{"id":19189,"date":"2019-05-27T12:00:39","date_gmt":"2019-05-27T04:00:39","guid":{"rendered":"\/\/www.afterroberto.com\/?p=19189"},"modified":"2019-05-27T12:36:38","modified_gmt":"2019-05-27T04:36:38","slug":"%e9%86%ab%e8%a8%80%e6%9c%89%e7%90%86-%e9%9b%b7%e8%ab%be%e6%b0%8f%e7%8f%be%e8%b1%a1-%e6%89%8b%e6%8c%87%e8%ae%8a%e8%89%b2%e7%99%bd%e8%97%8d%e7%b4%85","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e9%86%ab%e8%a8%80%e6%9c%89%e7%90%86-%e9%9b%b7%e8%ab%be%e6%b0%8f%e7%8f%be%e8%b1%a1-%e6%89%8b%e6%8c%87%e8%ae%8a%e8%89%b2%e7%99%bd%e8%97%8d%e7%b4%85\/","title":{"rendered":"\u91ab\u8a00\u6709\u7406\uff1a\u96f7\u8afe\u6c0f\u73fe\u8c61 \u624b\u6307\u8b8a\u8272\u767d\u85cd\u7d05"},"content":{"rendered":"

\u3010\u660e\u5831\u5c08\u8a0a\u3011\u4e0d\u5c11\u75be\u75c5\u7684\u75c5\u5fb5\u8207\u4f4e\u6eab\u6709\u95dc\uff0c\u5176\u4e2d\u5305\u62ec\u67d0\u4e9b\u514d\u75ab\u7cfb\u7d71\u6bdb\u75c5\u3002\u65e9\u524d\u5929\u6c23\u8f03\u51b7\uff0c50\u6b72\u7684\u674e\u592a\u767c\u73fe\u81ea\u5df1\u96d9\u624b\u63a5\u89f8\u51b7\u6c34\uff0c\u5373\u4ee4\u624b\u6307\u984f\u8272\u8f49\u767d\uff0c\u7136\u5f8c\u8b8a\u85cd\uff0c\u518d\u8f49\u7d05\u3002\u91ab\u751f\u61f7\u7591\u674e\u592a\u60a3\u6709\u300c\u96f7\u8afe\u6c0f\u73fe\u8c61\u300d\uff08Raynaud phenomenon\uff09\uff0c\u624b\u6307\u6216\u8173\u8dbe\u7684\u300c\u7d30\u52d5\u8108\u8840\u7ba1\u300d\uff08Arterioles\uff09\u9047\u51b7\u5373\u51fa\u73fe\u7570\u5e38\u6536\u7e2e\u53cd\u61c9\uff08Vasoconstriction\uff09\uff1b\u76ae\u819a\u51fa\u73fe\u767d\u3001\u85cd\u3001\u7d053\u500b\u968e\u6bb5\u7684\u8b8a\u8272\u73fe\u8c61\uff0c\u624b\u6307\u6216\u8173\u8dbe\u672b\u7aef\u5c24\u5176\u5bb9\u6613\u53d7\u5f71\u97ff\u3002\u76ae\u819a\u9996\u5148\u8b8a\u5f97\u300c\u84bc\u767d\u300d\uff08Pale\uff09\uff0c\u4e26\u8207\u6b63\u5e38\u76ae\u819a\u51fa\u73fe\u660e\u986f\u5206\u754c\u3002\u7b2c2\u968e\u6bb5\u76ae\u819a\u7d44\u7e54\u56e0\u7f3a\u6c27\u800c\u8b8a\u6210\u7d2b\u85cd\u8272\uff0c\u4e00\u822c\u6301\u7e8c15\u81f320\u5206\u9418\u3002\u8840\u7ba1\u5728\u6700\u5f8c\u7684\u7b2c3\u968e\u6bb5\u653e\u9b06\uff08Vasodilation\uff09\uff0c\u76ae\u819a\u984f\u8272\u8f49\u7d05\u3002<\/p>\n

