{"id":1174,"date":"2020-01-29T11:23:50","date_gmt":"2020-01-29T03:23:50","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=1174"},"modified":"2020-12-29T11:25:02","modified_gmt":"2020-12-29T03:25:02","slug":"%e8%85%b8%e7%97%85%e6%af%92-%e4%b8%8d%e5%8f%af%e4%b8%8d%e7%9f%a5","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=1174","title":{"rendered":"\u8178\u75c5\u6bd2 \u4e0d\u53ef\u4e0d\u77e5"},"content":{"rendered":"\n<p style=\"text-align:right\">\u6587\/\u85e5\u5291\u79d1 <strong>\u694a\u7ffc\u4e98<\/strong> \u85e5\u5e2b<\/p>\n\n\n\n<p>\u8178\u75c5\u6bd2\u70ba\u4e00\u7fa4\u75c5\u6bd2\u7684\u7e3d\u7a31\uff0c\u57281997\u5e74\u4e4b\u524d\uff0c\u5df2\u77e5\u800c\u88ab\u5206\u985e\u7684\u8178\u75c5\u6bd2\u5171\u6709\u5c0f\u5152\u9ebb\u75fa\u75c5\u6bd2(poliovirus)\u3001\u514b\u6c99\u5947\u75c5\u6bd2(coxsackievirus)\u3001\u4f0a\u79d1\u75c5\u6bd2(echovirus)\u53ca\u8178\u75c5\u6bd2(enterovirus)\u7b49\u3002\u8fd1\u5e74\u4f86\u53c8\u9678\u7e8c\u767c\u73fe\u591a\u7a2e\u578b\u5225\uff0c\u4f9d\u64da\u57fa\u56e0\u5e8f\u5217\u91cd\u65b0\u6b78\u985e\u70ba\u4eba\u985e\u8178\u75c5\u6bd2A\u3001B\u3001C\u3001D\u578b(human enterovirus A\u3001B\u3001C\u3001D)\uff0c\u5176\u4e2d\u8178\u75c5\u6bd271\u578b\u5c31\u5c6cA\u578b\u4eba\u578b\u8178\u75c5\u6bd2(human enterovirus A)\u3002\u65b0\u751f\u5152\u8178\u75c5\u6bd2\u611f\u67d3\u7684\u5e38\u898b\u75c5\u6bd2\u578b\u70ba\u4f0a\u79d1\u75c5\u6bd2\u548c\u514b\u6c99\u5947B\u578b\u75c5\u6bd2\uff0c\u5176\u4e2d\u4ee5\u4f0a\u79d16\u30019\u300111\u300119\u300130\u578b\uff0c\u514b\u6c99\u5947B1-B5\u578b\u75c5\u6bd2\u8f03\u70ba\u5e38\u898b\u3002<\/p>\n\n\n\n<p>\u00a0\u53bb\u5e74\u9020\u6210\u65b0\u751f\u5152\u91cd\u75c7\u75ab\u60c5\u7684\u4f0a\u79d1\u75c5\u6bd211\u578b\u5448\u73fe\u4f4e\u5ea6\u6d3b\u52d5\uff0c\u8fd1\u671f\u8178\u75c5\u6bd2<strong>71\u578b\u75c5\u6bd2\u6d3b\u52d5\u5ea6\u4e0a\u5347<\/strong>\uff0c\u4eca\u5e74\u7d2f\u8a08353\u4f8b\u8178\u75c5\u6bd271\u578b\u500b\u6848\uff0c\u9ad8\u65bc2016\u81f32018\u5e74\u540c\u671f\u3002\u4eca(2019)\u5e74\u7d2f\u8a0845\u4f8b\u8178\u75c5\u6bd2\u4f75\u767c\u91cd\u75c7\u75c5\u4f8b\uff0c\u4ee5\u611f\u67d3\u8178\u75c5\u6bd271\u578b\u70ba\u591a(36\u4f8b)\uff0c\u5176\u4ed6\u5206\u5225\u611f\u67d3\u8178\u75c5\u6bd2D68\u578b\u3001\u514b\u6c99\u5947A6\u578b\u3001A10\u578b(\u54042\u4f8b)\uff0c\u514b\u6c99\u5947A9\u578b\u3001B5\u578b