{"id":222,"date":"2021-08-19T21:56:00","date_gmt":"2021-08-19T12:56:00","guid":{"rendered":"https:\/\/tenshokunote.com\/?p=222"},"modified":"2021-08-20T23:34:00","modified_gmt":"2021-08-20T14:34:00","slug":"%e3%83%9e%e3%83%ac%e3%83%bc%e3%82%b7%e3%82%a2%e5%86%85%e9%96%a3%e7%b7%8f%e7%90%86%e5%a4%a7%e8%87%a3%e3%81%ae%e3%83%97%e3%83%ac%e3%82%b9%e3%83%aa%e3%83%aa%e3%83%bc%e3%82%b9%e5%ae%8c%e5%85%a8%e3%81%aa","status":"publish","type":"post","link":"https:\/\/tenshokunote.com\/?p=222","title":{"rendered":"\u30de\u30ec\u30fc\u30b7\u30a2\u5185\u95a3\u7dcf\u7406\u5927\u81e3\u306e\u30d7\u30ec\u30b9\u30ea\u30ea\u30fc\u30b9<br>\u5b8c\u5168\u306a\u4e88\u9632\u63a5\u7a2e\u3057\u305f\u4eba\u306e\u7d4c\u6e08\u7de9\u548c\u7b56"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">2021\u5e748\u67088\u65e5\u306815\u65e5\u3001\u653f\u5e9c\u306f\u5b8c\u5168\u306a\u4e88\u9632\u63a5\u7a2e\u3092\u53d7\u3051\u305f\u500b\u4eba\u306e\u305f\u3081\u306e\u793e\u4f1a\u7d4c\u6e08\u90e8\u9580\u65bd\u8a2d\u3092\u767a\u8868\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u65e5\u306e\u5348\u5f8c\u3001\u79c1\u306f\u56fd\u5bb6\u5b89\u5168\u4fdd\u969c\u4f1a\u8b70(NSC)\u306e\u7279\u5225\u30bb\u30c3\u30b7\u30e7\u30f3\u306e\u8b70\u9577\u3092\u52d9\u3081\u3001\u7279\u306b\u56fd\u5bb6\u5fa9\u8208\u8a08\u753b(PPN)\u306e\u30d5\u30a7\u30fc\u30ba1\u306b\u5411\u3051\u3066\u3001\u793e\u4f1a\u7d4c\u6e08\u90e8\u9580\u306e\u65bd\u8a2d\u3092\u62e1\u5927\u3059\u308b\u305f\u3081\u306eMKN\u6280\u8853\u7279\u5225\u59d4\u54e1\u4f1a\u306e\u63d0\u6848\u306b\u3064\u3044\u3066\u8b70\u8ad6\u3057\u3001\u691c\u8a0e\u3057\u307e\u3057\u305f\u3002\u3053\u306e\u4f1a\u8b70\u306b\u306f\u3001\u516c\u52d9\u54e1\u9577\u3001\u5404\u7701\u9577\u3001\u4fdd\u5065\u5c40\u9577\u3001MKN\u4e8b\u52d9\u5c40\u9577\u3001lmigresen\u4e8b\u52d9\u5c40\u9577\u3001\u95a2\u4fc2\u3059\u308b\u653f\u5e9c\u9ad8\u5b98\u3082\u51fa\u5e2d\u3057\u307e\u3057\u305f\u3002\u901a\u77e5\u3055\u308c\u306a\u3044\u9650\u308a\u3001\u4eca\u65e5\u884c\u308f\u308c\u305f\u8003\u616e\u4e8b\u9805\u306f\u300150%\u3092\u8d85\u3048\u305f\u5168\u56fd\u306e\u6210\u4eba\u4eba\u53e3\u306e\u5b8c\u5168\u306a\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u7387\u306e\u80af\u5b9a\u7684\u306a\u767a\u5c55\u3092\u8003\u616e\u306b\u5165\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u30012021\u5e748\u670831\u65e5\u306b\u4ee5\u524d\u306b\u76ee\u6a19\u3092\u8a2d\u5b9a\u3057\u305f\u3088\u308a\u3082\u65e9\u3044\u3082\u306e\u3067\u3057\u305f\u3002<br><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3055\u3089\u306b\u3001\u4f1a\u8b70\u306f\u307e\u305f\u3