绶ㄨ集鎺ㄨ枽锛�2022骞磋(h霉)澹硣鏍艰瓑鑰冮粸(di菐n)绮捐瑳绗竴绔犲尟绺�

2022骞磋(h霉)澹硣鏍艰瓑鑰冭│鏅�(sh铆)闁撻爯(y霉)瑷�(j矛)鍦�4鏈堟垨鑰�5鏈�锛屾兂瑕佸弮鍔犳湰娆¤€冭│鐨勮€冪敓锛屽彲浠ユ姄绶婃檪(sh铆)闁撻枊(k膩i)濮嬪京(f霉)缈�(x铆)浜�銆備笅闈㈡槸灏忕法鐐哄ぇ瀹�?gu墨)顫�?l谩i)鐨�“2022骞磋(h霉)澹硣鏍艰瓑鑰冮粸(di菐n)绮捐瑳锛氭按銆侀浕瑙ｈ唱(zh矛)銆侀吀鍫垮钩琛″け瑾�(di脿o)鐥呬汉鐨勮(h霉)鐞嗭紙绗竴绔犵鍗佸叚绡€(ji茅)锛�”銆�

澶у鍙互 鍏嶈不(f猫i)闋�(y霉)绱勭煭淇℃彁閱�锛屽眴鏅�(sh铆)鏈�(hu矛)閫氱煡澶у2022骞磋(h霉)澹硣鏍艰瓑鑰冭│鍫�(b脿o)鍚嶆檪(sh铆)闁�銆佽€冭│鏅�(sh铆)闁撶瓑閲嶈鏅�(sh铆)闁撶瘈(ji茅)榛�(di菐n)淇℃伅銆�

2022骞磋(h霉)澹硣鏍艰瓑鑰冮粸(di菐n)绮捐瑳

绗竴绔� 鍩虹(ch菙)璀�(h霉)鐞嗙煡璀�(sh铆)鍜屾妧鑳�

绗崄鍏瘈(ji茅) 姘淬€侀浕瑙ｈ唱(zh矛)銆侀吀鍫垮钩琛″け瑾�(di脿o)鐥呬汉鐨勮(h霉)鐞�

涓€銆佹杩�

1.楂旀恫绲勬垚鍙婂垎甯�

鎴愬勾鐢锋€ч珨娑茬磩鍗犻珨閲嶇殑60%;濂虫€х磩鍗�50%;瀣板辜鍏掑彲楂橀仈(d谩)70%锝�80%銆傜敺銆佸コ鎬х窗(x矛)鑳炲娑插潎绱勫崰楂旈噸鐨�20%銆�

2.楂旀恫骞宠　鍙婅(di脿o)绡€(ji茅)

(1)姘村钩琛★細

姝ｅ父鎴愪汉姣忔棩鏀濆叆閲忥細椋叉按1600ml锛岄鐗�700ml锛屼唬璎濇哀鍖栫敓姘�200ml锛屽悎瑷�(j矛)2500ml;

姝ｅ父鎴愪汉姣忔棩鎺掑嚭閲忥細灏�1500ml锛岀碁200ml锛屽懠鍚�300ml锛岀毊鑶氳捀鐧�(f膩)500ml锛屽悎瑷�(j矛)2500ml銆�

(2)闆昏В璩�(zh矛)骞宠　锛氱董鎸侀珨娑查浕瑙ｈ唱(zh矛)骞宠　鐨勪富瑕侀浕瑙ｈ唱(zh矛)Na+鍜孠+銆�

(3)楂旀恫骞宠　鐨勮(di脿o)绡€(ji茅)锛氶珨娑插閲忓強婊查€忓鐨勭┅(w臎n)瀹氱敱绁炵稉(j墨ng)-鍏�(n猫i)鍒嗘硨绯荤当(t菕ng)瑾�(di脿o)绡€(ji茅)銆�

3.閰稿牽骞宠　鍙婅(di脿o)绡€(ji茅)

浜洪珨涓昏渚濋潬楂旀恫涓瓨鍦ㄧ殑绶╂矕灏�(du矛)銆佽偤鍜岃厧瑾�(di脿o)绡€(ji茅)閰稿牽骞宠　銆傜珐娌栫郴绲�(t菕ng)浠CO3-/H2CO3鏈€鐐洪噸瑕�锛屽叾姣斿€间繚鎸佷簬20:1銆�

浜屻€佹按鍜岄垑浠ｈ瑵绱婁簜

(涓€)鐥呭洜鍒嗛(l猫i)

