ࡱ> U qbjbjnn7aa' zz!"!"!"!"!"5"5"5"8m"\"5":zNm#m#m#m#m#\$r$ ~$yyyyyyy$|>Ry-!"$\$\$$$y!"!"m#m#yr9r9r9$!"m#!"m#yr9$yr9r9 ntm# 6&q:y z0:zr28ttt!" u$$r9$$$$$yy8$$$:z$$$$$$$$$$$$$zm : >40B>: !1 4> 3>;>H5==O ?@> ?@>2545==O A?@>I5=>W 70:C?V2;V =D>@<0FVO ?@> =5>1EV4=V B5E=VG=V, O:VA=V B0 :V;L:VA=V E0@0:B5@8AB8:8 ?@54<5B0 70:C?V2;V. >4  #:@0W=8 021:201533690000-3  V:0@AL:V 70A>18 @V7=V (33696500-0 01>@0B>@=V @50:B828) 030;L=V 28<>38: 1. #G0A=8:8 ?>28==V =040B8 2 A:;04V ?@>?>78FV9 4>:C<5=B8, O:V ?V4B25@46CNBL 2V4?>2V4=VABL ?@>?>78FVW CG0A=8:0 B5E=VG=8<, O:VA=8<, :V;L:VA=8< B0 V=H8< E0@0:B5@8AB8:0< (28<>30<) ?@54<5B0 70:C?V2;V, 2V4?>2V4=> 4> ?5@5;V:C, 287=0G5=><C F8< 4>40B:><. #G0A=8:8 <>6CBL 4>40B:>2> =04020B8 C A:;04V ?@>?>78FV9 V=HV 4>:C<5=B8 B0 V=D>@<0FVN, O:V =0 WE 4C<:C, ?V4B25@46CNBL 2V4?>2V4=VABL ?@>?>78FV9 B5E=VG=8<, O:VA=8< B0 V=H8< E0@0:B5@8AB8:0< (28<>30<) ?@54<5B0 70:C?V2;V, ?5@5410G5=8< F8< 4>40B:><. @8 FL><C ?5@5;V:, A:;04 B0 >1AO3 B0:8E 4>:C<5=BV2 B0 V=D>@<0FVW =5 @53;0<5=BCTBLAO. 2. #G0A=8: 287=0G0T FV=C =0 ">20@, O:89 2V= ?@>?>=CT =040B8 70 >3>2>@><, 7 C@0EC20==O< ?>40B:V2 V 71>@V2, I> A?;0GCNBLAO 01> <0NBL 1CB8 A?;0G5=V, 0 B0:>6 28B@0B =0 B@0=A?>@BC20==O, =020=B065==O, @>720=B065==O. > @>7@0EC=:C FV=8 ?@>?>78FVW =5 2:;NG0NBLAO 1C4L-O:V 28B@0B8, ?>=5A5=V CG0A=8:>< C ?@>F5AV 74V9A=5==O ?@>F54C@8 70:C?V2;V B0 C:;045==O 4>3>2>@C ?@> 70:C?V2;N. 3. /:VABL B>20@C <0T 2V4?>2V40B8 28<>30< 45@602=8E AB0=40@BV2, 0 B0:>6 C<>20<, 2AB0=>2;5=8< G8==8< 70:>=>402AB2>< 4> B>20@C 40=>3> 284C. 4. ">20@ ?>28=5= ?>AB0G0B8AO 2 =0;56=V9 B0@V (C?0:>2FV), O:0 2V4?>2V40T E0@0:B5@C B>20@C V 70E8I0T 2V4 ?>H:>465=L ?V4 G0A B@0=A?>@BC20==O (?>AB02:8). ">20@, >B@8<0=89 @>7?0:>20=8< 01> C =5=0;56=V9 C?0:>2FV, <0T 1CB8 70<V=5=89 >AB0G0;L=8:>< 70 2;0A=89 @0EC=>: ?@>BO3>< 3 :0;5=40@=8E 4=V2 7 4=O ?>40==O >:C?F5< ?@5B5=7VW. 5. "5@<V= ?@840B=>ABV <548G=8E <0B5@V0;V2 ?>28=5= AB0=>28B8 =5 <5=H5 80% 2V4 7030;L=>3> B5@<V=C ?@840B=>ABV =0 40BC 702575==O WE =0 A:;04 0<>2=8:0. 6. >AB0G0;L=8: ?>AB02;OT ">20@ >:@5<8<8 <0;8<8 ?0@BVO<8 2V4?>2V4=> 4> 70O2>: 0<>2=8:0 =5 ?V7=VH5 7 (A5<8) :0;5=40@=8E 4=V2 7 <><5=BC >B@8<0==O 70O2:8 0<>2=8:0. 