{"id":20624,"date":"2019-07-29T12:14:07","date_gmt":"2019-07-29T04:14:07","guid":{"rendered":"\/\/www.afterroberto.com\/?p=20624"},"modified":"2020-04-21T16:38:05","modified_gmt":"2020-04-21T08:38:05","slug":"%e9%86%ab%e8%a8%80%e6%9c%89%e7%90%86-%e6%98%93%e5%80%a6%e7%84%a1%e5%8a%9b-%e5%b0%8f%e5%bf%83%e8%87%aa%e9%ab%94%e5%85%8d%e7%96%ab%e6%ba%b6%e8%a1%80%e7%97%87","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e9%86%ab%e8%a8%80%e6%9c%89%e7%90%86-%e6%98%93%e5%80%a6%e7%84%a1%e5%8a%9b-%e5%b0%8f%e5%bf%83%e8%87%aa%e9%ab%94%e5%85%8d%e7%96%ab%e6%ba%b6%e8%a1%80%e7%97%87\/","title":{"rendered":"\u91ab\u8a00\u6709\u7406\uff1a\u6613\u5026\u7121\u529b\uff1f\u5c0f\u5fc3\u81ea\u9ad4\u514d\u75ab\u6eb6\u8840\u75c7"},"content":{"rendered":"

\u3010\u660e\u5831\u5c08\u8a0a\u301150\u6b72\u7684\u9673\u592a\uff0c\u8fd1\u65e5\u611f\u89ba\u975e\u5e38\u75b2\u5026\uff0c\u8d70\u5169\u6b65\u8def\u5373\u6c23\u4fc3\u3002\u9a57\u8840\u767c\u73fe\u9673\u592a\u6709\u56b4\u91cd\u300c\u8ca7\u8840<\/a>\u300d\uff08Anaemia\uff09\uff0c\u6700\u5f8c\u78ba\u8a3a\u300c\u81ea\u9ad4\u514d\u75ab\u6eb6\u8840\u75c7\u300d\uff08Autoimmune haemolytic anaemia\uff09\uff0c\u5c6c\u300c\u514d\u75ab\u7cfb\u7d71\u6bdb\u75c5\u300d\uff0c\u8840\u6db2\u5167\u6709\u91dd\u5c0d\u7d05\u8840\u7403\u7684\u300c\u81ea\u8eab\u6297\u9ad4\u300d\uff08Auto-antibody\uff09\uff0c\u4ee4\u7d05\u8840\u7403\u6eb6\u89e3\uff08Haemolysis\uff09\uff0c\u56e0\u800c\u5c0e\u81f4\u8ca7\u8840\u3002<\/p>\n

 <\/p>\n

\"\u81ea\u9ad4\u514d\u75ab\u6eb6\u8840\u75c7\"
\uff08\u8a2d\u8a08\u5716\u7247\uff0c\u76f8\u4e2d\u4eba\u7269\u8207\u6587\u7ae0\u6240\u63d0\u75be\u75c5\u7121\u95dc\uff0cToa55@iStockphoto\uff09<\/figcaption><\/figure>\n

 <\/p>\n

\u6210\u56e0\u4e0d\u660e \u6216\u75be\u75c5\u85e5\u7269\u5f15\u81f4<\/h2>\n

\u300c\u81ea\u9ad4\u514d\u75ab\u6eb6\u8840\u75c7<\/a>\u300d\u5927\u591a\u6210\u56e0\u4e0d\u660e\uff0c\u5df2\u77e5\u75c5\u56e0\u5305\u62ec\u75c5\u6bd2\u611f\u67d3\u3001\u81ea\u9ad4\u514d\u75ab\u6027\u75be\u75c5\u5982\u300c\u7d05\u6591\u72fc\u7621\u7d9c\u5408\u75c7\u300d\uff08Systemic lupus erythaematosus\uff09\u3001\u300c\u6dcb\u5df4\u7d30\u80de\u589e\u751f\u75be\u75c5\u300d\uff08Lymphoproliferative diseases\uff09\u5982\u300c\u6162\u6027\u6dcb\u5df4\u7d30\u80de\u767d\u8840\u75c5\u300d\uff08Chronic lymphocytic leukaemia\uff09\uff0c\u4ee5\u53ca\u300c\u85e5\u7269\u53cd\u61c9\u300d\uff0c\u4f8b\u5982\u9752\u9ef4\u7d20\uff08Penicillins\uff09\u3002<\/p>\n

