{"id":18745,"date":"2019-05-14T12:03:53","date_gmt":"2019-05-14T04:03:53","guid":{"rendered":"\/\/www.afterroberto.com\/?p=18745"},"modified":"2019-07-29T12:20:35","modified_gmt":"2019-07-29T04:20:35","slug":"%e9%86%ab%e8%a8%80%e6%9c%89%e7%90%86-%e5%86%b7%e5%87%9d%e9%9b%86%e7%b4%a0%e7%97%85-%e4%bd%8e%e6%ba%ab%e6%98%93%e7%97%85%e7%99%bc","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e9%86%ab%e8%a8%80%e6%9c%89%e7%90%86-%e5%86%b7%e5%87%9d%e9%9b%86%e7%b4%a0%e7%97%85-%e4%bd%8e%e6%ba%ab%e6%98%93%e7%97%85%e7%99%bc\/","title":{"rendered":"\u91ab\u8a00\u6709\u7406\uff1a\u51b7\u51dd\u96c6\u7d20\u75c5 \u4f4e\u6eab\u6613\u75c5\u767c"},"content":{"rendered":"

\u3010\u660e\u5831\u5c08\u8a0a\u301140\u6b72\u7684\u9673\u5c0f\u59d0\u4efb\u8077\u7a7a\u4e2d\u670d\u52d9\u54e1\uff0c\u8fd1\u6708\u51fa\u73fe\u300c\u8ca7\u8840\u300d\uff08Anaemia\uff09\u75c5\u5fb5\uff0c\u5305\u62ec\u5598\u6c23\u548c\u5fc3\u8df3\u6025\u4fc3\uff0c\u9a57\u8840\u767c\u73fe\u300c\u8840\u7d05\u86cb\u767d\u300d\uff08Haemoglobin\uff09\u6c34\u5e73\u4e0b\u964d\uff0c\u5373\u60a3\u6709\u8ca7\u8840\u75c7\uff0c\u9032\u4e00\u6b65\u6aa2\u67e5\u78ba\u8a3a\u300c\u51b7\u51dd\u96c6\u7d20\u75c5\u300d \uff08Cold agglutinin disease\uff09\uff0c\u9019\u75c5\u75c7\u5c6c\u300c\u81ea\u9ad4\u514d\u75ab\u6eb6\u8840\u75c7\u300d\uff08Autoimmune hemolytic anemia\uff09\u4e2d\u8f03\u7f55\u898b\u7684\u4e00\u7a2e\uff0c\u300c\u81ea\u9ad4\u6297\u9ad4\u300d\uff08Auto-antibodies\uff09\u653b\u64ca\u60a3\u8005\u9ad4\u5167\u300c\u7d05\u8840\u7403\u300d\u3002\u5728\u4f4e\u6eab\u72c0\u614b\u4e0b\uff0c\u6297\u9ad4\u7279\u5225\u6d3b\u8e8d\uff0c\u4ee4\u7d05\u8840\u7403\u300c\u7d50\u96c6\u300d\uff0c\u4e26\u8a98\u767c\u300c\u6eb6\u8840\u73fe\u8c61\u300d\uff08Haemolysis\uff09\uff0c\u5f15\u81f4\u8ca7\u8840\u3002\u5982\u5929\u6c23\u51b7\uff0c\u9673\u5c0f\u59d0\u7684\u8ca7\u8840\u73fe\u8c61\u6703\u8f03\u56b4\u91cd\u3002\u5979\u5728\u98db\u6a5f\u5de5\u4f5c\uff0c\u6a5f\u8259\u6eab\u5ea6\u504f\u4f4e\uff0c\u6709\u53ef\u80fd\u4ee4\u75c5\u60c5\u60e1\u5316\u3002<\/p>\n

\u300c\u51b7\u51dd\u96c6\u7d20\u75c5\u300d\u5927\u591a\u8a98\u56e0\u4e0d\u660e\u3002\u300c\u652f\u539f\u9ad4\u611f\u67d3\u300d\uff08Mycoplasma infection\uff09\u5c0e\u81f4\u80ba\u708e\uff0c\u53ef\u540c\u6642\u5f15\u767c\u300c\u51b7\u51dd\u96c6\u7d20\u75c5\u300d\uff1b\u67d0\u4e9b\u300c\u4f4e\u6bd2\u6027\u6dcb\u5df4\u764c\u300d\uff08Low grade lymphoma\uff09\u5206\u6ccc\u300c\u526f\u86cb\u767d\u300d\uff08Paraprotein\uff09\uff0c\u4ea6\u53ef\u5f15\u767c\u6b64\u75c5\u75c7\u3002<\/p>\n

