{"id":4020,"date":"2026-04-28T14:59:40","date_gmt":"2026-04-28T05:59:40","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=4020"},"modified":"2026-04-28T15:43:12","modified_gmt":"2026-04-28T06:43:12","slug":"42%e6%ad%b3%e7%94%b7%e6%80%a7%e3%80%80%e7%81%ab%e7%81%bd%e7%8f%be%e5%a0%b4%e3%81%8b%e3%82%89%e3%81%ae%e6%95%91%e5%8a%a9%e5%be%8c%e3%81%ae%e6%84%8f%e8%ad%98%e9%9a%9c%e5%ae%b3%e3%81%a8%e4%bb%a3%e8%ac%9d","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=4020","title":{"rendered":"42\u6b73\u7537\u6027\u3000\u706b\u707d\u73fe\u5834\u304b\u3089\u306e\u6551\u52a9\u5f8c\u306e\u610f\u8b58\u969c\u5bb3\u3068\u4ee3\u8b1d\u6027\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\">\u30a8\u30b0\u30bc\u30af\u30c6\u30a3\u30d6\u30fb\u30b5\u30de\u30ea\u30fc<\/h1>\n\n\n\n<p>\u706b\u707d\u73fe\u5834\u304b\u3089\u306e\u6551\u51fa\u8005\u3001\u7279\u306b\u9589\u9396\u7a7a\u9593\u3067\u306e\u7159\u5438\u5f15\u66dd\u9732\u8005\u306b\u304a\u3044\u3066\u3001\u30b7\u30a2\u30f3\uff08\u9752\u9178\uff09\u4e2d\u6bd2\u306f\u4e00\u9178\u5316\u70ad\u7d20\uff08CO\uff09\u4e2d\u6bd2\u3068\u4e26\u3093\u3067\u6975\u3081\u3066\u91cd\u8981\u306a\u9451\u5225\u75be\u60a3\u3067\u3042\u308b\u3002\u30b7\u30a2\u30f3\u306f\u5408\u6210\u6a39\u8102\u3084\u30a6\u30fc\u30eb\u3001\u7d79\u306a\u3069\u306e\u71c3\u713c\u306b\u4f34\u3063\u3066\u767a\u751f\u3057\u3001\u7d30\u80de\u5185\u306e\u30df\u30c8\u30b3\u30f3\u30c9\u30ea\u30a2\u96fb\u5b50\u4f1d\u9054\u7cfb\u3092\u963b\u5bb3\u3059\u308b\u3053\u3068\u3067\u3001\u81f4\u6b7b\u7684\u306a\u7d30\u80de\u5185\u7a92\u606f\u3092\u5f15\u304d\u8d77\u3053\u3059\u3002<\/p>\n\n\n\n<p>\u672c\u8cc7\u6599\u3067\u306f\u3001\u63d0\u4f9b\u3055\u308c\u305f\u75c7\u4f8b\uff0842\u6b73\u7537\u6027\u3001\u610f\u8b58\u969c\u5bb3\u3001\u9854\u9762\u7d05\u6f6e\u3001\u9ad8\u4e73\u9178\u8840\u75c7\uff09\u3092\u57fa\u306b\u3001\u30b7\u30a2\u30f3\u4e2d\u6bd2\u7279\u6709\u306e\u81e8\u5e8a\u75c7\u72b6\u3001\u8840\u6db2\u30ac\u30b9\u5206\u6790\u306b\u304a\u3051\u308b\u91cd\u8981\u306a\u6307\u6a19\u3001\u304a\u3088\u3073\u6cbb\u7642\u9078\u629e\u306e\u8981\u70b9\u3092\u8a73\u8ff0\u3059\u308b\u3002\u7279\u306b\u3001\u8840\u4e2d\u30b7\u30a2\u30f3\u6fc3\u5ea6\u306e\u6e2c\u5b9a\u306b\u306f\u6642\u9593\u3092\u8981\u3059\u308b\u305f\u3081\u3001**\u300c10 mmol\/L\u3092\u8d85\u3048\u308b\u8840\u6e05\u4e73\u9178\u5024\u300d<strong>\u3068<\/strong>\u300c\u610f\u8b58\u969c\u5bb3\u30fb\u5faa\u74b0\u4e0d\u5168\u300d**\u3068\u3044\u3046\u81e8\u5e8a\u7684\u7279\u5fb4\u306b\u57fa\u3065\u3044\u305f\u8fc5\u901f\u306a\u7d4c\u9a13\u7684\u6cbb\u7642\uff08\u30d2\u30c9\u30ed\u30ad\u30b7\u30b3\u30d0\u30e9\u30df\u30f3\u306e\u6295\u4e0e\uff09\u304c\u6551\u547d\u306e\u9375\u3068\u306a\u308b\u3002<\/p>\n\n\n\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. \u75c7\u4f8b\u306e\u7d4c\u904e\u3068\u81e8\u5e8a\u6240\u898b\u306e\u5206\u6790<\/h2>\n\n\n\n<p><strong>1. \u75c7\u4f8b\u80cc\u666f<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u60a3\u8005:<\/strong> 