{"id":1195,"date":"2021-01-15T16:57:50","date_gmt":"2021-01-15T08:57:50","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=1195"},"modified":"2021-01-26T17:01:31","modified_gmt":"2021-01-26T09:01:31","slug":"%e5%bf%83%e5%be%8b%e4%b8%8d%e6%95%b4%e6%b2%bb%e7%99%82%e6%96%b0%e9%80%b2%e5%b1%95","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=1195","title":{"rendered":"\u5fc3\u5f8b\u4e0d\u6574\u6cbb\u7642\u65b0\u9032\u5c55"},"content":{"rendered":"\n<p style=\"text-align:right\">\u6587\/\u5fc3\u81df\u5167\u79d1 \u9ec3\u8056\u744b \u4e3b\u6cbb\u91ab\u5e2b<\/p>\n\n\n\n<p>\u5fc3\u81df\u662f\u7dad\u6301\u751f\u547d\u7684\u91cd\u8981\u5668\u5b98\uff0c\u800c\u5fc3\u8df3\u662f\u7531\u4e00\u4e9b\u81ea\u767c\u6027\u7684\u96fb\u751f\u7406\u8a0a\u865f\u523a\u6fc0\u5fc3\u81df\u6536\u7e2e\uff0c\u6b63\u5e38\u7684\u7bc0\u5f8b\u662f\u7531\u7ac7\u623f\u7bc0(SA 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pacemakers)\u7f6e\u653e<\/strong><br>\u7bc0\u5f8b\u5668\u662f\u7576\u5fc3\u640f\u904e\u6162\u6642\uff0c\u653e\u96fb\u523a\u6fc0\u5fc3\u81df\u8df3\u52d5\uff0c\u9810\u9632\u5fc3\u5f8b\u904e\u6162\u3002\u5728X\u5149\u900f\u8996\u4e0b\uff0c\u91ab\u5e2b\u6703\u5c07\u5c0e\u7dda\u653e\u7f6e\u65bc\u5fc3\u81df\u5167\u90e8\u6700\u5408\u9069\u7684\u90e8\u4f4d\uff0c\u7136\u5f8c\u628a\u5c0e\u7dda\u8207\u5fc3\u81df\u7bc0\u5f8b\u5668\u9023\u63a5\uff0c\u4e26\u5c07\u5fc3\u81df\u7bc0\u5f8b\u5668\u653e\u5728\u76ae\u4e0b\u518d\u5c07\u50b7\u53e3\u5206\u5c64\u7e2b\u5408\u3002\u624b\u8853\u6642\u9593\u7d041-2\u5c0f\u6642\u3002<\/p>\n\n\n\n<p><strong>\u2022\u690d\u5165\u5f0f\u5fc3\u81df\u96fb\u64ca\u5668(\u690d\u5165\u6027\u5fc3\u81df\u53bb\u986b\u5668) (implantable cardioverter-defibrillator\uff0cICD)<\/strong><br>\u5728\u75c5\u4eba\u9396\u9aa8\u4e0b\u65b9\u505a\u76ae\u4e0b\u5207\u53e3\uff0c\u690d\u5165\u540d\u7247\u76d2\u5927\u5c0f\u7684\u300c\u5c0f\u578b\u79fb\u52d5\u5f0fAED\u300d\uff0c\u628a\u5c0e\u7dda\u9023\u63a5\u5fc3\u81df\uff0c\u5075\u6e2c\u4e0d\u6b63\u5e38\u5fc3\u8df3\uff0c\u8b93\u75c5\u4eba\u80fd\u5728\u767c\u751f\u56b4\u91cd\u5fc3\u5ba4\u983b\u8108\u3001\u5fc3\u5ba4\u986b\u52d5\u6709\u731d\u6b7b\u5371\u6a5f\u7684\u7b2c\u4e00\u6642\u9593\u9032\u884c\u96fb\u64ca\u6436\u6551\u3002<\/p>\n\n\n\n<p><strong>\u2022\u5fc3\u81df\u96fb\u6c23\u751f\u7406\u5b78\u6aa2\u67e5\/\u5fc3\u5c0e\u7ba1\u71b1\u5c04\u983b\u71d2\u707c\u8853<\/strong><br>\u5229\u7528\u5fc3\u5c0e\u7ba1\u7684\u6280\u8853\uff0c\u7f6e\u653e\u591a\u689d\u96fb\u6975\u5c0e\u7ba1\u5230\u5fc3\u81df\u88e1\u9762\uff0c\u8a18\u9304\u5fc3\u81df\u5167\u5fc3\u96fb\u5716\u7684\u8b8a\u5316\u53ca\u5fc3\u5f8b\u50b3\u5c0e\u7684\u