7. 0O2:0 =04A8;0TBLAO 0<>2=8:>< =0 5;5:B@>==C 04@5AC >AB0G0;L=8:0 01> 70A>10<8 D0:A8<V;L=>3> 72'O7:C =0 B5;5D>=/D0:A, 01> G5@57 ?@54AB02=8:0. 8. >AB02:0 ">20@C 74V9A=NTBLAO 70 @0EC=>: >AB0G0;L=8:0 4> 425@59 A:;04C 0<>2=8:0, I> 7=0E>48BLAO 70 04@5A>N: ?@>A?5:B >;B02AL:89, 40, <. @5<5=GC:, >;B02AL:0 >1;., 39627. ?;0B0 70 ?>AB02;5=89 B>20@ 1C45 74V9A=5==0 ?> D0:BC ?>AB02:8 B>20@C 2V4?>2V4=> 4> C<>2 4>3>2>@C. 9. >AB0G0;L=8: =5A5 2V4?>2V40;L=VABL 70 =0O2=VABL G8==8E =0 <><5=B C:;040==O B0 28:>=0==O C<>2 4>3>2>@C 4>72>;V2 B0 ;VF5=7V9, =5>1EV4=8E 4;O ?>AB0G0==O ?@54<5BC 70:C?V2;V, 70 4>B@8<0==O 28<>3 70:>=>402AB20 I>4> B@0=A?>@BC20==O ?@54<5BC 70:C?V2;V. 10. ">20@, 70?@>?>=>20=89 #G0A=8:><, ?>28=5= 1CB8 2=5A5=89 4> 5@602=>3> @5TAB@C <548G=>W B5E=V:8 B0 28@>1V2 <548G=>3> ?@87=0G5==O C ?5@5410G5=><C 70:>=>402AB2>< ?>@O4:C B0 4>72>;5=89 4> 70AB>AC20==O 2 <548G=V9 ?@0:B8FV B0 >1V3C =0 B5@8B>@VW #:@0W=8. 11. #G0A=8: C A:;04V ?@>?>78FVW ?>28=5= =040B8: 1) :>?VN ;VF5=7VW =0 ?@02> B>@3V2;V <548G=8<8 28@>10<8 (=0 WE 28@>1=8FB2>, O:I> #G0A=8: T 28@>1=8:><), 70 WW 2V4ACB=>ABV  ?8AL<>25 ?>OA=5==O ?@8G8=8 2V4ACB=>ABV ;VF5=7VW, I> ?>28==> <VAB8B8 ?>A8;0==O =0 =>@<8 G8==>3> 70:>=>402AB20 01> :>?VN @>7 OA=5==O 45@602=8E >@30=V2; 2) A:0=>20=V >@83V=0;8 45:;0@0FV9 ?@> 2V4?>2V4=VABL 28<>30< B5E=VG=>3> @53;0<5=BC I>4> <548G=8E 28@>1V2 (A5@B8DV:0BV2 ?@> 2V4?>2V4=VABL) G8 A:0=>20=V 702V@5=V :>?VW ?5@5;VG5=8E 4>:C<5=BV2, I> ?V4B25@46CNBL <>6;82VABL 22545==O 2 >1V3 B0 70AB>AC20==O <548G=>3> 28@>1C 70 @57C;LB0B0<8 ?@>E>465==O ?@>F54C@8 >FV=:8 2V4?>2V4=>ABV 73V4=> 28<>3 "5E=VG=>3> @53;0<5=BC; 3) >@83V=0; 01> 702V@5=C :>?VN ;8AB0 28@>1=8:0 (?@54AB02=8FB20, DV;VW 28@>1=8:0  O:I> WE 2V4?>2V4=V ?>2=>2065==O ?>H8@NNBLAO =0 B5@8B>@VN #:@0W=8), O:8< ?V4B25@46CTBLAO <>6;82VABL ?>AB02:8 B>20@C, O:89 T ?@54<5B>< 70:C?V2;V F8E B>@3V2, C =5>1EV4=V9 :V;L:>ABV B0 2 B5@<V=8. 0@0=BV9=89 ;8AB 28@>1=8:0 ?>28=5= 2:;NG0B8: ?>2=C =072C CG0A=8:0, 04@5AC20B8AO 0<>2=8:C, <VAB8B8 =><5@ V45=B8DV:0B>@0 70:C?V2;V. >?CA:0TBLAO =040==O 30@0=BV9=>3> ;8AB0 CG0A=8:C 7 1>:C >DVFV9=>3> 48AB@81 NB>@0 01> V=H>3> ?