{"id":9950,"date":"2017-07-12T11:00:08","date_gmt":"2017-07-12T02:00:08","guid":{"rendered":"http:\/\/seigi.accsnet.ne.jp\/sigh\/blog\/?p=9950"},"modified":"2021-12-24T11:47:06","modified_gmt":"2021-12-24T02:47:06","slug":"%e6%80%a5%e6%80%a7%e9%a3%9f%e5%a1%a9%e4%b8%ad%e6%af%92","status":"publish","type":"post","link":"https:\/\/nbsigh2.com\/?p=9950","title":{"rendered":"\u6025\u6027\u98df\u5869\u4e2d\u6bd2"},"content":{"rendered":"

\u6bce\u65e5\u65b0\u805e\u306b\u3088\u308b\u3068<\/a>\uff11\u624d\u5150\u306b\u98df\u5869\u5165\u308a\u306e\u6db2\u4f53\u3092\u4e0e\u3048\u3066\u6025\u6027\u98df\u5869\u4e2d\u6bd2\u3067\u6b7b\u4ea1\u3055\u305b\u305f\u3068\u3044\u3046\u4e8b\u4ef6\u304c\u3042\u3063\u305f\u3088\u3046\u3060\u3002 \u4fdd\u80b2\u58eb\u306e\u8cc7\u683c\u3082\u306a\u3044\u7121\u8a8d\u53ef\u4fdd\u80b2\u6240\u6240\u9577\u304c\uff18\u6708\uff11\uff17\u65e5\u3068\u3044\u3046\u6691\u3044\u6642\u671f\u306b\uff11\u624d\u5150\u306b\u98df\u5869\u6c34\u3092\u6295\u4e0e\u3057\u305f\u3068\u3053\u308d\u6025\u6027\u98df\u5869\u4e2d\u6bd2\u306b\u306a\u3063\u305f\u3089\u3057\u3044\u3002
\n\u6691\u304f\u3066\u5927\u91cf\u306e\u6c57\u3092\u304b\u304f\u304b\u3089\u3001\u5927\u4eba\u540c\u69d8\u306b\u5869\u5206\u3092\u4e0e\u3048\u306d\u3070\u3068\u3001\u3088\u304b\u308c\u3068\u601d\u3063\u305f\u306e\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u4e73\u5150\u306f\u3001\u5869\u8f9b\u3089\u304f\u3066\u3082\u62d2\u5426\u3067\u304d\u306a\u3044\u304b\u3089\u591a\u91cf\u306e\u98df\u5869\u3092\u6442\u53d6\u3055\u305b\u3066\u3057\u307e\u3063\u305f\u3093\u3060\u308d\u3046\u306a\u3002\u60aa\u610f\u30fb\u6bba\u610f\u304c\u3042\u3063\u305f\u304b\u3069\u3046\u304b\u306f\u308f\u304b\u3089\u306a\u3044\u3002\u6025\u6027\u98df\u5869\u4e2d\u6bd2\u306e\u77e5\u8b58\u304c\u3042\u3063\u305f\u3068\u306f\u601d\u3048\u306a\u3044\u306e\u3067\u6bba\u610f\u304c\u3042\u3063\u305f\u304b\u306f\u7591\u308f\u3057\u3044\u3002
\n\u98df\u5869\u4e2d\u6bd2\u306a\u3069\u805e\u3044\u305f\u3053\u3068\u3082\u306a\u3044\u3053\u3068\u304c\u7c21\u5358\u306b\u8d77\u3053\u308a\u5f97\u308b\u306e\u304b\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u8a08\u7b97\u3057\u3066\u307f\u305f\u3002
\n\u6709\u52b9\u6570\u5b57\uff11\u6841\u306e\u8a08\u7b97\u3060\u3002
\n\uff11\u624d\u5150\u306e\u4f53\u91cd\u306f9.3\u00b10.9 kg<\/a> \u3060\u304b\u30899 kg \u3060\u3063\u305f\u3068\u3059\u308b\u3002 \u516c\u76ca\u8ca1\u56e3\u6cd5\u4eba \u65e5\u672c\u4e2d\u6bd2\u60c5\u5831\u30bb\u30f3\u30bf\u30fc<\/a> \u306b\u3088\u308b\u3068\u3001\u98df\u5869\u306e\u30d2\u30c8\u63a8\u5b9a\u81f4\u6b7b\u91cf 0.5~5 g\/kg\u3042\u308b\u3044\u306f1~3 g\/kg\u3067 \u3001\u81f4\u6b7b\u7684\u30ca\u30c8\u30ea\u30a6\u30e0\u8840\u4e2d\u6fc3\u5ea6\u3000185 mEq\/L \u4ee5\u4e0a\u3060\u305d\u3046\u306a\u3002
\n\u4f53\u91cd 9 kg \u3060\u304b\u3089 0.5 \/kg \u3064\u307e\u308a 4.5 g\u301c \u6295\u4e0e\u3057\u305f\u3089\u6b7b\u306c\u53ef\u80fd\u6027\u304c\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3060\u3002
