武汉大学外科题

《武汉大学外科题》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

ஹ1.
┐ᱥ⌶ᡠḄᑡ■!ᑁ#ᒹ%&
ஹ'()ஹ*+,ᑣ.ᳮᑴ1஺2.3
ᢣᩔ3ᑗ7Ḅᱥ஺3.'(ᢣᩔ389ᱥ:ᐸ<ᨵ>ᱥ.?@A◀ᡈᩔ3ᡠᨵᱥD᝞FGHI஺JஹKL⚪1.
Ḅᑁ#ᒹ%3
ஹ'():NḄ*+,ᑣஹ.ᳮᑴ1஺2.3
ḄᱥᳮO)ᨵPQஹR᜜TஹᵯVWX஺3.PYZ[3
!Y\]104.0-137.3kPaஹQ1^]121_126࠷,aᢝcᑖe!ᓽgᩔhᑗᱥ஺4.ij3
ᙠlmijn100࠷?ᢝo15_20ᑖe,^ᩔ3qr
!stFGḄr
nu◤ijLwxygzᩔ3஺5.ᡚ
|ᝅx!~ᡚ|ᝅḄ|!g|ᝅḄᔣ᜜ᢚᑖ,g!ᑮ|ᝅ᜜☢஺6.'(qᵨ2.5%_3%Ớ,Ớ!ᵨ70%⏀2஺7.ᵬZ[Z)!ZLwxᓽ^]'(Ḅ!3
◤6_12wx஺ஹ⌱⚪A⚪DD1.ᐵ¡
Ḅᭆ£!¤ᑡ¥⚗§¨DIA.
©ª«¬Ḅ®¯*+,B.₏²┐ᱥ⌶ᡠḄᑡ⚜■C.
Ḅᑁ#ᒹ%3
ஹ'()ஹ*+,ᑣ.ᳮᑴ1D.'(ᢣᩔ3ᑗ7ḄᱥE.3
:'(´µ¶gᩔhᡠᨵ89ᱥ:ᐸ<ᨵ>ᱥ
E2.ᱥ·¸PYZ[3
!¹º¤ᑡx»g¼ᵨDIA.3ᜩB.5ᜩC.7ᜩD.10ᜩE.14ᜩ
C3.gPYZ[3
Ḅᱥ·ᨵDIA.ᑐஹ¿B.À.C.ᑁÁD.ÂÃÄÅE.ÆᴻÈXᘤ
D4.ij)!ᩔhtFGḄr
ᡠ◤x»ÊDIA.10ᑖeB.20ᑖeC,30ᑖeD.60ᑖeE.120ᑖe
B5.ËÅÌÍ)!¤ᑡ¥⚗§¨DIA.^ᵨ¡ᑁῚÁ'(B.2%mឋÐÑlÄÅÒÓ2ᕜÕᣚ×C.70%⏀ÌÍx»Ê30ᑖeD.'(Ḅᱥ·µ¶ᐰÌᐭÄÅᑁE.¼ᵨÚ!◤ᵨ3
ÛlÜËÅÝÞßDD6.ᵨ0.1%àáâ3ÌÍᘤã!ÌÍx»u¡DIA.10ᑖeB.15ᑖeC.20ᑖeD.30ᑖeE.60ᑖe
E7.¡2%mឋÐJlÄÅ!䤥⚗┯æḄDI

1A.çᵨ¡ᑐᱏஹ¿ᑐஹé┐ஹêᘤãḄ'(B.ÌÍx»30ᑖeäëC.3
x»◤10wxD.ËÅÒÓᕜÕᣚ×E.'(ᦔíàáâ3
A8.ᐵ¡
|!|ᝅ~ẚ!ïàðo|!¤ᑡ¥⚗§¨DIA.ᵨïàᑵ|!ᵨ'(Å|:Úò!óë
|⊟:ᡚë|ᝅᓽ^B.õóë
|⊟ᑭᡚë|ᝅᓽ^C.ᵨÕᣚ÷⊟:|ᝅ!ᓽ^|D.ïàᑵ|!ᵨ'(Å|:Úò!óë
|⊟:ᡚë|ᝅE.õ◤ïàᡚë
|ᝅᓽ^DD9.|ò'()gA◀DIA.øùᑁḄr
B.ᾦûᑁḄr
C.üûᑁḄr
D.⊤☢Ḅr
E.⊤☢þÿḄ

E10.ᐵᑡ⚗A.ᵫᔣᕜ!B.᜜ᕜᔣ᷊$ᕜ%!C.ᵫ&'ᔣ'D.ᵫ()ᔣ*()E.+,ᢥ(./0
D11.12ஹ☢ஹ5▢Ḅ7ᵨA.2.5%Ớ:B.70%⏀D.0.75%?@ABỚE.2%ឋDEFGHI
A12.JKᜧMNO⚗┯QA.Rᕜ%STM(U+VᓫB.ᑗ$ᕜ%YM4ᙽ+N[\ᐜM^_ὅḄJ☢ᡈMbJcC.+Md᝞fghijᵫᔣ᜜kD.lmno\O+NpqᒹsE.ᜧᓫḄᜮoYuvw⏥yz){qoYᚖ}v~30cm
E13.Ḅ+^_⚗┯QA.ᝅẚYᓽᣚB.+NYḄ+ᓫC.ᑮ+NᡈO᜜ḄᘤᱥhᵨD.7ᙠᕒḄd⌴ᘤ{ᵨE.¡¢7ᵨᵯᡧO■¦ὅ§¨ᐭR
14ª16⚪ᕒ¬®¯°±ஹMᓫd²ᡚ®+⊟{ᝅ&hᜓ
D14.ὅ¶·¸¹ᨵᙢ'¼YA.ᣚ*•ᝅB.¾¿²+⊟ஹᡚᝅC.ᵨ70%⏀<ὅ¶·⊟⋀D.²*(+⋀ᝅ

2E.¾¿ᣚ+ᓫD15.ᐵÁᑗ$¶YÂÃA.ᵨỚÄÅ$(ÆB.Å$ᑁᵨ70%⏀?஺2.ABCᵨḄᓄEᑺᨵHI'(ABᵨḄᓄEᑺᨵ(জ2%ឋLMNOPQRᵨSᑐᱏஹVᑐஹW┐ḄYঝ10%ᵬNPQR〉ᵨS]^_`᪛ᾦcஹᨵdeᴻḄYঞ70%⏀iRᵨ⌶kLMNOPQlmYট1:1000opqrstu-PQRvwᵨS+ḄᢝᱥyḄz{Yঠ1:1000}+~PQRᢙᵨstu-஺⌱
⚪ᫀDECDBDEADEDAEDDEDDACDBC

3᜜3ḄQᜫஹ1.`ឋῃO(`ឋῃOᢣOᡂḄᜫR⊈ᙠR᜜Q¡¢£¤ᢝ஺`ῃO¥SᓄQḄញឋ§ᜫᡈQ§ᜫS¨:6l©ª◣ᑁ஺2.®ῃO(ឋῃOᢣOஹm¯°ᜫR±°O²S°R⊈SR³S135mmol/Lo3.´ឋῃO(´ឋῃOᢣOm¯°ᜫR°²S°OR⊈´S஺4.O(OᢣOḄ᤬ᐭ·¸¹᣸»·ROᑖᙠᑁ½ᶇR¿À⊈Q¡¢ÁÂÃÄÅ·ÆÇ஺5.´È⊈É(´È⊈Éᢣ⊈ᜧS5.5mmol/L,¥S᤬3¹ÇஹË᣸ÈÌÍÎ⌨ᡈᑁÈ᜜Ð஺6.È⊈É(È⊈Éᢣ⊈ÈS3.5mmol/L,¥S᤬3ÑÒஹË᜜ᜫÓÈkËÔ᣸»¹Ç`஺7.ÕÖឋ⏚(ÕÖឋ⏚$Ø⏚ឋᱥÙḄÚÛᡈÜݹÇRᡈHC03ᜫ¹Çᡠ⌼ᡂ஺8.ÕÖឋß(ÕÖឋß$ᵫᑁH+ᜫᡈHCO3Æáᡠ_â஺9.ãᔾឋ⏚(ãᔾឋ⏚ᢣå{æçÓᣚçÌÍÎéRÑÍᐙᑖ᣸»ᑁÝᡂḄCO?_â´ë⏚⊈É஺10.ãᔾឋß(ãᔾឋßᢣå{æç¹#RᑁÝᡂḄCO2᣸»¹ÇRìâPaCChÂRpHCᓣRâë⏚⊈É஺Mஹîï⚪1.ðñᑁQ§ᜫòᑮôᔛR3ö»÷⊈Å·ÑÒḄøùR᝞»÷ûü⊤÷Rþÿ
ᜫ6%$7%஺2.⊈142mmol/Lஹ⊈3.5$5.5mmol/L,⊈┛2.25$2.75mmol/L஺3.HCO/H2cozᢝ⏚⊝ᨬ⌕Ḅ!"#$஺4.⊡&'(1000ml
)*+40mmol/L,,
-.ᑴᙠ20moi/H12஺⊡&34⌕40ml/h஺5.5&6ᵯ8ᦋ:;

4D2.60kgᵱឋ⊈4ᜧ¡¢A.2000mlB.2500mlC.3000mlD.4200mlE.5200mlD3.£ឋL&
:ᓄ¡¢A.¤¥ᑁ᜜
ḄB.ᑁ
g℉'᜜
C.᜜
'ᑁ
D.ᑁ
g℉'᜜
¨©E.ᑁ
g℉'¤¥ᑁ
©C4.5ឋL⊡
wᑣ¡¢A.⊡ᐙ£¬LB.⊡ᐙ5¬LK⊈4C.⊡ᐙ5%¬LK⊈4D.⊡ᐙ⊈E.⊡ᐙ5%®⏚¯A5.°ឋL&±⊡¢A.⊝¬²
B.°¬LC.5%®⏚¯D.ᐰ⊈E.5ᑖ³´µ¶·C6.5⊈bv⌕¸P¢A.ᜧ4,⊈B.ᜧ☢º»C.¼½᷊D.¿ÀE.ᜧ4FÁA7.5⊈¢A.MNB.⏚MNC.£ឋῃLD.°ឋῃLE.5ឋῃLD8.5⊈b&ḄÄÅ'2ᑡÇ⚗É¢A.ᐶËÌÍB.ῳÏ'½≯ÍÑÒC.ΎÔÕÖ×D.ECGØT=ᦋ:'U=FGE.6ÙÂÚᯠÜÝÞ—à

5A.TPNB.᫱C.ញឋ▋9D.ἭE.ឋῳE16.!"⊈$%&'⊡ᐙA.*+B.,⊝.C.:0ℍ⃔3D./0ℍ⃔3E.5%4⏚56
C17.;ᶭ=ᔾឋ?@⌕'A.BC.⏚B.⊡ᐙ⊈DC.E᩽ᜐᳮID.B/0Jᓄ6LE.B5%4⏚56A18.⊡MNOᐰQRDA.10%JᓄM15ml+5%GS500mlB.10%JᓄM20ml+10%GS500mlC.10%JᓄM30ml+5%GS1000mlD.10%JᓄM30ml+10%GS500mlE.10%JᓄM15ml+5%GS250mlB19.?N'ᐜὃ⇋⊡ᐙA.6.B.M.C.V⏚╅D.Jᓄ┛E.YZ[\]B20.:0ឋ^_N`aᑡc⚗┯fḄA.ghijB.klᑁ^_nkl᜜pC.^_:q^6D.⊈r6ᜧq155mmol/LE.tpD21.⏚?,⊝u⁚@⌕w☠A.=ᔾyzB.{tyzC.⊈L|}yzD.YZ~ὅᐳᵨE.ᢙᑭtE22./0ឋ^_qA._ᑖᜫB.⊡ᐙ/0._C._\D.ᓄ⍝L+᠒ឋᜫE.ᓄLញឋᜫC23.ឋ⏚N`⊈M⊤"A.B.MC.:MD.MᐵE.YZ[┯B24.Mឋ?N`MᓄA.B.M¡klᑁ᜜¢C.M&kl᜜¢ᐭklᑁD.MᐵE.YZ[\]C25.¤ᾭ⊈¦§ᓄ4ᑖ¨
PCO,2A.20-25B.30C.35-45D.45-55E.60B26.©ª┛⊈«Ḅ¬'◀᜜A.ញឋ®«¯°B.±²¢³C.ᵬµ¶°·¸aD.¹E.ញឋº⊦A27.¼©ª▢¾¿À◣ÂÃḄA.ÄÅឋÆÇB.HCC>3—ÉᜫC.=ᔾឋ⏚D.º·\ᐰE.:Jឋ?B28.Ya«µc⚗Êᔠឋ?

6A.tᕈ?ឋB.=ᔾÍÎC.=ᔾÏÎD.=ᔾ᠒ÎE.M¢ᐭklᑁD29.ឋ⏚¼Ð⊈Mᓣ:`ᙠÓ⏚ÔÕÖ⌕⊡MA.M×klᑁ¢!Øᑖᵫt᣸!B.Û▭Z⊈MÝÂÃ`ᦑ'⊡MC.⏚ÓÔ`H'ßᣚáâ`ãtá\ä᣸MD.K+×kl᜜¢ᐭklᑁ`K+¡t᣸!`kl᜜MåæçE.YZ[\]D30.èä⏚Ḅ@⌕wéA.=ᔾÏ᠒`¦§ᓄ4êᔠjᓣ:B.=ᔾëì`¦§ᓄ4êᔠjᓣ:C.í᳛ï᠒`ðñ\rD.=ᔾÍÎ`ᨵ«`¦§ᓄ4êᔠj20mmoI/LE.=ᔾëì`¦§ᓄ4êᔠjaóA31.ῳᨵ=ᔾÍÎ`¦§ᓄ4êᔠj15mmoI/L,¼¸A.®Rឋ⏚B.ôRឋ?C.ôRឋ⏚D.=ᔾឋ?E.Rឋ?D32.᫱N`aᑡc⚗ᨬ\¼¸!"A.⊈H+aóB.⊈CöaóC.⊈Fee2,aóD.⊈HCChøaóE.⊈Na*aóE33.ù'ᵨúᦔᑭtᑺ¼ÐA.=ᔾឋ⏚B.=ᔾឋ?C.ឋ⏚D.ឋ?E.Jឋ?Bý⚪A.2.25ÿ2.75mmol/LB.3.5~5.5mmol/LC.142mmol/LD.0.7~1.lOmmol/LE.0.961.62mmol/L
34.⊈

35.⊈┛

36.⊈

37.⊈╅

38.⊈

39~43⚪A.ឋB.ឋC.ឋD.E.⊈
39.□ᣚ᪛ᾦ"ᵨᩭ%ᶭ

40.ញឋ()*ᐰ,-ᜧ/0123456

41.78ᕒᒓ;78ᜧ/5<=>?⊡ᐙ23"B

42.CDEFGH"B

43.ញឋIJឋῳLM4"NB

44~46⚪

7A.QTODPCB.UQ56C.RSTUD.VWXᤊE.Z[ឋ᧿᎔
44.⊈"B

45.┛⊈?,-"56

46.?,-ᨵ

4749⚪A.HCO,I,pHI,PaCO_`B.HCOt,PHt,PaCO_`232C.HCO3-_`aPHI,PaCOfD.HCO_`aPHI,PaCOI232E.HCO3-I,PHt,PaCOI2
47.bcឋ⏚?

48.bcឋe?

49.fᔾឋe?

5052⚪A.5%SBB.0.2molHClC.ᦋᗐjkD.lᓄE.ᢙop
50.%ᶭqre?a"sᵨ

51.%ᶭfᔾឋ⏚✌⌱

52.%ᶭe?s1v⊡ᐙ
Xw⚪
53.ᨵᐵbcឋ⏚ayz{_|Ḅ
A.~ᓄᔠ"5%SBB.⏚,-"⊤6fᔾC.ᓄᔠD,fᔾ⚣᳛E.`V4EFGHᓄ2ᜫ,-
54.(⏚e⊝⁚
A.Na\H'ᣚB.HCC3rᔾᦈC.oNHH+ᔠᡂNH,D.⏚ᓄ23E.¡ᢙᑭ£pᑖ¥
55.¦§᜜2©⌕▢{
A.C1B.HCOC.¬®D.HPO2-E.ℍ⃔±34
56.²332>³H⁚Ḅ²ᑴᨵ
A.µᾯᚖ3ᢙᑭ£p¸¹B.(pº»¼¸¹C.½Ḅfᔾ¾ᵨD.(᣸5»᝱⏚E.⊈2Á¸¹
57.bcឋ⏚ᨵÃ⊤6
A.HCCh—IB.PHIC.PaCOI2D.⊈K+jE.⊈
58.⊈"ᨵᑡ⊤6
A.ÅÆB.ΎÈÉG⌨ᡈᜫC.ECGUQD.TQÌE.PRODÍÎ

8
59.ÏÐbcឋ⏚ÑÒᨵ
A.FÓB.ÔÕឋÖ×C.()Ø*ᐰD.ᢝÚE2ᜫE.ᜧ/01Û⊈
60.fᔾឋ⏚?ᨵÃ⊤6
A.PHIB.PaCOtC.HCO3_`2D.fᔾÜÝE.Þß
61.⊈Ḅ%ᶭàá{
A.1ÉSBB.sᵨℍ⃔±âãäpC.sᵨ□ᣚ᪛ᾦD.³᪆ᶭáE.1Éℍ⃔±⏚┛
62.ឋeᕈ⏚ឋÑÒ
A.(çaHCO3èᔾᦈéB.êëìí᣸H\KτéC.᣸5îïḄNaHCChD.(ìíGðHτâNH3᣸5E.⊈ñ┛Gðòஹôõ⚪1.ôöឋḄÑÒ>÷ø஺õúឋḄ©⌕,Òᨵúজüᐭᑖ*Wþঝᑖᜫ᝞ᜧஹᜧ☢஺ᐸ!"#$%2%&4%,'ᨵ᩽*+ஹ,-ஹ./0◍23#$%4%&6%4%ὅ6789:;<=>$%6%஺?ᐰឋBC,D%EFஹGHIJᦪஹ⊈GMNஹNHID%ᓣF⊈PᜧQ150mmol/L஺2.TU⊈ḄWXYZ⊤7ᨵ\]^_TU⊈ḄWXᨵজabcdef4ঝhᵨᔬklᑭ,ᑺopqឋ⏚'stuvwxU᣸4ঞ⊡|W}ab~U|$ᡈUef4টᕏᔢwxUᜫ4ঠUᔣᑁ஺YZ⊤7+ஹΎᡈᜫஹូᕏᔢஹῳ≯ᜫECGb7TTஹ᎔¡¢ST£0QT¤b¥aU7⊈UTQ3.5mmol/Lo3.FU⊈¦§¨X©ᶭ«¬ᨵ\]^_FU⊈Ḅ¦§WXᨵজcᐭ$ᑁU4ঝo᣸U®¯⌨4ঞHIᑁU஺©ᶭ«¬4জ±ᵨ²ᑗ´Uµᱥᡈ·|4ঝT⊈U¸6¹ᵨ☟»¼⏚½P¾»ℍ⃔ÁÂÃÄÅo®¯eᐰὅ6ᵨℍ⃔Á⏚┛ℍ⃔Á·|ÇÂÃÄÈÉÊK+ᐭHIᑁᡈhᵨ□ÌÍÎᣚ᪛ᾦÒÓÔÕ֬׬T⊈U6ᵨØ᪆ᶭ¬4ঞhᵨℍ⃔Á⏚┛ÅᢙÛᜫ¦஺4.ÜÝឋ⏚'sḄÞ⌕WXᨵ\]^_ÜÝឋ⏚'sÞ⌕WXᨵজàឋᱥáᜫ᝞ῳâஹ᷊4ঝ⏚ឋᱥá᝞äåÁ,W4ঞo®¯eᐰxH*e¯᣸ᡈHCCh²ᔾᦈ-஺5.èÕᵯêá⏚àᜫ⊝Ḅìíᜐᳮ¨ᑣ஺

9_ᵯêáñ⏚àᜫ⊝Ḅìíᜐᳮ¨ᑣ#(1)ᐙᑖóêWôõö$÷BCÈóê¨øWù$ú4(2)ûüýBCᒹÿ⊈ᓄ(K+,Na+,CI-,Ca2+,Mg2+,Pi),⊈ஹ⊈ஹஹ⊈ஹஹ⊈ᑖ᪆⌕⇵!"(3)#!$ᵯ&'(⏚*ᜫ⊝-."(4)ᑭᵨᔠᳮ34567ញᐜ:!;<ឮ>⊈?@ABCDABE6⏚FGᡈ*FGᜐᳮ6JK⊈஺⌱N⚪PᫀBDBCACADCDCDABEECABBDECBCBABDDADEBCADEEDBCACDEABEBCDABCDABCDABCABABCDEABCABCABCDEABCDEABR⊈SஹTU&V1.CRBCWXYZ[\200mlᐰ⊈FḄᐰ_YHCT70%`80%஺2.bR⊈bR⊈cᦈefgbh⊈ijᙠ◤⌕mnR஺opc⁚rs⊈tuR⊈vwxyfz{|◤}⊈.x~ᔠ஺ஹ⚪1.R⊈Ḅ〉wᨵᜧ?ᜫ⊈ஹ⊈ᡈ⊈Jஹ6Jx⊈஺2.ញឋᜫ⊈?⊈?Ḅ20%ᡈ1000mlHCT஺3.HCT30%`35%CD¡,£◀Rᐭᨔi(§i᜜©wRᐭCRBC஺4.ªᑣ¬ᜫ⊈?ᙠ30%,|wRᐰ⊈."®¯30%,Rᐰ⊈°CRBCᔜ±@ᨔix§i⊡ᐙ⊈?஺5.■µRᐭḄ⊈iᙠmg¶·¸¹º»_¼½ᜫ¾cᜮ⚠_x¬ÁḄº»,w⌱ᵨÁ☟ᾭR⊈"¾ÁஹÄῚxῳ_Ḅº»,w⌱ᵨ¬Áᡈ⚠_Ḅ☟ᾭR⊈஺6.R⊈ÇÈᡂgSÊËᑴᙠ5`10ml/ᑖÍ"ὁÏᡈ¶ÐÑὅ1ml/ᑖÍ"ÓÔ10Õ/ᑖÍ×Ø஺SÙR⊈ÚwËᑴᙠ4Óᑁ஺7.R⊈ᨬÝÞßJàScßávwᨬE6ÞßJcâ⊈vw஺8.bR⊈ÝãäcnᦈåbR⊈ஹ⚜çåbR⊈xèVåbR⊈஺9.YᑴᑺᨵWXYஹêëYஹìíYxîḄY஺10.⊈ïᡂᑖᨵðñìí⊈ïஹìí⊈ïxòóô஺11.⊈ïᡂᑖᨵᑴᑺஹõöᳫxWX⊈øù஺12.ᵨḄ⊈ïúᵨûᨵØüýஹþÿ
⊈⊈஺ஹ⌱⚪A⚪()1.ᜫ⊈ᓽ!"#$%&A.'⊈(Ḅ5%B.'⊈(Ḅ10%C.'⊈Ḅ15%D.'⊈(Ḅ20%E.'⊈Ḅ30%

10()2.Ꮙ-ᡂᜫ⊈/01234ᓣ61789:;<ᔣ⊈>?Ḅ@ABCᑮEA.500mlB.800mlC.1000mlD.1200mlE.1500ml()3.GᑣIᜫ⊈01'⊈(Ḅ23J◤Lᐰ⊈஺A.5%B.10%C.20%D.30%E.40%()4.ᐵOL⊈PQR⚗/TUA.ᡂVWᑴᙠ5Z10ml/ᑖ\B.ὁ^ᡈ`abcdὅ1m/ᑖ\C.fg10h/ᑖ\D.ញឋᜧ!⊈ᵨnoL⊈ᘤqqrL⊈E.stញuvL⊈;/016f()5.⊈