8def\u5f91\uff0c\u4e26\u7d93\u7531\u96fb\u6975\u5c0e\u7ba1\u523a\u6fc0\u5fc3\u81df\uff0c\u4f86\u8a98\u767c\u51fa\u75c5\u4eba\u6f5b\u5728\u53ef\u80fd\u767c\u4f5c\u7684\u5404\u7a2e\u5fc3\u5f8b\u4e0d\u6574\u3002\u5fc3\u81df\u96fb\u6c23\u71d2\u707c(\u4fd7\u7a31\u96fb\u71d2)\u662f\u5728X\u5149\u900f\u8996\u4e0b\u4ee5\u9ad8\u5c04\u983b\u80fd\u91cf\u7d93\u96fb\u6975\u5c0e\u7ba1\u5c07\u4e0d\u6b63\u5e38\u7684\u5fc3\u81df\u7570\u5e38\u653e\u96fb\u6216\u7570\u5e38\u50b3\u5c0e\u8def\u5f91\u7834\u58de\uff0c\u963b\u65b7\u4e0d\u6b63\u5e38\u5fc3\u5f8b\u7684\u6280\u8853\u3002<\/p>\n\n\n\n<p class=\"has-text-color has-vivid-red-color\"><strong>\u8a3a\u7642\u65b0\u9032\u5c55<\/strong><strong><\/strong><\/p>\n\n\n\n<p><strong>\u20227<\/strong><strong>\u5929<\/strong><strong>\/14<\/strong><strong>\u5929\u9023\u7e8c\u578b\u5fc3\u96fb\u5716\u6aa2\u67e5<\/strong><strong><\/strong><\/p>\n\n\n\n<p>\u00a0\u53ef\u9023\u7e8c\u8a18\u93047\u5929\u621614\u5929\uff0c\u8f15\u5de7\u7121\u5c0e\u7dda\u9632\u6c34\u6297\u6c57\u4f4e\u654f\uff0c\u53ef\u7528\u65bc\u9663\u767c\u6027\u3001\u4e26\u975e\u6bcf\u5929\u767c\u4f5c\u3001\u6709\u591a\u7a2e\u5fc3\u5f8b\u4e0d\u6574\u985e\u578b\uff0c\u6216\u662f\u7121\u75c7\u72c0\u7684\u5fc3\u5f8b\u4e0d\u6574\uff0c \u76f8\u5c0d\u65bc24\u5c0f\u6642\u5fc3\u96fb\u5716\u6aa2\u67e5\uff0c\u53ef\u986f\u8457\u63d0\u9ad8\u5404\u985e\u578b\u5fc3\u5f8b\u4e0d\u6574\u6aa2\u51fa\u7387\uff0c\u5065\u4fdd\u5c1a\u672a\u7d66\u4ed8\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"392\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2021\/01\/110201025.png\" alt=\"\" class=\"wp-image-1196\"\/><\/figure>\n\n\n\n<p style=\"text-align:right\">\n\n\u5716\u7247\u4f86\u6e90\uff1a\u6e96\u8a0a\u751f\u91ab &nbsp;\n\n<\/p>\n\n\n\n<p><strong>\u2022<\/strong><strong>\u5fae\u578b\u690d\u5165\u5f0f\u7121\u7dda\u5fc3\u96fb\u5716\u4e8b\u4ef6\u7d00\u9304\u5668<\/strong><strong><\/strong><\/p>\n\n\n\n<p>&nbsp;&nbsp;&nbsp; \u4e00\u7a2e\u7528\u4f86\u8a18\u9304\u76ae\u4e0b\u5fc3\u96fb\u5716\u6ce2\u578b\u7684\u690d\u5165\u5f0f\u76e3\u8996\u7cfb\u7d71\uff0c\u53ef\u7531\u88dd\u7f6e\u81ea\u884c\u555f\u52d5\u6216\u75c5\u4eba\u555f\u52d5\uff0c\u9ad4\u7a4d\u8ff7\u4f60\uff0c\u50c51.2cc\uff0c\u53ef\u76e3\u6e2c\u9577\u90543\u5e74\uff0c\u690d\u5165\u65b9\u5f0f\u7c21\u55ae\uff0c\u91dd\u5c0d\u75c7\u72c0\u767c\u4f5c\u6642\u53ef\u7279\u5225\u8a18\u9304\uff0c\u5fc3\u623f\u986b\u52d5\u6aa2\u6e2c\u6e96\u78ba\u5ea696%\uff0c\u76f8\u8f0324\u5c0f\u6642\u5fc3\u96fb\u5716\uff0c\u8a3a\u65b7\u7387\u9ad830\u500d\uff0c\u5065\u4fdd\u5c1a\u672a\u7d66\u4ed8\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2021\/01\/1102010251.png\" alt=\"\" class=\"wp-image-1197\" width=\"506\" height=\"337\"\/><\/figure>\n\n\n\n<p