{"id":3192,"date":"2019-03-01T12:13:05","date_gmt":"2019-03-01T03:13:05","guid":{"rendered":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/?p=3192"},"modified":"2022-04-14T09:12:12","modified_gmt":"2022-04-14T00:12:12","slug":"%e3%80%90%e9%a0%ad%e9%83%a8%e3%80%91%e7%97%87%e4%be%8b20%e3%80%80%e8%a7%a3%e7%ad%94%e7%b7%a8","status":"publish","type":"post","link":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/archives\/3192","title":{"rendered":"\u3010\u982d\u90e8\u3011\u75c7\u4f8b20\u3000\u89e3\u7b54\u7de8"},"content":{"rendered":"<h4><span id=\"i\">\u3010\u982d\u90e8\u3011\u75c7\u4f8b20<\/span><\/h4>\n<p><strong>\u3010\u75c7\u4f8b\u301160\u6b73\u4ee3\u7537\u6027<br \/>\n\u3010\u4e3b\u8a34\u3011\u610f\u8b58\u969c\u5bb3<br \/>\n\u3010\u73fe\u75c5\u6b74\u3011\u30a2\u30eb\u30b3\u30fc\u30eb\u6027\u809d\u786c\u5909\u3067\u304b\u304b\u308a\u3064\u3051\u300210\u65e5\u524d\u3088\u308a\u98df\u601d\u4e0d\u632f\u3042\u308a\u3001\u6628\u65e5\u6765\u9662\u3002\u63a1\u8840\u7d50\u679c\u306b\u3066CRP\u4e0a\u6607\u3042\u308a\u3001\u70b9\u6ef4\u306b\u3088\u308b\u6804\u990a\u7642\u6cd5\u304a\u3088\u3073\u539f\u56e0\u691c\u7d22\u306b\u3066\u5165\u9662\u3068\u306a\u3063\u3066\u3044\u305f\u3002\u4eca\u671d6\u6642\u9803\u306b\u30d9\u30c3\u30c9\u6a2a\u3067\u5012\u308c\u3066\u3044\u308b\u3068\u4ed6\u306e\u60a3\u8005\u3088\u308acall\u3042\u308a\u3002\u770b\u8b77\u5e2b\u304c\u8a3a\u305f\u6642\u70b9\u3067\u3046\u3064\u4f0f\u305b\u306b\u5012\u308c\u3066\u304a\u308a\u52d5\u3051\u306a\u3044\u72b6\u614b\u3067\u3042\u3063\u305f\u3002<br \/>\n\u3010\u65e2\u5f80\u6b74\u3011\u54bd\u982d\u764c\u3001\u98df\u9053\u304c\u3093\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u4f9d\u5b58\u75c7<br \/>\n\u3010\u8eab\u4f53\u6240\u898b\u3011JCS-300\u3001\u77b3\u5b544.5mm\/4.5mm\u3001\u5bfe\u5149\u53cd\u5c04 -\/- \u3000\u776b\u6bdb\u53cd\u5c04\uff08-\uff09<\/strong><\/p>\n<p>\u753b\u50cf\u306f\u3053\u3061\u3089<\/p>\n<ul>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/MSpDbAF6\" target=\"_blank\" rel=\"noopener noreferrer\">CT\uff08\u6a2a\u65ad\u50cf\uff09<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/dFjVcRUL\" 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\/transtentorial-herniation1.png\" alt=\"\" width=\"661\" height=\"378\" class=\"aligncenter wp-image-3834\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation1.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation1-300x172.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation1-768x439.png 768w\" sizes=\"auto, (max-width: 661px) 100vw, 