11E.⊈.ᐵḄញឋ234)11.567⚗!⊈9%⊈&'ᱯ;ឋ⊤=A.>?@*AᓣCB.᜜ᕜ⊈F=G@*AC.HᕈJK⁐ஹHMNO□ឋD.Hᕈ⏓R⁐◚⊈TU□ឋE.VWX@*AYZ[)12.ᐵ]%⊈&'ḄN^_57⚗`┯bḄA.bcABO⊈deᔠḄ⊈ghB.Rh⊈deᔠᡈAjdeᔠklghC.ᐭcᨵo◍Ḅ@*AD.qᑁsᙠIgAuvw5ᡈxFIgAᢙqE.z⊈ὅ|ᨵ}~ឋ⊈)13.24ᑁᐭ2000ml,4F⊈ᐸᨬlN^`A.⊈B.⊈^oC.DICD.⊈⊈⌚E.⊈⊈^⊈ᙳ)14.⊈gḄ%⊈&'5ᑡ7⚗ᜐᳮe¡A.¢ᓽ¤¥⊈B.☟ᾭ¨©ª«¬C.®⊈¯᡽±D.☟ᾭ²¨5%SB250mlE.⊈³᪆)15.µ71¶᝕ឋ¸ᜧºᑗ◀½¾⊈$¿Àeᐰᐭ"#@*AᑴᑺᨬាÅA.ÆÇ@*AB.CRBCC.ÈÉ@*AD.Êsᐰ⊈E.ËÌ*AḄ@*A)16.◤ÎÏ⊈ᨵ&'Ḅ⊈5ᑡ7#ᡂᑖᨬាÅA.CRBCB.ÒÓᐰC.ÈÉ@*AD.ÆÇ@*AE.FFP)17.5ᑡ7⚗e`ᡂᑖ⊈A.ᐭÔÕÖÌNB.ᐭÌÖÌC.ᐭᳫÖÌD.}q⊈E.ᐭ⊈⏘NÙᔠᱥ)18.DHTRegh_57#ÛÜA.SIRSB.ARDSC.MODSD.TRALE.MOF)19.⊈9*+,-&'ᨬÝÞßàáâ`A.ã⊈äᑁᒕ⊈æ*+çèB.ã⊈æ*+çèC.ã⊈æÌ*AéᦪD.ã⊈äᑁᒕ⊈ë¿ìᱏ-⁐xîE.ã⊈ë¿ìᱏ-⁐xî)20.5ᑡ7#ïð⊈ñᐵA.òdóôB.AIDSC.⇊ïD.ödóôE.÷)21.ᐵ]}q⊈5ᑡ7#øâeùúA.l⊈&'Ḅûü

12B.ý}q⊈ᐜÿḄᐜḄC.ẚᡈẚ⊈ᵨ⊈D.⚜⊈1ᨴ⊈E.!ஹῳ$ឋ&'()4*+,ὅἭ/⊈
22023⚪23222.5366ᵱឋ8ᨵᓝ;ᢣ=>?@ABᨌDᯠFGHஹᜮ᧿ஹKᕏ⊈1M,OP2Mញᩭ▾@T☢⁐WXYZᾭ\120M/min,BP10.7/6.7kPa
80/50mmHgHCT28%3222.]^ᜫ⊈`abA.>300mlB.>500mlC.c200mlD.2700mlE.>1000ml3223.dᨬᔠ〉ᜐᳮbA.ᐭ⊈kl`ᑺB.ᐭᨔpC.CRBCqpD.rញE.sᵨᓣuvᱥB⚪
24026⚪23A.ᐰ⊈B.yz{|}C.⊈*~ᑴᑺD.XXE.{|}3224.M⊈Ḅ⊈@T◤⊈⌱ᵨ323225.ᜫ⊈ឋ@T⊈✌⌱32
226.IgAḄ@T⊈⌱ᵨ32
27030⚪2A.⊈0.502*ᑁFஹᡊஹK{B.ᐭᓣᐰ⊈ᓽ¡¢£ᔾ¥¦☢⁐§ῳ¨ῳ©C.ᐭᓝªᓣ⊈FஹஹῪ¬⏚¨ஹ⊈{X®¯D.⊈Fᜮ°ᒓ¨£ᔾ¥¦²ᜧ`⊈ឋ´µ¶E.ᜧ`·¸⊈F¹☢º⊈»¼ᡈᐸ¾¿⊈À⊤F3227.Â⊈Ãs32328.)ÄÃs323229.ÅÂ⊈ឋÃs32330.ÆÇ(È₹32X⚪3231.ᑡËÌÍÎÏᦈ⊈32A.ẚ⊈B.Ñẚ⊈C.Ò=ẚ⊈D.ῳῚᜧ⊈Ôẚ⊈E.Õ᜜×ẚ⊈
32.ᑡØÙb⊈Ἥ/Ú32A.ÛÜB.Õ᜜×ẚ⊈C.ÝÞẚ⊈D.Ñஹßàá»ᐰE.ῳῚ$ឋ&'()4*3233.⚜■⊈)ÄÃsᒹä32

13A.åᨵ)ÄA⊈ὅ⊈æçèéêëB.ᨵ)ÄAὅ»ìí⊈C.åᨵ)ÄA⊈ὅ⊈☟ᾭïðñòóD.í⊈4*sἭôE.õIgAᢙ@T᝞øù{|}sCRBC()34.úᶭ⊈Â⊈Ãsᒹä+ØÙüý(ABCD)A.sᵨᨔஹÿ
⊈᡽B.5%SBᓄC.D.ᵨᵞ☄⏣
ᑭᑺE.⊡ᐙ10%ᓄ()35.!"⊈ὅ$"⊈%᧕'(')*+Ḅ-./()A.ᑁ3ᨵ567ᢙB.ᑁ3ᨵ967ᢙC.ᑁ3ᨵ⊈:;ᢙD.ᑁ3ᨵ567ᢙ-E.ᑁ3ᨵ967ᢙ-<ஹ>?⚪1."⊈ABḄC'DᨵEFG"⊈ḄAB*+ᨵHজ')*+JঝLM*+JঞO⊈*+Jট6QRS*+JঠUVWX₹Jড"⊈[ᐵḄញឋ_`aJঢ"⊈[ᐵឋcdᱥᢙfghJণjhklJতnoᢓᑴJথstஹuvஹᨚ%ឋs⊈┛ஹy⊈ஹz⊈{A|ᜧ~"⊈Ḅᔣ஺2."⊈')*+Ḅ-.ᨵEFG᪵ᜐᳮ')*+G"⊈')*+Ḅ-.Hজno*+Jঝ)-Jঞ6QRSO⊈஺')*+ḄᜐᳮHজ✌ᐜᑖ᪆-.JঝDὅ᠒"⊈$Dὅ"⊈JঞᨨJটᓛ᪍
ᑁ¡{¢£25mgᡈ¥¦§50mg஺3.O⊈*+Ḅ¨ᶭᨵEFGO⊈*+Ḅ¨ᶭHজᢙª«$+ᵨᨔஹ
⊈®|Jঝ¯°±$5%SB250ml☟ᾭ$⊈~⊡´%$ᵨᵞ☄⏣J᝞D¶ὅ$·⊈¸᪆¨ᶭJঞDIC¹º%$»¨ᶭJট⊈¼ᣚ¨ᶭ஺⌱¿⚪?ᫀHBADEBABEAADDDCBDDDDDEBECBEBCBADADEACDEABCDABCDACª«ÁஹÂÃÄÅ1.ª«Hª«/ÆᨵᦔUV⊈~ÈஹÉÊËÌ´$67ÍÎÏб!`ḄhᳮLÑ$Ò/ÁÓÔÓh.ḄÕᔠ×஺2.CVPHCVPᓽuÙ☟ᾭÚ$Í⊤ÜÙÝᡈὅÞῚàῚ☟ᾭᑁÚá$*᧜ᐰä⊈~åÜÙ±æçḄᐵè஺éAêë0.49ì0.98kPa(5~10cmHO)»23.Ù᣸¹~HÙ᣸¹~(CO)/Ù᳛ïð᣸¹~Ḅñò$óSwan-Ginsôõ+ᵨ)öÅ÷ø¹$ᡂúéAêë4ì6L/ᑖû஺4.ÙüᢣᦪHÙüᢣᦪ(CDᢣᓫ
⊤☢Ḅ᣸2.5~3.5L/(min-m2)»5.ᨨᨨḄ⊈᜜ᕜ⊈᡽"ஹ$%&COᡈ(ᨵ⊈ᑖ+,ᑭ☟ᾭ0123(456789:;<=ᡂ?@஺BCD

14FGᨨHI஺6.JJᢣ᜜ᕜ⊈ᦈMNOPQRᜧT5⊈UV⊈W;COXY஺BCZJ஺7.ᐰ\]^_`aᔠc(SIRS)ᐰ\]^_`aᔠc⊤eজ
Gᜧg38࠷ᡈig36࠷jঝ᳛ᜧg90m/minjঞoᔾញrᜧg20m/minᡈstuvPaCO?ig4.3kPajটx56yᦪᜧg12X109/Lᡈig4X109/L,ᡈ{ᡂ|x56ᜧg10%஺}ஹ~⚪1.uᦈMig4kPa(30mmHg),ᾭig2.7kPa(20mmHg)ᙠḄ⊤e஺ig25ml/h,D(4ὅ⊤ᙠ⊈ᦈM;⊈?@j⊈YD&ὅᨵញឋ⊦<஺ᢝᙠ30ml/h,ᑣ஺2.CVPig0.49kPaᑣ⊤⊈W?@jg1.47kPaᑣ

15E.ᢓᑴ"#$%Ḅ&ᳮᦋ)*+⊈,-./ᜧ)4.23"Ḅ⊈)ᓄA.ᦈᾭ)B.ᦈᙠ679ᡈ;ᓣ=஺ᾭ)C.—@ᾭ)ᜧD.—@ᙠ679ᡈᓣ=ᾭ)E.ᦈA—@ᙳ)5.ᑡE⚗Gᔠ23"Ḅ⊤JA.⊈12.0/9.3kPa(90/70mmHg)B.KC.L᳛MNᾭOD.⊈PE.QᔾSN)6.ᐵUᢣ᪗ḄXYᕸ⚗6[A.\]᝱_᧜ᾯbcdB.efghஹ⁐k_᧜efbcdC.ᦈU12.OkPa(90mmHg),ᾭU2.7kPa(20mmHg)Ḅ⊤JD.ᢣᦪU0.5mnopqE.rKsᢝᙠ30ml/huvᑣxy6)7.z{|}~/bᦋ)hḄᨬ7ᵨA.
ᾭ⊈~ᑖ᪆B.☟ᾭ⊈⛳AhYC.|
ᾭᔠ☟ᾭ⊈~ᑖ᪆D.
ᾭ⊈⛳AhE.|☟ᾭ⊈~ᑖ᪆)8._᧜bᨬᨵḄYᢣ᪗A.☟ᾭ⊈YB.
ᾭ⊈~ᑖ᪆C.
ᾭ⊈⏚YD.ᓄᔠE.⊈+-(+.))9.ᑡE⚗¡_᧜&¢Ḅ+£cdA.⊈+-(+.)B.KqC.¤L☟ᾭD.
ᾭ⊈⏚/¥¦⏚E.|*+⊈,ᬪ)10.7ᵨ¨ᑡᱯªXYᑡE⚗ᨵ«U¬®¯°Ḅ)ᓄ±²A.¤L☟ᾭB.|*+⊈,ᬪC.
ᾭ⊈~ᑖ᪆D.
ᾭ⊈⏚YE.L᣸´ALµᢣᦪ)11.ᑡE⚗¶¤L☟ᾭḄ·¸ᨬA.⊈-B.☟ᾭ⊈,@C.|
ᾭᬪD.☟ᾭ¹L⊈E.ºL»᣸⊈¼)12.ᑡE⚗ᐵU¤L☟ᾭḄ½¾6[ḄA.¤L☟ᾭḄ670.49~0.98kPa(5~10cmHO)2B.¤L☟ᾭḄ)ᓄ¿
ᾭ)ᓄÀÁC.¤L☟ᾭU0.49kPa(5cmHO)⊤n⊈-Â2D.¤L☟ᾭ=U1.47kPa(15cmHO)mnᨵ|$%Ã/M2E.¤L☟ᾭÄ⊈-ஹ☟ᾭ⊈,@ÅÆÇḄ·¸)13.ᐵU|*+⊈,ᬪᑡE⚗┯ÉḄA.|*+⊈,ᬪḄ67o0.8~2.OkPa(6Ê15mmHg)B.|*+⊈,ᬪ¡_᧜|☟ᾭஹËLÌ®ËL»

16C.|*+⊈,ᬪU67_Í⊈-ÂD.|*+⊈,ᬪᓣ=7ÎU|$%Ã/=E,|*+⊈,ᬪᓣ=ϤL☟ᾭ67ÍMNÐÑÒh)14.ḄÓᶭÕᑣÍ◀᜜A.ØÙÚ◀Ḅ&ÆB.ØNឮ¯ᨵᦔ⊈-C.ᦋᗐLÞ¼D.y6#$%ßàE.®Íᵨ⊈,ᦈᑺ)15.ÓᶭḄ✌⌕äåA.Ú◀&ÆB.⊡ᐙ⊈-C.Íᵨ⊈,ᓣèD.y6⏚¤éE.Íᵨ⊈,᡽@ᑺ)16.Óᶭëìᑁµ⊈Ñbî᝱ᨬïᓫᨵᦔḄA.ñòḄpqhB.
ᾭ⊈⏚YC.⊈Ḅ=®ᾭOḄᜧD.KóE.ᾭôḄN᠒®ö÷h)17.&¢øùúûfüᨬoᔠᳮA.ᜮ15°,Â=15°B.ÿᓷ
C.ᚖ10°15°D.ᓷ
E.ᜮ20°30°,15°20°)18.᡽ஹ⊈ឋᱥ!ᶭ#$⊈%&ᢝ()*ᳮ,$-./ᙠ12345A.⊈67B.⊈ᦈ:C.;.)ᐰD.⏚>?E.⊈@)19.BCDEḄ⏚>?$ᐵHᙠIA.JKᵨᜧ6BC⏚>?ḄᱥB.ᦋᗐPQRSC.TUVD.ᑭY᣸⏚E,W⊈%)20.K᪷\1]^_⚗ᩭᔠᳮ⌱d⊈ឋᱥA.⊈%ḄB.᳛Ḅf᠒C.hij▤lD.ḄmnE.Y6)21.Kᵨ⊈᡽oᑺqKSrA.s⊈%B.tuY6C.ᑴD.⊡w⊈6E.x᦮z
)22.Kᵨ⊈᡽oᑺḄ{Ḅ)ᒹ}ᑡ^⚗A.u◀⊈B.UC.PQR6D.ᐵᾭE.⊈6)23.1^345ᨬ〉ᔠKᵨ7A.᣸6B.᣸6᜜ᕜC.᣸6D.᣸6᜜ᕜE.᜜ᕜ᣸6C¡)24.JKᵨ⊈ឋᱥḄ¢⌕{Ḅ¤A.W¥q¦₹B.¥#¦₹C.¨ᦈ:D.WPQḄ⊈R6

17E.©PQª«)25.¬DE®¯°ᓄ⍝³⊈ᶧᨵ¶ᦣឋ⊈ᑁ¹⊈J$)º»ᵨᑡ^3ᱥA.¼ᵬ¾⏚B.¿ÀC.ÁᗌÃÄ(ÆÇ)D.ÈÉᓛ᪍E.Ì⊈ᑺ)26.³ÍÎᦣឋ⊈ᑁ¹⊈ÏÐJ$KÑ1]^⚗!ᶭA.ÒÓÔÕB.¿ÀC.&ÇÀKD.ÖÀE.×Ø(Ì⊈Ù))27.®ÚhÛ⏣ᵨIÝÞឋᡈàáJ$ᑡ^⚗âᵨ¤┯äḄA.ᑭᵨᐸæçèᶇâᵨ»⊈6B.êëìíᑁî⏘z$■ÌᐸẚòC.óôõöÇ$÷⏚>?D.¨ᦈ:$᣸⊈6E.øaùzᐶûâᵨ$»⊈᡽o$ᦋᗐ)28.>Tᜫ⊈ឋýþᜫ⊈6ÿA.<500mlB.500800mlC.800~1000mlD.8001600mlE.ᜧ2000ml)29.ᐵᜫ⊈ឋᑡ⚗┯ḄA.Ḅ᪷⚪B.ᨵ!"ឋ⏚$%C.!&'⊈(ᶍ*+,D.$-☟ᾭ(00.49kPa(5cmHO)2E.1:345Ḅ6ᓄ8⊈(9)30.ᜫ⊈ឋ:;ᙠ=>⊈?␺ABC⊈'D⊡ᐙᑡGHIJKLᔠ〉A.5%ℍ⃔QIB.R⏚᪍TIC.5%ℍ⃔QUVD.WᳮUVE.5%Y⏚Z[\I)31.⊡I]^_=`UV250ml,510ᑖbᑁd☟ᾭeᐭ஺᝞⊈(i6j$-☟ᾭ(ᓣ*0.30.49kPa(35cml0),ᑣnoA.:pqr◀B.⊈tuivC.-wxiᐰD.!"ឋ⏚$%E.*R⏚⊈z)32.᝞:;$-☟ᾭ(+,⊈(0jix{A-wxiᐰ|⊈tuiv}~ᑡ⚗ᜐᳮA.᠒IB.IC.-ᶭD.⊡I]^E.ᑭᱥ)33.ᙠᶭᜫ⊈ឋ$⊡ᐙ⊈tu1ᨬḄᨔJIA.5%ℍ⃔Q\IB.5%ℍ⃔QUVC.⊝U\ID.10%ℍ⃔Q\IE.5%Y⏚Z[\I)34.$ᜫ⊈ឋ⊡ᐙ⊈tuḄᨬᑣA.=u⊡IB.u⊡IC.=u⊡⊈D.u⊡I+〉u⊡⊈E.u⊡⊈

18()35.ῳ:;d᡽t⊈(10.7/8.OkPa(80/60mmHg),$-☟ᾭ(0.49kPa(5cmHO),u20mI/h,}ὃ⇋2A.ញឋ¡⊦£B.ញឋ¤ᔾ¦§¨ᔠ©C.0⊈tuឋD.ញឋ-ª⊦£E.®¯qÂᐰÃᑴ()36.*¬ª?ᨬ,A.®¯ឋB.°±ឋC.ÅÆឋD.ᜫ⊈ឋE.-²ឋ()37.ᨨ´H3Wᱥ®¯ᡠ¶·¸A.☩ᐲ▢ឋ¼B.☩ᐲ□ឋ¼C.:%D.ᜧ¾ᩚ¼E.ÀÁJ)38.Ç17Èᵱឋ஺ÊËÌÍᢝÏ*Ð3ᜩ஺JTÒÓ:⊈(10.0/8.OkPa(75/60mmHg),ÊËÔஹÌஹ(Öஹῳ×ØÙÚÛÌᜧÊÜᵬØᜐÛÞ஺:;ᨬxßàWA.ÊÜᵬØB.ÊËá%C.ᾱ%zD.®¯ឋE.0⊈tuឋ()39.Ç30È:;ãäåæ:pçἪàWéêëìíîïPaCO2ÛðL7kPa(52.5mmHg)ñò:;ᨬxóᙠôõö÷oA.-wxiᐰB.äøwxiᐰC.¡ùúD.û$%E.ᾯVÌ()40.Ç28Èᵱឋ¾ýþ¶ÿ
ஹᑗ◀ᨵ஺⚗⚗⌕ḄA.#$%᝱B.()*⁐ஹ*,C.⊈.ஹᾭ0ஹ12D.3ᵯE.ᾯᵯ6()41.8369᝕ឋ<⚠᜜?ᑗᒘAᜧC⊈DEFGHIᦗK᧜⊡ᐙ⊈O2ᡂQḄᨬSTᢣ᪗A.WXYZB.[ᾭ⊈\ᑖ.^ᓣC.⊈`abcd^ᓣD.12efE.gᔾ⚣᳛ஹᾭ᳛Y᠒(42l43⚪)ᢙpqᵨḄ⊈stឋuᱥwxᑺ2pzef3{ᦈ}~᡽⍝ᑁᘤ⊈sᜧᑺ2pᐹᨵaGᵨzef᜜ᕜ~஺()42.uᱥ()A.^B.C.D.ᴉE.^()43.ᢙp⌕ᐸ()A.᡽ᑁ⊈sḄGᵨB.ᦈ}᜜ᕜ⊈sḄGᵨC.¡3GᵨD.¡3Gᵨ᡽ᑁ⊈sGᵨE.¡3ஹ᡽ᑁ⊈s¢ᦈ}᜜ᕜ⊈sḄGᵨ(44l46⚪)8269£¤¥¦§¨©ªᓽ᎔ᙢᩭ▾p⊈.°ᑮ$²³´[µ☢⁐·bWᖃ¹º⚠☟ᾭ᝼½s¾§┝ÀÁÂ4ÃᨵxÄÅ0.5cm

19ÆWÇÈÉ⊈஺
44.p✌⌱ḄÌÍÎÏÐÑA.3ᵯ6B.©ÒXÁᐝᱏC.íî3[6D.©ῚÖ×E.3ᒹÖ×ÐÑ45.✌ᐜὃ⇋ḄÌÍÐÑA.~ឋ½©B.ᜫ⊈ឋC.$ïឋD.3ÝឋE.ÞAឋÐÑ46.ᨬᔠ〉ḄᜐᳮÐÑA.ãäå⊈B.æçC.ðᔠ©ñAWD.èញê©ëìE.ᔾ\
47~49⚪Ñ8289ᵱឋóÒᑐ×A2p£〈ᩭö▾஺÷øìù$²ú³ûü´ýWX*þ·bÿ
ᾭ110/min,ᦈ12.0/9.3kPa
90.0/70.0mmHg,⊤☟ᾭ◍
ᨵ⊈஺47.!"A.$"B.%"C.&"D.'()E.*+,-./⌮48.12ᜫ⊈45ᓰᐰ8⊈94Ḅ;A.<=20%B.20%>?C.20%@40%D.40%>?E.50%>?49.ᨬᔠᳮḄᜐᳮEA.FGᒹIJKLMB.NOP⊈QRᐰ⊈C.SᓽR⊈UD.VW☟XY⊝[\]^_`abcdeᜓE.g◤ijᔠ
50@52⚪l48m᝕ឋ
ῳqr+stuv3ᜩ
xy
?zῳqஹ|}qt~.஺⊈WBC3.5X10஻L,N85%,⏘஺50.ᢙᶭ2ᜩ.

