mds怎么治疗？ MDS怎样治疗？
MDS\u7684\u6cbb\u7597\u65b9\u6cd5\u6839\u6cbbMDS\u7684\u65b9\u6cd5\uff01
\u9aa8\u9ad3\u589e\u751f\u5f02\u5e38\u7efc\u5408\u75c7
\u9aa8\u9ad3\u589e\u751f\u5f02\u5e38\u7efc\u5408\u75c7\uff08 myelodysplastic syndrome, MDS\uff09\u662f\u4e00\u7ec4\u8d77\u6e90\u4e8e\u9020\u8840\u9ad3\u7cfb\u5b9a\u5411\u5e72\u7ec6\u80de\u6216\u591a\u80fd\u5e72\u7ec6\u80de\u7684\u5f02\u8d28\u6027\u514b\u9686\u6027\u75be\u60a3\uff0c\u4e3b\u8981\u7279\u5f81\u662f\u65e0\u6548\u9020\u8840\u548c\u9ad8\u5371\u6f14\u53d8\u4e3a\u6025\u6027\u9ad3\u7cfb\u767d\u8840\u75c5\uff0c\u4e34\u5e8a\u8868\u73b0\u4e3a\u9020\u8840\u7ec6\u80de\u5728\u8d28\u548c\u91cf\u4e0a\u51fa\u73b0\u4e0d\u540c\u7a0b\u5ea6\u7684\u5f02\u5e38\u53d8\u5316\u3002\u5176\u5177\u4f53\u4e34\u5e8a\u8868\u73b0\u4e3a\u8d2b\u8840\uff0c\u53ef\u4f34\u6709\u611f\u67d3\u6216\u51fa\u8840\uff0c\u90e8\u5206\u75c5\u4eba\u53ef\u65e0\u75c7\u72b6\u3002\u90e8\u5206\u60a3\u8005\u53ef\u6709\u809d\uff0c\u813e\uff0c\u6dcb\u5df4\u7ed3\u8f7b\u5ea6\u80bf\u5927\uff0c\u5c11\u6570\u60a3\u8005\u53ef\u6709\u80f8\u9aa8\u538b\u75db\uff0c\u808b\u9aa8\u6216\u56db\u80a2\u5173\u8282\u75db\u3002\u8840\u8c61\u53ef\u5448\u5168\u8840\u7ec6\u80de\u51cf\u5c11\uff0c\u6216\u4efb\u4f55\u4e00\u7cfb\u53ca\u4e8c\u7cfb\u8840\u7ec6\u80de\u51cf\u5c11\u3002 1982\u5e74\u7531FAB\u534f\u4f5c\u7ec4\u5efa\u8bae\u786e\u7acb\u75c5\u540d\uff0c\u5e76\u5c06MDS\u5206\u4e3a\u4e94\u578b\uff1a\u96be\u6cbb\u6027\u8d2b\u8840\uff1b\u96be\u6cbb\u6027\u8d2b\u8840\u4f34\u73af\u72b6\u94c1\u7c92\u5e7c\u7ec6\u80de\u589e\u591a\uff1b\u96be\u6cbb\u6027\u8d2b\u8840\u4f34\u539f\u59cb\u7ec6\u80de\u589e\u591a\uff0c\u8f6c\u53d8\u4e2d\u7684\u96be\u6cbb\u6027\u8d2b\u8840\u4f34\u539f\u59cb\u7ec6\u80de\u589e\u591a\uff1b\u6162\u6027\u7c92\uff0d\u5355\u6838\u7ec6\u80de\u767d\u8840\u75c5\u3002 MDS\u53d1\u75c5\u7387\u7ea610/10\u4e07\uff5e12/10\u4e07\u4eba\u53e3\uff0c\u591a\u7d2f\u53ca\u4e2d\u8001\u5e74\u4eba\uff0c50\u5c81\u4ee5\u4e0a\u7684\u75c5\u4f8b\u536050\uff05\uff5e70\uff05\uff0c\u7537\u5973\u4e4b\u6bd4\u4e3a2\uff1a1\u3002MDS30%\uff5e60%\u8f6c\u5316\u4e3a\u767d\u8840\u75c5\u3002\u5176\u6b7b\u4ea1\u539f\u56e0\u9664\u767d\u8840\u75c5\u4e4b\u5916\uff0c\u591a\u6570\u7531\u4e8e\u611f\u67d3\uff0c\u51fa\u8840\uff0c\u5c24\u5176\u662f\u9885\u5185\u51fa\u8840\u3002
MDS\u5c5e\u4e2d\u533b\u201c\u865a\u70ed\u201d\uff0c\u201c\u8840\u75c7\u201d\uff0c\u201c\u5185\u4f24\u53d1\u70ed\u201d\uff0c\u201c\u7600\u75c7\u201d\u8303\u7574\u3002
\u3010\u75c5\u56e0\u3011
