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1、心臟瓣膜病的超聲診斷,,http://www.029nk.com/http://www.029nk.com/fkyz/http://www.029nk.com/byby/http://www.029nk.com/fkzl/http://www.029nk.com/gjjb/http://www.029nk.com/jhsy/http://www.029nk.com/fkzx/http://www.029nk.com/gjjb/gjml/
2、http://www.029nk.com/fkyz/ydy/http://www.029nk.com/fkzl/zgjl/http://www.029nk.com/byby/byjc/http://www.029nk.com/fkzx/cvmxf/http://www.029nk.com/jhsy/rljs/http://www.029nk.com/fkyz/bdyc/http://www.029nk.com/byby/nxby/htt
3、p://www.029nk.com/fkzx/yczx/http://www.029nk.com/jhsy/wtrl/http://www.029nk.com/jhsy/yaoliu/http://www.029nk.com/gjjb/gjxr/http://www.029nk.com/fkyz/fjy/http://www.029nk.com/fkzl/lcnz/http://www.029nk.com/byby/byzl/http:
4、//www.029nk.com/jhsy/gwy/http://www.029nk.com/byby/lcxby/http://www.029nk.com/fkzx/ydjs/http://www.029nk.com/jhsy/jyzs/http://www.029nk.com/gjjb/gjfd/http://www.029nk.com/fkyz/pqy/http://www.029nk.com/fkzl/ydnz/http://ww
5、w.029nk.com/byby/byyy/http://www.029nk.com/fkzx/yjbt/http://www.029nk.com/gjjb/gjy/http://www.029nk.com/fkyz/ndy/http://www.029nk.com/fkzx/ydzx/http://www.029nk.com/byby/gjxby/http://www.029nk.com/fkzx/ydzz/http://www.02
6、9nk.com/jhsy/zyjc/http://www.xasg120.com/http://www.xasg120.com/fkzl/http://www.xasg120.com/fkzl/lc/http://www.xasg120.com/fkzl/wy/http://www.xasg120.com/fkzl/yd/http://www.xasg120.com/fkzl/zgjl/http://www.xasg120.com/
7、fuke/http://www.xasg120.com/fuke/fujianyan/http://www.xasg120.com/fuke/gjy/http://www.xasg120.com/fuke/ndy/http://www.xasg120.com/fuke/pqy/http://www.xasg120.com/fuke/ydy/http://www.xasg120.com/fuke/zigongneimoyan/http:/
8、/www.xasg120.com/gongjing/http://www.xasg120.com/gongjing/feida/http://www.xasg120.com/gongjing/gongjingai/http://www.xasg120.com/gongjing/milan/http://www.xasg120.com/gongjing/xirou/http://www.xasg120.com/gongjing/yanz
9、heng/http://www.xasg120.com/gundong_1.htmlhttp://www.xasg120.com/jbzs/http://www.xasg120.com/jhsy/http://www.xasg120.com/jhsy/gwy/http://www.xasg120.com/jhsy/jiancha/http://www.xasg120.com/jhsy/shanghuanquhuan/http://www
10、.xasg120.com/jhsy/wtrl/http://www.xasg120.com/jhsy/wutongyinchan/http://www.xasg120.com/jhsy/yaoliu/http://www.xasg120.com/jryuyue/http://www.xasg120.com/weichuangfuke/http://www.xasg120.com/yyhj/http://www.xasg120.com/z
11、hengxing/cnmxf/http://www.xasg120.com/zhengxing/xyczx/http://www.xasg120.com/zhengxing/ydjss/http://www.xasg120.com/zhengxing/ydzx/,超聲心動圖作用,超聲心動圖是心臟瓣膜病最佳診斷技術(shù),在心臟瓣膜病介入治療中扮演重要角色。,http://www.029nk.com/http://www.029nk.com/f
12、kyz/http://www.029nk.com/byby/http://www.029nk.com/fkzl/http://www.029nk.com/gjjb/http://www.029nk.com/jhsy/http://www.029nk.com/fkzx/http://www.029nk.com/gjjb/gjml/http://www.029nk.com/fkyz/ydy/http://www.029nk.com/fkzl
