浣滅偤铏曟柟钘ワ紝搴疯壘鎵舵鑶犲泭鑶犲泭鎴愪唤锛氶潏鑺�銆侀粌鑺�銆佸埡姊�銆佺啛鍦伴粌銆佸コ璨炲瓙銆佹帆缇婅椏銆佸崐澶忥紙濮滃埗锛�銆傝棩鐗╄臣(g貌u)璨风殑娓犻亾鐩稿皪(du矛)杓冨锛岄櫎浜嗗湪鍚勫湴鍗€(q奴)鐨勯啱(y墨)闄互澶�锛屽ぇ鍨嬬殑钘ユ埧涔熸槸鏈夎棩鍝佸嚭鍞殑锛屾偅鑰呭彲浠ュ埌搴楀挩瑭簡瑙e児(ji脿)鏍间箣鍚庡苟璩�(g貌u)璨�銆傜敓娲讳腑锛屼篃瑕佹敞鎰忓仛濂介2椋熻(di脿o)鐞嗐€� 瑭虫儏
娉ㄥ皠鐢ㄩ菇閰稿钩闄�(y谩ng)闇夌礌鍦ㄩ啱(y墨)闄互鍙婅棩搴楃殑鍍�(ji脿)鏍煎彲鑳芥渻(hu矛)瀛樺湪娉㈠嫊(d貌ng)鎬�锛屾墍浠ラ渶瑕佷汉鍊戝叿楂斿幓闂�(gu膩n)娉ㄤ竴浜涙不鐧備笂鐨勫収(n猫i)瀹癸紝鑳藉鍫�(ji膩n)鎸佸幓鍋氬ソ璀�(h霉)鐞嗕笂鐨勫伐浣�銆傛敞灏勭敤楣介吀骞抽櫧(y谩ng)闇夌礌涓绘不鍞囩檶銆佽垖鐧�銆侀綊榻︾檶銆侀蓟鍜界檶绛夐牠闋搁儴楸楃檶銆備害鍙敤浜庢不鐧傜毊鑶氱檶銆佷钩鑵虹檶銆佸闋哥檶銆侀绠$檶銆侀櫚鑾栫檶銆佸闄扮檶銆佹儭鎬ф穻宸寸檶鍜屽姝绘€ц倝鑺借叓绛�銆傚皪(du矛)鑲濈檶涔熸湁涓€瀹氱檪鏁�銆傚皪(du矛)缈肩媭鑳倝鏈夐’钁楃檪鏁�銆� 瑭虫儏
琛€灏忔澘娓涘皯鍟�(w猫n)椤屽彲鑳借浣跨敤钘ョ墿渚�(l谩i)铏曠悊锛岃€屽悍鑹炬壎姝h啝鍥婃硶鐢ㄩ噺锛氬彛鏈�锛屼竴娆�1-2绮�锛屼竴鏃�3娆�銆傛牴鎿�(j霉)瑾�(shu艒)鏄庢浉锛屽悍鑹炬壎姝h啝鍥婄殑淇濊唱(zh矛)鏈熺偤36鍊�(g猫)鏈堢浉灏�(du矛)杓冮暦(zh菐ng)锛屼絾鏄偅鑰呴倓鏄娉ㄦ剰鍦ㄧ敤钘ヤ腑鏌ョ湅钘ョ墿淇濊唱(zh矛)鏈�锛岄伩鍏嶈鏈嶉亷(gu貌)鏈熺殑钘ョ墿銆� 瑭虫儏
灏�(du矛)浜庨亷(gu貌)鏁忛珨璩�(zh矛)鎴栬€呮槸鏈夎棩鐗╂垚鍒嗛亷(gu貌)鏁忕殑浜虹兢鑰岃█锛屾噳(y墨ng)鐣�(d膩ng)鍦ㄧ敤钘ヤ箣鍓嶅幓鏌ョ湅瑾�(shu艒)鏄庢浉锛屼簡瑙e叿楂旂殑鎴愬垎淇℃伅銆傚畨搴锋鑶犲泭鎴愪唤锛氬崐鏋濊摦銆佸北璞嗘牴銆佽挷鍏嫳銆侀瓪鑵ヨ崏銆佸鏋崏銆佺煶涓婃煆銆佹灨鏉炲瓙銆佺┛鐮寸煶銆佷汉鍙�銆侀粌鑺�銆侀洖琛€钘�銆侀潏鑺�銆侀粌绮俱€佺櫧琛�(sh霉)銆侀花鍙冦€佹帆缇婅椏銆佸厰绲插瓙銆佷腹鍙冨崄鍏懗涓棩绲勬垚銆� 瑭虫儏
