{"id":937,"date":"2011-06-12T13:27:39","date_gmt":"2011-06-12T04:27:39","guid":{"rendered":"https:\/\/t.med-infom.com\/?p=937"},"modified":"2015-05-20T11:08:04","modified_gmt":"2015-05-20T02:08:04","slug":"%e3%82%b9%e3%83%af%e3%83%b3%e3%82%ac%e3%83%b3%e3%83%84swan-ganz%e3%82%ab%e3%83%86%e3%83%bc%e3%83%86%e3%83%ab%e3%82%92%e8%a6%9a%e3%81%88%e3%82%8b%e3%82%a8%e3%82%af%e3%82%b5%e3%82%b5%e3%82%a4%e3%82%ba","status":"publish","type":"post","link":"https:\/\/t.med-infom.com\/?p=937","title":{"rendered":"\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4(Swan-Ganz)\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u899a\u3048\u308b\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3060\uff01"},"content":{"rendered":"

\u5fc3\u30ab\u30c6\u30d6\u30fc\u30c8\u30ad\u30e3\u30f3\u30d7\u306b\u3088\u3046\u3053\u305d\uff01
\n\u5f53\u30b5\u30a4\u30c8\u3067\u306f\u3001\u5fc3\u30ab\u30c6\u5ba4\u306e\u65b0\u4eba\u30b9\u30bf\u30c3\u30d5\u5411\u3051\u306b\u3001\u5fc3\u30ab\u30c6\u30b9\u30ad\u30eb\u3092\u77ed\u671f\u9593\u3067\u9ad8\u3081\u308b\u7279\u5225\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3092\u63d0\u4f9b\u3057\u3066\u3044\u308b\u305e\uff01<\/span><\/p>\n

\u3053\u306e\u30da\u30fc\u30b8\u3067\u306f\u300c\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u30ab\u30c6\u30fc\u30c6\u30eb\u300d<\/span>\u3092\u899a\u3048\u3066\u3044\u3053\u3046\uff01<\/p>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u306f\u53f3\u5fc3\u30ab\u30c6\u306b\u5206\u985e\u3055\u308c\u308b\u624b\u6280\u3067\u3001\u5fc3\u81d3\u5185\u90e8\u306e\u8840\u6db2\u306e\u6d41\u308c\u3092\u628a\u63e1\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002<\/span>
\n\u305d\u3053\u304b\u3089\u5f97\u3089\u308c\u305f\u60c5\u5831\u3092\u5143\u306b\u5fc3\u6a5f\u80fd\u306e\u7570\u5e38\u304c\u308f\u304b\u308b\u305e\uff01<\/span><\/p>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u306f\u5fc3\u30ab\u30c6\u5ba4\u3067\u983b\u7e41\u306b\u884c\u308f\u308c\u308b\u691c\u67fb\u306e\u4e00\u3064\u3060\uff01<\/p>\n

\u3069\u306e\u3088\u3046\u306a\u624b\u6280\u3067\u3001\u305d\u3053\u304b\u3089\u4f55\u304c\u308f\u304b\u308b\u306e\u304b\u3002<\/span>
\n\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3092\u901a\u3057\u3066\u3057\u3063\u304b\u308a\u3068\u30de\u30b9\u30bf\u30fc\u3057\u3088\u3046\uff01<\/p>\n

\u306a\u304a\u3001\u8a18\u4e8b\u306e\u672b\u5c3e\u3067\u306f\u3001\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u30ab\u30c6\u30fc\u30c6\u30eb\u306e\u8981\u70b9\u3092\u30af\u30a4\u30ba\u5f62\u5f0f\u3067\u899a\u3048\u308c\u308b\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u30b7\u30fc\u30c8\u3092\u914d\u5e03<\/span>\u3057\u3066\u308b\u305e\uff01
\n\u4e0a\u624b\u306b\u6d3b\u7528\u3057\u3001\u52b9\u7387\u3088\u304f\u899a\u3048\u3066\u3044\u3053\u3046\uff01<\/p>\n

 <\/p>\n

\u3053\u308c\u304c\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u899a\u3048\u308b\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u306e\u5168\u8c8c\u3060\uff01\u2193<\/p>\n

 <\/p>\n

\u25a0\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u30ab\u30c6\u30fc\u30c6\u30eb\u691c\u67fb\u306e\u76ee\u7684<\/span><\/strong><\/p>\n

\u5fc3\u4e0d\u5168\u3084\u77ed\u7d61\u75be\u60a3\u304c\u7591\u308f\u308c\u308b\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3057\u3001<\/p>\n

\u5fc3\u6a5f\u80fd\u7570\u5e38\u306e\u8a73\u7d30\u306a\u628a\u63e1\uff08\u4f55\u51e6\u3067\u3069\u3093\u306a\u7570\u5e38\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\u306e\u304b\uff09<\/span><\/p>\n

