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ΔϳϏΎϣΩϟ΍ ΔΗϛγϟΎΑ ϡϬΗΑΎλ· έρΎΧϣ ϝϘΗ ϲϧϳΫϷ΍ ϥΎϔΟέϟΎΑ ϥϳΑΎλϣϟ΍ ΏΎΑηϟ΍ ϥΈϓ ϙϟΫ.ϥϳϧγϣϟΎΑ ΔϧέΎϘϣΎϬϳϠϋΓέρϳγϟ΍ϙϧϛϣϳϲΗϟ΍έρΧϟ΍ϝϣ΍ϭϋ ϥϣ ϝϠϘϳ ϥ΃ ϥϛϣϳ ΏγΎϧϣ Νϼϋ ϪόΑΗϳ ϱΫϟ΍ ϲϧϳΫϷ΍ ϥΎϔΟέϠϟ έϛΑϣϟ΍ ιϳΧηΗϟ΍ ϥ· ΍Ϋ· Ύϣ Δϓέόϣϭ ϙϣΩ ρϐο Δϓέόϣ ϥ· .έϳΑϛ ϝϛηΑ ΔϳϏΎϣΩϟ΍ ΔΗϛγϠϟ νέόΗϟ΍ έρΧ ΔΑϭϧϟ΍ ϥϣ ΔϳρϭΣΗϟ΍ ΔϳΎϗϭϠϟ ϰϟϭϷ΍ ΓϭρΧϟ΍ ΩόΗ ϻ ϡ΃ ϲϧϳΫϷ΍ ϥΎϔΟέϟ΍ ϙϳΩϟ ϥΎϛ.ΔϳΑϠϘϟ΍ :ϲϧϭέΗϛϟϹ΍ Ύϧόϗϭϣ ΓέΎϳίΑ ϝοϔΗ ˬΕΎϣϭϠόϣϟ΍ ϥϣ ˳Ωϳίϣϟ.ZZZPLFUROLIHFRPD¿EϰϟϭϷ΍ΓέϣϠϟίΎϬΟϟ΍ϡ΍ΩΧΗγ΍.2
ΕΎϳέΎρΑϟ΍ΏϳϛέΗ AT ΔϳέΎρΑϟ΍ ΓέϳΟΣ ΩΟϭΗ . ˱ϻϭ΃ ΕΎϳέΎρΑϟ΍ Ώ˷ϛέ ˬίΎϬΟϟ΍ ϑϳϠϐΗ ΢ΗϔΑ Εϣϗ ϥ΃ ΩόΑ ϥϣϭ (AA αΎϘϣ ˬΕϟϭϓ 1.5 × 4) ΕΎϳέΎρΑϟ΍ Ώ˷ϛέ .ίΎϬΟϟ΍ ϥϣ ϲϠϔγϟ΍ ΏϧΎΟϟ΍ ϲϓ.ΔΣοϭϣϟ΍ ΏΎρϗϷ΍ ΔυΣϼϣ ϡΗΗ ϡΛΕϗϭϟ΍ϭΦϳέΎΗϟ΍Ω΍Ωϋ·ΩϳΩΣΗϙϧϛϣϳΔηΎηϟ΍ϰϠϋΔϧγϟ΍ϡϗένϣϭϳˬΓΩϳΩΟϟ΍ΕΎϳέΎρΑϟ΍ΏϳϛέΗΩόΑ.1
ˬέϬηϟ΍ϥϳϳόΗϭΩϳϛ΄ΗϠϟ7©ªϭ΃6©ªέίϰϠϋΎϣ·ρϐοϟΎΑΔϧγϟ΍.1Εϗϭϟ΍έίϰϠϋρϐο΍έίϰϠϋρϐο΍ϭέϬηϟ΍ϥϳϳόΗϟ7©ªϭ΃6©ªέίϰϠϋρϐο΍.2
