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\n\n\n\n
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\n\n\n\n
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\u3000\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u591a\u304f\u306e\u5834\u5408\u3001\u76ee\u306e\u524d\u306e\u60a3\u8005\u3055\u3093\u306f\u3001\u81e8\u5e8a\u8a66\u9a13\u6642\u306b\u306f\u9664\u5916\u3055\u308c\u305f\u4f55\u3089\u304b\u306e\u8981\u56e0\u3092\u6709\u3057\u3066\u3044\u308b\u306e\u304c\u73fe\u72b6\u3060\u3068\u601d\u3044\u307e\u3059\u3002\u305d\u306e\u3088\u3046\u306a\u60a3\u8005\u3067\u306f\u3001\u751f\u7406\u6a5f\u80fd\u3084\u4ee3\u8b1d\u6a5f\u80fd\u306e\u5909\u5316\u304c\u6297\u83cc\u85ac\u306e\u4f53\u5185\u52d5\u614b\u306b\u5909\u5316\u3092\u3082\u305f\u3089\u3057\u3066\u3044\u308b\u3053\u3068\u3082\u591a\u3044\u305f\u3081\u3001\u305d\u308c\u3089\u3092\u8003\u616e\u3057\u305f\u6295\u4e0e\u8a2d\u8a08\u3084\u85ac\u7269\u76f8\u4e92\u4f5c\u7528\u306e\u4e88\u6e2c\u30fb\u56de\u907f\u3001\u526f\u4f5c\u7528\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u306a\u3069\u3001\u5404\u60a3\u8005\u3055\u3093\u3078\u306e\u6297\u83cc\u85ac\u6cbb\u7642\u306e\u6700\u9069\u5316\u304c\u91cd\u8981\u3067\u3042\u308a\u3001\u85ac\u5264\u5e2b\u306e\u679c\u305f\u3059\u5f79\u5272\u306f\u5927\u304d\u3044\u3068\u8003\u3048\u307e\u3059\u3002\u4e00\u65b9\u3067\u3001\u611f\u67d3\u75c7\u306f\u95a2\u4e0e\u3059\u3079\u304d\u70b9\u304c\u611f\u67d3\u90e8\u4f4d\u3084\u75c5\u539f\u4f53\u3054\u3068\u306b\u7570\u306a\u308b\u3053\u3068\u304b\u3089\u3001\u85ac\u5b66\u7684\u4ecb\u5165\u306b\u8e8a\u8e87\u3059\u308b\u85ac\u5264\u5e2b\u3082\u591a\u3044\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\u3002
\u3000\u305d\u3053\u3067\u3001\u672c\u8b1b\u6f14\u3067\u306f\u611f\u67d3\u75c7\u3092\u30c6\u30fc\u30de\u306b\u3001\u60a3\u8005\u60c5\u5831\u304b\u3089\u85ac\u7269\u6cbb\u7642\u8a55\u4fa1\u3092\u884c\u3046\u305f\u3081\u306b\u5fc5\u8981\u306a\u5ba2\u89b3\u7684\u60c5\u5831\u306e\u62bd\u51fa\u3001\u75c5\u614b\u306e\u89e3\u91c8\u3092\u884c\u3044\u3001\u85ac\u5b66\u7684\u8996\u70b9\u304b\u3089\u85ac\u7269\u6cbb\u7642\u8a08\u753b\u3092\u7acb\u6848\u3059\u308b\u305f\u3081\u306e\u30a8\u30c3\u30bb\u30f3\u30b9\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002 <\/p>\n\n\n\n
\n\n\n\n
\uff3b \u6f14 \u8005 \uff3d\u3000\u2f29\u5ddd \u76f4\u7d00\uff08\u533b\u7642\u6cd5\u2f08\u6c96\u7e04\u5fb3\u6d32\u4f1a \u5343\u8449\u2ec4\u7dcf\u5408\u75c5\u9662 \u85ac\u5264\u79d1\uff09<\/strong> <\/p>\n\n\n\n
