https:\/\/www.amazon.co.jp\/INTENSIVIST-Vol-10-No-4-2018-%E7%89%B9%E9%9B%86\/dp\/4895929922<\/a><\/p>\n\u5f53\u79d1\u6559\u6388\u3067\u3042\u308b\u690d\u897f\u533b\u5e2b\u304c\u8cac\u4efb\u7de8\u96c6\u3057\u3066\u3044\u307e\u3059\u3002\u662f\u975e\u3054\u4e00\u8aad\u304f\u3060\u3055\u3044\uff01<\/p>\n
\u81a0\u539f\u75c5\u30fb\u8840\u7ba1\u708e\u306f\u591a\u81d3\u5668\u969c\u5bb3\u3092\u7279\u5fb4\u3068\u3057\uff0c\u5341\u5206\u306a\u554f\u8a3a\u304c\u56f0\u96e3\u306a\u72b6\u6cc1\u3084\uff0c\u300c\u7d4c\u904e\u89b3\u5bdf\u300d\u3059\u308b\u6642\u9593\u7684\u4f59\u88d5\u306e\u306a\u3044\u5834\u5408\u306e\u8a3a\u65ad\u306f\u6642\u3068\u3057\u3066\u56f0\u96e3\u3067\u3059\u3002\u591a\u81d3\u5668\u4e0d\u5168\u304c\u6025\u901f\u306b\u9032\u884c\u3059\u308b\u5834\u5408\uff0c\u5373\u6642\u7684\u306a\u8a3a\u65ad\u304c\u5fc5\u8981\u3068\u306a\u308a\uff0c\u30ea\u30a6\u30de\u30c1\u5c02\u9580\u533b\u306b\u3068\u3063\u3066\u3082\u56f0\u96e3\u306a\u72b6\u6cc1\u305f\u308a\u5f97\u307e\u3059\u3002<\/p>\n
\u3000\u4eca\u65e5\u7684\u306a\u81a0\u539f\u75c5\u30fb\u8840\u7ba1\u708e\u306e\u751f\u547d\u4e88\u5f8c\u306f\u5168\u822c\u306b\u826f\u597d\u3067\u3059\u304c\uff0c\u751f\u547d\u3092\u640d\u306a\u3046\u539f\u56e0\u3068\u3057\u3066\u306f\u6cbb\u7642\u306b\u95a2\u9023\u3057\u305f\u514d\u75ab\u6291\u5236\u72b6\u614b\u304b\u3089\u306e\u611f\u67d3\u75c7\u304c\u6700\u3082\u9ad8\u983b\u5ea6\u3067\u3059\u3002\u96c6\u4e2d\u6cbb\u7642\u533b\u306f\uff0c\u591a\u81d3\u5668\u4e0d\u5168\u3092\u304d\u305f\u3057\u305f\u60a3\u8005\u3092\u524d\u306b\u300c\u81a0\u539f\u75c5\u30fb\u8840\u7ba1\u708e\u3092\u7591\u3046\uff08Suspect\uff09\u7aef\u7dd2\u3092\u898b\u3064\u3051\u308b\u3053\u3068\u300d\u300c\u7591\u3063\u305f\u5834\u5408\u306b\uff0c\u3088\u308a\u8a3a\u65ad\u78ba\u5ea6\u3092\u4e0a\u3052\uff0c\u4ed6\u75be\u60a3\u306e\u53ef\u80fd\u6027\u3092\u9664\u5916\u3059\u308b\u691c\u67fb\u3092\u884c\u3046\u3053\u3068\uff08Pursue\/Rule out\uff09\u300d\u300c\u8a3a\u65ad\u304b\u3089\u4e88\u60f3\u3055\u308c\u308b\u6cbb\u7642\u53cd\u5fdc\u6027\u304c\u9069\u5207\u3067\u3042\u308b\u3068\u78ba\u8a8d\u3059\u308b\u3053\u3068\uff08Follow up\uff09\u300d\u306e\u300cSPRF\u300d\u306e\u6d41\u308c\u3092\u77e5\u308b\u3053\u3068\u306b\u3088\u3063\u3066\uff0c\u30ea\u30a6\u30de\u30c1\u5c02\u9580\u533b\u3068\u306e\u9023\u643a\u304c\u30b9\u30e0\u30fc\u30ba\u306b\u306a\u308a\uff0c\u3088\u308a\u826f\u597d\u306a\u751f\u547d\/\u6a5f\u80fd\u4e88\u5f8c\u3092\u671f\u5f85\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n