661px\" \/><\/p>\n<p>\u5de6\u6025\u6027\u786c\u819c\u4e0b\u8840\u816b\u3092\u8a8d\u3081\u3066\u3044\u307e\u3059\u3002\u9aa8\u6298\u7dda\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p>\u53f3\u5074\u3078\u306e\u8457\u660e\u306a\u6b63\u4e2d\u69cb\u9020\u306e\u504f\u4f4d\u3092\u8a8d\u3081\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u3053\u308c\u307e\u3067\u898b\u3066\u304d\u305f\u4e2d\u3067\u6700\u5927\u306e\u6b63\u4e2d\u69cb\u9020\u306e\u504f\u4f4d\u3067\u3059\u306d\u3002<\/p>\n<p>\u3053\u306e\u3088\u3046\u306a\u504f\u4f4d\u3092\u8a8d\u3081\u305f\u3068\u304d\u306b\u5fc5\u305a\u30c1\u30a7\u30c3\u30af\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u304c\u3001\u8133\u30d8\u30eb\u30cb\u30a2\u306e\u6709\u7121\u3067\u3059\u3002<\/p>\n<p>\u3053\u306e\u30b9\u30e9\u30a4\u30b9\u306b\u304a\u3044\u3066\u3082<strong>\u5927\u8133\u938c\u4e0b\u30d8\u30eb\u30cb\u30a2\uff08\u5e2f\u72b6\u56de\u30d8\u30eb\u30cb\u30a2\uff09<\/strong>\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\/transtentorial-herniation5.png\" alt=\"\" width=\"491\" height=\"375\" class=\"aligncenter wp-image-3830\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation5.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation5-300x229.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation5-768x587.png 768w\" sizes=\"auto, (max-width: 491px) 100vw, 491px\" \/><\/p>\n<p>\u5927\u8133\u938c\u4e0b\u30d8\u30eb\u30cb\u30a2\u3068\u306f\u5927\u8133\u938c\u306e\u4e0b\u3092\u901a\u3063\u3066\u53cd\u5bfe\u5074\u306b\u8133\u5b9f\u8cea\u304c\u9038\u8131\u3057\u3066\u3057\u307e\u3046\u30d8\u30eb\u30cb\u30a2\u3067\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u3057\u304b\u3057\u3001\u6700\u3082\u91cd\u8981\u306a\u306e\u304c<span style=\"font-size: 20px;\"><strong>\u9264\u30d8\u30eb\u30cb\u30a2\uff08\u4e0b\u884c\u6027\u30c6\u30f3\u30c8\u5207\u75d5\u30d8\u30eb\u30cb\u30a2\uff09<\/strong><\/span>\u306e\u6709\u7121\u3092\u30c1\u30a7\u30c3\u30af\u3059\u308b\u3053\u3068\u3067\u3059\u3002<\/p>\n<p>\u3053\u308c\u306f\u5074\u982d\u8449\u5185\u5074\u90e8\u3067\u3042\u308b\u9264\u3084\u6d77\u99ac\u508d\u56de\u304c\u30c6\u30f3\u30c8\u304b\u3089\u9038\u8131\u3057\u3001\u4e2d\u8133\u3092\u5727\u6392\u3059\u308b\u30d8\u30eb\u30cb\u30a2\u306e\u3053\u3068\u3067\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation2.png\" alt=\"\" width=\"678\" height=\"437\" class=\"aligncenter wp-image-3832\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation2.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation2-300x194.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation2-768x495.png 768w\" sizes=\"auto, (max-width: 678px) 100vw, 678px\" \/><\/p>\n<p>\u4eca\u56de\u3082\u304b\u306a\u308a<strong><span style=\"font-size: 20px;\">\u5927\u304d\u306a\u9264\u30d8\u30eb\u30cb\u30a2\u3092\u8a8d\u3081\u3066\u304a\u308a\u3001\u4e2d\u8133\u3092\u5727\u8feb\u3057\u3066\u3044\u308b<\/span><\/strong>\u69d8\u5b50\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u307e\u305f\u8133\u5e79\u5468\u56f2\u306e\u304f\u3082\u819c\u4e0b\u8154\u304c\u307b\u3068\u3093\u3069\u898b\u3048\u306a\u3044\u72b6\u614b\u3068\u306a\u3063\u3066\u3044\u305f\u308a\u3001\u53f3\u5074\u306e\u5074\u8133\u5ba4\uff08\u4e0b\u89d2\uff09\u304c\u958b\u3044\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u3053\u308c\u3089\u3082\u9264\u30d8\u30eb\u30cb\u30a2\u3092\u793a\u5506\u3059\u308b\u6240\u898b\u3067\u3059\u3002<\/p>\n<p>\u9264\u30d8\u30eb\u30cb\u30a2\u3084\u5927\u8133\u938c\u4e0b\u30d8\u30eb\u30cb\u30a2\u3092\u30c1\u30a7\u30c3\u30af\u3059\u308b\u4e0a\u3067\u305c\u3072\u30c1\u30a7\u30c3\u30af\u3057\u305f\u3044\u306e\u304c<span