鐚敮鍘熶綋鑲虹値涓昏鏄敱浜庣尓鑲虹値鏀師浣撴劅鏌撲箣鍚庢墍寮曡捣鐨勮偤閮ㄧ梾鍙樻墍浜х敓鐨勪竴绉嶆參鎬ц偤鐐庯紝 鐚敮鍘熶綋锛岃绉颁负鐚懠鍚搁亾鐨勭涓€閬撳睆闅溿€傛槸鐚満涓夊ぇ鐤剧梾涔嬩竴,涓昏琛ㄧ幇涓虹尓鍛煎惛鍑虹幇鍥伴毦锛� 骞朵笖鍛煎惛閬撲細鍙楀埌浼ゅ锛� 鐢熺尓浼氬嚭鐜板挸鍡戒互鍙婃皵鍠樼瓑鐥囩姸锛� 杩欑鐥囩姸閫氬父鍙堣绉颁箣涓虹尓姘斿枠鐥咃紝鏄妯″吇鐚満涓夊ぇ闅炬帶鐤剧梾涔嬩竴锛屽彂鐥呯巼楂橈紝姝讳骸鐜囦綆锛岀梾鐚憟娓愯繘鎬ф秷鐦︼紝寤剁紦鍑烘爮锛屼篃鏄墦寮€鍏朵粬鐤剧梾鐨勯挜鍖欍€�
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1 鐥呭師
鐚偤鐐庢敮鍘熶綋灞炰簬鏀師浣撳睘锛屾棤缁嗚優澹併€佸憟鐜版潌鐘躲€佺悆鐘躲€佺幆鐘躲€佷笣鐘讹紱鍦ㄥ鐣岀幆澧冧笅锛岀尓鑲虹値鏀師浣撻€傚簲鑳藉姏涓嶅己锛屼竴鑸湪瀹ゆ俯鎯呭喌涓嬶紝瀛樻椿鏃堕棿涓嶈秴杩�36 涓皬鏃躲€傜尓鑲虹値鏀師浣撹€愪綆娓╋紝鍙娇鐢ㄤ綆娓╀笌鍐诲共鏂规硶瀵瑰叾杩涜瀛樻斁銆傞潻鍏版皬鏌撹壊闃存€э紱瀵瑰鐣岀幆澧冨拰鐞嗗寲鍥犵礌鎶垫姉鍔涗笉寮猴紝鍒嗙鍩瑰吇缂撴參鍙堝鏉備笖闅句互鎴愬姛锛屽張鏄撹姹℃煋锛涘彲鍦ㄧ粏鑳炲鐢熼暱锛屽畾妞嶅湪鍛煎惛閬撶氦姣涗笂锛屽苟寮曡捣绾ゆ瘺鐨勬崯浼ゃ€�
2 鑷寸梾鏈虹悊
鐚偤鐐庢敮鍘熶綋鏈夊涓梾鍘熻泲鐧斤紝鍙畾妞嶅湪鍛煎惛閬撶氦姣涗笂锛岀氦姣涘彈鎹熷鑷存潵鍥炴憜鍔ㄥ噺寮憋紝鍏舵竻闄ゅ姛鑳芥槑鏄句笅闄嶃€傜尓鑲虹値鏀師浣撴劅鏌撶尓骞跺畾妞嶅悗锛屽彲閫犳垚澶ч噺鐨勮偤鑴忓法鍣粏鑳炲拰娣嬪反缁嗚優娴告鼎锛屽紩璧峰眬閮ㄧ値鐥囧弽搴旇€岄€犳垚鑲鸿剰鎹熶激锛屾敼鍙樿偤娉″法鍣粏鑳炲姛鑳斤紝浠庤€屽鑷村叾鍚炲櫖鍙婃竻闄ゅ姛鑳戒笅闄嶏紝閫犳垚鎸佺画鎰熸煋锛涚尓鑲虹値鏀師浣撴劅鏌撶尓鍚庝篃鍙紩璧峰姩鐗╂満浣撳厤鐤姂鍒讹紝閫犳垚鍏舵姷鎶楀姏涓嬮檷鑰屾嫑鑷寸户鍙戞劅鏌撱€�
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3浼犳挱閫斿緞
