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绉楂父瑙浜绉惰浜朵锛绉娉ㄥ寮浣琛娓锛瑰翠激椋娓涔楂瑙浜姣濡楹荤广姘寸娴虹锛惰浜剧¤涔

楂涓浠ｅ婚㈣甯歌
锛涓锛澶ㄥ虹规绉1-2ㄥユц捣锛澶扮堕┿棰
锛浜锛躲浣寰涓瀹抽ㄤ炽ｈ绐澶寸璋靛芥糠楂ｈ绐㈠缂х浼瀵兼ф瑙纰澶с灏究纰瑙绁缁瀹虫讹瑙涓冲け浣妫瑙㈢瑙涔冲ご姘磋裤澶ц寮虹村烘寰
杩瀵缂诲ヤ涔β风缁ャ
锛涓锛涓锛
1.浠ュ跨澹勾澶瑙锛骞村涓ゆфｇ捐宸
2.1-4ㄥ锛澶4-14ワ甯告绉广涓煎搁规郴ㄦ绛
3.澶涓烘ユу锛ㄥ浜ユс
锛浜锛涓村圭癸
涓村琛ㄧ澶锛荤圭逛负锛
姣绉棰叉敞灏ユц捣楂骞挎绱涓村绋涓哄剁搞
锛涓锛涓村锛
规ㄤ瀹崇搴涓锛涓村涓鸿楂楂
1.锛
澶琛ㄧ绐澶寸°绁蹇涓娓烘寰灏伴澧楂锛瑙涔冲ご姘磋裤涓ラ渚虹糠澶ц寮虹淬瑙绁缁父绱琛ㄧ瑙涓уけ锛朵绁缁（濡ㄧ笺澶灞㈠涓绛绁缁）浜绱澶ц瀹充互绮剧寮甯搞纰浣负涓诲骞茬瀵艰翠氦х㈢浜ゅф瑙纰灏虹辨け璋ㄥ渚涓涓ㄥ绱虹涓㈡ч娑鸿绛灏版ｈヤ澶绯诲虹棰ゃ韫峰ㄤ垫辨け璋绛
2.楂锛
浠ヨ楂瀹充负涓伙琛ㄧ涓烘ユу缂у㈢涓㈡（楂浼杩杞负х）瑙缂哄け（澶板ㄤ腑告姘村钩浠ヤ）澶у究介纰浜兼ㄧ锛浣杈杞汇
3.楂锛
楂骞挎锛甯歌涓ラ涓村琛ㄧ楂杈绐恒
4.规绫诲锛
娴琛ф绉楂（瑰骞存ｈ）锛琛ㄧㄥ寸缁绱兼-宸村╃患寰风涓ч夯广
涓灏涓虹绉瑰ц楂3
锛1锛绉ユфｆц楂
娉ㄥ涔楹荤广娴炬ュ炽翠激椋藉浼ゅ绛ㄨ楂拌川涓稿
锛2锛ユфｆц楂
澶浜跨舵浜规х剧涔灏板浜у哥澧澶宸ㄧ姣
锛3锛瑰фユфｆц楂
‘规绉ャ杩灞蹇锛涓昏涓村琛ㄧ浣缁舵绮剧寮甯稿纰涓濂斤涓绋搴
涓村涓涓猴楂楂涓绉澶ㄧ绉4-14澶╄捣绐澶寸℃绮剧绱涔憋够瑙濡炽瑷璇纰绁缁夯广垫躲涓ラ渚虹糠澶ц寮虹达灏扮渚虹棰澧楂锛瑙涔冲ご姘磋裤楂绐寮缂у㈡涓㈢瑙娑澶卞澶с灏究纰楂跺跺ㄦ剁涓ラ涓10澶╁乏寮濮㈠锛娓崇涓ラ渚浜ユф姝讳骸娈鸿戒ㄩ纰绛

