{"id":4130,"date":"2021-08-30T10:19:03","date_gmt":"2021-08-30T02:19:03","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=4130"},"modified":"2021-08-30T10:22:25","modified_gmt":"2021-08-30T02:22:25","slug":"%e8%86%bd%e7%b5%90%e7%9f%b3%e6%b2%bb%e7%99%82%e4%ba%8c%e4%b8%89%e5%9b%9b","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=4130","title":{"rendered":"\u81bd\u7d50\u77f3\u6cbb\u7642\u4e8c\u4e09\u56db"},"content":{"rendered":"\n

\u6587\/\u4e2d\u5c71\u91ab\u5b78\u5927\u5b78\u9644\u8a2d\u91ab\u9662 \u6d88\u5316\u5916\u79d1 \u674e\u7965\u9e9f<\/strong> \u4e3b\u4efb
\u9ec3\u4ead\u8afa \u5c08\u79d1\u8b77\u7406\u5e2b<\/p>\n\n\n\n

\u00a0\u81bd\u56ca\u662f\u809d\u81df\u65c1\u7684\u4e00\u500b\u68a8\u578b\u72c0\u888b\u5b50\uff0c\u5177\u6709\u5b58\u653e\u81bd\u6c41\u7684\u529f\u80fd\uff0c\u81bd\u6c41\u5e6b\u52a9\u8102\u80aa\u7684\u6d88\u5316\u3002\u81bd\u6c41\u4e3b\u8981\u7531lecithin\u53ca\u81bd\u56fa\u9187\u6240\u7d44\u6210\uff0c\u4e14\u5177\u6709\u4e00\u5b9a\u7684\u6bd4\u4f8b\uff0c\u82e5\u6bd4\u4f8b\u6539\u8b8a\u53ef\u80fd\u5c0e\u81f4\u7d50\u77f3\u7684\u5f62\u6210\u3002\u6709\u4e9b\u56e0\u7d20\u5982\uff1a\u7d30\u83cc\u611f\u67d3\u3001\u8f38\u8840\u3001\u809d\u708e\uff1b\u7cd6\u5c3f\u75c5\u3001\u9ad8\u8102\u80aa\u98f2\u98df\u3001\u5148\u5929\u7684\u8102\u80aa\u7570\u5e38\u7b49\uff0c\u53ef\u9020\u6210\u7d44\u6210\u7684\u6bd4\u4f8b\u6539\u8b8a\u3002<\/p>\n\n\n\n

\u2605<\/strong>\u8ab0\u662f\u81bd\u7d50\u77f3\u7684\u9ad8\u5371\u96aa\u7fa4<\/strong>?<\/strong><\/p>\n\n\n\n

\u7531\u65bc\u73fe\u4eca\u793e\u6703\u7684\u98f2\u98df\u7fd2\u6163\u897f\u5316\u7684\u5f71\u97ff\uff0c\u9577\u671f\u651d\u53d6\u9ad8\u6cb9\u8102\u3001\u9ad8\u81bd\u56fa\u9187\u98df\u7269\u7684\u4eba\uff0c\u7f79\u60a3\u81bd\u56fa\u9187\u7d50\u77f3\u7684\u6bd4\u4f8b\u589e\u591a\u3002<\/p>\n\n\n\n

\u2605<\/strong>\u81bd\u7d50\u77f3\u6709\u4f55\u75c7\u72c0\u53ca\u5982\u4f55\u91ab\u6cbb<\/strong>?<\/strong><\/p>\n\n\n\n

