ࡱ> U"fbjbjnn4paa4 4 <+M0MMMMMMM$ORp)M9%%%)MbM D D D%M D%M D DV[K@Lpdd'<K LxM0MKxRC RLLR3L b D!#)M)MD M%%%%R4 m :"" 2 4> B5=45@=>W 4>:C<5=B0FVW <548:>-"5E=VG=V 28<>38 ?> ?@54<5BC 70:C?V2;V 01>@0B>@=V @50:B828 (:>4  021:2015 48=>3> 70:C?V25;L=>3> A;>2=8:0 33690000-3 - V:0@AL:V 70A>18 @V7=V (33696500-0  01>@0B>@=V @50:B828)) $0:B>< ?>40==O B5=45@=>W ?@>?>78FVW CG0A=8: ?V4B25@46CT 2V4?>2V4=VABL A2>TW ?@>?>78FVW B5E=VG=8<, O:VA=8<, :V;L:VA=8<, DC=:FV>=0;L=8< E0@0:B5@8AB8:0< 4> ?@54<5B0 70:C?V2;V, C B><C G8A;V B5E=VG=V9 A?5F8DV:0FVW B0 V=H8< 28<>30< 4> ?@54<5B0 70:C?V2;V, I> <VABOBLAO 2 B5=45@=V9 4>:C<5=B0FVW B0 FL><C 4>40B:C.  <VAFOE, 45 B5E=VG=0 A?5F8DV:0FVO <VAB8BL ?>A8;0==O =0 :>=:@5B=V <0@:C G8 28@>1=8:0 01> =0 :>=:@5B=89 ?@>F5A, I> E0@0:B5@87CT ?@>4C:B ?52=>3> AC1 T:B0 3>A?>40@N20==O, G8 =0 B>@3>2V <0@:8, ?0B5=B8, B8?8 01> :>=:@5B=5 <VAF5 ?>E>465==O G8 A?>AV1 28@>1=8FB20, 22060B8 28@07 01> 5:2V20;5=B. "5E=VG=0 A?5F8DV:0FVO ?>28==0 <VAB8B8 >?8A CAVE =5>1EV4=8E E0@0:B5@8AB8: B>20@V2, I> 70:C?>2CNBLAO, C B><C G8A;V WE B5E=VG=V, DC=:FV>=0;L=V B0 O:VA=V E0@0:B5@8AB8:8. # @07V O:I> 28G5@?=89 >?8A E0@0:B5@8AB8: A:;0AB8 =5<>6;82>, B5E=VG=V A?5F8DV:0FVW <>6CBL <VAB8B8 ?>A8;0==O =0 AB0=40@B=V E0@0:B5@8AB8:8, B5E=VG=V @53;0<5=B8 B0 C<>28, 28<>38, C<>2=V ?>7=0G5==O B0 B5@<V=>;>3VN, ?>2 O70=V 7 B>20@0<8, I> 70:C?>2CNBLAO, ?5@5410G5=V VA=CNG8<8 <V6=0@>4=8<8, T2@>?59AL:8<8 AB0=40@B0<8, V=H8<8 A?V;L=8<8 B5E=VG=8<8 T2@>?59AL:8<8 =>@<0<8, V=H8<8 B5E=VG=8<8 5B0;>==8<8 A8AB5<0<8, 287=0=8<8 T2@>?59AL:8<8 >@30=0<8 7V AB0=40@B870FVW 01> =0FV>=0;L=8<8 AB0=40@B0<8, =>@<0<8 B0 ?@028;0<8. > :>6=>3> ?>A8;0==O ?>28=5= 4>4020B8AO 28@07 01> 5:2V20;5=B. /:I> #G0A=8:>< ?@>?>=CTBLAO 5:2V20;5=B B>20@C 4> B>3>, I> 28<030TBLAO 0<>2=8:><, 4>40B:>2> C A:;04V B5=45@=>W ?@>?>78FVW #G0A=8: =040T B01;8FN, A:;045=C 2 4>2V;L=V D>@<V, O:0 C ?>@V2=O;L=><C 283;O4V <VAB8BL 2V4><>ABV I>4> >A=>2=8E B5E=VG=8E B0 O:VA=8E E0@0:B5@8AB8: B>20@C, I> 28<030TBLAO 0<>2=8:>< 4> >A=>2=8E B5E=VG=8E B0 O:VA=8E E0@0:B5@8AB8: 5:2V20;5=B=>3> B>20@C, I> ?@>?>=CTBLAO #G0A=8:><. @8 FL><C O:VABL 70?@>?>=>20=>3> 5:2V20;5=BC B>20@C <0T 2V4?>2V40B8 O:>ABV, I> 70O2;5=0 C B5E=VG=V9 A?5F8DV:0FVW 0<>2=8:0. "01;8FO ?>28==0 <VAB8B8 B>G=C =072C B>20@C, O:0 ?@>?>=CTBLAO CG0A=8:><. # 28?04:C O:I> CG0A=8:>< 1C45 707=0G5=> =072C B>20@C, O:0 1C45 <VAB8B8 A;>2>A?>;CG5==O 01> 5:2V20;5=B, B5=45@=C ?@>?>78FVN B0:>3> CG0A=8:0 1C45 2V4E8;5=> O: B0:C, I> =5 2V4?>2V40T C<>20< B5E=VG=>W A?5F8DV:0FVW B0 V=H8< 28<>30< I>4> ?@54<5B0 70:C?V2;V B5=45@=>W 4>:C<5=B0FVW. # @07V, O:I> 70<>2=8: 28<030T <0@:C20==O, ?@>B>:>;8 28?@>1C20=L B0 A5@B8DV:0B8 ?>28==V 1CB8 2840=V >@30=0<8 7 >FV=:8 2V4?>2V4=>ABV, :><?5B5=B=VABL O:8E ?V4B25@465=0 H;OE>< 0:@548B0FVW 01> V=H8< A?>A>1><, 287=0G5=8< 70:>=>402AB2><. # @07V, O:I> CG0A=8: =5 <0T 2V4?>2V4=8E <0@:C20=L, ?@>B>:>;V2 28?@>1C20=L G8 A5@B8DV:0BV2, C @07V 2AB0=>2;5==O 28<>3 I>4> =040==O CG0A=8:>< <0@:C20=L, ?@>B>:>;V2 28?@>1C20=L G8 A5@B8DV:0BV2, V =5 <0T <>6;82>ABV >B@8<0B8 WE 4> 70:V=G5==O :V=F52>3> AB@>:C ?>40==O B5=45@=8E ?@>?>78FV9 V7 ?@8G8=, 2V4 =L>3> =5 70;56=8E, 2V= <>65 ?>40B8 B5E=VG=89 ?0A?>@B =0 ?V4B25@465==O 2V4?>2V4=>ABV B8< 65 >1 T:B82=8< :@8B5@VO<. 0<>2=8: 7>1>2 O70=89 @>73;O=CB8 B5E=VG=89 ?0A?>@B V 287=0G8B8, G8 A?@024V 2V= ?V4B25@46CT 2V4?>2V4=VABL CAB0=>2;5=8< 28<>30<, V7 >1@C=BC20==O< A2>3> @VH5==O. "5@<V= ?@840B=>ABV =0 <><5=B 4>AB02:8 ?>28=5= 1CB8 =5 <5=H5 80% 2V4 AB@>:C 283>B>2;5==O. ;O ?V4B25@465==O =040B8 30@0=BV9=89 ;8AB.  A:;04V B5=45@=>W 4>:C<5=B0FVW =040B8 4>:C<5=B, I> ?V4B25@46CT 2V4?>2V4=VABL <548G=8E 28@>1V2 28<>30< "5E=VG=>3> @53;0<5=BC I>4> <548G=8E 28@>1V2 4;O 4V03=>AB8:8 in vitro. 09<5=C20==O B>20@C>4 70  024:2023548:>-B5E=VG=V 28<>38 4> ?@54<5BC 70:C?V2;V48=8FO 28<V@CV;L:VABL1;0=V=0<V=>B@0=AD5@070 12052923-;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;V7$0AC20==O: 1- 5035=B - 5 x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in vitro), =01V@, D5@<5=B=89 A?5:B@>D>B><5B@8G=89 0=0;V7$0AC20==O: 1- 5035=B - 5 x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in vitro)7>B=0 :8A;>B0, HNO3 <VAB >A=>2=>W @5G>28=8 - e" 56,0 % 0@0=BV9=89 B5@<V= 715@V30==O  6 <VAOFV2 7 4=O 283>B>2;5==O $0AC20==O: 1,4:3\D;D;0:>=24<V;070 3052940 - 030;L=0 0<V;070 IVD (4V03=>AB8:0 in vitro), =01V@, D5@<5=B=89 A?5:B@>D>B><5B@8G=89 0=0;V7;;LD0-0<V;070 <0T 287=0G0B8AL =0 1V>EV<VG=><C 0=0;V70B>@V <5B>4>< 7 28:>@8AB0==O< 2-E;>@>-4-=VB@>D5=V;1--<0;LB>B@V>784>< (CNP-G3) C :>=F5=B@0FVW 2,27 <<>;L/;. 'CB;82VABL: =5 28I5 O: 2,5 4/;. V=V9=VABL: =5 <5=H5 O: 4> 1500 4/;. 5035=B8 <0NBL 1CB8 ?@840B=8<8 4> :V=FO B5@<V=C ?@840B=>ABV 707=0G5=>3> =0 C?0:>2FV ?@8 715@V30==V 2  8C. 5035=B8 <0NBL 1CB8 AB01V;L=8<8 =0 1>@BC 0=0;V70B>@0 =5 <5=H5 12 B86=V2 ?@8 2  10C. 5<>3;>1V= 4> 2,5 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. $0AC20==O: R1: 6E30 <;=01V@25=B835= :0@4V>;V?V=>289 4;O @50:FVW <V:@>?@5F8?VB0FVW51819- Treponema pallidum reagin antibody IVD (4V03=>AB8:0 in vitro), =01V@, @50:FVO 03;NB8=0FVW01V@ 28O2;OT 0=B8BV;0 4> 71C4=8:0 A8DV;VAC B0 @>7@0E>20=89 =5 <5=H5 =V6 =0 500 4>A;V465=L. 01V@ O2;OT A>1>N @>7G8= B@L>E 28A>:>>G8I5=8E ;V?V4V2: :0@4V>;V?V=C, ;5F8B8=C, E>;5AB5@8=C 2 01A>;NB>20=><C 5B8;>2><C A?8@BV. @>7>@89 15710@2=89 @>7G8= 7V A?5F8DVG=8< 70?0E>< A?8@BC. >?CA:0TBLAO 28?040==O :@8AB0;V2 E>;5AB5@8=C ?@8 B5<?5@0BC@V =86G5 10 !, O:V ;53:> @>7G8=ONBLAO ?@8 B5<?5@0BC@V (37 1) !. 01V@ A:;040B8AO 7: 1.) 0@4V>;V?V=>289 0=B835=.1 <; ?@5?0@0BC <VAB8BL: :0@4V>;V?V=  0,03 %, ;5F8B8=  0,27 %, E>;5AB5@8=  0,9 % 2.) >7G8= E>;V=-E;>@84C: E>;V=-E;>@84 - 70%, =0B@VN E;>@84. 3.) >78B82=89 :>=B@>;L (A;01>?>78B82=89, @V4:89), 3>B>289 4> 28:>@8AB0==O - V=0:B82>20=V A?5F8DVG=V V<C=>3;>1C;V=8 ;N48=8, I> <VAB8BL @503V=>2V 0=B8BV;0 4> 0=B835=V2 T.pallidum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in vitro), :><?;5:B, A?5:B@>D>B>-<5B@VO01V@ 4;O 287=0G5==O ?