閱�(y墨)闄㈠拰姝h(gu墨)钘ユ埧鏈夊悍鑹炬壎姝h啝鍥婂嚭鍞紝鍙互鍘昏臣(g貌u)璨�锛屾湰钘ョ墿鍔熻兘涓绘不锛氳嫍閱�(y墨)锛氬竷瑗挎睏鍚宠嫰銆佹汲鐮ф潮瀹�锛涙礂鍎傦紝鎿嬪様锛屼粌缍�(w菐ng)鍋�锛屼话婧緟姝愶紝闃挎潨娲�锛屾眰鎺勬锛岄樋姣旇硳锛涗腑閱�(y墨)锛氱泭姘hВ姣�锛屾暎绲�(ji茅)娑堣叓锛屽拰鑳冨畨绁�锛涚敤浜庤叓鐦ゆ斁鍖栫檪寮曡捣鐨勭櫧绱�(x矛)鑳炰笅闄�锛岃灏忔澘娓涘皯锛屽厤鐤姛鑳介檷浣庢墍鑷寸殑楂旇櫅涔忓姏銆侀娆蹭笉鎸�銆佸様鍚愩€佸け鐪犵瓑鐧ョ殑杓斿姪娌荤檪銆� 瑭虫儏
瀹夋煰鐟炲爆鍙京(f霉)鍒跺瀷鐥呮瘨锛屽嬁鑸囨姉鐥呮瘨钘ョ墿銆佸厤鐤姂鍒跺姂銆佸ぇ鍔戦噺鑵庝笂鑵虹硸鐨唱(zh矛)婵€绱犲悓鏅�(sh铆)浣跨敤銆傚湪浣跨敤瀹夋煰鐟炴湡闁�锛屾噳(y墨ng)鐩¢噺閬垮厤鑸囬€欎簺钘ョ墿鍚屾檪(sh铆)鏈嶇敤锛屾垨鍦ㄩ啱(y墨)鐢熸寚灏�(d菐o)涓嬭(di脿o)鏁村姂閲忋€� 瑭虫儏
鐢ㄨ棩鍓�锛屾垜鍊戦渶瑕佷簡瑙h棩鐗╃蹇�锛屾敞灏勭敤楣介吀骞抽櫧(y谩ng)闇夌礌绂佸繉鏄�1.灏�(du矛)鍗氳悐闇夌礌椤炴姉鐢熺礌鏈夐亷(gu貌)鏁忓彶鐨勬偅鑰呯鐢�銆�2.灏�(du矛)鏈夎偤銆佽倽銆佽厧鍔熻兘闅滅鐨勬偅鑰呮厧鐢�銆傚湪浣跨敤姝よ棩鏅�(sh铆)锛屾偅鑰呴倓闇€瀵嗗垏闂�(gu膩n)娉ㄨ嚜韬弽鎳�(y墨ng)锛屼竴鏃﹀嚭鐝�(xi脿n)涓嶉仼鐧ョ媭锛屾噳(y墨ng)绔嬪嵆鍋滆棩骞跺氨閱�(y墨)銆� 瑭虫儏
钘ョ墿寰€寰€閮藉瓨鍦ㄤ笉鑹弽鎳�(y墨ng)锛屾嘲娆g敓锛堝凹濡ョ彔鍠姉娉ㄥ皠娑诧級涓嶈壇鍙嶆噳(y墨ng)鏄┎钘ョ墿鐨勪笉鑹弽鎳�(y墨ng)涓昏琛ㄧ従(xi脿n)鐐虹櫦(f膩)鐔�銆佽澹撲笅闄�銆佹儭蹇�銆侀牠鏆�銆佺毊鐤广€傚湪浣跨敤姝よ棩鐗╂檪(sh铆)锛屾偅鑰呴渶瀵嗗垏闂�(gu膩n)娉ㄨ嚜韬弽鎳�(y墨ng)锛屽鏈変笉閬╂噳(y墨ng)绔嬪嵆鍛婄煡閱�(y墨)鐢�銆� 瑭虫儏
浠侀潚鑺掕(ju茅)鍔熻兘涓绘不锛氭竻鐔辫В姣�锛岀泭椁�(y菐ng)鑲濊儍锛屾槑鐩啋绁�锛屾剤鐦�锛屾粙瑁�(b菙)寮�(qi谩ng)韬�锛涚敤浜庤嚜鐒舵瘨銆侀鐗╂瘨銆侀厤鍒舵瘨绛夊悇绋腑姣掔櫏锛涒€滃煿鏍规湪甯冣€�锛屾秷鍖栭亾娼扮槏锛屾€ユ參鎬ц吀鑳冪値锛岃悗绺€ц儍鐐�锛岃吂姘达紝楹婚ⅷ(f膿ng)鐥呯瓑锛涘叾娆★紝钘ョ墿鐨勭敤娉曠敤閲忥細鍙f湇锛涗竴娆�1涓革紝涓€鏃�1娆�锛岀爺纰庡悗鏈嶇敤銆� 瑭虫儏
