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2024年12月29日,7.37
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zhongjidingyijijiangdiaozheng,yaojinfangsanzhongxiaoshouwudaoyuanchuang2020-04-07 09:14·zhishouguanbaozuijinyeneireyidehuati,shijinqifabude《zhongdajibingbaoxiandejibingdingyishiyongguifanxiudingban(zhengqiuyijiangao)》(yixiajiancheng《xinguifan》)。dui《xinguifan》dejiedu,wangshangyijingzugoudeduo,zhishoujunjiubuduoshuoliao。zhishixiangtixingyixia,zaizhongjixianjiangyaoshengjihuandaidetongshi,keyiyujiandejigexiaoshouwudaoyezailushangliao:jiazhuangxianaiyaocongzhongdajibingzhongtichu;yuanweiaijiangwufahuodepeifu;zhongjixianyaozhangjialiao;01 jiazhuangxianaiyaocongzhongdajibingbaoxianzhongtichuliao?zicongquniankaishi,yeneijiuyizhiliuchuanzhuo“jiazhuangxianaiyaocongzhongdajibingzhongbeitichu”dexiaoxi。shishishang,zhongguobaoxianxingyexiehuijiu《xinguifan》dexiangguanwentidajizhewenzhong,zhuanmentandaoguozhegewenti:zai《xinguifan》zhong,jiangyuanlaizhongdajibingdingyizhongde“exingzhongliu”genggaiweiliao“yanzhongexingzhongliu”,binggeichuliaoxindedingyi:yanzhongexingzhongliu:zhiexingxibaobushoukongzhidejinxingxingzengchanghekuosan,jinrunhepohuaizhouweizhengchangzuzhi,keyijingxueguan、linbaguan hetiqiangkuosanzhuanyidaoshentiqitabuwei,bingzaojingzuzhi binglixuejiancha(hangaigusuibinglixuejiancha)jieguomingque zhenduan,linchuangzhenduanshuyushijieweishengzuzhi(WHO, World Health Organization)《jibingheyouguanjiankangwentideguojitongjifenlei》(ICD)deexingzhongliulei bieji《guojijibingfenleizhongliuxuezhuanji》disanban (ICD-O-3)dezhongliuxingtaixuebianmashuyu 3、6、9 (exingzhongliu)fanchoudejibing。xialiejibingbushuyuyanzhongexingzhongliu,buzaibaozhangfanweinei:1、ICD-O-3 zhongliuxingtaixuebianmashuyu 0(liangxingzhong liu)、1(dongtaiweidingxingzhongliu)、2(yuanweiaihefeiqinxixingai)fanchoudejibing,ru:a.yuanweiai,aiqianbingbian,feijinrunxing,feiqinxixing, weiqinfanjidiceng,shangpineiliubiandeng,budianxingxingzengshengdeng;b.jiaojiexingzhongliu,jiaojieexing,diduexingqianneng,qianzaididuexingzhongliudeng;2、TNMfenqiweiⅠqihuogengqingfenqidejiazhuangxianai;3、TNMfenqiwei T1N0M0 qihuogengqingfenqideqianliexianai;4、heisesuxibaoliuyiwaideweifashenglinbajieheyuanchuzhuanyidepifuai;5、xiangdangyu Binet fenqifangan A qichengdudemanxinglinbaxibaobaixuebing;6、xiangdangyu Ann Arbor fenqifanganⅠqichengdudehejiejinshibing;7、weifashenglinbajieheyuanchuzhuanyiqie WHO fenjiwei G1 jibie(yousifenlieshu<2/10 HPF he ki-67≤2%) huogengqingfenjideshenjingneifenmizhongliu。kejianyaobeitichuchuzhongdajibingde,bingbushi“jiazhuangxianai”,ershiTNMfenqiweiIqihuogengqingfenqide“qingdujiazhuangxianai”。zhegecongzhongdajibingzhongtichude“qingdujiazhuangxianai”beidiaozhengdaoliaoqingduexingzhongliuzhizhong:qingduexingzhongliu:zhiexingxibaobushoukongzhidejinxingxingzengchanghekuosan,jin runhepohuaizhouweizhengchangzuzhi,keyijingxueguan、linbaguan hetiqiangkuosanzhuanyidaoshentiqitabuwei,bingzaojingzuzhi binglixuejiancha(hangaigusuibinglixuejiancha)jieguomingque zhenduan,linchuangzhenduanshuyushijieweishengzuzhi(WHO, World Health Organization)《jibingheyouguanjian kangwentideguojitongjifenlei》(ICD)deexingzhongliuleibieji《guojijibingfenleizhongliuxuezhuanji》disanban (ICD-O-3)dezhongliuxingtaixuebianmashuyu 3、6、9 (exingzhongliu)fanchou,danbuzai “yanzhongexingzhongliu” baozhangfanweidejibing。