鑲虹値鏀師浣撶粡鐢辩洿鎺ユ帴瑙︽垨椋炴搏闂存帴鍚戠兢鍐呬紶鎾�, 鑰屼笖涓嶅垎骞撮緞娈点€傚甫鑿岀尓鏄尓鑲虹値鏀師浣撶殑涓昏浼犳煋婧愶紝鐚偤鐐庢敮鍘熶綋鍙粠绉嶇尓浼犵粰浠旂尓锛屼篃鍙按骞充紶鎾紝濡傜粡鍛煎惛閬撲紶鎾紝鍖呮嫭榧诲榧绘帴瑙︺€佸柗鍤忋€佸挸鍡界瓑閫斿緞銆傜尓鑲虹値鏀師浣撳彲鍦�3.2 km 锝� 4.8 km 涔嬪唴缁忕┖姘斾紶鎾紝涓€涓樉钁楃殑鐗圭偣鏄尓缇ら棿鎰熸煋杈冩參銆�
4涓村簥鐥囩姸
鏍规嵁鍙戠梾缁忚繃鍙垎涓烘€ユ€у瀷銆佹參鎬у瀷銆侀殣鎬у瀷涓夌绫诲瀷銆�
4.1 鎬ユ€у瀷涓€鑸〃鐜颁负绐佺劧鍙戠梾锛岀簿绁炰笉鎸紝椋熸鍑忛€€锛屽懠鍚告€ヤ績锛屽挸鍡姐€佸枠姘旓紝涓ラ噸鑰呭憟鑵瑰紡鍛煎惛鎴栫姮鍧愬Э鍔匡紝鍙ｉ蓟娴佹搏锛屽挸鍡戒綆娌夛紝鏈夊枠楦ｉ煶銆傚鍙戜簬鎬€瀛曘€佸摵涔虫瘝鐚強浠旂尓銆�
4.2 鎱㈡€у瀷澶氱敱鎬ユ€у瀷杞綊锛岀梾绋嬭緝闀匡紝闀挎湡鍜冲椊锛屽挸闊宠交鑴嗭紝鐭挸寮卞挸澶氳锛屼笉澶奖鍝嶇尓缇ら噰椋熼噺锛屽彂鐥呯尓鍦ㄦ棭鏅氳繘椋熷悗鎴栬繍鍔ㄦ椂鍜冲椊鏄庢樉锛岀敱杞诲埌閲嶏紝涓ラ噸鐨勫彂鐢熻繛缁殑鐥夋寷鎬у挸鍡斤紝鐥呯尓鍙夎吙绔欑洿锛屾嫳鑳屼几棰堝瀭澶达紝鐩磋嚦鍒嗘硨鐗╁挸鍑恒€佸捊涓嬩负姝€€傝鍨嬪父鍙戜簬鑲茶偉鐚紝鍚庡姣嶇尓銆�
4.3 闅愭€у瀷澶氭棤鐥囩姸锛屽钩鏃朵笉鍙戠梾锛屼絾闅愭€у甫姣掔尓鍍忔槸鐥呭師鍌ㄥ瓨搴擄紝鏄紶鏌撴湰鐥呯殑涓昏鍏冨嚩銆傚湪鏄煎娓╁樊澶э紝姘旀俯绐佸彉鐨勬儏鍐典笅锛屽父浼氳〃鐜板嚭鍛煎惛閬撶柧鐥呯棁鐘躲€�
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5銆佸墫妫€鍙樺寲
鐚劅鏌撹偤鐐庢敮鍘熶綋鍚庯紝浼氬湪鍏惰偤灏栧彾銆佸績鍙躲€佽唸鍙跺拰涓棿鍙剁殑鍓嶈吂閮ㄥ嚭鐜颁笌姝ｅ父缁勭粐鐣岄檺娓呮鐨勮瀺鍚堟€ф敮姘旂鑲虹値鎴栨敮姘旂鑲虹値瀵圭О鎬х梾鍙橈紝鑲洪儴鐥呭彉棰滆壊鍙戠櫧,淇楃О瀵圭О鎬р€滆倝鏍峰彉鈥濄€�
6銆� 鐚敮鍘熶綋鑲虹値鐨勬不鐤�
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娌荤枟鏂规
6.1 娉板鑿岀礌10mg/kg锛岃倢鑲夋敞灏勶紝1 娆�/d锛岃繛鐢�3-5澶┿€�
6.2 鏋楀彲闇夌礌50mg/kg.bw锛岃倢鑲夋敞灏勶紝1 娆�/澶╋紝杩炵敤1 鍛ㄣ€�
6.3 纭吀鍗￠偅闇夌礌鑲岃倝娉ㄥ皠锛�5~7 涓嘔U/kg.bw锛�2 娆�/澶╋紝杩炵敤1 鍛ㄣ€傜梾鎯呬弗閲嶆椂锛屽彲鎸佺画鐢�2~3 鍛ㄣ€�
6.4鍏ㄧ兢鎷屾枡鐢ㄨ嵂锛屽苟涓斿湪鍚屼竴鏃堕棿杩涜銆傚彲鍦ㄩギ姘存垨楗叉枡涓坊鍔犳灄鍙湁绱犳垨鏇跨背鑰冩槦鎴栨嘲濡欒弻绱犮€�
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7鐤嫍闃叉帶
鑲虹値鏀師浣撶粡鐢辩洿鎺ユ帴瑙︽垨椋炴搏闂存帴鍚戠兢鍐呬紶鎾�, 鑰屼笖涓嶅垎骞撮緞娈点€傛墍浠ラ拡瀵圭尓鏀師浣撹偤鐐庣殑鍏嶇柅杩樻槸浠ョ柅鑻楀厤鐤负涓汇€傛寜鐓ф姉鍘熷瓨鍦ㄧ姸鎬侊紝鍙皢鐚敮鍘熶綋鑲虹値鐤嫍鍒嗕负寮辨瘨鐤嫍( 娲荤柅鑻�)銆佺伃娲荤柅鑻椼€�
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7.1娲荤柅鑻椾笌鐏椿鐤嫍浣滅敤鏈虹悊
鐚偤鐐庢敮鍘熶綋涓昏浣滅敤浜庡懠鍚搁亾绮樿啘锛岃€屾椿鐤嫍鍠烽蓟鎴栬偤鍐呮敞灏勫垯鍙洿鎺ヤ綔鐢ㄤ簬鍛煎惛閬撶矘鑶滐紝浣垮叾浜х敓浣撴恫鍏嶇柅銆佺粏鑳炲厤鐤€佸崰浣嶅厤鐤紝浠ユ鍙娇浠旂尓瀵圭尓鑲虹値鏀師浣撹捣鍒板畬鍏ㄥ厤鐤綔鐢ㄣ€�
鐏椿鐤嫍鍙€氳繃鎶曞杺銆佹敞灏勬柟寮忥紝鍊熷姪琛€娑插惊鐜皢鐏椿鐤嫍鎶椾綋閫佽揪鑲洪儴锛屽彲瀵逛粩鐚綋娑插唴涓庤娑插惊鐜郴缁熶腑鐨勭尓鑲虹値鏀師浣撹繘琛屼腑鍜屾垨鐩存帴鏉€姝伙紝浠ユ鎺у埗浠旂尓鏀師浣撹偤鐐庣梾銆備絾姝ょ鐤嫍瀵逛粩鐚矘鑶滀笌鍛煎惛閬撶氦姣涗笂鐨勬敮鍘熶綋鏃犳硶璧峰埌鑹ソ鐨勫厤鐤晥鏋溿€�
7.2鐤嫍浣跨敤
浠旂尓鏈€浣虫敞灏勬椂闂达紝搴旈€夋嫨鍦ㄤ粩鐚嚭鐢熷悗7 澶╁乏鍙筹紝鍙繘琛屽柗榧诲厤鐤紝姝ょ鏂规硶鎿嶄綔杈冧负绠€鍗曪紝涓嶈壇鍙嶅簲杈冨皯锛屽彲蹇€熶骇鐢熷崰浣嶏紝杈惧埌鑹ソ鐨勫厤鐤晥鏋溿€傚綋鍙戠幇鏈変粩鐚偅鏈夌尓鏀師浣撹偤鐐庣梾鏃讹紝搴斿強鏃堕殧绂伙紝浠ラ伩鍏嶅叾浠栧仴搴蜂粩鐚劅鏌撱€傚浜庢偅鏈夌尓鏀師浣撹偤鐐庣梾鐨勪粩鐚紝杩涜鐤嫍娉ㄥ皠銆�
7.3鐤嫍浣跨敤娉ㄦ剰浜嬮」
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鏇村鏈夊叧 支原体
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