{"id":492,"date":"2023-12-01T13:57:47","date_gmt":"2023-12-01T05:57:47","guid":{"rendered":"http:\/\/www.mfzx.org.cn\/?p=492"},"modified":"2023-12-01T13:57:47","modified_gmt":"2023-12-01T05:57:47","slug":"%e9%a9%ac%e5%87%a1%e7%bb%bc%e5%90%88%e5%be%81%e5%bf%83%e8%a1%80%e7%ae%a1%e5%a4%96%e7%a7%91%e6%b2%bb%e7%96%97%e5%8f%8a%e5%84%bf%e7%ab%a5%e6%82%a3%e8%80%85%e6%b2%bb%e7%96%97","status":"publish","type":"post","link":"http:\/\/www.mfzx.org.cn\/?p=492","title":{"rendered":"\u9a6c\u51e1\u7efc\u5408\u5f81\u5fc3\u8840\u7ba1\u5916\u79d1\u6cbb\u7597\u53ca\u513f\u7ae5\u60a3\u8005\u6cbb\u7597"},"content":{"rendered":"

\u7b80\u9534\u9676\uff1a\u526f\u4e3b\u4efb\u533b\u5e08 \u4e0a\u6d77\u5fb7\u8fbe\u533b\u9662<\/p>\n

\u00a0\u5fc3\u810f\u7ed3\u6784\u75c5\u53d8<\/strong><\/p>\n

\u5fc3\u810f\u7ed3\u6784\u75c5\u53d8\u5bfc\u81f4\u7684\u4e34\u5e8a\u8868\u73b0\u4e3b\u8981\u662f\u7531\u4e8e\u74e3\u819c\u5173\u95ed\u4e0d\u5168\u5f15\u8d77\u7684\u3002\u4e3b\u52a8\u8109\u7aa6\u6269\u5f20\uff0c\u4e3b\u52a8\u8109\u74e3\u73af\u6269\u5f20\u9020\u6210\u4e3b\u52a8\u8109\u74e3\u5173\u95ed\u4e0d\u5168\u6700\u4e3a\u591a\u89c1\uff0c\u5176\u6b21\u662f\u4e8c\u5c16\u74e3\u8131\u5782\uff0c\u5173\u95ed\u4e0d\u5168\uff0c\u4e09\u5c16\u74e3\u5173\u95ed\u4e0d\u5168\uff0c\u800c\u9a6c\u51e1\u7efc\u5408\u5f81\u60a3\u8005\u80ba\u52a8\u8109\u74e3\u75c5\u53d8\u6bd4\u8f83\u5c11\u89c1\u3002<\/p>\n

\u4e3b\u52a8\u8109\u74e3\u6216\/\u548c\u4e8c\u5c16\u74e3\u5173\u95ed\u4e0d\u5168\uff0c\u5de6\u5fc3\u7684\u524d\u8d1f\u8377\u589e\u52a0\uff0c\u968f\u7740\u65f6\u95f4\u7684\u5ef6\u957f\uff0c\u9020\u6210\u5fc3\u810f\u6269\u5927\uff0c\u5fc3\u529f\u80fd\u8870\u7aed\u3002\u7531\u74e3\u819c\u5173\u95ed\u4e0d\u5168\u5bfc\u81f4\u7684\u75c7\u72b6\u5f80\u5f80\u6162\u6027\u8d77\u75c5\uff0c\u65e9\u671f\u7684\u4e34\u5e8a\u8868\u73b0\u662f\u6d3b\u52a8\u8010\u529b\u4e0b\u964d\uff0c\u591c\u95f4\u7761\u7720\u6b20\u4f73\uff0c\u4e0d\u80fd\u5e73\u5367\uff0c\u9700\u8d77\u5e8a\uff0c\u5750\u4f4d\u65b9\u53ef\u7f13\u89e3\uff0c\u968f\u7740\u75c5\u60c5\u8fdb\u5c55\uff0c\u51fa\u73b0\u53cc\u4e0b\u80a2\u6c34\u80bf\uff0c\u8fdb\u800c\u51fa\u73b0\u5598\u606f\uff0c\u547c\u5438\u56f0\u96be\u3002\u6709\u4e9b\u60a3\u8005\u4f1a\u8868\u73b0\u51fa\u5fc3\u5f8b\u5931\u5e38\uff0c\u5305\u62ec\uff1a\u623f\u5ba4\u4f20\u5bfc\u963b\u6ede\uff0c\u623f\u98a4\uff0c\u5ba4\u4e0a\u6027\u5fc3\u52a8\u8fc7\u901f\u7b49\u3002<\/p>\n

\u51fa\u73b0\u4e0a\u8ff0\u75c7\u72b6\u65f6\uff0c\u60a3\u8005\u5e94\u53ca\u65f6\u5c31\u533b\uff0c\u884c\u5fc3\u810f\u8d85\u58f0\u68c0\u67e5\uff0c\u660e\u786e\u5fc3\u810f\u74e3\u819c\u75c5\u53d8\u60c5\u51b5\uff0c\u5236\u5b9a\u4e0b\u4e00\u6b65\u6cbb\u7597\u65b9\u6848\u3002<\/p>\n

\u8840\u7ba1\u75c5\u53d8\u548c\u5fc3\u810f\u75c5\u53d8\u6709\u53ef\u80fd\u540c\u65f6\u53d1\u751f\uff0c\u6240\u4ee5\u60a3\u8005\u5728\u51fa\u73b0\u75c7\u72b6\u65f6\u4e00\u5b9a\u8981\u4ece\u4e09\u4e2a\u65b9\u9762\u8fdb\u884c\u68c0\u67e5\uff1a\u5fc3\u7535\u56fe\uff1a\u660e\u786e\u5fc3\u810f\u8282\u5f8b\u95ee\u9898\uff1b\u5fc3\u810f\u8d85\u58f0\uff1a\u660e\u786e\u5fc3\u810f\u5185\u90e8\u7ed3\u6784\u95ee\u9898\uff0c\u5fc3\u810f\u529f\u80fd\uff1b\u80f8\u8179\u4e3b\u52a8\u8109CTA\u68c0\u67e5\uff1a\u660e\u786e\u8840\u7ba1\u7ed3\u6784\uff0c\u662f\u5426\u6709\u4e3b\u52a8\u8109\u5939\u5c42\u6216\u52a8\u8109\u7624\uff0c\u540c\u65f6\u8fd8\u53ef\u4ee5\u5bf9\u5fc3\u810f\u8d85\u58f0\u4e0d\u80fd\u660e\u786e\u7684\u5fc3\u5185\u90e8\u5206\u7ed3\u6784\u95ee\u9898\u8fdb\u884c\u5fc5\u8981\u7684\u8865\u5145\u3002<\/p>\n

\u9a6c\u51e1\u7efc\u5408\u5f81\u60a3\u8005\u5916\u79d1\u6cbb\u7597\u7684\u65b9\u6cd5\u548c\u65b9\u5f0f\uff0c\u6839\u636e\u53d1\u75c5\u65f6\u7684\u8f7b\u91cd\u7f13\u6025\uff0c\u75c5\u53d8\u7684\u90e8\u4ee5\u53ca\u5c31\u533b\u7684\u6761\u4ef6\u7b49\uff0c\u5728\u6cbb\u7597\u7b56\u7565\u4e0a\u4f1a\u6709\u4e0d\u540c\uff0c\u4f46\u603b\u4f53\u539f\u5219\u662f\u6bd4\u8f83\u660e\u786e\u548c\u7edf\u4e00\u7684\u3002<\/p>\n