@54AB02=8:0 28@>1=8:0, ?@8 FL><C CG0A=8: ?>28=5= =040B8 =0;56=8< G8=>< 702V@5=C :>?VN 4>:C<5=BC 7 1>:C 28@>1=8:0 ?@> ?>2=>2065==O B0:>3> >DVFV9=>3> 48AB@81 NB>@0 01> V=H>3> ?@54AB02=8:0. # @07V ?>40==O ?@>?>78FVW, O:0 =5 2V4?>2V40T <548:>-B5E=VG=8< 28<>30< B0 287=0G5=><C ?5@5;V:C, ?@>?>78FVO =5 1C45 @>73;O40B8AL B0 >FV=N20B8AL V 1C45 2V4E8;5=0 O: B0:0, I> =5 2V4?>2V40T 28<>30< B5=45@=>W 4>:C<5=B0FVW. !>4  024:201909<5=C20==O B>20@C 548:>-B5E=VG=V E0@0:B5@8AB8:84. 28<V@CV;L:VABL152923 ;0=V=0<V=>B@0=AD5@070 (ALT) IVD (4V03=>AB8:0 in vitro), =01V@, D5@<5=B=89 A?5:B@>D>B><5B@8G=89 0=0;V701V@ 4;O 287=0G5==O 0:B82=>ABV 0;0=V=0<V=>B@0=AD5@078$0AC20==O: R1: 5x96 <;, R2: 1x120 <;. ;0=V=0<V=>B@0=AD5@070 <0T 287=0G0B8AL =0 1V>EV<VG=><C 0=0;V70B>@V >?B8<V7>20=8< V <>48DV:>20=8< <5B>4><, @>7@>1;5=89 7 C@0EC20==O< @5:><5=40FV9 V6=0@>4=>W $545@0FVW ;V=VG=>W %V<VW (IFCC), 157 ?V@84>:A0;LD>AD0BC. 560 :V;L:VA=>3> 287=0G5==O: =5 3V@H5 O: 8 4/;. V=V9=VABL: =5 =86G5 O: 4> 650 4/;.  z|0 V ̲~`<,hvLhvL5OJQJ\aJFhsdh$C5CJOJQJ\]aJfHmH"nHq sH"tH;hsdh{D_5B*CJOJQJ\aJmH"nHphsH"tH2hsdh5CJOJQJ\aJmH"nH"sH"tH"2hsdhsd5CJOJQJ\aJmH"nH"sH"tH"2hsdhvs5CJOJQJ\aJmH"nH"sH"tH"2hsdh$C5CJOJQJ\aJmH"nH"sH"tH"2hsdhb5CJOJQJ\aJmH"nH"sH"tH" z|0 ` b UG$$Ifa$gd/^jkd$$Ifll(( t0644 la9ytvL$$Ifa$gdvL $da$gdsd$da$gdsdm$ $H]d@&^]gdsdV ^ ` b " & ϰϐlJ3-hsdhB*CJOJQJaJmH"phsH"Chsdhz5B*PJ\]fHmH"nHphq sH"tHFhsdh$C5CJOJQJ\]aJfHmH"nHq sH"tHhvLhvL56OJQJaJhvLhvL5OJQJ\aJ=h/^h/^56OJQJ\]aJfHnHq tHhvLhvL5OJQJaJ#hvLhvL5OJQJaJmH"sH" hvL5OJQJ\aJmH"sH" $$Ifa$gdvLjkd$$Ifll(( t0644 la9ytvL " Hnnnnnnnn$7d`7a$gdsd!$a$gdsd $da$gdsdjkd$$Ifll(( t0644 la9ytvL & (  "$~ "ԽԦԽԦԦhhQ-hjuth\B*CJOJQJaJmH"phsH"-hsdh)>B*CJOJQJaJmH"phsH"-hsdh$CB*CJOJQJaJmH"phsH"hsdh$C5CJOJQJaJ-hsdhB*CJOJQJaJmH"phsH"-hsdh2B*CJOJQJaJmH"phsH"-hsdh\B*CJOJQJaJmH"phsH"'hsdB*CJOJQJaJmH"phsH"HJLNѺu\uE8hsdh)>PJmH"sH"-hsdh\B*CJOJQJaJmH"phsH"0huh\5B*CJOJQJaJmH"phsH"-hjuthsdB*CJOJQJaJmH"phsH"-hjuthB*CJOJQJaJmH"phsH"-hjuth)>B*CJOJQJaJmH"phsH"-hjuth\B*CJOJQJaJmH"phsH"0hjuth\5B*CJOJQJaJmH"phsH"*hjut5B*CJOJQJaJmH"phsH" "x:!!D!!