{"id":797,"date":"2020-02-22T15:50:12","date_gmt":"2020-02-22T07:50:12","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=797"},"modified":"2020-09-22T15:59:03","modified_gmt":"2020-09-22T07:59:03","slug":"%e6%96%ac%e8%8d%89%e9%99%a4%e6%a0%b9%e6%83%b1%e4%ba%ba%e7%9a%84%e9%a6%99%e6%b8%af%e8%85%b3","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=797","title":{"rendered":"\u65ac\u8349\u9664\u6839\u60f1\u4eba\u7684\u9999\u6e2f\u8173"},"content":{"rendered":"\n

\u6587\/\u85e5\u5291\u79d1 \u5433\u5176\u53e1<\/strong> \u85e5\u5b78\u5be6\u7fd2\u751f<\/p>\n\n\n\n

\u9999\u6e2f\u8173\u7684\u91ab\u5b78\u540d\u7a31\u53eb\u505a\u8db3\u766c\uff0c\u5b83\u662f\u4e00\u7a2e\u9ef4\u83cc\u4fb5\u5165\u8db3\u90e8\u76ae\u819a\u6240\u5c0e\u81f4\u7684\u75be\u75c5\u3002\u9019\u985e\u7684\u9ef4\u83cc\u751f\u547d\u529b\u5f37\uff0c\u53ef\u4ee5\u5728\u812b\u843d\u7684\u76ae\u5c51\u6216\u6bdb\u9aee\u4e2d\u751f\u5b58\u6578\u6708\u5230\u6578\u5e74\uff0c\u4e26\u5177\u6709\u50b3\u67d3\u529b\u3002\u9019\u4e9b\u9ef4\u83cc\u6703\u5206\u6ccc\u4e00\u7a2e\u9175\u7d20\u53ef\u4ee5\u5206\u89e3\u76ae\u819a\u7684\u89d2\u8cea\u5c64\uff0c\u8b93\u6211\u5011\u7684\u8db3\u90e8\u76ae\u819a\u7522\u751f\u812b\u5c51\u7684\u73fe\u8c61\u3002<\/p>\n\n\n\n

 \u9ef4\u83cc\u559c\u6b61\u751f\u9577\u5728\u6f6e\u6fd5\u3001\u4e0d\u901a\u98a8\u53ca\u6eab\u6696\u74b0\u5883\uff0c\u53f0\u7063\u4f4d\u65bc\u4e9e\u71b1\u5e36\u3001\u71b1\u5e36\u7684\u570b\u5bb6\u6bd4\u8f03\u5bb9\u6613\u767c\u751f\uff0c\u56e0\u6b64\u8981\u907f\u514d\u8db3\u90e8\u66b4\u9732\u5728\u9019\u7a2e\u98a8\u96aa\u7684\u74b0\u5883\u4e2d\u3002<\/p>\n\n\n\n

\u8db3\u766c\u7684\u75c7\u72c0<\/strong><\/p>\n\n\n\n

 \u8db3\u766c\u5728\u76ae\u819a\u4e0a\u5e38\u898b\u7684\u56db\u7a2e\u75c7\u72c0\uff1a<\/p>\n\n\n\n

  1. \u812b\u5c51<\/li>
  2. \u6307\u7e2b\u9f9c\u88c2<\/li>
  3. \u767c\u7d05<\/li>
  4. \u767c\u7662<\/li><\/ol>\n\n\n\n

     \u7279\u5225\u63d0\u9192\uff0c\u7576\u8db3\u766c\u7d93\u904e\u53cd\u8986\u6c42\u8a3a\u6cbb\u7642\u5f8c\u4e26\u672a\u6539\u5584\uff0c\u4e14\u4f34\u96a8\u7d05\u3001\u816b\u3001\u71b1\u3001\u75db\uff0c\u751a\u81f3\u51fa\u73fe\u50b7\u53e3\u5316\u81bf\u3001\u767c\u71d2\u6216\u982d\u75db\u7684\u60c5\u6cc1\u5c31\u8981\u63d0\u9ad8\u8b66\u89ba\uff0c\u56e0\u70ba\u5f88\u6709\u53ef\u80fd\u662f\u8db3\u90e8\u50b7\u53e3\u906d\u5230\u7d30\u83cc\u611f\u67d3\u5f15\u767c\u8702\u7aa9\u6027\u7d44\u7e54\u708e\uff0c\u6240\u4ee5\u5f97\u5230\u8db3\u766c\u61c9\u8a72\u8981\u7acb\u5373\u6cbb\u7642\uff0c\u907f\u514d\u7522\u751f\u611f\u67d3\u7684\u98a8\u96aa\u3002\u5982\u679c\u9084\u6709\u5408\u4f75\u7cd6\u5c3f\u75c5\u7684\u60a3\u8005\u66f4\u8981\u5c0f\u5fc3\uff0c\u56e0\u70ba\u50b7\u53e3\u7652\u5408\u6bd4\u8f03\u7de9\u6162\uff0c\u4e00\u5b9a\u8981\u5373\u65e9\u6cbb\u7642\u4e26\u4fdd\u8b77\u50b7\u53e3\uff0c\u6e1b\u5c11\u611f\u67d3\u7684\u6a5f\u6703\u3002<\/p>\n\n\n\n