\u6025\u6027Stanford A\u578b\u4e3b\u52a8\u8109\u5939\u5c42<\/strong><\/p>\n

\u4e00\u7ecf\u8bca\u65ad\u6025\u6027Stanford A\u578b\u4e3b\u52a8\u8109\u5939\u5c42\uff0c\u5c31\u9700\u8981\u6025\u8bca\u8fdb\u884c\u624b\u672f\u6cbb\u7597\uff0c\u65f6\u95f4\u5c31\u662f\u751f\u547d\uff0c\u672a\u7ecf\u624b\u672f\u6cbb\u7597\u7684\u60a3\u800524h\u6b7b\u4ea1\u7387\u9ad8\u8fbe50%\u3002\u624b\u672f\u65b9\u5f0f\u6839\u636e\u5939\u5c42\u7d2f\u53ca\u7684\u8303\u56f4\uff0c\u4e3b\u8981\u6709\u4e24\u79cd\uff1aBentall\u624b\u672f\u6216Bentall +Sun\u2019s\uff08\u5b59\u6c0f\uff09\u624b\u672f\u3002\u5982\u5939\u5c42\u7d2f\u53ca\u5230\u51a0\u72b6\u52a8\u8109\uff0c\u9020\u6210\u4e0d\u53ef\u4fee\u590d\u7684\u635f\u4f24\uff0c\u540c\u671f\u8fd8\u9700\u8981\u8fdb\u884c\u51a0\u8109\u642d\u6865\u624b\u672f\u3002\u672f\u524d\u5982\u60a3\u8005\u5df2\u51fa\u73b0\u4e2d\u67a2\u795e\u7ecf\u7cfb\u7edf\u75c7\u72b6\uff0c\u5982\u660f\u8ff7\u3001\u504f\u762b\u7b49\uff0c\u7ecf\u5934\u9885CT\u8bca\u65ad\u4e3a\u8111\u6897\u585e\uff0c\u901a\u5e383\u4e2a\u6708\u5185\u65e0\u6cd5\u8fdb\u884c\u624b\u672f\uff0c\u6b64\u7c7b\u60a3\u8005\u6025\u8bca\u672f\u540e\u8111\u51fa\u8840\u53d1\u751f\u7387\u6781\u9ad8\uff0c\u9884\u540e\u4e0d\u4f73\u3002<\/p>\n

\u4e3b\u52a8\u8109\u5939\u5c42\u7d2f\u53ca\u8303\u56f4\u5c40\u9650\u5728\u4e3b\u52a8\u8109\u7aa6\uff0c\u5347\u4e3b\u52a8\u8109\uff0c\u53ef\u884cBentall\u624b\u672f\uff0c\u8303\u56f4\u7d2f\u53ca\u4e3b\u52a8\u8109\u5f13\uff0c\u964d\u4e3b\u52a8\u8109\uff0c\u5219\u9700\u884cBentall +Sun\u2019s\u624b\u672f\uff0c\u5bf9\u4e8e\u75c5\u60c5\u5371\u91cd\u3001\u60a3\u8005\u548c\u5c31\u8bca\u533b\u9662\u6761\u4ef6\u4e0d\u5141\u8bb8\u65f6\uff0c\u5939\u5c42\u968f\u7d2f\u53ca\u4e3b\u52a8\u8109\u5f13\uff0c\u4e5f\u53ef\u884cBentall\u624b\u672f\uff0c\u4fdd\u8bc1\u4e00\u671f\u624b\u672f\u60a3\u8005\u5b58\u6d3b\uff0c\u4e3a\u540e\u7eed\u6cbb\u7597\u521b\u9020\u6761\u4ef6\u3002<\/p>\n

Sun\u2019s\uff08\u5b59\u6c0f\uff09\u624b\u672f\u662f\u7531\u4e0a\u6d77\u5fb7\u8fbe\u533b\u9662\u5b59\u7acb\u5fe0\u6559\u6388\u53d1\u660e\u521b\u9020\u5e76\u6700\u5148\u5e94\u7528\u4e8e\u4e34\u5e8a\u6cbb\u7597\u4e2d\uff0c\u76ee\u524d\u5df2\u6210\u4e3a\u56fd\u5185\u5916\u6025\u6027Stanford A\u578b\u4e3b\u52a8\u8109\u5939\u5c42\u5916\u79d1\u6cbb\u7597\u7684\u6807\u51c6\u672f\u5f0f\u3002Sun\u2019s\u624b\u672f\u4e2d\u672f\u4e2d\u652f\u67b6\u7684\u5e94\u7528\uff0c\u5bf9\u4e8e\u9a6c\u51e1\u7efc\u5408\u5f81\u60a3\u8005\u5c24\u4e3a\u91cd\u8981\uff0c\u5b83\u4e0d\u4ec5\u80fd\u591f\u95ed\u5408\u8fd1\u7aef\u5939\u5c42\u7684\u7834\u53e3\uff0c\u53ca\u65f6\u5f00\u653e\u771f\u8154\uff0c\u5ef6\u7f13\u8fdc\u7aef\u75c5\u53d8\u53d1\u5c55\uff1b\u800c\u4e14\u4e3a\u8fdc\u671f\u6781\u6709\u53ef\u80fd\u8fdb\u884c\u7684\u80f8\u8179\u4e3b\u52a8\u8109\u7f6e\u6362\u521b\u9020\u6700\u4f73\u7684\u624b\u672f\u6761\u4ef6\u3002<\/p>\n

\"\"<\/p>\n

\u56fe5. Bentall\u624b\u672f\u793a\u610f\u56fe[2]<\/p>\n

\"\"<\/p>\n

\u56fe6. \u5b59\u6c0f\u624b\u672f\u793a\u610f\u56fe<\/p>\n

Stent graft deployment: \u652f\u67b6\u690d\u5165\uff1bDistal anastomosis: \u8fdc\u7aef\u543b\u5408\uff1bLeft carotid reconstruction: \u5de6\u4fa7\u52b2\u603b\u52a8\u8109\u91cd\u5efa\uff1bProximal anastomosis: \u8fd1\u7aef\u543b\u5408\uff1bLeft subclavian reconstruction:\u5de6\u4fa7\u9501\u9aa8\u4e0b\u52a8\u8109\u91cd\u5efa\uff1bInnominate recnstruction\uff1b\u65e0\u540d\u52a8\u8109\u91cd\u5efa<\/p>\n

\u6025\u6027Stanford B\u578b\u4e3b\u52a8\u8109\u5939\u5c42<\/strong><\/p>\n

\u6025\u6027Stanford B\u578b\u4e3b\u52a8\u8109\u5939\u5c42\u5982\u679c\u6ca1\u6709\u53d1\u751f\u80c3\u80a0\u9053\uff0c\u80be\u810f\u548c\u4e0b\u80a2\u7684\u7f3a\u8840\uff0c\u6ca1\u6709\u7834\u88c2\uff0c\u5982\u80f8\u8154\u79ef\u6db2\uff0c\u8179\u8154\u79ef\u6db2\uff0c\u8179\u819c\u540e\u8840\u80bf\uff1b\u6216\u65e0\u7834\u88c2\u503e\u5411\uff0c\u5982\u80f8\u4e3b\u52a8\u8109\u76f4\u5f84\u672a\u8d85\u8fc750mm\uff0c\u8179\u4e3b\u52a8\u8109\u76f4\u5f84\u672a\u8d85\u8fc760mm\uff0c\u53ef\u4ee5\u8003\u8651\u4fdd\u5b88\u6cbb\u7597\uff0c\u79ef\u6781\u63a7\u5236\u8840\u538b\uff0c\u5fc3\u7387\uff0c2\u5468\u5185\u79ef\u6781\u590d\u67e5\uff0c\u5982\u75c5\u60c5\u7a33\u5b9a\uff0c\u540e\u671f\u5b9a\u671f\u968f\u8bbf\u3002\u82e5\u5939\u5c42\u7834\u88c2\u6216\u6709\u660e\u663e\u7834\u88c2\u503e\u5411\uff0c\u53d1\u751f\u80c3\u80a0\u9053\uff0c\u80be\u810f\u6216\u8005\u4e0b\u80a2\u7f3a\u8840\uff0c\u5219\u9700\u8fdb\u884c\u6025\u8bca\u7684\u80f8\u8179\u4e3b\u52a8\u8109\u7f6e\u6362\uff0c\u82e5\u5c31\u533b\u5730\u70b9\u65e0\u884c\u80f8\u8179\u4e3b\u52a8\u8109\u7f6e\u6362\u6761\u4ef6\uff0c\u4e3a\u633d\u6551\u751f\u547d\uff0c\u53ef\u884c\u4ecb\u5165\u6cbb\u7597\u3002<\/p>\n