\u5927\u90e8\u5206\u7684\u81bd\u7d50\u77f3\u6c92\u6709\u75c7\u72c0\u3002\u5076\u6709\u5641\u5fc3\u3001\u4e0a\u8179\u4e0d\u9069\u3001\u75bc\u75db\u53ca\u58d3\u75db\u7b49\u75c7\u72c0\uff0c\u5c24\u5176\u5728\u98ef\u5f8c\uff1b\u56b4\u91cd\u8005\u53ef\u4f34\u96a8\u767c\u71d2\u3001\u9ec3\u75b8\u3001\u80f0\u81df\u708e\u3002\u9020\u6210\u75c7\u72c0\u7684\u539f\u56e0\u662f\u56e0\u70ba\u81bd\u7d50\u77f3\u963b\u7919\u4e86\u6b63\u5e38\u81bd\u6c41\u5728\u81bd\u56ca\u6216\u81bd\u9053\u4e2d\u7684\u6392\u51fa\u3002\u5982\u5df2\u6709\u81bd\u7d50\u77f3\u7684\u5f62\u6210\uff0c\u4fbf\u5c11\u6709\u81ea\u7136\u6392\u51fa\u6d88\u5931\uff0c\u85e5\u7269\u6cbb\u7642\u53ca\u6539\u8b8a\u4f4e\u8102\u98f2\u98df\u82e5\u6c92\u6709\u6210\u529f\u6a5f\u6703\uff0c\u6700\u7d42\u4ecd\u9808\u4ee5\u5916\u79d1\u624b\u8853\u5207\u9664\u3002<\/p>\n\n\n\n

\u2605<\/strong>\u81bd\u7d50\u77f3\u53ef\u4ee5\u53ea\u628a\u7d50\u77f3\u62ff\u6389\u55ce<\/strong>?<\/strong><\/p>\n\n\n\n

\u57fa\u672c\u4e0a\u82e5\u81bd\u56ca\u767c\u708e\u5247\u8868\u793a\u81bd\u56ca\u7684\u529f\u80fd\u51fa\u73fe\u554f\u984c\uff0c\u50c5\u628a\u77f3\u982d\u62ff\u6389\u800c\u4fdd\u7559\u81bd\u56ca\uff0c\u4ee5\u5f8c\u4ecd\u6703\u518d\u767c\u751f\u7d50\u77f3\uff0c\u4e26\u4e0d\u5efa\u8b70\u6b64\u4f5c\u6cd5\u3002\u9664\u975e\u75c5\u4eba\u5728\u7dca\u6025\u60c5\u5f62\u4e0d\u9069\u5408\u9ebb\u9189\uff0c\u63a1\u5c40\u90e8\u9ebb\u9189\u7684\u5f15\u6d41\u624b\u8853\u3002<\/p>\n\n\n\n

\u2605<\/strong>\u81bd\u56ca\u5207\u9664\u7684\u65b9\u6cd5\u6709\u54ea\u4e9b<\/strong>?<\/strong><\/p>\n\n\n\n

\u76ee\u524d\u5e38\u898b\u7684\u65b9\u5f0f\u6709\u4ee5\u4e0b\u5169\u7a2e\uff0c\u901a\u5e38\u60c5\u6cc1\u5141\u8a31\u6703\u4ee5\u5fae\u5275\u624b\u8853\u5c07\u81bd\u56ca\u5207\u9664\u70ba\u4e3b\uff1a<\/p>\n\n\n\n

  1. \u50b3\u7d71\u958b\u8154\u5f0f\u81bd\u56ca\u5207\u9664\uff1a\u5728\u53f3\u4e0a\u8179\u6216\u6b63\u4e2d\u4e0a\u8179\u505a10\uff5e15cm\u5de6\u53f3\u7684\u5207\u53e3\uff0c\u9032\u5165\u8179\u8154\u5167\u76f4\u63a5\u5c07\u81bd\u56ca\u5207\u9664\u3002<\/li>
  2. \u8179\u8154\u93e1\u81bd\u56ca\u5207\u9664\u8853(laparoscopic cholecystectomy)\uff1a\u5728\u8179\u90e8\u505a\u4e09\u5230\u56db\u500b\u5c0f\u5207\u53e3\uff0c\u5927\u7d04\u57285\uff5e12 mm\uff0c\u5728\u5167\u8996\u93e1(\u8179\u8154\u93e1)\u53ca\u9644\u5c6c\u6a5f\u68b0\u7684\u5e6b\u52a9\u4e0b\uff0c\u628a\u81bd\u56ca\u5207\u9664\u7684\u624b\u8853\u65b9\u5f0f\u3002<\/li><\/ol>\n\n\n\n

