65\u5c81\u9648\u5148\u751f\u62ff\u7740\u4f53\u68c0\u62a5\u544a\uff0c\u5fd0\u5fd1\u4e0d\u5b89\u6765\u95e8\u8bca\u54a8\u8be2\u3002\u62a5\u544a\u663e\u793a\uff1aC-13\u5c3f\u7d20\u547c\u6c14\u8bd5\u9a8c\uff0c\u7ed3\u679c\u5448\u9633\u6027\uff0c\u800c\u4e14\u6570\u503c\u8fd8\u6bd4\u8f83\u9ad8\uff0c\u610f\u5473\u7740\u4ed6\u611f\u67d3\u4e86\u5e7d\u95e8\u87ba\u65cb\u6746\u83cc\u3002\u4ed6\u8bf4\u6700\u8fd1\u996d\u540e\u7ecf\u5e38\u6709\u53cd\u9178\u60c5\u51b5\u51fa\u73b0\uff0c\u65f6\u5e38\u4f34\u4e0a\u8179\u75db\u30021\u5e74\u524d\u80c3\u955c\u663e\u793a\u80c3\u7aa6\u7cdc\u70c2\uff0c\u5e7d\u95e8\u87ba\u65cb\u6746\u83cc\u9633\u6027\uff0c\u4f46\u672a\u6b63\u89c4\u6cbb\u7597\uff0c\u6700\u8fd1\u5728\u7535\u89c6\u4e0a\u770b\u5230\u5e7d\u95e8\u87ba\u65cb\u6746\u83cc\u4f1a\u4f20\u67d3\u7ed9\u5bb6\u4eba\uff0c\u8fd8\u53ef\u80fd\u5bfc\u81f4\u80c3\u764c\uff0c\u7236\u6bcd\u5747\u6709\u80c3\u764c\u75c5\u53f2\uff0c\u611f\u5230\u6050\u614c\uff0c\u60f3\u5c3d\u5feb\u6839\u6cbb\uff0c\u4e8e\u662f\u5efa\u8bae\u4ed6\u8fd1\u671f\u53bb\u590d\u67e5\u80c3\u955c\uff0c\u5e76\u968f\u8bbf\u3002<\/p>\n
\u90a3\u4e48\uff0c\u5f97\u5e7d\u95e8\u87ba\u65cb\u6746\u83cc\u600e\u4e48\u529e\uff1f\u5b83\u7684\u5371\u5bb3\u53c8\u6709\u54ea\u4e9b\uff1f\u5982\u4f55\u8d76\u8d70\u9ecf\u4eba\u7684\u5e7d\u95e8\u87ba\u65cb\u6746\u83cc\uff1f\u63a5\u4e0b\u6765\u4e00\u8d77\u4e86\u89e3\u5e7d\u95e8\u87ba\u65cb\u6746\u83cc\uff01<\/p>\n
\u4e00\u3001\u4ec0\u4e48\u662f\u5e7d\u95e8\u87ba\u6746\u83cc\uff1f<\/p>\n
\u5e7d\u95e8\u87ba\u6746\u83cc(Helicobacter pylori, H. pylori\u6216Hp)\u662f\u4e00\u79cd\u559c\u6b22\u751f\u5b58\u4e8e\u4eba\u7c7b\u80c3\u9ecf\u819c\u7684\u9769\u5170\u9634\u6027\u6746\u83cc\uff0c\u4e5f\u662f\u552f\u4e00\u80fd\u5728\u80c3\u5185\u751f\u5b58\u7684\u7ec6\u83cc\u3002\u4f17\u6240\u5468\u77e5\uff0c\u80c3\u5185\u662f\u5f3a\u9178\u6027\u73af\u5883\uff0c\u5e76\u4e0d\u9002\u5408\u7ec6\u83cc\u751f\u957f\uff0c\u4f46\u4e3a\u4ec0\u4e48\u552f\u72ecHp\u5c31\u80fd\u5b58\u6d3b\u4e0b\u6765\u5462\uff1f\u8fd9\u662f\u56e0\u4e3aHp\u53ef\u4ee5\u5206\u6ccc\u91ca\u653e\u5c3f\u7d20\u9176\u5206\u89e3\u5c3f\u7d20\u4ea7\u751f\u6c28\uff0c\u4ece\u800c\u4e2d\u548c\u80c3\u9178\uff0c\u4fdd\u62a4\u81ea\u8eab\u4e0d\u88ab\