\u9a6c\u51e1\u7efc\u5408\u5f81\u60a3\u8005\uff0c\u5982\u679c\u6025\u6027Stanford B\u578b\u4e3b\u52a8\u8109\u5939\u5c42\u75c5\u60c5\u7a33\u5b9a\uff0c\u4e0d\u5efa\u8bae\u884c\u4ecb\u5165\u6cbb\u7597\u3002\u7531\u4e8e\u7ed3\u7f14\u7ec4\u7ec7\u53d1\u80b2\u4e0d\u826f\uff0c\u5927\u591a\u6570\u60a3\u8005\u52a8\u8109\u77ed\u671f\u5185\u4f1a\u53d1\u751f\u6269\u5f20\uff0c\u6781\u6613\u51fa\u73b0\u4ecb\u5165\u76f8\u5173\u5e76\u53d1\u75c7\uff0c\u4f8b\u5982\u5404\u79cd\u5f62\u5f0f\u7684\u5185\u6f0f\uff0c\u652f\u67b6\u79fb\u4f4d\u7b49\uff0c\u4e00\u65e6\u51fa\u73b0\u4ecb\u5165\u5e76\u53d1\u75c7\uff0c\u5c31\u4f1a\u5bf9\u540e\u7eed\u7684\u80f8\u8179\u4e3b\u52a8\u8109\u7f6e\u6362\u9020\u6210\u56f0\u96be\uff1b\u540c\u65f6\uff0c\u7531\u4e8e\u4ecb\u5165\u652f\u67b6\u548c\u5916\u79d1\u624b\u672f\u672f\u4e2d\u652f\u67b6\u5728\u6750\u8d28\u548c\u7ed3\u6784\u4e0a\u7684\u4e0d\u540c\uff0c\u4e5f\u589e\u52a0\u4e86\u80f8\u8179\u4e3b\u52a8\u8109\u7f6e\u6362\u5f97\u6280\u672f\u96be\u5ea6\u548c\u624b\u672f\u98ce\u9669\u3002<\/p>\n

\u52a8\u8109\u7624<\/strong><\/p>\n

\u4efb\u4f55\u90e8\u4f4d\u7684\u52a8\u8109\u7624\u90fd\u9700\u8981\u624b\u672f\u6cbb\u7597\uff0c\u4e3b\u52a8\u8109\u7aa6\u76f4\u5f84>50mm\uff0c\u5347\u4e3b\u52a8\u8109\u76f4\u5f84>50mm\uff0c\u4e3b\u52a8\u8109\u5f13\u76f4\u5f84>50mm\uff0c\u964d\u4e3b\u52a8\u8109\u76f4\u5f84>50mm\uff0c\u8179\u4e3b\u52a8\u8109\u76f4\u5f84>60mm\u3002\u9a6c\u51e1\u60a3\u8005\u624b\u672f\u6307\u5f81\u53ef\u4ee5\u7a0d\u7a0d\u653e\u5bbd\uff0c\u5c24\u5176\u662f\u4e3b\u52a8\u8109\u7aa6\uff0c\u5347\u4e3b\u52a8\u8109\uff0c\u4e3b\u52a8\u8109\u5f13\u52a8\u8109\u7624\uff0c\u76f4\u5f84>45mm\uff0c\u5c31\u5e94\u8be5\u8003\u8651\u624b\u672f\u3002\u4e00\u65e6\u4e3b\u52a8\u8109\u7834\u88c2\u5f62\u6210\u6025\u6027Stanford A\u578b\u4e3b\u52a8\u8109\u5939\u5c42\uff0c\u5982\u524d\u6240\u8ff0\uff0c\u540e\u679c\u975e\u5e38\u4e25\u91cd\u3002<\/p>\n

\u9a6c\u51e1\u7efc\u5408\u5f81\u60a3\u8005\u4e0e\u6b63\u5e38\u5065\u5eb7\u4eba\u7fa4\u663e\u8457\u533a\u522b\u70b9\u5728\u4e8e\u4f53\u8868\u9762\u79ef\u548c\u4e3b\u52a8\u8109\u6839\u90e8\u76f4\u5f84\u7684\u53d8\u5316\u3002\u9a6c\u51e1\u7efc\u5408\u5f81\u60a3\u8005\u4e3b\u52a8\u8109\u6839\u90e8\u6269\u5f20\u7684\u90e8\u4f4d\u901a\u5e38\u4f4d\u4e8e\u4e3b\u52a8\u8109\u7aa6\u4e09\u4e2a\u7aa6\u7684\u90e8\u4f4d\uff0c\u5e76\u4e14\u9aa4\u7136\u7ec8\u6b62\u4e8e\u4e09\u4e2a\u7aa6\u7ba1\u7684\u4ea4\u6c47\u5904\uff0c\u4ece\u800c\u5bfc\u81f4\u4e3b\u52a8\u8109\u6839\u90e8\u5448\u68a8\u578b\u3002<\/p>\n

\u4e3b\u52a8\u8109\u7aa6\u52a8\u8109\u7624\u4e0d\u4f34\u6709\u4e3b\u52a8\u8109\u74e3\u5173\u95ed\u4e0d\u5168\u6216\u8f7b\u5ea6\u7684\u5173\u95ed\u4e0d\u5168\uff0c\u53ef\u4ee5\u8003\u8651\u884cDavid\u624b\u672f\uff0c\u4fdd\u7559\u4e3b\u52a8\u8109\u74e3\uff0c\u907f\u514d\u4e3b\u52a8\u8109\u74e3\u7f6e\u6362\u540e\u957f\u671f\u670d\u7528\u6297\u51dd\u836f\u7269\uff08\u534e\u6cd5\u6797\uff09\u7684\u70e6\u607c\u3002<\/p>\n

\"\"<\/p>\n

\u56fe7. David\u624b\u672f\u793a\u610f\u56fe[4]<\/p>\n

\u5fc3\u810f\u74e3\u819c\u75c5\u53d8<\/strong><\/p>\n

\u60a3\u8005\u7531\u4e8e\u4e3b\u52a8\u8109\u7aa6\u52a8\u8109\u7624\uff0c\u7ee7\u800c\u51fa\u73b0\u4e3b\u52a8\u8109\u74e3\u73af\u7684\u6269\u5f20\uff0c\u5bfc\u81f4\u4e3b\u52a8\u8109\u74e3\u5173\u95ed\u4e0d\u5168\u3002\u5982\u4e3b\u52a8\u8109\u74e3\u7ed3\u6784\u6ca1\u6709\u5f02\u5e38\uff0c\u74e3\u73af\u6269\u5f20\u4e0d\u660e\u663e\uff0c\u5373\u4f7f\u51fa\u73b0\u8f7b\uff0c\u4e2d\u5ea6\u5173\u95ed\u4e0d\u5168\uff0c\u4e5f\u53ef\u8003\u8651\u884cDavid\u624b\u672f\uff0c\u5426\u5219\u5219\u9700\u8981\u884cBentall\u624b\u672f\u3002<\/p>\n

\u9a6c\u51e1\u60a3\u8005\u4e8c\u5c16\u74e3\u75c5\u53d8\u5f80\u5f80\u8868\u73b0\u4e3a\u4e8c\u5c16\u74e3\u74e3\u53f6\u5197\u957f\uff0c\u74e3\u819c\u5173\u95ed\u4e0d\u5168\uff0c\u5982\u679c\u4e8c\u5c16\u74e3\u74e3\u4e0b\u7ed3\u6784\uff0c\u5982\u8171\u7d22\uff0c\u4e73\u5934\u808c\u65e0\u660e\u663e\u5f62\u6001\u5b66\u53d8\u5316\uff0c\u9996\u9009\u4e8c\u5c16\u74e3\u6210\u5f62\uff1b\u5982\u74e3\u53f6\u75c5\u53d8\u540c\u65f6\u74e3\u4e0b\u7ed3\u6784\u4e5f\u53d1\u751f\u660e\u663e\u7684\u5f62\u6001\u5b66\u53d8\u5316\uff0c\u6210\u5f62\u56f0\u96be\u65f6\uff0c\u5219\u8003\u8651\u884c\u4e8c\u5c16\u74e3\u7f6e\u6362\u3002<\/p>\n

\u5f53\u4e3b\u52a8\u8109\u74e3\u6216\u4e8c\u5c16\u74e3\u540c\u65f6\u9700\u8981\u5904\u7406\u65f6\uff0c\u5176\u4e2d\u4e00\u4e2a\u74e3\u819c\u8fdb\u884c\u673a\u68b0\u74e3\u7f6e\u6362\uff0c\u5219\u53e6\u4e00\u74e3\u819c\u4e0d\u8ffd\u6c42\u6210\u5f62\uff0c\u56e0\u4e3a\u5373\u4f7f\u6210\u5f62\u6ee1\u610f\uff0c\u4ecd\u65e0\u6cd5\u907f\u514d\u670d\u7528\u534e\u6cd5\u6797\uff0c\u4e8c\u5c16\u74e3\u53ef\u4ee5\u8003\u8651\u4fdd\u7559\u74e3\u4e0b\u7ed3\u6784\uff0c\u7ef4\u6301\u5de6\u5fc3\u5ba4\u9525\u5f62\u5f62\u6001\uff0c\u4fdd\u6301\u5de6\u5ba4\u529f\u80fd\u3002<\/p>\n