MDS\u7684\u75c5\u56e0\u5c1a\u4e0d\u660e\u786e\uff0c\u63a8\u6d4b\u662f\u7531\u4e8e\u751f\u7269\uff0c\u5316\u5b66\uff0c\u6216\u7269\u7406\u7b49\u56e0\u7d20\u5f15\u8d77\u57fa\u56e0\u7a81\u53d8\uff0c\u67d3\u8272\u4f53\u5f02\u5e38\u4f7f\u67d0\u4e2a\u6076\u53d8\u7684\u7ec6\u80de\u514b\u9686\u6027\u589e\u751f\u3002\u4e1a\u5df2\u516c\u8ba4\uff0c\u8bf1\u53d8\u5242\u5982\u75c5\u6bd2\uff0c\u67d0\u4e9b\u836f\u7269\uff08\u5982\u5316\u7597\u836f\uff09\uff0c\u8f90\u5c04\uff08\u653e\u7597\uff09\uff0c\u5de5\u4e1a\u53cd\u5e94\u5242\uff08\u5982\u82ef\uff0c\u805a\u4e59\u70ef\uff09\u4ee5\u53ca\u73af\u5883\u6c61\u67d3\u7b49\u7684\u53ef\u81f4\u764c\u4f5c\u7528\uff0c\u8bf1\u53d8\u5242\u53ef\u5f15\u8d77\u67d3\u8272\u4f53\u7684\u91cd\u6392\u6216\u57fa\u56e0\u91cd\u6392\uff0c\u4e5f\u53ef\u80fd\u53ea\u5f15\u8d77\u57fa\u56e0\u8868\u8fbe\u7684\u6539\u53d8\u5bfc\u81f4MDS\uff0e
MDS\u548c\u6025\u6027\u767d\u8840\u75c5\u4e00\u6837\uff0c\u662f\u7531\u4e00\u4e2a\u5f02\u5e38\u7684\u9020\u8840\u5e72\u7ec6\u80de\u884d\u751f\u7684\u6076\u6027\u514b\u9686\u53d1\u5c55\u8d77\u6765\u7684\u201c\u514b\u9686\u6027\u75be\u75c5\u201d\u3002\u4e3b\u8981\u7d2f\u53ca\u9ad3\u7cfb\u7ec6\u80de\uff0c\u4f7f\u9aa8\u9ad3\u7c92\uff0c\u7ea2\u53ca\u5de8\u4e09\u7cfb\u7ec6\u80de\u65e0\u6548\u75c5\u6001\u9020\u8840\uff0c\u5176\u51cb\u4ea1\u7ec6\u80de\u6570\u91cf\u660e\u663e\u589e\u52a0\u3002
\u3010\u5206\u578b\u3011
MDS\u5206\u4e3a\u539f\u53d1\u6027\u4e0e\u7ee7\u53d1\u6027
\u3010\u4e34\u5e8a\u8868\u73b0\u3011
\u3016\u75c7\u72b6\u3017 MDS\u901a\u5e38\u8d77\u75c5\u7f13\u6162\uff0c\u5c11\u6570\u8d77\u75c5\u6025\u5267\u3002\u4e00\u822c\u4ece\u53d1\u75c5\u5f00\u59cb\u8f6c\u5316\u4e3a\u767d\u8840\u75c5\uff0c\u5728\u4e00\u5e74\u4e4b\u5185\u7ea6\u753150\uff05\u4ee5\u4e0a\u3002\u8d2b\u8840\u60a3\u8005\u536090\uff05\u3002\u5e38\u4e3a\u4e2d\u5ea6\u8d2b\u8840\uff0c\u8868\u73b0\u4e3a\u9762\u8272\u82cd\u767d\uff0c\u5934\u6655\u4e4f\u529b\uff0c\u6d3b\u52a8\u540e\u5fc3\u60b8\u6c14\u77ed\u7b49\u3002\u53d1\u70ed\u536050%\uff0c\u5176\u4e2d\u539f\u56e0\u4e0d\u660e\u6027\u53d1\u70ed\u536010\uff05\uff5e15\uff05\uff0c\u611f\u67d3\u90e8\u4f4d\u4ee5\u547c\u5438\u9053\uff0c\u809b\u95e8\u5468\u56f4\u548c\u6ccc\u5c3f\u7cfb\u4e3a\u591a\u3002\u51fa\u8840\u536020\uff05\uff0c\u5e38\u89c1\u4e8e\u547c\u5438\u9053\uff0c\u6d88\u5316\u9053\uff0c\u4e5f\u7531\u9885\u5185\u51fa\u8840\u8005\uff0c\u65e9\u671f\u7684\u51fa\u8840\u75c7\u72b6\u8f83\u8f7b\uff0c\u591a\u4e3a\u76ae\u80a4\u7c98\u819c\u51fa\u8840\uff0c\u7259\u9f88\u51fa\u8840\u6216\u9f3b\u8844\uff0c\u5973\u6027\u60a3\u8005\u53ef\u6709\u6708\u7ecf\u8fc7\u591a\u3002\u665a\u671f\u51fa\u8840\u8d8b\u52bf\u52a0\u91cd\uff0c \u8111\u51fa\u8840\u6210\u4e3a\u60a3\u8005\u6b7b\u4ea1\u7684\u4e3b\u8981\u539f\u56e0\u4e4b\u4e00\u3002
