2022年医学微生物学各个细菌形状的总结 .pdf

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1、1 葡萄球菌属链球菌属肺炎球菌属脑膜炎奈氏球菌形状球球矛头状肾形排列葡萄状链状成双成双染色G-特殊结构无幼龄、有荚膜有荚膜有荚膜及菌毛营养普通需含溶血素、葡萄糖、血清等需含血巧克力营养基气体需氧或兼性需氧需 CO25%-20%CO2温度37（2838）PH7.3-7.4菌落有色素，B 溶血环ABC溶血环A溶血环露滴状变异耐药性抗原葡萄球菌抗原（SPA）c 抗原，表面抗原（含M蛋白）分类金黄色，表皮，腐生甲型，乙型，丙型（据溶血现象）；19 个血清型（据 C抗原）84 个血清型抵抗力较强，耐药较弱，首选青霉素较弱极弱，耐药致病物质凝固酶，葡萄球菌溶血素，沙白细胞素，肠毒素，表皮溶解毒素，毒性休克

2、综合征1脂磷壁酸（LPA），M蛋白，侵袭性酶，链球菌溶血素（SLO，SLS）致热外毒素荚膜（最主要），溶血素，紫点形成因子，神经氨酸酶菌毛，荚膜，内毒素疾病化脓性炎症，食物中毒，烫伤样皮肤综合征，毒性休克综合征，葡萄球菌性肠炎甲型，化脓性感染，猩红热，丹毒，蜂窝组织炎，急性肾小球肾炎，风湿热，毒性休克样综合征；乙型，新生儿败血症，脑膜炎大叶性肺炎，支气管肺炎，中耳炎，脑膜炎流行性脑脊髓炎血症败血症，脓毒血症败血症败血症菌血症免疫不强无交叉免疫，可反复感染特异性免疫较强生化反应备注不耐高温传染源2 淋球奈氏菌大肠埃希菌伤寒沙门菌霍乱弧菌形状椭圆形、肾形杆状杆状弯曲型排列成双染色特殊结构有夹膜及菌

3、毛有周鞭毛、普通菌毛、性菌毛，有荚膜有周鞭毛，多有菌毛单端有鞭毛，菌毛营养巧克力营养基普通普通碱性蛋白胨水气体5%-20%CO2兼性厌氧，氧充足更好温度35-36PH8.9菌落半透明，光滑有些有溶血环变异耐药性H-O，S-R，V-W，位相变异抗原O、K、HO，KO，H分类ETEC（产毒性）EHEC（出血性），EIEC（侵袭性）EPEC（致病性）EAggEC（聚集性）痢疾致贺菌，福氏致贺菌，鲍氏致贺菌。宋内致贺菌O1群，不典型O1群，非 O1群，血清型抵抗力弱较其他肠道杆菌强不强致病物质菌毛定居因子（菌毛）肠毒素（LT，ST），细胞毒素，脂多糖，K 抗原，载铁体内毒素，外毒素鞭毛，菌毛霍乱肠毒素

4、疾病淋病，脓眼漏肠外感染，腹泻病，溶血性尿毒症急性细菌性痢疾（典型，非典型，中毒性），慢性细菌性痢疾（急性发作型，迁延型，隐匿型）霍乱：米泔水样粪便血症无败血症局限于肠粘膜不侵入场上皮细胞，而是毒性作用免疫弱文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1

5、M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5

6、 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1

7、M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5

8、 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1

9、M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5

10、 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1生化反应分解葡萄糖，其他糖不分解，氧化酶，过氧化酶反应阳性分解乳糖分解 GLU，不分解葡萄糖霍乱红反应阳性备注不耐高温耐碱不耐酸传染源人是唯一的宿主肉类

11、，生鱼人是唯一感染着，水食物传染3 炭疽杆菌白喉棒状杆菌结合分枝杆菌麻风分枝杆菌形状最大的，两端平切细长弯曲，末端膨大呈棒状细长弯曲细长弯曲排列单个或短链状或竹节状不规则的栅栏状和散在的YVL状染色齐尼氏抗酸染色法阳性红色G+，抗酸染色阳性特殊结构有芽孢，荚膜异染颗粒营养普通较高，须含有凝固血清的吕氏培养基或凝固鸡蛋培养基罗氏培养基人工培养基不能生长，应用小鼠足垫接种法气体专性需氧或兼性厌氧需氧或兼性需氧专性需氧温度3734-3737PH7.0-7.47.0-7.66.5-6.8菌落液化明胶，呈倒杉树状，不溶血或轻度溶血在亚碲酸钾培养基上呈黑色或深灰色生长缓慢变异在含青霉素液中有棒状变成球状，

