{"id":3180,"date":"2019-03-01T12:06:26","date_gmt":"2019-03-01T03:06:26","guid":{"rendered":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/?p=3180"},"modified":"2022-04-14T09:09:06","modified_gmt":"2022-04-14T00:09:06","slug":"%e3%80%90%e9%a0%ad%e9%83%a8%e3%80%91%e7%97%87%e4%be%8b17%e3%80%80%e8%a7%a3%e7%ad%94%e7%b7%a8","status":"publish","type":"post","link":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/archives\/3180","title":{"rendered":"\u3010\u982d\u90e8\u3011\u75c7\u4f8b17\u3000\u89e3\u7b54\u7de8"},"content":{"rendered":"<h4><span id=\"i\">\u3010\u982d\u90e8\u3011\u75c7\u4f8b17<\/span><\/h4>\n<p><strong>\u3010\u75c7\u4f8b\u301150\u6b73\u4ee3\u7537\u6027<br \/>\n\u3010\u4e3b\u8a34\u3011\u4e00\u904e\u6027\u610f\u8b58\u6d88\u5931<br \/>\n\u3010\u73fe\u75c5\u6b74\u3011\u73fe\u75c5\u6b74\uff1a\u672c\u65e5\u663c\u306b\u30c7\u30b9\u30af\u30ef\u30fc\u30af\u4e2d\u306b\u5012\u308c\u300110\u79d2\u307b\u3069\u547c\u3073\u304b\u3051\u306b\u53cd\u5fdc\u3057\u306a\u304b\u3063\u305f\u3002\u305d\u306e\u5f8c\u306f\u666e\u6bb5\u901a\u308a\u5fdc\u7b54\u3067\u304d\u3066\u3044\u305f\u304c\u3001\u8efd\u5ea6\u5f8c\u982d\u90e8\u75db\u306f\u6301\u7d9a\u3057\u3066\u3044\u305f\u3002\u8ee2\u5012\u6642\u306e\u76ee\u6483\u8005\u306f\u304a\u3089\u305a\u3001\u97f3\u304c\u3057\u3066\u540c\u50da\u304c\u6c17\u4ed8\u3044\u305f\u3002\u7acb\u4f4d\u3067\u5012\u308c\u305f\u306e\u304b\u3001\u5ea7\u4f4d\u3067\u5012\u308c\u305f\u306e\u304b\u306f\u4e0d\u660e\u3002<br \/>\n\u3010\u8eab\u4f53\u6240\u898b\u3011\u4f53\u6e2936.7\u2103\u3001\u8840\u5727 130\/93mmHg\u3001\u8108\u62cd\u6570 79bpm\u3001SpO2 99%(RA)\u3001\u610f\u8b58\u6e05\u660e\u3001\u795e\u7d4c\u5b66\u7684\u6240\u898b\u306b\u7570\u5e38\u306a\u3057\u3002<br \/>\n\u3010\u65e2\u5f80\u6b74\u3011\u7247\u982d\u75db<\/strong><\/p>\n<p>\u753b\u50cf\u306f\u3053\u3061\u3089<\/p>\n<ul>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/MkCSEW2Q\" target=\"_blank\" rel=\"noopener noreferrer\">CT\uff08\u6a2a\u65ad\u50cf\uff09<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/aRkQbSki\" target=\"_blank\" rel=\"noopener noreferrer\">CT\uff08\u51a0\u72b6\u65ad\u50cf\uff09<\/a><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection1.png\" alt=\"\" width=\"655\" height=\"426\" class=\"aligncenter wp-image-3792\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection1.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection1-300x195.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection1-768x499.png 768w\" sizes=\"auto, (max-width: 655px) 100vw, 655px\" \/><\/p>\n<p>\u7b2c3\u8133\u5ba4\u304a\u3088\u3073\u4e00\u90e8\u5074\u8133\u5ba4\u306b\u9ad8\u5438\u53ce\u306e\u8840\u816b\u3092\u8a8d\u3081\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection2.png\" alt=\"\" width=\"643\" height=\"430\" class=\"aligncenter wp-image-3790\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection2.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection2-300x200.