style=\"font-size: 20px;\"><strong>\u51a0\u72b6\u65ad\u50cf<\/strong><\/span>\u3067\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation3.png\" alt=\"\" width=\"645\" height=\"364\" class=\"aligncenter wp-image-3833\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation3.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation3-300x170.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation3-768x434.png 768w\" sizes=\"auto, (max-width: 645px) 100vw, 645px\" \/><\/p>\n<p>\u51a0\u72b6\u65ad\u50cf\u3067\u306f\u3053\u306e<\/p>\n<ul>\n<li><strong>\u5927\u8133\u938c\u4e0b\u30d8\u30eb\u30cb\u30a2\uff08\u5e2f\u72b6\u56de\u30d8\u30eb\u30cb\u30a2\uff09<\/strong><\/li>\n<li><strong>\u9264\u30d8\u30eb\u30cb\u30a2\uff08\u4e0b\u884c\u6027\u30c6\u30f3\u30c8\u5207\u75d5\u30d8\u30eb\u30cb\u30a2\uff09<\/strong><\/li>\n<\/ul>\n<p>\u306e\u69d8\u5b50\u304c\u4e0a\u306e\u3088\u3046\u306b\u3088\u304f\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n<p>\u4e2d\u8133\u304c\u53f3\u5074\u306b\u8457\u660e\u306b\u5727\u6392\u3055\u308c\u3066\u3044\u308b\u69d8\u5b50\u3082\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u3068\u3053\u308d\u3067\u3001\u306a\u305c\u3053\u306e\u9264\u30d8\u30eb\u30cb\u30a2\u304c\u91cd\u8981\u306a\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/p>\n<p>&nbsp;<\/p>\n<p>\u305d\u308c\u306f\u3082\u3061\u308d\u3093\u81f4\u6b7b\u7684\u3068\u306a\u308a\u3046\u308b\u304b\u3089\u3067\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\/transtentorial-herniation6.png\" alt=\"\" width=\"662\" height=\"333\" class=\"aligncenter wp-image-3829\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation6.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation6-300x151.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation6-768x386.png 768w\" sizes=\"auto, (max-width: 662px) 100vw, 662px\" \/><\/p>\n<p>\u9264\u30d8\u30eb\u30cb\u30a2\u3068\u306f\u4e0a\u306e\u56f3\u306e\u3088\u3046\u306b\u30c6\u30f3\u30c8\u3088\u308a\u4e0b\u301c\u5185\u5074\u306b\u5074\u982d\u8449\u306e\u5185\u5074\u3067\u3042\u308b\u9264\u3084\u6d77\u99ac\u508d\u56de\u304c\u9038\u8131\u3057\u3066\u3057\u307e\u3046\u30d8\u30eb\u30cb\u30a2\u3067\u3059\u3002<\/p>\n<p>\u3053\u308c\u306b\u3088\u308a\u4e2d\u8133\u304c\u5727\u6392\u3055\u308c\u3001<\/p>\n<ul>\n<li>\u610f\u8b58\u969c\u5bb3<\/li>\n<li>\u52d5\u773c\u795e\u7d4c\u9ebb\u75fa<\/li>\n<li>\u5065\u5074\u306e\u56db\u80a2\u9ebb\u75fa<\/li>\n<\/ul>\n<p>\u306e3\u5fb4\u5019\u3092\u5f15\u304d\u8d77\u3053\u3057\u3001\u3055\u3089\u306b\u9032\u884c\u3059\u308b\u3068<\/p>\n<ul>\n<li>\u7121\u547c\u5438<\/li>\n<li>\u8840\u5727\u4f4e\u4e0b<\/li>\n<\/ul>\n<p>\u3068\u306a\u308a\u6b7b\u306b\u81f3\u308a\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation7.png\" alt=\"\" width=\"667\" height=\"410\" class=\"aligncenter wp-image-3844\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation7.