单病种及临床路径管理制.pdf

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1、临床路径及单病种管理工作制度一、单病种临床路径是指由医疗、护理及相关人员在疾病诊断明确后,针对某种疾病或者某种手术制定的具有科学性(或合理性)和时间顺序性的患者照顾计划。二、院内各科室开展单病种临床路径均需遵守本制度。三、各科室单病种临床路径开展应当遵循科学、安全、规范、有效、经济、符合伦理的原则,并与科室功能任务相适应,需具备符合资质的专业技术人员、相应的设备、设施和质量控制体系;各级医务人员要严格执行相关病种的诊疗护理规范、常规,优化质控病种的诊断、治疗环节质量。四、设立组织,加强督导在院长、分管院长的领导下,开展单病种质量及临床路径工作,并负责该工作的管理、督导。医院成立临床路径管理领导

2、小组,隶属于医院医疗质量管理委员会,主要负责制定临床路径管理有关规章制度,对我院单病种质量及临床路径管理质量进行指导、监控和评估,协调临床路径实施过程中遇到的问题。相关科室成立单病种质量及临床路径实施小组,由临床科室主任任组长,医疗、护理人员任成员,主管医师主要负责临床路径的实施,临床路径实施过程的效果评价和分析,医务科负责相关材料的收集、记录和整理及信息上报。五、质量控制,评估改进(一)进入路径病历的选择要求:1诊断明确;2无其他合并症、并发症和伴发病;3病人自愿(签署知情同意书)4诊疗过程中未出现其他明显并发症、合并症。(二)实施过程控制与变异分析(三)单病种质量控制指标1诊断质量指标:出

3、入院诊断符合率、手术前后诊断符合率、临床与病理诊断符合率。2治疗质量指标:治愈率、好转率、未愈率、并发症发生率、抗生素使用率、病死率、一周内再住院率。3住院日指标:平均住院日、术前平均住院日、。4费用指标:平均住院费用、每床日住院费用、手术费用、药品费用、检查费用等。(四)单病种质量控制的主要措施1按照卫生部制定的临床路径管理要求,严格执行诊疗常规和技术规程;2健全落实诊断、治疗、护理各项制度;3合理检查,使用适宜技术,提高诊疗水平;4合理用药、控制院内感染;5加强危重病人和围手术期病人管理;6调整医技科室服务流程,控制无效住院日。六、做好临床路径统计工作制度。文档编码:CX4Y2G1B9O8

4、 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3

5、A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8

6、 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3

7、A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8

8、 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3

9、A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8

10、 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7七、对进入临床路径标准的患者达到入组率不低于80%、入组完成率不低于70%。八、对临床路径与单病种质量管理进行实时监测,对发现的问题提出持续改进措施。九、各临床科室要高度重视单病种质量管理控制工作,细化工作方案,确定具体工作目标和实施步骤,建立信息报送工作制度,完成单病种每例诊疗后要对病例进行登记,填写单病种质量控制统计表,切实落实工作责任,做到责任到人、指标到人,保证临床路径管理工作顺利

11、开展。米东区人民医院医务科文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX

12、4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W

13、2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX

14、4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W

15、2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX

16、4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W

17、2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7情绪,贯穿于我们的生活之中。由于生理的不同,与男性相比,女性情感活动更强烈,也更容易情绪化。如果说父亲在家庭中扮演的是掌舵者、领导人的角色,那么母亲则是一个家庭的调节阀、供氧机。虽然家庭的重担由父母双方共同承担,但与父亲相比,母亲承担更多。在工作与家庭双重压力下不少母亲感到力不从心,情绪也变得更加不稳定。但母亲的情绪决定着一个家庭的

18、温度,决定着一个家庭的和谐程度。首先从家庭生活中来看,女性温柔、细腻的特质可以在家庭生活中营造出一种暖意融融的气氛,在这种气氛下,再大的矛盾与困难都能克服。如果说父亲是一把披荆斩棘的利剑,母亲则是一张情意绵绵的丝网,她用爱将家庭与外面漆黑冰冷的世界剥离开来。女性相较于男性而言,更善于表达内心情感,更懂得利用语言与情绪的力量,母亲的笑脸、暖言能给每个家庭成员力量。每个孩子都是一块白纸,你想让他变成什么样子他就是什么样子,在孩子的成长过程中,母亲的影响是不可能替代的。母亲是孩子情感依赖的主要角色,如果母亲在与孩子的接触中,不能控制自己的情绪,那么孩子长大之后很可能会情绪调节失衡。有本书中说:“对大

19、多数的成年人而言,即使一生只跟母亲发生过一次问题,心中就会存在一个说话、行为和反应跟童年时期一模一样的 母亲复本 。”母亲情绪不稳定,一会对孩子赞赏有加,一会对孩子大声呵斥,这会造成造成孩子长大后戒备心重,缺乏信任。总是对孩子抱怨,朝孩子吐苦水,也会把孩子变成一个消极的人。母亲的情绪决定家庭的温度,在家庭生活中学会控制自己的情绪,要发火前深呼吸,以微笑面对家人,对待爱人、孩子多用表扬多夸奖,不要总是看到不足的地方。文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G

20、1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ

21、8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G

22、1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ

23、8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G

24、1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ

25、8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G

26、1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7在合肥张家,母亲陆英是个能很好控制自己的情绪的人。她自结婚后与丈夫从未红过脸,处处周到讨得婆婆欢心,对待儿女从不歇斯底里疾言厉色,她用自己良好的情绪为家庭及儿女成长撑起了一把保护伞。文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4

27、Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7

28、文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4

29、Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7

30、文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4

31、Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7

32、文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4

33、Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7

34、文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4

35、Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7

36、文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4

37、Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7

38、文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4

39、Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7

40、文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4

41、Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7

42、文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4

43、Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7

44、文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7文档编码:CX4Y2G1B9O8 HE4Q2D9I4W2 ZJ8K5M3A4T7

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