    \u9999\u6e2f\u8173\u985e\u578b<\/p>\n\n\n\n

    1. \u8dbe\u9593\u578b
      \u75c7\u72c0\u662f\u5728\u8173\u8dbe\u7e2b\u51fa\u73fe\u812b\u76ae\uff0c\u6240\u4ee5\u53c8\u7a31\u4f5c\u812b\u76ae\u578b\u3002\u5927\u591a\u6578\u4eba\u4e00\u958b\u59cb\u611f\u67d3\u5230\u9999\u6e2f\u8173\u90fd\u6703\u8868\u73fe\u51fa\u9019\u7a2e\u75c7\u72c0\uff0c\u4e4b\u5f8c\u518d\u6162\u6162\u767c\u5c55\u5408\u4f75\u5176\u4ed6\u75c7\u72c0\u3002\u5e38\u898b\u767c\u751f\u7684\u90e8\u4f4d\u5728\u8173\u8dbe\u7b2c\u56db\u8dbe\u9593\u3002\u6cbb\u7642\u85e5\u7269\u4ee5\u6297\u9ef4\u83cc\u85e5\u70ba\u4e3b\u3002\u9019\u985e\u578b\u9999\u6e2f\u8173\u5f88\u5e38\u8ddf\u6c57\u76b0\u75b9\u6df7\u6dc6\u3002<\/li>
    2. \u539a\u76ae\u578b
      \u75c7\u72c0\u662f\u89d2\u8cea\u5c64\u589e\u539a\uff0c\u76ae\u819a\u4e7e\u71e5\uff0c\u91cd\u9ede\u662f\u4e0d\u6703\u7662\uff0c\u6240\u4ee5\u5f88\u5e38\u88ab\u5ffd\u7565\u3002\u767c\u751f\u7684\u4f4d\u7f6e\u5e38\u4fb7\u9650\u5728\u8173\u638c\u8173\u8ddf\u3002\u6cbb\u7642\u85e5\u7269\u4ee5\u6297\u9ef4\u83cc\u85e5\u8ddf\u6c34\u694a\u9178\u70ba\u4e3b\uff0c\u6c34\u694a\u9178\u662f\u7528\u4f86\u8edf\u5316\u89d2\u8cea\u7684\u3002<\/li>
    3. \u6c34\u6ce1\u578b
      \u75c7\u72c0\u662f\u5728\u8173\u8dbe\u7e2b\u51fa\u73fe\u812b\u76ae\uff0c\u6240\u4ee5\u53c8\u7a31\u4f5c\u812b\u76ae\u578b\u3002\u5927\u591a\u6578\u4eba\u4e00\u958b\u59cb\u611f\u67d3\u5230\u9999\u6e2f\u8173\u90fd\u6703\u8868\u73fe\u51fa\u9019\u7a2e\u75c7\u72c0\uff0c\u4e4b\u5f8c\u518d\u6162\u6162\u767c\u5c55\u5408\u4f75\u5176\u4ed6\u75c7\u72c0\u3002\u5e38\u898b\u767c\u751f\u7684\u90e8\u4f4d\u5728\u8173\u8dbe\u7b2c\u56db\u8dbe\u9593\u3002\u6cbb\u7642\u85e5\u7269\u4ee5\u6297\u9ef4\u83cc\u85e5\u70ba\u4e3b\u3002\u9019\u985e\u578b\u9999\u6e2f\u8173\u5f88\u5e38\u8ddf\u6c57\u76b0\u75b9\u6df7\u6dc6\u3002<\/li>
    4. \u6f70\u760d\u578b
      \u75c7\u72c0\u662f\u5728\u8dbe\u9593\u7684\u6b7b\u76ae\u4e0b\u6709\u7d05\u7d05\u7684\u7cdc\u721b\u9762\uff0c\u5bb9\u6613\u88c2\u958b\uff0c\u6709\u6642\u6703\u611f\u5230\u75db\uff0c\u767c\u751f\u7684\u4f4d\u7f6e\u4e00\u958b\u59cb\u5f9e\u8dbe\u9593\uff0c\u63a5\u8457\u6162\u6162\u64f4\u6563\u5230\u8173\u638c\u8173\u80cc\uff0c\u56e0\u70ba\u6703\u6709\u50b7\u53e3\u66b4\u9732\u5728\u5916\u9762\u7684\u98a8\u96aa\uff0c\u9019\u985e\u578b\u9999\u6e2f\u8173\u5e38\u5408\u4f75\u7d30\u83cc\u611f\u67d3\uff0c\u6240\u4ee5\u7528\u85e5\u65b9\u9762\u9664\u4e86\u6297\u9ef4\u83cc\u85e5\u5916\u9084\u6703\u52a0\u6297\u751f\u7d20\u9810\u9632\u6cbb\u7642\u7d30\u83cc\u611f\u67d3\u3002<\/li><\/ol>\n\n\n\n
      • \"\"<\/figure><\/li>
      • \"\"<\/figure><\/li><\/ul>\n\n\n\n

