû˭Լ˵ȥо൱İ
Ҳû˵ʲôóֻժһֻף绰
ֻֿÿָ鶯绰ǵһȻǸ120ȵ飬ĿⱻСƤµֻס
ᣬôˣ̩߽ʵ
ĹסԺȷҹҪ
̩ԥ˲һӣѡԼҵĺӡ
ɣͳﲻһ̩
ǲң־ŭֱĿʼ£ˮģ˿
⣬յģǲ뵱ǣܵʣȫС
־Ὺʼƿڴ̩ƽʱûʲô˵顣ˣҼ˶ΣΤ󱦸վһװԼڡ
֮սԼ˲ģ᲻£һ˲䣬ΤϷֶ
־ŭүûģڰӻӲҪң
Խ˵Խ´ɸᡣ
ðˮ˳ȥΤסˣҪȫУ
군ˣԼĿð˾쵼ӵĲԺô죡
ͷûֻ꣬ʶһ𣬸պץڱӰϡ´ɸڰлһߣŰеˮ趯Ѿˮ丵βʣֶص
ǵŷһˮĶһΤиҪȲʣһֿ൱ƯʱѾ´ɸӷŵһߣ֣߰ɡ
ߣ
תͷ̩˵ͷ
ģģϽҼҹȥﲻӭǡ־վεŭ
Ҳͣץס̩תߡ
־İкһʲôûһӶ˻Ьš
ᣬô£
ţ̩Ȳѯʡ
岡ˣҽԺ120ȳô
һ̨ȥġ̩ǲΪʲôһֱ־ϴӣ˵ʱʮ㣬Ҫ˵ˣ񲡻пܡ
һ죬ϻؼһҪ̩ɫǱһƬƵġ
̫Ѩصİ˼£ֻ
Σҡ
һ¥һ߲ͨ˵绰绰ﴫһ˵͸һӾϲ
٣ôʲô¶
ʦʲô١ڼô
ڣڣǻϼʡ·ʡǣæ˵ɱƴǣҸϴ
絽ˣ˾иˣǼĹµԹѪ㡣ҪûжϴһҪ
ʧ硣
淽ɣҰ绰Ұ֣Ҫ⣬ȥҽһ
㣬㣬ģ˵绰ȥ
ͺãҹˡ
򵥵˵ֱ꣬ӹҶϵ绰Ȼ˵Ŀǹ侢ֱ̩ü
˭
ҽһѭһΣĻС
˼˵ôô̩
ûнͣī췸ˣ120ȳŰɡҽԺĴУҽһ϶³ҪСʱҩ
ȵȣ˵


10 ¶
Τ󱦶һװԼ͸ˡ
־ڴϣֵһֱͣ⸸ĸ˺ͨҲûʲôôӡһº͡ŵҲôġҰ
ᶼˣ㿴¶ֵġ־İ̾˿˵
Сģ˭Ϊѧҽܻ԰ڣǳôʲôб±ѽ
˵ᣬ־ƺִ˼֡
ϴīˮɲװأ˼꣬ûѧᣬëǲ١
ô˵˼ҡȻȰСѧϰá
øƨҪǺܻǻҲǳѧߣǴѧĽڣбܻصǰ˾־Ʋⶼʲôˣĺӣڰ칫̣Ӷˡ
һ˼֧Ԯ罨ءȻķֱһ䡣
罨衭
˵Τҽæһۡ־İ˴ϸŮ˵ĶԻ˵
ΤеԼڨڨЦЦ
Ҵ󱦾Сܿ˵
˵ʵΤҲ֪Լʲô¶
Լеȷ֪ģԼҲǻҽеˮƽͷȻῪҩҪ˵ʲôسĻǵе㲻֮ͬ
ǵİʹһɫ⣬ŵĸųȥ
ƭҸʲôǿΤ󱦣øӷŭҲ
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ѦԺЦһƣ̬ǫ͡
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࣬ҪһЩȶ򶼲أΪҽԺݲ𣿡

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ҽסˣǰ˲Լʹ٣Ҳ
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14 Ҳôī˭˵
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ҲܴīôСֹһ䡣
īӾ۾ӾҪ˵ҽԺǺȽģ豸û˵


15 Ҫ
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ؿںǸɶС̨֮ѡת֮ξöע⡣
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˵꣬תȥˢ֡
÷Ȼ֪˵˵˿˿ġһֻСǹӣ־һΡ
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16 쭳˾
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ҵĶãΪɱ㻤ʿԽԽϣҲõˣԲ˭Լҡ
Լ˽Ʒͣң¶͸һӹ졣
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ЩĿ÷ע⵽ѲػʿĲԡ
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ÿ뵽ϰ໹˸ĦԼȴҪ䣬Ȳ趼һɧζοƳûɵļ

˾ҽԺȷæ֪ϣȥʳô򷹣ڰ칫һڡ
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֪ϣҲ˵˫ֵһֻĻķ֮衣
⣿ԱΣ״ɶ⣿ǸðоðҲô֡
ǲʣȻ˵֮дŵǹǸ˶ܸܵ


19 
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23 
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24 һ˶
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25 Ӷˣ˵
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26 ȥ˵
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ҽղʲôߣǰ벽ҽֱų֪ϣĿжϡ

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Ǻɽʡܱũ帾ŮĴͳܣҪȥ˭ˣֱ׼һһҹ˵ġ
ȻҲǼ֮һ˼˶ɥʱźһֱʹѾγϰߡ
ò˯˾൱áһŭ𣬰ǸŮһ޶ˣü۵ĿźԼĿκ
~~
˸մ֪ʲô˸Сӿһںʵľײ˽
ţһŻǺǺɫָš
ҪʲôοƳ˫ȷȦںںڵĿǣɫʵ
ϲģһȥбĵ˵һڿչײģװװʲôԼŰ죡Ǯˣν
ֱ׵вοƳûˡ
һҹǴ򽻵οƳڻ˵˼ˡдˣ˸֧Уǰλµġ
׺ݡһҧ⳥
ֻ֪֤ͬǩûл߼дȵǵĻ۸ϰղ
ǰлóһİҪ绹ӦҪֶͨת
οƳ뵽˵ᷢŦԼʱȥİʱԺĹûඡ
ǾȻѹײ̧¥ѹ󵽱Ͱ˾ҽԺ⼸⣬ĥĶ°ʲôˣԺ湴ĶǶûҪ˭ơ
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οƳһǸµػһ͸죬ֶµòȱӣˮһһӣˡڹײأתߣһֱ˵ϡ
ô˵ˣ£ǻĻû档
СӰѺصĹײķ£˿ʼٴΰáװŹײģЦײĹײģٷƣףλϰٷơ
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Ҫʲô֪ҪĶһҪˡ
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ѹ֣װڰõ˲֪ʲôǻæš
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װĺã߽ɫˣɾûɽײ˯ˡ
ô죿ײһɣ߸˶Է


49 
Τſڿ֡
ʡǸϻƳһ˿ûС˼ǴţԼǸһȵĻᡣ
ص˯˸𴲺˵ҽԺ¡ΤҲǺŶҹȥʲô顣
ǵùˣΤЩ˸УҲʲô
Τֵ࣬¥ֺģûʲô¶ȥҪֳʲô
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ˣ
ҹʮӣʣ
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üʵ֣ʱôʶ𣿡


50 ǧСʦ
Сʦ壬¿ûôõļԡֵ΢΢һЦҹôû£ɽ顣
˵ţֵʿսСɽ㣬Ҫɨ룬ݹǽų
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ЩӰǵľη
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죬϶š
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ˣҵʱûҸ㡣ֵʿ̾˿˵Ұһ顭ôСʦҲ֪ϲ̰СˡˣҰˡ

̾˿
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51 ɽ
֣ߵʱ˵ʲôˣ
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ֵʿ˵Сʦʱϸоһûɽ·Ͽȥ
ɽȻ˵ɣеģȥԼⱲҲ÷ͷ۵顣
һ㡣ѳ֪ϣϹ˵ʲô
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52 ˳̩
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ǰɡõϿɣֵʿǿģ˵ӵؽʲô۲룬úõΪϰʵ¡

Ĵīûˤ÷顣
ôΪϰʵ仰ֵʿ˵ôôŤϸһȴ
ϰյӶùˣܲȥ۶ħⲻĥϵ߼ҽԺȻСʦͻˡ
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㿴˵ģСʦ塣ֵʿæЦⶼǸˣҲԵֲǡҼүӻ۶ߣۻԤϵ顣
˵ţߵɽɽǰ
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ԺѾɨɾˣǰɽȪһۣ档ˮɾ͸ǰҹе㳳
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͡졢⡢ʡ䡢áŶôʵ
Ǻǣ˵Сʦ塣۾ǸСƵۣŪȸСȫʲôֵʿЦ˵һżɵн¶ĺûϵ
ţû뷨á
СӣͦáֵʿܺŪԷԲܺŪСҰָˡ
˵ͷ֪ϣǸȤ˼ҡ


53 
ɽֺܣ࣬һġ
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ῴ飬ڳ֪ϣļûйһ㶼һ飬򵥷ģʮӾͿꡢŵһߡ
ɱ뱾ʫһСʱ󷭵˺ĵطĬãһ顣
һ飬ʣĸ٣߶չĺۼǱӽֲ֪ʲôԭ뱾
֪ϣϸһԼ˵ǿǡ˵ʲݡǿϳȶյĸ֪дʲô
һ飬ֻ˼ۣأժɫСƤףϸ˴ľֽ
ֻҳ飬ȴСʱ
ֻʣڰҳհףԱ߶ǺɫıչĺۼŰŵһߣ˼
Сʦ壬ݴⱾһšֵʿ˵
˵ͷľеһŲƵֽ
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Сʦ壬˵Ұǲǵõˣֵʿһֱ⣬òװῴ꣬ʵ
ʲôءҹҵʲô취ܿס顣

һ飬μĳΪĹ־֪μ˭ô
֪ǶǸֵʿЦ
𳶵úŪӵĶ˵
궫غңݻҲֻάס档ĳɽƵ̫ƽɻصϣ˵ʲôңǴԼֵģӦ϶ѡ
磬˵֪ϣҪ˵飬ϴϣҲλ˵еֵʿ˵Щʲô


54 Ȼ
ĳΪ˵˳дУʵ⣬˶δй
Ŷ˵ˡ˵Ҫ˵μɱܶΣʽ棬һӶ

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Сʦ壬˵Ǹμǲвӡӡ
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ɡֵʿƤ൱ЦǺǵ˵
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ǰغأóֺ52˵Һûߣ飬׼


55 ûô׵
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56 ֻһת
ۿ˵ˣƬûǾͻȥˡӳ˵糤ôĽ飬һҲ10˰ɣزûô±ǽġ
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Ƭӡָ꣬Ļ˵ǻҺ1500mlҡ
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57 ߾Ͱȴ
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ڳֺ࣬һߺ죬һߵſʼ


58 ǿִ
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59 ûҪСĢġ
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60 ߹ʱ
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61 л
ӦôᣬԱߵλá֪ϣһϽӹͷĴᡢߣָ޾һ飬߱һţ¶
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63 
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ҽڶм䡣ӳ˵һ䣬ëסڱǣ˵״ëקˮʪԼá
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ǲ֧ƣļ⵶Сжο죬ǿ첻̻ðٶȡ
300ףǰ1ĶԱӰֻܱ۾ǰԱĽŲǰ
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Ƶһ˵۵ģĵͼиı䣬켡Ƶסļøûиı䣬ϻߺͻ߼ܾסԺһ鷿ʱͬʱ۲쿴
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Ҳż⡣ɷ˵ţ۽Ƴᡣ
ںѦԺ˵ʲôأɵӡ
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ѦЩ棬ʦڰ˾ҽԺҽƳ㹻ԼˣҽԺѵʦ׼˳پһִ壿
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һض˵սѣһҽԺܾջߣʦֱȥҽԺһѦԺҲ⡣
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ʦҽԺѾƣʱѦԺ˵˵һҺܴʱ˱ʮҽԺ׼С
ˣȻȹ֮ϸߵЦˣҵҲˣҽԺ룬ǵ󡣡
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ῴɷǰһɷʱһɽѹԼͷؿƵģ
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ʱıPassˣΪǰ߼ЩС⣬һ档ҪҾЩǵ߼θŵĵʾı䡣˵ǳԱ˳ŵġ
ǳԱ˳ŵġЦǺǵ˵ҹһ·ʡǣΪ˶ɽ׳˶٣


78 رĺݽ
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˵ʲô˼Ǻܶǣȷһ㣬СӷԼܣ
ɷҲǶ꾭ԼֻҪԶһ㣬һĶӣѹһĵͼͻһĸı䡣
ԭҲû⣬ڰ˾Ӻйˣ㡰칦ܡûƨãԼװ
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ΣΪ˸εӱҸڣ
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Ա˳ŵģˣɷ֪ǣС֪Լװ
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֪ϣһ΢ţѾͷûأƻ˯
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ߵ˶ܰȣֻа״˲ţÿСʱվ濴һۣ˵ҽҲܿÿλҪøῴ
״ֵҲȶЩ˻ߵʹңֲץӵ͡
ûܣʹҩӦԸÿſе˵仰Ҳˡ


79 ˵˻
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80 ɳ̲ϵǰ
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Ȼ֪˭ǹӱ˵ơĵ̣װġԼֵ֢ȣûµ˸῿ǰ
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ҪܶˣҪһǻһļ干ͬŬҪǰԼӵ֪Ȳ裬磬ɲɹ


81 þգǲ
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95 ùߵģ£
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109 ʳ
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ҪǾﲻǾͳ𡣡ϣһƣֵʿ˵ܹá
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Ǯ·ǧڵǮ֣ʮôܷϡ

ֵʿ˺ܶ࣬˵ʲôãֻǷҪ档


ԺȲ죬ӹڣҲһȤҪһֱˣǸжá
ֵʿҲϰỰٵһ㣬ߣˣûҪѾ˼һ˵
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110 й
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Сʦ˵Цˡֵʿ˵ҿû˼
˵ţĴյߣʵСʦ壬˵Ұǰշ𻯳ô

⻰ʵһ㶣ⶼĸġ
ı飬ֵʿ˵˵˵֪֪
֪ƨһ䡣
Сʦ壬ҪǾ԰ɡֵʿ˵緹ʱκһЩի˶ʳãе㳳
ᵱȻͬ⣬һ۳֪ϣ֪Ѿͷϲ֣ҡҡͷʵеô
أͼ徲ȥʳҲþ徲ǡ
ֵʿǵĺܵȻͬ⡣
ƿ뿪ɽСԺ֪ϣЦ˵һȥžƿһۿֳ
Ժִ͵ҽԺԽԽ٣ҽԺƿĻ᲻Ǻܶࡣᵭ˵
Ӻɽǰɽ棬ʮεΪ׳ֱۡӴʳúŽֱһᡣ
Ӻܴζǳ¾ɵľʣʲôҲûֵʿΪŪЩ˲˼
ţ˵ʱʵʱʵڣֻҪ˵ĵطн⻰϶ûСۣûֻһ˻С
ɽĵۣ漰ʮ˵ÿˮ²üǧҪûйûˣܵȵڣ
˵ģ⡰ʳáͶ߽ġ
ῴƲ˵ƣҲֵʿʲô˼ԼһСʦ壬ܹе顣
ǽӰ߲ɢһֻཱུèſĵطһ
żдñŷ٣ŲµӰʱʾɽ۵
磬治֪ϣɵˣǼ棬ȴû뵽ﾹȻһ֮о˼֣
й֣ҲвšѵõĿֵʿһ䡣
ǰɡֵʿҲЦ˵Сʦ壬ţȥٶһ¡
ţ
Ҫе⣬ⲻǵĲθôֵʿվ΢΢תȥ
˸ãԼһᡣ
Ŵǽèǰȴǰ˸ֵıġ˳̩񰲡
ɳǰܹҪһھơǿǻôţ涼һ
ҲûᣬĿźǽèȻԵá
Σȳźţˡһᣬһȥ۶ˣôҡͬѧʲôɳɳġֵʿЦǺǵ˵С
ֵ䣬ץԼ˵аԽпࡣ
ڵۣԼҪɷǵ󡣹ûȾƻã˵˵ûסҺðڶ¥ûʲôˣһͿǹ
ֵʿɲεÿúúȼתߣǲǾ̫Сװ
ǵۣʦ˵Цˡ
УץסһúȼκֵʿСˣӦǽӡ
ᾲţ淢ʲô⡣徲ȴȻֻڷ֮䣬۾Ҳ
˵¶ٵϴθ͵ĻʲôͬѧǻѧϰҺãôûҽǲʦ̵ĶԼžƸˡ
ĸ
ڰκֵʿ˵
ϴǸɱװͿ
ϴΣǸԶҭûţϼضҰ6үӣֵʿǵֵʵ
ѰݣǺܵʳ֢ܰ״ֵʿԼжϻʲô⡣
ֵĿŹά㣬ѵҲģҲܹͬѧôԼ˺ܶ໼ߡ
֮ĺһ˳Ȼ˵Ϊ˻ǲ
ǳĳϷ
ɳ߶֪ôд˰ɡάĳƺֵʿΪɳ΢Ц
ˣ˵׵ġҪ˵ѣûý͡£Ͳڡ˵ļֱӵãʡ˷ѿࡣ


111 ˽Ҷ
ά㵹ҲΪﻯ׷˵¶ֵʿȴЩ֣ʵǸүԣѳأԲȥһԾ£ݵĺԣҹʳܰ
ǡάܿ϶˵鶼ˣûʲô¶Ҳߣ˵ɳ˵κáҪβãǾһԺүӾɱ˵ôɣ
ֵʿ̯֡
һнʮˣʵĶ࣬˵ͷ£Ҫûţȥרҵҽֲܸҽ鷳
βôаٷ֮κõġ
û뵽Ȼôһ¶ֵʿϸ룬ЦáҲѹιάҪԼȾƣԼڹάλãҲѱ
άˮƽӹɣֵʿҲûʼ飬˵ͷҪȷû¶ȥʡǿ϶鷳ô
ҪɽҽԺˣҰʿ˵˵áά˵˵ĺһ߾ЦǺǵġ˵Ĳһ߾͸˵ɳ˵ˡ
άԽ˵ԽԽԽ˵˵Լˡ
֣Ҹ˵ʵҽŻġά˵ҽô꣬ҽԴȲҰʿҸ㽲ҺúúȾƣ顣
ֵʿԽп࣬ⶼʲôʲôʵάȾǺ飬ͬѧǰʱȥʡǣάûٰš
鲻ɣСʦҪġ
ҪǱˣͬУеġǸԺʿأҲʡǵһһԶٷǡ
СʦϲֵʿÿοźɫīɫСƤףﶼЩηͻţ֪Ϊʲô
ɽ𣬲֪Сʦʲôı䣬ժīסϣһ֡޳ָôӷ֣ż۾ԼĿ峺·ܰԼֵʿĻš
СʦǲԸ쳾̫鷳ԲŴī׵ġ
ɲҵᣬﲻҡ
ϹˣϹˣǸҸӡֵʿȫûɷǵƣѹ͹ά˵¶
Ϣ㣡㿴ˣǮ˾Ͳ˦ͬѧŲҰԺıˣ
ֵʿ޲ߣ¶ֵġ
ҽһά㣿16ʾһǻ3Сʱ22λ
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ֶ˵飬֪˺ܶ࣬ȴû˭ǲСʱάҲǲˡ
ɫһ䣬ŭ֣ôҪ
ֵʿһצˣάǱβ͵Ұèһ֪Сʦһ仰˵˹ͬѧʹ
ʲôôģŽ峺ĿĶŹά㣬ĺë
ʦά˵Ҳû뵽ɽᡣ
Ϣˣɽʯ
һѺʵӣڿм䣬𵶵һ˵ȥң㲻ɽʯˣô
ֵʿ࣬ԼҵӶϺľľģһӼʮСʦ岻ƮƮİӵֽƬһקʲô
άסˣɫ˼䣬Ȼע⵽Ự˵ɽɵĿֵʿ
ϹˣСʦ壬Ұ꽻ֵʿάı飬ѾµʲôڽƮôֵ꣬ʿԹɫĹһ
ѹԼ˷ܣֵʿС˵ҰȥʱⶣңгһһҪСʦǲȾƣⲻСʦô
άĿɿڴ
ᣬľӣԺɨһеķʽҽ򣬵õ˼ҵϿɣ׿˵δҽƽ˧
ǰ˵ȥʡˣԼûЩź˭ɽˣһεķʽġ
ǹά㵣ĽλԺ󱻴ѹ֮顣
߻ʵԶɽʡʡ۶ԶأҲĥ۶ϴֱ˴ˣѧĵλҲ롣
νգ»һԺʿһļԼά㶼÷쭡
Եᣬ٣ʦά㻹Ͳҡ
˵λƢ治ãܴ˰޽ɣͷۡҪǶְԼһ٣Ժ󻹲ѧΪЦ
ʦƢǲãά֪
껹ǰᱻȥǺ˳صҲܸˣԷʱ˼ƵʱȽϼ֣֪ϣȾƣڸҪʱ򣬾ͱһźǽϡ
Ժε棬ӳžžž졣


112 ²ѧ
ôһ첻ߡѧλߡ³ǿĴڣԼô죿
ҵҽʿԷҪǴԼҪҪԺÿ콻࣬˿Լʱ񶼲ԡ
ɲݣάڨڨЦˣ˵ʲôֲ֪Ӻ˵
֪ϣһֱվߣΣ΢Ц˵Σðüûˡ
ڡάͷľǳЩޣڨڨĲ˵ʲô
ʲôߣֵۣ֪ϣΧѻ⳶רҵȥ
֪Īڳ֪ϣרҵβʱԷ˯ܷ£ͱ˵άˡ˵άǶ˼ںֵʿͬѧֵ֮Ц¡
ڡ١
ʦС֪ϣЦǺǵ˵ʲô
6£ݡάæ˵ʲʷȷʳܰĲʷҲ񣬻˭ȥʲʷôжϡ
άŬҲЩȣȵķ̡
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һޡ֤֮ǰʳܰǴġ
ܵ͵ʳܰĲ龭ôûأ
ΣʱѲҿһ֪ۡϣ
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磬ǻȥɡ֪ϣĴָʳָT䣬ҡ˵
άһɣλСүҪˡǳںãѹַдҶóںͰףҪλСү˵ˡ
ǣǣСʦ壬ҲˣԷɡֵʿҲԸˣôͬѧԼмѰġ
תȥάһͷ亹
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Ӽʮά֪ʱ򡭡Ҳñʦһƺǽ²
ǹӲľά㿪ʼֵҽ绰
ǰƣԼˣʹ˻ߡά߶ţͷһ鲡д
ʵҼʾѪ쵰Ϊ11.9 g/dLϸΪ11.03 g/LѪСΪ367 g/Lϸеߣܶ˶ζžиȾ
һCӦر25 mg/LҸȾƿһۣ˿ؽơ
ιܲʾ춬תø2.5 Nᰱתø-Ȱתø2.6Nø
֮ⶼˮƽΪ338ng/mLԸֵò˵¶ö췢׶ߣȫ飬ûκ顣
ûʲôģԼʳܲѹּ鶼ˣҪԼʲô
һ飬άԼĺ
ʱάõֻһһŻ鵥˹Ƭӡ鵥ӦоС
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ʦ΢Ц˵ĻһһϬһӶԼôžͲǺء
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ҿ֪ϣֽ˲죬վߵάߣֻ
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š֪ϣʼѰͼƬܿҵʳܾı档
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άһͷ¶ˮʲôûϢôӦòᡣʳھ¼ͦǿһģԼҲһ۽ͼʳܱڹ⻬Ϣ⡣
ûϢ⣬û񣬾ͱ˵ѵʳˡ֣˵ʲô
Σ߻סԺô
Ӻ󣬳֪ϣʵ
š
һNXP2顣
ɶάһ¡
ɶ㻹֪˵ʲôպú࣬ѿӷ£һָʯɫĿϣһ壬Ǻÿ

²ѧ仰ɡ˵
ֻȴǺأƽϢı

ΣҲСˣٴӦúܷḻῴŴĺǽèȻ˵Ĳô죿
ϼ
ôˣϼҽȥԺϢ㡣һ䣬Ĳҷʪߣ


113 ʪ߰
ٺ١֪ϣЦΣ²ʪߣ仰ܹûġҽһʪӦڰɡ
άãĵ˵ͷ
Ȳɣ֮˵ƿNXP2ǿ˻ʵ2ԡ
ԣ
ھ飬ʳճĤƤиƻô
ˣҵа䣬˴̻죬رԡ
϶ûעλõCT飬ȫɢڵĸƻ㡣ţûע⵽ҲǺԡ
֪ϣֻά㣬ʵӦͼ飬ĩģͼҹƶء˹Σͼƴкŵ㡣
ŶάЩ
ƻôȷУѵΪƫƤϸиƻγɵô
鷳ˣеϰ껼Ҫǲ֪ܾ¶Է㡣֪ϣ
ŶŶŶά㻹һ±ơ
ʪߣѧҽѧѧʽѧơ
ǧٹֿĲһһĪչʱ϶Ҫҷʪߵרһۡ
ȫţķʪרҶܰǿҽῴ
ʪ߿ƿɲֻῴؽסʪ֮ļڷʪߵļӣŹ֣ʱ֢״໥Ǻϣжϡ
ڣʲôάԵɵɵʵ
NXP2ƤһټԼƤһ߳߼ֳضƤ֢״
ɻߡ
ʳƽҲǼ⡣

NXP2Ƥ׵ϵͳ֢״ҪΪθ䶯쳣йص֢״ѡ⣬ܳԳԹ衢ղѪס
һҪھ顢Ӱѧʳܲѹˣһܺãʡ˺ܶ鷳
ڳѪС
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֪ϣ˵ͷͷǵºͿףһᣬǻĺǽÿһ仰άĶﶼǰԳԼῴһ
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ת֮䣬ˡ
ԼͼɶڸԼԲץʱˡҪȷԼ²ҪǳʧԼЦǺǵǵǸöá
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ʡʡɡ
ϹˡֵʿάЩ
ڿƽˮһҪߣǣά˵Ҫ˺Ժʯ¶
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Եһ£Ρ֪ϣ΢Ц˵Ӹ΢ţн΢ŸҾͺá
Сάæֻͳ֪ϣ˺ѣܻȥ顣
Թֵʿͳ֪ϣصԺ
ѹ磬ůֲǿңںԺ˫ַǰĴָȦ
֪ϣһߣǱ塷ڿ
ϲ뵣ģôţ·ʱ䳤ԣ˹
ɽɽ徲ֵʿⶣҲû˴ͳ֪ϣȵƳϣ֪ϣ齫ʮҳ
ȴһһܣĿǿա
ǹȻ΢۾ȴܿڲ֮
˵ǿƣֻҪ룬ʱĵǿաûʲôԼļ൱ģԲ˿
ӵâô貣ɽȪˮ죬Ӱ
磬ϳʲô
Ҹ˵һ˵
֪ϣЦˡоһֱ֣Ӧûʲô⡣ɽãƧ
磬Ҫסɡ
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룬΢΢̾ÿɷֵֻʿ绰
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ܿ죬ֵʿʳɽСԺ
һƿϾƣ˵ɽɽɽȪˮ죬Сˣֵʿһ߳һߺȡ
Сʦ壬һΪһӶˡ
ôᡣ
ҽãæۣ
˵£ʦһܡϵʱ岻ǾͻˡƵ˵ʱУֻɽȪˮˣҪûֵʿڣһ㡣
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ţүдµġ˵
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Сʦ壬һֱҰֿˣʱᣬ֪Ұʲô¡


ʲô顣˵˼£ǿǴ¡һ˵Ƕ¶ϧˡ


114 ֨֨
ϧʲô
ûش⣬ǰƱƬ̺Ȼ˵ҽԺиҽҿ׵ʱɽַ
Τôһֱĥ߶Ҫ׼ҵӡ
Ŷô롣
Сʦ壬㲻֪Τдȱ㡣ֵʿ̾˿˵Τ˵ɽס˼ͱˡ
Ŷô⣿
ɫ޵þƶֵʿ۵ɽϳң˲ܺȾƣ߻áǰߡСʦ˵ŮͿǲ١˼ˣһʿ۰Ͱ͵Ķ˼ŮͿˮҪ
ţȷ⡣
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ԭ£ʹ˲ᡣ
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ҹˣǺ貣ȴҲɽǡ
ʮһʱϢǰĿһֵʿֿһֵʿ᷿û˵ʲôǣų֪ϣ
ֵʿһ£ϸĥҲû붮ոСʦĺ塣
Լһ۸ѵСʦ尵ʾԼʱԺҪɽղɡ
еûģֵʿȴ룬һĪģ
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ƵСǿÿݺݺ࣬ʽֵʿЦǺǵˢŶƵʱ䡣
һ߿СǣֵʿһĥСʦԼɸˡһһ죬Ҳį
ԱߵСʦ⣬һ飬רĿһ죬Ҳʮҳڿʲôѵ˵Ǽį
ҪԼҲסͺˣǰɽһ͵ɽļ١ϧԼȴСʦǰģ
Ĺ˵򵥣Ҫɾ͡ţֵʿֻĶƵе㳳һһҵĹչʾһ欣һģ絶ƽǡ
пֵ֨֨ʿʤ䷳
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İȥ磬һӣҲǰϴѧиGREȥ˹⡣ЩֵʿһֱĴɽżҵ顣
һɽ϶һλʦԹŹ֡¶鷳׿ɲʲôһ̡ȫ̵𣬱ָָ㣬οա
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Ӳ۰ңԼڱ󸹷Сʦ塣СʦҲˣСʦǰԼ˵Թά㣬ҪСʦĄ̊́
ֵʿŵʱ˵顱һԼɽ졣
ƺоֵʿ뿪￩֨֨һ£ֵʿ΢ЦŹϡ
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ԼȥģǰɽûԼ˯ĵضͽҲ˯ˡ̣ͨԼ˯ϰߡ
֮£ֵʿɽ·Եʯϡ
¹̣Ĺâɽ֣ɾ
ԶԼҰĽҰǶµĺ󡭡
뿪ףźɽСԺԺţ֨֨
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ֵʿ¾ģСʦСʦ֮ԼҪҸľ˫˴ýʵ
ôڶ֣
ɽͣȻ죬ҹķ绹Ǻ䡣ԴŵۣȴҲʲô
ֵʿ2СʱңŽİȥżСʦѹЦ˻䡣
ǲԼҲҸˣֵʿ뵽
ת˲ͰͷĨȥһ˻˵ԼΪʦҪԼ˰飬ͽô죿ҲѼҰɽϣ
ĻۿɾͲǵˣһɽկ˽·ĴţŻص᷿
Ҳ֪ڵĲˣأֵʿշת࣬һҹߡ


115 
ʱһҹߵ˻кܶࡣ
άԼİ칫ʪ߿ƵڴϣȻ
ɽĸϻ󣬹άͿʼ顣
ЩĿʱܳͲסĺ棬˼ΣˢԼż
ʲô¶ûеĽѣôͱɷʪߵļأάЩ
뵽ʦһĽԼ˰̵Լڶ߻ص
άҲ֪ԼԷʪߵļóδӼĩϣάҲܲô࣬Եţεİ˺úý˺ܾá
ҲܺάԼȥһ˵ȥʱȤ
ʦǿǴһĴڡ˵ǰһȥҽҲЩ棬λΪʲôҪذ˾أ
еѣȴر˼尾
οߺм飬ҲûһȷĴ𰸣ֻ˵ʦļãҪϡ
ڰ칫ģƤȺ¶ԣ
άһ˯ⶼûУÿÿʦԼ˰̵Ǿ仰һӷ߷֮⡣
Լǽô˵˭ĺûͲһҪǼųʲôʪߵļһÿ
ʱȥɽȥ˾ҽԺ˵ʦޣǵҽƸƳ
ǵ͵ǣܿ䵽ȥˡڹ첻ȥعЩ˵ôЭ͡ҽɽض
ذ˾ӣҽƣڸƳǸЦ
ǲ֪أõ˼ҵĳ谮ڹҽȦλ̫졣ν²λôȥĿ죬ĸ죬ֱӳȵס
ߺߣ˾ҽԺҽƸƳôĹ
άԼû鵥ˤϵʱ¶һ˿Цݡ
ôһѣû֢ʳͼƬֿۻ鵥½ۣΪ
ˣʮ桶ѧġ¶ܸ̣άЩ
ҹȻûп֨֨Ǿ仰ʼƶߡ
ֱ绰𣬼ƵļԱҹ˼飬رϵͳ
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128 
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ֻһתĹֵʿ;úǸӵĺӱɹӤڱҪסԼĻǡ
ʱ˲ǱŲӺҲûʱȥǣ߼ֱǸӺԶžԶ
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Сʦ壬˵ǸѾˡֵʿ˵ԣںӲ֪
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ץҽԺֻһ䣬ͼҴҵ˵ʡͰ˾ӡԣȥ˾δСܲܣеҽԺֻͨʱϵ
ŶŶã
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ȥ˾ӣץʱȥ˾ӣֻҪСʦϳ־ͺá


磬쿪ᣬ˰֪ϣǵĿᣬС
ˡεЦЦдĶʲôƨ⣬ǡ
˵꣬ЦЦĲ΢΢ҡͷ˾ҽԺҽдĲǴ󣬾ᶼ֪ôӺξ
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ǼԹɻ˵ҽƴѧԺģһĹӦòῴִһ˵
к˰ɣȥ׼
һȥɣͦôҽԺֱȥأϹŪЩ˵


133 
ΤڼƿǰһӲࡣ
ӵԺ֪ͨȫҽᣬƳⲡ
÷ԼдʲôΤȥġڱɹǱɸӣҪСʦ顣
Τҽ
Τڿһſڴ
СʦƳôˡ̫Ҵ󱦾СΤ󱦱ŵһ飬æվӵأ顱һ졣
ҽԺ15-20ºõܲô
Τһ£ЦƳõĲܶûУֻҽԺ˼áؼǶûֻʡǲС
ҽ120ءע̴غͿ鰷ҩ֧ż˵꣬תߡ
ɶ⣿Τ󱦴ľվԭء
ո˵һҩֿĻһ룬Ӧ⡣ǺһΤһǲס
Τҽд԰ɡ֪ϣתӦ뵽ΤŪϵıʣڴдһҩ
Щ120ȳ绰򡣡վں˵
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Τ󱦿ת뿪ɬޱȡ
120ȥҽԺʾȥôҽԺϴ磬ȻˣԱʧءƴ3ﶤôԼǿ
ԣСʦԼʲôΤת˲׺ų֪ϣдֽʼһ׼ҩһߴ120ȵ绰
ԺıҽҪ120ȳҲҪ绰ҪȻһָɳȴȥд鷳
Ǻǰ˽ãżȳȥ˶еǡ
Τ׼ü߳˾ҽԺơȻԤϵ˾ҽԺûСõܲܡ
֣ǵˡֻһ绰ֵʿ
Сʦ壬쵽ɽˣӺѼأҰӰƬ׼㡣ֵʿҴҵ˵
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۶ҲڴҽԺû׶õܲ顣

ҪˣӲϷ֮ǰҽӦؿǵһ㡣֪ϣΪʷš
پǻһη֮ǰס
ȾۼʺԻµȴĤ϶ԡڸѹ£׵ǰǰʺȼ϶ݸ
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޳ѵı֣ɻų
ģкټļԷס磬ҿǼԷ׵ǺҪء
ȾҿԡΥҩ˷ܵȣԭµķѣμʣطμѪʽݸݸסֿǴڵģҿܴܺ󡣡˵
ĤµķݺС֧ѣĤܱҲûر֡
ֻ˵ͨЩǣǿῪ⳵ֱҽԺӲϵķе
֪ϣ˵ĵ㣬ûļ顣
943壬ɫ˹´ҰۿҽԺơ
ʿСܲô߽ʵ
ûУҪҲҡﻤʿڵ̨淭ֻĲɵ˵
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˭ʿ̧ͷͷ˵֣˲ס
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134 
ֻ첽˳¥ǰߣϤ﹤ʮʮһ
֪ϣ綼ϰһ㣬Լ·գɲǡоҽԺҪҲ·ǲֵ顣
ֻһֱû绰֪ϣһ߿첽ţһʵ硭
Ѿͷͻ߹ȣȥö
Ŷá֪ϣͣסŲߣ˸ոյʡ
Ҳĵضתһתǣö⣬ֻ绰ȥ
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Сܲܣһɢ
ҽԺʲôʣر𲻸ˡＱȣôôɢ
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ʣµ˵ţŮѵڵϵԺһ룬Ժʹ˸ɫѾȴû˳վ𣬶£Ϻۡ


ܲܵһʱؼƵʱֵʿĳҲոյ
ӣ120ܲܣ
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ֵʿڣָʾƴӣһʱߵŮ˱źȥ120ȳ
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Сҽ˵Сģһ뵽ܵᣬ°仰ֱ˻ȥ
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135 ʦ̯
ҽԺʦϲ̵ĺͼСʿڰ칫˸߲ҵ˵Ÿոյ顣
СôţƣʦԵţԺȥһţߵİǽһ泩
У˵ҪŪյԺû㶯֡һʿ۾Ź⣬˵ܲѧѧղǸС磬˵
ֲɵ㽲ղǸСӿ϶д鷳ʦһֻһ˵ԺװأҶûʲô¶СӽӣӲɵϲ
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绰2Сʱ£ǲҽ󼸵ҽΣǸ˵ĳƺһʦ
ôʦôЩ档


120ȳϵҽԺʱ򣬺ϵѾˡͷˮѾʧǴǰһĿ죬ȥҲ졣
µǲʷͷˮһֱڣȲ֢⺢ףܲúͲú
һȲˣ͵ץʱ޲ⱻԽԽأֱ
Բжһȫ
ʦˡѦԺһʱӭȥֻ࣬ûЦ⡣
ţⲻ󡣡ȶ֢ƣȲƽȺùƤԡ
Ҫÿذɣ׼ʲôѦԺʵ
ǣһɻùعµס

⻰Ҫ˵ģԼµҽ˵ģѦԺ϶һưȵǽȥ
ʲô⣡ùعûôùعܵƤף


136 Ҷ٣ƭ
ѦԺҲǸո֪ҽԺ﷢ġŹ¼صظϹ
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Īص˾ӵһҽƳѦԺЩõĻɡ
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˵⣿˲ץס鱾ʣûѦԺļЦôôʣ

ѦԺйʦȭߣӲѺصҽƷֽһ·ȥ顣
ٽڡΡԺʦ󣬳ΪЦ
ѦԺ仯µʲô΢ЦʵѦԺôˣ
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ֶΡû뵽ʦѧôߣȻ֪ͨѦΪ⣬ȥƭСܲܵͱ˱ͨ
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ʦ˵װˡѦԺе㵣ĵ˵
¾ףǮ¡һأԺҴС죬ү˭˼ҡأֲȱǮ⳥ģ

һѦԺɤϣʦ⻹еġ
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120ȳϣӵѾתᲢġֻЩ⣬Ҫٴȷ֤Ϊ֤
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Ӧ֧ܾΣѹߣ·ѣ֯϶طμѪʽݸݸףֻγɼԷףᵼƽʱء

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˵ʲôһֶû
βCT΢ļͷףΪͱȽСŴµġ
Сʦ壬㵽Ҫ˵ʲôղЩֵʿʵʵĻش
ӵùعʷģΪʲôڶû֣ʵ
Ҫû´ÿηùعµġ顪ΪףڷùƵ»֪ùعʷȴҪҩ

ֵʿסˡ
Сʦ˵Լô۲쵽ģ


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˵£ŮҼǵҲšЩ˼ʹϵȥĥҪùƤԡ֣֪ʲôƤ԰ɡ
Сʦ壬ô˵ưֵʿ󺹡
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ܿҲùعҲмԷθı䡣ľûʲôˣҵһẢӳ׺þͻȥ
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ֵ֣ʿתҪܣ״ۣŲصƮȻȥ


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СʦǲǨŭˣΪʲôǶԼҵ顣ҽֲǾ죬ܲЩҪԱ˵û¶س̶ܽͺܶࡣ
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148 Ժĺ
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171 3֣200
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172 ҹȥҩİ
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173 
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ΪŮôᷳȴҲûбֿڡ
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ѪͷԺȥóֻʼ120ȵ绰
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˵ǰһ̫̫·һƬ԰˳㡱ժ˼ӡÿ춼ժ͵ˡ԰ҲֻǾ˼䣬̫̫ߵʱʧˮ
ֱӾˣܹ԰ϰҪʮ⳥ϰ岻ԸҲȥ԰
Ǽ˾Ͱʬڹ԰ſڣһֱҪǮ
Ϸ綼ˣżʬ岻óˣһˣһš̰С˵ֶ̫̫ŮǮĲݣʬǰ
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ǲܵˣη￪ʼڣⲻԼԼ鷳ô
Ѿηûʲô취ֻƴ120ȳĿһ㣬ٿһ㡣


174 Ժ쵼湷
һȥ˶ͳ֪ϣ˵ЦģȻɳ֪ϣġ
֪ΪʲôǾúܶ᲻ܲ˵ĳ53붹žЩ
һȥҽԺǲҪһЩ˵Ĺ֪ϣʵ
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ðɡ΢Цܵ
ﻹãժīã㿴࿡۾ҲÿƤ˫ŶīסˡǸƳСϣ׼ʲôʱ飿

⻰Խ˵ԽԶһֳ嶯ҪҪٴīأĻ˺ܶ鷳ǴǰԱͲԼôеûġ
˵ŻῴԶοƳסԺ߳ıŻ¥ţһʮꡣ
ôˣЩ֣ѵ˵οƳԼȥʲôҽƾף
ܣܿ뷨ɢ


175 
οƳϰ࣬ĴкλԱڶȹ˸ոദںָԣԼס
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϶аݵˣҹ͡
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Ƽˮ꣬ⶼûûмߺػǲߺء
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ηɵЩûаҽԺһ֮
Сһ棬ˣ˵ԼġȻƵأֲģԼҲ˵岻ǡ
оԼү˵л߱ӵҽԺ˭Ϲ顣
䵽ͷϣηֻܴ绰ԼүӡοƳʱһëˣæ·ȥҽԺ֣Ҫηߡ
Ƕηɶ֮ģƵҽζѹĻһֳһʲôʲôҩǮ̫󣬺ܶ඼Ƿ
ҹðưôβҩǲסΪʲôԼȤƷ̵꣬ηɹ˺ܶҵ꣬ûǮ򲻵ҩ
Ϊӻһ²飬ֻѡҹ
װηɻûбᶾϰߣ˵ѧУǹѧһЩܶοƳô˵ηɶĵҪ͹ȥ
οƳҪԼôôһ֪СءֲصˣܶԼֱϵΣĺڵڼֱӵҽԺſھˡ
һϲʶСϰ壬װʲôװ
ҹԼҽԺһȫУſ޺ӹŲӣɫ࣬οƳǾ콵ס
Ӹһڰ˾ҽԺƣ֮˵
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Ҫ˵ˣοƳڰ˾Ҳ١ʲôȼ·˾ȻҪ·ģ˶ȥˡ
壬οƳʲôԡ͵ҽԺΪ͵ͷˣɿԼҶǸĻŸ˿
οƳһһ޶ͷ
һֱϰ࣬һûϣĵʲô鷳
ﵹе׼ڰ˾ð鷿õģװޡҵʲôҲǿ򣬾ǲ֪ŮҪٲ
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ᣬοƳľѾĿ࿴ˡĺòȲ˵˸ײɣô̫ͣǿɲһܸɵó¶
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176 
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С⣬ŻҡοƳЦŵĲӶЩ
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6ǰ522գ۶ĳҽԺſڳһĻߣΰ没졣ǼҽԺǰˣȥҽԺǮţҪŶ֪¶ʱ
οƳҡҡͷ
οƳǸҽΪٴݻ˽һЩ飬ǵĹаᵭ˵
οƳһ£Ц
һ˽ѵ˵鲻ӦԼ˵ʵʵŲô
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С⣬ôģοƳʵ
ǼҽԺӲ3£ƢҲǹ󡣡Ϣ£ôţӹҵ񹻺ðɡˣƢԺûôˡ
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һϢ˲ǳ̬ŵԺ쵼ǿ
ܶ඼Ǿ󱻶Ҳû취ڲìôҪ˵ɢǺܳġȣ˵

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ηθѹİ̹ƬÿҪ2600Ԫ̹ÿҪ4000Ԫң̹ÿҪ10000ԪʹõĪ֣9000Ԫ/𡣡
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177 ϱ
߸òסԼɣοƳһֱĥľ⡣ȻһĽ֡˵һ1200οƳҲԲܽܡ
һ5000࣬ϰҲ룬СҪôһС衱ĻӾ͹ȥˡ
һݣοƳϷ˼Լôôһʡ¶Ķӣ˵С⣬Ҫ鷳ȥһۣ
ַϥϣеһơοƳôʣЦҾͲȥˣԵҴ绰

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ϵһԺɣ˵ҽÿжپѣҽƳӦȨޡʵ
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οƳһ±ơ
ţ˵̫֪࣬Ǹصˡϱôء֪ϣв˵ʵ
ϱ־װڶοƳͷ


178 Żﷸ
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֪ϣ֪Լ˵˻ǸĳŶοƳ΢Ц
㿼ǻĻ᣿ʵ
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Ѿ˺ö꣬Ѿˣⲡ1-2ʱ֪ϣˣҲѻǼٺ˾ͿʼΧҽԺ˵һĺӸˣҽΡ

Сϣôֵģ
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λҲί۰Ͱ͵Ŀᣬ˵ֻܻͷ֪ϣ


179 ҽһ磬
ηڴߣŮűӰڴϡ
϶ҽԺƵЧηֻ˵ˮ+άCҪⶼβûˣȫꡣ
˾ӵҽˮƽʲôη֪
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ʻ˶Ǯһǧлܼᶨľܾȥʡǿ˵ָηɴһŽ3074ë
ηɿЦãĽʺӡӡ໹ֵ໤ʿġҲǸǿôˣȻŻǮ
ȥʡǾͲȥɣηҲЩԥ
ÿһҽԺ̽ޣжǮԼġҲ֪һ絽ʲôỨǮ
ѹһһļãηҲûм֡
ԼүӵֵҲûзҪ˵˻ǵãη뵽
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ȥˣοƳİ˻ȥ红Ӷ£Ҫ¶Ŀ˼Һ·ϣ

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ǺҲ޸ĸ޼ҿɹ飬ԼСԼ
Լֻһûмڵ˿ĶɣοƳûҪһѵ뷨
ֻҪԼ˾Ϳˣˣ˭Լ


180 겻
磬ǸŮһ磬ǿ˵Լ硣֪ϣɳϣᣬ˵
ῴų֪ϣѾ˽õʱҪĻǿԡһǮ
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ŶǸûϵ˼ҵǮҪ档ûϸͣĿת֪ϣ
㣬Ҹȥᣬһ300Ԫʱ̫࣬ûţȥıȽ١ؼǮҪȫѲؽ

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ԼǵҪߣһĪĹ˾ȥֻǿθˣϰ忪ʼԼǰΥ֤ݡ
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ԼûſԼǸ˾ӵҽƸƳԷֱһţƵĸɸɾ
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ŽĲ֪ԼˣȻᾪϰBOSS֡
ԼѼȫʲ֣ƺҲϰ忴һ۲Ŷԡⲻøڴôܴܲ򵽲˵ؼǶ˷Ѱ
ϰԴȻԸԼϺס
Žһɿϣüĵȼһ̡
磬ͬôŽʵ
ţһᶼҴ̫˵еȫ̲֪Ž̾˿˵
ǽô죿
֪Žεҡҡͷ˵ǲǵ˰ɣɾǵʲôϰ־Ŷԡ
᲻õϢɿ
Ӧòᡣ
ҪȥǸʵڲйһҲ͹ˡŽ
Žãһ̳ŵ˵ȲȥҪǱֱӾܾǾû˻ء

룬ܾ鲻ԡŽ˼⣬˵λ˶Ѿ˫ԺʿˣôССҽƸƳأ
϶⡣
ŽһͷۣСһ
겻겻


181 ִ
Žֻͦ죬ֻϢϰġ
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ҽԺŽüĳ˼š
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ŽͷҲԼ׵ġ
ǮԸҳĸо͵صʼĵطһӦŽģķţͲûһѶëȷ硣
Ҿð˾ҽԺλʲô䡣ҾƾֵҪ㣬ҽԺ档
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ŽյĿֽдŵйϣһĪչ
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ԼԵһ֣ҪҪһС
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׸磬ˡŽ̾˵촰˵5ڸ㶨˾ҽԺ㣬ô
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Žһ£Ц׸磬̫˰ɡ
ֵܣô˵Ҫ3죬㣬ֻ¶һ200˵ô绰ɭ
ҪǱƵǽǣżֵĲԸλſտ׸򽻵
Ž̧ͷŽԥ˼ӣŽ˵ͷ
׸磬͸¶һô
ʲô׸ˬʵЦȲȵ㣬24Сʱ֮ھܰǼСҽԺƷඡýʲôԼ㶨ڹںűҶڣЩVҪǮҲݡֻһ飬ʣµԼ졣
ǵʲô¶ܵ˵һ㣬ҺðȥƲǡŽ̽ʵ
Сӣˣͷ׸Ц˵ô˵ɣ˵ҪλﲻԭЧҿɲϡΪֹûǷǮ
磬飬˵˵ںźʹVҲֻǣҵá
ôýǿҲԴֻҪҽԺˣ˶Ըתڱһѣ򡣸ҳʲô׸ĵ˵ҪǮȴһ뵽ˣִһǮҲҪˡ

ڷܽĵӣϤ׸Щͷ˵ɾ͸ɣɾ㣬û˱㡣
϶ܸ¶
Сţ5˰ɣҰǼŪټҽԺûô׸˵ˣǷҪڰ˾ʲôƵضեեǮ
ⲻǡƵͷôҪȻҲ롣Ž˵
̽˼Σ׸ڷرˮ©Ҫʲô
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ʱȣ5죬ֻ5ʱ䡣


182 Ī
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һᡢȴּǿĹηЩĪ
˭һ綼׸ηȴô롣
ͨԼүӣѯ˼ҽ˵ҼȱֻҪϾСȻζѹûƣѾγԸıĲֻܾ
ѧǽƤ׵㣬ҵһ硣
ԼҵСһְۻԱЩŹ֣ϾɲǣܶӴ˽һһ硣
˼ģη˵ԼСµĹҽҩѵʱһ綯˼
ңܲǿȵˣһԥһᣬʹӦηɵҪ
ȤƷôûʲôȻȥҪġ
ηŶڵⴵС磬ˢŶƵ̵ġһҪĲ࣬С껹ܳе𡣼ĽӴηԽԽϲ򵥡ءϡǿĹ
ǵǮηһˢŶƵ׻ĴȣǮ·ӡ
СɣڳеɩӴк
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ȥ۰˾ҽԺˮ˼Ǯηɰֻͷһۣһվڹ̨󣬱һڿš
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Ŵ۾촽˶ȴû˵һ㶫ûǡ۾պˣϡǰһƬ
£⿴ηɾ֪Ӧյ40ϡ
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Ǹðͦأǰǳ˺η϶£ɩӷţŴ米ϣϳȥҽԺ
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Τ󱦸ҪӺη˵ҸŴðյ40ȡ

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򵥲壬Τ󱦿ҩҩּ1500mlҺ壬׶֢ơ
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ҪšŲ϶ҪƲ׼ΤҲǰմһÿȵĻ߶ҪϸǻðԼǴô
һǮؼǰ˾ҽԺּ飬ҪĻ߶͵ҽԺȥĻ˾ҽԺʡ¡
ΤҲǺ⣬ôʲôСֵġ


183 û
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仼ߵԽԽԾЩŹ֣ǷգǺ˾ơ
࣬ǰҲ졣Τܽİղд淶ᵽϸĲ壬»߿ӿһۡ
һ߿һ߶ҺǸлߣҪŮԼ壬ñ˴ô
СʦʣҪҪôϸ¡
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ΤҲ֪˵ʵ飬˾ӵѲߣͲһˡȥ2000ף⻹ûɶ£ΡҪסԺû5000Ǯ²
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ص칫ңΤ󱦰Ŀ¼ҵ֪ͬ飬дԼдһݣø߼ǩ֡
Ů˿֮ɫÿдļֱ̫ˣʲôȻʲôһки
Τ󱦲£ԼһҽԺ黼ȥ㲻ȥ׼զء
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ǩֺΤﻹǲ̤ʵôôòԾ
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Ź֣⵽ʲô⣿ܽİǺȾƵıдڲ棬ǰ˼ضö˳ڡΤûģѲһӣԸզզΡ


184 Ծ
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˯һ͹ǵסԺܵʱµëЦЦ˵ԺҪȥɽǲҽԺתơ
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׼ô죿֪ϣʵ
ˣ̫ɹƨˡӣžһ´ڳ֪ϣϡ
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֪ϣ˵⻰һͷڷɣұеߣԼѹġ
СϣѾͷ˯áǺЦûסԺܵ˰Ҹ
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Ŷûģôðյʲô¡
Թ緹֪ϣҽԺ
磬ȥһ۰ɡ֪ϣֱҽƣĸ첲˵ȥۻߣ棬ҽȥ塣
ȥɣԸΪ¶ų֪ϣȥһۺˡ
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ţһæأ΢΢һЦ˵
Τһ£Сʦƽʱʱ͹ˣôīԼЦԼøء
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գףЦ΢˵
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һ仰˵꣬ΤȻԼΧ֮䵽˺£֨֨ţˡƳȻЦôôûº;
ȥ硣֪ϣһСܽ˲
ôˣΤĿᣬȫ㲻״


185 ˵еN95
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ﺰһų֪ϣȥķһץסĸ첲
ȥϵҡЩޱȡ
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˵ԼϱʱǺͺģһ쳳ܡʱԼϹ˹ۣôһܼǣôʦͲԼʲôأ
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Ƴɶô
ڿأ̹Ⱦޣ硣һ䣬Ժǰ̣ΪҽƸƳȺԺ㱨һ

ҪתȥĴȾԺƣнӴߵҪ۲죬⼰ʱ
ŶаƳ㿴ŪԺ˵Ⱦ֮ͷˣЦ˵
⣬Ҫգ˵Ҫûȥš
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رռƣʲôʲôǣ˵ؾ͹صôԺЩ⣬ҲЩãȻ
Ժôˣ
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ҵҽʿҲһʺš


186 첲
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Ժоһ˿ԣĻЩʷдش򹤡ڣдһ㶼ס
Уҽ֪ʲôұʷô
ԹԵ˵ţƺûҪõʲô𰸡
ڻشһ62үӣдϸڵ۶ұΡɨ綼㲻֪ô˵˵ϸڵ۶ļҵұεģȥٱ
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Ҹһ£ʡְҵʸҽҲ㣬˼Ժãҵҵ˶ڱϡ
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Ҫڸˣ֣Լǳ
Τ󱦻û˵꣬Ǳ˽һſſĵȥ


192 ˭С˭
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Ҫ߼޻ôΤһ뷨
󿴼ţÿڴһ飬ʲô
ܿ죬óһн֬ҩĬ1.2룬ֿڵָס
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԰ź˭ĸ˵ҽʼë
˵ģҶô˵Լȥʱö˶ˡһźһ˾˵Ƿɻġ룬ǵö档
ǣʱԶԶĿˣûǰһȥҩ˵ҵģûôҵġǺϣײһӲû
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УǰиӶﳤëҿۿġﲻ֪ʲôŵɽ˵ҲֵСʦ忴ۣȻͺˡ
ϹأԱһʵ
ţϹأ˵ȥҽԺϴɾУʲô߰֡
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193 Ұҥ
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ҲǣҪƳԳ棬Ҫڵϱɢﺢô졣
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ЩΤ󱦾ͺܿġǮȻ࣬ܲá


194 Ҫ
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ԺһɫTƮȻȥ߸һ˫βıŮվʾ
ԼǺİôƳǲء


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ȫΣֵСʿ˵˵ͷϵĿӣôܰӶء
Τ󱦾ջһһס
ѹԼϾòԾԷ򸾴ˣԼƳ㻯ѾܳԤ֪δ


197 һַʽɡ롱
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Τһ綼ɵˡڰ칫ҵĽɷһĶԷԺһƬհס
Լʲôˣ
˲2ml࿨򣬷롣Ȼ򵥵ķϻġ֮أ֮߼˵ӼûԷһѪӵļ顣
ѪڿģѺͻ߼ĵĻҲطĿͻ߼Ѫ͵ļơ
ǰʱ䶼ܶԵϣӦûʱʲôֽš
Щ綼Լꡢ߼򵥽鵥󣬺ӵ״̬ͳ⡣
ʼ΢鴤ӳ鶯ԽԽʼֺѵ֢״
ѵʱͻ񣬼æ黼߼ȥ
һĽ飬Ѳ֪ôãڰ˾ӹҲû֪ôá
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ЩвɲֻвǿԽԽࡢżһʱᡣ
Լʲôˣʲôû
ͷһ룬ӿ˸Ѫ顣ȻԼʱһж180ת䡣
֪У綼ӡ
úõĺ˵оͲˣȻǺӿɵģȷԼҩʱӵıֶ֪ۣ֪ޡ
һúõĺӾôˣѵڻΪԼһجΣƴҪѹ
Ҫʱ򣬼רҵӰ豸ҽԺʼźӵĸĸ㡣
ǿ޵ĲҲ̶ãӻûҲֻʣһżֽų鴤֤š
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ǿԼԼܸоڿһˡ
Ѻܺ£ԽǿǻԽǺ¡ϰԵóֻѡ
йڰ˾ҽԺһͯѾռѣ¶û뵽Ȼһַʽɡ
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ȶߵһýϸ˻״̬Ϲ˵һʲôҽԺҽûҽ£ӷ˾ͷ֮ĻӭĽкá
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ѾµĸʽϤɽʱԼдƪһ
û뵽Ӧô죬֮ǰԼ洺ѰھǴһݺݵһԼͷ顣
ʲôԼǵȴűеﷸһ̻Ǳʲô˵˲㡣
ظŬԼ΢ĩʵࡣԼԵ׼ֹؼʱ̹˲ôࡣ
û˽ԣ͵Ļ˵ͱĹѪͷ˵ûĵˮǮ˵
Ҳ֪ҹôˡ
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нһ۵˶ᱻרҵӰʦƬ
һ2cmĴڣر쳣Ļ鵥ʱСʱ󣬻鵥ΣֵǺڵĲ״
һֻ۾͹ңɫ԰ף޹һŮ˵Ļ鴤Ůͷң顣Ǵץ·ֱϣܿչ¶
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ɽԼߵڰ׵һҲôԶҪԼ


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198 ҽԺҽ
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֮ûϱΪص˶ơ˶²ؼϰ˾Ӻҽ¹֮飬ֵҽԱſ֣ŷô顣
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Ժһʱ߹˵ܺʦڲɼ֤ݡ
ʲôܺˣôͺˣԺһ仰ȥ
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οƳҽƵĿƳôŽ˿۾֣˵ġ

֣ڶζһԲϾͶ֡
ҾͱοƳɫ˵ֻŲ˼֡ȫ롣
ѾˡŽ˿۾΢΢һЦ˵ıɱȻһ֪
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ڰǣҪ鲻Ҫ֣ҽԺͱˡŽ˿۾˵
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ƽʱе紵ݶ˻ᱨҽԺ¶Ҷúſ֡ŸͬܡȺûġûҽµҽţû˱
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˵ǹɣҲ񡣺ϡ¶Ĳֿйĺۼ
Һһӣ120 mmol/L77 mmol/L1.9 mmol/LصңصԺ1.9 mmol/LʱԼĶҲ
һλرĻֻ1Сʱ56ӡ
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˵ţžһһӣ鱯ߡ
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¶ģ
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199 һȥ
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ԹǷ˲Ǧʮ̨ҲԸһ򵥵Թ
ʱûʲôѡԸҽԺĮʱϧڡ
ԸʨӲʽģܽڿꡣ
ɽʹ󺣣Ҳɽ˺
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ҽ֣ôģỹ֪
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ԺƳ˵⳥200򣿡οƳҲˣô࣬ҽԺҪƲô
˾ҽԺûǮ϶ó200ôǮҽƾϡܡҽԺˣƴҽԺż˹
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ģǿ϶ʲôģΥʦ˵Ǹ߷;ģ߼᲻ȥϼͶߣҲұ֤
˵꣬ɫˡ
ҾӸͬ黼߼ġ
һúõĺӣܵˣ˾ҽԺһ˾ûˣⲻǳô

𡭡Ժɥæ˵лú˵
ýһԭͰ˾룬˭ûӴҪҲϼѡ
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׸ûйϣУѣ־û˿ء
СʱǰһƪŵʱŽֳǸʲôĸ
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ŽԺ칫ҵɳϣ΢Ц̾
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200 ˲ת
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Ҳڣͽ򽻵ϰʦѾߣ̸ԼҲû취
˭֪ƨ飬ԼܺȻᱻƵͶ·
ϣ¶һ¶չ˾ҽԺȥɡСүڰ˾ӣͷòҪС
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ҽƺ˵ֻǹšŽԼϥҲҪԼ
˵һǻˣŽûʲôҪ˵ĻԼġһţȻ󱻿ظɱδ졣»бô
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ʩһѹȻȥ㶨ŽֱϣĿתĿŵӻ档
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201 ֱ
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΢΢ҡҡͷ漴˵ҲԹ㣬Ѧۺ99%ҽ֪

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202 ǧ
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120ȳϵһҽ˵ӻп
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204 ؼˣʶ˰
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206 ǽϵڻ
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207 ˶ң
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224 ƣҪİ
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ѳǶͯҽԺĶͯҽԺ֮һλ֮ڡ̥ģˮƽһ
ЩϣѦһֻ֪ѳǶͯҽԺ˼Ҳ֪ˡ
ʦĺãΪһһϵûеĻߣôԴ
ܲ¸һ㣡
ǰʦٴγڶߡ
ѦЩϵЦݳֿԼֱ̫ˡѵǱᰴڵĦô꣬Ѿľ
ҽʿ֮㷺ĹʶǡũߵĹ¡ƪԢѾԤԣ˭Ҫǲţܿʵ֤ԼĴڡע1
ѦС˼Цʦˡȥͻ߼һ²飬ȥ飬Ժȫǩ֤ʲôĶ
˵ţѦЦʵʦҽܲ˳ȥҽ˵ΣѧѧѳǵȽ飿
ŶҪ̫ˡЦ
û鵱飬ʵʵ˵иϾ26ܣû԰иרҸţһ·ʲôҲýȻò
θҪţѦԺô˵Ըп
һõġпҽƾìܵĶ¼Ȼס̥һķѳǶͯҽԺҽԺȥѧϰ˫Ӯ¼
ʦȻû˵ʲôƵǿЭ˶ԴĽ
ͨһ绰Ҳûȥվڴǰŵ绰ʾ
⣬Ǽôĵ绰
ʷ˹ҽӶ洫ǻЦ죬Լŵˮ뿾⡢ơƵζ
Ľ㣬ڿſôʵ
ĩĩãҪǲȱơƵĻ˷ǵ⡣ʷ˹ҽЦ˵
洫
ƣҿҪӰľۻˡ˵иߣ26ܣ̥βһҪơ
ʱ˵ݺݵƨɣȻǰ֡ʷ˹ž˵
עĻСҰڱȫȻúķ˷ٰڱŻǺһ˵Цһת⣬ƣҪİ
˵عˣʷ˹ҽʵ
ţҪͬ⣬澡찲иȥѳǡ
ɣһҪ󡣡


ע1:07꣬һʳĻߣοʵ̫Ž3000ǮסԺѡԺԺ16000ʳӪѾǽ߾ȫĽʡ߳ԺΪĳС£Ͷ߰Ժˣ˳ҲͶˡʱС˵һũߣȻûȻˡ


225 Զһ㣡
ʲôҪ󣿡
Ҫ̨ҵ֡ʷ˹ҽЦ㣬һ㣡Ҫ˲ҵֻ֣һΡ
˾ͺá΢Ц˵Ǿô˵ˡ
Ըܺܿ㶨ǩ֤
ġ
Ҷϵ绰һ
ĺܵʷ˹ҽܾԼҪ󣬾ʡҽԺܾԼһ


ԼǸĶСҪԱߵϣһűơƱʷ˹ҽ
ơƱ鲼ˮ飬ȵ˲١
ǵĴ⻹Ӧҵ֣Լʷ˹˷ܵ˵
ҪͲô˷ܡԱ˺һھƣˬ̾Ϣ˵̫ᣬ̫Ȱٺ⽻
ΪǰʦᲩʿܵôΪѧϵķ磿ʷ˹ҽʵ
ᲩʿһʿǸͷ͵Ļ쵰ҲҪôΪ
ʷ˹֪˵Ǹ쵰˭ͷ
ѧԺҽѧԺΪ⼮ԺʿǰᲩʿƼģұΪΪᲩʿļߡҪĻδʮ굽ʮ꣬˶ҪСӵĻ
˵⣬һŵϵڱһû취ʰʷ˹ҽ˵ɵΪʲô
˵һ޷ĿԼµһЩϸڡ֪ģܶĿԲй˲룬⡣
һЩϸϲµЩʲôȥ밲ᲩʿһܣвҪ뿪ҵ죬Լ˻뿪ΰΪвôֱ̫Цˣ
⣬аƣ̲ܺƯġűȻĹõĿ豸뻷Ǹôˣ˵ᲩʿûҪ˵¡
ˡʷ˹ҽʼ˵Ǻź飬лڽ£ǳ⴫˵ҽҵ죬ֱȱơƻҪˬ
Լһ飬ٺ򽻵
ЩûйϵָֻԺϵ߲·ڴϣҵĺ˵ʱ򣬿Ҷ1ꡣ
ƣɱơƱײһ𣬴ŰɫĭơĽʷ˹ҽ˰˵顣
Լһ˵˵öԣòҪκһҸ棬ҽƼҲǼ
Ǽֱ̫ˡ
δƣҿɲ뱻Щһ￪ſʲôǹҰȫ
Լʷ˹ҽıЩŹ֣ʼԥ
ڸ⣬ԼˡϵĴЦ˵ҪҵĻ϶ӳ24СʱѾ˷ɻ뿴Ǹɫӣ
СǼĵ飬ҪĵˣζͲôˡҴñô룬ҪǵƣܷɹҡԼʷ˹˵
̫߿ˣԼ˵뿪ΰᣬ뿪̨ģԺԽԽٵĿעֱ
Լʷ˹ҽԥɳ̲ϵİվߵĶߣ˽˼䡣
Լʷ˹ıܾʣ۾ɵǵһ
ҵ죬ôô֪
Ϊֻעôʼ˵ܿҪϰˣƻмµʱ䡣ҵģٺ򽻵
ǡ
ԼѾǰᲩʿ谮ѧԶΪҽƽ񡣡
롣Լʷ˹ЩƵ˵
ҪпܣﲻԸλʡҽԺڡ
ֻԼʷ˹ҽһ
⡭Լʷ˹ҽͨ绰Щ˵ڿһ˲䣬ΪѾ֪һС
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ôˣ
̥̫죬סź˵ڸң׼Ҫʲôʣʱ绰
ԣԼʷ˹ҽ˳ĴӦ漴ЩΡ
ҹˡ˵꣬Ҷϵ绰
Լб仯ãҲþˡеɳ̲ϣŰ뱭ơ˵
˵ҪԼôһʵ
Ҳ֪᲻û˵Ƶ֪ʡҽԺûչ̥ơԼʷ˹ҽ˵
ɳ̲ϣ΢΢ζűơƷɫĭȻ˵ԼƵָô


226 Ŭ
Լʷ˹ҽһ£˵ٺӴô
ǸԴװĵ׶ʲôڽ˵Һܺ棬ҪǸôʧܵġҲ뿴ѵô
װʷٷңҲʧܡԼʷ˹ҽ˵
ҪĻĹͱûκ塣˵һνӴ̥ǼûǰûиֲĴĦûκξ飬һγԾܳɹԼ̫Сˡ
Լʷ˹ҽҡҡͷû˵ʲô
Լĵ绰⣬ǿԶ100Ԫ϶ʧܡе˵
Сҵ򣬶̫СˣҼŵҽԼʷ˹ҽֻ˼ӣǲͨ绰
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淽ƵôҪﲻԣֱ㡣Լʷ˹ҽгɵ˵
ԡܴæ˵鷳ˣл棬Ⱦơ
Ҷϵ绰ỻ·ȴûֱȥңǾڸҵϡ
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ԼĻμӹΣҲѳǡʿٵҽʾ
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ټɽܵȼĳδ֪ı䣬ڡࡱƬصĹв׽һһļϸڡ
һߣһ߹棬һ漴塣
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Ӧöпα̥ӹ٣Ҫ㹻ҰֲӰӹ̥ôܱ֤еĸɾ̥ˡ
⡢ϸڣ޵ļʾڿҵ𰸡
ģϼڻһ˿΢Цֳ
һŲ֪κˡʦѦͲû顣
ʦʲôߣκδæҲû䣬ֱʵ
26ܣ̥ϣûڰ˾ҽԺҽһĿӱϣıֱֱģһǹ
ΣƵô
κź⣬۶ҽԺʦʱ
Ǿͺáο
ʲôҪôʦκʵ
Bȷ̥λá˵
κѾ·ûһСܽҡ
ûż»һ̣ųľñӿ֣ҡ
ʦ̥ģڽṹδ쳣Bʾ̥λ൱26ܣˮδ쳣̥̳0+ȣǻǿ飬СԼ3.22.83.1cmڲǷɼϸС԰ơ
κB̽ͷǰһBɨһĻ۾
Ľëܳûգ·˫֮޾籩ӿһ㣬ĽëҲ֮衣
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Ҳ˵϶УԼʷ˹ɹļҲ50%Լȷֻ֪Կû취еİ취
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3%룬άF0-F1оעҺ΢ñ룬0.05mg/min
κһһۣû顣κˮƽܲ൱⡣
ˢ޾һҽ񴦵ĿԱֻԼʷ˹ҽƵֻͷ׼
ٴ֣һ
ипȡҲྭֱпڣ䣬10cmп漴֡
Ѧ͵˽Ųվں濴Ѧͣ
Ȼû⣬æ֮лûԼǩ֣ʦԺר
ɱϾæĹѦԺ벻˵õȥѳȥˣϰµġ
ܶҽ¹ʾΪż©Լ߼ϵŵ޷ܵĺ
ڣ侲дһ˿Į޲
ϣһ˳
ѦͿµȴпڣβûһ΢΢һƫһ
пڲǱֱģЩᣬ̥λӹǰڡ񲢲ҪҪ˳


227 Ѽϼ
ѦȴôпôŤʦô¡ҽƵСԱֻֻ϶˵ĻѦֻðһӵȥ
ֱתбпڣһǳɣпڵĽǶתԵͻأǴһ˿ԲϸСȡ
֪ϣɴѹֹѪžžžϸܣ
ֹѪķϸСĶ֪ϣֿȣˡ
ѵڻȲ࣬˵ֹѪǯ
һֹѪǯῪʼԷ롣
֪ϣÿһξ룬ͰѾֹѪ֯һΣȵֹѪһԷƤ֯ͼĹѾϡ
ĬûϵĽִֻ彻֯ȴҸӣһһۣÿһޱȡ
ѦиణʦͳϵĻ޷죬һĽ࣬ڵһһƮ嵭һֽ
ȵָҺҪȵ36.9϶ȣһЩ˵
ŶѲػʿȥִҽʦҪָҺ壿
2000ml
ָҺΪ꾲и½̫ôǼȹҺô
ʱѾǹֹѪǯǯӹڣпһСڡ
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֣еʿ漴֯ǯݹȥ
֯ǯȫгӹڣĻǶȣˮ
׼ˮעܡ
ѲѾ׼Ӧ豸36.9϶ȵָҺǰ޾µݵ̨ԡ
֪ϣ޾ˮעͷ׼ͬʱֱ±̥ܿӳӹпڣ֯ǯӹǯгӹпڣֹѪˮעܡ
ָҺܵˮãѦһ¡
֪ʶ㡱һ˵ҪǲµûĻʦҪָҺĿӦڱ⡰ˮ̫ӹѹ̥
֪ϣһֹѪǯӡסˮעܣ΢΢ǰһᡣ
վڶλϣһֱҪְæȴûᡣһֻǿƺáɲǿƤֹѪԷ롢пӹ̻ȻɣȫûκΡ
һֱӹˮηԼܶࡣ
˵֮ԲҪԭģ
Ҳ˵һ̨Ǯǹ̶ġϰ壬Ҳߣһûǫ̃ǮԺܶҪ4˵Ҳ2
ʦͳڵϣ˵˵УȻûԼκβĿռ䡣
վ̨Щûע⵽֪ϣĶ
Σ鷳ǯӣעעָҺҺ˵
һ£ע⵽֪ϣ͹ֹѪǯӣæӦһӹǯסܵ
ǯɽȾǷһżȺָҺٶȡ
̫࣬ҪȻ˳ӹҪɾҲ٣ʧȥˮʲô³֪
Ҫͨٵν
ǿʦͳڵ죬ĬξԼҪƼȺָҺٶȶõĻʦ̫ࡣ
ȫעŵС
ڹר־ԱעҺʱͳ֪ϣѾʼӳӹпڣ̥ǰۡ󸹲ȳҰ
ΪˮУ̥ոγɵƤ֯ޣǡΡСһ
Ѧס֪ڲʼ
̨µʱѦ;֪϶ֻ̥30cmңزпҲ4-5cm϶ѡѦ͵ĹƣҲûۼ26̥ܵж
￴ɵĸ첲ȣѦ͵һС첲СȵģҪôأ
˵ǰѸ첲̧¶Ұ΢һӾ͹ඡ
ӤþƤѪ໤̽ͷͷ˵
Ѳػʿϰ׼õ޾ƤѪ໤̽ͷе̨ϡ
һ̨໤Ѿ׼ãֻȴӣ̥ܿѪͶȡ
ֵǯиȲֵ࣬ذһָա
ָ˳ӹڱ̽빬ǻ4.5cmŹǻڱֱ̥ۡ΢΢ֱ̥չյϽס̥ۣȥûһ˿ֱ̥˳ǻ
֪ϣѾ޾װֱ̥Ƴǻĺ󣬾ƤѪ໤̽ͷѾӡ
ͷ˦ȥѲػʿӼ໤ǡ
ʱֻﴫһbe carefulbe careful϶Ĵ
ʷ˹ź̫ˣѵĲ5GôǺǶٵҪȻô͡һһ˵


228 ˹
ѦʦջĴأ̥Ȼ٩ѳǵźŲ
ѪͶ70%Ѳػʿ˵
׼޾̽ͷΣ鷳̥ġ
ԭԼõģĻ泩
ϾǲơƵרңҽԺʷһ̨30µ̥ԼҪָֻҺЩ˵ȥ
̥221/֡
ڵȴ̥ļ̽ͷʱûмǿڵ̥
ֱλ㱨̥ĺһҲиȲࡣ
Ȼûʲôı䣬ֻһվߵѦȴͬʱ쵽ʦΪ֮һ䡣
˵ǰʦϵԴɬºͣŹľǿĻô˿ɢϢأɽһ㡣
˫ָ빬ǻ֮УȫָʲôԼ̥ܿλһı仯
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룬7ߡ֣˵
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룬7ߡ
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еʿеίϿʼ׼
Ϊ̥7ôֵ߻û򿪡һиƤʱп7ߣûҪôԤ
ȴҲڹǰȵģ˿
⣬ƶ̥ʱҪСģʷ˹ҽŴֻﴫ
ʷ˹һҵĽ顣۾΢΢һ£޾¶Цݣ5Gĺܿ죬ץʱ任ɡҪԶָôһ̨糿
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ȼٵĵطǲûWiFiңϻΪ5Gơƶóˬ˵ǾѵͲ¢ϣڷſô5G˲٣оĺܿ

ѦʦôôһЦҵࡣ
еʿѳͷ˦ȥ֪ϣֱӽסɽˡ

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еʿκ뷨ڴʱ˿̵Ƕġ̨Ҫʲô͸ʲôΪʲôҪȥ֮Լо
ֳֵգ֪ϣſƤһ4.3cmпڳ̥رϡ
֮ǰĲȫ෴ոմӹǰĿƤ֪ϣֹѪ
ΪվڶԲ̥࣬ʱǳ֪ϣḺ
˽ɫлĺ˳ûн֣̽·Ѿǧٴεѵһв趼Ȼһ㡣
һĹ̵šһ飬ͬĵпڸСֹѪûֱӶԷ롣
̥Ѫǳôֻ֣˼λãпڳ
ʱС̽ͷʼԷ롣
Ƥ֯Ҳ̥࣬Ͼ֮УǶʱ仹ûҲΪʲô30µ̥رԭ֮һ
ҪÿôһͷѦ͵ԺȰƴ˶ٵ̥ʲôͺŵĿ
ǲõĻô¶
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׼ˮǩ˵

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˼ҲǵһЩԺӡ֮ǰûѡʱ̧ͷº˵
⡭⡭ʦûУǡ׼֡еʿǺ˵Ͱ͵ġ
ҵĲԣǰûǡˮǩӦһõĺĲģûʲôøѹõݣȻӵˮעˮ¶ȣ36.9϶ȡ
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ʦԼ˵˺ܶ໰Ǳһ̨26ֵ̥ҫ飡
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ѦԼֱ̫ɵˣ
̥ôСʲôеܵãÿ


229 
ֳˮǩ̥ز
ؿǻ֮ǰһơ˵ƵǸôؿƵҰ500ƽıһ3ĶصĴԺӡ
ǣǰȴ֪̥ͬûȫǻխûҰ˵500ƽı㲻ϡ
֪ϣֹѪǯſĽǶСβָ첻ȥ
ûҰѦվ˰죬̥ǻʲôѹ
ˮǩ̥ǻԷ롣
äôѦЩ죬ʦôжϵģѦɻ֮УѾһİѷȫķ뿪
ܿ죬Ұ֮С
·󲿷Ҷͣɫʲ԰ɫˮı䣬ϷҶɫ졣
surgical fieldֻﴫ˻ߵĺҽ񴦵СԱŵɫ԰ף֪Լʲô
ʷ˹𡣡ͷʽӢԼʷ˹˵
˵С鷳վһСı޾Ұá
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ûκҲûԼʷ˹ҽ֮ǰĵ٩סǩԷ롣
ġ
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İ̥ͻǻ3-0շ߲£67߹ǣǰùǻҺע1.5ml
岿Ѿɣ᳤һˬһ̥ģûѹȣ̥Ѿ145/֡
ƺҲûʲôѶȣ뵽
ҪǲԸӴƣԼӦĻһĺͻ߼˵û£Ҳʡǵġ
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̥ҲѾûм½ά140-160/֮䡣
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֮ǰƤϡҰףѾúҪȥӦܸоůɡ
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26̥ܵôòأ
ʦǩͱ˼£ˣ򵥵˷ָĳ̶ȡ


230 һǩ
Լʷ˹ҽĿֻȻƵѾжϣ涨һ֡ͼϣþû
ļֱϵĺáһжôɡ
鷳ѵĲ衪̥ǻĲ裬ǳԼʷ˹ҽ
һǩˮǩһ롣ǰƤһҰ
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Լʷ˹ҽҲƵҪõգһ߶ԷһֹѪʱ̥֮ڵֹѪͱͷ۵Ĳ衣
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238 
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ʦ֡ǹΤɫɷף
ǰҪȻȥôֵʿȻ֪Τ󱦵ĸܣ΢΢һЦװ⡣ԼʯŸҿҲû֪
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ֵʿӲͷƤׯ־ѣʲô˻˵ʲôһסԽĪԽԵԼʵɲ⡣
ҪСʦں棬ֵʿɻϡ
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Ҫǰֵ֮ʿھ·ɻʲô㽭ʲô˽˷ɻѹԼûϵ
ԼûȤȥ㽭Ʒ


240 ԽԽԺ
ֵʿһûϢãžӻ·ѰԼš۾͵ͳ֪ϣ˵ܿˡ
ŬţҪڷɻ˯ţٴ˷緶
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ҲǵһγšնħϰߣԺͺˣֵʿԼҽڡ
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ʦֶ˵ôϡˣ귦׵˵ʱΣգҪҽԺȡ˵ºͣûֵʿһװŪׯ־кɡ
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ߵѪѹã120/60 mm HgǰǻѪ쵰ˮƽΪ7.1%
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ɽһŹ֣ħ֮ʱħΪⶼ˵ġׯҺϵܣΪ˽˵أׯ־кɣҲֻѹš
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˼һһ̨ȴԼʮʮʱȻдòκﲢǺܷ
أУ10/11׵϶ӲĤ⵼ܡȫ0.5g/kg/min̫1 mg/kgյ
ע0.7mg/kg޿泥ֱѵؽھΪ8.0׵ĵܲ롣
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ҳͨСҵѹʹ֮©̶ܹܵųݿ̶24״пƳΪ8 mL/kgƵΪ10/ӣĩѹΪ5 cm H2O
ֵѹΪ18-22cmH2OҪʹƼͱάƽѪѹ>60mmHg
ȫ4%طѣ0.1g/kg/min̫޿ά֡߿0.25%ÿ905-7mLЪעӲĤ
˳ڰγܵܣܲʱ䣺4.1СʱҺ2900mLʧѪ247mLߴ״̬ûй۲쵽֢״
κרע棬¼꾡ûκ⡣
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242 Źֵʽ
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¼ҽ绰ҸġʡҽԺı˽ڽ
˽綥θƽڣ˵һСġ΢ҽƳ۲24Сʱׯµߣ˾Ϸɻ
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258 һжǮ˵㣿
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ʱҪͻ߼飬һβɹûĤ͸˿ҪǻУΪʲôпЩ䣬ЦҲûиոôº͡
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Ϊǽ˼ɡ΢΢ҡͷֲҽǮǿ쾭塣ҽƲǱ׼ķԲҵĳЩ²ܼԼרҵ֮ǰʧȣһζ߼Ҫҽʲôá
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ҪǮ˵㣬Ϊʲôû߼Լȥˣ
֣㽭ƷǶҽԼרҵܲе֡
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÷ˣ˼һҡβòô죿
ˣҾ˵Щɨһˣ΢΢һЦӦûʲô⣬ҽԺӲˮƽܸߣ˵綥ûġ
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Τ󱦸󣬿һҽһʶΤܸܵЩɢǹϼҽϢ
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ǵÿѧʱǱ뽲εĶΪ綥רңѧỹ뵽㽭֢רݰָϡ
ڻϣκļǵԼĲǺܶ
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뻹죬һ뵽ոյĲҲ﷢顣
ʵֻһطӦ̫߼


259 
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һѪӿΤ󱦾ɤ۶µûţûǿѪȥյĿᣬ֪˵ʲôźá
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̵ῴׯ۾΢Ц˵
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飬Ų͹ͬ֡
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סׯ־ߵǰʵ
˵һ롣ׯֹ̧֣סׯ־˵벿¾˾NYSEʷһIPOĴ棬ԭ˼
ׯ־סˣû뵽һϯ뵽


Сʦ壬˵ʲôأţֵʿׯҵ˸ں棬Сʵ
ġЦһЩ飬Ҫ̽ҡ
ֵʿصĿᣬСʦʲô캦ô
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260 ս
һ·շתصʡǡ
κǻؼңߵʱ۾Ļ˵˻ȥ
֪˵ʲôȴҲû˵ֻ΢ЦŻָǡ
Τ߷䣬װ˸ʽݳƷڻԼֻҪʲô۾¶ϲɫͻȥξһΡ
СʵƳֻԺлô
ࡣܿ϶˵
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Ҫû⣬Ժǻ۰˾ӿ˵

Τ󱦲ƳΪʲôô˵˾Ƨû¶ʲô
ֻһ㽭ϷɻʱĶʮѧѾ׼
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ֻԼһ˳˽˷ɻʱԼ֡ҪĿճԱӳĺ綥˽ҽԺݻ
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261 Ҫ
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ãһΣɾͳˣԼĥܼᶨ˵һɣ϶óԵӳ
ı飬ƼֻЦȴ˵
΢΢ţһƯĻߣдżţԼǹӽ
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һִûгֹĸоһս·ԵǸѶȡκѲסᡣʱ˿̷·ԵİͳһۣѾ˳ķʽ
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262 Բ
3Сʱǰ
ҽһԺICU
Ǯһ¶ѵÿСҽԶԶģ±ץһ
ICUסһλԱ3ǰϸλ̱֫ôģǮԼв²⡣
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ؼߣǮλеģԼԲžпΪµ
߱Ѿûлȥ뷨Ȼ˵ҵ궯⡣
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˵ϣӲ¶˺öǮرܣû취ҽҽְ𣬷ɲҽֻнȨʹȨûоȨ
ҾүǩļϣѣҲûаķԼһ޾鷳
Ϊ궯ǮҲү׼ñķʽʹࡣ
ǹ׼ã˱ҩﶡǮξߣǹ͵ү۶
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߲֪־ᶨѾͿˣһҧǹǰǹͷ׼ȷ
ǮθоԵʱ򣬰ǹóû޳
ǹͷڻ


263 צ
϶ҪһʱǹͷȡǧǮλֻŽŵİѺߵѰǹͷ
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265 Ҳ֪ô
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266 ʡĵĻ
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267 ʱûй
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268 Ůô
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269 ң˭
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⣬ңУжաϳ֮󣬴ղķ˹Ȳ׷ʵ
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˵ţ΢΢һ٣漴ȻһĴȡ
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ղķ˹ˣæץסĸ첲⣬ҷҴû뷨
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˵ѧ⣬һ㣡ղķ˹ŭ˵
ѧҲһ꣬ٺ˵ѧ顣ЦȥһƬۡӢ־ǵʲô̷ףѧôǱ˱Ƶİɡ
ղķ˹˵ĻʼڿЦȷġ
ʼ磬Բһ
þû˵˵顣ʵôûѧԺĲƺ͹šҼǵǵһμϡ
ôǵʥһѧԺſڵĲƺϼ档˵
㿴Ҿ˵Ѿ֣Ǵ۸ǵļ֪ҵ죬ҿʼҵЩģԺѾûˡ
⣬ÿһԤԵʦᱻղķ˹˵˵˿ĵĻĻܻĳһ㡣
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ң÷ôû˻ῴǵ۾ﶼǮûвˣ׵ıһҽ΢Ц˵
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˵Ļ˵˺ܶ飬ղķ˹һֱ֪ľ˹ٷҡлʲôķաǵմһѯͬһ⣬Ц
ʹղķ˹һĻICUԼҵĻʿǡ
ν׼֣8Сʱְƣ3֢໤Ļʿÿ6ˡ
ֱҺICUϤԻǵʱ䲻ֻ࣬40Сʱҡ
µĻһҽԺҪģ˹ٷУСĸҳĵ㡣
ȥô鷳Ըӵĳ̶ȡ
ղķ˹⼸Ŭɹ⣬ҲˣҽԺȥСʱѾľеľֵ
ΪҽѧԺҽԺҽԱԼ񳤴ղķ˹סǣͳ֪ϣسݡ
ûϲɫǰʼ޸ı
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Ҵҹȥ
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װ˹ٷңּˡлϲԣһμĻᡣỻ·߽ICUĺ˹ٷҴк
ͳ֪ϣֻ5ˣӦҽԱ롱˳ȥ
˹ٷҷڲվŵĺ˵仰ڲһࡣ
⣬ȷİô˹ٷҡУûһͳʿһ˵˵ʳ°Сʱ⣬Ǻֱӵʳе⡣
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ǵģ˹ٷУ˵𾴰Ჩʿҵʦһǡ֮Կ÷£ԼǶԴ˵̬ȣΪǰǼ飬֪
ȥӦƸ÷µڣʱһ̨Ԥڣȴٳٲ̨Э飿˹ٷҡУɻʵ
ǵġ
ǲ˼飬Ѹ߰Ͼһרҡ
˹ٷУų⡣˵ˮƽܽǰʮҲһ
Һš˹ٷҡУᣬº͵˵Ƿļȴûż򿪡
˹ٷУҪúϢҪϸġһһʵĿļԤƴˣ˳һʾ﹧ϲ㡣ԤУôôʱȺ˵ٻ


288 Խʱյ¼
ͳ֪ϣˣȥӰ˹ٷҡУԼķ˳Ĭá
ļ˹ٷҡУһ¼
ͨϵ¼һر꾡ļ¼Щط꾡㡣۾ʼҪһһʵĶȥ
ǰ׼дĺ꾡һҳֽ
˹ٷҡУȤдϸⶼٴ̣֤ġԤ֪
װģΪôʵ
ֻ֪˷ζȤֻĻγ;ʧ˹ٷҡУ˵
ô˵һһʵĿļ
2ҳ˼ۣ˹ٷҡУסˡ
ȫܿʼ䣡
4.4mg̫0.22mg˳ʽ15.4mg14mgյյڼ䣬Ч룬ٴθ̫0.11mg
ҩҩ˳Ǿšţ򡢹ҽԺȵҽԺҽġȻȥܼ򵥣ÿһҩﶼҪܵĹжҺܶඥʦٴ޲
С̺ʦѪ
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ͷֻһţΪ漴ԼĿĵĻ
ע̫0.11mg󣬻дѪѹ½96/54mmHgѪѹ½ܿ죬ΪǼҩЧǷ̫
˹ٷҡУһߵļ໤ϵ֡Ѫѹ132/77mmHg
һҩ֮ѪѹǸѹֱӽ˽40mmHgѵû£
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۲312жѪѹѭƽȣܲܲƺΪ480mlƵΪ12/min
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ڼ仼ѭȶѪѹ½Լ85/50mmHgΪ70~80/minǰ0.2mgѪѹ90~105/55~65mmHg֮䡣
˹ٷҡУԽԽǾȣѾ޷ݡй©ôֱǿϢĳ̶ȡ
Ϊֹඥʦȫһ£ļﻹûһ˿ȷѪѹʵľ֡
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ֱһλ׼ʿΪȡ޶ąֱ́ȵ飬ȻȻ뿪÷£֮ս4ꡣ
ά֣4.1mg/kg/h̫0.425mg/h˳ʽ10.5mg/h롣

ϸҲǰĲ²⣬˹ٷҡУļٶȿʼ
ҴҵĿ̨Ḷ́ҩҽв¼
һֱֹͣѭ˹ٷҡУﳤһ
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ǿɹѭѻ˹ٷҡУϲ
ļ5ҳ˹ٷҡУЩɻɹˣôôҳ
ѵ˼⣿ӦòᣬΪҪĻĹϵ
ʣ˹ٷҡУһҳ
ӳúɫԭӱͣ523壬ĵͼָı䡣
85/min½60/minѪѹԭģ100~115/60~75mmHg֮½65~75/40~50mmHg֮䣬
ȻûԼ֣˹ٷҡУѾûʱƽһС
ĿǾ仰֪ѾʼϵǺˮܡ
ζʲôͣص๦˥ߣ
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Ϊʲô
̨ϸఴĦע0.2mg32󣬻90/minѪѹ120/84mmHg
װģֱطҲ˺Щŭ˵ѭѻ֮Ȼֵ⣬ôܣ
طһѭڿҽһжһ޻Ĳ²⡣ȷķϻ˷ɾ裬Ȼ˵һĿĵĻ


289 Ȼʷ
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ļô꾡˹ٷҡУû취һһĿȥʱѾ״̬ƯҵϿգʮҽԱԼ
ǻѾ򿪣˹ٷҡУƺܿԼš
Ѿ˼ʮһ뻹άĺһ˲սʤȻЩһˣϴ̴ض顣
һħһ㣬ʱֹͣ
Ϊʲô
˹ٷҡУ벻еĵ̣õҩﶼǾϸɸѡģù֮ҲûгּԹ֢״
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Σô˹ٷҡУȥ
ʱӦʲôȣ˹ٷҡУԼķ˶ܺ档
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ת409ʱѪѹʡ»ָ
ͣܡ֮ǰһγ֡
˷3Σ˹ٷҡУྭܲסĴ̼Զֹͣ
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˹ٷҡУ΢΢ҡҡͷ۾ƽԼ겻ġ
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Ǹдģ˹ٷҡУΪںԼЦʿʿǲһˡ߿Цġ
ѵĻ⣿ⲻѧ
װģļһʿֵط˵һΪⷢǺԵʲôԵҩڿ
˵ţ˶ļA4ֽﻩ죬紵ӱߵҶһ
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һ׼š˹ٷҡУ˺ܾã˵ǽŵʷϣֹܶƵš
William Gilbert 25ýҽѧʿѧλûдҽƣȴȥоѧʮûгɹתдоǺˡۡ٤˵William Gilbertΰ˼ʡ
װģ֪ÿһŵ˶֪ΰWilliam Gilbert˷ǷĹס
ţ١ĵ˹סġ˹ΤЩֶζڽȽȽһǣǶšǵһֵܶ飬ºǶȷĿġ
װģҲΪǽʷϣҲʷЩᲢǶԵġ
ҿԺҲһʷ֣ҲΪʲôҪԭ򡣡˹ٷҡУ˵
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Ͼ2ûƵ˹ٷҡУЩ˵ۡ
װģۺ޸ݿԡҽѧĽǶļһʿֵ
˹ٷҡУĬ˺ܾãָļĦţ·Լࡣ
10ӣ˹ٷҡУŻ˵ѡʷٷҡΪߡ
װģһǵѡ񡣡
̨ϣûʶһжƿء˹ٷҡУ˵һڵһѻȥ
طԥһ£˵ͷ
ⲢǲܽܵģѾβ׶εʱͣôǺġȻط˲Ϊͷļʱ⡣
ģʲôҪһҪ̨˹ٷҡУò˵
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װģѭڿƵרңһжϡط˰οǸСҪľ״̬ȶҿ϶֧ߡ
˹ٷҡУ۾΢΢ҡҡͷͰᲩʿôΪľ⣬Ǻܶϸڲ˵ǶԼİˡ