\u3092\u3059\u308b\u305f\u3081\u306b\u884c\u308f\u308c\u308b\u3002<\/p>\n

 <\/p>\n

\u25a0\u691c\u67fb\u9805\u76ee<\/strong><\/span><\/p>\n

\u30fb\u5fc3\u5185\u5727\u306e\u6e2c\u5b9a<\/p>\n

\u30fb\u5fc3\u62cd\u51fa\u91cf\uff08Cardiac Output: CO) \u306e\u6e2c\u5b9a<\/p>\n

\u30fb\u9178\u7d20\u98fd\u548c\u5ea6\u306e\u6e2c\u5b9a<\/p>\n

 <\/p>\n

\u25a0\u30ab\u30c6\u30fc\u30c6\u30eb\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u90e8\u4f4d<\/span><\/strong><\/p>\n\"\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u3000\u30a2\u30d7\u30ed\u30fc\u30c1\"\n\n\n\n\n\n\n\n
<\/td>\n\u548c\u540d<\/strong><\/td>\n\u82f1\u540d<\/strong><\/td>\n<\/tr>\n
\u2460<\/td>\n\u5927\u817f\u9759\u8108<\/span><\/td>\nFemoral vein<\/span><\/td>\n<\/tr>\n
\u2461<\/td>\n\u4e0a\u8155\u9759\u8108<\/span><\/td>\nBrachial vein<\/span><\/td>\n<\/tr>\n
\u2462<\/td>\n\u9396\u9aa8\u4e0b\u9759\u8108<\/td>\nSubclavian vein<\/td>\n<\/tr>\n
\u2463<\/td>\n\u5185\u981a\u9759\u8108<\/td>\nInternal Jugular vein<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u25a0\u5fc3\u5185\u5727\u306e\u6e2c\u5b9a\u90e8\u4f4d<\/strong><\/span>\"\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u3000\u5fc3\u5185\u5727\u6e2c\u5b9a\"<\/span><\/strong><\/p>\n

\n\n\n\n\n\n\n\n\n
<\/td>\n\u548c\u540d<\/strong><\/td>\n\u82f1\u540d<\/strong><\/td>\n\u7565\u8a9e<\/strong><\/td>\n<\/tr>\n
\u2460<\/td>\n\u80ba\u52d5\u8108\u6954\u5165\u5727<\/span><\/td>\nPulmonary Capillary Wedge Pressure<\/span><\/td>\nPCWP<\/span><\/td>\n<\/tr>\n
\u2461<\/td>\n\u80ba\u52d5\u8108\u5727<\/td>\nPulmonary Arterial Pressure<\/td>\nPAP<\/span><\/td>\n<\/tr>\n
\u2462<\/span><\/td>\n\u53f3\u5ba4\u5727<\/span><\/td>\nRight Ventricular Pressure<\/span><\/td>\nRVP<\/span><\/td>\n<\/tr>\n
\u2463<\/span><\/td>\n\u53f3\u623f\u5727<\/span><\/td>\nRight Atrial Pressure<\/span><\/td>\nRAP<\/span><\/td>\n<\/tr>\n
\u2464<\/td>\n\u4e2d\u5fc3\u9759\u8108\u5727<\/span><\/td>\nCenteral Venous Pressure<\/span><\/td>\nCVP<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

 <\/p>\n

 <\/p>\n

\u25a0\u5404\u90e8\u4f4d\u306e\u5fc3\u5185\u5727\u6b63\u5e38\u5024\u3068\u5909\u52d5\u8981\u56e0<\/strong><\/span><\/p>\n

