{"id":7306,"date":"2019-08-21T12:37:06","date_gmt":"2019-08-21T03:37:06","guid":{"rendered":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/?p=7306"},"modified":"2022-04-14T09:44:53","modified_gmt":"2022-04-14T00:44:53","slug":"%e3%80%90%e8%83%b8%e9%83%a8%e3%80%91%e7%97%87%e4%be%8b14","status":"publish","type":"post","link":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/archives\/7306","title":{"rendered":"\u3010\u80f8\u90e8\u3011\u75c7\u4f8b14"},"content":{"rendered":"<h4><span id=\"i\">\u3010\u80f8\u90e8\u3011\u75c7\u4f8b14<\/span><\/h4>\n<p><strong>\u3010\u75c7\u4f8b\u301170\u6b73\u4ee3\u7537\u6027<br \/>\n\u3010\u4e3b\u8a34\u3011\u547c\u5438\u56f0\u96e3<br \/>\n\u3010\u73fe\u75c5\u6b74\u3011\u6628\u65e5\u3088\u308a38\u2103\u53f0\u306e\u767a\u71b1\u3042\u308a\u3001\u8fd1\u533b\u53d7\u8a3a\u3002\u80f8\u90e8\u30ec\u30f3\u30c8\u30b2\u30f3\u306b\u3066\u80ba\u708e\u3068\u8a3a\u65ad\u3055\u308c\u3001\u6297\u751f\u5264\uff08\u30d1\u30f3\u30b9\u30dd\u30ea\u30f3\uff09\u3092\u6295\u4e0e\u3055\u308c\u305f\u3002\u672c\u65e521\u6642\u9803\u3001\u5bb6\u3067\u30c6\u30ec\u30d3\u3092\u898b\u3066\u3044\u308b\u3068\u304d\u306b\u7a81\u7136\u547c\u5438\u72b6\u614b\u60aa\u5316\u3057\u3001\u547c\u5438\u56f0\u96e3\u3001\u30d4\u30f3\u30af\u8272\u306e\u6ce1\u6cab\u72b6\u306e\u75f0\u3092\u8a8d\u3081\u3001\u5f37\u3044\u54b3\u55fd\u51fa\u73fe\u3002\u5f53\u9662\u306b\u6551\u6025\u642c\u9001\u3068\u306a\u308b\u3002\u5bb6\u4eba\u306e\u8a71\u3067\u306f\u666e\u6bb5\u304b\u3089\u606f\u5207\u308c\u3042\u308a\u3001\u4e0b\u817f\u6d6e\u816b\u3082\u8a8d\u3081\u308b\u3053\u3068\u304c\u3042\u3063\u305f\u3002<br \/>\n\u3010\u5185\u670d\u85ac\u3011\u30cf\u30fc\u30d5\u30b8\u30b4\u30ad\u30b7\u30f3\u3001\u30a2\u30fc\u30c1\u30b9\u30c8\u3001\u30d9\u30b6\u30c8\u30fc\u30eb\u3001\u30ef\u30fc\u30d5\u30a1\u30ea\u30f3\u3001\u30b8\u30e3\u30cc\u30d3\u30a2\u3001\u30a2\u30ea\u30bb\u30d7\u30c8<br \/>\n\u3010\u65e2\u5f80\u6b74\u3011\u9673\u65e7\u6027\u5fc3\u7b4b\u6897\u585e\u3067CABG\u5f8c\uff0815\u5e74\u524d 4\u679d LITA to LAD\u3001SGV to #14\u3001#4PD-4AV\uff09\u3001\u9ad8\u8840\u5727\u3001\u7cd6\u5c3f\u75c5\u3001\u8102\u8cea\u7570\u5e38\u75c7\u3001\u30a2\u30eb\u30c4\u30cf\u30a4\u30de\u30fc\u578b\u8a8d\u77e5\u75c7<br \/>\n\u3010\u8eab\u4f53\u6240\u898b\u3011\u610f\u8b58\uff1aJCS 1-2\u7a0b\u5ea6\u3001BP 221\/126mmHg\u3001BT 35.9\u2103\u3001HR 94 bpm\u3001HR 94\/min\u3001SpO2 80\uff05\uff08RA\uff09\u3001\u9838\u90e8\uff1a\u981a\u9759\u8108\u6012\u5f35\u3042\u308a\u3001\u30ea\u30f3\u30d1\u7bc0\u816b\u5927\u306a\u3057\u3001\u80f8\u90e8\uff1a\u547c\u5438\u97f3 \u8efd\u5ea6coarse crackle\u3042\u308a\u3001\u8179\u90e8\uff1a\u5e73\u5766\u3001\u8edf\u3001\u5727\u75db\u306a\u3057\u3001\u56db\u80a2\uff1a\u6d6e\u816b\u306a\u3057<br \/>\n\u3010\u30c7\u30fc\u30bf\u3011WBC 13200\u3001CRP 13.74\u3001BNP 