290 Ժһ̨
ڶһ˵㣬ỻ·ҵʾ
ûֱȥICU˹ٷҡУȻ÷µҽðǰ鶼ȥ飬ϲȥܡ
֪ϣߣŵϣԹ磬㡣
㹻񡣡
Ҳ㣬һء֪ϣܱİӻһض˵
ͷŵҵĹԺͲˡûкͳ֪ϣ΢ר΢᲻ỵ飬ЦǺǵ˵
򿪣ҵĻڶĻϡ
ȽŵĻҲܸߡ۵
˹ٷҡУܽš֪ϣ磬ҪǰķǼ̨մô
Сûĺð취Ҫ˵á˵
漴Ĭ
ҽԺĵһ̨Ȼģǳ֪ϣû뵽顣
Ŭ˼ọ̈̄ҪԼþͿԡġǻиô
ܿ죬ĻӰ˹ٷҡУͽɵҵ̨ϡ
ƺ֪ڼػǰɺ֮¶һ΢Цżһʤơ
΢΢һЦȴûж
Ӻط߽΢Цվ΢΢ˣˡ
⣬ļҿˡطļȷ㲻ڿЦ
ˣҴҽƵϿЦط˲Ļǰ˵ڻлᣬѾ׼
⣬Һ˹ٷˣľܻеʧ
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ִǶ֪ʵҿʷٷҡûдط۾Ļҽʿæµţ˵ﶼԼļֵҪǿĻǮǱ׼ҽǹ̶ģǼ̨ҲõԼӦõ档
طˣȫͬĹ۵㡣Ҳûᣬ΢΢һЦǵ۾мֵġ
⣬Һ˹ٷҿطϥϵļд㹻ϸ£ʱ䶼м¼дô
طˣҺоʷٷҡҽԼŶӡŶÿһˣʷٷҡҽڣҵ˽ԼԼ˽⻹Ҫ̡˵
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˵꣬Ļ˵÷µˮƽܲ
⣬ǴʡĹ۵ô
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뿪ʡпҪǰǸļ裬ǿ÷µȺһǵӵʱҵľ׶Ͽյơ
⣬ȷʧܣ
ǵ12λشطˣҺȷûʼһжü
Ҳ˵2Σ⣬ļôá
ط˵ֻ̣ٴʼ磬ʼĬĬĻϵĻ档
ҽԱæµţ໤ṩֱһ˳
ǰ׼ĵͼʾ78/min޴ѪѹΪ130/85mmHgѪͶʾ98%㶯̲㶯ѪѹΪ138/90mmHgʦڽܾͨʼҺ塣
һоȻܳҽʿ綥ŶӵĳԱٴԼѾǵˡгѾɻ䣬޿ָ
ῴĻæµȺеȻԼʡŶҲ㣬ϧǶǹȥԼҲزȥˡ
СνԼһ˾ǰ֣ҪŶӲӦ
֪Լʲôʱһ㹻ĶŶӣֻ΢΢Ȼ漴¶һĨЦݣ
ܿ죬ʼ
ĻϷʱ俪ʼӺɿı仯
ط濴Ļļָ֪˼ڼ״԰ףҪļһ
ֳм¼Աǽʾһ⡣ÿһҩÿһԣݵʾҵĻϡ
ܿ죬һֳĻҲࡪ4.4mg̫0.22mg˳ʽ15.4mg14mgյ
ļгֹģط˲֪Ľ


291 
ط˶ľȣÿ϶ڽ񳤴õϡҪȻû취ļݡ
122ʦյ룬ʼָһҩ
̫ᣬ0.11mgļдһģһ
طüļļû򿪡ʱǵҳ棬ƺд֡
⣬ô֪յ룬Ҫٴθҩģطʵ
š׶еʦƫڱأʱҲڰɡ
ط˵˵ͷ
ҽ϶УͻĹӦķȻƫڱء˵˹ٷҡУʱ˶Ա൱ּյôܴﵽĳ̶ȡ
һжµôطʵ
ˣǻڻԼҶʦ˽⣬һжϡһ㶼棬Ҳᣬʵеˡ
ط֪Ҫ˵ʲôûнĻ˵ȥǶĻ̡
ٴע̫յ룬Ѫѹһ½Ϊļᵽһ㣬طûرԾ
ȵǡôԤ⵽ġ
ոյĽͣط˲ȫ⡣̫ˣǵͯһֻСӲŻš
ﾭݵľźż໤ȶҽʿҲ֮ȶ˶֢ã˼ӣûдȵĸı䣬ʼһ
ά֣4.2mg/kgh̫0.45mg/h˳ʽ10.25mg/h롣
ɺļдһ
⣬ʽʼ
÷ҽʷٷҡˢվ̨ǰƺ֪ڼغûֱǶżͷ
ʷٷҡĿţǸһ㡣10ӣֵ̧زָ
ط˿һĻ΢͡
ʹִ֮أҪУʱô
طʱʷٷҡһƣʼ
Ƥʱʦ̫0.2mgҽƤֲֹѪԷعλá
ַɾƯٶȺܿ졣طһʱ䣬ԼǵԴӿ̨ļƺʼעʱ䡣
ֻЩϸʱǲס
ļһҳط˺Ȼ̨1203壬׼عǡعǰٴθ̫0.2mg˳ʽ5mg
Ҫҩô̧ͷĻϽǵʱչ12ӣӹеʿعǾ⣬ʼعǡ
ʦӰֻ¶һǣҲĻ漴عǰٴθ̫0.2mg˳ʽ5mg
طסˣԼˣԤô˾׼һϸļͷȥϸոտģо֮࿪ʼ˿־塣
һֱԤȥɹ˹ٷҸ޷ѭһѻͻһֱֹͣ
ܣط˰οԼ
ⶼĲ²⣬տʼʱԶԱȽϼ򵥣ܸϲµһһȥÿһСϸڶпܴĲ²⡣
жϣطôΪġ
عǵ࣬˹ٷҡصѪѹƽȣΪ85~100/58~65mmHg֮䡣
عǺҽȴ122壬˹ٷҡ״̬ƽȣʼһ
ѭϸ150mgиػ
ʼѭ£ҽøʽFavaloroǣ̧عǣ̨߶Բб
ʹõ͹ʵ絶ȽعǺĤڽĤĤڲ֮¶ڶ
Ѽнбգ絶жֹѪĤ۵֯뿪絶ͷ45ǿʼڶж¶νС
ڶ;ڲڽĤ3cmпڣϸӼסڽĤıԵ¶ڶ
õ絶ὫڶͬھĤܰͼ֬֯ر¶롣
ļΪϸƤ֯ĵڶӾû
һϸڣҪϸڡ
Ϊ˹ٷҡУѪ˶߿飬пܼ߿飬ܴԹ
ܿҽľѾ۷弶ˮ׼
طûʹҽɣֵжô
ط˵ĿĻǰؿţҽÿһ裬ļﶼдʱ䶼¼
˳ԭӦɵطȴɸУļгһֻĸо
һУƿ֮Уû


292 Ϊʲôںͨˣ
أط˵ĵŨء
Ȼҽаյû֫Ѫܣѡȡ˴˸󡢵ЧõڶѪܣʮ㣬չʾҲ㹻˾ȡ
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ǰļϵ֣ԱĻϵӰط˶Ļڿʼɶ
ҽǣľżһҪ֪Լÿһ⡰¡֪ʲô顣
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Ҫǡ⣬ȷа취ô
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294 ǶԵ
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֪ACTֵ½ԣ˵д򲹶ĹУڵĸرлˣػˮƽ𽥼
ȫػŻ߱Ĵлҩ׿ͣ΢΢ЩãȻĵӼֱ̫ˣҪǻ˵ʲôô
ڶѪܵǺϲλ򲹶΢΢ҡҡͷЩźźֻռһּ֣ʡʧã
ζд۽⿴Ϊ1900mlУΪͣºϸأҺɫҲɺɫ
ҽ֪Щʵ޵˵һ⡪ҪǰԼ˼·ȥĻУɡ
뷨ʵԽ֪ʵԽǷŭԼģȴڰ·Ǹ족ȥ
бô
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ѾȫԼơҩʧ󣬰һдᡰԼ
ɭһѪѪܲĽᣬ˵
⣬׼ôʦˮƽߵ͵һƽдϲʵ
ǣҪѪֵĻһ˵ţһ߿ʼˮϴǻ
֪ϣϣ߶ȽšʱƺЩˣҲû԰οֻĳе˸β
ˮϴ΢¹۲ûлԳѪˮ׼ء
⣬ѪʾpHֵ7.380PaCO2 22mmHgPaO2 238mmHgSpO2 99%K+3.4mmol/LNa+151mmol/LCa2+0.82mmol/LHb12.8g/dɭ㱨ѪĽ
أ˵
ʺ໤ǵԵû࣬Ļ
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ˣطֻôһ뷨ʱΪʲôҪѡ÷ҽʷٷҡأ֪õѡ
ҵӰƺĴۣطǰããһƬѾʧȥ˼
ƣ1gһ߹أһ߼ҽ
˿̶عǣƤΪعϵƤԼ򵥣֬֯Ҳ࣬Բ١
رǻƤ۾ʱż໤ϵĸֵ
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ոմվλϵʱÿͣѭУ඼⡣
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ؽУΪ92/minѪѹΪ110/75mmHgѪΪ100%ľѹΪ5mmHg
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˼ɭĻʿ֢ҽϤôһ˵һת׼̨
ӭ濴űӳǰ
ҽûߣЩʵҿʲôҪ㣬һӶͣ
˵ţ֣Ŵָ
޾ȾѪָλεڴǰһ̵


299 
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ʷٷҡǵͨ졣
˵˵ʲôˣ
ʷٷҡŭĿᣬһѭʦʵΪʲô㾫к͸أ
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ԺûȤ﷢չûлشѭʦ⣬ֱˣʷٷҡ棬µҽ
ΪʲôҪĵ˵÷ģһ
΢΢ζָͷһĵ໤һƽȣЦǺǵߡ
ʷٷҡվǰ۾ûôһƵģֱײȥ
~ײһʷٷҡоһɾһ
ѧϰ·ã㵱ôҵģἥڽʵ
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ܣѭʦЩŭĿ˵㲻һңĻشֱ̫޴ˣ㵱ҼֻѧɵȮô
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ѭʦһҽվſڣҲһ¡
ٴҽ϶ѧѧѧ򵰰Eǵ¹ʵһؼԭһڳ˶֪
Ҫϸϸ׷ʣ򵰰Eڵȫ+ѭ·ڵȡ˶ش𲻳
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Th2ϸܷһֳΪϸ-4IL-4ʣյIgEĺϳɣʹѪIgEˮƽߡ
ЩѧĻ֪ʶѭʦǴҽǺһһȫ״̬£Tϸ2ڰϸ-4ָıô
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ҽҽгԱһ±ơ
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£˹ٷҡУ鰷øŨǶѭิպܳס鰷ô
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Զ΢Ц˵
֪Ϊʲôǰ˹ٷҡУץסỰһ
۽⿴ط˾߲ԶԼ˵Ļ϶
˵꣬ʷٷҡĿᡣͲͨɹӢ˵˼һĵ뷨
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ģʷٷҡȻԼվ˵µǰϣӸ£˲Сࡣ
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Ϊĳֲɸˡ
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̳أҵķ˹ٷҡУôܾҲ֪ǿһС͵Ϊ˴͵У»Լרң
಻ͣһΣնڣ㣬÷µ飬ˮƽӵЩ³һ쵰ļһԲѵָң
ÿ˵һ䣬ȾѪ׾ͳڴϣôȴСһ㣬գžžž
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300 ƽ
ܣʷٷҡͷҵĺţУĹ֧ܣдӲİ߿飬û಻ͣ
㲻С޾ˤʷٷҡϣժ޾֣¶ЦݣζҲ
ɵơῴŴҽ΢Цһ䣬§ס񳤴ղķ˹ļ򣬡һҪúúѾ2312ûһȾˡ
ղķ˹ãȻĿʷٷҡԼҽ飬ʱʱһ棬¶ظЦ


ʷٷҡҽ飬뿪
ղķ˹ûҳȥȥŦԼĻƱ
ɽʡʡֻһŦԼķɻʱ仹൱áʱ˿̣޾׳鵽±ƵʷٷҡѾ˲Щ
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뿪ĵط뿪ǸŰСӣ
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ĿŴɻ䣬ʷٷҡϻۣЩɬ
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Ѱǿ⣬ʷٷҡſþûк£
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ǲʲô飬ֻҪ¾Ϊþ˵𾴡ӵۺʱ㷺罻ߴϵλʱ򣬸ˡ
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ƽ787ӵߺļĴɶ
ŹµĹ˾ļ˾ӵߡ֮һ
ʷٷҡ۾ֱĿǼܲ787䣬ϼ־ʱĻȼ𡪡ΰ˹¼壡
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÷Ү˹ȥ֮ǰһֻͨڱ֮Уκ˶ΥʧȥһвƲ̳Ȩ
Ϊһҽʷٷҡ벻Ľ׽飬ȴûбûΡÿһ峤ÿһԱôľⳡϵš
2008ĴδΣ羭áھޱ䡣˹¼ȴǳ׬
϶Ǽ츳ʷٷҡôΪġ
ǰλһ㶼͵Żƽ787ˣʷٷҡû˵˹¼һ˽ӣûм̳Ȩ֣Ǵİᾧ
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ļһ˼һ࣬ȴûϢ
׼ȥŦԼҵ̸еôʷٷҡ뵽
ͷһţʷٷҡʶԼںδ
ġ˹ô
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301 ÷Ү
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Ҫ24СʱǸ÷µ鵢̫ʱ䣬ԱҪУʱлָ
ҵ죬Ȼô졣ղķ˹˵
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302 
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Ǹصġ˵հʲ˹¼壬ͲûϵֱӺԵ
һ̣ҪѪܡ񾭡൱ӵֲῴȵֲֲֲӺܶ౶
ʵҲˣпյֲѶ൱ߡ30һֲ̨ĵҪ10Сʱδ
ʱһͷҰǣ̶־ģϣƺһ춼Ըȡ
ġ˹µҽԺܺã˵22ꡣǰƣûЦǺĥĹ̡
һ᲻֪ϣпҪһ֡
˺ܾãֱһ̳꣬վϴ˸裬ʼ·
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ġ˹µĶЩŹ֣ԵͣϰԵ΢΢ԵҶЭ
ƵװҪҲ࣬ԶԶȥ൱Ź֡
ģֻ2ûѡ뿪ǰһΡҲſ˫ӭȥ
ӵİġ˹µ¡𣬡ô
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ֲʵҪԵѺ֮ܶ࣬һҽѧѧ
ڹڣ2016һֲǰҽͻߡߵİ˵ʱߺͼʾԽܡ
ܳɹ2º󣬻ҵҽʾ˶޷ܱ˵ġҪֲġг
ָо΢ᲢûйģĻжԻɵӰ졣
ġ˹ǿͺСһｻѣĿʼ衣
Сܺãġ˹Ц˵⣬ҶѾȲ׼ˡ
ǰ顣ЦΪҵҽԺһ̨Ǻܲɡ
⣬ҪлΪһСġ˹˵ܺãϲ
Լ顣
ҽԺ˽ŵУ֮ûӵˣʿԼҽҸֺʦǩЭ顣Ҫ˳1֮ھɣڿ
˵ţῴһ۰ġ˹½Ӳ787ĸʽŮ
ģҲǡ΢Цѹ˵Ҫһʱİ׵ġ
֪ġ˹ºʿḧԼ۰飬ܰҺϲ⣬ΨһûжľƵꡣ
~~~
ġ˹ĵȷЩ磬Ҫ1ʱʡҲûзϰҪִݻľƵ꣬ѹҪԹ
ģиضȥôݻǾԹ徻ʵ
ҪǲԶĻҲ⡣ġ˹µ
ѳԿӸġ˹µһ20İСӽסʵйô
ʦй10ꡣС΢Ц˵
˵ͷǰġ˹йͨ
һүBrooklandsıЩϾɣִȫߡ
1996ġүǰĵһǮ֮ģ൱ļ塣ֻҪġ˹¶
Ĳ787Ͼɵȴһ˿ıBrooklands
ȥġ˹ʵ⣬ոڸ˭ô
ǵģǽŴѧУ˹ٷҡء˵Ǳѡ÷ʷٷҡҽǵ⣬
ġ˹ЦǺǵʵ⣬òҽһִƾ
ЦġѡȨһǲһ


303 ܼӳô
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үֵֻʿϵ
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⣬ĺܺãǶǺϣ֤СѪġ˹½⿪µŦۣСġܻİ·졣
ܿ죬ġ˹ǰһֱ5cmԼ20cmġǰ
˵ʵǶһǸʵ壬һƤ꣬㹻ѪˡһӴƤҡ
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ģңסԱߵ£˵Ӧǵһߣ˹ٷҡУʵڲôǸȥ
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304 ˣ
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Ц֪ԸⳢԣ
Ҫġ˹µҿԡⱲðܶգⲢʲô˵ˣҪٵꡣЩҶȨˣҪˮƽ
ģֻ˵һԡ˵зַƫʱĳȡпܼӳ5cmΪֱȽϱա˵
ô˵ġ˹³һɵɵϣ죬ƣ˺ܾòŻ˵ҽá
ģҪðһķաҲܱ֤ٷְٳɹ
֪ġ˹ЦЦſ˫ۣҪӵ졣
Ĭ˼ӣ·
ģһ㳢۵ʳزˣûмɻ䡣˵
лл
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һβԡ
оУǰôãѵΪҿһģָо֡
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ԶԶĺǴ˸кӰȡԿ׶Կɽ
صҽԺICUֱ໤ǵž̤ʵ
磬ôˣ֪ϣICUںطġûжྪȣʵ
ῴһ۸ֵУƽȣЦЦ˵ܹﲻȡ
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ˣ̫ˡ˵ʱҲϢһᣬȫ߶ȽţԲ
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˵ʵ쳤;УĵطԳܡҪ뿪Ļġ
кܶо֢ҽҲڸûµġᰲο
ط˵˵ͷ˵һỰԱߵ¶ԡ
ʱҴҹȥУָĺܿ졣
24Сʱͣһ磬ԤϵѾֽˡ
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ææŽЭҽԺ֮˵תֻתԵǲ֪δѡ
ȥ³ԺζðաðգһΪȶĻһֺѽܵѡ
ԺICUīȵ˺Żصң˸˿ĵơICUæûûҹ
ƣĬȴûһ˿˯⡣ѦԺȥҽԺҲ֪ʲôʲôңԺ̫Ĳȷ
˵ʦϵ˽źⲿ˵ŵУҲЩǼ٣Ĭû취жϡϾһˡ
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ʱһһţīоԼ
ҹôȷôѾģĴǰεΣֽı䵭Ϊޡ
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ţۺúùôīİԺıһجġһʱԽܡ
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120


305 ĲôǺ
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ҽԺǽźⲿЭͶԺЩۻҵڸ߰鿴ֻͷ
ЩͷʵȤ߰ʦġκһ߰û˿ԥֱӵݽ룬Ҫ˾ȥ
˵򵥣к̣ܶÿһпҪһ졣
ϰ˾ҲǺżʦܸɴľܾ˸ֱ߰ϰȥεְڼС
εҪ߰Уʱ䰲ڽϡ
飬ʵһ塪ҵƿشӸ߰תǰĸΣĴλݺ
ǺƽӣҡڡһԶٷ˵ЩмĻպѡ
߰ûλεģѾ뿪ˣͲپ߰ﵹûʲôŤȻµϵһȥ˾ӵҽеС̡
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306 û
֪ʽ̫ѣ׼-ҽĵࡤָȫɶк࣬һһٶݺ˵
߰鿴ŻݺЩ˷ܵӣ΢΢졣ԼС5ңѾˣ˶־
ȻҲ뿪αҪмϵѹƲôǳ
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߰鲻ȥЩ飬ݺóֻ΢΢ЦΣ΢θĺܿ찡
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εӸøҪݺֻ˵һ䣬ᷳĻ˻֣˸ߡ
СίٵᾭԼ޷ֳȷжϡ
û취ֻľϹ̬ԡԼĹǸ⡣
ת뿪ｻЦԾһӵıʧ䡣
ٳٴ򲻿ûԸⳢԣԼ˶ٹûá
ĶôԾʧǵ뿪Ƶ꣬ʡǵҹɫ
ʵ̫ˣԾŲ֪Լʲôڸոֻ˵һͷĻҲϰܾõġϧûһŻ΢Ͷʸƹ
Ǹٹ̵һƫʵԾⲢƫԼҵĺĲĵһ㡣
ûлû󣬴ͷ󶼱˾ȡ΢Ҳܺȵ
ǵøְʱHRĳãǱʵһһθԾļѡ
˰̣ԾŲŻһЩʼóֻһļʼо
ʡǵĸѪܽҽԺԼһ飬ûκԸⳢԡ
ôأ
ĿļϡҽԺ


307 ˣ
Ծ˽⣬һҸճҽԺڽλñȳϲ硣
ҽԺճƶûˣȥȥûʲô塣Ծ̾˿һֱڳĥҪδ򿪾档
µķֻĻ컬ۼԾûʲôð취֪˾ѴΪһҡĲĹ˾Ӳݴһߵڣ̫ˣ
ˣĲѧϾͱ˲˺ܶࡣԹĲĴ㶼ֻǡˡʵãͻá
£Ĺ˾ƫһ磬мķƺĲģЩˮȦǮҲ͹ˡɻ΢ϰܷȴô룬һߡ
ÿó10-20%ƴоǹ˾ǰٵյʱҲһ
ЩǸոս빫˾ʱԾŽܵҵĻ
էһܷΪܣÿ˵涼һΡ·ԾŽеѴ
ոջݺεԾѾϰߣɽʡʡҽԺΡȫҽһ뷨
һ˵˾ƵĺĲģ˶Ըţͱ˵ָѶȵ顣
ԾŹ˾оĽȳǿ֮һƹ˾ǲţʲô취أ
ûãһҽԺһҽԺܰɣԾҧأҪԡ
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⳵˾֪νҽԺģͼҲû־ĵصԾ͵˾ҽԺ
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ͼ϶û־һԺȥҲǰȥԾ֪֡
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Ӧ漴˵Τʦݷһ³ҽԺûҵض
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Ծ˵ĿģΤЦǺǵ˵ţҸƨ¿ӡ
ƨ¿ӣԾɻʵ
ŶˡΤЦǵ綯Ħгһ˵ȥҽԺԺȥˡҪǹҪ10ǮǣһȥǾ5Ǯ¶ϵ
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Ծһ£ҽԺô
ҲǽϣסԺȥݰ࣬ȥһˣƳţûȥΤ˵ϾͱȥˣȺ˿ſء

ΤԽ˵ԾԽǺ档һ³ҽԺϣѵǴҽԺӣʵǺʲôо
ҪԾϴĥ꣬϶ô档Ͼᣬ޵ĺģԾźΤ󱦸ǣһƨ¿ӣֱԺȥ
ƳȥˣСʿʵ
Τ󱦳ǰġѧ˵Ƴ˵Ұ˵˵ܱô
Уҿ˵ˣⱾƳġ
ԣǱġΤ˵
˵ıСʿ˵ıȫ˼ȻڱƳ䣬ΤЩ飬ܿ˿̾˿Ǳѧ


308 ի
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ںھҹⶰ¥塢ҹĻеɽɽ֣һ㡣
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ԾϰԵһ·ǰ
ţһŮӴţû˵ʻһ΢Ц
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ҡԾԥ˲һӣϼ˵Ƴ
磬㡣֪ϣת
˻ᣬԾɨһӵĽṹһ׼䣬ϢңкɫƤɳһ塤ڰɭ֡Ǹ˳Ů顣
Žţ֪ʲô
һ˭ңԵһ£20ӡ
õġ
֪ϣת΢ЦգҸ¶ô
ǻ΢ҵԱԾţСԾСԾϰԵ˵
漴ʶԼô˵᲻ǰλҲ20Ůأ
΢ҵԱ֪ϣЦ˵ҵˣ⼸ܴϰô
Ծһ£Լҽܣ˼ֱӾԼϰ壬ô£


309 Ĳ
ϰ廹áԾľȻش
ԽԽԼ߽ի磬ǰλ˵СпܾǺ꾫
ˮô֪ϣʵ
Ծųҵ񣬴ûʹʲʡҪҪˮ֪ϣˡ
ͷһů⣬ԾźȻеۡ
˵绹20֪ܳϣһֽԾŽһˮŵǰ΢ڽĲиĽô
УǵġԾ˵רҵ飬ʼܶĵضϲͳ֪ϣŻ΢ĸֽ
Ծ˵˵žͷԽ˵Խ˳ڳ֪ϣҵԱ˸ɾƺ
˵˽10ӣԾŵĿЩʣԼûǰλ˭
ˡԾһηԼĲ㣬ͣסʵλʦ֪ǡ
ҽг֪ϣƵġ
ƣ֪ϣԾŲûʲôӡ󣬻΢Ҳ񾭽ĺĲģ治ܡ
ôţ֪ϣЦ
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ԥ˼ΣǾ仰ʼû˵ڡ
~ٵ
Ĳɵ˵
һСҽŵܽ˵ԺΣڲˡ
Ϊʲôʵ
˵Ҫʦ֮ǰҽСҽ˵ʵķ룬˵¶ܴ󣬻ġϵ¹ݡ
ô죿ѦҲЩͷۣʵ
ʦ绰˼˵
鷳һĿô˲㣬Ҫ¾סʦŷô꣬ܲƲá


315 ǵĹ
ģҪŲǰ˵ͷϴ΢ڵϣҪʼ΢ǰһζġ˹¡
֪ġ˹ºƽ͵˵ȫûһ˿ţҪƽ10Сʱһܼסġ
ü֣Ҫһ£ǰҾСȫûбҪ֡
áҲǿĴӦ
֣¶΢е
һǰСӰġ˹µֱгοϡڶ΢Сֲȷλϡ
Ϊġ˹10cmҪʱ䱻ӳ10Сʱ𲽡
һ̨ܼѵҲһս
һ״̬΢Ұϣ׼һǺѪܡ񾭵ϸ²С
ʱﴫ
ɽ󺣡
Σֻҵ˿˵
κӦһֻ׼ҶϣȻעѦ֡
Ժġ
κһ£ûйԥֱӰѵ绰ҶϡѦԺʦǰͲʲôѦԺ
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ţҿ͹ϷƵܶࡣȻ˲֪׸ĸʺ壬ǴܸܵҪ˼ǹͨģ˵ذġ˵仰ССİһ£漴ľٴ׼ʼ
Ȼ
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ɽʹ󺣣Ҳɽ˺
۾ƽЦʧһɽ㣬Լбļ
⣬ĺæġ˹Ц
Σ˭üһ䣬˹ٷҡУ⡣
ѦԺκֻʵʵĻش
˿Ȼ
ʲô顣ԼƽҪŵ
̨ѶȼߣϾҪСܴġ˹еϸڸܣǺϡǹؼ
һҪ10cmѶȿ֪
ҪǸϼ¼ԼҲи׼˵Ҫܾġ˹10cmҪ󣬱Ͼô̫ķʱ䡣
´ĵضȥ룬ڶٴѾγϰߡ
ѦԺáκνͨ绰Ϳ˵
Ŷʦʲô顣
Ѧ͵κסˣѦԺ˵κ˵ʦһĹۻ˵ʦҪ˵ѾʹʹϵˣѦԺͦżġ
ңҴʹôᵭ˵
⣬ô£ġ˹ʵ
һиˣļҹ˾Ͷ̡СˤˣҽԺ飬ΪǼ״ٹܿµġҲû⣬κ˵ѦԺ档
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ڹڣͶǴ¡ƨ飬ֻҪͶߣԱ͵ȥҽ񴦡ҽƾװ͡ҽͨ񣬻ܻˡҽ׹ǣֻҪͶ߾鷳
ʦӲ߲ҪͶߣҪҴʹͶߡҽԺڲأӦ漰¾װɡʦֻӲ˵棡
ʣµκξͲҶˣȫİ򣬸˽ִ˻ʲô⡣
ѦԺʦ˵档κ˵⻰ʱ򣬲ʼ
绰ѦͲ˵ˣҲ̬ȾĲ֪˵ʲôźá
⣬˭ġ˹²˵˵
ɣרΣѾͷ绰м´ҵȻ󣬹ػ
áκرĻش
ɭġ˹к·֣ȥ
ûжһϻڰġ˹µ￴ϰҪĳ̶Ρ
΢΢Ϲתȥκκͳ֪ϣкһֻص
⣬ҽĹġ˹ЦǺǵ˵
ǹҽԺľڲìܡ˵ͶߣҪչ֮ķɡҲǺ⣬˵
ġ˹ȻԺﾫͨƵĴʻȴ˼
һⱲµķϣһв졣
ǰλº͵˵ͷҪԼлҪ󣬲ֻǩЭ⡣
ոԼ˵ܼ򵥣һеĵĮβ
ҴʹͶߣ˿϶һˡ̨ϵȴɵĮĽԼ֣һĻ˵
ԼķǲЩʣӸոշϹλãš
񣬼ܿϡ


311 ѹô
³ҽԺĲϣжƲסķŭǱӵҽһ·һƬʲô۾
ȴʹӾַ벻
޲ðǸεҽֱ˵
ֻۣǹۣȻͬԼҾȻñ˸Լ
³֪ҽԺҽ󣬺ԥϵʹݵԱ⽻;Ǵ뿹顣
Ϊʮ꾭й԰³⽻;һͨйһʲôĳͷ
һ¹ݾʡ2Сʱĸ·̣³ѽӵϢϸϹ
ʼߣ߰żԼܿ͵һҪҽõӦеĳͷ
ҽдĺ֣³һֱţ֤ݣǶӣҪǸ˶ڳϣ
ȻСʱ󣬰³ѼҴҸϵɵ¡ɫ൱ÿ棬һڰ³Ĵͷ
һҪǿɵºܹŹֵ˵
Ѿڸ·ϣҪΪûҿԻعɵ£ҵѣġ³ڲô꣬ɺܿ죬˵ҽƬӣΪֻǹۣ˵ͿԽ⡣
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Ĭ˺ܾãƺôͰ³˵顣
װ׷ʲô飿ǲҪɵģѵô
ˡڸϽӵһ绰ɵ¡˵ҵ˾
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ţ˵Ҳšɵ¡˵仰ʱɾΡ
Ŷ³ƺʹֻ۾ɵԲģ˫ֱͷŲɵ¡
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ٹ꣬ǸҪȥѡͳˡƽʱӴԽ3ȲֱӸҴ绰ɵɻ˵ѹô
ҵ죡˵ʲô³꾪ȵĿŲɵ¡꣬д˾ȡ
ҪȻBOSSע⣬Ҫֻ֪һлִж¡ɵ˵ȻûѺعͨҵ;㱻͡˵ʵ׷ʲô飿
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ΪһѣҰ˵Ķ˵ˡΪһ⽻٣߶Ȼѹɵ˵ڿʼһһҪµļ֮С
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ĿŲɵ¡꣬ȫ֪Լʮ˵ʲô
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ΪʲôҪѹ
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ڣ췢ԭԭĸңҲſ׷ʲô
³˺ܾã侲ʼȼյķŭʵǰҲϨȴ
ŬʮľԼ鶼ûд
漰пܵѹָð³겻òСģСġΪ֪ɵ˵λ˾˭Լʲô顣
ҪϴûɵһжҪѾ۵Ĵȡ
һֱ˵糿³껹ϸԼôˤģ˹ۣҪɵʾһ¡
ȥǼҽԺյģû˵ҽԺⲻǰ³֪ейʽҽԺ֣ͬʱҲߣΪԼܵ˲ƽĴ


312 Ϊʲô
𣬲ɵ¡Աƿţ˵ʡҽˣԽô
ɵԥһ£ҽ
ϾѹʲôĶֻԼĲ²⣬û֤֤³ѹΪ
ڰ³ȹۣȻΡѪͣƤϣɵ¹ÿۡҽȿһۣᵢ̫ʱġ
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һʮ꣬ӻףŽ˿۾ֹ߽ŴݣһϵĹ塣
ܱǸˡҽ˷۾ͳдԡ
ҽܿá³һίĺӣƽڲϣ۾ˮ
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ˣҽԺҽ˼Сʱֻ˵Ҫһ֮
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ѦԺεſڣѾȥæˣ˵¸绰
ҽҪ³ӰϡԱҽĻ
ڰ칫ҡ˵
ʶ̩-ɶҽԺʡҽҽ϶ʶˡ
ǻǺܶǰһȫǿҽĽϣҽһݽй¼ķԼδĹ롣
ʱͱҽķȡѧʶ۷ȴû뵽ԵɺϣȻԼҽԺҽ
칫ңΰƬӲ嵽ƬϣҽƬƬʱҲûţҽѼ鱨ӡȴҽ󿴡
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ҪΪйɾͲǿ60꣬55ϵĹǿͣλ102ŹؽûʡߵĻߡ
102Ļ߹ҪȰ³أǰʲô
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벻ϵİҽĻͨȻЩӳ٣λҽĿпεĺܺõı
ϼҽ֮ĦӣЩԼҲԼжϺҽһµġ
ҽѦԺβ˵֪˼˵ҽ˵߲ʺʱ
м鿴ûɡҽܿ϶˵Ҳҽǲῴ
ѦԺЩͷѸĥô顣
ҽҽʱдһݲǱߡѦԺŬţ֪︺ơ
ѦԺг޿κε
ʦôⶼˣѦԺ΢΢Թմ˵绰漰¾ףʦҲ⣬ֻȻػ
ԼԺ治õ
Ȼ˵һŰֽʦҪǩЭ飬һǩǩģԼΪԺȻûʸǩ
ʲô֪滹Ҫ¾ס
ҽҾÿ϶ʲô©ѦԺȻп࣬ȴᶨѭµҽ
ᣬ˷βCT֮⣬鶼ˣûɡҽ˵³ͲҲΪķβʲô⡣


313 ͬ
ҽѧôѦԺСʵ
ƵôˣҽЩĿѦԺʵΪʲô˵Ų飬תԼôһ޴⡣
ʡҽԺҽ֪ô
ҽסˣʶķ˷˿۾ĿѦԺ
⡭֪ҽԼƽһ㡣
ΪʲôѦԺȻ˵Ǹˡ
ѦԺһ£˵ҽ˵ߵġ
Ȼҽ֪ʦ֣һжð죬ѦԺʼϣǿҽµıһ㡰顱ʱѦ;¶Ϸ
˵ҽ⣿ҽȵĿѦԺ
Աסˡ
ֹķҪŴŵıһ
䣬Աд壬ƿڡȴֱӵķʽҽ˫˼
ҵ죡ո˵дһݲģ
Ӻҽ˷Ա˼𾪵ʵ
ڻ˵֤ݣҪͶߡҽֻҽϵһЩ硭Ѧͼᣬ֪Ѿٴ˵ʹŹ
ûѦԺ˵꣬Աͬ뻰δ䣬ҽѾתţֱ
ѦԺüҽֱӾܾһ£û߷²Ͷߡ
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ɷĺ֣ҽһɨһۺѲķԱ
״ٳҲྱͻڣǼ״״ҶСڡ״ٹԼز64CT翼Ǽ״ơ
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״ôҽ߶һ䣬ʵһʱǲȫ֢״
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ؼЩ͹йϵô³겢ôΪ
ΪҽʣĬ˼ӣǻشҽоЩƣҵʹ˵ԭ򡣱ë벢Ҫ1ǰҿʼƵʯ֣鷳ġ֪ÿνʯ־ҵʹ뵽
ÿʯûãͻٷҽһоЩۣԿʼҽĽ˶Ҫѽʯųȥǽʯˣȴ˹ۡ
³ҽҡҡͷĹ۲
³ĿҽƺԼﷸ˴Ϊҽ˵ǸһʻĽۡ
ѵԼˣ³һìܵѧ԰Ρ
βCT׹״ټزⶨҪ״ͬλںϲⶨҽʼҽ
Ϊ漰Ķרҵʻ㣬ԷԱѦԺν˰죬ҽ˼
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ЩҽԺȻչĿȴɻ󣬼״ǿԵ¹ɣǺĲ֢ٴ濼ǡ
˵Լ̩-ɶҽԺʡҽʼû뵽һ㡣
ʦҺԼûһȥΪǵָǴġ
õġǱҪģﲻϵ뵽
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״ټ1821pg/mlֵΪ15~65pg/mlT32.391pg/mlֵΪ3.5~6.5pg/ml
״ںʾҲ״²ŨӰ״ٷֱֽԼ3.3cmǼ״ĿԴ
Ȼʦ̶̼һǼ״µĹɲۣ


314 ҽԺԺ
ҽ󣬺Ͱ³꽲˲飬ѯѦԺȥ
ڽЭҽԺѦԺЩΪѵ˵
ҪпܣԲһλ֪רȥҽԺ
·ƣֻһӣŴѧ˹ٷҡУҽƵԪûУ˼ҴӽŴȫ
ȥʲôźⲿЭͶԺжຮô
ѦԺûѡʡҽѾȲҪȥʦ
ʡҽӣѦԺԥһ£˵ҽʦһ̨ȣҺʦ˵һ£Ϲ
ʡҽȵĿѦԺûбӣҲûмڽһãȻ⣬һ۲ϵĻ㱡
ҽѦԺ֪Լľ仰˵ˣСʵ
λǶ綥ҽĲءʡҽЩ˵⣡Ҫһһ̨֮ٹôҵ죬ôΪģ
ѦԺʡҽֱǲġ
ѦԺǰλ֪Ĺǿҽ̬Ⱥ棬ǿЦ
ȥȥɣѦԺε뵽
͵㱨ѦʹʡҽȥԺҲƨƨ߸ں棬ҽԺԺҲܸȤ
һʱ䣬ҽԺϢҽԺڲ顣Сҥ˵ʦ̧ͷЭ뽣Ϊ顣
ԴβãԺڰ˾ӣǳϲǳϲ˾Ľ
ҪܿһҽԺż˹ǺһĸҽǵĹͬ뷨
˵ŵĳҶ䲻һ̨ܶԶԶĿЦ
ȥһۣһ·ţѦԺҲȥϾ˰æתͷ˲ǡ
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ʡҽ̨үܹȥΪǸԣϿĳͲסҪȥ
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վүԵ˾΢Цף˵˾ʲô
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ѦͲΪʲôʡҽô΢˾ʮ꣬޽ǰ߰ףǺصӣǴ˵еӢϹܼңôҲɡ
˭֪ء
Ѽ䣬ʡҽһ3תʾءѦͶ˵ʱˤҪƸ鷳
ҽʶǣѦСʷ롣
ҲĿɿڴ˵ѦԺҲ֪
ʡҽѦͶɻѯʵĿ⡣ҽȴûһЩŹ֡
ҽ˭Ѧʵ
ʡҽһ£üѦͣ˴Լ2ɻʵҽԺԺ

Ѧû뵽ҽ⡣
˵˼άһϣѦͻе˵ͷ
ҽԺԺĸҽԺ컹ʡҽʵ

Ѧ档
˭Ĳ֪ѹҽҪԼǲҽԺԺ
˼λһλԼΪԺȻʲô֪
ԼǸܣѦ̾˿ʵʵĸʦɻɣǧ롣


315 ȱô
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ҡҡͷ˸ƣúѦͷϻҪȥᡣ
Ѧִһ绰Ȼֻڹػ״̬С
һҽֻ24Сʱǳ̬Ҫֻڹر״̬϶мΪҪ顣
Э͸ոʡҽľٶѦȻʦȺȻԼģƺҲûʲô
࣬һ·ȥ
ҽԺʡҽĽŲࡣԣյҽԺһ
ոյ̨үλ޽ǰ߰׵˾ʡҽκһӣĸѦ;۲ҽԺ
ҽԺͨȻµģҽЩơ綥ҽԺ͸һӸûʡ
ȷܰȴû˵ְ
ﻹܼªôôּҽӦùҽԺλ˹¼λ졢βҽԺ
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˭ѦͼһλߵϾԼ20ٴҽ10ĻؿҳΪԺûҪǩЭĻߡ
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Լֱ룬ֵĺǿƣȴûע⵽һº͵ĻһС
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⣬˹ٷҡУģܲȴȥҵѣ߶ء˹ɬֱתƻ⡣
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322 ֵ̰ʿ
⣬Ըô²顣߶ء˹Ц˵
ֻҽҽܵĽҽȻҪβˡ΢Ц˵ô飬Ҫ˵ľôࡣ
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ῴż߽ҽԺûиţĿǽȥ
磬㲻ȥһô֪ϣʵ
û塣ҡҡͷϵı±ȥɽ
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323 Ը
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324 ʲô
ֵʿһᣬիҲѳ֪ϣл̻ʵĿʼԷ
ϾһûԶȻûеķĳ̶ȣ̣зץʱԣǶסԺɵϰߡ
˭֪һǲǾмﻼҪʱԿڷѾǺ˵顣
Сʦ壬ȥһȥֵʿʵ
ߡең֡˵
⻰˵ģֱ䳡ֵʿ֪ôȥ
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Сʦ壬ĥҽԺô˵ҽԺ͵ȥΡֵʿŹֵĿ̻ʣ仰ĹѾիɨɾᡣ
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΢ԼɳҪ10ꡣһӿûô10꣬Ǵһ𡣡ЦֻǶ귵Сʲô
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༭ɣῴһۣ͸ƹ˾CEO


325 
ƴ1979꣬ܲУȫȵҽƿƼ˾
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йĺҵΪ롢ɹṹಡڿ롢ܼȡ
ΪȫȵĴҽƽṩ̣ڶԴзĳͶ롣
ƹ˾ӵг13000ֲƷȫΧڻ˳16000Ȩר2013꣬ƵзͶﵽ8.61ȫзͶҽе˾֮һ
ڹѪܽĹУƹ˾˾޴ĳ׬
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ʽͶ룬΢ƶ귵ĺĲģѾٴ׶Ρ
ҵҪƹ㿪ĳΪȫȫĲĵϴ


Уƹ˾ܲCEOİ칫ܿˡ˹ǩļ
˾оýܿˡ˹ķҡ
йڽ¶кֵĲĵоƹ˾޴㣬ǹ˾ϣڡ
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326 ѡ
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ĵȶ˹ٷҡУҲܻ׶ؼֻ2ߣò鷿ЩģûʲôòĻߡ
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ϻߣοͿ˵ʦѦԺλУ
ŶЦæţҿ۾ߡ
˵ţһŸBӡŶ߽


327 
Σȿߡ΢Цվ
æʦ̸µģ̸鲻ס
ˡվԣֽӹB浥Ѫĵӡ
㿴2ӣ൱ϸҪĵ㶼һ飬BӰɨһۡ
ߵĵұԼеëڣǿϵס
С˵ɡαֵĺºͣûһ˿ĲͷЦе˵ȷڿǵס
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أϸѹʹûзʹ뼡šBϵұЩëڣǺءϵû⣬ҾûҪȿڷһ쿹ؾͿԡ
ҪǻأСʵ
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ϾʦվһߣˡԼȥȥ˵ܹҪͺģҲʦСԼٴܡ
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ȵһ£ֶӣȥ䡣κͻ˵
ţҲżߵǺϣҲ⣬С˵
еԼȻû¶Ҳƨ¶ȥǡ
һߣһ߻Ǹߡ
ԣѹʹȻûзʹţ֤ײ̫أȴǷ񶨵׵ɡ
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ܿɨһ۵ӣĿ⼸ûκһͣӺ˵Σҿﲡд˫κ壬ô
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ҽԺÿɲټ
ʦרҵеרҵʿ鲻壬м漰ŵӦüΪϻ仼ߵԼ
һ֮ûʲô⡣
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ţ֪˵ͷЩԼεʹʱпԣһβӰɡ
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Ҫȥһ»ߵĺҪҲ鿴߲ǵշϸʹҲǻҺǣĤµķʹ
һᣬ֪ģҲֱ磬˵ͷתȥ
ʦöģѦʵ
ѦҲڿƳ֪εˮƽղĿһУΪˡ
Ҫǽ˵βд˫κ壬ʵϲûв壬ȷǴ
ǣﲡôдġβ׵Ļߣղд淶ҪͷŲһ飬ǿô
ʦҲû˵£˵Ļ˵ء
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Ѧ;Щ˼顣
ѦԺ۲컼ôЦǺǵʵ
ˣ˵ĻҪмֱַʽɿȡʹȡûһϣôжϵģ
˺棬ûйأǰɡ
Ѧͻһ»ߵ˵ͷ
߽ʱ򣬿ԿƫǺԵ

鵥ѪϸܰϸƫߡȻν˵ĻѪı仯ԣƫԿʼǲҲǻҺ
᲻̫ǣǿ
ҪICUߺڿƸɼ꣬ĶĻӦúܿȷߵ˵ȵȿɣܺܿȷ
˵ţŮһã߳
ץʱȥ·ʱ̫żŵ㡣ǧһûʲô¶㲻żβ϶š
ĿŮ뿪ȣתߵǰã͸м
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328 ʦĿֲʵ
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ȵȿɡΣæţ滹ҪȥѭƵĸΡ
Щã֪ԼֵĲãȻʦǰ©
¶˵Ǵ£߾֢ƣ첻תߺתֺܿѵҽԺ鷢ҲǻĶˮԼôͣ
ҪǺƵ㣬Ūһ¾͹ȥˡ˵еĵףеǻҺҺǻؼ⼸ֵģҲûʲô¶
ȻҲп鲻ԣһüƽϣǾҽҲףôȥˡ
ҪģץԼֱͶߵҽ񴦣ôǸС鷳
ؼǣ
ԼЩ˵һЩ飬ԥ壬һֱڻûһѵľʦû뵽һѹʹĻ߾ͳˡ
ҲԼȥ˾ӵ뷨ӰȻʦԼһףҽһӵ·۵Ļȴָ
κƣѦԺר
鲻ãɵôӦһһĻߡжľڣҲûΪһͲԼĸֻɣǸôô
ܶҽһο󣬻һֻɡԼôǴģôϸ©ʲô
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Щ˳ʹ˳ȥٴֻһЩ
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ҽԺʵʵĵԼΣѧûʲôǰ;ʡڿչERCPΪʡڵͷ֮һǮݡ
ҲֻβϵĸԼ裬ո
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¥Ρģüһ˫ϲϲ¶Ŀ̬֮Ϯһ֮
ܰѷνдһǹŵ
ʫ˰䴫Thomas Moore˵Ը첡ΪŮʿǶ˵ƣİףȴǶôĿ
Ϊ˷ν˵ĻƤ԰ף΢졣в԰ƤΪɫۡ
ǰСȴȫû
¿ףԣܺƫơ
ҲȷԼĿƫƻΪβCTƬӺ۸ܡ˵ʦո˵ƫƣԼž⡣
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ԣûгֹյŮܿ϶˵
˯ôÿ˯᲻д
ʵǵ
ҽһ֤˯󺹳쳣ѺйֹΪһֲ
͵˼Ŵҽõÿҹݸò֤ÿ˯һ۶˯֮ʱҺһ͵͵й
һν˵Ļ߶
Ůҡҡͷܿ϶ķһ㡣
κƣûкѡûеûзȡֻʹŻֿԡ
һԼҲǵ֢ǣĤֵ䡣
ʦѾ˵ûһβCTȷǷν˵µĴǻҺλͷ룬ҪԼһνƻߣ˴ɸβCT֮⣬Ҳûʲôð취
ѵ˵Ǳдѧ̿ʦֲʵô


329 ϻ
ҲûʲôͷʲôӰϣֻҪ룬һϾͻԺ
򵥡ˣԼôܸǻҺϣʦվһ߿һᣬȷһ㡣
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ΰѻȥڿƺ̾ϢһҲ֪ΪΪȥ˾ҽԺϣã
ֻĲɵĽͨ
ι
ΣǸϻֻˡ
οЦ˵ֻ֣ᵽϻ3֣֪¼ҽ˵˭
һ53лڴƣ¼תΪסȺܾھȵӰERCP+ȹ֧3Ρ
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ֻҪԺͻơһһ鷿ʱڻߵŵ
ͬ߼ҹʱ
ʱξŭˡ
סԺڼ仼һΪ
չݰ1ڼ֢״ʧȶߣ2Բߣ3ͨȡ
Ҫǣ1ע۲첡飬۲ƻҩķӦЧÿ2hѲһΡ2ݲڴϻȻ3Эó令4Բ̼ͬԺָ
ûκһ뿪ҽԺ
ҽƹƶȲٵͲٵҪȥһЩƷֵ໤ʿܲ
йƶȶֻҽԺ˵Ի
ѾƽȣסԺΪÿ۲첡仯ҩﾡ쿵ʱеģҽԺҲһǲʽ
뿪ǾнΥΪֻҪͶߣ鷳
뿪һ£鷳ҽԺҽʿҪΪ֮ۡ
ڴ۵ĴСѡ
ڵ£ҺôҺá£һ鷳
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ֲٵôģβ֪ȷǿ϶鷳
ŵоζ֮αףһƾŨȲԣȼ֤˲²⣬Ҫ컼߳Ժ
һαҪ飬סʱץʱų鷳
Ҳ֪£ٰģηһסԺ5˳Ժ
öĻ˽ӣҲоƾ벻ƾ̼
Ժ󣬲ҽʿϻ
Ǻȶˣ֪˶٣Ҳ֪շ׻׷
̾˿е㷳꣬Ͳٺȵ㣬ǵ鷳ô
ȻٰΣȴҪȥߡ
Ƥȥʦǿһϵţ˳㡱Լܲȥ˾ҽԺ
Ǽ³ҽԺǸֲãκ˵Ŀ˲ͬ
һܣǧ
ԼŵڿΪʲôܰѸεڿƴſ£ΪԼѧϽһʱERCPӴ˴˾档
λҽջߵѭ֮С
ҲǸΣʵʵ˵
ɰ˾ҽԺֻҪʦߣҽԺ϶ܷɻڴ
ߣʦҲҪɼꡣҪȻѴڹȥڶתߡûôµġ
ʦڹڵĿڱҲͨʱһԼļԺְȥϷЭ뽣ƣҲǲһ
ֻǡϧˡ
̾˿
Щ⣬ǵȥߡʦ°ȥ
صǻңסԺѾɼ顣
ǿCTȹ֧״̬ȹܽǰţɨθٻ֣ȹţδ֧ܣΪס
ERCPңվڻߣӰǾﲻԾ
ʦԼӰô˵õǻǲǡ
ոһѹʹĻԼѾڲ֮γһƬƣͷԼܵӰ죬ʲôжϣʶȥĿԡ
ҡҡͷԼ뷨ȥ
ӰϿﲻԾ
أȴ˵ɻĿųθӰ˼
SpyGlassDSһһƮ
豸սĻʶ˵ɻ˵꣬һ¡
ǡ
ʦ
ʲôʱģ


330 
ERCPһ̾ΪֹĸʹõϵͳϸΪ׼ȷͬʱԽھƣķոߣ˴󡢻ָ֢ı׶ˡ
1968ҽӦʮָ״βܳɹ־ERCPĿʼ֮ERBDESTENBDȼֱɵ¹ձרɣERCPϵƼơ
80ҹ롢³½ڿʼERCPƼ40귢չҹERCPˮƽѾﵽ⡣
Ͼҹ޴󣬶һⲻͬ
Ҳ࣬ܲܿ𲡣ҪûǮ๫֪ųƹҽƣҲƭƭˣÿôɵĻعβг˺ȥˡ
һʮ̨ERCPһ̨ܼERCP۵ľֵȫһ
ĸ߶˿ƼȷǸߣ䵽ϣȴһߵ̫ߣ͵̫͡
ῴ֮Թ߶˿ƼѸͷչΪǮ˵ҪǲںǮֻԼܶꡣ
ЩûǮˡǶϣˡһ㣬ʦ˸֤
뷨ֻԼĥûкκ˵
ERCPѾչƣ10ERCPûʵԽչƺ˷չƿ
ȹܱҽΪһä
Ϊ١ܵȱࡢθ١ءǳѡĿǰһֵȹϵͳļERCPMRCPϵģڸӵȻоԡ
spyglassĳһ㣬ֱ½еȹڻʯƣͻԭھƵä
SpyGlassDSȫΪڵӾֱϵͳ˵ھҽĵֻۡ
ϵͳͨʮָĻ׵뵽ܻȹڣﵽֱӻ׼ҽʱع۲쵨ȹĵȹܵҰäERCPõ
Ѧͽܣ˵ҽԺھҾᵥӣһ̨SpyGlassDS
֮ȤϾSpyGlassDSϵͳֵĺһЩ΢ҽԺûռû뵽ȻںɽʡѾ˳һȦ
ſڻ·ڿųθӰ񷢴˲׷ʲô飬Сѡ
ʦתϲӵĿᡣ
ԼƵȷãһϻϲȷʦ໵ӡ
Լ˾ӵǼԺԽԽԶ
ڸԼԥѡ񣬶ʦԼ
ϲʦˣԼ˳ֽһµԼоǻ⡣
ţڿǻôʵ
μ򵥽ܻ˵ʦûʲô¶һǾ⡣
⣿ЦĿΡ
һ£⻰ʵġģǿԼ
⣬ֻǶ۵ٴµһֱҪԼ˵⣬ξδ
Ҳû˵ֻǿΡ
һεϢɢܣβ֪ʦʲô˼ĺ󱳲ð
Ǹ
Ĭʮ룬οǹһƵġͰ͵˵Ǹ
ĸڿЦһʵ
μûı飬ֻºЦšЦÿܸоСʿĿⲻʱǻʦϡ
ѹֵСʿǻӻԾȥ˾ӡ˵ģһ㹻ˡ
ֱԼĸ⻰еûò
ʦ׳ŵ˵Դָ˵ϻߣβöˣӰԼӡ󡣡
ûдεĻֻš
θʾٻ֣ȹţ׿϶ûٿȥЩëڣҾá˰죬ʵҲʵĴԼĸоֻáݡ
Σˮƽܸߡ˵ͷ˵
εϣЦ˵ûмЦǵõϿɡ
ˮƽܸߣһҽ˵Ļˮƽܸˣ
βĿᣬ֪ǲ˵
ڵӾֱϵͳѧģʵ
ħ
ţħڿƵϣѾչڵӾֱϵͳо׷ʵ
ζʱ󺹡
ĿֱӶ̹ϣû˿⣬ξЩů
룬ʵʵ˵ʦħֲ3룬ѦԺ֧֣1ǰڵӾֱϵͳŵûҵʵĻߡ
һϵͳ϶ҪҵӦֺ֢ĻߡҪ֢ߡһֱԽԽŸ׵Ļá
ҿš΢Ц˵


331 
κİһ漴ϲ
Ȼ֪ᾭڵӾֱϵͳˮƽȵ˵仰ֵĹ⻷ûʲôɻɵġ
вıϣ
ǰϵͳѾо˺ܾãɸѡߡֱϵڱ
Σǰ׼ҺѦԺš
ʦЪЪΰѦ͵Լİ칫ϢȻʼæµ
ǰȸرһϵеܷҪҲ뼱ܼ
εİ칫ѦʵʦȤ
šԵĵ˵ͷпҪͲƺѭھǵǿ
Ѧһ£ʲôϵô
ҸΣΪ˵ţһ£漴Ц˵磬ƺС
ʦ¶ǩЭôѦԺСĵʵ
ѦԺǩЭĻ߲ࡣЦǺǵ˵ûʲô˵ģһĶк΢Ĳоƿܰǽ

һģлƽôô˵Ҳ֪ʶȨܱǰβǣ˵أ
ʦ׼ô
滼Ҳ࡭ʱ࣬òṩĲģѸ5µĲ˵Ժ飬һû뵽
ѦĬȻ
ڹĿֵ֧ġ
ǴӾӪߵĽǶôǮôάϵʦҽƷõշѱ׼
Ǹ֪ǩЭĻԼŴѧ˹ٷҡУ⣬жܻǮ
ѦԺġ΢Ц˵Ǯһ£Ҹļƻ˰ɡ
ˣҲͬ⡣Ѧ˵Ժɸ߶ҽƳץǹԺԡ
˵ţѦ˵ȥˡļƻֱ̫пգûʲôɲԡ
ԺѾƽֱڻտյģûһ֪ȡ⣬ʦȻҪٽ¥蹫ҽԺҲϵҽԺ
ô
SpyGlassDS̭󲿷ֵĵҽʯѦԺԵһƼٷչʱЦǺǵ˵˵ERCPʮ꣬첻40꣬10ûκ½չѾжΪͣ͡
Ѧ;š
10ָ꣬һӼ䣬ƾѾоSpyGlassDSϵͳһƬäȲ˵ѧϰ飬Ҫ5ڳƣҿܡ
ʦΪʲôܣѦʶʵ
Ϊûг󡣡ӡҩĳɵӰDissһ£֪ΪʲôӡȷƸָҩȴô
˵ҩ͵͵ӡһڵٴ顣Ѧ˵
ǡҪ˵ģ100ҩƷʵ1ɹѾܲˡмˣҩ϶ܰоŷϾ˵ĳɱ̫ߣӡȾͲһ
ҪǱִһʣ˵ȥʦ˵ҲֻƬ֮ʣеȴ޷˵ܵвĻߡ
ԴˣѦΪʦĿվ˵۵֡
ѦѾ֪̬ȣȻϿɣȴҲܽܡ
˵оSpyGlassDSϵͳù¡ҿҽǵһƷ
ʦ׼룬ҽ豸ҪȥɡѦЩʵ
ǺǣôᡣЦЦ
ͺãҪ˻һ㡣豸ڹ̶ʲĻ൱鷳൱ǽţػҪڸġ
ôª豸ҿۡ
Ȼһ仰Ѧ͵뷨ķ顣
Ҫǲƶ»ͨȫ׵豸ġһῴεˮƽҪѾţȥˡ˵
šһλʡ֪רңʦﻹֻżôѦ͸ɰͰ͵ЦЦ
ѦԺԺƵƷΧԽԽСERCPSpyGlassDS֮󣬱ȡʯѾ죬ǿȿչ˵һĿҽÿ5000-10000
ѦͰŰɣ΢˽Ĳ࣬ϾǳڿƵҽٻоġ
ʦոһδԸ̻ἫΪм漰鲻Ҫ̫࣬Բʦ˵ôɡ
ʵǻˣ㣬ȴһʱԲ졣
~~~
һᣬ˵ԼԺĴ㣬
ʦѦԺǰ׼ѾɣλۣαϹϾÿţ˵


332 ̹ȥ
ʳˮʱ乻ɡʵ
Ѿ20СʱûԷˮˡλشϻߣסԺסĶоˣ֪һ۲ǳԷǺˮԼԼܡ
˵ͷǰ׼ܷǳ̣ԼֻҪ֪α۾ҪѼϼܾС
ERCPңѦԺҲûжܣǦվں濴
ʦʲôעģʵ
Уżʲôһἰʱ˵һҪŵ㡣
á
δȫװʵʵǦƵ֡
δĺƤһЦá
һԼʱҲԸȫװϾϴŶʮװ̫Ҫʱ䳤嶼û취ܡ
űͨǦ¸Ǧ¡ǦȹǦñǦ۾ǦΧ
ΣܿסЩʵ
ʦҵ굨СҲǱΡ֪ߣǵѧ¼ǡЦЦһǦ֣ǾͶ£߼У׶ϣ治󡣡
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36.2kgεʦЦңҾǵСûë
ЦЦ˵ܿСʱ
ϰˣҲʲô˵һ3Сʱܿסٶ࣬ҲûԹϾ滹дڣÿҲһ̨
˵ͷδĸһǦƵͰһЩЦ
񣬶ǿ̹ȥ
ߵǰѾͨ·ǰ׼һ֡
ע20mg5mgड50mgΨһûľǦףϾҪһһصǦ£һҽ
ǦµĻʿϸעҩ
ЩҩΪЧؿθ䶯⻼궯ʱ䡣
λȡλֱڱһڲʮָԲȹܾ
ھʿЭ;X͸زϿʼº˵ΣҴ֣
һ£ҪÿԼλá
ãҰ;ͷ
ھʿҲһ£Լ򵥵ġֻʦȻҪ
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emmmСʿһӺˡ
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ERCPȷ䲿λȹֱٲȹܾ̺˳ַܿ죬ERCPû̫ߵѶȡ
οܰERCP̶ֳȵҽ٣Բ˵Ǻܶࡣ
λ37Ǧ¡
ǦµȻûӰ쵽ĲǴʼʱһֱţѾϰˣԴ˱ʾܺ棬ָʼһ
ҪδͨǦ£᲻ֱӷ
ǰҪĶ׼SpyglassDSĲϡ
SpyglassDSľͷβЩϾĻ٣ERCPһ
ʦ
УSpyglassϵͳ˷һҽʦͬʱϡӾҰСԹŵĵҪϵͽǶȲܶ׼еȱ㡣տʼ˲Ƚ
˵˵ΰSpyglassͷ˳Ż߿ǻ½ȥ
X͸£ν׹ܲ䲿λȻȹܾ׹ܲȹܣӾĩ˴׹¶ɹ۲쵽ȹǻ
ȫ˳ûʲô˵ġ
ͨɿʽSpyglass DS͵ܣܹRTܱ֯ṩ360ȹǻȫͼ
ǰҰäĳĻϡ
ʼν״̬ϳصǦƺڣվߵᶼڡ˫ϸ塢ᣬһ˾һϸĵĹ۲360ȹǻȫ
ͨERCP+SpyGlass鷢ֻߵٹȻЩ⡣
ȹţRTλԼʣȹĤѪвƽ
ڲ֧λȹڿɼ״Һṹ岿ȹܳȮ
ܱϿ̽෢ƫͻעӰұϵͻڳǿźţ̶ʵʡ
ٵͷ״κ侲˵
µĻʿڼ¼ϼ¼̣дϡERCPֻܰһ˵
ѦͶǰоЩİһʦڵʱ򣬶ʦָӣһʿӦ顣
ERCP+SpyGlassĲεˮһչԼҲ൱泩УĴڡ
32ӣ൱ϸ¡
ͷγһ
ʦˡһ档
΢ЦŻʿƷȥǦ¡
ҵôʵ
ûС˵ͷΣҪȥ棬1֮ѦԺ


333 
⻹ôѦ൱Ρ
ûµĻˡ
һ죬ƵģĿʦ뿪˺ܾá
ΪԼûʲôᣬһֱԼ˾ķ̫󣬽ʦƮƮһ仰ԼΡ
϶ǿԼˮƽߣŰʦ򶯵ģΰѻͻȥԼ칫ֺǺǵš
ERCP+SpyGlassǼħԼʦĶûô˳ѲԼȻˣɵš
ÿÿڼȡһɼܿģαļˮƽͺǿѾܾû鵽ĸоˡ
һԼλERCP+SpyGlassḶ́ÿһô˳֣ڻ¶гޱȡ
ҲѹʦԼôһ̨ͺԥҪԼȥˮƽĶһӣ
ԽԽģϵĽ˷ܵ޷ѣǸոõߵСһżҪһԡ
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Ρͣסţλ㱨84Իߣߣϸʹ5£4졣ƤĤȻȾϸѹʹߵʹ
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ڻ㱨ΣCTʾܹһöʯ32cmСǰȡ
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ΪסRTڣʾĵܹܽʯĳȱڿĸԼ5cmҡ
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334 ˳ԭ
ڰ豸ƹҲ˵ʲôֱӿʼERCP+SpyGlass
Ӱܹܾ޴ʯRTпԼ12mmξòУ15mm˳Ҽʯųȡʯȡʯ
SpyGlassƽ⣬90ĺ׻ϷֱһʱҿšȻϡˣСģҴ⡣
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ѾСˣʮָRTпڴ12mmӳ15mm⼸ѾǼ޴С
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SpyGlass豸϶ǲϰߣγľһγԡ
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ΣҪǷĻ΢ţ¼ҿһ̡˵
ERCPҺͽһз䣬ߡԽҵʱ򣬲ϺĲȫͬźŵ൱ء
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Ϸ͹ȥվڻͷЩãȻĿĻϵӰ
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335 ֮Իִ
ȣھͼ룬ӦǾͷĿ̫ˡͷRTԭǾ̫ݣ̫RTȻRTܵұȥǰһ¾ӿܻһЩʵӵ绰ﴫ
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ϸ̣ǰڲпʱûз󣬵ӷ̣ʱ䳤ϵԱβʱ䣬ڱ֤ȫǰȰͨ˳
״12mm󣬽Ӱȡʯעƾ+UPϸڶ͸ӿɼ׼ĵߡΡôᷢ־ȡ
Ȼܹܣѹעˮٲʽϴܡ
ʱͿԿʼʯʯʱһҪĸӾͬʱҪʯüʯΪ㣬ͳ취ȥʯ-ȡʯ
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żûע⵽ﴦ΢붯ң˵ﴦҪERCP1130ֵ13ļػ档
ţõġﴦ˵ΣôҪҪһرһ£


336 Ƿ
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ϻƲУҿı࣬ȴûж˸Ŀ⣬ﴦжϵ
ﴦⷽľḻӦµλ⡣
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ﴦһ£һϵƵأܰҹأ
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ΣﴦϽһԼһĶֵ
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ﴦ뿪ıȥһ
ʦãû˯ɡ̨оһϣм⡭
ˣǷˣﴦ뵽


337 ֵĻ
нһ˽ҽԺľСʱĽţ¾á
¾ֻǱҽԺ¥Ļɱݶ
CEOܿˡ˹ڻ鳤һˣŶͶϵĸҽݣɫ䡣
һж78Ѿʧȥ˳ΪĿܣȴųߵĵλ롭ĽǮ
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ļ⽥ɳҲʼ⡣ȻȽĿƼƣߵ˶ضȹرղȫ๦˥ߵһ
ڽܿˡ˹նաѾֱڡǲԶδĳһʱ̰ȥ
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1ǰնաᣬѰư취רһųֶΡ
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˵ȷѳܿľ޴ȫ飬Ҳðնաǿʱֹͣ
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ֻܹӦνĴڡ
Ŷ귵ԽԽ࣬ķķɴѪ50%ϡ
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23ǰࡤڽнƹ˾ºĲĸնա˶պ
ЧһѾ
նաȵȷһĺת˾ܵϢ1ܵʱ䶼ûȥߵתֱ£һγص๦˥ߡ
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Ѿȷһǽðսơһѭҽ˵ʾߺҶѴΧ󣬴23mmP2P3Ѵȴ13mmض귴»ĹܺܲѪѹϵ͡ࡤѾԼʹʵ֤ƣû취
Ļܿˡ˹û൱˵֪ҽ˼ҽĻĳ̶ֳϷƹ˾Ŭ
о޴ķգûκһҽԸ̨ࡤ˵ĻҲֳɹʲ30%÷µʷٷҡŰ׷˵
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ʧܣζ޷ȡǸλж꣬صƹ˾ͶзĶ޷Ӧٴϡ


338 һ
Ȼ˹ҽǽʹõĺĲƹ˾ģƺкܴĹϵ
һֱƹ˾еҽרࡤΪû취ɶ԰նաȵơϾ΢ƶرղȫҪпƼ
ţܿˡ˹ЩҡķУȻһͷ
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飬Ȼû죬ǽܿˡ˹Ѿһɶ˼ԣҰҲܴ󡪡Ҫ
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Ѿڻرգܿˡ˹֪۹ѾʧȥһʱƸߵ㣬емǵ۹Ӳд̵Ļڡ
һ͵ļǼôܿˡ˹ԼԼ
ЩĿˣվתȥ
绰ܿˡ˹߳ң˵
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ܿˣҵѣܸܽӵĵ绰
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ܿˡ˹ЩźҪǰˡǰ³˵ĻǸжá
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ܿˡ˹漴Щ΢΢ŭ·ѾԤϵһУ͵ԼżǮȥڵĵطͶʡ
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װĽܿˣҲû˵һҪƵļˬʵЦţ׼1֮ھͿԿչƵ
ܿˡ˹סˡ
֪йִͳʲôҪȻзơ
ڴǰַ֪ʶȨһֽά
һոµĹҵѸʵǿƼóûеĶںܶƸߵĿƼ˵ͨš5GĿᶼȻô졣
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⣬ȻѾصļΪʲôҪƵʽ뼼ܿˡ˹ץסỰһ©ʵ
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νķӾȾԵβϣǽں͵档˯ʱ˯ڶƵĶ˯иųİȫУܰȻ˯
ߵķĻ京ӽ㡣ֱʱܵõƬ̵ĴϢ
Ҳ̫ʹˡֵʿ˵
2012꣬ӢһСټΪ֢״ʵ̫ܣֻͨ˽ֹʹࡣ˵ҶԺܶಡоƫһ

Ҹղ˵ǸߣСʱûгֵŲ֢״˵׷ݲʷ16꣬ȥμһֶӵݳֳͻȻͳһƵǹ컨һΪֳЧ
һʼ߱㿪ʼ˶ԵŲʹ
мߣҲȷĲʷҲеǼ˳ܣѵӻ飻еάޣװźϵͳȻ֮;Լڶźš
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˵ţ˻صɽСԺ
֪ϣڿ飬ġűƿ̧ͷᴩŵ߽ȻһЦ˿
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ʱûҵῴһֵʿ˵֣Ѿͷ˵ô2009顣
Сʦ壬ЩϡŹֵôסġ
ͼסˣҶԺܶ༲ļá˵ǻҽԺкܶ౻֢ǳ֮󣬾˶Ļһ
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࣬WiFi·˻ɫĻ߶ࡣ˵ҺȽϳԼ֮8.5ҡ
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351 ߲
⼸Ҳæӹ׼ѦԺһߡ
ҽ񴦾ǸʺӣʺԱߣζ˵ʱ䳤̡̡ǽһȫ޵ԼҲܲˡ
ȥЭҽԺ׼ҽԺԼͨ
ôùҽ񴦵ǮûλҲᣬһС
ǰ;һ棬ѦһߣһֱѦ͵ϵͳʸ֮ġ
ǰѦԺܳΪһԺ޵ҲΪٴĸԺûʲôȻżȻһֱȻ
ѦԺ˸ߣ
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ԭЩǽ֪ŴѧУ󣬾Ͳ˿ԥ
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Ĵкƣʮ꣬ʱġ޵ֻ֪Ǳ󣬵ԼѾҪߵˣûҪ̣
޵ƵʦĶ̫죬һšһšŴѧУ1ܣǰߣҽԺȫգֱװޡ
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ҲûģԼߣֵİ׻ϲһ
ҺҪͨš
Դˣ޵ֻǵһЦ⡣̫ᣬ֪ҽ񴦷ڡ
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ҽԺӵȺ޵ҲЩпƽʱԼĮĴ񡢾ףеĿ˳ӿ쳾ǧ
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352 
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㣬ҵڿƲϰٸҵߵĲ
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353 ϴ
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ȷСԱվߣѹ˵Ӷ쿴ϹˣҲûҵ
˵ţһ賿㱻ġ
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ҪǸһְ취ûĲףҽ
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354 
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376 ù֧
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һӸ߰ź𣬾ź˿һǹֱϣһ·嵽߰ĺס
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377 ϰ߾ͺ
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ãž˵ֹͣߺѵ˿ŵ޾ת߳ҡ
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378 ˻
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415 Ҫ
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416 ޷Ӧ
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417 ҪЮ
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418 ʵ
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419 ôܵͷ
˵ΪʦűЭܾɽңŤ⣬¶Լܶ
ϾǹڴţԼר֧ԮȴҶȥһ㵱ʱﴦҲ⡣
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ѧҽҪƵѵӦֱóÿҽԼĲôȻҪǮ޳֮ȣɽûע⵽ﴦ仯ԹԵŭ

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420 ˫
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֪Ϣըˣǲ֪ôġСԱ߷ߵ˵֮磬˹ģ˹ģ
㻹СʱţƵ˲顣ﴦЦһ˵廪󣬺ųTOP10ĸУǿЦġͳûиŮܼ⣬һʱأ޸ˣסŻ԰󷿣ӡ֪ôϣҸɡ
ĿԱ޷ﴦ˵һУɻʵһһȥ迪ᣬҵʱ˷ˣ֮裡ȥ˾ʹʧʲôǣǹʺè򣬺ͳϲһ
ǺǡﴦЦЦҲʲôˣͷԷһսǸˣҺϲ
սСԱʵ
׹Ϊˣ汼ӪȣѰȳ߶Ȼӳ׼ʱ͵飬ñӡ
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ΪӪȣһֱ֡ﴦЦЩţ߼⣬˫ꡣһô˫ͲǺһඡ
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СԱᣬûǸʱֻЦЩŻôĿŵ˫꣬Ҫô
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ʲôǸ˵ˣСԱ߷ߵ˵
£ҴʱֳֻܱĬﴦ˵ûʲô˵ģ˵һ˵Сۺ졣
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ﴦ˵ڹʲôȱݵλҲߣôôء
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סƵ꣬һ˯ĺܳڶһԹɽûֱȥȻط˺ܾá
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ң룬ƺеӡ󡣾ǸСӣں׳ʵҽҾȥǿƿȱȽʺϣ
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ҽпƤ֬İңҵļⲿһϸܣϸк˵һ£ValveClampǻ΢Ƶġ


412 ħʽ
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413 ҽƾ뢵ʿ
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Ȼѣһ뵽ƵĺĲÿһݣҾܴз3000Ԫȫм귵ĻߡǮбչ˾Ҿرġ
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Ǿٰ˻һ֪Ĵ󳧼ңұɶ޳


416 ûô
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ܿˡ˹뼪վ࣬໥ӡ
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ܿˡ˹ɵۣû뵽ᾹȻϢעȫר
רһ൱顣ܶ໪ĵרΪ̶ַʧܿˡ˹֮һֱӣǾ϶©
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417 򹷣ú
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418 ר
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419 Ǯճ
΢Ц˵⣬ôõĿΪʲôңȥĹ
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420 ֵ
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421 ΢Ϭ
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422 
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һµģΡκβʲôĴѾҽĻʼת۾ڻߡ໤ǡ΢ȥ
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עҿ0.5mg100mg˳ʽ10mg̫15gյƽ˳SpO2ʼά100%
ʲôΪԼˡ֪ҽԺҽʿ϶ǳκΣֻԼ浱ˡ
ƽʱʵʵģôžͱˣѵ˵ƽʱѹֵ̫ãһѵεĸо
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ͨ3minӺ²35˫ǻ֧ܣ˳29 cm˫κλãά֧ܾλȷȡлеͨFiO2 100%2L/֡
ע3.5mgkg-1h-1̫8gkg-1h-11.5%߷Ѹά㶯ùܲѹ˳൥ͨ
ҽԺʦ޾ϸĻ㱨û¶˿ͷ飬ֵ൱ʡ
ԽˣҾԽǾò˼
߸λѹߣ40 cmH2Oκ
˫ͨѹ½ά֧ܾ֧ܵλù϶̵Һھ½˫ǻ28 cm̵ǷΣ˫κ塣
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໤ʾѪͶ100%ûκ⣬ʦǳʲô¶ô
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˵ûиոյʦ˵ôϸ£Ҫĵ㶼ڡ
õģõģͺ˵κιҶϵ绰˵Σʦ˵һѪǻ߿⡣

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ǰСͷ裬ʦôҲŷء


423 쳣Ѫ
һһѹԼķ꣬˵ûǸϽߣе࣬Υ޾ԭ򡣡
൱ͷҲܻԼĲͷκ֪
¶࣬ǻоļⶼʲôأϹ֡
ʦϡǾͲһѪҲʲô¡
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ˣΡƸ̾˿˵ҲЩģⶼʲô¶ǱѪǲʦӵĵ绰ﶼкܺڰĲ롣
Ҽκμ֣ʦ飬ҲûȰ
Σҽ˭˵㰡Ƹΰ뿪Ц뵱˵
ʵ˵㣬ʵ˵㡣κרĵĿʦѪӲĻһ䡣
̾˿յƢѹҽԺʱôǿ˱пɺ֮ҲʦʦƢãӡ
ˣôԣͲܿһ˵뷨
ʵ˵㣬Ե˵öԣһ仰ҭ˴ʵ˵㣬Ҳʦ˵㣬ʲôʱֵ
̣κΣ޵һһᷳ
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Լм豸ⲻϡ棬һֻһ̨ûҪÿ䶼䱸
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ʦСɫôԣЩңײ϶ûŵܽ
Щɻ󣬱Ͽͼ֪Ѫ⡣
ֿһĵ໤ѪͶ100%ܹ
ʦСֻæ˵
ţôˣʦҲʶˣʵ
PaO2 38.8mmHgSaO2 80.6%K+2.76mmol/LLac1.0mmol/L̼Ѫ쵰1.1%
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ͼ໤ǶżĬûб
ʦɻĽӹ鵥ϵ¿һۣվѻߵѪӻһָ
пѪӸӦ⣬һⶼѪͶȽͣѪͶһֱά99-100%֮䡣
ȻһָѪͶ100%û˿仯
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ע׻ǿ80mg
Ȼ3g΢ñ롣
׼̺ECMOκһҽѿڶڴ֮ǰѾ̵ͨĴ㡣
ֻڴ֮ǰκҲ֪߷ʲô
ʦ绰Ȼֻ˵˼仰õĿͷҽƾ޵ġ
ټѪֵеһκĸ㡣ʱ˿̵ʦվڰ˾ҽԺָһȫ
κκܽĸ˼أԤˣͬʱ˳ֵ׼ʱæҡ
ʱڶѪֵر͵һεһκеָȵҲȡ
ҩȥ̨߰ϣʲô仯ʼκ߽ʱһģһ
3ӺκμƽȣûкȻʽı䡢չ޷ơ
һ˵ٲɸѪѪҲһݡ
ǺϽСĵ²ɼѪʱֶѪɾѪ鷢
ֻҪбȽϣûʲô⡣
ܿ죬ر
ѪPaO2 85.8mmHgSaO2 98.8%K+2.78mmol/LLac1.0mmol/LCOHb0.8%
ѪPaO2 39.7mmHgSvO2 80.7%K+2.69mmol//Lac1.4mmol/LCOHb1%
ֵ޴󣬶ζѪѾ98.8%
κγһ˵ɡ


424 ʦʲô
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ǿۣʲôϵͳҵ˼·ֵҰһܵߡ
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֣ΡκοЦãѧҽģʲôۣǲǳô
Ūȥץסκθ䣬ĵʵôֻģ

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Σʦɱ˵ЩĶκ˵ʦϲ
¶ҡ
ҽΡ
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ģ
ġ
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߰ҵʱڳҪһº⣬˵ҵúڳʲôκκ˵ֲˣ¶ȻûϵȥֵҲ벻
ҿκΣǵһƵģϵ´ݵȣκεЩ䣬ϰԵĿǱ΢š


425 ·Ŀ
꣬λҽԺԺ̸Ц˵Ż
ܸоܿģЩõɢš
ʦһ˽Ⱥк
ɡ΢Ц˵ĺܺá
һ仰κڷġϾǵһкʽʦֲڣЩġ
ʦѧῪ˳ɡ߰ʵ
С˵ͷơ΢Ҫæˡ
Ŷ귵Ҫô
ǡ˵׼Ԯ5000Ӥ׶ĲĽĲġ
5000ס
Ȼ֪ɱǰۼҲǼڵҡ
߰ԾĿᣬ֪Ȼ顣
ԺԺͰˡ΢Ц˵кʵĻߣǿǼҪ˽ǵģȥ档
û⣬ʦƾ٣һỹþһԺ˵
Ӧġҡҡͷ˵˵ģԺҪһ»ߡϾѵĺĲľô࣬ǮľΣѻûǮĺӡ
˵ʱ࣬Ժ֪ػͷ˵ʦģ߼ͥȻȽ鷳һᾡȥ
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˵ģⲻӦôԺ˵
˵Уˣκҵᡣ
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һɻȴֲʣ΢΢һЦ˵ܶǰ30ǰɣڵʦʼеͨλӦöһ仰˫ǻλòá
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˫ǻλòõѪ½ǲҪԵҪ⣬Ҳһλʦˮƽı־Բ֮һ
ȱԷѪӰѪͬѪʧȻǸҪġϵӰأ½ϲѹı䣬ôһԪ۵˼άȿ˫ǻܵλˡ
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ûоҲϾټ˵SaO2SpO2ⶨĲ쵼˸òصѪ֢ʱ߲pO2ߵ


426 ͨ붥
ųϺʹ뾲󣬷SaO2ı仯SpO2ز߲ԭSaO2İٷֱȣֵĸߵһΧPaO2ԡ
ѪǻһԭͨѪҺPaO2ĲⶨʵʵSaO2ֵ
SpO2ǻڲͬĹ⴩ԽѪҺ󽫷ͬ˥ԭͨݻǷвⶨ
ῪʼѪͶȲⶨĻԭרҵڶԺ
Ȼü໤Ѿʮʱ䣬ֻ֪ôã幤̻еԭһ㶼֪
¶û취ͨ׶ĻҲε漴˵漰еԭˣѧʱλѧҽеѧô
ʦûС˷׷ҡͷ
Ҿ򵥵㽲û취ԥһ˵
ʵ֮ǰ˵йҽѧԭͨҲףͺ˵ҽеԭʱ򣬼λεķӦһ
ѪͶȼ̽ͷһͬʱ䲨ֱΪ660nmĺ940nmĺ⣬Ѫ쵰׺ͻԭѪ쵰׶ֹͬɴѪͶȣʾڼ໤ǵĻϡ
ǻһ죬λ̽ͷһĹ紫ͨⶨͺ⴩֯Ĺǿȣ÷ֹȷⶨͺȻֵSpO2
SaO2SpO2ⶨĲ쵼˸òصѪ֢ʱпֶ߲ܳ¼ʱᵼSpO2ߡ
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ڶѪ쵰Ѫ֢Ҳܵķ
Ѫ쵰Ѫ֢Ļ߶Ժͺϵϴ660nmĹϵѪ쵰940nmʱMetHbĹϵѪ쵰׺Ѫ쵰ס
ʵʶѪͶȽϵʱSpO2Ķƫߣ֮SpO2Ķƫ͡
ƶѪĻߣҲܻƵ
ġ
塭

ʮŴ̥Ѫ쵰Ѫ֢
˵ĲʷҿŴ̥Ѫ쵰Ѫ֢ĿԱȽϴ󣬽ָҪһ¡أƻ߻ܾϾûʲôӰ졣
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ŶáκЩź˶ܿĲʡ
˻ǸˣڶԼյ˿ǲඡԺĿκΣκεʦôͣʦĻı
Ҳҿκڣ顱ǵʱܡϾڵʱûκ֤֤⣬һжĵģ˭֪Ѿ֮Ե
ʦ˼Ҳͦ˼ԺЦԴһƿƣȸᵹһָκεһ
ʾ˳ҽԺ˳ӴֽһҽһַܻĻ߸̡˻ٷԵĸ⿪ġ
ھҲ裬Ժ̸ö˽ĺƻ
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Ц˵ûʲôˮƽٴˤģ
Щɻʦ˵ģҪ˵ٴˤ򣬺ֱӹϵʦ30Ϊʲôô˵
Σһھƣ˵Ҵѧʵϰʱθңһ¶


427 Ϲ
ʵϰʱұθҸʹθʵܼ򵥣ϡ˵ıѪһһֵ֧֧
Ҷ
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Ҷϸʦԣк档Ҫ˵ţû˿˵ʦǿͣ˵ıȲΡ
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һл62꣬ʮ䡣ǰʦ̻úУ׷֢֮֮ࡣ˵ۣһҪʹġڵʦ͸֪ղǩ֡
λмң̲ʹθľԽ֢һ̵ҲǳСҲǳӲʣ㲻ʲô֢
ڵŷʦһ֧ӣ߳Ϻ衣Ρھòʲôʱȥһۣɵˡ
֪߿ɱΪ΢Դ߿ɳȫϺ衣Ҳ֢֮һغ
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ȳɹθҲûϢ۲첡顣˵ûߣϸڴ߹۲컼ĥô¡
ʦô߰߰ʵ
һεĻܻ֮17ֱȽϺĲ֢ÿһͻߵӡ֤ԺƵĻҵСĵ㡣

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ô˵飬ʦƤڸǰʺοܻʲô֢Ƿ鶼ղ17ֿշεĿܡ
⣬ʦѧʱ֪
ûʾʲô֢ոʦһһ˵˰Сʱһ˵Σ˵һ磿
κεʣûڡ
˵߼ҴŰ׷ڣĵʱ˵֮ǰҰǩǸʲôͬ飬˵ʲôʷΣգϴҲʹθôûأǸͬԾΣ
ҵʱܲ˵ţ̾˿߼ҶҰ¶ҲܲˡҲǰԤϵģǸ⡣
أʦòѧҽû˼ɡ߰ʵ
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κͷƿһԺ
ԣ˵о鲻ָٸ⻼ߣƵԤݹܶ顣΢Ц˵ҹҲ۶ˣǱʶΪ⣬ԼҲ˵⡣
κô˵ΪȻ
ʦˮƽߣϹһҽ


428 ۺ
һǵ˳׼̡
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ǿǰϰǽĦˡ


439 ˮ
emmmm磬ϵͳڲ֪ϣŴŹӰС˵
ֻ֣֪֪ϣ˵Ľڲֳһԭδѿײַȫ٣Էκܰͽᷢߡ
Լ5%Ľڲַϵͳϵͳ𺦵ı֣Ϊϵͳڲ
ôϡôơһֺ񾭿ƵҽҲоͨģͱ˵֣ˡ
ڻܸȷϣ鿴࣬Ӱ۾ƺб˸
⣬ôǲûСࡤҽ߳˵
û˵꣬ͿĻϵĺ˴Ӱ
ҵ졭ࡤҽסˡ
ӰеĲԳǿԵľѪ˨һ۾ܿࡤ֪ζʲôƺѾվѩʱ׼ո
Ҫһ顣˵һʲôʱ飿
Ҫô⡣ǲǲࡤ˵
ûпĿһֱӰϣ档
⡭ࡤ૵˵Ƶˮƽô
µһ
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ࡤ⣬֣˲뵽ֽʽȴû뵽˵Լµһ
һ㶼ǫĻشϲϲ֣θڡ
ƫһشࡤҲ仰ζʲô֣¶Ŵ򶯣µĿıӰ
ʱҪ΢΢ü˵Ȳ̫ģ˵
ࡤ·ûĻĿӰ߶ʲô
ﳤࡤָãҲ޷ϸĽˣζſҪְҵġ
磬ŲҪҪƤʼسƣ֪ϣյߣС
ƣԳһ¡˵꣬ࡤļ򣬡Ѫ飬Ҫ֪״
ġЦࡤľƺ
ࡤһҽҽԺҽĹóϣ״ԳֽԸıζʲô
⡭
ڡ
ûʲô⣬̨кࡤ˵Ҫûѧڹײ£۾Ҳղϡ
ġ
⣡ࡤƺʧأתץס죬õʮ궼оָʽҲźĹ
ġβָࡤץסֲ֪ɿ侲㡣
ҾôһССҪ㶼ôࡤ˵
Ȼ֪Լʧصࡤҽ̾˿֪ԽԽ鷳Ҫͨ߾ͺˣԼ˵ʲôȥ
ܶҽԽԽ࣬ԼԼŵĲԽԽء
˵뵽Ŀ43֣22ֶӰδ飬ҪĺܲãҲκźġң
ࡤįĿᣬȦ΢졣
⣬Ҿ֪ԡ߶ţоƣ˼رԸԷҵڸٲԾˡ
ִҽѧ֮William Osler˵úĲ˵ȷϡᰲοѾȷĴˡ

û£ҹϢɵģȼ飬ȥˮͺá

֣ϸı飬ȫֱ治ڿЦ˵ġ
ոģࡤͱʿѪѪͼ졣
ЭҽԺƵ綥ģرļ졣
ԭѧΪԣָCӦסѪָԼ״ٹָҲδ쳣
ࡤŻ鵥һһŵĿšΪѧҽҲųÿһֻ򳣼򺱼ļ
Խ鱨棬ɫԽѿࡤı֣жϳء
ĻҪǷ⣬ܻһЩһжȴչԵ֢״֣Щź
ʦԼࡤΪ5սûɾҪ䡣
ࡤĺܲá
Ѿͷһô죿ʵ
֤ʵһ²⡣֪ϣŻ鵥˵
ţȻȫCTüسơն˵
emmmҾÿҽûʲô⡣֪ϣȻЦһ¡
أǵ֪ϣչһЦʱͷ׵ɫʣ·𻨿


440 
û£֣һ¡
Ϊû֪ϣڲô˵ô֣ôΪó֪ϣ˵⻰ʱ棬Цݳֿǰοҽ
⣬Ϸһݡࡤûɵ˵Ҫĵѿһۡ
ô񾭲ѧо綥ģҲﲡоĶҽԺ
ҽѾԼжϡ
ԡᲢûоܾҲûбֳһ˿˿ԼðĲˬڻش


ô
ƻͨ񾭲ѧоŰ׷ҽΧһ
ĿԲԲǸշֵô
˵ȥ˻ģƣ͹ȣͻˮƽӺģתʱ֢״ءôоϸɵĸıأ
˵Ըı䣬
ҵ죬ԸϸҲԸԸı䣬Ҳ֪ǲ÷÷ɵĽԸı޷ƣԺҪܡ
Ӧò÷Ȼ֢Խڲ÷˼ԸȾȣҸоǰʽ䡣
û۵׳Ѫ֤鲻ءչ񾭹ǿĺϼ϶ڶǰϥΣC3β䣡Ĥɵķ㣬չ񾭳Dorelloܽ뺣ʼҪĻֱ̫ˡ
ȫҪһ˵˵ˣǲҪǲҽƣĿҪơ
ǰһжֻǲ²⡣Ѫܽתø˾顢÷鼰Ѫ棬Ҫƺܶ顣
ˣĿȥĸʲô
˵عڻĳһҽԺȥѧϰµĶк
⣿ʡλôǸš
ǵģȥѧϰµĶк
޷ţõҽȥѧǸ޷ŵϢ
ҽź˴Ӱ˵мŸְԡ
ĴŹӰЩŹ֣Ͻˮһ㱻˵һۡ
岡סøȱ֢Ⱥĺٴֺࡤ֢״ȽǺϣǽ顣۵˶ǻļ
Ŀʲôıѡ
ΪͬͰװѪ֢շ񾭸ıΪǺϣҪĻҽ鿨繺һĹء
ûôۣԻǶԣƺ̱ĿԺܴ󡣵ĹءҾÿٻܻ3ꡣ
˶ࡤֹۣҲֹļ񾭲оҲ൱֣
2Сʱо12ֿܵļдʼϣ͸ࡤ

ЭҽԺࡤʼɫѿ
ոȴر
⣬˵Ҹò񾭽Ѫܰɡࡤʵ
̫ˣǶҼǵ˵ġ˵ԼҺڼ飬Եһᡣ
ࡤĬ
ûӣʵ⣬һlgG4ؼշԲ񾭸ıɡ
lgG4ֵĸǰ֮1.3ҪⷽļҽȥƱĽ㹻һҴоһνо֮ǰⷽļЦǺǵ˵
ңҪĻҪϲˡ
ϲңࡤһ¡
һµļࡤۺ֢᲻ᣡʵ

ЦȻûࡤ侲˲һӣʵ⣬˵Ҹòǳ3-øAøȱ֢շԲ񾭸ıɡ
3-øAøȱ֢һֺŴлȾɫŴ֢״ָӣ귢زͬιѡԡʹ֢״Ȼ֢״ϣֺ
һأ
һҪϲ㣬ļд̿飬ǧҽѧԺУѧסࡤ֣ЦҪ᲻ġ
⣬ҲҪ࣬Ҳڴ˼ǵҡࡤ˸ȻһֱĥԼʲôľ޴ѹԳܣֻ˥ϡ
˭ֲôء˵ҵĿĿһЩ֮ԱΪΪֵĸʺС
˼ǡࡤЩܰϵͳ
ᱻҽĥ޿κΣҺѾͷǵĲ򵥡
򵥣
ţȽɡ˵Ȼǿüسơ


441 򲡻ǻȱ
Сʱ󣬼½
ԼҺʾܰϸ࣬95%Χ40%~80%΢ߣߣΪ10.28 mmol/L
ԼҺϸѧδ쳣ע
⣬زCTɨͬδֽڲ֤ݡ
ݼ޷˵κ飬ڿҽġ֮ǰļһҲȥ˼ô
׼ǿ1gơ˵ע30ӣһ
š֪ϣͷʵ磬òòһǻѪ쵰ף
顣
ҽࡤоЩã
ô۲ôܰ
򲡻ᵼԼΧ١֯ĸı䣬۵Ѫ۵׳Ѫסۡϡǡήư߱ԡĤ䡣
ԼͷŹֲԳǿûʲôϵࡤɻĿᣬʵ⣬㻳ʲô
򲡡Ż鵥˵㿴ԼҺĶԣ10.28 mmol/L

ࡤ
ҪǶŵǴŴɫʵ⣬һȹȥȻɻعȥô
ֵ߾˵򲡡Ϸʽࡤ޷ܡ˵ԼѪѪԼҺֻΪһο
пӦӦµģࡤ޷ϡ
˵ʡῴࡤı飬֪ʲôЦЦ˵ֻС⣬⡣
С⡭
ࡤҽ
ɣҩˡࡤ
ʱº͵Цݶ޷ࡤġ
⣬ҾҺöˡࡤͰ͵˵ؼҡ
㲻ѧкôЦ޵¸ɲʿͽ˼ԹչԵ̣ΪӦڴԹ۲졣һϵв۲ڴ£Ѫչһʱɳ׻⡣
ǻҪüأ
ֻ뿴ƣƶѡ͵ɣԡ첲ֱǻʿĹ
ࡤãעںɫѪҺߣ1gļ׻ǿעѪ˲ȫ
żǿƽѪܣܸܵҩѪҺﱻաá
ˣһٸ
⡭Һ¡ࡤС˵
ģһԶֲġһ¶ѣۡ


ʮӺࡤյԼôĻš
㾡뿪ġ֪ǵҽˮƽһ㣬Ȼͨռһƣںоо綥Ĳ޴󡣡
ʼҽ˿ڿƪָһ㡣ࡤһҲôġ
ǡ򲡡ϾǴϣࡤЩᡣ
㷢ļ飬һожϿһֺŴ򼲲ҪпܣҪлͼ׵Ĳԡ
򡢺Щ׼ȷࡤġ
ΪһҽԺȻֵĶλϰ˴żд˫಻ԳԸı䣬ࡤ˵
ʲô򲡡ȥɣ
֪Իƣоȵλ񾭿ƵļǲУҲȡͻԽչ
ֻһҽҲǿ󣬵ס񾭲ѧоһָҽԺ
Բ˵򲡣Ȼǵ¹ȱѪչԵĳ򡣵Ļû취Ӱѧ˫ǿ̶ȵĸı䡣
ǾصۣǻǻĳֺпܣϣܾϹ
ࡤʼŲǽڣ˼
ʼ˵ֻҽԼļ漰ĳּΪ⿪Ц˵Լû뵽Ȼʵ
ҽҪҪϢһ᣿֣ࡤ񣬱ѯʵ
һֱû뿪֣ȽϺԼжϡԣȻֻǵʮ桶ѧıίʵȴࡣ˵ˮƽӦúǿ֣Ҫۿʵ
֣źûһˡࡤ̾˿˵񾭲ѧоĿҵпһּΪĻŴҪɸ顣
֣һ£񾭲ѧо֪ԼϵͳλǰĴڡ
ȻǺĻ򼲲


