\u3000\u3000\u786c\u76ae\u75c5\u7684\u51e0\u79cd\u5177\u4f53\u6cbb\u7597\u65b9\u6cd5\u3002\u786c\u76ae\u75c5\u5728\u751f\u6d3b\u4e2d\u662f\u6bd4\u8f83\u5e38\u89c1\u7684\u4e00\u79cd\u75c7\u72b6\u8868\u73b0\uff0c\u5f88\u662f\u8ba9\u4eba\u56f0\u6270\u7684\uff0c\u5e0c\u671b\u5927\u5bb6\u80fd\u591f\u6ce8\u610f\u65b9\u6cd5\u79ef\u6781\u7684\u914d\u5408\u7684\uff0c\u4e0d\u80fd\u56e0\u4e3a\u81ea\u5df1\u7684\u758f\u5ffd\u800c\u9020\u6210\u5f88\u5927\u7684\u56f0\u6270\u7684\uff0c\u79ef\u6781\u7684\u914d\u5408\u6cbb\u7597\u3002<\/p>\n\n\n\n
\u3000\u3000<\/p>\n\n\n\n
\u3000\u3000\u65b9\u6cd5\u4e00\uff1a\u6297\u708e\u53ca\u514d\u75ab\u8c03\u8282\u6cbb\u7597<\/p>\n\n\n\n
\u3000\u3000(1)\u7cd6\u76ae\u8d28\u6fc0\u7d20\uff1a\u7cd6\u76ae\u8d28\u6fc0\u7d20\u5bf9\u672c\u75c7\u6548\u679c\u4e0d\u663e\u8457\u3002\u901a\u5e38\u5bf9\u4e8e\u76ae\u80a4\u75c5\u53d8\u7684\u65e9\u671f(\u6c34\u80bf\u671f)\u3001\u5173\u8282\u75db\u3001\u808c\u8089\u75c5\u53d8\u3001\u6d46\u819c\u708e\u53ca\u95f4\u8d28\u6027\u80ba\u75c5\u7684\u708e\u75c7\u671f\u6709\u4e00\u5b9a\u7597\u6548\u3002\u5242\u91cf\u4e3a\u6cfc\u5c3c\u677e30~40mg\/d\uff0c\u8fde\u7528\u6570\u5468\uff0c\u6e10\u51cf\u81f3\u7ef4\u6301\u91cf5~10 mg\/d\u3002<\/p>\n\n\n\n
\u3000\u3000(2)\u514d\u75ab\u6291\u5236\u5242\uff1a\u5e38\u7528\u7684\u6709\u73af\u78f7\u9170\u80fa\u3001\u73af\u5b62\u7d20A\u3001\u786b\u5511\u560c\u5464\u3001\u7532\u6c28\u8776\u5464\u7b49\u3002\u6709\u62a5\u9053\u5bf9\u76ae\u80a4\u3001\u5173\u8282\u6216\u80be\u810f\u75c5\u53d8\u53ef\u80fd\u6709\u6548\uff0c\u4e0e\u7cd6\u76ae\u8d28\u6fc0\u7d20\u5408\u7528\uff0c\u5e38\u53ef\u63d0\u9ad8\u7597\u6548\u548c\u51cf\u5c11\u7cd6\u76ae\u8d28\u6fc0\u7d20\u7528\u91cf\u3002<\/p>\n\n\n\n
\u3000\u3000\u65b9\u6cd5\u4e8c\uff1a\u8840\u7ba1\u75c5\u53d8\u7684\u6cbb\u7597<\/p>\n\n\n\n
\u3000\u3000(1)SSc\u76f8\u5173\u7684\u6307\u7aef\u8840\u7ba1\u75c5\u53d8(\u96f7\u8bfa\u73b0\u8c61\u548c\u6307\u7aef\u6e83\u75a1)\uff1a\u5e94\u6212\u70df\uff0c\u624b\u8db3\u907f\u51b7\u4fdd\u6696\u3002\u5e38\u7528\u7684\u836f\u7269\u4e3a\u9499\u79bb\u5b50\u62ee\u6297\u5242\uff0c\u5982\u785d\u82ef\u5730\u5e73(10~20mg\uff0c\u6bcf\u65e53\u6b21)\uff0c\u53ef\u4ee5\u51cf\u5c11SSc\u76f8\u5173\u7684\u96f7\u8bfa\u73b0\u8c61\u7684\u53d1\u751f\u548c\u4e25\u91cd\u7a0b\u5ea6\u3002\u9759\u8109\u6ce8\u5c04\u524d\u5217\u817a\u7d20\uff0c\u53ef\u7528\u4e8e\u6cbb\u7597SSc\u76f8\u5173\u7684\u4e25\u91cd\u7684\u96f7\u8bfa\u73b0\u8c61\u548c\u5c40\u90e8\u7f3a\u8840\u3002<\/p>\n\n\n\n
