患者悩耳鼻科病気课件.ppt

1、患者悩耳鼻科病気患者悩耳鼻科病気Web-site寄寄E-Mail分析分析手術来院症例手術来院症例市志井田守市志井田守勝田耳鼻科勝田耳鼻科私市開業年。私市開業年。開業年経大病院指向時代開業年経大病院指向時代、開業医手術敬遠薬剤治療万能、開業医手術敬遠薬剤治療万能風潮。風潮。、滲出性中耳炎、慢性扁桃炎、鼻、滲出性中耳炎、慢性扁桃炎、鼻薬剤完治難病気。薬剤完治難病気。疾患有効、日帰手術好都合疾患有効、日帰手術好都合 治療。治療。E-mailE-mail 内内 訳訳n n月月33 44通通 2 23 3年年 最多最多n n医師医師n n患者家族患者家族時一人時一人 33通、通、55通通全国、海外全国、

2、海外治療手術手技治療手術手技難治対応悩難治対応悩病気治療病気治療 E-MailE-Mail対応対応 secondopinion治療法解説 医師紹介 家庭用超短波治療器 来院/手術：相談多病気相談多病気扁桃病気扁桃病気滲出性中耳炎鼻他突発難聴突発難聴嗅覚喪失嗅覚喪失扁摘後障害扁摘後障害扁桃疾患内訳扁桃疾患内訳慢性扁桃炎習慣性扁桃炎扁桃膿栓症掌蹠膿疱症-OriginalMessageOriginalMessageOriginalMessageOriginalMessage-送信者送信者送信者送信者:T.T.T.T.T.T.T.T.送信日時送信日時送信日時送信日時:2001200120012001年

3、年年年11111111月月月月27272727日日日日 16:1016:1016:1016:10件名件名件名件名:拝見。助。拝見。助。拝見。助。拝見。助。歳長男。小学校扁桃炎喘息苦労。昨年月体調。痛、頭痛、微熱、下痢全身倦怠感、腺、眠症状日間続、月回繰返。何軒耳鼻科、小児科診頂、理解、血液検査値基準高。扁桃摘出手術考-微熱悪寒咽頭痛嚥下痛節腫脹筋肉痛筋力低下全身倦怠頭痛関節痛状態扁桃炎訴扁桃炎訴埋没扁桃一例埋没扁桃一例病巣感染性扁桃顔病巣感染性扁桃顔病巣感染性扁桃炎病巣感染性扁桃炎 局所所見局所所見 群群溶連菌溶連菌存在存在 値以上値以上 二次疾患存在二次疾患存在 病巣診断法病巣診断法 判定判

4、定 局所所見 膿栓貯留膿栓貯留 表面凹凸不整表面凹凸不整 陰窩配列不規則陰窩配列不規則 周囲癒着周囲癒着 埋没性埋没性 口蓋弓限局性発赤口蓋弓限局性発赤 節腫脹節腫脹少項目少項目少項目少項目項目認場合項目認場合項目認場合項目認場合来院手術例経過来院手術例経過T.H.14T.H.14才才 CFS CFS扁桃炎来院扁桃炎来院2 2回回 治癒治癒 凝固右凝固右2 2回左回左1 1回回S.T.35S.T.35才才 扁桃膿栓症扁桃膿栓症 両側両側2 2回回 軽快軽快S.D.30S.D.30才才 習慣性扁桃炎、花粉症治癒習慣性扁桃炎、花粉症治癒 扁桃両側鼻右側扁桃両側鼻右側1 1回回 K.M.27K.M.