 <\/p>\n

\"\u91ab\u8a00\u6709\u7406,\u96f7\u8afe\u6c0f\u73fe\u8c61,\u51b7\u51cd\u7403\u86cb\u767d\u8840\u75c7,\u8840\u7ba1\u767c\u708e,\u6881\u61b2\u5b6b,\u8840\u6db2\u53ca\u8840\u6db2\u816b\u7624\u79d1\" <\/picture>
\n\u6881\u61b2\u5b6b\u91ab\u751f<\/span><\/p>\n

 <\/p>\n

\u300c\u96f7\u8afe\u6c0f\u73fe\u8c61\u300d\u901a\u5e38\u5f9e\u55ae\u96bb\u624b\u6307\u958b\u59cb\uff0c\u7136\u5f8c\u64f4\u5c55\u81f3\u96d9\u624b\u96d9\u8173\u7684\u5176\u4ed6\u624b\u6307\u8173\u8dbe\uff0c\u5c24\u5176\u4e2d\u6307\u53ca\u7121\u540d\u6307\uff1b\u5927\u62c7\u6307\u901a\u5e38\u4e0d\u53d7\u5f71\u97ff\uff0c\u300c\u7e7c\u767c\u6027\u96f7\u8afe\u6c0f\u73fe\u8c61\u300d\uff08Secondary Raynaud phenomenon\uff09\u9664\u5916\u3002<\/p>\n

\u300c\u539f\u767c\u6027\u96f7\u8afe\u6c0f\u73fe\u8c61\u300d\uff08Primary Raynaud phenomenon\uff09\u4e00\u822c\u6c92\u6709\u4efb\u4f55\u8a98\u56e0\uff0c\u800c\u300c\u7e7c\u767c\u6027\u300d\uff08Secondary\uff09\u7684\u75c5\u56e0\u5247\u5305\u62ec\u300c\u7cfb\u7d71\u6027\u7d05\u6591\u72fc\u7621\u7d9c\u5408\u75c7\u300d\uff08Systemic lupus erythematosus\uff09\u3001\u300c\u5168\u8eab\u786c\u5316\u75c7\u300d\u53c8\u7a31\u300c\u786c\u76ae\u75c7\u300d\uff08Systemic sclerosis or scleroderma\uff09\u3001\u300c\u6df7\u5408\u6027\u7d50\u7de0\u7d44\u7e54\u75c5\u300d\uff08Mixed conmective tissue disease\uff09\u3001\u300c\u859b\u683c\u9023\u6c0f\u7d9c\u5408\u75c7\u5019\u300d\uff08Sjogren’s syndrome\uff09\u3001\u300c\u76ae\u808c\u708e\u300d\uff08Dermatomyositis\uff09\u7b49\u591a\u7a2e\u300c\u81ea\u9ad4\u514d\u75ab\u75be\u75c5\u300d\uff08Autoimmune disease\uff09\u3002\u5176\u4ed6\u75c5\u56e0\u9084\u6709\u300c\u51b7\u7403\u86cb\u767d\u8840\u75c7\u300d\uff08Cryoglobulinaemia\uff09\u3001\u300c\u51b7\u51dd\u96c6\u7d20\u75be\u75c5\u300d\uff08Cold agglutinin disease\uff09\u3001\u300c\u526f\u86cb\u767d\u8840\u75c7\u300d\uff08Paraproteinaemia\uff09\uff0c\u300c\u4f4e\u6eab\u7e96\u7dad\u86cb\u767d\u539f\u8840\u75c7\u300d\uff08Cryofibrinogenaemia\uff09\uff1b\u53c8\u5305\u62ec\u300c\u904e\u91cf\u4f7f\u7528\u632f\u52d5\u5de5\u5177\uff08Excessive use of vibration tool\uff09\u53ca\u300c\u8155\u7ba1\u7d9c\u5408\u75c7\u300d\uff08Carpal tunnel syndrome\uff09\u7b49\uff0c\u4ea6\u8981\u5c0f\u5fc3\u6392\u9664\u300c\u7532\u72c0\u817a\u529f\u80fd\u6e1b\u9000\u75c7\u300d\uff08Hypothyroidism\uff09\u3002<\/p>\n

