{"id":3753,"date":"2014-03-26T08:53:18","date_gmt":"2014-03-25T23:53:18","guid":{"rendered":"https:\/\/t.med-infom.com\/?p=3753"},"modified":"2015-05-19T13:50:59","modified_gmt":"2015-05-19T04:50:59","slug":"psvt%ef%bc%88%e7%99%ba%e4%bd%9c%e6%80%a7%e4%b8%8a%e5%ae%a4%e6%80%a7%e9%a0%bb%e6%8b%8d%ef%bc%89%e3%81%aeeps%ef%bc%88%e9%9b%bb%e6%b0%97%e7%94%9f%e7%90%86%e5%ad%a6%e7%9a%84%e6%a4%9c%e6%9f%bb%ef%bc%89","status":"publish","type":"post","link":"https:\/\/t.med-infom.com\/?p=3753","title":{"rendered":"PSVT\uff08\u767a\u4f5c\u6027\u4e0a\u5ba4\u6027\u983b\u62cd\uff09\u306eEPS\uff08\u96fb\u6c17\u751f\u7406\u5b66\u7684\u691c\u67fb\uff09\u3092\u899a\u3048\u308b\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3060\uff01"},"content":{"rendered":"

\u3055\u3042\u3001\u4eca\u65e5\u3082\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u306e\u6642\u9593\u3060\u3002
\n\u4eca\u65e5\u306e\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u306fPSVT\uff08\u767a\u4f5c\u6027\u4e0a\u5ba4\u6027\u983b\u62cd\uff09\u306eEPS\uff08\u96fb\u6c17\u751f\u7406\u5b66\u7684\u691c\u67fb\uff09\u3060\u305e\uff01<\/p>\n

 <\/p>\n

PSVT\u306e\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u3067\u306f\u6700\u521d\u306bEPS\u3092\u884c\u3063\u3066\u983b\u62cd\u306e\u6b63\u4f53\u304cAVNRT\uff08\u623f\u5ba4\u7d50\u7bc0\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u983b\u62cd\uff09\u3001AVRT\uff08\u623f\u5ba4\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u983b\u62cd\uff09\u306e\u3069\u3061\u3089\u306a\u306e\u304b\u3092\u5224\u65ad\u3057\u3066\u3044\u304f\u3002<\/span><\/p>\n

 <\/p>\n

EPS\u4e2d\u306f\u69d8\u3005\u306a\u30bf\u30a4\u30d7\u306e\u30da\u30fc\u30b7\u30f3\u30b0\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u4f7f\u3063\u3066\u3044\u304f\u305f\u3081\u65b0\u4eba\u3055\u3093\u306b\u306f\u4f55\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\u306e\u304b\u30ef\u30b1\u30ef\u30ab\u30e1\u306a\u3053\u3068\u304c\u591a\u3044\u3002<\/p>\n

 <\/p>\n

\u3053\u306e\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3067\u306fEPS\u3067common AVNRT\u3068\u6b63\u65b9\u5411\u6027AVRT\u3092\u898b\u5206\u3051\u308b\u65b9\u6cd5\u3092\u30b9\u30c3\u30ad\u30ea\u7c21\u6f54\u306b\u307e\u3068\u3081\u305f\u305e\uff01
\ncommon AVNRT\u3068\u6b63\u65b9\u5411\u6027AVRT\u306eEPS\u306f\u3001PSVT\u306eEPS\u306e\u4e2d\u3067\u3082\u6700\u3082\u57fa\u672c\u7684\u306a\u624b\u6cd5\u3060\u3002<\/p>\n

 <\/p>\n

\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3092\u901a\u3057\u3066\u3001\u3057\u3063\u304b\u308a\u30de\u30b9\u30bf\u30fc\u3057\u3066\u3044\u304f\u3093\u3060\u305e\uff01<\/p>\n

 <\/p>\n

\u3053\u308c\u304c\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u306e\u5168\u8c8c\u3060\uff01<\/p>\n

 <\/p>\n

PSVT\u306eEPS\u3067\u4f7f\u7528\u3059\u308b\u30da\u30fc\u30b7\u30f3\u30b0\u30d7\u30ed\u30b0\u30e9\u30e0<\/h3>\n

