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1、1 广西民族医院手术室2011 年推广优质护理服务工作计划优质护理服务示范工程要求“切实加强基础护理，改善护理服务，提高护理质量，保障医疗安全，努力为人民群众提供安全、优质、满意的护理服务”。安全质量管理对于手术室来说是一个永恒的话题，多年来我们把“为患者提高安全舒适的手术环境使患者安全度过手术期”作为我们手术室的护理理念。在安全质量管理上做到天天讲，月月讲，把安全质量管理工作作为手术室护理工作的重中之重。年月我院在部分科室挂牌开展优质护理服务示范病区后，年 4 月我们手术室虽然没有挂牌，但医院护理部要求优质护理服务工程在全院范围内全面普及，我们也随之跟进，为贯彻落实卫生部关于年推广优质护理服
2、务工作方案及医院实施优质护理服务工作标准（试行）的通知，结合我科的实际情况，特制定本计划。一、指导思想以科学发展观为指导，紧紧围绕“改革护理模式，履行护理职责，提供优质护理服务，提高护理水平”的工作宗旨，按照医院实施优质护理服务工作标准（试行），为手术患者及家属提供围手术期的优质护理服务，保障手术患者的手术安全，促进护患和谐。二、工作目标改变全体护理人员的服务理念，充分调动全科护理人员的积极性，从手术患者及手术医师的实际需求出发，创新服务举措，注重服务效果，实现患者满意、医生满意、家属肯定及上级部门褒扬。2 三、工作任务（一）成立手术室优质护理服务督导小组组长：周爱玉副组长：韦喜艳组员：韦香宁
3、王秋明马凤娇钟艳谭婉秋李雪萍庞子霞韦菊敏秘书：庞子霞（二）召开小组会议，传达精神，学习文件。、卫生部关于年推广优质护理服务工作方案的通知。、卫生部关于医院实施优质护理服务工作标准（试行）的通知。、护理部关于广西壮族自治区民族医院年推广优质护理服务工作计划。、学习年示范病区开展优质护理服务取得的成效。（三）宣传与动员紧跟护理部宣传的步伐，加大宣传力度，主动与科主任沟通，取得科主任的支持及信任，在全科大会上向全体医务人员宣传手术室开展优质护理服务的举措、规划、方向及预见的成效，争取全科医务人员总动员，积极参与到优质护理服务活动中来。（四）把握标准，明确分工，推进保障措施加强与各手术科室的科间协调与
4、交流，合理利用人力资源，按照手术室的工作标准要求，落实推广优质护理服务的重任，切实把手术室优质护理工作落实在手术患者的身上，真正让患者受益、医院受益。（五）落实工作重点文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:C
5、B8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6
6、A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10
7、HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10
8、R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5
9、 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3
10、O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4
11、3 根据手术室的护理特点在优质护理示范病区的建设中做到“五个加强五个确保”，既要做好与内部客户手术医师的满意协作，又要做好与手术患者的服务，明显提高手术护理质量，充分发挥手术室护理工作在保障手术患者安全，促进手术患者的快速康复等方面的重要作用。有效规避护理纠纷的发生，使手术患者及手术医师的满意率保持在以上。、加强术前访视力度，做到三落实，确保病人安全进入手术室。（）人员与时间上的落实：在护士配备上严格按照手术床与护士之比，即：.的比例配备，除护士长之外，设有一名住院总护士（目前由护士长助理担任），三名小组长，护士按照新老搭配的方式分别安排在三个小组。当次日手术安排出来后，护士便会于当日下午深入
12、病床与手术患者交谈。若护士因手术未结束或拖台太晚，会由小组长或住院总护士完成此项工作，真正做到人员上的落实。时间上：按照常规每日上午时前，次日的手术就安排完成，之后护士便可在手术前的这些时间中抽空对患者进行术前访视，每次时间在分钟，真正做到时间上的落实。（）内容上的落实：在术前访视上按照护理程序对患者进行护理，做到认真手收集主、客观资料，认真进行评估做出护理诊断，制定护理措施及护理计划。并在交谈内容上做到图文并茂，自制一张术前访视温馨提示卡：告知术前访视的意义；讲明术前需要做的准备；详细讲解进入手术室后要做什么操作，让患者心中有数；提示手术后患者应该做什么，如何做。（）效果上的落实：采取边做边
13、问，一问一答的方式，以及边讲解边让患者复述的方法，巩固落实要让患者及家属要掌握的内容。通过图片让患者自己能够说出，明天术前应做什么，应如何配合。对于儿童和老年患者，要文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB
14、8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A
15、1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 H
