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平成24年度
平成 24 年度 昭 和 大 学 病 院 昭和大学病院附属東病院 Showa University Hospital / Showa University East Hospital 病 院 年 報 2012 年度 昭和大学病院・昭和大学病院附属東病院目標 ឋ↝᭗ⅳ‒ ͤμ↙‒ Ҕၲ‒ ኺփ‒ ⅐≘≶↝࣋ࡁ≋ૢྸ⅚ૢ᪶⅚ฌੈ⅚ฌ⅚፼ॹ≌‒ ⅐⇧∞∆Ҕၲ↝ਖ਼ᡶ‒ ⅐धᎍឱࡇ∝ᎰѦឱࡇ↝Ӽɥ‒ ⅐၏Мဇྙ≋ܖٻ၏ᨈ≜≘≉∝ி၏ᨈ≛≘≉≌‒ ⅐ኰʼྙ≋ܖٻ၏ᨈ≙≓≉∝ி၏ᨈ≗≓≉≌‒ ⅐ᡞኰʼྙ≋ܖٻ၏ᨈ≖≓≉∝ி၏ᨈ≕≘≉≌‒ 昭和大学病院・昭和大学病院附属東病院 目 年報㻌 次㻌 Ϩ 㝔ᴫせ㻌 㸯㸧㝔⌮ᛕ㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻥㻌 㸰㸧タᴫせ㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻟㻌 㸱㸧ἢ 㠉㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻡㻌 㸲㸧⤌ ⧊㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻤㻌 㸳㸧་⒪ᶵ㛵ࡢᢎㄆ࣭ᣦᐃ≧ἣ➼㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻜㻌 㸴㸧ᒆฟタᇶ‽㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻝㻌 ϩ デ⒪⤫ィཬࡧ⮫ᗋホ౯ᣦᶆ㻌 㸯㸧㝔㐠Ⴀጤဨሗ࿌ࡋ࡚࠸ࡿ⤫ィ㈨ᩱ㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻣㻌 㸰㸧デ⒪⛉ู࣭ศ㢮ู 㡰⾲㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻟㻟㻌 Ϫ ྛ㒊㛛άື≧ἣ㻌 㸯 Ꮫ㝔㻌 ࠑデ⒪㒊㛛ࠒ㻌 㸯㸧྾ჾ࣭ࣞࣝࢠ࣮ෆ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻠㻡㻌 㸰㸧࣐ࣜ࢘ࢳ࣭⭺ཎෆ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻠㻤㻌 㸱㸧⭈⮚ෆ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻡㻜㻌 㸲㸧ᾘჾෆ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻡㻟㻌 㸳㸧⾑ᾮෆ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻡㻥㻌 㸴㸧ᚠ⎔ჾෆ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻢㻝㻌 㸵㸧⭘⒆ෆ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻢㻠㻌 㸶㸧⥲ྜෆ⛉㸦㻱㻾㸧㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻢㻢㻌 㸷㸧ឤᰁෆ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻢㻤㻌 㻝㻜㸧ᚰ⮚⾑⟶እ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻣㻜㻌 㻝㻝㸧྾ჾእ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻣㻟㻌 㻝㻞㸧ᾘჾ㺃୍⯡እ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻣㻢㻌 㻝㻟㸧ங⭢እ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻣㻥㻌 㻝㻠㸧ᑠඣእ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻤㻝㻌 㻝㻡㸧⬻⚄⤒እ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻤㻠㻌 㻝㻢㸧ᩚᙧእ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻤㻣㻌 㻝㻣㸧ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻥㻜㻌 㻝㻤㸧ᙧᡂእ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻥㻞㻌 㻝㻥㸧⨾ᐜእ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻥㻡㻌 㻞㻜㸧⏘፬ே⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻥㻣㻌 㻞㻝㸧ᑠඣ⛉㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻜㻝㻌 㻞㻞㸧Ἢᒀჾ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻜㻠㻌 㻞㻟㸧⪥㰯ဗႃ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻜㻣㻌 㻞㻠㸧ᨺᑕ⥺⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻝㻜㻌 㻞㻡㸧ᨺᑕ⥺⒪⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻝㻟㻌 㻞㻢㸧㯞㓉⛉㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻝㻡㻌 㻞㻣㸧ᩆᛴ་Ꮫ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻝㻤㻌 㻞㻤㸧⮫ᗋ⌮デ᩿⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻞㻝㻌 㻞㻥㸧ṑ ⛉㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻞㻟㻌 ࠑ୰ኸ᳨ᰝ㒊㛛ࠒ㻌 㸯㸧ᨺᑕ⥺㒊㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻞㻡㻌 㸰㸧⮫ᗋ⌮᳨ᰝ㒊㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻟㻝㻌 㸱㸧㍺⾑㒊㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻟㻡㻌 㸲㸧⮫ᗋ⌮᳨ᰝ㒊 ⌮᳨ᰝᐊ㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻟㻤㻌 㸳㸧㉸㡢Ἴࢭࣥࢱ࣮㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻠㻝㻌 㸴㸧ෆど㙾ࢭࣥࢱ࣮㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻠㻟㻌 ࠑ୰ኸデ⒪㒊㛛ࠒ㻌 㸯㸧⥲ྜẕᏊ࿘⏘ᮇ་⒪ࢭࣥࢱ࣮㻌 㻝㻙㻝㻕 ⏘⛉㒊㛛㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻠㻢㻌 㻝㻙㻞㻕 ᪂⏕ඣ㒊㛛㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻡㻞㻌 㸰㸧⾑ᾮίࢭࣥࢱ࣮㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻡㻟㻌 㸱㸧ᩆᩆᛴࢭࣥࢱ࣮㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻡㻡㻌 㸲㸧㞟୰⒪㒊㸦㻵㻯㼁㸧㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻡㻥㻌 㸳㸧㻯㻯㼁㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻢㻝㻌 㸴㸧ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻢㻠㻌 㸵㸧ᡭ⾡㒊㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻢㻤㻌 㸶㸧⦆ࢣࢭࣥࢱ࣮㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻣㻜㻌 㸷㸧〟⒔ࢣࢭࣥࢱ࣮㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻣㻠㻌 㻝㻜㸧⭘⒆ࢭࣥࢱ࣮㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻣㻢㻌 㻝㻝㸧ࣈࣞࢫࢺࢭࣥࢱ࣮㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻣㻤㻌 ࠑᝈ⪅ᨭ㒊㛛ࠒ㻌 㸯㸧㻹㻱 ᐊ㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻤㻟㻌 㸰㸧デ⒪㘓⟶⌮ᐊ㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻤㻢㻌 㸱㸧࣋ࢵࢻࢥࣥࢺ࣮ࣟࣝ⟶⌮ᐊ㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻤㻥㻌 㸲㸧་⒪ሗᐊ㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻥㻜㻌 ࠑ⸆㒊ࠒ㻌 㸯㸧⸆㒊㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻥㻝㻌 ࠑ┳ㆤ㒊ࠒ㻌 㸯㸧┳ㆤ㒊㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻝㻥㻤㻌 ࠑᰤ㣴㒊㛛ࠒ㻌 㸯㸧ᰤ㣴⛉㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻜㻟㻌 ࠑົ㒊ࠒ㻌 㸯㸧⟶⌮ㄢ㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻜㻢㻌 㸰㸧་ㄢ㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻜㻤㻌 㻌 ࠑ⮫ᗋヨ㦂ᨭࢭࣥࢱ࣮ࠒ㻌 㸯㸧⮫ᗋヨ㦂ᨭࢭࣥࢱ࣮㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻝㻜㻌 ࠑࢡ࢜ࣜࢸ࣐ࢿࢪ࣓ࣥࢺ㒊 ་⒪Ᏻ⟶⌮㒊㛛ࠒ㻌 㸯㸧་⒪Ᏻ⟶⌮㒊㛛㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻝㻞㻌 ࠑࢡ࢜ࣜࢸ࣐ࢿࢪ࣓ࣥࢺ㒊 ឤᰁ⟶⌮㒊㛛ࠒ㻌 㸯㸧ឤᰁ⟶⌮㒊㛛㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻝㻣㻌 ࠑ⥲ྜ┦ㄯࢭࣥࢱ࣮ࠒ㻌 㸯㸧⥲ྜ┦ㄯࢭࣥࢱ࣮㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻞㻜㻌 㸰 Ꮫ㝔㝃ᒓᮾ㝔㻌 ࠑデ⒪㒊㛛ࠒ㻌 㸯㸧⢾ᒀ࣭௦ㅰ࣭ෆศἪෆ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻞㻣㻌 㸰㸧⚄⤒ෆ⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻞㻥㻌 㸱㸧⓶⛉㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻟㻞㻌 㸲㸧║ ⛉㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻟㻠㻌 㸳㸧⢭⚄࣭⚄⤒⛉㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻟㻣㻌 㸴㸧㯞㓉⛉㸦࣌ࣥࢡࣜࢽࢵࢡ㸧㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻟㻥㻌 ࠑ୰ኸ᳨ᰝ㒊㛛ࠒ㻌 㸯㸧ᨺᑕ⥺ᐊ㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻠㻝㻌 㸰㸧⮫ᗋ᳨ᰝᐊ㸦Ꮫ㝔⮫ᗋ⌮᳨ᰝ㒊ⶶ 㻼㻚㻝㻟㻤ཧ↷㸧㻌 ࠑ୰ኸデ⒪㒊㛛ࠒ㻌 㸯㸧ᡭ⾡ᐊ㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻠㻟㻌 ࠑ⸆ ᒁࠒ㻌 㸯㸧⸆ ᒁ㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻠㻠㻌 ࠑ┳ㆤ㒊ࠒ㻌 㸯㸧┳ㆤ㒊㸦Ꮫ㝔┳ㆤ㒊ⶶ 㻼㻚㻝㻥㻤ཧ↷㸧㻌 ࠑᰤ㣴㒊㛛ࠒ㻌 㸯㸧ᰤ㣴⛉㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻠㻣㻌 ࠑົ㒊ࠒ㻌 㸯㸧⟶⌮ㄢ㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻠㻥㻌 ࠑ⮫ᗋヨ㦂ᨭᐊࠒ㻌 㸯㸧⮫ᗋヨ㦂ᨭᐊ㸦Ꮫ㝔⮫ᗋヨ㦂ࢭࣥࢱ࣮ⶶ 㻼㻚㻞㻝㻜ཧ↷㸧㻌 ࠑࢡ࢜ࣜࢸ࣐ࢿࢪ࣓ࣥࢺ㒊 ་⒪Ᏻ⟶⌮㒊㛛ࠒ㻌 㸯㸧་⒪Ᏻ⟶⌮㒊㛛㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻡㻝㻌 ࠑࢡ࢜ࣜࢸ࣐ࢿࢪ࣓ࣥࢺ㒊 ឤᰁ⟶⌮㒊㛛ࠒ㻌 㸯㸧ឤᰁ⟶⌮㒊㛛㻌㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㽂㻌㻞㻡㻡㻌 ࠑ⥲ྜ┦ㄯࢭࣥࢱ࣮ࠒ㻌 㸯㸧⥲ྜ┦ㄯࢭࣥࢱ࣮㸦Ꮫ㝔⥲ྜ┦ㄯࢭࣥࢱ࣮ⶶ 㻼㻚㻞㻞㻜ཧ↷㸧㻌 Ⅰ 病 院 概 要 病院理念 Ϩ 㝔ᴫせ Ⅰ 病院概要 㸧１）病院理念 㝔⌮ᛕ Ꮫࡢ⌮ᛕ ᮏᏛࡣࠊタ⪅࡛࠶ࡿୖᲄ⚽༤ኈࡢࠕᅜẸࡢᗣぶ㌟࡞ࡗ࡚ᑾࡏࡿ⮫ᗋ་ᐙࢆ㣴 ᡂࡍࡿࠖ࠸࠺㢪࠸ࡢࡶタ❧ࡉࢀࡓࠋࡑࡢᚋࠊ་Ꮫ㒊࣭ṑᏛ㒊࣭⸆Ꮫ㒊࠾ࡼࡧಖ་ ⒪Ꮫ㒊ࡢᅄᏛ㒊ࡽ࡞ࡿ་⣔⥲ྜᏛⓎᒎࡋࠊேࠎࡢᗣࡢᅇ࣭⥔ᣢ࣭ቑ㐍㈉⊩ࡍ ࡃࠊ་⒪ᦠࢃࡿከࡃࡢᑓ㛛ᐙࢆ㍮ฟࡋ࡚ࡁࡓࠋ౯್ほࡀከᵝࡋࠊ♫ᵓ㐀ࡢኚࡀ ᆅ⌫つᶍ࡛㐍ࡴ⌧௦࡛ࡣࠊேࠎࡢ་⒪ᑐࡍࡿせồࡣከᵝࡘ㧗ᗘ࡞ࡾࠊ་⒪ࡢ࠶ࡾ᪉ ࡶࡑࢀࡒࢀࡢᑓ㛛㡿ᇦ࡛῝ࡍࡿࡶศࡋ࡚ࡁࡓࠋࡑࡢ୍᪉࡛ࠊከ✀ࡢ་⒪ᑓ㛛⫋ ࡀ࠸㐃ᦠࡋ࡚ඞ᭹ࡍࡁㄢ㢟ࡶ⏕ࡌࠊᑓ㛛㡿ᇦࡢ᪂ࡓ࡞⤫ྜࡶᶍ⣴ࡉࢀ࡚ࡁ࡚࠸ࡿࠋ ࡇࡢࡼ࠺࡞௦ࡢせㄳᑐࡋ࡚ࠊᮏᏛࡇࡑࠊ་⣔⥲ྜᏛ࠸࠺≉㛗ࢆ⏕ࡋ࡚ࠊᑓ㛛㡿 ᇦࡢ῝㐃ᦠࢆࡣࡾࠊ▱ࡢ᪂ࡓ࡞㐀ࢆࡵࡊࡍࡩࡉࢃࡋࡃࠊࡲࡓࡑࡢ㐩ᡂࡀྍ⬟࡛ ࠶ࡿ⮬ࡽಙࡌࡿࡶࡢ࡛࠶ࡿࠋࡇࢀࡲ࡛ࡶቑࡋ࡚ࠊᘓᏛ௨᮶ཷࡅ⥅ࡀࢀ࡚ࡁࡓࠕ⮳ㄔ୍ ㈏ࠖࡢ⢭⚄ࢆయ⌧ࡋࠊ┿ᚰࢆᣢࡗ࡚ᅜẸ୍ே୍ேࡢᗣࢆᏲࡿࡓࡵᏔᏔࡋ࡚ᑾຊࡍࡿ ࡇࢆᮏᏛࡢࡍࡿࠋ Ꮫ㝔ࡢ⌮ᛕ ەᝈ⪅ᮏࡢ་⒪ ە㧗ᗘ་⒪ࡢ᥎㐍 ە་⒪ேࡢ⫱ᡂ Ꮫ㝔ࡀ┠ᶆࡍࡿ་⒪ ᝈ ⪅ ࡉ ࢇ ࡢ ┠ ⥺ ࡛ ⪃ ࠼ ࡿ ་ ⒪ ⫋ ✀ ࣭ ⫋ ᇦ ࢆ ㉺ ࠼ ࡓ ࢳ ࣮ ࣒ ་ ⒪ ඛ 㐍 ⓗ ࡞ ་ ⒪ ࡢ ᐇ ㊶ Ꮫ㝔ࡢᇶᮏ᪉㔪 ᝈ ⪅ ࡉ ࢇ ࡀ ཷ デ ࡋ ࡸ ࡍ ࠸ ࠊ ᝈ ⪅ ࡉ ࢇ ࡢ 㹏 㹍 㹊 ࢆ 㔜 ど ࡋ ࡓ ࠊ ㉁ ࡢ 㧗 ࠸ ་ ⒪ ࢆ ᥦ ౪ ࡍ ࡿ ࠋ ᆅ ᇦ ་ ⒪ ᶵ 㛵 ࡢ 㐃 ᦠ ࢆ ᥎ 㐍 ࡋ ࠊ ≉ ᐃ ᶵ ⬟ 㝔 ࡋ ࡚ ࡢ ་ ⒪ ࢆ ᢸ ࠺ ࠋ ᩍ ⫱ 㝔 ࡋ ࡚ ࡢ ᶵ ⬟ ࢆ ᐇ ࡋ ࡚ ༞ ๓࣭༞ ᚋ ࡢ ◊ ಟ࣭ᐇ ⩦ ཬ ࡧ ⏕ ᾭ ᩍ ⫱ ࢆ ㏻ ࡋ ࡚ ࠊ㉁ ࡢ 㧗࠸་⒪ேࡢ⫱ᡂࢆ⾜࠺ࠋ ⏕ ⌮ ࢆ ᑛ ࡧ ࠊ ⛉ Ꮫ ⓗ ᰿ ᣐ ᇶ ࡙ ࠸ ࡓ 㧗 ᗘ ࡞ ⮫ ᗋ ◊ ✲ ࢆ ᐇ ࡍ ࡿ ࠋ Ꮫ㝔⫋ဨࡢ⌮ᣦ㔪 Ᏻ ࡛ Ⰻ ㉁ ࡞ ་ ⒪ ࡢ ᥦ ౪ ດ ࡵ ࡿ ࠋ ᝈ ⪅ ࡉ ࢇ ࡢ ⏕ ཬ ࡧ ே 㛫 ࡋ ࡚ ࡢ ᑛ ཝ ࠊ ᶒ ࢆ ᑛ 㔜 ࡍ ࡿ ࠋ ᝈ ⪅ ࡉ ࢇ ᑐ ࡋ ࡚ ࡚ ᖹ ➼ ᥋ ࡍ ࡿ ࠋ ᝈ ⪅ ࡉ ࢇ ᑐ ࡋ ⒪ ࡘ ࠸ ࡚ ゎ ࡾ ࡸ ࡍ ࠸ ゝ ⴥ ᪉ ἲ ࡛ ⣡ ᚓ ࡉ ࢀ ࡿ ࡲ ࡛ ㄝ ᫂ ࡍ ࡿ ࠋ ―9― 病院理念 ᝈ⪅ࡉࢇࡢᶒ ་⒪ࡣᝈ⪅ࡉࢇ་⒪ᚑ⪅㸦་⒪ᶵ㛵㸧ࡢ༑ศ࡞ಙ㢗㛵ಀࡢୖ࡛ᡂࡾ❧ࡗ࡚࠸ࡲࡍࠋ Ꮫ㝔ࡣࠊࡍ࡚ࡢᝈ⪅ࡉࢇࡢୗグࡢᶒࢆᑛ㔜ࡋࡓ་⒪ࢆ⾜࠸ࡲࡍࠋ Ᏻ ࡛ Ⰻ ㉁ ࡞ ་ ⒪ ࢆ ཷ ࡅ ࡿ ᶒ ྛ ே ࡢ ே ᱁ ࡀ ᑛ 㔜 ࡉ ࢀ ࡓ ་ ⒪ ࢆ ཷ ࡅ ࡿ ᶒ ಶ ே ࡢ ᕼ ᮃ ࡸ ព ぢ ࢆ ㏙ ࡿ ᶒ ࡶ ࠊ ᕼ ᮃ ࡋ ࡞ ࠸ ་ ⒪ ࢆ ᣄ ྰ ࡍ ࡿ ᶒ ゎ ࡾ ࡸ ࡍ ࠸ ゝ ⴥ ᪉ ἲ ࡛ ࠊ ⣡ ᚓ ࡛ ࡁ ࡿ ࡲ ࡛ ㄝ ᫂ ሗ ࢆ ཷ ࡅ ࡿ ᶒ ༑ ศ ࡞ ㄝ ᫂ ሗ ࢆ ཷ ࡅ ࡓ ୖ ࡛ ࠊ ⒪ ᪉ ἲ ࡞ ࢆ ⮬ ࡽ ࡢ ព ᛮ ࡛ 㑅 ᢥ ࡍ ࡿ ᶒ ᙜ㝔ࡣ་Ꮫᩍ⫱ࡢࡓࡵࡢタ࡛ࡶ࠶ࡾࡲࡍࠋࡑࡢࡓࡵࠊ་Ꮫ⏕࣭⸆Ꮫ⏕ࡸ┳ㆤᏛ⏕࡞ ࡢᩍ⫱ᐇ⩦ࡀ⾜ࢃࢀ࡚࠾ࡾࡲࡍࠋࡲࡓࠊᙜ㝔ࡣᩍ⫱ࡶ་Ꮫ◊✲ࢆ⾜ࡗ࡚࠾ࡾࡲࡍࡢ ࡛ࠊᝈ⪅ࡉࢇࡢ་Ꮫⓗ࡞グ㘓ࢆ◊✲⏝ࡉࡏ࡚࠸ࡓࡔࡃࡇࡀ࠶ࡾࡲࡍࠋࡇࡢሙྜࠊᝈ⪅ ࡉࢇࡢேᶒࡣಖㆤࡉࢀࡓୖ࡛⾜࠸ࡲࡍࡢ࡛ࠊ࠶ࢃࡏ࡚ⓙᵝࡢࡈ⌮ゎࡈ༠ຊࢆ࠾㢪࠸࠸ࡓࡋ ࡲࡍࠋ Ꮫ㝔ࢆཷデࡉࢀࡿᝈ⪅ࡢⓙᵝ 㸫་⒪Ᏻ㛵ࡍࡿ࣓ࢵࢭ࣮ࢪ㸫 㝔 ࡢ ୰ ࡛ ⾜ ࢃ ࢀ ࡿ ᡭ ⾡ ࡸ ὀ ᑕ ࠊ᳨ ᰝ ࡞ ࢆ デ ⒪ ⾜ Ⅽ ゝ ࠸ ࡲ ࡍ ࠋࡑ ࡢ デ ⒪ ⾜ Ⅽ ࡢ ከ ࡃ ࡣ ࠊ ⓶ࢆษࡗࡓࡾࠊయ㔪ࢆ่ࡋࡓࡾࡍࡿࡓࡵࠊ㌟యࡗ࡚㈇ᢸ࡞ࡿࢃࡅ࡛ࡍࠋ㏻ᖖࠊࡑ ࡢ㈇ᢸࡼࡾࡶデ⒪⾜Ⅽࡼࡿ⒪ຠᯝ➼ࡢࠕ┈ࠖࡢ᪉ࡀࡁ࠸ࡢ࡛ࠊ㝔࡛ࡣデ⒪⾜Ⅽࡀ ⾜ࢃࢀࡿࢃࡅ࡛ࡍࠋࡋࡋࠊࡲ࡛ࡢ་⒪ࡢⓎᒎࡢṔྐࡸࠊᚋࡶⓎᒎࡉࡏ࡚⾜ࡡࡤ࡞ ࡽ ࡞ ࠸ ࡇ ࢆ ⪃ ࠼ ࡲ ࡍ ࠊ⌧ ᅾ ࡶ ་ ⒪ ࡣ ᮏ ㉁ ⓗ ☜ ᐇ ࡞ ࡶ ࡢ ࡛ ࠶ ࡿ ࡇ ࢆ ࡈ ⌮ ゎ ୗ ࡉ ࠸ ࠋ ࡘࡲࡾࠊ⚾ࡓࡕ་⒪ᦠࡿ⪅ࡀࠊ࠼ࡤࠊὀពࡼࡗ࡚㉳ࡇࡋ࡚ࡋࡲ࠺ࡼ࠺࡞ࠕ㐣ኻࠖࡀ ࡞ࡃ࡚ࡶࠊ㔜࡞ྜేࡸഅⓎࡀ㉳ࡇࡾᚓࡲࡍࠋຍ㱋క࠺ࠊࡲࡓࡣࡦࡑ㐍⾜ࡋ࡚࠸ ࡓ Ẽ ࡀ デ ⒪ ⾜ Ⅽ ࡢ ๓ ࡸ ᚋ Ⓨ ࡍ ࡿ ྍ ⬟ ᛶ ࡶ ࠶ ࡾ ࡲ ࡍ ࠋ࡛ ࡍ ࡽ ࡑ ࢀ ࡽ ࡀ ㉳ ࡇ ࡗ ࡓ ሙ ྜ ࡣ ࠊ ⒪᭱ၿࢆᑾࡃࡍࡇࡣࡶࡕࢁࢇ࡛ࡍࡀࠊ᭱ᝏࡢែࡶ࠶ࡾᚓࡲࡍࠋ⏕ࡢ⤌ࡳࢆゎ᫂ ࡍࡿດຊࡣ᪥㐍᭶Ṍ࡛࡞ࡉࢀ࡚࠸ࡲࡍࡀࠊ⚾ࡶ་Ꮫࡢᑓ㛛ᐙࡽࡳ࡚ࡶࠊ⏕ࡣ」㞧࡛ ࡘ⚄⛎ⓗ࡛ࡉ࠼࠶ࡾࡲࡍࠋ㔜せ࡞ྜే࡛ண࡛ࡁࡿࡶࡢࡘ࠸࡚ࡣศㄝ᫂ࡍࡿࡇࡀ ࡛ࡁࡲࡍࠋࡋࡋࠊᴟࡵ࡚⛥࡞ࡶࡢࡸணࡢࡘ࡞࠸ࡶࡢࡶ࠶ࡾࡲࡍࡢ࡛ࠊ࡚ࡢྍ⬟ᛶࢆ ㄝ᫂ࡍࡿࡇࡣ࡛ࡁࡲࡏࢇࠋࡘࡲࡾࠊࡇࡢࡼ࠺་⒪ࡣᚲࡎࡋࡶ☜ᐇ࡛ࡣ࡞࠸࠸࠺ࡇ࡛ ࡍࠋ་⒪ࡢ㐍Ṍࡼࡾ☜ᐇㄝ࡛᫂ࡁࡿ⠊ᅖࡀቑ࠼࡚࠸ࡿࡇࡣ☜࡛ࡍࡀࠊ࡚ࢃࡓࡗ ࡚ㄝ࡛᫂ࡁࡿ࠸࠺ࡇࡣࡇࢀࡽࡶྍ⬟ᛮࢃࡡࡤ࡞ࡾࡲࡏࢇࠋᚋⓙᵝࡣࠊ⚾ࡶ ࡀ་⒪⾜Ⅽࢆ⾜࠺࠶ࡓࡾࠊྠព᭩࡞ࢆồࡵࡿࡇࡀ࠶ࡿᛮ࠸ࡲࡍࠋࡑࡢሙྜࡣࠊࡇ ࠺ࡋࡓ☜ᐇ࡞ࡇࡀ་⒪ࡣᏑᅾࡍࡿࡇࢆࡈᢎ▱࠸ࡓࡔ࠸ࡓୖ࡛ྠព᭩⨫ྡࡋ࡚ୗࡉ ࠸ࠋၥࡀ࠶ࡿࡁࡣࠊ⣡ᚓ࡛ࡁࡿࡲ࡛㉁ၥࡋ࡚ୗࡉ࠸ࠋ⣡ᚓ࡛ࡁ࡞࠸ሙྜࡣࠊ↓⌮ ⤖ㄽࢆฟࡉࡎࠊࡢ་ᖌࡢពぢ㸦ࢭ࢝ࣥࢻ࣭࢜ࣆࢽ࢜ࣥ㸧ࢆ࠾⪺ࡁ࡞ࡿࡼ࠺࠾່ࡵࡋࡲ ࡍࠋఱ࠾ᅔࡾࡢࡇࡀ⏕ࡌࡲࡋࡓࡽࠗ⥲ྜ┦ㄯࢭࣥࢱ࣮㸦୰ኸᲷ 㝵ṇ㠃ධཱྀࡽධࡗ࡚ ྑ 㞄 ࡾ 㸧࠘ 㐲 ៖ ࡞ ࡃ ࡈ ┦ ㄯ ୗ ࡉ ࠸ ࠋ ᚋ ࡶ ࠊⓙ ᵝ ࡶ ༠ ാ ࡋ ࡚ ㉁ ࡢ 㧗 ࠸ ་ ⒪ ࢆ ᐇ ㊶ ࡋ ࡚࠸ࡃᡤᏑ࡛ࡍࠋࡈ༠ຊࡢ⛬ᐅࡋࡃ࠾㢪࠸⏦ࡋୖࡆࡲࡍࠋ ―10― ḟࡢࡼ࠺࡞㏞ᝨ⾜Ⅽࡣࠊデ⒪ࢆ࠾᩿ࡾࡍࡿࡶࠊᡤ㎄㆙ᐹᒆࡅࡿሙྜࡀ࠶ࡾࡲࡍࠋ ࣭ ࡢ ᝈ ⪅ ࡉ ࢇ ࡸ ⫋ ဨ ࢭ ࢡ ࢩ ࣕ ࣝ ࣁ ࣛ ࢫ ࣓ ࣥ ࢺ ࡸ ᭀ ຊ ⾜ Ⅽ ࡀ ࠶ ࡗ ࡓ ሙ ྜ ࠊࡶ ࡋ ࡃ ࡣ ࡑ ࡢ ᜍ ࢀࡀᙉ࠸ሙྜࠋ ࣭ ኌ ࠊᭀ ゝ ࡲ ࡓ ࡣ ⬣ ㏕ ⓗ ࡞ ゝ ື ࡼ ࡾ ࠊ ࡢ ᝈ ⪅ ࡉ ࢇ ㏞ ᝨ ࢆ ཬ ࡰ ࡋ ࠊ࠶ ࡿ ࠸ ࡣ ⫋ ဨ ࡢ ᴗ ົࢆጉࡆࡓሙྜࠋ ࣭ ゎ Ỵ ࡋ ࡀ ࡓ ࠸ せ ồ ࢆ ⧞ ࡾ ㏉ ࡋ ⾜ ࠸ ࠊ 㝔 ᴗ ົ ࢆ ጉ ࡆ ࡓ ሙ ྜ ࠋ ࣭ ᘓ ≀ タ ഛ ➼ ࢆ ᨾ ព ◚ ᦆ ࡋ ࡓ ሙ ྜ ࠋ ࣭ ཷ デ ᚲ せ ࡢ ࡞ ࠸ ༴ 㝤 ࡞ ≀ ရ ࢆ 㝔 ෆ ᣢ ࡕ ㎸ ࢇ ࡔ ሙ ྜ ࠋ ࡇࢀࡽࡢ་⒪࠶ࡓࡗ࡚ ࠕ ᪂ ࡋ ࠸ ་ ⒪ ࡢ ⪃ ࠼ ᪉ ᙜ 㝔 ࡛ ࡣ ࡇ ࡢ ࡼ ࠺ ⪃ ࠼ ࡚ ࠾ ࡾ ࡲ ࡍ ࠋࠖ ᪥ ࡢ ་ ⒪ ⎔ ቃ ࡛ ࡣ ࠊ୍ ࡘࡢデ⒪ᡤࡸ㝔ࡢࡳ࡛ᝈ⪅ࡉࢇࡢデ᩿ࡽ⒪ࠊ⤒㐣ほᐹࡀ⤊ࡍࡿࡲ࡛ࡢࡍ࡚ࢆ⾜࠺ ࡇ ࡣ 㞴 ࡋ ࡃ ࡞ ࡗ ࡚ ࠾ ࡾ ࡲ ࡍ ࠋ㸦 ࡇ ࢀ ࢆ 㝔 ෆ ⤖ ་ ⒪ ࠸ ࠸ ࡲ ࡍ ࠋ㸧 ୍ ᪉ ࠊ ㏆ 㞄 ࡢ ་ ⒪ ᶵ 㛵 㐃ᦠ࣭༠ຊࡋ࡚་⒪࠶ࡓࡿࡇࢆᆅᇦෆ⤖་⒪࠸࠸ࠊᅜࡢ་⒪ᨻ⟇࡛ࡶ࠶ࡾࡲࡍࠋᙜ 㝔ࡣࠊᆅᇦෆ⤖་⒪ࢆ┠ᣦࡋࠊデ㐃ᦠࢆ✚ᴟⓗ⾜ࡗ࡚࠾ࡾࠕࡾࡘࡅ་ࠖࡢ᥎㐍 ࢆࡋ࡚࠾ࡾࡲࡍࠋ≧ࡀᏳᐃࡉࢀࠊ࠾⸆ࡢࡳ࡛᮶㝔ࡉࢀ࡚࠸ࡿ᪉ࡸ㏥㝔ᚋ࡞ デࡀᚲせ ࡞ ᝈ ⪅ ࡉ ࢇ ࠾ ࢀ ࡲ ࡋ ࡚ ࡣ ࠊ ⤂ ඖ ࡢ ඛ ⏕ ᪉ ࡢ ࡇ ࢁ ᡠ ࡗ ࡚ ࠸ ࡓ ࡔ ࡁ ࠊࠕ ࡾ ࡘ ࡅ ་ ࠖ ࡀỴࡲࡗ࡚࠸࡞࠸ᝈ⪅ࡉࢇ࠾ࢀࡲࡋ࡚ࡣࠊࡈᕼᮃᛂࡌ࡚ᝈ⪅ࡉࢇࡢࡈ⮬Ꮿ㏆࠸デ⒪ ᡤ࣭㝔ࢆࡈ⤂࠸ࡓࡋࡲࡍࠋࡲࡓࠊࡾࡘࡅ་ࡢඛ⏕᪉ࡢデ⒪࠾࠸࡚ᑓ㛛⒪ࡀᚲせ ุ᩿ࡉࢀࡓࡁࡸࠊᐃᮇⓗ᳨ᰝࡀᚲせ࡞ᝈ⪅ࡉࢇࡘࡁࡲࡋ࡚ࡣࠊᚑ᮶㏻ࡾᏳᚰࡋ࡚ᙜ 㝔࡛デᐹࢆ⾜࠼ࡲࡍࠋヲ⣽ࡘࡁࡲࡋ࡚ࡣࠊ་ࡲࡓࡣ་⒪㐃ᦠ❆ཱྀ㸦୰ኸᲷ㸯㝵ṇ㠃 ධཱྀዟ㸧ࡈ┦ㄯୗࡉ࠸ࠋ ᝈ⪅ࡉࢇࡢಶேሗࡘ࠸࡚ ᙜ 㝔 ࡣ ࠊಶ ே ࡢ ᶒ ࣭ ┈ ࢆ ಖ ㆤ ࡍ ࡿ ࡓ ࡵ ࠊಶ ே ሗ ࢆ 㐺 ษ ⟶ ⌮ ࡍ ࡿ ࡇ ࢆ ♫ ⓗ ㈐ ົ ⪃ ࠼ ࡲ ࡍ ࠋࡲ ࡓ ࠊྲྀ ᚓ ࡋ ࡓ ᝈ ⪅ ࡉ ࢇ ࡢ ㈗ 㔜 ࡞ ಶ ே ሗ ࢆ ྵ ࡴ グ 㘓 ࢆ ࠊ་ ⒪ ᶵ 㛵 ࡋ ࡚ ࡔ ࡅ ࡛ ࡞ ࡃ ᩍ ⫱ ◊ ✲ ᶵ 㛵 ࡋ ࡚ ᡤ ᐃ ࡢ ┠ ⓗ ⏝ ࡉ ࡏ ࡚ ࠸ ࡓ ࡔ ࡁ ࡓ ࠸ ᛮ ࠸ ࡲ ࡍ ࡢ ࡛ ࠊࡈ ⌮ ゎ ࡈ ༠ຊࢆ㈷ࡾࡲࡍࡼ࠺࠾㢪࠸⏦ࡋୖࡆࡲࡍࠋ ಶ ே ሗ ࡢ ⏝ ┠ ⓗ ಶேሗࡣࠊྛ✀ἲ௧ᇶ࡙࠸ࡓ㝔ෆつᐃࢆᏲࡗࡓ࠺࠼࡛ୗグࡢ┠ⓗ⏝ࡉࢀࡲࡍࠋ 㸦 㸧 ᙜ 㝔 ࡛ ࡢ ⏝ ᝈ ⪅ ࡉ ࢇ ࡀ ࠾ ཷ ࡅ ࡞ ࡿ ་ ⒪ ࢧ ࣮ ࣅ ࢫ ་ ⒪ ಖ 㝤 ົ ᝈ ⪅ ࡉ ࢇ 㛵 ಀ ࡍ ࡿ ⟶ ⌮ 㐠 Ⴀ ᴗ ົ 㸦 ධ ㏥ 㝔 ➼ ࡢ Ჷ ⟶ ⌮ ࠊ ィ ࣭ ⤒ ⌮ ࠊ ་ ⒪ ᨾ ࡢ ሗ ࿌ ࠊ ་ ⒪ ࢧ ࣮ ࣅ ࢫ ࡢ ྥ ୖ 㸧 ་ ⒪ ࢧ ࣮ ࣅ ࢫ ࡸ ᴗ ົ ࡢ ⥔ ᣢ ࣭ ᨵ ၿ ࡢ ࡓ ࡵ ࡢ ᇶ ♏ ㈨ ᩱ 㸦 㸧 ᙜ 㝔 ࠾ ࡼ ࡧ Ꮫ ᰯ ἲ ே Ꮫ ࡛ ࡢ ⏝ ་ Ꮫ ⣔ ᩍ ⫱ ᇶ ࡙ ࡃ ◊ ✲ ―11― 病院理念 ㏞ᝨ⾜Ⅽࡘ࠸࡚ 病院理念 እ 㒊 ┘ ᰝ ᶵ 㛵 ࡢ ሗ ᥦ ౪ ࡇ ࡢ ⏝ ᙜ ࡓ ࡾ ࡲ ࡋ ࡚ ࡣ ࠊ ༏ ྡ ࡍ ࡿ ࡼ ࠺ ດ ຊ ࡋ ࡲ ࡍ ࠋ 㸦 㸧 ࡢ ᴗ ⪅ ➼ ࡢ ሗ ᥦ ౪ ࡢ 㝔 ࠊデ ⒪ ᡤ ࠊຓ ⏘ ᡤ ࠊ⸆ ᒁ ࠊゼ ၥ ┳ ㆤ ࢫ ࢸ ࣮ ࢩ ࣙ ࣥ ࠊ ㆤ ࢧ ࣮ ࣅ ࢫ ᴗ ⪅ ➼ ࡢ ་ ⒪ࢧ࣮ࣅࢫ➼㛵ࡋ࡚ࡢ㐃ᦠ ࡢ ་ ⒪ ᶵ 㛵 ➼ ࡽ ࡢ ་ ⒪ ࢧ ࣮ ࣅ ࢫ ➼ 㛵 ࡋ ࡚ ࡢ ↷ ࡢ ᅇ ⟅ ᝈ ⪅ ࡉ ࢇ ࡢ デ ⒪ ➼ ࠶ ࡓ ࡾ እ 㒊 ࡢ ་ ᖌ ➼ ࡢ ព ぢ ࣭ ຓ ゝ ࢆ ồ ࡵ ࡿ ሙ ྜ ᳨ య ᳨ ᰝ ᴗ ົ ࡢ ጤ ク ࡑ ࡢ ࡢ ᴗ ົ ጤ ク ࡈ ᐙ ᪘ ࡢ ≧ ㄝ ᫂ ་ ⒪ ಖ 㝤 ົ 㸦 ಖ 㝤 ົ ࡢ ጤ ク ࠊ ᑂ ᰝ ᨭ ᡶ ᶵ 㛵 ࡢ ࣞ ࢭ ࣉ ࢺ ࡢ ᥦ ฟ 㸧 ᑂ ᰝ ᨭ ᡶ ᶵ 㛵 ཪ ࡣ ಖ 㝤 ⪅ ࡽ ࡢ ↷ ࡢ ᅇ ⟅ 㛵 ಀ ἲ ௧ ➼ ᇶ ࡙ ࡃ ⾜ ᨻ ᶵ 㛵 ཬ ࡧ ྖ ἲ ᶵ 㛵 ➼ ࡢ ᥦ ฟ ➼ 㛵 ಀ ἲ ௧ ᇶ ࡙ ࠸ ࡚ ᴗ ⪅ ➼ ࡽ ࡢ ጤ ク ࢆ ཷ ࡅ ࡚ ᗣ デ ᩿ ࢆ ⾜ ࡗ ࡓ ሙ ྜ ࠾ ࡅ ࡿ ࠊ ᴗ ⪅ ➼ࡢࡑࡢ⤖ᯝ㏻▱ ་ ᖌ ㈺ ൾ ㈐ ௵ ಖ 㝤 ࡞ ಀ ࡿ ་ ⒪ 㛵 ࡍ ࡿ ᑓ 㛛 ࡢ ᅋ య ࠊ ಖ 㝤 ♫ ➼ ࡢ ┦ ㄯ ཪ ࡣ ᒆ ฟ ➼ 㸦 㸧 ࡑ ࡢ ࡢ ⏝ ୖ グ ⏝ ┠ ⓗ ௨ እ ಶ ே ሗ ࢆ ⏝ ࡍ ࡿ ሙ ྜ ࡣ ࠊ᭩ 㠃 ࡼ ࡾ ྠ ព ࢆ ࠸ ࡓ ࡔ ࡃ ࡇ ࠸ ࡓ ࡋ ࡲࡍࠋ ಶ ே ሗ 㛤 ♧ ㄳ ồ ᡤᐃࡢᡭ⥆ࡁࡢ࠺࠼ࠊ⮬ᕫࡢಶேሗࡢ㛤♧ࢆㄳồࡍࡿࡇࡀ࡛ࡁࡲࡍࠋ 㸦 㸧 㛤 ♧ ┦ ㄯ ❆ ཱྀ 㸸 ⥲ ྜ ┦ ㄯ ࢭ ࣥ ࢱ ࣮ ᝈ ⪅ ┦ ㄯ ᢸ ᙜ 㸦 㸧 ㄳ ồ ᡭ ᩘ ᩱ 㸸 ᝈ ⪅ ࡉ ࢇ ࡀ ಶ ே ሗ ࡢ 㛤 ♧ ࢆ ㄳ ồ ࡍ ࡿ ሙ ྜ ࡣ ࠊ ᙜ 㝔 ࡀ ᐃ ࡵ ࡓ ᡭ ᩘ ᩱ ࢆ ⣡ ࡵ࡚࠸ࡓࡔࡁࡲࡍࠋ ᡭ ᩘ ᩱ 㸦 ⛯ ㎸ 㸧 ࢥ ࣆ ࣮ ௦ ࣌ ࣮ ࢪ 㸦 ⛯ ㎸ 㸧 ͤヲ⣽ࡣ❆ཱྀࡈ☜ㄆࡃࡔࡉ࠸ࠋ ಶ ே ሗ ࡘ ࠸ ࡚ ࡢ ┦ ㄯ ᙜ㝔࡛ࡢಶேሗࡢྲྀᢅ࠸➼㛵ࡋ࡚ࠊࡈ᫂࡞Ⅼ࣭ࡈ␗⩏➼ࡀࡈࡊ࠸ࡲࡋࡓࡽࠊୗグ ࡈ㐃⤡ୗࡉ࠸ࠋ ⥲ ྜ ┦ ㄯ ࢭ ࣥ ࢱ ࣮ ᝈ ⪅ ┦ ㄯ ᢸ ᙜ グ ࣭ୖ グ ࡢ ࠺ ࡕ ࠊ ࡢ ་ ⒪ ᶵ 㛵 ➼ ࡢ ሗ ᥦ ౪ ࡘ ࠸ ࡚ ྠ ព ࡋ ࡀ ࡓ ࠸ 㡯 ࡀ ࠶ ࡿ ሙ ྜ ࡣ ࠊࡑ ࡢ ᪨ࢆᢸᙜ་ࡈ┦ㄯୗࡉ࠸ࠋ ࣭࠾ ⏦ ࡋ ฟ ࡀ ࡞ ࠸ ࡶ ࡢ ࡘ ࠸ ࡚ ࡣ ࠊྠ ព ࡋ ࡚ ࠸ ࡓ ࡔ ࡅ ࡓ ࡶ ࡢ ࡋ ࡚ ྲྀ ࡾ ᢅ ࢃ ࡏ ࡚ ࠸ ࡓ ࡔ ࡁ ࡲ ࡍ ࠋ ࣭ࡇࢀࡽࡢ࠾⏦ࡋฟࡣࠊ࠸ࡘ࡛ࡶ᧔ᅇࠊኚ᭦ࡍࡿࡇࡀྍ⬟࡛ࡍࠋ デ⒪㘓ࡘ࠸࡚ ᙜ㝔ࡢデ⒪㘓ࡣࠊ㝔ෆࠊ㝔እࡢタಖᏑࡋ࡚࠾ࡾࠊ㐠⏝⟶⌮࠾࠸࡚ࡣࠊ᪥ᖖࡢデ⒪ 㒔ྜࡀ⏕ࡌࡿࡇࡢ↓࠸ࡼ࠺ࡢయไࢆᩚ࠼࡚࠾ࡾࡲࡍࠋࡲࡓࠊ㝔እࡢಖᏑࡘ ࡁࡲࡋ࡚ࡣࠊᝈ⪅ࡉࢇࡢಶேሗࡢಖㆤດࡵࡓ㐠⏝ࢆ⾜ࡗ࡚࠾ࡾࡲࡍࡢ࡛ࡈᢎୗࡉ࠸ࠋ ―12― 施設概要 ２）施設概要 㸧タᴫせ ڦᏛ㝔ࠉ㸦ᖹᡂ㸰㸳ᖺ㸱᭶⌧ᅾ㸧 つᶍ 㠃✚ 㟁Ẽタഛ ✵ㄪタഛ ୰ኸᲷ ධ㝔Ჷ 㹑㹐㹁㐀ࠉᆅୖ㸯㸯㝵ࠉᆅୗ㸱㝵 㹑㹐㹁㐀ࠉᆅୖ㸯㸶㝵ࠉᆅୗ㸱㝵 㸦ᘏᗋ㠃✚㸧 ୰ኸᲷ ධ㝔Ჷ ≉ู㧗ᅽ㹑㹌㹕᪉ᘧᅇ⥺ࠉ㹉㹔ࠉ㸦㹉㹔㸿㸧 タഛᐜ㔞 ୰ኸᲷࠉ㹉㹔㸿ࠊࠉධ㝔Ჷࠉ㹉㹔㸿ࠊࠉィࠉ㹉㹔㸿 ኚᅽჾྎࠉ㹉㹔㸿 ⮬ᐙ⏝Ⓨ㟁ᶵ ୰ኸᲷ ධ㝔Ჷ ࢞ࢫࢱ࣮ࣅࣥⓎ㟁ᶵ㸦✵෭ᘧ㸧㹉㹔㸿ྎ ࢹ࣮ࢮࣝⓎ㟁ᶵ㸦Ỉ෭ᘧ㸧ࠉ㹉㹔㸿ྎ 㹁㹔㹁㹄タഛ ୰ኸᲷ ධ㝔Ჷ ⤌࣭㹔ฟຊࠉࠉ㹉㹔㸿 ⤌࣭㹔ฟຊࠉ㹉㹔㸿 ୰ኸᲷ ධ㝔Ჷ ⤥Ỉタഛ ࠉ੍ ࠉ੍ ✵ㄪᶵ 㹄㹁㹓 㹎㸿㹁 ㏦㢼ᶵ ✵ㄪᶵ 㹄㹁㹓 㹎㸿㹁 ㏦㢼ᶵ ⤥Ỉタഛ ୰ኸᲷ ධ㝔Ჷ ྎ ྎ ྎ ྎ ྎ ྎ ྎ ྎ ୖỈཷỈᵴ ࠊୖỈ㧗ᯫỈᵴ 㞧⏝ỈཷỈᵴ ࠊ㞧⏝Ỉ㧗ᯫỈᵴ ୖỈཷỈᵴ ࠊୖỈ㧗ᯫỈᵴ ྎ ⤥タഛ ୰ኸᲷ ධ㝔Ჷ ྎ ྎࠊࠉ ྎࠊࠉ ྎ Ỉタഛ ୰ኸᲷ ධ㝔Ჷ ởỈỈㄪᩚᵴ ࠊ㞧Ỉㄪᩚᵴ ࠊ㞵Ỉ㈓␃ᵴ ởỈᵴ ࠊ㞧Ỉᵴ ࠊࢢࣜࢫࢺࣛࢵࣉ ᵴ 㹐㹇Ỉタഛ ୰ኸᲷ ㈓␃ᵴ ᇶ㸦Ỉ㔞 㸭᪥㸧 ࢞ࢫタഛ 㒔ᕷ࢞ࢫ㸦୰ᅽ࣭పᅽ㸧 ᪼㝆ᶵタഛ ୰ኸᲷ ⏝㸦ᒎᮃ⏝㸧 ேⲴ⏝ව㠀ᖖ⏝ ᐷྎ⏝ ⏝ Ⲵ≀⏝㸦ࢡ࣮ࣜࣥࢱࣉ㸧 ⏝ව㌴᳔Ꮚ⏝ ࢲ࣒࢙࣮࢘ࢱ࣮ ࢚ࢫ࣮࢝ࣞࢱ࣮ ධ㝔Ჷ ⏝ ⏝ ᐷྎ⏝ ேⲴ⏝ව㠀ᖖ⏝ Ⲵ≀⏝㸦ࢡ࣮ࣜࣥࢱࣉ㸧 ࢲ࣒࢙࣮࢘ࢱ࣮ ࢚ࢿࣝࢠ࣮タഛ ୰ኸᲷ ධ㝔Ჷ 㹫㸭㹫㹧㹬ࠉே⏝ࠉᇶ 㹫㸭㹫㹧㹬ࠉே⏝ࠉᇶ 㹫㸭㹫㹧㹬ࠉே⏝ࠉᇶ 㹫㸭㹫㹧㹬ࠉே⏝ࠉᇶ 㹫㸭㹫㹧㹬ࠉ㹩㹥ࠉᇶ 㹫㸭㹫㹧㹬ࠉࠉே⏝ࠉᇶ 㹫㸭㹫㹧㹬ࠉ㹩㹥ࠉᇶ 㹫㸭㹫㹧㹬ࠉᙧࠉᇶ 㹫㸭㹫㹧㹬ࠉே⏝ࠉᇶ 㹫㸭㹫㹧㹬ࠉே⏝ࠉᇶ 㹫㸭㹫㹧㹬ࠉே⏝ࠉᇶ 㹫㸭㹫㹧㹬ࠉே⏝ࠉᇶ 㹫㸭㹫㹧㹬ࠉே⏝ࠉᇶ 㹫㸭㹫㹧㹬ࠉ㹩㹥ࠉᇶ 㟁ືࢱ࣮࣎෭ᶵྎ㸦㹓㹑㹐㹒㸧 ෭ ỈⓎ⏕ᶵྎ㸦㹓㹑㹐㹒㸧 ㈏ὶ࣮࣎ࣛྎ㸦⟬Ⓨ㔞㹩㹥㸭㹦㸧ࠉ⇞ᩱ㸸㒔ᕷ࢞ࢫ㸿ཬࡧⅉἜ ෭ ỈⓎ⏕ᶵྎ㸦㹓㹑㹐㹒㸧 ㈏ὶ࣮࣎ࣛྎ㸦⟬Ⓨ㔞㹩㹥㸭㹦㸧ࠉ⇞ᩱ㸸㒔ᕷ࢞ࢫ㸿 ―13― 施設概要 ڦᏛ㝔㝃ᒓᮾ㝔㸦ᖹᡂ㸰㸳ᖺ㸱᭶⌧ᅾ㸧 つᶍ 㹑㹐㹁㐀ࠉᆅୖ㝵ࠉᆅୗ㝵 㠃✚ 㸦ᘏᗋ㠃✚㸧ᮾ㝔 㟁Ẽタഛ ᆅ୰᪉ᘧ㸯ᅇ⥺㹩㹴 タഛᐜ㔞ࠉ㹒㹰ྎࠉ㹉㹔㸿 ⮬ᐙⓎ㟁ᶵ ࢞ࢫࢱ࣮ࣅࣥⓎ㟁ᶵ㸦✵෭ᘧ㸧㹉㹔㸿 㹁㹔㹁㹄タഛ 㸯⤌࣭㹴ࠉ㹉㹔㸿 ✵ㄪタഛ 㸿㹁 ྎ 㸿㹆㹃 ྎ 㹄㹁㹓 ྎ 㹎㹋ࣔࢪࣗࣛࢵࢡࣘࢽࢵࢺ ྎ 㹎㸿㹁 ྎ ࢚ࢥࣥ ྎ 㸦㹁㹒ᐊ㸪㹖⥺ᐊࠊ㹂㹐ࠊ┘どᐊࠊᰤ㣴⛉ࠊΎᤲᐊࠊ㟋ᏳᐊࠊᏲ⾨ᐊࠊデ⒪㘓㸧 ⤥Ẽࣇࣥ ࠉィ㸶㸲ྎ ࠉࢩࣟࢵࢥᆺ ྎ ࠉࣛࣥᆺ ྎ ࠉẼᡪ ྎ ⤥Ỉタഛ ⤥Ỉタഛ ୖỈཷỈᵴࠉࠉࠉ ࠉ㸯ᇶ 㞧⏝Ỉᵴࠉࠉࠉ ࠉ㸯ᇶ ⤥タഛ ࢫࢺ࣮ࣞࢪࢱࣥࢡࠉࠉࠉ ྎ Ỉタഛ ࣭ᶵᲔỈᵴࠉࠉࠉࠉ࣭㞵Ỉᵴࠉ࣭ởỈᵴ㸦 㸧ࠉࠉ ࣭㞧Ỉᵴ㸦 㸧ࠉ࣭Ỉᵴࠉ࣭ࢢࣜࢫࢺࣛࢵࣉ㸦 㸧 ੍ ࢢࣜࢫࢺࣛࢵࣉ ࣭ᰤ㣴⛉㸦㸯 㸧㸯ࠉ࣭㸰㝵㣗ᇽ㸯 ࢞ࢫタഛ 㒔ᕷ࢞ࢫ㸦పᅽ㸧 ᪼㝆ᶵタഛ ᐷྎ⏝ࠉࠉࠉࠉ㸦θ㸪㸧 ⏝ࠉࠉࠉࠉࠉࠉࠉ㸦θ㸪㸧 ࢲ࣒࢙࣮࢘ࢱ࣮ࠉࠉ㸦θ㸪㸧 ࢚ࢿࣝࢠ࣮タഛ Ỉ෭ࢳ࣮ࣛ㸱ྎ ࣮࣎ࣛ㸰ྎ ࣂࢥࢸࣥࣄ࣮ࢱ࣮㸰ྎ ࠉ㹫㸭㹫L㹬ࠉࠉྡ ࠉ㹫㸭㹫L㹬ࠉࠉྡ ࠉ㹫㸭㹫L㹬ࠉࠉ㹩㹥 ࠉ.:ࠉ ࠉ.FDOK ࠉNFDOK ―14― ⇞ᩱ㸸㟁Ẽ ⇞ᩱ㸸ⅉἜ ⇞ᩱ㸸ⅉἜ 施設概要 ３）沿 革 ᖺ ྕ㻌 す ᬺ㻌 ᖺ ㆕㻌 ṇ㻝㻠㻌 㻝㻥㻞㻡㻌 ་Ꮫ༤ኈୖᲄ⚽ࠊ་Ꮫᑓ㛛Ꮫᰯタ❧ࡢᚲせࢆᥦၐࡋ▼ྜྷ㑻ࡽ ྠᚿࢆເࡿࠋᏛᰯタ❧ᆅࢆᮾிᗓⲥཎ㒆ᖹሯᏐ୰ᘏỴࡵࡿࠋ㻌 ṇ㻝㻡㻌 㻝㻥㻞㻢㻌 ➨㸯ᅇ❧ጤဨ㛤ദࠊ❧ࡢ᪉㔪ࢆỴࡵࡿࠋ❧ጤဨ㛗㙴ᮌᛅṇࠋ ୖᲄ⚽Ꮿࢆ❧ົᡤࡋࠊୖᲄ⚽ᖖົጤဨ࡞ࡿࠋ㻌 㸰㻌 㻝㻥㻞㻣㻌 ᮾிᗓⲥཎ㒆ⲥཎ⏫ࡢᩜᆅㅮᇽཬࡧ㝃ᒓ་㝔ࢆᘓ⠏╔ᕤࠋ㻌 㸱㻌 㻝㻥㻞㻤㻌 ㈈ᅋἲே་Ꮫᑓ㛛Ꮫᰯࢆタ❧ࡋࠊ་Ꮫᑓ㛛Ꮫᰯタ⨨ࠋㅮᇽཬ ࡧ㝃ᒓ་㝔❹ᕤࠋ㻌 㻞㻝㻌 㻝㻥㻠㻢㻌 Ꮫᰯἲே་⛉Ꮫタ❧ࠋ་⛉Ꮫ㝔ྡ⛠ኚ᭦ࠋ㻌 㻟㻥㻌 㻝㻥㻢㻠㻌 ་⛉Ꮫ㝔ࢆᏛ㝔ྡ⛠ኚ᭦ࠋ㻌 㻡㻡㻌 㻝㻥㻤㻜㻌 Ꮫ㝔ධ㝔Ჷ❹ᕤࠋ㻌 㻢㻞㻌 㻝㻥㻤㻣㻌 ᮾᲷ㸦⌧ࠊᏛ㝔㝃ᒓᮾ㝔㸧㛤タࠋ㻌 ᖹᡂ㸴㻌 㻝㻥㻥㻠㻌 Ꮫ㝔ࠊ≉ᐃᶵ⬟㝔ㄆྍࡉࢀࡿࠋ㻌 ᖹᡂ㸵㻌 㻝㻥㻥㻡㻌 㜰⚄ῐ㊰㟈⅏࡛Ꮫ་⒪ᩆ㝲㸯᭶㛫་⒪ዊࠋ㻌 ࢚ࢬᣐⅬ㝔࡞ࡿࠋ㻌 ᖹᡂ㸶㻌 㻝㻥㻥㻢㻌 ᖹᡂ㸷㻌 㻝㻥㻥㻣㻌 ᮾி㒔⅏ᐖᚋ᪉་⒪タࡢᣦᐃࢆཷࡅࡿࠋ㻌 ᖹᡂ㻝㻜㻌 㻝㻥㻥㻤㻌 Ꮫ㝔୰ኸᲷᮇᕤ❹ᕤࠋ㻌 ᖹᡂ㻝㻝㻌 Ꮫ㝔୰ኸᲷᮇᕤ❹ᕤࠋᮾᲷศ㞳࣭⊂❧ࠋ㻌 㸦Ꮫ㝔㝃ᒓᮾ㝔㛤タ㸧㻌 㻝㻥㻥㻥㻌 ᩆᩆᛴࢭࣥࢱ࣮ࡢㄆᐃࢆཷࡅࡿࠋ㻌 ᪥ᮏ་⒪ᶵ⬟ホ౯ᶵᵓࡼࡾ㝔ᶵ⬟ホ౯ࡢㄆᐃࢆཷࡅࡿࠋ㻌 Ꮫ㝔୰ኸᲷ➨୍ᮇᕤ❹ᕤࠊデ⒪㛤ጞࠋ㻌 㸦ᆅᇦ㸧⅏ᐖᣐⅬ㝔㑅ᐃࡉࢀࡿࠋ㻌 ᖹᡂ㻝㻡㻌 㻞㻜㻜㻟㻌 ᮾி㒔⥲ྜ࿘⏘ᮇẕᏊ་⒪ࢭࣥࢱ࣮ࡋ࡚ᣦᐃࢆཷࡅࡿࠋ㻌 㻰㻼㻯 ᑐ㇟㝔࡞ࡿࠋ㻌 ᮾி㒔 㻯㻯㼁 ࢿࢵࢺ࣮࣡ࢡຍ┕ࡍࡿࠋ㻌 ᖹᡂ㻝㻢㻌 㻞㻜㻜㻠㻌 ⮫ᗋ◊ಟᣦᐃ㝔࡞ࡿࠋ㻌 ᪥ᮏ་⒪ᶵ⬟ホ౯ᶵᵓࡼࡾ㝔ᶵ⬟ホ౯ࡢ᭦᪂ㄆᐃࢆཷࡅࡿࠋ㻌 ᖹᡂ㻝㻣㻌 㻞㻜㻜㻡㻌 ᮾி 㻰㻹㻭㼀 ᣦᐃ་⒪ᶵ㛵ࡋ࡚ᣦᐃࢆཷࡅࡿ㻌 ᖹᡂ㻝㻤㻌 㻞㻜㻜㻢㻌 ≉ᐃᶵ⬟㝔ධ㝔ᇶᮏᩱ㸦㸵㸸㸯ධ㝔ᇶᮏᩱ㸧ᒆࡅฟࠋ㻌 ᖹᡂ㻞㻜㻌 㻞㻜㻜㻤㻌 ᮾி㒔ㄆᐃࡀࢇデ⒪㝔ࡋ࡚ㄆᐃࢆཷࡅࡿࠋ㻌 ᖹᡂ㻞㻝㻌 㻞㻜㻜㻥㻌 ᮾி㒔ẕయᩆᑐᛂ⥲ྜ࿘⏘ᮇẕᏊ་⒪ࢭࣥࢱ࣮ࡋ࡚ᣦᐃࡉࢀࡿࠋ㻌 ᪥ᮏ་⒪ᶵ⬟ホ౯ᶵᵓࡼࡾ㝔ᶵ⬟ホ౯ࡢ᭦᪂ㄆᐃࢆཷࡅࡿࠋ㻌 ᖹᡂ㻞㻞㻌 㻞㻜㻝㻜㻌 ࡀࢇデ⒪㐃ᦠᣐⅬ㝔ࡋ࡚ㄆᐃࢆཷࡅࡿࠋ㻌 ࣈࣞࢫࢺࢭࣥࢱ࣮ࡢ᪂タࠋ㻌 ᖹᡂ㻞㻟㻌 㻞㻜㻝㻝㻌 ⮚ჾูࡢࢭࣥࢱ࣮ࡢ᪂タࠋ㻌 ⥲ྜデ⒪㒊ࡢ᪂タࠋ㻌 ᖹᡂ㻞㻠㻌 㻞㻜㻝㻞㻌 ᮾி㒔ࡼࡾ 㻰㻹㻭㼀 ࣮࢝ࡀ㓄ഛࠋ㻌 ༞ᚋ⮫ᗋ◊ಟホ౯ᶵᵓࡼࡾ⮫ᗋ◊ಟホ౯ࡢㄆᐃࢆཷࡅࡿࠋ㻌 ―15― 施設概要 Ꮫ㝔㝃ᒓᮾ㝔ἢ㠉 Ꮫ㝔㝃ᒓᮾ㝔ࡣࠊᏛ㝔ᪧᮏ㤋ࡢᘓ࡚᭰࠼ࡶ࡞࠸ࠊධ㝔Ჷ᭷ ᶵⓗᶵ⬟ࡍࡿࡲ࡛ࡢཷࡅ─㸦௬タᲷ㸧ࡋ࡚ࠊ ᖺ╔ᕤࡋࠊ ᖺ ᭶ Ꮫ㝔ࠕᮾᲷࠖࡋ࡚㛤㝔ࡋࡓࠋ 㛤㝔ࡢデ⒪⛉ࡣࠊ║⛉ࠊ⓶⛉ࠊᚠ⎔ჾෆ⛉ࠊ⢭⚄⚄⤒⛉ࡢ ⛉࡛ᗋᩘࡣ ᗋ࡛࠶ࡗࡓࠋ ᖹᡂ ᖺ୰ኸᲷࡀᡂࡋࠊ⾜ᨻࡢᣦᑟࡢࡶᖹᡂ ᖺࠕᏛ㝔㝃ᒓᮾ 㝔ࠖࡋ࡚ศ㞳⊂❧ࡋࡓࠋデ⒪⛉⚄⤒ෆ⛉ࡶຍࢃࡾᗋᩘࡶ ᗋቑᗋࡉࢀࠊᚠ⎔ ჾෆ⛉྾ჾෆ⛉ࡢධࢀ᭰࠼➼ࡶ⾜ࢃࢀࡓࠋࡑࡢᚋࠊᏛ㝔ᮾ㝔ࡢ࠶ࡾ᪉ ጤဨ࠾࠸࡚ࠊᚋࡢ୧㝔ࡢ㐃ᦠᙉࡸࡑࢀࡶ࡞࠺デ⒪⛉ࡢධࢀ᭰࠼࡞ࡀ᳨ウ ࡉࢀࠊᖹᡂ ᖺ ᭶ᮾ㝔 㝵Ჷࡢ⢭⚄⛉ᗋࡋ࡚ㄆྍࡉࢀࡓ ᗋࢆ㏉ୖࡋࠊ ᙜヱᲷࢆ୍⯡ᗋࡍࡿࡇ࡞ࡀ⾜ࢃࢀࠊᗋᩘࡶ ᗋ࡞ࡗࡓࠋ ᖹᡂ ᖺࡣࠊデ⒪⛉ࡶ㺫㺽㺐㺻㺖㺶㺤㺍㺖ࡀᏛ㝔ࡽ⛣㌿ࡋࠊෆ⛉ࡢ⦅ᡂࡶ⾜ࢃ ࢀࠊ྾ჾ࣭㺏㺸㺷㺕㺼ෆ⛉ࠊ⢾ᒀ࣭௦ㅰ࣭ෆศἪෆ⛉ࠊ㺶㺑㺭㺟࣭⭺ཎෆ⛉ࠊ⚄⤒ෆ⛉ࡢ ෆ⛉ࡣ ⛉యไ࡞ࡾࠊ⌧ᅾ⮳ࡿࠋ ―16― 施設概要 病床種別病床数の推移 施設名 昭和大学病院・昭和大学病院附属東病院 ᐕ ᣣ㩷 ᤘ 㪋 ᐕ 㪋 㪈 ᣣ㩷 ᤘ 㪍 ᐕ 㪋 㪈 ᣣ㩷 ᤘ 㪈㪊 ᐕ 㪋 㪈 ᣣ㩷 ᤘ 㪉㪋 ᐕ 㪐 㪈 ᣣ㩷 ᤘ 㪉㪌 ᐕ 㪈 㪈 ᣣ㩷 ᤘ 㪉㪋 ᐕ 㪈㪉 㪊㪈 ᣣ㩷 ᤘ 㪉㪍 ᐕ 㪎 㪈 ᣣ㩷 ᤘ 㪉㪏 ᐕ 㪊 㪈 ᣣ㩷 ᤘ 㪉㪐 ᐕ 㪍 㪈 ᣣ㩷 ᤘ 㪊㪈 ᐕ 㪐 㪈 ᣣ㩷 ᤘ 㪊㪉 ᐕ 㪉 㪈 ᣣ㩷 ᤘ 㪊㪉 ᐕ 㪈㪉 㪈 ᣣ㩷 ᤘ 㪊㪋 ᐕ 㪍 㪈 ᣣ㩷 ᤘ 㪊㪐 ᐕ 㪊 㪈 ᣣ㩷 ᤘ 㪋㪊 ᐕ 㪎 㪈 ᣣ㩷 ᤘ 㪋㪋 ᐕ 㪈㪇 㪈 ᣣ㩷 ᤘ 㪋㪎 ᐕ 㪎 㪈 ᣣ㩷 ᤘ 㪋㪏 ᐕ 㪍 㪈 ᣣ㩷 ᤘ 㪋㪐 ᐕ 㪏 㪐 ᣣ㩷 ᤘ 㪌㪌 ᐕ 㪉 㪌 ᣣ㩷 ᤘ 㪌㪌 ᐕ 㪈㪉 㪋 ᣣ㩷 ᤘ 㪌㪍 ᐕ 㪈 㪉㪊 ᣣ㩷 ᤘ 㪍㪈 ᐕ 㪌 㪈 ᣣ㩷 ᤘ 㪌㪍 ᐕ 㪍 㪐 ᣣ㩷 ᤘ 㪌㪎 ᐕ 㪋 㪈㪉 ᣣ㩷 ᤘ 㪌㪎 ᐕ 㪎 㪌 ᣣ㩷 ᤘ 㪍㪇 ᐕ 㪏 㪎 ᣣ㩷 ᤘ 㪍㪈 ᐕ 㪋 㪈㪏 ᣣ㩷 ᤘ 㪍㪈 ᐕ 㪈㪉 㪈㪎 ᣣ㩷 ᤘ 㪍㪉 ᐕ 㪋 㪉㪏 ᣣ㩷 ᤘ 㪍㪉 ᐕ 㪎 㪎 ᣣ㩷 ᤘ 㪍㪊 ᐕ 㪈㪉 㪉㪏 ᣣ㩷 ᐔᚑ 㪈 ᐕ 㪊 㪉㪊 ᣣ㩷 ᐔᚑ 㪈 ᐕ 㪋 㪋 ᣣ㩷 ᐔᚑ 㪈 ᐕ 㪎 㪉㪏 ᣣ㩷 ᐔᚑ 㪌 ᐕ 㪊 㪉㪊 ᣣ㩷 ᐔᚑ 㪍 ᐕ 㪉 㪉㪉 ᣣ㩷 ᐔᚑ 㪐 ᐕ 㪋 㪉㪉 ᣣ㩷 ᐔᚑ 㪐 ᐕ 㪎 㪏 ᣣ㩷 ᐔᚑ 㪐 ᐕ 㪐 㪈㪇 ᣣ㩷 ᐔᚑ 㪐 ᐕ 㪐 㪉㪐 ᣣ㩷 ᐔᚑ 㪐 ᐕ 㪈㪇 㪉㪇 ᣣ㩷 ᐔᚑ 㪈㪇 ᐕ 㪋 㪉 ᣣ㩷 ᐔᚑ 㪈㪇 ᐕ 㪍 㪏 ᣣ㩷 ᐔᚑ 㪈㪇 ᐕ 㪏 㪈㪉 ᣣ㩷 ᐔᚑ 㪈㪇 ᐕ 㪈㪇 㪈 ᣣ㩷 ᐔᚑ 㪈㪇 ᐕ 㪈㪇 㪎 ᣣ㩷 ᄢቇ∛㒮 ᧲∛㒮㩷 ᄢቇ∛㒮 ᐔᚑ 㪈㪈 ᐕ 㪋 㪈 ᣣ㩷 ᧲∛㒮㩷 ᄢቇ∛㒮 ᐔᚑ 㪈㪋 ᐕ 㪈㪇 㪉㪊 ᣣ㩷 ᧲∛㒮㩷 ᄢቇ∛㒮 ᐔᚑ 㪈㪌 ᐕ 㪋 㪈 ᣣ㩷 ᧲∛㒮㩷 ᄢቇ∛㒮 ᐔᚑ 㪈㪏 ᐕ 㪌 㪈㪇 ᣣ㩷 ᧲∛㒮㩷 ᄢቇ∛㒮 ᐔᚑ 㪈㪏 ᐕ 㪍 㪍 ᣣ㩷 ᧲∛㒮㩷 ᄢቇ∛㒮 ᐔᚑ 㪉㪉 ᐕ 㪈㪉 㪈 ᣣ㩷 ᧲∛㒮㩷 ᄢቇ∛㒮 ᐔᚑ 㪉㪊 ᐕ 㪉 㪉㪏 ᣣ㩷 ᧲∛㒮㩷 ᐔᚑ 㪈㪈 ᐕ 㪉 㪈㪍 ᣣ㩷 㩷 ✚ᢙ㩷 ৻⥸㩷 㪐㪉㩷 㪍㪌㩷 㪈㪇㪋㩷 㪊㪉㪋㩷 㪊㪇㪐㩷 㪉㪍㪋㩷 㪉㪍㪋㩷 㪈㪌㪏㩷 㪊㪇㪐㩷 㪊㪇㪐㩷 㪋㪍㪊㩷 㪋㪍㪎㩷 㪋㪍㪎㩷 㪍㪇㪇㩷 㪍㪐㪍㩷 㪏㪇㪍㩷 㪎㪋㪐㩷 㪎㪌㪊㩷 㪎㪍㪎㩷 㪎㪉㪎㩷 㪎㪉㪊㩷 㪈㪃㪊㪋㪊㩷 㪏㪉㪍㩷 㪏㪐㪇㩷 㪏㪋㪊㩷 㪐㪐㪇㩷 㪐㪋㪊㩷 㪐㪊㪍㩷 㪐㪋㪍㩷 㪐㪋㪎㩷 㪈㪃㪈㪈㪏㩷 㪈㪃㪈㪉㪊㩷 㪈㪃㪈㪊㪈㩷 㪈㪃㪈㪋㪇㩷 㪈㪃㪈㪋㪏㩷 㪈㪃㪈㪏㪇㩷 㪈㪃㪈㪎㪍㩷 㪈㪃㪈㪋㪉㩷 㪈㪃㪊㪎㪊㩷 㪈㪃㪇㪉㪎㩷 㪈㪃㪇㪊㪈㩷 㪈㪃㪇㪋㪋㩷 㪈㪃㪇㪋㪎㩷 㪈㪃㪇㪌㪊㩷 㪈㪃㪇㪍㪈㩷 㪈㪃㪇㪎㪇㩷 㪈㪃㪇㪐㪋㩷 㪈㪃㪈㪇㪇㩷 㪈㪃㪇㪌㪇㩷 㪉㪈㪌㩷 㪏㪏㪌㩷 㪉㪈㪌㩷 㪏㪎㪊㩷 㪉㪈㪌㩷 㪏㪎㪐㩷 㪉㪈㪌㩷 㪏㪎㪐㩷 㪈㪐㪐㩷 㪏㪌㪊㩷 㪈㪐㪐㩷 㪏㪋㪋㩷 㪈㪐㪐㩷 㪏㪈㪌㩷 㪈㪐㪐㩷 㪎㪎㩷 㪉㪌㪉㩷 㪉㪉㪋㩷 㪉㪉㪈㩷 㪉㪍㪈㩷 㪈㪌㪏㩷 㪈㪎㪏㩷 㪈㪏㪋㩷 㪊㪊㪏㩷 㪊㪋㪉㩷 㪊㪐㪐㩷 㪌㪊㪉㩷 㪍㪊㪈㩷 㪏㪇㪍㩷 㪎㪋㪐㩷 㪎㪌㪊㩷 㪎㪍㪎㩷 㪎㪉㪎㩷 㪎㪉㪊㩷 㪈㪃㪊㪋㪊㩷 㪏㪉㪍㩷 㪏㪐㪇㩷 㪏㪋㪊㩷 㪐㪐㪇㩷 㪐㪋㪊㩷 㪐㪊㪍㩷 㪐㪋㪍㩷 㪐㪋㪎㩷 㪈㪃㪇㪍㪏㩷 㪈㪃㪇㪎㪊㩷 㪈㪃㪇㪏㪈㩷 㪈㪃㪇㪐㪇㩷 㪈㪃㪇㪐㪏㩷 㪈㪃㪈㪊㪇㩷 㪈㪃㪈㪉㪍㩷 㪈㪃㪇㪐㪉㩷 㪈㪃㪊㪉㪊㩷 㪐㪎㪎㩷 㪐㪏㪈㩷 㪐㪐㪋㩷 㪐㪐㪎㩷 㪈㪃㪇㪇㪊㩷 㪈㪃㪇㪈㪈㩷 㪈㪃㪇㪉㪇㩷 㪈㪃㪇㪋㪋㩷 㪈㪃㪇㪌㪇㩷 㪈㪃㪇㪌㪇㩷 㪈㪍㪌㩷 㪏㪏㪌㩷 㪈㪍㪌㩷 㪏㪎㪊㩷 㪈㪍㪌㩷 㪏㪎㪐㩷 㪈㪍㪌㩷 㪏㪎㪐㩷 㪈㪐㪐㩷 㪏㪌㪊㩷 㪈㪐㪐㩷 㪏㪋㪋㩷 㪈㪐㪐㩷 㪏㪈㪌㩷 㪈㪐㪐㩷 ∛ ᐥ ᢙ㩷 ♖㩷 ⚿ᩭ㩷 વᨴ㩷 㩷 㩷 㪉㪎㩷 㩷 㩷 㩷 㪊㩷 㪊㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㪌㪇㩷 㩷 㪌㪇㩷 㩷 㪌㪇㩷 㩷 㪌㪇㩷 㩷 㪌㪇㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㪋㪌㩷 㪌㪎㩷 㪊㪏㩷 㩷 㩷 㪈㪉㪌㩷 㪈㪉㪌㩷 㪈㪉㪌㩷 㪈㪉㪌㩷 㪍㪏㩷 㪍㪏㩷 㪍㪌㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㪉㪎㩷 㪉㪎㩷 㪉㪏㩷 㪉㩷 㩷 㩷 㪍㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 ―17― ⠨㩷 ᤘකቇኾ㐷ቇᩞ㒝ዻක㒮㩷 㒮∛㐿㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 ᤘᄢቇ∛㒮ߣᡷ⒓㩷 㩷 㩷 㩷 㩷 㩷 㩷 㒮㐿㩷 㒮߳⒖ォߒߚ∛ࠍ㐽㎮ 㩷 㩷 ∛㐿㩷 㩷 㩷 㩷 㩷 ᧲∛㐿㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 ᧲߇᧲∛㒮ߣߒߡ⁛┙ߒߡ 㐿⸳㩷 㩷 㩷 㩷 㩷 㩷 㩷 㩷 ᑠඣእ⛉ ங⭢እ⛉ ᾘჾ䞉୍⯡እ⛉ ྾ჾእ⛉ ᚰ⮚⾑⟶እ⛉ ⦆་⒪⛉ ឤᰁෆ⛉ ⥲ྜෆ⛉㻔㻱㻾㻕 ⭘⒆ෆ⛉ ⚄⤒ෆ⛉ ⾑ᾮෆ⛉ ⭈⮚ෆ⛉ ₎᪉እ᮶ ᚠ⎔ჾෆ⛉ ᾘჾෆ⛉ ⢾ᒀ䡡௦ㅰ䞉ෆศἪෆ⛉ 䝸䜴䝬䝏䡡⭺ཎෆ⛉ ྾ჾ䡡䡭䢖䢕䡳䢚䡬ෆ⛉ デ⒪㒊㛛 ⬻⚄⤒እ⛉ ṑ⛉ ⮫ᗋ⌮デ᩿⛉ ⓶⛉ ║⛉ ⢭⚄䡡⚄⤒⛉ ᩆᛴ་Ꮫ⛉ 㯞㓉⛉ ᨺᑕ⥺⒪⛉ ᨺᑕ⥺⛉ Ἢᒀჾ⛉ ⪥㰯ဗႃ⛉ ᑠඣ⛉ ⏘፬ே⛉ ⨾ᐜእ⛉ ᙧᡂእ⛉ 䝸䝝䝡䝸䝔䞊䝅䝵䞁⛉ ᩚᙧእ⛉ 㝔㛗 ෆど㙾䝉䞁䝍䞊 ㉸㡢Ἴ䝉䞁䝍䞊 ㍺⾑㒊 ⮫ᗋ⌮᳨ᰝ㒊 ᨺᑕ⥺㒊 ୰ኸ᳨ᰝ㒊㛛 䠄ྛ✀ጤဨ䠅 ⮫ᗋᩍᤵ ⟶⌮㆟ ⛎᭩ᐊ ⮫ᗋ㑇ఏ་⒪䝉䞁䝍䞊 䝤䝺䝇䝖䝉䞁䝍䞊 ⭘⒆䝉䞁䝍䞊 〟⒔䜿䜰䝉䞁䝍䞊 ⦆䜿䜰䝉䞁䝍䞊 ᡭ⾡㒊 䝸䝝䝡䝸䝔䞊䝅䝵䞁䝉䞁䝍䞊 䠤䠟䠱 䠟䠟䠱 㞟୰⒪㒊䠄䠥䠟䠱㻕 ⥲ྜデ⒪㒊 ᩆᩆᛴ䝉䞁䝍䞊 ⾑ᾮί䝉䞁䝍䞊 ၁ཱྀ䝉䞁䝍䞊 ᑠඣ་⒪䝉䞁䝍䞊 ⥲ྜ࿘⏘ᮇẕᏊ་⒪䝉䞁䝍䞊 ᚠ⎔ჾ䝉䞁䝍䞊 ᾘჾ䝉䞁䝍䞊 ྾ჾ䝉䞁䝍䞊 ⮫ᗋヨ㦂 ᨭ䝉䞁䝍䞊 䠄ྛ✀ጤဨ䠅 㝔㐠Ⴀጤဨ ୰ኸデ⒪㒊㛛 Ꮫ㝔㛗 昭和大学病院組織図 ⸆㒊 ┳ㆤ㒊 䝪䝷䞁䝔䜱䜰 䝧䝑䝗䝁䞁䝖䝻䞊䝹⟶⌮ᐊ ᆅᇦ་⒪㐃ᦠᐊ ་⒪⚟♴┦ㄯᐊ ⥲ྜ┦ㄯ䝉䞁䝍䞊 ឤᰁ⟶⌮㒊㛛 ་⒪Ᏻ⟶⌮㒊㛛 䜽䜸䝸䝔䜱䝬䝛䝆䝯䞁䝖㒊 ୰ኸᮦᩱᐊ ≀ရ⟶⌮ᐊ ་⒪ሗᐊ デ⒪㘓⟶⌮ᐊ 䠩䠡ᐊ ᰤ㣴⛉ ་ㄢ ⟶⌮ㄢ ົ㒊 ་⒪䝏䞊䝮 昭和大学病院組織図 ―18― ᨺᑕ⥺ᐊ ⚄⤒ෆ⛉ ⮫ᗋ⌮デ᩿⛉ 㯞㓉⛉ ᨺᑕ⥺⛉ ⓶⛉ ║⛉ እ⛉ ⢭⚄䞉⚄⤒⛉ ⮫ᗋ⌮᳨ᰝᐊ ୰ኸ᳨ᰝ㒊㛛 ෆ⛉ デ⒪㒊㛛 ᡭ⾡ᐊ ୰ኸデ⒪㒊㛛 ⮫ᗋヨ㦂ᨭᐊ ᮾ㻌㻌㝔㻌㛗 ⸆ᒁ ┳ㆤ㒊 䝧䝑䝗䝁䞁䝖䝻䞊䝹⟶⌮ᐊ ᆅᇦ་⒪㐃ᦠᐊ ་⒪⚟♴┦ㄯᐊ ⥲ྜ┦ㄯ䝉䞁䝍䞊 ឤᰁ⟶⌮㒊㛛 ་⒪Ᏻ⟶⌮㒊㛛 䜽䜸䝸䝔䜱䝬䝛䝆䝯䞁䝖㒊 昭和大学病院附属東病院組織図 Ꮫ㝔㝃ᒓᮾ㝔⤌⧊ᅗ䠄᪂䠅 ୰ኸᮦᩱᐊ デ⒪㘓⟶⌮ᐊ ᰤ㣴⛉ ⟶⌮ㄢ ົ㒊 ་⒪䝏䞊䝮 ᖹᡂ㻞㻠ᖺ㻡᭶㻞㻞᪥⌧ᅾ 昭和大学病院附属東病院組織図 ―19― 医療機関の承認・指定状況等 ５）医療機関の承認・指定状況等 ἲ௧➼䛾ྡ⛠ ᢎㄆ䠄ᣦᐃ䠅➼䛾ᖺ᭶᪥ ᑠඣ៏ᛶ≉ᐃᝈ⒪◊✲ᴗ ་⒪ἲ䛻䜘䜛㝔㛤タᢎㄆ 㻟ᖺ 㻡᭶ 㻝㻡᪥ ᝏᛶ᪂⏕≀ 㻠㻤ᖺ 㻠᭶ 㻝᪥ ≉ᐃᶵ⬟㝔 ᖹᡂ 㻢ᖺ 㻟᭶ 㻝᪥ ៏ᛶ⭈ᝈ 㻠㻤ᖺ 㻠᭶ 㻝᪥ ᾘ㜵ἲ䛻䜘䜛ᩆᛴ་⒪ᶵ㛵 㻠㻜ᖺ 㻟᭶ 㻝㻤᪥ ៏ᛶ྾ჾᝈ 㻠㻤ᖺ 㻠᭶ 㻝᪥ ປാ⪅⅏ᐖ⿵ൾಖ㝤ἲ䛻䜘䜛་⒪ᶵ㛵 㻞㻢ᖺ 㻣᭶ 㻝᪥ ៏ᛶᚰᝈ 㻠㻤ᖺ 㻠᭶ 㻝᪥ ᆅ᪉බົဨ⅏ᐖ⿵ൾἲ䛻䜘䜛་⒪ᶵ㛵 㻞㻢ᖺ 㻣᭶ 㻝᪥ ෆศἪᝈ 