\u30fb\u30a8\u30ad\u30b9\u30c8\u30e9\u30da\u30fc\u30b7\u30f3\u30b0
\n\u30fb\u30aa\u30fc\u30d0\u30fc\u30c9\u30e9\u30a4\u30d6\u30da\u30fc\u30b7\u30f3\u30b0
\n\u30fbV\u30b9\u30ad\u30e3\u30f3<\/p>\n

 <\/p>\n

PSVT\u306eEPS\u3067\u4f7f\u7528\u3059\u308b\u85ac\u5264<\/h3>\n

\u30fbISP\uff08\u901a\u79f0\uff1a\u30a4\u30bd\u30d7\u30ed\uff09<\/p>\n

 <\/p>\n

PSVT\u306eEPS\u3067\u884c\u308f\u308c\u308b\u4e3b\u306a\u691c\u67fb\u9805\u76ee<\/p>\n

\u2460\u30b8\u30e3\u30f3\u30d7\u30a2\u30c3\u30d7\u73fe\u8c61
\n\u2461\u5ba4\u623f\u4f1d\u5c0e\uff08VA conduction)
\n\u2462\u5fc3\u623f\u30ea\u30bb\u30c3\u30c8\u73fe\u8c61<\/p>\n

 <\/p>\n

 <\/p>\n

PSVT\u306eEPS\u306b\u3064\u3044\u3066\uff11\u3064\u305a\u3064\u6574\u7406\u3057\u3066\u3044\u304f\u305e\uff01<\/h2>\n

 <\/p>\n

PSVT\u306eEPS\u3067\u4f7f\u7528\u3059\u308b\u30d7\u30ed\u30b0\u30e9\u30e0\u523a\u6fc0<\/h3>\n

EPS\u3067\u306f\u4e3b\u306b\uff13\u3064\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u523a\u6fc0\u3092\u4f7f\u7528\u3057\u3066\u3044\u304f\u3002<\/p>\n

\u30fb\u30a8\u30ad\u30b9\u30c8\u30e9\u30da\u30fc\u30b7\u30f3\u30b0<\/span>
\n \u30fb\u30aa\u30fc\u30d0\u30fc\u30c9\u30e9\u30a4\u30d6\u30da\u30fc\u30b7\u30f3\u30b0<\/span>
\n \u30fbV\u30b9\u30ad\u30e3\u30f3<\/span><\/p>\n

\u4ee5\u4e0a\u306e\uff13\u3064\u3060\u3002<\/p>\n

 <\/p>\n

\u30a8\u30ad\u30b9\u30c8\u30e9\u30da\u30fc\u30b7\u30f3\u30b0<\/span><\/p>\n

\u30a8\u30ad\u30b9\u30c8\u30e9\u30da\u30fc\u30b7\u30f3\u30b0\u3068\u306f\u3001\uff17\u301c\uff18\u767a\u30da\u30fc\u30b7\u30f3\u30b0\u3057\u305f\u5f8c\u3001\u6700\u5f8c\u306b\u30a8\u30ad\u30b9\u30c8\u30e9\u30d3\u30fc\u30c8\uff08\u305d\u308c\u307e\u3067\u3088\u308a\u3082\u77ed\u3044\u5468\u671f\u306e\u30da\u30fc\u30b7\u30f3\u30b0\uff09\u3092\uff11\u301c\uff12\u767a\u5165\u308c\u308b\u30d7\u30ed\u30b0\u30e9\u30e0<\/span>\u306e\u3053\u3068\u3060\u3002<\/p>\n

 <\/p>\n

\u4f8b\u3048\u3070\u3001600ms\u3067\uff18\u767a\u30da\u30fc\u30b7\u30f3\u30b0\u3057\u305f\u5f8c\u3001\u6700\u5f8c\u306b550ms\u306e\u30a8\u30ad\u30b9\u30c8\u30e9\u30d3\u30fc\u30c8\u3092\uff11\u767a\u3060\u3051\u5165\u308c\u308b\u3068\u3044\u3063\u305f\u5177\u5408\u3060\u3002
\n\u30a8\u30ad\u30b9\u30c8\u30e9\u30d3\u30fc\u30c8\u3092\uff11\u767a\u5165\u308c\u308b\u3068\u30b7\u30f3\u30b0\u30eb\u30a8\u30ad\u30b9\u30c8\u30e9\u3001\uff12\u767a\u5165\u308c\u308b\u3068\u30c0\u30d6\u30eb\u30a8\u30ad\u30b9\u30c8\u30e9<\/span>\u3068\u8a00\u3063\u305f\u308a\u3059\u308b\u3002<\/p>\n