13、/zgjl/http://www.029nk.com/byby/byjc/http://www.029nk.com/fkzx/cvmxf/http://www.029nk.com/jhsy/rljs/http://www.029nk.com/fkyz/bdyc/http://www.029nk.com/byby/nxby/http://www.029nk.com/fkzx/yczx/http://www.029nk.com/jhsy/w
14、trl/http://www.029nk.com/jhsy/yaoliu/http://www.029nk.com/gjjb/gjxr/http://www.029nk.com/fkyz/fjy/http://www.029nk.com/fkzl/lcnz/http://www.029nk.com/byby/byzl/http://www.029nk.com/jhsy/gwy/http://www.029nk.com/byby/lcxb
15、y/http://www.029nk.com/fkzx/ydjs/http://www.029nk.com/jhsy/jyzs/http://www.029nk.com/gjjb/gjfd/http://www.029nk.com/fkyz/pqy/http://www.029nk.com/fkzl/ydnz/http://www.029nk.com/byby/byyy/http://www.029nk.com/fkzx/yjbt/ht
16、tp://www.029nk.com/gjjb/gjy/http://www.029nk.com/fkyz/ndy/http://www.029nk.com/fkzx/ydzx/http://www.029nk.com/byby/gjxby/http://www.029nk.com/fkzx/ydzz/http://www.029nk.com/jhsy/zyjc/http://www.xasg120.com/http://www.xa
17、sg120.com/fkzl/http://www.xasg120.com/fkzl/lc/http://www.xasg120.com/fkzl/wy/http://www.xasg120.com/fkzl/yd/http://www.xasg120.com/fkzl/zgjl/http://www.xasg120.com/fuke/http://www.xasg120.com/fuke/fujianyan/http://www.x
18、asg120.com/fuke/gjy/http://www.xasg120.com/fuke/ndy/http://www.xasg120.com/fuke/pqy/http://www.xasg120.com/fuke/ydy/http://www.xasg120.com/fuke/zigongneimoyan/http://www.xasg120.com/gongjing/http://www.xasg120.com/gongji
19、ng/feida/http://www.xasg120.com/gongjing/gongjingai/http://www.xasg120.com/gongjing/milan/http://www.xasg120.com/gongjing/xirou/http://www.xasg120.com/gongjing/yanzheng/http://www.xasg120.com/gundong_1.htmlhttp://www.xa
20、sg120.com/jbzs/http://www.xasg120.com/jhsy/http://www.xasg120.com/jhsy/gwy/http://www.xasg120.com/jhsy/jiancha/http://www.xasg120.com/jhsy/shanghuanquhuan/http://www.xasg120.com/jhsy/wtrl/http://www.xasg120.com/jhsy/wuto
21、ngyinchan/http://www.xasg120.com/jhsy/yaoliu/http://www.xasg120.com/jryuyue/http://www.xasg120.com/weichuangfuke/http://www.xasg120.com/yyhj/http://www.xasg120.com/zhengxing/cnmxf/http://www.xasg120.com/zhengxing/xyczx/h
22、ttp://www.xasg120.com/zhengxing/ydjss/http://www.xasg120.com/zhengxing/ydzx/,二尖瓣狹窄(MS),病因1、風(fēng)濕性(常見,占98%)2、先天性(少見)3、感染性4、老年性5、粘液瘤梗阻造成狹窄,http://www.029nk.com/http://www.029nk.com/fkyz/http://www.029nk.com/byby/http://w
23、ww.029nk.com/fkzl/http://www.029nk.com/gjjb/http://www.029nk.com/jhsy/http://www.029nk.com/fkzx/http://www.029nk.com/gjjb/gjml/http://www.029nk.com/fkyz/ydy/http://www.029nk.com/fkzl/zgjl/http://www.029nk.com/byby/byjc/h
24、ttp://www.029nk.com/fkzx/cvmxf/http://www.029nk.com/jhsy/rljs/http://www.029nk.com/fkyz/bdyc/http://www.029nk.com/byby/nxby/http://www.029nk.com/fkzx/yczx/http://www.029nk.com/jhsy/wtrl/http://www.029nk.com/jhsy/yaoliu/h
25、ttp://www.029nk.com/gjjb/gjxr/http://www.029nk.com/fkyz/fjy/http://www.029nk.com/fkzl/lcnz/http://www.029nk.com/byby/byzl/http://www.029nk.com/jhsy/gwy/http://www.029nk.com/byby/lcxby/http://www.029nk.com/fkzx/ydjs/http:
26、//www.029nk.com/jhsy/jyzs/http://www.029nk.com/gjjb/gjfd/http://www.029nk.com/fkyz/pqy/http://www.029nk.com/fkzl/ydnz/http://www.029nk.com/byby/byyy/http://www.029nk.com/fkzx/yjbt/http://www.029nk.com/gjjb/gjy/http://www
27、.029nk.com/fkyz/ndy/http://www.029nk.com/fkzx/ydzx/http://www.029nk.com/byby/gjxby/http://www.029nk.com/fkzx/ydzz/http://www.029nk.com/jhsy/zyjc/http://www.xasg120.com/http://www.xasg120.com/fkzl/http://www.xasg120.com/
28、fkzl/lc/http://www.xasg120.com/fkzl/wy/http://www.xasg120.com/fkzl/yd/http://www.xasg120.com/fkzl/zgjl/http://www.xasg120.com/fuke/http://www.xasg120.com/fuke/fujianyan/http://www.xasg120.com/fuke/gjy/http://www.xasg120
29、.com/fuke/ndy/http://www.xasg120.com/fuke/pqy/http://www.xasg120.com/fuke/ydy/http://www.xasg120.com/fuke/zigongneimoyan/http://www.xasg120.com/gongjing/http://www.xasg120.com/gongjing/feida/http://www.xasg120.com/gongji
30、ng/gongjingai/http://www.xasg120.com/gongjing/milan/http://www.xasg120.com/gongjing/xirou/http://www.xasg120.com/gongjing/yanzheng/http://www.xasg120.com/gundong_1.htmlhttp://www.xasg120.com/jbzs/http://www.xasg120.com/
31、jhsy/http://www.xasg120.com/jhsy/gwy/http://www.xasg120.com/jhsy/jiancha/http://www.xasg120.com/jhsy/shanghuanquhuan/http://www.xasg120.com/jhsy/wtrl/http://www.xasg120.com/jhsy/wutongyinchan/http://www.xasg120.com/jhsy/
32、yaoliu/http://www.xasg120.com/jryuyue/http://www.xasg120.com/weichuangfuke/http://www.xasg120.com/yyhj/http://www.xasg120.com/zhengxing/cnmxf/http://www.xasg120.com/zhengxing/xyczx/http://www.xasg120.com/zhengxing/ydjss/
33、http://www.xasg120.com/zhengxing/ydzx/,http://www.029nk.com/http://www.029nk.com/fkyz/http://www.029nk.com/byby/http://www.029nk.com/fkzl/http://www.029nk.com/gjjb/http://www.029nk.com/jhsy/http://www.029nk.com/fkzx/http
34、://www.029nk.com/gjjb/gjml/http://www.029nk.com/fkyz/ydy/http://www.029nk.com/fkzl/zgjl/http://www.029nk.com/byby/byjc/http://www.029nk.com/fkzx/cvmxf/http://www.029nk.com/jhsy/rljs/http://www.029nk.com/fkyz/bdyc/http://
35、www.029nk.com/byby/nxby/http://www.029nk.com/fkzx/yczx/http://www.029nk.com/jhsy/wtrl/http://www.029nk.com/jhsy/yaoliu/http://www.029nk.com/gjjb/gjxr/http://www.029nk.com/fkyz/fjy/http://www.029nk.com/fkzl/lcnz/http://ww
36、w.029nk.com/byby/byzl/http://www.029nk.com/jhsy/gwy/http://www.029nk.com/byby/lcxby/http://www.029nk.com/fkzx/ydjs/http://www.029nk.com/jhsy/jyzs/http://www.029nk.com/gjjb/gjfd/http://www.029nk.com/fkyz/pqy/http://www.02
37、9nk.com/fkzl/ydnz/http://www.029nk.com/byby/byyy/http://www.029nk.com/fkzx/yjbt/http://www.029nk.com/gjjb/gjy/http://www.029nk.com/fkyz/ndy/http://www.029nk.com/fkzx/ydzx/http://www.029nk.com/byby/gjxby/http://www.029nk.