\u60a3\u8005\u5fc5\u9808\u4fdd\u6301\u5168\u8eab\u6eab\u6696\uff0c\u5207\u52ff\u5438\u7159\uff0c\u907f\u514d\u5fc3\u7406\u58d3\u529b\u5f71\u97ff\u60c5\u7dd2\uff1b\u6709\u6548\u7684\u6cbb\u7642\u85e5\u7269\u5305\u62ec\u300c\u9223\u901a\u9053\u963b\u6eef\u5291\u300d\uff08Calcium channel blocker\uff09\uff0c\u5982\u300c\u785d\u82ef\u5730\u5e73\u300d\uff08Nifedipine\uff09\u6216\u300c\u6c28\u6c2f\u5421\u5576\u300d\uff08Amlodipine\uff09\u3002<\/p>\n

 <\/p>\n

\u51b7\u51cd\u7403\u86cb\u767d\u8840\u75c7 37\u2103\u4ee5\u4e0b\u767c\u75c5<\/h2>\n

\u300c\u51b7\u51cd\u7403\u86cb\u767d\u8840\u75c7\u300d\uff08Cryoglobulinaemia\uff09\u4e43\u4eba\u9ad4\u8840\u6e05\u6709\u7570\u5e38\u7684\u300c\u514d\u75ab\u7403\u86cb\u767d\u300d\uff08Immunoglobulin\uff09\uff0c\u572837\u2103\u4ee5\u4e0b\u7684\u4f4e\u6eab\u60c5\u51b5\u4e0b\uff0c\u300c\u51b7\u51cd\u7403\u86cb\u767d\u300d\uff08Cryoglobulin\uff09\u53ef\u5f15\u81f4\u300c\u8840\u7ba1\u767c\u708e\u300d\uff08Vasculitis\uff09\uff0c\u4e26\u8a98\u767c\u5404\u7a2e\u4e0d\u540c\u7684\u4f75\u767c\u75c7\u3002\u300c\u51b7\u51cd\u7403\u86cb\u767d\u8840\u75c7\u300d\u60a3\u8005\u591a\u6709\u514d\u75ab\u7cfb\u7d71\u6bdb\u75c5\uff0c\u4f8b\u5982\u300cB\u6dcb\u5df4\u7d30\u80de\u300d\uff08B lymphocytes\uff09\u5206\u6ccc\u300c\u55ae\u514b\u9686\u514d\u75ab\u7403\u86cb\u767d\u300d\uff08Monoclonal immunoglobulin\uff09\uff0c\u53c8\u7a31\u300c\u526f\u86cb\u767d\u8840\u75c7\u300d\uff08Paraproteinaemia\uff09\uff0c\u5176\u4e2d\u5305\u62ec\u300c\u6f3f\u7d30\u80de\u9aa8\u9ad3\u764c\u300d\uff08Plasma cell myeloma\uff09\u3001\u300c\u5de8\u7403\u86cb\u767d\u8840\u75c7\u300d\uff08Waldenstr\u00f6m macroglobulinemia\uff09\u3001\u300c\u6162\u6027\u6dcb\u5df4\u7d30\u80de\u767d\u8840\u75c5\u300d\uff08Chronic lymphocytic leukemia\uff09\u300c\u7cfb\u7d71\u6027\u7d05\u6591\u72fc\u7621\u7d9c\u5408\u75c7\u300d\uff08Systemic lupus erythematosus\uff09\u53ca\u300c\u859b\u683c\u9023\u6c0f\u75c7\u5019\u7fa4\u300d\uff08Sjogren’s syndrome\uff09\uff1b\u90e8\u5206\u500b\u6848\u8207\u75c5\u6bd2\u611f\u67d3\u6709\u95dc\uff0c\u4f8b\u5982\u300c\u4e19\u578b\u809d\u708e\u75c5\u6bd2\u300d\uff08Hepatitis C virus\uff09\u3001\u300c\u4e59\u578b\u809d\u708e\u75c5\u6bd2\u300d\uff08Hepatitis B virus\uff09\u53ca\u300c\u611b\u6ecb\u75c5\u75c5\u6bd2\u300d\uff08Human immunodeficiency virus\uff09\u3002<\/p>\n