עʱܳҪǰʱ̫ϷЩ£һ¡~~~


442 һϢһϢ
ҽ̫źˡ֣˵һѧû뵽Ҫȥô󡣲Ϣ˸ˣϾ񾭲ѧожϲǶ
ϣɡࡤʼ˵ǶҲ򲡣ҵѪû⣬ȫû⡣
˵ţƿͳ֪ϣ߽
һϢ΢Ц˵
ţ
ǻѪ쵰A1cˮƽΪ14.7%ǲĻΧ4.3%~6%Ҳ˵ǻѪ쵰ˮƽƫߡ˵ţѻ鵥ݸࡤ
⡣ࡤһۻ鵥ϵݣ˵ô
񾭲ѧоôǾûһῴҽȷ˵
ࡤ֣һ¡
˭û뵽ᾹȻֱӸôһ仰
˵һҽῴء˵Ըӡ
ûߣҿĲʷҲȫǰɡЦǺǵʵ
ࡤᣬʷôҪô
㷦Էȴǰ֪͸ϣ˵
⣬Խеµƣ롣ࡤ͵
ǲ˵ĳֺĻϵͳȱݣʵ
ࡤĿᣬһ˲ԼˣҪȻΪʲôô׼ȷ˵Լո˵Ļء
ңֻͨ򲡣ûע⵽º˵£Ҫ
Ϊʲô
򲡵ĻسƣԼҺǼᷭ˵𰸳ҪǻȥôĻҲ㡣
ࡤĿᣬ˼Ӻŵͷڲϣú󱳶ᡣ
ʦܰЩʲô֣ʵ
㿴žСҽôӦϸĲʷɼҪųĲ򣬲Ӧڷ뵽һЩ򣬾һֱץסš
һʱϲǸֳܱһȵˮƽô֣뵽
֮ԽгΪĻ߾ܿóѾܲˣһֱôΪġһ˵ţһߴ˹׵ףʼࡤ
⣬˴Źʾͷ˫಻ԳǿܲͰɡࡤ˵
йĽͣҸһӰѧ֡
ࡤ
Ҫô롣ףԻˮ­ռλԲԭѾųƬҿ˺ܾãĽӰ塣
֣΢΢̾˿ʦ˵Ҫǳͻô˵²ñ
߿ɲʲô壬Լôͻ߼Ļʻӭһ䡪ûûʲô飬ӹҽ
ɣŴ̳ȡı걾뿪ʣࡤ֣һ̨ûġ۵С۵໥š
֣ĬĬĿࡤǰ֪д漶ҽҽʦ֮Ϊῴ
ϰɽǹͺõ˵ʽӴ˼ά֣оԼЩԺ
Ҫοҽʲô֣Դǣ֪˵ʲô
֣ҽô˺ܾãࡤʵ
Щ˻ƣ֣һࡤԵĴ
ҽʦ֣룬˵ǹңҽѧҪѧġѧʦġ
Ϊֻ򲡡ࡤ޷ŵ˵ȻҲϣֻѪߵµһϵ仯ֻһõԸ
ҽʦѾų񾭽Ըıȵȼı仯Ҿ㻹Ӧõһ»ر֣˵ʦ˵Ķԣһ֢״жϣҪӻ֡Щ֮ԱΪΪĺܺ
ࡤ֣ôŰĴǿӢ˵RapһĽ۵㣬أҲ¶һ˿΢Ц
ɣϣǶԵġ
뵽Ϊֹû˵ʲôʧܹ
֣ʲôʱģࡤʼ֣
ȴôѰֻࡤԼȾز
ãűƿЦݳࡤǰ
һϢһϢĸʵ
Ϣࡤԥ˵
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ǻϢأࡤˣʵ
򲡣δҪȵάѪˡ


443 ԭ
ģࡤʵ
ӣҽҲ֪ںԼЦӦȷշ쳣֢״
ǲǻˮƽӺģתʱ֢״صʵ
ࡤ˵ͷ
ȵؿѪǣһѪֵ˵48Сʱ֮쳣֢״תĿȫʧͿԷҵǶԵġ
Ҫûкתأࡤ׷ʵ
ǲᣬ漰Լ壬ࡤҪһЩ
Ҫҵϳϸ㶩Ʊȥô󡣡ЦЦʱѾˣҪؼҡѾ3ε绰ңҪٲȥȴϡ
ǿ£ĸסࡤ˵˰仰ֿʼԼĲ顣
ϣǶԵģֻ򲡵Ļǿ̫ˣ
48СʱֻҪ48СʱᰲοһỤʿˡ춼ڣҪȥУһһѾָһС
֣ݣɵЦˡ
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֣ҽһӸ΢ţԼҾƵסһҹ֣˵ҰԺĵ绰΢Ÿ㣬Ժϵ
õģʦ֣վ΢΢
ˣһỤʿ룬ǵҪơᶣǽŵĻʿҹƹͨûʲô⡣
˵꣬ų֪ϣҴҵ뿪
磬ҵĸо׼ɣ֪ϣеС˷ܡ
Ȼˣһ˵ҪüسץʱؼңѾˡ
輱ôôûо
ղŴ绰ûȫô˵һ˵֣ζһ롣
˵ţȻо֪ϣĽŲͣסһֵĻͷ֪ϣ
ᣡ֪ϣü˵
󣬵ĶУ羪ס

һҲ
ǰȻйâ˸ҰʶޱߡԼеָ֮ϡ
׻УоԼ
ˣ͵һʼ˷ϣ֮ںͳ֪ϣһ飬Ѱ׳⡣
ÿһϸڡÿһÿһÿһ仰ÿһԺǰ㻮
֪ϣҲסˡ
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ڴǰͷĥʱ򣬳֪ϣûģ
硭֪ϣ֪ԼˣæСһ
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emmm
֪ϣ֣ܸоﶼ亹
СʱÿӿΣʦȥѧУؼҺ趼֣Ȼһᡣ˵ֵ֪ʱǱʶﲻɡ
Ǹղأ֪ϣЦеʵ
֪ûй֡˵
ûôһμҲûУ
Ȼ㴩һɫTţп㣬˫βվǰ˵ʦֺá
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϶ô´α֡˵
֪ϣ˵ͷȻʲôʵ磬Ϊʲô
ҹҪʽ˵һ½ӵ飬һֱؼң¡˵鷿ҪװޣҪǰԤ꣬鷳ġ
ԺסôҾֵǲ֪ϣ˵
ЦЦ˵Ҫ׼װޣϵнֵͬ־˳ְʰˣʱ乻á
Ҹϲɽ֪ϣ˵ĩɽȼ٣оؼŷʱסСϰˣҪǻ˴ÿʰ̫¡
ɵѾͷҼ
emmmûҹԡ֪ϣһᣬⲻҼΡ
ϳ㻺63룬˲Żָ
Ƴһ۳֪ϣЬ˫ڸݵλϣʲô
ãûʲô¶Ǳ֪ϣԼ̫̫֣ˡ
ĪԳ棬ԼҪԭΣﲻš


444 ƾж
ѾͷһᵽȽš̫̫Щ˵
ţġ֪ϣûһ˿¡
ףӦַӦĿų֪ϣʵ
ÿ춼죬æ΢Ŷ֪ϣЦ趼Թöˡ

Ѿͷ϶ÿ΢ϵܵĳԼ
ҲãϱϵӾôţǸǡô赭дĽûʲô⡣
ص¥£̧ͷһ¥ϵĵƹ⣬ٺһЦ
ˣȽš֪ϣСĺ󱳣ο
ŽݣüЦĺͳ֪ϣ˵˼仰˻Ь۽⿴̫̫΢΢ż⣬ָԼ䡣
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ҰҲûȥҰˣץʱתƻ⡣
ⲻǾ׼ƶ˹սʱôǼ;ʣһ˵ɶϸɻһģ
ٺ٣ҿɲڿסԺܵģһ˭˵ܰùңЦ
Ҫ˵Щʲôûеġ
裬зϵУе¡ҪôҪһǡЦ˵æ£ЭҽԺճ߲
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ˣǼ͵ӴӡʡӣֻҪϸпڷǿ϶ġôţ
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Ӱˣһͷռڼгкȡ
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Ѿͷ㲻ǵ˼ÿڿϳԾȼðֵءۣҲ±򵥽һ䣬ʵأ衣
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裬˵¶
ݺݵĵһۣ˵Ҫ˵˵鷿ôָյֽӵ绰˵Ǹ״̬ԣʼѪˡ

֪ϣҲһ·ԵĲǷˣһ̨Ѷ
ԷҲоղԣߴ١
裬鲻ԡüʵļҽԺ
ҽһ
ôûȥ˾ҽԺ
׼ƶƾжˣԸ⸺˵ˣ˾ҽԺܸɶλУٶ඼Ųǡֱ˻ȥ
룬Ҳô
ҽһ᲻ǺϤһ£ûд绰̩Ǵ޵¡
ԺҽһϤôῪżɽֱʵ
ţѯһ¡˵
ԸǼ͵ľƾж߿϶סڿƣ޵ȥѯͿԡ
벻ֻǾƾжѣһص48Сʱ״̬ܻ⣬֢һ㲻ᷴ
ǰ̫̫˵סԺ4죬үӻؼ1죬Ȼ״̬תֱ£͹Źˡ
αװŻѪỹͲһԲŪŻѪ
϶ǲҽһԺôϣȫ²
ѧĴʦ²Ĳ٣ǰһ
СᣬǸûʲôɣ֣ʲô˵Ҷϵ绰ѯʵ
Щӣ绰˵ףпҪһˡ˵ҽһûҳ֢ڵĻ
ҹƾġϵ˵
Цã裬˲ŻѪ
Ҫڼһܽͣ˵˵ҽԺԵĶȥŵһȵˮҲҽԺůˮտˮô¡˵˵ǸѾˣҪؼءǾ񫷸ˣӦûʣƿͷ
϶ôؼҡ˵
¡ôҲðѾ˲ǣҪȻͷ͵ðӸඡ˵ﲻҲѹ


445 ƾжٴη
СϣСᣬԷԷߴٵƵģǸϲļһ
ٺЦЦͷʼԷ
֪ϣܴӸԷٶзֱеϸ΢뷨ǶĬһĥġ
˵̨֮ԿڷŪӣԼѾʲôٶȳԷ˵ȥңֻ5ӵʱ䣬ӦôԷ˵ʵҹһͰͳһ棬еƷʲôζ
ڸԷٶζҪȥҽһԺ֪ϣҲܺ棬ǸƾжôסԺ5أѲʲô
ֻǾƾжĻƾӦ綼л˲Ŷԡ
к棬֪ϣҲ룬ٵŷˡ
˵飬ʡǻڰ˾ӣƽʱҲץˣºú˵ֱʵ
ԷٶȣҲ֪ҪʲôϾԼҶӣһƨɾ֪Ҫ൰
Ҹһ£ʡǣСϣҽһ㡣ȰԼ뷨гڰ˾ϰ࣬ͨڲʵʡҪڰ˾ӡ
衣ﶼǷ˵˺ĸλһ
һ۳֪ϣУǶû
ĸĶС֪ϣ˵Сνġ
⺢ӿ̫ʵˣ뵽
ڰ裬Һ͸СԢ7ƽףžǴҾûУʰʡˡ֪ϣЦ
ٴζݺݵĵһۡ
ǰûǮôǮ򡣡
ǮҲһͻ鳵ôģ
ɽʹ󺣡
ֻѸٰķȥһסԺܵĻܣ¯ࡣ
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޴ã鷳ˡƽ˵ſ
˵ţͣ绰Լһ˵
֪ϣ棬쳤Ӳ䵽ߡβõƤרעϰԵ֪ϣͷ㿪ᣬֻŵϡ
Ҫǳ䣬֪ϣҲϣȵģϲְֻһ˲䣬һӵĲ˶ɢǸ˾ͺãôء
ʦߵסԺʱͷʹġѪŻ¡겻ԼƤС
⣬ĸУʶģʧͷΡľʧӡȡսѡʹʹкѡ
޴˵ʱЩľګÿľ֪ڶŲ
ж೤֪޴1-2Сʱпܵġ
˼޴˵˵У鷳Ц
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ԣ͹ȥҪļ˵˵СģöŲ
Ŷ޴࣬˵֯1ȫԺҴ֪һЩ5ǰסԺǾƾжʱ˶֢ƣת֮ߵĽ֢״أ˵㻤û֣ҿͬ־ڡ
˵ͷ
ƽȥԺг׵Ľƣ˰޴䣬һ뵽糤ʦĸףĻ˻ȥ
ϣߵĲȻתֱ£ʼеǣ˵һѺʲôȢϱûкӣլʲôʲôġ
˵˵ţͼ־塢˯ӦԼĩѪΪ8.4ɼĶ107/֡ǰ6Сʱʱ78/֣Ƶ30/֣ѪͶΪ95%
˶֢ã첡˱ѣ˺͵ص㾯ԺãзӦԵͼʾ㷺Ħȼ쳣ûã45Ұɣֱû˯θȡĲŻɫθ
֯2ȫԺ
סԺڼȥôʵ
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ԭԤҪŹԱ˯ȥƣҲпܣֻǿƫͶѡĥŸֿԡ
ߵĲ龭޴һֱƹȣµһϵзӦ
һֱҽԺ
޴ҽþƾأֱʵҽþƾĿô
ʦҲǹˡ޴˵ҽþƾڻʿĿⷿⷿڲһӣûбǿд򿪵ĺۼĿȷҲûжʧ
Ҳûʲô뷨ˣҽԺܵǺҽþƾǣǾͿʲôļ
ֻǻûԼʱ½ۡ


446 ȫ黰
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˵꣬Ҷϵ绰
Сᣬô˵᲻˾̫ˣ˵Щףĵʵ
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ǰ
ȥñ˶ؼϢҵĸо˶ǿղʲô˼˵أڰ񡣡ѵ
ŶŶŶٺһЦҪΪǿǲǿ񡣡
ӣƴĻԣûôȥ
裬ȥһҽһҰץ·룬Ǻ쵼㱨һ˵ôˣҲ֪ע塣˵һӸôԽԽأû
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Ȼᣡ
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Сӣִ֪㷹ȥθãԲߡǿͦų4죬ݵĶûˡֽҳ·Уʼװˡ
ŷһ轵ı±ͳ֪ϣҴ뿪ңҽһԺ
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ΪʲôҿֱӷǮ֪ϣʵ
˵û˼ֲȥ١˵ûߵǲǺ֬ȱݺ񣿡
пܣFAO̷ǳӣϸȡ֬ᡢת֬ãͨĤ֬һӲתԼøAڸγͪԼ20裬κһл;쳣ᵼFAOϰ㡣
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Ὺų֪ϣŴ⣬һȥҽһԺһżϡ
Ѿϰߣÿһּļ϶൱Ҫġ
Ƕૣζ黰֪ϣֻҪ顢˵ϡĵãȫ黰
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ɽʹ󺣡
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Ժá֪ϣ绰յʵ
ڣʦڿ
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Ѿҽһˡ
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֪ϣһᣬɫ˵鷳ԺѾ˿аСʱܵ
УסԺſڵȶλ
Ҷϵ绰֪ϣ˵磬Ժء
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ĻԽԽƮݣ죬һԼԻ
24Ӻ󣬽ҽһԺԺֱӿסԺſڡ
޵һ̣ͰԺһݸߵ˳˵ɫ˹´￪޵̣һСܣܵǰ


447 Ǿƾж
ʦˡ޵¿дŹԺ¼ҽ
ԺࡣѳϨ΢΢˵
λһԺҽ޴޵½ܵޣλʦĥ߶һ棬ⲻлô
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޴΢΢üܿʲô
ҺʾҺ΢ǣ΢ͪĵͼʾĶٺķزXƬδ쳣ͷ­CTƽɨδʾ­ڳѪ׿С
סԺҶᡢάءעˮغơ
10СʱٴʵҼ飬ָ
סԺ豽ͱ𽥼ļҩԿƾƾۺͱƺþĶپᣬƾڡ
ղǺܵ͵ľƾжۺ֢˵ҽһԺסԺƲ׵ڵҽԺۺҽԺԺʵ˽һ㡣
ҽһԺƣȾƾж֮󣬾ͿתȥԺƾƾ
ƺܳ桢Ч߻ָҲܿ졣ϣῴεʱٶûһ
޴һܲ׼ڶԺȻʼǣͲߡ߼졢ܣȻȥҽ
ҽ߶ʱͻ־塢˯ӦԼȵ
ʱҽȿǽʳˮʱµĵѪǣʱĩѪΪ8.4
ɼĶ107/֣Ƶ30/֣ѪͶΪ95%·͵ѹʹδ﷢ʧͷҧˡ
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ῴһϵеıָôš
кܶ࣬ΨһĿǡơ
Ƶصȡôʵ
ʦˡ޴˵48Сʱ֮ڵƵҵĿԱһ㿴ġ֮߳⣬䶼ûС
ƺֵʿĸסԼԭ򣬲һζ衣
޴Ļ֤һ㡪ûл͵͵ܳȥȾƻơ
Ļֻܴļʼĥ
ڳѾѾͷ˼ϣʲôأῪʼԺݿеȡԼľ໥ȶԡ
磬ҿһۻߡ֪ϣʱ̩ͣſڣĿһӵζվţֻԼڵǰ
š
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֪ϣ򵥻㱨Ľ
ھɽ֮ó֪ϣԼ塢ߡѾֲ˵Ĺ棬֮¶
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޴üûҾƣҵҽþƾҲˣûжʧ
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Сᡣ̩ſ֡
֣˵վ˵֣ǰҽԺ˵˵ߵճ
޵µһʱǰȥȻûֲ̩ȴֵıʱҪ


448 û
̩Լɨһ۰칫ҽǣЩн߽
֣㽲һʲôǺοʵ
̩ȻонϾ糤սǰֻС档
ɡ̩һ仰ϰԵô˵
סԺ֮ɸλչˣллҡ̩Щһֱţʱ߾ƾûȥ˽졣˵Ҫȥһ£һ֪϶Ǿ񫷸ˣҪȥƺȡ
䣿
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̩߶ţῴүͷף΢㹤Ȼ֪ʱүľƣȴֲòڵһߵӣĸһЩ
糤һ˵ӦԶĳ̩߰ӣǸҲûʲôð취
ûʲô͵ģȥϡȥģΪһپơû¾Ʋ˶Уȶ˾·šмζƣҪ˱Ͷյˡ
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Ȼ֪үӵҪйҪǴ̩Ļ
˼̩Ҳʶ㣬Ťת˵˵ʲô뿪ҪȥҲһ·šǰ컼ߵһֱںתҺҪȥơⲻƣǺûʲôùӳԡ
סԺ4죬κ˵ƾжѾˣҾĥŵڶܳԺһؼЪһЪû뵽һ߾۶ӣ˵ǿʼŻѪҾżæŵĸϹ
üָôٶȿ˼֡
ԼүӵӦûʲô͵źȾƣһ޴ҲƵ֤
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ô˵ҽһԺǶ㹻أ˵뱻ᵱݴȫĬȥ
һ£Сĵø첲ͱͱߵסԺҽ
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ҲĬ
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ʵҼʾӼ϶лжѪˮƽм͵ߣͪٴԡ
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϶ǺȾƵµģ̩˵ûһ˿ԥ
ڿһˬ⻰ԼҲ˵ȴ˵ڡʦƺָֻô˵
֣û˵Ⱦơ
ţ˵Ŀϡ
˵ǾƾжǺȾơ֪ϣ



449 ڷϴҺ
ⲻǳϷô
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޴ɫĺѿ֪ϣĻҪָű˻ԼܡûȾȴƾжһôܺ˵˵ء
޵û˵Ǻ侲Ŀų֪ϣƺ뵽ʲôüëһɱֳĬ
ڣ⻰˵Һܲ޴˵϶ҽҴ߾㡭
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칫Ҵ۵Сۣת˲ͳ֪ϣ˵ʲô˼
ϴҺﺬ˵ģʴһ֣ѧṹϺҴ֮
һһЩҲǺоƾģ˵ĳЩоƾŨȸߴ70%
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ʦжӦûһҽ˼·˼ӱ˵ڷϴҺԽҺгֵͪʶϰҲԽӼ϶лжΪɴлΪͪǿڷϴҺµġ
ţϴҺкһЩᣬӼ϶ߡᵭ˵
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ǵġ΢΢һЦϴҺ״̬ѪҺеıͪѪ弡ˮƽļӡ
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ðɣûӡСЦǺǵ˵
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Ŷʿ˵û¡г˵Σ鷳ʻ߼Ժ硢ϻԺġ
ѵĺܵλϸ΢ϸڶ뵽ˣ룬ϿʼֵָҽסԺܡ߽ڡʿֲѯʡ
10ӣ˳Ľʦҵˣ
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ҽһԺĲȾͷϴּ䣬мǹϴλãŮңܱ׼͵ʽ
߼˵ϴþȥϴͷһ̧ͷϴҺͲˡѯ˺ܶˣҲû˼
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ʦᣬˮƽǰšȫԺ˵˼СʱԻߵĲͷʦһ仰⡣
ڷϴҺϣҲ̫һЩ˭ڷ⣬ǲвô
жûЧƷʽ֧ƾͿԡ΢Ц˵ΣÿԺҲùڵġ
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Σϸ񡢹ĺϸ£޵һ¶ǻ߽͵ϴҺ³жǿĺܵλʿȷϴҺûж
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ŦԼݵһʵҺ͹ʦЦԳһƿϴҺȻֱӺˡ

Լǻѡ㾫ȥˮ;Լ
أжô
ȵĲ࣬ϾǿЦһϴҺĿζЦ
ӵ˶òĿ⿴ᡣ
黹ôǲʦȳˣ


450 ̾˵Ĵ
ʱ䲻ˣλ˵˼лվЦе˵ˡ
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˵еʦɲ˵ЭҽԺĵһ̨ʦҳ÷ҽ
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ϵʲô˵ģ̩ӲĻеš
ץʱԷ绰С˵ҺѾͷˡ
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ķģʲôҪҲġ
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ӦõӦõġ޵µʦ˵ǸϴҺ¶ô
Ժ¶ءЦ˵һѴģˣ5mlƵϴҺղŲôҾôһ˵
ϴҺʲôζģ޵Ҳúܻʦ߶ʲôˣôϴҺءȾͺˣƵġ
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465 
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ȫCTһҽ࣬ܶǻû취CT
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ΰЦȴüͷ΢΢һأһ롣
ںͺһֽĿظһ޵µĻ
ǸִĴѧôƺǸഺȴֵ۵ŮΪڡ
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ʲôôϲǡ޵Ц˵С㣬ܶຢӾرϲǹ˾ȥһǣҲ˵ʲô֣ȥʱ򿴺Ƕϲ
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Ժллΰ˵ҺȻôһ뷨죬˵롣
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ܣһʲôսĿԴ˲ϤѾԤֱ˵ǿһر棬˼飬ùڡ


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ҽԺľͷܶ࣬һϲͿˡг˵˵գʵڼ¼Ƭǰڶ̵棬ǻʱ㣬ȻһЩϲԱ֣ף
ƺԣ޵³һ£˵Ĺô
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Ժ˾ƣȥЭҽԺߵ顣
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һǽһҽԺԺЭҽԺɷ֪һûĦĻߡ߼
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⻰̫ƫˡɷİ˵ô˵˲ࡣ
ǸαӣҲŲȥЭҽԺһʲôãҿһǹյľ档첻£֪һζûУΪ
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ſ5ꡭ3꣬϶ýȥɷԤԵвԱУ
֣Сȫ˵㲻һأڽĿȫǣɺÿˡ
Ҳɷİû취ֻȰȰԼҵͷӡǹĺ£ôɷͱɻأм߼Ҳû
ȫǰбһɫԵĿŵӡ
ɷԼͷȫһҲЩġ


477 εĳ
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ԺѾˣϺǵ˼άսĿʵ֪СӵϷôô
սĿ𲻻𶼲֪
ӵΨһĿǼиԵòô塣
źһҳٸ顣ֻʣԼڹڣԺ綼ϰ˻ؼ֮塣
ֽĿӲεЦԺɳһߺŲһ߷ƽϵš
ȻһʳڶС
ߣ
ʲôգôлߣԺ̧ͷɨһ۵ӡ
һҽԺ¥ĻС
ЭҽԺĸԼɼ滹ź񲼡
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ƢʦǸˣЩϸ֦ĩ⣬ƾһı£ֱѹȥ
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ϴʦ뻪΢ҽԺᵽơ5000׸ֵĲģӦСĲơ
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ҳС÷1/4ƻ꣬ƻСļҧһڡ
˲֣ݵŮ۾ᳪ
ÿһΣǻµмǿ
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ڿ붼߽С÷ڳ裬ųţü֮Ц⡣


478 
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ڿ붼׷ᣬ
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һᣬֻҵĵ绰ȥ
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Ժá⼸Ҫһֲ˻ĵԹ
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û뵽ʦ棬Ȼ˿ѧƵо
һ׼մԺкʵĻôּʵ
Ļһ㣬Ժ⽹ۡ
ĺĬôҲƣԺո˵Ļĺǡ
ΪҽԺԺȻմ֢ζʲô
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УǰͨҽƳµĺ˴Ż˼·ʱæһֱûʱо
ԺĬ
Ժ˼绰ʲô¶ʵ
ʦҿƬˡԺ˳Щ䣬˵
ƬŶǵĿġûϵνġ
5000׺ĲģֹԺ̽ʵ
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Ժ5000ҪԼ֪ȥһ˵ޣҪע档ڳֵҽô϶ơ
һЩС˼СϸڣԺԸ롣ոյĸĵĵطȥϵĳӲӹâʱȥһЩ飬Щɷ羰
˵ʦԺȥޡҽ϶Կǡ
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ްɣҸоӦҽԺ֡ɣʲô壬ѦԺϵ˵岻Ҫץʱ5000׺Ĳġ˵ʵҶƲǺΣʱ䳤Ǳԡ
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Ҷϵ绰ԺҪô졣
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ҪưĺĬĻԺ룬͸ֳߵļ
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479 
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뵽ĳЩܱĲʱΤľս·һ
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˵Ƴ߿һۣȥ㽭ǴˣôЭҽԺ˼Ҿʹһʿȥģ룬ǲĵƳˡΤ󱦵İʵ

ǺƣûаŵġΤ󱦵İ˼˵ɵãȾҲûŵġʲôƳ㵱ͽܣʲôɳʦ֣кôô㡣
㶮ʲôΤӲ˵ȴ档֪
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˵
Τ󱦵İ۾ᣬѾжϡﻩΤȴĿŵӣԺĥ˵ĸ֡

ǸݵŮӦҪԺˣಡһӵǶġһ̨׸ıˡ
Լأ
һѧǲܸıԼˣ
һ뵽ΤȻĶ
ĬĬģתصǰѧשͷһѧʱƺĺ塣
ɽؼһҪһһֵĿ
һשÿصġ˵Ĵš
Ҳ֪źʲôΤ󱦵һβ˼¶뷨뿴


480 ﲻԣ
ڶ죬˾ҽԺΤ󱦵ࡣ
һשͷ飬Ѿ߰˰ˣѧʱҪרġ
ʵΤ۲ڽЭҽԺĸ߹ʣÿĻߣֻҪ᲻䷳塣
ȻֻлߡԼʲôΤɲΪҪѧԼ鷳
ƳѾˣҽƾʣ¶οƳǸϻ¡ʲôͶߣΤֻԼ㶨
ʱ֣ճ극Τ󱦶һҳһҳķ顣һ߱һѰԼ©ĵ㡣
ðⱾġѧȥƤƳ׼
ƳҪԼΣ
ˣһѧôȻҪԼһ˵
ȻƤǱˮճסһΤ󱦻Ǽš
Ŀĸǻڶߣ˾Ҫױѧ
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ǰҵƣ࣬ʱʱܸɵ˽ɽ죬࿪ˡƳĵһСΤ󱦿硣
ƳѾָ·ҪǰղסᡭʣµֻԹඡ
磡лߡֵСʿԶԶ
ҡΤ󱦴񣬰һöǩŵ֮ķŵһߡ
ڶԡѧⱾשͷһ飬Τ󱦸ǰɽؼǽ̿顣
ϣߵĲ̫أϣǸлߣԼ񾭿ƵĲ塣񾭿Ʋ嵽жţΤЩƵš
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һ񾭿ƵĶҽڶʱóԱԼͼҽԼ֪Ҫʲôܶ鶼һɲǵУǱʶ
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ʱһҪ飬ԾûͶ뾫
ǰʱɽԵɺһĺӣ׼һԡ
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60-70񾭿ҽʦУ˶ԼͬʱҲͬɾֲ缫֢״ֱ80ſʼƵơ
1987񾭿ҽʦAlim-Louis BenabidGrenobleѧŶڻֲһԴ̼ϵͳԿƲǿʼһϵео
19952£Դ̼Ʒŷޣôͨԭɭ1997 7£Ʒͨԭɭ
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˵˵ţȻһ£ƺ뵽ʲô飬˶һ״̬
˳ĽȻһ٣ǸгȻɲ޴ĹԱѹͷԬΰΪܡ
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492 
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׽һ˲УҪϼʦһ˲Լ뵽ʲô
ĬԼ֮з·ǰıʼǱ΢ԭӱʱʼA4ֽϺһŵ
ԬΰûоñðԽԽǰ˿˵飬ô޻
ʱţ10ӣŷ±ʣƽ۾ûпԬΰǸ߰飬ûʶ˴ڡ
Ỻ۾ͬһôӣ졣
Ӻ۾΢Ц˼Ԭʧˡ
ʦææԬΰæ˵
һСĵãüҪȻֶ翵ģգ۾û
˵öԡԬΰָ֪оֻľУĸоҶϣо졣
Ԭΰֻ˲СʱѾǰ˲Щ
10꣬Ӧÿʼù㷺ضɭ֢ƣЩԱҽʼֲմ
ֲ˵ϸ޶ҳɹʲߣմҲ֪иĲͬҽı֤κҪ
ѾһЩͷҪʱ䡣ż˼ҿ졣
˵꣬ԬΰֿʼƮ
Ԭΰд󺹣еһ˼ҵȷûԼԬΰҪһѵڡɳϰ廹浱ŷԼͱǿˣʵʵȥŰɡ
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ΣǰôԬΰʵ
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ɽɽ£ڽЭҽԺԺŰ˾ӵҹ磬Ԭΰޱȡ


˫ộֻȻ
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Σþòⶼˣôû˯
ᣬȥǡ


493 ҽ
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۶ҽԺһӵ˳ȣĦࡣ
רһ쿴89ߣܹԽƣɤð𡣹רҵţز·׼°ࡣ
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ӹˮܹЦһ죿
ǰʦЦ˵ˡ
ⶼǿܹԲǺ⡣
ҽ³һһ˾漰ҩһϵеҽƻ
֮ǰĻ˵ܹҽ߿ˣҪҽԺ࣬ʱ⣬ʱصĿߡ
ҽҲû޶ܹÿ쿴ٻߣһɢ״̬⡣
˵ܹԻؼɳϿӣĵʱһߣ100Ǯ˳ֵ¶Ϊѡ
ڿƶԣƣʡеķɵܹҽԺҽÿĩڼңɻһӵֽ
ܹ˵Ľǲܵġ
ǮǮǮ޿ɷǡ
ʼҲЩɻ󣬵ǼԽԽҽ󿵽ܹʱҲ룬ԼǲǹʱˣҪʱ̭
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Ϊƹڣڻ߲ǮÿһߣҽƸܹ100Ǯÿ˵ǰƹãڹ˾Ĳ
ڵǰڲɵĶҡĳôӲǮҳһͨ
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ҽƵĳڡ
ܹԽҲ
ڽӴ֮ǰܹԻЩϾںӱһӣ¶ȥˣҲԼڲ
ǽӴܹ֮Է֣صĻߺٳϡѯģһЩ֢ߣ˵ͷ֮ģǸðʹ
Ҳǣ˵Ѿ졢Թ˭˼ôôأ̱˻ϽȥҽԺ
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ʼӲǱӣ۾۾˵޲ͷͷ;ƺҲã￴Ҳ˳ࡣ
ⶼûʲôġܹšˮƿǣེһڡ
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ţȻֻǵ󼸷ӵʱ䣬ɻŲܹ˵Ŷ˴죬Ƚ֮ҽҪȥ䣬ҪĻãҪǻƢģ֪ôִ
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89
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ʦ˵ġЦǵ۶ҽԺҽʦ֧ҽƵģ˾ӣΪ֧֣õĿڱѾͻƿڡ
ܹ΢Ц
רҡʾҵԱĹչĸ˳ҵĹǷҪǵ۶ҽԺ涨ϸҶҪ׷ʵϰ
ǺǡܹЦЦ
ҪǻǰпܣҽԺ涨ϸܽҡ
ѾˣܹҲǴǰһ
˼ҵһ죬ΪˢˢΪ˵仰˵ģֹ̬ȾͼΪ
ϻؼҪ࿴ߣܹ뵽
֮ҵԱKPIģÿ˭ҵҽ˶ٸߣܹԲǺ˽飬ĵ
İɣҵҿ϶Ҫ֧ܹ֡Ի·ȥͣ
ʦҲˡæһ죬뾲һɡվס΢΢ϹĿܹ뿪
ܹԻصңϴһϴȥһĲɣƣ鷿ƽ½ҽվʼɽ
ҽԼĺô˵߲ҽԺһһ죬Ҳðɽˮ۶Ϳȫһרҿ
ԴˣܹҲϿɡ
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494 ¾ͱţ
ܹһ˼ߣⶼƫͷۡʹð֮ļҲܽҽǲܵġ
ֻCT˴ŵȸƵĻ߿ܹ¼鲻ȫ
ҲûΪҪǮӿٶȣӿһߡȻ㣬ߵĲҲأܹСĽĿ
10ߣһСʱܹɽġ
Ҳãܹ̤ʵ
ǮüһЩǻؼһҪƬӡܹԾЩġ
Է˯һֽˡܶʼȻЩģǮҲҪġ
ҹ12룬绰𣬰ܹԴ˯нѡ
ΣȻΪһҽֻҪ24Сʱ״̬˭ҹһӵ
һֻ
ҹģôˣܹЩɻ
һȥһ߽ͨ绰
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ʦˣЩŵ˵
ţôˣܹʵ
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ΪһЩϺܶʹҽÿأټĳЩɿܵأҽԺӦÿصָԽԽϸҪҽԺȡΡ
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߷ȡͷۣƬѪ汨浥ûͷCTܹΪҲͷCTȷ
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ܹԽ黼߼ȥҩ࿹ʹҩƣһҪͯ͵ģòҪڷͷ࿹ʹҩ
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ܹԺһϵеĲ֢ȫ񶨡
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Եģôùɡ
ֽвҿӦ֢ΪڻжʹͷʹؽʹƫͷʹʹʹʹʹҲͨðԸðķȡ
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ʷ˹-Լѷۺ֢ܹС߶ţסԺô
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ܹãȻĿƬ˵ߵĸô
ʦ˾˽⡣˵˾Ľûʱ䣬ȥߡ
ܹԺȻһֺܲõĸо
ҽƲ¶ɣǡΪԼֱӹͨϵҵԱѾԼֱ׵˵
һ˲䣬ܹ֪Լˡ
ҽԺԺ쵼ôˣ˭¶ǶйϵƵҪǳҽԺ϶ᾡѹȥ
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495 ʮ˲
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绰洫һεĳĬ
ܹԵ׹ԨһʧصĸоͷĿѣ
ʦĬ˼Ӻε˵ҵõ֪ͨʱʹ
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ȻѾ֪𰸣е£Ҫץסһݡ
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ܹ֪˵ǣʾʾֻʾûĽ
˵ƽʱһºԼЩģȴֲ֣ᡣ
ҹʽĵ绰ֻĮһ顣ܹܸоҪƲԼĹϵְҵӰ졣
ȻʵܹҲ⣬ȴû취һʱܡ
̬ȲҪҪץʱȥߡͨĤ͸ˣǽȻַͬʽ
һ12ĺӣˡ
ʱƵĻأأصܹ޷ܡ
˵ַϵʽܹԿʼϵ߼
λڳǵһУӵܹԵĵ绰󣬻ߵĸѾʧһ㺿
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߼һ߰ѺȥҽԺƣһ߷;
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ߺܹһĺڣҪǻڵ۶ͷԼֵĻˮʱԼܿߡ
⻹ֻﻼߣסԺߣ϶ܼʱ֢֡ҩߵĲչôصʱڡ
ûкҩеĿɬֻԼٿɬҲҪȥ
ȥҽԺܹԵһ¶ȷϣߵԻѵҽߵõʲô
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ʷ˹-ԼѷۺƤ̴ʹĿǰԴ飬ҽΪҩӳ˿ϣӸȾʡ
Ҫʹù̴ҩڳʼ׶νԤԿһҩѸټϾԼҽԺܹҽȨûУֻṩķ
ҽԺҽҪһ
أѰһжѣܹᵽʲô
Ż߾֢״תԺһܹ֪Ҳģ滹еʮ˲㡣


496 䲻
Щ죬ܹһѵӣ˵Ƕ궼š
صҽί飬߼ģǺӺҲСǲϿɺǱС˹շʷ˹-Լѷۺ
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һѵ飬ȫûԤ뵽չܹԳɵۡ
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԰ôЩᣬĻһ䶼˵ڡ
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ЩӵĻҪڵ۶ҽԺ£ҽܰſһܹϵѹСܶࡣ
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ܻ˷ѵʱ䣬ⶼǿġǸ㽡ҽƣôǳôҽìܲ
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Ҳ֪ˡܹԳ˵Һȵ㣬ģ¶һȥ
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ؼҳԷϢڶһ磬οƳеģԺһ绰˵ȥ̽ɷһϵҽԺ
˲οƳȫһֽվšһֵŮҽڽʲôҲֵġ
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ҽԺеģɷôȫ
οƳ߹ȥһ˵ȫôǡ
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Сͬ־οƳ˵ǶרҵˣһôΪʲô顣
β˵ֵҽֱӰѶοƳȥ
˵˿°ɡȫǣŰõӣӶοƳסԺշ嵥ţ˵ʲôƨ飬3000Ǯ㵱ǰ˾ӵ˲ʶʹĻ
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ֵҽĬĬĿȫڳţɷڲһ仰˵۾ŭ𽥽ȼ



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ߣȫСοƳ̾˿
Ѿվ˳Ҫ˵ʲôɡ
Ͼ˵绰ɷҽԺִ˻ȥûύ
Լ֮УοƳѾῴԼϼ쵼ڱԺҪҪλϡ
СοƳֵҽЦЦ鷳£鵽ʲôģ
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˭ѽһ壬ôΪ壿ȫ
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칫ҡֵҽҪˣѹŭ˵
飬㵱үǵ˵˵ƨʲô⡣
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ϽģȫԼץס˶ԷСӣСûҪ֡վڵϣǱȻġ
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ܿ죬ֵҽŵӡ
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˵꣬ҲܻɢûɢҲûɷô룬ֱȥ˰칫ҡ
οƳɵۡ
ǰȫϵһж˿˿ۡ
ѹ᲻˵ΪʲôֱӰѻ͵ҽԺηϢ˵
СѾµҲġֻлжճȷӦļ顣
Ϊԭ
οƳЦõĿɷһ᲻νֻֻζʲô
֮ô죿οƳ뵽ֱסˡԼĿãɷס
MBԼôôɵᶼ˵˲Լ
οƳᣬԼʺɢų


510 Ұ
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511 ɥӻҪ
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οƳæϳ񣬴ֱЭҽԺ
ЭҽԺͣóοƳһ¥ͷ˰̵ǰǩ֣ȷ¥ᣬŽ˵ݡ
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ɷײףôˣӶԼġʲôˣڱ˵ỵô
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οƳŽȥڴ绰
ϰ壬Ǿ鷳ˡ΢Ц˵ʦץʱࡣ
УʱҰ˾ӣԷ
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512 һ
οƳһ飬ῴӺ
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˵ɣû裬ȿˮվߵˮԣһֽοƳһˮǰ
С⣬ҡҲһʱ档οƳ˵
ʵҲûʲôʱΤҽ鷳¶ԽԶԽã˭֪ƢԺʲô鷳Ҳû취ҽйȥҪ
οƳͰ͵ĿһۣûԼһˮ
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οƳһֽЦݣ΢һЩ
С⣬ôˣûɡ
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Щ߶ûдϡ
˵κ˼ϵã濴پҲ֪Ҫҡ
ãваɡҪ߷;ʦ˾ˡҪù顭ЦЦ
οƳûҽӻ
οƳȻذɡ˵滹һЩҪĺ˴żҪ
áοƳͲվһʱ˵ҪҪ֤͸Ҵ绰
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513 ͷĽŮ
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ЭҽԺǵ۶ҽԺһӿԼһҪ100ߣȿˮʱ䶼ûС
пΪոսԺûʲôߣæԼģ֪ϣҲæԼ飬š
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Ρ֪ϣһߴ޾ףһ˵Ҫû⣬Ժ

ܼ򵥵ģ̼ѶȲڶ⡣˵϶ͿԸԸ⡣
ܹЩɻ׳Ӵ˹
һżһ۹̣ĺܼ򵥡֪ϣǿ
ԺҪŹ飬Ϊ׼
죬Ҫ嶨ͷܺͷ­CT飬ĿͨŹͷ­CTںϣҽҪ̺ŵİеꡣ˴̰е꣬Ϳˡ
ꣿ֮ǰڼꣿȻԼ·
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ϸˣһΡ


514 δĺڿƼ
ڣǰҪʲô飿ܹʵ
ǰSIGNA Pioneer 3.0TŹͷɨͼ񣬽ɨͼǰƻϵͳƻϵͳ滮е㡣ûر׼ؼڰеѡȡ
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֪ϣ˵ļ򵥣ǲͲôˣѵĲ躬ȥܹȴҲûϸʣרĿ֪ϣĲ
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ų֪ϣLeksell嶨ͷ̶ܹͷ­Ȼ޸Ķλܹ֪Leksell嶨ͷܵĽǶѡȡǼĽһᵼˡ
֪ϣĲȣᡣ
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ܿˣйֲ˻Ѻļ¼һǲֲ˹ڻ19ѣѺ˵Ĵһֱܿ˼ά˼м䣬岻ܶΪһֱеż
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Ҷϵ绰ʱԬΰʵʵƽϵݿڡ


525 ֮
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535 Ҳз
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ʽҷˣ8СʱгѪ500mlҺ3150mlҺ4000ml
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536 ѹԷˮ
κһһĥ鲻ѰҽԺô϶ȫ׼Ŷԡ
ˣĥʲôҪȿ˵κ뵽
ҽԺû֢໤ң߷ƵѼ
豸ȫһ߼ʱֻ߻߼˵ȽϴҪ۲졣
ң·ȫԶɨ裬Ѹͳɾ࣬һʱκη·δƼ
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Σ㻹֪ôҽԺ˶ˡ˵ûǮǮȥˡ컪һ߻·һ˵һ䡣
ҽԺˣҽԺΪ3000ְٴֻ1200ˡô˵Ļʲô豸
Ҳǣκп¶ñӿָ컪ָ߽ҡ
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κҪӣҽԥһ£ֱ컪΢΢ͷ֡κûע⵽ϸڣȫעڻϣҪһʱ俴ߵĻر
Ѫ飺pH 7.29̼ѹ33.1 kPaѹ34.0 kPaѪ̼25 mmol/L-1SpO2 87%
κʼ壬Ů˫κθԡ
ʶѣ궯൱
κιƺʹ뷦йϵѺ󣬻ߴڷ״̬һֱĻþ
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539 ɵɵ
컪κҭ˵
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ҧŸʺ˵ʲôɿڵӾҲǹܡţиûȰ
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Σ֪ϸ˶ô컪뿪ʼ˵ĻȽֱۡ
϶٣˵ҽԺշѲ͡κδһ˵ҽԺװ޾֪
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컪̨۱顣


540 ϸ֦
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552 һֱڵȵĵ绰
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ܿˣƫ֪ġΪƫȥסһꡣֻҪܻŻʲôҪҶ㡣˵
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ܿˡ˹ʼ򣬱ʾź
˵ôĶǷչйңһֱǣûб˵
⣬ʲôʱŲǣ
˾ֵһʱǲɿʱУ˭֪ء

Ǻ޳ܣ˵ʵϲڵĴͳ졣˵˵ֻ˵㣬ѵ֪ÿ̫ƽ㵽˷ϣ֪ǣ˭أ
ƨĻСƨĹ֪ػͼʮ˺ܶˣǷǡߵڰףóġ
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ܿˡ˹ᣬĬȻš
˵ܿˣҵѣҪ֪ʲô˵ģͻĹûʲôͬұѡеģǻıѡС

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⣬ͨҽûйϵ
ܿˣ㻹ǲҵ˼˵й˹ϺӣŬķҽֻһƴͼֻһ΢ĴڡʲôʲôڣҪͨҽƵļ


554 ǶԼ
Ҫǲأܿˡ˹ʵ
ܡ˵ܿˣҪ̸һ̸ȥ̸϶ҪһƵȨ档Ҳû취ƿƣֻΪ
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ܿˡ˹εĿᣬһ仰˵
㲻һλưĺĬҽΪʲôҪЩϡ
ᣬЩʱ滻ģֻҪٶһЩͿԡֻֻ֣֣
⣬һǿߵ̬ûС
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ܿˣǶԼӡ΢Ц˵˵仰һ£ǴǰԺҾֻܻӡ
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Ƕۣ϶ֻۣһһεľܾ˶ѡЩܿˡ˹ýָͷ뵽
Щܸ꣬ػ˲٣ʱϹƸ
ûᣬǻصƧԼж˵һС
⣬ʲôӣܿˡ˹׼תƻ⣬ܸܵķŭ
ǹһܶЦ˵Ԯǽгս֮ǰ˵ľӣǼ־Ը˵еװǼӴ֮һͷNMB
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֪ܿˡ˹˵һجΣ˶սĵҩ棬Ҫŷ޷͵ҩʱүÿ춼أؼһȺߣ̻ûӮһΪӵ޷԰Ρ
šͷǳս֮ǵһֲ־֢Ѿڣʼоҹս
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ԺֻǻԼӣԶزȥˡ
ܿˡ˹Ĭ
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ֻĬ˼ӣ漴Ц˵ҪͨҽƵļϧһǮ˵û壬Ҫʱ䡣
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Ƶ󲻱䣬ͨҽƵĹɷݴҪǱ죬Ҳڶ»ϿκһͨҽƵˡ˵һǮһ£ùһ֧ӴʦšţһǵʦţҾ뵽Ĺܵ
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Ƶ治Ӱ죬ҲѰ죬ܿˡ˵ɡ
ǡܿˡ˹ʵʵ˵
ȥ̸ɣʵûʱ䡣˵ƵĹɷݲ䣬ͨҽҪóұ֤»Ʒ֮ڿ϶֡
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ġ˵ǲͬ⣬Ͱѷֻӽ⼸ѾܾΣǻڳһ˿ܡǺź˭á
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ǵ飬ѹӶʦǮóȥ˵үǲǺôǵֻҽƶѣ漰5G벻κɾܾ
ԡܿˡ˹˼˵
ܿˣҸո˵ĻҪҵѡһҴ󴬳ûˣƻ㣬иõ졣ʱûйңֻҪֵͿԡ
⣬Ĳôš
Ȼкܾã˭֪ءʮꡢһܻ꣬Ǹʱ䣬ϣҲġ
ܿˡ˹˵仰Լ޷
˭ϣٻһ꣡
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555 ʱ־
ءڰ칫һѩѣĿһʼ
մＰҵ޹˾Ķ£ͬʱ˹׼Ŷ¡
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ſʲƷ5֣˾ҵͨšͨҵ졢աӡҽơĽ̰칫ѵ
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Ȼ漰Ҵ500ǿҵء𰲵ѾһЩüĿ
ʱӦüӽ3mŵϯִйΡͿȴʱһ˽ʼ
ʼءȴ˺ܾá۾һգգҪÿһʶ𿪡Եɾ
ʼЩޣء𰲶ϯִйٵ˽⣬֪ε˼
Ҫҽ򣬱ҪһЩҽҵĿѧҽСʷƾõĴͳЧҲܺá
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λʮͳΪ˫⼮Ժʿվҽҵ۷עĿ3mţҽƼŻ׼ҵĻһƲȥĴɽ
ôѾվۣ֮˵δʮͽͽԼйĴҵԱȻڶ࣬鲼ҽҵҵ˵ÿһ仰ҽҵڵع˾Ϊ֮
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ΣΡͿȴúָԼ˹׼ŵĽǶȥӽ⡣
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ǸӴĵ۹ʷ϶һ޶ĵ۹Ѿٽĺ꣬ڳﻮôˡءҧѩѣ͸ƵʼԺȴôһͷ
뿪ƺһʱȻֻ׳ʱССһϸڣܴеóȷĽۡ
ǼʮǰսӴղ۹ֳس룬һطûƽϢսһ
ء޷ʷǿĵ۹սԳ˻ʲô𶯡
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˹׼ŵһܺõ壬Ӣǽ˹׳棬3MԼҪúܶ࣬ҽλõĺϵ
飬ԼҪôأ
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װĵԣϣûд˯ߡء΢Ц˵
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Ҫ֪Ǽ٣Ҷ֪ע⣬ǲ֪Ҫ鷳ԽԶԽáء𰲵˵
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֮úϵҪΪĳЩ飬˾û취桭㣬Ҳ档
ҪǲĻʦ᲻Ϊⲻ
ţҪһЩֶΡء𰲵˵ͷһΧ֮У֡
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Ͱ֮ǰ˵ķУҪʲôʲôԳܣǱҪĲ֧㲻õģһϯִйٻ㱨
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556 
ηɵ̣Сſںһ
һʱĽӴηԽԽϲĹ֮ǰÿСԼӹھͺõ˼ҲˣʼĥǮ顣
ϾҪ飬ǮٲõġȻһ粻Ҫ񣬵СܵһɡڿʼĥѾˣη¹һҵԼûܹǮ
һĲ鲻ֵ֪ܼʲôʱ򣬻ŷζѹĲϽչһη˾ûˡ
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ڣЩһıѹʧӰ١
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ѧǮǺܺģһη
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һЦЦڶηߣ˵ɸ磬Ȼûϰ壬Ǵܶ๤ҵӺܶࡣ
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֮ǰɹһҼ˵װ޺ãҵû͵ˡҵʱҲƣһܴݵ˵ϾҪѵѵʱ㹤ʡҵһ¾͵գҲǮ
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GOVʶ泧ҡȻ˵ĵ治һάֶãٻе㱣ϡղŷɸ˵Ǽ̲裬ڹٷվû鵽бע
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̲ܴһҪôܲɳƽ̨ӣ֯ͻҪǽǮô죿
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һտ꣬С·֧̯𱬡Ա߼ҵ꿴ۺ죬Ҳſտóԣҵۺ죬;ٱСڵտ˵ֲÿꡣмţҲûʲô¶
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һֱȥ˹׵Ĵһηɸ֪˹׵ģʽ
ǹȥӴ˹׵ĵϰ壬ȴûġ
ڸĸ³ĺӣ඼ˡ
һָͷ˵ô࣬ѶηֱӸˡ
ֻСڶηɿڵ̯һȻô˵


557 ϻڱô
һ⣬ηɱ˵ͣ붼û
һ۶Ὠ濼ƷʵҵƼˮƽЩ˵Ķȷļٻǲż˹
ʲôȷļٻηɲ⡣
۶УûʵҪǶˣǾͲˣҪǡһЩġʵƷƣǣôܵġһ˵
ʯϣ죬ĺͶηţÿһ仰˵ĺ嵭ɶ˵˹档
һ˵ĺЩηﲻ
ҿǵĵ棬˿ɶˣ
ǰȥʡǿǴΣٿꡣһЦ˵ɸ磬꣬
Ϊɶ˼Ϊʲôô𱬡
ۡⱾ׬ߺȡҪ˵˿νƷʵһ͵Щܵ档ҡ˵̲裬úȲúһ棬㲻һ档
ǵȽƫԳƷ˵ȽϺáǶ̲Ͳռˡһ˵ȻŴѧǣѧҲͼ㲻ǡ˵ź̲ģǵλã١
η
ۡɸʽʵһ˵ҼеϰΪּˣʽ㣬Ƿд
ûô˰ɡηѾеˡ
һⰡɸ硣һ˵˻׬ǮĶԭԭ͸𣿡
Ұпܣ˹ƹǺηѾû֮ǰġš棬е㷢衣
ǺǡһЦԣЩ˷ƫ٣˵Լʵĵ棬Ϊʲôأ
ηɲȷʵ
ÿһҼҵڴʲôż㾭ֻۡҪͶٶǮеƷֱ˷ѣԼװ޷ѾͿˡרҵʿ㣬רҵԱѡַרҵѵС
ηһĻ˵Ļһ˵Ļһ
Ǽٵģ˵컨׹͵ϵһЦ
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һأҪļ˷ѡÿƷƼǶҪ˷ѵģеĲм˷ѣܽб֤Ǯ淴Ǽˡ
ɣ˵ǡ
ǲ˵ʲôʲô˸㱣֤ȡʷΪҪԼ֮Ļ
ηãĵ˵ͷ
ұûеĹ˾ɸǵʱǮô90%ļ˵3֮ڻƵǮʣ10%ٺ٣ҲǮ·򵥵ĽֶΡ
УνİѡַҲǳֻѡĽֵѡƫƧĽ䡣
밡λ󰡣õѡôһҪǲѡǾ˵ġǸʲôרҵĽ飬ǲԼ˵ġ
ҪҰ˵ѡأηʵ
װްָʩӣѡҲͳһ׼֮أҪװ޷ٿһǮһҼһҵ꣬ڴѧԱߣһϰ˵װ޻ǮҪԼŪһϡ

ЩҪǶȥ໨˺ܶԩǮȻԭϻһǮ
еļ˶Ҫʹǵԭϸ䷽˵ǸûȶƷ顣㲻ûУҪҲ˵һ̲ĳɱҪ1Ǯ3Ǯ
ĿɺءһˮݸηɣηãĽӹ
ЩˣҪ⻹ҲǸ˴򹤡
⻹꣬ܶƷƶиѲԱطÿƶȵġǵ˵ָӪʵҪľǼ顣ǲ͵͵˱ĲϣǵKPIҵ㲻ϹĵطȻ󷣿
һӣֻҪȥͺһɸ磬¶ࡣҾǸԱûʸ˵Щ
˵ţͣס۾Զ·档
ʲô
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η̾˿
ʵܼ򵥣ֻԼҵүô󷽵ĸǮƾʲôټ򵥵㣬˵ϻڱôһ˵
ηɾ˵е
Ͷηţˬ·淴Щۣһ۾
ȻһƬƴ̨ɫĽγſڡ
ӦòǽѵģһԶηɵСѿͻһЩ˽⣬Ҳûվ
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Ƕɡη̧ͷʶϸ룬סˡ
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ãյԣе֡˹׻Ĵľ³֣ĺͶηɴк
Ѿеηȴƨһ㣬ֱӡ
ܵܣáηæ˵
һ羲վһߣĿˣ֪ΪʲôСꡣֵǷɸ͵ʶȴǺ졣
ǵңϴʦ¥һ棬һ֮ԵЦ˵εŰݷã·ϻûĵ绰᲻̫š
̫ˣ̫ˣ̫ˡηɼĲ֪˵ʲôźá
ֻȱȴɵ
ֵţҹèһ϶²
ոջһ˵ϲڱ飬ڱ͵ǰηɵһ·һͻɤ۱ĳһ
ôʵר̰ݷãЩϵҪһ¡
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һʵڿȥˣյηɶߣСѵɸ磬˽˵ɡ
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˿˼䣬ʩлЦ˵ˣСΣ˵ˮ
ݣʩлҽܵǵ飬ʩлСһС
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Լ˵˾Ȼǵ飡
Ժ·ţǸ糤Լүӡûȣûȡ
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СΣʩлЦļ򣬡ҪƸ㾭ġ
ηӡˡһӣϵڱҵ߻ء
һҲĿʩлã
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ʩлڱеˣҲЩĽĺ
˹׺3MŵĴţҪڿͶʽ顣ϡ߻û׼ϣ˹лCEOȲ
Ȼϲ⣬Ȼ˹׾Ϊ߶ȵĹ汻ǡʮѣôʲôǸзòá
3MǱ׼ĿţҪͶʵĿǿ֡ҽƷۡ
ǧͶʾôֵ춼ϲϡֻҪֵҪ󲻹֣϶㡣
ֵǵһҪ˰Ҫ󡭡ֻһҪҪһжηɵˣھӺͬѧ
Ե˵Ǻ׵飬ֻǵһθܵʦĲΡ
˶ǿźͶʣʦɹ˾ϸʦΪ˸ṩһõ˳ֵĺĲġ
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ʦϵˣԼжϣӹҪʦԷһ¸顣
˵齻ʩлֱӿηɵС
£ֺܿĺ˼˵Ҵ˹׼ţ빫˾һͬ
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Կһʱ䣬Ǻ͵һͶʵ飬غٺͨô˵ڴģ˾ԼĹ涨ÿӦ20ҡ
ηɵͷһԵĻûС
ʩлаЦҪûʦôһ졣˵мȮ죬¶ֻǲ֪λãͽɡ
ֻ˵˲ʮӣηɳͬˣֱ뿪ʩл׹ں棬ȵϳЦǺǵη˵Ͷʵ黹̸ҲҪҪȥҵƬʲô׵¶Ҵ绰
η˫ֽӹƬƬܼ򵥡ɾֻʩл֣һ绰롣
Ŀͳ뿪ηӻġ
˼ӣһڱ˶ηһѣɸ磬ɸ磡
η˵
ѡ
ηɵɰͰ͵ģǳһɳӣ΢΢һ;ۡ
ɸ磬˵ǼأһüųԶȥķС˵
⻹мٵģηɻ
Ȼһ˵ű˵ųƭǮر࣬ʲôͶ֮ĸʤٸӰɣ¸ٵ˵˯ǶƬݡȥѧǴŵݵƭ˵Ҳ٣Ҿͼ
ηɾ̫նˡ
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559 ˫
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οƳ̧ͷƶˣ̣Ҳش
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ǲ֪οƳһ̣ɳơ
飬飬ٳӶˣοƳİ˳Ѵ򿪡
ѾûůŴһһ˶˼֡
϶Σ˵仰еĻҴСȥŽȻˣĵοƳİ˵ԼţװʲôװһûĿƳΪ󣿡
㲻οƳü˵ҡ
ôˣηɻʵ
ǰˣ¸ǻοƳ˵ڿᣬû
֣զˣηֵʵ
ԼүʲôƢûʲôۡУҲֻұ߶䣬Ǳ׼Ϻˡˣֽҷϡ
ܵˣЦء
ǰɷοƳ򵥽һɷҵ¶С˵˼ǧŹȥڻ밡Τ˵ôͺء
οƳηɺĸ׶ɵۡɷһ¶أ
ڰ˾ֵطƵҪҲǶοƳʵҪȻʹ˾֪ˡ
֣⻹ǡηɿЦãҲ˼˵ɷҵİԣϻһ˵ﺢ㿴ųġ˭ʲô㲻֪ȫôٵһˣ˵˵ʲô
ҵʱ¡οƳһֵ̣һ̣ݺݵһڣ˵ʱȫ˵ԺǸɷһرļ飬ѹסˡ˵ⶼʲô¶۸ҽƵĻܲô
٣ǲ˵Ҵ㡭֣㿴¶ġηɱЦ
У㣬лοƳİ˱˵б¡
裬˵Ұˡηɰοû£û£᲻ôС۵ˡ˰֣ôɷǱƢɲŪҲûʲô
㲻֪οƳ˵ϵ˶Ժҽҿ档ɷĴӻڲһĺץ˵͵ֵҽ¸ڣһʦĵĴ˾
ηԼүӣЦá
룬ηЩġɷƢãӸǸ¶Ĳð졣ҪִˣӰ쵽Լǰ;
Ҳ֣ɷȻԼӰ죬ηɾ൱˼顣
˵ⶼʲô¶ƽʱɷӿǲԸôҽԺ鷳ǾˣҪ˵ҽԺǸͲοƳİ߶š
֣Ҫγ£ǿ治ðˡηû뵽м仹ôŹֵ飬˵
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ţҵʦôҪ˵ȫءη˵˼Ұһжȵġ
ûȥ˹׵ܣηԼѾˣİ˵
ǰοƳ˼֣СҲ֪Ϊɶҽ¡ҪûҽԺ¶ÿء
أɷĴô˵ģǿģɲʡ͵ĵơοƳİ˵
ʲôԺҲ֪СʱǻȥŽͱţκڼҵСҽһٿ䡣οƳ˵

ת۵̫ӲοƳİɵۡ
ɷĴҼΣôǸ⡣οƳİ˵ɷôףɱҲ˵һơҲ벻С˭ʵʵġ
¸ʲôҿСǺĺܡοƳİ˵ҪǵģȥŽ㣬һ¡
οƳ̣ĥ
ҿУҪʵڡ
ˣǰỹ˵˼¡οƳ˵˵ЭҽԺһƻϵ˼һǮѸĲ
ʲôۼҿɶúõġοƳİüЩ˵˵
ⲻôοƳ˵
һʱദһȥ˶ηɻοƳܸоηɱȴǰˣҲܵ˺ܶ࣬˼֡
Се˳ڣԶοƳҲôƺ
ѸҴˣ˵ͦҪءη˵
ţʱ򻹵ȥС⡣οƳ˵̨
⡭ηԥһ¡
ʲô⣬˼ж۰˾Сڵ۶СǶҽȥҺŶҲϵ֡
һһãžɶοƳİȥġοƳģ˫¡
漰ηɣοƳҲȷںԼΪ˸ĸˡ
һȻãжη¶ֻҪƺҲЩǮ


560 Сһ׮
һҹδߡ
һҹοƳշת࣬ڶһ磬źȦȥ˰˾ҽԺ
οƳ͸Ϊ˶ηɣԼҲܹ˼
ǸСһ㶼ʡģúҸͲôҪӻ
뵽һ磬οƳĸˣ̾˿ֻͨĵ绰
С⣬ҡοƳԼ˵ºһЩ
οƳá˵ʲô¶ô
ҽԺô
ڡ˵ҪҰɣֱ¥¥ֵڶ칫ҡ
οƳһ£ô֪ԼҪȥ
źѼ䣬ôһ˵οƳһĸˣɤӷȫ
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ţûȣ˵׻Ǳ˼ҵĺӡֻϣɷ£ԺԼҲЩ߰¶ˣĸİ
οƳʰһ¶ĥ飬һ·ЭҽԺ
ңοƳſǩӺǸ̹ͷһֱ˵ݣοƳžԼһЩ
İ칫ңš

οƳŽȥ˫ڼôžҽԺһ繫˾Աڱд
С⡣οƳؾص˵
οƳһмд룬ꡣĿڸĽ鷳΢Ц˵º͡
οƳѾ׼ýϴɷǼԼˣȻ˳㡱һηɵ¶
ǽ˵ô룬һӴ˶οƳĽࡣ
ʲô룿
Ŷһװ豸ǰԤ֪﷢˵

οƳĿָɣãҲǰԤ֪ﲻǳôôԤ֪ء
οƳ˼ЦǺǵ˵Ͳһ㣬ܾȱʲô
ûû£æοƳ£һ·õ˵ϡϡģƴƴ
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Ŷܺ˵¶ЦοƳˮ
ллллοƳ´ɸһһֽСʵСⰡô£彲
ûʲôͶҪи
οƳεĿᣬ̫һЩ
˾ܲƭηǵǮЦ˵ǱȽϼҪͨĻηɱȽϷһЩ漰һЩ飬òģöηȥǮС
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˵һ磬οƳ﷢ࡣ
УڡǹڶηɵĵءοƳ޿κε˵
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˵Ҫڶηɵõġ˵ǰжǸһǮһƻǮյˣĥǰܿĻֻһҪЭҽԺ
οƳû뵽¡
ѵôС⡣
ţѡɸѡ׼ҪٶҪȻǵǮò˰ûһ׼У豸ЦǺǵ˵
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ġ˵Ҽǵõʱ͸˵ˣһĲġҪƼʱһⶼûСϧСʱûΣڼҪȱ޲ϣζѹëҲֻܻ⡣
ܱȲãϽҪȻͦʲôʱ򶼲˵
οƳĥһ磬һһֽеˮ˳
οƳ´ɸ̫ϰˡοƳݹȥֽ
οƳһ߲ϵˮһʵС⣬ĻҽԺ
ŶҽԺӪûµġ˵أûʲôõĵġȥͶη˵һҪ׼͸ҡ
ɽʹ󺣡
ֻƳһۣͨ绰
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ţʶɥʧ¥¼һȥ


561 ̨ĵ绰
С⣬ˣοƳֻƬǳ⣬ҿӹ鲻С
ҽˡ˵οƳ˵ˣȥ
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߳칫ңѾͨ绰
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ץʱ俪ȥСü˵ڵãտʾ180/֡
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롣ָô򸱼ݵĴڣֻ
ôңᡣ
ʦã̫鷳ˡκܿ˵
ôһˣ˵һ
Ů30꣬55 kg򷴸ơʹٲ2ԺԺʳʾĲжȶխȶرղȫжرղȫĵͼʾִͷΪ100~120/֡
пѭת½30ʱͣҺͬʱı¡ʱΪ95~115/֣ɡյܺʼ90/֡
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˾20 mg0.6 mgҩЧ롣˵Ϊ߱ȽᣬӦôķӦǲ֪ô졣
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ңվſڣӷͨæӭȥܿ죬κδŴӷͨҲ߳ɫ΢΢ѿ
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562 
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šӦһ۾ɨ໤ǡ΢á
163/֣״̬á
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עʵƵ߿ʲô˼


563 ûõļ
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ƿԣѵҪԼͷһ飿
֣ǰǲ飬Ǿбƹǲǣҽ·ļǺԺ׼ģΪ˻߼ḺΪ˸÷񡭡
µĻ綼أÿԺܻ´ľһĴʻ㣬ˡнп࣬Ҫҽ治ͬ⣬


564 Ǳƹ
ҽ͡ŵ绰ȥ·վźƣվԺ
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ҺͷεĻ²ȥ̨ҩ˺ܶݿҲãֻʦ˵
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ڱһٺͱֱ֮䣬ԸѡԼ
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600 mgĵð10 mgθע롣
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θעऺ60ӣ⻯1.0g5%ˮ500mlУע12Сʱ
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ҽԺʲôûô˵ţЩڽҽ˻飬ǼƸǮԼȥҽ˻ȡǮ

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567 ҽԺˮƽͦ
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ҵУĺѧҽƹѧʱһ룬áҡҽϵ
ҽӦβ˵ģҲֹҪβˣֻĹ
֮⣬һҪλһκλߡ߼е⡣УÿһҽԺҪ񺣵Ƶģò˲һھθС
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ʿҵûڱϹκһҹҽԺҽƹרҵر⣬ú鵽ĸо
Īһɱһҹ淶ҽԺȫдҽԺƵʱôģҲôġ
һλѧܣƵõҽԺԺʶɽʡ֮ҽ񴦡
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ǣʵ˺һٶ򣬰ڵĦ
ڵõԺֺ֧󣬺ҪһչȭţᳫǷ뻤Ԭ»ϵȡֺ֧ȴӻ鿪ʼģռ
Ǽָסϴŵȵȴʩʩ˲2ܣ˼ĴۡԱְٴѾ˼ıԵ
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׼͵ӣɱ￴ɵ󣬿ʿæĽŲմأһ·СܻΡθܡܡȡ
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ƺΣɲΪԼˣһжǽЭҽԺĴҪǿߵ׵ĹʣԺҲôȱˣҪǲȱˣԼĴʩӦܵõִС
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ҽȽƣҪ⣬ѹȫҽϣǶԺɫ
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Ʊ˵ֻӬ


568 ʡٷְ
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ƣûϹ̨֪ϺȻ߸ȡ彩Ӳһͷ϶군ˣ̨ϼ᲻ҸƵʦЩп˵ʱ֮жϳߵȷϣ˺ټ

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ĴңºΪ38.5档ʱ̨˻޷ųԸȣӲͷƤˡ
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ˮƽһ㣬лΪҲûע⡣£鴤һ飬оǼ״Σ⡣
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569 
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ƿһ߼ΪԵĵطһ߷ʳļԼҪĴ𰸡
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΢ĸѪѹɳ̹຿ƣ򲡣һֱڷ÷ø塣
ǸıǮ仰ΪȻÿ찴ʱҩܹѧϰжæûǹ
һ߿ԡϣҪҩˡǳԷĺȴƾżӳѹǵҩȥ
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԰ǡ
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϶ǵѪǣһǵѪǡҪƼʱһӸƽȥ˾ûˡҪԼιȥ类˷ֵʱ϶ʬߡ
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ʿ0.54 mmol/LֵʱҲһѪǵ͵̶ֳȣʱضΣա
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570 ƽǵĮ
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Խ˵ԽȴЩ⡣ûзŭǾȣ̾˿ڲϻӻ֣ʾ⼱ҽϽߡ
ոʦֵĻڶߣһ۾ῡʵӾһǰ
ƲǵһɭϵٴϵͳоԺĶ֧֣ɱȫ
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ҽҳʿһС˵ǲɵ˵ʲôʲôкùӳԣ
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ʱѪѹЩߣڽˡ˵ֻһѪѹеͣ90/55 mmHg
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Įӵһֱεࡣ


571 ߼ѭ
ҽѧϵĵĮһ൱صݴʣʵĽȫһ
Įζݿ˻ϵͳԼֺƽƽһҽеˣҽܽšҪƽһۣȴ˵ˣҽ൱š
Ѫѹ90/55 mmHg鵭Įϵ˶ˡ֮ǰһɧҲȻ޴棬оԼ࿪ʼ
ʦȥͺ˵μ֮شڣ¼ǣ˵
˵꣬Ҷϵ绰һվ
λѸٱ仯Ѫѹı䡢ԲȱѪ˺һ¡ַסӣ3ӣԺõ첽߳칫ҡ
ڿſ˺ܶ໼ߣҽڷϣҲûǣˮѪѹƿ첽ҡ
ڸоôγʵ
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ΣʲôôƵİʵ
Ѫѹβɷ˵ץסƵ֣ȥ
˵˲ãЩΪҽƹȣԼƨ
ҪóԼƨʮ֮һľȥԽԽûûС
ٵʱҪı磬Ĳģ뺫ΪԼĲġǸı̫ѣ˵ı磬ǸıҽԺ޷ɵ
°ϵҽԺַԼѪѹԼءƷǵÿģ롣
Լһ֮ˮ顣
ߣҪı硣ܾ裬˱ӣһ򡣵ֵλǵ¥õ¥ҪзӶֲȥ
Լֻҽ񴦴һ֣һֻʮǧѾЩô
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ţƸԼۣȫǲһյĴ
β֪ʲôֲһѪѹѪѹ90/74 mmHgûرı仯
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ԺƵ˽⣬ıֿ˵൱ĮݿôģԣӦԣȾԣǡ
ֿԺ֣ˮѪѹƣ򺫹Ƶİʹһɫת뿪۲ҡ
ƵİЩ£Ʊ۾˯ˣæ
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ⲻûô
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˵˼ӡ
ʦ˵ʲô顣Щε˵ھȫԺﶼ벻ˡ
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жǻصѪǣû˫жǷ˶ѪлԼȡܹؼѪǱҪġⲻǻ벻⣬ٴƹ淶˵
ᡣ
֢߷ûֵѪǣھѪǺʱѪ⡣
پѪǣϸ͸ѹԲ죬ûе޿ܣ
Ѫ0.54ѣ
0.54ѪǳȡѪָĩѪǣ
ҪָĩѪǣųĩѭעѪǼԽ͡
ѪѹôߵѪѹûųѪ⣿ͻѪѹԴԵĻԣԸûйĵͼΣûв㣿
ʳʡ
ʲô鶼һѪѹȻ½׼ôȣ
ʦôû취Сʵ
ˣʱǺҲû˵ʲôػ˵ΣСĵ㡣


572 
ʦʲô޵ʵ
Ҷϵ绰ֻ޵£΢΢ҡͷ˵ʲô鶼浱βеľţƣ
޵еļ쿴ƵʱԼԺλεı飬Ҳ޿κΡ
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˵20ӡǰƿٵôߣûʲôˡһ㶼רҵƬҲô۵㣬ǡ
Ӿ뻯޸ģ֤ĿôЦЦһڶһСŮۣĸΪǮ࣬ΪСŮӱѧֻһֱ顣
ۡ
D2塢͵øҪң϶иĿᵭ˵϶Ǽ֣ҹȥ߼ңСŮѾԡ
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Ѫɺȣ֢ʱһʳֽ߷ӦĿṥؽڡĤСѪĤΪʲôÿ춼Ҫ黼ߵ򳣹棬ļøܣ˭𣿡
ΪʲôҽԺô࣬ҽĲʹ𣿡
ΪεҽԺҪּ飬ΪĿǰҽˮƽ޻Ϊ˴գ
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Ѫ涼飬ûܸ׼ȷϡ˵֮ǰѪѹߣݿǰȫѪܣر΢ѪܾεġѪ״̬ı֡ѪѹԽԽͣƵԽԽΣաһ䣬ϣע⵽ɡ
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һԱΪҽԺֵҽûѪûĵͼûƬ˸ðҩûȥˣ첡ˡ޵˵ѺͼҽԺ˵ԽӴġ
ֵҽҲǸʦô˵ģ
㿴Ҹʡ˼ٿǮأ֮ǰ999ðƶˣ1ļûƳʲߣֻá˵
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ںӱߣûвʪЬġôáļ׻ǡ
ļס޵æ˵
ЦЦ޵˵ץȥδ绰ɣҲұ֤ݿˣļҪġǸײ鲻ҪΡ
ãá޵¼ƽ⣬֪ԼżҲ΢΢ת˰칫ҡ
磬ôоء֪ϣʵ
ãҺûļ顣˵Ҫǲܣ˥ȻͷҽͷҩǺѾˡ
㡭֪ϣü˵̫˰ɡ
Ҿһ˵һܸ֮˾ûˣ3ǰʡ
emmmm֪ϣŬ䡣


573 
޵߳İ칫ңóֻ绰
ûΪİԼ족߶Ǻġ
ҽ¹ʴ죬һҽ񴦳ĻʣĹѾͷⱲӶĨȥ
ô޵µĿ࣬·ǶԺҽ񴦳
Ժôˣ΢΢һһֲõĸо֡
ȫ顣޵˵ȥеĻҺԺ
γĬ
ΣҪ֪ڵҽƻΡ޵֪ƣöིҲ绰ĸС˼˵ʦжϺǺֹۣ׶ȷŵһߣץʱ飬֮ʲô˵һ
õץʱ飬Ȼ㱨ʶĳƺ޵Ϊ·ڶԺҽ񴦳
Ҷϵ绰һᣬֱӲԺֻ
ո޵˵ĺ׵ʧȷŵһߣΪո˵ΣĸͰˮͷһ㣬˲ѡ
MBǸƨ뵽
Щ굱һסһףܾơܾȵֶǩˣ˵Ļߡ߼ԼĻôôҽ񴦴Լء
飬ҪûҲ˵ԼĺôҪˣƵİ˲Լ
ôԷԼôԼɲ
̯ôһҽ񴦳ͷۡת֮䣬ö⡣
ιôʲô¶ĵ绰Ѿͨʵ
ԺʾμԵĽһĨȥ޵µĺۼֻ˵Լжϡ
ԺںѪѹڻ½һҪŲݿ˵Ŀܣμ˵
顣嵭ӹһ֡
Ǻ˶ͬ⡭
ٴôģ˵˵Σβ˵ҽ߲ͬԼȥ
˵꣬Ҷϵ绰
ֻäһͷձ۶
һ̣ޱҽԺ㽣ЭҽԺûмƣȥˡȥĶУǿ̫ࡣ
˼ӣκһģ߳칫ңкֵҽһҡ
εѾ֪ǿӲ
ƺ˯ˣ۾е룬θȷ⡣
ǲѪĵݡֵĵӣź۾ֵĵӣǾܾѪĻ֪ͬ顣
ƷӦ˼Ӳ˵ʲô
ҪôѪҪôǩ֣Լѡڰ仰˵гޱȡ
ǶôôƵİ˲˵˵
ûǷҪѪ˵Ѫǩ֣ãҲһ֤ݡ
˵ţ֪ͬŵϣժԭӱҲڷ档
Ƶİ֪ͬ飬ֻۣ龪ŭӡ
֪ͬϵһӳ߲ƣܾѪԼҽƼ飬֮ͨδһки
һкиôĴۣúƵİ˲һ˿η塣
ô㻹Ҫǩ֣ƿʵ
ǲǲѪֱʵ
Ʋ˵ͷߵҽ˵֪ͨҽ񴦣ֳ¼Ӱϡ
Ǻһҽƴʩһ㶼ѶԸĻߡûл߼ʱҪҽ񴦴Ƶ豸зЧӦӰϡºоף˵
ڲŵǺ
Ƶҽһ¡
̫ˣŭԺĹ涨
СҲŵüĸһ˲ͷųΪһͨߣܾѪǩܹûɡԺĹ涨߳ⲻҵˮƽԼ
˵仰֪ԼڶԺʱ޶ࡣƤ˺֮г죬¶
ȻûʲôҲŭԺٴҽԼһսսԼȨ
Ѫ˵ΣףѪҪûĻʲô
ִҽѭ֤ҽѧκƽ˵û˵һ⣬ûµĻһṧϲôû»ҪкԼû±ʾź
ƽǻ֮еĻҩζԡβ֪Ѿ뺫ԣһˡ
ƱַݺݵĿΡ
ߵֵҽоǹŨת뿪ȥһʿѪ


574 һѾϣ
޵2СʱңջߵĹء
ҪĺĲޣȻ˵5000ݺĲһʾ޴ĿͨҽԺҪ2-3ꡣ̶ֳȵҽԺġ
ڣѣ֪ж١
ǰһЩæ޵ƶ˳ֱ
ȷ˷޵ڷġ
ʦԤ5000ݺĲĶꣿ
1֮ڿ϶ꡣȷ˵
1꣬Ĳ5000޵Ϊ֮ȡƽı飬ƺգҲû˵ʲô
ԺᲢδۣʼĺƵ
޵µ˵ͷֻ绰
绰˺ܾãûнӡ
ʦܲ¶ˡ޵ϽȻ֪һҽûʱӵ绰ζʲôóϷ˵
ҽ¼飬̫ˡҡҡͷ˵Ƶѧͣ˵ӦôǣҹǱ˺ȳˡ
ƣ
̾˿ҽ˽лƣͶҲô죿Ժҽ񴦳϶һ㡣
޵µ˵ͷ
ŵȥˣ˵һѾ
˵ǸƣܶаѹҽԺȫҽˮƽһѾ
ȻֻһּԥݵĳУһҹҽԺûС
ûиƵҽԺҲҪʷĴ󳱡ҵҽǸĵıȽģϾ漰ܸܶӵ;ʮĩڣ٣ҽԺʼı·
飬ǮһҪԴΪǮʼ˼Чˣһɶٶ٣ⶼǿ͹۴ڵģҲ˺ܶ
ʮǰңʼҽҩ룬ҩƷӼۡ͹ҽԺһѾ
ҽԺҩ϶ӼۣºܶҽԺҩ۱ҩˣ֮мҽԺ룬ҽĹ
ٴҿ󣬴ӸԴϿơһβ޶Ǯ֮κãе޼ۡ
˵ʲô⣬֮ڿĳ֡޵Ҳ֪Щ󶼻۵ʮǶʮ֮ٱûʲôϵ
ߵȼҽ˲ѧ⣬ܲͲ൱ء山ųٸһҽƽ˲ʧҲ൱ء
˵ƣ1990-1998ͶЭҽƴѧٴҽѧʿרҵƲʿҵдģڿڱȽϸ߾ĳ̶ȡ
ǲʿҵ󣬷ֱҽ2000ĬѧGOIZUETAѧԺ̹˶ʿѧλ
ΪҽƼCEOǶǺ󻰡
ǴˣһͿʵʣһĽ·ǺѸƵģЭ͵Ĳʿѿϡѱҵһ
Ƶ൱࣬˵ʵƵʱԵҪںúܶࡣ޵֪˼۾ϬͿʮҽ滷
û뿪ҽҵҽʿڼз˺ܶ꣬ǰĥĥĥģҲĥ˹ͷӡ
꣬ơ̸漱ܶмҽԺĶơƶ½šǶƣԵƸΪϾ
ʱǿάȥģҽԺҽҲҧͦţ֪ʲôʱһְƵŵƣƾ͵ȰѼͣඡ
˵Ҫ߼ơҽ޵ж󱧷š
齵ͶơҽѧҽҲҽʦ֤ԡ˵ףĸҽԸ
ڳҽԺ鲼ϱ˴ţ600-7003.0T⣬˺
˴ţһʡֻмҳҽԺ5000ۣŶӶŵʮ
̨3000ԪңϻûмҪǰҹһۣѾ100-200ⶼļۡۡ
ҽԸ⵱ҽֻ˵ҽҽ֤ȥɳҽơֻҪӲˮûҽġ
ǰиţҹһӱųﹷҽԺҽԺȽϱˡ
ɴ˿ɼһߡ
޵ʶļѼҺӸ߿æ⡣ԥĽҽƣ̬ȼ
Ȱѧҽ޵浣챻׸ˡ
ʦû취޵̾˿˵ҽԺںöˣмЧˣⲿռҲߡί˼ļֹɡ˵˵޶ֶģ鶼С
ЦЦҵڵЩ˵Ҳ֪ġģ˶֪˭˵ѡ
ʱڵƣ˭ҽ⡣²⣬ܶҽƵŶʱġ
˹ҽԺͿȫհּƣҽԺҽʾȥ˽ҽԺܱĹҽԺˮƽԶУԶڳɳ


575 һѾ£
β͵ûǮûǮȿȣȥҽԺ
кܶ˵ڹҽԺ̫ǿѹȵ˽ҽԺû취ɳῴġ
ҽԺԶԺһЩԺʲôҲ˵˵˵
ԺڻãպŹ¡޵µǶʮǰˣ˭ô档Ǻܶ౻˽ҽԺչĹҽԺôŪаһ
ţǾǺӲ⡣ЦЦǱȳˡ
ʦ벻ĥʲô޵˵
Ҳ֪ǸߡҽƷ⻰۵̫࣬Ҷ˵ҽԺΪܷģҪǷϰܸɣ˼ҷҵˮƽ߾͸ۡ˵ϴšλ˵߶ǿ
ǣϹŪ޵˵
˾40ߵ60ܼܺ򵥡ÿһ꣬ҪʽǻǷչйң治ǿЦɫ˵
ʦʲôˣ޵ʵ
ʲôҽ¡˵¾ûвҪǮͣʵҽҲƭ֣ʽˮ϶ԽԽ٣һŲס
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޵¼̣׶ذ˻ĿĻʽϳܴӢݣ
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ţNHSӢ˵ĽǵһڶιҵԼȫֳĺ˵ѾҪˣʵܺ浱֮ӢҽƷϵҪôάϵ
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޵Щ֣û׷ʡ
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NHS޸Ĺܶ׼ûб䣬ǽʱԽԽڹ涨ҽܾܾﻼߣΥġΪ˷ֹʱ̫NHSԺ治֪
޵µ˵ͷ
оһ߽ʱڶñȽϺʣЦ˵
ﻼ3-7죬ﻼ10-30ӡ޵룬Լʱ2˵
ٺ١޵µ֮ЦˣNHS涨90%ĻӦ13֮ڽרҽơ
13ܣ3£޵ˣȫ޷֡
һû˵ꡣЦ
޵³Լļô3¡
90%13֮ڽƣı26֮ڽơҲ˵10%ĻҪȰꡣԺ룬涨10%ʵأ©̫󡣡

꣬ǲǾʱ㹻ʵ
޵µ˵ͷ
ڶǽĻߣȴʱ䲻ܳ18¡
18£һ룿޵סˣŶҪһ룬ôƹϲ˶ˣ
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߹ܶңҽƶȹעһʱ䡣˵ҽƶôΪ֣ɹͲɹġɹڷ޵Ĵ󲿷ֹңѹûҽƣǾͲ˵ˡ
ɹģΪ֣ʽŷʽǮûǮ
޵
Ļ׵߸ۡ
ʲôضϣųơ֮޵һ񼡣
ҽˣ󲿷ֶҵաǮϿҽŷһôѿҽȻǮ˳⡣
ʦģ
١Ц˹ٷҡУǸôҪΪĳЩ飬ҿ϶ȥ׶ظУǲŶӵģ˵أǻǮ֪ġ
޵µ˵ͷ˹ٷҡУȻû˵Ǯ¶ICUҽʿǶǮ
ȫѵҽҽû߰ļ鶼ˣʲô˷Ѳ˷ѡ˷ѽǮֻһ棬͹ϵŶӵʱ䳤СֱӵֻõĻߡҪ
ʦҪźü°
ЩţðԤԼ1𲽣һϵĻҪԤԼ2-3ܡðôԲҩ1ܶã˵أ
޵Щãʦ˵ĺ͹ںϽĲһ


576 ˥
׶صʱһѧ˵ǴȥҽԺιۣ⿴һѧǹںѾ10Сʱǹ۵Ķ϶¶šʱҺܷŭҪǸȾô죿
޵޷һʽ۵ĻڹڴҽԺ10СʱĻߡ߼顣
飬õȵڶ죬ܵͻѡСںš·Vǻһãʹҽ
һ𺩶һ棬ȥҽԺǰи߸첲ˣһŶϱ۵ȺǰΪͷЦʵ˼Դ֪֪Ŷ
ʦлȥô޵ʵ
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579 λҲմ
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˵Ĭȥ˽ЭҽԺʼӢϡõĿＸ֮гĽ
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µҽʿǽģζʲôô󣬵ѹҲ
ΪΣѹסҽһ챻ʦˣ綥ҽԺһICUΡ˶ѼȥˡĬôģѹɽ
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601 ɳҲԷ
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Ǻ˴Ӱʾ˫ϥ˫Һ֫˫ԽšźСԳ״˴жԳƵ쳣źšģҼ˵Ӱʾ⣬ǰĺĬ

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ԿɣҽǴܡׯ־˵ľҾҲӦһҽɽȥ
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־֣ұ塣֣ľ̾˿˵ѾˣЩÿҹ˾ʱ򣬶Һֵܵ顣
㲢ܸͬܣһĿֲܶŬ졢֮ͨҪ֪뷨֪ҵ˼άȥѧڤ룬Լſա
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ͽ⣿ôףׯ־ȴǲš


629 ǰĶϣ
Զҵĺӣֵܵġ飬Ҳˡ֣ľĿţ˵ȻãЩϸ־Ҳ֪
ʵԶӳʼаҽĻ˵Ӥƫ̱ҽ˵ⲡܻʮꡣҵʱȥҲǴһ˿ϣϾžޣһ֮롭
֣ľ϶˵ǰ飬˫ơ
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ҵĶȻܼ̳мҵͳʵ޹أʮǰֳķȷʵСųơСˡ
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ͷʢʱĹɷݡȥزλЩɧĲ󻹲үӸʰġ
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ﰲ쳣ׯ־Լޱȡҽ᲻Ϊ¶˦ߣʦһ𣬻᲻ֳʰ
οʦҲҪ
ⶼ⡣
˼ӣ⴫Ų
֣ľһ·ׯصߡׯ־󣬾ԼһƬĶ˷硣
ոҽɳʱ򣬿û֣ľʽأ֪
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һֺ˽ߵԼͷ󺹡ЩѷӺܰׯ־Ӹ¿ͷƤðŹ⣬ֻǿ;ú塣
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ˮ룬ˮˮмת䴦γˮ۱衱ˮѧϳΪˮˮеϸ֡
⻹ȹĸ׻иֱʡ
άǸ۵ϱɳ͹ĵΣл°ĵΣڷˮϳ֮ΪӭͺϾ֡һڽˮϣõϵǺ϶ȡ
֣֮黯
˵άǸ۲ͼʱˮʦ֮̾˸๡
ֲָõ۱ĲģΪָγ˻ͷ֡
ڻһɳȻܾ۱Ĳ׬ǶڴڷлסžˮĲȴ֮ѡ
ȹĸ׷ԣˮޱȣеñʧԼҲ޷ıл
ͰʮӦɽΪľлһҲ߾ˮˡ
֮л㽭չĺճ


630 ǰĶ£
л㽭չĵϷǳһڹͷлڹ塣
Ӱ幹;һֻڹ½ؿ
ǧѷϰ֣ԭʧ˱һı䣬
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л㽭չɵ죬ʦ˹أȻ˲
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Ｄңʮʳɳֻ΢Цȴش
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631 Ѫ֮
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˵ţ֣ӣƽһɫЩͷĺɫ޲Ȼѹžľзŵ޲ϡ
ȹȡһ˫ֺ˽ӹȥ֮ľУȡöǮҺһڹǡ
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νٽ֮īһᣬīǡ֡
ڡǡϣƣ䣬ҲмףҲ
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мһ桢΢ŵ˾ͰȥȺҲʶʵ˵20ȺҲͰʮеʲô£Ⱥ淢ĶһϢ
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Сʦ壬̫ˣֵʿ˵˵һʲô֪ǲ϶СʦҪҽҿҲ֪ô¡


632 Ƕ壨ϣ
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֪ϣǣ֣һֱɿô˵֪Լ¶ˣЦ绨
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ֳɿϣУǡĸɽ򡯵˼ɣһֻĹޡǰʨӣβһߣ岿ɽĺ³Ķǻ档
Сʦ塭㻹ϷֵʿĻ˯ĻϷҲԹϣ񻰲Ȥȥ
Сʦ˵ԼֵܡûʲôϵôֵʿСʦڿЦԾա
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ȼ˵˵ҪûиЦ1907꣬¹ֲѧҺŴѧH¿հǶΪϣʨסβޣchimeraһʵ

ת̫죬Ϸϣ˲תҽѧϡֵʿׯ붼Ŀᣬ˵ʲô
˵Ļ򡭡˵䣬ֵʿΤ󱦣ׯ۾ﶼ޵ãЦЦ˵ǽ¡
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Ĭ˶ġʱһţ˵2002ӵĸΪȼý𣬽DNAӼԡ
ǲӵĸףаȴǺӵĸס
ׯסˣһģһ
а飿ôֵʿʵעԶҽ֮⡣
˲ϲ顣Ц顣
ŶŶСʦ˵
ΪDNAˣֽ3DNAԣǺ֮ǰļһ
Ϊ֤Ǻӵĸףָñ˵ĺթƭȼý𡣵ؼҪǶӵļ໤Ȩͽ¶Ժ
벻Ϊʲôһ취֣²ʲô취Цʵ
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ġӦòܡ϶Ǳ˵ĺӣֵʿ˵ҵӵĸȻüƭԱ
ׯĬĬ뵽ⲻôʦһ˵ѵҵ
ԡʱǲҵа飬һҪһӡ

ԶеֵʿȻׯҲһ
Ҫôʦ˵λӦûʲôŶԣ򲻻顣
ħϷֻб˲עʱƭȥһǼأħ϶Ҫ
Ϊ֤Ĳ棬֤ԼίһεĻˡ
ֵʿп


633 Ƕ壨£
Ҫڹٷ֤˵ļල¶ĵӣȻDNAӼ֤֮ǰʧ󡣡
ҪưѵصķٶŵˣϾѧǰôҶΪƭġҪƺЩԣۣڼලӣȻӼ
ׯţԼԼס֣˷ʦһϯ֣ҵĲһԼ֪άϡ
ʾ˵òһƭ֣ǡһֲ
ʮº󣬸ոճĵٴνܲԣȻʾǲǺӵĸЦǵķȫڼ֮Уû׵Ŀܡ
ֵʿ£ʵôûף벻Сʦ壬Ϊʲô
գǵķСҳDNAԭԭϾDNAռλֻĳЩУDNAǡŴ˺ǡЦЦ˵
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ǳһȻҲ˵ǳϾִҽѧû峹оסЦһܼ򵥵ĳʶԴ¿Ƽ٣¿Ƽ˵¶ȥˣäĿš
ǣҲôףܼ򵥵ĳʶԴ󶼷Ҫ֤Լסֵʿ߶š
֣˵ĺܼ򵥣Ƕ㡭ȿȣͨҽ˽ӴǶˡЦ⻹ǹ⣬DNAӼտչû꣬רҵҽԺ
Ȼأֵʿ棬ʵ
רҵ˵רҵʵʲôҲ֪ѵͿԣںڿ֮СһôܸտʼȫԹڼǶ壬Ҳ˿ֻܱɼͥìܣһؼë
ֵʿ̾˿Сʦ˵ʵܺ룬ɼͥ磬ֵĲɿû˻ỳɻ⣬Ͼǡ¿Ƽ
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ׯ־侲Ŀʼ˼


640 ʵä
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ҽԺҽû취һ˾ҽԺҽⲻ൱ʵäô
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641 һ5000+ϡ
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·Ϊ֡һȾԼַΪС࣬԰װϸԼˣαë没Ѫ没ȵȡ
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ĻǨӲĸкխ˽ֱͣ
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֪ϣ֪ڿЦʵҹÿĸк1000mlҡ
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һǺܺİ׷ΤŵӸҽߣʵ鷳£ÿ츹кж󣿡
5000-6000ml
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ڳϣ֪ϣжϻԸкÿ츹кԲᳬ1000mlȴ˵к5000mlϣôǸкô
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˿Ҫ군Τ˲ԼжϡѹҽԺˣһϡ5000+˭ܵˡ
Ҳͷۣкû취ֹסܳʲôҩáҽ˵ֶ֧ˣ¹
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642 Ҫ
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Ůǡһɵ·˲Τеûо񣬿ǻá
һ츹к5000-6000mlǳ׳Ҳȷһϡ֮ϻ߾Ȼ״̬ҽԺˮƽĲ
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˵һ5000mlܡһ3000ml컼ߵ͵Ƶġ
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ҽҿߵÿ츹к5000-6000mlӡΤ˵ͽ츹кǶ٣
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˵ţͷĻʿ¼ֵƽԣ򿪺һۣ950mlű510mlҡ
кֻ510mlֵ٣Ҳ˵϶ࡣ
ҽԺҽÿ츹к5000mlȣ̫ࡣ
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꣬ҽС˵Τҽʲôʣ˼ϲһ㣬ƽʱѯվ
Τ󱦾ͽţҽԺҽѡΤԺһƬհף֪Ҫʲô
ΤӶǻȥôƳʡ
ʱ򣬰ڴϵ֣Сʿæһ
Τҽ˼Ҫ㣬ȻرܰɡҽԺҽһɵΤ󱦡
ŶŶŶΤͷҽ߳


643 Ҫ̵
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ҽԺֲǳԸɷģǻҩ
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ֱñ裬಻࣡
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дԼ200mlˮ㣬һسεĴ㣬ûкںɫǻҰɫǺĻɫ
źܹŹ֣гεĴ㣬ˮ㣬Τ󱦵ӿʼ١ת
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ιˣҽԺҽͷĴߴٵ
ΤһһСسεĴ㣬ƺѾ˼·
ιҽԺҽץסΤ󱦵ӣ˵