\u6709\u4e9b\u60a3\u8005\u5408\u5e76\u6709\u591a\u79cd\u75c5\u53d8\uff0c\u4f8b\u5982\u65e2\u9700\u8981\u505a\u5fc3\u810f\u624b\u672f\uff0c\u53c8\u9700\u8981\u505a\u80f8\u8179\u4e3b\u52a8\u8109\u624b\u672f\uff0c\u539f\u5219\u4e0a\u9700\u5148\u884c\u5904\u7406\u5fc3\u810f\u95ee\u9898\uff0c\u518d\u5904\u7406\u80f8\u8179\u4e3b\u52a8\u8109\u95ee\u9898\uff0c\u53ef\u4ee5\u5728\u5fc3\u810f\u624b\u672f\u672f\u540e2\u5468\uff0c\u518d\u8fdb\u884c\u80f8\u8179\u4e3b\u52a8\u8109\u624b\u672f\u3002\u5982\u679c\u80f8\u8179\u4e3b\u52a8\u8109\u75c5\u53d8\u96c6\u4e2d\u5728\u8179\u90e8\uff0c\u4e5f\u53ef\u8003\u8651\u6b63\u4e2d\u80f8\u8179\u8054\u5408\u5207\u53e3\u4e00\u671f\u884c\u5fc3\u810f\u624b\u672f\u548c\u80be\u4e0b\u8179\u4e3b\u52a8\u8109\u7f6e\u6362\u3002\u7279\u6b8a\u7d27\u6025\u60c5\u51b5\uff0c\u8fdb\u884c\u4e00\u671f\u5fc3\u810f\u624b\u672f\u548c\u5168\u80f8\u8179\u4e3b\u52a8\u8109\u7f6e\u6362\uff0c\u4f46\u624b\u672f\u521b\u4f24\u8fc7\u5927\uff0c\u65f6\u95f4\u957f\uff0c\u98ce\u9669\u9ad8\u3002<\/p>\n

\u5728\u5916\u79d1\u6cbb\u7597\u4e2d\uff0c\u60a3\u8005\u53ef\u80fd\u4f1a\u9762\u4e34\u4e00\u4e9b\u5e38\u89c1\u7684\u95ee\u9898\uff0c\u9700\u8981\u505a\u5224\u65ad\u548c\u51b3\u5b9a\u3002<\/p>\n

\u8fdb\u884c\u74e3\u819c\u7f6e\u6362\uff0c\u662f\u9009\u62e9\u673a\u68b0\u74e3\u8fd8\u662f\u751f\u7269\u74e3<\/strong><\/p>\n

\u673a\u68b0\u74e3\u53ef\u4ee5\u7ec8\u8eab\u4f7f\u7528\uff0c\u4f46\u540c\u65f6\u4e5f\u9700\u8981\u7ec8\u8eab\u670d\u7528\u6297\u51dd\u836f\u7269\u534e\u6cd5\u6797\uff0c\u7531\u4e8e\u534e\u6cd5\u6797\u53d7\u98df\u7269\uff0c\u836f\u7269\u5f71\u54cd\u8f83\u5927\uff0c\u6240\u4ee5\u5728\u670d\u7528\u534e\u6cd5\u6797\u671f\u95f4\uff0c\u9700\u8981\u6839\u636e\u8840\u6db2\u68c0\u6d4b\u6307\u6807\uff08\u56fd\u9645\u6807\u51c6\u5316\u6bd4\u503c INR\uff09\u8fdb\u884c\u8c03\u6574\uff0c\u5177\u4f53\u8c03\u6574\u65b9\u6848\u89c1\u9644\u4ef6\u3002\u6307\u6807\u8fc7\u4f4e\uff0c\u673a\u68b0\u74e3\u5185\u6216\u74e3\u4e0b\u4f1a\u5f62\u6210\u8840\u6813\uff0c\u5f71\u54cd\u74e3\u819c\u5f00\u653e\u548c\u5173\u95ed\uff0c\u51fa\u73b0\u6025\u6027\u7684\u5fc3\u529f\u80fd\u8870\u7aed\uff1b\u8840\u6813\u8131\u843d\uff0c\u4f1a\u5bfc\u81f4\u91cd\u8981\u810f\u5668\u6813\u585e\uff0c\u4e3b\u8981\u662f\u8111\u6813\u585e\u548c\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\u6813\u585e\uff0c\u540e\u679c\u4e25\u91cd\u3002\u6307\u6807\u8fc7\u9ad8\uff0c\u5bb9\u6613\u8bf1\u53d1\u810f\u5668\u51fa\u8840\uff0c\u5982\u8111\u51fa\u8840\uff0c\u540c\u6837\u540e\u679c\u4e25\u91cd\u3002<\/p>\n

\u751f\u7269\u74e3\u901a\u5e38\u7531\u732a\u7684\u4e3b\u52a8\u8109\u74e3\u6216\u725b\u5fc3\u5305\u7f1d\u5236\u800c\u6210\uff0c\u751f\u7269\u74e3\u7f6e\u6362\u540e\uff0c\u534e\u6cd5\u6797\u670d\u75283-6\u4e2a\u6708\uff0c\u5f85\u5185\u76ae\u7ec6\u80de\u8986\u76d6\u74e3\u819c\u8868\u9762\u540e\uff0c\u5c31\u53ef\u4ee5\u505c\u836f\uff0c\u907f\u514d\u4e86\u7ec8\u8eab\u670d\u7528\u534e\u6cd5\u6797\u6709\u53ef\u80fd\u5e26\u6765\u7684\u76f8\u5173\u5e76\u53d1\u75c7\u3002\u4f46\u751f\u7269\u74e3\u819c\u6709\u4f7f\u7528\u5e74\u9650\uff0c\u5927\u6982\u5bff\u547d\u572810-15\u5e74\uff0c\u4e4b\u540e\u4fbf\u51fa\u73b0\u74e3\u819c\u7684\u8870\u8d25\uff0c\u8fd8\u9700\u8981\u518d\u6b21\u66f4\u6362\uff0c\u53ef\u4ee5\u5916\u79d1\u624b\u672f\u8fdb\u884c\u74e3\u819c\u7f6e\u6362\u6216\u91c7\u7528\u7ecf\u76ae\u4ecb\u5165\u8fdb\u884c\u74e3\u819c\u7f6e\u6362\u3002<\/p>\n

\u90a3\u4ec0\u4e48\u6837\u7684\u60a3\u8005\u9002\u5408\u673a\u68b0\u74e3\uff0c\u4ec0\u4e48\u6837\u7684\u60a3\u8005\u9002\u5408\u751f\u7269\u74e3\u5462\uff1f\u901a\u5e38\u5e74\u9f8455\u5c81\u4ee5\u4e0a\u53ef\u4ee5\u8003\u8651\u9009\u62e9\u751f\u7269\u74e3\u819c\uff0c\u5bf9\u4e8e\u5e74\u8f7b\u5973\u6027\uff0c\u6709\u751f\u80b2\u9700\u6c42\u7684\u60a3\u8005\u4e5f\u53ef\u4ee5\u8003\u8651\u9009\u62e9\u751f\u7269\u74e3\u819c\u7f6e\u6362\u3002\u5bf9\u4e8e\u5e74\u8f7b\u60a3\u8005\uff0c\u65e0\u751f\u80b2\u9700\u6c42\u5973\u6027\u60a3\u8005\uff0c\u5219\u9009\u62e9\u673a\u68b0\u74e3\u819c\u3002<\/p>\n

\u4e3b\u52a8\u8109\u7aa6\u52a8\u8109\u7624\uff0c\u662f\u505aBentall\u624b\u672f\u8fd8\u662fDavid\u624b\u672f<\/strong><\/p>\n