 <\/p>\n

\u76f8\u95dc\u6587\u7ae0:
\n<\/strong>
\n\u91ab\u8a00\u6709\u7406\uff1a\u51b7\u51dd\u96c6\u7d20\u75c5 \u4f4e\u6eab\u6613\u75c5\u767c<\/a><\/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

\u9577\u671f\u773c\u4e7e\u53e3\u4e7e \u614e\u9632\u4e7e\u71e5\u7d9c\u5408\u75c7<\/a><\/p>\n

 <\/p>\n

\u6587\ufe30\u6881\u61b2\u5b6b\uff08\u8840\u6db2\u53ca\u8840\u6db2\u816b\u7624\u79d1\u5c08\u79d1\u91ab\u751f\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\u3010\u660e\u5831\u5c08\u8a0a\u3011\u4e0d\u5c11\u75be\u75c5\u7684\u75c5\u5fb5\u8207\u4f4e\u6eab\u6709\u95dc\uff0c\u5176\u4e2d\u5305\u62ec\u67d0\u4e9b\u514d\u75ab\u7cfb\u7d71\u6bdb\u75c5\u3002\u65e9\u524d\u5929\u6c23\u8f03\u51b7\uff0c50\u6b72\u7684\u674e\u592a\u767c\u73fe\u81ea\u5df1\u96d9\u624b\u63a5\u89f8\u51b7\u6c34\uff0c\u5373\u4ee4\u624b\u6307\u984f\u8272\u8f49\u767d\uff0c\u7136\u5f8c\u8b8a\u85cd\uff0c\u518d\u8f49\u7d05\u3002\u91ab\u751f\u61f7\u7591\u674e\u592a\u60a3\u6709\u300c\u96f7\u8afe\u6c0f\u73fe\u8c61\u300d\uff08Raynaud phenomenon\uff09\uff0c\u624b\u6307\u6216\u8173\u8dbe\u7684\u300c\u7d30\u52d5\u8108\u8840\u7ba1\u300d\uff08Arterioles\uff09\u9047\u51b7\u5373\u51fa\u73fe\u7570\u5e38\u6536\u7e2e\u53cd\u61c9\uff08Vasoconstriction\uff09\uff1b\u76ae\u819a\u51fa\u73fe\u767d\u3001\u85cd\u3001\u7d053\u500b\u968e\u6bb5\u7684\u8b8a\u8272\u73fe\u8c61\uff0c\u624b\u6307\u6216\u8173\u8dbe\u672b\u7aef\u5c24\u5176\u5bb9\u6613\u53d7\u5f71\u97ff\u3002\u76ae\u819a\u9996\u5148\u8b8a\u5f97\u300c\u84bc\u767d\u300d\uff08Pale\uff09\uff0c\u4e26\u8207\u6b63\u5e38\u76ae\u819a\u51fa\u73fe\u660e\u986f\u5206\u754c\u3002\u7b2c2\u968e\u6bb5\u76ae\u819a\u7d44\u7e54\u56e0\u7f3a\u6c27\u800c\u8b8a\u6210\u7d2b\u85cd\u8272\uff0c\u4e00\u822c\u6301\u7e8c15\u81f320\u5206\u9418\u3002\u8840\u7ba1\u5728\u6700\u5f8c\u7684\u7b2c3\u968e\u6bb5\u653e\u9b06\uff08Vasodilation\uff09\uff0c\u76ae\u819a\u984f\u8272\u8f49\u7d05\u3002   \u6881\u61b2\u5b6b\u91ab\u751f   \u300c\u96f7\u8afe\u6c0f\u73fe\u8c61\u300d\u901a\u5e38\u5f9e\u55ae\u96bb\u624b\u6307\u958b\u59cb\uff0c\u7136\u5f8c\u64f4\u5c55\u81f3\u96d9\u624b\u96d9\u8173\u7684\u5176\u4ed6\u624b\u6307\u8173\u8dbe\uff0c\u5c24\u5176\u4e2d\u6307\u53ca\u7121\u540d\u6307\uff1b\u5927\u62c7\u6307\u901a\u5e38\u4e0d\u53d7\u5f71\u97ff\uff0c\u300c\u7e7c\u767c\u6027\u96f7\u8afe\u6c0f\u73fe\u8c61\u300d\uff08Secondary