@O<>3> B0 7030;L=>3> 1V;V@C1V=C C A8@>20BFV :@>2V (70 <5B>4>< =4@0H8:0). 01V@ @>7@0E>20=89 =0 110 287=0G5=L (55 287=0G5=L ?@O<>3> B0 55 7030;L=>3> 1V;V@C1V=C) ?@8 28B@0BV @>1>G>3> @>7G8=C =0 287=0G5==O 2V4?>2V4=> FVTW <5B>48:8. V0?07>= 287=0G0T<8E :>=F5=B@0FV9 - 2V4 2 <3/; 4> 200 <3/; (2V4 3,4 <:<>;L/; 4> 340 <:<>;L/;). >5DVFVT=B 20@V0FVW 287=0G5==O - =5 1V;LH5 5 %.15@V30==O =01>@C- ?@8 B5<?5@0BC@V 2V4+2 4> +16! 0@0=BV9=89 B5@<V= ?@840B=>ABV -24 <VAOFV2 2V4 4=O 283>B>2;5==O. !:;04 =01>@C: 1. >7G8= AC;LD0=V;>2>W :8A;>B8 -1D;0:>= (50+2)<; 2.>D5W=>289 @50:B82 (:>=F5=B@0B)- 2 D;0:>=8 (50+2)<; 3. >7G8= =VB@8BC =0B@VN 350 <<>;L\;- 10<?C;0 (5,0+0,3)<;=01V@15701V@ @50:B82V2 4;O ?@83>BC20==O :0;V1@C20;L=8E @>7G8=V2 7030;L=>3> 1V;V@C1V=C41830 030;L=89 1V;V@C1V= IVD (4V03=>AB8:0 in vitro ), :0;V1@0B>@01V@ @>7@0E>20=89 =0 ?@83>BC20==O 10 :0;V1@C20;L=8E @>7G8=V2 >1'T<>< ?> 2 <;. V0?07>= :0;V1@C20;L=8E :>=F5=B@0FV9 2V4 15 <:<>;L/; 4> 240 <:<>;L/;. >5DVFVT=B 20@V0FVW :>=F5=B@0FVW  =5 1V;LH5 5 %. 15@V30==O =01>@C  ?@8 B5<?5@0BC@V 2V4 ?;NA 2 ! 4> ?;NA 16 !. 0@0=BV9=89 B5@<V= ?@840B=>ABV =01>@C  12 <VAOFV2 2V4 4=O 283>B>2;5==O. !:;04 =01>@C: 1.V>DV;V7>20=89 0;L1C<V= 4;O ?@83>BC20==O 8 <; :0;V1@C20;L=>3> @>7G8=C (20 +/-1) 3/; 01> @>7G8= 0;L1C<V=C (20 +/-1) 3/;- 2D;; 2.V>DV;V7>20=89 1V;V@C1V= 7 0;L1C<V=>< 4;O ?@83>BC20==O 4 <; :0;V1@C20;L=>3> @>7G8=C 0 <:<>;L/; 01> @>7G8= 1V;V@C1V=C 0 <:<>;L/; 7 0;L1C<V=><- 2D;.=01V@2801V@ 4;O 287=0G5==O :>=F5=B@0FVW 3;N:>78 C 1V>;>3VG=8E @V48=0E 3;N:>7>>:A8407=8< <5B>4>< ;N:>70  $53301- ;N:>70 IVD (4V03=>AB8:0 in vitro), =01V@, D5@<5=B=89 A?5:B@>D>B>-<5B@8G=89 0=0;V701V@ 70AB>A>2CTBLAO 4;O 287=0G5==O :>=F5=B@0FVW 3;N:>78 C FV;L=V9 :@>2V (?707<V), A8@>20BFV :@>2V, A5GV B0 A?8==><>7:>2V9 @V48=8 (! ) ;N48=8 2 :;V=V:>-4V03=>AB8G=8E V 1V>EV<VG=8E ;01>@0B>@VOE V =0C:>2>-4>A;V4=8FL:V9 ?@0:B8FV. 01V@ @>7@0E>20=89 =0 50 <0:@>-, 100 =0?V2<V:@>- G8 200 <V:@>287=0G5=L (AC<0@=89 >1'T< @>1>G>3> @>7G8=C 200 <;) 7 C@0EC20==O< E>;>AB8E B0 :0;V1@C20;L=8E ?@>1. V0?07>= 287=0G0T<8E :>=F5=B@0FV9 - 2V4 0,056 <<>;L/; 4> 25 <<>;L/; 01> 2V4 10 <3/; 4> 4500 <3/;. >5DVFVT=B 20@V0FVW 287=0G5==O - =5 1V;LH5 5 %.. 15@V30==O =01>@C  ?@8 B5<?5@0BC@V 2V4 +2 C 4> + 16 C. 0@0=BV9=89 B5@<V= ?@840B=>ABV =01>@C  24 <VAOFO 2V4 4=O 283>B>2;5==O. !:;04 =01>@C: 1.=78<8 (@>7G8=)  1 D;0:>= 7 (100 2 ) <; 01> 2 D;0:>=8 ?> (50 2)<;; - ?5@>:A84070 (2200 220) U/;; -,D-3;N:>7>>:A84070 (180001800) U/;; - 4-0<V=>D5=07>= (110 11) <3/;; - AB01V;V70B>@8, 0:B820B>@8. 2. CD5@=89 @>7G8= - 1 D;0:>= 7 (100 2) <; 01> 2 D;0:>=8 ?> (50 2) <;; -D>AD0B=89 1CD5@ (@ 7,2-7,34) (0,10 0,01) <>;L/;; - D5=>; (190 19) <3/;; - AB01V;V70B>@8. 3. =B8:>03C;O=B  1 D;0:>= 01> ?0:5B; 4. 0;V1@C20;L=89 @>7G8= 3;N:>78 (10,0 0,5) <<>;L/;  1 0<?C;0 7 (5,0 0,5 <;) 01> (1802 90) <3/;.=01V@489"5AB-A<C6:8 =0 11 ?>:07=8:V2 54514 - '8A;5==V 0=0;VB8 A5GV IVD (4V03=>AB8:0 in vitro), =01V@, :>;>@8<5B@8G=0 B5AB-A<C6:0, 5:A?@5A-0=0;V7#?0:>2:0 <VAB8BL 100 HBC: A<C6>: :>6=0 7 O:8E @>7@0E>20=0 =0 11 ?>:07=8:V2: ASC/GLU/BIL/KET/SG/BLO/PH/PRO/URO/NIT/LEU. !<C6:8 <0NBL AC<VA=V 7 0=0;V70B>@>< A5GV Mission. !C<VA=VABL ?V4B25@46CTBLAO >@83V=0;>< ;8AB0 2V4 28@>1=8:0 01> 9>3> >DVFV9=>3> 48AB@81 NB>@0 (?@54AB02=8:0) 2 #:@0W=V.C?0:>2:06510$0@10 ?> ><0=>2AL:><C44946 - $0@1C20==O 70 ><0=>2AL:8<, IVD (4V03=>AB8:0 in vitro), =01V@010@2;N20G 07C@-5>78= 70 ><0=>2AL:8<: 7C@-5>78= 70 ><0=>2AL:8<: 1E1000<;; >=F5=B@>20=89 1CD5@=89 @>7G8=: 1E100<;D;0:>=111101V@ @5035=BV2 4;O 287=0G5==O :V;L:>ABV 7030;L=>3> 1V;:0 2 A8@>20BFV 01> ?;07<V :@>2V 61900-030;L=89 1V;>: IVD (4V03=>AB8:0 in vitro), =01V@, A?5:B@>D>B><5B@8G=89 0=0;V7, I !? !:;04 =01>@C 1. 5035=B 1. 0B@V9 :0;VN B0@B@0B - 15 <<>;L /;; =0B@V9 9>484 - 100 <<>;L/;; :0;VN 9>484 - 5 <<>;L/;; AC;LD0B <V4V (II) - 19 <<>;L/;. 2. !B0=40@B. >7G8= 0;L1C<V=C - 70 3/;. =0;VB8G=V E0@0:B5@8AB8:8 1. V=V9=VABL 28<V@N20;L=>3> 4V0?07>=C: 2V4 =86=L>W <56V 5 3/; 4> 150 3/;. 2. 'CB;82VABL =5 <5=H 5 3/;. 3. >5DVFVT=B 20@V0FVW @57C;LB0BV2 287=0G5=L  =5 1V;LH 3%. $0A>2:0: 1 1E250 <; !B0=40@B 1E5 <;=01V@512V;>: 7030;L=89 6061900 - 030;L=89 1V;>: IVD (4V03=>AB8:0 in vitro), =01V@, A?5:B@>D>B><5B@8G=89 0=0;V7$0AC20==O: 1- 5035=B - 6 x 60 <;, 2-!B0=40@B  1E2 <;. 5B>4 70A=>20=89 =0 1VC@5B>2V9 @50:FVW. 560 28O2;5==O (LoD) =5 28I5 0,05 3/4;. 560 :V;L:VA=>3> 287=0G5==O (LOQ): =5 28I5 O: 0,15 3/4;. V=V9=VABL: =5 <5=H5 O: 19 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 2 - 8C, 0 =0 1>@BC 0?0@0BC ?@8 B5<?5@0BC@V 2 - 10C AB01V;L=8<8 =5 <5=H5 11 B86=V2.=01V@7130@V@ @50:B82V2 010@2;5==O 70 &V;5<-V;LA5=><42694 0@2=8: 4;O :8A;>B>ABV9:8E 10:B5@V9, =01V@, IVD (4V03=>AB8:0 in vitro )01V@ @>7@0E>20=89 =0 ?@>2545==O 2000=0;V7V2. !:;04 =01>@C: 0@1>;>289 @>7G8= DC:A8=C -1D;0:>= (1000+4)<; =510@2;NNG89 @>7G8= 1  1D;0:>= (1000+4)<; =510@2;NNG89 @>7G8= 2  1D;0:>= (1000+4)<; >7G8= <5B8;5=>2>3> A8=L>3> -1 D;0:>= (1000+4)<;=01V@214"@83;VF5@848 6053460- "@83;VF5@848 IVD (4V03=>AB8:0 in vitro), =01V@, 5@<5=B=89 A?5:B@>D>B><5B@8G=89 0=0;V7$0AC20==O: 1- 5035=B - 5 x 48 <;, 2  5035=B  1 E 60 <;. 5B>4 :>;>@8<5B@8G=89, D5@<5=B0B82=89 7 3;VF5@>D>AD>@=>N >:A8407>N. 'CB;82VABL: =5 28I5 O: 11,5 <3/4;. V=V9=VABL: =5 <5=H5 O: 2000 <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 2 - 8C, 0 =0 1>@BC 0?0@0BC ?@8 B5<?5@0BC@V 2 - 10C AB01V;L=8<8 =5 <5=H5 10 B86=V2.=01V@915V03=>AB8G=V B5AB A<C6:8 4;O =0?V2:V;L:VA=>3> 287=0G5==O :5B>=>28E BV; 2 A5GV54519- 5B>=8 A5GV IVD (4V03=>AB8:0 in vitro), =01V@, :>;>@8<5B@8G=0 B5AB-A<C6:0, 5:A?@5A-0=0;V7 V03=>AB8G=V B5AB A<C6:8 5B>D0= ?@87=0G5=V 4;O =0?V2:V;L:VA=>3> 0=0;V7C A5GV. $0A>2:0-50 B5AB>28E A<C6>: 2 C?0:>2FV. 5B>D0= ?@87=0G5=89 4;O 287=0G5==O :5B>=>28E BV; 2 A5GV. V03=>AB8G=V B5AB A<C6:8 ?@87=0G5=V BV;L:8 4;O in vitro 4V03=>AB8:8 ?@>D5AV9=> =02G5=8< ?5@A>=0;><. 15@V30B8 2 IV;L=> 70:@8BV9 702>4AL:V9 B0@V 2 ACE><C V B5<=><C <VAFV (7 +2 C 4> + 30 C). !<C6:8 A;V4 >E>@>=OB8 2V4 2>;>3>3> ?