\u6709\u4e9b\u9a6c\u51e1\u60a3\u8005\u62c5\u5fc3\uff0c\u4e3b\u52a8\u8109\u7aa6\u52a8\u8109\u7624\uff0c\u884cDavid\u624b\u672f\u540e\u9762\u4e34\u7740\u518d\u6b21\u624b\u672f\u7684\u95ee\u9898\uff1a\u662f\u4e0d\u662f\u9a6c\u51e1\u60a3\u8005\u4e3b\u52a8\u8109\u74e3\u5148\u5929\u53d1\u80b2\u4e0d\u4f73\uff0c\u4fdd\u7559\u4e3b\u52a8\u8109\u74e3\u540e\uff0c\u74e3\u819c\u5728\u77ed\u65f6\u95f4\u5185\u53c8\u53d1\u751f\u75c5\u53d8\uff0c\u9762\u4e34\u518d\u6b21\u624b\u672f\u3002\u6b63\u5982\u524d\u9762\u6240\u8ff0\uff0c\u4e3b\u52a8\u8109\u7aa6\u52a8\u8109\u7624\u4e0d\u4f34\u6709\u4e3b\u52a8\u8109\u74e3\u5173\u95ed\u4e0d\u5168\u6216\u8f7b\u5ea6\u7684\u5173\u95ed\u4e0d\u5168\uff0c\u53ef\u4ee5\u8003\u8651\u884cDavid\u624b\u672f\uff0c\u4fdd\u7559\u4e3b\u52a8\u8109\u74e3\uff0c\u5173\u952e\u662f\u4e3b\u52a8\u8109\u74e3\u73af\u6ca1\u6709\u4e25\u91cd\u7684\u6269\u5927\u3002\u8fd9\u5c31\u8981\u6c42\u60a3\u8005\u5728\u4e3b\u52a8\u8109\u7aa6\u52a8\u8109\u7624\u65e9\u671f\u5c31\u5e94\u8be5\u79ef\u6781\u5c31\u533b\uff0c\u5728\u74e3\u73af\u6ca1\u6709\u4e25\u91cd\u53d8\u5f62\u65f6\u8fdb\u884c\u624b\u672f\uff0c\u5982\u679c\u62d6\u5ef6\u65f6\u95f4\u8fc7\u957f\uff0c\u90a3\u4e48\u4e3b\u52a8\u8109\u73af\u4e25\u91cd\u6269\u5927\uff0c\u53d8\u5f62\uff0c\u5c31\u4e27\u5931\u4e86\u4fdd\u7559\u4e3b\u52a8\u8109\u74e3\u7684\u673a\u4f1a\u3002<\/p>\n

David\u672c\u4eba\u5bf9\u9a6c\u51e1\u7efc\u5408\u5f81\u60a3\u8005\u884cDavid\u624b\u672f\u60a3\u8005\u8fdb\u884c\u4e8610\u5e74\u7684\u968f\u8bbf\uff0c\u8ba4\u4e3a\u8fdc\u671f\u7597\u6548\u4e0e\u666e\u901a\u60a3\u8005\u65e0\u660e\u663e\u533a\u522b\uff0c\u6240\u4ee5\u5bf9\u4e8e\u5e0c\u671b\u80fd\u591f\u4fdd\u7559\u4e3b\u52a8\u8109\u74e3\u7684\u60a3\u8005\uff0c\u5c31\u9700\u8981\u5728\u75c5\u53d8\u65e9\u671f\u8fdb\u884c\u624b\u672f\u3002<\/p>\n

\u4e0d\u7ba1\u662f\u5fc3\u810f\u624b\u672f\u8fd8\u662f\u8840\u7ba1\u624b\u672f\uff0c\u672f\u540e\u51fa\u73b0\u6700\u4e3a\u666e\u904d\u7684\u95ee\u9898\u5c31\u662f\u5fc3\u60b8\uff0c\u4e5f\u5c31\u662f\u5fc3\u7387\u589e\u5feb\uff0c\u53e6\u5916\u8fd8\u6709\u53d1\u70ed\u3002\u622a\u762b\u5219\u662f\u80f8\u8179\u4e3b\u52a8\u8109\u7f6e\u6362\u672f\u540e\u6700\u4e3a\u4e25\u91cd\u7684\u5e76\u53d1\u75c7\u3002<\/p>\n

\u672f\u540e\u65e9\u671f\u51fa\u73b0\u5fc3\u60b8\u6700\u4e3a\u591a\u89c1\uff0c\u5927\u591a\u6570\u662f\u7aa6\u6027\u5fc3\u52a8\u8fc7\u901f\uff0c\u4e5f\u5c31\u662f\u8282\u5f8b\u6b63\u5e38\uff0c\u53ea\u662f\u6b21\u6570\u589e\u52a0\u3002\u51fa\u73b0\u5fc3\u60b8\u7684\u539f\u56e0\u6709\u5f88\u591a\uff0c\u9996\u5148\uff0c\u5fc3\u810f\u5927\u8840\u7ba1\u60a3\u8005\u672f\u4e2d\u53ca\u672f\u540e\u4f1a\u6709\u8840\u6db2\u4e22\u5931\uff0c\u4f53\u5916\u5faa\u73af\u540e\u7531\u4e8e\u975e\u751f\u7406\u6027\u7684\u5168\u8eab\u704c\u6ce8\uff0c\u9020\u6210\u7ec4\u7ec7\u95f4\u9699\u6c34\u80bf\uff0c\u800c\u8840\u7ba1\u5185\u6709\u6548\u8840\u5bb9\u91cf\u4e0d\u8db3\uff0c\u5fc3\u810f\u6bcf\u6b21\u8df3\u52a8\u8f93\u51fa\u7684\u8840\u5bb9\u91cf\u51cf\u5c11\uff0c\u56e0\u6b64\u672f\u540e\u65e9\u671f\u673a\u4f53\u81ea\u8eab\u901a\u8fc7\u589e\u52a0\u5fc3\u8df3\u7684\u6b21\u6570\u6765\u6ee1\u8db3\u9700\u6c42\uff0c\u662f\u6b63\u5e38\u7684\u81ea\u8eab\u8c03\u8282\u8fc7\u7a0b\uff0c\u800c\u4e14\u672f\u540e\u65e9\u671f\uff0c\u60a3\u8005\u5f80\u5f80\u6ca1\u6709\u80c3\u53e3\uff0c\u8fdb\u98df\u4e0d\u591a\uff0c\u6bcf\u65e5\u6444\u5165\u548c\u8865\u6db2\u65e0\u6cd5\u6ee1\u8db3\u751f\u7406\u9700\u8981\uff0c\u673a\u4f53\u8fd8\u662f\u6301\u7eed\u4e22\u5931\u6db2\u4f53\u72b6\u6001\uff0c\u56e0\u6b64\u672f\u540e\u9700\u8981\u901a\u8fc7\u8865\u6db2\u548c\u89c4\u5f8b\u8fdb\u98df\u4e0d\u65ad\u7684\u8865\u5145\u8840\u5bb9\u91cf\uff0c\u5f53\u6bcf\u65e5\u5165\u91cf\u6ee1\u8db3\u673a\u4f53\u751f\u7406\u9700\u8981\u91cf\u5e76\u8865\u5145\u65e2\u5f80\u4e22\u5931\u91cf\u540e\uff0c\u5fc3\u7387\u624d\u4f1a\u9010\u6e10\u4e0b\u964d\uff0c\u8fd9\u662f\u4e00\u4e2a\u5faa\u5e8f\u6e10\u8fdb\u7684\u8fc7\u7a0b\uff0c\u9700\u8981\u65f6\u95f4\uff1b\u5176\u6b21\uff0c\u4e00\u4e9b\u74e3\u819c\u5173\u95ed\u4e0d\u5168\u7684\u60a3\u8005\uff0c\u672f\u524d\u5fc3\u7387\u5feb\uff0c\u662f\u5fc3\u529f\u80fd\u4e0d\u5168\u7684\u8868\u73b0\uff0c\u672f\u540e\u77ed\u65f6\u95f4\u5185\uff0c\u5fc3\u810f\u529f\u80fd\u8fd8\u65e0\u6cd5\u6062\u590d\uff0c\u5fc3\u7387\u6301\u7eed\u504f\u5feb\uff0c\u968f\u7740\u6cbb\u7597\u4e0d\u65ad\u8c03\u6574\uff0c\u5f85\u5fc3\u529f\u80fd\u6539\u5584\uff0c\u5fc3\u7387\u4f1a\u9010\u6e10\u4e0b\u964d\uff1b\u6b64\u5916\uff0c\u5927\u90e8\u5206\u9a6c\u51e1\u7efc\u5408\u5f81\u60a3\u8005\u53d1\u75c5\u5e74\u9f84\u8f7b\uff0c\u4ea4\u611f\u795e\u7ecf\u6bd4\u8f83\u5174\u594b\uff0c\u672f\u540e\u4e5f\u4f1a\u51fa\u73b0\u5fc3\u60b8\uff1b\u4f53\u6e29\u5347\u9ad8\uff0c\u7535\u89e3\u8d28\u7d0a\u4e71\uff1a\u4f4e\u94be\uff0c\u4e5f\u4f1a\u51fa\u73b0\u5fc3\u7387\u589e\u5feb\u3002\u4ee5\u4e0a\u8fd9\u4e9b\u60c5\u51b5\u5927\u90e8\u5206\u90fd\u5c5e\u4e8e\u672f\u540e\u6b63\u5e38\u7684\u75c5\u7a0b\u6f14\u53d8\uff0c\u901a\u5e38\u9700\u89811-3\u4e2a\u6708\u7684\u65f6\u95f4\u8c03\u6574\uff0c\u5fc3\u7387\u4f1a\u9010\u6e10\u6062\u590d\u6b63\u5e38\u3002<\/p>\n