817.8<\/strong><\/p>\n<p>\u753b\u50cf\u306f\u3053\u3061\u3089<\/p>\n<ul>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/BXwS8nVM\" target=\"_blank\" rel=\"noopener\">\u80f8\u90e8\u30ec\u30f3\u30c8\u30b2\u30f3<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/uXhCzkhx\" target=\"_blank\" rel=\"noopener\">CT\uff08\u6a2a\u65ad\u50cf\uff09<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/PGwva95t\" target=\"_blank\" rel=\"noopener\">CT\uff08\u6a2a\u65ad\u50cf\uff09shin slice<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/jZYpRVAj\" target=\"_blank\" rel=\"noopener\">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\/08\/heart-failurepneumonia1.png\" alt=\"\" width=\"674\" height=\"406\" class=\"aligncenter wp-image-7935\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia1.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia1-300x181.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia1-768x463.png 768w\" sizes=\"auto, (max-width: 674px) 100vw, 674px\" \/><\/p>\n<p>\u80f8\u90e8\u30ec\u30f3\u30c8\u30b2\u30f3\u3067\u306f\u3001<strong>\u5fc3\u62e1\u5927\u304c\u3042\u308a\u3001\u53f3\u4e0a\u80ba\u91ce\u301c\u4e2d\u80ba\u91ce\u306b\u6d78\u6f64\u5f71<\/strong>\u3092\u8a8d\u3081\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n<p>\u53f3\u4e0b\u8449\u306b\u3082\u808b\u9aa8\u3068\u304b\u3076\u3063\u3066\u3084\u3084\u308f\u304b\u308a\u306b\u304f\u3044\u3067\u3059\u304c\u5c11\u3057\u6d78\u6f64\u5f71\u304c\u3042\u308b\u3088\u3046\u306b\u898b\u3048\u307e\u3059\u3002<\/p>\n<p>\u307e\u305f\u6b63\u4e2d\u90e8\u306b\u958b\u80f8\u8853\u5f8c\u306e\u91d1\u5c5e\u3092\u8a8d\u3081\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u307e\u305f\u4e21\u5074\u306e\u6a2a\u9694\u819c\u5468\u56f2\u306b\u3084\u3084\u7db2\u72b6\u5f71\u3092\u8a8d\u3081\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u3053\u306e\u6642\u70b9\u3067\u306f\u8776\u5f62\u9670\u5f71\uff08butterfly shadow\uff09\u306f\u306f\u3063\u304d\u308a\u3057\u307e\u305b\u3093\u3002<\/p>\n<p>\u3053\u306e\u5f8c\u300111\u6642\u9593\u5f8c\u306bCT\u304c\u64ae\u5f71\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<blockquote><p>\u4e00\u822c\u7684\u306b\u80ba\u6c34\u816b\u306e\u9670\u5f71\u306f\u6642\u9593\u7d4c\u904e\u3067\u5909\u5316\u304c\u8457\u3057\u304f\u3001\u6570\u6642\u9593\u3067\u60aa\u5316\u3084\u6cbb\u7652\u306b\u3088\u308b\u6d88\u9000\u3092\u8a8d\u3081\u308b<\/p>\n<p style=\"text-align: right;\">\uff08\u30d3\u30ae\u30ca\u30fc\u306e\u305f\u3081\u306e\u80f8\u90e8\u753b\u50cf\u8a3a\u65adP186\uff09<\/p>\n<\/blockquote>\n<p>\u3067\u3059\u306e\u3067\u3001\u30ec\u30f3\u30c8\u30b2\u30f3\u3068CT\u306e\u9670\u5f71\u306b\u306f\u5dee\u304c\u3042\u308b(\u4eca\u56de\u306e\u5834\u5408\u306fCT\u306e\u65b9\u304c\u3084\u3084\u60aa\u5316\u3057\u3066\u3044\u308b)\u3068\u63a8\u6e2c\u3055\u308c\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia2.png\" alt=\"\" width=\"678\" height=\"268\" class=\"aligncenter wp-image-7936\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia2.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia2-300x119.