{"id":8143,"date":"2019-10-04T14:13:36","date_gmt":"2019-10-04T05:13:36","guid":{"rendered":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/?p=8143"},"modified":"2022-04-14T09:50:26","modified_gmt":"2022-04-14T00:50:26","slug":"%e3%80%90%e8%83%b8%e9%83%a8%e3%80%91%e7%97%87%e4%be%8b29","status":"publish","type":"post","link":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/archives\/8143","title":{"rendered":"\u3010\u80f8\u90e8\u3011\u75c7\u4f8b29"},"content":{"rendered":"<h4><span id=\"i\">\u3010\u80f8\u90e8\u3011\u75c7\u4f8b29<\/span><\/h4>\n<p><strong>\u3010\u75c7\u4f8b\u301170\u6b73\u4ee3\u7537\u6027<br \/>\n\u3010\u4e3b\u8a34\u3011\u5598\u9cf4\u3001\u53f3\u80f8\u75db<br \/>\n\u3010\u73fe\u75c5\u6b74\u3011\u6c17\u7ba1\u652f\u5598\u606f\u3067\u5f53\u9662\u304b\u304b\u308a\u3064\u3051\u3002\u672c\u65e522\u6642\u9803\u3088\u308a\u3001\u7a81\u7136\u306e\u5598\u9cf4\u3001\u53f3\u80f8\u75db\u306e\u51fa\u73fe\u3042\u308a\u3001\u6551\u6025\u5916\u6765\u53d7\u8a3a\u3002<br \/>\n\u3010\u65e2\u5f80\u6b74\u3011\u53f3\u80ba\u708e\u3001\u6c17\u7ba1\u652f\u5598\u606f\u3001\u80c6\u306e\u3046\u708e\u3001\u53e3\u5507\u30d8\u30eb\u30da\u30b9\u3001\u8133\u5e79\u6897\u585e\u30fb\u51fa\u8840<br \/>\n<\/strong><strong>\u3010\u751f\u6d3b\u6b74\u3011\u55ab\u7159\uff1a60\u672c\/\u65e5\u00d730\u5e74(20-50\u6b73)\u3001\u98f2\u9152\u306a\u3057\u3002<br \/>\n\u3010\u8eab\u4f53\u6240\u898b\u3011\u610f\u8b58\u6e05\u660e\u3001RR 20\u3001SpO2 90%(RA)\u3001wheeze\u3042\u308a\u3001\u53f3\u80bacoarse crackles\u3042\u308a\u3002\u56db\u80a2\u6d6e\u816b\u306a\u3057\u3002\u8840\u6db2\u30ac\u30b9\uff08RA)\uff1apH 7.440\u3001pCO2 34.6\u3001pO2 53.2<br \/>\n\u3010\u30c7\u30fc\u30bf\u3011WBC 7500(Neu 87.4%)\u3001CRP 0.17<\/strong><\/p>\n<p>\u753b\u50cf\u306f\u3053\u3061\u3089<\/p>\n<ul>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/NrH5xzS2\" target=\"_blank\" rel=\"noopener\">\u80f8\u90e8\u30ec\u30f3\u30c8\u30b2\u30f3<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/mZtTHQcj\" target=\"_blank\" rel=\"noopener\">CT\uff08\u6a2a\u65ad\u50cf\uff09<\/a><\/li>\n<\/ul>\n<p>\u5b9f\u306f\u534a\u6708\u524d\u306e\u30ec\u30f3\u30c8\u30b2\u30f3\u3001CT\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<ul>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/9CBp5es7\" target=\"_blank\" rel=\"noopener\">\u80f8\u90e8\u30ec\u30f3\u30c8\u30b2\u30f3\u3000\u534a\u6708\u524d<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/RZs4j8Yv\" target=\"_blank\" rel=\"noopener\">CT\uff08\u6a2a\u65ad\u50cf\uff09\u534a\u6708\u524d<\/a><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance1.png\" alt=\"\" width=\"682\" height=\"391\" class=\"aligncenter wp-image-8661\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance1.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance1-300x172.