\u3000\u672c\u7279\u96c6\u3067\u306f\uff0c\u96c6\u4e2d\u6cbb\u7642\u306e\u73fe\u5834\u30fb\u306a\u3089\u3073\u306b\u30ea\u30a6\u30de\u30c1\u30fb\u81a0\u539f\u75c5\u8a3a\u7642\u306e\u73fe\u5834\u304b\u3089\uff0c\u300c\u6025\u6027\u671f\u300d\u300c\u591a\u81d3\u5668\u708e\u75c7\u6027\u300d\u300c\u81ea\u5df1\u514d\u75ab\u30fb\u81ea\u5df1\u708e\u75c7\u6027\u300d\u75be\u60a3\u306eCutting Edge\u3092\u6982\u8aac\u3057\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002<\/p>\n
\u524d\u66f8\u304d\uff1aCritical Care Rheumatology\uff1a\u6162\u6027\u708e\u75c7\u6027\u75be\u60a3\u306e\u7dca\u6025\u75c5\u614b\u3092\u6483\u3064<\/p>\n
\u3000\u3000\u8429\u91ce\u00a0\u6607\u3000\u5e1d\u4eac\u5927\u5b66\u3061\u3070\u7dcf\u5408\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u00a0\u7b2c\u4e09\u5185\u79d1\u5b66\u8b1b\u5ea7\uff08\u8840\u6db2\u30fb\u30ea\u30a6\u30de\u30c1\uff09<\/p>\n
\u3000\u3000\u690d\u897f\u00a0\u61b2\u9054\u3000\u85e4\u7530\u533b\u79d1\u5927\u5b66\u75c5\u9662\u00a0\u6551\u6025\u7dcf\u5408\u5185\u79d1<\/p>\n
Part 1.\u00a0\u75c7\u5019\u7de8<\/p>\n
1\uff0eICU\u306b\u304a\u3051\u308b\u81a0\u539f\u75c5\u30fb\u8840\u7ba1\u708e\u306e\u75ab\u5b66\uff1a\u4e16\u754c\u5404\u56fd\u306e\u7814\u7a76\u304b\u3089\u307f\u3048\u308b\u3053\u3068<\/p>\n
\u3000\u3000\u8d64\u6fa4\u00a0\u8ce2\u4e00\u90ce\u3000\u6e58\u5357\u85e4\u6ca2\u5fb3\u6d32\u4f1a\u75c5\u9662\u00a0\u547c\u5438\u5668\u5185\u79d1<\/p>\n
2\uff0eICU\u3067\u81a0\u539f\u75c5\u30fb\u8840\u7ba1\u708e\u3092\u8a3a\u65ad\u3059\u308b\uff1a\u3000\u300c\u95a2\u7bc0\u708e\u75c7\u5019\u7fa4\u300d\u300c\u6297\u6838\u6297\u4f53\u95a2\u9023\u75c7\u5019\u7fa4\u300d\u300c\u8840\u7ba1\u708e\u75c7\u5019\u7fa4\u300d\u306e\u67a0\u7d44\u307f\u3092\u610f\u8b58\u3057\u3066\u75be\u60a3\u3092\u9451\u5225<\/p>\n
\u3000\u3000\u4e2d\u897f\u00a0\u7814\u8f14\u3000\u6c96\u7e04\u770c\u7acb\u5357\u90e8\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u30fb\u3053\u3069\u3082\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u00a0\u814e\u30ea\u30a6\u30de\u30c1\u79d1<\/p>\n
