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PDPH既往患者への帝王切開 に対する麻酔法の提案

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June 19, 2017
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PDPH既往患者への帝王切開 に対する麻酔法の提案

東北大学 第1セメスターの授業 「基礎ゼミ - 麻酔科学」にて．

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Yushi Nakaya

June 19, 2017
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Transcript

  1. 1%1)طԟױऀ΁ͷఇԦ੾։ ʹର͢Δຑਲ๏ͷఏҊ ҩֶ෦ҩֶՊɹ̈ࣃֶ෦ࣃֶՊ ̉޻ֶ෦ిؾ৘ใ෺ཧ޻ֶՊɹ✜ҩֶ෦์ࣹઢֶՊ Ԭ෦ ඈా̈த԰̉౉ล✜

  2. 2 ൃදͷྲྀΕ Ұൠతͳશ਎ຑਲͱہॴຑਲ ঱ྫʹର͢Δຑਲ๏ͷఏҊ ɾױऀͷϓϩϑΝΠϧ ɾ1%1)ͱ͸ʁ ɾͦͷଞͷઐ໳༻ޠʹ͍ͭͯ ɾ۩ମతͳຑਲಋೖ๏ͷఏҊ

  3. 3 * Ұൠతͳશ਎ຑਲͱہॴຑਲ IUUQTLBOHPPTIJHPUPKQNFEJBBSUJDMFΑΓɺࣸਅ͸ΠϝʔδͰ͢ɻ

  4. 4 * Ұൠతͳશ਎ຑਲͱہॴຑਲશ਎ຑਲ ɾಋೖ͕଎͍ ɾ৴པੑ͕ߴ͍ ɾ࠶ݱੑ͕ߴ͍ ɾௐઅੑ͕ྑ͍ ɾ௿݂ѹ͕ආ͚ΒΕΔ ར఺ ܽ఺

    ɾ฼ମͷޡᅞͷՄೳੑ͕ߴ͍ ɾૠ؅ࠔ೉ͷස౓͕ߴ͍ ɾ଻ࣇͷༀࡎമ࿐ ɾઙ͍શ਎ຑਲதͷ ɹ฼ମͷ֮੧ͳͲ͕͋Δɻ

  5. 5 ɾखज़͕؆ศͰ͋Δ͜ͱ ɾಋೖ͕଎͍ ɾ೛්͕֮੧͍ͯ͠Δ ɾࣇͷༀࡎʹର͢Δമ࿐͕গͳ͍ ɾޡᅞͷةݥ͕গͳ͍ * Ұൠతͳશ਎ຑਲͱہॴຑਲہॴຑਲ ੸௣͘΋ບԼຑਲͷར఺

  6. 6 ɾ௿݂ѹͷස౓͕ߴ͍ ɾ෼ṯ࣌ͷᅅؾ ɾᅅుͷՄೳੑ ɾߗບἥࢗޙͷ಄௧ ɾ࡞༻͕࣌ؒݶΒΕ͍ͯΔ * Ұൠతͳશ਎ຑਲͱہॴຑਲہॴຑਲ ੸௣͘΋ບԼຑਲͷܽ఺

  7. 7 ɾ฼ମ௿݂ѹͷස౓ͱఔ౓͕͍ܰ ɾ಄௧ͷൃੜස౓͕গͳ͍ ɾ௕࣌ؒखज़͕Ͱ͖Δ ɾࣇͷༀࡎʹର͢Δമ࿐͕গͳ͍ ɾज़ޙͷਞ௧؅ཧʹ΋࢖༻Ͱ͖Δ * Ұൠతͳશ਎ຑਲͱہॴຑਲہॴຑਲ ߗບ֎ຑਲͷར఺

  8. 8 ɾٕज़తʹෳࡶ ɾຑਲͷ࡞༻ൃݱ͕஗͍  ۓٸͷঢ়گͰ༻͍ΒΕͳ͍  ɾଟྔͷہॴຑਲༀΛ༻͍Δඞཁ͕͋Δ * Ұൠతͳશ਎ຑਲͱہॴຑਲہॴຑਲ ߗບ֎ຑਲͷܽ఺

  9. 9 ** ঱ྫʹର͢Δຑਲ๏ͷఏҊ ױऀͷϓϩϑΝΠϧ ɾ೛৷ि ମॏLH ਎௕DN ɾࠎ൫Ґ ɾલճఇԦ੾։ͷطԟ ɾลԑલஔ଻൫

    ɾ1%1)ͷطԟ

  10. 10 ** ঱ྫʹର͢Δຑਲ๏ͷఏҊ ຑਲͷಋೖʔ࢖༻͢Δༀࡎ ϝτΫϩϓϥϛυNH ϑΝϞνδϯNH ࣄલ౤༩ɿ ௟੩ɿνΦϖϯλʔϧNHLH ෆಈɿεΩαϝτχ΢ϜNHLH ௟௧ɿϨϛϑΣϯλχϧЖHLH෼

  11. 11 ېسༀ IUUQWFUDZHOJDPKQEJTQ$4G(PPET1BHF@KTQ (00%4@/0 ϓϩϙϑΥʔϧ

  12. 12 ېسༀ IUUQWFUDZHOJDPKQEJTQ$4G(PPET1BHF@KTQ (00%4@/0 ϓϩϙϑΥʔϧ ώτ଻ࣇ΁Ҡߦ͢Δ͜ͱ͕ใࠂ͞Ε͍ͯΔ

  13. 13 ** ঱ྫʹର͢Δຑਲ๏ͷఏҊ IUUQFBOFTUIFYCMPHKQQBHFΑΓ

  14. 14 ** ঱ྫʹର͢Δຑਲ๏ͷఏҊ ཹҙࣄ߲ ɾ1%1)ͷطԟ ɾࠎ൫Ґ ٯࢠ  ɾลԑલஔ଻൫ ɾલճఇԦ੾։ʹ͓͚Δൽෘͷ༊ண

  15. 15 1%1) ߗບ֎ἥࢗޙ಄௧ ͱ͸ʁ 1%1)QPTUEVSBMQVODUVSFIFBEBDIF IUUQXXXTIJLBLVCPTFJLPUTVJODPN[VUTVΑΓ

  16. 16 IUUQESHVJEFOFUJHBLV&"""&#"&#%%&&#&ΑΓ ࠎ൫Ґͱ͸ʁ

  17. 17 ลԑલஔ଻൫ͱ͸ʁ IUUQOBHPZBDPNNVOJUZOFUGVUVSF7PMEJTFBTFIUNMΑΓ

  18. 18 IUUQTNFEJDBMOPUFKQDPOUFOUT$4'*,6ΑΓ

  19. 19 લճఇԦ੾։ͷطԟ ൽෘͷ༊ணͷՄೳੑ ग़݂ͷڪΕ

  20. 20 ଻ࣇ΁ͷຑਲༀͷҠߦΛߟྀʂ ** ঱ྫʹର͢Δຑਲ๏ͷఏҊ

  21. 21 ͝ਗ਼ௌ͋Γ͕ͱ͏͍͟͝·ͨ͠ɻ