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia2-768x303.png 768w\" sizes=\"auto, (max-width: 678px) 100vw, 678px\" \/><\/p>\n<p>CT\u3067\u306f\u80ba\u5c16\u90e8\u304b\u3089\u5c0f\u8449\u9593\u9694\u58c1\u306e\u80a5\u539a\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\/08\/heart-failurepneumonia3.png\" alt=\"\" width=\"696\" height=\"325\" class=\"aligncenter wp-image-7937\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia3.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia3-300x140.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia3-768x359.png 768w\" sizes=\"auto, (max-width: 696px) 100vw, 696px\" \/><\/p>\n<p>\u305d\u308c\u306b\u52a0\u3048\u3066\u3001<strong>\u53f3\u4e0a\u8449\u3067\u306f\u672b\u68a2\u307e\u3067\u81f3\u308b\u6d78\u6f64\u5f71\u301c\u4e00\u90e8\u3059\u308a\u30ac\u30e9\u30b9\u5f71<\/strong>\u3092\u8a8d\u3081\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u3053\u308c\u306f<a href=\"https:\/\/imaging-diagnosis.com\/view\/xNmAe2hB\" target=\"_blank\" rel=\"noopener\">\u75c7\u4f8b12<\/a>\uff0c<a href=\"https:\/\/imaging-diagnosis.com\/view\/dP8XpR6J\" target=\"_blank\" rel=\"noopener\">13<\/a>\u3067\u898b\u3066\u304d\u305f\u3088\u3046\u306a\u57fa\u672c\u7684\u306b\u5de6\u53f3\u5bfe\u79f0\u306a\u80ba\u6c34\u816b\u3068\u306f\u7570\u306a\u3063\u305f\u30d1\u30bf\u30fc\u30f3\u3067\u3059\u306d\u3002<\/p>\n<p><strong>\u660e\u3089\u304b\u306a\u5de6\u53f3\u5dee\u304c\u3042\u308a\u307e\u3059<\/strong>\u306e\u3067\u3001\u80ba\u6c34\u816b\u3068\u3057\u3066\u306f\u4e0d\u81ea\u7136\u3067\u3042\u308a\u3001<strong>\u53f3\u4e0a\u8449\u306b\u80ba\u708e\u304c\u3042\u308b<\/strong>\u3053\u3068\u304c\u81e8\u5e8a\u7684\u306b\u3082\u793a\u5506\u3055\u308c\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia4.png\" alt=\"\" width=\"718\" height=\"355\" class=\"aligncenter wp-image-7938\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia4.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia4-300x148.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/08\/heart-failurepneumonia4-768x379.png 768w\" sizes=\"auto, (max-width: 718px) 100vw, 718px\" \/><\/p>\n<p>\u4e00\u65b9\u3067\u4e21\u4e0b\u8449\u306b\u306f\u4e2d\u67a2\u5074\u512a\u4f4d\u306b\u6d78\u6f64\u5f71\u3084\u6c17\u7ba1\u652f\u8840\u7ba1\u675f\u80a5\u539a\u3092\u8a8d\u3081\u3066\u304a\u308a\u3001\u57fa\u672c\u7684\u306b\u5de6\u53f3\u5dee\u3092\u8a8d\u3081\u305a\u3001\u3053\u308c\u306f\u80ba\u6c34\u816b\u306b\u3088\u308b\u9670\u5f71\u3067\u826f\u3055\u305d\u3046\u3067\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>\u8a3a\u65ad\uff1a\u53f3\u4e0a\u8449\u80ba\u708e\uff0b(\u80ba\u80de\u6027)\u80ba\u6c34\u816b\uff08\u5fc3\u539f\u6027\u80ba\u6c34\u816b\uff09<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p>\u203b\u5165\u9662\u6642\u5fc3\u30a8\u30b3\u30fc\u306b\u3066\u3001EF 