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2019年最新版《儿童肺炎支原体呼吸道感染实验室诊断中国专家共识》
发布时间: 2018-08-13   点击:

  2019nianzuixinban《ertongfeiyanzhiyuantihuxidaoganranshiyanshizhenduanzhongguozhuanjiagongshi》kanyinyu7yue《zhonghuayixuezazhi》,neirongjiaozhiqiangengjiaxiangjinchanshulefeiyanzhiyuanti(mp)ganrandeshiyanshijiancefangfatedian,guifanleertonghuxidaompganrandeshiyanshizhenduanfangfadeleixing、gainianhejiazhi。

cba下注平台  01.shenmeshimp?

  feiyanzhiyuanti(mp)shiyizhongchangjiandebingyuanweishengwu,zhuyaoyinqirenleihuxidaoganran,youqiyiertongheqingnianweizhu。mpganranguangfancunzaiyushijiegedi,shiertongshequhuodexingfeiyan(cap)dezhongyaobingyuanti,kezhancapde10%~30%,mpliuxingshikezengjia3~5bei。

cba下注平台  zi2000nianqi,dahuanneizhileinaiyaompzaiquanqiugediliuxingdezhengjuyuelaiyueduo,duilinchuangkangjunzhiliaozaochengyingxiang。naiyaolvgao,zhongzhengmpfeiyanzhiliaotiaozhanxingda,xuyaozaozhenduan、zaozhiliao,shiyanshibingyuanxuezhenduanshimpganranzhenduandeguanjian。

  02.mpdejiance

  mpdejiancefangfazhuyaofenbingyuanxuejiancehexueqingxuejianceliangdalei,yijubutongxuqiuhemudexuanzebutongfangfa。

  bingyuanxuejiance

  

  xueqingxuejiance

  

cba下注平台  shiyanshimpxueqingxuejiancejieguodepandu:

cba下注平台  1.keliningjishiyankangtididu≥1∶160: tishijinqihuoxianzhengganran。

  2.zhiyouigmkangti(+): tishijinqiganran。

  3.zhiyouigmjiiga(+): tishixianzhengganran。

  4.zhiyouiggkangti(+): tishijiwangganran。

cba下注平台  5.igm、iggjilgajunwei(+)/igmjiigg(+)/lgajilgg(+): tishixianzhengganranhuojinqiganran。

  6.jiange2~4zhoushuangfenxueqingkangtiyaxingzhuanhua/xueqingkangtishuiping4beijiyishangzengjiahuojiangdi: quezhenmpganran。

  pingjiaxueqingxuejiancejieguoshixuyaojiehehuanzhedelinchuangbingcheng、jichuzhuangkuangyijinianlingdengyinsuzonghekaolv。kangtizaibufenzhiyuhuanzhetineihuichixuyangxing,qijianzaiciganrandequezhenyingzuompdekangtididuhuornajianceyizuozheng。

  03.ruhejinxingmpjiancedezhikong

  gongshitichumpjiancedezhiliangkongzhishihuodezhunquekekaojieguodeqianti,bingduijianyandezhiliangkongzhicongjianyanqian、zhong、houzhiliangkongzhisanbufenjinxinglechanshu。zaijianyanfangfaxuanzedejianyishangtichu: bingyuanxueyuxueqingxuelianhezhenduanrengranshimuqiantichangdempganranzhenduancelve。

  ①jianyanqianzhiliangkongzhi

  jianyanqianzhiliangkongzhizhuyaoshiyangbencaiji、yunshu、baocunguochengdezhiliangkongzhihebiaozhunhua,yingzuoweizhongdianpeixunheguifanneirongtuiguang。

cba下注平台  ②jianyanzhongzhiliangkongzhi

cba下注平台  gongshishoucijichufendengjituijiandejiancefangfa,yingyongshikegenjunenglixuanze。

cba下注平台  yijituijianfangfa

cba下注平台  mpbingyuanxuecaiyongfenzishengwuxuernajiance;mpxueqingxuejiancefangfacaiyongkeliningjifakangtididuceding。

  erjituijianfangfa

  mpbingyuanxuecaiyongfenzishengwuxuednajiance;mpxueqingxuejiancefangfacaiyongelisakangtifenxingjiance。

cba下注平台  sanjituijianfangfa

cba下注平台  mpbingyuanxuecaiyongpeiyangfahuozhijiejiancefa;mpxueqingxuejiancefangfacaiyongjianjiemianyiyingguangfa、mianyijiaotijinfa;feiteyixingxueqingxuejiancefangfa。

  yijiweizuijiafangfa,yangxingkequezhenmpganran,sanjituijianfangfazhongdempzhijiejiancefahemianyijiaotijinfagictduimenjizhenhuanzhempganranzhenduandekuaisuchushaishiyoujiazhide,jinyibuzhenduanxuyiji、erjituijianfangfadequerenhuodongtaifujian。huaxuefaguangfa(clia)yinyingyongbuguangfan,zanbulierutuijiandengji。

  ③jianyanhouzhiliangkongzhizhongduibingyuanxueyuxueqingxuelianhecbaxiazhupingtaidejieguofenxijianyi

  

cba下注平台  jianyanhouzhiliangkongzhizhuyaoshijianyanjieguozhiliangdebaozheng、jianyanjieguodebaogaohefabu,yigeshiyanshijubeiduozhongjianyanfangfashi,yaozhuyibaogaofachushideluojixing。dangjiancejieguobuxiangfushi,yingchazhaojianyanqian、zhongdezhiliangwenti;paichujiancedaozhidejiayinxinghejiayangxinghou。

cba下注平台  mpshiyanshizhenduanliuchengtu

  

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