>2VB@O, ?@O<>3> A>=OG=>3> A2VB;0, ?V428I5=>W B5<?5@0BC@8 V EV<VG=8E 28?0@V2 C ;01>@0B>@VW.C?0:>2:0616@50B8=V= 6053251 - @50B8=V= IVD (4V03=>AB8:0 in vitro), =01V@, A?5:B@>D>B><5B@8G=89 0=0;V7$0AC20==O: 1- 5035=B - 5 x 48 <;, 2  5035=B  1 E 60 <;. >48DV:0FVO <5B>4C /DD5 157 45?@>B5W=V70FVW. 560 28O2;5==O (LoD) =5 28I5 0,04 <3/4;. 560 :V;L:VA=>3> 287=0G5==O (LOQ): =5 28I5 O: 0,6 <3/4;. V=V9=VABL: =5 <5=H5 O: 17,5 <3/4;. @8 B5<?5@0BC@V 715@V30==O 2 - 8C, @>1>G89 @50:B82 <0T 1CB8 AB01V;L=89 =5 <5=H5 4 B86=V, 0 ?@8 B5<?5@0BC@V 715@V30==O 15 - 25C - =5 <5=H5 7 4=V2.=01V@817>@<0;L=0 :>=B@>;L=0 ?;07<0 (NCP)55995 '8A;5==V G8==8:8 7AV40==O IVD (4V03=>AB8:0 in vitro ), :0;V1@0B>@@87=0G5=> C O:>ABV <0B5@V0;C 4;O ?@>2545==O :>=B@>;N O:>ABV 2 B5AB0E A8AB5<8 35<>AB07C 28@>1=8FB20 Taizhou Steellex Biotech Co. !CE89 ?>@>H>:. $0AC20==O: 1<;/D;=01V@6180B>;>3VG=0 :>=B@>;L=0 ?;07<0 (NCP)55995 '8A;5==V G8==8:8 7AV40==O IVD (4V03=>AB8:0 in vitro ), :0;V1@0B>@@87=0G5=> C O:>ABV <0B5@V0;C 4;O ?@>2545==O :>=B@>;N O:>ABV 2 B5AB0E A8AB5<8 35<>AB07C 28@>1=8FB20 Taizhou Steellex Biotech Co. !CE89 ?>@>H>:. $0AC20==O: 1<;/D;=01V@41901V@ $V1@V=>35=55997-$V1@8=>35= (G8==8: ) IVD (4V03=>AB8:0 in vitro), =01V@, 0=0;V7 CB2>@5==O 73CAB:CFIB @5035=B (R1): 5:><1V=0=B=89 B@><1V= (;87L:> 100 IU/ml), 0,2% 0784 =0B@VN,  , 48AB8;L>20=0 2>40. FIB Buffer (R2): V<V407>;C 1CD5@=89 @>7G8= (IBS) - A>;L>289 @>7G8= V<V407>;>2>3> 1CD5@0 (@ 7,2 0,2), 0,2% 0784 =0B@VN 2 O:>ABV :>=A5@20=BC,  , 48AB8;L>20=0 2>40. 5035=B8 3>B>2V 4> 70AB>AC20==O. $0AC20==O: R1 5D; E 2<;; R2 3D; E 30<;. (200 B5ABV2).=01V@62001V@ :B82>20=89 G0AB:>289 B@><1>?;0AB8=>289 G0A55981- :B82>20=89 G0AB:>289 B@><1>?;0AB8=>289 G0A IVD (4V03=>AB8:0 in vitro), =01V@, 0=0;V7 CB2>@5==O 73CAB:CAPTT @5035=B (R1) ('"' @5035=B): 5;03>20 :8A;>B0 0,3%, D>AD>;V?V48 A>W, 0,2% 0784 =0B@VN, 1CD5@ 3%,  , 48AB8;L>20=0 2>40; CaCl2 (R2): :0;LFV9 E;>@VAB89 0,025<, 48AB8;L>20=0 2>40. 5035=B8 3>B>2V 4> 70AB>AC20==O. $0AC20==O: R1 5D; E 2<;; R2 5D; E 2<;. (200 B5ABV2)=01V@42101V@ @>B@><1V=>289 G0A30591- 01V@ @5035=BV2 4;O 28<V@N20==O ?@>B@><1V=>2>3> G0AC (') IVD (4V03=>AB8:0 in vitro) " @5035=B (R1): 5:><1V=0=B=89 B@><1>?;0AB8=, CaCI2 0,025 , NaCl, 1CD5@ 3%, 0784 =0B@VN 0,2%, AB01V;V70B>@8,  , 48AB8;L>20=0 2>40. 5035=B 3>B>289 4> 70AB>AC20==O V =5 ?>B@51CT @>72545==O. $0AC20==O 10D; E 5 <;. (500 B5ABV2)=01V@12228A;>B0 >F8B>20 ;L>4O=055803 - "@8E;>@>FB>20 :8A;>B0 IVD (4V03=>AB8:0 in vitro), =01V@, D5@<5=B=89 A?5:B@>D>B><5B@8G=89 0=0;V7@30=VG=0 A?>;C:0. @>7>@0 15710@2=0 @V48=0 7 W4:8< 70?0E><. $0AC20==O: 1:3\D;D;0:>=223;VO V<5@AV9=0, 100<;62690 - 0@'T@=5 <0AB8;> 4;O 28:>@8AB0==O 2 <>;5:C;O@=V9 1V>;>3VW IVD (4V03=>AB8:0 in vitro)<5@AV9=0 >;VO 4;O <V:@>A:>?VW. 15@V30==O =01>@C - ?@8 B5<?5@0BC@V 2V4 ?;NA 15 ! 4> ?;NA 25 !. 5 715@V30B8 2 E>;>4=8E <VAFOE, =5 70<>@>6C20B8 V C=8:0B8 2?;82C ?@O<8E A>=OG=8E ?@><5=V2. 0@0=BV9=89 B5@<V= ?@840B=>ABV =01>@C - 24 <VAOFV 2V4 4=O 283>B>2;5==O !:;04 =01>@C: 1D; *100<; 5035=B 3>B>289 4> 28:>@8AB0==OD;0:>=824!5G>28=0, 25053587 !5G>28=0 (Urea) 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 A5G>28=8 (480F5B8;<>=>>:A8<=89 <5B>4) 250 287=0G5=L !:;04 =01>@C: 1. 5035=B ! 1 - 500 <; 2. 5035=B ! 2 -250 <; 3. !B0=40@B A5G>28=8 16,65 </;  3 <;=01V@325!5G>28=0 12053587 - !5G>28=0 (Urea) IVD (4V03=>AB8:0 in vitro), =01V@, D5@<5=B=89 A?5:B@>D>B><5B@8G-=89 0=0;V7$0AC20==O: 1- 5035=B - 5 x 96 <;, 2- 5035=B  1 E 120 <;. V=5B8G=89, D5@<5=B0B82=89 <5B>4 7 C@507>N V 3;CB0<0B453V4@>35=07>N. 560 28O2;5==O (LoD) =5 28I5 2,1 <3/4;. 560 :V;L:VA=>3> 287=0G5==O (LOQ): =5 28I5 O: 4,5 <3/4;. V=V9=VABL: =5 <5=H5 O: 250 <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 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.=01V@1126V03=>AB8:C< 4;O 28O2;5==O !-@50:B82=>3> 1V;:C 2 A8@>20BFV :@>2V ;N48=8 200 287=0G5=L 63234 -C-@50:B82=89 1V;>: (CRP) IVD (4V03=>AB8:0 in vitro), =01V@, 03;NB8=0FVO, 5:A?@5A0=0;V701V@ @>7@0E>20=89 =0 200 287=0G5=L 7 C@0EC20==O< E>;>AB8E ?@>1 ?@8 28B@0BV @>1>G>3> @>7G8=C 2V4?>2V4=>. !:;04 =01>@C: 1. 5035=B 1. 0B5:A=0 ACA?5=7VO, 2 <; (1HB) 2. 5035=B 2. >7G8==8:, 14 <; (1 HB) 3. 5035=B 3. >78B82=89 :>=B@>;L, O:89 <VAB8BL !  1V;LH 6 <3/1 <3/;, 0,2 <; (1 HB) 4. 5035=B 4. 530B82=89 :>=B@>;L, O:89 <VAB8BL !  <5=H 6 <3/1 <3/;, 0,2 <; (1 HB) 5. 0;8G:8 4;O @>7<VHC20==O A8@>20B>: (100HB) 6. "5AB>289 A;094 (2HB) 7. =AB@C:FVO 7 28:>@8AB0==O 8. 0A?>@B 0@0=BV9=89 B5@<V= 715@V30==O AB0=>28BL 12 <VAOFV2 7 4=O 283>B>2;5==O =01>@C. 01V@ ?>28=5= 715@V30B8AO ?@8 B5<?5@0BC@V 2V4 +4 C 4> + 10 C. 5 4>?CA:0TBLAO 70<>@>65==O.=01V@8278A;>B0 AC;LD>A0;VF8;>2053523 - 5-0<V=>;52C;V=0B 453V4@0B078 IVD (4V03=>AB8:0 in vitro), =01V@, A?5:B@>D>B><5B@8G=89 0=0;V7!C;LD0A0;VF8;>20 :8A;>B0, HO3S(HO)C6H3COOH x 2H20 <VAB >A=>2=>W @5G>28=8 - e" 99-104 %. V;L=0 :8A;>B0 - d" 5,5 %. >40 - d" 22 % 0@0=BV9=89 B5@<V= 715@V30==O  3 @>:8 7 4=O 283>B>2;5==O.:30,528"@><1>?;0AB8=55982-:B82>20=89 G0AB:>289 B@><1>?;0AB8=>289 G0A IVD (4V03=>AB8:0 in vitro), @5035=B"@><1>?;0AB8= 28:>@8AB>2CTBLAO 4;O 287=0G5==O ?@>B@><1V=>2>3> G0AC (?@>B@><1V=V2 V=45:A) ?;07<8 :@>2V ( <5B>4 2V:0). !:;04: "@><1>?;0AB8=, 1 3 =AB@C:FVO ?> 28:>@8AB0==N  1 HB "@><1>?;0AB8= 715@V30NBL ?@8 B5<?5@0BC@V +2 C 4> + 20 C. "5@<V= 715@V30==O B@><1>?;0AB8=C  1 @V:.D;0:>=629%>;5AB5@8= 6053359- 030;L=89 E>;5AB5@8= IVD (4V03=>AB8:0 in vitro), =01V@, D5@<5=B=89 A?5:B@>D>B><5B@8G=89 0=0;V7$0AC20==O: 1- 5035=B - 6 x 60 <;, 2-!B0=40@B  1E2 <;. 5B>4 :>;>@8<5B@8G=89, 5=78<0B8G=89 7 5AB5@07>N V >:A8407>N E>;5AB5@8=C (CHOD/PAP). 