杩瀵缂诲ヤ涔β风缁ャ
锛涓锛娑诧
颁互涓娑插澧楂澶瑙娓浜界涓害澧澶锛跺瓒杩100106/L锛浠ュ哥涓轰富藉楂杈1g/L绯姘╁甯搞楹荤规浣婊村害澧楂锛瀵归夯瑰楂璇涓瀹浠峰笺
锛浜锛靛撅
80%-90%渚靛惧甯革涓洪娉㈠4-6Hz娉浜妫娉㈠妫㈠娉
锛涓锛璇卞典锛
骞插楂涓村涓讹渚澶舵ц浣瀹т环笺
锛锛CTMRI锛
CT骞虫瑙借川澶у绛朵搴奖锛澧寮哄瑙跺ㄨ竟ㄤ瀹寸甯舵跺澶剁跺奖MRI浼浜CT瑰骞插楂妫ワ浜涓村涓讹澶琛ㄧ涓虹借川虹T1T2淇″
楂涓浠ｅ婚㈣甯歌
锛涓锛ユф澶版ｈ琛甯歌涓界璁℃板锛浠ュ哥涓轰富锛寰灏瓒杩25109/L
锛浜锛扮┛娑插姝ｅ父澧楂锛界戒害杞诲害澧楂锛界垫吵涓昏涓IgG
锛涓锛靛惧寮ユ极ф㈡尝澧澶锛甯镐负楂娉㈠4-6Hz胃娉
锛锛CT甯告剧ず借川寮ユ极с澶舵с朵搴猴ユф惧己（濡朵腑娣锋澶х鸿跺涓烘ユу鸿х借川搴浜浠ラ村）MRI剧ず朵负T1T2淇″瑰

杩瀵缂诲ヤ涔β风缁ャ
锛涓锛瀵规绉瑰锛璇俱
锛浜锛涓昏涓村琛ㄧ涓鸿楂澶舵с寮ユ极ф瀹崇跺浣寰
锛涓锛ワ杩灞蹇剁哥绋
锛锛杈╂ュ楂借川澶躲骞挎瀹崇璇
锛浜锛ゅ朵剧
锛句虹川婵绱绫昏╂不
锛涓锛纭璧璇瀹
锛涓锛浠ュ跨灏骞村瑙锛ユф浜ユу
锛浜锛甯告虹规х姣（濡楹荤广椋广姘寸绛）绉
锛涓锛剧绉版ャ板ㄥ虹ｆц楂瀹崇跺浣寰
锛锛娑茬般藉交搴楂藉楂

涓姣цユц楂涓ц村瑰х渚棣娆″澶х‖搁村寰瑙瀵澶

杩瀵缂诲ヤ涔β风缁ャ
锛涓锛ユф搴┿瓒抽娇ACTH绫诲洪跺锛浠ュ交у搴姘磋裤澶ㄥ板绫虫15-30mg/ユ姘㈠300-400mg/ュユ恫浣婊存敞锛10-15ヤ负1涓绋剁瑙ｅ娓ｈ╂娉ㄥ板绫虫撅5-10mg锛姣1-2娆°
锛浜锛棰澧楂浣跨ㄧ查锛杞婚纭
锛涓锛楂糠ㄥ娉浣锛搴缁浜┿
锛锛娉缁浜伴ㄨ琛娴ｈ锛搴ㄦ绱叉不骞舵
锛浜锛绁缁ュ诲绁缁椿╀绁缁芥㈠锛甯搁ㄨ浜纾疯纰便ATP杈A缁寸绱B1B12绛┿
锛涓不涔捐锛搴杈ㄨ芥不锛甯搁ㄦВ姣抽寮绐绫昏╋濡瀹瀹榛涓哥
锛涓锛浜绫诲规娌荤锛
1.楹荤瑰楂澶板涓诲ㄧ浜句虹川婵绱跺ㄤ绉姐
2.姘寸楂瀹浣跨ㄨ句虹川婵绱绫昏╋姘寸锛搴ㄥぇ淮绱B12浠ヤ杩缁歌藉舰锛瑰姘寸姣瀵规歌戒唬璋㈢骞叉般
3.椋瑰楂杈娌荤规浜藉板轰娇ㄩ圭棰叉跺拌濂芥

1.娌绘锛跺浣寰烘澶憋娑叉ユ炬瑰㈠姝ｅ父
2.濂借浆锛躲浣寰娑叉ユ瑰

1.杩瀵缂诲ヤ涔β风缁ャ锛灞变绉虹绀撅2001锛P227
2.楂涓浠ｅ婚㈣甯歌锛瀹寰界虹绀撅2002锛P266
ユфｆц楂稿虫绔绔村舵病绔锛瑰昏绔ユфｆц楂稿冲剧涓浼剧村舵病剧锛瑰昏涓浼剧ユфｆц楂稿崇剧路蹇х‖路借川ュ讳 路澶х‖ 路寮ユ极х‖ 路涓ぎ妗ラ婧惰В.路瑙绁缁楂ユфｆц楂稿崇村舵病稿崇ユфｆц楂稿抽村舵病稿抽锛ㄥ浠ュㄥ杈硅琛ユфｆц楂锛瀹癸楠璇锛涓娓妤缃浜ゆ涓婚锛（20瀛浠ュ）
（200瀛浠ュ）楠璇锛（绀猴婚杈ラ璇）淇℃渚锛涓戒涓鸿荤渚濡杞浇寮ㄦ绔娑锛璇烽涓浠绯
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