style=\"text-align:right\">\n\n\u5716\u7247\u4f86\u6e90\uff1aMedtronic &nbsp;\n\n<\/p>\n\n\n\n<p><strong>\u2022<\/strong><strong>\u5c45\u5bb6\u76e3\u63a7<\/strong><strong> (Cardio Messenger\nSmart Home Monitoring)<\/strong><\/p>\n\n\n\n<p>&nbsp;&nbsp;&nbsp; \u75c5\u60a3\u7684\u690d\u5165\u5f0f\u5fc3\u7387\u8abf\u7bc0\u5668\u6216\u5fc3\u81df\u53bb\u986b\u5668\u914d\u5099\u6709\u500b\u7279\u6b8a\u7684\u50b3\u8f38\u88dd\u7f6e\uff0c\u53ef\u81ea\u52d5\u5c07\u5fc3\u81df\u8a3a\u65b7\u8207\u6cbb\u7642\u8cc7\u8a0a\uff0c\u4ee5\u53ca\u6280\u8853\u8cc7\u6599\u5bc4\u9001\u5230\u50b3\u8f38\u88dd\u7f6e\u3002\u63a5\u8457\uff0c\u88dd\u7f6e\u900f\u904e\u884c\u52d5\u9023\u63a5\u65b9\u5f0f\uff0c\u4ee5\u7de8\u78bc\u8a0a\u606f\u5c07\u5176\u50b3\u8f38\u81f3\u670d\u52d9\u4e2d\u5fc3\u3002\u91dd\u5c0d\u63a5\u6536\u8cc7\u6599\u9032\u884c\u89e3\u78bc\u5f8c\uff0c\u53ef\u4f9b\u91ab\u5e2b\u9032\u884c\u8cc7\u6599\u6aa2\u8996\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"665\" height=\"395\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2021\/01\/1102010252.png\" alt=\"\" class=\"wp-image-1198\"\/><\/figure>\n\n\n\n<p style=\"text-align:right\">\n\n\u5716\u7247\u4f86\u6e90\uff1aBiotronic &nbsp;\n\n<\/p>\n\n\n\n<p><strong>\u2022<\/strong><strong>\u7121\u5c0e\u7dda\u5fc3\u81df\u7bc0\u5f8b\u5668<\/strong><strong> (Leadless Pacemaker)<\/strong><\/p>\n\n\n\n<p>\n\n&nbsp;&nbsp;&nbsp; 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class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"615\" height=\"494\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2021\/01\/1102010253.png\" alt=\"\" class=\"wp-image-1199\"\/><\/figure>\n\n\n\n<p style=\"text-align:right\">\n\n\u5716\u7247\u4f86\u6e90\uff1aMedtronic &nbsp;\n\n<\/p>\n\n\n\n<p><strong>\u2022<\/strong><strong>\u51b7\u51cd\u6d88\u878d\u5100<\/strong><strong> (Freezor MAX\ncardiac cryoablation)<\/strong><\/p>\n\n\n\n<p>\u00a0\u904e\u53bb\u5fc3\u5f8b\u4e0d\u6574\u6703\u4f7f\u7528\u50b3\u7d71\u7684\u71b1\u71d2\uff0c\u5229\u7528\u9ad8\u6eab\u5c07\u4e0d\u6b63\u5e38\u7684\u5c0e\u7dda\u7834\u58de\u7684\u6cbb\u7642\uff0c\u6548\u679c\u76f8\u7576\u4e0d\u932f\uff0c\u4f46\u7576\u5728\u8655\u7406\u63a5\u8fd1\u6b63\u5e38\u50b3\u5c0e\u7cfb\u7d71\u7684\u5730\u65b9\uff0c\u537b\u67092%\uff5e10%\u5de6\u53f3\u7684\u6a5f\u7387\uff0c\u9020\u6210\u6b63\u5e38\u50b3\u5c0e\u7cfb\u7d71\u53d7\u50b7\u800c\u50b3\u5c0e\u963b\u65b7\u7684\u4f75\u767c\u75c7\uff0c\u9700\u88dd\u5fc3\u81df\u7bc0\u5f8b\u5668\u3002<\/p>\n\n\n\n<p>\u51b7\u51cd\u6d88\u878