\n\n\n\n\n\n\n\n\n
\u90e8\u4f4d<\/strong><\/td>\n\u6b63\u5e38\u5024\uff08mmHg)<\/strong><\/td>\n\u5909\u52d5\u8981\u56e0<\/strong><\/td>\n<\/tr>\n
PCWP<\/span><\/td>\n\u5e73\u5747\u5727\uff1a6\uff5e12<\/span><\/td>\n\u5e73\u5747\u5727\u4e0a\u6607\uff1a\u5de6\u5fc3\u4e0d\u5168\u5e73\u5747\u5727\u4f4e\u4e0b\uff1a\u5faa\u74b0\u8840\u6db2\u91cf\u306e\u6e1b\u5c11<\/td>\n<\/tr>\n
PAP<\/td>\n\u53ce\u7e2e\u671f\uff1a15\uff5e25\u62e1\u5f35\u671f\uff1a8\uff5e15\u5e73\u5747\u5727\uff1a10\uff5e20<\/td>\n\u53ce\u7e2e\u671f\u5727\u4e0a\u6607\uff1a\u80ba\u6897\u585e\u62e1\u5f35\u671f\u5727\u4e0a\u6607\uff1a\u5de6\u5fc3\u4e0d\u5168<\/td>\n<\/tr>\n
RVP<\/td>\n\u53ce\u7e2e\u671f\uff1a15\uff5e25\u62e1\u5f35\u671f\uff1a0\uff5e8<\/td>\n\u53ce\u7e2e\u5727\u4e0a\u6607\uff1a\u80ba\u9ad8\u8840\u5727\u75c7\u3001\u80ba\u52d5\u8108\u72ed\u7a84\u62e1\u5f35\u671f\u5727\u4e0a\u6607\uff1a\u53f3\u5fc3\u4e0d\u5168\u3001\u5fc3\u30bf\u30f3\u30dd\u30ca\u30fc\u30c7<\/td>\n<\/tr>\n
RAP<\/td>\n-1\uff5e7\u5e73\u5747\u5727\uff1a4<\/td>\n\u5e73\u5747\u5727\u4e0a\u6607\uff1a\u53f3\u5fc3\u4e0d\u5168\u3001\u5fc3\u30bf\u30f3\u30dd\u30ca\u30fc\u30c7\u5e73\u5747\u5727\u4f4e\u4e0b\uff1a\u5faa\u74b0\u8840\u91cf\u306e\u6e1b\u5c11<\/td>\n<\/tr>\n
CVP<\/span><\/td>\n\u5e73\u5747\u5727\uff1a2\uff5e8<\/span><\/td>\n\u5e73\u5747\u5727\u4e0a\u6607\uff1a\u5faa\u74b0\u8840\u6db2\u91cf\u306e\u4e0a\u6607\u3001\u53f3\u5fc3\u4e0d\u5168\u3001\u5fc3\u30bf\u30f3\u30dd\u30ca\u30fc\u30c7\uff09\u3001\u904e\u5270\u8f38\u6db2\uff08\u8f38\u8840\uff09\u5e73\u5747\u5727\u4f4e\u4e0b\uff1a\u5faa\u74b0\u8840\u91cf\u306e\u6e1b\u5c11<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

 <\/p>\n

 <\/p>\n

\u25a0\u71b1\u7a00\u91c8\u6cd5\u306b\u3088\u308b\u5fc3\u62cd\u51fa\u91cf\uff08Cardiac Output\uff1aCO)\u306e\u6e2c\u5b9a<\/strong><\/span><\/p>\n\"\u71b1\u7a00\u91c8\u6cd5\u3000\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\"\n

\u5fc3\u62cd\u51fa\u91cf\uff08CO)\u306e\u6e2c\u5b9a\u306f\u3001<\/p>\n

\u53f3\u5fc3\u623f\u306b\u3042\u308b\u6ce8\u5165\u7528\u5074\u5b54<\/span>\u304b\u3089<\/p>\n

\u5c11\u91cf\u306e\u51b7\u6c34<\/span>(10ml\u307b\u3069)\u3092\u52e2\u3044\u3088\u304f\u6d41\u3057<\/p>\n

\u8840\u6db2\u306e\u6e29\u5ea6\u5909\u5316<\/span>\u3092\u30ab\u30c6\u5148\u7aef\u306e\u6e29\u5ea6<\/span>\u30bb\u30f3\u30b5\u3067\u611f\u77e5<\/span>\u3059\u308b\u3053\u3068\u3067\u884c\u3044\u307e\u3059\u3002<\/p>\n

 <\/p>\n

\u6ce8\u5165\u3055\u308c\u308b\u51b7\u6c34\u304c\u4e00\u5b9a\u306e\u305f\u3081\u3001<\/p>\n

\u4e00\u5ea6\u4e0b\u304c\u3063\u305f\u8840\u6db2\u6e29\u5ea6\u304c\u623b\u308b\u307e\u3067\u306e\u6642\u9593<\/span>\u3092\u6e2c\u5b9a\u3059\u308b\u3053\u3068\u3067<\/p>\n

\u5fc3\u62cd\u51fa\u91cf\uff08CO)\u304c\u6e2c\u5b9a\u3067\u304d\u307e\u3059\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4(Swan-Ganz)\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u6574\u7406\u3057\u3066\u3044\u304f\u305e\uff01<\/h2>\n

 <\/p>\n

\u306a\u305c\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u3092\u884c\u3046\u306e\u304b\uff1f<\/h3>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u3092\u4f7f\u3063\u305f\u691c\u67fb\u306f\u3001\u5fc3\u4e0d\u5168\u3084\u77ed\u7d61\u75be\u60a3\uff08\uff1d\u4e2d\u9694\u6b20\u640d\uff09\u304c\u7591\u308f\u308c\u308b\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3057\u3066\u884c\u308f\u308c\u308b\u3002<\/p>\n

 <\/p>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u30ab\u30c6\u3092\u4f7f\u3046\u3053\u3068\u3067\u3001<\/p>\n

