心衰治疗还要补铁？是“雪中送炭”还是“锦上添花”？
<h2 style="font-weight: bold;white-space: normal;line-height: 1.6em;"><br/></h2><p><section data-support="96编辑器" data-style-id="31585" style="outline: 0px;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;"><section style="margin-left: auto;outline: 0px;width: 2em;"><br data-filtered="filtered" style="outline: 0px;"/></section><section style="margin-top: -30px;margin-right: 10px;padding: 14px;outline: 0px;background-color: rgb(251, 235, 235);border-radius: 0px 20px 0px 0px;box-sizing: border-box;"><section style="outline: 0px;line-height: 1.75em;letter-spacing: 2px;font-size: 15px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;"> 心衰是所有心血管疾病的终末期阶段，70岁以上的老人中，每10个人就有一个人患有心衰，除了心衰病情的进展，危害呈渐进性发展。尽管对心衰发病机理研究的深入以及治疗方案的日新月异，但在心衰治疗的漫漫长路上却存在很多“拦路虎”。</span></p></section></section></section></section><section data-support="96编辑器" data-style-id="28090"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 19, 13);box-sizing: border-box;"><section style="padding: 10px;color: rgb(255, 19, 13);box-sizing: border-box;"><p style="letter-spacing: 1px;"><br/></p></section></section></section></section><section data-support="96编辑器" data-style-id="31585" style="outline: 0px;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;"><section style="margin-left: auto;outline: 0px;width: 2em;"><br data-filtered="filtered" style="outline: 0px;"/></section><section style="margin-top: -30px;margin-right: 10px;padding: 14px;outline: 0px;background-color: rgb(251, 235, 235);border-radius: 0px 20px 0px 0px;box-sizing: border-box;"><section style="outline: 0px;line-height: 1.75em;letter-spacing: 2px;font-size: 15px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;"> 临床研究发现，急性/慢性心衰患者中，其中铁缺乏占24%-75%，铁缺乏合并贫血占43%-78%，铁缺乏不合并贫血占15%-65%，从统计数据可以看出，贫血和缺铁在心衰患者中普遍存在，并且经常共同存在。同时研究还发现，铁缺乏伴或不伴贫血都与心衰的严重程度和不良预后密切相关，贫血会加重心衰症状，增加住院次数和时间，升高死亡率，与非贫血的患者相比，贫血患者心功能进展为III级或IV级的比例升高35%，死亡风险增加66%。</span></p></section></section></section></section><section data-support="96编辑器" data-style-id="26378"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-block;background-image: url(https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_png/Ljib4So7yuWiaJIufeyibkYLmN0fiapgC2XLib61CibwrSmfhaBdZ6jf9VMDCv7JjQ1AicnRlibAdRjbr9DRZOLia8fOxZQ/640?wx_fmt=png);background-position: 50% 50%;background-repeat: no-repeat;background-size: 100%;background-attachment: scroll;border-width: 0px;border-radius: 3px;border-style: dashed;border-color: rgb(255, 129, 152);box-sizing: border-box;"><section><p style="padding: 20px 18px 20px 30px;white-space: normal;"><span data-form="2" data-num="1" style="color: #ffffff;font-size: 20px;">1</span><br/></p></section></section></section></section><section data-support="96编辑器" data-style-id="24026"><section style="margin-top: 10px;margin-bottom: 10px;"><p style="text-align: center;"><span data-form="0" data-num="1" style="color: #ff0000;font-size: 36px;"></span></p><section style="margin-top: -30px;margin-bottom: 10px;text-align: center;"><section style="vertical-align: middle;display: inline-block;width: 8px;height: 20px;background-color: #ff0000;"><br/></section><section style="margin-left: 10px;vertical-align: middle;display: inline-block;"><p><span style="letter-spacing: 0.5px;"><strong><span style="font-size: 16px;color: #ff4c41;">为什么心衰患者容易合并铁缺乏及贫血？