⊈10.0/8.0kPa
75/60mmHg,4஺/ᔠᨵA.¡⊈94ឋB.¢£ឋC.¤¥ឋD.¦§ឋE.ឋ
51.-᣸◀+ªDICḄ/«¬;⚗®b
¯ᑡ±⚗®²³´Eµ¶·ḄA.⊈<¸2ᦪ¡=80X109/LB.⊈Uº»¼½¾=1.5g/LC.¿⊈⏘À^ÁÂÃ᯿ÅÆ3ÇÈzD.3PÉÊ□ឋE.¿⊈^ÁÌ52.BÍ®b+ÎÏÐÑ᡽
ÏÐѯӳÔ᫱Ö
×^◀ᢙ᜜
ÙÚÃÛܱ⚗ÝÞßàáA.JKâãᶭB.N⊈YàQäcd

20C.BÍåæ¯çèåéD.ញë᜜ìcdE.ßᣚᢙîᱥ
53~56⚪l28m᝕ឋ
2<^ðñòἪôõῳö
÷øᜮ᧿ஹ¦ûüý஺þÿ
☢⁐ஹῳᶰᦿῳῳᙳᨵ!"#,ῳ%&'(⊈6.0/0kPa
50/0mmHg,*᳛132,/min஺./53.01ᨬ'ញḄ5ᶭ789./A.:ᓽ<ᵨ>⊈?ᱥB.:ᓽ<ᵨᓣ?C.ញ〈DEFᒈῳH
D.IJ᡽ᐙ⊈MNOPDE>⊈E.QJRS⏚U./54.WX01ᜫ⊈NZᓰᐰ]⊈MNḄ.A.10%B.15%C.20%D.30%E.40%
55.^_`ab✌ᐜ⌕fḄ
9.A.ញ
⊈ghB.ῳBiC.jஹῳXkᱏD.jஹῳCTE.ῳmn./56.^RSopWXqrsḄt⊈⊡vwN^./A.2500mlB.3000mlC.4000mlD.4500mlE.5000mlxBy⚪
57{59⚪/A.opᢣᦪ0.5B.opᢣᦪᜧ2.0C.opᢣᦪ0.5D.opᢣᦪᜧL0-1.5E.opᢣᦪ0.5-157.⚗ᦪ⊤op./58.⚗ᦪᙠop./59.⚗ᦪ⊤op./.60-61⚪/A.opᶧB.opᢓᑴC.ᨵopD.opE.op60.28᝕ឋἪᐶ¢£¤¥¦*᳛100,/min,ᾭ¨©Nª«஺¬9./61.®ᜩrs°±¥>²³´µ¶ᔾ¸Qᾭ¹ºJ,ᦈ¨¼½12.0kPa
90mmHgx¾©«஺¬9./
62{64⚪/A.ᜫ⊈ឋopB.¿ឋopC.ÀÁឋopD.*ÂឋopE.Ãឋop62.70᝕ឋÄÅÆឋÇ᫱ÉÊË40࠷,Íᡊ⊈12.7/10.0kPa
95/75mmHg஺¬9./63.30ᵱឋÐᜧÑÒ⌲ÔÕÖ⊈10.7/8.0
80/60mmHg,©N15ml/h஺¬9./64.38᝕ឋÄῳ×Õ᷈ÙÚDE5ᶭEᑖÜÝᜧ᷈Ê1⊈Þᯠ¾¼½9.3/6.7kPa
70/50mmHg,ᾭ¹128,/min,☢⁐ូ*஺¬9./
65~67⚪/

21A.áâᢙopáâDEB.ᐜᢙopopýþDEC.ᐜᢙopäDED.ᐜÿᨚ
ញᜐᳮE.å⌕æ
rç65.èῚêᘤop1DE1ì⌱ä()66.ῳïðêᘤop1DE1ì⌱ä)67.ñòឋójop1DE1ì⌱ä()(68{72⚪)A.⊈MN¥õB.⊈C.*ö÷¥ᐰᡈ⊈MNùúûüD.⊈ᦈE.ញឋ⊦68.20ᵱឋ!ᜫ⊈ឋ#$%&'()⊈*+,⊡⊈./ᶭ123⊈4514.0/10.OkPa(105/75mmHg),67☟ᾭ40.4kPa(4cmHO):⊤<()2o69.48᝕ឋ?@ῳᢝCឋDEஹGHஹIJ3ᜩញLM▾஺PQRST⊈410.0/6.OkPa(75/45mmHg),ញឋUVWXY,[\ஹ]^_`7᳛120b/min,Ꮤd*ef?@ῳgh4Eij*kᜧmnLo5m⍝q`ஹq`ឋ#$஺rᢙtஹuv⊡ᐙ⊈⊈4xy510.5/2.OkPa(79/15mmHg),67☟ᾭ41.47kPa(15cmHO)o:⊤<()270.28ᵱឋz{|}4<~kᾭf110b/min,⊈412.6/8.8kPa(96/66mmHg),67☟ᾭ40.98kPa(lOcmH?஺)஺:⊤<()71.45ᵱឋ@ᓄ⍝ᜧ⊈1200ml,ᾭf124b/min,⊈410.7/8.OkPa(80/60mmHg),67☟ᾭ40.3kPa(ScmHiO).,:⊤<()X⚪()72.#$Ḅᱯ23ᢣ᪗ᒹ()A.ᾭ⊈⏚3B.67☟ᾭ4C.7+D.⊈ᬪ4E.⊈()73.q`ឋ#$Ḅᦗ/ᒹ()A.ᦋᗐB.U*q`ᮤḄ◀C.⌱¡ᔠ〉Ḅᢙ¤¥ᱥD.⃩¨©ᢝE.ª⌕
¬ஹḄ@®[¯°±()74.#$e²³´µ¶Ḅ·¸¹5()A.⊈B.ºₐ¼½ᑖ¿ÀÁC.ÂÃD.ᢙᑭ¶°±ÀÁE.ញឋ⊦ÅஹÆÇ⚪1.ÈÉÊ#$ᢣᦪÌᨵÈÉÎÏÐÑÌ#$ᢣᦪ5ᾭ᳛/ᾭ4(mmHg),ÓiÔÕᑨ#$Ḅᨵ×*Ø஺ᢣᦪ50.5ÙÚÛ×#$ᜧÜL0Ý1.5ÚÛᨵ#$ᜧÜ2.05#$2.Þßq`ឋ#$Ḅ/ᶭ⌕à஺q`ឋ#$/ᶭ⌕àTজ⊡ᐙ⊈âঝäᑴq`âঞçè⏚éᜫ⊝âট[¯°±/ᶭঠ⊈íឋ¥ᱥḄîᵨâডᐸò᝞⃩¨©ᢝ.ᒹôDICḄᜐᳮ.஺3.ᢙ#$6îᵨ⊈íឋ¥ᱥîÃÐõöÆ⚪Ì

22#$
⊈íឋ¥ᱥḄ⌱¡î÷ᔠø
Ḅù⌕Uú#$e²ù⌕Uúû⊈ü⊈ýþᨵᐵ
ᑣ☟ᾭ☟ᾭᨵᐵ஺ᵨ⊈᡽ᑺᔠ᡽ᶭ஺ᙠ᡽!"ᡂ$᝞&ᨵ'⌕)*〉,-ᵨ⊈ᦈ/ᑺ0ᑺ,123ᜧ$51637ᢕ9$5᡽஺4.<=>?ᵨ@ABC⏣ᐸF⌕GᵨᨵHIJ<=>?ᵨ@ABC⏣ᐸF⌕GᵨᨵKজMN஺OPᐶRGᵨ-⊈᡽ST᜜ᕜMWᦋᗐZ[ঝ]^_`ᑁb⏘P■eb⏘Pẚgঞijklᦈ/Wimk᣸⊈,টipqrPs6■et_`uvঠxpyz{-|⏚~ᓄℍ⃔y⏚஺5.NDIC,◀ᔠ>?ᨵ<=ஹ⊈ᔣ᜜pH⚗JNDICpḄ⚗Kজ⊈ᦪ80X109/Lঝu⊈⏘$5¡᯿£¤73¥¦§ঞ⊈¨©ª«tT1.5g/Lᡈᕈpឋ¯Sট3P°±□ឋঠ⊈³ᱏẚµ¶_`·¸2%஺¹ºὃ¼ᫀ¾⌱
⚪ᫀ1.C2.3.D4.B5.D6.7.8.9.D10.D11.C12.B13.E14.E15.B16.D17.E18.D19.B20.C21.D22.E23.B24.D25.E26.B27.A28.D29.E30.D31.C32.D33.C34.D35.C36.A37.B38.D39.B40.E41.D42.C43.D44.E45.D46.D47.B48.C49.D50.B51.E52.C53.D54.E55.E56.E57.B58.D59.A60.C61.B62.C63.B64.E65.B66.A67.D68.A69.C70.E71.B72.ABCD73.ABCDE74.ABCDÎᘤÐs6ÑÒÓᔠÔÕ°⚪×ஹØÙÚÛ1.MODSKÎᘤÐs6ÑÒÓᔠÔÜMODSᢣញឋß>¸àá$ᡈâãäåæçᡈèÎḄé⌕ᘤÐḄs6ÑÒᡈ⊦ë஺2.SIRSKᐰíîïÓᔠÔ
SIRSᙠð>ñÜ᝞òóஹôõᡈ<=öGᵨ¯î÷A_`ñÛøᡠúðḄ*p×ûåüᡂMODS஺3.ARDSKញឋýᔾÿ
ᔠARDSញឋឋḄញឋឋᔾ⊦⊤!"#ឋᔾ$%&'(ឋ)⊈+,ᱯ஺4.CAIS/01ឋᢙ3ឋ45
ᔠCAISᵫ7ᢙ3ឋ89:;<ᡠḄ>?@ABCDEF஺5.CRRT/GHឋIJ0KᶭCRRT⊈MNᓄᢈQRḄSTᑭᵨWXYZ⊈[☟ᾭᡈ_ᾭ`a⊈M〈X⊈Mcᘤe9fcg◀iᑖᡈk⊈MᡈJ0MlmnXlᑁ஺CRRTARFKᶭḄp⌕rstS஺6.⊈MNᓄ/⊈MNᓄARFKᶭḄp⌕wᡂyᑖ஺z"#ឋ{⊈+ஹ}~⊈+ஹi

23ஹ⊦ஹᾯWஹᒹ3ஹ0ឋ⏚R!+ᙳᨵᦔ஺⌕ᒹ⊈M᪆ஹGHឋIJ0Kᶭ&ῳ᪆T஺7.5ឋ/5ឋ7ஹஹ&ᐸ¡¢pḄᐰZឋW¤᝞¦᫱¨©ḄSTªஹᓝ¬ᢣ®¯W¤W¤9°>±¯ញឋ3+ஹ²³ᡈ⌕⊤,´ᓄ⍝±⊈&¶·஺8.ញឋI⊦/ញឋI⊦ARFᢣᵫᔜT¹?@ḄICDºᙠ¼½¾¿À½Á¿ᜩ`ᑁ±⊈R{0ÃᱥÅÆiᵯ&⏚ÈÉ⊝ᜫÌᐰZÍ+ST¢pḄ
ᔠW+஺¬ஹÎÏ⚪1.ᔜT3+8&ÑÒÓḄÔÕÖᒓØSIRSÍMODSḄ஺2.MODSḄ9°>ᨵÙTÚÛᓽÝÛ&ÞÛ஺3.ᙠ᜜àáWRâãஹ&ᜧrQSIRSÍ"Såæᡂ,MODSḄçèW஺4.■Kâã⚜■MODS᩽,p⌕Ḅìí஺5.ញឋI⊦Wᑖ,IîឋஹIïឋ&IឋÚ஺6.ញឋI⊦⌼ᡂ¨ñḄçè¹}~⊈+஺7.òçᡂóXôõ,1000ö2000mI/d,øù7400mI/dú,ùô,ù7100mI/dú,ûô஺8.üôýḄ⌕Í+)~⊈+&âã஺9.çᵨḄ⊈MNᓄᢈQᨵ⊈M᪆ஹGHឋIJ0Kᶭ&ῳ᪆T஺10.ញឋᔾþ
ᔠḄ⌕⊤,¢pᔾ$%&'(ឋ)⊈+ᵨSÿᔾ
஺11.ᶭᑣᢝᑁ᛻஺12.ឋᓄ⍝ᨬᐺ#Ḅ%&⊤()ᜧ+⊈-./஺0ஹ⌱3⚪A#⚪561.ᨵᐵMODS:;<ᑴ┯?ḄA.■ABCDEFḄGᵨB.■ABCDJKEFḄGᵨC.+(L⊈MNOPQᔠSD.PGS,,TXsᨵTUVWXE.
EᵫZ[\ஹ⊡^_ᓄ`Vabcᐭ⊈Cefghᢓᑴjk562.ញឋmᔾnoQᔠSḄᨬp+⊤()A.mᔾqr`ᔾ
st᠒B.:v`ᔾ
stwC.xᾭ⊈
ᑖ{|}`ᔾ
sᦋᗐD.xᾭ⊈
ᑖ{|}`ᜧ
ᦋᗐE.`ᑺᦔ53.ᨬDᐰḄA.ឋ⊦B.sឋ⊦C.ញឋឋ⊦D.ᑡqfE.⍝564.;s30`ᦗs⊈{ឮ¡`¢M£¤᣸¦`§¨

24¦100ml஺)©ᔲ)ញឋ⊦`G«¬A.®g☟ᾭ{°B.⊈³C.⊈VW´µ(·VW{¸)D.PSP±²E.´-º»{)5.¼ᑡ½⚗⊈¦»᪆ḄἭÁÂA.BUN30mmol/LB.⊈ÃÄ6.5mmol/LC.⊈ÃhÅ908Pmol/LD.⏚®bE.)6.;?ÇÈ#⊈s6ᜩ``ᨬᨵᦔḄᶭA.ÇPᙢËÌÍB.ÇPÔ⏚Ö×C.ÇPᵞ☄⏣D.ÇPᔬËÌ(Ï)E.⊈¦»᪆()7.ញឋmᔾ⊦ÐÑA.ញឋ}
⊈B.ញឋ}Ó
ᓄÔ⊈C.ញឋÒÓ
ᓄÔ⊈D.ញឋÒ
⊈E.ញឋ}┛⊈)8.⚜■ARDS:fḄÜÝᒹßA.àáB.ámᔾ⍝âᳮC.■éêD.ᢝ⊈亻{E.ᐰå᜜⃩è)9.30ë;`ìíîï`jðἪ:fs`òóôõ`¢°öPaCO2÷ø)7kPa(52.5mmHg)஺ùúû;ᨬCüᙠþÿ
A.ᐰB.ᐰC.D.E.ᾯ)10.ញឋ⊦ᑭᜩ⊡!"#A.$%&'(ᜩ᣸*!Ḅ1/2,2/3B.-&'•ᜩ᣸*Ḅ!C.ᜧ&'(ᜩ᣸*!Ḅ10D.ᜩ⊡!9.000,2500mlE.⊡)11.3ᑡ5⚗#"7ឋ8ᓄ⍝;<=>?@⊤BA.ᕏB.HI᪵ᜧKC.PQRῳTᒓVD.DEឋF⊈E.L⊈M!ឋNO)12.WXY⊦ZḄ!A.>100ml/LB.>500ml/LC.>800ml/LD.>1000ml/LE.>2000ml/LBY⚪(13,17⚪)A.\]⊈^B.L]⊈^C.bcឋ⏚D.L┛⊈^E.`a⊈^)13.QeᙠXghijkᾙmᤊḄ#()14.ញឋ⊦ZḄo⌕gQ^#()15.qr\]⊈^ឋḄ#()16.ញឋ⊦Z⌼ᡂuvḄ=>wx#()17.ញឋ⊦Z=>Ḅ#XY⚪

25()18.ijញឋ⊦ZḄzxᨵA.|}ឋNOB.⊈~"C.ⅤD.E.X⌼ᑺ()19.ARDSḄᔾᶭo⌕#A.L⊈^B.\Ḅ"ឋC.ᦋᗐᣚD.qᔾ⚣᳛E.R#()20.ARDS*BL⊈^Ḅwx#A.⍝ᐵ¢B.£C.ᑁᑖ¬qD.⍝Ḅᑖ¥ᱥ§¨E.ᔾk©ª()21.PEEPᶭARDSḄᑴ#A.qᔾ¯°B.\Ḅ"ឋC.±Xᑁᑖ¬D.qM!E.R#()22."7ឋ8ᓄ⍝;<=>?@⊤BᨵA.ᕏ⊈B.HI᪵ᜧKC.PQRῳTᒓVD.DEឋF⊈E.R#()23.ញឋ²³⊈´ᓄḄµḄ#A.¶ᢝ¸ஹᵯ»¼ஹ⏚½¼¾⊝B.À◀¸ᑁÂC.■ÄᡈᶭijD(ÆÇÈḄxÂD.DE⃩ÊËᢝᶭE.R#()24.⊈´ᓄḄ〉"ÍᨵA.⊈kÎ442(jmol/LB.ÂÏ30mmol/LC.⊈]6.5mmol/LD.E.R#()25.ញឋÐ⊦ZḄ?@⊤BᨵA.ÑÒB.ÓÔC.*⊈ÕᔣD.ᔾᨵ“ÐØ”E.3ÚÛஹÜÝ⚪1.Þßញឋ⊦ZXḄàáᶭ஺X#ᢣ!&400ml/24h,ä#᦮æzçḄo⌕▤é(êë7,14ᜩᨬíhî1æᨴR஺ញឋ⊦ZXᶭwᑣ#¶ᢝᑁñ᛻óô•õöë÷জ▲ᑴᑖᵯú¼ûঝ⚜■ᶭ\⊈]ûঞ⏚ûটᢝ⃩⃩ঠᑴড⊈ᓄ஺2.ញឋ⊦Ḅᨵញឋ⊦ᑖ"#ឋஹឋ%&ឋ'()জ#ឋᔜ,-./⊈01234546ᢝ789ᳫ;<᳛>./?@ABCD6ឋḄ᝞4FGᜐᳮJKLᡂNOPQRSញឋ⊦ঝឋᔜ,-./ḄNOញឋPQU⌕W"X⊈%YZU⌕⊤\]^"ញឋ9_Wឋ`aঞ&ឋᵫdef@_ᡈhif@_jᐰឋ᫱mᡠSD6ញᒓpq᫱mGr

26ᡈᾭ⊈〈⊈;ᘤ<;◀ᑖᡈO⊈ᡈfᐭᑁ஺{|y⊈3¡¢ឋ£¤¥¦§¨J◀ᑖ10©14L,ª«¬☟ᾭ⃩ḄN஺X|y◤¯iᾭ⍝%ᢝ~±ᵨᢙ³ᑺµ¶K+ஹCrஹBUN◀ᦔ¸¹º஺4.ញឋ»ᔾ½¾¿ᔠÁḄᶭ-ᑣᨵញឋ»ᔾ½¾¿ᔠÁḄᶭ-ᑣ᝞p)জ-KᶭÃÄ-KឋÅḄᑴ%ᶭÆᐸy¶ᐰḄᑴ%Ç⊈ÈḄÉ7ঝÊËÌᢝᶭÊËÌᢝᶭḄÍḄ±"ឮÏ%ÐÑÒÓᘤÔḄÕ%Õὑᓽ⊈Õᔠᐙᑖ%ÙÚÛfÜঞ»ᔾÌᢝᶭᵨ»ᔾÝ%ÕÞߢÈஹ¢2Ḅàáâ»ᔾãÉ7ÇÕ⊈ä%ᦋᗐçèᣚÞD6টç⊈_—ìᑺḄ±ᵨ±ᵨ⊈_—ìᑺqÇçᾭ2%☟ᾭíᩖᨵᑭïᦋᗐÇÕ⊈ä;ঠñᶭUìῳᓷñÞড⃩ÌᢝᶭঢõöO÷øḄ±ᵨ஺5.ALI%ARDSḄùú᪗üywxALI
ញឋçPýḄùú᪗ü")জញឋ/ঝÕᔠᢣᦪW40kPa
300mmHg
PaCO2ᔲᡈᔲᵨPEEPঞXᱏឋট⊈ᬪ
PCWPW2.4kPa
18mmHg,ᡈឋ!"Ḅ$%&'ঠ)ᙠ+,ARDSḄᓻ◅/0஺ARDSᡂ34ᔾ678ᔠ:;Ḅ<=᪗?@ᙠALIḄ<=AẠCDE⌕PaO/FiO^2226.7kPa
200mmHg
PaCO?ᔲᡈᔲᵨPEEPᓽH<=ARDS,I᧜KLḄMNOPQR஺⌱T⚪Vᫀ@1.D2.D3.B4.E5.E6.E7.A8.E9.B10.A11.C12.C13.D14.B15.C16.A17.E18.ABCD19.ABC20.ABC21.BCD22.ABD23.ABCDE24.ABCDE25.ABCDEX⏥Z[⚪\ஹ^_`a1.ᐰeX⏥@X⏥fg4ᔾ⍝ᔾᐭᡈ☟ᾭஹlᑁnopᐭ3qᑁDrstuvgwxḄᢓᑴD$%⊤|}v~ᜫDᐰeᜫD⍡DIoᢓᑴ\MNḄlᾙD}ᐰeX⏥஺2.X⏥@ᵨX⏥fᨚ=ᕜvgḄDvgḄ¡¢rsX⏥£ᵨD}X⏥஺¤ஹ¥¦⚪1.§¨©ª◣¬®¯X⏥ᡈῪX஺2.ῪX±ᜮ³⌕´ឋᜮ஺3.$%X⏥ᑖ}ᐰeX⏥ஹX⏥ஹ¯ᑁX⏥ஹ¶ᔠX⏥AẠX⏛஺¸ஹ⌱T⚪A¹⚪

27)1.ᔠº»⊈ὅD}½¾¿ÀÁ}ÂᐰDᙠX⏥Ã?ᜓtDÅᑴ⊈ÆᙠA.⊈AÇB.ᦈÉ´Ê20.OkPa(150mmHg),—Ì´Ê10.7kPa(80mmHg)C.ᦈÉ´Ê21.3kPa(160mmHg),—Ì´Ê12.OkPa(90mmHg)D.ᦈÉ´Ê21.3kPa(160mmHg),—Ì´Ê13.3kPa(lOOmmHg)E.ᦈÉ´Ê24.OkPa(180mmHg),—Ì´Ê13.3kPa(lOOmmHg))2.ᔠºÍÎÏὅDÐ◤pÒTÓ¿ÀDᙠX⏥Ã?ᜓtDªᑡÕ⚗×ḄA.ØÙÚ⏚tܱᓽH¿ÀB.¦ῳ⊈ÍÅᑴᙠ9.5mmol/LÞªC.¦ῳ⊈ÍÅᑴᙠ&3mmol/LÞªDÎÍ´Ê(++),ÎÙq▢ឋD.¦ῳ⊈ÍÅᑴᙠ7mmol/LÞªDÎÍ´Ê(+),ÎÙq▢ឋE.ÞCåæç)3.ᡂ3TÓ¿ÀX⏥Ãèé⍝Ḅ?ᜓDªᑡÕ⚗×ḄA.¿ÀÃἭëì4íB.¿ÀÃἭì12íC.¿ÀÃἭë4íD.¿ÀÃἭì12í;Ἥë4íE.ÞCåæç)4.\ïᩭñDᐰXÏ3ḄX⏥ÃᵨfA.Þ╋f}³B.ÞóḨf}³C.ÞÂ╋f}³D.Þᢙö÷f}³E.Þ╋☟fᢙö÷f}³)5.ᐵÊX⏥ÃlᑁnoᵨfDªᑡÕ⚗×ḄA.\ïᙠX⏥Ã30-60ᑖùlᑁnoB.\ïᙠX⏥Ã10ú15ᑖùlᑁnoC.\ïᙠX⏥Ã80-90ᑖùlᑁnoD.\ïᙠX⏥Ã2ílᑁnoE.ÞCåæç)6.☟ᾭX⏥ftDûüýþᵨÿ
A.1%B.2.5%C.0.5%D.0.25%E.5%)7.ᵨ☟ᾭ⏥ᔾᢓᑴᵨA.B.C.ᡲ!"D.#$%E.&'⏚)8.ᐵ*+ᑡ-⚗/01ḄA.ᔾᢓᑴᵨB.3456ᢓᑴᵨC.ᵨ7
1%D.8ᵨ*ᐰ:;<=ᢝE.8ᵨ*ᐰ:;)9.ᐵ*?@AB+ᑡ-⚗/01ḄA.CᦔEB.ᵨFGHᨚC.
J᩽ᓄMND.OPQ⌕ᵨ*=ᢝSMᾙNUV8ᵨ*ᐰ:;WXE.OPQ⌕ᵨ*ᐰFḄYXᑁWX)10.[ᵨ\]ᓱ_`Fab▲dᡂf

28A.500mgB.400mgC.lOOOmgD.1200mgE.1500mg)11.[ᵨᑭhᓱ_`ijkஹ56mn⏥Fᡂfab▲d
A.lOOOmgB.400mgC.lOOmgD.150mgE.80mg)12.pᵨ\]ᓱ_`ijk⏥ᵨ7
A.0.5%B.0.25%C.05%D.2.5%E.4%)13.pᵨᑭhᓱ_q56mn⏥ᵨ7
A.0.25%r0.5%B.0.5%r0.75%C.1%r2%D.2%r3%E.4%)14.ᐵ*'ᓱ_+ᑡ-⚗/01ḄA./asᦔtFGᵨḄ`B.ᵨ*`ijk⏥C.ᵨ*56mnḄ7
0.5%D.ᵨ*56mn⏥ᡂfab▲d
40mgE.uvwx)15.ᐵ*yzᓱ_+ᑡ-⚗/01ḄA.CᦔFG{'ᓱ_tB.CᦔFG{ᑭhᓱ_FGtC.ᵨ*`ijk⏥D.ᵨ*`ijk⏥|ᵨ7
0.5%E.ᡂfab▲d
400mg)16.Ὺ~F~┐b6Ḅ+ᑡ-⚗/01ḄA.ஹ+ஹvஹGஹஹB.ஹ+ஹஹvஹGஹC.ஹஹ+ஹvஹGஹD.ஹ+ஹGஹஹvஹE.ஹ+ஹGஹvஹஹ)17.ᙠXᑁ⏥ᐵ*⏥☢Ḅᑨᾮ
A.T6B.T8C.T10D.T12E.L1)18.ῪḄ⏥☢☢/ᢣA.mn☢*T10*T4B.mn☢*T10*T6C.mn☢*T8*T4D.mn☢*T12*T6E.mn☢*T12*T4)19.ῪfᔾᢓᑴᔾᨬQ⌕Ḅញᦗ¤¥/A.¦ᓽ¨©B.¦ᓽ¨ᔾᐶ«ᑺC.¦ᓽYXᑁWXᡈf®ᔾD.¦ᓽ¯E°±E.¦ᓽ¨Bឋᱥ)20.ᐵ*ῪḄ〉[µ+ᑡ-⚗/01ḄA.2r3¶FuᑁḄ+ῳiஹ¸Ὶஹ+º»¼½▢i¿SB.ᒈῳÁÂSC.Ã᜜ÅD.ÃÆ᪶E.⏚ᐵ⁚ᡂÉS