\u5fc3\u5185\u5727\u3001<\/span>\u5fc3\u62cd\u51fa\u91cf\uff08Cardiac Output: CO) \u305d\u3057\u3066<\/span>\u9178\u7d20\u98fd\u548c\u5ea6<\/span><\/p>\n

\u3053\u306e\uff13\u3064\u3092\u6e2c\u5b9a\u3067\u304d\u308b\u306e\u3060\u304c\u3001<\/p>\n

\u305d\u3082\u305d\u3082\u306a\u305c\u305d\u3093\u306a\u6570\u5024\u3092\u6e2c\u5b9a\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u304b\uff1f<\/strong><\/span><\/p>\n

\u3053\u3053\u304c\u91cd\u8981\u3060\uff01<\/p>\n

 <\/p>\n

\u5fc3\u4e0d\u5168\u3084\u77ed\u7d61\u75be\u60a3\u3068\u3044\u3063\u305f\u5fc3\u75be\u60a3\u304c\u539f\u56e0\u3067\u5fc3\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u305f\u5834\u5408\u3001<\/p>\n

\u5fc5\u305a\u5fc3\u81d3\u306e\u8840\u884c\u52d5\u614b\uff08\u8840\u306e\u6d41\u308c\u65b9\uff09\u306b\u7570\u5e38\u304c\u8d77\u3053\u308b\u3002<\/span><\/p>\n

\u305d\u3053\u3067\u3001\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u3092\u4f7f\u3046\u3053\u3068\u3067<\/p>\n

\u5fc3\u81d3\u306e\u8840\u884c\u52d5\u614b\u3092\u8a73\u7d30\u306b\u8abf\u3079\u3089\u308c\u3001<\/span><\/p>\n

\u5fc3\u81d3\u306e\u4f55\u51e6\u3067\u3069\u3093\u306a\u7570\u5e38\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\u304b\u3092\u628a\u63e1\u3067\u304d\u308b\u3093\u3060\uff01<\/span><\/p>\n

 <\/p>\n

\u3064\u307e\u308a\u3001<\/p>\n

\u5fc3\u6a5f\u80fd\u7570\u5e38\u306e\u8a73\u7d30\u306a\u628a\u63e1\uff08\u4f55\u51e6\u3067\u3069\u3093\u306a\u7570\u5e38\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\u306e\u304b\uff09<\/strong><\/span><\/p>\n

\u3053\u308c\u304c\u3001\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u3092\u884c\u3046\u76ee\u7684\u3060\uff01<\/p>\n

 <\/p>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u3067\u5f97\u3089\u308c\u305f\u6570\u5024\u306f<\/p>\n

\u305d\u306e\u5f8c\u306e\u6cbb\u7642\u65b9\u91dd\u306e\u6c7a\u5b9a\u306b\u5f71\u97ff\u3059\u308b\u304b\u3089<\/p>\n

\u3068\u3066\u3082\u91cd\u8981\u306a\u691c\u67fb\u3060\u305e\uff01<\/p>\n

 <\/p>\n

\u691c\u67fb\u9805\u76ee<\/h3>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u306e\u691c\u67fb\u9805\u76ee\u306f\uff13\u3064\u3060\u3002<\/p>\n

\u30fb\u5fc3\u5185\u5727\u306e\u6e2c\u5b9a<\/p>\n

\u30fb\u5fc3\u62cd\u51fa\u91cf\uff08Cardiac Output: CO) \u306e\u6e2c\u5b9a<\/p>\n

\u30fb\u9178\u7d20\u98fd\u548c\u5ea6\u306e\u6e2c\u5b9a<\/p>\n

 <\/p>\n

\u3053\u306e3\u3064\u306e\u3046\u3061\u3001<\/p>\n

\u30fb\u5fc3\u5185\u5727\u6e2c\u5b9a<\/p>\n

\u30fb\u5fc3\u62cd\u51fa\u91cf\uff08CO)<\/p>\n

\u3053\u306e\uff12\u3064\u306f\u3001<\/span><\/p>\n

\u4e3b\u306b\u6025\u6027\u5fc3\u4e0d\u5168\u306e\u91cd\u75c7\u5ea6\u3092\u77e5\u308b\u305f\u3081\u306e\u6307\u6a19\u3001\u300c<\/span>\u30d5\u30a9\u30ec\u30b9\u30bf\u30fc\u5206\u985e\u300d\u306b\u91cd\u8981\u306a\u6570\u5024<\/span>\u3060\u3002<\/p>\n

\u53c2\u7167\uff1a\u30d5\u30a9\u30ec\u30b9\u30bf\u30fc\uff08Forrester\uff09\u5206\u985e\u3092\u899a\u3048\u308b\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3060\uff01<\/span><\/a><\/p>\n

