鐩搁棞(gu膩n)鎺ㄨ枽锛�2019骞磋嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯€冭│绗簩瑭︽(j墨)鑰冩ā鎿反缈�(x铆)椤屽強缈�(x铆)椤岃В鏋愶紙鍖附锛�

2019骞磋嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯浜屾绛嗚│灏囦簬11鏈�23鏃�銆�24鏃ラ枊鑰�锛屾兂瑕佸弮鍔犱簩瑭︾殑鍚屽(xu茅)闇€瑕侀噸鏂板牨鍚嶇钩璨�(f猫i)锛� 鍏嶈不(f猫i)闋�(y霉)绱勭煭淇℃彁閱�锛屽彲鍙婃檪鐛茬煡浜岃│鍫卞悕鏅傞枔鍝︼紒鐐哄公鍔╄€冪敓鍌欐埌(zh脿n)浜岃│锛屾湰鏂囧垎浜簩瑭︽(j墨)鑰冪反缈�(x铆)椤屽収(n猫i)瀹瑰涓�锛岃珛鎮ㄥ弮闁�锛�

涓€銆丄1

1銆佹參鎬ц厧琛扮鏅傚父鏈夌殑姘磋垏闆昏В璩�(zh矛)绱婁簜琛ㄧ従(xi脿n)鏄�

A銆佷唬璎濇€ч吀涓瘨锛岄珮閴€鍜屼綆閹傝鐧�

B銆佷唬璎濇€ч吀涓瘨锛屽け姘村拰浣庨垑銆佷綆閴€琛€鐧�

C銆佷唬璎濇€ч吀涓瘨锛屼綆琛€纾峰拰浣庨垼琛€鐧�

D銆佷唬璎濇€у牽涓瘨锛屼綆閴€鍜屼綆姘鐧�

E銆佷唬璎濇€ч吀涓瘨锛岄珮纾峰拰浣庨垼琛€鐧�

銆愭纰虹瓟妗堛€� E

銆愮瓟妗堣В鏋愩€� 鎱㈡€ц厧琛扮鏅傛按銆侀浕瑙ｈ唱(zh矛)鍙婇吀鍫垮钩琛＄磰浜傦細

(1)浠ｈ瑵鎬ч吀涓瘨銆€椋熸涓嶆尟銆佸様鍚�銆佷箯鍔涖€佸弽鎳�(y墨ng)閬查垗銆佸懠鍚告繁澶э紝鐢氳嚦鏄忚糠銆傞吀涓瘨鍙姞閲嶉珮閴€琛€鐧�銆�

(2)姘撮垑浠ｈ瑵绱婁簜銆€涓嶅悓绋嬪害鐨勭毊涓嬫按鑵拰/鎴栭珨鑵旂⿳娑�锛屼篃鍙嚭鐝�(xi脿n)浣庤澹撳拰浼戝厠銆�

(3)閴€浠ｈ瑵绱婁簜銆€鏄撳嚭鐝�(xi脿n)鎴栧姞閲嶉珮閴€琛€鐧ャ€傚湪鐒″翱鎮ｈ€�锛屾洿鎳�(y墨ng)璀︽儠楂橀墍琛€鐧ョ殑鍑虹従(xi脿n)銆傞€�(j矛n)椋熶笉瓒虫垨浼撮毃鍢斿悙銆佽吂鐎夋檪锛屾噳(y墨ng)璀︽儠浣庨墍琛€鐧ョ殑鐧�(f膩)鐢�銆�

(4)閳�銆佺７浠ｈ瑵绱婁簜銆€涓昏琛ㄧ従(xi脿n)鐐轰綆閳ｈ鐧ュ拰楂樼７琛€鐧ャ€�

(5)閹備唬璎濈磰浜傘€€鏈夎紩搴﹂珮閹傝鐧�锛屽鐒′换浣曠櫏鐙€銆�

2銆佸皫(d菐o)鑷磋厧鎬ч鐥呮渶涓昏鐨勫師鍥犳槸

A銆侀媮涓瘨

B銆侀惖璨�(f霉)鑽锋笡灏�

C銆佹椿鎬х董鐢熺礌A3缂轰箯

D銆佺敳鐙€鏃佽吅鍔熻兘浜㈤€�(j矛n)