u80c3\u9178\u4fb5\u8680\u3002\u4e0d\u4ec5\u5982\u6b64\uff0c\u5b83\u8fd8\u53ef\u4ee5\u5229\u7528\u81ea\u8eab\u7684\u97ad\u6bdb\u8fdb\u5165\u80c3\u9ecf\u819c\uff0c\u4ea7\u751f\u4e00\u4e9b\u6bd2\u7d20\u7269\u8d28\uff08\u7a7a\u6ce1\u7ec6\u80de\u6bd2\u7d20\u548c\u7ec6\u80de\u6bd2\u7d20\u76f8\u5173\u86cb\u767d\u7b49\uff09\uff0c\u5bfc\u81f4\u708e\u75c7\u53cd\u5e94\uff0c\u5f15\u53d1\u80c3\u708e\u3001\u6d88\u5316\u6027\u6e83\u75a1\u7b49\u75be\u75c5\u3002<\/p>\n
\u4e8c\u3001\u76ee\u524dHP\u611f\u67d3\u73b0\u72b6\u53ca\u5176\u5371\u5bb3<\/p>\n
\u636e\u8c03\u67e5\uff0c\u5168\u7403\u7ea6\u6709\u4e00\u534a\u7684\u4eba\u611f\u67d3Hp\uff0c\u800c\u6211\u56fdHp\u611f\u67d3\u7387\u751a\u81f3\u9ad8\u8fbe60%\u3002\u56fd\u5185\u5916\u5171\u8bc6\u5747\u5c06Hp\u611f\u67d3\u5b9a\u4e49\u4e3a\u4e00\u79cd\u201c\u611f\u67d3\u6027\u201d\u75be\u75c5\uff0c\u53ef\u4ee5\u5728\u4eba\u4e0e\u4eba\u4e4b\u95f4\u4f20\u64ad\u3002\u800c\u6211\u56fd\u5bb6\u5ead\u751f\u6d3b\u7684\u7279\u70b9\u53ca\u4f20\u7edf\u7684\u5171\u9910\u5236\u996e\u98df\u4e60\u60ef\u53ef\u80fd\u9020\u6210\u4ea4\u53c9\u611f\u67d3\u98ce\u9669\u589e\u52a0\u548c\u5bb6\u5ead\u5185\u805a\u96c6\u73b0\u8c61\u3002\u65e9\u57281994\u5e74\uff0c\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u4e0b\u5c5e\u7684\u56fd\u9645\u764c\u75c7\u7814\u7a76\u673a\u6784\u5c31\u5c06\u5176\u5b9a\u4e49\u4e3aI\u7c7b\u81f4\u764c\u6e90\uff0c\u662f\u80c3\u764c\u6700\u91cd\u8981\u7684\u5371\u9669\u56e0\u7d20\u3002\u9664\u80c3\u764c\u4ee5\u5916\uff0cHp\u611f\u67d3\u8fd8\u4e0e\u6d88\u5316\u4e0d\u826f\u3001\u6d88\u5316\u6027\u6e83\u75a1\u3001\u6162\u6027\u80c3\u708e\u3001\u80c3\u9ecf\u819c\u76f8\u5173\u6dcb\u5df4\u7ec4\u7ec7\u6dcb\u5df4\u7624\u3001\u4e0d\u660e\u539f\u56e0\u7f3a\u94c1\u6027\u8d2b\u8840\u3001\u7279\u53d1\u6027\u8840\u5c0f\u677f\u51cf\u5c11\u6027\u7d2b\u765c\u548c\u513f\u7ae5\u751f\u957f\u53d1\u80b2\u843d\u540e\u7b49\u5bc6\u5207\u76f8\u5173\u3002\u7531\u6b64\u53ef\u89c1\uff0c\u5982\u4f55\u9884\u9632\u611f\u67d3\u663e\u5f97\u5c24\u4e3a\u91cd\u8981\u3002<\/p>\n
\u4e09\u3001\u611f\u67d3\u540e\u4e3b\u8981\u75c7\u72b6\u6709\u54ea\u4e9b\uff1f<\/p>\n