\u3000\u3000\u91d1\u57ce\u00a0\u5149\u4ee3\u3000\u6c96\u7e04\u770c\u7acb\u4e2d\u90e8\u75c5\u9662\u00a0\u7dcf\u5408\u5185\u79d1<\/p>\n
\u3010\u30b3\u30e9\u30e0\u3011\u691c\u67fb\uff1a\u81ea\u5df1\u6297\u4f53\u967d\u6027\u306f\u8a3a\u65ad\u306b\u76f4\u7d50\u3057\u306a\u3044<\/p>\n
\u3000\u3000\u5bae\u5ddd\u00a0\u4e00\u5e73\u30fb\u5927\u576a\u00a0\u5e83\u6a39\u30fb\u771f\u5f13\u00a0\u4fca\u5f66\u3000\u7523\u696d\u533b\u79d1\u5927\u5b66\u00a0\u6551\u6025\u533b\u5b66\u8b1b\u5ea7<\/p>\n
\u3010\u30b3\u30e9\u30e0\u3011\u75c5\u7406\uff1a\u75c5\u7406\u5b66\u7684\u691c\u8a0e\u3067\u3088\u304f\u308f\u304b\u308b\u3053\u3068\uff0c\u308f\u304b\u3089\u306a\u3044\u3053\u3068<\/p>\n
\u3000\u3000\u8429\u91ce\u00a0\u6607<\/p>\n
3\uff0e\u81a0\u539f\u75c5\u30fb\u8840\u7ba1\u708e\u306b\u3088\u308b\u4e2d\u67a2\u795e\u7d4c\u969c\u5bb3\uff1a\u3088\u308a\u3088\u3044\u795e\u7d4c\u4e88\u5f8c\u306e\u305f\u3081\u306b<\/p>\n
\u3000\u3000\u4e0b\u90e1\u00a0\u4f73\u3000\u3068\u304d\u308f\u4f1a\u5e38\u78d0\u75c5\u9662\u00a0\u30ea\u30a6\u30de\u30c1\u30fb\u81a0\u539f\u75c5\u79d1<\/p>\n
\u3000\u3000\u4e95\u53e3\u00a0\u6b63\u5bdb\u3000\u798f\u5cf6\u770c\u7acb\u533b\u79d1\u5927\u5b66\u00a0\u795e\u7d4c\u5185\u79d1\u5b66\u8b1b\u5ea7<\/p>\n
4\uff0e\u81a0\u539f\u75c5\u30fb\u8840\u7ba1\u708e\u306b\u3088\u308b\u6025\u6027\u5faa\u74b0\u4e0d\u5168\uff1a\u7834\u308c\u308b\u30fb\u8a70\u307e\u308b\uff1a\u3000\u3000\u81f4\u6b7b\u7684\u75c5\u614b\u306b\u6f5c\u3080\u81a0\u539f\u75c5\u306e\u7591\u3044\u65b9\u30fb\u898b\u3064\u3051\u65b9<\/p>\n
\u3000\u3000\u670d\u90e8\u00a0\u5468\u5e73\u30fb\u8429\u91ce\u00a0\u6607\u3000\u5e1d\u4eac\u5927\u5b66\u3061\u3070\u7dcf\u5408\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u00a0\u7b2c\u4e09\u5185\u79d1\u5b66\u8b1b\u5ea7\uff08\u8840\u6db2\u30fb\u30ea\u30a6\u30de\u30c1\uff09<\/p>\n
5\uff0e\u81a0\u539f\u75c5\u30fb\u8840\u7ba1\u708e\u306b\u3088\u308b\u547c\u5438\u4e0d\u5168\uff1a\u75be\u60a3\u305d\u308c\u81ea\u4f53\u306b\u3088\u308b\u3082\u306e\uff0c\u6cbb\u7642\u85ac\u306b\u3088\u308b\u3082\u306e\uff0c\u611f\u67d3\u75c7\u306b\u3088\u308b\u3082\u306e\u306e3\u3064\u306b\u5206\u3051\u3066\u8003\u3048\u3088<\/p>\n