\u3000\u60a3\u8005\u306f\u8133\u51fa\u8840\u3001\u9ad8\u8840\u5727\u3092\u65e2\u5f80\u6b74\u306b\u6301\u306440\u6b73\u4ee3\u7537\u6027\u3067\u3042\u308a\u3001\u30ea\u30cf\u30d3\u30ea\u4e2d\u306b\u767a\u71b1\u3057\u3001\u30bb\u30d5\u30e1\u30bf\u30be\u30fc\u30eb\u3092\u4f7f\u7528\u958b\u59cb\u3057\u3066\u3044\u305f\u304c\u8840\u6db2\u57f9\u990a\u3067E.faecalis<\/em>\u967d\u6027\u3068\u306a\u3063\u305f\u70ba\u3001\u30a2\u30f3\u30d4\u30b7\u30ea\u30f3\u7b49\u3092\u6295\u4e0e\u3057\u3066\u3044\u305f\u3002\u30a2\u30f3\u30d4\u30b7\u30ea\u30f3\u3067\u767a\u75b9\u304c\u51fa\u73fe\u3057\u75a3\u8d05\u3082\u5897\u5927\u3057\u305f\u3053\u3068\u304b\u3089\u611f\u67d3\u6027\u5fc3\u5185\u819c\u708e\uff08IE\uff09\u3068\u8a3a\u65ad\u3055\u308c\u5f53\u9662\u5165\u9662\u3068\u306a\u3063\u305f\u3002
\u3000VCM\u3067\u306e\u4fdd\u5b58\u7684\u6cbb\u7642\u3068\u306a\u308a\u6295\u4e0e\u8a2d\u8a08\u3092\u884c\u3046\u304c\u8840\u4e2d\u6fc3\u5ea6\u304c\u5b89\u5b9a\u305b\u305a\u3001\u6cbb\u7642\u57df\u7dad\u6301\u304c\u56f0\u96e3\u3067\u3042\u3063\u305f\u3002\u6295\u4e0e7\u65e5\u76ee\u304b\u3089\u814e\u30af\u30ea\u30a2\u30e9\u30f3\u30b9\u304c\u8457\u3057\u304f\u4f4e\u4e0b\u3057\u305f\u70ba\u3001VCM\u306b\u3088\u308b\u6025\u6027\u814e\u969c\u5bb3\uff08AKI\uff09\u304c\u7591\u308f\u308c\u305f\u3002\u6a19\u6e96\u6295\u4e0e\u671f\u9593\u304b\u3089\u814e\u4fdd\u8b77\u3082\u6c42\u3081\u3089\u308c\u3001\u85ac\u5264\u30b3\u30b9\u30c8\u3001\u5e83\u57df\u3059\u304e\u306a\u3044\u6297\u83cc\u30b9\u30da\u30af\u30c8\u30eb\u3001\u85ac\u7269\u52d5\u614b\u306e\u5b89\u5b9a\u6027\u3001\u814e\u969c\u5bb3\u3084\u8840\u5c0f\u677f\u6e1b\u5c11\u3001\u507d\u819c\u6027\u8178\u708e\u7b49\u306e\u526f\u4f5c\u7528\u30ea\u30b9\u30af\u3092\u8003\u616e\u3057\u30c6\u30a4\u30b3\u30d7\u30e9\u30cb\u30f3\uff08TEIC\uff09\u306b\u5909\u66f4\u3057\u305f\u30021\u56de600mg\u3092\u57fa\u672c\u3068\u3057\u305f\u9ad8\u7528\u91cf\u30ec\u30b8\u30e1\u30f3\u3067\u8ca0\u8377\u6295\u4e0e\u3001\u7dad\u6301\u91cf\u306f\u30c8\u30e9\u30d5\u502420\uff5e30\u03bcg\/\uff4dL\u3092\u76ee\u6a19\u306b\u8abf\u7bc0\u3092\u884c\u3044\u814e\u30af\u30ea\u30a2\u30e9\u30f3\u30b9\u306f\u6539\u5584\u50be\u5411\u3068\u306a\u3063\u305f\u3002\u5909\u66f4\u5f8c10\u65e5\u76ee\u306b\u306f\u708e\u75c7\u53cd\u5fdc\u306f\u9670\u6027\u5316\u3001\u89e3\u71b1\u3001\u75a3\u8d05\u3082\u7e2e\u5c0f\u3057\u30016\u9031\u9593\u6295\u4e0e\u304c\u53ef\u80fd\u3068\u306a\u308a\u8efd\u5feb\u9000\u9662\u3068\u306a\u3063\u305f\u3002