㻠㻤ᖺ 㻠᭶ 㻝᪥ ୍⯡་⒪ 㻟㻡ᖺ 㻝㻜᭶ 㻝᪥ ⭺ཎ 㻠㻤ᖺ 㻠᭶ 㻝᪥ ㄆᐃ་⒪ 䠉 ⢾ᒀ 㻠㻤ᖺ 㻠᭶ 㻝᪥ ᗣ་⒪ 䠉 ඛኳᛶ௦ㅰ␗ᖖ 㻠㻤ᖺ 㻠᭶ 㻝᪥ 㻞㻤ᖺ 㻞᭶ 㻝㻞᪥ ⾑➼⾑ᾮᝈ㻌䞉චᝈ 㻠㻤ᖺ 㻠᭶ 㻝᪥ ዷፎ୰ẘ 㻠㻡ᖺ 㻠᭶ 㻝᪥ ⚄⤒䞉➽ᝈ 㻠㻤ᖺ 㻠᭶ 㻝᪥ ዷፎஙඣᗣデᰝ 㻠㻡ᖺ 㻠᭶ 㻝᪥ ៏ᛶᾘჾᝈ 㻠㻤ᖺ 㻠᭶ 㻝᪥ 㣴⫱་⒪ 㻟㻡ᖺ 㻞᭶ 㻝㻡᪥ ཎ⇿ㆤἲ ᡓയ⪅≉ูㆤἲ䛻䜘䜛་⒪ᶵ㛵 ẕᏊಖἲ ⏕άಖㆤἲ䛻䜘䜛་⒪ᶵ㛵 㻟㻜ᖺ 㻝㻜᭶ 㻝᪥ ⫱ᡂ་⒪䞉᭦ṇ་⒪ᶵ㛵 ᖹᡂ 㻝㻥ᖺ 㻝᭶ 㻝᪥ ⢭⚄㏻㝔་⒪ᶵ㛵 ᖹᡂ 㻝㻥ᖺ 㻞᭶ 㻝᪥ 㞀ᐖ⪅⮬❧ᨭἲ ⮫ᗋಟ⦎ᣦᐃ㝔䠄እᅜ་ᖌ䞉እᅜṑ⛉་ᖌ䠅 㻢㻟ᖺ ඛኳᛶ⾑ᾮจᅛᅉᏊ㞀ᐖ➼⒪◊✲ᴗ ඛኳᛶ⾑ᾮจᅛᅉᏊḞஈ ᖹᡂ ඖᖺ 㻠᭶ 㻝᪥ 㻟᭶ 㻞㻥᪥ ≉ᐃᝈ⒪◊✲ᴗ䠄ᅜᣦᐃ䠅 䝧䞊䝏䜵䝑䝖 㻠㻤ᖺ 㻠᭶ 㻝᪥ 䝰䝲䝰䝲䠄䜴䜱䝸䝇ື⬦㍯㛢ሰ䠅 㻠㻠ᖺ 㻝㻞᭶ 㻝᪥ ከⓎᛶ◳ 㻠㻤ᖺ 㻠᭶ 㻝᪥ 䜴䜵䝀䝘䞊⫗ⱆ⭘ 㻡㻥ᖺ 㻝᭶ 㻝᪥ 㔜➽↓ຊ 㻠㻤ᖺ 㻠᭶ 㻝᪥ ≉Ⓨᛶᣑᙇᆺ䠄䛖䛳⾑ᆺ䠅ᚰ➽ 㻢㻜ᖺ 㻝᭶ 㻝᪥ ㌟ᛶ䜶䝸䝔䝬䝖䞊䝕䝇 㻠㻤ᖺ 㻠᭶ 㻝᪥ 䝅䝱䜲䞉䝗䝺䞊䜺䞊ೃ⩌ 㻢㻝ᖺ 㻝᭶ 㻝᪥ 䝇䝰䞁 㻠㻣ᖺ 㻝㻜᭶ 㻝᪥ ⾲⓶Ỉ⑁䠄᥋ྜ㒊ᆺཬ䜃ᰤ㣴㞀ᐖᆺ䠅 㻢㻞ᖺ 㻝᭶ 㻝᪥ ⏕Ⰻᛶ㈋⾑ 㻠㻤ᖺ 㻠᭶ 㻝᪥ ⮋⑁ᛶⓄ 㻢㻟ᖺ 㻝᭶ 㻝᪥ 䝃䝹䝁䜲䝗䞊䝅䝇 㻠㻥ᖺ 㻝㻜᭶ 㻝᪥ ᗈ⠊⬨ᰕ⟶⊃✽ 㻢㻠ᖺ 㻝᭶ 㻝᪥ ➽ⴎ⦰ᛶഃ⣴◳ 㻠㻥ᖺ 㻝㻜᭶ 㻝᪥ ཎⓎᛶ⫹Ồᛶ⫢◳ኚ ᖹᡂ 㻞ᖺ 㻝᭶ 㻝᪥ ᙉ⓶䚸⓶➽⅖䛚䜘䜃ከⓎᛶ➽⅖ 㻠㻥ᖺ 㻝㻜᭶ 㻝᪥ 㔜ᛴᛶ⮅⅖ ᖹᡂ 㻟ᖺ 㻝᭶ 㻝᪥ ≉Ⓨᛶ⾑ᑠᯈῶᑡᛶ⣸ᩬ 㻠㻥ᖺ 㻝㻜᭶ 㻝᪥ ≉Ⓨᛶ⭣㦵㢌ቯṚ ᖹᡂ 㻠ᖺ 㻝᭶ 㻝᪥ ⤖⠇ᛶື⬦࿘ᅖ⅖ 㻠㻥ᖺ 㻝㻜᭶ 㻝᪥ ΰྜᛶ⤖ྜ⤌⧊ ᖹᡂ 㻡ᖺ 㻝᭶ 㻝᪥ ₽⒆ᛶ⭠⅖ 㻡㻜ᖺ 㻝㻜᭶ 㻝᪥ ཎⓎᛶචೃ⩌ ᖹᡂ 㻢ᖺ 㻝᭶ 㻝᪥ ື⬦⅖ೃ⩌ 㻡㻜ᖺ 㻝㻜᭶ 㻝᪥ ≉Ⓨᛶ㛫㉁ᛶ⫵⅖ ᖹᡂ 㻣ᖺ 㻝᭶ 㻝᪥ 䝡䝳䝹䜺䞊 㻡㻜ᖺ 㻝㻜᭶ 㻝᪥ ⥙⭷Ⰽ⣲ኚᛶ ᖹᡂ 㻤ᖺ 㻝᭶ 㻝᪥ ኳ⑁⒔ 㻡㻜ᖺ 㻝㻜᭶ 㻝᪥ 䝤䝸䜸䞁 ᖹᡂ 㻥ᖺ 㻝᭶ 㻝᪥ ⬨㧊ᑠ⬻ኚᛶ 㻡㻝ᖺ 㻝㻜᭶ 㻝᪥ ཎⓎᛶ⫵㧗⾑ᅽ ᖹᡂ 㻝㻜ᖺ 㻝᭶ 㻝᪥ 䜽䝻䞊䞁 㻡㻝ᖺ 㻝㻜᭶ 㻝᪥ ⚄⤒⥺⥔⭘ ᖹᡂ 㻝㻜ᖺ 㻝᭶ 㻝᪥ 㞴䛾⫢⅖䛾䛖䛱⫢⅖ 㻡㻝ᖺ 㻝㻜᭶ 㻝᪥ ளᛴᛶ◳⬻⅖ ᖹᡂ 㻝㻜ᖺ 㻝㻞᭶ 㻝᪥ ᝏᛶ㛵⠇䝸䜴䝬䝏 㻡㻜ᖺ 㻝㻜᭶ 㻝᪥ 䝞䝑䝖䞉䜻䜰䝸䠄㻮㼡㼐㼐㻙㻯㼔㼕㼍㼞㼕䠅ೃ⩌ ᖹᡂ 㻝㻜ᖺ 㻝㻞᭶ 㻝᪥ 䝟䞊䜻䞁䝋䞁 㻡㻜ᖺ 㻝㻜᭶ 㻝᪥ ≉Ⓨᛶ៏ᛶ⫵⾑ᰦሰᰦ䠄⫵㧗⾑ᅽᆺ䠅 ᖹᡂ 㻝㻜ᖺ 㻝㻞᭶ 㻝᪥ 䜰䝭䝻䜲䝗䞊䝅䝇 㻡㻠ᖺ 㻝㻜᭶ 㻝᪥ 䝷䜲䝋䝌䞊䝮䠄䝣䜯䝤䝸䞊㼇㻲㼍㼎㼞㼥㼉ྵ䜐䠅 䠉 ᚋ⦪㠎ᖏ㦵 㻡㻡ᖺ 㻝㻞᭶ 㻝᪥ ⭈ⓑ㉁䝆䝇䝖䝻䝣䜱䞊 䝝䞁䝏䞁䝖䞁 㻡㻢ᖺ 㻝㻞᭶ 㻝᪥ ―20― ᖹᡂ 㻝㻞ᖺ 㻠᭶ 㻝᪥ ၮᧄ⸻≮⑼ߦଥࠆᣉ⸳ၮḰ㩷 ᱤ⑼ᄖ᧪⸻≮ⅣႺട▚㩷 ․ቯᯏ⢻∛㒮㒮ၮᧄᢱ㧔㧣ኻ㧝㧕㩷 ⥃ᐥ⎇ୃ∛㒮㒮⸻≮ട▚㩷 ᢇᕆක≮▤ℂട▚㩷 ᕆᕈᦼ⣖තਛട▚㩷 ᅧ↥ᇚ✕ᕆ៝ㅍ㒮ട▚㩷 ⸻≮㍳▤ℂട▚㩷 ᕆᕈᦼ⋴⼔ഥട▚㧔㪌㪇 ኻ㧝㧕㩷 ≮㙃ⅣႺട▚㩷 ή⩶ᴦ≮ቶ▤ℂട▚㧝㧞㩷 ✭ࠤࠕ⸻≮ട▚㩷 ߇ࠎ⸻≮ㅪ៤ὐ∛㒮ട▚㩷 ක≮ోኻ╷ട▚㧝㩷 ᗵᨴ㒐ᱛኻ╷ട▚㧝㧔ᗵᨴ㒐ᱛኻ╷ၞㅪ៤ട▚㧕㩷 ᖚ⠪ࠨࡐ࠻లታട▚㩷 ⶖ≙ࡂࠗࠬࠢᖚ⠪ࠤࠕട▚㩷 ࡂࠗࠬࠢᅧᆼ▤ℂട▚㩷 ࡂࠗࠬࠢಽᇂ▤ℂട▚̪ᐔᚑ 㪉㪋 ᐕขᛒಽᇂઙᢙ 㪈㪃㪈㪊㪇 ઙ㩷 ̪කᏧᢙ 㪊㪉 ฬ㪆ഥ↥Ꮷᢙ 㪌㪇 ฬ㧔ᐔᚑ 㪉㪌 ᐕ㧝㧝ᣣ㧕 ㅌ㒮⺞ᢛട▚㩷 ᣂ↢ఽ․ቯ㓸ਛᴦ≮ቶㅌ㒮⺞ᢛട▚㩷 ᢇᕆ៝ㅍᖚ⠪ၞㅪ៤⚫ട▚㩷 ๆࠤࠕ࠴ࡓട▚㩷 ∛⮎ᬺോታᣉട▚㩷 ࠺࠲ឭട▚㧞㩷 ᢇᢇᕆ㒮ᢱ㧞㩷 ․ቯ㓸ਛᴦ≮ቶ▤ℂᢱ㧝㩷 ࡂࠗࠤࠕ࡙࠾࠶࠻㒮ක≮▤ℂᢱ㩷 ✚ว↥ᦼ․ቯ㓸ਛᴦ≮ቶ▤ℂᢱ㩷 ዊఽ㒮ක≮▤ℂᢱ㧞㧠㩷 ․ឝ⸻≮⑼ߦଥࠆᣉ⸳ၮḰ㩷 ࠙ࠗ࡞ࠬ∔ᖚᜰዉᢱ㩷 㜞ᐲ㔍⡬ᜰዉ▤ℂᢱ㩷 ♧ዩ∛ว૬∝▤ℂᢱ㩷 ߇ࠎᕈ−∩✭ᜰዉ▤ℂᢱ㩷 ߇ࠎᖚ⠪ࠞ࠙ࡦࡦࠣᢱ㩷 ᄖ᧪✭ࠤࠕ▤ℂᢱ㩷 ⒖ᬀᓟᖚ⠪ᜰዉ▤ℂᢱ㧔⤳ེ⒖ᬀ㧕㩷 ♧ዩ∛ㅘᨆ੍㒐ᜰዉ▤ℂᢱ㩷 ၞㅪ៤ዊఽᄛ㑆ભᣣ⸻≮ᢱ㧞㩷 ၞㅪ៤ᄛ㑆ભᣣ⸻≮ᢱ㩷 㒮ౝ࠻ࠕࠫታᣉᢱ㩷 ᄖ᧪ࡂࡆ࠹࡚ࠪࡦ⸻≮ᢱ㩷 ᄖ᧪✢ᾖ⸻≮ᢱ㩷 ࠾ࠦ࠴ࡦଐሽ∝▤ℂᢱ㩷 ၞㅪ៤⸻≮⸘↹▤ℂᢱ㧔⣖තਛ㧕㩷 ߇ࠎᴦ≮ㅪ៤⸘↹╷ቯᢱ㩷 ߇ࠎᴦ≮ㅪ៤▤ℂᢱ㩷 ⢄Ἳࠗࡦ࠲ࡈࠚࡠࡦᴦ≮⸘↹ᢱ㩷 ⮎▤ℂᜰዉᢱ㩷 ක≮ᯏེో▤ℂᢱ㧝㧞㩷 ―21― 届出施設基準 ６）届出施設基準 昭和大学病院 届出施設基準 ㅧⴊེ⣲≌ㆮવሶᬌᩏ㩷 㪟㪧㪭 ᩭ㉄ᬌ㩷 ᬌᬌᩏ▤ℂട▚㧔Σ㧕㧔Τ㧕㩷 ᬀㄟဳᔃ㔚࿑ᬌᩏ㩷 ᤨ㑆ౝᱠⴕ⹜㛎㩷 ⢝ఽᔃࠛࠦᴺ㩷 ࡋ࠶࠼ࠕ࠶ࡊ࠹ࠖ࡞࠻⹜㛎㩷 ⚻ቇ⊛ᬌᩏ㩷 ⡬ེㆡวᬌᩏ㩷 ዊఽ㘩‛ࠕ࡞ࠡ⽶⩄ᬌᩏ㩷 ࡦ࠴ࡀ࡞ࡦࡄ▵↢ᬌ㧔߇ࠎߦଥࠆ߽ߩߦ㒢ࠆ㧕㩷 ↹⸻ᢿ▤ℂട▚㧝㧞㩷 㪚㪫 ᓇ߮ 㪤㪩㪠 ᓇ㩷 േ⣂ 㪚㪫 ᓇട▚㩷 ᄖ்ోり 㪚㪫 ട▚㩷 ᄢ⣺ 㪚㪫 ᓇട▚㩷 ᔃ⤳ 㪤㪩㪠 ᓇട▚㩷 ᛫ᖡᕈ⣲≌ಣᣇ▤ℂട▚㩷 ᄖ᧪ൻቇ≮ᴺട▚㧝㩷 ή⩶ಣℂᢱ㩷 ᔃᄢⴊ▤∔ᖚࡂࡆ࠹࡚ࠪࡦᢱ㧔㧵㧕㩷 ⣖ⴊ▤∔ᖚ╬ࡂࡆ࠹࡚ࠪࡦᢱ㧔Τ㧕㩷 ㆇേེࡂࡆ࠹࡚ࠪࡦᢱ㧔Σ㧕㩷 ๆེࡂࡆ࠹࡚ࠪࡦᢱ㧔Σ㧕㩷 㓸࿅ࠦࡒࡘ࠾ࠤ࡚ࠪࡦ≮ᴺᢱ㩷 ㅘᨆᶧ᳓⾰⏕ട▚㧞㩷 ৻㉄ൻ⓸⚛ๆ≮ᴺ㩷 ⣖ೝỗⵝ⟎ᬀㄟⴚ㧔㗡⬄ౝ㔚ᭂᬀㄟⴚࠍ㧕߮⣖ೝỗⵝ⟎឵ⴚޔ⣄㜑ೝỗⵝ⟎ᬀㄟⴚ߮⣄㜑ೝỗⵝ⟎឵ⴚ ੱᎿౝ⡊ᬀㄟⴚ㩷 ߇ࠎࡦ࠴ࡀ࡞ࡦࡄ▵ട▚㧝㧞㩷 ⚻⊹⊛േ⣂ᒻᚑⴚ㧔․ᱶࠞ࠹࠹࡞ߦࠃࠆ߽ߩ㧕㩷 ⚻⊹⊛ਛ㓒ᔃ╭ἳⴚ㩷 ࡍࠬࡔࠞ⒖ᬀⴚ߮ࡍࠬࡔࠞ឵ⴚ㩷 ᬀㄟဳᔃ㔚࿑⸥㍳⸘⒖ᬀⴚ߮ᬀㄟဳᔃ㔚࿑⸥㍳⸘៰ⴚ㩷 ਔᔃቶࡍࠬࡔࠞ⒖ᬀⴚ߮ਔᔃቶࡍࠬࡔࠞ឵ⴚ㩷 ᬀㄟဳ㒰⚦േེ⒖ᬀⴚޔᬀㄟဳ㒰⚦േེ឵ⴚ߮⚻㕒⣂㔚ᭂᛮⴚ㧔ࠩࠪࠬࠍ↪ࠆ߽ߩ㧕㩷 ਔቶࡍࠪࡦࠣᯏ⢻ઃ߈ᬀㄟဳ㒰⚦േེ⒖ᬀⴚ߮ਔቶࡍࠪࡦࠣᯏ⢻ઃ߈ᬀㄟဳ㒰⚦േེ឵ⴚ㩷 ᄢേ⣂ࡃ࡞ࡦࡄࡦࡇࡦࠣᴺ㧔㪠㪘㪙㪧 ᴺ㧕㩷 ࠳ࡔࠫࠦࡦ࠻ࡠ࡞ᚻⴚ㩷 ᄖⴣ᠄ᵄ⢙⍹⎕⎈ⴚ㩷 ⣻⣧㏜ਅ⢄ಾ㒰ⴚ㩷 ↢ㇱಽ⢄⒖ᬀⴚ㩷 ⣻⣧㏜ਅ⤟የㇱ⣲≌ಾ㒰ⴚ㩷 ᣧᦼᖡᕈ⣲≌ᄢ⣺☼⤑ਅጀ㔌ⴚ㩷 ⣻⣧㏜ਅዊಾ㐿⣢៰ⴚ㩷 ᄖⴣ᠄ᵄ⣢ዩ▤⚿⍹⎕⎈ⴚ㩷 ⣻⣧㏜ਅዊಾ㐿⣢ㇱಽಾ㒰ⴚޔ⣻⣧㏜ਅዊಾ㐿⣢៰ⴚޔ⣻⣧㏜ਅዊಾ㐿⣢㧔ዩ▤㧕ᖡᕈ⣲≌ᚻⴚ㩷 ⣢⣲≌ಝ࿕ἳⴚ㧔಄ಓಝ࿕ߦࠃࠆ߽ߩ㧕㩷 ห⒳ᱫ⣢⒖ᬀⴚ㩷 ↢⣢⒖ᬀⴚ㩷 ⣻⣧㏜ਅ⣾⢲ᖡᕈ⣲≌ᚻⴚ㩷 ੱᎿዩ⚂╭ᬀㄟ⟎឵ⴚ㩷 ⣻⣧㏜ਅዊಾ㐿೨┙⣼ᖡᕈ⣲≌ᚻⴚ㩷 ක⑼ὐᢙ╙㧞┨╙ 㪈㪇 ㇱᚻⴚߩㅢೣ㧡߮㧢㧔ᱤ⑼ὐᢙ╙㧞┨╙㧥ㇱߩㅢೣ㧠ࠍ㧕ߦឝߍࠆᚻⴚ㩷 ャⴊ▤ℂᢱΣ㧔ャⴊㆡᱜ↪ട▚㧕㩷 ੱᎿ⢂㐷ੱᎿ⣾⢲ㅧ⸳ⴚ೨ಣ⟎ട▚㩷 ―22― ᱤ ⑼㩷 ࠢ࠙ࡦࡉ࠶ࠫ⛽ᜬ▤ℂᢱ㩷 ᱤ⑼ᴦ≮✚วක≮▤ℂᢱ㩷 ―23― 届出施設基準 㤗㈮▤ℂᢱ㧔Σ㧕㧔Τ㧕㩷 ✢ᴦ≮ኾછട▚㩷 ᄖ᧪✢ᴦ≮ട▚㩷 㜞ࠛࡀ࡞ࠡ✢ᴦ≮㩷 ᒝᐲᄌ⺞✢ᴦ≮㧔㪠㪤㪩㪫㧕㩷 ↹⺃ዉ✢ᴦ≮㧔㪠㪞㪩㪫㧕㩷 ᄖᾖๆᕈ⒖േኻ╷ട▚㩷 ቯ✢ᴦ≮㩷 ቯ✢ᴦ≮ๆ⒖േኻ╷ട▚㩷 㒾ක≮ᯏ㑐㑆ߩㅪ៤ߦࠃࠆ∛ℂ⸻ᢿ㧔ᮡᧄߩฃข㧕㩷 ∛ℂ⸻ᢿ▤ℂട▚㧞㩷 ࠙ࠗ࡞ࠬ∔ᖚᜰዉᢱ㩷 届出施設基準 昭和大学病院附属東病院における届出施設基準 ၮᧄ⸻≮⑼ߦଥࠆᣉ⸳ၮḰ㩷 ৻⥸∛㒮ၮᧄᢱ㧔㧣ኻ㧝㧕㩷 ⥃ᐥ⎇ୃ∛㒮㒮⸻≮ട▚㩷 ⸻≮㍳▤ℂട▚㩷 ᕆᕈᦼ⋴⼔ഥട▚㧔㪌㪇 ኻ㧝㧕㩷 ක≮ోኻ╷ട▚㩷 ⍴ᦼṛᚻⴚၮᧄᢱ㧝㩷 ․ឝ⸻≮⑼ߦଥࠆᣉ⸳ၮḰ㩷 ♧ዩ∛ว૬∝▤ℂᢱ㩷 ♧ዩ∛ㅘᨆ੍㒐▤ℂᢱ㩷 ⮎▤ℂᜰዉᢱ㩷 ⊹ਅㅪ⛯ᑼࠣ࡞᷹ࠦࠬቯ㩷 ⚻ቇ⊛ᬌᩏ㩷 ࠦࡦ࠲ࠢ࠻ࡦ࠭ᬌᩏᢱ㧝㩷 ౝὐṢ⺃⊒⹜㛎㩷 ↹⸻ᢿ▤ℂട▚㧝㩷 ↹⸻ᢿ▤ℂട▚㧞㩷 㪚㪫 ᓇ߮ 㪤㪩㪠 ᓇ㩷 ක⑼ὐᢙ╙㧞┨╙ 㪈㪇 ㇱᚻⴚߩㅢೣ㧡߮㧢㧔ᱤ⑼ὐᢙ╙㧞┨╙㧥ㇱߩㅢೣ㧠ࠍޕ㧕ߦឝߍࠆᚻⴚ㩷 㤗㈮▤ℂᢱ㧔Σ㧕㩷 ―24― Ⅱ 診療統計及び臨床評価指標 ―27― ධ㝔 እ᮶ ᗋ⏝⋡ ධ㝔ᖹᆒᅾ㝔᪥ᩘ እ᮶ᖹᆒ㏻㝔ᅇᩘ ධ㝔 ་⒪ධ㢠 䠄༓䠅 እ᮶ ධ㝔ྲྀᢅᝈ⪅ᩘ ศፔ௳ᩘ ᪂⏕ඣᩘ እ᮶ྲྀᢅᝈ⪅ᩘ 㛫እᝈ⪅ᩘ䠄ᘏᝈ䠅 㛫እᝈ⪅ᩘ䠄᪂ᝈ䠅 㛫እᝈ⪅ᩘ䠄ධ㝔䠅 ᩆᛴ㌴௳ᩘ ୕ḟᩆᛴ ရᕝ༊Ꮚ䛹䜒ኪ㛫ᩆᛴᐊ ᙳ⥲ᝈ⪅ᩘ ᚰ⮚⾑⟶ᝈ⪅ᩘ 㢌㒊 䠟䠰 ᨺᑕ⥺㒊 ㌟ 䠮䠥 䜲䞁䝡䝪 㢌㒊 䠩䠮䠥 ㌟ ௳ᩘ ⮫ᗋ᳨ᰝ㒊 Ⅼᩘ ௳ᩘ ㍺⾑㒊 Ⅼᩘ ᯛᩘ ධ㝔 ௳ᩘ ᩘ ὀᑕ⟢ ᯛᩘ ⸆㒊 ᯛᩘ እ᮶ ௳ᩘ ᩘ 㝔እฎ᪉ ᯛᩘ ᝈ⪅ᩘ ධ㝔 䝸䝝䝡䝸䝔䞊䝅䝵䞁 Ⅼᩘ 䝉䞁䝍䞊 ᝈ⪅ᩘ እ᮶ Ⅼᩘ ᝈ⪅ᩘ ෆど㙾䝉䞁䝍䞊 ᝈ⪅ᩘ ㉸㡢Ἴ䝉䞁䝍䞊 ᝈ⪅ᩘ ⾑ᾮί䝉䞁䝍䞊 ᝈ⪅ᩘ ⭘⒆䝉䞁䝍䞊 ᝈ⪅ᩘ ⦆䜿䜰䝉䞁䝍䞊 ௳ᩘ㻔⥭ᛴ㻕 ᡭ⾡㒊 デ⒪㘓ሗ㛤♧௳ᩘ ධ㝔 ᰤ㣴┦ㄯᐊ እ᮶ ௳ᩘ ⏕᳨ Ⅼᩘ 㝔⌮㒊 ௳ᩘ ⣽⬊デ Ⅼᩘ ㎿㏿᳨ᰝ௳ᩘ ධ㝔䠄ᐇ௳ᩘ䠅 ⥲ྜ┦ㄯ䝉䞁䝍䞊 እ᮶䠄ᐇ௳ᩘ䠅 ௳ᩘ Ṛஸᩘ 㻞㻠㛫௨ෆ Ṛ⏘ᩘ ๗᳨⋡ 㻞㻠㛫௨ୖ๗᳨ ๗᳨ᩘ ධ㝔デ⒪ィ⏬ᑐ㇟⪅ᩘ ึデᝈ⪅ᩘ ึデ⋡ ⤂⋡ ㏫⤂⋡ デ⒪ᐇ᪥ᩘ チྍᗋᩘ 㻟㻜 㻞㻠 㻤㻢㻚㻜㻑 㻝㻟㻚㻞 㻝㻚㻡 㻝㻘㻡㻡㻤㻘㻡㻝㻣 㻡㻣㻝㻘㻤㻠㻡 㻞㻜㻘㻢㻡㻤 㻝㻜㻞 㻡㻢㻡 㻟㻢㻘㻥㻢㻡 㻝㻘㻣㻟㻥 㻝㻘㻟㻤㻜 㻟㻟㻠 㻠㻥㻠 㻥㻡 㻝㻤㻢 㻝㻟㻘㻥㻞㻤 㻞㻞㻟 㻣㻠㻡 㻝㻘㻥㻠㻠 㻟㻟㻢 㻡㻣㻞 㻣㻟㻠 㻡㻠㻠㻘㻤㻜㻟 㻝㻡㻘㻢㻜㻜㻘㻥㻡㻜 㻢㻘㻜㻡㻠 㻠㻡㻢㻘㻣㻜㻝 㻝㻜㻘㻥㻤㻤 㻝㻡㻘㻤㻡㻞 㻝㻞㻟㻘㻞㻥㻣 㻝㻝㻘㻢㻢㻟 㻥㻡 㻞㻟㻞 㻠㻘㻝㻥㻝 㻝㻥㻘㻤㻠㻜 㻞㻘㻝㻢㻜 㻡㻣㻜㻘㻜㻡㻡 㻝㻘㻣㻝㻥 㻠㻣㻣㻘㻝㻣㻜 㻥㻞㻢 㻝㻘㻤㻞㻢 㻠㻜㻣 㻣㻞㻝 㻢㻤㻝 㻡㻣㻠㻔㻤㻣㻕 㻣 㻞㻞 㻝㻟㻞 㻟㻘㻞㻟㻝 㻝㻘㻥㻞㻠㻘㻜㻣㻜 㻞㻘㻤㻞㻡 㻠㻥㻠㻘㻣㻤㻜 㻟 㻞㻣㻣 㻞㻤 㻢㻢 㻞㻤 㻞 㻝㻣㻚㻤㻑 㻡 㻝㻘㻟㻜㻠 㻟㻘㻟㻟㻞 㻥㻚㻜㻑 㻡㻥㻚㻝㻑 㻞㻣㻚㻥㻑 䠐᭶ 㻟㻝 㻞㻠 㻤㻝㻚㻡㻑 㻝㻟㻚㻜 㻝㻚㻢 㻝㻘㻡㻢㻥㻘㻤㻢㻞 㻢㻜㻣㻘㻝㻢㻝 㻞㻜㻘㻞㻠㻝 㻝㻜㻞 㻡㻟㻤 㻟㻤㻘㻠㻥㻣 㻝㻘㻥㻞㻥 㻝㻘㻠㻥㻢 㻟㻡㻣 㻠㻣㻟 㻣㻡 㻝㻟㻠 㻝㻠㻘㻟㻠㻤 㻞㻠㻡 㻥㻜㻡 㻞㻘㻜㻡㻢 㻟㻣㻥 㻢㻞㻝 㻣㻡㻢 㻡㻢㻢㻘㻝㻡㻣 㻝㻢㻘㻠㻞㻟㻘㻣㻤㻢 㻢㻘㻟㻝㻢 㻠㻠㻞㻘㻜㻝㻣 㻝㻜㻘㻢㻡㻣 㻝㻡㻘㻡㻡㻥 㻝㻞㻜㻘㻤㻥㻤 㻝㻝㻘㻡㻟㻠 㻝㻟㻡 㻞㻢㻠 㻡㻘㻣㻥㻜 㻞㻜㻘㻞㻥㻢 㻞㻘㻟㻞㻡 㻢㻞㻟㻘㻥㻠㻡 㻝㻘㻢㻣㻡 㻠㻣㻜㻘㻟㻜㻜 㻤㻥㻤 㻝㻘㻝㻥㻟 㻠㻟㻣 㻣㻢㻤 㻡㻡㻜 㻡㻣㻣㻔㻣㻥㻕 㻡 㻝㻥 㻝㻟㻜 㻟㻘㻞㻢㻡 㻝㻘㻥㻞㻤㻘㻥㻤㻜 㻟㻘㻝㻟㻟 㻡㻠㻥㻘㻣㻝㻜 㻢㻞 㻟㻜㻠 㻞㻣 㻢㻣 㻝㻥 㻝 㻝㻜㻚㻠㻑 㻡 㻝㻘㻢㻡㻤 㻟㻘㻤㻢㻞 㻝㻜㻚㻜㻑 㻢㻟㻚㻡㻑 㻞㻟㻚㻞㻑 䠑᭶ 㻟㻜 㻞㻢 㻤㻣㻚㻤㻑 㻝㻟㻚㻣 㻝㻚㻢 㻝㻘㻢㻢㻠㻘㻣㻝㻢 㻡㻥㻠㻘㻣㻜㻞 㻞㻝㻘㻜㻥㻣 㻝㻜㻢 㻡㻢㻟 㻟㻤㻘㻡㻡㻢 㻝㻘㻢㻢㻤 㻝㻘㻟㻟㻠 㻞㻥㻥 㻠㻠㻞 㻤㻜 㻝㻠㻜 㻝㻠㻘㻢㻠㻠 㻞㻠㻡 㻥㻞㻜 㻞㻘㻝㻜㻥 㻟㻥㻞 㻢㻠㻠 㻤㻞㻞 㻤㻡㻣㻘㻡㻤㻡 㻝㻢㻘㻝㻝㻞㻘㻤㻝㻤 㻢㻘㻝㻤㻡 㻠㻢㻟㻘㻡㻤㻥 㻝㻝㻘㻝㻠㻤 㻝㻢㻘㻜㻥㻞 㻝㻞㻟㻘㻜㻟㻣 㻝㻝㻘㻤㻜㻞 㻝㻝㻜 㻞㻣㻤 㻡㻘㻞㻢㻟 㻝㻥㻘㻥㻞㻝 㻞㻘㻢㻠㻞 㻣㻜㻣㻘㻣㻤㻡 㻝㻘㻣㻝㻣 㻠㻣㻣㻘㻤㻥㻡 㻝㻘㻜㻜㻡 㻝㻘㻝㻟㻠 㻟㻟㻥 㻣㻜㻤 㻢㻣㻡 㻡㻤㻢㻔㻥㻝㻕 㻟 㻞㻞 㻝㻞㻥 㻝㻘㻡㻡㻜 㻝㻘㻟㻜㻠㻘㻠㻡㻜 㻝㻘㻝㻥㻡 㻝㻥㻥㻘㻡㻥㻜 㻡㻢 㻞㻥㻣 㻢㻟 㻢㻣 㻞㻣 㻝 㻝㻞㻚㻡㻑 㻡 㻝㻘㻞㻣㻣 㻟㻘㻠㻢㻠 㻥㻚㻜㻑 㻡㻥㻚㻡㻑 㻞㻟㻚㻝㻑 䠒᭶ 㻟㻝 㻞㻡 㻥㻜㻚㻟㻑 㻝㻠㻚㻞 㻝㻚㻢 㻝㻘㻢㻥㻟㻘㻢㻥㻤 㻢㻜㻥㻘㻡㻟㻤 㻞㻞㻘㻠㻞㻣 㻤㻜 㻠㻥㻟 㻟㻤㻘㻥㻥㻜 㻝㻘㻣㻠㻜 㻝㻘㻟㻠㻤 㻟㻟㻤 㻠㻣㻣 㻣㻣 㻝㻤㻝 㻝㻠㻘㻞㻣㻠 㻝㻥㻟 㻥㻡㻥 㻞㻘㻜㻞㻡 㻟㻣㻜 㻢㻥㻠 㻣㻤㻞 㻡㻤㻜㻘㻣㻡㻡 㻝㻢㻘㻜㻢㻥㻘㻤㻢㻢 㻡㻘㻣㻥㻟 㻠㻝㻥㻘㻝㻠㻜 㻝㻝㻘㻞㻥㻤 㻝㻢㻘㻟㻟㻞 㻝㻞㻢㻘㻣㻟㻢 㻝㻝㻘㻥㻣㻢 㻥㻤 㻞㻢㻤 㻡㻘㻝㻡㻢 㻞㻜㻘㻝㻟㻜 㻞㻘㻢㻞㻠 㻢㻢㻠㻘㻡㻢㻜 㻝㻘㻤㻠㻤 㻠㻥㻠㻘㻡㻣㻜 㻥㻡㻢 㻝㻘㻥㻣㻡 㻠㻞㻜 㻣㻠㻟 㻤㻞㻟 㻢㻣㻞㻔㻤㻥㻕 㻢 㻞㻡 㻝㻞㻤 㻝㻘㻢㻤㻜 㻝㻘㻠㻣㻝㻘㻣㻤㻜 㻝㻘㻝㻝㻞 㻝㻤㻤㻘㻡㻝㻜 㻣㻢 㻟㻝㻞 㻢㻤 㻢㻝 㻞㻤 㻤 㻟㻜㻚㻟㻑 㻝㻜 㻝㻘㻡㻣㻞 㻟㻘㻢㻞㻜 㻥㻚㻟㻑 㻢㻝㻚㻞㻑 㻞㻟㻚㻟㻑 䠓᭶ 㻟㻝 㻞㻣 㻤㻤㻚㻡㻑 㻝㻞㻚㻣 㻝㻚㻢 㻝㻘㻣㻝㻞㻘㻟㻠㻟 㻡㻥㻞㻘㻜㻝㻜 㻞㻝㻘㻥㻣㻣 㻥㻣 㻡㻠㻝 㻟㻤㻘㻠㻢㻥 㻝㻘㻢㻣㻞 㻝㻘㻟㻝㻟 㻟㻠㻣 㻠㻤㻢 㻢㻡 㻝㻠㻢 㻝㻠㻘㻝㻠㻤 㻞㻠㻣 㻥㻞㻥 㻞㻘㻜㻝㻢 㻟㻤㻢 㻣㻜㻠 㻣㻡㻞 㻡㻢㻟㻘㻟㻡㻞 㻝㻡㻘㻡㻣㻞㻘㻥㻞㻣 㻢㻘㻞㻠㻢 㻠㻣㻠㻘㻝㻜㻞 㻝㻝㻘㻝㻜㻤 㻝㻢㻘㻠㻝㻟 㻝㻞㻢㻘㻡㻣㻜 㻝㻝㻘㻤㻣㻝 㻥㻞 㻞㻠㻣 㻠㻘㻥㻝㻞 㻝㻥㻘㻣㻡㻜 㻞㻘㻠㻟㻠 㻢㻜㻝㻘㻜㻠㻡 㻞㻘㻜㻞㻤 㻡㻢㻟㻘㻠㻣㻜 㻥㻡㻡 㻝㻘㻤㻢㻝 㻠㻥㻝 㻤㻜㻤 㻣㻢㻢 㻣㻡㻞㻔㻤㻤㻕 㻤 㻟㻟 㻝㻞㻟 㻝㻘㻡㻣㻣 㻝㻘㻟㻡㻜㻘㻢㻜㻜 㻝㻘㻜㻣㻣 㻝㻤㻝㻘㻠㻤㻜 㻡㻡 㻟㻠㻝 㻢㻤 㻡㻣 㻝㻝 㻞 㻤㻚㻢㻑 㻠 㻝㻘㻢㻝㻜 㻟㻘㻟㻡㻥 㻤㻚㻣㻑 㻢㻟㻚㻞㻑 㻞㻟㻚㻤㻑 䠔᭶ 䠍䠌᭶ 㻤㻝㻡ᗋ 㻟㻜 㻟㻝 㻞㻟 㻞㻢 㻤㻠㻚㻠㻑 㻤㻞㻚㻤㻑 㻝㻟㻚㻞 㻝㻞㻚㻠 㻝㻚㻡 㻝㻚㻢 㻝㻘㻠㻢㻥㻘㻣㻝㻞 㻝㻘㻢㻝㻡㻘㻡㻥㻟 㻡㻣㻢㻘㻢㻣㻣 㻢㻠㻝㻘㻞㻤㻠 㻞㻜㻘㻞㻣㻠 㻞㻜㻘㻡㻡㻟 㻥㻡 㻝㻜㻥 㻡㻞㻠 㻡㻥㻥 㻟㻢㻘㻝㻡㻥 㻠㻜㻘㻟㻠㻞 㻝㻘㻣㻡㻣 㻝㻘㻢㻜㻢 㻝㻘㻟㻤㻠 㻝㻘㻟㻝㻢 㻟㻞㻥 㻟㻠㻜 㻠㻢㻟 㻠㻡㻠 㻢㻢 㻣㻠 㻤㻣 㻝㻡㻡 㻝㻞㻘㻤㻠㻥 㻝㻠㻘㻞㻝㻠 㻝㻢㻥 㻞㻡㻝 㻥㻞㻝 㻥㻠㻠 㻝㻘㻤㻣㻠 㻞㻘㻝㻡㻣 㻟㻞㻤 㻟㻠㻟 㻢㻢㻝 㻣㻤㻡 㻢㻤㻠 㻤㻜㻟 㻡㻞㻝㻘㻟㻠㻤 㻡㻣㻥㻘㻠㻝㻥 㻝㻠㻘㻟㻠㻝㻘㻡㻝㻢 㻝㻡㻘㻥㻝㻥㻘㻞㻢㻡 㻡㻘㻝㻢㻞 㻡㻘㻣㻣㻢 㻟㻣㻣㻘㻣㻡㻣 㻠㻟㻜㻘㻟㻣㻞 㻥㻘㻡㻝㻟 㻝㻜㻘㻤㻠㻟 㻝㻠㻘㻟㻞㻣 㻝㻡㻘㻢㻥㻣 㻝㻜㻥㻘㻤㻠㻝 㻝㻝㻥㻘㻢㻞㻠 㻝㻜㻘㻣㻟㻠 㻝㻝㻘㻞㻡㻥 㻤㻠 㻤㻟 㻞㻟㻢 㻞㻜㻣 㻠㻘㻠㻟㻥 㻠㻘㻥㻞㻞 㻝㻤㻘㻡㻤㻥 㻞㻜㻘㻥㻠㻠 㻞㻘㻝㻥㻡 㻞㻘㻟㻤㻡 㻡㻠㻝㻘㻤㻡㻡 㻢㻞㻢㻘㻠㻝㻜 㻝㻘㻤㻞㻝 㻞㻘㻜㻢㻣 㻡㻟㻞㻘㻟㻠㻡 㻢㻜㻟㻘㻞㻣㻜 㻣㻥㻣 㻥㻢㻟 㻝㻘㻢㻝㻥 㻞㻘㻜㻜㻢 㻠㻜㻥 㻠㻜㻢 㻣㻝㻠 㻤㻠㻟 㻤㻜㻝 㻡㻢㻤 㻢㻞㻜㻔㻤㻤㻕 㻢㻠㻝䠄㻤㻣㻕 㻠 㻡 㻞㻢 㻞㻤 㻝㻞㻝 㻝㻠㻡 㻝㻘㻡㻟㻞 㻝㻘㻡㻢㻜 㻝㻘㻞㻤㻥㻘㻝㻝㻜 㻝㻘㻟㻟㻞㻘㻝㻜㻜 㻝㻘㻜㻢㻝 㻝㻘㻞㻟㻜 㻝㻣㻢㻘㻤㻥㻜 㻞㻜㻣㻘㻝㻥㻜 㻡㻣 㻢㻜 㻞㻤㻟 㻞㻤㻣 㻤㻝 㻢㻡 㻢㻣 㻣㻟 㻝㻠 㻞㻣 㻝 㻝 㻝㻟㻚㻞㻑 㻤㻚㻢㻑 㻣 㻠 㻝㻘㻠㻡㻤 㻝㻘㻣㻜㻡 㻟㻘㻝㻢㻟 㻟㻘㻡㻤㻟 㻤㻚㻣㻑 㻤㻚㻥㻑 㻢㻞㻚㻟㻑 㻢㻟㻚㻢㻑 㻞㻟㻚㻤㻑 㻞㻝㻚㻣㻑 䠕᭶ 平成 24 年度 診療統計表 㻟㻜 㻞㻟 㻤㻟㻚㻥㻑 㻝㻟㻚㻝 㻝㻚㻡 㻝㻘㻡㻠㻠㻘㻣㻤㻢 㻢㻜㻠㻘㻞㻤㻤 㻞㻜㻘㻝㻡㻥 㻤㻤 㻡㻟㻝 㻟㻣㻘㻡㻜㻢 㻝㻘㻢㻟㻥 㻝㻘㻟㻠㻠 㻟㻟㻥 㻠㻡㻝 㻣㻟 㻝㻣㻡 㻝㻟㻘㻝㻠㻞 㻝㻥㻥 㻤㻥㻜 㻞㻘㻜㻜㻝 㻟㻠㻝 㻣㻞㻞 㻣㻠㻢 㻡㻞㻢㻘㻞㻥㻞 㻥㻘㻥㻜㻟㻘㻢㻝㻠 㻢㻘㻝㻞㻥 㻠㻟㻞㻘㻡㻢㻡 㻝㻜㻘㻟㻤㻢 㻝㻠㻘㻥㻡㻥 㻝㻝㻞㻘㻟㻡㻤 㻝㻜㻘㻤㻢㻥 㻥㻝 㻞㻞㻣 㻟㻘㻤㻣㻡 㻝㻥㻘㻡㻣㻠 㻞㻘㻞㻟㻤 㻡㻣㻝㻘㻠㻡㻡 㻞㻘㻝㻜㻢 㻡㻥㻟㻘㻝㻣㻜 㻥㻠㻞 㻞㻘㻥㻢㻢 㻠㻜㻞 㻤㻝㻠 㻡㻞㻢 㻌㻌㻌㻢㻜㻝㻔㻣㻥㻕 㻤 㻞㻠 㻝㻞㻢 㻝㻘㻡㻡㻣 㻝㻘㻟㻠㻟㻘㻞㻢㻜 㻝㻘㻝㻠㻜 㻝㻥㻟㻘㻢㻠㻜 㻣㻡 㻞㻤㻢 㻢㻣 㻢㻤 㻞㻢 㻝 㻝㻥㻚㻜㻑 㻤 㻝㻘㻠㻠㻤 㻟㻘㻟㻟㻡 㻤㻚㻥㻑 㻢㻞㻚㻝㻑 㻞㻞㻚㻣㻑 䠍䠍᭶ 㻟㻝 㻞㻟 㻤㻠㻚㻣㻑 㻝㻞㻚㻡 㻝㻚㻡 㻝㻘㻢㻠㻣㻘㻤㻥㻠 㻢㻜㻡㻘㻢㻥㻤 㻞㻝㻘㻜㻠㻠 㻤㻥 㻡㻜㻢 㻟㻤㻘㻡㻟㻜 㻝㻘㻥㻜㻤 㻝㻘㻡㻣㻥 㻟㻤㻢 㻠㻤㻡 㻣㻠 㻝㻢㻜 㻝㻟㻘㻣㻝㻡 㻞㻠㻡 㻥㻟㻞 㻞㻘㻜㻜㻝 㻟㻡㻟 㻣㻟㻢 㻣㻟㻝 㻡㻡㻣㻘㻥㻢㻢 㻝㻡㻘㻠㻝㻤㻘㻟㻡㻡 㻡㻘㻤㻟㻞 㻟㻥㻞㻘㻟㻤㻥 㻝㻝㻘㻜㻞㻜 㻝㻢㻘㻢㻡㻣 㻝㻟㻠㻘㻢㻞㻣 㻝㻝㻘㻟㻝㻠 㻤㻟 㻞㻝㻞 㻟㻘㻢㻤㻟 㻞㻜㻘㻟㻟㻟 㻞㻘㻠㻡㻣 㻢㻡㻜㻘㻝㻣㻡 㻝㻘㻥㻤㻣 㻡㻡㻤㻘㻣㻢㻜 㻤㻤㻞 㻞㻘㻤㻥㻢 㻠㻤㻞 㻣㻠㻝 㻢㻜㻣 㻌㻌㻌㻢㻟㻠㻔㻤㻤㻕 㻣 㻝㻢 㻝㻜㻞 㻝㻘㻡㻤㻞 㻝㻘㻟㻣㻞㻘㻢㻠㻜 㻝㻘㻜㻥㻠 㻝㻤㻠㻘㻜㻢㻜 㻢㻥 㻞㻥㻞 㻣㻜 㻣㻡 㻟㻡 㻞 㻝㻣㻚㻡㻑 㻣 㻝㻘㻟㻝㻜 㻟㻘㻟㻞㻜 㻤㻚㻢㻑 㻢㻞㻚㻜㻑 㻞㻡㻚㻞㻑 䠍䠎᭶ 㻟㻝 㻞㻟 㻤㻞㻚㻞㻑 㻝㻞㻚㻣 㻝㻚㻡 㻝㻘㻡㻥㻡㻘㻥㻟㻥 㻢㻜㻤㻘㻥㻠㻠 㻞㻜㻘㻠㻜㻞 㻝㻜㻞 㻡㻢㻠 㻟㻢㻘㻤㻡㻢 㻝㻘㻣㻞㻤 㻝㻘㻟㻥㻤 㻟㻤㻞 㻠㻤㻢 㻥㻠 㻝㻡㻝 㻝㻠㻘㻜㻢㻡 㻞㻞㻞 㻥㻞㻢 㻞㻘㻜㻞㻟 㻟㻠㻜 㻣㻞㻠 㻣㻟㻥 㻡㻣㻡㻘㻞㻟㻞 㻝㻢㻘㻞㻝㻤㻘㻤㻢㻤 㻡㻘㻤㻤㻥 㻟㻥㻠㻘㻟㻤㻣 㻝㻜㻘㻡㻞㻟 㻝㻡㻘㻟㻝㻣 㻝㻝㻟㻘㻥㻠㻡 㻝㻝㻘㻜㻣㻡 㻣㻡 㻞㻞㻠 㻟㻘㻥㻜㻜 㻝㻥㻘㻞㻞㻡 㻞㻘㻠㻝㻡 㻢㻜㻡㻘㻥㻞㻡 㻝㻘㻤㻠㻢 㻡㻞㻜㻘㻞㻜㻜 㻤㻣㻟 㻞㻘㻥㻞㻡 㻠㻥㻣 㻤㻟㻡 㻡㻟㻤 㻡㻥㻥㻔㻥㻡㻕 㻡 㻝㻥 㻝㻝㻜 㻝㻘㻡㻝㻣 㻝㻘㻞㻥㻤㻘㻜㻥㻜 㻝㻘㻝㻝㻥 㻝㻤㻣㻘㻢㻣㻜 㻢㻡 㻟㻜㻝 㻡㻢 㻥㻝 㻟㻣 㻜 㻝㻤㻚㻡㻑 㻝㻜 㻝㻘㻡㻥㻤 㻟㻘㻟㻡㻜 㻥㻚㻝㻑 㻢㻝㻚㻠㻑 㻞㻜㻚㻠㻑 䠍᭶ 㻞㻤 㻞㻟 㻤㻤㻚㻞㻑 㻝㻞㻚㻤 㻝㻚㻡 㻝㻘㻡㻣㻟㻘㻠㻡㻣 㻡㻥㻝㻘㻡㻡㻠 㻝㻥㻘㻣㻣㻤 㻥㻜 㻡㻝㻢 㻟㻡㻘㻤㻟㻡 㻝㻘㻡㻜㻡 㻝㻘㻞㻝㻡 㻟㻞㻥 㻠㻟㻣 㻥㻞 㻝㻞㻜 㻝㻞㻘㻥㻢㻥 㻞㻢㻜 㻥㻠㻡 㻝㻘㻤㻢㻣 㻟㻞㻠 㻢㻥㻝 㻣㻟㻤 㻡㻟㻢㻘㻡㻠㻜 㻝㻡㻘㻟㻢㻣㻘㻟㻡㻟 㻡㻘㻣㻞㻢 㻠㻟㻠㻘㻡㻠㻝 㻝㻜㻘㻞㻥㻞 㻝㻡㻘㻢㻤㻢 㻝㻝㻥㻘㻝㻜㻝 㻝㻜㻘㻟㻤㻤 㻣㻡 㻞㻠㻠 㻠㻘㻝㻡㻠 㻝㻤㻘㻢㻡㻞 㻞㻘㻠㻜㻢 㻢㻠㻤㻘㻤㻤㻜 㻞㻘㻜㻟㻥 㻡㻡㻠㻘㻥㻡㻡 㻥㻞㻟 㻞㻘㻥㻠㻝 㻠㻣㻡 㻣㻥㻠 㻡㻠㻞 㻢㻞㻞㻔㻥㻜㻕 㻠 㻞㻠 㻝㻝㻟 㻝㻘㻢㻜㻠 㻝㻘㻟㻣㻤㻘㻟㻠㻜 㻝㻘㻜㻤㻜 㻝㻤㻞㻘㻟㻝㻡 㻣㻠 㻟㻟㻢 㻡㻥 㻣㻥 㻟㻟 㻜 㻢㻚㻡㻑 㻟 㻝㻘㻟㻞㻠 㻟㻘㻜㻝㻝 㻤㻚㻠㻑 㻡㻥㻚㻢㻑 㻞㻢㻚㻡㻑 䠎᭶ 㻟㻝 㻞㻡 㻤㻣㻚㻞㻑 㻝㻟㻚㻜 㻝㻚㻡 㻝㻘㻢㻡㻠㻘㻡㻞㻤 㻢㻡㻠㻘㻤㻝㻜 㻞㻝㻘㻢㻠㻣 㻥㻠 㻡㻠㻣 㻟㻥㻘㻞㻠㻣 㻝㻘㻢㻝㻝 㻝㻘㻟㻜㻢 㻟㻢㻟 㻠㻡㻣 㻢㻤 㻝㻟㻤 㻝㻟㻘㻥㻞㻥 㻞㻟㻜 㻥㻥㻟 㻞㻘㻜㻤㻞 㻟㻠㻠 㻣㻢㻟 㻤㻡㻡 㻡㻣㻜㻘㻞㻣㻤 㻝㻡㻘㻣㻤㻣㻘㻠㻠㻝 㻢㻘㻜㻥㻞 㻠㻜㻥㻘㻜㻟㻟 㻝㻜㻘㻡㻟㻜 㻝㻢㻘㻢㻠㻡 㻝㻟㻜㻘㻞㻝㻡 㻝㻝㻘㻟㻞㻥 㻣㻢 㻞㻜㻟 㻟㻘㻡㻞㻟 㻝㻥㻘㻤㻣㻡 㻞㻘㻢㻣㻠 㻢㻢㻤㻘㻣㻜㻜 㻞㻘㻜㻢㻞 㻡㻢㻡㻘㻤㻢㻜 㻥㻠㻥 㻟㻘㻝㻡㻢 㻡㻠㻡 㻤㻝㻜 㻢㻞㻡 㻢㻟㻥㻔㻣㻡㻕 㻤 㻟㻜 㻝㻝㻣 㻝㻘㻢㻝㻡 㻝㻘㻟㻤㻤㻘㻜㻥㻜 㻝㻘㻝㻠㻣 㻝㻥㻝㻘㻝㻣㻜 㻢㻟 㻟㻞㻥 㻢㻜 㻢㻢 㻞㻞 㻜 㻝㻤㻚㻝㻑 㻤 㻝㻘㻢㻜㻝 㻟㻘㻠㻞㻞 㻤㻚㻣㻑 㻢㻠㻚㻞㻑 㻞㻥㻚㻟㻑 䠏᭶ 㻜 㻟㻜㻚㻠 㻞㻠㻚㻟 㻤㻡㻚㻢㻑 㻝㻟㻚㻜 㻝㻚㻡 㻝㻘㻢㻜㻤㻘㻠㻞㻜 㻢㻜㻠㻘㻤㻣㻢 㻞㻜㻘㻤㻡㻡 㻥㻢 㻡㻠㻝 㻟㻣㻘㻥㻥㻢 㻝㻘㻣㻜㻥 㻝㻘㻟㻢㻤 㻟㻠㻡 㻠㻢㻣 㻣㻤 㻝㻠㻤 㻝㻟㻘㻤㻡㻞 㻞㻞㻣 㻥㻝㻣 㻞㻘㻜㻝㻟 㻟㻡㻟 㻢㻥㻟 㻣㻢㻞 㻟㻥㻠㻘㻥㻣㻢 㻝㻡㻘㻞㻞㻤㻘㻜㻢㻟 㻡㻘㻥㻟㻟 㻠㻞㻣㻘㻞㻝㻢 㻝㻜㻘㻢㻥㻞 㻝㻡㻘㻣㻥㻡 㻝㻞㻝㻘㻢㻤㻣 㻝㻝㻘㻟㻝㻤 㻥㻝 㻞㻟㻣 㻠㻘㻠㻤㻠 㻝㻥㻘㻣㻢㻝 㻞㻘㻠㻝㻟 㻢㻞㻟㻘㻟㻥㻥 㻝㻘㻥㻝㻜 㻡㻟㻠㻘㻟㻟㻜 㻥㻞㻞 㻞㻘㻞㻜㻤 㻠㻠㻟 㻣㻣㻡 㻢㻠㻞 㻜 㻟 㻞㻠 㻝㻞㻟 㻝㻘㻤㻡㻢 㻝㻘㻠㻠㻤㻘㻠㻡㻥 㻝㻘㻠㻟㻠 㻞㻠㻠㻘㻣㻡㻜 㻢㻜 㻟㻜㻠 㻡㻥 㻣㻜 㻞㻡㻚㻡㻤㻟㻟㻟㻟㻟㻟 㻞 㻤㻚㻥㻑 㻢 㻝㻘㻠㻤㻥 㻟㻘㻠㻜㻞 㻤㻚㻥㻑 㻡㻢㻚㻝㻑 㻞㻠㻚㻜㻑 ᖹᆒ 病院運営委員会に報告している統計資料 １）病院運営委員会に報告している統計資料 ධ㝔 እ᮶ ධ㝔 እ᮶ 㢌㒊 ㌟ 䠮䠥 䜲䞁䝡䝪 㢌㒊 䠩䠮䠥 ㌟ ௳ᩘ Ⅼᩘ ௳ᩘ Ⅼᩘ ධ㝔 ᯛᩘ ௳ᩘ ᩘ ὀᑕ⟢ ᯛᩘ ᯛᩘ እ᮶ ௳ᩘ ᩘ 㝔እฎ᪉ ᯛᩘ ௳ᩘ䠄⥭ᛴ䠅 ධ㝔 እ᮶ 䠟䠰 ⏕᳨ ௳ᩘ Ⅼᩘ 㝔⌮㒊 ௳ᩘ ⣽⬊デ Ⅼᩘ ㎿㏿᳨ᰝ௳ᩘ ධ㝔䠄ᐇ௳ᩘ䠅 ⥲ྜ┦ㄯ䝉䞁䝍䞊 እ᮶䠄ᐇ௳ᩘ䠅 ௳ᩘ Ṛஸᩘ 㻞㻠㛫௨ෆ Ṛ⏘ᩘ ๗᳨⋡ 㻞㻠㛫௨ୖ๗᳨ ๗᳨ᩘ ධ㝔デ⒪ィ⏬ᑐ㇟⪅ᩘ ึデᝈ⪅ᩘ ึデ⋡ ⤂⋡ ㏫⤂⋡ ᰤ㣴┦ㄯᐊ ᡭ⾡㒊 ⸆㒊 ㍺⾑㒊 ⮫ᗋ᳨ᰝ㒊 ᨺᑕ⥺㒊 ධ㝔ྲྀᢅᝈ⪅ᩘ እ᮶ྲྀᢅᝈ⪅ᩘ 㛫እᝈ⪅ᩘ䠄ᘏᝈ䠅 㛫እᝈ⪅ᩘ䠄᪂ᝈ䠅 㛫እᝈ⪅ᩘ䠄ධ㝔䠅 ᩆᛴ㌴௳ᩘ ᙳ⥲ᝈ⪅ᩘ ᚰ⮚⾑⟶ᝈ⪅ᩘ ་⒪ධ㢠 䠄༓䠅 ᗋ⏝⋡ ධ㝔ᖹᆒᅾ㝔᪥ᩘ እ᮶ᖹᆒ㏻㝔ᅇᩘ デ⒪ᐇ᪥ᩘ チྍᗋᩘ 㻟㻜 㻞㻠 㻢㻤㻚㻡㻑 㻝㻜㻚㻢 㻝㻚㻟 㻝㻥㻟㻘㻣㻡㻥 㻥㻤㻘㻡㻜㻝 㻠㻘㻜㻥㻝 㻝㻟㻘㻞㻣㻣 㻝㻡㻥 㻝㻟㻠 㻢 㻤 㻣㻞㻟 㻝 㻞㻡㻟 㻝㻞㻤 㻟㻣 㻞㻡㻟 㻣㻡 㻠㻝㻣 㻣㻜㻘㻤㻝㻜 㻝㻜㻞 㻝㻟㻘㻥㻣㻢 㻞㻘㻢㻢㻠 㻠㻘㻝㻡㻞 㻞㻤㻘㻟㻞㻞 㻥㻡㻥 㻡 㻠㻥 㻠㻝㻜 㻝㻜㻘㻟㻡㻝 㻞㻣㻜㻔㻞㻞㻕 㻝㻜 㻥 㻝㻥㻜 㻝㻜㻥㻘㻝㻣㻜 㻠㻜 㻣㻘㻟㻢㻜 㻜 㻡㻢 㻞 㻢 㻜 㻜 㻜㻚㻜㻑 㻜 㻟㻟㻡 㻝㻘㻜㻥㻝 㻤㻚㻞㻑 㻠㻟㻚㻟㻑 㻞㻠㻚㻢㻑 䠐᭶ 㻟㻝 㻞㻠 㻢㻣㻚㻢㻑 㻝㻜㻚㻜 㻝㻚㻠 㻝㻥㻢㻘㻞㻥㻢 㻝㻜㻠㻘㻡㻡㻤 㻠㻘㻝㻢㻤 㻝㻟㻘㻤㻡㻠 㻞㻜㻝 㻝㻣㻠 㻝㻝 㻝㻝 㻣㻤㻜 㻝 㻟㻜㻡 㻝㻞㻠 㻡㻜 㻞㻣㻠 㻢㻣 㻠㻣㻤 㻤㻣㻘㻝㻢㻜 㻝㻜㻡 㻥㻘㻢㻜㻢 㻞㻘㻢㻣㻣 㻟㻘㻥㻢㻢 㻞㻣㻘㻡㻟㻡 㻝㻘㻜㻢㻜 㻣 㻡㻤 㻣㻝㻜 㻝㻜㻘㻣㻠㻝 㻞㻣㻠㻔㻠㻟㻕 㻣 㻥 㻝㻣㻞 㻥㻞㻘㻥㻢㻜 㻟㻟 㻡㻘㻥㻢㻡 㻜 㻠㻝 㻞 㻞 㻜 㻜 㻜㻚㻜㻑 㻜 㻟㻤㻠 㻝㻘㻞㻟㻣 㻤㻚㻥㻑 㻠㻣㻚㻣㻑 㻝㻣㻚㻤㻑 䠑᭶ 㻟㻜 㻞㻢 㻣㻜㻚㻤㻑 㻥㻚㻢 㻝㻚㻠 㻝㻤㻤㻘㻝㻠㻠 㻝㻜㻡㻘㻜㻤㻠 㻠㻘㻞㻞㻡 㻝㻠㻘㻜㻠㻥 㻝㻝㻝 㻝㻜㻞 㻣 㻣 㻤㻠㻤 㻞 㻟㻜㻞 㻝㻠㻟 㻠㻣 㻞㻡㻞 㻣㻡 㻠㻟㻠 㻣㻡㻘㻡㻠㻜 㻤㻠 㻝㻞㻘㻣㻤㻞 㻞㻘㻠㻡㻥 㻟㻘㻥㻠㻜 㻞㻣㻘㻝㻜㻞 㻥㻤㻠 㻟 㻞㻢 㻟㻞㻟 㻝㻜㻘㻣㻤㻡 㻞㻤㻢㻔㻞㻟㻕 㻤 㻡 㻥㻟 㻤㻜㻘㻣㻡㻜 㻝㻠 㻞㻘㻢㻢㻜 㻜 㻠㻥 㻞 㻠 㻜 㻜 㻜㻚㻜㻑 㻜 㻠㻜㻜 㻝㻘㻝㻣㻜 㻤㻚㻟㻑 㻠㻝㻚㻞㻑 㻞㻜㻚㻟㻑 䠒᭶ 㻟㻝 㻞㻡 㻣㻠㻚㻥㻑 㻝㻜㻚㻥 㻝㻚㻠 㻞㻜㻞㻘㻜㻝㻞 㻝㻜㻡㻘㻣㻥㻡 㻠㻘㻢㻞㻟 㻝㻠㻘㻟㻝㻟 㻝㻢㻡 㻝㻟㻡 㻤 㻢 㻣㻣㻞 㻝 㻟㻜㻜 㻝㻞㻝 㻠㻤 㻞㻤㻡 㻢㻤 㻠㻝㻣 㻣㻠㻘㻠㻝㻜 㻥㻟 㻝㻢㻘㻜㻤㻠 㻞㻘㻤㻠㻝 㻠㻘㻞㻥㻟 㻞㻤㻘㻝㻢㻢 㻝㻘㻝㻠㻥 㻤 㻡㻟 㻟㻥㻝 㻝㻝㻘㻜㻤㻝 㻞㻤㻣㻔㻞㻠㻕 㻡 㻝㻠 㻢㻣 㻡㻣㻘㻥㻟㻜 㻝㻢 㻟㻘㻜㻠㻜 㻝 㻢㻝 㻢 㻠 㻜 㻜 㻜㻚㻜㻑 㻜 㻠㻜㻡 㻝㻘㻞㻟㻠 㻤㻚㻢㻑 㻠㻢㻚㻝㻑 㻞㻝㻚㻞㻑 䠓᭶ 㻟㻝 㻞㻣 㻣㻣㻚㻡㻑 㻝㻝㻚㻢 㻝㻚㻠 㻞㻝㻝㻘㻡㻡㻣 㻝㻜㻟㻘㻣㻞㻢 㻠㻘㻣㻤㻜 㻝㻠㻘㻠㻣㻢 㻝㻟㻥 㻝㻝㻥 㻡 㻡 㻤㻠㻠 㻜 㻞㻢㻞 㻝㻟㻜 㻡㻝 㻞㻠㻝 㻠㻞 㻠㻤㻟 㻤㻣㻘㻥㻤㻜 㻣㻝 㻢㻘㻤㻠㻣 㻟㻘㻜㻟㻠 㻠㻘㻞㻤㻤 㻞㻥㻘㻡㻥㻝 㻝㻘㻝㻡㻜 㻣 㻤㻟 㻣㻠㻠 㻝㻝㻘㻟㻜㻣 㻞㻣㻜㻔㻟㻤㻕 㻝㻝 㻞 㻣㻝 㻢㻝㻘㻡㻞㻜 㻞㻜 㻟㻘㻤㻜㻜 㻜 㻡㻞 㻡 㻝 㻜 㻜 㻜㻚㻜㻑 㻜 㻠㻞㻞 㻝㻘㻝㻤㻤 㻤㻚㻞㻑 㻠㻠㻚㻟㻑 㻝㻥㻚㻤 䠔᭶ 㻝㻥㻥 㻟㻜 㻞㻟 㻣㻣㻚㻟㻑 㻝㻝㻚㻤 㻝㻚㻟 㻞㻜㻞㻘㻠㻤㻥 㻥㻤㻘㻢㻠㻥 㻠㻘㻢㻝㻠 㻝㻟㻘㻝㻤㻥 㻝㻣㻞 㻝㻡㻣 㻝 㻝㻝 㻣㻡㻟 㻜 㻞㻣㻥 㻝㻜㻡 㻠㻤 㻞㻜㻟 㻢㻞 㻟㻥㻝 㻣㻜㻘㻢㻡㻜 㻢㻟 㻣㻘㻤㻢㻜 㻞㻘㻣㻞㻠 㻠㻘㻞㻝㻟 㻟㻞㻘㻢㻞㻡 㻥㻞㻡 㻡 㻣㻝 㻥㻡㻤 㻝㻜㻘㻞㻤㻣 㻞㻠㻝㻔㻝㻥㻕 㻝㻟 㻝㻠 㻣㻥 㻢㻢㻘㻠㻤㻜 㻝㻠 㻞㻘㻢㻢㻜 㻜 㻢㻟 㻡 㻞 㻜 㻜 㻜㻚㻜㻑 㻜 㻟㻠㻥 㻝㻘㻜㻞㻥 㻣㻚㻤㻑 㻠㻞㻚㻞㻑 㻞㻞㻚㻠㻑 䠕᭶ 㻟㻝 㻞㻢 㻢㻤㻚㻡㻑 㻝㻜㻚㻥 㻝㻚㻠 㻝㻤㻤㻘㻣㻤㻟 㻝㻜㻥㻘㻤㻟㻜 㻠㻘㻞㻞㻢 㻝㻠㻘㻥㻝㻞 㻝㻠㻞 㻝㻞㻤 㻤 㻤 㻤㻜㻠 㻜 㻞㻤㻥 㻝㻞㻠 㻢㻞 㻞㻡㻜 㻣㻞 㻟㻥㻝 㻣㻟㻘㻢㻥㻜 㻝㻜㻜 㻝㻠㻘㻠㻠㻠 㻞㻘㻢㻥㻝 㻠㻘㻝㻠㻞 㻞㻢㻘㻥㻢㻢 㻝㻘㻜㻟㻥 㻢 㻢㻢 㻡㻜㻣 㻝㻝㻘㻡㻡㻥 㻞㻢㻣㻔㻞㻜㻕 㻝㻜 㻝㻢 㻣㻟 㻢㻞㻘㻤㻤㻜 㻝㻝 㻞㻘㻜㻥㻜 㻜 㻡㻠 㻠 㻞 㻝 㻜 㻜㻚㻜㻑 㻜 㻟㻥㻢 㻝㻘㻞㻟㻝 㻤㻚㻟㻑 㻠㻟㻚㻣㻑 㻝㻣㻚㻠㻑 䠍䠌᭶ 㻟㻜 㻞㻟 㻣㻣㻚㻤㻑 㻝㻝㻚㻥 㻝㻚㻟 㻞㻜㻥㻘㻤㻡㻣 㻥㻤㻘㻣㻞㻤 㻠㻘㻢㻠㻠 㻝㻟㻘㻝㻡㻣 㻝㻠㻥 㻝㻜㻝 㻣 㻣 㻣㻤㻜 㻟 㻞㻠㻜 㻝㻟㻟 㻡㻟 㻞㻞㻣 㻢㻜 㻠㻜㻣 㻣㻝㻘㻤㻜㻜 㻥㻢 㻤㻘㻤㻢㻢 㻞㻘㻤㻢㻣 㻠㻘㻞㻥㻜 㻞㻤㻘㻝㻢㻝 㻝㻘㻝㻡㻤 㻠 㻡㻟 㻡㻟㻣 㻝㻜㻘㻞㻢㻜 㻟㻝㻜㻔㻞㻠㻕 㻝㻣 㻝㻡 㻣㻠 㻢㻞㻘㻟㻢㻜 㻝㻟 㻞㻘㻠㻣㻜 㻜 㻣㻞 㻠 㻞 㻜 㻜 㻜㻚㻜㻑 㻜 㻟㻣㻢 㻝㻘㻜㻞㻠 㻣㻚㻤㻑 㻠㻠㻚㻠㻑 㻞㻜㻚㻣㻑 䠍䠍᭶ 平成 24 年度 診療統計表 㻟㻝 㻞㻟 㻣㻣㻚㻟㻑 㻝㻝㻚㻠 㻝㻚㻟 㻞㻜㻟㻘㻥㻝㻝 㻝㻜㻜㻘㻤㻣㻤 㻠㻘㻣㻣㻜 㻝㻟㻘㻢㻢㻞 㻝㻤㻥 㻝㻡㻥 㻝㻡 㻤 㻣㻢㻤 㻟 㻞㻟㻡 㻝㻞㻣 㻠㻜 㻞㻜㻜 㻢㻞 㻠㻠㻡 㻣㻥㻘㻝㻤㻜 㻝㻠㻝 㻤㻘㻞㻡㻟 㻞㻘㻥㻢㻜 㻠㻘㻣㻠㻥 㻟㻡㻘㻞㻟㻠 㻝㻘㻝㻜㻣 㻝㻜 㻡㻝 㻢㻠㻟 㻝㻜㻘㻣㻡㻞 㻞㻡㻝㻔㻞㻡㻕 㻝㻠 㻝㻟 㻥㻞 㻣㻤㻘㻠㻜㻜 㻝㻜 㻝㻘㻥㻜㻜 㻜 㻣㻣 㻠 㻟 㻜 㻜 㻜㻚㻜㻑 㻜 㻟㻡㻠 㻥㻠㻡 㻢㻚㻥㻑 㻠㻣㻚㻣㻑 㻞㻣㻚㻥㻑 䠍䠎᭶ 㻞㻝 㻞㻟 㻣㻣㻚㻠㻑 㻝㻞㻚㻡 㻝㻚㻟 㻞㻜㻣㻘㻤㻢㻢 㻥㻥㻘㻥㻜㻤 㻠㻘㻣㻣㻟 㻝㻟㻘㻝㻞㻝 㻝㻟㻢 㻝㻝㻠 㻝㻝 㻞 㻤㻡㻣 㻟 㻞㻤㻡 㻝㻟㻤 㻠㻡 㻞㻜㻡 㻢㻝 㻠㻣㻣 㻤㻝㻘㻥㻤㻜 㻝㻝㻣 㻝㻡㻘㻥㻜㻡 㻞㻘㻥㻢㻠 㻠㻘㻟㻣㻥 㻟㻜㻘㻢㻝㻤 㻝㻘㻞㻝㻢 㻠 㻠㻠 㻟㻢㻟 㻝㻜㻘㻟㻠㻤 㻞㻢㻠㻔㻟㻡㻕 㻝㻠 㻝㻤 㻡㻡 㻠㻢㻘㻜㻞㻜 㻝㻥 㻟㻘㻢㻝㻜 㻜 㻢㻤 㻟 㻠 㻜 㻜 㻜㻚㻜㻑 㻜 㻟㻡㻥 㻝㻘㻜㻞㻡 㻣㻚㻤㻑 㻠㻤㻚㻥㻑 㻞㻠㻚㻣㻑 䠍᭶ 㻞㻤 㻞㻟 㻤㻡㻚㻡㻑 㻝㻞㻚㻜 㻝㻚㻟 㻞㻜㻣㻘㻡㻢㻟 㻥㻣㻘㻠㻡㻜 㻠㻘㻣㻢㻟 㻝㻞㻘㻣㻠㻠 㻥㻤 㻤㻠 㻥 㻡 㻣㻞㻠 㻝 㻞㻠㻣 㻝㻡㻠 㻡㻤 㻞㻠㻜 㻢㻡 㻟㻤㻟 㻣㻜㻘㻡㻣㻜 㻝㻜㻟 㻥㻘㻣㻥㻢 㻞㻘㻣㻜㻡 㻠㻘㻣㻣㻥 㻟㻟㻘㻥㻤㻞 㻝㻘㻜㻠㻜 㻤 㻡㻟 㻡㻞㻤 㻥㻘㻥㻜㻤 㻞㻣㻤㻔㻟㻞㻕 㻞㻝 㻝㻥 㻢㻤 㻡㻤㻘㻟㻜㻜 㻞㻠 㻠㻘㻡㻢㻜 㻜 㻣㻥 㻠 㻝 㻜 㻜 㻜㻚㻜㻑 㻜 㻟㻠㻝 㻥㻡㻠 㻣㻚㻡㻑 㻠㻠㻚㻤㻑 㻞㻤㻚㻝㻑 䠎᭶ 㻟㻝 㻞㻡 㻣㻢㻚㻞㻑 㻝㻜㻚㻥 㻝㻚㻟 㻞㻜㻝㻘㻢㻞㻜 㻝㻜㻡㻘㻥㻡㻠 㻠㻘㻣㻜㻞 㻝㻟㻘㻢㻣㻤 㻝㻝㻠 㻝㻜㻠 㻣 㻠 㻣㻢㻤 㻜 㻞㻥㻞 㻝㻠㻣 㻡㻡 㻞㻠㻟 㻢㻡 㻠㻡㻢 㻤㻞㻘㻢㻢㻜 㻝㻢㻜 㻞㻜㻘㻡㻤㻞 㻞㻘㻣㻠㻜 㻠㻘㻠㻥㻜 㻟㻡㻘㻟㻝㻡 㻝㻘㻜㻥㻝 㻝㻡 㻡㻟 㻠㻠㻠 㻝㻜㻘㻢㻡㻤 㻞㻟㻣㻔㻟㻣㻕 㻞㻞 㻝㻥 㻣㻡 㻢㻞㻘㻥㻞㻜 㻝㻞 㻞㻘㻞㻤㻜 㻜 㻣㻢 㻠 㻝 㻜 㻜 㻜㻚㻜㻑 㻜 㻟㻤㻡 㻝㻘㻝㻝㻣 㻤㻚㻞㻑 㻡㻝㻚㻟㻑 㻞㻥㻚㻟㻑 䠏᭶ 㻝㻥㻥 㻞㻥㻚㻢 㻞㻠㻚㻟 㻣㻠㻚㻥㻑 㻝㻝㻚㻞 㻝㻚㻟 㻞㻜㻝㻘㻝㻡㻡 㻝㻜㻞㻘㻠㻞㻞 㻠㻘㻡㻟㻞 㻝㻟㻘㻣㻜㻟 㻝㻠㻤 㻝㻞㻢 㻤 㻣 㻣㻤㻡 㻝 㻞㻣㻠 㻝㻟㻝 㻡㻜 㻞㻟㻥 㻢㻡 㻠㻟㻞 㻣㻣㻘㻞㻜㻟 㻝㻜㻟 㻝㻞㻘㻜㻤㻟 㻞㻘㻣㻣㻣 㻠㻘㻟㻜㻣 㻟㻜㻘㻟㻜㻝 㻝㻘㻜㻣㻟 㻣 㻡㻡 㻡㻠㻣 㻝㻜㻘㻢㻣㻜 㻜 㻝㻟 㻝㻟 㻥㻞 㻢㻥㻘㻥㻣㻠 㻝㻥 㻟㻘㻡㻟㻟 㻜 㻢㻞 㻠 㻟 㻜 㻜 㻜㻚㻜㻑 㻜 㻟㻣㻢 㻝㻘㻝㻜㻠 㻤㻚㻜㻑 㻟㻝㻚㻤㻑 㻟㻝㻚㻤㻑 ᖹᆒ 病院運営委員会に報告している統計資料 ―28― 㻞㻜 ║⛉ ⪥㰯ဗႃ⛉ ྜ䚷䚷䚷ィ 㻝㻜 ║⛉ ⓶⛉ 䈜䠍䚷ᖹᆒᅾ㝔᪥ᩘ㻩 ྜ䚷䚷䚷ィ 䠡䠒䠈㝔⟶⌮䝧䝑䝗 㻤㻞㻚㻤㻑 㻥㻤㻚㻤㻑 㻝㻞㻚㻠 㻝㻞㻚㻠 㻝㻟㻢㻚㻟 㻢㻤㻚㻡㻑 㻜㻚㻝 㻤㻚㻝 㻠㻚㻡 㻠㻜㻚㻞 㻞㻝㻚㻝 㻞㻜㻚㻠 㻝㻡㻚㻜 㻝㻞㻚㻠 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻝㻟㻢㻚㻟 㻝㻚㻝 㻝㻞㻚㻠 㻥㻠㻚㻞㻑 㻣㻣㻚㻟㻑 㻣㻤㻚㻥㻑 㻝㻟㻟㻚㻡㻑 㻣㻤㻚㻜㻑 㻤㻟㻚㻤㻑 㻝㻜㻞㻚㻥㻑 㻝㻜㻤㻚㻟㻑 㻝㻟㻡㻚㻜㻑 㻤㻠㻚㻝㻑 㻥㻜㻚㻥㻑 㻢㻣㻚㻜㻑 㻣㻤㻚㻤㻑 㻝㻞㻝㻚㻟㻑 㻥㻣㻚㻢㻑 㻣㻤㻚㻡㻑 㻤㻞㻚㻡㻑 䠍䠍᭶ 䚷ᗋ ⏝⋡ 㻝㻟㻚㻝 㻢㻣㻞㻚㻜 㻝㻝㻞㻚㻞㻑 㻝㻜㻜㻚㻟㻑 㻤㻟㻚㻝㻑 㻝㻝㻣㻚㻡㻑 㻥㻝㻚㻝㻑 㻝㻝㻚㻥 㻝㻡㻠㻚㻤 㻣㻣㻚㻤㻑 㻤㻚㻜 㻠㻚㻥 㻟㻜㻚㻠 㻟㻜㻚㻡 㻝㻣㻚㻣 㻞㻢㻚㻥 㻝㻝㻚㻥 㻥㻡㻚㻞㻑 㻤㻟㻚㻥㻑 㻝㻜㻠㻚㻟㻑 㻝㻟㻥㻚㻡㻑 㻤㻠㻚㻞㻑 㻥㻜㻚㻜㻑 㻥㻢㻚㻟㻑 㻝㻜㻥㻚㻡㻑 㻥㻢㻚㻡㻑 㻣㻥㻚㻜㻑 㻝㻝㻝㻚㻞㻑 㻣㻟㻚㻤㻑 㻥㻥㻚㻠㻑 㻝㻝㻟㻚㻟㻑 㻤㻢㻚㻠㻑 㻣㻥㻚㻟㻑 㻣㻡㻚㻜㻑 䠍䠎᭶ 䚷ᗋ ⏝⋡ 㻝㻞㻚㻡 㻢㻣㻤㻚㻤 㻝㻝㻝㻚㻡㻑 㻝㻜㻥㻚㻠㻑 㻣㻟㻚㻤㻑 㻝㻞㻝㻚㻝㻑 㻤㻥㻚㻥㻑 㻝㻝㻚㻠 㻝㻠㻚㻜㻑 㻝㻝㻚㻟 㻝㻡㻟㻚㻥 㻣㻣㻚㻟㻑 㻠㻚㻞 㻟㻣㻚㻞 㻜㻚㻜 㻝㻟㻚㻠 㻞㻟㻚㻣 㻡㻤㻚㻜 㻝㻣㻚㻜 㻞㻝㻚㻜 㻝㻝㻚㻠 㻥㻞㻚㻟㻑 㻥㻢㻚㻢㻑 㻥㻡㻚㻢㻑 㻝㻝㻜㻚㻤㻑 㻣㻣㻚㻡㻑 㻤㻜㻚㻞㻑 㻥㻞㻚㻢㻑 㻝㻝㻟㻚㻣㻑 㻡㻝㻚㻥㻑 㻣㻞㻚㻜㻑 㻡㻢㻚㻟㻑 㻢㻢㻚㻢㻑 㻝㻜㻜㻚㻜㻑 㻝㻜㻠㻚㻢㻑 㻥㻞㻚㻠㻑 㻥㻝㻚㻣㻑 㻤㻠㻚㻥㻑 䠍᭶ 䚷ᗋ ⏝⋡ 㻝㻞㻚㻣 㻢㻡㻤㻚㻝 㻝㻝㻝㻚㻢㻑 㻝㻟㻝㻚㻟㻑 㻢㻤㻚㻢㻑 㻝㻜㻣㻚㻝㻑 㻥㻥㻚㻝㻑 㻝㻞㻚㻡 㻠㻠㻚㻜 㻝㻡㻠㻚㻜 㻣㻣㻚㻠㻑 㻜㻚㻜 㻝㻠㻚㻥 㻠㻚㻣 㻟㻞㻚㻢 㻟㻞㻚㻟 㻞㻠㻚㻞 㻝㻡㻚㻞 㻝㻞㻚㻡 㻥㻥㻚㻝㻑 㻤㻢㻚㻠㻑 㻥㻣㻚㻟㻑 㻝㻝㻣㻚㻣㻑 㻤㻣㻚㻤㻑 㻤㻣㻚㻣㻑 㻥㻡㻚㻥㻑 㻝㻜㻢㻚㻣㻑 㻠㻢㻚㻝㻑 㻤㻢㻚㻡㻑 㻢㻥㻚㻡㻑 㻡㻠㻚㻤㻑 㻝㻝㻡㻚㻞㻑 㻝㻜㻟㻚㻝㻑 㻝㻜㻜㻚㻣㻑 㻝㻞㻟㻚㻤㻑 㻣㻡㻚㻤㻑 䠎᭶ 䚷ᗋ ⏝⋡ 㻝㻞㻚㻤 㻣㻜㻢㻚㻠 㻝㻞㻟㻚㻟㻑 㻝㻜㻟㻚㻥㻑 㻤㻢㻚㻤㻑 㻝㻝㻠㻚㻥㻑 㻝㻝㻠㻚㻥㻑 㻝㻞㻚㻜 㻟㻤㻚㻜 㻝㻣㻜㻚㻝 㻤㻡㻚㻡㻑 㻝㻚㻜 㻝㻜㻚㻥 㻠㻚㻥 㻞㻟㻚㻞 㻝㻢㻚㻝 㻞㻟㻚㻞 㻝㻞㻚㻜 㻥㻣㻚㻥㻑 㻤㻡㻚㻠㻑 㻤㻤㻚㻟㻑 㻝㻠㻢㻚㻤㻑 㻤㻝㻚㻜㻑 㻤㻝㻚㻤㻑 㻝㻜㻠㻚㻡㻑 㻥㻣㻚㻥㻑 㻥㻝㻚㻟㻑 㻣㻡㻚㻜㻑 㻣㻡㻚㻥㻑 㻢㻡㻚㻠㻑 㻝㻜㻣㻚㻢㻑 㻥㻤㻚㻞㻑 㻥㻣㻚㻡㻑 㻝㻝㻟㻚㻞㻑 㻣㻢㻚㻝㻑 䠏᭶ 䚷ᗋ ⏝⋡ 㻝㻟㻚㻜 㻢㻥㻤㻚㻞 㻝㻜㻥㻚㻥㻑 㻝㻝㻞㻚㻢㻑 㻢㻠㻚㻝㻑 㻝㻝㻠㻚㻢㻑 㻝㻝㻝㻚㻜㻑 㻝㻜㻚㻥 㻝㻝㻚㻞 㻝㻡㻝㻚㻣 㻣㻢㻚㻞㻑 㻟㻚㻢 㻞㻣㻚㻟 㻠㻞㻚㻠 㻞㻝㻚㻡 㻝㻠㻚㻥 㻞㻟㻚㻥 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻝㻟㻚㻜 㻝㻜㻚㻥 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻝㻡㻝㻚㻣 㻜㻚㻜 㻜㻚㻜 㻝㻝㻚㻟 㻟㻞㻚㻣 㻜㻚㻜 㻝㻟㻚㻟 㻣㻚㻢 㻠㻞㻚㻠 㻜㻚㻜 㻞㻜㻚㻣 㻞㻟㻚㻣 䠏᭶ 䚷ᗋ ⏝⋡ 㻤㻣㻚㻞㻑 㻝㻚㻞 㻤㻚㻥 㻤㻚㻝 㻝㻝㻚㻠 㻤㻚㻡 㻥㻚㻠 㻞㻞㻚㻠 㻝㻢㻚㻡 㻝㻝㻚㻜 㻝㻡㻚㻢 㻤㻚㻞 㻝㻤㻚㻤 㻜㻚㻥 㻝㻟㻚㻡 㻝㻤㻚㻞 㻟㻤㻚㻟 㻝㻞㻚㻜 㻝㻝㻚㻣 㻞㻣㻚㻟 㻞㻢㻚㻜 㻞㻚㻜 㻝㻠㻚㻢 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻞㻕 㻝㻣㻚㻣 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻢㻥㻤㻚㻞 㻞㻚㻣 㻝㻞㻚㻤 㻜㻚㻜 㻜㻚㻜 㻞㻞㻚㻝 㻞㻥㻚㻠 㻜㻚㻜 㻢㻠㻚㻤 㻞㻣㻚㻜 㻢㻥㻚㻜 㻟㻝㻚㻟 㻥㻚㻝 㻠㻟㻚㻡 㻝㻝㻚㻠 㻝㻡㻚㻜 㻜㻚㻤 㻣㻣㻚㻡 㻟㻞㻚㻠 㻟㻞㻚㻠 㻡㻝㻚㻥 㻤㻣㻚㻡 㻞㻥㻚㻠 㻜㻚㻥 㻜㻚㻞 㻥㻚㻡 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻜㻚㻜 㻝㻞㻚㻤 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻝㻣㻜㻚㻝 㻜㻚㻣 㻜㻚㻝 㻝㻜㻚㻠 㻠㻠㻚㻟 㻜㻚㻜 㻜㻚㻜 㻜㻚㻜 㻞㻞㻚㻝 㻜㻚㻜 㻞㻟㻚㻥 㻞㻞㻚㻝 䠎᭶ 䚷ᗋ ⏝⋡ 㻤㻤㻚㻞㻑 㻝㻚㻡 㻡㻚㻟 㻝㻜㻚㻠 㻝㻜㻚㻣 㻤㻚㻣 㻝㻜㻚㻤 㻝㻢㻚㻝 㻝㻠㻚㻞 㻢㻚㻢 㻝㻣㻚㻥 㻢㻚㻣 㻞㻣㻚㻠 㻝㻚㻜 㻝㻞㻚㻠 㻝㻡㻚㻣 㻞㻤㻚㻞 㻝㻠㻚㻜 㻝㻞㻚㻜 㻞㻣㻚㻢 㻝㻚㻢 㻝㻚㻟 㻝㻣㻚㻜 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻝㻥㻚㻤 㻟㻣㻚㻣 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻣㻜㻢㻚㻠 㻞㻚㻝 㻝㻟㻚㻜 㻜㻚㻜 㻞㻠㻚㻟 㻞㻟㻚㻡 㻜㻚㻜 㻣㻜㻚㻞 㻞㻤㻚㻥 㻜㻚㻜 㻢㻟㻚㻟 㻟㻠㻚㻝 㻠㻚㻢 㻡㻜㻚㻝 㻝㻜㻚㻠 㻝㻞㻚㻢 㻜㻚㻢 㻤㻞㻚㻥 㻞㻤㻚㻜 㻟㻠㻚㻜 㻡㻣㻚㻠 㻤㻢㻚㻢 㻟㻞㻚㻞 㻜㻚㻞 㻜㻚㻝 㻥㻚㻥 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻞㻝㻚㻝 㻜㻚㻜 㻝㻞㻚㻣 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻝㻡㻠㻚㻜 㻝㻚㻡 㻜㻚㻜 㻝㻟㻚㻝 㻟㻡㻚㻜 㻝㻢㻚㻝 㻜㻚㻜 㻤㻚㻜 㻟㻥㻚㻢 㻝㻚㻜 㻝㻣㻚㻟 㻞㻞㻚㻠 䠍᭶ 䚷ᗋ ⏝⋡ 㻤㻞㻚㻞㻑 㻝㻚㻣 㻢㻚㻡 㻥㻚㻞 㻥㻚㻜 㻤㻚㻟 㻝㻞㻚㻠 㻝㻤㻚㻠 㻝㻣㻚㻝 㻤㻚㻡 㻝㻡㻚㻤 㻡㻚㻠 㻝㻤㻚㻣 㻟㻚㻠 㻝㻟㻚㻠 㻝㻠㻚㻤 㻠㻜㻚㻠 㻝㻞㻚㻣 㻝㻝㻚㻡 㻞㻞㻚㻢 㻝㻚㻟 㻝㻤㻚㻢 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻝㻥㻚㻢 㻟㻣㻚㻝 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻢㻡㻤㻚㻝 㻞㻚㻥 㻝㻠㻚㻡 㻜㻚㻜 㻜㻚㻜 㻞㻟㻚㻥 㻞㻞㻚㻞 㻜㻚㻜 㻢㻞㻚㻜 㻞㻢㻚㻡 㻢㻝㻚㻝 㻟㻢㻚㻠 㻡㻚㻞 㻠㻝㻚㻣 㻤㻚㻡 㻝㻡㻚㻟 㻝㻚㻢 㻣㻞㻚㻜 㻞㻝㻚㻝 㻟㻠㻚㻡 㻡㻝㻚㻝 㻤㻝㻚㻝 㻞㻟㻚㻤 㻜㻚㻞 㻜㻚㻜 㻣㻚㻡 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻜㻚㻜 㻝㻞㻚㻡 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻝㻡㻟㻚㻥 㻜㻚㻞 㻜㻚㻜 㻝㻜㻚㻥 㻟㻣㻚㻢 㻞㻝㻚㻝 㻜㻚㻜 㻞㻚㻟 㻠㻠㻚㻤 㻜㻚㻥 㻝㻡㻚㻟 㻞㻜㻚㻢 䠍䠎᭶ 䚷ᗋ ⏝⋡ 㻤㻠㻚㻣㻑 㻝㻚㻠 㻡㻚㻢 㻝㻜㻚㻣 㻝㻜㻚㻤 㻢㻚㻜 㻤㻚㻢 㻝㻝㻚㻞 㻞㻜㻚㻝 㻝㻢㻚㻝 㻝㻜㻚㻞 㻝㻣㻚㻟 㻤㻚㻟 㻟㻥㻚㻡 㻝㻚㻞 㻝㻝㻚㻡 㻝㻤㻚㻞 㻟㻣㻚㻥 㻝㻞㻚㻞 㻝㻜㻚㻝 㻞㻞㻚㻠 㻝㻚㻜 㻢㻚㻜 㻝㻞㻚㻢 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻝㻤㻚㻝 㻠㻡㻚㻝 デ⒪⛉ูධ㝔≧ἣ⾲ 診療科別入院状況表 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻢㻣㻤㻚㻤 㻞㻚㻡 㻝㻞㻚㻢 㻜㻚㻜 㻜㻚㻜 㻞㻢㻚㻝 㻞㻣㻚㻥 㻜㻚㻞 㻢㻣㻚㻟 㻞㻥㻚㻣 㻢㻟㻚㻢 㻟㻡㻚㻜 㻥㻚㻢 㻠㻡㻚㻤 㻝㻢㻚㻣 㻝㻣㻚㻜 㻜㻚㻤 㻣㻝㻚㻡 㻞㻠㻚㻝 㻟㻣㻚㻠 㻠㻣㻚㻢 㻣㻡㻚㻥 㻞㻜㻚㻢 㻜㻚㻝 㻜㻚㻞 㻣㻚㻜 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻜㻚㻜 㻝㻟㻚㻝 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻝㻡㻠㻚㻤 㻜㻚㻜 㻜㻚㻜 㻝㻜㻚㻜 㻠㻞㻚㻠 㻝㻥㻚㻣 㻜㻚㻜 㻞㻚㻣 㻠㻟㻚㻡 㻜㻚㻜 㻝㻠㻚㻡 㻞㻝㻚㻥 䠍䠍᭶ 䚷ᗋ ⏝⋡ 㻤㻟㻚㻥㻑 㻝㻚㻢 㻣㻚㻜 㻣㻚㻤 㻝㻝㻚㻣 㻣㻚㻣 㻝㻜㻚㻥 㻞㻜㻚㻠 㻝㻤㻚㻠 㻝㻟㻚㻤 㻝㻣㻚㻥 㻣㻚㻥 㻞㻣㻚㻜 㻜㻚㻥 㻝㻜㻚㻞 㻝㻤㻚㻤 㻠㻞㻚㻤 㻝㻟㻚㻣 㻝㻝㻚㻟 㻟㻜㻚㻟 㻝㻚㻜 㻞㻚㻣 㻝㻢㻚㻣 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻞㻞㻚㻤 㻟㻥㻚㻡 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻢㻣㻞㻚㻜 㻞㻚㻢 㻝㻝㻚㻢 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻝㻥㻚㻥 㻜㻚㻜 㻌 ᅾ㝔ᝈ⪅ᘏᩘ 㻔᪂ධ㝔ᝈ⪅ᩘ㻗㏥㝔ᝈ⪅ᩘ㻕㾂䠎 㻝㻥㻥 㻢㻝 㻜㻚㻞 ᑠ䚷䚷䚷ィ 㻜㻚㻜 㯞㓉⛉ 㻤㻚㻟 ᩆᛴ་Ꮫ⛉ 㻝㻟㻤 㻡㻝 ᩚᙧእ⛉ 㻟㻠㻚㻢 㻜㻚㻜 㻝㻤㻚㻜 㻡㻝 ᾘჾ䞉୍⯡እ⛉ 㻞㻚㻡 ⬻⚄⤒እ⛉ 㻟㻤㻚㻠 㻟㻣 ⚄⤒ෆ⛉ 㻝㻞㻚㻠 㻞㻝㻚㻥 㻜㻚㻝 㻠㻜 㻥㻟㻚㻜㻑 䠍䠌᭶ ୍᪥ᖹᆒ 䚷ᗋ ᝈ⪅ᩘ ⏝⋡ 㻜㻚㻜 㻢㻢㻟㻚㻜 ᚠ⎔ჾෆ⛉ ⢾ᒀෆศἪ௦ㅰෆ⛉ 䝸䜴䝬䝏⭺ཎෆ⛉ ྾ჾ䡭䢖䢕䡳䢚䡬ෆ⛉ デ䚷䚷⒪䚷䚷⛉ ᐃᗋ 㻤㻝㻡 䠪䠍䠒䠈䠥䠟䠱䠈㝔⟶⌮䝧䝑䝗 Ꮫ㝔㝃ᒓᮾ㝔 㻝㻜㻞 ᑠ䚷䚷䚷ィ 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻟㻚㻜 㻢㻢㻟㻚㻜 㻣㻝㻟 ⥲ྜෆ⛉䠄䠡䠮䠅 㻡㻚㻢 㻜㻚㻜 㻤㻜㻚㻠㻑 㻜㻚㻜 㻝㻞㻚㻝 㻝㻡 㻝㻥㻚㻣 㻞㻢㻚㻣 㻜㻚㻜 㻢㻞㻚㻠 㻞㻣㻚㻣 㻢㻣㻚㻥 㻟㻠㻚㻣 㻝㻟㻚㻡 㻠㻤㻚㻤 㻝㻟㻚㻢 㻝㻡㻚㻠 㻜㻚㻡 㻡㻢㻚㻣 㻝㻤㻚㻣 㻠㻜㻚㻜 㻡㻝㻚㻠 㻤㻤㻚㻞 㯞㓉⛉ 㻣㻚㻜 㻝㻞㻚㻞 㻡㻚㻜 㻣㻚㻜 㻝㻜㻚㻞 㻜㻚㻝 㻞㻜㻚㻠 ᩆᛴ་Ꮫ⛉ 㻣㻢㻚㻟㻑 㻝㻠㻝㻚㻜㻑 㻣㻡㻚㻞㻑 㻤㻣㻚㻝㻑 㻞㻜㻚㻣 㻝㻤㻚㻣 㻝㻟㻚㻤 㻝㻥㻚㻠 㻥㻚㻣 㻝㻤㻚㻣 㻝㻚㻜 㻥㻚㻢 㻝㻝㻚㻜 㻟㻠㻚㻟 㻝㻟㻚㻣 㻝㻞㻚㻟 㻞㻟㻚㻡 㻜㻚㻞 㻜㻚㻜 㻝㻥㻚㻝 㻢㻜㻚㻝 㻞㻤㻚㻣 㻝㻜㻝㻚㻢㻑 㻝㻝㻞㻚㻢㻑 㻝㻡㻜㻚㻢㻑 㻣㻞㻚㻣㻑 㻤㻤㻚㻠㻑 㻠㻤㻚㻝㻑 㻣㻠㻚㻡㻑 㻝㻞㻜㻚㻢㻑 㻝㻜㻣㻚㻤㻑 㻤㻟㻚㻤㻑 㻤㻚㻜㻑 㻜㻚㻜 ᨺᑕ⥺⛉ 㻞㻡 㻤㻜 ⏘፬ே⛉ Ἢᒀჾ⛉ 㻜㻚㻠 㻞㻤㻚㻞 㻟㻟 ᙧᡂእ⛉ 㻢㻣㻚㻜 㻟㻢㻚㻜 㻟㻞 㻢㻢 㻝㻡㻚㻝 ᩚᙧእ⛉ 㻝㻜 ᑠඣእ⛉ 㻝㻟㻚㻟 㻠㻞㻚㻞 ⬻⚄⤒እ⛉ 㻝㻡 㻡㻤 ᑠඣ⛉ 㻝㻝㻚㻝 㻞㻟 ᚰ⮚⾑⟶እ⛉ ங⭢እ⛉ 㻜㻚㻤 㻡㻟㻚㻢 ⚄⤒ෆ⛉ ᚠ⎔ჾෆ⛉ 㻣㻞 㻡㻥㻚㻜 㻟㻥㻚㻤 㻝㻚㻝 㻟㻟 㻝㻠㻟 ⭘⒆ෆ⛉ ⾑ᾮෆ⛉ ᾘჾ୍⯡እ⛉ 㻥㻡㻚㻝 ⭈⮚ෆ⛉ ᾘჾෆ⛉ 㻜㻚㻝 㻞㻝㻚㻢 ⢾ᒀෆศἪ௦ㅰෆ⛉ 㻞㻢 㻜㻚㻠 䠍䠌᭶ ᐃᗋ ୍᪥ᖹᆒ 䚷ᗋ ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᝈ⪅ᩘ ⏝⋡ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻡㻜㻚㻝 㻝㻤㻚㻤 㻠㻡㻚㻟 㻢㻞 㻤㻤㻚㻤㻑 㻡㻚㻜 㻝㻝㻚㻤 㻡㻚㻥 䝸䜴䝬䝏⭺ཎෆ⛉ ྾ჾእ⛉ ྾ჾ䡭䢖䢕䡳䢚䡬ෆ⛉ デ䚷䚷⒪䚷䚷⛉ Ꮫ㝔 ྜ䚷䚷䚷ィ 䠡䠒䠈㝔⟶⌮䝧䝑䝗 ᑠ䚷䚷䚷ィ ᩆᛴ་Ꮫ⛉ 㯞㓉⛉ ⓶⛉ ║⛉ ᩚᙧእ⛉ ᾘჾ䞉୍⯡እ⛉ ⬻⚄⤒እ⛉ ⚄⤒ෆ⛉ ᚠ⎔ჾෆ⛉ ⢾ᒀෆศἪ௦ㅰෆ⛉ 䝸䜴䝬䝏⭺ཎෆ⛉ ྾ჾ䡭䢖䢕䡳䢚䡬ෆ⛉ デ䚷䚷⒪䚷䚷⛉ Ꮫ㝔㝃ᒓᮾ㝔 ྜ䚷䚷䚷ィ 䠪䠍䠒䠈䠥䠟䠱䠈㝔⟶⌮䝧䝑䝗 ᑠ䚷䚷䚷ィ ⥲ྜෆ⛉䠄䠡䠮䠅 ᩆᛴ་Ꮫ⛉ 㯞㓉⛉ ᨺᑕ⥺⛉ Ἢᒀჾ⛉ ⪥㰯ဗႃ⛉ ║⛉ ⏘፬ே⛉ ᙧᡂእ⛉ ᩚᙧእ⛉ ⬻⚄⤒እ⛉ ᑠඣእ⛉ ᑠඣ⛉ ங⭢እ⛉ ᚰ⮚⾑⟶እ⛉ ⚄⤒ෆ⛉ ᚠ⎔ჾෆ⛉ ⭘⒆ෆ⛉ ⾑ᾮෆ⛉ ᾘჾ୍⯡እ⛉ ᾘჾෆ⛉ ⭈⮚ෆ⛉ ⢾ᒀෆศἪ௦ㅰෆ⛉ 䝸䜴䝬䝏⭺ཎෆ⛉ ྾ჾእ⛉ ྾ჾ䡭䢖䢕䡳䢚䡬ෆ⛉ デ䚷䚷⒪䚷䚷⛉ Ꮫ㝔 病院運営委員会に報告している統計資料 ―29― 㻝㻝㻚㻝 㻞㻟 㻝㻡 㻡㻤 㻝㻜 㻟㻞 㻢㻢 㻟㻟 㻤㻜 ᚰ⮚⾑⟶እ⛉ ங⭢እ⛉ ᑠඣ⛉ ᑠඣእ⛉ ⬻⚄⤒እ⛉ ᩚᙧእ⛉ ᙧᡂእ⛉ ⏘፬ே⛉ 㻤㻝㻡 䠪䠍䠒䠈䠥䠟䠱䠈㝔⟶⌮䝧䝑䝗 ྜ䚷䚷䚷ィ 㻥㻟㻚㻜㻑 㻝㻜 ║⛉ ⓶⛉ 䈜䠍䚷ᖹᆒᅾ㝔᪥ᩘ㻩 ྜ䚷䚷䚷ィ 䠡䠒䠈㝔⟶⌮䝧䝑䝗 㻥㻤㻚㻤㻑 㻝㻞㻚㻠 㻝㻞㻚㻠 㻝㻟㻢㻚㻟 㻢㻤㻚㻡㻑 㻜㻚㻝 㻤㻚㻝 㻠㻚㻡 㻠㻜㻚㻞 㻞㻝㻚㻝 㻞㻜㻚㻠 㻝㻡㻚㻜 㻝㻞㻚㻠 