\u3000\u3000(2)SSc\u76f8\u5173\u7684\u80ba\u52a8\u8109\u9ad8\u538b\uff1a\u4e3b\u8981\u63aa\u65bd\u5305\u62ec\uff1a\u2460\u6c27\u7597\uff1a\u5bf9\u4f4e\u6c27\u8840\u75c7\u60a3\u8005\u5e94\u7ed9\u4e88\u5438\u6c27\u3002\u2461\u5229\u5c3f\u5242\u548c\u5f3a\u5fc3\u5242\uff1a\u5730\u9ad8\u8f9b\u7528\u4e8e\u6cbb\u7597\u6536\u7f29\u529f\u80fd\u4e0d\u5168\u7684\u5145\u8840\u6027\u5fc3\u529b\u8870\u7aed;\u6b64\u5916\uff0c\u53f3\u5fc3\u5ba4\u660e\u663e\u6269\u5f20\uff0c\u57fa\u7840\u5fc3\u7387>100\u6b21\/min\uff0c\u5408\u5e76\u5feb\u901f\u5fc3\u623f\u98a4\u52a8\u7b49\u4e5f\u662f\u5e94\u7528\u5730\u9ad8\u8f9b\u7684\u6307\u5f81\u3002\u5bf9\u4e8e\u5408\u5e76\u53f3\u5fc3\u529f\u80fd\u4e0d\u5168\u7684\u80ba\u52a8\u8109\u9ad8\u538b\u60a3\u8005\uff0c\u521d\u59cb\u6cbb\u7597\u5e94\u7ed9\u4e88\u5229\u5c3f\u5242\u3002\u4f46\u5e94\u6ce8\u610f\u80ba\u52a8\u8109\u9ad8\u538b\u60a3\u8005\u6709\u4f4e\u94be\u503e\u5411\uff0c\u8865\u94be\u5e94\u79ef\u6781\u4e14\u9700\u5bc6\u5207\u76d1\u6d4b\u8840\u94be\u3002\u2462\u80ba\u52a8\u8109\u8840\u7ba1\u6269\u5f20\u5242\uff1a\u76ee\u524d\u4e34\u5e8a\u4e0a\u5e94\u7528\u7684\u8840\u7ba1\u6269\u5f20\u5242\u6709\u9499\u79bb\u5b50\u62ee\u6297\u5242\u3001\u524d\u5217\u73af\u7d20\u53ca\u5176\u7c7b\u4f3c\u7269\u3001\u5185\u76ae\u7d20-l\u53d7\u4f53\u62ee\u6297\u5242\u53ca5\u578b\u78f7\u9178\u4e8c\u916f\u9176\u6291\u5236\u5242\u7b49\u3002<\/p>\n\n\n\n
\u3000\u3000\u9499\u79bb\u5b50\u62ee\u6297\u5242\uff1a\u53ea\u6709\u6025\u6027\u8840\u7ba1\u6269\u5f20\u836f\u7269\u8bd5\u9a8c\u7ed3\u679c\u9633\u6027\u7684\u60a3\u8005\u624d\u80fd\u5e94\u7528\u9499\u79bb\u5b50\u62c8\u6297\u5242\u6cbb\u7597\u3002\u5bf9\u8fd9\u7c7b\u7684\u60a3\u8005\u5e94\u6839\u636e\u5fc3\u7387\u60c5\u51b5\u9009\u62e9\u9499\u79bb\u5b50\u62ee\u6297\u5242\u3002\u57fa\u7840\u5fc3\u7387\u8f83\u6162\u7684\u60a3\u8005\u9009\u62e9\u4e8c\u6c22\u5421\u5576\u7c7b\uff0c\u57fa\u7840\u5fc3\u7387\u8f83\u5feb\u7684\u60a3\u8005\u5219\u9009\u62e9\u5730\u5c14\u786b\u9769\u3002\u4ece\u5c0f\u5242\u91cf\u5f00\u59cb\u5e94\u7528\u3002\u9010\u6e10\u9012\u589e\u5242\u91cf\uff0c\u7136\u540e\u7ef4\u6301\u5e94\u7528\u3002<\/p>\n\n\n\n