d\u8853\u662f\u5c07\u4e00\u6c27\u5316\u4e8c\u6c2e(N<sub>2<\/sub>O)\u6c23\u9ad4\u51b7\u51cd\u81f3-80\u5ea6\u7684\u539f\u7406\uff0c\u4f86\u51b7\u51cd\u7834\u58de\u4e0d\u6b63\u5e38\u5c0e\u7dda\uff0c\u51b7\u51cd\u6d88\u878d\u5c0e\u7ba1\u5728\u6d88\u878d\u6642\u6703\u7c98\u8457\u5728\u7d44\u7e54\u4e0a\uff0c\u6b64\u73fe\u8c61\u53eb\u51b7\u51cd\u7c98\u8457\uff0c\u6240\u4ee5\u5c0e\u7ba1\u8f03\u7a69\u5b9a\uff0c\u4e0d\u50cf\u71b1\u71d2\u5c0e\u7ba1\u6703\u4e82\u6643\uff0c\u50b7\u53ca\u5176\u4ed6\u7d44\u7e54\u3002\u904e\u7a0b\u4e2d\u5982\u679c\u51b7\u51cd\u6d88\u878d\u5230\u6b63\u5e38\u7684\u5c0e\u7dda\uff0c\u53ea\u8981\u572820\u79d2\u5167\u505c\u6b62\u51b7\u51cd\u6d88\u878d\uff0c\u5373\u53ef\u907f\u514d\u9020\u6210\u6c38\u4e45\u7684\u623f\u5ba4\u963b\u65b7\u3002\u5176\u53ef\u9006\u7684\u7279\u8cea\uff0c\u5373\u4f7f\u9020\u6210\u77ed\u66ab\u7684\u623f\u5ba4\u50b3\u5c0e\u963b\u7919\uff0c\u904e\u5e7e\u79d2\u5c31\u6062\u5fa9\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"750\" height=\"750\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2021\/01\/1102010254.png\" alt=\"\" class=\"wp-image-1200\"\/><\/figure>\n\n\n\n<p style=\"text-align:right\">\n\n\u5716\u7247\u4f86\u6e90\uff1aMedtronic &nbsp;\n\n<\/p>\n\n\n\n<p><strong>\u2022<\/strong><strong>\u5fc3\u5c0e\u7ba1<\/strong><strong>3D<\/strong><strong>\u7acb\u9ad4\u5b9a\u4f4d\u71b1\u5c04\u983b\u71d2\u707c\u8853<\/strong><strong><\/strong><\/p>\n\n\n\n<p>&nbsp;&nbsp;&nbsp; 3D\u7acb\u9ad4\u5b9a\u4f4d\u5100\u662f\u5efa\u69cb\u6578\u500b\u96fb\u5834\u6216\u78c1\u5834\uff0c\u518d\u7531\u5c0e\u7ba1\u5728\u96fb\u78c1\u5834\u4e2d\u7684\u53c3\u6578\u8b8a\u5316\u5efa\u69cb\u51fa\u5fc3\u81df\u76843D\u7d50\u69cb\uff0c\u4e26\u5229\u7528\u9ad8\u901f\u7684\u96fb\u8166\u904b\u7b97\uff0c\u7cbe\u6e96\u5448\u73fe\u5fc3\u81df3D\u7acb\u9ad4\u7d50\u69cb\u53ca\u5c0e\u7ba1\u76f8\u5c0d\u4f4d\u7f6e\uff0c\u63d0\u4f9b\u5fc3\u81df\u7d44\u7e54\u96fb\u4f4d\u9ad8\u4f4e\u53ca\u53bb\u6975\u5316\u7684\u9806\u5e8f\uff0c\u5f9e\u800c\u6e96\u78ba\u627e\u51fa\u5fc3\u5f8b\u4e0d\u6574\u7684\u75c5\u7076\u8207\u6e05\u695a\u5448\u73fe\u5fc3\u5f8b\u4e0d\u6574\u7684\u6a5f\u5236\uff0c\u5229\u7528\u5f71\u50cf\u756b\u9762\u5354\u52a9\u91ab\u5e2b\u770b\u5230\u5fc3\u5f8b\u904e\u901f\u7684\u4f86\u6e90\u8207\u8def\u5f91\uff0c\u8b93\u624b\u8853\u6642\u9593\u5927\u5e45\u7e2e\u77ed\uff0c\u63d0\u9ad8\u6210\u529f\u7387\u3001\u4e5f\u589e\u52a0\u5b89\u5168\u6027\u3002<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"304\" height=\"304\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2021\/01\/1102010255.png\" alt=\"\" class=\"wp-image-1201\"\/><\/figure><\/div>\n\n\n\n<p