 <\/p>\n

\"\u6eb6\u8840,\u8ca7\u8840,\u51b7\u51dd\u96c6\u7d20\u75c5,\u6881\u61b2\u5b6b,\u91ab\u8a00\u6709\u7406\"
\n\u53ef\u81f4\u8ca7\u8840\u2014\u2014\u51b7\u51dd\u96c6\u7d20\u75c5\u60a3\u8005\u5728\u4f4e\u6eab\u72c0\u614b\u4e0b\uff0c\u6297\u9ad4\u7279\u5225\u6d3b\u8e8d\uff0c\u4ee4\u7d05\u8840\u7403\u7d50\u96c6\uff0c\u8a98\u767c\u6eb6\u8840\u73fe\u8c61\uff0c\u5c0e\u81f4\u8ca7\u8840\u3002\uff08maroke@iStockphoto\uff0c\u8a2d\u8a08\u5716\u7247\uff09<\/span><\/p>\n

 <\/p>\n

\u8ca7\u8840 \u6613\u5026 \u6c23\u4fc3\u300c\u624b\u6307\u8173\u8dbe\u767c\u7d2b\u300d<\/h2>\n

\u300c\u51b7\u51dd\u96c6\u7d20\u75c5\u300d\u75c5\u5fb5\u5305\u62ec\u8ca7\u8840\u3001\u6613\u5026\u3001\u6c23\u4fc3\u53ca\u300c\u624b\u6307\u8173\u8dbe\u767c\u7d2b\u300d\uff08Acrocyanosis\uff09\uff0c\u751a\u81f3\u9047\u51b7\u51fa\u73fe\u300c\u96f7\u8afe\u73fe\u8c61\u300d\uff08Raynaud phenomenon\uff09\uff0c\u5373\u624b\u6307\u8b8a\u767d\uff0c\u7136\u5f8c\u8f49\u85cd\uff0c\u6700\u5f8c\u8b8a\u7d05\u3002\u75c5\u60c5\u56b4\u91cd\uff0c\u6216\u51fa\u73fe\u300c\u8840\u7ba1\u5167\u6eb6\u8840\u300d\uff08Intravascular haemolysis\uff09\uff0c\u5373\u300c\u8840\u7d05\u86cb\u767d\u300d\u5f9e\u300c\u7d05\u8840\u7403\u300d\u6cc4\u51fa\uff0c\u7d93\u814e\u81df\u6392\u51fa\u5c3f\u6db2\uff0c\u5f62\u6210\u300c\u8840\u7d05\u86cb\u767d\u5c3f\u300d\uff08Haemoglobinuria\uff09\uff0c\u4ee4\u5c0f\u4fbf\u5448\u6df1\u7d05\u8272\uff0c\u751a\u81f3\u9ed1\u8272\u3002\u60a3\u8005\u75c5\u5fb5\u5728\u5bd2\u51b7\u5929\u6c23\u5c24\u5176\u56b4\u91cd\uff0c\u9047\u4e0a\u767c\u71d2\u3001\u5275\u50b7\u6216\u624b\u8853\u5f8c\uff0c\u4ea6\u6709\u4ee4\u6eb6\u8840\u60c5\u51b5\u52a0\u5287\u7684\u98a8\u96aa\u3002<\/p>\n

\u9a57\u8840\u9a57\u9aa8\u9ad3\u6709\u52a9\u8a3a\u65b7\u300c\u51b7\u51dd\u96c6\u7d20\u75c5\u300d\uff0c\u8840\u7d05\u86cb\u767d\u6fc3\u5ea6\u4e0b\u964d\uff0c\u300c\u7db2\u72c0\u7d05\u7d30\u80de\u300d\uff08Reticulocyte\uff09\u6578\u91cf\u4e0a\u5347\uff0c\u986f\u793a\u9aa8\u9ad3\u589e\u52a0\u88fd\u9020\u7d05\u8840\u7403\uff0c\u88dc\u5145\u6eb6\u8840\u5f15\u81f4\u7684\u640d\u5931\u3002\u8840\u6db2\u767c\u73fe\u9ad8\u6fc3\u5ea6\u300c\u51b7\u51dd\u96c6\u7d20\u6297\u9ad4\u300d\uff08Cold agglutinin antibody\uff09\uff0c\u53ef\u78ba\u8a3a\u3002<\/p>\n