11%\u3001\u91cd\u5ea6\u5de6\u5ba4\u53ce\u7e2e\u4e0d\u5168\u3001\u4e21\u5fc3\u623f\u62e1\u5927\u3092\u8a8d\u3081\u3066\u304a\u308a\u3001<strong>\u611f\u67d3\u5951\u6a5f\u306e\u5fc3\u4e0d\u5168\u6025\u6027\u5897\u60aa<\/strong>\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>\u203b\u5c3f\u4e2d\u80ba\u708e\u7403\u83cc\u6297\u539f\u30fb\u30ec\u30b8\u30aa\u30cd\u30e9\u6297\u539f\u3068\u3082\u306b\u9670\u6027\u3002\u5165\u9662\u6642\u5c3f\u57f9\u990a\u30fb\u8840\u6db2\u57f9\u990a\uff082\u30bb\u30c3\u30c8\uff09\u3067\u4e00\u822c\u7d30\u83cc\u3001\u771f\u83cc\u3001\u5acc\u6c17\u6027\u83cc\u8a8d\u3081\u305a\u3002\u5580\u75f0\u57f9\u990a\u304b\u3089\u3082\u8d77\u708e\u83cc\u306f\u306f\u3063\u304d\u308a\u3057\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n<p>\u203bICU\u5165\u9662\u3068\u306a\u308a\u3001\u633f\u7ba1\u4e0b\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u3001\u6297\u751f\u5264\u6295\u4e0e\uff08PIPC\/TAZ+LVFX\uff09\u3001\u5f37\u5fc3\u85ac\uff08DOB)\u3001\u5229\u5c3f\u85ac\uff08hANP\u306a\u3069\uff09\u306a\u3069\u306e\u52a0\u7642\u306b\u3088\u308a\u8efd\u5feb\u30022\u65e5\u5f8c\u306b\u629c\u7ba1\u30014\u65e5\u5f8c\u306bICU\u9000\u5ba4\u3002\u305d\u306e\u5f8c\u3001\u6297\u751f\u5264\u3001\u8f38\u6db2\u3001\u9178\u7d20\u3082off\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u6700\u7d42\u7684\u306b\u306f1\u30f6\u6708\u534a\u5f8c\u306b\u9000\u9662\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u95a2\u9023\uff1a<\/p>\n<ul>\n<li><a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/archives\/5955\" sl-processed=\"1\" target=\"_blank\" rel=\"noopener\">\u80ba\u6c34\u816b\u3084\u5fc3\u4e0d\u5168\u306e\u80f8\u90e8\u30ec\u30f3\u30c8\u30b2\u30f3\u3084CT\u753b\u50cf\u8a3a\u65ad\u306e\u30dd\u30a4\u30f3\u30c8\u306f\uff1f<\/a><\/li>\n<li class=\"entry_title\"><a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/archives\/5858\" sl-processed=\"1\" target=\"_blank\" rel=\"noopener\">\u80ba\u6c34\u816b\u306e\u539f\u56e0\u3001\u75c7\u72b6\u304b\u3089\u8a3a\u65ad\u307e\u3067\u307e\u3068\u3081<\/a><\/li>\n<li class=\"entry_title\"><a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/archives\/5931\" sl-processed=\"1\" target=\"_blank\" rel=\"noopener\">\u3010\u4fdd\u5b58\u7248\u3011\u80ba\u6c34\u816b\u306eCT\u753b\u50cf10\u9078\uff01\u5fc3\u4e0d\u5168\u304c\u539f\u56e0\u3068\u3057\u3066\u6700\u591a\u3002<\/a><\/li>\n<\/ul>\n<h5>\u3010\u80f8\u90e8\u3011\u75c7\u4f8b14\u306e\u52d5\u753b\u89e3\u8aac<\/h5>\n<p><iframe loading=\"lazy\" width=\"640\" height=\"564\" src=\"https:\/\/player.vimeo.com\/video\/362797263\" frameborder=\"0\" allow=\"autoplay; fullscreen\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\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\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/plugins\/speech-bubble\/img\/goro1.png\" class=\"sb-icon\">\n\t\t\t<\/div>\n\t\t\t<div class=\"sb-name\"><\/div>\n\t\t<\/div>\n\t\t<div class=\"sb-content\">\n\t\t\t<div class=\"sb-speech-bubble\"><\/p>\n<p>\u304a\u75b2\u308c\u69d8\u3067\u3057\u305f\u3002<\/p>\n<p>\u4eca\u65e5\u306f\u4ee5\u4e0a\u3067\u3059\u3002<\/p>\n<p>\u4eca\u56de\u306e\u6c17\u3065\u304d\u3084\u611f\u60f3\u306a\u3069\u3092\u4e0b\u306e\u30b3\u30e1\u30f3\u30c8\u6b04\u306b\u304a\u9858\u3044\u3057\u307e\u3059\u3002<\/p>\n<p><\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 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