鐩墠锛岄珮鏍�銆佺爺绌舵墍鍙婂叾浠栦簨妤�(y猫)鍠綅鐨勫(sh铆)椹�(y脿n)瀹ら兘鍩烘湰涓婄敤瓒呯磾姘存(j墨)浠ｆ浛钂搁ぞ姘村櫒鍒舵按锛屾澅閮ㄥ湴鍗€(q奴)甯傜礆(j铆)浠ヤ笂鍠綅閬�(d谩)鍒版櫘鍙婄殑绋嬪害銆傚锛氱挵(hu谩n)澧冪洠(ji膩n)娓�(c猫)绔�銆侀鍝佽棩鍝佹椹�(y脿n)鎵€銆佺柧鎺т腑蹇冦€佽唱(zh矛)妾㈡墍銆佽静(n贸ng)妤�(y猫)鍦熻偉绔欑瓑銆備笉灏戜紒妤�(y猫)鍠綅鐨勫寲椹�(y脿n)瀹や篃鐢ㄨ秴绱旀按姗�(j墨)浠ｆ浛钂搁ぞ姘村櫒鍒舵按锛岀壒鍒ュ湪鏉遍儴鍦板崁(q奴)鍙婁腑瑗块儴鏁堢泭杓冨ソ鐨勫柈浣嶃€�

    鐩告瘮闆荤啽钂搁ぞ姘村櫒鎴栧湪澶栬卜姘翠締(l谩i)璎�锛屽(sh铆)椹�(y脿n)瀹よ秴绱旀按姗�(j墨)鎻愪緵浜嗚純澶氱殑瀵�(sh铆)鎯犲拰鏂逛究锛岄€欓粸(di菐n)宸茬稉(j墨ng)寰楀埌浜嗗唬澶у寲瀛�(xu茅)鍒嗘瀽浜哄摗鐨勮獚(r猫n)鍙�锛屼絾瑭插剙鍣ㄧ暍绔熸槸瀵�(sh铆)椹�(y脿n)瀹ょ殑鍩虹(ch菙)瑷�(sh猫)鍌欙紝闆栫劧鏈変笉灏�鎶€琛�(sh霉)浜哄摗鍦ㄤ娇鐢ㄨ秴绱旀按姗�(j墨)锛屼絾鍏跺皪(du矛)瓒呯磾姘存(j墨)鐨勪簡瑙ｉ倓涓嶅锛屽父甯稿湪閬歌臣(g貌u)涓婂瓨鍦ㄨ鍗€(q奴)銆傚浣曢伕璩�(g貌u)閬╁悎鏈柈浣嶇殑瓒呯磾姘存(j墨)锛岃珛(q菒ng)鍙冭€冧互涓嬪収(n猫i)瀹�锛屽笇鏈涘皪(du矛)浣犳湁鎵€骞姪銆�

    涓€锛庣敤姘撮噺

    鐩墠甯傚牬(ch菐ng)涓婄殑瓒呯磾姘存(j墨)鐨勯€犳按閲忎竴鑸湪5—20鍗�/灏忔檪(sh铆)锛�20鍗囦互涓婄殑灏辨槸闈炴(bi膩o)婧�(zh菙n)姗�(j墨)鍨�?锛熻浕榄�?y墨ng)鏍规摎(j霉)瀵�(sh铆)闅涚敤姘撮噺渚�(l谩i)閬哥敤瓒呯磾姘存(j墨)鐨勮(gu墨)鏍�锛屼竴鑸伒寰�2鍊嶉棞(gu膩n)绯诲師鍓�銆傚鐢ㄦ按閲忔槸20鍗�/澶╋紝鍓囬伕鐢ㄨ(gu墨)鏍肩偤10鍗�/灏忔檪(sh铆)鐨勬(j墨)鍣�锛屽鏋滈伕鐢ㄨ(gu墨)鏍煎お灏�锛岃秴绱旀按姗�(j墨)鐨勮€楁潗娑堣€楁渻(hu矛)寰堝揩锛岄伕鐢ㄨ(gu墨)鏍煎お澶э紝鍓囧舰鎴愭氮璨�(f猫i)銆傚鏋滈泦涓敤姘撮噺澶э紝鍓囬渶瑕侀伕璩�(g貌u)杓冨ぇ鐨勭磾姘存《锛屽惁鍓囬€犳按璺熶笉涓�銆�

    浜岋紟鐢ㄦ按姘磋唱(zh矛)

    鍦�(gu贸)瀹跺(sh铆)椹�(y脿n)瀹ゆ(bi膩o)婧�(zh菙n)鐢ㄦ按鏈変竴绱�(j铆)姘淬€佷簩绱�(j铆)姘�銆佷笁绱�(j铆)姘翠笁绋按璩�(zh矛)锛屼絾澶у鏁�(sh霉)瀵�(sh铆)椹�(y脿n)瀹ょ敤鍏╃ó姘磋唱(zh矛)鍗冲彲锛屼竴鏄笁绱�(j铆)姘�锛屽钂搁ぞ姘�锛岀敤浜庣幓鐠冨櫒鐨跨殑娓呮礂绛�锛涗簩鏄竴绱�(j铆)姘�锛屼富瑕佺敤浜庡寲瀛�(xu茅)鍒嗘瀽鎴栬€呮恫鐩搞€佸師瀛愬惛鏀剁瓑绮惧瘑鍎€鍣ㄥ垎鏋�?锛熻浕榄�?y墨ng)鏍规摎(j霉)瀵�(sh铆)闅涙按璩�(zh矛)闇€姹備締(l谩i)閬哥敤瓒呯磾姘存(j墨)鐨勬獢娆°€備互鑷締(l谩i)姘寸偤姘存簮鐨勮秴绱旀按姗�(j墨)閮藉叿鏈夊叐鍊�(g猫)(鍏╃ó姘磋唱(zh矛))鐨勫嚭姘村彛锛屼竴鏄磾姘达紝鍗充笁绱�(j铆)姘�锛涗簩鏄竴绱�(j铆)姘达紝鍗宠秴绱旀按锛堝毚(y谩n)鏍兼剰缇╀笂璎涗竴绱�(j铆)姘寸殑闆婚樆澶т簬10鍏嗘瓙锛岃€岃秴绱旀按鐨勯浕闃诲ぇ浜�18鍏嗘瓙锛�銆�

    澶氭暩(sh霉)瀹㈡埗灏�(du矛)鑷繁鐨勬按璩�(zh矛)闇€姹傚苟涓嶆竻妤氾紝鍦�(gu贸)瀹剁浉闂�(gu膩n)閮ㄩ杸闆栫劧鏈夊悇绋按璩�(zh矛)妯�(bi膩o)婧�(zh菙n)锛屼絾鏄皪(du矛)鍏烽珨鐨勫(sh铆)椹�(y脿n)闋�(xi脿ng)鐩垨鍎€鍣ㄥ垎鏋愮敤姘存矑(m茅i)鏈夊畬鏁寸殑閲忓寲鎸囨(bi膩o)锛屽線寰€鍦ㄩ伕璩�(g貌u)濂借秴绱旀按姗�(j墨)涔嬪悗鎵嶇櫦(f膩)鐝�(xi脿n)姘磋唱(zh矛)涓嶉仈(d谩)妯�(bi膩o)銆傛牴鎿�(j霉)缍�(j墨ng)椹�(y脿n)锛屽彲浠ラ伒寰互涓嬪咕鍊�(g猫)閬歌臣(g貌u)鍘熷墖锛岀浉灏�(du矛)鎳�(y墨ng)鍗冲彲銆�

    1锛�

    瀵�(sh铆)椹�(y脿n)鍏�(n猫i)瀹�

    鍒嗙劇(w煤)姗�(j墨)瀵�(sh铆)椹�(y脿n)鍜屾湁姗�(j墨)瀵�(sh铆)椹�(y脿n)锛岀劇(w煤)姗�(j墨)瀵�(sh铆)椹�(y脿n)鍙渶闆婚樆澶т簬18鍏嗘瓙鐨勬按璩�(zh矛)灏辫锛岃€屾湁姗�(j墨)瀵�(sh铆)椹�(y脿n)鍓囬€氬父瑕佸幓闄ゆ按涓殑鏈夋(j墨)鐗╄唱(zh矛)锛屾墍浠ラ櫎浜嗛浕闃诲ぇ浜�18鍏嗘瓙浠ュ锛岄倓闇€瑕佺附鏈夋(j墨)纰崇殑鎸囨(bi膩o)銆傚鏋滄槸鐢熺墿鏂归潰鐨勫(sh铆)椹�(y脿n)锛屽湪瑕佸幓闄ゆ按涓殑绱�(x矛)鑿�銆�

    2锛�

    鍎€鍣ㄧó椤�

    瀹㈡埗鍙互鏍规摎(j霉)浣跨敤鐨勫剙鍣ㄧó椤炰締(l谩i)閬告搰瓒呯磾姘存(j墨)銆傛恫鐩哥敤姘寸殑闆婚樆澶т簬18鍏嗘瓙锛涘苟涓旇鍘婚櫎鏈夋(j墨)鐗�锛涘師瀛愬惛鏀�銆佸師瀛愮啋鍏夊強鐠�(hu谩n)澧冪洠(ji膩n)娓�(c猫)鍎€鍣�鐢ㄦ按澶т簬18鍏嗘瓙灏辫锛�PCR绛夌敓鍛界瀛�(xu茅)鍎€鍣ㄧ敤姘撮櫎浜嗛浕闃诲ぇ浜�18鍏嗘瓙浠ュ锛岄倓闇€闄よ弻锛岄櫎鏈夋(j墨)鐗╋紝闄ょ啽婧�銆�

    3锛�

    鐩墠鐢ㄦ按渚�(l谩i)婧�

    濡傛灉瀹㈡埗鐩墠鐨勭敤姘存槸鍚堟牸鐨勶紝涔熷彲浠ュ皣瑭茬磾姘寸殑渚�(l谩i)婧愭柟寮忓憡鐭ヨ秴绱旀按姗�(j墨)寤犲晢锛屽叾鎶€琛�(sh霉)浜哄摗鏈�(hu矛)鏍规摎(j霉)瑭叉儏娉佷締(l谩i)鎺ㄨ枽鐩告噳(y墨ng)鐨勮(gu墨)鏍煎瀷铏�(h脿o)銆�
  浠ヤ笂涓夌ó鍘熷墖鏄牴鎿�(j霉)瀵�(sh铆)闅涚殑鎳�(y墨ng)鐢ㄧ稉(j墨ng)椹�(y脿n)寰椾締(l谩i)鐨�锛屽彲浠ュ弮鑰�锛屼絾鏄渶婧�(zh菙n)纰虹殑鍨嬭櫉(h脿o)閬告搰閭勬槸鐩￠噺鎻愪緵瑭崇窗(x矛)鐨勬按璩�(zh矛)鍙冩暩(sh霉)锛屽闆婚樆銆佸井閲忓厓绱�銆佺窗(x矛)鑿�銆佺附鏈夋(j墨)纰虫按骞崇瓑銆�

    涓夛紟鍘熸按姘磋唱(zh矛)

    瀹㈡埗鍦ㄩ伕璩�(g貌u)瓒呯磾姘存(j墨)鏅�(sh铆)涓€瀹氳鍚戝粻鍟嗘彁渚涘師姘寸殑姘磋唱(zh矛)鐙€娉�锛屾瘮濡傛偿娌欏锛岀‖搴﹂珮锛屽湴涓嬫按绛夋儏娉侊紝瓒呯磾姘存(j墨)鐨勫伐钘濇槸鏍规摎(j霉)鍘熸按姘磋唱(zh矛)鐨勫ソ澹炰締(l谩i)纰哄畾鐨�锛屾偿娌欏锛岃娣诲姞闋�(y霉)铏曠悊瑁濈疆锛岀‖搴﹂珮锛岃娣诲姞杌熷寲瑁濈疆锛屽惈楣介噺楂�锛岃閲囩敤浜岀礆(j铆)鍙嶆徊閫忓伐钘濈瓑銆傚鏋滈伕鐢ㄤ互绱旀按鐐烘按婧愮殑瓒呯磾姘存(j墨)锛屽墖鍙渶瑕佹彁渚涙按璩�(zh矛)闇€姹傚拰鐢ㄦ按閲忓氨鍙互浜�銆