38、com/fkzx/ydzz/http://www.029nk.com/jhsy/zyjc/http://www.xasg120.com/http://www.xasg120.com/fkzl/http://www.xasg120.com/fkzl/lc/http://www.xasg120.com/fkzl/wy/http://www.xasg120.com/fkzl/yd/http://www.xasg120.com/fkzl/z
39、gjl/http://www.xasg120.com/fuke/http://www.xasg120.com/fuke/fujianyan/http://www.xasg120.com/fuke/gjy/http://www.xasg120.com/fuke/ndy/http://www.xasg120.com/fuke/pqy/http://www.xasg120.com/fuke/ydy/http://www.xasg120.com
40、/fuke/zigongneimoyan/http://www.xasg120.com/gongjing/http://www.xasg120.com/gongjing/feida/http://www.xasg120.com/gongjing/gongjingai/http://www.xasg120.com/gongjing/milan/http://www.xasg120.com/gongjing/xirou/http://ww
41、w.xasg120.com/gongjing/yanzheng/http://www.xasg120.com/gundong_1.htmlhttp://www.xasg120.com/jbzs/http://www.xasg120.com/jhsy/http://www.xasg120.com/jhsy/gwy/http://www.xasg120.com/jhsy/jiancha/http://www.xasg120.com/jhsy
42、/shanghuanquhuan/http://www.xasg120.com/jhsy/wtrl/http://www.xasg120.com/jhsy/wutongyinchan/http://www.xasg120.com/jhsy/yaoliu/http://www.xasg120.com/jryuyue/http://www.xasg120.com/weichuangfuke/http://www.xasg120.com/yy
43、hj/http://www.xasg120.com/zhengxing/cnmxf/http://www.xasg120.com/zhengxing/xyczx/http://www.xasg120.com/zhengxing/ydjss/http://www.xasg120.com/zhengxing/ydzx/,超聲表現(xiàn)(風(fēng)濕性),1、二尖瓣瓣葉粘連,開放受限。2、左房增大,附壁血栓易形成。3、左室正常或偏小,后期右室可肥厚、擴
44、 大。4、正常人二尖瓣口面積4~6cm2。當(dāng)瓣口面積<2cm2時,才出現(xiàn)血流動力學(xué)改變。,血流動力學(xué)改變,左房 排血受阻 左室 左房淤血擴大(舒張末期左房殘留血增多,加上從肺靜脈進左房的血、左房血量較正常多)肺水腫(肺靜脈、肺毛細血管淤血、回流受阻) 肺小動脈痙攣、硬化 肺動脈高壓 右室肥大 三尖瓣返流 右房擴大
45、右心衰竭,,,,,,,,,,http://www.029nk.com/http://www.029nk.com/fkyz/http://www.029nk.com/byby/http://www.029nk.com/fkzl/http://www.029nk.com/gjjb/http://www.029nk.com/jhsy/http://www.029nk.com/fkzx/http://www.029nk.com/gjjb/gjm
46、l/http://www.029nk.com/fkyz/ydy/http://www.029nk.com/fkzl/zgjl/http://www.029nk.com/byby/byjc/http://www.029nk.com/fkzx/cvmxf/http://www.029nk.com/jhsy/rljs/http://www.029nk.com/fkyz/bdyc/http://www.029nk.com/byby/nxby/h
47、ttp://www.029nk.com/fkzx/yczx/http://www.029nk.com/jhsy/wtrl/http://www.029nk.com/jhsy/yaoliu/http://www.029nk.com/gjjb/gjxr/http://www.029nk.com/fkyz/fjy/http://www.029nk.com/fkzl/lcnz/http://www.029nk.com/byby/byzl/htt
48、p://www.029nk.com/jhsy/gwy/http://www.029nk.com/byby/lcxby/http://www.029nk.com/fkzx/ydjs/http://www.029nk.com/jhsy/jyzs/http://www.029nk.com/gjjb/gjfd/http://www.029nk.com/fkyz/pqy/http://www.029nk.com/fkzl/ydnz/http://
49、www.029nk.com/byby/byyy/http://www.029nk.com/fkzx/yjbt/http://www.029nk.com/gjjb/gjy/http://www.029nk.com/fkyz/ndy/http://www.029nk.com/fkzx/ydzx/http://www.029nk.com/byby/gjxby/http://www.029nk.com/fkzx/ydzz/http://www.