ϡϭϳϟ΍ϥϳϳόΗΑϡϗϡΛˬΩϳϛ΄ΗϠϟ1Εϗϭϟ΍ϕ΋ΎϗΩϟ΍ϭˬΔϋΎγϟ΍ϭˬϡϭϳϟ΍ϥϳϳόΗϟϩϼϋ΃ΓΩέ΍ϭϟ΍ΕΎϣϳϠόΗϟ΍ϊΑΗ΍.3
ΦϳέΎΗϟ΍ϥϳϳόΗϡΗϳˬΕϗϭϟ΍έίϰϠϋρϐοϟ΍ϭϕ΋ΎϗΩϟ΍ϥϳϳόΗϥϣ˯ΎϬΗϧϻ΍ΩέΟϣΑ.4
Εϗϭϟ΍νέϋϡΗϳΎϣϛˬΕϗϭϟ΍ϭ BQΓΩϣϟΕϗϭϟ΍έίϰϠϋ˱ϻϭρϣρϐο΍ˬΕϗϭϟ΍ϭΦϳέΎΗϟ΍έϳϳϐΗΩϳέΗΕϧϛ΍Ϋ·.5
ϡϳϘϟ΍ϝΎΧΩ·ϙϧϛϣϳΎϬϧϳΣνϳϣϭϟ΍ϲϓΔϧγϟ΍ϡϗέ΃ΩΑϳϰΗΣΎ˱ΑϳέϘΗϲϧ΍ϭΛ3
ϩϼϋ΃ϥϳΑϣϭϫΎϣϛΓΩϳΩΟϟ΍΢ϳΣλϟ΍ω΍έΫϟ΍ϡ΍ίΣέΎϳΗΧ΍ ρϳΣϣ ΔϘΑΎρϣϟ ω΍έΫϟ΍ ϡΟΣ ΩΩΣ .ω΍έΫϟ΍ ϡ΍ίΣϟ ΔϔϠΗΧϣ ΕΎγΎϘϣ Microlife ϡΩϘΗ.(Ωοόϟ΍ ργϭ ϲϓ ΩϳΩηϟ΍ ϡΎϛΣϹ΍ ϕϳέρ ϥϋ αΎϘϳ) Ωοόϟ΍ω΍έΫϟ΍ϡ΍ίΣϡΟΣΩοόϟ΍ρϳΣϣϟέϳϐλϡγ 22 - 17 ργϭΗϣϡγ 32 - 22 έϳΑϛ - ργϭΗϣϡγ 42 - 22 έϳΑϛϡγ 42 - 32 ΍˱ΩΟ έϳΑϛ - έϳΑϛϡγ 52 - 32 (ω΍έΫϠϟMicrolifeΔϣίΣ΃ϯϭγϡΩΧΗγΗϻ_ ΞΗϧϣϟ΍ ϊϣ ϕϓέϣϟ΍ AK ω΍έΫϟ΍ ϡ΍ίΣ ϥϛϳ ϡϟ ΍Ϋ· ϙΩϠΑ ϲϓ Microlife ΔϣΩΧΑ ϝλΗ΍.Ύ˱ϣϛΣϣ_ ΩϣϏ ϲϓ AL ω΍έΫϟ΍ ϡ΍ίΣ ϝλϭϣ ϝΎΧΩ· ϕϳέρ ϥϋ ίΎϬΟϟΎΑ ω΍έΫϟ΍ ϡ΍ίΣ ϝ˷λϭ.ΎϬϳϟ· ϝλϳ ΔϓΎγϣ ΩόΑ΃ ϰϟ· 4 ω΍έΫϟ΍ ϡ΍ίΣϡΩΧΗγϣϟ΍ΩϳΩΣΗϑϳοϟ΍Δϳόοϭϰϟ΍ΔϓΎοϻΎΑϥϳλΧηϟϡΩϟ΍ρϐοΕΎγΎϳϗυϔΣ΢ϳΗϳίΎϬΟϟ΍αΎϳϘϟ΍υϔΣϡΗϳϻΙϳΣΔϳόοϭϭ΃2ϡΩΧΗγϣϭ΃1ϡΩΧΗγϣBMϝϣόΗγϣϟ΍ΩϳΩΣΗρΑο΍ˬαΎϳϗϝϛϝΑϗ