E銆佺嚐椁�(y菐ng)涓嶈壇

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 鎱㈡€ц厧琛扮鎮ｈ€�锛岃鐢樻补涓夐叝鍗囬珮锛岀櫧铔嬬櫧闄嶄綆;閳�銆佺７浠ｈ瑵鐣板父鍙婅厧鑷熷悎鎴�1锛�25(OH)2D3娓涘皯锛屽皫(d菐o)鑷寸敳鐙€鏃佽吅鍔熻兘浜㈤€�(j矛n)锛屽紩璧疯厧鎬ч鐥咃紝琛ㄧ従(xi脿n)鐐洪鐥�銆佽繎绔倢鐒″姏銆侀鎶樼瓑銆�

3銆佹參鎬ц厧琛扮鏅傚翱姣掔櫏鐧ョ媭鐨勭櫦(f膩)鐥呮(j墨)鍒舵槸

A銆佽厧灏忕悆鍩哄簳鑶滅梾璁�

B銆佽剛浠ｈ瑵绱婁簜

C銆佽厧灏忕悆楂樻烤閬�

D銆佺煰鏋夊け琛″(xu茅)瑾�

E銆佽厧灏忕楂樹唬璎�

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 灏挎瘨鐧ョ櫏鐙€鐨勭櫦(f膩)鐥呮(j墨)锛氣憼灏挎瘨鐧ユ瘨绱�;鈶＄煰鏋夊け琛″(xu茅)瑾�;鈶㈢嚐椁�(y菐ng)鑸囦唬璎濆け瑾�(di脿o);鈶ｅ収(n猫i)鍒嗘硨鐣板父绛夈€�

鍏朵粬閬搁爡(xi脿ng)閮藉爆浜�“鑵庡姛鑳介€�(j矛n)琛屾€ф儭鍖栫殑姗�(j墨)鍒�”銆�

4銆佹垜鍦嬫參鎬ц厧琛扮鐨勬渶甯歌鐥呭洜鏄�

A銆佹參鎬ц厧鐩傝厧鐐�

B銆侀珮琛€澹�

C銆佹€ラ€�(j矛n)鎬ц厧鐐�

D銆両gA鑵庣梾

E銆佺硸灏跨梾

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 鎴戝湅鎱㈡€ц厧琛扮鐨勭梾鍥�锛岀洰鍓嶄粛浠ュ師鐧�(f膩)鎬ц厧灏忕悆鑵庣値澶氳锛屽叾涓互IgA鑵庣梾鏈€甯歌銆�

5銆侀棞(gu膩n)浜庢參鎬ц厧鐐庣殑鍩烘湰琛ㄧ従(xi脿n)锛岄尟瑾ょ殑鏄�

A銆佹按鑵�

B銆佽厧绲炵棝

C銆佽泲鐧藉翱

D銆佽灏�

E銆侀珮琛€澹�

銆愭纰虹瓟妗堛€� B

銆愮瓟妗堣В鏋愩€� 鎱㈡€ц厧鐐庤嚚搴婅〃鐝�(xi脿n)鍛堝妯ｆ€�锛屼互琛€灏裤€佽泲鐧藉翱銆侀珮琛€澹撳拰姘磋叓鐐哄熀鏈嚚搴婅〃鐝�(xi脿n)锛屾湁鎬ユ€х櫦(f膩)浣滅殑鍌惧悜锛屾劅鏌�銆侀亷搴︾柌鍕炵偤甯歌瑾樺洜銆�

6銆侀棞(gu膩n)浜庢€ユ€ц厧鐩傝厧鐐庤嚚搴婅〃鐝�(xi脿n)銆傝娉曢尟瑾ょ殑鏄�

A銆佽倝鐪艰灏�

B銆佽钵琛€

C銆佺晱瀵�銆佺櫦(f膩)鐔�

D銆佸翱闋�銆佸翱鎬ャ€佸翱鐥�

E銆佽叞鐥�

銆愭纰虹瓟妗堛€� B

銆愮瓟妗堣В鏋愩€� 鎬ユ€ц厧鐩傝厧鐐庤嚚搴婅〃鐝�(xi脿n)鏈夛細鈶犳硨灏跨郴绲�(t菕ng)鐧ョ媭锛氳唨鑳卞埡婵€寰�銆佽叞鐥涘拰(鎴�)涓嬭吂閮ㄧ棝銆佽倠鑴婅鍙婅几灏跨榛�(di菐n)澹撶棝銆佽厧鍗€(q奴)澹撶棝鍜屽彥鎿婄棝;鑵扮棝绋嬪害涓嶄竴锛屽鐐洪垗鐥�銆侀吀鐥�;鈶″叏韬劅鏌撶櫏鐙€锛氬瘨鎴�(zh脿n)銆佺櫦(f膩)鐔便€侀牠鐥�銆佹儭蹇冨様鍚愩€侀娆蹭笉鎸瓑锛岄珨婧鍦�38鈩冿綖39鈩冿紝甯镐即鏈夎鐧界窗(x矛)鑳炶▓(j矛)鏁�(sh霉)鍗囬珮鍜岃娌夊蹇�銆傚皯鏁�(sh霉)鎮ｈ€呭彲鍑虹従(xi脿n)鑲夌溂琛€灏裤€�

7銆佽唨鑳辩値鑸囪厧鐩傝厧鐐庡叡鏈夌殑鑷ㄥ簥琛ㄧ従(xi脿n)鏄�

A銆佺櫦(f膩)鐔�銆佷箯鍔�

B銆佽娌夊蹇�

C銆佽灏�

D銆佽唨鑳卞埡婵€寰�

E銆佽泲鐧藉翱

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 鑶€鑳辩値鍜岃厧鐩傝厧鐐庨兘鏈夎唨鑳卞埡婵€寰佺殑琛ㄧ従(xi脿n)锛屽嵆灏块牷銆佸翱鎬�銆佸翱鐥涖€�

8銆佸翱璺劅鏌撴渶甯歌鐨勮嚧鐥呰弻鏄�

A銆佽畩褰㈡】鑿�

B銆佽憽钀勭悆鑿�

C銆佸ぇ鑵稿焹甯岃弻

D銆佸壇澶ц吀妗胯弻

E銆佺碁閺堢悆鑿�

銆愭纰虹瓟妗堛€� C

銆愮瓟妗堣В鏋愩€� 灏胯矾鎰熸煋鏄寚鍚勭ó鐥呭師寰敓鐗╃洿鎺ヤ镜瑗叉硨灏跨郴绲�(t菕ng)鎵€鑷寸殑鎰熸煋鎬х値鐧�銆傛渶甯歌鑷寸梾鑿岀偤闈╄槶闄版€ф】鑿�锛屽叾涓ぇ鑵稿焹甯岃弻绱勫崰闁€瑷烘偅鑰呯殑90%銆�

9銆佹參鎬ц厧鐐庤垏鎱㈡€ц厧鐩傝厧鐐庣殑閼掑垾闂�(gu膩n)閸靛湪

A銆佷綆姣旈噸灏�

B銆佽厧鍔熻兘娓涢€€

C銆佸翱绱�(x矛)鑿屽煿椁�(y菐ng)闄芥€�

D銆佹按鑵�

E銆佸翱铔嬬櫧

銆愭纰虹瓟妗堛€� C

銆愮瓟妗堣В鏋愩€� 鎱㈡€ц厧鐐庣殑灏挎恫妾㈡煡鍛堣灏�銆佽泲鐧藉翱锛岃€屾參鎬ц厧鐩傝厧鐐庣殑灏跨窗(x矛)鑿屽煿椁�(y菐ng)鐣板父銆�

10銆侀棞(gu膩n)浜庢參鎬ц厧鐐庣殑娌荤檪鎺柦锛岃娉曢尟瑾ょ殑鏄�

A銆侀伩鍏嶆湁鎼嶈厧鍔熻兘鐨勫洜绱�

B銆佹噳(y墨ng)鐢ㄦ姉琛€灏忔澘瑙ｈ仛钘�

C銆佹噳(y墨ng)鐢ㄦ縺绱犲強绱�(x矛)鑳炴瘨钘ョ墿

D銆佺⿳妤垫帶鍒惰澹�

E銆佸劒(y艒u)璩�(zh矛)浣庤泲鐧介２椋熷強浣庣７椋查

銆愭纰虹瓟妗堛€� C

銆愮瓟妗堣В鏋愩€� 鏁欐潗涓洊鐒跺皪“鎳�(y墨ng)鐢ㄦ縺绱犲強绱�(x矛)鑳炴瘨钘ョ墿”鏈夋墍鎻愬強锛屼絾鏄绋不鐧備笉浣滅偤甯歌(gu墨)鎳�(y墨ng)鐢�銆�

11銆佹參鎬ц厧鐐庢偅鑰呭翱铔嬬櫧<1g/d鏅傦紝楂樿澹撴噳(y墨ng)鎺у埗鍦�

A銆�<130/85mmHg

B銆�<130/80mmHg

C銆�<160/95mmHg

D銆�<150/95mmHg

E銆�<140/90mmHg

銆愭纰虹瓟妗堛€� B

銆愮瓟妗堣В鏋愩€� 鎱㈡€ц厧鐐�锛屽翱铔嬬櫧<1g/d鏅�锛岃澹撴噳(y墨ng)鎺у埗鍦�<130/80mmHg銆傚翱铔嬬櫧≥1g/d鑰�锛岃澹撴噳(y墨ng)鎺у埗鍦�<125/75mmHg銆�

