{"id":1076,"date":"2018-12-11T13:30:04","date_gmt":"2018-12-11T04:30:04","guid":{"rendered":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/?p=1076"},"modified":"2020-12-31T10:18:08","modified_gmt":"2020-12-31T01:18:08","slug":"%e7%97%87%e4%be%8b2-%e8%a7%a3%e7%ad%94%e7%b7%a8","status":"publish","type":"post","link":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/archives\/1076","title":{"rendered":"\u3010\u8179\u90e8\u3011\u5fa9\u7fd2\u75c7\u4f8b2"},"content":{"rendered":"<h4>\u75c7\u4f8b2<\/h4>\n<p><strong>\u3010\u75c7\u4f8b\u301150\u6b73\u4ee3\u5973\u6027<br \/>\n\u3010\u4e3b\u8a34\u3011\u65e9\u671d\u304b\u3089\u306e\u5fc3\u7aa9\u90e8\u301c\u53f3\u5b63\u808b\u90e8\u75db\uff0820\u65e5\u5f8c\u306b\u8179\u8154\u93e1\u4e0b\u80c6\u56a2\u6458\u51fa\u8853\u304c\u4e88\u5b9a\u3055\u308c\u3066\u3044\u308b\uff09<br \/>\n\u3010\u8eab\u4f53\u6240\u898b\u3011\u767a\u71b1\u306a\u3057\u3001vital sign stable\u3001\u8179\u90e8\uff1a\u4e0b\u8179\u90e8\u6b63\u4e2d\u306b\u624b\u8853\u7622\u75d5\u3001\u5fc3\u7aa9\u90e8\u304b\u3089\u53f3\u5b63\u808b\u90e8\u306b\u3084\u3084\u786c\u3001\u5727\u75db\u3042\u308a\u3001\u7b4b\u6027\u9632\u5fa1\u3042\u308a\u3001\u53cd\u8df3\u75db\u306a\u3057\u3001murphy\u967d\u6027\u3002<br \/>\n<\/strong><strong>\u3010\u30c7\u30fc\u30bf\u3011AST\/ALT=460\/257\u3001ALP 340\u3001\u03b3-GTP 286\u3001T-Bil 0.85\u3001D-Bil 0.20\u3001WBC 7300\u3001CRP 0.03<\/strong><\/p>\n<p>\u753b\u50cf\u306f\u3053\u3061\u3089<\/p>\n<ul>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/J9fqtPdV\" target=\"_blank\" rel=\"noopener\">CT\uff08\u6a2a\u65ad\u50cf\uff09<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/sX8xvL6C\" target=\"_blank\" rel=\"noopener\">CT\uff08\u51a0\u72b6\u65ad\u50cf\uff09<\/a><\/li>\n<\/ul>\n<p>3\u6642\u9593\u5f8c\u3001\u7121\u6cbb\u7642\u306b\u3066\u8179\u75db\b\u306e\u6d88\u5931\u3042\u308a\u3002<\/p>\n<ul>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/mK24rePy\" target=\"_blank\" rel=\"noopener\">CT\uff08\u6a2a\u65ad\u50cf\uff094\u6642\u9593\u5f8c<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/Ni4hGKza\" target=\"_blank\" rel=\"noopener\">CT\uff08\u51a0\u72b6\u65ad\u50cf\uff094\u6642\u9593\u5f8c<\/a><\/li>\n<\/ul>\n<p>\u9020\u5f71\u5264\u30a2\u30ec\u30eb\u30ae\u30fc\u306e\u3042\u308b\u65b9\u3067\u8179\u90e8\u5358\u7d14CT\u306e\u307f\u304c\u64ae\u5f71\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2018\/12\/cbd-stone1-1.png\" alt=\"\" width=\"426\" height=\"395\" class=\"aligncenter wp-image-1114\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2018\/12\/cbd-stone1-1.png 800w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2018\/12\/cbd-stone1-1-300x278.