'CB;82VABL: =5 28I5 O: 13 FHv . r6nϷog[OD[D6*h]hvS5OJQJh]hvS>*OJQJ\h]hvSOJQJh]hvSOJQJ]h]hvSOJQJ\h]hvS\"h]hvS5CJOJQJ\aJh]hvS5OJQJ\h]hvS5\h]h]5OJQJ^Jh]h]5;OJQJ^J/h]hvS6B*CJOJQJ]^JaJph/h]h]6B*CJOJQJ]^JaJph/h]h]5B*CJOJQJ]^JaJphHv . r6J!V"## $da$gdvS$d-DM `a$gdvS$d-DM `a$gdvS$d-DM a$gdvS $da$gd]$a$gd]l FTJJ!R"V"#####$Z$\$$$r^M@h]hH]OJQJ^J h]hvSOJQJ^JnHtH&h]hvS5OJQJ\^JnHtH2h]hvS5KHOJPJQJ\^J_H9nHtHh]hvS5OJQJ^J#h]hvS5CJOJQJ^JaJ h]h8h]hvSOJQJ^Jh]h8OJQJ^Jh]hvS6>*OJQJh]hvS>*OJQJ]h]hvS>*OJQJh]hvSOJQJ####$\$z$$$d$*$8$Ifa$gdH]$ 7d$Ifa$gdH]m$$$$$l%P9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd$$IfT ֈA Z n$I(622 l44  aytH]T$$$$%)))))))** / //////4/ɴzɴzhU$h]hw5B*OJQJ^Jph#h]hw5CJOJQJ^JaJh]hH]OJQJ^Jh]h0V5OJQJ^Jh]hvS5OJQJ^J h]hvSOJQJ^JnH tH (h]hvSCJOJQJ^JaJnH tH #h]hvS5OJQJ^JnH tH #h]hvS5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJl%%&>')))$ 7d$Ifa$gdH]m$$d$Ifa$gdH])))*"*P9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd$$IfT ֈA Z n$I(622 l44  aytH]T"*`***h+,. //$ 7d$Ifa$gdH]m$$d$Ifa$gdH]///4//P9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd $$IfT ֈA Z n$I(622 l44  aytH]T4///0000000 11޸{iWE0(h]hvSCJOJQJ^JaJnH tH #h]hvS5OJQJ^JnH tH #h]hvS5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]hw5OJQJ^J h]h~JOJQJ^JnH tH  h]hwOJQJ^JnH tH Kh]hwB*CJOJQJ^JaJeh@fHphq r@Bh]hwCJOJQJ^JaJeh@fHq r@ //:00000$ 7d$Ifa$gdH]m$$d$Ifa$gdH]000+$ 7d$Ifa$gdH]m$kd$$IfT ֈA Z n$I( 622 l44  apytH]T0 113X33,5\6666$ 7d$Ifa$gdH]m$$d$Ifa$gdH] 1666666 777C CCCCCC C"CñxcRRDñ2#h]hIy5CJOJQJ^JaJh]h0V5OJQJ^J h]hIyOJQJ^JnH tH (h]hvSCJOJQJ^JaJnH tH (h]hIyCJOJQJ^JaJnH tH #h]hvS5OJQJ^JnH tH #h]hvS5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]hvS5OJQJ^J h]hvSOJQJ^JnH tH  h]hOJQJ^JnH tH 666 77P9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd$$IfT ֈA Z n$I(622 l44  aytH]T779:;;t<=>>AtB CCC$ 7d$Ifa$gdH]m$$d$Ifa$gdH] CC"CCDP9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd$$IfT ֈA Z n$I(622 l44  aytH]T"CCDJ J"J$J&J(JJJJK.PeJeNe$d$Ifa$gdH]$$Ifa$gdH]$ 7d$Ifa$gdH]m$NePeVe+$ 7d$Ifa$gdH]m$kd{$$IfT ֈA Z n$I( 622 l44  apytH]TTeVe|e(f*fiiiiiiijƱweSE0(h]hjCJOJQJ^JaJnH tH h]hj5OJQJ^J#h]hj5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]hvS5OJQJ^Jh]hw C5OJQJ^J h]hvSOJQJ^JnH tH (h]hvSCJOJQJ^JaJnH tH (h]hw CCJOJQJ^JaJnH tH #h]hvS5OJQJ^JnH tH #h]hvS5CJOJQJ^JaJ Ve|e*ffgtiii$ 7d$Ifa$gdH]m$$d$Ifa$gdH]iiiiP9- $$Ifa$gdH]$ 7d$Ifa$gdH]m$kdV$$IfT ֈA Z n$I(622 l44  aytH]Ti0jZjjjk^kklpl|ll$ 7d$Ifa$gdH]m$$d$Ifa$gdH] j|llllll`mbmpppppp°tcUG5#h]hw5CJOJQJ^JaJh]hvS5OJQJ^Jh]hw5OJQJ^J h]hvSOJQJ^JnH tH (h]hvSCJOJQJ^JaJnH tH (h]hwCJOJQJ^JaJnH tH #h]hvS5OJQJ^JnH tH #h]hvS5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]hj5OJQJ^J h]hjOJQJ^JnH tH llllbmP9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd$$IfT ֈA Z n$I(622 l44  aytH]Tbmmbnxppp$ 7d$Ifa$gdH]m$$d$Ifa$gdH]ppp,q:qP9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kdv$$IfT ֈA Z n$I(622 l44  aytH]Tp,qquuuuuvvvyyyyyǹvaL;-h]hvS5OJQJ^J h]hvSOJQJ^JnH tH (h]hvSCJOJQJ^JaJnH tH (h]hwCJOJQJ^JaJnH tH #h]hvS5OJQJ^JnH tH #h]hvS5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]hw5OJQJ^J h]hwOJQJ^JnH tH )h]hwB*CJOJQJ^JaJph$h]hw5B*OJQJ^Jph:qqqrruuu$ 7d$Ifa$gdH]m$$d$Ifa$gdH]uuu+$ 7d$Ifa$gdH]m$kd $$IfT ֈA Z n$I( 622 l44  apytH]Tuvvwxwxyyy$ 7d$Ifa$gdH]m$$d$Ifa$gdH]yyyyzP9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd $$IfT ֈA Z n$I(622 l44  aytH]Tyyzz{{{{{>||~"~$~(~*~L~~ց؁ځ܁F&ƵƵƵzhVA(h]h~JCJOJQJ^JaJnH tH #h]h~J5OJQJ^JnH tH #h]h~J5CJOJQJ^JaJh]h~J5OJQJ^J#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]h15OJQJ^J h]h1OJQJ^JnH tH (h]h1CJOJQJ^JaJnH tH #h]h15OJQJ^JnH tH #h]h15CJOJQJ^JaJzz{{{{{$ 7d$Ifa$gdH]m$$d$Ifa$gdH]{{{0|>|P9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kdq $$IfT ֈA Z n$I(622 l44  aytH]T>||}}~~"~$ 7d$Ifa$gdH]m$$d$Ifa$gdH]"~$~*~L~~P9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd $$IfT ֈA Z n$I(622 l44  aytH]T~^ʁցځ$ 7d$Ifa$gdH]m$$d$Ifa$gdH]ځ܁F&P9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd $$IfT ֈA Z n$I(622 l44  aytH]T&"؄(BNR$ 7d$Ifa$gdH]m$$d$Ifa$gdH]&NRTXZD "&(X(։ډ܉°°xfXh]h&5OJQJ^J#h]h&5CJOJQJ^JaJ h]h~JCJOJQJ^JaJ(h]h~JCJOJQJ^JaJnH tH #h]h~J5OJQJ^JnH tH #h]h~J5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]h~J5OJQJ^J h]h~JOJQJ^JnH tH RTZDP9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd! $$IfT ֈA Z n$I(622 l44  aytH]TDRƇ $ 7d$Ifa$gdH]m$$d$Ifa$gdH] "(X(P9-- $$Ifa$gdH]$ 7d$Ifa$gdH]m$kd $$IfT ֈA Z n$I(622 l44  aytH]T(ȉ։ډ$ 7d$Ifa$gdH]m$$d$Ifa$gdH]ډ܉ȊP9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kdA $$IfT ֈA Z n$I(622 l44  aytH]TȊPTVZ\x:ƏȺwbȺP>b#h]hvS5OJQJ^JnH tH #h]hvS5CJOJQJ^JaJ(h]h&CJOJQJ^JaJnH tH #h]h&5OJQJ^JnH tH #h]h&5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]h&5OJQJ^J h]h&OJQJ^JnH tH Kh]h&B*CJOJQJ^JaJeh@fHphq r@ȊBЌBPT$ 7d$Ifa$gdH]m$$d$Ifa$gdH]TV\+$ 7d$Ifa$gdH]m$kd $$IfT ֈA Z n$I( 622 l44  apytH]T\xލ,:̎F$ 7d$Ifa$gdH]m$$d$Ifa$gdH]ƏP9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd$$IfT ֈA Z n$I(622 l44  aytH]T&*,.24ĚȚʚΚКʛHPRVXt"̾|ḵ|ḵEKh]h&B*CJOJQJ^JaJeh@fHphq r@ h]h&OJQJ^JnH tH  h]h&CJOJQJ^JaJ#h]h&5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]hvS5OJQJ^Jh]h&5OJQJ^J h]hvSOJQJ^JnH tH (h]hvSCJOJQJ^JaJnH tH &,$ 7d$Ifa$gdH]m$$d$Ifa$gdH],.4P9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd<$$IfT ֈA Z n$I(622 l44  aytH]Tr4ޗLbĚȚ$ 7d$Ifa$gdH]m$$d$Ifa$gdH]ȚʚК+$ 7d$Ifa$gdH]m$kd$$IfT ֈA Z n$I( 622 l44  apytH]TКʛ.ʜBHP$ 7d$Ifa$gdH]m$$d$Ifa$gdH]PRX+$ 7d$Ifa$gdH]m$kd$$IfT ֈA Z n$I( 622 l44  apytH]TXt$DR`d$ 7d$Ifa$gdH]m$$d$Ifa$gdH] "$`bdfhjlTV<==}kVA0.0U h]hvSOJQJ^JnH tH (h]hvSCJOJQJ^JaJnH tH (h]hmCJOJQJ^JaJnH tH #h]hvS5OJQJ^JnH tH #h]hvS5CJOJQJ^JaJ#h]hH]5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]h&5OJQJ^Jh]hm5OJQJ^J h]h&OJQJ^JnH tH #h]h&6CJOJQJ^JaJdfl+$ 7d$Ifa$gdH]m$kd$$IfT ֈA Z n$I( 622 l44  apytH]TlVġl===$ 7d$Ifa$gdH]m$$d$Ifa$gdH]<3/4;. V=V9=VABL: =5 <5=H5 O: 730 <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 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.=01V@1030V03=>AB8G=89 <>=>:;>=0;L=89 @5035=B 0=B8- 52532- =B8-A 3@C?>25 B8?C20==O 5@8B@>F8BV2 IVD (4V03=>AB8:0 in vitro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in vitro), 0=B8BV;0V03=>AB8G=89 <>=>:;>=0;L=89 @5035=B 0=B8- ?