 <\/p>\n

\u30b7\u30f3\u30b0\u30eb\u30a8\u30ad\u30b9\u30c8\u30e9\u306b\u6bd4\u3079\u3001\u30c0\u30d6\u30eb\u30a8\u30ad\u30b9\u30c8\u30e9\u306e\u65b9\u304c\u983b\u62cd\u3092\u8a98\u767a\u3057\u3084\u3059\u3044<\/span>\u305f\u3081EPS\u4e2d\u3001\u306a\u304b\u306a\u304b\u983b\u62cd\u304c\u8d77\u3053\u3089\u306a\u3044\u6642\u306b\u30c0\u30d6\u30eb\u30a8\u30ad\u30b9\u30c8\u30e9\u3092\u4f7f\u3063\u3066\u3044\u304f\u305e\uff01<\/p>\n

 <\/p>\n

\u5b9f\u969b\u306e\u30ab\u30c6\u5ba4\u3067\u306f\u300c600\u306e500\u306e10\u30c0\u30a6\u30f3\u300d\u3068\u3044\u3063\u305f\u611f\u3058\u3067\u8853\u8005\u304b\u3089\u30da\u30fc\u30b7\u30f3\u30b0\u306e\u6307\u793a\u304c\u51fa\u308b\u3002
\n\u3053\u306e\u610f\u5473\u306f\u3001600ms\u3067\u6570\u767a\u5165\u308c\u305f\u3042\u3068\u3001500ms\u3067\u30a8\u30ad\u30b9\u30c8\u30e9\u30d3\u30fc\u30c8\u3092\u5165\u308c\u3001\uff12\u56de\u76ee\u4ee5\u964d\u306f600ms\/490ms\u3001600ms\/480ms\u3001600ms\/470ms\u3001600ms\/460ms\u3068\u3044\u3063\u305f\u5177\u5408\u306b\u3001\u30a8\u30ad\u30b9\u30c8\u30e9\u30d3\u30fc\u30c8\u306e\u9593\u9694\u309210ms\u305a\u3064\u77ed\u304f\u3057\u3066\u3044\u304f\u3068\u3044\u3046\u610f\u5473\u3060\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

\u30aa\u30fc\u30d0\u30fc\u30c9\u30e9\u30a4\u30d6\u30da\u30fc\u30b7\u30f3\u30b0<\/span><\/p>\n

\u30aa\u30fc\u30d0\u30fc\u30c9\u30e9\u30a4\u30d6\u30da\u30fc\u30b7\u30f3\u30b0\u3068\u306f\u3001\u4e00\u5b9a\u306e\u30ec\u30fc\u30c8\u3067\u30da\u30fc\u30b7\u30f3\u30b0\u3057\u7d9a\u3051\u308b\u30d7\u30ed\u30b0\u30e9\u30e0<\/span>\u306e\u3053\u3068\u3060\u3002<\/p>\n

\u30a8\u30af\u30b9\u30c8\u30e9\u30da\u30fc\u30b7\u30f3\u30b0\u3068\u9055\u3044\u3001\u30da\u30fc\u30b7\u30f3\u30b0\u3092\u5165\u308c\u308b\u56de\u6570\u306b\u5236\u9650\u306f\u306a\u304f\u8853\u8005\u306e\u6307\u793a\u304c\u3042\u308b\u307e\u3067\u30da\u30fc\u30b7\u30f3\u30b0\u3092\u5165\u308c\u7d9a\u3051\u308b\u305e\uff01<\/p>\n