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection2-768x513.png 768w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection2-600x400.png 600w\" sizes=\"auto, (max-width: 643px) 100vw, 643px\" \/><\/p>\n<p>\u8840\u816b\u306f\u8133\u5e79\u90e8\u5468\u56f2\u306b\u5206\u5e03\u304c\u76ee\u7acb\u3061\u307e\u3059\u3002<\/p>\n<p>\u4e21\u5074\u306e\u5927\u8133\u8c37\u69fd\u3001\u811a\u9593\u69fd\u3001\u8fc2\u56de\u69fd\u3001\u56db\u4e18\u4f53\u69fd\u306a\u3069\u306b\u307b\u307c\u5de6\u53f3\u5bfe\u79f0\u306b\u304f\u3082\u819c\u4e0b\u8154\u306b\u8840\u816b\u304c\u5b58\u5728\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection3.png\" alt=\"\" width=\"655\" height=\"402\" class=\"aligncenter wp-image-3791\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection3.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection3-300x184.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection3-768x472.png 768w\" sizes=\"auto, (max-width: 655px) 100vw, 655px\" \/><\/p>\n<p>\u3055\u3089\u306b\u4e0b\u306e\u65b9\u3092\u898b\u3066\u3044\u304f\u3068\u3001\u5ef6\u9ac4\u3084\u981a\u9ac4\u5468\u56f2\u306b\u3082\u8840\u816b\u304c\u5e83\u304c\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n<p>\u3053\u308c\u307e\u3067\u898b\u3066\u304d\u305f\u304f\u3082\u819c\u4e0b\u51fa\u8840\u3068\u7570\u306a\u308a\u3001<strong>\u304b\u306a\u308a\u4e0b\u306e\u65b9\uff08\u5c3e\u5074\u5074\uff09\u306b\u8840\u816b\u306e\u5206\u5e03\u304c\u76ee\u7acb\u3064<\/strong>\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n<p>\u3061\u306a\u307f\u306b\u3001\u7b2c4\u8133\u5ba4\u306e\u5916\u5074\u5b54\uff08\u30eb\u30b7\u30e5\u30ab\u5b54\uff09\u3001\u6b63\u4e2d\u5b54\uff08\u30de\u30b8\u30a7\u30f3\u30c7\u30a3\u5b54\uff09\u3067\u8133\u5ba4\u3068\u304f\u3082\u819c\u4e0b\u8154\u306f\u9023\u7d9a\u3057\u3066\u3044\u307e\u3059\u306e\u3067\u3001\u3053\u3053\u304b\u3089\u8840\u816b\u304c\u7b2c4\u8133\u5ba4\u306b\u5165\u3063\u305f\u3068\u8003\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n<p>\u3053\u308c\u3089\u306e\u8840\u816b\u306e\u5206\u5e03\u3092\u6765\u3059\u304f\u3082\u819c\u4e0b\u51fa\u8840\u3092\u898b\u305f\u5834\u5408\u306b\u8003\u3048\u308b\u3079\u304d\u539f\u56e0\u306f\u306a\u306b\u3067\u3057\u3087\u3046\u304b\uff1f<\/p>\n<p>\u52d5\u8108\u7624\u3068\u304f\u3082\u819c\u4e0b\u51fa\u8840\u306e\u8840\u816b\u306e\u5206\u5e03\u306e\u95a2\u4fc2\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3057\u305f\u3002<\/p>\n<table width=\"700\">\n<tbody>\n<tr>\n<td width=\"103\">\u90e8\u4f4d<\/td>\n<td width=\"597\">\u8840\u816b\u306e\u5206\u5e03\u306e\u7279\u5fb4<\/td>\n<\/tr>\n<tr>\n<td width=\"103\">A-com<\/td>\n<td width=\"597\">\u524d\u5927\u8133\u7e26\u88c2\u4e0b\u90e8-\u900f\u660e\u4e2d\u9694\u8154\u3092\u4e2d\u5fc3\u306b\u5de6\u53f3\u5bfe\u79f0\u3002<\/td>\n<\/tr>\n<tr>\n<td width=\"103\">ICA<\/td>\n<td