50、029nk.com/jhsy/zyjc/http://www.xasg120.com/http://www.xasg120.com/fkzl/http://www.xasg120.com/fkzl/lc/http://www.xasg120.com/fkzl/wy/http://www.xasg120.com/fkzl/yd/http://www.xasg120.com/fkzl/zgjl/http://www.xasg120.co
51、m/fuke/http://www.xasg120.com/fuke/fujianyan/http://www.xasg120.com/fuke/gjy/http://www.xasg120.com/fuke/ndy/http://www.xasg120.com/fuke/pqy/http://www.xasg120.com/fuke/ydy/http://www.xasg120.com/fuke/zigongneimoyan/http
52、://www.xasg120.com/gongjing/http://www.xasg120.com/gongjing/feida/http://www.xasg120.com/gongjing/gongjingai/http://www.xasg120.com/gongjing/milan/http://www.xasg120.com/gongjing/xirou/http://www.xasg120.com/gongjing/ya
53、nzheng/http://www.xasg120.com/gundong_1.htmlhttp://www.xasg120.com/jbzs/http://www.xasg120.com/jhsy/http://www.xasg120.com/jhsy/gwy/http://www.xasg120.com/jhsy/jiancha/http://www.xasg120.com/jhsy/shanghuanquhuan/http://w
54、ww.xasg120.com/jhsy/wtrl/http://www.xasg120.com/jhsy/wutongyinchan/http://www.xasg120.com/jhsy/yaoliu/http://www.xasg120.com/jryuyue/http://www.xasg120.com/weichuangfuke/http://www.xasg120.com/yyhj/http://www.xasg120.com
55、/zhengxing/cnmxf/http://www.xasg120.com/zhengxing/xyczx/http://www.xasg120.com/zhengxing/ydjss/http://www.xasg120.com/zhengxing/ydzx/,二尖瓣口短軸切面,正常瓣口、大魚嘴,狹窄瓣口、小魚嘴,,心尖四腔切面,左房、左心耳血栓,,正常二尖瓣曲線 二尖瓣狹窄曲線,左房血栓,多普勒頻
56、譜,心尖四腔切面,將取樣容積置于二尖瓣口的左室側(cè),可見舒張期湍流頻譜,流速增高,正向、平頂、實填、聲音粗糙、刺耳。速度快、壓差大(跨瓣壓差)。正常二尖瓣血流頻譜 二尖瓣狹窄血流頻譜,瓣口面積估測法,1、二維描記法2、壓力減半時間法(PHT) 是一個經(jīng)驗公式。用游標(biāo)標(biāo)出多普勒二尖瓣頻譜中E峰的下降斜率,計算機便可自動計算出二尖瓣口面積。MS=220/PHT3、連續(xù)方程式MVA=AOA*VTIAO/VTIMV,注意要點
57、,竇性心律取三個心動周期:房顫取6個心動周期2DE:簡便直觀,不受血流動力學(xué)影響,但圖像要求質(zhì)量高,與術(shù)中相關(guān)性強,局限:球囊擴張術(shù)后:形態(tài)不規(guī)則,不推薦使用此方法。PHT:操作簡便,測量方便,測量整個舒張期的瓣口面積,MVA/PHT曲線相關(guān)。瓣口狹窄越重,誤差越小。狹窄越輕,誤差越大。球囊擴張不受影響。連續(xù)方程:因風(fēng)濕瓣膜病多為聯(lián)合瓣膜病,此方法相關(guān)性差,較少采用。,二尖瓣狹窄分度,降落傘型二尖瓣,,,二尖瓣關(guān)閉不全(MR),h