\u3000\u3000\u524d\u5217\u73af\u7d20\u7c7b\u836f\u7269\uff1a\u76ee\u524d\u56fd\u5185\u53ea\u6709\u5438\u5165\u6027\u4f0a\u6d1b\u524d\u5217\u7d20\u4e0a\u5e02\u3002\u8be5\u836f\u53ef\u9009\u62e9\u6027\u4f5c\u7528\u4e8e\u80ba\u8840\u7ba1\u3002\u957f\u671f\u5e94\u7528\uff0c\u53ef\u964d\u4f4e\u80ba\u52a8\u8109\u538b\u529b\u548c\u80ba\u8840\u7ba1\u963b\u529b\uff0c\u63d0\u9ad8\u8fd0\u52a8\u8010\u91cf\uff0c\u6539\u5584\u751f\u6d3b\u8d28\u91cf\u3002\u534a\u8870\u671f\u4e3a20~25min\uff0c\u8d77\u6548\u8fc5\u901f\uff0c\u4f46\u4f5c\u7528\u65f6\u95f4\u8f83\u77ed\u3002\u6bcf\u5929\u5438\u5165\u6cbb\u7597\u6b21\u6570\u4e3a6~9\u6b21\u3002\u6bcf\u6b21\u5242\u9f0d\u81f3\u5c11\u57285~20ug\u3002<\/p>\n\n\n\n
\u3000\u3000\u5185\u76ae\u7d20-l\u53d7\u4f53\u62ee\u6297\u5242\uff1a\u521d\u59cb\u5242\u91cf62.5mg\uff0c\u6bcf\u65e52\u6b21\uff0c\u8fde\u75284\u5468\uff0c\u540e\u7eed\u5242\u91cf125 mg\uff0c\u6bcf\u65e52\u6b21\uff0c\u7ef4\u6301\u6cbb\u7597\u3002\u53ef\u4ee5\u6539\u5584\u80ba\u52a8\u8109\u9ad8\u538b\u60a3\u8005\u7684\u4e34\u5e8a\u75c7\u72b6\u548c\u8840\u6d41\u52a8\u529b\u5b66\u6307\u6807\uff0c\u63d0\u9ad8\u8fd0\u52a8\u8010\u91cf\uff0c\u6539\u5584\u751f\u6d3b\u8d28\u91cf\u548c\u751f\u5b58\u7387\u3002\u5176\u4e0d\u826f\u53cd\u5e94\u4e3b\u8981\u8868\u73b0\u4e3a\u809d\u635f\u5bb3\uff0c\u6cbb\u7597\u671f\u95f4\u5e94\u81f3\u5c11\u6bcf\u6708\u76d1\u6d4b1\u6b21\u809d\u529f\u80fd\u3002\u8be5\u836f\u5df2\u7ecf\u88ab\u6b27\u6d32\u548c\u7f8e\u56fd\u6307\u5357\u8ba4\u4e3a\u662f\u6cbb\u7597\u5fc3\u529f\u80fd\u2162\u7ea7\u80ba\u52a8\u8109\u9ad8\u538b\u60a3\u8005\u7684\u9996\u9009\u6cbb\u7597\u3002<\/p>\n\n\n\n
\u3000\u30005\u578b\u78f7\u9178\u4e8c\u916f\u9176\u6291\u5236\u5242\uff1a\u4e3b\u8981\u6709\u897f\u5730\u90a3\u975e\uff0c\u5728\u6b27\u6d32\u88ab\u63a8\u8350\u7528\u4e8e\u6cbb\u7597SSc\u76f8\u5173\u7684\u80ba\u52a8\u8109\u9ad8\u538b\uff0c\u63a8\u8350\u521d\u59cb\u5242\u91cf20 mg\uff0c\u6bcf\u65e53\u6b21\u3002\u5e38\u89c1\u4e0d\u826f\u53cd\u5e94\u5305\u62ec\u5934\u75db\u3001\u9762\u90e8\u6f6e\u7ea2\u7b49\uff0c\u4f46\u4e00\u822c\u53ef\u8010\u53d7\u3002<\/p>\n\n\n\n
\u3000\u3000SSc\u76f8\u5173\u80be\u5371\u8c61\uff1a\u80be\u5371\u8c61\u662fSSc\u7684\u91cd\u75c7\u3002\u5e94\u4f7f\u7528\u8840\u7ba1\u7d27\u5f20\u7d20\u8f6c\u6362\u9176\u6291\u5236\u5242(ACEI)\u63a7\u5236\u9ad8\u8840\u538b\u3002\u6fc0\u7d20\u4e0eSSc\u80be\u5371\u8c61\u98ce\u9669\u589e\u52a0\u76f8\u5173\uff0c\u4f7f\u7528\u6fc0\u7d20\u7684\u60a3\u8005\u5e94\u5bc6\u5207\u76d1\u6d4b\u8840\u538b\u548c\u80be\u529f\u80fd\u3002<\/p>\n\n\n\n
\u3000\u3000\u65b9\u6cd5\u4e09\uff1a\u6297\u7ea4\u7ef4\u5316\u6cbb\u7597<\/p>\n\n\n\n