@87=0G5=89 4;O 287=0G5==O 3@C?8 :@>2V ;N48=8 70 A8AB5<>N 0 H;OE>< 28O2;5==O 0=B835=C  5@8B@>F8BV2 ;N48=8 70 4>?><>3>N ?@O<>W @50:FVW 03;NB8=0FVW =0 ?;>I8=V B0 2 =59B@0;L=8E 35;528E :0@B0E. ;0AB8:>289 D;0:>= 7 2<VAB>< <>=>:;>=0;L=8E 0=B8BV;. @>7>@0 01> 7 =57=0G=>N >?0;5AF5=FVTN @V48=0 2V4 1;V4>-DV>;5B>2>3> 4> A8=L>3> :>;L>@C. $0AC20==O: 1D;*10<; 030;L=89 B5@<V= ?@840B=>ABV 2.5 @>:8D;0:>=2332V03=>AB8G=89 <>=>:;>=0;L=89 @5035=B 0=B8-D52647- =B8-Rh(D) 3@C?>25 B8?C20==O 5@8B@>F8BV2 IVD (4V03=>AB8:0 in vitro), 0=B8BV;0V03=>AB8G=89 <>=>:;>=0;L=89 @5035=B 0=B8-D, A8AB5<8 Rhesus, ?@87=0G5=89 4;O 28O2;5==O 0=B835=C D 5@8B@>F8BV2 ;N48=8 70 4>?><>3>N ?@O<>W @50:FVW 03;NB8=0FVW C 1C4L-O:V9 WW <>48DV:0FV: 2 ?@>1V@:0E, =0 ?;>I8=V, 2 <V:@>?;0BV B0 =59B@0;L=8E 35;528E :0@B0E. ;0AB8:>289 D;0:>= 7 2<VAB>< <>=>:;>=0;L=8E 0=B8BV;. @>7>@0 01> 7 =57=0G=>N >?0;5AF5=FVTN @V48=0. $0AC20==O: 1D;*10<; 030;L=89 B5@<V= ?@840B=>ABV 2,5 @>:8.?@840B=>ABV 2,5 @>:8.D;0:>=1733V03=>AB8G=89 <>=>:;>=0;L=89 @5035=B 0=B8-D/DVI Ig/ IgG52688- @C?>2V 5@8B@>F8B0@=V 20@V015;L=V Rh(D) :0B53>@VW VI IVD (4V03=>AB8:0 in vitro ), 0=B8BV;0, @50:FVO 03;NB8=0FVWV03=>AB8G=89 <>=>:;>=0;L=89 @5035=B 0=B8-D IgM/IgG, A8AB5<8 Rhesus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in vitro), :>=B@>;L=89 <0B5@V0;$0AC20==O: 4 E 5 <; V>DV;V7>20=0 A8@>20B:0 ;N4AL:>3> ?>E>465==O, ?>28==0 1CB8 ?@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.=01V@235>=B@>;L=0 A8@>20B:0 ?0B>;>3VO47869 =>68==V 0=0;VB8 :;V=VG=>W EV<VW IVD (4V03=>AB8:0 in vitro), :>=B@>;L=89 <0B5@V0;$0AC20==O: 4 E 5 <; V>DV;V7>20=0 A8@>20B:0 ;N4AL:>3> ?>E>465==O, ?>28==0 1CB8 ?@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.=01V@236 >7G8==8:58237  CD5@=89 @>7G8==8: 7@07:V2 IVD (4V03=>AB8:0 in vitro), 02B><0B8G=V/ =0?V202B><0B8G=V A8AB5<8$0AC20==O: 20 ;. >7G8==8: ?>28=5= O2;OB8 A>1>N V7>B>=VG=89 @5035=B,?@87=0G5=89 4;O @>72545==O 7@07:V2 :@>2V ?5@54 0=0;V7>< V 4;O ?V4B@8<:8 2V4?>2V4=>3> A5@54>28I0 ?V4 G0A 0=0;V7C B0 1CB8 ?@840B=8< 4;O @>1>B8 7 35<0B>;>3VG=8< 0=0;V70B>@>< SINNOWA HB-7021.  A:;04 @>7G8==8:0 ?>28==V 2E>48B8 =0ABC?=V :><?>=5=B8::>=A5@20=B8 2 :>=F5=B@0FVW 0.07 %, AC;LD0B =0B@VN, E;>@84 =0B@VN, 3V4@>:A84 =0B@VN, AB01V;V70B>@8.=01V@2837V7CNG89 @5035=B CN 2V;L=8961165  5035=B 4;O ;V78AC :;VB8= :@>2V IVD (4V03=>AB8:0 in vitro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invitro)$0AC20==O: 100 <;. >28=5= O2;OB8 <8NG89 @5035=B,?@87=0G5=89 4;O 2840;5==O 70;8H:V2 1V>;>3VG=>3> <0B5@V0;C 7 28<V@N20;L=>W A8AB5<8 35<0B>;>3VG=>3> 0=0;V70B>@0 SINNOWA HB-7021.  A:;04 @>7G8=C ?>28==V 2E>48B8 =0ABC?=V :><?>=5=B8:SAVINASE 2 :>=F5=B@0FVW 0.05 %, LIQUANASE2 :>=F5=B@0FVW 0.08 %, :>=A5@20=B 2 :>=F5=B@0FVW 0.08 %, AC;LD0B =0B@VN, E;>@84 =0B@VN, 3V4@>:A84 =0B@VN, E;>@8AB>-2>4=520 :8A;>B0, 45B5@35=B, BRILLIANT BLUE R.=01V@839G8ICNG89 @>7G8=63377 - 0AV1 4;O >G8I5==O ?@8;04C/ 0=0;V70B>@0 IVD (4V03=>AB8:0 invitro)$0AC20==O: 20 ;. >28=5= O2;OB8 <8NG89 @5035=B, I> <VAB8BL ?>25@E=52>-0:B82=V @5G>28=8, O:V @>7G8=ONBL V 2840;ONBL 25;8:V >@30=VG=V G0AB8=:8. 5035=B ?>28=5= 1CB8 ?@87=0G5=89 4;O 2840;5==O 70;8H:V2 1V>;>3VG=>3> <0B5@V0;C 7 28<V@N20;L=>W A8AB5<8 35<0B>;>3VG=8E 0=0;V70B>@V2 SINNOWA HB-7021.  A:;04 >G8ICNG>3> @>7G8=C ?>28==V 2E>48B8 =0ABC?=V :><?>=5=B8: :>=A5@20=B8 2 :>=F5=B@0FVW 0.076 %, AC;LD0B =0B@VN, E;>@84 =0B@VN, 3V4@>:A84 =0B@VN, 45B5@35=B.=01V@740>=B@>;L Diacon3 Hematology Control(N) =>@<055866-V4@0EC=>: :;VB8= :@>2V IVD (4V03=>AB8:0 in vitro), :>=B@>;L=89 <0B5@V0;$0AC20==O: 3 <;. >=B@>;L, ?@87=0G5=89 4;O <>=VB>@8=3C 7=0G5=L =0 02B><0B8G=8E B0 =0?V202B><0B8G=8E 35<0B>;>3VG=8E 0=0;V70B>@0E V<?540=A=>3> B8?C. V= B0:>6 <>65 1CB8 28:>@8AB0=89 4;O @CG=>3> <5B>4C. In vitro 4V03=>AB8G=89 @5035=B, I> A:;040TBLAO 7 5@8B@>F8BV2 ;N48=8, 7<>45;L>20=8E ;59:>F8BV2 V B@><1>F8BV2 AA02FV2, 70B@8<0=8E C ?;07<>-?>4V1=V9 @V48=V 7 :>=A5@20=B0<8. V4:@8BV ?@>1V@:8 ?>28==V 1CB8 AB01V;L=V ?@>BO3>< =5 <5=H O: 14 4=V2.D;54101V@ @50:B82V2 7>?V@0<>20 ?@>10 54547-!:@8=V=3 1V>;>3VG=8E @V48= =0 ?@8E>20=C :@>2 IVD (4V03=>AB8:0 in vitro), =01V@, E@><>35==89 0=0;V7, 5:A?@5A-0=0;V701V@ @>7@0E>20=89 =0 2000 ?@>1 ?@8 28:>@8AB0==V 0,1 <; @>1>G>3> @>7G8=C =0 >4=5 4>A;V465==O. !:;04 =01>@C: 1. <V4>?V@8=  2 D;0:>=8 ?> 53. 2. =V;V=C 3V4@> E;>@84  2 D;0:>=8 ?> 0,075 3. ><?>=5=B8 =01>@C 715@V30B8 2 ?@>E>;>4=><C, 70E8I5=><C 2V4 A2VB;0 <VAFV.=01V@34201V@ =568@N20G 4;O A:;059059- 89=89\>G8IC20;L=89 @>7G8= IVD (4V03=>AB8:0 in vitro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in vitro), =01V@, A?5:B@>D>B><5B@VO D5@<5=BV201V@ ?@87=0G5=89 4;O 287=0G5==O :>=F5=B@0FV9 :0;VN C A8@>20BFV 01> ?;07<V :@>2V ;N48=8 2 :;V=V:>-4V03=>AB8G=8E V 1V>EV<VG=8E ;01>@0B>@VOE V =0C:>2>-4>A;V4=8FL:V9 ?@0:B8FV. 01V@ @>7@0E>20=89 =0 25 <0:@>-, 50 =0?V2<V:@>-,100 <V:@>287=0G5=L (7 C@0EC20==O< E>;>AB8E B0 :0;V1@C20;L=8E ?@>1). 15@V30==O =01>@C  ?@8 B5<?5@0BC@V 2V4 +18 C 4> + 25 C. 0@0=BV9=89 B5@<V= ?@840B=>ABV =01>@C - 12 <VAOFV2 2V4 4=O 283>B>2;5==O. !:;04 =01>@C: 1.A046CNG89 @5035=B - 1 D;0:>= 7 (1002) <; 01> 2 D;0:>=8 ?> (502) <;; - B5B@0D5=V;1>@0B =0B@VN  (35,001,75) >;L/;; - =0B@V9 W4:89 - (20010) >;L/; 2. :0;V1@C20;L=89 @>7G8= :0;VN 7 :>=F5=B@0FVTN ( 5,000,25) >;L/; - 1 D;0:>= 7 (1,00,1) <;.=01V@84401V@ @50:B82V2 4;O 287=0G5==O :>=F5=B@0FVW 7030;L=>3> :0;LFVN C 1V>;>3VG=8E @V48=0E 0;LFV945789-0;LFV9 (Ca2 +) IVD (4V03=>AB8:0 in vitro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in vitro )@>E<0;L 2>4>@>7G8==89, (!6105)n >2=VH=V9 283;O4: ?>@>H>: 1V;>3> 01> 7;53:0 :@5<>2>3> :>;L>@C, @>7G8==89 C :8?;OGV9 2>4V; >40, %- 12 5G>28=8, I> 2V4=>2;NNBL 9>4 ( 2 ?5@5@0EC=:C =0 3;N:>7C), %- 0,03 @ 5% @>7G8=C :@>E<0;N- 4,5-6,0 0@0=BV9=89 B5@<V= 715@V30==O: 3 @>:8 7 4=O 283>B>2;5==O.:30,54601V@ @50:B82V2 !5G>20 :8A;>B053583- !5G>20 :8A;>B0 IVD (4V03=>AB8:0 in vitro), =01V@, D5@<5=B=89 A?5:B@>D>B><5B@8G=89 0=0;V701V@ @>7@0E>20=89 =0 100 <0:@>- (D>B><5B@CT<89 >1'T< 5,5 <;), 165 =0?V2<V:@>- (D>B><5B@CT<89 >1'T< 3,6 <;) G8 330 <V:@>287=0G5=L (D>B><5B@CT<89 >1'T< 1,8 <;) A5G>2>W :8A;>B8(7 C@0EC20==O< E>;>AB8E B0 :0;V1@C20;L=8E ?