{"id":4780,"date":"2019-04-26T10:21:07","date_gmt":"2019-04-26T01:21:07","guid":{"rendered":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/?p=4780"},"modified":"2022-04-14T09:22:42","modified_gmt":"2022-04-14T00:22:42","slug":"%e3%80%90%e9%a0%ad%e9%83%a8%e3%80%91%e7%97%87%e4%be%8b46%e3%80%80%e8%a7%a3%e7%ad%94%e7%b7%a8-2","status":"publish","type":"post","link":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/archives\/4780","title":{"rendered":"\u3010\u982d\u90e8\u3011\u75c7\u4f8b46\u3000\u89e3\u7b54\u7de8"},"content":{"rendered":"<h4><span id=\"i\">\u3010\u982d\u90e8\u3011\u75c7\u4f8b46<\/span><\/h4>\n<p><strong>\u3010\u75c7\u4f8b\u301170\u6b73\u4ee3\u7537\u6027<br \/>\n\u3010\u4e3b\u8a34\u3011\u610f\u8b58\u30ec\u30d9\u30eb\u306e\u4f4e\u4e0b\u3001\u65e5\u4e2d\u306e\u50be\u7720\u50be\u5411<br \/>\n\u3010\u73fe\u75c5\u6b74\u3011\u7dcf\u80c6\u7ba1\u7d50\u77f3\u306b\u3066ERCP\u65bd\u884c\u3002\u305d\u306e\u5f8c\u81b5\u708e\u3092\u8d77\u3053\u3057\u3001\u6d88\u5316\u5668\u5185\u79d1\u306b\u3066\u5165\u9662\u52a0\u7642\u4e2d\u3002<br \/>\n\u3010\u65e2\u5f80\u6b74\u3011\u6b63\u5e38\u5727\u6c34\u982d\u75c7<br \/>\n\u3010\u8eab\u4f53\u6240\u898b\u3011JCS 10\u3001GCS\uff1dE3V2M5=10\u3001\u523a\u6fc0\u3067\u958b\u773c\u3059\u308b\u3082\u3059\u3050\u306b\u9589\u773c\u3002\u6307\u793a\u306b\u5fdc\u3058\u305a\u8a3a\u5bdf\u9650\u5b9a\u7684\u3002<br \/>\n<\/strong><\/p>\n<p>\u753b\u50cf\u306f\u3053\u3061\u3089<\/p>\n<ul>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/ddHEpDnp\" target=\"_blank\" rel=\"noopener noreferrer\">CT\uff08\u6a2a\u65ad\u50cf\uff09<\/a><\/li>\n<\/ul>\n<p>\u540c\u65e5MRI\u306f\u3053\u3061\u3089<\/p>\n<ul>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/yZeMJeNp\" target=\"_blank\" rel=\"noopener noreferrer\">DWI<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/mz9zQnTT\" target=\"_blank\" rel=\"noopener noreferrer\">T1WI\u6a2a\u65ad\u50cf<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/b2qvKZbS\" target=\"_blank\" rel=\"noopener noreferrer\">T2WI\u6a2a\u65ad\u50cf<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/S38HGGui\" target=\"_blank\" rel=\"noopener noreferrer\">FLAIR\u51a0\u72b6\u65ad\u50cf<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/zszSn6xH\" target=\"_blank\" rel=\"noopener noreferrer\">MRA MIP\u50cf<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/69akskFU\" target=\"_blank\" rel=\"noopener noreferrer\">MRA\u5143\u753b\u50cf<\/a><\/li>\n<\/ul>\n<p>\u203b\u53e4\u3044\u88c5\u7f6e\u3067\u64ae\u5f71\u3057\u305f\u3082\u306e\u3067ADC\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p>\u982d\u90e8CT\u3067\u306f\u7279\u8a18\u3059\u3079\u304d\u7570\u5e38\u6240\u898b\u3092\u8a8d\u3081\u307e\u305b\u3093\u3002<\/p>\n<p>\u3067\u3059\u306e\u3067MRI\u304b\u3089\u898b\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke1.png\" alt=\"\" width=\"630\" height=\"455\" class=\"aligncenter wp-image-5035\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke1.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke1-300x217.