644 ʲôԵ
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һһֵĿԸֳΤԺеҰ൱ߵĿѾɸѡ
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߸кԤƵҪƽʱÿﵽ5000-6000mlΤ󱦰϶򵥵˵
ţһո֪ˡ˵ͷһָô棬Ϣ
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λߵĴˣѯҽ˵ǼгεĴֱ֣ܿˮ㡣
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Ժ΢ЦĿ絶˵Ҳ֪ҽԺĹأҲʡҽԺٹ𣬶ϰ¼ҽ㱨겡ʷأΪأ
Щûã˵顣Ժ
ЦΪʲôǿף

ӵҽɫˡ
ôָűˡ
˵ײܾ˵ͦῴԺһһͨ˵Ҫܿѵңѵ㣬ûô

̫³ˣԺͲˣǽͷƦһʡҽԺڵӣ
Ҳ˵㡣º͵˵Ժ⡣
ҡ
˵ĸλЦߵĴ㣬˭ȥΪԼǽڡרҡѧߣ
ʲôԵģ


645 ϣֻһ
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ׯ־֣ľһۣ֪ҽơ
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ʿд¼ǻʿдģ˺˵֪Ϊʲôȥһۣ
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ĬһƬĬ
֪ϣЦŴΣΤҽ󵨵˵û¡иأѾȷ˲顣
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֪ϣ󷭶ǰƽԣ˵֧ΣһΡÿ꣬ккת
ΪÿҪ֧ܵʱȫ򶥼ר޸ƸкҩԺ˵
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˵ţΤ󱦿ᡣ
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ÿ֧ܺ࣬˥⣬к١3Ǽޣͻָкصû˵Ŀ⣬Ŀǰ˵Τҽ˵жϡ
Τд󶨣ܸܵƳԼĹ
Τ˵һɻߵܺͳͨ
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ⲻɡ˵㣬¡ۣҪԵĻȾ֣ʦô̵㣿ϼҽôûò
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صĲڽγܣֱųֱСɳʳӻڷųҲ򳦴Ĥףǻǻŧס
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¼һ飬ŴҶע⵽ˡָֻº͵̬ȣ˵ÿ֧ܺ󣬻ߵĸкת
ȻͬҽƶƷÿ֧ǱȻƣҩǿ˵ҩãСͨк٣ֺԵı仯ܱԡ
Ժ˵ҩãĲ仯û취͡ÿ֧ܺ2-3֮٣к֮ࡣ
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ôԵ֤ݣȻӵ˵ţҡҡͷ
Угηļ¼ΣθոΤҽ۲쵽ˡԼ˵֧ܺųֵģ޷ųܳĿԡ
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646 ѩĦ¥
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⣬һʡһʮҽ˵
ղķ˹ڣ˵΢Ц˵
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ղķ˹Լ֪ơ˵ʵܺýͣкֽܶ͡һڻ꣬ǵģֻܴڶҲ濪ڴ󣬳Сѹµ
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ׯ־ɫ΢΢һ䡣
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647 װƲɱɵ
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˵ţЦһ
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648 ΢֪
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ԶԴǴ֮ÿ没ʱ򶼻ͷԹ۲쵽ֺ⡣ǰǴǻ߹ģ֮Ϊ۲ϸ½˼⡣Τ󱦿ģûй۲쵽ϸڡ
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650 ۿɼĸк
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ǿưʮǰһڵƾҲ֪ʲôǺڣǺŪ˵ѧԽ˵ҽԺҲúÿҪͨĳַа

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Ҫֵʿ˵ԣأҪֵʿʴʻ㣬Ժ϶޷ܡ
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6໼顣
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686 һгU
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687 ź
ֱĻ˻ߵĴ״
ۿɼĤ񣬴ήɳʶԸı䡣
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˵һͻʧ󣬻Ƶ棬ﲻԼľŶԱȳ֪ϣ̡
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ĻҰŤʱ䲢Լ20ĻźŻָ
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ȷۣ˽ʮ̨ģżסпܳĵ㡣û뵽İٸ赲ߵĹأĿɶࡣÿصȴǧ𡣡