\u3000\u30da\u30cb\u30b7\u30ea\u30f3\u7cfb\u30a2\u30ec\u30eb\u30ae\u30fc\u304c\u3042\u308a\u3001\u6297\u83cc\u85ac\u6cbb\u7642\u304c\u9577\u671f\u9593\u5fc5\u8981\u306a\u5834\u5408\u306f\u4f53\u5185\u52d5\u614b\u5909\u5316\u3092\u7279\u306b\u6ce8\u610f\u3057\u3066\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002TEIC\u306f\u4e3b\u306b\u814e\u81d3\u304b\u3089\u6392\u6cc4\u3055\u308c\u308b\u85ac\u5264\u3060\u304c\u3001\u8840\u4e2d\u6fc3\u5ea6\u5b89\u5b9a\u6027\u306f\u3088\u304f\u3001\u814e\u969c\u5bb3\u306fVCM\u3088\u308a\u5c11\u306a\u3044\u5831\u544a\u304c\u3042\u308b\u3002\u8840\u4e2d\u6fc3\u5ea6\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u306b\u3088\u308a\u3001\u52b9\u679c\u30fb\u526f\u4f5c\u7528\u30d0\u30e9\u30f3\u30b9\u3092\u8003\u616e\u3059\u308b\u3053\u3068\u304c\u6cbb\u7642\u306e\u6210\u529f\u306b\u3064\u306a\u304c\u3063\u305f\u3068\u8003\u3048\u308b\u3002 <\/p>\n\n\n\n
\n\n\n\n
\uff3b<\/strong>\u00a0\u6f14\u00a0\u8005\u00a0\uff3d\u3000\u7be0\u5d0e\u00a0\u6d69\u53f8\uff08\u5730\u65b9\u72ec\u7acb\u884c\u653f\u6cd5\u4eba\u6771\u91d1\u4e5d\u5341\u4e5d\u91cc\u5730\u57df\u533b\u7642\u30bb\u30f3\u30bf\u30fc<\/strong> \u6771\u5343\u8449\u30e1\u30c7\u30a3\u30ab\u30eb\u30bb\u30f3\u30bf\u30fc\u00a0\u85ac\u5264\u90e8\uff09<\/strong>\u00a0<\/p>\n\n\n\n
\u3000\u6557\u8840\u75c7\u306f\u3001\u300c\u611f\u67d3\u75c7\u306b\u3088\u3063\u3066\u91cd\u7be4\u306a\u81d3\u5668\u969c\u5bb3\u304c\u5f15\u304d\u8d77\u3053\u3055\u308c\u308b\u72b6\u614b\u300d\u3068\u5b9a\u7fa9\u3055\u308c\u3001\u611f\u67d3\u75c7\u306b\u3088\u308a\u751f\u4f53\u53cd\u5fdc\u304c\u5236\u5fa1\u3067\u304d\u305a\u3001\u547c\u5438\u3001\u5faa\u74b0\u3001\u610f\u8b58\u3001\u51dd\u56fa\u3001\u809d\u81d3\u3001\u814e\u81d3\u7b49\u306e\u81d3\u5668\u969c\u5bb3\u3092\u5448\u3059\u308b\u72b6\u614b\u3092\u6307\u3059\u3002\u307e\u305f\u3001\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af\u306f\u3001\u300c\u6025\u6027\u5faa\u74b0\u4e0d\u5168\u306b\u3088\u308a\u3001\u7d30\u80de\u969c\u5bb3\u304a\u3088\u3073\u4ee3\u8b1d\u7570\u5e38\u304c\u91cd\u5ea6\u3068\u306a\u308a\u3001\u30b7\u30e7\u30c3\u30af\u3092\u4f34\u308f\u306a\u3044\u6557\u8840\u75c7\u3068\u6bd4\u3079\u3066\u6b7b\u4ea1\u306e\u5371\u967a\u6027\u304c\u9ad8\u307e\u308b\u72b6\u614b\u300d\u3068\u5b9a\u7fa9\u3055\u308c\u3001\u6557\u8840\u75c7\u306b\u6025\u6027\u5faa\u74b0\u4e0d\u5168\u3092\u4f34\u3044\u3001\u304b\u3064\u7d30\u80de\u969c\u5bb3\u304a\u3088\u3073\u4ee3\u8b1d\u7570\u5e38\u304c\u91cd\u5ea6\u3068\u306a\u308b\u72b6\u614b\u3092\u6307\u3059\u3002\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af\u306e\u8a3a\u65ad\u57fa\u6e96\u306f\u3001\u5e73\u5747\u52d5\u8108\u5727 (MAP) 65 mmHg \u4ee5\u4e0a\u3092\u4fdd\u3064\u305f\u3081\u306b\u8f38\u6db2\u7642\u6cd5\u306b\u52a0\u3048\u3066\u30ce\u30eb\u30a2\u30c9\u30ec\u30ca\u30ea\u30f3\u7b49\u306e\u8840\u7ba1\u53ce\u7e2e\u85ac\u3092\u5fc5\u8981\u3068\u3057\u3001\u304b\u3064\u8840\u4e2d\u4e73\u9178\u5024 (Lac) 2 mmol\/L \u3092\u8d85\u3048\u308b\u5834\u5408\u3067\u3042\u308b\u3002\u6557\u8840\u75c7\u304a\u3088\u3073\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af\u306e\u6cbb\u7642\u3067\u306f\u3001\u5168\u8eab\u72b6\u614b\u306e\u7ba1\u7406\u306b\u52a0\u3048\u3001\u9069\u5207\u306a\u611f\u67d3\u75c7\u306e\u6cbb\u7642\u3092\u884c\u3046\u3053\u3068\u304c\u91cd\u8981\u3067\u3042\u308b\u3002
\u3000\u75c7\u4f8b\u306f 66 \u6b73\u5973\u6027\u3002\u547c\u5438\u82e6\u3092\u4e3b\u8a34\u306b\u5f53\u9662\u306e\u6551\u547d\u6551\u6025\u30bb\u30f3\u30bf\u30fc\u306b\u642c\u9001\u3055\u308c\u3001\u80ba\u708e\u306b\u3088\u308b\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af (\u6765\u9662\u6642MAP55 mmHg,Lac4.4) \u306e\u8a3a\u65ad\u3067\u3001\u96c6\u4e2d\u6cbb\u7642\u5ba4\u306b\u3066\u633f\u7ba1\u7ba1\u7406\u3068\u306a\u3063\u305f\u3002\u672c\u75c7\u4f8b\u306b\u304a\u3051\u308b\u3001\u85ac\u5264\u5e2b\u306e\u85ac\u7269\u7642\u6cd5\u3078\u306e\u95a2\u308f\u308a\u306b\u3064\u3044\u3066\u3001\u81d3\u5668\u7cfb\u7d71\u5225\u8a55\u4fa1\u3092\u57fa\u306b\u7d39\u4ecb\u3059\u308b\u3002 <\/p>\n\n\n\n
\n\n\n\n
\u3000\u3000\u3000\u3000\u3000\u3000\u6c38\u4e95 \u5c1a\u7f8e\uff08\u6b66\u8535\u91ce\u2f24\u5b66 \u85ac\u5b66\u7814\u7a76\u6240\uff09<\/strong> <\/p>\n\n\n\n
\n\n\n\n
\uff3b \u6f14 \u8005 \uff3d\u3000\u677e\u672c\u5343\u660e\u5148\u2f63\uff08\u2f47\u672c\u2f24\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u677f\u6a4b\u75c5\u9662 \u85ac\u5264\u90e8\uff09<\/strong> <\/p>\n\n\n\n
\u3010 \u60a3 \u8005 \u3011 63\u6b73\uff0c\u5973\u6027
\u3010 \u4e3b \u8a34 \u3011 \u7279\u8a18\u4e8b\u9805\u306a\u3057
\u3010\u8a3a\u65ad\u540d\u3011 \u7279\u767a\u6027\u8840\u5c0f\u677f\u6e1b\u5c11\u6027\u7d2b\u6591\u75c5\uff08ITP\uff09
\u3010\u73fe\u75c5\u6b74\u3011 \u8077\u5834\u691c\u8a3a\u3067 Plt 8.1\u00d7104\/\u03bcL\u306e\u4f4e\u4e0b\u3092\u6307\u6458\u3055\u308c\u6765\u9662
