绂藉亸鑲虹梾姣掞紙Acian metapneumovirus, aMPV锛夎嚜浠庤纭畾涓虹伀楦＄敓浜т腑鍏锋湁閲嶈缁忔祹鎬х殑鐥呭師浠ユ潵锛屽張鍙戠幇璇ョ梾姣掕繕瀛樺湪浜庡叾浠栧绂藉搧绉嶃€傝鐥呮瘨鍦ㄤ笘鐣屾煇浜涘湴鍖哄叿鏈夐噸瑕佺殑鎰忎箟锛岃€屽湪鍏朵粬鍦板尯鐨勬儏鍐靛皻涓嶆竻妤氥€傝鐥呮瘨浼氬瀹剁浜х敓鎬庢牱鐨勫奖鍝嶏紵
楦″彲浠ユ劅鏌撳绉嶅懠鍚搁亾鐥呮瘨锛屾渶杩戝姞鍏ユ鐥呮瘨“瀹跺涵”鐨勬垚鍛樻槸涓€绉嶅吇楦′笟蹇呴』瀵逛粯鐨勫叏鏂扮梾姣?mdash;—绂藉亸鑲虹梾姣掞紙Acian metapneumovirus, aMPV锛夈€傝鐥呮瘨寮曡捣鐨勭柧鐥呮渶鏃╁湪鐏浮涓婂彂鐜帮紝涓嶄箙璇ョ梾鎴愪负鍦ㄥ叏鐞冭寖鍥村唴鍏锋湁缁忔祹閲嶈鎬х殑鐏浮鐤剧梾銆傜劧鑰岋紝aMPV鍦ㄩ浮涓殑鎰熸煋鎯呭喌浠嶇劧涓嶆槸寰堟竻妤氥€?/span>aMPV鎵€鑷寸柧鐥呯殑閲嶈鎬у湪涓€浜涘浗瀹跺彈鍒伴珮搴﹀叧娉紝鑰屽湪鍙︿竴浜涘浗瀹跺嵈灏氭湭鍚銆?/span>
1 .鐤剧梾鍘嗗彶
鍦?/span>20涓栫邯70骞翠唬锛屽崡闈炴姤閬撲簡涓€绉嶅奖鍝嶇伀楦＄殑涓ラ噸鍛煎惛閬撶柧鐥呫€傝鐥呬紶鎾繀閫燂紝鍙戠梾鐜囬珮锛屾浜＄巼涓嶅畾锛堢伀楦＄殑姝讳骸鐜囧彲鑳借緝楂橈級锛涘嚭鐜版墦鍠峰殢銆佺綏闊炽€侀蓟绐︾値銆佺粨鑶滅値銆佺溂閮ㄦ湁鍒嗘硨鐗┿€侀蓟婕忥紝浠ュ強铔嬬浜ц泲涓嬮檷绛変复搴婄棁鐘躲€傝鐤剧梾琚О涓虹伀楦℃皵绠＄値锛?/span>turkey rhinotracheitis, TRT锛?/span>,涔嬪悗鍦ㄥ叏鐞冭澶氭椿楦＄敓浜у浗鍧囨湁鎶ラ亾銆?/span>
鑷?/span>20涓栫邯80浣犲勾浠ｄ互鍚庯紝浠庡嚭鐜板懠鍚稿埌鐥囩姸銆佸苟閫氬父浼存湁澶磋偪澶х殑鐥呴浮涓垎绂诲埌浜?/span>TRT鐨勭梾鍘熶綋銆傛姤閬撹锛屽湪涓婁笘绾?/span>90骞翠唬锛岃澶氬浗瀹堕兘鏅亶鐩戞祴鍒颁簡TRT鎶椾綋銆備絾鏄紝浠呮湁灏戞暟鍥藉鎶ラ亾鐩戞祴鍒颁簡TRT鎶楀師銆傚湪浜ц泲楦′腑锛?/span>TRT鐨勭梾鍘熶綋鐩存帴鎴栭棿鎺ュ湴寮曡捣铔嬬殑鍝佽川鍜屼骇铔嬮噺涓嬮檷銆?/span>