58、ttp://www.029nk.com/http://www.029nk.com/fkyz/http://www.029nk.com/byby/http://www.029nk.com/fkzl/http://www.029nk.com/gjjb/http://www.029nk.com/jhsy/http://www.029nk.com/fkzx/http://www.029nk.com/gjjb/gjml/http://www.02
59、9nk.com/fkyz/ydy/http://www.029nk.com/fkzl/zgjl/http://www.029nk.com/byby/byjc/http://www.029nk.com/fkzx/cvmxf/http://www.029nk.com/jhsy/rljs/http://www.029nk.com/fkyz/bdyc/http://www.029nk.com/byby/nxby/http://www.029nk
60、.com/fkzx/yczx/http://www.029nk.com/jhsy/wtrl/http://www.029nk.com/jhsy/yaoliu/http://www.029nk.com/gjjb/gjxr/http://www.029nk.com/fkyz/fjy/http://www.029nk.com/fkzl/lcnz/http://www.029nk.com/byby/byzl/http://www.029nk.c
61、om/jhsy/gwy/http://www.029nk.com/byby/lcxby/http://www.029nk.com/fkzx/ydjs/http://www.029nk.com/jhsy/jyzs/http://www.029nk.com/gjjb/gjfd/http://www.029nk.com/fkyz/pqy/http://www.029nk.com/fkzl/ydnz/http://www.029nk.com/b
62、yby/byyy/http://www.029nk.com/fkzx/yjbt/http://www.029nk.com/gjjb/gjy/http://www.029nk.com/fkyz/ndy/http://www.029nk.com/fkzx/ydzx/http://www.029nk.com/byby/gjxby/http://www.029nk.com/fkzx/ydzz/http://www.029nk.com/jhsy/
63、zyjc/http://www.xasg120.com/http://www.xasg120.com/fkzl/http://www.xasg120.com/fkzl/lc/http://www.xasg120.com/fkzl/wy/http://www.xasg120.com/fkzl/yd/http://www.xasg120.com/fkzl/zgjl/http://www.xasg120.com/fuke/http://w
64、ww.xasg120.com/fuke/fujianyan/http://www.xasg120.com/fuke/gjy/http://www.xasg120.com/fuke/ndy/http://www.xasg120.com/fuke/pqy/http://www.xasg120.com/fuke/ydy/http://www.xasg120.com/fuke/zigongneimoyan/http://www.xasg120.
