左心耳封堵术教学ppt课件

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1、Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 1 of 32Indications,contraindications,warnings and

2、instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。房颤治疗房颤治疗左心耳封堵术左

3、心耳封堵术Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 2 of 32Indications,contraindications,warnings

4、 and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。LAAC:Left

5、Atrial Appendage Closure房颤与卒中房颤与卒中左心耳解剖及封堵器选择左心耳解剖及封堵器选择WATCHMAN左心耳封堵器及手术流程左心耳封堵器及手术流程左心耳封堵适应症和禁忌症左心耳封堵适应症和禁忌症左心耳封堵(左心耳封堵(WATCHMAN系统)临床试验系统)临床试验Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only

6、in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 3 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authori

7、ty product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。房颤是最常见的心律失常123中国有至少800万的房颤患者房颤发病率随年龄增长而增加什么是房颤?房颤是患者规则有序的心房电活动丧失,代之以快速无序的颤动波,心房失去了有效的收缩与舒张,心房泵血功能恶化或丧失,加之房室结对快速心房激动的递减传导,引起心室极不规则的反应。Indications,contraindications,warnings

8、 and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 4 of 32Indications,contraindications,warnings and instructions for use can be found in t

9、he product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。中国30-85岁居民中房颤患病率为0.771,总共约有800万房颤患者,由于部分房颤是症状并不明显或未确诊

10、,因此房颤患者的实际数量可能更高。房颤的患病率随着年龄的增加呈明显的上升趋势。中国不同年龄组人群的房颤发病率1(1)Guidelines for the management of atrial fibrillation.The task force for the management of atrial fibrillation of the European Society of Cardiology(ESC).Eur Heart J 2010;31:2369-2449.Indications,contraindications,warnings and instructions for

11、 use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 5 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling s

12、upplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。房颤的危害房颤的危害房颤患者卒中风险房颤患者卒中风险非房颤患者卒中风险非房颤患者卒中风险 5 X房颤最主要的并发症是房颤最主要的并发症是脑中风脑中风

13、房颤患者中风风险较非房颤患者高房颤患者中风风险较非房颤患者高5倍倍房颤相关的中风第一年死亡率高达50%;第一年严重致残率高达73%;第一年累计复发率高达 6.9%Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrat

14、ions.SH-218301-AA JAN 2014Page 6 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发

15、电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。中风名人榜英国前首相撒切尔夫人2013年4月8日因中风逝世Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority pro

16、duct registrations.SH-218301-AA JAN 2014Page 7 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准

17、适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。中风名人榜陈强,著名演员,陈佩斯的父亲因脑中风医治无效,于2012年6月26日21点38分在医院逝世Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries w

18、ith applicable health authority product registrations.SH-218301-AA JAN 2014Page 8 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product reg

19、istrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。中风名人榜列宁自1922年5月起数度中风,1923年3月9日,由中风引起右侧瘫痪和言语障碍。Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information

20、for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 9 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicab

21、le health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。左心耳封堵名人榜阿诺施瓦辛格房颤发作多年,2013年底于美国洛杉矶西奈山中心进行左心耳封堵手术,现已恢现已恢复健康,停用抗凝药复健康,停用抗凝药Indications,contraindications,warnings and instructions for use can be found in th

22、e product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 10 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each devi

23、ce.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。20%的卒中发生于房颤患者的卒中发生于房颤患者1房颤患者卒中风险较非房颤患者高房颤患者卒中风险较非房颤患者高5倍倍2房颤所致脑卒中具有高致残率、高房颤所致脑卒中具有高致残率、高病死率及高复发率

24、的特点病死率及高复发率的特点3卒中是中国居民第一大死因,同时也是致残的首要原因。卒中是中国居民第一大死因,同时也是致残的首要原因。AFAF:Atrial Fibrillation Hart RG,Halperin JL.Atrial fibrillation and thromboembolism:a decade of progress in stroke prevention.Ann Intern Med.1999.Holmes DR,Atrial Fibrillation and Stroke Management:Present and Future,Seminars in Neuro

25、logy 2010;30:528536Yang G,et al.Rapid health transition in China,1990-2010.Lancet 2013;381(9882):19872015.Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health au