2. 鐥呭洜瀛﹁皟鏌?/span>
璇ョ梾鐨勫彂鐥呭師鍥犺捣鍒濊璁や负鏄粏鑿屽紩璧风殑锛屽ぇ澶氭暟鎬€鐤戦泦涓湪绂芥尝姘忔潌鑿岋紙Bordetella avium锛夛紝璇ヨ弻鏄竴绉嶉噸瑕佺殑甯歌鐏浮鐥呭師浣撱€備絾鏄紝涔嬪悗閫氳繃楦¤儦鍜屾皵绠″煿鍏伙紝鍒嗙鍒颁簡TRT鐨勭梾鍘熶綋锛屽苟琚壌瀹氫负涓€绉嶇梾姣掋€傞浮鍘熺梾姣掑強绫讳技鐨勫垎绂绘牚琚壌瀹氫负涓€绉嶈偤鐥呮瘨銆備絾鏄紝闅忕潃浠庝汉缇や腑鍒嗙鍒扮浉浼肩殑鐥呮瘨鍚庯紝杩欑绂芥簮鐥呮瘨鍜岀被浼肩殑鍒嗙鏍閲嶆柊鍒嗙被涓虹鍋忚偤鐥呮瘨锛?/span>Acian metapneumovirus, aMPV锛夈€?/span>aMPV褰掑睘鍓矘鐥呮瘨绉戙€佽偤鐥呮瘨浜氱銆佸亸鑲虹梾姣掍功锛屽惈鏈変竴鏉′笉鍒嗚妭娈电殑鍗曡偂璐熼摼RNA銆傜數瀛愭樉寰暅瑙傚療鏄剧ず锛?/span>aMPV鐨勫舰鎬佸憟澶氬舰鎬ц竟缂樸€佽繎浼肩悆褰㈢粨鏋勶紙鍥?/span>1锛夈€?/span>
鍥?/span>1
鏈変竴娈垫椂闂?/span>aMPV琚涓哄彧鏈変竴绉嶈娓呭瀷銆備絾鏄紝鍒╃敤鍗曞厠闅嗘姉浣撳拰鍒嗗瓙鐢熺墿瀛︽柟娉曠爺绌跺悗琛ㄦ槑锛?/span>aMPV瀛樺湪2涓槑鏄句笉鍚岀殑琛€娓呭瀷锛氳娓呬簹鍨?/span>A鍜?/span>B銆?/span>1997骞达紝浠庣編鍥界缃楁媺澶氬窞鐖嗗彂鍛煎惛閬撶柧鐥呯殑鐏浮涓垎绂婚壌瀹氬嚭鍙︿竴绉嶈娓呭瀷锛屽懡鍚嶄负琛€娓呬簹鍨?/span>C銆傚湪涓€璧蜂笉澶浉鍏崇殑浜嬩欢涓紝娉曞浗绉戝瀹跺湪楦腑鍙戠幇浜嗙被浼间簬琛€娓呭瀷C鐨?/span>aMPV銆?/span>2000骞达紝浠庢硶鍥界伀楦′腑鍒嗙鍒颁竴鏍潪A銆侀潪8鎴栭潪C浜氬瀷锛屼箣鍚庤鍛藉悕涓鸿娓呬簹鍨?/span>D銆?/span>
aMPV浜氬瀷A鍜?/span>B闄や簡缇庡浗銆佸姞鎷垮ぇ鍜屾境澶у埄浜氬锛屼笘鐣屽叾瀹冨湴鍩熷潎鏈夋姤閬擄紱琛€娓呬簹鍨?/span>C浠呬粎鍦ㄧ編鍥藉彂鐜帮紱娉曞浗宸茬粡鎶ラ亾浜嗘墍鏈夊洓绉嶈娓呬簹鍨?/span>(A銆?/span>B銆?/span>C鍜?/span>D)锛屼絾鏈€甯告娴嬪埌鐨勬槸琛€娓呬簹鍨?/span>A鍜?/span>B銆?/span>