42\u6b73\u3001\u7537\u6027\u3002<\/li>\n\n\n\n<li><strong>\u4e3b\u8a34:<\/strong> \u610f\u8b58\u969c\u5bb3\u3002<\/li>\n\n\n\n<li><strong>\u72b6\u6cc1:<\/strong> \u81ea\u5b85\u6728\u9020\u4f4f\u5b85\u306e\u706b\u707d\u73fe\u5834\u306e\u5c45\u5ba4\u304b\u3089\u6551\u52a9\u3055\u308c\u305f\u3002<\/li>\n\n\n\n<li><strong>\u8eab\u4f53\u5916\u8868\u6240\u898b:<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u4f53\u8868\u9762\u306b\u660e\u3089\u304b\u306a\u71b1\u50b7\u306f\u8a8d\u3081\u3089\u308c\u306a\u3044\u3002<\/li>\n\n\n\n<li>\u7709\u6bdb\u306e\u713c\u3051\u7126\u3052\u3084\u55c4\u58f0\uff08\u58f0\u67af\u308c\uff09\u3082\u306a\u304f\u3001\u6c17\u9053\u71b1\u50b7\u306e\u76f4\u63a5\u7684\u306a\u5fb4\u5019\u306f\u4e4f\u3057\u3044\u3002<\/li>\n\n\n\n<li>**\u9854\u9762\u306f\u7d05\u6f6e\uff08\u30c1\u30a7\u30ea\u30fc\u30ec\u30c3\u30c9\u69d8\uff09**\u3057\u3066\u3044\u308b\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><strong>2. \u30d0\u30a4\u30bf\u30eb\u30b5\u30a4\u30f3\u3068\u73fe\u75c7\uff08\u6551\u6025\u642c\u5165\u6642\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u610f\u8b58\u30ec\u30d9\u30eb:<\/strong> GCS 12 (E3V4M5) \u3068\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u3002<\/li>\n\n\n\n<li><strong>\u5faa\u74b0\u30fb\u547c\u5438\u72b6\u614b:<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u5fc3\u62cd\u6570 112\/\u5206\uff08\u6574\uff09\uff1a<strong>\u983b\u8108<\/strong>\u3002<\/li>\n\n\n\n<li>\u8840\u5727 98\/60 mmHg\uff1a<strong>\u4f4e\u8840\u5727\u50be\u5411<\/strong>\u3002<\/li>\n\n\n\n<li>\u547c\u5438\u6570 24\/\u5206\uff1a<strong>\u983b\u547c\u5438<\/strong>\u3002 \u3053\u308c\u3089\u306e\u6240\u898b\u306f\u3001\u30b7\u30a2\u30f3\u4e2d\u6bd2\u306b\u3088\u308b\u8840\u884c\u52d5\u614b\u306e\u4e0d\u5b89\u5b9a\u3055\u3084\u547c\u5438\u4e0d\u5168\u306e\u53ef\u80fd\u6027\u3092\u793a\u5506\u3057\u3066\u3044\u307e\u3059,\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><strong>3. \u691c\u67fb\u6240\u898b\uff08\u52d5\u8108\u8840\u6db2\u30ac\u30b9\u5206\u6790\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>pH 7.29 \/ HCO3\u207b 16 mEq\/L:<\/strong> \u8457\u660e\u306a<strong>\u4ee3\u8b1d\u6027\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9<\/strong>\u3092\u8a8d\u3081\u308b\u3002<\/li>\n\n\n\n<li><strong>\u4e73\u9178\u5024 14.0 mmol\/L:<\/strong> \u975e\u5e38\u306b\u9ad8\u5ea6\u306a<strong>\u4e73\u9178\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9<\/strong>\u3067\u3042\u308b\u3002<\/li>\n\n\n\n<li><strong>CO-Hb\uff08\u4e00\u9178\u5316\u70ad\u7d20\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\uff09 