29)21.᜜mnḄᵨ+Ê-⚗/01ḄA.ᵨᑺdËÌÍῪÎÏB.ᵨᑺdËÌzῪ¶C.ᵨᑺdËÌzῪᜧÑ1r2ÒD.ᵨᑺdËÌzῪᜧÑ3~5ÒE.uvwx)22.[ᵨ1.5%ᑭhᓱ_᜜mn⏥FÓÔᑺd
A.1r3mlB.2r4mlC.3r5mlD.4~6mlE.5~7ml)23.᜜mn⏥FᙠÕdᵨÖ×ᜫFÙᐭÛÜbḄᑺd
A.ÕdḄ1ÒuvB.ÍÕdÎÝC.ÕdḄ1/4r1/3D.ÕdḄ1/2r2/3E.uvwx)24.+ᑡᔾf⏥ḄÞßᨬà⌕A.áâᜧ¶B.ᐝäåC.⊈çD.ᾭèE.ᔾ)25.ᐵ*⏥éᵨᱥ+ᑡ-⚗/┯ëḄA.ìí╋☟B.ᢙðᱥC.ᢙñBD.╋òE.óḨ)26.ᐵ*©ᓄõö(øY)+ᑡ-⚗/┯ëḄA./⏥ឋù{sḄᔾᐭ⏥B.úMᨵaíḄüýᢓᑴᵨC.ú᣸⊈dஹú᳛⊈D.ᔾᨵᢓᑴᵨE.ᐸᐰᔠᵨ⏥ᢝ)27.ᐵ"#⏚%&ᑡ(⚗*┯,ḄA.⏥ឋ/01B.3ᵨ⏥45ᢝC.ᔾᑮᨵ78D.9:;<=>ᨵᢓᑴᵨE.3?ᾯ⊈AB⚝ᑁEF)28.ᐵGHI&ᑡ(⚗*┯,ḄA.╋Kᵨ℉B.3ᵨᐰ45C.ᵨMNOẠ⏥D.3QRSTឋᔾᨚVE.ᵨWᑴXY)29.ᐵ\3᪍&ᑡ(⚗*┯,ḄA.^_᩽ᓄbcB.RᦔeC.bcfᐰD.ghi⌕ᵨᢝk9bᾙcmE.ghi⌕ᵨᐰnḄopᑁqp)30.ᐵrs"t&ᑡ(⚗*┯,ḄA.ᐸ╋☟vḨᵨ0ᙢyz1B.☟{0.15mg/kgnᓽᨵᔾᢓᑴC.}/ᵨᐰ45

30D.3^⏥~ᵨE.3^⏥ᵨB⚪
3132⚪%ᙠ᜜⏥&ᜧᑗ◀k%ᙠ{ᐭSBᦪᑖ⊈&,ᜫ%ᔾV஺()31.£ᨬ3/¥¦Ḅ§¨©^A.ªḄ«ឋ¬B.ªḄT¬C.ᐰ®¯⏥D.ᔾᢓᑴE.;<°±)32.£Ḅ²ᦗ9,´ᑡ(⚗*}µ⌕ḄA.¶ᓽV·B.¶ᓽ¸ᔾC.¹º»¼opᑁqp¸½oD.¶ᓽ¾⊈E.3☟{⊈pᦈÀ(3335⚪)%ᙠᐰ&ÁÂpÃ᪷Åk%⏥ÆÇ9%ᔾÈÉ%⚣᳛Ìe%Íṇ¬Ïᜫ%ÍᳫÑÒÓÔ%Õbᾙ}cm஺()33.ᢥ×Ø⏥ÙḄᑖÚ᪗Ü%Ḅ⏥ÙÝA.ÞIÚB.ÞIIÚC.ÞIHÚÞßàD.ÞinÚÞSàE.ÞHIÚÞáà()34.£Ḅâk⌕ã⏥Ù^A.ÞIÚB.ÞnÚc.ÞniÚÞSàD.ÞHIÚÞáàE.ÞHIÚÞßà()35.ä⏥ÚḄgh⊤¦&ᑡ(⚗*┯,ḄA.æçèéᦣᜧB.ëìᔾᢓᑴC.ῳìᔾîïឋEFD.bᾙ}cmE.Íṇ¬Ïᜫ(3637⚪)A.ðñòóB.GHIC.ôᡲröD.÷øùE.úû⏚ó()36.ᨵ01Ḅ9:ᔾᢓᑴᵨ%i⌕ᙠüîýþ%3ᵨᐰ45ஹᑴ஺ᵨḄ☟ᾭᐰ()37.╋ᵨ℉☟ᾭ3060!"#$ᓽ&'ᜫᨵ*+,-⚝ᑁ,ᓣ1Ḅ2345஺67&ᵨ8ᐰ9:ᵨ8;<=Ạ⏥஺(3840⚪)A.BᓄDEB.GHC.IGHD.JGHE.KGHF.ᙢGH()38.⏥ឋNOᡂ"MACQ0.75%஺RSTᦈVW-STXYᨵZOḄᢓᑴᵨ\]STὑB_஺R`ᔾ⍝cdeឋR`ᔾᨵᢓᑴᵨ஺ᵨ8⏥Ḅ9:-fᢝ஺ᔾᐭ1%ijk5ᑖm!"noᓽ'ᜫ஺()39.⏥ឋNZpᡂ"MACQ6.0%7.25%,RSTᦈVWᨵqjᢓᑴᵨR`ᔾᨵqjᢓᑴᵨ஺ᵨ8⏥9:-fᢝ⏥9:-r⏨tuvwូS-ᕏᔢḄ{|᳛~]8ᐸᔾ"⏥஺()40.⏥ឋNZpḄ⏥MACQ105%,ᐸᐰᔠ5ᵨ8⏥

31fᢝᔾ"ijQ50%70%஺X⚪()41.ᐵ8⏥⍝ḄᜓᑡḄA.5᣸B.5Ἥ4;C.5Ἥ1;Ἥ4;D.ᨵ᣸¡◤£ᓽὅ⌱ᵨᐰ&ὃ⇋¨©⏨ªᑁ«ªE.¬tR()42.⏥ᵨḄ®Ḅᙠ8A.°1!"Ḅ±B.ᢓᑴ`ᔾ⍝²Ḅᑖ³´NC.'◀!"¶·ஹᯖ⇋ºអ¼ḄS½D.⚜■ÀÁE.'◀Âᡈ⏥ÄÅḄ234()43.ᐵ8Æ&᪍ᑡḄA.È᩽ᓄTÊB.ÅᦔÌC.ᵨᦔZÍD.TÊÎᐰE.Ï⌕ᵨ8fᢝÑTᾙÊÓ()44.ᐵ8ᔩᖹᑡḄA.⏥ឋ╋B.N°1±Ö◀×C.R`ᔾÑØc~ᢓᑴᵨD.RSTᨵ~ᢓᑴᵨE.Q⏥ᵨ-⏥ÙÚᵨ()45.ᐵ8ªᑁ«ªᑡḄA.QÛ⏥ÜÝᢝ!"Ḅ`ᔾ⍝ÞᵹB.à8ᔾᐭᐰá⏥Ḅ5ᵨC.ᐰ`ᔾ⍝â¬ÝᢝÞᵹὅ5¨ªᑁ«ªD.`ᔾ⊦ä◤⌕åæÞὅç訪ᑁ«ªE.é|<êë2ì*ᵨ()46.ÄÅíîឋ45ḄïðÂᨵA.ñᐭ⊈ªB.óôᵨ_õö!"ḄὊ_C.ᵨøù⊈úûüD.!"Âý⊦pðÂὊþW\]E.¬t2R()47.ᐵ8ÿᑁ⏥ᑡḄA.ᳮB.⏨C.╋ᦔᑗD.!ᾙ#$%&E.'◀ᑁ)ᱫ+,-()48.Ὺ1234⊈678ᑡḄA.9⏥:☢ᨵ=ᑗᐵ?B.@AB:☢Ὺ⊈67CDEC.⏥:☢FGHT4,IJKLMHND.⊈67Ḅᜐᳮ8ᐜQN☟ᾭTU200V300ml,᝞Xᦔ8YZ[E.JKLMHN8☟\]ᡲ_0.3V0.5mg()49.`a᜜cd⏥:☢Ḅe⁚g⌕ijkA.lmnoB.ḄmᱥqrឋC.tuv◣

32D.xyᔣE.\my{()50.ᐵk‒cd⏥8ᑡ〉-~A.1B.1C.▢1D.ῳ1E.1ஹ⚪1.lmឋ,-4Ḅᐸ⚜■஺lmឋ,-ḄIEᨵজ@ᵨmGHḄὊঝ¡mᱥ\ᐭ⊈ᑁঞmᱥ¤ᵨ¥⊈¦§¨8©ª«¬ᡈlmUᑁ©®¯°±²ট´µ⊦·¸Ὂ¹º7B஺lmឋ,-Ḅ⚜■8-┐¼4½¾¿À᝞8@ᵨmGH▲\mÂᐜÃÄÅᨵX⊈U᪷Çᐹ´«Éᡈᵨm¥ª«¬᝞XἭË8mUᑁ®ᐭD¯°±²⏥Â〉Ì⌱ᵨᙢÏÐᡈÑÒÓÔmᱥ¸஺2.Õ⏥ÂᵨmḄÖḄ஺জ'◀×Øஹᯖ⇋អÜḄL«8Ý«Þßj8ᐙᑖᔠ¤஺ãäåæç⏥ᦔ8¬D⏥ᵨmè%,-8ঝéêḄë8ìèᡈí◀îᡈ⏥Âᨵïð¤Ḅñঞᢓᑴôᔾ⍝±´Ḅᑖ÷ø8¬DùUᑖ÷8úᢝüῚþÿᨵᑭᔾ⍝ᵹ⚜■ᔾট◀ᡈ⏥Ḅᱯ!"#$ᢓᑴ'(ᡈ)*Ḅ+,#$ᐶ./0ᢝ⊈3(45Ḅ67஺3.9:;<᜜>?⏥Ḅ〉ABἭDB஺;<᜜>?⏥Ḅ〉ABFGῪᜧJK஺LᵨNῼ/P•ḄᔜSῳUஹῪUWXYZ[\Ḅ▲ᑴ஺^_ᵨ⚠UஹaXbcd⏥efgᳮᢈjklᩖ⌕op஺;<᜜>?⏥ḄἭDBqῪrs஺tuvwxUyᡈ▬{|},~ஹ⊈ᑴஹஹ᪶ᡈpᶚஹ#$ᙳAᑡἭD஺ὁஹஹ⊈ஹ⊈ஹuஹ⊈¡¢uvA£L¤o¥ᵨ[¦§ᵨ¨ᑺ¢ª«uvgᳮ஺⌱⚪¯ᫀ±1.E2.C3.D4.E5.A6.B7.C8.E9.D10.C11.B12.A13.C14.A15.C16.A17.C18.A19.D20.C21.D22.E23.B24.A25.C26.E27.D28.C29.C30.B31.C32.D33.D34.E35.D36.A37.B38.B39.F40.A41.ACD42.ABCE43.ABD44.ABE45.ABCE46.ABCD47.BCD48.ABD49.ACDE50.ABCp²³´µᶭql·¸¹º»1.CPCR±¥¼ᔾ½¾Ḅuv¿ÀᙢឮlᔾஹÃÄᾯÆÇḄÈᦗÊËÌÍÎᾯl·9ÌCPCR஺2.VILI±ÏÐÑÒ^_ÎÓÔÌÏÐrᐵឋÎÓÔ(9ÌVILI),Ø⌕ᵫÎÚÛÜ᡽ÞÎᑁÛᡠáâḄÎãäåÎ\æ᪀ḄẚéÎÚ<ÓÔ஺

333.Cpt±bUᱥᳮµᶭ9ÌCpt,ᵫëS0ìᔾ⍝íîஹïðᔾ⍝ᑖòᱥ᣸ôஹ⚜■ᡈ⌮öÎ÷◍ùúḄûÌ஺4.¼¾þ±¼¾þᢣ
ᕜ⊈ᜐ᝱஺⊤ஹ!ᵯ#$%ᑖ'஺5.ICU()*+,ᶭ./ICU,012ᨵᐵ56Ḅ89!ᢈ;ஹᐜ=Ḅ*+!,ᶭ>ᜓ@A()BCḄDᳮFG=HIJ*+!KLᨵᦔ,ᶭḄ5NᓫP஺6.S,ᶭS,ᶭ0ᢣUVWXḄYSZ[!ᢈ;@\B]ḄᔾᐭS`abᜧdḄS`aeᑮghiS⊈)!jbSYḄkḄ஺lm⚪1.$%Ud0,ᶭoᔾ⊦qḄr⌕tu஺2.#ᑗwxᦗDz{|}Ḅ~ᶭḄ஺3.ᾯḄ▤0ஹ!,ᶭ஺4.ABCḄA0ᢝoᔾ⍝Uᵹ@B0ᨵᦔḄ]oᔾ@C0ᨵᦔḄ]஺5.ᵯ◀0k,ᶭḄ#ᨵᦔtu஺6.]oᔾᑭ
ᢥ0LḄr⌕,ᶭ஺7.ᢝoᔾ⍝Uᵹ0=H]oᔾḄᐜᩩ஺8.ᨵᦔḄ]oᔾ@ᢝB]ḄPa஺¡!Paco2¢£h¤஺9.]oᔾtu¥ᑖ¦§#§0¨©]oᔾu@〉ᵨ¬®#§0ᑭᵨᘤ%!oᔾᘤḄ]oᔾ@〉ᵨ!ᜐᳮ஺10.
°L±ᜫᐸ᣸⊈Gµ@⊤§¶ஹ!ᵯ#$%ᑖ'஺11.·B]Ḅ¸¹±ᜫ,ᜧ»ᾭ°»½ᜫK¾roᔾ@ᓽ¥ÀÁoᔾÂ஺12.
°4Ã6ᑖÄᓽ¥ÅÆᾯÇÈW¥⌮ḄÊË஺13.Ì᜜
ᢥΤÏḄÐÑ)0ÒÓÓᢚ஺14.2Ḅ✌⌱×ᱥ0ÙÚÛÜ@✌⌱Ý×⌶ß0☟ᾭÝ×஺ஹ⌱á⚪A¶⚪()1.ᡂ]L,Ì᜜
ᢥḄ⚣᳛A.50~60ã/minB.60Ã80ã/minC.80Ã100ã/minD.100~120ã/minE.ÚWA)2.
ᢥL,ᢥæçèLéêëA.70%:30%B.60%:40%C.50%:50%D.40%:60%E.30%:70%)3.ᙠ⊈í»µî*+2,CVP!BPᙳih¤,óᑡõ⚗0h÷ḄA.FGWᐰB.òiC.⊈øòWùD.ñµbE.ÚWA)4.ᙠ⊈í»µî*+2,CVPb@BPi@óᑡõ⚗0h÷ḄA.⊈øòWùB.⊈øòúaWù

34C.òiD.FGWᐰ@øòûAüE.ñµb)5.=H]oᔾḄᐜᩩ0A.+⊈B.ᢝoᔾ⍝UᵹC.ýD.+PaOE.ᦪᾭ°2)6.ᐵÿ
ᔾḄ⚣᳛ᑡ⚗ᨬ〉ḄA.3ᔿ1B.4ᔿ1C.5ᔿ1D.6ᔿ1E.7ᔿ1)7.ᔾὅ᜜"#ᢥ%&⌕()*+,ᾭ%./A.10.7~16kPa(800120mmHg)B.10.7014.7kPa(80~110mmHg)C.10.7~13.3kPa(80-100mmHg)D.9.3-12kPa(70-90mmHg)E.8012kPa(60090mmHg))8.᜜"#ᢥ%123456◍Ḅ89:A.102cmB.203cmC.3~4cmD.4~5cmE.506cm)9.᜜"#ᢥ%;:5"᣸⊈>ᨬᜧᢥ%@ABḄ;CD:A.1:3B.1:2C.1:1D.2:1E.3:1)10.ᓫFG;"#ᢥ%@

ᔾḄᦪD12I:A.5:1B.10:1C.15:2D.15:4E.10:3)11.JFG;"#ᢥ%@

ᔾḄᦪD12I:A.6:1B.5:1C.4:1D.3:1E.2:1)12.ᐵL"#ᢥ%ᨵᦔḄ⊤Pᑡ⚗ᨬQRḄ⊤PA.STUVB.WXYZC.WXᐝ\]ឮFD.⚠,ᾭ`a,ᾭ.bcd,E.Re(f)13.B"#ᢥ%Ḅ⚣᳛I:A.50060/minB.60080/minC.800100/minD.100-120/minE.ghij)14.ᙠᔾᡈmnop;PaC>2iIqᢝᙠ(ftuvjwLA.4kPa(30mmHg)B.5.3kPa(40mmHg)C.6.7kPa(50mmHg)D.8kPa(60mmHg)E.ghij)15.FG;xᱥzᶭḄ|x⌶~✌⌱:A."ᑁ]B.pᑁ|xC.☟ᾭ|xD.ᑁ]E.])16.zᶭឋmnopḄ〉Iᑡ⚗┯ḄA.opjᐰᡈ⊦B.C."FGzᶭD.ᣚp⊦E.ᔾmnᜫᡈᜫ)17.ᐵLFG;ᵨxḄḄᑡ⚗┯ḄA."#F¡¢"ᦈY¤B.■z"¦ᜫfC.᦮ញឋ⏚ªᜫ⊝D.⊡ᐙ®¯`ᵯ±²E.⚜■´µ)18.ᐵLᾯFG·w¸zᶭᑡ⚗┯Ḅ

35A.w¸ᾯFG¹ᔠzᶭ·Ḅ»⌕¼ᡂ¾ᑖB.®¸Àw1࠷.5ÂÃ᳛À5%06%C.jÄ:Å"dὅiÆÇÀ¸D."#d/203ᑖÈÉw¸Ḅ〉IE.ᜮ¾w¸Ḅ»Ë()19.ᐵLᾯFG·ḄῃÍzᶭᑡ⚗┯ḄA.IgÎvÏÐᑁ¯`⊈᜜¯:ÑB.Ig¡Ò᣸Ó>ᩭÕᡂjI5ᐭ>wLÂÃ◤⌕C.qᢝ⊈ØÙ®ÚÛ%jwL2kPa(15mmHg)D.12gÜÝᑭßx(᝞ᔬãä):ÑÚÛឋᑭß:åE.ᵞ☄⏣:ᨬfᵨḄÚÛឋᑭßx()20.᜜◀êᡂ:A.50JB.80JC.100JD.150JE.200JBë⚪(21025⚪)A.☟ᾭ|xB.·"☟ᾭ|xC."ᑁ]D.pᑁ|xE.ᑁᡈ]()21."FG·Ḅ✌⌱|x⌶~()22."FG·jíîḄ|x⌶~()23.᝞ïᩩñᐹᜓᨬôḄ|x⌶~()24.õöp÷☟ᾭøùúû;.íᵨ()25.üýþḄ|xÿ
(2630⚪)A.B.⏚C.ᑭᓱD.ᓄ┛E.ᡲ()26.
ᴿ"#$%ᵯ◀ᡂ)᳛Ḅ,ᱥ
()27../012ᨵᦔ5678ᐙᑖ;<=>2ᨬ@A⌕CDEᵨḄ,ᱥ
()28.ᵫ%I⊈KᡠMḄNOPQRS2◀᜜ᨬ〉ᔠEᵨ()29.NᵯWXᡂYZḄRS./[\]A^ᵨ()30../_`ᙠbcdឋNfghḄRSᵨXi⚪()31.jklᔾn⊦pḄq⌕rᨵA.lᔾstuB.lᔾ⍝᫱xC.yzsᾙ|ᜮRD.~yz)^ᢓᑴᡈᜫE.f()32.ᐵSlᔾᑡ⚗
ḄA.✌ᐜE⌕ᢝlᔾ⍝5ᵹB.]()Slᔾᨬ〉ᔠ./C.ᨵᦔḄSlᔾ2E^ᢝPaOPaCO2|2D.¡¢£ᔿ63~4¥2_¦6§¨¥Ḅ⚣᳛ª«E.Slᔾ᜜ᢥE®¯°±ª«

36()33.᜜NOᢥḄ²
A.ᢥ³E⌱µᙠᒃ·6~7cmᜐB.ᚖYᔣ»2¼=◍4~5cm¾¿C.ᢥ⚣᳛60-80¥/ᑖÁÂD.ᢥᨵᦔḄ᪗Ä
ᖃÆÇE.⌕᪷ÉÊËḄᓄᩭÍÎ
ᔲУ./()34.ᙠNÑ./~2ᑡÒE✌⌱NOᢥA.bcᶚÔB.ÕឋÖ»»ᢚC.Ø~ḄNQPÙD.NᒹÛÜE.ÝÞß()35.ᑡÒ,ᱥ5g6àᑁâ,A.B.⏚C.ᑭᓱD.ᓄ┛E.ᡲãஹåæ⚪1.çèé1./ABCḄq⌕ᑁê஺é1./ABCq⌕ᑁêìAì(airway)ᢝlᔾ⍝5ᵹ஺ᜮ_íஹᡲîïᢝlᔾ⍝5ᵹ஺Bì(breathing)Slᔾ஺ᵨ]ᡈ]2ᐜᵨðᔿ634¥2¦¥ñᔾ6ᯠ_ᵨðᔿó2ᔿó6ôõö16%2RSPaChö10kPa,SaO2%90%஺Cì(circulation)S÷ø஺q⌕
;<᜜NOᢥ஺RSùᓷ2<ᦗὅýþ°ÿ
Ḅ᪷ᙠ1/3ᜐᾢᐵ⁚Ḅ45cmᢥ"#$%&"#'()ᢥ*ᦪ,80100*/min)ᓫ./)᜜12ᢥ15*34ᔾ2*(15:2))./7᜜12ᢥ5*34ᔾ1*(5:1)஺&12ᢥ⚣᳛,60-80*/ᑖ=஺2.>?./@ᱥBᶭḄD@⌶F$Gᵨ@ᱥ஺./@ᱥBᶭD@⌶F7✌⌱☟ᾭD@MᐸO1☟ᾭᡈᾢ☟ᾭQRD@)ᐸ*,STᑁD@)ᨵ☟ᾭ$STᑁD@⌶FWXY"Zὃ⇋1ᑁ]^஺./Gᵨ@ᱥ7_`abஹᑭeᓱgஹh⏚jkஹlᡲᨔஹeopq஺3../rBᶭḄs⌕uvᨵwxy./rBᶭḄs⌕Bᶭuv,7zᢝ|}Ḅ4ᔾ~)~Ḅ)■B_~⊦)ᾯ./ᑣᙠ■ᡈᾯḄ$ᨵᦔuvᒹῃஹᑭஹ$bḄᵨq஺⌱⚪¢ᫀ71.C2.C3.C4.D5.B6.C7.C8.D9.C10.C11.A12.D13.B14.D15.C16.B17.E18.D19.D20.E21.A22.E23.B24.D25.C26.A27.B28.D2g.C30.E31.ACDE32.ABC33.B34.ABCD35.ACE¤¥Bᶭ
ஹ¦§¨1.¤¥7¤¥O©ª▭Ḅᡈ¬ᙠḄ®¯ᐵὶஹᡈὅ²³ᵨ®´?Ḅ
µ¶៝¸Ḅ¹º$»¼`Ḅ½஺