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke1-768x554.png 768w\" sizes=\"auto, (max-width: 630px) 100vw, 630px\" \/><\/p>\n<p>\u62e1\u6563\u5f37\u8abf\u50cf\uff08DWI\uff09\u3067<strong>\u4e21\u5074\u306e\u8996\u5e8a\u5185\u5074\u304a\u3088\u3073\u4e0b\u4e18\uff08\u4e2d\u8133\u306e\u80cc\u5074\u90e8\uff09\u306b\u5de6\u53f3\u5bfe\u79f0\u306a\u7570\u5e38\u9ad8\u4fe1\u53f7<\/strong>\u3092\u8a8d\u3081\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>ADC\u304c\u306a\u3044\u306e\u3067\u3053\u308c\u3060\u3051\u3067\u62e1\u6563\u5236\u9650\u304c\u3042\u308b\uff01\u3068\u306f\u8a00\u3048\u306a\u3044\u306e\u3067\u3059\u304c\u3001\u305d\u306e\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u306d\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke2.png\" alt=\"\" width=\"650\" height=\"453\" class=\"aligncenter wp-image-5038\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke2.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke2-300x209.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke2-768x535.png 768w\" sizes=\"auto, (max-width: 650px) 100vw, 650px\" \/><\/p>\n<p>T2WI\u306b\u304a\u3044\u3066\u3082\u8133\u5ba4\u90e8\u5206\u306b\u63a5\u3059\u308b<strong>\u4e21\u5074\u306e\u8996\u5e8a\u5185\u5074<\/strong>\u306b\u7570\u5e38\u306a\u9ad8\u4fe1\u53f7\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\/04\/Wernicke3.png\" alt=\"\" width=\"658\" height=\"399\" class=\"aligncenter wp-image-5036\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke3.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke3-300x182.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke3-768x465.png 768w\" sizes=\"auto, (max-width: 658px) 100vw, 658px\" \/><\/p>\n<p>\u307e\u305f\u4e2d\u8133\u30ec\u30d9\u30eb\u3067\u306f\u3001<\/p>\n<ul>\n<li><strong>\u4e73\u982d\u4f53<\/strong><\/li>\n<li><strong>\u4e2d\u8133\u6c34\u9053\u5468\u56f2<\/strong><\/li>\n<li><strong>\u4e0b\u4e18<\/strong><\/li>\n<\/ul>\n<p>\u306b\u5de6\u53f3\u5bfe\u79f0\u306a\u7570\u5e38\u306a\u9ad8\u4fe1\u53f7\u3092\u8a8d\u3081\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke4.png\" alt=\"\" width=\"656\" height=\"340\" class=\"aligncenter wp-image-5037\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke4.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke4-300x155.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke4-768x398.png 768w\" sizes=\"auto, (max-width: 656px) 100vw, 656px\" \/><\/p>\n<p>FLAIR\u306e\u51a0\u72b6\u65ad\u50cf\u3067\u3082\u3001\u8996\u5e8a\u5185\u5074\u90e8\u304a\u3088\u3073\u4e0b\u4e18\u306b\u5de6\u53f3\u5bfe\u79f0\u306a\u7570\u5e38\u9ad8\u4fe1\u53f7\u3092\u8a8d\u3081\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u3053\u3046\u3057\u3066\u307f\u308b\u3068\u3001\u3044\u305a\u308c\u3082<strong>\u8133\u5ba4\u5468\u56f2\u306e\u6c34\u969b\u306e\u8fd1\u304f\u306b\u7570\u5e38\u306a\u9ad8\u4fe1\u53f7<\/strong>\u3092\u8a8d\u3081\u3066\u3044\u308b\u3053\u3068\u304c\u5206\u304b\u308a\u307e\u3059\u306d\u3002<\/p>\n<p>\u3053\u306e\u3088\u3046\u306a\u753b\u50cf\u6240\u898b\u3092\u898b\u305f\u5834\u5408\u306b\u7591\u3046\u3079\u304d\u306f\u3001<span