    \u2605<\/strong>\u624b\u8853\u65b9\u5f0f\u7684\u4e0d\u540c\u5c0d\u75c5\u4eba\u6709\u4f55\u5dee\u7570<\/strong>?<\/strong><\/p>\n\n\n\n

    \u5169\u8005\u90fd\u662f\u628a\u81bd\u56ca\u6458\u9664\u3002\u63a1\u7528\u8179\u8154\u93e1\u7684\u65b9\u5f0f\u597d\u8655\uff1a<\/p>\n\n\n\n

    1. \u8853\u5f8c\u50b7\u53e3\u8f03\u4e0d\u75db\uff0c\u50b7\u53e3\u5c0f\u3001\u75a4\u75d5\u5c11\u3002<\/li>
    2. \u4f4f\u9662\u671f\u77ed\uff0c\u65e9\u65e5\u56de\u5fa9\u6b63\u5e38\u751f\u6d3b\u3002<\/li><\/ol>\n\n\n\n

      \u2605<\/strong>\u6709\u81bd\u7d50\u77f3\u7684\u80a5\u80d6\u75c5\u4eba\u9069\u5408\u54ea\u7a2e\u624b\u8853<\/strong>?<\/strong><\/p>\n\n\n\n

      \u5982\u679c\u5668\u68b0\u7684\u5927\u5c0f\u53ef\u4ee5\u904b\u7528\uff0c\u7528\u8179\u8154\u93e1\u9032\u884c\u81bd\u56ca\u5207\u9664\u8853\u7684\u65b9\u5f0f\uff0c\u6709\u6642\u6bd4\u50b3\u7d71\u7684\u65b9\u5f0f\u66f4\u597d\u8655\u7406\u3002<\/p>\n\n\n\n

      \u2605<\/strong>\u8179\u8154\u93e1\u81bd\u56ca\u5207\u9664\u8853\uff0c\u662f\u5426\u53ef\u4ee5\u5b8c\u5168\u53d6\u4ee3\u50b3\u7d71\u7684\u81bd\u56ca\u5207\u9664\u8853<\/strong>?<\/strong><\/p>\n\n\n\n

      \u96d6\u7136\u8179\u8154\u93e1\u81bd\u56ca\u5207\u9664\u8853\u76ee\u524d\u5df2\u88ab\u8a8d\u70ba\u662f\u6cbb\u7642\u75c7\u72c0\u6027\u81bd\u7d50\u77f3\u7684\u6a19\u6e96\u8853\u5f0f\uff0c\u800c\u4e14\u662f\u3127\u7a2e\u5b89\u5168\u6709\u6548\u7684\u5207\u9664\u81bd\u56ca\u65b9\u6cd5\uff1b\u4f46\u662f\u5c0d\u65bc\u6709\u81bd\u56ca\u56e0\u767c\u708e\u3001\u6cbe\u9ecf\u53ca\u89e3\u5256\u4e0a\u7684\u8b8a\u7570\u7684\u75c5\u4eba\uff0c\u91ab\u5e2b\u53ef\u80fd\u6703\u8003\u91cf\u6539\u4ee5\u50b3\u7d71\u7684\u5207\u9664\u8853\u4f86\u907f\u514d\u4f75\u767c\u75c7\u7684\u767c\u751f\u3002<\/p>\n\n\n\n

      \u2605\u6709\u54ea\u4e9b\u60c5\u5f62\u4e0d\u5efa\u8b70\u7528\u8179\u8154\u93e1\u81bd\u56ca\u5207\u9664\u8853\uff0c\u800c\u8003\u616e\u4ee5\u50b3\u7d71\u65b9\u5f0f\u5207\u9664\u81bd\u56ca\uff1f<\/strong><\/p>\n\n\n\n