󩒩~gg~gSg'hB*CJOJQJaJmH"phsH"-hsdh3B*CJOJQJaJmH"phsH"'hsdB*CJOJQJaJmH"phsH"-hsdh\B*CJOJQJaJmH"phsH"-hsdh)>B*CJOJQJaJmH"phsH"hsdh/[5PJmH"sH"hsdh5PJmH"sH"hsdh\PJmH"sH"hsdPJmH"sH"hsdhPJmH"sH">!$p)r)$+(+,+L+x++++$d$Ifa$gdP$ 7d`7a$gdy $7d`7a$gd&$7d`7a$gdsd !$7`7a$gdsd! ""### $$$$n)p)r)"+ŮlXXB)0hsdh5B*CJOJQJaJmH"phsH"*hn5B*CJOJQJaJmH"phsH"'h\B*CJOJQJaJmH"phsH"'hr,}B*CJOJQJaJmH"phsH"-hsdh)>B*CJOJQJaJmH"phsH"-hsdhWB*CJOJQJaJmH"phsH"-hsdh2B*CJOJQJaJmH"phsH"-hsdh\B*CJOJQJaJmH"phsH"hr,}OJQJmH"sH"-hr,}hr,}B*CJOJQJaJmH"phsH" "+$+&+(+*+,+L+d+h+v+++,.-/JLLԻyfWGWEW5h )CJOJQJaJmH"sH"Uh )h )5CJOJQJaJh^,h )CJOJQJaJ$hBUhy CJOJQJaJnHtH*hMhy 5OJQJ\mH"nHsH"tH*hr,}hy 5OJQJ\mH"nHsH"tH*hhy 5OJQJ\mH"nHsH"tH0hsdhy 5B*CJOJQJaJmH"phsH"*h>5B*CJOJQJaJmH"phsH"*h5B*CJOJQJaJmH"phsH"++kd}$$Iflֈr7/  #'   t0l(44 lap<yt )+++,.-z-(///KLMM M$d$Ifa$gd W; $Ifgdg $$Ifa$gdP 5035=B8 <0NBL 1CB8 ?@840B=8<8 4> :V=FO B5@<V=C ?@840B=>ABV 707=0G5=>3> =0 C?0:>2FV ?@8 B5<?5@0BC@V 715@V30==O 2 - 8C, 0 =0 1>@BC 0?0@0BC ?@8 B5<?5@0BC@V 2 - 10C AB01V;L=8<8 =5 <5=H5 12 B86=V2. 5<>3;>1V= 4> 0.31 3/4;, 0A:>@1V=>20 :8A;>B0 4> 62 <3/;, 1V;V@C1V= 4> 20 <3/4;, B@83;VF5@848 4> 1000 <3/4; =5 ?>28==V 2?;820B8 =0 @57C;LB0B8 28<V@N20=L. =0;>38 B0/01> 5:2V20;5=B8 =5 ?@>?>=C20B8.=01V@4252954 030;L=0 0A?0@B0B0<V=>B@0=AD5@07 0 (AST) IVD (4V03=>AB8:0 in vitro), =01V@, D5@<5=B=89 A?5:B@>D>B><5B@8G=89 0=0;V701V@ 4;O 287=0G5==O 0:B82=>ABV 0A?0@B0B0<V=>B@0=AD5@078$0AC20==O: R1: 5x96 <;, R2: 1x120 <; A?0@B0B0<V=>B@0=AD5@070 <0T 287=0G0B8AL =0 1V>EV<VG=><C 0=0;V70B>@V >?B8<V7>20=8< V <>48DV:>20=8< <5B>4><, @>7@>1;5=89 7 C@0EC20==O< @5:><5=40FV9 V6=0@>4=>W $545@0FVW ;V=VG=>W %V<VW (IFCC), 157 ?V@84>:A0;LD>AD0BC. 560 :V;L:VA=>3> 287=0G5==O: =5 28I5 O: 7 4/;. V=V9=VABL: =5 =86G5 O: 650 4/;. 5035=B8 <0NBL 1CB8 ?@840B=8<8 4> :V=FO B5@<V=C ?@840B=>ABV 707=0G5=>3> =0 C?0:>2FV ?@8 B5<?5@0BC@V 715@V30==O 2 - 8C, 0 =0 1>@BC 0?0@0BC ?@8 B5<?5@0BC@V 2 - 10C AB01V;L=8<8 =5 <5=H5 12 B86=V2. 5<>3;>1V= 4> 0.63 3/4;, 0A:>@1V=>20 :8A;>B0 4> 62 <3/;, 1V;V@C1V= 4> 20 <3/4;, n@83;VF5@848 4> 1000 <3/4; =5 ?>28==V 2?;820B8 =0 @57C;LB0B8 28<V@N20=L. =0;>38 B0/01> 5:2V20;5=B8 =5 ?@>?>=C20B8.