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻝㻟㻢㻚㻟 㻝㻚㻝 㻝㻞㻚㻠 㻞㻚㻢 㻥㻠㻚㻞㻑 㻣㻣㻚㻟㻑 㻣㻤㻚㻥㻑 㻝㻟㻟㻚㻡㻑 㻣㻤㻚㻜㻑 㻤㻟㻚㻤㻑 㻝㻜㻞㻚㻥㻑 㻝㻜㻤㻚㻟㻑 㻝㻟㻡㻚㻜㻑 㻤㻠㻚㻝㻑 㻥㻜㻚㻥㻑 㻢㻣㻚㻜㻑 㻣㻤㻚㻤㻑 㻝㻞㻝㻚㻟㻑 㻥㻣㻚㻢㻑 㻣㻤㻚㻡㻑 㻤㻞㻚㻡㻑 䠍䠍᭶ 䚷ᗋ ⏝⋡ 㻝㻟㻚㻝 㻢㻣㻞㻚㻜 㻝㻝㻞㻚㻞㻑 㻝㻜㻜㻚㻟㻑 㻤㻟㻚㻝㻑 㻝㻝㻣㻚㻡㻑 㻥㻝㻚㻝㻑 㻝㻝㻚㻥 㻝㻡㻠㻚㻤 㻣㻣㻚㻤㻑 㻤㻚㻜 㻠㻚㻥 㻟㻜㻚㻠 㻟㻜㻚㻡 㻝㻣㻚㻣 㻞㻢㻚㻥 㻝㻝㻚㻥 㻥㻡㻚㻞㻑 㻤㻟㻚㻥㻑 㻝㻜㻠㻚㻟㻑 㻝㻟㻥㻚㻡㻑 㻤㻠㻚㻞㻑 㻥㻜㻚㻜㻑 㻥㻢㻚㻟㻑 㻝㻜㻥㻚㻡㻑 㻥㻢㻚㻡㻑 㻣㻥㻚㻜㻑 㻝㻝㻝㻚㻞㻑 㻣㻟㻚㻤㻑 㻥㻥㻚㻠㻑 㻝㻝㻟㻚㻟㻑 㻤㻢㻚㻠㻑 㻣㻥㻚㻟㻑 㻣㻡㻚㻜㻑 䠍䠎᭶ 䚷ᗋ ⏝⋡ 㻝㻞㻚㻡 㻢㻣㻤㻚㻤 㻝㻝㻝㻚㻡㻑 㻝㻜㻥㻚㻠㻑 㻣㻟㻚㻤㻑 㻝㻞㻝㻚㻝㻑 㻤㻥㻚㻥㻑 㻝㻝㻚㻠 㻝㻠㻚㻜㻑 㻝㻝㻚㻟 㻝㻡㻟㻚㻥 㻣㻣㻚㻟㻑 㻠㻚㻞 㻟㻣㻚㻞 㻜㻚㻜 㻝㻟㻚㻠 㻞㻟㻚㻣 㻡㻤㻚㻜 㻝㻣㻚㻜 㻞㻝㻚㻜 㻝㻝㻚㻠 㻥㻞㻚㻟㻑 㻥㻢㻚㻢㻑 㻥㻡㻚㻢㻑 㻝㻝㻜㻚㻤㻑 㻣㻣㻚㻡㻑 㻤㻜㻚㻞㻑 㻥㻞㻚㻢㻑 㻝㻝㻟㻚㻣㻑 㻡㻝㻚㻥㻑 㻣㻞㻚㻜㻑 㻡㻢㻚㻟㻑 㻢㻢㻚㻢㻑 㻝㻜㻜㻚㻜㻑 㻝㻜㻠㻚㻢㻑 㻥㻞㻚㻠㻑 㻥㻝㻚㻣㻑 㻤㻠㻚㻥㻑 㻝㻞㻚㻣 㻢㻡㻤㻚㻝 㻝㻝㻝㻚㻢㻑 㻝㻟㻝㻚㻟㻑 㻢㻤㻚㻢㻑 㻝㻜㻣㻚㻝㻑 㻥㻥㻚㻝㻑 㻝㻞㻚㻡 㻠㻠㻚㻜 㻝㻡㻠㻚㻜 㻣㻣㻚㻠㻑 㻜㻚㻜 㻝㻠㻚㻥 㻠㻚㻣 㻟㻞㻚㻢 㻟㻞㻚㻟 㻞㻠㻚㻞 㻝㻡㻚㻞 㻝㻞㻚㻡 㻥㻥㻚㻝㻑 㻤㻢㻚㻠㻑 㻥㻣㻚㻟㻑 㻝㻝㻣㻚㻣㻑 㻤㻣㻚㻤㻑 㻤㻣㻚㻣㻑 㻥㻡㻚㻥㻑 㻝㻜㻢㻚㻣㻑 㻠㻢㻚㻝㻑 㻤㻢㻚㻡㻑 㻢㻥㻚㻡㻑 㻡㻠㻚㻤㻑 㻝㻝㻡㻚㻞㻑 㻝㻜㻟㻚㻝㻑 㻝㻜㻜㻚㻣㻑 㻝㻞㻟㻚㻤㻑 㻣㻡㻚㻤㻑 䠎᭶ 䚷ᗋ ⏝⋡ 㻝㻞㻚㻤 㻣㻜㻢㻚㻠 㻝㻞㻟㻚㻟㻑 㻝㻜㻟㻚㻥㻑 㻤㻢㻚㻤㻑 㻝㻝㻠㻚㻥㻑 㻝㻝㻠㻚㻥㻑 㻝㻞㻚㻜 㻟㻤㻚㻜 㻝㻣㻜㻚㻝 㻤㻡㻚㻡㻑 㻝㻚㻜 㻝㻜㻚㻥 㻠㻚㻥 㻞㻟㻚㻞 㻝㻢㻚㻝 㻞㻟㻚㻞 㻝㻞㻚㻜 㻥㻣㻚㻥㻑 㻤㻡㻚㻠㻑 㻤㻤㻚㻟㻑 㻝㻠㻢㻚㻤㻑 㻤㻝㻚㻜㻑 㻤㻝㻚㻤㻑 㻝㻜㻠㻚㻡㻑 㻥㻣㻚㻥㻑 㻥㻝㻚㻟㻑 㻣㻡㻚㻜㻑 㻣㻡㻚㻥㻑 㻢㻡㻚㻠㻑 㻝㻜㻣㻚㻢㻑 㻥㻤㻚㻞㻑 㻥㻣㻚㻡㻑 㻝㻝㻟㻚㻞㻑 㻣㻢㻚㻝㻑 䠏᭶ 䚷ᗋ ⏝⋡ 㻝㻟㻚㻜 㻢㻥㻤㻚㻞 㻝㻜㻥㻚㻥㻑 㻝㻝㻞㻚㻢㻑 㻢㻠㻚㻝㻑 㻝㻝㻠㻚㻢㻑 㻝㻝㻝㻚㻜㻑 㻝㻜㻚㻥 㻝㻝㻚㻞 㻝㻡㻝㻚㻣 㻣㻢㻚㻞㻑 㻟㻚㻢 㻞㻣㻚㻟 㻠㻞㻚㻠 㻞㻝㻚㻡 㻝㻠㻚㻥 㻞㻟㻚㻥 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻝㻟㻚㻜 㻝㻜㻚㻥 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻝㻡㻝㻚㻣 㻜㻚㻜 㻜㻚㻜 㻝㻝㻚㻟 㻟㻞㻚㻣 㻜㻚㻜 㻝㻟㻚㻟 㻣㻚㻢 㻠㻞㻚㻠 㻜㻚㻜 㻞㻜㻚㻣 㻞㻟㻚㻣 䠏᭶ 䚷ᗋ ⏝⋡ 㻤㻣㻚㻞㻑 㻝㻚㻞 㻤㻚㻥 㻤㻚㻝 㻝㻝㻚㻠 㻤㻚㻡 㻥㻚㻠 㻞㻞㻚㻠 㻝㻢㻚㻡 㻝㻝㻚㻜 㻝㻡㻚㻢 㻤㻚㻞 㻝㻤㻚㻤 㻜㻚㻥 㻝㻟㻚㻡 㻝㻤㻚㻞 㻟㻤㻚㻟 㻝㻞㻚㻜 㻝㻝㻚㻣 㻞㻣㻚㻟 㻞㻢㻚㻜 㻞㻚㻜 㻝㻠㻚㻢 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻞㻕 㻝㻣㻚㻣 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻢㻥㻤㻚㻞 㻞㻚㻣 㻝㻞㻚㻤 㻜㻚㻜 㻜㻚㻜 㻞㻞㻚㻝 㻞㻥㻚㻠 㻜㻚㻜 㻢㻠㻚㻤 㻞㻣㻚㻜 㻢㻥㻚㻜 㻟㻝㻚㻟 㻥㻚㻝 㻠㻟㻚㻡 㻝㻝㻚㻠 㻝㻡㻚㻜 㻜㻚㻤 㻣㻣㻚㻡 㻟㻞㻚㻠 㻟㻞㻚㻠 㻡㻝㻚㻥 㻤㻣㻚㻡 㻞㻥㻚㻠 㻜㻚㻥 㻜㻚㻞 㻥㻚㻡 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻜㻚㻜 㻝㻞㻚㻤 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻝㻣㻜㻚㻝 㻜㻚㻣 㻜㻚㻝 㻝㻜㻚㻠 㻠㻠㻚㻟 㻜㻚㻜 㻜㻚㻜 㻜㻚㻜 㻞㻞㻚㻝 㻜㻚㻜 㻞㻟㻚㻥 㻞㻞㻚㻝 䠎᭶ 䚷ᗋ ⏝⋡ 㻤㻤㻚㻞㻑 㻝㻚㻡 㻡㻚㻟 㻝㻜㻚㻠 㻝㻜㻚㻣 㻤㻚㻣 㻝㻜㻚㻤 㻝㻢㻚㻝 㻝㻠㻚㻞 㻢㻚㻢 㻝㻣㻚㻥 㻢㻚㻣 㻞㻣㻚㻠 㻝㻚㻜 㻝㻞㻚㻠 㻝㻡㻚㻣 㻞㻤㻚㻞 㻝㻠㻚㻜 㻝㻞㻚㻜 㻞㻣㻚㻢 㻝㻚㻢 㻝㻚㻟 㻝㻣㻚㻜 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻝㻥㻚㻤 㻟㻣㻚㻣 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻣㻜㻢㻚㻠 㻞㻚㻝 㻝㻟㻚㻜 㻜㻚㻜 㻞㻠㻚㻟 㻞㻟㻚㻡 㻜㻚㻜 㻣㻜㻚㻞 㻞㻤㻚㻥 㻜㻚㻜 㻢㻟㻚㻟 㻟㻠㻚㻝 㻠㻚㻢 㻡㻜㻚㻝 㻝㻜㻚㻠 㻝㻞㻚㻢 㻜㻚㻢 㻤㻞㻚㻥 㻞㻤㻚㻜 㻟㻠㻚㻜 㻡㻣㻚㻠 㻤㻢㻚㻢 㻟㻞㻚㻞 㻜㻚㻞 㻜㻚㻝 㻥㻚㻥 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻞㻝㻚㻝 㻜㻚㻜 㻝㻞㻚㻣 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻝㻡㻠㻚㻜 㻝㻚㻡 㻜㻚㻜 㻝㻟㻚㻝 㻟㻡㻚㻜 㻝㻢㻚㻝 㻜㻚㻜 㻤㻚㻜 㻟㻥㻚㻢 㻝㻚㻜 㻝㻣㻚㻟 㻞㻞㻚㻠 䠍᭶ 䚷ᗋ ⏝⋡ 㻤㻞㻚㻞㻑 㻝㻚㻣 㻢㻚㻡 㻥㻚㻞 㻥㻚㻜 㻤㻚㻟 㻝㻞㻚㻠 㻝㻤㻚㻠 㻝㻣㻚㻝 㻤㻚㻡 㻝㻡㻚㻤 㻡㻚㻠 㻝㻤㻚㻣 㻟㻚㻠 㻝㻟㻚㻠 㻝㻠㻚㻤 㻠㻜㻚㻠 㻝㻞㻚㻣 㻝㻝㻚㻡 㻞㻞㻚㻢 㻝㻚㻟 㻝㻤㻚㻢 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻝㻥㻚㻢 㻟㻣㻚㻝 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻢㻡㻤㻚㻝 㻞㻚㻥 㻝㻠㻚㻡 㻜㻚㻜 㻜㻚㻜 㻞㻟㻚㻥 㻞㻞㻚㻞 㻜㻚㻜 㻢㻞㻚㻜 㻞㻢㻚㻡 㻢㻝㻚㻝 㻟㻢㻚㻠 㻡㻚㻞 㻠㻝㻚㻣 㻤㻚㻡 㻝㻡㻚㻟 㻝㻚㻢 㻣㻞㻚㻜 㻞㻝㻚㻝 㻟㻠㻚㻡 㻡㻝㻚㻝 㻤㻝㻚㻝 㻞㻟㻚㻤 㻜㻚㻞 㻜㻚㻜 㻣㻚㻡 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻜㻚㻜 㻝㻞㻚㻡 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻝㻡㻟㻚㻥 㻜㻚㻞 㻜㻚㻜 㻝㻜㻚㻥 㻟㻣㻚㻢 㻞㻝㻚㻝 㻜㻚㻜 㻞㻚㻟 㻠㻠㻚㻤 㻜㻚㻥 㻝㻡㻚㻟 㻞㻜㻚㻢 䠍䠎᭶ 䚷ᗋ ⏝⋡ 㻤㻠㻚㻣㻑 㻝㻚㻠 㻡㻚㻢 㻝㻜㻚㻣 㻝㻜㻚㻤 㻢㻚㻜 㻤㻚㻢 㻝㻝㻚㻞 㻞㻜㻚㻝 㻝㻢㻚㻝 㻝㻜㻚㻞 㻝㻣㻚㻟 㻤㻚㻟 㻟㻥㻚㻡 㻝㻚㻞 㻝㻝㻚㻡 㻝㻤㻚㻞 㻟㻣㻚㻥 㻝㻞㻚㻞 㻝㻜㻚㻝 㻞㻞㻚㻠 㻝㻚㻜 㻢㻚㻜 㻝㻞㻚㻢 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻝㻤㻚㻝 㻠㻡㻚㻝 䠍᭶ 䚷ᗋ ⏝⋡ 診療科別入院状況表 デ⒪⛉ูධ㝔≧ἣ⾲ 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻢㻣㻤㻚㻤 㻞㻚㻡 㻝㻞㻚㻢 㻜㻚㻜 㻜㻚㻜 㻞㻢㻚㻝 㻞㻣㻚㻥 㻜㻚㻞 㻢㻣㻚㻟 㻞㻥㻚㻣 㻢㻟㻚㻢 㻟㻡㻚㻜 㻥㻚㻢 㻠㻡㻚㻤 㻝㻢㻚㻣 㻝㻣㻚㻜 㻜㻚㻤 㻣㻝㻚㻡 㻞㻠㻚㻝 㻟㻣㻚㻠 㻠㻣㻚㻢 㻣㻡㻚㻥 㻞㻜㻚㻢 㻜㻚㻝 㻜㻚㻞 㻣㻚㻜 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻜㻚㻜 㻝㻟㻚㻝 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻝㻡㻠㻚㻤 㻜㻚㻜 㻜㻚㻜 㻝㻜㻚㻜 㻠㻞㻚㻠 㻝㻥㻚㻣 㻜㻚㻜 㻞㻚㻣 㻠㻟㻚㻡 㻜㻚㻜 㻝㻠㻚㻡 㻞㻝㻚㻥 䠍䠍᭶ 䚷ᗋ ⏝⋡ 㻤㻟㻚㻥㻑 㻝㻚㻢 㻣㻚㻜 㻣㻚㻤 㻝㻝㻚㻣 㻣㻚㻣 㻝㻜㻚㻥 㻞㻜㻚㻠 㻝㻤㻚㻠 㻝㻟㻚㻤 㻝㻣㻚㻥 㻣㻚㻥 㻞㻣㻚㻜 㻜㻚㻥 㻝㻜㻚㻞 㻝㻤㻚㻤 㻠㻞㻚㻤 㻝㻟㻚㻣 㻝㻝㻚㻟 㻟㻜㻚㻟 㻝㻚㻜 㻞㻚㻣 㻝㻢㻚㻣 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻞㻞㻚㻤 㻟㻥㻚㻡 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻢㻣㻞㻚㻜 ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻝㻥㻚㻥 㻜㻚㻜 㻌 ᅾ㝔ᝈ⪅ᘏᩘ 㻔᪂ධ㝔ᝈ⪅ᩘ㻗㏥㝔ᝈ⪅ᩘ㻕㾂䠎 㻝㻥㻥 㻢㻝 㻜㻚㻞 ᑠ䚷䚷䚷ィ 㻜㻚㻜 㯞㓉⛉ 㻤㻚㻟 ᩆᛴ་Ꮫ⛉ 㻝㻟㻤 㻡㻝 ᩚᙧእ⛉ 㻟㻠㻚㻢 㻜㻚㻜 㻝㻤㻚㻜 㻡㻝 ᾘჾ䞉୍⯡እ⛉ 㻞㻚㻡 ⬻⚄⤒እ⛉ 㻟㻤㻚㻠 ⚄⤒ෆ⛉ 㻟㻣 㻜㻚㻝 㻝㻞㻚㻠 ᚠ⎔ჾෆ⛉ ⢾ᒀෆศἪ௦ㅰෆ⛉ 㻠㻜 㻞㻝㻚㻥 デ䚷䚷⒪䚷䚷⛉ ྾ჾ䡭䢖䢕䡳䢚䡬ෆ⛉ 㻤㻞㻚㻤㻑 䝸䜴䝬䝏⭺ཎෆ⛉ 㻢㻢㻟㻚㻜 䠍䠌᭶ ᐃᗋ ୍᪥ᖹᆒ 䚷ᗋ ᝈ⪅ᩘ ⏝⋡ 㻜㻚㻜 Ꮫ㝔㝃ᒓᮾ㝔 㻝㻜㻞 ᑠ䚷䚷䚷ィ 䚷䈜ᝈ⪅ᩘ䛻䛴䛔䛶䛿ྛデ⒪⛉䛻ྵ䜎䜜䜛 㻟㻚㻜 㻢㻢㻟㻚㻜 㻣㻝㻟 ⥲ྜෆ⛉䠄䠡䠮䠅 㻝㻝㻚㻢 㻜㻚㻜 㻡㻚㻢 㻜㻚㻜 㻝㻞㻚㻝 㻝㻥㻚㻣 㻞㻢㻚㻣 㻜㻚㻜 㻢㻞㻚㻠 㻞㻣㻚㻣 㻢㻣㻚㻥 㻟㻠㻚㻣 㻝㻟㻚㻡 㻠㻤㻚㻤 㻝㻟㻚㻢 㻝㻡㻚㻠 㻜㻚㻡 㻡㻢㻚㻣 㻝㻤㻚㻣 㻠㻜㻚㻜 㻡㻝㻚㻠 㻤㻤㻚㻞 㯞㓉⛉ 㻤㻜㻚㻠㻑 㻜㻚㻝 㻞㻜㻚㻠 ᩆᛴ་Ꮫ⛉ 㻣㻚㻜 㻝㻞㻚㻞 㻡㻚㻜 㻣㻚㻜 㻝㻜㻚㻞 㻞㻜㻚㻣 㻝㻤㻚㻣 㻝㻟㻚㻤 㻝㻥㻚㻠 㻥㻚㻣 㻝㻤㻚㻣 㻝㻚㻜 㻥㻚㻢 㻝㻝㻚㻜 㻟㻠㻚㻟 㻝㻟㻚㻣 㻝㻞㻚㻟 㻞㻟㻚㻡 㻜㻚㻞 㻜㻚㻜 㻣㻢㻚㻟㻑 㻝㻠㻝㻚㻜㻑 㻣㻡㻚㻞㻑 㻤㻣㻚㻝㻑 㻝㻜㻝㻚㻢㻑 㻝㻝㻞㻚㻢㻑 㻝㻡㻜㻚㻢㻑 㻣㻞㻚㻣㻑 㻤㻤㻚㻠㻑 㻠㻤㻚㻝㻑 㻣㻠㻚㻡㻑 㻝㻞㻜㻚㻢㻑 㻝㻜㻣㻚㻤㻑 㻤㻟㻚㻤㻑 㻤㻚㻜㻑 㻜㻚㻜 㻝㻡 㻞㻡 Ἢᒀჾ⛉ 㻝㻥㻚㻝 㻞㻤㻚㻞 㻞㻜 ⪥㰯ဗႃ⛉ ᨺᑕ⥺⛉ 㻜㻚㻠 ║⛉ 㻢㻜㻚㻝 㻞㻤㻚㻣 㻢㻣㻚㻜 㻟㻢㻚㻜 㻝㻡㻚㻝 㻠㻞㻚㻞 㻝㻟㻚㻟 㻜㻚㻤 㻡㻟㻚㻢 㻣㻞 ⚄⤒ෆ⛉ ᚠ⎔ჾෆ⛉ 㻟㻥㻚㻤 㻡㻥㻚㻜 㻝㻚㻝 㻟㻟 㻥㻡㻚㻝 ⭘⒆ෆ⛉ ⾑ᾮෆ⛉ ᾘჾ୍⯡እ⛉ 㻝㻠㻟 ⭈⮚ෆ⛉ ᾘჾෆ⛉ 㻜㻚㻝 㻞㻝㻚㻢 ⢾ᒀෆศἪ௦ㅰෆ⛉ 㻞㻢 㻜㻚㻠 䠍䠌᭶ ᐃᗋ ୍᪥ᖹᆒ 䚷ᗋ ᖹᆒᅾ㝔 ୍᪥ᖹᆒ ᝈ⪅ᩘ ⏝⋡ ᪥ᩘ㻔䈜㻝㻕 ᝈ⪅ᩘ 㻡㻜㻚㻝 㻝㻤㻚㻤 㻠㻡㻚㻟 㻢㻞 㻤㻤㻚㻤㻑 㻡㻚㻜 㻝㻝㻚㻤 㻡㻚㻥 䝸䜴䝬䝏⭺ཎෆ⛉ ྾ჾእ⛉ ྾ჾ䡭䢖䢕䡳䢚䡬ෆ⛉ デ䚷䚷⒪䚷䚷⛉ Ꮫ㝔 ྜ䚷䚷䚷ィ 䠡䠒䠈㝔⟶⌮䝧䝑䝗 ᑠ䚷䚷䚷ィ ᩆᛴ་Ꮫ⛉ 㯞㓉⛉ ⓶⛉ ║⛉ ᩚᙧእ⛉ ᾘჾ䞉୍⯡እ⛉ ⬻⚄⤒እ⛉ ⚄⤒ෆ⛉ ᚠ⎔ჾෆ⛉ ⢾ᒀෆศἪ௦ㅰෆ⛉ 䝸䜴䝬䝏⭺ཎෆ⛉ ྾ჾ䡭䢖䢕䡳䢚䡬ෆ⛉ デ䚷䚷⒪䚷䚷⛉ Ꮫ㝔㝃ᒓᮾ㝔 ྜ䚷䚷䚷ィ 䠪䠍䠒䠈䠥䠟䠱䠈㝔⟶⌮䝧䝑䝗 ᑠ䚷䚷䚷ィ ⥲ྜෆ⛉䠄䠡䠮䠅 ᩆᛴ་Ꮫ⛉ 㯞㓉⛉ ᨺᑕ⥺⛉ Ἢᒀჾ⛉ ⪥㰯ဗႃ⛉ ║⛉ ⏘፬ே⛉ ᙧᡂእ⛉ ᩚᙧእ⛉ ⬻⚄⤒እ⛉ ᑠඣእ⛉ ᑠඣ⛉ ங⭢እ⛉ ᚰ⮚⾑⟶እ⛉ ⚄⤒ෆ⛉ ᚠ⎔ჾෆ⛉ ⭘⒆ෆ⛉ ⾑ᾮෆ⛉ ᾘჾ୍⯡እ⛉ ᾘჾෆ⛉ ⭈⮚ෆ⛉ ⢾ᒀෆศἪ௦ㅰෆ⛉ 䝸䜴䝬䝏⭺ཎෆ⛉ ྾ჾእ⛉ ྾ჾ䡭䢖䢕䡳䢚䡬ෆ⛉ デ䚷䚷⒪䚷䚷⛉ Ꮫ㝔 病院運営委員会に報告している統計資料 ―30― 㻞㻜㻚㻤 㻡㻝㻚㻝 㻡㻜㻚㻣 㻠㻜㻚㻝 㻠㻢㻚㻥 㻡㻝㻚㻡 㻠㻣㻚㻥 㻡㻜㻚㻥 㻠㻤㻚㻤 㻠㻝㻚㻠 㻝㻥㻚㻝 㻞㻤㻚㻥 㻟㻥㻚㻡 㻡㻟㻣㻚㻣 㻟㻠㻚㻜 㻝㻚㻢 㻡㻚㻟 㻝㻞㻚㻥 㻢㻚㻠 㻟㻢㻚㻤 㻥㻣㻚㻜 㻣㻚㻤 㻣㻚㻡 㻝㻢㻚㻠 㻝㻜㻚㻟 㻝㻝㻚㻤 㻡㻟㻚㻥 㻢㻤㻤㻚㻢 㻤㻚㻤 㻝㻟㻚㻠 㻝㻜㻚㻥 㻞㻜㻚㻤 㻝㻤㻚㻤 㻞㻠 㻡㻟 㻡㻠 㻠㻟 㻡㻟 㻡㻡 㻡㻜 㻡㻠 㻡㻠 㻠㻡 㻞㻟 㻟㻞 㻠㻠 㻡㻤㻠 㻟㻤 㻢 㻥 㻝㻡 㻞㻟 㻡㻞 㻝㻠㻟 㻝㻜 㻝㻞 㻞㻟 㻝㻠 㻝㻡 㻣㻠 㻤㻜㻝 㻝㻜 㻝㻠 㻝㻞 㻞㻟 㻞㻜 㻺㻙㻝㻢 㻝㻜㻚㻤 㻟㻟㻚㻤 㻟㻠㻚㻣 㻟㻞㻚㻢 㻞㻠㻚㻡 㻝㻟㻢㻚㻠 㻞㻠 㻠㻠 㻡㻟 㻠㻡 㻟㻟 㻝㻥㻥 㻱㻙㻌㻢 ྜ䚷ィ 㻱㻙㻌㻞 㻱㻙㻌㻟 㻱㻙㻌㻠 㻱㻙㻌㻡 ୍᪥ᖹᆒ ᝈ⪅ᩘ ᐃᗋ 䚷Ჷ Ꮫ㝔㝃ᒓᮾ㝔 ᪂⏕ඣ 㻯㻥㻙㻯䠄㻱㻾䠅 㻯㻥㻙㻮䠄㻴㻯㼁䠅 㻯㻙㻢䠄㻵㻯㼁䠅 㻺㻙㻞䠄㻯㻯㼁䠅 㻔ูᥖ㻕 ྜ䚷ィ ᑠィ ᩆᛴ䡺䢙䡼䡬 㻯㻙㻢䠄㻵㻯㼁䠅 㻯㻥㻙㻯䠄㻱㻾䠅 㻯㻥㻙㻮䠄㻴㻯㼁䠅 㻺㻙㻞䠄㻯㻯㼁䠅 ᑠィ ᑠඣ䡺䢙䡼䡬 㻺㻙㻠㻝䠄㻳㻯㼁䠅 㻺㻙㻠㻝䠄㻺㻵㻯㼁䠅 㻺㻙㻡䠄㻹㻲㻵㻯㼁䠅 㻺㻙㻡䠄㻸㻰㻾䠅 㻺㻙㻌㻢 ᑠィ 㻯㻤㻙㻮 㻯㻤㻙㻭 㻯㻥㻙㻭 㻺㻙㻌㻣 㻺㻙㻌㻤 㻺㻙㻌㻥 㻺㻙㻝㻜 㻺㻙㻝㻝 㻺㻙㻝㻞 㻺㻙㻝㻟 㻺㻙㻝㻠 㻺㻙㻝㻡 ୍᪥ᖹᆒ ᝈ⪅ᩘ ᐃᗋ 䚷Ჷ Ꮫ㝔 㻠᭶ 㻠㻡㻚㻝㻑 㻣㻢㻚㻣㻑 㻢㻡㻚㻡㻑 㻣㻞㻚㻠㻑 㻣㻠㻚㻝㻑 㻢㻤㻚㻡㻑 䚷ᗋ ⏝⋡ 㻤㻤㻚㻟㻑 㻥㻡㻚㻡㻑 㻥㻜㻚㻤㻑 㻥㻜㻚㻟㻑 㻥㻠㻚㻞㻑 㻤㻢㻚㻣㻑 㻥㻢㻚㻠㻑 㻥㻟㻚㻥㻑 㻥㻟㻚㻟㻑 㻤㻤㻚㻡㻑 㻥㻟㻚㻣㻑 㻥㻡㻚㻣㻑 㻥㻠㻚㻟㻑 㻥㻜㻚㻟㻑 㻥㻞㻚㻝㻑 㻤㻟㻚㻞㻑 㻥㻜㻚㻠㻑 㻤㻥㻚㻤㻑 㻥㻞㻚㻝㻑 㻤㻥㻚㻡㻑 㻞㻢㻚㻝㻑 㻡㻤㻚㻡㻑 㻤㻢㻚㻞㻑 㻞㻤㻚㻜㻑 㻣㻜㻚㻤㻑 㻢㻣㻚㻥㻑 㻣㻤㻚㻟㻑 㻢㻞㻚㻡㻑 㻣㻝㻚㻠㻑 㻣㻟㻚㻢㻑 㻣㻤㻚㻣㻑 㻣㻞㻚㻤㻑 㻤㻢㻚㻜㻑 䚷ᗋ ⏝⋡ 㻤㻚㻣 㻠㻚㻢 㻝㻟㻚㻣 㻝㻢㻚㻢 㻝㻥㻚㻡 㻥㻚㻤 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻡㻚㻢 㻟㻚㻝 㻞㻚㻜 㻞㻚㻠 㻡㻚㻡 㻝㻠㻚㻢 㻝㻟㻚㻥 㻝㻠㻚㻟 㻝㻤㻚㻢 㻝㻜㻚㻤 㻞㻢㻚㻞 㻠㻠㻚㻟 㻞㻡㻚㻝 㻝㻝㻚㻢 㻝㻝㻚㻟 㻝㻟㻚㻣 㻝㻥㻚㻠 㻣㻚㻣 㻝㻡㻚㻝 㻤㻚㻤 㻞㻚㻡 㻞㻜㻚㻡 㻟㻡㻚㻟 㻟㻟㻚㻟 㻥㻚㻡 㻝㻜㻚㻣 㻝㻟㻚㻢 㻝㻡㻚㻜 㻟㻚㻥 㻞㻡㻚㻡 㻡㻚㻤 㻣㻚㻝 㻝㻟㻚㻞 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻤㻚㻠 㻟㻞㻚㻞 㻟㻡㻚㻣 㻟㻠㻚㻡 㻞㻟㻚㻣 㻝㻟㻠㻚㻡 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻤㻚㻣 㻝㻡㻚㻜 㻝㻜㻚㻤 㻝㻢㻚㻡 㻝㻣㻚㻠 㻝㻢㻚㻞 㻠㻢㻚㻢 㻠㻢㻚㻞 㻟㻥㻚㻠 㻠㻠㻚㻞 㻠㻡㻚㻟 㻠㻣㻚㻠 㻡㻜㻚㻣 㻠㻡㻚㻜 㻟㻤㻚㻡 㻝㻤㻚㻜 㻞㻣㻚㻜 㻟㻡㻚㻟 㻠㻥㻥㻚㻥 㻟㻟㻚㻜 㻝㻚㻤 㻡㻚㻤 㻝㻠㻚㻥 㻝㻞㻚㻠 㻟㻡㻚㻥 㻝㻜㻟㻚㻥 㻣㻚㻞 㻣㻚㻡 㻝㻞㻚㻜 㻝㻝㻚㻢 㻝㻜㻚㻤 㻠㻥㻚㻝 㻢㻡㻞㻚㻥 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻡᭶ 㻟㻠㻚㻤㻑 㻣㻟㻚㻞㻑 㻢㻣㻚㻠㻑 㻣㻢㻚㻢㻑 㻣㻝㻚㻣㻑 㻢㻣㻚㻢㻑 䚷ᗋ ⏝⋡ 㻤㻣㻚㻝㻑 㻝㻜㻣㻚㻠㻑 㻥㻜㻚㻝㻑 㻣㻝㻚㻥㻑 㻤㻢㻚㻤㻑 㻢㻣㻚㻟㻑 㻤㻣㻚㻥㻑 㻤㻡㻚㻡㻑 㻥㻝㻚㻣㻑 㻤㻟㻚㻠㻑 㻤㻞㻚㻠㻑 㻥㻠㻚㻤㻑 㻥㻠㻚㻜㻑 㻤㻟㻚㻟㻑 㻤㻡㻚㻣㻑 㻣㻤㻚㻠㻑 㻤㻠㻚㻟㻑 㻤㻜㻚㻞㻑 㻤㻡㻚㻢㻑 㻤㻢㻚㻥㻑 㻟㻜㻚㻝㻑 㻢㻠㻚㻡㻑 㻥㻥㻚㻢㻑 㻡㻠㻚㻜㻑 㻢㻥㻚㻝㻑 㻣㻞㻚㻣㻑 㻣㻝㻚㻢㻑 㻢㻞㻚㻢㻑 㻡㻞㻚㻞㻑 㻤㻟㻚㻞㻑 㻣㻝㻚㻤㻑 㻢㻢㻚㻟㻑 㻤㻝㻚㻡㻑 䚷ᗋ ⏝⋡ 㻤㻚㻥 㻠㻚㻡 㻝㻟㻚㻣 㻞㻜㻚㻞 㻝㻡㻚㻡 㻝㻜㻚㻜 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻠㻚㻟 㻟㻚㻞 㻞㻚㻝 㻝㻚㻢 㻡㻚㻞 㻝㻝㻚㻥 㻝㻞㻚㻜 㻝㻠㻚㻟 㻝㻣㻚㻠 㻝㻞㻚㻜 㻞㻜㻚㻞 㻟㻝㻚㻝 㻞㻞㻚㻝 㻝㻞㻚㻡 㻝㻜㻚㻡 㻝㻣㻚㻠 㻞㻣㻚㻤 㻤㻚㻥 㻝㻠㻚㻥 㻤㻚㻞 㻞㻚㻢 㻝㻤㻚㻠 㻟㻤㻚㻡 㻟㻝㻚㻢 㻥㻚㻢 㻝㻝㻚㻜 㻝㻠㻚㻝 㻞㻡㻚㻟 㻞㻚㻡 㻞㻜㻚㻥 㻢㻚㻣 㻢㻚㻢 㻝㻟㻚㻜 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻞㻕 㻤㻚㻥 㻟㻠㻚㻞 㻠㻜㻚㻡 㻟㻠㻚㻡 㻞㻞㻚㻤 㻝㻠㻜㻚㻤 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻥㻚㻢 㻝㻡㻚㻠 㻝㻞㻚㻞 㻞㻜㻚㻠 㻝㻤㻚㻤 㻝㻤㻚㻞 㻠㻣㻚㻣 㻡㻝㻚㻤 㻠㻝㻚㻝 㻠㻥㻚㻟 㻡㻝㻚㻣 㻠㻤㻚㻞 㻡㻞㻚㻤 㻠㻤㻚㻟 㻠㻞㻚㻤 㻝㻥㻚㻣 㻞㻥㻚㻣 㻠㻝㻚㻝 㻡㻠㻞㻚㻟 㻟㻢㻚㻠 㻝㻚㻣 㻣㻚㻜 㻝㻠㻚㻡 㻝㻟㻚㻜 㻟㻟㻚㻠 㻝㻜㻢㻚㻜 㻤㻚㻝 㻤㻚㻢 㻝㻢㻚㻜 㻝㻝㻚㻥 㻝㻜㻚㻟 㻡㻠㻚㻥 㻣㻜㻟㻚㻞 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻟㻢㻚㻥㻑 㻣㻣㻚㻤㻑 㻣㻢㻚㻠㻑 㻣㻢㻚㻢㻑 㻢㻥㻚㻜㻑 㻣㻜㻚㻤㻑 䚷ᗋ ⏝⋡ 㻥㻢㻚㻜㻑 㻝㻝㻜㻚㻞㻑 㻝㻜㻝㻚㻠㻑 㻤㻤㻚㻣㻑 㻥㻟㻚㻤㻑 㻣㻡㻚㻣㻑 㻥㻜㻚㻝㻑 㻥㻢㻚㻜㻑 㻥㻡㻚㻡㻑 㻥㻟㻚㻜㻑 㻥㻠㻚㻝㻑 㻥㻢㻚㻠㻑 㻥㻣㻚㻣㻑 㻤㻥㻚㻠㻑 㻥㻡㻚㻝㻑 㻤㻡㻚㻣㻑 㻥㻞㻚㻣㻑 㻥㻟㻚㻠㻑 㻥㻞㻚㻥㻑 㻥㻡㻚㻥㻑 㻞㻣㻚㻤㻑 㻣㻣㻚㻠㻑 㻥㻢㻚㻥㻑 㻡㻢㻚㻡㻑 㻢㻠㻚㻞㻑 㻣㻠㻚㻝㻑 㻤㻜㻚㻣㻑 㻣㻝㻚㻥㻑 㻢㻥㻚㻢㻑 㻤㻡㻚㻞㻑 㻢㻤㻚㻠㻑 㻣㻠㻚㻞㻑 㻤㻣㻚㻤㻑 䚷ᗋ ⏝⋡ 㻢᭶ 㻣㻚㻥 㻠㻚㻠 㻝㻢㻚㻞 㻝㻡㻚㻠 㻝㻟㻚㻤 㻥㻚㻢 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻠㻚㻣 㻟㻚㻞 㻞㻚㻞 㻞㻚㻞 㻡㻚㻡 㻝㻟㻚㻥 㻝㻝㻚㻜 㻝㻣㻚㻝 㻝㻣㻚㻡 㻝㻞㻚㻜 㻞㻞㻚㻢 㻟㻥㻚㻡 㻞㻡㻚㻣 㻝㻢㻚㻜 㻝㻝㻚㻟 㻝㻠㻚㻞 㻞㻣㻚㻝 㻥㻚㻠 㻝㻡㻚㻥 㻤㻚㻞 㻞㻚㻠 㻝㻢㻚㻟 㻟㻢㻚㻟 㻠㻟㻚㻥 㻤㻚㻥 㻝㻜㻚㻤 㻝㻞㻚㻥 㻝㻤㻚㻣 㻟㻚㻠 㻟㻜㻚㻢 㻡㻚㻤 㻣㻚㻞 㻝㻟㻚㻣 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻟㻕 㻝㻟㻚㻡 㻞㻥㻚㻣 㻠㻜㻚㻠 㻟㻤㻚㻥 㻞㻢㻚㻣 㻝㻠㻥㻚㻝 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻤㻚㻡 㻝㻟㻚㻣 㻝㻝㻚㻠 㻞㻞㻚㻡 㻝㻡㻚㻥 㻞㻞㻚㻟 㻠㻥㻚㻠 㻡㻟㻚㻟 㻟㻤㻚㻥 㻡㻝㻚㻠 㻠㻥㻚㻝 㻠㻥㻚㻟 㻡㻞㻚㻠 㻠㻥㻚㻥 㻠㻠㻚㻜 㻞㻜㻚㻡 㻟㻝㻚㻡 㻠㻟㻚㻝 㻡㻡㻠㻚㻥 㻟㻠㻚㻢 㻝㻚㻢 㻡㻚㻠 㻝㻠㻚㻤 㻝㻢㻚㻜 㻠㻜㻚㻢 㻝㻝㻟㻚㻜 㻣㻚㻞 㻤㻚㻟 㻝㻣㻚㻤 㻝㻜㻚㻢 㻝㻝㻚㻢 㻡㻡㻚㻡 㻣㻞㻟㻚㻡 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻡㻢㻚㻞㻑 㻢㻣㻚㻠㻑 㻣㻢㻚㻞㻑 㻤㻢㻚㻡㻑 㻤㻜㻚㻤㻑 㻣㻠㻚㻥㻑 䚷ᗋ ⏝⋡ 㻤㻠㻚㻡㻑 㻥㻣㻚㻣㻑 㻥㻠㻚㻢㻑 㻥㻣㻚㻢㻑 㻣㻥㻚㻡㻑 㻥㻞㻚㻥㻑 㻥㻟㻚㻝㻑 㻥㻤㻚㻣㻑 㻥㻜㻚㻠㻑 㻥㻣㻚㻜㻑 㻤㻥㻚㻞㻑 㻥㻤㻚㻢㻑 㻥㻣㻚㻜㻑 㻥㻞㻚㻠㻑 㻥㻣㻚㻤㻑 㻤㻥㻚㻝㻑 㻥㻤㻚㻡㻑 㻥㻣㻚㻥㻑 㻥㻡㻚㻜㻑 㻥㻝㻚㻞㻑 㻞㻢㻚㻟㻑 㻡㻥㻚㻡㻑 㻥㻤㻚㻥㻑 㻢㻥㻚㻠㻑 㻣㻤㻚㻞㻑 㻣㻥㻚㻜㻑 㻣㻝㻚㻥㻑 㻢㻤㻚㻤㻑 㻣㻣㻚㻠㻑 㻣㻡㻚㻢㻑 㻣㻣㻚㻢㻑 㻣㻡㻚㻜㻑 㻥㻜㻚㻟㻑 䚷ᗋ ⏝⋡ 㻣᭶ 病棟別入院状況表 㻥㻚㻝 㻠㻚㻜 㻝㻡㻚㻢 㻞㻠㻚㻞 㻞㻜㻚㻤 㻝㻜㻚㻥 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻡㻚㻞 㻟㻚㻝 㻞㻚㻠 㻞㻚㻠 㻡㻚㻤 㻝㻟㻚㻤 㻝㻟㻚㻢 㻝㻢㻚㻤 㻝㻣㻚㻟 㻝㻡㻚㻝 㻞㻡㻚㻞 㻠㻜㻚㻢 㻟㻝㻚㻜 㻝㻠㻚㻝 㻝㻜㻚㻟 㻝㻡㻚㻞 㻞㻞㻚㻟 㻤㻚㻢 㻝㻢㻚㻞 㻝㻜㻚㻢 㻞㻚㻣 㻝㻣㻚㻥 㻟㻤㻚㻟 㻟㻣㻚㻣 㻥㻚㻜 㻝㻞㻚㻝 㻝㻟㻚㻤 㻞㻜㻚㻜 㻟㻚㻤 㻞㻞㻚㻝 㻣㻚㻢 㻣㻚㻠 㻝㻠㻚㻞 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻠㻕 㻥㻚㻠 㻟㻟㻚㻣 㻟㻡㻚㻣 㻟㻤㻚㻝 㻞㻣㻚㻢 㻝㻠㻠㻚㻡 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻤㻚㻡 㻝㻟㻚㻟 㻝㻞㻚㻠 㻞㻜㻚㻟 㻝㻣㻚㻡 㻞㻝㻚㻟 㻠㻣㻚㻝 㻡㻞㻚㻥 㻟㻥㻚㻡 㻡㻜㻚㻠 㻡㻞㻚㻝 㻠㻥㻚㻟 㻡㻟㻚㻜 㻠㻥㻚㻤 㻠㻡㻚㻞 㻞㻜㻚㻠 㻞㻥㻚㻟 㻠㻞㻚㻠 㻡㻡㻞㻚㻣 㻟㻜㻚㻥 㻝㻚㻥 㻟㻚㻥 㻝㻞㻚㻡 㻝㻠㻚㻞 㻠㻝㻚㻢 㻝㻜㻡㻚㻝 㻢㻚㻥 㻥㻚㻝 㻝㻡㻚㻣 㻝㻜㻚㻜 㻥㻚㻡 㻡㻝㻚㻞 㻣㻜㻤㻚㻥 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻤᭶ 㻟㻥㻚㻝㻑 㻣㻢㻚㻡㻑 㻢㻣㻚㻠㻑 㻤㻠㻚㻣㻑 㻤㻟㻚㻣㻑 㻣㻞㻚㻢㻑 䚷ᗋ ⏝⋡ 㻤㻡㻚㻞㻑 㻥㻡㻚㻞㻑 㻝㻜㻟㻚㻜㻑 㻤㻤㻚㻠㻑 㻤㻣㻚㻣㻑 㻤㻤㻚㻣㻑 㻤㻤㻚㻥㻑 㻥㻤㻚㻜㻑 㻥㻝㻚㻥㻑 㻥㻡㻚㻝㻑 㻥㻠㻚㻣㻑 㻥㻤㻚㻢㻑 㻥㻤㻚㻝㻑 㻥㻞㻚㻞㻑 㻝㻜㻜㻚㻠㻑 㻤㻤㻚㻤㻑 㻥㻝㻚㻡㻑 㻥㻢㻚㻟㻑 㻥㻠㻚㻢㻑 㻤㻝㻚㻠㻑 㻟㻝㻚㻞㻑 㻠㻟㻚㻠㻑 㻤㻟㻚㻠㻑 㻢㻝㻚㻣㻑 㻤㻜㻚㻝㻑 㻣㻟㻚㻡㻑 㻢㻥㻚㻜㻑 㻣㻡㻚㻤㻑 㻢㻤㻚㻞㻑 㻣㻝㻚㻞㻑 㻢㻟㻚㻣㻑 㻢㻥㻚㻞㻑 㻤㻤㻚㻡㻑 䚷ᗋ ⏝⋡ 㻤㻚㻤 㻡㻚㻣 㻝㻞㻚㻥 㻞㻝㻚㻡 㻝㻥㻚㻠 㻝㻝㻚㻠 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻟㻚㻤 㻞㻚㻣 㻞㻚㻢 㻞㻚㻜 㻡㻚㻠 㻝㻠㻚㻝 㻤㻚㻤 㻝㻠㻚㻠 㻝㻣㻚㻢 㻝㻟㻚㻠 㻞㻢㻚㻝 㻠㻟㻚㻝 㻞㻣㻚㻟 㻝㻞㻚㻡 㻝㻜㻚㻤 㻝㻜㻚㻣 㻝㻣㻚㻢 㻝㻜㻚㻟 㻝㻠㻚㻥 㻤㻚㻠 㻞㻚㻡 㻤㻚㻡 㻠㻟㻚㻜 㻞㻥㻚㻢 㻣㻚㻣 㻥㻚㻢 㻝㻜㻚㻠 㻞㻡㻚㻟 㻟㻚㻜 㻞㻢㻚㻟 㻡㻚㻟 㻢㻚㻟 㻝㻞㻚㻣 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻡㻕 㻝㻠㻚㻣 㻟㻞㻚㻠 㻠㻝㻚㻠 㻟㻣㻚㻤 㻞㻣㻚㻢 㻝㻡㻟㻚㻤 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻣㻚㻜 㻝㻟㻚㻢 㻝㻝㻚㻜 㻞㻜㻚㻝 㻝㻣㻚㻡 㻞㻝㻚㻞 㻠㻞㻚㻜 㻠㻥㻚㻣 㻟㻥㻚㻢 㻠㻤㻚㻡 㻠㻣㻚㻣 㻠㻣㻚㻤 㻡㻜㻚㻠 㻠㻣㻚㻠 㻠㻠㻚㻜 㻝㻤㻚㻣 㻞㻤㻚㻥 㻟㻤㻚㻜 㻡㻞㻟㻚㻤 㻟㻟㻚㻠 㻝㻚㻥 㻢㻚㻥 㻥㻚㻠 㻝㻜㻚㻝 㻟㻤㻚㻞 㻥㻥㻚㻥 㻢㻚㻜 㻤㻚㻜 㻝㻡㻚㻡 㻝㻜㻚㻟 㻝㻞㻚㻟 㻡㻞㻚㻝 㻢㻣㻡㻚㻤 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻥᭶ 㻢㻝㻚㻝㻑 㻣㻟㻚㻢㻑 㻣㻤㻚㻝㻑 㻤㻠㻚㻜㻑 㻤㻟㻚㻡㻑 㻣㻣㻚㻟㻑 䚷ᗋ ⏝⋡ 㻣㻜㻚㻜㻑 㻥㻢㻚㻥㻑 㻥㻝㻚㻥㻑 㻤㻣㻚㻞㻑 㻤㻣㻚㻟㻑 㻤㻤㻚㻞㻑 㻣㻥㻚㻞㻑 㻥㻞㻚㻜㻑 㻥㻞㻚㻝㻑 㻥㻝㻚㻢㻑 㻤㻢㻚㻣㻑 㻥㻡㻚㻣㻑 㻥㻟㻚㻟㻑 㻤㻣㻚㻤㻑 㻥㻣㻚㻣㻑 㻤㻝㻚㻟㻑 㻥㻜㻚㻟㻑 㻤㻢㻚㻟㻑 㻤㻥㻚㻣㻑 㻤㻤㻚㻜㻑 㻟㻝㻚㻣㻑 㻣㻣㻚㻜㻑 㻢㻞㻚㻠㻑 㻠㻟㻚㻥㻑 㻣㻟㻚㻡㻑 㻢㻥㻚㻥㻑 㻢㻜㻚㻜㻑 㻢㻢㻚㻠㻑 㻢㻣㻚㻡㻑 㻣㻟㻚㻢㻑 㻤㻝㻚㻤㻑 㻣㻜㻚㻠㻑 㻤㻠㻚㻠㻑 䚷ᗋ ⏝⋡ 䚷Ჷ ᪂⏕ඣ 㻯㻥㻙㻯䠄㻱㻾䠅 㻯㻥㻙㻮䠄㻴㻯㼁䠅 㻯㻙㻢䠄㻵㻯㼁䠅 㻺㻙㻞䠄㻯㻯㼁䠅 㻔ูᥖ㻕 㻝㻞㻚㻜 㻠㻚㻡 㻝㻤㻚㻞 㻞㻝㻚㻠 㻞㻞㻚㻡 㻝㻝㻚㻤 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 ྜ䚷ィ 㻱㻙㻌㻞 㻱㻙㻌㻟 㻱㻙㻌㻠 㻱㻙㻌㻡 㻱㻙㻌㻢 䚷Ჷ Ꮫ㝔㝃ᒓᮾ㝔 㻠㻚㻢 㻞㻚㻥 㻞㻚㻡 㻝㻚㻥 㻡㻚㻢 㻺㻙㻝㻢 㻝㻞㻚㻤 㻺㻙㻝㻡 㻝㻜㻚㻝 㻺㻙㻝㻠 㻝㻡㻚㻟 㻺㻙㻝㻟 㻞㻟㻚㻞 㻺㻙㻝㻞 㻝㻞㻚㻣 㻺㻙㻝㻝 㻞㻝㻚㻠 㻺㻙㻝㻜 㻠㻜㻚㻠 㻺㻙㻌㻥 㻞㻠㻚㻡 㻺㻙㻌㻤 㻝㻞㻚㻢 㻺㻙㻌㻣 㻝㻞㻚㻜 㻯㻥㻙㻭 㻝㻟㻚㻠 㻯㻤㻙㻭 㻝㻤㻚㻞 㻯㻤㻙㻮 㻤㻚㻣 ᑠィ 㻝㻡㻚㻞 㻺㻙㻌㻢 㻥㻚㻞 㻞㻚㻟 㻺㻙㻡䠄㻸㻰㻾䠅 㻝㻡㻚㻡 㻺㻙㻡䠄㻹㻲㻵㻯㼁䠅 㻟㻞㻚㻥 㻺㻙㻠㻝䠄㻺㻵㻯㼁䠅 㻟㻟㻚㻤 㻺㻙㻠㻝䠄㻳㻯㼁䠅 㻝㻜㻚㻤 ᑠඣ䡺䢙䡼䡬 ᑠィ 㻝㻝㻚㻞 㻝㻜㻚㻤 㻺㻙㻞䠄㻯㻯㼁䠅 㻞㻠㻚㻡 㻯㻥㻙㻮䠄㻴㻯㼁䠅 㻞㻚㻤 㻯㻥㻙㻯䠄㻱㻾䠅 㻟㻜㻚㻟 㻯㻙㻢䠄㻵㻯㼁䠅 㻤㻚㻟 ᩆᛴ䡺䢙䡼䡬 ᑠィ 㻢㻚㻣 ྜ䚷ィ 㻝㻟㻚㻞 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻢㻕 病院運営委員会に報告している統計資料 ―31― 㻝㻥㻚㻡 㻠㻡㻚㻝 㻡㻜㻚㻢 㻟㻢㻚㻤 㻠㻣㻚㻢 㻠㻢㻚㻥 㻠㻤㻚㻞 㻡㻝㻚㻞 㻠㻡㻚㻜 㻠㻞㻚㻝 㻝㻣㻚㻢 㻞㻤㻚㻞 㻟㻡㻚㻡 㻡㻝㻠㻚㻠 㻟㻜㻚㻤 㻝㻚㻣 㻠㻚㻤 㻝㻠㻚㻜 㻝㻝㻚㻝 㻠㻜㻚㻠 㻝㻜㻞㻚㻤 㻢㻚㻝 㻡㻚㻣 㻝㻝㻚㻤 㻝㻜㻚㻡 㻝㻝㻚㻣 㻠㻡㻚㻤 㻢㻢㻟㻚㻜 㻣㻚㻝 㻝㻟㻚㻡 㻤㻚㻡 㻝㻢㻚㻡 㻝㻥㻚㻟 㻞㻠 㻡㻟 㻡㻠 㻠㻟 㻡㻟 㻡㻡 㻡㻜 㻡㻠 㻡㻠 㻠㻡 㻞㻟 㻟㻞 㻠㻠 㻡㻤㻠 㻟㻤 㻢 㻥 㻝㻡 㻞㻟 㻡㻞 㻝㻠㻟 㻝㻜 㻝㻞 㻞㻟 㻝㻠 㻝㻡 㻣㻠 㻤㻜㻝 㻝㻜 㻝㻠 㻝㻞 㻞㻟 㻞㻜 㻺㻙㻝㻢 㻝㻜㻚㻜 㻟㻞㻚㻜 㻟㻠㻚㻝 㻟㻠㻚㻝 㻞㻢㻚㻝 㻝㻟㻢㻚㻟 㻞㻠 㻠㻠 㻡㻟 㻠㻡 㻟㻟 㻝㻥㻥 㻱㻙㻌㻢 ྜ䚷ィ 㻱㻙㻌㻞 㻱㻙㻌㻟 㻱㻙㻌㻠 㻱㻙㻌㻡 ୍᪥ᖹᆒ ᝈ⪅ᩘ ᐃᗋ 䚷Ჷ Ꮫ㝔㝃ᒓᮾ㝔 ᪂⏕ඣ 㻯㻥㻙㻯䠄㻱㻾䠅 㻯㻥㻙㻮䠄㻴㻯㼁䠅 㻯㻙㻢䠄㻵㻯㼁䠅 㻺㻙㻞䠄㻯㻯㼁䠅 㻔ูᥖ㻕 ྜ䚷ィ ᑠィ ᩆᛴ䡺䢙䡼䡬 㻯㻙㻢䠄㻵㻯㼁䠅 㻯㻥㻙㻯䠄㻱㻾䠅 㻯㻥㻙㻮䠄㻴㻯㼁䠅 㻺㻙㻞䠄㻯㻯㼁䠅 ᑠィ ᑠඣ䡺䢙䡼䡬 㻺㻙㻠㻝䠄㻳㻯㼁䠅 㻺㻙㻠㻝䠄㻺㻵㻯㼁䠅 㻺㻙㻡䠄㻹㻲㻵㻯㼁䠅 㻺㻙㻡䠄㻸㻰㻾䠅 㻺㻙㻌㻢 ᑠィ 㻯㻤㻙㻮 㻯㻤㻙㻭 㻯㻥㻙㻭 㻺㻙㻌㻣 㻺㻙㻌㻤 㻺㻙㻌㻥 㻺㻙㻝㻜 㻺㻙㻝㻝 㻺㻙㻝㻞 㻺㻙㻝㻟 㻺㻙㻝㻠 㻺㻙㻝㻡 ᐃᗋ ୍᪥ᖹᆒ ᝈ⪅ᩘ 䚷Ჷ Ꮫ㝔 㻝㻜᭶ 㻠㻝㻚㻣㻑 㻣㻞㻚㻣㻑 㻢㻠㻚㻠㻑 㻣㻡㻚㻤㻑 㻣㻥㻚㻜㻑 㻢㻤㻚㻡㻑 䚷ᗋ ⏝⋡ 㻣㻝㻚㻟㻑 㻥㻢㻚㻡㻑 㻣㻜㻚㻠㻑 㻣㻝㻚㻡㻑 㻥㻢㻚㻢㻑 㻤㻝㻚㻡㻑 㻤㻡㻚㻝㻑 㻥㻟㻚㻣㻑 㻤㻡㻚㻡㻑 㻤㻥㻚㻤㻑 㻤㻡㻚㻟㻑 㻥㻢㻚㻡㻑 㻥㻠㻚㻤㻑 㻤㻟㻚㻟㻑 㻥㻟㻚㻢㻑 㻣㻢㻚㻣㻑 㻤㻤㻚㻝㻑 㻤㻜㻚㻢㻑 㻤㻤㻚㻝㻑 㻤㻝㻚㻞㻑 㻞㻤㻚㻜㻑 㻡㻟㻚㻜㻑 㻥㻟㻚㻡㻑 㻠㻤㻚㻞㻑 㻣㻣㻚㻢㻑 㻣㻝㻚㻥㻑 㻢㻜㻚㻢㻑 㻠㻣㻚㻟㻑 㻡㻝㻚㻡㻑 㻣㻡㻚㻝㻑 㻣㻤㻚㻝㻑 㻢㻝㻚㻥㻑 㻤㻞㻚㻤㻑 䚷ᗋ ⏝⋡ 㻥㻚㻠 㻠㻚㻢 㻝㻠㻚㻢 㻞㻡㻚㻞 㻝㻥㻚㻞 㻝㻜㻚㻥 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻠㻚㻤 㻟㻚㻟 㻝㻚㻥 㻝㻚㻠 㻡㻚㻠 㻝㻝㻚㻠 㻥㻚㻡 㻝㻟㻚㻡 㻝㻣㻚㻣 㻝㻟㻚㻜 㻝㻥㻚㻡 㻟㻟㻚㻣 㻞㻤㻚㻠 㻝㻞㻚㻠 㻝㻜㻚㻠 㻝㻟㻚㻝 㻝㻢㻚㻠 㻣㻚㻡 㻝㻠㻚㻜 㻣㻚㻟 㻞㻚㻠 㻝㻢㻚㻥 㻠㻡㻚㻣 㻢㻜㻚㻡 㻝㻝㻚㻟 㻝㻝㻚㻠 㻝㻜㻚㻤 㻞㻠㻚㻠 㻞㻚㻞 㻠㻜㻚㻡 㻡㻚㻡 㻡㻚㻣 㻝㻞㻚㻠 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻝㻝㻚㻥 㻟㻢㻚㻥 㻠㻝㻚㻡 㻟㻤㻚㻞 㻞㻢㻚㻟 㻝㻡㻠㻚㻤 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻤㻚㻢 㻝㻡㻚㻜 㻥㻚㻡 㻝㻡㻚㻥 㻝㻣㻚㻣 㻝㻡㻚㻥 㻠㻠㻚㻢 㻡㻝㻚㻜 㻟㻤㻚㻜 㻠㻣㻚㻠 㻠㻤㻚㻣 㻠㻣㻚㻠 㻡㻝㻚㻣 㻠㻢㻚㻣 㻠㻞㻚㻤 㻝㻥㻚㻡 㻞㻣㻚㻢 㻟㻞㻚㻟 㻡㻝㻟㻚㻤 㻟㻠㻚㻟 㻝㻚㻡 㻣㻚㻠 㻝㻡㻚㻜 㻝㻠㻚㻞 㻟㻣㻚㻥 㻝㻝㻜㻚㻟 㻣㻚㻡 㻢㻚㻢 㻝㻝㻚㻟 㻝㻝㻚㻞 㻝㻝㻚㻟 㻠㻣㻚㻤 㻢㻣㻞㻚㻜 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻝㻝᭶ 㻠㻥㻚㻢㻑 㻤㻟㻚㻤㻑 㻣㻤㻚㻟㻑 㻤㻠㻚㻥㻑 㻣㻥㻚㻤㻑 㻣㻣㻚㻤㻑 䚷ᗋ ⏝⋡ 㻤㻡㻚㻣㻑 㻝㻜㻢㻚㻥㻑 㻣㻥㻚㻠㻑 㻢㻥㻚㻝㻑 㻤㻤㻚㻡㻑 㻢㻢㻚㻟㻑 㻤㻠㻚㻞㻑 㻥㻠㻚㻠㻑 㻤㻤㻚㻠㻑 㻤㻥㻚㻡㻑 㻤㻤㻚㻢㻑 㻥㻠㻚㻥㻑 㻥㻡㻚㻣㻑 㻤㻢㻚㻠㻑 㻥㻡㻚㻞㻑 㻤㻠㻚㻥㻑 㻤㻢㻚㻝㻑 㻣㻟㻚㻡㻑 㻤㻤㻚㻜㻑 㻥㻜㻚㻠㻑 㻞㻡㻚㻢㻑 㻤㻝㻚㻥㻑 㻥㻥㻚㻤㻑 㻢㻝㻚㻣㻑 㻣㻞㻚㻥㻑 㻣㻣㻚㻞㻑 㻣㻡㻚㻜㻑 㻡㻠㻚㻣㻑 㻠㻥㻚㻝㻑 㻣㻥㻚㻤㻑 㻣㻡㻚㻟㻑 㻢㻠㻚㻢㻑 㻤㻟㻚㻥㻑 䚷ᗋ ⏝⋡ 㻝㻞㻚㻟 㻡㻚㻝 㻝㻡㻚㻡 㻞㻝㻚㻣 㻞㻤㻚㻤 㻝㻝㻚㻥 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻠㻚㻥 㻞㻚㻤 㻞㻚㻜 㻝㻚㻡 㻡㻚㻣 㻥㻚㻣 㻝㻝㻚㻝 㻝㻞㻚㻝 㻝㻣㻚㻞 㻝㻟㻚㻥 㻞㻢㻚㻞 㻠㻠㻚㻜 㻞㻡㻚㻜 㻝㻞㻚㻤 㻝㻜㻚㻞 㻝㻥㻚㻤 㻝㻤㻚㻝 㻢㻚㻣 㻝㻠㻚㻢 㻤㻚㻤 㻞㻚㻟 㻝㻥㻚㻜 㻟㻣㻚㻟 㻠㻤㻚㻝 㻝㻝㻚㻥 㻝㻞㻚㻣 㻝㻜㻚㻣 㻝㻢㻚㻢 㻞㻚㻠 㻞㻠㻚㻠 㻢㻚㻤 㻢㻚㻟 㻝㻟㻚㻝 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻞㻕 㻥㻚㻠 㻟㻟㻚㻣 㻟㻡㻚㻣 㻟㻤㻚㻝 㻞㻣㻚㻢 㻝㻠㻠㻚㻡 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻤㻚㻡 㻝㻟㻚㻟 㻝㻞㻚㻠 㻞㻜㻚㻟 㻝㻣㻚㻡 㻞㻝㻚㻟 㻠㻣㻚㻝 㻡㻞㻚㻥 㻟㻥㻚㻡 㻡㻜㻚㻠 㻡㻞㻚㻝 㻠㻥㻚㻟 㻡㻟㻚㻜 㻠㻥㻚㻤 㻠㻡㻚㻞 㻞㻜㻚㻠 㻞㻥㻚㻟 㻠㻞㻚㻠 㻡㻡㻞㻚㻣 㻟㻜㻚㻥 㻝㻚㻥 㻟㻚㻥 㻝㻞㻚㻡 㻝㻠㻚㻞 㻠㻝㻚㻢 㻝㻜㻡㻚㻝 㻢㻚㻥 㻥㻚㻝 㻝㻡㻚㻣 㻝㻜㻚㻜 㻥㻚㻡 㻡㻝㻚㻞 㻣㻜㻤㻚㻥 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻟㻥㻚㻝㻑 㻣㻢㻚㻡㻑 㻢㻣㻚㻠㻑 㻤㻠㻚㻣㻑 㻤㻟㻚㻣㻑 㻣㻞㻚㻢㻑 䚷ᗋ ⏝⋡ 㻤㻡㻚㻞㻑 㻥㻡㻚㻞㻑 㻝㻜㻟㻚㻜㻑 㻤㻤㻚㻠㻑 㻤㻣㻚㻣㻑 㻤㻤㻚㻣㻑 㻤㻤㻚㻥㻑 㻥㻤㻚㻜㻑 㻥㻝㻚㻥㻑 㻥㻡㻚㻝㻑 㻥㻠㻚㻣㻑 㻥㻤㻚㻢㻑 㻥㻤㻚㻝㻑 㻥㻞㻚㻞㻑 㻝㻜㻜㻚㻠㻑 㻤㻤㻚㻤㻑 㻥㻝㻚㻡㻑 㻥㻢㻚㻟㻑 㻥㻠㻚㻢㻑 㻤㻝㻚㻠㻑 㻟㻝㻚㻞㻑 㻠㻟㻚㻠㻑 㻤㻟㻚㻠㻑 㻢㻝㻚㻣㻑 㻤㻜㻚㻝㻑 㻣㻟㻚㻡㻑 㻢㻥㻚㻜㻑 㻣㻡㻚㻤㻑 㻢㻤㻚㻞㻑 㻣㻝㻚㻞㻑 㻢㻟㻚㻣㻑 㻢㻥㻚㻞㻑 㻤㻤㻚㻡㻑 䚷ᗋ ⏝⋡ 㻝㻞᭶ 㻤㻚㻤 㻡㻚㻣 㻝㻞㻚㻥 㻞㻝㻚㻡 㻝㻥㻚㻠 㻝㻝㻚㻠 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻟㻚㻤 㻞㻚㻣 㻞㻚㻢 㻞㻚㻜 㻡㻚㻠 㻝㻠㻚㻝 㻤㻚㻤 㻝㻠㻚㻠 㻝㻣㻚㻢 㻝㻟㻚㻠 㻞㻢㻚㻝 㻠㻟㻚㻝 㻞㻣㻚㻟 㻝㻞㻚㻡 㻝㻜㻚㻤 㻝㻜㻚㻣 㻝㻣㻚㻢 㻝㻜㻚㻟 㻝㻠㻚㻥 㻤㻚㻠 㻞㻚㻡 㻤㻚㻡 㻠㻟㻚㻜 㻞㻥㻚㻢 㻣㻚㻣 㻥㻚㻢 㻝㻜㻚㻠 㻞㻡㻚㻟 㻟㻚㻜 㻞㻢㻚㻟 㻡㻚㻟 㻢㻚㻟 㻝㻞㻚㻣 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻟㻕 㻝㻠㻚㻤 㻟㻞㻚㻜 㻠㻠㻚㻢 㻟㻡㻚㻟 㻞㻣㻚㻟 㻝㻡㻠㻚㻜 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻥㻚㻣 㻝㻠㻚㻠 㻝㻝㻚㻞 㻝㻥㻚㻣 㻝㻤㻚㻞 㻞㻜㻚㻞 㻠㻢㻚㻟 㻠㻣㻚㻤 㻟㻢㻚㻤 㻠㻡㻚㻝 㻠㻢㻚㻣 㻠㻡㻚㻡 㻠㻤㻚㻠 㻠㻢㻚㻜 㻠㻝㻚㻢 㻞㻜㻚㻜 㻞㻥㻚㻣 㻟㻞㻚㻠 㻡㻜㻢㻚㻡 㻟㻞㻚㻣 㻝㻚㻣 㻢㻚㻥 㻝㻝㻚㻠 㻥㻚㻢 㻟㻟㻚㻠 㻥㻡㻚㻣 㻤㻚㻡 㻤㻚㻝 㻝㻠㻚㻥 㻝㻝㻚㻝 㻝㻟㻚㻡 㻡㻡㻚㻥 㻢㻡㻤㻚㻝 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻢㻝㻚㻣㻑 㻣㻞㻚㻣㻑 㻤㻠㻚㻞㻑 㻣㻤㻚㻡㻑 㻤㻞㻚㻢㻑 㻣㻣㻚㻠㻑 䚷ᗋ ⏝⋡ 㻥㻣㻚㻝㻑 㻝㻜㻟㻚㻜㻑 㻥㻟㻚㻡㻑 㻤㻡㻚㻢㻑 㻥㻝㻚㻜㻑 㻤㻠㻚㻜㻑 㻤㻣㻚㻠㻑 㻤㻤㻚㻡㻑 㻤㻡㻚㻢㻑 㻤㻡㻚㻝㻑 㻤㻠㻚㻥㻑 㻥㻝㻚㻜㻑 㻤㻥㻚㻡㻑 㻤㻡㻚㻞㻑 㻥㻞㻚㻡㻑 㻤㻣㻚㻝㻑 㻥㻞㻚㻣㻑 㻣㻟㻚㻢㻑 㻤㻢㻚㻣㻑 㻤㻢㻚㻞㻑 㻞㻤㻚㻡㻑 㻣㻢㻚㻣㻑 㻣㻡㻚㻣㻑 㻠㻝㻚㻥㻑 㻢㻠㻚㻞㻑 㻢㻣㻚㻜㻑 㻤㻠㻚㻡㻑 㻢㻣㻚㻞㻑 㻢㻠㻚㻣㻑 㻣㻥㻚㻜㻑 㻤㻥㻚㻥㻑 㻣㻡㻚㻢㻑 㻤㻞㻚㻞㻑 䚷ᗋ ⏝⋡ 㻝᭶ 病棟別入院状況表 㻝㻜㻚㻟 㻠㻚㻥 㻞㻜㻚㻠 㻞㻞㻚㻣 㻞㻠㻚㻣 㻝㻞㻚㻡 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻡㻚㻟 㻞㻚㻥 㻞㻚㻝 㻞㻚㻜 㻡㻚㻟 㻝㻡㻚㻝 㻝㻢㻚㻢 㻝㻟㻚㻡 㻝㻡㻚㻞 㻝㻝㻚㻥 㻞㻜㻚㻠 㻠㻝㻚㻞 㻞㻟㻚㻞 㻝㻟㻚㻝 㻝㻜㻚㻞 㻝㻟㻚㻠 㻝㻡㻚㻥 㻢㻚㻤 㻝㻠㻚㻢 㻤㻚㻤 㻞㻚㻞 㻟㻡㻚㻡 㻟㻜㻚㻢 㻞㻡㻚㻟 㻝㻜㻚㻜 㻝㻝㻚㻜 㻝㻞㻚㻣 㻝㻞㻚㻥 㻟㻚㻞 㻝㻤㻚㻣 㻢㻚㻠 㻢㻚㻢 㻝㻞㻚㻣 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻠㻕 㻝㻤㻚㻞 㻟㻥㻚㻠 㻠㻡㻚㻝 㻠㻜㻚㻟 㻞㻣㻚㻝 㻝㻣㻜㻚㻝 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻥㻚㻣 㻝㻠㻚㻤 㻝㻝㻚㻠 㻞㻜㻚㻢 㻝㻤㻚㻠 㻝㻤㻚㻤 㻡㻟㻚㻜 㻡㻞㻚㻢 㻠㻝㻚㻜 㻠㻥㻚㻡 㻠㻥㻚㻟 㻠㻤㻚㻝 㻡㻝㻚㻠 㻡㻝㻚㻞 㻠㻞㻚㻟 㻞㻜㻚㻜 㻞㻤㻚㻠 㻟㻤㻚㻠 㻡㻠㻠㻚㻜 㻟㻡㻚㻤 㻝㻚㻤 㻣㻚㻝 㻝㻡㻚㻜 㻝㻟㻚㻝 㻟㻟㻚㻠 㻝㻜㻢㻚㻞 㻤㻚㻞 㻣㻚㻥 㻝㻢㻚㻜 㻝㻝㻚㻝 㻝㻟㻚㻝 㻡㻢㻚㻞 㻣㻜㻢㻚㻠 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻞᭶ 㻣㻡㻚㻣㻑 㻤㻥㻚㻡㻑 㻤㻡㻚㻞㻑 㻤㻥㻚㻡㻑 㻤㻞㻚㻝㻑 㻤㻡㻚㻡㻑 䚷ᗋ ⏝⋡ 㻥㻢㻚㻤㻑 㻝㻜㻡㻚㻠㻑 㻥㻡㻚㻞㻑 㻤㻥㻚㻤㻑 㻥㻞㻚㻝㻑 㻣㻤㻚㻟㻑 㻝㻜㻜㻚㻝㻑 㻥㻣㻚㻠㻑 㻥㻡㻚㻠㻑 㻥㻟㻚㻟㻑 㻤㻥㻚㻣㻑 㻥㻢㻚㻟㻑 㻥㻡㻚㻝㻑 㻥㻠㻚㻤㻑 㻥㻠㻚㻜㻑 㻤㻣㻚㻜㻑 㻤㻤㻚㻣㻑 㻤㻣㻚㻟㻑 㻥㻟㻚㻞㻑 㻥㻠㻚㻝㻑 㻟㻜㻚㻠㻑 㻣㻥㻚㻜㻑 㻝㻜㻜㻚㻞㻑 㻡㻢㻚㻤㻑 㻢㻠㻚㻞㻑 㻣㻠㻚㻟㻑 㻤㻝㻚㻤㻑 㻢㻡㻚㻤㻑 㻢㻥㻚㻠㻑 㻣㻥㻚㻝㻑 㻤㻣㻚㻝㻑 㻣㻡㻚㻥㻑 㻤㻤㻚㻞㻑 䚷ᗋ ⏝⋡ 㻝㻠㻚㻥 㻡㻚㻞 㻝㻢㻚㻟 㻞㻜㻚㻢 㻞㻡㻚㻢 㻝㻞㻚㻜 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 㻠㻚㻥 㻞㻚㻣 㻞㻚㻜 㻞㻚㻝 㻡㻚㻢 㻝㻜㻚㻠 㻝㻢㻚㻡 㻝㻡㻚㻣 㻝㻤㻚㻡 㻝㻞㻚㻣 㻝㻣㻚㻤 㻞㻥㻚㻣 㻝㻤㻚㻡 㻝㻜㻚㻡 㻝㻝㻚㻥 㻞㻜㻚㻜 㻝㻟㻚㻢 㻣㻚㻠 㻝㻠㻚㻟 㻝㻜㻚㻜 㻞㻚㻢 㻞㻠㻚㻢 㻠㻞㻚㻜 㻡㻜㻚㻠 㻥㻚㻤 㻝㻞㻚㻡 㻝㻝㻚㻡 㻝㻤㻚㻠 㻟㻚㻟 㻞㻜㻚㻝 㻡㻚㻞 㻢㻚㻠 㻝㻞㻚㻤 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻡㻕 㻝㻤㻚㻝 㻞㻤㻚㻟 㻠㻞㻚㻤 㻟㻢㻚㻞 㻞㻢㻚㻟 㻝㻡㻝㻚㻣 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻝㻜㻚㻞 㻝㻡㻚㻜 㻥㻚㻤 㻝㻥㻚㻥 㻝㻣㻚㻢 㻝㻥㻚㻤 㻡㻝㻚㻢 㻡㻞㻚㻝 㻟㻥㻚㻞 㻠㻥㻚㻠 㻡㻞㻚㻡 㻠㻣㻚㻝 㻡㻝㻚㻝 㻠㻥㻚㻢 㻠㻞㻚㻥 㻝㻥㻚㻜 㻞㻢㻚㻣 㻟㻢㻚㻟 㻡㻟㻣㻚㻟 㻟㻟㻚㻥 㻝㻚㻥 㻣㻚㻝 㻝㻟㻚㻣 㻝㻜㻚㻢 㻟㻥㻚㻤 㻝㻜㻣㻚㻜 㻤㻚㻠 㻢㻚㻡 㻝㻡㻚㻝 㻝㻝㻚㻞 㻝㻞㻚㻥 㻡㻠㻚㻜 㻢㻥㻤㻚㻟 ୍᪥ᖹᆒ ᝈ⪅ᩘ 㻣㻡㻚㻟㻑 㻢㻠㻚㻟㻑 㻤㻜㻚㻤㻑 㻤㻜㻚㻡㻑 㻣㻥㻚㻢㻑 㻣㻢㻚㻞㻑 䚷ᗋ ⏝⋡ 㻝㻜㻝㻚㻢㻑 㻝㻜㻣㻚㻝㻑 㻤㻞㻚㻜㻑 㻤㻢㻚㻡㻑 㻤㻤㻚㻞㻑 㻤㻞㻚㻠㻑 㻥㻣㻚㻠㻑 㻥㻢㻚㻡㻑 㻥㻝㻚㻝㻑 㻥㻟㻚㻝㻑 㻥㻡㻚㻠㻑 㻥㻠㻚㻞㻑 㻥㻠㻚㻢㻑 㻥㻝㻚㻥㻑 㻥㻡㻚㻟㻑 㻤㻞㻚㻢㻑 㻤㻟㻚㻢㻑 㻤㻞㻚㻠㻑 㻥㻞㻚㻜㻑 㻤㻥㻚㻝㻑 㻟㻝㻚㻞㻑 㻣㻤㻚㻡㻑 㻥㻝㻚㻠㻑 㻠㻢㻚㻟㻑 㻣㻢㻚㻢㻑 㻣㻠㻚㻤㻑 㻤㻟㻚㻥㻑 㻡㻟㻚㻤㻑 㻢㻡㻚㻢㻑 㻤㻜㻚㻞㻑 㻤㻡㻚㻤㻑 㻣㻟㻚㻜㻑 㻤㻣㻚㻞㻑 䚷ᗋ ⏝⋡ 㻟᭶ 䚷Ჷ 㻝㻜㻚㻤 㻟㻚㻢 㻝㻤㻚㻡 㻞㻝㻚㻞 㻝㻥㻚㻞 㻝㻜㻚㻥 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻝㻕 ྜ䚷ィ 㻱㻙㻌㻞 㻱㻙㻌㻟 㻱㻙㻌㻠 㻱㻙㻌㻡 㻱㻙㻌㻢 䚷Ჷ Ꮫ㝔㝃ᒓᮾ㝔 㻠㻚㻠 㻺㻙㻞䠄㻯㻯㼁䠅 㻞㻚㻣 㻯㻙㻢䠄㻵㻯㼁䠅 㻝㻚㻣 㻯㻥㻙㻮䠄㻴㻯㼁䠅 㻝㻚㻥 㻯㻥㻙㻯䠄㻱㻾䠅 ᪂⏕ඣ 㻡㻚㻠 㻔ูᥖ㻕 㻺㻙㻝㻢 㻝㻞㻚㻞 㻺㻙㻝㻡 㻝㻡㻚㻤 㻺㻙㻝㻠 㻝㻞㻚㻜 㻺㻙㻝㻟 㻝㻠㻚㻥 㻺㻙㻝㻞 㻝㻡㻚㻞 㻺㻙㻝㻝 㻝㻥㻚㻢 㻺㻙㻝㻜 㻠㻝㻚㻢 㻺㻙㻌㻥 㻞㻤㻚㻤 㻺㻙㻌㻤 㻝㻞㻚㻞 㻺㻙㻌㻣 㻝㻝㻚㻤 㻯㻥㻙㻭 㻝㻝㻚㻞 㻯㻤㻙㻭 㻝㻠㻚㻢 㻯㻤㻙㻮 㻣㻚㻠 ᑠィ 㻝㻠㻚㻣 㻺㻙㻌㻢 㻝㻜㻚㻝 㻞㻚㻡 㻺㻙㻡䠄㻸㻰㻾䠅 㻞㻣㻚㻜 㻺㻙㻡䠄㻹㻲㻵㻯㼁䠅 㻡㻜㻚㻜 㻺㻙㻠㻝䠄㻺㻵㻯㼁䠅 㻟㻝㻚㻜 㻺㻙㻠㻝䠄㻳㻯㼁䠅 㻥㻚㻠 ᑠඣ䡺䢙䡼䡬 ᑠィ 㻝㻝㻚㻤 㻝㻝㻚㻠 㻺㻙㻞䠄㻯㻯㼁䠅 㻝㻞㻚㻟 㻯㻥㻙㻮䠄㻴㻯㼁䠅 㻞㻚㻥 㻯㻥㻙㻯䠄㻱㻾䠅 㻝㻥㻚㻟 㻯㻙㻢䠄㻵㻯㼁䠅 㻤㻚㻢 ᩆᛴ䡺䢙䡼䡬 ᑠィ 㻢㻚㻡 ྜ䚷ィ 㻝㻟㻚㻜 ᖹᆒᅾ㝔 ᪥ᩘ㻔䈜㻢㻕 病院運営委員会に報告している統計資料 ―32― デ⒪⛉ู䞉ศ㢮ู䚷㡰⾲䠄㼀㻻㻼䠑䠅 ⛉ ྾ჾ 䜰䝺䝹䜼䞊 ෆ⛉ 㡰 㻵㻯㻰䡬㻝㻜 ྡ ⫵⒴ 㻟㻡㻠 㻟㻤㻚㻠㻑 㻞㻢㻚㻢 㻞 㻶㻝㻤 ⫵⅖䚸ヲ⣽᫂ 㻢㻣 㻣㻚㻟㻑 㻝㻠㻚㻟 㻟 㻳㻠㻣 ╧╀↓྾ೃ⩌ 㻠㻟 㻠㻚㻣㻑 㻞㻚㻜 㻟 㻶㻠㻡 Ẽ⟶ᨭႍᜥ 㻠㻟 㻠㻚㻣㻑 㻝㻜㻚㻜 㻡 㻶㻥㻟 Ẽ⬚ 㻟㻥 㻠㻚㻞㻑 㻝㻤㻚㻜 㻟㻣㻡 㻠㻜㻚㻣㻑 㻙 㻥㻞㻝 㻝㻜㻜㻑 㻞㻜㻚㻞 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㡰 㻵㻯㻰䡬㻝㻜 ྡ 㻝 㻹㻜㻢 㛵⠇䝸䜴䝬䝏 㻢㻞 㻝㻢㻚㻥㻑 㻝㻝㻚㻟 㻞 㻹㻟㻝 ቯṚᛶ⾑⟶㞀ᐖ 㻠㻥 㻝㻟㻚㻠㻑 㻟㻝㻚㻤 䠝䠪䠟䠝㛵㐃⾑⟶⅖ 㻝㻤 䜴䜵䝀䝘䞊⫗ⱆ⭘ 㻝㻝 ഃ㢌ື⬦⅖ 㻝㻜 䛭䛾 㻝㻜 㻟 㻹㻟㻞 ㌟䜶䝸䝔䝬䝖䞊䝕䝇 㻟㻢 㻥㻚㻤㻑 㻝㻟㻚㻝 㻠 㻹㻟㻜 ⤖⠇ᛶከⓎື⬦⅖䠄㢧ᚤ㙾ⓗከⓎ⾑⟶⅖䠅 㻞㻥 㻣㻚㻥㻑 㻝㻣㻚㻤 㻡 㻹㻟㻟 ⓶䠄ከⓎᛶ䠅➽⅖ 㻞㻜 㻡㻚㻡㻑 㻡㻜㻚㻟 㻝㻣㻜 㻠㻢㻚㻠㻑 㻙 㻟㻢㻢 㻝㻜㻜㻑 㻞㻜㻚㻡 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 䛭䛾 ⥲䚷䚷ィ ⢾ᒀ ௦ㅰෆศἪ ෆ⛉ ᖹᆒ ᅾ㝔᪥ᩘ 㻯㻟㻠 䝸䜴䝬䝏 ⭺ཎෆ⛉ ⛉ ẚ⋡ 㻝 䛭䛾 ⥲䚷䚷ィ ⛉ ィ 㡰 㻵㻯㻰䡬㻝㻜 ྡ 㻝 㻱㻝㻝 䜲䞁䝇䝸䞁㠀౫Ꮡᛶ⢾ᒀ 㻟㻟㻞 㻣㻤㻚㻟㻑 㻝㻡㻚㻣 㻞 㻱㻝㻜 䜲䞁䝇䝸䞁౫Ꮡᛶ⢾ᒀ 㻞㻢 㻢㻚㻝㻑 㻝㻟㻚㻝 㻟 㻱㻞㻢 ཎⓎᛶ䜰䝹䝗䝇䝔䝻䞁 㻝㻟 㻟㻚㻝㻑 㻢㻚㻣 㻠 㻱㻞㻣 䛭䛾䛾⭈㞀ᐖ 㻡 㻝㻚㻞㻑 㻝㻣㻚㻞 㻠 㻱㻤㻣 ప䝘䝖䝸䜴䝮䚸ప䜹䝸䜴䝮⾑ 㻡 㻝㻚㻞㻑 㻝㻜㻚㻜 㻠 㻵㻝㻜 㧗⾑ᅽ 㻡 㻝㻚㻞㻑 㻡㻚㻠 㻟㻤 㻥㻚㻜㻑 㻙 㻠㻞㻠 㻝㻜㻜㻑 㻝㻡㻚㻜 䛭䛾 ⥲䚷䚷ィ 䈜ධ㝔デ⒪㘓䝃䝬䝸䞊䛾ྡ䜢ᇶ䛻䚸䛂ཬ䜃㛵㐃ಖ㝤ၥ㢟䛾ᅜ㝿⤫ィศ㢮䚷➨䠍䠌ᅇಟṇ∧䛃䠄䠥䠟䠠䠉䠍䠌䠅䜢 ⏝䛔䛶ศ㢮䞉㞟ィ ―33― 病院運営委員会に報告している統計資料 ２）診療科別・疾病分類別 順位表 病院運営委員会に報告している統計資料 デ⒪⛉ู䞉ศ㢮ู䚷㡰⾲䠄㼀㻻㻼䠑䠅 ⛉ ⭈⮚ෆ⛉ 㡰 㻵㻯㻰䡬㻝㻜 ྡ ៏ᛶ⭈ᝈ 㻝㻡㻝 㻟㻣㻚㻣㻑 㻞㻠㻚㻤 㻞 㻵㻡㻜 ᚰ 㻞㻠 㻢㻚㻜㻑 㻝㻥㻚㻤 㻟 㻺㻜㻟 ៏ᛶ⭈⅖䚸៏ᛶ⣒⌫య⭈⅖ 㻞㻟 㻡㻚㻣㻑 㻝㻟㻚㻢 㻠 㼀㻤㻞 䜾䝷䝣䝖㛢ሰ䞉䝅䝱䞁䝖䝖䝷䝤䝹 㻝㻥 㻠㻚㻣㻑 㻝㻤㻚㻤 㻡 㻺㻜㻠 䝛䝣䝻䞊䝊ೃ⩌ 㻝㻡 㻟㻚㻣㻑 㻠㻞㻚㻤 㻝㻢㻥 㻠㻞㻚㻝㻑 㻙 㻠㻜㻝 㻝㻜㻜㻑 㻞㻞㻚㻢 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㡰 㻵㻯㻰䡬㻝㻜 ྡ 㻝 㻷㻢㻟 ⭠䝫䝸䞊䝥 㻠㻡㻣 㻝㻣㻚㻟㻑 㻞㻚㻡 㻞 㻯㻞㻞 ⫢䛚䜘䜃⫢ෆ⫹⟶䛾ᝏᛶ᪂⏕≀ 㻞㻞㻥 㻤㻚㻣㻑 㻝㻢㻚㻝 㻞㻝㻤 㻯㻞㻞㻝䚷⫢ෆ⫹⟶⒴ 㻝㻝 㻟 㻷㻤㻜 ⥲⫹⟶⤖▼䚸⫹ᄞ⤖▼ 㻝㻣㻞 㻢㻚㻡㻑 㻝㻟㻚㻜 㻠 㻯㻝㻢 ⫶⒴ 㻝㻣㻜 㻢㻚㻠㻑 㻝㻤㻚㻜 㻡 㻯㻞㻡 ⮅⒴ 㻝㻜㻜 㻟㻚㻤㻑 㻞㻜㻚㻞 㻝㻣㻠㻠 㻞㻢㻠㻟 㻢㻢㻚㻜㻑 㻝㻜㻜㻑 㻙 