65、com/gongjing/http://www.xasg120.com/gongjing/feida/http://www.xasg120.com/gongjing/gongjingai/http://www.xasg120.com/gongjing/milan/http://www.xasg120.com/gongjing/xirou/http://www.xasg120.com/gongjing/yanzheng/http://w
66、ww.xasg120.com/gundong_1.htmlhttp://www.xasg120.com/jbzs/http://www.xasg120.com/jhsy/http://www.xasg120.com/jhsy/gwy/http://www.xasg120.com/jhsy/jiancha/http://www.xasg120.com/jhsy/shanghuanquhuan/http://www.xasg120.com/
67、jhsy/wtrl/http://www.xasg120.com/jhsy/wutongyinchan/http://www.xasg120.com/jhsy/yaoliu/http://www.xasg120.com/jryuyue/http://www.xasg120.com/weichuangfuke/http://www.xasg120.com/yyhj/http://www.xasg120.com/zhengxing/cnmx
68、f/http://www.xasg120.com/zhengxing/xyczx/http://www.xasg120.com/zhengxing/ydjss/http://www.xasg120.com/zhengxing/ydzx/,病因,風(fēng)濕性、乳頭肌功能失調(diào)、二尖瓣脫垂、感染性心內(nèi)膜炎、腱索斷裂、二尖瓣環(huán)鈣化等;風(fēng)濕性炎癥使瓣葉增厚、纖維化、僵化、攣縮,瓣葉不能緊密對合,造成二尖瓣返流。多見與二尖瓣狹窄并存,也可單獨發(fā)生。,ht
69、tp://www.029nk.com/http://www.029nk.com/fkyz/http://www.029nk.com/byby/http://www.029nk.com/fkzl/http://www.029nk.com/gjjb/http://www.029nk.com/jhsy/http://www.029nk.com/fkzx/http://www.029nk.com/gjjb/gjml/http://www.029
70、nk.com/fkyz/ydy/http://www.029nk.com/fkzl/zgjl/http://www.029nk.com/byby/byjc/http://www.029nk.com/fkzx/cvmxf/http://www.029nk.com/jhsy/rljs/http://www.029nk.com/fkyz/bdyc/http://www.029nk.com/byby/nxby/http://www.029nk.
71、com/fkzx/yczx/http://www.029nk.com/jhsy/wtrl/http://www.029nk.com/jhsy/yaoliu/http://www.029nk.com/gjjb/gjxr/http://www.029nk.com/fkyz/fjy/http://www.029nk.com/fkzl/lcnz/http://www.029nk.com/byby/byzl/http://www.029nk.co
72、m/jhsy/gwy/http://www.029nk.com/byby/lcxby/http://www.029nk.com/fkzx/ydjs/http://www.029nk.com/jhsy/jyzs/http://www.029nk.com/gjjb/gjfd/http://www.029nk.com/fkyz/pqy/http://www.029nk.com/fkzl/ydnz/http://www.029nk.com/by
73、by/byyy/http://www.029nk.com/fkzx/yjbt/http://www.029nk.com/gjjb/gjy/http://www.029nk.com/fkyz/ndy/http://www.029nk.com/fkzx/ydzx/http://www.029nk.com/byby/gjxby/http://www.029nk.com/fkzx/ydzz/http://www.029nk.com/jhsy/z
74、yjc/http://www.xasg120.com/http://www.xasg120.com/fkzl/http://www.xasg120.com/fkzl/lc/http://www.xasg120.com/fkzl/wy/http://www.xasg120.com/fkzl/yd/http://www.xasg120.com/fkzl/zgjl/http://www.xasg120.com/fuke/http://ww
75、w.xasg120.com/fuke/fujianyan/http://www.xasg120.com/fuke/gjy/http://www.xasg120.com/fuke/ndy/http://www.xasg120.com/fuke/pqy/http://www.xasg120.com/fuke/ydy/http://www.xasg120.com/fuke/zigongneimoyan/http://www.xasg120.c
76、om/gongjing/http://www.xasg120.com/gongjing/feida/http://www.xasg120.com/gongjing/gongjingai/http://www.xasg120.com/gongjing/milan/http://www.xasg120.com/gongjing/xirou/http://www.xasg120.com/gongjing/yanzheng/http://ww
77、w.xasg120.com/gundong_1.htmlhttp://www.xasg120.com/jbzs/http://www.xasg120.com/jhsy/http://www.xasg120.com/jhsy/gwy/http://www.xasg120.com/jhsy/jiancha/http://www.xasg120.com/jhsy/shanghuanquhuan/http://www.xasg120.com/j
78、hsy/wtrl/http://www.xasg120.com/jhsy/wutongyinchan/http://www.xasg120.com/jhsy/yaoliu/http://www.xasg120.com/jryuyue/http://www.xasg120.com/weichuangfuke/http://www.xasg120.com/yyhj/http://www.xasg120.com/zhengxing/cnmxf
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