001\u3044\u304f\u3064\u304b\u306e\u5dde\u3001Wp\u30e9\u30d6\u30a2\u30f3\u3001\u30b5\u30e9\u30ef\u30af\u3001\u30cd\u30b2\u30ea\u30bb\u30f3\u30d3\u30e9\u30f3\u3001\u30af\u30e9\u30f3\u30d0\u30ec\u30fc\u5dde(\u30bb\u30e9\u30f3\u30b4\u30fc\u30eb\u3001WP\u30af\u30a2\u30e9\u30eb\u30f3\u30d7\u30fc\u30eb\u3001\u30d7\u30c8\u30e9\u30b8\u30e3\u30e4)\u306e\u3044\u304f\u3064\u304b\u306e\u5dde\u3067\u3001\u56fd\u5bb6COVID-19\u30aa\u30fc\u30c8\u30e1\u30fc\u30b7\u30e7\u30f3\u30d7\u30ed\u30b0\u30e9\u30e0(PICK)\u304b\u3089\u306e\u80af\u5b9a\u7684\u306a\u521d\u671f\u306e\u767a\u5c55\u306b\u6ce8\u76ee\u3057\u307e\u3057\u305f\u3002<br>\u4fdd\u5065\u7701(MOH)\u304c\u53ce\u96c6\u3057\u305f\u30c7\u30fc\u30bf\u306b\u3088\u308b\u3068\u3001\u6210\u4eba\u4eba\u53e3(18\u6b73\u4ee5\u4e0a)\u306b\u5bfe\u3059\u308bCOVID-19\u30ef\u30af\u30c1\u30f3\u306e\u5b8c\u5168\u306a\u6295\u4e0e\u91cf\u30ab\u30d0\u30ec\u30c3\u30b8\u304c40%\u3092\u8d85\u3048\u305f\u5834\u5408\u3001\u3059\u3079\u3066\u306e\u5dde\u304c\u30ab\u30c6\u30b4\u30ea\u30fc 3\u301c5\u306e\u75c7\u4f8b\u6e1b\u5c11\u3092\u793a\u3057\u59cb\u3081\u3066\u3044\u308b\u3002<br><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u540c\u6642\u306b\u3001\u75c5\u9662\u306e\u5371\u6a5f\u6e96\u5099\u5bfe\u5fdc\u30bb\u30f3\u30bf\u30fc(CPRC)\u306e\u30c7\u30fc\u30bf\u306f\u3001\u30af\u30e9\u30f3\u30d0\u30ec\u30fc\u306e\u6551\u6025\u90e8\u306e\u72b6\u6cc1\u3082\u6539\u5584\u3057\u305f\u3053\u3068\u3092\u793a\u3057\u307e\u3057\u305f\u3002 \u4f8b\u3048\u3070\u3001\u30af\u30e9\u30f3\u30d0\u30ec\u30fc\u5dde\u306eMOH\u75c5\u9662\u306e\u75c5\u9662\u306b\u7f6e\u304b\u308c\u308b\u6551\u6025\u90e8\u3067\u5f85\u3063\u3066\u3044\u308b\u5e73\u5747\u60a3\u8005\u306f\u6e1b\u5c11\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u72b6\u6cc1\u306f\u3001\u30af\u30e9\u30f3\u30d0\u30ec\u30fc\u306e\u6210\u4eba\u4eba\u53e3\u306e\u5b8c\u5168\u306a\u4e88\u9632\u63a5\u7a2e\u7387\u304c73.8%\u3067\u3042\u3063\u305f\u3068\u3044\u3046\u5370\u8c61\u7684\u306a\u6210\u679c\u306b\u6cbf\u3063\u3066\u898b\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-gallery columns-1 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\"><ul class=\"blocks-gallery-grid\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"729\" height=\"1024\" src=\"https:\/\/tenshokunote.com\/wp-content\/uploads\/2021\/08\/20210819_01-729x1024.jpg\" alt=\"\" data-id=\"223\" data-full-url=\"https:\/\/tenshokunote.com\/wp-content\/uploads\/2021\/08\/20210819_01.jpg\" data-link=\"https:\/\/tenshokunote.com\/?attachment_id=223\" class=\"wp-image-223\" srcset=\"https:\/\/tenshokunote.com\/wp-content\/uploads\/2021\/08\/20210819_01-729x1024.jpg 