\u3016\u4f53\u75c7\u3017 \u4e00\u822c\u65e0\u7279\u6b8a\u4f53\u5f81\uff0c\u4ec5\u5c11\u6570\u75c5\u4f8b\u6709\u809d\uff0c\u813e\uff0c\u6dcb\u5df4\u7ed3\u80bf\u5927\uff0c\u813e\u810f\u80bf\u5927\u8005\u5e38\u4e3a\u4e2d\uff0c\u8f7b\u5ea6\u3002\u665a\u671f\u53ef\u6709\u80f8\u9aa8\u538b\u75db\u3002
\u3016\u5e38\u89c1\u5e76\u53d1\u75c7\u3017
\u611f\u67d3\uff1a\u6025\u6027\u767d\u8840\u75c5 MDS\u4e2dRA,RAS\u578b\u6f14\u53d8\u4e3a\u6025\u6027\u9ad3\u7ec6\u80de\u767d\u8840\u75c5\u7684\u53d1\u751f\u7387\u7ea6\u4e3a13\uff05\uff0c\u6b64\u7ec4\u75c5\u4f8b\u751f\u5b58\u671f\u8fbe50\u4e2a\u6708\uff1bMDS\u4e2dRAEB\u4e0eCMML\u7ec4\u4e2d\u5219\u670935\uff05\uff5e40\uff05\u6f14\u53d8\u4e3a\u6025\u6027\u9ad3\u7ec6\u80de\u767d\u8840\u75c5\uff0c\u4e2d\u4f4d\u751f\u5b58\u671f\u4ec514\uff5e16\u4e2a\u6708\uff0cRAEB-T\u6f14\u53d8\u4f4d\u6025\u6027\u767d\u8840\u75c5\uff0c\u4e2d\u4f4d\u751f\u5b58\u671f\u4e3a\u4e09\u4e2a\u6708\u3002
\u51fa\u8840\uff1a \u7ea6 20\uff05\u7684MDS\u60a3\u8005\u6709\u51fa\u8840\u8868\u73b0\uff0c\u5e38\u89c1\u4e8e\u76ae\u80a4\uff0c\u547c\u5438\u9053\uff0c\u6d88\u5316\u9053\u7b49\uff0c\u4e5f\u6709\u9885\u5185\u51fa\u8840\u8005\u3002
\u3010\u8bca\u65ad\u6807\u51c6\u3011
1\u3001\u4e34\u5e8a\u8868\u73b0 \u4ee5\u8d2b\u8840\u75c7\u72b6\u4e3a\u4e3b\uff0c\u53ef\u517c\u6709\u53d1\u70ed\u6216\u51fa\u8840\u3002
2\u3001\u8840\u8c61 \u5168\u7ec6\u80de\u51cf\u5c11\uff0c\u6216\u4efb\u4e00\uff0c\u4e8c\u7cfb\u7ec6\u80de\u51cf\u5c11\uff0c\u53ef\u6709\u5de8\u5927\u7ea2\u7ec6\u80de\uff0c\u5de8\u5927\u8840\u5c0f\u677f\uff0c\u6709\u6838\u7ea2\u7ec6\u80de\u7b49\u75c5\u6001\u9020\u8840\u8868\u73b0\uff0e
3\u3001\u9aa8\u9ad3\u8c61 \u6709\u4e09\u7cfb\u6216\u4e8c\u7cfb\uff0c\u6216\u4efb\u4e00\u7cfb\u8840\u7ec6\u80de\u7684\u75c5\u6001\u9020\u8840\uff0c\u6216\u662f\u6dcb\u5df4\u6837\u5c0f\u5de8\u6838\u7ec6\u80de
4\u3001\u9664\u5916\u5176\u4ed6\u4f34\u6709\u75c5\u6001\u9020\u8840\u7684\u75be\u75c5\u3002
5\u3001\u6cd5\u7f8e\u82f1\uff08 FAB\uff09\u534f\u4f5c\u7ec4\u5c06MDS\u5206\u4e3a\u4e94\u578b\u3002
\u3010\u5e38\u89c4\u6cbb\u7597\u3011
\u76ee\u524d\u4e34\u5e8a\u4e0a\u4e00\u822c\u662f\u5728\u897f\u533b\u660e\u786e\u8bca\u65ad\u7684\u57fa\u7840\u4e0a\u8fdb\u884c\u8fa8\u8bc1\u6cbb\u7597\u3002 MDS-RA,RAS\u4e24\u578b\u591a\u89c1\u6c14\u8840\u4e24\u865a\uff0c\u6c14\u9634\u4e24\u865a\uff0c\u813e\u80be\u9633\u865a\uff1bRAEB\u5219\u591a\u89c1\u809d\u80be\u9634\u865a\uff1bRAEB-T\u578b\u5219\u591a\u5c06\u89c1\u4e8e\u75f0\u7600\u4e92\u963b\u7600\u8840\u8bc1\u5019\u3002\u6240\u4ee5\u6cbb\u7597\u5e94\u6309\u4e0d\u540c\u7684\u4e34\u5e8a\u8868\u73b0\u548c\u4e0d\u540c\u7684\u9636\u6bb5\u8fdb\u884c\u3002