16、J6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R
17、6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5
18、ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O
19、5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H44
20、 让家长和亲属了解重点掌握的相关知识。、加强护理配合质量的提高，做到三坚持，确保在手术室内的安全。（）考评制度的落实，根据护理部的考评标准结合我科的工作特点专门制订手术室护士考评细则共条，每日的工作实行考评制，考评结果与绩效成绩挂钩。考评人员由2 名护士长、3 名小组长及 1 名住院总护士担任，做到公平、公开、公正。在考评中认真检查指导及时发现问题，以确保护理质量的稳步上升。（）坚持每月温习各位“手术医师喜好”：设立“手术医师喜好登记本”把新进修回来的手术医师、外院请来的手术专家、新入手术医师的手术操作习惯及时记录在本子上，并利用每个月的护士大会集中进行温习，提高手术配合水平。同时，利用护士节
21、、中秋节、春节等节日作为沟通契机，举行手术医师及手术护士联谊会，强化医护之间的沟通与交流。（）坚持每月质量分析会议、安全查房制度的落实：质量分析会议、安全查房我们科已经坚持多年，每个月最后一周的周四晚上便是质量分析会议、护士安全查房活动，会上大家畅所欲言，共同查找制约护理质量提高的共同问题及个性问题，提出安全质量隐患及高进的措施，体现出全体护士的责任心和使命感。、加强手术环境的管理，确保为患者提供安全的手术环境。（）好出入人员管理关，严格执行参观制度，保持良好的秩序，室内禁止高声交谈。播放缓解焦虑情绪的音乐，为手术患者提供安全、轻松的手术治疗环境。（）把好物品进出关，使手术室物品管理规范有序，
22、并有定期检测报告，确保文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O
23、5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文
24、档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB
25、8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A
26、1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 H
27、J6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R
28、6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H45 手术用物的安全使用。（）把好清洁消毒灭菌关，制度手术室保洁制度，做到分工协作，责任到人，定期空气细菌检测，确保安全范围。、加强护士专科技能训练
29、，确保患者得到安全的护理技术保证。（）理论知识学习到位，从“三基三严”入手，扩大范围学习各手术专科的相关知识、局部解剖知识、新开展手术的理论指导。以丰富头脑用过硬的知识赢得病人及手术医师的尊重，同时更好的为手术患者服务。（）手术室基础操作到位，坚持基础操作与专科技术培训相结合，每个月安排一次应急预案的实地演练，坚持提高护士应急配合技术水平。、加强服务礼仪的训练，确保患者在心理得到安全的服务。（）多与患者交流，学会交谈技巧，走出手术室深入到患者的床前，了解患者及家属对我们工作的满意度，针对患者的疑问，及时做出讲解、沟通，尽快取得患者的认可。（）学会换位思考，站在患者的角度审视自己的工作及言行举止
30、，让护士亲自在手术床上体验躺在手术床上的感受及特殊手术体位的舒服度，采取演绎的形式，将平时不注意说出的生硬话语表现出来，让护士自己体会感受，帮助护士提高认识服务态度的重要性。（）每个月推出一个服务“亮点”，如“温馨的术前接待”“急诊患者的心理疏导”“小儿手术患者的人性服务”“老年手术术中的舒适护理”等等。（六）阶段评价，定期总结利用医院 OA 网平台，在优质护理服务专栏里，每月一次及时报道我科优质护理服务工作的开展情况及取得的成效。每季度一次书面总结上交护理部。文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R
31、6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5
32、ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O
33、5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文
34、档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB
35、8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A
36、1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4文档编码:CB8I2K6A1I10 HJ6V10R6S8T5 ZX4T3O5C4H4