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2018\/12\/cbd-stone1-1-768x712.png 768w\" sizes=\"auto, (max-width: 426px) 100vw, 426px\" \/><\/p>\n<p>\u5358\u7d14CT\u3067\u306f\u809d\u5185\u80c6\u7ba1\u62e1\u5f35\u3092\u8a8d\u3081\u3066\u3044\u307e\u3059\u3002<br \/>\n(\u203b<a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/archives\/13997\" target=\"_blank\" rel=\"noopener\">periportal collar<\/a>\u304c\u4f75\u5b58\u3057\u3066\u3044\u308b\u3088\u3046\u306b\u898b\u3048\u307e\u3059\u3002\u4e21\u8005\u304c\u4f75\u5b58\u3057\u3066\u3044\u308b\u3088\u3046\u3067\u3059\u3002\u53b3\u5bc6\u306a\u533a\u5225\u306f\u56f0\u96e3\u3067\u3059\u3002)<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2018\/12\/cbd-stone2-1.png\" alt=\"\" width=\"640\" height=\"344\" class=\"aligncenter wp-image-1113\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2018\/12\/cbd-stone2-1.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2018\/12\/cbd-stone2-1-300x161.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2018\/12\/cbd-stone2-1-768x413.png 768w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<p>\u307e\u305f\u80c6\u77f3\u304a\u3088\u3073\u3001\u7dcf\u80c6\u7ba1\u7d50\u77f3\u3092\u8a8d\u3081\u3066\u304a\u308a\u3001<span style=\"font-size: 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loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2018\/12\/cbd-stone3-1.png\" alt=\"\" width=\"414\" height=\"383\" class=\"aligncenter wp-image-1111\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2018\/12\/cbd-stone3-1.png 800w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2018\/12\/cbd-stone3-1-300x278.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2018\/12\/cbd-stone3-1-768x710.png 768w\" sizes=\"auto, (max-width: 414px) 100vw, 414px\" \/><\/p>\n<p>\u5148\u307b\u3069\u8a8d\u3081\u3066\u3044\u305f\u7dcf\u80c6\u7ba1\u7d50\u77f3\u304c\u6d88\u5931\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u307e\u305f\u3001\u809d\u5185\u80c6\u7ba1\u306e\u62e1\u5f35\u3082\u6d88\u5931\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u3053\u306e\u9593\u3001ERCP\u306a\u3069\u51e6\u7f6e\u306f\u3057\u3066\u304a\u308a\u307e\u305b\u3093\u3002<\/p>\n<p><span 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target=\"_blank\" rel=\"noopener\">\u7dcf\u80c6\u7ba1\u7d50\u77f3\u306e\u753b\u50cf\u8a3a\u65ad\u306e\u30dd\u30a4\u30f3\u30c8\uff01\u75c7\u72b6\u3001\u539f\u56e0\u3001\u6cbb\u7642\u306f\uff1f<\/a><\/p>\n<p>\u305d\u306e\u4ed6\u6240\u898b\uff1a\u80c6\u56a2\u5e95\u90e8\u306b\u58c1\u80a5\u539a\u304c\u3042\u308a\u3001\u80c6\u306e\u3046\u817a\u7b4b\u816b\u75c7\u304c\u7591\u308f\u308c\u307e\u3059\u3002\uff08\u80c6\u6458\u5f8c\u306e\u75c5\u7406\u6240\u898b\u3067\u3084\u306f\u308a\u80c6\u306e\u3046\u817a\u7b4b\u816b\u75c7\u304c\u3042\u308a\u307e\u3057\u305f\u3002\uff09<\/p>\n<h5>\u75c7\u4f8b2\u306e\u52d5\u753b\u89e3\u8aac<\/h5>\n<p><iframe loading=\"lazy\" width=\"640\" height=\"564\" src=\"https:\/\/player.vimeo.com\/video\/313092184\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" mozallowfullscreen=\"mozallowfullscreen\" webkitallowfullscreen=\"webkitallowfullscreen\"><\/iframe><br \/>\n<div class=\"sb-type-std\">\n\t<div class=\"sb-subtype-b\">\n\t\t<div 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