 <\/p>\n

\u5982\u679c\u9ad4\u5167\u6297\u9ad4\u6c34\u5e73\u4e0d\u9ad8\uff0c\u60a3\u8005\u53ef\u80fd\u53ea\u6709\u8f15\u5fae\u8ca7\u8840\uff0c\u751a\u81f3\u6c92\u6709\u4efb\u4f55\u8ca7\u8840\u73fe\u8c61\u3002\u76f8\u53cd\uff0c\u5927\u91cf\u6297\u9ad4\u53ef\u5f15\u767c\u56b4\u91cd\u8ca7\u8840\uff0c\u75c5\u5fb5\u5305\u62ec\u6c23\u4fc3\u3001\u5fc3\u8df3\u53ca\u5168\u8eab\u7121\u529b\uff0c\u75c5\u8005\u9762\u9752\u5507\u767d\u3001\u773c\u767d\u767c\u9ec3\uff0c\u751a\u81f3\u813e\u81df\u8139\u5927\uff0c\u5c6c\u9ad8\u5371\u60c5\u51b5\u3002<\/p>\n

\u9a57\u8840\u6aa2\u67e5\u986f\u793a\u60a3\u8005\u300c\u8840\u7d05\u86cb\u767d\u300d\uff08Haemoglobin\uff09\u6c34\u5e73\u4e0b\u964d\uff0c\u5373\u51fa\u73fe\u8ca7\u8840\u73fe\u8c61\u3002\u8840\u6db2\u5167\u7684\u300c\u7db2\u7d30\u80de\u300d\uff08Reticulocyte\uff09\u4e43\u8f03\u672a\u6210\u719f\u7684\u7d05\u8840\u7403\uff0c\u6578\u91cf\u4e0a\u5347\u53cd\u6620\u9aa8\u9ad3\u9020\u8840\u529f\u80fd\u6b63\u5728\u589e\u5f37\uff0c\u88dc\u5145\u8840\u6db2\u5167\u7d05\u8840\u7403\u4e0d\u8db3\u7684\u60c5\u51b5\uff1b\u6eb6\u8840\u5c0e\u81f4\u9aa8\u9ad3\u52a0\u5feb\u9020\u8840\uff0c\u4ee4\u9ad4\u7a4d\u8f03\u5927\u7684\u300c\u7db2\u7d30\u80de\u300d\u6578\u91cf\u589e\u52a0\uff0c\u4ee4\u8840\u6db2\u300c\u5e73\u5747\u7d05\u8840\u7403\u9ad4\u7a4d\u300d\u540c\u6b65\u4e0a\u5347\u3002<\/p>\n

 <\/p>\n

\u300c\u6297\u7403\u86cb\u767d\u6e2c\u8a66\u300d\uff08Antiglobulin test\uff09\u53c8\u7a31\u300c\u5eab\u6c0f\u6e2c\u8a66\u300d\uff08Coombs test\uff09\uff0c\u967d\u6027\u53cd\u61c9\u6709\u52a9\u78ba\u8a3a\u300c\u81ea\u9ad4\u514d\u75ab\u6eb6\u8840\u75c7\u300d\uff1b\u8840\u6db2\u5167\u7684\u300c\u6297\u7d05\u8840\u7403\u6297\u9ad4\u300d\u4ee4\u789f\u5f62\u7684\u7d05\u8840\u7403\u7d30\u80de\u819c\u8b8a\u5f62\uff0c\u5f62\u6210\u300c\u7403\u72c0\u7d30\u80de\u300d\uff08Spherocytes\uff09\u3002<\/p>\n