3銆?/span> 鎰熸煋楦＄殑涓村簥琛ㄧ幇
鍦ㄩ噹澶栨潯浠朵笅锛屽鏋滃瓨鍦ㄤ績浣跨梾鎯呭姞閲嶇殑鍥犵礌锛庨浮鎰熸煋aMPV鍚庝細鍑虹幇娓╁拰鎴栦弗閲嶇殑鍛煎惛閬撶柧鐥呫€傚鏋滀笉瀛樺湪骞跺彂鎰熸煋锛?/span>aMPV鎰熸煋楦″彲鑳藉苟涓嶅嚭鐜板绉嶄复搴婄棁鐘惰€屽悍澶嶃€備簨瀹炰笂锛岀柧鐥?/span>(鎴栨劅鏌?/span>)鍙兘甯稿父鑰掕娉ㄦ剰鍒般€傜劧鑰岋紝褰撲笌鍏跺畠鍛煎惛閬撶梾鍘熶綋(濡備紶鏌撶暒鏀皵绠＄値鐥呮瘨(IBV)銆佹柊鍩庣柅銆佷紶鏌撴€у枆姘旂鐐庛€侀浮璐ヨ鏀師浣?/span>(Mycoplasma gallisepticum)銆佸叧鑺傛恫鏀師浣?/span>(Mycoplasma synoviae)鎴栧叾瀹冪粏鑿岋紡鐪熻弻骞跺彂鎰熸煋鏃讹紝鐥呮儏浼氭洿鍔犱弗閲嶏紝鐥呯▼寤堕暱銆備笉褰撶殑绠＄悊鏉′欢锛屽閫氶涓嶈壇銆佹皑姘旀祿搴﹂珮銆侀ゲ鍏诲瘑搴﹀ぇ浠ュ強搴旀縺鎬х鐞嗘搷浣?/span>(濡傚厤鐤椂鐨勬姄楦°€佽浆缇ょ瓑)锛屼細鎻愰珮鍙戠梾鐜囧拰鐥呮儏鐨勪弗閲嶇▼搴︺€傚湪杩囧幓浜屽崄骞撮噷锛?/span>aMPV涓庨浮鑲垮ご缁艰垗鐥?/span>(swollen syndrome锛?/span>SHS)鐨勫彂鐢熸湁鍏筹紝鍚庤€呬富瑕佽〃鐜颁负鐪肩湺鍛ㄥ洿鍜岀湺涓嬬鑲胯儉锛屽叾瀹冪棁鐘舵湁鎵撳柗鍤忋€佸挸鍡姐€侀蓟婕忓拰鐪兼紡(鍥?/span>2)锛涘凡鎶ラ亾锛屾湁浜涚梾渚嬩細鍑虹幇鏂滈鍜屽叡娴庡け璋冪棁鐘躲€傚彂鐥呯巼鍜屾浜＄巼閫氬父鍒嗗埆浣庝簬4%鍜?/span>2%銆傚叾瀹冪梾鍘熶綋(濡傚ぇ鑲犳潌鑿屽拰IBV娲炴牱浼氫笌SHS骞跺彂鎰熸煋銆?/span>