\u82e5\u75c5\u60c5\u6eab\u548c\uff0c\u60a3\u8005\u6216\u4e0d\u9700\u8981\u4efb\u4f55\u7279\u6548\u85e5\u7269\u6cbb\u7642\uff0c\u4f46\u8981\u6ce8\u610f\u5bd2\u51b7\u5929\u6c23\uff0c\u5c0f\u5fc3\u4fdd\u6696\u3002\u6162\u6027\u6eb6\u8840\u75c7\u6d88\u8017\u5927\u91cf\u300c\u8449\u9178\u300d\uff08Folic acid\uff09\uff0c\u9808\u670d\u7528\u88dc\u5145\u5291\u3002\u5982\u9700\u8981\u63a5\u53d7\u8f38\u8840\uff0c\u61c9\u8a72\u5148\u628a\u8840\u6db2\u52a0\u6696\u81f3\u9ad4\u6eab\uff0c\u5373\u651d\u6c0f37\u5ea6\u3002\u82e5\u75c5\u60c5\u56b4\u91cd\uff0c\u53ef\u8003\u616e\u65bd\u884c\u300c\u5229\u59a5\u6614\u55ae\u6297\u300d\uff08Rituximab\uff09\u6cbb\u7642\uff0c\u56e0\u985e\u56fa\u9187\u6cbb\u7642\u7684\u6548\u679c\u4e00\u822c\u6b20\u7406\u60f3\u3002<\/p>\n

 <\/p>\n

\u6ce8\u610f\u5929\u6c23 \u75c5\u60c5\u6eab\u548c\u6216\u6bcb\u9808\u670d\u85e5<\/h2>\n

\u5982\u300c\u51b7\u51dd\u96c6\u7d20\u75c5\u300d\u7684\u75c5\u56e0\u662f\u300c\u652f\u539f\u9ad4\u611f\u67d3\u300d\uff0c\u61c9\u7528\u5408\u9069\u7684\u6297\u751f\u7d20\u6cbb\u7642\uff0c\u4f8b\u5982\u300c\u5927\u74b0\u5167\u916f\u985e\u300d\u6297\u751f\u7d20 \uff08Macrolides\uff09\uff0c\u5305\u62ec\u300c\u963f\u5947\u9ef4\u7d20\u300d\uff08Azithromycin\uff09\u3001\u300c\u514b\u62c9\u9ef4\u7d20\u300d\uff08Clarithromycin\uff09 \u6216\u300c\u7d05\u9ef4\u7d20\u300d\uff08Erythromycin\uff09\uff1b\u300c\u591a\u897f\u74b0\u7d20\u300d\uff08Doxycycline\uff09\u4e43\u53e6\u4e00\u9078\u64c7\uff0c\u9084\u53ef\u8003\u616e\u7528\u300c\u6c1f\u55b9\u8afe\u916e\u300d\u985e\u6297\u751f\u7d20 \uff08Fluoroquinolones\uff09\uff0c\u5f8c\u8005\u5305\u62ec\u300c\u5de6\u6c27\u6c1f\u6c99\u661f\u300d\uff08Levofloxacin\uff09\u53ca\u300c\u74b0\u4e19\u6c99\u661f\u300d\uff08Ciprofloxacin\uff09\u3002\u6cbb\u7652\u80ba\u708e\u4e4b\u5f8c\uff0c\u300c\u51b7\u51dd\u96c6\u7d20\u75c5\u300d\u4e00\u822c\u6578\u6708\u5f8c\u81ea\u7136\u75ca\u7652\u3002<\/p>\n

 <\/p>\n

\u6587\uff1a\u6881\u61b2\u5b6b\uff08\u8840\u6db2\u53ca\u8840\u6db2\u816b\u7624\u79d1\u5c08\u79d1\u91ab\u751f\uff09<\/p>\n

 <\/p>\n

\u76f8\u95dc\u6587\u7ae0:<\/strong><\/p>\n

\u91ab\u8a00\u6709\u7406\uff1a\u4e2d\u6027\u7d30\u80de\u6578\u91cf\u6e1b \u7d30\u83cc\u611f\u67d3\u98a8\u96aa\u589e<\/a><\/p>\n