MDS\u7531\u4e8e\u5206\u671f\u4e0d\u540c\uff0c\u6cbb\u7597\u4e0a\u5e94\u968f\u60a3\u8005\u7684\u75c5\u60c5\u91c7\u7528\u76f8\u5e94\u7684\u4e0d\u540c\u7684\u6cbb\u7597\u5bf9\u7b56\u3002RA,RAS\u4ee5\u8d2b\u8840\u4e3a\u4e3b\u75c7\uff0c\u6b64\u65f6\u91c7\u7528\u836f\u7269\u523a\u6fc0\u9aa8\u9ad3\u9020\u8840\u4e3a\u4e3b\uff0c\u517c\u4ee5\u8bf1\u5bfc\u5206\u5316\u5242\u6cbb\u7597\uff1bRAEB\u60a3\u8005\u4ee5\u5c0f\u5242\u91cf\u5316\u7597\u6216\u52a0\u8bf1\u5bfc\u5206\u5316\u5242\u6cbb\u7597\uff1b\u800c\u5bb9\u6613\u8f6c\u5316\u4e3a\u6025\u6027\u767d\u8840\u75c5\u7684RAEB-T\u5e94\u91c7\u7528\u7c7b\u4f3c\u6025\u6027\u767d\u8840\u75c5\u7684\u5e38\u89c4\u8054\u5408\u5316\u7597\u4e3a\u4e3b\u7684\u6cbb\u7597\u3002
\u3016\u523a\u6fc0\u7d20\u9020\u8840\u5242\u3017
\u9002\u7528\u4e8e RA,RAS\u578b\u3002
1\u3001\u5eb7\u529b\u9f99 6\uff5e8mg/d\uff0c\u5206\u6b21\u670d\u7528\uff0c\u7597\u7a0b\u81f3\u5c113\u4e2a\u6708\uff0c\u6700\u957f\u53ef\u670d\u4e00\u5e74\u4ee5\u4e0a\u3002\u90e8\u5206\u60a3\u8005\u809d\u529f\u80fd\u4f1a\u53d7\u635f\uff0c\u53ef\u5408\u5e76\u4f7f\u7528\u8054\u82ef\u53cc\u916f\u3002\u82e5\u56e0\u809d\u529f\u80fd\u53d7\u635f\u591a\u6b21\u505c\u836f\u8005\uff0c\u53ef\u6539\u7528\u4e19\u9178\u777e\u4e38\u916e\u808c\u5185\u6ce8\u5c04\uff0c\u6bcf\u65e550\uff5e100mg\uff0c\u8fde\u7eed\u6cbb\u7597\u534a\u5e74\u4ee5\u4e0a\u65b9\u53ef\u5224\u65ad\u7597\u6548\u3002
2\u3001\u6cfc\u5c3c\u677e 30\uff5e40mg/d,\u5206\u6b21\u670d\u7528\uff0c\u9002\u7528\u4e8eMDS\u5408\u5e76\u6eb6\u8840\u3002
\u3016\u8bf1\u5bfc\u5206\u5316\u5242\u3017
1\u3001\u7ef4\u7532\u9178\u7c7b
\uff081\uff09 \u5168\u53cd\u5f0f\u7ef4\u7532\u9178\uff1a30\uff5e60\uff0c\u52063\u6b21\u53e3\u670d\uff0c\u7597\u7a0b\u5e94\u57283\u4e2a\u6708\u4ee5\u4e0a\uff0c\u5bf9RA\u8f83\u597d\uff0c
\uff082\uff09\u987a\u5f0f\u7ef4\u7532\u9178\uff1a
\uff083\uff09\u52063\u6b21\u53e3\u670d\uff0c\u7597\u7a0b\u81f3\u5c113\u4e2a\u6708\u3002
2\u3001\u4e3b\u8981\u526f\u4f5c\u7528\u4e3a\u53e3\u5507\u5e72\u71e5\uff0c\u76ae\u80a4\u8fc7\u5ea6\u89d2\u5316\uff0c\u5173\u7ed3\u808c\u8089\u75bc\u75db\uff0c\u809d\u529f\u80fd\u4f24\u5bb3\u3002\u4e3a\u53ef\u9006\u6027\u6539\u53d8\uff0c\u4e0e\u5242\u91cf\u76f8\u5173\u3002
3\u3001\u8054\u5408\u5316\u7597\uff0c\u5bf9\u5e74\u9f84\u5c0f\u4e8e 60\u5c81\uff0c\u767d\u7ec6\u80de\u8ba1\u6570\u504f\u9ad8\u7684\u9ad8\u7ef4MDS\u60a3\u8005\uff0c\u53ef\u91c7\u7528\u8054\u5408\u5316\u7597\u3002\u53ef\u5148\u7528\u6025\u6027\u9ad3\u7ec6\u80de\u6027\u767d\u8840\u75c5\uff08AML\uff09\u5316\u7597\u65b9\u6848.