style=\"text-align:right\">\n\n\u5716\u7247\u4f86\u6e90\uff1aAbbott &nbsp;\n\n<\/p>\n\n\n\n<p><strong>\u2022<\/strong><strong>\u5de6\u5fc3\u8033\u5c01\u5835\u8853<\/strong><strong>( Left Atrial Appendage (LAA) Occluders)<\/strong><\/p>\n\n\n\n<p>\u5fc3\u623f\u986b\u52d5\u7684\u75c5\u60a3\u5bb9\u6613\u767c\u751f\u4e2d\u98a8\uff0c\u539f\u56e0\u662f\u5fc3\u623f\u986b\u52d5\u6703\u7522\u751f\u5fc3\u623f\u8840\u6813\uff0c\u7279\u5225\u597d\u767c\u5728\u5de6\u5fc3\u8033\uff0c\u8840\u6813\u518d\u6d41\u5165\u8166\u90e8\u7522\u751f\u4e2d\u98a8\u3002\u76ee\u524d\u5fc3\u623f\u986b\u52d5\u7684\u4e2d\u98a8\u53ca\u8840\u6813\u9810\u9632\u9700\u4f7f\u7528\u53e3\u670d\u6297\u51dd\u5291\uff0c\u96d6\u7136\u6297\u51dd\u5291\u53ef\u6709\u6548\u9810\u9632\u8840\u6813\u53ca\u4e2d\u98a8\uff0c\u4f46\u4e5f\u5bb9\u6613\u7522\u751f\u51fa\u8840\u5982\u8166\u3001\u8178\u80c3\u6216\u5176\u4ed6\u90e8\u4f4d\u51fa\u8840\u7b49\u4f75\u767c\u75c7\u3002\n\n<\/p>\n\n\n\n<p>\u5de6\u5fc3\u8033\u5c01\u5835\u8853\u662f\u4e00\u7a2e\u5229\u7528\u5fc3\u5c0e\u7ba1\u7684\u6280\u8853\u7528\u5de6\u5fc3\u8033\u5c01\u5835\u5668\u5c01\u9589\u5de6\u5fc3\u8033\uff0c\u4ee5\u907f\u514d\u7522\u751f\u8840\u6813\u53ca\u4e2d\u98a8\u3002\u53ef\u4ee5\u4e0d\u4f7f\u7528\u53e3\u670d\u6297\u51dd\u5291\uff0c\u5c31\u53ef\u4ee5\u9054\u5230\u63a5\u8fd1\u4f7f\u7528\u53e3\u670d\u6297\u51dd\u5291\u5c0d\u4e2d\u98a8\u7684\u9810\u9632\u6548\u679c\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"710\" height=\"400\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2021\/01\/1102010256.png\" alt=\"\" class=\"wp-image-1202\"\/><\/figure>\n\n\n\n<p style=\"text-align:right\">\n\n\u5716\u7247\u4f86\u6e90\uff1aAbbott &nbsp;\n\n<\/p>\n\n\n\n<p>&nbsp;<strong>\u2022<\/strong><strong>\u51b7\u51cd\u7403\u56ca\u6d88\u878d\u6cbb\u7642<\/strong><strong> (Cryoballon Ablation Therapy)<\/strong><\/p>\n\n\n\n<p>\u76ee\u524d\u6cbb\u7642\u9663\u767c\u6027\u5fc3\u623f\u986b\u52d5\u80fd\u4ee5\u5fc3\u5c0e\u7ba1\u9ad8\u983b\u96fb\u71d2\u6d88\u878d\u8853\uff08radiofrequency catheter ablation\uff09\u9694\u7d55\u80ba\u975c\u8108\u5fc3\u808c\u8896\uff08myocardial sleeve\uff09\u75c5\u7076\u4f86\u6cbb\u7642\u3002\u96d6\u7136\u6b64\u624b\u8853\u80fd\u4f7f\u76f8\u7576\u9ad8\u6bd4\u4f8b\u7684\u75c5\u4eba\u9054\u5230\u9577\u671f\u7121\u5fc3\u623f\u986b\u52d5\u5fa9\u767c\u7684\u60c5\u5f62\uff0c\u4f46\u662f\u5fc3\u5c0e\u7ba1\u9ad8\u983b\u96fb\u71d2\u6d88\u878d\u8853\u624b\u8853\u6642\u9593\u5f88\u9577\uff0c\u9ebb\u9189\u6642\u9593\u4e45\u4e14\u53ef\u80fd\u9020\u6210\u80ba\u975c\u8108\u72f9\u7a84\u3002<\/p>\n\n\n\n<p>\u51b7\u51cd\u6c23\u7403(eryobatloon