㻝㻞㻚㻤 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㻥㻢 㻞㻟㻚㻡㻑 㻟㻜㻚㻝 㻣㻡 㻝㻤㻚㻠㻑 㻡㻞㻚㻝 䛭䛾 ⥲䚷䚷ィ ⛉ ᖹᆒ ᅾ㝔᪥ᩘ 㻺㻝㻤 㻯㻞㻞㻜䚷⫢⣽⬊⒴ ᾘჾෆ⛉ ẚ⋡ 㻝 䛭䛾 ⥲䚷䚷ィ ⛉ ィ 㡰 㻵㻯㻰䡬㻝㻜 㻝 㻞 㻯㻤㻟 㻯㻥㻞 ⾑ᾮෆ⛉ ྡ 䜃䜎䜣ᛶ㠀䝩䝆䜻䞁䝸䞁䝟⭘ 䜃䜎䜣ᛶ⣽⬊ᆺ䠄䠠䠨䠞䠟䠨䠅 㻣㻞 䛭䛾 㻞㻠 㦵㧊ᛶⓑ⾑ ᛴᛶ㦵㧊ᛶⓑ⾑䠄㻹㻝䞉㻹㻞㻕 㻢㻡 䛭䛾 㻝㻜 㻟 㻯㻥㻜 ከⓎᛶ㦵㧊⭘ 㻡㻟 㻝㻟㻚㻜㻑 㻟㻢㻚㻤 㻠 㻯㻤㻠 ᮎᲈᛶ䛚䜘䜃䠰⣽⬊䝸䞁䝟⭘ 㻞㻥 㻣㻚㻝㻑 㻟㻟㻚㻢 㻡 㻯㻤㻡 㠀䝩䝆䜻䞁䝸䞁䝟⭘䛭䛾䛾ᆺ 㻞㻠 㻡㻚㻥㻑 㻟㻡㻚㻤 㻝㻟㻝 㻟㻞㻚㻝㻑 䠉 㻠㻜㻤 㻝㻜㻜㻑 㻟㻡㻚㻠 䛭䛾 ⥲䚷䚷ィ 䈜ධ㝔デ⒪㘓䝃䝬䝸䞊䛾ྡ䜢ᇶ䛻䚸䛂ཬ䜃㛵㐃ಖ㝤ၥ㢟䛾ᅜ㝿⤫ィศ㢮䚷➨䠍䠌ᅇಟṇ∧䛃䠄䠥䠟䠠䠉䠍䠌䠅䜢 ⏝䛔䛶ศ㢮䞉㞟ィ ―34― ⛉ ⭘⒆ෆ⛉ ྡ 㡰 㻵㻯㻰䡬㻝㻜 ⫵⒴ 㻠㻞 㻝㻤㻚㻢㻑 㻝㻤㻚㻥 㻞 㻯㻝㻢 ⫶⒴ 㻟㻤 㻝㻢㻚㻤㻑 㻝㻞㻚㻞 㻟 㻯㻝㻡 㣗㐨⒴ 㻟㻠 㻝㻡㻚㻜㻑 㻝㻠㻚㻠 㻠 㻯㻝㻤 ⭠⒴ 㻟㻜 㻝㻟㻚㻟㻑 㻝㻜㻚㻝 㻡 㻯㻝㻥 ┤⭠㻿≧⤖⭠⛣⾜㒊⒴ 㻤 㻟㻚㻡㻑 㻝㻡㻚㻟 㻡 㻯㻡㻢 ༸ᕢ⒴ 㻤 㻟㻚㻡㻑 㻣㻚㻢 㻡 㻯㻤㻜 ཎⓎ᫂⒴ 㡰 㻵㻯㻰䡬㻝㻜 ྡ 㻤 㻟㻚㻡㻑 㻞㻢㻚㻡 㻡㻤 㻞㻡㻚㻣㻑 㻙 㻞㻞㻢 㻝㻜㻜㻑 㻝㻠㻚㻠 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㻝 㻵㻞㻜 ⊃ᚰ 㻟㻥㻠 㻝㻥㻚㻡㻑 㻠㻚㻣 㻞 㻵㻡㻜 ᚰ 㻟㻝㻠 㻝㻡㻚㻢㻑 㻞㻠㻚㻟 㻟 㻵㻞㻡 ៏ᛶ⾑ᛶᚰᝈ 㻞㻟㻝 㻝㻝㻚㻡㻑 㻡㻚㻜 ᚠ⎔ჾෆ⛉ 㻝㻢㻞 ↓ೃᛶᚰ➽⾑ 㻟㻥 ⾑ᛶᚰᝈ 㻝㻢 ෙື⬦◳ 㻝㻜 ⾑ᛶᚰ➽ 㻠 㻠 㻵㻠㻤 ᚰᡣ⣽ື䚸ᚰᡣ⢒ື 㻝㻢㻞 㻤㻚㻜㻑 㻤㻚㻢 㻡 㻵㻞㻝 ᛴᛶᚰ➽᱾ሰ 㻝㻝㻤 㻡㻚㻥㻑 㻝㻣㻚㻞 㻣㻥㻣 㻟㻥㻚㻡㻑 㻙 㻞㻜㻝㻢 㻝㻜㻜㻑 㻝㻝㻚㻥 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㻞㻣㻝 㻟㻟㻚㻝㻑 㻝㻥㻚㻥 䛭䛾 ⥲䚷䚷ィ ྡ 㡰 㻵㻯㻰䡬㻝㻜 㻝 ⚄⤒ෆ⛉ ᖹᆒ ᅾ㝔᪥ᩘ 㻯㻟㻠 㝞ᪧᛶᚰ➽᱾ሰ ⛉ ẚ⋡ 㻝 䛭䛾 ⥲䚷䚷ィ ⛉ ィ 㻵㻢㻟 ⬻᱾ሰ 㻞 㻳㻞㻜 䝟䞊䜻䞁䝋䞁 㻢㻟 㻣㻚㻣㻑 㻞㻜㻚㻡 㻟 㻳㻠㻜 䛶䜣䛛䜣 㻡㻠 㻢㻚㻢㻑 㻝㻞㻚㻢 㻠 㻳㻠㻡 ୍㐣ᛶ⬻⾑Ⓨస 㻟㻞 㻟㻚㻥㻑 㻥㻚㻠 㻡 㻳㻟㻡 ከⓎ◳ 㻞㻜 㻞㻚㻠㻑 㻤㻚㻡 㻟㻣㻥 㻠㻢㻚㻟㻑 㻙 㻤㻝㻥 㻝㻜㻜㻑 㻝㻤㻚㻝 䛭䛾 ⥲䚷䚷ィ 䈜ධ㝔デ⒪㘓䝃䝬䝸䞊䛾ྡ䜢ᇶ䛻䚸䛂ཬ䜃㛵㐃ಖ㝤ၥ㢟䛾ᅜ㝿⤫ィศ㢮䚷➨䠍䠌ᅇಟṇ∧䛃䠄䠥䠟䠠䠉䠍䠌䠅䜢 ⏝䛔䛶ศ㢮䞉㞟ィ ―35― 病院運営委員会に報告している統計資料 デ⒪⛉ู䞉ศ㢮ู䚷㡰⾲䠄㼀㻻㻼䠑䠅 病院運営委員会に報告している統計資料 デ⒪⛉ู䞉ศ㢮ู䚷㡰⾲䠄㼀㻻㻼䠑䠅 ⛉ 㡰 㻵㻯㻰䡬㻝㻜 㻝 ᚰ⮚⾑⟶ እ⛉ 㻵㻣㻝 ྡ ື⬦⒗䚸ື⬦ゎ㞳 ⭡㒊ື⬦⒗ 㻠㻠 ື⬦ゎ㞳 㻞㻣 ⬚㒊ື⬦⒗ 㻝㻞 ⬚⭡㒊ື⬦⒗ ᾘჾ ୍⯡እ⛉ 㻤㻠 㻟㻢㻚㻤㻑 㻝㻢㻚㻥 㻵㻟㻡 ື⬦ᘚ㞀ᐖ䠄⊃✽䚸㛢㙐䚸ᘚ㍯ᣑᙇ䠅 㻟㻥 㻝㻣㻚㻝㻑 㻞㻡㻚㻞 㻟 㻵㻟㻠 ൔᖗᘚ㛢㙐 㻞㻞 㻥㻚㻢㻑 㻞㻠㻚㻝 㻠 㻵㻞㻜 ⊃ᚰ 㻝㻣 㻣㻚㻡㻑 㻟㻠㻚㻥 㻡 㻵㻣㻜 㛢ሰᛶື⬦◳ 㻝㻡 㻢㻚㻢㻑 㻞㻞㻚㻤 㻡㻝 㻞㻞㻚㻠㻑 㻙 㻞㻞㻤 㻝㻜㻜㻑 㻞㻜㻚㻥 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㡰 㻵㻯㻰䡬㻝㻜 ྡ 㻯㻟㻠 ⫵⒴ 㻡㻥 㻞㻥㻚㻥㻑 㻝㻤㻚㻝 㻞 㻶㻥㻟 Ẽ⬚ 㻡㻣 㻞㻤㻚㻥㻑 㻝㻟㻚㻟 㻟 㻿㻞㻣 እയᛶ⾑⬚䞉⾑Ẽ⬚ 㻝㻥 㻥㻚㻢㻑 㻝㻝㻚㻝 㻠 㻯㻣㻤 ㌿⛣ᛶ⫵⒴ 㻝㻤 㻥㻚㻝㻑 㻝㻞㻚㻤 㻡 㻶㻥㻜 ⬚Ỉ 㻢 㻟㻚㻜㻑 㻠㻢㻚㻜 㻡 㻶㻥㻠 ⾑Ẽ⬚ 㻢 㻟㻚㻜㻑 㻝㻜㻚㻜 㻟㻞 㻝㻢㻚㻞㻑 䠉 㻝㻥㻣 㻝㻜㻜㻑 㻝㻡㻚㻣 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 䛭䛾 ⥲䚷䚷ィ ⛉ ᖹᆒ ᅾ㝔᪥ᩘ 㻞 㻝 ྾ჾእ⛉ ẚ⋡ 㻝 䛭䛾 ⥲䚷䚷ィ ⛉ ィ 㡰 㻵㻯㻰䡬㻝㻜 ྡ 㻝 㻯㻝㻡 㣗㐨⒴ 㻟㻜㻟 㻝㻥㻚㻣㻑 㻝㻤㻚㻢 㻞 㻯㻝㻤 ⭠⒴ 㻝㻟㻟 㻤㻚㻢㻑 㻝㻣㻚㻤 㻟 㻯㻝㻢 ⫶⒴ 㻝㻟㻜 㻤㻚㻡㻑 㻝㻢㻚㻞 㻠 㻷㻠㻜 㰡ᚄ䝦䝹䝙䜰 㻝㻞㻣 㻤㻚㻟㻑 㻢㻚㻣 㻡 㻷㻤㻜 ⫹ᄞ⤖▼䚸⥲⫹⟶⤖▼ 䛭䛾 ⥲䚷䚷ィ 㻝㻞㻟 㻤㻚㻜㻑 㻢㻚㻥 㻣㻞㻞 㻠㻢㻚㻥㻑 㻙 㻝㻡㻟㻤 㻝㻜㻜㻑 㻝㻠㻚㻝 䈜ධ㝔デ⒪㘓䝃䝬䝸䞊䛾ྡ䜢ᇶ䛻䚸䛂ཬ䜃㛵㐃ಖ㝤ၥ㢟䛾ᅜ㝿⤫ィศ㢮䚷➨䠍䠌ᅇಟṇ∧䛃䠄䠥䠟䠠䠉䠍䠌䠅䜢 ⏝䛔䛶ศ㢮䞉㞟ィ ―36― ⛉ ங⭢እ⛉ ྡ 㡰 㻵㻯㻰䡬㻝㻜 㻥㻚㻥 㻠㻣㻜 㻞 㻰㻞㻠 ஙᡣⰋᛶ⭘⒆ 㻝㻥 㻟㻚㻤㻑 㻟㻚㻣 㻟 㻯㻣㻣 䝸䞁䝟⠇㌿⛣ 㻟 㻜㻚㻢㻑 㻢㻚㻣 㻝㻝 㻜㻚㻣㻑 㻙 㻡㻜㻟 㻝㻜㻜㻑 㻥㻚㻢 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㰡ᚄ䝦䝹䝙䜰 㻣㻝 㻞㻞㻚㻤㻑 㻟㻚㻜 㡰 㻵㻯㻰䡬㻝㻜 㻷㻠㻜 ྡ 㻞 㻷㻠㻞 䝦䝹䝙䜰 㻞㻥 㻥㻚㻟㻑 㻟㻚㻜 㻟 㻷㻟㻡 ᛴᛶᆶ⅖ 㻞㻡 㻤㻚㻜㻑 㻢㻚㻞 㻠 㻺㻠㻟 ⢭ᕢ㻨╺㻪Ỉ⒗ 㻞㻟 㻣㻚㻠㻑 㻟㻚㻜 㻡 㻽㻡㻟 ␃⢭ᕢ 㻝㻡 㻠㻚㻤㻑 㻞㻚㻥 㻝㻠㻥 㻠㻣㻚㻤㻑 㻙 㻟㻝㻞 㻝㻜㻜㻑 㻥㻚㻢 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㻝㻟㻡 㻞㻜㻚㻠㻑 㻥㻚㻝 ྡ 㡰 㻵㻯㻰䡬㻝㻜 㻝 㻵㻢㻣 䛭䛾䛾⬻⾑⟶ᝈ 䠥㻢㻣㻝䚷ᮍ◚ᛶ⬻ື⬦⒗ ⬻⚄⤒እ⛉ 㻥㻟㻚㻠㻑 ங⒴ 䛭䛾 ⥲䚷䚷ィ ⛉ ᖹᆒ ᅾ㝔᪥ᩘ 㻯㻡㻜 㻝 ᑠඣእ⛉ ẚ⋡ 㻝 䛭䛾 ⥲䚷䚷ィ ⛉ ィ 㻝㻞㻥 㻵㻢㻣㻜䚷ゎ㞳ᛶ⬻ື⬦⒗ 㻠 㻵㻢㻣㻡䚷䜒䜔䜒䜔 㻞 㻞 㻵㻢㻝 ⬻ฟ⾑ 㻢㻡 㻥㻚㻤㻑 㻞㻞㻚㻠 㻟 㻵㻢㻡 㢁ື⬦䛾㛢ሰ䛚䜘䜃⊃✽ 㻢㻝 㻥㻚㻞㻑 㻝㻢㻚㻟 㻠 㻵㻢㻞 ៏ᛶ◳⭷ୗ⾑⭘ 㻡㻣 㻤㻚㻢㻑 㻝㻝㻚㻟 㻡 㻿㻜㻢 እയᛶ㢌ෆᦆയ 㻠㻤 㻣㻚㻟㻑 㻞㻤㻚㻟 㻞㻥㻢 㻠㻠㻚㻣㻑 㻙 㻢㻢㻞 㻝㻜㻜㻑 㻞㻜㻚㻜 䛭䛾 ⥲䚷䚷ィ 䈜ධ㝔デ⒪㘓䝃䝬䝸䞊䛾ྡ䜢ᇶ䛻䚸䛂ཬ䜃㛵㐃ಖ㝤ၥ㢟䛾ᅜ㝿⤫ィศ㢮䚷➨䠍䠌ᅇಟṇ∧䛃䠄䠥䠟䠠䠉䠍䠌䠅䜢 ⏝䛔䛶ศ㢮䞉㞟ィ ―37― 病院運営委員会に報告している統計資料 デ⒪⛉ู䞉ศ㢮ู䚷㡰⾲䠄㼀㻻㻼䠑䠅 病院運営委員会に報告している統計資料 デ⒪⛉ู䞉ศ㢮ู䚷㡰⾲䠄㼀㻻㻼䠑䠅 ⛉ ᩚᙧእ⛉ 㡰 㻵㻯㻰䡬㻝㻜 ྡ ᖹᆒ ᅾ㝔᪥ᩘ 㻿㻣㻞 ⭣㦵㦵ᢡ 㻝㻜㻢 㻣㻚㻣㻑 㻟㻜㻚㻡 㻞 㻹㻝㻣 ኚᙧᛶ⭸㛵⠇ 㻝㻜㻠 㻣㻚㻡㻑 㻟㻢㻚㻥 㻟 㻹㻝㻢 ኚᙧᛶ⫤㛵⠇ 㻝㻜㻞 㻣㻚㻠㻑 㻠㻡㻚㻞 㻠 㻿㻤㻞 ୗ⭣㦵㦵ᢡ 㻥㻣 㻣㻚㻜㻑 㻝㻤㻚㻡 㻡 㻹㻠㻤 ⬨ᰕ⟶⊃✽䚸㠌ᖏ㦵 㻤㻥 㻢㻚㻠㻑 㻝㻡㻚㻡 㻡 㻿㻡㻞 ๓⭎㦵ᢡ 㻤㻥 㻢㻚㻠㻑 㻢㻚㻢 㡰 㻵㻯㻰䡬㻝㻜 㻝 ᙧᡂእ⛉ ẚ⋡ 㻝 䛭䛾 ⥲䚷䚷ィ ⛉ ィ 㻽㻟㻣 ྡ ཱྀ၁ཱྀ䚸ཱྀ၁㢡 㻣㻥㻢 㻡㻣㻚㻢㻑 㻙 㻝㻟㻤㻟 㻝㻜㻜㻑 㻞㻞㻚㻜 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㻟㻡㻢 㻠㻜㻚㻜㻑 㻝㻜㻚㻢 㻞 㻿㻜㻞 㢦㠃㦵㦵ᢡ 㻤㻟 㻥㻚㻟㻑 㻤㻚㻣 㻟 㻽㻟㻡 ཱྀ 㻠㻠 㻠㻚㻥㻑 㻝㻜㻚㻢 㻠 㻰㻞㻞 ẕᩬ 㻟㻠 㻟㻚㻤㻑 㻡㻚㻠 㻠 㻽㻝㻣 ⪥䛾ඛኳወᙧ 㻟㻠 㻟㻚㻤㻑 㻤㻚㻠 㻟㻟㻥 㻟㻤㻚㻝㻑 㻙 㻤㻥㻜 㻝㻜㻜㻑 㻝㻝㻚㻢 䛭䛾 ⥲䚷䚷ィ 䈜ධ㝔デ⒪㘓䝃䝬䝸䞊䛾ྡ䜢ᇶ䛻䚸䛂ཬ䜃㛵㐃ಖ㝤ၥ㢟䛾ᅜ㝿⤫ィศ㢮䚷➨䠍䠌ᅇಟṇ∧䛃䠄䠥䠟䠠䠉䠍䠌䠅䜢 ⏝䛔䛶ศ㢮䞉㞟ィ ―38― ⛉ ⏘፬ே⛉ 䠄ศፔ㝖䛟䠅 㡰 㻵㻯㻰䡬㻝㻜 ྡ ⏘፬ே⛉ 䠄ศፔ䠅 ᖹᆒ ᅾ㝔᪥ᩘ 㻰㻞㻡 Ꮚᐑ➽⭘ 㻞㻟㻢 㻝㻢㻚㻝㻑 㻢㻚㻤 㻞 㻻㻜㻞 ✍␃ὶ⏘ 㻝㻣㻟 㻝㻝㻚㻤㻑 㻞㻚㻝 㻟 㻯㻡㻟 Ꮚᐑ㢁⒴ 㻝㻜㻡 㻣㻚㻞㻑 㻝㻞㻚㻞 㻠 㻯㻡㻠 Ꮚᐑయ⒴ 㻤㻣 㻡㻚㻥㻑 㻝㻝㻚㻜 㻡 㻺㻤㻜 Ꮚᐑෆ⭷ 㻤㻢 㻡㻚㻥㻑 㻢㻚㻤 㻣㻤㻝 㻡㻟㻚㻞㻑 㻙 㻝㻠㻢㻤 㻝㻜㻜㻑 㻥㻚㻞 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㻣㻡㻣 㻢㻠㻚㻟㻑 㻣㻚㻝 㻝㻝㻞 㻥㻚㻡㻑 㻝㻜㻚㻡 㡰 㻵㻯㻰䡬㻝㻜 ྡ 㻝 㻻㻤㻜 ṇᖖศፔ 㻞 㻻㻟㻠 ẕయ㦵┙⮚ჾ䛾␗ᖖ ๓ᅇᖇ⋤ษ㛤 㻥㻜 Ꮚᐑ➽⭘᰾ฟᚋዷፎ 㻝㻠 䛭䛾 㻤 㻟 㻻㻟㻞 㦵┙ 㻠㻝 㻟㻚㻡㻑 㻝㻞㻚㻝 㻠 㻻㻢㻤 ⫾ඣᶵ⬟ 㻟㻥 㻟㻚㻟㻑 㻝㻝㻚㻡 㻡 㻻㻠㻞 ๓ᮇ◚Ỉ 㻞㻣 㻞㻚㻟㻑 㻝㻞㻚㻡 㻞㻜㻝 㻝㻣㻚㻝㻑 㻙 㻝㻝㻣㻣 㻝㻜㻜㻑 㻥㻚㻜 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 䛭䛾 ⥲䚷䚷ィ ⛉ ẚ⋡ 㻝 䛭䛾 ⥲䚷䚷ィ ⛉ ィ ྡ 㡰 㻵㻯㻰䡬㻝㻜 㻝 㼆㻟㻤 ṇᖖ᪂⏕ඣ 㻥㻝㻣 㻣㻣㻚㻤㻑 㻢㻚㻞 㻞 㻼㻜㻣 పฟ⏘య㔜ඣ䚸᪩⏘ඣ 㻝㻢㻡 㻝㻠㻚㻜㻑 㻟㻚㻞 ⏘⛉ศፔ 䠄䝧䝡䞊䠅 㻝㻡㻜㻜㼓䡚㻞㻠㻥㻥㼓 㻥㻠 㻝㻜㻜㻜㼓䡚㻝㻠㻥㻥㼓 㻝㻥 㻥㻥㻥㼓௨ୗ 㻝㻟 ᪩⏘ඣ 㻟㻥 㻟 㻼㻞㻝 ᪂⏕ඣ௬Ṛ 㻟㻜 㻞㻚㻡㻑 㻟㻚㻟 㻠 㻼㻜㻤 㐣య㔜ඣ䠄ᕧඣ䠅 㻞㻥 㻞㻚㻡㻑 㻢㻚㻟 㻡 㻼㻜㻡 ᙜ㍍㔞ඣ䠄㻸㻲㻰䚸㻿㻲㻰䠅 㻞㻟 㻞㻚㻜㻑 㻢㻚㻝 㻝㻠 㻝㻚㻞㻑 㻙 㻝㻝㻣㻤 㻝㻜㻜㻑 㻡㻚㻣 䛭䛾 ⥲䚷䚷ィ 䈜ධ㝔デ⒪㘓䝃䝬䝸䞊䛾ྡ䜢ᇶ䛻䚸䛂ཬ䜃㛵㐃ಖ㝤ၥ㢟䛾ᅜ㝿⤫ィศ㢮䚷➨䠍䠌ᅇಟṇ∧䛃䠄䠥䠟䠠䠉䠍䠌䠅䜢 ⏝䛔䛶ศ㢮䞉㞟ィ ―39― 病院運営委員会に報告している統計資料 デ⒪⛉ู䞉ศ㢮ู䚷㡰⾲䠄㼀㻻㻼䠑䠅 病院運営委員会に報告している統計資料 デ⒪⛉ู䞉ศ㢮ู䚷㡰⾲䠄㼀㻻㻼䠑䠅 ⛉ 㡰 㻵㻯㻰䡬㻝㻜 ྡ ⪁ேᛶⓑෆ㞀 㻝㻝㻡㻜 㻠㻡㻚㻢㻑 㻡㻚㻜 㻞 㻴㻟㻡 ⥙⭷㞀ᐖ 㻠㻤㻤 㻝㻥㻚㻟㻑 㻟㻚㻡 㯤ᩬኚᛶ䠄Ꮝ䞉ୖ⭷䞉๓⭷䠅 㻟㻢㻜 㯤ᩬᾋ⭘ 㻝㻜㻝 㻞㻝 㯤ᩬฟ⾑ 㻠 䛭䛾 㻞 㻟 㻴㻟㻟 ⥙⭷㞳 㻝㻣㻥 㻣㻚㻝㻑 㻝㻜㻚㻢 㻠 㻴㻟㻠 ⥙⭷⾑⟶㛢ሰ 㻝㻜㻤 㻠㻚㻟㻑 㻟㻚㻟 㻡 㻴㻠㻜 ⥳ෆ㞀 㻝㻜㻝 㻠㻚㻜㻑 㻣㻚㻡 㻠㻥㻢 㻝㻥㻚㻣㻑 㻙 㻞㻡㻞㻞 㻝㻜㻜㻑 㻡㻚㻠 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㻢㻥 㻥㻚㻣㻑 㻝㻜㻚㻝 䛭䛾 ⥲䚷䚷ィ 㡰 㻵㻯㻰䡬㻝㻜 ྡ 㻝 㻶㻠㻡 ႍᜥ 㻞 㻹㻟㻜 ᕝᓮ 㻢㻜 㻤㻚㻠㻑 㻝㻟㻚㻜 㻟 㻾㻡㻢 䛡䛔䜜䜣 㻡㻞 㻣㻚㻟㻑 㻣㻚㻞 㻠 㻭㻜㻥 ᛴᛶ⭠⅖ 㻠㻠 㻢㻚㻞㻑 㻢㻚㻤 㻡 㻶㻝㻡 ⫵⅖䢖䢙䡷⌫⳦䡡䡮䢙䢈䢕䡰䢙䡷䢚⳦௨እ䛾⣽⳦ᛶ⫵⅖ 㻠㻜 㻡㻚㻢㻑 㻝㻝㻚㻣 㻠㻠㻤 㻢㻞㻚㻤㻑 㻙 㻣㻝㻟 㻝㻜㻜㻑 㻝㻜㻚㻥 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㻝㻝㻤 㻠㻥㻚㻜㻑 㻡㻠㻚㻜 䛭䛾 ⥲䚷䚷ィ ⛉ 㡰 㻵㻯㻰䡬㻝㻜 㻝 ᑠඣ⛉ 㻔᪂⏕ඣ㻕 ᖹᆒ ᅾ㝔᪥ᩘ 㻴㻞㻡 ║⛉ ᑠඣ⛉ ẚ⋡ 㻝 ቑṪᛶ⥙⭷䚸䜸䜲䝹║ ⛉ ィ 㻼㻜㻣 ྡ పฟ⏕య㔜ඣ 㻝㻡㻜㻜䡃䡚㻞㻠㻥㻥䡃 㻟㻜 㻝㻜㻜㻜䡃䡚㻝㻠㻥㻥䡃 㻝㻝 㻥㻥㻥䡃௨ୗ 㻥 ㉸᪩⏘ඣ䠄㻞㻤㐌ᮍ‶䠅 㻤 ᪩⏘ඣ䠄㻞㻤㐌䡚㻟㻣㐌ᮍ‶䠅 㻢㻜 㻞 㻼㻞㻝 ᪂⏕ඣ௬Ṛ 㻝㻠 㻡㻚㻤㻑 㻞㻟㻚㻥 㻞 㻼㻞㻞 ᪂⏕ඣከ྾ 㻝㻠 㻡㻚㻤㻑 㻝㻡㻚㻞 㻠 㻼㻞㻤 ↓྾Ⓨస 㻝㻝 㻠㻚㻢㻑 㻝㻝㻚㻟 㻡 㻽㻟㻣 ၁䜢క䛖ཱྀ 㻥 㻟㻚㻣㻑 㻝㻤㻚㻞 㻣㻡 㻟㻝㻚㻝㻑 㻙 㻞㻠㻝 㻝㻜㻜㻑 㻟㻡㻚㻤 䛭䛾 ⥲䚷䚷ィ 䈜ධ㝔デ⒪㘓䝃䝬䝸䞊䛾ྡ䜢ᇶ䛻䚸䛂ཬ䜃㛵㐃ಖ㝤ၥ㢟䛾ᅜ㝿⤫ィศ㢮䚷➨䠍䠌ᅇಟṇ∧䛃䠄䠥䠟䠠䠉䠍䠌䠅䜢 ⏝䛔䛶ศ㢮䞉㞟ィ ―40― ⛉ ⪥㰯ဗႃ⛉ 㡰 㻵㻯㻰䡬㻝㻜 ྡ ៏ᛶ㰯⭍⅖ 㻝㻝㻜 㻝㻟㻚㻟㻑 㻣㻚㻡 㻞 㻶㻟㻡 ៏ᛶᡥ᱈⅖䚸ᡥ᱈⫧䚸䜰䝕䝜䜲䝗ᝈ 㻣㻝 㻤㻚㻢㻑 㻣㻚㻞 㻟 㻴㻤㻝 䜑䜎䛔 㻢㻡 㻣㻚㻤㻑 㻡㻚㻣 㻠 㻶㻟㻠 㰯୰㝸ᙃ᭤䚸㰯⭍ᄞ⬊ 㻡㻝 㻢㻚㻞㻑 㻣㻚㻞 㻡 㻶㻟㻤 ኌᖏ䛚䜘䜃ႃ㢌䛾ᝈ 㻟㻥 㻠㻚㻣㻑 㻣㻚㻥 㻠㻥㻟 㻡㻥㻚㻡㻑 㻙 㻤㻞㻥 㻝㻜㻜㻑 㻝㻝㻚㻢 ྡ ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ ႃ㢌ᄞ⬊䚸ႃ㢌ᾋ⭘ 㻝㻤 ኌᖏ䝫䝸䞊䝥 㻝㻣 㻠 㡰 㻵㻯㻰䡬㻝㻜 㻝 㻮㻜㻞 ᖏ≧⑁⑈䠄ᖏ≧䝦䝹䝨䝇䠅 㻡㻣 㻝㻢㻚㻤㻑 㻤㻚㻣 㻞 㻸㻜㻟 ⻏ᕢ⅖䠄⻏❐⧊⅖䠅 㻡㻠 㻝㻡㻚㻥㻑 㻝㻞㻚㻤 㻟 㻸㻠㻜 Ⓞ 㻟㻜 㻤㻚㻤㻑 㻞㻚㻠 㻠 㻰㻞㻞 䝯䝷䝙䞁⣽⬊ᛶẕᩬ 㻞㻜 㻡㻚㻥㻑 㻡㻚㻥 㻡 㻯㻠㻠 ⓶䛾ᝏᛶ᪂⏕≀䠄㯮Ⰽ⭘㝖䛟䠅 㻝㻣 㻡㻚㻜㻑 㻝㻜㻚㻥 㻡 㻸㻞㻣 ୰ẘ⑈䚸⸆⑈ 㻝㻣 㻡㻚㻜㻑 㻝㻥㻚㻡 㻝㻠㻠 㻠㻞㻚㻡㻑 㻙 㻟㻟㻥 㻝㻜㻜㻑 㻝㻜㻚㻡 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 䛭䛾 ⥲䚷䚷ィ ⛉ Ἢᒀჾ⛉ ᖹᆒ ᅾ㝔᪥ᩘ 㻶㻟㻞 䛭䛾 ⥲䚷䚷ィ ⓶⛉ ẚ⋡ 㻝 䛭䛾 ⛉ ィ 㡰 㻵㻯㻰䡬㻝㻜 ྡ 㻝 㻯㻢㻝 ๓❧⭢⒴ 㻟㻥㻟 㻠㻠㻚㻠㻑 㻠㻚㻟 㻞 㻯㻢㻣 ⭤⬔⒴ 㻝㻝㻥 㻝㻟㻚㻠㻑 㻝㻟㻚㻞 㻟 㻺㻞㻜 ⭈⤖▼䚸ᒀ⟶⤖▼ 㻢㻝 㻢㻚㻥㻑 㻤㻚㻟 㻠 㻯㻢㻠 ⭈⒴ 㻡㻡 㻢㻚㻞㻑 㻝㻤㻚㻝 㻡 㻺㻝㻜 ᛴᛶ⭈│⭈⅖ 㻠㻡 㻡㻚㻝㻑 㻥㻚㻥 㻞㻝㻞 㻞㻠㻚㻜㻑 㻙 㻤㻤㻡 㻝㻜㻜㻑 㻥㻚㻝 䛭䛾 ⥲䚷䚷ィ 䈜ධ㝔デ⒪㘓䝃䝬䝸䞊䛾ྡ䜢ᇶ䛻䚸䛂ཬ䜃㛵㐃ಖ㝤ၥ㢟䛾ᅜ㝿⤫ィศ㢮䚷➨䠍䠌ᅇಟṇ∧䛃䠄䠥䠟䠠䠉䠍䠌䠅䜢 ⏝䛔䛶ศ㢮䞉㞟ィ ―41― 病院運営委員会に報告している統計資料 デ⒪⛉ู䞉ศ㢮ู䚷㡰⾲䠄㼀㻻㻼䠑䠅 病院運営委員会に報告している統計資料 デ⒪⛉ู䞉ศ㢮ู䚷㡰⾲䠄㼀㻻㻼䠑䠅 ⛉ 㡰 㻵㻯㻰䡬㻝㻜 㻝 㯞㓉⛉ 㻹㻡㻝 ྡ ⭜᳝᳝㛫ᯈ䝦䝹䝙䜰 㻢㻢㻚㻣㻑 㻞㻚㻤 㻷㻤㻢 ⮅▼ 㻝 㻝㻢㻚㻣㻑 㻞㻚㻜 ㊊ᗏከờ 㻝 㻝㻢㻚㻣㻑 㻢㻚㻜 㻢 㻝㻜㻜㻑 㻟㻚㻞 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㻞㻟㻝 㻟㻣㻚㻜㻑 㻝㻚㻡 㡰 㻵㻯㻰䡬㻝㻜 㻵㻠㻢 ྡ ᚰ⫵Ṇ 㻢㻠 㻝㻜㻚㻟㻑 㻟㻚㻝 㻟 㼀㻟㻤㻙㼀㻡㻜 ᛴᛶ⸆≀୰ẘ 㻳㻥㻟 ⸽⏕ᚋ⬻䚸ప㓟⣲⬻ 㻞㻝 㻟㻚㻠㻑 㻝㻝㻚㻡 㻠 㻿㻟㻞 ⭜᳝㦵ᢡ䚸㦵┙㒊㦵ᢡ 㻝㻣 㻞㻚㻣㻑 㻝㻠㻚㻤 㻡 㻭㻠㻝 ᩋ⾑ 㻝㻢 㻞㻚㻢㻑 㻝㻟㻚㻤 㻞㻣㻡 㻠㻠㻚㻝㻑 㻙 㻢㻞㻠 㻝㻜㻜㻑 㻢㻚㻤 ィ ẚ⋡ ᖹᆒ ᅾ㝔᪥ᩘ 㻡㻠 㻟㻤 㻟㻜 㻞㻟 㻞㻟 㻡㻣㻝 㻣㻟㻥 㻣㻚㻟㻑 㻡㻚㻝㻑 㻠㻚㻝㻑 㻟㻚㻝㻑 㻟㻚㻝㻑 㻣㻣㻚㻟㻑 㻝㻜㻜㻑 㻞㻚㻝 㻝㻚㻣 㻝㻚㻡 㻝㻚㻢 㻝㻚㻣 㻙 㻝㻚㻤 䛭䛾 ⥲䚷䚷ィ ⥲ྜෆ⛉ 㻠 㻾㻢㻝 㻞 ⛉ ᖹᆒ ᅾ㝔᪥ᩘ 㻞 㻝 ᩆᛴ་Ꮫ⛉ ẚ⋡ 㻞 ⥲䚷䚷ィ ⛉ ィ 㡰 㻵㻯㻰䡬㻝㻜 㻝 㻞 㻟 㻠 㻠 㻶㻝㻤 㻭㻜㻥 㻷㻡㻢 㻵㻡㻜 㻵㻢㻟 ྡ ⫵⅖䚸ヲ⣽᫂ ᛴᛶ⭠⅖ 䜲䝺䜴䝇䛚䜘䜃⭠㛢ሰ ᚰ ⬻᱾ሰ 䛭䛾 ⥲䚷䚷ィ 䈜ධ㝔デ⒪㘓䝃䝬䝸䞊䛾ྡ䜢ᇶ䛻䚸䛂ཬ䜃㛵㐃ಖ㝤ၥ㢟䛾ᅜ㝿⤫ィศ㢮䚷➨䠍䠌ᅇಟṇ∧䛃䠄䠥䠟䠠䠉䠍䠌䠅䜢 ⏝䛔䛶ศ㢮䞉㞟ィ ―42― Ⅲ 各部門活動状況 １ 昭和大学病院 呼吸器・アレルギー内科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻝㻌 ྾ჾ䜰䝺䝹䜼䞊⛉㻌 １）呼吸器・アレルギー内科 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 㻔௦㻕᭷㈡㻌 ᚭ㻌 ་ᒁ㛗㻌 す㻌 ྖ㻌 Ჷ་㛗㻌 ᶓỤ㻌 ⌶ஓ㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻞㻢ྡ㻔ᖖ㻝㻢ྡ䚸㠀ᖖ㻝㻜ྡ㻕㻌 ᩍᤵ㻌 㻜ྡ ᩍᤵ㻌 㻞ྡ ㅮᖌ㻌 㻡ྡ ຓᩍ㻌 㻟ྡ Ꮫ㝔⏕㻌 㻞ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ᪥ᮏෆ⛉Ꮫᣦᑟ་㻌 㻞ྡ ᪥ᮏ྾ჾᏛᣦᑟ་㻌 㻞ྡ ᪥ᮏ྾ෆど㙾Ꮫᣦᑟ་㻌 㻞ྡ ᪥ᮏឤᰁᏛᣦᑟ་㻌 㻝ྡ ᑓ㛛་㻌 ᪥ᮏෆ⛉Ꮫ⥲ྜෆ⛉ᑓ㛛་㻌 㻠ྡ 㻌 ᪥ᮏ྾ჾᏛᑓ㛛་㻌 㻝㻝ྡ ᪥ᮏ྾ჾෆど㙾Ꮫᑓ㛛་㻌 㻡ྡ ᪥ᮏ䜰䝺䝹䜼䞊Ꮫᑓ㛛་㻌 㻢ྡ ᪥ᮏឤᰁᏛᑓ㛛་㻌 㻝ྡ ⤖᰾䞉ᢠ㓟⳦ᑓ㛛་㻌 㻝ྡ ᪥ᮏ⮫ᗋ⭘⒆Ꮫ䛜䜣⸆≀⒪ἲᑓ㛛་㻌 㻝ྡ ᪥ᮏෆ⛉Ꮫㄆᐃ་㻌 㻝㻣ྡ ᪥ᮏ䛜䜣⒪ㄆᐃ་㻌 㻡ྡ ⤖᰾䞉ᢠ㓟⳦ㄆᐃ་㻌 㻞ྡ ྾ᶵ⬟㞀ᐖデ᩿་㻌 㻞ྡ ㄆᐃ་㻌 䛭䛾㻌 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻝㻘㻥㻡㻟 㻝㻘㻣㻤㻝 㻝㻘㻤㻟㻣 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻞㻤㻘㻝㻤㻞 㻞㻥㻘㻟㻡㻞 㻞㻤㻘㻠㻟㻞 㻥㻝㻜 㻝㻢㻟 㻣㻣 㻟㻝㻘㻜㻠㻡 㻟㻝㻘㻞㻥㻢 㻟㻜㻘㻟㻠㻢 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 ―45― 呼吸器・アレルギー内科 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 㻞㻝㻘㻥㻤㻣㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㻝㻥㻘㻥㻡㻢㻌 㻝㻢㻘㻡㻢㻢 㻌 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᝈྡ䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ⫵⒴㻌 㻟㻤㻤 㻞㻌 ⫵⅖㻌 㻝㻠㻢 㻟㻌 Ẽ⟶ᨭႍᜥ㻌 㻡㻜 㻠㻌 ╧╀↓྾ೃ⩌㻌 㻠㻟 㻡㻌 㛫㉁ᛶ⫵⅖㻌 㻟㻢 㻢㻌 Ẽ⬚㻌 㻟㻜 㻣㻌 ៏ᛶ㛢ሰᛶ⫵ᝈ㻌 㻞㻠 㻤㻌 䜰䝘䝣䜱䝷䜻䝅䞊㻌 㻞㻞 㻥㻌 ⮋⬚㻌 㻝㻥 㻝㻜㻌 ᝏᛶ⬚⭷୰⓶⭘㻌 㻥 㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 Ẽ⟶ᨭ㙾㻌 㻟㻡㻜 㻞㻌 䜰䝥䝜䝰䝙䝍䞊㻌 㻞㻜㻡 㻟㻌 䠟䠰ୗ⫵⏕᳨㻌 㻢㻥 㻠㻌 Ẽ㐨㐣ᩄᛶ᳨ᰝ㻌 㻢㻥 㻡㻌 䝫䝸䝋䝮䝜䜾䝷䝣䜱䞊㻌 㻠㻢 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟ᶆ‽⒪⬟㠀ᑠ⣽ ᶆ‽⒪ᛂ䞉㐍⾜Ⓨ㠀ᑠ⣽⬊⫵⒴䜢ᑐ㇟䛸䛧䛶䚸㻿㻠㻤㻤㻠㻝㻜 ⬊⫵⒴䛻ᑐ䛩䜛䛜䜣䝨䝥 䛜䜣䝨䝥䝏䝗䝽䜽䝏䞁⒪ἲ䛾㦂䜢ᐇ୰䛷䚸Ᏻᛶ䚸ᢠ⭘⒆ 䝏䝗䝽䜽䝏䞁⒪ἲ㻌 ຠᯝ䚸⏕Ꮡᮇ㛫䚸㼝㼡㼍㼘㼕㼠㼥㻌㼛㼒㻌㼘㼕㼒㼑㻌㻔㻽㻻㻸㻕䜢᳨ウ䛧䛶䛔䜛䚹㻌 䜎䛯䚸䝽䜽䝏䞁⒪ἲ䛻ᑐ䛩䜛චᛂ⟅䜒᳨ウ䛧䛶䛔䜛䚹㻌 䐠 㞴 ᛶ ႍ ᜥᝈ ⪅䛻 ᑐ 㧗⏝㔞྾ධ䝇䝔䝻䜲䝗䜔㌟䝇䝔䝻䜲䝗⬟䛾㞴ᛶ䛾䜰䝺䝹 䛩䜛ᢠ䝃䜲䝖䜹䜲䞁⒪ἲ㻌 䜼䞊ᛶႍᜥᝈ⪅䛻ᑐ䛧䛶䚸䛔䛟䛴䜒䛾ᢠ䝃䜲䝖䜹䜲䞁⒪ἲ䛾㦂 䜢ᐇ୰䛷䛒䜛䚹㻌 㻌 ―46― 䐟Ᏻᐃ䛧䛯ᝈ⪅䛾ᆅᇦ་ ≧䛾Ᏻᐃ䛧䛯ᝈ⪅䛾ᆅᇦ་⒪ᶵ㛵䜈䛾㏫⤂䛜䚸ᝈ⪅䛾ᙜ ⒪ᶵ㛵䜈䛾㏫⤂㻌 㝔㏻㝔䜈䛾ᕼᮃ䜒ከ䛛䛳䛯䛜䚸ᖺ䜘䜚ᆅᇦ་⒪ᶵ㛵䜈䛾㏫⤂ 䜢᥎㐍䛩䜛䛣䛸䛜䛷䛝䛯䚹㻌 䐠䝖䝷䞁䝇䝺䞊䝅䝵䝘䝹䝸 䛔䛟䛴䛛䛾⮫ᗋ◊✲䛜ᡂᯝ䜢ୖ䛢䛯䚹ᚋ䛿䚸䝖䝷䞁䝇䝺䞊䝅䝵 䝃䞊䝏㻌 䝘䝹䝸䝃䞊䝏䜢䜘䜚✚ᴟⓗ䛻⾜䛳䛶䛔䛟䛣䛸䛷䚸ᇶ♏䞉⮫ᗋ䛾୧㠃 䛛䜙྾ჾ䞉䜰䝺䝹䜼䞊ᝈ䛾ᝈ⪅䛻᭱ඛ➃䛾་⒪䜢ᥦ౪䛧䛶 䛔䛝䛯䛔䚹㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃ㅮ₇䜔◊✲䚸་ᖌ䛾⬚㒊䜶䝑䜽䝇⥺┿䛾ㄞᙳ䛺䛹䜢㏻䛧䚸ᆅᇦ䛾་ᖌဨ䜔་ ⒪㛵ಀ⪅䛸䛾ὶ䜢ᅗ䜚䚸ᆅᇦ䜈䛾㈉⊩䛻ບ䜐䛸䛸䜒䛻䚸⤂ᝈ⪅䜢ቑ䜔䛧䛶䛔䛟୍᪉䚸㏫ ⤂ᝈ⪅䜒ቑ䜔䛧䛶䛔䛟䚹㻌 䖃྾ჾ䝉䞁䝍䞊䛾≉Ⰽ䜢⏕䛛䛧䚸྾ჾእ⛉䛸⥭ᐦ䛻㐃⤡䜢䛸䜚䚸ෆ⛉䛸እ⛉䛸䛜୍య䛸 䛺䛳䛯㎿㏿䛺⒪䛜䛷䛝䜛䜘䛖䛻䛩䜛䚹㻌 㻌 㻌 ―47― 呼吸器・アレルギー内科 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 リウマチ・膠原病内科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻞㻌 䝸䜴䝬䝏䞉⭺ཎෆ⛉㻌 ２）リウマチ・膠原病内科 㻌 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ➟㛫㻌 Ẏ㻌 ་ᒁ㛗㻌 ▮ᔱ㻌 ᐉᖾ㻌 Ჷ་㛗㻌 ୕㍯㻌 ⿱㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻞㻝 ྡ㻔ᖖ 㻝㻢 ྡ䚸㠀ᖖ 㻡 ྡ㻕㻌 㻌 㻌 㻌 㻌 ᩍᤵ㻌 㻜 ྡ㻌 ᩍᤵ㻌 㻝 ྡ㻌 ㅮᖌ㻌 㻝 ྡ㻌 ຓᩍ㻌 㻥 ྡ㻌 Ꮫ㝔⏕㻌 㻡 ྡ㻌 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 㻌 㻌 ᣦᑟ་㻌 ᪥ᮏ䝸䜴䝬䝏ᣦᑟ་㻌 㻡ྡ ᪥ᮏ䜰䝺䝹䜼䞊Ꮫᣦᑟ་㻌 㻞ྡ ᑓ㛛་㻌 ᪥ᮏ䝸䜴䝬䝏Ꮫᑓ㛛་㻌 㻥ྡ 㻌 ᪥ᮏ䜰䝺䝹䜼䞊ᑓ㛛་㻌 㻟ྡ ㄆᐃ་㻌 ᪥ᮏෆ⛉Ꮫㄆᐃ་㻌 㻝㻝 ྡ 䛭䛾㻌 ⮫ᗋ◊ಟᣦᑟ་㻌 㻢ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻡㻞㻜㻌 㻡㻞㻡㻌 㻡㻟㻡 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻝㻝㻘㻢㻤㻢㻌 㻝㻞㻘㻟㻤㻠㻌 㻝㻞㻘㻤㻤㻡 㻝㻣㻞㻌 㻞㻣㻥㻌 㻝㻟 㻝㻞㻘㻟㻣㻤㻌 㻝㻟㻘㻝㻤㻤㻌 㻝㻟㻘㻠㻟㻟 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌㻌㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 㻤㻣 㻌 㻌 㻌 㻌 ―48― ᖹᡂ 㻞㻟 ᖺᗘ㻌 㻝㻠㻞 ᖹᡂ 㻞㻠 ᖺᗘ㻌 㻥㻡 㻌 ᝈྡ䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 㻭㻺㻯㻭 㛵㐃⾑⟶⅖㻌 㻡㻟 㻞㻌 㛵⠇䝸䜴䝬䝏㻌 㻡㻜 㻟㻌 ㌟ᛶ䜶䝸䝔䝬䝖䞊䝕䝇㻌 㻟㻡 㻠㻌 ⫵⅖㻌 㻟㻞 㻡㻌 ⅖ᛶ➽⅖䠄⓶➽⅖䚸ከⓎᛶ➽⅖䠅㻌 㻞㻝 㻢㻌 ⤖ᬗᛶ㛵⠇⅖䠄③㢼䚸ഇ③㢼䠅㻌 㻝㻝 㻣㻌 ഃ㢌ື⬦⅖㻌 㻝㻜 㻤㻌 ᡂேⓎ䝇䝔䜱䝹㻌 㻡 㻥㻌 䝸䜴䝬䝏ᛶከⓎ➽③㻌 㻠 㻝㻜㻌 ΰྜᛶ⤖ྜ⤌⧊㻌 㻠 㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 㻝㻌 ᝈ⪅ᩘ㻌 㛵⠇䜶䝁䞊㻌 㻟㻡㻜 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟㌟ᛶ䜶䝸䝔䝬䝖䞊䝕 㻿㻸㻱 䛻ᑐ䛧䛶⭈䜢୰ᚰ䛻䝭䝁䝣䜵䝜䝺䞊䝖㓟䝰䝣䜵䝏䝹䜢⏝䛧 䝇䛾㞴ᛶែ䛻ᑐ䛩䜛 䛶䛔䜛䚹㻌 㻹㻹㻲 ⒪㻌 㻌 䐠㛵⠇䝸䜴䝬䝏䛻ᑐ䛩䜛 㻵㼚㼒㼘㼕㼤㼕㼙㼍㼎䚸㻱㼠㼍㼚㼑㼞㼏㼑㼜㼠 䛺䛹䛾 㼀㻺㻲 〇䚸㼀㼛㼏㼕㼘㼕㼦㼡㼙㼍㼎㻔㻵㻸㻢 㜼ᐖ ⏕≀Ꮫⓗ〇⒪㻌 㻕䚸㻭㼎㼍㼠㼍㼏㼑㼜㼠䠄㼀 ⣽⬊άᛶ㜼ᐖ䠅䛺䛹䛾⏕≀Ꮫⓗ〇䛾ᢞ 䜢⾜䛳䛶䛔䜛䚹䛥䜙䛻䚸㻶㼍㼗㻟 㜼ᐖ㻔㼀㼛㼒㼍㼠㼕㼚㼕㼎㻕䚸㻿㼥㼗 㜼ᐖ䛺䛹䛾 పศᏊྜ≀䛜ᑟධ䛥䜜䜛ணᐃ䛷䛒䜛䚹㻌 㻌 㻟䠊 ᖹᡂ 㻞㻠 ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟ᝈ⪅ᩘ䛾ቑຍ㻌 䝸䜴䝬䝏⭺ཎෆ⛉䛸䛺䜚 㻟 ᖺ䛜⤒㐣䛧⤂ᝈ⪅䛜ቑຍഴྥ䛷 䛒䜛䚹ᚋ䜒✚ᴟⓗ䛺デ㐃ᦠ䜢ᅗ䛳䛶䛔䛟ணᐃ䛷䛒䜛䚹㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃䛥䜙䛻ᆅᇦ䛾ඛ⏕䚸䛚䜘䜃ᝈ⪅䛥䜣䛾䛚ᙺ䛻❧䛶䜛䜘䛖䛻䛧䛯䛔䚹㻌 䖃ᩍ⫱㒊㛛䛻㛵䛧䛶䛿ᚎ䚻䛻ᐇ䛧䛴䛴䛒䜛䛜䚸䛥䜙䛻ຊ䜢ධ䜜䜘䜚䜘䛝⭺ཎෆ⛉་䜢⫱ 䛶䜛䛣䛸䛜䛸⪃䛘䛶䛔䜛䚹㻌 䖃⮫ᗋ◊✲䛜༑ศ䛷䛒䜚ᚋ䛾㔜Ⅼㄢ㢟䛸⪃䛘䛶䛔䜛䚹ᙜ㝔䛛䜙㉁䛾Ⰻ䛔◊✲䛾Ⓨಙ䛜 䛷䛝䜛䜘䛖䛻ດຊ䛧䛯䛔䚹㻌 㻌 ―49― リウマチ・膠原病内科 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 腎臓内科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻟㻌 ⭈⮚ෆ⛉㻌 ３）腎臓内科 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ⛅⃝㻌 ᛅ⏨㻌 ་ᒁ㛗㻌 ຍ⸨㻌 ᚨ㻌 Ჷ་㛗㻌 ᮏ⏣㻌 ᾈ୍㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻝㻤ྡ㻔ᖖ㻝㻢ྡ䚸㠀ᖖ㻞ྡ㻕㻌 㻌 㻌 㻌 㻌 ᩍᤵ㻌 㻞ྡ ᩍᤵ㻌 㻜ྡ ㅮᖌ㻌 㻡ྡ ຓᩍ㻌 㻥ྡ Ꮫ㝔⏕㻌 㻞ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ᪥ᮏෆ⛉Ꮫ◊ಟᣦᑟ་㻌 㻡ྡ ᪥ᮏ⭈⮚Ꮫᣦᑟ་㻌 㻡ྡ ᪥ᮏ㏱ᯒ་Ꮫᣦᑟ་㻌 㻢ྡ ᑓ㛛་㻌 ᪥ᮏෆ⛉Ꮫ⥲ྜෆ⛉ᑓ㛛་㻌 㻡ྡ 㻌 ᪥ᮏ⭈⮚Ꮫᑓ㛛་㻌 㻝㻜ྡ ᪥ᮏ㏱ᯒ་Ꮫᑓ㛛་㻌 㻝㻜ྡ ᪥ᮏ䜰䝣䜵䝺䝅䝇Ꮫᑓ㛛་㻌 㻝ྡ ᪥ᮏ䝸䜴䝬䝏Ꮫᑓ㛛་㻌 㻝ྡ ᪥ᮏ㧗⾑ᅽᏛᑓ㛛་㻌 㻝ྡ ᪥ᮏෆ⛉Ꮫㄆᐃෆ⛉་㻌 㻝㻜ྡ ㄆᐃ་㻌 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻟㻟㻢㻌 㻞㻤㻢㻌 㻟㻟㻡 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻝㻝㻘㻟㻠㻝㻌 㻝㻝㻘㻤㻟㻥㻌 㻝㻞㻘㻞㻜㻣 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻟㻞㻢 㻝㻜㻡 㻡㻞 㻝㻞㻘㻜㻜㻟 㻝㻞㻘㻞㻟㻜 㻝㻞㻘㻡㻥㻠 㻌 㻌 㻌 㻌 ―50― 腎臓内科 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 㻥㻘㻣㻜㻢㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㻣㻘㻡㻜㻢㻌 㻣㻘㻥㻟㻞 㻌 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌㻌㻌 ᝈྡ䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ⭈⅖䞉䝛䝣䝻䞊䝊ೃ⩌䠄⭈⏕᳨ྵ䜐䠅㻌 㻤㻥 㻞㻌 ៏ᛶ⭈⮚䠄㻯㻷㻰䠅䞉⾑ᾮ㏱ᯒᮇྜే㻌 㻣㻥 㻟㻌 ⾑ᾮ㏱ᯒᑟධ㻌 㻣㻞 㻠㻌 ៏ᛶ⭈⮚䠄㻯㻷㻰䠅䞉ಖᏑᮇྜే㻌 㻠㻞 㻡㻌 ᛴᛶ⭈㞀ᐖ䠄㻭㻷㻵䠅㻌 㻞㻥 㻢㻌 㟁ゎ㉁␗ᖖ㻌 㻝㻡 㻣㻌 ⭈⛣᳜㛵㐃㻌 㻝㻞 㻤㻌 ⭡⭷㏱ᯒ㛵㐃㻌 㻝㻜 㻥㻌 ⭡⭷㏱ᯒᑟධ㻌 㻥 㻝㻜㻌 ⭈⛣᳜㻌 㻠 㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ⭈⏕᳨㻌 㻢㻜 㻞㻌 ᣢ⥆ⓗ⾑ᾮℐ㐣㏱ᯒ㻌 㻟㻌 ⾑₢㻌 㻥 㻠㻌 㔜ℐ㐣⾑₢㻌 㻝 㻡㻌 ⓑ⾑⌫྾╔㻌 㻢㻌 㻸㻰㻸 ྾╔㻌 㻜 㻣㻌 ⾑ᾮ྾╔㻌 㻜 㻤㻌 䜶䞁䝗䝖䜻䝅䞁྾╔㻌 㻝㻜㻥 㻝㻞 㻠㻠 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟⏥≧⭢ෆάᛶᆺ䝡䝍 ᖹᡂ㻞㻜ᖺ䜘䜚⏥≧⭢㝖⾡䛾ᅔ㞴䛺㞴ᛶ⭈ᛶ⏥≧⭢ᶵ 䝭䞁 㻰 䜰䝘䝻䜾┤᥋ὀධ ⬟ஹ㐍ᝈ⪅䜢ᑐ㇟䛻ඛ㐍་⒪䛸䛧䛶ᐇ䛧䛶䛔䜛䚹ẖᖺ㻝䡚㻞 ἲ㻌 ⛬ᗘ䛜⾜䛥䜜䚸୍ᐃ䛾⒪ᡂᯝ䛜ᚓ䜙䜜䛶䛔䜛䚹㻌 㻌 㻌 䐠䜰䝣䜵䝺䝅䝇⒪ἲ㻌 䛣䜜䜎䛷⸆≀⒪䛷䛿⒪ᅔ㞴䛷䛒䛳䛯⭺ཎ䚸⚄⤒ච ᝈ䚸⾑ᾮᝈ䚸㛢ሰᛶື⬦◳䚸୍㒊䛾⓶ᝈ䚸⅖ᛶ⭠ ᝈ䛺䛹䛻ᑐ䛧䚸⾑₢䜔㔜ℐ㐣⾑₢⒪ἲ䚸ྛ✀䛾྾ ╔⒪ἲ䛺䛹䜢✚ᴟⓗ䛻⾜䛧䚸୍ᐃ䛾⒪ᡂᯝ䛜ᚓ䜙䜜䛶䛔 䜛䚹㻌 㻌 㻌 ―51― 腎臓内科 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟㏱ᯒ㛵㐃ྜే䛾ቑຍ㻌 㧗㱋䞉㛗ᮇ㏱ᯒᝈ⪅䛾ቑຍ䛻క䛔䚸䛭䛾ྜే䛜ᛴቑ䛧䚸䛥 䜙䛻ែ䛜」㞧䚸㔜䛧䛶䛔䜛䚹ᙜ⛉䛾䜏䛷ゎỴ䛷䛝䜛ྜ ే䛿ᑡ䛺䛟䚸⛉䛸䛾䛣䜜䜎䛷௨ୖ䛾㐃ᦠ䛾ᙉ䛜ᚲ㡲䛷 䛒䜛䚹㻌 䐠ᛴᛶ⭈㞀ᐖ䚸㟁ゎ㉁␗ᖖ ⥲ྜデ⒪㒊䛾タ❧䛸ᛴᛶᮇᦙ㏦ᝈ⪅䛾ቑຍ䛻క䛔䚸ᕷ୰Ⓨ ᝈ⪅䛾ቑຍ㻌 䛾ᛴᛶ⭈㞀ᐖ䚸㟁ゎ㉁␗ᖖᝈ⪅䛾ධ㝔䛜ቑຍ䛧䛯䚹䛣䜜䜙 䛾ᝈ⪅䛿ึᮇ䛾㐺ษ䛺⒪䛻䜘䜚ணᚋ䜢ᨵၿ䛩䜛䛣䛸䛜ྍ⬟ 䛷䚸ᆅᇦ་⒪Ỉ‽ྥୖ䛾ព䛛䜙䜒ᚋ䜒✚ᴟⓗ䛻ཷ䛡ධ 䜜䛶䛔䛟䛣䛸䛜㔜せ䛷䛒䜛䚹㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃㏆㞄䛾䛛䛛䜚䛴䛡་䛸䛾㐃ᦠ䜢᭦䛻ᙉ䛧䚸㻯㻷㻰 䛾᪩ᮇⓎぢ䞉᪩ᮇ⒪䛻ྥ䛡䛯デ㐃 ᦠ䜢☜❧䛩䜛䚹㻌 䖃⛉䛸䛾㐃ᦠ䜢᭦䛻ᙉ䛧䚸㏆㞄䛾་⒪タ䛛䜙䛾౫㢗䛻䝇䝮䞊䝈䛻ᑐᛂ䛷䛝䜛䜘䛖䛻䛩 䜛䚹㻌 䖃ᮎᮇ⭈ᝈ⪅୍ே䜂䛸䜚䛻༑ศ䛺㛫䜢䛸䛳䛶䚸㐍⾜䛧䛯៏ᛶ⭈䛻ᑐ䛩䜛㏱ᯒ⒪ ἲ䛾㑅ᢥ䜔ᣦᑟ䚸⭈⮚⛣᳜䛾┦ㄯ䛺䛹䜢᭦䛻✚ᴟⓗ䛻⾜䛳䛶䛔䛟䚹㻌 㻌 ―52― 消化器内科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻠㻌 ᾘჾෆ⛉㻌 ４）消化器内科 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ྜྷ⏣㻌 㻌 ோ㻌 ་ᒁ㛗㻌 ᑠす ୍⏨㻌 Ჷ་㛗㻌 ᮧ ဢࠊ∦᱒ ᩔ㻌 㻌 㻔㻞㻕 ་ᖌᩘ 㻠㻟 ྡ㻔ᖖ 㻟㻟 ྡࠊ㠀ᖖ 㻝㻜 ྡ㻕 㻌 㻌 㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻟ྡ ຓᩍ㻌 㻞㻞 ྡ Ꮫ㝔⏕㻌 㻢ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬࡧᑓ㛛་࣭ㄆᐃ་ 㻌 ᣦᑟ་㻌 ᑓ㛛་㻌 㻌 ㄆᐃ་㻌 ࡑࡢ㻌 㻌 ᾘჾᣦᑟ་㻌 㻠ྡ ᾘჾෆど㙾ᣦᑟ་㻌 㻢ྡ ⫢⮚ᣦᑟ་㻌 㻝ྡ ⥲ྜෆ⛉ᑓ㛛་㻌 㻞ྡ ᾘჾᑓ㛛་㻌 㻞㻠 ྡ ᾘჾෆど㙾ᑓ㛛་㻌 㻝㻡 ྡ ⫢⮚ᑓ㛛་㻌 㻤ྡ ㉸㡢Ἴᑓ㛛་㻌 㻝ྡ ࡀࢇ⸆≀⒪ἲᑓ㛛་㻌 㻝ྡ ㄆᐃෆ⛉་㻌 㻟㻟 ྡ ࡀࢇ⒪ㄆᐃ་㻌 㻟ྡ ⒴⒪ᬻᐃᩍ⫱་㻌 㻝ྡ ⮫ᗋ⭘⒆Ꮫᬻᐃᣦᑟ་㻌 㻝ྡ ⫹㐨Ꮫㄆᐃᣦᑟ་㻌 㻞ྡ 㻌 㻔㻠㻕 እ᮶デ⒪ࡢᐇ⦼㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ㸦ึデ㸧㻌 㻟㻘㻜㻤㻡 㻟㻘㻜㻥㻠 㻟㻘㻞㻣㻜 እ᮶ᝈ⪅ᩘ㸦デ㸧㻌 㻠㻠㻘㻝㻡㻜 㻠㻣㻘㻜㻢㻥 㻠㻡㻘㻥㻡㻜 㻝㻘㻝㻞㻡 㻠㻜㻜 㻞㻟㻥 㻡㻜㻘㻟㻥㻥 㻡㻜㻘㻡㻢㻟 㻠㻥㻘㻠㻡㻥 እ᮶ᝈ⪅ᩘ㸦㛫እ㸧㻌 እ᮶ᝈ⪅ᩘ㸦ྜィ㸧㻌 ―53― 消化器内科 㻔㻡㻕 ධ㝔デ⒪ࡢᐇ⦼㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ධ㝔ᝈ⪅ᩘ㸦ᘏᩘ㸧㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 㻞㻥㻘㻝㻤㻠㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 㻟㻠㻘㻣㻝㻤㻌 㻟㻜㻘㻝㻜㻞 㻌 㻔㻢㻕 ධ㝔デ⒪ࡢᐇ⦼ 㻌 㻌 ᝈྡ㸦ධ㝔㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 ⭠࣏࣮ࣜࣉ㻌 㻠㻡㻣 㻞㻌 ⫢⣽⬊⒴ 㻞㻞㻥 㻟㻌 ⫹▼ࠊ⫹㐨ឤᰁ 㻝㻣㻞 㻠㻌 㐍⾜⫶⒴ 㻝㻣㻜 㻡㻌 ⮅⒴ 㻝㻜㻜 㻢㻌 ⭠ࡢ᠁ᐊᝈ 㻥㻡 㻣㻌 ⭠⒴ 㻥㻠 㻤㻌 ࣞ࢘ࢫ࠾ࡼࡧ⭠㛢ሰ 㻤㻤 㻥㻌 㣗㐨⒴ 㻣㻥 㻝㻜㻌 ᛴᛶ⮅⅖ 㻢㻣 㻌 㻌 ᡭ⾡㡯┠㸦ධ㝔㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 ⭠⭘⒆ᑐࡍࡿෆど㙾ⓗ⒪㸦㻱㻹㻾㸧㻌 㻠㻤㻜 㻞㻌 㣗㐨⭘⒆ᑐࡍࡿෆど㙾ⓗ⒪㸦㻱㻿㻰㸧㻌 㻞㻡 㻟㻌 ⫶⭘⒆ᑐࡍࡿෆど㙾ⓗ⒪㸦㻱㻿㻰㸧㻌 㻣㻠 㻠㻌 ⭠⭘⒆ᑐࡍࡿෆど㙾ⓗ⒪㸦㻱㻿㻰㸧㻌 㻡㻥 㻡㻌 ⫢⣽⬊⒴ᑐࡍࡿࣛࢪ࢜Ἴ↝ⅎ⒪㸦㻾㻲㻭㸧㻌 㻣㻤 㻢㻌 ⫢⣽⬊⒴ᑐࡍࡿ⫢ື⬦Ꮫሰᰦ⾡㸦㼀㻭㻯㻱㻛㼀㻭㻵㸧㻌 㻤㻥 㻣㻌 㣗㐨㟼⬦⒗ᑐࡍࡿෆど㙾ⓗ⒪㸦㻱㻵㻿㻛㻱㼂㻸㸧㻌 㻤㻌 ࣂ࣮ࣝࣥ㛢ሰୗ㏫⾜ᛶ㟼⬦⒗ሰᰦ⾡㸦㻮㻙㻾㼀㻻㸧㻌 㻥㻌 ෆど㙾ⓗ㏫⾜ᛶ⫹⟶⮅⟶㐀ᙳ㛵㐃ᡭᢏ㻌 㻠㻞㻜 㻝㻜㻌 ⤒⓶⤒⫢⫹㐨ࢻࣞࢼ࣮ࢪ㸦㻼㼀㻮㻰㻛㻼㼀㻳㻮㻰㸧㻌 㻤㻣 㻝㻝㻞 㻢 㻌 㻌 ࡞᳨ᰝ࣭ฎ⨨ྡ㸦እ᮶࣭ධ㝔ၥࢃࡎ㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 ୖ㒊ᾘ⟶ෆど㙾᳨ᰝ㻌 㻠㻘㻜㻟㻞 㻞㻌 ୗ㒊ᾘ⟶ෆど㙾᳨ᰝ㻌 㻞㻘㻠㻡㻜 㻟㻌 ⭡㒊㉸㡢Ἴ᳨ᰝ㻔ࢫࢡ࣮ࣜࢽࣥࢢ㻕㻌 㻠㻌 ⭡㒊㐀ᙳ㉸㡢Ἴ᳨ᰝ㻌 㻟㻡㻝 㻡㻌 ㉸㡢Ἴෆど㙾᳨ᰝ㸦⫹⮅⫶㸧㻌 㻟㻜㻝 㻢㻌 ㉸㡢Ἴෆど㙾᳨ᰝ㸦㣗㐨࣭⭠㸧㻌 㻡㻡 㻣㻌 ㉸㡢Ἴෆど㙾ୗ✸่྾ᘬ⏕᳨㻔㻱㼁㻿㼋㻲㻺㻭㻕㻌 㻠㻟 ―54― 㻞㻘㻥㻥㻡㻌㻔㻝㻘㻜㻥㻟㻕 ձෆど㙾ⓗ⢓⭷ୗᒙ 㣗㐨࣭⫶࣭⭠ࡘ࠸࡚ 㻱㻿㻰 ࡼࡿෆど㙾ⓗ⒪ࢆ✚ᴟⓗ 㞳⾡㻔㻱㻿㻰㻕㻌 ᑟ ධ ࡋ ࡚ ࠸ ࡿ ࠋ ᪩ ᮇ ⫶ ⒴ ࡢ ෆ ど 㙾 ⒪ ࡣ 㻶㼍㼜㼍㼚㻌 㻯㼘㼕㼚㼕㼏㼍㼘㻌 㻻㼚㼏㼛㼘㼛㼓㼥㻌㻳㼞㼛㼡㼜㸦㻶㻯㻻㻳㸧ཧຍࡋࠊ⒪㐺ᛂᣑ㛵ࡍࡿከ タඹྠ◊✲ࢆ㐍ࡵ࡚࠸ࡿࠋ㻌 ղᣑෆど㙾ࢆ⏝࠸ࡓ 㻺㼍㼞㼞㼛㼣㻌㻮㼍㼚㼐㻌㻵㼙㼍㼓㼕㼚㼓 ࡞⏬ീᙉㄪෆど㙾࣭Ⰽ⣲ෆど㙾ᣑ ෆど㙾デ᩿㻌 ෆど㙾ࢆ⤌ࡳྜࢃࡏࠊ⭘⒆࣭㠀⭘⒆ࡢ㚷ูデ᩿࠾ࡼࡧᾘ⟶ ⒴ࡢ῝㐩ᗘデ᩿ࡘ࠸࡚㧗⢭ᗘࡢෆど㙾᳨ᰝࢆ⾜ࡗ࡚࠸ࡿࠋ ճ ⭠ ⒴ ᑐ ࡍ ࡿ デ ⌮ጤဨࡢᢎㄆࢆ࠼࡚ෆど㙾⏕᳨ᮦᩱࢆ⏝࠸࡚⒪๓デ ᩿࣭⒪㛵ࡍࡿࣂ࢜ ᩿࠾ࡼࡧ⒪ຠᯝண ࡘ࠸࡚ࢤࣀ࣒࣡ࢻ࡞ゎᯒࢆ⏝࠸ ࣐࣮࣮࢝᥈⣴㻌 ࡓ◊✲ࢆ⾜ࡗ࡚࠸ࡿࠋ㻌 մ₽⒆ᛶ⭠⅖⒪ 㞴ᛶ₽⒆ᛶ⭠⅖ᑐࡋ࡚⤒ཱྀࢱࢡ࣒ࣟࣜࢫࡀᢞࡉࢀ ࠾ࡅࡿࢱࢡ࣒ࣟࣜࢫ ࡿࡀࠊ᭷ຠᛶࡣ 㻡㻜㹼㻣㻜㻑࡛࠶ࡿࠋ⒪ᛂᛶࡢᅉᏊࢆ᥈⣴ࡍ ᛂᛶᅉᏊࡢ᳨ウ㻌 ࡿࡇࡣࠊࢱࢡ࣒ࣟࣜࢫ௨እࡢ⒪ࢆ㑅ᢥࡍࡿุ᩿ᮦᩱ࡞ ࡾ་⒪⤒῭ⓗࡶ㔜せ࡛࠶ࡿࠋᙜ⛉ࡢࡇࢀࡲ࡛ࡢ⮫ᗋࢹ࣮ࢱ ࢆᚋྥࡁゎᯒࡋࠊᛂᛶࡢᅉᏊࢆ᳨ウࡍࡿࠋ㻌 յ₽⒆ᛶ⭠⅖࠾ࡅ ₽⒆ᛶ⭠⅖ࡶ⒪┠ᶆࡣ▷ᮇⓗࡣ≧ࡢ㏿ࡸ࡞ᨵၿ ࡿࢱࢡ࣒ࣟࣜࢫ⒪ࡢ ࡛࠶ࡿࡀࠊ㛗ᮇⓗࡣᡭ⾡ࡸධ㝔ࡢᅇ㑊ࠊ㻽㻻㻸 ࡢྥୖ࡛࠶ࡿࠋ ୰࣭㛗ᮇⓗணᚋ㻌 ࢱࢡ࣒ࣟࣜࢫࡣ㞴ᛶ₽⒆ᛶ⭠⅖ᢞࡉࢀࡿࡀࠊࡑࡢ㛗 ᮇⓗ࡞ணᚋࡢ᳨ウࡣ༑ศ࡛࠶ࡿࠋࡑࡇ࡛ᙜ⛉࡛ࡢ㛗ᮇⓗண ᚋࢆ⮫ᗋࢹ࣮ࢱࡼࡾゎᯒࡋࠊࡢ⒪᪉ἲẚ㍑ࡍࡿࠋ㻌 ն㻯 ᆺ៏ᛶ⫢⅖ᑐࡍࡿ ࣉࣟࢸ࣮ࢮ㜼ᐖ⸆࡛࠶ࡿࢸࣛࣉࣞࣅࣝࠊ࣌ࢢࣥࢱ࣮ࣇ࢙ ᪂つ⒪㻌 ࣟࣥࠊࣜࣂࣅࣜࣥ 㻟 ే⏝⒪ἲࡢ⒪ຠᯝ↓ண ᅉᏊࡋ࡚ 㻵㻸㻞㻤㻮 㑇ఏᏊࡢ㑇ఏᏊከᆺࡀሗ࿌ࡉࢀ࡚࠾ࡾࠊᙜ㝔࡛ࡶ 㻵㻸㻞㻤㻮 ࢪ࢙ࣀࢱࣉゎᯒࢆᑟධࡋࡓࠋ᭦ḟୡ௦ࡢ➨ 㻞 ୡ௦ࣉࣟࢸ ࣮ࢮ㜼ᐖ⸆௦⾲ࡉࢀࡿ 㻰㻭㻭㻔㼐㼕㼞㼑㼏㼠㻌㼍㼏㼠㼕㼚㼓㻌㼍㼚㼠㼕㼢㼍㼕㼞㼍㼘㻕ࡢ 㻟 ే⏝⒪ἲࠊࡲࡓࣥࢱ࣮ࣇ࢙ࣟࣥࢆ⏝ࡋ࡞࠸⤒ཱྀ 㻰㻭㻭㻌 㻞 ⒪ἲࡢ➨ 㻞ࠊ㻟 ┦⮫ᗋヨ㦂ཧຍࡋ࡚࠸ࡿࠋ㻌 շ㐍⾜⫢⒴ᑐࡍࡿ࣌ ࡢ⒪ἲ࡛ᨵၿࡀᮇᚅ࡛ࡁ࡞࠸ 㻴㻯㼂 㝧ᛶ㐍⾜⫢⒴ᑐࡋ ࣉࢳࢻ࣡ࢡࢳࣥ⒪㻌 ࡚ࠊᝈ⪅ࡢ 㻴㻸㻭 ྜࢃࡏࡓࢸ࣮࣮࣓ࣛࢻࡀࢇ࣌ࣉࢳࢻ࣡ࢡ ࢳࣥࢆ⏝࠸ࡓච⒪ࢆヨࡳࡿ⮫ᗋヨ㦂࡛࠶ࡿࠋ⒪ࡢ᭷ຠ ᛶඹࠊ⏕య࡛ࡢචᛂ⟅ࡶ᳨ウࡍࡿࠋ㻌 ո⤒㟼⬦ⓗ⫢ෆ㛛⬦ ඛ㐍་⒪ࡢ⏦ㄳࢆ⾜࠸ࠊ㛛⬦ᅽஹ㐍ࡼࡿෆど㙾⒪ᢠ ᚠ⎔▷⤡⾡㸦㼀㻵㻼㻿㸧㻌 ᛶ㣗㐨⫶㟼⬦⒗ࠊ㞴ᛶ⭡Ỉ⤒㟼⬦ⓗ⫢ෆ㛛⬦ᚠ⎔▷⤡ ⾡㸦㼀㻵㻼㻿㸧ࢆ⾜࡞ࡗ࡚࠸ࡿࠋ㻌 չ㔜ᛴᛶ⮅⅖ᑐࡍ ⮴Ṛ⋡ࡀ㧗࠸㔜ᛴᛶ⮅⅖ᑐࡋ࡚ࠊ㞟୰⒪ᐊ࡛ࡢ⺮ⓑศ ࡿ㞟Ꮫⓗ⒪㻌 ゎ㓝⣲㜼ᐖ⸆ࠊᢠ⳦⸆ࡢ 㻞 ⤒㊰ືὀ⒪ἲࡸᣢ⥆ⓗ⾑ᾮℐ㐣㏱ ᯒ࡞ࡢ≉Ṧ⒪ࢆ⾜ࡋ࡚࠸ࡿࠋ㔜ឤᰁᑐ⟇ࡋ࡚ࠊ ⤒⟶ᰤ㣴⒪ἲࡸ࢚ࣥࢻࢺ࢟ࢩࣥ྾╔⒪ἲࢆే⏝ࡋࠊ㧗࠸ᩆ ⋡ࡀᚓࡽࢀ࡚࠸ࡿࠋ⮅⅖ᚋࡢ⮅௬ᛶᄞ⬊࠾ࡼࡧ⮅⮋⒆ࡣ㉸ ―55― 消化器内科 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 消化器内科 㡢Ἴෆど㙾ୗࡼࡿ⤒ᾘ⟶ⓗࢻࣞࢼ࣮ࢪࢆ⾜࡞ࡗ࡚࠸ࡿ 㻔㻴㻞㻠 ᖺᗘ㸸㻝㻞 㻕㻌 ࠋ㻌 պ⮬ᕫචᛶ⮅⅖ࠊ㻵㼓㻳㻠 ⮅⒴ࡢ㚷ูࡀ㛫㢟࡞ࡿ⮬ᕫචᛶ⮅⅖㸦㻭㻵㻼㸧 ࠊ㻵㼓㻳㻠 㛵㐃 㛵㐃◳ᛶ⫹⟶⅖࠾ࡼ ⫹⟶⅖ࡘ࠸࡚ࠊᅉែ᥎⛣ࡢゎ᫂ດࡵ࡚࠸ࡿࠋ㻌 ࡧ 㻵㼓㻳㻠 㛵 㐃 ᝈ ࡲࡓࠊ㌟ᛶᝈࡋ࡚᪂ࡓୡ⏺ྥࡅ࡚ໟᣓⓗデ᩿ᇶ 㸦㻵㼓㻳㻠㻙㻾㻰㸧㻌 ‽ࡀ࿌♧ࡉࢀࡓ 㻵㼓㻳㻠㻙㻾㻰 ࡘ࠸࡚ࡣࠊ⛉ࡢ㐃ᦠࢆᙉࡋ ᝈᴫᛕࡢၨⵚດࡵࠊデ᩿ࡼࡿᮏᝈࡢ᪩ᮇⓎぢࡣࡶ ࡼࡾࠊ⒪ᣦ㔪ࢆ☜❧ࡍࡃ⒪≧ἣࡢᢕᥱ㌿ᖐࡢㄪᰝࢆ 㛤ጞࡋࡓࠋ㻌 ջ⮅⟶ෆங㢌≧⢓ᾮᛶ 㻵㻼㻹㻺ࠊ㻹㻯㻺 ࡢ㚷ูデ᩿ࡢྥୖࠊ㻵㻼㻹㻺 ࡣ⮅⟶ᆺࠊศᯞ⮅⟶ ⭘⒆㸦㻵㻼㻹㻺㸧ࠊ⮅⢓ᾮᛶ ᆺࡢศูࡢ⢭ᗘࢆྥୖࡉࡏࠊ㼁㻿 ࡼࡿቨᅾ⤖⠇ࡸὶධ⾑ὶ ⬊⭘⒆㸦㻹㻯㻺㸧ࠊ⫹⟶ ࡢ᭷↓ࠊ㻹㻾㻯㻼 ࠾ࡅࡿᣑᩓᙉㄪീࠊ㻱㻾㻯㻼 ࡢ⮅⟶Ὑίᾮ ෆங㢌≧⭘⒆㸦㻵㻼㻺㻮㸧㻌 㸦㻼㻰㻸㻲㸧ࢆ⏝࠸ࡿ⮅⟶Ὑί⣽⬊デࠊྍ⬟࡛࠶ࢀࡤ 㻿㼜㼥㻳㼘㼍㼟㼟 ࢆ⏝࠸ࡓࠋ㻌 ≉ࠊ㻵㻼㻺㻮 ࡢデ᩿ࡣࠊ㻿㼜㼥㻳㼘㼍㼟㼟 ࡼࡿෆど㙾ⓗデ᩿⣽ ⬊デ࣭⤌⧊デࢆ㐍ࡵ࡚࠸ࡿࠋ㻌 㻌 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 ձᾘ⟶⭘⒆ᑐࡍࡿ 㻺㼍㼞㼞㼛㼣㻌㻮㼍㼚㼐㻌㻵㼙㼍㼓㼕㼚㼓 ࡞⏬ീᙉㄪෆど㙾࣭Ⰽ⣲ෆど㙾ᣑ ෆど㙾デ᩿࣭⒪㻌 ෆど㙾ࢆ⤌ࡳྜࢃࡏࠊ⭘⒆࣭㠀⭘⒆ࡢ㚷ูデ᩿࠾ࡼࡧᾘ⟶ ⒴ࡢ῝㐩ᗘデ᩿ࡘ࠸࡚㧗⢭ᗘࡢෆど㙾᳨ᰝࢆ⾜࠸ࠊࡑࡢୖ ࡛⒪㐺ᛂࡘ࠸࡚ 㻱㻿㻰 ࢆࡣࡌࡵࡋࡓෆど㙾⒪ࢆ ⾜ࡗ࡚࠸ࡿࠋෆど㙾⒪ᩘࡣᖺࠎቑຍഴྥ࠶ࡿࠋ㻌 ղᾘჾ⒴ᑐࡍࡿ㞟 ษ㝖⬟㧗ᗘ㐍⾜ᾘჾ⒴㸦㣗㐨࣭⫶࣭⭠㻕ࡘ࠸࡚ᢠࡀࢇ Ꮫⓗ⒪ἲ㻌 ศᏊᶆⓗ⸆ࢆ⤌ࡳྜࢃࡏ࡚⒪࠶ࡓࡗ࡚࠸ࡿࠋศᏊᶆ ⓗ⸆ᑐࡍࡿࣂ࣐࣮࣮࢜࢝ࡋ࡚ 㻷㻾㻭㻿࣭㻮㻾㻭㻲 㑇ఏᏊኚ ␗ࡸ 㻴㻱㻾㻞 㑇ఏᏊⓎ⌧ࢆ⏝࠸࡚⾜ࡗࡓࠋࡲࡓࠊ⒪ᑟධ๓࣭ ⒪ᚋࡢᝏᛶ⭘⒆ࡼࡿᾘ⟶⊃✽ࡘ࠸࡚ࡣࠊෆど㙾ⓗࢫ ࢸࣥࢺ␃⨨ࡶ㐺ᐅ⾜ࡗࡓࠋ㻌 ճࢱࢡ࣒ࣟࣜࢫࡢ᪩ᮇ ᙜ⛉࡛ࡣ✚ᴟⓗ᪩ᮇ㣬ດࡵࡓ⤖ᯝࠊẚ㍑ⓗⰋዲ࡞ᐶゎ 㣬ࡼࡿ₽⒆ᛶ⭠ ᑟධ⋡ࡀᚓࡽࢀࡓࠋࡋࡋ࡞ࡀࡽ㛗ᮇணᚋࡣ᫂☜࡛࠶ࡾ ⅖ࡢ⒪㻌 ᚋࡢㄢ㢟࡛࠶ࡿࠋ㻌 մ㻯 ᆺ៏ᛶ⫢⅖ᑐࡍࡿ 㻵㻸㻞㻤㻮 ࢪ࢙ࣀࢱࣉࡢゎᯒࡼࡾࠊࡇࢀࡲ࡛ࡢ㑇ఏᏊᆺ࡞ ᪂つ⒪㻌 ࡢ࢘ࣝࢫᅉᏊࡢ⤌ࡳྜࢃࡏ࡛ࠊ㐺ษ࡞ࣥࢱ࣮ࣇ࢙ࣟࣥ ⒪ἲࡢ㑅ᢥࡀྍ⬟࡞ࡗࡓࠋࣥࢱ࣮ࣇ࢙ࣟࣥ⒪ᢠᛶ ᝈ⪅ࠊ≉↓ຠᑐࡋ࡚➨ 㻞 ୡ௦ 㻰㻭㻭ࠊ࣌ࢢࣥࢱ࣮ࣇ࢙ ࣟࣥࠊࣜࣂࣅࣜࣥ 㻟 ే⏝⒪ἲࠊ᭦స⏝ࡸྜేࡢࡓࡵ ࣥࢱ࣮ࣇ࢙ࣟࣥࡀཷࡅࡽࢀ࡞࠸ᝈ⪅ᑐࡍࡿ 㻰㻭㻭 ⤒ཱྀ 㻞 ⒪ἲࡢᅜෆ⮫ᗋヨ㦂ཧຍࡋࡓࠋ㻌 㻌 ―56― ≉␗ⓗචᛂ⟅㻌 චᛂ⟅ࡀ⫢⒴ࡢⓎࢆᢚไࡍࡿྍ⬟ᛶࡀ⪃࠼ࡽࢀࡓࠋ⫢⒴ ᝈ⪅ࡢᮎᲈ⾑ࢆ⏝࠸ࠊ⒴≉␗ⓗ⣽⬊㞀ᐖᛶ 㼀 ⣽⬊ࡢ᭱ᑠㄆ㆑ ࢚ࣆࢺ࣮ࣉࢆྠᐃࡋ࡚ࡁࡓࠋ㻌 ն㐍⾜⫢⣽⬊⒴㛵ࡍ ከタྜྠ◊✲ࠕ㐍⾜⫢⣽⬊⒴ᑐࡍࡿ⫢ືὀᏛ⒪ἲ 㻿㼛㼞㼍㼒㼑㼚㼕㼎 ⒪ἲࡢ↓సⅭẚ㍑ヨ㦂ࠖࠊ ࠕ㐍⾜⫢⣽⬊⒴ᑐࡍࡿ ࡿ⒪㻌 ⫢ືὀᏛ⒪ἲ 㻿㼛㼞㼍㼒㼑㼚㼕㼎 ⒪ἲࡢ᭷ຠᛶ㛵ࡍࡿ๓ྥࡁࢥ ࣮࣍ࢺ◊✲ࠖཧຍࡋ࡚࠾ࡾࠊ⥅⥆୰࡛࠶ࡿࠋ㻌 շ㞴ᛶ⭡Ỉᑐࡍࡿ ៏ᛶ⫢ᝈࢆ⫼ᬒࡋࡓ㞴ᛶ⭡Ỉࡣࠊ㔞⭡Ỉ✸่ ⒪㻌 ࣝࣈ࣑ࣥ〇ࡢᢞࢆ⾜࡞ࡗ࡚࠸ࡿ㸬㢖ᅇࡢ⭡Ỉ✸่ᾮࡀ ᚲせ࡞ࡣࠊ㼀㻵㻼㻿 ࡲࡓࡣ⭡⭍㟼⬦ࢩࣕࣥࢺࢆ⪃៖ࡋ࡚ࡁ ࡓࠋᮏᖺࡣ 㼀㻵㻼㻿 ࢆ 㻞 ࠊ⭡⭍㟼⬦ࢩࣕࣥࢺࢆ 㻟 ⾜࡞ࡗ ࡓࠋ㻌 ո㣗㐨⫶㟼⬦⒗ᑐࡍ 㣗㐨⫶㟼⬦⒗ᑐࡍࡿෆど㙾ⓗ⒪ᚋࡢⓎண㜵㛵ࡍࡿ ከタඹྠ◊✲ࠕ㣗㐨㟼⬦⒗⤖⣻⾡㸦㻱㼂㻸㸧ᚋࡢ࢝ࣝ࣋ࢪ࣮ࣟ ࡿ⒪㻌 ࣝࡲࡓࡣࣛ࣋ࣉࣛࢰ࣮ࣝᢞࡼࡿฟ⾑ண㜵ࢆ┠ⓗࡋࡓ ↓సⅭẚ㍑ヨ㦂ࠖཧຍࡋࠊ⌧ᅾ⥅⥆୰࡛࠶ࡿࠋ㻌 չ㔜ᛴᛶ⮅⅖ᑐࡍ 㻞㻜㻝㻞 ᖺ 㻠 ᭶㹼㻞㻜㻝㻟 ᖺ 㻟 ᭶㸸㔜ᛴᛶ⮅⅖ 㻠㻟 㸦ືὀ⒪ἲ㸸 㻝㻡 ࠊ㻯㻴㻰㻲㸸㻢 ࠊ⤒⟶ᰤ㣴㸸㻝㻟 ࠊධ㝔ᮇ㛫㸸㻝㻡 ᪥㸦୰ ࡿ⒪㻌 ኸ್㸧㸧ࠋ㻌 㸦ື 㻞㻜㻜㻟 ᖺ㹼㻞㻜㻝㻞 ᖺ㸸㔜ᛴᛶ⮅⅖ 㻞㻟㻡 㸦ᩆ⋡㸸㻥㻟㸣㸧 ὀ⒪ἲ㸸㻣㻣 ࠊ㻯㻴㻰㻲㸸㻝㻜㻤 ࠊ⤒⟶ᰤ㣴㸸㻥㻢 㸧㻌 պ⮬ᕫචᛶ⮅⅖ࠊ㻵㼓㻳㻠 㻭㻵㻼 ⮫ᗋデ᩿ᇶ‽ 㻞㻜㻝㻝 ࠾ࡼࡧ 㻵㼓㻳㻠 㛵㐃◳ᛶ⫹⟶⅖デ᩿ᇶ 㛵㐃◳ᛶ⫹⟶⅖࠾ࡼ ‽ࡢୖᱻࢆ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉࡢ୍ဨࡋ࡚⾜ࡗࡓࠋ㻌 ࡧ 㻵㼓㻳㻠 㛵 㐃 ᝈ 㻞㻜㻝㻟 ᖺ 㻟 ᭶ࡲ࡛ࡢᙜタ࠾ࡅࡿデ⒪ᝈ⪅ᩘࡣࠊ㻭㻵㻼 ࡣ 㻞㻤 㸦㻵㼓㻳㻠㻙㻾㻰㸧㻌 ྡ㸦⏨㸸ዪ㻩㻞㻞 ྡ㸸㻢 ྡࠊᖹᆒᖺ㱋㸸㻢㻢㻚㻥 ṓ㸧ࠊ㻵㼓㻳㻠 㛵㐃◳ ᛶ⫹⟶⅖ࡣ 㻞㻤 ྡ㸦⏨㸸ዪ㻩㻞㻜 