\u3001\u4f0a\u79d1\u75c5\u6bd211\u578b(\u54041\u4f8b)\u3002<\/p>\n\n\n\n<p>\u00a0\u6839\u64da\u75be\u75c5\u7ba1\u5236\u7f72\u76e3\u6e2c\u8cc7\u6599\u986f\u793a\uff0c\u570b\u5167\u8178\u75c5\u6bd2\u75ab\u60c5\u4e0b\u964d\uff0c9\u670829\u65e5\u81f310\u67085\u65e5\u570b\u5167\u8178\u75c5\u6bd2\u9580\u6025\u8a3a\u5c31\u8a3a\u5171\u8a0818,834\u4eba\u6b21\uff0c\u8f03\u524d\u4e00\u9031\u4e0b\u964d10.6%\uff0c\u75ab\u60c5\u5df2\u904e\u9ad8\u5cf0\u4f46\u4ecd\u5728\u6d41\u884c\u671f\u3002<\/p>\n\n\n\n<p class=\"has-text-color has-vivid-cyan-blue-color\"><strong>\u50b3\u67d3\u9014\u5f91\uff1a<\/strong><\/p>\n\n\n\n<p>\u00a0\u8178\u75c5\u6bd2\u7684\u50b3\u67d3\u529b\u6975\u5f37\uff0c\u5728\u5bb6\u5ead\u53ca\u6258\u80b2\u6a5f\u69cb\u7b49\u8655\u6700\u5bb9\u6613\u50b3\u64ad\uff0c\u53ef\u7d93\u7531\u63a5\u89f8\u6216\u4ee5\u98db\u6cab\u65b9\u5f0f\u611f\u67d3\u5e7c\u5152\u800c\u9020\u6210\uff0c\u4e5f\u53ef\u80fd\u7d93\u7531\u63a5\u89f8\u7121\u75c7\u72c0\u5e36\u75c5\u6bd2\u5bb6\u9577\u6216\u75c5\u4eba\u7684\u53e3\u9f3b\u5206\u6ccc\u7269\u3001\u54b3\u55fd\u3001\u6253\u5674\u568f\u98db\u6cab\uff0c\u6216\u5403\u9032\u88ab\u542b\u6709\u75c5\u6bd2\u4e4b\u7cde\u4fbf\u6240\u6c61\u67d3\u7684\u98df\u7269\u800c\u53d7\u50b3\u67d3\uff0c<strong>\u73a9\u5177<\/strong>\u5e38\u70ba\u5e7c\u5152\u9593\u50b3\u67d3\u7684\u5a92\u4ecb\uff0c\u5c24\u5176\u662f<strong>\u5e36\u6bdb\u7684\u73a9\u5177<\/strong>\u66f4\u5bb9\u6613\u56e0\u63a5\u89f8\u5e7c\u5152\u53e3\u5634\u9020\u6210\u5927\u91cf\u75c5\u6bd2\u611f\u67d3\u800c\u767c\u75c5\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"707\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2020\/12\/6551228585-1024x707.png\" alt=\"\" class=\"wp-image-1175\"\/><\/figure>\n\n\n\n<p class=\"has-text-color has-vivid-cyan-blue-color\"><strong>\u81e8\u5e8a\u75c7\u72c0<\/strong><\/p>\n\n\n\n<p>\u7531\u65bc\u8178\u75c5\u6bd271\u578b\u81f4\u75c5\u529b\u8f03\u9ad8\u4e14\u5f15\u8d77\u7684\u91cd\u75c7\u75c5\u7a0b\u8b8a\u5316\u5feb\u901f\uff0c\u4e14\u91cd\u75c7\u591a\u767c\u751f\u65bc<strong>5\u6b72\u4ee5\u4e0b<\/strong>\u5e7c\u7ae5\uff0c\u5bb6\u9577\u9808\u7279\u5225\u7559\u5fc3\u3002<br>\u611f\u67d3\u5f8c\u5e38\u51fa\u73fe\u7684\u75c7\u72c0\u5982\u4e0b\uff1a<br>\uff08\u4e00\uff09\u767c\u71d2\u6642\u9593\u8f03\u9577\uff1a\u5e38<strong>\u8d85\u904e3\uff1e\u592939\u2103<\/strong>\u7684\u9ad8\u71d2\