style=\"font-size: 20px;\"><strong>Wernicke\u8133\u75c7\uff08\u30a6\u30a7\u30eb\u30cb\u30c3\u30b1\u8133\u75c7\uff09<\/strong><\/span>\u3067\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p class=\"timelineMessage__message\">Wernicke\u8133\u75c7\u306f<strong>\u30d3\u30bf\u30df\u30f3B1\u4e0d\u8db3<\/strong>\u306b\u3088\u308a\u8d77\u3053\u308b\u75be\u60a3\u3067\u3059\u3002<\/p>\n<p>\u6025\u6027\u81b5\u708e\u3067\u7d76\u98df\u72b6\u614b\u3067\u3042\u308a\u3001<strong>\u70b9\u6ef4\u7ba1\u7406\uff08\u30d3\u30bf\u30df\u30f3\u985e\u7121\u6dfb\u52a0\uff09\u306e\u307f<\/strong>\u306e\u72b6\u614b\u3067\u3057\u305f\u3002<\/p>\n<p>\u3067\u3059\u306e\u3067\u3001\u63a1\u8840\u3067\u30c1\u30a7\u30c3\u30af\u3055\u308c\u308b\u3068\u540c\u6642\u306b\u3001<\/p>\n<p>VitB1 200mg+\u30d3\u30bf\u30e1\u30b8\u30f31A\/day<\/p>\n<p>\u306e\u6295\u4e0e\u304c\u958b\u59cb\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u305d\u306e\u5f8c\u8fd4\u3063\u3066\u304d\u305f\u63a1\u8840\u306e\u7d50\u679c\u306f\u3001<\/p>\n<ul>\n<li><strong><span style=\"font-size: 20px; color: #ff0000;\">Vit B1 9ng\/ml\u00a0<\/span>(\u6b63\u5e38\u7bc4\u56f220-50)<\/strong><\/li>\n<\/ul>\n<p>\u3068<strong>\u3084\u306f\u308a\u30d3\u30bf\u30df\u30f3B1\u304c\u4e0d\u8db3\u3057\u3066\u3044\u305f<\/strong>\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>\u8a3a\u65ad\uff1aWernicke\u8133\u75c7<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p>\u203b\u305d\u306e\u5f8c\u3001MRI\u306f\u64ae\u5f71\u3055\u308c\u3066\u304a\u3089\u305a\u3001\u52a0\u7642\u5f8c\u306eMRI\u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u306f\u6b8b\u5ff5\u306a\u304c\u3089\u3067\u304d\u307e\u305b\u3093\u3002\u305f\u3060\u3057\u30011\u5e744\u30f6\u6708\u524d\u306eMRI\u753b\u50cf\u304c\u6b8b\u3063\u3066\u3044\u307e\u3057\u305f\u306e\u3067\u4eca\u56de\u306e\u753b\u50cf\u3068\u6bd4\u8f03\u3057\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n<ul>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/iukpbaSP\" target=\"_blank\" rel=\"noopener noreferrer\">\uff08DWI\uff091\u5e744\u30f6\u6708\u524d<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/BwMuJPaD\" target=\"_blank\" rel=\"noopener noreferrer\">\uff08T1WI\u77e2\u72b6\u65ad\u50cf\uff091\u5e744\u30f6\u6708\u524d<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/7ZxSczx8\" target=\"_blank\" rel=\"noopener noreferrer\">\uff08T2WI\u6a2a\u65ad\u50cf\uff091\u5e744\u30f6\u6708\u524d<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/9rzLLGMW\" target=\"_blank\" rel=\"noopener noreferrer\">\uff08FLAIR\u51a0\u72b6\u65ad\u50cf\uff091\u5e744\u30f6\u6708\u524d<\/a><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke5.png\" alt=\"\" width=\"590\" height=\"479\" class=\"aligncenter wp-image-5062\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke5.png 900w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke5-300x244.