@>1. V0?07>= 287=0G0T<8E :>=F5=B@0FV9  2V4 80 <:<>;L/; 4> 1200 <:<>;L/;. >5DVFVT=B 20@V0FVW C A5@VW - =5 1V;LH5 5 %.'CB;82VABL 5 =0 0,001 >4. >?B8G=>W IV;L=>ABV  =5 1V;LH5 2 <:<>;L/; (650 =<). 15@V30==O =01>@C - ?@8 B5<?5@0BC@V 2V4 ?;NA 2! 4> ?;NA 16!. 0@0=BV9=89 B5@<V= ?@840B=>ABV =01>@C - 24 <VAOFO 2V4 4=O 283>B>2;5==O. !:;04 =01>@C: $>AD>@=>2>;LD@0<>289 @50:B82 - 1 D;0:>= 7 (100+\- 2) <;; >7G8= :0B0;V70B>@C - 1 D;0:>= 7 (50 +\- 2) <;; >;LD@0<0B =0B@VN (0,30+\- 0,01) <>;L/; - 1 D;0:>= 7 (50+\- 2) <;; 0;V1@C20;L=89 @>7G8= A5G>2>W :8A;>B8 -1 D;0:>= 7 (9,0 +\- 0,5) <;; 0@1>=0B =0B@VN - 1 D;0:>= 01> ?>;V5B8;5=>289 ?0:5B 7 (20,5+\- 0,5) 3.=01V@54701V@ @50:B82V2 0B@V952899 0B@V9 (Na+) IVD (4V03=>AB8:0 in vitro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a+) IVD (4V03=>AB8:0 in vitro), @5035=B0B@V9 ;8<>==>:8A;89 3-70<. 2-2>4., C6H5O7Na3 x 2H2O >2=VH=V9 283;O4  15710@2=V 01> 1V;V :@8AB0;8, 157 70?0EC 0A>20 G0AB:0 >A=>2=>W @5G>28=8 - e" 99,9 %. >;>3VABL - d" 11 % 0@0=BV9=89 B5@<V= 715@V30==O  2 @>:8 7 4=O 283>B>2;5==O.:30,5490B@VN E;>@8462707- 07>289 :><?>=5=B 6828;L=>3> A5@54>28I0 IVD (4V03=>AB8:0 in vitro )0B@V9 E;>@8AB89, NaCI <VAB >A=>2=>W @5G>28=8 - e" 99,9 %. 0;8H>: ?VA;O ?@>:0;N20==O - d" 0,5 %. @ 5%-2>3> @>7G8=C  5-8 0@0=BV9=89 B5@<V= 715@V30==O  2 @>:8 7 4=O 283>B>2;5==O.:30,55001V@ @50:B82V2 " 53027 0<0- 3;CB0<V;B@0=AD5@070 (") IVD (4V03=>AB8:0 in vitro ), =01V@, D5@<5=B=89 A?5:B@>D>B><5B@8G=89 0=0;V701V@ ?@87=0G5=89 4;O :V;L:VA=>3> 287=0G5==O 0:B82=>ABV 30<0-3;CB0<V;B@0=A?5?BV4078 (- ") C A8@>20BFV :@>2V ;N48=8 :V=5B8G=8< <5B>4><. 01V@ @>7@0E>20=89 =0 2V4?>2V4=C :V;L:VABL 287=0G5=L 0:B82=>ABV   " 50 <V:@> 25 =0?V2<V:@> 12<0:@> V0?07>= 287=0G0T<8E 0:B82=>AB59 - 2V4 2 4/; 4> 230 4/; (70 <5B>4>< Szasz), 2V4 2 4/; 4> 260 4/; (70 <5B>4>< IFCC). >5DVFVT=B 20@V0FVW C A5@VW  =5 1V;LH5 5 %. 'CB;82VABL 7 =0 0,001 >4. >?B8G=>W IV;L=>ABV  =5 1V;LH5 2 4/; (405 =<). CD5@=89 @>7G8= 3;VF8;3;VF8= - (0,50 0,05) <>;L/; B@VA-(3V4@>:A8<5B8;)-0<V=><5B0=  (0,50 0,05) <>;L/; 1 D;0:>= 7 (40 2) <; !C1AB@0B (-L-(+)-3;CB0<V;-3-:0@1>:A8 -4-=VB@>0=V;V4 (20,0 0,1) <<>;L/;) 1 D;0:>= 7 (10,0 0,5) <;=01V@451@50B8=V= AB0=40@B44700 0;V1@0B>@ 4;O 287=0G5==O :@50B8=V=C, IVD (4V03=>AB8:0 invitro ) $0AC20==O: 1 x 5 <;. @50B8=V= AB0=40@B ?>28=5= 28:>@8AB>2C20B8AO 4;O 287=0G5==O :>=F5=B@0FVW :@50B8=V=C 2 A8@>20BFV 01> ?;07<V :@>2V, A5GV. ">G=0 :>=F5=B@0FVO <0T 1CB8 2:070=0 =0 5B8:5BFV :>6=>3> D;0:>=0. 5035=B <0T 1CB8 ?@840B=8< 4> :V=FO B5@<V=C ?@840B=>ABV 707=0G5=>3> =0 C?0:>2FV ?@8 715@V30==V 2  8p !.D;0:252>78= 70 09=-@N=20;L4><- 1000 <;42959 - 0@2=8: 09-@N=20;L40, IVD (4V03=>AB8:0 in vitro)$V:A0B>@-7010@2;N20G 5>78= <5B8;5=>2> A8=V9 70 09-@N=20;L4><; 1E1000<;; :>=F5=B@>20=89 1CD5@=89 @>7G8=:1E100<;D;0:>=1053TPHA  B5AB 100287=51819 Treponema pallidum reagin antibody IVD (4V03=>AB8:0 in vitro ), =01V@, @50:FVO 03;NB8=0FVWV03=>AB8:C< 4;O 28O2;5==O 0B8BV; 4> 1;V4>W A?V@>E5B8 2 A8@>20BFV B0 ?;07<V :@>2V ;N48=8 " -B5AB. 01V@ @>7@0E>20=89 =0 100 287=0G5=L 7 C@0EC20==O< E>;>AB8E ?@>1 !:;04 =01>@C 1. 5035=B 1. "5AB>2V :;VB8=8. @8B@>F8B8 ?B8FV A5=A81V;V7>20=V 0=B835=>< T.pallidum. 2. 5035=B 2. >=B@>;L=V :;VB8=8. @8B@>F8B8 ?B8FV. 3. 5035=B 3. >7G8==8:. $>AD0B=89 1CD5@, 5:AB@0:B T. Pallidum (Reiter). 4. 5035=B 4. >78B82=89 :>=B@>;L. <C==0 ;N4AL:0 A8@>20B:0 @>72545=0 1:20. 5. 5035=B 5. 530B82=89 :>=B@>;L. 6. =AB@C:FVO 7 28:>@8AB0==O 7. 0A?>@B=01V@75401V@ 5;0B8=10% 47430-59B@>DV;L=89 65;0B8=070- 0A>FV9>20=89 ;V?>:0W= (NGAL) IVD (4V03=>AB8:0 in vitro), @5035=B01V@ 5;0B8=10%. >2=VH=V9 283;O4 : 1;V4>7010@2;5=89, 65;5?>4V1=89 ?@8 B5<?5-@0BC@V >B>GCNG>3> A5@54>28I0 =5 28I5 23 ! 1 T< :10,0 <; 0,5 <; $0AC20==O: 10 0<?*10<;=01V@355=B835= :0@4V>;V?V=>289 AB01V;V7>20=89 4;O 4V03=>AB8:8 A8DV;VAC51821 Treponema pallidum reagin antibody IVD (4V03=>AB8:0 in vitro ), @5035=B=B835= :0@4V>;V?V=>289 ACA?5=7VO, I> <VAB8BL :0@4V>;V?V=, ;5F8B8=, E>;5AB5@8=, 7 4>4020==O< E>;V=C E;>@84C, " (AB01V;V70B>@), BV><5@A0; 01> ProClin 300 (:>=A5@20=B), D>AD0B=89 1CD5@=89 @>7G8= @ 6.0. 4 D;0:>=8 7 5 <; VDRL-B5ABC @>7@0E>20=V =0 ?@>2545==O 500 28?@>1C20=L 4>A;V46C20=8E 7@07:V2=01V@65601V@ @50:B82V2 %>;V=5AB5@070  %%52964 - F5B8;E>;V=5AB5@070 IVD (4V03=>AB8:0 in vitro), =01V@, D5@<5=B=89 A?5:B@>D>B><5B@8G=89 0=0;V7!  # 1. CD5@=>-V=48:0B>@=89 @>7G8= - 2 D;0:>=8 ?> (50 2) <;; 2. !C1AB@0B: =0206:0<8 01> 2 @>7G8=V - 4 <V:@>?@>1V@:8 ?> (0,205 0,010) <3 01> 1 D;0:>= 7 (5,0 0,5) <;; 3. >7G8= V=3V1VB>@C - 1 D;0:>= 7 (5,0 0,5) <; 4. 0;V1@C20;L=89 @>7G8= (>FB>20 :8A;>B0 0,1 <>;L/;) - 1 0<?C;0 01> D;0:>= 7 (5,0 0,5) <; "' % " !" 01V@ @>7@0E>20=89 =0 80 <V:@>-, 40 =0?V2<V:@>- 01> 20 <0:@>287=0G5=L. V0?07>= 287=0G0T<8E 0:B82=>AB59 - 2V4 5,0 <:<>;L/(A E ;).4> 110,0 <:<>;L/(A E ;). >5DVFVT=B 20@V0FVW 2 A5@VW  =5 1V;LH5 10 %.=01V@2 *C @07V =0O2=>ABV 2 B5E=VG=V9 G0AB8=V ?>A8;0==O =0 :>=:@5B=C B>@3V25;L=C <0@:C G8 DV@<C, 465@5;> ?>E>465==O 01> 28@>1=8:0  G8B0B8 7 28@07>< 01> 5:2V20;5=B. 1. ">20@8, I> ?>AB0G0NBLAO ?>28==V <0B8 =5>1EV4=V :>?VW A5@B8DV:0BV2 O:>ABV 702>4C-28@>1=8:0, 45:;0@0FVN 2V4?>2V4=>ABV, 01> V=H89 ?>4V1=89 4>:C<5=B, I> ?V4B25@46CT 2V4?>2V4=VABL B>20@C 28<>30<, 2AB0=>2;5=8< 4> =L>3> 7030;L=>>1>2 O7:>28<8 =0 B5@8B>@VW #:@0W=8 =>@<0<8 V ?@028;0<8, ?>28=5= 1CB8 >D>@<;5=89 2V4?>2V4=> 4> 28<>3 70:>=>402AB20 #:@0W=8. 2. 0;8H:>289 B5@<V= ?@840B=>ABV =0 <><5=B ?>AB0G0==O ?>28=5= A:;040B8 =5 <5=H5 =V6 80% 2V4 7030;L=>3> B5@<V=C WE 715@V30==O, 287=0G5=>3> 28@>1=8:>< 40=>3> B>20@C. 3. 8<>38 4> B0@8 B0 C?0:>2:8: B0@0 B0 C?0:>2:0 ?>28==0 2V4?>2V40B8 28<>30< 2AB0=>2;5=8< 4> 40=>3> 284C B>20@C V 70E8I0B8 9>3> 2V4 ?>H:>465=L 01> ?AC20==O ?V4 G0A ?5@52575==O (4>AB02:8). $>@<0 28?CA:C ?>28==0 2V4?>2V40B8 70O2;5=><C ?5@5;V:C. ">20@, I> ?>AB02;OTBLAO ?>28=5= 2V4?>2V40B8 <548:>  B5E=VG=8< 28<>30< 2:070=8< 2 40=V9 4>:C<5=B0FVW. 4.