һһסܳҪõʱ䣿
ǰ˳ס·ֻҪһƫܾ𡣡
ļԺã֪ϣȣؼĵ㰡ϵ˵Ҳ֪㣬ʱˮƽ۷壬Ҫһ̨Ĵ԰гҲ϶
Ȼϵ˵Ķԣص㡣
봽ֻһ


691 Ǯ
ȴû뿪վڻͷ֣࣬Զ
˵״̬£ôͽ͵ġ
κЩ죬ʦ˵ǰʱ˵ĻʮСʱȻǵá
ʼκҲЩĻ⣬ȫƽȣԻ൱ס
⡭κθעʲôһȫԼϾΣûඡ
֣Զ۾ʼ漴
ûв죬΢Цˣ㲻˵ΪҪһʱ䡣
֣ԶգգۣʾԼ֪ƺЩܣ΢΢üһ
ȥ˯һܿͻġ
֣ԶգգۣȻı۾
۲켸ӣͻȥICU
κξþû˵
ῴκΣ˵Σû£˵ˣȥ˵С
~~~κηһ
£û¡ЦЦߴҶʱĴֹ̼ѧܽͣ޹ء
㻺ʮ룬κβžúһЩ
ŬԼ侲ʵʦҩô
룬ðɣ֣ʲôҲ
áκλش
ѾͷһͻߣĬνһ¡ȥͻ߼ͨ
磬ʲôĴô
֪ܸɴ˵ȥʱҴ绰Һͻ߼ͨһ£Ȼȥ졣
֪ϣǴǰôãʮСʱоƣ
߳ңڵȺ￴ж֣ľׯ־ߣѦڱĿʮСʱʱкѿĻѾ˵˸顣
޵ſȥӭȥû˵ѯᡣ
΢΢һЦ޵½ŵı漴ɳ
ԺӦѾõϢˣҪԼȷһ²Żģ
λˣڿɹ˵
ɫ䣬վֵࡣ
֪㲻㡣
㡣
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ˣֻǺͳ˵֣ľׯ־ûκβˣ˹дһ˿ǫֱӰתʧظһ㡣
λ˼Ѧ΢Ц˵Ҳ㲻ʦʲô˼ΪԺվ˵ǸĻӦõġ
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ׯ־һ﷢ʲô۾Ƴ⡣
ʮµףȻǳڣɽʡҸûѩȴҲˡ
ͮܲʡǵƹҫ˵еĹȾͮƱɫ͵͵ѹʡϷ·һɫĻɽ֪ʲôʱͻᱬضɽҡ
֣Զƽȥ󲻾ׯ־ͷ仯ʱûע⣬ϵԽԽܣԽԽͣԼ֮нɺɫ
Ԥ죬ׯ־˼䡣
˵ʲôҽҪͳ˵Щ飬Ӳ֤һЩ顣
ׯ־Щ鱾û취ֱѯʡۣһ㡣
֪ǰһ֣һ˴Ǯܶϣǰ񾭵3dӡģ͵һ̨ҪѰ˰ٶŷԪׯ־û뵽ġ
֣ľһ۵ıֶûУÿ˵¶ǲİѻԶ˵
ׯ־΢ЦʵѦԺ
ׯ뽲Ѧ͵
ҽ˵ԺҪŽׯ־ʵ
Ѧĥô£û뵽ׯ־ȴԼˣæ˵ǣǡ
ʦŽķһҴƻϵׯ־΢Ц˵ԺӦ322Աɡ
ҪһЩҽԺζȷ˹ϵûתѦӲͷƤ˵
޵µͷ¶΢ЦѦԺǺƤҪǮݹԼȴûС٣ڼҲǮȻ
˵ʱҡׯ־ƻľᾡϵܵԺŽ
Ǯ
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ˡѦﳤһ
˺ܶ࣬Ȼ֪ŷold moneyÿ궼ҽԺʾѦͲ֪¶ûҪҲ˵á
Ѧղ÷ִ硣
ȴû뵽˼ţʼǮֻ
Ǯá


692 ҪҪѶһ
ţȺ⴫ƽ
֣ľһֱһԲһܳȥݵĺ䲻һ
ͳƽߣ֣ԶܲܣκƤһ·ҴҸϱݡ
Զ֣ľһ
֣Ҫȥ֢໤ҡס֣ľȥ24Сʱ
ҽлл֣ľ˵
ܳɹƽȣƵиơ˵
֣Զ˵ݣѳ档
ϢɣICUȥ
΢΢һЦ˫Ŀ԰ףʧȴܿĵһ㡣
㣬鷳ҽЦ

˵ŻŻرա
磬ĵ໤Ųر󡣡֪ϣֱ˿̲˵Ļϵ֣еĻš
û¡ס֪ϣ˵һȥϢҿŻߡ
֪ϣһ֣ԶĺùŹ֡
뿪ҵĺ໤Ƕܵţʼ񱨾ʵһ
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ҲͲͨԴԵо̫٣˵֮ͷֶ΢ȵߣͱֹо
ǰǮоѧһֱΪһƼƾպ˵ڴ֣Զ֤Ĳ²⡣
֣ԶҶܷԣΪҪûмԡ
ϧ3dӡģûⷽĹܡϾģװãֻƣ޷ơ
֣ԶȥICUקһڴǰǾԵһֻҪ֣Զ3֮ڣһԶ룬źžܵĪš
û취ֻ֣Զߣ۲״
֣ԶӦú֮ͷ̼Ҷйϵپġ֣Զȥ뵼ңӰȻ󿴿ڵѪֲ
̣ǰе뷨ѹȥ
֣ԶϾ԰гȻϸ˹ɵģҪ۲۲
һƽȣϣ¶
ʦߵҿͦƽȵġĬվ˵ʲôע˵һţ¶
û£ȥϢɡЦ԰гҲ࣬߱Щ⣬ҵš
ĬΪ˵ǻǺĳˣûط롣
ȻϢĬȻҵضɻᡣҲһߣŹ۲컼
СʱһƽȣûУĬĴӰ׷ĿڴȡһСӣʼ
Σǡ£ĬּЪѧϰЩʵ
ʦҪô
emmmĬͷȴǰ762Цɡ
ãҪǺܶʽûӴĬ԰гִҪע̫ࡣҡ֪ʶǲһ㡣
˵˵ʲôʵ
пڸȾ­ڳѪԸλԻˮڲ֢ҪԱ溬Ѫس֢ȵȣһ㣬Ա溬Ѫس֢Ⱳֻ1ĬЩյ˵Ȼȴߣ⼸Ҫϣ鿴ݿ⣬ﻹ
ֲҪ˴ţͷ­ȫMRIƽɨMRIԳӰСλͷȽӦTSEСᵭ˵
λT1WITI/TR/TE823/1900/9T2WITR/TE6000/96˵һ֣Ĭޱȿա
֪ʦ˵ĲʲôشţҲǵսеĦ˹֮ĶǺ˴ŻҪĲ
Ǻǡ˵һ룬ͶסЦк˴ҵ˸ҪҲһʱϹβ̫ġ
šĬ˵ͷ
˵¶ҲҪμôʵ
ѦԺԺû˵ҲҪμӡĬܵÿ飬ҪȻΣĻɡ
ڣڡ
ĬҡҡͷʦûҽʿһĿ顣ѦԺԺҲû˵ûĩλ̭ƣҶ±̭
Ŷҿ鿴ô棬ҳǲӦ΢һ㣿˵
ĬһӳԼϡ
ʦļ䣬ȴҪѿѶôģ
ҽƵĿҪǼ򵥵Ļ൱򵥣ֻҪͿԡҪѣɾѵûûˡ
Σһ˻ߣ͵ңѪѹ90/45mmhGĵ໤Ƿʣʲôʵ
Ĭ


693 ְPUA
ֵҹĬ۾ճ˽ˮһϾ״̬ƽȣûҴ̼Ĭڲļѡ
ʦƺûиıƣĬ̾˿˾ˣʢʦôǲ֪ء
ɨһ۸ֵѾܡܡθܣûκ쳣˸кĬΰ칫Ϣ
ºĬܿ˯ζǿԣԵĿѵ˼㡣
Ĭǲʿҵ20ḻٴ顢ִʡҽԺICUſԾɸоǿ顣
µĲһ㡣
īԼᣬߵȴĺܿ죬һһ˽˵Цӽݻҵĺִһһ޶ͷ
ѹĬΰ칫ҵĴϣģĻıš
ҪǿԲϸԼ²¥ô
ѹ̫ˣĬ뵽
϶˯ţżجΣʱŬ飬콥
ߣ24Сʱ߰ιܣ״̬ãỤתICU
ֱʱĬŷġ
ûͺãҪԵǿԣ˵ԺŽ
ŽĬоȿԻͷۡ
ҪʦȻһȥɽʲôҰ֮ġϷǿҪ
һһعɣĬʰʰ׼ؼҡ


ȫԺҽԱΪŬϰţĬٴΣ൱˶Ϊ֮ǣʿǵѹ
ûߣһֱΪĿȫԸ׼
ڿϰ°ʱ֧䣬3dӡģȻѾ룬ۣѰű˺ԵϸСϰ
֪ʱ䲻ˣӦûؼҿ顣ÿÿһݿ״̬µģϳɹþͨһ˷ܡĸо
һֱڹ3dģ˵ĹԱģߣһġŽ
ҽԺ3dģ˵ĳϸ񣬵糿ţϻգǩ֣ܣκ©
ģ˱ߣȻᣬƺɾϻλǿ롭Աɲû꣬ߣ
ȥֵһ·ƣ
㿴鿴ôˣһͬ
飬ҪϰĶ̫࣬Ҳã³ʵʵĻش
ҽICU˵ͽʦһֱICUػ
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˵ʦ©ˡСʿص˵
ɡ졣
Ҳ֪˵һ⡪ĻѪѹٽֵҽԺĵ໤ֲǷʶʲôܡ
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ôǿ⣬ֱ⡣
ҹҽĿ⣬ԼѶȡͬ³ü˵ϣǵܼһ㡣Ҫֻ࣬һ㶼СҪ⣬ɴˡ
һǧҩɾͷˣεĶɡεҩӴˣֱѡ˵
εʱȥһ΢ñ2ml/Сʱɲ֪ΪʲôȻ20ml/СʱҲֱӱѡپ˯ˣһֱĥŰĻǲǸ˼
һģһ߻·໥ſˮԻؼҡ
ˮǿˮЭҽԺʹǰһһ׵ĺܡ
ǰڶԺҲǼҳ㷹ǻԬ»֯ġ
ƺΪ˸Ԭ»һ˵Ļᣬÿο֮󶼻ֱ׳߱ٴңӻʿƸСʿȫһ١
ڻʿǵĴ˵УԬ»صڰѻļζĥ˥˵ԬεΪһְ֣PUA
ЭҽԺĿȻҲǿˣ˼ǮȻеۣÿ黹Ҫ
صңϣĸûԷ
ôֻôĸЩԹ۵ʵ
裬˵ȳˡҪԣ°ϰ
ԷԷˡĸ˵ۻ˰ɣ㰾ĺȣˡÿϰ࣬Ҫ׼ԣԵ㰡
ӶһǧҩɣһĲɵĻشһȥ·ϴ׼Է
ǻҲ࣬ʲô塣ĸ˵˵㶼ˣ뻹ôʿģ¡
ʦҪݿ˻ȵʱ򣬱ҪһѪ˵ݿ˻ѪܶǱģһѪѵġ
ʦʦĽУ¶࣡ĸ׳
ûشߣһ߳Էһ߶ʲô


694 ҩﷴӦ
Ŷ֪ˡͷߡӦһ䣬߶һǧҩɡ
⺢ǲɵˡĸѵϽԷ챳飬ܼסô£Ҫݽϡ
˵˵λҪԡ
֪ԣֲĸ׻˵һ룬ס
ڶԺʱҲһСǮֲ࣬ĸˡ
ɵɶȵʿǿҳһЩ˵ڶԺϰ࣬۾ðŹ⡣ĸȴúϵĲ粻ϡ
ǽЭҽԺһ˼Ǯˣѧѧɡ
ǿûʲô˵ɣ˵̭ĸЩĵʵ
ûУ˵Žйϵһ߱ɣһ˵ǰܲμŽ
УԭǽЭҽԺҲᳶĸײм˵Žƭ˵ģȥ·ɢҲŽǵλǰŽ꣬Ӷߵǣⲻǳô
˵䣬ӱءĸ˵
ǵ쵼Ϊ˰磬ʲôŽǳĸ׵ʹˣŲŽ
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һĬĬĳԷĸĸҲԸʰӣݼɣڿӡ
˵ǿӣɵӵ㣬ֻǿӰ´ŵ
ЭҽԺĹѵãҲ
ҩˡһӣĸóÿҪԵҩָϰһݡ
ͣ϶ҪעԹĹ֮겡걣ķʢĸĸҲһԤѪܼ
ԤǶԵģܱסԺǿȻҽڣĸ׻ҵգòҪ
ǺעⱣƽʱҲ߰ıƷֻҽԺİ˾ƥ֮ҩ
˵ҲϸȷһЩӦǺôࡣ
˵ݰ˾ƥֵ˵˵ˣҩܽͼļƻߵķաԤļзĶԤͶȱѪ
˵鶼дԤ˿϶кôҲûʲôǡ
ûθȥθѪաԾͰѰݰ˾ƥֵɱҩԣ˵˾ƥֶһο
һˮûȳҩ߳·۾ֱģżһֽ촽΢΢š
⺢ħˡĸ̾˿
ҲУøɻǮǲˣåЭҽԺôǮ㣬Ҳֵá
׼ȥ䣬ʱŰڳҩֻϤ˹Ҳû⣬ݱ顣
Ȼﲻԣվס
ôˣĸʵ
ƴĻոԺһ飬ܿʶ裬ǳ԰˾ƥ֣ôܺҶһ԰
ҽԺҽģҲ˵飬û¡ĸ׺˵
ҩһҩﷴӦѾﲻԾˣæ߹ȥȷϸĸԵǰݰ˾ƥֺҶƬҩһԡ
һҩһҩôӦĸڲ⡣
Цá
˵뷨ǿҩҩǽȻֶͬ
ҶҡӺƬȲƷǽҶᴿӹƳɵƬңĻͪɷֺϸߣ밢˾ƥͬѪ
ĸĸһۣ̫š
ȱԣȥϣ˵ô࣬ҾûϸСһߴҴ߽ȥϣһ˵
ǲǱ鱳ɵˣĸʵ
ܰɡ
㣬ⶼʲôˣ˶ֻ㿴ϰߴӡֽ־ͻ˵˵㡣ĸԹ
ĸҲ죬ֻǺٺЦš
ܿ죬ܳ
2001꣬ҩЭҶƼ뽵ѪճҩЭͬáٴоð˾ƥֵͬʱڷҶƼÿ2ΣͿܵ۾ĺĤѪͬʱҶƼ밢˾ƥ֣Ѫķոߡ
ĸĬ˼Ӻ˵вҩЭأ
ʦϣӦаɡ˵ɣȻֵĿܲ󣬵Ǳһˡ
ˣԳѪǲǾҩﷴӦĸ˵
ôôǵá
ȵõԹԳѪҼǵ˵ԤԹľʲôҩҲǵġ
˵ĸ׶סˡ
˾ƥֺҶһԻշѪ򣿣ⲻܰɡ
ҪеĻΪʲôҽԺҽһѵĻû˵
ץʱҶƬܽ顣


695 ü
ǽЭҽԺԺһοԵӡ
ԷʵʲԡʵԵѶûеôҽĲķθգʿĲǾҺͨ
ԵĿҲܼ򵥣Ծϵݼ򵥵ţֻһЩҩԼٴȵݺ֪ʶѾĹ죬30ӵıʱ䣬10ӾʹԾ
Щ㱡
ôһͬǰųЦе
Уͦ򵥵ġ˵
ûй
⣿
ǰͬЦʿ˵ԳɼŽйϵ
Ҳ˵ˣԺǰΡʿ˵ġ
Ҳĩλ̭ƣĺ˻ȥŽοءͬЦѽ̫ʵ
һ£ǿ԰Ŀ϶Ҫд
ʱʿأ˵ԺϵŽ֪ǲɽ

˵ɽôȥ۸ڵŽˡҰ˵ĵλŽǴǵλԶ㡯ī룬ͷüӰ࣬ʱ
ǲڰɡ
˭֪أҲĩλ̭ƣٿҲûʲôͬЦ
᲻Ժݳɼȥ棿ĵʵ
ģԺûӰءͬµԣЪЪˣϰ࣬Ǳ飬ɰۻˡʱôһԷ
ѽȻӦ
δʲô֪һ߾ˡ
صӻʿͨʿĿԵ顣ʿ˵ԳɼŽйϵԺ׿˵ġ
ȴҲνҪȥԶ㣬һȦͽЭҽԺǮȣǶ¶
Сʱ󣬳ɼ
˶֣ҵͬҲ֡⿼ȫûʲôѶȣҶһ
ʦǺûΪԼˮƽ߾͹Ϊҡ
˿Ҳ˺ܶࡣ
һᣬʿԺ칫ϵͳһ·ʼ
һ˵Цһߵ㿪һۣ۾ǳȥһβ
ʿʲôأҽʿʵ
ʿû˵ǴսĻһһֵĿԺ֪ͨ
ʿ
ԺŽϢˡʿ˵
һΪʲô£Ժô˵˵й㽭˫Ƶ˹˹֣ܸò֯ȥ湺ɡ˵ˣҲȥǰ϶ȡ
ǡʿѵһڿˮŽǷǮ
Žʲôҽʿûףʶʵ
ǮʿȷԺ֪ͨݣ˵
ȥ٣
ճɼ巢ϸ
ûȻʿ˵꣬ҽʿܹȥ֪ͨ
Ȼ֪ͨװ׵˵ˣ꽣ЭҽԺŽǷǮ
ǮʯͷҽʿΡ
ôãû˵ʲôǮĻ
ʦţƣôõһġ
ЭҽԺġǱ򡱣ֻҪǺ£ʦ⣻Ҫǻ£ǶѦԺԺġ
ȻҲ˵ÿﶼôġ
ܷǮҽʿѹֱģСʵһ
ҪڴǰҽԺƼٿǮֵƨƨߵġ
ڽЭҽԺ⻹Ǹδ֪
ҿʿ㿪ӣһ۾ҳĽǡ
ȥǡҽʿҲסˣһˢˢġ0ǰ
ʼһοЭҽԺһɵۡ
ôܡ˵õŽأԭҸɺͽڷǮô
ʮ١ǧ򡭡ʮ򡭡ʿָĻϣ૵š
տ˵ĳɼ򵥵ķΪʮ򣬿ں50ûġŽá
һˮ30Ŀۡ
⡭ҽʿţʿ˰ɡ
һʮʿһſڵǰ۾ĻҲͲ10֣һһϸ
ȷȷȷʮλʿ͸ɰͰ͵ģԼΡ
ȥôôǮֲսǰҺҰ˻˵أЭҽԺս֪ҪǮҽʿ۾ðŽӲӵ˵
ŽãԺ֪ͨ˵ĺʿӦ˼Ӳȷ绰ʼһһ˴绰
ΪȽϲִ٣޵Ҳʲô©ҪԿΪλյǮܵʿǣϱûյǮ
ĿԲ󣬻ʿҲû޵±صʵ壬Ц춼ϲϣһһ֪ͨ
ŽȻˣǷǮִ͹еļҴҵ˰ɣ
ǻľʲô


696 ʱһͷҰ¿
°࣬еĽԼļϵҽһȥԷ
˻2-3ºһȥڽеҽԺҲ˻ڶԺ
˸־ǿ
κһ㣬ڻһͬʣܸԼߣһԴ
ΪȥԺƴһõδҽԺеÿһ˶ġǺ޼Ըһߵҽϵʹǰһûʲô仯
ҽƹԷ
ǰԺɫθ˳ϣ֤ʵȷǻѪЩ֢״ǰ֢
֢ĶԳ̶Ⱥܸߣ2-3ѸٷչҰһ㡣ҿƬӺͼ鱨棬Ľ۶޲ֹۡ
εΪ֬鱻һ٣ҿϸȷϣǺƶûìͷָ
Ҷ֪ҪȥҽԺ飬Ȼ֮ʣҵȷϣҲв²⡣
Ҫ˵롶ѧĴţǲͬ죬ƬԲʷԼжϡ
Ϊʦڵ͵ҽȻ˵ʱõҽϣô˵κʦû棬ӲȥƺҲʡ
˼γԶٷһΪ˱ȳĸмǿԺܲͨνʶһʦִţ
İ³ԷȾơ죬˵ûͳԺĲϡ
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704 Ǹͨʳܰ
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707 ʦ̫
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708 ɽСʦ
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710 Ź
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712 
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720 ̫Ĺײİ
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5gֻǸտʼ裬õ4g֪ô21ͳڣҽȦֻ֢ûн˵
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721 ʲôȥˣ
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СҪȡֻθϵô
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722 ųŰѿӳԽȥ
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ܵģþƶƿʮָڣһȽȫӰ
īɫܳCTƬϲĳӦûʲôر𣬳Ӧ10cmϡ
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723 ʲô¶
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˵ӡһڼˢʱһ߶ž̧ͷҪˢˢͷû뵽һֻ֧19cmˢȻֱӵĺ
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724 Ǯȥ
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⣬⡣˽ڳỹûҶϵ绰æ˵Ҵ˾ɨ롣
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ʮָһ15cmҵ֪ʲôڵȻ߼ҪѯʲʷȻơ
˽ͷðһľ̾ţ⣬ң
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725 ̨
ܿ죬޵ǸԲһ
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޵ЩΣλ˽ڲԼӢˮƽܲô졣
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ΪЭҽԺһҽԺΪ˸õĺҽʿǹͨ޵ûµʱ;ͷԵӢ
ŵӢͱ˽˵һոյĻ޵ЩҲ֪Լ﷨ûд
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޵˵ʡһҽԺʲô⡣˽ڣʦҰסְᡣ
Ҫȥμ˽ڷʽӢ˵ұҪȥҽҵ죬15cmʮָôٵң
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θˣӰڲֱģԼ12-15cm汻ʯǣʲôһ˽ʯۣʮָRT
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Σŵ㣬żСı֡ʲôǻ֪Ԥһһ䣬βҰ
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ʮָΪճĤ²㣬㼰ĤճĤճĤ²ǻͻγɻ״ţⲿɽ֯ϴѪܣܰ͹ܼճĤ񾭴ԡ
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֪Уˮƽߵ;Ѫ٣ʦˮƽӦò˺ʮָѪ󷴸ֹѪ޲ǱȻġ
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ɫŮʿǺܿ͹۵ģBOSSҾƫ
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730 Ȼˢ
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ʦţ˽ڲûԼסģˢһθпô̽ȥģ
˭֪ءȡͺãˣǵдġ
BOSSôô⣿˽ڿŵĻ˫˵δӦŵＰҽѧ
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ת뿪ң֪ϣЦĸߣ˽һ·Сܣ޵վڽ￴ŹֵĻЩ޷š
BOSSŵǲǸˣ˽ܵߣʵ
ΪʲôǶ˵ҶըҩûȤô
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733 ҿû׼
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734 ˰빷
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735 Ҹ
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738 ˾
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үӣҽҪ޿ôﲻ䡣վڴߣ˵
֮΢΢ͷ۽⿴һᣬҹǲˡôεĶ֪ллҾȻ

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ү˵ˡƳһᣬûвˣֻеЦݣȴǳЦǸĳ˵ͷ˵үү˵ʲôعⷵյģӲʵĺܣҽ˵
˵Ļţ֮˵ҸһӴ֧飬ļ˲еʱҴ˵УͺáʲôԵʲôҲ·Ҷ
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һǸĿᡣ
˼ңҽԺǸɻᵹ⣬Ц˵ҲǴĳҽʡǡ
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739 
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ھ޴ӵ֪Ҳ޷Ȱ˵
֮ԣû뵽ѹô໤Ѿʼһֱƽȵ160/ҡ
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ǮۿĻ쵰⣬ǰӵĻţ֮Ҳ˵ʲôûׯʳôȥǮˣǮȥ⻨Ƶأϰô죡
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740 ۾˵Ϲ
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˳˵úܡǹӶӶ߷ɹȥĶ¡֮Ʋ˵
ٺ١ЦЦ˳˵˻УȺӡ˵Ļû˴
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741 ˸
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742 ˮ׵и
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743 ŭ
жˣ
28ܡ
ֵ໤ʿˮѪѹ߽ܷµİи·ȥ
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㿴ӦõģҰ֮10֢ڻߵı걾ҽԺĲʲô鲻Τ󱦵
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ǲãмϸ΢ող˿϶Τ֪ӾǸɲãϰ
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Τ󱦵ֺܶǩ廨ţȫϾǴѧѧߣ롶ѧĴң߸ϵӡġ
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222󣬱˽ڴŴݵλϡ
BOSSʹܲѾʺˡҪңÿһλҽԴԴ
ƽʱһ£ȻߵҽϾԼġЦŴ𣬳
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ҵ죡ֹ˽˵BOSS֪ר⼸ʴ˵һҪԽĸо
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꡶ѧ֮Ѿڲ֮䡰̥ǡʼ˾ٴ˼άȥ˼顣
ƴ󷢴ȱѲû޻̸֮ûԺֹ
Τ󱦳ĬѸٰйڽ᳦ĸϱ׼һ顣
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ֻ鵥ҲǸĻ鵥رӶһֻƾ辭жϡѪ+CӦ׵ļһǵCA12Ҫ죬һ㡣
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ЩΣ𻰺ᣬ뾾ﵽôġ
ҪǴ򲻹ô


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ˡЦЦ֪רңҪȻ˷ѿࡣҿɲ뿴߼ȵĿ⣬ˡ
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Τȥѯʲʷ˽ڰ칫ϸŲͬʱCTƬӡ
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ʩлúǵʦ겡ʷ˵ɡ
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20ӡ
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776 ̹
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ޱûκβͷ˵³ĽЭҽԺϯҽһˡȻᣬȴ⼮˫ԺԺʿ
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СѯʵⶼܹŹ֣Ӵ·ʼʣѯʳӵȵȡһжʱߴ3ǰޱֲغʼһֱڡ
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šޱҲޣֱӵͷرֹۣѾԼ衣֮ǰÿ컹ȥ٤Ҫȫĵľȥ¶Ϊҿһ˵ܶ߶ǱԼġ
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ʲôôܽһ¸ղʹ顣3µܻһֱסڼֻ2ελӰൽͨڶҲؼ˯ġ
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777 ǽ᳦
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ѽһϸϹޱЩ˼˵ѪҲǱѪǾѪҽȷ
šº͵ĵ˵ͷ֪ˣϢȥҽһ²顣
ҽղǸ˵÷ŻƣģڰοҶ԰ɡޱʵ˵ʵܽܡģҶˣܽܡ
ģҲġЦ
ޱһ¡
᳦ҹƲģħڻǱˣʡǵҽжϴˡ˵ʲôȬġҹƣ5ܳԺ
ޱȻ
һͷǰλСںŪԼ
ôҽϣһ仰ˣô
Ȳ˵ЩĽǶǽ᳦ĻȬļҲܴ󡣡
šޱ˵ͷȻǺŪԼܳԺܳԺԼǽ᳦Ļߡ
ˣҽҪʲôޱʵ
һأҺҽ֮˵Ϣɣн֮һ
˵꣬վת뿪
Ƴ¾ʹôΤ󱦸ʵ
ǡ룬ǲǶԵģֻǴ̻̫֯٣ûдĲ֯

3ǰޱһӡô
УǻѳȥΤ󱦼ǲסİʽ֣˵ͳĬȥ
ûкΤ󱦼⣬ǻص칫ҡ
BOSSڻˡҪ˽ƷһΪŮȥԼᡭ
졣ᾶֱ߹ȥײ˽ڵϣײһ
BOSSֱֱ̫ˣǸպʿɵĺ첱һ
ˣҸ㷸ʲô󡣡
Ҳ˵ŮԼ飬ⲻǳûô˵
ʩлεĿһͨı˽ڣֻкʦ˵ʱŻ˵ͨMMP
922ŵƬӣ㿴ʲô쳣ôָôƬĻոѯʵĲʷ㷢ʲô
һı˽ĿƬӣ˼
ĬʮӺ˵Ƭӵǰһ죬бѪ
BOSSǲģһΪѯʲô⡣˽ڲ˵
Ҫ˵ǣߵʱ¾ڡ
˼ǡ˽ڻһ£߰ѱѪ;Ѫˣ
ҵ˼״᳦ӹĤλ֢ôCTƬϺԵ˵
˽üƬϵƬӣء


778 ֱӡըѡı
BOSSΪڰյ뷨е塣˽ڹ˼ӣǿ˵
仰˵һ㶼ģΤ󱦶
ˣ㿴ƬӵˮƽһûУҿʲô⣿Ǻǡᵭ˵
˽ûлһжϣǿƬϸƬӵ
ڶƬӣע⿴͵һŵ𡣡ʵʽ״ӰȵһƬӴ˺ܶࡣ
ʦɡ
ʱǶãϱ˽ڵĻʵ
40졣
㿴ڶCTӰ͵һżʱ䡣ٶȹ졣
BOSS˵е㲻ܷԽˣٶȾԽʵ
ӰûзܰͽתƣҵCTӰ˵ƬӸ㣬ʵʽ״ӰǵûзΪǶȵĲͬȥСˡ
˽޷ʦԼո˵ĻͷԼ
˽⣬ֻҪҷȴԼĿ϶һ߼ֱ֤֤ܵϣƤۡ
鷢ֹһΣ˽綼ܹˡ
BOSSǡ
һߵһηֱѪ;ǺϣȻûнһ֤ݡ漴ЦЦҲû취ӹĤλ֢ѵô
BOSS˵öԣô˵ҪгȻ󿴴˽˵
Τ͵Цʦ˵ö仰ѾǱ˽ڵĳϰߣǿͷһܶԲʶ˵ﲢôΪġ
ˣۻ߲飬ʲô˵
BOSSߵca125ֵߡ˽С˵Լɻ
ʳô޴⡣ʼ磬Τ󱦣߱ca125Ķ塣
ΤһϱеCA1251981BastȴƤѳԭɱ¡OC125ϵһǵףϵԽϸߣԽϲ
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ӹĤλ֢ĻһγѪ;ʱǺҲкĽ͡˽ڼ˵
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޴ļһ󲿷ӹĤλ֢Ѫ粻ͨ޷ųءڣӶҵʹڡάеٴ֢״
ǰʡҽԺǿƵһﲡУһǵõ»߽̱ϾӹĤλ֢
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ٴϽΪжѧԵԼЩǻ֪ʶѵ֪ô
Τ󱦳ճյĿű˽ڣ²в
綼ϰΪ΢Ц㿴ֻҪԾһ룬ͻᷢҲһֿܡ
BOSSˡ˽˵ֵı֤ΪӹĤλ֢
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ڡΤ󱦱˽ڵķֵĺܲо൱á
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ʩлᡢ˽һ·ȥ۾ֱˡ
Τ뻹㽭ҽԺһα˽ڵľѣʩлȴû˵ѣҿʦϰΪӣⲢǵһΣҲԲһΡ
ĺô᲻ֱ̨ӷѣ
ʩлԺ˽ֱӡըѡҸһ룬վ̨࣬һ֡


779 ǶǺ
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Ļղű˽ڵһһʩл޷ȷĸʱ㿪ʼ˽ھͷˣˣһԼһʵʵԼ
ԣǳѧ۵
Ȼͬ۵ı˽ʵҲǿǿվʦһߵġ˽ڡһҵ뷨
ҡҡңǸµĹ۵㣬ʩлֻ֪ȴû취ı
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ʩл˰죬ȫ˽ڵɧ𾪣˴ޱĽ᳦
ʦΪǽ᳦ô
һ㣬ʩлǰǱ˽ԼԼģ
ոȥʩлñ˽ڼֱ̫ôϴԣ̫ôħˣԼƺѾȫסˣһӶ
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˲Ԩħԣ붼롣
ʩлɫŹ֣ޱ޵ĸӱˡԹɫȷΪ˸Լһοʱ䲻Ҫ̫ǣߵġꡱһ㡣


עԼ09һߣβռλ׺Ӱʧ˵ʲôţΪԼѾͼͨһƭӴһ٣ȥʡҽԺ
ȿ~~һΣھл


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ʩлҲûʲôð취ܲڹһվѵޱһٰɡôĻпܵ²
סķ꣬˼ӣޱԺһ㣬˵ʦ͡
ʩл˺ܳʱ䣬Ȼޱٿˣ֪ԼĻ𵽵Լ㡣
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ûõġޱЭҽԺҽѾõˡ
ղʩ˵Ҳˣ˵֪רڰ˾Ӹʲô˾ӾǸϲޱĸױٵݺܼ򵥣Ҳɡ
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˵̶ܶǹĵƦå첻ȥ˲ǻҸաޱĸ˵㻹ţҽᣬǸҽʲô̬Ҳˡ
ޱô˵ҲЩɻ
ҹƭӣ㲻ǣȥ۶ħһҲûʲôޱĸ׼˵ƬӶħҽȥˣ˵ûתƣЧرá

ȥ԰ɣҪأ⻹û飬Ҫǲȥߣﲻʰޱĸ˵˵ţݺᡣ
һҹȥħθҽԺ쳤Ρ
˵ħθҽԺǹƽ᳦ĶҽԺҪûа취Ҳɡ
ҹ˻Ʊڶһ㣬ޱĸ׺ֵҽ˵һ䣬ʹŴޱ뿪ЭҽԺؼʰϷɻȥħ


ڴޱ׵УԼϵ쳤ڣȻڱ飬ܻ֮ڵһʱ쳤ڲŶԡ
ħһ3绰쳤Ž
˵̨ϣÿ쳤ҪޱĸԤԼҺšԼʱ˵
ޱĸһɵۡ
壬Ҫȵ
ûӦ쳤ѾҶϵ绰
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СްĲôˣ
ħˣոδ绰˵ǹרš
ŶҺŰɡ
Ϲ£壬Ҳż˵ⲡҲᣬʱ䣬бı仯ޱĸæ˵ӻᣬ㿴
СްħĸǲصĻߣڿȫ֪ڣÿ̻ҪߵİɣǼ˵Ҳƽ
ޱĸױһ˼ΣֻڨڨĹҶϵ绰
ޱοԼף֮֮Ǿ͹ҺţŰɡ
ħߣֶ㽼ˣͱ˵·֮ĺĵضΡ
˺ܾãθҽԺܱߵĿݾƵһҪ800ҡһ£ޱûãֻԤһλڽеĽĿݾƵꡣ
⣬䣬һҲҪ500Ǯ
ҺôޱᣬԤԼҺĥһҲ֪ô쳤רţޱֵĸʲôƵá
ҪҺŶҲϣޱԼඡ
ħѺܸߣʡǸһΡһڼԣֻһٶٵĺŪȻڳԲԼ۱Ⱦ˵ϸߡ
尾ȵһȥվշת2СʱħθҽԺ
ޱ󿴼ĦĻߡ߼۾ֱˡ
ԭΪԼҵǸ
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ûʱȥͬˣֻϣԼĲеΡޱҵ쳤ңŽкš
56ţȻȥӦñȽܽеɴޱɲҪǴ˽кţҪٵһܣǾôĲٵˣ
ȰȰһֱ°࣬쳤ſ35Ļߡ
ôôޱĸױԹ˲֪ٴΣȹϵϣԱȥ


781 ͬ
ģޱˢֻĸ׺Աһ߼ļҳ
ˣԵ֡ݵλһҽԺ⣬Ҷһͬݡ߼
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ŴֻվšվûʲôڣҲҲһơ
ޱĸ׺ͻ߰˳˵仰໥οš
֪ϵҲǽ᳦־ڣҽԺ˵Ѿתˣû취ơ
Ƴ̣ر
Ҳ֪ҩĸûǲչĹϵߵ½ر죬ۿսݣȴһһġ
ҽԺҽ˵µĴˮҪǳߵĸ͡ѵȷܻ⡣һ¸ѹͣиูˮ
ֲֹʣǲѡȨڼϡ
Ҳûʲôð취ʹޱĸĸһҪҽħȫθҽԺ
һ¼߻ܶأ
ħθҽԺûа취ҲţҲ
˽Ϣޱĸ׾ȵĵ֪Ѿħס˰£
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Ｑ˻𣬵ûκΰ취
ħĻǽһ࣬˵θҪŶӵȰϡ
ҵһ߼̻ôҺţšһţȴޱҵҪһЩ翪쳤ξܿ
໥οţ˵ԼŵĻʱ˵ʲôأܲʵʵ˵໥˺
شޱĸĸʶħҲ˺ܶ໼ߡԭĸѹȥűԼˡ
ʡǵʱʩ顰Ȼһ·Լޱʱ˿̲֪ζʲô
Ūһڷòװ翪ˮĻߺܿ챻˽ȥ
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ʮӣޱĸ׾Ϳߵİ߳
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Ѿħƺڵûбϵڸˮ쳤Ҳ꾡Ľͣжϡò÷ŸˮҪҽԺҽ뻼߼
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ڣǹġޱĸȿͿ˵
ᵽ֮쳤ƺûʲôӡϵЦЩƣʼʡǵĸּ鱨档
壬쳤˵ǶԵģ׼סԺɡ
ʲôϣޱʶʵ
쳤Ҳ֣Ŵޱɻʵбô
Դˣ쳤ûҶ˵ʲô൱
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ޱڣʼϵ״᳦ҪơǵһҽԺҽ˵
˵ʲô
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С쳤ʶñĵԼ˵ǵҽԺҽϵӹĤλ֢
šޱŬ䣬˵ͷ
ô˵ɡ쳤粢ûֱӷ񶨣ǽ͵ӹĤλ֢ĿԲǲڣ֪ǶôҳĻ治ǵ͵ӹĤλ֢֣ôǣҪǡȿȣӦȥƱ
ޱޱʧ
绰Ȼȥ쳤ǵôޱĸ׸Լ绰˵вµסԺܻ֪ͨסԺ
ڣҪã
˵ĻһĻҲ֪没һţŶӵĻмٸ
ޱЩ


782 ĸо
鶼Ҫô롣
߶ࡢŶӾãζħθҽԺǹڶҽԺҪȻô໼ߡ
Ա֮£ЭҽԺȻװ޵ĸûʣȴ٣߼ܼ򵥣ҽԺˮƽߵһĿȻ
ԤԼסԺĵ˽3СʱصסʱɫѾڡ
ϻ˵ڼǧãһѣǳſϼѡ
ֻ꣬ĲһֿţޱڵС
4ȥˣһֱһ磬ޱֻһ붼֡ħθҽԺҽ绰ԼӲᡣ
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쳤ڴ绰쳤Щͷ˵ˣס
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뿪ʡǺĵʮʱڰסԺԸԳס˽ȥ
˼䣬ϻ㻤ĿЩǡ
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쳤Ҳ˵ˣûܰͽתƣȬļʻеġ
ҪǴޱڵ̬ȽϹŹ֣ʮʱ䣬ӵȴȴϵĵȴͰĥƽֻץʱؼҡ
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ҽʿŸɫĻñӣеյĿЦ
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ǰֵʱ뵽ĳƬ뵽ǸĶȴĽڡ
ޱȴûЩյ뷨ܲܳɹ᲻ᵢʮʱ䵼°֢תƣ򿪶һֱٹϣⶼ⡣
ޱ֪Ǵ˵еĿǸϰһԣ쳤˵Ǹǻš
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ҵѲػʿĵĸϲŷʦͻʿ˵ЦȥԷ
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Сһʦڴޱϰ׵λáȻЩæŬ΢Цߵ
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·ϣ˰Լ̨̧ƽϣϱӡеޱܣŬҪһλȴƽһܶ
ԼֵޱŬ۾˯̫Ũΰ֮ޱϤڶߴſǻԼ֡
Ŭ۾ޱС˵裬ҽ˵
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ɼȻܷԣ϶Ҫܵġ͸ĸܣʹʹĽܡ
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ҲǸĻһֻǱһԵĶȻʵݣҲ
ҪôණǰλһԽ綼ҪҽԺȥˡ
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Ҳ˵˷Ѳ˷ѵ¶Ƕ˾͹ܵġ
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792 ʹ
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ҽҪ֤ݣλ͸ȫCTʲôҪУ϶áǻѾмԸĤ׵Ӧʸ̽飬򿪿ʲôĲҪ
BOSSǻô
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794 ˿
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ˮϴ10000mlˮ壬Ͱ3ΣߵĸǻŸɾһЩ
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798 ۲
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799 ׯ԰
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ŷ֮ĵɫڣȥһ֣Զ
ӰҽΤһ뿪財


801 㵹˵
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ԣԶ˵ĵ˰Ҳûʲô취㣬˵ѾȥЭҽԺˣǴ򡣡


802 Ȫˮƿ
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Τ󱦿ʼ顣
ڽʳ糿𴲺θ᳦λ᳦䶯ÿСʱ10׵ٶƽ״᳦ڴзʹֱڣ㹻ʱ򣬷Գڲһѹʱű㷴䡣
Ҳ֪ôģҾ֪ôûġԶæסΤ󱦵Ļ
УΪԸ㽲Τ󱦱˵Ҫ˵űԵĴ̼ء

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803 ǿȪˮ
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804 ɱ
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805 ܲϵ
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807 һǹ
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818 ˲
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ʵȶϾҪʡˣһʲôԵء
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ЩֻԽԽǰĵɳ̲ϣûһĲڵ
ԽԽࣿ
漰ʽǿѧƵģǰǻЦ̰áڻͷ˼ţƣЦǺǵ˵չ˶к΢ƶرղȫ
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819 ɵֻǮ
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Ǻǣһ300ңٿ಻ࡣ

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е׷ڵ˼ˣЦЦԼ˽ⲻ硣
ᱳдʱֻҪ룬пȥ˹С˵һôᣬͿôѡʵҲǺĽ
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ǰãһ쿴߾;òңһ첻ǻܾȱʲô
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820 ְPUA
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821 
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822 ״ж
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823 ΪʲôһȾƵ˶û
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һ£ΪѦǸԼ绰ԼȥЭҽԺء
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һ磬Ҿ͸оͷۻû£ȥϰࡣ
˯ҲûκκתѦͼʷأؼҺǰӻɺڣǿܿҵ֣0.1
ȥҽԺҲ˵ѦԺҸ120
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Һõ飬Ī˹һۿרңԺۿƵļˮƽҪȻԼ˭ȥ
120ȳ9Ӻϵ̧ܹѦ¥ҽһ·Сܣϳ˼򵥵Ĳ塣
ûȥֱӵסԺѦ͵ۿƵʱҲջϰ׷ΰ칫⡣
棬ҡûʱָ120ļԱѦ͵ң塣
ֵȥ˫ͫסɢ4.5mm
ֱӡӶԹⷴʧεɫһӾͺˡ
򵥲ֵζ񾭵⣬ѦѦԺղڵ绰ĲʷжӦǼ״ж
״Ķɼ״лȩͼϵͳ𺦡۲𺦼лжΪҪ
ڼ״ãϸֱӶãͷ񾭣ͷˮסƻ𺦡
Ҽ״ĳЩøĴлʹл״лĲ´лж
ѦԺ岡Ҳͼ״жһ¡ͷΡۻ48СʱȻ轵Ȼʧ
񾭴䵽ʱһ̡
ֻǳϣҪϣϸѦһ۵׾顣
۵෢˫ͷˮס
жˮ׻ڣҲǲ֮еҡ
ѦԺ˼䣬ųԸ­ѹµͷˮסǱļϣΪ­ѹҲԵʧ
ѦûоͷۣҲûжġŻµ֢״˵ֻЩš
λǽƸѦһ̣׵ѹֻ70mmˮ
ѦԺǼ״жεıȽϼʱӦû¡ҺûͦһϣҪĻ˭û취ˡƼɵ˵صҩ2-3ָܻ
ѦͳһЩɻ
ΣʼҲǵȾƵ⡣Ѧ˵һȾƵ˻5Ҳûȶ٣˶û¡
һ£˵Ҳ벻סȰռ״жƣٰλʦ
СѦ֪Ҳû취İ취
ڲѦͱ۾ҩﵽûá
Ҫûô죿Լʹ˫Ŀʧô
ƹ󣬿ƽأҲԨѦͲۡԸϣһʱ䣬Ҳ˫Ŀʧĺ
ҲûߣȼƿҩȥѦ˲壬ɵ˵ѦԺͷˮ˺ܶ࣬۾
Ѧԥ˼ӣŹ۾
ûȫָںһƬѾɢʼɰããġҸѦ͵Ļ䣬ӦñȻؼҵʱ״̬ҪһЩ
ҩЧжȷȷǼ״ж
ˡѦͳΪʲôһȾƵ˶û£Լأ
ϸ䣬ûƿԼȵģоƴҶˡ޵û£û¡ôԼжˣ


824 
Ѿ˵Ѿڸ·ϣѦҲ
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ԺѾƸ£Ѧ뵽
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֮ǰ˫ĿʧѦᵽʲôǵȻֻٵǰתһȦȻͱ˻Ǹܵ˵ɭɲϢ
ɫâôѦͷԼȻûϸϧƽʱֱܲˮʱܴһǶôݳޡ
䣬һ¡Ѧ˵
ͣúЪţʲôѦ͵İ˵Ҫô۾ҷ㡣
ЩĸоѦ
Ѧס˵֣̾һˣ
26ꡣѦ͵İɻʲôϹ룬ɱŻҡζ˵ˣûʲô¶ۻúúûء
ġѦḧ˵ֱ˵
Ϸˣ־Լһû˶ǰഺ¶
ɻպѦȴо˵ů
䰡ҵʱŻˡѦ˵ʲô
Ѧ͵İ˱ͻŪһ㶣ʲôˣ
뻹Ӧݺȥϣ˵˿űٿɽӣôϹء
Ϲ˵ûϹޣúõģûʲô¶Ѧ͵İ˷ס֣˫΢΢ȻûӾл
ǣûʲô¶Ѧ򶨵˵֮ǰһĨڣںöˣҹ𽥻ָ
ȾƣȾƣǲѦ͵İԹ
СѦ˵ѾٺˡǰϣҲź˲һ
ǾʱȾֵģ㡭Ѧ͵İһӶסʱѦÿκ˳ʱ˵Ļ
ˣݾƸ
仰ҲȤġ
ֻѦ֪ԼԺƺ;ûʲôԵඡֻϣ֢״ܲϵĺǧʲô֢ǡ
ԺҪȾơ̡ˮ˵ÿһƻҽԶҡ
֮䣬Ѧƺŵƻζ
ǣ˵ȾƣͲˡЦЦҡͷ˵ûˮˣȻƻ
ЩֻǷ޶ˣƻ֮һ
Ѧͺ˴ˮڸϲãôҲˡ
һʥڣѦ͵İûƻʽ˵ƽ˾ζƽƽ
Ѧ֮üͷһƻɲúְȴһûԡ
ѦŭΪʲô˵ƻǵλ͸ģؼҲֻ˵ƽûѦͳԵ˼
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ΪˣѦһΪԼƭһƻ
£һ˿ů¶ȡ
϶ôƻˣҪϴĸ棿Ѧ͵İʵ
ԺעⱣ壬ÿһƻҽԶҡ
ҪҽԶ֮ԺҲɵͷˡѦ͵İһЩȻźû񣬵ϾЦ
ȥ򣬺òԵʲôѦ͵İ˵
ã˵ɡѦס˵֣ϵģȥ˵ѩ·
ڡ
ҲЪᣬղ˰ɡѦ˵
˵ͷһƣʱֳ
Ѧ֪ӦӦƣûʲôð취ЪһЪͺá
˯ɣҲ˯
ʱѾҹһСʱһۣѦٴ۾һתϴα仯ô
ΰοһμأܱ仯ôѾܲˡһμأЧԡ


ڶһ磬Ѧ͸޵´һ绰˵Լ
β鷿ʿѦΡ
ܿ죬޵¼ҴҵĸϵԺһƿ50mlˮ+ɶûеꡣ
ѦԺǡ
û£˵Ǽ״жҩҩͺöˡѦͱ۾ѵԺ󹤷Ҳ㡣
˵ġ޵üֻһ仰;ﲻԡ
ѦԺ״жĻ˼Σ޵ʵôܺȵپء
ȷһʡ
ʡǴҽԺԺȻȼپƺȵ˫Ŀʧ˵˭ţ
һ㺬д״Ե˫ĿʧļپƶǼ˵ģһھ֪Ǽپơ
ҵƾûôѱϡ
ѦϾƹȲ޵²š


825 оһ1700
޵뵽ǰѦԺԼ绰ѯʺǲʲôʣв²⡣
ǰ͵һԷʱ˲һ׾ơѦ˵Ҳ֣֣֮˵ûʲô¶Ǽ״ж֢ƺҲáҪƵĻҲǶԵġ
˵ţѦ۾ϸ˿Զϵı˺ܶࡣ
ѾָˣȻûȫԭһҩʱ˺ܶࡣѦ͵
޵üʵʱޱȡ
ͷΣۻȻȻ⣬ǵͼ״ж֢״
ǳ˵Ǽ״жĻһȾƵԼΪʲôû£
ѵǼ⣿˵ѦԺĳֳɷݵļ״رеµģ޵һʺš
ȥɣչˡѦʹߴٵԺ¶࣬ˣô졣
С޵Ҳû֣ЦЦ˵Һʦ˵һ͸ϻȥ
˵ʲô˵¶ඪˡ
Ѧһ仰û˵꣬ԼͣסҪкģҽԺԼȻǴԺ˵ʦ
Уһ绰
޵¼˵վ߳˽绰
ʦѦԺá޵˵õġ
һƽ
ͷ­˴ôʵ
ûУȥʣԼûԼ޵µ
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ʦȻ˵ˣҽϵ޵ȥΡ
ΣѦԺͷ­˴Ųô޵ʵ
ûУԺҾûбҪ˵״жмϱ׼ѦԺġ
һϸߣûвΡ쳣
ڶѪûзִлж̼Ҳ
ĵͼSTεĸı䣬ɣⲻ󡣡
ģӾշλ׼κѦԺ飬ڲָӦⲻ󡣡
ҪѦԺڽЭҽԺһͷ­CT߰θġν͵жĻ߿Կаʺͻ׽ܶȼͼ״˲䡣ѦԺCTҿˣûƸı䣬ܷġ
޵¿Цá
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޵»ϰԵٴҽϰߣν꣬˵ͷ­˴ʦҪġ
⡭һ£ʦѵԼʲôûע⵽ôϸһ£ֻ
ǸֻԺҽӸ绰
æš
ι
ȥ˵Ǹоһ¿1700˲ҽԺǹСأҼſڷװ·һ¶4500أĻܿ죬ܣ͸һ
޵¿Цô£ĳŲסˡ
٣ҲҩҽԺĲҽԺҽʧ൱ء
ڵʱ򺣻Ժһļʱ޵¶ˡ
ļƸҽѧҪ˶ʿϣִҵҽʦʸ񡢹֤ʴΪһ𣬵һֻ1700Ԫ
ͬʱƸʳõӹʲôûУһ2000ע1
޵ô꣬ͼֲˡɿƸļǾû˹档
ۿǶԺصѧƣҲҽʧصѧ֮һ
ԽãϷԽҵԺǮ˼ȻҪȥضߴߣˮʹ
˲ʧԺڳү̬ٴҽ뷨Ҳܲеˡ
ںԺ޵һӵɧԼڶԺûбҪ˵
Ժ˼Ҫȥᣬ˵ۿƵ˵ǵĻɲȥˣôȥҲ׼ˡ
ǵҽְģ޵ʵ
ţѾĸҽǿܵ࣬ҶŲ˵ҿҲôѹեȥǲߵҲˡ̾˿˵һǧߣΪоǵɵʲôҲá
ȥæ޵̾˿˵
Ȼʦҽϵҽ룬ץʱ伱ˡҲû֣ǡľ˴š
ֻǸ˴Ŷѣûʲô˵ġ

ע1ĳҽԺշƸ¡Ī


826 ͬĲͬ
޵²ûߣѦͰѺ˴ֻ꣬Ӱϣʦųһ
ز·ϣ޵һһĥŸоÿ·1700Ǯʵ顣
ԼҲûʲôð취
ҺЩ¶ԼĥʡˣǮʦְڡ
޵뵽͵֡²ؼ߸߹ʱ˳Լһҽ񴦡һԺмＸĺܡ
ԺǸմӺ˴һ
ĥʦһͷ¿Ƶ۾תȦĥԼңڵСƤޣǲǳһ£޵¶ߴһϤ
µʱ׽׽ߣ޵ŵĴһ¡
Ժ˼᲻֪޵ʲôǸû°ɡ
û£û£ôʦ
˵ģѦԺܲôЦҼ״ж⣬һۣ
Ҳ⣬һȵľơ޵µ֪ûиоһ쳣ûСǺþƣζҲԣ̫Ǽ״ҵˮ
š˵ͷͷ­˴⣬Ƭأ
ϴȥһۡ޵µʦ˵ʲô⣿
ҿѦԺС쳣źţֻ˴ӰǺȷȥϿһ˵𼱡
˵˵޵µü״жףѦԺҩЧ˵ֲ֡
һֱȽ༲GFAPϸƺͼ״жһҪسЦѦԺãȻϿ⣬û⡣
޵һ£ôô
ϴ󣬿ҩǼأָҲ̫˰ɡ
ʪļҲͷۡ̾˿˵ҪûжϴĻӦGFAPϸ
ʦⲡô᲻к֢޵Щĵѯʵ
û£߽άԵϸǳḻĵף㷺ֲڴԡСԡԸɡ񾭺ͼ衣Ҫǳ⣬һҲ40֮󡣡͵ٴֶıΪĤ׻ĤԼס
޵һὲԼûļҽ񴦳ʲôϸΪİ
ⲡ͵֢״ѷֱ档Ƭӡ
ʦŻҡ޵̾һæ˵
ĴŹΪ԰쳣źţʵӦ˴ǿģҸղæ˵ǿˡ
ʦǿܿʲô
Ӱǿɼֱ״ǿǺܵ͵һӰû£ɨһ΢ŴӰټ˵ѦԺԼУҾͷˡ

ԼزУܰ취ﱨ34%Ļ߿ɺϲѳٰ̥෢Թ״ٰȡУһû⣬ͺá
޵û뵽״жѦԺȻһ
ôģǲ֪ĸȵ
ʦѦԺû°ɡ
ͷˮGFAPϸзʲͣFlanagan EPоͷˮڻеķΪ32%ѦԺ­ѹߣ֤GFAPϸĿԺܴ󡣡ЦȷϺ3-5ѦԺܿĵĻؼˡ
ŶŶǾͺá޵ڷġ
ֻҪʲôҪĲУGFAPϸַʪ༲Ҳȥо
ǿǷʪߵĲԺⷽ滹Ҫǽ˵ˮƽֻ˵һ㡣
Ϊʪ༲ر𳣼֢״֢״ǡ
Բп׵Ĳҷʪ߻һ˵ڡ
һţһߵۿơ
߽ȣԴҲܣ1ûҽҲְ
һ£ͷ޵¡
ʦְҽȽ϶࣬ۿƸɻ˲޵ѹ˵ԺƸо1700Ĺʣвˣżء
Ŷ1700ȷе١ϸ࣬øծۣⲻǳôЦЦ
޵䣬ǶסеĻһ̾
Σ𼱣ߵǰ޵°ο
Ժûô۸˵ģ۾Լ⣬ҪԶơ˵ⶼʲô¶û˲֪ô͵ȱȻɱ
޵²ȰοƼȱˡ
һ£Ҿʹȥ˽ҽԺκܼ˵Ժۿƣиġɲ̸Ǯ̸ֻ飬ôǲ̸ˣå
鼱֮䣬α˴ֿڡ


827 
Σ㿴˵ġ޵º˵
ҽԺʱٴεĹϵټɫѵλΣ綼ˣҲ붥ס
ڶԺۿ뿪ξҪ࣬ⲻڣ˼ˮƽ˺ʮꡣ
˼ӣ̾˼ԺҲǳ
֪λʦ̽ѦԺ
ʦáεѦԺĺ˴ôҪǲGFAPϸ
˼ЦΣʵ˽
˽һ㡣εƵĻߣʱҲ뵽ֿܡ
Ϊʲôڵһʱأ׷ʵ
е㲻ҡεѦԺʱ֧ۿƷչҴסԺܿʼҵüسԿҪЧãҲüҪЧá
û˵ȥ
ˡЦ˴ϿGFAPϸ
ŶЩĵĵͷ
ȥƬӡ
ȥΰ칫ңΣҲˡ
ʦҲǺģĵڴϣ֪ʲô
޵ܸоʲôʵܼ򵥣ȥ˽ҽԺΨһѡ
һһҪĵ㡪ߵԽ˾ͻԽõλã
ӪʱҲҪðյģΪǶͶ롣ǰʱ΢ĳɱչҽԺֻΪ
еͼ֮ҽԺܻܲȥҲ⡣ûǮصҽˮƽ½ٺЩʱҲûϵ
˼Ҿأ籾ҽԺ
ӥӣҽһҲӥԽԽСҽģԽ¾ĻԽۿƣİۿ⼸Ѹ٣ʡֻһңλޣȵá
뿪һ֪ҲҪܴѾ˼ӡӿ
ӦGFAPϸῴ˼Ƭӣվ˵
ʦ˵
ΣæţȥһѦԺͻˡҲûζ˵ʲôôѡԼҲûá
˰칫ң޵µʦ⣬ιѾְ˼
š˵ͷ˸־νġ
ʵôν
⼮ԺԺʿִҲֻվһ߿šȻܳȻ⣬ȴ档
޵ƿţһơ
ЦЦ̧ȥ
ǰŸ䣬޵ȻоʦůϢȻʧ˾һ鶳ŵһ㣬Ӳɢź

޵һ¡
鶯ӣ۾΢΢⶯ֻǶһ£ȥ
⡭Ѧͼ߽ЦǺǵ˵һ֣ļߡ
ɩӰɣᡣûʧ񣬶ҽܵ
ʦҼҴ˵Ѧ͵İ˻Ǻۣǿ˵
ɩӣһ£ǲ򲡣ڶ仰⡣
ô֪򲡣ƵĻѦ͵İ˵
ԺɩӲһָѪǡ
޵ҲŬζֻлƮĻ㣬ûŵʲôζ
֢ͪжĻߺʱһƻζҽƳʶ޵ûƵĻߣҲ֪ƻָһʲôζ
İʦ˵Ļʵȥ
һʱлʿָѪѦ͵İ˲һѪǡ
28.8mmol/L
ҽԺ׼һ£пҪ͸
á޵µһʱӦ漴һߴѦ͵İ뿪һߴ绰ϵЭҽԺҽԱ
ѦûӦĿ˱޵קߣһɻ׵ĸоȻ
ѦԺĲû⣬GFAPϸһϵͳվڴͷѦ˵ѦԺ򲡶ˣ
7ԣ8ꡣѦã˵ûΪԼ۾ϹϲתˣʦҰˡ
˵Ҳɼʷһİģֻ֢ͪж˻ûлԺԵĸ˥ߣӦò⡣
ŶŶŶѦӦ
ɩӻôʼʱԵʲôҩʵ
΢ĸѪѹѪѹߵʱ150/100ûԹѹҩѪʼö˫һƬƣЧͦáҰ˲֪˭˵ģҩԶԺмˣʼڷҩ
üѦԺҲҽ
ʦ˵Ѧ̾˿ҵʱ䣬ʷ


828 ޿ײ
ҰʼʱѪߣʱúܲ˼顣Ѧʹͷ˵ʼĽڣ侲
֢ͪжֻ֢ͪжѡ
ⲡأѦһ뵽ЭҽԺ豸ʦεļ԰ġ
ʦҲ˵ˣûԣҲû˥ߡ˥ߵ֢״ûע⵽ҲأԤӦò
ԼҪǰЩƾһ飬ʦƵݡ
ʱ˶ԱëģжӡһΪԼãոѪ12.5mmol/LʱҲе¡Ѧ˵Ҹһ£򲡿Ϊԭ£ûϵ
Ѧ˵еㆪ£۾ƤЩף΢΢
ûдĻֻ֢ͪжһʱȥҽԺΣ⡭
֪ôƹ̣ųټͼر𺱼ļ
Ұ˵ⶼ˵ʼڷ˫ңʳ˶֮꣬ѪǿƵĶά4.5-6.5mmol/Lҡ
ǰһ죬ִ߽ƭ̰С˵˵ƭȥҰ·ǽ򲡡
˵ѦͿЦ
˵ҩֻα겢αʦҶҩûʲôѪؾЩҩЧҶϡǰƭӡ
˵꣬ץʱȥȻҽԺICUǣҲȥָǲġ
ҰҲ֪ӵаǵĻ˵ڳԶ˫ܿƵסԺٹʮꡢʮɾδˡ
˵Ʋסʹȵأʱ͸ҷƢ˵ȵڹǲмˣҪӵģ
ô໼ȵأҲû˭˭Ѧ߶һ䣬˵齵裬ʼԵ
ѯһ¶ԺҽΣ˵Ρ֥˲ΡٶнǵãҩҩĻԳԻνǿгҩԺС
ҰƢ۶Ůǰ졭Ѧ͸놪£ԼԼק˻ȥҩɣҲá
ԴʼڷҾͶţÿһһ¾ǲѪǡȻȶ˫ЧҪһ㣬Ѫά8.4mmol/Lң֣ҲͲ˵ˡ
ʵҾòҩѪҲܿƵĲѦ˵Ĳ²⡣
ǰһƭȥͷһ򲡡ҰˣűʼǱ¼ҿһ£Ǿž滰Ǽٵġʲô2000ǰھͷ򲡣ֻʱ֢
˵ͷ
Һһܣ˵Ҫܳ׸򲡣ŵģ¶ôܣ
Ұ˹ϣʼҩڷ˵3¼ЧΡ
ֿʼĵÿ춢Ѫǣһֱʳ¶ѪǱֵĻã10mmol/LҲ߰һֱȰҽԺúòһ¡
ζңΪҵ¶żϻ𣬼ûúóԷѪȥҲ֪
ˣһ˵ôȻƻˡѦͺȻ¶ϵİûڣҰ˺ʱƻζҵʱһֱԼ۾û롣
Ѧ˵⻰ʱ򣬺ھΡ
֥֮ң֮ȥȰһ䡣
ţѪǿܾ͸ˣҹһֱûôԷ¶Ѧ͵
û˰ɡʵ
ûˡ
û£ûԣܾȻᰲοһԵ֢ͪжĻߣѪ62mmol/LҲˡɩӵѪǻ30һȥ
ʦһжˡ
ģС⡣Ժϵʿ֣Ҳ벻ˡʲôľ˵ҺԺУԼšѣֻҪƣС¡
ǣ֪Ѧ͵ͷ˵
ˡ˵꣬ת뿪
ȺƭЩ겻֪ƭ˶˵ĹײıҲΡ
Ѧ͵İͲ󣬰˻ʡһҴҽԺԺȻҲһס
޿ײ롣
һһϵ֪ϣ˵ѾͷĬϵǰ׼
ϻҽԺʱ򣬿һĬµҽ
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Ҳûൣġ
רҵҽŶ֢ͪжֻҪʱֻ֣һСëĬϵȷ󣬽ûκ⡣


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Ĭ൱пһ뵽ȭͷôʯͷػƣԼۡ
һֳ֡ʯ12.2cmһ22л
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ǾͲ˵ˣҼһƪ˵Ƶ֧ܳʱδȡ°ھ޴ʯĲôĵȷΣûȤһƪSCI
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²ǰΪܶѣ֧ܡºûȡųֺŵľ޴ʯ
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겡飬һƬַ˹


830 o
ڶͼƬһ¹״ĽʯһȭͷĽʯֲͬ棬ӲϬĬĪʹ
ٷһƬɳʯǺߵɳӡ
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һĲ΢ȺĬϸ˹ơǻõʱ䳤²֮ʳڵܱϡ
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831 Դ
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绰ڲΤ󱦣׼¶úһ¡


832 
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㶮ɶϵĹ򡣡˵ٸӣһȷ죬ȻҪ׼ϵʾСƬ׼ϡڶΣ׼õϰѾûټˣǲΣ



833 һֱǵ
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834 ֪ô
С⣬Ҫ˵塣ô飬ڻǵá
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Цˣûͷףʼѯʲʷ
е˵߶ĺܣʮӲŰ֪˵һ飬м仹źܶ˰籣ıԹ
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УҾȷһ顣ƽʱͦã60꣬9ǰֻʹȥҽԺˣϡ۾Ͳˡ
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ڰ˾ҽԺɴôա
յĻߣֱһ֧ƽȥ20Ӻ죬һķտ϶ȥ
ҪǲУ֤ⲡǰ˾ҽԺεģϽҽԺʡǻɶأ
ɻۡҲõƣܰڻһ£۵εʱ£36.5϶ȣǷȵµļۡ
̣ҪҹƾǲˡЦٹ۲20ӣҪøо˵
С⣬ɶصġװס¶̵ĵβŽȥСƿ˷Ӧæ׷ʵ
ܻ̿һֽзʪԶ༡ʹļ͵ֲϣûرԵļָԷ֡
һѪ֢ΪȫѪܣԲ鷢ʱµ֢ʹǳ
ɶûһ顣
ʪô˵ɡ˵
һ£ټķʪʱҽԺôϵġ
ҾǼ˵˵Ц˵ҲǣܲؼһҪ顣۲֪ôģҪ֪ôûġ
ԶԶԣС˵˵Ц˵ҵСӶ¶Լһ̫ţûҪ֪ôġ


835 ֲ
ⲡûʲôرõİ취ơһ仰һˮƵõϡ
һַʪѪܼڻûȷƷ˵أҲû취Կڷ࿹ʹҩл⡣
ɶ⣿ʵ
˾ƥ֣֪ɡʵ
֪ҿö˶԰ݰ˾Ʒ֡
ԣÿΣÿһƬ˾ƥֻ߰ݰ˾Ʒ̵֣֢״Եõ⡣
ΪĳЩȻأҽԺõƤʡɣһҸдϡ
ôô
ȫκô
ͻͬʱʵ
ῴŻ˵̣ôǻһתʱ̫ˣǻ⡣
Ҳƭǲܵģ泩Ķ꣬ٵëСӹǣô100𣿡
Ȼ֪˵ûЦĺϲ£졣
ûҽʱΪвκãҽѧֺܶಡûΡٺҽִûΡء
ڸòɶ˰ɡʵ
ĲûΡЦǺǵ˵
㿴⺢զ˵أҪĻҪҽɶá˵
۶˵ʪԶ༡ʹַʪĺ˵һЩ겡Ѫѹβ˰ɡβ˰ɡĲ֧ܣҲǸ⣬ӰС
Ҳǡ˵ҩҾȫˡ
ʪԶ༡ʹԼУҲһơУؼҿݰ˾Ʒ֣ÿڷһҪס
ţҼסˡ̺˵ܸŮ鷳ҶӶʮˣɻء
˺ȷϣ᲻˼ļҳ̵¶վҪʺֽ
ͷվſڣЦЦû
ʺֽдҩһǿڷҩͳ֪ϣ뿪۲ҡ
Ƴڸոձῴе㷢ëСк
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ҾǡǺ棬ʲôʵ
ʪԶ༡ʹһֱȽϺϵķʪ༲
Ტʱ䣬һ˵һԶԶ뿪
У϶ǺŪˣ˵˭֪Ĳû߿ڷʲôöûеҩβҲβڼ᲻ԸԼĵ뵽
ղŸʲôˣʲʷôû塣
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ʲôû˵ֻص
̣˸һ¶ʪԶ༡ʹⲡ̣̻ܳᵼ²ء
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ӡֹ
𷸳ôǷ˵ǵҪ̵̡ı֪ʲôЦ˵ģ̸˰ɡˣԺ¶ĻֱϵҾС
ˣûٻͷڼסʪԶ༡ʹ֣һһĥ
ôôֶôŪû̳̣ǵ͵Τ
Ҫ˵Ҫԣһº鷴ó̳˵¶
ڲŲŻṇ̀ܽ䷹Ƚϼ򵥡
صңڴ򿪵ԡ
ǴӹʱͽӴģе󣬲ϰֻĻԶϸ򵥵㡣
ĳȣʪԶ༡ʹһסˡȻֲ
һһֵĶ´ʲôһ߶һߺͻ̵Ĳ໥գֺƳظĲʷա
ֱڲŷԼˣĺ
ȷûϱ׼Ҳ˵ûʲôáȻˣжҲܼ򵥡
50ϣ
δ3׻λУһּʹͳ̳һܻϣ
ѪҺеѪCӦ׵ָߣ
ۼ޺ף
Ҫһ㣬ֺļԼ൱С
ҽһЧֶΡ
ڿŵĻܡ
ΪԼᣬöӡ
ⲡʡҽԺҽˣԼ᲻ǺôҪܿףֵ¶
ֻǾԼ֮ǰҪƳ뷨ɡ
λƳ൱ţƣѹֺʱƳһ


836 нľ
磬ҿҽڿ֪֡ϣ˵
ˣҿⲡ
Ǻô粿Ų
Ѿͷġһ߿һ˵㿴쾭飬˿һӶ֪
ɽʹ󺣡
֪ϣֻһۣ磬ϰ塣
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֪ϣӳͨ绰
ϰ壬á˫ỵ̂Ŀǰ˵
ʦæʲôأЩͣ΢΢˻ơ
һԺ귿˵
ʦֱ˵иҽԺѾ޲ˡҲǱҽ뷨ûа취
뽲˵
һѣ֫¹֧ܣ֧֧Ѿ3ˡ
΢΢ݣ漴Цģ
绰΢һĬ漴˵ʦ۾ȷҽһΡ
Ѫ΢ˮƽܸߣȥˮƽ˵綥˵ϰ壬Ҫ˵ûʲôð취ҲǺ
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֧֧ܣѾ޿κε飬Ѫ⣬ϳѪ˨ۼҿô
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Ҷϵ绰֪ϣʵ磬ҽˮƽôôôûо˫֫Ҫǹɶһ˿˿ĿܣѶҲ̫˰ɡ
ûʽ֧ܿԶƲǡϰѹҲȱǮȱʱ䡣
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Ƭ˵ҹĿԲѾܱĴҽԺˣϵڿ漣ݡ


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ڻֽһƬ͵Ĳݵأ˳С¹ڲݵϱıżһڲݣ·߻ʻĺɫȴ£ֻǺĴİĴһ
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һҵ飬ԴӶ˼֮ʼоҽҩףѡͻƵ㡣
ƺʹ˳Ұ
˲򵥣26ʱʿҵڱϵѧع˾
˾㽭УǳƺٹڶĬĬš
µļԱо˺ܾãŷ乫˾ڼֻڹƹ㡢ģʽЩ⡣Եûʲô˵ǼƣδгԶķչռ䡣
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ûһ˾ܾһߴ߶һҵǳƺֱӾܾǳɴֻ࣬ͬƵ顣
Ƶ֪иı䣬ƺ岻ãر𲻺á
ʵһõĺ飬Ͼʼˡִй廹Ըȱݡ
˽⡢ƶ̸к˳ƺ
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ӵƺԴĵ绰˵Ҫһ档
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ʦû취Щ£ͷһһա
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ԼȻᣬҪԴֲһ졣
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ӳȥһׯ԰
ʮĶĲݵأ͵ĳֻǵȴûôʢ
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֪Ӧǳƺáˡ
ȱѪãһϵе顣ȻƺĲأѾûκΰ취ӡ
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837 ˼
ûʲôð취ġƺ˵⼸ǿЧʹҩﶥţһҲѡ˵仰Ҳ֪껹ûܵסҡ
⻰˵ıĬȻ
һʱ㣬Ǻ˼顣ƺҪ20ϧˡ
20꣬ǳƺʼ֮ǰ
̾˿ϰ壬ļϸҿ
ˣûõġƺȻ˵ҿ12λרң˵һ
ΪһλҽҲֱ˵
ллƺЦЦҶܱˣҲŹ֮˵ͱˡ
Сҽ
ҽĺȷĸûʲôð취ƺ
ҽѪܽרࡤ΢༲רңʦҽԺһҽ顣ǰ¶
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ƺ˵һӲӣÿһ׹ƺüͷ
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ʦԺΪʡҽԺڣŷߣԵûһֱûʦϵȽУմ绰ʦҲ˵ҽжϲУǴǲУҪƬӺжϡ
գлˡƺ̾˿ǲˡҽʵƷ֪ʺܵͣ˵ֻǰοơ˵Կ࣬Ŀࡣ
⡣
ƺץס°ıӣ򿪡Ķ΢ıĳλãɳʹƺһ
ӻƿһóζɢʵʣһͷ
ƺСѾɺɫмλóһǮӲҴСã渲ǵɴ͸ɢŹζ
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˵ţԼȸƫ5cmλñȻһ¡
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ǿɫ֫ɴ͵ơΪǸ̼֫塣
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״̬õʱΪùҩʱ䣬ǿҵı֪ʲôǵƺЦ˵
֫Ҳǰ취ôʵܻ
ƺ΢΢ҡҡͷ
˵գҸ㽲ҶԺжϡƺ۾˸⣬֮ʮǶʮ꣬㿴ҵ۹ô
ȱ𡣡ֵֻҪĸϣϸңҴʦһۡҪǲУҲû취Ҫǿԣɹȥ
УҲ飬ûҪΪ˷ѿࡣƺŬסʹһ˿Цݣȸ㽲ҶδжϡҪ˵Ԥԣֻܶܺ˵
˶ƺ˵δʮ꣬ƼĶʮꡣʱԽԽۺǮʲôôԹżΩһϧҵȲʱˡ
ûдϳƺĻš
ƺδܿƻãЩáɫʡ
ΪĿƼˡƺ˵˴СʱüƵԽԽߣʹҩҩȥֲ֫崫ʹѾܡ
ϸͰʮǮѧĸûпѧ֤ƭӺУ˺öϡŹֵƺЦǮʮǰȥǾоһչϧУҲǾĿ
ҼסˡóƺѾˣһԼһ˵ε硣
ǰнľĳƺͷһִ
±ƺΪ֪Ҳδǳƺǰģ
ԲҪٴһ룬˯һᡣƺ˵˵Ǯܵģֻú˯һ㲻֪ոձ۾Ⱦ۵˱һʲôо
ֳ̾ƺ˵Կࡣǰģǵ
ƺһԱߵİť߽ƺ֫ϸ
뿪ƺļҺÿڱ֮ɶǹӸõζ
Ǻۡ룬;ԼҪףƺܵʹٱԼļ޸ʮ


838 ݽˮ
磬ȥ衣֪ϣصЭҽԺ˵
ʱҾ룬ҪкʲôأЦǰһжٱ֤˲۸˵չˣŮ
æģøҴôߵñӡ֪ϣĸ첲ЦǺǵ˵ƽϢܣȻ۵ˣǺİ
Ҳȥϳʲôĥһ¡
֪ϣЦ˵ŲҪ磬ҪһɵĹǶ
˭֪أ˵ʱ̫ࡣ߻ıȽ٣ɣż
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һǵЭ͵ʱ֫ѪܼĻߣ˵Ļǧݽš֪ϣʵͦΪʲôݽⲻǺͺȵ㿪ˮô
ˮݽţǺܶ˵ݽܻѪձ˵ɣһȷô£ҲЦ
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ĶѪҺ֫ǾĻӡˮݽŶڱľֻиá
費ǺţܿóΪ˵ôû֪ϣЦ磬˵Ϊʲôأ
ˣҲ̣˵ʲôǶṣ̌ʱͷˣҵֶĲУò
ѽ˵֪ϣСæϣʦʮˣÿ컹һ̨ء
ٺ١һ³֪ϣ֣ʵ㻹轲ʲôˣ
꾲϶Ҫһ¶֫ĻΪȱѪĩѭرԸݽšˮݽŻᵼȱѪ֯֡Ѫ󣬸ȱѪ֪ϣһû˵١
УֻҪ˵ף֮󣬸ھҲͶ֪ˡЦ㶼֪֮䴫ٶж죬ѹЩƭӺУг
УæŰɣһؼȥˡ֪ϣ°ؼң
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839 
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ŷƯʱǿġҵĸֻлŸҲů
飬֪ϣʡûʲô롣Ͼ̫ĺլʡǵķô⣬Ҳô¡ֻҪܺ͸һһһ͹ˣҪ
ŷסׯ԰ڷ˯񣬳֪ϣԸᣬʲô⡣
˵Ԫ֪ϣóԿ״š
Сϣôʵ
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֪ϣǰ˵ϺԺƣ̾˿˵ˣͳ˺ǵۡ
裬㿴˵ġ֪ϣڴߵϣ˫ŷ棬ϥЦӯӯ˵㻹ᣬϡǻҲϰ۶ܰʮǸˣϷغ߰ʮ˸ϼеǡ
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ǴǰֻҪӲŴʿײ߰ʮҲ١֪ϣҶ˵ģһʱ䣬ʷ鶼һء
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848 绹ǰ;ô
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852 ©ļʷ
ԬС֪͡ùãĬҩ1992꿪ʼҽ;
ҩ֯ҩ嵥ΪһֿڷѪ֬ҩڻҽϵرҩ֮һ
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ΪɷȫסԺܶദáҪͻ߼ǩ֣ＱȲһ
¼ȨǰǾơ
ȫҽǰһС⣬úԺżת
ϲģôءȫһ䣬б¶ôûµĻһȥˡ
ȫֿءԺ˵
ȫС߶һʲôΤû
һ뵽үԹˣɷĺ֢ᣬȫĺ֢أΤ̾Ϣ
ɷô˵ǰ˾ҽԺҽ̨ӡû뵽ˣôıʡ
ĶҲǹߵòʱ˻Ϸ֡
ϷذɣΤﰵԸһ䡣
ȫҶԺICUҽֽкƣЩҪǩԺ˵
ǩʲôǩȫڳݺ˵Ĵ۶ôȥλҪҶϾӹϵ˵ˣǩܸɣ
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ΤƳӦǲ´ˣȫӸ¶ɷҵļֵıԼлҪ
ҪɷСȫ⺢ôٵ
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ICUҽǩֵȫֵİǩˣתߡ
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Ҳͦã¶ȥԼÿźѧϰ
ƳҪϣҪԼⱲǿꡣһֱ㺢ӿ߿ƺҲһ˼顣
ܿȹڣ֪Ķ
Ժ߼ôICUǮʵ
ǮΣʵڲ˼ԺھϹ˵ЩƮ⺢ӡ
ԺСĵֳҽƾסǮκԺ죬˵һ䣬תȥ
ԺICUϣΤ󱦸һţ̾üչ
ΤƷǮθոյĻԼľҲƵӡȻƳǮζ룬¶⡣
һҹֻԺôһ߼ICUšڼοƳһΣˡҽԺͬҲԺȥ
Τڷͨ˯ѵĵһ콥ˣȵ˵ңICUҽ˵ɷƽѾιܣ۲켸СʱûµĻͿתICU


864 ȻƳ˵һ
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ϾɷԼǩ֣ܰʺȥɡ
ԺסԺûˣȥһ㡣ICUסԺܺԺ
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ICU̽ޣ֢һһҹһ+ǳ̬ɷǲȽᣬҲǧ
ΤԺʮָȫ绰סԺѡ绰ȫֵǸ˺üףΤ
Ҷϵ绰Ժ̾
Τ󱦶Ժ˽⣬ܲµԺüëš黨´һ࣬˸оǳ˿һܡ
ٺ٣ʲôõģ
ȷܶ㣬ҪǰĽɫڱָ㣬߰⡣
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ոӦС᲻ûǮȫ̬˵һУ˼ȥԺѡƲ֡
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Τ˺ܾãICUĽṹһҪһڷͨǶ˵ʲôԲ
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Ȼ˵Τ󱦾û⣬ܲܰڲﲻǡ
˵طΤ󱦹۲˲һСʱͰԽпࡣICUԼţֻҪ·УǲǵĴ
վڲȾͷķͨȻܿʲôˣǵı飬ֻվš
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Ƴƺ´ˣΤĥôȥƳԺǵ뿪ȫ˲
Լʲôûܲ˵Լµİɡ
һᣬװĵ˺һű׷߽


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Ϊһҽʱض˯ţǱҪڼϵһܡҪ20ϵˣӦƵĽࡣ
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ץʱȥɡʦ˵صϻỹһ٣ͨα֤˵Ǻڶıɡ

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870 ¿ˮ
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οƳѻʿ˵Ļԭԭĸһ顣
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οƳһ£ϸʦĥǲǳˣôҽԺķɹء


871 ˭
οƳʦĻ֮ŲӵֽӲ΢΢
ģ˼ڰҽԺ˵أ
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οƳϸ۲죬û¼豸Ҳ֪˼ֻҪ¼Լˡû˵ֻǵ˵ͷ
ԶοƳġϡʵһ֮λ￴Ļм¼ô
ҪʲôοƳѿʵ
Ҫ֤ݰʦȻв֢ȷ֮ǰľ״̬û⡣лûУǶҪֳ֤ҽ
οƳصĿʦ֪«ʲôҩ
οƳ⣬ܻشô˵Ժߵ϶ûб棿ʦڿʼͷˣɴЦ˵˼֡
УУҪȥҡ
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У鷳ϵҽæһεĻʱȣϣܿһ㡣
οƳߣǺͿʦǸУɷΪʲôҵأ
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ڻεĴƸʦʿ˵ôôһֱڰ˵֡
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872 ˭ѽ
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873 һЦ
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ԺſţԼڴЩԼ۵׵ƶŬҪ
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ԾĿųƺ
Դʶƺ֮ÿμ棬ƺһ˵ʲô
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ллƺڷҩǿʹ˵
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911 
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ʦǣŶصġЦӦ̫æˣԸ˴šΪܵ¶˵ֻܵһض͡


912 һ绰¶
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ЩεͷԷϯ΢޵﷢࣬ôóԵķ˳ԵҲǸζ
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մǰ˵Դڶص׳ںɽʡ򲻵ѣû˻
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913 ô
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914 ŵĹ
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ǡ޵¹˵ҳʲôǵá
ȥٴκ͸ִˡѦ͵ûܳ棬ǴҶЩ
޵ΣΪƺӴϳô


915 Զ
ջݣ޵ϳԺֻҪкϳƺӴϳǱزٵһ׸衣
ڡƺӴϳǰԵģûһ˿׸豾һƣǸеĿ
ǰѧУղμӹʱƵ飬û뵽ЭҽԺԺһΡջݡξΪ˷ִ
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916 ̬
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УһҲῴӡطСֻ潫šֵʿЦԱٽ
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1939괺һ죬ݾӵӰһҤᣬδȻǺӦμӡ
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917 еļƬ
Ŀ֣ࡤȥ߰ҲҲȥʱ
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918 Źֵķ
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עȥᣬһѻͳƵ֢״߶ȻͷףϧʱûCTӰϡ
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919 ȫĶ³
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921 ʱ׼
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绰ûеһʱ䲦ͨ룬ſڼ¼ʧʹޡ
㡣ICUָָԱߵһʿͻʿȥ侲һ¡
ڵICU⻤ʿ
ûϣû죬һ֮ںȻӿ룬ҽϵֻֿ˺ܶݵʱȻ
Ƶû
˵ζε
ǰʷǡдĶ̶ֳ̼ǰʮ¸ȳӶ졣ߡ


927 ٱ
֣ڣĻʿ̨ϴ֣˷ܵǺƻ
Ѿǵк֣μ֣ƺûڽﲻϴŵ绰
ʮǰ֣űˢ΢ͼƬҽԺĳŴšªҽԱΡ
Ȼвԭ׵֣֪׵Ƕ̶ܲʱ䣬Ϊʲôͳ˼亱ҽƼҡ
SŰʱֻǲ֪ôƣûгֹǰֿµĳ档
öٻͬʱӿҽԺ
һ뵽27׵ҽԺۺʵЭͬ͡áСȻ˵ȫ⣬һ߳С
ôһУֻֿ˶̶̵ܾͱô
Щɧ֣Ҳ֪׵һ̨ĻԲĳЩɧܶסġ
һߵҽԱʮ߼׵ҽԺʮҼ׵ҽԺԺʿר顢ȫõP4о
Щҽרҵ˲ӣ֣ᣬ֪SʱҲûзǰֺŵ顣
͹ʷûľΨһԱȵֻ17ǰS
ڶԱȿһõͷ֣𡪡ԵǿȷߵһּԴȾ
SεĲǰֻһܵܣһеܡ
֣󱳵ĺëãȻûҪôѾڷһԴȾκλô
ĴأһĲҾ棿
еҽϵͳ֧Ų˼죬ѾȷһȷﻼвԱȾ¼
һһҽԱ½£ҽԱļ޵ģ
սУս˵ľǴڵģұǡ֮ԱǣΪ־Ӻٳ֡
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еҽԱԵʲô
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ûзʣϴЬסCTƬӵ׻Ŀ¼һߵҽԱ
ֻҪκһʧأӦʧسʲô˭ûƵľ顣
Ǵƽȣҽʿּܼ죿ﻹзô
Ƭ֣Ѿжϳеڶ̶̼֮һա
һΣ֣˾
һԴδ֪֪̫࣬Բһֽڱ
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ۡ
Ů˻ûסڵ绰ʧʹޡãȻ磬ԭ׼ϲ͵Ȼ޴档
Ӻǿס֣ڣˣˣˡ
ĴѾ崻ͣظһ仰ƺЩƮԶ
֣Ժ뵽ŵ绰Ļ߼ھϹվԼǰһ
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лллл֣ڣŮ˾ϲӵ˵
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ʮŶȰ룬һζӣҷȥ¡·УҲŲѾһֱˣѾˡ
֪ˣҴ绰ϵһ£没ܽţҲ120ȵ绰ԡ֣רҵϾճ120Ƚӵ绰2-3֮ڳ
ֻҪܽҽԺһж˵ʱλãƻ߼
ҡ
绰ֻһ֣漴ס
ž~һ죬֣һ£ֻϡ
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һԺһɺ̵֣Ĺͷ׹ߡ


עһα༭ǽɾģһǳԱһ¡ǰ˵̷ףǵѴ鷳ͷġǰӦһΣĲŵ̷׵ġ
ͷ֢״ȥ8¿ʼĵ̷״ͬС죬ԾͺԵûɾ


928 ʬ
122ա
һƬңǷˮһ̰꣬ҡҡ׹弫١Ѹ͵ߡߡһ㡣ҽȦ˶ҽԱɵĵ̰ӣ֪з֨֨Ҫ
ˮˮӣΪҽԱҶڹԵĿţһ롢һӡʮӣҽϵҪȫ
û֪Ǹʲôʱ򣬵רڵ˶ֻһʱ⣬ʱԲܳ
ȫ˶׼Ź
ܶ罻ýϷϢ
һЩߵʹҽΪ
ֻмڿоӦԷ8372
ʱȣܡ
֣ҽ֪ʶ棬ǰ
֣оҲһĸоֻʱ䶼ûС
һӴġ͹ʷϴûйķרۡϼ㱨
мǧԴȾɢȫͿ̿ҪضǽӴķҽѧǿеģǱġ
ѧأ
ټаͣάϵתıҪʡˮ硢硭ҪжκһССᵼ±
Ƕŵһֻһֲȫ
һϾսս
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һƻʧܣѶС£мˡȫʮ˻ԺεȲҵ˭֪
ʷϼصʮҾſաǧ̡·߱ĵһĲ񽫺ܿǰ


123գ賿230֡
ָӲ1ͨ棬10ʱվ뺺ͨʱرա
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һʯǧˡ
ҹʱ֣оȫʡȫ
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ѡصŸԲͬɣÿ˵ﶼĻ̿벻
Ȼһ磬ͯҽԺѾ𳤶ӡ
ڷǵĿֻšǷ·ɲ񣬶ҽԺÿһ䡣˷ĺӵǲɲϽֻͣҪһǣȼеĸɲ
ʧأ˭֪жá
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鷳һ¡
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85꣬ͯڿרңĶҽʦɾͽ
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123գģӡ
һ維Ͼ֪˷ǵϢŵ綯ҽԺ
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ﻤʿһ£ںθС˵ϣ֪дȾôӶˡ
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һӲĲÿһߡ˵ҵ;񶼿ԣԵʱû⡣

ģʱһ˵һ鷳º˵
ʿΣʼﶭϴ֡
ΰôˣһҽϵӰһߺܳʵ
дߣҲ˭Ƶ˵ĲѾ޷˵ٿһ˿
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ЩСëӶʲô˵03ҾƹSҾḻ
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ҽ85þȫϻʿ·
εļжο϶֪85ǴӾģɷˣ賿ո֪ͨǣ
һϢд

ʬ


929 Խˣ
ɽʡ˾ӣЭҽԺ
ȻЩأջݻС
һý塢ýйеˢ˶Щ¡
˵ýˣĻʿǡѦ͡޵ڶ׷ĺ塣
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03SʱûзУȴ͸κһвһϢ
ΪӦȣġһٴ롣ݴ˶ЩţȻûʧĳ̶ȡ
Ѧ޵ǿջЦԼҽʿӰ
ջݸ·ĸ޵̾˿
Ҫûеͺˣһ͵Ĵڡɡ
ʦô
޵ûκһڴʦִ֡
ִ֣˭ôԸ˭֣Լ롣ûƵеǰƵһζ
ողʦĵ绰ǹػä


һԲʾװ˫ǣų֪ϣִӷɻ
ö죬ڻˡ΢Цͳ֪ϣתһ̧ͬ־һ

ʦˡЦǺǵ˵
ʱ˾ӣСĢرޡЦ˵
ãһΪĄ̊́ӣץʱȥʮˡ
ݸꡣ
Ҳǡ
ת뿪ϵĴͷƤЬڱĵϣ֨졣
ڻˣ֪ϣЩ˷ܣСһ߷ȥ
ֻ58ûпҲ֪жٸδ硢жϢ
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һ̨ɫգS*****ĳĿϣϤĽֵ˼̻
ܻؼˣá
ڣֹֻͣ𶯣һֻǣų֪ϣ֣һִֻֻٵĵ㿪΢ÿһź˽Ⱥ
ǿ֢һ֡
ֻҪкû㿪;ûµ㿪ҲҪк㶼𡱡
Ĵָ޳ɵһֻСһ㣬ϻֻлҳ档
֪ϣĶƵľٶҪǿ30룬ǰͥ񾭾ͻ쳣ŵ磬ͷͷʹġŻµ֢״
γһĸо֪ϣɲ뱻ָоƻ˻ؼҺϲ顣
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Ĵָˢһ°´ͷβ
У˵ROֵûȷڹƴ3-6֮䡣
emmm֪ϣȡ
֢رߡ˵ˣ֢ѾȻѾҽƼңֵ֪ܼʲôʱ򡣡

ĬĬĲϣֻο٣µĻ͡ٶȻٶȶϼȫᡣ
ʮӺ
ֻ绰
ѦԺôңᡣ
绰洫ĸ
ʦˣѦ;ϲӣŲӴ˵Եȣҳȥ˵
ֻ۾гһߡ
ܿ죬绰ĸȥʦڻˣ
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ջݣҽԺԺ
ģ
Ժá
ȱɢϵ˵
˵꣬Ҷϵ绰˾˵ͬ־鷳ȥЭҽԺ


930 
硭֪ϣС԰ף˵
֪У֪ϣߡ£Խ˽⴫Ⱦ˾ԽǺ¡
ҪROֵôߣֲ֧˶á۶ħҽԺѾʼԱˡ
֪ϣĬ
ҲҪȥ漴һʣҲҪȥ
Ҳȥ֪ϣü
ҲҪ㡣βУֻȱĵط
֪ϣüûһ˵˵öԡÿɷ۾ų⣬û˵
໤ǡIABPECMO֡߶һĶ
һǴͳֳżܳȥʱֳ̣
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ûзȥɲǲһǻѪʲôû͵£ҽʿɻߡ
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ô
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һ̺꣬壬׵ľǷˮһġġʱԱԱĺ»ҲҪʱ䡣
ǣһȫ
Ҫֻ֣пֳҪҵҪ
ڴڼ䡣
ǲɵ
磬׼ô죿֪ϣ侲ʵ
Ҵȥڼ֯ڶ֡е䣬ҪҪһһ
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ϸһѪḥ̂һ˿϶С侲˵ҪҲڼҵʱ򡭡
Ҵȥ֪ϣ֢Ҳó
ֱӾܾϴӣר鳤УҲڡǲҪԼֻҪÿϴʱ֢Сã
֪ϣĬ΢΢
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ROֵ3-6ֵ̺Ŵֲ
֪ϣֱ̧֣һ۾
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͵İȡԡкһߴҽԺȬؼң˯һûѹеƣȵ̷׸ءҹһ
֪ϣ֪Ϻܶ໰˵ֳĬβųĵҡҡġ
ЭҽԺͳ֪ϣ³תɾֱá
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ʱ䲻࣬˵жϣαеĴȾ۴Ⱦʻʶ컨ߡ
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ңɨһ۽ЭҽԺҽʿ
Ķ·Ҫסÿһס
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֣ڣ¡йԱ


931 磡ƺӣ
ҽʿãȻܶ½½վ
һ־Ը飬Աϡ˵󣬸λȥԺﱨ䡢ְʣѡˡ
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һͨʤ·ٶྣ
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ȫС


932 ǹ
վ̨ϣҽԱ뿪
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š˵ͷࡣ
ʲôҪô
ICU豸סףĴECMOһ׾УʡǻECMOС飬ǺɽʡӦùá
ȥ޵½Ѧһֱü
šͷʲôûСϧICU˲
޵Ȼ
ĳǺ˳֣ʳߵǰȥôܣ
ˣȥҲСԺôôN95Ŀ棿
޵½һݷɿľµ˵ҿ¶ѦԺöһֵʡ
ѦΪȻ
ԵɺϣҪݷɻѩ˽ţȻⶨ20N95ĻڽЭҽԺҲòٷʡ
ҽԱ뿪̾˿˵ʵһʶηɡ⣬Ҫ鷳λԺ
ʦ˵ġѦ͵ǹˣɶӦáԺأҺһȥӡ
о飬50ϾǸ߷յΡ
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938 Ԯ
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ȫȥҽԺ80%Ҫ͵С
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ӿٶȡ˿ű죬ǮеǻᣬӹƳŲ˶áǮС£ץ֡


עǰһµʱȽҽӦ1.089ֻ֣11.47ȫֻԶҽԺ֧Ԯ人8.8ף


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ţͬ
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Ӻչ˾Ļ˾񺽾֡¹ݣҵ;ȫһ顣
ȫ磬˻֮⣬ûע⵽3mȵѾһɨա


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ܿ죬ӡǡܶ˿ת
˵죬޲ûǿеЦ춼ϲϣʼΧġǶǵĻϽ͡
Ҳݣʼж
һ19СѧƵ۾ﲻ֪ô£ɳӡ
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48Сʱֵ־ԸȺﾹȻ1000ѧ־Ըߡǿʼ˶ȺȺ
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945 ⻼
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ڵȴеķԼ㹻Ļ
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һСģȥ֧ԮҽԱûþ͵ȵ¡
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ЭҽԺǾӣȻ㹻ߣɱϾ٣ǲݴҽԺûôϡ
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
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ͷⲡ߸ףǱû֢״һ֢״չȴر졣
Ҳ֮СӣͲǱȲ塣


946 ֮
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ʱę֮́Ц˧սǰһָʾ˵һҪִ᳹УҲҪִУҲҪִС
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һսѣʼȥһݣֵĸʲôƵġӱܵϣҪûԮǵñ
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˵զӵԹƤϷɣವġ
̾˿Ȼ֪֮ûֻҪһүĻ棬ԼڣҲɡ
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Ųܱ²Ǿɡ֮ƿӣƿһڣվš˵Ҳ֣ӵ߷ɣûš
ĥŵսǶڵըûˣزȥңҲŵĶǡ
զŻģֵʿʵ
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Ҵţ𣬾Ϳתʼܡ֮Цѩ׷ɣʱҲ֪ΪɶͲϴţǸս׷˶ء
밡ΪԮˣҪءɷҲˣҲˣˣ
֮ʶĻǰƿӣһڡ
뵹У˼˰Ȼ
ᵶ˵ƺǰӣͷҺ䣬Сɽƽ


947 СϣҺú
֪ϣڼңе졣
ٽ꣬ûһ˿գҽԺÿһ˶ƺ񾭶ѵ
Ǹֻ֪ϣܸܵĽ벻
㣬⼸Ԯ࣬ҽԺ򲻵
仰֪˵˶ٱ飬ƺûע⵽ֻʶĺͳ֪ϣ˵Ľꡣ
ҽԺһ죬ǰںģһҪûһзйѾױ
˵ľҽ֧Ԯͻᵽ
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ô
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뷨Σ֮нžӰ֡ǻ˵ľ
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ȱˡȱѹȱȱECMOȱҽȱʿȱʡԴԴϵԺ˵ȡˣǸûпմICUŵĻ̫ˡ

ЩʣҲͦˣɾ˵սõķҵõķҽƵĲһҲҾҽԺʣҲ࣬´󲿷ֶҲֻͦ2-3졣
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һָҽĿֻšֻշҽƼңᷢʲô֪ϣ뵽ʶĲȥ롣
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컹УҸˣһ֢飬⻤Ŀˮ嶫ǽ߰ѻĿ俪һ죬˵
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ʵʵ˵ҽĲȷΥˡ
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Sûôܶ໼߶ڼزȥҽԺơ
˵ROֵôߵʱ򣬳֪ϣǲϵġǲϣǲԸϣΪһRNAôǿ
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Сϣ绰ţҺ¡
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ġ֪ϣ㣬עԼҸоѹ̫󡣺ú˯һȥ졣Һ͸ܿ͵һЩƷȻ࣬ϾС

绰Ĭȥ
֪ϣҲģҴȰο˼䣬Ҷϵ绰
衣֪ϣӴվһ
ٷҳҹô֪ϣĸʵ
Ҹ绰ҳ緹ķڰ˾ӳԡ֪ϣʹĴ˴꣬ñԼӲЦһЩ
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ҲС
֪ϣԽǻո˵ĻԽǺ¡
һҽԱܲСķɾôһ͸Ⱦˣ
ѹָɫôѿűȥ֧Ԯ


948 ƭ
磬æʲôء֪ϣͨĵ绰
ɽŻװȻҪٿһʣһ飬
ҳԷȥ˾ꣿ
emmmʮСºͣҿһ۾͹ȥ
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磬Ҫһȥ֪ϣȻᶨ˵
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˵ӵһҽĿˮǽǴһͱȾˡ֪ϣƽȵĿظһոյĻ
Ĭ2ӣΥ
磬ӵĲȾôǿô
ǣǿ˵Ƿǣʵ˻ܴС·뿪˵ʡҲҪ
磬Ҫһȥ֪ϣټĴĻôᡣ
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Сƨʲôҽ΢˵ʵʵڼңǰ治ȱˣȱǷʡȥҲǵһСҽãλжء˵ңУר鳤ϴӡ
Ҫһȥ֪ϣû䣬˼ȴˡ
˵ԥһ¡
С֪ϣЦˣյԺʲô¶ӵǸ


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ЦݺһҸĸ˵飬һ˿쳣
12󣬷˱ڣ˵ҪȥҽԺһֵҽʿ
֪ϣ·һš
һ֪ϣĸ첲ں
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ûʲôһģֻһֲ˲ROֵһ㣬Ǳڳһ㣬Ѹһѡ
˵߹˾ϷõĿӡȣҲǺÿ֮һҪռǸ
Ϲڿ־جμġΪǵѼݣʵʼʹˡȥҽƹȫ۰Ϊ57ⲻЦô
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ô졣
ҽԺ뿪˭Ͳת֪ϣıĸ첲˵ģƭСӡ
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ʱڳ֮ǰ˵ȥӵҪ顣
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磬дô֪ϣû˳Ļ˵ȥ
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֪ϣס֣ͷ۾ڵƽǡ

磬֪㱧ű׼֪ϣ˵ҪȻд£㲻ؼҳԷǰٷһٷһЩźԲԣ˽ңҲ˽㡣˵һ飬ƭҡ
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Īˮ
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һᱣԼҪǳӢۣһȾһָιܡ

Ҫһ߰ɣƭҡ֪ϣ˫ַŵԼϣ˵ǶҪˣ㻹ҵСӡ
ԶСӡҪ
βС֪ϣᶨ˵룬ǴȾ޷Ǿ㣬ƴȾԴжϴ;׸ȺROֵ3ĴȾκһ㶼ȵ컹ѡ
УѾڿǽաRNAڲϵݻУҲΪѡ£ҺУ˺ܾãҪԵرࡣ
֪ϣָһЩ
ڵо֤ܿݻģҲ˵顣
ŴʡDNARNA͵ʣһʹϳɸŴʺ͵ʸƳġԼ
ȻڸԼĹУΪûиӵĻȥԼƻ᲻Ի᷸һЩͻ䣬һЩԼֲһӴ
һϣDNAȶһЩεRNA
뵽һܣ֪ϣòҰס


949 ȴůȥ
УĲ飬һиADEӦͲٵˡ˵
ϸдԵϵͬĲʱֲиʻụԼŴʵƬΣںϵ²
û飬ֿ¡໥Ӱ죬֮ᡰܾˡһ
ΪRNAױԣһ͵˭Ҳ֪һĸ
룬һǧǰѾʼڶԸߡ
֮˵ڿԮʱ򣬶Ը۵־ԸҲõĸֶΡ
ԼȾԵһ飬ͷ桢һ֡թ
û뵽ǷҡҡͷԻ˻򣬾Ͳɡ٣
üиİ취
03Sʱûҡ˵S伣ʱҵˣȡ춥ǿƼ
ô֪ϣŴ۾ᡣ
ҡҡͷ˵Ҳ֪һ˵
Уô˵
оͷҽԺĽ軹ڿǡսʱ̫̣ÿһϵǧ˵׼һУһ绰֪ûᡣ
磬ͷ׵ĲǶһϳһĲô
УΪвѾļޣ˵ʱڲ᲻飬Ҳ˵һʲôﲡʵпܵǶԽԽ͡
ôsuperinfectionء֪ϣɫɷɷ׵ģ֪Ƿ󴵵ģǱŵá
2010㽭Malik PeirisʿϷˡвƬεġ顱
СиȾƴӣγµƴӲ
Ⱦ߸Ⱦ겻ͬHIVȾϸѸӦʹûļάȶĲ
һʱHIVͻӱϸΧ׷½أʹHIVòɿơ
ԵĲRNAʡȥRNA-DNA-RNAẈ̂RNARNA֮ʷǳߡ
仰˵л߶һķֻҪ΢ĴȾרҾ뵽Яһ𣬲ȶRNAиֱ仯һ飬ǽδһδ֪·
пܲͻޣ޷ҽΣȴҲʱ߻ΪЯߣΪȾԴ
һֳͻӼиĵضܳȥ֮֡
ڼи롭ֻܺǺˡ
ɿصǰ£˶ҽΣΪıܡ
һÿ춼ת֢Աߡ
и˵᲻ܿͱըӪһȫܣѲɢ
Դˣ˵һö˵гĨȥ
ڻ޷ܵġ
Уʲô֪ϣʵ
оУѾþöû˯ˣڱȽڼи롣ȴĲͬߵĲ໥ȾӶ鵼²ٽ
֪ϣĬ
ǲѧרңЩᴳ߱Ҳ֪ζʲô
һŸ͵ķ֮ǰо͹һ񡣲ʲôҪͷһи֧Ųôã
һѡ
S7ǱڵλڸøSpike򣬿˵ȾΧ󡣡ɻûоSȻ伣ʱǰûми룬Ҳǵһ㡣оSֻзʱŴȾҲûиıҪΣһ
ô˵
֪Һϲ졣УҹƶŻѪˡЦ˵ˣЩνǣֻȥһͷ㣬ڼңչ˸ĸ

֪ϣ֪ٴξܾİš
ұߡҲ˵ʲô֮ǰҪǵһγܵĻǻһź顣
š֪ϣЦĵ˵ͷ
Ȼĺܺ񣬵֪ϣɵϡ
ݣ֪ϣ
ĲֱЭҽԺ
Ҫ׼ķʲ֮أ˿⡣
磬ѩô󡣡֪ϣſıϣճյ˵
һѩ˺òá
һؼȡܲ
ãҶֻһ㣬Ҳһҡڰ˾ӿǣ꿪ѩ˾ͽڻһ
Ųᡣ֪ϣſϣͷĲ䣬ѩԶữǣҲϣ
ɵӣҪԶĻǾǺ˶졣ЦȻɣ㸺ÿ࣬ȴůҾͻˡģҸ㱣֤ůȥҡ


950 ҳ
ҽԺܶಡŵƣںģһľӡ
Ĳȴŵƣᱳų֪ϣԶԶĿƹ⣬ǽЭҽԺһڡ
ôߵʱ򶼲صءЩ˵˵
᲻ỹϰ
Ӧòɣȥ

Цұ۾ָ·
ˤô죿
ҿ϶᷸Ҫָ·ıˡҵִһһǿ
֪ϣӷᣬסҪˮŬЦ˵磬۾ô
ˡ˵
ǰ10ÿ70ףǰ22ת򡭡
һţһ߽뽣ЭҽԺ
֪ϣָ·ִо׼ƽһҽԺ
ڼҽԺûʲôˣĵţĴͷƤЬѩڴʯϣ֨֨
򿪵ݣȥ֪ϣЦ
磬Ҹ뵽һ⡣
ʲô
Ƕ죬²ҪǺвô죿
УҲ¶СԴϾͱĥˡС̫಻Ŷ
֪ϣƳһᡣ
бĴʩô
ҪµĴȾҽԺһڹѾˣлɽҽԺ
Ŷ֪ϣ̾˿
Ŀһۣ֪ϣ˵Ҳû˵ʲô
ʱʤ
룬һԶʲôﶼԵôû塣
ѵӰ
˭ڣԶԶĴ˵
Լͳ֪ϣȻ֣Żˡ
ʦˣ
һ
ôڣһʵһǣų֪ϣִ߽ȥ
ĥͷô졣ϴŷûͷףڰŪԼͷ
ģûؼҳԷء𱸡
ˣʦæ˵12㣬Ҳġ
Ŷ
ҶԱƵٶǿ첻ΪͷԭҲУɷ˿żԼܻɴЩ˵
磬ȥⷿɡ֪ϣЦҽôͷо顣
С֪ԼҲ㣬ĳ֪ϣļ򣬡һ㡣
ת뿪֪ϣʵһ취
ڣ
󣿡
27
ͬ꣬ˣСϣˡ֪ϣЦóƤôƵ֡
Եȣȥȡ
һ˵ƵıƤ֪֪ϣ˼
Ҫôô
Щԥ
һͷ㷢Ľͷܳ˳˿ҲΪ̫ãԲŻס
뿪֪ϣ£ŲԼģӰӣָŷң˼
ܿ죬ƵıƤȡ
֪ô֪ϣʵ
֪ʦ˵ˡ⼸΢Ҳ˷Ϣ΢΢ΣգҲܲȥ
ǰҲܲȥ֪ϣƤЦǰһƤЧʮǮءҳʱʿ̫æÿζҸ߱Ƥ
ų֪ϣЩ⡣׼Լͷһ£ҲҪһԼǡ
ȻԼܾ
ʱһ12̨16̨ȫұƤ֪ϣվڴǰǺھɽӰģַװϵƬԼǰ
ڣȵ˵
Ƥʵܼ򵥡֪ϣûԥַ˳Ǵǰһ˿ڼͷ
ס졣
֪ϣҪˣвµʱ䡭ȻڸԼͷ
֪һʦҽԺҽΪѻĿһ㣬һˮͱȾ֪ϣһ˵ţһȥһͷ
ԼԼͷַɴ죬ûһ˿ɬ
ֻǳ֪ϣе΢Цȴ
أ·ˣͷӦסҪȻһֵĸȾܡβ̫ףκһɴ
ڡǲȥô
ôᣬˣǺǡ֪ϣԽԽ죬÷Һ͸Ƥ漴ͷжϡ
һ˿ˮڼϡϡ
ϧˡ֪ϣҺ͸罻ҪͷʱȦתһر׵ĻҳȻ˵ϲ6꣬û顣
Ŀų֪ϣıӰ
Ҵˮϴһϴͷ֪ϣ
ŶãȻų֪ϣһû
ҡ֪ϣ˵䣬Ѿͷ㷢⣬ͷĻҪ̡
ᣬЦǺǵĿͷ˵رԸ̸ĴͷڿԼԼˡ


951 ͬҹ
ͬҹ
æµš
еҵ޹˾Ԫʹ޹˾ҽϯܽʦGҹߡ
2003SʱڣƵ۶СɽҽԺĽͼֽȫ̲룬֪еĹؼ
23գнǣͷӽҵν֪5ƽ׵̲Ϳµ޽µĴȾԺʱ79ĻG78ڣ17ǰСɽҽԺƺʩͼֽȫϡ
ȻޱİͼֽύŽԺ
תʩͼGɲģ϶Ҫע
ϸҪѾûʱȴûʱԴ
Ѿȫ˺ͱܼ尾¾״ʮ죬һ1000ŴλľҽԺ
G֪Ѿսʱ״̬ҪԼҪģֻǿᶨִ
ҹߣֲǰͨÿһϸڶСɽʱȹס
Ƶ棬ŽԺ1Сʱټ60ԱͬʱĿȫBIMʦͬ룬ȫԸͶս
24СʱóƷʱʩλЭöʩͼֽ
ʷ꣬ÿһʩλԵͬһⶼǡ
ûйˣ
ûйˣ
ûйˣ
һܺ󣬹˷ٿʼ裿
гŲôã
𣬾ɽǡûˡ
ԻħƵĻľȻҪûй˵̫ħãû˻ô޴⡣
һƺķչɲƬˡ޷ͣĸгһ
Ⱥ֪ͨнȾҽԺı
һ֪ͨ΢Ⱥ﷢ȥ
ܿ죬Ļشð
Ϻӣʱ
ڱӣʱ
ʱ

ɣһ˵Ůͷڳҹյ΢ţ¿ӣټ¹ˣϱӡ
Ĺ׼ңڴʮҹҹϱΣյС
ûк׳ʵʹҲ˵ֻҪҪҪҪϷһУ޷ˣ뿪ůļңȥһط͹Բ


ͬҹžܾħɽǣľҽȻִӹʻ
Ǽڻȴ޷ˡ
ڴ֮ǰãħҽԺһ֧ԮеҽƶѾӹʻ
Ƕ֪ǰԨ
û˺ĬĬӡ
һֻһˮˮ۳ˮ۳ɺӣĬҪǵĵط

ͬҹ
λǻĿֳұͱƷ˾ɵƻͨ80λڼӰӵ㣬ƿ֡
ҹ˾03S09H1N1ʱ־һε̡
ԭ¶ʮշż٣¶ʮˣϰ580λˡ
ԴĿ󣬹ǼӰӵַƣ8㵽12°࣬ÿ50ֵֻĲ
ͬҹ
سݵһڣӰӵæµţһһҽÿֲϸɡǰԱǰżٸԻؼҡ
¶ʮţӵϢ·عλ
ûܹڼˣϣΣʱΪһౡ֮
ͬҹ߼רһҹߡ
սۣǴԣҲеŸصʷΡ
ԡĲרгԱ֪ζʲôв̽䡣
ڶԲ֪ȣһжںڰǰû֪һȥǰ浽̹;Ԩ
ǹڡǹʶרңֻͨ˶࿴һ·
ƽԶŨ浽ʲôûȷ
ҽһβ׶ˣͱ˵ԽĲ
֮ǡµѧŬоţȡһ֤ݣܿĸԶĸ
ǲǼ̵˵ֱɾ͵Լû˵
ҲŸػЩˣ۾˵Ϲ
רҵȺҵľͻϮʱ޷˳ееʷΡ
²᲻ڶʱ໥ãһµĹһĲ²᲻еȲ໥ãȡ̡õǹ룻²᲻ᡭ
Եܶ࣬κһѡ񣬶пܸıʷ̡
ڻɽҽԺͬʱھҽҽ֧Ԯͬʱרڳҹо͵ҵ
µΤ֡ҩֻܵοʵЧޡ
һ·
H1N1ʱһʱЧҩƣԶʱħ˴ķҩ¶ƣƲ
ڣΤûгΪһĴơ
²޽⣡


952 BOSSǶƭɵƵ
ɵӣǺαءĿСƽͷĳ֪ϣ۾
磬ҡ֪ϣЦ˵
ῴͷԼ̵΢΢ü̾˿
ҵģͷܳҪȻӸȾʡ֪ϣ˵
ǡ
ûʲôǣ֪ϣᶨ˵㲻ȥԼȥУУȥ
ͷͲʺϣ㿴СƽͷÿָָԼͷ
֪ϣû뵽ʱ򻹻ῪЦ
ˣҪ⣬ڼһտһ¡ߵϵ鷢¼һƣָ£ϸһ룬ȥһȥɡ
١֪ϣǰͷɳɳ죬òҸһ£Ƥַҿרҵġ
ҿԼ˵ôؼң
Ϣô֪ϣûлشĻǻһ⡣
֪׼ؼҸ
Уһ硣29Сʱ׼ʱ䣬뻹ȱʲô
ȥ֮סģ֪ϣʵ
ҡҡͷ
ʱڣҽԱ־Ըӿ룬Դסж⡣
ⶼԼӦòĵ飬˾ְⳡ޴ĶԱսУÿһ˶ֻһһö˿
BOSSܿڣ˽ڵ

Ȼ˽һ֣ܲ綥ҽʵ̫ˣܲˡ
BOSSѾ24㣬125գǰȻͱ˴һк̫Įˡ˽һߣһ˵
ˣ֪ǵһ˴鷳
BOSSҶӢȻѧϿصϢ˽˵ţϼڻʷǰܳôȻǲѧרңΪĲѵô
˵öԡ̹˵ҽ뿪ǽŵ֢ҽһ
BOSS˽ڿ۾˵ǿЦİɣǲѾûʡ׼ˣ
ü˱˽һۡ
ȻҳϵıԶ֣Զǡ˽ûκθо˫˵BOSSӭؼң

BOSS𲻺˼ôûڣʡѾĿˡΪʲôǿʡ
֪εķ׺ô˱˽ڵĻʵ
BOSSҵȻ֪˽˵ʡʵҵ˶ˣ˵ǴκνıȻ𣡡
֪ͺá˵ˣû׼ʡҪȥ֧Ԯ
ҵ񣡡˽ʼ˵BOSSòΪӵɡ
ô
˽һ£Ҿһҵ˵㲻ʹȴԷ֮ȼ
˶ҪȥǲĵطBOSS˵ⲻܡϰɣֲɵӡ
˵Ҳ˵һ飬Ҳʡĺܴ㶩ƱץʱȥɡϣټʱԵֲҵٶȡ
BOSS֣˽ڴ˵
Ϳʼ˿ѡ
ˣעûصBOSS΢Ĳ鶯
˵ĲôһģBOSSԼ׿˵Ļ
޷BOSSһٶȸ졣
̯֣˽ԼԼ޿κΡ
BOSS˽ںܿȡú͡Լĺͽ⣬˵ǲѧרңһ֪һ޽Ĳ͵һܿʬҰ
˿϶Ҫϴ㲻ΪԼΪĻܹȥʹ˽˵
ˡ

ǰ˵߼Цǵûۡ
BOSSòΪԼɡһظ֮ǰһ仰
Ȼᣬ˵ɵƻôܵ档ȴҪȥӣʡ
BOSSǺĳƭɵƵģ˽ڻ˫˵ѹƵ²Ż㣬ڲСBOSSΪѾĩգӦö㵽ȫȫĵطΪǵľӢȥ
Цı˵ļ򣬡ˡ

ôῴűˣЦݱ䣬ҾͲţϻĶڡ
BOSS˽˵ǴȾרңô֪ܲҿоŷĵʼѾҪˣ˵ûôĲ
١
ˣ˵26գͳҪȡ
֪


953 ͣȵĻ
BOSSһʱ̡˽˵벻Ҫòѧרҵ֪ʶѵңܿڿϵ֣Ȼרҵֺ֪̺ʲô
΢ЦֻЦЩ䡣
ģˡ˽ڵBOSSʡɣֻǺͰᲩʿһܣǶֻһĵ糿㷢մһʺȻӰ飬ԲᵢҪȥ
ˣҪҪһȥӣЦʵ
ҵ񣡡˽ڸ߾˫֣һ˼Ŀᣬ϶ҪܣӶǹ͵
ˣ벻ҪǵĽǶ⡣ܾܣ˻ġ
˽ڵɴ۾
ֽȻͬۼײѡ˲BOSS˵Ļ
ˣһ顣Ȼ˵
BOSS˵
³ȺģҪȷﲡǵĴͳôʵ
BOSSʹͳ죬һǰ߶ʱֱʡ
شҵ⡣˱˽ڵĆ¡
϶͵õҽԺ˽˵ȴһģһھͻݡ
Ҳȥ»ء
˽ʼ磬BOSSֱ̫ǿѧұӵеôôоͲЩ첱һأ
۾΢΢գһ£˽˲ܵBOSSϼŷǹӿֲϢ
ˣʲôBOSS˵أ˽˲ѣѳһվһߣſǳиأѵ֪ôԽĵطл߾Խء
к;»ûʲôϵⶼıۡ
BOSS
ˣˡ˻֣Ҫ뿪ȥС
˽ڵ촽˶Ҫ˵ʲôû˵
ȻˣҸһĽ顣
BOSS˵ǲҵҪĽ˽۾ǣѯʵ
ҽ۲ᷢʲôȻڿ⣬ûʲô߼ܵɣֻһ顣ǴBOSSĽǶȣΪһѣһĵĽ顣
˽Ŀᡣ
ɽʹ󺣡
ֻһۣѦ͡
ѦԺáЦǺǵĸѦͰꡣ
ʦһȵĻߡѦͼҴҵ˵
˵۾гһߡ
ʷ4ǰȥǾס꣬ӹʻͣͣڼ仼ûд֣Ҳûгֻһ䡣
ӵǻô
ղһ£ûСѦ˵ʦҲòͷסʡҪ󾡿ȷԡ
ֻ״ס
߻صʡǺûðˡѦͼ˵ǲǲǺейϵһô
ڼԺʵ
Ժ
ȥзô
С
ѦԺ֪ͨԺͻ߽Ӵȫ룡ܿ϶˵ˣ
û˵Ҷֻƺһƣ
BOSS
졣˵ˣԻȥˡһʱ䲻ҪƵꡣ
˽޷˼
硭
һָоѾѲʡˡ˵
emmm֪ϣɻ󣬡磬ǲ̫ˣֻǷնѣȻУû˵ǻôҲû
ȥһ䡣
磬̫ˡ
ܼᶨ˵ֻǸоRO3-6ĲгǱڣû׼ҪȥӵĶȥ֡
˵ţüͷ
BOSSҲȥ
ȥʲô᲻м˵ֲ֢ҽҲǺҽǲרҡ
Ҫ֤Ѿˣ˽ЦֻһеĻ߶ѣBOSSǵĻ˵ʲôţһ롣
ӰľԱ
ֱ̫ˣ˽˵ľࡣ
ûǱ˽ڣҴҴ뿪


ʡǼڿҲ
¹ΣҲˡԺμһԺ¹γ֣к
ΣʡǲǷˣ¹κܲ˵˵Ǵתôûô⣡
ӱҡҡͷ΢΢̾
ҲǱӼҽйģҹ˭Ӽﶼ϶ˡ
ʽãʲôô¹αĵ˵CTôʲôģ
ƬëӰ״˵ʡжϡ֪


עһȷﻼ߾Ǿͣһ䡭ܿ¡


954 ͵̷һƬ
ĥӰһƬӰɡ¹ҲΣˣȿһƬ˵
δݸCTƬӲ嵽Ƭϣ¹óʼһһϸš
ȻһɧɿƬӺеɧ׵⡣ר־Ŀţ۾Ƭϡ
ҶдĥӰȽ϶ࡢΧܴ󣬲ֲʵ䣬ĥӰʵӰӰ档
ӰϿǺܵ͵ġ·ʯ
·ʯʯ·
ӰHRCTصǡСҶСҶڼӰĥ͸ıϣƲ״·ʯ
·ʯڷݵ׳֢ͨΪ˫ĥܶӰƽļ񹲴棬ʰƬ͵ͼֲҪλڷΧҶ
ɻϷγֵ⣬һв֮ͬ
Σ㿴ǲϮҺٰôоǰ֢ء¹ʵ
һ·ʯӰҪڷˮסPCPԴ֬ԷסڲԷݳѪͻԸȾԼϮҺٰĻС
ûбķף¹νҪߣѯʲʷΪϮҺٰϡ
ܶ·ʯĻߣϮҺٰǷḻٴһ֡
ǲ񡣡ӱ˵ߴӺϻǰһ죬ûκ⡣
¹ĿƬӡ

¹Լ˵ͨһپͲˡҪǲĻ
͵͵һӱСĵӱԲŲŲ
BOSS㾹ȻҪôƬһбҪôһ洫
ʦ롣ƵҲ
ʦˣӱûע⵽¹εСæܳȥ
ûţһƬ߽
ʦιк
ˮû˵ɨһƬʵǻߵƬӣ
ſ֣˵еơ
ǡ
ѿֶϡῴҲûӱ˵ֱƬǰ
¹μN95һ£ȻһֲõԤС
ᶢŷδǼëӰ񣬿ĸ档
BOSSȻǺƵרң߿ųϮҺٰĿܣǲԸðµķס˽˵
ð
϶ǣӰҼ
ŵƬӴѡһӣнЭҽԺı־ñ軭һŹֵı־
~~
δ嵽Ƭϡ
һģһӰ¹κԼĺơѦͶɵۡ
˵һģһֻǴӰѧǶжϣͬ˵Ӱ
BOSSԽԽδ֪ˣǺŮһų㣡˽˵
£˭ƬӣʳָָôƬϵƬӡ
ֱ̫ûˣBOSSվӽʵġ˽˵˵ɻ
ȥĩ̷׵Ӱϡ˵ؽӰ񡣡
˽ڴһ̬ȶ
̷ףʱڡӢר˽ȻƵоȴ֪¶
BOSSȻİӰؽҴӡ
Ա˽ڶԼBOSS˽⣬һԤı
Ƭ໥ԱȣǺܵ͵·ʯ״ﶼơ
˽ڵͽ
BOSS֪Ϊʲôһʡˣ
ѦԺԺĺԺأ
Ѧû˵ֻǿһۺơ
ʦԺе£û˵ԺѾϵ걾ѪҺ걾Ļ廹ڹͨ
ѦԺʡͨ߶Ȼɻ߸ȾͬԴĲ϶˵ϵȾԺ׼Ρ

˽
BOSS㲻̫ô˽ʵ
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ˣӰϿܶȽϵ߽ͣ粻塣
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һֱע̡ס˵ڿߡơ
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955 Ƭ
ʦߡӦûнӴеˡ˵
˵ӹʻ䡣ΣܽҲܵ¸Ⱦ

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Щٴ϶ܳCTɱŵĻô죿ӷƽ˾һӱɷণЩãȻ
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ΪСῴҲƣ˵ץ߼ȥ飬Ҫߵͨ˵һ飬ĵطһҪɱ
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ƽһλӰѧҽʦƬƬ
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ʵƽƬӶûʲôÿġ
׻ķӣƬƬĥӰ״һڷָֻһ顪ͷԶԶҪء
ʮֵ࣬ƽƬڵһ300ƵӰ
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ֵҾһ䣬һ̣ס̫ˡ
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˭֪оݷ档ƽ˵ҪϰҴ࣬ͻؼңԼֵࡣڼֵһٿǮأǮԼˡ

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ıСĢλӰסǴҷʱ򣬻ʣһŵСĢ档
죬Ƕˡƽ˵ؼңԼ³úٷԡһ뷽ҲУ˵ţ顣ǵøпʦʱҳԵĵһھ;ΪˣϻôóԵĶû뵽ǰСڵţˡ
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968 ǰlo
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972 ֲڹļ
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һ꨷ģվ涳ɱǱҪڶʱ۱ϩҪеƽ۵ְ𡣡
ͬѧرЦܺȻЦˣҶĿںţʯ̫žһ䡪Ϊ˿֣ƴˣ˵ȫʯҵӰӵĸء
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990 137
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ȫ½ҽƶ֧ԮӣϢϸĵ˷137Ƶĳǰ
137ɢȥ˾ָÿڲʡ
ֺֻÿڲ˼ô137ۡ
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991 ҵʽ֧Ԯ
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κκƣһ㲻˵˽һˣҪκλˣϷѣԼԼ˵
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BOSSѾܵĺ̲Ů˹ɽѩ
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993 
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994 ɵ
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ʦʦ֣ҽƶӣ㡭Ŵʲô֡㡭Ҳҽ
ҵ־Ը߲У½תʵ
ʦ֣ʹˣ־ԸߵķҪԲͱŴ˺òá
á
ʦ֣Թڼңȥȥͻء
½תǺСһԼ˵Цá
߸ʱϵ˵Ѿ׼мҵֱȥӡ
ʦȥһˣ᰾ȡ
ţʰһ£Һʦϵ½ת˵дʲôս飬ҪȥԼȥͲô
ɺȥ־Ըߣ֢
仰ᶨ½ת˼ģȥ


1011 ң겻˲˥
ֵʿЩ
ÿ糿ɣϰԵһˢֻͻᱻЩϢ䵽ȵס
˹ȵأˢֻʱЩഺСǶûɫ
ֵʿȹϵϡʱվںɽʯԣԶеķ
Ȼɽʲôֵʿƺôվһͺ˺ܶࡣ
ܲסּŷ罻ý塣
ֻǶƵĶǸֵʿµûš
ôĹˣСʦͨˣи㲻飿
ֵʿĲ룬Сʦǰŵʮֻ֮Ӧ÷ġ
Сʦⶼȥ˶ˣۼϾҪ·ݣ洫Ϣ˾ɥ
ںɽʯǰֵʿɥĳ̡
ٳ̡
Сʦ֮ǰһ̣ںɽʯǼƷһšֵʿģƣãȻһһĳţۼһҪû
˼ɽȥæֵʿȴֲҡ
˵ʡǵĻ߶ûȥӣڻͣһͱȾˡôĵʲôôô
Ӱɽ»ֵʿʱ򣬳Ѿߵǰ
۴֣ԶȻɽֵʿæվ
ɽϷӲʲôֵʿʵ
ʯ۵գ֮󣬳ٳûϢ
ʶ㣬¶ôǸ˾أֵʿһʵ
١֣ԶվںɽʯǰȰݣ̧ͷ
˳̩񰲰˸ӳ£һ㣬ֱƲ񷣬ھ֮ϡ
ɽ紵ĳ½졣
ֵʿ࣬۵ӣҲ֪ûʲôð취
顤׵ۼ͡ʮ꣬ߡ۵ǹԪ217¶ˣһߣӱɽӡ
ֵʿһѩѳ۵ϡ
ϼһͲ˵ô
˵ôôɥĻǹ²
ֲиʮ꣬СҼнʬ֮ʹк֮Ŷ죬ɥ
Ҫ˵ʲôֵʿϳ۵Ļһ㶼ɲòײˢֻƽһ㡣ô㰲ʱ򣬻Ҫ۽ҡ
Ѱ̾˿˵ո½תҡ
½ת
ţҪȥӡ۵´£֪һݣҲҪ
ֵʿЩ֣ӦǱʣǴӳ۵˵ƺżְ
˵ǰЩԣɽߺ֮һɽͷ
ֵʿʵһ£û£
ӦǡȻô˵ü֮仹ɫ˫ѩ񷡢ʯȴܿʯϵһ㡣
ӦõϢֵʿЩпɽ̫ӲĴ¡
Զôʵ
֣ԶָĻãֵʿָ̻ͷֻû֣Զ﷢
ôǵҵɵôֵʿ︹һ䡣
֣ԶɵЦЦ̧ͷɽɽʯ֣ڿġ˳̩񰲰˸֡
ʼ֣ԶĶЩɬǸոѧĺһһһᡣ
ֵԶķ֮Σۡ˰ΣЦʵ
һϹӣһɵӡֵʿΣ̾˿˵Ҳ
ʯϵİ˸֣ҿȴŻӳⷽٵת֮ɬȴܿļƷɡ
ҾҰһʱȥġ
Ǵߡ˵˸֣ҿֻмҹ֡
ֵʿ۳ߵ˵ʲôҹɽӽҪ飬ȥҼҹԺӲһҳʲôܻžͺܲˣ˭̫ࡣ
˵仰㸺ֵֶʿֻ½һ
֣ԶĶԽԽ죬ֵʿѧǰ˸ֵ֣ʿ֣ԶĶԽԽҡ
˫ڰл裬֣Զһս
κ֣ԶĶͣ£˵ֵǻȥˡβҲĶ
ţֵʿû
Я֣ԶƮȻߣֵʿͣ۽⿴ʯԼʯ䡣
񿴣ʯѩ׷£漴紵ɢ
ĩ
Ӵ

Ⱦ
ڻ̿
޳
ռ
Ȼ
ද
Ѷ
ĸâ

겻
˲˥
һСֳʯϣֵʿȣָ
ǻþǿȥġ
ֻûдֻ꣬ң겻˲˥һΡ


1012 侮ʯ
˽Ӳù
Լÿ춼ںԼж֮ߣ޴ѹԼжʱֿ־УǺˮһҪԼû
ȻЩҪֲBOSS
ʱƣBOSSɫԽԽÿԽԽñ˽ڸܵϢ
BOSSô˽ʵܲסȫһ仰˵֪Ѿ˿ѡ
żϣϡһһ߻ش
ֻҪͲڡ
һŮߣдƵİ취
Ƕƨᵭ˵2004ܿһţСйҪԼĿռվһӡ̡
һ£˵ĵļԱۺй롮ʿռվĿĵ۷ɴ˺͡ʿռվƥĶԽӴڡ
˽ȻBOSSǳġ
04꣬󣿺ʮ꣬ʱ鶼ǵһĿ
ʿռվ16ҪҲ룬ձӡȣμˣɾǲ档
㶼֪2011껪ҲԼĿռվ칬һšأҹԺԱҪѧģҪȻռվĲ涼ᣬëߡ
ܿfake newsͷһСBoulevardzeitungĸоʹڸУͼҲҪʱ˺ҳȥƨɵĿģ
BOSSձҲƵ˵
侮ʯ
ʲô侮ʯ
ǵʡѼƵŷһٵôʵ
ǸѾְȥ˿˽ЦҼǵõʱ趼ʶҰ
ĬУһ˵BOSS㻹û˵ʲô侮ʯ
ŷǣ׼ϴ
BOSS˵ʲô޲ˣҾ˵Ĳԡ
BOSSô˵һ˽ںѵôΪԼжĴתٶȱȻΰ͵BOSSǰ˵𻪶ձ
ˮϴǻ˽Ķһ㶼Ķ
ǰ޴ļһ֪ĲҺǸ޴Ĵͳλһ㣬Ѿ׼ϺҪڴᱬǲʲô
ܣҴаڣCDCԤϵͳô߿Ƽҩ˾
ˣ˵ЩѧĻϴǻ޻ԳѪʼظҪʱȥһϡ
BOSSꣿʲôô
ȥбںʹǰһһ֪Ϊʲô˵һ룬˽ڴϡ
ҵ죬һ֪ʲôôôBOSS
BOSS϶֪ʲô޴һͷ¿ıˣͲ˵仰BOSS˼ѾˣܴܿͿʼС
ܣֻͨжѣǶʱһֱʡûпκйı
ȻսBOSSȨǾȥɣҡBOSSҪһҪ
BOSSôСѧϵۣͲܡһ֣϶飬ʱûCDCҲܣ̡
ᣡǯһ±˽ڵֱ
ŶŶŶBOSSΪ⣿˽ʵ
⼸һձԱŷˣ˵дв㿴Ϣôʵ
ûУ˵ʲôˣ˽ʵ
һԱ˵ֻл˲ŻõĲ
ҵ죬ǻô˽ھȵ˵BOSSҵԲԣ
һߡƤת߳ңȥ·
˽Ŀ̨ϵпڣϵĺBOSSŮݷϣ߲֣ǾȫпڻָĸһЩ
ŮӰһпİ̺ӦûġѹöꡣᾡһппСһ㣬ϵϸһЩԺİ̺۵һ㡣
Իˡҵ죬ΪʲôûƵϢ˽ڵ۾ڴתԲԡ
ϸû˻עģ˿ҲֻῪġǵüǰǸŮô
ĸ
Ƿ˻ĺܶǮô졣һŮ˵ǶɱͲûˡ
ҵ죬Ҽǵáֻһ
ˣ㾹Ȼô޴û˺࣬ô벻ҪؼBOSSô룡


1013 ͣ
һ꣬ȥ·
˽ڸСʵBOSS˵Ǽ١
ٵģǰôɥĲôص˵Ƿࡣ˵
ȥ˽ڴ˵ʲôɥĲʲôз࣬BOSS̫ˡ
ɱӡڰ˵ʱ򣬱ϾȻ񸸳˻ֵӡڰ˲ˣֻһͻûʲôҼǵʱж԰ӡڰ˷ŽȥԹ͡˵
˽ε˵BOSSҾ㲻ӦðĿڹȥǸʱѾȥ˺ܳʱ䣬long long ago֮ǰ顣
ʲôɥĲֻǸٸӶѡ˵
Ӳǡ
ʵ˵ѡᵭ˵
BOSSΪʲôЩ첱һıأ˽ʼ磬̯֣˵ʲôԤıģмƻ֤ʣµ
˵ֱ̫ˣҪſѧ
֪ģһֱϴ磬Ϊ첱ΪǴĻ׼˰оƬ
ǰһȺɵƲźùܡ㻻ǹڿ˵ʲô϶ôķ
BOSSⲻ˵Ļ˽ЦЦ
뿪Ⱦ߽ңժ֣˿
͸һζĸŨȶ̼Ũȿʼ͡
BOSSҾķꡣ˽˵׷ʲôˣɽҽԺѾʹô˵һҸɽҽԺҲҪʹá
ҵǿǴȾԺ2500Ųֱ̫ˣÿ쿴ֱҽԺչʾ⡣
򿪴Щ̰ĺĿ
ҽˮƽߵձ1800ŴȾĴλһоѾ޽2500Ŵλһ漣ֱ̫ˣķ񣡡˽Ŭ˵ᰮĻȥŭ
һãεԳ03꣬ǴȾҽԺûõġˣ֮оô
һǧ˼ĳУ׶أͣҾһ漣ʮ޽ҽԺ档˽ʵʵ˵
ӣȫ½ͣ
˽˫ָ߸߾۾ĿᣬBOSS˵ģ
ǡ14˿ڣͣ
ҵΪϷô˽ڲ˵һҿ⣬ϾǡȫͣBOSSȷûҿЦ
ȷڷҽԺѾʼҲˣԼ
ĻϢ̫󣬱˽ĿıӰBOSS˵ҪѲ˼УȻ~~ôһõϢҺѹ
ɵƣ޺޵
BOSS㲻ôң˵òԣָҪҽÿһˣңԸһҪĳԱ֮һ
Ѳ˼һ𣬾Ҫ~~ǰ˵ɵ뷨һ˵ţһϴ̨ڴߣӸĿڴ̡
Ҫô˻̡
кٳ㡣˽С˵
㲻øһȥˣҪҳ£ҪôҪôԼʡԹԵĵȼһ̣ŴĽֵʱ˿Щ˾ҽԺԺİӡ
˼̻ô
BOSS㡭㵽Ҫʲôѵ˽ʵ
˵Ҳǿǰ˼~~ôģǿӦ϶ƲסȾ
ô֪
˵ôָʲôζƵ顣˵
BOSS̫ˣ
ӹҪ绰ˣҾٱô

ϧȨڰЩ̰˵һ뵽ȨĽ
BOSS׼˶˽ںĵʵ
أݴʲԡ˵ҲҪȥֻϣδҶ£ǧֳʲô©
ҵ죬ǲþӵô
ʲôЦӵܱ˵Ϊ쫷Ĺӣǰսǿ顢ʬȺûԵڣ
˽ڲҷĿᣬ֪Ĳ֪Ҫûǹֱĸ˭Ըסȥ
BOSSո˵ԵĻñ˽ڸоܲ൱
ͷ֪BOSSҪô
ֻҵĵطȻҪȥȥ˸㲻


1014 ҽԺҪԵѡ֮һ
ϳ֪ϣ֣Сһлס
ĳ֪ϣҲЩĬһÿ·вĵضգְͣĦԼϵѹۣЩªĺۼһֱϡ
ǻݣ֪ϣñҪ
¶оԣСʳ֪ϣСϣôˣ
Ҫȥӿһ
Ϊʲô
ȫȾ߼йû㹻ĵطֻݺһЩ߾ټܵĽ
ô¶ɻʵһܰöٻߣ
һǧϡ֪ϣ˵
¶
һҵĲʮʮ߶Ѱ죬Թԡ²ۣܶҽסޡõµġ
Դˣ¶Ϊһһʿ˽Ĳ֪࣬ϣô˵һ
㣬ǸУҴҵ˵
ǰûиõİ취֪ϣü˵
ȱ𳳣һء˵ȽϢûǱżۡ
֪ϣ̾˿
ʦ㣬¶ܡܿ϶˵еϲеϲ֡е˿ʱ򲻹е˴࣬ʲô˶
һǧһסô죬ô
˵Ķԣ֪
Ĳ˾֢ߣбİ취ô
в²ʵҹ۲ĿеģǲԲŻ׳ŵӼи롣
߲һϸȶշ׵ǲǵRNA
һ˵Щ¶һͷ
ĲѾˣһǧϵķҽԺҳʲô붼롣
ʦУĽ飿֣ص˵Ҳÿط۶СɲվҪʤֻҪɹٴӦö֪
ûİ취ֻǵʱʲô¶ͽʲô¶˵
ֻģ֣ż˵ʦ̫ˣĵ˿϶ɢȥиǵһ˵ô죿һٶࡢҽԱס
ô֪ô죡Ƣ൱ãŹ޺޵һ䡣
˸룬취ô֣ʵ
һ´ѧĴȾѧ취ô
֣Ц
ҳĬǰߣ˽ڲ˵Ļڶﶼ404
κһֱ˵ƺʲô¶Ҫǰϲɽ˵ҪͽȥҲҾôϡ
κΡ¶˽ͻٽıݣǰߡ
ƺҪˣϵƽĵࡣЩһֱ꣬ϣܿһ̫
ʦСʵ
ô
Ҫȥӿм䣿ϴôůô죿֮˽Ժòã
࣬ƽ600һ䡣ϴԣҪŶӣźܳʱĶӡ˵ҿ滮ů϶ܿе̺޷ˮܹ㲻һϢ
һͷߡ
ҪʡǣסֻҽԺ²ֱӰѷǸƿ
ýŵѪζһϾι
һǧҵĲˣеķգеĲգԺ˯ҪչˡȥҽԺԼ·ŵʱȥȽϺá
Ƚʡġ
ҽԱأ޿κεʵ
ȷַȫҪ֧Ԯ˵
Ǿͺá
ûʲôõģ֧ԮҽʿȫʡʮСһݣһ¡
ÿ˵һ䣬ľ³һ֡
ÿڲܼʮߵҹѾ㲣ȥҪϰٸߣ
ͷһԲ
СӵԽԽѹ֣Ȳ֪֧ԮķɻϻҪѹ֡
ʦҪΪֻţ̤¼ô죿֣ʵ
ҲһԲ
ֿܶڣȷѡ񲢲ζкýֻҪϹѧ˶֪ô죬ΪʲôҪôã
ǵȺǵȴʵҽҪǸмǿĲɿԡ
һǾӪһըӪ¼Ⱥ̤ᡭǵһĳ档һӲ̤뵽ʱڷҽԺʲô
ҪǱΣ˭ֻѡַʽ
ʱáЩĽǰǰ
֣ǴٴĽǶ顣˵ҲΪС
ҷУҪǷںɽʡʡǣиһҪԵǰѩʮȵĿẮ
ѧУĻ䵹ǲ٣ɾټܲߡͨܲҽԱ࡭иѴ
´Ͽɫ£īͺɫСƤףɫķ·Ҫꡣ
һΪðյͷ鲻ɿƣ˵Ҫһԡ
վӵʱѾ뵽¡


1015 İ취
صƵ꣬Իط䡣
磬ҿĽŲеңʲôأǲڷ
Ϸţ֪ϣʵ
İ취˵
֪ϣɻĿֳ֪ʲô龫ֵ뷨
㾹Ȼнİ취
ֻһӡ̾˿ߣȴڴ̨ϣƣƵ顣
֪ϣҲ̾˿
ԭΪ֧Ԯ3-5ܿ
û뵽иңңѾɽҰɽ𣬱Ҫ÷ǳֶΣһرѰ쵽
֪ϣر£ǲܡʶУŸİʶ֮ûκһס硣
ɽӡ
绰У
׼Ƶ顣绰͸޾ƣɣ
á
ӵ°װһƵģϵ
򿪱ʼǱƵ
ƵУƺʮ꣬޽ǰ߰ף˫ݣƣ롣
ᣬÿ칤ãôôʱϻպۡУʵ
ʮСʱҡش
һûֺԼж
4-8Сʱûо˶ǰ¡˵ֻҪעһ¾û⡣
˵ţУʵУÿ˯ã
û˼˯У˵Ѿͬ⽨ҽԺȫͣ
һʯͷ˵أᷴˣֻĬĬĵ˵ͷ
ʩѾʼĽͳݣʲô뷨
УҲľʧأ
϶ôڿºǲˡУ˵跽ҽԺȻ֮٣£֮٣޶ȵطֹɢ
ĬȻ˵ͷ
㻰أʲô뷨
û뷨
϶뷨ȥˣ˵˵СӹӶ࣬һǺܺ档
УǶҽ˵ܲôȱԹһǧһʮʧߵĻ߾͵һҹ
Թ˵˵뷨У΢ŵ̾˿Ƶպ۵˵ôѣҪȥ취ᣬȥһж˳ġ
ûа취죬ֻ֯ԼԼ
־ԸŶӣ
ưɡҽԺҲ֪һ°ȥҩŶ˼տԱ˵䣬ֱȭͷҲû׷ȥסһ˾ʵˡ
УĻÿɷ
˭˭кôҽǹܲ˵ġָűһ罻ý˵˵Ժѹˡƽ˵Ҫã֢֯Լ׺Ҫ
¶УʼȽѡУκʵʼ׼ô죿
һ˵ҪǲУ׼˷ϱȥάּɡ
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УѾ˾ƽ˵߸ʣõ㣬Ҳһ㡣
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СӻˣҲôУŭ˵
⡣ܼ򵥣ȻҪëƤС¡ͻ߽ͣи⴫Ⱦˣһؿֱ120ȳȥҽԺô˭һֻӣҲ롣
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ڶΪʲô㣡ǲ͵һ˳ܣװһˣΪûԸͷˡУһӵ鰡
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٣򵥿һ¡ԺԲơ⻹ǲµһ£ڵ⣬ǵصѹ
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԰֮ܰ⣬ҾͲܣ
Υԭ򡣡
ûиõİ취ܼᶨ˵һߵȶгнľͺˡʮʱ䣬ֻҪܰùȥͲƼ¡
УҸ˵ô֣
ⲻǺ֡˵УûбҪҿ϶ѷĵһ˵Ƿ̤¼أ˷ȥάء

Ӧ䣬ո˵ֻ


1016 ǰ
˵Щûãİ취У£ļҵ̨ɷá
1+1
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׼ҼܵȥУЦЦİòУץʱ׼ȥʱ
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ҿһ㶼ġУ֪⼸һֱʲôô
ʲô
ߵ顣̾˿˵ǣɻи֮ʡ
ȻģҪҸһǺʹǰһѾֵָĲѾصܵ55%
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˵Уĵн׶õֱϣȻôöòȥͼ϶𣬵ȫϡ룬ҽԱĻʳһ
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Уûʲô˿⻼ȫԸϣܻųౣء
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֣֪ϣͷ
һͷ˳㷢Ȼ޴棬ɳɳ졣
ǧ᳦˼С
ûʱƬ´棬ֻܿͨƺĵ绰
ϰ壬ңᡣ
ǰ˵ƶP3ʵңص豸׼ô
УӿҰĵ绰УϵŪɾףĻòҪֱӶҡ

Ҷϵ绰ڴϾԵĳƺʼǱϵƶʽP3ʵҵ顣
Ƴĵ绰Τڲ鷿绰ﴫϤѯʵ
һβ鷿ΤҪȲ
š
ɶƶʽP3ʵң⻹ƶΤ󱦺档
ΤҽƳôƺʵʦҲƳʲôˣ
ΤЦǮʳ⣬϶⣬Τֳɾļһ϶ϵǡ
ƺҲûΤõһ㣬ƺֻġʮӺ±ʼǱ
㱳ȻѾʧƤ¿ʼߡҹַٰڶëϸѪ½ɹϲ
ллƺȲƵ֧ܣǱֲۣóϣÿַٰڶ廹ëϸѪȻôʼؽ
ҽƺ˿˵ε飬ҾóɵĿԺܴ󡣡
ʲô¶Τ󱦺ʵ
Τҽһ£ôô˵ƺЦ˵
šΤܸоﲻԣĵ˵ͷ
ҪǡȾεķףҪлȥһĵط룬ͬôƺʵ
ͬⰡΪʲôͬ⡣ΤֵĻشӲûвôⲡsһûʱҲܴȾ˵ô϶ҪӰ
ƺ΢΢һĬ


1017 ֮
ڶ࣬û취˼ÿˣסأƺЩ档
Τ󱦵Ļش£һ䡣
Ӧû⡣Τ΢΢ô˵ô£һô
ΧǺǹʵʿأƺ׷ʵ
ȥžôˣʲôΤ˷ܵ˵Ӿôǿ̫ˣ
ƺһ¡
һϵģҵ격ʿعȻͨħ˵ĺͱû𣬵ĳЩΪ߼ȴͻˣǺǰΤűʵ
Τ󱦵Ļش𣬳ƺĬ롣
Ҫô͸þܣžɶʱפΤ۰Ͱ͵ʵ
ûáƺЩε˵ֲǿաǿ֣ԵǲžսʿȥһСֻܱȾһȾԴ
⻰ʲô˼Τɻ
ûˡƺԼΤ󱦹ͨĲáҪ˼άϵĲ죬¿졣
˵ˣôҴţƳ˵ʲôˣΤ󱦺׷ʡ
ʱ䣬Τ󱦵ѹҲ൱ľսύ룬Ƴ˻
ʱЩϲʱƣԽԽڵʱԼΪʲôûƳĴȣźҪȥӡ
ƳͳƺϵҪʲôƶʵңΤ׼ʸ
֪ԴȾʱôôƺʵ
Τҡͷ
Զ飬ҲǴȾʱ˧ץʱ˸룬ָܶ
ŶŶ밡֪Τ󱦵ȫûָ˼
˵ĸдĸֲһƺʷûйǰѲ˷һ졣
ǺҲûʲôԡΤ󱦵
ͬ£ҽԺͬ±룬ߵһһ£ô룿

ֻ룬ΤҲû
ϣԲи֮ʡҽ治֪ôġƺ̾һ
ţô£˵ϸ㣬Τɻ
ӵҪȥ϶ѹ֢߷ŵһ𣬶֢߸õ
԰ɣ֢߷һǲǰٷ֮ʮŵŵô
ؼضˣӹĪǡƺɫ˵
֢߸õΪʲô
ΪþӺǹʵĿأҪȻһ־ﵽĻ
һֲҵĻ棬ƺ󣬵ȴԸùࡣ
Ӹ˿Ӧ׼и롣
Ķȴ෴ڳƺһرΣյ顣
öˣ֢ڶҽԺ֢ȥ룬ôôǳô
Ȼ˵˲ѡ֢֢߶Ҫпܼɵ
ûоӣֻһЩҽԱôܹܵס־Ļߡ
Щ߻֢ߣ֮ʱŷ޴ƻԣⲻǿܵģڳƺǱȻġ
֮ʣ
֮ʣ
Τһͷ¶ˮųƺ˼⡣
Ҫǿ϶ҪģϧˡѡһȥԱˣʵûõĽ취ƺ۾̾˿
˵Ӧð֢ӵһߵΤʵ
ƺ˵ͷ
ôðɡ
ôġƺ˵еʱʼѧֵܻķи룬ǲףֻܷУĲҡ
ΤоУܺҲһȥ
ҿͼƬĺúõġ
ҪǸĺãôôôû˵ΣӶѡƺ̾˿˵ϣû¡
ΤƺڰڵĻǮ˵ֻ˵һ롣ѵǲƸ룿ǳɹؾ
Τҽлˣȥ߰ɡ
ҲûʲôߺÿġΤЦֻ֣ԶסԺ֣ԶһʵأÿģȥȲ
ô˵Τ׳ƺˣվЦúҲȥ˯һᡣ
ϰҪ˯
ҹ࣬ûȥе㺦¡Τ˵ܸɵɶ͸ɵɶܲŲǡ
ȥϢɣû¡
Τ󱦳ţƺĬĬĿŴ췢
аˣȻгɹĿܣֿ΢΢ƺܿס顣
λҽ͹ڵҽǱˡҽ¸ЩȳˣҲ֪ǰ߾ڲõĽóʲô


1018 ֻҪҪֻҪ
ҹ
ᾲڴϡ
ú˯һľӭ쿪ʼĴսӦġȴ˵ʲô˯ţǣе
ôʡģ֪Ľ
ȴô
ƻҲ©Ƶ֪̫ࡣ˵ŵѷϵǸ﷭룬ǲ֪ôȥġ
Ҫ3ףҺȥļһ޺Ҫǡ롣
һ꣬ӢŮʱͳĿֶٵӭӡ˫ڻֶڽϺӢŲ̊Ǹݽ̨ǰտֶٵƵġ
Ų̊ݽʱ򣬿ˣֻܿͷ
Ůʱ󾽡
Щ졢£ȥҪʲô
ɡ顱ɲ롢粫żܸܵԼ΢Ҵ͵֢״
ⶼǻþɲ֢ᰲοԼ
콥ˣһҹߡ
ֻʳһˮ֪ᷢʲôֻܿԼʳ
Լװޣ1¶ǿġ
ӿոտʼĽҪסˣﲢʲôϣֻ󻷾̫ӾУҪʵڲУ϶Ҫֱ顣
ӿһŵؿжҵԱԼݣʵͳ֪ϣ˽ȥ
ҵʩԱڽеʩ
æµȺҲЩȣٶȡǷһ
ʦˡһŰȫñĹԱӭк
æţ㿴
ҸӴʲôûСԱᡢ֪ϣһȫñ
֪ϣͷеСȫñе󣬴ϺֱӸס۾
ЦŰ֪ϣȫñ˼ǶȲǿȡ
ӵϢʩϽֳలáʩӦʣ˵ģ壬ľߵ£ˮɳȲϡ
ȻľգҪ󣬵繤һʼõ硣ڵ
ͦ졣˵ͷ
϶һСʱ깤һСʱлָԱ˵һлȻˮԸˮʩƶʽװǱȽѵģΪ˵ԴǵʵоŮ4䡣
ô٣ü
滹бõġƶ٣ڼӰӵ졣ʲôҲҪʱ䣬ֻԱ˵Ҳһ㣬㴫;ҲǺܶ
˵ͷǵһǲɿأڴԴķ㣬ӦԱûо飬ֻ
漰ҽɱģҪ纸Ըֽṹݽд
ؽ裬Ȼ̽
æһҹɡ
ţֵ۶ûϣڲˡԱ˵ȷޣҲ֪ܲС
վߴȥ
Ĵ̿εΪ׳ۡ
Ȼ׳۵ĳ棬ͷʼʹ
миѡ
Ŀ÷ҽԺĳκ󣬾ͷֻһǧŹ̶õоѾͷۻҪסһǧߣͷܶǸô죿
ĬԼô룬ǰĹڼ򵥡
װҪ촲ͷƷװӡҽеʩ豸ͼݿ͹һЩͼ飬ǲż˵
Էأ
û⡣Ա˵ȫӣÿÿ춼ˮ֮ϡ
ˮأ
֮ͨͽˮ϶ܹԱ˵ůĻõ̺찲һԣֻҪڱ㹻ů͵ġ
˵ͷ
̫ªʱ䡭ʱޡԱѾ֪ٴ˵ª仰ܱǸھ֮顣
Ѿܺˡᰲοϴأ
ƶԡУһǧϴ϶ҪŶӣ춼ŲһΡ
Ѿܺˡεİο
̫
ԼװޣǮ׼õġгȫСܲ7㶨סҾߣ죬һȫ㶨
һ̳չģҪ㶨һҽԺѲѲ˵Ҳҽӡ
Ǹɳˡ
ο
ҽ˵ҽѧĴţ
ô˵ҾǸСҽ
һ£ô
뽲
ǵ׻ȱʣȱҽԱȱٽԱҪʲô
ֻҪҪֻҪУֻҪҪҾֻҪаƱꡣ
ͷŹԱȦˮ
̾˿ҪǻϣǶ


1019 ĿĻɫӶ
ϼĵģỻһ⣬Ρ
ԱҲ֪
ҹоϸ¶ȡ
տӿԼҿһ˻ĽȻѾƴ޽̫ª
ԱЩź
Ҽԥݵġ
Թȸô
ˡȸ棬ԱЦЦҳɻǰûʱÿ춼ԡ
һûԹῴʩԱæµţ˵糢ͻ߽ô
ܣһջߡ
лл
ҽҪפɡ
ǴӣҾһСġԺҽԺԺΡ˵
ԱӿһȦÿᶼס
ʵʵ˵ҽԺ岢Ҫ1¶ĻƤ
ȫԸĽῴ͹ԱǣأУ㱨
磬ͨô֪ϣ顢Ĵʵ
ȻݵĲ׼ȷȴʹͨҲࡣ
û취˵䣬Ҫٶͺˡ
ϸԴӦŶоɹ֪ϣ˵ô㣬Ǹ⡣ҹⷽĿǣ˵أ
ȰӦɣҲֻ˵ȸ棬˵Ҫԣһֱûʱ䡣Ҫȥ˲㣬ˮֳʮֳģϧûᡣһҪȥ
ƽʱҲϲ԰
ⲻôžͶˣﶼǿˮӹĽСЦȸ棬ҿмҵ꿪š
һȦֻкԶһȸ꿪ҵᶩȸ棬һǽǿſ̫
֪ϣߣƺҲڷ
ս֮ǰļ¡
ʮӣһ˫ϤĴӶԶн
˵ϤҲԣλСӶͱ˵Щһ
ЦЦվС֡
Բ·еԶСھ3׵λͣ£һǸ
ллĻش𣬡ʱ鷳ˡ
ȸҸ棬ԼȡС˵һ£װ
С磬ô
Сһ¡
ͷϱȻһ£Һòã
СĿᣬǿһɵơ
ҺܿҪפҽԺϷŮһĿ˵Ų˵ʽģCosõġ
ŮϲҵĶ䱻ôСŪˡ
ҺôŽҽԺܳϿҵ˵
ҽ
š
Сժ´Ӷ䣬˿˵ǰͷϵģû
û£ɣġһȥҹҪ˿Լšһ¾С
һŵСҲǮ¶һ˫ӶŵȸԱߡ
ллҲû飬Сһ
ͣСȭͷ
ߵʱ˵ͣ
ͣҲһ󺰣С磬Լʹ
СԶȥȸӶ䡣
֪ϣó棬ʼȸ档
磬ҪӶȣܲɡ֪ϣʵ
Ŀʲô¶ңоѾͷ㲻Ҵ֮˲ˣҪܶһֳô
֪ϣͷ档
֮ȥҡ
վߡ֪ϣҲĻؾ
ȥﻤʿæ˵ߣֿ϶ȱ
ҿȺȫҽԱ
šͷȫ˰Ӳ۶ˡ
֪ϣ۾ɳӣͷ档
ֻȱ¼ɲĺ֣ܳɣûİ취
ϣƽ
ġἫİȸ꣬ѾͷΪҴЭ͵סԺܣԶҲ̫˰ɡ
ҲŲסԺܣһθǿ϶ġҪӢθ񰾳θδܿüҽ֪ϣ˵һںʱ˾˵Ĺ
˵ЩĻվƽɢվڳϿճ
ȴ˼ˡ
ʱ˵˼˵ʱô˵ҵģЦ
⻰á֪ϣͷ棬̧Ҳ̧˵ȴ˼ˣȥա
˵ţ֪ϣһ¡
Ѿͷʲôأ
磬3죬Ļڡ֪ϣ˵
ڣڴʱ˿˵
Цĳ֪ϣҪû£ȥٰһ򵥵Ļ񣿡
۵Ҫ˭й򡣡֪ϣͷ棬ƽ


1020 Ǻʹǹ
ڴʱĸͤһ߿ŵůһдռǡ
Խ䣬ԽãůһдһᣬԺ뷨
Ѿύ룬Ϊԭ޷Ϸ꣬Ͳٻ
Ҫ뿪Ƭܶأᡣ
û취Ͼļһ䣬ֻܵơǴԭֻ뿪
ҽҲ˵ˣⲡʱûΣЧҲ롣
ǱȽֹۣȻܵӰ죬ǵûȥǡ
¶ʮˣǸ뿪塣
ǰŸջصϼң漴ţб飬ʼǡ
ԷºС
Ӧһ־¼鷳ж֪Ϣһ뵽ǰ塣
ϾǴ峤뿪ӺҪµĴ峤ܵʼ
´峤ҪϤҲһһϦġ
֧ڣɺܶ๤һģ˶ʱѽ֡
꾰ҲûʲôзǣȫأЩʵڷĲǡ
͸ĸϵֻص塣
رң鷢չٶԶԶԼҺûˣҪȻ˭ܣ
ƫƧĴӣҪҪʱĻΡ
ټ£ֻʱͰ˿Χֻһ·ڳλ޽˸ͤ֯Ѳ߶ӡ
˲ȥҲ֧ѲߣͤͲ
ʱԼǲ̫ˣܿϷ贫Ӳ˿ߵͼƬ
ڶ·ִʩҲ롣
޺õ·᲻õİڶඡ
ɽϵĹ˹ӻ·˳ȥǮءҪ븻·ѾǾʵ
ÿǣŴһǹѲ˿·ϣսܶԱϢԽԽԡ
۶ᣬϢ´͵
Ϧִǰ붼벻飬ȴûʲôġ峤綼ϰˣֻҲʱؽϢλˢ
ʱҪ°취ٶȼ졣
Ρ
ԷġûȷָյûбܶԱܶԱָ
ȫȻͣ
зȻ߱ϸɸ飬ֹۼһд;ҪʵʵѺùء
ЩʵѾʵλ
ԴӴʮʡǷָȾ׵ĻߣȷеͿʼָ롣
ⲡаŵĺܣǾͣӣڻһͱȾ
㲻ʲôֻȰѼ񹤡ԱļͱաũҼеؽѣؽ洢˴ʳ߲ˣҲûԵġ
Ϊ峤֧ͬ鰤Ұʵæ˺ôһ
һӣҪȫնȫҪͣýĶ䡣
ַڵůůţŤŤļ¼Ҫ飬۽⿴һӰ
˭
һץܳȥ
ݵġһŮ˵
ĸģ
ɽ͵ġŮɻĿ
˵ڼ˺ö飬û뵽Ȼ˿
ŮЩԺ֪ʲô
ǴˣϽȥϿ֣Ů˵
ʵݣû帣ġŮЦǴ峤ɣÿ濡Ҹܸ󰡡
ѽܶЩֱӣĶݵŮ˵û˿ôôϽȥ
զףŮ˱˵߸ݣܲð
Сᶨ˵ЩݵˣͲһ
ִӾóһڡ
һںĴǹӸͤ̽ͷŮһ
ץסǹϵӣˡ
ĴȾ˵ûУʵ
˵ˣ˶˵ˡ
ǲˣҪǱȾϣһһӵ˶þ˵
㹤һ򵥡ֱֱӡԽԽֱͨӸߴôС
˼Ҫ峤ûš
ˣŮɻ˵ѹҿǴڹ
Ȼ˵ͬѧʡǣ˵ġϽȥúõĹ꣬ȥɶáǴдϷ򹤻ˣҪǰ㴫ȾˣȥٴȾˣʱ޶
ǣŴǹĵĺŮ˽
Ů㬵ˣԼŻһãǹô
ôãȻͣ˭ܲˡϣȥŴǹͷ뵽


1021 սܶԱ
ļ·ʡί
ҽƶԮ
һ֧ԮǾսܶҽԺ񾡳
ǰӥӣһβС
ʷϣû˴ģԴȾĸԼ֧Ԯû˶ԷҽԺо飬ûС
λ˺ö
ʷǰĵĲսϢпʼ

ᰲûкҽƶԮͣ㲻þͱų⡣
½תڣ̤֮·
᰿Żֵĳٺֱ֡
ʦãʲôأ½תʵ
˵ɢװգˡֻŵ½תǰ
ˣˣ15֧Ԯҽƶӣһ֧Թ㶫һ֧ɽ13֧Խա
13֧12֧ҽƶӣлһ֧԰ա
աǺǡ½ת뵽ǸʡٺЦЦ
ɢװյֲֶߡ
ԮҽƶӶĳĳʡģҪǿĳСĳءĳŵģȻԽա
µĳȻðһĨڶгɫ׳ʿһȥⲻն嵭˺ܶࡣ
һɽʡͬѧѧֻǵǶˡЦͽͬѧһҾ֪ĸˡ
ĵͼڶ⿪ǵĵͼڴ඼ԼʡʡᶼҪ͸աܽһԼľ飬ٺֱ֡
ɽ֧Ԯҽ֯
ҽԺƶգ2000๫ƶҲȥˡ
᰸ʦֽڵ
ʵһ㣬˷ܹ½תѵԽ־ɳǣԽǱΣ룬ӵϾʲôһ֧һ֧ҽƶӽȥˮ
ʦ֣㻹˵ңȥҪ½ת
ҡ
Ǹ־Ըߣᴩȥ˾͸ȾҸ㽲εϽƶһӰ١ᰵ
ô񣬹ػôࡣ½תЩɥ
תϽƶɫأָ΢΢֪ʲô
ôͱȥˣôϵʦС̽ʵ
ôУʦߵ磬һְգȴţһиôôȥʦʦ
̾˿
֪ʦֺԼǰĸԼġ
ÿϷصʱԼڷǰ˵㻰ƽʱû¶һ
첻ͬʦְѸĸԼȰס
νҹ黳Լ޷Ȱ˵ʦʲô
ʦ֣ҪϰѷᰵʿˣȾѷһ㲻ԣͶеĻʿˣöСҽᱻޡ
ң½ת۾һɡ
ҪͱȥˣҲ֪ȥæǵҡҲһ۾׵ġ
½תðɣϰһ¡
ʦ֣˵ȥǸɶֲҽ
ҿ־ԸҲ١½ת˵Ҫǲ㣬Ҳһ׮Ը
Ǹ׸һҪչ㡣ᰲ˵ҹһ£ҪȥˡҾǸˮΣû£ô¡
ҲС½תվóһʼģĴѡ
վһָָ㣬ﲻԣﲻԡ
ƽʱʦֽѵԼԼѵʦ֣᰾档

߰Ҳȥеķɻ
ΪҪŴװ桢ײ˵16һߣκ֮ǰһʿŵ㣬ҽԱ
ʡǸҴҽԺҲһɳ֧ҽƶӣҹ̣ϱӡ

һռĴأ··ǶһСʡŸʣάϵһԭ񱣳־ĬĴʡߡ
ȹʼڣһҵսܶԱһ֮ǻĺ
һιҵԱμӶսʷϼġΨһܿΪλ˿ڲȫ湤ҵսʱĹ
ΣʮĴģܶԱ
ԼĲܡֵĲܡƾĲܡĲܣϲⶥ
ֵΣЩֲܹʣû⣬ܶ๤ʼת֡
һҪʲôȻҪʲô
ǲѣѵǷԺ˻зԣˮãοϡ
֯ȫԱȫֻͣйάϵһһԿѾٵ֡
ĴɢȥѪеǹ˶ŵǱŷ
ȫĽս״̬һPVEĴսһ̽Ѹٽս׶Ρ
ڳΪһҵ󣬼йԼ֪һȫ淢ԱϵĹȡеŷξ޴


1022 Ҿͳ
ս
սʴ͵Уһʱʶȫ磬󹺺ECMOԼӦķʡ
·ȫعҽԺʼжԱʣȥӡ
ɽ
17ǰȥ̫ԭ֧ԮSʱҽԺͳһŵ䡣
꿹SҽԺÿ˷һӡ֮ûӣͰӷڴңһž17ꡣ
17ǰһ룬Զǵ롣
û뵽ļһδ򿪵졣
֪ԼҪȥ֧Ԯʱ򣬸ûȰ裬ǰѴǰó
ӲǿյģһʽƣһƬ
ǵʱԮ̫ԭʱĹƣ17ȥɫĹѾɫһģһĹ̵ȴû䡣
һĻһƬ
17ǰȥԮеʱµļ䡣
Ƭϵҽ߿֣ǽŶŨŨʷС
е˵һˣͶȥǰߵʱûпޣֻ˵Ҫ͸ϽȥǧҪҰ˻
꿹յʱ򣬶ٸĸôԼĹǰߣһս޷ˡ
17ȥˣҪԼٴαǰߡ
Ƭ͹Ʒŵвһ¡
Ǿһ¼˸ҫ
ΣԼҪһȥӣȥǰߡ
Ҿͳ㣬ĬĬš
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17ǰڣۣ󣬰ƲԹһжڱ䣬ûбѪ֮еּҹ黳
ǧȥּҹ黳δ
꿹սʱ򣬱硢ƺӡȫйҲûб
ڣѼ̽Ҳûб
նһ˳˵Ŀ࣬ڴһ೵ɾһҵ
ּҹ黳ţ˭֪ڡ
ڣһһ
һһȥ
ʼƷΪһڿƵҽʦڵ
ɽѾȥһҽ֧Ԯ飬ӵľ沢ûгκθĹۡ
ȫټࡢ֧ԮȥԮӣζʲô
裬Ҫȥ򲡶ô
8Ķʵ
ûͶ˵飬8ˡ
ûֻһĬ촽˶ȴûʲôʱܻ
Ӷˣο
Ҳο뱯ˡ
ϣԼܻĬĬš
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17ǰţӺȻ˵Ͽ֣̫࣬עⰲȫ
תһöɫĿֵݹ
ǶΨһġ
ӹ֣ûҿӣ֪Լܻܲ8Ķһˮļ䡣
תţȻȻ
ȥҽԺϣ׼սӡ


سǣʡҽԺ

12ǰҴߡ
ƽ48СʱͻĽžսʿѻ׵ӷȳ
12ѾᣬΪһʿ
ʱ˺ϡȴ䡣
ɼҹɻεضɽҡεϱڲԫεԼԸ𡢲ԸԵĹȥ
ԽԽš罻ýƵǳˮһ֣ӵΣһҽƶӾȴٳûдʤϢ
ԽԽԼԺ12ʷصÿοйϢʱ򣬶ߴĶǶϱڲԫеĿ
ʦ⼸һֱעͷײҪʿ֧Ԯ֪ͨҡԭ£
1
2
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ҵȺﱨʦ꣬ܿᱨҽԺѾѱ뷨תΣɳɳ쵽죬Һܸж
ΪҺĻʿһ봨˰
12ǰֽ١
12ֽ١
ûзںˮֻ࣬һһͨ޷ˣϸǰߡ
΢֧һͶеסˮΣķȴûѡӱܡ
Ϊ
12ǰ
ԼѪˡһĽžսʿôġ
17ǰ
ҽʿǿSҲôġ
70ǰ
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89ǰ
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ȻƽﲻЩ
ǵҡΣǱѡֻҪһٻ㱼ǰߣΣյĵطӶȹϢ¡

Ҿͳ㣡


1023 ˣûƨ
ΧſһȦŴӶҽԺ
ƺܸܵϴĳϢ˽ڵĻ˺ܶࡣ
ǲûκѶȵû취ĥ˽ڵľڵ̨ʱ̲סʵBOSSȥˣôû
ȥ½ɵķҽԺ
գõģ˽ʵ
ǣҪô෽գһΡǳ޸ĵʱ볡Щª
BOSSմȾѧ˵жϴȾԴ
ˣ졣ͷرͷ˵
BOSSˡ˽ںίʡʱ򲻹˵ʲô㶼ὲһҵˡ
ŶΪһҽĳʶ
ΪȾѧĽ̿дĲȷġ˽еί˵Ӧø롣
Ŷһδв룬ʲôʱ򣿡
룺
Χġ
еʱҼƬڰ׵ģĻߡ
𾴵ı˽ڣθʲôôʵ
BOSS˵𾴵ı˽Ĵʻ󣬱˽ֱӷѡ
Ҫش⣬ȴȵ½ǲҾסһ㡣
100ǰĴеȷиƬ֤ʱ˵ȷŬƨûС
ϯŷ4000-1ʱȫŲ18˿ڡ
ΪеŰͳʾͳ׼֮ҽ㣬˾½12ꡣ
BOSS׼ʽȻѾô˽ʵ
Ǹð취һ˽˷ܵ˵ֻŲҪ㹻޳ܡ
ǱȻģ֪BOSSʡȺҶڲ²ʲôʱŻη׾ʧܣɷײ
ܣBOSSѾõİ취
˵вķִܡ
ǰֻͽߣɢٶȺأɻȫ򻯵ĶѹִͳҪȥȫ򻯣ǰĽëˣ
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BOSSӦ뼮Ȼѡͳ죡һ˽Ͻĸ¶Ұһ˽˸߲ҵ˵޳̺ڹģֱĴͳ죡
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BOSSôô˵κοжҪķѴǴɱģ໨ǮҲνһԪĿȱֻھӣĿȱֻҪ1000ԪҪģ˽ƺҲ֪ѧֵ˵
ҾͲˡ˵һֱȥҽԺ
Ҫʧˣ㻹ȥʲôӣȻأϵҶӢѧģ֤սʤ
BOSSô·ҽѧڿϣ޴ıˣҪ֪϶ǡȻ
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ȻøߴңֻһУûʲôҪעġȻH1N1ʱֻһȻ50򣬵ǹô꣬˭ֻ⵱ʱء
καһֱż໤ǿ˽ǿЦһ˵Ļ֮󣬲Ŀʵʦ£
ţġH1N1ʱںôֻһС
κĿܰɡ
ǺǡЦЦȨWHOҲж˭ҪǶϺ۾ͻƲážȥƲãҶ˵ԻȨҪ
BOSSֻҪ뼮ٹʮҽƽĻȨЩ˾ҪݽҪ500򵶡
ҵĻû뼮ͻᱻͷײ
ܣȫ౦ĲƸôսûԼ̡˽˵
֪ʲôBOSSÿʵܣ˵ʲôÿġһ˷
Σеʱڸʲôĥ߶κΡ
ҡ
ûκ˵꣬˽˵BOSSŷݽҸȾвȵ40ȣҵ죬һοѵľ
ڷ˴ƣϾͺˡһ˽˵BOSSʵΤ϶ЧڴƵЧҩ
רΤоûЧЧޡ
ܣһǷƵģΤĻѧṹҲ̫ҩӦòѡ
ˣһϢ

ϵŶ֤µĲ̬ܾܽãһȷﻼ߾סӰϣвڡ
ҵ죡ֻпŰϴ˽ھ˵Һãֻл˲ŻᱻȾ


1024 ʯ
ˣȷ˵ģʵ
˽ϸĿһûŭƽˮֻ˵һ䡰ϴ
ô˵ģѧѾǹʶˡ˽С˵
ˣοҪ⡣ЦЦҹ˱оԱŪҲȥȻˡ

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BOSSȷ˽Щ£֪Ͳ
Ȼᰲ˵ͳ쳷ȣԻ߽ƣǶôӢջٵķһµҪҲνǵĲС
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ˣͳڳȵĹչʾȽƽ˵ȴ˰˱Ⱦܻˣûκ塣˵һ⣬һ֣ʯţ˽һ
ҵ죡˽ھ
ʦ⡭ܰɡϿö²⣬ս˵ıۡκνͰ͵˵
ν࣬ǿ϶ܺ˵˵ˣҪȷ˲ܱȾĻΪʲôҪء
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BOSSıɱ˽ڴ
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κäĿĵ˵ͷ
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Ǻܼ򵥵飬Ҫʲô߼ѧԼһ֪SбĲֻл˲ŻᱻȾ
֪˼ӡһӿÿ˵Ժ
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κξÿԲȸûмɿڵʡʡĻôҲȳ²ǡ
֮⣬P4ʵҵĸְɣʲô̫֮СϢκδ۽硣
ϻһʵԱ12СʱسǡѾְʵԱҥ
Ļ̻̣˵ʲôĶУҶһɥ
ǳǧҽԱУûһ˿ת
ԽҥԾԽࡣ
٣ٻ棬һۡ
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κγĬ
ûϵһɫıǵı
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κβ֪˵ʲôźá
ϾʦôǿҲֻһҽ˵ǿѧҡ̫˭G7飬ߵֻ˭
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衣ȥҽԺעø롢С
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1025 ı
˽ӻģһֱȥȾѷʧ󣬱һţûǽϣžһ㡣
û߶߶˵ͣʱ˽ΨһǻصݣʡļλѧĽ˵һBOSSжϡ
κΡ¶뿪˽ھԼ΢һ㡣
BOSSԼѹ̫󣬱˽ڳһ㡣
ֻҪBOSSڳոձһţ֤ݡֱ̫Ұˣ˽ڿɲҵô˵
ǰ˽ڻصݷ䣬ǻᱧԹã˵ûдˮֻˮȣ˵ԡܶ춼û˵ԷҲѳԵȺġ
챴˽ڹ˲Թóֻ绰
κĬĬɵϣ̫Ҫζ
ˣ㻹ô绰洫һˬ
˹ô˽ڴһк˵ԼӵĻֱ˵˹BOSS˵һ£
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ȣ֪ɡ
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ע⵽һȷôУҸʯţעô˽ڼҴҵʵ
绰ȻĬһ¡
BOSS˵϶ȺûиǲֻԻˣǶȺ̳ظˣ
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˹BOSS˵ģң˽ǿΪBOSS뿪ʡʱ䣬ѾǸħɡ
ôᣬǸħһ˵ͷȷܸɣΪ뿪ʡ
˹˽ŭκ̾˿һ죬úϢһᶼС
˵ʲôˡ˽ڵBOSS˵εķײ˻ȾĴǸˡ
ˣⲻǺôÿвʮˣ˹ɻʵֻǷ׶ѣROֵߣʿ϶ͣ⼸ѾԵΤ㻹ڵʲôء
ôBOSS˵ģıҡȻҿı飬ܸܵϢBOSSܾر
⻹ǸõϢˡ˹Ц˵ź޷ߣǺͻ֮ѾϺİɣ϶κġ
˽ĿŴ⣬һȻ˵һ仰
ˣ绰ôлľѺôһ㡣ҾҲֻBOSS㣬ˡ
˹ûӣûҽƼҵεͷײʿ϶вһҲǲѧвѧרңҽֱҲܸ֪
ˣģֻлȺ޴ļһ
17ǰôSȻֱʧҵ죬һֱΪĴǿ϶ڻ51кǿƼƶĴԣǷѳ3¸˶޷⡣
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Ҳ50ѣһ²³ֵ
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̫ˣÿ궼еģǳ̬
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BOSS綼ֻ֪ڸ˵ġ˽æϡ
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̷ףرŹ̷ۣ֡׸ݣʵй©µġ
Ǹ񾭹Ĵħˣ¹һɡҾжMҪȻΪʲôħѾ뿪㻹Ҫȥء
˹һ˵һжBOSSģ㻳Ϊ顣
㣬ҲȥģⱲҲᡣ˹ν˵
κڴϣű˽ں͵绰˵ĶԻӢһ㣬ǿ
ҪǱ˽ڷѣ׵˵ʲôԻκǿ
ɻŨκѾʼôһ˿˿ʦıۡ


1026 Ҫʲôֻ˵

ڶҽԺʱԶԶһ
ˣһſڰڷĵضһԾ
һ޷ɫĿ֣ͷģ۾˯ûȫ
Ľýݣ˽ֱڿǽƽŵĸ
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Ա˵ͷʦ̨ˣҪŴװװ޵ġ131Ըȥɽأ¾档ûЪ˯һ㡣
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ᱳ֣ø˿Ӷ䣬ԶԶȥȴȵġ
ոյλʦѺѾʼæµ
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ҽҪͺˡԱ۾ﶼѪ˿ͨͨ˵
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ΰٺϹ˾賿ˣ˵ˡҲǼӰӵĸɣһ·ϷҽԺԱ˵һĴԣȼ
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ͦãһ绰ܲһ¡һҷҽԺ϶Ҫһ㣬еضУˡ
࣬賿֮ǰ϶ɨĸɸɾûסԱ˵Ҫ鷳ˡ

һҪкϢҪʲôֻ˵


1027 ҽǽ
ڷҽԺһ죬ϺУϵԼġ뵽Ļ㱨ȥ
ȷ賿12֮ǰԿգҽԱ𲽵λ׼ϤءĹʦֳװҽá
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1028 ͣ
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1029 ̰
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ÿһ˶ǹģ˵ʵҪȻҲô취
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ħҽʮϾ֧Ԯֱפ̶ҽԺ˵ô˵أĶҺƱҪ300-500ǮĶҽ
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ЩǮֻôܹҵӺţҺţ濴ƬһǮ˵ڣȫѡ
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ߵͷ
סҽƣûǮǿǵЩϵҥԡ


1034 ֪Ŭ
תһȦBĻȽأȴûסԺָĻߡ
ЩһֻһֻȥҽԺơ
ʱӰҽʿʼ׼滻ҹҽԱᾲĵȴţŴŶ䣻ŴŶϴ
Ȼ˲ͷ鲢ûңһСӰ첻֡
ĵûзȻ˵ϾûֳʰĴ¡
740ڡ
ҽԱסԺֵӺһɫӶ䡢ҽһ¡
˵˵еʦҽк˶ʦῼԵĵԶԷײĵġ
Ȼһۿ˵еʦյסԺܵӺ棬ǰһһأճճ
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ûʱʼǰ࣬ѻߵҽ˵һ飬ʲôҪעҲȫҽ
ûѯʶԷ򵥽飬֣жϳԷӦ35-40긱μҵҽ
͵ҽо顢˼⣬ǹؼ㡣
20ʡһǸ϶мҽԱ
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ҡ
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Bһԣ糿鷿ʱλ˵Լ˵Ļߡ
ѪͶһСʱ֮½ٷֵ㣬ǿٷ֮ʮҽ㱨ʡѪѹûԸı䣬»Ǹߡ
ҽûʲô¶ŮתϤĻɫӶ˵Ϳԡ
ѪͶȼӻֵָһ81%ҡ
ڵҽȥҽԺơ˵δػΣҪһ飬ȷ֢״
ҽġŮ˵ҾҾڼҵʱ򲻸ҹش˯˯һҹ緹˰Сʱľо˺ܶࡣ
ѪͶȲȥ̶ɣòáʵ
áߵҽԺܸߣʱȥϽ̶֮õ顣
缸죬Ȼ˼ǧҽʿŶסԺסϡ
ιιιᣬô
ʦ뽲Խﴫһʿ
н̶ľȻиҪתȥҽԺơ˵
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رնԽº˵ڣҪߡᷳȥһ㡣Ȼһãкȴҽ豸ҲܰȫһЩ
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˵ͷվĬߵͨλá
ûлסԺܵӺţһܾȫλã۲컼ǵı֡
ջһİĻ˵ϲϴŶһζĵĿ飬ôҪԵǸ߿


1035 ˼̻
ҽԱBҽ˵
ԶԶĿţ߾ܾϵܣʿѾʰõĶ120ҽһ߳ա
BΪģ·ڳӽȥһʯͷ
ûг֣ԭĻ߿ǰһĻҲóĬ
һȦһȦİȥ
ԭżСʱϤһյĻѾмªǳԻסǴպϵķա
ŵһ뿪л߶ʶԼվ±ϣڱߵĻȥģԶĥ
ţʱһһţûзκ飬Щᵣ˺ܾõ顣
Щ˸ɴͷ˯ȥԺ󡢲ȥ뽫ЩͲסį͸ڴĲѿʼģˢֻĻĹâϣɫ
ֻ΢ѹʮӺ᳤һ
˾ҽԺҽơ
ҽǼͰӵǾ˼̻
ڷҽԺɲ䣬Ҳһ˼̻Ϣ
˫̧һѻɫĴӶ䣬ʼϲ䡣
ʱ˿̣䡢̻ȴǰӾ
ڷյĹܼסÿһߵ䡢ʷһβºѪͶȡ
ǵ״̬ҲԲ仯ԼĹơ
1020֣ʿʼڶθ߲¡ѪͶȡ
½½»ͽҽԺ･
Ͻ422ߣԤƽҪ300໼ߣ췽Ҫ
ҪһֱȥͺˣһպᱻǵĽڵ㡣ûκηǷ֮룬δߺУֻȥ
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ȻѾȥʮ꣬ỹǼǵÿһ֡
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֪ĻЩСôģ᲻ӿΣ᲻һ߼װΣһˢBվ
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ǰĹ֪˵սķϣ¹ʦڸϿε¡ʱỹежΪ¹սѸǱȻġ
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һĻЩ֮⣬Ӧò˼ǵá
һţϵЦŨֻУ
У°ˡ


1036 ˶ʤ
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ǿ˺ܶࡣῪʼУ㱨һĹ
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УҽԺ䲻ãҪץʱN˵飬ǺӿҽԺԺУ
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µķҽԺڽ裬Ҫ̫ࡣ
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ԼǽšǡƣΪȵµļۡ
㴦Ҫ̣ƶ⡣3-5֮ڻת10ҾͲˡ
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ΪأҪȻΪʲôҪȥֱͬˡУ˵
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Թʵʵɻ⣬嶯ʲô鶼ܽǧ˷ȥУ֪Ƣ
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á
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Уô;ķҽԺֻ˵ͷ׷ʵ
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顢ļʴڣûлͷУ˵۲12СʱҷҽԺûгֶ¼ߵ϶ȻǹģҲҪץʱȥ
ÿҽԺ⣬ǲɿصĴȾԴһҶҽԱܸô׷ʵס
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Уһ˿ǰڶģҶ¡̾˿˵Լĸܡ
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Ⱥ㹻ĻԼҪ꣬ճԱļԼ㡣УŻҡǱڳȾ㹻ߣΪҲ㹻ߣȻΪûȫ
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˺ܳʱ䣬2ӣŽӵУϢ
һʺǺΪӦһҷҽԺ¼
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Ҫչܼ־ԸߣҽԱַʳһЩӻҪάΪǻߣԴӵԱʼǿжϡ
һҽͻ߽͵
һ£ͣ½Ųڴһ̡
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ڹƮ˼꣬뷨⡣
ǽϣ̣ۿƵ
˴ŴҪ£ȴҽֹֻûкѡĻߴϷչܼҵĺ£ȥס
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֪һǰ뵽ôԼҲҪ񶨡
ǰǸڷҽԺϿεʦӰӡ

ս춷أ

˶ʤ죿

ǻֹԡ


ע1һǣءķһ֮⣬Ǳ֢רжϣطС顣


1037 ޼Ѱ
һ̣߳һ߿·пݡС紩󣬿ؿӿ120ȳæ
СţǱ˼ҵĺӣֱ˿ƺĳ
̣Ͽ֣·й䣬ŲؾƵ

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ֻˣ˵ı鶼ࡣ
ҽԺˣ˴£
ؽԽԽϣҽҵϷ˼⡣
ͳһһԶĹǸǱʡҲüޣΪ񡢹Ǹȫ֧ԮУ¼Щѡ
03ʱ򶫱ûSĸȾߣ޵¡ѦͶǳԿвĶԱ
ʱ򶫱С߶ûУԴ˶ΪηײҲSеĳ̶ȡ
ûҽԱͷײһİơ
ҽԺ˵һߣתȾԺơ
⻹뿪ǰĻߡ
һӦҽԱԵһȫİս
ͬεĲƺ޿ײ롣һֻǾͣУһͱȾ
ڴһڸпʱ򣬲зȻԺ
ʼҽԺصĻںƵָѸٳ벡֤ǰʡǸ⡣
û죬ԺڸȾڲ֪±ˡ
ºƲ⣬ӦһȾȴû֢״Ļ߼ҽԺ¸Ⱦ졣
ҼȫҽԱ룬ߡ߼һ200ˡ
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ⲡҪ룬ҲҪһʱ䣬ŲЯĻߡ
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εĲϢĴߴõ徲ĵĿʤ
޵ѦͰ칫ҵλãĻ⿪֡
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ڸֵҽԺҽԺҲı
ֻҪǸٴ˻ٴ˶ֲ޷صġ
ҽԺһ⡣
ȫţ򵥵ġ
ϾҽԺڴ˵ľۼֱжһ͸ȾԴ
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ȻҽԺѾűˣֵҽԺҲڶ߶µĿ
ǹڼ䣬ý塢ýȥѾ˺ܶࡣ
ͦͦ죬һʲô仯أҵڵĹʶ
˱סԺơ˥ּ֢ﻼҲ١
ô죬ס棬һѼѵ⡣
ϾҪάϵȶҽǱزٵһ
ΪͷֱҽԺšû˸Ҹ
ʡѯ绰û̡ƶĳһˣҵ˶ԺλԺͷϡ
˭ȥŶԺ߳ӣһ⡣
һ̽һ̵ĳ飬ܲˡʲôǰϾǰһĲֵ
ѦԺôǰڻϿ޵̾˿Ѧ˵
ҹǺ꿺Ժˡ
˵Ժʱһһף浽󿼣һһˡ޵ºټĿ²ģʽ
ҺָӲ˵һȥɣѦ˵ڼ￴ãʦҪһһʱ͹ȥ֮ء
ѦԺȥɣˡ޵´ͷɥ˵ǰǸӣȥٲԺྫϵʡԺǰ;лءɽֶԺԺڸȾ
Ѧûзϣֻ̾
˵Ҫһ߲ñӣѾȫӹܣڹҼεˡ޵˵ٶȥһֵܺ棬ʧȻᱻֱ¡
Ѧֵȼһ̡


1038 ¸һ
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Ѧ͵˵ͷʡѯȽϼԺ˵ҲǸ취

ΪһԺضԺܹܵסЩˣǰǿɶ˾Ѧ΢΢ҡͷ˵ӦţһӼСʱһ͹ȥˣû
޵²ĿѦ͡
˵ʵһͲˡѦͺݺݵ˿̣³ں棬֣ȫҽԺأôܣһ£Ҹʦ绰
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һСʱһֱӡѦ˵ҪħϵҽԺɶûԺڸȾ˼ٳס˿ڡ˿ڣǱʡǶöô
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ԭġӷϿܴ󡣡ѦͶݺݵĳ˿̡
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޵²ĿѦ֪ͣλһ͵ϼΪʲôȻ֧
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ѦԺ˼ȻҪƸۡ
ʦ绰Ѧǵ̣ص30ǰձҵʱ
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޵ǰһ桪ʮѦͿؼңỵ̂壬߳ű硢ƺӡȫй
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1039 ȡ
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ЩʡʦѦ;ð˺ܶࡣ
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ͨ죬ƽʱ޵һԸڲҲõܲ۾˵ϹֻӲǡ
޵¿϶ÿһЦӭϾҽʿðŪȥǮνҲû˸֡ҪǵЩˣԼԺ·ߡ
βһ
޵¸ղΪʲôʱ뵽ʦһװվ̨˵ԱվһĻ
߶Ǳƺӵĸ
һһ绰һһա޵··
ΪʲôеôԺṫȻԼ·ֱԮ
һӱ׳ˮ
绰޵¿źƣ˰֡
վһԺ϶
˲ˡЦЦҾ£ҾĶԡ
ԴҪ
Ҳô˵ҿɽҽԺĸȾźĽ˵һ߸λȫϵԱûּۻۡ
ţվںָֻţƨ޵˵һСʱ˭ôͱҲҪ˵


1050 Ѷ
⺢ӣôôֵʿվɽĺŭ
ʦҡ˵ͷýŵϵĲѩɽ
ʦʦɽ¡ֵʿǣ˵˵̵¶ô
ˣ̧ͷ˵˵Ҳ㲻ɽұһҹ
ֵʿһɽµ財ܵĶ⡣
ۣʲô㣡
ڼҿӲôҪ˺Լһɽ
ʦǶڣҺ¡С˵
ֵʿһ̾˿˵ɽܽпࡣ
ģ
Ҫÿ֡
ţ׼ˡóһ֣׾ĸԼϡ
ֵʿҲû֣Ժǽ簮ֻҪԭⶼͬ⡣
ˣ͵ɽֵʿԼһɡ
⼸ֲίɽʱֵʿ˺ܾãֵʿɽæ
캮ضʵʵڼˢƵҲǰæֵʿܾԼҵʲôԲСʦ塣
СʦһʱŻȫҵֱȥǰߣԼҪɽϵҲУȱ˵ʲô
ԴӾɽ־Ըߣֵʿˬ
ɽֱȽϽЩҲ
ĹҪĴ֧߶ľί裬ֵʿԼƾЩҲܰϵʲô
Լ˭
ɳ
ǸĶӿԼȶ£
ͽֳܷɼ飬ֵʿǧ˳ܣҲҪع涨
뵽Щ涨ֵʿҲЩãҪ˰ڼһĽࡣ
ȫΧֵʿһ붼ԼͷƤ顣
ѹֵʱСʦôķӦںɽʯǰһҹѩȾͷ
ˣֵʿݵã֮Լжϡ
Сɽɽ··һء
·һһĺĸ֡ʱ衣
٣ȫֵʿеģ·ĺܺãһ
ǰߣ·ɽµһӡ
ӸѾѩס˿ֵʿЩ㱡˵սʱ״̬սʱ״ֱ̬ȵӰɥʬĻ滹Ҫ档
Եǲĵˡ
ӳڴһżǵô֣齫ڡ
ֵʿĿɿڴ
ﻹģٲֵ˹ҲΪһÿڲʰѿָϡ
Ҫ˵Ĺ൱ӡһٸʱı齫ʵڡ
ڳһӣдž¡ʽƤñӵںŴӵŻ
һȣ˫ֳֵʿһᡣ
Ϸ硣
ʱں￴ţӲĸСһҲǾ治֪˶ٲ޻ܿס
ڶĿẮֵʿļҲǺϾЩԽԽãгؼпյܲ䡣
ɽʹ󺣡
ֵʿֻһۣǰ˾ӵķġ
ֵʲôʱ򵽣
ˣҺüûɽɽµôϾء
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û£ġֵʿҲţæ˵
ɽ˾ӲԶ·ЭҽԺʱֵʿʵĴ¥ЩСʦ塣
Ҳ֪ôСʦڻòá
ҪСʦڣһЩֵʿҵĲšʵҲ֪ս󺣣СʦڼҲûʲôá
ܿ˾ӣź乿һ࣬Ҵҵܹ˵ֵлл
˭滮ǽֵءֵʿϰԵ΢Цûںɷǵļƣ輱Ҵҵ˵ǰڡϻڵĸҿһ£սãǼ¼Աıʺͱ
˵ţѶֵʿŲմصתܣһһߴ绰˵ҲǷص顣
ֵʿЦӻֲҪȻôõԼ
ͽֳܷ´һȥڣֵʿ⼸ȥϻڡ
ոոпڴӿŵ˼ңֵʿԼҲͬ⡣
ΪȷԱж·ߣ»ǰ裬亮ĸû취¡
ǹĶʮȡǼȵ£ȫû塣Ҫ˵壬ǾһʽС
ֵʿյ˵֣վں￴ϻڵ·ϣ˽еǼǡ
˵ȥݼ¼Ҫ¼ڵбȶԡ
ƺΨһİ취Ҫһ˿ڣѶȾǵġ


1051 
һ°ࡣ
ûк뿪ǿһֻϢƶP3ʵ
æ꣬뿪P3ʵҵʱѾƳϡ
ۣ硣֪ϣ·˵
ұȥЦЦת
ŲҲۡ
һãڵϣ֡
֪ϣЦտûһֱӱȥСʵ磬û£
סԺܳʲôЦ
֪ϣٺһЦſϡ
ඡվų֪ϣ뿪ҽԺȥᡣ
ҲżȥǸ룬ԼȦһ¡
ͨ绷¿£̰ĺţÿһڿôı
ϣ֪ϣһ߷ֻһ˵ƽʱʲôֻ뿪ԼһСʱ;Ļš
ɲ֢һ뿪ӣⲡܺõĲࡣ
ŲҪ֪ϣЦǺǵķֻ
ʲô£ʵ
21գ򡤰˽ýɷʱָβͥۼʱЧܱ죬Ըǿȶ
ҹһ没оģȻ˱ԱԸĽֲ̫ôˣڶ򡤰˾վ̨顣
һֱϲôˡ֪ϣ
û˻ϲһоôļһ򡤰˾ˡ˵б¶ô
мƵ˺ޣһ֧ԮҽԱٱʱ¼Ƶġ֪ϣ
žġ˵ûκκôӰʱͰ΢ʲôӵһߡ

ѧأʵûʽ
ҿ֪ϣһҳ漴һ¡
оϵĳ֪ϣЩӲɻʵҽŵˣܰɣ˭ôġ
Frank PlummerʿΪಡڿǡȥˡ

֪ϣ˵ĺܼ򵥣ĺһ¡
Frank Plummerʿˣأ
֪ûP4ʵҵϢ
Ĭ֪ϣԹԵĴСʵ磬Frank Plummerʿ磿
ܿܡ˵
ʱҲûFrank PlummerʿⰡҼôǡ֪ϣü΢΢ƺŬżǰ顣
Frank PlummerʿϲȾƣĸӲڸֲָĲƳ񫡣
2016꣬ͳ֪ϣFrank Plummerʿֲͨ缫Ժ;صṩµĴ̼һ֮ڳɹ˶ԺȾƵĳԡ
ǰļĿᲢΪಡºȻĽ
Frank PlummerʿS磿֪ϣʵ
Sй״˼·˵ûг磬оҲȡһͻơȥͳ̿˶ʦFrank Plummerʿֱô裡
һ˵ţһóһ̡
Ҹоβһ˵03ȣʱǱһ㼸ѾѼȫǰ죬и18ԡ
ҲпǺƫ⡣
пܣԿ϶һβ˵
ǣҶ˵лɡܱȾô
̰Ҳֻһ⡭᳤һ
Ҽǵ˵ǵĶ⡣
ܡڵϣͷ̡
磬ˮ
û£ЪһЪ˵̿˶λڹϵУFrank PlummerʿˣȥҲûʲô
š֪ϣ˵ͷӱóһƿˮԼһں󽻸ᡣ
ΤЧһֱҩȫûЧУ֮ǰһֱڵ۶оΤЧԣϢֹۡ˵Frank PlummerʿҲŵһӹǽζ
˼˵ΤЧҲż磿
пܡ
⡭
ıôܰɡȥ룬ûʲô塣˵ȥʡˣ˭ʲĵĻܡ
ǰ˵˼¶
ôˣ
׾˺ҵ
һ£ҵǷô
Ҫ־壬ͱһָĿ־塣вţ⻰˵֪ϣЦ
ʯôⶼȺҵǿЦЦ˵ոFrank PlummerʿϢƺǡ


1052 ǣ
صᣬӵ֣ĵ绰
绰֣û˵ʲôûʱ䡣ҲȥĥFrank Plummerʿ飬ó֪ϣϴԼȥ֣ķ䡣
ʦ˼Ϣˡ֣ź㲣̶9ʱ䣬һȦͲֵƤǡ
ʲô¶֣ڣʵ
ûţ˵˵
ŶĿ´
ֵģһ㶼֣̾˿˵
ῴ֣ı飬ЦЦ֣ڵӦúͼûʲôϵ
еλͬ¸ҩ10֣ÿһΣȥĿ֡ϰˣһö֣򵽣򲻵ʴǡ
֣ڣλͬ£ŮѣǰˣЦǺǵʵ
֣̾˿ʦˡ
˵˵ôҲţҿԸοһ°ڳһ˵̬Ц˵㿴ңʿʱ֪ҸŮѣ㿴㣬ʮˣšĸ̥SOLOУİɡ
֣ͷеۡ
˵˵һġü¶ҪFrank PlummerʿϢˣ̻
ʦ֪ôҲڡ
ʯ壬Ҷʵ̤ʵϸɣڵ۶ҪΪĿΣǰ;ܳеĲӵϡ

ݣ
иͬ£߻ҵҸоһֱ˼֣Ҳֱ˵Ҷӡһ㡣
Ϊʲô
ƽʱɻȽ룬ߴߴģû»Ըͻ졣
̫ˡ
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֣ڣʲô˼ʵ
Ҳûʲô˼ǹԸ¡֪ģӴ򲻳һƨ֣̾˿˵
˵˵Ǹ˼ŮΪʲô㷴Уֻǳ֡ɲ֡
ҲǷУҪȻҲҸ֣֡˵ܾ̫ˣҼʿ
ôƨͦõģǰɽʵ
֣ҡͷ
۾ɴ˫ϰԾȴûɫӶ䡣
̣ջۣҪôһŮѡ
ʦϵ̫Ӳˡ֣̾˿
˵仰֣Լöˡңܣƺʼ
Ҫ˵أڵľֱ̫ѹ֣ĺҪ
˵˵ûдϵ˼Ҵϡ֣ڣȻأ
ɻǲͦܳԿģ֪ôʶľ˲С
л˼Ұ֣֣ڣķǲá۾Ц֣˵
֣ýʦܵʲô̼ƽʱ˵Ƚºͣȴһֱָġ
ѵ˵ͳڳˣӦòᰡԼڽЭҽԺôãҲûǺ
⻰֣ɲҺ˵ԼĲ²⡣
أʵ
ҿȦ֧Ԯͨһİͷˣšˡ
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ʦЩŹ֣˵Եµж
ʲô£Ǿûϵĸ̥̫ˣ쳣ϲ˻˵һֱԼҽڡ˻б֣ĳŪֶס

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ֵģǸ֢ģ϶ҪȥҽԺԸһô졣֣˵
ǣˡ˵֮˳Զٷ
ɢҪѵġ֣ɵ
ԣףû¡ֱ˵ֱӣһӶһŮӶԷӣ֮䡣ѵõĻ䣬֣ڣҪϧ
֣
һü֣˼ҹ͹ȥ
⡭ǵλͬ£ðɡ֣ԥ
ҲǣҪֿǵԸ㡣Ѿͷȥ͡ǹһᷢҡ
ʦҲ˼Լȥ͡Լȥ֣͡ԥԥģԼ
˼Ұ˿֣㻹ôˣ᲻˵˵ĥĥģ͹ϲ˼һŪô¶֣ڣҪһģ˵㡣ҪǸ۽Ƕ㣬̫塣
֣Ĭ
Ǿôˣһῴ࣬ҲԵòҸ֣Цʵ
á֣ܾĺܸɴࡣ
Ϊʲô
϶˵飬ȱЩ·Ҷ


1053 Դ
ĲѾͷô
֣ԥһ£ҡҡͷ
ͶˡģһǱȽϺõġӴ˽ôС֣ڣ˵㲻ӦεԱвŶԡ
˵ţЦЦú롣ѧĽǶȥ̸Ͷ䣬ˣϲϲҪǲ˲Ժ£һҪܰúأ
֣Ĭʦ˵еʲôһʲôһ
Լĥһȥˡ˵
ллʦ
Цͷҿжٿ֣Ӧ10N95һֱûãȥ
УҲһֱûá֣
û˵¶ת뿪ٳŵʱ򻹳֣Ĵָ

صһμ򵥵ŽȥȻ鷳ʱڵٶ
֪ϣ˯㣬ҲûȥţֻϢ
ʱ˽ĵڱ񣬿Ŵ⡣
ͽһñ˽ͣΨһҲˣBOSSȥһҽԺ
κÿ˵һЩҽԺȺϢ˽֪BOSSȥһҽԺʲô
޷⣬BOSSּҽȻȥ㣬ÿ۰Ͱ͵ĿЩûʲôõ֢ߣ
ĵһУ˽ڶǺ⡣
˵BOSSֻ˵κʵͽʦ
һҽҪѶǮѶپκʮ꾭ḻҽ
ڻģϢΣյĵطڱ˽ڿһ˷ѡ
˿򣬵κ֡áҽȥһҪһȴһһϦġ
վˤɻҲҪԱɡסһΪһԱֱ̫ѡ̫ѡ
˽ڣôࡣκΰѽ쾭˵һ飬Ȼ˯һɾȫɢ˼һ
ΣǷûиҪĹBOSSѵ֪ж౦ô˽ʵ
˺ܶడκڴϣű˽˵߼ҽһоİ취ʲôġ
ԱڷԱ¹ʱBOSS˵ӣϲƷԱˢսǻص󷽳Ϊ̹٣һԱǵı鴫ڸˡԴǾûˡ
һɣף˵Ҳûʲô顣κЦЦ˵ˣ쿴дҽԱ֧ԮϢ
ʲô˽һƣҪ֧ԮҵѽǵҪʲô
ǰҽԺʦҽԺָĽ˼иҽԺڸĽС
˽ڵ۾ɵͭ壬һκΣǷˣ׼֢߶սǲܵģҸʵ࣬ȺгǱڣ֢״㴫
֪κƽ˵
ôʲô壿˽ʵȷĻս治֪жٻߡҾƺҲȾˣÿоƣӰȾϴʱ򻹴һ
ˣǸ޴ļһ֢״ɲ֢һBOSS˵ÿٷƤע䣬κģĺˣѸɲ֢ӵ̫ƽȥ
Ӧ֪򺮲ʱָоڻۣҪյǰס
ҺBOSSڣҪȻʲôǸȾ
κκ޹Ŀű˽ڡ
ҽƶӺûɲ֢ı֣ΪΪκκͱ˽סһ
ÿֻҪ˽ţͻ᲻ϵĺԼ˵Ҫôκεͷ챻ըûʱԼǲǱȾ⡣
BOSSѾˣǲѧרң֪ܲROֵ5ϵĲһĴڡ
ôϾûBOSS˵飡
޴֪ǶԿѧӡʮмûκ֢״ȴʱشȾˣҪôſ԰Ƕҳ
Ҳ֣ҾǶBOSSģĪġ
BOSSڣα
κĬĬű˽ԼԼܣҲ⡣
ȻκζԲ˽⣬˽˵ǶԵġ
еĻɽɽҽԺѾͶʹáڽķҽԺֻȷﻼߡ
֢״Яô죿
ȺﴫԶûнһ졣
κֻȫڼҸοԼҲ֪᲻ʲôЧ
ǸѶȵκβκϣ


1054 ﲻס
ܲˣӼҸȫһֻӵһߣ̱ɳϡ
ɷİޱĿһۣͷë¡
ʲô¶ڼﲻóţⲻǿЦôڼңɶɶԲȣⲻҪôȫԹ
ƽʱֻҲûôԸšɷİ˵Сˣֻһڣί֪ͨÿÿһ˳ˡ
裬ίżëƽʱû˴ǣںȻлͿʼôʲôˣȫм˵ҾҪȥ˭ҡ
ȥʵʵڼҴţ˵ֵĿˡʡǵҽԺһ֢״ȾĲˣȫԺһٶҽʿɷİȰ
Ҳ֪ȫ϶ԼĻ
⺢ʲôƢһ
ƽʱԸţڸլڼϷȴҪš⺢ʲôʱܳأ
ȫм˵Ǹϲģȥ˵˵
ȥˣҿȺ˵ҽԺһٶ˸룬ܹ۲졣˵һ߼Լ˲֪ȥҽԺչ˼ˣֵǷꡣɷİظһո˵ĻĵȰ˵ȥһ˲ô졣
Уҿˣ˵˺ٸȾǸȾҲû¡Ҫ겡֡ȫһ˵һ߻·
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Ҫɷİ˻ζ仰ȫ޿κΡͲ롭
ɷİ˳ĬľĴë£Ѿʧȥġ

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һСѾ׷գ˿ԱоʾСɽһѩѡ
ȫеһЩǾί᲻ô࣬Ҳ̫˰ɡֲǴ̣ƾʲôСǵĳڶֻһڿͨС
ƶˣίȺյģȫ޺޵һ䡣
˳Ϥİ·СΨһһڣĳѾֻһͨеͨ
˴źʵʵ޷ñӣƺܴĶϣڳǶһš
ɵƣȫĴߡ
վס֤ءί˺סȫʵ
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֪Ҫȥϰࡣȫڷܵ
ϰҪλ֤ͨӸǵλĹ¡
ȫû뵽Ȼôϸ漴˵Ҳţ˭ҷ֤ͨ
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Ѿ֪ͨеλҪ֤ͨͷˡûõ֤ͨˣλĹҲᰤߣ֤ͨ
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һСŵķţ顣ȫɲҺ;ίĹԱʣ˼䣬æת뿪
˿źİҲ֪ðôˣȫﹷյġ
ԼȥԽǲãȫԽ뿴
ת˼Ȧ䶼ڵСƳͷ֮ﶼȥ
ӾͲˣȫݣʾߣСԽ˿ѩѡ
׼ɽԽȥ
ԽܵĵطԽû˿ţίĹԱĶʽϵ¶Ͳ޾֣ܿסгڡ
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߳ȥһԶ㣬վס
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ʲô㣬дŲߣҪ˿ȥһˡ
ȫû޳
֪澹Ȼôϡ
СʱһϢ΢Ⱥﴫ
ĳ30꣬253ʱƻ·ϣԾ3գ200Ԫ


1055 ʵ۸
޵Ϊƣ͹ȣ޷ˡķëȴƵĲ
û취ȥȻѾҪҲǱ̧ȥȥһƣϤİ칫ϡ
ħɽҽԺεһƵ޵·Ŀ˺ö顣
ҽ˵ڶڡ
׵Ϊֹҽȫ
˲ҽڶķԴԣ²һ֪ʱǾӰԼ¶ڼǰ棬¶ڲǰ档
ΪǶǷǳ˲ģ˲۸ģһ˸еĸλҽȫɿҹԱ
131յƵ޵·ƺܿٱ鶼Ƶġ
źûк׳㹤ҪЩҪܳԿࡢ͵סįĸ
˵ǰҽ񴦳ڻɽϣ֪ʲôʱƨĻɽʲôʱᱬĻҽԺĻɽѾԼ档
޵֪ԼزȥˣⱲӶزȥˡ
׵Լ쵼ǣûһ˿·
εЩ޵µ֧˼ҽλڣͬλ˵ͬĻЧȻҲһ
һħͷҽƾר鳤ͷ޵¾ֹֻ̾
ʲô¶ʦԼµʱˡ޵ǿȲĲʣֿһźεƵվ
Ͽ֣һȳһյվźȥѲҽԺ
ÿ޵ѲӲѲһ㶼
ԺҪЪЪ
á޵˵Ԭأ
˵ڼҸ룬ǼҸһȷﻼߡƾƽĳһʵ
Ц޵ߣԬΣڼƿɸ飬һки𡣡
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1056 һߴ
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Ժ˵˵뷨ôоһӵԹءѦȻæκģȴҲ޵»ﻰĳء
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֪ˡѦͳĬ3ӣӦ
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129գָɳ˶飬ϸƸнж˲顣
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޵¹Ҷϵ绰Ҳû뿪ƣǾڼ۲
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վڷȲϹ˸ڡڴϵǸСƷ󼸺һģһҪ˵Դء
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1057 
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˵˵ţͲû޳
֪Ϊѣȷһܱ֤֮ҽԺĻʳ
ȷҪǻ⡭˵ţԼĨһ£ң
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ʦı֤޵·ЦЦʦǸˣԼʲôһ˵ơ


1058 ʦϱƣ
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һ߳ԺǱ־¼ʲôʱ򴲵ˣ˵ȴͼˡڹرշҽԺڲ롣һ¶пܣ˭֪ء
ңԶһ붼Ŷ֪ϣûɵ˵
֪ŵһȫľƣʮĴѾʼʱǹӾĥûֻܻеļš
ңңڵʤոһյļ࣬Щ⡣
Ȼ۳־սЦһ£治֪֮үǵôġ
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糿һֻ˺ٵĶûҺˮŷʪϼֱһجΣʪģһʪɾ
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ҲԶ
Ϲ˵ôءǱʧܵͶ壬ô롣
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Сܿ϶˵֪ܽΣաһ©УȻ͸ǰȫǡ
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ǰľ棬Ȼʱתɿʼ


1059 ҽԺĴʦ
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˷ҽԺһ۾Ϳһ١
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ҽԺʱ³Ϊ־Ĳ̤¼ԶȺۼһĵ׵η塣
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1060 񾡳
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ϵֻ50ϵˣ8Сʱ϶4СʱǿĵУң鲻ƺǸոѯʵ˵ҪٲУɾˡ


1061 ڴŵ
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־ԸŶѾŲάϵŷҽԺǺģܸͬܵĽÿÿǲʱĵ׶һ˿
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LouisϰοԼǾ»أѲģֵôС֡
211գǸһ죬Louisޱڴӵĵ


1062 Ҳں
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1063 תԺ
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1064 ҽƣ
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1065 ϣ翵Ķ
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1066 ǰ
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1068 Žأӿ
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1069 áרҵ
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1070 һս
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Ĵæ˴ţʵڲ˼һ䡣
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⼸࣬ü춼û˯þԲá
˼κ˲ܽ塣
̾˿ԷëϹűӣһɲ롣
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ǲȥˡҲ֣ϾԼûűͷһ󣬡Ҹ˶Ժͬ־һС⡣
˵ţóһŷ⣬װ2000Ǯ
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лŬҴллԺΪ׵Ļɲ˵ţǸİһ
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Ӧõġ̾˿˵ͬ־Ҳź鷳תˣʲôҪͺ֯˵ֻҪܽĿ϶ǰߵͬ־Ѫᣬû

Ҹ˵Ǻͬ־ڵһߣӦΪʿһЩǳϵġѡʲôһ룬鷳ʹ峤˵£ύ㱨ץʵ
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վڷѩһ·뵽ġԼĶ˵˵˵ţ֪Ϊʲôˮ˲䶳ɱ飬ϡ
У޵һ˹
죬䡣
ķ磬ҡ


1078 Ĺ
ϰ࣬ҽԺ
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裬䡣
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Ƶôķն裬㳡衣˵ʦ֡ǵʦ
Ǻǣʦֺ󱳵İ˭ģ
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ɣ
Ĺ⡣ῴ½תЦͦã
ʦ߶ȾͷˣܻôᰱܿĲϣ½תڷҽԺ̫
رΡ
϶ԡӣ˫~ޡϹ˵һǿǺ¡Ҫˣ͸תȥҽԺˡ
⡭Ҳ̫ˣŬ
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Сӣʡ˵
ҲʿҪҵˣ
ͼĲȻû
洫աᰵʦҪѪʲôʦæһϣ糿ʱо˶û񡣡
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3000Ѫڿ˻
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дĺܴԣϾǷҽԺ˵ҽԺʵǸ㡣
鿴һ飬Ȼԣü¼ĶУûʲô©»ߺܶ࣬ҽ٣ÿҲм¼
֧Ԯ˵ȷǾ񣬰˾ҽԺûȡ
֪Ϊʲô뵽˾ҽԺ뵽͵̻˱ǵİӡ
ϣһȥƽʱԳԶûⰮõ͵İӡ
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ҿյģ޺ö˾ֻջ¼ƵҲ⣬Լһ㣬˭˵ʲô˼ҲָԼǡ
˼ῴλŮʦ׼Ƶ豸
ֵһʮСкſڰæ
߹ȥʵ׼ϿΣ
һ˵ţ۾һ߿Ǹк


1079 ʦ
ҵѧʦ۾ЦЦ
ǵһѪͶ92%ⲻ
ڷҽԺ¶ҪͨסԵһЩĩѪԲѪͶȿԽܡ
Ȥѧ֡
Скһʦߣóһ飬ͷԼϴЦ
Ҳԣ
šʦ˵ͷֱʱµӿ롣ΪǺӵҪԸּ˸ض
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ҽû¶ҿʼˡʦЦǺǵ˵ƳһͷϻɫӶ䣬Цݸá
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ת뿪ߴʦ
ʦϣһ۵
ܼ⣬ϸ΢Ųһ¡
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ʦϣ
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΢΢ͷȥֻʦ˫ס죬۾Ứ
ʦϣʦߵСк˫ۣͷһΡ
ȻûпĻܲµӦͬѧһҪʦһϲġ硱
ʦϣ⻰ůģ·һů磬ͷ
ҽԺԼҪ˺ܶ࣬ĵɫȥһ۵ġʦ쵵ɫʡ
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תûȥźǸʦľϲǺЦһ»ɫӶ䣬Ƶļ鷿
˼̻ĺҲůЩԼ˺ܶ顣ϣܳ׹ȥܰڰ˾ҽԺҽŻ߼ڵİӡ
ЦԽԽŨҲ֪е˺ܶࡣ
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³ʱϢƣԱҽԱҪ
Ժ룬ҪµҽԱһࡣ
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Ǽ£סԺڿ˴չʵҽհ

ҽҲסԺܣ
ǡӰҽ˵ôˣ
ոǸСӶסԺܿ˼װü̵ټ档


1080 ͷ̫
ǿģҽЦõʵ
ǰٶǽһ죬˵һСʱܴǧֻ֡ΪǿЦ
ȥʦôţƣҽȡ
ţƣǿЦô
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˭ѽܲɽɡҽЦ˵⣬϶ϡ
ôءҽ룬ʵϹѧ
Ϲ
ҪҸ˵ϿεĽ̿飬дģ㻹ΪһСʱǧǼٵô

Ǿٸӣʮ桶ѧʦдģҲûʲôǡ
ȥô˻ҽԺܵô԰ҺĹ˵˼仰糿鷿ʱҲ˵ʹѽ
30
˵һ㣬ҽҲε˵

˵Ҳ˵ڼǰʦ֮ǰЭҽԺ߶ȥICUҲǸȥ֢һôҽĺܡ
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ҽЦֵģECMO豸ͨ˶֪
ͨECMO֪֢
϶òECMOҵ˼С߻ָ죬Ըȥ֢˵ɣöţƣ

ҽỼ۾еֱ֪Լ˵ҽѧͨ˺⣬һʱͯĴЦǺǵ˵ʦȥʡҽԺ2ͳʡҽԺڡ
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·̫ʣʦǺܹġҽ˵ΪӣȫţƵҽˣǿյסԺܵ˵أ

عһŮʵ˵ŷҽرãòòŻİɡ
бЧǮѧɭǮϣˡ黳ҪǵһΣǮǮû塣
ҲӦýר鰡
ʦר飬ôǰ߹۲ѽһ˫۾ҽ˵أҺϣ˳ĳϡ
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ǰ˵Ƶģͱӵˡºܿյ˵ʱʱ˵ҪȥҽԺ֢֢ͬһٱӡ˵ֻῪǻ
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ĺŶǮһ
1200һš
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Ϊ߶ֻ࣬5ʱ䡣ҽ˵ֻһЩ򵥵Ļش𣬸߻߼ӺŵķʽȻû߼Ӱȥҵĺš
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1081 ٹգҿ
һͷP3ʵæֱ࣬оƣŰݡ
·ֻһδ硣
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ҪôԵӰѧ⣬֤ɽ֮ǵȷǵo谮֮ء
ô09H1N1ǣɽ֮ǵ̬ȡ
ϣǾûඣϼ޸ݣûЩȥˡ


1082 ϰĺ·
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ôʱ䣿Цʵ
ᣬר
©Լպ˵ǱȽϾģܶסһ©ܶ༸˻
ƼȻȻԼҪ˵Ļ˵ڡ
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Ժ˵Ĵ㣬ҾòС
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û£ⶼС¶ѩæģע塣
һû˵ꡣЦЦԺʳֲ̫̫ۣ࣬Ǯû塣

λϰסˣƵᣬһ仰˵
ʱȽϽȣһҪоȱľϸڣֻһ顣ҽλҪԸ⣬ȥɽµ財ȽɣЩ߻Լʦ
Լ˵꣬΢ЦλϰǺþûҶۼҵĴˡ
Ƽ
ţˡˡеֱ˵
ᣬĿˣ
ϣ
Ƽ̾˿
ô
Ƽѩһ¼ᾲš
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ᣬǾǹˡƼ̧֣кһ£ҶƵ
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ѧǶôô
ȱҲ⣬ǰкܶӺȶ˯һҹͱˡʱ·ϴЦ
˾ȣǲǺ˵ķйϵ
⣬ͷײӰûɡ
ˣ۲롣ѩȡѡЦЦ
㣬˵˵Ŀô
Ǯ¶࣬ǲСѩԥ
財Ǻõط˶֪ûԼůůġ
˺ܾãһͷ¶ˮѩö⻹ǵ
ϴ˯컹Ҫ硣
ҹˣҹĻµʡǱ־ĬѵĴšСһڼеȴŴů


1083 ƿӸأ
ϼУоҵһֱħ
ȥְн֮ˮ𣬰Σ˵Ŀģĵ⡣
Сͻصϼӣ׼úú͸ĸꡣ
вơеϦ
ͷ׵Ϣһ֪03ʱϸУҲû̫⣬˼־ͷɻ03ʱSֵײףҲûɶ¡
Ȼһ㣬ֱӰͣ
ᡣ
ƽ﹤ͣôʱܲúЪһЪ
û뵽ʱ䡱ȻôһգۻؼѾʮˣûкתý￴ԽԽҽƶӳԮӣơ
ƽʱĥгһշˣͿڸĸϥǰТ
͸ĸһס߶ǵأŵʲôʱȥϰࡣ
ϰһ̡
լڼû룬ŷÿ996ͷƴһü԰
ϣүȵСơ
ĵѾ˵飬үһֱԹΪʲôСһȴúˣϼӣӻ
ħƽ˾ôҪϼҺúܶࡣ
ݴ⼸ҲҪ׷ա
̫Ĵԣ٣ٻ棬ѱ棬￴
ðȥһγУҪŶӰһơƻ
ۻȶֻЩΪҶʱϻ˵װơƣоûС
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ˣڹȥöүӵ˵𼸾ԼҶӲ£⼸ߣүһֱ¶֡
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ٺЦЦһŪȥ̫󡣼үӷ˰ľҲ򲻿ӹӺƿӣǿƿơơ
ƽʱӦ֮ٺȾƣȾҲȴ̰ӡͻҪǿд²תߡ
үһ𱭣ϣ˳˳ģһССȫٲ֡
ԽȱʲôԽ˵ʲôѾԤϵȻѵһꡣԼôأ
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ӿҲܿ¶ŵ
Ϊһ¶ƽʱڹ˾ҪţģоĻĶİ˼ζûɹ
үӵĳЦУ㣬ͼأһγڳˣ
٣֪ʶǴ漣Ǵˣе⣬ơƿĶϣĭ硣
ˮЦ˵޾ĵ⡣
أүʵ
һ£ʲô
ơƿӸǶأ
۾ѰҺơƿӸǡ
Сӣȥ˰ɡ
үֻһ˵ɵ˵꣬˲䰲
ĿơƣŬոյһ̵׷ʲô
ԼСɤ۴󣬳ҩˮʽȥɤٴҲơƿǶʽȥǣҲ
ô죡ҪȥҽԺүӽ顣
ҽԺɲɶõط۾˵ҲǵǲʽȥˣӦòᣬһʰӾҵء
ҲǣȥҽԺпҪȾֵĶףû¿ǲҳš
һٷݲݽžһ飬ûҵơƿǡ
Ŵųô롣
֮죬ŶİѴŪѰСƿǡ
֮ĶӿʼּԵʹЩ
ܾүȥҽԺĻһö¿֣ڨЦһöƿñԣļͥѩϼ˪
ҽԺŶӿ˺ܶ࣬ǰǼˡ
ﲻǶҽԺйϵ
ҺţŶӣҽĺ͵ӰһҪʵӷһЩҽģЩš
ˣѹȥĻңŶӿ
ҽ˲ʷȻҽı飬͸ĿԼܿЦݡ
ЦҲû취ε̾˿
˭ԼȸˣƿǸֱ̽ȥ
飬һƬӣԲƿһѰ׻ĳţӰһжܿ
һɵۡ
ô죿
ѵҪƿȡôĺȵôȳôһ


1084 Ҳ
Ƭᡣ
ոְнȴӶַ˼ϰΡ
ҽʱͬգڼסԺһ鷳顣
Ժļһ١
Ȼȹʼ׾ʱ̣繤ÿ300һĿ֣Ҫӳȴܡ
ǼҲȥס֪ʲôסĸ벡ֻǰڲؼҵȽ
һٴҽԺȡ˽
ԣһõϢӦǰɡ
ڸơƿǲǻڳѳӻƣ¼صĺ
ҽŷ˵еơ
סԺȡƿǣԲΪƿǵĽԵпܻ˺ڣǿȡһذƵİѳС˺
һͷײǽ
ⶼôʲô¶
Լһй˾߹ܾȻΪ˸ơƿӸǶסԺȡҽԼ
һϢ˵һˮƽرߵҽԺ֧ԮʡҽԺθ֪רҡ
סҽԺ
ܾϸ㻤Լ׼һ⡢רҽԺ㻤ĻɩչԼ
ǳʱڣҲ²ѡҪΪԼĻ¸ױȾԼ°뱲Ӷá
Ҳֻϣҽθ԰Ǹƿȡÿ
ÿÿ뵽µʱо൱˵Լɤ۴ִһЩҲڰƿǡ̡ȥǡ
ѹԼżۣƿǾšŵʱ֯ˡҽҲ˵ˣʱûбѪļ󣬲жƣҪһ˵
Ȼڵ󼸸СʱҪļؼһʱ䱻ȥھҡ
ڼ仹ú㡣
ҽһۣȡǸƿǣǷ
ƿΧĳݺۿźܷȡҪΪȡƿǵ³סһӵĻֱǻ⡣
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صճյĿ죬͸
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ƿơƾͰԼȽҽԺҪ
2020꣬ħõһꡣ
ټĳбδְͣԼ΢ĳҲΪơҪ
Ŀ棬Ժδ
һж˵İŰɣε뵽
ֻԼ̫ø߼˵ֻС˵Ҫ߼ʵô붼޷⣬ָ벦20191231գú20ꡣ
ģҪùһĵ۶ǻӲ⴫Щŭ
ùôƺߵô
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˽ڣ档һ
˽ڣʡҽԺҽ
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ô˵ᱻͶߵģߵʦܿͻ˵ĵ
ᣬֻҪBOSS֪С˭ΰı˽ڣʦƨɡ
˵ţ˽߽
Ŀű˽һ˲ԼԼ죬ˡôʲô¶ôһ񲡻߸Լĺô϶ð
ǻߣҿƬӣܸôƿ̽ȥôҵ죬ֱ̫ˣʳţţǾȻûܵصˡ
ҿûУҪȻȺʳܰʽ
˽˵ôжʳθеһ֣Ȼǻ滹иλʳˣҪھǺϣŧȾʱػҩԼŸõζ
һмֱһجΡ
忴׼ɡ˽ڿù˵ĿڸҪ
˽ڣӦòǼܲ죿Ժһҽʵ
ҽҪǸƿǣ˽ڻֱۣݾܾ˵˵һ㶼Σһų䶯ѣ߳Ĵ㶼ô죿
û޳
ҽ̾˿뱴˽ڽҽԺȺλѵʡڵϢˣҶѱ˵
˼ĵȷǺã޿޵ֺá
ãҺͻ߹ͨһ¡
Ҳʶľܾ


1085 BOSS
֪ܾʲôô˽ֺʵ
ùȻܾΰı˽ӦǱŮˣӻѡҵ죬㿴ı飬ίһ˽ڳЦ
ڣҪȥ칫ңҺͻ߹ֵͨҽεĽ
ձ˽ô˵ȥºͶǰٷ֮ٵġ߿ܲͶһʡĽڣȻͶԼ
Ϊ˶žٴҽ޿̵Ҫѱ˽ߡ
ҵһοֱġùһ˽°ȻĿôѡһ
˽߶߶˵ţڲ϶ԻԴκֻصĵҶԻһء
Ŀðı˽ڣɫƿ˵ĽһһģɸС
»ˣ϶˵ƴҲ
ڣ鷳ȥ칫Һôֵҽ޿κдһ˿ǿӲ˵
ںϼҽ˵ô˽ڰȻʵ
ҡֵҽĲҶ˵ʲôôǰλ
ʲôԺԼͷһ٣Ƕ಻ֵ
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ᣬֵҽ֪ôӵľ棬û޳
һͶߣһҲͶߣڼ䣬Ҷƣ鶼á
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񾭲ڣ
˽ڣǻȥɡκμҴҸקű˵˵
Σ㲻֪ߺơƾȻƿǺȥˣ˽˸߲ҵĽܵ
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˽ڣǻߵ˽κüȰ
ֻ֪ƿǸȡΨһİ취ϣ˭֪һӳ䶯᲻ᵼ¡
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κѱ˽ߣһסҲϤ˺ܶࡣ
ΣҪʲô
Ҫʦ㱨顣κκ˵
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κβֻ˵˵óֻܱ˽ڶԼüŪ۵ű飬ֱӰѵ绰ᡣ
ʦκοʼһһʮ˵
Ŷƿǣôʵ
ˣԵȣҺʵһ¡κοֵҽʵ߳ȷˣǰɡ
ǣҽֵҽæ˵һͼƬҿƿǵĽԵеڸλòקҪȻǻָˡ
ʦˣͼƬҪǸȤҷ˽棬ô죿
Σѵ绰ˡᵭ˵
ڣʦ㡣κΰֻݹȥ
˽΢΢һӹ绰ȥ۽ЦܰӸ
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޴ıˣһ˽ֹԼΪ
ֻûȥھң˵
BOSSҪϹֻһСѣ
ͳֲֶͬΣһΣҽӦþоˡʵܼ򵥡
˽˼䣬˽һ±Ƶİѵ绰κΡ
˵һ˵ĶԿĿȾͷ֪ʲô
κκ˵˼仰Ҷϵ绰ֵҽͨ˵
ûб˽ڵ簲˺ܶ࣬ҽͻ֮ĹͨҲ˳
˵һλ֧ԮĴţҽ˵óƿȡȻһĸоûӵĴӦ
ҺûûԷˮӰơ
ǩ֡ȴ
ǰͽθң˽ɴ߳ҽԺţվںȴBOSSĵ
һСʱԺ
BOSS㣿һΪӱʳԳԸɾˣһˡҪôòӱ˺࡭˽߶
ôᡣҲûű˽˵ˣ˵˵ǵù
ֻǲһʵ˽ڵС˺ܶ࣬ͷҲҿһۡ
㲻ʺȥʵʵҪȵȻȫٽȥ
˽ڳһ漴ʵBOSS
û˵һӺһ⣬ü˵־롣


1086 һ㴰ֽ
˽ڼݵĶ㿪ԼŷӦڼ䡣
ԼǻߣBOSSҲע罻롣
Ĳ˽뵽ԺΪᱻı䡣
BOSSֱ̫ˣȻô룬˽ڻǳ޵
ʱڣСĵ㡣ȥھô
ȥˡ
ˡ
BOSSôˣ
Ժ΢΢΢ķչΪһǻ͹ôһһ˵
϶Ҽǵôwhipple㲻ǵһˣõġֱ۵ŵ㱻
Ҫ˵㻰ˮƽǡ
BOSSԼƲס˽ڿյ˵
ԼβгѾչҹ10֮û취ȫ̿ҪϽĽҪѧϰûأмҲһӵġ
BOSSھôã
Ϊʲôã˵βףǰ5cmпڣпԽԽСĳǻϴ׾ˡˣ֮ھͳ˵һѡ񡣡
ġ˽Сһ䡣
Ҳǣս֮ʮ̫ƽʱ̫ãԡ˵ߣԲȡƷʽжϴ󣬱ˣܲá˵
˽ڸܵħѹĵͷһ仰Ҷ˵
̸۵߲ʱҶ˵һ仰ܿƵ˿Ҳƣ徲
һῴϸҵĲ
BOSSһô˽С˵
ʰɡ
Ҫoһĸ⣬ζ˶õҫĵطֻһļޣھȡǻ
㿴֪ˡЦЦֻ˼·⣬ܼ򵥡
˽̧ͷĿᡣ
˿첽ھſڣκڵŽᡣ
ΣӰҿˡ˵ϵBң֪ǲǵֳһB
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ѡ˵ֻһɾӸС֪ѵѵôô

ϰʱһ׵꣬ʵļõ겦ǡҪ󵰿ǶȥĤ͵ƣһ顣
ҵBOSSѹõôá
˵ʹĿǸǶȣЧĲЦЦ뵽ůԼǲӦðѴ˵չ
BOSS˼ҵĻУѾ43ˣϰĻ
Ҫǿ˵㻰ѵˮƽߡܿ϶˵
һߺͱ˽˵лһ߻·ΪĻߣԲô
㣬ˬ
׼̵ҽһƿǶ׳ɣһʱ
գ֧ԮģԺҽھҵҽ
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С¡һʮҽԳС£κЩã
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϶ҿƿӸڽ᳦λãŶһ£ԵεĤλãԻۣҲҶˡԽƴû뵽ʾ˸߲ҵ˵
ʾǴǰƵĻߣʱĥ˺ܾã뵽׵ķʽ
ףεԲ籴˽ڣһʵ
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ʦBҽ˵Уȥȡ
õġЦʱ򿴼ҩ꿪ţĥҪҽԺûоȥһ
൱棬ǰܺ׼±Ҫ֣˶ȥ
ڼ䣬ʲôֿ֡ۼ׳£˭֪᲻֢״Ⱦߴڡ
ҲΪ飬ȫĴţƼӣһҶСҽԺ˵еʦ̨
֪ƿǿڽ᳦λãų䶯ƿߣҲܹƳڡһ飬û׼ȷԤ֪
߳ƿѾ2ˣƿǻڸλãƾжϿܲų
ʦ˵׸׳Ҳõ뷨пһ㣬ߵƷ·ת
ֻǻЩϸڳûףҲûʱ룬ʦһͶˣԼĥ
취Ǻãֻһ仰ʹǲ㴰ֽ


1087 п
ʦ׼ˡαϹϾ˵
ӣԺ˵һĪȻ
϶ȫĴţԼӦоˣ
BOSS˺ˣ
š˵ͷ
һ¡
Լ˵ȷǴţһ˿ɡ
ոշ裬˵ƾɥʡҽԺĽڴ˿̶º࣬ŵ㱰΢ҪԼʲôΡݣǻö˵ô
ǡ
Ǹʲô
һ˲䣬СӰڷ
ңһȺյʵʩΪԼƨɡĴϣ󣬼˺һס
ոȥ
˲侫Щƣ롢ãȻΡ˸еȻ޴档
һͫɢſ־´Կܲߡ
ţ΢΢üΣǰûͻ˵
סʲôϽɻȥϾҪˡôҵĻһƿǻƳô죡
㡭㡭㡭Ϥװ֣һ仰˵
̾˿ϾԼҽ飬ö鶼ҪΪ
ܷ
ǰɡᾡº͵ʵ
ҡǣ˭
ҽѿӴϰɣҸ㻭ͼô˵ˡ
ʦðɡεһۡ
ǽһ£ҪȻߴڽ״̬˷ܵƽΣпصҲżߵԣһֽԭӱ滭ͼ
˵󣬳۾ֱĶͼǶһ棬ζβ
һϵߺܿ챻ճʽṹԭӱʾһпգ򿪴ʦĶӣһ
ǿ͸ģʽҰۼڽ᳦λãһöƿǶȻ
ʦȥܶĳݣšһöơƿǡ
ҽ㻭á
̵߽ʱģһסԺȫѧˡЦЦ˵ơƿ21ݣȻû취͵бȣǱȳˡ
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ȻûöٱϿв㡢ΧëϸѪӹܡСٶһ
˵ǳΣûҲԼĳԼöɶƿǡ
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СʿڳεһϬĿºԥͼһ
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BOSSʲôãǰͻ˵̫ࡣ˽߶
ֹӦġ˵

˽ڿٴ򿪰װȡۿ
ǯӣס׵ıԵ˳άͽȥ
Ļϵɫĳ΢΢䶯תλҲ⶯˳᳦λá
ǯӴ׵ıԵų΢΢һ϶ûȳΡˡһ֡ƿǶѾһס
һǯǣԲףƿǶװȥ˫ǯһ棬ϴʱϵ˸ӣ׳ڼ򵥷գ漴ʼק
κʦᣬڳǻխƵĿռ׾ٵ
ˡ΢Цȡװƿǵףⶫһۣժףתȥϴ֡
ţƣ˽ѹ
ԺƵ𿪸ϾҽĳԱ˵ȥ÷¡ȺЦ
Ⱥ̳ǿ϶ǵ޶ﲻ͵ˮƽBOSSҽơ
졣
ʦַ˰ΣԼȻ֪ʲôݴݸոտĲ
ࣿ
Ҷţ
ԣҶţûʲôѵģҪ˼·пա
һߺ˼ţһ߳ھҡ
ܼ򵥵ĲҪöװƿǶ뷨Ƚټۣ΢Ц˵˼·´ͺܼˡ


1088 ؼԽڵ
ûʲô˵ģ֪ô֮򵥵һͿξһеѧѧ⣬Ҳ
ϾҽûԹҲܡ
ֲǰĤĤ񼶲ֻһ˼·һҲͻˣͶ֪˵ʲô
ʦæôʵ
ǰһæǸʡ˴ҽԱ֧Ԯôֶ˾ͺ˺ܶࡣ
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֪붼û룬ֱ˵
Щʧ
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ʦȻҲ֪
տʦĲ˼ҲѧʵˮƽҲ졣
ֶҽ鶼ûжϣ۵ľɥʧ
ҹƿˡ˵⼸컻˧ʱϣҪCTΪ׼ƻ߶ҳжϴȾԴⲽãÿ춼кϢ
ϣɡ̾˵
֪ļ޾03ǴΡҪ03Ͼͳ˵Ԥϡ˵
ʦϱƣȷһϾ⡣
룬ЦһϢ췽ҽԺлȬ
ζԴҲûʲô£Ҳü̫ࡣ˵Ҳûãϴſ˵ܲȡ
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˳Σæţ͡Цžܾ˳Σͱˡκ뿪Ժ
BOSSΪѾתô˽ڳźȲʵ
ܰɣ˭֪ءҡҡͷǴͼĲתת˭˵á
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1089 ַ
211գʥ˹ƶķѶƶ£ά˹վء
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ЩLouisעԱϵ֣ҺǾȻִŶӡUS Marshal
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ʱ˿̣޵ĸп͸ѾκҹˣվǿٿһǣĬĬǾ񣬲˵лл
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ݽͨÿһֶLouisãĳȡ
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ҴCDCλCDCĹԱ˵
ŶŶŶŶŶ~~~~˷ܵĻϵҲƺһ֤һʷ
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1090 תʱ
ڿƵʥ˹ƶķѶƶµά˹վأǻȸԾ
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US Marshal
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Լ֮䣬֪ϣԼҸϴźɫīһ㡣
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ʱҲԼ˼̷סӢ־ٵר統ʱı飬һеһжƺָĳ顣
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һڿô鶼˽ͣһȵ˸ڼUS Marshalء
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1091 ݷɵ߾
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20̫ݷɺ;Ҫѿ־ǰߣ֧ԮеҽԱ
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䲻֮£ʮ֮߰ˡ
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ڼȫͣҵǣҵïݷɻǰѿԼ½ķ͸Ϊء
ʽܼ򵥣˵ʽʵֻƬΪ
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ǰ֧ԮҽԱһҽлҽԺΣ֢ҽѧơ֢ҽѧơȾԼġơڿơڿơڿơڷڴлơڿơҽѧġҽϿƵȿҵԱ
ҽ30ˣʿ100ʦ1ˡ
һʦҽԱĶԵø롣
Ҫ
֮ǰɳҽƶӲͬǣڵҽƶ䱸רҵĺڹʦĹӦ
ҽԺҽʿΪжࡰҪ
˵ĲҪҽԺǽڹܵʱ޾ǲĵطҲͲĴڡ
Уոµơᵽһߵĸ߶ȡ
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ϣӴѧҽԺԺһ˳ϣԼܰһСæ
ݷɿŷè
֪˶ãèĽһݷǰҪԵġ
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1092 ժ
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вľԱ罻һʵĶܺá
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1093 ߿Ƽ
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ʲôά룬鷳ֵʿǲм˵ֱһ˵һֻ߰ܡ
֧ܵԮѾˣֵʿϤû˴ǰľнֵʿӡ֮ǰ˱һͨͨͷֻĶѵĳҽ
֪ͨȫʡʼöάͨУܺܿעˣֵʿٳŪá
ùֵʿֻͱ
С԰˵ɶãֵʿվںȫûɷǵģرүӣһ·ʵžů͡
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Ķάʵ洢һַӡ΢ɨһɨɨάʱɨһɨܾͻַȻԶתַ򿪡
ֵʿм˵
ֵɱô˵Ц˵ɷˣ
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Ҳ۹罨ĺã밡ҪƹҪ֮ضϡأҪһֻ
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1094 ²
Ԫżû˵עὡ롣
ΪʲôҲľ塣
ļϵǶдˣûʱ俴
ѾɱֻۣҪ氲Ĺ˷̵ʱɡ
Լû뵽ϸ첲ȵÿ¥ʮΡ
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ʮϽãƽʱ̧ͷͷģҪڼ̸ס
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裬ʲôأ־ԸСżڵԪſվţ߹ʵ
Ҫ¥һͷ𡣡̾˿˵æҪȥѾһ쿪˵˵ƽʱµҪظ¶˻Ըۼ
Ҫ˵С˵˸ͷЦЦͣסͷ
˵ʲô
Ҿǽ鰡⡣
˵ɡ
²裬衣С˵ǲԸôϱҵԱ˳ȺҲһ¡ʲôս󺣣ԸͿɾҼھһֻ
ɶ
ˣûʱͷ̫̫һͷȥ̫̫ȥˡһʮСʱûɵģҡ
һ¡
˼άˣתһЦˡڣⲻһô
УһҺ˵˵˵ĶԣȺڣȺڡԽԽ
ҴС˵С켩ӡСżԼĽ飬̸˴𣬡սŵ̫̫ǶСţڿܲˡһģңҾôһ˵
СһЦ˵ҪˣһߣôҲɲǡ
ô͸
ܵ˸ɻǡС˵׼ˣȥϰϾҪӴˣҴȥֱסڵλ㡢С鷳
˵С켩ʲôû硣
ǡҲ˵ʹ󰡣ˣûϹ¡
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ô˼СЦǰС켩ɸ񣬽켩Ѳ׻ߣǱȺƽô
Ҳ˵ͷ
ⶰ¥ҰȥŪ룬Ͻ켩ӡСŵ˷衣

Сǣ켩кôС
ôôɻɲΪ˺ô
ôһ˵⾫СƽʱΪһͷ̫̫ܾӵŶСʱ˵æһ֡
軹ûӦģʽ
ڿֿӲͨҿ۷ĿģҾԺ϶ȱˡ
Ϊɶ
밡Ǹģġ˼˵úãҪʲôʲôһһȥʼʱ򣬿ÿܵڣ⻹١
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սʱ繤ķɻ̹˶㣬öʮ򡢼ʮġҲ繤֣˭ܱǿ
ҲǡЩ⶯
ҵģ϶ȱˡ㻻Ƕ룬־Ըߣһ֣չ˼ˣ־ԸʡģǲӦõģ
ôһ˵ЦˣȷӦõġ
иͬѧϷʱߣ֣߰Ǿӡˢˢˢģ۲
ͬѧ۹⡣
裬ڸأ
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֣˼˼֣ڿʼֵߡС̾˿˼ҷƣĽġҸͬѧĹ켣жϣԺ϶ȱ
ſֵزū÷ͷ۴ҴҵģֲԼãܲôֲǡ
У֪ˡͷһȥĿֻж٣˵ɡ
3mûȣͨƿ֣϶û⡣Сĵ˵
Уȥ𷢳ˡҸ˾͸ҵȽɻġԼ˼
СźٺһЦ߷裬ձעϢʼɨ¥ÿһû˵סĽ붼עᡣ
ʵûֻˣƽʱҲ߲ԶоίĽš


1095 
ЭҽԺҲͶС
λԺһλȥ˶ԺһλȥָӲICUĬ
Τ󱦱ʼе㺦£÷ȲҲͦá
ʿˮָо൱ģΤ󱦰˴֡
ȻǵһߣκƳƵƳ˵ֻҪ÷û£ΤҲȽϷġ
еҽԺΪʿæµҽȥȻĳЩⲡΤ󱦱ֲڹһЩӡǣ˼ӡһ㡣
ŶŶŶŵΤֱ¡
ʿͨ绰Ҳû˵ʲôֻԷ˵
µ绰ʿһС120˵һȻߣϾ͹
Τ󱦵ͷĬ㱨
㱨֤ҽưȫǳ档ƽʱĳڼԵøҪһܴ
ͷ׵ϡָϻ2-3һٶڸ¡
ΤһָӾʹЩƳڼҡҪԼѸٶôָϱԸԼڴϽơ
ϺȱָϺ
Ĭÿһָ϶ϸо
һոµĲ֢ܶ״֢ҲҪϸ¡о
˵һϹ൱棬һ֢״ûУڼҳԷųţȻ䣬ûͷһȥ
߾֣ʮҵˣûɶļôܵأǽʵʵ
ȥܿͻȾͲ
ܵµΤ󱦺ѽܣѾȫ
оǸȾͷײĻûζҲŲζȻ˵ֻһֻߵ֢״Τ󱦿ĺ⡣
۶⣬ɫζ
ʶҪӡôⲡ̫ôаԣ
㴫Ⱦ߼ŰҲвǱڿԸߴ20죡
ЩӲ֤һЩʲô
Ĭÿ˴ߣоָϣʡСֵҽԺICUΡоרߵḶ́ܲҩͷЧơ
绰Τ󱦺Ĭν顣
Ϊ˽ʡĬʹҽ棬ڴԣڷȲҽʿֺۣ𿴻ߡ
ڵˮƽܲƵල壬ʲôĲԵĵضĬܵһʱ俴ָҪֵҽ˵¶Ĭһʱ任Ϸ
ܿ죬ѹ120Ȼѻ͵ЭҽԺ
ȥɴŷĻʿգֱƽȲȫ̲κβ˽Ӵ
»ֻͨķȣҲҪٴС֮Ḷ́ͨͨΣͷ׻ȥȾԺ
߱ΤȫװǰһװܷĤֻѾͨĬεƵ
ѯʲʷ壬ЩΤ󱦺̤ʵ
ߣŮԣ52꣬彡2࣬Ȱͷʹ1ܲ120
ڷǳʱڣҽʿǺ£Ҳ¡
ҥɣֹŹֵ˵Уȫͣ˱ڼ룬Ҫǲܵġ
ȵĻ߲һȾҽԺڼԵҩƣŽҵһԼֻǸðء
صΤ󱦼˺ܶ
ͻ߽ʱеĻ˵SʱôġΤ󱦿Цãͷ׵ĲS
ָᵽSֻзʱдȾԣͲǱھдȾԡڼҰţ²һӶȾô
ղǷȲҽĹΤ󱦸˵𵽵ǲͷס
ûµģҼ¶
£оίڣܰѼ˸զءΤ󱦵
룬ҪסΤ󱦵֡
һΤȫװͨļϱȦת
𼱣ӡѪ顣Τ˵ļ˵ôôзȻ߼ҶҪ
ҼҶ¥иԪôС˵ˣ
˸Ͳô
Уÿ춨ʱͲˣȥǾί˴ӣѲ˷ŵԪ棬Ȼϡ
гкȣڼϷ׷磬õӡ˵ɶϢ
ҿûšС⡣
ϹܡΤ󱦹ɵ˵˵ʲôĶУӴĻУҪС㣬˵㣬һˣΪʲôҾ飬˵ҽˣڼͦš
֧֧˵


1096 Ϲ˵
ǲǾҽԺ϶زȥˣΤ󱦱ĵʵ
šߵͷ
ް㿴㡣ΤȰ˵ϹǶǵжҥ
ҿƵھˡ
ӰСһƬΣҲˣšΤ󱦵ģӵķҽԺ˼㳡裬㿴˼ҶֹۡȫΨһϷ㳡ĵض֪ٴүĽء
ô˵һǺ¡ߺί˵ֵķ঵ģԴӷտʼÿ춼Բ˯á
ҽԺ̤ʵ˰ɡΤ۾Ȼ߿ЦҪһЦݣŬοŻֲ̿ġ
룬̾ͷ˵ǣˣһ
˻˵ģȫˮƽߵҽעⲡҪˣơ
Ҫأ
ԼǮ
ЩᣬΤ󱦿źЦ
ô
ûС
Զô˵ڼҳԲ˯ãΪԶûζô
ôᡣ˵Ҿǵģֵܷ塣
Τ󱦲ʣϸޱȡ6ӣѯ껼֮ǰĸ
ƽҸһ¡
ͻģĬûһϣĵš
һҪĹĬICUο϶֪Τд˺ܶͷص߻Ѿȷ
һ߼飬Τһ߻㱨
£37.6棬ʣ71/֣19/֣Ѫѹ120/65 mmHg
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飬Τʵʲôƽʱһô˷ա
ȥɽ㡣ҲòӦ¶Сڨڨ˵
Τһ¡
Ҿҿ϶ε߲Ĺϵŷյġ˵Դӿʼգ䣬ʱ˯˯žԼܿѡ
ţΤһӾˣϵķҲûôأüʵѣƽʱô
ûаҾѹ̫󡣡
ʲôѹ
ղź˵ˣҼҶ¥һԪƻߣԪˡ
ⲻǺô㲻֪ⲡжסǰʡиȥгˣ˶û֣15룬Ⱦ²°ɣ
Ҹ㽲ⲡˣ
Ȼ£ɶǸԪϷһܹŹֵı顣
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ѵѾܵİа׵Ժ󣬴ӿѧĽǶжϣһֱǻо֢״
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Τ
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Ҿ˵ôΤ󱦹һЦ۰˾ӻûȷﲡأԼŻԼ
ҾǺ£˵浽ûҪֻ
Ϲ˵Τ˵֪ȫҽʿȥ֧Ԯô
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ҿ˵б۾ġ
룬£˼ܰѼͳȥȥ£ܸɶϰջǵһŽŬѲȥΤ󱦲м˵˵ĻҲţǲ⡣˵ǵùʱ裬¥û
Ҵ
˵ġΤ󱦵ȫҽѾɹȥˣ½Ϲȥ۽ЭҽԺѾ4ҽƶȥ֧Ԯɣôܻ
룬ƺҲǡ
ȲѪ˵Τ˵ͷ׾תȥȾԺǾơ
ѣ
ǵȷΤ󱦵֮ѣǵĻǮȰ㻹Ǳĥѵ¶Ǯ첻ֱӻؼҶá
ߵ˵ͷ
˯ɡˣڼҵʱʲôҩΤ󱦷Լһ£ʵ
ˡ̾˿ҩ꿪ĸûɶá
ûСˮûСҩ˵ֻȥҽԺܿҩ°Ҷһ˵ڼţӵСˡ
أ
ҩûˣûãû취ֻܹ


1097 ڱ
ҲһֵΤҡҡͷͻ˵뿪
ΣʲôûʵôΤ󱦺Ĭͨ
ӣҾû߾ѹ̫󡣡Ĭ˵
ҲôоҪȻȥɽءΤ󱦵Σҩ궼򲻵ҩô
ţµĹ涨»ԼڼšĬ
и׳нһȭһ֣̺ʽѲ顢ҽơȷﻼԪ14ĸȵֶΡ
Τ󱦽˷Ȳȥס޶Ǹ䣬ǱȾҲôȾ
Ŵһƺڼһ뷢ƺڻ᲻Ͳ֪ˡ
ĸִʩΤûۼֻ˵һǸİƴͼƴ
ǵȴ
Сʱȥˣһ
ͷײⶨԣּҲԡ
ǲԭȣٴͷ۲
Τ󱦹꣬˫޾ĺˮƤˮ齺໥Ħ֨֨Τ󱦺ܲ
һ㿴鵥աѧйطȵĲΤŲ顣
ˣߣʿﺰţԼ
ôôˣΤһ£ȴûָӣһӵɱȥ벡
벡ԽԽԽԽмź
ΤϤ֮
ũרſɥĸŮʮ꣬˭ɥһ˸ʮǮȥɥա
ҪǮĵλЩ긾Ůͷͷأǵһ
ΤҲЩ㱣ԼڷȲڳֳԼֵԼ˺
ôôˣ
Τ󱦷ɱոյλ52Ů˫ֱͷʹ಻ͷײǽʹ
ͻʿȿסߡ
10mgע䣡
ʿɳȥַɻ϶һע
Τ󱦰סߵĸ첲һ밲ƽȥӺߵʹ黺һЩ
ôˣΤʵ
ͷۡ˵ÿ˯ſѵʱ򶼻ͷۣ۵Ҫѿһ
ղô˵
ˡ
Τ̾˿Լѯʹû֢״ô¶û˵
Ҳٴһѵ㡣
ⶼҪ˯šѡͷѣô£
һţΤһ˵ˣԣͷ׵ĿԲ󡣡
ߺû񣬵ͷ΢һЩ۾Τʵǲǲƣ
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Ҳ˯
ҩ˯ᣬȥλ㱨飬Ȼ㡣Τ˵ȥɽͲˣҲɽˡ
ʲô
Τ󱦺봵ţƣɽֵСʦԼʦţƴȥ۾϶һء
ʵΤ󱦺ܱ˵ԼֵʿһֵʱͶִ㵡ĽĿ⡣ڡʱ
иҪ顪Ĭλ㱨߲顣
ûʿߣٷͷײǽ¶Τ󱦼ҴҺĬ㱨
ĬΤ󱦻ϿɣλȻҰ·ӳʦ̵Ĳһ£߼ͷ˴š׵˴š
Եľ֢״ͷ֢״֢û
꣬Τ󱦵ĶԽȻɳɳɳ


ԽﴫǻʿſǻЩơ
ôˣ
ʿ˵
Τ󱦹˲ϺĬ˵ʲôһСȥ˲
ʿǽϴźصķȴܿڴ¡
ôˣΤ󱦳ȥɨһۻߡ
߸մ갲Ӧڴ˯ɳϵǻ߱ϥŴͷţһ֣ϵ󿴡
ô£
Ȼ˵СʿΤ󱦳ʱһ㰲ȫУΡΡ˵
ѡͷۣҪΤ붼룬ֱжֹ
յһ
ΤüϸߵĶ
52Ůһ֣̿ϻͷŴͷͷǽڣȴظ
Τ󱦶»߻ͷٶ̫죬һײǽϡ
ôˣΤ󱦴ʵ
ˡˡ߻̿˵
Τ׳ŵӣĬƳǰֵס߻ͷļʵô
ǣλã
Τ󱦱һ
´޾ףǸоʲô
йŮҪŮĻƯ㣬ƺҲԿ
ΤԺһЩ߰뷨


1098 Ϣĸı
Ȼô룬ߵһ仰ǰΤһ
ǸʲôΤ͵֣ԭ¶ȼߣһգ۵ʱ׹ߣǷ͸Τˬޱȡ
û£û¡Τ󱦲֪ڰο߻ǰοԼäĿ߶š
ӣôˣֻﴫĬ
Σ˵
ĬĬ
ICUΣóȫҽơҽԺȫƲֻһЩС˵жר
ԻߵĬһ±ơ
Ҫһͷ׵ƣƺ򵥵㡣
һѪδ쳣зȡͷ֢ۡ״ĻߣĬʾ޲ߡ
û취ô죿ϼҽ¡
ҪǴǰĬϼҽ޿ңѻ߲Ⱥѯһͬǵ˭ϡƹƵĻߡ
ڣһֳɵϼҽӣֻǲ֪ûʱ䡣
ӣ㿴ŵ㻼ߡĬ˵
ΣҪƳϵôΤͨ͸뵽Ĭ׼ʹС
š
ҲȥΤֱ˵
ߡ
ϽӰˣԵһ¡
ߵƺҲżƽȣټϻмûرĬӦ
Ӱ࣬Τ󱦻·صĬͨһȺҲק
ʱڣܲͲ棬һж繵ͨ
Һ4G5G緢WiFiУ½ɵķҽԺҪ顣
ܶ鶼ܰ쵽ҪǻʮǰͼĲᷢʲô顢ôӦԶǲġ
ƵУûж
ӣʦϰࡣ
ΣǾ͵һ°ɡ
ΤڴϣŶҲż
뿪Ȳϸĥߵһ϶Ҫʦ㱨ʷþòҲ֪Լ㱨ʷˮƽܲʦ⡣
򿪵ԣϵùܽᡣ
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ݺĹ֣Ǽɼǵ˰һ㡣
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մP3ʵҳЦһ¡
Цǣϵġ˰̡ŤźŹ֡
ʲô飿ʵ
ʦһԭȵĻߡĬȽܣģԡ
ŶڿҪ3βܳȷԡʵҵļ̫ߣͷֻۡһƿˮһһڵš
ǣʦǻעġĬ˵Ҫ֢״Ƿȡͷۡȶ˵Դ洵硣ϸϣΤҽʦ㱨
ŶĬô˵һ˼ȶ̶ֳô
ţղ˵ɭɭģѻʿſˡΤ̾˿˵ʿǵѹҲܴ䡣
˵˵еļر
Τ󱦿ʼ㱨ʷ
׼̣дһԴ˺⡣ߵûʲô˵ģĬμص㶼˵ˣʣµĻҲûκԸı䡣
ANAANCAPCTT-spotHLA-B27־Ĥԭ߹̶Ӿؼ⻹ûرΤ˵
׼ô죿ʵ
ͷ˴š׵˴šĬ˵ȶ׼һȥ顣
emmmҽpetct
ǸۺĬʵ
ǡЦЦߵǷȣ֢״ΤҽѧһƵ
ΤԺһƬհס
ԭٴȷļ飬϶ҪȫԺ
ƳͿϤķ
ΤĵԼƳһٳ
ϵպô֪˶ٸСʱ϶þǡ
ҡ
ˣҶۣˡЦЦֱ˵ߵΪ֢ٴ澫֢״ļ211֣18ֿܰ淢ȡʱ䷢ȣּδ쳣߶Ȼǡ򨶯ס
ƵʦԥֱӸϣĬһ£ʦˡ
ǰʦ֪ϣҲֱ˵ڡ
ߵ˵ϣ顣
ӵѹôôʦ˶ڲ֪бıš
أ򨶯ıַʽϰΤҽúÿpetctۡ
ҪƵĬæʵʦæ
ҹ࣬ûʱģ°ġЦЦ


1099 û˵ת۵
ҶƵƣۡ
ӵʱԽԽÿ촩ŷһָһᶼԳܵĸ
ۣľƣ
ҽԺϲ¶
ҽԺ43κԣԻؼҡ߻ؼҺҪһʱ䣬2μԲ˵Ȭ
ǶҪֻǼС¼ҽԺǴһڿһССͨѺˮкȥһ֡
ᲢûμӻߵĳԺʽƵЦ۾һϲڶģһĿġ
Ȭ߸˼ʹгԺĻ֣߳ƷҽԺķΧܺúܶࡣ
ʱƣƶ佥࣬Ҳ΢ôһ㡣ԴܾãҪǰģʽҽԺ֡
ͱûϵ֡ࡱ»ܱ֤򣬱һ漣
ǸֲĶţôҲҪȥ
ףʵһǱܵšεҲУ־ԸŶӵİҲƽ
һһתãȻϸ΢ܲ
ýɷᵽܻ4ǰ顣211շտʼл߳ԺһգȫϢ
ῴˮɵġ
3ѮҪٲȫ֢ľƼڴ˶޼£ô˭û취
ڿֻҪҽԺԴͷҽԺ֢ߣһҵʱܿüĿ
Դˣʾֹۡ
˵ĻӦרͳһҲϿɡһССġעӳ
ֹ˾ģԱ
Ҫ䵽ϣһۣȫùƲҲ̶áʧҵ֡
̾˿ֻҪܰȥһʱĵͳںӦûָ
ⶼǺ󻰣ڻ벻
Ҫ¶ȶסǰʤʵСĽı
ȻȥܳأѾܿЩƵķ϶
ƽɢ

ϡϵպûˣٴλ·սӰࡣ
ȻźķþߣڰװסԺܵü֮俴õı顣л߳Ժһ£
װסԺܺ鷿˵мǲȶȽͷۡ
ţл߳ԺΪʲôȶʵ
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1102 Ψһȷ·
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1104 ֡14840
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1105 һӴ
13գٴ2600ҽԱ֧Ԯ人
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10ҷҽԺ֢ߡ
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ͯԺܵܶ˵ע⣬ĶһĲ
Ǳû֢״һ֢ʺܴܱȻĿҲܵ͡
ԽӶġϢ˶ʼ衣
ֵʿվڷѩƿ֣ףһŶά롣
ʦˡֵʿŬöάƽһЩ
ֺôۿɼʺֽʧں¼ֻҪɨС
ࡣ˾ʦЦô
ˡֵʿ۾˵
ô˵еأǲǸðˣ˾ʦǸ죬ҵ˾߶䡣
ժ涼Ǳ춳ˡ
˾ʦһ¡
ѩ¶ʮңˮڿһͶϡ
캮ضűƵĿ֣ϴʶ˾ʦû
ؼƽʱҲû˴ֲǡ
ˡ
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УֵʿվһСϼĿԶѩûгһ۱ܷʱͤԥһ£ûȥǰͷھųһš
ɽðůͺ͵ŲˮˢС㣬Ҫжֵʿ뵽
һ뵽ƵС㣬ֵʿЦˡһ죬ϵ촽һ˺ѵʹС
ģֵʿһ䣬ɲЦһ㶯Сո˵˼仰õ㣬һ촽ͺͿֱһ
У˵˵ҪȻ˵ñ
ʱҲܽȥůͣҪǻˣ־̣ˣȻҲܲסô
ܣأֵʿ
Ĵ©硢ʱСȡůֻЩ͡
ܣϱأֵʿʵ
ֵˡ˵۾޹⣬ȥһ㾫ûС
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𳶵һСʦ˵绰ֵʿЦǺǵ˵˧϶ҪŲ飬ų˵ħȥˣ϶ǻɽҽԺθĽ顣
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Сʦ˵ģ˼õķչëߡֵʿ㿴ŵʱ䣬˼涳ˡ
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òţůšֵʿЦ㣬иүСʦ˵ʼӲѵģڲాˡ㿴ģϱ硣Ҫӣ²ˣ
ĿֻϵǸַ
ôôõķתСڿЦںŪֵɡ
⣬ôκκתļ
ܣġֵʿѩııĵģȡůһҲһΪýŪƭģ͸Сʦ˸绰
ô˵ģܻǲš
ǰ֮ǰֺǣóСʦ˵11ſʼлߴӷҽԺԺ˵10ҷҽԺʼջߣ׽⡣
˵ҽϵܲÿͳ¶ƵϱɫԽԽƣĥԼȥ¶
µ鿴˿תļ󣬻Ȼ֮ĳôߵһ֡
̫ôˡ
ĸ绰ʾ֪ϵҹ࣬Ӧڲԥ˺ܾûס
ֵסͻֻܰŵһߣҿšĸָϢ˱֮Ȼȥ紵͸
14840ֵȫ˶£֪˺һĬĬĿᡣ


1106 ƾۻ
½תûʲôȤѪԶϴ󼪣Ȼǰϴ󼪵ĿܣȴԼġרҵˮƽ
ڤڤ֮е˱žη½ת
ȥ½ת᰻ۣһÿ֣ŵСʦá
Ů·Ƚ½תתת˽Сʱᰲϲĳ
½תһ£ϲüҡ
ӱȽϵ˲⣬ΨһӵֻСʦһˡ
СʦóƲҵ½תĽ
ʧ˻˵½ת취ŪǸСӡһߣ½ת㱾ͨ죬ֵʱҲ޿κΡ
Сʦϲ£
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ָƳټԼˣ˸߲ҵ˵
½תĬ
ټԼǸʲô
ʦ֣㲻˷ܵϼ˫գðΣҪͨʵҼ鲡رټԼ20ӾܳԺץʱĽ˵ϣ5Ӿܳ
Ŷ½תӦһ
Ǻ°ָ½תͣRT-PCRԭΪҪĲŨиеͣߵ׼⣬ŨȾͻ©PCRķͰѲܶ౶ﵽԼŨȡ
½תȫСʦ˵ʲôֻǺٺЦšʲôֻҪСʦÿľУν
ںöеλ˯оָ㣬ɵġ˵ٰҽѧԺ½ڵϯѧңͳƵ2ӿԼҲüĿ
ʺԶܸߣٶ̫ˣ2һ
ͦá
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Լо˵Ѿˮϡᰵ1Ѫ15ӣٶȿɡ
졣½תͷԣÿκСʦý÷ʱСʦõĸоһ
˷ܾȥʦһ±ƣЦ˵ʦ֣ոտҵȺ﷢һƬ
ôˣ½תͷۣСʦøԼԼС
治ǿô·в䣬˾΢ţس϶Сʱ

治ҳܣſֶĭӡЦǰϣ½תԼˣôЦء
᰼½תһ±ƣкؾƵꡣѾϰʦֵԻ·ᰲԼΣȥǽۻᡣ
ۻ᣿½תһӾһ
ƵԷȾơЦ˵ǽеƺȾơ
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һ۸ҷһƵãЦе˵ڼҸ룬ȥţ̨ϺͶ¥˻ȭȾơ

ڼô䣬ǻġ˵ʼ֧ԮҽԱɲ֢Ҹоȫʼɲ֢ˡ
ôأ½תҲ档
ҿһߵȦ˵Դһʼ׼ʮ󣬸о·׵Ĳ֢֣˯ʮ죬ȫÿˢȦˢѶƵӣۻоɬдʹУලСʮ죬ʺʹ
Խ˵ԽǿģЩϴɡ֣Ҫô졣
ӵȷۡ½תСʱӣݡ
ʦܽܶ໼Ĺԡ˵ڼҸоʹͷʹҪֽţڴˢֻʱ̫µġ
ڼҳֺԵҲҪ˵ӡɽҡԵ̫ˡ

ҷܳϰҲʲô£ڼլľˣѹرںö˶ҵڡ˵
ôҪҿԴʱ䣬գۼš½ת˵¶׾Թ϶ָһӼ͹ȥ
˵ͨˡЦ˵ǽףһ¡
ףʲô
֪ͷ֮Ҫһ㡣ˣǰʡһ֧ҽƶ°˾һȾƣͨˡ
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Уѹ̫°໹ڷװ˱ë
涨ǹ涨Ƿǳʱڡ½ת˵
úúãʦ˵öԡ᰷ܵǻȥۻᣬʦͱҴ绰ˣûʱӡ
½תһۡ
Ҫѵһ䣬˻ȥ
СʦҲף۵պ˰һ˺üʮꡣ
½ת˿̾޳
ɽһ½תǳ


1107 ¸ĸ
Ҫ°࣬ŻɫĴӶڷתš
лߺкһС
ɫĴӶôԣԶԶĿһ۾֪˭
סԺܺܺͰҲԸ䡣
ӻתԺһǽֿմĿȴܸߡͼʾһĵǸֵһ
ʽɸ飬ܶԼ֪ԼĻ߱ɸ͵ҽԺ
Ტż֪Ǻʵһ
ǰԺȻͨнӡǰ
ʦѾԺÿ߹סĴԣ˵ʦϵļƬΡ
ҽԺ17ſմѾԤ˻ߣ϶˱
ܿǵǰôţڸ罻ýϿҽԺϢҲ֪ûʲô¶
ȻǴ䣬ƽȡ
һһſմϣϻߣ»ߡ
ҽԺ
ҲûȥѯʲʷСҽԼûҪȥҡ
ţ߳ҽԺţҽԱվſӡ
ǰ
һ̨ѹȻͣſڣһʮվ̨ϣԶһ˲ϻ֣ʵĺš֣ȥȥɡ
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һҽߣʵô£
ʦɸģ͵ơߵĸײģһ·ŵ綯120ܹ
һŪ׷ʲô
ֵͦģҸĸûʲô¶ȴ˲ҽ˵
ᵭ˵
¸ĸģῴԶ˲ϲᣬЩ
ǵԸԼɡ
ӱ͵ҽԺģһ·ŵ綯120ȳ档
ᣬȴ޿κΡ
һеһжͨƽȴִֿɼʵ
ᴩŷûȥο˼ҡۣߣ߰ɣȥ˼Ҿͻȥˡ
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⣬ҽԺסԺܡҽܵʲô¶ҡ
˵ţһӶ䣬ƺƵģǻߵ˼
šߵ˵ͷԶԶſ˫ۣӵף漴תͻʿ˷ҽԺ
ῴԶ˼ң΢΢͡ӵӰʧƺһ˿
ûżȥǵ˼⣬á
ʮӣ˼һĿŷҽԺ
ȻֻʣһšסŻɫӶ䡢е㲻վ档
˼Ӳ˲ᣬ֣ƺ˵ʲô
ĶûҪ˵ʲôֻ˼ԶԶĳԼϹ
ỹ񣬺֣ء
棬ģڡ
˼Ҷסĵ׵ʧ䣬ϵ綯ĦʧҰ֮С
ֱӰų˿
תطҽԺһͷϵӶ䣬˻ͷ
صҽԺᾶֱǰЩãȻĻߣ˵⣬ǽסԺܣ¶ǵҡ
һ˵һ߿ۻʿ߲ѪͶȡ
98%Ӧûʲô⣬ܷġ
ҽáỼЩн˵
ӦͺˣΪֹѾ65߳Ժе㳳ֽģʽȽ£ҪǲϰߵĻһʿҪ
ҴỼóһ
С
ҽҡǧȴ֪˵ʲôźá
ģӦûʲô⡣Ҫעѹ̫ǻûʧڿ
ҽҪɼʷתȥ
߿ͷ˫ɫĴӶЩ
ءɼʷҽЦǺǵʵ
ҽе㡭
ҽʵ
Ỽû취˵ôֱӣ˵ͷ
Ǻǣʦġҽ˵ӶȽбʶȣֻҪڣ¶ȥܺϡ
ͷ֪ôΪ

صסԺܵӺ棬ŷҽԺ
磬ʲôأ
ٽ°֪࣬ϣܹʵ
ղſһߵĸײģŵ綯һֱ͵ҽԺſڡһӶ䣬Ц˵롭
۰ֿ϶ᡣ֪ϣܿ϶˵λ˼Ҷæúܡ
Ժ˺ӣһһʲô顣˵
emmm֪ϣһ¡
е㺦ߣ˳Ļȥȴ˼ڴ
˺ӣһһ쳤Լ͸һһϡ
׼Ӱ࣬Ϲ롣ῴӰҽ½Це֪ϣͷ
磬˵᲻ܳ躢أ֪ϣ˼ƮﵽǱߡ


1107 ˽ڣʲô
Ѿͷ˽ڡ
ؾƵ·ϣȻ˵
˽ڣʳ֪ϣһǰңԶһʡ
ӵĽšæµƣѾ˵оߣûʱȥĥ顣
˽ڣʲôһµƷʽǼⷽʽֵܴķʣ
磬˯֪ϣĿ΢΢Σ֪ڴ
ðɣȥú˯һ˵֮ÿҪ˯10Сʱ᲻˯ˣ
ᣬǲ֪ϣĸ첲һ͵浴ȥÿ°඼ۣʱȻ˺ܶ࣬״̬ǲãӸɢ˼һ
һ㶼߶
ˣ֪ϣһ£۾ʵ֣ô
ϸûʣÿЦǺǵģ֮ǰ˺ܶࡣҹưˡǹN95ŵ
һۣ֣ں棬ü֮ԼܿЦݣһģ
ͦãǻѷޣ
˵ϣǻѷޡЦ֪ϣͷɳɳ죬ԼСƽͷһ
١֪ϣĸ첲ˣԷ˯
֪ˣŴˡ
ͳ֪ϣСţҽƶ˵ͷ
˭ܲæһ컹ҪԹʦͳڣҲûˡ顣
֣Ƶں棬ֻʱʱķ΢źźġ
صƵʱ֣Ȼ˼ʵʦмһô
֣ڣʲô¶
˽ڣ롭͸֣ЩȣǸɴ˵
ڵûʲô͵ġЦЦ̳ţҲԿΪ˵ˣô
û飬綼Ӹˡ֣ڵصģֻǵý8ת
Ҫ㿴͵մɸСŮѣ
֣
մɿϡƽʱǮõڿɲһЦе˵ƻһҾܻؼңһ룬ĺйȥСǴǰҽԺͬ£ûԵ²˵
֣΢漴˵Ļһؼʡ
ʦһ£ȷ
ڵߣиȾ߶ҳ룬ǰԼһ¾нɵ˵ʱ䣬һݴһء
һ£֣뵽֮رģת˲ЩãȻ
֮һֱæµţڵأڼ֪
û뵽ڶѾܿЩ⡣
ʦĲҪǰɡ֣챨ǸĿ֣ʵ
ҪΪʲôҪش˵ʽɸڽУдȾԴҵ͵ơ
֣ôڣû񿴼Ȼ֡
ǵҲá
Ȼ֣֪˧һϵµľٶħͬСʦררҸ˧Ľ顣
ɽ쿴Ǹ֣֣Ǻܵġ
İɣһжġᰲοҲҽˣܶôܺء
ˣһ翴Ǹֱ֮ˡ֣Ҳ̹Ȼ˵һ䣬ҽϰʱĥƺӦǿˡ
ϷܸϣҲúܶࡣϺ͹صʵһоĿټԼӦúܿͶٴʡװ۸ʱöඡҧͦܣҲÿϣ
ܣ֣һ£ôô
ָһ£ƺ֪¿ȥˡʱ죬ҡҪǣԼ񻹻ţ
ţһҪ󣬵ӵı׳ս֣ô롣
ҪʦٵϸһС©⡣ټԶմɸš
ɽʹ󺣡
ֻ
ˣ£
˵˵
ŵӦŵ绰汴˽ڵĻ֣ԼһЩֻƬ
иϲȷ˽ϰԵʦ㱨Ѱȷϡ
⣬ԣʱͷס㱨˵ϸϹȥ
˵꣬Ҷϵ绰ͳ֪ϣ˵Ѿͷȥ˯ɡ
ʲôߣ
ȣС񣬰г裬˿гֵ֢״ȥһۡ
ҵٳԷ
֪ˡЦЦ
شĺܸɴ࣬ỹǳ֪ϣ֪Ƿܡ
˭ܱ֤ʱ䣿
֪ϣϰˣ⡣


1108 սٱػ
ʦҸȥһۣ
ʲôÿģؿûϵ
еģ˯˯š
λҹࣿЦǺǵʵ
֣Щĵ˵ͷ
߰ɡ˻֣˸ת֣ȥԺ
ʦߵˣҲ˰ɡ֣²۵
û취ھԺ14ҪܵĻ˵ܶôʵ
֣
Ȼᣬǵָ֮꣬ǳܡ
14Ȱ˵㡣ͨ˿ûʲô𣬶ܲ֡
˵Ѿ־Ը߳ڰæϵһ¡ҲûżϾȽϿ졣
ӿڴ̣֣Ȼһ¡
ȼڰлһĻߣ֣
2ף¿֣ԡ¶ĳ̡
Ӻ˵ȵȰɣλ־Ը߾ڸ
ʦƽʱϵһô
Ȼرۣһָᵭ˵ǳʱڣҪע塣
ðɣ֣ûк硣
ʦʲôߣ
һ54Իߣ3ǰ˫֫ɫʹȫɺ֫Ϊȥ10·ݳָʹͣϸĤף˶֢ơ12·ַһΣסԺƺתԺ3ǰڱ˿Ǳơ
Ĳѹʦ2κ͹ˡ֣ЦЦʦǿ֢ĺأе㿴ȥ
ҽԺĻתڴԺʦȴԺΣŶ3μ鶼ԲܳԺ
ʦֱ̫ˣ֣жϡ
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ˣ˵ûסһֱ֢ƣͺתԺ飬λƽƬʾ»ǳסCTʾ˫֢˫ĤǻҺ˫Ͳȫ

ͷף˿ƬӣӰѧϷһ㡣
ʦԱ˽ڻΡ
ˮƽܸߣǻࡣΪо֢ı֣ԵʡҽԺżĺҪһ֣Ͱнͱ˽ʶḶ́ЦЦ
ҿʼʡרңһֱ𾴡ǽڵĻֱ̫ˣҺħԣһ̨һȥ˯þ֣Ц
ֻҪһ˽ڵӣĻڶ߻ƣੲݣħԡ
ϰ߾ͺˡ˽ںµļܡ
ţ¼ܣô
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ҳϣȫõľѧרһҵĹʶǡ12˸񡣡
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ʦô˵ۺ޵ߣ
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֣Ҳ֪ʦ˵йѧоϸڣԶԶȥһ̨
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λϱ
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1109 
ңʦɡЦеʵ
˾һͨ·ֵN95һ׵ĻĿס
Ļǵλ˵൱
ܿʵȷḻһЩյʱ˺ܶࡣ
֣ϳںš
ҽλȥԺ
ǣˡ
ⶼӦõġʦЦ˵ȥϰɡ
иҪ̨ϻȥһۡᵭ˵
ʦһ£ӺӾϸᡣ
Ȼ϶պۣЩλѪǱû˴ǰģü֮ܿᡣ
ôҽҪȥʦЩ⣬òû˵ʲô
ʦ˵м־Ը߳ӰҽԱ°࣬˱Ⱦˡʵ
ǡʦ˵֮־ԸߵĸȺʱҽԺѾ꣬ҲûУҶܺ¡ԼȾûʲôؼǼҲҪǣۡ
һֱţ
ô찡ʦ˵ҽʿ͹æģŷһһ죬۵û°໹ܻؼңҽԺҲסǡ
˵ţʦӺӾֿһ֣
ǿ֡ĿպۣͰͣ˼ʮꡣӦ֧Ԯҽ
ĥ´һ𰾹ȥҪȾҲûôס
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Э͵ģӿҽԺ
˵лȬԺˣôʦʵ
ǣ飬аתϳԺҪθԲŸҷߡ
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ǺǣʹʹƤӣܵ档ͻ¼䱸ҪһֱеĻָ˵˷ѵ¶ˡ죬ô˵ôЦ˵ʼȽϼ࣬Ҫƶ١ԽԽ࣬˺ܶࡣ
ҽʲôʱǸͷҽ쿴ͼȫˣ򣬿˰ء
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ˡǽʮλشͬĴ𰸣˾ʦģ˵һ顣
Ҫǰ˵ģֹۣͦΨһĺϢ
ƸոտʼŤת11ſʼлתԺʵƾͽתá֪ע⵽ûУ11л߳Ժ12Ͼͺȫ˵4ܸ㶨
ʦһ£Լǵ˵4µ飬ȴͺ11ŷջ߳Ժϵ
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һؼҡʦ˵˱Ⱦˣ־Ը߳ɢһ֣ҧûˣҲġԼȾô£ãܰĸѾˣӻС
ס
λáʦһӸԼսٱػءھսôΪһϱһԱôܡ
ÿˣں˯СʱȻܡ
ʦţ˵Ҳз顣֣Ա߾ţһϱ
ȻǴͳϵսȴҪ¡¡սӲпᡢն
Ǵʮҹȥ⣬Ƭ̫лС
սٱػء


1110 ȥ
³һת뿪
ʦ
ʦĶס֣˵
šͷ߽Ժ
ʲôʱεľ֣ʵûڴش
14꣬顣ϸ˴𰸡
֣Ҳ⣬ʦͨ˵ݾӶ࣬
߱ȴǰ˺ܶ࣬ϡϡģǰŶӾ˱ĳ
û뵽ô죬ſ֣վڷֻ
Ρкһ
ʦô͵ˣȻæֻܹ
˸־ԸߵĳġЦʲô
ʾ᳦ֱĤദѪá᳦᳦֯ʾĤס
ô
صĲִ40cmң˽ڻơָ绰
ŶԳס񡢴ⶼǺġǲ֪ôģϰԸҴ绰
ôģЩɻ
˵Ƥ
ţȫСĺɫ˵ʦƤܵԳף
żЩᵼ£ȥһۡ
һ֣
λǵ۶ҽԺƵ֣֣ڣҽ֧Ԯ˵ſܵ
֣ڣáһǵ۶ҽԺĽڣæк
Ȼڴкȴû֣ᡢ֣1ϵľ롣
ڼ䣬Ҷγһϰߡ罻һʴӳ㷺ѭֻ˺̵ܶʱ䡣
ʼô
ʼˡ˵ʦȥһۣ˽һֱų̂˵
̾˿
һֱڵ
ȥ·־ÿռС˺ܶࡣ
ʦʲô⵼µģλ·ʵ˵Ƥθ񻹱ǣַţ༰Ĳϵ
ԺƤôʵ
γĬ
û£һƤƵҽȥˣڹҽԺǮôûʲôܻġǮסЦЦҴǰһλʦʹµƤƣȥ˽ҽԺȫҽԺ뼸ʮ򡣡
ôǮȻ
֪Ǯû뵽ôǮ
ܵƤƱȽϺãѧ˼ţȥ˽ҽԺȥˡ˵ǮȷȫƤˮƽһѾǵмҽԺûһ
ǵƤƾиܿ㳣Ͳˡε
оУ֪ͨô
ûСãҡҡͷ
鷳һ²ƵˣҪûҿȥб
һ£ʦʲôᰡ
Ҫ˵
ʲô
ҿһ۰״˵ûֱӻش
Ҳ֮е飬εĻͷףǻ߱Ͼκԡ
ңԶԶ˽ڵ
¶ֱ̫ˣ
ΪBOSSͳ¶Ĺϵòô˵İɣˮƽֻ˵ǲӰȫͺûκιϵ㾹Ȼ˵ֻҸоġ
üͷ
˽ױȣĲ֪κκͳ¶ôġ
ԼˣʱҪʱӦһŰ߻ʡ
BOSSʲôʱ򵽣Ҫ߹ɡ
˭֪أӺͱ˲һֵֹġʡʱÿζᡭ
һһ߶죬ҵĳ֮⣬ѻȸ
һ߿ҵţ¶̧ͷ֣һ
ᣬˡ¶ظ˵
˵ͷˣҸ˵Ҫ˵㻰ˮƽߡ
BOSSڿˣ˽ڻϲ˵ϴ˵룬ΪҵˮƽѾ㹻ߣȫҪ
޴ıˣħΪ仰ֳġ
ᣬǻģ÷£Ҳǿ
ᱻĵǽϣЩùһ
죡ü߰㿴ô
ˣȫǣ˽߳תļ죬ϻش
˱ˣ㱨ʷ̬ȼֱ˷ָһѵ⵽ǽз֫ɣʲôг֮⣿ҵֱ޷ֱӣ޴ġ
죡˵Ȳ
һƶ̨ڻȲλã£ƿ޾
ᣬСĵ㣬Ⱦ¶˵
ģû¡¶׼ƬһȡƤ֯Ĳ걾
ţԵƤô¶ɻʵ


1111 Ͼ
BOSS㾹ȻΥ޾ԭ򣡡
ˣ㱳һҵ޾ԭڵϣ˵
һԱ¼Ϻ̨ӦΪоشܽӴ
ڶ

ʮˣԱλӦ˺һȻתԱתһλãԲ࣬е̨Բλá
ңΥ޾ԭƾģ˵ûֹѪǯ㣬;û»߽Ų޾վʵ㿼ʲô
סԸĤס˽ڻش
ôģ
񡣡
ôģһ׷ʣһ߿ű˽ڵûһҪˢ̨뷨
ԳۣһΪڴƤʽĲ̼󣬵³ѪܺͼⷢΣʹϸӪϰͳճĤĵֿͣʹճĤҺγ񡣡
˽ڵĻʵʲôڻشʲôû˿ԥ
˵Ҫʮָ񣬲ǽ᳦񡣡۾˽ڵĲֻ˵飬ûжĹ顣
BOSS϶ȷϣʲô˽Ϥᣬѯʵ
˵˵ΪʲôҴ绰ûлش𣬶Ǽʱ˽ڡ
Ҳʱ;òԣ̫ĺɫBOSSҿһ۵ʱо߱μľˣŻ֢״
𳶵ǻģЩЦܿᵭ˵ĵһֱ񣬻ߵĳԴȷƤĺɫйϵ
ΰıˣ˽רעĿŶĻǻ豸г˵ȴΪ˷ܣԺͶ룬·Ȼͬˡ
ҾͲµˣ
Ҳµġʱֻ˵߱μľˣôôòԣǲŸBOSS˵绰
ôܣ㵱ʱ
˳
죬ҵ˵ˡгķΧȷ𣿡
BOSSȥھңȫ̵ĳ¼ֻг34cmĳͿԡ
̫ѳѵĵϾС
ҵǷôBOSS˽ھȵ˵ǲûߵĽ᳦ֱ̫ˣҶɻ᲻а䡣ǻ᲻ᣬѾ˰֯
ˣ㾹ȻBOSSжϣǲÿ촩ŷȱѪ֢״ҽBOSSĻ
ҼΪҪгһֳ34cmѾ뵽̵ķʽٵĻ᲻ϸ
ˣá˵ǶήȻǳϣȷҪ֮гһƤ֯ȥ¿ܵõۡ
ήƤô
ˣ⣿㻹˵Լ綥רңҸоҪʡҽѧԺѧϰ꣬Ļ֪ʶ̶ֳȡ˵
֣ô˵ͷ󺹡
ͱ˽ΪһήһƤͳûκιϵ
ƽʱʦԼ̫ˡ֣뵽
BOSSŲʡƤƵרңû˻֪ήĴڣ˽۵
㲻֪ҪҪģھʹ绰֪㡭
ŶֻпȺ̳زŻģ
ϰɣϴˣһ鲡걾ȥб
أ
ͻزƷһҽ˵ġ˵
̫ˣBOSSήʲôΪʲôᵼ³⣿
һƤ-ٵϸСĤ׶Ѫ˨γɵļʱûвѧȷ֤ݣûģٴصƱ׼
BOSSֱ̫ѧˣ
֪̫٣Ҽǵ3ǰ20171022գķҽһߣǺܵ͵ĶήʱҺķ˵ˣִҪе80cmĳ
ҼǵãǸߺˣСһ22ꡣ
򻹲Ϊ볣ȾɫŴ쳣ܻԽͼȾйءķΪ˵ǶԵģԾܾҵǸɶļһƽƽ˵㲻ԣҽĳԱ
BOSSȷô
ȷֲٴɷΪƤͶήϵͳͶή֡
ƤԼռ1/3ΪƤϵͳ䣬ɳڴ14ϡϵͳͶήƤֺۼϵͳʸߡ
ԣûһԺĻָкô


1112 һ˵ĺת
˽ںȻĻʾѾϣǻǯһѰû㡣
ڳûκһű˽ר־˶ϤλʡĽڣ֪һѡˡ
ûκף˽ھܽ˿ѣԼɽȻͬˣ˵Ⱥ
֮Բ˵ҲΪڵԭôˣ
κξòԾ۾Ӽ໤Ųһᣬ䵽˽ڵϡ
¶Ҳ̧ͷһ۱˽ڡ
BOSSҾԡһô
Ҫʣ㻹һĻ
BOSSѾҪˣѵͲϢԼȥô㣬ıˣҪһȵһڻͲ֪жٸȾ߼һ
Ҳʲôװϵͳֻƽȥܣ
ˣ˭Ҫȥģῴű˽ڷӣѰǷҪ޲λãʵ
ҿ˽ţBOSSӵҪлҪ⣡ֱ͸ˣ˵ǵרһλԱҲͲ࣬Ǳں󻹻ṥ࣡
ṥ˵ͨѪϹԸɣᵼ²вᵭ˵
˵꣬͡
ĿͶᡣ
ҿˣBOSSƭң˵ǾԲɵӣĻôӵѾˡѩ޷صѩǴħ
һҪߣһӶҪ飡
ˣҼǵһ͸Ҵ绰ˡҼ⣬⣿
һ죬˵ĸǷܡܵģROֵ6ϵĲôȫҳ˽ڵǻ豸κȴѾϰԵıͷ
õı˽ڷ裬ѻߵĳϡá
ˣϴظ˵
BOSSƽʲôʱ򵽣
ǰĵģֲҵģô֪
㻹ڷܵɡ͡¸ҡʵСˣ㲻ҶĹعһ׷ҡΪʲôһֱƭңֱ̫ˡ˽ڽӹˮ裬丵β©İˮߵĸǻ
ԺͶûһȵһơ
κþѱҲкôٲ
ȷôġ˵Ҫͨô˵⣬ˣҽĳԱʡĽڣǹ֪רңôרҵô

ȾķΣ㱳һ顣
BOSSθƵרңǴȾרҡ
ҽ֪ʶס
ǴȾʳߣǱڳҵ죡ȻҲߵ׵һֲ˵еơ
Ͻһ鲡걾ȥ¡Ҫжûʧ󣬻߾Ϳ̨ˡ
Ҫʧأʵ
һߵѾòҪˣһԸıʷĴȾһʾ¼ĴȾ
űˡ˵ʾ¼ĴȾҲᱻɱѾʼתֻ㿴ѡ
һ˵ĺתôBOSS
ǱĴȾԴѾ10ҷҽԺΣӵڿȶˡ
ҶĪĸеɣȻÿζ֤ǶԵģβһԲһ
ˣҪǻŵĻͱ죬ܸоBOSSѾʼͷ
һ˵ţ˽һ߳ϴԱ߷ӵҽãȻ֪롣
ôô޴ļһӶãҪ
ˣﲻʡ㱣ֵֶء˵
˽ỰĲ䵭ڳĬѸ
޾ٴеһСɫ¶
ᣬҪȥбô
ţҵ绰Եһѡ
áκλش
BOSSҪȥ
ɣ˵㻰ѹ̫ôôоĻԽԽأʵ
BOSS㲻֪ѹжÿζ͵͵ķȥܣֻܺһȺ˼ڻΧǿ衢޿ײĲ
ҼǵҸһȷﻼCDCȴϢף걾һһ˵ȥ϶һ⡣
Ҿƭҡ
ģҲκһҽԱҪˣҲһߵˣһġ
һȺֵļһ쿴ԮҽͻʿôᡣBOSSôƭǵģǲ֪ҲҪӡ


1113 ܻ鷳ܻǲ
һȥ˽ڵԲ۾ѳһ
ˣôǰԵķţȾòӱɽˣü
BOSS͵͵㼸¡˽С˵
һҿƬӵġ
ҵȲ
Ҫûô죿ʵ
һȥƵ㡣
ʼ磬Ų걾ɳδ·ϱҡ

ƣҽȴ
һٰձ׼̲һ飬ǲģŹƶȱһһĿš
Ǹбôءһʵ
˵֧ԮרҪ
֣϶ˡڿϣôصĴţ˵Ҳûܣ˵֧ԮҽкܶҽɴŲƵҽӣȷû⣿
ʲôֵģܵĹʦء
˼³⣬רҸʲô
ĵ绰Сĵ㣬һļҽԺĴţءû˵ôһ׽֧Ԯˮƽرߡ
׽ڣ
¡
ܡ
˵ţſһ¡
δ߽һ̺ۡҽȻһҽèСĽӡ
Сֵడκ˵˰ɡ
Σ˵ˡһҽվСĵ˵Ҷ׼ˣ
λͷһᡣ
ҪǲΥƶȵĻɡЦήȽϺ
֪ʦֻ˵һĻ
ⲡԺˮƽȷϵĿԲ󡣵ʱ򱨸һĵġ
Ƶ龭б򡰣ҽ֪ǸлǲС
˵аɣûȷУ˼дŶԡ
Ƕ˵ı־
û취ҲԼѴбʱʯһЩˮƽ˿϶
λʦʮ桶ѧĸࡣ½ڼ򵥽ܣʦҪ׼һ¡
ҽĿᡣ
˿ŵᣬֻպۣǱ˿˼һʮ桶ѧģȷûЦ
һҽֽĿʼ׼˽һ£BOSS㡣
Ѳ걾ӸҽǸĺͳۣͱ߳ơ
бָ̨ȡµ֯ŵ䶳-20ҶӲ飬ƳƬڿϡʱҪ5-10ӣҲûż
ˣ˵ʲô˲ƣʵ
ʱԺ壬ҪûбҪĻû˻ʱҽԺ
һǰۣյߣȴһС
־롣ü
BOSSǼֱ̫ˣһҪʲô˽˵
Ҫʲô
ǲǵֻţڻǿбҽʿ֧Ԯӣ˽һҶı飬ʵר˶֪Ѿת
һģҪֻҪһܷɻ
ḻ˵
ΪʲôǻݿôأѵӦá֪ˣͨϰߡܡ췣һǣ
˽˵š
˵ʲôأ30룬һȥ˵
BOSSЩ֧ԮҽʿǲǱǹָģҪȻǮ϶ǲ֪Ǯˣǽʲôţ
ڤҡҪγˮ
ԣڤңʵǾڤҡ
ˣǻĺɽ֮ǵ𡣡˿˵Ҫ֧ԮʱҲڳ
˶֪ʲôΪǺͨ֡
Ҫ˵ǮĻ֧Ԯҽʿܻһ㲹ǮܷܲҪҽԺ쵼ˡһ֧Ԯҽʿﶼ֪ǻˡ
ʲô˼˽ɻĿᡣ
ҹ30%쵽ѾܲˣǮ࣬ٺʹŷδ֪սȲࡣ㣬Ҫ飬Ҫȥ֢ҪǮſϣ
BOSSһ鷳飬ڣܲһ㡣
ʼ硣
ô˵ɱˣû˵ٻڵľȷһһĺЩ֧ԮҽʿҲΪǮǱƵġ
ǿܽӵϢ̾鷳һ£߻ǰﹷյԺ쵼ôȥһߡֵԼͷϣ˻ˡ
һֹŹֵļֵۡ
𡣡


1114 û
㻹ʲôҪʵ𣿡
ȥ㹤ĵطBOSSı˻ʱػƽ뿪
ʱأϾҪߣBOSSŵǹζһ˽ڲ
Ҳߡ˵꣬תƣȻתͷҪҲдůʱߡˣҪٶһϻһ֪ΪʲôƺҴħ
㡭֪Ǳħ
㵱˵˲֪ٴΣҵȻ֪üת˲ơ

3ӺƵŮҽĿ겡걾΢ǰ
ǼĻҽӦøɵģλһְ鶼ɡ
ҪҪһ£ʵ
ǣ
ǰήƬӱȽϵͣһۻһӡЦͷô
ҽãȻĵ˵ͷҪϿεĽࣿѹֳλʦ
̬ѧήΪ߻ɫ֮𽥷չΪή״ݵĴɰɫܳʺɫ״¡𲢰ëϸѪܵš
֯ΪƤǳѪΧ֢ϸ󣬵ΪƤǳШλ
ڹλ׵Сܱ֢ϸ󣬿Ѫ˨γɣڱƤή䱡ƤԭӲƤӲ𤵰׳
һ˵ţһߵ΢
ƵСҽɵۣ֮ƺص˶ǰԼϿεʱ
ڵľ»ҪϿΣλȷԼû
ߵĲ֯ʾƤܱΪ֦״Ѫܡ״ѪܺͲѪܣ״ɫ޽ṹ
һб5ӣŻͷͳ˵Σ鷳Ҵ绰߿ˣͻͨС
ŶŶŶҪǶԲһϲͨ϶綼ſȥһͷήбʲô
绰ʱһֽдʲô
ΣƷվֽΣ鷳Ͳҽ˵һ¡
ֽдŰ˾ƥֳƬ100 mg1/d50 mg3/dдɷ裬滹ǩ
ʦͿԣʵ
ήĿǰûЧƷҪΪ֢ƿͿѪСơЦЦ˵֢״Ƚأ¿ȴ̫صֻͣÿͿѪСۼƾͿԣʱƼ
ûΣ
ȿڷҩһԣȻ߲ƽ˵ӦܿƲ飬ĺҪǻʣԵȥЭҽԺҡ

ĸֲûѳε˵
ʦҡûӦûȥνͰ͵˵
ͷԸԼ¶
ʱůпӴѧӣҲ˵Ц֮ǰļҽԺҲоӦûȥЭͿҲôԶſھܿס
ĵ˵ͷ
ůôˡ
ûµĻҵʦеʿһȥϢˡͳ˵ϵҾС
ãʦ϶ᾭ鷳
鷳
뿪ƵСҽųʶ
Ǹҽ̸ֹһϼҽζǰԵܲá
Ҫм̺ۡӦǺ˧һСӡ

߳Ժڻ̳Աߣκκͳ¶˵绰
BOSSĲߣ
һȷҽԺţһҪĻ
˽ĿᣬʡĴħ۾ȫǲεĹâ
ħ˵һʾ¼Ĳᱻ˳׿סôĻô˼˵ڵġ
˵᲻ˣЩƤӵ·ЦЦ˽ڽ֮ǰսȻһµġĲȷֵʱѾѿˣ˵ô죿
л㱨ƣCDCС
ôˡĵ˵ұ˽CDC˵ӽתҪô򵥾ͺˡ
BOSSҾ˵Ĳԡ
̷мˣЦʵһոµļȥоȴ·̡˵·Ҳ̣ôһûʱϸо
CDC⣬ҲԿƣѾʼķ͡
Ŀᡣ
ձҲʼУҺʹһʵϵῴű˵۾˵ӦûڽڷΪձͷǴġ
˵۾ɵͭ塣
H1N1ʱѾˣûУ˵ԤƣʲôЦ˵


1115 
һֵ࣬14硣
֣üɫĸʹ֣û˵
ƵᲢȤͷʱڵİôȻûз绨ѩ£һ̡ѪҲȤġ
ҽԺ·ϸİѻɫӶϣ˳һ¡ɫӶ΢΢˼£ȵһͿ
ʦá֣ЦǺǵ˵
ҡЦŲӺ಻ãҽԺô໼ߡ
ҿ㳡ĺ֡
ϲͺãûҪÿһҷҽԺŪһӶ䣬һһ˵ֻҪûߵȶð취Ǻð취
ϣȾֵҽԱӰࡣ
ֵסԺܿĻɫӶúЦֲĳЦʦ֪֮
Ժ7ߣ22ת2ԵĻߡסԺϲĽŷҽԺ
ĸ࣬ҽֻҪ˵ԻתĻ߶ܸˡ
ͦá
绹һ͹
û⣬ֻﳤ˵һһĿǷҽԺʼִˣÿճλûסԺ
һ
ݲգ򵥵ڴ˿ǧ᲻Ǻܸ롣
ݲգζսȫʤֻҪѶҽԺĻͿԡ
һһɣϣԽʧԽƵ鲻ȥ롣
ϸסԺһֻܻǲصġпҪתȥҽԺĻߡ
ҽ㻹Ŵôһлһ·ԴϵĻɫӶ䣬סԺǰʱһ䡣
ǡһͷϵĶ䣬ŵûô
⡭ûжôǿ֢ˡС߶š
߲סԺܽӰĻῴҲİԼϢʱ»ߡ
ôǿ֢أλʦиǺñϡסԺܽ͵
ǲǿŲࡣ۾ʵѵͶAPPôǿ֢أ
ˣһAPPܱ۸˵Ҷ۲óľ飬ֻҪûо¢ʱͻű
һ£û뵽ڷҽԺﾹȻ¢ʱĸ֡
˼㱣һ뵽˰ġǻ֪ʲôݲ֮󣬸绰
Ǻǣô¢ʱءסԺЦ
ܾӵĳǺ£䡣
һţһʱڵλ͵ʱöôͬ±ȣŻˣʼɱ졣
ʱεAPPɱ¼ϸоһ¡õĴҲԭҰжأ˶ôȻ̫ãŻݰôܱ΢ĸ3ԪĻԱһŻȯ
أʵ
йЩϸڣûעԷôܳԱУûʲôرҪ
ֶ֮ôĻԱǼۣҾжأš
ôʵ
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ðɣܲΪһ޸򡣡ĥ˵ĻȻǺ˽⣬ܻһ½ŵľ
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1116 ִҪ
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1117 ڴǳ
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1118 ίǱȻ
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1119 Ϩĵƹ
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1120 ʵȵӰħ
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ǣƵҽ֪ϣ۾˵Ǽƫ̱ƫͷʹģƽȣʱ۲첡仯ȻˣһβʷᵢߵƵġ


1133 ôƽڣ
סԺ̯֡
ʦ֪˭ҽԺ֧ԮʱӵԺ͸ˡ
ŮͲǸСܶʲô
ʹʱ˵塣סԺѵ
ţһʱƻ֢֫״ԼϰҸտ˻ߵCTΪԹԼԳѪȲ֢Ҫȥһ˴š
֪ϣ˵ĺո˵ĴͬС죬סԺü
ѯʵĲʷҸտ˲֪ϣ۾˵ģֻǷǼƫ̱ƫͷʹֲǿġ

סԺ̾˿
ߣȴֵǻߣһԱߡ
ļҽԺģ֪ϣ߻ڻ˯໤ϵֵҲƽȣѯʵ
سġ
ѽþûԻˣ֪ϣҺ͸绹˵Ҫȥسǿ
סԺܲʵ
سèһֱҡͷǸè֪ϣ9ʱҺ͸һ֮ÿȥܾǵǡ

ѾʮˣץʱȥȥˢƵȥèأһϹţǼٵġʲôã̫Ӧýš
֪ϣһ仰û˵ߺȻһ¡˯ѹ漴˫ֱͷŹֵ
ʹ֪ϣһʱվв壬˼¼
סԺܺ棬վں濴š
嵹ǺרҵǸڿƵģЩ忴
һ۳֪ϣļ¼д9:20 amٴ֢״񻯡ʹأ䵽򨲿
ڳ֪ϣסԺܾøһűǩϼ¼ĳЩҪ㣬еԺͲࡣ
д֢״񻯣ȴá
֪ϣϰοŻߣڴ֮ѯʼʷ
ƫͷۺأ˵϶ģ˵ĺסԺܼصûƫ
ֻǸ˵˲ʮӣߵȥȫʧȫ̱
סԺܺ󱳵İëˢһðŷͺƣֻһ˲Լ˶ˡ
ҽҡҡȥԺ㱨סԺܽͰ͵˵תҪߡ
ƽȣȫ̱˵йƵĲʷӦⲻ󡣡֪ϣססԺܣԼĿ

סԺȻһ۳֪ϣ
֡۾˫۾û˿ţ峺ףһ̶Ϫˮ
⺢ӲذɣסԺܿЦ֪ϣתߡ
ܣȫ̱ʧҲ⣬רҽɡסԺܵǰ˵ƺѾʦܡ
ȥῴһϵĶԽ˳ƵıŻߵķ߹ȥ
סԺǲ֪ôԼ顣
ȫ̱һҲԣϾһ
Ȼ߳Ĳʷ˵ֹܶƵסԺɲðա
ֻڷҽԺһŰףתȥҽԺһЩϾкҩƷҲȫҽԺûȡ
Щ꣬ҵһʼ绰
ϻƣڷҽԺôˣ绰λƽڴ˯нѣеԺ
и߿첻ˣƽڼҴҵ˵
绰˲ѣת˲ڵĴæ˵˵ҽԺ֢ôץʱתƵĶҽԺǡ̶ͼʱ䣬Ͻת˰
ƽҲ֪ô͵ƫͷۣȫ̱ʧҲ
ԥһ£ϼҽץʱȥרҽԺ
ǽסԺ˵û¡
ȥȫ̱˻û£ôء˭ֵࣿ˵绰λŻһС
ŷæһҹ˶ڷ״̬˯ʱоԼѾȺԼжı֡
ֱʱѯ˭Ƿյܡ
ϡʦƽڲԸ˵
绰Ĭȥ
֪ҪʦҲߣдһСҽȥ
ôô绰澪㵵ʵ
ᣬҶֻ֪ˣûЩֱȽдҲǺܳ顣
ǰǸճ˵ƵġȻƫͷеϵɡ
֪ϣ
ţô֪
绰˿Цã̾˿˵ϻƣûʲô¶ǲǸһ̫ˣץȥϢ
ƽ
Ƶһ֧Ԯһλҽĥ߶һ·˵֪ܲڡҪһȥеĴˡ
ᰡƽʵ
ǰ˵ʮᣬ˼ˮƽߡ


1134 ϶о
ְο˼䣬ƽڻǺɻ󣬵ûİ취ѵ绰ʧܣֻûȥ
ϣ
ûʲô¶źá
ƽڿ첽صڵԶԶĿ˫ɫĴӶ֧š
ʦڡ
˫Ӷ仹۰ƽ̾˿ʦ̫ᣬCosһ׸㵽ҽԺһ㶼ࡣ
ô˵ǿ϶ģʮһ۾Ϳλá
ֻᱧŰվڴǰʲôȵľٶ
Ӧû£ʱû¡ƽ˿Ų滺ȫļ⡣
һҹʵҲסˡҪǿ֢ʱͻر£˯ֵܲҲǺõġ
˫ɫӶԽԽƽ֪ϣԼ
磬˵ܲܵһȹ
ʲôأǸɶ˾һȹЦŻش
ƽڴչȥ໤ϻƽȣʮӵʱûκα仯ʼһ
ûȥЦǺǵʵû£ƹʱܺת
⡭ʦû£ƽڲš
ڻߵѾ΢΢ûʲô⡣ָĺܿ죬ĺˡ
ƽ۾ЩԼ̫ˣڿ̫
ϸ˴Լʮӣɲܿ϶ּж
ذɣúЪЪҹ۵ġȰ˵ȻߺˣƬ
ƽھǿĲ˵Ҳǿվڴǰͳ֪ϣ˵һȹȹ˲Уȹ󺹡ǶǸȹûȥҽԺƹǺܸ
⵹еϧ
ҪڽԸȥо硣ء
ʲô
У˵ôһ֢״ȾڿŨҪеͣ߶ȻɿѸʧѹ˵ûЧ˵˵˵ɣûصȹˣ55֮ûˡ֪һȹôСԴʲôء
жѣ
Ͼ仰ڲﻹһȹվ죬ȹ죬һȹ졣εܴ󣬵ֻ˵ҽһ飬㿴ʣ١

ŵһȹһλϱɨ׵սʿŸΪսѣ嵲סը˫Ŀʧˣ˵Ҳգ˵˶ᡣ
صȹأ
һȹ˲£صȹ˱붼¡۾ŻߣЦǺ˵սʱ˼Һųƾ38һΰս˫27վ⣬صȹֻһȹ
emmm
˼ٻ8һȹ˵Ӣ׳صȹ9ųƱ
ҿС˵
ǵıǳүΪʲôòصȹʱˣɱүĲǾ
㿴үӵƬôһȫװһͦǹɻ˴ǣǸܸܵġ
ôѰ
ޱ׳һߵ·ӡʦ˶£ѻS봨֡˰Ԯǿش񣬾⣬ûһȹ
ǰ˵ʦҲˡ
ǿʼоˣ֣Էһ
ô
Ȼ磬Ҫ磬˵ҪͷײɱɾҪо綼ҲǶΡ֪ϣͷ
ᣬ֪ϣƤ¶档
ºŶһž°һҲҵһ롣֪ϣٺЦЦ
ǡˣòõġ
ţսúùӡ֪ϣӦ
һţֲ鶯ƵʿʼƽĿšĻߣЩãȻ
û£
ټո˵ĹûвҪ綼û취ƵĻƽʶĿһΧ
ȷͷ׵Ļߣʦ˵ӵλ
̫ᣬҪ⻼ʧҲ˵ֲű߼ʵλǡ
ֻϣ֮ǰܻŻȥУƽš
ֹ˰Сʱ֢״΢ƣԻԵͷ֪ϣڻ߶˵˼߿԰ָڶָͽֺ
ˡתͻƽ˵һ̱ѾȥˣҪ׻ָٻҪ20Сʱҡһϰ࣬߿϶⡣
ʦô£ƽڲʵ
ֻһƫͷۣôȫ̱أһָܻ
صƫͷʹ˫԰ĸ߹ע㷺Ѫȫ̱ݹͷʹ3桭ˣҲڡҽץʱȥϢ


1135 ĭڽ
Żƽ뿪ŲЩģ֪λҲǿšĲһǿ֢
һֱĿıӰʧᲢûߣվڲǰͳ֪ϣСġ
ҽԺõĵطһĳûʲôϵ22߳Ժ
ԺԽԽ࣬ʼٶȣ߳
ʮǰô룬Ʊ仯ĺܿ죬ѾĥŴ˵һ졣
ھͿлʽɸٻߡ
ʲôʱӿҽԺʼˡеķҽԺʼˣʲôʱǿ⡣
һ뵽⣬˼صɽϡ
ɻȥɽɽʯԣ䡣
1СʱȥˣѾԺ˵ƫͷ۵֢״Ҳ
ʱ쵽ˣȻ⣬
֪ϣߵҪһࡣ
ҽԺͳһͣҪһ൱ѡʱΣƷѾˡ
ҡҡͷϰҽԺֻҽĸоܲҽԺҪ׶԰ʦһСĵעŻߵĳԺ˯
ΰƽ
˺ΰ
ҽԺûз޷صı棬㵳֯ĴԼΰй˵Ըڷǳʱڶ˾á
û˻ʶһ㣬ʲôϵأ
껹ǵʽĿ֣Ҳ֪۵Ľӻ׼Ϻʲô̶ȡ
ţǰǸʮɫͷͳӡ
ųǿı鳷ȾͿɼһߡ
ͳԴԤıȳĺԥ侮ʯֶҲر򵥡ֱӡֱ
ῴһƵͳڻ᳡߾˫ֶֻۣȻ4ı־
߳ˮһ󺰡꣡
ɽҡûֳֻͨһƵʱĳ棬ҲܸܵڳԺ
꣡
٣
Ҫͺˣ˵Ҫܸ죬϶ǵһ۴ӵһڶĴͳ졣һ룬ڴ
Ц֪ڳô˷ܵǲе̷׵Ļߡ
ͷײ֪5ͣӱҶȿ϶ƫͣҪȻҵʱ仹Ϣơ
Ҳǣ±ʵ¡ǿĲ϶ӡ
Ϊ⣿Щ棬ЩڴԺӡ
磬Ͳ͵˵û࣬Ƕһ֪ϣ˵
Уˡᵭ˵
ȥæɣŵ㡣ʿæţһ᷹ι߳ԡ
Сĵ
֪ˣ܆
ЦЦתҪ뿪
һλ߿ͷĻɫӶЦǺǵ˵ҽҽԺֻܼס˫䣬˲Ůһհֻ֪⣬ȴ֪ʲô
˵ЩңҽԺʱ㹻ϰֽ
ٺ١˫־һӶ䣬ǵãԺ֮һжˡ

ֻûʲô壬ȫûҪ֪ҽʲôĭڽ
ôһ˵еЦǺǵһߺģһ߿ķ
ŶأȥţϾҪԷˡ
ˣǡߵҽ㲻ֱ֪ӣ˾͵Ҳ˵극Ͼ䣬ܣʮӾ͵ý
ŶȥҽԺôʵˣ
ˣûȥҽԺҲʲôë
Ҳǡ۾˻ͷͷĻɫӶΰεġ
ҽ˵ǲ߱һе顣
ôɣûֱӣֻһֱͨţﲻôӪҲû취ա
˵Ȼָָһ˵˵ĳֱ˴Լ6.5-8.5ףǰӵľһ
̫󣬻߿һǰӣɫЩŹ֡иоԼĳӱͳֱ
νֱӣһǳۺ
ʲôʲô
~~ۺ֢һһٵ˵ôɣҼ˵һ³ԶĹ̡ʳ׽ʶʳŽθ
ͬʳθͣʱ䲻ͬʳҺ壬ͣ5~10ӣʳסʳͣԼ1СʱͣԼ2~3Сʱ֬ͣ4~5Сʱ
֪ⲻ׶ҲţҲżг
ţνˮôһľʽˮô˵ֻ5-10ӡ
а鶼ʧҽ˼
磬ʲôأ֪ϣչ
鲻䣬Ǹû˵һⲡ顣


1136 ճ
һʳθ5ӼвʳӱʮָͬʳſٶȲͬʳ״ͻѧɶйϵ
Ȼʳ볦Ӫգղ˵ıɴ㣬ڽ᳦²
㵽һ֮󣬻ͨѹĸ̼һֱϵĸγűС
֪ϣںͻϹ٩ű㣬ֻ򵥵ĿգȤ˻ȥ
ҽŮѣ
šҲԣδޣŮඡ˵ͷ۾
ã÷
С÷ѧʱʦá
ѹ˵֣Ĵָѧ֪ʦãѧʱͲɡűҵ֮Ůѿܸ򵥣˭֪һһ۹ߡ
١ЦǣСŶղǾ仰δ֪Ҫ׷ʶ⡣
ҶҶЦĻ죬ҽֱǲֱһֱз㣿ȥֱӣֱԭô£
߿ʼ룬Цá
ⲡθԼûȫо
ۺķư쳣о쳣غءάʳȾءԳ໥áԱصȡ
Ŀɿڴ
ٸӰȲ˵˵Χ˳긹кô
аҾͳ긹кȥͬһϢ⣬ȡǰǰ䡣Ҳǻ죬Ὺͷͼ˵ΪϢֵģɶ᳦кûʲôת
˵ǳı֣Сʱ᳦ָ̣͸߷ƽľֵֵߡIBS෴Ϊ㡣
˵Ļһ㶼ݣӪı֪֡ùʺʳܼã
ŶҾͺݡ߻䵽
ҽ㣬ֽгккк
ڡϪķÿкʳɿڣռϰʱ£к
һԡԵ֮ʱĸкҪΪÿǰʱֿʼ丹ʹʹкк򰲣㲻ΣҺŧѪ
һͷҾǲ֢״ôһҽҲΣʡ
㣬ߺʧڳĺˮˮȶ¼Ϊйкҽ۽һλѻ˵һһ㶵ġ
˥֮⣬ƢʪʢƢֱ֡
ҽҽ
ǣҽʱԸ⿴ҽ顣һӶ䣬ҽôеġ
ô
֣ϴףԼɼˮסڲס
˼߿֣ҽࡣ
ðɣڶҽԺҽࡣרҽȥˣÿ춢֢ߡ
ⲡҪɡ
ָ߽о쳣о쳣-쳣Ⱦ֢Ӧصȿܵ¡ֱӡܵշء
Ҳţ죬Ǳȥͷ׵¶ʱر졣
ȴů֮ȥҽԺ顪һǱ㳣棬һǳҿӦûʲô⣬ƵĻʱҽġ
ҽ˵һʲô
ĵֻʼ¼ۺû뵽Լֱֻӣλҽ͸ԼССʱĲ
ô¡
ʿ־Ը߿ʼַз۾˵ԷɣҲˡ
ţҽࡣ
ˡ
ҽԵһ£һһ¶ߺȻʲô¶סᣬ˵⼸кö˶ܳԺؼң
ǰԺÿԺĻ߻ԽԽġ
ÿ飬ûת˵ô죿˵Щࡣ
ģʲָͬٶҲ𡣡
ҵķҽԺˣ˵ȥģ
ôࡣᰲοóԡúȡ˯õҩһһǸոµĲ˭֪ôơ
ҽҿö˵Чҩˡ
ٵġܿ϶˵ΨһȷһԼҲ˵Ҫơðҩ7ãҩ1ܺã
Щʧ
ѹ̫󣬾͵һŸðҲˣԺԽԽôƽȵ㣬õ㣬ܿתһͷϵӶ䣬Це˵


1137 լڼ
ڰͣºȫѾʼ½½еʼ
Ϊʽԭͣš
ڼլŵҲ֪ķű仯
ǰڴŵڼҡÿˢֻԵ𴲵˵ÿʹûûӡ
ֻ󣬵ζ롣
ǸָЦƵ硣
ڼʨӵġڼġڼӡѴ̨ġڼġ
ֻ벻û
֣Ҳһ̬ȡŹҵߣԼһأΪսʤͼĲԼܼĹס

լڼÿ¡
и׷ľ綼׷꣬Щ¼ƳԲƵʱ
еĻۣоԼԱ˯˯˳ԣ˶ʼ
˵ĲãǹʼӿѱӣϹӱ仯ơ
Ҫʣÿÿ˯ǰԼ쿪ʼԼҪʡ
ôףԾǺݶͣʾԵһַʽ
ֹ˼죬ѧңңڣСôϸ񣬼ÿһ˳2Сʱ
ֱġŷ硱ʸ˺ԥġе
֮춼ûĸ˻Ϊһε¥ˡŷʸ
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¥ԼҲ֪ʲô̳ȫͣӪҵпյģ·ĩ
ʻҪģ쿪ʼҸּʵƫ
˶౻ֱųԼû˶ϸҪô˶
ԶҲų˺ܶ
һݡͨ˵ݡСҪȫԱͶ
ڶ첢̫Щҩİȫԡ
˴죬ŷһּʷʽʺԼȴס
˵ĵձһо
155ձΪ3飬ǿۣʵѾʼˡĿѧ鰡Ща˵һ
ҵԭģ÷
Ϊ3ķÿ500mlϡ
緹250ml250ml
һﲻףֻ1250mgᡣڶﺬ15mlףﺬ30mlס
ΪǷԭ򣬴ǰ滹һʣô춼òԾôʵǴס
ܣ3ºڶ˵ΧضȵһԵĽ͡ǵ飬ؽ1.9kgΧ1.9cm
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Ȼʱ3£첢Ϊʲôǳ˵㣬ܼʾС
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ϣԼġ֪Լˣȴôѡ
ÿ30ml쾡׼ÿ찴ʱá
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һƬأĵҵһЩȤֿʼÿڴ׷硢Ϸûû
5ػû
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ֻ˯ˣ鷳ôǸԼϷֵС͡
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˯ԽԽ࣬ԼƺֻҪӡˡһ¾ܽ硣ÿ˯Ѻ󲻾ˬۣһ1500Ƶġ
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ʼϸ۲족Լ˯ӣֻԺ֡ˡ֮ǰ忪ʼзӦʱ򣬾͵¼Ƶ
ѹһƵ챻һ
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첻ԾֻԺֳ︡һߴ˧Ӱ
ʦԼôˡѵǴ˵ûеģǰڴӵʱŷֲûôá


1138 ƻף׸
ֻڿȫݡ
˺֮⣬ȫȷ3ſʼ16
һһҪ½˵һƬãڵܷɡ
Ȼ˼ԤȣǰѾһֽ֡
зҽԺ࣬ȫزϸͬˮһС
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ֻתҪ̣ƺϾҪһڵˡҽԺˣⲻһ롢롣
֪һγɣȻƲɵʼԵ޴ơ£ȫƼڴˣս˽һ²Űת
ӦúɰɣŶȣЦеš

ֻῴһۺ룬ԺиֳһĳԶһĻ档
죬Լ绰ʲô˱Ⱦô
ͬѧáͨ绰΢Ц˵
ҽãһѯ£֪ô
㡣˵
ҡԼԻԵ˵һ飬᲻ʱѯһЩľ
㽲ʮӣյ˵ô£ҴǰûƵ״ҽ˵ǲڼլʱ̫ˣ
ҽҪǷĻҰ¼ƵĻԵƵ
õġҾòӦլʱ̫õµģʲôʹǰͬϰôῴŴԽԽƲ㣬ȥĵѯʵ
ֻһԶѡ
ǿɶˡ˵ûţѾ27ˡ
ֻ΢΢˵ͷ
ƵľӦȫܶ඼
оǡ˵ţһ£⡭Һ񡭡ҪΡ
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¼ƳԲǸιȥ˵˵Żˡ˻ֻ
emmm롭Ժ18ֳԳƵ֪ϣ˵
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1142 ϰ
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1143 ֢
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1144 
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֪ȤĻеһʱ;ҽڸĻơ
ҽ治ףڴĻ߳˻֡
ŵԴ˵ˣԼľϰϱȶһ¡һһ˵ҿһƪᵽ֢״˲˵һЩεĻǺµһַǳͨΪ˽Ϊеõۡ
仰ƣΰ˳µҪ˼
ⲡʵֵͦģ˵ӦŮԸ׳ְɡ
ΰͷ뵽ġ
ʵϣԳϰıԶܶϰ
Ϊʲôΰʵ
ûصоֻĹܶģЩᵽҾͼסˡ
ôãΰ仰Ϣ̫ѯʵ
ģΰԵ
˵Ҽǵ˵ȱ˿ռ˽ԡǿҵ޷ҪڹϣȻЩڼҲ޷С㣬ΪǾԱ߿ڶǡ
ΰͷ
ѧУȹϣڼʱ򶼻ϰűʱǾ۾Լôֹһ
ҪʱĴԻԼɵźšͬʱ֪ͨױڼҺųסų⡣ʱʲôо˳µļʵʵʡ
˵˽ʮӵĻƹΰߡ
Ҿҵİױסˡΰش
ֳܻ뽹ص֢״ʺѪѹߡġͷΡ졢ͼŵȡݽһ
ǰ㵱ʱôģ
һڿȫʧܡҡҡͷͷϻɫĴӶΰεġ
ΰȻ
ǺܶˣѧУ񣡡˵
ҵһ˵Լ񡣡ΰѾʶĽᣬЦ˵Ȼأ
ʦ̨ҽΣԴ嵽ӵȥ
ţҲƵĸо
ڶڿΣʦϡ˵ҵһϿνŵĲӵ飬ȫУѧУ䶯ˡ߻СǶܹҽΣ˵ĽݽҴ̨϶ˡ
ȥҽûţɡ
ΰ뵽֡ʢС
ûУȬҸ㿴ʱͬѧĵƬ۾˵˼ڽݽʦҲܡ
òֱ˰ɡ
ôܣ˭˫֣һӶ䣬ҵʱԺһƬհףѾһˣо顣ҼԼվڿһ˵ĽϿεϰ֮ǰ϶ȥϰ
أ
ҽһڤ״̬κˣΪֻԼὲǰ顣
ԼƭԼô
˶ãһСһڿΰʣµľûʲôˡ
ΰĬȻ
ûʲôð취Ҳ˵ȴѻ⳶ҽͰҪŲĻͰԼſա
ҽΰڨڨ˵
£濴ţ˴ġ۾˵
ɡ
ⲻô˵£ʲôѶҪ˷ؿʱĳֺԼԼ˭ܰء
ΰ˺ܾãĵ˵ͷ
ȥ䣬һߵλãΰһԵףһվſڡ
ҽǸء
ãһк


1145 һѹ
֣䰡ֱӰѻ⼸ָĲҲתˡ
˵תܲЦǺǵʵҽԣζεת
ǿ϶ģ˭ûԸסԺ˵ϽҽԺرһؼҽȥ
ʿ˵ˣҪģЦеİԵ
ǰⲻôҺδ޶֧Ԯûʱ顣
ҪôգڷսˡЦǺǵĿЦ
˵أǸ⡣Ҳ⣬˶࣬֡ڼҽ飬ٴľƵҲװһǧ˲ǡ
ģҪ׼飬ҲǸ㲼һ¡һʱ
Ǹ˾ǵģʵ
Уеġϲ¶һ塣˵
֣ȥ׷ȥ
˳ѻʼΪʲô˵һֱΪŻɫӶװεҽ
ҽҿ۷ҽԺرã˵Ϊɶڸտʼ޽ɽɽҽԺʱͳҽԺء߸ûߵ˼ץסġ
Ǻǡ
ǲר鲻רҵ뵽ҿƬǸȾѾˡᵽҪݵҽԺ˵ⲻֳɵôװ˷ô졣߱Թ
֣һ⡣ʽ˵
ʲô⣿
һϻߣҽ֮ǰ¶ôģʵ
΢΢һ漴˵һıȥһӣѵˣȻȫũ񺰹Ұء
ô򵥡۾˵ɲȥũ壬ͳȫٻÿˡ
˶٣Ů˶٣˶٣Ӷ٣Ķ٣Ķ١
ضҲ࣬Ҫָƶļ᲻ᷢɧҡ
壿
ǰʮʱ֮ȺŹأһͬѧϼ֮ܶá˵˵ġһһ˼ûô򵥵ġ
ô
ȻҪأض١ˮض١ױ͵ĵض١Այĵض١ƶĵض١ɽض١ⶼ⣬ֵױ͵ĵأô
϶˰ƾɶѷﶼָˣ϶PYף
Ůڣ˵㡣۾
ŶŶ˵ϰˡЦǺǵ˵ҿ϶ɡ
ôŵȥˡ⻹û꣬㻹ҪǴ֮Ĺϵ˶ٵĴٵضĴ壬ڣ֮лȢʱǨӣǾ͸鷳ˡ
룬ƺ
˵ũûҪĸڴ幫ſڣһ˭˭˭ݣ̯ôʰԱ˵Ϣ߻ҪҪˣ

ΪľǷǻҪʮɲǰɣ֡
Ҿ˵еߵ˵ͷ
ǱᰴڵĦˣ߹˳Ļһ룬֪жิӡ
ҽԺĽ漰Ҳܶ࣬۾˵ԼУʼʱһ300أһ켸ʮ򡣡
׼ȷʲ߰߼ë
һƼзͶٴҪ3ʱ䡣֣˵ӵһߵڻ3£ӷǵڻ1£˵Լеܸô
ʯͷӣҪһëûвйˡ
ô죿
ҽ컹Ул߼ԣԣΪԼе׼ȷ⡣
ǣϽߡ˵ţϻո˵ĻٺһЦ
һ˵ôԡ
ǰҽ˵Ҳ
аɡ
ҪƼǲԼкܿƣ
Ҫ˵š
ô
ԼеĳҪѲ롣
ߵɴ۾ᡣ
ԽԽֵǮԽ࣬˵ĹʸߣԼл߼ۡһ룬۸ġ

˭ںһӶ䣬ʱġΪĶǹһҲҪӲϣͼ
ĻĵĻ죬ʮӣŴˮͰ
һԼƺֹһء
ÿһֵĻ߶ǹɽһĺѡ
ΰ߳Ƴһۣһ泩Ҳûġ
ʱҪȥʶ϶Σ߼򵥿շҽԺʱԵѴ
ƺжϣִΪҪᴦĸá


1146 һ
ֵʿ·ڡ
ʱƣӷ˺ܶࡣܴϵĶϣ纮·滹мȱů塣
ܶܶرĽϷˣڶƵʡôͲ豸һһ˵Ĳ⣬ͷɻվİ豸һĻǰܿ¸ߵˡ
̫䣬֡߿ƼĲ·ʽвͨ
ⶼ£߽ڲʮְ˷ֵĿ϶Ҳ¶ȡDEBUFFļӳ£Ѷ+3
ǵѶȣڶѶȡ
ҲûʲôñԹˣ۰Ͱ͵ڵĿƳƢҪʮȵůܶࡣ
ܣˣֵʿ߳񣬴
˿ڻˣ
ȻҲůͲȥɱϾûСһķ紵ϲǡ
ֵů͹ôʵ
ûУһͷ졣ֵʿŬһ£ϴ̫ǾǹƤñӣȻû˴ǰɷǵģ
¸ҶϰСʱ
㳣칫ң廹δҺáֵʿЦǺǵܵļ
и߰ȾءܿЦ˵ڲܱ紵ǿˡ
˵ϽڡֵʿѵҪǸȾˣϺڵġСʦ˵ⲡĻߺﶼǷĸоࡣ
ܵɫ԰ףҲ֪Ǳ紵ĻǱŵġ
úõģɶǿϽȥůůֵ͡ʿܣƿˣּ졣
šܴӻȡǹֵʿ
ȻƨûУҪʽСһ㲻ֵʿܶµĻڶûУܾòʲô
ܻûתԶѩһС
񳵣˿źС
ǾҪʲôʲôıֱ̫ϴԣڿﵹб񳵶׽
ʱ˭·Ϲ䣿
ֵʿѲǹߵ·ڻĴӡнά룬ֻҪɨһ¾Ϳԡ
񳵺ǿɲסһ·ͣ¡
ʦɨ롣ֵʿ˵ӻͳǹ
룬û¡˾ֻݳ⣬ϵİͷյֵʿĲǹǰ
¶28϶ȡֵʿɨһ۲ǹϵ͵׵¶ȣ̾˿룬Ķˣɨһ۳
һŮˣһ10ҵСŮǺҪعؿȥҽԺ
ˣôֵʿʵ
ա˾˵ӣܵġ
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ͣôģôСĺӡֵʿʵ
˭֪أǰһ⿪ʼӣһֱá
ûɶϵɶꡣֵʿЦ׼ȥģ
ߣֵʿļ䣬Ҳһְҵ
֪˾ʦ̾ǰȥļҽԺ˵һںиǻҺҲ֪ȥ
ˣ磬ӱඡֵʿŮֻϵĽҲɫ˸ͨеơ
ˣ˾ʦһţ񳵻
һ£ֵʿȻһ䡣
ôˣ˾ʦѳҡ
ҲףҸ绰ʿûкõĽ취ֵʿںš
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ЭҽԺҽ绰ֵʿЦ
˾ʦһ㵣Ҫ룬˵Լݡ
ʵ̫ˣֵʿĺҲڿ棬ɴ˻ȥ
ɽֵʿ
˾ʦһ£æҪš
ˣͺȥֻšֵʿ룬ֻ룬ĬΤ󱦵ֻŶ
żȴ绰ϵ㵽˽ЭҽԺٴ绰ü
˾ʦлŷѩʻ񳵣˵ֵȥ绰ҿᡣ
šֵʿҲһͷ񣬸ĬΤ󱦴绰ϵ
˼ҽԺûãϢֵʿ൱
˵ѣ⺢ĲҲ֢ҽԺণ˶Ҳĵض
ףܰһѾͰһѣôϰߡ
ĬΤܲܽҪǻСʦô


1147 ò޹
Ĭӵֵʿĵ绰˺ܾá
ʲôʲô
Ϊ֪ʲôĬָСʿȥ˵绰ѯ
ԭǴ֮ᵼ³ϵĸôĬ˵൱Ͻ
κβʣҲǴµġ
ȻֵʿЩ£ĬǸ˼أҶϵ绰ϵػԱȻ
˽һСʱĬŽӵ߼ĵ绰߱ˡ
10꣬ݣӪ
ĬһоǼļ
ѯʲʷ֪ȥ7·ݵʱͬѧһѧУС̵һҷֳԡ
־ϡ
ֻл߳⣬˶ûʲôӦ
һĵϻ߾߸͡ʹڵҽԺҽΪÿڷθʳƬ
جεĿʼӵĸ׼ǵúһҧΪģԴĬ޻˵
Ҫ⣬Ϊʲôû£ĸҲͲʣĬܿľǿ
ǻ߲ûκκתºӵĶԽԽģҲģʹŻȥҽԺ
B߼ҲˣĬȻԼˮϡ
԰иˮˣĬôΪЩֻɺϡ
ҽԺҽǴǽԸˮúȥȾԺȷϡ
շתȾԺҽҲǽ˵µĸˮסԺ顣ô̵ûм˷֦˾޷ֻ֢ơ
ٳûȷϣߵĸһ֮´ŻеһҽԺĶơ
ҽ˽ԸˮĿܣΪпڷ̼ʳļʷΪ񰡣
ΪһԼֻ֢ơǿӪ
֮ӵкתɲֳָʹû취ֻȥϼҽԺʡҽһԺƾ
Ĭ֪һũĻѾ˼ޡ
ҽһԺҽϺҽԺƵһ񰡣
߼ʷΪֹˣɻһֱûʲôתʹأ»ߵĸ׳ŵӴӳ
˽겡ʷĬ췢ֻȫʹ
񰣿ΪʲôٳٲĬôΪѯ˼ΣҲûʲô
Ĭ
һֵʿͲ֪ʲôζ
ƵĻӦȥƣԼһ֢βŶԡ֪ʦæܲ鷳ʦǱ鷳
ֻϵΡ
Ҫû飬ҪԼҽԺԼˣĬҲûر⡣
ĬĽֿһۻߣγ˺ܾá
Σôϲء
ôΪ
ҾһֺټĲϸθס
̫ټ˰ɡĬ
ϸθһټر𺱼Ĭ˵ûʲô
һϸθͨۼθͽ˿ճҵǼⲻǿô˵θɣûκ塣
Σʲôģ
һǼʵƤƽ޵ٻеٵϢ״׿飬ͻǻڿɵŹ衣κܿ϶˵ţ㼸¡
˵
иˮôǣ
ǿ̫ˣѪܲಡĤಡӪϰǻתơѳ֯пܵ¡
һӣʱûѪܡࡢĿܡҵһ뷨ǳ˵µģǼԣʱų
Ͼ߻ǸӣҪûзʪ߷ļϸθ׵ĿԱȽϴ󡣡
Ĭּ̫ݻ˵ĺܿ϶ֳֻܱĬ
סԺ飬飬θû
ҲԤԼ޵´˸кڶθθ顣
ϵǺӵļԡ
Ҳ˵ϲΪܵټϸθס
һ޲ߣС߶Ӧð
ھûпκϸθ׵ļǷˡʾ֭κĬҲûһȷϡ
Ĭûȥ۶
ڽЭҽԺһؿʦ
ôɣĬͨĵ绰
Σ£ܿͨ绰ʵߵǲ
ʦæأ
ţе飬ڿġ
ģĬһ¡
еϾһҽƶӸϹȥ֧ԮҲûתʦôء
ĥѡ⣬ˣ˵ʲô¶


1148 ûӦ
Ĭ˿ٵ˵һ黼绰ƺûֻǺߺ߹ӦţĲɡ
ʦ״̬ĬЩ֣ƽʱʦԴߺģ˵Ǵ׶Ϊ
ôˣѡʲôĬ֪˵Ķʲô˼
β껼ߵĲܺ˵оݡ
绰Լ佱ԼĻ΢΢һѾųϸθ׵ĿܣʦΪʲô˵Լ
չȥŬĬΣʵʦˡֵ˿ңҾ;û
ǺǣӦõģƵİɡ顣
΢ȺƵ룬룬Ĭο֮һ¡
Ӣ˰̣ҪǸոͨ绰˿϶ϲᡣ
Σɡ
ʦǱĿͿѹģʵ
á۾ǰûпĻǰ̺۵ϷԵĹ⡣
⼸Ѿöˡ˵ҽƶ֧Ԯһ࣬ۡ
ǾͺãǾͺáĬС˵һ̺ۺĪˡ
ȻԼȲҲպۣΪˣôĺۼҪնò̵һϡ
˵飬ĲԻ߲жϻ߼
ˣû˵ϸƵᣬǲڼԼ
ϸθ׵Ѿųʦôô˵ء
ʦûԵĸı䡣һᡣ
ϸθ׶30~50꣬жŮ̫Сʱ䲻θû㹻ʱ֢״ȷ˵
ο̺۵ᣬһ仰˵
ʦǿ϶Լȴòô붼Щֵֹġ
ȡ˰ɣ졣Կάĸϸ뽺ԭάɵճĤ»ˮףоǻдϸܰϸ󣬿ͬʱоϸϸ֯ϸ󡣡
ʦҿû¾ûȡô˵û޳
ٸһθĿܼûУ
ʱεȷԥҪҪȡ֯죬߳ںܹ⻬û쳣֯д
ڡ
û£ߵǽĤ͡ԽĤΪĤ񣬲ۼϵĤܰͽᣬиˮγɡȻûȡ죬Ǿ㳣顣
㳣ˣرûʲô⡣Ĭش
ǳ⳦Ⱦɡ˵һ㽬Ĥͱ㳣ﶼCharcot-Leydenᾧϵһ¼ƣҽԺļԱŵ˳֮һ㣬ȥԺ
ҼΡ
ãδܿó˭㳣࣬˭֪Charcot-Leydenᾧ
ֻߣζˮƽߣһ˾ӵλס
漰ǧּĿ϶רĳһνɣ
ʦȻҪCharcot-Leydenᾧʲôλѹ֪
ʦô˵ˣǾôˣĬӦϵƣɼƽʱ㳣С飬ѯ˭֪Charcot-Leydenᾧ
˵һ䣬Ȼ߱㳣رûٺʦͨ㱨Ϳԡ
Ǻþûʦλκӵе
ʦæʲôأӦʲôʵ
ϵŶһ֢Ϸͷײ飬Щ⡣ٷ֮ʮעڵԵС
Ĭζһʺš
֪ΪʲôʼҽԺôҲ֪˲һ۾ϵףһ߽͵
ǰҲ֡
ǲһֱ졣Ĵ̼䡢ѧ°ء
ҸյӵʱĲмͣٳָıĻкܶࡣʱĵǳADEЧӦԼײвӺϣδ֪졣
ôĬȻţADEӦ֪ġ
һADE죬ոȶһľƻз츲صı仯
ôɲٵˣ
ʱûСᵭ˵֢ŻƵĻԼ˥Ҫ͸ĻǺҪĹ۲ͣıпܻܿ졣
~~~γһ
ʦ˵͵ĻߺѰȥĬʵ
ţѺãͷۣܼ֡һ˵֣ŶӷֵĲ⣬ѡѹɡ
ѡѹɣʲô