\u53d1\u70ed\u4e5f\u662f\u60a3\u8005\u672f\u540e\u8f83\u4e3a\u591a\u89c1\u7684\u8868\u73b0\uff0c\u672f\u540e1\u5468\u5185\uff0c\u5f80\u5f80\u8868\u73b0\u4e3a\u4f4e\u70ed\uff0c\u672f\u540e7-10\u65e5\u5185\u6709\u53ef\u80fd\u4f1a\u51fa\u73b0\u9ad8\u70ed\u3002\u53d1\u70ed\u7684\u539f\u56e0\u6700\u4e3b\u8981\u7684\u5c31\u662f\u672f\u540e\u7eb5\u8188\u3001\u80f8\u8154\u6216\u8179\u8154\u5185\u6b8b\u7559\u7684\u8840\u5757\u5438\u6536\u9020\u6210\u7684\u5438\u6536\u70ed\uff0c\u5f80\u5f80\u4e0d\u4f1a\u8d85\u8fc738.5\u2103\u3002\u672f\u540e7-10\u65e5\u5185\u7684\u9ad8\u70ed\uff0c\u6700\u6709\u53ef\u80fd\u662f\u672f\u540e\u62b5\u6297\u529b\u4f4e\u4e0b\uff0c\u4ea4\u53c9\u75c5\u6bd2\u611f\u67d3\u9020\u6210\u7684\u3002\u672f\u540e\u53d1\u70ed\uff0c\u4ece\u533b\u751f\u7684\u89d2\u5ea6\u6765\u8bf4\uff0c\u6700\u62c5\u5fc3\u7684\u5c31\u662f\u7ec6\u83cc\u611f\u67d3\uff0c\u5c24\u5176\u662f\u79fb\u690d\u7269\u7684\u611f\u67d3\uff0c\u4e00\u65e6\u51fa\u73b0\u79fb\u690d\u7269\u611f\u67d3\uff0c\u540e\u679c\u4e25\u91cd\u3002\u6240\u4ee5\u672f\u540e\u60a3\u8005\u51fa\u73b0\u53d1\u70ed\uff0c\u4f1a\u8fdb\u884c\u8840\u6db2\u68c0\u67e5\uff0c\u5982\u679c\u76f8\u5173\u6307\u6807\u672a\u63d0\u793a\u6709\u7ec6\u83cc\u611f\u67d3\uff0c\u901a\u5e38\u53ea\u662f\u9000\u70ed\uff0c\u8865\u5145\u5bb9\u91cf\u7b49\u5bf9\u75c7\u652f\u6301\u6cbb\u7597\uff0c\u4e0d\u5e94\u7528\u6297\u83cc\u7d20\u3002\u5982\u679c\u4f53\u6e29\u8d85\u8fc738.5\u2103\uff0c\u4f1a\u7559\u53d6\u8840\u57f9\u517b\uff0c\u4e00\u65e6\u53d1\u73b0\u7ec6\u83cc\u611f\u67d3\u8bc1\u636e\u5c31\u4f1a\u5e94\u7528\u654f\u611f\u6297\u83cc\u7d20\u63a7\u5236\u611f\u67d3\u3002\u547c\u5438\u9053\u611f\u67d3\u662f\u60a3\u8005\u672f\u540e\u591a\u89c1\u7684\u611f\u67d3\u9014\u5f84\uff0c\u4e00\u822c\u5e94\u7528\u654f\u611f\u6297\u83cc\u7d20\u6216\u7ecf\u9a8c\u7528\u836f1-2\u5468\uff0c\u6839\u636e\u8840\u6db2\u68c0\u67e5\u7ed3\u679c\u51b3\u5b9a\u662f\u5426\u505c\u836f\u3002\u5982\u679c\u8840\u57f9\u517b\u9633\u6027\uff0c\u63d0\u793a\u60a3\u8005\u6709\u83cc\u8840\u75c7\uff0c\u53d1\u751f\u8840\u884c\u611f\u67d3\uff0c\u90a3\u4e48\u5c31\u8981\u6309\u7167\u611f\u67d3\u6027\u5fc3\u5185\u819c\u708e\u8981\u6c42\uff0c\u89c4\u5f8b\u5e94\u7528\u6297\u83cc\u7d204\u5468\uff0c\u590d\u67e5\u8840\u57f9\u517b\u9634\u6027\uff0c\u65b9\u53ef\u505c\u836f\u3002<\/p>\n

\u622a\u762b\u662f\u80f8\u8179\u4e3b\u52a8\u8109\u7f6e\u6362\u624b\u672f\u4e25\u91cd\u7684\u5e76\u53d1\u75c7\uff0c\u4e25\u91cd\u5f71\u54cd\u751f\u6d3b\u8d28\u91cf\uff0c\u7531\u4e8e\u622a\u762b\u957f\u671f\u5367\u5e8a\uff0c\u53c8\u4f1a\u51fa\u73b0\u5176\u5b83\u76f8\u5173\u7684\u5e76\u53d1\u75c7\uff0c\u540e\u679c\u4e25\u91cd\u3002\u968f\u7740\u624b\u672f\u6280\u672f\u548c\u5bf9\u672f\u540e\u622a\u762b\u53d1\u751f\u539f\u56e0\u7684\u4e0d\u65ad\u6df1\u5165\u8ba4\u77e5\uff0c\u622a\u762b\u53d1\u751f\u6bd4\u7387\u8d8a\u6765\u8d8a\u4f4e\u3002\u5982\u679c\u60a3\u8005\u672f\u540e\u53d1\u751f\u622a\u762b\uff0c\u4e5f\u4e0d\u8981\u6709\u8fc7\u591a\u7684\u5fc3\u7406\u8d1f\u62c5\uff0c\u622a\u762b\u53d1\u751f\u540e\uff0c\u901a\u8fc7\u65e9\u671f\u5eb7\u590d\u5e72\u9884\uff0c\u6301\u7eed\u7684\u5eb7\u590d\u6cbb\u7597\uff0c\u5168\u90e8\u7684\u60a3\u8005\u90fd\u53ef\u4ee5\u5b9e\u73b0\u81ea\u4e3b\u63a7\u5236\u5927\u5c0f\u4fbf\uff0c\u5927\u591a\u6570\u60a3\u8005\u90fd\u6700\u7ec8\u5b9e\u73b0\u501f\u52a9\u5de5\u5177\u81ea\u5df1\u6b65\u884c\u7684\u72b6\u6001\u3002<\/p>\n

\u6709\u4e9b\u60a3\u8005\u56e0\u4e3a\u4e3b\u52a8\u8109\u7aa6\u52a8\u8109\u7624\uff0c\u884cBentall\u624b\u672f\uff0c\u672f\u540e\u51fa\u73b0\u4e8c\u5c16\u74e3\u5173\u95ed\u4e0d\u5168\u6216\u4e09\u5c16\u74e3\u5173\u95ed\u4e0d\u5168\u3002\u9996\u5148\uff0c\u5927\u5bb6\u4e0d\u8981\u8fc7\u4e8e\u62c5\u5fc3\u518d\u6b21\u624b\u672f\u6216\u591a\u6b21\u624b\u672f\u7684\u95ee\u9898\u3002\u518d\u6b21\u624b\u672f\u6216\u591a\u6b21\u624b\u672f\u5728\u5927\u7684\u5fc3\u810f\u4e2d\u5fc3\u662f\u6bd4\u8f83\u6210\u719f\u7684\uff0c\u4e5f\u662f\u591a\u89c1\u7684\uff0c\u540c\u65f6\u4e5f\u6709\u4e00\u7cfb\u5217\u4e3a\u518d\u6b21\u6216\u591a\u6b21\u624b\u672f\u51c6\u5907\u7684\u65b9\u6cd5\u3002\u5176\u6b21\uff0c\u5bf9\u4e8e\u4e8c\u5c16\u74e3\u548c\u4e09\u5c16\u74e3\u75c5\u53d8\u8981\u4ece\u4e24\u4e2a\u65b9\u9762\u8003\u8651\uff0c\u4e00\u4e2a\u662f\u7531\u4e8e\u4e3b\u52a8\u8109\u7aa6\u52a8\u8109\u7624\uff0c\u4e3b\u52a8\u8109\u74e3\u5173\u95ed\u4e0d\u5168\u4e4b\u540e\uff0c\u5de6\u5fc3\u5ba4\u589e\u5927\uff0c\u7ee7\u53d1\u4e8c\u5c16\u74e3\u6216\u4e09\u5c16\u74e3\u75c5\u53d8\uff0c\u8fd9\u79cd\u60c5\u51b5\uff0c\u5982\u679c\u53ca\u65f6\u624b\u672f\uff0c\u901a\u5e38\u5728Bentall\u672f\u540e\uff0c\u74e3\u819c\u5173\u95ed\u4e0d\u5168\u4f1a\u6539\u5584\u6216\u75ca\u6108\u3002\u53e6\u5916\u4e00\u79cd\u60c5\u51b5\u5c31\u662f\u74e3\u819c\u672c\u8eab\u51fa\u73b0\u75c5\u53d8\uff0c\u5728\u672f\u524d\uff0c\u901a\u8fc7\u8d85\u58f0\u68c0\u67e5\u660e\u786e\uff0c\u90a3\u4e48\u5c31\u9700\u8981\u5728Bentall\u624b\u672f\u540c\u65f6\u5904\u7406\uff0c\u5982\u679c\u74e3\u819c\u75c5\u53d8\u53d1\u751f\u5728Bentall\u672f\u540e\uff0c\u5219\u9700\u8981\u518d\u6b21\u624b\u672f\u8fdb\u884c\u6cbb\u7597\u3002<\/p>\n