=01V@4353587 !5G>28=0 (Urea) IVD, =01V@, D5@<5=B=89 A?5:B@>D>B>-<5B@8G=89 0=0;V701V@ 4;O 287=0G5==O :>=F5=B@0FVW A5G>28=8$0AC20==O: R1: 5E96 <;,R2: 1E120 <;. !5G>28=0 <0T 287=0G0B8AL =0 1V>EV<VG=><C 0=0;V70B>@V D5@<5=B0B82=8< <5B>4>< 7 28:>@8AB0==O< C@5078 2 :>=F5=B@0FVW =5 <5=H5, =V6 250 <::0B/; V 3;CB0<0B453V4@>35=078 2 :>=F5=B@0FVW =5 <5=H5, =V6 10,5 <::0B/;. 5035=B8 <0NBL 1CB8 ?@840B=8<8 4> :V=FO B5@<V=C ?@840B=>ABV 707=0G5=>3> =0 C?0:>2FV ?@8 B5<?5@0BC@V 715@V30==O 2 - 8C, 0 =0 1>@BC 0?0@0BC ?@8 B5<?5@0BC@V 2 - 10C AB01V;L=8<8 =5 <5=H5 12 B86=V2. LoB (560 1;0=:C): =5 3V@H5 1.4 <3/4;. LoD (560 28O2;5==O): =5 3V@H5 2.1 <3/4;. V=V9=VABL: =5 3V@H5 O: 4> 250 <3/4; 5<>3;>1V= 4> 5 3/4; (g/dl), 0A:>@1V=>20 :8A;>B0 4> 62 <3/;, 1V;V@C1V= 4> 20 <3/4; B0 B@83;VF5@848 4> 1000 <3/4; =5 ?>28==V 2?;820B8 =0 @57C;LB0B8 28<V@N20=L. =0;>38 B0/01> 5:2V20;5=B8 =5 ?@>?>=C20B8.=01V@2453251 @50B8=V= IVD, =01V@, A?5:B@>D>B>-<5B@8G=89 0=0;V701V@ 4;O 287=0G5==O :>=F5=B@0FVW :@50B8=V=C$0AC20==O: R1: 5x48 <;, R2: 1x60 <;. @50B8=V= <0T 287=0G0B8AL =0 1V>EV<VG=><C 0=0;V70B>@V <>48DV:>20=8< <5B>4>< /DD5 (Jaffe) 157 45?@>B5W=V70FVW 270T<>4VTN 7 ?V:@0B>< C ;C6=><C A5@54>28IV. LoB (560 1;0=:C): =5 3V@H5 0.01 <3/4;. LoD (560 28O2;5==O): =5 3V@H5 0.04 <3/4;. V=V9=VABL: =5 <5=H5 O: 4> 17.5 <3/4;. 5035=B8 <0NBL 1CB8 ?@840B=8<8 4> :V=FO B5@<V=C ?@840B=>ABV 707=0G5=>3> =0 C?0:>2FV ?@8 B5<?5@0BC@V 715@V30==O 15 - 25C, 0 =0 1>@BC 0?0@0BC ?@8 B5<?5@0BC@V 2 - 10C AB01V;L=8<8 =5 <5=H5 2 B86=V2. 5<>3;>1V= 4> 2.5 3/4;, B@83;VF5@848 4> 500 <3/4;, 0A:>@1V=>20 :8A;>B0 4> 62 <3/; B0 1V;V@C1V= 4> 20 <3/4; =5 ?>28==V 2?;820B8 =0 @57C;LB0B8 28<V@N20=L. =0;>38 B0/01> 5:2V20;5=B8 =5 ?@>?>=C20B8.=01V@8547869 =>68==V 0=0;VB8 :;V=VG=>W EV<VW IVD, :>=B@>;L=89 <0B5@V0;>=B@>;L=0 A8@>20B:0 =>@<0$0AC20==O: R1: 4E5 <; V>DV;V7>20=0 A8@>20B:0 ;N4AL:>3> ?>E>465==O, O:0 ?@87=0G5=0 4;O :>=B@>;N 28<V@N20=L 2<VABC =5>@30=VG=8E, >@30=VG=8E V D5@<5=B0B82=8E :><?>=5=BV2, O:V 2 7030;L=><C 7=0E>4OBLAO 2 <560E =>@<8. >7@0E>20=V FV;L>2V 7=0G5==O ?>28==V 1CB8 @57C;LB0B>< 28?@>1C20=L, ?@>2545=8E =0 02B><0B8G=8E 0=0;V70B>@0E, 0 B0:>6 @CG=8<8 <5B>40<8. 5035=B8 <0NBL 1CB8 ?@840B=8<8 4> :V=FO B5@<V=C ?