 <\/p>\n

\u6eb6\u8840\u53c8\u4ee4\u7d05\u8840\u7403\u5167\u7684\u300c\u8840\u7d05\u86cb\u767d\u300d\u5f9e\u7d30\u80de\u6cc4\u51fa\uff0c\u8207\u8840\u6db2\u4e2d\u7684\u300c\u8840\u7d05\u7d20\u7d50\u5408\u86cb\u767d\u300d\uff08Haptoglobin\uff09\u7d50\u5408\uff0c\u76ee\u7684\u662f\u4fdd\u8b77\u814e\u81df\u4e0d\u81f4\u53d7\u5230\u7834\u58de\uff1b\u300c\u8840\u7d05\u7d20\u7d50\u5408\u86cb\u767d\u300d\u6c34\u5e73\u4e0b\u964d\u81f3\u96f6\uff0c\u6709\u52a9\u78ba\u65b7\u300c\u6eb6\u8840\u75c7\u300d\u3002\u5176\u4ed6\u751f\u7406\u8b8a\u5316\u9084\u5305\u62ec\u300c\u9593\u63a5\u81bd\u7d05\u7d20\u300d\uff08Indirect bilirubin\uff09\u53ca\u300c\u4e73\u9178\u812b\u6c2b\u9176\u300d\uff08Lactate dehydrogenase\uff09\u6c34\u5e73\u4e0a\u5347\u3002<\/p>\n

 <\/p>\n

\u6cbb\u7642\u300c\u81ea\u9ad4\u514d\u75ab\u6eb6\u8840\u75c7\u300d\uff0c\u9996\u9078\u300c\u985e\u56fa\u9187\u300d\uff08Steroids\uff09\uff1b\u5982\u6548\u679c\u6b20\u7406\u60f3\uff0c\u53ef\u8003\u616e\u4f7f\u7528\u300c\u6297B\u6dcb\u5df4\u7d30\u80de\u55ae\u514b\u9686\u6297\u9ad4\u300d\uff08Anti-B cell monoclonal antibody\uff09\u3001\u300c\u5229\u59a5\u6614\u55ae\u6297\u300d\uff08Rituximab\uff09\u6216\u9032\u884c\u300c\u813e\u81df\u5207\u9664\u624b\u8853\u300d\u3002\u5176\u4ed6\u9078\u64c7\u9084\u6709\u300c\u514d\u75ab\u6291\u5236\u5291\u300d\uff08Immunosuppressants\uff09\uff0c\u5982\u300c\u786b\u5511\u560c\u541f\u300d\uff08Azathioprine\uff09\u3001\u300c\u74b0\u78f7\u9170\u80fa\u300d\uff08Cyclophosphamide\uff09\u53ca\u300c\u74b0\u5b62\u7d20\u300d\uff08Cyclosporine\uff09\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

\u91ab\u8a00\u6709\u7406\u7cfb\u5217\u6587\u7ae0\uff1a
\n<\/strong>
\n
\u6fb1\u7c89\u6a23\u8b8a\u6027 \u86cb\u767d\u6c89\u7a4d\u4e3b\u5668\u5b98\u651e\u547d<\/a><\/p>\n

\u96f7\u8afe\u6c0f\u73fe\u8c61 \u624b\u6307\u8b8a\u8272\u767d\u85cd\u7d05<\/a><\/p>\n

\u51b7\u51dd\u96c6\u7d20\u75c5 \u4f4e\u6eab\u6613\u75c5\u767c<\/a><\/p>\n

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

\u63a5\u53d7\u5316\u7642 \u6613\u60a3\u5ff5\u73e0\u83cc\u611f\u67d3<\/a><\/p>\n