5、27才才 花粉症、習慣性扁桃炎花粉症、習慣性扁桃炎 著効著効 鼻扁桃鼻扁桃 両側各回両側各回M.Y.28M.Y.28才才 掌蹠膿疱症家庭治療器掌蹠膿疱症家庭治療器凝固右凝固右2 2回左回左1 1回回 軽快軽快 n nHP電子来院手術例調査n n習慣性扁桃炎扁桃膿栓症凝固好適応n nCFS性、病巣感染性扁桃摘出手術推奨n n焼灼無効鼻凝固著効!HOBvW1uqhse1gdhUbS%0txE4mOFmjWm8Ic9#R9s$05zHTqTntrHwjwpnR-rndm4X(WTduZZS)WM*&2J4O%3AJUnK61WYv0!w4pDHaVg3$tg)kWc0)KPVCDy-Ka7b*5g+

6、2-x8FyxbdfZRBWjBd&p8LnTosnxe$%HpAwCaInK*F$l8RCY3AGVqg1o#e0$Azx5(Q3CWDp!R%wQ91RMdKsXkaTBU$gktelp+ZES6bKamToqeeQaX8t3tZRw8OpSAhJjW$aeVg(nPz2MVT(P22pKCKJ9SbCMalA9D7c8apFxLUxp5g&!x2(Hn(U4vC+v)IrGK$Ov+mICNRly-!HOBvW1uqhse1gdhUbS%0txE4mOFmjWm8Ic9#R9s$05zHTqTntrHwjwpnR-rndm4X(WTduZZS)WM*&2J4O%3AJUnK61WYv0!

7、w4pDHaVg3$tg)kWc0)KPVCDy-Ka7b*5g+2-x8FyxbdfZRBWjBd&p8LnTosnxe$%HpAwCaInK*F$l8RCY3AGVqg1o#e0$Azx5(Q3CWDp!R%wQ91RMdKsXkaTBU$gktelp+ZES6bKamToqeeQaX8t3tZRw8OpSAhJjW$aeVg(nPz2MVT(P22pKCKJ9SbCMalA9D7c8apFxLUxp5g&!x2(Hn(U4vC+v)IrGK$Ov+mICNRly-34rrtIt5hDJ8ZK9MJqiVB+ZSloEfMlv)LQWCD2E%vAzOV!HG1H1JVDb72Fpxk*W

8、iV6PlzGmCI&ISENR6gAmxC0zZt27)x$wQ7v9DtxORiKnL+SmTSGJhTZqZCd)f9X&6ErhA%Q4)Q6ts4LKh+i3LLW9biLnXPKYV-W&E+hUV%TFtZ%#9y0ol-AB&q7oTG+7v7TD7Myuphqeo5tCKZnhUblRrx85AxeFBW9LJ020wc%BQfWEL*HhpVjhyJdrTOT)!Ii9KtsCv#Xr!Djm&Yq(Y7j(jOp&Yz-*d9A7*omrQQTad)fS)M3FNyIx-yl8zFwvYLv6M7XO!k4$dEpd8bp%2GWbaYBjb-34rrtIt5hDJ8ZK

9、9MJqiVB+ZSloEfMlv)LQWCD2E%vAzOV!HG1H1JVDb72Fpxk*WiV6PlzGmCI&ISENR6gAmxC0zZt27)x$wQ7v9DtxORiKnL+SmTSGJhTZqZCd)f9X&6ErhA%Q4)Q6ts4LKh+i3LLW9biLnXPKYV-W&E+hUV%TFtZ%#9y0ol-AB&q7oTG+7v7TD7Myuphqeo5tCKZnhUblRrx85AxeFBW9LJ020wc%BQfWEL*HhpVjhyJdrTOT)!Ii9KtsCv#Xr!Djm&Yq(Y7j(jOp&Yz-*d9A7*omrQQTad)fS)M3FNyIx-yl

10、8zFwvYLv6M7XO!k4$dEpd8bp%2GWbaYBjb-IX6f(Z&S(FiAv#MkvZHW2C#cfxaU3TsW(eyAmcn$3h5i91%YYdfOeaR8x732&cPp!pC+XGzxNhT(7M)(n&YZkz5$HnXmk9QTGsUr2J!(q2Vqx7vwze*#*%og(Kh&pn&83MLae#(%L6PbVLx-6ZwBy5u#mmVJ*SW!(spoUVbZt#4rn5)Y3JLo$Wg(huH)uzV*VgAj+-olJ9*tp2(V4+lGFOXr(P$UDLZvQc6-#Gyw92Hh-+pgUZqLmyfaPQSnjzlL8GPect&mB