372.À7À¥ᢣᑁ2ஹᐵ⁚ஹÂÃஹÄqÅḄ¤¥ឋ
Ç,È¥¶É▲GËÌᙢÎϤ¥Ås⌕ᵫCÑÒÓÔÕÖz×Ø஺3.ÙºÚÛÜᑖÝ7ÙºÚÛÜᑖÝO¤¥Ḅ
µÞ$ÜßàÝ஺ᙠá`â
ᩩäåæ,10cm,çèᑖé᪗Ïᨵ“0”$“10”Ḅë᪵“0”èí⊤Ò¥“10”í⊤ᨬᒓñḄ¤¥஺ò᪷óôõᡠ¹÷Ḅ¤¥øæᙠä`᪗ù¯ḄÅúᯠrᵨüýùþÿ
Ḅ(cm⊤)ᓽᑖ஺ᑖ⊤4.!╋#!╋#$%&'ᱯᑴḄ*+ᐭ-./ஹ.⏥ឋ╋/345╋☟/7ᐭ8ᑁ:;<ᵨ஺᪷?7ᐭ⌶ABCᑖ☟ᾭPCA.(PCIA.)3EF᜜PCA.(PCEA.)஺HஹIJ1.ḄKLMNᑖO&P%ᑖQஹRSஹTஹᒓVWX஺2.$Yᶭᨬ\]ஹᨬ^ᵨḄ_O஺/ᱥYᶭ3.$Yᶭ᠒ឋḄb⌕de஺fghi4.jὅ!╋#᪷?7ᐭ⌶ABCᑖpCIA3PCEA஺lஹ⌱n⚪Ap⚪()1.ᐵrḄ/ᱥYᶭsᑡu⚗$wxḄA./ᱥYᶭ$ᨬ᪷]ஹᨬ^ᵨḄ_OB.&P᠒ឋQyz{|ᵨ/C.&P᠒ឋB}5{5~ᵨD.&P᠒ឋ<{ᵨ/zᳮE.B()2.ᙠḄ/ᱥYᶭTsᑡu⚗$wxḄA.╋/ᱥᜮஹᱛஹfgஹᾙᡈᐵ⁚ḄᦔBB.╋/ᱥᑁḄḄᦔC.⏒\ᨵzḄ3ᢙ<ᵨD.╋/ᱥḄ╋<ᵨ$᜜ᕜḄE.B()3.¢ឋl£fgYᶭ✌⌱A./ᱥYᶭB.fghiC.d#YᶭD.ᳮᶭE.ᐝᶭ()4.¦§fghiḄ¨©sᑡu⚗$┯«ḄA./ᱥ¬ឋ}B.«7ᐭ®¯°:⊈²s³ஹ´ᔾᢓᑴC.·¸D.ῼfghiE.ᗕfghi()5.»¼½¾#¿╋ᨬÀᵨḄ$A.ᑁ7ÁÂÃÄB.Å4ÆÇC.È|fghiD.®¯ᑁ╋E.PCA()6.ὁÊ#¿╋{}ᱯË7ÌA.ÍÎᶇB.´ᔾᢓᑴ⊈²ᜧÑÒÓC.ṑḨBÖ

38D.×ÅBៜᔠE.8Úᓣ()7.ÝḄÞᨬ^ᙠA.ßàáB.âàáC.ᒃäsD.ßåáE.sæá()8.èḄᱫêëᨬ^ᙠA.ßàB.ßìC.âàD.âíáE.â¸á()9.su'½¾⊤ï$Ὺ®¯ñòḄᱯóA.ῪB.sìC.|ôឋõöD.sì.ᩈE.Ö()10.úûüýþÿ₞ḄᶭᫀA.▤ᫀB.▤ᫀC.▤ᫀD.▤ᫀE.▤ᫀ()11.ᙠḄᶭ᪷WHO₞Ḅ▤ᫀᶭ▤!⌕#ᵨ%&'ᱥᶭA.)*ᱏ&'ᱥB.,*ᱏ&'ᱥC.-*ᱏ&'ᱥD.ᢙᢓ0&'ᱥE.12&'ᱥ()12.ᙠḄᶭ᪷WHO₞Ḅ▤ᶭ,*ᱏ&'ᱥḄ4⊤'ᱥA.6ᙢ8B.9:⏒<=>C.ᓱ@6AD.BCDE.ᔩᖹ()13.HIJKὅMNOᕜQ◤STᶭU:%W'ᱥXYZᵨA.[\'B.]^_C.`ⅅbcD.defgE.ᢙ^_()14.ᐵj=kᭆmnᑡ%⚗XqrA.`jstᑁ᜜w-xyz^Ḅ{W|B.stḄ}~tC.Xᓫ☠MNᔲᩭᑨstᨵJD.st9ḄZXE.^ᳮD_ᳮD_ᵨḄ()15.ḄᳮឋᦔZX£¤A.¥¦Ḅ§⌴B.Z©ªC.╋ᦔZD.Ḅ¬ᡂE.KὅḄ®¯ᱯ()16.²ᦣឋX´jA.µ¶᪷ឋ⚠¸JB.Ὺ¸º»¼MC.¸½¾¿D.ÁÂÃᢚE.Dឋ()17.⚝ᾯÉÊ╋%⚗XYA.ᙢ68B.ᔩᖹC.ËÌÍÎD.ËÏÐÑÒE.ÓÔ()18.nᑡ%⚗X¸½ᑁᔩᖹ╋Ḅ}⌕XÖZA.×ᔾᢓᑴB.ូᕏᔢC.IÝᶇD.tßឋᜮE.áâ᷃äBå⚪

39(19—23⚪)A.¸½ᑁPCA╋B.é|µ¶⁚ëìC.íîᓱ@6AD.☟ᾭPCA╋E.ñ:⏣µ¶óô()19.µ¶⊈½ឋᜮö÷}ø⌱ᵨ()20.ûüឋýµ¶þY⌱ᵨ()21.ឋÿ
ὅὃ⇋()22.᜜⏥ᑗ◀╋⌱ᵨ()23.!"#$%&ឋ()*ᱥ,ᶭ./0ὃ⇋12X3⚪()24.(Ḅ789:;<=)>?A.@ᾯஹ@ᾯB.ᾯDEFG᪀C.IJKLD.ᜧᾯNOE.PQ()25.(STA.UVKL7WB.XPYZ[C.\]7WD.^_E.ṑḨbc()26.eὅ᝕ឋ)49h)ijklmno()ᐸqrsno(ḄtuᨵA.wxy?]B.ᦻᓄ|}C.ឋ~D.ᕜ᛻E.()27.(STA.PᜫB.PC.PD.P⊦E.P◞()28.jᑁḄ*ᱥᨵA.ᔩᖹB.C.*D.ᙢ¡¢E.£ᩰ⏚¦()29.!"Ḅᕜ§¨]ᒹªA.Ḹ¬B.ḸC.¬®¯D.°ᜧE.±()30.,ᶭ!"Ḅᨵ³´µᨵA.¶ᨴ!"⁚¹⏣§¨B.¶ᨴ!"⁚ᵯ¼C.¶ᨴ!"⁚ᵞ¾§¨D.XᑐÀE.ᾯᚖÂÀ()31.!"§¨ᶭµÄᵨḄ*ᱥᒹªA.]⏥*B.ᢙÆuC.ÇNOÈuD.☟ᾭ⏥*E.Ëy&⏣ᢙÌ*()32.᜜PCAḄἭÎÏᒹªA.]7WеÑÒB.Ó*ÔÕÖC.×ØwÙÚὅD.eὅÛ!.ÜE.ᔾÞὅ()33.oßᔩᖹḄà[ᵨᨵA.ូP)ᕏᔢB.äṑC.ᜮ᧿D.çèE.⊈êᓣì()34.íî᜜◣╋0⌱ᵨḄ*ᱥᒹªA.*B.ðᱏyC.¹⏣D.òóôE.õÆu

40ö÷35.køùúSZᒓü(ḄýþtᨵA.k᷈ᑖ
ᑡB.᪷C.⇨D.⇨E.⊈⇨⊈ஹ⚪1.!"#$☢Ḅ'ᳮ)ᳮ*ᓄ,-./0#)ᳮ*ᓄ-জ234*ᓄ-ញឋ2ᐶ8ஹᯖ⇋;<=>?᠒ឋ2ᢓBஹ⊤3DEFঝᑁᑖ
IJ-KLMK?NOPₐRSஹTUVLஹ⊈WXHஹADHஹACTHஹYZ[ஹGHஹᵬ]ᑖ
^_FPₐRSᢓᑴabᑖ
;Ncad⊈Tᑖ
?⌼ᡂ⊈Tᓣd;hij⊝FঞmnIJ:ᒓ!ᐶ8?⊈ᓣdஹqrst;quᜫw஺yYZ[ஹUVL;ADHᑖ
^_!z{|ᶇ?c0~_qh஺ᒓḄᐶ8?!ῃ;FটᔾIJ-.ῳḄᔾIJḄᜧFᔾ?ஹ;ᙳ¡¢?£/⊈¥¦§/¡?᧕!¢©⊈ªF«ῳ?'¬ᦢᵨ°±²?³᧕±´?᧕!µ;XFঠ·ᓄIJ-¸¹ºஹូqᕏᔢFড¿⊈Àᑴ-KLMK!⊈ÁᜐÃd¿]᝱?ᨵᑭÃ⊈᪝ÈᡂFঢᐸË-ÌÍ/¡?ÎÏÐஹ᣸ÎÒÓ>஺2.ᙠÕឋḄÖᶭØ?WHOÙ₞ḄÛ▤ÝᶭÞḄßàᑁáâãä,-åæç)Ù₞ḄÛ▤ÝᶭÞ?èᑣ-জᢥëᦔḄíî.▤Ý$ïðñOᵨFঝOᵨòóëFঞᢥôóëFটᵨëᑺö÷ᓄFø0▤Ý?ùúᱏü?᝞úþᓛ᪍
▤ᱏᵨᱏᦔᵨ᝞
▤ᱏᵨᒓὅ᝞ᔩᖹ
ᵨ!"#╋!Ḅᵨ&'()*+஺-./0ᜐᳮ3ஹ56781.9:ៜᔠ=2.>0./=3.▲0./=4.ᑗCDE:ஹGH⚪1../ᢥឋL(MᜧOᑖQ=——ஹ——'----஺2.ὅ⊈Uᙠ------WX(YZᱯ\]ᜓ஺⊈U_`ὅabc⏥'./+efg-----'-------hᓻ◅ᙠ/k+〉mᵨnU!ᱥp⊈Uqᑴ3stuvw./.3.ᨵᔾz{|Ḅὅ/k--------+}~ᔾz஺4.ញឋ᫱ὅ——(>0./——⌕ᨵgwᙠᩩX./஺⊦ὅᨬᙠ⊦qᑴ——./஺5.ᨵᔾ(ᐰḄὅ+Z——'——஺6.ᨵὅ+_ᔜ¢⌶¤ᦋᗐᐰ§¨©——஺7.ª«ὅᜧ./k⌕¬⊈ªs——-8.ᐰ§c⏥®¯°⏨Ḅὅ²³+´——pCῚᑁᑖ·ᱥᡈᕏᔢᱥ᧕¼½¾¿

41ᔾÀÁÂ09../ὅÃ0ÄÅᨵ——ஹ——ஹ——ஹ——ஹ——ḄÆÇ஺10../ᑗCᑖQ=——ஹ——'——஺11../24ÈWᑁgÉÊÊËQ------ஹ3ஹ-------'--------஺12.ÌῳÎ./᝞½ÏÐÑឋᕃ⌮⌕ᱯÔÕÖ3bOῼ’ᔆDEḄ஺13.«ÚᶇÜÝ_-----+Þßb«Âwᢝáâ¼஺14.ãä⍝+æ./k------çè+Ἥê
-----çèἭ~ëìW■~——ᡈ——Ḅᕏᔢâî——ᡈ—Y⌕ᵨ15./k]ᜓ
./'ëê▲ᑴï⌼ᡂÉ&ஹòóL'ôõö᤬ᐭᡈᔠᡂ(ùúû'ü——Ḅ஺᝞Ë>0./ᨬᨵ——_——ஹ——ᡈ—ýþᐙᑖḄஹ஺16.ᨵ——Ὂ——ஹ——Ḅ஺!——"#——஺⃩%&'Ḅ(ὅ*᧕,-.஺17./ᔾ1&ᐰḄ3⌕⊤67——ஹ——789:;<Ḅ᠒ឋ?@7AB——஺18.Cᵨ——ஹ——EFGH᡽JᑺLM——NᓄᔾᐭEQRSឋT1&ᐰᨵUVWᵨ஺XYᾱ[Ḅ(ὅ\]^——_C`ᵨ——,a——bc——஺19.d1efḄghi᪷k————lmnᑨp஺dq?Ḅ\]^rᜓ⌕tCu7.O20.◀᠒ឋdwxy1&ᐰ(ὅ᜜{7|ᙠCᵨ~ᶭᡈᙠ——ᵨ~ᶭὅdwxy1ᑮ&ghḄᢓᑴiᙠᵨஹ⌱⚪A⚪1.\](ὅ]^12Ἥ4Ἥ7A.]B.■¡]¢£¤C.■¡]ῳ¦D.■¡§⏥ᡈ\]©ᕏᔢE.■¡¬ᔠ£®2.]^⚜■ឋCᵨᢙḄ〉C²A.ᑗ£´µ¶Ḅ\]B.·⍝\]C.¹Wº»Ḅᜧ\]D.½¾\]⊈H\]E.Lw@Q3.ញឋÁÂ᫱Ä(ὅÅ»ºᑁ&ÇÈÉ\]A.29ᨴᑁB.39ᨴᑁC.49ᨴᑁD.59ᨴᑁE.69ᨴᑁ4.Á⊦Ì(ὅÍÇÈ\]ᨬVᙠÏᑴÁ⊦ÌA.1ᕜLᑁB.1Ñ2ᕜC.2Ñ3ᕜD.3~4ᕜE.5ᕜL5.ÒᑡÔÕÁÖ(ὅḄ\]Ὂᨬ×A.ØÙឋÁÖ?B.Ú⊈ÛឋÁÖ?C.ញឋÁÂ᫱ÄD.ÜÁ?E.ÝÞßàRá6.᪷kâãlmnᩭᑨpÒᑡÔ⚗AB©hd1efA.<7.5mmol/LB.7.5~14.3mmol/L

42C.14.6Ñ25.ommol/LD.25.3~35.7mmol/LE.>35.7mmol/L7.æâ(ὅ]^âæCÏᑴᙠA.âæ.B.âæ
+C.âæ+Ñ++D.âæ++Ñ+++E.âæ++++8.▋éêëÈ▋éᑗ◀]1ᕜìíᑗ£î¾8ᜩðᜫuᑗ£ABA.ÕᵬóB.ÕôóC.ÕᵬóD.ÕôóE.Õõó9.ÇÈ⚠÷\](ὅøùḄúû7A.ᜮÚýþᚁᓷ
B.ᙶ
ᓷC.ᙶ
ᓷD.ᓷ
E.ᓷ
10.ḄA.1ᜩB.12ᜩC.23ᜩD.34ᜩE.4~5ᜩ11.ῳ!"ḄA.24~48#B.34ᜩC.$%᣸'D.45ᜩ12.3—6ᜩ()*+A.,-./B.⊈1C.234D.5⊈67E.8913.ូ;ஹᕏᔢḄ/?@AA.B⏥67B.⚝ᑁ1FC.⊈GD.HE.IJK⏚MN14.ῳ6OᕏᔢP*+A.⚝ᑁ1ᓣB.JNRC.ញឋU᡽4D.IJK⏚MNE.H15.W(JX89ḄYZ@AA.ῴ\]B.^_]C.^_^]D.`ᑡb]E.Jcᶇ16.eᑡfghi▲kA.UᓝmᢣopqḄUᜧᑗ◀B.ῳuvwx⊡C.Uz᪷|D.ᜧ◚☟ᾭ4
17.ῳḄ⌕@AA.Uo+ᑮᢓᑴPoῚ'B,⊈GC.oD,ῳ]18.ᙠ612ᨴᑁPᵨ|ᶭ12ᕜḄὅP◤7A.`1ᕜB.MᵨC.ᓽᵨᦜD.`£ᜩᵨA.45ᜩB.6ߟ7ᜩC.7~9ᜩD.14ᜩE.1012ᜩ19.ᜮ☢⚠§¨©◀20.ª«§¨©◀

4321.eῳஹ®▢§¨©◀)22.°4§¨©◀2326⚪A.ᜮᓷ
B.ᜮ´µᚁᓷ
C.ᙶ
ᓷD.ᙶ
ᓷE.êᓷ
23.ῳP·24.¹ºᡈ¼P½·25.¿Àe◣B⏥ὅ½·26.⚝ᾯP᝞ÄÅÆᡈÇÈP½·)2730⚪A.Ë/ᵬB.Ë/ÎC.II/ᵬD.II/ÎE.III/ë27.ᵬÏbᑗ◀PᑗÐÑÒ28.Uᜧᑗ◀PᑗÐៜᔠÖ×29.wx⊡PᑗÐៜᔠÖ×30.▋ÚÛÜPᑗÐᓄᾱXà⚪31.e☢hiákḄA.UᓝmᢣopqḄUᜧᑗ◀B.ìẚîìᑗ◀C.ូឋÒ᪷᷈|D.wx⊡E.ᾱÒᑗãä32.oᡈåoḄUo⍝çᜓ)A.`12ᜩ!ï"B.`10#Ἥ"C.ñòóoD.Ðôo⍝ᑴõöE.`÷Uo°133.ὊùÖ×Ḅ;úKA.ûüýàᐜᜩឋ;úKB.ឋ
C.ÿ
D.⊦E.
34.
ὅḄᜓᨵ)A.ᵨB.!'ஹᵯ*+,-ᜫ/C.!⏚#$D.0ᵨᢙ2E.Ἥ&35.45ὅ6789Ḅ:;<A.=>?@ABB.CDᑗFៜᔠC.=>IJ☟ᾭ⊈᪝OᡂD.ᑭRS⍝UῴWXYឮ[E.ᑭR67\]36.5A_Ḅ`a<A.b⏥dB.efC.g_hD.ῃ'E.Ἥ&37.kῚ45mnoᨵᑁq⊈Ḅrs<A.tk?X]moᨵkῚvwB.xᔾz{C.|kῚ}~ᑁᢝ}~q⊈wm100ml

44D.#☟ᾭR0.7kPa
7cmII2OE.⍩38.5S=◀Ḅᢣr<A.ូஹᕏᔢᜫB.S⍝XYឮ[C.ᨴ᣸5D.ᕃ⌮E.ᑁw~q39.ὅ¢4Ὂ¤¥¦<ᢣA.ᐰ¨©ª«¬B.Î⌕ᘤÑᨵᘤ+ឋ
ÒC.D®¯°ឋᜓ±²4D.᜜ÔÕ
¢ᐰ¨ᨵÖ>×ØE.³7Ἥ&40.5@A¥´Ḅµ¶⊤¸<A.567A_B.xᔾÙÚC.᳛ÜÚD.ᨵ¹▲ឋឋᗂE.ᨵ¹▲ឋÝឋᗂ41.45}¼ᑗFefḄ`aᨵA.ᑗF⊈½B.ᑗF¾¿C.ᐰ¨ÀᢙÁÂD.ῳÄE.⚣ßᑗFᣚá42.⚜■45ᑗFÇÈḄÉÊ<A.ᵨ=´Ë]B.ῳ?ᒹÍC.âᜐᳮῳÄD.ᵨᢙ2E.åæ\]çஹèé⚪1.S⍝4ëìíᜓî2.⚜■5¥´Ḅïðᨵìíî3.⚜■ឋᵨᢙ2Ḅ〉òᨵìíî4.
ὅᜓḄóôõ⚗ᨵìíî÷øὃéᫀû¯ஹüý*þ1.ÿᑗៜᔠᜐᨵ᝞ஹஹᓄᾱៜᔠᵨ“”⊤"஺2.&᜜()*+,-.Ḅ0123456ᶭᦔ9:;ᐙᑖḄ.>?ᜓAB-.CD-.஺3.▲D-.FᢣHIJKL⌱CᨵNOḄ▲P2QR0SᙠANUHIᑁWKX:ᑮᐙᑖ?ᜓZB-.▲D-.஺4.ᑗ[\Fᢣ]^ᑗ_KX`\Ḅᑗab[\஺cஹde⚪1.CD-.▲D-.ញh-.2.21.3/13.3kPaᾯ⊈kl᜜ᐙ⊈ឋno⊦q3.2ᕜஹ4.6sᨴᑁ6sᨴLu3v4ᕜ5.⊈wᑖ᪆yzX6.{|}~ᜓ7.Pᓣ᝱
5.6v11.2mmol/L

458.ᓷᜮᔣN9.{|yyabᦋᗐᐰ⊈ᑗៜᔠ☟ᾭ¡⊈¢b£⊈᪝¥ᡂ10.]^ᑗ`\ᑗKX`\ᑗ11.©ªឋᡈᑁᑖ¬®¯⊈°y2±²⊈12.´ᔠᡈᓝcᢣ¶·¸¹13.500ml14.12¿H4¿HÀ⏥-.ÂÃÄÅÆᔾᐭឋyɶ°15.ÊËÌÍÎៜᔠ■Ð[\NᕜÑÒÓÔÕÖ☟ᾭ⃩Ø16.⊈Úᜫ⊈ÜÝÊËÞៜᔠßàᾱáឋ[\17.ãäåæçèb£éᔾêëìᗞywîïឋyᣚwzX2ñ18.Àòóôₐóö÷uøù3v5ᜩᢙ£ùüýþᾱឋᑖ¬ᱥ᣸
19.24ᑁ◀᳛⊈ᨬᜧ▲ᦋᗐ20.612ᨴ12ᕜ#$%2ᜩ'ᓄ)Ḅ+,ஹ⌱/⚪1.D.2.E.3.E.4.D.5.C.6.C.7.C.8.D.9.B10.C11.C12.E13.A14.C15.E16.C17.A18.D19.A20.E21.B22.D23.D24.E25.A26.B27.B28.C29.A30.E31.AD32.CD33.AB34.ABCD35.ABCD36.BCD37.AC38.BC39.AB40.ABCD41.AC42.ABC:ஹ;<⚪1.<=>?⍝#$%Aᜓ=#$%12ᜩCDEFGHIJ$%12ἭIJ$%4ἭL஺N?ᡈP?#$%QRS?⍝ᢙUVᱥXYᑺ[$%ᳮ?⍝஺#$%]^_?[᣸`?⍝[ab?ῚᑁdUᦪf[⚜■#$ij஺2.<=⚜■$klmnop=জ$%rstuᔾ[ῳx#$%yrsz{tuᔾ[zx#$%rsῳ{tuᔾ[|}Eᔾ~JঝablX~ᑖ[᝞ᨵᔾs[$%ᕜQᔾ[RῚJঞ$k▲ᑴuᔾḄᡈᣊJট᣸
~ᑁᑖᱥJঠ■$kᕏᔢᱥḄᔾᐭ஺3.<=$k⚜■ឋQᵨᢙḄ〉Q£=জ¤¥ij¦ᮤᡈᑗR©ªij«¬Ḅ#$Jঝ?⍝#$ḄAᜓJঞ®¯°±Ḅᜧ#$Jট²jḄ³´[³¯µ±ᡈ¶|·¸³ὅJঠº»#$X⊈#$஺4.<=¼½¦¾ὅ$%Aᜓ¿⚗=জ±ÁÂᵨÃÄHIXᑭVᱥ[LᵯÇGᜫÉḄ¦Ê[#$%◤ÌÍJঝÎ⊈¦ÊÏÐÑÒ[Ó¼ÔÐᨵÕÖ[#$%Qbf×ØÙ⊈ÚÍJঞᨵ¼ÛᜫÜὅ[Q᪷Þmßàá«âÓãJটញឋ¼᫱æ¦Ê6çᨴᑁmpè/Á#$J6çᨴ|é[ê⌕ìᨵ¼íîï®[ᙠñòᩩôõ)#$஺ö¼Ñ⊦ø¦Ê[ᨬùᙠ¼Ñ⊦øúᑴ34ᕜk[ûpè#$஺᜜ý¦ÊḄ⃩ÿ
ஹ