u3002<br>\uff08\u4e8c\uff09<strong>\u5e7e\u4e4e\u90fd\u6709\u624b\u8db3\u53e3\u75c7\u72c0<\/strong>\uff1a\u5728\u624b\u90e8\u3001\u8db3\u90e8\u3001\u53e3\u8154\u5167\u7b49\u90e8\u4f4d\u51fa\u73fe\u91dd\u982d\u5927\u5c0f\u7d05\u9ede\u7684\u75b9\u5b50\uff08\u6c34\u6ce1\uff09\u3002<br>\uff08\u4e09\uff09<strong>\u5bb9\u6613\u6709\u4e2d\u6a1e\u795e\u7d93\u4f75\u767c\u75c7<\/strong>\uff1a\u5982\u55dc\u7761\u3001\u6301\u7e8c\u5614\u5410\u3001\u808c\u8e8d\u578b\u62bd\u6410(\u7121\u6545\u9a5a\u5687\u6216\u7a81\u7136\u9593\u5168\u8eab\u808c\u8089\u6536\u7e2e\uff0c\u7279\u5225\u983b\u7e41\u4e14\u5728\u767d\u5929\u6e05\u9192\u6642\u4e5f\u6703\u51fa\u73fe)\u3001\u610f\u8b58\u4e0d\u6e05\u7b49\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"942\" height=\"651\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2020\/12\/65512285853.png\" alt=\"\" class=\"wp-image-1176\"\/><\/figure>\n\n\n\n<p>\u00a0\u56e0\u6b64\u5bb6\u4e2d\u5e7c\u7ae5\u5982\u611f\u67d3\u8178\u75c5\u6bd2\uff0c\u61c9\u5728\u5bb6\u4f11\u606f\u4ee5\u907f\u514d\u8207\u5176\u4ed6\u5e7c\u5152\u63a5\u89f8\uff0c\u964d\u4f4e\u4ea4\u53c9\u611f\u67d3\u7684\u6a5f\u6703\uff0c\u4e26\u65bc\u5e7c\u5152\u611f\u67d3\u5f8c\u7684<strong>\u4e00\u9031<\/strong>\u5167\uff0c\u52d9\u5fc5\u7559\u610f\u5176\u75c5\u60c5\u8b8a\u5316\uff0c\u4e00\u65e6\u51fa\u73fe\u91cd\u75c7\u524d\u5146\u4e4b\u76f8\u95dc\u75c7\u72c0\uff0c\u52d9\u5fc5\u7acb\u5373\u9001\u5927\u91ab\u9662\u6cbb\u7642\uff0c\u4ee5\u964d\u4f4e\u91cd\u75c7\u767c\u751f\u7684\u6a5f\u6703\u3002\u901a\u5e38\u91cd\u75c7\u767c\u751f\u6642\u9593\u70ba\u767c\u75c5\u5f8c2-7\u5929\uff0c\u5e73\u5747\u70ba\u767c\u75c5\u5f8c3\u5929\u3002\u76f4\u63a5\u81f4\u6b7b\u7684\u539f\u56e0\u70ba\u5fc3\u81df\u8870\u7aed\u3002<\/p>\n\n\n\n<p class=\"has-text-color has-vivid-cyan-blue-color\"><strong>\u6cbb\u7642\uff1a<\/strong><\/p>\n\n\n\n<p>&nbsp;&nbsp;&nbsp; \u611f\u67d3\u75c5\u6bd2\u5f8c\u4e00\u822c3~5\u5929\u6703\u51fa\u73fe\u75c7\u72c0\uff0c\u4f46\u662f\u5927\u591a\u6578\u611f\u67d3\u8005\uff0c\u6c92\u6709\u81e8\u5e8a\u75c7\u72c0\u6216\u81e8\u5e8a\u75c7\u72c0\u6975\u70ba\u8f15\u5fae\uff0c<strong>\u76ee\u524d\u4e26\u6c92\u6709\u7279\u6548\u85e5\uff0c\u63a1\u53d6\u652f\u6301\u7642\u6cd5\uff0c<\/strong>\u5982\u9000\u71d2\u3001\u6b62\u54b3\u3001\u75c7\u72c0\u6cbb\u7642\u7b49\u65b9\u5f0f\uff0c\u7d55\u5927\u591a\u6578\u60a3\u8005