7%:<\/strong> \u6b63\u5e38\u306b\u8fd1\u3044\u304b\u8efd\u5ea6\u306e\u4e0a\u6607\u306b\u7559\u307e\u3063\u3066\u304a\u308a\u3001\u610f\u8b58\u969c\u5bb3\u306e\u4e3b\u56e0\u304c\u4e00\u9178\u5316\u70ad\u7d20\u4e2d\u6bd2\u3067\u3042\u308b\u53ef\u80fd\u6027\u306f\u4f4e\u3044\u3002<\/li>\n\n\n\n<li><strong>PaO2 81 Torr:<\/strong> \u81ea\u767a\u547c\u5438\u4e0b\u3067\u9178\u7d20\u5316\u306f\u7dad\u6301\u3055\u308c\u3066\u3044\u308b\u3088\u3046\u306b\u898b\u3048\u308b\u304c\u3001\u7d44\u7e54\u3067\u306e\u9178\u7d20\u5229\u7528\u304c\u963b\u5bb3\u3055\u308c\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b,\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>4. \u81e8\u5e8a\u7684\u5224\u65ad\u3068\u8a3a\u65ad\u306e\u6839\u62e0<\/strong><\/p>\n\n\n\n<p>\u672c\u75c7\u4f8b\u306f\u3001\u4ee5\u4e0b\u306e\u7406\u7531\u304b\u3089**\u30b7\u30a2\u30f3\u4e2d\u6bd2\uff08\u9752\u9178\u4e2d\u6bd2\uff09**\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u9ad8\u4e73\u9178\u8840\u75c7:<\/strong> \u706b\u707d\u88ab\u5bb3\u8005\u306b\u304a\u3044\u3066\u3001\u8840\u6e05\u4e73\u9178\u5024\u304c <strong>10 mmol\/L \u3092\u8d85\u3048\u308b\u5834\u5408<\/strong>\u306f\u3001\u30b7\u30a2\u30f3\u4e2d\u6bd2\u3092\u5f37\u304f\u7591\u3046\u3079\u304d\u91cd\u8981\u306a\u6307\u6a19\u3068\u306a\u308b,\u3002<\/li>\n\n\n\n<li><strong>CO\u4e2d\u6bd2\u3068\u306e\u4e56\u96e2:<\/strong> CO-Hb\u5024\u304c\u75c7\u72b6\u306e\u91cd\u75c7\u5ea6\uff08\u6df1\u3044\u610f\u8b58\u969c\u5bb3\u3084\u30b7\u30e7\u30c3\u30af\u72b6\u614b\uff09\u3092\u8aac\u660e\u3067\u304d\u306a\u3044\u307b\u3069\u4f4e\u3044,\u3002<\/li>\n\n\n\n<li><strong>\u9854\u9762\u306e\u7d05\u6f6e:<\/strong> \u30b7\u30a2\u30f3\u306b\u3088\u308a\u7d30\u80de\u5185\u3067\u306e\u9178\u7d20\u5229\u7528\u304c\u963b\u5bb3\uff08\u30df\u30c8\u30b3\u30f3\u30c9\u30ea\u30a2\u306e\u96fb\u5b50\u4f1d\u9054\u7cfb\u963b\u5bb3\uff09\u3055\u308c\u308b\u305f\u3081\u3001\u9759\u8108\u8840\u306e\u9178\u7d20\u98fd\u548c\u5ea6\u304c\u4e0a\u6607\u3057\u3001\u76ae\u819a\u304c\u8d64\u304f\u898b\u3048\u308b\u3053\u3068\u304c\u3042\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>5. \u75c5\u614b\u751f\u7406\u3068\u6cbb\u7642\u65b9\u91dd<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u75c5\u614b\u30e1\u30ab\u30cb\u30ba\u30e0:<\/strong> \u5408\u6210\u6a39\u8102\u3084\u30a6\u30fc\u30eb\u306a\u3069\u306e\u71c3\u713c\u306b\u3088\u308a\u767a\u751f\u3057\u305f\u30b7\u30a2\u30f3\u5316\u6c34\u7d20\u3092\u5438\u5165,\u3002\u30b7\u30a2\u30f3\u304c\u7d30\u80de\u5185\u306e\u30c1\u30c8\u30af\u30ed\u30fc\u30e0c\u30aa\u30ad\u30b7\u30c0\u30fc\u30bc\u306b\u7d50\u5408\u3059\u308b\u3053\u3068\u3067ATP\u7523\u751f\u304c\u505c\u6b62\u3057\u3001\u7d30\u80de\u306f\u5acc\u6c17\u6027\u4ee3\u8b1d\u306b\u79fb\u884c\u3057\u3066\u4e73\u9178\u304c\u6025\u5897\u3059\u308b\u3002<\/li>\n\n\n\n<li><strong>\u6cbb\u7642\u