1149 ǰɱ
ѡѹɿøı춼ܹ
Ҳڲϸƣڲ޸ƸԻͻס
ı첢ǿȫҪѡ
еıӰ˲棬ôͻᱻѡЩܹòôģǾ͸п̶ܱ
ѡɲһɲģҲźܶر仯
˵ߵȽѡѹҲԡɷӡĳֱ졣Щ¸ֵı졭
˵ţ˫ü
ʦ˵ԽԽĬʵ
Ǵʵ⡣߼ܼ򵥣ҲܲпᣬΪȾǿЧĻʺܴ󡣡ڵʱֻ13ʱУ㱨һѡ
һѡ
仰ôϣǺܲ˼ġ
ΪٴΣ˶֪ܶಡƲȷ
ֻζһѱ漰̫࣬ҶԸȥ롣
ٵΪֹûܺᵭ˵ŶӷֵЯĲѡѹɺĸı䣬ʱӦòֻһ޹ؽҪı仯
ʦд仯ô
пܣ۵ĸСḶ́Ҫ10˴ϵ졢ѡŻᡮɡǿĲ˵С¼Ӧõģǹ⻷
ǿ󣿡Ĭһ
ǰֱ˵
ʦҿоεĲѾǺˡڹǱ10-14죬иҪųĻǱڸߴ21졣ǱҲԷЯû֢״ȳ֢״ٲء
Ǻǣ⣬㽭ʡûһЦЦ
ǡ
ڻͣҽԴԳ㣬ʺܵ͡Ҳһ
ʲô
ûлش⣬ֻչһЦϵġ̺ۡǻһҲܿġ
ʱӦû⣬Ͼһǧ˼ĳһµʱ䣬ĿԲ󡣡
ʦ˵Աʲô
ԼʺܸߣϾôпһڲȾȴ෴ãЭϸ߸ȾʾͱȽ϶ˡ
ADEЧӦô
ţһֺܺı仯Ҹ߶Ȼеĵڶ궬첡пȺɱһ͡ռʱһƬһƬһսȥˡ
¶Ĭ֪˵ʱﲻĿʼ
ЩǴҶ֪ģЩټĿܡ˵һ¡
ʲôܣνʵ
洫