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance1-768x440.png 768w\" sizes=\"auto, (max-width: 682px) 100vw, 682px\" \/><\/p>\n<p>\u3053\u308c\u3092\u898b\u308b\u3068\u5143\u3005\u3001<strong>\u6c17\u816b\u6027\u5909\u5316\u304a\u3088\u3073\u6c17\u7ba1\u652f\u58c1\u306e\u80a5\u539a<\/strong>\u304c\u3042\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u306d\u3002<\/p>\n<p>\u5598\u606f\u3067\u304b\u304b\u308a\u3064\u3051\u3067\u3042\u308b\u305f\u3081\u3001\u6c17\u7ba1\u652f\u58c1\u306e\u80a5\u539a\u306f\u5598\u606f\u306b\u3088\u308b\u30ea\u30e2\u30c7\u30ea\u30f3\u30b0\u3092\u53cd\u6620\u3057\u3066\u3044\u308b\u3068\u8003\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n<p>\u3067\u306f\u4eca\u56de\u306e\u753b\u50cf\u306f\u3069\u3046\u3067\u3057\u3087\u3046\u304b\uff1f<\/p>\n<p>\u307e\u305a\u30ec\u30f3\u30c8\u30b2\u30f3\u3092\u898b\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance2.png\" alt=\"\" width=\"686\" height=\"389\" class=\"aligncenter wp-image-8662\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance2.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance2-300x170.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance2-768x435.png 768w\" sizes=\"auto, (max-width: 686px) 100vw, 686px\" \/><\/p>\n<p><strong>\u53f3\u4e0b\u8449\u5185\u5074\u512a\u4f4d\u306b\u6d78\u6f64\u5f71<\/strong>\u3092\u8a8d\u3081\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u53f3\u5fc3\u9670\u5f71\u306f\u8ffd\u3048\u307e\u3059\u304c<strong>\u3084\u3084\u4e0d\u660e\u77ad<\/strong>\u3067\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/Aortic-dissection8.png\" alt=\"\" width=\"695\" height=\"399\" class=\"aligncenter wp-image-8290\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/Aortic-dissection8.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/Aortic-dissection8-300x173.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/Aortic-dissection8-768x442.png 768w\" sizes=\"auto, (max-width: 695px) 100vw, 695px\" \/><\/p>\n<p>\u5fa9\u7fd2\u3067\u3059\u304c\u3001\u53f3\u306eS5\u306b\u5fc3\u81d3\u306b\u63a5\u3059\u308b\u75c5\u5909\u304c\u3042\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u6b21\u306bCT\u3092\u898b\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance4.png\" alt=\"\" width=\"679\" height=\"400\" class=\"aligncenter wp-image-8664\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance4.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance4-300x177.