12、似串珠;在NaHCO3，5%中有毒菌产生荚膜，又粗糙型变成光滑型，无毒菌则不变在溶菌酶，青霉素和某些抗结核药物作用下变为L型细菌；形态，菌落，独立及耐药性抗原保护性抗原，荚膜抗原，菌体抗原分类重型。中间型，轻型（根据培养基特性和生化反应抵抗力一般，芽孢较强，但对碘敏感对干燥，寒冷和日光抵抗较强，对热和消毒剂较弱抗干燥，酸碱，燃料，不抗湿热，紫外线，酒精抗干燥致病物质荚膜，肺炭疽（水肿因子EP，保护性抗原PA，致死因子 LF）白喉因子，索状因子类脂，蛋白质，多糖疾病皮肤炭疽，肺炭疽，肠炭疽，急性出血性脑膜炎白喉，心肌炎，周围神经炎结核（原发感染，继发感染）瘤型麻风，结核样型麻风文档编码:CB2W

13、3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9

14、ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W

15、3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9

16、ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W

17、3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9

18、ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W

19、3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1血症败血症不侵入深部组织和血流，外毒素入血巨噬细胞内寄生侵犯神经鞘细胞，巨噬细胞免疫持久免疫牢固免疫力较强抵抗力，有菌免疫生化反应亚蹄酸钠还原为蹄备注锡克试验结核菌素试验（迟发型超敏反应传染源食草动物易感，未熟的肉类飞沫或接触传播呼吸道密切接触4 破伤风梭菌产气荚膜梭菌肉毒梭菌绿脓杆菌形状细长粗大杆菌粗大杆菌直或万杆状排列染色G+G+G+G-特殊结构有周鞭毛，芽孢（呈棒椎状）

20、有荚膜，芽孢有芽孢单端有鞭毛，有菌毛营养普通生长速度很快，牛乳培养基中汹涌发酵疱肉培养基中肉类变黑，有恶臭普通气体专性厌氧专性厌氧专性厌氧专性需氧温度3720-42,35PH菌落B溶血环双层溶血环（内环为其他毒素所致，外环为a 毒素所致）有溶血现象脂溶性绿脓素，透明溶血环变异抗原毒素抗原O抗原（内毒素蛋白和脂多糖），H抗原分类根据毒素分5 型根据毒素抗原性不同分8 型12 个血清型，噬菌体分型，绿脓素分型抵抗力一般，芽孢则很强，对青霉素敏感对所有消毒剂和煮沸有抵抗力，对青霉素等抗生素敏感，特别是氨基葡萄糖苷类芽孢抵抗力较强，肉毒毒素耐酸不耐热较强致病物质破伤风痉挛毒素，破伤风溶血毒素a 毒素色

21、他毒素，胶原酶等活性物质肉毒毒素（溶源性噬菌体产生）毒性最强绿脓杆菌外毒素A，蛋白分解酶，沙白细胞素，脂多糖，磷脂酶C，荚膜物质，菌毛，鞭毛等文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9

22、ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W

23、3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9

24、ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W

25、3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9

26、ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W

27、3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1疾病破伤风（苦笑面容和脚弓反张）气性坏疽，食物中毒，厌氧性蜂窝组织炎，子宫内膜炎食物中毒，婴儿肉毒病，外伤肉毒病感染人任何组织，角膜穿孔而失明血症不侵入其他部位，只是毒素进入神经系统败血症毒素作用败血症免疫抗毒体液免疫

28、，无明显免疫力无免疫力一定抗感染作用生化反应分解蛋白产生臭味，不发酵糖类分解糖类分解蛋白质氧化酶阳性备注微生物检查意义不大1000/g 可认定是食物中毒检测肉毒毒素传染源身而窄的伤口食物污染直接接触文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文

29、档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H

30、1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文

31、档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H

32、1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文

33、档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1文档编码:CB2W3G6R6R5 HW7H1R6R7P9 ZT2I5Z1M6B1