width=\"597\">\u540c\u5074\u306e\u978d\u4e0a\u69fd\u3084Sylvius\u8c37\u306b\u591a\u3044\u3002Sylvius\u88c2\u3001\u811a\u9593\u69fd\u304a\u3088\u3073\u8fc2\u56de\u69fd\u306b\u3082\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3002\u4e21\u5074\u6027\u3002<\/td>\n<\/tr>\n<tr>\n<td width=\"103\">MCA<\/td>\n<td width=\"597\">\u540c\u5074\u306eSylvius\u88c2\u4e2d\u5fc3\u3002<\/td>\n<\/tr>\n<tr>\n<td width=\"103\"><span style=\"color: #ff0000;\"><strong>VA-BA<\/strong><\/span><\/td>\n<td width=\"597\"><strong><span style=\"color: #ff0000;\">\u5f8c\u982d\u84cb\u7aa9\uff08\u6a4b\u524d\u69fd\u3001\u811a\u9593\u69fd\u3001\u8fc2\u56de\u69fd\u306a\u3069\uff09\u4e2d\u5fc3\u3002\u4e21\u5074\u6027\u3001\u7b2c4\u8133\u5ba4\u5185\u306b\u8840\u816b\u5f62\u6210<\/span>\u3002<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u4eca\u56de\u306f\u3053\u306e\u3046\u3061\u3001\u5f8c\u982d\u84cb\u7aa9\u4e2d\u5fc3\u3067\u3001\u4e21\u5074\u6027\u3067\u3042\u308a\u3001\u7b2c4\u8133\u5ba4\u306b\u3082\u8840\u816b\u306e\u5f62\u6210\u3092\u8a8d\u3081\u3066\u3044\u308b\u70b9\u304b\u3089\u3001VA-BA\u7cfb\u3064\u307e\u308a\u3001<\/p>\n<ul>\n<li><strong><strong>\u690e\u9aa8\u8133\u5e95\u52d5\u8108\u7cfb\u306e\u52d5\u8108\u7624\u3082\u3057\u304f\u306f\u89e3\u96e2\uff08\u690e\u9aa8\u52d5\u8108\uff1aVertebral artery\u2192\u7565\u3057\u3066VA\u3001\u8133\u5e95\u52d5\u8108\uff1aBasilar artery\u2192\u7565\u3057\u3066BA<\/strong><\/strong><strong>\uff09<\/strong><\/li>\n<\/ul>\n<p>\u306b\u3088\u308b\u304f\u3082\u819c\u4e0b\u51fa\u8840\u304c\u7591\u308f\u308c\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong><span style=\"font-size: 24px;\">\u8a3a\u65ad\uff1a\u304f\u3082\u819c\u4e0b\u51fa\u8840<\/span><\/strong>\uff08\u690e\u9aa8\u8133\u5e95\u52d5\u8108\u7cfb\u306e\u52d5\u8108\u7624\u3082\u3057\u304f\u306f\u89e3\u96e2\u7591\u3044\uff09<\/p>\n<p>&nbsp;<\/p>\n<p>\u8133\u8840\u7ba1\u30ab\u30c6\u30fc\u30c6\u30eb\u691c\u67fb\uff08\u8133\u30a2\u30f3\u30ae\u30aa\uff09\u304c\u65bd\u884c\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<ul>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/utPXrud3\" target=\"_blank\" rel=\"noopener noreferrer\">\u53f3\u690e\u9aa8\u52d5\u8108\u9020\u5f71 \u6b63\u9762\u50cf<\/a><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection4.png\" alt=\"\" width=\"644\" height=\"393\" class=\"aligncenter wp-image-3789\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection4.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection4-300x183.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection4-768x468.png 768w\" sizes=\"auto, (max-width: 644px) 100vw, 644px\" \/><\/p>\n<p>\u53f3\u690e\u9aa8\u52d5\u8108\u9020\u5f71\u3067\u3001PICA\uff08<span>Posterior inferior cerebellar artery\u3001\u5f8c\u4e0b\u5c0f\u8133\u52d5\u8108<\/span>\uff09\u5206\u5c90\u90e8\u306e\u9060\u4f4d\u306e\u690e\u9aa8\u52d5\u8108\u304c\u7d21\u9318\u72b6\u62e1\u5f35\u3092\u8a8d\u3081\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>PICA\u306e\u89e3\u5256\u306b\u3064\u3044\u3066\u306f<a