 <\/p>\n

 <\/p>\n

V\u30b9\u30ad\u30e3\u30f3<\/span><\/p>\n

V\u30b9\u30ad\u30e3\u30f3\u3068\u306f\u3001His\u30ab\u30c6\u30fc\u30c6\u30eb\u4e0a\u3067\u898b\u3048\u308bHis\u6ce2\u306e\u76f4\u524d\u306e\u30bf\u30a4\u30df\u30f3\u30b0\u3067\uff11\u767a\u3060\u3051V\u30da\u30fc\u30b7\u30f3\u30b0\u3092\u5165\u308c\u308b\u30d7\u30ed\u30b0\u30e9\u30e0<\/span>\u3067\u3001\u983b\u62cd\u4e2d\u306b\u884c\u3063\u3066\u3044\u304f\u305e\uff01<\/p>\n

 <\/p>\n

 <\/p>\n

PSVT\u306eEPS\u3067\u4f7f\u7528\u3059\u308b\u85ac\u5264<\/h3>\n

EPS\u3067\u983b\u62cd\u3092\u8a98\u767a\u3057\u305f\u3044\u6642\u306bISP\uff08\u901a\u79f0\uff1a\u30a4\u30bd\u30d7\u30ed\uff09<\/span>\u3068\u3044\u3046\u85ac\u5264\u3092\u4f7f\u3063\u3066\u3044\u304f\u305e\uff01<\/p>\n

ISP\u3092\u4f7f\u3046\u3068\u5fc3\u62cd\u6570\u304c\u4e0a\u304c\u308a\u3001\u983b\u62cd\u304c\u8d77\u3053\u308a\u3084\u3059\u3044\u72b6\u614b\u306b\u306a\u308b<\/span>\u3093\u3060\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

PSVT\u306eEPS\u3067\u884c\u308f\u308c\u308b\u4e3b\u306a\u691c\u67fb\u9805\u76ee<\/h3>\n

PSVT\u306eEPS\u3067\u306f\u3001\u4e3b\u306b\uff13\u3064\u306e\u9805\u76ee\u306b\u3064\u3044\u3066\u691c\u67fb\u3057\u3066\u3044\u304f\u3002<\/p>\n

\u2460\u30b8\u30e3\u30f3\u30d7\u30a2\u30c3\u30d7\u73fe\u8c61<\/span>
\n \u2461\u5ba4\u623f\u4f1d\u5c0e\uff08VA conduction)<\/span>
\n \u2462\u5fc3\u623f\u30ea\u30bb\u30c3\u30c8\u73fe\u8c61<\/span><\/p>\n

\u4ee5\u4e0a\u306e\uff13\u3064\u3060\u3002<\/p>\n

 <\/p>\n

\u2460\u30b8\u30e3\u30f3\u30d7\u30a2\u30c3\u30d7\u73fe\u8c61<\/span><\/p>\n

\u30b8\u30e3\u30f3\u30d7\u30a2\u30c3\u30d7\u73fe\u8c61\u3068\u306f\u3001\u6d1e\u8abf\u5f8b\u4e2d\u306b\u30a8\u30ad\u30b9\u30c8\u30e9\u30da\u30fc\u30b7\u30f3\u30b0\u3092\u5165\u308c\u305f\u969b\u306b\u30a8\u30ad\u30b9\u30c8\u30e9\u30d3\u30fc\u30c8\u76f4\u5f8c\u306e\u6700\u65e9\u5c40\u6240\u96fb\u4f4d\u304c\uff15\uff10ms\u4ee5\u4e0a\u4f38\u3073\u308b\u73fe\u8c61<\/span>\u3060\u3002<\/p>\n