鍦ㄥ疄楠屾潯浠朵笅锛屼粎浠?/span>aMPV涓嶄細瀵艰嚧SPF楦″嚭鐜颁弗閲嶇殑涓村簥鐥囩姸銆傝櫧鐒惰瀵熶笉鍒版槑鏄剧殑鍛煎惛閬撶棁鐘讹紝浣嗗綋杞昏交鎸ゅ帇鐥呴浮鐨勯蓟鑵旀椂锛屽彲瑙佸埌浠庨蓟瀛旀祦鍑虹殑娓呬寒鎴栨祽娴婄殑娑蹭綋(鍥?/span>3)锛屽ぇ绾﹀嚭鐜板湪鎰熸煋鍚?/span>3锝?/span>9d銆傘€€骞奸浮鍜岄洀楦″緢鍙兘浼氬嚭鐜版洿涓轰弗閲嶇殑涓村簥鐥囩姸銆傜壒鍒槸鍦ㄤ粩鑲夐浮銆傝涓村簥鐥囩姸鍙湪鍑犲ぉ鍐呮秷澶便€傛劅鏌撻浮鐨勪复搴婄棁鐘剁粡甯镐粎鎸佺画涓€澶╋紝闅忓悗瀹屽叏搴峰銆備絾鏄紝褰撻浮鎰熸煋寮烘瘨aMPV鍚庡苟鍙戞劅鏌撹嚧鐥呮€уぇ鑲犳潌鑿屾椂锛屽懠鍚搁亾鐥呯姸鏄庢樉鍔犻噸銆傚埌鐩墠涓烘锛?/span>SHS浜哄伐鎰熸煋澶嶅埗瀹為獙灏氭湭鑾峰緱鎴愬姛銆?/span>
浜ц泲楦″湪浜哄伐鎰熸煋瀹為獙涓紝浠呴€氳繃闈欒剦鏀绘瘨aMPV鏃惰泲鐨勫搧璐ㄥ拰浜ц泲閲忔墠浼氬彈鍒板奖鍝嶃€傚绂藉吔鍖诲湪鐜板満宸茬粡瑙傚療鍒帮紝aMPV鎰熸煋鐨勬煇浜涚梾渚嬩細鍑虹幇浜ц泲閲忎笅闄嶅拰铔嬪３鑹茬礌娌夌Н鏁堟灉闄嶄綆銆傚彲閫氳繃鎺ョ鎶?/span>aMPV鎰熸煋鐨勫急姣掑拰鐏椿鐤嫍棰勯槻杩欑鎹熷け銆?/span>
4. 瀹夸富鍔ㄧ墿
aMPV宸插箍娉涘瓨鍦ㄥ绉嶅绂斤紝浣嗙伀楦℃槸鍏朵富瑕佺殑璐簱锛屼箣鍚庢墠鏄浮銆傝繎骞存潵锛岄€氳繃鎶楀師鎴栨姉浣撴娴嬭瘉瀹炰簡aMPV鎰熸煋瀛樺湪浜庨泬銆侀腑銆佺弽鐝犻浮銆侀傅楦熴€佹捣楦ャ€侀夯闆€鍜屽叾瀹冮噹鐢熻縼寰欓笩銆備簨瀹炰笂锛屽湪缇庡浗宸蹭粠灏忛紶鍜屽ぇ榧犱腑妫€娴嬪埌C浜氬瀷aMPV銆備汉浠嚦浠婂皻涓嶆竻妤氶噹鐢熼笩绫绘垨鍔ㄧ墿鍦ㄨ鐥呮瘨浼犳挱涓婄殑閲嶈鎬с€?/span>
5. 浼犳挱
鑷粠璇ョ梾琚‘璁ゅ拰妫€娴嬪埌aMPV浠ユ潵锛屼竴鐩存€€鐤戝叾閫氳繃姘村钩鏂瑰紡浼犳挱銆傝鐥呬富瑕佹槸閫氳繃鎰熸煋绂藉拰闈炴劅鏌撶涔嬮棿鐨勭洿鎺ユ帴瑙﹁繘琛屼紶鎾€傜鑸嶅拰鍏荤鍦哄唴琚薄鏌撶殑楗按銆侀鐗╂垨鍏跺畠鏉愭枡涔熷彲鑳芥槸娼滃湪鐨勭梾姣掍紶鏌撴簮銆傞ゲ鍏昏澶囧強杞﹁締鐨勭Щ鍔ㄥ拰浜哄憳鐨勬祦鍔ㄤ篃浼氶€犳垚鐤剧梾鍦ㄥ吇绂藉満鍐呮垨鍏荤鍦洪棿鐨勪紶鎾€傛湁浜鸿涓虹梾姣掑彲鑳戒細閫氳繃绌烘皵浼犳挱锛屼絾浠嶉渶璇佸疄銆傚叾瀹冨彲鑳界殑浼犳煋閫斿緞鏈夋柊寮曡繘鍏荤鍦虹殑瀹剁銆佺鑸嶅唴鍜岀鑸嶅懆鍥寸殑閲庣敓楦熺被(杩佸緳楦熸垨褰撳湴楦?