{"id":1819,"date":"2017-05-08T10:33:17","date_gmt":"2017-05-08T02:33:17","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/222010\/?p=1819"},"modified":"2017-05-08T10:35:38","modified_gmt":"2017-05-08T02:35:38","slug":"%e3%80%90%e7%9a%ae%e8%86%9a%e7%a7%91%e3%80%91%e6%87%b7%e5%ad%95%e5%aa%bd%e5%92%aa%e5%b8%b8%e8%a6%8b%e7%9a%84%e7%9a%ae%e8%86%9a%e5%95%8f%e9%a1%8c","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/222010\/?p=1819","title":{"rendered":"\u3010\u76ae\u819a\u79d1\u3011\u61f7\u5b55\u5abd\u54aa\u5e38\u898b\u7684\u76ae\u819a\u554f\u984c"},"content":{"rendered":"

\u4e2d\u5c71\u9644\u91ab \u76ae\u819a\u79d1 \u912d\u4eba\u6995\u00a0\u91ab\u5e2b<\/h4>\n

\u76ae\u75b9\u8207\u6414\u7662\u662f\u61f7\u5b55\uff08\u598a\u5a20\uff09\u671f\u9593\u5f88\u5e38\u898b\u7684\u554f\u984c\uff0c\u9019\u4e9b\u75c7\u72c0\u4e0d\u55ae\u55ae\u6703\u9020\u6210\u5abd\u54aa\u7684\u56f0\u64fe\uff0c\u6709\u6642\u751a\u81f3\u6703\u5f71\u97ff\u5230\u80ce\u5152\uff01\u61c9\u8a72\u8b39\u614e\u7684\u8b93\u76ae\u819a\u79d1\u91ab\u5e2b\u8a55\u4f30\uff0c\u6b63\u78ba\u7684\u8a3a\u65b7\u8207\u6cbb\u7642\uff0c\u624d\u80fd\u8b93\u5404\u4f4d\u6e96\u5abd\u5abd\u5011\u90fd\u5b89\u5fc3\u5f85\u7522\u3002
\n\u8aaa\u5230\u61f7\u5b55\u7279\u5b9a\u76ae\u819a\u554f\u984c\uff0c\u5927\u81f4\u4e0a\u53ef\u5206\u70ba5\u7a2e\uff0c\u597d\u767c\u7684\u5b55\u671f\u4e5f\u6709\u6240\u4e0d\u540c\uff0c\u4e0b\u5217\u5206\u5225\u91dd\u5c0d\u80ce\u5152\u201d\u6709\u3001\u7121\u201d\u5f71\u97ff\u4f86\u8aaa\u660e\uff1a<\/p>\n

\"\"<\/a>A. \u5c0d\u80ce\u5152\u8f03\u201d\u7121\u201d\u5f71\u97ff\u7684\u598a\u5a20\u76ae\u819a\u554f\u984c
\n\u598a\u5a20\u7570\u4f4d\u6027\u76ae\u75b9 Atopic eruption of pregnancy (AEP)<\/strong>
\n\u25cf \u767c\u751f\u6a5f\u7387\uff1a\u4f54\u6240\u6709\u5b55\u5a66\u76ae\u819a\u75be\u60a350%\u3002
\n\u25cf \u767c\u751f\u6642\u9593\uff1a\u901a\u5e38\u65bc\u7b2c\u4e8c\u5b55\u671f\u51fa\u73fe
\n\u25cf \u81e8\u5e8a\u8868\u73fe\uff1a\u5206\u5169\u578b\u3002\u5927\u90e8\u5206\u70ba\u6fd5\u75b9\u6a23(Eczematous \u00a0type)\uff0c\u5c11\u90e8\u5206\u70ba\u7d50\u7bc0\u6027\u7662\u75b9\u6a23
\n(Papular type)\u3002\u4e3b\u8981\u5206 \u5e03\u65bc\u81c9\u3001\u8116\u5b50\u3001\u56db\u80a2\u5c48\u5074\uff0c\u90e8\u5206\u56b4\u91cd\u8005\u4e5f\u6703\u65bc
\n\u8ec0\u5e79\u4e0a\uff0c\u8207\u7570\u4f4d\u6027\u76ae\u819a\u708e\u597d\u767c\u4f4d\u7f6e\u76f8\u540c\u3002