ྡ㸸㻠 ྡࠊᖹᆒᖺ㱋㸸㻢㻤㻚㻠 ṓ㸧ࠊ 㻵㼓㻳㻠 㛵㐃ᝈࡣ 㻟㻜 ྡࠊ 㸦⏨㸸ዪ㻩㻞㻡 ྡ㻦㻡 ྡࠊᖹᆒᖺ㱋 㻢㻢㻚㻥 ṓ㸧 ࡛࠶ࡗࡓࠋ㻌 ջ⮅⟶ෆங㢌≧⢓ᾮᛶ 㻞㻜㻜㻢 ᖺබ♧ࡉࢀࡓᅜ㝿デ⒪࢞ࢻࣛࣥࡢᨵゞྥࡅ ⭘⒆㸦㻵㻼㻹㻺㸧ࠊ⮅⢓ᾮᛶ Ꮫࠊཌປ┬◊✲⌜ࡼࡿάືࡀ┒ࢇ࡛࠶ࡾࠊᙜタ࡛ࡶ➨ ⬊⭘⒆㸦㻹㻯㻺㸧ࠊ⫹⟶ 㻤㻞 ᅇ᪥ᮏᾘჾෆど㙾Ꮫ⥲࡚㞟ィⓎ⾲ࢆ⾜࠸ࠊ♧၀ ෆங㢌≧⭘⒆㸦㻵㻼㻺㻮㸧㻌 ᐩࡴ㉁ࢆ⾜ࡗࡓࠋ㻌 㻌 ―57― 消化器内科 յ⫢⒴ᝈ⪅࠾ࡅࡿ⒴ ⫢⒴ᝈ⪅ࡢ⒴ᢠཎ≉␗ⓗචᛂ⟅ࡘ࠸᳨࡚ウࡋࠊ⒴≉␗ⓗ 消化器内科 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 ࠙ᾘ⟶ᝈࠚ㻌 ⏬ەീᙉㄪෆど㙾ࢆ⏝࠸ࡓデ᩿Ꮫࡘ࠸࡚ࡣࠊ⮫ᗋ◊✲ࡋ࡚ࡉࡽ࡞ࡿࢹ࣮ࢱࡢ✚࣭ ゎᯒࡀᚲせ࡛࠶ࡿࠋ㻌 ە⒪๓デ᩿࠾ࡼࡧ⒪ᒙูᑐࡍࡿࣂ࣐࣮࣮࢜࢝ࡘ࠸࡚ࡣࠊᘬࡁ⥆ࡁࢹ࣮ࢱ ✚࣭ゎᯒࡢ⥅⥆ࡀᚲせ࡛࠶ࡿࠋ㻌 ࡢ࣮ࣥࣟࢡە᪂ࡓ࡞≧ホ౯ᝈࣔࢽࢱࣜࣥࢢࡢ᪉ἲࡢ☜❧ࠋ㻌 ࠙⫢ᝈࠚ㻌 ࢙ࣥࣟࣇ࣮ࢱࣥە⒪ἲࡢ᭷ຠᛶࡀప࠸⫢◳ኚᝈ⪅ᑐࡋࠊࣥࢱ࣮ࣇ࢙ࣟࣥࡢే⏝ ࡼࡾᢠ࢘ࣝࢫຠᯝࡢቑᙉࡀሗ࿌ࡉࢀ࡚࠸ࡿࣅࢱ࣑ࣥ 㻰 ࣌ࢢࣥࢱ࣮ࣇ࢙ࣟࣥࠊ ࣜࣂࣅࣜࣥࡢ 㻟 ే⏝⒪ἲࡘ࠸࡚⮫ᗋ◊✲ࢆ⥅⥆ࡋ࡚࠸ࡿࠋ㻌 ە㻯 ᆺ៏ᛶ⫢⅖ᑐࡍࡿࢫࢱࢳࣥ〇ࡢ 㻟 ే⏝⒪ἲࡶ⒪ຠᯝࡀቑᙉࡍࡿࡇࡀሗ ࿌ࡉࢀࠊከタ⮫ᗋ◊✲㻔㻼㻱㻾㻲㻱㻯㼀㻌㻿㼀㼁㻰㼅㻕᳨࡛ドࢆ⾜ࡗ࡚࠸ࡿࠋ㻌 ە㻯 ᆺ៏ᛶ⫢⅖⒪ࡣ᪂つ⒪⸆ࢸࣛࣉࣞࣅࣝే⏝⒪ἲࡀ୰ᚰ࡞ࡾࠊ⒪ຠᯝࡣ㣕㌍ ⓗྥୖࡋࡓࠋࡋࡋࠊ⓶⑈ࠊ㈋⾑࡞ࡢస⏝ࡀ࠶ࡾࠊࡑࡢస⏝ᑐࡍࡿᑐฎࡀ 㔜せ࡛࠶ࡿࠋᙜ㝔࡛ࡣ⓶⛉ࡸタࡢඹྠ࡛స⏝㛵㐃ࡍࡿᝈ⪅ࡉࢇഃࡢᅉᏊ ࡘ࠸࡚ࡢ◊✲ࡶ⾜ࡗ࡚࠸ࡿࠋ㻌 ەᾘჾ⒴ᑐࡍࡿච⒪ࡢ⮫ᗋᛂ⏝ࢆ᳨ウࡋ࡚࠸ࡿࠋ⫢⣽⬊⒴ᑐࡍࡿ࣌ࣉࢳࢻ࣡ ࢡࢳࣥ⒪ἲࡘ࠸࡚ࠊᏛࡢඹྠ◊✲ࢆィ⏬ࡍࡿࠋ㻌 ە㐍⾜⣽⬊⒴࠾ࡅࡿ⒪᪉㔪ࡣ☜❧ࡉࢀ࡚࠸࡞࠸ࡓࡵࠊከタඹྠ◊✲ࡼࡾᶆ‽ⓗ ⒪ࢆ☜❧ࡋ࡚ࡺࡃࠋ㻌 ࠙⫹࣭⮅ᝈࠚ㻌 ە㔜ᛴᛶ⮅⅖ᑐࡍࡿᘬࡁ⥆ࡁ⒪ࢆ⥅⥆ࡋ࡚࠸ࡃࠋ㻌 ⮬ەᕫචᛶ⮅⅖㸦㻭㻵㻼㸧 ࠊ㻵㼓㻳㻠 㛵㐃◳ᛶ⫹⟶⅖ࠊ㻵㼓㻳㻠 㛵㐃ᝈ㸦㻵㼓㻳㻠㻙㻾㻰㸧ࡘ࠸࡚ࠊ デ᩿ᇶ‽ἢ࠸⒪ᣦ㔪ࡢ☜❧ࢆ㐍ࡵ࡚࠸ࡃࠋ㻌 ⟶⮅ەෆங㢌≧⢓ᾮᛶ⭘⒆㸦㻵㻼㻹㻺㸧ࠊ⮅⢓ᾮᛶ ⬊⭘⒆㸦㻹㻯㻺㸧ࠊ⫹⟶ෆங㢌≧⭘⒆㸦㻵㻼㻺㻮㸧 ࡘ࠸࡚ࠊ⒴࠾ࡼࡧ⮅⒴ࠊ⫹⟶⒴ྜేࡢデ᩿⢭ᗘࡢྥୖࢆ㐍ࡵ࡚࠸ࡃࠋ㻌 㻌 ―58― 血液内科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 ５）血液内科 㻡㻌 ⾑ᾮෆ⛉㻌 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 Ᏻ㻌 ⱱ㻌 ་ᒁ㛗㻌 㰻⸨㻌 ᩥㆤ㻌 Ჷ་㛗㻌 ᰗἑ㻌 Ꮥḟ㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻥ྡ㻔ᖖ㻤ྡ䚸㠀ᖖ㻜ྡ㻕㻌 㻌 㻌 㻌 㻌 ᩍᤵ㻌 㻝ྡ㻌 ᩍᤵ㻌 㻝ྡ㻌 ㅮᖌ㻌 㻟ྡ㻌 ຓᩍ㻌 㻟ྡ㻌 Ꮫ㝔⏕㻌 㻜ྡ㻌 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 㻌 㻌 ᣦᑟ་㻌 ᪥ᮏෆ⛉Ꮫᣦᑟ་㻌 㻡ྡ ᪥ᮏ⾑ᾮᏛᣦᑟ་㻌 㻟ྡ ᪥ᮏ⮫ᗋ⭘⒆Ꮫᬻᐃᣦᑟ་㻌 㻞ྡ ᑓ㛛་㻌 ᪥ᮏෆ⛉Ꮫᑓ㛛་㻌 㻝ྡ 㻌 ᪥ᮏ⾑ᾮᏛᑓ㛛་㻌 㻣ྡ ㄆᐃ་㻌 ᪥ᮏෆ⛉Ꮫㄆᐃ་㻌 㻣ྡ ᪥ᮏ䛜䜣⒪ㄆᐃ་ᶵᵓ䛜䜣⒪ㄆᐃ་㻌 㻟ྡ ᪥ᮏ䛜䜣⒪ㄆᐃ་ᶵᵓᬻᐃᩍ⫱་㻌 㻝ྡ 䛭䛾㻌 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻟㻥㻡㻌 㻟㻠㻞㻌 㻞㻟㻡 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻝㻜㻘㻟㻟㻟㻌 㻥㻘㻥㻢㻝㻌 㻥㻘㻞㻝㻝 㻝㻟㻞㻌 㻟㻠㻌 㻝㻞 㻝㻜㻘㻤㻢㻜㻌 㻝㻜㻘㻟㻟㻣㻌 㻥㻘㻠㻣㻤 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 㻝㻞㻘㻢㻡㻟 㻌 㻌 㻌 ―59― ᖹᡂ㻞㻟ᖺᗘ㻌 㻝㻡㻘㻠㻝㻣 ᖹᡂ㻞㻠ᖺᗘ㻌 㻝㻟㻘㻟㻣㻡 血液内科 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᝈྡ䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ᝏᛶ䝸䞁䝟⭘㻌 㻥㻟 㻞㻌 ⓑ⾑㻌 㻠㻞 㻟㻌 㦵㧊␗ᙧᡂೃ⩌㻌 㻝㻠 㻠㻌 ከⓎᛶ㦵㧊⭘㻌 㻠㻜 㻡㻌 ⏕Ⰻᛶ㈋⾑㻌 㻣 㻌 㻌 ᡭ⾡㡯┠䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 㠀⾑⦕⪅㦵㧊⛣᳜㻌 㻠 㻞㻌 ᖏ⾑⛣᳜㻌 㻣 㻟㻌 ⮬ᕫᮎᲈ⾑ᖿ⣽⬊⛣᳜㻌 㻟 㻠㻌 ⾑⦕⪅ᮎᲈ⾑ᖿ⣽⬊⛣᳜㻌 㻝 㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 㻝㻌 ᝈ⪅ᩘ㻌 㦵㧊✸่㻌 㻠㻞㻞 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟 㐀⾑ᖿ⣽⬊⛣᳜䠅㻌 ᮍ䛰䛻䛿☜❧䛥䜜䛶䛔䛺䛔⒪ἲ䛷䛒䜚䚸Ᏻ䛻⾜䛘䜛䜘䛖 䛻᪂䛯䛺๓ฎ⨨䛺䛹䜢ྲྀ䜚ධ䜜䛶䛔䜛䚹㻌 㻌 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟 ⮫ᗋ㻌 ᝏᛶ䝸䞁䝟⭘䚸ⓑ⾑䚸ከⓎᛶ㦵㧊⭘䛺䛹䛾ᝏᛶᝈ䜢୰ᚰ䛻 ᗋ䛿ᖖ䛻‶ᗋ䛷ከ䛟䛾ධ㝔䚸እ᮶ᝈ⪅䛥䜣䛾デ⒪䛻ᦠ䜟䛳䛯䚹㻌 䐠 ◊✲㻌 ⓑ⾑䚸ᝏᛶ䝸䞁䝟⭘䚸㦵㧊ቑṪᛶᝈ䛾ᇶ♏ⓗ䚸⮫ᗋⓗ䛺◊✲ 䜢⾜䛔䚸ᅜෆእ䛾Ꮫ䜔㞧ㄅ䛷ሗ࿌䛷䛝䛯䚹㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃⸨䛜ୣ㝔䛾ධ㝔Ჷ㛢㙐䛻క䛔ከ䛟䛾ᝈ⪅䛥䜣䛜ཷデ䛥䜜䚸ධ㝔䛧䛶䛔䜎䛩䚹ᗋ䜒ᖖ 䛻‶ᗋ䛷䛩䛜䚸ᝈ⪅䛥䜣䛻᭱㐺䛺䝔䞊䝷䞊䝯䞊䝗་⒪䛜⾜䛘䜛䜘䛖䛻ດ䜑䛶䛔䛝䛯䛔䚹㻌 䖃⮫ᗋ䚸◊✲㠃䛛䜙᪂つ⒪⸆䛺䛹䛾ຠᯝ䚸స⏝ண 䛜⾜䛘䜛䜘䛖䛻ྲྀ䜚⤌䜏䛯䛔䚹㻌 㻌 ―60― 循環器内科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻢㻌 ᚠ⎔ჾෆ⛉㻌 ６）循環器内科 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ᑠᯘ㻌 ὒ୍㻌 ་ᒁ㛗㻌 ⱴ㔝㻌 ༤⾜㻌 Ჷ་㛗㻌 㓇㻌 ဴ㑻㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻟㻝ྡ㻔ᖖ㻞㻢ྡ䚸㠀ᖖ㻡ྡ㻕㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻤ྡ ຓᩍ㻌 㻣ྡ Ꮫ㝔⏕㻌 㻠ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ෆ⛉ᣦᑟ་㻌 㻝㻠ྡ ᑓ㛛་㻌 ᚠ⎔ჾᑓ㛛་㻌 㻝㻢ྡ 㻌 ෆ⛉ᑓ㛛་㻌 㻤ྡ ㄆᐃ་㻌 ෆ⛉ㄆᐃ་㻌 㻝㻤ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻟㻥㻡㻌 㻝㻘㻡㻝㻞㻌 㻝㻘㻡㻣㻝 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻝㻜㻘㻟㻟㻟㻌 㻠㻣㻘㻤㻝㻣㻌 㻠㻟㻘㻤㻥㻥 㻝㻟㻞㻌 㻟㻞㻡㻌 㻞㻟㻞 㻝㻜㻘㻤㻢㻜㻌 㻠㻥㻘㻢㻡㻠㻌 㻠㻡㻘㻣㻜㻞 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 㻝㻞㻘㻢㻡㻟 㻌 㻌 㻌 㻌 㻌 㻌 ―61― ᖹᡂ㻞㻟ᖺᗘ㻌 㻞㻣㻘㻥㻤㻢 ᖹᡂ㻞㻠ᖺᗘ㻌 㻞㻝㻘㻟㻣㻠 循環器内科 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᝈྡ䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ⾑ᛶᚰᝈ㻔ᛴᛶ㻌 ೃ⩌䜢ྵ䜐㻕㻌 㻢㻜㻢 㻞㻌 ୖᐊᛶᩚ⬦㻌 㻝㻜㻢 㻟㻌 ᚎ⬦ᛶᩚ⬦㻌 㻢㻤 㻠㻌 ᚰᐊᛶᩚ⬦㻌 㻡㻜 㻡㻌 㛢ሰᛶື⬦◳㻌 㻢㻢 㻢㻌 㔜䛾ື⬦ᘚ䛚䜘䜃ൔᖗᘚᝈ㻌 㻟㻤 㻌 㻌 ᡭ⾡㡯┠䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ⤒⓶ⓗ䡲䡿䡬䡿䢕ෙື⬦⾑⾜ᘓ⾡㻌 㻡㻟㻡 㻞㻌 ⤒⓶ⓗ䡲䡿䡬䡿䢕ୗ⫥ື⬦⾑⾜ᘓ⾡㻌 㻟㻌 ⤒⓶ⓗ䡲䡿䡬䡿䢕ᚰ➽↝ⅎ⾡㻌 㻞㻟㻤 㻠㻌 䢉䢛䡬䡹䢎䡬䡲䡬㻔㝖⣽ື䜢ྵ䜐㻕᳜䛘㎸䜏⾡㻌 㻝㻝㻡 㻡㻌 㻯㻾㼀㻙㻰㻘㻌㻯㻾㼀㻙㻼㻌 㻞㻠 㻢㻌 㻸㼛㼛㼜㻌㼞㼑㼏㼛㼞㼐㼑㼞㻌 㻝㻡 㻠㻤 㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ෙື⬦㐀ᙳ㻔᳨ᰝ㻕㻌 㻢㻣㻠 㻞㻌 ୗ⫥㐀ᙳ㻌 㻢㻞 㻟㻌 ᚰ⮚㟁Ẽ⏕⌮Ꮫⓗ᳨ᰝ㻌 㻣㻞 㻠㻌 ⤒⬚ቨᚰ䜶䝁䞊ᅗ㻌 㻢㻘㻤㻜㻜 㻡㻌 ⤒㣗㐨ᚰ䜶䝁䞊ᅗ㻌 㻟㻡㻜 㻢㻌 ᚰ⮚᰾་Ꮫ᳨ᰝ䠄Ᏻ㟼䛚䜘䜃㈇Ⲵᚰ➽⾑ὶ䝅䞁䝏䠅㻌 㻣㻌 䛭䛾䛾ᚰ⮚᰾་Ꮫ㻌 㻝㻠㻣 㻤㻌 ᚰ⮚ 㻯㼀㻌 㻢㻣㻞 㻥㻌 ᚰ⮚ 㻹㻾㻵㻌 㻥㻝 㻝㻘㻝㻤㻢 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 ᚰᝈ⪅䛻ᑐ䛩䜛㠀⸆ ᣑᙇᆺᚰ➽䛺䛹䛾⸆ᢠᛶ㞴ᛶᚰᝈ⪅䛻ᑐ䛧䚸୧ ≀ⓗ⒪㻌 ᚰᐊ䝨䞊䝇䝯䞊䜹䞊᳜䛘㎸䜏⾡䜢✚ᴟⓗ䛻⾜䛔ᚰ⮚䛾䝫䞁䝥ᶵ ⬟ຠ⋡ྥୖ䜢ᅗ䛳䛶䛔䜛䚹㻌 㻟㻰㻌 㼙㼍㼜㼜㼕㼚㼓㻌 䜢 ⏝ 䛔䛯 ᚰ⭍ෆ㉸㡢Ἴ䚸㻯㼀䚸ᚰෆᚰ㟁ᅗ䜢⤌䜏ྜ䜟䛫䛶ゎ๗Ꮫⓗ䚸㟁 ᩚ⬦⒪㻌 Ẽⓗ䛺ሗᵓ⠏䜢ṇ☜䛻⾜䛘䜛䜘䛖䛻䛺䛳䛯䚹䛣䜜䛻䜘䜚䚸䜘䜚 Ᏻ䛷⢭ᗘ䛾㧗䛔ᩚ⬦⒪䜢⾜䛳䛶䛔䜛䚹㻌 㻌 㻌 㻌 㻌 ―62― ⸆⁐ฟᛶ䝇䝔䞁䝖䛾✚ ⸆⁐ฟᛶ䝇䝔䞁䝖䜢⏝䛩䜛䛣䛸䛷䚸ෙື⬦⊃✽䛾⒪ᚋ䛾 ᴟⓗ⏝㻌 ⊃✽⋡䜢䛝䛟పୗ䛥䛫䜛䛣䛸䛜䛷䛝䜛䜘䛖䛻䛺䛳䛯䚹䛸䛟䛻⢾ ᒀ䛺䛹䛾ྜేᝈ⪅䛻䛿✚ᴟⓗ䛻⏝䛧⒪ᡂ⦼䜢ྥୖ䛥 䛫䛶䛔䜛䚹㻌 ᚰᡣ⣽ື䛻ᑐ䛩䜛䡲䡿䡬䡿 䛣䜜䜎䛷䡲䡿䡬䡿䢕⒪ᚋ䜒Ⓨ⋡䛜㧗䛛䛳䛯ᣢ⥆ᛶᚰᡣ⣽ື䛻 䢕⒪䛾ᡂ⦼ྥୖ㻌 ᑐ䛧䛶䜒䚸㻟㻰㻌 㼙㼍㼜㼜㼕㼚㼓㻌 䜢⏝䛔䜛䛣䛸䛷Ᏻ䛛䛴㧗⋡䛻Ⓨ䜢ᢚ 䛘䜛䛣䛸䛜䛷䛝䜛䛺⮳㐺䛺㻌 㼍㼎㼘㼍㼠㼕㼛㼚 䛾ᡭᢏ᪉ἲ䜢⾜䛘䜛䜘䛖䛻䛺 䛳䛯䚹㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃ᚰ⮚䜹䝔䞊䝔䝹㡿ᇦ䛻䛚䛡䜛᪂䛧䛔ᢏ⾡䜔䝕䝞䜲䝇䛾⩦⇍䛸⇍⦎䛾ᚭᗏ䚸䛭䛧䛶៏ᛶ㛢 ሰᛶኚ䛻ᑐ䛩䜛✚ᴟⓗ䛛䛴㐺ษ䛺⒪䜢ᚰ䛡䜛䚹㻌 䖃ୗ⫥ື⬦㛢ሰ䛻ᑐ䛩䜛✚ᴟⓗ䛛䛴㐺ษ䛺⒪䜢⾜䛖䚹㻌 䖃ᚰᡣ⣽ືᝈ⪅䛻ᑐ䛩䜛⬻᱾ሰ䛾✚ᴟⓗ䛺ண㜵䛸㐺ษ䛺ᢠจᅛ⸆㻔䝽䝹䝣䜯䝸䞁䚸㻺㻻㻭㻯㻕䛾 䛔᪉䛾᳨ウ㻌 䖃ኻ⚄ᝈ⪅䛾ཎᅉ᳨⣴䛻䛚䛡䜛᳜䛘㎸䜏ᆺ䝹䞊䝥䝺䝁䞊䝎䞊䛾ᛂ⏝㻌 䖃㻼㼍㼏㼑㼙㼍㼗㼑㼞 ᝈ⪅䛾 㻹㻾㻵 ᳨ᰝ㐺ᛂᣑ㻌 㻌 ―63― 循環器内科 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 腫瘍内科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 ７）腫瘍内科 㻣㻌 ⭘⒆ෆ⛉㻌 㻌 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 బ䚻ᮌ㻌 ᗣ⥘㻌 ་ᒁ㛗㻌 ℊ⏣㻌 ᖾ㻌 Ჷ་㛗㻌 㧗㻌 ༤⨾㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻟 ྡ㻔ᖖ 㻟 ྡ䚸㠀ᖖ 㻜 ྡ㻕㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻜ྡ ㅮᖌ㻌 㻜ྡ ຓᩍ㻌 㻞ྡ Ꮫ㝔⏕㻌 㻜ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ᪥ᮏෆ⛉Ꮫᣦᑟ་㻌 㻝ྡ ᪥ᮏ⮫ᗋ⭘⒆Ꮫᬻᐃᣦᑟ་㻌 㻝ྡ ᪥ᮏ⦆་⒪Ꮫᬻᐃᣦᑟ་㻌 㻝ྡ ᪥ᮏ⒴⒪ㄆᐃ་ᶵᵓᬻᐃᩍ⫱་㻌 㻝ྡ ᑓ㛛་㻌 ᪥ᮏ⮫ᗋ⭘⒆Ꮫ䛜䜣⸆≀⒪ἲᑓ㛛་㻌 㻝ྡ 㻌 ᪥ᮏᾘჾᏛᑓ㛛་㻌 㻞ྡ ᪥ᮏᾘჾෆど㙾Ꮫᑓ㛛་㻌 㻝ྡ ᪥ᮏ྾ჾᏛᑓ㛛་㻌 㻝ྡ ᪥ᮏ䜰䝺䝹䜼䞊Ꮫᑓ㛛་㻌 㻝ྡ ᪥ᮏෆ⛉Ꮫㄆᐃ་㻌 㻟ྡ ᪥ᮏ䛜䜣⒪ㄆᐃ་ᶵᵓ䛜䜣⒪ㄆᐃ་㻌 㻝ྡ ㄆᐃ་㻌 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻝㻟㻌 㻝㻝㻌 㻢㻝 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻞㻘㻢㻢㻠 㻞㻘㻣㻥㻤 㻞㻘㻣㻡㻟 㻟㻥 㻡 㻝㻤 㻞㻘㻣㻝㻢 㻞㻘㻤㻝㻠 㻞㻘㻤㻟㻟 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻌 㻌 ―64― 腫瘍内科 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 㻜㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 㻜㻌 㻞㻘㻤㻞㻟 㻌 㻞䠊 ᖹᡂ 㻞㻠 ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟 䛜 䜣⸆≀ ⒪ἲ 䛾⮫ ᗋ 䠄㻿㻙㻝 ༢䜎䛯䛿 㻿㻙㻝 䜢ྵ䜐ే⏝⒪ἲ䛻⒪ᢠᛶ䜢♧䛧䛯㐍 ヨ㦂䛾ᐇ㻌 ⾜䞉Ⓨ⫶⒴䛻ᑐ䛩䜛 㻯㻼㼀㻙㻝㻝㻗㻯㻰㻰㻼 ే⏝⒪ἲ 㼢㼟㻌㻯㻼㼀㻙㻝㻝 ༢⊂ ⒪ἲ䛾↓సⅭẚ㍑➨ 㻵㻵㻵 ┦⮫ᗋヨ㦂䛃䠈䛂ษ㝖⬟䛺㐍⾜䞉 Ⓨ䛾⤖⭠䞉┤⭠⒴䛻ᑐ䛩䜛 㻮㼑㼢㼍㼏㼕㼦㼡㼙㼍㼎 䛸 㼙㼛㼐㼕㼒㼕㼑㼐㻌 㻻㻼㼀㻵㻹㻻㼄㻝 ⒪ἲ䛾ే⏝➨䊡┦⮫ᗋヨ㦂䛃➼䛾ᐇཬ䜃䠈㻱㻻㻾㼀㻯㻌㻽㻻㻸 ㄪ ᰝ䝰䝆䝳䞊䝹㻔㻱㻻㻾㼀㻯㻌㻽㻸㻽㻙㻮㻹㻞㻞㻕᪥ᮏㄒ∧䜢ඹྠ㛤Ⓨ䚹㻌 䐠䛜䜣་⒪䛻ᑐ䛩䜛ᩍ⫱ 䛜䜣⸆≀⒪ἲᑓ㛛་䚸⒴⒪ㄆᐃ་➼䛾ᢠ䛜䜣⒪䛾䝍䜲䝖䝹 యไ㻌 ௨እ䛻䚸᪥ᮏ⦆་⒪Ꮫ䛂⦆䜿䜰ᇶᮏᩍ⫱䛾䛯䜑䛾ᣦᑟ⪅ ◊ಟ䛃䝬䝇䝍䞊䝣䜯䝅䝸䝔䞊䝍䞊ㄆᐃ 㻝 ྡ䠈䝁䝭䝳䝙䜿䞊䝅䝵䞁ᢏ ⾡◊ಟ䛻䛚䛡䜛䝣䜯䝅䝸䝔䞊䝍䞊ㄆᐃ 㻝 ྡ䠈䝇䝢䝸䝏䝳䜰䝹◊ ✲◊ಟ䠝ಟ 㻝 ྡ䛸ᖜᗈ䛔ᩍ⫱䛜䛷䛝䜛䜘䛖䛺≧ἣ䛷䛒䜛䚹㻌 㻌 㻟䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃䛜䜣⸆≀⒪ἲ䛾⮫ᗋヨ㦂䛿䚸➨䊢┦䚸➨䊡┦䛾㦂䛾䜏䛺䜙䛪䚸ᑗ᮶ⓗ䛻䛿➨䊠┦ヨ㦂 䜢⾜䛘䜛䜘䛖䚸䛭䛾యไస䜚䛻ྲྀ䜚⤌䜣䛷䛔䛟䚹㻌 䖃⮫ᗋၥ䜢ᇶ♏ᐇ㦂䛷ゎ᫂䛷䛝䜛䜘䛖䛻䚸ලయⓗ䛻ᇶ♏㡿ᇦ䛸䛾ᶫΏ䛧ጞ䜑䜛䚹㻌 䖃⌮ⓗ䛺䛜䜣་⒪䛜ᐇ㊶䛷䛝䜛䛣䛸䜢┠ᣦ䛧䛶䚸◊ಟ་䛾䜏䛺䜙䛪䚸䛜䜣䛻㛵䜟䜛ㅖ⛉䛾 ་⒪⫋䛻ᑐ䛩䜛ᩍ⫱䛾ᬑཬ䜢⾜䛳䛶䛔䛟䚹㻌 㻌 ―65― 総合内科︵ＥＲ︶ Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻤㻌 ⥲ྜෆ⛉䠄㻱㻾䠅㻌 ８）総合内科（ＥＲ） 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ᘯ㔜㻌 ኖ୍㻌 ་ᒁ㛗㻌 ᚋ⸨㻌 ᗤᏊ㻌 Ჷ་㛗㻌 ᘯ㔜㻌 ኖ୍㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻠 ྡ㻔ᖖ 㻠 ྡ䚸㠀ᖖ 㻜 ྡ㻕㻌 㻌 㻌 㻌 ᩍᤵ㻌 㻜ྡ ᩍᤵ㻌 㻞ྡ ㅮᖌ㻌 㻝ྡ ຓᩍ㻌 㻞ྡ Ꮫ㝔⏕㻌 㻜ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 㻌 㻌 ᑓ㛛་㻌 ᪥ᮏෆ⛉Ꮫᑓ㛛ෆ⛉་㻌 㻝ྡ 㻌 ᪥ᮏᩆᛴ་Ꮫᩆᛴ⛉ᑓ㛛་㻌 㻝ྡ ᪥ᮏእ⛉Ꮫᑓ㛛་㻌 㻝ྡ ᪥ᮏᚠ⎔ჾᏛᑓ㛛་㻌 㻝ྡ ᪥ᮏෆ⛉Ꮫㄆᐃ་㻌 㻟ྡ ㄆᐃ་㻌 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻝㻣㻡㻌 㻠㻟㻠㻌 㻝㻘㻞㻟㻥 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻠㻠㻌 㻠㻟㻥㻌 㻝㻘㻜㻜㻜 㻥㻝㻟㻌 㻡㻘㻝㻡㻟㻌 㻠㻘㻞㻢㻟 㻝㻘㻝㻟㻞㻌 㻢㻘㻜㻞㻢㻌 㻢㻘㻡㻜㻞 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌㻌㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 㻜㻌 㻌 ―66― 㻥㻟㻟㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 㻤㻟㻠 㻌 ᝈྡ䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ᾘჾᝈ㻌 㻞㻠㻞 㻞㻌 ྾ჾᝈ㻌 㻝㻞㻞 㻟㻌 ⚄⤒ෆ⛉ᝈ㻌 㻝㻝㻢 㻠㻌 ᚠ⎔ჾᝈ㻌 㻤㻤 㻡㻌 ⭈⮚ෆ⛉㻌 㻠㻞 㻢㻌 ⢾ᒀෆศἪᝈ㻌 㻟㻠 㻣㻌 䜰䝺䝹䜼䞊ᛶᝈ㻌 㻞㻢 㻤㻌 ⪥㰯⛉ᝈ㻌 㻝㻥 㻥㻌 䝸䝳䜴䝬䝏ᛶᝈ㻌 㻝㻢 㻝㻜㻌 ᩚᙧእ⛉ᝈ㻌 㻥 㻌 㻞䠊 ᖹᡂ 㻞㻠 ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟⥲ྜデ⒪㒊䛾Ⓨ㊊㻌 ᖹᡂ 㻞㻟 ᖺ 㻠 ᭶䛻୰ኸᲷ 㻥 㝵Ჷ䛻 㻱㻾 ⥭ᛴධ㝔ᑓ⏝䛾ᗋ䛜 ᪂タ䛥䜜䚸ྠᖺ 㻢 ᭶䛻ᩆᛴᝈ⪅䛾デ⒪ᴗົ䛻ᑓᚑ䛩䜛⥲ྜデ ⒪㒊䜒タ䛥䜜䛯䚹⥲ྜෆ⛉䛿⥲ྜデ⒪㒊䛾デ⒪యไ䛾୰䛻 ⤌䜏㎸䜎䜜䛶デ⒪䜢⾜䛔䚸እ⛉⣔䜔ྛ⛉ෆ⛉䛚䜘䜃ᑠඣ⛉䛾 ὴ㐵་ᖌ䛸䛸䜒䛻⥲ྜⓗ䛺デ⒪䜢⾜䛖㒊⨫䛻䛺䛳䛯䚹㻞 ᖺ┠䛾ᖹ ᡂ 㻞㻠 ᖺᗘ䜒⥲ྜデ⒪㒊䛿ᩆᛴ䝉䞁䝍䞊䛻᮶㝔䛩䜛୍ḟḟᩆ ᛴᝈ⪅䛾ึᮇᩆᛴእ᮶デ⒪䛸㛫እධ㝔ᝈ⪅䛾ึᮇධ㝔⟶⌮ 䜢 㻱㻾 ᑓ⏝Ჷ䛷ᢸᙜ䛧䛯䚹㻌 䐠ึᮇ⮫ᗋ◊ಟ་䛾୍ ึᮇ⮫ᗋ◊ಟ་䛾୍ḟḟᩆᛴእ᮶◊ಟ䛿 㻝 ᖺḟ䛾 㻝 䞄᭶㛫 ḟḟᩆᛴእ᮶◊ಟ䛾 䛻ຍ䛘䛶䚸⥲ྜデ⒪㒊䛾Ⓨ㊊௨㝆䛿 㻞 ᖺḟ◊ಟ་䜒⥲ྜデ⒪ ᐇ㻌 㒊䛾ᙜ┤ᴗົ䛻ᙜ␒䛷ᚑ䛩䜛యไ䛻䛺䛳䛯䚹䛣䜜䛻䜘䜚䚸◊ ಟ་䛿እ⛉⣔ᝈ䜢ྵ䜑䛶ᩆᛴእ᮶䛷ከ䛟䛾䜢⤒㦂䛷䛝䜛 䛣䛸䛻䛺䛳䛯䚹⥲ྜデ⒪㒊䛿䚸◊ಟ་䛜㌟䛾デᐹ䜢⾜䛔䚸⥲ ྜⓗ䛻ᝈ⪅䜢デ䜛ែᗘ䜢㣴䛖䛣䛸䛻ᩍ⫱䛾║䜢䛚䛔䛯䚹㻌 㻌 㻟䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃⥲ྜデ⒪㒊䛾デ⒪⠊ᅖ䛻䛴䛔䛶䠖⌧ᅾ䛿ᩆᛴデ⒪䛻≉䛧䛯デ⒪䜢⾜䛳䛶䛔䜛䚹ᚋ䛿 㝔⥲ྜ་䜔ᐙᗞ་䜢⫱䛶䜛䛸䛔䛖ほⅬ䛻䛯䛱䚸୍⯡እ᮶䛾ึデデ⒪䜔៏ᛶᮇᝈ䛾⟶ ⌮➼䜢⾜䛖యไ䜢☜❧䛧䛶䛔䛟䚹㻌 䖃⥲ྜデ⒪䜢ᑓ㛛䛸䛩䜛་ᖌ䛾㣴ᡂ䠖⌧ᅾ䛾⥲ྜデ⒪㒊䛿䛾デ⒪⛉䛛䜙䝻䞊䝔䞊䝅䝵䞁 䛩䜛ฟྥ་ᖌ䛾༠ຊ䛷㐠Ⴀ䛥䜜䛶䛔䜛䚹㝔ෆ䛾デ⒪⛉䛾ேⓗ㈇ᢸ䛸ᩆᛴᴗົ䛾㈇ᢸ䜢 ㍍ῶ䛩䜛䛯䜑䛻䜒䚸⥲ྜデ⒪⮬య䜢ᑓ㛛䛸䛩䜛་ᖌ䛾㣴ᡂ䜢⾜䛖䚹㻌 䖃ୖグ䛾་ᖌ㣴ᡂ䛾䛯䜑䛻䚸᮶ᖺᗘ௨㝆䚸⥲ྜෆ⛉ᡤᒓ䛾་ᖌ䛿㝔ෆデ⒪⛉䜔་⒪ タ䛾䝻䞊䝔䞊䝖◊ಟ䜢⾜䛖ணᐃ䛷䛒䜛䚹㻌 㻌 ―67― 総合内科︵ＥＲ︶ 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 感染症内科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻥㻌 ឤᰁෆ⛉㻌 ９）感染症内科 㻌 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ᮌ㻌 ⰾே㻌 ་ᒁ㛗㻌 㻌 ル㛫㻌 㝯༤㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻠ྡ㻔ᖖ㻟ྡ䚸㠀ᖖ㻝ྡ㻕㻌 㻌 㻌 㻌 㻌 ᩍᤵ㻌 㻞ྡ ᩍᤵ㻌 㻜ྡ ㅮᖌ㻌 㻝ྡ ຓᩍ㻌 㻝ྡ Ꮫ㝔⏕㻌 㻜ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 㻌 㻌 ᣦᑟ་㻌 ᪥ᮏෆ⛉Ꮫᣦᑟ་㻌 㻟ྡ 㻌 ᪥ᮏឤᰁᏛᣦᑟ་㻌 㻞ྡ 㻌 ᪥ᮏ྾ჾᏛᣦᑟ་㻌 㻝ྡ 㻌 ᪥ᮏᏛ⒪ἲᏛᢠ⳦Ꮫ⒪ἲᣦᑟ་㻌 㻟ྡ 㻌 ᪥ᮏ⮫ᗋ⸆⌮Ꮫ≉ูᣦᑟ་㻌 㻝ྡ 㻌 ༞ᚋ⮫ᗋ◊ಟᣦᑟ་㻌 㻞ྡ ᑓ㛛་㻌 ᪥ᮏෆ⛉Ꮫ⥲ྜෆ⛉ᑓ㛛་㻌 㻠ྡ 㻌 ᪥ᮏឤᰁᏛᑓ㛛་㻌 㻠ྡ 㻌 ᪥ᮏ྾ჾᏛᑓ㛛་㻌 㻟ྡ ㄆᐃ་㻌 ᪥ᮏෆ⛉Ꮫㄆᐃෆ⛉་㻌 㻠ྡ 㻌 ᪥ᮏឤᰁᏛㄆᐃ 㻵㻯㻰㻌 㻠ྡ 㻌 ᪥ᮏ་ᖌㄆᐃ⏘ᴗ་㻌 㻝ྡ 䛭䛾㻌 ᪥ᮏ䜶䜲䝈Ꮫㄆᐃ་㻌 㻝ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻝㻞 㻠 㻞 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻝㻜㻡 㻣㻢 㻢㻥 㻤 㻝 㻜 㻝㻞㻡 㻤㻝 㻣㻝 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌㻌㻌 㻌 ―68― 䐟㻭㼚㼠㼕㼙㼕㼏㼞㼛㼎㼕㼍㼘㻌 㻿㼠㼑㼣㼍㼞㼐㼟㼔㼕㼜㻌 ᪥ᮏ䛷䛿ึ䜑䛶䛾ᢠ⳦⸆㐺ṇ⏝ᨭ䝏䞊䝮䠄㻭㻿㼀䠅䜢❧䛱 㼀㼑㼍㼙㻔㻭㻿㼀㻧ᢠ⳦⸆㐺ṇ⏝ ୖ䛢䚸ᙜ⛉䛾་ᖌ䛜୰ᚰ䛸䛺䛳䛶䚸⸆ᖌ䚸᳨ᰝᢏᖌ䛸ඹ䛻 ᨭ䝏䞊䝮㻕䛾❧䛱ୖ䛢㻌 ᢠ⳦⸆㐺ṇ⏝䛾᥎㐍䛻ྲྀ䜚⤌䜐యไ䜢ᵓ⠏䛧䛯䚹㻌 䐠ᢠᚤ⏕≀⸆⾑୰䞉⤌⧊⃰ ୍⯡ⓗ䛻䛿 ᐃ䛧䛶䛔䛺䛔䝸䝫䝋䞊䝬䝹䜰䝮䝩䝔䝸䝅䞁 㻮䚸䜲 ᗘ ᐃ㻌 䝖䝷䝁䝘䝌䞊䝹䛺䛹ᢠ┿⳦⸆䛾⾑୰䚸⤌⧊⃰ᗘ䜢 ᐃ䛩䜛䛣䛸 䛷䚸ಶయᕪ䜔⤌⧊⛣⾜ᛶ䛻ᑐᛂ䛧䛯ឤᰁไᚚ䛻㈉⊩䛧䛶䛝 䛯䛜䚸ᚋ䛣䛾ྲྀ䜚⤌䜏䜢䝎䝥䝖䝬䜲䝅䞁䛺䛹≉Ṧ䛺ᢠ⳦⸆䛻 䜒ᣑ䛧䛶䚸ಶ䚻ே䛾≉Ṧᛶ䛻ᑐᛂ䛧䛯⒪䛻ᛂ⏝䛧䛶䛔䛟 ணᐃ䛷䛒䜛䚹㻌 㻌 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟ឤᰁ⟶⌮㒊㛛䛾ᐇ㻌 ᖹᡂ㻞㻠ᖺᗘ䛛䜙ឤᰁ⟶⌮㒊㛛䛾㒊㛛㛗䛻ᙜ⛉ᮌᩍᤵ䚸 㒊㛛㛗䛻ル㛫ㅮᖌ䛜௵䛥䜜䚸㝔ෆឤᰁᑐ⟇䛚䜘䜃ᢠ⳦⸆ 㐺ṇ⏝᥎㐍䛻✚ᴟⓗ䛻ྲྀ䜚⤌䜣䛷䛝䛯䚹๓㏙䛾 㻭㻿㼀 ❧䛱 ୖ䛢䜒䛭䛾୍⎔䛷䛒䜛䚹㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃㝔ෆ䛾ឤᰁ䛾䝁䞁䝃䝹䝔䞊䝅䝵䞁䜢䛥䜙䛻ᗈ䛟ཷ䛡ධ䜜䚸ឤᰁ䛾デ᩿䞉⒪䛾䝺 䝧䝹䜰䝑䝥䛻㈉⊩䛩䜛䚹㻌 䖃㝔ෆឤᰁᑐ⟇䛾せ䝯䞁䝞䞊䛸䛧䛶䚸㝔ෆ䛾ឤᰁไᚚ䛚䜘䜃ᢠ⳦⸆㐺ṇ⏝䜢䛥䜙䛻ၨ Ⓨ䛧䛶䛔䛝䛯䛔䚹㻌 䖃ᇶ♏ᐇ㦂䛻䛚䛔䛶䜒䚸㝔ෆ䛷ศ㞳䛥䜜䜛⪏ᛶ⳦䛾Ꮫⓗㄪᰝ䜢⾜䛔䚸㝔ෆឤᰁᑐ⟇䛻䜒 ᙺ❧䛶䛯䛔䚹㻌 㻌 ―69― 感染症内科 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 心臓血管外科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻝㻜㻌 ᚰ⮚⾑⟶እ⛉㻌 10）心臓血管外科 㻌 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 㟷ᮌ㻌 ῟㻌 ་ᒁ㛗㻌 ⏣㻌 ୍ே㻌 Ჷ་㛗㻌 ⏣㻌 ୍ே㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻣 ྡ㻔ᖖ 㻣 ྡ䚸㠀ᖖ 㻝 ྡ㻕㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻟ྡ ຓᩍ㻌 㻟ྡ Ꮫ㝔⏕㻌 㻜ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ᚰ⮚⾑⟶እ⛉ᣦᑟ་㻌 㻝ྡ ᑓ㛛་㻌 ᚰ⮚⾑⟶እ⛉ᑓ㛛་㻌 㻠ྡ እ⛉ᑓ㛛་㻌 㻣ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻟㻝㻜㻌 㻞㻠㻟㻌 㻞㻞㻣 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻞㻘㻠㻠㻡㻌 㻞㻘㻜㻤㻟㻌 㻝㻘㻥㻟㻤 㻞㻝㻌 㻝㻣㻌 㻣 㻞㻘㻣㻣㻢㻌 㻞㻘㻟㻠㻟㻌 㻝㻘㻡㻡㻞 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 㻠㻘㻞㻤㻝㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 ―70― ᖹᡂ 㻞㻟 ᖺᗘ㻌 㻟㻘㻣㻟㻤㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 㻠㻘㻡㻝㻡 心臓血管外科 㻔㻢㻕 ධ㝔デ⒪ࡢᐇ⦼㻌 㻌 ᝈྡ㸦ධ㝔㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 ᘚ⭷㻌 㻡㻠 㻞㻌 ⾑ᛶᚰᝈ㻌 㻝㻢 㻟㻌 ື⬦ᝈ㻌 㻤㻥 㻠㻌 ᮎᲈື⬦ᝈ㻌 㻝㻥 㻡㻌 㟼⬦ᝈ㻌 㻣 㻢㻌 ඛኳᛶᚰᝈ㻌 㻝 㻣㻌 ᚰ⮚ࡑࡢᝈ㻌 㻟 㻌 㻌 ᡭ⾡㡯┠㸦ධ㝔㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 ᘚ⭷ᡭ⾡㻌 㻠㻥 㻞㻌 ෙື⬦ࣂࣃࢫ⾡㻌 㻝㻝 㻟㻌 ࣓ࢬᡭ⾡㻌 㻝㻣 㻠㻌 ᚰ⮚⭘⒆ᡭ⾡㻌 㻡㻌 ⬚㒊ື⬦ேᕤ⾑⟶⨨⾡㻌 㻞㻟 㻢㻌 ࢫࢸࣥࢺࢢࣛࣇࢺ㸦⬚㒊㸧㻌 㻝㻜 㻣㻌 ࢫࢸࣥࢺࢢࣛࣇࢺ㸦⭡㒊㸧㻌 㻞㻢 㻤㻌 ⭡㒊ື⬦ேᕤ⾑⟶⨨⾡㻌 㻤 㻥㻌 ୗ⫥ື⬦ᡭ⾡㻌 㻝㻣 㻝㻜㻌 ඛኳᛶᚰᝈᡭ⾡㻌 㻡 㻝㻝㻌 㟼⬦ᡭ⾡㻌 㻡 㻝 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 ձ పく⾑⟶ᡭ⾡ ື⬦⒗ᡭ⾡ᑐࡋ࡚ࡼࡾపく࡛࠶ࡿ⾑⟶ෆ⒪ࢆ✚ᴟⓗ ࡢᑟධ㻌 ᑟධࡋ࡚࠸ࡿࠋ㻌 ղ ேᕤᘚࢆ⏝࠸࡞࠸ ேᕤ⭝⣴ࡸᚰ⭷⿵ሸࡼࡿൔᖗᘚᙧᡂ⾡ࢆ✚ᴟⓗ⾜࠺ࡇ ൔᖗᘚᘓ⾡㻌 ࡼࡾࠊ⾡ᚋࡢᚰᶵ⬟ࡢ Ꮡࠊᝈ⪅ࡢ 㻽㻻㻸 ྥୖࢆ┠ᣦࡋ࡚࠸ ࡿࠋࡲࡓ⾑ᰦࠊឤᰁ࡞ࡢண㜵ࡶᮇᚅ࡛ࡁࡿࠋ㻌 㻌 㻟䠊 ᖹᡂ 㻞㻠 ᖺᗘ䜢䜚㏉䛳䛶㻌 ձ పくᚰ⮚ᡭ⾡ࡢ㐍Ṍ ⾑⟶ෆ⒪ࡢ࢚࢟ࢫࣃ࣮ࢺࢆデ⒪⛉㛗㏄࠼ࡿࡇࡼ ࡾࠊࡼࡾ✚ⓗࡘᏳపくᡭ⾡ࢆ⾜࠺ࡇࡀ࡛ࡁࡿࡼ ࠺࡞ࡗࡓࠋ㻌 ղ࿘⾡ᮇྜేࡢῶᑡ㻌 ࿘⾡ᮇྜేࡢῶᑡࢆ┠ᣦࡋࡓᵝࠎ࡞ྲྀࡾ⤌ࡳࡢᡂᯝࡀ࠶ ࡽࢃࢀࡓࠋ≉⾡๓ࡢᰤ㣴≧ែࡢᨵၿࠊ⾑⢾ࢥࣥࢺ࣮ࣟࣝ ࡢᚭᗏࠊཱྀ⭍ࢣࠊ㐺ṇ࡞ᢠ⏕⏝ࡣ⾡ᚋࡢឤᰁண㜵 ࡁࡃᐤࡋࠊධ㝔ᮇ㛫ࡢ▷⦰ࡘ࡞ࡀࡗ࡚࠸ࡿࠋ㻌 㻌 ―71― 心臓血管外科 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 ەᚰ⮚⾑⟶እ⛉㡿ᇦ࡛ࡣ㏆ᖺᚑ᮶ࡢ㛤⬚ࠊ㛤⭡ᡭ⾡ຍ࠼࡚ࠊపくᡭ⾡ࠊ⾑⟶ෆ⒪ ࡞ࠊ⒪ࡢ㑅ᢥࡀከ⫥Ώࡿࡼ࠺࡞ࡗ࡚࠸ࡿࠋᙜ⛉࡛ࡣྛࠎࡢᝈ⪅ࡢᝈࠊ㌟ ≧ែࠊ⫼ᬒ࡞ࢆ⪃៖ࡋࡓ࠺࠼࡛ࠊ᭱ၿᛮࢃࢀࡿ⒪᪉ἲࢆ༑ศࣥࣇ࢛࣮࣒ࢻ ࢥࣥࢭࣥࢺࡍࡿࡇࡼࡾࠊᚋࡶࡼࡾ㉁ࡢ㧗࠸་⒪ࢆᥦ౪ࡋ࡚࠸ࡁࡲࡍࠋ㻌 㻌 ―72― 呼吸器外科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻝㻝㻌 ྾ჾእ⛉㻌 11）呼吸器外科 㻌 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 㛛ග㝯㻌 ་ᒁ㛗㻌 ∦ᒸ㍜㻌 Ჷ་㛗㻌 㔝୰㻌 ㄔ㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻣ྡ㻔ᖖ㻢ྡ䚸㠀ᖖ㻝ྡ㻕㻌 㻌 㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻝ྡ ຓᩍ㻌 㻟ྡ Ꮫ㝔⏕㻌 㻜ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ᪥ᮏእ⛉Ꮫᣦᑟ་㻌 㻟ྡ ᪥ᮏ⬚㒊እ⛉ᣦᑟ་㻌 㻟ྡ ᪥ᮏ྾ჾእ⛉ᣦᑟ་㻌 㻟ྡ ᑓ㛛་㻌 ᪥ᮏ྾ჾእ⛉ᑓ㛛་㻌 㻟ྡ 㻌 ᪥ᮏእ⛉Ꮫᑓ㛛་㻌 㻟ྡ ᪥ᮏ⬚㒊እ⛉ᑓ㛛་㻌 㻟ྡ 䛜䜣⒪ㄆᐃ་㻌 㻞ྡ ㄆᐃ་㻌 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻤㻞㻌 㻢㻡㻌 㻝㻝㻢 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻝㻘㻥㻞㻟㻌 㻝㻘㻥㻜㻞㻌 㻞㻘㻤㻠㻝 㻝㻤㻌 㻝㻝㻌 㻝㻥 㻞㻘㻜㻞㻟㻌 㻝㻘㻥㻣㻤㻌 㻞㻘㻥㻣㻢 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 㻞㻘㻝㻤㻤 㻌 㻌 㻌 ―73― ᖹᡂ㻞㻟ᖺᗘ㻌 㻝㻘㻥㻣㻤 ᖹᡂ㻞㻠ᖺᗘ㻌 㻞㻘㻣㻜㻜 呼吸器外科 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼䠄ୖ䠍䠌䠅㻌 㻌 ᝈྡ䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ⮬↛Ẽ⬚㻌 㻤㻝 㻞㻌 ཎⓎᛶ⫵䛜䜣㻌 㻡㻣 㻟㻌 ㌿⛣ᛶ⫵䛜䜣㻌 㻝㻢 㻠㻌 ⦪㝸⭘⒆㻌 㻝㻞 㻡㻌 ⮋⬚㻌 㻣 㻢㻌 Ẽ⟶ᨭ␗≀㻌 㻠 㻣㻌 ⦪㝸⅖㻌 㻝 㻌 㻌 ᡭ⾡㡯┠䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ⬚⭍㙾ୗ⫵䛾䛖⬊ษ㝖㻌 㻠㻡 㻞㻌 ⬚⭍㙾ୗ⫵ᝏᛶ⭘⒆ᡭ⾡㻌 㻟㻥 㻟㻌 ⫵ᝏᛶ⭘⒆ᡭ⾡㻌 㻟㻠 㻠㻌 ⬚⭢ฟ⾡㻌 㻥 㻡㻌 ⬚⭍㙾ୗ⦪㝸⭘⒆ษ㝖㻌 㻢 㻢㻌 Ẽ⟶ᨭ㙾ୗ␗≀㝖ཤ㻌 㻡 㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 㻝㻌 ⬚⭍䝗䝺䝘䞊䝆㻌 㻞㻌 Ẽ⟶ᨭ㙾㻌 ᝈ⪅ᩘ㻌 㻢㻟 㻝㻜㻤 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 ⫵⒴ᝈ⪅䛻䛚䛡䜛⾡ᚋ ⫵⒴Ⓨ䜢ண 䛩䜛᭷⏝䛺ணᚋᅉᏊ䛒䜛䛔䛿⒪ຠᯝ䛾ண Ꮫ⒪ἲ䛾ຠᯝண ᅉᏊ䛸 ᅉᏊ䛿ᴟ䜑䛶䛩䛟䛺䛔䚹䛭䛣䛷䚸⾡ᚋᏛ⒪ἲ䛻ᑐ䛧䛶䝯䝸䝑䝖䛾 䛧 䛶 䛾 ᰾ 㓟 ௦ ㅰ 㓝 ⣲ 䛒䜛ᝈ⪅䜢㑅ᢥ䛧䚸᭷ຠ䛺ᢠ⒴⒪䜢⾜䛖䛯䜑䚸䛭䛾ணᚋ䛸⒪ 㼙㻾㻺㻭 Ⓨ⌧䛾◊✲㻌 ຠᯝண ᅉᏊ䛸䛧䛶䛾᰾㓟௦ㅰ㓝⣲ 㼙㻾㻺㻭 䛾⭘⒆⤌⧊ෆⓎゝ 㻌 䛻㛵䛩䜛᳨ウ䛺䜙䜃䛻⾡ᚋணᚋ䛸䛾㛵㐃䜢ศᯒ䛧䚸ಶே䛻㐺䛧 䛯⒪䛾ᣦ㔪䛸䛩䜛䚹㻌 㻌 㐍⾜⫵⒴䛻ᑐ䛩䜛⾡๓ ཎⓎᛶ⫵⒴䛾ቑຍ䛸䛸䜒䛻䚸Ⓨぢ䛩䛷䛻㐍⾜ᮇ⫵⒴䛸デ᩿䛥 Ꮫᨺᑕ⥺⒪ἲ䛻㛵䛩䜛᳨ 䜜䛶ᡭ⾡㐺ᛂ䛛䜙㝖እ䛥䜜䜛䛜ᚋ䜢⤯䛯䛺䛔䚹ึᅇデ᩿ ウ㻌 䛻ษ㝖⬟䛸ุᐃ䛥䜜䛯䛾୰䛻䛿Ꮫᨺᑕ⥺⒪ἲ䛾ᑟධ 㻌 䛻䜘䜚⒪ຠᯝ䛜᫂░䛻ฟ⌧䛧䚸ษ㝖ྍ⬟䛸䛺䜛䜒ྵ䜎䜜 䜛䚹䛭䛣䛷䚸ษ㝖⬟䛸ุ᩿䛥䜜䛯䛾୰䛷䚸ᒁᡤᾐ₶䛻ᑐ䛩 䜛⒪ຠᯝ䛜ฟ⌧䛧䛯㝿䛻ษ㝖ྍ⬟䛸䛺䜛䛣䛸䛜ᮇᚅ䛥䜜䜛 䛻ᑐ䛧䛶⒪䜢⾜䛔䚸䛭䛾ษ㝖ᛶྥୖ䛻ྥ䛡䛯᳨ウ䜢⾜䛳䛶 䛔䜛䚹㻌 㻌 㻌 ―74― 䜽䝙䜹䝹䞉䝇䜻䝹ホ౯䝅䝇 䛸䛧䛶䚸㏆ᖺ≉䛻㧗䛔㛵ᚰ䜢㞟䜑䛶䛔䜛䛂ᑓ㛛ⓗ䛺ᡭᢏ௨እ䛾 䝔䝮ᵓ⠏㻌 ᢏ⬟䛃䠄䝜䞁䝔䜽䝙䜹䝹䝇䜻䝹䠅䛻↔Ⅼ䜢ᙜ䛶䚸䛭䛾ᩍ⫱カ⦎䝥䝻 㻌 䜾䝷䝮䠄䝁䞁䝔䞁䝒䠅䛾㛤Ⓨ䛸ホ౯䝅䝇䝔䝮䜢ᵓ⠏䛩䜛䚹䝜䞁䝔䜽 㻌 䝙䜹䝹䝇䜻䝹䛿་⒪⾜Ⅽ䛩䜉䛶䛻䛚䛔䛶᳨ウ䛧䛖䜛䜒䛾䛷䛒䜛 㻌 䛜䚸䛸䛟䛻እ⛉㡿ᇦ䛜くⓗ⾜Ⅽ䜢క䛖䝝䜲䝸䝇䜽㡿ᇦ䛷䛒䜚䚸 㻌 䛣䛾䝝䜲䝸䝇䜽㡿ᇦ䛻䛚䛡䜛Ᏻᛶ䜢㧗䜑䜛䛣䛸䛿ᨻ⟇ⓗ䛺䝥䝷 㻌 䜲䜸䝸䝔䜱䛻䛛䛺䛖䜒䛾䛷䛒䜛䚹䛭䛣䛷䚸ᐇ㊶ⓗ䛛䛴ලయⓗ䛺⪃䛘 ᪉䛻౫ᣐ䛧䚸ᩍ⫱䝥䝻䜾䝷䝮䛺䜙䜃䛻䛭䛾ホ౯䝅䝇䝔䝮䛾㛤Ⓨ䚸 䛥䜙䛻䛭䜜䜙䜢䜘䜚ᰂ㌾䛛䛴ຠᯝⓗ䛻⏝䛩䜛䛣䛸䜢ಁ㐍䛩䜛䝥 䝷䝑䝖䝣䜷䞊䝮䛾㛤Ⓨ䜢㐍䜑䛶䛔䜛䚹㻌 㻌 㻌 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䝏䞊䝮་⒪䛾ᐇ㻌 ྾ჾእ⛉䛻㝈䜙䛪䚸྾ჾෆ⛉䞉⭘⒆ෆ⛉䞉ᨺᑕ⥺⛉䛺䛹䛾 㛵㐃ྛ⛉䜔䚸እ᮶䞉ධ㝔Ჷ䞉ᡭ⾡ᐊ䛾┳ㆤᖌ䚸䝸䝝䝡䝸䝔䞊䝅 䝵䞁䞉ᰤ㣴ㄢ䞉ົ⫋䛺䛹䝯䝕䜱䜹䝹䝇䝍䝑䝣䛸䛾㐃ᦠ䜢ᙉ䛧䛶䛝 䛯䚹ཎⓎᛶ⫵䛜䜣䜔㌿⛣ᛶ⫵⭘⒆䜢య䛸䛩䜛ᝏᛶ⫵⭘⒆䜔 ⦪㝸⭘⒆䠈䛥䜙䛻㏆ᖺቑຍഴྥ䛻䛒䜛ᝏᛶ⬚⭷୰⓶⭘䜔⬚ቨ ⭘⒆䠈䜎䛯ⱝᖺ⏨ᛶ䛻ከ䛟䜏䜙䜜䜛⮬↛Ẽ⬚䛺䛹䛾྾ჾᝈ 䛻ᑐ䛩䜛እ⛉ⓗデ⒪䜢⾜䛖䛻䛒䛯䜚䚸㻞㻜㻝㻝 ᖺ 㻡 ᭶䛛䜙䛾Ꮫ 㝔⮚ჾู䝉䞁䝍䞊䛻䜘䛳䛶྾ჾ䞉䜰䝺䝹䜼䞊ෆ⛉䛸䛸䜒䛻 䛂྾ჾ䝉䞁䝍䞊䛃䛸䛧䛶㐠⏝䜢㛤ጞ䛧䠈እ⛉䛸ෆ⛉་ᖌ䛜㞄᥋ 䛩䜛እ᮶䝤䞊䝇䜔ධ㝔Ჷ䛻䛚䛔䛶デ⒪䜢ᢸᙜ䛩䜛䛣䛸䛷䚸䛭 䛾ᶵ⬟䜢༑ศ䛻Ⓨ䛷䛝䜛యไ䜢⥅⥆䛧䛶䛔䜛䚹䜎䛯䚸Ꮫ 㝔䛸䛧䛶༞๓ᩍ⫱䛰䛡䛷䛺䛟䚸ᑓ㛛་⫱ᡂ䛻ྥ䛡䛯༞ᚋᩍ⫱ 䛜ᐇ䛥䜜䛶䛝䛶䛔䜛䚹㻌 㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃ෆど㙾ᡭ⾡䛾㐺ᛂᣑ䛻䜘䜛పくᛶ⒪䛾ᐇ䛻䜘䜚䚸᰿ᛶ䜢ಖ䛱䛺䛜䜙⾡ᚋྜే 䛾䛥䜙䛺䜛పῶ䜔྾ᶵ⬟ Ꮡ⾡ᘧ䛾ᣑ䜢ᅗ䜛䚹㻌 䖃ᝏᛶ⭘⒆䛻ᑐ䛩䜛㞟Ꮫⓗ⒪䛾᥎㐍䚹㻌 䖃⾡ᚋ⑊③䜔Ᏻ๐ῶ䛻ྥ䛡䛯᳨ウ䚹㻌 䖃⮬↛Ẽ⬚䛾⾡ᚋⓎ㜵Ṇ䛻㛵䛩䜛᪂䛯䛺⾡ᘧ䛾㛤Ⓨ䚹㻌 䖃䝎䝡䞁䝏ᑟධ䛻ྥ䛡䛯‽ഛ䚹㻌 䖃ᑓ㛛ⓗ䛺ᡭᢏ௨እ䛾ᢏ⬟䠄䝜䞁䝔䜽䝙䜹䝹䝇䜻䝹䠅䛾ᩍ⫱カ⦎䝥䝻䜾䝷䝮䛾㛤Ⓨ䛸ホ౯䝅 䝇䝔䝮䛾ᵓ⠏䚹㻌 㻌 ―75― 呼吸器外科 እ⛉㡿ᇦ䛻䛚䛡䜛䝜䞁䝔 ་⒪ᚑ⪅䜙䛻ồ䜑䜙䜜䜛་⒪Ᏻ䛻㛵䜟䜛▱㆑䞉ᢏ⬟䞉⬟ຊ 消化器・一般外科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻝㻞㻌 ᾘჾ䞉୍⯡እ⛉㻌 12）消化器・一般外科 㻌 㻝㸬 デ⒪యไᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ᮧୖ 㞞ᙪ㻌 ་ᒁ㛗㻌 㟷ᮌ Ṋኈ㻌 Ჷ་㛗㻌 ሯ ⪔ྖ㻌 㻌 㻔㻞㻕 ་ᖌᩘ 㻟㻣ྡ㻔ᖖ㻝㻤ྡࠊ㠀ᖖ㻝㻥ྡ㻕㻌 㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻞ྡ ㅮᖌ㻌 㻞ྡ ຓᩍ㻌 㻝㻜ྡ Ꮫ㝔⏕㻌 㻟ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬࡧᑓ㛛་࣭ㄆᐃ་㻌 ᪥ᮏእ⛉Ꮫᣦᑟ་㻌 㻤ྡ ᪥ᮏᾘჾእ⛉Ꮫᣦᑟ་㻌 㻠ྡ ᪥ᮏᾘჾෆど㙾Ꮫᣦᑟ་㻌 㻟ྡ ᪥ᮏᾘჾᏛ㻌 㻞ྡ ᪥ᮏ⭠⫠㛛Ꮫ㻌 㻟ྡ ᪥ᮏ⫢⮚Ꮫᣦᑟ་㻌 㻝ྡ ᑓ㛛་㻌 ᪥ᮏእ⛉Ꮫᑓ㛛་㻌 㻞㻢ྡ 㻌 ᪥ᮏᾘჾእ⛉Ꮫᑓ㛛་㻌 㻝㻝ྡ ᪥ᮏᾘჾෆど㙾Ꮫᑓ㛛་㻌 㻝㻜ྡ ᪥ᮏᾘჾᏛᑓ㛛་㻌 㻝㻜ྡ ᪥ᮏ⭠⫠㛛Ꮫᑓ㛛་㻌 㻟ྡ ᪥ᮏ⫢⮚Ꮫ㻌 㻠ྡ ᾘჾࡀࢇእ⛉⒪ㄆᐃ་㻌 㻝㻝ྡ ᪥ᮏෆど㙾እ⛉Ꮫᢏ⾡ㄆᐃ་㻌 㻢ྡ ᪥ᮏ㣗㐨Ꮫㄆᐃ་㻌 㻟ྡ ᪥ᮏࡀࢇ⒪ㄆᐃ་㻌 㻟ྡ ᪥ᮏᾘ⟶Ꮫ⫶⭠⛉ㄆᐃ་㻌 㻝ྡ ࣥࣇ࢙ࢡࢩࣙࣥࢥࣥࢺ࣮ࣟࣝࢻࢡࢱ࣮㻌 㻟ྡ ᣦᑟ་㻌 ㄆᐃ་㻌 ࡑࡢ㻌 㻌 㻌 㻌 㻌 ―76― 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ㸦ึデ㸧㻌 㻢㻜㻤㻌 㻢㻥㻤㻌 㻢㻥㻝 እ᮶ᝈ⪅ᩘ㸦デ㸧㻌 㻝㻝㻘㻤㻟㻠㻌 㻝㻞㻘㻣㻢㻤㻌 㻝㻟㻘㻜㻟㻢 㻞㻞㻥㻌 㻝㻠㻟㻌 㻝㻝㻤 㻝㻞㻘㻢㻣㻝㻌 㻝㻟㻘㻢㻜㻥㻌 㻝㻟㻘㻤㻠㻡 እ᮶ᝈ⪅ᩘ㸦㛫እ㸧㻌 እ᮶ᝈ⪅ᩘ㸦ྜィ㸧㻌 㻌 㻔㻡㻕 ධ㝔デ⒪ࡢᐇ⦼㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 㻌 ධ㝔ᝈ⪅ᩘ㸦ᘏᩘ㸧㻌 㻞㻠㻘㻥㻣㻣 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㻞㻟㻘㻠㻥㻠 㻝㻥㻘㻡㻢㻝 㻌 㻔㻢㻕 ධ㝔デ⒪ࡢᐇ⦼㻌 㻌 ᝈྡ㸦ධ㝔㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 㣗㐨⒴㻌 㻞㻤㻢 㻞㻌 ⭠⒴㻌 㻝㻤㻠 㻟㻌 ⫹▼㻌 㻝㻟㻢 㻠㻌 ࣊ࣝࢽ㻌 㻝㻟㻡 㻡㻌 ⫶⒴㻌 㻝㻜㻞 㻢㻌 ᛴᛶᆶ⅖㻌 㻥㻟 㻣㻌 ⫢⒴㻌 㻠㻞 㻤㻌 ༑ᣦ⭠⭘⒆㻌 㻟㻣 㻥㻌 ⮅⒴㻌 㻝㻠 㻝㻜㻌 ⭈㻌 㻝㻤㻜 㻌 㻌 ᡭ⾡㡯┠㸦ධ㝔㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 ⭡⭍㙾ୗ⭠ษ㝖⾡㻌 㻝㻠㻣 㻞㻌 㰢ᚄ࣊ࣝࢽ᰿⾡㻌 㻝㻞㻢 㻟㻌 ⭡⭍㙾ୗ⫹ᄞฟ⾡㻌 㻝㻞㻡 㻠㻌 ⭡⭍㙾ୗᆶษ㝖⾡㻌 㻥㻢 㻡㻌 ⬚⭍㙾ୗ㣗㐨ள⾡㻌 㻣㻜 㻢㻌 ⭡⭍㙾ୗᗃ㛛ഃ⫶ษ㝖⾡㻌 㻠㻤 㻣㻌 㛤⭡⭠ษ㝖⾡㻌 㻠㻜 㻤㻌 㛤⭡⫢ษ㝖⾡㻌 㻟㻡 㻥㻌 ⭡⭍㙾ୗ⫶⾡㻌 㻞㻡 㻝㻜㻌 ⭈㻌 㻝㻡㻜 㻌 㻌 㻌 㻌 ―77― 消化器・一般外科 㻔㻠㻕 እ᮶デ⒪ࡢᐇ⦼㻌 消化器・一般外科 㻌 ࡞᳨ᰝ࣭ฎ⨨ྡ㸦እ᮶࣭ධ㝔ၥࢃࡎ㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 ୖ㒊ᾘ⟶ෆど㙾᳨ᰝ㻌 㻝㻘㻟㻟㻟 㻞㻌 ୗ㒊ᾘ⟶ෆど㙾᳨ᰝ㻌 㻤㻟㻟 㻟㻌 ⭡㒊㉸㡢Ἴ᳨ᰝ㻌 㻟㻡㻜 㻠㻌 ⭠࣏࣮ࣜࣉษ㝖⾡㻌 㻝㻥㻜 㻡㻌 ෆど㙾ୗ⢓⭷ୗᒙษ㝖㸦㻱㻿㻰㸧㻌 㻟㻜 㻌 㻞㸬 ඛ㐍ⓗ࡞་⒪ࡢྲྀࡾ⤌ࡳ㻌 ձ㙾どୗ㣗㐨⒴᰿⾡㻌 㻝㻥㻥㻢ᖺࡼࡾᮏ⾡ᘧࢆ㣗㐨⒴ࡢᶆ‽ᡭ⾡ࡋ࡚ᑟධࠋ㻞㻜㻝㻜ᖺ 㸦㼂㻭㼀㻿㻙㻱㸧㻌 ࡽࡣẼ⬚ࢆే⏝ࡋࡓ⾡ᘧࢆ㛤Ⓨࡋᑟධࡋ࡚࠸ࡿࠋ㙾どୗᡭ⾡ ௳ᩘ࡛ࡣᅜෆ᭱ከ࡛࠶ࡾࠊෆእࡢ㣗㐨እ⛉་ࡢᣦᑟ࠶ࡓࡗ ࡚࠸ࡿࠋ㻌 㻌 ղෆど㙾⿵ຓୗ⭡⭍㙾 ༑ᣦ⭠⭘⒆ኚᑐࡍࡿ᪂⾡ᘧࠋෆど㙾⒪ᅔ㞴࡞༑ᣦ ୗ༑ᣦ⭠ษ㝖⾡㻌 ⭠ኚࢆᏳࡘపく࡛⭡⭍㙾ୗษ㝖ࡍࡿ┠ⓗ࡛ 㻌 㻔㻱㻭㻸㻰㻕㻌 㛤Ⓨࠋ㻞㻜㻝㻜ᖺࡼࡾ་ࡢ⌮ጤဨࡢᢎㅙࢆᚓ࡚ᑟධࠋ⒪௳ ᩘࡣᅜෆ᭱ከ࡛࠶ࡿࠋ㻌 㻌 ճ㻟㻰 ࢼࣅࢤ࣮ࢩࣙࣥࢩ 㻯㼀 ⏬ീࢆ≉Ṧ࡞ゎᯒࢯࣇࢺࢆ⏝࠸࡚㻟㻰 ࡋࠊ⭡⭍㙾ୗ⫢࣭ ࢫࢸ࣒ࡼࡿ⭡⭍㙾ୗ ⮅ษ㝖ࡢ㝿ࡢࢼࣅࢤ࣮ࢩࣙࣥࡋ࡚⏝ࠋ⫢࣭⮅ᐇ㉁⤌⧊ࢆ ⫢࣭⮅ษ㝖㻌 ㏱ぢࡋ࡚⾑⟶⣔ᥥฟࡀྍ⬟࡞ࡿࡓࡵࠊᏳ࡞ᡭ⾡ࡀྍ⬟ ࡞ࡗࡓࠋ㻌 մ༢Ꮝᘧ⭡⭍㙾ୗᡭ⾡㻌 ┣⭠㹼ୖ⾜⤖⭠⒴ᑐࡍࡿ⾡ᘧࡋ࡚ᑟධࡋࠊ⌧ᅾ࡛ࡣᶆ‽ ᡭ⾡ࡋ࡚☜❧ࠋ✲ᴟࡢపくᡭ⾡࡛࠶ࡿࠋᚋ 㻿 ≧⤖⭠࣭ ┤⭠ᣑࡋ࡚࠸ࡃணᐃ࡛࠶ࡿࠋ㻌 㻌 㻟㸬 ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձෆど㙾እ⛉ᡭ⾡㻌 ࡚ࡢᾘჾ⒴ᡭ⾡௳ᩘࡀቑຍࡋࠊ㙾どୗᡭ⾡⋡ࡶᖺࡢ 㻤㻜㻑ࡽ㻤㻡㻑ቑຍࠋ㣗㐨⒴㻝㻜㻜㻑ࠊ⫶⒴㻤㻥㻚㻠㻑ࠊ⭠⒴㻤㻞㻑ࠊ⫢࣭ ⮅⒴㻟㻟㻑࡛࠶ࡗࡓࠋ㻌 ղ⾡ᚋ 㻿㻿㻵㻌 ᡭ⾡ࡢ㉁ࡢホ౯ࡋ࡚⾡ᚋࡢ 㻿㻿㻵 ⋡ࢆࡳࡿࡇࡣ୍ࡘࡢᣦᶆ ࡛࠶ࡿࠋ㒊 㻿㻿㻵 㛵ࡋ࡚ࡣࠊ⭠⒴ࡢ㻝㻡㻑ࢆ㝖ࡅࡤ࡚㻝㻜㻑 ௨ୗ࡛࠶ࡗࡓࠋᾘ⟶ᡭ⾡࠾ࡅࡿ⦭ྜ⋡ࡣࠊ㣗㐨⒴ 㻝㻚㻣㻑ࠊ⫶⒴㻜㻑ࠊ⭠⒴㻤㻑࡛࠶ࡗࡓࠋ㻌 㻌 㻠㸬 ᚋࡢㄢ㢟ᒎᮃ㻌 ەᐃᆺࡉࢀࡓ㙾どୗᡭ⾡ࡢᐇ㊶㻌 ┠ࢆࣟࢮేྜەᣦࡋࡓ࿘⾡ᮇ⟶⌮ࡢᐇ㊶㻌 㻌 ―78― 乳腺外科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻝㻟㻌 ங⭢እ⛉㻌 13）乳腺外科 㻝㸬 デ⒪యไᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ་ᒁ㛗㻌 ୰ᮧ Ύ࿃㻌 ἑ⏣ ᬸ㻌 Ჷ་㛗 㻌 ἑ⏣ ᬸ㻌 㻌 㻔㻞㻕 ་ᖌᩘ ྡ㻔ᖖ 㻝㻝 ྡࠊ㠀ᖖ 㻡 ྡ㻕 㻌 㻌 㻌 ᩍᤵ㻌 㸯ྡ ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻝ྡ ຓᩍ㻌 㻠ྡ Ꮫ㝔⏕㻌 㻜ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬࡧᑓ㛛་࣭ㄆᐃ་ 㻌 ᣦᑟ་㻌 ᪥ᮏእ⛉Ꮫᣦᑟ་㻌 㻠ྡ ᑓ㛛་㻌 ᪥ᮏእ⛉Ꮫᑓ㛛་㻌 㻝㻜 ྡ 㻌 ᪥ᮏங⒴Ꮫᑓ㛛་㻌 㻤ྡ ㄆᐃ་㻌 ᪥ᮏங⒴Ꮫㄆᐃ་㻌 㻞ྡ ᪥ᮏ⒴⒪ㄆᐃ་ᶵᵓ⒴⒪ㄆᐃ་㻌 㻡ྡ 㻌 㻔㻠㻕 እ᮶デ⒪ࡢᐇ⦼㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ㸦ึデ㸧㻌 㻥㻥㻝㻌 㻝㻘㻞㻠㻝㻌 㻝㻘㻟㻞㻤 እ᮶ᝈ⪅ᩘ㸦デ㸧㻌 㻝㻜㻘㻝㻞㻜㻌 㻝㻞㻘㻜㻜㻥㻌 㻝㻟㻘㻡㻡㻡 㻟㻞㻌 㻝㻢㻌 㻞㻞 㻝㻝㻘㻝㻠㻟㻌 㻝㻟㻘㻞㻢㻢㻌 㻝㻠㻘㻥㻜㻡 እ᮶ᝈ⪅ᩘ㸦㛫እ㸧㻌 እ᮶ᝈ⪅ᩘ㸦ྜィ㸧㻌 㻌 㻔㻡㻕 ධ㝔デ⒪ࡢᐇ⦼㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ධ㝔ᝈ⪅ᩘ㸦ᘏᩘ㸧㻌 㻠㻘㻝㻝㻣 ᖹᡂ 㻞㻟 ᖺᗘ㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 㻠㻘㻠㻞㻣 㻠㻘㻠㻝㻢 㻌 㻔㻢㻕 ධ㝔デ⒪ࡢᐇ⦼㻌 㻌 ᝈྡ㸦ධ㝔㸧㻌 㻝㻌 ங⒴ 㸦ึⓎ㸧㻌 㻞㻌 ங⒴ⓎཬࡧᏛ⒪ἲ㻌 ᝈ⪅ᩘ㻌 㻠㻡㻠 㻠㻣 ―79― 乳腺外科 㻌 ᡭ⾡㡯┠㸦ධ㝔㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 ஙᡣ Ꮡᡭ⾡㻌 㻞㻜㻠 㻞㻌 ஙᡣᡭ⾡㻌 㻝㻢㻜 㻟㻌 ࢭࣥࢳࢿࣝࣜࣥࣃ⠇⏕᳨㻌 㻟㻜㻜 㻠㻌 ⭘⒆ฟ⾡㻌 㻡㻌 ࡑࡢ㻌 㻞㻡 㻝 㻌 㻌 ࡞᳨ᰝ࣭ฎ⨨ྡ㸦እ᮶࣭ධ㝔ၥࢃࡎ㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 ࣐ࣥࣔࢢࣛࣇ㸦㻹㻹㻳㸧㻌 㻞㻘㻣㻤㻠 㻞㻌 ஙᡣ㉸㡢Ἴ㸦㼁㻿㸧㻌 㻠㻘㻜㻣㻜 㻟㻌 㼁㻿 ୗ⤌⧊⏕᳨㸦㼏㼛㼞㼑㻌㼚㼑㼑㼐㼘㼑㻌 