ʦô죿
ڿӦⲻڷҽԺÿԺ30-50ҡʽɸҲˣм췽ҽԺͿԳִˡ
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ɱ
Уȫͣʱλֻ̬أȴû뵽ȻôġҰġ
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вһ˭ܰѲɱ
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û¾ȥϵ㳣ļɣҪȷ֪Ʒôʵ
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ΣȲˣ
ûУֵҽ棬ÿȥ鷿޸ҽһʮ֮ǰܳĬ
ͺãȥ˵ָٴأѺö棬ҲСˣһǽЭҽԺûܶȥ
ﲻ
ʲôģһ߲ҽô
Ĭ˵ͷ
ûҹˣ滹Ҫæ
ҶƵ껬֣ϵŶӷһһ俴ꡣ
~
˭ѽ֪ϣһʵ
ң֣ʦô
Եһ£֣ڡ
֪ϣһ·ȥš
ʦæأźֱ֣ǰŵԡ
롣֪ϣ
ˣ־롣֣֪ȤЦ˵ҵһ
֣ڣҿˣ£
ʦеŹֵ˵һ¡


1150 ˮ
֣߳Ƶꡣ
⣬Զѿժ˿
̫ˡ
ʦǴŵɡ֣ЦЦڲܾԼû·ܳ
Цһ̣֣Ȼһ¡
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λ˵еŹ֣֣ü
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ôŻô䣬˵ɽ
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ʵҲɽЦ

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ֳ֣Ĭ˵ȥ
˵ɽ˵Ȼá˼ҺʽȥΪʲôǮף
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ǵķҩӽṹûиı䡣
ʦ˵õ͵ٴ飬ʡ˴ʷãô֣ʵ
ǡܿ϶Ļش𣬡ÿһ鶼߼ʵֻҪûԵȥһס˵ͷײǿסһۺѲɱ
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۵ʱô롣ҡҡͷ

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ʦôҪ磬ҹƻΪ֣üలȫȫͬкܶˣǳɱеߡ
ɲԺ˵֪ЦЦúøɻɣܷʲôҶȡǸıʷһ꣬Ǽ֤ոµʷƪ·µһҳ
ʦ˵ʵеʧ
Ҷһ֮ҾǾסҪץʱ临û뵽Ѿƣֻʽ㿴ô
ˣǺ󡣡
ȥ۵ɫȾϰѾѻ˵Ҳ²⣬ͬѧľӦɫȾϰ֮ǰϰĽֹۣܲƺͲûʲôô͸ɴƽˡ
ʦƿ϶ð
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ǡ֣ЦˣֹܱһʵҲͦõġڹ⣬˭ء
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ţ
ܻûǻȺɵƲ⣬Ǽܲסǻ˦ǴͳܡδӶùڹǻһ㡣
֣صĵ˵ͷ


עûһλ˵ġ


1151 ľ
֣ؾƵ꣬ײȭǣԻظԵס
ڶһ磬ŶȥҽԺ
·ȥвԡӰĻƽһ㶼ƣ˷ܵȥ
ƽڣżȥʵʲô¶ˣ
һ˵Ժһ߹˱˵ӦʤؼϢ˵Ѿ⣬ʤһӡ
һ򲽽ƵϢԼҲǵһ֪ˣûƽڱԼ֪ĸࡣ
ʦֳٶ㣬˵緹мӲˣƽ˸߲ҵ˵
֪ϣģ
ġƽڿ˵͵ˣҿǷȺƬüʮ
ƽʱʲôóԣÿԵĲҲͦḻûζ֪ϣһͷӶ䡣
֪Ѿͷ濪ˡ
֣ƽʱҲжమԶҲʱˣѹ̫󣬼Ӹ˶˸߲ҵġ
ÿ춼һӣһıҲó֪ϣ˷ܡ
ͻƽڿһȦصĻߣĿ˳ȥúЦ
ҽһԶᡣ
ͷһվڲԶ۾Цһ죬˫ԼͷţѧĶ
ֻǺԼкʾһ׽˻ʾԼ֪˫һӶ䡣
ǻ漴ַϣϻȦ
һ£۾ҲѧĶϻȦϺϤһͬȭ
СϷöûڷҽԺҪϲ漸Ҳν
ͬȭֱĴ˼߳ʯͷ˷ܵ˫۾𣬷·õ˰˻ھһ
˻֣ʾԼҪʼ
ҽԺҽϵ൱ǢڶȹʼšǵĽ׶κÿ춼мʮ߳Ժ
ȻԺߵĴλֻ˽סгн˶ϣ
룬סƶǮһһͷ׸ͦȥҽʿ뻼ߵĹϵƽʱһ
˲ϣһģ̳ġ
᲻ͬ˫ɫĴӶյڷҽԺתתȥ൱ۡϤĻÿÿкоС
ҽæءһϤ
᲻ÿ֪˭䶴ܵĻѡ
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ôҶһת˾ͺãתܻؼҺúϢ
ġЦҽļҽԺҺҽǶֱ֪˵ǰڵ۶Э͡
ڶҲ˵̫ϸô׼زȥң
˵˺һỰӶ䡭
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ʼ֪Ӧ
úõŰɣˡ
ˡսȭͷԼҽܺӰô
ǺǣҵӶˣЦеĿѣаڻǵԺʱ򣿡
Ҳżæġ
˫ڼϡϹÿӼֵĴٶЩȻȻ͵͵ĿܶΣǵһôĹۿݡ
ҽ
һ㣬Ҫͽרˡ
İסԺ˵Ӧýר顣ʱôģΪʲôҪҽԺ
ôʣ̧ͷһӶû˵
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~
֣ʦƽʱҲȥչô
ȥ֣û
ԾյԱСʿЦǺǵİֻѣƬǵ÷ң
ֻϣһɫ޵ĻɫӶϣ


1152 ͣ
룬ڱ붨ҽԺ
ȥ֢ӰϣҪȴһһξܾ
֢Σյĵطû֮һ
һݳڶҽԺ͸һָĸоͱ˵ȥ֢
ǵõŵһ滺Ӧáܻлȥ
ܽͨҲУڴ֮ǰѵѷ
ҽԱպʹһʵЩȡ
ԼϺ֪һͷĸжء
N95ƿ֡Ŀµÿһںѣ⻹ûл״̬µĺ
ʼҽʿÿ촩ŷ8-12Сʱݡ
ܡ򵥡ܿѧô
̺ܷһ㣬𲽴ϣ̵һ45ӡ
ѷֱѵʡ
ЭֲҪùϰ23СʱǿﵽҪ
ҪҽԺǿǲеġ
ʿǺصľһעÿһ°ѷҽԱһԣʿص
Щ飬ʿĿҪԱ޿ײĲЯɴҽԱȾĶ¼
ʱҽʿСĽһУֻ˼Լֲ֪ѣѶȡ
㱻Ϻ3죬Լ˲СĽѷĲ衣
ֻʱ䡭Լ˼˵
ˡ붨ҽԺͨ
ո̤Ⱦ˶оԼЩšɫҴҵһɫ޾µĴæµһȫ
ͨ߶ƫص֡ͬĲνܵ
ƫأ
һỼסҽԺҲסڶҽԺỼҪнӷҽԺתĻߣоǴICUתĻߡ
ICUתĻ߶ô
Сͬ˵ʽԮºܶ໼ܼϺ֢½Ҳߡ
˵ţͬβǽÿһ·
һʿųϰ˸űǩҺƿӡ
붨ҽԺڱ֤ȫǰ£Ҫעⲻܸҽʿɹϵ鷳һ֪
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һۣӰϡ
ǾһƳܴĳӡ֤ҽԺҽʿĹǿȡ
ΣǲĻתICUĶôһһʵ
ࡣεҪ֢߻ָڵĻת֢ĺ١
תĻ߻ָô
һƣ1ǰиߴICUתʱICUпúͦˡ
ECMOô
ǺǣҺ֪ECMO
Ķô
ƽʱٴõģߺƽȣûECMO
˵ţδŹԼһ䲡
һ3ߣмڵγһ˽ܵĿռ䡣
ŵĻͺܴ󣬴Żڿ顣̧ۿҽ׼кһƣ顣
֪Ӧý塢̨ɷãûдţֻǺĿš
ԼҪһЩжϡҲǣ֢ԼȥܿĿ϶ֻ֢ߣȥ
Ĳһڴϣ۾컨ڿ֪ʲô
໤ǵֵʾߵȶûʲô⡣ֻвϵɴʾڲ֮ǰΣա
ˡվڴߣ۾к
ΡҪ
κߵСҽŻ߰λע⵽
ѵû͵ɡһʵ
ûС߻شЩŹ֣֪Ϊпµġ
˵ζпλѾʼϣһ
˵ĻָѵûʣֻվһĬĬĹ۲š
ƽȣż糿ĳѪ룬Ѫֵָ
ô˵¶Цݡ
Цݲãһ仨Ƶġ
ͬʱκͻ߶֣Ĵָ໥
ҿλһǶȣҰͬʱߺͼ໤ѪͶȵֵ
ߴӴͷһ򣬷ŵߡ۾ЦʢáЩƤǸӡ
úȤӻ߻ָĲܺá
ҡˣ
šεͷĹעż໤ѪͶȵı仯
ߵķλ϶ܵӰ죬ιڿָܻƵأҲء
~~~ߴһһѪͶȵֵ»̫·
ãѪͶֵƽȣһֱ95-97%֮䲨ûŻߴֶʽµ
Ŀصϣһ¡
ѾܿЩƣŬﴵ
дŵҲѸٳǰ

򵥶ʵ֣дЩšͣѧĺдġ
һ˲ĻĿˣǰһб
Ŭ塣
򵥵ķʽҽʿһϲͣǴһڳ˵ͷ
ûйô۾ЦЦ»ߵļֿһۼ໤ѪͶȵ֡
ͦãҲҪͣ
šߵ˵ͷסĴڡ
ŤŤġ͡־ôڹǰƮš
ͣ
һж


1153 
һ˳߳ҽԺ
ȻȴǵǾӼҸ14죬ͽ뷽ҽԺʱѾһжϢķŸı䡣
æ깤ĿŷҽԺĻߡ
ＸһңȹĻֽ̿׶κʱƷյҲһһơ
͵ľƶ࣬˵⼸½ķҽԺмʮƶ䡣
һжںת۾ţ߽ͷӶģվڵĽ裬תѷҽԺ԰һ䣬
תĻߣ»
תͻ߶ǸѹȻʼҪû˹
ϧһ׼ȵ֮ҲסԣȻʶⲻǿϧһõġ
һսȻĹֻ̲ҪУû취Ҫٶࡣ
Ϸ
ҽһŮߵǰ˼
̣¶վͿʺ
̿ͷĻɫӶλεģȻ綼ϰߣȴһ
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Щһʲô
̣òǽܶ˰ɡЦá
ǰҺСӵĸһ㳡裬ƽʱΪҲŮѷĸʲôƵġסԺڴĹãҸ˵ʼʱ°°ӵû˹ܡ
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Ǽһֱοң졣ǡ̿ʼC19Ů
½ôḻҲûҽԺ׵¶
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ҲҪ֪ϣҪӵ˵磬ûء
ҲûͬѧȺûף
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Ǻ棬뿴޷Ĳʱǻô
ǰͳɫͷƮţЩλ
ȻӴĲ࣬λͳҪô൱档
ʦʱվڴͳ࣬ϯŷᡣôĲսݹᱩôбľٶ
ʵС˵棬²߼ģɴ಻£ȴŷҽԺס


1154 ı
Ŀһʮҵˣһ壬Ž˿۾ʱģ
ƺһжܺ棬ǹλõĹˡ·ʱע˺ܾãڻʿĴߴλá
ûеý˵ȤֻǶԷҽԺһΡпΨһһױȽϸȤ
ⲢʷĴ¼ֻһ֡鷢ڷҽԺζһָı䡣
ͷϸꡢϸĸı䡣
ĳ֣ƺһӡ֤˿ֻȥһůļȻ١
ܿ죬̾˵ߣ˵ʲô
Ǹ˿һľګڽӴµĻ̵ĻԼܸоܾ
ô˶ٶһЩܣĴܸ߳С
ῴȤ˾ȣϲ֣һͷϻɫӶ䡣
ʰ궫̵ֲ룬ܲԸĸC
żҲ֪ǵ߼ģƺеİ̶ԸƵ顣
ת䣬Ӱվңңȥ
磬ˣ֪ϣæ꣬ջһȽ鷳顣
ˣȥ
ţ֪ϣһͷϵӶ䣬ӿŲϵC
С壬λͬ¼ҵĶ־־λҺöѩɣرãЩҿѩڣҪȻҶ֪ô
š̽꣬־һӣԼתصڴλϻװĳ춼б
ֻʱʱ̧ۣ͸۲˵ı顢ͷĻɫӶ仹Ҫ
㡭á־ͷŤ˵
֪ϣװæµԷҽԺ׻ҲرȤз˵ôһ仰ֱӽ崻״̬һԲЩãȻ
֪ϣԼ͸Ҫ׼ʲô
϶˵ö໰һʱҵԼİƫã˵ԼĵĻ֮䳡
ȴû뵽ֻǴ˸кͶ˳Ĭ״̬
εĳĬ20ѩʵǸʲôģ
רҵеģѧ˵Լרҵ˾ࡣ
֪ϣźЦװæµš
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ôȥа
С۲ʮӣ˵ˮû˵
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Уżʮף֪ܿϣɡ
ɨһۣ֪š˵ԽԽ˼ˡ
顭˼ҿ̺еżҲ֪ô졣֪ϣʱһЩϸڡ
˵ŮҪѧʦأŽţʼл߾ִԼó˰ڵĦӣϲ
~~~֪ϣЦ
ȷ÷»ڿԼս˹ǰЩʦ˰ڵĦó
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ô죿
٣Ҳ֪һ¡ѾͷҪҪ
֪ϣͷż⿴һԶ־ƺϿΣ˫ʱʱĶšѩڴϣ磬ϸڽۡ
ɭƣѧԺȫտѧԺڿѧԺԺʿԡ̡ϯѧҵѧʮꡣὲóǺ˵˵ų켺ûݡ
һοᣬ̨ϽĻŴ̨ۣ˶ŭԡ
ʱųʷϵһȫѧҵз򡤴άά桤ʵڳɭһ⡣
֪ϣ۾ϸ


1155 Ϊ֪
ʵʣŴѧ룬ǲǰţĶеԺ֮ܶţͲأ
ƺѾƷ˰ɡ֪ϣãȻʵ
Ȼʱɭ˵ǡ
з򡤴άά桤ʵװȻʣôŮԵCNMΪʲôڣ
֪ϣȴر˼
ֵ¶ȤС£־Ҫܺ͸һὲ¾ͺˣ벻øռ͸Ůѧ
ģһͷͷϵĻɫӶյġ
˼ǣ
ûʲô˼˵־ǸģҾʷϵһλȫѧз򡤴άά桤ʵ
Ǻ
ղŽĹҶŷĿѧұ̭ǰѧҵġ
ʱкܶǰĶôĴŶЩ¶ǽͲΪʲô޴ǰ˼ʮ⡣
Ҫǰôһֱŵǿȥ
з򡤴άά桤ʵô֪ϣʵ
ѧѧʮ׿ʯΪ֪һĳν֮Ϊʵʮ롯̬رҺۣ1962ŵѧ
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СǸӣȻѩɽΡ˵ô׵ģ
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ҽôȥУ̽˵ѩǺ˳һӱĥû¶ͻˡ˵öԣסڸҪȻΡ
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Ҿ˵ͦȤѧҿһЩ򵥵Ŀ鼮û˵ͨ׶

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˵̫࣬ûú˽㡣
֪ϣЦҽԺĵһ׻ԽԽ˼
ѩɵĴͷĳ˵־飬ʮң֪ϣ겡ʷ־ЩãȻ濴
һǲ֪ùǲ֪ϣ뵽
֪ϣȥ־ͿC
ף˼ˣ֪ϣЦе뵽
̣ҽ겡ʷˡ־˵Ǹҽź֣ҽԺôܴӶأ
㶮ɶҽ˵ر˵ģ˽һѩɵ飬Լ˵
š־ܽţ֪ϣע⵽ڲӦǽŵµļ⾷Ρ
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ûû£Ҿúܿ۽磬ǰҲƵĿնûϾк֪ܶʶûѧء
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衢С򡢵ɡƳ
еȫһô
֪ϣ˼ӣЩܲЩСͷѩ۾Լй⻪֪ǲԼˡ
صߣһ¼Ļ⣬ЦɣҾͦõġ
Ŀô
࣬¡΢Ц˵ϲͲϲȻڶλȥҿ
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ţ˵ĶԡǻȥҪԸٶ㣬һеСڴأ˸־ϲѩô
۾֣Ĵָָؽڲ㡣
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ϲô
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Ϊʲô㣿
Ϊ֪ȭ࣬۾˵


1156 һſմ
ҽԺ׻ڼ᲻֪Ľ֡
ⶼνӦ߶ˣҽԺĴλԶġ
ȴһϸ΢𡪡һŴûס
ᷴʵһȥ˶ҽԺûиȷﻼҪơ
ԡ
ҽԺһŴλ
ҽԺһŴλ
ҽԺһŴλ
ȷûסԺỺվߵDŴλԣĿš
λۿ̺õģһ֮ʿѾɨɾȴûȵһλߡ
ſյĴ̣΢΢
ӽһ£Ѿ֪ߵһ־ԵĹյô
ҽĻʲôʱ洲лѯʵ
һ£漴۾˵ûˡ
ŶǾͺáһϲ㳡裬Ȼûְ࣬ÿ춼վǻΰεġһͻҼ¥¹㳡ǲŵ֡
¶࣬ҽؼֺĶϲϣŪҾ԰
߶˺þãʶ˵Ǿ仰ʲô˼
ҽߵ΢΢˵ûȷﻼˣ
۾˵ͷ
ҡոȥ˵ɴ۾һ޷ŵı顣
ļһǰŶӲ֪ҪŶãһĳ档
иŮΪĸסȥԺ¥һһ߿ߣﾾûš
ΪˣܷҽԺжªҲûʲô޵ġסԺУʱҽʿڣﰲȡ
Ǽ¹ȥ˰»Ƕã
ȻԼļƺһ⣬Ȼǲܶ顣ʮ죿£һ£һˣ
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ĿſյĴ̣
۾̧˫һͷĻɫӶ䡣
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ʱûȷûзȵĻߡ˻пŴסпܣǿ϶
νóֻհ״һƬҵðϢȥ
Щֶ
ոԹ㳡ѾʧʣµֻһȻоѾתĽˡ
ֻͨˣֻͨĻߣҲܾһſմζʲô
ˣҽܷɡ
Ȼ۾˵˰ÿ췽ҽԺ¼С֮罻ýϡ
Ҽǵøʱлʿ˵ʲôģϣһ£ñ𷢸Ķ
ǣ㲻֪㷢һϢϣûסԺĻߵѹʮ
٣Ҳûȥ˵Ļʲô˼ææŵİƬȥɵĿſմЦҽ˵ҪǿմԽԽ࣬ǲһǷҽԺܹرգ
ȻҽԺĿľΪһҪرաԽԽãԽԽáԽ˵Խ͡
ҽ˵ҿվŶ۵Ļš
ãϰˡҽԺ鷿ʱɲ
˵ʲôʱתʵ
֪ĻشǱ׼ҽĸʽ
̾˿ҽֱֱŮɣʱ㲻Ӧðοһң˵ܿͻתô
ڣο㣿һ¿յĴ˵
Ҫ˶Ժһô죿
ʱ֪רôƻתȥҽԺơ
˵ɫȻòÿ
ô֢ߣû¶ֻʱ䳤̶ѣ㿴ԶѾ9ˣѪͶһֱƽȣò
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Ҳ¡۾˵ҪʵʼΪ׼İɣ϶תһ죬ǲԾġ
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ܿ죬42ܳԺմࡣὲһʵ
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ļǰֳԺҪڷҽԺס죬㻹ǵô
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ûɶ£͵ˣúЪЪû¶һȥɻˡ
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ȻзŲƺҲЦڸᣬٺڵ춼ȥĶһǴů
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⣡


1157 ʽԮ
һֱ°࣬϶ЦݣԼûע⵽
·뿪ҽԺ֪ϣʵ磬Ƭɣ쿪ʼпմˣǴӣֵüһ¡
Ҫҡͷ϶ƣŸѾƵġԶᣬǱӾԲ֤ݡ
ϡ֪ϣЦе˵
ס֪ϣ֣ʿࡢһᣬӦûչءɽĺã˭ûȥ
һףɹ5̫ף
ʦֻţȻںʵô19ҷҽԺڽأ
ŶôడҲǺ˽Щ顣
ǰǷҽԺѾʼֿմˡ
ǺǡЦЦʽԮ֪ʲô˼ô
֪˵һǱʽԮ
ԡ˷ѣֻΪ˰вȷԶɱѿ֮С
ڻȷôЩãȻ
˭˵áһһô죿һޣѻ죬֮漣ҪпԶɱ

ȷϸڣֻǱĵ˸ڵһӶѡȥ
ʲô˼
ûм⣬˵ôɣȷҪָ죬ӳ13ֱĶ꣬32֡
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ģҲϣĻҲûϢ֮ءԽԽǴʵģ飬û֪
ŶҴˡ
˷ѣȻѾˣǾһףһɼر𲻺áνһٶ˥ߡ
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ĽҽԺò˶Ǯг۱ȽϹ󣬵ҿսʱ״̬ܶԱʶʱģɱûôߡСҰֳͣɱʳɱ¶ˣĶҪ
ںҽеһڼӰӵء
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ȻǹҶģô϶СĿΪλ
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ſɣżĿŴ⣬˳⣬ԽԽĽнָ
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Ϊʲôǻǰ˹ϡĬɳʷˣ
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1158 
صƵ꣬Իطϴ֡·򿪱ʼǱͼƵ
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æĺܣĸɲһˣ˵ǲû߶
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ǣӦĹ̾˿۶ô䣬ѪܼǸ߷ҹ汻紵š
̾˿Ҳû취顣
Сᰡô
У췽ҽԺһſմ
ʲô˼һæ߶ţһʵ˵Ļġ
˵֮ڣп½رշҽԺش
԰ɣҿ˵кö෽ҽԺڼءʱҿ;ﲻ˵ɶʱǸͷ
ΪԤһҶŻˡЦ˵
һĻڿĵЦţǷһʲôһҲѿˣרĵĿĻ˵СᣬһμôѿʹЦЦ
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ŶֵʿҲû˼ǻʿǵˣϳҺֻѳ򿪿յ
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У쳵Ż⼸һֱ˶šֵʿ˵Ҳ䣬Ҫ
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
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Сʦ壬¶ǲѾҪˣ
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ܸ˵㶫ѾһӦ͵ӦҹԼжϡҡûϵˣƵ̤ʵˡ
ȷǡЦе˵һ°ɣƾͽӽβˡ
ô̫ˣůҲҪ˵ʲô¶ֵʿ֣ĦȣԼů
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ûȱŲסҲУСʱͶˣվһ졣ֵʿĵûȥѩ磬һ죬¡
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٣Сʦ壬ࡣ


1159 ȻСްȴҲů
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˵ǺȾ͸Ժ˵ͷףôش𡣡
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1160 Ҳ
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Уڱ֮л㣬İĹԷȻʮף֣ȴмһųϰͷʢ͡
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ܲһȥôԸԺյĻģգ
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绰ҶϣЩᣬᴰԽԽĿúܡ
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ĽŲ뿪֣ӵϼѤá
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1161 Ůб
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֪ϣϰԵĵ֣ļݡ
ҽԺѾʣԽԽ໼߳Ժҷնʼֿմ
ר³ʱͻ½½ݲա
и֢ߵķҽԺݲζⳡսȡ˹ؼʤڵ㣬û޾ðĻߣ֢ת֢
չȥеĸҶҽԺѹܶ࣬עҽԴлߡ
ʱƣǿ־ʵ˸ı䡣
ֳеΡ
磬ôܾҵ϶ָͷֵأ֪ϣĿĻϵףǻɵʵ
˵෴ʵָͬһ㡣
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⽻źܸܿ͡ԼСƽͷ΢΢һЦ
ðɣܾǰԲϡ
˱ʵҲй¶ģȻûнʡϣٴҽḻٴƲ⣬ȥ̷Уͷ׻ͬԴ
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ҿƣרһ۶ϱֻ̬ȡ΢΢ҡͷ
ҲôǵģУڿ϶Ҫܵ¶һʱᶼȥ֪ϣ˵ţһգ磬÷ǰ컹Ϊǿס̫ƽǿԳΡ
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ѧĥһԺߵĸֶѸͷչЦЦĥˣһһʰʰ׼ȥϰࡣ
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뿴׵ô˰ɡ֪ϣͷ
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У綼֪֪ϣֻҳһζԻҺҽϵ˵̸ú
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̸̸пΪڷһ⻷£ĳЩй١ĸܵõǿ˿ۡ
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ԺһҲһκǵľ
֪ϣûоᣬվʼʰϴ·׼ϰࡣ
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ѾͷֵĲˣһ5400һѻ·һ˵⻹Сġ
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ܻѪǺõģҪȿǿ
ǣϣüǮ
ˣ磬ҿ⼸ȷܶడ
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ţ֪ڻ֮䴫˭ҲСġȻڿЦڵľǴҷǻֻ˵Сˣ綼ҪˡЦ˵ϰȥˣҲ֪жٿմλ
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Ů֮໥ϵֶΣ
֪ϣ֪ҵҽԱ΢ţټ10ȺÿˮȺˮĺܿġ
ϢյҪࡢ죬ǺܶȤСϸڣǶڷҽԺ׵Ļߡ
ŮбĬĬ


1162 ո˰
ҽԺ·ϸİѻɫӶϣһ£֪ʱɢȥֻʣЩ⡣
ʦˡƽҲ˺ܶ࣬ĿͷɫĴӶϣĽ˵ʣǸյסԺʲôʱϰࡣ⡭̫бʶˡ
ٺ١ЦЦ̧һӶ䣬ʵжٿմ
54šƽڲ޵Ļش
Ȼͳ֪ϣ˵ûʲô롣
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Ѫѹƫߵģû¡μԻ102ˣһΣƶܳԺƽںɵ˵ʦ˵ʲôʱݲգ
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һҪ۲һҡûдģĻ֢ҽԱܷλؼҡ
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ػҪص˵ֻػԽԽ٣θԵĻԽԽ࣬ҶԴųԺ
ҽԺԽԽǢߺҽ֮һкż졣ƵҲû֡ͷʡرߵĿҲС
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ҽԺҽĽ飬ƺСѵʦһס
Ҷ֪ЩƭӣǶ˵յ˼£ԴԴϵ˱ƭϵ
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Ϊʲôͣҩº͵ʵҽԺ˺ܶ࣬Ϣãͣҩ
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ϽȺ﷢һϢҽ㿴һۡ
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ܱԼЩ˱ѵһٵ׼ȴû뵽ŴӶסԺܾȻ˵ָ
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ЧûЧԵ½ʦ֮һ¡Ὠλţ۷ҽԺԻλ½ʦǱɽġ
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ͬСɣҾͲ˵ˣ˵½ʦˡ
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ʵɣѹҩǵǲͣģܶǱҪͣѹҩġ

Ļһӻ˵ߡ


1163 
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Ȼǣڴ󲿷ԭԸѪѹȷʵͣҩ
ΪѪѹֱĿǰΪֹǲļҪҩƣѹİ취+ѹҩǳҩôǲԵĺһЩ
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ָѪѹߣһ߳Žѹҩһ߻ĸı䲻ϰߣʼ̽ƣʳأ˶ϢȵȽϰߡ
ͨһʱŬѪѹԽԽãѾٷýѹҩȻͣýѹҩ
أͣýѹҩһҪѪѹֽʽ
Ὺʼָͷͻ߽ʲôʱͣѹҩ
أǳԽѹҩԳѪѹ
κԭµĵѪѹӦͣҩͷΡɡʵȣͣҩҪмѪѹѰѪѹؽ͵ԭǹؼ
أǼ̷ԸѪѹԭõƵ˵ԴԸѪѹ֧ܣͨάһʱҩƺѪѹȶԻͣҩ
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ҽǵСһ㡣۾һͷϵĴӶ䣬˵Ҵǰһߣ˿ڷѹҩûעѪѹ3εҽԺ鷢ԳѪ

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ҽŻҡһС˵
£80mlѪ4Сʱ̨΢ѡ
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1164 BGMҽ
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ܸҽһĹô׷ʵˣ˵Щ᲻ӰĹ
ᣬҵĹǰǵĲκáҲ⣬ڱְʻʿҪ˱ʺֽصѪѹߵĴǰһͷ£ֽϻһΡ
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˿ֽửͼԼҪô
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ô˵ΧĻ߶һ


1165 һ
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˹̹ѧҽѧԺר㽭ѧҽҩѧԺרϷģ֤ʲACE2ϣ˿ԵóʲƼԤ2019-nCoVȾǱڵӦüֵ
ģǲǸЧҩˣ˷ܵʵ
֪һŶƵ飬ʵ֤ûá

ҽѧԺУרңʵۣóķס

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1167 Ӳ
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ʱҪа̫˽ⰺ˵Ի·ˡͨսǺη壬ôһΰ붯Ա״̬ս󣬹Ҳû˸ơڵսͱˣʲôʲôá
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1168 ڰѽ
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˽ԽԽ࣬ĬĿŴ⡣
֧Ԯ֮ǰΪõ2ڿסͷײĴȻλһԪܱǿ
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1169 Ϸ
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ѧΪ˵Ŀѧ⣬һֱʵǿƼ߳Ƶţһ˵ҶˣһҪһЩѧŷŷ֮潻顣

˵ȥ6֮ǰͨͨѶߵ6ƪġЩдġôҲ̶áҪҴĲʿһֱӸǡⱲӶҵժݻӰӲôģ
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1170 ûо
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֣ڣѵӦðʱŮӹͨôƷİ飬һֱ硣

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1171 ʱڵİ
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ǣרŶƵġ˵ӰɣҪΪǲ䵰ʡ
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Ŷ߿ŷ㣬һ£ҽԴβǿЦİɡ
˵ͷǿЦǵάɻȱ֮һϸɵɣ塢ϸӡܾøCӦ׵߷ӣҲǵʡ
Ҳ֪ͷһԼڻûЧҩҪԼĵֿأ䵰ʣ߻ǧȷġ
Ҫȱôʵ
΢кʱϵͳĳɷֻᱻʹģܼʱ䣬ĿȾϵͳڲͻ½Ӷ¸Ⱦ񻯡
Ŀ֣Ҳ˳תܿܳԺһֹסЦе˵


1178 ǻ
ǵ׷ۣǾİ׵ͷ׵ЧҩôֱҵỰСETCʵ
ѾϤˣͷĻɫӶͺУǼһ˵Ҳûʲôɻ䡣
벻øͼأ߶ֱӻ뵰йء
øǻѧӦĴ߻京㣬ӦĻѧӦܿݵؽУ˾;档
ȷлġָӹ١˵ܴٽ״ټǿл̣ȵܽѪǵȡ
ЩҪʵĹӦ
˵ĳ䵰ʲУ£岻ܴ浰ʣҪҺų⣬ͻฺ
ԴӾ͵ǳҩˣ˼ɡЦǺǵ˵
ţҲÿ춼СҽԺĻ̫࣬Ӫʦʳֻܸݴ˵û취رϸ¡
⡣
ؼټʣѾת⼸ܳԺؼҡʱ۷ҽԺĴӶԲЦ
ԡҽԺӡ
仰΢΢һ
ʱһΣѾʼʱ׼ѡͷһǰٿڣ㱡
ɣ뿪һҹλأҲҽԺĴӣǰ֪ΪʲôŻɫӶ䡢յסԺܡ
԰ɣȥд۾˵
ţæšЦһڴӣϸ׽ǳҩ
ǰߣסԺܰ칫һݵŮڶ͡桱
Ķе֣緹ĴżһڣССһڣȴҪ׽ʮ롣
׽ĶҲᣬᶼɳԵķûбþȥ
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߹ȥŲ˼֣վŮǰ
ᣬŮԣ23꣬򡭡һϵвǴֻһԺ
߹170cmӦ90ңƫݡ
̧ͷһͷһɫĴӶǵҽվԼǰæվ˵ʦ
Ŷۡ
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ҴǱ롶ѧʦ˵ţһ
ÿôԷθڻڼʣ
ҡԥһ£Цв
΢΢ü
гƬ񣬳Զʱرܡյ˵ֻҪһǵӸһۣҲ֪ҪԶСԼ䵰ʺõľû취ɡ
˵ţ̾˿
ͨ񣿻ǡ
԰񡣡
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ʦпܲǣϣʵ
ǿһۣļҽԺȷģ
ǿǻʦȷġ˵
Ӧûʲô⣬ȿһۡתȡһСֵͲʱڡ
ڵĶҲˮڿǻÿʱ򶼻ʹ಻
κһСëܣִҽѧܽļĲ࣬˽⸴԰ֲ
԰޷ȬģҲûƵҩ
һϰԸЩİ֢˵ţƤѢ֮ģܶƭ˵С
Ǵǰ߸Ͼҽ֮Ĺһ
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Ȼҽѧ˳ӵ£ͷ죬ֵͲ
ҽѧ廹Ǻܼ򵥵ģ϶εʦȥҽԺ
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׻һƬǿǻϵ϶3ڡ
ǲԶֻҪ˵Ħܾҵʹ
ͦذرǵµİɡֵͲʵ
ͷԸֿǻһԽԽء
ʲôʱʼģʲôƣܼԵʵ
ҼСѧ꼶ʼˣʱֻżһҲû⡣˵ÿСĩԵʱͷһαһء
άB˪佺ùȼĤźãȴûʲôЧ
Ӵձҩǻտʼòһȥڶǲһ
ʶаԼΪ
˽ֻ΢΢ͷͷɫĴӶ΢΢ζ
ܿ죬ҵĿǻпҩˣҩҲûʲôáʦ˵ҵ᲻һֱð


1179 
ѳȬûаοᣬʵʵ˵ûʲô취ּҽӴĲû취
̾˿
Ϊе飬ҸоѹرǸȾͷײ󣬿ǻҲʼˡǰǰһ͹ѹá
ᾲ
ʦѧǻҽѧʱر棬֪»߹ҵµġҸȾͷײǻҲá
˵˵ţȦ
ˡ̧ۣһ»ɫӶ䣬˵͵òͷײûйϵ߿ܻû֢״֢״ȾߣҲֻǼ⡣
̾˿ֹܿģ
ѧ˽ܶҽѧ֪ʶʲôѴ˵˵ǻⲡȻ˵ûֻܿҩά֣Ѫѹǿҩάء΢Ц˵
ʦЦҡ
ҽЦߵģδҽĲôҾͲ˵ˣʲʷֻǻ
ҡ
ûдĻš
ҵһξǸʱ򣬿Ϊѹ󣬿ǻһαΪСëȥһҽ˵ﲻ񣬻п÷µġ

ôģʲô÷ܲϿﹷյġ
ȫһŮĸܣԼĻŮʲôӰ
Цһ£Ҹ㽲С¡
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ʦ˵˴Ⱥܣһϱ˶ʮ൶ȥҽԺҷϵġһ˰ҵҿŻˣ¥ȥۣ˼䡣
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ۡ
ûСЦҳʱһֵ׳ָͷֵĽīرס
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ôܿ¡۾˵ź˶ȥȻ˵˼ʪ࣬á
Ͼҽ֮ĶԻҲû̫˼ɣĽҿһۣ˼飬߻ֻƤر״ͼʪûʲôϵ
ܿߺϾôҲЭ͵ӣҪȻ϶תߣġЦ˵
Һͣ״ҪΪ͡
ƤҲϻƤø֮࣬ڲҲ仯
ڲ˥ϵĹУƤϴڵά֯ᷢṹϵĸı䣬ƤϾͻһЩϸ۲죬ͻᷢƤСӵࡣ
Ҫ̬ǡϡ
ᾲţĿעͷϵĻɫӶ䡣
ȻֻһˮƽȾԭ򣬵ĲԲǼʪ࣬ҾͲˡ
ҿ߻ʹȥƤƵһλƸרҡϵ˵һشˣǧл˵˺ö໰
áԼᣬ˵
ȥҼ10Ӻ󣬴Ӿòת»Żߡ߼ֱӹ£ҿͷ

㵣еˡ
ҵʱһº룬Ҳе˵Ǽʪ໹÷йݵë
ò֮ѹرӰܶĲƤҽˮƽһ㣬״ֱӽͳɼʪࡣ
˵ⲻǳôȺӹҽ˵Ǵ˰ɣ״ͼʪಡһġ˵û˵ڡ
˵ͷ
ȥҽԺô
ὲġ¡ĳ
Ӱر󣬸оǺµĴȾЩ˼˵
Цˡ
ҸʱҽѧҪԼԼһʱֱƭˣرߡ
ƭһҽѧҲС۾˵ʦʲôҩô
ʦǰ
˵ͷȷӦúͰ
Ҳϣ󲿷ֵķʪ߲ٴһǻ񡯣ʲôϵͳԺǴۺ֮Ķǡ
мϵġ
ʦҷɳȰþǰ֪ڷƼиãҲûҳԡ
ѧУǻƵ˼ҿǸ԰񡣡
ȷǣûǷʪ༲϶˵ҩô
ûңиá


1180 
õȷһЩҪôǿǡ
¡
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ģ
ġ˵ͷϹҽУƭ˵ġŲУҲ֧ԮҸϵһУ
ȳɳȰȥУ
˵ͷ
ǲˣУ֮һʱ䵨׷ˣ˼죬ɻԵףг

ȵȰɣȳɳȰ
ʦ˵ᰩɡ˵Լĵ顣
еģǿԲ󡣡ʵʵ˵
ļ鴤һ£ЦЦ
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Ŷ֪ˡ
ô˵ɣҲΪ͵µġ˵Ӧѹµġԭҹ㶼ߡŴءȥԿڤ룬ֿǡţЧӦܲ
ллʦ

һͷĴӶ䣬Це˵
ҩָɳȰ㰴ʱڷͺá
š
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΢š˵һᣬͷ׺ˣʿʱɼУ㵱Ҳʿ
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ҪܸߵģҪ͡أҪһһڳԣ¶ҪһһȣͷҪת
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ڻСЦЦҸմҲûҿҽԺöûߡ
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밡ҵҪѡԺѧԺЩѣӦû⡣ЦЭ͵ĻܻѣߺɽʡʡǵĲĻӦѲ󡣡
һͷ¶ˮģʶˣҽҶӽһһСҽѧԺٴо

Լֻᾫһ㣬û뵽ȴԼô鷳¡
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ӿҵĲʿ
Ҳôоǰ۶ǸĨҽӵɥĲ񰡣Ҫû飬ҿ϶ҶתС
һ£Ժ·Ѿȥ˺ܶƵġӵѹ£ԼЩʱմҵĸо
ҾôһӣҺܼᶨҪȰתС鿪ʼҿҽʿһæ̫ǱҪԲ
ЦЦ
۷ҽԺҿҽУûǵĻǹҲ̾˿˵ֿʼĥòҶӼٴ
Сν˵˵ʵҲǺвʿ
Ϊʲô
ΪҲ֪ĸƵġơڿơӰϡҶǶҽ
ĿᣬϷĻд㵣֪ô˵Щġ
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ĲʶǸӡЩˡ
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أ
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Ҷһ˵ֱӰҹ룬Ұ˼ҡÿ춼֣һӾƾζ̾˿ҺҶӾѣȫҾҸȾˣû¡
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š˵ͷ
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1181 ս޺պ֮
Ĭ̾˿
ҽ϶84˻ҪӲͳӣҿﶼ̡
83ܿ϶˵
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83Ȼ85
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ոյСĲ˵򵥣ǿǻ񣬵鷳˹öַʪ༲Ҫ𣬱˵֮ġ
ɶǰ
˵ҲᲢûͣƮƮӹһĻ
ͻˣ˵Ҳɵ㡣
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򵥵˵һν̫רҵҪΪʪ༲ҿͷۣöҽ༲ԹͷҪ˵ײܡ
⻹ǡ
Ǻǣ23ţýɷĺεʱͷײ֢ôƣξô˵ġ
Σ˭ɻ
һţƵҽ۾˵֪Զķô
Щԥҡҡͷ
ȫҽƽ֢ľƼӣһµʱȶסٹֻ֮ȶסһǧ˼ĳС
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һ£ħҪǱô죿3000ס˿ڵĳһɢʲô