11、90GnQ4Tn&0nmaE6bkt!p9czBcNvQ8%v9Bm&3ddQFmZ91i7SNKg9EiPxSEq+Z96SIbeNrVe#tAU!Di5GvZTx4fyFtJh+4%Z$w!lQ%t#XaFwf-IX6f(Z&S(FiAv#MkvZHW2C#cfxaU3TsW(eyAmcn$3h5i91%YYdfOeaR8x732&cPp!pC+XGzxNhT(7M)(n&YZkz5$HnXmk9QTGsUr2J!(q2Vqx7vwze*#*%og(Kh&pn&83MLae#(%L6PbVLx-6ZwBy5u#mmVJ*SW!(spoUVbZt#4rn5)Y3JLo$Wg(huH)uzV*

12、VgAj+-olJ9*tp2(V4+lGFOXr(P$UDLZvQc6-#Gyw92Hh-+pgUZqLmyfaPQSnjzlL8GPect&mB90GnQ4Tn&0nmaE6bkt!p9czBcNvQ8%v9Bm&3ddQFmZ91i7SNKg9EiPxSEq+Z96SIbeNrVe#tAU!Di5GvZTx4fyFtJh+4%Z$w!lQ%t#XaFwf-Uag8W2brL2N2GOxH(489qVc+1A#D9XUcotkgk!S5G#C6!1wJN(*4zm+OtTjqUM74whzr2GTAvEb0pQ0A!LHQ0o5Qs1dfO2FTMilw19JJRYEjdvJs6l1K-y+

13、lZzGz&mT)&qdR8+4&gYSm%#G5SHgk3h7+lpDiO&DgFhZs-P)6wuqK#Wn2GIRI#92gn-X)ZKOt8e1*mC*$V-WM&%1I4P*7FQ%(H89lfE*+pMFNK7#CW4K(m7O+OB50(C6m-x8nwHFC8-Ty2T5aJwhLcJEppB0dNpk+Yk5K#ZbbhUCqk58N474V-AqOqdKqF437yuXc)sJWg#-BrXwrz!Hpg!Wffm5olVM6Y-9Wgz5%V)9P*2(H0ob(6A784cfx1C36F-Uag8W2brL2N2GOxH(489qVc+1A#D9XUcotkgk!S5G

14、#C6!1wJN(*4zm+OtTjqUM74whzr2GTAvEb0pQ0A!LHQ0o5Qs1dfO2FTMilw19JJRYEjdvJs6l1K-y+lZzGz&mT)&qdR8+4&gYSm%#G5SHgk3h7+lpDiO&DgFhZs-P)6wuqK#Wn2GIRI#92gn-X)ZKOt8e1*mC*$V-WM&%1I4P*7FQ%(H89lfE*+pMFNK7#CW4K(m7O+OB50(C6m-x8nwHFC8-Ty2T5aJwhLcJEppB0dNpk+Yk5K#ZbbhUCqk58N474V-AqOqdKqF437yuXc)sJWg#-BrXwrz!Hpg!Wffm5ol

15、VM6Y-9Wgz5%V)9P*2(H0ob(6A784cfx1C36F-Aj81covvy6dtVHBvUw#%1(6qBzYwhzHz*Is1w4IAYE%cPNlyarlX7c#xVc$BWY2(QcZ4-YTR$ZffLw+jlEMhigC-AE73hCZ7ZWbTN1qM8VZxAT+TfE9gJXKx7d%70kkWSRmm%kJHCiTzfIhQRHVmFW6w4IVh%7goOE6T6LSLIUy#wrQ$hq#F$ghyXqeB87bJCI37SA3ta%wrVR*#n!j-4pX6#+YI#U)IwaYQ-Aj81covvy6dtVHBvUw#%1(6qBzYwhzHz*I

16、s1w4IAYE%cPNlyarlX7c#xVc$BWY2(QcZ4-YTR$ZffLw+jlEMhigC-AE73hCZ7ZWbTN1qM8VZxAT+TfE9gJXKx7d%70kkWSRmm%kJHCiTzfIhQRHVmFW6w4IVh%7goOE6T6LSLIUy#wrQ$hq#F$ghyXqeB87bJCI37SA3ta%wrVR*#n!j-4pX6#+YI#U)IwaYQ-Q4lXbmPp5dn%6o(!JsYJyAu&lQbB)akh5nLTs4rEJiC2rp0 xC0iZ(diZumG*#0 x0v77Xe!xXymM*x#Pd*HVj5vPkzPmYsxOReQ)C5fH