/span>)銆傞渶瑕佸己璋冪殑鏄紝鍙彁楂樺绂藉簲婵€鐨勫洜绱?/span>(濡傞绻佹姄楦°€佺鐞嗕綔涓氥€侀€氶涓嶈壇銆侀ゲ鍏诲瘑搴﹁繃澶т互鍙婄幆澧冮緦榫?/span>(鍗抽珮姘村钩灏樺焹銆佹皑姘旓紝姝婚浮涓嶄綔鍥炴敹澶勭悊))锛屽潎鍙彁楂樺绂藉aMPV鐨勬槗鎰熸€с€傜敱浜庣梾姣掑叿鏈夐€傚悎鍦ㄩゲ鍏绘湁澶氱骞撮緞瀹剁鐨勯ゲ鍏诲満涓敓闀跨殑鐗瑰緛锛屾晠aMPV鍙湪鐢熶骇鍛ㄦ湡涓仠鐣欐暟鏈堟垨鏁堝勾涔嬩箙锛屾垨鑰呯洿鑷抽噰鍙栧悎閫傜殑棰勯槻鎺柦涓烘銆?/span>
鍒扮洰鍓嶄负姝紝杩樻病鏈夋槑纭殑绉戝璇佹嵁鍙瘉鏄?/span>aMPV鍙互鍨傜洿閫斿緞浼犳挱銆備絾鏄紝宸茬粡鍦ㄥ垰鍑哄３鐨?/span>1鏃ラ緞鑻楅浮鍜岄洀楦℃娴嬪埌浜?/span>aMPV锛岃繖鏈夊彲鑳芥槸铔嬪３琛ㄩ潰琚梾姣掓薄鏌?/span>(鍙兘閫氳繃鎰熸煋鐨勮緭鍗电)鍜屽叾瀹冪殑瀛靛寲搴熷純鐗?/span>(濡傜勃渚裤€佺毊灞戝拰缁掓瘺)浠ュ強鍒氬嚭澹宠嫍楦′箣闂寸殑鐩存帴鎺ヨЕ閫犳垚浜嗙柧鐥呯殑姘村钩浼犳挱銆?/span>
6 澶т綋鍜屾樉寰梾鍙?/span>
濡傚墠闈㈡墍杩帮紝鍗曞崟aMPV鍑犱箮涓嶅紩璧锋槑鏄剧殑涓村簥鐥囩姸锛岃繖鎰忓懗鐫€寰堝皯鑳借鍒颁复搴婄梾鐞嗘€ф崯瀹炽€備絾鏄紝濡傛灉骞跺彂鎰熸煋鍏跺畠鍛煎惛閬撶梾锛屽彲瑙佸埌澶村拰棰堥儴鐨笅姘磋偪锛岃繖浼间箮鏄敱浜庝弗閲嶇殑铚傜獫缁勭粐鐐庡鑷翠簡闅忓悗鐨勮兌鍐荤姸鎴栫矘绋犵殑鑴撴€ф笚鍑虹墿鍦ㄧ毊涓嬬Н鑱氥€傚叾瀹冪殑鐥呯悊鍙樺寲鍖呮嫭鐪肩湺鍐呯鑲垮ぇ锛屽唴鍚竻浜垨娴戞祳鐨勬笚鍑烘恫銆傚榧荤敳楠ㄧ殑妫€鏌ユ樉绀烘笚鍑虹墿涓湁鐐庢€х粏鑳炴蹈娑︺€傛湁浜涚梾渚嬪彲鑳藉瓨鍦ㄨ窡缁撹啘鐐庡拰鐪肩潙澧炲帤銆?/span>
鐢变簬鐥呭彉涓嶅叿鏈夌壒寰佹€э紝鐥呯悊缁勭粐瀛︽鏌ュ浜?/span>aMPV鎰熸煋鐨勮瘖鏂棤澶氬ぇ浠峰€笺€傛劅鏌撻浮鐨勯蓟鐢插拰姘旂鏍峰搧缁忓父鍙灞€鐏舵€х梾鍙橈紝濡備笂鐨氦姣涜劚钀姐€佸崟鏍哥値鎬х粏鑳炴蹈娑︺€?/span>
7. 鍏嶇柅鍔?/span>