钘ョ墿闇€瑕佹纰轰繚瀛橈紝鐩婃櫘鑸掑彛鑵斿嚌鑶犺帛钘忔槸鏀剧疆鍦ㄥ厭绔ヤ笉鍙Ц鍙婄殑鍦版柟銆傜摱瀛愬付澶栫洅瀹ゆ韩璨瓨銆傚湪鏀剧檪閬�(gu貌)绋嬩腑锛岃壇濂界殑璀�(h霉)鐞嗘槸骞姪鎮h€呴爢鍒╁害閬�(gu貌)娌荤檪鐨勯噸瑕佷竴鐠�(hu谩n)?锛涢鍜磋盁鐩熷簫^(gu貌)绋嬩腑鍙兘鏈�(hu矛)鎰熷埌绶婂嫉鍜岀劍鎱�锛屽績鐞嗘敮鎸佸挨鐐洪棞(gu膩n)閸�銆傝(h霉)鐞嗕汉鍝℃噳(y墨ng)瀹氭湡鑸囨偅鑰呴€�(j矛n)琛屽績鐞嗘簼閫�锛屼簡瑙d粬鍊戠殑蹇冪悊鐙€鎱�(t脿i)锛岀郸浜堝繀瑕佺殑绮剧鏀寔鑸囬紦鍕�(l矛)銆� 瑭虫儏
瀹夋煰鐟炲瓡濠﹀強鍝轰钩鏈熷│濂崇敤钘�:瀛曞│鍙婂摵涔虫湡濠﹀コ绂佺敤鏈搧锛屾嚪瀛曠殑濠﹀コ鑻ユ槸鎯宠鐢ㄨ棩灏�(du矛)鐤剧梾閫�(j矛n)琛屾不鐧�锛屼竴瀹氳璎�(j菒n)鎱庯紝瑕佸湪灏堟キ(y猫)浜哄+鎸囧皫(d菐o)涓嬮€�(j矛n)琛岃棩鐗╃殑浣跨敤锛屽苟涓斾篃鎳�(y墨ng)瑭叉敞鎰忚瀵熶竴涓嬬敤钘ュ悗鐨勮韩楂旂媭娉佽瀹氭湡寰�(f霉)鏌ャ€� 瑭虫儏
娉版鐢熷凹濡ョ彔鍠姉娉ㄥ皠娑蹭笉鑹弽鎳�(y墨ng):瑭茶棩鐗╃殑涓嶈壇鍙嶆噳(y墨ng)涓昏琛ㄧ従(xi脿n)鐐虹櫦(f膩)鐔�銆佽澹撲笅闄嶃€佹儭蹇�銆侀牠鏆堛€佺毊鐤�锛屽ぇ瀹跺皪(du矛)钘ョ墿寮曡捣鐨勪笉鑹弽鎳�(y墨ng)瑕佽(j菒n)鎱庨噰鍙栨帾鏂借檿鐞�锛屼笉瑕侀毃渚跨敤钘ユ不鐧傦紝浠ュ厤钘ュ搧浣跨敤涓嶆伆鐣�(d膩ng)锛屾渻(hu矛)褰遍熆鍋ュ悍銆� 瑭虫儏
娉版鐢燂紙灏煎Ε鐝犲柈鎶楁敞灏勬恫锛夊彲閫忛亷(gu貌)鑳庣洡灞忛殰锛岀爺绌舵彁绀篍GFR鑸囪儙鍏掔櫦(f膩)鑲茶(di脿o)鎺�銆佺祫绻斿垎鍖栥€佸櫒瀹樺舰鎴愭湁闂�(gu膩n)锛屾晠瀛曞│鎴栨矑(m茅i)鏈夐噰鐢ㄨ冻澶犻伩瀛曟帾鏂界殑濠﹀コ鎱庣敤銆傞嚌灏�(du矛)鐗瑰畾浜虹兢濡傚摵涔虫湡濠﹀コ鐨勭敤钘ラ€氬父閮介渶瑕佽純鐐鸿(j菒n)鎱庯紝瑕佹牴鎿�(j霉)閱�(y墨)鐢熻⿻(p铆ng)浼版偅鑰呯殑瀵�(sh铆)闅涙儏娉�锛屽埄澶т簬寮婃墠鑳戒娇鐢ㄧ浉闂�(gu膩n)钘ョ墿锛屾偅鑰呭钩鏅�(sh铆)涔熸噳(y墨ng)鐣�(d膩ng)澶氶棞(gu膩n)娉ㄥ叿楂旂殑娌荤檪鏂瑰悜銆� 瑭虫儏