\u591a\u6570\u60a3\u8005\u5728Hp\u611f\u67d3\u540e\u65e0\u75c7\u72b6\uff0c\u5c11\u6570\u8868\u73b0\u4e3a\u53e3\u81ed\u6216\u53cd\u590d\u7684\u4e0a\u8179\u90e8\u4e0d\u9002\u3001\u65e9\u9971\u3001\u53cd\u9178\u55f3\u6c14\u3001\u6076\u5fc3\u5455\u5410\u7b49\u6162\u6027\u80c3\u708e\u5e38\u89c1\u7684\u975e\u7279\u5f02\u6027\u75c7\u72b6\u3002<\/p>\n
\u56db\u3001\u4f20\u64ad\u9014\u5f84\u6709\u54ea\u4e9b\uff1f<\/p>\n
\u4eba\u7c7b\u662f\u76ee\u524d\u5e7d\u95e8\u87ba\u6746\u83cc\u611f\u67d3\u552f\u4e00\u660e\u786e\u7684\u4f20\u67d3\u6e90\u3002<\/p>\n
\u76ee\u524d\u516c\u8ba4\u7684\u91cd\u8981\u4f20\u64ad\u9014\u5f84\u6709\uff1a\u201c\u53e3-\u53e3\u201d\u4f20\u64ad\u548c\u201c\u7caa-\u53e3\u201d\u4f20\u64ad\u3002<\/p>\n
\u4e94\u3001\u5e7d\u95e8\u87ba\u6746\u83cc\u5982\u4f55\u68c0\u6d4b\uff1f<\/p>\n
\u5e7d\u95e8\u87ba\u6746\u83cc\u68c0\u6d4b\u6709\u4ee5\u4e0b\u56db\u79cd\u65b9\u6cd5\uff1a<\/p>\n
1.\u547c\u6c14\u5b9e\u9a8c<\/p>\n
C13\\C14\u547c\u6c14\u5b9e\u9a8c\uff0c\u662f\u6700\u7b80\u5355\u65b9\u4fbf\u7684\u68c0\u67e5\u65b9\u6cd5\u3002<\/p>\n
\u68c0\u6d4b\u8005\u9700\u53e3\u670dC-13\u6216C-14\u6807\u8bb0\u7684\u5c3f\u7d20\u80f6\u56ca\uff0c\u6839\u636e\u547c\u51fa\u7684\u6c14\u4f53\u5c31\u53ef\u4ee5\u5224\u65ad\u68c0\u6d4b\u8005\u662f\u5426\u5b58\u5728\u5e7d\u95e8\u87ba\u6746\u83cc\u611f\u67d3\u3002<\/p>\n
C13\u4e0eC14\u7684\u533a\u522b\uff1aC14\u5177\u6709\u4e00\u5b9a\u7684\u653e\u5c04\u6027\uff08\u5bf9\u4eba\u4f53\u7684\u635f\u5bb3\u5f88\u5c0f\uff09\uff0c\u4e0d\u9002\u5408\u5907\u5b55\u8005\u3001\u5b55\u5987\u3001\u54fa\u4e73\u671f\u5987\u5973\u53ca\u513f\u7ae5\uff1bC13\u9002\u7528\u4e8e\u4efb\u4f55\u7fa4\u4f53\u3002<\/p>\n
\u6ce8\u610f\uff1a\u9700\u7a7a\u8179\u6216\u9910\u540e2\u5c0f\u65f6\u68c0\u6d4b<\/p>\n
2.\u8840\u6e05HP\u6297\u4f53\u68c0\u6d4b<\/p>\n
\u8fd9\u4e2a\u5e38\u7528\u4e8e\u5927\u89c4\u6a21\u7684\u6d41\u884c\u75c5\u5b66\u7b5b\u67e5\uff0c\u4f46\u4e0d\u80fd\u660e\u786e\u662f\u5426\u662f\u73b0\u75c7\u611f\u67d3\uff0c\u56e0\u6b64HP\u6297\u4f53\u9633\u6027\u7684\u8bdd\uff0c\u8fd8\u662f\u8981\u8fdb\u4e00\u6b65\u884c\u547c\u6c14\u5b9e\u9a8c\u660e\u786e\u3002<\/p>\n
3.\u80c3\u955c\u53d6\u6d3b\u68c0\u6807\u672c\u68c0\u67e5<\/p>\n
\u8fd9\u4e2a\u5c5e\u4e8e\u6709\u521b\u68c0\u67e5<\/p>\n
4.HP\u7caa\u4fbf\u6297\u539f\u8bd5\u9a8c<\/p>\n