ablation)\u662f\u4e00\u500b\u91dd\u5c0d\u80ba\u8108\u9694\u96e2\u800c\u8a2d\u8a08\u751f\u7522\u7684\u5c0e\u7ba1\uff0c\u5b83\u85c9\u7531\u6c23\u7403\u7684\u8a2d\u8a08\uff0c\u5c07\u5c0e\u7ba1\u5361\u5728\u80ba\u975c\u8108\u53e3\uff0c\u518d\u7531\u96f6\u4e0b80\u5ea6\u7684\u6db2\u614b\u6c2e\u5c07\u7d44\u7e54\u51cd\u7d50\uff0c\u9054\u5230\u7834\u58de\u5c40\u90e8\u5fc3\u808c\u7d30\u80de\u7684\u76ee\u7684\uff0c\u7531\u65bc\u51b7\u51cd\u7bc4\u570d\u70ba\u8207\u6c23\u7403\u63a5\u89f8\u7684\u5317\u534a\u7403\uff0c\u7522\u751f\u7684\u9694\u96e2\u7dda\u70ba\u4e00\u500b\u6709\u76f8\u7576\u5bec\u5ea6\u7684\u5340\u57df\uff0c\u7406\u8ad6\u4e0a\u53ef\u4ee5\u6e1b\u5c11\u9694\u96e2\u518d\u5fa9\u5408\u7684\u6a5f\u7387\uff0c\u81e8\u5e8a\u8a66\u9a57\u7684\u7d50\u679c\u4e5f\u986f\u793a\u9700\u8981\u518d\u6b21\u96fb\u71d2\u6216\u9700\u8981\u96fb\u64ca\u6216\u4ee5\u5404\u7a2e\u539f\u56e0\u9700\u8981\u4f4f\u9662\u7684\u6a5f\u7387\u6709\u660e\u986f\u7684\u4e0b\u964d\uff0c\u9593\u63a5\u8b49\u660e\u4e86\u80ba\u975c\u8108\u9694\u96e2\u53ef\u4ee5\u7372\u5f97\u826f\u597d\u7684\u5fc3\u623f\u986b\u52d5\u6e05\u9664\u7387\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"664\" height=\"1024\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2021\/01\/1102010257-664x1024.png\" alt=\"\" class=\"wp-image-1203\"\/><\/figure>\n\n\n\n<p style=\"text-align:right\">\u5716\u7247\u4f86\u6e90\uff1aThe New England\nJournal of Medicine (NEJM)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u6587\/\u5fc3\u81df\u5167\u79d1 \u9ec3\u8056\u744b \u4e3b\u6cbb\u91ab\u5e2b \u5fc3\u81df\u662f\u7dad\u6301\u751f\u547d\u7684\u91cd\u8981\u5668\u5b98\uff0c\u800c\u5fc3\u8df3\u662f\u7531\u4e00\u4e9b\u81ea\u767c\u6027\u7684\u96fb\u751f\u7406\u8a0a\u865f\u523a\u6fc0\u5fc3\u81df\u6536\u7e2e\uff0c\u6b63\u5e38\u7684 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19],"tags":[93],"class_list":["post-1195","post","type-post","status-publish","format-standard","hentry","category-19","tag-93"],"_links":{"self":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/1195"}],"collection":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1195"}],"version-history":[{"count":1,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/1195\/revisions"}],"predecessor-version":[{"id":1204,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/1195\/revisions\/1204"}],"wp:attachment":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1195"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1195"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1195"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}