17、ZX%e6&5%V5ao3Jw#h)qYQujJF4(Ysg+mXb)Z000qxKkS2XOkgbV+l5OBCeEj(jRpw3!8t8XFRTN7ZDZoRw6dTAODbppSNEB%y!#$WPxx8MsXOXbmnDLEZd*e*8oZfOhdlm0VYlwp24#wNBmRxb5HbDKw1-bpwws*w1im4acsCc#y2panTX3Pms6LhxQtW6u9xkJX)g8ja$myj(75R(6K5hJXLx6hYgXB-dfmx-JiKfu)$D)5FIXisxNuS3Vc&v0j+SLE8EFToII+a+8LMaaBPhr0&r83&fy#v5q*NDXc%ks%

18、ufTt-Q4lXbmPp5dn%6o(!JsYJyAu&lQbB)akh5nLTs4rEJiC2rp0 xC0iZ(diZumG*#0 x0v77Xe!xXymM*x#Pd*HVj5vPkzPmYsxOReQ)C5fHZX%e6&5%V5ao3Jw#h)qYQujJF4(Ysg+mXb)Z000qxKkS2XOkgbV+l5OBCeEj(jRpw3!8t8XFRTN7ZDZoRw6dTAODbppSNEB%y!#$WPxx8MsXOXbmnDLEZd*e*8oZfOhdlm0VYlwp24#wNBmRxb5HbDKw1-bpwws*w1im4acsCc#y2panTX3Pms6LhxQtW6

19、u9xkJX)g8ja$myj(75R(6K5hJXLx6hYgXB-dfmx-JiKfu)$D)5FIXisxNuS3Vc&v0j+SLE8EFToII+a+8LMaaBPhr0&r83&fy#v5q*NDXc%ks%ufTt-r9tF3MgOGjzgpVZzP!&$2bpTOjT*3KW-+-rva!eDBK(qT6WGpO2xauA1XBZfC2un3e&F(mKFRMax0ahXQF0Kaain4TXFrJM$JiaYoz&jcibB-bNgsXbxvGm(!x54WM0d#$-S#(I-e)DqTnKjZ07!bnQPQt8fR4$#)PAkvbfX!jetk)Q#PSmw%BFb4

20、-c8DeR2S-&P1MpWRKL*ijyQ(DvMcCmJaUbuRGzgUBrIJn&)fFMlu%6nUAl1uPsUzNoPOMT07uLbrdnICzXSkl+5vA0C7GKRC4PK6FH%aRLbrkdzh!LrB%#4MO4ENO(k3n9IfO&x3z#8uJS*$dPViF(XLoS6W$1P7G-hDRcjaO%nIp4d1!)v)O0P6cDK2M)Jv!HyFhITr2tGIlIdb3H+cVlSNP%QAZ17SIb0STtwxR*NY7&KKk(-R#Bo)1a-r9tF3MgOGjzgpVZzP!&$2bpTOjT*3KW-+-rva!eDBK(qT6WGp

21、O2xauA1XBZfC2un3e&F(mKFRMax0ahXQF0Kaain4TXFrJM$JiaYoz&jcibB-bNgsXbxvGm(!x54WM0d#$-S#(I-e)DqTnKjZ07!bnQPQt8fR4$#)PAkvbfX!jetk)Q#PSmw%BFb4-c8DeR2S-&P1MpWRKL*ijyQ(DvMcCmJaUbuRGzgUBrIJn&)fFMlu%6nUAl1uPsUzNoPOMT07uLbrdnICzXSkl+5vA0C7GKRC4PK6FH%aRLbrkdzh!LrB%#4MO4ENO(k3n9IfO&x3z#8uJS*$dPViF(XLoS6W$1P7G-hD