㻌 㼎㼕㼛㼜㼟㼥㸧㻌 㻠㻌 㼁㻿 ୗ⤌⧊⏕᳨㸦㺨㺼㺘㺵㸧㻌 㻡㻌 㼁㻿 ୗ⤌⧊⏕᳨㸦࣐ࣥࣔࢺ࣮࣒㸧㻌 㻢㻌 㦵ᐦᗘ㸦㦵ሷ㸧㻌 㻣㻌 㻿㼀㻙㻹㻹㼀㻔࣐ࣥࣔࢺ࣮࣒㻕㻌 㻠㻣㻢 㻥 㻝㻞 㻞㻞㻠 㻣㻥 㻌 㻞㸬 ඛ㐍ⓗ࡞་⒪ࡢྲྀࡾ⤌ࡳ㻌 ձ 㑇ఏᏊ᳨ᰝ㻌 ங⒴ࠊ༸ᕢ⒴㛵ಀࡍࡿ 㻮㻾㻯㻭 㑇ఏᏊࡢ࢝࢘ࣥࢭࣜࣥࢢࡸ㑇 ఏᏊ ᐃ᳨ᰝࢆ⾜࠸ࠊங⒴⒪ᙺ❧࡚࡚࠸ࡿࠋ㻌 ղ ஙᡣᘓᡭ⾡㻌 ⌧ᅾࠊஙᡣᡭ⾡ᚋࡢஙᡣᘓࡣࢇಖ㐺ᛂ࡞ࡗ ࡓࠋᙧᡂእ⛉ඹྠࡋ࡞ࡀࡽᝈ⪅ࡢᕼᮃࡇࡓ࠼ࡿࡼ࠺⒪ ࡋ࡚࠸ࡿࠋ㻌 㻌 㻟㸬 ᖹᡂ 㻞㻠 ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձ ࣈࣞࢫࢺࢭࣥࢱ࣮㻌 ղ ᭱ඛ➃ࡢ⒪ࠊデ᩿ ࣈࣞࢫࢺࢭࣥࢱ࣮ࡀ❧ࡕୖࡀࡗ࡚ 㻟 ᖺࡀ⤒㐣ࡋࡓࠋ㻞㻠 ᖺࡢᡭ ⾡ࡀ 㻠㻜㻜 వࡾ࡛࠶ࡗࡓࡀࠊᖺࡣࠊ㻡㻜㻜 ࡢ⤒ 㦂࡞ࡾࡑ࠺࡛࠶ࡿࠋࣈࣞࢫࢺࢭࣥࢱ࣮ෆ࡛⤖ࡍࡿ᳨ᰝࡣ ᝈ⪅ࡉࢇホุࡀⰋࡗࡓࠋ㻌 ⌧ᅾࠊ࣐ࣥࣔࢢࣛࣇࡣ㐀ᙳ࣐ࣥࣔࢢࣛࣇࢆຍ࠼࡚ࡀࢇࡢ ᥥฟ⬟ຊࢆ㧗ࡵ࡚࠸ࡿࠋࡉࡽࠊஙᡣ㉸㡢Ἴࡢ࢚ࣛࢫࢺࢢࣛ ࣇࡣ␗࡞ࡗࡓ 㻞 ✀㢮ࡢ⨨ࢆࡑ࡞࠼࡚࠾ࡾࠊⰋᝏᛶࡢุᐃ ᙺ❧ࡗ࡚࠸ࡿࠋᚋࠊᡭ⾡ᚋ⾜࠺ᨺᑕ⥺↷ᑕᑐࡍࡿ᪂ ࡋ࠸ᶵჾࡢᑟධࢆ⪃࠼࡚࠸ࡿࠋ㻌 㻌 㻠㸬 ᚋࡢㄢ㢟ᒎᮃ㻌 ەஙࡀࢇᝈ⪅ࡢቑຍ㸸ࣈࣞࢫࢺࢭࣥࢱ࣮ࡢ㛤タ௨᮶ࠊᝈ⪅ᩘࡀቑຍࡋࠊࡑࡢᑐᛂ㏣ࢃ ࢀࡓឤࡀྰࡵ࡞࠸ࡢ࡛ࠊᚋࢳ࣮࣒་⒪ࡸタഛࡢᐇࢆᅗࡾࡓ࠸ࠋ㻌 ە᪥ᮏ࠾࠸࡚ቑຍࡢ୍㏵ࢆࡓࡿங⒴ᝈ⪅ࡢቑຍࡣ᪥ᮏࡢ♫⌧㇟ࡋ࡚㔜せ࡞ ⨨ࢆ༨ࡵ࡚࠸ࡿࠋᙜ㝔ࡢࣈࣞࢫࢺࢭࣥࢱ࣮ࡀ᪥ᮏ࠾ࡅࡿஙࡀࢇ⒪ࡢ୰᰾ࢆᢸ࠺ ࡃࠊດຊࡍࡿࠋ㻌 㻌 ―80― 小児外科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻝㻠㻌 ᑠඣእ⛉㻌 14）小児外科 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻌 㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ᅵᒱ㻌 ᙲ㻌 ་ᒁ㛗㻌 ᮡᒣᙲⱥ㻌 Ჷ་㛗㻌 Ⳣ㻌 ⌮Ụ㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻥ྡ㻔ᖖ㻤ྡ㻌 㠀ᖖ㻞ྡ㻕㻌 㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻝ྡ ຓᩍ㻌 㻡ྡ Ꮫ㝔⏕㻌 㻝ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 㻌 㻌 ᪥ᮏᑠඣእ⛉Ꮫᣦᑟ་㻌 㻞ྡ 㻌 ᪥ᮏእ⛉Ꮫᣦᑟ་㻌 㻞ྡ ᑓ㛛་㻌 ᪥ᮏᑠඣእ⛉Ꮫᑓ㛛་㻌 㻡ྡ 㻌 ᪥ᮏእ⛉Ꮫᑓ㛛་㻌 㻢ྡ ㄆᐃ་㻌 ᪥ᮏ⬚㒊እ⛉ㄆᐃ་㻌 㻝ྡ ᪥ᮏᾘჾእ⛉Ꮫㄆᐃ་㻌 㻝ྡ ᪥ᮏ䛜䜣⒪ㄆᐃ་ᶵᵓᬻᐃᩍ⫱་㻌 㻝ྡ ᣦᑟ་㻌 䛭䛾㻌 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻠㻥㻡㻌 㻠㻠㻝㻌 㻡㻞㻢 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻟㻘㻢㻜㻝㻌 㻟㻘㻡㻟㻝㻌 㻟㻘㻠㻤㻢 㻝㻡㻠㻌 㻝㻜㻡㻌 㻡㻥 㻠㻘㻞㻡㻜㻌 㻠㻘㻜㻣㻣㻌 㻠㻘㻜㻣㻝 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌㻌㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 㻞㻘㻡㻟㻡 㻌 㻌 㻌 ―81― ᖹᡂ㻞㻟ᖺᗘ㻌 㻞㻘㻞㻥㻠 ᖹᡂ㻞㻠ᖺᗘ㻌 㻟㻘㻝㻡㻣 小児外科 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᝈྡ䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 㰡ᚄ䝦䝹䝙䜰䞉㝜ᄞỈ⭘㻌 㻝㻝㻣㻌 㻞㻌 䝦䝹䝙䜰㻌 㻠㻟㻌 㻟㻌 ᛴᛶᆶ⅖㻌 㻞㻟㻌 㻠㻌 ␃⢭ᕢ㻌 㻝㻟㻌 㻡㻌 ⭠⅖㻌 㻝㻞㻌 㻢㻌 ⭠㛢ሰ㻌 㻤㻌 㻣㻌 ᦤ㣗㞀ᐖ㻌 㻣㻌 㻤㻌 ⫶㣗㐨㏫ὶ㻌 㻣㻌 㻥㻌 㙐⫠㻌 㻢㻌 㻝㻜㻌 ₃ᩯ⬚㻌 㻡㻌 㻌 㻌 ᡭ⾡㡯┠䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 㰡ᚄ䝦䝹䝙䜰䠄䝫䝑䝒ᡭ⾡䠅㻌 㻤㻣㻌 㻞㻌 䝦䝹䝙䜰᰿⾡㻌 㻟㻥㻌 㻟㻌 ⭡⭍㙾ୗ㰡ᚄ䝦䝹䝙䜰ᡭ⾡䠄㻸㻼㻱㻯䠅㻌 㻟㻞㻌 㻠㻌 ␃⢭ᕢᡭ⾡㻌 㻝㻟㻌 㻡㻌 ⭡⭍㙾ୗᆶษ㝖⾡㻌 㻝㻞㻌 㻢㻌 ⫶䜝䛖㐀タ⾡㻌 㻥㻌 㻣㻌 ᆶษ㝖⾡㻌 㻤㻌 㻤㻌 ᄇ㛛ᙧᡂ⾡㻌 㻠㻌 㻥㻌 Ẽ⟶ษ㛤⾡㻌 㻠㻌 㻝㻜㻌 㙐⫠᰿⾡㻌 㻠㻌 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟 పくᡭ⾡㻌 㛤⭡ᡭ⾡䛿ྍ⬟䛺㝈䜚㍯䜢⏝䛧䛯ษ㛤䠄ᘼ≧ษ㛤䠅䛷⾜䛔䚸⾡ᚋ 䜢┠❧䛱䛻䛟䛟䛧䛶䛔䜛䚹㰡ᚄ䝦䝹䝙䜰䚸ᆶ⅖䛻ᑐ䛧䛶䛿✚ᴟⓗ䛻㙾 どୗᡭ⾡䜢⾜䛳䛶䛔䜛䚹䜎䛯䚸₃ᩯ⬚䛻ᑐ䛧䛶䛿⬚ቨ䛻㔠ᒓ䝞䞊䜢ᤄධ䛧 䛶䚸㝗ἐ䛧䛯⬚ቨ䜢▹ṇ䛩䜛 㻺㼡㼟㼟 ἲ䜢⾜䛳䛶䛔䜛䚹㻌 㻌 䐠 ᇶ♏ⓗ◊✲㻌 ᑠඣእ⛉ᝈ䛾ฟ⏕๓デ᩿䛾ᬑཬ䛻క䛔䚸㔜䛜ቑຍ䛧䛶䛔䜛䚹䛣 㻌 䜜䜙䛾⫾ඣ䛻ᑐ䛧䛶⫾ඣ⒪䛜✚ᴟⓗ䛻⾜䜟䜜䜛䜘䛖䛻䛺䛳䛶䛝䛶䛔䜛䚹 ᙜ⛉䛷䛿ẕᏊ䜈䛾く䜢䛷䛝䜛㝈䜚ᑡ䛺䛟䛩䜛ᚲせᛶ䛛䜙䚸㧗ᐦᗘ↔Ⅼᘧ ㉸㡢Ἴ䠄㻴㻵㻲㼁㻦㻴㼕㼓㼔㻙㻵㼚㼠㼑㼚㼟㼕㼠㼥㻌㻲㼛㼏㼡㼟㼑㼐㻌㼁㼘㼠㼞㼍㼟㼛㼡㼚㼐䠅䛻䜘䜛⒪䜢᳨ウ䛧䛶䛔 䜛䚹㻌 ඛኳᛶᄞ⬊≧⭢⭘ᵝᙧᡂ␗ᖖ㻔㻯㻯㻭㻹㻕䚸⫵ศ⏬䚸ᕧᑿ㒊ወᙧ⭘䛺 䛹䛾ᐇ㦂䝰䝕䝹䜢సᡂ䛧䚸㻴㻵㻲㼁 䜢↷ᑕ䛩䜛䛣䛸䛻䜘䜚ὶධ䠄ᰤ㣴䠅⾑⟶䛾 ↝ⅎሰᰦ䜢⾜䛖ᐇ㦂䜢タ䛸ඹྠ䛷⾜䛳䛶䛔䜛䚹㏆䛔ᑗ᮶䚸⮫ᗋᛂ⏝䛜 Ᏻ䛻⾜䛘䜛ྍ⬟ᛶ䛜䛒䜛䚹㻌 ―82― 小児外科 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟 ᪥ᖖᝈ䛻ᑐ䛩䜛ྲྀ 䝦䝹䝙䜰䛻ᑐ䛩䜛䝇䝫䞁䝆ᅽ㏕⒪ἲ䚸౽⛎䛻ᑐ䛩䜛⸆≀⒪ἲ 䜚⤌䜏㻌 䛺䛹䚸ᑠඣ᪥ᖖᝈ䛻ᑐ䛧䛶䜒✚ᴟⓗ䛻እ⛉་䛜㛵䛧Ⰻዲ䛺 ⤖ᯝ䜢ᚓ䛯䚹ᆶ⅖䜢䛸䛩䜛ᩆᛴᝈ䜢✚ᴟⓗ䛻ཷ䛡ධ䜜䚸 ᆅᇦ་⒪䛻㈉⊩䛧䛯䚹䜎䛯䚸㰡ᚄ䝦䝹䝙䜰䛻ᑐ䛧䛶⭡⭍㙾ୗ䜢 ᑟධ䛧䚸ዪඣ䛷䛿䚸⭡⭍㙾ᡭ⾡䛻⛣⾜䛧䛯䚹㻌 䐠 ➨ 㻠 ᅇ ᪥ ᮏ 㟼 ⬦ ⤒ ⭠ 㻡᭶㻝㻥᪥䠄ᅵ䠅䛻᪥ᮏᩍ⫱㤋䠄୍䝒ᶫ䝩䞊䝹䠅䛷㛤ദ䛧䛯䚹䝔䞊 ᰤ㣴Ꮫ㤳㒔ᅪᨭ㒊 䝬䛿䛂ᰤ㣴⟶⌮䛾ᇶ♏䜢ぢ┤䛩䛃䛸㢟䛧䚸₇㢟ᩘ䠏䠔䠇≉ูㅮ₇䠖 Ꮫ⾡㞟㻌 ᑠඣ䛾ᰤ㣴⟶⌮䇷㻺㻿㼀 άື䛾⤒㦂䛛䜙㻌 䛸䛔䛖ෆᐜ䛷䚸⣙㻣㻜㻜 㻌 ྡ䛾ཧຍ䛜䛒䛳䛯䚹㻌 䐡 ➨ 㻟㻡 ᅇ ᪥ ᮏ ⮅ 䞉 ⫹ ⟶ 㻥᭶㻤᪥䠄ᅵ䠅䛻ᮾிᾏ㐠䜽䝷䝤䛷㛤ദ䛧䛯䚹₇㢟ᩘ䠏䠎䠇≉ู ྜὶ␗ᖖ◊✲㻌 ⏬䠖⮅䞉⫹⟶ྜὶ␗ᖖデ⒪䜺䜲䝗䝷䜲䞁సᡂ䛾ヰ䠇Ꮫ⾡ጤဨ 䝔䞊䝬䠖⫹⟶㠀ᣑᙇ䛸⒴Ⓨ⏕䠄Ⓩ㘓䛾ぢ┤䛧䠅㻌 䛸䛔䛖ෆᐜ 䛷䚸㻝㻞㻡ྡ䛾ཧຍ䛜䛒䛳䛯䚹㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃పくᡭ⾡䛾ᣑ㻌 䖃Ꮫ⏕䞉◊ಟ་ᩍ⫱䛾୍ᒙ䛾ᐇ㻌 䖃ᆅᇦ䛺䜙䜃䛻⛉䛸䛾㐃ᦠ䛾⥅⥆㻌 㻌 ―83― 脳神経外科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻝㻡㻌 ⬻⚄⤒እ⛉㻌 15）脳神経外科 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 Ỉ㇂㻌 ᚭ㻌 ་ᒁ㛗㻌 ⏣㻌 㻌 Ჷ་㛗㻌 ㇂ᒸ㻌 ㍜㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻞㻝ྡ㻔ᖖ㻝㻟ྡ䚸㠀ᖖ㻤ྡ㻕㻌 㻌 㻌 㻌 㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻟ྡ ຓᩍ㻌 㻣ྡ Ꮫ㝔⏕㻌 㻝ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ᪥ᮏ⬻⚄⤒እ⛉Ꮫ⛉㻌 ᣦᑟ་㻌 㻝㻜ྡ ᑓ㛛་㻌 ᪥ᮏ⬻⚄⤒እ⛉Ꮫ㻌 ᑓ㛛་㻌 㻝㻜ྡ 㻌 ᪥ᮏ⾑⟶ෆ⒪Ꮫ㻌 ᑓ㛛་㻌 㻝ྡ 㻌 ᪥ᮏ⬻༞୰Ꮫㄆᐃ㻌 ⬻༞୰ᑓ㛛་㻌 㻟ྡ ㄆᐃ་㻌 ᪥ᮏ⚄⤒ෆど㙾Ꮫ㻌 ㄆᐃ་㻌 㻞ྡ 㻌 㻔㻠㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻢㻠㻣㻌 㻡㻝㻞㻌 㻥㻣㻥 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻢㻘㻟㻡㻣㻌 㻡㻘㻠㻡㻝㻌 㻠㻘㻡㻥㻟 㻣㻢㻢㻌 㻠㻤㻜㻌 㻟㻜㻥 㻣㻘㻣㻣㻜㻌 㻢㻘㻠㻠㻟㻌 㻡㻘㻤㻤㻝 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 㻝㻜㻘㻤㻜㻥 㻌 㻌 㻌 㻌 㻌 ―84― ᖹᡂ㻞㻟ᖺᗘ㻌 㻥㻘㻥㻞㻝 ᖹᡂ㻞㻠ᖺᗘ㻌 㻝㻝㻘㻟㻟㻞 脳神経外科 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᝈྡ䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ᮍ◚⬻ື⬦⒗㻌 㻝㻠㻟 㻞㻌 䛟䜒⭷ୗฟ⾑㻌 㻟㻢 㻟㻌 ⬻ฟ⾑㻌 㻢㻞 㻠㻌 ⬻ື㟼⬦ወᙧ㻌 㻝㻡 㻡㻌 㢁㒊䞉㢌ෆື⬦⊃✽䞉㛢ሰ㻌 㻣㻡 㻢㻌 ⬻⭘⒆㻌 㻢㻟 㻣㻌 ୗᆶయ⭘⒆㻌 㻟㻟 㻤㻌 ∦ഃ㢦㠃②ᨥ㻌 㻠㻢 㻥㻌 ୕ཫ⚄⤒③㻌 㻠 㻝㻜㻌 ៏ᛶ◳⭷ୗ⾑⭘㻌 㻠㻣 㻌 㻌 ᡭ⾡㡯┠䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ⬻ື⬦⒗䜽䝸䝑䝢䞁䜾㻌 㻥㻠 㻞㻌 ෆ㢁ື⬦ෆ⭷㞳⾡㻌 㻟㻟 㻟㻌 㢌እ䇷㢌ෆ䝞䜲䝟䝇⾡㻌 㻞㻞 㻠㻌 ⬻⭘⒆ฟ⾡㻌 㻟㻢 㻡㻌 ෆど㙾ୗ⤒㰯ⓗୗᆶయ⭘⒆ฟ⾡㻌 㻟㻠 㻢㻌 ᚤᑠ⾑⟶ῶᅽ⾡㻌 㻠㻣 㻣㻌 ⬻ື㟼⬦ወᙧฟ⾡㻌 㻤㻌 㛤㢌⾑⭘㝖ཤ⾡㻌 㻞㻞 㻥㻌 㢌㦵ᙧᡂ⾡㻌 㻝㻡 㻠 㻝㻜㻌 ✸㢌⾑⭘Ὑί䝗䝺䝘䞊䝆⾡㻌 㻠㻣 㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ⬻⾑⟶ᙳ㻌 㻞㻤㻤 㻞㻌 ⬻⾑ὶ䝅䞁䝏㻌 㻞㻝㻣 㻌 㻌 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟 ヲ⣽䛺㻟㻰 ⏬ീ䛻䜘䜛 ⏬ീᢏ⾡䛾㐍Ṍ䛻䜘䜚 㻯㼀㻘㻌㻹㻾㻵㻘㻌㻰㻿㻭㻌 䛾䠏㻰 䜲䝯䞊䝆䜢⤌䜏ྜ䜟 ᡭ⾡䝅䝭䝳䝺䞊䝅䝵䞁㻌 䛫䛯䝣䝳䞊䝆䝵䞁⏬ീ䜢䝽䞊䜽䝇䝔䞊䝅䝵䞁䛷సᡂ䛩䜛䛣䛸䛜ྍ ⬟䛻䛺䛳䛯䚹䛣䜜䛻䜘䜚ᐇ㝿䛾ᡭ⾡⾡㔝䛻㏆䛔⏬ീ䜢⏝䛔䛶䚸⾡ ๓䝅䝭䝳䝺䞊䝅䝵䞁䜢⾜䛳䛶䛔䜛䚹㻌 䝝䜲䝡䝆䝵䞁⏬㉁䛷グ㘓䛧䛶䛔䜛ᡭ⾡ື⏬䝣䜯䜲䝹䛸䚸⾡๓⏬ീ 䝅䝭䝳䝺䞊䝅䝵䞁䜢ẚ㍑᳨ウ䛧䚸䜘䜚⢭ᗘ䛾㧗䛔䚸Ᏻ䚸☜ᐇ䛺ᡭ ⾡䜢䜑䛦䛧䚸䜎䛯ᡭ⾡ᩍ⫱䛻ᙺ❧䛶䛯䛔䚹㻌 ―85― 脳神経外科 䐠 㻵㼀 䝛䝑䝖䝽䞊䜽䛻䜘䜛 ᡭ⾡ᫎീ䛾䝸䜰䝹䝍䜲䝮䝇䝖䝸䞊䝭䞁䜾䚸䝝䜲䝡䝆䝵䞁ᡭ⾡ື⏬䝣 ᡭ⾡ሗ䛾᭷ᶵⓗ㻌 䜯䜲䝹䚸⏬ീ䛾䝷䜲䝤䝷䝸䜢⾜䛳䛶䛔䜛䚹䜎䛯䚸䛥䜙䛻䝽䞊䜽䝇 䝔䞊䝅䝵䞁䜢ᡭ⾡ᐊ䚸་ᒁ䛺䛹䛛䜙᧯స䛩䜛䛣䛸䛷䚸䛩䜉䛶䛾ᡭ ⾡ሗ䜢⼥ྜ䛧䚸䝛䝑䝖䝽䞊䜽䛩䜛ヨ䜏䜢⾜䛳䛶䛔䜛䚹䛣䜜䜙䛿 䛩䜉䛶୍⯡ 㻵㼀 ᶵჾ䜢⏝䛔䛶ᡭస䜚䛷ᵓ⠏䛧䛯䚹䛻ඛ㥑䛡䛯ඛ 㗦ⓗ䛺ヨ䜏䛷䛒䜛䚹㻌 㻌 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟 ᡭ⾡௳ᩘ㻟ಸቑ㻌 ⬻ື⬦⒗䚸㢁㒊㢕ື⬦⊃✽䛻ᑐ䛩䜛ෆ⭷㞳⾡䚸⬻ື⬦䝞䜲 䝟䝇⾡䜢୰ᚰ䛸䛧䛯⬻⾑⟶㞀ᐖ䛾ᡭ⾡䚸ୗᆶయ⭘⒆䛻ᑐ䛩䜛⤒ 㰯ෆど㙾ᡭ⾡䚸㢦㠃䛡䛔䜜䜣䚸୕ཫ⚄⤒③䛻ᑐ䛩䜛ᚤᑠ⬻⚄ ⤒ῶᅽ⾡䜢୰ᚰ䛻ᐃᡭ⾡䛜ⴭቑ䛧䚸௨๓䛾ᡭ⾡௳ᩘ䛾⣙㻟ಸ 䛻䛺䜚䛴䛴䛒䜛䚹㻌 㻌 㻌 䐠 ᛴᛶᮇ⬻༞୰⒪䛻 䠑᭶䜘䜚㝔ෆయไ䜢ኚ㠉䛧ᛴᛶᮇ⬻༞୰䛾ཷ䛡ධ䜜䜢ᨵၿ䛧 ᑐ䛩䜛ྲྀ䜚⤌䜏㻌 䛯䚹ᩆᛴ㝲䛛䜙䛾ᑓ⏝ 㻼㻴㻿 䜢ᑟධ䚸せㄳ䛛䜙ཷ䛡ධ䜜䜎䛷䛾 㛫䜢▷⦰䛧㻝㻜㻜㻑ཷ䛡ධ䜜䛾యไ䛸䛧䛯䚹䜎䛯⾑⟶ෆ⒪ᑓ㛛་ 䜢㏄䛘䜛䛣䛸䛻䜘䜚䚸⬻᱾ሰ䛻㛵䛧䛶䛿䚸㼠㻼㻭 㟼ὀ䛛䜙䜹䝔䞊䝔䝹 䛻䜘䜛㛤㏻䜎䛷䜢䝇䝮䞊䝇䛻⾜䛖䛣䛸䛜䛷䛝䜛䜘䛖䛻䛺䛳䛯䚹㻌 㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃ᐃᡭ⾡䛾ⴭቑ䛻䜘䜛䚸ᡭ⾡ᯟ䛾☜ಖ䛜ᛴົ㻌 䖃⌧ᅾ䠯䠟䠱㻔㻿㼠㼞㼛㼗㼑㻌㻯㼍㼞㼑㻌㼁㼚㼕㼠㻕䛜Ꮡᅾ䛧䛺䛔䛣䛸䛿ၥ㢟䛷䛒䜛㻌 㻿㻯㼁 䜢᪂タ☜ಖ䛧䛯䛔㻌 䖃⬻༞୰䛾ཷ䛡ධ䜜䜢䛥䜙䛻ቑ䜔䛧䚸⾑⟶እ⛉་䚸⾑⟶ෆ⒪་䜢⫱䛶䛯䛔㻌 㻌 ―86― 整形外科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻝㻢㻌 ᩚᙧእ⛉㻌 16）整形外科 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ✄ᇉ㻌 ඞグ㻌 ་ᒁ㛗㻌 ㇏ᓥ㻌 ὒ୍㻌 Ჷ་㛗㻌 ຓᓮ㻌 ᩥ㞝㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻠㻢ྡ㻔ᖖ㻞㻡ྡ䚸㠀ᖖ㻞㻝ྡ㻕㻌 㻌 㻌 ᩍᤵ㻌 㻣ྡ ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻥ྡ ຓᩍ㻌 㻣ྡ Ꮫ㝔⏕㻌 㻢ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 㻌 㻌 ᑓ㛛་㻌 ᑓ㛛་㻌 ㄆᐃ་㻌 ㄆᐃ་㻌 ᪥ᮏᩚᙧእ⛉Ꮫᑓ㛛་㻌 㻝㻣ྡ ᪥ᮏ䝸䝝䝡䝸䝔䞊䝅䝵䞁་Ꮫᑓ㛛་㻌 㻞ྡ ᪥ᮏ䝸䜴䝬䝏Ꮫ㻌 䝸䜴䝬䝏ᑓ㛛་㻌 㻢ྡ ᪥ᮏᡭእ⛉Ꮫᑓ㛛་㻌 㻠ྡ ᪥ᮏᩚᙧእ⛉Ꮫㄆᐃ䝇䝫䞊䝒་㻌 㻝㻠ྡ ᪥ᮏᩚᙧእ⛉Ꮫㄆᐃ䝸䜴䝬䝏་㻌 㻝㻡ྡ 㻌 ㄆᐃ⬨᳝⬨㧊་㻌 㻝㻠ྡ 㻌 䝸䝝䝡䝸䝔䞊䝅䝵䞁་㻌 㻝㻝ྡ 㻌 㻌 㻌 㻌 ⬨᳝ෆど㙾ୗᡭ⾡䞉ᢏ⾡ㄆᐃ་㻌 㻝ྡ ᪥ᮏ䝸䝝䝡䝸䝔䞊䝅䝵䞁་Ꮫ㻌 ㄆᐃ་㻌 㻤ྡ ᣦᑟ་㻌 㻌 㻌 ᪥ᮏ䝸䜴䝬䝏Ꮫ㻌 ᣦᑟ་㻌 㻝ྡ ᪥ᮏ⬨᳝⬨㧊Ꮫ㻌 ᣦᑟ་㻌 㻞ྡ ᪥ᮏయ⫱༠බㄆ䝇䝫䞊䝒䝗䜽䝍䞊㻌 㻝㻟ྡ ⩏⫥ල㐺ྜุᐃㅮ⩦ཷㅮ⪅㻌 㻝㻟ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻟㻘㻥㻤㻝 㻠㻘㻜㻠㻣 㻠㻘㻝㻡㻝 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻠㻞㻘㻤㻟㻝 㻣㻢㻘㻡㻠㻤 㻠㻝㻘㻡㻟㻤 㻝㻘㻡㻥㻠 㻝㻘㻟㻟㻝 㻤㻞㻠 㻠㻤㻘㻠㻜㻢 㻤㻝㻘㻥㻞㻢 㻠㻢㻘㻡㻝㻟 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 ―87― 整形外科 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 㻞㻝㻘㻥㻤㻣㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㻞㻞㻘㻟㻞㻞㻌 㻞㻞㻘㻞㻢㻜 㻌 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᡭ⾡㡯┠䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ๓⭎㦵ᢡ㻌 㻝㻜㻝 㻞㻌 ኚᙧᛶ⭸㛵⠇㻌 㻤㻟 㻟㻌 ⬨ᰕ⟶⊃✽䚸㠌ᖏ㦵䠄㢁䞉⬚䞉⭜᳝䠅㻌 㻤㻝 㻠㻌 ኚᙧᛶ⫤㛵⠇㻌 㻣㻥 㻡㻌 ⭣㦵㦵ᢡ㻌 㻣㻝 ⭸ෆ㞀㻌 㻢㻌 ྜィ㻡㻟 㻌 ๓༑Ꮠ㠌ᖏᦆയ㻌 㻞㻡 㻌 ༙᭶ᯈᦆയ㻌 㻞㻤 㻣㻌 ⫪䛚䜘䜃ୖ⭎㦵㦵ᢡ㻌 㻟㻥 㻤㻌 ⭝⦭ྜ⾡㻌 㻞㻣 㻥㻌 㛵⠇ᙧᡂ㻌 㻝㻢 㻝㻜㻌 ⚄⤒㞳⾡㻌 㻥 㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 㻝㻌 ⭜᳝⚄⤒᰿䝤䝻䝑䜽㻌 㻞㻌 ⬨㧊⭍㐀ᙳ㻌 㻟㻌 ⭜᳝᳝㛫ᯈ㐀ᙳ㻌 ᝈ⪅ᩘ㻌 㻝㻝㻞 㻣㻠 㻤 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟 ேᕤ㛵⠇⨨⾡㻌 㻳㼍㼜㻌 㼠㼑㼏㼔㼚㼕㼏 䛾䝞䝷䞁䝃䞊䜢⏝䛔䛯᳨ド䚸䜲䞁䝥䝷䞁䝖࿘ᅖ䛾 㼎㼛㼚㼑㻌㼐㼑㼚㼟㼕㼠㼥 䛸Ᏻᐃᛶ䛾᳨ウ㻌 䐠 㛵⠇䝸䜴䝬䝏㻌 㻿㼢㻴㻌 㼟㼏㼛㼞㼑 䜢᳨ウ䛧㦵◚ቯ䛾ᢚไ䛾᳨ウ䜢⾜䛔䚸⏕≀Ꮫⓗ〇 㻌 䛾⏝Ⓩ㘓䜢⾜䛔䚸䛭䛾ຠᯝ䜢ホ౯䛧䛶䛔䜛䚹㻌 䐡 㦵⢒㧼㻌 㑇ఏᏊ⤌䜏䛘 㻼㼀㻴 〇䚸㻿㻱㻾㻹䚸䝡䝇䝣䜷䝇䝩䝛䞊䝖䚸䜹䝹 㻌 䝅䝖䝙䞁〇➼䜢ಶ䚻䛾䛻䛒䛳䛯⒪䜢⾜䛳䛶䛔䜛䚹㻌 䐢 䝇䝫䞊䝒㞀ᐖ㻌 ᪂䛧䛔 㻷㼀㻞㻜㻜㻜䜔㉸㡢Ἴᶵჾ䜢⏝䛔䛶㛵⠇㠌ᖏ䛾䜶䝷䝇䝔䜱䜢 㻌 ᐃ䛧䛶㞀ᐖ䛾デ᩿䞉⒪䜢⾜䛳䛶䛔䜛䚹㻌 䐣 ⬨᳝እ⛉㻌 ឤᰁᛶ᳝య⅖䛾⒪䜢ᡭ⾡ⓗ䛻ᅛᐃ⾡䜢ే⏝䛩䜛䛣䛸䛷ឤᰁ 㻌 䜢ไᚚྍ⬟䛷䛒䜛䛣䛸䜢⾜䛳䛶䛔䜛䚹పくᡭ⾡䛸䛧䛶 㻹㻱㻰䠄ෆ 㻌 ど㙾ୗ䝦䝹䝙䜰ฟ⾡䠅䛸 㼄㼟㼠㼛㼜㻌㼟㼥㼟㼠㼑㼙 䜒⾜䛳䛶䛔䜛䚹㻌 䐤 ୖ⫥䛾እ⛉㻌 ⓶ᘚᙧᡂ䜔⾑⟶䛝㦵⛣᳜䛺䛹䛾䝬䜲䜽䝻䝃䞊䝆䝱䝸䞊䜢⾜ 䛳䛶䛔䜛䚹㻌 ―88― 整形外科 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟 ᪂ே䛸◊ಟ་䛾ᩍ⫱㻌 ᙜ⛉⊂⮬䛾ᑓᨷ་䠄ᑓ㛛་㈨᱁๓䛾་ᖌ䠅⫱ᡂ䝅䝇䝔䝮䜢 ᵓ⠏䛧䚸Ꮫၥ䛰䛡䛷䛺䛟ᡭ⾡௳ᩘ䜒⩦ᚓ䛷䛝䜛䜘䛖䛻䛧䛯䚹ᖺ 䠎ᅇ䚸㦵ᢡ㦵᥋ྜᡭ⾡ᡭᢏ䞉⦭ྜ䞉㛵⠇ෆὀධᡭᢏ䛾䝝䞁䝈 䜸䞁䝉䝭䝘䞊䜢⾜䛔䚸ୖ⣭་䛜᪂ே䜔◊ಟ་䛾ᩍ⫱䛻ᙜ䛯 䛳䛯䚹㻌 㻌 䐠 ྛᑓ㛛デ䛾ᐇ䜢ᅗ䛳 䛯㻌 Ჷ⌜䛾ᵓᡂ䜢䚸ᑓ㛛ศ㔝䛻䜘䜚ศ䛡䛯䛣䛸䚸እ᮶䛾ྛᑓ㛛 デ䠄ᡭ䚸⫤䚸⭸䚸⬨᳝䚸䝇䝫䞊䝒䚸㻾㻭䚸㦵⢒㧼䠅䜢᭙᪥ู༗ ᚋ䛻㞟୰䛥䛫䛯䛣䛸䛺䛹䛻䜘䜚䚸᪥ᖖデ⒪䛾ᐇ䜢䛿䛛䛳 䛯䚹㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃᪂ධ་ᒁဨ䛾ᕼᮃ䛾ከᵝ䛻䛒䜟䛫䚸䛭䜜䜢‶䛯䛩䛣䛸䛜䛷䛝䜛䜘䛖䛻༞ᚋᩍ⫱䞉ᣦᑟ 㝔䛾ᩚഛ䜢⾜䛳䛶䛔䛟䚹ᾏእ␃Ꮫ䜢ྵ䜑䛯ᅜ㝿άື䜒ᗈ䛢䛶䛔䛟䚹㻌 䖃㐲᪉タ䛷䛾ົ䜒ከ䛟䛺䛳䛶䛝䛶䛚䜚䚸་ᖌ䛾Ᏻ䜢༑ศ䛻☜ಖ䛧䛶䛔䛟䚹㻌 䖃ᩍ⫱䚸◊✲䚸་⒪䜢⾜䛖䛯䜑䛾་ᖌ⫱ᡂ䛻ຊ䜢ධ䜜䛶䛔䛟䚹㻌 㻌 ―89― リハビリテーション科 Ꮫ㝔 デ⒪㒊㛛 昭和大学病院 診療部門 ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ 17）リハビリテーション科 㻝㸬 デ⒪యไᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 Ỉ㛫 ṇ㻌 ་ᒁ㛗㻌 ྜྷᒸ ᑦ⨾㻌 㻌 㻔㻞㻕 ་ᖌᩘ 㻡ྡ㻔ᖖ㻟ྡࠊ㠀ᖖ㻞ྡ㻕㻌 㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻞ྡ ㅮᖌ㻌 㻜ྡ ຓᩍ㻌 㻞ྡ Ꮫ㝔⏕㻌 㻜ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬࡧᑓ㛛་࣭ㄆᐃ་ 㻌 ᑓ㛛་㻌 ᪥ᮏࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ་Ꮫᑓ㛛་㻌 㻡ྡ 㻌 ᪥ᮏᩚᙧእ⛉Ꮫᑓ㛛་㻌 㻞ྡ ᪥ᮏ⬻༞୰Ꮫᑓ㛛་㻌 㻝ྡ ᪥ᮏ⪁ᖺ་Ꮫᑓ㛛་㻌 㻝ྡ ㄆᐃ་㻌 ᪥ᮏෆ⛉Ꮫㄆᐃ་㻌 㻞ྡ ࡑࡢ㻌 ᪥ᮏᦤ㣗࣭ᄟୗࣜࣁᏛᄟୗㄆᐃኈ㻌 㻝ྡ 㻌 㻔㻠㻕 እ᮶デ⒪ࡢᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ㸦ึデ㸧㻌 㻣㻠㻌 㻢㻞㻌 㻥㻣 እ᮶ᝈ⪅ᩘ㸦デ㸧㻌 㻣㻘㻜㻡㻞㻌 㻢㻘㻣㻟㻡㻌 㻟㻘㻤㻟㻤 㻝㻌 㻞㻌 㻟 㻣㻘㻝㻞㻣㻌 㻢㻘㻣㻥㻥㻌 㻟㻘㻥㻟㻤 እ᮶ᝈ⪅ᩘ㸦㛫እ㸧㻌 እ᮶ᝈ⪅ᩘ㸦ྜィ㸧㻌 㻌 㻌 㻞㸬 ඛ㐍ⓗ࡞་⒪ࡢྲྀࡾ⤌ࡳ㻌 ձᦤ㣗ᄟୗᅇデ㻌 ᖹᡂ㻞㻝ᖺᗘࡼࡾ་ᖌࠊṑ⛉་ᖌࠊ┳ㆤᖌࠊṑ⛉⾨⏕ኈࠊᰤ㣴 ᖌࡼࡿᦤ㣗ᄟୗࢳ࣮࣒ࡀⓎ㊊ࡋࠊ་ࡽࡢ౫㢗ࡼࡾ 㐌୍ᅇࡢᐃᮇᅇデࠊ࠾ࡼࡧ࢝ࣥࣇࣞࣥࢫࢆ⾜࡞ࡗ࡚࠸ࡿࠋ ࡑࢀ௨እࡶ㐺ᐅࠊཱྀ⭍ࢣࡸᲷᣦᑟࠊᄟୗෆど㙾ࡸᄟୗ 㐀ᙳࢆ⾜࡞࠺ࡇࡼࡾࠊධ㝔୰ᦤ㣗࣭ᄟୗ㞀ᐖᝈ⪅ᑐࡍ ࡿ✚ᴟⓗ࡞ࢣࢆ⾜ࡗ࡚࠸ࡿࠋ㻌 ―90― ࢾࢫ⒪ἲ㻌 ἲࡀಖ㝤㐺⏝࡞ࡗࡓࡢࢆཷࡅࠊྠᖺ㻝㻞᭶ࡽእ᮶࡚ ⬻༞୰ᚋ㑇ࡼࡿ②⦰ᝈ⪅ᑐࡋ࣎ࢶࣜࢾࢫ⒪ἲࢆ⾜࡞ ࡗ࡚࠸ࡿࠋ㻌 㻌 㻟㸬 ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձእ᮶㻌 እ᮶デ⒪ࡣࠊ୍⯡እ᮶ࠊ⩏⫥ලእ᮶ࠊᑠඣලእ᮶ศ ࢀ࡚࠸ࡿࠋ୍⯡እ᮶ࡣ⬻༞୰ᚋ㑇ࡢᝈ⪅ࡀࡔࡀࠊእയᛶ ⬻ᦆയࠊ㛵⠇࣐ࣜ࢘ࢳࡸ⬨㧊ᦆയࠊᮎᲈ⚄⤒㞀ᐖࠊ⬻ᛶ㯞⑷ࠊ ᦤ㣗࣭ᄟୗ㞀ᐖ࡞ከᒱࢃࡓࡾ㞀ᐖࢆṧࡋࡓ᪉ࠎࡢᶵ⬟࣭ ⬟ຊࡢ⥔ᣢྥୖࠊྜేண㜵ཬࡧ᪩ᮇⓎぢດࡵ࡚࠸ࡿࠋࡲ ࡓࠊ㞀ᐖ⪅ࡢ⏕άᣦᑟࢆࡣࡌࡵࠊ⏕ά⎔ቃࡸไᗘࡘ࠸࡚ࡶ 㐺ษ࡞ࢻࣂࢫࢆ⾜࡞ࡗ࡚࠸ࡿࠋලࠊ⩏㊊እ᮶࡛ࡣ᪂つ స〇ࡸ࣓ࣥࢸࢼࣥࢫࢆ⾜࠺ࠋ㻌 ղධ㝔㻌 ᙜ㝔ࡣ≉ᐃᶵ⬟㝔ࡋ࡚ᛴᛶᮇࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸦௨ୗ ࣜࣁ㸧ࢆ୰ᚰ⾜ࡗ࡚࠸ࡿࠋ⬻༞୰ᛴᛶᮇࡽࡢධࡣࡶࡕ ࢁࢇ⾡ᚋ᪩ᮇࡢᗫ⏝ೃ⩌ࡢண㜵ࠊ᪩ᮇ㞳ᗋࡶ㔜せ࡞ᙺ ࢆᯝࡓࡋ࡚࠸ࡿࠋࡲࡓࠊᙜ㝔ࡣ⥲ྜ࿘⏘ᮇẕᏊ་⒪ࢭࣥࢱ࣮ࠊ ᑠඣ་⒪ࢭࣥࢱ࣮ࡢᶵ⬟ࢆࡶࡘࡇࡽࠊศፔ␗ᖖࡸඛኳⓗ 㞀ᐖࡼࡿ㞀ᐖᑐࡍࡿࣜࣁⓗࣉ࣮ࣟࢳࡶ⾜ࡗ࡚࠸ࡿࠋ㻌 ᙜ㝔࡛ࡣࣜࣁᲷࡀ࡞࠸ࡓࡵࠊ⥅⥆ࡋࡓࣜࣁࡀᚲせ࡞ᝈ⪅ ࡘ࠸࡚ࡣ㛵㐃㝔࡛࠶ࡿᏛ⸨ࡀୣࣜࣁ㝔ࡸ㏆㞄ࡢ ࣜࣁタࢆ⤂ࡍࡿࠋᙜ㝔㏥㝔ᚋࡢᝈ⪅࡛ࠊ㐺ᛂࡀ࠶ࢀࡤእ ᮶ཷデࡢୖ୍ᐃᮇ㛫ࡢࣜࣁࢆ⾜ࡗ࡚࠸ࡿࠋ㻌 㻌 㻌 㻠㸬 ᚋࡢㄢ㢟ᒎᮃ㻌 ەᏛ㝔ࡣ≉ᐃᶵ⬟㝔࡛࠶ࡾࠊᛴᛶᮇࡢከ✀ከᵝ࡞ᝈࡀከᩘࣜࣁ౫㢗ࡉࢀ࡚ ࠸ࡿࠋࡑࡢࡓࡵࠊࣜࣁࢫࢱࢵࣇࡢᩘ࣭カ⦎ᐊࡢࢫ࣮࣌ࢫవ⿱ࡀ࡞ࡃࠊእ᮶㏻㝔࡛ࡢ ࣜࣁカ⦎ࢆไ㝈ࡏࡊࡿࢆᚓ࡞࠸≧ἣ࠶ࡿࠋࡑࡋ࡚ࠊᖺࠎࡇࡢഴྥࡣᙉࡃ࡞ࡗ࡚࠾ࡾࠊ እ᮶㏻㝔ࢆᕼᮃࡍࡿᝈ⪅ࢆ᩿ࡾ㸪㝔ࢆ⤂ࡍࡿࡇࡀቑ࠼࡚࠸ࡿࠋ㻌 ەᮾ㝔ࡣࣜࣁᐊࡸࣜࣁࢫࢱࢵࣇࠊࣜࣁ་ࢆ⨨ࡃࡇࡀ࡛ࡁࡎࠊࣜࣁ⟬ᐃᇶ‽ࢆ‶ࡓࡋ ࡚࠸࡞࠸ࠋࡑࡢࡓࡵࠊ࣋ࢵࢻࢧࢻࣜࣁࡀ⾜࠼ࡎࠊ㞳ᗋࡀྍ⬟࡞ᝈ⪅ᑐࡋ࡚ࡢࡳ 㝔ࣂࢫ࡚ࣜࣁᐊࡲ࡛ᦙ㏦ࡋࠊእ᮶ᢅ࠸࡛カ⦎ࢆ⾜ࡗ࡚࠸ࡿࡢࡀ⌧≧࡛࠶ࡿࠋᮾ㝔 ࡣ⬻᱾ሰࢆࡣࡌࡵ᪩ᮇࣜࣁࢆᚲせࡍࡿᛴᛶᝈࡀᑡ࡞ࡃ࡞ࡃࠊࡇࢀࡽࡢᝈ⪅ ࡗ࡚ࡁ࡞┈࡞ࡗ࡚࠸ࡿࠋ㻌 ⌧ࠊࡓࡲەᅾࠊࣜࣁࢭࣥࢱ࣮ࡣゝㄒ⫈ぬኈࡀᅾ࡛࠶ࡾࠊኻㄒࡸᄟୗ㞀ᐖᝈ⪅ࡢࣜ ࣁࡀ༑ศ⾜࠼࡚࠸࡞࠸ࠋ᪩ᮇࡢ⿵ࡀᮃࡲࢀࡿࠋ㻌 㻌 ―91― リハビリテーション科 ղ②⦰ᑐࡍࡿ࣎ࢶࣜ ᖹᡂ㻞㻞ᖺ㻝㻜᭶ࡽࠊୖ⫥ࠊୗ⫥②⦰ᑐࡋ࡚ࡶ࣎ࢶࣜࢾࢫ⒪ 形成外科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻝㻤㻌 ᙧᡂእ⛉㻌 18）形成外科 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ྜྷᮏ㻌 ಙஓ㻌 㻌་ᒁ㛗㻌 㯮ᮌ㻌 ▱᫂㻌 㻌Ჷ་㛗㻌 㛛ᯇ㻌 㤶୍㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻝㻠ྡ㻔ᖖ㻝㻠ྡ䚸㠀ᖖ䠌ྡ㻕㻌 㻌 㻌 㻌 㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻞ྡ ㅮᖌ㻌 㻞ྡ ຓᩍ㻌 㻢ྡ Ꮫ㝔⏕㻌 㻟ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 㻌 㻌 ᣦᑟ་㻌 ⮫ᗋ◊ಟᣦᑟ་㻌 㻟ྡ ⮫ᗋಟ⦎ᣦᑟ་㻌 㻞ྡ ᑓ㛛་㻌 ᪥ᮏᙧᡂእ⛉Ꮫᑓ㛛་㻌 㻝㻜ྡ 㻌 ᪥ᮏ⨾ᐜእ⛉Ꮫᑓ㛛་㻌 㻝ྡ ⓶⭘⒆እ⛉Ꮫᣦᑟᑓ㛛་㻌 㻡ྡ യእ⛉Ꮫᑓ㛛་㻌 㻠ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻞㻘㻜㻠㻞㻌 㻞㻘㻜㻡㻞㻌 㻞㻘㻝㻟㻠 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻝㻣㻘㻞㻢㻟㻌 㻝㻤㻘㻥㻡㻥㻌 㻝㻤㻘㻟㻡㻟 㻝㻘㻡㻞㻡㻌 㻝㻘㻡㻞㻞㻌 㻤㻤㻢 㻞㻜㻘㻤㻟㻜㻌 㻞㻞㻘㻡㻟㻟㻌 㻞㻝㻘㻟㻣㻟 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 㻝㻜㻘㻡㻥㻢 㻌 㻌 㻌 㻌 ―92― ᖹᡂ㻞㻟ᖺᗘ㻌 㻝㻜㻘㻝㻢㻤 ᖹᡂ㻞㻠ᖺᗘ㻌 㻥㻘㻠㻢㻣 形成外科 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᡭ⾡㡯┠䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ၁䞉ཱྀ㻌 㻟㻡㻡 㻞㻌 Ⰻᛶ⭘⒆㻌 㻥㻣 㻟㻌 㢦㠃㦵㦵ᢡ㻌 㻤㻣 㻠㻌 㢌䞉㢡䞉㢦㠃䞉ඛኳ␗ᖖ㻌 㻢㻝 㻡㻌 ᝏᛶ⭘⒆㻌 㻡㻥 㻢㻌 ⒕䞉⒕ᣊ⦰䞉䜿䝻䜲䝗㻌 㻟㻤 㻣㻌 ⭘⒆ษ㝖䛾⤌⧊Ḟᦆ䠄୍ḟᘓ䠅㻌 㻞㻟 㻤㻌 ⨾ᐜእ⛉㻌 㻝㻥 㻥㻌 ⅖䞉ኚᛶᝈ㻌 㻝㻣 㻝㻜㻌 ᅄ⫥ඛኳ␗ᖖ㻌 㻝㻞 㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 㻝㻌 ᝈ⪅ᩘ㻌 㰯ဗ⭍䝣䜯䜲䝞䞊᳨ᰝ㻌 㻡㻥 㻌 㻞䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟䝤䝺䝇䝖䝉䞁䝍䞊䛛䜙䛾 ஙᡣᘓ౫㢗㻌 䝤䝺䝇䝖䝉䞁䝍䞊䛜タ❧䛥䜜䛶௨᮶䚸ங⭢እ⛉䛛䜙䛾ஙᡣ ᘓ౫㢗䛜ቑຍ䛧䛯䚹㻌 ᘓἲ䛸䛧䛶䛿䚸ங䛜䜣ฟ䛻⤌⧊ᣑᙇჾ䠄䜶䜻䝇䝟䞁䝎 䞊䠅䜢ᤄධ䛧䚸ᖖஙᡣ㒊䜢ᣑᙇ䛧䛯ᚋ䚸ᮇⓗ䛻䜲䞁䝥䝷䞁䝖䛷 ஙᡣᘓ䜢⾜䛖⾡ᘧ䛜ከ䛛䛳䛯䚹᭱㏆䛷䛿䚸䛣䜜䛻ຍ䛘䛶䚸⮬ᐙ ⤌⧊⛣᳜䛻䜘䜛ᘓ䜒ቑຍ୰䛷䛒䜛䚹㻌 ᚋ䜒䚸ங䛜䜣䛾ᝈ⪅䛥䜣䛻䛿ஙᡣ႙ኻឤ䜢㍍ῶ䛧䛶㡬䛟䛯 䜑䚸ஙᡣᘓ౫㢗䛻✚ᴟⓗ䛻ᛂ䛨䛶䛔䛝䛯䛔䚹㻌 䐠၁㢡ཱྀ⒪㻌 ᖹᡂ㻞㻠ᖺᗘ䛿䚸ከ䛟䛾་⒪タ䛛䜙䛾⒪౫㢗䜢ཷ䛡䛯䚹ᡭ ⾡௳ᩘ䛿㻟㻢㻟௳䠄၁䚸ཱྀ䚸㢡㒊㦵⛣Ṫ䜢ྵ䜐䠅䛷䛒䜚䚸 ᑠඣ⛉䞉⪥㰯⛉䞉ṑ⛉▹ṇ⛉䞉ゝㄒ⫈ぬኈ䛺䛹䛸㐃ᦠ䛧䛯䝏䞊䝮 ་⒪䜢⾜䛳䛯䚹㻌 䜎䛯䚸ᑠඣ་⒪䝉䞁䝍䞊䛾タ❧䛻䜘䜚䚸ධ㝔୰䛾ᝈඣ䛿⛉䜢 ㉺䛘䛯⟶⌮䜢⾜䛳䛶䛔䜛䚹㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 ―93― 形成外科 㻟䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃၁ཱྀ㻌 㻌 ㏆ᖺ䚸䛾ከ䛟䛾་⒪タ䛷䜒ஙᗂඣᮇ䛾ึᅇᡭ⾡䜢⾜䛖䜘䛖䛻䛺䛳䛶䛔䜛䛜䚸ᙜᙧᡂእ ⛉䛷䛾ึデᝈ⪅ᩘ䛚䜘䜃ᡭ⾡௳ᩘ䛿ቑຍ୰䛷䛒䜛䚹䛣䜜䛿䚸ᙜ⛉䛾デ⒪ᐇ⦼䛜ᗈ䛟࿘▱䛥 䜜䛶䛝䛯䛯䜑䛸⪃䛘䜛䚹䜎䛯ᑠඣ་⒪䝉䞁䝍䞊䛾タ❧䛻䜘䜚䚸ධ㝔୰䛾ᝈඣ䛾⛉䜢㉺䛘䛯⾡ ᚋ⟶⌮䛜ྍ⬟䛸䛺䜚䚸䜘䜚Ᏻ䛜ᢸಖ䛥䜜䛯䜒䛝䛔䚹㻌 ᚋ䜒䚸ṑ⛉䜢䛿䛨䜑䛸䛧䛯㛵㐃デ⒪⛉䛾ᚚ༠ຊ䛾ୗ䚸≉ᚩ䛒䜛⒪䜢⾜䛖䛸䛸䜒䛻䚸Ꮫ Ⓨ⾲䜔䚸㏆㞄་⒪ᶵ㛵䛻ᑐ䛩䜛ᙜ⛉䛾⒪᪉㔪䚸デ⒪ᐇ⦼䛻䛴䛔䛶䛾ၨⵚάື䜢㐍䜑䛶䛔 䛝䛯䛔䚹㻌 䛺䛚䚸ᡂே䛻䛚䛔䛶䜒䚸ᡭ⾡⒕䜔ኚᙧ䛜┠❧䛴ᝈ⪅䛥䜣䛜ከ䛟ぢཷ䛡䜙䜜䜛䛯䜑䚸 ᚋ䛿䚸⨾ᐜ၁➼䛾ྡ䛾ୗ䛻䚸䛣䜜䜙䛾ᝈ⪅䛥䜣䛻䜒ᑐฎ䛧䛯䛔䚹㻌 䖃ஙᡣᘓ㻌 㻌 ங䛜䜣ᡭ⾡ᚋ䛾ᘓ䛾䝙䞊䝈䛿ᚋ䚸䜎䛩䜎䛩ቑ䛘䛶䛔䛟䛸⪃䛘䜙䜜䜛䛯䜑䚸䛣䜜䜎䛷௨ ୖ䛻䚸ᘓ䜢㏻䛨䛶ங䛜䜣デ⒪䛻✚ᴟⓗ䛻㈉⊩䛧䛶䛔䛝䛯䛔䚹㻌 䛺䛚䚸ஙᡣᘓἲ䛻䛿ᵝ䚻䛺䜒䛾䛜䛒䜚䚸ᝈ⪅䛾せᮃ䜒ከᒱ䛻䜟䛯䜛䛯䜑䚸ᘓ䜢䛾䛮䜐 ᪉䚻䛻䛿䚸ᖜᗈ䛔㑅ᢥ⫥䜢ᥦ౪䛧䚸䜘䜚䛝䜑䛾⣽䛛䛔ᑐᛂ䛜䛷䛝䜛䜘䛖ດຊ䛧䛯䛔䛸⪃䛘䛶䛔 䜛䚹㻌 䖃㻹㼕㼏㼞㼛㼟㼡㼞㼓㼑㼞㼥䠄㢧ᚤ㙾ᡭ⾡䠅㻌 ᚤᑠ⾑⟶࿀ྜᢏ⾡䛾☜❧䛻䜘䜚䚸ᵝ䚻䛺⤌⧊䛾⛣᳜䞉ಟ䛜ྍ⬟䛸䛺䛳䛶䛔䜛䚹ලయⓗ䛻 䛿䚸㢌㢁㒊䠄㢌䞉㢡㢦㠃䠅ᘓ䚸యᖿ㒊䠄⬚䞉⭡ቨ䞉እ㝜䠅ᘓ䚸ᅄ⫥䠄㌾㒊⤌⧊Ḟᦆ䚸ᣦḞ ᦆ䠅ᘓ䛺䛹䛻䛚䛔䛶䚸ᮏᢏ⾡䛿ᖜᗈ䛔ྍ⬟ᛶ䜢ᥦ౪䛩䜛䜒䛾䛷䛒䜚䚸ᚋ䚸䜘䜚ከ䛟䛾デ⒪ ⛉䛸䛾㐃ᦠ䜢῝䜑䚸ᝏᛶ⭘⒆䜔እയ䛺䛹䛾デ⒪䛻㈉⊩䛧䛯䛔䚹㻌 㻌 ―94― 美容外科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻝㻥㻌 ⨾ᐜእ⛉㻌 19）美容外科 㻌 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ஂಖᩥ㞝㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻞ྡ㻔ᖖ㻞ྡ䚸㠀ᖖ㻜ྡ㻕㻌 㻌 ᩍᤵ㻌 㻝ྡ㻌 ᩍᤵ㻌 㻝ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ⓶⭘⒆ᣦᑟᑓ㛛་㻌 㻝ྡ ᑓ㛛་㻌 ᙧᡂእ⛉ᑓ㛛་㻌 㻞ྡ 㻌 ⮫ᗋ⓶እ⛉ᑓ㛛་㻌 㻝ྡ ㄆᐃ་㻌 ᾏእ␃Ꮫ⏕䜲䞁䝇䝖䝷䜽䝍䞊㻌 㻝ྡ 㻌 㻔㻠㻕㻌 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 㻌 ᝈྡ䠄ධ㝔䠅㻌 㻝㻌 㻞㻌 㻟㻌 㻠㻌 㻡㻌 㻢㻌 㻣㻌 㻤㻌 㻥㻌 㻝㻜㻌 ᝈ⪅ᩘ㻌 ཱྀ၁ཱྀ㻌 㢡ኚᙧ㻌 ⪥␗ᖖ㻌 ⓶⭘⒆㻌 ║▛ୗᆶ㻌 ⒕㻌 ᡭ䛾ඛኳወᙧ㻌 㰯ᙧᡂ㻌 ஙᡣ␗≀㻌 ่㟷㻌 㻝㻡㻟 㻝㻢 㻝㻜 㻝㻞 㻥 㻤 㻣 㻡 㻟 㻞 㻌 㻌 ᡭ⾡㡯┠䠄ධ㝔䠅㻌 㻝㻌 㻞㻌 㻟㻌 㻠㻌 㻡㻌 㻢㻌 㻣㻌 㻤㻌 㻥㻌 㻝㻜㻌 ཱྀ၁ཱྀᙧᡂ⾡㻌 㢡ᙧᡂ⾡㻌 ⪥ᙧᡂ⾡㻌 ⓶⭘⒆ษ㝖㻌 ║▛ᙧᡂ⾡㻌 ⒕ಟṇ㻌 ᡭᣦᙧᡂ⾡㻌 㰯ᙧᡂ⾡㻌 ஙᡣᙧᡂ䞉␗≀ฟ㻌 ่㟷ษ㝖㻌 ᝈ⪅ᩘ㻌 㻝㻡㻟 㻝㻢 㻝㻜 㻝㻞 㻥 㻤 㻣 㻡 㻟 㻞 㻌 㻌 ―95― 美容外科 㻌 㻝㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 㰯ဗ⭍ෆど㙾㻌 ᝈ⪅ᩘ㻌 㻡㻢 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟⬡⫫ᖿ⣽⬊䛻䜘䜛ቑẟ㻌 ⬡⫫྾ᘬ䛻䜘䛳䛶ᚓ䜙䜜䛯㐟㞳⬡⫫䜢㐲ᚰศ㞳䛧䚸ᖿ⣽⬊䜢 ᡂศ䛸䛩䜛ศ⏬䜢ᒁᡤὀᑕ䛩䜛䛣䛸䛻䜘䜚䚸Ⓨẟ䜢ቑᙉ䛥䛫 䜛⒪䛾㛤Ⓨ䚹㻌 䐠⬡⫫ᖿ⣽⬊䛾㐟㞳⛣᳜㻌 ྠୖ䛾᧯స䛻䜘䛳䛶ᚓ䜙䜜䛯ศ⏬䛾⬡⫫䜢ὀධ⛣᳜䛩䜛䛣䛸 䛻䜘䜚䚸䜘䜚⏕╔䛧䜔䛩䛔㐟㞳⬡⫫ὀධ䜢䛚䛣䛺䛖䚹㻌 㻌 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟་ᒁ㻌 ᮏᖺᗘ䜒ᩍᤵ䛚䜘䜃ᩍᤵ䛾㻞ྡయไ䛷䛒䜚䚸䛾䝇䝍䝑䝣䛿 ᙧᡂእ⛉䛸䛾ΰྜ䛺䛾䛷䚸⒪ෆᐜ䛿ᚲ䛪䛧䜒⨾ᐜእ⛉䛻≉ 䛥䜜䛶䛿䛔䛺䛔䚹㻌 䐠ᡭ⾡㻌 ⛉㛗䛜၁ཱྀ䝉䞁䝍䞊㛗䜢වົ䛧䛶䛔䜛䛯䜑ᝈ⪅䛾ከ䛟 䛿၁ཱྀ䛰䛜䚸⨾ᐜእ⛉䛾䚸≉䛻㝔䛷⾜䛳䛯⨾ ᐜእ⛉ᡭ⾡䛾ಟṇ䛜ቑຍ䛧䛶䛔䜛䚹㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃Ꮫ⾡䝕䞊䝍䛻ᇶ䛵䛔䛯⒪䛺䛹䚸Ꮫ㝔䛺䜙䛷䛿䛾⨾ᐜእ⛉⒪䜢䛩䛩䜑䜛䚹㻌 䖃ඛ㐍ⓗ䛺⨾ᐜ་⒪ᢏ⾡䜢㛤Ⓨ䛩䜛䚹㻌 䖃၁ཱྀ⒪䛻⨾ᐜእ⛉ⓗせ⣲䜢ྲྀ䜚ධ䜜䚸䜘䜚㧗ᗘ䛺⒪⤖ᯝ䜢┠ᣦ䛩䚹㻌 㻌 ―96― 産婦人科 Ꮫ㝔 デ⒪㒊㛛 昭和大学病院 診療部門 ⏘፬ே⛉ 20）産婦人科 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌㻌 㛵ἑ㻌 ᫂ᙪ㻌 ་ᒁ㛗㻌 㻌 ᯇᒸ㻌 㝯㻌 Ჷ་㛗㻌㻌 ᕷሯ䠄⏘⛉䠅䚸᳃ᒸ㻌 ᖿ䠄፬ே⛉䠅㻌 㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻠㻜 ྡ㻔ᖖ 㻟㻡 ྡ䚸㠀ᖖ 㻡 ྡ㻕㻌 ᩍᤵ㻌 㻌㻝ྡ ᩍᤵ㻌 㻌㻞ྡ ㅮᖌ㻌 㻌㻢ྡ ຓᩍ㻌 㻝㻡 ྡ Ꮫ㝔⏕㻌 㻌㻝ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ㉸㡢Ἴᣦᑟ་㻌 㻌㻟ྡ ẕయ⫾ඣᣦᑟ་㻌 㻌㻝ྡ ⏕Ṫ་⒪ᣦᑟ་㻌 㻌㻝ྡ ፬ே⛉⭘⒆ᣦᑟ་㻌 㻌㻝ྡ ẕయಖㆤἲᣦᐃ་㻌 㻞ྡ ⮫ᗋ◊ಟᣦᑟ་㻌 㻥ྡ ᑓ㛛་㻌 ⏘፬ே⛉ᑓ㛛་㻌 㻞㻤 ྡ 㻌 ㉸㡢Ἴᑓ㛛་㻌 㻌㻢ྡ ẕయ⫾ඣᑓ㛛་㻌 㻌㻤ྡ ⏕Ṫ་⒪ᑓ㛛་㻌 㻌㻝ྡ ፬ே⛉⭘⒆ᑓ㛛་㻌 㻌㻞ྡ ⮫ᗋ㑇ఏᑓ㛛་㻌 㻌㻠ྡ ෆศἪ௦ㅰᑓ㛛་㻌 㻌㻝ྡ ෆど㙾እ⛉Ꮫᢏ⾡ㄆᐃ་㻌 㻌㻝ྡ ⒴⒪ㄆᐃ་㻌 㻌㻟ྡ ᪂⏕ඣ⸽⏕䜲䞁䝇䝖䝷䜽䝍䞊㻌 㻌㻢ྡ ឤᰁ䝁䞁䝖䝻䞊䝹䝗䜽䝍䞊㻌 㻌㻝ྡ 㻲㼑㼠㼍㼘㻌㻹㼑㼐㼕㼏㼕㼚㼑㻌㻲㼡㼚㼐㼍㼠㼕㼛㼚 䜸䝨䝺䞊䝍䞊㈨᱁㻌 㻌㻣ྡ ᪥ᮏ့ஙື≀༸ᏊᏛ⏕Ṫ⿵ຓ་⒪⬇ᇵ㣴ኈ 㻌㻝ྡ ㄆᐃ་㻌 䛭䛾㻌 㻌 㻌 㻌 ―97― 産婦人科 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻟㻘㻟㻤㻞㻌 㻟㻘㻟㻤㻞㻌 㻟㻘㻤㻟㻠 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻠㻢㻘㻤㻢㻢㻌 㻠㻢㻘㻤㻢㻢㻌 㻡㻝㻘㻡㻢㻟 㻤㻜㻝㻌 㻤㻜㻝㻌 㻢㻤㻝 㻡㻝㻘㻜㻠㻥㻌 㻡㻝㻘㻜㻠㻥㻌 㻡㻢㻘㻜㻣㻤 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌㻌㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 㻞㻡㻘㻠㻠㻝 ᖹᡂ 㻞㻟 ᖺᗘ㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 㻞㻡㻘㻠㻠㻝 㻞㻞㻘㻝㻡㻠 㻌 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᝈྡ䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ศፔᩘ㻌 㻝㻘㻞㻞㻤 㻞㻌 ⫾ዷፎ㻌 㻟㻌 Ꮚᐑ㢁⒴㻌 㻡㻥 㻠㻌 Ꮚᐑయ⒴㻌 㻟㻠 㻡㻌 ༸ᕢ⒴㻌 㻞㻢 㻢㻌 ๓⨨⫾┙㻌 㻝㻥 㻣㻌 Ꮚᐑ⬺㻌 㻝㻥 㻤㻌 Ꮚᐑෆ⭷ቑṪ㻌 㻤 㻥㻌 ⤧ẟᝈ㻌 㻡 㻝㻜㻌 Ꮚᐑ⫗⭘㻌 㻢 㻌 㻠㻣 㻌 㻌 ᡭ⾡㡯┠䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ᖇ⋤ษ㛤㻌 㻟㻡㻡 㻞㻌 ⭡⭍㙾ᡭ⾡㻌 㻠㻥㻠 㻟㻌 ᒓჾษ㝖⾡䠄ᝏᛶ㛤⭡䠅㻌 㻢㻟 㻠㻌 㗹ษ㝖⾡㻌 㻡㻟 ―98― 産婦人科 㸬 ඛ㐍ⓗ࡞་⒪ࡢྲྀࡾ⤌ࡳ ձዷፎึᮇ㉸㡢Ἴ᳨ᰝ 㑇ఏእ᮶ ᅜẸࡢࢽ࣮ࢬᑐᛂࡋࡓ࿘⏘ᮇ་⒪ࢆᥦ౪ࡍࡿࡓࡵࠊᑓ 㛛ᛶࡢ㧗࠸እ᮶ࡋ࡚ዷፎึᮇ㉸㡢Ἴ᳨ᰝࠊ㑇ఏእ᮶ࢆタࡅ ⨺Ỉ᳨ᰝ࣭⤧ẟ᳨ᰝࢆᥦ౪ࡋ࡚࠸ࡿࠋ ղ1,37 እ᮶ࡢ㛤タ ᅜඛ㥑ࡅ࡚㠀くฟ⏕᳨ᰝࢆ ᭶ࡼࡾࢫࢱ࣮ࢺࡉࡏ ࡚࢝࢘ࣥࢭࣜࣥࢢእ᮶㐃ᦠࡋ᪂ࡋ࠸་⒪ࢧ࣮ࣅࢫࢆᥦ౪ ࡋ࡚࠸ࡿࠋ ճங⭢እ⛉ࡢࢥࣛ࣎ +%2&㑇ఏᛶஙࡀࢇ࣭༸ᕢࡀࢇೃ⩌ᑐᛂࡍࡿࡓࡵࠊங ࣮ࣞࢩࣙࣥ ⭢እ⛉ࢥ࣮ࣛ࣎ࣞࢩࣙࣥࡋࠊ༑ศ࡞㑇ఏ࢝࢘ࣥࢭࣜࣥࢢ 㑇ఏ᳨ᰝࡢ࠶ண㜵ⓗ༸ᕢฟࢆ⭡⭍㙾ᡭ⾡࡛⾜࠺ࢆ㛤 ጞࡋࡓࠋ մᇛ༡࣭ရᕝᆅ༊ࡢከ ᙜ㝔࡛ࡣ࡚ࡢ፬ே⛉ᝏᛶ⭘⒆ᡭ⾡ࢆ⾜ࡗ࡚࠸ࡿࠋᇛ༡࣭ タࡢ◊✲ࡢദ ရᕝᆅ༊ࡢከタࡢ◊✲ࢆദ࣭ཧຍࡋࠊᙜ㝔࡛ࡢ⒪ ᡂ⦼ࢆᐃᮇⓗⓎ⾲ࡋ࡚་⒪ⓗ࡞ሗࡢ㑏ඖ࣭ඹ᭷ࢆ┠ᣦࡋ ࡚࠸ࡿࠋ յ㞴ᛶᝏᛶ⭘⒆ᑐ ፬ே⛉ᝏᛶ⭘⒆࠾ࡅࡿ㞴ᛶᝏᛶ⭘⒆㸦༸ᕢ᫂⣽⬊ᛶ⭢ ࡍࡿᏛ⒪ἲ⮫ᗋヨ ⒴࣭༸ᕢ⢓ᾮᛶ⭢⒴㸧࠾ࡅࡿࠊᏛ⒪ἲ⮫ᗋヨ㦂ࡢཧຍ 㦂ࡢཧຍࠋ ࢆ✚ᴟⓗ⾜ࡗ࡚࠸ࡿࠋࡲࡓࠊಖ㝤㐺ᛂእ་⒪࡞ࡶᙜ㝔 ⌮ጤဨࡶ༠㆟ࡢୖࠊᚲせ࡞ᝈ⪅⾜ࡗ࡚࠸ࡿࠋ 㸬 ᖹᡂ ᖺᗘࢆࡾ㏉ࡗ࡚ ձእ᮶デ⒪ ึデࠊデࠊ≉Ṧእ᮶࡚࠾࠸࡚ࠊᆅᇦࡽࡢᚚ⤂ࡢ ࠾ࡆ࡛㐃᪥ண⣙ᯟࡀ࣮࢜ࣂ࣮ࡍࡿࡇࡀከࡗࡓࠋ≉ ᭶ࡼࡾ㛤ጞࡋࡓ 1,37 እ᮶ࡣせᮃࡀከࡃேᩘ࣭ࣈ࣮ࢫࢆቑࡸ ࡋ࡚ᑐᛂࡋࡓࠋ ղධ㝔デ⒪ ⭡⭍㙾ᡭ⾡⌜ࢆ⊂❧ࡉࡏ⭡⭍㙾ᡭ⾡௳ᩘቑຍᑐᛂฟ᮶ ࡿᵝࡋࡓࠋᝏᛶ⭘⒆ᡭ⾡ࡶᆅᇦࡢࢽ࣮ࢬᛂ࠼ࡓ ẕయᩆᑐᛂ⥲ྜ࿘⏘ᮇẕᏊ་⒪ࢭࣥࢱ࣮ࠊẕయᩆࡢ タࡋ࡚ẕయᩆࢆ⾜ࡗࡓࠋ ᝏᛶ⭘⒆ᡭ⾡ ᡭ⾡ᯟࡢᐇ㸦⏘፬ே⛉ࡋ࡚㐃᪥ᡭ⾡᪥㸧ࠋ ᝏᛶ⭘⒆ᡭ⾡ᯟࡢᐇ㸦 ᪥㐌㸧 ࠋ ⭡⭍㙾ᡭ⾡ᯟࡢᐇ㸦 ᪥㐌㸧ࠋ ፬ே⛉⭘⒆ᑓ㛛་ࡢᐇ㸦⣙ ྡᖺ᪂ᑓ㛛་ࡢ⫱ᡂ㐩ᡂ㸧 ࠋ ࡢ⒴ᑓ㛛タࡢᅜෆ␃Ꮫࠋ Ꮫ⒪ἲ⮫ᗋヨ㦂ࡢཧຍࠋ ⒴Ꮫ⒪ἲ እ᮶࣭ධ㝔Ꮫ⒪ἲࡢ⟶⌮యไ࣭ࣃࢫࡢᐇࠋ ไྤ࢞ࢻ࣭ࣛࣥࡢᝏᛶ⭘⒆㛵ࡍࡿ࢞ࢻࣛࣥࡢ ࣃࢫࡢᫎᙉࠋ ⏘፬ே⛉ෆ་⒪Ᏻጤဨࡢ ᅇᖺࡢ㛤ദࠋ ―99― 産婦人科 㸬 ᚋࡢㄢ㢟ᒎᮃ ࢢࣥࣜࢭࣥ࢘࢝ەእ᮶ࡢᐇࢆ⾜࠸ࠊ᭱᪂ࡢሗᥦ౪デ᩿ࢆ⾜࠺ࢆࡉࡽ㐍ࡵࡿ ⏘፬ே⛉㡿ᇦࡢࡳ࡞ࡽࡎங⭢እ⛉ࡸᑠඣ⛉࡞㡿ᇦࢥ࣮ࣛ࣎ࣞࢩࣙࣥࢆ㐍ࡵࠊࡉ ࡽඛ㐍ⓗ࡞་⒪ࢆᥦ౪ࡍࡿࠋ ە㏫⤂ࡢ᥎㐍ࡸᆅᇦ㐃ᦠࢆ᭷ຠά⏝ࡋࠊእ᮶ᝈ⪅ᩘࢆῶࡽࡍ࡛እ᮶デ⒪ࡢᚅࡕ 㛫▷⦰ࡸࠊᑓ㛛እ᮶ࡢ㉁ࡢྥୖࢆᅗࡿࠋ ەపく⫾ඣ⒪ࡢᑐ㇟ᝈࡢᣑࠋ ەẕయᦙ㏦ཷࡅධࢀ⋡ࡢࡉࡽ࡞ࡿୖ᪼ࠋ ەᝏᛶ⭘⒆ᡭ⾡ࡢ⭡⭍㙾ᡭ⾡ࡢᑟධ࣭፬ே⛉ᡭ⾡ࡢࣟ࣎ࢵࢺᡭ⾡ࡢᑟධࠋ ―100― 小児科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 21）小児科 㻞㻝㻌 ᑠඣ⛉㻌 㻌 㻝㻚 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻌 㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ᯈᶫ㻌 ᐙ㢌ኵ㻌 ་ᒁ㛗㻌 ᲄ㻌 ⳯✑㻌 Ჷ་㛗㻌 ᑠඣ་⒪䝉䞁䝍䞊㻌 㜿㒊㻌 ⚈ⱥ㻌 㻌 ⥲ྜ࿘⏘ᮇẕᏊ་⒪䝉䞁䝍䞊᪂⏕ඣ㒊㛛 㻺㻵㻯㼁㻌㻌┦⃝㻌 䜎䛹䛛㻌 ་ᖌᩘ㻌 㻟㻟ྡ㻔ᖖ㻞㻥ྡ䚸㠀ᖖ㻠ྡ㻕㻌 㻌㻌 㻌㻌 㻌 ᩍᤵ㻌 㻞ྡ ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻟ྡ ຓᩍ㻌 㻝㻡ྡ Ꮫ㝔⏕㻌 㻤ྡ 㻌 㻌 㻔㻞㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 㻌 㻌 ᣦᑟ་㻌 ᪥ᮏ࿘⏘ᮇ᪂⏕ඣ་Ꮫ᪂⏕ඣᬻᐃᣦᑟ་㻌 ᪥ᮏ䜰䝺䝹䜼䞊Ꮫᣦᑟ་㻌 ᪥ᮏෆศἪᏛᣦᑟ་㻌 ᪥ᮏ⫧‶Ꮫ⫧‶ᣦᑟ་㻌 㻝ྡ 㻝ྡ 㻝ྡ 㻝ྡ ᑓ㛛་㻌 ᪥ᮏᑠඣ⛉Ꮫᑓ㛛་㻌 㻟㻜ྡ ᪥ᮏ࿘⏘ᮇ᪂⏕ඣ་Ꮫ᪂⏕ඣᑓ㛛་㻌 㻠ྡ 㻌 㻌 ᪥ᮏᑠඣ⚄⤒Ꮫᑓ㛛་㻌 ᪥ᮏᑠඣᚠ⎔ჾᏛᑓ㛛་㻌 ᪥ᮏ䜰䝺䝹䜼䞊Ꮫᑓ㛛་㻌 ᪥ᮏே㢮㑇ఏᏛ⮫ᗋ㑇ఏᑓ㛛་㻌 ᪥ᮏ⭈⮚Ꮫᑓ㛛་㻌 㻝ྡ 㻞ྡ 㻡ྡ 㻝ྡ 㻝ྡ ㄆᐃ་㻌 ᪥ᮏᦤ㣗ᄟୗ䝸䝝䝡䝸䝔䞊䝅䝵䞁Ꮫㄆᐃ་㻌 ᪥ᮏᑠඣ⢭⚄⚄⤒Ꮫㄆᐃ་㻌 㻝ྡ 㻝ྡ 䛭䛾㻌 㻵㼚㼒㼑㼏㼠㼕㼛㼚㻌㻯㼛㼚㼠㼞㼛㼘㻌㻰㼛㼏㼠㼛㼞㻌 㻠ྡ ᅜ㝿ㄆᐃ䝷䜽䝔䞊䝅䝵䞁䝁䞁䝃䝹䝍䞁䝖㻌 㻮㻸㻿 䜲䞁䝇䝖䝷䜽䝍䞊㻌 㻼㻭㻸㻿 䜲䞁䝇䝖䜽䝍䞊㻌 㻺㻾㻼 䜲䞁䝇䝖䝷䜽䝍䞊㻌 㻠ྡ 㻞ྡ 㻞ྡ 㻢ྡ 㻌 㻌 㻌 㻔㻟㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻞㻘㻜㻟㻣 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻞㻡㻘㻜㻥㻝 ᖹᡂ㻞㻟ᖺᗘ㻌 㻞㻘㻝㻞㻥㻌 㻌 㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㻌 㻞㻘㻟㻢㻞 㻞㻡㻘㻞㻞㻟㻌 㻞㻠㻘㻜㻤㻟 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 㻠㻘㻣㻟㻝 㻠㻘㻝㻝㻠㻌 㻟㻘㻟㻟㻥 እ᮶ᝈ⪅ᩘ㸦ྜィ㸧㻌 㻟㻝㻘㻤㻡㻥 㻟㻝㻘㻠㻢㻢㻌 㻞㻥㻘㻣㻤㻠 ―101― 小児科 㻔㻠㻕 ධ㝔デ⒪ࡢᐇ⦼㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 㻌 ධ㝔ᝈ⪅ᩘ㸦ᘏᩘ㸧㻌 㻝㻤㻘㻠㻟㻜㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㻝㻣㻘㻠㻣㻟㻌 㻝㻡㻘㻠㻜㻥㻌 㻌 㻔㻡㻕 ධ㝔デ⒪ࡢᐇ⦼ 㻌 㻌 㻌 㻌 ᝈྡ㸦ධ㝔㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 ྾ჾឤᰁ㻌 㻝㻡㻡 㻞㻌 పฟ⏕య㔜ඣ㻌 㻥㻜 㻟㻌 ᛴᛶ⫶⭠⅖䞉⬺Ỉ㻌 㻢㻥 㻠㻌 Ẽ⟶ᨭႍᜥ㻌 㻢㻜 㻡㻌 ②ᨥᝈ㻌 㻡㻠 㻢㻌 ᕝᓮ㻌 㻡㻝 㻣㻌 ᒀ㊰ឤᰁ㻌 㻞㻞 㻣㻌 ㉸పฟ⏕య㔜ඣ㻌 㻞㻞 㻥㻌 ᴟపฟ⏕య㔜ඣ㻌 㻞㻜 㻝㻜㻌 㣗≀䜰䝺䝹䜼䞊㻌 㻝㻟 㻌 㻌 ࡞᳨ᰝ࣭ฎ⨨ྡ㸦እ᮶࣭ධ㝔ၥࢃࡎ㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 ྾ᶵ⬟᳨ᰝ㻌 㻣㻞㻝 㻞㻌 ᚰ⮚㉸㡢Ἴ㻌 㻢㻝㻠 㻟㻌 㣗≀⤒ཱྀ㈇Ⲵヨ㦂㻌 㻞㻡㻜 㻠㻌 ⭈⮚㉸㡢Ἴ㻌 㻞㻜㻣 㻡㻌 ⭈⏕᳨㻌 㻤 㻢㻌 ᚰ⮚䜹䝔䞊䝔䝹᳨ᰝ㻌 㻝 㻌 㻞㻚 ඛ㐍ⓗ࡞་⒪ࡢྲྀࡾ⤌ࡳ㻌 ձ⤒ཱྀච⒪ἲ㻌 㣗≀ࣞࣝࢠ࣮ᑐࡍࡿ⤒ཱྀච⒪ἲࢆᐇࡋࠊࡑࡢ᭷ຠᛶ࣭Ᏻ ᛶࡢ☜❧ࢆ┠ᣦࡋ࡚࠸ࡿ㻌 ղ⬻ప ⒪ἲ㻌 㔜᪂⏕ඣ௬Ṛࡓ࠸ࡋ࡚ࠊ⬻ప ⒪ἲࢆ⾜ࡍࡿࡇࡼࡾࠊ ⚄⤒Ꮫⓗணᚋࡢᨵၿࡀᮇᚅ࡛ࡁࡿ㻌 㻌 㻌 㻌 㻌 㻌 㻌 ―102― 小児科 㻟㻚 ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձእ᮶㒊㛛㻌 㻺㻵㻯㼁 ㏥㝔ඣࡢࣇ࢛࣮ࣟࢵࣉࡋ࡚ࠊⓎ⫱࣭Ⓨ㐩␗ᖖࡢ᪩ᮇⓎ ぢࡢࡳ࡞ࡽࡎࠊಖㆤ⪅ᨭࡶ་ᖌ࣭┳ㆤᖌ࣭ᚰ⌮ኈࡼࡿࢳ࣮࣒ ་⒪ࢆ⾜ࡗ࡚࠸ࡿࠋ⫧‶Ꮫࡢࠕ᪥ᮏ⫧‶Ꮫㄆᐃ⫧‶ᑓ㛛 タࠖࡢㄆᐃࢆ࠺ࡅࠊᑠඣ⛉࡛ࡣ㒔ෆ࡛ࡶ㸳␒┠ࡢㄆᐃ㝔࡞ࡗ ࡓࠋࡲࡓࠊ㣗≀ࣞࣝࢠ࣮ࡢᝈ⪅ࡢቑຍࡶ࡞࠸✚ᴟⓗ㣗≀ ㈇Ⲵヨ㦂ࢆ⾜ࡋ࡚࠸ࡿࠋࡑࡢࠊᑓ㛛་ࡼࡿ⚄⤒እ᮶ࠊẕங ᑓ㛛እ᮶ࠊෆศἪእ᮶ࠊᚰ⮚እ᮶ࠊ⭈እ᮶ࠊ㑇ఏእ᮶ࡶ㧗ᗘ࡞▱ ㆑་⒪ࢆᥦ౪ࡋ࡚࠸ࡿࠋ㻌 ղධ㝔㒊㛛㻌 ㏆㞄ࡽࡢ⤂ࢆྵࡵࠊከࡃࡢᛴᛶᝈࡢධ㝔ࢆཷࡅධࢀ࡚࠸ ࡿࠋࡲࡓࠊ㏆ᖺቑຍࡋ࡚࠸ࡿ㣗≀ࣞࣝࢠ࣮ඣᑐࡋ࡚እ᮶ࡢࡳ ࡞ࡽࡎࠊࣁࣜࢫࢡࡢᝈ⪅㛵ࡋ࡚ࡣධ㝔ࡼࡿ㈇Ⲵヨ㦂ࢆ㛤ጞ ࡋࡓࠋ㻺㻵㻯㼁 ࡢධ㝔࡛ࡣࠊ㉸᪩⏘ඣࡢᩆࡣᨵၿࡋ࡚࠸ࡿ⪃࠼ ࡿࠋ㻌 㻌 㻠㻚 ᚋࡢㄢ㢟ᒎᮃ㻌 ە㉸పฟ⏕య㔜ඣࡢྜేࡋ࡚㢖ᗘࡢ㧗࠸ࠊᏊᐑእⓎ⫱㐜ᘏࠊ⬻ᐊෆฟ⾑ࠊ⬻ᐊ࿘ᅖⓑ㉁ ㌾ࠊ៏ᛶ⫵ᝈࠊᮍ⇍ඣ⥙⭷࡞ࡢⓎ㢖ᗘࢆῶᑡࡉࡏࡿࡇࡀᛴົ࡛࠶ࡾࠊ㟼⬦ ᰤ㣴ἲࠊẕஙᙉἲ࡞㛵ࡋ࡚ࡢ᪂ࡋ࠸▱ぢ㛵ࡋ࡚ࠊᚋࡶⓎಙࡋࡘ࡙ࡅࡿᚲせࡀ ࠶ࡿࠋ㻌 ە㣗≀ࣞࣝࢠ࣮㛵ࡋ࡚ࠊᝈ⪅ᩘࡢቑຍࡢ࡞ࠊ✚ᴟⓗ࡞㈇Ⲵヨ㦂ࡢᐇࢆ⾜࠸㐺ษ࡞⟶ ⌮ࢆ⾜࠺ࡶࠊ⤒ཱྀච⒪ἲࢆᏳ⾜ࡋ࡚࠸ࡃࠋ㻌 ―103― 泌尿器科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻞㻞㻌 Ἢᒀჾ⛉㻌 22）泌尿器科 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻌 㻌 㻔㻝㻕 デ⒪⛉㛗㻌㻌 ᑠᕝ㻌 Ⰻ㞝㻌 ་ᒁ㛗㻌 㻌 㻌 ༑ᔒ㻌 ᩔ㻌 Ჷ་㛗㻌㻌 㯞⏕㻌 ኴ⾜㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻝㻠 ྡ㻔ᖖ 㻝㻝 ྡ䚸㠀ᖖ 㻟 ྡ㻕㻌 㻌 㻌 㻌 㻌 ᩍ㻌 ᤵ㻌 㻝ྡ ᩍᤵ㻌 㻞ྡ ㅮ㻌 ᖌ㻌 㻌 㻌 㻞ྡ ຓ㻌 ᩍ㻌 㻡ྡ Ꮫ㝔⏕㻌 㻝ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 㻌 㻌 ᣦᑟ་㻌 ᪥ᮏἪᒀჾ⛉Ꮫᣦᑟ་㻌 㻣ྡ 㻌 ᪥ᮏ⭈⮚Ꮫᣦᑟ་㻌 㻝ྡ 㻌 ᪥ᮏ㏱ᯒ་Ꮫᣦᑟ་㻌 㻝ྡ ᪥ᮏ䛜䜣⒪ㄆᐃ་ᶵᵓᬻᐃᣦᑟ་㻌 㻝ྡ ᑓ㛛་㻌 ᪥ᮏἪᒀჾ⛉Ꮫᑓ㛛་㻌 㻝㻜 ྡ 㻌 ᪥ᮏ㏱ᯒᏛᑓ㛛་㻌 㻞ྡ 㻌 ㉸㡢ἼᏛᑓ㛛་㻌 㻝ྡ 㻌 ᪥ᮏᛶᶵ⬟Ꮫᑓ㛛་㻌 㻝ྡ ㄆᐃ་㻌 ᪥ᮏ䛜䜣⒪ㄆᐃ་ᶵᵓㄆᐃ་㻌 㻟ྡ 㻌 Ἢᒀჾ⭡⭍㙾ᢏ⾡ㄆᐃ་㻌 㻝ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻝㻘㻡㻝㻢㻌 㻝㻘㻠㻝㻥㻌 㻝㻘㻟㻥㻝 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻞㻤㻘㻞㻡㻞㻌 㻟㻝㻘㻜㻜㻜㻌 㻞㻥㻘㻠㻠㻥 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻣㻤㻞 㻤㻜㻣 㻞㻡㻟 㻟㻜㻘㻡㻡㻜 㻟㻟㻘㻞㻞㻢 㻟㻝㻘㻜㻥㻟 㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 㻥㻘㻡㻝㻠 ―104― ᖹᡂ 㻞㻟 ᖺᗘ㻌 㻤㻘㻢㻠㻣 ᖹᡂ 㻞㻠 ᖺᗘ㻌 㻣㻘㻞㻥㻜 泌尿器科 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 㻌 ᝈྡ䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ᡭ⾡┠ⓗ㻌 㻟㻜㻠 㻞㻌 ๓❧⭢⏕᳨㻌 㻞㻡㻤 㻟㻌 ᒀ㊰ឤᰁ㻌 㻡㻠 㻠㻌 Ꮫ⒪ἲ㻌 㻡㻜 㻡㻌 㐍⾜⒴㌟≧ែⰋ㻌 㻟㻝 㻢㻌 ศᏊᶆⓗ⸆㻌 㻝㻡 㻣㻌 ⭤⬔䝍䞁䝫䝘䞊䝕㻌 㻝㻠 㻤㻌 ⭈㻌 㻝㻜 㻥㻌 ᨺᑕ⥺⒪┠ⓗ㻌 㻡 㻝㻜㻌 ⭈ᦆയ㻌 㻞 㻌 㻌 㻌 㻌 ᡭ⾡㡯┠䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻌 㻝㻌 䠰䠱䠮䠉䠞䠰㻌 㻥㻞 㻌 㻞㻌 ᐦᑒᑠ⥺※⒪ἲ㻌 㻥㻞 㻌 㻟㻌 㼀㼁㻸䠄䡂䇲䠰䠱䠨䠅㻌 㻌 㻠㻌 㼀㼁㻾㻙㻼㻌 㻌 㻡㻌 ⭈䠄⭡⭍㙾ୗᡭ⾡䠅㻌 㻌 㻢㻌 ๓❧⭢㻌 㻝㻡 㻌 㻢㻌 ໟⱼᡭ⾡㻌 㻝㻡 㻌 㻤㻌 ⭈ᒀ⟶䠄⭡⭍㙾ୗᡭ⾡䠅㻌 㻌 㻥㻌 㧗⢭ᕢ㝖⾡㻌 㻝㻞 㻌 㻝㻜㻌 㻼㻺㻸㻌 㻝㻝 㻟㻜䠄㻥䠅 㻟㻞 㻞㻝䠄㻝㻣䠅 㻝㻟䠄䠐䠅 㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ๓❧⭢⏕᳨㻌 㻞㻡㻤 㻞㻌 㻱㻿㼃㻸㻌 㻣㻤 㻟㻌 ᒀ⟶䝇䝔䞁䝖␃⨨䚸㻌 㻢㻤 㻠㻌 ⭈⒦㻌 㻞㻜 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟๓❧⭢⒴ᐦᑒᑠ⥺※ 䝶䜴⣲ 㻝㻞㻡 䛾ᐦᑒ䛥䜜䛯䜹䝥䝉䝹䜢ᤄධ䛩䜛ᨺᑕ⥺ෆ↷ᑕ⒪ ⒪ἲ㻌 ἲ䚹ప䝸䝇䜽䛾䜏䛺䜙䛪୰䡚㧗䝸䝇䜽䛾䛻ᑐ䛧䛶䜒㞟Ꮫⓗ ⒪䜢✚ᴟⓗ䛻⾜䛳䛶䛔䜛䚹㻌 䐠య⭍㙾ୗᡭ⾡㻌 ⭈䞉⭈ᝈ䛻ᑐ䛩䜛య⭍㙾ୗᡭ⾡䜢✚ᴟⓗ䛻⾜䛔䚸ᚑ᮶䛾㛤 ⭡ᡭ⾡䛸ẚ㍑䛧పくᛶ䛷ධ㝔ᮇ㛫䛾▷⦰䜢ᅗ䛳䛶䛔䜛䚹㻌 㻌 ―105― 泌尿器科 䐡⭈⣽⬊⒴䛻ᑐ䛩䜛ศᏊ ษ㝖⬟⭈⣽⬊⒴䜔⭈ฟᚋ䛾㌿⛣ᕢ䛻ᑐ䛧䚸᪥ᮏᑟධᙜึ ᶆⓗ⸆⒪㻌 䛛䜙✚ᴟⓗ䛻⾜䛧䛶䛔䜛䚹㻌 䐢㌾ᛶ㙾䛻䜘䜛ᒀ㊰⤖▼ ◳ᛶᒀ⟶㙾䛷䛿◚○ᅔ㞴䛺ᒀ⟶⤖▼䜔⭈⤖▼䛻ᑐ䛧䚸✚ᴟⓗ ᡭ⾡㻌 䛻㌾ᛶᒀ⟶㙾䛸䝺䞊䝄䞊䛾⏝䛻䜘䜛ᡭ⾡䜢⾜䛧䛶䚸༢ᅇᡭ ⾡䛷䛾⤖▼ᾘኻ⋡䛜ྥୖ䛧䛶䛔䜛䚹㻌 㻌 㻟䠊 ᖹᡂ 㻞㻠 ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟๓❧⭢⒴᪩ᮇⓎぢ䛾 ᖺ䚸୍ᖺ䛻ᘬ䛝⥆䛝᪂⪺♫䚸ᴗ䛸䝍䜲䜰䝑䝥䛧䛯䠬䠯䠝䝇䜽 䛯䜑䛾 㻼㻿㻭 ᳨デ䛻㛵䛩䜛 䝸䞊䝙䞁䜾䜻䝱䞁䝨䞊䞁䜢⾜䛳䛯䚹ᮏᖺ䛿༠ຊタ䜒ቑ䛘䚸ᖺ ၨⵚάື㻌 ௨ୖ䛾᪉䚻䛻䛤ཧຍ䛔䛯䛰䛝┒䛻⤊䛧䛯䚹㻌 䐠య⭍㙾ୗᡭ⾡௳ᩘ䛾 䜢ቑ䛩䛣䛸䛷䚸ᡭᢏ䛾ྥୖ䚸ᡭ⾡㛫䛾▷⦰䛻䛴䛺䛜䛳䛶 ቑຍ㻌 䛔䜛䚹㻌 䐡ᆅᇦ་⒪ᶵ㛵䛸䛾㐃ᦠ ᆅᇦ་⒪ᶵ㛵䛸䛾㐃ᦠᙉ䜢┠ᶆ䛸䛧㏫⤂䛜ᖺ䜘䜚ቑ ຍ䛧䛯䚹㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃⒴䚸⤖▼➼䛾Ⰻᛶᝈ䜢ၥ䜟䛪పく⒪䛾ᑟධ䜢✚ᴟⓗ䛻⾜䛔䚸ᩘ䜢ቑ䜔䛧䛶䛝 䛯䚹㻌 䖃デ䚸㝔㐃ᦠ䜢ಁ㐍䛧㏆㞄་⒪ᶵ㛵䛸䛾㐃ᦠᙉ䜢ᅗ䜛䚹㻌 䖃⌧ᅾ 㻞㻡 ᖺᗘ䛾䝻䝪䝑䝖ᡭ⾡䛾ᑟධ䜢ど㔝䛻䚸ᾏእ◊ಟ䛻ฟྥ䛧ᢏ⾡⩦ᚓ䛻ດ䜑䚸⒪㛤 ጞ䛻ഛ䛘䛶䛔䜛䚹㻌 㻌 ―106― 耳鼻咽喉科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻞㻟㻌 ⪥㰯ဗႃ⛉㻌 23）耳鼻咽喉科 㻌 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻌 㻌 㻔㻝㻕 デ⒪⛉㛗㻌 Ὢᓮ㻌 ᾏ㻌 ་ᒁ㛗㻌 ᕤ⸨㻌 ╬⏨㻌 Ჷ་㛗㻌 ⫧ᚋ㻌 㝯୕㑻㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻟㻡ྡ㻔ᖖ㻞㻞ྡ䚸㠀ᖖ㻝㻟ྡ㻕㻌 㻌 㻌 㻌 㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻞ྡ ㅮᖌ㻌 㻝㻡ྡ ຓᩍ㻌 㻝㻠ྡ Ꮫ㝔⏕㻌 㻝ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 㻌 㻌 ᣦᑟ་㻌 ᪥ᮏ㢌㢕㒊እ⛉Ꮫ㢌㢕㒊䛜䜣ᑓ㛛་ᬻᐃᣦᑟ་㻌 㻝ྡ ᑓ㛛་㻌 ᪥ᮏ⪥㰯ဗႃ⛉Ꮫᑓ㛛་㻌 㻞㻞ྡ 㻌 ᪥ᮏẼ⟶㣗㐨⛉Ꮫᑓ㛛་㻌 㻡ྡ ㄆᐃ་㻌 ᪥ᮏ䛜䜣⒪ㄆᐃ་ᶵᵓ䛜䜣⒪ㄆᐃ་㻌 㻝ྡ 䛭䛾㻌 ⿵⫈ჾ㐺ྜุᐃ་㻌 㻝㻥ྡ 㻌 ᪥ᮏ䛜䜣⒪ㄆᐃ་ᶵᵓᬻᐃᩍ⫱་㻌 㻝ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻟㻘㻠㻥㻟㻌 㻟㻘㻠㻞㻝㻌 㻟㻘㻠㻜㻝 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻞㻥㻘㻟㻥㻞㻌 㻟㻜㻘㻡㻤㻠㻌 㻟㻜㻘㻡㻟㻜 㻝㻘㻣㻟㻞㻌 㻝㻘㻠㻠㻢㻌 㻝㻘㻠㻡㻣 㻟㻠㻘㻢㻝㻣㻌 㻟㻡㻘㻠㻡㻝㻌 㻟㻡㻘㻟㻤㻤 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 㻤㻘㻜㻤㻡 㻌 㻌 㻌 㻌 ―107― ᖹᡂ㻞㻟ᖺᗘ㻌 㻤㻘㻟㻢㻣 ᖹᡂ㻞㻠ᖺᗘ㻌 㻥㻘㻜㻜㻝 耳鼻咽喉科 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 㻌 㻌 㻌 ᝈྡ䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 㰯୰㝸ᙃ᭤㻌 㻝㻟㻠 㻞㻌 ៏ᛶ㰯⭍⅖㻌 㻝㻞㻞 㻟㻌 ⫧ཌᛶ㰯⅖㻌 㻝㻝㻤 㻠㻌 ៏ᛶᡥ᱈⅖㻌 㻣㻟 㻡㻌 ᛴᛶᡥ᱈⅖㻌 㻡㻠 㻢㻌 ៏ᛶ୰⪥⅖㻌 㻡㻝 㻣㻌 ╆ᬥ㻌 㻠㻞 㻤㻌 䜰䝕䝜䜲䝗㻌 㻟㻡 㻥㻌 ┿⌔⭘ᛶ୰⪥⅖㻌 㻟㻞 㻝㻜㻌 ᛴᛶဗႃ㢌⅖㻌 㻟㻜 㻌 㻌 ᡭ⾡㡯┠䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 㰯୰㝸▹ṇ⾡㻌 㻝㻟㻠 㻞㻌 ෆど㙾ୗ㰯㰯⭍ᡭ⾡㻌 㻝㻟㻞 㻟㻌 ୗ㰯⏥ᡭ⾡㻌 㻝㻝㻤 㻠㻌 ཱྀᡥ᱈ฟ⾡㻌 㻣㻟 㻡㻌 㰘ᐊᙧᡂ⾡㻌 㻣㻟 㻢㻌 ႃ㢌ᚤ⣽ᡭ⾡㻌 㻠㻠 㻣㻌 䜰䝕䝜䜲䝗ษ㝖⾡㻌 㻟㻞 㻤㻌 㰘⭷Ẽ䝏䝳䞊䝤␃⨨⾡㻌 㻟㻜 㻥㻌 Ẽ⟶ษ㛤⾡㻌 㻞㻜 㻝㻜㻌 㰘⭷ᙧᡂ⾡㻌 㻝㻠 㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 㰯⭍⢓⭷↝ⅎ㻌 㻝㻤㻣 㻞㻌 䜶䝁䞊ୗ✸่྾ᘬ⣽⬊デ㻌 㻝㻣㻟 㻟㻌 Ⴅぬ᳨ᰝ䠄ึデ䠅㻌 㻝㻢㻞 㻠㻌 㻺㻮㻵 ෆど㙾᳨ᰝ㻌 㻢㻢 㻡㻌 ဗ㢌␗≀ฟ㻌 㻢㻝 㻢㻌 䝡䝕䜸 㼄 ⥺㏱ど᳨ᰝ㻌 㻡㻡 㻣㻌 ぬ᳨ᰝ㻌 㻡㻟 㻤㻌 ᡥ᱈࿘ᅖ⮋⒆✸่䞉ษ㛤㻌 㻟㻝 㻥㻌 እ⪥㐨␗≀ฟ㻌 㻞㻣 㻝㻜㻌 㰯ෆ␗≀ฟ㻌 㻞㻡 㻌 㻌 㻌 ―108― 䐟䝘䝡䝀䞊䝅䝵䞁䝅䝇䝔䝮 ᡭ⾡⏝䝘䝡䝀䞊䝅䝵䞁䛿䚸ᡭ⾡᧯స䜢⾜䛳䛶䛔䜛㒊䜢⾡๓䛻 䜢⏝䛔䛯ෆど㙾ୗ㰯ෆ ᙳ䛧䛯䠟䠰䛻䠏ḟඖⓗ䛻ᫎ䛩䜛䜒䛾䛷䛒䜛䚹ゎ๗Ꮫⓗ䛻」㞧 㰯⭍ᡭ⾡㻌 䛷䚸║⌫䜔㢌䛺䛹䛾༴㝤㒊䛻㏆᥋䛧䛶䛔䜛㰯⭍䛾ᡭ⾡䛻 䛝䜟䜑䛶᭷⏝䛷䛒䜛䚹ᙜ⛉䛷䛿䛣䛾䝅䝇䝔䝮䜢⏝䛔䛶䚸㞴䛸䛥 䜜䛶䛔䜛ႍᜥ䜢ྜే䛧䛯㰯⭍⅖䚸Ⓨ䛺䛹䛻ᡭ⾡ຠᯝ䛾 㧗䛔⾡ᘧ䜢㛤Ⓨ䛧䚸Ᏻ䛛䛴⢭⦓䛺ᡭ⾡䜢⾜䛳䛶䛔䜛䚹㻌 䐠ෆど㙾䛻䜘䜛ୗဗ㢌䞉 䛣䜜䜎䛷᪩ᮇୗဗ㢌⒴䞉ႃ㢌⒴䛿ᨺᑕ⥺↷ᑕ䛜㑅ᢥ䛥䜜䛶䛝䛯 ႃ㢌⒴ษ㝖㻌 䛜䚸ෆど㙾䜢⏝䛔䛯㣗㐨䛒䜛䛔䛿⫶⒴䛻䛚䛡䜛 㻱㻿㻰 䜔 㻱㻹㻾 䜢 ᛂ⏝䛧䛯᪩ᮇ⒴ษ㝖䛜ඛ㐍ⓗ་⒪䛸䛧䛶⾜䜟䜜䜛䜘䛖䛻䛺䛳䛯䚹 ᙜ㝔䛷䜒䛔䛱᪩䛟ྠᡭ⾡䛻╔┠䛧䚸ᾘჾෆ⛉䛸༠ྠ䛷ෆど㙾 䛻䜘䜛ୗဗ㢌䞉ႃ㢌⒴ษ㝖䜢ྲྀ䜚ධ䜜䛯⒪䜢⾜䛳䛶䛔䜛䚹㻌 㻌 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳 Ꮫ ་ Ꮫ 㒊 ⪥ 㰯 ဗ ႃ ⛉ Ꮫ ᩍ ᐊ 䛾 䝩 䞊 䝮 䝨 䞊 䝆 䛶㻌 䠄㼔㼠㼠㼜㻦㻛㻛㼣㼣㼣㻚㼟㼑㼚㼠㻚㼡㼙㼕㼚㻚㼖㼜㻛䠅䛻䚸ᙜ⛉䛾ᴫせ䞉≉Ⰽ䚸デ⒪ෆ䚸 ◊✲ෆᐜ䛺䛹䛜ヲ⣽䛻グ㍕䛥䜜䛶䛔䜎䛩䛾䛷䛤ぴୗ䛥䛔䚹≉ᐃ ᶵ⬟㝔䛷䛒䜛Ꮫ㝔䛿㧗ᗘඛ㐍་⒪䜢⾜䛖ᚲせ䛜䛒䜛䛾 䛷䚸୍⯡デ⒪䛸䛸䜒䛻✀䚻䛾ᑓ㛛እ᮶䜢タ⨨䛧䛶ᝈ⪅䛥䜣䛾 䝙䞊䝈䛻ᛂ䛘䜛䜉䛟ດ䜑䛶䛔䜎䛩䚹䠄Ὢᓮᾏ䠅㻌 䐠᪂䛯䛺་ᒁ䛾ཎືຊ㻌 ᖹᡂ㻞㻠ᖺᗘ䛿䚸▼ᶫ㻌 ῟䚸⏣୰⩏ே䚸ྂᕝ㻌 ഔ䜙᪂ே㻟ྡ䛾་ᖌ 䛻ຍ䛘䚸ឡ▱┴䛷ົ䛧䛶䛔䛯ᑠᯘᜤ௦䜢᪂䛯䛻ᩍᐊ䛻㏄䛘䛶 䝇䝍䞊䝖䛧䜎䛧䛯䚹ẖᖺឤ䛨䜛䛣䛸䛷䛿䛒䜚䜎䛩䛜䚸ⱝ䛔་ᖌ䛯䛱 䛾ᕼᮃ䛻‶䛱䛯䜶䝛䝹䜼䞊䛸䛔䛖䛾䛿䛩䛤䛔䝟䝽䞊䜢ᣢ䛳䛶䛔 䛶䚸ඛ㍮་ᖌ㐩䛻䜒άᛶຊ䜢䜒䛯䜙䛩ཎືຊ䛸䛺䛳䛶䛔䜛䜘䛖䛷 䛩䚹䠄ᕤ⸨╬⏨䠅㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃ᚋ䜒Ᏻ䛷㉁䛾㧗䛔་⒪䜢ᗈ䛟ᥦ౪䛧䚸ᝈ⪅䛥䜣䛾 㻽㻻㻸䠄⏕ά䛾㉁䠅䛾ྥୖ䛻㈉⊩䛩 䜛䚹㻌 䖃㧗ᗘඛ㐍་⒪䜢ᢸ䛖≉ᐃᶵ⬟㝔䛸䛧䛶䚸ከ䛟䛾㞴ᛶᝈ䛻ᑐᛂ䛷䛝䜛䜘䛖䛻䚸᭱᪂䛾 ᢏ⾡䜔ᶵჾ䞉タഛ䜢ഛ䛘䜛䚹㻌 䖃⤂ᝈ⪅䛥䜣䛾ཷ䛡ධ䜜䜔ᡭ⾡㏥㝔ᚋ䛾⤂ඖ䛷䛾䝣䜷䝻䞊䜰䝑䝥䛺䛹䚸ᆅᇦ་⒪䛻㛵 䛧䛶デ⒪ᡤ䜔㝔䛸䛾ᐦ᥋䛺㐃ᦠ䜢⾜䛖䚹㻌 㻌 ―109― 耳鼻咽喉科 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 放射線科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻞㻠㻌 ᨺᑕ⥺⛉㻌 24）放射線科 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ་ᒁ㛗㻌 ᚋ㛩㻌 Ṋᙪ㻌 㡲ᒣ㻌 ῟ᖹ㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻌 㻞㻟ྡ䠄ᖖ㻌 㻝㻥ྡ䚸㠀ᖖ㻌 㻠ྡ㻕㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻟ྡ ຓᩍ㻌 㻣ྡ Ꮫ㝔⏕㻌 㻣ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ᪥ᮏ་Ꮫᨺᑕ⥺Ꮫ◊ಟᣦᑟ⪅㻌 ᑓ㛛་㻌 ᪥ᮏ་Ꮫᨺᑕ⥺Ꮫᨺᑕ⥺デ᩿ᑓ㛛་㻌 㻌 㻢ྡ 㻝㻞ྡ ᪥ᮏ⾑⟶㐀ᙳ䞉䜲䞁䝍䞊䝧䞁䝅䝵䝘䝹䝷䝆䜸䝻 㻟ྡ 䝆䞊Ꮫᑓ㛛་㻌 ㄆᐃ་㻌 䛭䛾㻌 ᪥ᮏ᰾་Ꮫᑓ㛛་㻌 㻠ྡ ᪥ᮏ㉸㡢Ἴ་Ꮫᑓ㛛་㻌 㻞ྡ ᪥ᮏங⒴Ꮫㄆᐃ་㻌 㻝ྡ 䠬䠡䠰᰾་Ꮫㄆᐃ་㻌 㻠ྡ 䝬䞁䝰䜾䝷䝣䜱ㄞᙳㄆᐃ་ᖌ㻌 㻤ྡ 䛜䜣⒪ㄆᐃ་㻌 㻝ྡ ᪥ᮏ䛜䜣⒪ㄆᐃ་ᶵᵓᬻᐃᩍ⫱་㻌 㻞ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻤㻣㻝㻌 㻝㻘㻜㻞㻜㻌 㻥㻢㻠 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻠㻘㻜㻢㻥 㻥㻘㻡㻢㻟 㻟㻘㻥㻡㻝 㻞 㻜 㻜 㻠㻘㻥㻠㻞 㻝㻜㻘㻡㻤㻟 㻠㻘㻥㻝㻡 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻌 㻌 㻌 ―110― 放射線科 㻔㻡㻕 ᨺᑕ⥺⛉䛾ᐇ⦼㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 䠟䠰㻌 㻟㻡㻘㻤㻥㻣 㻞㻌 䠩䠮䠥㻌 㻞㻝㻘㻝㻢㻡 㻟㻌 ᰾་Ꮫ᳨ᰝ㻌 㻠㻘㻤㻠㻢 㻠㻌 䝬䞁䝰䜾䝷䝣䜱㻌 㻞㻘㻤㻥㻤 㻡㻌 ୖ㒊ᾘ⟶㐀ᙳ㻌 㻡㻝㻜 㻢㻌 ἥᛶᒀ㊰㐀ᙳ䞉㏫⾜ᛶᒀ㊰㐀ᙳ㻌 㻝㻣㻥 䠥䠲䠮㻌 㻠㻡㻜 㻣㻌 㻤㻌 ⾑⟶⣔㻔⫢⣽⬊䛾 㼀㻭㻯㻱㻘㼀㻭㻵䚸㏱ᯒ䡸䡨䢙䢀 㻼㼀㻭䚸㻕㻌 䠥䠲䠮㻌 㻝㻞㻥 㠀⾑⟶⣔㻔⏬ീ䡲䢚䡮䢀䢚ୗ⏕᳨䚸⮋⒆䢀䢚䢖䢁䡬䡸䢚㻕㻌 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟デ᩿㒊㛛㻌 㻟㼀㻹㻾㻵䚸㻝㻞㻤ิ 㻹㻰㻯㼀 䜢䛿䛨䜑䛸䛩䜛᭱᪂䛾⏬ീデ᩿⨨䜢⏝ 䛧䛶䚸䛭䜜䛮䜜䛾ᝈ䛾デ᩿䛻᭱㐺䛸ᛮ䜟䜜䜛䚸䝇䝷䜲䝇ཌ䚸 ᙳ㛫䚸㐀ᙳὀධ㛫ཬ䜃᭱᪂䛾䠩䠮䠥ീ䝅䞊䜿䞁䝇䜢㑅 ᢥ䛧䚸ྛ✀⏬ീ᳨ᰝ䜢⾜䛧ሗ࿌᭩䜢సᡂ䛧䛶䛔䜛䚹䜎䛯ᚲせ䛻 ᛂ䛨䛶䝽䞊䜽䝇䝇䝔䞊䝅䝵䞁䜢⏝䛔୕ḟඖ⏬ീ䚸䝣䝳䞊䝆䝵䞁⏬ ീ䛾సᡂ䜒⾜䛳䛶䛔䜛䚹㻌 䐠⾑⟶㐀ᙳ㒊㛛㻌 䝣䝷䝑䝖䝟䝛䝹䜢ᦚ㍕䛧䛯⾑⟶㐀ᙳ⨨䛻䜘䜛 㻯㻙㻭㼞㼙㻌 㻯㻮㻯㼀 䜢 ⏝䛧䛶䚸⾑⟶㐀ᙳ䚸㼢㼍㼟㼏㼡㼘㼍㼞㻌㻵㼂㻾䠄⾑⟶ᣑᙇ⾡䜔⭘⒆䜔ฟ⾑ ኚ䜈䛾⤒⓶ⓗሰᰦ⾡䚸⭘⒆䜈䛾ືὀᏛ⒪ἲ䚸㻯㼂㻯 䝫䞊䝖␃ ⨨䚸䝇䝔䞁䝖␃⨨䚸㻯㼂㻯 䝫䞊䝖␃⨨䚸䛭䛾䠅䚸㼚㼛㼚㻌 㼢㼍㼟㼏㼡㼘㼍㼞㻌 㻵㼂㻾 䠄⏬ീㄏᑟୗ䛾⮋⒆䝗䝺䝘䞊䝆䚸⭘⒆⏕᳨䚸䛭䛾䠅䜢⾜䛳䛶䛔 䜛䚹㻌 䐡᰾་Ꮫ㒊㛛㻌 ⬻⾑ὶ䝅䞁䝏䚸⬻⭘⒆䝅䞁䝏䛿ᑓ⏝䛾䝋䝣䝖䜴䜵䜰䜢⏝䛔䚸ゎᯒ 䜢⾜䛳䛶䛔䜛䚹ங⭢䝉䞁䝍䞊䛾㛤タ䛻క䛔䚸ங⭢䝉䞁䝏䝛䝹䝸䞁 䝟⠇䝅䞁䝏䛾௳ᩘ䛜ቑຍ䛧䛶䛝䛯䚹䜎䛯䚸⏥≧⭢ෆ᭹⒪ἲ䜒⾜ 䛳䛶䛔䜛䚹㻌 㻌 ―111― 放射線科 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟デ᩿㒊㛛㻌 ᖺྠᵝ䚸㻯㼀䚸㻹㻾㻵䚸ᾘ⟶㐀ᙳ䚸ᒀ㊰㐀ᙳ䚸᰾་Ꮫ᳨ᰝ䛶 䛾⏬ീデ᩿ሗ࿌᭩䜢సᡂ䛧䚸䛥䜙䛻䛭䛾㻤㻜䠂௨ୖ䛜⩣デ⒪᪥䜎 䛷䛻సᡂ䛥䜜䛶䛔䜛䚹ᖺᗘ䜒 㼙㼍㼙㼙㼛㼓㼞㼍㼜㼔㼥 䜢௳ㄞᙳ䛧䛯䚹 䜎䛯䚸୍㒊䛷䛿䛒䜛䛜⬚㒊༢⣧┿䛾ㄞᙳ䜒⾜䛳䛯䚹⥭ᛴ 㻯㼀 䛿௳ᙜ᪥୰䛻⾜䛧䚸⥭ᛴ 㻹㻾㻵 ᳨ᰝ䜒ྍ⬟䛺㝈䜚ᙜ᪥䛻⾜ 䛩䜛䜘䛖䛻ດ䜑䛯䚹㻌 䐠⾑⟶㐀ᙳ㒊㛛㻌 㻵㼂㻾 䛾௳ᩘ䛜ᖹᡂ㻞㻝ᖺᗘ㻌 㻟㻤㻜௳䚸ᖹᡂ㻞㻞ᖺᗘ㻌 㻠㻢㻜௳䚸ᖹᡂ㻞㻟 ᖺᗘ㻌 㻡㻜㻝௳䚸ᖹᡂ㻞㻠ᖺᗘ㻡㻣㻥௳䛸ቑຍ䛧䛯䚹㻌 䐡᰾་Ꮫ㒊㛛㻌 㻯㼀䞉㻹㻾㻵 䛸䛾ᡤぢ䛸䛾ᑐẚ䚸⼥ྜ⏬ീ䛾సᡂ䛺䛹䜢⾜䛖䛣䛸䛻䜘 䜚䚸デ᩿⬟䛾ྥୖ䛻ດ䜑䛯䚹㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃デ᩿㒊㛛㻌 㻹㻾㻵 ീ䝅䞊䜿䞁䝇䛾᭦䛺䜛᭱㐺䛜ᚋ䛾ㄢ㢟䛸ᛮ䜟䜜䜛䚹㻌 䖃⾑⟶㐀ᙳ㒊㛛㻌 ᖹᡂ㻞㻠ᖺ䛾 㻵㼂㻾 ௳ᩘ䛿䚸㻡㻣㻥௳䛷ᅜ㻞㻢䛷䛒䛳䛯䚹㻵㼂㻾 䛾௳ᩘ䜢䛥䜙䛻ቑ䜔䛩䛯䜑䛻䚸᳨ ᰝෆᐜ䜔᳨ᰝ䛾㉁䛜ྥୖ䛩䜛䜘䛖䛻ດຊ䛧䛶䛔䛝䛯䛔䚹㻌 䖃᰾་Ꮫ㒊㛛㻌 ᪂䛧䛔䝋䝣䝖䜴䜵䜰䜒㛤Ⓨ䛥䜜䛶䛝䛶䛚䜚䚸་⒪䛾୰䛷䛾᪂䛯䛺ᙺ䜒ᶍ⣴䛧䛯䛔䚹㻌 㻌 ―112― 放射線治療科 Ꮫ㝔 デ⒪㒊㛛 昭和大学病院 診療部門 ᨺᑕ⥺⒪⛉ 25）放射線治療科 㻝㸬 デ⒪యไᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ຍ㈡⨾ ⰾ㻌 㻌 㻔㻞㻕 ་ᖌᩘ 㻠ྡ㻔ᖖ㻠ྡࠊ㠀ᖖ㻜ྡ㻕㻌 ᩍᤵ㻌 㻝ྡ㻌 ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻝ྡ ຓᩍ㻌 㻝ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬࡧᑓ㛛་࣭ㄆᐃ་㻌 ᑓ㛛་㻌 ᨺᑕ⥺⒪ᑓ㛛་㻌 㻟ྡ ᑓ㛛་㻌 ᨺᑕ⥺⛉ᑓ㛛་㻌 㻝ྡ ㄆᐃ་㻌 ࡀࢇ⒪ㄆᐃ་㻌 㻠ྡ ࡑࡢ㻌 ᪥ᮏࡀࢇ⒪ㄆᐃ་ᶵᵓᬻᐃᩍ⫱་㻌 㻞ྡ 㻌 㻔㻠㻕 ᨺᑕ⥺⒪ࡢᐇ⦼㻌 㻌 ࡞᳨ᰝ࣭ฎ⨨ྡ㸦እ᮶࣭ධ㝔ၥࢃࡎ㸧㻌 㻌 ⒪ᝈ⪅⥲ᩘ㻌 ᝈ⪅ᩘ㻌 㻢㻤㻡 㻝㻌 ⫵⒴ࠊ⦪㝸⭘⒆㻌 㻥㻣 㻞㻌 Ἢᒀჾ⛉⭘⒆㻌 㻟㻌 㢌㢁㒊⭘⒆㻌 㻡㻟 㻠㻌 㣗㐨⭘⒆㻌 㻠㻞 㻡㻌 ங⭢⭘⒆㻌 㻝㻥㻜 㻢㻌 ፬ே⛉⭘⒆㻌 㻣㻌 ⫶ࠊᑠ⭠ࠊ⭠⭘⒆㻌 㻢 㻤㻌 㐀⾑ࠊࣜࣥࣃ⣔⭘⒆㻌 㻟㻝 㻥㻌 ⫢⫹⮅⭘⒆㻌 㻝㻞㻞 㻟㻢 㻞 㻝㻜㻌 ⬻ࠊ⬨㧊⭘⒆㻌 㻠 㻝㻝㻌 Ⰻᛶᝈ㻌 㻣 㻝㻞㻌 ⓶ࠊ㦵ࠊ㌾㒊⭘⒆㻌 㻞 㻌 㻌 㻌 㻌 ―113― 放射線治療科 㻞㸬 ඛ㐍ⓗ࡞་⒪ࡢྲྀࡾ⤌ࡳ㻌 ձ㧗⢭ᗘᨺᑕ⥺⒪㻌 ᙉᗘኚㄪᨺᑕ⥺⒪㸦㻵㻹㻾㼀㸧ࠊᐃᨺᑕ⥺↷ᑕ࡞ࡢ㧗⢭ᗘ ᨺᑕ⥺⒪ࡼࡾ⭘⒆ไᚚࢆྥୖࡉࡏ᭷ᐖ㇟ࢆῶࡽࡍࡼ ࠺ࡍࡿࠋࡇࢀࢆ᪥ᖖ⮫ᗋ࡛ᝈ⪅ᥦ౪ࡍࡿࡓࡵ⒪ᶵჾ ࡢ⢭ᗘ⟶⌮ࠊ⒪ィ⏬ 㻽㻭㻛㻽㻯 ࢆࡉࡽᐇࡉࡏ࡚࠸ࡃࠋ㻵㻹㻾㼀 ࡣ๓❧⭢⒴ࠊ㢌㢁㒊⒴࡛᪥ᖖ⮫ᗋ࡛⾜ࡋ࡚࠸ࡿࠋ⬻ࠊ⫵ ࡢᐃ↷ᑕࢆ㛤ጞࡋࡓࠋᚋࡣ 㼂㻹㻭㼀 ࢆ⾜࠺యไࡍࡿࠋ㻌 㻌 㻟㸬 ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձᙉᗘኚㄪᨺᑕ⥺⒪ ๓❧⭢⒴ࠊ㢌㢁㒊⒴࡛ࡣ⒪ᶵჾࡢไ⣙ࡣ࠶ࡿࡀ࡞ࡿࡃከ 㸦㻵㻹㻾㼀㸧ࡢ᪥ᖖ⮫ᗋࡢ ࡃࡢᝈ⪅ࢆ᪥ᖖ⮫ᗋ࡛⾜࠺ࡼ࠺ࡋ࡚࠸ࡿࠋ⬻ࠊ⫵ࡢᐃ 㐺⏝ࠊᐃ↷ᑕࡢ㛤ጞ㻌 ↷ᑕࢆ㛤ጞࡋࡓࠋ㻌 㻌 㻠㸬 ᚋࡢㄢ㢟ᒎᮃ㻌 ࢻ࣮࣮࣎ࢧࣥࣕ࢟ە㸦ᾘჾ⣔ࠊ྾ჾ⣔㸧ࢆࡉࡽᐇࡍࡿࡇ㈉⊩ࡋࠊࡀࢇᝈ⪅ ᭱㐺࡞་⒪ࢆᥦ౪ࡍࡿࠋ㻌 ୖەグ௨እࡢࡢ⮚ჾ࡛ࡶࠊᶆ‽⒪ࢆᥦ౪ࡍࡿయไࢆ⭘⒆ෆ⛉ࠊእ⛉ࡢ㐃ᦠࡼࡾ ࡉࡽᙉࡍࡿࠋ㻌 ەᙉᗘኚㄪᨺᑕ⥺⒪㸦㻵㻹㻾㼀㸧 ࠊ㼂㻹㻭㼀ࠊ⏬ീㄏᑟᨺᑕ⥺⒪㻔㻵㻳㻾㼀㻕ࠊᐃᨺᑕ⥺↷ᑕ࡞ ࡢ㧗⢭ᗘᨺᑕ⥺⒪ࢆ᪥ᖖ⮫ᗋ㐺⏝ࡋᝈ⪅᭱㐺࡞ᨺᑕ⥺⒪ࢆᥦ౪ࡍࡿࠋ㻌 㻌 ―114― 麻酔科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻞㻢㻌 㯞㓉⛉㻌 26）麻酔科 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻌 㻌 㻔㻝㻕 デ⒪⛉㛗㻌 Ᏻᮏ㻌 ṇ㻌 ་ᒁ㛗㻌 㻌 ሯ㻌 ┤ᶞ㻌 Ჷ་㛗㻌 ᒸᏳ㻌 ⌮ྖ䠄㻵㻯㼁 ᢸᙜ䠅㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻞㻜ྡ㻔ᖖ㻞㻜ྡ䚸㠀ᖖ㻌 㻜ྡ㻕㻌 㻌 㻌 㻌 㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻞ྡ ㅮᖌ㻌 㻠ྡ ຓᩍ㻌 㻝㻞ྡ Ꮫ㝔⏕㻌 㻝ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 㻌 㻌 ᣦᑟ་㻌 ᪥ᮏ㯞㓉⛉Ꮫ㯞㓉⛉ᣦᑟ་㻌 㻢ྡ ᑓ㛛་㻌 ᪥ᮏ㯞㓉⛉Ꮫ㯞㓉⛉ᑓ㛛་㻌 㻟ྡ 㻌 ᪥ᮏ䝨䜲䞁䜽䝸䝙䝑䜽Ꮫ䝨䜲䞁䜽䝸䝙䝑䜽ᑓ㛛་㻌 㻞ྡ 㻌 ᪥ᮏ㞟୰⒪་Ꮫ㞟୰⒪ᑓ㛛་㻌 㻞ྡ 㻌 ᪥ᮏ྾⒪ἲ་Ꮫᑓ㛛་㻌 㻞ྡ ㄆᐃ་㻌 ᪥ᮏ㯞㓉⛉Ꮫ㯞㓉⛉ㄆᐃ་㻌 㻢ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻡㻌 㻤㻌 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻠㻞㻡㻌 㻟㻤㻜㻌 㻝㻌 㻜㻌 㻠㻟㻝㻌 㻟㻤㻤㻌 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 ―115― 麻酔科 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ㌟㯞㓉㻌 㻠㻘㻢㻢㻡 㻞㻌 ㌟㯞㓉䠇◳⭷እ㯞㓉䚸ఏ㐩㯞㓉㻌 㻤㻥㻝 㻟㻌 ⬨㧊䛟䜒⭷ୗ◳⭷እే⏝㯞㓉㻌 㻞㻞㻡 㻠㻌 ◳⭷እ㯞㓉㻌 㻡㻌 ⬨㧊䛟䜒⭷ୗ㯞㓉㻌 㻢㻌 ఏ㐩㯞㓉㻌 㻣㻌 䛭䛾㻌 㻤㻌 㻖ୖグ䛾䛖䛱యᖿ㒊ᮎᲈ⚄⤒䝤䝻䝑䜽⾜ᩘ㻌 㻝 㻠㻜㻡 㻤 㻟㻤 㻡㻥㻝 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟㻵㻻㻿 䜢⏝䛔䛯⫵ᶵ⬟᳨ᰝ㻌 ⾡๓⫵ᶵ⬟᳨ᰝ䛻䛚䛡䜛ᮎᲈẼ㐨䛾≧ែ䜢ᫎ䛩䜛 㻵㻻㻿 䛾 ホ౯䛻䛴䛔䛶䛾᳨ウ䜢⾜䛺䛳䛶䛔䜛䚹㻌 䐠㉸㡢Ἴ䜺䜲䝗ୗ⚄⤒䝤䝻 ㉸㡢Ἴ䜺䜲䝗ୗ䛾⚄⤒䝤䝻䝑䜽䛾≉Ⰽ䜢⏕䛛䛧䛶䚸ᚑ᮶䛾᪉ 䝑䜽㻌 ἲ䛷䛿䚸㯞㓉䛾⾜䛜ᅔ㞴䛺㔜ᗘ䛺ྜే䜢ᣢ䛴ᝈ⪅䛻䜒 Ᏻ䛻㯞㓉䜢⾜䛧䛯䚹䜎䛯䚸㏆ᖺ䚸࿘⾡ᮇ䛻ᢠจᅛ⒪ἲ䜢 ⾜䛖䛜ቑຍ䛧䛶䛔䜛䛯䜑䚸◳⭷እ㯞㓉䛻௦䜟䜛⾡ᚋ㙠③ ἲ䛸䛧䛶䜒ᖺ䛛䜙ᘬ䛝⥆䛝⾜䛺䛳䛶䛔䜛䚹㻌 㻌 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟ᡭ⾡㯞㓉⟶⌮㻌 ᖹᡂ㻞㻠ᖺ䛿㻢㻘㻞㻟㻟䛾ᡭ⾡㯞㓉⟶⌮䜢Ᏻ䛻⾜䛖䛣䛸䛜䛷䛝䛯䚹 ᖺ䛻ẚ䜉䛶㻠㻤㻞ቑຍ䛧䛯䚹㯞㓉⛉⟶⌮䛾അⓎⓎ⏕⋡ 䛿㻜㻚㻝㻤䠂䛷䛒䜚䚸㯞㓉⟶⌮䛜ཎᅉ䛾Ṛஸ䛿↓䛛䛳䛯䚹㻌 䐠⾡๓⟶⌮㻌 ᖺᗘ䛻ᘬ䛝⥆䛝㻝㻘㻡㻜㻜௳௨ୖ䛾⾡๓⫵ᶵ⬟᳨ᰝ䜢⾜䛔ホ౯䛧 䛯䚹䜎䛯䚸ྜే䜢ᣢ䛴ᝈ⪅䛾⾡๓デᐹ䜢⾜䛺䛔ホ౯䛧䚸ᚲせ 䛻ᛂ䛨䛶⾡๓デᐹ䜢⾜䛔ホ౯䛧䚸㏣ຍ䛾᳨ᰝ➼䛾䜰䝉䝇䝯䞁䝖䜢 ⾜䛺䛳䛯䚹㻌 䐡㻵㻯㼁 䛾㐠Ⴀ䞉⟶⌮㻌 ᖹᡂ㻞㻠ᖺ䛿㻝㻠ᗋ䛾㞟୰⒪㒊䛻㻝㻘㻟㻞㻣௳䛾ධᐊ䛜䛒䛳䛯䚹䛻 ࿘⾡ᮇ䠄㻝㻘㻝㻟㻞௳㻦㻤㻡㻚㻟䠂䠅ཬ䜃㔜ᝈ⪅䛾㞟୰⒪䠄྾䞉ᚠ⎔ ⟶⌮䚸ேᕤ྾⒪ἲ䛺䛹䠅䜢⛉䛸㐃ᦠ䛧䛶⾜䛺䛳䛶䛔䜛䚹䜎䛯䚸 㻵㻯㼁 䛾䝧䝑䝗䝁䞁䝖䝻䞊䝹䛺䛹⟶⌮ᴗົ䜢ᢸᙜ䛧䚸䛺㐠Ⴀ䞉⟶ ⌮䜢⾜䛖䛣䛸䛜䛷䛝䛯䚹㻌 䐢྾䜿䜰䝏䞊䝮䠄㻾㻯㼀䠅 ་ᖌ䚸┳ㆤᖌ䚸䝁䝯䝕䜱䜹䝹䝇䝍䝑䝣䛻䜘䛳䛶⦅ᡂ䛥䜜䛯 㻾㻯㼀 䛻䜘䜛ேᕤ྾ჾ䝷䜴䞁 䛜䚸Ჷ䛷ேᕤ྾ჾ䜢⏝䛧䛶䛔䜛ᝈ⪅䜢䝷䜴䞁䝗䛧䚸㐺ษ䛺 䝗㻌 ேᕤ྾⒪ἲ䛜⾜䛘䛶䛔䜛䛛ホ౯䛾䛖䛘䚸ᚲせ䛻ᛂ䛨䛶⛉䛻 䜰䝉䝇䝯䞁䝖䜢⾜䛺䛳䛯䚹㻌 㻌 㻌 㻌 ―116― 麻酔科 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃࿘⾡ᮇ䛾Ᏻᛶ䜢㏣ồ䛧䚸ᑀ䛛䛴☜ᐇ䛺㯞㓉⟶⌮䜢⾜䛖䚹㻌 䖃䜘䜚Ⰻ䛔⾡ᚋ㙠③䜢ᥦ౪䛷䛝䜛䜘䛖ᵝ䚻䛺᪉ἲ䜢㏣ồ䛩䜛䚹㻌 䖃ྛ⛉䛾༠ຊ䜢ᚓ䛺䛜䜙䜘䜚ຠ⋡䛾Ⰻ䛔ᡭ⾡ᐊ㐠Ⴀ䜢⾜䛖䚹㻌 䖃㔜ᝈ⪅䛻ᑐ䛧䛶 㻱㻮㻹 䛻ᇶ䛵䛔䛯⟶⌮䜢⾜䛔䚸ඛ㐍ⓗ䛺་⒪䜢⾜䛖䚹㻌 㻌 ―117― 救急医学科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻞㻣㻌 ᩆᛴ་Ꮫ⛉㻌 27）救急医学科 㻌 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ୕Ꮿ㻌 ᗣྐ㻌 ་ᒁ㛗㻌 ⏣୰㻌 ၨྖ㻌 Ჷ་㛗㻌 ୰ᮧ㻌 ಇ㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻝㻜ྡ㻔ᖖ㻝㻜ྡ㻕㻌 㻌 㻌 ᩍᤵ㻌 㻞ྡ ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻝ྡ ຓᩍ㻌 㻢ྡ Ꮫ㝔⏕㻌 㻜ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 㻌 㻌 ᣦᑟ་㻌 ᪥ᮏᩆᛴ་Ꮫᣦᑟ་㻌 㻠ྡ ᑓ㛛་㻌 ᪥ᮏᩆᛴ་Ꮫᑓ㛛་㻌 㻢ྡ 㻌 ᪥ᮏ⬻⚄⤒እ⛉Ꮫᑓ㛛་㻌 㻟ྡ 㻌 ᪥ᮏᩚᙧእ⛉Ꮫᑓ㛛་㻌 㻞ྡ 㻌 ᪥ᮏእയᏛᑓ㛛་㻌 㻝ྡ 㻌 ᪥ᮏ㞟୰⒪Ꮫᑓ㛛་㻌 㻞ྡ 㻌 㯞㓉ᶆᴶ་㻌 㻝ྡ ㄆᐃ་㻌 ᪥ᮏෆ⛉Ꮫㄆᐃෆ⛉་㻌 㻝ྡ 䛭䛾㻌 㻶㻭㼀㻱㻯 䜲䞁䝇䝖䝷䜽䝍䞊㻌 㻠ྡ 㻌 㻵㻿㻸㻿 䜲䞁䝇䝖䝷䜽䝍䞊㻌 㻟ྡ 㻌 ᮾி 㻰㻹㻭㼀 䜲䞁䝇䝖䝷䜽䝍䞊㻌 㻝ྡ 㻌 䜶䝬䝹䝂䝖䝺䜲䞁䝅䝇䝔䝮䝅䝙䜰䜲䞁䝇䝖䝷䜽䝍䞊㻌 㻞ྡ 㻌 㻵㻯㻰 䝗䜽䝍䞊㻌 㻝ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻣㻜 㻡㻢 㻢㻝 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻥㻠 㻢㻥 㻡㻡 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 㻝㻝㻢 㻝㻠㻟 㻝㻜㻝 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻞㻤㻜 㻞㻢㻤 㻞㻝㻣 㻌㻌㻌 ―118― 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 㻠㻘㻞㻟㻟㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㻠㻘㻟㻡㻝㻌 㻟㻘㻥㻜㻝 㻌 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 㻌 ᝈྡ䠄ධ㝔䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ᚰ⫵Ṇ㻌 㻞㻟㻤 㻞㻌 ᛴᛶ⸆≀୰ẘ㻌 㻣㻢 㻟㻌 እയᛶ㢌ෆᦆയ㻌 㻟㻣 㻠㻌 ⸽⏕ᚋ⬻䚸ప㓟⣲⾑㻌 㻟㻠 㻡㻌 ⭜᳝䛚䜘䜃㦵┙䛾㦵ᢡ㻌 㻝㻢 㻢㻌 ᩋ⾑㻌 㻝㻞 㻣㻌 ㄗᄟᛶ⫵⅖㻌 㻝㻝 㻣㻌 ⇕୰㻌 㻝㻝 㻣㻌 పయ 㻌 㻝㻝 㻝㻜㻌 㢌㒊䛾⾲ᅾᦆയ㻌 㻝㻜 㻝㻜㻌 㢌㦵㦵ᢡ䚸㢦㠃㦵㦵ᢡ㻌 㻝㻜 㻝㻜㻌 ୍㓟Ⅳ⣲୰ẘ㻌 㻝㻜 㻌 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟⇕୰䛻䛚䛡䜛⮫ᗋ◊ 㔜⇕୰䛻ᑐ䛩䜛ᵝ䚻䛺どⅬ䛛䜙䛾⮫ᗋ䛚䜘䜃䝷䝑䝖䛾⇕୰䝰 ✲㻌 䝕䝹䜢⏝䛔䛯ᇶ♏◊✲䜢⾜䛳䛶䛔䜛䚹䜎䛯䚸᪥ᮏᩆᛴ་Ꮫ䛜⾜䛳 䛶䛔䜛ᅜつᶍ䛾⇕୰ㄪᰝ䠄㻴㼑㼍㼠㼟㼠㼞㼛㼗㼑㻌 㻿㼀㼁㻰㼅䠅䛻䜒✚ᴟⓗ䛻ཧ ຍ䛧䚸䛭䛾䝕䞊䝍䜢ศᯒ䛩䜛䛣䛸䛷䚸㔜⇕୰䛾ែゎ᫂䚸デ᩿䚸 ⒪ἲ䛾☜❧䛻ຊ䜢ධ䜜䛶䛔䜛䚹㻌 䐠⸽⏕ᚋ⬻䛻ᑐ䛩䜛⬻ ⸽⏕ᚋ⬻䛻ᑐ䛩䜛⬻ప ⒪ἲ䛿䚸䛔䜎䜔䜺䜲䝗䝷䜲䞁䛻䜒ྲྀ䜚ୖ ప ⒪ἲ㻌 䛢䜙䜜䜛䜋䛹⒪ຠᯝ䛜ㄆ䜑䜙䜜䜛䜘䛖䛻䛺䛳䛶䛝䛶䛔䜛䚹ᙜ⛉䛷 䛿䚸ᵝ䚻䛺䝰䝙䝍䞊䚸་⒪ᶵჾ䜢⏝䛔䛶䚸䜘䜚Ᏻ䛻⬻ప ⒪ἲ䜢 ⾜䛘䜛䜘䛖ྲྀ䜚⤌䜣䛷䛔䜛䚹㻌 䐡 ୍ 㓟 Ⅳ ⣲୰ ẘ䛻 ᑐ ୍㓟Ⅳ⣲୰ẘ䛷䛿䚸ᛴᛶᮇ㻞㻠㛫௨ෆ䛻㻟ᅇ䛾㧗Ẽᅽ㓟⣲⒪ἲ 䛩䜛㧗Ẽᅽ㓟⣲⒪ἲ㻌 䜢ᐇ䛧䛶䛔䜛䚹䜎䛯䚸୍㓟Ⅳ⣲୰ẘ䛻䜘䜛㐜Ⓨᛶ⬻㞀ᐖ䛻ᑐ䛧 䛶䜒䚸⮫ᗋീ䜢᫂䜙䛛䛻䛩䜛䛸䛸䜒䛻䚸㧗Ẽᅽ㓟⣲⒪ἲ䛻䜘䜛⒪ຠ ᯝ䜢᳨ド䛧䚸⒪ἲ䛾☜❧䜢┠ᣦ䛧䛶䛔䜛䚹㻌 㻌 㻌 㻌 㻌 㻌 㻌 ―119― 救急医学科 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 救急医学科 㻟䠊 ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟ᆅᇦ䛾㻟ḟᩆᛴ་་⒪ ᙜ⛉䛿ᮾி㻞㻟༊ᇛ༡ᆅ༊䜢୰ᚰ䛻䚸㻟ḟᩆᛴ་⒪ᶵ㛵䛸䛧䛶㈐ົ䜢ᯝ ᶵ㛵䛸䛧䛶䛾ᙺ㻌 䛯䛧䛶䛔䜛䚹㏆ᖺ䚸ᩆᛴᦙ㏦௳ᩘ䛾ቑຍ䚸ḟᩆᛴ་⒪ᶵ㛵䛾ῶᑡ 䛛䜙ᩆᛴᦙ㏦㛫䛾ᘏ㛗䜔ཷධ䜜Ỵᐃᅔ㞴䛾ቑຍ䛜ၥ㢟䛸䛺䛳 䛶䛔䜛䚹䛭䛾䜘䛖䛺≧ἣ䜢㚷䜏䚸䜎䛪ᐜ䛧䚸デ᩿䞉Ᏻᐃ䛥䛫䛯ᚋ䛻㻞 ḟ་⒪ᶵ㛵䜈㌿㏦䛩䜛ດຊ䜢䛧䛶䛔䜛䚹䛭䛾⤖ᯝ䚸ᖺᗘ䜘䜚䜒㻟ḟ ᩆᛴയ⪅䛾ᦙ㏦௳ᩘ䛜ቑຍ䛧䛯䚹䜎䛯䚸ᮾி㒔䝇䞊䝟䞊࿘⏘ᮇ ᴗ䛾ᣐⅬ㝔䛾ᙺ䜒ᢸ䛳䛶䛔䜛䚹㻌 䐠㌿㝔ၥ㢟㻌 ᩆᩆᛴ䝉䞁䝍䞊䛾ᗋᩘ䛿㝈䜙䜜䛶䛚䜚䚸䛭䛾୰䛷᪥䚻✵ᗋ☜ಖ 䛩䜛䛯䜑䛻ᑾຊ䛧䛶䛔䜛䚹䛭䛾䛯䜑䛻䚸㞟୰⒪䛜ⴠ䛱╔䛝䚸ᐜែ䛜 Ᏻᐃ䛧䛯᪉䛻㌿㝔䜢䛧䛶䛔䛯䛰䛟ᚲせ䛜䛒䜛䚹㌿㝔ඛㄪᩚ䛻䛿䚸་ᖌ䞉 㻹㻿㼃 䜢୰ᚰ䛻ᑾຊ䛧䛶䛔䜛䚹ከ䛟䛾་⒪ᶵ㛵䛻༠ຊ䛔䛯䛰䛝䚸ఱ䛸䛛 ✵ᗋ☜ಖ䛜䛷䛝䛶䛔䜛≧ἣ䛷䛒䜛䚹୰䛻䛿䚸㌿㝔ㄪᩚ䛜㞴⯟䛧䚸㌿㝔 ㄪᩚ䛻ᩘ䜹᭶䜢せ䛩䜛ሙྜ䜒䛒䜛䚹ᘬ䛝⥆䛝䚸㌿㝔ㄪᩚ䛾䛤༠ຊ䜢䜘 䜝䛧䛟䛚㢪䛔䛧䜎䛩䚹㻌 䐡䝏䞊䝮་⒪䛾᥎㐍㻌 ᛴᛶᮇ䛻㞟୰䛧䛶⒪䛻䛒䛯䜛ᚲせ䛜䛒䜛ᩆᛴᝈ䛷䛿䚸䝏䞊䝮་ ⒪䛜䇾㘽䇿䛸䛺䜛䚹ᙜ⛉䛷䛿䚸௨๓䜘䜚ከ⫋✀㐃ᦠ䛻䜘䜛䝏䞊䝮་⒪䜢 ᐇ㊶䛧䛶䛔䜛䚹ᖹᡂ㻞㻠ᖺᗘ䛿㝔ෆ䛻䝏䞊䝮་⒪䝥䝻䝆䜵䜽䝖䜒❧䛱ୖ 䛜䜚䚸䝏䞊䝮་⒪䛾᥎㐍䛻ຊ䜢ධ䜜䛶䛔䜛䚹㻌 䐢ᩍ⫱䝁䞊䝇㻌 ᪤䛻 㻶㻭㼀㻱㻯䠄እയึᮇデ⒪䠅䚸㻵㻿㻸㻿䠄⬻༞୰デ⒪䠅䚸㝔ෆ 㻭㻯㻸㻿䠄ḟ ᚰ⫵⸽⏕䠅䚸㝔ෆ 㻵㻯㻸㻿䠄ึᮇᚰ⫵⸽⏕䠅䝁䞊䝇䛾㛤ദ䛻ᦠ䜟䛳䛶䛔䜛䚹 ᖺᗘ䛿᪂䛯䛻䚸䜶䝬䝹䝂䝖䝺䜲䞁䝅䝇䝔䝮ึᮇ⅏ᐖᑐᛂ䜢Ꮫ䜆䝁䞊 䝇䠄Ꮫ䜶䝬䝹䝂䝁䞊䝇䠅䜢㛤ദ䛧䛯䚹ᚋ䚸䝏䞊䝮་⒪䛻㔜Ⅼ䜢 䛚䛔䛯⅏ᐖ་⒪䞉ᩆᛴ་⒪䝁䞊䝇䜔⢭⚄⛉ᩆᛴึᮇデ⒪䛾䝁䞊䝇㛤 ദ䛾‽ഛ䜢㐍䜑䛶䛔䜛䚹㻌 䐣⅏ᐖ་⒪㻌 ᙜ㝔䛿⅏ᐖᣐⅬ㝔䛷䛒䜚䚸ᮾி 㻰㻹㻭㼀䞉᪥ᮏ 㻰㻹㻭㼀 䜢ഛ䛘䛶䛔䜛䚹 㝔ෆ⅏ᐖᑐ⟇䛻䜒✚ᴟⓗ䛻ཧ⏬䛧䛯䚹ᮾி 㻰㻹㻭㼀 䛿䚸ᆅᇦ䛾㏻ ᨾ䞉ປ⅏ᨾ䛺䛹䛾䛻ᮾிᾘ㜵ᗇ䛸㐃ᦠ䛧䛶䚸⅏ᐖ⌧ሙ䛷䛾་⒪ άື䜢⾜䛳䛶䛔䜛䚹䜎䛯䚸ᮾிᾘ㜵ᗇ䛸䛾㐃ᦠカ⦎䜔⩚⏣✵ 㜵⅏カ ⦎䛻䜒✚ᴟⓗ䛻ཧຍ䛧䛶䛔䜛䚹㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃㤳㒔ᅪ䛻䛒䜛Ꮫ㝔䛾Ⅼ䜢⏕䛛䛧䚸ᆅᇦ䛾᰾䛸䛺䜛䝝䝤ᩆᛴ་⒪ᶵ㛵䛸䛧䛶䛾ᙺ㻌 䖃䝏䞊䝮་⒪䛾ᙉ䠖䝸䝝䝡䝸䝔䞊䝅䝵䞁⛉䚸⢭⚄⛉䜢ྵ䜑䛯ከ⫋✀䛸䛾㐃ᦠᙉ䜢ྵ䜑䝏䞊䝮 ་⒪యไ䜢㐍䛥䛫䜛䚹䜎䛯䚸䝏䞊䝮་⒪ᩍ⫱䝁䞊䝇䛾㛤Ⓨ䞉ᐇ㊶䛻䜘䜚䚸䝇䝍䝑䝣䛾䝇䜻䝹ྥ ୖ䜢┠ᣦ䛩䚹㻌 䖃⇕୰䛾⮫ᗋⓗ䛚䜘䜃ᇶ♏ⓗ◊✲䛾୰ᚰⓗᙺ䛾⥅⥆㻌 䖃୍㓟Ⅳ⣲୰ẘᝈ⪅䛾㐜Ⓨᛶ⬻㞀ᐖ䛻䜘䜛㧗ḟ⬻ᶵ⬟㞀ᐖ䛾◊✲䛸㧗Ẽᅽ㓟⣲⒪ἲ䛾☜ ❧䛸♫ᖐᨭ㻌 䖃⅏ᐖᣐⅬ㝔䛸䛧䛶䛾⅏ᐖᑐ⟇ᩚഛ㻌 ―120― 臨床病理診断科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院 診療部門 㻞㻤㻌 ⮫ᗋ⌮デ᩿⛉㻌 28）臨床病理診断科 㻝䠊 デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ་ᒁ㛗㻌 ℧ᮏ㻌 㞞ᩥ㻌 ▮ᣢ㻌 ῄᏊ㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻞㻠 ྡ㻔ᖖ 㻝㻤 ྡ䚸㠀ᖖ 㻢 ྡ㻕䠄Ꮫ⌮Ꮫ㒊㛛䜢ྵ䜐䠅㻌㻌 㻌 ᩍᤵ㻌 㻟ྡ ᩍᤵ㻌 㻟ྡ ㅮᖌ㻌 㻢ྡ ຓᩍ㻌 㻢ྡ Ꮫ㝔⏕㻌 㻢ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ⌮ᑓ㛛་◊ಟᣦᑟ་㻌 㻤ྡ ᑓ㛛་㻌 ⌮ᑓ㛛་㻌 㻝㻜 ྡ 㻌 ⣽⬊デᑓ㛛་㻌 㻥ྡ ⮫ᗋ᳨ᰝᑓ㛛་㻌 㻞ྡ 䛭䛾㻌 ⮫ᗋ᳨ᰝ⟶⌮་㻌 㻠ྡ 㻌 Ṛయゎ๗㈨᱁㻌 㻝㻜 ྡ 㻌 㻔㻠㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 ᝈ⪅ᩘ㻌 㻝㻌 ⤌⧊デ᩿௳ᩘ㻌 㻝㻞㻘㻡㻤㻤 ௳ 㻞㻌 ⣽⬊デ᩿௳ᩘ㻌 㻝㻟㻘㻣㻜㻜 ௳ 㻟㻌 ㎿㏿⤌⧊デ᩿௳ᩘ㻌 㻣㻞㻜 ௳ 㻠㻌 ㎿㏿⣽⬊デ᩿௳ᩘ㻌 㻡㻡 ௳ 㻡㻌 ⌮ゎ๗ᩘ㻌 㻣㻠 ௳ 㻌 ―121― 臨床病理診断科 㻞䠊 ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 ᢠయ⒪ἲ䜈䛾㛵㻌 ᝏᛶ䝸䞁䝟⭘䜔ங⒴䚸ᾘჾ⒴➼䚸ᢠయ⒪ἲ⾜䛾㠀䛻㛵 䛧䚸චᰁⰍ䜢ά⏝䛩䜛䛣䛸䛻䜘䜚䚸ᢠయ⒪ἲ⏝䛾ྍྰ䜢᳨⣴ 䛧䛶䛔䜛䚹㻌 㝔ෆឤᰁ䛾᳨ᰝᢏ⾡㻌 ⸆⪏ᛶ㑇ఏᏊ䜔ẘ⣲⪏ᛶ㑇ఏᏊゎᯒ䛸䝟䝹䝇䝣䜱䞊䝹䝗㟁Ẽ Ὃື䛻䜘䜛䝀䝜䝮ᆺゎᯒ䜢⏝䛔䚸ឤᰁ⤒㊰䜔ᣑ≧ἣ䛾ゎᯒ䜢 ⾜䛖䚹㻌 㻌 㻟䠊 ᖹᡂ 㻞㻠 ᖺᗘ䜢䜚㏉䛳䛶㻌 ⮫ ᗋ ⌮ 䜹 䞁 䝣 䜯 䝷 䞁 䝇 ゎ๗䛻ᑐ䛩䜛㻌 㻯㻼㻯 䜢ẖ᭶䠎ᅇ䚸ྜィ㻌 㻞㻞 ᅇ⾜䛳䛯䚹䜎䛯⤌ 㻔㻯㻼㻯㻕㻌 䛾ᐇ㻌 ⧊デ᩿䛻㛵䛩䜛⮫ᗋ⌮᳨ウ䛿䚸྾ჾ䞉ᾘჾ䞉፬ே⛉䞉 ⭈⮚ෆ⛉䞉⾑ᾮෆ⛉䞉⫢⫹⮅䞉⓶⛉➼䚸ẖ᭶䠍ᅇ䛾䝨䞊䝇䛷㛤 ദ䛧䛯䚹㻌 㻌 㝔ෆឤᰁᑐ⟇䛾ᢏ⾡ 㝔ෆឤᰁ䛷䛿㝔య䛾⣽⳦᳨ฟ≧ἣ䛸⸆ឤཷᛶ䛾ᢕᥱ ᨭ㻌 䛧䚸䜰䜴䝖䝤䝺䜲䜽䛜䜟䜜䛯㝿䛻䛿䚸⸆⪏ᛶ㑇ఏᏊゎᯒ䜔䝀 䝜䝮ᆺゎᯒ䜢⏝䛔䚸ឤᰁ⤒㊰䜔ᣑ≧ἣ䛾ゎᯒ䜢⾜䛳䛯䚹㻌 㻌 㻠䠊 ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃䜘䜚㎿㏿䛺⌮デ᩿䜢┠ᣦ䛩䚹㻌 䖃⮫ᗋཷᣢ་䛸㐃ᦠ䜢䛸䜚䚸ᝈ⪅ಶ䚻䛻㛵䛩䜛⌮デ᩿䛚䜘䜃⒪䜢ྵ䜑䛯䝯䝕䜱䜹䝹䝁䞁 䝃䝹䝔䞊䝅䝵䞁䜢ᢸ䛖䚹㻌 䖃ṇ☜䞉㎿㏿䛺⮫ᗋ᳨ᰝ⤖ᯝ䜢㝔ሗ䝅䝇䝔䝮䛸㐃⤖䛩䜛䛣䛸䛻䜘䜚㎿㏿䛻ྛデ⒪⛉䛻ሗ ࿌䛩䜛䚹㻌 䖃⮫ᗋ䛾䝙䞊䝈䛻ᛂ䛘䚸᪂つ䛾⮫ᗋ᳨ᰝᢏ⾡䛾㛤Ⓨ䛸ᐇ⏝䜢┠ᣦ䛩䚹㻌 㻌 ―122― 歯 科 Ꮫ㝔 デ⒪㒊㛛 昭和大学病院 診療部門 㻞㻥 ṑ ⛉㻌 29）歯 科 㻝㸬 デ⒪యไᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ᒸᯇ Ⰻᫀ㻌 㻌 㻔㻞㻕 ་ᖌᩘ 㻞ྡ㻔ᖖ 㻞ྡࠊ㠀ᖖ 㻜ྡ㻕 㻌 㻌 㻌 ᩍᤵ㻌 㻜ྡ㻌 ᩍᤵ㻌 㻜ྡ ㅮᖌ㻌 㻜ྡ ຓᩍ㻌 㻞ྡ Ꮫ㝔⏕㻌 㻜ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬࡧᑓ㛛་࣭ㄆᐃ་㻌 ㄆᐃ་㻌 ṑ⛉ே㛫ࢻࢵࢡᏛㄆᐃ་㻌 㻝ྡ 㻌 㻔㻠㻕 እ᮶デ⒪ࡢᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ㸦ึデ㸧㻌 㻝㻘㻝㻟㻡㻌 㻝㻘㻝㻥㻠㻌 㻝㻘㻞㻣㻥 እ᮶ᝈ⪅ᩘ㸦デ㸧㻌 㻟㻘㻢㻠㻣㻌 㻟㻘㻢㻤㻡㻌 㻠㻘㻟㻤㻡 㻜㻌 㻜㻌 㻜 㻠㻘㻣㻤㻞㻌 㻠㻘㻤㻣㻥㻌 㻡㻘㻢㻢㻠 እ᮶ᝈ⪅ᩘ㸦㛫እ㸧㻌 እ᮶ᝈ⪅ᩘ㸦ྜィ㸧㻌 㻌 㻔㻡㻕 ධ㝔デ⒪ࡢᐇ⦼㻌 㻌 ࡞᳨ᰝ࣭ฎ⨨ྡ㸦እ᮶࣭ධ㝔ၥࢃࡎ㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 ᇙఅᬛṑᢤṑ㻌 㻟㻥 㻞㻌 㢡⿵⥛㸦㢡ཱྀ㸧㻌 㻟㻌 㢡㦵㦵ᢡ࠾ࡅࡿ㢡㛫ᅛᐃࠊ࣐࢘ࢫࣆ࣮ࢫసᡂ㻌 㻠㻌 㢡㛵⠇㻌 㻡㻌 デ࡛ࡢཱྀ⭍ࢣ㻌 㻢㻌 ங⭢እ⛉ 㻮㻼 〇ᢞ๓ࢫࢡ࣮ࣜࢽࣥࢢ㻌 㻡㻥 㻣㻌 㐀⾑ᖿ⣽⬊⛣᳜๓⢭ᰝࠊཱྀ⭍ࢣ㻌 㻞㻡 㻤㻌 ࿘⾡ᮇࡢཱྀ⭍ࢣ㻌 㻥㻌 ṑ⛉㯞㓉⛉ࡼࡿ㟼⬦ෆ㙠㟼ἲࢆే⏝ࡋࡓฎ⨨㻌 㻞 㻝㻞 㻝 㻞㻝㻣 㻝㻞㻡 㻝㻜㻌 ṑ᰿➃ษ㝖⾡㻌 㻟 㻝 㻌 㻌 ―123― 歯 科 㻞㸬 ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձᅇデ㻌 㻾㻿㼀㸦୍⯡Ჷ㸧ᅇデ㸸ẖ㐌㔠᭙᪥㻝㻡㹼ࠊ㻠㹼㻡ே㸭᪥⛬ᗘ 㸦ṑ⛉ᐊ 㻰㻴㸯ேࠊཱྀ⭍⾨⏕Ꮫ 㻰㼞㻚㸯ே㸧ࠋ㻌 ᦤ㣗ᄟୗᅇデ㸸ẖ㐌ᮌ᭙᪥ 㻭㻹ࠊ㻟㻜㹼㻟㻡ே㸭᪥⛬ᗘ㸦ṑ⛉ᐊ 㻰㻴㸯ேࠊ◊ಟ་㸧ࠋ㻌 ཱྀ⭍ࢣᅇデ㸸ẖ㐌ᮌ᭙᪥ 㻼㻹ࠊ㻤㹼㻝㻜ே㸭᪥⛬ᗘ㸦ṑ⛉ᐊ 㻰㻴㸯ேࠊཱྀ⭍⾨⏕Ꮫ 㻰㼞㻚㸯ேࠊ◊ಟ་㸧ࠋ㻌 ղ་⒪㐃ᦠ㻌 ᚰ⮚⾑⟶እ⛉࠾ࡅࡿᡭ⾡ᝈ⪅ࡢ࿘⾡ᮇཱྀ⭍ࢣ㸸᭶ᖹᆒ㸸 ᪂ᝈ㻝㻝㻚㻤ேࠊᘏᝈ⪅㻠㻝㻚㻤ேࠋ㻌 ᆅᇦ㐃ᦠ༠㆟㛤ദ㸦ᖺ㻞ᅇ㸧㻌 㻌 㻟㸬 ᚋࡢㄢ㢟ᒎᮃ㻌 ەデ⒪⛉ࡢ་⒪㐃ᦠࡢᙉ㻌 ྛە㝔ṑ⛉ࡢ㐃ᦠཱྀ⭍ࢣᴗົࡢ⤫୍㻌 ە㏆㞄ࡢṑ⛉་㝔ࡢ་⒪㐃ᦠࡢᙉ㻌 㻌 ―124― 放射線部 昭和大学病院 中央検査部門 Ꮫ㝔㻌 ୰ኸ᳨ᰝ㒊㛛㻌 １）放射線部 㻝㻌 ᨺᑕ⥺㒊㻌 㻝䠊⌮ᛕ䞉┠ᶆ㻌 ⌮ᛕ䠖ᝈ⪅䝃䞊䝡䝇䜢➨୍ඃඛ䛸䛧䚸Ᏻᚰ䛷Ᏻ䛺㉁䛾㧗䛔ᨺᑕ⥺᳨ᰝ䞉⒪ᢏ⾡䜢ᥦ౪䛩䜛䛸ඹ 䛻䚸㉁䛾㧗䛔་⒪ே䛾⫱ᡂ䜢⾜䛖䚹㻌 ᖹᡂ㻞㻠ᖺᗘ┠ᶆ㻌 㻝䠅䝏䞊䝮་⒪䛾᥎㐍㻔୍ḟㄞᙳ䚸Ṇ⾑䚸ᢤ㔪㻕䚹㻌 㻞䠅ᨺᑕ⥺⿕䜀䛟┦ㄯ䛾ᚭᗏ䚹㻌 㻟䠅ᨺᑕ⥺᳨ᰝ䞉⒪䛾ᚅ䛱㛫䜢䛷䛝䜛䛰䛡▷䛟䛩䜛䚹㻌 㻌 㻞䠊ேဨᵓᡂ㻌 㻌 ⤫ᣓ㒊㛗䠄ཧ䠅㻌 ୰⃝㻌 㟹ኵ㻌 ಀ㛗䠄デ⒪ᨺᑕ⥺ᢏᖌ䠅㻌 బ⸨㻌 ஂᘺ㻌 䛭䛾㻌 㻠㻜ྡ㻌 㻌 㻟䠊ᴗົᐇ⦼㻌 㻌 㻌 䐟Ꮫ㝔᳨ᰝ௳ᩘ㻌 䝰䝎䝸䝔䜱㻌 ᖹᡂ㻞㻟ᖺᗘ ୍⯡ᙳ㻌 㻝㻝㻢㻘㻣㻞㻟 ஙᡣᙳ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㻝㻝㻣㻘㻤㻞㻣 㻰㻾 ᳨ᰝ㻌 㻟㻘㻟㻡㻟 㻟㻘㻠㻥㻤 㻞㻘㻠㻥㻤 㻞㻘㻤㻥㻤㻌 㻯㼀 ᳨ᰝ㻌 㻟㻟㻘㻞㻜㻥 㻟㻡㻘㻝㻠㻤 䝫䞊䝍䝤䝹ᙳ㻌 㻠㻜㻘㻝㻣㻟 㻠㻝㻘㻥㻝㻤㻌 㻹㻾㻵 ᳨ᰝ㻌 㻝㻡㻘㻜㻝㻞 㻝㻣㻘㻠㻡㻢 ᚰ⮚䜹䝔䞊䝔䝹㻌 㻝㻘㻣㻤㻞 㻝㻘㻣㻢㻜㻌 ᰾་Ꮫ᳨ᰝ㻌 㻠㻘㻣㻝㻤 㻠㻘㻤㻠㻢 㻣㻝㻣 㻥㻤㻢㻌 ᨺᑕ⥺⒪㻌 㻝㻞㻘㻞㻢㻢 㻝㻟㻘㻟㻣㻣 㻰㻿㻭 ᳨ᰝ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 䝰䝎䝸䝔䜱㻌 䠆༢䠄௳ᩘ䠅㻌 㻌 䐠◊ಟ㛤ദ㻌 㻝㻌 ⤫ᣓᨺᑕ⥺ᢏ⾡㒊᪂ே◊ಟ㻌 ᖹᡂ㻞㻠ᖺ㻠᭶㻝㻜᪥㻌 㻡ྡ㻔ᓥ㔝㻌 ㈼䚸ቑ⏣㻌 ဴྐ䚸㕥ᮌ ඞ┤䚸ᑠᖹ㻌 ᙬຍ䚸ᒣ୰㻌 ⌮⳹Ꮚ㻕㻌 㻞㻌 ⤫ᣓᨺᑕ⥺ᢏ⾡㒊ಀ㛗◊ಟ㻌 ᖹᡂ㻞㻠ᖺ㻥᭶㻞㻞᪥㻌 㻟ྡ㻔బ⸨㻌 ஂᘺ䚸ᒸ㒊㻌 ᆂ࿃䚸㔝 ⏣㻌 ⛯䚸㻝㻜ྡ㻕㻌 㻟㻌 ⤫ᣓᨺᑕ⥺ᢏ⾡㒊௵◊ಟ㻌 ᖹᡂ㻞㻠ᖺ㻣᭶㻝㻠᪥㻌 㻥ྡ㻔㻌 ᗣே䚸㧗ᶫ㻌 ᐶ䚸 ㇂㻌 ᚭ䚸㧗℩㻌 ṇ䚸୰㻌 㞝୍䚸㧗 㡲㻌 ㍜䚸ஂಖ㻌 ⪽䚸ᐑ ᕝ㻌 ㄔ୍ 㑻䚸⃝㻌 ୕䚸㻤ྡ㻕㻌 㻠㻌 ⤫ᣓᨺᑕ⥺ᢏ⾡㒊௵⿵బ◊ ᖹᡂ㻞㻠ᖺ㻢᭶㻞㻟᪥㻌 ಟ㻌 㻢ྡ䠄୰ᔱ㻌 Ꮥ⩏䚸㔝㻌 ⿱ு䚸ᑿ ᓮ㻌 㐨㞝䚸㧗㘠㻌 ెྐ䚸 ᶲ㧗㻌 䚸⳥ཎ㻌 ႐㧗䚸㻞㻝ྡ䠅㻌 㻌 ―125― 放射線部 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 㻌 䖃♫ ♫䞉ᆅᇦ㈉⊩άື㻌 㻌 㻌 㻌 㛤ദᖺ᭶᪥㻌 㻝㻌 㻞㻜㻝㻞ᖺ㻠᭶㻞㻞᪥㻌 㻞㻌 㻞㻜㻝㻞ᖺ㻡᭶䡚㻝㻞᭶㻌 㻟㻌 㻞㻜㻝㻞ᖺ㻠᭶㻌 㻠㻌 㻞㻜㻝㻞ᖺ㻢᭶㻌 㻡㻌 㻞㻜㻝㻞ᖺ㻣᭶㻝㻞䡚㻝㻠᪥㻌 㻢㻌 㻞㻜㻝㻞ᖺ㻣᭶㻌 㻣㻌 㻞㻜㻝㻞ᖺ㻤᭶㻌 㻤㻌 㻞㻜㻝㻞ᖺ㻥᭶㻌 㻥㻌 㻞㻜㻝㻞ᖺ㻥᭶㻌 㻝㻜㻌 㻞㻜㻝㻞ᖺ㻝㻜᭶㻌 㻝㻝㻌 㻞㻜㻝㻞ᖺ㻝㻜᭶㻌 㻝㻞㻌 㻞㻜㻝㻞ᖺ㻝㻜᭶㻌 ෆ㻌 㻌 㻌 ᐜ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 ➨㻝㻝ᅇᏛデ⒪ᨺᑕ⥺ᢏᖌᏛ⾡㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 デ⒪ᨺᑕ⥺ᢏᖌ⮫ᗋᐇ⩦ཷ䛡ධ䜜㻌 䞉ᾏ㐨་⸆ᑓ㛛Ꮫᰯ㻌 デ⒪ᨺᑕ⥺Ꮫ⛉㻌 䞉ᖇிᏛ་⒪ᢏ⾡Ꮫ㒊㻌 デ⒪ᨺᑕ⥺Ꮫ⛉㻌 䞉ᮾὒබ⾗⾨⏕Ꮫ㝔㻌 デ⒪ᨺᑕ⥺Ꮫ⛉㻌 䞉᪥ᮏ་⒪⛉ᏛᏛ㻌 デ⒪ᨺᑕ⥺⛉Ꮫ⛉㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 㻌 䛂䜶䝏䜿䝑䝖䝬䝘䞊䛾ᇶ♏䛃㻌 㻌 ㅮ₇㻌 ⃝㻌 ୕㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 㻌 䛂ᨺᑕ⥺⿕䜀䛟䛾ᇶ♏䛃㻌 ᨺᑕ⥺㒊┳ㆤᖌຮᙉ㻌 ㅮ⩏㻌 ⃝㻌 ୕㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 㻌 