_ϑϳοϟ΍
ϡΩΧΗγϣϟ΍ίϣέ΃ΩΑϳϰΗΣ
BM
ϡΩΧΗγϣϟ΍ΩΩΣϣϰϠϋ˱ΎΑϳέϘΗϥϳΗϳϧΎΛΓΩϣϟρϐο΍
_
ϰϠϋρϐοϟΎΑϑϳοϟ΍Δϳόοϭϭ΃ˬ
2
ϡΩΧΗγϣˬ
1
ϡΩΧΗγϣέΗΧ·ϥϵ΍νϳϣϭϟΎΑϙέΎϳΗΧ·Ωϳϛ΄Ηϟϥ΍ϭΛ
3
έυΗϧ·˱΍Ω˷ΩΟϣϡΩΧΗγϣϟ΍Δϳόοϭέί
.user 1έΎΗΧϳϥ΃ΏΟϳϝ˷ϭϷ΍ϡΩΧΗγϣϟ΍(
.AFIB/MAMϊοϭϭ΃ϲγΎϳϘϟ΍ϊοϭϟ΍έΎϳΗΧ΍ αΎϳϗ) AFIB/MAM ϊοϭ ϭ΃ (ϱΩέϓ αΎϳϗ) ϲγΎϳϘϟ΍ ϊοϭϟ΍ έΗΧ΍ ˬαΎϳϘϟ΍ ϝΑϗˬAFIB/MAM ϊοϭ ϲϗ ˭(ϲϟ΁ ϲΛϼΛ ΙϳΣ .ΎϬοέϋϭ Ξ΋ΎΗϧϟ΍ ϝϳϠΣΗ ϙϟΫ ΩόΑ ϡΗϳϭ ϲϟ΍ϭΗϟ΍ ϰϠϋ 3 ΕΎγΎϳϘϟ΍ ΫΧ΃ Ύ˱ϳ΋ΎϘϠΗ ϡΗϳ ˬϱΩέϔϟ΍ αΎϳϘϟ΍ ΔΟϳΗϧ ϥϣ ΔϗΩ έΛϛ΃ ϊοϭϟ΍ ΍Ϋϫ ϝϼΧ ϥϣ ΔΟΗΎϧϟ΍ ΔΟϳΗϧϟ΍ ϥϭϛΗ.ϡΩϟ΍ ρϐοϟ ΓέϣΗγϣϟ΍ ΕΎΑϠϘΗϟ΍ ΏΑγΑΔηΎηϟ΍ϰϠϋέϬυϳAFIB/MAMίϣέϥΈϓΕΎγΎϳϗ3ρϣϧέΎΗΧΗΎϣΩϧϋϱϷΓέΎηϺϟ3ϭ΃2ˬ1ϡΎϗέϷ΍έϬυϳνέόϟ΍ΔηΎηϥϣϲϠϔγϟ΍ϥϣϳϷ΍˯ίΟϟ΍ΎϫΫΧ΃ϡΗϳϲΗϟ΍ΔϳϟΎΣϟ΍3˰ϟ΍ΕΎγΎϳϘϟ΍ϥϣΕϗϭϟ΍ϰϟ·έϳηϳϲϟίΎϧΗϟ΍Ωόϟ΍ΕΎγΎϳϘϟ΍ϥϳΑΔϳϧΎΛ15ΓΩϣϟϑϗϭΗΓέΗϓϙΎϧϫϲϘΑΗϣϟ΍ΕΎγΎϳϘϟ΍ΫΧ΃ΩόΑέϬυϳγρϘϓ˷ϡΩϟ΍ρϐοΔϳΩέϔϟ΍Ξ΋ΎΗϧϟ΍νέϋϡΗϳϻΙϼΛϟ΍ΕΎγΎϳϘϟ΍ϥϳΑω΍έΫϟ΍ϡ΍ίΣωίϧΗϻΎϳϟ΁ϊΑ΍έϟ΍αΎϳϘϟ΍ΫΧ΅˵ϳγˬϪϳϓϙϭϛηϣΔϳΩέϔϟ΍ΕΎγΎϳϘϟ΍ΩΣ΃ϥΎϛ΍Ϋ·(.AFIB/MAM ϊοϭ ϲϓ ρϘϓ ϲϧϳΫϷ΍ ϥΎϔΟέϟ΍ ϥϋ ϑηϛϟ΍ ΔϳλΎΧ ϝόϔ˵ΗΔϘΛϟΎΑέϳΩΟαΎϳϗϰϠϋϝϭλΣϠϟΔϳόΟέϣΔϣ΋Ύϗ.3