\n \u6b63\u5e38\u306a\u30ca\u30c8\u30ea\u30a6\u30e0\u306e\u8840\u4e2d\u6fc3\u5ea6\u306f<\/a>\u00a0135\uff5e148 mEq\/L\u3000\u3067\u3042\u308b\u3002\u3000140 mEq\/L\u3068\u3057\u3066\u8a08\u7b97\u3059\u308b\u3002\u81f4\u6b7b\u6fc3\u5ea6\u3068\u306e\u5dee\u3092\u6c42\u3081\u308b\u3068
\n185 mEq\/L\u30fc140 mEq\/L\uff1d45 mEq\/L \u3000\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308b\u3002
\n\u4f53\u91cd\u3000\uff19kg\u3000\u3067\u4e73\u5150\u306f\u4f53\u91cd\u306e70%\u304c\u6c34\u300130% \u304c\u7d30\u80de\u5916\u6db2\uff08\u3069\u3093\u306a\u6559\u79d1\u66f8\u3067\u3082\u66f8\u3044\u3066\u3042\u308b\u6570\u5024\uff09\u3068\u3059\u308b\u3068\u3001\u7d30\u80de\u5916\u6db2\u306f 9\uff580.3\uff1d 2.7 kg \u3068\u306a\u308b\u3002\u7d30\u80de\u5916\u6db2\u306e\u6bd4\u91cd\u3092\uff11\u3068\u4eee\u5b9a\u3059\u308b\u3068\u30002.7 L \u306e\u7d30\u80de\u5916\u6db2\u3060\u3002\u8840\u6f3f\u3068\u7d30\u80de\u5916\u6db2\u306e\u30ca\u30c8\u30ea\u30a6\u30e0\u6fc3\u5ea6\u306f\u4e00\u81f4\u3057\u3066\u3044\u308b\u3068\u3059\u308b\u3002 \u5869\u5316\u30ca\u30c8\u30ea\u30a6\u30e0\u306f\u6c34\u306b\u3068\u3051\u3066\u5168\u3066\u4e56\u96e2\u3059\u308b\u3068\u3057\u3001\u30ca\u30c8\u30ea\u30a6\u30e0\u304c2.7 L \u306b 45 mEq\/L\u3000\u4f59\u8a08\u306b\u6eb6\u3051\u3066\u3044\u308b\u3068\u3059\u308b\u3068\u3000Nacl \u306e\u5206\u5b50\u91cf\u306f\u300058.5\u3000\u3060\u304b\u3089 58.5 X 0.045 x 2.7 = 7.1 g \u4f59\u8a08\u306b\u6eb6\u3051\u3066\u3044\u305f\u3068\u3044\u3046\u3053\u3068\u3060\u3002 \u98df\u5869\u5c0f\u3055\u3058\uff11\u676f\u306f 6 g<\/a> \u3068\u3044\u3046\u3053\u3068\u3060\u304b\u3089\u3001\u5c0f\u3055\u3058\uff11\u676f\u5f37\u306e\u98df\u5869\u3092\u98f2\u307e\u305b\u305f\u7d50\u679c\u3001\u81f4\u6b7b\u6fc3\u5ea6\u306e185 mEq\/L \u4ee5\u4e0a\u306b\u306a\u3063\u305f\u3068\u3044\u3046\u3053\u3068\u3060\u308d\u3046\u3002
\n\u98df\u5869\u306e\u6eb6\u89e3\u5ea6\u306f \u7d04300 g\/L(23%\u7a0b\u5ea6\uff09<\/a>\u00a0\u3060\u304b\u3089\uff17g \u306e\u98df\u5869\u306f 23 ml \u306e\u6c34\u306b\u6eb6\u3051\u308b\u3002\u6d77\u6c34\u304c\uff13\uff05\u4f4d\u3060\u304b\u3089\u304b\u306a\u308a\u6fc3\u3044\u3002\u5927\u4eba\u306f\u98fd\u548c\u98df\u5869\u6c34\u306a\u3093\u3066\u98f2\u3081\u306a\u3044\u3060\u308d\u3046\u3002
\n\u4e73\u5150\u306b\u4e0e\u3048\u308b\u98f2\u307f\u7269\u3092\u4f5c\u308b\u5834\u5408\u3001 20 ml \u3068\u304b\u306e\u5c11\u91cf\u3067\u306f\u306a\u304f 100 ml \u7a0b\u5ea6\u4f5c\u308b\u3060\u308d\u3046\u3002\u3068\u3059\u308b\u3068\u5c0f\u3055\u3058\u6570\u676f\uff0830 g \u7a0b\u5ea6\uff09\u306e\u98df\u5869\u3092\u3001\u591a\u5206\u3001\u6eb6\u3051\u304d\u308c\u306a\u304f\u3066\u3082\u6c17\u306b\u3057\u306a\u3044\u3067 \u4f5c\u308a\u300120~30 ml \u3092\u4e0e\u3048\u305f\u306e\u3067\u306f\u306a\u3044\u3060\u308d\u3046\u304b\u3002