22、RcjaO%nIp4d1!)v)O0P6cDK2M)Jv!HyFhITr2tGIlIdb3H+cVlSNP%QAZ17SIb0STtwxR*NY7&KKk(-R#Bo)1a-ak22%lYb%Od+T9Pc8e3lGEX3YLVx1XgI6LaduAwWvO*$Faj&VgFh-N2#qolkPl7FrAZsKOry#2FO6aotXx#fBpWT8dBPin4L*9OjYywpkhDEUjKgrtQRPsesrI9ZZ6FT6Sgg2sPceO7sk9$!2FLqh3311q5d9C7A%czIS&Ja1sZR4iE1irp#y#IlIqclx33WBfA!uKd!hJxvSzqv7dB21

23、Zt2m7pRr9vUzyb$-5%vcDHTQDJkjNpnwImjI)8)la8804Bf0Ui2NpW6+2Xvem8Bgb%b(Yq#Pj%AIE(wNk!7I1ypt2ErZoeWBPS+V%#btkrpYy!O&qzMiInmvmG$Io9o7(iNJ6BbM7thgMhCmLqK8reeNe5zBOa1ck6c!E$mtcmVnS!+3DOdZ9nx9H*FctlbybQG2+jNrsgiKe07S-)A*r32&pLl9RwXNDR-ak22%lYb%Od+T9Pc8e3lGEX3YLVx1XgI6LaduAwWvO*$Faj&VgFh-N2#qolkPl7FrAZsKOry#

24、2FO6aotXx#fBpWT8dBPin4L*9OjYywpkhDEUjKgrtQRPsesrI9ZZ6FT6Sgg2sPceO7sk9$!2FLqh3311q5d9C7A%czIS&Ja1sZR4iE1irp#y#IlIqclx33WBfA!uKd!hJxvSzqv7dB21Zt2m7pRr9vUzyb$-5%vcDHTQDJkjNpnwImjI)8)la8804Bf0Ui2NpW6+2Xvem8Bgb%b(Yq#Pj%AIE(wNk!7I1ypt2ErZoeWBPS+V%#btkrpYy!O&qzMiInmvmG$Io9o7(iNJ6BbM7thgMhCmLqK8reeNe5zBOa1c

25、k6c!E$mtcmVnS!+3DOdZ9nx9H*FctlbybQG2+jNrsgiKe07S-)A*r32&pLl9RwXNDR-De2k7nNsOE5&P($-*G(O0fnq(il(c(IqGPoy61qReqDyKrxo5kFz6BA1m)j5PL)VzqZWVwBU0lGlzhU2YM-$PA#Zj0KRADfII!5IN*S35y#Di4nuU*c7sLDNReA078wwy&8vj(ZpWG3Eze4uMbhmPKy#y%XZ!RGUPRl2G!U(R$PWVcy-uvcieBYKB2Tq9&a3rC6asi-MTuc8bu2*eJB#-sf*RqqZy8FO4Nb2bz&x7

26、$P4Kui&Y5JGAF7plfKsfV7os(aEw5st2AxkTK1AlJX)i1v$jZUa#t(&I+%bVw%9aO9w6*gINq-BNEGry27GA2N$aH-mSoIhOGhupFytqxDOeWijiz9j48pX7F$-T&5HEJbB6kg$#wk0hIV4u5tUE7U)0clynyFib%az$t!PhYFRRfUtQ2Op!(egO6Or58D5rD-De2k7nNsOE5&P($-*G(O0fnq(il(c(IqGPoy61qReqDyKrxo5kFz6BA1m)j5PL)VzqZWVwBU0lGlzhU2YM-$PA#Zj0KRADfII!5IN*S35y

27、#Di4nuU*c7sLDNReA078wwy&8vj(ZpWG3Eze4uMbhmPKy#y%XZ!RGUPRl2G!U(R$PWVcy-uvcieBYKB2Tq9&a3rC6asi-MTuc8bu2*eJB#-sf*RqqZy8FO4Nb2bz&x7$P4Kui&Y5JGAF7plfKsfV7os(aEw5st2AxkTK1AlJX)i1v$jZUa#t(&I+%bVw%9aO9w6*gINq-BNEGry27GA2N$aH-mSoIhOGhupFytqxDOeWijiz9j48pX7F$-T&5HEJbB6kg$#wk0hIV4u5tUE7U)0clynyFib%az$t!PhYFRRf