\u3000\u3000\u3000\u3000\u3000\u6765\u9662\u6642\u3082 Plt 9.2\u00d7104\/\u03bcL\u306e\u4f4e\u4e0b\u304c\u7d99\u7d9a\u3057\u3066\u304a\u308a\uff0cITP\u306e\u8a3a\u65ad\u3068\u306a\u3063\u305f\u3002
\u3010\u65e2\u5f80\u6b74\u3011 \u8133\u6897\u585e\uff0c\u6162\u6027\u8170\u75db\uff0c\u9ad8\u8840\u5727
\u3010\u5bb6\u65cf\u6b74\u3011 \u7279\u8a18\u4e8b\u9805\u306a\u3057
\u3010\u793e\u4f1a\u6b74\u3011 \u7121\u8077\uff0c\u606f\u5b50\u592b\u5a66\u3068\u540c\u5c45
\u3010\u751f\u6d3b\u6b74\u3011 \u6a5f\u4f1a\u98f2\u9152\uff0c\u55ab\u7159\u306a\u3057
\u3010\u5185\u670d\u6b74\u3011 \u30a2\u30e0\u30ed\u30b8\u30d4\u30f3\u93202.5mg\uff0c1\u65e51\u56de\uff0c1\u56de1\u9320
\u3000\u3000\u3000\u3000\u3000\u3000\u30cb\u30bb\u30eb\u30b4\u30ea\u30f3\u93205mg\uff0c1\u65e53\u56de\uff0c1\u56de1\u9320
\u3000\u3000\u3000\u3000\u3000\u3000\u30ed\u30ad\u30bd\u30d7\u30ed\u30d5\u30a7\u30f3\u932060mg\uff0c1\u65e52\u56de\uff0c1\u56de1\u9320
\u3000\u3000\u3000\u3000\u3000\u3000\u30ec\u30d0\u30df\u30d4\u30c9\u9320100mg\uff0c1\u65e52\u56de\uff0c1\u56de1\u9320
\u3010\u30a2\u30ec\u30eb\u30ae\u30fc\u30fb\u526f\u4f5c\u7528\u6b74\u3011 \u7d4c\u53e3\u30bb\u30d5\u30a7\u30e0\u7cfb\u6297\u751f\u7269\u8cea\uff08\u7d0420\u5e74\u524d\uff09\uff1a\u8541\u9ebb\u75b9
\u3010\u8840\u6db2\u691c\u67fb\u3011 WBC 4,900 \/mm3\uff0cRBC 421\u00d7104\/\u03bcL\uff0cHb 13.6 g\/dl\uff0cHt 40.7%\uff0cPlt 9.2\u00d7104\/\u03bcL\uff0c
\u3000\u3000\u3000\u3000\u3000\u3000AST 17 U\/L\uff0cALT 9 U\/L\uff0c\u03b3-GTP 13 IU\/L\uff0c
\u3000\u3000\u3000\u3000\u3000\u3000BUN 18.4 mg\/dl\uff0cScr 0.54 mg\/dl\uff0c
\u3000\u3000\u3000\u3000\u3000\u3000TP 6.7 g\/dl\uff0cPAIgG 68 ng\/107 cells\uff0c\u6297\u6838\u6297\u4f53\uff08-\uff09\uff0cH.pylori-IgG (+)
\u3010\u8eab\u4f53\u6240\u898b\u3011\u8eab\u9577\uff1a160 cm\uff0c\u4f53\u91cd\uff1a55 kg\uff0c
\u3000\u3000\u3000\u3000\u3000\u3000\u30d0\u30a4\u30bf\u30eb\u30b5\u30a4\u30f3\uff1a\u4f53\u6e29 36.7\u2103\uff0c\u8840\u5727135\/80 mmHg\uff0c\u8108\u62cd\uff1a60\/\u5206\uff0c
\u3000\u3000\u3000\u3000\u3000\u3000\u8179\u90e8\u6b63\u5e38\uff0c\u4e0a\u8155\u306b\u7d2b\u6591\u3092\u8a8d\u3081\u305f\u304c,\u305d\u306e\u4ed6\u51fa\u8840\u50be\u5411\u3092\u7591\u308f\u305b\u308b\u30a8\u30d4\u30bd\u30fc\u30c9\u306f\u306a\u3057\u3002
\u3010Problem List\u3011 #1\uff0cITP\uff08\u672a\u6cbb\u7642\uff09
\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000#2\uff0c\u9ad8\u8840\u5727\uff08\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3\uff09
