鐩搁棞(gu膩n)鎺ㄨ枽锛�2020骞村収(n猫i)绉戜富娌婚啱(y墨)甯€冭│瑭﹂鑸囩瓟妗堝尟绺斤紙灏堟キ(y猫)瀵�(sh铆)韪愯兘鍔涳級

2020骞村収(n猫i)绉戜富娌婚啱(y墨)甯€冭│宸插欢鏈熴€傜偤浜嗛槻姝㈡贩浜�锛屼篃鐐轰簡鏂逛究鍚勪綅鑰冪敓鎶婃彙2020骞磋(w猫i)鐢熻硣鏍煎収(n猫i)绉戜富娌婚啱(y墨)甯€冭│鐩搁棞(gu膩n)鏅傞枔绡€(ji茅)榛�(di菐n)锛岀挵(hu谩n)鐞冪恫(w菐ng)鏍℃彁渚�“ 鍏嶈不(f猫i)闋�(y霉)绱勭煭淇℃彁閱�”锛屽眴鏅傛垜鍊戝皣浠ョ煭淇″舰寮忔彁閱掓偍2020骞村収(n猫i)绉戜富娌婚啱(y墨)甯€冭│婧�(zh菙n)鑰冭瓑鎵撳嵃鏅傞枔銆佽€冭│鏅傞枔绛夐噸瑕佽€冭│鏅傞枔璩囪▕銆�

2020骞村収(n猫i)绉戜富娌婚啱(y墨)甯€冭│瑭﹂鑸囩瓟妗堬紙灏堟キ(y猫)瀵�(sh铆)韪愯兘鍔涳級锛氶ⅷ(f膿ng)婵曡垏鑷ㄥ簥鍏嶇柅瀛�(xu茅)

涓€銆丄1

1銆佸彲浠ユ帶鍒堕棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐庣梾鎯呴€�(j矛n)灞曠殑钘ョ墿鏄�

A銆侀樋鍙稿尮鏋�

B銆侀潪鐢鹃珨椤炴姉鐐庤棩

C銆佺敳姘ㄨ澏鍛�

D銆佹綉灏兼澗

E銆佸ぇ鍔戦噺涓欑ó鐞冭泲鐧�

2銆佷笅鍒楀摢闋�(xi脿ng)绗﹀悎寮�(qi谩ng)鐩存€ц剨鏌辩値鐨勭壒榛�(di菐n)

A銆佽娌夈€丆鍙嶆噳(y墨ng)铔嬬櫧闄嶄綆

B銆侀棞(gu膩n)绡€(ji茅)鍙嚭鐝�(xi脿n)“绱愭墸鑺�”绛夌暩褰㈣〃鐝�(xi脿n)

C銆�“4瀛楄│椹�(y脿n)”闄芥€�

D銆侀棞(gu膩n)绡€(ji茅)鐥涘線寰€鏄鐧�(f膩)琛ㄧ従(xi脿n)

E銆佹姉CCP闄芥€�

浜�銆丄2

1銆�22姝插コ鎬ф偅鑰�锛屽洜闂�(gu膩n)绡€(ji茅)鑵棝浼寸櫦(f膩)鐔�3鍛ㄤ締闄㈠氨瑷猴紝璧风梾浠ヤ締閫愭几鍑虹従(xi脿n)闆欒笣銆佽啙闂�(gu膩n)绡€(ji茅)鑵劰锛屾櫒鍍靛皬浜�10鍒嗛悩銆傚(sh铆)椹�(y脿n)瀹ゆ鏌ワ細WBC 3.0×109/L锛孭lt 90×109/L锛�24灏忔檪灏胯泲鐧藉畾閲�0.9g锛岃娌�50mm/锛岃鎶楁牳鎶楅珨闄芥€�锛岃(b菙)楂擟3涓嬮檷?锛熺搐]瑷烘柗鐐�

A銆侀棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐�

B銆侀闂�(gu膩n)绡€(ji茅)鐐�

C銆佺郴绲�(t菕ng)鎬х磪鏂戠嫾鐦�

D銆佸師鐧�(f膩)鎬у共鐕ョ稖鍚堝緛

E銆佺郴绲�(t菕ng)鎬ц绠＄値

2銆侀潚骞村コ鎬�锛岃繎1鍊嬫湀渚嗗叐椤撮儴浣嶅嚭鐝�(xi脿n)鍥哄畾鐨勫皪绋辨€х磪鏂�锛岄洐鑵曢棞(gu膩n)绡€(ji茅)鑵劰浼存湁鐤肩棝锛屽(sh铆)椹�(y脿n)瀹わ細Hb 75 g/L锛岀櫧绱�(x矛)鑳�3.5×109/L锛�24灏忔檪灏胯泲鐧借▓鏁�(sh霉)>0.5g锛屾姉ds-DNA鎶楅珨闄芥€�锛屾噳(y墨ng)棣栧厛鑰冩叜瑷烘柗

A銆侀棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐�

B銆侀ⅷ(f膿ng)婵曠啽

C銆佽厧鐥呯稖鍚堝緛

D銆佺郴绲�(t菕ng)鎬х磪鏂戠嫾鐦�

E銆佹參鎬ц厧鐐�

3銆佹偅鑰�锛屽コ锛�38姝�銆傝繎4鍊嬫湀渚嗗嚭鐝�(xi脿n)闆欐墜鎺屾寚銆佽繎绔寚闁撻棞(gu膩n)绡€(ji茅)鐤肩棝锛岃叓鑴�锛屾櫒璧锋檪鏄庨’锛屼笉鑳芥彙鎷�锛屾椿鍕曞悗娓涜紩锛岃繎涓崍鏅傞洐鎵嬪彲绶╄В銆傛煡楂旓細鍛ㄨ韩鐨啔鏈鐨柟锛屾泛琛ㄦ穻宸寸祼(ji茅)涓嶅ぇ銆傚績鑲虹劇鐣板父銆傞洐鎵嬭繎绔寚闁撻棞(gu膩n)绡€(ji茅)鍛堟褰㈣叓鑴癸紝娲诲嫊绋嶅彈闄�銆傛椹�(y脿n)锛氳甯歌(gu墨)琛€灏忔澘48×1012/L锛屽翱甯歌(gu墨)姝ｅ父銆傝娓匒NA寮遍櫧鎬�锛孯F 256U/L銆傝┎鎮ｈ€呰ê鏂烽鍏堣€冩叜

A銆佺郴绲�(t菕ng)鎬х磪鏂戠嫾鐦�

B銆侀棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐�

C銆侀闂�(gu膩n)绡€(ji茅)鐐�

D銆侀妧灞戠梾闂�(gu膩n)绡€(ji茅)鐐�

E銆侀ⅷ(f膿ng)婵曟€ч棞(gu膩n)绡€(ji茅)鐐�

4銆佸コ鎬ф偅鑰�锛�60姝诧紝鍗婂勾鍓嶈ê鐐洪棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐�锛屾噳(y墨ng)鐢ㄧ敳姘ㄨ澏鍛ゅ強缇ユ隘鍠规不鐧�4鍊嬫湀銆�1鍛ㄥ墠闁嬪鍑虹従(xi脿n)瑕栧姏涓嬮檷锛岃閲庣己鎼�銆傚寲椹�(y脿n)CRP姝ｅ父锛孯F 35U/L锛岃€冩叜鍑虹従(xi脿n)鍝ó鎯呮硜

A銆侀棰�(f膿ng)婵曡绠＄値

B銆佺梾鎯呮椿鍕�

C銆佺敳姘ㄨ澏鍛よ棩鐗╁壇浣滅敤

D銆佺茎姘柟钘ョ墿鍓綔鐢�

E銆佷互涓婇兘涓嶆槸

5銆�18姝插コ鎬ф偅鑰�锛屽彲鐤戞垚浜篠till鐥咃紝涓嬪垪鍝爡(xi脿ng)妾㈡煡绲�(ji茅)鏋滄敮鎸佽┎瑷烘柗

A銆佽娣嬪反绱�(x矛)鑳炲楂�

B銆佽娓呴惖铔嬬櫧>1500μg/L

C銆丷F 350kU/L

D銆佹姉鏍告姉楂旈櫧鎬�

E銆佹穻宸寸祼(ji茅)娲绘鐧�(f膩)鐝�(xi脿n)R-S绱�(x矛)鑳�

6銆佺敺鎬�锛�27姝诧紝闁撴柗鍑虹従(xi脿n)鑵伴儴鐥�3鍊嬫湀锛岀◢浜嬫椿鍕曞悗鐤肩棝鍙珐瑙�;鏌ラ珨楠堕珎闂�(gu膩n)绡€(ji茅)澹撶棝(+)锛�4瀛楄│椹�(y脿n)(+)锛岃娌�銆丆鍙嶆噳(y墨ng)铔嬬櫧銆佸厤鐤悆铔嬬櫧鍧囧崌楂�?锛熺搐]鍒濇瑷烘柗