729w, https:\/\/tenshokunote.com\/wp-content\/uploads\/2021\/08\/20210819_01-214x300.jpg 214w, https:\/\/tenshokunote.com\/wp-content\/uploads\/2021\/08\/20210819_01-768x1078.jpg 768w, https:\/\/tenshokunote.com\/wp-content\/uploads\/2021\/08\/20210819_01-1094x1536.jpg 1094w, https:\/\/tenshokunote.com\/wp-content\/uploads\/2021\/08\/20210819_01.jpg 1170w\" sizes=\"auto, (max-width: 729px) 100vw, 729px\" \/><\/figure><\/li><\/ul><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e88\u9632\u63a5\u7a2e\u306e\u5bfe\u8c61\u7bc4\u56f2\u304c\u5897\u52a0\u3059\u308b\u306b\u3064\u308c\u3066\u3001ICU\u306b\u5165\u9662\u3059\u308b\u5fc5\u8981\u304c\u3042\u308bCOVID-19\u306e\u75c7\u4f8b\u304c\u6a2a\u65b9\u5411\u306e\u50be\u5411\u3092\u793a\u3057\u59cb\u3081\u3001\u6e1b\u5c11\u3059\u308b\u3068\u4e88\u60f3\u3055\u308c\u307e\u3059\u3002<br>\u3053\u306e\u70b9\u306b\u95a2\u3057\u3066\u3001MKN\u7279\u5225\u30bb\u30c3\u30b7\u30e7\u30f3\u306f\u672c\u65e5\u3001PPN\u306e\u30d5\u30a7\u30fc\u30ba1\u3067\u5dde\u306e\u5b8c\u5168\u306a\u4e88\u9632\u63a5\u7a2e\u3092\u53d7\u3051\u305f\u500b\u4eba\u306b\u8ffd\u52a0\u306e\u793e\u4f1a\u7684\u304a\u3088\u3073\u7d4c\u6e08\u7684\u65bd\u8a2d\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\u306b\u5408\u610f\u3057\u305f\u3002<br>\u4ee5\u4e0b\u306e\u57fa\u6e96\u3092\u6e80\u305f\u3057\u305f\u5834\u5408\u3001\u500b\u4eba\u306f\u4e88\u9632\u63a5\u7a2e\u3092\u5b8c\u4e86\u3057\u305f\u500b\u4eba\u3068\u3057\u3066\u306e\u307f\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u3092\u660e\u78ba\u306b\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><code>a) 2\u56de\u306e\u6ce8\u5c04\u3092\u5fc5\u8981\u3068\u3059\u308b\u30ef\u30af\u30c1\u30f3(\u4f8b\u3048\u3070\u30d5\u30a1\u30a4\u30b6\u30fc\u3001\u30a2\u30b9\u30c8\u30e9\u30bc\u30cd\u30ab\u3001\u30b7\u30ce\u30f4\u30a1\u30c3\u30af)\u306e\u5834\u5408\u3001\u500b\u4eba\u306f2\u56de\u76ee\u306e\u6295\u4e0e\u6ce8\u5c04\u306e\u65e5\u304b\u308914\u65e5\u76ee\u3092\u904e\u304e\u305f\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002 \u304a\u3088\u3073<br>b) \u6ce8\u5c04\u306e1\u56de\u306e\u7528\u91cf(\u4f8b\u3048\u3070\u30b8\u30e7\u30f3\u30bd\u30f3&amp;\u30ab\u30f3\u30b7\u30fc\u30ce)\u3092\u5fc5\u8981\u3068\u3059\u308b\u30ef\u30af\u30c1\u30f3\u30bf\u30a4\u30d7\u306e\u5834\u5408\u3001\u500b\u4eba\u306f\u6ce8\u5c04\u65e5\u304b\u308928\u65e5\u76ee\u3092\u904e\u304e\u3066\u3044\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/code><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u793e\u4f1a\u90e8\u9580\u306b\u5bfe\u3057\u3066\u8a31\u53ef\u3055\u308c\u308b\u8ffd\u52a0\u8a2d\u5099\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<br><code>a. \u98df\u4e8b\u4e2d\u306e\u6d3b\u52d5\u306f\u3001\u56fd\u5bb6\u56de\u5fa9\u8a08\u753b\u30d5\u30a7\u30fc\u30ba 