\u786e\u8bca\u9a6c\u51e1\u7efc\u5408\u5f81\u540e\uff0c\u5c31\u9700\u8981\u5f00\u59cb\u8fdb\u884c\u4e00\u7ea7\u9884\u9632\uff0c\u672f\u540e\u8fdb\u884c\u4e8c\u7ea7\u9884\u9632\u3002\u6240\u8c13\u4e00\u7ea7\u9884\u9632\uff0c\u5c31\u662f\u5728\u75be\u75c5\u5c1a\u672a\u53d1\u751f\u65f6\uff0c\u5c31\u5f00\u59cb\u9488\u5bf9\u6027\u7684\u6cbb\u7597\u548c\u9884\u9632\u3002\u4e8c\u7ea7\u9884\u9632\u5c31\u662f\u5728\u53d1\u75c5\u7ecf\u8fc7\u76f8\u5e94\u7684\u6cbb\u7597\u540e\uff0c\u907f\u514d\u518d\u6b21\u53d1\u75c5\u6216\u5ef6\u7f13\u518d\u6b21\u53d1\u75c5\u7684\u65f6\u95f4\u3002\u5bf9\u4e8e\u9a6c\u51e1\u7efc\u5408\u5f81\u60a3\u8005\uff0c\u65e0\u8bba\u662f\u4e00\u7ea7\u9884\u9632\u8fd8\u662f\u4e8c\u7ea7\u9884\u9632\uff0c\u6838\u5fc3\u5185\u5bb9\u5c31\u662f\u63a7\u5236\u5fc3\u7387\u548c\u8840\u538b\uff0c\u63a7\u5236\u5fc3\u7387\u7684\u63a8\u8350\u836f\u7269\u4e3a\u500d\u4ed6\u4e50\u514b\uff0c\u5e02\u9762\u4e0a\u542b\u6709\u500d\u4ed6\u4e50\u514b\u6210\u5206\u7684\u836f\u7269\u6709\u591a\u79cd\uff0c\u5305\u62ec\u7f13\u91ca\u7247\uff0c\u77ed\u6548\u836f\u7269\u7b49\uff0c\u6548\u679c\u5927\u81f4\u76f8\u540c\uff0c\u53ea\u662f\u9488\u5bf9\u4e0d\u540c\u4eba\u7fa4\u654f\u611f\u6027\u6709\u6240\u4e0d\u540c\uff0c\u901a\u8fc7\u670d\u7528\u500d\u4ed6\u4e50\u514b\uff0c\u5c06\u5fc3\u7387\u63a7\u5236\u572880\u6b21\u4ee5\u4e0b\u6700\u4e3a\u7406\u60f3\uff0c\u5242\u91cf\u53ef\u4ee5\u6839\u636e\u5fc3\u7387\u60c5\u51b5\u8fdb\u884c\u8c03\u6574\uff0c\u5fc3\u7387\u4f4e\u4e8e50\u6b21\u65f6\uff0c\u9700\u8981\u505c\u836f\u89c2\u5bdf\uff0c\u6216\u51cf\u91cf\u670d\u7528\uff0c\u4f46\u957f\u671f\u5927\u91cf\u670d\u7528\u500d\u4ed6\u4e50\u514b\u65f6\uff0c\u5207\u5fcc\u9aa4\u7136\u505c\u836f\uff0c\u4f1a\u51fa\u73b0\u5371\u8c61\uff0c\u5fc3\u7387\u53cd\u8df3\u6027\u589e\u5feb\uff0c\u4e25\u91cd\u65f6\u4f1a\u5fc3\u529f\u80fd\u8870\u7aed\u3002\u63a7\u5236\u8840\u538b\u836f\u7269\u9996\u9009\u6d1b\u6c99\u5766\u94be\uff0c\u5c06\u8840\u538b\u63a7\u5236\u5728\u6b63\u5e38\u8303\u56f4\u5185\uff0c120\/80mmHg\uff0c\u5982\u679c\u5355\u7eaf\u5e94\u7528\u6d1b\u6c99\u5766\u94be\u6548\u679c\u4e0d\u4f73\uff0c\u53ef\u4ee5\u8003\u8651\u8054\u5408\u5e94\u7528\u5176\u4ed6\u7c7b\u578b\u7684\u6297\u9ad8\u8840\u538b\u836f\u7269\uff0c\u5982\u9499\u79bb\u5b50\u62ee\u6297\u5242\uff0c\u5229\u5c3f\u5242\uff0c\u03b11\u53d7\u4f53\u963b\u6ede\u5242\u7b49\u3002<\/p>\n

\u9a6c\u51e1\u7efc\u5408\u5f81\u60a3\u8005\u53d1\u75c5\u5e74\u9f84\u5e76\u4e0d\u786e\u5b9a\uff0c\u6709\u4e9b\u60a3\u8005\u5728\u5f88\u5c0f\u7684\u65f6\u5019\u5c31\u51fa\u73b0\u75c5\u53d8\uff0c\u4ee5\u4e8c\u5c16\u74e3\u5173\u95ed\u4e0d\u5168\u591a\u89c1\uff0c\u5176\u6b21\u662f\u4e3b\u52a8\u8109\u7aa6\u6269\u5f20\u5bfc\u81f4\u7684\u4e3b\u52a8\u8109\u74e3\u5173\u95ed\u4e0d\u5168\u3002\u6709\u4e9b\u60a3\u513f\u5bb6\u957f\u8ba4\u4e3a\uff0c\u5b69\u5b50\u592a\u5c0f\uff0c\u4e0d\u7ba1\u662f\u9ebb\u9189\u8fd8\u662f\u624b\u672f\u5bf9\u5b69\u5b50\u6253\u51fb\u6bd4\u8f83\u5927\uff0c\u62c5\u5fc3\u5f71\u54cd\u4ee5\u540e\u751f\u957f\u53d1\u80b2\uff0c\u5c24\u5176\u662f\u6d89\u53ca\u5230\u74e3\u819c\u624b\u672f\uff0c\u5982\u679c\u6210\u5f62\u4e0d\u6ee1\u610f\uff0c\u5c31\u9700\u8981\u6362\u74e3\uff0c\u9700\u8981\u957f\u671f\u670d\u7528\u6297\u51dd\u836f\u7269\uff0c\u5f71\u54cd\u4ee5\u540e\u751f\u6d3b\u3002\u6709\u4e9b\u5bb6\u957f\u8ba4\u4e3a\u5b69\u5b50\u5c0f\uff0c\u867d\u7136\u5df2\u7ecf\u51fa\u73b0\u74e3\u819c\u5173\u95ed\u4e0d\u5168\uff0c\u4f46\u4e0d\u5f71\u54cd\u76ee\u524d\u751f\u6d3b\u72b6\u6001\uff0c\u80fd\u62d6\u5ef6\u6cbb\u7597\u5c31\u62d6\u5ef6\u6cbb\u7597\uff0c\u671f\u5f85\u6709\u671d\u4e00\u65e5\u6280\u672f\u66f4\u65b0\u8fdb\u6b65\u80fd\u591f\u63d0\u4f9b\u66f4\u597d\u7684\u6cbb\u7597\u65b9\u6848\u3002\u8fd9\u4e9b\u5bb6\u957f\u670b\u53cb\u4eec\u53ea\u5173\u6ce8\u4e86\u5916\u79d1\u6cbb\u7597\u7684\u4e0d\u8db3\uff0c\u5ffd\u89c6\u4e86\u5916\u79d1\u6cbb\u7597\u7684\u91cd\u8981\u6027\uff0c\u5374\u6ca1\u6709\u5173\u6ce8\u75be\u75c5\u672c\u8eab\u5bf9\u60a3\u513f\u9020\u6210\u7684\u66f4\u52a0\u4e25\u91cd\u800c\u65e0\u6cd5\u633d\u56de\u7684\u540e\u679c\uff0c\u8bb3\u75be\u5fcc\u533b\u3002<\/p>\n