A銆佸挤(qi谩ng)鐩存€ц剨鏌辩値

B銆侀棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐�

C銆佺郴绲�(t菕ng)鎬х磪鏂戠嫾鐦�

D銆佽叞妞庨枔鐩ょ獊鍑�

E銆侀鑲夌槫

涓�銆丄3/A4

1銆佹偅鑰咃紝濂虫€�锛�32姝�锛岄洐鎵嬭繎绔寚闁撻棞(gu膩n)绡€(ji茅)鐤肩棝銆佽紩搴﹁叓鑴�2鍊嬫湀锛屼即涓嶈(gu墨)鍓囦綆鐔�锛岄珨婧尝鍕曞湪37.8锝�38.5 鈩�銆傛湁鍏夐亷鏁�1骞�?锛涱埀?y脿n)琛€PLT 56×109/L銆乄BC 2.9×109/L锛屽翱铔嬬櫧++

<1> 銆佹鎮ｈ€呮渶鍙兘鐨勮ê鏂锋槸

A銆侀棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐�

B銆佺郴绲�(t菕ng)鎬х磪鏂戠嫾鐦�

C銆佹€ユ€х櫧琛€鐥�

D銆佸弽鎳�(y墨ng)鎬ч棞(gu膩n)绡€(ji茅)鐐�

E銆佺毊鑲岀値

<2> 銆佺偤鏄庣⒑瑷烘柗棣栭伕鐨勬鏌ユ槸

A銆侀洐鎵媂绶氱墖

B銆佹姉鏍告姉楂旇瓬

C銆丠LA-B27

D銆丷F

E銆侀楂撴秱鐗�

<3> 銆佸鏋滄鎮ｈ€呭嚭鐝�(xi脿n)蹇冨寘绌嶆恫锛岀洰鍓嶉閬哥殑娌荤檪

A銆侀潪鐢鹃珨鎶楃値钘�

B銆侀樋鍙稿尮鏋�+涓棩

C銆佸厤鐤姂鍒跺姂

D銆佺硸鐨唱(zh矛)婵€绱�锛岃璞℃甯稿悗鍔犵敤鐠�(hu谩n)纾烽叞鑳�

E銆侀潪鐢鹃珨鎶楃値钘�+绯栫毊璩�(zh矛)婵€绱�

2銆佸コ鎬�锛�21姝�锛岀櫦(f膩)鐔变即闂�(gu膩n)绡€(ji茅)鍜岃倢鑲夌柤鐥�1鍊嬫湀锛岃繎1鍛ㄤ締鍋舵劅鍙�銆佺溂鐧�(f膩)骞�;瀵�(sh铆)椹�(y脿n)瀹ゆ鏌ュ翱铔嬬櫧(+++)锛岄绮掔鍨�6鍊�/HP锛屾姉SSA鎶楅珨闄芥€э紝鎶楅洐閺圖NA闄芥€�銆�

<1> 銆佽ê鏂疯€冩叜

A銆佺郴绲�(t菕ng)鎬х磪鏂戠嫾鐦″苟骞茬嚗缍滃悎寰�

B銆佸師鐧�(f膩)鎬ц厧鐥呯稖鍚堝緛

C銆侀棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐�

D銆佹參鎬ц厧鐐庢€ユ€х櫦(f膩)浣�

E銆侀ⅷ(f膿ng)婵曠啽

<2> 銆佹不鐧備笂鍎�(y艒u)鍏堣€冩叜涓嬪垪鍝竴闋�(xi脿ng)钘ョ墿

A銆佺敳娉㈠凹榫嶆矕鎿婄檪娉�

B銆佹姉鐦ц棩

C銆佺敓鐗╁埗鍔�

D銆佺硸鐨唱(zh矛)婵€绱�+鐠�(hu谩n)纾烽叞鑳�

E銆佺硸鐨唱(zh矛)婵€绱�+鍡庢浛楹ヨ€冮厷閰�

3銆佹偅鑰呭コ锛�42姝�銆傞洐涓嬭偄姘磋叓3鍊嬫湀渚嗚ê锛岃拷鍟忔偅鑰呰繎鍏╁勾鏅傛湁涔忓姏銆侀棞(gu膩n)绡€(ji茅)鐤肩棝銆傛煡楂�:鐒＄毊鐤癸紝蹇冭偤鐒＄暟甯�锛岄洐涓嬭偄閲嶅害鍑归櫡鎬ф按鑵�銆傚(sh铆)椹�(y脿n)瀹ゆ鏌ワ細琛€鐧借泲鐧�22g/L锛屽翱铔嬬櫧(+++)锛岃甯歌(gu墨)姝ｅ父锛岃綁(zhu菐n)姘ㄩ叾姝ｅ父锛岃厧鍔熻兘姝ｅ父锛岃(b菙)楂斾綆锛孉NA1:3200(+)锛屾姉dsDNA寮�(qi谩ng)闄芥€�銆�

<1> 銆佽┎鎮ｈ€呯殑鐥呮儏鏄�

A銆佽厧鐥呯稖鍚堝緛

B銆佺郴绲�(t菕ng)鎬х磪鏂戠嫾鐦�锛岀嫾鐦¤厧鐐�

C銆佸績鍔熻兘涓嶅叏

D銆佽倽鐥呮按鑵�

E銆佽绠＄値鎬х梾璁�

<2> 銆佽┎鎮ｅ鍋氳厧鑷熺梾鐞�锛屾渶鍙兘鐨勭梾鐞嗗垎鍨嬫槸

A銆佺郴鑶滆紩寰梾璁婃€х嫾鐦¤厧鐐�(I鍨�)

B銆佺郴鑶滃娈栨€х嫾鐦¤厧鐐�(II鍨�)

C銆佸眬鐏跺鐢熸€х嫾鐦¤厧鐐�(III鍨�)

D銆佸綄婕鐢熸€х嫾鐦¤厧鐐�(鈪ｅ瀷)

E銆佽啘鎬х嫾鐦¤厧鐐�(鈪ゅ瀷)

<3> 銆佸皪瑭叉偅鑰呮渶閬╁疁鐨勬不鐧傛槸

A銆佷腑灏忓姂閲忔縺绱犳不鐧�

B銆佽(b菙)鍏呯櫧铔嬬櫧娌荤檪

C銆佸ぇ鍔戦噺婵€绱�+鐠�(hu谩n)纾烽叞鑳烘不鐧�

D銆佹姉鐥呮瘨娌荤檪

E銆佷笝绋悆铔嬬櫧娌荤檪

4銆佹偅鑰�锛屽コ鎬э紝35姝�锛屼汉宸ユ祦鐢�(ch菐n)鍚庡嚭鐝�(xi脿n)闆欐墜鎸囬棞(gu膩n)绡€(ji茅)鐤�3鍊嬫湀锛屼即灞曞兊绱�1灏忔檪宸﹀彸锛屽皪鐧ョ敤涓棩娌荤檪鏁堟灉涓嶄匠;鏌ラ珨闆欐墜绗�1銆�2鎺屾寚闂�(gu膩n)绡€(ji茅)(MCP)鑵劰锛屽鐥涙槑椤�锛岀4杩戠鎸囬枔闂�(gu膩n)绡€(ji茅)(PIP)鑵劰锛屽鐥涙槑椤�;X绶氱ず闂�(gu膩n)绡€(ji茅)闁撻殭姝ｅ父锛岄洐鎵嬮璩�(zh矛)鐤忔澗锛屽彲瑕嬪皬鍥婃€х牬澹炴ǎ鏀硅畩

