涓€銆併€愬晱(w猫n)椤屻€戠簿绁炲垎瑁傜櫏鏄粈涔�

銆愯В绛斻€戠簿绁炲垎瑁傜櫏鏄竴绲勫父瑕�(ji脿n)鐨�銆佸師鍥犳湭鏄庣殑绮剧鐤剧梾銆傚璧风梾浜庨潚澹勾锛岃〃鐝�(xi脿n)鐐烘劅鐭�銆佹€濈董銆佹儏鎰�銆佽鐐虹瓑澶氭柟闈㈤殰绀欏拰绮剧娲诲嫊(d貌ng)鐨勪笉鍗�(xi茅)瑾�(di脿o)銆傜梾绋嬮€�(j矛n)灞曠珐鎱㈠閬峰欢锛岃嫢涓嶅強鏅�(sh铆)娌荤檪鏈夌櫦(f膩)灞曠偤琛伴€€鐨勫彲鑳姐€備竴鑸剰璀�(sh铆)娓呮櫚锛岀劇(w煤)鏅鸿兘缂烘悕銆�

浜�銆併€愬晱(w猫n)椤屻€戠簿绁炲垎瑁傜櫏鐨勮ê鏂疯榛�(di菐n)鏄粈涔�

銆愯В绛斻€�

1鍦�(gu贸)闅涚柧鐥呭垎椤炵10鐗�(ICD-10)瑷烘柗妯�(bi膩o)婧�(zh菙n)

(a) 鎬濈董槌撮熆锛屾€濈董鎻掑叆鎴栨€濈董琚挙璧颁互鍙婃€濈董寤ｆ挱

(b) 鏄庣⒑娑夊強杌€楂旀垨鍥涜偄閬�(y霉n)鍕�(d貌ng)锛屾垨鐗规畩鎬濈董銆佽鍕�(d貌ng)鎴栨劅瑕�(ju茅)鐨勮褰遍熆銆佽鎺у埗鎴栬鍕�(d貌ng)濡勬兂;濡勬兂鎬х煡瑕�(ju茅)銆�

(c) 灏�(du矛)浜庣梾浜虹殑琛岀偤閫�(j矛n)琛岃窡韫ゆ€ц⿻(p铆ng)璜栵紝鎴栧郊姝ゅ皪(du矛)鐥呬汉鍔犱互瑷庤珫鐨勫够鑱�(t墨ng)锛屾垨渚�(l谩i)婧愪簬韬珨鏌愪竴閮ㄥ垎鐨勫叾浠栭鍨嬬殑鑱�(t墨ng)骞昏(ju茅)銆�

(d) 鑸囨枃鍖栦笉鐩哥ū涓旀牴鏈笉鍙兘鐨勫叾浠栭鍨嬬殑鎸佺簩(x霉)鎬у鎯�锛屼钩鍏锋湁鏌愮ó瀹楁暀鎴栨斂娌昏韩浠斤紝鎴栬秴浜虹殑鍔涢噺鍜岃兘鍔�(渚嬪鑳芥帶鍒跺ぉ姘�锛屾垨鑸囧彟涓€涓栫晫鐨勫渚�(l谩i)鑰呴€�(j矛n)琛屼氦娴�)銆�

(e) 浼存湁杞�(zhu菐n)鐬嵆閫濈殑鎴栨湭鍏呭垎褰㈡垚鐨勭劇(w煤)鏄庨’鎰熸儏鍏�(n猫i)瀹圭殑濡勬兂锛屾垨浼存湁鎸佷箙瓒呭児(ji脿)瑙€蹇�锛屾垨閫ｇ簩(x霉)鏁�(sh霉)鍛ㄦ垨鏁�(sh霉)鏈堟瘡鏃ュ潎鍑虹従(xi脿n)鐨勪换浣曟劅瀹樼殑骞昏(ju茅)銆�

(f)鎬濇疆鏂疯鎴栫劇(w煤)闂�(gu膩n)鐨勬彃鍏ヨ獮(y菙)锛屽皫(d菐o)鑷磋█瑾�(y菙)涓嶉€ｈ搏锛屾垨涓嶄腑鑲垨瑭炶獮(y菙)鏂颁綔銆�

(g)绶婂嫉鎬ц鐐猴紝濡傝垐濂�銆佹摵濮垮嫝(sh矛)锛屾垨锠熸ǎ灞堟洸銆侀仌鎷�銆佺窐榛樺強鏈ㄥ兊銆�

(h)“闄版€�”鐧ョ媭锛屽椤憲鐨勬儏鎰熸贰婕�銆佽█瑾�(y菙)璨т箯銆佹儏鎰熷弽鎳�(y墨ng)閬查垗鎴栦笉鍗�(xi茅)瑾�(di脿o)锛屽父灏�(d菐o)鑷寸ぞ鏈�(hu矛)鍔熻兘鐨勪笅闄�锛屼絾蹇呴爤婢勬竻閫欎簺鐧ョ媭骞堕潪鐢辨姂閮佺櫏鐙€鎴栫缍�(j墨ng)闃绘化鍔戞不鐧傛墍鑷�銆�

(i)鍊�(g猫)浜鸿鐐虹殑鏌愪簺鏂归潰鐧�(f膩)鐢熼’钁楁寔涔呯殑绺介珨鎬ц唱(zh矛)鐨勬敼璁婏紝琛ㄧ従(xi脿n)鐐哄柂澶辫垐瓒�銆佺己涔忕洰妯�(bi膩o)銆佹嚩鏁�銆佽嚜鎴戝皥娉ㄥ強绀炬渻(hu矛)閫€绺�銆�

瑷烘柗绮剧鍒嗚鐧ラ€氬父瑕佹眰鍦ㄤ竴鍊�(g猫)鏈堟垨浠ヤ笂鏅�(sh铆)鏈熺殑澶ч儴鍒嗘檪(sh铆)闁撳収(n猫i)纰哄(sh铆)瀛樺湪灞簬涓婅堪(a)鍒�(d)涓嚦灏戜竴鍊�(g猫)(濡備笉鐢氭槑纰哄父闇€鍏╁€�(g猫)鎴栧鍊�(g猫)鐧ョ媭)鎴�(e)鍒�(i)涓締(l谩i)鑷嚦灏戝叐绲勭櫏鐙€缇や腑鐨勫崄鍒嗘槑纰虹殑鐧ョ媭銆傜鍚堟鐧ョ媭瑕佹眰浣嗙梾绋嬩笉瓒充竴鍊�(g猫)鏈堢殑鐙€娉�(鐒�(w煤)璜栨槸鍚︾稉(j墨ng)閬�(gu貌)娌荤檪)鎳�(y墨ng)棣栧厛瑷烘柗鐐烘€ユ€х簿绁炲垎瑁傜櫏妯ｇ簿绁炵梾鎬ч殰绀�锛屽鐧ョ媭鎸佺簩(x霉)鏇撮暦(zh菐ng)鐨勬檪(sh铆)闁撳啀閲嶆柊姝搁鐐虹簿绁炲垎瑁傜櫏銆�

2.鑷ㄥ簥鍒嗗瀷鏈梾鐧ョ媭妤靛叾寰�(f霉)闆滃妯�锛孖CD-10灏囧叾鍒嗙偤9鍊�(g猫)椤炲瀷锛�

(1)鍋忓煼(zh铆)鍨嬶細鏈€甯歌(ji脿n)锛屽璧风梾浜庝腑闈掑勾锛屼互鏄庨’鐨勫鎯虫垨骞昏(ju茅)鐐轰富銆傛湁浜涙偅鑰呭湪鐧�(f膩)鐥呭悗鐩哥暥(d膩ng)闀�(zh菐ng)涓€娈垫檪(sh铆)闁撳収(n猫i)浠嶅彲缍寔姝ｅ父宸ヤ綔锛屼竴鑸檪鏁堣純濂�銆�

(2)闈掓槬鍨嬶細澶氬湪闈掑勾鏈熺櫦(f膩)鐥�銆傝捣鐥呰純鎬�锛岀梾鎯呯櫦(f膩)灞曞揩锛屼互鎬濈董銆佽鐐虹磰浜傜偤涓�锛岄枔鏈夌墖娈电殑骞昏(ju茅)銆佸鎯�锛屽父鏈変笉鍗�(xi茅)瑾�(di脿o)鎬х簿绁為亱(y霉n)鍕�(d貌ng)鎬ц垐濂�(璎備箣闈掓槬鎬ц垐濂�)銆傞儴鍒嗘偅鑰呮不鐧傛晥鏋滆純宸�銆�

(3)绶婂嫉鍨嬶細杓冨皯瑕�(ji脿n)锛屽璧风梾浜庨潚澹勾锛屼互绶婂嫉鐧ョ媭缇ょ偤涓伙紝涔熷彲鑸囦笉鍗�(xi茅)瑾�(di脿o)鎬х簿绁為亱(y霉n)鍕�(d貌ng)鎬ц垐濂�(璎備箣绶婂嫉鎬ц垐濂�)浜ゆ浛鍑虹従(xi脿n)锛屼竴鑸晥鏋滆純濂�銆�

(4)鏈垎鍖栧瀷锛氱鍚堢簿绁炲垎瑁傜櫏鐨勮ê鏂锋(bi膩o)婧�(zh菙n);鏈豢瓒冲亸鍩�(zh铆)鍨�銆侀潚鏄ュ瀷鎴栫穵寮靛瀷鐨勪簽鍨嬫(bi膩o)婧�(zh菙n);鏈豢瓒虫畼鐣欐€х簿绁炲垎瑁傜櫏鎴栫簿绁炲垎瑁傜櫏鍚庢姂閮佺殑妯�(bi膩o)婧�(zh菙n)銆傚寘鍚細闈炲吀鍨嬬簿绁炲垎瑁傜櫏銆�

(5)绮剧鍒嗚鐧ュ悗鎶戦儊锛氶€欐槸涓€绋櫦(f膩)鐢熷湪绮剧鍒嗚鎬х柧鐥呯殑浣欐尝涔嬩腑鐨勬姂閮佺櫦(f膩)浣�锛岀梾绋嬪彲閬峰欢銆備粛闋堝瓨鍦ㄦ煇浜涚簿绁炲垎瑁傜櫏鐨勭櫏鐙€锛屼絾瀹冨€戝凡涓嶆(g貌u)鎴愪富瑕佽嚚搴婄浉銆�

(6)娈樼暀鍨嬶細鐐虹簿绁炲垎瑁傜櫏鐨勬參鎬ф湡锛岀柧鐥呮槑椤湴寰炴棭鏈熼€�(j矛n)鍏ユ櫄鏈�锛屼互闀�(zh菐ng)鏈�銆佷絾骞堕潪涓嶅彲閫嗚綁(zhu菐n)鐨�“闄版€�”鐧ョ媭鐐虹壒寰�銆�

(7)鍠磾鍨嬶細澶氱櫦(f膩)鐥呬簬闈掑皯骞�锛屾經闅辩櫦(f膩)鐥�锛屾棭鏈熷父涓嶆槗琚櫦(f膩)鐝�(xi脿n)锛屼互鎬濈董璨т箯銆佹儏鎰熸贰婕犲拰鎰忓織缂轰箯鐐轰富锛岄爯(y霉)鍚庤純宸€�

(8)鍏朵粬銆�

(9)绮剧鍒嗚鐧�锛屾湭鐗瑰畾銆�

涓�銆併€愬晱(w猫n)椤屻€戠簿绁炲垎瑁傜櫏鐨勮檿鐞嗚榛�(di菐n)鏄粈涔�

銆愯В绛斻€�

1.灏�(du矛)鐤戜技鎴栧垵姝ヨê鏂风偤绮剧鍒嗚鐧ョ殑鎮ｈ€咃紝鎳�(y墨ng)鍚戝灞垨闄ê鑰呰(shu艒)鏄庣洝蹇綁(zhu菐n)寰€绮剧?锛熸紗t(y墨)闄㈣ê娌汇€�

2.灏�(du矛)鏈夋槑椤殑鑸堝ギ鐧ョ媭锛屾矕鍕�(d貌ng)銆佽嚜鍌锋垨鑷琛岀偤鑰�锛岃閲囧彇鎺柦锛屽毚(y谩n)鍔犱繚璀�(h霉)銆佺湅绠�锛屼笉鍙枏蹇藉ぇ鎰忥紝浠ュ厤鍑虹従(xi脿n)鍗遍毆(xi菐n)銆�

3.鐐烘帶鍒惰垐濂簛鍕�(d貌ng)銆佹矕鍕�(d貌ng)琛岀偤绛夛紝鍙簣浠ョ磩鏉�锛屾敞灏勯幃(zh猫n)闈滃偓鐪犲姂濡傚湴瑗挎钞锛屾垨鎶楃簿绁炵梾钘ュ姘熷搶鍟堕唶5?l0mg鎴栧ギ涔冮潨5?l0mg鑲屾敞锛屽苟绔嬪嵆杞�(zhu菐n)寰€绮剧鐥呭皥绉戦啱(y墨)闄€€�

4.鐧ョ媭涓嶅毚(y谩n)閲�锛屽嵄闅�(xi菐n)鎬т笉澶х殑鎮ｈ€呬篃鎳�(y墨ng)鍦�?锛熸紗t(y墨)鐢熸寚灏�(d菐o)涓嬩簣浠ヨ冻閲忋€佽冻鐧傜▼鐨勬姉绮剧鐥呰棩娌荤檪锛屽濂箖闈溿€佹隘涓欏棄銆佽垝蹇呭埄銆佸埄鍩归叜銆佸纭钩銆佸ェ姘钩銆侀樋绔嬪搶鍞戠瓑銆�

浠ヤ笂灏辨槸闂�(gu膩n)浜庡叏绉戜富娌婚啱(y墨)甯€冭│绶寸繏(x铆)椤岋紙绮剧鍒嗚鐧ワ級鐨勪竴浜涜硣鏂欙紝璜�(q菒ng)鍚勪綅鑰冪敓鎶撶穵鏅�(sh铆)闁撳京(f霉)缈�(x铆)锛岄(y菐ng)鍏靛崈鏃�锛岀敤鍏典竴鏅�(sh铆)锛屽ぇ瀹堕倓闇€鍔姏涓嶆噲鐨勫京(f霉)缈�(x铆)锛屾帉鎻″京(f霉)缈�(x铆)鎶€宸�锛屾垝椹曟垝韬�锛岀祩鏈�(hu矛)鐛插緱濂界殑鎴愮妇(j墨)銆傚笇鏈涗互涓婂収(n猫i)瀹规渻(hu矛)灏�(du矛)鍚勪綅鑰冪敓鑳芥湁鎵€骞姪锛岀鍚勪綅鑰冪敓鑰冭│闋嗗埄锛屽緱鍕濇渚�(l谩i)锛屾棭鏃ラ仈(d谩)鎴愭墍鎰裤€傛洿澶氫俊鎭簡瑙ｏ紝璜�(q菒ng)闂�(gu膩n)娉ㄧ挵(hu谩n)鐞冪恫(w菐ng)鏍�銆