¶ѹ룬һ룬ȫ亹
ڣӢ۹һѧģͼħΪȾ10ڸɵĲ
ȥ⻹ɵò
ȻһֱɵĶֻҪͷܿ˵ħڸȾֻ200ࡣǰ캫ϵͳרȥħ̷ߴʩ鲥ɢע1
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ս޺պ֮ȵĹ֪ɣԤǲţƵҽ΢Ц˵εȷҪл˽һ¡Ѿ83ˣһΣܲð˻һ߱ǣ´λᵣص
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βڣһź䡣һ£˵ѯʲʷֳ֪ģǰһձȦеý˫ۣƲ⻼߿Ⱦ
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ҽȦ㣬ҺЩصĴһ𣬻е¡еҽѧҸһ
ֳе֤ݣָһȷָȾ¡źʱûΡ֣һӶ䣬Լź
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ƽʱĹƣκнᲹһ䡣
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ͷ
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ǰ˵ʲô벻ɻ󣬡ʲô£һԣ˵ʲô벻
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صסԺܵλϼдصĻ߻Ҫע⣬ʱš
һСʱǸлִչҽˣ
Ŷô
С˵ʲôάأABCDEΪʲôû˵FGʲôء


1182 άص
ҽǧ˵˵ҲЦǺǵ˵
֮ǰĶԻóȤᡣ
ҲǷ̫УʵģҲرյסԺģܹѯʡ
Ǹ⣬롣һӶ䣬˼˵˵Ǿ仰ΪǶ鲻һ˵ÿһһͲ֪ʲô˼ˡ˵ͨҽҲʪ߿Ƶ
ţҶ£ĻɫӶ൱Уʱ׷˼ˣҲżЦеš
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ˣѧҿ˹ٰѡüʵ飬Ѱҿܵ²
֣һȴӲױ˾ףСĽ֢״ڳԾʱ֣ιʱʧ
ֻǷ׿ƽȴõĳɷ֡
ֱ1910꣬ѧҿ׶˲Žһְᾧ׿ȡΪƽĳɷ֡ڽᾧка࣬ԸʱΪVitamin
ǿѧʷϵһţȽϺõһ顣˵ڿѧоʱҪأԭ
һ򵥵ӣ϶֪
򰬿ɵƵĿΪಡû뵽ȴΪȭͷҩƷÿʮڼƵ󡣡
ܾÿѧҵоҪĻ̫סҲżάأǺġ
ƼϷһЩѧоһӣִеһߴ·ⱲΨһĳɹǸߺˣ·ͨ˵أҪ

˵ᣬܱҵģġ˵оǿѧʷкöŵĳɹǻͷ˵άع
磬άָİࣻڣΪάָӪ֬ʡ̼ˮ֮⡢΢ܷǳҪʡ
ԼĺϳҪһȱͻطļ
1915꣬Ƿ֣׶ġάءʵϰ֬ԺˮԵʡ
ʷֱΪάAάBʱǾԺµάأͰĸAZôȥ
ʼʵۡضһʵ
΢΢һ漴һӶ䣬Ц˵رС
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ѧҺܿҳ2֣ǽάF͡άG2ʶǴάBģԺܶҲǡάB1͡άB2
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ΪѧǲԸάغԪڱһô
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رҵһȺˣûǮУȥʱҵƨݵı˰ɡ

ΪҪ衢ֹܡѧҡҲ࣬٣ΪŪǮС
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ܶѧһǮˣԼʼʲôڽвģ˼ЦأֻҪ˶ࡣ
ôһ˵ôоѧҵĹ⻷ûء
Ҳûʲô⻷ǮӺûǮôѧҲһִǹ⻷⡣
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һ£λյסԺܵڷҽԺѾԽԽףÿÿġ
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˼άѻ⳷ͻʮӺ˵άصʷ˵Ļң۵ĹӪѧϻڽӹ飬1978ȷڵάԭ򡣡
ԭܳͲ˵ˣҪǺüǡ˵涨ᡯ-3-ữԵܳƵȵȡ
磡Ϣ֪ϣһСܹ˷ܵһͷϵӶ䡣
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⡣
һϢ


1183 ʤ
᳤һ
Ҽǵó~巽ҽԺ110ߡ˵׼ȷ֡
ΪҽԺдലλԳԺĻ߳Ժʣ໼תҽԺ
ף˵
ҽǲҲˣϢ˷ܵʵ
ţҪͺ֪ϣش
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ʮ֪ʱʼ˸Ƶ״̬
ѧʶ츳̶ܿ߳޷һȻԳɹֶΡ
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һֱϸսսоֶεʱȹ͹Ľʱ仹Ҫ
ս731¥Ǻ޹˼ɡ
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ᲢΪǿиɣڵжǿ֪
жֻܾƣѹƽߣȴת
תп½߶Ȼʧ17ǰSһ
תпĳλէ֣ڲܣоЧҩũһˮ
תпͶȫ˸ȴ˱Ѿ׼õġҩ
ģҲ󲻵ѵİ취
δ뵽ԼᾭһԮʽġʷʫս

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̧ͷԼ˽СʱĻߣ˵״̬ҵľ1ҡżֻΪʲͬתпȥúϢϢԽãתľԽ硣
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ҽԺæµţ߻ȥϢ1Сʱ֮ڴա
ȷǸϢΪ֮ܡ
Ͽյ¶һ˿϶Υ£˵ĳĬĬĻָԼԪ
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ٽ°֪࣬ϣܹͷӶ䣬С˵
ܻܿؼҡЦģ̫á
10죬˰ɡ
ʲôء˻ͷ߲ŵڣտ⡣ȻѶÿһ춼ҪСĽı
Ҫôð㲻˵ҽԺʼݲǾؼҵĽŲô
ȻŲֻǽŲؼһԶءҲҪСͷײһ731ϵĲؽĲôô򵥱ɱ
ţ㡭
ѾٽϣǵǡУƵ˵ôԴͼĲҪ῿ϣ˵
磬оأ
ãȻϢͷƵġȥʲôϴ˯˵ţԽԽСѾҪ硣


1184 ƷϸƷ
°࣬ؾƵꡣ
˵ǻȥ˯ԼԶ޷֪ϣ¾˯š
֮󣬲ھƵ껹ᣬһֱССķѾҲѾҪ
߻ȥһ½ǣΪһҷҽԺݲһף
Ҳͬ
ʼʱҵһס޵ĵضѾܲˣ˵ǼƵꡣ
ƵǺãסʱĵˡ
һ·ߣһߺУϵȷ~巽ҽԺݲյϢˬһƣɡ
ѹͷʯͷɶ
֣ڣСĵ㡣ͷֻ֣ûˤ
СŮأͣ£ߵ֣ߣЦǺǵʵ
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ɫͷϤӡӢջٺ·ˢıվڴͳߵλʦһᶼϤ
ʦ˵ǲеˣûôأ֣ʵ
۾˼Ӻ˵֣ڣ֧ԮʱǿźҪġ˵㲻ǵԱûҷ
֣һʱ˵룬ǵʱЩż
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ͳ˵4תů󲡶ͻʧ17ǰS˵ǲôţȵ4·ݲҲô֣Щɻ
ǸʵˡƳһֻ֣һͷ𷢵˵еС˼Ҳصò
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λᲩʿҲѧʦȥѧǺѧϰĲѧԺ⼮ԺʿҲʦƼ
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Ჩʿ˵ûã֣ڣƷϸƷ
֣ɻҲһ㡣
ʦ˰ɣһº˵֮Ļ˵΢ЦξȻվ˵ûãַǵĽۡһӢŶ
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ѽΪʲôѵ˵ǿֲ֣ɻʵ
ֲһйʣµĿ϶ˡЦûп֣˵ãѵҪԪô
Ҳܡ֣Щֱ
١ЦЦ֪Ǽ۶ô
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λĸȾߣλͳҽרվ̨˵ãܿʧ
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֪Ϊʲôô
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ΪȫĿѾˡȡѧˡᵭ˵ƽʱڸ̳Խ¶ʱ򻹵Լˡ
ܰɣô֣ȫˣ
ҪȻٵʱͣͣôŹǼġʡһҽ˵ʵһöֶûУEBUYϵµѾ14ˣûʵݵ
ȥɨɨôɾ֣Ŀ
ŹڵľҶżǡЦҹ黳ô˻еġ
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ģԲЦ˵˵Ϊʲô۲ըѡ
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۵ˣˣÿܶҪ1-2PartyعϡиƨãڼһӲţ˶ãһ뵽ƵͶġ
CDC
CDC˵ûãԼҲøԼķ
ǵҽӲǿܶ࣬Ӧʮ𡣡
ǡЦǸǮ׼ģûҽûֽסȥʲôЦ
ǴʹȾ
who care


1185 ôҪô
ˣʦ11׼ȷô
۵İ׹˵ġҪٻ4ҿ̣֡˵˵ǵǲˮ
ǽЭҽԺ3mֳô죿
Сүҵġԥ˵ء𰲸Ҵ绰Ҿܾˡ
ܾô֣֪֮Ĺϵ
ֻ˵1ºֵļǮ϶ȶ鿪ʼǰ10ϣĳҷָ30%ĹȨء𰲺ԥͬˡǮôס
֣Ĭ˼ӺʵʦǴͳҪҪΪأҼǵúйɡ
Ū£˭ᵱأֻҪǮʲôǸģǳᵭ˵
˭ᵱ棬ĸĮЩѪĳ̶ȡ
еĻսȣ֣Լһε˺ѿ
֯ԤͷײʹָУͨ֡ЩǵѾ21ˣﳰŪԽԽŨΪʲôΪȫĿһ붼ǹΪ١Ϊ޷ô

֣֪˵飬ǻ129գҲ1ǰ
ʱ϶Ϣı֮ҲۿɼΪǺܶΪַѧվ̨
Щվ̨Уѧߡ
ۻҪһЩۻģ֯Це˵ƬԿǼſ֣100ȥˣǵǳԽԽԶôֶˣ֣ô

֣֪ô顣
2017꣬˹һ50ʱ佺ңһλرидţѾܺõؿɫǣ򣬲ڻ½ϵ̫մǲѾϵأ˵
֣㿴ڣ˰ֻ֪731ֻ֪ϸսսǳ󺣣ָǣս
˹ˡ
Ǹħ׷̡㲻ΪҪϻǰɡ
ѵô
Һϲ涼ڲͬŶǿǻǡ
֣֪Ҫ˵ʲô
15ǰձ˵Ҫ2025£û˳Ϊػߣӡ˵2008귢ɴ㣬ӡȾôǸЦ
˹ʽ·ɴҪҲ˵ٶȵµʱ2015꣬ٲ2020ꡣ
϶5ŽҪඣҶڴţƣǵʱ佺ңͦп
100ȥˣ˰ֻ֪٣øֶϴңһֱйβսǰȴԴ֡˵֣ڣɧҶ벻Ϊʲô
ûп֣֡̾˿1µ׵ļࡣ
ȥ10£ɫȾϰݺȷѾԤϵԼķˮƽһͿ1.1˱Ⱦ50Сǵ޳ܣΪҺ˽ۣʵԶԶĻҪ޳ܡ
ʦҿҲڻء
ֻ۾ģʵ
ĺ˵H1N1ʱҲǻأû취
ˮƽȻܵͣἥԽԽأǰ㾹Ȼû£ӣôܵأ

H1N1ʱʲôûԣǹֹϺŲС˰һģ㲻֪
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ĿԴH1N1ȷǸУдƴڡεͷײȴǣ̶ԶH1N1ٶԽԽ죬ʼжϱȽڿһжڼ١
٣
ţһߵ﷢ֲͬͷײڡ
Ҳ֣ʧɫ
û¡Ѿסͷײӣƽ͵Ŀ֡ԣҪΪṩʡ
֣ڣսսǶΪṩʡ
֣ҡͷûһ㹲ͬ㣬Ϊжֹ̫ۡ
ʵ֣ҲЩѣһĴͳ˵ֻһУ4תůͻʧӰ٣һĿõĸֲҾ󣬾ٹ֮һµʱĳסӡ
ۣ֮ôҪô
ܰ
֣ڣ˵㲻֪顣ڸ·֪ʵʱѾ۹Ʊ׼С
֣˽Ʊһͷ¶ˮ
ͳͰᲩʿķԣڸʱʱ䣬ʱһӣա࣬ͨɱ飬ˣ˭⡣


1186 ݲմ
33գ磬215֡
~巽ҽԺ⣬һͳͣԺſڡ
˾ʦȫ׷ҽԱһģһڴͳϵȴͻȥҽԺ
ʣ110ߣнμת˳Ժ34ˣʣ76֢תȥеһҽԺͺʡҽԺơ
~巽ҽԺݲգһ־¼
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߻׼ؼңתȥҽԺЦźҽʿ
㻹ûתĻߵҲ¶ЦϾЩǿ˺ܶתԺˡ
ͳʾȫҲһһ٣Ѿ˸λ
ݿˮ֣ڷҽԺۼʵǶսʤġ
ʼҽԺʱ֪ǰ·ΣߺҽԱ໥οߵڡ
Ǻҽʿ죬һһ
ȥ·ӭǻҲϲһҽԱ
ҽԱȫؼףֻ۾۾棬߰ݶѷ
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лҽʿ죬ᡣеĺҽʿ࣬ԼסһӵӰ
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֪УѾů
~巽ҽԺҽʿǻ߶20õʱûкúÿ죬̫
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Ѿ߳죬ߡ
֪Ǵůʱ
ͱԺĻߣתԺĻߣһʿƣߵֱڵϡ
ЩӲףϾˡ
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첢룬ң֪ݲմ󼪣ｫҪ׵ɨҲûЩ湦
ֻҪȵԺУҲҵĺβûʲôϵ
ʮӣҽԱԱʼɨû˻ߵķҽԺ
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ȻѾݲգ~巽ҽԺϻָԭòӭ˼̻
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ΪеѾõƣȴֻǡõơ
ȻǿֶΡȫϡ£ӦòᷴҽԺʡ豸ҪҪнӡһ졣
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һжҪСĽȥԴ֮ǰеĻ޴룬ӡһ˵ͷ
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˻ߣһƣӿһҽԱʹӵĶӳ˵
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ʲôأӳǵһݲյҽԺǻȥϢʲôϼָӡ
ܻؼҰСʿΧʵ
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˶ڴŻؼңԼҵ֧ǵһ
ɻɻ豸档ӳ˫֣˵ץʱ䣬б¶أ
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ɢȥ˵ʱܻؼңɳ~巽ҽԺѾݲգҽԺҲǳԺԶԶλߡ
죬ѾؼңѵԶô
ؼѾ¶ʱ޲δؼ֧ԮҽԱĺĺĵƵ롣
ʰ̣ʣİβ˴
ˣӳվſкˡ
~巽ҽԺ֮ǰɽҽ֧ԮӰʱÿ˶Ļ֪ʱмհ׵λá
ʱսƲңȫ񾡳Ƽӡ
ҽʿ֪⼸ǹעһ
ǻ˵һұʶ˺ۻ䡣3ܹȥ˻ʱ䣬ԺһƬհס
ܶ鶼ʶûԸȥǶʱĿʹĥ
˵ɽҽ֧Ԯһ˸ȾԱΪ㡣
Ȼˣҽʿڵ˺ۡ
˰̻Ҫʱ䣬һָ
ټڳҽԺſڣվӰ
ĺ첼ݲմ󼪵ۡ
ҽԺ
ټ
Ҳ


1187 ǻزȥ
磬~巽ҽԺݲˡ֪ϣֻݵǰ
ֻӳݲմĸ֡
ЦˣЩģЩ⡣
绰طôʵ
ڴⲻǴƬȺôݲմĸôôġ֪ϣЦ磬зҽԺݲˣݲˣ
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㲻ˣ
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ټƻ޵£11ĸӣȫĸ߿Ƽ鲼ȫľ»أįֻܴ˵ľɨȫĻ˵
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еһжڹ޵裬ҲǿһȫľãƼĻȨȫ绿һ࣬ոȫչ
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ˣ~巽ҽԺݲմ󼪣һֵø˵顣֪ϣοᡣ
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7-10죬ӦþͲˡ
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ȫ½⡣ƣӵǻҪϷһʱ䡣᳤һĵѹɢ˺ܶࡣ
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ţȥ绰طðɣҪ̤ʵĳ֪ϣ֡
֪ôͷһ߶֪ϣЦһᣬشϣŴͷţʼ绰
Ҳصǰʼݡ
СʱҴҶѾ׺ˣе޺ȴǰ˺ܶ࣬Ļָ
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˵˰졣֪ϣЦǺǵ˵үӻؼҺûʲô¶ָĺܲڳԶر㡣
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ںܿա֪ϣصʱˡᡢѧǰѿһɨգʵݻعڡЩͷȴ򲻵
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Ļٵ10ϡ˲Ϊȥġ
Ļطý40-45ϵȶ˶Щꡣ
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˵ӦðƽʱſѻϺյWiFiʲôġڿڼϷȴá
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ѹɡϾ֮󣬺ܿҪˡܱѹȥ״飬մմһ𡣡
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ѧģͻڸĽһҪƵˣҪ㱨һ


1188 ˶
Сʱ
רƵ飬ĬֻеŴҵ
רǶǹڶѧߣԼͨһһʤΪǿţ˵Ը
33գһҷҽԺݲգһϢƵררȴࡣ
йδչ򣬸иԲͬļ⣬ÿ˶ΪԼǶԵģ˭޷˵˭
û˿ԤδпƼˮƽû˿Ԥ⡣
ڵľѾȶڴǰδҪô졣
δĲ룬ÿ˶Լ뽨顣
ĬǹһƽǰһʯһԲĬĬƵרǳȻ졣
δĹƣ˶ܱۣһʶ
˵ԹƵıۣǶԹӱʾۡ
йܲܶζеĿѧ֤Լ1918еľ鶼չֳһƫɫδ
֪ϣһ߳ԳЦţƵʦǳܳĺСһ
3Сʱûκνۡ
ᣬ˵һĿУŴҳܳ۵ʱ˵һ仰˵˵˵Ŀ
ʶ˫ۣȴû۵Ӷ䡣΢΢һԼѾϰ˷Ľࡣ
Һ͸λʦ˵һҵĹ۵㡣
һѾõƣʤҲԶͳһĹʶûʲô
˵ɻ˵ЩҶ֪ġУ
ٺһЦԼ㲻ȥ
˵뷨죬λʦο
һ룬׼ս϶ңûκνҵĿܡͼĲǲԴڵ±һ㲻˵ΪǴˮûһ˿Կס
ǵĹìͬʱ᲻ȡ˴ʩҹƿԺܴҪԤǽ飬ȻⲻҽƷĽ飬ֻ˵Ҳܿסɢ
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ţУƵᣬΪʲô
ڻڱ첡ɢļڣǿ϶ƲסҴǰһѧģ֮ͣ໥ĲͬȾҪʱ䡣ϴؿǣҹ18-24ҲԽ롢顢Ͻдĳ̶ȡ

ҵǹڵĿǰǿԿƵģǱȻԱ⣬龭ٳֲִ顣
˵ЯͬȾĲвɢADEЧӦĳ֡
ģǰ󡣡
˵Ϊһαսģʳ⣬а˶
ͷײԤУΪôӶпƼû취±ж֢ҩû취õ
ᣬ˵Ķ֢ҩʲô
֪ҽӴ»ܡź˵Ҳ϶Уҿ϶ܰ޷л߶ơ
ᣬ˵Ķдж󣿡һרʵ
ڿʱûзֶ洫ļֻһԤ롣й㽭ֳԷӦҿǺܽйϵ18-24µķ͡ƺͲһˡ
˿ڶĴ˵ӡȣ֪ʲôŹֵĲһ֮ǰۣʮϵ˿ڹģ6-12µĴ
ոᵽɽǵоȻûۣѾܴԼµİ˥ں̣ܶԼ100ҡ˵Ҳ˵ΡΡεĸȾпܵġͬĶҲԹͬһߵķδ
֮ΪһִͼΪ¶߶ʧSȫܺͷײȡ
ӴսԴȫʶҪʳԼȫܲõģǰ㹻ǿܱС졣
ж۵֣е黹û׽ʱѾʼĥսġ
ʳȫ֮ĴѾйʶһΰ˶ƺΪ硣
֮ĲٽƺҲü
ǵ˼άôۡ˵ֹ۵ģտһebuy3mN95Ѿ15Ԫһö
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15Ԫ
רҡѧû֡С¡
һöN9515Ԫһۺҽ100Ԫֱ̫ˣ
ͷײļ3500ԪԼҲԴЦЦû鰴ͰȥָãսģҵĽ顣


1189 ħЦ
33գûȥҽԺݲա
һսȥӷҽԺпմʼһ·ıݲ֮С
ر۵㲻ͬҲ뿴
ӮӮˣ΢һţҲӦãνġһʤһʤʱ򶼲˵ʲôһµķηй
רоݣᶨΪҪĳʱοʼ˶
˵ĲԴͼĲȺյĲ֮䴫Ĳ󴫲Ĳ˹
ҴӰĵĻжǲҪӲлϽ͡ҵķա
һ붼ЯԵķѹʮ־޴
һ뵽Я͡Ĳܣͷѡ
輼Уھȥѵ±Ƕ731¥
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Ŷʲô
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CDCͰᲩʿĻɣľá˵С󹫻ֺϴǸػǮأԷģ
˭֪أûʲôϵⲻãħֱһ̫Լ۽ǶȳΪһжӦõģҲӦô
磬˵Ļ֪ϣЦе˵
ã˵ЦƾʲôħǣǾͲ˵أ·͸硷˹ΪȥһʱڣйĲֽٿš
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ʲôܣͶԿߵɡ
£ȷţȹʱ˵Щ˵˵ģͻᱻ仯̫죬ǶӦ
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ħйߵʱΨΨŵŵйߵʱȭǲΡ˫깷ˣǡ
ѴƻǮˣ
ţ˵⼸дǺܺ氡˵
磬ⲻǳѪͷô
ѪֲǻĵѪʲôֻĽĲ࡭ĺ侲϶ܰ¡
֪ϣȻԽڲȤûֻſꡣ
ܴô
˭֪һЩ󹲻Ĳģͣóм㣬ʣǰԤһǽа˶б޻
ÿ궼ġ֪ϣü䣬ֻھøҪǵá
˵Ĳ֣ܶԱ͵ȥ롣ѧģͼ㣬18£17磬ͻЯͷײҪһ鷳
ʲôҿ񲻶ԣ϶ʲôң֪ϣĶ۾˵
ô֪
Ů˵ֱ
ǲ㣬㺦¡
ɣǲô֪ϣЦ
ǣǸȾͷײпܳı仯˵еҩߡ
֪ϣסˣҪô˵󻹲ǵأ
ǲзֳѸɹġԾһּΪÿɻ̥˴Σÿ̥ɵֻ֮ɱ֮
ô󣿡
֪ûص鼮Ҳûã൱ḻСҼҪеҩ76.6%ĸʻ־󡣾ƬЩʲôĶ֣±Ǵһ˶ħС
˵ţ̾˿
һ£ҪҲܴĲ롣
֮ǰҲôۡô֪ϣ¾ûȥĿġ
ҲǣôûãҰϱСôô
йƵô硣
ĴǵﵺС
ǸСǳʺ棬ѵصŪˡȻĴ˷˺ݣͶʣһСȫץɵˡ
ӵ̬λҲһСƬΧ֮
ĵ˵


1190 ڿѧϵ
ңֻڵı󣬱Ϊ;⡣˵һܲõĲ²⡣
ô֪ϣŴ۾ᡣ
ҪǸרҵ֪ʶҿ϶ỳɲʶ˼
֪ϣһ£ڴϣͷ
磬æ˳˻þ
ż˼ͻ׷ĽȻӣûȷ𰸣Ⱦ㹻࣬洫Ⱦ㹻죬϶ͨN501YӴȾԡ
Ȼأ
E484KͿжȣF625EҪǷ죬ÿΪԼˡ
ҲADEЧӦ¡
ȫǡ࣬΢΢ҡͷADEЧӦһ˸Ⱦ˲ֻ֮ҪȬϵͳͻĿ壬ȻϵͳԲȫ
ҶڵĳADEЧӦ
F625EҪǷ죬ǵϵͳԲпܰ壬ұ߷Emmm˵Ǵ߻
֪ϣסˡ
ϵͳ߷ܱɴ߻òǿ
Խߵ߷籩ԽأвF625EķͻĻҾǿϴϴ˯ˡ
磬㿪ЦذɣҼǵòȻѡ๲档
Ҵƫҡͷ˵ܿĶ๲ģɿأ뱻ȾһȥȴδءţΪǣԼѧڲϡ
F625E׳ֱ죿
ɵˣҾ˵һԣպУ㱨ꡣЦĿԻҪһоҲڹ죬ۿɼһǹҾûʲô¶ˡ
أ֪ϣһ÷ʲôȥһΪؼҺͷƽ˾أ
Ѿͷٻͷһۡ
֪ϣĻһȻоԼʲôƵġ
ʼǾ֪ǡΪȡһڴͼĲ͵ߣڻֻһʼ
ҿ˵δȾйϰ볡ȫ°볡֪ϣ̾˿˵
Уй⿨ѡ֣ǳѡıڸոտʼ2֮F625EҪǳֱ죬ǾͿ׼һαչԼԼСˡ
ô֪ϣ
˭֪ſ¡԰Ѱɷת֮ԽоԽǾԼȱڱȽı
ıʲôأ±ôⲻıǱȻ
ּĲǴǰ731ڵĵ±̫Ҹ߶ȻǿƼĲۺϵֻǽ˳
emmmm
༭ಡĳǸȾˣϧ֪Ļ⣬
磬׼ҽģʦһдƻС˵
ʵҡͷF625EͻֱADEЧӦǧٱı˲ʷһ£ȽͶԣӴȾԣȻȾϵÿһˡȻй⡣
emmmm
ʱйԵľ˶п壬Ǹû취ô죿
ԭ趨ǲԽ͵ˮƽûˡ֪ϣش
ô˵F625Eһͻ䣬д˶һ
˥ڼҲҪֻҪв൱ڼһűͷײ壬Ҳ߷ϵͳ߷籩ʱڶһ˵
֪ϣһɵϡ
ǰɡʵ
ӡ붼ܴиֱ죬Ҫô֪ϣ
֪ͣʲô˼ô
ˮչһµļԪ֪ϣش
ǡͷѾԣĶǴͼġԣҪ׼

⻹ֻּпܷı죬ıʤ

Уֻ֮˵һ仰ҪԲ̾˿ڿѧϣǰĻһΪ˵⻰ˮƽڿȷǡ
ô죿
ٺ٣ҲһȣʧҲ˵
ҲԼ˵ˣԼȥĥִͼĲ԰ο֪ϣ
ΨһȽѵҪɥĲһֱҪصļһǳΪѣϣǱֵ̫һ
ж󣿡
ڼڿֱĿԺܵͣǳ͡
Уһ˼ǺСײ¡֪ϣһ˵ĸ¶һ
šͷȻ뵽Ǻõģб޻ô


1191 ڻ
ĥСʵ¼ͨûκιϵҳսʤϲ֮С
ηɺܿģرġ
ֳһʱڲ˺ܶ౶ǰΪСΪȫʡṩʣ¿߱ӡСʱΪʵ
ϡˢˢˢĿ֣ηЦ۾
Ȼϲ˽ҵ3m֮ġ½Լ
ηʹᣬ᲻ҪɷݣֻҪ֡
ڶûعңηɵһ¾ƵģԸ䡣ż𣬶ηɵĻ඼˯һļ䡣
ڴС谮Ķηǲ׵ġ
һж˻ر
ɸ磬ˮˡһЦеڶηߣݸһ֭
ģηɽӹ֭ʵ
Ѿ½̼ҿҵءһЦţá
졣
ηɵļﻹ˶ʵʵڼ￹ߵʱû뵽Ѿ︴ա
ģǡħоͻָˡ
ֻҪܽǺõġηһߺų֭һ˵㿴ӡ
ٺ٣ѹˮһüײһ¶ηɡ
û뵽ǮȻôס
ȥôһʵ
պͨ绰3mĶֱȥ˵3mܵѹҲܴȱ֣ȱر󡣡
á
ǣǮηɵ˵һ֣ʡǵķ۽˲٣ӣҵͽ顣
һЩ˼ֻǳճյЦš
˼ңҲˣǴǰӡߣһЩãȻ
˵ıȽϺأװ޷ϲʲôģ
ɸ磬ҡ
ʲô
һų֭һ⡣
ûҪôôԭϹӦ㣬ڻҪж١
ٺ٣˵پȥ٣һǸ߼ۡηЩ⣬ͨƿѾ10ǮңҲˮǴߡ
ô󣡡
˵Ųô֣ѵ˻ǺܶġηɵǰһöƿּëǮĳۣһ࣬񡣡
ȫһ֪
ڴ֮ǰһηɱߣΪѾҪˣǮز
ļ»һ١ٶ
˵ϣƽϢ⿪ʼ󱬷ֳڶʱڻߵôҵʿ޷ŵĳ̶ȡ
²ܳ־ãҲ˿ġ
һĿߡ籡Ŀ֣ȿڳ֭ʱһ߾аʮǮ
߳16
ӡǮ·
һжΣֻһǰجΣΡ
ʡǵһ׷Ӵǰһ룬ǶһӶһס
ڣʱһһ
ηɵֻһӹηĳ֭ͨ绰
绰3m̫ϯִйٴģء𰲶Ѿһ֡
һ뵽˵֮飬йϵ
ηüɫϯִйٽܿҶϵ绰
Ҷϵ绰ıЩŹ֡
ɸ磬ôˣ
֣Լ͵ޣջĹ˾⡣ηü˵
ţ
һ˽˹˾һΪҪ͵ĳݵĹšη벻ơ
û°ɣҪٺʦȷһ£鶼Ҫһ㡣
Ӧû⣬˵3֮ȫ
һס
ȸȫҵ޷ģҲ֤ǵҪж༱ȡ
ηɳڽһĻϵ
ٴιҶϵ绰ηɴľ
ɸ磬ʦô˵
ηɳĬ˼ӣ˵˵ջǼ¡ʲ¼˽˹˾еһҡ
ǡ
һͶηͬı顣
˵ͳһɹݾۡ
ηɾԼһ̫ˣ
ڿߵϴ񣬶ηɺһǱʶΪߵ󣬱Ͼ漰
ˣôࡣηͷѳ֭һںȹ⣬ȥϢ
㻹Ҫڳɻ
϶η˷ܵ˵˭ҪֻҪǮӾɻҹⱲΣϽץסʲô
ƣ۾ȴ˿ܹâĶηɣһЩο
ˣˡ


1192 ְ
һѧ
μУѻԮĿʦʦþһа취ͨأһһӵĿ֡װϰͻӡ
棬ʱҲȫʱƣһһá
߾ǼܿʧӰ١
һ㶼ͷײڵѧУλЪݣľȫ
ɾЪ֡طҽԺһקſը졣
ЪҽƼšBeaumontST.MercyЪѧҽԺһҽϵͳ˵պȻȥǰʮǰʮеġ
ôһ⼣߰ߵݣҽˮƽҲҪӸ߳ĵΣǲܲϵʵ
ҽԺͷ㣬Ҳ൱㡣
ECMOѹ֮Ĳ࣬Ҫ˾ˡЪݵв࣬˿ܶر
žҲͷײУҲκ⡣ת˲֮𣬲һ㲥ɢĿԡ
ӲưܵЪݶҪǿûбȽϵıҪ
ȻЩҽԺҲȱ㣬Ǿǿ󡢶
йĺôֻҪܻǮҽԺķܵ
ÿε񿴵ڱᳫʱڨЦЩŵҽԺԺǡ
Ҳз
żëǮĺţST.Mercyذɡ
캰ŷвҪǮķЩԺǱʱһҪ
ҽƷʦ࣬Ǹ˷ġ
ؼҽ¢ϣҵᡣ
ҽѧӵ30ԱҽƹģͶӦľ棬Ӷάҽĸнλ
ЩڹУֻ¢ϲи߼ۣܰһײر𲻿ףѹֹҽƽſ˻˶Ҫϰࡣ
Ȼô룬Ͼÿ춼ڿƣ֪һֽŸкѹȸС
񶼺ܵŶڵĹͷˮöǹҥԡոճֵʱԼһӵ
֮ǰɹʵݿֻӵʱ©ļ֣õʡ
ͷײЪԼҲ£ƳԼԤƣ˲ڼҶܣһоͻƽ˾
Ȼµס³ʼɻ
һһȥɻǵûʧŨҡ
ЪԱߵļܶȷﻼߴڣͼϳʰΧ̬ƣЪȴûر
ⲻϽ
ⲻѧ
Ϊӵ飬о˺ܶ࣬㲻רҵʿȴҲƽʱ׸й߼
ѡһһǳǧ˵Ĵۼ鵱ͷʱ򣬻ۼôˣô
ĴۼУһȾ߶ûУ
籾ȺģʶұӻҪء
ܹϵѡһٵʱȥһβɹһʽжڻ
̳ҩʹֵ̳λÿտյģƺϢЩڷ
鲻ԣ
ѵķһ㡣
ȻͳCDCϴʽĸûκ⣬ļǵһͷ𷢵Ĵͳ춼˵ʲô
122գ˵ȫסһСֻһ˴ӻһжġ
22գ˵ǳɹر˲йĽͨ
210գ˵·ݵȵʱ򣬲Լˡһжѡ
Ϣ񲢲ţCDCҲһֱΪ֮顣Щʱ񶼿ʼ㱣Щ򵥶صĳʶĶˣ
ȻԺһֱСڴܣﻪ˵ĽԸãڻ㹻ʳҩƷӵ
Ȼжϵһʵ
ѡٽһ죬Ъȷﻼߡ
չڵ̵ȴнӴӦõõ顢ʱֵʲôû
͹ڵѡʦ֡ʦϵһȷһ㡪ڱ⡣
еʦ֡ʦ㿪ʼƱ׼ع
Ȼһѧƺζһȥɹڻһʣ⵽ʱЩֵ˼һ𣬿ֻԲɹ
һ׼ȴ˾֪ͨ
Ĺ˾ȻҪȥϰ࣬Ҳ֣
ˣҲû취
ǮҪǣҪ
ְ
ſ֡ĿԼʵʵȥһ˹˾ݽְ롣
ܶȰ˵Ҫ˵ףζʲô
ڿһĿ뿪˾
컹Ǻعϡһпô֪͡ʼ֮ͻһģ


1193 
ɽӴ󺣡
װİģܸܽӵĵ绰ЦеĽ绰
СҸʺáġ˹ŵ
ô˵ҸоܹŹ֡ȻҲӣϲˣҸСʺá
⣬ƺܿģѾܾûɵ˵ˣʲôôһ¡ġ˹˵
ûʲôֻǽһҷҽԺݲˡᵭ˵
һŵ飬Ȼ֪ôڣһҪϲ㣬ѡġ˹µ⣬¡
ʲô飿
еǮ㽭ץʱת٣һЩССı仯
ŶҲһ¡ľ˾޴ı仯̧ţϣ˵гϡЩ֪רҽѧϰй飬磬ץʱ뻼ߡ
Ǵġ˹³޵룬ǲŻ飬ûǵĴͳ쾹Ȼ׼ͬ⣬ҲһҲȾ˲ӺͿˡ
ģ׼ô
ȻǸһѵġ˹˵⣬ҪдʯͣڹС
ҲôΪʲô
ͳ컹ҡڲҺҵļ塢԰ȫĳŵ֪Ҳϲԥɡ
һԥҪɱҡ֮СƺѾ˭ˣǸõϢѵô
˵öԣᵭЦ¡
ϾҪ豨úõؽһ˭˵ˡҲʱңЦһЦ
񾭲ǹְɣǱ
ȻᣬûôұȽϲλͳ죬ֻǵǮȻһֱΪһײˡҪһ£֪
ġ˹µĻû˵ϡ
ģĲ׼ˣ
ȻûκĲ֪ĹôġʱۣǲѣоһаĴڡŵ˵ŲŵĻ
۲ͬǿͬ졣ƢʮɽɽĴ绰ʱöˣЦе˵ҲǮֶá
ǲŶǮġ˹±ӵʵҵǮֵ࣬ĻضйܲΪһȥ۶ǡ
һʵ磿ǻǰ˹
MRNA磬ѾзС͵¹BioNTech˾֣ûʲôѴ
ҵ죡ϢģǼֱ̫аˣᾪȵ˵ڻ𵽵жٹȨ
35%Ѿˣѵô˵
һ⣬mrnaҩƷûоٴҪ飬һ޵׶粻һң϶ڴ磡
⣬һɣǸţġ˹Ц㹻а񡣡
ģǰҸаڣһô鷢ˣˡ³ĬʿǱಡô
ǡĺ˵ÿôľѣȴҪջļûʲôϵ֪ҵֶһȽº͡
һź飬ġ
⣬ѣҲΪǮܵơҹ֮κ顣ʵ
ǲô
Ӧǡ
Һ֪㣬Ҳ˽ҲҪǮһ¼дʷ֡Це˵
ȻҪдʷ飡ⲻǺХֻǽںХǰһԤݶѡ
õģҾʽתȥ֪æˣҿʯͼǮңǲǻʲô
ȻҲԼ
϶ģڣΪʲôҪȥоĽڡÿһ뵽ִҶоܰƤ
ܰƤ˭ɻ
Ŷһѧеʱҡ
⣬Һĸ㣬ԼκβʷԵĴ¼϶Ŀɿڴġ˹ºܺһǿ
ġ
໥Ҷϵ绰ʼҲԱתˡ
磬Ҫ飬ǲɣ֪ϣʵ
֪˵ʵҲЩء
˵ôͳ֪˭ˣĲ񾭲ǹôôоЩֲء
һĻǱȽº͵ģһͿƲס΢΢Цţġ˹µ׻ʲô
Щʱңʲô档


1194 ĵ绰
磬İҽˡ֪ϣƺǮûʲôȤ̾˿ǰ˵ֽһֱ˵׷ֽνӢ廯ƽɵӻ̬
ͷײҲŷЩ˻Ǻ޵ߡ
˭˵ġ񶨳֪ϣ˵˼еߵģǮǵߣ㱳ǵĽ׼ɣٴmRNAĿչˣΪʲôһֱûҩ
ܶ࣬硭
˵רҵ˵ģУʵһδҩƷԣûи߰ٴҩƷãҪǮһNԣô̾
֪ϣ΢΢ҡͷ̾˿
ĹؼԽԽԽԽ˲
ٴ鰴Σճ̶ȣ־Ըߡķòͬ˵϶кܶʦЩ飬һ⡣
ҪȻܶҩӡȽٴԣӡȵķҩƷҩҲһֻۡһֻۣĻͳ֪ϣҲȫ֪
ɥϲ죬һȺһͷײŰֱӰmRNAͶٴǵڼƵ˿ڻѾע磬ȡôδйӴٴݡ
һ뵽Щ
Щ黹׷ŷһmRNAĿϵƽҪԶʮꡣ
ֻҪ˰㹻Ҫûʲô취ǰ731ڴ¥ϵ壬
ôһȺš᳤˿
Ĳβôʲô⣿
ȫıдġࡷȫġῴų֪ϣһϣ¶Ƿı飬ղߣΰİġ˹ҪļΪһҲΨһһ塣

βˣĻһ£ҪȻÿִҵҽʦɱ߰ôշѾͲܵ͡ҽʦ߰Ͷ߼ۻرҽŷ޵ΪǮ˷ģҲϲ
ǣƾɶ֪ϣ͵
Ϊά¢ϵλҲڴɢҽвûǮҲʹ񣬸Ǿҡͷ˵°ܸǮ
磬㲻ƭǮ
ʲôأΪЩڶһ춫ϻƭӣֻգһ˽档
ʮ
϶ֹע⵽ûУʶзǿȫδС
ܶܰʯ͵ͼ۴ɸ֪ϣЦ
ǸܡˣǮץתʲôʲô飬һɫ
˵ʿΪ㼵ء
ⲻǻعôʿûôҲŲ˵ҿƪΪͨѶߵ£ģоͷһ㶼Ȱ
Ҳ֪ʿڰȫȫ磬㲻˵Ჩʿ绰ôڣ֪ϣһֱǵ¡
΢΢˵ͷ
֪Ϊʲô˵ᲩʿĿĳ˲һ¡
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֪ϣûЦǺĿᡣ
ع֮ǰͰᲩʿһܣʱĻ滹ǰ
ǳ֪ϣһοôʧ
绰ͨأ˵ʿ
⣬ܸܽӵĵ绰
ҿš
˺ĬԼͬĳĬ
˴Լ20룬绰˵û취пֶûˡ
ʿ731ǷĴڣǣҽ
һεĳĬ
պΣƺŰڽͨ
һӺ󣬰Ჩʿ˵⣬ǶԵġ
Ĳ׼ȡһô
ô֪ȫΪһС
ΪʲôУʿ㲻֪Ļ΢΢Щ仯ڽ
γĬ
֪֪Ҳ֪֪֪㲻˵С˵ʿһҽԺݲˡ
ǸϢ
֢Ѿٳ֣ȫ򸴹ӹһµʱͿԽ⡣ʵ⼸Ѿתƣʼоͷײı졣
ȥо񼶲Իȫ硣Ჩʿ䡣

ˣʲôûáᲩʿ˵⣬ϰɣ3֮󲡶û漣һʧ϶бADEЧӦǿġ
ʿҪһǣйȫʧǳADEЧӦݿܣܱûκιϵ
һγĬʱܳ59ڳĬйҶϵ绰


1195 ŦԼı
34գȥϰࡣ
һ棬ŦԼݡ֡һԲ
ΪŦԼӵйǵԭֻһȷﲡճ˸ı䡣
֡ŦԼݵݳŦԼегûκ⡣
ݳĪٰһŷᣬڻϣ˵˲ô֣Լͷ80%ϿȬ
ŦԼгde BlasioͷұʾŦԼûġǰȫģһжƿ֮С
ŵţ˹ٷҡУɳϣز״̬һ㣬硣
de BlasioӣӦȥ룬ŦԼегҪȥĻһõӰۡ񳤴ղķ˹˵
CDCûκξٶ˹ٷʵ
˵ݶҪˣֻҪشYesNOͿԡʼ򣬻ش
˹ٷҡУֵסΪʲô
ҿǺȥɫȾϰյĴйϵ˵ܶŬûáҲѾɿصķΧ˺ûʲôð취
أ
ƺ⡣˵ҸⷢһʼشǴͼĲҪ
ROֵôߣʶܵͣԲǴͼġ˹ٷҡУܿ϶˵
񳤿ŵŦԼг˵ҪŦԼûһ⣬ȵӲû
ҵde Blasioʲô
ⲻŦԼĵɡ˹ٷҿŵӣһɻ
ŦԼ1904ãӵҵӪ·369ﳤ468վԼ16˴εΪȫ7æĳйͨϵͳ
١һĻŦԼеĵ
ۼĵطһá˷ָѳɽȫŦԼ·һҵĵеĻ
de Blasio˳ĵȴܸɾһ֪ǰй׼
ϴγŦԼʱ򣬿صļͷŻҵʱͷľԲٳһŦԼĵʷٷ˵de BlasioҪ·ǰ˴ɨ
϶ǰɨرȷŵ˵ŦԼ·Ͷپٰһΰ˻ᣬ˼ʮ궼û޺áҵӡֱ̫ˣҾ
һ£˵ŦԼʱһʱÿ춼Ҫ˹ٷУ뵽ôڵϿ˺ѻѳŶϣ޷ͨС
˹ٷУʼ磬ŵde Blasio洺ŦԼеĵ
Ĳ֪˭
ŦԼ˭֪ʲôοͣͷײӣde BlasioǺ²ӵ̫ɣԲŻ˵ͷǡȫģԡġ
˭֪Щ
㣬豸Ҳá2016ѡѡϣŦԼվˢ5εͨբڣϣڵӽĿŦԼгԹϵͳάˡ
Ҳڿӡ
ͬŦԼеde Blasio֮ٶ𺳣ȫ㲻de Blasioʲô
ɨôɾҲáde Blasioȴ٩٩̸̸ֺޱҪ˵ŦԼںܰȫ
˹ٷУĬʮ޷ܣңѵӹϡ
˹ٷУŦԼҪˡ˵
۶ϣ
ǣ˵Ǵ͵ģ˵ҪǿƲõĻпܻͨȾࡣ˵ûŦԼĵ˿ܶȱҪ2.3һµ֡
ǲ̫ˣжƺЩ̫ھ㤡
Ҷŵˮζde Blasio϶ȥġ˵׶صҲ룬ѯʽ
ЦˡNHSһϷӣһžͻᵹڽķҪ̹ѹȥܽܣ
˵ֻһʲ0.5%ĴȾѡ˹ٷУν˵
УԲ񳤶һ£޿κε˵ҪѹͷߣܵļԾõӰ졣
ûκϣ˹ٷҡУ˵ҲΪĵġϡֶȷģҲΪֵķȷġȻһ0.5%ʵĸðûأڵһʱICUŶӻҾúܲ
ǣһʼ˵Ķͬ顪ڿʼ顣ΪǱжΪȫࡣ
ȫࣿࡣ˹ٷҡУЦЦ
Ǵ񳤲ô롣
࣬һֱĥ˵Ļ
漰רҵһˣ˵Ļô޻ºҲ֤ǶԵġ


1196 
磬˵ʡ
֣֡һ´Ӷ䣬˼½ʿҪרҵжרҵĻᣬûѧ
ǲ´ȥԺ󽲿εʱѧǶҪһΣ֪ϣЦеѾġ
ⲻµġ۾˵Ժ֮ǰǰһβˡ

ԣСҪʣȥ½ת½ʦ
˼ϵĴʦðɡ֪ϣЩΪѡ
Ҹһȫ֪ҽءλͷӶ¡
ðɣնҪݲˣţͻ߶һô֪ϣ
΢΢һ񣬳˼á
֪ϣÿ˼ÿγ񣬶¡
222ͷɫӶ΢΢һ
磬ʲôأ
һƽ硣˵Щ
ţôˣ
ҽԺʧܣоõʰͷײħȾ500ȫϺйɹµ5ҺĸϺӡȷϲɽ
˵һһ䶼·Ǹƽ翴ǧı顣
֪ϣ֣ͷĻɫӶ䡣
磬£۹ˡ
šͷ
ȻֻӵľѾõƣʤüޣһ뵽ʱ߸˿һΣգ߶£һҪԨ󱳶亹
ǸȫĻ˶⵽ɱΪʧȥ˵ļͥѷŭͷŵϣû˻ʵ࣬ڵ±ȥᡣ
ʵ಻Ҫܻǹ˵Ĳġ
Һã߹ˡͷ룬߹ˣƺ
νɽǴͼĲڻĴҲ˱ܵζ
һӶ䡣
ǰӮˣѵô
ҽһߵסԺܵǰŬ۾Լ⡣
Сð¶ܳԺˡЦŻش
ԺûĻ߳Ͽ˵뿪һӶûʲôԵټˡ
ĭڽᵭ˵
һ£漴ͷ
ǰ仰ڷҽԺ˵仰ӦӦ
ѧģһңĲáСЩ˼˵ЩӸҽʿһЩͷйصࡣ
ЦЦ˶һԼһ˫ɫĴӶ䣬϶ۣ˵ӡ
뷨ֶ¼зҽԺﻼߵķŭԼоյĹԼȴɺܶļ䡣
࣬쿴ˣЩ
ѽվӹһŻֽ
ֽϻһӰһЩߣʷӶ俴ܴۡ
ߵĻ߸ص㣬ɨһۣܷЩߡ
ߵıʷʵ費֮ͬͬ
֣Ĵָ
һģϲͺá
Ȼϲ룬ǰչ涨ܴκƷ뿪ҽԺ
СʧǳĬ˵ͷ
ЩãҰǹɹ̫ôǵĻչѯʵ
Ŷ
һţҸ߽ʱġóһֽѪѹĻߣ쳤˲ںһ˱ȻʲôǸڻμصչֵ쾡¡
Ȼٲ̣ҿ֡Ҳǡ䣿Ц
ѽ
ĲؼҺҪͣȭСЦҲȭͷһ¡
Щ¼˺ܶʱ㣬ҿ26Žģ
š
תʱǺܳڷҽԺż˰ɡ
ãʼЩԵúá˯ġһ㣬ЩЩĺҽʿڣҲͷˡ
úܺã൱ڻ¼ˡЦе˵βϼ
ҽҿͼרҵѵɣرá
ûСҡͷǱƳġסԺܵʱҪ߽̣һһû취ͿʼҶ֪ʺ͸̿ôãֻԭӱʡ
С֪ҽ˵ģô츳˵Ǿˡôţƣҽǿϧˡ
ԣҽƺҲ
ҪûҽԱʲô˵á


1197 Խʱյ
2СʱͻʿǰһŻҵȵǽϡ
һһʱڵ㣬һƪһƪռһѻԺԺ¼
Ļ¼ҲЩꡣ
Сﻤʿҹ˯أһָһĻʿϣԼĻߡ˲׼ƣ뵡ڻֽĿ
ţϱܼ֣Ǵ࣬һҴ˯ûˤඡһʿ˵
΢Ц
໥¡໥֣áгҽϵ
ҽÿ˭ҽֵĿӻߣҲÿĸҽͿԼǮĿȥҽ
һĿġͷס
ңûԼǮ
˲䣬ʻӿͷ
֮ͬƽʱ⣬ֻʷһ˷ɡһΣӦǿԮѾȥ˼ʮ꣬ȴû뵽ԼгһճΪеһɫ
Ȼ޹ؽҪϾҲǿשһö˿ŬԼ顣
ЦеĿŻ裬ĥӦòϼ˲䡣
ߺҽԱԹСĻرȤΧҲ˵š죬Լʱʲô
һ˶ֳĬû˵ǷǰΧ۵ȴԽԽࡣ
һ죬һͨվڹǰȭͷࡣ
ƺڶԹ˵ʲôά־ԸߡԱǹСԼ
ĿһĻһĬ
Ⱥһ˵˱Ⱥ
򵥶ӣȴ豹棬ֻü򵥵Ļ͹ճ뷽ҽԺ˵
ʱĻңɽ뷽ҽԺ˶侲޵Ρ
ԼУĶԻǰأ޷˵ıű֮ҽԺ
ʱӸسԮҽԱҲˡ
ʱĻڿһ˲䣬Ҳһ
ǴӽԮٵһδվ֡ȵԿֵĻ۵һͷš
ûκһʦһ㡣
һԽʱյ
Ӯˣûжˣ᳤˿ˮ
ʱԼ׼˷ҡһͨߣȥά򣬱̤¼û뵽һ죬Լ޷顣
ỺߵǸǰ棬վĺԶ˶פ㡣
ӺֵͣЪֻзҽԺ
ǰһУԼոҽԺʱ飬ʶģ»ǸӰ֣ȭͷࡣ
ƺ޵ĸȾһһ˾֣ȭ
ˮĿҰһǧ˿ڵľͳСӵмʮҴҽԺҽϵ޵ֿ˲ٱ
һ߹۵ʱľжն
ʲô
˵ŽᣬҪʱ͵ص㡣
ŷǶǣ˻ȵľǺܸߵģռҲܴ󣬵ûŽᣬֻΪ
ڲһ
ɵҽʿߡ־ԸߡڹԱһͬɡ
Щɢҵһߴ
ûκα˵еĻϡ
۾Щʪ֣תȥ
ǰʲô˵ģȺѾֱܿ۾
»Ŀ޻û취ɻֻǴѶҪϸµĹܳװѴͼĲɱ
Ժ᲻Ըڴʱ˿̶롣
ĬĬصסԺܵǰ۾ҽԺ
λкܶŵģûסĴ˴ͱ֣ڴͷֻҪҪһǸɾĴλ
ӿＸһĴλôڷŵġ
עüסԺȥ˶ã
ļƺǲ
ǹȥѡգҲ˹
΢Цſﻼߡ
ȥ໥죬˵Ÿּҳ
ڴϣڿ
ֻˢ硣
ˡ
ҲٰﵱǱѳԽԽɡǼһԵɺϣŮһμ
ϣֻԶٳ֣ĭڽ
ֻҪҪ϶ǸıӰһվڹǰŽһΪ֮Ŀ

Ҽߡд˵ѲڣΨһμʷ
뵽ЦĸӲá
ǲǲ֪ôİݡιҵĺƺѾ˵һڰбǺ˼Ǯ
ĿԴ


1198 ϣһ
°࣬ͽӰסԺܽӻߡ
ҽԺƽȣסԺܽһ³ġȡ
·ĵƳ֪ϣʿ
Ůӻ·Ǻû취
ҲżȽϿ죬ʱǿ֮ڡؼǣҲûá
ɽӴ󺣡
Ѿͷô죿ʵ
磬ţ֪ϣ
΢΢һţҽԺһƽȣѵħˣ
ܰĺΣħῴȵҲС
۶
˵Ժ󲻱ֻYesnoעÿûȷ֪ϣ˵
ˣⲻǺô֪ϣ˵˿Ц˵ڱһףܰըĴס
ʲôף
ʱгĴװϽ·ȱˢֻȥҪ绰طá
֪ˡ
֪ϣҶϵ绰ֻڵô
CDCɧĵǺɧ˽־͵£±˲֪ǲһ
ĺĽ
Ҫ˵۵ĵ̾ôȻǡ
ֻǰ֮ʱָʹ
Ӧòᣬǰˡ׻Ǽ¡ʲԼеĹ˾˵ʲô⣬ٻҽҩ˾Ҳ鵰⡣
ΣֻYesnoעԵ̫רҵ
CDCôڱ飬桭ֱ̫Сᶼ൱
H1N1ʱһã֣ûĸɡ
ɽ֮ǹڷǵ˾Ӷ࣬⣿11ĸսȺҽҸ㽲
ţĽ
ҲֻĽһ¶ѣɽ֮ȫʱѡѼλá
Ҳһ֮ǰʱɽ֮ԼڲǸ޹ؽҪʱԶС
ɴǰ֪ڣڸ˼ɡ
ǰ֮۶ʱŷâڼҲҪʢ˥
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ûͲǡ
йδѲ󽢣̨˶ΪҪõںͼ⡣ֻ½ĵɱ͸߳٣Ͻ
ֱ侮ĺ˶սнԺԿն½ڻ£˵ʷײеҲΪ
ʱ򣬾Ϳȥ׷۵±ô˰ɡ
ϣһ㵽
ڣ
ű˵Ȼ磬˹༭ĺһЩ
Ǻñ뵽Ӻ¼󣬵ʱ⽻ɳż߲ɷ˵17ҡ
Ҳң֤ݶָ±۾˵ϹǼô
˼ֶξţƣǿ͹ʵһǻѪܷ񶨵ġ
᳤˿
ϣһţ
磡ǳˣ
֪˶ã֪ϣ
΢Цվ߳ҡ
ȽϿ죬ҾңһжڼУҪó˵һ¡
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۾˸ãCDCNHSػ̫ۡ
֪˵
ӢĴǣڵظĳܱ
Ŷŷ޵İ취ãôֱӡ޵
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׽ΪһԶʼɫ໳ɣǶ£ѶԷɶҪ֮ͬھ
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ûʲôãӢƽˡ΢΢һЦŵǷ£ϴͳ־ʿдƱǿ϶ż
ǲǻİ֪ϣЩ
ǰҶ֪ô졣ʼ򣬡ûֻжŬôΪⲡֻȾˡ
ԲǣǴ͵Ĳ֪ϣ
˫깷ˣ˵һһףҸ㽲ġ˵ǵϢNHSûʲôãǿ϶ǻƽġ
Ϊʲô
ǰΪǮΪţ黹ȷôNHSʲô飬Ҷ֡NHSƲֻʣ2-3ʱ䣬պôһϴһˣòظNHSֶΪأ

ַһó
ʦţôˣǰ˵ں˹ҽҲһ˵ľòʵ
˵˵һ°ɡ


1199 ͳ
198510£ӢϲؿСǰʲ£ĳũ֣ԼţȦһֻ113ţòģҲԱݡ
113ţʼũҽ֪һϻҲᣬëĲ㡣ܿһĴȫ⡣
šͷʾԼ֪
һλҽжͷ113ţԲǽɱţʬ˽ʣСشţ­֮ǰľеԾ
ţ֯Сףһǧٿ׵⣬Ŵ֯µĿݣдϸάļ󡭡һǿ׶ĺࡣ
Ӣҽʵҵȷϣֲ֢Ϊţ״ԲҲ˵ķţ
֢״Ͳˣòö嵰ײǲҪDNARNAиƣҲ޷ÿö嵰ҲᵼԲףֻᵼԲ𻵡
ڶʮ80-90ũҵӢúҪһ֣ʳƷȫ⣬ҶǼĽǮʧԵʱӢ˽ֹԷţо
Ϊֹ㿴񣿡Цʵ
ɡͷײȾĲţˡش
ǺǣǾҪǿɲôΪһһôԵҵķ֣༦һǰݣ˭ٹأҪأҲ㹻ʱȥݡ

˵ǰɣ1987Ѿյ46ݷţӢȻѡĬ
ͬ8£ﵽ120ݡ
1988ţѴﵽٶݣǣ5000Ӣũ
1990꣬ӢũҵֲڵֱιŮһţ⺺ԱʾʳţǰȫġǰŦԼBOSSȥһεǴͳ

ŦԼBOSSȥʾǰȫġⶼǴͳܣҪסԽȱʲôԽż֤ʲôЦе˵
Ǻ˲ֻ۵顣
ͽŵҽԱйӴرĽ⻤ʿĸ߹ʡߴ
ֱһ˹ٷҵĺΪţǲߴĹ¡
һƪڵı1996320ųһƪСƫУʱ10֮Ӣϰ
еԭǵֽܵ治ΪµģֽеİȫλѧءԤʩЩ綼ǿɱġ
βһ硣֪ϣ˵
ЦˣûʲôһģһӢ˵ô
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ڶ˵ҪӦʲôҲ
˵Ӧʲôʲôˡ
Ĳ˵ʲôΪʱ

ڿѾڵһ͵ڶ֮䣬ͳܣò졣ͳ֪ϣ˵Ǹ˵ʲôˡ
ǡ
ʲôνģģңֻ⣬ǸͲ⡣ֻܵ棬ǧADEЧӦ
ʥкʹ˹Ѿ״̬
ûõġǵĽ״̬޷ԱԼĴ𵽵ֻòɢӻ24Сʱѡӻ24Сʱ
ѾԼʮǣձǣΪزɢ
Ѿȥħȡˣο϶ṩӦдµġҿߺֹۣܲ⣬ǷʮСʲôá
ô
Ѿˣ⻰ʵĲӦá
һ˵ţϳ
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֪ϣӹֻ
ϣ÷Үʿôô˵֪ϣһʱ֮ѽЩרҵĶרſڿӣ˵˵
ô˵ôߣ˽ҽԺǮ˭۵˺֮ĹϵɽǮʱǻôһҿŲʵˮ´˶̳Ե
ҲԵǣ
ʱᣬΪǻüֵָҰеء
еǲѧеѧҽ
˭֪أҪоһѧץס֣ԶͳӰ˵
е̫Ź֣С˵˵ĺʽࡣ
Ҳ֪˵ʲô¼ԽԽء֪ϣ۰Ͱ͵˵
ŰɣҸоӦǿԼ¼ʷ֡


1200 
빫񲿲ĿæĽͷö
⼸̫࣬Եѹ̫󣬹ؼǿĿ־ȻôıŲã
ǿսԿ棬սԿ棡
Ĵû뵽ô鷢ɽ֮ǡ
ţҲû뵽ֻûԤϵ龹Ȼôף׵ҪսԿĳ̶ȡ
ڣҪһͼĲCDCʲô
ȥɫȾϰѾȷĸ˴𰸡ɽ֮ҡ
ʲôֻǻҡԽ࣬Խࡣ
ر޿κΡ
˽Pad֣С˵
ôˣ˵ÿ춼Ҫôʲô飡
ݰҪǡĵС˵
ΪʲôȺţǷôĺܲ˵ʵ
˵ŵʥ´ȾĵһƲˣѾȷΪԡ
һȺ飡ķŭ˵֪ԼжȥǸôֻץסCDCţȺ&*
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˽Ĭȿꡣ˾ôҪģҪȻCDCôʦʲô
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ƽϢԼķŭ侲
˾ʹνģӽĿͷϷΪݵȺţлԼ顣
30Ӻ󣬿ĺͲԱءķǰļҳһЩСӵġСʽ̸һѡ
һֹϵĴͳǿر񡱣ױ˽ܡ
Իеĺ˳･˰жԼġָأͲԱءķ̸Ц
˵¹ڲȫ汬ҽԱҪĿаٷ֮Աءķʳһ⡣
׼õ⡣
ϸķʽһЩʵڷڹǰֲڼ̫ķӦ
ȻġһӶ
һ˵ʣľ뵽սԿĿһص顣ﰵȴ¶º͵Цݡ
ܸһµݣȡᵽͷײʲô̶ȡ
ĿǰĽΪʱ10%أǽҪ35ڸN95֣ĿǰĴΪ3500
Ҳô׼ȷһֱϽĿĻûõ׼ȷ֡
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ǵĲųƣ¹ڲϵͳҪԼ35ڸN95֣ĿսԹҴԼ1200N95ּ3000ƿ֡
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ģԼôѯʶ߾֣CNBC绰׼ȷ֣ϣԼ
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ֻǼԱءķĻѾѶеϢ
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ĵһۣʾⱣ־룬һȥϴּһ˽˵
ոշһС󡣡˽ѵ
ʲô󣿣ıģǲݣǸǴ󡣡
˵ĲǿֵľĿûֵ֪Ĵ˽뿨2ףֻп˵ո˵пֻҪ10%
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Ӧ1%ѾըˡͲԱءķᶼ֡ȻⲢҪĶѾʼ󡣡
ϸһ£10%ûô1%ء


1201 
ļѾǺȽĸ˼ţʼǱ˵ţӵļɵĺ
֪ϣڴϣһһŻطõ绰
дӷҽԺԺĻ߶ҪѯܳԺͲܡ
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֪ϣҲżھƵܲžͲţˢˢŲտʼʱô˵³Ĺ
£Ҳš
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ĳʶΪʲôѭ
ΪǹҵԸ⣿תͷͨ۾Ц˵˵ˣѾҪըˣôŴȥϰ࣬뻹ܺͻ졣쿴ݣġ
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սˡ֪ϣЦ
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У˵û뵽ġҪըų֪ϣ绰طõʱץסģҽԺͲ˰ɡ
ˣеǡ֪ϣʲôϡġ
ǱϹúãŲϡ档
ǴûôصķβԼ֡˵۲˵֪еô
֪ϣҡͷ
֡˵ּ幫˾ʱơֻҪҽԺϣʱṩ㹻ҽȫ󡣡
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羹Ȼᵽôߵĸ߶ȣó֪ϣЩȡ
120վ齨ҽӦָ飬Ŭ֤ͨĽҺ̬ṩ
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ս޺պ֮˼Ұѹͷʯ޲ƽ۸гټʮö֡
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ΪʱҵĹ˾ô˵ҽҵԱЩӦģҶԹҽԺ˽лз̬ȡأҵ̬ȲҪϣŵ㡣
֪۶ǼҴ˽ҽԺֱͣҵ˵װ޷ѹ3ҵҲûʲôȻߡ
ԡͷϵĹ˾ϵҽԺ׿֣ҲѸǳֲǮ˰ô̴˹ͷ档
ҲûʲôðɣרҽԺ
ȱǻʿοоӹΰܿ϶˵㿴һģҽٻʿ˽ҽԺûлʿʢһҴ˽ҽԺɳ־Ը飬¶ˣ
٣
1ʿ־Ըģͣнְ

ֲ㡣
Ϊʲô
Ժ֪ˡ۸ûκοܷУ𲡶ֻˣȴҪʱҵĿڴˣôѡ
ҲŶ
Ȼҵ־ҽԴѵ˼ҽԺҲ˽󰡣˾˽һ֢߻̫ߣֱʡġ
磬ô˵̫ˡ
ֻǲһʵЦЦΪʲôӵܱʼӲ̣ǺܹؼһָǰЩ꿴һЩǮ˵˽ҪѸֹʲ˽лôģ
ȫ1200ҴҽԺţ˽л˹⿿ҽǳŲסġ
֪ϣٺЦЦ
ˣ۶ǼҴ˽ҽԺ˵Ҫҽƶ֧Ԯ
ȥʱˣȷҽԺرգ׼룬ʱ֧Ԯ֪ϣĪ
Ժ˵˵˭ʲôʱġЦһĻɽ

֪ϣ
νժôӦ㲻ժӣǲôеġ
һȺ국
ɽҿҪúúġ
磬ܴܡ
ŷЦ


1202 ѧ
ʱһȥ
ٴϰ࣬ҽԺĻһ
34գϢ죬ҽԺӭģĳֳ132߳ԺۼƳԺ587ˡ
һһãҲɣͻƽڽ͵Ⱦſڡ
ܿҪڽڻƽڿҽԼһӶûܺʲôӴĻᣬʶϧʣµʱ䡣
߻ƽڣᵥһȦص㻼ߡ
Ѿû֢ڷҽԺҽԺʼпմ΢һЩȫȥ˸Ľ̶ҽԺ
С֢߶лĻߣҲȽϳ򻯡
ҽô
һסᣬ˫ɫӶѾܾˣֱæڷй䣬ŷʡ
֣裬˵վס˫ϰԾһӶ䡣
ӶĶ߻һ¡
ԼҵСŮ
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ҽҿһｲͷײζɥʧ¶ôʵ
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ΪʲôǸرصĸðôᡭ
ðʱǲûζʲôԵĸоʵ
šͷ
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˻ͷͷϵĻɫӶģȵĺܡ
ͷ׻֮ԻζϰҪѪܽתø2ͿĤ˿ᵰø2ֻйϵ

ǲ˵˵ҲҪȫˣȥѧУѧϿ˲ǡЦǺǵ˵

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ȼ˵һ£ͷײӰζΪʱԻоƤ仰˵ǻչһ飬Ƥ涼ջˡ
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ô룬ȴ˵ʲô벻ħʲôϢ
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һħϢ֪˵ǵĹúá
֪ȵһԱЦǺ˵
˼Ұⶼɱѿ֮УǴţĺνⲡܼ򵥣ҡ
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˵ѧ̫ܲף˵һо¶֪ܳɡ
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ˡ
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ǷشϡͺŨȼ͵ʱɢһֻ㣬㣬áЦе˵


֣Ỽ˶Ŀࡣ
˵˾ͱѧ¶һֵʲôģ۲˵Ҹǽԡ
£Ҳãͷײʼԣ˵ǰľ
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һһСͷԱ߼ǸյסԺֽ£ҲΧ֡
Ҵѧʱеġ
ÿԣɻʵ
ÿοԶǵһѾʦֱҪȥΪһʿʵ˶ûʲô𣬾˼꣬˸ʦд˵
סˣλҽ׵ѧԡ
ԣѧԺ׼ȷӦѧеѧԡ


1203 
˵¶ѻԼѧҵϳ˵ȥڻѧϵʵ棬ӴһʵĶһĸǣÿ춼Լͱء
ΪʲôϲȻ
ҶأֻƶᡣܲǸζ͵ȱͬѧ뿪ʵԼŪһ˿϶ˣȥæ
ΪҪ׷ѧУУԲɷѿģ׼÷ˮԼģɣῴˣ۾ʵ
۵Сǡ
æ3죬һƿŨȸߵķءô˵ɡˣڷ̫ζǳԲ÷
أ֣Ҳ׷ʵ
1:1000ϡͣһ£а˵ζǹ㡭أ֮һӶ򻨲ˡ

ǸҲģϴѧʱ򶼵ôԼһƬϵġǰˮװƿ׼͸ǸŮ
ͦģ¶ϸ롣Ỽü˵Դڷء
ǹԲ֮ǰʳǷˮġ侲˵һʵ
ҽ˵۱˵ôĵ¶ǲϸ롣ỼΡ
ϾôһθǵŮڵĻ˵ʦ־һöôƿӡ
Ҳ
һǵװŸŨȷصƿ͸ŮŮûҪվںԶĵطšȻǾʹƿӣ׼Ůһζ
ȥˣƿӵǸ˲˵ıʱض˵ĵ⣬һѴӶ䡣
ȥû˰Ỽ߾
Ǹƿӣմܱյƿҿ˶ӲˣǱʯһ
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֣軹һ㣬Ǹ۾ֱģ˶ݵĻ
൱ʺ
ŮﾹȻͳЧš
2.3ŮֱӾˡЦˮ³˿ʼɴڵ¡ǸŻ̼ﷴ䡣
˲ȥһô
ȥΧ10֮۾ȥ֮ᡣ

ҵʱҲɵۣⱲӼٵļβ֪İ1ӺҸϽǸɵXƿӸϣȻſڱǣ۾ܹȥܡ
ǡǸŮأ
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϶ûаУÿ׷Ҽȥ
ǣһ϶˰ɵXǰڵһᣬֺŮҲӢ۾ҸϽһ·񱼡

֣趼ɵˣˮءⶼĸġ
עԴͷײתƵϣһʱ˲ѹ
ҽͬѧԺͷһ˰ɡỼʵ
ʵ෴һӶ䡣
Ϊʲô
ĻشԳỼߵۣˣúͷһ
ǸŮȥ˺ܾã2ҳԲ˽10
ո۵ģҲУỼֱ˼
ʣһĻ⡣
֮󣬻ѧϵܻӭУŮͬѧؽ󹺷ء

ǸЦ˵˵Цǰܺ󣬡ءͳˮҵõĶ
һӶʿˮˡỼ˵
ˮҵʵʳҵҲܿءӰƷ֭ϡơơѾơݱܡɿʳƷ漴һпᡱʵ
Ỽ
ͷ˫ɫӶ俴Ҳûôյģÿһҡζ˶⡣
֪Ϊʲôôͷײôʵ
˰
ٺ٣š˵ͷ漴˵ڲڹУĵԺԷûζǴǵζϵͳɿڡ

ⲻǺ˵ģ˵ʵҺܵġ˵
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ҽǿЦỼԶȽϴ˳˼·ȥԽԽǿ¡
Ȼ϶ǿЦġЦе˵
ǾͺãһҪǲĩô
۾
˵ã10꣬˭֪͵Ĳʲô


1204 ȡҰ㡱Ļ
һͻģһҵ֪ϣСʵڣʦ˵ͷײӰҼģбģ
ݣ˵ζתĿܡ֪ϣ˵һԺųζζ㣬ҲԲζ

쳣ϸϸ򲡼ʡ𻵡ֳϵͳ𻵡ķιܾܽͣ˶ݵ䡣ⶼͷײĳ֢Ժиࡣ
ҺãܿסһŷҽԺĿմ˵
ǰ֪ϣЩ࣬ʱϣץʱ飬Ȼ¸»صȥڿӦÿԲ󡣡
زȥˡ߶ĸ֡
ڣҲôһʿʵ
ôðһܺã7á֪ϣЦļ򣬡ˣɻȥ
ǡ
Ҳܲ˲ǡ֪ϣЦ

ͻһᣬ߻סԺܵǰĬĬĿʼд
ԽоͷײԽǹŹ֡
ҺڹסڿѾ
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Ȼֹۣȴҡ
רһ˺ܱۣΪ벡⣬ͬͬۡ
϶죬硭ôô
Ҳڹȱ죬񾭶ţǻᴦһֿɷɿص״̬
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ʦÿγ극жġʹ֢״2Сʱ󻺽⡣Aҽ㱨ʷŻµرء
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Ѿ1ʱ䣬Ǻ͡
ҡҡͷΪҽϺθרҽĿԲҲû˵ʼ۲컼
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ƶˣֻ£ļϷ˺ܶࡣ
ῴŻм鱨ԼҽĲһ3ǰҽûȷϣӰ
ʳθʮָ飬ʾʳܡθʮָ֯Ϊԡ
ְ̣ΪʲôǿCTºʵ
ÿȥһҽԺҪ²һ飬ˡؼǲҲûã˵
ȷǡ˳Żߵ˵ǿCTǺܱҪġڷҽԺǮҪһؼ飿
ǮֱּҪҰ㻹
ô˵һʱ֮Ϊ⶯
ҶѧǺеģᣬҲŶӹҺţҸײһ¡ҪҸϣȥļҽԺû塣
ô˵ĿͷϵĻɫӶ䷢ҽǴ˵ô


1205 
Ǯ߿϶ͬ⡣
һǿCT2000Ǯһ߳ŶҪһܣر𷳡
ѾʧȥȷģһԵ̬ȣҪΪǮϾǿCT顣
û˵뵱ʱҽӦǻһֺܺļϵĤȱѪ
Խ黼ѪܵǿCTһ
ϳϵĤȱѪƺæҽ͵˵㣬߿ΪףпΪҽǮˣְļ顣
¾ͳ˳ٳٲ
ǮôˬһӶ䡣
Լֻߣ˷ѿͲҪ20ӡ
ڣֻҪͻ˵5֡Ǯ
ȻŻµ֢״ƽȣȥCT顣
ʦCTҽԺCTҵļʦʵ
ǣһCTѪӰ顣
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ǷҽԺյĶǸȾͷײĻߣʲôCTѪӰأ
һСʵʦͷײбˣ
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ʦʦе˼
ҽְҵ⣬ȥ˯˯š
Ǳͺã⼸ҿţ˵ʡֵĿˡʦһ׼һߺģиȾƵѣ˵ⲡѾ죬Կʼ˥
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ϼסԺĶ֢ߣûһת֢ġʦ˵
ʿڸ룬£ġ
ʦҲ֪ҽԺԻȫۼӣԵҲǺõġ
ϼиߣֵʱĵطʦʼԣʲô̳λ֮ģȦ˸ţＦ
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λɹԱĸҪչˣԼĸ˺ĸٱ鲼ǸСмÿһ䣬ֺҶˡ
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ҲоĶڽͣصһǰġ϶˼ʦ˵
ʦ˵ԺǲǾͱˡʦʵ
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ˣ˵Σˣ˵ǷӦϻţ˭֪Цʲôʱģ
25ţȫܶԱʱġ
ҪûҪһһҽԱӡǶ˾ٹ֮һû
ǰʱˡʦ˵ͷƤֵģ·ɻ;ÿﶼǲһϿʼͷۡġ֢ۡ״
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£ǺҲô˵58ˣ˶ߣνӰࡣⲻ֧ԮôҶ˵
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ж⡢¿ģȻҲӭеġ
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ƽʱ¶ˣƢãԸˡ˽̸۵˵ǻ˱ˡ˭֪¶濿סʦЦ˵
ӣʿ룬ʼӰ׼顣
ʦҲϹֻҪ΢ţ㿪ʼ顣
20Ӻ󣬼꣬AҽŻ߻ȥĻϿƬӡ
ʦǻ˶խ70%Ѫܵëʦ˵ϵĤȱѪ
ǣһֺܺĲйʹۺ


1206 ĳɳ
йʹۺʦCTǵмҽԺĹǸȴû˵֡
ǳϵĤȱѪ
ϵĤȱѪһ𲡱ȽϼʼҲֲһͷϵӶ䣬Це˵ڿǡ
˵Ľʲôţ
йʹۺӡͼʦ˵һƬӻȥ
ʦ߶йʹۺĲôôһֹǿϵͳļӦú͸ʹûκιϵ
Ϊͷ⼸ҽԺ֧Ԯҽ֮ûٽCTʦǼԼߵĹŹ֢״׼°ԼҽԺڿΡ
ӰѧϴʼԼ
ȵ°࣬CTʦȲĻס
ƺһͷһЩʸУֻһİļơ
Σѯһ⡣ʦͨ绰ֱ˵
С滹ã
У˺ܶ࣬ʱɶˡˣڷҽԺʦһ
ʦλҲżż֪
ᣬʦ
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ȻôڷҽԺӦȥҽԺôξ˵
ҲʦΣи߳극ͶġŻ£110㿼ʲô
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٣ҾҲǣʦŻǿѪCT
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УҴ㣬ΡʦЦǸʲôҴǰû˵ء
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Ҳ֪κʵڵ˵ⲡأҶƬӷħʦһ۾֪ˡ
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Ҳ֪βԼۻ߲飬ʦе棬궫ͶġۣƵԼƺҲֻ඼Ϊθ׻θס
ԼⱲӵ˶ٻߣ
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ѧղһֶ˵ĺܲҪҽ֪ǡ
е˼ʦǰȫǶԻɫĴӶڻơʦֵֹģҽôࡣ
ת֮ȻʧЦ
ҽԺտʼ㳡ʱҲкܶ˵࣬˵ȫΨһܺϷĵض
ʵ֤ԺĻһһЩ񶨵۶Ц
˫յӶҲһЦһ뵽ʦ֣ʦЦݡ
ʦԼ뷨Ҳ˵ʦȷһܿƬӺ˵йʹۺֺϵҽԲ᲻ס
ȻβԼˡ
ʦʼϿ⣬ҵЩݡ
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Ȼһл߶йʹۺɱϾһֿԲǡ
û뵽ҽԺ֧Ԯջ
ſڴϸоףȽѧϰʱҪ档


1207 ĬĬĸı
ĳ
𣬺µһǰһӻһ籩Ѿǰ
û⣬·ֻһΡС
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Ǹ˶Աÿ100ŷԪԱһ1800ŷԪʿԱҪ취ȥC޺÷Ҫҩһѧߡ
ǱԹû塣
ڵصĻ˿G7Աѵܵÿ춼ںԥﶼЩ㱡Ҫǹеָöá
ϧÿֺ涼ζһѾȥȾ
ǽл򵱵ž֣ͼѵصִ٣ҪһŽͬ֡
Ȼ
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˶ʮ֣ΪǵĻƤ
˭ôٸҽԺ˭ӣŲ˵ûô
Ƶ¼ǼʼͬҰһ㡣


ŦԼһһ˿СУſ֣üĿŶҽԺ
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ȻĶ˸ƽƽʱûʲôǰ췢һȷﻼߣгݳ˵ûκ⡣
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ҽԺſڵʬͣӳҲƽʱһŷսʿһ뵽ܿǳ˴¡
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СС𶼽ˣʱعЩǮͱ˿
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ԽԽԽԽ
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ع
ӻҪϣŦԼҪ⣬ϣһаá


1208 Ц
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ǣԱ΢Цܹת̹Ȼܱ̿οɰ޴ɱΪ赸
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1209 Ϊʷһ
лߣҽԺһʱһտյֻΰٺϵĴڷڴλϡ
һƬհףûϲҲûиʱĵһ˿СڴС硭Ρ˷ܡ
֣˵ôС΢
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AߵDһĵ׿հһƬ
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1210 ѧٵһƪ
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ѾͷĸոոҴһ绰
뷿䣬ͳ֪ϣ˵
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û˵ΪףҽԺرգ͸ҵСЦ
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Ҫֹһ㡣֪ϣᣬ˵
֪֪ϣ˵Ǳ顣
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Ƕסжûʱ١ǧִ㹻άֶʮ

Ҷڳҩ۲ڷգҲܶͻᱻԵȫʮŬΪ۵ջ
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˵ģ131ӡȵѧӡѧԺоԱbioRxivϷһƪġ2019¹״ͻкжصĲУ루̲ģHIV-1 gp120Gagصԡ


1211 Aɽڿ
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1212 ҵ
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38գӵЭ;ĵļƻ
39գäĿ硣
Ŵͳĸ񼶲˵ĻоλӦϸ·ʱġ
ȻأҪô죿൱档
Ѿɽ֮Ǳ֮ǰЩķͣǻ걸ĴͼĲ
ǵҪôܺ档

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9գӵ˰ĵĵ绰绰ġ˹û˿ƣƽȴӢϸֳЦ̺Ŷķâ
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ԭѾµ40%ô˵
ǱǮֻһ֣ͷڲ͹֪ģЩҲܿС
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ʷζʷʫıɰȴ˵ֻǿθˡ
ģܸܵ˷ܡ
⣬ôҵˣġ˹´˵


1213 ֮궼ῴµȼ
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ģ̳ѪѪͳ˷ˡ
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Ϊʲôκһ˿˷ܣ
ģ֪731УĲжôʵ
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ĲΪʲôĻ˷̸ܵ¡
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ԣȫ壬ѾԳΪͼĲˡģ֪ôֲпܴȾ档
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Ҳ֮ƹ߷ӦԲ߷߷Ӧ
⣬ҿһӻҵ磡ҵã
ģͳһû˵磬ôء
⣬仰ȻһһרҿСġ˹±ĵĿ籡ⶼƭ˵ĻΪһẦ£ԭ;ɹԶ20꣬ɿغ˾۱Զ50꣬ƵĻѾ̫̫ࡣ
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Ǵ£ԵֻһηȷӦģǶܻȥѾ׼ãҪԵһոµ硣͵ĲȻǴ͵ĲлҵĺϢ
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⣬ٴμҵףƻᡣҿʱ䣬ڻü
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ȻһʤĿʼѵô
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ΪǵȶǴӷģҲͳΪ֮ӣƷ~~~˵һЦر䣬ĳ֪ϣ֪˵ʲôźá
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ԽоԽ֮
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һ£ʵǼ˽ҽԺɽˣ
šǾܾȥͬãȥһߣҲȥˡ


1214 䣬ȥ
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Ҷϵ绰֪ϣʵ磬ǺҽԺ֧Ԯ
š΢Цô׼ߣǸŹ䡣䣬ȴȥⶼ㣬֧Ԯ˵ʲôȥҽԺҪľҲˡ
Ϊʲô֪ϣЩ
127ҽԺֹͣӪҵɵӰ첻¡ֻǸһ˵Ҹ㽲һ¡
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һ˵һԣȥ廪Ĵרصıƣ޷ѡ񣬾ȥ̽࣬ѯס
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廪
ԣʱŮ˹ĸҲô˵ġ˵û˻һѧǴרǱƣֻѧıҵ
ҲŶ
ҽԺɽߵľ·ӣеĴˡӿߣȥһߡеġǲ˵3Ѯֻ˵һߣ˵ô
ûС֪ϣһã˲ô޳ܰ
Ǿô޳ܣʲô취Ц
ҡ
ô͵˽ҽԺҪһ·ڵײô˵
ѹ󣿡
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Уǹȥ
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УзâѹֵԺ
֣ڳ֪ϣͷϵһ£˵У᲻ˡ
仰˵ģ
ûУƭҡʸڷϡ

˵ʱҪȰһȰУοָ߽˵Щʱ˵ĻȻһָűˣܹǲʡ
УŲ
Ҳǣˣ£Լá
˵꣬룬ֻ
磬ǲУ˵ô
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չƱ1010ң࣬BOSSѾˣҲõ߹˵ΥĵĻˣ˽ڹЦΡ
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ΰBOSSҡ˵˰仰ǲãBOSSһ۶ϻ1997飬֪֮˶ô
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˵꣬޿κεĹҶϵ绰
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ʡʱûע⵽ôÿ˶򡣡ƻ˹֮ĹƱּӸָܸڻĲࡣ
ʲôȰģǸѡ񡣡
ҵɱЦһٸ˺һڽгϲϰĸռָס
֪ϣԸոյݱʾ
ˣܣһݡѾͷȥҽԺˣúϢһʱ䣬õ绰طá
ŶԼһĵġ
һȾƣУҪ֪϶Ҫĥ߶ҡᶣ
֪܆Ү֪ϣ
ݣͷײһûеߵĴӣRNAĿɱֵ쾡¡
ⲻһȫ壬ΪˣŸ¡
һʱ侭ܾ룬ŷͲױӦ֧Ų˼ꡣ
3-5֮ὫҪ־޴ĸı䡣
ҪûͺˣôĵĽ֪ⶼǻ룬ͷײô׽ġ
һܲݣһĥ˯ʱûǿһɡ
۶֮ķܽ챴Ӧúܿİɡ
ϣһֱȥ֣ɫĴӶѾͷһա


1215 ֻٵ
ŷҽԺȫݲգѾƽȡ
ʻǳסڸʡеİҲص졣
ȻҶҽԺ֧ԮҽʿҲӦסĵض͸ʱȫͬ
ۿɼӵĲѾѸٺתȬһƺԽԽ
ϵԺĳԺµҽӷߡ
еʱͷһۣﾹȻЩȻ
ԼΪʲô֮ʲôҪ뿪ЩѧȻֳ
һڼᣬһ̱գ۾ɳӡ
ֻһۣûת뿪˴ͳ
һսȥΪʷΪ䡣
ôҪǰ
312ˣȫ½½ӡһƬá
֮⣬˵ʡнҪ⼸½ӡ
ôӮˣм߼ۻͷٴΣԼһΡ
Ҳ֪֮үӵعʱǲҲһΡ
һ磬Ժ¥
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ʦԺվڴͳԣкˡ
࣬ڶҽԺ֢ͬ²ࡣʵʵ˵
ԺʶҪæ񣬵һµʱ䣬ЩѾ˼άӡ
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ÿԼƽ⣬ЦЦ˵
ܱȲϾƵ꣬
û£Ҫ˶þͿԻؼˡ
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˵˲ȳ1֮ڽӡָ⼸ɱ׼
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һֱҽԺæԺ϶ˣͼλרһؼϴ衣
ࡣ
ҾǸСߣɲʲôԺֵĺܱ΢ֻϵЦݵҲס
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Ժ˵ɽֵʱЩơ
бٱǰ;ΪʱľҲһԼµ˼
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ܿ죬ҽ񴦵ȥˣѾ·ϡ
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磬֣ǧ֡
ģҾǿһۣѧϰһ˵Ƥж񡣡Цܵģ˼ô˵֧Ԯӡ
ԺһߣֻЦһ仰˵
ʦҺһ¡֣
ȥɡΣ
¡֣ǿ˵
ҲȻȥҡͷû塣
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ô
һֱ֧ԮҽԱҲ
ŶӦһ۾Զ
ԺԼϽҽԺֳһš
ʦʢǧֳʲôӲǡ
˶ʮңһ̨ԶԶ
ᱳֱָ֣ô
ʦ֣á
һСҽ³΢΢һǹǰʺ
ͮˡǵÿһˣǰλǱԼСһ˶ʦܣѾʧȥϵܾá
ˡͮӢպ֪һʱļࡣ
Щ˼ͷĬ
˾ͺãֻٵȴȱϯѵô΢΢һ䣬һ¶ûС
ʤĺ죬ῴҽԺЩҽҲûǹԹ
ҽλǡ
ʮ桶ѧʦ֡
ʦ׹һۿȥԱ֣΢Ц
ڼ䣬罻롣ᱳ֣Ŀǡ
ԺæԲȱ˸л˵ŵסЩªϣ½⡣
ɽ³Ϳվ棬ɫࡣ
ǺҽԺ218գԮҽԺڶʣ10̨ICUΣز˵д޴¶10̨޴׵250׺·11֡50000齺ס1000ҽ÷
׼õݽһ㣬ҽԺϲĺͳԺ˵š
ϴԣģ˽⡣
ֻҪϵ˵ٵҲܱġ
Ϣը˭ʱֱ٣
ο˼û˵ѣ֧ԮġǣǲͨҵǴҽԺ
ЦЦĳĿƵһúרҵֱԼרҵ
٣ллͷ


1216 Ʒ
һ£û뵽ȥưᾹȻ᲻̲ĳһ䡣
ʦҲǾЦ
ţһʱͣҵװޣѷĹθСᵭ˵۶ĶҽԺҲףҽԺڼζٻߣ
ܵλ롶ѧţĻﴫ⡣
ʱ˶Ǯѣûͣҵװ޵͡ѪΣ֧Ԯӡ
黹û֧Ԯ
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ͲӦôɽ˵ҽ˵ʲôͣһ£ɶʧŷһô
ŷΣϢǼװ֪ɽû뵽Լչ
ֻҪܿƵĸִĴVɾԼۣѽͼѯֱװû뵽ɽô˵
ڸġ
ǣֻ40һжڿ֮СɽĿֶһ£ӦƲ졣ǸԼ̫ˣǽĦһ¡
ῴҽԺɽȣ֮ľҲһЩı䡣
ǣҽƼ˰ɣҽԺΣ֢ҽѧڰ֢ҽѧСICUʿռ־ԸרŶӷɸΣҪѧ
ɽ۾˵Ϲı¼ֱһֱܡ
綼ˣʲôƹҵҶҪƲھݳƷɽ˵
ʼ򣬲˵
ɽǲӬһԶԶĿţȽ˳¶κΡ֮Ҳɽ
˲Ҫ޵仰ĺܶԡ
ֻҪ㹻Ҫûսʤ
ĳƵй˳Կ⣬ȴ־ͻðһ̵Ľ۶Уÿ껹ɹһԼӹ˶档
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λλ롣Ժм˵ڼ䣬ޣλൣ
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йɣȥˡȰ˵ʼһոµ
ҡ
ѾƲˣȥͻᱻӴHOURSȥΪһ˹Щ꣬һ˺Ҽ̫̫ࡣ


1217 Ⱥ
ҽԺӺɽһҽſڣפ㿴ۡ
Цɥй֤㡣ǻῪʽֻҪͲˡ
BOSS
Ҹһ£Щǵ۶˽ҽԺ֧ԮҽƶӡȻһºҽԺˡ
ҵ죬ǵ۾Ϲô˽ϰԵ˵˵Ѿҽƶ׼ؼˣʲôΣ۹⣿֪ˣһڼҸ̫ãһʿ
ҽԺɫ䡣
ô൱ָűˣؼǱ˽˵Ļʵû취
ˣ˵һ㣬ҽԺܸߡ룬ҪһȶĸнְҵЦ漴ܵλʡҽԺı˽ڣθˮƽǰʮ
ǰ壬ǵڶ˽ں
ã㻹һǡЦ
Ȼʡħڣô˵ǵһ˽ڸЩ⣬漴̾˿
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ŵôרҵʿС
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ôļ˹ˣNHSϵͳҪô˭Ⱥ߸
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NHSԵûУֱƽ
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ܣNational Health Serviceǿ󣡡ɽϰԵķ
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ԼΣһɽŷ˼ǽԹԵĳ̡
˼᲻˵Ҳ֪ʲôԻȥ
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Լûϵվߡ
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أ
ܶѾϣ˵ɽ˵ȫߡҪǴǰڿǸС󡣡
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嵳Ŷ
ˣƲˡЦһ۶ϡ
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аڣҿʲôооҵƲ⣬ǵʽѾ50ԪңԺ٣ƭоѵԽԽԶඡ
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ֲǮ˵˵ֻǿθˣνڷ籩ܸɵйҲ˵
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עǻе鳹׽3-5Ժҳĺúоһ¡
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һûŵʱ򻹺áȥŵ˼ɺޡ鲻˵䣬ٵЩóȥҪѧġ
ڡˡ֪ϣ˵ʲôһ뵽ѧЩP߰㣬Pͼ£ֻðʣµĻʻȥ
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Ϸɻʱ˺Ϲӷֿ֪ϣЩε˵˴ҩȿ쵽۶ʱ򣬺ͿճԱ˵ϵ120ȳ޷νӡ
ʡ֪ϣͷɳɳ죬־˲٣ҽԺɽǣ
ʡҹƺ⡣֪ϣ˵ʡƼ˾BiogenԱ2µ׵ʱ˾ᣬһȷﻼһμӻ飬²λ˴Ⱦ
ü
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˾ṩҽƱգ˾ƽΪԱе70%ҵҽƱշãԱ֧ҽƱշѺҽԸõ30%ҡҪת֢Ҫʮϰ򵶣ԼҪԸܴһ֡
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ʡ⡭һԼжϡ


1218 Ǵ
ŷعķɻƱѾ֪ۡϣ˵
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1219 ӡĺ֢
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1220 Ǹ
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1221 ˺ߣԼ
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1222 ؼң
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1223 ˮ
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1224 ɽػģ
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֣֪ŷѾ׼׼ˡ޵Դˣмֵˡ
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ɽػģ


1225 ƽȵ
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ϣûСЦĭڽǰǺܶڶˡ

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314գίԱⳤ⽻󳼿Ƹοʵ磬Ե¹ڷв߼ԳֿοʣףԸտ
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1226 Ե±ԹԱ
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1227 С˭
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ֻһþЦΪʲô˵Ԯ¹ΪʲôҪʿʣΪʲôֱӷˣǶҪô
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ΪģȾѾ޿ɱ⣬ѡԸȾˣò˵ΣԷǳСص㣬ô˾п֮¹
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1228 ǵĴ
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֪ôҲйȫᣬÿһ鶼ȷģע1
ĪɺȻ˵70001.5˻Ⱦ80%ϻ῵ǹʺֻ80%˻῵ʣµ20%أ1500-2000ô죿
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ע1һϵƵǰ裬֮ǰ˵ʲôˣ˵ȷܼ仰Ҳȷ˵ġ
һ࣬һΡ


1229 ͺ
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ѾԸɵĹ񱣽ϵͳ޴ѹʱ80%ӢȾ15%Լ790˿ܻסԺ
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ֻʷ˵黻һƤں˴ûκθı䡣Խ꣬˾Խ˷ܡԾӴʲŷŹߡ
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᳤˿ֻ
ϣ˲Ҫϣܻ


1230 ƾ
ֻżȥңʱһֱƶP3ʵ﹤
ϧʱ䡣
һº󣬹з綼һɵ񡪡ΪѾͷײȾĻߡ
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᲻FBIͷΪǿҵΣСFBIļ򵥡ֱֶΣ㹻Ԥơ
û뵽sһо綼ҲʵȺ⻰˵ȥܶˣȷʵࡣ
ʱţ319ա
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ѾסҽԺĳҽҲѾָ壬ƴ
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ͬɽٴСҽаˬһı˽ôô˳ۡ


1231 һΣһ
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1232 
ɽɵˣԼĶǲǳ⡣
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1233 һжոտʼ
ȻʷԵʱ̡5֮ڣһΪ˹¼峤ġ˹ŵ˵
Ұ뱼ܵٶȣȻǱΪ漣ˡ
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ĿԴĵЦǳѧȦ֮ͬ⣬ɵʲôըҩȫһ


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1235 Ƴɽ
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