      1. \u81bd\u56ca\u767c\u708e\u56b4\u91cd\u3002<\/li>
      2. \u66fe\u65bc\u4e0a\u8179\u90e8\u63a5\u53d7\u904e\u624b\u8853\u4e14\u6975\u5ea6\u6cbe\u9ecf\u8005\u3002<\/li>
      3. \u7121\u6cd5\u78ba\u5b9a\u7684\u89e3\u5256\u7570\u5e38\u3002<\/li>
      4. \u624b\u8853\u904e\u7a0b\u4e2d\u6709\u72c0\u6cc1\u5982:\u51fa\u8840\u6216\u8178\u5b50\u7834\u88c2\u3002<\/li>
      5. \u4e0d\u9069\u5408\u6c23\u8179\u72c0\u614b(\u56e0\u8853\u4e2d\u8179\u8154\u5167\u9700\u704c\u5165\u4e8c\u6c27\u5316\u78b3)\uff0c\u5982:\u5fc3\u81df\u53ca\u80ba\u81df\u75be\u75c5\u8005\u3002<\/li>
      6. \u82e5\u5408\u4f75\u6709\u5bb9\u6613\u51fa\u8840\u50be\u5411\u6642\u3002<\/li><\/ol>\n\n\n\n

        \u2605<\/strong>\u81bd\u7d50\u77f3\u5408\u4f75\u6025\u6027\u81bd\u56ca\u708e\u662f\u5426\u9069\u5408\u8179\u8154\u93e1\u81bd\u56ca\u5207\u9664\u8853<\/strong>?<\/strong><\/p>\n\n\n\n

        \u81bd\u56ca\u767c\u708e\u7684\u6025\u6027\u671f\u7528\u8179\u8154\u93e1\u4f86\u8655\u7406\u5f8c\uff0c\u4f75\u767c\u75c7\u6bd4\u6025\u6027\u671f\u904e\u5f8c\u4f86\u5f97\u9ad8\u3002\u7531\u65bc\u624b\u8853\u6280\u5de7\u7684\u9032\u6b65\u53ca\u7d93\u9a57\u7684\u7d2f\u7a4d\uff0c\u8179\u8154\u93e1\u81bd\u56ca\u5207\u9664\u8853\u662f\u53ef\u884c\uff0c\u4f46\u662f\u6539\u6210\u50b3\u7d71\u958b\u8179\u624b\u8853\u7684\u6a5f\u7387\u6703\u6bd4\u5e38\u898f\u5b89\u6392\u7684\u8179\u8154\u93e1\u624b\u8853\u4f86\u7684\u8f03\u9ad8\u3002<\/p>\n\n\n\n

        \u2605<\/strong>\u63a5\u53d7\u8179\u8154\u93e1\u81bd\u56ca\u5207\u9664\u8853\u9700\u4f4f\u9662\u591a\u4e45<\/strong>?<\/strong><\/p>\n\n\n\n

        \u5728\u53f0\u7063\u5927\u7d042\uff5e4\u5929\u5de6\u53f3\u3002<\/p>\n\n\n\n

        \u2605<\/strong>\u8179\u8154\u93e1\u81bd\u56ca\u5207\u9664\u8853\u6709\u4f55\u5371\u96aa\u6027<\/strong>?<\/strong><\/p>\n\n\n\n

        \u8179\u8154\u93e1\u81bd\u56ca\u5207\u9664\u8853\u8ddf\u5176\u4ed6\u624b\u8853\u65b9\u5f0f\u4e00\u6a23\u6703\u542b\u6709\u624b\u8853\u98a8\u96aa\u3002\u53ef\u80fd\u7684\u4f75\u767c\u75c7\u6709\u9ebb\u9189\u98a8\u96aa\u3001\u624b\u8853\u4e2d\u6216\u624b\u8853\u5f8c\u7684\u51fa\u8840\u3001\u50b7\u53e3\u611f\u67d3\u3001\u81bd\u9053\u640d\u50b7\u3001\u8178\u9053\u640d\u50b7\u3001\u81bd\u6c41\u6ea2\u6f0f\u3001\u8179\u5167\u6fc3\u760d\u7b49\u3002\u4e8b\u5be6\u4e0a\uff0c\u8179\u8154\u93e1\u81bd\u56ca\u5207\u9664\u8853\u5728\u6709\u7d93\u9a57\u53ca\u53d7\u904e\u826f\u597d\u8a13\u7df4\u7684\u91ab\u5e2b\u9032\u884c\u4e0b\uff0c\u624b\u8853\u4f75\u767c\u75c7\u53ef\u964d\u81f3\u6700\u4f4e\u3002<\/p>\n\n\n\n

