{"id":4034,"date":"2026-05-12T15:09:44","date_gmt":"2026-05-12T06:09:44","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=4034"},"modified":"2026-05-12T15:09:46","modified_gmt":"2026-05-12T06:09:46","slug":"53%e6%ad%b3%e7%94%b7%e6%80%a7%e3%80%81%e7%84%a1%e7%97%87%e7%8a%b6%e3%81%a7%e8%83%b8%e9%83%a8%e7%95%b0%e5%b8%b8%e9%99%b0%e5%bd%b1%e3%81%a8%e9%ab%98%e3%82%ac%e3%83%b3%e3%83%9e%e3%82%b0%e3%83%ad%e3%83%96","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=4034","title":{"rendered":"53\u6b73\u7537\u6027\u3001\u7121\u75c7\u72b6\u3067\u80f8\u90e8\u7570\u5e38\u9670\u5f71\u3068\u9ad8\u30ac\u30f3\u30de\u30b0\u30ed\u30d6\u30ea\u30f3\u8840\u75c7"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<h1 class=\"wp-block-heading\">\u8a3a\u65ad\uff1a\u7279\u767a\u6027\u591a\u4e2d\u5fc3\u6027\u30ad\u30e3\u30c3\u30b9\u30eb\u30de\u30f3\u75c5\uff08iMCD\uff09<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">1. \u75c7\u4f8b\u6982\u8981<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u60a3\u8005<\/strong>: 53\u6b73\u3001\u7537\u6027<\/li>\n\n\n\n<li><strong>\u4e3b\u8a34<\/strong>: \u5065\u5eb7\u8a3a\u65ad\u3067\u306e\u80f8\u90e8\u7570\u5e38\u9670\u5f71\u306e\u6307\u6458\uff08\u7121\u75c7\u72b6\uff09<\/li>\n\n\n\n<li><strong>\u65e2\u5f80\u6b74<\/strong>: 38\u6b73\u6642\u306b<strong>1\u578b\u7cd6\u5c3f\u75c5<\/strong>\u3068\u8a3a\u65ad\u3055\u308c\u3001\u73fe\u5728\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u4e2d<\/li>\n\n\n\n<li><strong>\u751f\u6d3b\u6b74<\/strong>: \u55ab\u7159\u6b74\uff0815\u672c\/\u65e5 \u00d7 23\u5e74\u9593\u3001\u73fe\u5728\u3082\u7d99\u7d9a\uff09<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">2. \u4e3b\u8981\u306a\u691c\u67fb\u6240\u898b<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">A. \u8840\u6db2\u30fb\u514d\u75ab\u5b66\u7684\u6240\u898b<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u8457\u660e\u306a\u9ad8\u30bf\u30f3\u30d1\u30af\u8840\u75c7\u30fb\u591a\u30af\u30ed\u30fc\u30f3\u6027\u9ad8\u30ac\u30f3\u30de\u30b0\u30ed\u30d6\u30ea\u30f3\u8840\u75c7<\/strong>: TP 10.1 g\/dL\u3001IgG 4,543 mg\/dL\u3001IgA 1,433 mg\/dL\u3002<\/li>\n\n\n\n<li><strong>\u708e\u75c7\u6027\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\u306e\u4e0a\u6607<\/strong>: <strong>IL-6 11.8 pg\/mL<\/strong>\uff08\u57fa\u6e96 5.8\u4ee5\u4e0b\uff09\u3002<\/li>\n\n\n\n<li><strong>\u9670\u6027\u6240\u898b\uff08\u9664\u5916\u306b\u5bc4\u4e0e\uff09<\/strong>: \u6297SS-A\/SS-B\u6297\u4f53\u9670\u6027\uff08\u30b7\u30a7\u30fc\u30b0\u30ec\u30f3\u75c7\u5019\u7fa4\u3092\u5426\u5b9a\uff09\u3001ACE\u6b63\u5e38\uff08\u30b5\u30eb\u30b3\u30a4\u30c9\u30fc\u30b7\u30b9\u3092\u5426\u5b9a\uff09\u3001HHV-8\u6297\u4f53\u9670\u6027\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">B. \u753b\u50cf\u6240\u898b\uff08\u80f8\u90e8CT\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30ea\u30f3\u30d1\u7bc0<\/strong>: \u80ba\u9580\u304a\u3088\u3073\u7e26\u9694\u30ea\u30f3\u30d1\u7bc0\u306e\u816b\u5927\u3002<\/li>\n\n\n\n<li><strong>\u80ba\u91ce\u75c5\u5909<\/strong>: \u5c0f\u8449\u4e2d\u5fc3\u6027\u306e\u6de1\u3044\u5c0f\u7d50\u7bc0\u3001\u6c17\u7ba1\u652f\u8840\u7ba1\u675f\u304a\u3088\u3073\u5c0f\u8449\u9593\u9694\u58c1\u306e\u80a5\u539a\u3002<\/li>\n\n\n\n<li><strong>\u7279\u5fb4\u7684\u6240\u898b<\/strong>: **\u8584\u58c1\u56a2\u80de\uff08cysts\uff09**\u306e\u6563\u5728\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">C. \u75c5\u7406\u7d44\u7e54\u5b66\u7684\u6240\u898b\uff08\u80f8\u8154\u93e1\u4e0b\u80ba\u751f\u691c\uff1aVATS\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u80ba\u9593\u8cea\u306b\u6cbf\u3063\u305f\u9ad8\u5ea6\u306a\u30ea\u30f3\u30d1\u7403\u6d78\u6f64\u3068\u30ea\u30f3\u30d1\u6ffe\u80de\u306e\u5f62\u6210\u3002<\/li>\n\n\n\n<li>\u514d\u75ab\u67d3\u8272\u306b\u3066\u30ea\u30f3\u30d1\u7403\u306e<strong>\u30e2\u30ce\u30af\u30ed\u30fc\u30ca\u30ea\u30c6\u30a3\uff08\u5358\u30af\u30ed\u30fc\u30f3\u6027\uff09\u306f\u5426\u5b9a<\/strong>\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">3. \u8a3a\u65ad\u306b\u81f3\u308b\u8ad6\u7406\u7684\u601d\u8003<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u7570\u5e38\u306e\u8a8d\u8b58<\/strong>: \u7121\u75c7\u72b6\u306e\u80f8\u90e8\u7570\u5e38\u9670\u5f71\u304b\u3089\u3001\u753b\u50cf\u4e0a\u306f\u80ba\u91ce\u306e\u30ea\u30f3\u30d1\u7403\u6027\u9593\u8cea\u6027\u80ba\u708e\uff08LIP\uff09\u69d8\u5909\u5316\u3068\u30ea\u30f3\u30d1\u7bc0\u816b\u5927\u3092\u8a8d\u3081\u305f\u3002<\/li>\n\n\n\n<li><strong>\u75c5\u614b\u306e\u63a8\u5b9a<\/strong>: \u8457\u660e\u306a\u591a\u30af\u30ed\u30fc\u30f3\u6027\u9ad8\u30ac\u30f3\u30de\u30b0\u30ed\u30d6\u30ea\u30f3\u8840\u75c7\u3068IL-6\u306e\u4e0a\u6607\u304b\u3089\u3001<strong>\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\u904e\u5270\u653e\u51fa\u3092\u4f34\u3046\u30ea\u30f3\u30d1\u5897\u6b96\u6027\u75be\u60a3<\/strong>\u3092\u5f37\u304f\u7591\u3063\u305f\u3002<\/li>\n\n\n\n<li><strong>\u9451\u5225\u8a3a\u65ad\u306e\u9664\u5916<\/strong>:\n<ul class=\"wp-block-list\">\n<li>\u7d44\u7e54\u5b66\u7684\u8a55\u4fa1\u306b\u3088\u308a\u60aa\u6027\u30ea\u30f3\u30d1\u816b\uff08\u5358\u30af\u30ed\u30fc\u30f3\u6027\u5897\u6b96\uff09\u3092\u9664\u5916\u3002<\/li>\n\n\n\n<li>\u6297\u4f53\u691c\u67fb\u306b\u3088\u308a\u30b7\u30a7\u30fc\u30b0\u30ec\u30f3\u75c7\u5019\u7fa4\u306a\u3069\u306e\u81ea\u5df1\u514d\u75ab\u75be\u60a3\u3092\u9664\u5916\u3002<\/li>\n\n\n\n<li>HHV-8\u9670\u6027\u306b\u3088\u308a\u3001\u30a6\u30a4\u30eb\u30b9\u95a2\u9023MCD\u3092\u9664\u5916\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u78ba\u5b9a\u8a3a\u65ad<\/strong>: \u4ee5\u4e0a\u306e\u6240\u898b\u3092\u7dcf\u5408\u3057\u3001**\u7279\u767a\u6027\u591a\u4e2d\u5fc3\u6027\u30ad\u30e3\u30c3\u30b9\u30eb\u30de\u30f3\u75c5\uff08iMCD\uff09**\u3068\u8a3a\u65ad\u3057\u305f\u3002<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">4. \u6cbb\u7642\u65b9\u91dd\u3068\u7d4c\u904e<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6cbb\u7642\u9078\u629e<\/strong>: \u6297IL-6\u53d7\u5bb9\u4f53\u6297\u4f53\u3067\u3042\u308b<strong>\u30c8\u30b7\u30ea\u30ba\u30de\u30d6<\/strong>\u3092\u9078\u629e\u3002<\/li>\n\n\n\n<li><strong>\u5224\u65ad\u306e\u30dd\u30a4\u30f3\u30c8<\/strong>: \u901a\u5e38\u3001MCD\u306e\u6cbb\u7642\u306b\u306f\u526f\u814e\u76ae\u8cea\u30b9\u30c6\u30ed\u30a4\u30c9\uff08\u30b0\u30eb\u30b3\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\uff09\u304c\u4f75\u7528\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u304c\u3001\u672c\u75c7\u4f8b\u306f<strong>1\u578b\u7cd6\u5c3f\u75c5\u3092\u5408\u4f75\u3057\u3066\u3044\u308b\u305f\u3081\u3001\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3078\u306e\u60aa\u5f71\u97ff\u3092\u8003\u616e\u3057\u3066\u30b9\u30c6\u30ed\u30a4\u30c9\u3092\u56de\u907f<\/strong>\u3057\u305f\u3002<\/li>\n\n\n\n<li><strong>\u4fdd\u967a\u9069\u7528<\/strong>: \u30c8\u30b7\u30ea\u30ba\u30de\u30d6\u306f\u672c\u75be\u60a3\u306b\u5bfe\u3057\u3066\u65e5\u672c\u56fd\u5185\u3067\u4fdd\u967a\u9069\u7528\u304c\u3042\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/05\/a169717e980324a52c4cbb14bd5a8192.mp3\"><\/audio><\/figure>\n<div class=\"powerpress_player\" id=\"powerpress_player_376\"><audio class=\"wp-audio-shortcode\" id=\"audio-4034-1\" 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\/05\/a169717e980324a52c4cbb14bd5a8192.mp3?_=1\" \/><a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/05\/a169717e980324a52c4cbb14bd5a8192.mp3\">https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/05\/a169717e980324a52c4cbb14bd5a8192.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\/05\/a169717e980324a52c4cbb14bd5a8192.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/plaza.umin.ac.jp\/~OIO\/?powerpress_pinw=4034-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/05\/a169717e980324a52c4cbb14bd5a8192.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"a169717e980324a52c4cbb14bd5a8192.mp3\">Download<\/a><\/p><!--powerpress_player-->","protected":false},"excerpt":{"rendered":"<p>\u8a3a\u65ad\uff1a\u7279\u767a\u6027\u591a\u4e2d\u5fc3\u6027\u30ad\u30e3\u30c3\u30b9\u30eb\u30de\u30f3\u75c5\uff08iMCD\uff09 1. \u75c7\u4f8b\u6982\u8981 2. \u4e3b\u8981\u306a\u691c\u67fb\u6240\u898b A. \u8840\u6db2\u30fb\u514d\u75ab\u5b66\u7684\u6240\u898b B. \u753b\u50cf\u6240\u898b\uff08\u80f8\u90e8CT\uff09 C. \u75c5\u7406\u7d44\u7e54\u5b66\u7684\u6240\u898b\uff08\u80f8\u8154\u93e1\u4e0b\u80ba\u751f\u691c\uff1aVATS\uff09 3. \u8a3a\u65ad\u306b\u81f3\u308b\u8ad6\u7406\u7684\u601d\u8003&#8230;<\/p>\n","protected":false},"author":5,"featured_media":4035,"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-4034","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\/05\/infographics-scaled.png","jetpack_shortlink":"https:\/\/wp.me\/p9b6zl-134","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/4034","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=4034"}],"version-history":[{"count":1,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/4034\/revisions"}],"predecessor-version":[{"id":4037,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/4034\/revisions\/4037"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/media\/4035"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4034"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4034"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4034"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}