 <\/p>\n

\u305d\u3057\u3066\u3001<\/p>\n

\u30fb\u9178\u7d20\u98fd\u548c\u5ea6\u306e\u6e2c\u5b9a<\/p>\n

\u306f\u3001\u77ed\u7d61\u75be\u60a3\u306e\u8a3a\u65ad\u306b\u91cd\u8981\u3060\u305e\uff01<\/p>\n

 <\/p>\n

 <\/p>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u30ab\u30c6\u30fc\u30c6\u30eb\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u90e8\u4f4d<\/h3>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u30ab\u30c6\u306f\u53f3\u5fc3\u30ab\u30c6\u3060\u304b\u3089<\/p>\n

\u9759\u8108\u304b\u3089\u30a2\u30d7\u30ed\u30fc\u30c1<\/span>\u3059\u308b\u305e\uff01\"\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u3000\u30a2\u30d7\u30ed\u30fc\u30c1\"<\/p>\n

 <\/p>\n

\u30a2\u30d7\u30ed\u30fc\u30c1\u53ef\u80fd\u306a\u7b87\u6240\u306f<\/p>\n\n\n\n\n\n\n\n
<\/td>\n\u548c\u540d<\/strong><\/td>\n\u82f1\u540d<\/strong><\/td>\n<\/tr>\n
\u2460<\/td>\n\u5927\u817f\u9759\u8108<\/span><\/td>\nFemoral vein<\/span><\/td>\n<\/tr>\n
\u2461<\/td>\n\u4e0a\u8155\u9759\u8108<\/span><\/td>\nBrachial vein<\/span><\/td>\n<\/tr>\n
\u2462<\/td>\n\u9396\u9aa8\u4e0b\u9759\u8108<\/td>\nSubclavian vein<\/td>\n<\/tr>\n
\u2463<\/td>\n\u5185\u981a\u9759\u8108<\/td>\nInternal Jugular vein<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

\u306e\uff14\u7b87\u6240\u3002<\/p>\n

\u3053\u306e\uff14\u7b87\u6240\u306f\u548c\u540d\u30fb\u82f1\u540d\u306e\u30bb\u30c3\u30c8\u3067\u899a\u3048\u308b\u3093\u3060\uff01<\/span><\/p>\n

 <\/p>\n

\u3053\u306e4\u7b87\u6240\u306e\u5185\u3001\u7279\u306b\u983b\u7e41\u306b\u4f7f\u308f\u308c\u308b\u306e\u306f<\/p>\n

\u30fb\u5927\u817f\u9759\u8108<\/span><\/p>\n

\u30fb\u4e0a\u8155\u9759\u8108<\/span><\/p>\n

\u3053\u306e2\u7b87\u6240\u3060\uff01<\/p>\n

\u3053\u306e\uff12\u7b87\u6240\u306f\u6700\u521d\u306b\u5fc5\u305a\u899a\u3048\u3066\u304a\u304f\u3093\u3060\u305e\uff01<\/p>\n

 <\/p>\n

\u5fc3\u5185\u5727\u306e\u6e2c\u5b9a\u7b87\u6240<\/h3>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u3067\u306e\u5fc3\u5185\u5727\u6e2c\u5b9a\u7b87\u6240\u306f5\u7b87\u6240\u3060\uff01<\/p>\n

\"\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u3000\u5fc3\u5185\u5727\u6e2c\u5b9a\"<\/span><\/strong><\/p>\n

 <\/p>\n

\n\n\n\n\n\n\n\n\n
<\/td>\n\u548c\u540d<\/strong><\/td>\n\u82f1\u540d<\/strong><\/td>\n\u7565\u8a9e<\/strong><\/td>\n<\/tr>\n
\u2460<\/td>\n\u80ba\u52d5\u8108\u6954\u5165\u5727<\/span><\/td>\nPulmonary Capillary Wedge Pressure<\/span><\/td>\nPCWP<\/span><\/td>\n<\/tr>\n
\u2461<\/td>\n\u80ba\u52d5\u8108\u5727<\/td>\nPulmonary Arterial Pressure<\/td>\nPAP<\/span><\/td>\n<\/tr>\n
\u2462<\/span><\/td>\n\u53f3\u5ba4\u5727<\/span><\/td>\nRight Ventricular Pressure<\/span><\/td>\nRVP<\/span><\/td>\n<\/tr>\n
\u2463<\/span><\/td>\n\u53f3\u623f\u5727<\/span><\/td>\nRight Arterial Pressure<\/span><\/td>\nRAP<\/span><\/td>\n<\/tr>\n
\u2464<\/td>\n\u4e2d\u5fc3\u9759\u8108\u5727<\/span><\/td>\nCenteral Venous Pressure<\/span><\/td>\nCVP<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

\u3053\u306e\uff15\u7b87\u6240\u306e\u3046\u3061\u3001\u4e00\u756a\u91cd\u8981\u306a\u306e\u304c<\/p>\n