\u8fd9\u4e2a\u591a\u7528\u4e8e\u79d1\u7814\u68c0\u6d4b<\/p>\n
\u9700\u8981\u6ce8\u610f\u7684\u662f\uff0cHP\u611f\u67d3\u68c0\u6d4b\u6b63\u786e\u6027\u4f1a\u56e0\u4e3a\u4e00\u4e9b\u56e0\u7d20\u5f71\u54cd\uff0c\u6bd4\u5982PPI\u3001\u6297\u751f\u7d20\u3001\u94cb\u5242\u548c\u6297\u83cc\u4f5c\u7528\u7684\u4e2d\u836f\uff0c\u5982\u679c\u6709\u4e0a\u8ff0\u836f\u7269\u670d\u7528\u53f2\uff0c\u5efa\u8bae\u505c\u836f4\u5468\u540e\u518d\u8fdb\u884c\u68c0\u6d4b\u3002<\/p>\n
\u516d\u3001\u54ea\u4e9b\u4eba\u9700\u8981\u6839\u9664\u6027\u6cbb\u7597\uff1f<\/p>\n
1.\u6d88\u5316\u6027\u6e83\u75a1\u3002<\/p>\n
2.\u80c3\u9ecf\u819c\u76f8\u5173\u6dcb\u5df4\u7ec4\u7ec7\u6dcb\u5df4\u7624\u3002<\/p>\n
3.\u5e7d\u95e8\u87ba\u65cb\u6746\u83cc\u9633\u6027\u7684\u6162\u6027\u80c3\u708e\u4f34\u6d88\u5316\u4e0d\u826f\u3002<\/p>\n
4.\u6162\u6027\u80c3\u708e\u4f34\u80c3\u9ecf\u819c\u840e\u7f29\u6216\u7cdc\u70c2\u5c24\u5176\u662f\u4f34\u6709\u80a0\u5316\u548c\u5f02\u578b\u589e\u751f\u8005\u3002<\/p>\n
5.\u80c3\u624b\u672f\u540e\u3002<\/p>\n
6.\u957f\u671f\u670d\u7528\u8d28\u5b50\u6cf5\u6291\u5236\u5242(\u62c9\u5511\u7c7b)\u3002<\/p>\n
7.\u6d88\u5316\u9053\u764c\u5bb6\u65cf\u53f2\uff0c\u5c24\u5176\u662f\u4e00\u7ea7\u4eb2\u5c5e\u3002<\/p>\n
8.\u8ba1\u5212\u957f\u671f\u670d\u7528\u975e\u753e\u4f53\u6297\u708e\u836f(\u5982\u963f\u53f8\u5339\u6797\u3001\u534e\u6cd5\u6797\u3001\u5e03\u6d1b\u82ac\u3001\u6d88\u708e\u75db\u7b49)\u3002<\/p>\n
9.\u4e00\u4e9b\u4e0e\u5e7d\u95e8\u87ba\u65cb\u6746\u83cc\u611f\u67d3\u76f8\u5173\u7684\u80c3\u5916\u75be\u75c5\uff0c\u5982\u8d2b\u8840\u7b49\u3002<\/p>\n
\u4e03\u3001\u6613\u611f\u56e0\u7d20\u6709\u54ea\u4e9b\uff1f<\/p>\n
\uff08\u4e00\uff09\u5e74\u9f84<\/p>\n
\u5e7d\u95e8\u87ba\u6746\u83cc\u611f\u67d3\u4e0e\u5e74\u9f84\u6709\u5173\uff0cHp\u611f\u67d3\u5728\u6210\u4eba\u4e2d\u6bd4\u5728\u513f\u7ae5\u4e2d\u66f4\u4e3a\u666e\u904d\uff0c\u5728\u5168\u7403\u8303\u56f4\u5185\uff0c\u6210\u4ebaHp\u611f\u67d3\u7387\u660e\u663e\u9ad8\u4e8e\u513f\u7ae5\uff0c\u611f\u67d3\u7387\u968f\u5e74\u9f84\u589e\u957f\u800c\u589e\u52a0\u3002<\/p>\n
\uff08\u4e8c\uff09\u751f\u6d3b\u73af\u5883<\/p>\n