        \u2605<\/strong>\u63a5\u53d7\u8179\u8154\u93e1\u81bd\u56ca\u5207\u9664\u8853\u5f8c\uff0c\u5982\u6709\u4e0b\u5217\u60c5\u5f62\u8981\u7acb\u5373\u56de\u91ab\u9662\u63a5\u53d7\u91ab\u5e2b\u6aa2\u67e5\uff1a<\/strong><\/strong><\/p>\n\n\n\n

        1. \u5bd2\u986b\u3001\u767c\u71d2\u81f338.5\u00b0C\u4ee5\u4e0a\u3002<\/li>
        2. \u51fa\u8840\u3002<\/li>
        3. \u8179\u90e8\u6301\u7e8c\u816b\u8139\u3001\u75bc\u75db\u3002<\/li>
        4. \u6301\u7e8c\u5614\u5410\u3001\u5641\u5fc3\u3002<\/li>
        5. \u6301\u7e8c\u54b3\u55fd\u547c\u5438\u56f0\u96e3\u3002<\/li>
        6. \u4efb\u4f55\u50b7\u53e3\u6709\u7d05\u816b\u3001\u81bf\u6392\u51fa\u3002<\/li>
        7. \u4e0d\u77e5\u539f\u56e0\u7684\u98df\u617e\u4e0d\u632f\u3001\u75b2\u52de\u3002<\/li><\/ol>\n\n\n\n

          \u2605<\/strong>\u5982\u4f55\u907f\u514d\u81bd\u7d50\u77f3\u5f62\u6210<\/strong>?<\/strong><\/p>\n\n\n\n

          1. \u990a\u6210\u5b9a\u6642\u5b9a\u91cf\u3001\u5c11\u91cf\u591a\u9910\u7684\u98f2\u98df\u7fd2\u6163\uff0c\u907f\u514d\u66b4\u98f2\u66b4\u98df\u3002<\/li>
          2. \u98df\u7269\u9078\u64c7\u61c9\u4ee5\u4f4e\u7cd6\u3001\u4f4e\u8102\u3001\u4f4e\u81bd\u56fa\u9187\u8207\u9ad8\u7e96\u7dad\u70ba\u539f\u5247\uff0c\u591a\u5403\u852c\u83dc\u3001\u6c34\u679c\u3001\u5168\u6996\u985e\u548c\u5168\u8c46\u985e\u7b49\u98df\u7269\uff0c\u4e26\u5145\u5206\u651d\u53d6\u7dad\u751f\u7d20A\u3001C\u3001E\u3002<\/li>
          3. \u4e0d\u8981\u9577\u6642\u9593\u5750\u8457\u4e0d\u52d5\uff0c\u61c9\u9069\u5ea6\u904b\u52d5\uff0c\u4e26\u7d13\u89e3\u58d3\u529b\u3001\u653e\u9b06\u5fc3\u60c5\u3002<\/li>
          4. \u9069\u7576\u651d\u53d6\u6c34\u5206\uff0c\u4e00\u5929\u81f3\u5c11\u559d3000c.c.\u5de6\u53f3\u7684\u767d\u958b\u6c34\u3002<\/li>
          5. \u82e5\u6709\u4fbf\u7955\u75c7\u72c0\uff0c\u61c9\u7a4d\u6975\u63a5\u53d7\u6cbb\u7642\u3002<\/li>
          6. \u82e5\u5df2\u7f79\u60a3\u81bd\u7d50\u77f3\uff0c\u98f2\u98df\u61c9\u6e05\u6de1\uff0c\u7528\u6c34\u716e\u3001\u6e05\u71c9\u3001\u6e05\u84b8\u3001\u6dbc\u62cc\u7b49\u70f9\u8abf\u65b9\u5f0f\u53d6\u4ee3\u6cb9\u70b8\u3001\u6cb9\u714e\u3002<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"

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