\u2460PCWP \uff08\u80ba\u52d5\u8108\u6954\u5165\uff08\u305b\u3064\u306b\u3085\u3046\uff09\u5727\uff09<\/span>\u3060\uff01<\/span><\/p>\n

\u306a\u305c\u306a\u3089\u3001PCWP\u306e\u6570\u5024\u304c\u30d5\u30a9\u30ec\u30b9\u30bf\u30fc\u5206\u985e\u3067\u3082\u4f7f\u308f\u308c\u308b<\/span>\u304b\u3089\u3060\uff01<\/p>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u3092\u884c\u3046\u3068\u304d\u306f\u3001\u5fc5\u305aPCWP\u306e\u6570\u5024\u3092\u62bc\u3055\u3048\u308b\u3093\u3060\u305e\uff01<\/p>\n

\u3053\u308c\u3089\uff15\u3064\u306e\u6e2c\u5b9a\u7b87\u6240\u306f\u77e5\u3063\u3066\u3044\u3066\u5f53\u7136\u306eMUST\u77e5\u8b58\u3060\u3002<\/p>\n

\u548c\u540d\u30fb\u82f1\u540d\u30fb\u7565\u8a9e\u3092\uff13\u3064\u30bb\u30c3\u30c8\u3067\u3059\u3079\u3066\u6697\u8a18\u3057\u3088\u3046\uff01<\/span><\/p>\n

 <\/p>\n

 <\/p>\n

\u5404\u90e8\u4f4d\u306e\u5fc3\u5185\u5727\u6b63\u5e38\u5024\u3068\u5909\u52d5\u8981\u56e0<\/h3>\n

\u5404\u90e8\u4f4d\u306e\u6b63\u5e38\u5024\u3068\u5909\u52d5\u8981\u56e0\u306f\u4e0b\u306e\u8868\u306b\u307e\u3068\u307e\u3063\u3066\u3044\u308b\u3002\u2193<\/p>\n

\n\n\n\n\n\n\n\n\n
\u90e8\u4f4d<\/strong><\/td>\n\u6b63\u5e38\u5024\uff08mmHg)<\/strong><\/td>\n\u5909\u52d5\u8981\u56e0<\/strong><\/td>\n<\/tr>\n
PCWP<\/span><\/td>\n\u5e73\u5747\u5727\uff1a6\uff5e12<\/span><\/td>\n\u5e73\u5747\u5727\u4e0a\u6607\uff1a\u5de6\u5fc3\u4e0d\u5168\u5e73\u5747\u5727\u4f4e\u4e0b\uff1a\u5faa\u74b0\u8840\u6db2\u91cf\u306e\u6e1b\u5c11<\/td>\n<\/tr>\n
PAP<\/td>\n\u53ce\u7e2e\u671f\uff1a15\uff5e25\u62e1\u5f35\u671f\uff1a8\uff5e15\u5e73\u5747\u5727\uff1a10\uff5e20<\/td>\n\u53ce\u7e2e\u671f\u5727\u4e0a\u6607\uff1a\u80ba\u6897\u585e\u62e1\u5f35\u671f\u5727\u4e0a\u6607\uff1a\u5de6\u5fc3\u4e0d\u5168<\/td>\n<\/tr>\n
RVP<\/td>\n\u53ce\u7e2e\u671f\uff1a15\uff5e25\u62e1\u5f35\u671f\uff1a0\uff5e8<\/td>\n\u53ce\u7e2e\u5727\u4e0a\u6607\uff1a\u80ba\u9ad8\u8840\u5727\u75c7\u3001\u80ba\u52d5\u8108\u72ed\u7a84\u62e1\u5f35\u671f\u5727\u4e0a\u6607\uff1a\u53f3\u5fc3\u4e0d\u5168\u3001\u5fc3\u30bf\u30f3\u30dd\u30ca\u30fc\u30c7<\/td>\n<\/tr>\n
RAP<\/td>\n-1\uff5e7\u5e73\u5747\u5727\uff1a4<\/td>\n\u5e73\u5747\u5727\u4e0a\u6607\uff1a\u53f3\u5fc3\u4e0d\u5168\u3001\u5fc3\u30bf\u30f3\u30dd\u30ca\u30fc\u30c7\u5e73\u5747\u5727\u4f4e\u4e0b\uff1a\u5faa\u74b0\u8840\u91cf\u306e\u6e1b\u5c11<\/td>\n<\/tr>\n
CVP<\/span><\/td>\n\u5e73\u5747\u5727\uff1a2\uff5e8<\/span><\/td>\n\u5e73\u5747\u5727\u4e0a\u6607\uff1a\u5faa\u74b0\u8840\u6db2\u91cf\u306e\u4e0a\u6607\u3001\u53f3\u5fc3\u4e0d\u5168\u3001\u5fc3\u30bf\u30f3\u30dd\u30ca\u30fc\u30c7\uff09\u3001\u904e\u5270\u8f38\u6db2\uff08\u8f38\u8840\uff09\u5e73\u5747\u5727\u4f4e\u4e0b\uff1a\u5faa\u74b0\u8840\u91cf\u306e\u6e1b\u5c11<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