qietezhixialieliuxiangzhiyi:1、TNM fenqiweiⅠqidejiazhuangxianai;2、TNM fenqiwei T1N0M0 qideqianliexianai;3、heisesuxibaoliuyiwaideweifashenglinbajieheyuanchu zhuanyidepifuai;4、xiangdangyu Binet fenqifangan A qichengdudemanxinglin baxibaobaixuebing;5、xiangdangyu Ann Arbor fenqifanganⅠqichengdudehe jiejinshibing;6、weifashenglinbajieheyuanchuzhuanyiqie WHO fenjiwei G1 jibie(yousifenlieshu<2/10 HPF he ki-67≤2%) huogengqingfenjideshenjingneifenmizhongliu。xialiejibingbushuyuqingduexingzhongliu,buzaibaozhangfanwei nei:ICD-O-3 zhongliuxingtaixuebianmashuyu 0(liangxingzhongliu)、 1(dongtaiweidingxingzhongliu)、2(yuanweiaihefeiqinxixing ai)fanchoudejibing,ru:a.yuanweiai,aiqianbingbian,feijinrunxing,feiqinxixing, weiqinfanjidiceng,shangpineiliubiandeng,budianxingxingzengsheng deng;b.jiaojiexingzhongliu,jiaojieexing,diduexingqianneng,qian zaididuexingzhongliudeng。tongshi《xinguifan》huanyaoqiu,duiyu3zhongzhidingdeqingzheng(qingduexingzhongliu、jiaoqingjixingxinjigengsi、qingdunaozhongfenghouyizheng)depeifubiliwei20%;yinci,《xinguifan》bingmeiyoutichujiazhuangxianai,zhishigenjutadeyanzhongchengdujinxingfenjipeifu:TNM fenqi I qiyishangjiazhuangxianai :anzhongjipeifu,peifu100%baoe。TNM fenqi I qijiazhuangxianai :anqingzhengpeifu,peifu20%baoe。02 yuanweiaijiangwufahuodepeifu?yuanweiaishiexingzhongliudezuizaoqizhuangtai,huanmeiyoujinrun,gengbuhuikuosan,yibanshoushuqiechujiukeyiliao,erqiezhiliaofeiyongyebugui。suizhuotijianjishudejinbu,yijidajiajiankangyishidetigao,yuanweiaigengnenggoujishijianchachulai。suoyi,yuanweiaiyechengweiliaozuigaofadeqingzheng。▼ taikangrenshou2019lipeinianbaoshujukenengdajiayezhuyidaoliao,《xinguifan》zhongwulunshi“yanzhongexingzhongliu”huanshi“qingduexingzhongliu”,dingyizhongdubayuanweiaipaichuzaiwailiao。suoyi,youxierenjiuhuishuo:“xianzaidezhongjixian,yuanweiaiyibananqingzhengpeifu,yihoujiuyifenqianbupeiliao。”qishi,womenyaozhidao:《laoguifan》zhong,zhongdajibingdingyizhongyemeiyoubaohanyuanweiai,shenzhidumeiyouqingzhengdeyaoqiu。suoyi,jirananzhao《laoguifan》shejidezhongjixian,keyibayuanweiaizuoweiyizhongqingzhenglaitigongbaozhang,anzhao《xinguifan》shejidezhongjixian,meiyouliyoububaoyuanweiai。xindezhongjixianyirankeyibayuanweiaizuoweiyizhongqingzheng,laitigongbaozhang。zhibuguozheyixiangbaozhangbuzuoqiangzhiyaoqiu,youbaoxiangongsizijijueding。03 zhongjixianyaozhangjialiao?wulunyinbaojianhuichutaishimewenjian,dajiakendingduhuizaipengyouquanhuozheqitaqudaokandao“zhongjixianyaozhangjialiao”dexinxi。zhejitian,zhishoujunyijingshoudaoliaohaojigebaoxiandailirendeyingxiaodianhua,yisidushishuozhongjixianmashangyaozhangjialiao,yaowojinkuaimaibaoxian。liyoushi:baoxianjianguanshengji;yaozhixingxindejingsuanguiding;zhongjibaozhangbingzhongzengjia;xianzaidezhongjixianyaojitituishi……weishimehuizheyangne?yinwei,zaibaoxianxingyenei,zaimeiyoubi“yaozhangjia”genghaodecuchenghuashuliao~suoyi,zhiyaoshiyoujihui,zongshiyaolaichaozuoyixia。shijishang,zaizhongguoyinbaojianhuiyouguanbumenfuzerenjiufabu《putongxingrenshenbaoxianjingsuanguiding》dajizhewenzhong,yijingtidaoxinjingsuanguidingdeshishi,huishibaoxiandefeilvjiangdi:ercici《xinguifan》jiangqingdujiazhuangxianaicongzhongjizhong“tichu”,huishidejiazhuangxianaipeifuzhichudejianshao,zhongjipeifulvjiangdi。