\n\u25cf \u6cbb\u7642\uff1a\u5916\u7528\u85e5\u7269\u5408\u4f75\u4fdd\u6ebc\u4e73\u6db2\u6cbb\u7642\u6548\u679c\u5f88\u597d\uff0c\u56b4\u91cd\u8005\u53ef\u4f7f\u7528UVB\u7d2b\u5916\u5149\u7167\u5149\u6cbb\u7642\u3002
\n\u25cf\u00a0\u7814\u7a76\u767c\u73fe\uff0c\u5728AEP\u60a3\u8005\u4e2d\uff0c\u670920%\u75c5\u4eba\u5728\u61f7\u5b55\u524d\u5c31\u6709\u7570\u4f4d\u6027\u76ae\u819a\u708e\uff0c\u61f7\u5b55\u5f8c\u75c7\u72c0\u66f4
\n\u60e1\u5316\u3002\u5176\u991880%\u7684\u75c5\u4eba\u61f7\u5b55\u524d\u4e26\u975e\u7570\u4f4d\u6027\u76ae\u819a\u708e\u60a3\u8005\uff0c\u5728\u61f7\u5b55\u904e\u7a0b\u4e2d\u51fa\u73fe\u75c7\u72c0\uff0c\u7522
\n\u5f8c\u6703\u5fa9\u539f\u3002
\n\u25cf\u00a0\u4e0b\u6b21\u61f7\u5b55\u53ef\u80fd\u6703\u518d\u6b21\u5fa9\u767c\u3002\"\"<\/a>\u598a\u5a20\u591a\u5f62\u75b9 Polymorphic eruption of pregnancy
\n<\/strong>\u25cf \u4e5f\u7a31\u4f5c\u598a\u5a20\u6414\u7662\u6027\u8541\u9ebb\u75b9\u6a23\u4e18\u75b9\u53ca\u6591\u584a(PUPPP)\u3002
\n\u25cf\u00a0\u767c\u751f\u6a5f\u7387\uff1a\u591a\u767c\u65bc\u521d\u7522\u5a66\uff0c\u767c\u751f\u73870.3%~0.7%\u3002\u7814\u7a76\u986f\u793a\u591a\u80de\u80ce\u6216\u80ce\u5152\u8f03\u91cd\u4e5f\u5c6c\u9ad8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u5371\u96aa\u7fa4\u3002
\n\u25cf\u00a0\u767c\u751f\u6642\u9593\uff1a\u901a\u5e38\u65bc\u7b2c\u4e09\u5b55\u671f\u624d\u51fa\u73fe\uff0c\u4f46\u5c11\u6578\u4e5f\u5728\u7b2c\u4e00\u5b55\u671f\u5c31\u51fa\u73fe\u3002\u5e73\u5747\u6301\u7e8c6\u9031\uff0c \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u6700\u7662\u7684\u6642\u9593\u4e0d\u8d85\u904e1\u9031\u3002\u591a\u65bc\u7522\u5f8c\u5e7e\u5929\u5167\u4fbf\u6703\u7de9\u89e3\u3002
\n\u25cf\u00a0\u81e8\u5e8a\u8868\u73fe\uff1a\u975e\u5e38\u7662\u53ca\u5f88\u591a\u6a23\u6027\u7684\u76ae\u75b9\u3002\u6700\u5e38\u898b\u662f\u5177\u7662\u611f\u4e4b\u8541\u9ebb\u75b9\u6a23\u4e18\u75b9\uff0c\u4e5f\u6709\u74b0
\n\u72c0\u3001\u5c0f\u6c34\u6ce1\u6a23\u3002\u591a\u65bc\u8179\u90e8\u958b\u59cb\u51fa\u73fe\uff0c\u6703\u5ef6\u8457\u598a\u5a20\u7d0b\u9577\u51fa\uff0c\u4f46\u4e0d\u6703\u4fb5\u72af\u5230\u5230\u809a\u81cd\u5468
\n\u570d\uff0c\u56b4\u91cd\u6642\u6703\u5f80\u81c0\u90e8\u3001\u4e73\u623f\u3001\u56db\u80a2\u8513\u5ef6\uff0c\u5f88\u5c11\u9ad8\u904e\u80f8\u53e3\uff0c\u6240\u4ee5\u81c9\u90e8\u4e0d\u6703\u6709\u3002
\n\u25cf \u6cbb\u7642\uff1a\u9996\u91cd\u63a7\u5236\u7662\u611f\u3002\u53ef\u5148\u4ee5\u5916\u7528\u85e5\u7269\u6cbb\u7642\uff0c\u518d\u642d\u914d\u53e3\u670d\u6297\u7d44\u7e54\u80fa\u6216\u77ed\u671f\u985e\u56fa\u9187\u6cbb