\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000#3\uff0c\u8133\u6897\u585e\uff08\u30cb\u30bb\u30eb\u30b4\u30ea\u30f3\uff09
\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000#4\uff0c\u6162\u6027\u8170\u75db\uff08\u30ed\u30ad\u30bd\u30d7\u30ed\u30d5\u30a7\u30f3\uff0c\u30ec\u30d0\u30df\u30d4\u30c9\uff09 <\/p>\n\n\n\n
\n\n\n\n
\uff3b \u6f14 \u8005 \uff3d\u3000\u4e45\u4fdd\u2f65 \u6d0b\u2f26\uff08\u2f47\u672c\u85ac\u79d1\u2f24\u5b66\u85ac\u5b66\u90e8 \u793e\u4f1a\u85ac\u5b66\u5206\u91ce\uff09<\/strong> <\/p>\n\n\n\n
\u3000\u5e73\u6210 26\u5e74\u306e\u85ac\u5264\u5e2b\u6cd525\u6761\u306e2\u306e\u6539\u5b9a\u3067\u3001\u300c\u5fc5\u8981\u306a\u85ac\u5b66\u7684\u77e5\u898b\u306b\u57fa\u3065\u304f\u6307\u5c0e\u300d\u304c\u3001\u5e73\u621028\u5e74\u306e\u8abf\u5264\u5831\u916c\u6539\u5b9a\u3067\u306f\u3001\u300c\u304b\u304b\u308a\u3064\u3051\u85ac\u5264\u5e2b\u300d\u306e\u8a55\u4fa1\u304c\u52a0\u308f\u308b\u306a\u3069\u3001\u85ac\u5c40\u85ac\u5264\u5e2b\u306b\u306f\u5730\u57df\u533b\u7642\u306e\u62c5\u3044\u624b\u3068\u3057\u3066\u306e\u5f79\u5272\u304c\u660e\u78ba\u5316\u3055\u308c\u3066\u3044\u308b\u3002\u4eca\u5f8c\u5404\u85ac\u5c40\u3067\u306e\u533b\u85ac\u54c1\u60c5\u5831\u306e\u53ce\u96c6\u30fb\u8a55\u4fa1\u30fb\u52a0\u5de5\u304c\u5fc5\u9808\u3068\u306a\u308a\u3001\u6dfb\u4ed8\u6587\u66f8\u3084\u95a2\u9023\u3059\u308b\u8cc7\u6599\u306e\u6d3b\u7528\u3068\u305d\u306e\u7ba1\u7406\u304c\u6025\u52d9\u3067\u3042\u308b\u3002\u305d\u3053\u3067\u3001\u4ee5\u4e0b\u306e\u6765\u5c40\u8005\uff08\u60a3\u8005\uff09\u306e\u526f\u4f5c\u7528\u306b\u95a2\u3059\u308b\u76f8\u8ac7\u4e8b\u4f8b\u304b\u3089\u3001\u533b\u85ac\u54c1\u60c5\u5831\u6e90\u3068\u305d\u306e\u8ab2\u984c\u3092\u8003\u3048\u308b\u3002 <\/p>\n\n\n\n
\u3010\u60a3\u8005\u301150\u4ee3\u5973\u6027\u3002\u8077\u5834\u306e\u5065\u5eb7\u8a3a\u65ad\u3067\u9ad8\u8840\u5727\u75c7\u306e\u8a3a\u65ad\u3001\u8fd1\u533b\u901a\u9662\u4e2d\u3002
\u3010\u691c\u67fb\u5024\u3011\u53ce\u7e2e\u671f\u8840\u5727\uff0f\u62e1\u5f35\u671f\u8840\u5727 160\/90 mmHg
\u3010\u51e6\u65b9\u6b74\uff08\u85ac\u6b74\uff09\u30fb\u75c5\u6b74\u30fb\u526f\u4f5c\u7528\u6b74\u30fb\u30a2\u30ec\u30eb\u30ae\u30fc\u6b74\u3011\u306a\u3057
\u3010\u4f75\u7528\u85ac\u30fbOTC\u533b\u85ac\u54c1\u30fb\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u30fb\u5065\u5eb7\u98df\u54c1\u7b49\u3011\u306a\u3057
\u3010\u51e6\u65b9\u85ac\u3011\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\u30e1\u30c9\u30ad\u30bd\u30df\u30eb10mg\u30011\u65e51\u56de1\u9320\u3001\u671d\u98df\u5f8c\u300114\u65e5\u5206\u51e6\u65b9\u3002 <\/p>\n\n\n\n