@840B=>ABV 707=0G5=>3> =0 C?0:>2FV ?@8 B5<?5@0BC@V 715@V30==O 2 - 8C. =0;>38 B0/01> 5:2V20;5=B8 =5 ?@>?>=C20B8.=01V@1653229 030;L=89 1V;V@C1V= IVD, =01V@, A?5:B@>D>B>-<5B@8G=89 0=0;V701V@ 4;O 287=0G5==O :>=F5=B@0FVW 7030;L=>3> 1V;V@C1V=C$0AC20==O: R1: 5E50 <;, R2:1x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ahy hy 5CJOJQJ\]aJfHnHq tH' *h5h )CJOJQJaJnHtH'hLh )5CJOJQJaJmH"sH"$h )h )CJOJQJaJmH"sH"'h !dh )5CJOJQJaJmH"sH"h )CJOJQJaJmH"sH"h^,h )CJOJQJaJh )h )5CJOJQJaJ'h )h )5CJOJQJaJmH"sH" q qkd$$Iflֈr7/  #'&  && t0l(44 lap<ytP qqqfqjqlqpqrqvqxq|q~qqq dgd?$ da$gd& qdqfqhqlqnqrqtqxqzqqqh==jh==U$hsdhNYCJOJQJaJmH"sH"@hr,}5CJOJQJ\]aJfHmH"nHq sH"tH 5 01h:psd/ =!"7#7$7% }$$If9!vh#v(:V l t065(a9ytvL}$$If9!vh#v(:V l t065(a9ytvL}$$If9!vh#v(:V l t065(a9ytvL$$If!vh#v#v #v#v #v:V l t0l(55 55 5ap<yt )$$If!vh#v#v #v#v #v:V l t0l(,55 55 599ap<ytP$$If!vh#v#v #v#v #v:V l t0l(,55 55 599ap<ytP$$If!vh#v#v #v#v #v:V l t0l(,55 55 599ap<ytP$$If!vh#v#v #v#v #v:V l t0l(,55 55 599ap<ytP$$If!vh#v#v #v#v #v:V l t0l(,55 55 599ap<ytP$$If!vh#v#v #v#v #v:V l t0l(,55 55 599ap<ytP$$If!vh#v#v #v#v #v:V l t0l(,55 55 599ap<ytP ,s 666666666666166666666666666666666666666666 6666666666 66666666666i 66666666666666666666666666666666666666666666666666666666666666666628 0@P`p28 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ OJPJQJ_HmH nH sH tH P`P %1KG=K9 dCJPJ_HaJmHsHtH bb +0D 03>;>2>: 1$<@&"5CJ KH OJPJQJ\^JaJ ^^ *0D 03>;>2>: 3$<@&5CJOJPJQJ\^JaJlRl "b 03>;>2>: 5ddd@&[$\$"5CJOJQJ\aJmHsHtHBA B A=>2=>9 H@8DB 0170F0Xi@X 01KG=0O B01;8F04 l4a .k . 0 5B A?8A:0 PP (% 170F A?8A:01d^m$mHsHBU B %0 8?5@AAK;:0>*B* Y(^Jph^H/H %0 Font Style154B*CJOJQJphV/!V %05@E=89 :>;>=B8BC; =0:CJmHsHtHr2r %05@E=89 :>;>=B8BC;#dE$1$7$8$H$CJPJaJtH8/A8 0 Header Char1PJtH \/Q\ %05@E=89 :>;>=B8BC; =0:1OJQJ^JmHsHT/bT 7mt01KG=K92(CJOJPJQJ^J_HaJmH"sH"tHf^rf Z[0 1KG=K9 (251)ddd[$\$CJOJQJaJmH"sH"tH"T/T "A=>2=>9 B5:AB (2)_CJaJq vv "A=>2=>9 B5:AB (2)d,1$M a$CJPJaJmHsHtHF/F " 03>;>2>: !2_5\q R/R "A=>2=>9 B5:AB (3)_5\q / "A=>2=>9 B5:AB (2) + C@A82P6@B*CJEHOJPJQJRHd]^J_H"aJmH"phq sH"tH"/ "$A=>2=>9 B5:AB (2) + 0;K5 ?