461.PN2.ENஹ⚪1.——Ḅᓫᑖ!——"——஺2.$᜜⃩'ᑴᑺᨵ——ஹ——ஹ——ஹ"+஺3.᝞ᵨ/0PN1ᢝ3456ᕜὅᐰ⃩':ᔠ<=——>?@᝞◤BCPN1ᢝὅᑣE=——>ᐭ!G஺4.ENᑴᑺḄᡂᑖᒹK——ஹ——"——LMᨵNᳮ◤⌕/Ḅ——,——ஹ——஺Rஹ⌱T⚪AV⚪1.W᧕YZ[\]/◤⌕Ḅ^_Eᓟa\bZcᜩ◤⌕/!()A.41.8kJ(10kcal)B.62.7kJ(15kcal)C.83.6kJ(20kcal)D.104.6kJ(25kcal)E.125.4kJ(30kcal)2.ᐵuv⏚"xᑡz⚗3|}()A.v⏚ḄᓫB.v⏚ᑖ!~◤v⏚"~◤v⏚C.1v⏚ᙠ᝱xᡂ!ᾙḄᱥD.v⏚ஹv⏒ᙳ~◤v⏚E.v⏚"NBḄᔠᡂ3.ᐵu
xᑡz⚗3|}()A.|\Ḅ(v⏚)◤⌕/!0.8~1.0g/(kg-d)B.ஹ¡¢Ḅ◤⌕/£¤¥1.2¦1.5g/(kg•d)C."NB¨ᵨḄ¤©ᙳª«ᙢᔠᡂD.[\cᜩᔾᦈḄv⏚¯⌕ᵨuḄᔠᡂ°250g/dE.±-1²6³ᔠᡂḄ´µ4.xᑡz⚗3¶ᔠ$᜜⃩'ᡠᵨ⃩'<Ḅ⌕¸()A.c¹º»¥0.15g/kgB.Mᨵ〉/Ḅᵯஹ¾N"¿/ᐗC.〉/⊡ᐙ"ᾦÄÅᑺD.Æ(g)"](kJ)ÇÈ!1:1000E.ᡠ⊡ᐙḄ~◤v⏚"~◤v⏚ḄM/Ê!1:25.ËÌÍᜓ¢ḄἭÐÑ[ÊÒÓÔÕÖ×3ØÙ☟ᾭÜ/⊡ᐙGØ100gÝÞḄℍ⃔á"〉/Ḅâᑖ஺ã¢⊡áḄ¯⌕¨ᵨäå()A.æºçὅḄ/◤⌕B.çὅᜐué
᝱3◤ê⊡C.ëìḄíὑD.ïðñòóE.ëìáôḄíὑ6.ᐵu[\Ḅ/õᜓ"◤⌕xᑡz⚗3|}()A.\/õᜓᒹKáô஺"ᾦÄB.áôºö3765.6kJ(900kcal),øᓰᜩ|◤⌕/Ḅ1/2ÝÞC.ú¨!ûíὑüýᘤÿ


47D.⛭ὑᾦ
ᘤḄ
ᜧE.ὑᾦ
!"ᓄ
7.%&'⃩)*+ὅḄ-./ᑡ1⚗3456A.ᕜ9⊈;<=>?ᦪA1.5X109/1.5X109/mm3JK⃩)*B.MNOᵬQR⏚ᓣUJKᑁᑖXYZC.\]^᪗`\Ḅ10%,JKcᙠ⃩)*D.ᑁef.g⃩)-.Ḅ\⌕ᢣ᪗E.jkl⊝nopᢣq⃩)rᢝtᶭ8.ᙠwxஹz{|}~/ᓄ/ᑡ1⚗3456A.kl⊝B.ஹᵯX⏚l⊝ᜫC.zᐶD.Ḅ☟
ὑE.Ḅᑭᵨ᳛ᓣU᧕]⊈9.Ἥ¢£¤✌ᐜ§ᵨḄ
¨g56A.©B.ª«¬C.⊈D.ᾦE.®ᑁ10.ᐵ^°᜜⃩)Ḅ²ᵨ/ᑡ1⚗3456A.⃩)*ὅḄ³´`ᜓᓄ⍝·ஹ¸\z{|¹ºpZ»°᜜⃩)rᢝB.⃩)rᢝ¼ូឋ=>¿ᦑូឋÁ᷈¹º²Ã°᜜⃩)ḄἭÄC.ῳÆᜧdzȲᵨ°᜜⃩)rᢝᨵᑭ^¹ºÊËD.ÌÍ឵¹¹º°᜜⃩)p¼°⍝Ïᨵᑭ^¹}ÐXE.ᨵ®Ñ⊦ÓḄ¹ºÔpZ»°᜜⃩)rᢝ11.°᜜⃩)ᑴᑺ×ᵫᕜ9☟ᾭᓫÛܺḄ⃩)ÝÃ56A.10%ᾦÞᑺB.|ßᳮáC.ËâRQ⏚ãÝD.10%ℍ⃔ÝE.25%ℍ⃔Ý12.ᐵ^ᐰ⃩)èᔠÝḄêë/ᑡ1⚗3456A.p¼ᔜí⃩)îïZᐭᑁᔠᡂᨵᑭB.UòóḄℍ⃔ôõö¼ᐸᕜ9☟ᾭÜᐭᡂÃp
C.øpùúûᾦÞᑺÜüýþÿḄD.ᙠḄᱥᐰE.ᐰ⃩"#ᔠ%&ᙠ'()᛻+,ᑴ./01(23Ḅ4513.9᜜⃩";ᶭ┯>Ḅ&?@A.Bᨵ'ῃEஹEGᨵ'HIஹJKLB.ᵫ᜜ᕜᡈQ☟ᾭᐭ⃩"%C.VWXYK-,Na+,C1-,Ca2-D.abᐜdeafᑮ◤⌕jE.kஹ%ஹᶇmᙳop᡻r'(st14.vwxyz&9᜜⃩";ᶭḄ{H|}~⚗&ᐸHḄ?@A.⊈v&ᵫℍ⃔v%abdᡠB.⊈v4vᑭᵨ᳛C.ᯠbℍ⃔v?ᨵ@¡⊈v

48D.o¢Ḅ⊈v£ឋ¥¦ឋ§¨E.©ª«¬Ḅ®⌕&ℍ⃔v¯°₹Ḅ©ᾦ³´ឋ15.ᑡ⚗&·☟ᾭkឋᾱ¹|Ḅ?@A.k'(stopB.º»¼½¾ᱥC.ºᵨ⊈%ᑴ¿ஹÀ⊈ÁYÂD.kÃÄÅÆÇᜐᳮÊE.ᐰ⃩"#ᔠ%Ëᙠ16ÍᑁÏ16.9ᑁ⃩"ÐᢝᨵÒÓÔÕÖ◀᜜ᑡ⚗?@A.■Ù9⍝ÛÜÝÞßàÙ9⍝ÛÜḄ■á¼½B.9ᑁ⃩"ᑴᑺãᡂᡂᑖæᓫ᧕é9ஹ%êᓄC.9ᑁ⃩"ᑺ9⍝ᔾᦈᐭ©îᙠᐸᑁᔠᡂ4ᡠ◤⌕ḄᔜðᡂᑖD.ñ⃩"òóéÛÜᑭᵨᨵᑭwxE.ᵨôᳮᵨõö÷/H{H|17.9ᑁ⃩"Ḅùú~⚗ûü?@A.9ᑁ⃩"ᑴᑺ⃩"ýþÇÿ
B.ᐭ
ᨬᵨḄC.⃩ᐭஹ
!ῳ#.ῳ$D.&ᵨ'()ᡂ12%
50ml/h4ᐭE.384ᜩ;ᵨ24%
100ml/h4ᐭ
<ᜩ=>?2000ml18.ᵱឋ58CDὅ
FGH;I8ᜩ
JKLᔠ᷊
OPQRS᜜⃩Uᢝ஺ᵨ10%ᾦYZᑺ500rnlᵫᕜ`☟ᾭᐭ
ᐭ43ml/min,eᐭ?50ml'
Dὅfghஹij
kl38.3࠷oo✌ᐜὃ⇋tuvw!xyA.ᐭ4{B.ᾦYZᑺḄ|}oC.ᾦYZᑺḄ~ឋ}oD.i᫱E.LᔠឋJ⊈X⚪19.H;
᜜Dὅ⊡ᐙ⃩Ḅ⌱oxyA.ᓄ⍝ὅ
B.ᡈQFὅᵨ⛴C.SHᜓH;ᜐᳮᵨSᑁ⃩ᑴᑺD.⛴ᨵ¥¦ᡈ§¦¨⃩ὅ
©ᵨS᜜⃩E.ᨵª«⊦ḄDὅ®QRS᜜⃩20.¯ᑡ±²Dὅ〉´©ᵨS᜜⃩xyA.᝕ឋ
68CDὅ
·¸᫱¹,pH7.52,PaC026.IkPa,HC03—37mmol/LB.ÃÄÅ
ÆSÇ┝
ÆSÉÊ
Ë14cmC.ᵱឋ
74CDὅ
ᾯ⊈Î᜜;
ÏQFÐ2ᕜD.᝕ឋ
24CDὅ
wH;I9ᜩJKÑÆS᷊E.᝕ឋ
26CDὅ
ᒈÓÔH;I1ᜩ
ÕZÖᑖØ21.ᐰ⃩ÚᔠḄÛÜÝÞ<ßᒹáxyA.25%ℍ⃔ä1000mlB.20%ᾦYZᑺ250mlC.10%ℍ⃔ä500mlD.åÞæÛ⏚1000mlE.5%äèé500ml

4922.êi☟ᾭëQRS᜜⃩⌱ᵨxyA.⚠᜜☟ᾭB.⚠ᑁ☟ᾭC.ᜮ☟ᾭD.î⌕☟ᾭE.┝ð¯☟ᾭ23.⊡ᐙ⃩Ḅ⌶òᨵxyA.B.⛴C.ÑÆS⌼⛴D.ᕜ`☟ᾭE.┝ð¯☟ᾭ24.ôêi☟ᾭõöᡈᶇöᨵᐵḄùúᨵxyA.ûgB.⊈gC.ûk᪝ýD.ᾱ~úE.gÿ25.ᑡ᜜⃩ᡠḄA.ஹஹ⊈B.!"#⌨C.&⊈D.ῳ)ஹῳ*E.,ឋ./ឋ0126.ᑁ⃩45ḄᨵA.ᔾᐭឋ9:B.,ឋ./ឋ01C.ῳ)ஹῳ*D.;<ᑁ;=>?@AᡂE.C!"DEFஹGH⚪JKᑁ⃩Ḅ〉MN஺PQὃHᫀTUஹVWXY1.PN]᜜⃩^ᵨ`a"ᡈacde᤬ghi5j7ᜩḄmὅ஺2.EN]ᑁ⃩^oᵨ`p!"q4ᡈrᙠtᑖ!"ὅ஺vஹwx⚪1.yz⏚|◤yz⏚.|◤yz⏚2.ℍ⃔ᾦᑺyz⏚ᵯXᡈᐗᡈ3.ᕜ☟ᾭ☟ᾭ4.ᓄᔠᱥᾦᡈᐸᑖX¢ᱥᵯXᐗ£^⌱¥⚪1.D2.D3.E4.D5.C6.E7.C8.E9.A10.B11.E12.D13.D14.C15.E16.B17.A18.A19.ABCDE.20.BD21.ABCDE.22.BE23.ABCDE.24.ABCDE25.ABCE26.ACF^GH⚪H]ᑁ⃩Ḅ〉MN]জp!"q4^ª⃩ᱥ᤬«a¬ᡈa"᤬ὅ^᝞01mὅ.ᜧ☢±²³´ঝp⍝!"a·^᝞¸ᓄ⍝¹ஹº»ᔠ¼´ঞp!"z¾q4ª¿ᐸÀÁᘤ!"a·ὅ^᝞ÃÄᡈC!"aᐰὅ஺᜜ÆÇÈ

50UஹVWXY1.᜜ÆÇÈ2.vÉÇÈ3.Ê4.Ëញឋ⇾ÎÏ:5.ÐÑ6.ᾱÑ7.ÓឋÇÈ8.ÔឋÕÖvஹwx⚪1..ᱯØឋÇÈ45ḄÄÙᨵ——ஹ——ஹ---->——³஺2.ᱯØឋÇÈ45ḄÄÙᨵ——ஹ——ஹ——>——³஺3.᜜ÆÇÈḄÄÜᙠ——ÝᑁÞញឋÇÈ^ÄÜhi——Þ᠒ឋÇÈ஺4.᜜ÆÇÈញឋ:Ḅàtáᨵ——>——஺5."ᓻ◅£åæ”Äèéᒓᡈëᢴíî^ÄÙod——ஹ——ïᐭ⚝ᑁ^ñò-6.óᢣΎ♆:o⅁øᑮ——^ᢣúûVᢣΎ♆ÇÈ^ᑣo⅁øý------஺7.ẚÿ
ᨵ-------------.ẚᢙ8.ᶭឋḄ⌕"#ᨵ——ஹ------ஹ-----------------------஺'ஹ⌱)⚪A,⚪1../0⚗23ᱯ5ឋ6789A.:᪶ᩚ=67B.?67C.Aᳫ=CD.ᜧFᩚ=67E.ឋ2.᠒ឋ67JᢣCLMN89A.1ᕜB.2ᕜC.3ᕜD.1QᨴE.2Qᨴ3.S᧕67UV/ᑡ0⚗┯Y89A.Z[\B.]^_`C.abD.cd⃩fᑺE.C=ᢙh4./ᑡ0⚗jJ᜜l3ᱯ5ឋ67mnḄoC=89A.pᳫ=B.ᜧFᩚ=C.⊤rℍ⃔ᳫ=D.uvᩚ=E.wxyzᩚ=5.ᐵ}᜜l67~/ᑡ0⚗j89A.]^⊈~_⊈Ḅ᧕67B.C=ḄoCᵨᐸḄᑗᐵC.67᡽ᦣUឋᜫoᐰឋᔠ¢D.▾ᑁ67ḄC=¥▾᜜ḄUᨵ¦§ḄឋὊhឋE.᜜l67ᙳ◤«¬ᶭ6.ᐵ}᜜l67~/ᑡ®¯0⚗j89A.°JᓫQ²³ᐸᕜ´]^Ḅញឋᓄᾱឋ67B.¸J¹Qjº»ᦣᙠḄ½²¾ᐸᕜ´]^Ḅញឋᓄᾱឋ67CᵬÀJᢣᵬÀ¾ᐸᕜ´]^Ḅ67D.ញឋ⇾Â^JᢣÃÄ:Å]^Ḅញឋ67E.ᾱឋᢣᜮJᢣ«ᢣÇ⁚r/]^Ḅᓄᾱឋ677.ᐵ}ÊḄᶭ~/ᑡ0⚗j89A.ᐰᵨᢙB.ºËᶭÌÍ67C.Îᜐ᜜Ðhᱥ

51D.ÒÓÎÔ~ÕÖ×ØE.Ù⌕Ë«¬ᶭ8.ᐵ}ᾱឋᢣᜮ~/ᑡ0⚗┯Y89A.ᵨᢙB.ᶭC.ÒÓÎÔ~ᵨÚÛᑺD.ᢣῳÝÞßÓ~ᒓÛËáâᑗZÕãE.äåæØËᑗZçè9.ញឋῳéêëabḄ⌕UJ89A.ᜧìᔾᦈB.ᜧìSïᜫC.VឋðñD.ᔾᦈ⊈òìÕÖE.ញឋóᔾ⊦õ10.ö¾÷/Ḅញឋ⇾Â^ᓻ¾ùḄmúxJ89A.ᾱúB.ᓄᾱឋðñC.⚝ᑁᓄᾱឋüýx☟ᾭ
D.ᗕᜮᡠᔾE.◞ᓄᾱឋ11.ᐵᔆᾱᑡ!⚗┯$%A.ᾱᓽ'⊈B.)ᨵ+,ஹ.ᡊ012⊤4C.56789Ḅᐰ<D.⊈=>?@AB▢ឋE.DBᵫF?GH12.ᾱ⊈@AḄIJᨬL⌱N%A.O,PQB.O,ᨬ+RC..ᡊSQID..ᡊᩭIE.⚜V.ᡊW13.ᐰ<ឋḄᡠXYZ4[5ᢣA.Z]᳛ஹZᔾ⚣᳛ஹZ⊈B.Z`aஹZb>cஹZ⊈C.Z⊈dஹZ⊈eஹZ⊈┛D.ZgbஹZhៜ᳛ஹZjᢙ᳛E.Z>?lm᳛ஹZᢙnoḄᦔ᳛ஹZhៜ᳛14.ᑡᨬ᧕m4YZ4[Ḅ5%rA.☩ᐲ□ឋᳫ?ᾱB.☩ᐲ▢ឋᩚ?ᾱC.☩ᐲ□ឋᩚ?ᾱD.xឋyzE.ញឋ⇾}~
15.ᑡ!⚗5F?ᾱḄᱯ%rA.⏙☩ᐲ▢ឋᩚ?'⊈B.ᕜ⊈[Bᕈb⊈C.)?5b⁐?D.Onᢙnohᶭb>cVᦪ+E.F?B☢~ᦣ6⊈@A᧕O416.ẚ¡ᐺ£Ḅ12¤5ᵫ¥!7¦§GHḄ%rA.ᐰ<¨©ªZB.«ᑁᐭẚ¡¯?C.ẚ¡¯?°nḄ᜜oD.ẚ¡¯?°nḄᑁoE.«²¡GH17.ᐵẚ¡Ḅ12⊤4ᑡ!⚗³´%rA.ᐺ£µᾙᦈ¸ᨬSQ☢⊤¹µB.6ºᢝ¼+,C.½ᤊ¿«ᔢbÁD.OÂI⊤¹ÃÄÅÆÇÈ⏨E.ῴËÌ͵ÎÏBGHÍᜫἭ18.ÒÓὅÕÖµᾙ×ᱥ᤺◀ÛÜ⚜■ẚ¡ᨬ)ᵨḄßà5áâ%A.ẚ¡oB.ẚ¡ᢙoC.ẚ¡¨©ᳫgbD.ãäᳫgbE.ᵨáâ

5219.ẚ¡Óὅᵨᢙ?çᱥḄèḄ5%rA.êëẚ¡᜜oE.È◀ẚ¡᜜oC.êëẚ¡ᑁoD.ᢓᑴẚ¡¯?E.ẚyẚ¡¯?ñc20.xឋyzḄ12ᱯ5%rA.`a³)B.õö,Ã÷C.,b>c+D.ùúOnûE.õµᾙyü⊈ឋᑖþᱥូ21.ᐵឋḄᑡ┯ḄA.ᒓ!"B.ᕜ%&'()*+C.ᐰ./0123D.X6789:;<=>&ᨵ@E.ᑖCᱥEᱏ&8G☩ᐲ▢ឋKL22.ᢙLNᱥḄ⌱PᨬR᪷TA.UVWXYZB.[\L]^C.NᱥḄᢙL_D.KL`a(NbcZE.deឋ223.gᵨᢙLNᱥ⚜■klmnopqrᑣA.ltuᵨ3ᜩlmᵨ3ᜩB.ltwᵨlmuᵨ[x6C.lt1yz☟ᾭ}ᐭlmuᵨ1ᕜD.lt1yz☟ᾭ}ᐭlmuᵨ3ᜩE.lt1yz☟ᾭ}ᐭlm24yzN24.ᢙLNᱥᙠ᜜\uᵨ/ᑡwA.3᜜ᜧ☢@u⚜■uᵨᢙB.ᢙLNᱥuᵨ&klm*1klᐰឋC.ᐰ.wὅu⌱PᵨᩔLḄᢙD.3noὅᙠஹᐰ.noᮤR¡m3¢4ᜩᓽ&NE.¤¥¦§¨©Ḅªὅu«¬®¯°ᵨNḄ>◞z>25.ᵱឋ45´ªὅµ¶t·¸¹º»2ᜩᨵ“½ᷯ”\À78µ¶tᨵᩩÂÃÄuὃ⇋ḄA.SepsisB.AcuteLymphadenitisC.ErysipelasD.AcuteCellulitesE.AcuteLymphangitis26.ᵱឋ30´ªὅᜧ☢@mÛ5ᜩÜ*¹ᡊÞßàwáâãäwᓣஹæKçᓣàw!"ஹèéêëஹìᾭí஺᪷TïðUV⊤äòA.☩ᐲo⁐□ឋKLᾱ01B.☩ᐲo⁐▢ឋKLᾱ01C.☩ᐲo⁐□ឋᩚLᾱ01D.÷LឋnoE.ïðøwBù⚪27~31⚪A.W▾ᑁnoB.ÿឋC.ᱯឋD.E.ᱯឋ27.ᓄᾱឋ28.ᡠḄ

5329."#$%&ᙠ()*ᢙ,-./Ḅ030.ᐹᨵ56789:;<=ឋ>8Ḅᱯ?31.&AB=32~34⚪A.ᾱG=D.HIឋᾱJC.&AB=D.⊈=E.SIRS32.ᨵᐰPឋ<=QR⊤TU᝞#WஹYZஹ[ᔾ]^_ᦋaḄ᜜c033.ᾱG=Ḅ•6U⊈efgh8iὅUᨵ^_Ḅ=k034.᡽ᦣUn7<ឋopᜫrUstuonvwxὶᡈ{|QR0X~⚪35.⍝▋Ḅញឋῳ<Ḅ780A.⁐ℍ⃔ᳫB.ᳫC.ᜧᩚD.⊈ឋᳫE.ẚ36.%vwᙠᡂ"ḄA.⚠⚗D.C.☢D.ῳ¢£E.¤¥37.ញឋ⇾§¨<Ḅᱯ©0A.8aª᧕¬▲B.®$%¯¨°^_±▲C.²⌕780⁐ℍ⃔ᳫD.9´µ¶ஹ⊈·¸¹E.9ᨵ^_ḄG⊈=38.G⊈=º»⊤TḄᱯ©0A.¼½¾°¿ᡊB.ᾭÂÃÄ^_C.ÅÆhTÇ⊈D.⊈ef□ឋE.⊈ef▢ឋ39.º»ÊËᶧᨵÍឋÎ⊈=RÏÐÑgÒA.ÓÔefB.ÕefC,⊈efD.×ØÙgÒE.ÚÛef40.ẚv8ḄÜÝᨵA.ÃG,ÞUᦪàáB.âãäå,C.¬æâÛD.çèéᨵêᓄ┛E.¬â⊈41.ẚ=kḄGÝ0A.GÝD.ìíGÝC.⊈GÝD.ᑁGÝE.J᷈ðñÜò42.óឋðôḄõö÷øᨵA.æᕜúûüývþB.^_Ḅÿឋ⊈C.ᑖᱥᱏᨵ☩ᐲ□ឋᩚD.XᨵE.!"ஹ$%⚪1.ᐰ)ឋ*+Ḅ-⌕/ᶭ12ᨵ3452.78ឋ9:Ḅ;<=>஺@Aὃ%ᫀDEஹFGHI1.᜜K*+Lᢣ◤⌕᜜K/ᶭḄ*+OᒹQRSTஹUVWXḄ*+஺2.YZ*+Lᙠ\ᵨ^_ᢙabᡈὶᔠ\ᵨᢙfᱥ/ᶭ*+ghiOjᩭḄlmnᢓᑴOqὊfs᝞uvℍ⃔ᳫOz{|ᡈ}~sVᜧO\mZO

54஺3.LᢣḄᐸᕜḄញឋᓄᾱឋ*+஺4.ញឋ⇾¡L¢ᢣ£¤¥¦Ḅ*+஺5.¨©Lᢣª«¬®Ḅញឋ¡*+஺6.ᾱ©Lᢣ*+°±Ḅᐰ)ឋ¡²³O´ஹµ¶ஹ·ᔾᨵ¹ºᦋ¼ὅ஺7.¿Àឋ*+L¿⍝¢ÂiᨬᜧḄ“Åᡠ”È“ᑁ©bÊ”OËZRVᓻZmÂO¿ÍÎÏÐÑÒÓÔᡈ⊦Ö×᧕Xa¿Àឋ*+஺¿ᑁlmÈᑁ©bÙÚ¿⍝ÛÜÝÞßl¿Àឋ*+஺8.ឋ9:Láâ*+ḄEãOᓽ|åæçᩚᡠlḄ9èᡈ¡஺Yஹéê⚪1.uvℍ⃔ᳫë⊈ឋìᳫᜧ¿ᩚíîᎷᓫç2.¥᪶ᩚẚó|ôõÎ|ö:ᩚ}~s3.3ᕜ2ᨴ4.øùú!ÑÒÐû5.ᑁḮ☟ᾭÿ☟ᾭᓄᾱឋ☟ᾭ6.◣7.1500U8.ញ!"#$ᵨᢙ'()*+,ᶭᐰ/0ᢝᶭ23ஹ⌱6⚪1.D2.E3.D4.E5.E6.B7.E8.E9.D10.D11.A12.C13.D14.E15.E16.C17.D18.B19.D20.E21.E22.D23.E24.B25.E26.B27.C28.E29.B30.C31.D32.A33.D34.E35.BC36.AB37.ABDE38.ABCE39.BCDE40.ABCDE41.B42.ABCDAஹBC⚪1.CDᐰ/ឋEFḄH⌕,ᶭJKL$ᵨMᔠ,ᶭOᐵQLᜐᳮTUVᮤDজTUVᮤḄᜐᳮYZ[\O]◀_ᐵḄV`aঝᢙcdᱥḄ$ᵨf⌕ghijklOm᪷oTUEFᮤḄឋpYqὶᔠ$ᵨstᨵᦔḄᢙ'(Ow$xyᑺ{O|᪷o}cijd~kl$ᵨᢙcdᱥaঞ0ᢝᶭ2aট!,ᶭaঠᢝ⌕ᘤY┐TᨵVḄᜐᳮ஺2.CDᨵឋḄoDজqḄ⌕⊤L᪵O¡¢£ᒓOᕜ¦§¨ᨵ©Uªaঝᑖ¬ᱥᱏ¯°☩ᐲ□ឋ´ᜧᩚcaঞX¸¹¯º»¼ᜐ½¾¿À஺#ÁᡊÃஹÄÅ]Æ1.#2.ᡊ3.ÇÈ4.ᑗ¸5.ÊË