tongshi《xinguifan》zhong,guanzhuangdongmaidaqiaoshuhexinzangbanmoshoushu,buzaiyaoqiukaixiong,ershiqiekaixinbaohuoxinzangjiukeyipeifu。zhejiujiangyuanlaishuyuqingzhengdexinzangweichuangshoushunarudaozhongjibaozhangfanwei,huishidexinzangjibingdepeifuzhichuzengjia,zhongjipeifulvshenggao。yinweixinzangjibingshuyuzhonglaonianjibing,suoyicongduanqilaikanzhongjihuopeijilvjiangdi,changqilaikanzhongjihuopeijilvzengjia。suoyi,weilaixindezhongshenxingzhongjixianjiageyingyousuoxiajiang,danyebuhuiyoutaidafudu。04 zhishoujundui《xinguifan》dekanfabaoxianzhongdebingzhongdingyi yu zhuanyeyixuezhongdebingzhongdingyi cezhongdiancunzaijiaodachabie:yixuezhongdejibingdingyimudeshishuomingmouzhongjibingshishime、linchuangbiaoxianyounaxie;baoxianzhongdebingzhongdingyizhuyaogaosuwomenmouzhongbingzaishimezhengzhuangxia、dadaoshimechengdukeyihuopei;《xinguifan》dedingyigengjiazhunque,chongfentixianliaojianchiyizuixinyiliaoshijianweibiaozhun,tongshichongfenkaolvbaoxianlipeifuwudekecaozuoxing。ciwai,《xinguifan》huanmingqueliao“yuanzeshangzhishaomei5 nianduijibingdingyijiguifanjinxingquanmianpinggu,shipinggujieguojuedingshifoukaizhanxiudinggongzuo”,congzhidushangbaozhengliaozhongdajibingdingyideyushijujin。zongdelaishuo,《xinguifan》fuhewomendeyuqi,zunxunliaocicixiudingdeyuanze——fuheyixuehejingjixueyiyishangde“zhongda”biaozhun,jianchizhongdajibingfengxiandekebaotezheng,baokuobuquedingxing、kecedingxingyijiouranxing。buguo,zhishoujunrenweibuyingjiangqingzhengpeifubilixiandingwei20%。yinweidangqianshichangshangyuedingqingzhengpeifubili30-45%,zhongzhengpeifubili50-60%dezhongjixianyijingbibijieshiliao。kendingyeyoupengyouhuiwen:zhiqianmaidezhongjixian,huianzhao《xinguifan》zhixing,huanshilaoguifan?keyikendingdegaosudajia:zhiqianmaidezhongjixian,anzhaoyuanhetongyuedingdejibingdingyijinxinglipei;yihoumaidexinchanpin,caihuianzhaoxinhetongyuedingdejibingdingyicaihuijinxinglipei。name《jiuguifan》he《xinguifan》duixiaofeizhelaijiang,nagehaone?zhishoujunrenweichayibuda,《xinguifan》zhongjidingyigengheli,baofeiyehuidiyixie;《jiuguifan》,jiazhuangxianailipeigengkuansong。xuanxinzhongji、jiuzhongjidumeiyoubenzhidequbie,huozhezhongjidiaozhengqianhougemaiyixie,dukeyi。buguo,wulunruhe,duxiwangdajiajide——fengxianbuhuidengren,henduoshihoujiuxiangzheciyiqingyiyang,huigeiwomenyigeturanxiji;suoyizaoyitianyongyoubaozhang,caihuibijiaoanxin。guanzhuweixingongzhonghao“zhishouguanbao”(ID:ZSGBGZ),huoqugengduozixun!xiangjiaoyuzhongguochengshudezhibogouwuliucheng,meiguodezhibogouwuhuanxiwangtongguozengtianxianchangbiaoyan、yuxiaofeizheliaotianhuozuoyouxidengyulehuodongxiyinguanzhong。biruzongbuweiyujialifuniyazhoudepaimaipingtaiWhatnot,yunxurenmentongguojingbiaodefangshigoumaixiyoudexinqishiwu、fugufuzhuangdeng。
说(厂丑耻辞)实(厂丑颈)话(贬耻补),放(贵补苍驳)在(窜补颈)前(蚕颈补苍)段(顿耻补苍)时(厂丑颈)间(闯颈补苍),这(窜丑别)61块(碍耻补颈)钱(蚕颈补苍),我(奥辞)写(齿颈别)一(驰颈)天(罢颈补苍)头(罢辞耻)条(罢颈补辞)就(闯颈耻)赚(窜丑耻补苍)出(颁丑耻)来(尝补颈),可(碍别)现(齿颈补苍)在(窜补颈)不(叠耻)行(齿颈苍驳)了(尝颈补辞),吭(碍别苍驳)哧(窜耻辞)吭(碍别苍驳)哧(窜耻辞)攒(窜补苍)一(驰颈)周(窜丑辞耻),估(骋耻)计(闯颈)还(贬耻补苍)挣(窜丑别苍驳)不(叠耻)了(尝颈补辞)61块(碍耻补颈)钱(蚕颈补苍)。
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不过爸爸妈妈现在正在办签证不出意外的话很快他们就能来德国和我们团聚了