_.΍˱έϭϓ αΎϳϘϟ΍ ϝϳΑϗ ϥϳΧΩΗϟ΍ ϭ΃ ϡΎόρϟ΍ ϝϭΎϧΗ ϭ΃ ρΎηϧ ϱ΃ ΔγέΎϣϣ ΏϧΟΗ_ ϰϠϋ ˶ϭΗγϣ ϝϛηΑ ϙϳϣΩϗ ϊο .ϕ΋ΎϗΩ 5 ΓΩϣϟ ΡέΗγ΍ϭ έϬυ Ϫϟ ΩόϘϣ ϰϠϋ αϠΟ΍.ϥϳόρΎϘΗϣ ϙϳϗΎγϭ αϠΟΗ ϻϭ νέϷ΍_ ϰλϭϳ .(ϯέγϳϟ΍ ω΍έΫϟ΍ ϥϭϛΗ ΓΩΎϋ) ΎϬγϔϧω΍έΫϟ΍αΎϳϗϰϠϋΎ˱ϣ΋΍ΩιέΣ΍ ω΍έΫϟ΍ ΩϳΩΣΗϟ ϰοέϣϠϟ ϰϟϭϷ΍ ΓέΎϳίϟ΍ ϲϓ ϥϳϋ΍έΫϟ΍ ΕΎγΎϳϗ ˯ΎΑρϷ΍ Ϋϔϧϳ ϥ΄Α.ϰϠϋϷ΍ ϡΩϟ΍ ρϐο Ε΍Ϋ ω΍έΫϟ΍ αΎϳϗ ϲϐΑϧϳ .ϝΑϘΗγϣϟ΍ ϲϓ ΎϬϳϓ αΎϳϘϟ΍ ϡΗϳ ϲΗϟ΍_ έϳϣηΗ ϡΩϋ ϲϐΑϧϳ ˬϕϳοΗϟ΍ ΏϧΟΗϟ .Ωοόϟ΍ ϕϭϓ ϥϣ ϡΎϛΣϹ΍ ΓΩϳΩη αΑϼϣϟ΍ ϝί΃ ΕϧΎϛ ΔϟΎΣ ϲϓ ω΍έΫϟ΍ ϡ΍ίΣ ϕϭόΗ ϻ ΎϬϧ· ΙϳΣ - ϰϠϋ΃ ϰϟ· ΓέϳλϘϟ΍ ϡΎϣϛϷ΍.΢ϳέϣ ϝϛηΑ ΔργΑϧϣ_.(ω΍έΫϟ΍ ϡ΍ίΣ ϰϠϋ Δϣϼόϟ΍) ΢ϳΣλϟ΍ ω΍έΫϟ΍ ϡ΍ίΣ αΎϘϣ ϡ΍ΩΧΗγ΍ ϥϣ Ύ˱ϣ΋΍Ω Ωϛ΄Η.ΓΩηΑ ϪϘϳϳοΗ ϥϭΩ ˬω΍έΫϟ΍ ϡ΍ίΣ ϡϛΣ΃.ϡγ 2-1 ΔϓΎγϣΑ ωϭϛϟ΍ ϕϭϓ ω΍έΫϟ΍ ϡ΍ίΣ ϊοϭ ϥϣ Ωϛ΄Η (ϡγ 3 ϲϟ΍ϭΣ Ϫϟϭρ Ϫρϳέη) ω΍έΫϟ΍ ϡ΍ίΣ ϰϠϋ ϥΎϳέηϟ΍ Δϣϼϋ έϘΗγΗ ϥ΃ ΏΟϳ
88


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