556.#ឋÌÍ᷈7.ÏÐ8.#Ñᔠ9.ÒÓÑᔠ10.ᓄÔÑᔠÕஹÖ×⚪1.ᙠÙÒÚOÛm᪷o⍝ÝÞ|ᑖß——ஹ——ஹ——Á----஺2.#ÁᡊmâãäåḄæçèéOæçêëOH⌕⊤ᙠ——ஹ——Á——3ìí☢O3ὅ_ð_ᡂOòß`l஺3.¾¿óÑḄôõö÷ᑖß3ì▤ùD——ஹ——Á4.#ḄwU!H⌕ᒹûEFஹ——ஹᾦý᪝ÿᔠஹ——ஹ——ᘤ஺5.ᵨḄញᦗᢈ⌕ᨵஹ——ஹ⊈ஹ——ஹ——஺6.!"#$ᑖ&——ஹ————'(஺7.ᓄ+,ᑺᑖ&./0ឋ,ᑺஹ——ஹᐰ3ឋ,ᑺஹ——ஹ45ឋ,ᑺ'ஹ⌱7⚪A:⚪1.ᙠ=>#?@ABCBᙠDEFḄGHIA.JK#B.MN#C.ᑗQ#D.ST#E.◫₩#2.ᓄ+,ᑺ##᪗GHIA.Z⁐ᩩB.]⁐ᩩC.^⁐ᩩD._⁐ᩩE.`⁐ᩩ3.bcd#ៜᔠḄfghi?@jᑡlE⚗GᨬoḄphHIA.q#sᜧB.uvwxyC.#Bz{D.|ᱥ~ᶇE.⊈4.ᵱឋ@30#ὅ@hᰦ##ῳg@ῃC@ḄGHIA.ῃCwxB.ᵨᒹῃCwxC.ῃCwxῃCD.ᵨᘤ¡¢£ᒹE.¤¥ῃCwx¢5.ᵱឋ@30#ὅ@¦#¢᎔ᙠ¨ᚮ?@ª«Ḅd#&HIA.¨ᘤ#B.¬#C.!"#D.d#ᔠ#E.d#yª#B:⚪H6~7⚪IA.0.25mm/dB.0.5mm/dC.1mm/dD.2±3mm/dE.1±2mm/d6./0q#¢Ḅៜᔠ?@ᙠ²³#B´«µ¶·¸&HI7./0q#¢Ḅៜᔠ?@ᑮº»¼¢«µ¶·$ºHIX:⚪8.d#ᜐᳮ?jᑡlÁGÂÃÄᐜᜐᳮḄញÆHIA.ÇTஹÈᔾÊËB.ÌÍC.ᜧC⊈D.ÎÏ:ÐÑE.ÒÓ9.ᵨḄ⊈ÕᨵlÁHI

56A.ᢣB.ᒹC.×ØD.ÙᦱE.⊈ÛÜ@ÝÞ⚪1.ßàwxáḄâã³ä஺2.ßàd#åæ?çèéḄêëÝ⚪஺ìíὃÞᫀðஹñòóô1.d#.ᨵõö÷öøᑖ@õöḄGᢣùúஹᱥᳮ@ᓄ+ᡈ«ᱥühi⌼ᡂḄùÿ
Ḅᢣឋ
ᵨᡠ⌼ᡂḄ᪀᦮ឋẚᡈ!஺2.ᡊ
'•)ᢣᙠᡊᧅ,ᵫ.ᘤ01ᡈ21⌼ᡂḄ
34ᡊᧅᡈᡊ56᛻8⌼ᡂḄ
஺3.:;
'ᢣ<ᨵ>?@ᨵA?Ḅ
஺4.ᑗD
'ᢣ
ᱥF⊤ᑗDHᔣJKᡠḄLMN
஺5.PQ
'ᢣ>?RA?ᙠSTUḄ
஺6.W
ឋXY᷈'ᢣXY[\
ᡈ]^_`᝞b]c2deᜧ`ᡈg⊈iஹ᷆lᡈmᱥno◞`qrḄXY[\sᑮuv]c`wxyz{rḄ|}ᙠT~`ᔁᡂ`ᡂW
ឋXY᷈஺7.
'ᵨ>8⌼ᡂḄ

஺8.W
ᔠ
'ᢣ
ᕒSᡈᑮsS
Ḅ
஺9.ᔠ
'
ᕒSᡈᑮ
RT3ᐸ
`ᔠ
஺10.ᓄᔠ
'ᢣᑺ,ᔠᔜW
`ᡈW

?gᑺ¢£8⌼ᡂḄ
஺¤ஹ¥¦⚪1.:;
¨©
ᑗD
PQ
2.ª«¬®¯¬¬°3.yz±²P³▤µ¬{¶ᑖᓄRᾙ¹rᡂ▤µᛛ▤µ4.»¼³½ឋ¾¿À⊈!5.;ÁᒹÃ_〈6.Á
ÒÓ
Ö
7.ÄÅឋᑺÔÕឋᑺᜫឋᑺ⌱Ç⚪Èஹ¥¦⚪1.D2.B3.C4.D5.D6.A7.D8.ABCDE9.ABCEÎ.ÏÐ⚪1.Ð'ØḄÙÚKÛᜧwᑖÈÜ<ÝÞᑖ@ÝὶàḄ▤µ஺জyz±²P³▤µ'ᙠW
_âᓽär`åwᢝç3è5ᜩ஺ê⌕⊈©R¬P³ஹìí³Ðஹ⊈îÀÖR[\ïðḄñò`óḄᙠô◀
ᡈöḄ`qrRØᝈøÙẠ`ঝ¬{¶ᑖᓄRᾙ¹rᡂ▤µ'yz±²ûüsý`ᓽwᨵþr¬Aÿ஺ᡂஹᑁஹᑖᓄஹᑖᔠᡂஹᑖ⌕ᡂ

57"⊈$%ᐳ'᪀ᡂᾙ*஺+⊤Ḅ./01234Ḅஹ5⌚78☢:;<஺=ᜧ?ᦪA./ᑣ◤⌕23ᾙ*"ᡂḄDEᩭGᡂ஺ঞᛛ▤KLM3ᜅOP/ᜐ5RᑮTU;<="᝞ᙠᦪXXD☢%Y0Z[Rᑮ\᪀][Ḅ⌕^ᦑ◤`•Uᦋ᪀cd஺⌕ᒹfgὶiஹjkil?mḄnop⏘rsl3ktuḄv⊈$wx⌨/zḄ{op|}ᑖ~஺2.L8/|Ḅ8/ᶭᐹᨵc⌕Ḅ=8/ᓻcὅᦗḄ4ᨵ஺¡¢£¤⚗Lজ§ᓻc¨᝞©ªஹᜧ⊈ஹ«¬®¯°±ᓽ³ᦗY[ᓫµ¶:·¸³ᦗ¹lঝU»X¼ᣩ¾¿ÀÁÂ5'`Ãlঞc/ÄÅÆÇḄÈÉ'ÊËÌÍÎÏÐḄ./lটÒᦈᢇX/ᕒY5Ö×ØÙÚ☟ḄÜὅlঠ0Þ¢ßàḄ./ᙠÄᜐᳮ3âᑗäåæç»è஺é/ê/0ஹëìsí1.é/2.ᑓïᱏ3.ê/4.ñ\ឋê/5.óñ\ឋê/ôஹõö⚪1.é/☢PḄøùDúÙûᵨ——ú——ú஺2.þÿ
ᓰ⊤☢Ḅ——஺3.ᡂ᝕ឋḄ
ᔜᓰ⊤☢Ḅ——஺4.
Ḅᵨ——ᑖ——ஹ——ஹ——ஹ——ஹ————
!"#
————
ᑣ%
஺5.III'
Ḅ'()Ḅ——*+,——஺6.-
.ᢣ——
☢ᙠ——1234
.ᢣII'
☢,——3ᡈHI'
☢6——஺7.ᱯ8
.ᢣ
9☢,1;3ᡈ<'
☢,1;ᡈ=ᨵ?8@AB஺8.᪷D
EᳮGᳮḄᱯHEIᜧKᑖ——ஹ--------MN஺9.OP
QḄRᓽTU.VWX!⌕ᢝ[——\]஺Q——\]ᨬញᒓ——\],abcQ⌲efg+——\]ehឮj஺io.#
kl——mjn‘
☠pqḄ——mjin‘
☠——mj஺H.r☢▾QḄtuᜐᳮ-8ᨵ஺I'
r☢!w◤——

58——3H'1;
◤z——O12.——.■
Ḅ⌕஺
☢,60%ஹ850kgḄὅ124\]⊡V9——ml/kgᐸ40Ml/kg,ᵯV——ml/kg,ᑖ——ml/kg஺224\]f¡----mg/kg,ᵯVf¡---ml/kg,ᑖ¢----ml/kg,13.ᶭ
¥¦§¨ᨵᦔḄ᜜ᵨ«ᱥᨵ————஺14.®ᜧ☢III'
ᶭkᵨ᩽Ḅ±²ᶭᒹ´µN——ᡈ,@RᓽO15.¶()·¸¹ᵨḄº»¼————o16.¾¿Àஹ¿ÁÂḄὅUÃľ——QU1——zÅᕜÇÈÉÊË஺17.ÍᑖÎÍÏÐÎͺᜧ»஺ᡃÒᜧÓᨵ——ÔÕÎÍᒓÎ3——ÔÕ஺M⌱×⚪AÚ⚪1.
☢ᢥ“4ÒÝÞᑖ”àá12â⚗.┯åḄæçA.ᜮஹ☢ஹ⚠ᔜᓰ3%B.;ëᓰ18%C.¦Qîïð▢ᓰ27%D.ᓰ5%E.\ôஹᜧôᓰ46%2.õᵱ÷6øᜮஹ☢⚠
ᐸ
☢ᓰæçA.7%B.9%C.13%D.15%E.17%3.õ2øúᜮஹ☢⚠
ஹ;ë
ᐸ
☢ᓰæçA.12%B.17%C.25%D.32%E.37%4.õ2øúᜧôஹ\ôஹஹ
ᐸ
☢ᓰæçA.21%B.24%C.26%D.36%E.46%5.õ12øᵱ÷ᜮஹ☢⚠±
ᐸ☢ᓰæçA.9%B.14%C.18%D.22%E.25%6.#n'
üýḄ'æçA.⊤(ḄGAþஹÿ
ᜮB.ᑖᏉᙠC.ᨵ▬ᶇD.ᐰE.ᾦ7.II'!"Ḅ$%⊤'ᑡ)⚗+,-./A.1☢3ᨵ456!"1☢789:C.᝞<7=1☢3—4ᕜBៜᔠD.BE᪛GH᪝JḄ⊈LE.ៜᔠMNᨵ᷆PQ8.II'!"Ḅ$%ᱯTU./A.VWXYZ1☢[\]^ᒓ`ᨵ!a7B.45ᜧc+dᨵᒓ^e78fgC.1☢Whij]^YZD.ᨵc451☢kjWlmn^8o9:

59E.1☢<45^8pᜫV[rs9.III'!"Ḅ$%ᱯTU./A.1☢<45ᕈ∑lᡈᯖy⁐^8pᜫ1☢E᪛GH᪝J⊈LB.1☢45c78{9:1☢WlmnC.45|ↈᨵᒓ^e!a7D.1☢[Q\VWX]^g7E.^89:~ᨵᯖᡂlo.H'!"᝞+7=1☢ៜᔠn./A.37ᜩB.8ᜩC.12D.12ᕜE.23ᕜ11.H'!"᝞+7=BᔠḄn./A.12ᕜB.23ᕜC.34ᕜD.45ᕜE.56ᕜ12.r!"!"Ḅ☢ᑡ)⚗U,-Ḅ./A.9%B.10%29%C.30%49%D.50%E.Ill'ᙠ20%13஺ᔾឋ"Ḅᑡ)⚗+,-./A.!'¡m¢£¤B.¥¦§¨©ªᔾ«¬®¯°C.ªᔾញ²³D.☢⚠µ¶ᨵr!"E.¶·!"ஹ¹°ᘄ»14.ᙠ!"¼½Ḅ$%⊤'¾ᑡ)⚗U┯ÀḄ./A.Á᳛Q³ᾭÄÅÆ⊈ÇÈB.ªᔾஹ³C.ÉÊË̵ͬÎD.ῳ^ῳÐÑᡊ\ÓE.ÔÕ+Öµ×ØÙ15.ᜧ☢!"Úὅ¼½ÜᑁÞ⌕àáâḄU./A.ãäå¦B.æçឋèéC.sêl⊈ëD.ញឋìíî+ᐰE.¼½16.!"Úὅ¼½ëH¦'ᨬðḄñᶭóô¾ᑡ)⚗U┯ÀḄ./A.õö÷øùúû▾ñᶭB.╋☟ÿC.☟ᾭD.☢■E.917.ஹ!"#ᢥ%ᑡ'(ᜐᳮ+⚗-.Ḅ01A.345678PஹRஹBP,=!>ᔾ⍝#ABCDEᑗGB.HᓽJH☟ᾭK⍝C.ᶇMNOEPQRSTOD.UVW☢XY"in']^ᯖ`aᑗGᯖ`bcE.ᜧ☢X#TefghHᓽijU18.lᵨn`ᡈᑗ`pqrᶭḄ#☢-01A.tuvᦿஹᒓᨵ#z{B.|ᜧஹ}ᒓ~ஹjuvC.|Sஹ{ஹjuvD.ᜧSஹ☢juvE.ᜫஹjuᕈ∑⁐ᯖ᝞☩᪛^᪝⊈E19.!"#ὅef¡-ᵫ£01A.☢}B.¤aឋ¦§¨©C.⊈ª«D.Bᾱ®E.¯ᳮ°±20.´ᜧ☢X#ὅB⊡%ᑡ+⚗-┯·Ḅ01A.#¸¹1º24STR1%#☢X0II'ஹIII'1Rᓟf¿!a⊡À¿Áᨔ¿1.5ml0SÆ2.0S1

60B.Àஹᨔ¿ḄÇÈÉ0.5Ê1,ËÌY"#ὅÇÈᦋÉ0.75:0.75C.ÏÐÑ5%ℍ⃔ÔÕ⊡ᐙᑖ2000mlD.¹2º24STÀஹᨔ¿É¹1º24STḄØᑖ⊡ᐙÙÉ2000mlE.¹3º24ST#☢Xᙠ50%Ñ%ὅ⊡Àஹᨔ¿21.ᢙef=ÝPQᨵÞßḄà⚗ᢣ᪗ᒹä01A.RSTOB.¦§^åC.ᾭæD.⊈cE.⊈çèǪ22.=!#éêᐰìឋ{íîïð!⌕Ḅᑁóឋ{íḄᩭó-01A.#☢B.>ᔾ⍝C.õO⍝D.ö⍝E.NE23.÷ᑁøùᜧ☢X#ὅḄú⌕ûüý°-%ᑡ+⚗01A.þ⊈ªឋefB.aÿឋ
C.ᐰឋD.ញឋ⊦C.ញឋᔾᔠ24.ᐰឋḄ■!ᑡ#⚗%┯'Ḅ()A.+,-᩽ᙢ0123B.15ᜐᳮ8☢c.;,<=>?@ABCDEFD.⃩CḄHᢝJᵯLMNOḄ01E.QRὅTUVᐰ1WXYᵨᢙ\]25.8☢Ḅᜐᳮ!ᑡ#⚗%^15Ḅ()A.r`aᱯcᜐᳮdef⌨B.h☢-iH'l8fmᒹoX¿ÀÁᑓᱏḄ¾Â%()A.ᜧÃ᜜ÄB.hÃ᜜ÄC.ᜮD.ª¬E.ῳ¬31.™¢Ḅȸ%()A.xyÉᓫ᧕eB.¾¢ÂdeៜᔠC.¾¢Â^ᶇ᷆ÏD.d⊈¾ஹὊÑஹᦈÓhஹ⁐Ôᓄh

61E.◤×ᔠ⊈Øxy>ᩖ¶xyÚÀVᡂ32.!ᑡ¢#Ú⚗%┯'Ḅ()A.¢ÜↈÜÞ᧕ᡂßB.à>⊈Ø᜜☄8☢C.⌚ãä᜜☄8☢D.d⊈¾E.à>åΎ᜜◫8☢33.!ᑡ#Ú⚗^%ᵯḄèé⊤ë()A.ᨵ“ᐭï”ñ“òï”B.T⊤óôõör¬óôõC.òë“÷øù”D.äúᕜüòë“ᝅ⋀ù”ÿE.᧕₎34.⏚ᓄញᦗᜐᳮ✌⌱!"A.⏚ឋ%&'(B.ឋ%&'(C.+,ᑺ'(D./012'(E.34&'(35.67ញᦗᜐᳮ89ᑡ;⚗=>Ḅ!"A.ញᦗ@ᜐAᐭ2+B.1%E⏚F'(,GᦱC.ᵨ3%J5%K⏚LMGᦱᒹOD.P〈@GᦱR■TUVWXE.ᵨYZ᪍\]^⌚`■TabX3s.6d⏚ஹdஹ789ᑡ;⚗ᜐᳮ=>Ḅ!"A.fᓽᵨᜧi/012'(j☢B.lᮞ8ᐜo◀lᮞqr8sᵨ12'(C.ញᦗ@ᵨ+,ᑺ'(ᦔuvwD.lx⏚12'(y8Rᵨ70%Ḅ⏀}1(E.ញᦗ7@8~ᜐAA2+37.682ᜮ☢⚠8j☢8ᨵᜧ288ᒓ¢8ᑣ6¤☢¥,¦Ḅ§¨!"A.9%ªH'B.12%ªH'C.15%ªH'D.18%ªII'E.18%¦H'38.°ᵱ508²\³ᯚ8◀µ▢·¸¹º᜜8¤ὅ☢¥½!"A.85%B.90%C.94%D.96%E.98%39.°ᡂ¿ᵱឋ8ÀÁ60kz,ᜮ☢⚠ஹÅÆÇஹ¸ᜧÈஹ¸É8Ê1Ë24@⊡&Íi½!"A.4500mlg.5500mlC.6500mlD.7500mlE.8500mlBÑ⚪!40J41⚪"A.ÓÔᜫÖB.×ÁC.⇾ÙÚÛD.ᐰÝឋE.j☢ᾱ4ß40.ὅy2ᕜ8Àᕈâãä8åæᡊ8èéêë8ìíîï8ðᔾញò8óôõö8÷øùú·+ឋrùúᓣ8ᨵ+4⚩r·᪶þÿ


6241.ὅᯠᔾᾭ!"#⊈%&ᦪ()ᨵ+,"#᪶./
0☢2◍ஹ5677⊈89ᦿ
42;43⚪A.ᒹ>ᶭ@B.A☄ᶭ@C.CA☄ᶭ@D.Dᦱᶭ@E.FGHᶭ42.I᝕6KLᜮ☢⚠O#P▢O3%R0☢ᜐᳮ◤V43.Xᵱ3KLZ[\]^_`0☢abcdᜧ%fg_,hᡂj,0☢akஹlDmnopcdᜐᳮ◤VXq⚪44.ᢙstHᶭᑡvw⚗yᨵz{Ḅ}~ᢣ᪗A.ᡂ%Rf20mlD.ὅ☟fC.cdD.ᓣnஹῳῳE.ᾭஹᨵஹᔾ45.'ḄᱯyA.ymᐰ¡¢£¤m¥ᾙᡈ¨©B.0☢_ªᕈ∑!⁐¢£®ᓄC.p°±ᜫ³O´D.0☢ᨵ_ªp°µ¶·E.᝞f¹º»¼ᔠ¾¿46.ᱯÀ´ᢣA.Á☢Âᙠ50%Ä[B.IIP☢Âᙠ20%Ä[ᡈÅᨵÆÀÇÈÉC.Á☢Âᙠ30%;49%D.Ill'☢Âᙠ10%;19%E.ᔾᐭឋÌÍஹÎÏ᠚1.ÑÒÓH'0☢Ḅᱯ஺2.ᔾឋÌḄÕÖy×ØÙ3.ḄHᶭÚᑣy×ØÙ4.stḄ⊤ᨵvÝÙ5.ÞஹÀ´ᜐᳮßàᨵvÝÙáâὃÏᫀågஹæçèé1.êyᵫìᡠîïḄðñÌ᝞òᯚஹìôஹìõöஹì÷øùù஺2.ᑓûmᱏýþ⊤mÿᑖᜮᨬↈḄᱏᙠᡂ0.150.25mm஺3.!ᡠ#$Ḅ%&ᐰ(ឋ*஺4.+,ឋ-./01ᡠ⌼ᡂḄ*஺5.3+,ឋ4501./06Ḅ7689ᩩ;ᡠ⌼ᡂḄ*஺<ஹ>?⚪1.ABCDᑖEF2.5%3.6%4.GHᑖI‘In’J11'in;vIn‘Jn’nr

635.ᐰ1Nᾙ&PQ6.II'U9%1஺Y29%10%7.50%20%8.ញឋ_`ab(deb)ghbijb9.36-482-384810.no6pqᔠstu11.vᢝxy■{|*}☢x}12._ᶭ65001500300020007501500200013.1%ᘂᑺỚ(Io—doform)14.ᑗstu15.ᱏtutu16.ᶭᳫ17.5010G.⌱¡⚪1.E2.D3.E4.D5.B6.A7.D8.D9.A10.D11.C12.C13.C14.D15.A16.E17.E18.E19.C20.E21.E22.D23.C24.E2S.B26.C27.B28.A29.E30.C31.D32.A33.E34.D25.E36.C37.C38.C39.C40.D41.D42.B43.A.44.ABCE45.ABC46.ABHஹ¨©⚪i.Jn'U}☢ᱯ/®sḄ¯°In'&in’²³JI´µ¶,¸¹ᨵ»¼½¾¼¿}☢À9Á³ÃÄÅÆÇ஺ᵫ°ᑁᨵÊËḄs▬;ᐸ6ÎÏÐᡂ6Ñp᝞´gh¹qᔠij.◤Ô34ᕜ½Öᨵ᷆ØÎÙ஺2.ᔾឋ*ÛÜজÞUßàÂáâãঝåᔾ⍝çèéaêëìåᔾíîï¹ðᨵñòóঞ☢ஹ⚠ஹö÷ᕜÖᨵJU÷øUùóᘄû஺3.UᶭüᑣÑ☢þI⊤
ᢥ᜜ᑣஹ☢ᯠៜᔠ஺ᜧ☢
Ḅᐰឋᶭᑣ!জ#$%&⊡(ᢝ*ᔾ⍝-ᵹ/01⊈34567ঝ
9:;ᐰឋ<=Ḅ>⌕ᩭA#$ᑗ◀DஹEDFGH⌚J7ঞ%&/056Lᑴ<=;■OᑁQRSTḄᐵV7টXY᝱ஹRḄឮ\஺4.
56Ḅ`a⊤c!জd᳛fgᾭijklmdn1k7ঝ⊈opᓄ!#$rr⊤csᾭoptuvs⊈owx7ঞ*ᔾyஹg7টz4{|;1⊈3456Ḅ}~⌕᪗ᡂt&z4120ml⊈347ঠᙠtᱯ7ড;ᾯ9:⊈Ḅ}⊤c7ঢᕜ¢☟ᾭᐙ¥¦§¨©ªὅ¬®,ণ⊈(ᓄ±²c⊈(³´ஹ1⊈µஹ1¶·ஹ⏚¹º஺5.¹ஹ
Ḅᜐᳮ¾¿!জÀ⌕ÁÂÃ
ÄvÅÆ⊈oஹᾭiஹ*ᔾÇÈᨵÊ*ᔾ⍝
%ᐸÌᔠÍ
Î*ᔾ⍝
ὅ◤%#ÐÑÒᑗÓ7ঝÔᓽÖÔ☟ᾭ×(-⍝ÓØ×(7ঞᶇÚÛzÒÜÝt&z4ஹÞஹpH,ÍÇÈᨵÊ⊈ᶷzটஹâã
☢ஹᱯÇÈᨵÊH1'æçᯖéḄoê᝞ᨵᑗÓᯖé{o;