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance4-768x453.png 768w\" sizes=\"auto, (max-width: 679px) 100vw, 679px\" \/><\/p>\n<p>\u3059\u308b\u3068\u3001<strong>\u4e2d\u8449\u306b\u5e83\u7bc4\u306a\u6d78\u6f64\u5f71<\/strong>\u3092\u8a8d\u3081\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n<p>\u5185\u5074\u306eS5\u512a\u4f4d\u3067<strong>\u5fc3\u81d3\u306b\u3082\u4e00\u90e8\u63a5\u3057\u3066\u3044\u307e\u3059<\/strong>\u304c\u3001<strong>\u901a\u5e38\u898b\u308b\u3088\u3046\u306a\u6c17\u7ba1\u652f\u80ba\u708e\u30d1\u30bf\u30fc\u30f3\u3001\u5927\u8449\u6027\u80ba\u708e\u30d1\u30bf\u30fc\u30f3\u3068\u306f\u5c11\u3057\u7570\u306a\u308a\u3001\u30d7\u30c4\u30d7\u30c4\u3068air\u3092\u8a8d\u3081\u3066\u3044\u307e\u3059<\/strong>\u3002<\/p>\n<p>\u3053\u308c\u306f\u30d9\u30fc\u30b9\u306b\u6c17\u816b\u6027\u5909\u5316\u304c\u3042\u308b\u305f\u3081\u3067\u3042\u308a\u3001\u6c17\u816b\u6027\u5909\u5316\u3092\u30d9\u30fc\u30b9\u306b\u80ba\u708e\u304c\u8d77\u304d\u308b\u3068\u3053\u306e\u3088\u3046\u306b\u3042\u305f\u304b\u3082\u30b9\u30a4\u30b9\u30c1\u30fc\u30ba\u306e\u3088\u3046\u3060\u3068\u3044\u3046\u3053\u3068\u3067\u3001<span style=\"font-size: 20px;\"><em>swiss cheese appearance<\/em><\/span>\u3068\u547c\u3070\u308c\u307e\u3059\u3002<\/p>\n<p>\u203b\u30ec\u30f3\u30c8\u30b2\u30f3\u3067\u53f3\u306e\u5fc3\u9670\u5f71\u304c\u5b8c\u5168\u306b\u6d88\u3048\u3066\u3044\u306a\u3044\u306e\u306f\u3053\u306e\u3088\u3046\u306a\u6c17\u816b\u6027\u5909\u5316\u304c\u30d9\u30fc\u30b9\u306b\u3042\u308a\u3001\u4e00\u90e8\u306f\u5fc3\u81d3\u3068\u63a5\u3057\u3066\u3044\u306a\u3044\u90e8\u4f4d\u3082\u3042\u308b\u305f\u3081\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance5.png\" alt=\"\" width=\"694\" height=\"360\" class=\"aligncenter wp-image-8665\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance5.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance5-300x155.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/10\/swiss-cheese-appearance5-768x398.png 768w\" sizes=\"auto, (max-width: 694px) 100vw, 694px\" \/><\/p>\n<p>\u307e\u305f\u80f8\u819c\u306b\u3082\u708e\u75c7\u306f\u5230\u9054\u3057\u3066\u3044\u308b\u3068\u8003\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u3001\u75bc\u75db\u306e\u539f\u56e0\u306f\u80f8\u819c\u708e\u3092\u8d77\u3053\u3057\u3066\u3044\u308b\u304b\u3089\u3060\u3068\u63a8\u6e2c\u3055\u308c\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>\u8a3a\u65ad\uff1a<\/strong><\/span>\uff08\u30d9\u30fc\u30b9\u306b\u6c17\u816b\u6027\u5909\u5316\u304c\u3042\u308b\uff09<span style=\"font-size: 24px;\"><strong>\u4e2d\u8449\u80ba\u708e\uff0b\u80f8\u819c\u708e<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p>\u203b\u8840\u6db2\u691c\u67fb\u3067\u708e\u75c7\u53cd\u5fdc\u306e\u4e0a\u6607\u306b\u4e4f\u3057\u3044\u304c\u3001\u8d85\u6025\u6027\u671f\u306e\u305f\u3081\u3068\u8003\u3048\u3089\u308c\u307e\u3057\u305f\u3002\uff08\u5165\u96622\u65e5\u5f8c\u306e\u63a1\u8840\u3067\u306f\u3001CRP 17.70\u3068\u4e0a\u6607\u3057\u3066\u3044\u307e\u3059\u3002\uff09<\/p>\n<p>\u307e\u305f\u3001\u5c3f\u4e2d<strong>\u80ba\u708e\u7403\u83cc<\/strong>\u6297\u539f\uff1a\u967d\u6027\u3067\u3042\u308a\u3001\u305d\u306e\u5f8c\u8840\u6db2\u57f9\u990a2\u30bb\u30c3\u30c8\u304b\u3089\u3001<strong><em>Streptococcus