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    Դ⳥׼ ߣadmin ʱ䣺2022-10-07
    ժҪժҪΪ߶ְҵϩҩƤײ򲡵ʶռ㶫ʡְҵԺε4òߵIJϣٴּԭз̽֡黼߾ʷٴֲͣͣüغѪָܻߣʾ鲻

    ժҪΪ߶ְҵϩҩƤײ򲡵ʶռ㶫ʡְҵԺε4òߵIJϣٴּԭз̽֡黼߾ʷٴֲͣͣüغѪָܻߣʾ鲻棬賤ڽȵơʾ򲡿ְҵϩҩƤ׵ز֢ڼڵĿոѪǺͿڷ⣬ɸǰڻߣ̼صƳ̡

    ؼʡϩҩƤף

    ְҵϩҩƤ2080ĩҹ"ƤȺ͸"ΪҪ֣𲡼ա֢ӵص㡣ŸòγɹʵIJߣƹеIJ֢Ҳ͹֣ǸòһضֵIJ֢ٴֲͣױ[1]ĿǰԺְҵϩҩƤײ򲡻4ܽٴϺԤΪòľṩο



    ռ19971¡201012ԺסԺ215ְҵϩҩƤ׻ߵϽзֲ42Ů2Ϊ24~33꣬ƽΪ(26.32.9)ꣻǰ򲡼ײʷ򲡼ʷ4ʷֱΪ2Ƥ1δ1ʱΪ8~46 dƽΪ(19.912.8)dԺǰ淶ʹü3淶Ӧ1ְҵϩҩƤ׵GBZ 382002ְҵϩжϱ׼GBZ 1852006ְҵϩҩƤϱ׼ϱ׼1999WHOϱ׼



    2.1ٴ

    4߾ȫƤԺ֢״ͣжʳ3213֢ͪж12ɫԼɫѪ֢1˫ڴͰŧѪԷdzĤ׼ͷή

    2.2ʵҼ

    ѪWBC(4.2~28.5)109/LRBC(1.68~4.91)1012/L, Hb 59~147 g/LPLT(133~237)109/LѪܵ(TBIL) 37.4~112.1mol/Lֱӵ(DBIL)22.1~100.6mol/Lתø(ALT)99~1779 U/L춬תø(AST)61~204 U/LãȰתø(GGT)123~321 U/L4.55~14.14 mmol/Lø(LDH) 273~78 U/LǶø(HBDH) 219~396 U/Lܵ(TP) 46.6~51.7 g/L

    2.3Ƽת

    4Ժ淶Ƥʼƣע׻ǿ2עɣΪڷǿɣԻΡļƤȻ֢ơʹΪ50~182 dƽΪ(125.853.1)dƽΪ22.1~51.2 mgԼ׻ǿ㣩ƽΪ(31.611.7) mgԺǰ淶ʹüƵ3ԺʱѪߣΪ7.65~14.14 mmol/LԺ5~8 d淶ƤʼƺѪǻָ1Ժ229 dͣҩ50 dʱֻԼѪǣΪ24.59mol/Lϲ֢ͪж3ԺѪʱֱΪ253343 dƽΪ33.6 d鲡ȫʹȵأЧʮЧӦãƤע䣬4߳ԺʱƤιָܾ3߳ԺƤעȵάѪǣ1תڷڿƼơ

    3

    ƤʼΪְҵϩҩƤ׵ҪҩƱ̬ӦƸΡܵȷžԵãҲɱһЩӦѪ쳣[2-3]ƤʼǾȵطڼأǴл쳣ĻԵȵؽЧӦ׿յȵ׿⣬опܶȵ[4]ְҵϩҩƤײ򲡵ĻƣĿǰδױε4ڼƺԼ4ܿʼѪߣʾְҵϩҩƤ׼̷򲡿ʹüйأΪ̴򲡡ܽ׷̴򲡵ķʸұһϴԼΪ8.8%~40.0%[5]2򲡱ȽϣְҵϩҩƤ׼̷صٴص㣺(1)𲡽Ͽ졣ε4е3ԺѪߵʱƽΪ33 d(2)䡣Ѫ쳣֢״򲻵ͣСĩ"ʳ"֢״3߽ڽгʱѪߣ1ڼ229 dͣҩ50 dֻԣѪ߲ϲ֢ͪж(3)ߴڸ״̬ڷҩȣ̬ӦԭΡҲǿڷҩĽɣۺϿѡʹȵƸòǵIJѡȵƣ(4)ͣüغѪָܻߣʾ鲻棬賤ȵơ

    ڸòڣ淶ƤʼƲڻƤԼΡġȹܵĻָԾڲ淶ʹüضѪԵ洦4УԺǰв淶ʹʷ3ԺʱʾѪߵ1淶ӦüصĻ෴3ѪߵĻ߾淶ʹƤʼ5~8 dѪǾָܻʹʱ䡢ܼӣϲ򲡵ķҲӦӴоƤʼյ򲡷ʱΪ6[6]ε4ƽյʱΪ4ܣʽڽмƵĵ2~3ܿʼӦйעѪDZ仯ڼڵijոѪǺͿڷ⣬ɸǰڣոѪǺ𣩵Ļߣ̼صƳ̡

    ο

    [1]䣬֣ٻ.ְҵϩҩƤز֢[J].йְҵҽѧ2002, 29(4)37-38.

    [2]񣬻ƺ֣μ.㶫150ְҵϩҩƤײְҵвѧ[J].йְҵҽѧ2006, 33(5)333-336.

    [3]Žܣٺ꣬˾ͽ࣬.ְҵϩҩƤ52ٴ[J].ְҵ뽡2010, 26(5): 757-708.

    [4] Delaunay F, Khan A, Cintra A, et al. Pancreatic beta cells are important targets for the diabetogenic effects of glucocorticoids [J]. J Clin Invest, 1997, 100 (8)2094-2098.

    [5] Panthakalam S, Bhatnagar D, Klimiuk P. The prevalence and management of hyperglycemia in patients with theumatoid arthritis on corticosteroid therapy [J]. Scott Med J, 2004, 49 (4):139-141

    [6]С࣬ΰ.̴򲡵ٴо[J].ҽѧڷѧֲᣬ200323(6): 361

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