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肾脏多普勒超声参数解读

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发表于 2020-10-19 23:42:45 | 显示全部楼层 |阅读模式

                    

                    

                    
                    
                    <p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">&nbsp;<img data-s="300,640" data-type="png" src="http://mmbiz.qpic.cn/mmbiz_png/dx3KibwtDhvfq5A6wXXiarlmCg9o324ia7QhRw9AW2HX0dkGPflvawScI0xkRXHDp5ebjeozn60JJwRIjRHjVaGcA/0?wx_fmt=png" data-ratio="0.38686131386861317" data-w="822"  /><br  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">&nbsp; &nbsp; &nbsp; &nbsp;文章开始前,来张肾脏解剖图,大体熟悉下肾脏血管走形,此外准确解读肾血管彩色多普勒图像前,还需要优化超声图像(探查角度、增益、彩色标尺等),通过肾脏彩色多普勒是否显像,定性评估肾脏器官灌注情况。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="0.75" src="http://mmbiz.qpic.cn/mmbiz_gif/EGib7yhBzCJcINJ1wU51ACdzTGaoddb0BjjJWMQdOOTUoAFJPXD9Kbjn8iaUpJoPmibd3RzVsUsUv0icmbtichBR54g/0?wx_fmt=gif" data-type="gif" data-w="320" style="width: 669.988px; box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important;" width="100%"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="0.75" src="http://mmbiz.qpic.cn/mmbiz_gif/EGib7yhBzCJcINJ1wU51ACdzTGaoddb0B28YrGWHQkiaJYnia86vbr2fHkLLsJGdUDoup9oaEKxeOM5UpGicqsKVoQ/0?wx_fmt=gif" data-type="gif" data-w="320" style="width: 669.988px; box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important;" width="100%"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-align: center; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(136, 136, 136); box-sizing: border-box !important; word-wrap: break-word !important;">肾血管彩色多普勒超声图像,上图正常肾灌注;下图肾灌注不足。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; line-height: 1.6; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">血管彩色多普勒显像受探查角度、增益及彩色标尺大小等因素影响,不能单纯依据肾脏彩色多普勒现象有无及分布评估肾脏灌注情况。</span><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 20px; color: rgb(123, 12, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">肾血管能量多普勒超声图像</span></strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">有研究利用能量多普勒超声检查,将肾脏灌注进行半定量分级:</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">0分 为检测不到肾脏血流信号;</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">1分 为肾门处可见少许血流信号;&nbsp;</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">2分 为肾门处血流信号明显,肾皮髓交接处可见少许叶间动脉血流信号;&nbsp;</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">3分 为整个肾脏可见肾血流显像,血流信号至弓状动脉水平。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="0.75" src="http://mmbiz.qpic.cn/mmbiz_gif/EGib7yhBzCJcINJ1wU51ACdzTGaoddb0BqknKEhIvuEv7ib2H7RtLnS1Yp1H34yjSYL8FzR7ZpoAU5Qic333XwGCQ/0?wx_fmt=gif" data-type="gif" data-w="320" style="width: 669.988px; box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important;" width="100%"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="0.75" src="http://mmbiz.qpic.cn/mmbiz_gif/EGib7yhBzCJcINJ1wU51ACdzTGaoddb0BbrSJKyRR9nqAibiaLQY3gpeA3540KENQWUkicql4QRgKjYVb7cDPHZfiag/0?wx_fmt=gif" data-type="gif" data-w="320" style="width: 669.988px; box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important;" width="100%"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-align: center; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(136, 136, 136); box-sizing: border-box !important; word-wrap: break-word !important;">肾脏能量多普勒超声显像。上图为正常肾脏灌注,下图为急性肾衰(CRRT治疗中)肾脏灌注。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-align: center; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(136, 136, 136); box-sizing: border-box !important; word-wrap: break-word !important;"><br  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; line-height: 1.6; box-sizing: border-box !important; word-wrap: break-word !important;">能量多普勒不受血流方向及探查角度影响,且相较彩色多普勒,对低流速或细弱灌注敏感,但能量多普勒仍受增益、彩色标尺等影响,且有动物研究表明,只有当肾脏灌注降低50%-75%时,能量多普勒相关参数(彩色显像面积/彩色亮度值)才能反映肾脏灌注的异常变化。</span><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 19.6923px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 20px; color: rgb(123, 12, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">肾血管多普勒超声频谱</span></strong></span><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />通过肾脏血管脉冲多普勒超声检查,获取多普勒血流动力学参数,依据肾内血流动力学特点,评估肾脏灌注状态或受损情况。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="0.6594202898550725" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/EGib7yhBzCJcINJ1wU51ACdzTGaoddb0BEpw6Mloib73bibQMeUxTloZAPwhqJ7O1qC1jOrO7iaHKARGwMcQO547Ww/640?wx_fmt=jpeg" data-type="jpeg" data-w="552" style="width: 669.988px; box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important;" width="100%"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="0.6654411764705882" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/EGib7yhBzCJcINJ1wU51ACdzTGaoddb0B89sKepE61VGenJ9GNeuibGdAE1XicHe6iaLfOsibqjXIjyjEGdT7RibxjqQ/640?wx_fmt=jpeg" data-type="jpeg" data-w="544" style="width: 669.988px; box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important;" width="100%"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-align: center; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(136, 136, 136); box-sizing: border-box !important; word-wrap: break-word !important;">肾脏叶间动脉血流频谱,上图正常血流频谱; 下图异常血流频谱(高阻波形)。