XLS《附件》

"附件",,

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, "制定新增和修订部分医疗服务项目价格表",,

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, "序号","编码","项目名称","项目内涵","除外内容","计价单位","价格(元)","说明" "1","240500006(z)","3D打印光固化树脂模型设计及制作","依据患者影像学数据进行计算机三维重建,分离病骨组织并3D打印出模型,以及根据模型进行定制假体设计;

根据3D打印模型精确评估患者病情,并模拟手术,最终给出完备治疗方案.

含3D打印相关材料费.",,

"次","3100","200-350mm?按此标准执行.小于200mm?按1500元/次执行.大于350mm?按4600元/次执行." "2","250401038(z)","脂蛋白相关磷脂酶A2(Lp-PLA2)测定","血清、血浆、全血,样本采集、签收、处理,加样,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;

按规定处理废弃物;

接受临床相关咨询.",,

"次","300", "3","311201066(z)","妊娠期妇女可溶性细胞间粘附分子-1检测胎膜早破","铺一次性检查垫,取平卧位,用棉签取阴道后穹分泌物,加入样本稀释液稀释后,用吸管吸出,滴3滴在检测卡取样孔S内,平置3-6分钟,观察结果,检查是否胎膜早破.",,

"次","280", "4","311201067(z)","妊娠期补体因子D子痫前期测定","用尿杯取中段尿液,取样器吸入1ml尿液加入样本稀释液稀释后,用吸管吸出,滴3滴在检测卡取样孔S内,平置10-15分钟,观察结果,检查是否子痫前期.",,

"次","480","胶体金法" "5","331005019","移植肝切除术+再移植术","指将原移植肝切除,重新再移植手术.逐层进腹,粘连松解,探查,移植肝切除(含全肝或部分),受体肝动脉修整,供肝植入,肝左肝中静脉修整成形,供肝下腔静脉成形,依次吻合下腔静脉、门静脉、肝动脉,(供肝胆囊切除),胆总管探查,胆管吻合,留置T管引流,肝活检,止血,经腹壁另戳孔置管引出固定,清点器具、纱布无误,冲洗腹腔,逐层关腹.","吻合器,血管夹,特殊缝线,止血材料","次","9000", "6","331005028(z)","原位肝移植术","指尸体全肝供肝.逐层开腹,探查,全肝切除(含经典肝移植和背驮肝移植两种手术方式)背驮术式的患者需要游离第三肝门,逐一处理肝段血管),受体肝动脉修整,供肝植入,肝左肝中静脉修整成形,供肝下腔静脉成形,依次吻合下腔静脉(经典式肝移植需要分别吻合肝上、肝下下腔静脉)、门静脉、肝动脉,供肝胆囊切除,胆总管探查,胆管吻合,留置T管引流,肝活检,止血,经腹壁另戳孔置管引出固定,清点器具、纱布无误,冲洗腹腔,逐层关腹.","吻合器,血管夹,特殊缝线,止血材料","次","7000","不得与肝移植术同时收取" "7","331005029(z)","部分供肝原位肝移植术","指活体或尸体背驮式部分肝移植术.逐层进腹,探查,全肝切除术(游离第三肝门,逐一处理肝短血管),受体肝动脉修整,供肝植入,肝左肝中静脉修整成形,受体腔静脉修整成形,供肝肝静脉成形,依次吻合肝静脉、门静脉、肝动脉,胆总管探查,胆管吻合,留置T管引流,肝活检,止血、经腹壁另戳孔置管引出固定,清点器具、纱布无误,冲洗腹腔,逐层关腹.","吻合器,血管夹,特殊缝线,止血材料","次","8000","不得与肝移植术同时收取" "8","331005030(z)","双供肝原位肝移植术","指管道重建需要分别依次吻合,相当于两次供肝植入术.逐层进腹,探查,全肝切除术(游离第三肝门,逐一处理肝短血管),受体肝动脉修整,供肝植入,肝左肝中静脉修整成形,受体腔静脉修整成形,供肝肝静脉成形,依次吻合肝静脉、门静脉、肝动脉,胆总管探查,胆管吻合,留置T管引流,肝活检,止血,经腹壁另戳孔置管引出固定,清点器具、纱布无误,冲洗腹腔,逐层关腹.","吻合器,血管夹,特殊缝线,止血材料","次","7000","不得与肝移植术同时收取" "9","331005031(z)","原位辅助肝移植术","逐层进腹,探查,左半肝(或右半肝)部分切除术(游离第三肝门,逐一处理肝短血管),受体肝动脉修整,供肝植入,受体腔静脉修整成形,供肝肝静脉成形,依次吻合肝静脉、门静脉、肝动脉,胆总管探查,胆管吻合,留置T管引流,肝活检,止血,经腹壁另戳孔置管引出固定,清点器具、纱布无误,冲洗腹腔,逐层关腹.","血管夹,特殊缝线,止血材料","次","7000","不得与肝移植术同时收取" "10","331005032(z)","异体供体获取术","指腹腔器官组织系统性供体切取.肝脏切取:逐层进腹、探查,肝门区各血管游离(肝动脉、门静脉及胆管),腹主动脉插管、肠系膜上静脉(或肠系膜下静脉、门静脉)插管,器官保存液冷却灌注.肝肾胰联合切取:全肝切除,全胰切除,双肾输尿管全长切除,双肾上腺切除,全结肠切除,全胃切除,全小肠切除,脾切除,腹主动脉及腔静脉血管探查,肝肾分离,腹腔干及双肾动脉修剪分离,下腔静脉及双侧肾静脉修剪分离,胆管(或胆囊)冲洗,肝动脉插管灌洗,供体髂血管取材,逐层关腹,尸体料理.器官保存后迅速转运.","吻合器,血管夹,特殊缝线,止血材料","次","3000", "11","331005033(z)","活体供肝获取术","插导尿管,逐层进腹、探查、术中胆道造影,术中B超定位,根据需要切取半肝或部分肝脏,供肝灌洗,供肝称重,肝静脉重建,动脉重建及胆管重建,动脉、门静脉及胆管修补(如果需要留置T管),再次胆道造影,肝断面止血,经腹壁另戳孔置管引出固定,清点器具、纱布无误,冲洗腹腔,逐层关腹.","血管夹,特殊缝线,止血材料","次","3500", "12","331005034(z)","尸体供肝修整术","门静脉修整,肝动脉修整,胆管修整,肝周围韧带及结缔组织的修整,下腔静脉修整并成形(缝扎膈静脉,肾上腺静脉及肝短静脉分支,背驮式肝移植需要供肝肝下下腔静脉缝合),血管移植物修整术.",,