\u7531\u4e8e\u5730\u7406\u73af\u5883\u3001\u751f\u6d3b\u73af\u5883\u53ca\u751f\u6d3b\u4e60\u60ef\u7b49\u4e0d\u540c\uff0c\u5e7d\u95e8\u87ba\u6746\u83cc\u611f\u67d3\u5728\u4e0d\u540c\u751f\u6d3b\u533a\u57df\u5448\u73b0\u4e0d\u540c\u7684\u611f\u67d3\u7387\u3002<\/p>\n
\uff08\u4e09\uff09\u4e0d\u826f\u751f\u6d3b\u4e60\u60ef<\/p>\n
\u5e7d\u95e8\u87ba\u6746\u83cc\u611f\u67d3\u7387\u4e0e\u4e0d\u540c\u7684\u751f\u6d3b\u4e60\u60ef\u53ca\u6761\u4ef6\u76f8\u5173\u3002\u7ecf\u5e38\u98df\u7528\u814c\u5236\u83dc\u3001\u996e\u7528\u4e0d\u6d01\u6c34\u6e90\u3001\u4e60\u60ef\u690d\u7269\u6cb9\u70f9\u996a\u3001\u5438\u70df\u7b49\u4e0e\u5e7d\u95e8\u87ba\u6746\u83cc\u611f\u67d3\u5448\u6b63\u76f8\u5173\uff0c\u800c\u98df\u7528\u65b0\u9c9c\u852c\u83dc\u3001\u559d\u8336\u3001\u98df\u7528\u5927\u849c\u7b49\u4e0e\u5e7d\u95e8\u87ba\u6746\u83cc\u611f\u67d3\u5448\u8d1f\u76f8\u5173\u3002<\/p>\n
\u516b\u3001\u65e5\u5e38\u5982\u4f55\u505a\u5230\u9884\u9632\u611f\u67d3\uff1f<\/p>\n
\u56e0HP\u611f\u67d3\u60a3\u8005\u5bb6\u5ead\u6210\u5458\u5185\u5b58\u5728\u8f83\u9ad8\u611f\u67d3\u7387\uff0c\u963b\u65ad\u5176\u611f\u67d3\u9014\u5f84\u662f\u9884\u9632\u8be5\u83cc\u611f\u67d3\u7684\u6700\u5173\u952e\u63aa\u65bd\uff08\u5212\u91cd\u70b9\u5566\uff09\uff1a<\/p>\n
\uff08\u4e00\uff09\u907f\u514d\u4e0d\u826f\u5582\u98df\u4e60\u60ef<\/p>\n
1.\u6452\u5f03\u7528\u5634\u5bf9\u5634\u7684\u65b9\u5f0f\u7ed9\u5a74\u5e7c\u513f\u5582\u98df\u3002<\/p>\n
2.\u4e0d\u8981\u5c06\u5480\u56bc\u540e\u7684\u98df\u7269\u7ed9\u5b69\u5b50\u5403\u3002<\/p>\n
\uff08\u4e8c\uff09\u5728\u5916\u5c31\u9910<\/p>\n
1.\u82e5\u9910\u5177\u5faa\u73af\u4f7f\u7528\uff0c\u6ca1\u6709\u53ca\u65f6\u6d88\u6bd2\u4e5f\u53ef\u80fd\u4f1a\u4f20\u67d3\u5e7d\u95e8\u87ba\u6746\u83cc\uff0c\u56e0\u6b64\u5efa\u8bae\u4f7f\u7528\u516c\u7b77\u3001\u516c\u52fa\u3002<\/p>\n
2.\u5206\u9910\u5236\u3002<\/p>\n
\uff08\u4e09\uff09\u5bb6\u91cc\u5c31\u9910<\/p>\n
1.\u5bb6\u5ead\u7897\u7b77\u9910\u5177\u5e94\u5b9a\u671f\u6d88\u6bd2\uff0c\u4e09\u4e2a\u6708\u5de6\u53f3\u66f4\u6362\u4e00\u6b21\u3002<\/p>\n
2.\u7236\u6bcd\u4e0e\u513f\u7ae5\u7684\u9910\u5177\u5e94\u5206\u5f00\u4f7f\u7528\u3002<\/p>\n
\uff08\u56db\uff09\u4e2a\u4eba\u536b\u751f<\/p>\n
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1.\u591a\u953b\u70bc\u8eab\u4f53\u589e\u5f3a\u514d\u75ab\u529b\u3002<\/p>\n