>2V4:0 2 4>2V;L=V9 D>@<V, O:0 <VAB8BL V=D>@<0FVN ?@> <>6;82VABL 74V9A=5==O ?>AB02:8 B>20@C =5 ?V7=VH5 O: ?@>BO3>< 3 4V1 7 <><5=BC ?8AL<>2>3> 70<>2;5==O B>20@C. 5."5E=VG=V, O:VA=V E0@0:B5@8AB8:8 ?@54<5B0 70:C?V2;V ?>28==V ?5@5410G0B8 =5>1EV4=VABL 70AB>AC20==O 70E>4V2 V7 70E8ABC 4>2:V;;O, I> ?>28==> 1CB8 4>:C<5=B0;L=> ?V4B25@465=>W C A:;04V B5=45@=>W ?@>?>78FVW. 83>B>2;5==O B0 28:>@8AB0==O ?@54<5BC 70:C?V2;V 70 ?@87=0G5==O< =5 ?>28==> =0=>A8B8 H:>4C =02:>;8H=L><C A5@54>28IC.  A:;04V B5=45@=>W ?@>?>78FVW =040B8 ;8AB =0 ?V4B25@465==O AC<VA=>ABV @50:B82V2 7 0=0;V70B>@>< A5GV Missio (70:@8B0 A8AB5<0).  <5B>N 70?>1V30==O 70:C?V2;V D0;LA8DV:0BV2 B0 4>B@8<0==O 30@0=BV9 =0 A2>TG0A=5 ?>AB0G0==O B>20@C C :V;L:>ABV, O:>ABV B0 7V AB@>:0<8 ?@840B=>ABV, CG0A=8: =040T >@83V=0; 30@0=BV9=>3> ;8AB0 2V4 28@>1=8:0 01> >DVFV9=>3> ?@54AB02=8:0 28@>1=8:0 40=>3> >1;04=0==O (AB0BCA >DVFV9=>3> ?@54AB02=8:0 ?>28==> 1CB8 ?V4B25@465=> ;8AB>< 2V4 28@>1=8:0), O:8< 28@>1=8: 01> >DVFV9=89 ?@54AB02=8: ?V4B25@46CT AC<VA=VABL (2V4?>2V4=VABL), <>6;82VABL ?>AB02:8 2V4?>2V4=>3> B>20@C F8E 5;5:B@>==8E B>@3V2 7V AB@>:0<8 ?@840B=>ABV B0 2 B5@<V=8, 287=0G5=V 70<>2=8:>< B>@3V2. 0@0=BV9=89 ;8AB ?>28=5= 2:;NG0B8: ?>2=C =072C 70<>2=8:0 B0 CG0A=8:0, ?@54<5B 70:C?V2;V 73V4=> A?5F8DV:0FVW, =><5@ >3>;>H5==O ?@> ?@>2545==O 70:C?V2;V. 0=0 28<>30 70E8I0T 70<>2=8:0 B>@3V2 2V4 <>6;82>W ?>AB02:8 =5O:VA=8E B0 D0;LA8DV:>20=8E B>20@V2. &5 ?>2 O70=> 7 B8<, I> C 72 O7:C 7 =5?@>AB>N A8BC0FVTN 2 :@0W=V T 2V@>3V4=VABL ?>AB02:8 ;V:0@AL:8E 70A>1V2 B0 28@>1V2 <548G=>3> ?@87=0G5==O, I> T =5>@83V=0;L=8<8, =5O:VA=8<8, D0;LA8DV:>20=8<8, 0 B0:>6 B0:V, O:V <>6CBL ?>B@0?8B8 =0 B5@8B>@VN #:@0W=8 =5>DVFV9=8<8 H;OE0<8. 0<>2=8: <0T 1CB8 2?52=5=89 2 B><C, I> B>20@, O:89 ?@>?>=CTBLAO CG0A=8:0<8, T 4V9A=> B>3> 28@>1=8:0, O:89 2:07CTBLAO F8<8 CG0A=8:0<8. 0=0 28<>30 70E8I0T 70<>2=8:0 2V4 70:C?V2;V D0;LA8DV:0BV2. # @07V, O:I> #G0A=8: ?@>?>=CT C A:;04V A2>TW B5=45@=>W ?@>?>78FVW 5:2V20;5=B B>20@C, B> 2V= ?>28=5= ?>40B8 ?>@V2=O;L=C E0@0:B5@8AB8:C 70?@>?>=>20=>3> =8< B>20@C (45B0;L=5 >1@C=BC20==O A?V22V4=>H5==O) B0 B>20@C, I> 287=0G5=0 2 <548:>-B5E=VG=8E 28<>30E 0<>2=8:0, 0 B0:>6 =040B8 =0;56=8< G8=>< 70A2V4G5=V :>?VW 4>:C<5=BV2, O:V ?V4B25@46CNBL 5:2V20;5=B=VABL 70?@>?>=>20=>3> B>20@C, 707=0G5=><C C FV9 4>:C<5=B0FVW. # @07V 2V4ACB=>ABV B0:8E ?V4B25@46CNG8E 4>:C<5=BV2 70?@>?>=>20=89 O: 5:2V20;5=B B>20@ >FV=N20B8AL =5 1C45. # @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< 4>:C<5=B0FVW 5;5:B@>==8E B>@3V2. =====R>>LBNB\B`BbBdBfBhBjBBfCFFFFFFFFFF@GGJrdRrdR#h]h}5CJOJQJ^JaJh]h0V5OJQJ^J h]hmOJQJ^JnH tH h]hmOJQJ^J!h]hmB*OJQJ^Jph h]hmCJOJQJ^JaJh]hm5OJQJ^J#h]hm5CJOJQJ^JaJ#h]hH]5CJOJQJ^JaJh]hH]OJQJ^Jh]hvS5OJQJ^J===P>R>P9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd]$$IfT ֈA Z n$I(622 l44  aytH]TR>>BNB\BbB$ 7d$Ifa$gdH]m$$$Ifa$gdH]$d$Ifa$gdH]bBdB kd$$IfT ֈA Z n$I( (622 l44  ap(ytH]TdBjBBBfCXFFFFF$$Ifa$gdH]$d$Ifa$gdH]$ 7d$Ifa$gdH]m$ FF kd$$IfT ֈA Z n$I( (622 l44  ap(ytH]TFF@GGIJJJKXK^K$$Ifa$gdH]$d$Ifa$gdH]$ 7d$Ifa$gdH]m$ JHKJKXK\K^K`KbKdKfKKKLLQpbMsXu\u^u`ubuduuñYH7ñ h]hEOJQJ^JnH tH  h]hECJOJQJ^JaJKh]hEB*CJOJQJ^JaJeh@fHphq r@h]hE5OJQJ^J#h]hE5CJOJQJ^JaJ#h]hH]5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]hk5OJQJ^J h]hkOJQJ^JnH tH  h]hH]OJQJ^JnH tH qqq;$$ 7d$Ifa$gdH]m$kdm$$IfT ֈA Z n$I(622 l44  ap(ytH]TqFrHr>sstXttLuXu\u$ 7d$Ifa$gdH]m$ $$Ifa$gdH]$d$Ifa$gdH] \u^u&kd$$IfT ֈA Z n$I( 622 l44  ap(ytH]T^uduuDvxxxyy&y*y $$Ifa$gdH]$ [d$Ifa$gdH]$d$Ifa$gdH]$d$Ifa$gdH]$d$Ifa$gdH]$ 7d$Ifa$gdH]m$ uBvDvxxxx&x(x>x@xLxNxPxRxVxXxdxfxlxnxtxvxٳufWfHHWWWh]hTP@OJQJ^Jh]hTP@OJQJ^Jh]hTP@OJQJ^Jh]hTP@OJQJ^Jh]hTPOJQJ^J h]hEOJQJ^JnH tH  h]hTPOJQJ^JnH tH Kh]hEB*CJOJQJ^JaJeh@fHphq r@Kh]h1B*CJOJQJ^JaJeh@fHphq r@vxxxxxxxxxxxxxxxxxxyyyy&y*y,y.y0yݹݰݟsaO#h]hH]5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]hE5OJQJ^J h]hEOJQJ^JnH tH  h]hTPOJQJ^JnH tH h]hTP@h]hTP@h]hTP@h]hTP@h]hTP@ h]hTPh]hTPOJQJ^Jh]hTP@OJQJ^J*y,y&kd$$IfT ֈA Z n$I( 622 l44  ap(ytH]T,y2yyz|L}}}}~~2 $$Ifa$gdH]$d$Ifa$gdH]$ 7d$Ifa$gdH]m$0y2yyyzzȀڴ|k]P>,#h]hH]5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]hE5OJQJ^J h]hEOJQJ^JnH tH #h]hE6CJOJQJ^JaJKh]hEB*CJOJQJ^JaJeh@fHphq r@Kh]h/PB*CJOJQJ^JaJeh@fHphq r@$h]hE5B*OJQJ^Jph#h]hE5CJOJQJ^JaJ &kdl$$IfT ֈA Z n$I( 622 l44  ap(ytH]TȀrt(Ԅ΅\".2$d$Ifa$gdH] $$Ifa$gdH]$ 7d$Ifa$gdH]m$Ȁ(t.2468:hPTV\^`b곥tbO>0h]he65OJQJ^J h]he6OJQJ^JnH tH $h]hE5B*OJQJ^Jph#h]hE5CJOJQJ^JaJ#h]hH]5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]hE5OJQJ^J h]hEOJQJ^JnH tH Kh]hEB*CJOJQJ^JaJeh@fHphq r@)h]hEB*CJOJQJ^JaJph24&kd $$IfT ֈA Z n$I( 622 l44  ap(ytH]T4:hD܉PV^$d$Ifa$gdH] $$Ifa$gdH]$ 7d$Ifa$gdH]m$ ^`&kdN"$$IfT ֈA Z n$I( 622 l44  ap(ytH]TbdfjHnȌ" "$ΏΐԐ ȵȵ}}}}i}XQJQJQJQ h]h h]hho@ h]hOJQJ^JnH tH &h]hho@5H*OJQJ^JnH tH #h]hho@5OJQJ^JnH tH  h]hho@OJQJ^JnH tH )h]he6B*CJOJQJ^JaJph$h]he65B*OJQJ^Jph$h]hho@5B*OJQJ^Jph#h]he65CJOJQJ^JaJ#h]hH]5CJOJQJ^JaJ`fj&Ώ@&<HL$d$Ifa$gdH]$ & Fd$Ifa$gdH]$d$Ifa$gdH] $$Ifa$gdH]$ 7d$Ifa$gdH]m$ *:<HLNPRT̿weP̿>#h]h#5CJOJQJ^JaJ(h]he6CJOJQJ^JaJnH tH #h]he65OJQJ^JnH tH #h]hP5OJQJ^JnH tH #h]he65CJOJQJ^JaJ#h]hH]5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]he65OJQJ^J h]he6OJQJ^JnH tH  h]he6 h]hho@ h]hLN&kd#$$IfT ֈA Z n$I( 622 l44  ap(ytH]TNT2L2$d$Ifa$gdH]$ 7d$Ifa$gdH]m$RP9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kd0%$$IfT ֈA Z n$I(622 l44  aytH]TPR(08:<>@\\dlnrtNòtbPòbP>á#h]h 5OJQJ^JnH tH #h]h#5CJOJQJ^JaJ#h]hH]5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]h#5OJQJ^J h]h#OJQJ^JnH tH  h]h&$$IfT ֈA Z n$I(622 l44  aytH]T ^dl$ 7d$Ifa$gdH]m$$d$Ifa$gdH]lntP9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kdL'$$IfT ֈA Z n$I(622 l44  aytH]T*Nxܡrڢv BNR$ 7d$Ifa$gdH]m$$d$Ifa$gdH]NPRTVXZ~<>xIJ|gVI4)h]hvSB*OJQJ^JnH phtH h]hvSOJQJ^J!h]hvSB*OJQJ^Jph(h]hvSCJOJQJ^JaJnH tH #h]hvS5OJQJ^JnH tH #h]h 5OJQJ^JnH tH #h]hvS5CJOJQJ^JaJ#h]hH]5CJOJQJ^JaJ#h]h}5CJOJQJ^JaJh]hH]OJQJ^Jh]h#5OJQJ^Jh]h0V5OJQJ^J