9078\u629e:<\/strong> \u76f4\u3061\u306b\u89e3\u6bd2\u85ac\u3067\u3042\u308b<strong>\u30d2\u30c9\u30ed\u30ad\u30b7\u30b3\u30d0\u30e9\u30df\u30f3\uff08\u30d3\u30bf\u30df\u30f3B12a\uff09\u306e\u6295\u4e0e<\/strong>\u3092\u884c\u3046\u3079\u304d\u3067\u3042\u308b,\u3002<\/li>\n\n\n\n<li><strong>\u30d2\u30c9\u30ed\u30ad\u30b7\u30b3\u30d0\u30e9\u30df\u30f3\u306e\u4f5c\u7528:<\/strong> \u30b7\u30a2\u30f3\u3068\u7d50\u5408\u3057\u3066\u7121\u6bd2\u306a\u30b7\u30a2\u30ce\u30b3\u30d0\u30e9\u30df\u30f3\u3068\u306a\u308a\u3001\u5c3f\u4e2d\u306b\u6392\u6cc4\u3055\u308c\u308b\u3002\u307e\u305f\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u30c1\u30aa\u786b\u9178\u30ca\u30c8\u30ea\u30a6\u30e0\u3068\u306e\u4f75\u7528\u3082\u691c\u8a0e\u3055\u308c\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>\u7d50\u8ad6<\/strong><\/p>\n\n\n\n<p>\u672c\u75c7\u4f8b\u306e\u3088\u3046\u306a\u706b\u707d\u73fe\u5834\u306b\u304a\u3051\u308b\u610f\u8b58\u969c\u5bb3\u3001\u4f4e\u8840\u5727\u3001\u304a\u3088\u3073\u91cd\u5ea6\u306e\u4e73\u9178\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u3092\u8a8d\u3081\u308b\u60a3\u8005\u3067\u306f\u3001\u30b7\u30a2\u30f3\u4e2d\u6bd2\u3092\u7b2c\u4e00\u306b\u7591\u3044\u3001\u8840\u6db2\u4e2d\u306e\u30b7\u30a2\u30f3\u6fc3\u5ea6\u6e2c\u5b9a\u7d50\u679c\u3092\u5f85\u305f\u305a\u306b<strong>\u7d4c\u9a13\u7684\u306a\u89e3\u6bd2\u6cbb\u7642\uff08\u30d2\u30c9\u30ed\u30ad\u30b7\u30b3\u30d0\u30e9\u30df\u30f3\u6295\u4e0e\uff09\u3092\u8fc5\u901f\u306b\u958b\u59cb\u3059\u308b\u3053\u3068<\/strong>\u304c\u3001\u4e88\u5f8c\u6539\u5584\u306e\u305f\u3081\u306b\u4e0d\u53ef\u6b20\u3067\u3059,,\u3002\u63d0\u4f9b\u3055\u308c\u305f\u75c7\u4f8b\u306f\u3001\u6728\u9020\u4f4f\u5b85\u706b\u707d\u306e\u5c45\u5ba4\u304b\u3089\u6551\u52a9\u3055\u308c\u305f42\u6b73\u306e\u7537\u6027\u3067\u3042\u308b\u3002\u305d\u306e\u81e8\u5e8a\u50cf\u306f\u30b7\u30a2\u30f3\u4e2d\u6bd2\u306e\u5178\u578b\u7684\u306a\u7279\u5fb4\u3092\u793a\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. \u691c\u67fb\u6240\u898b\u306e\u7cbe\u67fb\uff1a\u30b7\u30a2\u30f3\u4e2d\u6bd2\u3092\u793a\u5506\u3059\u308b\u6307\u6a19<\/h2>\n\n\n\n<p>\u8840\u6db2\u30ac\u30b9\u5206\u6790\u306e\u7d50\u679c\u306f\u3001\u30b7\u30a2\u30f3\u4e2d\u6bd2\u306e\u8a3a\u65ad\u306b\u304a\u3044\u3066\u6975\u3081\u3066\u6c7a\u5b9a\u7684\u306a\u60c5\u5831\u3092\u63d0\u4f9b\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u8840\u6db2\u30ac\u30b9\u5206\u6790\u306e\u7d50\u679c\u3068\u89e3\u91c8<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>\u9805\u76ee<\/td><td>\u6570\u5024<\/td><td>\u89e3\u91c8<\/td><\/tr><tr><td><strong>pH<\/strong><\/td><td>7.29<\/td><td>\u4ee3\u8b1d\u6027\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u3092\u5448\u3057\u3066\u3044\u308b\u3002<\/td><\/tr><tr><td><strong>PaCO2<\/strong><\/td><td>29 