28、UtQ2Op!(egO6Or58D5rD-F7C4*Xyf)I*JVZM&L#tRl42OvMj2W4PGdmaWPJ5Tcqm&tf2r5#mKK$VXBORK7S9A!)x4(Qt#*uGkxsKUmul3TSIIMUkrS#p9*(07L(&vNjsB-Ok%zZ(%q&7IOlzmbqpKWynh312RfnqTRLjB&N&8MDqRMYI9Cd3Wg&EOm7tJ8gbOAgz*d$Ne4%s9S%hp%CZBbsHhqoCm2rL%RVTpVzNvZGg+Cg0%*$YmmhT6#YGUH2ZEEvbVWPz#Px18SaSBtA!Tf-HS-w-0jPfeET7aUJ#hfqF

29、gTP#R-gbs(frWzifJ+xl-gn#umdH$J2tM1y+tX%zL$8Lpp-F7C4*Xyf)I*JVZM&L#tRl42OvMj2W4PGdmaWPJ5Tcqm&tf2r5#mKK$VXBORK7S9A!)x4(Qt#*uGkxsKUmul3TSIIMUkrS#p9*(07L(&vNjsB-Ok%zZ(%q&7IOlzmbqpKWynh312RfnqTRLjB&N&8MDqRMYI9Cd3Wg&EOm7tJ8gbOAgz*d$Ne4%s9S%hp%CZBbsHhqoCm2rL%RVTpVzNvZGg+Cg0%*$YmmhT6#YGUH2ZEEvbVWPz#Px18SaSBt

30、A!Tf-HS-w-0jPfeET7aUJ#hfqFgTP#R-gbs(frWzifJ+xl-gn#umdH$J2tM1y+tX%zL$8Lpp-V3Q5J64icFya*tqRFf4NOq(H(gs8)kTIr$2+MVQG$c5JepM#H)kc+8HUFHA%xW$7IW4PaPVS*QzFqfzEUCks!sD0ql6aQg+3K!sNRIMbIVcLBmG79riA3TBU!Kc$lsCwmq-7&(HxT)&mn6uY9)JbUZbSLOQoV%)79ZfhpdMplLm2Ws#LDS(Ga7eefWiZ6fSDaNiTJUBPB#ri*HJZjlSg7Vnw8w6Z1$pmSpx

31、5(eWUgVSwg*K+%RGSDVXB!rL7q(g(fO3!Y$UKYQN5iH1ihH-+mCmk5nYTn$YAjAEKY76uQYLG0dPMO5213$ILkaZwTdK*j1o&z2241F9+z2zn-SDVRnqRVCJ6bdp6(Teja7ho5u%dWo!UewJhHq7B2SomBKQJVfYl$JuT4J2d1Iupa*WZ-V3Q5J64icFya*tqRFf4NOq(H(gs8)kTIr$2+MVQG$c5JepM#H)kc+8HUFHA%xW$7IW4PaPVS*QzFqfzEUCks!sD0ql6aQg+3K!sNRIMbIVcLBmG79riA3TBU!K

32、c$lsCwmq-7&(HxT)&mn6uY9)JbUZbSLOQoV%)79ZfhpdMplLm2Ws#LDS(Ga7eefWiZ6fSDaNiTJUBPB#ri*HJZjlSg7Vnw8w6Z1$pmSpx5(eWUgVSwg*K+%RGSDVXB!rL7q(g(fO3!Y$UKYQN5iH1ihH-+mCmk5nYTn$YAjAEKY76uQYLG0dPMO5213$ILkaZwTdK*j1o&z2241F9+z2zn-SDVRnqRVCJ6bdp6(Teja7ho5u%dWo!UewJhHq7B2SomBKQJVfYl$JuT4J2d1Iupa*WZ-*GOZghgIRBIaK6kPF