 <\/p>\n

\u30e9\u30dc\u4e0a\u3067\u30ad\u30e3\u30ea\u30d1\u30fc\u3092\u7acb\u3066\u308b\u5834\u6240\u3060\u304c\u3001RA\u30ab\u30c6\u30fc\u30c6\u30eb\u304b\u3089\u30a8\u30ad\u30b9\u30c8\u30e9\u30da\u30fc\u30b7\u30f3\u30b0\u3092\u3059\u308b\u969b\u306fA-V\u9593\u9694<\/span>\u3092\u8a08\u6e2c\u3057\u3001RV\u30ab\u30c6\u30fc\u30c6\u30eb\u304b\u3089\u30a8\u30ad\u30b9\u30c8\u30e9\u30da\u30fc\u30b7\u30f3\u30b0\u3092\u3059\u308b\u969b\u306f\u3001V-H\u9593\u9694\u3082\u3057\u304f\u306fV-A\u9593\u9694\u3092\u8a08\u6e2c<\/span>\u3057\u30b8\u30e3\u30f3\u30d7\u30a2\u30c3\u30d7\u73fe\u8c61\u304c\u8d77\u3053\u3063\u305f\u304b\u3069\u3046\u304b\u3092\u30c1\u30a7\u30c3\u30af\u3057\u3066\u3044\u306e\u304c\u4e00\u822c\u7684\u3060\u3002<\/p>\n

 <\/p>\n

\u30b8\u30e3\u30f3\u30d7\u30a2\u30c3\u30d7\u73fe\u8c61\u304c\u8d77\u3053\u308b\u3068\uff12\u91cd\u4f1d\u5c0e\u8def\u306e\u5b58\u5728\u304c\u8a3c\u660e\u3055\u308c\u308b\u3002<\/p>\n

\u30b8\u30e3\u30f3\u30d7\u30a2\u30c3\u30d7\u5f8c\u306b\u983b\u62cd\u306b\u79fb\u884c\u3057\u305f\u308a\u3001\u30c4\u30fc\u30fb\u30a8\u30b3\u30fc\u4ee5\u4e0a\u3059\u308b\u3088\u3046\u3067\u3042\u308c\u3070AVNRT\u3067\u3042\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u307e\u308b<\/span>\u305e\uff01<\/p>\n

 <\/p>\n

 <\/p>\n

\u2461\u5ba4\u623f\u4f1d\u5c0e\uff08VA conduction\uff09<\/span><\/p>\n

\u5ba4\u623f\u4f1d\u5c0e\u3068\u306f\u3001\u5fc3\u5ba4\u304b\u3089\u5fc3\u623f\u3078\u306e\u9006\u4f1d\u5c0e\u306e\u3053\u3068\u3060\u3002<\/p>\n

 <\/p>\n

\u5ba4\u623f\u4f1d\u5c0e\u306e\u691c\u67fb\u3067\u306f\u3001<\/p>\n

\u30fb\u5ba4\u623f\u4f1d\u5c0e\u304c\u3042\u308b\u304b\u3069\u3046\u304b<\/span>
\n \u30fb\u3082\u3057\u3042\u308b\u306a\u3089\u3070\u305d\u308c\u304c\u6e1b\u8870\u4f1d\u5c0e\u3059\u308b\u306e\u304b\u3069\u3046\u304b<\/span><\/p>\n

\u3053\u306e\uff12\u70b9\u3092\u78ba\u8a8d\u3057\u3066\u3044\u304f\u305e\uff01<\/p>\n

 <\/p>\n

\u5177\u4f53\u7684\u306b\u306f\u6d1e\u8abf\u5f8b\u4e2d\u306bRV\u30ab\u30c6\u30fc\u30c6\u30eb\u304b\u3089\u30aa\u30fc\u30d0\u30c9\u30e9\u30a4\u30d6\u30da\u30fc\u30b7\u30f3\u30b0\u3092\u3057\u3066RA\u30ab\u30c6\u30fc\u30c6\u30eb\u4e0a\u306b\u8868\u793a\u3055\u308c\u3066\u308b\u5fc3\u623f\u96fb\u4f4d\uff08A\u6ce2\uff09\u3092\u898b\u3066\u3044\u304f\u3002<\/span><\/p>\n

 <\/p>\n

\u3053\u306e\u6642\u3001\u5fc3\u5ba4\u304b\u3089\u306e\u30da\u30fc\u30b7\u30f3\u30b0\u523a\u6fc0\u304cRA\u30ab\u30c6\u30fc\u30c6\u30eb\u4e0a\u3067\u30ad\u30e3\u30d7\u30c1\u30e3\u30fc\u3055\u308c\u308c\u3070\u5ba4\u623f\u4f1d\u5c0e\u3042\u308a<\/span>\u3068\u8a55\u4fa1\u3055\u308c\u308b\u3002
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