\u3000\u3000\u934b\u5cf6\u00a0\u6b63\u6176\u30fb\u5247\u672b\u00a0\u6cf0\u535a\u3000\u6771\u4eac\u30d9\u30a4\u6d66\u5b89\u30fb\u5e02\u5ddd\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u00a0\u6551\u6025\u96c6\u4e2d\u6cbb\u7642\u79d1\u00a0\u96c6\u4e2d\u6cbb\u7642\u90e8\u9580<\/p>\n
6\uff0e\u81a0\u539f\u75c5\u30fb\u8840\u7ba1\u708e\u306b\u304a\u3051\u308b\u814e\u969c\u5bb3\uff1a\u30cd\u30d5\u30ed\u30f3\u306b\u304a\u3051\u308b\u75c5\u5909\u306e\u4e3b\u5ea7\u3092\u610f\u8b58\u3057\u305f\u30a2\u30d7\u30ed\u30fc\u30c1<\/p>\n
\u3000\u3000\u591a\u8cc0\u8c37\u00a0\u77e5\u8f1d\u30fb\u6885\u7530\u00a0\u826f\u7950\u30fb\u6797\u00a0\u5b8f\u6a39\u3000\u85e4\u7530\u533b\u79d1\u5927\u5b66\u533b\u5b66\u90e8\u00a0\u814e\u81d3\u5185\u79d1\u5b66<\/p>\n
7\uff0e\u6025\u6027\u56db\u80a2\u58ca\u6b7b\uff1a\u5168\u8eab\u6027\u5f37\u76ae\u75c7\uff0c\u7d50\u7bc0\u6027\u591a\u767a\u52d5\u8108\u708e\uff0c\u6297\u30ea\u30f3\u8102\u8cea\u6297\u4f53\u75c7\u5019\u7fa4\u3067\u306e\u56db\u80a2\u865a\u8840<\/p>\n
\u3000\u3000\u7530\u5dfb\u00a0\u5f18\u9053\u3000\u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662\u00a0\u30ea\u30a6\u30de\u30c1\u81a0\u539f\u75c5\u30bb\u30f3\u30bf\u30fc<\/p>\n
\u3010\u30b3\u30e9\u30e0\u3011\u8a3a\u65ad\u95be\u5024\u3068\u6cbb\u7642\u95be\u5024\uff1a\u8a3a\u65ad\u306e\u300c\u30eb\u30fc\u30eb\u300d\u3092\u77e5\u308a\uff0c\u6cbb\u7642\u6226\u7565\u306b\u3064\u306a\u3052\u308b<\/p>\n
\u3000\u3000\u8429\u91ce\u00a0\u6607<\/p>\n
Part 2.\u00a0\u75be\u60a3\u7de8<\/p>\n
1\uff0e\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u7dca\u6025\u75c5\u614b\uff1a\u305d\u306e\u75c5\u614b\u3092\u7406\u89e3\u3057\uff0c\u81f4\u547d\u7684\u306a\u5408\u4f75\u75c7\u306b\u5bfe\u51e6\u3059\u308b<\/p>\n
\u3000\u3000\u82b1\u5ca1\u00a0\u4eae\u8f14\u3000\u4e0a\u90fd\u8cc0\u7dcf\u5408\u75c5\u9662\u00a0\u30ea\u30a6\u30de\u30c1\u81a0\u539f\u75c5\u5185\u79d1<\/p>\n
2\uff0e\u5168\u8eab\u6027\u30a8\u30ea\u30c6\u30de\u30c8\u30fc\u30c7\u30b9\u306e\u7dca\u6025\u75c5\u614b\uff1a\u8a3a\u65ad\u304b\u3089\u6cbb\u7642\u3078\uff1a\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u3044\u305f\u8003\u3048\u65b9<\/p>\n
\u3000\u3000\u5927\u5ca9\u00a0\u5bdb\u3000\u5e83\u5cf6\u5e02\u7acb\u5e83\u5cf6\u5e02\u6c11\u75c5\u9662\u3000\u30ea\u30a6\u30de\u30c1\u30fb\u81a0\u539f\u75c5\u79d1<\/p>\n
3\uff0e\u5287\u75c7\u578b\u6297\u30ea\u30f3\u8102\u8cea\u6297\u4f53\u75c7\u5019\u7fa4\uff1a\u305d\u306e\u6982\u5ff5\u3068\u6cbb\u7642\u6226\u7565<\/p>\n