MDS\u60a3\u8005\u7edd\u5927\u591a\u6570\u8868\u73b0\u4e3a\u8840\u8c61\u4e8c\u7cfb\u6216\u5168\u7ec6\u80de\u51cf\u5c11\uff0c\u5bf9\u5316\u7597\u8010\u53d7\u6027\u5dee\u7ea63/1\u75c5\u4f8b\u6b7b\u4e8e\u9aa8\u9ad3\u8870\u7aed\u6709\u5173\u7684\u5e76\u53d1\u75c7\uff0c1/2\u8f6c\u53d8\u4e3a\u6025\u6027\u767d\u8840\u6bd4\u75c5\uff0c\u5e94\u6839\u636eMDS\u60a3\u8005\u7684\u5206\u578b\uff0c\u8840\u8c61\uff0c\u5e74\u9f84\uff0c\u4e00\u822c\u72b6\u51b5\uff0c\u9aa8\u9ad3\u5e7c\u7a1a\u7ec6\u80de\u6570\u7b49\u8fdb\u884c\u4e2a\u4f53\u5316\u6cbb\u7597\u3002
\u4f4e\u5371MDS\uff1a\u4f4e\u5371MDS\u4e3b\u8981\u5305\u62ecRA\u53caRAS.\u9aa8\u9ad3\u5e7c\u7a1a\u7ec6\u80de\u22650.03,\u53ef\u91c7\u53d6\u4ee5\u8bf1\u5bfc\u5206\u5316\u52a0\u9aa8\u9ad3\u9020\u8840\u4e3a\u4e3b\u7684\u6cbb\u7597\u65b9\u6848 \u3002
\u9ad8\u5371 MDS:\u9ad8\u5371MDS\u4e3b\u8981\u5305\u62ecRAEB,RAEB-T,CMML.\u5e74\u9f84\u5c0f\u4e8e45\u5c81\uff0c\u53ef\u91c7\u53d6\u4ee5\u8054\u5408\u5316\u7597\u52a0\u9aa8\u9ad3\u79fb\u690d\u6216\u5916\u5468\u9020\u8840\u5e72\u7ec6\u80de\u79fb\u690d\u4e3a\u4e3b\u7684\u6cbb\u7597\u65b9\u6848\uff0c
\u9aa8\u9ad3\u79fb\u690d \u82e5\u60a3\u8005\u5e74\u9f84\u5c0f\u4e8e 30\u5c81\uff0c\u5316\u7597\u80fd\u53d6\u5f97\u7f13\u89e3\uff0c\u65e0\u9aa8\u9ad3\u7ea4\u7ef4\u5316\uff0c\u4e14\u6709HLA\u914d\u578b\u76f8\u5408\u5f97\u4f9b\u9ad3\u6e90\uff08\u6700\u597d\u662f\u540c\u80de\u5144\u5f1f\u59d0\u59b9\uff09\u5219\u53ef\u9009\u62e9\u505a\u9aa8\u9ad3\u79fb\u690d\uff0c\u76ee\u524d\u591a\u91c7\u7528\u5916\u8840\u5e72\u7ec6\u80de\u79fb\u690d\u6765\u4ee3\u66ff\u9aa8\u9ad3\u9020\u8840\u5e72\u7ec6\u80de\u79fb\u690d\u3002
\u9aa8\u9ad3\u589e\u751f\u5f02\u5e38\u7efc\u5408\u5f81\u4e2d\u533b\u6cbb\u7597\u4e3b\u8981\u5728\u4e8e\u4e2d\u533b\u7684\u201c\u7600\u8bc1\u201d\u8303\u7574\u4e0a\uff0c\u4e00\u4e9b\u4e2d\u8349\u836f\u5728\u6b64\u65b9\u9762\u663e\u73b0\u4e86\u5f88\u5927\u7684\u4f5c\u7528\u3002
\u3010\u9884\u540e\u4e0e\u8f6c\u5f52\u3011
MDS\u662f\u4e00\u7ec4\u540e\u5929\u5f02\u8d28\u6027\u9020\u8840\u7ec6\u80de\u53d1\u80b2\u5f02\u5e38\u7684\u75be\u75c5\u3002\u90e8\u5206\u75c5\u4eba\u53ef\u4ee5\u8f6c\u5316\u4e3a\u6025\u6027\u767d\u8840\u75c5 \u3002MDS\u7684\u9884\u540e\uff0c\u4e0e\u5e74\u9f84\u548c\u4f53\u5f81\uff0cFAB\u5206\u578b\uff0c\u5916\u5468\u8840\u8c61\u548c\u9aa8\u9ad3\u8c61\uff0c\u67d3\u8272\u4f53\u5f02\u5e38\u6709\u5173\u3002\u5e74\u9f84\u548c\u4f53\u5f81\u4e0e\u9884\u540e\uff1a\u672c\u75c5\u597d\u53d1 \u4e8e\u4e2d\u5e74\u5df2\u4e0a\uff0c\u8001\u5e74\u4eba\u60a3MDS\u7684\u9884\u540e\u6bd4\u4e2d\u5e74\u4eba\u5dee\uff0cMDS\u60a3\u8005\u6709\u4e25\u91cd\u8d2b\u8840\uff0c\u5e7f\u6cdb\u51fa\u8840\uff0c\u809d\u813e\u660e\u663e\u80bf\u5927\u8005\u7597\u6548\u4e5f\u4e0d\u4f73\u3002 