\u3000\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\u30e1\u30c9\u30ad\u30bd\u30df\u30eb\u306e\u670d\u7528\u958b\u59cb\u5f8c\u3001\u6570\u65e5\u7d4c\u3063\u305f\u9803\u3088\u308a\u3001\u30c1\u30fc\u30ba\u69d8\u306e\u4f53\u81ed\u304c\u6c17\u306b\u306a\u308b\u3088\u3046\u306b\u306a\u3063\u305f\u3001\u3068\u6765\u5c40\u76f8\u8ac7\u304c\u3042\u3063\u305f\u3002\u8840\u5727\u306f\u6539\u5584\uff08120\/70 mmHg\uff09\u3057\u3066\u3044\u305f\u3002<\/p>\n\n\n\n
\n\n\n\n
\uff3b\u6f14\u3000\u8005\uff3d\u3000\u2f2d\u672c \u5c06\u592a\uff08\u4eac\u90fd\u2f24\u5b66\u75c5\u9662 \u85ac\u5264\u90e8\uff09<\/strong> <\/p>\n\n\n\n
\u3000\u65e5\u5e38\u7684\u306b\u906d\u9047\u3059\u308b\u3046\u3064\u75c5\u306e\u85ac\u7269\u6cbb\u7642\u3092\u8003\u3048\u308b\u4e0a\u3067\u91cd\u8981\u306a\u75c5\u614b\u8a55\u4fa1\u306e\u30dd\u30a4\u30f3\u30c8\u3001\u6a19\u6e96\u7684\u306a \u85ac\u7269\u6cbb\u7642\u3068\u60a3\u8005\u56fa\u6709\u306e\u8981\u56e0\uff08\u81d3\u5668\u969c\u5bb3\u306e\u5408\u4f75\u3001\u4f75\u7528\u85ac\u3001\u5e74\u9f62\u3001\u904e\u654f\u75c7\u7b49\uff09\u306b\u3088\u308b\u500b\u5225\u5316\u306b \u304a\u3051\u308b\u85ac\u5264\u5e2b\u306e\u95a2\u4e0e \u3002 <\/p>\n\n\n\n
\u3000\u3046\u3064\u75c5\u60a3\u8005\u306f\u8fd1\u5e74\u5897\u52a0\u3057\u3066\u304a\u308a\u3001\u305d\u306e\u751f\u6daf\u6709\u75c5\u7387\u306f6.5%\u3068\u3055\u308c\u3066\u3044\u308b\u3002\u65e5\u672c\u3046\u3064\u75c5\u5b66\u4f1a\u6cbb\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3044\u3066\u3001\u3046\u3064\u75c5\u306e\u85ac\u7269\u6cbb\u7642\u306f\u3001\u6297\u3046\u3064\u85ac\u5358\u5264\u306b\u3088\u308b\u5341\u5206\u91cf\u3001\u5341\u5206\u671f\u9593\u306e\u670d\u7528\u304c\u57fa\u672c\u3067\u3042\u308b\u3068\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u3002\u307e\u305f\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u30d9\u30f3\u30be\u30b8\u30a2\u30bc\u30d4\u30f3\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u306e\u4f75\u7528\u3084\u3001\u5897\u5f37\u7642\u6cd5\u3068\u3057\u3066\u6c17\u5206\u5b89\u5b9a\u85ac\u3084\u6297\u7cbe\u795e\u75c5\u85ac\u306a\u3069\u306e\u4f75\u7528\u304c\u884c\u308f\u308c\u3066\u3044\u308b\u3002\u6cbb\u7642\u76ee\u6a19\u306f\u3001\u75c7\u72b6\u306e\u8efd\u5feb\u306b\u52a0\u3048\u3066\u3001\u5bb6\u5ead\u30fb\u5b66\u6821\u30fb\u8077\u5834\u306b\u304a\u3051\u308b\u300c\u75c5\u524d\u306e\u9069\u5fdc\u72b6\u614b\u300d\u306b\u623b\u308b\u3053\u3068\u3067\u3042\u308b\u3002