64ঠᢥ
☢ஹᑴíî1~24t&×(ïᑜ7ডñòᜧ☢
}óôᵨö☄ᶭø஺ù᜜}ஹúûÂü1.ù᜜!ù᜜ýmicrosurgeryᑭᵨᐝᜧᓽᙠᜧᡈᵨᘤᩞ!"#$%Ḅ'஺2.,-.,-ᓽ,/0ᐸ▬ḼḄ,!ᙽᒹ6ᨵ8᦮Ḅ:ஹ☟ᾭ⊈?@ABᐸCD%EFGHEFḄIE:ஹ☟ᾭ⊈?JᔠLMᓽឮO,-ᡈP,-Ḅ⊈QRS஺3.P,-.P,-ᓽPᾙ0⌚WᐸXḄ,-ḄOᔠ!ᙽᒹ6ᨵ8᦮Ḅ:ஹ☟ᾭ⊈?@ABᐸCD%EFGHEFḄIE:ஹ☟ᾭ⊈?JᔠLMᓽឮO,-ᡈP,-Ḅ⊈QRS஺4.Oᔠ!CD.Oᔠ!CDᢣ[\⊈?™RSḄ^_!CD᝞a,-ஹP,-b஺5.ᔠ!CD.ᔠ!CDᢣCDdᙽef⊈?™RSḄ!gd\⊈?™hIᡂ[\⊈?™jHEF⊈?JᔠfG"#CD஺᝞,-k,-ᔠCDblஹmn⚪1.ᘤqSrᔠs⌕u——ஹ——ஹ——k—஺2.wᵨḄᘤqxᨬz⌕Ḅ.ஹஹk஺3.᜜'|}ᒹ~⊈?ஹஹ?kPΎbḄJᔠᡈᔠᐸx[[ᨬwᵨ⌕uᨬ஺4.⊈?Jᔠᨵ---Jᔠk——Jᔠs——Jᔠᨬwᵨ஺5.ᔠᨵk஺ஹ⌱⚪A⚪1.ᡃᙠX✌jDᡂ[A.1960B.1963C.1964D.1965E.19662.᜜'xᵨ%£ᢝ⊈?¥¦Ḅ§¨©ᳮ«¬ᙠ100ml©ᳮ«¬x°ᐭ§²^³´A.25mgB.50mgC.75mgD.lOOmgE.125mg3.[·:ᾭᔠḄ¸¹ºB%»⊈?¼½¾Ḅ¿ÀA.1B.2C.3D.4E.54.ÁÂÃÄ0.3mmḄ⊈?JᔠᓽGÅᵹ᳛ÈÉA.75%B.80%C.85%D.90%E.95%5.Jᔠ⊈?ḄnÌCD[·eᵨ%s_A.⚠ÎÏ?ÐÑᑗ◀ÔOD.ᐜᜩឋÏ?ØÙzÚCxÎÏ?Ûᑗ◀zÚD.ÜÎÏ?᷆ÞឋÐÑᑗ◀zÚE.ß?Ûᑗ◀ß⍝zÚ6.áὅᵱ34äåæἪèéêë!ØÙ6cmX8cm,ïᢣPΎ᜜☄஺ᨬᔠ〉ḄᜐᳮóôA.,õCDB.P,öCDc.ᐰ½,/CDD.ᑓ½,ᱏCD

65E.úûᒹüB⚪
7-9⚪A.10~14B.ýþ10C.6~813.4~6E.2þ47.[·ÃÄᜧ%3mmḄ⊈?┐ᦪ
8.23nmḄ⊈┐ᦪ
19.12nmiḄ⊈┐ᦪ
X⚪10.ᔠ13mmḄ⊈ᵨḄᔠ┐
A.70B,80C.90D.100E.11011.᜜ᘤᨵ"#⌕%
A.&B.'(C.)*D.+,ᐝE./ឋ12."#23ᨬ5ᵨḄ&⍝᜜ᢈ
A89ᔠB.8ᓿᔠC.8;ᔠD.<=>?E.@AᔠBஹDE⚪FGHIJKHIḄLMNᵨP஺ERHIJKHIḄLMNᵨPRHISTᵨU>?VWஹXWஹYZឋ[W\]᷈ᑗ◀aḄHbc[dᨵe⌕fghi
᝞KΎஹlஹᐵ⁚᜜☄ὅqre᷆tuvᶚxy᷆tᑗ◀yz{ᶚxayfghi᜜☄ᡈ◤~fghi>?ὅq+ៜḄ᠒ឋ"\ᵨU3ᘤ⌼y᝞ᢣஹ▢⌼஺KHI◀ᵨU>?hic[yᱯfḄᜧᙽhic[◤hiᐙᜧḄῚ◣ὅqᵨUKᾙc[ஹᡈ.>?ḄKᾙᜫ¢£¤y¥ᐸKᾙḄ¢§¨©ªN¢ᔠy«ᑮឮ?Je®Kᾙ¯°Ḅ±Ḅ஺²ὃEᫀµ¶ஹ·⚪1.&'()*+,ᐝ./ឋ2.¸¹ᢝ┐ᘤ»ᑐ⊈ᜳ3.⊈ᔠ4.¾¾¾¿¾¾5.¢᜜Àᔠ¢ÁÀ
ÁhᔠÂy⌱Ä⚪1.n2.B3.B4.E5.E6.A7.A8.D9.C10.BC11.ABCDE12.ABE]᷈ஹÅÆÇÈ1.TumorRᓽ]᷈yÊËÌ{5*Íᙠ+ÏḄÐѧÒÓÔÕÖ×Øᵨ#yᡠÚÛḄÜÛ§Ý5ᑖᓄᡠxᡂḄáÛᱥ஺

662.äRូឋ]᷈ᩭçèHhiὅéêä஺3.Lìឋ]᷈RLMè◀íឋ§ូឋ]᷈îᜧï"᜜yðᦪ]᷈x᝱èòíឋyó5ᕈõöឋÛÖyᑗ◀a᧕?øyùúûüýSyþÛᱥ~êèÿឋូឋḄᦑឋᡈឋ᷈஺4.᷈ឋ᷈᷈஺5.ឋ!"ឋ!"ᢣ᷈ῃ%&ᙠ(Ὶᡈ*Ὶ+ᘤᑁḄ!"ᨬ/0Ḅ12ᑮ4Ὶ஺6.678ᶭ678ᶭ:;ᵨ67=>ᢈ@A⚜CᙠD☰ḄFᐵ67Ḅ⊤IJKLIᑮ8ᶭMḄᒹOPQᡈQᙢᢓᑴᡈᩔV᷈HḄḄ᷈8ᶭ஺7.᪷8Z@᪷8Z@ᒹO[\2ᡠᙠᘤ^Ḅ_ᑖᡈᐰ_bcᕜefghijkl᦮ᙽᑗ◀q;ᵨrQsᢈ@t◞᷈vwᡈ᡽ᦣlz{|☟ᾭ⊈|஺8.ᢣD6ᔣ⊤஺_ᡡK⁐஺᧕_᜜Vᡈ&᧕ូ஺9.᷈ḄTNMᑖᔠᳮᑴ£᷈8ᶭ¤ᫀ¦§ᶭᦔᑨª⚜&«▭ᢙ2ὶ¯°±²TNMᑖ³,Tᢣ[\᷈(tumor)ஹNjkl(node)ஹMÀᜐ!"(metastasis)஺Å᪷Æᙽ>ÇᙠÈ&᪗L஺Ê4ḄᦪÈ⊤Ì᷈\Í>Ç஺1Ï⊤Ð4Ï⊤ᜧ0Ó஺LÔÕ⚗×ØᐸᑖrcTNMḄgᔠÚªrcḄÛ஺ᙠÜÝÓ³ᑨª᷈(ÞßᑣLTx⊤I஺᷈ᑖᨵÜᑖ(CTNM)ä@&ḄÜåᳮᑖ(PTNM)஺ᔜ᷈ḄTNMᑖᐹ(᪗éêᔜëìíîïØ஺10.⊤᪵ñ⊤᪵ñᢣòóᡈròóḄ᜜Vô⊤6õᐭ÷øùᡂḄñ஺ûஹü*⚪1.᷈Ḅូþ>ᒹOÿஹDNAᑴஹᕜஹᓄஹ⌫⍎⊈!"ᑡ$஺2.ូឋ+᷈Ḅ../$ᒹ12ஹ345567▤9஺3.+᷈Ḅ;<⊤>ᨵ+ᙽஹABஹCDஹE⊈ஹ᫱G_O4.+᷈ḄឋKᨵLMNOPQ+᷈ᜧSᨵᒹTPUᙢWXYḄZ[\ូឋ+᷈S]ᒹTP^_`᡽/bP;

67Ýᙇ1.ßᑡ+᷈àPáMQឋḄâA.ÀÁ᷈B.ã⁐å᷈C÷ø♆᷈D.ÏÐ᷈E.¹3᷈2.ßᑡçè+᷈áMូឋ+᷈A.ᶚê᷈B.┯᪀᷈C¹3᷈D.SìឋÌ᷈E.íîÌ᷈3.Fᑡç⚗âូឋ+᷈ᨬᐹᱯóḄôᓄAE⊈ijBCD.SìឋE.^_`4.ßõ+᷈àPçèâQឋ+᷈A.Ã⊈ÄB.÷øÐ᷈Cℍ⃔êD.]ឋ᷈E.ÍÎ᷈5.ßõçèÄôâ52ÄôA.ᜧ§Ì᷈D.¶ßᾦý᷈C¶þíî᷈D.ÿ
᷈E.᷈6.⚗ូឋ᷈Ḅ⌕A᷈B.᷈ᑗ◀$%&C.᷈&()*D.᷈,⊈./E.᷈0ᯠ(2347.⊈⍝)*Ḅ7ᑗA.ូឋ᷈89:ᐭ☟ᾭB.ូឋ᷈89:ᐭ>ᾭC⊈?@&A᷈89D᷈89᪝CDE◞ᘤHEᙠE◞ᘤH'KᡂMNOP᷈8.RSᾙ᷈ᨬ⌕ḄVWXgA.&(ḄYZMB.hiᩭkMC.(2noMD.)*⌶\ME&(ḄlmM9.᷈Ḅᱯឋ_`DX)A.᷈ḄabB.᷈ḄpbC᷈Ḅ)*D.᷈89ḄcdᱯeE᷈89Ḅ᪶ᑖs10.᷈ឋv(Swឋv(Ḅ᪷yVWXgA.ᨵᙽKᡂB.89(2Cᨵ᪶ᑖsD.(2|E.89ᨵPឋ11.}ᐺPv(ᢣX)A.pឋ᷈89ᱯeB.᷈ḄPឋC.᷈89ḄPv(D.89Pv(ᐰE.ஹ)*Ḅ᷈ឋv(12.ᕈឋ(2Ḅឋ᷈XgA.ᾭ᷈B.
᷈C᷈D.᷈E.ᾦ᷈13.ឋ᷈Ḅᨬ⌕ḄXgA.᷈(2pḄ2B.᷈ᔲ¢&ᦋ

68C᷈Ḅᜧ¥D.᷈&(ḄYZE.᷈&(Ḅlm14.&(RḄhigA.¦▬¨B.¬C.Dᑁ¯D.ᵬª«E.hi15.ᑡᔜ⚗ᙳ³DR´µ◀᜜XgA.·ឋµB.¸¹ᢣº»¼µC.û¼µD.½¯¾ᦿE.ÀºÁ&ឋ᷈ឋÂᾙ16.ᑡÄÅRÆÇXgA.5—È⁐ÊB.ËÊCö÷ÊD.¹ᵬÌÍÌᏔÍËE.3,4NËÏÐ17.ᑡᐵDឋ᷈ḄᱯÒN⚗Ó◀XgA.ᒹ¯ÕÖ᦮B.᷈89ÁØÙC.᷈89øèᑖᓄD.ÕÚÛÜÝCᘤHE.Õᨵ,⊈ஹ./18.ᐵD᷈ḄÞᑡ⚗┯àḄXgA.᷈hiᐹᨵâK᝱ஹcdÜäåB.æYhiv(KᡂḄᙽC᷈ᙠMçèᜫêëᑖᓄᡂíḄåîD.᷈NïKᡂæYᙽE.᷈ᨵðñ19.᝕ឋ,65ôõYᨵN4cmX3cmᜧ¥ᙽ,bᕈᑖùªúû>èü¥Úý⊤☢
☟ᾭ᡽ᨬḄA.
B.᷈C.,-./᷈D.ᾦE.ᾦ᷈20.ᵱឋ58!"#᠒ឋ%&'(10)*,-01ៜᨬ3456789◖;,᧕4⊈஺?@AᨬBCᵨ"ᑡF⚗HI)A.JKLHB.ᑗNLHC.ᑗ◀LHD.ῃPQRHIE.CTSTHI21.᝕ឋ20!WXY5Z[ṇ᜜^ᙽ,ᙊcdefghi1jkᨬA.᪵B.⊤᪵C./᷈D.ᾦE.ᶚs᷈Bm⚪22o23⚪A.EB'pBtᜮ᷈'pCvmwx'pDHILV'pE.'p22.yz{F|'pᨵᐵ23.⚠{F|'pᨵᐵ24~25⚪A⊈jB.⅁C.jD.|ឋjE⍝Ὶᑁj

6924.jᑮw25.jᑮ26o28⚪A.ូឋ᷈B.ឋ᷈C.ឋ᷈D.¡'¢E¤᷈ឋ'¥26.ᾙ§27../ឋt'28.W⊈'xm⚪29.⍡¬ឋ᷈ᨵA.®¯°QR᷈B.±²Yឋ᷈ឋ³ᾙC,-./᷈'D.´°QR᷈Eᾦ᷈30.ឋ᷈Ḅ·¸ᱯºᨵA.»¼½᠒B.QRḄ¾mឋ1@¿CÀÁÂ.¼ᨵᒹ¯cᡂÅÆYÂjD.Ç⌕ḄᓻÊËiÌÍÎÏÐE.ᐹᨵÒÓឋ31.᷈cÕÖḄ×¾{"ᑡFØÙÚᨵᐵA.Y»iÛB.ÜÝᩭßC.»¼àáD.᷈ḄஹូឋE.᷈ᜧä32.᷈ḄådA.ᒹæ᷈QRÎ./±çÜÝB.èé᷈Ḅ»ᱥëஹc᝱ëᱯíCᑨ᷈ḄÜÝᩭßஹᑖᓄ(ñஹូឋḄÇ⌕òóDèéᐸõᶭàᫀஹøù⚜ûḄÇ⌕᪷óE.ýþ»¼ÿ33.ᙠᶭ᷈Ḅ⌱ᑡ⚗ḄAឋ᷈ឋ᷈!ᑗ◀$%B.ូឋ᷈()*+ᔠᶭᫀC/012345ὅ01ᶭ$%D.89ᶭ:;(<(✌⌱ᡈᓫ@AᵨE./DEFὅGHIJឋK!34.ᨵᐵ⊈P᷈ḄQR⚗┯TḄA.UV⊈P᷈WXYZ[ᜧWᦪ᝕ឋB._`a⊈P᷈ᜧWᦪ$☟ᾭ᪀ᡂC⅁a⊈P᷈gh☟ᾭᾦjklkᡂD._`a⊈P᷈(mnop⊈P᷈ᑗ◀!E.⅁a⊈P᷈q(rs!ᶭ35.᷈ḄuvᵫYxVyz{|ᦋ~ḄW{|ஹWuḄ,

70ᒹA.{|Ḅஹ⊤B.ᢓ{|ḄᜫCᢓ{|Ḅ~D.┯{|~E.:*᪶ᵞ⏚¤¥Ḅ¦ὶ¨ᑖªY{|k36.¬ᑡ®⊤¯°ᨵូ~A.±²᷃´ᡈµ¶B.·¸~ᜧ⁐ºᯠ¼½Cuv5¾ஹµ¶ஹ⊈ஹ¿ÀD.▬ÂÃÄÅE.⊤☢ᨵÇU37.ÉÊËÌᨵᐵḄ᷈ᨵA.ÍPB.ÎCÏD.ᵬaÑE.ÒÓÔஹÕÖ⚪1.᝞ÚÛÜឋ᷈ូឋ᷈Ýឋ᷈ូឋ᷈ḄÛÜÞឋ᷈ᕈàáឋvâvâã᠒஺ᜧWᦪᨵᒹæçèéêᙢìí(Ḅklîïðñ:uvòóᑗ◀ô:u஺ូឋ᷈ᕈõöឋvâvâã÷஺ᜧWᦪøᒹæç:èêᙢùúðû஺⊤☢⊈PüýÃþã3Wuvòó±²ᑗ◀ô᧕
஺2.᷈Ḅᶭᑣ஺᷈Ḅᶭᑣឋ᷈ឋ᷈ᑗ◀஺ᐸឋ᷈!"ᑗ◀#ᔲᑣ᩽᧕
ᡈូ)஺ូឋ᷈I+ᶭ,1ூ+/0ᶭ#
᷈ᑗ◀ᡈ1ᶭ#ᒹ345ᮤḄᶭ#7ᨵᦔḄᐰ;ᓄᶭ,III+=ᵨ?ᔠᶭ#AஹCD1ᶭᡈᓄᶭ,IV+ᐰ;ᶭ#7/0FGᶭ஺3.IJូឋ᷈KLḄ⌕ᱯឋᨵOPQIJូឋ᷈KLḄ⌕ᱯRូឋ᷈KLḄᑖᓄTUᑖᓄḄVWXYᐸូឋVWZXY#[ᑖ\ᑖᓄஹDᑖᓄT]ᑖᓄ^ᡈ_ᑖᓄ`aJ஺\ᑖᓄKLbcdeᑖᓄVW#fgូឋVW],]ᑖᓄᡈ_ᑖᓄKLfg\Wូឋ#ᐸKLᜧiXjஹ᣸ᑡmnஹ᪶ᑖpqஹr⁐XᙳஹXuᑣv᪶wx᝱T᷈ូឋVWzᐵ#ᐸz|Ḅ}~ᓄ☢)ᓄজ᪶⏚q#U᪶᪶⏚^DNA`᪶᪶⏚^RNA`ᙳq,ঝ⏘Ḅᦋ)#ᨵḄ⏘ឋ\#ᨵḄ⏘ᑖᓄXឋ,ঞ#ᵫ᷈ᑁ⏗V#ὑ¡஺4.ᓄᶭe£ḄX¤|ᨵOPQᓄᶭe£ḄX¤|জ¥KLஹ⊈i§,ঝᓄ⍝¤|᝞ូªஹᕏᔢஹῳ®ஹ¯Ὶ±²w,ঞ³
ῃµ,ট⊈·,ঠ¹º»¼]#½᧕¾
K¿ᡈÀ¿Ár஺5.᷈ḄaÃ⚜■ᒹ3OPᑁ½Q᷈ḄaÃ⚜■ÆGᵫÇ᛻ஹ⃩ÊËÌÍஹ⍡ÏஹÐÑÁrËÒÓḄ⌱ÕwqÖXYḄ×zØÙᵨÚÛḄ஺1/3ÆG[⚜■Ḅ#1/3ÆG᝞Ý+Þß[ᶭḄ#1/3ÆG[àáâஹãäåæ஺jÃ⚜■◀ᡈ[çÆ×#■èÆGḄ
Ò஺éÃ⚜■ᢣÆGjë
Ò#᝞ìÝ+
íஹÝ+ÞßTÝ+ᶭ஺jÃ⚜■ḄîḄÆGḄ
Ò᳛,éÃ⚜■ḄîḄᑣ¼]ÆGḄðñ᳛,aÃ⚜■ᓽÞßTᶭ

71CḄó#ô\ÒõöàáâஹãäÒæ஺5÷jஹøùú1.5÷ûjüýḄKLஹ}~ᡈᘤÿᵨ
ᡈᐸᑮᡈḄ஺2.HLA▭᪗!"ὅ$%ὅᢙ'HLA-AஹB$C,II)ᢙHLA-DR,DP$DQᐳ+,Ḅ-./0஺1ஹ23⚪1.⊈ᢙ'678ᕈ:ᙠ<=>$ᐸ)=>⊤☢Ḅ6)A!B஺C⌕⊈ᢙ'O,A,BoAB⊈ḄEFᐸ⊈ᢙ'GHᡂᢙ,0⊈ḄEKLᢙᢙAஹᢙᢙB,A⊈$B⊈ḄEᑖOKLᢙB$ᢙAᢙ஺2.Pᦪ᜜STUVᘤXYZ[▲!]5^[,_40$50^[,`a10$20^[$b6$12^[஺cஹ⌱e⚪A⚪1.fgᨬiᙠjkPl[mnoA.2ᨴᑁB.3ᨴᑁC.4ᨴᑁD.6ᨴᑁE.8ᨴᑁ2.stᔜ)ᘤXᶭᦔᨬx!$ᨬy℉ḄA.bB.]{C._D.`aE.^|3.}~=>ᓄP"%ὅḄ}~=>ᢙ'GᓽᘤXA.<10%B.10%$20%C.20%$30%D.30%~40%E.40%$50%4.ញឋ᣸ᙠkPl[m:A.<24^[B.ᑁC.ᕜᑁD.ᨴᑁE.1ᑁ5.stᘤXkᨬC⌕Ḅᢙញឋ᣸ḄᱥA.B.AC.ᓫ◖ᢙD.¢⏒¤E.l᧡¦§6.kG¨©L᣸ḄA.ªB.«C.=>D.¬E.¬7.ញឋ᣸©Lkᵨᓫ®¯ᢓᑴᱥᦔ²G³´µᶭ¶·A.ᑗ◀ᱥB.ºC.ᓫ◖ᢙD.ὶᔠᵨ®¯ᢓᑴᑺE.¾¿8.Yᶇ%ὅÁῚ☟ᾭḄ'bA.᪗Å'bB.ÆÇÅ'bC.ᒨÉÅ'bD.bE.¾¿G9.]{kÊË%ὅlÌZ«ḄC⌕ÍÎ

72A.]ÏÐÑÁB.]ÔᜫÖC.ØÙÚᾭÛᓄD.]ÒÓjE.]Ò×⊈X⚪10.)ÜÐÝÞ%ÖßàḄT=>8á2%⊤âḄ®¯ᢓᑴᱥA.ãä⏚æB.ᢙ}~=>ᳫ78C.èéèêD.èëE.¢⏒¤11.ᘤXḄᱯ,A.ᘤXᙠ
íîïYᢝ«ñB.«C.kò©L᣸D.óôᔠE.kG©L᣸12.ᐵö_Áᑡø⚗úûḄA.«B.C.6ᔠD.üÉE.ª13._ḄἭþÿᨵA.
ឋᳫᓄB.C.78᪵:ឋD.ឋE.ᜫ14.ᙠᘤ᣸ᵨḄ#A.ABO⊈%ᢙ'B.()*ᔠC.;./ᢙ'D.,-./0ᓄ᳛E.23⊈4515.ᘤ<=◤?ḄᱯABC#A.⊈%B.()*ᔠDEឋFGC.Hᔠ,-./IJD.HLA.*%E.ᢙKLMNஹPQ⚪1.TUVWXYὊ[\ᐸᱯ^஺᝞abcdeὅᱯgឋXYᢓᑴ=jk4l᦮nᶇ[ὅXYpqḄᐰstb=uv#XYὊ[=wxyXz{|}ᵨ~ᱯgឋXYᢓᑴᱥᩭḄP⚪஺Ὂ[Ḅᱯ^#জᢙ'{|XYঝᐸᢙ'wḄXYঞ◤ᵨdḄXYᢓᑴᑺ஺2.TUḄ〉ᨵ஺〉#|ᨵ☟ᾭ¡¢£⊈ஹ¤¥ឋῳ§ஹ¤¥Ḅឋᾯஹ©ឋ.ªឋῳ«¬ᔠᡂtb¯°±=3²ᐸᨵᦔḄ¥ᶭµ¶4ஹ᝞·¸Ḅᐜᜩឋ»⍝½┝ஹ¿ᐜᜩឋÀÁÂÃÄÅÆ᪶:ឋஹᢙÈÉ;⏘3²±ËᡂÌ|ᓄஹញឋtb⊦Ï\Ð᷈஺ÒÓὃQᫀÖ⌱Ø⚪A%⚪1.B2.C3.C4.A5.A6.A7.B8.B9.CX%⚪10.ABCD.12.ABCD13஺CD14.AC15.ABCD