        (\u4f86\u81eaTFDA\u98df\u85e5\u597d\u6587\u7db2)<\/p>\n\n\n\n

        \u9999\u6e2f\u8173\u7684\u8a3a\u65b7<\/strong><\/p>\n\n\n\n

        \u7576\u6709\u61f7\u7591\u81ea\u5df1\u51fa\u73fe\u4e0a\u8ff0\u75c7\u72c0\u6642\uff0c\u5efa\u8b70\u5c31\u91ab\u4ea4\u7531\u5c08\u696d\u7684\u76ae\u819a\u79d1\u91ab\u5e2b\u8a3a\u65b7\uff0c\u91ab\u5e2b\u6703\u900f\u904e\u7406\u5b78\u6aa2\u67e5\u53ca\u986f\u5fae\u93e1\u6aa2\u67e5\uff0c\u8a3a\u65b7\u662f\u5426\u611f\u67d3\u5230\u9999\u6e2f\u8173\u4e26\u5c0d\u75c7\u4e0b\u85e5\u3002
        <\/p>\n\n\n\n

        \u2605\u9999\u6e2f\u8173\u7528\u85e5\u8207\u6cbb\u7642<\/p>\n\n\n\n
        \u5546\u54c1\u540d<\/td>\u9069\u61c9\u75c7<\/td>\u7528\u6cd5<\/td>\u6210\u5206<\/td>\u6ce8\u610f\u4e8b\u9805<\/td><\/tr>
        \u9ef4\u53ef\u8212\u4e73\u818f<\/td>\u9999\u6e2f\u8173(\u8db3\u766c)\uff0c\u8dbe\u9593\u9ef4\u83cc\u75c5<\/td>\u4e00\u59292\u81f33\u6b21\uff0c\u9069\u91cf\u5857\u62b9<\/td>Butenafine 1% 10gm\/tub<\/td>\u2611\u958b\u5c016\u500b\u6708\u5f8c\uff0c\u672a\u7528\u5b8c\u4e4b\u6b98\u85e5\u8acb\u4e1f\u68c4\u3002
        \u2611\u85e5\u818f\u8acb\u52ff\u5857\u62b9\u65bc\u773c\u775b\u6216\u53e3\u8154\u3002
        \u2611\u8acb\u4f9d\u91ab\u56d1\u5b8c\u6210\u7642\u7a0b\u3002<\/td><\/tr><\/tbody><\/table>\n\n\n\n
        \"\"