\u6703\u5728\u767c\u75c5\u5f8c7-10\u5929\u5167\u81ea\u884c\u75ca\u7652\u3002<\/p>\n\n\n\n<p>&nbsp;&nbsp; &nbsp;\u76ee\u524d\u91dd\u5c0d\u8178\u75c5\u6bd2D68\u578b\u7684\u6297\u75c5\u6bd2\u85e5\u7269\u4ecd\u5728\u81e8\u5e8a\u8a66\u9a57\u7576\u4e2d\uff1b\u800c\u570b\u5167\u76ee\u524d\u7814\u767c\u4e4b\u8178\u75c5\u6bd271\u578b\u75ab\u82d7\uff0c\u6b63\u5728\u9032\u884c\u81e8\u5e8a\u8a66\u9a57\uff0c<strong>\u5c1a\u672a\u4e0a\u5e02<\/strong>\u63d0\u4f9b\u63a5\u7a2e\u3002<\/p>\n\n\n\n<p>&nbsp;&nbsp;&nbsp; \u4f9d\u75be\u75c5\u7ba1\u5236\u7f72\u516c\u544a\u4e4b\u300c\u8178\u75c5\u6bd271\u578b\u611f\u67d3\u4f75\u767c\u91cd\u75c7\u81e8\u5e8a\u8655\u7406\u6ce8\u610f\u4e8b\u9805\u300d\uff0c\u7576\u611f\u67d3\u500b\u6848\u51fa\u73fe<strong>\u6025\u6027\u8166\u708e\u3001\u6025\u6027\u8166\u810a\u9ad3\u708e\u3001\u81ea\u4e3b\u795e\u7d93\u6a5f\u80fd\u5931\u8abf\u3001\u6557\u8840\u75c7\u5019\u7fa4\u7b49\u689d\u4ef6\u6642\uff0c\u70ba\u975c\u8108\u6ce8\u5c04\u514d\u75ab\u7403\u86cb\u767d\u4e4b\u9069\u61c9\u75c7<\/strong>\u3002\u4f46\u56e0\u65b0\u751f\u5152\u4e4b\u81e8\u5e8a\u8868\u73fe\u8207\u5152\u7ae5\u671f\u611f\u67d3\u4e0d\u76e1\u76f8\u540c\uff0c\u800c\u4ee5\u5fc3\u808c\u708e\u3001\u809d\u708e\u5408\u4f75\u51dd\u8840\u529f\u80fd\u7570\u5e38\u3001\u8166\u708e\u3001\u6557\u8840\u75c7\u7b49\u70ba\u5e38\u898b\u91cd\u75c7\u8868\u73fe\uff0c\u5efa\u8b70\u6b64\u6642\u53ef\u8003\u616e\u4f7f\u7528<strong>IVIG (<\/strong><strong>\u4eba\u985e\u514d\u75ab\u7403\u86cb\u767d\u975c\u8108\u6ce8\u5c04\u5291<\/strong><strong>)<\/strong>\u6cbb\u7642\u3002\u5176\u4ed6\u5c11\u898b\u7684\u8178\u75c5\u6bd2\u91cd\u75c7\u8868\u73fe\uff0c\u5982\u80ba\u708e\u4f75\u547c\u5438\u8870\u7aed\u3001\u80f0\u81df\u708e\u53ca\u58de\u6b7b\u6027\u8178\u708e\uff0c\u5982\u5df2\u78ba\u5b9a\u70ba\u8178\u75c5\u6bd2\u611f\u67d3\uff0c\u4ea6\u53ef\u8003\u616e\u4f7f\u7528\uff0c<strong>\u4f46\u6587\u737b\u4e0a\u4e26\u7121\u7d93\u9a57\u6216\u8b49\u64da\u986f\u793a\u5177\u6709\u7642\u6548<\/strong>\u3002<strong>\u6cbb\u7642\u5efa\u8b70\u5291\u91cf\u70ba<\/strong><strong>1 gm\/kg<\/strong><strong>\uff0c\u975c\u8108\u6ef4\u6ce8<\/strong><strong>12<\/strong><strong>\u5c0f\u6642\u4e00\u6b21\uff0c\u5fc5\u8981\u6642\u53ef\u91cd\u8907\u518d\u7d66\u4e88\u4e00\u6b21<\/strong>\u3002<\/p>\n\n\n\n<p>&nbsp;&nbsp;&nbsp; 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