1\u306e\u72b6\u614b\u4ee5\u964d\u306b\u8a31\u53ef\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002<br>i. \u79c1\u306f\u3001\u3088\u308a\u826f\u3044\u63db\u6c17\u306e\u305f\u3081\u306b\u6577\u5730\u5185\u5916\u306e\u3088\u308a\u591a\u304f\u306e\u30c0\u30a4\u30cb\u30f3\u30b0\u30a8\u30ea\u30a2\u3092\u63d0\u4f9b\u3059\u308b\u305f\u3081\u306b\u98f2\u98df\u5e97\u306e\u904b\u55b6\u8005\u306b\u52a9\u8a00\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002COVID-19\u30a6\u30a4\u30eb\u30b9\u3092\u62e1\u6563\u3055\u305b\u308b\u30ea\u30b9\u30af\u306f\u3001\u65bd\u8a2d\u5185\u306e\u5916\u90e8\u3088\u308a\u3082\u306f\u308b\u304b\u306b\u9ad8\u3044\u3067\u3059\u3002<br>ii. \u98f2\u98df\u5e97\u306e\u6577\u5730\u5185\u306e\u6240\u6709\u8005\u306f\u3001\u98df\u4e8b\u306e\u305f\u3081\u306b\u6577\u5730\u5185\u306b\u5165\u308b\u4eba\u306f\u3001\u500b\u4eba\u304c\u5b8c\u5168\u306a\u4e88\u9632\u63a5\u7a2e\u3092\u53d7\u3051\u305f\u3053\u3068\u3092\u793a\u3059COVID-19\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u306e\u30c7\u30b8\u30bf\u30eb\u8a3c\u660e\u66f8\u3092\u63d0\u793a\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<br>iii. \u5b8c\u5168\u306a\u4e88\u9632\u63a5\u7a2e\u3092\u53d7\u3051\u300117\u6b73\u4ee5\u4e0b\u306e\u5b50\u4f9b\u3092\u9023\u308c\u3066\u98f2\u98df\u5e97\u3067\u98df\u4e8b\u3092\u3057\u305f\u3044\u30ab\u30c3\u30d7\u30eb\u306e\u5834\u5408\u306f\u3001\u5b50\u4f9b\u304c\u53b3\u683c\u306aSOP\u306b\u5165\u3063\u3066\u3044\u308b\u3053\u3068\u3092\u78ba\u8a8d\u3057\u3066\u304f\u3060\u3055\u3044\u3002<br>b. \u7269\u7406\u7684\u304a\u3088\u3073\u975e\u30b0\u30eb\u30fc\u30d7\u63a5\u89e6\u306e\u306a\u3044\u30b9\u30dd\u30fc\u30c4\u3001\u30ec\u30af\u30ea\u30a8\u30fc\u30b7\u30e7\u30f3\u3001\u30ec\u30af\u30ea\u30a8\u30fc\u30b7\u30e7\u30f3\u6d3b\u52d5(\u5c4b\u5916)\u3082PPN\u30d5\u30a7\u30fc\u30ba1\u5dde\u3067\u8a31\u53ef\u3055\u308c\u3001\u305d\u306e\u5f8c\u540c\u3058\u5730\u533a\u3067\u306e\u307f\u9069\u7528\u3055\u308c\u307e\u3059<\/code>\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000i. \u30b9\u30dd\u30fc\u30c4\u3084\u30ec\u30af\u30ea\u30a8\u30fc\u30b7\u30e7\u30f3\u6d3b\u52d5\u306f\u3001\u826f\u597d\u306a\u7cbe\u795e\u7684\u5065\u5eb7\u3068\u4f53\u529b\u3092\u78ba\u4fdd\u3059\u308b\u305f\u3081\u306b\u91cd\u8981\u3067\u3059\u3002 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