RTZP9(($d$Ifa$gdH]$ 7d$Ifa$gdH]m$kdZ($$IfT ֈA Z n$I(622 l44  aytH]Tڤ>$ 7d$Ifa$gdH]m$$d$Ifa$gdH]xz~ܧR4B´ucN=, h]h#OJQJ^JnH tH !h]h#B*OJQJ^Jph(h]h#CJOJQJ^JaJnH tH #h]h#5OJQJ^JnH tH #h]h#5CJOJQJ^JaJ#h]hH]5CJOJQJ^JaJh]hH]OJQJ^Jh]hvS5OJQJ^Jh]h*$$IfT ֈA Z n$I(622 l44  aytH]T$ 7d$Ifa$gdH]m$$d$Ifa$gdH]BHJLNPx:pz|vevWE7h]h0V5OJQJ^J#h]h0V5CJOJQJ^JaJh]h*OJQJ^Jh]h85>*OJQJ^J$h]h >*B*OJQJ^Jph!h]h8B*OJQJ^Jph'h]h8OJPJQJ\^JnHtHh]h8OJQJ\]^Jh]h8OJQJ^Jh]h8OJQJ\^J^bfh]h8OJQJ^Jh]h85OJQJ^J21h:pH]. A!n"7#7$7% $$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V   65/ 22 l4  pytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V   65/ 22 l4  pytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V   65/ 22 l4  pytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V   65/ 22 l4  pytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V   65/ 22 l4  pytH]T$$If!vh#v#v#v#vj#v#v:V   65/ 22 l4  pytH]T$$If!vh#v#v#v#vj#v#v:V   65/ 22 l4  pytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V   (65/ 22 l4  p(ytH]T$$If!vh#v#v#v#vj#v#v:V   (65/ 22 l4  p(ytH]T$$If!vh#v#v#v#vj#v#v:V   (65/ 22 l4  p(ytH]T$$If!vh#v#v#v#vj#v#v:V   65/ /  / / 22 l4  pytH]TG$$If!vh#v#v#v#vj#v#v:V   65/ / / / / / / / / 22 l4  p(ytH]T$$If!vh#v#v#v#vj#v#v:V   65/ / / / 22 l4  pytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ / / / / / 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ / / / / / / / 22 l4  p(ytH]To$$If!vh#v#v#v#vj#v#v:V   65/ / / / / / / / / / / 22 l4  p(ytH]To$$If!vh#v#v#v#vj#v#v:V   65/ / / / / / / / / / / 22 l4  p(ytH]To$$If!vh#v#v#v#vj#v#v:V   65/ / / / / / / / / / / 22 l4  p(ytH]To$$If!vh#v#v#v#vj#v#v:V   65/ / / / / / / / / / / 22 l4  p(ytH]To$$If!vh#v#v#v#vj#v#v:V   65/ / / / / / / / / / / 22 l4  p(ytH]To$$If!vh#v#v#v#vj#v#v:V   65/ / / / / / / / / / / 22 l4  p(ytH]T $$If!vh#v#v#v#vj#v#v:V  65/ / / / / / / / / / 22 l4  ytH]T $$If!vh#v#v#v#vj#v#v:V  65/ / / / / / / / / / 22 l4  ytH]T $$If!vh#v#v#v#vj#v#v:V  65/ / / / / / / / / / 22 l4  ytH]T $$If!vh#v#v#v#vj#v#v:V  65/ / / / / / / / / / 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ / / / / / 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ / / / / / 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V   65/ 22 l4  pytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]T$$If!vh#v#v#v#vj#v#v:V  65/ 22 l4  ytH]Ts2&6FVfv2(&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH"nH"sH"tH"X`X 81KG=K9 d$CJOJQJ^J_HaJmH"sH"tH"~@~ w C 03>;>2>: 1$d<1$7$8$@&.5CJ KH OJPJQJ\^JaJ mHsHtH^^ 1 03>;>2>: 3$<@&5CJOJPJQJ\^JaJBA B A=>2=>9 H@8DB 0170F0Xi@X 1KG=0O B01;8F04 l4a .k . 5B A?8A:0 l/l 8 A=>2=>9 B5:AB A >BABC?>< 2 =0:CJ_HmHsHtHR@ 8A=>2=>9 B5:AB A >BABC?>< 2dx^ CJOJQJ^JaJmHsHtHV/V w C03>;>2>: 1 =0:5CJ KH OJPJQJ\aJ l/"l *1KG=K91 d*$5B*CJOJPJQJ^J_HaJmHnHphsHtH<B@2< TPA=>2=>9 B5:ABx^/A^ TPA=>2=>9 B5:AB =0: CJOJQJ^JaJmH"sH"tH"h@Rh TP 170F A?8A:0%d1$7$8$^`OJQJ^JtH V/aV 103>;>2>: 3 =0:5CJOJPJQJ\^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V{+N8aq-*GlLi˽6Lj3~pmGo 1*?f8&,ɴ8N>hR*Պ"(zsy2!#YQ$\h2軧>:HC A84Bq.UJR_O]-4k!ᣄD=zvg?s6re؝GT{<˷/|N:OWB_?>xo'hGIs ;WY ;ɛY CDtv<(Fr Ȃ`3Ax&sA,/fvXb9<'O:*B{Yg2A E@Sc.Ɩ Ĉ6%pn5$CcT< / AȷNQ۪xD½S#\r""`t\ SƘs֫%Ȍ=tD]ϋ1eA ; qc?Pȹ„ ;D~ p$4/1"CQN\``Tejpy&"=JQV\djquvx0yȀbNxB`н^fRTW\`dimpsw{ %(+.367#$l%)"*//0067CD"JK@P"Q2[v[^f_h`NeVeiilbmp:quuyz{>|"~~ځ&RD (ډȊT\,ȚКPXdl=R>bBdBFF^K`KQQVV[[_`dVe(ii|mnqq\u^u*y,y24^`LNR8lRRJְްZzԹfSUVXYZ[]^_abcefghjklnoqrtuvxyz|}~     !"#$&')*,-/012458@0(  B S  ?#                                   .Z9"','i0034T6^6a88W?EE.I8IKKKMNZ"]]OdimmSq]q      !"1^<&'1'l0034X6c6d88^?EE2I=IKKKMNZ%]]SdimmWqbq  !"C#*urn:schemas-microsoft-com:office:smarttagsmetricconverter 0,025 0,075 31 310 C10C16 C18 C2 C20 C25 C25C30 C4 C8C ProductID# ## ## #### ## ### # # ## ## ##### ## # ##### ## J`)ACDI1ClnNXgtbpzSbw* #$:;QR89 h i * + -.<=FHde  /0]^yzDE~Z[nouvxy-.DEJKMNyz9:gh9:]^  Y Z g h !! !!!!b!c!!!!!!!9":"k"l"""####$$$$ $!$$$$$$$&&2'3'z'{'''''''''((9(:(V(W(i(j((((((())')()))))))))&*'***E+F+N+O+Q+S+U+V+l+m+++(,),/,0,2,4,6,7,_,`,,,,,,, - -------. .=.>.y.z.............//K/L///000000000011,1-1D1E1r1s1111111227282=2>2@2A2C2D2S2T222220313;4<4A4B4D4E4G4H4444444F5G5m5n56666666677R7S77777A8B8888888888899K9L9999999999999::::f:g:::::; ;;;;;;;%;&;~;;;;<<<<<<<<<<<<<<"=#===>>J>K>k>l>>>>>>>>>>>>>!?"?????@@ @ @@@@@+@,@@@@@@@@@@@@@AAcAdAAAAA B!BgBhBBBBBBBBBBBBBBBBBCCCCCCWCXCeCfCsCtCCCCCCCCCCCCCCCEDFDDDDDHEIE F FFFFFFFpFrFFF8G9GFGGGsGtGGGGGBHCHpHqHHHHHHH[I\IaIbIdIeIgIhIIIIIJJdJeJJJJJJJJJJJKKKKKKKKKK(L)L/L0L2L3L5L6LCLDLLLLL5M6M>N?NDNENGNINKNLNwNyNNNOPPPvPwP}P~PPPPPPPQQ{R|RRRRRRRRRRRRRDSESATBTTTTTTTTTTUUU2U3U;U_C_D_F_H_J_K_f_g_____aaaaaaaaaaaaaabb*b+b=b>bbbccccccccccdd,d-dCdDdTdUdeefeff f fffff>f?fffffghEhFhHhIhKhLhNhOhrhthhhLiMiZi[i{i|iiiiiiiiijjjjqjrjPkQkkkkkkkkkkkkkGlHlllmmmmnn>n?nLnMnnnnnnnGoHoMoNoPoQoSoTooop p*q+qcqdqqqqqqqrr6r7rWrXr}r~rrrrrrrrrssNsOsqsrssssstt=t>twtxtzt{t~ttttttuuuu(w)w6w7wowpwwwww&x'xmxnxsxtxvxwxyxzxxxxxxxxxyyzzhzizuzvzzzzz{{h{i{{{{{{{{{{{{{.|/|i|j|||||||||||||H}I}_}`}}}}}~~~~ ~ ~!~"~-~.~G~H~d~e~v~w~~~~~=> UVpqvwyz|}؁ځ=>xy +,EF`alm 89LMtuz{}~ 01679;ٌڌ45َڎ12ԐՐZ[G3|Mw, ~by$l@W;G^G`56@CJOJPJQJRHd\]^J_HaJo(sH"tH .`^``_Ho(sH"tH " } ^} `_Ho(sH"tH " ^`_Ho(sH"tH " ^`_Ho(sH"tH " ^`_Ho(sH"tH " ^`_Ho(sH"tH "  ^ `_Ho(sH"tH " )#^)#`_Ho(sH"tH " ;^`56@CJOJPJQJRHd\]^J_HaJo(sH"tH .^`_Ho(sH"tH " q ^q `_Ho(sH"tH " a ^a `_Ho(sH"tH " R^R`_Ho(sH"tH " C^C`_Ho(sH"tH " 3^3`_Ho(sH"tH " $^$`_Ho(sH"tH " !^!`_Ho(sH"tH " LL^L`^Jo(.^`^J.L^`L^J.^`^J.  ^ `^J.\ L\ ^\ `L^J.,,^,`^J.^`^J.L^`L^J.y$lw, G3|6>|YATgDWL&.Lꚱ@& ^ ]줲 Wݰf$@$nu:""""""""dtU)(wk ^nqfV82e6ho@w CKIPvS0VH]jIy&1TP~J/P?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./012345678:;<=>?@ABCDEFGHIJKLMNOQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxy{|}~Root Entry FpddData 9-1TablePSWordDocument4pSummaryInformation(zDocumentSummaryInformation8CompObjr  F Microsoft Word 97-2003 MSWordDocWord.Document.89q