</span></strong></span></p></section><section data-width="10%" style="height: 1px;vertical-align: middle;border-width: 1px;border-top-style: solid;border-color: rgb(60, 60, 60);display: inline-block;width: 10%;box-sizing: border-box;"><br/></section><section style="vertical-align: middle;display: inline-block;width: 10px;height: 10px;background-color: rgb(255, 0, 0);border-radius: 50%;box-sizing: border-box;"><br/></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p><section data-support="96编辑器" data-style-id="28090"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 19, 13);box-sizing: border-box;"><section style="padding: 10px;color: rgb(255, 19, 13);box-sizing: border-box;"><p style="letter-spacing: 1px;"><br/></p></section></section></section></section><section data-support="96编辑器" data-style-id="31585" style="outline: 0px;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;"><section style="margin-left: auto;outline: 0px;width: 2em;"><br data-filtered="filtered" style="outline: 0px;"/></section><section style="margin-top: -30px;margin-right: 10px;padding: 14px;outline: 0px;background-color: rgb(251, 235, 235);border-radius: 0px 20px 0px 0px;box-sizing: border-box;"><section style="outline: 0px;line-height: 1.75em;letter-spacing: 2px;font-size: 15px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;"> 心衰合并铁缺乏及贫血的发病机制比较复杂，可能与以下因素有关：</span></p><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;color: #ff4c41;">（1）促炎症反应</span><span style="font-size: 16px;">：心衰时多种炎性因子的大量释放，可抑制促红细胞生成素的分泌，同时抑制骨髓红细胞增生，并减少铁的吸收。</span></p><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;color: #ff4c41;">（2）造血原料缺乏</span><span style="font-size: 16px;">：心衰常常引起胃肠道淤血，消化道吸收铁的功能下降或药物影响铁的吸收，导致缺铁。</span></p><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;color: #ff4c41;">（3）促红细胞生成素合成相对不足</span><span style="font-size: 16px;">：心衰时易导致或并发肾功能损害，促红细胞生成素减少，而促红细胞生成素是红细胞合成的必需物质。</span></p><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;color: #ff4c41;">（4）药物影响</span><span style="font-size: 16px;">：心衰治疗药物血管紧张素转换酶抑制剂/血管紧张素受体拮抗剂类药物，不仅影响促红细胞生成素合成，还会抑制促红细胞生成素发挥促进红细胞生成的作用，使血红蛋白水平降低。</span></p></section></section></section></section><section data-support="96编辑器" data-style-id="26378"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-block;background-image: url(https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_png/Ljib4So7yuWiaJIufeyibkYLmN0fiapgC2XLib61CibwrSmfhaBdZ6jf9VMDCv7JjQ1AicnRlibAdRjbr9DRZOLia8fOxZQ/640?wx_fmt=png);background-position: 50% 50%;background-repeat: no-repeat;background-size: 100%;background-attachment: scroll;border-width: 0px;border-radius: 3px;border-style: dashed;border-color: rgb(255, 129, 152);box-sizing: border-box;"><section><p style="padding: 20px 18px 20px 30px;white-space: normal;"><span data-form="2" data-num="1" style="color: #ffffff;font-size: 20px;">2</span><br/></p></section></section></section></section><section data-support="96编辑器" data-style-id="24026"><section style="margin-top: 10px;margin-bottom: 10px;"><p style="text-align: center;"><span data-form="0" data-num="1" style="color: #ff0000;font-size: 36px;"></span></p><section style="margin-top: -30px;margin-bottom: 10px;text-align: center;"><section style="vertical-align: middle;display: inline-block;width: 8px;height: 20px;background-color: #ff0000;"><br/></section><section style="margin-left: 10px;vertical-align: middle;display: inline-block;"><p><span style="letter-spacing: 0.5px;"><strong><span style="font-size: 16px;color: #ff4c41;">如何识别心衰患者合并铁缺乏及贫血？