<1> 銆佹鐥呬汉鏈€鍙兘鐨勮ê鏂锋槸

A銆侀闂�(gu膩n)绡€(ji茅)鐐�

B銆侀棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐�

C銆佺郴绲�(t菕ng)鎬х磪鏂戠嫾鐦�

D銆佸鐧�(f膩)鎬ц倢鐐�

E銆佸挤(qi谩ng)鐩存€ц剨鏌辩値

<2> 銆佷笅鍒楀摢闋�(xi脿ng)鎸囨(bi膩o)鏈€鏈夊埄浜堝垽鏂风梾鎯呯殑娲诲嫊鎬�

A銆佹姉鏍告姉楂�

B銆丄SO

C銆丆3銆丆4

D銆侀棰�(f膿ng)婵曞洜浜�

E銆佹姉dsDNA鎶楅珨

5銆佹偅鑰呭コ锛�45姝�銆傞洐鎵嬪拰鑶濋棞(gu膩n)绡€(ji茅)鑵棝浼存櫒鍍�1骞�銆傞珨妾細鑲橀儴鍙強鐨笅绲�(ji茅)绡€(ji茅)锛岃唱(zh矛)纭�锛岀劇瑙哥棝銆�

<1> 銆佽ê鏂烽鍏堣€冩叜

A銆佺郴绲�(t菕ng)鎬х‖鍖栫櫏

B銆侀闂�(gu膩n)绡€(ji茅)鐐�

C銆佺棝棰�(f膿ng)

D銆侀棰�(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐�

E銆侀ⅷ(f膿ng)婵曟€ч棞(gu膩n)绡€(ji茅)鐐�

<2> 銆佹渶鏈夊姪浜庣⒑瀹氳ê鏂风殑鏄�

A銆侀棞(gu膩n)绡€(ji茅)褰卞儚妾㈡煡

B銆佹粦娑叉鏌�

C銆佹姉鏍告姉楂�

D銆丒SR

E銆丆RP

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B銆佽啙銆侀珫鍜岃笣闂�(gu膩n)绡€(ji茅)闈炲皪绋�锛屾寔绾�(x霉)鑵棝

C銆佽啙闂�(gu膩n)绡€(ji茅)鍠伌(c猫)鎴栭洐鍋�(c猫)鑵棝锛屼紤鎭悗濂借綁(zhu菐n)

D銆佸柈鍋�(c猫)绗竴璺栬毒闂�(gu膩n)绡€(ji茅)鍔囩儓鑵棝

E銆佽兏閹栭棞(gu膩n)绡€(ji茅)鑵棝

绛旀鑸囪В鏋�

涓€銆丄1

1銆�

銆愭纰虹瓟妗堛€� C

銆愮瓟妗堣В鏋愩€� 鐢叉皑铦跺懁鎳�(y墨ng)浣滅偤椤為ⅷ(f膿ng)婵曟€ч棞(gu膩n)绡€(ji茅)鐐庣殑棣栭伕鐢ㄨ棩锛屾湰钘ョ墿鎶戝埗绱�(x矛)鑳炲収(n猫i)浜屾矮钁夐吀閭勫師閰�锛屾槸鍢屽懁鍚堟垚鍙楁姂鍒�锛屽悓鏅傚叿鏈夋姉鐐庝綔鐢ㄣ€�

2銆�

銆愭纰虹瓟妗堛€� C

銆愮瓟妗堣В鏋愩€� 寮�(qi谩ng)鐩存€ц剨鏌辩値琛€娌�銆丆鍙嶆噳(y墨ng)铔嬬櫧鍧囧崌楂�;绱愭墸鑺辩暩褰㈣〃鐝�(xi脿n)瑕嬩簬椤為ⅷ(f膿ng)闂�(gu膩n);4瀛楄│椹�(y脿n)闄芥€у彲闄芥€�;椤為ⅷ(f膿ng)闂�(gu膩n)甯稿父浠ラ棞(gu膩n)绡€(ji茅)鐥涚偤棣栫櫦(f膩)琛ㄧ従(xi脿n);鎶桟CP灏嶄簬RA鏈夋剰缇�

浜屻€丄2

1銆�

銆愭纰虹瓟妗堛€� C

銆愮瓟妗堣В鏋愩€� 鎮ｈ€呴潚骞村コ鎬э紝鍑虹従(xi脿n)闂�(gu膩n)绡€(ji茅)鐤肩棝鍚屾檪浼存湁琛€娑茬郴绲�(t菕ng)銆佽厧鑷熷绯荤当(t菕ng)鍙楃疮锛屽(sh铆)椹�(y脿n)瀹ゆ鏌ユ姉鏍告姉楂旈櫧鎬�銆佽(b菙)楂斾笅闄�锛屾牴鎿�(j霉)缇庡湅棰�(f膿ng)婵曠梾瀛�(xu茅)鏈冩帹钖︾殑绯荤当(t菕ng)鎬х磪鏂戠嫾鐦″垎椤炴(bi膩o)婧�(zh菙n)锛岄鍏堣€冩叜瑷烘柗绯荤当(t菕ng)鎬х磪鏂戠嫾鐦�銆�

2銆�

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 绯荤当(t菕ng)鎬х磪鏂戠嫾鐦�80%鐨勬偅鑰呯毊鑶氬潎鏈夋悕瀹�锛屼富瑕佽〃鐝�(xi脿n)鍦ㄥ叐鍋�(c猫)椤撮儴浣嶅浐瀹氱殑铦跺舰绱呮枒锛岃娑茬郴绲�(t菕ng)琛€绱呰泲鐧戒笅闄�銆佺櫧绱�(x矛)鑳炲拰琛€灏忔澘娓涘皯鍐嶆椿鍕曟湡SLE涓父瑕嬶紝骞句箮鎵€鏈塖LE鎮ｈ€呭潎鏈夎厧鑷熺梾鐞嗘敼璁�锛�24灏忔檪灏胯泲鐧借▓鏁�(sh霉)澶т簬0.5g鎴栧嚭鐝�(xi脿n)绠″瀷灏�?q奴)蠀\鏂峰叿鏈変竴瀹氱殑鎰忕京;鎶梔sDNA鏄ê鏂稴LE鐨勯噸瑕佹姉楂�銆傛晠缍滃悎鑰冩叜鏈緥鎳�(y墨ng)鑰冩叜瑷烘柗绯荤当(t菕ng)鎬х磪鏂戠嫾鐦°€�

3銆�

銆愭纰虹瓟妗堛€� B

銆愮瓟妗堣В鏋愩€� 鐩墠甯哥敤1987骞寸編鍦嬮ⅷ(f膿ng)婵曠梾瀛�(xu茅)鏈冨埗瀹氱殑瑷烘柗妯�(bi膩o)婧�(zh菙n)銆傚収(n猫i)瀹瑰涓嬶細鈶犳櫒鍍�≥1灏忔檪锛岀梾绋�>6鍛�;鈶℃湁鑷冲皯3鍊嬮棞(gu膩n)绡€(ji茅)鑵�锛岃嚦灏�>6鍛�;鈶㈣厱銆佹帉鎸�銆佽繎绔寚闁撻棞(gu膩n)绡€(ji茅)鑵�锛岃嚦灏�6鍛�;鈶ｉ棞(gu膩n)绡€(ji茅)鑵憟灏嶇ū鎬э紝鑷冲皯6鍛�;鈶ゆ湁鐨笅绲�(ji茅)绡€(ji茅);鈶ユ墜X绶氱墖鏈夋湰鐥呮敼璁�;鈶﹂棰�(f膿ng)婵曞洜瀛愰櫧鎬�(鏁�(sh霉)鍊奸珮浜庢甯镐汉)銆備笂杩�7闋�(xi脿ng)涓湁4闋�(xi脿ng)鑰呭嵆鍙ê鏂风偤椤為ⅷ(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐�銆�

椤為ⅷ(f膿ng)婵曞洜瀛�(RF)鏄竴绋嚜韬姉楂�锛屽嚭鐝�(xi脿n)鍦�60%锝�70%鏈梾鐥呬汉鐨勮娓呬腑锛屽畠鏈夋彁绀虹柧鐥呮椿鍕曟€х殑鎰忕京銆�

4銆�

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 缇ユ隘鍠规湁鐪兼瘨鎬�锛屽紩璧疯缍�(w菐ng)鑶滆壊绱犳矇钁楄畩鍖栧拰瑕栭噹缂烘悕銆�

5銆�

銆愭纰虹瓟妗堛€� B

銆愮瓟妗堣В鏋愩€� 鎴愪汉Still鐨勮ê鏂锋(bi膩o)婧�(zh菙n)锛氭湰鐥呯劇鐗圭暟鎬цê鏂锋柟娉�锛岃嚦浠婁粛鏈湁鍏獚(r猫n)鐨勭当(t菕ng)涓€鎸囨(bi膩o)銆傝繎骞村嚭鐝�(xi脿n)鏈夋枃绔犲牨灏�(d菐o)琛€娓呴惖铔嬬櫧鍦ㄧ柧鐥呮椿鍕曟湡鏄庨’鍗囬珮锛岃秴閬庢甯稿€�5锝�10鍊嶄互涓�锛屽苟鑸囩梾鎯呮椿鍕曟€у钩琛岋紝鍙綔鐐烘湰鐥呰ê鏂风殑鍙冭€冩寚妯�(bi膩o)锛屽彲浣滅偤瑙€瀵熺柧鐥呮椿鍕曟€у拰鐩�(ji膩n)娓檪鏁堢殑妯�(bi膩o)婧�(zh菙n)銆�

6銆�

銆愭纰虹瓟妗堛€� A

銆愮瓟妗堣В鏋愩€� 寮�(qi谩ng)鐩存€ц剨鏌辩値鏃╂湡甯镐互涓嬭叞閮ㄧ柤澶氳锛岀柤鐥涚壒榛�(di菐n)鏄椿鍕曞悗娓涜紩;4瀛楀緛闄芥€�;HLA-B27闄芥€�锛屾椿鍕曟湡琛€娌夈€丆鍙嶆噳(y墨ng)铔嬬櫧銆佸厤鐤悆铔嬬櫧鍗囬珮锛屾晠鏈绗﹀悎鍏剁壒榛�(di菐n)銆�

涓�銆丄3/A4

1銆�

銆愭纰虹瓟妗堛€� B

銆愮瓟妗堣В鏋愩€� 鏍规摎(j霉)1997骞寸編鍦嬮ⅷ(f膿ng)婵曠梾瀛�(xu茅)鏈�(ACR)瑷烘柗妯�(bi膩o)婧�(zh菙n)锛屼笅鍒�10闋�(xi脿ng)涓鍚�4闋�(xi脿ng)鎴栦互涓婅€呭彲瑷烘柗SLE锛氣憼椤撮儴铦跺舰绱呮枒;鈶＄洡鐙€绱呮枒;鈶㈠厜鏁忔劅;鈶ｅ彛鑵旀桨鐦�;鈶ら棞(gu膩n)绡€(ji茅)鐐�;鈶ヨ厧鑷熺梾锛氳泲鐧藉翱>+++(鎴�>0.5g/d鎴栫窗(x矛)鑳炵鍨�);鈶︾缍�(j墨ng)绯荤当(t菕ng)鐣板父;鐧茬檱鎴栫缍�(j墨ng)鐧ョ媭;鈶ф伎鑶滅値锛氳兏鑶滅値鎴栧績鍖呯値;鈶ㄨ娑插(xu茅)鐣板父锛氭憾琛€鎬ц钵琛€鎴朩BC娓涘皯鎴栨穻宸寸窗(x矛)鑳炴笡灏戞垨琛€灏忔澘娓涘皯;鈶╂姉dsDNA(+)鎴栨姉Sm(+)鎴栨姉纾疯剛鎶楅珨闄芥€�;ANA(+)銆�

姝ゆ偅鑰呯鍚堥棞(gu膩n)绡€(ji茅)鐐庛€佸厜閬庢晱銆佽娑插(xu茅)鐣板父銆佽厧鑷熺梾鐨勮〃鐝�(xi脿n)锛岃€冩叜鐐虹郴绲�(t菕ng)鎬х磪鏂戠嫾鐦°€�

銆愭纰虹瓟妗堛€� B

銆愮瓟妗堣В鏋愩€� 鎶楁牳鎶楅珨(ANA)锛屽皪SLE鐨勬晱鎰熸€х偤95%锛岀壒鐣版€у儏65%锛屾槸SLE鏈€浣崇閬稿(sh铆)椹�(y脿n)銆�

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 澶у鏁�(sh霉)SLE鎮ｈ€呭挨鍏舵槸鍦ㄧ梾鎯呮椿鍕曟檪闇€閬哥敤鍏嶇柅鎶戝埗鍔戣伅(li谩n)鍚堢硸鐨唱(zh矛)婵€绱犳不鐧傦紝鏈夊埄浜庢洿濂藉湴鎺у埗SLE娲诲嫊锛屼繚璀�(h霉)閲嶈鑷熷櫒鍔熻兘锛屾笡灏戝京(f霉)鐧�(f膩)锛屼互鍙婃笡灏戦暦鏈熸縺绱犵殑闇€瑕侀噺鍜屽壇浣滅敤銆�

2銆�

銆愭纰虹瓟妗堛€� A

銆愮瓟妗堣В鏋愩€� SLE澶氳浜庡勾杓曞コ鎬э紝鐧�(f膩)鐔卞拰闂�(gu膩n)绡€(ji茅)鑲岃倝鐥涙槸鏈€甯歌鐨勭櫏鐙€;鎶桽SA鎶楅珨闄芥€ф彁绀鸿垏骞茬嚗缍滃悎寰佹湁闂�(gu膩n)锛岀磩30%鐨凷LE鎮ｈ€呭彲绻肩櫦(f膩)鎬у共鐕ョ稖鍚堝緛锛岀鍚堟偅鑰呭嚭鐝�(xi脿n)鍙ｇ溂鐧�(f膩)骞茬殑琛ㄧ従(xi脿n);鎶楅洐閺圖NA鏄ê鏂稴LE鐨勯噸瑕佹姉楂�锛岃垏SLE娲诲嫊鎬у瘑鍒囩浉闂�(gu膩n);骞句箮鎵€鏈塖LE鐨勬偅鑰呴兘鏈夎厧鑷熺梾鐞嗘敼璁�锛屽彲琛ㄧ従(xi脿n)鐐哄翱铔嬬櫧鍙婄鍨嬪翱銆�

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 鏈緥鎮ｈ€呯疮鍙婂绯荤当(t菕ng)锛岃€冩叜閬╃敤鍏嶇柅鎶戝埗鍔�+绯栫毊璩�(zh矛)婵€绱犳不鐧傛洿鏄撴帶鍒禨LE娲诲嫊;甯哥敤绯栫毊璩�(zh矛)婵€绱�+鐠�(hu谩n)纾烽叞鑳�锛屾瘡4鍛ㄦ矕鎿�1娆★紝绶╄В鍚庢彌鐢ㄥ棊鏇块亥鑰冮厷閰董鎸佹不鐧�;E鍚岀偤绯栫毊璩�(zh矛)婵€绱�+鍏嶇柅鎶戝埗鍔�锛屼絾E灞簬鐙肩槨鑵庣値缍寔闅庢鐨勯閬歌棩鐗�銆�

3銆�

銆愭纰虹瓟妗堛€� B

銆愮瓟妗堣В鏋愩€� 瑭叉偅浠ヨ厧鐥呯稖鍚堝緛鐐轰富瑕佽〃鐝�(xi脿n)锛屼絾鎶楁牳鎶楅珨銆佹姉dsDNA闄芥€�锛岀鍚圫LE绻肩櫦(f膩)鐙肩槨鑵庣値銆�

銆愭纰虹瓟妗堛€� E

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銆愭纰虹瓟妗堛€� C

銆愮瓟妗堣В鏋愩€� 閬╁疁鐨勬不鐧傛槸澶у姂閲忔縺绱�(姣忔棩浜堟綉灏兼澗鍔犲厤鐤姂鍒跺姂娌荤檪)銆�

4銆�

銆愭纰虹瓟妗堛€� B

銆愭纰虹瓟妗堛€� D

5銆�

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 椤為ⅷ(f膿ng)婵曢棞(gu膩n)绡€(ji茅)鐐庢槸涓€澶ч闂�(gu膩n)绡€(ji茅)鐤剧梾锛岀壒榛�(di菐n)鏄皪绋辨€�銆佸鐧�(f膩)鎬у皬闂�(gu膩n)绡€(ji茅)鐐�锛屽叾涓棰�(f膿ng)婵曠祼(ji茅)绡€(ji茅)鏄純鐗圭暟鐨勭毊鑶氳〃鐝�(xi脿n)锛屽瑕嬩簬闂�(gu膩n)绡€(ji茅)闅嗙獊閮ㄥ強鍙楀閮ㄤ綅鐨勭毊涓嬨€�

銆愭纰虹瓟妗堛€� A

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