\n\u4e73\u5150\u3060\u304b\u3089\u3001\u5869\u8f9b\u304f\u3066\u3082\u62d2\u5426\u3057\u306a\u3044\u3002\u305d\u306e\u7d50\u679c\u30016~9 g \u7a0b\u5ea6\u7d4c\u53e3\u6295\u4e0e\u3057\u305f\u306e\u3067\u306f\u306a\u3044\u3060\u308d\u3046\u304b\u3002 \u7c21\u5358\u306b\u4f5c\u308c\u308b\u3057\u6295\u4e0e\u3067\u304d\u308b\u3002\u5c0f\u3055\u3058\u4f55\u676f\u304b\u306e\u98df\u5353\u5869\u3092\u6c34\u306b\u3068\u304b\u3057\u3066\u98f2\u307e\u305b\u305f\u308f\u3051\u3060\u306a\u3002
\n\u4e73\u5e7c\u5150\u3067\u3082\u3053\u306e\u6fc3\u5ea6\u306e\u98df\u5869\u6c34\u3092\u53e3\u306b\u3044\u308c\u305f\u3089\u5acc\u304c\u308b\u306e\u3067\u306f\u306a\u3044\u3060\u308d\u3046\u304b\uff1f\u305d\u308c\u3067\u3082\u5f37\u5f15\u306b\u53e3\u306e\u4e2d\u306b\u5165\u308c\u305f\u3093\u3060\u308d\u3046\u306a\u3002\u56a5\u4e0b\u53cd\u5c04\u306f\u5f37\u529b\u3060\u304b\u3089\u53e3\u306e\u4e2d\u306b\u5165\u3063\u305f\u3089\u76f4\u3050\u98f2\u307f\u8fbc\u3080\u3060\u308d\u3046\u3057\u3001\u75c7\u72b6\u304c\u51fa\u3066\u304f\u308b\u306e\u306f\u98f2\u3093\u3060\u98df\u5869\u6c34\u304c\u5c0f\u8178\u306b\u9054\u3057\u3066\u304b\u3089\u3060\u304b\u3089\u3001\u6642\u9593\u304c\u305d\u308c\u306a\u308a\u306b\u304b\u304b\u304b\u308b\u3002
\n\u4fdd\u80b2\u58eb\u306b\u306a\u308b\u305f\u3081\u8b1b\u7fa9\u3084\u5b9f\u7fd2\u3067\u3082\u3001\u300c\u5869\u5206\u3092\u4e0e\u3048\u308b\u3068\u3057\u3066\u3082\u6fc3\u3044\u5869\u6c34\u3092\u98f2\u307e\u305b\u308b\u306a\u300d\u306a\u3093\u3066\u6ce8\u610f\u306f\u3055\u308c\u3066\u306a\u3044\u3060\u308d\u3046\u306d\u3002 \u6025\u6027\u98df\u5869\u4e2d\u6bd2\u3067\u691c\u7d22\u3059\u308b\u3068\u3001\u7d71\u5408\u5931\u8abf\u75c7\u60a3\u8005<\/a>\u3068\u304b\u30c1\u30ef\u30ef<\/a>\u3068\u304b\u3067\u3001\u3081\u3063\u305f\u306b\u306a\u3044\u4e8b\u4ef6\u3067\u3059\u306d\u3002
\n\u3057\u304b\u3057\u3001\u4e73\u5e7c\u5150\u3068\u304b\u9ad8\u9f62\u8005\u3001\u8a8d\u77e5\u75c7\u3068\u304b\u3067\u3001\u62d2\u5426\u3067\u304d\u306a\u3044\u65b9\u306b\u306f\u610f\u56f3\u3082\u7c21\u5358\u306b\u4e2d\u6bd2\u306b\u3055\u305b\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3067\u304d\u308b\u3088\u3046\u3060\u3002\u610f\u8b58\u306e\u3042\u308b\u65b9\u3067\u306f\u3001\u5869\u8f9b\u3044\u304b\u3089\u5927\u91cf\u306e\u6c34\u3082\u540c\u6642\u306b\u6442\u53d6\u3059\u308b\u304b\u3089\u4e2d\u6bd2\u306b\u306a\u3089\u306a\u3044\u3060\u308d\u3046\u3002\u7d50\u679c\u3068\u3057\u3066\u4f53\u91cd\u304c\u5897\u3048\u308b\u3060\u3051\u304b\u3082\u3002\u3060\u304b\u3089\u5358\u7d14\u306b 0.5~5 g\/kg\u3068\u98df\u5869\u306e\u91cf\u3060\u3051\u3067\u81f4\u6b7b\u91cf\u3068\u3057\u306a\u3044\u3067\u3001available\u306a\u6c34\u306e\u6709\u7121\u3092\u8003\u616e\u3057\u3001\u4e2d\u6bd2\u304b\u3069\u3046\u304b\u306f\u30ca\u30c8\u30ea\u30a6\u30e0\u306e\u8840\u4e2d\u6fc3\u5ea6\u3067\u5224\u65ad\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

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