\u60a3\u513f\u5982\u679c\u6709\u9a6c\u51e1\u5bb6\u65cf\u53f2\uff0c\u6216\u786e\u8bca\u662f\u9a6c\u51e1\u7efc\u5408\u5f81\uff0c\u65e0\u8bba\u53d1\u75c5\u4e0e\u5426\uff0c\u90fd\u9700\u8981\u8fdb\u884c\u5b9a\u671f\u68c0\u67e5\u3002\u74e3\u819c\u51fa\u73b0\u5173\u95ed\u4e0d\u5168\uff0c\u5fc3\u810f\u5f00\u59cb\u6269\u5927\uff0c\u53d1\u75c5\u65e9\u671f\uff0c\u5fc3\u810f\u901a\u8fc7\u4ee3\u507f\uff0c\u75c7\u72b6\u8868\u73b0\u5e76\u4e0d\u660e\u663e\uff0c\u5c24\u5176\u662f\u5c0f\u5b69\u5b50\uff0c\u4e0d\u80fd\u591f\u6e05\u695a\u7684\u8868\u8fbe\u81ea\u5df1\u7684\u4e0d\u9002\uff0c\u5bb9\u6613\u88ab\u5bb6\u957f\u5ffd\u7565\uff0c\u4e00\u65e6\u60a3\u513f\u51fa\u73b0\u75c7\u72b6\u4f53\u5f81\uff0c\u63d0\u793a\u5fc3\u810f\u5df2\u7ecf\u65e0\u6cd5\u8fdb\u884c\u4ee3\u507f\uff0c\u51fa\u73b0\u5fc3\u529f\u80fd\u8870\u7aed\uff0c\u6b64\u65f6\u518d\u8fdb\u884c\u5e72\u9884\u6cbb\u7597\uff0c\u5c31\u6709\u53ef\u80fd\u9519\u8fc7\u6700\u4f73\u65f6\u673a\u548c\u6700\u4f73\u7684\u624b\u672f\u65b9\u6848\u3002<\/p>\n

\u5bf9\u4e8e\u513f\u7ae5\u9a6c\u51e1\u7efc\u5408\u5f81\u7684\u6cbb\u7597\uff0c\u6709\u51e0\u4e2a\u65b9\u9762\u7684\u60c5\u51b5\uff0c\u9700\u8981\u6ce8\u610f\u3002\u4e00\u4e2a\u662f\u592a\u5c0f\u7684\u60a3\u513f\uff0c\u4e0d\u80fd\u8fdb\u884c\u74e3\u819c\u7f6e\u6362\uff0c\u56e0\u4e3a\u76ee\u524d\u6ca1\u6709\u4e13\u4e3a\u513f\u7ae5\u8bbe\u8ba1\u7684\u5c0f\u7684\u74e3\u819c\uff0c\u6240\u4ee5\u53ea\u80fd\u8fdb\u884c\u74e3\u819c\u6210\u5f62\uff0c\u6709\u4e9b\u60a3\u513f\u74e3\u819c\u7ed3\u6784\u6539\u53d8\u660e\u663e\uff0c\u6709\u53ef\u80fd\u6210\u5f62\u6548\u679c\u4e0d\u7406\u60f3\uff0c\u4f46\u74e3\u819c\u6210\u5f62\u4e3a\u65e5\u540e\u8fdb\u4e00\u6b65\u6cbb\u7597\u521b\u9020\u4e86\u673a\u4f1a\uff0c\u4e0d\u80fd\u56e0\u4e3a\u8fc7\u4e8e\u8ffd\u6c42\u7406\u60f3\u7684\u74e3\u819c\u6210\u5f62\u6548\u679c\u6216\u8005\u4e3a\u8ffd\u6c42\u6362\u74e3\u800c\u4e00\u5473\u62d6\u5ef6\u624b\u672f\u65f6\u95f4\u3002\u6b64\u5916\uff0c\u76ee\u524d\u4e5f\u6ca1\u6709\u4e13\u4e3a\u513f\u7ae5\u8bbe\u8ba1\u4eba\u5de5\u8840\u7ba1\uff0c\u968f\u7740\u513f\u7ae5\u7684\u53d1\u80b2\u6210\u957f\uff0c\u8fc7\u5c0f\u7684\u8840\u7ba1\u4e5f\u65e0\u6cd5\u6ee1\u8db3\u751f\u957f\u53d1\u80b2\u7684\u9700\u6c42\uff0c\u6240\u4ee5\u5bf9\u4e8e\u513f\u7ae5\uff0c\u6709\u4e9b\u867d\u7136\u8840\u7ba1\u5df2\u51fa\u73b0\u6269\u5f20\uff0c\u4f46\u5728\u672a\u51fa\u73b0\u5939\u5c42\u6216\u5176\u5b83\u7d27\u6025\u60c5\u51b5\u65f6\uff0c\u4ecd\u65e7\u9009\u62e9\u4fdd\u5b88\u6cbb\u7597\uff0c\u5b9a\u671f\u590d\u67e5\uff0c\u5f85\u60a3\u513f\u53d1\u80b2\u5230\u4e00\u5b9a\u9636\u6bb5\uff0c\u518d\u8fdb\u884c\u5916\u79d1\u5e72\u9884\u6cbb\u7597\u3002\u4f46\u65e0\u8bba\u4f55\u79cd\u60c5\u51b5\uff0c\u4e00\u5207\u7684\u5916\u79d1\u6cbb\u7597\u51b3\u7b56\u7684\u5236\u5b9a\uff0c\u90fd\u8981\u53d6\u51b3\u4e8e\u8d85\u58f0\u3001CTA\u7b49\u76f8\u5173\u7684\u68c0\u67e5\u7ed3\u679c\uff0c\u5e76\u6ca1\u6709\u660e\u786e\u7684\u5e74\u9f84\u65f6\u95f4\u70b9\u6216\u8005\u8eab\u9ad8\u4f53\u91cd\u8282\u70b9\u3002<\/p>\n

\u53c2\u8003\u6587\u732e<\/p>\n

[1] Raimund Erbel, Victor Aboyans, Catherine Boileau , et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. European Heart Journal (2014) 35, 2873\u20132926<\/p>\n

[2] Nicholas T. Kouchoukos, Eugene H. Blackstone, Frank L. Hanley, James K. Kirklin,et al. KIRKLIN\/BARRATT-BOYES CARDIAC SURGERY ISBN: 978-1-4160-6391-9<\/p>\n

[3] Wei-guo Ma, Jun-Ming Zhu, Jun Zheng, Li-Zhong Sun, et al. Sun\u2019s procedure for complex aortic arch repair: total arch replacement using a tetrafurcate graft with stented elephant trunk implantation. Ann Cardiothorac Surg. 2013 Sep; 2(5): 642\u2013648.<\/p>\n

[4] Tirone E. David. Aortic Root Aneurysms: Remodeling or Composite Replacement?\u00a0 Ann Thorac Surg 1997;64:1564\u20138<\/p>\n","protected":false},"excerpt":{"rendered":"

\u7b80\u9534\u9676\uff1a\u526f\u4e3b\u4efb\u533b\u5e08 \u4e0a\u6d77\u5fb7\u8fbe\u533b\u9662 \u00a0\u5fc3\u810f\u7ed3\u6784\u75c5\u53d8 \u5fc3\u810f\u7ed3\u6784\u75c5\u53d8\u5bfc\u81f4\u7684\u4e34\u5e8a\u8868\u73b0\u4e3b\u8981\u662f\u7531\u4e8e\u74e3\u819c\u5173\u95ed\u4e0d\u5168\u5f15\u8d77\u7684\u3002\u4e3b\u52a8 […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"class_list":["post-492","post","type-post","status-publish","format-standard","hentry","category-children"],"_links":{"self":[{"href":"http:\/\/www.mfzx.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/492","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.mfzx.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.mfzx.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.mfzx.org.cn\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/www.mfzx.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=492"}],"version-history":[{"count":2,"href":"http:\/\/www.mfzx.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/492\/revisions"}],"predecessor-version":[{"id":515,"href":"http:\/\/www.mfzx.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/492\/revisions\/515"}],"wp:attachment":[{"href":"http:\/\/www.mfzx.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=492"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.mfzx.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=492"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.mfzx.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}