href=\"http:\/\/medicalimagecafe.com\/tool\/headmra\/01.html\" target=\"_blank\" rel=\"noopener\">\u982d\u90e8MRA\u753b\u50cf\u8a3a\u65ad\u30c4\u30fc\u30eb<\/a>\u3092\u53c2\u8003\u306b\u3057\u3066\u304f\u3060\u3055\u3044\uff61<br \/>\n\u203b\u30c4\u30fc\u30eb\u3067\u306f\u5de6\u306ePICA\u3057\u304b\u63cf\u51fa\u3055\u308c\u3066\u3044\u306a\u3044\u75c7\u4f8b\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><span style=\"font-size: 20px;\"><strong>\u690e\u9aa8\u52d5\u8108\u89e3\u96e2<\/strong><\/span>\u304c\u7591\u308f\u308c\u307e\u3059\u3002<\/p>\n<p>\u8133\u8840\u7ba1\u9020\u5f71\u753b\u50cf\u306e\u518d\u69cb\u6210\u753b\u50cf\u304c\u3053\u3061\u3089\u3067\u3059\u3002<\/p>\n<ul>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/iu6pRJAe\" target=\"_blank\" rel=\"noopener noreferrer\">\u53f3\u690e\u9aa8\u52d5\u8108\u9020\u5f71 \u62e1\u5927\u518d\u69cb\u6210\u50cf<\/a><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection5.png\" alt=\"\" width=\"656\" height=\"394\" class=\"aligncenter wp-image-3788\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection5.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection5-300x180.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection5-768x462.png 768w\" sizes=\"auto, (max-width: 656px) 100vw, 656px\" \/>\u53f3\u306e\u690e\u9aa8\u52d5\u8108\u306ePICA\u9060\u4f4d\u306e\u7d21\u9318\u72b6\u62e1\u5f35\u306e\u69d8\u5b50\u304c\u3088\u304f\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection6.png\" alt=\"\" width=\"655\" height=\"347\" class=\"aligncenter wp-image-3787\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection6.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection6-300x159.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/sah-due-to-rt.va-dissection6-768x407.png 768w\" sizes=\"auto, (max-width: 655px) 100vw, 655px\" \/><\/p>\n<p>\u89e3\u96e2\u304c\u751f\u3058\u305f\u90e8\u5206\u306b\u30b3\u30a4\u30eb\u3092\u8a70\u3081\u3066\u8840\u6d41\u906e\u65ad\u3059\u8840\u7ba1\u5185\u6cbb\u7642\u304c\u65bd\u884c\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>13\u672c\u306e\u30b3\u30a4\u30eb\u3092\u7528\u3044\u3066\u89e3\u96e2\u90e8\u306e\u6bcd\u8840\u7ba1\u9589\u585e\u65bd\u884c\u3055\u308c\u3001\u53f3PICA\u306f\u6e29\u5b58\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong><span style=\"font-size: 24px;\">\u6700\u7d42\u8a3a\u65ad\uff1a\u304f\u3082\u819c\u4e0b\u51fa\u8840<\/span><\/strong>\uff08\u53f3\u690e\u9aa8\u52d5\u8108\u89e3\u96e2\u306b\u3088\u308b\uff09<\/p>\n<p>&nbsp;<\/p>\n<p>\u95a2\u9023\uff1a<\/p>\n<ul>\n<li><a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/archives\/13614\" sl-processed=\"1\" target=\"_blank\" rel=\"noopener\">\u30af\u30e2\u819c\u4e0b\u51fa\u8840(SAH)\u306e\u539f\u56e0\u52d5\u8108\u7624\u3092\u63a2\u30593\u3064\u306e\u30dd\u30a4\u30f3\u30c8\uff01<\/a><\/li>\n<li><a 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