2.\u4fdd\u6301\u826f\u597d\u5fc3\u7406\u72b6\u6001\u53ca\u5145\u8db3\u7761\u7720\u3002<\/p>\n
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1.\u9884\u9632\u65e5\u5e38\u4eb2\u5bc6\u63a5\u89e6\u518d\u6b21\u4f20\u67d3.<\/p>\n
2.\u5bb6\u4eba\u4e00\u540c\u6cbb\u7597\u907f\u514d\u76f8\u4e92\u4f20\u67d3\u3001\u518d\u6b21\u611f\u67d3\u3002<\/p>\n
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\u53c2\u8003\u6587\u732e<\/p>\n
[1]\u5f20\u4e07\u5cb1,\u80e1\u4f0f\u83b2,\u8427\u6811\u4e1c,\u5f90\u667a\u6c11.\u4e2d\u56fd\u81ea\u7136\u4eba\u7fa4\u5e7d\u95e8\u87ba\u6746\u83cc\u611f\u67d3\u7684\u6d41\u884c\u75c5\u5b66\u8c03\u67e5[J].\u73b0\u4ee3\u6d88\u5316\u53ca\u4ecb\u5165\u8bca<\/p>\n
\u7597,2010,15(05):265-270.<\/p>\n
[2]Sugano K , TackJ , Kuipers EJ , Gra ham DYEI – Omar EM , Miura S , Haruma K , Asaka M , Uemura N , Malfertheiner P : faculty members of Kyoto Global Con sensus Conference . Kyoto global cons ensus report on Helicobacter pylori ga stritis . Gut 2015;64:1353-1367[ PMID :2l6187502 DOI :10.1136\/gutjnI-2015-3092521.<\/p>\n
[3]\u6768\u4eae,\u5218\u6539\u82b3,\u6731\u65b0\u5f71,\u4e8e\u6625\u8273.\u5e7d\u95e8\u87ba\u6746\u83cc\u611f\u67d3\u7684\u5bb6\u5ead\u805a\u96c6\u6027\u73b0\u72b6\u8c03\u67e5\u548c\u5206\u6790[J].\u80c3\u80a0\u75c5\u5b66,2019,24(07):416-419.<\/p>\n
[4] Graham DY . Helicobacter pylori update : gastric cancer , reliable therapy , andpossible benefits []. Gastroenterology ,2015\u3001148(4):719-731.e3.<\/p>\n
[ 5 ]\u4e2d\u534e\u533b\u5b66\u4f1a\u6d88\u5316\u75c5\u5b66\u5206\u4f1a\u5e7d\u95e8\u87ba\u6746\u83cc\u548c\u6d88\u5316\u6027\u6e83\u75a1\u5b66\u7ec4\uff0c\u5168\u56fd\u5e7d\u95e8\u87ba\u6746\u83cc\u7814\u7a76\u534f\u4f5c\u7ec4\uff0c\u5218\u6587\u5fe0\uff0c\u7b49\uff0c\u7b2c\u4e94\u6b21\u5168\u56fd\u5e7d\u95e8\u87ba\u6746\u83cc\u611f\u67d3\u5904\u7406\u5171\u8bc6\u62a5\u544a[J]\uff0e\u4e2d\u534e\u6d88\u5316\u6742\u5fd7\uff0c2017,37(6):364-378.<\/p>\n
[6]\u845b\u5747\u6ce2,\u5f90\u6c38\u5065\uff0c\u738b\u8fb0.\u5185\u79d1\u5b66\u7b2c9\u7248[M].\u5317\u4eac:\u4eba\u6c11\u536b\u751f\u51fa\u7248\u793e,2018:340-367.<\/p>\n
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