Torr<\/td><td>\u4ee3\u8b1d\u6027\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u306b\u5bfe\u3059\u308b\u547c\u5438\u6027\u4ee3\u511f\uff08\u904e\u63db\u6c17\uff09\u306e\u7d50\u679c\u3002<\/td><\/tr><tr><td><strong>HCO3-<\/strong><\/td><td>16 mEq\/L<\/td><td>\u91cd\u70ad\u9178\u30a4\u30aa\u30f3\u306e\u6d88\u8cbb\u3092\u4f34\u3046\u91cd\u5ea6\u306e\u4ee3\u8b1d\u6027\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u3002<\/td><\/tr><tr><td><strong>\u4e73\u9178\uff08Lactate\uff09<\/strong><\/td><td><strong>14.0 mmol\/L<\/strong><\/td><td><strong>\u30b7\u30a2\u30f3\u4e2d\u6bd2\u3092\u5f37\u304f\u7591\u3046\u6700\u91cd\u8981\u6307\u6a19\u3002<\/strong> 8\u301c10 mmol\/L\u4ee5\u4e0a\u306f\u3001\u30b7\u30a2\u30f3\u6bd2\u6027\u306e\u5f37\u529b\u306a\u30d0\u30a4\u30aa\u30de\u30fc\u30ab\u30fc\u3068\u3055\u308c\u308b\u3002<\/td><\/tr><tr><td><strong>CO-Hb<\/strong><\/td><td>7%<\/td><td>\u8efd\u5ea6\u306e\u66dd\u9732\u306f\u3042\u308b\u304c\u3001\u4e00\u9178\u5316\u70ad\u7d20\u4e2d\u6bd2\uff08\u901a\u5e3815-20%\u4ee5\u4e0a\u3067\u75c7\u72b6\uff09\u3068\u3057\u3066\u306f\u8aac\u660e\u304c\u3064\u304b\u306a\u3044\u4f4e\u5024\u3002<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">\u8a3a\u65ad\u306b\u304a\u3051\u308b\u30dd\u30a4\u30f3\u30c8<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u9ad8\u4e73\u9178\u8840\u75c7\u306e\u610f\u7fa9<\/strong>: \u30b7\u30a2\u30f3\u304c\u30df\u30c8\u30b3\u30f3\u30c9\u30ea\u30a2\u306e\u30c1\u30c8\u30af\u30ed\u30e0c\u30aa\u30ad\u30b7\u30c0\u30fc\u30bc\uff08\u8907\u5408\u4f53IV\uff09\u3092\u963b\u5bb3\u3059\u308b\u305f\u3081\u3001\u597d\u6c17\u7684\u4ee3\u8b1d\u304c\u505c\u6b62\u3057\u3001\u5acc\u6c17\u6027\u4ee3\u8b1d\u3078\u3068\u79fb\u884c\u3059\u308b\u3053\u3068\u3067\u4e73\u9178\u304c\u6025\u6fc0\u306b\u4e0a\u6607\u3059\u308b\u3002<\/li>\n\n\n\n<li><strong>\u4e00\u9178\u5316\u70ad\u7d20\u4e2d\u6bd2\u3068\u306e\u9451\u5225<\/strong>: \u706b\u707d\u73fe\u5834\u3067\u306f\u5e38\u306bCO\u4e2d\u6bd2\u304c\u7591\u308f\u308c\u308b\u304c\u3001\u672c\u75c7\u4f8b\u306e\u3088\u3046\u306bCO-Hb\u5024\u304c\u6bd4\u8f03\u7684\u4f4e\u304f\u3001\u304b\u3064\u4e73\u9178\u5024\u304c\u8457\u660e\u306b\u9ad8\u3044\u5834\u5408\u306f\u3001\u30b7\u30a2\u30f3\u4e2d\u6bd2\u3092\u7b2c\u4e00\u306b\u8003\u616e\u3059\u3079\u304d\u3067\u3042\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. \u30b7\u30a2\u30f3\u4e2d\u6bd2\u306e\u75c5\u614b\u751f\u7406<\/h2>\n\n\n\n<p>\u30b7\u30a2\u30f3\u5316\u6c34\u7d20\uff08HCN\uff09\u306f\u6975\u3081\u3066\u5f37\u529b\u306a\u6bd2\u6027\u3092\u6301\u3064\u5316\u5b66\u7269\u8cea\u3067\u3042\u308a\u3001\u305d\u306e\u4f5c\u7528\u6a5f\u5e8f\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u96fb\u5b50\u4f1d\u9054\u7cfb\u306e\u963b\u5bb3<\/strong>: \u30b7\u30a2\u30f3\u306f\u30df\u30c8\u30b3\u30f3\u30c9\u30ea\u30a2\u5185\u306e\u30c1\u30c8\u30af\u30ed\u30e0c\u30aa\u30ad\u30b7\u30c0\u30fc\u30bc\uff08\u30d8\u30e0\u9244 Fe3+\uff09\u306b\u7d50\u5408\u3057\u3001\u7d30\u80de\u5185\u3067\u306eATP\u7523\u751f\u3092\u505c\u6b62\u3055\u305b\u308b\u3002<\/li>\n\n\n\n<li><strong>\u7d30\u80de\u5185\u7a92\u606f<\/strong>: \u8840\u6db2\u4e2d\u306b\u9178\u7d20\u306f\u5341\u5206\u306b\u5b58\u5728\u3059\u308b\u304c\u3001\u7d30\u80de\u304c\u305d\u308c\u3092\u53d6\u308a\u8fbc\u3093\u3067\u5229\u7528\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u3044\u3002<\/li>\n\n\n\n<li><strong>\u77db\u76fe\u3057\u305f\u9178\u7d20\u72b6\u614b<\/strong>: \u7d44\u7e54\u3067\u306e\u9178\u7d20\u6d88\u8cbb\u304c\u4f4e\u4e0b\u3059\u308b\u305f\u3081\u3001\u52d5\u8108\u8840\u3068\u9759\u8108\u8840\u306e\u9178\u7d20\u5206\u5727\u306e\u5dee\u304c\u7e2e\u5c0f\u3057\u3001\u9759\u8108\u8840\u306e\u9178\u7d20\u98fd\u548c\u5ea6\u304c\u7570\u5e38\u306b\u9ad8\u304f\u306a\u308b\uff08\u3053\u308c\u304c\u76ae\u819a\u306e\u7d05\u6f6e\u306e\u539f\u56e0\u3068\u306a\u308b\uff09\u3002<\/li>\n<\/ol>\n\n\n\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. \u6cbb\u7642\u9078\u629e\u3068\u7ba1\u7406\u306e\u8981\u70b9<\/h2>\n\n\n\n<p>\u30b7\u30a2\u30f3\u4e2d\u6bd2\u306f\u523b\u4e00\u523b\u3092\u4e89\u3046\u75c5\u614b\u3067\u3042\u308a\u3001\u8840\u4e2d\u30b7\u30a2\u30f3\u6fc3\u5ea6\u306e\u7d50\u679c\u3092\u5f85\u305f\u305a\u306b\u6cbb\u7642\u3092\u958b\u59cb\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u63a8\u5968\u3055\u308c\u308b\u6cbb\u7642\u85ac\uff1a\u30d2\u30c9\u30ed\u30ad\u30b7\u30b3\u30d0\u30e9\u30df\u30f3\uff08\u30d3\u30bf\u30df\u30f3B12a\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6a5f\u5e8f<\/strong>: \u30b7\u30a2\u30f3\u3068\u76f4\u63a5\u7d50\u5408\u3057\u3066\u7121\u6bd2\u306a\u30b7\u30a2\u30ce\u30b3\u30d0\u30e9\u30df\u30f3\u3078\u3068\u5909\u5316\u3055\u305b\u3001\u5c3f\u4e2d\u3078\u306e\u6392\u6cc4\u3092\u4fc3\u3059\u3002<\/li>\n\n\n\n<li><strong>\u5229\u70b9<\/strong>: \u6025\u6027\u30b7\u30a2\u30f3\u4e2d\u6bd2\u306b\u304a\u3044\u3066\u5b89\u5168\u304b\u3064\u52b9\u679c\u7684\u3067\u3042\u308a\u3001\u4e00\u9178\u5316\u70ad\u7d20\u4e2d\u6bd2\u3092\u5408\u4f75\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u706b\u707d\u88ab\u5bb3\u8005\u306b\u5bfe\u3057\u3066\u3082\u60aa\u5f71\u97ff\u3092\u53ca\u307c\u3055\u306a\u3044\u3002<\/li>\n\n\n\n<li><strong>\u672c\u75c7\u4f8b\u3067\u306e\u9069\u5fdc<\/strong>: \u610f\u8b58\u969c\u5bb3\u3001\u8840\u884c\u52d5\u614b\u306e\u4e0d\u5b89\u5b9a\u3001\u91cd\u5ea6\u306e\u4ee3\u8b1d\u6027\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\uff08\u4e73\u9178 &gt; 10 