FAB\u5206\u578b\u4e0e\u9884\u540e\uff1aMDS\u7684FAB\u5206\u578b\u5bf9\u9884\u540e\u6709\u5f88\u5927\u7684\u610f\u4e49\u3002\u5982\u679cMDS\u60a3\u8005\u8fdb\u884c\u6027\u5168\u8840\u7ec6\u80de\u51cf\u5c11\uff0c\u63d0\u793a\u75c5\u60c5\u6076\u5316\uff0c\u591a\u6570\u75c5\u4eba\u9884\u540e\u4e0d\u826f\uff0c\u4e00\u822c\u4f4e\u5371\u7ec4\uff08RA,RAS\uff09\u60a3\u8005\u7684\u751f\u5b58\u671f\u957f\u4e8e\u9ad8\u5371\u7ec4\uff0cRA\u548cRAS\u4e8c\u578b\uff0c\u53d1\u5c55\u6210\u4e3a\u767d\u8840\u75c5\u7684\u7684\u6bd4\u4f8b\u8f83\u4f4e\uff0c\u4e2d\u6570\u751f\u5b58\u671f\u4e5f\u8f83\u957f\u3002\uff08RA RAEB,REEB-T\u6216CMML\u8fd9\u4e09\u578b\u7684\u53d1\u751f\u7387\u8f83\u9ad8\uff09\uff0c\u4e2d\u6570\u751f\u5b58\u671f\u8f83\u77ed\u3002
\u5916\u5468\u8840\u8c61\u548c\u9aa8\u9ad3\u8c61\u4e0e\u9884\u540e\uff1b\u5728 MDS-RA.RAS\u60a3\u8005\u4e2d\uff0c\u5916\u5468\u8840\u4e2d\u53ef\u89c1\u5230\u6709\u6838\u7ea2\u7ec6\u80de\uff0c\u5047\u6027pelger-Huet\u5f02\u5e38\uff0c\u6dcb\u5df4\u6837\u7684\u5c0f\u5de8\u6838\u7ec6\u80de\u7b49\uff0c\u540c\u65f6\u4f34\u6709\u539f\u59cb\u53ca\u5e7c\u7a1a\u7ec6\u80de\u7684\u6bd4\u4f8b\u589e\u591a\u3002\u8fd9\u91cd\u60c5\u51b5\u6613\u8f6c\u5316\u4e3a\u767d\u8840\u75c5\u3002MDS\u60a3\u8005\u8840\u8c61\u4e2d\u51fa\u73b0\u539f\u59cb\u7ec6\u80de\u6216\u9aa8\u9ad3\u4e2d\u539f\u59cb\u7ec6\u80de>=0.05\uff0c\u5747\u63d0\u793a\u9884\u540e\u4e0d\u826f\u3002 \u5728 RAEB-T\u4e9a\u578b\u4e2d\uff0c\u8840\u8c61\u9aa8\u9ad3\u8c61\u4e2d\u539f\u5e7c\u7ec6\u80de\u5185AUER\u5c0f\u4f53\u9633\u6027\u7684\u60a3\u8005\u5b8c\u5168\u7f13\u89e3\u7387\u6bd4AUER\u5c0f\u4f53\u9634\u6027\u7684\u60a3\u8005\u8981\u9ad8\uff0c\u751f\u5b58\u671f\u4e5f\u8f83\u957f\u3002
\u67d3\u8272\u4f53\u5f02\u5e38\u4e0e\u9884\u540e\uff1a MDS\u662f\u591a\u80fd\u9020\u8840\u5e72\u7ec6\u80de\u7684\u5f02\u5e38\uff0c\u4ece\u5f02\u5e38\u5e72\u7ec6\u80de\u4ea7\u751f\u7684\u75c5\u6001\u8840\u7ec6\u80de\u90fd\u662f\u514b\u9686\u7684\uff0c\u4f34\u6709\u67d3\u8272\u4f53\u6838\u578b\u5f02\u5e38\u7684MDS\u60a3\u8005\uff0c\u4e2d\u6570\u751f\u5b58\u671f\u90fd\u8f83\u77ed\uff0c\u7279\u522b\u662f\u6709\u590d\u6742\u67d3\u8272\u4f53\u5f02\u5e38\u7684\uff0c\u9884\u540e\u66f4\u5dee\u3002
MDS\u7684\u8f6c\u5f52\u4e0d\u5916\u4e09\u79cd\u60c5\u51b5\uff1a\u597d\u8f6c\uff0c\u7f13\u89e3\uff0c\u6076\u5316\u3002\u8f6c\u5f52\u503e\u5411\u7684\u5173\u952e\uff0c\u5728\u4e8e\u4f53\u8d28\u7684\u5f3a\u5f31\uff0c\u813e\u80be\u7684\u76db\u8870\uff0c\u809d\u6c14\u7684\u8c03\u8fbe\u3002\u4e00\u5e2e\u822c\u5728RA,RAS\u4e8c\u578b\u4e2d\uff0c\u5982\u679c\u4f53\u8d28\u7d20\u865a\uff0c\u865a\u635f\u4e0d\u91cd\u813e\u80be\u672a\u8870\uff0c\u60c5\u5fd7\u7545\u8fbe\uff0c\u901a\u8fc7\u8c03\u7406\uff0c\u810f\u8151\u95f4\u7684\u75c5\u7406\