\u3000\u3000\u4eca\u5929\u662f 4 \u6708 25 \u65e5\uff0c\u4e5f\u662f\u5168\u56fd\u513f\u7ae5\u9884\u9632\u63a5\u79cd\u5ba3\u4f20\u65e5\u3002\u8bf4\u5230\u513f\u7ae5\u75ab\u82d7\uff0c\u5f88\u591a\u5bb6\u957f\u90fd\u89c9\u5f97\u5f88\u590d\u6742\uff0c\u6bd5\u7adf\u6bcf\u4e2a\u75ab\u82d7\u63a5\u79cd\u65f6\u95f4\u90fd\u4e0d\u4e00\u6837\u3002\u751a\u81f3\u6709\u7684\u75ab\u82d7\u6253 1 \u9488\u5c31\u53ef\u4ee5\u4e86\uff0c\u6709\u7684\u75ab\u82d7\u8fd8\u5f97\u5e74\u5e74\u6253\u3002\u90a3\u8fd9\u5230\u5e95\u662f\u4e3a\u4ec0\u4e48\u5462\uff1f<\/p>\n\n\n\n
\u3000\u3000\u60f3\u8981\u641e\u6e05\u695a\u8fd9\u4e9b\uff0c\u5c31\u8981\u4ece\u75ab\u82d7\u7684\u514d\u75ab\u7a0b\u5e8f\u8bf4\u8d77\uff0c\u4eca\u5929\u6211\u4eec\u4e00\u8d77\u6765\u804a\u804a\u3002<\/p>\n\n\n\n
\u3000\u3000\u514d\u75ab\u7a0b\u5e8f\u4e0d\u540c<\/strong><\/p>\n\n\n\n \u3000\u3000\u5927\u5bb6\u90fd\u77e5\u9053\uff0c\u75ab\u82d7\u662f\u9884\u9632\u4f20\u67d3\u75c5(\u751a\u81f3\u8fd1\u51e0\u5e74\u5df2\u7ecf\u6d89\u53ca\u975e\u4f20\u67d3\u6027\u75be\u75c5)\u7684\u6709\u6548\u624b\u6bb5\u3002\u63a5\u79cd\u75ab\u82d7\u540e\u75ab\u82d7\u4e2d\u7684\u6297\u539f\u901a\u8fc7\u6fc0\u53d1\u4eba\u4f53\u7684\u514d\u75ab\u7cfb\u7edf\u4ea7\u751f\u76f8\u5e94\u7684\u4f53\u6db2\u514d\u75ab\u548c\/\u6216\u7ec6\u80de\u514d\u75ab\uff0c\u4ece\u800c\u62b5\u5fa1\u7279\u5b9a\u7684\u75c5\u539f\u4f53\u3002<\/p>\n\n\n\n \u3000\u3000\u7136\u800c\uff0c\u4e0d\u540c\u75ab\u82d7\u7684\u514d\u75ab\u7a0b\u5e8f\u4e0d\u5c3d\u76f8\u540c\uff0c\u4e00\u822c\u6765\u8bf4\u75ab\u82d7\u7684\u514d\u75ab\u7a0b\u5e8f\u53d6\u51b3\u4e8e\u4ee5\u4e0b\u51e0\u4e2a\u56e0\u7d20\uff1a<\/p>\n\n\n\n \u3000\u30001<\/p>\n\n\n\n \u3000\u3000\u75ab\u82d7\u7c7b\u578b<\/p>\n\n\n\n \u3000\u3000\u6d3b\u75ab\u82d7(\u5982\u9ebb\u75b9\u75ab\u82d7)\u901a\u5e38\u53ea\u9700\u63a5\u79cd 1 \u5230 2 \u6b21\u5c31\u80fd\u63d0\u4f9b\u957f\u671f\u4fdd\u62a4\uff0c\u548c\u6d3b\u75ab\u82d7\u76f8\u6bd4\u540c\u7c7b\u706d\u6d3b\u75ab\u82d7(\u5982\u7532\u809d\u75ab\u82d7\u3001\u4e59\u8111\u75ab\u82d7)\u53ef\u80fd\u9700\u8981\u63a5\u79cd\u66f4\u591a\u5242\u6b21\u624d\u80fd\u83b7\u5f97\u76f8\u4f3c\u6216\u8005\u66f4\u597d\u7684\u514d\u75ab\u6548\u679c\u3002<\/p>\n\n\n\n \u3000\u3000\u4ee5\u6211\u56fd\u91c7\u7528\u7684\u4e59\u8111\u75ab\u82d7\u4e3a\u4f8b\uff0c\u5982\u679c\u9009\u62e9\u63a5\u79cd\u514d\u8d39\u7684\u4e59\u8111\u51cf\u6bd2\u6d3b\u75ab\u82d7\u9700\u8981\u63a5\u79cd 