鐩婃櫘鑸掑彛鑵斿嚌鑶犵蹇岀櫏锛氬皪(du矛)浠讳竴绋紨鏂欓亷(gu貌)鏁�(楂樻晱)鑰咃紝璜�(q菒ng)鍕夸娇鐢�?锛涢鍜磋皯瑜傞潯瀚笎濯插焹鐟�?y墨ng)瑭崇窗(x矛)闁辫畝钘ュ搧瑾�(shu艒)鏄庢浉锛屽苟浜嗚В鑷繁灏�(du矛)鍏朵腑鎴愬垎鏄惁瀛樺湪閬�(gu貌)鏁忔儏娉併€傚鏋滃瓨鍦ㄩ亷(gu貌)鏁忛ⅷ(f膿ng)闅�(xi菐n)锛屾偅鑰呮噳(y墨ng)閬靛惊閱�(y墨)鍥�锛岄伕鎿囧叾浠栭仼鍚堢殑娌荤檪鏂规銆傚钩鏅�(sh铆)鍦ㄨ韩楂旂媭娉佽壇濂芥儏娉佷笅锛屾偅鑰呭彲浠ュ槜瑭︿竴浜涘挤(qi谩ng)搴︾◢澶х殑閬�(y霉n)鍕�(d貌ng)锛屽鎱㈣窇銆佹墦缇芥瘺鐞冪瓑锛屼絾鍚屾ǎ闇€瑕佹敞鎰忔帶鍒堕亱(y霉n)鍕�(d貌ng)鏅�(sh铆)闁撳拰寮�(qi谩ng)搴︼紝閬垮厤閬�(gu貌)搴﹀嫗绱�銆�?? 瑭虫儏
娉ㄥ皠鐢ㄩ菇閰稿钩闄�(y谩ng)闇夌礌鍙紩璧疯偤绾栫董鍖栵紝涓嶅疁鐢ㄤ簬鑲洪儴鏀惧皠娌荤檪鎮h€�銆傛敞灏勬湰钘ュ搧鍓嶅厛鏈嶆秷鐐庣棝50mg鍙笡杓曠櫦(f膩)鐔卞弽鎳�(y墨ng)銆傚闋哥檶鐨勭櫦(f膩)鐢熷彲鑳借垏鏌愪簺鏈夊鐗╄唱(zh矛)鐨勬帴瑙稿瘑鍒囩浉闂�(gu膩n)锛屽鐓欒崏銆佸寲瀛�(xu茅)鐗╄唱(zh矛)绛�锛屾偅鑰呮噳(y墨ng)閬�(yu菐n)闆㈤€欎簺鏈夊鐗╄唱(zh矛)锛岄伩鍏嶅惛鐓欏拰琚嫊(d貌ng)鍚哥厵锛屾笡灏戞帴瑙稿寲宸ュ師鏂�銆佹煋鏂欑瓑鏈夊鐗╄唱(zh矛)鐨勬(j墨)鏈�(hu矛)銆� 瑭虫儏
娉ㄥ皠鐢ㄩ菇閰稿钩闄�(y谩ng)闇夌礌绂佸繉锛氬皪(du矛)鍗氳悐闇夌礌椤炴姉鐢熺礌鏈夐亷(gu貌)鏁忓彶鐨勬偅鑰呯鐢�銆傚皪(du矛)鏈夎偤銆佽倽銆佽厧鍔熻兘闅滅鐨勬偅鑰呮厧鐢�銆傚皪(du矛)浜庝笉鑳戒娇鐢ㄨ┎钘ョ墿鐨勬偅鑰�锛屾噳(y墨ng)鍦ㄩ啱(y墨)鐢熺殑鎸囧皫(d菐o)涓嬫洿鎻涙伆鐣�(d膩ng)?sh霉)涔冨宫閾儴鐟玶(sh铆)瑕侀伩鍏嶉鐢ㄨ緵杈�銆佸埡婵€鎬�銆佹补鑶┿€佽厡鍒�銆佺厵鐔忕瓑椋熺墿锛屼互鍏嶅皪(du矛)鍙h厰閫犳垚鍒烘縺锛屽奖闊跨梾鎯呮仮寰�(f霉)銆� 瑭虫儏