u6027\u4e58\u4fae\u73b0\u8c61\uff0c\u9010\u6e10\u8f6c\u53d8\u4e3a\u751f\u7406\u6027\u751f\u514b\u5236\u5316\u5173\u7cfb\uff0c\u5404\u79cd\u75c7\u72b6\u9010\u6b65\u7f13\u89e3\uff0c\u6e10\u5f52\u7a33\u5b9a\uff0c\u751a\u81f3\u597d\u8f6c\uff0cMDS\u5c5e\u75fc\u75be\u96be\u8bc1\u5176\u597d\u8f6c\u8fc7\u7a0b\u662f\u5f88\u957f\u7684\uff0c\u4e2d\u533b\u7684\u6cbb\u7597\u548c\u9632\u62a4\u5f53\u4ee5\u5e74\u6708\u8ba1\uff0c\u5207\u4e0d\u53ef\u7a0d\u597d\u8f6c\uff0c\u5192\u7136\u505c\u6b62\u8c03\u6cbb\uff0c\u5bfc\u81f4\u590d\u53d1\u3002
\u3010\u96be\u70b9\u4e0e\u5bf9\u7b56\u3011
\u666e\u904d\u8ba4\u4e3a MDS\u7684\u672c\u8d28\u662f\u4e00\u79cd\u9020\u8840\u7ec6\u80de\u9010\u6b65\u7531\u6b63\u5e38\u81f3\u95f4\u53d8\uff0c\u8fdb\u800c\u5411\u767d\u8840\u75c5\u8f6c\u5316\u5e76\u540c\u65f6\u4f34\u6709\u5f62\u6001\u5b66\u6539\u53d8\uff08\u75c5\u6001\u9020\u8840)\u548c\u9020\u8840\u529f\u80fd\u5f02\u5e38(\u65e0\u6548\u9020\u8840)\u7684\u75be\u75c5\uff0c\u5373\u826f\u6027\uff0c\u95f4\u53d8\u548c\u6076\u6027\u9020\u8840\u514b\u9686\u5728MDS\u5171\u5b58\u3002\u75c5\u56e0\uff0c\u75c5\u673a\uff0c\u8f6c\u767d\u89c4\u5f8b\u4e43\u81f4\u8bca\u65ad\u548c\u6cbb\u7597\u7b49\u4e00\u7cfb\u5217\u95ee\u9898\u90fd\u662f\u96be\u70b9\u3002
\u96be\u70b9\u4e4b\u4e00\uff1a MDS\u7684\u8bca\u65ad
\u7531\u4e8e\u4e34\u5e8a\u8868\u73b0\u7684\u590d\u6742\u6027\uff08\u5982\u75c5\u6001\u9020\u8840\u53ef\u6709\u53ef\u65e0\uff09\uff0c\u5f62\u6001\u5b66\u6280\u672f\u7684\u5c40\u9650\u6027\uff0c\u4e34\u5e8a\u533b\u5e08\u5bf9 MDS\u7684\u8ba4\u8bc6\u7f3a\u4e4f\u6b63\u786e\u6027\uff0c\u4e34\u5e8aMDS\u7684\u8bef\u8bca\uff0c\u6f0f\u8bca\u4e0d\u9c9c\u89c1\u3002\u8fd9\u662f\u5f53\u524d\u4e9f\u5f85\u89e3\u51b3\u7684\u96be\u70b9\u3002\u4e3a\u6b64\uff0c\u5728\u4ee5\u4e0b\u65b9\u9762\u5e94\u52a0\u5f3a\u548c\u52aa\u529b\u3002
1\u3001\u4fdd\u8bc1 MDS\u8bca\u65ad\u7684\u53ef\u9760\u6027.
2\u3001\u6ce8\u610f\u9274\u522b\u8bca\u65ad\uff0c MDS\u7684\u6392\u9664\u8bca\u65ad\u5e94\u5305\u62ec\u6709\u5173\u6eb6\u8840\u6027\u8d2b\u8840\uff0c\u518d\u751f\u969c\u788d\u6027\u8d2b\u8840\u6076\u6027\u80bf\u7624\uff0c\u809d\u75c5\uff0c\u80be\u75c5\uff0c\u514d\u75ab\u7cfb\u7edf\u75be\u75c5\u53ca\u7ed3\u6838\u75c5\u7684\u68c0\u67e5\u3002
\u96be\u70b9\u4e4b\u4e8c\uff1a\u5bf9 MDS\u5374\u4e4f\u6709\u6548\u7684\u6cbb\u7597\u65b9\u6cd5
\u5982\u4f55\u51cf\u5c11\u6216\u5ef6\u7f13 MDS\u75c5\u4eba\u5411\u6025\u6027\u767d\u8840\u75c5\u8f6c\u5316\u662f\u6cbb\u7597\u7684\u4e00\u5927\u96be\u70b9\u3002\u76ee\u524d\u5bf9\u4e0d\u540c\u7c7b\u578b\u7684MDS\uff0c\u91c7\u7528\u76f8\u5e94\u7684\u4e0d\u540c\u6cbb\u7597\u5bf9\u7b56