2 \u9488\uff0c\u800c\u63a5\u79cd\u4e59\u8111\u706d\u6d3b\u75ab\u82d7\u5219\u9700\u8981 4 \u9488\u3002<\/p>\n\n\n\n \u3000\u30002<\/p>\n\n\n\n \u3000\u3000\u75be\u75c5\u7279\u6027<\/p>\n\n\n\n \u3000\u3000\u5bf9\u4e8e\u4e00\u4e9b\u75c5\u539f\u4f53\u4f1a\u51fa\u73b0\u53d8\u5f02\u5bfc\u81f4\u6b64\u524d\u63a5\u79cd\u7684\u75ab\u82d7\u514d\u75ab\u53cd\u5e94\u964d\u4f4e\u751a\u81f3\u5931\u6548\uff0c\u5728\u8fd9\u79cd\u60c5\u51b5\u4e0b\u53ef\u80fd\u9700\u8981\u5b9a\u671f\u6216\u6bcf\u5e74\u63a5\u79cd\u91c7\u7528\u65b0\u6297\u539f\u5236\u5907\u7684\u75ab\u82d7\u4ece\u800c\u5e94\u5bf9\u53d8\u5f02\u540e\u7684\u75c5\u539f\u4f53\u3002<\/p>\n\n\n\n \u3000\u3000\u6bd4\u5982\u6d41\u611f\u75c5\u6bd2\u6bcf\u5e74\u90fd\u53ef\u80fd\u56e0\u6297\u539f\u86cb\u767d\u7a81\u53d8\u800c\u4ea7\u751f\u65b0\u7684\u6bd2\u682a\uff0c\u56e0\u6b64\u6bcf\u5e74\u90fd\u8981\u63a5\u79cd\u91c7\u7528\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u63a8\u8350\u7684\u65b0\u6bd2\u682a\u5236\u5907\u7684\u6d41\u611f\u75ab\u82d7\uff0c\u4ece\u800c\u83b7\u5f97\u6709\u6548\u7684\u4fdd\u62a4\u3002<\/p>\n\n\n\n \u3000\u30003<\/p>\n\n\n\n \u3000\u3000\u514d\u75ab\u6301\u4e45\u6027<\/p>\n\n\n\n \u3000\u3000\u6709\u4e9b\u75ab\u82d7(\u5982\u9ebb\u75b9\u75ab\u82d7)\u63d0\u4f9b\u7684\u4fdd\u62a4\u53ef\u4ee5\u6301\u7eed\u591a\u5e74\uff0c\u800c\u6709\u4e9b\u75ab\u82d7(\u5982\u767e\u65e5\u54b3\u75ab\u82d7)\u63d0\u4f9b\u7684\u4fdd\u62a4\u53ef\u80fd\u968f\u65f6\u95f4\u51cf\u5f31\uff0c\u9700\u8981\u901a\u8fc7\u63a5\u79cd\u52a0\u5f3a\u9488\u6765\u7ef4\u6301\u514d\u75ab\u6548\u679c\u3002<\/p>\n\n\n\n \u3000\u3000\u4ee5\u767e\u65e5\u54b3\u4e3a\u4f8b\u2014\u2014\u6d59\u6c5f\u7684\u4e00\u9879\u7814\u7a76\u663e\u793a\uff0c\u53c2\u4e0e\u7814\u7a76\u7684\u4eba\u7fa4\u4e2d\uff0c1\uff5e2 \u5c81\u6297\u767e\u65e5\u54b3\u6bd2\u7d20\u6297\u4f53(\u6297 PT IgG)\u9633\u6027\u7387\u6700\u9ad8(81.44%)\uff0c\u6b64\u540e\u6297\u4f53\u6c34\u5e73\u5feb\u901f\u964d\u4f4e\uff1b10\uff5e14 \u5c81\u6700\u4f4e(4.72%)\uff0c\u8d85\u8fc7 50%\u7684 7 \u5c81\u53ca\u4ee5\u4e0a\u4eba\u7fa4\u68c0\u6d4b\u4e0d\u5230\u6297\u4f53\uff1b5\uff5e59 \u5c81\u4eba\u7fa4\u5404\u5e74\u9f84\u7ec4\u7684\u6297 PT IgG \u9633\u6027\u7387\u5747\u4f4e\u4e8e 10% \u3002<\/p>\n\n\n\n \u3000\u3000\u800c\u76ee\u524d\u6211\u56fd\u6ca1\u6709\u7528\u4e8e 6 \u5c81\u53ca\u4ee5\u4e0a\u4eba\u7fa4\u7684\u767e\u65e5\u54b3\u75ab\u82d7\uff0c\u56e0\u6b64\u5728\u5b8c\u6210\u513f\u7ae5\u767e\u767d\u7834\u75ab\u82d7\u5168\u7a0b\u63a5\u79cd(4 \u5242\u6b21)\u540e\uff0c\u9664\u4e86\u505a\u597d\u9632\u62a4\u548c\u4fdd\u6301\u514d\u75ab\u7cfb\u7edf\u6b63\u5e38\u5916\uff0c\u6ca1\u6709\u66f4\u597d\u7684\u9884\u9632\u65b9\u5f0f\u3002<\/p>\n\n\n\n \u3000\u3000\u76f8\u5bf9\u7684\uff0c\u4e5f\u6709\u4e00\u4e9b\u6297\u4f53\u53ef\u957f\u671f\u5b58\u5728\uff1a\u5305\u62ec\u9ebb\u75b9\u3001\u816e\u817a\u708e\u3001\u6c34\u75d8\u5728\u5185\u7684\u6d3b\u75ab\u82d7\u63a5\u79cd\u75ab\u82d7\u6216\u81ea\u7136\u611f\u67d3\u540e\u4ea7\u751f\u7684\u6297\u4f53\u5177\u6709\u6781\u957f\u7684\u534a\u8870\u671f\uff0c\u56e0\u6b64\u4e00\u822c\u6765\u8bf4\u6309\u7167\u5b8c\u6574\u514d\u75ab\u7a0b\u5e8f\u6216\u8005\u611f\u67d3\u8fc7\u76f8\u5173\u75c5\u6bd2\u540e\uff0c\u5c31\u80fd\u83b7\u5f97\u201c\u7ec8\u8eab\u514d\u75ab\u201d\u3002<\/p>\n\n\n\n \u3000\u3000\u514d\u75ab\u7a0b\u5e8f\u5e76\u975e\u4e00\u6210\u4e0d\u53d8<\/strong><\/p>\n\n\n\n \u3000\u3000\u4e8b\u5b9e\u4e0a\uff0c\u6b64\u524d\u65e0\u8bba\u6d3b\u75ab\u82d7\u8fd8\u662f\u706d\u6d3b\u75ab\u82d7\u5927\u591a\u6570\u90fd\u8981\u63a5\u79cd\u4e0d\u6b62 1 \u5242\u6b21\uff0c\u8fd9\u662f\u56e0\u4e3a\u591a\u5242\u6b21\u63a5\u79cd\u53ef\u4ee5\u63d0\u4f9b\u9ad8\u6c34\u5e73\u4e14\u6301\u4e45\u7684\u4fdd\u62a4\u3002<\/p>\n\n\n\n \u3000\u3000\u4f46\u662f\u7531\u4e8e\u75ab\u82d7\u6709\u6548\u6027\u8bc1\u636e\u7684\u6269\u5145\u4ee5\u53ca\u4e0d\u540c\u4eba\u7fa4\u7684\u75be\u75c5\u98ce\u9669\u5dee\u5f02\uff0c\u6709\u7684\u591a\u5242\u6b21\u75ab\u82d7\u514d\u75ab\u7a0b\u5e8f\u4e5f\u4f1a\u53d8\u5316\uff0c\u751a\u81f3\u53ea\u9700\u8981\u63a5\u79cd 1 \u5242\u6b21\u3002<\/p>\n\n\n\n \u3000\u3000\u4f8b\u5982\uff1a<\/p>\n\n\n\n \u3000\u30001<\/p>\n\n\n\n \u3000\u3000\u4eba\u4e73\u5934\u7624\u75c5\u6bd2(HPV)\u75ab\u82d7<\/p>\n\n\n\n \u3000\u3000\u6700\u521d\u63a8\u8350\u4e09\u5242\u6b21\u63a5\u79cd\uff0c\u4f46\u5bf9\u4e8e 9~14 \u5c81\u7684\u513f\u7ae5\uff0c\u73b0\u5728\u53ea\u9700\u63a5\u79cd\u4e24\u5242\uff1b\u800c\u6700\u65b0\u7684\u7814\u7a76\u53d1\u73b0\uff0c\u5373\u4fbf\u53ea\u63a5\u79cd 1 \u5242 HPV \u75ab\u82d7\u4e5f\u80fd\u83b7\u5f97\u6301\u4e45\u4e14\u53ef\u9760\u7684\u5bf9 HPV \u6301\u7eed\u6027\u611f\u67d3\u7684\u4fdd\u62a4\u6548\u679c\uff0c\u56e0\u6b64\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u4e5f\u63a8\u8350\u91c7\u7528 1 \u5242\u6b21\u7a0b\u5e8f\u63a5\u79cd\uff0c\u6709\u7684\u5730\u533a\u4e5f\u5c06 HPV \u75ab\u82d7\u7684\u514d\u75ab\u7a0b\u5e8f\u6539\u4e3a 1 \u5242\u3002<\/p>\n\n\n\n \u3000\u30002<\/p>\n\n\n\n \u3000\u3000b \u578b\u6d41\u611f\u55dc\u8840\u6746\u83cc(Hib)\u75ab\u82d7<\/p>\n\n\n\n \u3000\u3000\u7531\u4e8e\u6bcd\u4f20\u6297\u4f53\u6c34\u5e73\u964d\u4f4e\u3001Hib \u611f\u67d3\u60a3\u75c5\u7387\u4ece 4 \u6708\u9f84\u5f00\u59cb\u5feb\u901f\u5347\u9ad8\u4f46\u5728 1 \u5c81\u540e\u5f00\u59cb\u4e0b\u964d\u2014\u201498.3%\u7684 Hib \u8111\u819c\u708e\u53d1\u751f\u5728 2~12 \u6708\u9f84\u7684\u513f\u7ae5\u4e2d\uff0c2 \u5c81\u513f\u7ae5\u4e2d\u7684\u53d1\u751f\u7387\u4e3a 1.7%\u3002\u56e0\u6b64 Hib \u75ab\u82d7\u7684\u514d\u75ab\u7a0b\u5e8f\u4e0e\u5e74\u9f84\u6709\u5173\u3002<\/p>\n\n\n\n \u3000\u3000\u6211\u56fd\u73b0\u884c\u7684 Hib \u75ab\u82d7\u514d\u75ab\u7a0b\u5e8f\u4e3a\uff1a<\/p>\n\n\n\n \u3000\u30002~5 \u6708\u9f84\u542f\u52a8\u75ab\u82d7\u63a5\u79cd\u7684\u513f\u7ae5\u91c7\u75283\u9488\u57fa\u7840\u514d\u75ab+1 \u9488\u52a0\u5f3a\u514d\u75ab(3+1 \u7a0b\u5e8f)\uff1b<\/p>\n\n\n\n \u3000\u30006~11\u6708\u9f84\u542f\u52a8\u75ab\u82d7\u63a5\u79cd\u7684\u513f\u7ae5\u91c7\u75282\u9488\u57fa\u7840\u514d\u75ab\u548c1\u9488\u52a0\u5f3a\u514d\u75ab(2+1 \u7a0b\u5e8f)\uff1b<\/p>\n\n\n\n \u3000\u3000\u5bf9 12 \u6708\u9f84\u53ca\u4ee5\u4e0a\u513f\u7ae5\u91c7\u7528 1 \u9488\u7a0b\u5e8f\u3002<\/p>\n\n\n\n \u3000\u3000\u56e0\u6b64\uff0c\u75ab\u82d7\u7684\u514d\u75ab\u7a0b\u5e8f\u4e5f\u5e76\u975e\u6052\u5b9a\u4e0d\u53d8\uff0c\u9664\u4e86\u8003\u8651\u75c5\u539f\u4f53\u672c\u8eab\u56e0\u7d20\u5916\uff0c\u4e5f\u4f1a\u7efc\u5408\u8003\u8651\u75be\u75c5\u8d1f\u62c5\u53d8\u5316\u3001\u6210\u672c\u6548\u76ca\u7b49\u56e0\u7d20\uff0c\u4f46\u6700\u7ec8\u76ee\u7684\u90fd\u662f\u9ad8\u6548\u5bf9\u6297\u75be\u75c5\u3002<\/p>\n\n\n\n \u3000\u3000\u9700\u8981\u91cd\u65b0\u63a5\u79cd\u75ab\u82d7\u7684\u7279\u6b8a\u60c5\u51b5<\/strong><\/p>\n\n\n\n \u3000\u3000\u5c3d\u7ba1\u4e00\u4e9b\u75ab\u82d7\u5b8c\u6210\u5e38\u89c4\u514d\u75ab\u7a0b\u5e8f\u5df2\u7ecf\u8db3\u591f\uff0c\u4f46\u96be\u514d\u4f1a\u6709\u7279\u6b8a\u60c5\u51b5\u53ef\u80fd\u9700\u8981\u91cd\u65b0\u63a5\u79cd\uff0c\u4f8b\u5982\u2014\u2014\u764c\u75c7\u3002<\/p>\n\n\n\n \u3000\u3000\u5728\u300a\u6210\u4eba\u764c\u75c7\u60a3\u8005\u7684\u75ab\u82d7\u63a5\u79cd\uff1aASCO 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