@>?8A=K5M:@B*CJEHOJPJQJRHd^J_H"aJmH"phq sH"tH"vv " 03>;>2>: !2&dxx1$@&M a$5CJPJ\aJmHsHtH "A=>2=>9 B5:AB (3)#dx,1$M a$5CJPJ\aJmHsHtH  !5B:0 B01;8FK7:V 0 CJOJPJQJ^JaJtH ^o^ Default !7$8$H$)B*CJOJQJ_HaJmHphsHtH J/!J b03>;>2>: 5 =0:5OJPJQJ\2 &>F0U170F A?8A:0,Numbered List,Elenco Normale,!?8A>: C@>2=O 2,=0720=85 B01;/@8A,Chapter10 #^m$R BR %?086=89 :>;>=B8BC; $ %mHsHT/QT $?086=89 :>;>=B8BC; =0:CJPJaJtH /a #H[0s170F A?8A:0 =0:,Numbered List =0:,Elenco Normale =0:,!?8A>: C@>2=O 2 =0:,=0720=85 B01;/@8A =0:,Chapter10 =0:CJPJaJmHsHtH N rN ?0 57 8=B5@20;0'CJ_HaJmHsHtHN/N \List Paragraph CharCJPJaJtH ,W , }`!B@>3895\ZZ 0D03>;>2>: 3 =0:"5CJOJPJQJ\^JaJtH ^^ 0D03>;>2>: 1 =0:&5CJ KH OJPJQJ\^JaJ tH PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V{+N8aq-*GlLi˽6Lj3~pmGo 1*?f8&,ɴ8N>hR*Պ"(zsy2!#YQ$\h2軧>:HC A84Bq.UJR_O]-4k!ᣄD=zvg?s6re؝GT{<˷/|N:OWB_?>xo'hGIs ;WY ;ɛY CDtv<(Fr Ȃ`3Ax&sA,/fvXb9<'O:*B{Yg2A E@Sc.Ɩ Ĉ6%pn5$CcT< / AȷNQ۪xD½S#\r""`t\ SƘs֫%Ȍ=tD]ϋ1eA ; qc?Pȹ„ ;D~ ' V & !"+La*lqq!"9BGJ ++ M"MJTLT:[<[aalfnfhkjk q qq #$:;<=>?@ACDEFHIL# @0(  B S  ?_GoBack''&')*/279CDXY_`ejtu '25@AMNYZcdmns %&15=BMNXmty #$,0:;Erw  ./8Tlmpq| +2=>HMQ]glq #.27;ACM\g|  "&-24>?TU[\afpq}~!&(+05:OR^bgilrw{ *.37=?BUZfipy )019=GHR"#.2>?JKXglr *238>HLQRYZefqu}"-DM]demq{|   # 0 = > G H Q R \ b l z !! ! !!%!0!2!MNIJ#$XYj k b c ] ^  Gqxz T~"m y !"" "k$$$$C%G%<'f'm'o'r''''33333r} "#"$$g'''''''''''   ''  ,Cb <LD <+ud{:"\'7rGpfy(xh!&'N%$NN%l0t,-]0k5nlC8-ru*(Jl&4M.4eQbSNw `$0bf5d)lVj_MUp+L'zq07e(Udx..,aM3zl ~4^`.88^8`.^`5.^`.pp^p`.  ^ `.@ @ ^@ `.  ^ `.^`.N567:>*@B*CJEHOJPJQJRHd\]^J_H"aJphsH"tH"1.1..h^h`o(.^`OJPJQJ^J.0^`0o(...0^`0o(....  ^ `o( ..... @ ^@ `o( ...... `^``o(....... x`^x``o(........ H^H`o(.........^`o(.^`.L^`L.p^p`.@ ^@ `.L^`L.^`.^`.L^`L.N567:>*@B*CJEHOJPJQJRHd\]^J_H"aJphsH"tH"1.2..^`.^`.pp^p`.@ @ ^@ `.^`.^`.^`.^`.PP^P`. h^h`5^Jo()^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L.N567:>*@B*CJEHOJPJQJRHd\]^J_H"aJphsH"tH"1..^`o(.^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L.^`o(.^`.L^`L.g ^g `.7 ^7 `.L^`L.^`.^`.wL^w`L.N567:>*@B*CJEHOJPJQJRHd\]^J_H"aJphsH"tH"2.1..N567:>*@B*CJEHOJPJQJRHd\]^J_H"aJphsH"tH"-N567:>*@B*CJEHOJPJQJRHd\]^J_H"aJphsH"tH"-h^h`^Jo(. h^h`5^Jo(..0^`0^Jo(...0^`0^Jo(.... 