MDS\u6709\u4e09\u79cd\u8f6c\u89c4;\u597d\u8f6c\uff0c\u7f20\u7ef5\uff0c\u6076\u5316\uff0c\u8f6c\u89c4\u9877\u5411\u7684\u5173\u952e\uff0c\u5728\u4e8e\u662f\u5426\u575a\u6301\u5408\u7406\u79d1\u5b66\u7684\u6cbb\u7597\u3002\u4f53\u8d28\u7684\u5f3a\u5f31\uff0c\u813e\u80be\u7684\u76db\u8870\uff0c\u809d\u6c14\u7684\u8c03\u8fbe\u3002\u56e0\u6b64\uff0c\u5bf9\u4e8e\u5404\u578bMDS\u7684\u6cbb\u7597\u5e94\u91c7\u7528\u7efc\u5408\u6216\u4e2d\u897f\u533b\u7ed3\u5408\u7684\u63aa\u65bd\u6cbb\u7597\uff0c\u5177\u4f53\u5305\u62ec\uff1a\u897f\u533b\u523a\u6fc0\u9aa8\u9ad3\u9020\u8840\uff08RA,RAS\u578b\uff09\u8bf1\u5bfc\u5206\u5316(RA,RAA,RAEB\uff09\u5c0f\u5242\u91cf\u5316\u7597\uff08RAEB\u578b\uff09\uff0c\u8054\u5408\u5316\u7597\uff08RAEB-T\uff09,\u4e2d\u533b\u8fa8\u8bc1\u8bba\u6cbb\uff0c\u996e\u98df\u8c03\u7406\uff0c\u751f\u6d3b\u8c03\u7406\uff0c\u7cbe\u795e\u8c03\u7406\uff0c\u901a\u8fc7\u4e2d\u897f\u533b\u7efc\u5408\u6cbb\u7597\u4ee5\u671f\u6291\u5236\u9aa8\u9ad3\u75c5\u6001\u9020\u8840\uff0c\u63d0\u9ad8\u673a\u4f53\u514d\u75ab\u529f\u80fd\uff0c\u4ece\u800c\u4f7fMDS\u597d\u8f6c\uff0c\u51cf\u5c11\u6216\u5ef6\u7f13\u6076\u5316\uff0e
\u3010\u5eb7\u590d\u6307\u5bfc\u3011
1\u3001\u6ce8\u610f\u8425\u517b \u5408\u7406\u8c03\u914d\u996e\u98df\uff0c\u5bf9\u8089\u7c7b\uff0c\u86cb\u7c7b\uff0c\u65b0\u9c9c\u852c\u83dc\u7684\u6444\u53d6\u8981\u5168\u9762\uff0c\u4e0d\u8981\u504f\u98df\u3002
2\u3001\u5fcc\u53e3\uff0c\u9e21\u5c5e\u9633\uff0c\u52a8\u98ce\u3002 MDS\u865a\u5b9e\u5939\u6742\uff0c\u90aa\u6bd2\u5185\u58c5\u52a9\u706b\u52a8\u98ce\u4e4b\u54c1\u5b9c\u5fcc\u3002\u7279\u522b\u662f\u9634\u865a\u706b\u65fa\uff0c\u51fa\u8840,\u75f0\u6e7f\u4ea4\u963b\u8005\u5c24\u8981\u6ce8\u610f\u3002
3\u3001\u51ac\u866b\u590f\u8349\u7096\u9e2d \u51ac\u866b\u590f\u8349 5g\uff0c\u9e2d75g\uff0c\u751f\u59dc3\u7247\uff0c\u9ec4\u91525g\uff0c\u6c34200ml,\u9002\u52a0\u76d0\u6cb9\u8c03\u5473\uff0c\u6587\u706b\u7096\u4e24\u5c0f\u65f6\uff0c\u996e\u6c64\u98df\u8089\u3002\u6cbb\u7597MDS\u6c14\u9634\u4e0d\u8db3\uff0c\u795e\u75b2\u4e4f\u529b\uff0c\u820c\u6de1\u7ea2\uff0c\u8109\u7ec6\u8005\u3002
4\u3001\u7cbe\u795e\u8c03\u7406 \u809d\u6c14\u90c1\u7ed3\u4e0e MDS\u7684\u53d1\u75c5\u5173\u7cfb\u5bc6\u5207\uff0c\u6709\u8d44\u6599\u63d0\u51faMDS\u53d1\u75c5\u524d\u6709\u957f\u8fbe\u534a\u5e74\u4ee5\u4e0a\u7684\u8f83\u4e25\u91cd\u7684\u7cbe\u795e\u523a\u6fc0\uff0c\u56e0\u6b64\u63d0\u5021\u865a\u6000\u82e5\u8c37\uff0c\u80f8\u895f\u5f00\u9614\uff0c\u63d0\u9ad8\u4fee\u517b\uff0c\u5728\u75be\u75c5\u8c03\u5236\u7684\u8fc7\u7a0b\u4e2d\u6613\u975e\u5e38\u5173\u952e\u3002
这个怎么治疗啊这个治疗方法呢也是要自己去选择的吗这个东西的话不要那么
绛旓細鐩墠瀵逛簬楠ㄩ珦澧炵敓寮傚父缁煎悎寰佺殑娌荤枟锛棣栭夌殑娌荤枟鏂规硶灏辨槸鍘荤敳鍩哄寲鑽墿娌荤枟锛屽父鐢ㄨ嵂鐗╁寘鎷湴瑗夸粬婊ㄥ拰闃挎墡鑳炶嫹銆傚彟澶栵紝瀵逛簬楂樺嵄缁勭殑鎮ｈ咃紝濡傛灉鏈夊悎閫傜殑楠ㄩ珦渚涗綋锛屽彲浠ラ鍏堣冭檻鍋氬紓鍩哄洜閫犺骞茬粏鑳炵Щ妞嶆不鐤楋紱瀵逛簬浣庡嵄缁勭殑楠ㄩ珦澧炵敓寮傚父缁煎悎寰佹偅鑰咃紝涓鑸渶瑕佸畾鏈熺殑杈撹娌荤枟鎴瀵圭棁鏀寔娌荤枟銆
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