\u91ab\u8a00\u6709\u7406\uff1a\u63a5\u53d7\u5316\u7642 \u6613\u60a3\u5ff5\u73e0\u83cc\u611f\u67d3<\/a><\/p>\n

\u91ab\u8a00\u6709\u7406\uff1a\u91cd\u7de8\u57fa\u56e0\u5f71\u97ff\u5f8c\u4ee3<\/a><\/p>\n

\u91ab\u8a00\u6709\u7406\uff1a\u6aa2\u67e5\u9ede\u6291\u5236\u5291 \u6297\u764c\u65b0\u4e00\u9801<\/a><\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

\u3010\u660e\u5831\u5c08\u8a0a\u301140\u6b72\u7684\u9673\u5c0f\u59d0\u4efb\u8077\u7a7a\u4e2d\u670d\u52d9\u54e1\uff0c\u8fd1\u6708\u51fa\u73fe\u300c\u8ca7\u8840\u300d\uff08Anaemia\uff09\u75c5\u5fb5\uff0c\u5305\u62ec\u5598\u6c23\u548c\u5fc3\u8df3\u6025\u4fc3\uff0c\u9a57\u8840\u767c\u73fe\u300c\u8840\u7d05\u86cb\u767d\u300d\uff08Haemoglobin\uff09\u6c34\u5e73\u4e0b\u964d\uff0c\u5373\u60a3\u6709\u8ca7\u8840\u75c7\uff0c\u9032\u4e00\u6b65\u6aa2\u67e5\u78ba\u8a3a\u300c\u51b7\u51dd\u96c6\u7d20\u75c5\u300d \uff08Cold agglutinin disease\uff09\uff0c\u9019\u75c5\u75c7\u5c6c\u300c\u81ea\u9ad4\u514d\u75ab\u6eb6\u8840\u75c7\u300d\uff08Autoimmune hemolytic anemia\uff09\u4e2d\u8f03\u7f55\u898b\u7684\u4e00\u7a2e\uff0c\u300c\u81ea\u9ad4\u6297\u9ad4\u300d\uff08Auto-antibodies\uff09\u653b\u64ca\u60a3\u8005\u9ad4\u5167\u300c\u7d05\u8840\u7403\u300d\u3002\u5728\u4f4e\u6eab\u72c0\u614b\u4e0b\uff0c\u6297\u9ad4\u7279\u5225\u6d3b\u8e8d\uff0c\u4ee4\u7d05\u8840\u7403\u300c\u7d50\u96c6\u300d\uff0c\u4e26\u8a98\u767c\u300c\u6eb6\u8840\u73fe\u8c61\u300d\uff08Haemolysis\uff09\uff0c\u5f15\u81f4\u8ca7\u8840\u3002\u5982\u5929\u6c23\u51b7\uff0c\u9673\u5c0f\u59d0\u7684\u8ca7\u8840\u73fe\u8c61\u6703\u8f03\u56b4\u91cd\u3002\u5979\u5728\u98db\u6a5f\u5de5\u4f5c\uff0c\u6a5f\u8259\u6eab\u5ea6\u504f\u4f4e\uff0c\u6709\u53ef\u80fd\u4ee4\u75c5\u60c5\u60e1\u5316\u3002 \u300c\u51b7\u51dd\u96c6\u7d20\u75c5\u300d\u5927\u591a\u8a98\u56e0\u4e0d\u660e\u3002\u300c\u652f\u539f\u9ad4\u611f\u67d3\u300d\uff08Mycoplasma infection\uff09\u5c0e\u81f4\u80ba\u708e\uff0c\u53ef\u540c\u6642\u5f15\u767c\u300c\u51b7\u51dd\u96c6\u7d20\u75c5\u300d\uff1b\u67d0\u4e9b\u300c\u4f4e\u6bd2\u6027\u6dcb\u5df4\u764c\u300d\uff08Low grade lymphoma\uff09\u5206\u6ccc\u300c\u526f\u86cb\u767d\u300d\uff08Paraprotein\uff09\uff0c\u4ea6\u53ef\u5f15\u767c\u6b64\u75c5\u75c7\u3002   \u53ef\u81f4\u8ca7\u8840\u2014\u2014\u51b7\u51dd\u96c6\u7d20\u75c5\u60a3\u8005\u5728\u4f4e\u6eab\u72c0\u614b\u4e0b\uff0c\u6297\u9ad4\u7279\u5225\u6d3b\u8e8d\uff0c\u4ee4\u7d05\u8840\u7403\u7d50\u96c6\uff0c\u8a98\u767c\u6eb6\u8840\u73fe\u8c61\uff0c\u5c0e\u81f4\u8ca7\u8840\u3002\uff08maroke@iStockphoto\uff0c\u8a2d\u8a08\u5716\u7247\uff09   \u8ca7\u8840 \u6613\u5026 \u6c23\u4fc3\u300c\u624b\u6307\u8173\u8dbe\u767c\u7d2b\u300d \u300c\u51b7\u51dd\u96c6\u7d20\u75c5\u300d\u75c5\u5fb5\u5305\u62ec\u8ca7\u8840\u3001\u6613\u5026\u3001\u6c23\u4fc3\u53ca\u300c\u624b\u6307\u8173\u8dbe\u767c\u7d2b\u300d\uff08Acrocyanosis\uff09\uff0c\u751a\u81f3\u9047\u51b7\u51fa\u73fe\u300c\u96f7\u8afe\u73fe\u8c61\u300d\uff08Raynaud phenomenon\uff09\uff0c\u5373\u624b\u6307\u8b8a\u767d\uff0c\u7136\u5f8c\u8f49\u85cd\uff0c\u6700\u5f8c\u8b8a\u7d05\u3002\u75c5\u60c5\u56b4\u91cd\uff0c\u6216\u51fa\u73fe\u300c\u8840\u7ba1\u5167\u6eb6\u8840\u300d\uff08Intravascular haemolysis\uff09\uff0c\u5373\u300c\u8840\u7d05\u86cb\u767d\u300d\u5f9e\u300c\u7d05\u8840\u7403\u300d\u6cc4\u51fa\uff0c\u7d93\u814e\u81df\u6392\u51fa\u5c3f\u6db2\uff0c\u5f62\u6210\u300c\u8840\u7d05\u86cb\u767d\u5c3f\u300d\uff08Haemoglobinuria\uff09\uff0c\u4ee4\u5c0f\u4fbf\u5448\u6df1\u7d05\u8272\uff0c\u751a\u81f3\u9ed1\u8272\u3002\u60a3\u8005\u75c5\u5fb5\u5728\u5bd2\u51b7\u5929\u6c23\u5c24\u5176\u56b4\u91cd\uff0c\u9047\u4e0a\u767c\u71d2\u3001\u5275\u50b7\u6216\u624b\u8853\u5f8c\uff0c\u4ea6\u6709\u4ee4\u6eb6\u8840\u60c5\u51b5\u52a0\u5287\u7684\u98a8\u96aa\u3002 \u9a57\u8840\u9a57\u9aa8\u9ad3\u6709\u52a9\u8a3a\u65b7\u300c\u51b7\u51dd\u96c6\u7d20\u75c5\u300d\uff0c\u8840\u7d05\u86cb\u767d\u6fc3\u5ea6\u4e0b\u964d\uff0c\u300c\u7db2\u72c0\u7d05\u7d30\u80de\u300d\uff08Reticulocyte\uff09\u6578\u91cf\u4e0a\u5347\uff0c\u986f\u793a\u9aa8\u9ad3\u589e\u52a0\u88fd\u9020\u7d05\u8840\u7403\uff0c\u88dc\u5145\u6eb6\u8840\u5f15\u81f4\u7684\u640d\u5931\u3002\u8840\u6db2\u767c\u73fe\u9ad8\u6fc3\u5ea6\u300c\u51b7\u51dd\u96c6\u7d20\u6297\u9ad4\u300d\uff08Cold agglutinin antibody\uff09\uff0c\u53ef\u78ba\u8a3a\u3002 \u82e5\u75c5\u60c5\u6eab\u548c\uff0c\u60a3\u8005\u6216\u4e0d\u9700\u8981\u4efb\u4f55\u7279\u6548\u85e5\u7269\u6cbb\u7642\uff0c\u4f46\u8981\u6ce8\u610f\u5bd2\u51b7\u5929\u6c23\uff0c\u5c0f\u5fc3\u4fdd\u6696\u3002\u6162\u6027\u6eb6\u8840\u75c7\u6d88\u8017\u5927\u91cf\u300c\u8449\u9178\u300d\uff08Folic 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