\n\u7642\u3002\u4f7f\u7528\u7684\u85e5\u7269\u591a\u5c6c\u61f7\u5b55\u7b49\u7d1aB\u7d1a\uff0c\u4e14\u56e0\u5927\u90e8\u4efd\u51fa\u73fe\u5728\u61f7\u5b55\u5f8c\u671f\uff0c\u56e0\u6b64\u85e5\u7269\u4e0d\u592a\u6703
\n\u5f71\u97ff\u5230\u80ce\u5152\u3002
\n\u25cf \u7814\u7a76\u767c\u73fe\uff0c\u6b64\u75be\u75c5\u53ef\u80fd\u8207\u5b55\u5a66\u9ad4\u91cd\u589e\u52a0\u592a\u5feb\uff0c\u5c0e\u81f4\u76ae\u819a\u81a0\u539f\u86cb\u767d\u65b7\u88c2\uff0c\u800c\u5f15\u767c\u5f8c\u7e8c \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u514d\u75ab\u767c\u708e\u53cd\u61c9\u3002\u5efa\u8b70\u61f7\u5b55\u521d\u671f\u9ad4\u91cd\u589e\u52a02~3\u516c\u65a4\u3001\u4e2d\u671f\u7d044~5\u516c\u65a4\u3001\u5f8c\u671f\u589e\u52a04~5
\n\u516c\u65a4\uff0c\u7e3d\u5171\u4ee5\u589e\u52a010~12\u516c\u65a4\u6700\u6070\u7576\u3002
\n\u25cf \u4e0b\u6b21\u61f7\u5b55\u4e0d\u592a\u6703\u5fa9\u767c\u3002\"\"<\/a><\/p>\n

B.\u5c0d\u80ce\u5152\u8f03\u201d\u6709\u201d\u5f71\u97ff\u7684\u598a\u5a20\u76ae\u819a\u554f\u984c
\n\u598a\u5a20\u985e\u5929\u76b0\u7621 Pemphigoid gestationis
\n\u25cf <\/strong>\u767c\u751f\u6642\u9593\uff1a\u901a\u5e38\u65bc\u7b2c\u4e8c\u3001\u4e09\u5b55\u671f\u6703\u51fa\u73fe\uff0c\u6216\u525b\u751f\u7522\u5f8c\u51fa\u73fe\u3002
\n\u25cf\u00a0<\/strong>\u81e8\u5e8a\u8868\u73fe\uff1a\u521d\u671f\u5287\u70c8\u6414\u7662\u7684\u8541\u9ebb\u75b9\u6a23\u7d05\u75b9\uff0c\u4e4b\u5f8c\u6162\u6162\u5f62\u6210\u6c34\u6ce1\u3002\u591a\u65bc\u8ec0\u5e79\u3001\u8179\u90e8\u5148
\n\u51fa\u73fe\uff0c\u53ef\u4fb5\u72af\u5230\u809a\u81cd\u5468\u570d(\u53ef\u8207\u598a\u5a20\u591a\u578b\u75b9\u505a\u5340\u5225)\uff0c\u56b4\u91cd\u8005\u8513\u5ef6\u81f3\u56db\u80a2\uff0c\u800c\u7c98\u819c\u3001
\n\u624b\u8173\u638c\u4e0d\u6703\u4fb5\u72af\u3002\u5927\u90e8\u5206\u7522\u5f8c\u6703\u6539\u5584\u3002
\n\u25cf\u00a0<\/strong>\u6cbb\u7642\uff1a\u8f15\u75c7\u8005\u5148\u4ee5\u5916\u7528\u985e\u56fa\u9187\u5408\u4f75\u6297\u7d44\u7e54\u80fa\u4f86\u6539\u5584\u75c7\u72c0\uff0c\u56b4\u91cd\u8005\u5247\u9700\u53e3\u670d\u985e\u56fa\u9187\u6cbb \u00a0 \u00a0 \u00a0 \u00a0 \u7642\u3002
\n\u25cf <\/strong>\u5c0d\u80ce\u5152\u5f71\u97ff\uff1a\u80ce\u5152\u5c0f\u65bc\u598a\u5a20\u5e74\u9f61\u6216\u65e9\u7522