        \u9ef4\u53ef\u8212\u4e73\u818f<\/figcaption><\/figure><\/div>\n\n\n\n
        \u5546\u54c1\u540d<\/td>\u9069\u61c9\u75c7<\/td>\u7528\u6cd5<\/td>\u6210\u5206<\/td>\u6ce8\u610f\u4e8b\u9805<\/td><\/tr>
        \u512a\u8db3\u9054\u89aa\u6c34\u4e73\u818f<\/td>\u9999\u6e2f\u8173(\u8db3\u766c)\uff0c\u8dbe\u9593\u9ef4\u83cc\u75c5<\/td>\u4e00\u59292\u81f33\u6b21\uff0c\u9069\u91cf\u5857\u62b9<\/td>Sulconazole nitrate 1%\uff0c20gm cream<\/td>\u2611\u958b\u5c016\u500b\u6708\u5f8c\uff0c\u672a\u7528\u5b8c\u4e4b\u6b98\u85e5\u8acb\u4e1f\u68c4\u3002
        \u2611\u85e5\u818f\u8acb\u52ff\u5857\u62b9\u65bc\u773c\u775b\u6216\u53e3\u8154\u3002
        \u2611\u8acb\u4f9d\u91ab\u56d1\u5b8c\u6210\u7642\u7a0b\u3002<\/td><\/tr><\/tbody><\/table>\n\n\n\n
        \"\"
        \u512a\u8db3\u9054\u89aa\u6c34\u4e73\u818f<\/figcaption><\/figure><\/div>\n\n\n\n
        \u5546\u54c1\u540d<\/td>\u9069\u61c9\u75c7<\/td>\u7528\u6cd5<\/td>\u6210\u5206<\/td>\u6ce8\u610f\u4e8b\u9805<\/td><\/tr>
        \u7f8e\u5eb7\u4e73\u818f<\/td>\u9999\u6e2f\u8173(\u8db3\u766c)\uff0c\u8dbe\u9593\u9ef4\u83cc\u75c5<\/td>\u4e00\u59292\u81f33\u6b21\uff0c\u9069\u91cf\u5857\u62b9<\/td>Nystatin 100000U\uff0cTriamcinolone1mg\uff0cNeomycin 2.5mg\uff0cGramicidin 0.25mg<\/td>\u2611\u958b\u5c016\u500b\u6708\u5f8c\uff0c\u672a\u7528\u5b8c\u4e4b\u6b98\u85e5\u8acb\u4e1f\u68c4\u3002
        \u2611\u85e5\u818f\u8acb\u52ff\u5857\u62b9\u65bc\u773c\u775b\u6216\u53e3\u8154\u3002
        \u2611\u8acb\u4f9d\u91ab\u56d1\u5b8c\u6210\u7642\u7a0b\u3002<\/td><\/tr><\/tbody><\/table>\n\n\n\n
        \"\"
        \u7f8e\u5eb7\u4e73\u818f<\/figcaption><\/figure><\/div>\n\n\n\n
        \u5546\u54c1\u540d<\/td>\u9069\u61c9\u75c7<\/td>\u7528\u6cd5<\/td>\u6210\u5206<\/td>\u6ce8\u610f\u4e8b\u9805<\/td><\/tr>
        \u512a\u8db3\u9054\u6db2\u5291<\/td>\u8db3\u766c\uff08\u9999\u6e2f\u8173\uff09\u3001\u80a1\u766c\u3001\u9ad4\u766c\u3001\u76ae\u819a\u5ff5\u73e0\u83cc\u75c7\u3001\u6c57\u6591<\/td>\u4e00\u59291\u81f32\u6b21\uff0c\u9069\u91cf\u4f7f\u7528<\/td>Sulconazole nitrate 1% 10ml<\/td>\u2611\u672c\u54c1\u4e0d\u5f97\u7528\u65bc\u773c\u775b\u3002
        \u2611\u56e0\u672c\u54c1\u6709\u523a\u6fc0\u6027\uff0c\u5728\u9f9c\u88c2\u8207\u7cdc\u721b\u90e8\u4f4d\u61c9\u5c0f\u5fc3\u4f7f\u7528\u3002<\/td><\/tr><\/tbody><\/table>\n\n\n\n
        \"\"
        \u512a\u8db3\u9054\u6db2\u5291<\/figcaption><\/figure><\/div>\n\n\n\n
        \u5546\u54c1\u540d<\/td>\u9069\u61c9\u75c7<\/td>\u7528\u6cd5<\/td>\u6210\u5206<\/td>\u6ce8\u610f\u4e8b\u9805<\/td><\/tr>
        \u7642\u9ef4\u8212\u9320<\/td>\u7532\u766c\u3001\u9aee\u766c\uff0c\u56b4\u91cd\u4e14\u5ee3\u6cdb\u4e14\u7d93\u5c40\u90e8\u6cbb\u7642\u7121\u6548\u7684\u76ae\u819a\u9ef4\u83cc\u611f\u67d3<\/td>\u4e00\u5929\u4e00\u6b21\uff0c\u4e00\u6b211\u9846<\/td>Terbinafine HCl 250mg<\/td>\u2611\u53e3\u670d\u7528\u85e5\u75c7\u72c0:\u53ad\u98df\u3001\u5641\u5fc3\u3001\u5026\u6020\uff0c\u4e26\u5b9a\u671f\u8ffd\u8e64\u809d\u529f\u80fd
        \u2611\u526f\u4f5c\u7528: \u8178\u80c3\u4e0d\u9069\u3001\u76ae\u819a\u904e\u654f<\/td><\/tr><\/tbody><\/table>\n\n\n\n
        \"\"
        \u7642\u9ef4\u8212\u9320<\/figcaption><\/figure><\/div>\n\n\n\n
        \u5546\u54c1\u540d<\/td>\u9069\u61c9\u75c7<\/td>\u7528\u6cd5<\/td>\u6210\u5206<\/td>\u6ce8\u610f\u4e8b\u9805<\/td><\/tr>
        \u9069\u64b2\u8afe\u81a0\u56ca<\/td>\u5168\u8eab\u6027\u6216\u6df1\u90e8\u9ef4\u83cc\u611f\u67d3\u3001\u7532\u766c\u3001\u9aee\u766c<\/td>\u4e00\u5929\u4e00\u6b21\uff0c\u4e00\u6b211\u9846<\/td>Itraconazole 100mg\/cap<\/td>\u2611\u53e3\u670d\u7528\u85e5\u75c7\u72c0:\u53ad\u98df\u3001\u5641\u5fc3\u3001\u5026\u6020
        \u4e26\u5b9a\u671f\u8ffd\u8e64\u809d\u529f\u80fd
        \u2611\u526f\u4f5c\u7528: \u53ad\u98df\u3001\u5641\u5fc3\u3001\u8179\u75db\u548c\u4fbf\u79d8
        \u261b\u5efa\u8b70\u8207\u98df\u7269\u4e00\u8d77\u670d\u7528,\u53ef\u4f7f\u5438\u6536\u589e\u52a0
        \u261b\u5b55\u5a66\u4e0d\u5f97\u4f7f\u7528\u3001\u80b2\u9f61\u5a66\u5973\u61c9\u907f\u5b55<\/td><\/tr><\/tbody><\/table>\n\n\n\n
        \"\"
        \u9069\u64b2\u8afe\u81a0\u56ca<\/figcaption><\/figure><\/div>\n\n\n\n