mmol\/L\uff09\u3092\u8a8d\u3081\u308b\u672c\u75c7\u4f8b\u306b\u304a\u3044\u3066\u3001\u6700\u3082\u9069\u5207\u306a\u6cbb\u7642\u9078\u629e\u3067\u3042\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u88dc\u52a9\u7684\u6cbb\u7642\u304a\u3088\u3073\u305d\u306e\u4ed6\u306e\u8003\u616e\u4e8b\u9805<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30c1\u30aa\u786b\u9178\u30ca\u30c8\u30ea\u30a6\u30e0<\/strong>: \u30ed\u30c0\u30cd\u30fc\u30bc\uff08\u9175\u7d20\uff09\u306b\u3088\u308b\u30b7\u30a2\u30f3\u306e\u786b\u9178\u5316\u3092\u4fc3\u9032\u3057\u3001\u7121\u6bd2\u5316\u3092\u52a9\u3051\u308b\u3002\u3057\u3070\u3057\u3070\u30d2\u30c9\u30ed\u30ad\u30b7\u30b3\u30d0\u30e9\u30df\u30f3\u3068\u4f75\u7528\u3055\u308c\u308b\u304c\u3001\u5358\u72ec\u3067\u306e\u52b9\u679c\u306f\u9650\u5b9a\u7684\u3067\u3042\u308b\u3002<\/li>\n\n\n\n<li><strong>\u547c\u5438\u30fb\u5faa\u74b0\u7ba1\u7406<\/strong>: \u9178\u7d20\u6295\u4e0e\u3084\u9069\u5207\u306a\u63db\u6c17\u30b5\u30dd\u30fc\u30c8\u3001\u8840\u5727\u7dad\u6301\u306e\u305f\u3081\u306e\u8f38\u6db2\u30fb\u6607\u5727\u5264\u7ba1\u7406\u304c\u5fc5\u8981\u3068\u306a\u308b\u3002<\/li>\n\n\n\n<li><strong>\u9451\u5225\u8a3a\u65ad\u306e\u9664\u5916<\/strong>: \u30d6\u30c9\u30a6\u7cd6\u88dc\u5145\u3084\u30d3\u30bf\u30df\u30f3B1\u88dc\u5145\uff08\u30a6\u30a7\u30eb\u30cb\u30c3\u30b1\u8133\u75c7\u7591\u3044\uff09\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u6295\u4e0e\uff08\u30e1\u30c1\u30eb\u30d7\u30ec\u30c9\u30cb\u30be\u30ed\u30f3\uff09\u306f\u3001\u672c\u75c7\u4f8b\u306e\u75c5\u614b\uff08\u706b\u707d\u73fe\u5834\u3001\u9ad8\u4e73\u9178\u8840\u75c7\u3001\u4f4e\u3044CO-Hb\uff09\u306b\u5bfe\u3059\u308b\u6839\u6cbb\u7684\u6cbb\u7642\u3068\u306f\u306a\u3089\u306a\u3044\u3002<\/li>\n<\/ul>\n\n\n\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7d50\u8ad6<\/h2>\n\n\n\n<p>\u706b\u707d\u73fe\u5834\u304b\u3089\u6551\u51fa\u3055\u308c\u305f\u60a3\u8005\u306b**\u300c\u610f\u8b58\u969c\u5bb3\u300d\u300c\u539f\u56e0\u4e0d\u660e\u306e\u4f4e\u8840\u5727\u300d\u300c\u8457\u660e\u306a\u9ad8\u4e73\u9178\u8840\u75c7\uff08&gt;10 mmol\/L\uff09\u300d**\u304c\u8a8d\u3081\u3089\u308c\u308b\u5834\u5408\u3001\u8840\u4e2d\u30b7\u30a2\u30f3\u6fc3\u5ea6\u304c\u672a\u78ba\u5b9a\u3067\u3042\u3063\u3066\u3082\u76f4\u3061\u306b\u30b7\u30a2\u30f3\u4e2d\u6bd2\u3092\u7591\u3044\u3001<strong>\u30d2\u30c9\u30ed\u30ad\u30b7\u30b3\u30d0\u30e9\u30df\u30f3\u306b\u3088\u308b\u7d4c\u9a13\u7684\u6cbb\u7642<\/strong>\u3092\u958b\u59cb\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u672c\u75c7\u4f8b\u306f\u3001CO-Hb\u5024\u304c\u6b63\u5e38\u7bc4\u56f2\u306b\u8fd1\u3044\u4e00\u65b9\u3067\u4e73\u9178\u5024\u304c14.0 mmol\/L\u3068\u6975\u3081\u3066\u9ad8\u3044\u3053\u3068\u304b\u3089\u3001\u30b7\u30a2\u30f3\u4e2d\u6bd2\u304c\u4e3b\u75c5\u614b\u3067\u3042\u308b\u53ef\u80fd\u6027\u304c\u975e\u5e38\u306b\u9ad8\u304f\u3001\u8fc5\u901f\u306a\u89e3\u6bd2\u5264\u306e\u6295\u4e0e\u304c\u4e88\u5f8c\u3092\u5de6\u53f3\u3059\u308b\u3002<\/p>\n\n\n\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/04\/451e4f0e8262eed3f8c623b53e2fbc70.mp3\"><\/audio><\/figure>\n<div class=\"powerpress_player\" id=\"powerpress_player_9398\"><audio class=\"wp-audio-shortcode\" id=\"audio-4020-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/04\/451e4f0e8262eed3f8c623b53e2fbc70.mp3?