\u3056\u3063\u304f\u308a\u3068\u8aac\u660e\u3059\u308b\u3068\u3001<\/p>\n

PCWP\u3067\u7570\u5e38\u304c\u3042\u3063\u305f\u5834\u5408\u3001\u5de6\u5fc3\u306b\u7570\u5e38\u304c\u3042\u308b\u305e\uff01<\/span><\/p>\n

CVP\u3067\u7570\u5e38\u304c\u3042\u3063\u305f\u5834\u5408\u3001\u53f3\u5fc3\u306b\u7570\u5e38\u304c\u3042\u308b\u305e\uff01<\/span><\/p>\n

\u3053\u306e\u3056\u3063\u304f\u308a\u3068\u3057\u305f\u30a4\u30e1\u30fc\u30b8\u3092\u6700\u521d\u306b\u62bc\u3055\u3048\u3066\u304a\u3053\u3046\uff01<\/p>\n

 <\/p>\n

\u90e8\u4f4d\u3068\u6b63\u5e38\u5024\u3067\u4e00\u756a\u91cd\u8981\u306a\u306e\u306f<\/p>\n

PCWP\u306e\u6570\u5024\u3060\u3002<\/p>\n

PCWP\u306e\u6570\u5024\u306f\u30d5\u30a9\u30ec\u30b9\u30bf\u30fc\u5206\u985e\u3067\u4f7f\u7528\u3055\u308c\u308b\u3002<\/p>\n

PCWP\u306e\u6b63\u5e38\u5024\u304c6\uff5e12mmHg<\/span>\u3067\u3042\u308b\u3053\u3068\u3092\u3001<\/p>\n

\u4e00\u756a\u6700\u521d\u306b\u899a\u3048\u308b\u3093\u3060\uff01<\/p>\n

 <\/p>\n

\u71b1\u7a00\u91c8\u6cd5\u306b\u3088\u308b\u3001\u5fc3\u62cd\u51fa\u91cf\uff08CO)\u306e\u6e2c\u5b9a<\/h3>\n\"\u71b1\u7a00\u91c8\u6cd5\u3000\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\"\n

\u5fc3\u62cd\u51fa\u91cf\uff08CO)\u306f\u3001\u51b7\u6c34\u3092\u53f3\u5fc3\u623f\u306b\u6ce8\u5165\u3059\u308b<\/p>\n

\u71b1\u7a00\u91c8\u6cd5<\/span>\u306b\u3088\u3063\u3066\u884c\u308f\u308c\u308b\u305e\uff01<\/p>\n

 <\/p>\n

\u30ab\u30c6\u5148\u3092\u80ba\u52d5\u8108\u306e\u5965\u306b\u9032\u3081\u308b\u3068\u3001<\/p>\n

\u51b7\u6c34\u3092\u6ce8\u5165\u3059\u308b\u6ce8\u5165\u7528\u5074\u5b54\u304c\u3001\u53f3\u5fc3\u623f\u3042\u305f\u308a\u306b\u4f4d\u7f6e\u3059\u3093\u3060\u3002<\/p>\n

\u3053\u306e\u6ce8\u5165\u7528\u5074\u5b54\u304b\u3089\u3001\uff10\u2103\u306e\u51b7\u6c34\u3092\u52e2\u3044\u826f\u304f\u6ce8\u5165\u3059\u308b\u3068<\/span><\/p>\n

\u5fc3\u81d3\u5185\u306e\u8840\u6db2\u6e29\u5ea6\u304c\u4e00\u6642\u7684\u306b\u4e0b\u304c\u308b\u3002<\/span><\/p>\n

\u3053\u306e\u4e0b\u304c\u3063\u305f\u6e29\u5ea6\u304c\u5143\u306b\u623b\u308b\u307e\u3067\u306e\u6642\u9593\u3092<\/span><\/p>\n

\u30ab\u30c6\u5148\u7aef\u306e\u6e29\u5ea6\u30bb\u30f3\u30b5\u3067\u6e2c\u5b9a<\/span>\u3059\u308b\u3053\u3068\u3067<\/p>\n

\u304a\u304a\u3088\u305d\u306e\u5fc3\u62cd\u51fa\u91cf\uff08CO)\u304c\u308f\u304b\u308b\u305e\uff01<\/p>\n

 <\/p>\n

\u71b1\u7a00\u91c8\u6cd5\u306b\u3088\u308b\u5fc3\u62cd\u51fa\u91cf\uff08CO)\u6e2c\u5b9a\u306f\u3001<\/p>\n