26、thority product registrations.SH-218301-AA JAN 2014Page 11 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA

27、 JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。在中国,房颤导致卒中的发生率为大约为13.0%-13.4%1预防房颤导致中风非常重要!预防房颤导致中风非常重要!年份年份试验设计试验设计样本量样本量房颤患者卒中的发生率房颤患者卒中的发生率2003-2004基于社区的前瞻性研究1861513.0%-13.4%1999-2002基于医院的回顾性研究342517.5%24.2%(1)Yutao Guo,et al.The Unmet Need of Stroke Pr

28、evention in Atrial Fibrillation in the Far East and South East Asia,Malays J Med Sci.Jul-Sep 2012;19(3):1-7 Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health

29、authority product registrations.SH-218301-AA JAN 2014Page 12 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-

30、AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。房颤患者为什么容易中风?房颤患者为什么容易中风?1房颤引起血液滞留在左心耳滞留的血液逐渐形成血栓24血栓滞留在大脑的血管中,限制血液流动,引起卒中血栓从左心耳脱落,进入动脉系统3非瓣膜性房颤患者非瓣膜性房颤患者90%的血栓来自于左心耳的血栓来自于左心耳Indications,contraindications,warnings and instructions for use can be found in

31、the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 13 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each de

32、vice.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。虽然还没有中风症状,但可能大脑已有梗死灶虽然还没有中风症状,但可能大脑已有梗死灶Indications,contraindications,warnings and instruction

33、s for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 14 of 32Indications,contraindications,warnings and instructions for use can be found in the product labe

34、ling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。房颤治疗消融成功率?终身服药?出血?口服抗凝药:治疗窗窄,需频繁调整剂量及监控受食物、药物相互作用影响疗效长期服用对肾功能影响药物疗法必

35、须面对致命出血风险消融存在一定的复发率房颤治疗,首先要抗凝预防中风房颤治疗,首先要抗凝预防中风Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 15

36、of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价

37、。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。射频消融射频消融起搏治疗起搏治疗药物控制心率药物控制心率血栓管理血栓管理手术结扎手术结扎左心耳切除左心耳切除左心耳封堵左心耳封堵介入治疗介入治疗药物药物(新型口服抗凝药)新型口服抗凝药)AF药物药物(华法林华法林)NOACs:Novel Anticoagulants(Dabigatran,Apixaban,Rivaroxaban)AF:Atrial Fibrillation 和和/或或Indications,contraindications,warnings and instructions for use can be fo

38、und in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 16 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with

39、each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。(1)Lip GY et al,Chest 2010;137(2):263-72(2)Camm AJ et al,Eur.Heart J 2010;31,23692429C充

40、血性心力衰竭充血性心力衰竭1H 高血压高血压1A 年龄年龄 752D 糖尿病糖尿病1S 中风史中风史/短暂性脑缺血发作短暂性脑缺血发作2V 心血管疾病心血管疾病1A 年龄年龄 65-741Sc 女性女性1CHA2DS2-VASc最高分数最高分数:915%10%0%05%3%13%18%每年卒中发生风险每年卒中发生风险1,21,32,23,24,06,79,89,66,715,2123456789*女性单一因素不计分Indications,contraindications,warnings and instructions for use can be found in the product

41、 labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 17 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Inform

42、ation for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。Guidelines for the management of atrial fibrillation.The task force for the management of atrial fibrilla

43、tion of the European Society of Cardiology(ESC).Eur.Heart J 2010;31:2369-2449.H 高血高血压压1A 肾肾/肝功能不全肝功能不全1 或 2S中中风风史史1B出血出血2LINR不不稳稳定定1E年年龄龄 651D药药物或酒精物或酒精滥滥用用1 或 2HAS-BLED最高分数最高分数:9使用药物预防血栓首先要平衡卒中风险和出血风险,尤其是ICH(自发性脑出血)的患者,抗凝治疗易产生严重并发症,致死或致残 (ESC 指南 2012)Indications,contraindications,warnings and instr

44、uctions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 18 of 32Indications,contraindications,warnings and instructions for use can be found in the produc