\u3000\u3000\u867d\u7136\u7ea4\u7ef4\u5316\u662fSSc\u75c5\u7406\u751f\u7406\u7684\u7279\u5f81\u6027\u8868\u73b0\u3002\u4f46\u8fc4\u4eca\u4e3a\u6b62\u5c1a\u65e0\u4e00\u79cd\u836f\u7269\u88ab\u8bc1\u5b9e\u5bf9\u7ea4\u7ef4\u5316\u6709\u80af\u5b9a\u7684\u7597\u6548\u3002<\/p>\n\n\n\n
\u3000\u30001.SSc\u76f8\u5173\u7684\u76ae\u80a4\u53d7\u7d2f\uff1a\u6709\u7814\u7a76\u663e\u793a\u7532\u6c28\u8776\u5464\u53ef\u6539\u5584\u65e9\u671f\u5f25\u6f2b\u6027SSc\u7684\u76ae\u80a4\u786c\u5316\uff0c\u5176\u4ed6\u836f\u7269\u5982\u73af\u5b62\u7d20A\u3001\u4ed6\u514b\u83ab\u53f8\u3001\u677e\u5f1b\u7d20\u3001\u4f4e\u5242\u91cf\u9752\u9709\u80fa\u548c\u9759\u8109\u4e19\u79cd\u7403\u86cb\u767d(IVIG)\u5bf9\u76ae\u80a4\u786c\u5316\u53ef\u80fd\u4e5f\u6709\u4e00\u5b9a\u6539\u5584\u4f5c\u7528\u3002<\/p>\n\n\n\n
\u3000\u30002.SSc\u7684\u95f4\u8d28\u6027\u80ba\u75c5\u548c\u80ba\u7ea4\u7ef4\u5316\uff1a\u73af\u78f7\u9170\u80fa\u88ab\u63a8\u8350\u7528\u4e8e\u6cbb\u7597SSc\u7684\u95f4\u8d28\u6027\u80ba\u75c5\uff0c\u73af\u78f7\u9170\u80fa\u51b2\u51fb\u6cbb\u7597\u5bf9\u63a7\u5236\u6d3b\u52a8\u6027\u80ba\u6ce1\u708e\u6709\u6548\u3002\u53e6\u5916\uff0c\u4e59\u9170\u534a\u80f1\u6c28\u9178\u5bf9\u80ba\u95f4\u8d28\u75c5\u53d8\u53ef\u80fd\u6709\u4e00\u5b9a\u7684\u8f85\u52a9\u6cbb\u7597\u4f5c\u7528\u3002\u4e2d\u836f\u51ac\u866b\u590f\u8349\u83cc\u4e1d\u5236\u5242\u4ea6\u6709\u6297\u80ba\u7ea4\u7ef4\u5316\u7684\u4f5c\u7528\u3002<\/p>\n\n\n\n
\u3000\u3000\u56db\uff1a\u5176\u4ed6\u810f\u5668\u53d7\u7d2f\u7684\u6cbb\u7597<\/p>\n\n\n\n
\u3000\u3000SSc\u7684\u6d88\u5316\u9053\u53d7\u7d2f\u5f88\u5e38\u89c1\u3002\u8d28\u5b50\u6cf5\u6291\u5236\u5242\u5bf9\u80c3\u98df\u7ba1\u53cd\u6d41\u6027\u75be\u75c5\u3001\u98df\u7ba1\u6e83\u75a1\u548c\u98df\u7ba1\u72ed\u7a84\u6709\u6548\u3002\u4fc3\u52a8\u529b\u836f\u7269\u5982\u7532\u6c27\u6c2f\u666e\u80fa\u548c\u591a\u6f58\u7acb\u916e\u53ef\u7528\u4e8e\u6cbb\u7597SSc\u76f8\u5173\u7684\u529f\u80fd\u6027\u6d88\u5316\u9053\u52a8\u529b\u5931\u8c03\uff0c\u5982\u541e\u54bd\u56f0\u96be\u3001\u80c3\u98df\u7ba1\u53cd\u6d41\u6027\u75be\u75c5\u3001\u9971\u8179\u611f\u7b49\u3002\u80c3\u80c0\u6c14\u548c\u8179\u6cfb\u63d0\u793a\u5c0f\u80a0\u7ec6\u83cc\u8fc7\u5ea6\u751f\u957f\uff0c\u6cbb\u7597\u53ef\u4f7f\u7528\u6297\u751f\u7d20\uff0c\u4f46\u9700\u7ecf\u5e38\u53d8\u6362\u6297\u751f\u7d20\u79cd\u7c7b\uff0c\u4ee5\u907f\u514d\u8010\u836f\u3002<\/p>\n\n\n\n
\u3000\u3000\u4e94\uff1a\u5176\u4ed6\u7597\u6cd5<\/p>\n\n\n\n
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