</span></strong></span></p></section><section data-width="10%" style="height: 1px;vertical-align: middle;border-width: 1px;border-top-style: solid;border-color: rgb(60, 60, 60);display: inline-block;width: 10%;box-sizing: border-box;"><br/></section><section style="vertical-align: middle;display: inline-block;width: 10px;height: 10px;background-color: rgb(255, 0, 0);border-radius: 50%;box-sizing: border-box;"><br/></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p><section data-support="96编辑器" data-style-id="28090"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 19, 13);box-sizing: border-box;"><section style="padding: 10px;color: rgb(255, 19, 13);box-sizing: border-box;"><p style="letter-spacing: 1px;"><br/></p></section></section></section></section><section data-support="96编辑器" data-style-id="31585" style="outline: 0px;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;"><section style="margin-left: auto;outline: 0px;width: 2em;"><br data-filtered="filtered" style="outline: 0px;"/></section><section style="margin-top: -30px;margin-right: 10px;padding: 14px;outline: 0px;background-color: rgb(251, 235, 235);border-radius: 0px 20px 0px 0px;box-sizing: border-box;"><section style="outline: 0px;line-height: 1.75em;letter-spacing: 2px;font-size: 15px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;"> 在《中国心力衰竭诊断和治疗指南2018》及《2021ESC心衰诊治指南》中明确指出所有的心衰患者均应筛查铁缺乏及贫血，应对所有心衰患者进行血常规、血清铁、铁蛋白及转铁蛋白饱和度检测。</span></p><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;"> 铁蛋白＜100ug/L或铁蛋白100-299ug/L，但转铁蛋白饱和度＜20%可诊断为铁缺乏，在此基础上血红蛋白＜130g/L(男)/＜120g/L(女)时，可诊断为心衰合并贫血。</span></p></section></section></section></section><section data-support="96编辑器" data-style-id="26378"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-block;background-image: url(https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_png/Ljib4So7yuWiaJIufeyibkYLmN0fiapgC2XLib61CibwrSmfhaBdZ6jf9VMDCv7JjQ1AicnRlibAdRjbr9DRZOLia8fOxZQ/640?wx_fmt=png);background-position: 50% 50%;background-repeat: no-repeat;background-size: 100%;background-attachment: scroll;border-width: 0px;border-radius: 3px;border-style: dashed;border-color: rgb(255, 129, 152);box-sizing: border-box;"><section><p style="padding: 20px 18px 20px 30px;white-space: normal;"><span data-form="2" data-num="1" style="color: #ffffff;font-size: 20px;">3</span><br/></p></section></section></section></section><section data-support="96编辑器" data-style-id="24026"><section style="margin-top: 10px;margin-bottom: 10px;"><p style="text-align: center;"><span data-form="0" data-num="1" style="color: #ff0000;font-size: 36px;"></span></p><section style="margin-top: -30px;margin-bottom: 10px;text-align: center;"><section style="vertical-align: middle;display: inline-block;width: 8px;height: 20px;background-color: #ff0000;"><br/></section><section style="margin-left: 10px;vertical-align: middle;display: inline-block;"><p><span style="letter-spacing: 0.5px;"><strong><span style="font-size: 16px;color: #ff4c41;">心衰患者合并铁缺乏及贫血如何干预？</span></strong></span></p></section><section data-width="10%" style="height: 1px;vertical-align: middle;border-width: 1px;border-top-style: solid;border-color: rgb(60, 60, 60);display: inline-block;width: 10%;box-sizing: border-box;"><br/></section><section style="vertical-align: middle;display: inline-block;width: 10px;height: 10px;background-color: rgb(255, 0, 0);border-radius: 50%;box-sizing: border-box;"><br/></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p style="text-align: center;letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;color: #ff4c41;">（1）补充铁剂治疗</span></p><p><section data-support="96编辑器" data-style-id="28090"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 19, 13);box-sizing: border-box;"><section style="padding: 10px;color: rgb(255, 