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-align: center; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(136, 136, 136); box-sizing: border-box !important; word-wrap: break-word !important;"><br  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">肾脏叶间动脉-弓形动脉的多普勒参数监测重复性/疾病相关性好,正常成人肾脏叶间动脉多普勒参数RI波动范围(0.58±0.05)~(0.64±0.04),正常RI&lt;0.6, 上限值0.7。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 19.6923px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 20px; color: rgb(123, 12, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">肾血管多普勒参数RI&nbsp;</span></strong></span><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />从血流多普勒频谱中可获取参数:</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">S&nbsp;收缩期峰流速;</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">ED&nbsp;舒张末流速;</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">RI&nbsp;阻力指数&nbsp;RI=&nbsp;(PS-ED)&nbsp;/&nbspS&nbsp;;&nbsp;</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">I&nbsp;搏动指数&nbspI=(PS-ED)&nbsp;/&nbsp;Vm&nbsp;(Vm&nbsp;平均流速)&nbsp;&nbsp;。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">因受测量角度的影响,血管多普勒流速≤真实流速,而通过公式获的间接参数RI/PI则不受影响。多普勒参数RI/PI一直被认为反映受测血管血流远端阻力的指标。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; text-indent: 2em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">肾脏叶间动脉多普勒参数RI与肾皮质灌注相关,RI&nbsp;增高,肾皮质灌注减低,肾脏缺血发生AKI(</span><span style="max-width: 100%; line-height: 1.6; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">急性肾损伤</span><span style="max-width: 100%; font-size: 18px; line-height: 1.6; box-sizing: border-box !important; word-wrap: break-word !important;">)风险增高。</span></p><p style="text-indent: 2em; line-height: 2em;"><span style="max-width: 100%; font-size: 18px; line-height: 1.6; box-sizing: border-box !important; word-wrap: break-word !important;"><br  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 2em; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: Arial, Verdana, sans-serif; font-size: 14px; line-height: 24px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(249, 249, 249);">广州市设备维修有限公司</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 2em; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">地址:广州市天河区银利街银利茶叶博览中心E栋4楼E4030室 &nbsp; &nbsp; &nbsp; 邮编:510507</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 2em; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">电话:(+86)020-8722 8723 &nbsp; &nbsp;8764 5360 &nbsp; &nbsp;8764 2943 &nbsp; &nbsp; 传真:020-8722 8623</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 2em; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">全国统一免费服务热线:400-020-6788</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 2em; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">微信公众帐号:</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 2em; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="1" data-type="jpeg" data-w="120" width="auto" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvfCZvZq5PcthnDKlnnq3AalhbichW77J3B70osicTickklZybNKUZqc44DZ0oaWaHm2p0TaA9478icwPg/640?wx_fmt=jpeg" style="box-sizing: border-box !important; word-wrap: break-word !important; width: auto !important; visibility: visible !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 2em; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">维修咨询:QQ: &nbsp;712638 404</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 2em; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">设备咨询: &nbsp; QQ: &nbsp;712638 405</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 2em; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">软件咨询:QQ: 712638 406</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 2em; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">配件咨询:QQ: &nbsp; 712638 407</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 2em; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">交流Q群:1106 11074</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 2em; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">网址:http://www.yiliaoshebeiweixiu.com</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 2em; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">电子邮箱:service@yiliaoshebeiweixiu.com</span></p><p><br  /></p>
               
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