pneumoniae<\/em>(\u80ba\u708e\u7403\u83cc)<\/strong>\u304c\u691c\u51fa\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>ABPC\/SBT 3.0g\u00d73\u56de\/day\u3067\u6cbb\u7642\u3092\u958b\u59cb\u3057\u307e\u3057\u305f\u304c\u3001\u8840\u6db2\u57f9\u990a\u3067\u80ba\u708e\u7403\u83cc\u304c\u691c\u51fa\u3055\u308c\u305f\u305f\u3081\u3001<a href=\"http:\/\/idsc.tokyo-eiken.go.jp\/diseases\/ipd\/\" target=\"_blank\" rel=\"noopener\">\u4fb5\u8972\u6027\u80ba\u708e\u7403\u83cc\u611f\u67d3\u75c7<\/a>\u3068\u8a3a\u65ad\u3057\u3001\u5c4a\u3051\u51fa\u3092\u884c\u3044\u307e\u3057\u305f\u3002<\/p>\n<p>\u30da\u30cb\u30b7\u30ea\u30f3\uff08PCG\uff09\u306bde-escalation\u3057\u3001\u7d4c\u904e\u306f\u826f\u597d\u3067\u3001\u9000\u9662\u3068\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n<p>\u203b\u80ba\u708e\u7403\u83cc\u306f\u3001\u5927\u8449\u6027\u80ba\u708e\u30d1\u30bf\u30fc\u30f3\u3092\u5448\u3059\u308b\u4ee3\u8868\u7684\u75c5\u539f\u4f53\u3067\u3059\u304c\u3001\u4eca\u56de\u306e\u3088\u3046\u306b\u6c17\u816b\u6027\u5909\u5316\u304c\u3042\u308b\u5834\u5408\u306f\u3001\u30d9\u30bf\u30fc\u3063\u3068\u3057\u305f\u5747\u4e00\u306a\u6d78\u6f64\u5f71\u3067\u306f\u306a\u304f\u3001swiss cheese appearance\u3092\u793a\u3059\u70b9\u306b\u6ce8\u610f\u3057\u307e\u3057\u3087\u3046\u3002<\/p>\n<p>\u95a2\u9023\uff1a<\/p>\n<ul>\n<li><a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/archives\/1380\" target=\"_blank\" rel=\"noopener\">\u55ab\u7159\u95a2\u9023\u80ba\u75be\u60a3\u3068\u306f\uff1f<\/a><\/li>\n<li class=\"entry_title\"><a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/archives\/6957\">\u80ba\u80de\u6027(\u5927\u8449\u6027)\u80ba\u708e\u306eCT\u753b\u50cf\u8a3a\u65ad\u3068\u306f\uff1f<\/a><\/li>\n<\/ul>\n<h5>\u3010\u80f8\u90e8\u3011\u75c7\u4f8b29\u306e\u52d5\u753b\u89e3\u8aac<\/h5>\n<p><iframe loading=\"lazy\" width=\"640\" height=\"564\" src=\"https:\/\/player.vimeo.com\/video\/368636471\" 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: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>\u3010\u80f8\u90e8\u3011\u75c7\u4f8b29 \u3010\u75c7\u4f8b\u301170\u6b73\u4ee3\u7537\u6027 \u3010\u4e3b\u8a34\u3011\u5598\u9cf4\u3001\u53f3\u80f8\u75db \u3010\u73fe\u75c5\u6b74\u3011\u6c17\u7ba1\u652f\u5598\u606f\u3067\u5f53\u9662\u304b\u304b\u308a\u3064\u3051\u3002\u672c\u65e522\u6642\u9803\u3088\u308a\u3001\u7a81\u7136\u306e\u5598\u9cf4\u3001\u53f3\u80f8\u75db\u306e\u51fa\u73fe\u3042\u308a\u3001\u6551\u6025\u5916\u6765\u53d7\u8a3a\u3002 \u3010\u65e2\u5f80\u6b74\u3011\u53f3\u80ba\u708e\u3001\u6c17\u7ba1\u652f\u5598\u606f\u3001\u80c6\u306e\u3046\u708e\u3001\u53e3\u5507\u30d8\u30eb\u30da\u30b9\u3001\u8133 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