45、t labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。但华法林治疗也有其局限性但华法林治疗也有其局限性:华法林常耐受不良华法林常耐受不良 治疗范围窗口窄(INR between

46、2.0 3.0)有效性受多种食物和药物影响 需要频繁地抽血监测并调整剂量主要并发症主要并发症 使用华法林主要出血事件预估发生率高达16%2 华法林相关性出血:发生住院死亡、威胁生命的残疾及需干预的事件总比例高达90%2INR治疗区间外INR治疗区间内Diane K.Wysowski,et al.,ARCH INTERN MED/VOL 167(NO.13),JULY 9,2007(Bleeding Complications With Warfarin Use)Indications,contraindications,warnings and instructions for use can

47、 be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 19 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied

48、 with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。Gallagher AM et al:J Thromb Haemost 6:1500,2008 中断华法林治疗的患者卒中风险增高Years after start

49、ing treatment20100 80 60 40204640-6465-6970-7475-7980-84 85Age%DiscontinuationIndications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registration

50、s.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。口服抗凝药物使用情况(口服抗凝药物使用情况(CHADS22分)分)11.2%65.7%Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use

51、only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 21 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health a

52、uthority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。This chart is not based on a head-to-head trial and is not intended to suggest head-to-head comparisons of the separate trials or the therapies under study.研究研究用药用药主

53、要出血事件主要出血事件出血性卒中出血性卒中中断治疗中断治疗RE-LY1达比加群酯(110mg)2.71%0.12%20.7%达比加群酯(150mg)3.11%0.10%21.2%华法林3.36%0.38%16.6%ROCKET-AF2利伐沙班3.6%0.5%23.7%华法林3.4%0.7%22.2%ARISTOLE3阿哌沙班2.13%0.24%25.3%华法林3.09%0.47%nc 优点优点可降低卒中风险无需监测INR,无需频繁调整剂量不易与食物药物发生相互作用 缺点缺点出血风险依然存在缺乏拮抗剂,一次漏服将可能导致抗栓治疗失败患者依然存在依从性问题,自行停药比例高服用新型口服抗凝药,每年费

54、用巨大Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 22 of 32Indications,contraindications,warnings

55、and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。临床上亟需一种治疗方法

56、,可以有临床上亟需一种治疗方法,可以有效降低房颤患者卒中风险,且无需效降低房颤患者卒中风险,且无需担心出血等问题;可以一次性解决担心出血等问题;可以一次性解决房颤患者血栓管理问题,无需终身房颤患者血栓管理问题,无需终身服用抗凝药。服用抗凝药。NOACs:Novel Anticoagulants(Dabigatran,Apixaban,Rivaroxaban)AF:Atrial Fibrillation 房颤治疗消融成功率?终身服药?出血?Indications,contraindications,warnings and instructions for use can be found in

57、 the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 23 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each d

58、evice.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。左心耳解剖与封堵器选择左心耳解剖与封堵器选择Indications,contraindications,warnings and instructions for use can be

59、found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the

60、use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 24 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable heal

61、th authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。LAAIndications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in

62、 countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 25 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authorit

63、y product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。椭圆形,68.9%三角形,7.7%足形,10%足形,10%水滴形,7.7%圆形,5.7%左心耳开口形态多样,通常都是不规则的左心耳开口形态多样,通常都是不规则的Indications,contraindications,warnings and instructions for use can be found in the product

64、labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 26 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Informa

65、tion for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电厂纯凝式汽轮发电机组和供热汽轮发电机组的技术经济指标的统计和评价。燃机机组、余热锅炉以及联合循环机组可参照本标准执行,并增补指标。圆形,开口平整椭圆,开口不平整类圆形,开口不平整三角形,螺旋开口水滴形,开口不平整足形,开口不平整左心耳开口通常都有立体形态,凹凸不平左心耳开口通常都有立体形态,凹凸不平Indications,contraind

66、ications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014Page 27 of 32Indications,contraindications,warnings and instructions for use can be found in the product labeling supplied with each device.Information for the use only in countries with applicable health authority product registrations.SH-218301-AA JAN 2014本标准适用于已投入商业运行的火力发电

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