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke5-768x624.png 768w\" sizes=\"auto, (max-width: 590px) 100vw, 590px\" \/><\/p>\n<p>\u3059\u308b\u3068\u62e1\u6563\u5f37\u8abf\u50cf\uff08DWI\uff09\u3067\u4eca\u56de\u4e21\u5074\u8996\u5e8a\u5185\u5074\u3084\u4e0b\u4e18\u306b\u8a8d\u3081\u305f\u7570\u5e38\u9ad8\u4fe1\u53f7\u57df\u306f\u306f\u3063\u304d\u308a\u3057\u306a\u304b\u3063\u305f\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke6.png\" alt=\"\" width=\"597\" height=\"496\" class=\"aligncenter wp-image-5060\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke6.png 900w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke6-300x249.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke6-768x638.png 768w\" sizes=\"auto, (max-width: 597px) 100vw, 597px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke7.png\" alt=\"\" width=\"583\" height=\"391\" class=\"aligncenter wp-image-5061\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke7.png 900w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke7-300x201.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/Wernicke7-768x515.png 768w\" sizes=\"auto, (max-width: 583px) 100vw, 583px\" \/><\/p>\n<p>T2WI\u3084FLAIR\u306b\u304a\u3044\u3066\u3082\u540c\u69d8\u3067\u3059\u3002\u5909\u5316\u524d\u3068\u306e\u4fe1\u53f7\u3092\u6bd4\u8f03\u3059\u308b\u3068\u7570\u5e38\u9ad8\u4fe1\u53f7\u3092\u793a\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u3088\u308a\u5206\u304b\u308a\u307e\u3059\u306d\u3002<\/p>\n<p>\u203b\u3061\u306a\u307f\u306b\u3001\u4f75\u5b58\u75c7\u306e\u6b63\u5e38\u5727\u6c34\u982d\u75c7\u3067\u3059\u304c\u3001\u753b\u50cf\u304b\u3089\u3082\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u7279\u5fb4\u306b\u5408\u81f4\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/DESH.png\" alt=\"\" width=\"689\" height=\"309\" class=\"aligncenter wp-image-5041\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/DESH.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/DESH-300x135.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/04\/DESH-768x345.png 768w\" sizes=\"auto, (max-width: 689px) 100vw, 689px\" \/><\/p>\n<p>\u203b\u6b63\u5e38\u5727\u6c34\u982d\u75c7\u3067\u305d\u306e\u5f8c\u3082\u795e\u7d4c\u5185\u79d1\u306b\u304b\u304b\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u95a2\u9023\uff1a<\/p>\n<ul>\n<li><a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/archives\/16043\" target=\"_blank\" rel=\"noopener\">\u30a6\u30a7\u30eb\u30cb\u30c3\u30b1\u8133\u75c7\u3068\u306f\uff1fMRI\u753b\u50cf\u8a3a\u65ad\u306e\u30dd\u30a4\u30f3\u30c8\u306f\uff1f<\/a><\/li>\n<li><a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/archives\/148\" target=\"_blank\" rel=\"noopener\">\u6b63\u5e38\u5727\u6c34\u982d\u75c7\u3068\u306f\uff1f\u753b\u50cf\u8a3a\u65ad(NPH\u3001DESH\u3001Evans index)\u306e\u30dd\u30a4\u30f3\u30c8\u306f\uff1f<\/a><\/li>\n<\/ul>\n<h5>\u3010\u982d\u90e8\u3011\u75c7\u4f8b46\u306e\u52d5\u753b\u89e3\u8aac<\/h5>\n<p><iframe loading=\"lazy\" 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