\u3000\u4ecb\u5165\u3059\u3079\u304d\u30dd\u30a4\u30f3\u30c8\u306f\u3001\u75c7\u72b6\u306e\u91cd\u75c7\u5ea6\u306b\u5fdc\u3058\u305f\u6a19\u6e96\u6cbb\u7642\u85ac\u306e\u5c0e\u5165\u307e\u305f\u306f\u5909\u66f4\u306e\u63d0\u6848\u3001\u4f4e\u814e\u6a5f\u80fd\u30fb\u809d\u6a5f\u80fd\u75c7\u4f8b\u306b\u5bfe\u3059\u308b\u51e6\u65b9\u652f\u63f4\u3001\u4f7f\u7528\u85ac\u5264\u306e\u8eab\u4f53\u5408\u4f75\u75c7\u3078\u306e\u5f71\u97ff\u3001\u4f75\u7528\u85ac\u3068\u306e\u85ac\u7269\u9593\u76f8\u4e92\u4f5c\u7528\u306e\u56de\u907f\u3001\u6291\u3046\u3064\u75c7\u72b6\u3092\u8d77\u3053\u3059\u53ef\u80fd\u6027\u306e\u3042\u308b\u85ac\u5264\u306e\u62bd\u51fa\u3001\u81ea\u6bba\u306e\u53ef\u80fd\u6027\u306e\u78ba\u8a8d\u306a\u3069\u591a\u5c90\u306b\u308f\u305f\u308a\u3001\u85ac\u5264\u5e2b\u306f\u3046\u3064\u75c5\u306e\u75c5\u614b\u3068\u6cbb\u7642\u85ac\u3054\u3068\u306e\u7279\u5fb4\u3092\u6b63\u3057\u304f\u7406\u89e3\u3059\u308b\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u308b\u3002\u3055\u3089\u306b\u3001\u670d\u85ac\u30a2\u30c9\u30d2\u30a2\u30e9\u30f3\u30b9\u306e\u7dad\u6301\u304c\u6cbb\u7642\u52b9\u679c\u3092\u9ad8\u3081\u308b\u305f\u3081\u306b\u306f\u91cd\u8981\u3067\u3042\u308b\u304c\u3001\u3046\u3064\u75c5\u306b\u3088\u308b\u670d\u85ac\u610f\u6b32\u306e\u4f4e\u4e0b\u3084\u526f\u4f5c\u7528\u75c7\u72b6\u304c\u30a2\u30c9\u30d2\u30a2\u30e9\u30f3\u30b9\u4f4e\u4e0b\u306e\u539f\u56e0\u3068\u306a\u308b\u3053\u3068\u3082\u5c11\u306a\u304f\u306a\u3044\u305f\u3081\u3001\u4ed6\u306e\u75be\u60a3\u4ee5\u4e0a\u306b\u7279\u306b\u6ce8\u610f\u6df1\u304f\u3001\u7d99\u7d9a\u7684\u306b\u670d\u85ac\u72b6\u6cc1\u306e\u78ba\u8a8d\u3084\u526f\u4f5c\u7528\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3092\u884c\u3046\u3053\u3068\u304c\u5927\u5207\u3067\u3042\u308b\u3002
\u3000\u85ac\u7269\u7642\u6cd5\u304c\u6cbb\u7642\u76f8\uff08\u6025\u6027\u671f\u30fb\u5c0e\u5165\u671f\u3001\u56de\u5fa9\u671f\u30fb\u7dad\u6301\u671f\uff09\u306b\u5fdc\u3058\u3066\u9069\u5207\u306b\u884c\u308f\u308c\u308b\u305f\u3081\u306b\u3001\u500b\u3005\u306e\u85ac\u5264\u306b\u5bfe\u3059\u308b\u7406\u89e3\u3092\u6df1\u3081\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u5e38\u306b\u60a3\u8005\u306e\u7acb\u5834\u306b\u7acb\u3061\u4e00\u7dd2\u306b\u6cbb\u7642\u3092\u884c\u3063\u3066\u3044\u304f\u3053\u3068\u306e\u91cd\u8981\u6027\u306b\u3064\u3044\u3066\u3082\u89e3\u8aac\u3059\u308b\u3002 <\/p>\n\n\n\n
\n\n\n\n