「case056」の編集履歴（バックアップ）一覧はこちら
「case056」(2007/01/31 (水) 21:37:13) の最新版変更点
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<div class="Section1">
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt; mso-layout-grid-align: none">
<span style=
"FONT-SIZE: 10pt; FONT-FAMILY: "ＭＳ ゴシック"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
心房細動</span><span lang="EN-US" style=
"FONT-SIZE: 10pt; mso-fareast-font-family: "ＭＳ ゴシック"; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><br></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt; mso-layout-grid-align: none">
<span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
(1)</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
動悸</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">,</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
心拍不整があり</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">,<br></font></span></p>
<p class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt 9pt; TEXT-INDENT: -9pt; mso-layout-grid-align: none; mso-char-indent-count: -1.0">
<span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
(2) ECG</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">上</span><span lang="EN-US"
style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">,RR</font></span><span style="FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">間隔が全く不整で</span><span lang="EN-US"
style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">,
P</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">波がみられず</span><span lang="EN-US"
style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><br></span></p>
<p class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt 9pt; TEXT-INDENT: -9pt; TEXT-ALIGN: right; mso-layout-grid-align: none; mso-char-indent-count: -1.0"
align="right"><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
(i.e.</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
不規則な伝導</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">),<br></font></span></p>
<p class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt; TEXT-INDENT: 13.5pt; mso-layout-grid-align: none; mso-char-indent-count: 1.5">
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
基線の細かい動揺</span> <span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
(f</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">波</span><span lang="EN-US"
style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">)</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
がみられるとき</span> <span style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
<span lang="EN-US"><br></span></font></span></p>
<p class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt; TEXT-INDENT: 13.5pt; TEXT-ALIGN: right; mso-layout-grid-align: none; mso-char-indent-count: 1.5"
align="right"><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
(i.e.</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
心房房の細かな興奮</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">),<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt; mso-layout-grid-align: none">
<span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
=></font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
心房細動と診断</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">.<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt; mso-layout-grid-align: none">
<span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
Af</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">では左房内</span>
<span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
(</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">とくに左心耳内</span><span lang="EN-US"
style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">)</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
に血栓を生じやすく</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">,</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
それが流出して脳塞栓を合併し</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">,</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
急速に意識障害</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">,</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
片麻痺をきたすことがある</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">.</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
また</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">,</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
四肢塞栓</span> <span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
(</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">四肢の痛み</span><span lang="EN-US"
style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">,</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
皮膚蒼白</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">,</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
動脈拍動消失</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">)</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
も起こしうる</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">.<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt; mso-layout-grid-align: none">
<span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
[</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">治療</span><span lang="EN-US"
style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">]</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
治療の緊急性や基礎疾患によリ治療方針が異なる</span><span lang="EN-US"
style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">.<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt; mso-layout-grid-align: none">
<span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
1.</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
頻拍のため血行動態が悪化している場合</span> <span style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
<span lang="EN-US"><br></span></font></span></p>
<p class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt; TEXT-ALIGN: right; mso-layout-grid-align: none" align=
"right"><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
(</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">洞調律に回復させる場合</span><span lang="EN-US"
style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">)<br></font></span></p>
<p class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt; TEXT-INDENT: 9pt; mso-layout-grid-align: none; mso-char-indent-count: 1.0">
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
直流除細動</span> <span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
(</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">初回</span><span lang="EN-US"
style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">100,</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
無効なら</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">200J).</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
最も確実</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">.<br></font></span></p>
<p class="MsoNormal" style="MARGIN: 0mm 0mm 0pt; mso-layout-grid-align: none">
<span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
2.</font></span> <span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
血行動態が安定している場合</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><br></span></p>
<p class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt; TEXT-ALIGN: right; mso-layout-grid-align: none" align=
"right"><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
(</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">心拍数をコントロールする場合</span><span lang="EN-US"
style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">)<br></font></span></p>
<p class="MsoNormal" style=
"MARGIN: 0mm 0mm 0pt 4.5pt; TEXT-INDENT: 4.5pt; mso-layout-grid-align: none; mso-char-indent-count: .5; mso-para-margin-left: .43gd">
<span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">
Af</font></span><span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">を合併した際の頻拍には</span><span lang="EN-US"
style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">,</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
ジギタリスが第一選択である</span><span lang="EN-US" style=
"FONT-SIZE: 9pt; mso-bidi-font-family: Century; mso-font-kerning: 0pt"><font face="Century">.</font></span>
<span style=
"FONT-SIZE: 9pt; FONT-FAMILY: "ＭＳ 明朝"; mso-bidi-font-family: Century; mso-font-kerning: 0pt; mso-ascii-font-family: Century; mso-hansi-font-family: Century">
ジギタリスで心拍数