1.绛夋徊鎬х己姘�(鏈€甯歌(ji脿n))锛氭按鍜岄垑鎴愭瘮渚嬪柂澶�銆�

(1)娑堝寲娑叉€ユ€у柂澶憋細澶ч噺鍢斿悙銆佽吀鐦�銆佽吀姊楅樆绛�銆�

(2)楂旀恫鎬ユ€у柂澶憋細鎬ユ€ц吂鑶滅値銆佸ぇ闈㈢⿳鐕掑偡鏃╂湡绛�銆�

2.浣庢徊鎬х己姘达細姘村拰閳夊悓鏅�(sh铆)涓熷け锛屽け閳夊浜庡け姘�锛岃娓呴垑浣庝簬135mmol/L銆�

(1)鑳冭吀閬撴秷鍖栨恫鎸佺簩(x霉)鎬т笩澶憋細鍙嶅京(f霉)鍢斿悙銆佽吂鐎夋垨澶у壍(chu脿ng)闈㈡參鎬ф徊娑层€�

(2)绛夋徊鎬ч珨娑蹭笩澶辩梾浜哄彧鍠濈櫧闁�(k膩i)姘�锛屾垨闈滆剤杓稿叆澶ч噺钁¤悇绯栨恫銆�

(3)闀�(zh菐ng)鏈熶娇鐢ㄦ帓閳夊埄灏垮姂銆�

3.楂樻徊鎬х己姘达細姘村拰閳夊悓鏅�(sh铆)缂哄け锛屽け姘村浜庡け閳�锛岃娓呴垑楂樹簬150mmol/L銆�

(1)姘村垎?j菒n)z鍏ヤ笉瓒筹細闀�(zh菐ng)鏈熺椋�锛屽悶鍜藉洶闆�锛屾槒杩疯€屾湭瑁�(b菙)鍏呮恫楂�锛屾垨榧婚＜楂樻績搴﹁吀鍏�(n猫i)鐕�(y铆ng)椁�(y菐ng)婧舵恫銆�

(2)姘村垎鍠け閬�(gu貌)澶氾細澶ч潰绌嶇噿鍌风稉(j墨ng)鍓�(chu脿ng)闈㈣捀鐧�(f膩)澶ч噺姘村垎銆侀珮鐔卞ぇ閲忓嚭姹�銆佺硸灏跨梾鐥呬汉鍥犺绯栨湭鎺у埗鑷撮珮婊叉€у埄灏跨瓑銆�

4.姘翠腑姣�(杓冨皯瑕�(ji脿n))锛氱附?c猫)鑳啒鐮嶎兒^(gu貌)鎺掑嚭閲�銆�

(1)鑵庤“绔帓灏胯兘鍔涗笅闄嶃€�

(2)姗�(j墨)楂旀敐姘撮亷(gu貌)澶氭垨闈滆剤杓告恫閬�(gu貌)澶�銆�

(3)鍚勭ó鍘熷洜寮曡捣ADH鍒嗘硨閬�(gu貌)澶�銆�

(浜�)鑷ㄥ簥琛ㄧ従(xi脿n)

1.绛夋徊鎬х己姘达細鎯″績銆佸様鍚�銆佸幁椋�銆佸彛鍞囧共鐕�銆佺溂绐╁嚬闄枫€佺毊鑶氬綀鎬ч檷浣庡拰灏戝翱绛夌櫏鐙€锛屼絾涓嶅彛娓淬€�

鐭湡鍏�(n猫i)楂旀恫?ji菐n)閫傂絖(d谩)楂旈噸5%鏅�(sh铆)锛氬績鐜囧姞蹇�銆佽剤鎼忔笡寮便€佽澹撲笉绌�(w臎n)瀹氭垨闄嶄綆銆佽偄绔繒鍐风瓑浼戝厠鐧ョ媭锛屽父浼翠唬璎濇€ч吀涓瘨銆�

2.浣庢徊鎬х己姘达細鍙ｆ复涓嶆槑椤�锛屽洜缂洪垑鍑虹従(xi脿n)鐤蹭箯銆侀牠鏆�銆佽粺寮辩劇(w煤)鍔涳紝鎯″績鍢斿悙銆佽〃鎯呮贰婕�銆佽厯鑵歌倢鐥欐敚鎬х柤鐥涜純鏄庨’;鍑虹従(xi脿n)绔欑珛鎬ф槒鍊掋€佽澹撲笅闄嶇敋鑷充紤鍏�銆�

鏃╂湡灏块噺姝�?锛涜毜鏍介締?锛屼絾灏挎瘮閲嶄綆锛屽翱閳�銆佹隘鍚噺涓嬮檷;鍚庢湡灏垮皯锛屼絾灏挎瘮閲嶄粛浣庛€�

3.楂樻徊鎬х己姘�

(1)杓曞害锛氱己姘撮噺鍗犻珨閲嶇殑2%锝�4%銆傚彛娓�銆�

(2)涓害锛氱己姘撮噺鍗犻珨閲嶇殑4%锝�6%銆傛サ搴﹀彛娓达紝甯镐即鐓╄簛銆佷箯鍔涖€佺毊鑶氬綀鎬у樊銆佺溂绐╁嚬闄枫€佸翱灏戝拰灏挎瘮閲嶅楂�銆�

(3)閲嶅害锛氱己姘撮噺澶т簬楂旈噸鐨�6%銆傞櫎涓婅堪鐧ョ媭澶�锛屽彲鍑虹従(xi脿n)韬佺媯銆佸够瑕�(ju茅)銆佽濡勭敋鑷虫槒杩风瓑鑵﹀姛鑳介殰绀欑殑琛ㄧ従(xi脿n)銆�

4.姘翠腑姣�

(1)鎬ユ€ф按涓瘨璧风梾鎬�锛屼互鑵︽按鑵渶鐐虹獊鍑�锛岃〃鐝�(xi脿n)鐐洪牠鐥涖€佸様鍚�銆佽鍔涙ā绯�銆佽濡�銆侀鍘ョ敋鑷虫槒杩凤紝鍤�(y谩n)閲嶈€呭彲鐧�(f膩)鐢熻叇鐤�銆�

(2)鎱㈡€ф按涓瘨澶氳鍘熺櫦(f膩)鐥呯殑鐧ョ媭鎵€鎺╄搵锛屽彲鍑虹従(xi脿n)杌熷急鐒�(w煤)鍔涖€佹儭蹇�銆佸様鍚愩€佸棞鐫�銆侀珨閲嶅鍔�銆佺毊鑶氳捈鐧界瓑鐧ョ媭銆�

(涓�)杓斿姪妾㈡煡

1.瀵�(sh铆)椹�(y脿n)瀹ゆ鏌ャ€€绱呯窗(x矛)鑳炶▓(j矛)鏁�(sh霉)銆佽绱呰泲鐧藉拰琛€绱�(x矛)鑳炴瘮瀹�锛屼笁绋己姘村潎鏈変笉鍚岀▼搴﹀楂�;姘翠腑姣掓檪(sh铆)鍧囬檷浣�銆�

2.琛€娓呴浕瑙ｈ唱(zh矛)妾㈡煡

浣庢徊鎬х己姘磋娓呴垑<135mmoI/L;

楂樻徊鎬х己姘磋娓呴垑>150mmol/L;

姘翠腑姣掕閳夊彲闄嶈嚦120mmol/L浠ヤ笅銆�

3.鍕�(d貌ng)鑴堣?d煤)澶ユ不瑙モ垐娆犺＂鐟玶(sh铆)浼存湁閰�(鍫�)涓瘨銆�

(鍥�)铏曠悊鍘熷墖

1.绛夋徊鎬х己姘达細鐢ㄧ瓑婊查菇姘存垨骞宠　楣芥憾娑茶(b菙)鍏呰瀹归噺銆�

2.浣庢徊鎬х己姘达細杓�銆佷腑搴︾己閳夌梾浜�锛岃(b菙)鍏�5%钁¤悇绯栭菇婧舵恫;閲嶅害缂洪垑鐥呬汉闈滆剤婊存敞閬╅噺楂樻徊楣芥按銆�

3.楂樻徊鎬х己姘达細椋叉按鍙婄稉(j墨ng)闈滆剤瑁�(b菙)鍏�5%钁¤悇绯栨憾娑诧紝蹇呰鏅�(sh铆)閬╅噺瑁�(b菙)閳�銆�

4.姘翠腑姣掞細杓曡€呴檺鍒舵按?d膩ng)z鍏�锛岄噸鑰呭毚(y谩n)绂佹按?d膩ng)z鍏ュ锛岄潨鑴堣几娉ㄩ珮婊查菇姘�(3%-5%姘寲閳夋憾娑�)锛岄厡鎯呬娇鐢ㄦ徊閫忔€у埄灏垮姂(鍛嬪绫�)銆�

(浜�)璀�(h霉)鐞嗗晱(w猫n)椤�

1.楂旀恫涓嶈冻銆€鑸囬珮鐔�銆佸様鍚愩€佽吂鐎�銆佽儍鑵告笡澹撶瓑灏�(d菐o)鑷寸殑澶ч噺楂旀恫涓熷け鏈夐棞(gu膩n)銆�

2.楂旀恫閬�(gu貌)澶氥€€鑸囨敐鍏ラ噺瓒呴亷(gu貌)鎺掑嚭閲忕浉闂�(gu膩n)銆�

3.鏈夌毊鑶氬畬鏁存€у彈鎼嶇殑鍗遍毆(xi菐n)銆€鑸囨按鑵拰寰惊鐠�(hu谩n)鐏屾敞涓嶈冻鏈夐棞(gu膩n)銆�

(鍏�)璀�(h霉)鐞嗘帾鏂�

1.缍寔鍏呰冻鐨勯珨娑查噺

(1)鍘婚櫎鐥呭洜銆�

(2)瀵�(sh铆)鏂芥恫楂旂檪娉曪細

1)瀹氶噺锛氱敓鐞嗛渶瑕侀噺銆佸凡鍠け閲忓拰绻肩簩(x霉)鍠け閲�(婧�(zh菙n)纰鸿閷勫嚭鍏ラ噺)銆�

2)瀹氭€�

3)瀹氭檪(sh铆)锛氬厛蹇悗鎱紝鍗崇涓€鍊�(g猫)8灏忔檪(sh铆)瑁�(b菙)鍏呯附閲忕殑1/2锛屽墿浣�1/2绺介噺鍦ㄥ悗16鍊�(g猫)灏忔檪(sh铆)鍏�(n猫i)鍧囧嫽杓稿叆銆�

(3)鐧傛晥瑙€瀵�

2.绯炬楂旀恫閲忛亷(gu貌)澶�

銆嬫帶鍒舵按鐨勬敐鍏ラ噺锛岄伒閱�(y墨)鍥戠郸浜堥珮婊叉憾娑插拰鍒╁翱鍔�;

銆嬫敞鎰忚瀵熺梾鎯呯殑鍕�(d貌ng)鎱�(t脿i)璁婂寲鍜屽翱閲�銆傞伒閱�(y墨)鍥戝仛濂介€忔瀽璀�(h霉)鐞�銆�

3.缍寔鐨啔鍜岄粡鑶滅殑瀹屾暣鎬�

銆嬪姞寮�(qi谩ng)鐥呮儏瑙€瀵�锛岄爯(y霉)闃插鐦★紝缍�(j墨ng)甯哥敤婕卞彛娑叉竻娼斿彛鑵�;

銆嬪毚(y谩n)閲嶅彛鑵旈粡鑶滅値鐧ヨ€咃紝鍙ｈ(h霉)涓€娆�/2h锛岄伒閱�(y墨)鍥戠郸钘�銆�

(涓�)鍋ュ悍鏁欒偛

1.楂樻韩鐠�(hu谩n)澧冧綔妤�(y猫)鑰呭拰閫�(j矛n)琛岄珮寮�(qi谩ng)搴﹂珨鑲叉椿鍕�(d貌ng)鑰呭嚭姹楄純澶氭檪(sh铆)锛屽強鏅�(sh铆)瑁�(b菙)鍏呮按鍒嗕笖瀹滈２鐢ㄥ惈楣介２鏂欍€�

2.鏈夐€�(j矛n)椋熷洶闆�銆佸様鍚愩€佽吂鐎夊拰鍑鸿绛夋槗灏�(d菐o)鑷撮珨娑插け琛¤€�锛屽強鏃╁氨瑷哄拰娌荤檪銆�

……

浠ヤ笂鍍呯偤“2022骞磋(h霉)澹硣鏍艰瓑鑰冮粸(di菐n)绮捐瑳锛�姘淬€侀浕瑙ｈ唱(zh矛)銆侀吀鍫垮钩琛″け瑾�(di脿o)鐥呬汉鐨勮(h霉)鐞�”鐨勯儴鍒嗗収(n猫i)瀹�锛屽畬鏁村収(n猫i)瀹逛互鍙婂皪(du矛)鎳�(y墨ng)鐨勮│椤岀反缈�(x铆)璜�(q菒ng)榛�(di菐n)鎿婃铏曟煡鐪�>>銆�

浠ヤ笂灏辨槸灏忕法鐐哄ぇ瀹�?gu墨)顫�?l谩i)鐨�“2022骞磋(h霉)澹硣鏍艰瓑鑰冮粸(di菐n)绮捐瑳锛氭按銆侀浕瑙ｈ唱(zh矛)銆侀吀鍫垮钩琛″け瑾�(di脿o)鐥呬汉鐨勮(h霉)鐞嗭紙绗竴绔犵鍗佸叚绡€(ji茅)锛�”銆傚皬绶ㄦ暣鐞嗕簡2022骞磋(h霉)澹硣鏍艰瓑鍫�(b脿o)鑰冩寚鍗�銆佷豢鐪熻│鍗枫€佺煡璀�(sh铆)绮捐瑳銆佽鎲跺彛瑷�銆佺湡椤岃€冮粸(di菐n)绛夊倷鑰冭硣鏂�锛岄粸(di菐n)鎿婁笅鏂规寜閳曞嵆鍙厤璨�(f猫i)涓嬭級锛