\u3070\u3089\u3064\u304d\u304c\u3042\u308b\u305f\u3081\u3001<\/p>\n

\uff12\uff5e\uff13\u56de\u6e2c\u5b9a\u3057\u3066\u305d\u306e\u5e73\u5747\u5024\u3092\u53d6\u308b\u305e\uff01<\/p>\n

 <\/p>\n

\u5fc3\u62cd\u51fa\u91cf\uff08CO)\u306e\u6b63\u5e38\u5024\u306f4\uff5e8L\/min\u3060\uff01<\/p>\n

 <\/p>\n

 <\/p>\n

\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u30b7\u30fc\u30c8\u3067\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u899a\u3048\u3088\u3046\uff01<\/h2>\n

 <\/p>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u2460 \u7a7a\u6b04\u3092\u57cb\u3081\u3066\u8868\u3068\u6587\u7ae0\u3092\u5b8c\u6210\u3055\u305b\u308b\u3093\u3060\uff01<\/h3>\n

\u5fc3\u30ab\u30c6\u968a\u306b\u7121\u6599\u5165\u968a\u3059\u308b\u3068\u3001\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u30b7\u30fc\u30c8\u304c\u30c0\u30a6\u30f3\u30ed\u30fc\u30c9\u3067\u304d\u308b\u305e\uff01<\/p>\n

\u65e9\u901f\u3001\u5fc3\u30ab\u30c6\u968a\u54e1\u5c02\u7528\u30da\u30fc\u30b8<\/strong><\/span><\/a>\u304b\u3089\u3001
\n\u300e\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\uff08Swan-Ganz)\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u899a\u3048\u308b\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u30b7\u30fc\u30c8\u300f<\/span><\/strong>\u3092\u30c0\u30a6\u30f3\u30ed\u30fc\u30c9\u3057\u5370\u5237\u3057\u3088\u3046\u3002
\n\u307e\u3060\u5fc3\u30ab\u30c6\u968a\u306b\u5165\u968a\u3057\u3066\u3044\u306a\u3044\u4eba\u306f\u3001\u4eca\u3059\u3050\u5165\u968a\u3057\u3066\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u30b7\u30fc\u30c8\u3092\u5165\u624b\u3057\u3088\u3046\u3002<\/p>\n

\u21d2\u5fc3\u30ab\u30c6\u968a\u65b0\u898f\u5165\u968a\u7533\u8fbc\uff08\u7121\u6599\uff09\u306f\u3053\u3061\u3089<\/span><\/a><\/strong><\/p>\n

 <\/p>\n

 <\/p>\n\"\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u3000\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u30b7\u30fc\u30c8\"<\/a>\n

\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u30b7\u30fc\u30c8\u306e3\uff5e5\u30da\u30fc\u30b8\u306b\u3001<\/p>\n

\u7a74\u57cb\u3081\u7528\u306e\u6587\u7ae0\u3068\u8868\u304c\u7528\u610f\u3057\u3066\u3042\u308b\u3002<\/p>\n

\u4e0a\u306e\u6587\u7ae0\u3068\u8868\u3092\u53c2\u8003\u306b\u3057\u3066\u7a7a\u6b04\u3092\u57cb\u3081\u3066<\/p>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u30ab\u30c6\u306e\u8981\u70b9\u3092\u52b9\u7387\u3088\u304f\u899a\u3048\u3088\u3046\uff01<\/p>\n

 <\/p>\n

 <\/p>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u30ab\u30c6\u30fc\u30c6\u30eb\u306e\u6b21\u306f\u3001\u300c\u30d5\u30a9\u30ec\u30b9\u30bf\u30fc\u5206\u985e\u300d\u3092\u30de\u30b9\u30bf\u30fc\u3057\u3088\u3046\uff01<\/h2>\n

\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u899a\u3048\u305f\u3089\u3001\u6b21\u306f\u30d5\u30a9\u30ec\u30b9\u30bf\u30fc\u5206\u985e\u3092\u899a\u3048\u3088\u3046\uff01
\n\u30b9\u30ef\u30f3\u30ac\u30f3\u30c4\u3067\u5f97\u3089\u308c\u305f\u6570\u5024\u304c\u3069\u306e\u3088\u3046\u306b\u8a3a\u65ad\u306b\u5f71\u97ff\u3059\u308b\u304b\u7406\u89e3\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u305e\uff01<\/span><\/p>\n

\u2192 \u6b21\u306e\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\uff1a\u30d5\u30a9\u30ec\u30b9\u30bf\u30fc(Forrester)\u5206\u985e\u3092\u899a\u3048\u308b\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3060\uff01<\/a><\/p>\n

 <\/p>\n

\u5fc3\u30ab\u30c6\u3092\u30bc\u30ed\u304b\u3089\u4f53\u7cfb\u7684\u306b\u30de\u30b9\u30bf\u30fc\u3057\u3066\u3044\u3053\u3046\uff01<\/h2>\n

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