\n\u25cf <\/strong>\u7d0425%\u60a3\u8005\u4e0b\u6b21\u61f7\u5b55\u53ef\u80fd\u518d\u767c\u751f\uff0c\u6709\u4e9b\u60a3\u8005\u4e5f\u6703\u56e0\u70ba\u53e3\u670d\u907f\u5b55\u85e5\u800c\u5fa9\u767c\u3002<\/p>\n

\"\"<\/a><\/strong>
\n\u598a\u5a20\u809d\u5167\u81bd\u6c41\u9b31\u7a4d Intrahepatic cholestasis of pregnancy(ICP)
\n<\/strong>\u25cf\u00a0<\/strong>\u767c\u751f\u539f\u56e0\uff1a\u539f\u56e0\u4e0d\u660e\uff0c\u4e3b\u8981\u8207\u61f7\u5b55\u6642\u8cc0\u723e\u8499\u6ce2\u52d5\u6709\u95dc\u3002
\n\u25cf\u00a0<\/strong>\u767c\u751f\u6642\u9593\uff1a\u901a\u5e38\u65bc\u7b2c\u4e09\u5b55\u671f\u6703\u51fa\u73fe\uff0c\u6709\u7814\u7a76\u986f\u793a\u5728C\u578b\u809d\u708e\u4e4b\u5b55\u5a66\u5c6c\u9ad8\u5371\u96aa\u7fa4\u3002
\n\u25cf\u00a0<\/strong>\u81e8\u5e8a\u8868\u73fe\uff1a\u521d\u671f\u70ba\u4e2d\u7b49\u81f3\u5f37\u70c8\u7662\u611f\uff0c\u591c\u9593\u7662\u611f\u6703\u7279\u5225\u660e\u986f\u3002\u7279\u8272\u662f\u4e0d\u6703\u6709\u660e\u986f\u76ae\u75b9
\n\u51fa\u73fe\uff0c\u4f46\u5f8c\u671f\u6703\u56e0\u6414\u7662\u800c\u6293\u51fa\u8a31\u591a\u6293\u75d5\u3002\u5e38\u6703\u4f34\u96a8\u75b2\u5026\u3001\u5641\u5fc3\u3001\u5614\u5410\u3001\u80c3\u53e3\u4e0d\u4f73\uff0c
\n20%\u60a3\u8005\u53ef\u80fd\u9084\u6703\u5408\u4f75\u9ec3\u75b8\u3002\u9019\u4e9b\u75c7\u72c0\u591a\u65bc\u7522\u5f8c2-4\u9031\u5f8c\u7de9\u89e3\u3002
\n\u25cf\u00a0<\/strong>\u6cbb\u7642\uff1a\u9996\u91cd\u63a7\u5236\u7662\u611f\u3002\u53ef\u4f7f\u7528\u4fdd\u6fd5\u4e73\u6db2\u3001\u53e3\u670d\u6297\u7d44\u7e54\u80fa\u3001\u5c40\u90e8\u6b62\u7662\u5291\u3001UVB\u7d2b\u5916\u5149 \u00a0 \u00a0 \u00a0 \u00a0 \u7167\u5149\u6cbb\u7642\u7b49\u4f86\u6539\u5584\u75c7\u72c0\u3002\u5982\u679c\u56b4\u91cd\u81bd\u6c41\u9b31\u7a4d\uff0c\u96d6\u53ef\u5617\u8a66\u4ee5\u53e3\u670dcholestyramine\u53ca
\nursodeoxycholic acid\u6cbb\u7642\uff0c\u4f46\u81e8\u5e8a\u5b89\u5168\u6027\u8cc7\u6599\u4ecd\u4e0d\u5145\u8db3\uff0c\u56e0\u6b64\u8655\u65b9\u6642\u5fc5\u9808\u5c0f\u5fc3\u3002
\n\u56b4\u91cd\u8005\u751a\u81f3\u9700\u8981\u63d0\u65e9\u5f15\u7522\u3002
\n\u25cf\u00a0<\/strong>\u5c0d\u65bc\u5b55\u5a66\uff0c\u53ef\u80fd\u6703\u589e\u52a0\u65e5\u5f8c\u81bd\u56ca\u75be\u75c5\u53ca\u81bd\u7d50\u77f3\u7684\u767c\u751f\u6a5f\u7387\uff1b\u5c0d\u65bc\u80ce\u5152\uff0c\u65e9\u7522\u3001\u5206\u5a29 \u00a0 \u00a0 \u00a0 \u00a0 \u671f\u80ce\u5152\u7a98\u8feb\u3001\u6b7b\u80ce\u7684\u53ef\u80fd\u6027\u589e\u52a0\u3002