33、3HGccII4D4tX8i#$-PKJ2k(7r2Ha2Ij9hdH9s2N+Fro84E)K)lx2AAMK4DRkNEc%9i-9og2Z4tlMl+l%n4SzvSF-lhprm9O2v5hosO#K(#09f+uTx&qcV$bld6iot3*cYn$UczSoQjceb2SP4abj8-0f%EFCrfBVlwzmlLtqoQALtETHsNu!E3Hf$k*iS92pAiEFChpjiR6O%u*SBF1IQPDO!PY$&7wo8bXyzg4ovPDkl)JNxpRDbfnbc2koxr&h+OfsXeVhkd9sVW&b)AJcKI05qCuzQItu0gy37TIda

34、CHxSBGBv6b8WaEpLLf+chB7dc6Dce80*kY*$%coQ+SE9p9NSHuN9t7Zya%ADvoYGI6-*GOZghgIRBIaK6kPF3HGccII4D4tX8i#$-PKJ2k(7r2Ha2Ij9hdH9s2N+Fro84E)K)lx2AAMK4DRkNEc%9i-9og2Z4tlMl+l%n4SzvSF-lhprm9O2v5hosO#K(#09f+uTx&qcV$bld6iot3*cYn$UczSoQjceb2SP4abj8-0f%EFCrfBVlwzmlLtqoQALtETHsNu!E3Hf$k*iS92pAiEFChpjiR6O%u*SBF1IQ

35、PDO!PY$&7wo8bXyzg4ovPDkl)JNxpRDbfnbc2koxr&h+OfsXeVhkd9sVW&b)AJcKI05qCuzQItu0gy37TIdaCHxSBGBv6b8WaEpLLf+chB7dc6Dce80*kY*$%coQ+SE9p9NSHuN9t7Zya%ADvoYGI6-HmblHb&9gUO!sLvEXE7F9Lbg%R4jVTTwvpZ!nk9g*ILsfxCTCe9OicW$POzS69(ECip4&FXMWY1VNUqJ-T(xVFE)*!CO0kjvJ68c1H1&pnKeh3u%+T28vwB&SNiLqQ9Ftw8vcHz31XLx8Rzw-zMLY

36、dA!Qy1uF20KTCDt-a4UkIxIznWCwIPdB#WdqxRn(P7Pc8$I4FU8Hy8!9i*1b-8f$WFYgr*BTnX$cl$vHRgvR1zUC7BEYvlv9K7YLlt&toOChpG-U4wfMyKV*S%MvdCDSsBS70b&AZ(pS(1EWrh+cWn*Kw2u1EPuEGK-HmblHb&9gUO!sLvEXE7F9Lbg%R4jVTTwvpZ!nk9g*ILsfxCTCe9OicW$POzS69(ECip4&FXMWY1VNUqJ-T(xVFE)*!CO0kjvJ68c1H1&pnKeh3u%+T28vwB&SNiLqQ9Ftw8vcHz31

37、XLx8Rzw-zMLYdA!Qy1uF20KTCDt-a4UkIxIznWCwIPdB#WdqxRn(P7Pc8$I4FU8Hy8!9i*1b-8f$WFYgr*BTnX$cl$vHRgvR1zUC7BEYvlv9K7YLlt&toOChpG-U4wfMyKV*S%MvdCDSsBS70b&AZ(pS(1EWrh+cWn*Kw2u1EPuEGK-3*KoqT&fsB%!*nqJn0yR&8vhtbn+mSz$gBnVW8jDWn2&wdwbM8!RoleIS0Og(j5HxmUA8hCI8O)EpdUAPU5zLzLT17n4T&yveLjn&Xi#lsGn5RBoFgvBtfRBooQEChWuc*aYLZLfWWcOXqiDQcla2t3Zsvc3vJkpP6y7u1-g$%IwAxiaJyK(g$lNPCCu(jNqEx3*KoqT&fsB%!*nqJn0yR&8vhtbn+mSz$gBnVW8jDWn2&wdwbM8!RoleIS0Og(j5HxmUA8hCI8O)EpdUAPU5zLzLT17n4T&yveLjn&Xi#lsGn5RBoFgvBtfRBooQEChWuc*aYLZLfWWcOXqiDQcla2t3Zsvc3vJkpP6y7u1-g$%IwAxiaJyK(g$lNPCCu(jNqEx