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation7-300x185.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/03\/transtentorial-herniation7-768x472.png 768w\" sizes=\"auto, (max-width: 667px) 100vw, 667px\" \/><\/p>\n<p>\u9264\u30d8\u30eb\u30cb\u30a2\u306b\u3088\u308a\u4e2d\u8133\u304c\u53cd\u5bfe\u5074\u306e\u30c6\u30f3\u30c8\u306b\u62bc\u3057\u3064\u3051\u3089\u308c\u3001\u4e2d\u8133\uff08\u5927\u8133\u811a\uff09\u304c\u640d\u50b7\u3092\u6765\u3059\u3053\u3068\u304c\u3042\u308a\u3001\u3053\u308c\u3092<span style=\"font-size: 20px;\"><strong>Kernohan\u5207\u75d5<\/strong><\/span>\uff08Kernohan&#8217;s notch\u3001\u30ab\u30fc\u30ce\u30cf\u30f3\u5727\u75d5\uff09\u3068\u3044\u3044\u307e\u3059\u3002<\/p>\n<p>\u307e\u305f\u3001\u8133\u5e95\u90e8\u8840\u7ba1\u306e\u7a7f\u901a\u679d\u306b\u727d\u5f15\u88c2\u50b7\u304c\u751f\u3058\u3066\u4e2d\u8133\u306b\u51fa\u8840\u3092\u751f\u3058\u308b\u3082\u306e\u3092<span style=\"font-size: 20px;\"><strong>Duret\u51fa\u8840<\/strong><\/span>\uff08Duret hemorrhage\u3001\u30c7\u30e5\u30ec\u30fc\u75c5\u5909\uff09\u3068\u3044\u3044\u307e\u3059\u3002<\/p>\n<p>\u4eca\u56de\u3053\u308c\u3089\u306f\u660e\u3089\u304b\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u304b\u306a\u308a\u53f3\u5074\u306b\u4e2d\u8133\u306f\u62bc\u3057\u3064\u3051\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong><span style=\"font-size: 24px;\">\u8a3a\u65ad\uff1a\u5de6\u6025\u6027\u786c\u819c\u4e0b\u8840\u816b\u306b\u3088\u308b\u5207\u8feb\u8133\u30d8\u30eb\u30cb\u30a2<\/span><\/strong>\uff08<span style=\"font-size: 20px;\"><strong>\u9264\u30d8\u30eb\u30cb\u30a2<\/strong><\/span>\u304a\u3088\u3073\u5927\u8133\u938c\u4e0b\u30d8\u30eb\u30cb\u30a2\uff09<\/p>\n<p>&nbsp;<\/p>\n<p>\u203b\u7dca\u6025\u8840\u816b\u9664\u53bb\u8853\u306e\u5bfe\u8c61\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u95a2\u9023\uff1a<a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/archives\/14215\" target=\"_blank\" rel=\"noopener\">\u5371\u967a\u306a\u5207\u8feb\u6027\u8133\u30d8\u30eb\u30cb\u30a2\u3068\u306f\uff1fCT\u753b\u50cf\u8a3a\u65ad\u306e\u30dd\u30a4\u30f3\u30c8\u306f\uff1f<\/a><\/p>\n<p>\u305d\u306e\u4ed6\u6240\u898b\uff1a<\/p>\n<ul>\n<li>\u5927\u8133\u938c\u304a\u3088\u3073\u5de6\u30c6\u30f3\u30c8\u6cbf\u3044\u306b\u3082\u786c\u819c\u4e0b\u8840\u816b\u3042\u308a\u3002<\/li>\n<li>\u4e21\u5074\u4e0a\u984e\u6d1e\u306b\u7c98\u819c\u80a5\u539a\u3042\u308a\u3002<\/li>\n<\/ul>\n<h5>\u3010\u982d\u90e8\u3011\u75c7\u4f8b20\u306e\u52d5\u753b\u89e3\u8aac<\/h5>\n<p><iframe loading=\"lazy\" width=\"640\" height=\"564\" src=\"https:\/\/player.vimeo.com\/video\/325764163\" 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 class=\"sb-speaker\">\n\t\t\t<div class=\"sb-icon\">\n\t\t\t\t<img decoding=\"async\" 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