        \u9810\u9632\u53ca\u8ff7\u601d<\/strong><\/p>\n\n\n\n

        \u7b2c\u4e00\u3001\u4fdd\u6301\u8173\u90e8\u4e7e\u71e5\u3001\u900f\u6c23<\/strong><\/p>\n\n\n\n

        • (1)\u5e73\u6642\u6d17\u6fa1\u6216\u6e38\u6cf3\u5b8c\u8981\u628a\u6574\u96d9\u8173\u64e6\u4e7e\u5305\u62ec\u8173\u8dbe\u7e2b\u90fd\u8981\u64e6\u4e7e<\/li>
        • (2)\u7a7f\u8457\u5438\u6c57\u7684\u68c9\u896a<\/li>
        • (3)\u5bb9\u6613\u6d41\u8173\u6c57\u7684\u4eba\u53ef\u651c\u5e36\u896a\u5b50\u5728\u5916\u66ff\u63db<\/li>
        • (4)\u5230\u6f6e\u6fd5\u8655\u7a7f\u8457\u6dbc\/\u62d6\u978b<\/li>
        • (5)\u978b\u5b50\u9078\u64c7\u900f\u6c23\u6750\u8cea\uff0c\u5982\u6dbc\u978b\u6216\u5e03\u978b<\/li>
        • (6)\u6e96\u50992\u81f33\u96d9\u978b\u5b50\u8f2a\u66ff\u7a7f\uff0c\u8b93\u978b\u5b50\u6709\u8db3\u5920\u6642\u9593\u4e7e\u71e5\u518d\u7a7f<\/li><\/ul>\n\n\n\n

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