8^8`^Jo( ..... 8^8`^Jo( ...... `^``^Jo(....... `^``^Jo(........ ^`^Jo(.........^`^Jo()t^t`^J.DL^D`L^J. ^ `^J. ^ `^J.L^`L^J.^`^J.T^T`^J.$L^$`L^J.^`o(.^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L.^`.^`.pp^p`.@ @ ^@ `.^`.^`.^`.^`.PP^P`.X^X`^JhH.^`^JhH.L^`L^JhH. ^ `^JhH. ^ `^JhH.TL^T`L^JhH.$^$`^JhH.^`^JhH.L^`L^JhH.^`CJOJQJo(^`CJOJQJo(opp^p`CJOJQJo(@ @ ^@ `CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(PP^P`CJOJQJo(^`5B*CJo(ph.^`.L^`L.g ^g `.7 ^7 `.L^`L.^`.^`.wL^w`L.^`o(.^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L.^`o(.^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L.e^e`o(. 5 ^5 `hH.  L^ `LhH. ^`hH. ^`hH. uL^u`LhH. E^E`hH. ^`hH. L^`LhH.^`.^`.pp^p`.@ @ ^@ `.^`.^`.^`.^`.PP^P`.^`OJPJQJ^Jo(-^`OJQJ^Jo(hHopp^p`OJQJo(hH@ @ ^@ `OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHoPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohP^P`OJQJo(hH *(JbS7r(Udx(Udx(Udx(Udx(Udx(Udx+u4eQMUpN%$,Cb x:"lC8t,0k50b)ldN%w ` w `l ~ LD L'zq4MGpfM3z .h .@ .p . . .év4éu1:ké"""""""""opP        """""""""Uk """""""""zUt """"""""""""""""""""""""""Ho.i `2yc8K^0i 4vn*zmk:\/@tB'tLhX?sF5yvn*zf2y27@{2Zrc, ow + M 0 } l Tg_)u @J<P7j~UH+P(}"3NbBb:O8 Z; j!s!oK# &>& '`n'`{( ).`. v.pI/04|122}3K4m4w4GQ5"7W8": W;)>+7AByBjB$C0DoErEJH5I9IV J[GJxJqKHL}L)NN%P>7Q_QF#RD0eo0"5>Iz>Sajv'+hT xT:V/^ B{{KMB1Xf8_9^gy?DL>F[PwFAlwz!~y uEHM;bLr?&KHfd\/&XNYShV\LDk4=)-K}a'5Z[l7u3,iaT"(/== -LfT\_x''@ &&&&7 ( 'JUnknown G.[x Times New Roman5Symbol3. .[x Arial7..{$ Calibri7$BCambriaiLiberation SerifTimes New Roman?= .Cx Courier New;WingdingsA$BCambria Math"1[E'{t9!G!G!70'' BqHX  $P%2!xx  >;L7>20B5;L;045;5Ft                     Oh+'0x  ( 4 @ LX`hp Normal.dotm 116Microsoft Office Word@ƺ@!@t6@! ՜.+,0 hp   diakov.netG'     !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKMNOPQRSUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry FM@Data L1TableTWordDocument 7SummaryInformation(DocumentSummaryInformation8MsoDataStore3PLFBC4VAVNWM==2Item  PropertiesUCompObj r   F Microsoft Word 97-2003 MSWordDocWord.Document.89q