19, 13);box-sizing: border-box;"><p style="letter-spacing: 1px;"><br/></p></section></section></section></section><section data-support="96编辑器" data-style-id="31585" style="outline: 0px;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;"><section style="margin-left: auto;outline: 0px;width: 2em;"><br data-filtered="filtered" style="outline: 0px;"/></section><section style="margin-top: -30px;margin-right: 10px;padding: 14px;outline: 0px;background-color: rgb(251, 235, 235);border-radius: 0px 20px 0px 0px;box-sizing: border-box;"><section style="outline: 0px;line-height: 1.75em;letter-spacing: 2px;font-size: 15px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;"> 一旦确诊铁缺乏，铁剂治疗应作为首选，铁剂分为口服和注射用铁剂两大类，根据病情严重程度和个人耐受情况，使用有所差异。口服铁剂起效慢，对胃肠道刺激比较大，部分患者不耐受；而静脉铁剂不良反应相对少，效果好，患者容易接受。2021年ESC心衰指南指出，有症状的心衰患者合并铁缺乏，建议进行静脉补铁治疗，以改善症状、提高运动耐量和生活质量。目前静脉铁剂主要有蔗糖铁、羧基麦芽糖铁和低分子右旋糖苷铁，其中羧基麦芽糖铁被认为具有良好的耐受性，不良反应最小。</span></p><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;"> 需要注意的是，无论以哪种形式补铁，都不可过量，注意定期复查血清铁等指标，以免引起铁中毒。在服用铁剂时，不宜喝咖啡、喝茶，避免降低药效。</span></p></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;text-align: center;"><span style="font-size: 16px;color: #ff4c41;">（2）输血治疗</span></p><p><section data-support="96编辑器" data-style-id="28090"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 19, 13);box-sizing: border-box;"><section style="padding: 10px;color: rgb(255, 19, 13);box-sizing: border-box;"><p style="letter-spacing: 1px;"><br/></p></section></section></section></section><section data-support="96编辑器" data-style-id="31585" style="outline: 0px;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;"><section style="margin-left: auto;outline: 0px;width: 2em;"><br data-filtered="filtered" style="outline: 0px;"/></section><section style="margin-top: -30px;margin-right: 10px;padding: 14px;outline: 0px;background-color: rgb(251, 235, 235);border-radius: 0px 20px 0px 0px;box-sizing: border-box;"><section style="outline: 0px;line-height: 1.75em;letter-spacing: 2px;font-size: 15px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;"> 在心衰患者中，输血治疗的研究数据有限，改善心衰患者的贫血状况作用有限。输血治疗本身并不会增加心衰患者的死亡率，但应考虑到输血可能带来的相关并发症，包括加重心衰、发热、输血相关急性肺损伤等，因此，输血不能作为改善心衰患者的贫血的长期治疗手段，仅限于在紧急情况下使用，一般来说血红蛋白>80g/L不主张输血治疗。</span></p></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;text-align: center;"><span style="font-size: 16px;color: #ff4c41;">（3）食物补铁</span></p><p><section data-support="96编辑器" data-style-id="28090"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 19, 13);box-sizing: border-box;"><section style="padding: 10px;color: rgb(255, 19, 13);box-sizing: border-box;"><p style="letter-spacing: 1px;"><br/></p></section></section></section></section><section data-support="96编辑器" data-style-id="31585" style="outline: 0px;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;"><section style="margin-left: auto;outline: 0px;width: 2em;"><br data-filtered="filtered" style="outline: 0px;"/></section><section style="margin-top: -30px;margin-right: 10px;padding: 14px;outline: 0px;background-color: rgb(251, 235, 235);border-radius: 0px 20px 0px 0px;box-sizing: border-box;"><section style="outline: 0px;line-height: 1.75em;letter-spacing: 2px;font-size: 15px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;"> 动物血（如鸭血、鸡血、猪血等血制品）铁的含量较高，而且都是易于被人体利用的血红素铁，为补血佳品。此外，可适当多摄入含铁丰富的食物如菠菜、木耳、紫菜、瘦肉、动物肝脏等。维生素C能促进铁的吸收，可以多吃含维生素C丰富的猕猴桃、西红柿、草莓、桔子、酸枣、西兰花、彩椒等。