Raynaud phenomenon\uff09\u9664\u5916\u3002 \u300c\u539f\u767c\u6027\u96f7\u8afe\u6c0f\u73fe\u8c61\u300d\uff08Primary Raynaud phenomenon\uff09\u4e00\u822c\u6c92\u6709\u4efb\u4f55\u8a98\u56e0\uff0c\u800c\u300c\u7e7c\u767c\u6027\u300d\uff08Secondary\uff09\u7684\u75c5\u56e0\u5247\u5305\u62ec\u300c\u7cfb\u7d71\u6027\u7d05\u6591\u72fc\u7621\u7d9c\u5408\u75c7\u300d\uff08Systemic lupus erythematosus\uff09\u3001\u300c\u5168\u8eab\u786c\u5316\u75c7\u300d\u53c8\u7a31\u300c\u786c\u76ae\u75c7\u300d\uff08Systemic sclerosis or scleroderma\uff09\u3001\u300c\u6df7\u5408\u6027\u7d50\u7de0\u7d44\u7e54\u75c5\u300d\uff08Mixed conmective tissue disease\uff09\u3001\u300c\u859b\u683c\u9023\u6c0f\u7d9c\u5408\u75c7\u5019\u300d\uff08Sjogren’s syndrome\uff09\u3001\u300c\u76ae\u808c\u708e\u300d\uff08Dermatomyositis\uff09\u7b49\u591a\u7a2e\u300c\u81ea\u9ad4\u514d\u75ab\u75be\u75c5\u300d\uff08Autoimmune disease\uff09\u3002\u5176\u4ed6\u75c5\u56e0\u9084\u6709\u300c\u51b7\u7403\u86cb\u767d\u8840\u75c7\u300d\uff08Cryoglobulinaemia\uff09\u3001\u300c\u51b7\u51dd\u96c6\u7d20\u75be\u75c5\u300d\uff08Cold agglutinin disease\uff09\u3001\u300c\u526f\u86cb\u767d\u8840\u75c7\u300d\uff08Paraproteinaemia\uff09\uff0c\u300c\u4f4e\u6eab\u7e96\u7dad\u86cb\u767d\u539f\u8840\u75c7\u300d\uff08Cryofibrinogenaemia\uff09\uff1b\u53c8\u5305\u62ec\u300c\u904e\u91cf\u4f7f\u7528\u632f\u52d5\u5de5\u5177\uff08Excessive use of vibration tool\uff09\u53ca\u300c\u8155\u7ba1\u7d9c\u5408\u75c7\u300d\uff08Carpal tunnel syndrome\uff09\u7b49\uff0c\u4ea6\u8981\u5c0f\u5fc3\u6392\u9664\u300c\u7532\u72c0\u817a\u529f\u80fd\u6e1b\u9000\u75c7\u300d\uff08Hypothyroidism\uff09\u3002 \u60a3\u8005\u5fc5\u9808\u4fdd\u6301\u5168\u8eab\u6eab\u6696\uff0c\u5207\u52ff\u5438\u7159\uff0c\u907f\u514d\u5fc3\u7406\u58d3\u529b\u5f71\u97ff\u60c5\u7dd2\uff1b\u6709\u6548\u7684\u6cbb\u7642\u85e5\u7269\u5305\u62ec\u300c\u9223\u901a\u9053\u963b\u6eef\u5291\u300d\uff08Calcium channel blocker\uff09\uff0c\u5982\u300c\u785d\u82ef\u5730\u5e73\u300d\uff08Nifedipine\uff09\u6216\u300c\u6c28\u6c2f\u5421\u5576\u300d\uff08Amlodipine\uff09\u3002   \u51b7\u51cd\u7403\u86cb\u767d\u8840\u75c7 37\u2103\u4ee5\u4e0b\u767c\u75c5 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