\u3000\u3000\u8429\u91ce\u00a0\u6607<\/p>\n
4\uff0e\u76ae\u819a\u7b4b\u708e\/\u591a\u767a\u7b4b\u708e\u306e\u7dca\u6025\u75c5\u614b\uff1a\u81ea\u5df1\u6297\u4f53\u3068\u708e\u75c7\u6027\u7b4b\u75be\u60a3\u3068\u306e\u95a2\u9023\u304b\u3089\u8003\u3048\u308b<\/p>\n
\u3000\u3000\u6a2a\u5730\u00a0\u5f8b\u5b50\u30fb\u8429\u91ce\u00a0\u6607\u3000\u5e1d\u4eac\u5927\u5b66\u3061\u3070\u7dcf\u5408\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u00a0\u7b2c\u4e09\u5185\u79d1\u5b66\u8b1b\u5ea7\uff08\u8840\u6db2\u30fb\u30ea\u30a6\u30de\u30c1\uff09<\/p>\n
5\uff0e\u5168\u8eab\u6027\u5f37\u76ae\u75c7\u306e\u7dca\u6025\u75c5\u614b\uff1a\u80ba\u52d5\u8108\u6027\u80ba\u9ad8\u8840\u5727\u75c7\u306e\u8a3a\u7642\u306b\u5404\u79d1\u306e\u9023\u643a\u304c\u5fc5\u8981\u306a\u7406\u7531<\/p>\n
\u3000\u3000\u4f0a\u85e4\u00a0\u5b5d\u5178\u30fb\u571f\u5e2b\u00a0\u967d\u4e00\u90ce\u3000\u5927\u540c\u75c5\u9662\u00a0\u81a0\u539f\u75c5\u30fb\u30ea\u30a6\u30de\u30c1\u5185\u79d1<\/p>\n
6\uff0e\u5927\u578b\u8840\u7ba1\u708e\u306e\u7dca\u6025\u75c5\u614b\uff1aCHCC 2012\u306e\u5206\u985e\u304b\u3089\u8003\u5bdf\u3059\u308b<\/p>\n
\u3000\u3000\u6edd\u6fa4\u00a0\u76f4\u6b69\u3000\u4e2d\u90e8\u308d\u3046\u3055\u3044\u75c5\u9662\u00a0\u5185\u79d1\u7cfb\u8a3a\u7642\u90e8\u9580\u00a0\u30ea\u30a6\u30de\u30c1\u30fb\u81a0\u539f\u75c5\u79d1<\/p>\n
7\uff0e\u4e2d\u578b\u30fb\u5c0f\u578b\u8840\u7ba1\u708e\u306e\u7dca\u6025\u75c5\u614b\uff1a\u8840\u7ba1\u708e\u3092\u7591\u3063\u305f\u969b\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u65b9\u6cd5<\/p>\n
\u3000\u3000\u7530\u5dfb\u00a0\u5f18\u9053<\/p>\n
Part 3.\u00a0\u85ac\u5264\u30fb\u5408\u4f75\u75c7\u7de8<\/p>\n
1\uff0e\u81a0\u539f\u75c5\u30fb\u8840\u7ba1\u708e\u306e\u6025\u6027\u671f\u6cbb\u7642\uff1astate\u2212of\u2212the\u2212arts 2018\uff1a\u5bdb\u89e3\u5c0e\u5165\u7642\u6cd5\u306e\u6e29\u6545\u77e5\u65b0<\/p>\n
\u3000\u3000\u9234\u6728\u00a0\u7fd4\u592a\u90ce\u30fb\u8429\u91ce\u00a0\u6607\u3000\u5e1d\u4eac\u5927\u5b66\u3061\u3070\u7dcf\u5408\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u00a0\u7b2c\u4e09\u5185\u79d1\u5b66\u8b1b\u5ea7\uff08\u8840\u6db2\u30fb\u30ea\u30a6\u30de\u30c1\uff09<\/p>\n
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