_=1\" \/><a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/04\/451e4f0e8262eed3f8c623b53e2fbc70.mp3\">https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/04\/451e4f0e8262eed3f8c623b53e2fbc70.mp3<\/a><\/audio><\/div><p class=\"powerpress_links powerpress_links_mp3\" style=\"margin-bottom: 1px !important;\">Podcast: <a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/04\/451e4f0e8262eed3f8c623b53e2fbc70.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/plaza.umin.ac.jp\/~OIO\/?powerpress_pinw=4020-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/04\/451e4f0e8262eed3f8c623b53e2fbc70.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"451e4f0e8262eed3f8c623b53e2fbc70.mp3\">Download<\/a><\/p><!--powerpress_player-->","protected":false},"excerpt":{"rendered":"<p>\u30a8\u30b0\u30bc\u30af\u30c6\u30a3\u30d6\u30fb\u30b5\u30de\u30ea\u30fc \u706b\u707d\u73fe\u5834\u304b\u3089\u306e\u6551\u51fa\u8005\u3001\u7279\u306b\u9589\u9396\u7a7a\u9593\u3067\u306e\u7159\u5438\u5f15\u66dd\u9732\u8005\u306b\u304a\u3044\u3066\u3001\u30b7\u30a2\u30f3\uff08\u9752\u9178\uff09\u4e2d\u6bd2\u306f\u4e00\u9178\u5316\u70ad\u7d20\uff08CO\uff09\u4e2d\u6bd2\u3068\u4e26\u3093\u3067\u6975\u3081\u3066\u91cd\u8981\u306a\u9451\u5225\u75be\u60a3\u3067\u3042\u308b\u3002\u30b7\u30a2\u30f3\u306f\u5408\u6210\u6a39\u8102\u3084\u30a6\u30fc\u30eb\u3001\u7d79\u306a\u3069\u306e\u71c3\u713c\u306b\u4f34\u3063\u3066\u767a\u751f\u3057\u3001\u7d30&#8230;<\/p>\n","protected":false},"author":5,"featured_media":4021,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[20],"tags":[],"class_list":["post-4020","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-podcast"],"jetpack_featured_media_url":"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/04\/unnamed-5-scaled.png","jetpack_shortlink":"https:\/\/wp.me\/p9b6zl-12Q","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/4020","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4020"}],"version-history":[{"count":5,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/4020\/revisions"}],"predecessor-version":[{"id":4030,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/4020\/revisions\/4030"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/media\/4021"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4020"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4020"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4020"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}