鐏浮浜叉湰鎰熸煋aMPV鍚庯紝鍏朵粩鐏浮鐨勬瘝婧愭姉浣?span>(maternally-derived antibodies,MDA)浼间箮鍦ㄤ繚鎸侀敟鐏浮涓嶅彂鐢熶复搴婄柧鐥呮垨鎰熸煋涓婃晥鏋滅敋寰?span>,鐢氳嚦娌℃湁浣滅敤銆?span>aMPV鐨勬瘝婧愭姉浣撳楦＄殑杩欑淇濇姢浣滅敤灏氭湭瑙佹姤閬?span>,浣嗗彲浠ユ帹娴嬬被浼肩殑鎯呮櫙鍙兘瀛樺湪銆傜敤aMPV娲荤柅
鑻楀厤鐤帴绉嶆瘝婧愭姉浣撻槼鎬ч洀楦?span>,鍙兘鍦ㄥ嚑鍛ㄥ唴涓嶈兘婵€鍙戞帴绉嶉洀楦′骇鐢熺悊鎯虫按骞崇殑浣撴恫鎶椾綋(鐢?span>ELISA鏂规硶妫€娴?span>)銆備絾鏄紝瀵?span>SPF楦?span>(aMPV姣嶆簮鎶椾綋闃存€?span>)杩涜鐩稿悓鐨勫厤鐤帴绉?span>,鑳藉璇卞鎺ョ鐨?span>SPF楦′骇鐢熻壇濂芥按骞崇殑浣撴恫鎶椾綋銆傛湁瓒ｇ殑鏄?span>,褰撹繖浜涜瘯楠岄洀楦＄敤 aMPV寮烘瘨鏀诲嚮鏃讹紝涓ょ绫诲瀷鐨勯洀楦″潎寰楀埌瀹屽叏淇濇姢锛屼笉浜х敓涓村簥鐤剧梾銆傝繖涓€缁撴灉琛ㄦ槑浜嗗眬閮ㄥ厤鐤拰缁嗚優浠嬪鍏嶇柅搴旂瓟鍦ㄦ姉涓村簥鐤剧梾鍜屾姉鎰熸煋涓婄殑閲嶈鎬с€?/font>
鍦ㄤ骇铔嬮浮锛屽ぇ閲忕殑瀹為獙鍜岀幇鍦鸿瀵熺粨鏋滆瘉瀹烇紝楂樻按骞崇殑琛€娓?span>aMPV鎶椾綋铔嬮浮鐨勪骇铔嬮噺鍜岃泲鍝佽川锛堝瑜愬３铔嬬殑鑹茬礌娌夌潃鍔涗笅闄?span>)鍏锋湁鑹ソ鐨勪繚鎶や綔鐢ㄣ€傚洜姝わ紝浼间箮鍙互璇翠綋娑叉姉浣撳浜庤泲楦＄敓娈栧櫒瀹樼殑淇濇姢鏄嚦鍏抽噸瑕佺殑銆?/font>
8 璇婃柇
涓€鏃﹀湪浠讳竴绫诲瀷鐨勯浮鍑虹幇浜嗕笌aMPV鎰熸煋鏈夊叧鐨勪复搴婄棁鐘?琛?)锛屾墍鏈夊彲鑳界殑鍘熷洜閮藉繀椤诲姞浠ヨ€冭檻锛屽寘鎷笌楗插吇绠＄悊鍜屼紶鏌撴€х柧鐥呮湁鍏崇殑闃忕礌銆傚湪浜ц泲姣嶉浮锛屽彲瑙佸埌铔嬬殑鍝佽川鍜屼骇铔嬮噺涓嬮檷銆傞€氬父浼氬彂鐢熷绉嶇梾鍘熶綋骞跺彂鎰熸煋锛岄绻佸湴杩涜鏃犺寰嬬殑绠＄悊浣滀笟寰堝彲鑳芥槸鐤剧梾鍙戠敓鐨勪竴涓噸瑕佸師鍥犮€備互涓婅繖浜涘洜绱犱互鍙婂畠浠箣闂寸殑鐩镐簰浣滅敤搴旇寮曡捣閭ｄ簺閫氬父閬亣澶氱鍛煎惛閬撶梾鍘熷苟鍙戞劅鏌撶殑鍥藉閲嶈銆傝繖涓€鐐规槸闈炲父閲嶈鐨勶紝鍥犱负楦?span>aMPV鎰熸煋鍙兘浼氳璇瘖锛屼互鍙奱MPV鎰熸煋鐨勪复搴婄棁鐘朵笌鍏跺畠甯歌鐤剧梾(琛?)