\n\u25cf\u00a0<\/strong>\u7d04\u4e00\u534a\u4ee5\u4e0a\u60a3\u8005(45~70%)\u4e0b\u6b21\u61f7\u5b55\u53ef\u80fd\u518d\u767c\u751f\u3002\u6709\u4e9b\u60a3\u8005\u4e5f\u6703\u56e0\u70ba\u53e3\u670d\u907f\u5b55\u85e5\u800c
\n\u5fa9\u767c\u3002
\n\"\"<\/a>
\n\u598a\u5a20\u81bf\u76b0\u578b\u4e7e\u766c Pustular psoriasis of pregnancy
\n<\/strong>\u25cf\u00a0<\/strong>\u767c\u751f\u6a5f\u7387\uff1a\u7f55\u898b\uff0c\u5c6c\u65bc\u81bf\u76b0\u4e7e\u766c\u7684\u4e00\u7a2e\u5b55\u5a66\u578b\u3002
\n\u25cf\u00a0<\/strong>\u767c\u751f\u6642\u9593\uff1a\u901a\u5e38\u65bc\u7b2c\u4e09\u5b55\u671f\u6703\u51fa\u73fe\u3002
\n\u25cf\u00a0<\/strong>\u81e8\u5e8a\u8868\u73fe\uff1a\u521d\u671f\u5728\u76ae\u819a\u76ba\u6298\u8655\u5982\u9f20\u8e4a\u3001\u814b\u4e0b\u6216\u9838\u90e8\u6709\u4e0d\u5177\u7662\u611f\u7684\u7d05\u6591\uff0c\u4f34\u96a8\u908a\u7de3\u7d30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u5c0f\u7684\u7121\u83cc\u6027\u81bf\u76b0\uff0c\u4e4b\u5f8c\u65b0\u75c5\u7076\u6703\u6162\u6162\u5411\u5916\u64f4\u6563\uff0c\u56b4\u91cd\u6642\u81f3\u5168\u8eab\uff0c\u7c98\u819c\u3001\u6307\u7532\u4e0b\u4e5f\u6703 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u4fb5\u72af\uff0c\u800c\u81c9\u90e8\u624b\u8173\u638c\u8f03\u5c11\u3002\u751a\u81f3\u5408\u4f75\u767c\u71d2\u3001\u75b2\u5026\u3001\u8179\u7009\u3001\u95dc\u7bc0\u75bc\u75db\u3001\u4f4e\u8840\u9223\u5c0e\u81f4\u62bd \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u7b4b\u3001\u6557\u8840\u75c7\u7b49\u5168\u8eab\u75c7\u72c0\u3002\u591a\u6578\u7522\u5f8c\u6703\u7de9\u89e3\u3002
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\"\"<\/a><\/p>\n

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(\u6587\u7ae0\u5716\u7247\u4f86\u6e90: Dermatology 3rd Edition)<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-1819","post","type-post","status-publish","format-standard","hentry","category-doc-heaedu"],"_links":{"self":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/1819"}],"collection":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1819"}],"version-history":[{"count":3,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/1819\/revisions"}],"predecessor-version":[{"id":1830,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/1819\/revisions\/1830"}],"wp:attachment":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1819"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1819"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1819"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}