</span></p></section></section></section></section><section data-support="96编辑器" data-style-id="31585" style="outline: 0px;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;"><section style="margin-left: auto;outline: 0px;width: 2em;"><br data-filtered="filtered" style="outline: 0px;"/></section><section style="margin-top: -30px;margin-right: 10px;padding: 14px;outline: 0px;background-color: rgb(251, 235, 235);border-radius: 0px 20px 0px 0px;box-sizing: border-box;"><section style="outline: 0px;line-height: 1.75em;letter-spacing: 2px;font-size: 15px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p style="outline: 0px;letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;"> 贫血在心衰患者中普遍存在，铁缺乏是导致贫血最常见的原因，都与患者的预后和死亡密切相关，心衰患者补铁治疗既能改善症状，同时身体机能、运动持久度与生活品质都能获得改善，可以看出心衰患者补铁治疗不仅仅是“雪中送炭”更是“锦上添花”！</span></p></section></section></section></section><section data-support="96编辑器" data-style-id="28090" style="white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 19, 13);box-sizing: border-box;"><section style="padding: 10px;color: rgb(255, 19, 13);box-sizing: border-box;"><p></p><p><strong style="color: rgb(7, 48, 196); letter-spacing: 2px; background-color: rgba(255, 255, 255, 0); font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;">联系方式</strong></p></section></section></section></section></p><p><section style="white-space: normal;letter-spacing: 0.544px;font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><section><section style="margin-top: 10px;margin-bottom: 10px;"><section style="padding-left: 11px;display: inline-block;width: 676.994px;vertical-align: top;box-sizing: border-box;"><section><section style="display: inline-block;width: 665.997px;vertical-align: top;background-color: rgba(255, 255, 255, 0);border-style: solid;border-width: 1px;border-radius: 0px;border-color: rgb(7, 48, 196);box-sizing: border-box;"><section style="margin-bottom: 10px;"><section style="padding-right: 20px;padding-left: 20px;letter-spacing: 1.8px;line-height: 1.8;box-sizing: border-box;"><p style="color: rgb(62, 62, 62);"><span style="font-size: 16px;">1、咨询株洲恺德心血管病医院订阅号<strong><span style="color: rgb(7, 48, 196);">在线客服；</span></strong><br/>2、咨询电话：<strong><span style="color: rgb(7, 48, 196);">0731-28263456</span></strong></span></p><p style="color: rgb(62, 62, 62);"><span style="font-size: 16px;">3、住院部地址：株洲恺德心血管病医院<span style="color: rgb(7, 48, 196);"><strong>第二住院大楼4楼（心衰中心）</strong></span></span></p><p><span style="font-size: 16px;"><span style="color: rgb(0, 0, 0);">4、</span><strong style="color: rgb(7, 48, 196);">心衰门诊地址</strong><span style="color: rgb(0, 0, 0);"><strong>：</strong></span><strong style="color: rgb(7, 48, 196);">新华西路门诊部2号诊室</strong><span style="color: rgb(0, 0, 0);">（<span style="color: rgb(62, 62, 62);letter-spacing: 1.8px;">华润万家对面</span>）</span></span></p></section></section></section></section></section></section></section><section><section style="border-top: 1px solid rgb(7, 48, 196);line-height: 0;box-sizing: border-box;"><section style="line-height: 0;width: 0px;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section><section style="margin-top: 3px;border-top: 4px solid rgb(7, 48, 196);line-height: 0;box-sizing: border-box;"><section style="line-height: 0;width: 0px;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section></section><section><p style="text-align: right;"><span style="font-size: 12px;letter-spacing: 0.544px;">文案：任承潜</span><span style="letter-spacing: 0.544px;text-align: justify;"></span></p></section></section></p><p style="white-space: normal;"><br/></p><p><br/></p><link rel="stylesheet" href="//bbs.zhuzhou.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_wlU" id="wcn_editor_css"/>
页:
[1]