12銆侀棞(gu膩n)浜庡翱閬撶稖鍚堝緛锛岃娉曢尟瑾ょ殑鏄�

A銆佹姉鐢熺礌娌荤檪鐒℃晥

B銆佸湴瑗挎钞娌荤檪鏈夋晥

C銆佷腑骞村コ鎬у瑕�

D銆佸儏鏈夎唨鑳卞埡婵€寰�

E銆佸翱甯歌(gu墨)澶氭煡瑕嬬窗(x矛)鑿�

銆愭纰虹瓟妗堛€� E

銆愮瓟妗堣В鏋愩€� 灏块亾缍滃悎锛氬瑕嬩簬涓勾濠﹀コ锛屽儏鏈夎唨鑳卞埡婵€寰�锛岃€岀劇鑶垮翱鍙婄窗(x矛)鑿屽翱锛屽翱闋昏純鎺掑翱涓嶉仼鏇寸獊鍑�锛屾湁闀锋湡浣跨敤鎶楃敓绱犺€岀劇鏁堢殑鐥呭彶锛屽彛鏈嶅湴瑗挎钞鏈変竴瀹氱檪鏁�銆�

浜屻€丄2

1銆佹煇濂虫€ф偅鑰�锛�32姝�锛屽翱鐥�銆佸翱闋汇€佸翱鎬�2澶�锛屼即鐧�(f膩)鐔便€佽叞鐥�銆佹儭蹇�銆佸様鍚愶紝琛€澹�120/80mmHg锛屽翱甯歌(gu墨)妾㈡煡鏈夌磪銆佺櫧绱�(x矛)鑳炲強鐧界窗(x矛)鑳炵鍨�锛屽叾瑷烘柗鍙兘鏄�

A銆佹€ユ€ц厧鐐�

B銆佹參鎬ц厧鐐�

C銆佹€ユ€ц唨鑳辩値

D銆佹€ユ€ц厧鐩傝厧鐐�

E銆佹參鎬ц厧鐩傝厧鐐�

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 鎬ユ€ц厧鐩傝厧鐐庣殑瑷烘柗锛氬父鏈夊叏韬�(鐧�(f膩)鐔�銆佸瘨鎴�(zh脿n)锛屾儭蹇�銆佸様鍚�)銆佸眬閮�(鏄庨’鑵扮棝銆佽几灏跨榛�(di菐n)鍜�/鎴栬倠鑴婇粸(di菐n)澹撶棝銆佽厧鍗€(q奴)鍙╃棝)鐧ョ媭鍜岄珨寰�锛屽悓鏅傚叿鏈夎唨鑳卞埡婵€寰侊紝浼存湁锛氬翱娌夋福閺℃瑕嬬櫧绱�(x矛)鑳炵鍨�銆�

2銆佹偅鑰呯帇鏌�锛屽洜姘磋叓銆侀珮琛€澹�銆佽泲鐧藉翱灏辫ê锛岀稉(j墨ng)鏌ユ摤瑷虹偤鎱㈡€ц厧鐐�锛岄渶鑸囨參鎬ц厧鐩傝厧鐐庨憭鍒ワ紝闇€瑕佸仛浣曟鏌�

A銆佽厧鍔熻兘妾㈡脯

B銆侀潨鑴堣厧鐩傞€犲奖

C銆佸翱绱�(x矛)鑿屽煿椁�(y菐ng)

D銆佸翱甯歌(gu墨)

E銆佽甯歌(gu墨)

銆愭纰虹瓟妗堛€� C

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3銆佺敺鎬�锛�55姝�锛屾偅鏈夋參鎬ц厧鐐�锛屾按鑵槑椤�锛岃澹�160/95mmHg锛屾帶鍒惰澹撴噳(y墨ng)棣栭伕鐨勮棩鐗╂槸

A銆佸埄琛€骞�

B銆侀檷澹撻潏

C銆佽嫰閭ｆ櫘鍒�

D銆佺鑻湴骞�

E銆佸憢濉炵背

銆愭纰虹瓟妗堛€� C

銆愮瓟妗堣В鏋愩€� 灏嶄簬鎱㈡€ц厧鐐庢偅鑰咃紝闄嶈澹撻閬稿叿鏈夎厧鑷熶繚璀�(h霉)浣滅敤鐨勯檷澹撹棩濡侫CEI鎴朅RB銆傝嫰閭ｆ櫘鍒╁爆浜嶢CEI椤炶棩鐗┿€�

涓�銆丅

1銆丄.閲嶇櫏鑲濈梾

B.绯栧翱鐥�

C.鎰熸煋

D.灏胯矾姊楅樆

E.濡婂

<1> 銆佹參鎬ц厧鐐庢€ユ€х櫦(f膩)浣滄渶甯歌瑾樺洜鏄�

A B C D E

銆愭纰虹瓟妗堛€� C

銆愮瓟妗堣В鏋愩€� 鎱㈡€ц厧鐐庢€ユ€х櫦(f膩)浣滄渶甯歌瑾樺洜鏄細鎰熸煋銆�

<2> 銆佸翱璺劅鏌撴渶閲嶈鐨勬槗鎮ｅ洜绱犳槸

A B C D E

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 灏胯矾鎰熸煋鏄撴劅鍥犵礌锛氬翱璺闃�銆佽唨鑳�-杓稿翱绠″弽娴�銆佸翱璺暩褰㈠拰绲�(ji茅)妲�(g貌u)鐣板父銆佸櫒姊版鏌�(灏�(d菐o)灏跨瓑)銆佷唬璎濆洜绱�(绯栧翱鐥�)銆佹(j墨)楂旀姉鐥呰兘鍔涢檷浣庡拰鍏朵粬鍥犵礌濡傚濞犮€佸翱閬撳彛鍛ㄥ湇鐐�銆侀噸鐧ヨ倽鐥�銆佹櫄鏈熻叓鐦ゃ€侀暦鏈熻嚗搴婄瓑锛屽潎鏄撶櫦(f膩)鐥呫€傚叾涓翱璺闃绘槸鏈€閲嶈鐨勬槗鎰熷洜绱�銆�

2銆丄.椤嗙矑绠″瀷

B.閫忔槑绠″瀷

C.灏戦噺鐧界窗(x矛)鑳�

D.鐣稿舰绱呯窗(x矛)鑳�

E.鐧界窗(x矛)鑳炵鍨�

<1> 銆佸翱娌夋福妾㈡煡锛岃厧鐩傝厧鐐庡瑕�

A B C D E

銆愭纰虹瓟妗堛€� E

<2> 銆佸翱娌夋福妾㈡煡锛屾參鎬ц厧琛扮澶氳

A B C D E

銆愭纰虹瓟妗堛€� A

銆愮瓟妗堣В鏋愩€� 灏挎矇娓ｆ鏌ワ紝鑵庣泜鑵庣値澶氳鐧界窗(x矛)鑳炵鍨�锛屾參鎬ц厧琛扮澶氳椤嗙矑绠″瀷銆�

3銆丄.闆勬縺绱�

B.寮�(qi谩ng)鐨勬澗

C.鐞ョ弨閰镐簽閻�

D.钁夐吀鍙婄董鐢熺礌D 12

E.EPO

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A B C D E

銆愭纰虹瓟妗堛€� A

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<2> 銆佹參鎬ц厧琛扮绯炬璨ц鍙伕鐢ㄧ殑钘ョ墿鏄�

A B C D E

銆愭纰虹瓟妗堛€� E

銆愮瓟妗堣В鏋愩€� 鎱㈡€ц厧琛扮绯炬璨ц锛屽彲鐢ㄤ績绱呯窗(x矛)鑳炵敓鎴愮礌(EPO)锛屾瘡鍛�80锝�120U/kg鐨笅娉ㄥ皠銆�

4銆丄.鐧界窗(x矛)鑳�

B.娣嬪反绱�(x矛)鑳�

C.涓婄毊绱�(x矛)鑳�

D.绱呯窗(x矛)鑳�

E.鍠牳绱�(x矛)鑳�

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A B C D E

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 鎱㈡€ц厧鐐庡鐐洪彙涓嬭灏�锛屾墍浠ヤ互绱呯窗(x矛)鑳炴渶鐐哄瑕�銆�

<2> 銆佹€ユ€ц厧鐩傝厧鐐庡翱妾㈡渶澶氳鐨勭窗(x矛)鑳炴槸

A B C D E

銆愭纰虹瓟妗堛€� A

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5銆丄.10 4 锝�10 5 /ml

B.≥10 5 /ml

C.<10 3 /ml

D.10 3 锝�10 4 /ml

E.<10 4 /ml

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A B C D E

銆愭纰虹瓟妗堛€� B

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A B C D E

銆愭纰虹瓟妗堛€� E

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