鐩镐技锛屾墍浠ワ紝闇€瑕佽繘琛岃鐪熺殑涓村簥璋冩煡浠ラ伩鍏嶆贩娣嗐€傞鍏堬紝璇婃柇鎬х殑璋冩煡鍙晶閲嶆椿楦★紝闅忓悗瀵圭梾姝婚浮鍓栨璇婃柇锛屽苟閲囬泦鏍峰搧銆?/font>
琛? 楦℃劅鏌揳MPV鍚庡嚭鐜扮殑涓€绉嶆垨澶氱涓村簥鐥囩姸
琛? aMPV鎰熸煋楦＄殑涓村簥鐥囩姸鍙兘鏄俯鍜岃€屾殏鏃剁殑锛岃€屼笖甯稿父涓嶅紩璧锋敞鎰忔垨鑰呰閿欒鍦拌В閲婁负鐢卞叾浠栧父瑙佺梾鍥狅紙涔熸湁鍛煎惛閬撶棁鐘跺拰浜ц泲鎴栬泲澹宠川閲忎笅闄嶏級鎵€鑷?/font>
8.1 鐥呬緥璋冩煡
瀵规椿楦¤繘琛宎MPV鎰熸煋鐨勮瘖鏂椂锛屽彲閲囬泦鍜藉枆妫夋嫮鍜岃娑叉鍝侊紝鍒嗗埆妫€娴嬫姉鍘熸垨琛€娓呮姉浣撶殑瀛樺湪锛屾瘡闂撮浮鑸嶇殑鏍峰搧鏁伴噺鏈€濂戒笉灏戜簬20浠姐€傚湪鎰熸煋楦′复搴婄棁鐘跺嚭鐜颁箣鍓嶉噰闆嗘鎷牱鍝侊紝鍙瀬澶у湴鎻愰珮aMPV妫€娴嬬殑鍑犵巼锛岀敱浜庤繖涓€鐐逛笉鏄撳仛鍒帮紝鎵€浠ユ鎷牱鍝佸簲閲囪嚜浜庡绉嶆儏鍐电殑楦″彧锛屽寘鎷棤鏄庢樉鐥囩姸浠ュ強鍑虹幇杞诲害鎴栦弗閲嶄复搴婄棁鐘剁殑閭ｄ簺楦°€傚鐢ㄤ簬鐥呮瘨鍒嗙锛屾鎷牱鍝侀鍏堢疆鍏ョ梾姣掑垎绂诲煿鍏诲熀涓紙“婀挎嫮瀛?rdquo;锛夛紝浠ユ彁楂樼梾姣掑垎绂荤殑鎴愬姛鐜囥€傚閲囩敤鍒嗗瓙鐢熺墿瀛︽柟娉曟娴?span>aMPV鍩哄洜缁?濡傚弽杞綍澶氳仛閰堕摼寮忓弽搴旓紝RT-PCR)锛屾鎷牱鍝佷笉蹇呬娇鐢ㄥ煿鍏诲熀锛堝嵆“骞叉嫮瀛?rdquo;)銆?/font>
鍦ㄦ鍚庡墫妫€鏃讹紝鍙噰闆嗛蓟鐢层€佹皵绠″拰鑲烘牱鏈紝濡傛灉鍙鐨勮瘽锛岃繕鍙噰闆嗙湺涓嬬鍜屾皵绠℃鎷€傚鏋滀笉鑳借繘琛屽案妫€鍜屾鎷噰闆嗭紝寤鸿鍙栭浮澶村拰棰堣嚦鑳歌厰浜哄彛鐨勯儴鍒嗭紝骞跺寘瑁瑰畬濂斤紝缃簬濉厖鍐板潡鐨勯殧鐑鍣ㄤ腑锛岄€佷氦涓撲笟瀹為獙瀹ゆ楠屻€?/font>
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