瀹夋煰鐟烇紙閲嶇祫浜�5鍨嬭吅鐥呮瘨娉ㄥ皠娑诧級鐨勪笉鑹弽鎳�(y墨ng)鐐烘敞灏勫眬閮ㄥ弽鎳�(y墨ng)銆侀潪鎰熸煋鎬х櫦(f膩)鐔�銆佺櫧绱�(x矛)鑳炵矑绱�(x矛)鑳炴笡灏戝拰鍖呮嫭瀵掗~銆侀牠鐥涖€佽倢鐥�銆佷箯鍔涘湪鍏�(n猫i)鐨勬祦鎰熸ǎ鐧ョ媭銆備娇鐢ㄥ寲鐧傝棩鐗╁拰闈跺悜钘ョ墿绛夊線寰€浼撮毃钁椾竴绯诲垪鍓綔鐢�锛屾偅鑰呭湪鐢ㄨ棩鍓嶆噳(y墨ng)鍏呭垎浜嗚В閫欎簺鍓綔鐢紝骞跺湪鍑虹従(xi脿n)涓嶉仼鏅�(sh铆)鍙婃檪(sh铆)鍛婄煡閱�(y墨)鐢�锛屼笉鍙搮鑷檿鐞嗗晱(w猫n)椤屻€� 瑭虫儏
瀹夋煰鐟炵殑寤犲鏄笂娴蜂笁缍敓鐗╂妧琛�(sh霉)鏈夐檺鍏徃锛岀偤涔崇櫧鑹叉贩鎳告恫銆傝┎钘ュ搧鍦ㄩ啱(y墨)闄㈠拰钘ュ簵鐨勫児(ji脿)鏍兼(bi膩o)婧�(zh菙n)骞朵笉涓€妯�锛屾墍浠ユ偅鑰呮噳(y墨ng)瑭蹭互瀵�(sh铆)闅涗簡瑙g殑淇℃伅鐐烘簴(zh菙n)锛屾瘮濡傚彲浠ュ湪鐩婅棩搴峰痉妯�(l猫)澶ц棩鎴夸簡瑙g浉闂�(gu膩n)鐨勫収(n猫i)瀹�锛屼篃鎳�(y墨ng)瑭茶€愬績鐨勫幓鍋氬ソ璀�(h霉)鐞嗗伐浣滃拰娉ㄦ剰浜嬮爡(xi脿ng)銆� 瑭虫儏
娉版鐢燂紙灏煎Ε鐝犲柈鎶楁敞灏勬恫锛夋敞鎰忎簨闋�(xi脿ng)锛�1锛庢嘲娆g敓鍑嶈瀺鍚庢姉楂斿ぇ閮ㄥ垎娲绘€у皣鍠け锛屾晠鍦ㄨ帛钘忓拰閬�(y霉n)杓搁亷(gu貌)绋嬩腑鍤�(y谩n)绂佸喎鍑�銆傛嘲娆g敓绋€閲嬩簬鐢熺悊楣芥按鍚�锛屽湪2-8鈩冨彲淇濇寔绌�(w臎n)瀹�12灏忔檪(sh铆)锛屽湪瀹ゆ韩涓嬪彲淇濇寔8鍊�(g猫)灏忔檪(sh铆)銆傚劜(ch菙)瀛樻檪(sh铆)闁撹秴閬�(gu貌)涓婅堪鏅�(sh铆)闁�锛屽墖鎳�(y墨ng)妫勫幓涓嶅疁绻肩簩(x霉)浣跨敤銆�2锛庢嘲娆g敓蹇呴爤鍦ㄦ湁缍�(j墨ng)椹�(y脿n)鐨勮嚚搴婇啱(y墨)甯寚灏�(d菐o)涓嬩娇鐢�?锛涢鍜傜秿r(sh铆)瑕佽(di脿o)鏁村ソ鑷繁鐨勬儏绶掔媭鎱�(t脿i)锛屼笉瑕佹湁绶婂嫉銆佺劍鎱�銆佹亹鎳肩瓑鐨勬儏绶掔媭鎱�(t脿i)銆� 瑭虫儏
姝e搧淇濋殰 鏀惧績閬歌臣(g貌u)
鐢ㄨ棩鍏ㄧ▼鎸囧皫(d菐o)
寤犲鎺堟瑠(qu谩n) 姝e搧娓犻亾
瀹夊叏鏀惧績 闅辩閰嶉€