䛂⥺㔞䛸⏬㉁䛾㛵ಀ䛃㻌 ➨㻞㻝ᅇᚰ⾑⟶䜲䞁䝍䞊䝧䞁䝅䝵䞁 ⒪ᏛᏛ⾡㞟㻌 ⥲㻌 㻌 ㅮ₇㻌 బ⸨㻌 ஂᘺ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 㻌 䛂㼄 ⥺⨨䛻䛴䛔䛶䛃㻌 ᪥ᮏ⾑⟶ᙳ䞉䜲䞁䝍䞊䝧䞁䝅䝵䞁 ᑓ㛛デ⒪ᨺᑕ⥺ᢏᖌㅮ⩦㻌 ㅮ⩏㻌 బ⸨㻌 ஂᘺ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 㻌 䛂䝁䝯䝕䜱䜹䝹䞉䜿䞊䝇䝸䝫䞊䝖䛃ྎ䞉᪂ᮾி 㻸㼕㼢㼑㻌 ㅮ₇㻌 బ⸨㻌 ஂᘺ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 㻌 䛂㻲㻼㻰 䛾⟶⌮䛸ᐇ㝿䛃ᅜᚠ⎔ჾᙳ◊✲㻌 ⿕᭚䝉䝭 䝘䞊㻌 ㅮ₇㻌 బ⸨㻌 ஂᘺ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂ᖹᡂ㻞㻠ᖺᗘデ⒪ሗ㓘䜰䞁䜿䞊䝖⤖ᯝሗ࿌䛃㻌 ➨㻞㻤ᅇデ⒪ᨺᑕ⥺ᢏᖌ⥲ྜᏛ⾡䞉➨㻝㻥ᅇᮾ䜰䝆䜰 Ꮫ⾡ὶ㻌 ㅮ₇㻌 బ⸨㻌 ஂᘺ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂ྜేሗ࿌䛃㻯㻯㼀㻞㻜㻝㻞㻌 ㅮ₇㻌 బ⸨㻌 ஂᘺ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂ᚰ⮚㡿ᇦ䛻䛚䛡䜛⏬ീデ᩿䛾㐍Ṍ㻌 ᚰ⮚䜹䝔䞊䝔䝹䛃 ᪥ᮏᨺᑕ⥺ᢏ⾡Ꮫ㻌 ᮾி㒊㻌 ㅮ₇㻌 బ⸨㻌 ஂᘺ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂⥺㔞䛸⏬㉁䛻䛴䛔䛶䛃᪥ᮏ⾑⟶ᙳ䞉䜲䞁䝍䞊䝧䞁䝅䝵䞁 ᑓ㛛デ⒪ᨺᑕ⥺ᢏᖌㅮ⩦㻌 ㅮ⩏㻌 బ⸨㻌 ஂᘺ㻌 ―126― 㛤ദᆅ㻌 Ꮫෆ㻌 Ꮫෆ㻌 ᮾி㻌 Ꮫෆ㻌 ᪂₲㻌 ᮾி㻌 ༓ⴥ㻌 ᮾி㻌 ឡ▱㻌 රᗜ㻌 ᮾி㻌 ⚟ᒸ㻌 㻌 㛤ദᖺ᭶᪥㻌 㻝㻟㻌 㻞㻜㻝㻞ᖺ㻝㻝᭶㻌 㻝㻠㻌 㻞㻜㻝㻞ᖺ㻝㻝᭶㻌 㻝㻡㻌 㻞㻜㻝㻞ᖺ㻣᭶㻌 㻝㻢㻌 㻞㻜㻝㻞ᖺ㻣᭶㻌 㻝㻣㻌 㻞㻜㻝㻞ᖺ㻥᭶㻌 㻝㻤㻌 㻞㻜㻝㻞ᖺ㻥᭶㻌 㻝㻥㻌 㻞㻜㻝㻞ᖺ㻤᭶㻌 㻞㻜㻌 㻞㻜㻝㻞ᖺ㻝㻜᭶㻌 㻞㻝㻌 㻞㻜㻝㻞ᖺ㻝㻜᭶㻌 㻞㻞㻌 㻞㻜㻝㻞ᖺ㻝㻜᭶㻌 㻞㻟㻌 㻞㻜㻝㻞ᖺ㻝㻜᭶㻌 㻞㻠㻌 㻞㻜㻝㻞ᖺ㻝㻜᭶㻌 ෆ㻌 㻌 㻌 ᐜ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂ᶵჾ⟶⌮ 㻲㻼㻰 ྵ䜐䛂⿕䜀䛟䜢୰ᚰ䛻䛃䛃᪥ᮏ⾑⟶ᙳ䞉䜲 䞁䝍䞊䝧䞁䝅䝵䞁ᑓ㛛デ⒪ᨺᑕ⥺ᢏᖌㄆᐃ㻌 ㅮ₇㻌 బ⸨㻌 ஂᘺ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂ᶵჾ⟶⌮㻔㻲㻼㻰㻕䛃᪥ᮏ⾑⟶ᙳ䞉䜲䞁䝍䞊䝧䞁䝅䝵䞁ᑓ㛛 デ⒪ᨺᑕ⥺ᢏᖌㄆᐃ㻌 ㅮ₇㻌 బ⸨㻌 ஂᘺ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂⮫ᗋ᳨ᰝ್䛾ㄞ䜏᪉䐠䛃⸆ᖌ⏕ᾭᏛ⩦ㅮᗙ㻌 ㅮ₇㻌 㔝⏣㻌 ⛯㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂㻴㼑㼍㼞㼠㻌㻿㼏㼛㼞㼑㻌㼂㼕㼑㼣㻌 䡚ᑟධ䛻ྥ䛡䛯᳨ウ䡚䛃㻌 㼀㼔㼑㻌㻞㻟㼠㼔㻌㻺㻹㼀㻯㻌 ㅮ₇㻌 㧗℩㻌 ṇ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂⮋ᛶ⬨᳝⅖䛻䛴䛔䛶䛃㻌 ᪥ᮏᨺᑕ⥺ᢏ⾡Ꮫ㻌 ᮾி㒊㻌 ➨㻣㻥ᅇ䝉䝭䝘䞊㻌 ㅮ₇㻌 ᐑᕝ㻌 ㄔ୍㑻㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂⬻⾑⟶㐀ᙳ䛾ᇶ♏䛃ᚠ⎔ჾ⏬ീ◊✲㻌 ➨㻞㻤㻤ᅇᐃ 㻌 ㅮ₇㻌 ⃝㻌 ୕㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂㢦㠃㦵㦵ᢡ㻌 ≉ูㅮ₇䛃㦵㌾㒊デ᩿ሗ◊✲㻌 ㅮ₇㻌 ⳥ཎ㻌 ႐㧗㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂䝁䝯䝕䜱䜹䝹䝷䜲䝤䛃㻯㻯㼀㻞㻜㻝㻞㻌 䝅䞁䝫䝆䝇䝖㻌 బ⸨㻌 ஂᘺ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 ་ᖌ䞉䝁䝯䝕䜱䜹䝹ྜྠ䝅䞁䝫䝆䜴䝮䛂ᝈ⪅ᛴኚ䛻ᑐ䛩 䜛䝏䞊䝮䛷䛾ྲྀ䜚⤌䜏䛃㻌 ➨㻠㻝ᅇ᪥ᮏᚰ⾑⟶䜲䞁䝍䞊䝧䞁䝅䝵䞁⒪Ꮫ㻌 㛵ᮾ⏥ ಙ㉺ᆅ᪉㻌 ᗙ㛗䞉䝅䞁䝫䝆䝇䝖㻌 ⃝㻌 ୕㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂ᨺᑕ⥺㻌 ⥺㔞䛸⏬㉁䛃᪥ᮏᨺᑕ⥺ᢏ⾡Ꮫ㻌 ➨㻠㻜ᅇ㻌 ⛅ ᏘᏛ⾡㻌 ᗙ㛗㻌 బ⸨㻌 ஂᘺ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂ᇶ♏ᩍ⫱ㅮ₇䛃㻯㻯㼀㻞㻜㻝㻞㻌 ᗙ㛗㻌 బ⸨㻌 ஂᘺ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂䝁䝯䝕䜱䜲䜹䝹䝅䞁䝫䝆䜴䝮䛂㻰㼛㼛㼞㻌 㼠㼛㻌 㻮㼍㼘㼘㼛㼛㼚㻌 㼠㼕㼙㼑 ▷⦰ 䛾ᕤኵ䛃䛃➨㻠㻜ᅇ᪥ᮏᚰ⾑⟶䜲䞁䝍䞊䝧䞁䝅䝵䞁⒪Ꮫ 㛵ᮾ⏥ಙ㉺ᆅ᪉㻌 ᗙ㛗㻌 ⃝㻌 ୕㻌 ―127― 㛤ദᆅ㻌 ி㒔㻌 ி㒔㻌 ᮾி㻌 ᮾி㻌 ᮾி㻌 ᮾி㻌 ᮾி㻌 රᗜ㻌 ᮾி㻌 ᮾி㻌 රᗜ㻌 ᮾி㻌 放射線部 㻌 放射線部 㻌 㻌 㛤ദᖺ᭶᪥㻌 㻞㻡㻌 㻞㻜㻝㻞ᖺ㻝㻜᭶㻌 㻞㻢㻌 㻞㻜㻝㻟ᖺ㻞᭶㻌 ෆ㻌 㻌 㻌 ᐜ㻌 㛤ദᆅ㻌 රᗜ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 䛂䝁䝯䝕䜱䜹䝹䝷䜲䝤䝕䝰䞁䝇䝖䝺䞊䝅䝵䞁䛃㻯㻯㼀㻞㻜㻝㻞㻌 䝁䝯䞁䝔䞊䝍䞊㻌 బ⸨㻌 ஂᘺ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 ᮾி㻌 䛂䝁䝯䝕䜱䜹䝹䝷䜲䝤䝕䝰䞁䝇䝖䝺䞊䝅䝵䞁䛆➨㻟㒊䛇䛃㼀㼛㼗㼥㼛㻌 㻸㼕㼢㼑㻌㻰㼑㼙㼛㼚㼟㼠㼞㼍㼠㼕㼛㼚㻌㻞㻜㻝㻞㻌 䝁䝯䞁䝔䞊䝍䞊㻌 బ⸨㻌 ஂᘺ㻌 㻌 䖃◊✲ᴗ⦼㻌 㻌 ⴭ⪅ྡ㻌 㻝㻌 ㇂㻌 ᚭ㻌 㻞㻌 ᐑᕝ㻌 ㄔ୍㑻㻌 㢟㻌 㻌 㻌 ྡ㻌 㞧ㄅྡ㻘ᕳ㻘㡫㻘Ⓨ⾜ᖺ㻌 ୍⯡ᙳ䛻䛚䛡䜛⬚⭡㒊Ḟീ⏬ീ䛾᳨ฟ䜢┠ⓗ䛸 ᪥ ᮏ ᨺ ᑕ ⥺ ᢏ ᖌ ㄅ 䛧䛯᳨ീᨭ䝅䝇䝔䝮䛾㛤Ⓨ㻌 ᕳ 㻦㻢㻤 ྕ 㻦㻠 ㈉ 㻦㻠㻞㻞㻙㻠㻟㻝 㻞㻜㻝㻞ᖺ㻌 ᩚᙧ⾡ᚋᝈ⪅䛾༴㝤⫥䛸Ᏻ⫥㻌 ᪥ᮏデ⒪ᨺᑕ⥺ᢏᖌ ㄅ 㻌 ᕳ 䠖 㻡㻥㻌 ྕ 䠖㻤 ㈉ 䠖 㻤㻤㻠㻙㻤㻥㻠㻌 㻞㻜㻝㻞ᖺ㻤᭶㻝᪥㻌 㻌 ⴭ㻌 ᭩㻌 㻌 ⴭ⪅ྡ㻌 㻝㻌 ୰⃝㻌 㟹ኵ㻌 㻞㻣ྡ㻌 㻞㻌 ῧ⏣㻌 ಙஅ䚸୰ ⃝㻌 㟹ኵ䚸బ⸨ ஂᘺ㻌 㢟㻌 㻌 ྡ㻌 デ⒪ᨺᑕ⥺ᢏᖌㄞᙳ䝜䞊䝖 䛂⭡㒊⦅䛃㻌 䜹䝔ᐊ䛾ᶵჾ䛔᪉䝬 䝙䝳䜰䝹䛂䜲䞁䝆䜵䜽䝍䞊⦅䛃㻌 ᭩㻌 㻌 ྡ㻌 デ⒪ᨺᑕ⥺ᢏᖌㄞ ᙳ䝜䞊䝖䛂⭡㒊⦅䛃㻌 䜹䝔ᐊ䛾ᶵჾ䛔᪉ 䝬䝙䝳䜰䝹䛂䜲䞁 䝆䜵䜽䝍䞊⦅䛃㻌 ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ㻌 ་ ⒪ ⛉ Ꮫ ♫ 㻌 ㈉ 㻦㻞㻤㻤 㻞㻜㻝㻞ᖺ㻝㻜᭶㻝㻣᪥㻌 䝯䝆䜹䝹䝡䝳䞊♫㻌 ㈉㻦㻟㻟㻡㻌 㻞㻜㻝㻞ᖺ㻢᭶㻌 㻌 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌 బ⸨㻌 ஂᘺ㻌 㻞㻌 ᐑᕝ㻌 ㄔ୍㑻㻌 㻟㻌 ⃝㻌 ୕㻌 㻠㻌 ᓲ㻌 ᫀ㻌 㻌 㻡㻌 ୰ᔱ㻌 Ꮥ⩏㻌 㻌 㢟㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 䝸䜹䞊䝅䝤䝣䜱䝹䝍ฎ⌮䛜どぬⓗㄆ㆑ ➨㻢㻤ᅇ㻌 ⥲Ꮫ⾡ ᖹᡂ㻞㻠ᖺ㻠᭶㻌 ⋡䛻䛘䜛ᙳ㡪䛻䛴䛔䛶㻌 㻌 ༢⣧ 㼄 ⥺ᙳ᳨ᰝ䛻䛚䛡䜛ᙳ䛸 Ⓨ⏕㛫ᖏ䛾㛵ಀᛶ䛸ᙳ㜵Ṇ⟇ 䛻䛴䛔䛶㻌 ᚰ⮚䜹䝔䞊䝔䝹᳨ᰝ䛻䛚䛡䜛ᛴኚ ᑐᛂ䛾ᩍ⫱カ⦎᪉ἲ䛾᳨ウ㻌 ⬚㒊༢⣧䠴⥺⏬ീ᳨ീ䛾୍ḟㄞᙳ ᴗົ䛻䛴䛔䛶㻌 ➨㻢㻤ᅇ㻌 ⥲Ꮫ⾡ ᖹᡂ㻞㻠ᖺ㻠᭶㻌 㻌 㻯㼀 ୗ⏕᳨䛻䛚䛡䜛㻌 ᙳ⿵ຓල䛾᳨ ウ㻌 ᖹᡂ㻞㻠ᖺ㻥᭶㻌 ―128― ➨㻢㻤ᅇ㻌 ⥲Ꮫ⾡ 㻌 ➨㻞㻤ᅇデ⒪ᨺᑕ⥺ ᢏᖌ⥲ྜᏛ⾡ 䞉 ➨ 㻝㻥 ᅇ ᮾ 䜰 䝆 䜰 Ꮫ⾡ὶ㻔ឡ ▱㻕㻌 ➨㻞㻤ᅇデ⒪ᨺᑕ⥺ ᢏᖌ⥲ྜᏛ⾡ 䞉 ➨ 㻝㻥 ᅇ ᮾ 䜰 䝆 䜰 Ꮫ⾡ὶ㻔ឡ ▱㻕㻌 ᖹᡂ㻞㻠ᖺ㻠᭶㻌 㻌 ᖹᡂ㻞㻠ᖺ㻥᭶㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻢㻌 ᒣᮏ㻌 ๛ྐ㻌 㻣㻌 ▼⚄㻌 㯞⾰Ꮚ㻌 㻤㻌 బ⸨㻌 ஂᘺ㻌 㻥㻌 ஂಖ㻌 ⪽㻌 㻝㻜㻌 ᶲ㧗㻌 㻌 㻝㻝㻌 ⏕㻌 ຍዉᏊ㻌 㻝㻞㻌 ஂఫ㻌 ♸㍜㻌 㻌 㻝㻟㻌 ᓟᓊ㻌 ኴ㑻㻌 㻌 㻝㻠㻌 బ⸨㻌 ஂᘺ㻌 㻝㻡㻌 ୰ᔱ㻌 Ꮥ⩏㻌 㻌 㻝㻢㻌 ⃝㻌 ୕㻌 㻝㻣㻌 ᶲ㧗㻌 㻌 㻝㻤㻌 ᶲ㧗㻌 㻌 㢟㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 ⬚㒊༢⣧ᙳ䛛䜙ண䛥䜜䜛ෙື⬦ ➨㻞㻤ᅇデ⒪ᨺᑕ⥺ 㐀ᙳ䛾᭱㐺ᙳゅᗘ䛾᳨ウ㻌 ᢏᖌ⥲ྜᏛ⾡ 䞉 ➨ 㻝㻥 ᅇ ᮾ 䜰 䝆 䜰 Ꮫ⾡ὶ㻔ឡ ▱㻕㻌 㻹㻾㻵 ⏬ീ䜢⏝䛔䛯య⬡⫫ ᐃ䛾ヨ䜏㻌 ➨㻞㻤ᅇデ⒪ᨺᑕ⥺ ᢏᖌ⥲ྜᏛ⾡ 䞉 ➨ 㻝㻥 ᅇ ᮾ 䜰 䝆 䜰 Ꮫ⾡ὶ㻔ឡ ▱㻕㻌 ་⒪ 㼄 ⥺ື⏬ീ䛻䛚䛡䜛ື⏬䛸䛧䛶䛾 ᪥ᮏᨺᑕ⥺ᢏ⾡Ꮫ どぬホ౯䛜ྍ⬟䛺䝣䜯䞁䝖䝮䛾ᥦ㻌 㻌 ➨ 㻠㻜 ᅇ 㻌 ⛅ Ꮨ Ꮫ⾡䠄ᮾி䠅㻌 ๓❧⭢⒴ 㻵㻙㻝㻞㻡ᐦᑒᑠ⥺※⒪䛻䛚 ᪥ᮏᨺᑕ⥺ᢏ⾡Ꮫ 䛡䜛⮳㐺ィ⟬䜾䝸䝑䝗䝃䜲䝈䛾᳨ウ㻌 㻌 ➨ 㻠㻜 ᅇ 㻌 ⛅ Ꮨ Ꮫ⾡䠄ᮾி䠅㻌 ୗ⫥ື⬦㛢ሰ䛾 㻼㻼㻵 䛻ᑐ䛩䜛௬ ᪥ᮏᨺᑕ⥺ᢏ⾡Ꮫ ⾑⟶⾲♧䛾᭷⏝ᛶ䛻䛴䛔䛶㻌 㻌 ➨ 㻠㻜 ᅇ 㻌 ⛅ Ꮨ Ꮫ⾡䠄ᮾி䠅㻌 Ⓨ⾲ᖺ᭶᪥㻌 ᖹᡂ㻞㻠ᖺ㻥᭶㻌 䝬䞁䝰䝖䞊䝮䛻䛚䛡䜛ஙᡣཌㄪᩚ⏝⿵ ᪥ᮏᨺᑕ⥺ᢏ⾡Ꮫ ຓල䛾సᡂ㻌 㻌 ➨ 㻠㻜 ᅇ 㻌 ⛅ Ꮨ Ꮫ⾡䠄ᮾி䠅㻌 ῝㒊㟼⬦⾑ᰦ 㻯㼀 䛻䛚䛡䜛㏣ຍ 㛵ᮾ⏥ಙ㉺ᨺᑕ⥺ ᙳᇶ‽䛾᳨ウ㻌 ᢏᖌᏛ⾡䠄Ᏹ 㒔ᐑ䠅㻌 ⭸㛵⠇㍈ᙳ䛻䛚䛡䜛⿵ຓල䛾స 㛵ᮾ⏥ಙ㉺ᨺᑕ⥺ ᡂ㻌 ᢏᖌᏛ⾡䠄Ᏹ 㒔ᐑ䠅㻌 ་⒪ 㼄 ⥺ື⏬ീ䛾ᐃ㔞ⓗ⏬㉁ホ౯ྍ 䝠䝳䞊䝬䞁䜲䞁䝍䞊 ⬟䛺ヨస䝣䜯䞁䝖䝮䛻䜘䜛どぬⓗ≉ᛶ 䝣䜵䜲䝇Ꮫ䠄⚟ 䛾ゎᯒ㻌 ᒸ䠅㻌 㻱㼒㼒㼑㼏㼠㼕㼢㼑㼚㼑㼟㼟㻌 㼛㼒㻌 㻵㼚㼒㼛㼞㼙㼍㼠㼕㼛㼚㻌 㻿㼔㼑㼍㼞㼕㼚㼓㻌 㻵㻿㻾㻾㼀㻌 㼕㼚㻌㻯㼍㼞㼐㼕㼍㼏㻌㻯㼍㼠㼔㼑㼠㼑㼞㼕㼦㼍㼠㼕㼛㼚㻌 䠄㻯㼍㼚㼍㼐㼍䠅㻌 㻌 ᚰ⮚䜹䝔䞊䝔䝹᳨ᰝ䛻䛚䛡䜛ᛴኚ 㻭㻼㻯㻯㼂㻵㻾㻞㻜㻝㻞㻌 ᑐᛂ䛾ᩍ⫱᪉ἲ䛾᳨ウ㻌 㻶㻿㻵㻾䠃㻵㻿㻵㻾㻌 ୗ⫥ື⬦㛢ሰ䛾 㻼㻼㻵 䛻ᑐ䛩䜛௬ ➨㻞㻝ᅇᚰ⾑⟶ ⾑⟶⾲♧䛾᭷⏝ᛶ䛻䛴䛔䛶㻌 䜲䞁䝍䞊䝧䞁䝅䝵䞁 ⒪ᏛᏛ⾡㞟㻌 ⥲䠄᪂₲䠅㻌 ୗ⫥ື⬦㛢ሰ䛾 㻼㻼㻵 䛻ᑐ䛩䜛௬ ➨㻠㻝ᅇ᪥ᮏᚰ⾑⟶ ⾑⟶⾲♧䛾᭷⏝ᛶ䛻䛴䛔䛶㻌 䜲䞁䝍䞊䝧䞁䝅䝵䞁 ⒪Ꮫ㻌 㛵ᮾ⏥ ಙ㉺ᆅ᪉䠄ᮾி䠅㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻌 ―129― ᖹᡂ㻞㻠ᖺ㻥᭶㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻌 ᖹᡂ㻞㻠ᖺ㻝㻞᭶㻌 ᖹᡂ㻞㻠ᖺ㻢᭶㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻌 㻌 ᖹᡂ㻞㻠ᖺ㻣᭶㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻌 放射線部 㻌 放射線部 㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻥㻌 ▼⚄㻌 㯞⾰Ꮚ㻌 㻞㻜㻌 ஂఫ㻌 ♸㍜㻌 㢟㻌 㻌 ྡ㻌 㻹㻾㻵 ⏬ീ䜢⏝䛔䛯య⬡⫫ ᐃ䛾ヨ䜏㻌 Ꮫྡ㻘㛤ദᆅ㻌 ᮾி㒔ᨺᑕ⥺ᢏᖌ 㻌 䝽䞁䝁䜲䞁䝉䝭 䝘䞊䠄ᮾி䠅㻌 㻱㼤㼍㼙㼕㼚㼍㼠㼕㼛㼚㻌㼛㼒㻌㼠㼔㼑㻌㼞㼑㼒㼑㼞㼑㼚㼏㼑㻌㼒㼛㼞㻌 㻝㻥㼠㼔㻌㻭㻭㻯㻾㼀㻌 㼍㼐㼐㼕㼠㼕㼛㼚㼍㼘㻌㼞㼍㼐㼕㼛㼓㼞㼍㼜㼔㼥㻌㼕㼚㻌㼐㼑㼑㼜㻌㼢㼑㼚㼛㼡㼟㻌 㻌 䠄䝏䜵䞁䝬䜲䠅㻌 㼠㼔㼞㼛㼚㼎㼛㼡㼟㻌㻯㼀㻌 Ⓨ⾲ᖺ᭶᪥㻌 ᖹᡂ㻞㻡ᖺ㻝᭶㻌 ᖹᡂ㻞㻡ᖺ㻝᭶㻌 㻌 㻡䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟䝏䞊䝮་⒪䛾᥎㐍㻌 䠄୍ḟㄞᙳ䚸Ṇ⾑䚸ᢤ 㔪䠅㻌 㻌 䐠ᨺᑕ⥺⓶㞀ᐖ䛻ᑐ 䛩䜛పῶᑐ⟇䛾ᚭᗏ㻌 㻌 ᖺᗘ䛛䜙᪥ᙜ┤ᙳ䛧䛯 㻯㼀䞉㻹㻾㻵 ⏬ീ䛻ᑐ䛧䛶䚸୍ḟㄞᙳ䝅䞊䝖䜢స ᡂ䛧୍ḟㄞᙳ䜢⾜䛳䛶䛔䜛䚹䝏䞊䝮་⒪䛾୍⎔䛸䛧䛶䚸୍ḟㄞᙳ䛜᪥ᙜ┤ 䛾ㄞᙳ䛾⿵ຓ䛻⧅䛜䜜䜀Ⰻ䛔䛸⪃䛘䛶䛔䜛䚹ḟᖺᗘ䜒⥅⥆䛧䛶䛔䛝䛯 䛔䚹㻌 ⚟ᓥཎⓎᨾ௨᮶䚸ᝈ⪅䛥䜣䛾䛂⿕䜀䛟䛃䜈䛾Ᏻ䛿デ⒪䛾⌧ሙ䛷䜒ከ䛟 䛾┦ㄯ䛜䛒䛳䛯䚹ᖺᗘ䛿䚸䛂⿕䜀䛟┦ㄯ䝁䞊䝘䞊䛃䜢䠎䛛ᡤタ⨨䛧䚸ᝈ⪅䛥 䜣䛾⿕䜀䛟䜈ᑐ䛩䜛Ᏻ䛺䛹䛾ゎᾘ䛻ດ䜑䛯䚹ᖺᗘ䛿䚸ᨺᑕ⥺䜹䝔䞊䝔 䝹⒪䛻䛚䛡䜛ᨺᑕ⥺⓶㞀ᐖ䛜㻝Ⓨ⏕䛧䛯䚹」㞧䛩䜛⒪䛾䛺䛛 䛷䚸ᨺᑕ⥺䛻䛚䛡䜛⓶㞀ᐖ䜢ḟᖺᗘ䛿䝊䝻䜢┠ᣦ䛧䛶䛔䛝䛯䛔䚹㻌 䐡ᨺᑕ⥺᳨ᰝ䞉⒪䛾ᚅ ᖺᗘ䛿䚸㻯㼀 䛚䜘䜃 㻹㻾㻵 ᳨ᰝᩘ䛜ᖜ䛻ቑຍ䛧䛯䚹䛭䛾⤖ᯝ䚸㻯㼀 䛾ᖺ㛫 䛱㛫䜢䛷䛝䜛䛰䛡▷䛟䛩 ௳ᩘ䛿㻟㻡㻘㻜㻜㻜௳䜢㉸䛘䚸㻹㻾㻵 䜒㻞㻝㻘㻜㻜㻜௳䜢㉸䛘䛯䚹㻯㼀 䛿㛫እᯟ䜢᪂タ 䜛㻌 䛧䚸㻹㻾㻵 䛿㛫እ䛾✌ാྎᩘ䜢㻞ྎ䛛䜙㻟ྎ䛻ቑຍ䛧䛶ᑐᛂ䛧䛯䚹㻯㼀 ᳨ᰝ䛾 ண⣙ᚅ䛱᪥ᩘ䛿ᖺᗘ䛻ẚ䜉ቑຍ䛧䚸㻞᭶䛻᭱䛷㻢᪥䛸䛺䛳䛯䚹㛫እ 㻯㼀 ᳨ᰝᯟ䜢᪂タ䛧䚸㻟᭶䛻䛿ᚅ䛱᪥ᩘ䜢㻟᪥䛻䜎䛷䛻ῶᑡ䛩䜛䛣䛸䛜䛷䛝 䛯䚹㻹㻾㻵 ᳨ᰝ䛷䛿䚸㻝᭶䛾ᚅ䛱᪥ᩘ䛜㻡᪥䛸䛺䛳䛯䛯䜑䚸㛫እ 㻹㻾㻵 ✌ാྎ ᩘ䜢ቑຍ䛧䚸㻞᭶䛻䛿㻟᪥䛸ῶᑡ䛧䛯䛜䚸㻟᭶䛻ධ䜚㻤᪥䜎䛷ቑຍ䛧䛯䚹ḟᖺᗘ 䜒᳨ᰝᩘ䛾ቑຍ䛜ண䛥䜜䜛䛯䜑䚸᳨ᰝ䛾ᚅ䛱᪥ᩘ䜢䛷䛝䜛䛰䛡▷䛟䛩䜛 ᑐ⟇䛜ᚲせ䛷䛒䜛䚹㻌 ୍᪉䚸୍⯡ᙳ䛷䛿䚸䛹䛾ᙳᐊ䛻䛚䛔䛶䜒ᚅ䛱㛫䛜ῶᑡഴྥ䛻䛒䛳 䛯䚹䜎䛯䚸䛹䛾᳨ᰝᐊ䛻䛚䛔䛶䜒᭱ᚅ䛱㛫䛾᥎⛣䛿䚸䜋䜌ᶓ䜀䛔䛷䛒 䛳䛯䚹㛫ᖏ䛷ぢ䜛䛸䚸㻥㻟㻜ศ㡭䛛䜙ᛴ⃭䛻ᚅ䛱㛫䛜ቑຍ䛧䚸㻝㻞㻜㻜ศ 㡭䛻䝢䞊䜽䜢㏄䛘䜛䚹㻝㻠㻜㻜ศ௨㝆䛿䚸ᚅ䛱㛫䛜ῶᑡ䛩䜛ഴྥ䛻䛒䛳 䛯䚹䛣䜜䜙䛾䛣䛸䜘䜚䚸ḟᖺᗘ䛿ண⣙᳨ᰝ䛷䛺䛔୍⯡ᙳ㒊㛛䛻䛚䛔䛶 Ჷ䛸༠ຊ䛧ධ㝔ᝈ⪅䛾ᙳ㛫䜢䝁䞁䝖䝻䞊䝹䛧᳨ᰝᚅ䛱㛫䛾▷⦰䛻ດ 䜑䛶䛔䛝䛯䛔䚹㻌 㻌 㻢䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃㻌䝏䞊䝮་⒪䛾୍ဨ䛸䛧䛶䚸Ჷ䞉እ᮶䛸༠ാ䛧᳨ᰝ䞉⒪䛜䝇䝮䞊䝈䛻⾜䛘䜛䜘䛖㐃ᦠ䜢ᅗ䜛䚹㻌 䖃㻌ྛ㒊㛛䛾ᨺᑕ⥺᳨ᰝ䞉⒪䛻䛚䛡䜛୍ḟㄞᙳ䛾ᐇ䜢ᅗ䜚䚸ྛデ⒪⛉䛻ሗᥦ౪䛷䛝䜛䜘䛖䛻ົ 䜑䜛䚹㻌 䖃㻌ᝈ⪅䛥䜣䛜Ᏻᚰ䛧䛶᳨ᰝ䞉⒪䜢ཷ䛡䜙䜜䜛䜘䛖ᝈ⪅䛥䜣䛾せᮃ䛻ᛂ䛨䛯ᨺᑕ⥺᳨ᰝ䞉⒪ㄝ᫂䜢 ᚭᗏ䛩䜛䚹㻌 㻌 ―130― 臨床病理検査部 Ꮫ㝔㻌 ୰ኸ᳨ᰝ㒊㛛㻌 昭和大学病院 中央検査部門 㻞㻌 ⮫ᗋ⌮᳨ᰝ㒊㻌 ２）臨床病理検査部 㻌 㻝㻚 ⌮ᛕ࣭┠ᶆ㻌 ࣭ᴗົࡢᶆ‽㸦⫋ไᛂࡌࡓᴗົࡢ㐙⾜㸧㻌 ࣭ィ⏬ⓗᢏᖌᩍ⫱ࡢ☜❧㻌 ࣭᥋㐝ࡢྥୖ㻌 ࣭㻡㻿㸦ᩚ⌮ࠊᩚ㡻ࠊΎᤲࠊΎ₩ࠊ㌫㸧ࡢᚭᗏ㻌 㻌 㻞㻚 ேဨᵓᡂ 㻌 ⮫ᗋ⌮᳨ᰝ㒊㻌 㒊㛗 ᓥ ᕭᶞ㻌 ᩍᤵ㻌 ⤫ᣓ㒊㛗㻌 ᮃ᭶ ↷ḟ㸦⥲ᣓ㈐௵⪅㸸Ꮫ㝔㝃ᒓᮾ㝔ࠊ㍺⾑㒊ࠊ㝔 㻌 ⌮㒊ࠊ㉸㡢Ἴࢭࣥࢱ࣮ࢆྵࡴ㸧㻌 ᢏᖌ㛗㻌 ῝⃝ ඞ᪉㸦Ꮫ㝔㝃ᒓᮾ㝔᳨ᰝᐊ㸧㻌 ㄢ㛗㻌 ὠ⏣ ⚈Ꮚ㸦㝔⌮㒊㸧㻌 ࡑࡢ㻌 㻣㻟ྡ㻌 㻌 㻟㻚 ᴗົᐇ⦼ 㻌 ձ⮫ᗋ᳨ᰝ㒊㒊㛛᳨ูᰝ௳ᩘ㻌 ᳨ᰝ㡯┠㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 ⏕Ꮫ࣭⾑Ύ 㸨㻌 㻌 㻡㻘㻞㻟㻝㻘㻡㻥㻥㻌 㻌 㻡㻘㻠㻠㻥㻘㻞㻤㻤 ⾑ᾮ 㸨㻌 㻌 㻤㻡㻣㻘㻢㻢㻟㻌 㻌 㻤㻣㻝㻘㻢㻥㻝 ᒀ୍⯡ 㸨㻌 㻝㻠㻤㻘㻜㻣㻠㻌 㻝㻡㻜㻘㻠㻜㻥 ⣽⳦㻌 㻝㻜㻟㻘㻞㻡㻢㻌 㻝㻜㻞㻘㻣㻟㻜 ⏕⌮㻌 㻤㻠㻘㻟㻣㻢㻌 㻤㻠㻘㻡㻡㻢 እὀ㻌 㻞㻟㻜㻘㻟㻟㻜㻌 㻞㻡㻝㻘㻤㻡㻣 ྜィ㻌 㻢㻘㻢㻤㻤㻘㻡㻝㻥㻌 㻢㻘㻥㻝㻜㻘㻡㻟㻝 㸨㸸⥭ᛴ᳨ᰝ㡯┠ࢆྵࡴ㻌 㻌 ղ⥭ᛴ᳨ᰝ௳ᩘ㻌 ᳨ᰝ㡯┠㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ⏕Ꮫ࣭⾑Ύ㻌 ⾑ᾮ㻌 ᒀ୍⯡㻌 ྜィ㻌 㻌 㻌 ―131― ᖹᡂ㻞㻠ᖺᗘ㻌 㻟㻘㻜㻠㻤㻘㻟㻣㻢 㻟㻘㻟㻤㻜㻘㻠㻤㻣 㻠㻤㻜㻘㻟㻢㻟 㻡㻜㻡㻘㻠㻝㻟 㻡㻡㻘㻥㻞㻜 㻠㻠㻘㻢㻞㻣 㻟㻘㻡㻤㻠㻘㻢㻡㻥 㻟㻘㻥㻟㻜㻘㻡㻞㻣 臨床病理検査部 ճᮾ㝔᳨ᰝ௳ᩘ㻌 ᳨ᰝ㡯┠㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 ྜィ㻌 㻠㻘㻤㻣㻢㻌 㻡㻘㻝㻜㻝 㻌 մ᥇⾑௳ᩘ㻌 ᳨ᰝ㡯┠㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 Ꮫ㝔㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㻝㻠㻡㻘㻣㻠㻥㻌 㻝㻠㻢㻘㻢㻜㻝 㻞㻠㻘㻝㻤㻡㻌 㻞㻣㻘㻣㻟㻤 Ꮫ㝔㝃ᒓᮾ㝔㻌 㻌 յ◊ಟ㛤ദ 㻌 㻝㻌 ⤫ᣓ⮫ᗋ᳨ᰝ㒊௵࣭ಀ㛗 ᖹᡂ㻞㻠ᖺ㻡᭶㻝㻞᪥㹼㻝㻟᪥㻌 㻠㻥ྡ㻌 ◊ಟ㻌 㻞㻌 ⤫ᣓ⮫ᗋ᳨ᰝ㒊௵⿵బࠊ ᖹᡂ㻞㻠ᖺ㻝㻞᭶㻝㻤᪥㻌 㻢㻜ྡ㻌 ᢏ⾡ᰝ࣭ᰝ◊ಟ㻌 㻌 㻠㻚 ♫࣭ᆅᇦ㈉⊩άືࠊ◊✲ᴗ⦼㻌 ✲◊ەᴗ⦼㻌 Ⓨ⾲ㄽᩥ㻌 㻌 ⴭ⪅ྡ㻌 㻝㻌 㻷㼍㼦㼡㼔㼕㼐㼑㻌㻳㻻㻹㻵㻘㻌 㢟 ྡ㻌 㞧ㄅྡ㻘ᕳ㻘㡫㻘Ⓨ⾜ᖺ㻌 㻯㼔㼍㼞㼍㼏㼠㼑㼞㼕㼦㼍㼠㼕㼛㼚㻌 㼛㼒㻌 㼠㼣㼛㻌 㼙㼛㼎㼕㼘㼕㼦㼍㼎㼘㼑㻌 ⮫ᗋ⌮ 㼂㻻㻸㻚㻢㻜㻌 㻺㻻㻚㻢㻌 㻺㼍㼚㼍㼗㼛㻌㼀㻭㻷㻭㻴㻭㻿㻴㻵㻘㻌 㼜㼘㼍㼟㼙㼕㼐㼟㻌 㼕㼟㼛㼘㼍㼠㼑㼐㻌 㼒㼞㼛㼙㻌 㻱㼚㼠㼑㼞㼛㼎㼍㼏㼠㼑㼞㻌 㻡㻜㻢㻙㻡㻝㻡㻚㻌㻞㻜㻝㻞㻌 㻲㼡㼙㼕㼔㼕㼞㼛㻌 㼏㼘㼛㼍㼏㼍㼑㻌 㼅㻭㻹㻭㻳㼁㻯㻴㻵㻘㻌 㼅㼡㼗㼛㻌㼀㻭㼀㻱㻵㻿㻴㻵㻘㻌 㻷㼍㼠㼟㼡㼔㼕㼗㼛㻌㼅㻻㻿㻴㻵㻰㻭㻘㻌 㻷㼡㼚㼕㼔㼕㼐㼑㻌㻲㼁㻷㼁㻯㻴㻵㻌 㻌 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㢟 ྡ㻌 㻝㻌 ྜྷ⏣㻌 ⰼࠊᏱ㈡⚄㻌 㻱㻸㻵㻿㻭 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥ ἲ ࢆ ⏝ ࠸ ࡓ ➨㻢㻝ᅇ᪥ᮏ་Ꮫ᳨ ᖹ ᡂ 㻞㻠 ᖺ 㻢 ஂࠊᮃ᭶㻌 ↷ḟࠊ⚟ᆅ㻌 㑥 㻹㼥㼏㼛㼎㼍㼏㼠㼑㼞㼕㼡㼙㻌 㼍㼢㼕㼡㼙㻌 ᰝᏛ㸦୕㔜㸧㻌 ᭶㻝㻜᪥㻌 ᙪࠊす㻌 ྖࠊᒣᔘ㻌 ⫕ 㼏㼛㼙㼜㼘㼑㼤㻔㻹㻭㻯㻕 ᝈ ⪅ ⾑ Ύ ୰ ྐࠊᒣཱྀ㻌 ᩄ㻌 ࡢᢠయ᳨ᰝࡢ᭷⏝ᛶࡘ࠸ ࡚㻌 㻞㻌 ᕝᓥ㻌 ຍࠊ▮ Ⓨసᛶᚰᡣ⣽ືᑐࡍࡿయ ➨㻢㻝ᅇ᪥ᮏ་Ꮫ᳨ ᖹ ᡂ 㻞㻠 ᖺ 㻢 ༤ࠊୖࣀᐑ ᙲࠊᮃ᭶ እᘧ࣮ࣝࣉࣞࢥ࣮ࢲ࣮ࡢ᭷ ᰝᏛ㸦୕㔜㸧㻌 ↷ḟࠊ㔝 㑳㻌 ⏝ᛶࡘ࠸࡚㻌 ―132― ᭶㻝㻜᪥㻌 Ⓨ⾲⪅Ặྡ㻌 㻟㻌 ୖࣀᐑ ᙲ㻌 㢟 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 ྾ᶵ⬟᳨ᰝࡢ㐍ࡵ᪉㻌 Ⓨ⾲ᖺ᭶᪥ 㸦♫㸧ᮾி㒔⮫ᗋ᳨ ᖹ ᡂ 㻞㻠 ᖺ 㻢 ᰝᢏᖌ◊ಟ㻌 ᭶㻝㻣᪥㻌 㻠㻌 ྜྷ⏣㻌 ᙪࠊ㛵ཱྀ㻌 Ꮥḟࠊ Ꮫ㝔࡛ศ㞳ࡉࢀࡓ ➨㻟ᅇ 㻹㻾㻿㻭 ࣇ࢛ ᖹ ᡂ 㻞㻠 ᖺ 㻣 ⏣ཎ㻌 బ▱ᏊࠊᏱ㈡⚄ 㻯㻭㻙㻹㻾㻿㻭 ࠾ࡅࡿ 㻼㼂㻸 ಖ᭷ ࣮࣒ࣛ㸦ᮾி㸧㻌 ᭶㻝㻠᪥㻌 ஂࠊᮃ᭶㻌 ↷ḟࠊஂᕝ ᰴࡢゎᯒ㻌 ⪽ࠊ⚟ᆅ㻌 㑥ᙪ㻌 㻡㻌 ㉥ ⏣ 㻌 ⓒ ྜᏊ 㻘 బ⸨ 㻌 ⨾ ⾑ ᑠ ᯈ จ 㞟 ⬟ ᐃ ⨨ 㤳㒔ᅪᨭ㒊㸦➨㻝 ᖹᡂ㻞㻠ᖺ㻝㻝 㕥㻘ᕝཱྀ㻌 ⏤⨾㻘ᐙἨ㻌 ᱇ 㻼㻭㻙㻞㻜㻜ࡢᇶ♏ⓗ᳨ウ㻌 ᅇ㸧࣭㛵ᮾಙᨭ㒊 ᭶㻟᪥㻌 ୍㻘ᮃ᭶㻌 ↷ḟ㻌 㸦➨㻠㻥ᅇ㸧་Ꮫ᳨ᰝ Ꮫ㻌 㻢㻌 ྜྷ⏣㻌 ᙪࠊ㻌 ୍ⱥࠊ ᙜ 㝔 ࠾ ࡅ ࡿ 㻼㼍㼚㼠㼛㼚㻌 ➨㻡㻥ᅇ᪥ᮏ⮫ᗋ᳨ ᖹᡂ㻞㻠ᖺ㻝㻝 ᴙ㔝㻌 ⱥ⬍ࠊ㝞㻌 ᠼᯘࠊ 㼂㼍㼘㼑㼚㼠㼕㼚㼑 㻸㼑㼡㼗㼛㼏㼕㼐㼕㼚 ಖ ᭷ ᰝ་ᏛᏛ⾡㞟 ᭶㻟㻜᪥㻌 ஂᕝ㻌 ⪽ࠊᏳཎ㻌 ດࠊ⏣ 㻯㻭㻙㻹㻾㻿㻭㻌 㸦ி㒔㸧㻌 ཎ㻌 బ▱Ꮚࠊ⚟ᆅ㻌 㑥ᙪ 㻣㻌 ຍ㈡ᒣ ᭸ᯞ㻌 ⮫ᗋ᳨ᰝᢏᖌᚲせ࡞᥋㐝㻌 ⚾❧་⛉Ꮫ⮫ᗋ ᖹᡂ㻞㻡ᖺ㻞㻞 ᳨ᰝᢏᖌᢏᖌ㛗 ᭶᪥㻌 ദ㻌 ➨㻟㻞ᅇ⮫ ᗋ᳨ᰝᢏᖌᩍ⫱ࢭ ࣑ࢼ࣮㻌 㻤㻌 ⏣ཎ㻌 బ▱Ꮚࠊྜྷ⏣㻌 ᙜ㝔᳨࡛ฟࡉࢀࡓ 㻹㻾㻿㻭 ࡢ ➨㻞㻠ᅇ᪥ᮏ⮫ᗋᚤ ᖹ ᡂ 㻞㻡 ᖺ 㻞 ᙪࠊỌ㻌 Ⰻ⨾ࠊ୰ᓥ㻌 ♸ 㻿㼏㼏㼙㼑㼏 ᆺ 㻼㼂㻸 ಖ᭷⋡⸆ ⏕≀Ꮫ⥲㸦ᶓ ᭶㻞᪥㻌 ⌮㤶ࠊ❧▼㻌 ⿱Ꮚࠊྜྷ⏣ ឤཷᛶࡢ᳨ウ㻌 㸧㻌 ⰼࠊⳢ㔝㻌 ᜨᮍࠊᏱ㈡ ⚄㻌 ஂࠊ⚟ᆅ㻌 㑥ᙪ㻌 㻥㻌 Ⳣ㔝 ᜨᮍࠊỌ Ⰻ ⾑ ᾮ ᇵ 㣴 ዲ Ẽ ࣎ ࢺ ࣝ ࡼ ࡾ ➨㻞㻠ᅇ᪥ᮏ⮫ᗋᚤ ᖹ ᡂ 㻞㻡 ᖺ 㻞 ⨾ࠊ୰ᓥ♸⌮㤶ࠊ❧▼ 㻯㼘㼛㼟㼠㼞㼕㼐㼕㼡㼙㻌 㼠㼑㼞㼠㼕㼡㼙 ࢆ᳨ฟࡋ ⏕≀Ꮫ⥲㸦ᶓ ᭶㻟᪥㻌 ⿱Ꮚࠊྜྷ⏣ ⰼࠊ⏣ ࡓ㻝㻌 㸧㻌 ཎబ▱ᏊࠊᏱ㈡⚄ஂࠊ ▮㔝㞝୍㑻ࠊ⚟ᆅ 㑥 ᙪ㻌 㻝㻜㻌 ❧▼ ⿱ᏊࠊỌ Ⰻ 㻹㼥㼏㼛㼎㼍㼏㼠㼑㼞㼕㼡㼙㻌㼔㼛㼙㼕㼚㼕㼟 ࡼࡿ ➨㻞㻠ᅇ᪥ᮏ⮫ᗋᚤ ᖹ ᡂ 㻞㻡 ᖺ 㻞 ⨾ࠊ୰ᓥ♸⌮㤶ࠊྜྷ⏣ ⬻⮋⒆ࡢ㻝㻌 ⏕≀Ꮫ⥲㸦ᶓ ᭶㻟᪥㻌 ⰼࠊⳢ㔝 ᜨᮍࠊ⏣ 㸧㻌 ཎబ▱ᏊࠊᏱ㈡⚄ஂࠊ ⸨ᓥ ⿱ࠊ㻌 ⚟ᆅ 㑥ᙪ㻌 㻌 ―133― 臨床病理検査部 㻌 臨床病理検査部 㻡㻚 ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձ᪂つ⭘⒆᳨࣐࣮࣮࢝ᰝ ᖹᡂ㻞㻠ᖺ㻝㻝᭶ࡼࡾデᐹ๓㎿㏿᳨ᰝࡋ࡚ࠕ㻯㻭㻝㻡㻙㻟ࠖࢆࠊᖹᡂ㻞㻡 ࣭ ࠕ㻭㻲㻼 ࣞ 㡯┠ࡢ㝔ෆ᳨ᰝࡢᑟ ᖺ㻞᭶ࡼࡾ㏻ᖖ᳨ᰝࡋ࡚ࠕᡥᖹୖ⓶⒴㛵㐃ᢠཎ㻔㻿㻯㻯㻕ࠖ ධ㻌 ࢡࢳࣥศ⏬㻔㻸㻮㻭㻕ࠖࢆ㝔ෆ᳨ᰝࡋ࡚ᑟධࡋࡓࠋ㻌 ղ⣽⳦᳨యཷ⤊㛫 ኚືᆺࣇࣞࢵࢡࢫᑟධࡼࡾࠊᖹ᪥ࡢ᳨యཷ⤊㛫ࢆ㻝㛫ᘏ ࡢᘏ㛗㻌 ճ་⒪Ᏻ⟶⌮⪅㻌 㛗㸦㻝㻢Ѝ㻝㻣㸧ࡋࠊ⮫ᗋࡢࢧ࣮ࣅࢫྥୖࢆᐇ⌧ࡋࡓࠋ㻌 ᪥ᮏ㝔ദࡢ་⒪Ᏻ⟶⌮⪅㣴ᡂㅮ⩦ࢆಟࡋㄆᐃࡉࢀ ࡓࠋ㻌 մ⾡୰ࣔࢽࢱࣜࣥࢢ᳨ᰝ ⬻⚄⤒እ⛉ࡽࡢ౫㢗ࢆཷࡅ 㻭㻮㻾ࠊ㻿㻱㻼ࠊ㻹㻱㻼 ࡞ࡢ⾡୰ࣔࢽࢱ ࡢ࣮࢜ࢲ࣮㛤ጞ㻌 ࣜࣥࢢ᳨ᰝᯟࢆᣑࡋࠊ࣮࢜ࢲࣜࣥࢢ࡛౫㢗ࡀ࡛ࡁࡿࡼ࠺ᨵၿࡋ ࡓࠋࡲࡓࡇࡢ᳨ᰝࢆඃඛ࡛ࡁࡿࡼ࠺యไࢆᩚ࠼ࡓࠋ㻌 յᝈ⪅ࡸࡉࡋ࠸᳨ᰝᐊ ᝈ⪅ࡸࡉࡋ࠸᳨ᰝᐊࢆᐇ⌧ࡍࡿ➨୍Ṍࡋ࡚ࠊ ᚰ㟁ᅗᐊ࠶ࡿ㻡 ࢆ┠ᣦࡋ࡚㻌 ྎࡢ࣋ࢵࢻࡢ㧗ࡉࢆప࠸ࡶࡢኚ᭦ࡋࡓࠋᝈ⪅ࡽࡣዲホ࡛࠶ࡾࠊ ㌴᳔Ꮚࡽ࣋ࢵࢻࡢ⛣ືࡀᴦ࡞ࡗࡓࠋ㻌 㻌 㻢㻚 ᚋࡢㄢ㢟ᒎᮃ㻌 ⌮⏕ەᶵ⬟᳨ᰝ㸸㻌 㻝㸧ṑ⛉㝔ࠊᮾ㝔ᴗົࢆ㐃ᦠࡋࠊ┦ᛂࡀ࡛ࡁࡿࡼ࠺࡞యไࢆ☜❧ࡍࡿࠋ㻌 ەᚤ⏕≀᳨ᰝ㸸㻌 㻝㸧ᕪฟཬࡧᅵ᭙᪥┤ົࢆᑟධࡋࠊᖹ᪥ࡢ᳨యཷ⤊㛫ࢆ㻞㻜㸸㻜㻜ࡲ࡛ࠊ㻌 ᅵ᭙᪥㻝㻢㸸㻜㻜ࡲ࡛ᘏ㛗ࡉࡏࠊ⮫ᗋഃ㈉⊩ࡍࡿࠋ㻌 ە᥇⾑ᐊ㸸㻌 㻝㸧་⒪Ᏻ⟶⌮⪅ࢆ㣴ᡂࡋࠊ㒊ෆࡢ་⒪Ᏻᑐࡍࡿྲྀࡾ⤌ࡳࢆಁ㐍ࡉࡏࡿࠋ㻌 㻞㸧ᝈ⪅ࡔࡅ࡛ࡣ࡞ࡃࠊࢫࢱࢵࣇᑐࡋ࡚ࡶ᥋㐝ຊࢆྥୖࡉࡏࡿࠋ㻌 㻟㸧ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢆಁ㐍ࡉࡏࠊࣥࢩࢹࣥࢺ࣭ࢡࢩࢹࣥࢺࡢ㜵Ṇດࡵࡿࠋ㻌 㻌 ە᳨య᳨ᰝ㸸㻌 㻝㸧᳨ᰝࢭࣥࢱ࣮ࡢ༠ྠ㐠⏝ࢆࡼࡾᙉࡋࠊ᳨ᰝ⤖ᯝࡢ⢭ᗘ࣭ṇ☜ᛶ࠾ࡼࡧ㎿㏿ᛶࡢ㻌 㻌 ྥୖດࡵࡿࠋ㻌 㻞㸧✚ᴟⓗ࡞ࢳ࣮࣒་⒪ࡢཧຍᑓ㛛㈨᱁ྲྀᚓ⪅ࡢቑဨࢆ┠ᣦࡍࠋ㻌 㻌 ―134― 輸血部 Ꮫ㝔㻌 ୰ኸ᳨ᰝ㒊㛛㻌 昭和大学病院 中央検査部門 㻟㻌 ㍺⾑㒊㻌 ３）輸血部 㻌 㻝㸬⌮ᛕ࣭┠ᶆ㻌 㻝㻚 㐺ṇ㍺⾑ࡢ᥎㐍 㻌 㻞㻚 Ᏻ࡞㍺⾑ࡢᐇ㻌 㻟㻚 ᗫᲠ⾑ࡢࡉࡽ࡞ࡿ๐ῶ㻌 㻠㻚 ⥭ᛴ㍺⾑ࡢ㐺ษ࡞ᑐᛂࡢᚭᗏ㻌 㻡㻚 ᑓ㛛㈨᱁ྲྀᚓ⋡ࡢྥୖ㻌 㻌 㻞㸬ேဨᵓᡂ 㻌 ㍺⾑㒊㛗㻌 㻔௦㻕᭷㈡ ᚭ㻌 ಀ㛗㻌 ᆏᮏ 㻌 ࡑࡢ㻌 㻤 ྡ㻌 㻌 㻟㸬ᴗົᐇ⦼ 㻌 ձ㍺⾑≧ἣ㻌 ㉥⾑⌫〇㍺⾑㻌 ⣙ 㻝㻞㻘㻜㻜㻜 ༢ ⤖⾑₢〇㍺⾑㻌 ⣙ 㻢㻘㻡㻜㻜 ༢㻌 ⃰ཌ⾑ᑠᯈ〇㍺⾑㻌 ⣙ 㻟㻝㻘㻜㻜㻜 ༢㻌 ⮬ᕫ⾑㍺⾑㻌 ⣙ 㻤㻜㻜 ༢㻌 㻌 ղ᳨ᰝ௳ᩘ㻌 ᳨ᰝ㡯┠㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 ⾑ᾮᆺ᳨ᰝ㻌 㻝㻝㻘㻝㻤㻞 ௳㻌 つ๎ᛶᢠయ᳨ᰝ㻌 㻥㻘㻠㻜㻠 ௳㻌 㛫᥋࣭┤᥋ࢡ࣮࣒ࢫ᳨ᰝ㻌 㻢㻝㻝 ௳㻌 㻴㼀㻸㼂㻙㻝 ᳨ᰝ㻌 㻝㻘㻝㻠㻜 ௳㻌 ⾑ᑠᯈᢠయ᳨ᰝ㻌 㻡㻞 ௳㻌 㻴㻸㻭 ᳨ᰝ㻌 㻝㻠㻣 ௳㻌 㻸㻯㼀 ᳨ᰝ㻌 㻢 ௳㻌 ளᆺ᳨ᰝ㻌 㻡௳ ࢡ࣭ࣜ࢜ࣃࣟࢢࣟࣈࣜࣥ➼᳨ᰝ 㻝㻘㻝㻜㻣 ௳ 㻴㼍㼙࣭㻿㼡㼓㼍㼞 㼃㼍㼠㼑㼞㻌㼀㼑㼟㼠㻌 㻝௳ 㻌 㻌 㻌 ―135― 輸血部 ճࡑࡢ㻌 ᮎᲈ⾑ᖿ⣽⬊᥇ྲྀ࣭ಖᏑ࣭⛣᳜༠ຊ㸸㻝㻤 ᅇ㸦㻥 㸧㻌 ᖏ⾑⛣᳜㸦㻣 ௳㸧࣭㦵㧊⛣᳜㸦㻠 ௳㸧࣭㦵㧊⃰⦰㸦㻜 ௳㸧༠ຊ㻌 ⮬ᕫ⾑᥇⾑࣭ㄪᩚ࣭ಖᏑ࣭⟶⌮༠ຊ㸸⣙ 㻟㻡㻜 ௳㸦⣙ 㻝㻘㻞㻜㻜 ༢㸧㻌 ⮬ᕫࣇࣈࣜࣥ⢶ࡢస〇༠ຊ㸸⣙ 㻞㻡㻜 ௳㻌 ᪥ᮏ⮚ჾ⛣᳜ࢿࢵࢺ࣮࣡ࢡᴗ༠ຊ㸸⊩⭈⛣᳜ᕼᮃⓏ㘓⪅ࡢ᳨ᰝ࣭⾑Ύᅇ࣭ಖᏑ࣭Ⓨὀᴗົ㻌 Ᏻ࡞㍺⾑ࡢ㈉⊩㸸⛥࡞⾑ᾮᆺ࣭㻾㼔㻔㻰㻕㝜ᛶ࣭つ๎ᛶᢠయಖᣢ⪅ࡢࣥࣇ࢛࣓㸫ࢩࣙࣥ ࣮࢝ࢻⓎ⾜࣭㓄ᕸ㻌 ㍺⾑ᚋឤᰁࡢ᪩ᮇⓎぢ࣭⒪㈉⊩㸸㍺⾑ᚋឤᰁ㏣㊧ㄪᰝࡢࡓࡵࡢᩥ᭩Ⓨ⾜࣭㓄ᕸ㻔ẖ㐌㻕㻌 ㍺⾑᳨ᰝ⢭ᗘ⟶⌮ࡢࡓࡵࡢヨᩱస〇㸸ᮾி㒔⾨⏕᳨ᰝᡤ⢭ᗘ⟶⌮ᴗ༠ຊ㸦㻝 ᅇ㻛ᖺ㸧㻌 እ㒊⢭ᗘ⟶⌮ࡢཧຍ㸸᪥ᮏ⮫ᗋ⾨⏕᳨ᰝ⢭ᗘ⟶⌮㸦㻝 ᅇ㻛ᖺ㸧㻌 ࣒ࢥ♫ദ⢭ᗘ⟶⌮㸦㻤 ᅇ㻛ᖺ㸧㻌 㻌 ㍺⾑ฟᗜ⾲ࡢಖᏑ㸦㻡 ᖺ㛫㸧㸸ࠕ㍺⾑〇➼㛵ࢃࡿ㐳ཬㄪᰝ࢞ࢻࣛࣥࠖཌປ┬ࡼࡾ㻌 ㍺⾑๓᳨యࡢಖᏑ㸦㻞 ᖺ㛫㸧㸸ࠕ㍺⾑〇➼㛵ࢃࡿ㐳ཬㄪᰝ࢞ࢻࣛࣥࠖཌປ┬ࡼࡾ㻌 ㍺⾑ྠព᭩ࡢಖᏑ㸦㻡 ᖺ㛫㸧㸸ࠕデ⒪㘓ࡢಖᏑᮇ㛫ࠖཌປ┬ࡼࡾ㻌 㻌 㻠㸬♫࣭ᆅᇦ㈉⊩άືࠊ◊✲ᴗ⦼㻌 㻌 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌 ⸨ᮧ ┿⌮㻌 㢟 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 ᢠ 㻭㼚㼃㼖 ಖ᭷⪅㐺ྜ㍺⾑ࢆ ᪥ᮏ㍺⾑⣽⬊⒪Ꮫ ᖹᡂ 㻞㻠 ᖺ㻌 ⾜࠸స⏝ࢆㄆࡵࡓ୍㻌 㻌 㻡 ᭶ 㻞㻠 ᪥ 㻌 ◊ಟ࣭ࢩ࣏ࣥࢪ࣒࢘Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌 ᆏᮏ 㻌 㢟 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 ᕪ㐺ྜヨ㦂࣭つ๎ᛶᢠయ㻌 Ⓨ⾲ᖺ᭶᪥㻌 ᪥ᮏ⮫ᗋ᳨ᰝྠᏛ㝔㻌 ᖹᡂ 㻞㻠 ᖺ㻌 㻢᭶㻟᪥ 㻌 ᐇᢏㅮ⩦ㅮᖌ㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌 ᆏᮏ 㻌 㢟 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 ➨ 㻟 ᅇ ච⾑ΎᏛᢏ⾡ㅮ⩦㻌 Ⓨ⾲ᖺ᭶᪥㻌 ᪥ᮏ⮫ᗋ᳨ᰝྠᏛ㝔㻌 ᖹᡂ 㻞㻠 ᖺ㻌 㻢᭶㻟᪥ 㻌 㻡㸬ᖹᡂ 㻞㻠 ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձ㍺⾑⟶⌮ᩱࡘ࠸࡚㻌 ᖹᡂ 㻞㻠 ᖺᗘࡶᘬࡁ⥆ࡁ㍺⾑⟶⌮ᩱྲྀᚓຍ⟬⏦ㄳࡀྍ⬟࡞ࡗࡓࠋ ࡇࢀࡼࡾ㝔ධࡢቑຍ㈉⊩࡛ࡁࡓࠋ㻌 㻌 㻌 㻌 㻌 ―136― 輸血部 㻢㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ⌮⟶⾑㍺ەᩱࡢຍ⟬ࢆᚓࡿࡓࡵࠊᚋࡶᇶ‽ࢆ‶ࡓࡍࡼ࠺㍺⾑⒪ἲጤဨࢆ㏻ࡋ࡚࿘▱ດ ຊࡍࡿࠋ㻌 ە㻞㻜㸣ࣝࣈ࣑ࣥ〇ࡢ⏝ࢆ㐍ࡵࡿࡇ࡛ࣝࣈ࣑ࣥẚࡢᨵၿࡀぢ㎸ࡲࢀࡿࠋ㻌 ⾑㍺ە㒊ᑓ௵་ᖌࡢ㓄⨨ࢆ⾜࠺ࡇ࡛㐺ṇ㍺⾑ࡢ᥎㐍ࡀᮇᚅ࡛ࡁࡿࠋ㻌 ەᏳ࡞⮬ᕫ⾑᥇ྲྀࡢࡓࡵࠊ⮬ᕫ⾑᥇⾑ᐊᑓ௵་ᖌ࣭┳ㆤᖌࡢ㓄⨨ࡀᮃࡲࢀࡿࠋ㻌 㻌 ―137― 臨床病理検査部 病理検査室 Ꮫ㝔㻌 ୰ኸ᳨ᰝ㒊㛛㻌 昭和大学病院 中央検査部門 㻠㻌 ⮫ᗋ⌮᳨ᰝ㒊㻌 ⌮᳨ᰝᐊ㻌 ４）臨床病理検査部 病理検査室 㻝㸬⌮ᛕ࣭┠ᶆ㻌 ࣭⌮᳨య☜ㄆࡢᚭᗏ㻌 ࣭デ᩿⤖ᯝࡢ㎿㏿࡞ሗ࿌㻌 ࣭ᣵᣜࡢບ⾜ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢᙉ㻌 ࣭ྛ⮬ࡢࢫ࢟ࣝࢵࣉ㻌 㻌 㻞㸬ேဨᵓᡂ 㻌 㒊㛗㻌 㻔ᩍᤵ ་ᖌ㻕㻌 ᓥ ᕭᶞ㻌 ㄢ㛗㻌 ὠ⏣ ⚈Ꮚ㻌 㻌 㻔ᢏ⾡ᖿ࣭⮫ᗋ᳨ᰝᢏᖌ㻕 ࡑࡢᢏᖌ㻌 㻝㻜ྡ㻌 ኴ⏣ၿᶞࠊ⚟⏣࣑ࣚᏊࠊእụᏕᙪࠊΏ㎶⪽ࠊྜྷ㇂ᆅ⋹Ꮚࠊ㻌 బ⸨ ⣧ᏊࠊᖹᒣῄᏊࠊ๓⏣ᮒ⨾ࠊᑠᯘ⨾ἼࠊΏ㎶▱ୡ㻌 ົဨ㻌 Ἑᓊ ṇ᫂㻌 㻌 㻟㸬ᴗົᐇ⦼ 㻌 ᖹᡂ㻞㻠ᖺᗘ ᳨ᰝ௳ᩘ㻌 㻌 ᳨ ᰝ 㡯 ┠㻌 ௳ ᩘ㻌 Ⅼ ᩘ㻌 㻝㻌 ⥲௳ᩘ㻌 㻟㻞㻘㻟㻥㻞㻌 㻞㻜㻘㻝㻜㻣㻘㻞㻝㻜 㻞㻌 ⤌⧊᳨ᰝ㻌 㻝㻠㻘㻝㻝㻤㻌 㻝㻞㻘㻝㻠㻝㻘㻠㻤㻜 㻟㻌 ⤌⧊⾡୰㎿㏿デ᩿㻌 㻣㻝㻤㻌 㻝㻘㻠㻞㻤㻘㻤㻞㻜 㻠㻌 㟁Ꮚ㢧ᚤ㙾᳨ᰝ㻌 㻞㻡㻡㻌 㻝㻘㻠㻟㻢㻘㻜㻜㻜 㻡㻌 චᰁⰍ࣭㻴㻱㻾㻞࣭㻱㻾 ➼㻌 㻟㻘㻞㻟㻥㻌 㻞㻘㻤㻝㻥㻘㻞㻠㻜 㻢㻌 㝔ᶆᮏ㻌 㻔⤌⧊デ࣭⣽⬊デ㻕㻌 㻠㻝㻟㻌 ⌮デ᩿ᩱࠊ⣽⬊デ᩿ᩱ 㻣㻌 ⣽⬊デ᳨ᰝ ፬ே⛉㻌 㻣㻘㻤㻜㻣㻌 㻝㻘㻝㻣㻝㻘㻜㻡㻜 㻤㻌 ⣽⬊デ᳨ᰝ ࡑࡢ㻌 㻡㻘㻣㻜㻤㻌 㻝㻘㻜㻤㻠㻘㻡㻞㻜 㻥㻌 ⣽⬊デ⾡୰㎿㏿デ᩿㻌 㻡㻤㻌 㻞㻢㻘㻝㻜㻜 㻝㻜㻌 ⌮ゎ๗㻌 㻣㻢㻌 㻌 㻌 㻌 㻌 㻌 㻌 ―138― ✲◊ەᴗ⦼㻌 Ⓨ⾲ㄽᩥ㻌 㻌 ⴭ ⪅ ྡ㻌 㢟 ྡ㻌 㞧ㄅྡ㻘ᕳ㻘㡫㻘Ⓨ⾜ᖺ㻌 㻝㻌 ☾ᓮ ᓅኵࠊ℧ ୰⓶⭘ᛂᛶ୰⓶ࡢ⣽⬊Ꮫⓗ㚷ู㻌 ᮏ 㞞ᩥࠊኴ⏣ ་Ꮫㄅ㻘㻌㻣㻞㻘㻌㻠㻤㻤㻙㻠㻥㻢㻘㻌 㻞㻜㻝㻞㻌 ⚽୍ࠊᮧ 㝯 ྖࠊὠ⏣ ⚈Ꮚࠊ ᴙ ⋞⚽ࠊග㇂ ಇஅ㻌 㻞㻌 ኴ⏣ ၿᶞࠊᅜ 㻹㼕㼤㼑㼐㻌 㼙㼡㼏㼕㼚㻙㼜㼞㼛㼐㼡㼏㼕㼚㼓㻌 㼍㼚㼐㻌 㼟㼝㼡㼍㼙㼛㼡㼟㻌 㻶㼛㼡㼞㼚㼍㼘㻌 㼛㼒㻌 㻻㼎㼟㼠㼑㼠㼞㼕㼏㼟㻌 㼍㼚㼐㻌 ᮧ ᫂ࠊᑿᯇ 㼐㼕㼒㼒㼑㼞㼑㼚㼠㼕㼍㼠㼑㼐㻌 㼠㼡㼙㼛㼞㻌 㼛㼒㻌 㼠㼔㼑㻌 㼡㼠㼑㼞㼕㼚㼑㻌 㼏㼑㼞㼢㼕㼤㻦㻌㼍㻌 㻳㼥㼚㼍㼑㼏㼛㼘㼓㼥㻌 㻾㼑㼟㼑㼍㼞㼏㼔㻘㻌 㻟㻥㻘㻌 ╬Ꮚࠊሷᕝ ❶ࠊ 㼞㼑㼜㼛㼞㼠㻌 㼛㼒㻌 㼍㻌 㼏㼍㼟㼑㻌 㼍㼟㻌 㼍㼐㼑㼚㼛㼟㼝㼡㼍㼙㼛㼡㼟㻌 㻠㻞㻜㻙㻠㻞㻟㻘㻌㻞㻜㻝㻟㻌 ᓥ ᕭᶞࠊኴ 㼏㼍㼞㼏㼕㼚㼛㼙㼍㻌㼕㼚㻌㼟㼕㼠㼡㻚㻌 ⏣ ⚽୍㻌 㻌 ⴭ᭩㻌 㻌 ⴭ⪅ྡ㻌 㢟 ྡ㻌 㻝㻌 ὠ⏣ ⚈Ꮚ㻌 ᭩ ྡ㻌 ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ㻌 ᐇ㊶⦅ ⫵ᡥᖹୖ⓶⒴ య⭍ᾮ⣽⬊デ࣮࢝ࣛࢺ ᩥ ග ᇽ 㻘 㻌 㻟㻢㻙㻟㻣㻘㻌 㸦㧗ศᆺ㸧㻝㻢㻌 ࣛࢫ㻌 㻠㻠㻙㻠㻢㻘㻌 㻡㻜㻘㻌 㻡㻟㻘㻌 㻢㻢㻘㻌 㻤㻡㻘㻌 ̿デ᩿ࡢࣉ࣮ࣟࢳ̿㻌 㻝㻜㻠㻘㻌 㻝㻜㻢㻘㻌 㻝㻝㻢㻘㻌 㻝㻝㻥㻘㻌 㻝㻞㻡㻙㻝㻞㻢㻘㻌 㻝㻟㻠㻘㻌 㻝㻟㻥㻘㻌 㻞㻜㻝㻞㻌 㻌 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㢟 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 㻝㻌 ὠ⏣ ⚈ᏊࠊἙ ၚᾮ⭢✸่྾ᘬ⣽⬊デ࠾ࡅࡿ ᪥ᮏ⮫ᗋ⣽⬊Ꮫ ᖹᡂ㻞㻠ᖺ㻢᭶㻟᪥㻌 㻌 㻔༓ⴥ㻕㻌 㔝 ⴥᏊࠊእụ デ᩿ᡂ⦼ࡢ᳨ウ㻌 Ꮥᙪࠊ⚟⏣ ࣑ ࣚᏊࠊኴ⏣ ၿ ᶞࠊ๓⏣ ᮒ⨾ࠊ ྜྷ㇂ᆅ ⋹Ꮚࠊ ᓥ ᕭᶞ㻌 㻞㻌 ᓥ ᕭᶞ 㻝 㸧ࠊ ➨㻞ᅇ⌮⤌⧊࣭⣽⬊デࢭ࣑ࢼ࣮ ᪥ᮏ⮫ᗋ⣽⬊Ꮫ ᖹᡂ㻞㻠ᖺ㻢᭶㻟᪥㻌 ὠ⏣⚈Ꮚ㻞㸧㻌 ⒴ྲྀࡾᢅ࠸つ⣙ἢࡗࡓ⤌⧊ീ 㻌 㻔༓ⴥ㻕㻌 㻝㸧 ⣽⬊ീ㻞㸧ࡢᑐẚ㻌 ―139― 臨床病理検査部 病理検査室 㻠㸬♫࣭ᆅᇦ㈉⊩άືࠊ◊✲ᴗ⦼㻌 臨床病理検査部 病理検査室 㻌 Ⓨ⾲⪅Ặྡ㻌 㢟 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 㻟㻌 ᓥ ᕭᶞࠊὠ Ꮚᐑ㢁㒊⭢ୖ⓶␗ᖖࡢ⣽⬊デ ᪥ᮏ⮫ᗋ⣽⬊Ꮫ ᖹᡂ㻞㻠ᖺ㻢᭶㻟᪥㻌 ⏣ ⚈Ꮚࠊኴ⏣ ⌮⤌⧊デ᩿ࡢẚ㍑㻌 㻌 㻔༓ⴥ㻕㻌 ၿᶞࠊྜྷ㇂ᆅ ⋹Ꮚࠊ๓⏣ ᮒ ⨾ࠊእụ Ꮥᙪࠊ ⚟⏣ ࣑ࣚᏊࠊ 㔝࿅℩ ᭸Ꮚࠊ ᗈ⏣ ⏤Ꮚ㻌 㻠㻌 እụ Ꮥᙪࠊὠ ᙜ㝔࠾ࡅࡿ 㼕㼚㻌㼟㼕㼠㼡㻌㼔㼥㼎㼞㼕㼐㼕㼦㼍㼠㼕㼛㼚 ᮾி㒔་Ꮫ᳨ᰝ ᖹᡂ㻞㻡ᖺ㻞᭶㻝㻣᪥㻌 ⏣ ⚈Ꮚࠊྜྷ㇂ ἲࡢ᳨ウ㻌 Ꮫ㸦ᮾி㸧㻌 ᆅ ⋹Ꮚࠊ๓⏣ ᮒ⨾ࠊᑠᯘ ⨾ Ἴ㻌 㻌 㻡㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձ⌮᳨య☜ㄆࡢᚭᗏ㻌 ⤌⧊᳨యཷࠊ⤌⧊ษࡾฟࡋࠊᶆᮏస〇࠾ࡼࡧᥦฟࢲࣈࣝࢳ࢙ ࢵࢡࢆ⾜࠸ࣥࢩࢹࣥࢺᢚไຠᯝⓗ࡛࠶ࡗࡓࠋ⣽⬊デ࠾࠸࡚ࡣ 㝧ᛶ࣭㝧ᛶ㝜ᛶࡢࢲࣈࣝࢳ࢙ࢵࢡࢆ⾜࠸デ᩿⢭ᗘྥୖ ᭷ຠ࡛࠶ࡗࡓࠋ㻌 ղデ᩿⤖ᯝࡢ㎿㏿࡞ሗ デ᩿ሗ࿌ࡣ᳨యᥦฟࡽ⏕᳨⤌⧊᳨యࡣ㻟᪥㛫ࠊ⣽⬊デࡣ⩣᪥ࡋࠊ ࿌㻌 ࡲࡓ⮫ᗋഃࡽሗ࿌ᕼᮃ᪥ࡀᥦ♧ࡉࢀࡓሙྜࡣྍ⬟࡞㝈ࡾ㎿㏿࡞ デ᩿ሗ࿌ࢆ⾜ࡗࡓࠋ୍ᐃᮇ㛫㸦㻝ḟሗ࿌㻞㐌㛫ࠊ㻞ḟሗ࿌௨㝆ࡣ㻟᪥㛫㸧 ࢆ㐣ࡂ࡚ሗ࿌ࡉࢀ࡚࠸࡞࠸᳨యࡣᮍሗ࿌ࣜࢫࢺࡋ࡚⮫ᗋ⌮デ ᩿⛉་ᒁẖ㐌ᥦฟࡋࠊሗ࿌㐜ᘏ㜵Ṇᑐ⟇ࡋࡓࠋ㻌 ճᢏᖌ㛫ࡢࢥ࣑ࣗࢽࢣ ᳨ᰝᢏᖌ㛫ࡢ࣑࣮ࢸࣥࢢࡢ⥅⥆ࡼࡾࠊሗࡢඹ᭷࣭ၥ㢟Ⅼࡢ ࣮ࢩࣙࣥࡢᚭᗏ㻌 ᢳฟ࠾ࡼࡧゎỴ⟇ࡢヰࡋྜ࠸ࡀᐇ⾜࡛ࡁࠊࣥࢩࢹࣥࢺⓎ⏕ࡢゎ Ỵ࣭ண㜵⟇ࡢ⟇ᐃ᭷⏝࡛࠶ࡗࡓࠋ㻌 մྛ⮬ࡢࢫ࢟ࣝࢵࣉ㻌 ⣭⮫ᗋ⌮ᢏ⾡ኈ㻝ྡࡀྜ᱁ࡋࡓࠋ⣽⬊᳨ᰝኈྲྀᚓྥࡅ࡚ᐃ ᮇⓗຮᙉࢆ⾜ࡗࡓࠋ㻌 㻌 㻢㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ەಶேࡢࢫ࢟ࣝࢵࣉࢆ⥅⥆ࡋ᪂つ㈨᱁ྲྀᚓ⪅ࢆࡘࡃࡿࠋ㻌 ⌮࡚ࡅྥࢢࣥࢩ࣮ࢯࢺ࢘ە᳨ᰝᮍ⤒㦂⪅ࢆᩍ⫱ࡋࠊᡂ㛗ࢆಁࡍࠋ㻌 ەᢏᖌࡢࣞ࣋ࣝࢵࣉࡼࡿᴗົࡢຠ⋡ࣇ࢛࣮ࣟయไᙉࡢ⥅⥆ࠋ㻌 㻌 ―140― 超音波センター Ꮫ㝔㻌 ୰ኸ᳨ᰝ㒊㛛㻌 昭和大学病院 中央検査部門 㻡㻌 ㉸㡢Ἴ䝉䞁䝍䞊㻌 ５）超音波センター 㻝䠊⌮ᛕ䞉┠ᶆ㻌 Ᏻᚰ䛧䛶᳨ᰝ䛜ཷ䛡䜙䜜䜛⎔ቃ䜢ᩚഛ䛧䚸ᨾ䛾䛺䛔᳨ᰝᐊ䛾㐠⏝䜢┠ᣦ䛩䚹㻌 䜎䛯䚸㉸㡢Ἴ䝉䞁䝍䞊䛿᪥ᮏ㉸㡢Ἴ་Ꮫㄆᐃ䛾◊ಟタ䛷䛒䜚䚸ṇ☜䛷㎿㏿䛺⏬ീ䝕䞊䝍䛾ᥦ ౪䛿䜒䛸䜘䜚䚸◊ಟ་䜔⮫ᗋᐇ⩦䛾ᩍ⫱䜢ᢸ䛖䚹㻌 㻌 㻞䠊ேဨᵓᡂ㻌 䝉䞁䝍䞊㛗㻌 ᚋ㛩Ṋᙪ䠄ᨺᑕ⥺⛉ᩍᤵ䠅㻌 ⮫ᗋ᳨ᰝᢏᖌ㻌 㻝㻜ྡ䠄⮫ᗋ⌮᳨ᰝ㒊䜘䜚㓄ᒓ䠅㻌 ་ᖌ㻌 ෆ⛉䞉እ⛉䞉ᑠඣ⛉䞉⪥㰯⛉䞉Ἢᒀჾ⛉䛺䛹ྛデ⒪⛉㻌 㻌 㻟䠊ᴗົᐇ⦼㻌 ㉸㡢Ἴ᳨ᰝ௳ᩘ䠄㉸㡢Ἴ䝉䞁䝍䞊䛻䛚䛡䜛㉸㡢Ἴ᳨ᰝ⥲௳ᩘ䠅㻌 㻌 ᳨ᰝ㡯┠㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ⭡㒊㻌 ⭡㒊 㻯㻰㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㻌 㻡㻘㻤㻜㻝 㻡㻘㻢㻥㻠 㻠㻝㻠 㻠㻢㻡 ᚰ⮚㻌 㻣㻘㻠㻣㻤㻌 㻣㻘㻡㻠㻠 ங⭢㻌 㻠㻘㻝㻠㻣㻌 㻠㻘㻢㻥㻟 య⾲㻌 㻝㻘㻤㻥㻥㻌 㻞㻘㻜㻥㻣 㢁ື⬦㻌 㻝㻘㻜㻢㻜㻌 㻝㻘㻝㻣㻠 䛭䛾㻌 㻡㻤㻡㻌 㻢㻝㻥 㻞㻝㻘㻟㻤㻠㻌 㻞㻞㻘㻞㻤㻢 ⥲ィ㻌 㻌 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 䖃◊✲ᴗ⦼㻌 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌 ༑ᔒ㻌 ᜨ㻌 㢟㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 䝬䞁䝰䜾䝷䝣䜱䜹䝔䝂䝸䞊䛷㻝㼛㼞㻞䛸 ➨㻞㻥ᅇ᪥ᮏங⭢⏥≧ 㻴㻞㻠㻚㻝㻜㻚㻜㻤㻌 ุᐃ䛥䜜䛯ங⒴䛾㉸㡢Ἴീ ⭢㉸㡢Ἴ་Ꮫ㻌 䛚䜘䜃⮫ᗋ⌮Ꮫⓗ᳨ウ㻌 㻌 㻌 㻌 㻌 㻌 ―141― 䠄ᕞᕷ䠅㻌 超音波センター 㻡䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 ቑຍ䛩䜛᳨ᰝ౫㢗௳ᩘ㻌 ᖺ䚻ቑຍ䛧䛶䛔䛯௳ᩘ䛿㻥㻜㻞௳ቑ䛾㻞㻞㻘㻞㻤㻢௳䛷䛒䛳䛯䚹㻌 㻌 ᪤ᚓ䛾 㻯㼀 䜔 㻹㻾㻵 ⏬ീ䛾ሗ䜢⏝䛧䚸㉸㡢Ἴデ᩿⏬ീ䛾䝸䜰䝹䝍䜲 䝮䛺ື䛝䛻㐃ື䛥䛫䚸ኚ᳨ฟ䜢䝃䝫䞊䝖䛩䜛 㻿㼙㼍㼞㼠㻌 㻲㼡㼟㼕㼛㼚㻌 ᶵ⬟䜢ഛ 䛘䛯ᮾⰪ䝯䝕䜱䜹䝹♫〇 㻭㼜㼘㼕㼛㻡㻜㻜䜢㉸㡢Ἴ䝉䞁䝍䞊ෆ䛻タ⨨䛧䚸䛻ᾘ ჾෆ⛉䛜⏝䛧䛶䛔䜛䚹㻌 㻌 㻢䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃㉸㡢Ἴデ᩿⨨䛾᭦᪂䜔ಖᏲⅬ᳨䜢⾜䛳䛶䛔䜛䛜䚸ᚋ㝔ෆ䛻」ᩘ䛒䜛㉸㡢Ἴデ᩿⨨䛾୰ ኸ⟶⌮䛜ㄢ㢟䛸䛺䜛䚹㻌 䖃㉸㡢Ἴ᳨ᰝ౫㢗௳ᩘ䛿ᖺ䚻ቑຍ䛧䚸せồ䛥䜜䜛᳨ᰝ⠊ᅖ䜒ከᒱ䛻Ώ䜛䚹䛣䜜䜙䛾せᮃ䛻ᛂ䛘䜛 䛯䜑䛻䛿䚸㉸㡢Ἴ䛻㛵䛩䜛ᩍ⫱䛸ᴗົ䛾ຠ⋡䛜ㄢ㢟䛸䛺䜛䚹㻌㻌 㻌 ―142― 内視鏡センター Ꮫ㝔㻌 ୰ኸ᳨ᰝ㒊㛛㻌 昭和大学病院 中央検査部門 㻢㻌 ෆど㙾䝉䞁䝍䞊㻌 ６）内視鏡センター 㻝䠊⌮ᛕ䞉┠ᶆ㻌 ᾘჾᝈ䚸྾ჾᝈ䜢୰ᚰ䛻⪥㰯ဗႃ⛉䚸ᙧᡂእ⛉㡿ᇦ䛾ᝈ䜢ྵ䜑䛶ᾘჾෆ⛉䚸ᾘ ჾእ⛉䚸྾ჾෆ⛉䚸྾ჾእ⛉䚸⪥㰯ဗႃ⛉䚸ᙧᡂእ⛉䛾་ᖌ䛜ᨺᑕ⥺⛉䚸㝔⌮㒊䛸㐃ᦠ 䜢ྲྀ䜚䛺䛜䜙䚸ẖᖺᖺ㛫⣙㻝㻜㻘㻜㻜㻜௳䛾ෆど㙾デ᩿䛚䜘䜃⒪䜢⾜䛳䛶䛔䜛䚹㻌 ⱞ③䛾ᑡ䛺䛔ෆど㙾᳨ᰝ䚸ṇ☜䛺デ᩿䚸Ᏻ䛺⒪䜢⾜䛖䚹㻌 ᝈ⪅䛥䜣䛾᳨ᰝ䞉⒪䛻ᑐ䛩䜛Ᏻ䜢ᑡ䛧䛷䜒䜙䛢䜛䜘䛖䛻ᚰ䛡䛶䛔䜛䚹㻌㻌 㻌 㻞䠊ேဨᵓᡂ㻌 㻌 䝉䞁䝍䞊㛗㻌 ᮧୖ㻌 㞞ᙪ㻌 ┳ㆤᖌ㛗㻌 ୕ᾆ㻌 ᐑᏊ㻌 ┳ㆤᖌ䚸௵㻌 ᪂ᮧ㻌 ⿱⨾Ꮚ㻌 ┳ㆤᖌ䚸௵⿵బ㻌 㯮⃝㻌 ⨾ᯞ㻌 ┳ㆤᖌ㻌 㻣ྡ㻌 ෆど㙾⾜་ᖌ㻌 ⣙㻟㻜ྡ㻌 ᾘჾෆ⛉䚸ᾘჾእ⛉㻌 ྾ჾእ⛉䚸྾ჾෆ⛉㻌 ⪥㰯ဗႃ⛉䚸ᙧᡂእ⛉㻌 㻌 㻟䠊ᴗົᐇ⦼㻌 㻌 䐟ෆど㙾௳ᩘ㻌 㻌 㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 ෆど㙾⥲௳ᩘ㻌 㻥㻘㻤㻠㻤௳㻌 ⒪ෆど㙾௳ᩘ㻌 㻝㻘㻠㻝㻜௳㻌 㻌 㻌 䐠௳ᩘෆヂ㻌 ᳨ᰝ㡯┠㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 ୖ㒊ᾘ⟶᳨ᰝ㻌 㻡㻘㻝㻣㻝௳㻌 ୗ㒊ᾘჾ᳨ᰝ㻌 㻟㻘㻢㻞㻡௳㻌 ⮅⫹㐨⣔᳨ᰝ㻌 㻣㻞㻜௳ Ẽ⟶ᨭ㙾᳨ᰝ㻌 㻟㻟㻞௳ 㻌 㻌 㻌 㻌 ―143― 内視鏡センター 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 㻌 䖃◊✲ᴗ⦼㻌 㻌 㻌 Ⓨ⾲ㄽᩥ㻌 㻌 ⴭ⪅ྡ㻌 㻝㻌 ᑠす୍⏨㻌 㻞㻌 ᮌཎಇ⿱㻌 㢟㻌 㻌 ྡ㻌 䛆㻿㻿㻭㻛㻼 䛾ᮏែ䜢᥈䜛䛇㑇ఏᏊ◊✲䛾❧ሙ 䛛䜙㻌 㻿㻿㻭㻛㻼 䛸㐣ᙧᡂᛶ䝫䝸䞊䝥䛻䛚䛡䜛ศ Ꮚ⏕≀Ꮫⓗ≉ᚩ㻚㻌 ⫶ཎⓎᡥᖹୖ⓶⒴䛾㻝㻌 㻌 㻟㻌 ᯘ㻌 ᰤ୍㻌 ฟ⾑ᛶ䝅䝵䝑䜽䜢ึⓎ≧䛸䛧䛯ୗ⾜⤖⭠⒴ 䛾㻝㻌 㻠㻌 ᑠす୍⏨㻌 䛆㌿⛣䜢䛝䛯䛩ᑠ䛥䛺⭠⒴㻙ᮏᙜ䛻ᝏᛶ䛾 ⭠⒴䛸䛿㻫䛇䛂ᑠ䛥䛺⭠⒴䛃䛾≉ᚩ㻔㑇ఏ Ꮚ䛾❧ሙ䛛䜙㻕㻌 ᑠᆺ⭠⒴䛸䛭䛾ึᮇኚ 䛻䛚䛡䜛ศᏊ⏕≀Ꮫⓗ≉ᚩ㻚㻌 㻌 䛆᪂㔜ᗘᇶ‽䛛䜙䜏䛯㔜ᛴᛶ⮅⅖䛾デ ⒪䛇᪂㔜ᗘุᐃᇶ‽䛻䜘䜛㔜ᛴᛶ⮅⅖ デ⒪䛾ホ౯㻚㻌 㻌 㻡㻌 ᮧဢ㻌 㞧ㄅྡ㻘ᕳ㻘㡫㻘Ⓨ⾜ᖺ㻌 㻵㼚㼠㼑㼟㼠㼕㼚㼑㻚㻞㻜㻝㻞㻌 㻺㼛㼢㻧㻝㻢㻔㻢㻕㻦㻡㻠㻝㻙㻡㻠㻤㻌 ᪥ᮏᾘჾෆど㙾Ꮫㄅ㻚㻌 㻞㻜㻝㻞㻌㻰㼑㼏㻧㻡㻠㻔㻝㻞㻕㻦㻟㻣㻥㻣䠉㻤㻜㻟㻚 㻼㼞㼛㼓㼞㼑㼟㼟㻌㼛㼒㻌㻰㼕㼓㼑㼟㼠㼕㼢㼑㻌 㻱㼚㼐㼛㼟㼏㼛㼜㼥㻚㻌㻞㻜㻝㻞㻌㻶㼡㼚㻧㻌 㻤㻜㻔㻞㻕㻦㻝㻠㻞㻙㻝㻠㻟㻚㻌 㻵㼚㼠㼑㼟㼠㼕㼚㼑㻚㻌㻞㻜㻝㻞㻌㻶㼡㼘㻧㻌 㻝㻢㻔㻠㻕㻦㻟㻣㻤㻙㻟㻤㻢㻚㻌 㻌 ᾘჾෆ⛉㻚㻌㻞㻜㻝㻞㻌㻻㼏㼠㻧㻌 㻡㻡㻔㻠㻕㻦㻠㻣㻟㻙㻠㻣㻣㻚㻌 㻌 㻌 ⴭ᭩㻌 㻌 ⴭ⪅ྡ㻌 㻝㻌 ụୖぬಇ㻌 㢟㻌 㻌 ྡ㻌 㻱㻮㻰䠄ෆど㙾ⓗ⫹㐨䝗䝺䝘䞊䝆 ⾡䠖䝥䝷䝇䝏䝑䜽䝇䝔䞁䝖䠅㻚㻌 ➨㻟 ❶ 㻱㻾㻯㻼 㛵㐃ᡭᢏ㻚㻌 㻌 ᭩㻌 㻌 ྡ㻌 ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ㻌 ⫹ ⮅ ෆ ど 㙾 䛾 デ ᩿ 䞉 㻞㻜㻢㻙㻞㻝㻝㻘㻌㻞㻜㻝㻞㻚㻌 ⨺ᅵ ♫㻚㻌 ⒪䛾ᇶᮏᡭᢏ㻌 ᨵ 㻌 ゞ㻞∧㻌 ⣒㝯ኵ㻌 㻌 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌 ᮧဢ㻌 㢟㻌 㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 ᛴᛶ⫹▼ᛶ⮅⅖䛻ᑐ䛩䜛ෆど㙾 ➨㻤㻟ᅇ᪥ᮏᾘჾෆ Ⓨ⾲ᖺ᭶᪥㻌 㻞㻜㻝㻞㻚㻡㻌 ⒪䛾⌧≧䛸⒪ᡓ␎㻌 䠄䝅䞁䝫 ど㙾Ꮫ⥲㻌 䠄ᮾ 䝆䜴䝮㻞䠊⫹䞉⮅ᝈ䛾ᩆᛴ་⒪ ி䠅㻌 䛾⌧≧䛸⒪ᡓ␎䠅㻌 㻞㻌 ᮧဢ㻌 㻌 ᚋᮇ㧗㱋⪅䛻ᑐ䛩䜛ෆど㙾ⓗ⫹ ➨㻤㻠ᅇ᪥ᮏᾘჾෆ 㻞㻜㻝㻞㻚㻝㻜㻌 ⟶⤖▼㝖ཤ⾡䛾ᡂ⦼㻌 䠄䝟䝛䝹䝕 ど㙾Ꮫ⥲䠄⚄ᡞ䠅 䜱䝇䜹䝑䝅䝵䞁㻞㻡䠊㻣㻡ṓ௨ୖ䛾ᚋᮇ 㧗㱋⪅䛻ᑐ䛩䜛⫹▼䛾⒪ᡓ ␎䠅㻌 㻟㻌 ᒣᮧ㻌 ᙪ㻌 ⱞ③䛺䛟Ᏻ䛺⭠ෆど㙾䛾ᤄ 㻶㻰㻰㼃㻞㻜㻝㻞㻌㻔⚄ᡞ㻕㻌 㻞㻜㻝㻞㻚㻝㻜㻚㻌 ධ䛸ᕤኵ䠄䝽䞊䜽䝅䝵䝑䝥㻌 ᝈ⪅䛻 㻌 䜔䛥䛧䛔⭠ෆど㙾᳨ᰝ䛾ᕤኵ䠅㻌 㻌 㻌 ―144― Ⓨ⾲⪅Ặྡ㻌 㻠㻌 ᮧඖ㻌 ႛ㻌 㢟㻌 㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 㧗㱋⪅䛻䛚䛡䜛ୖ㒊ᾘ⟶ฟ⾑ ➨㻤㻠ᅇ᪥ᮏᾘჾෆ 㻞㻜㻝㻞㻚㻝㻜㻌 䛻ᑐ䛩䜛⥭ᛴෆど㙾᳨ᰝ䛾⌧≧ ど㙾Ꮫ⥲䠄⚄ᡞ䠅 䛸ෆど㙾ⓗṆ⾑⾡䛾㐺ᛂ䛚䜘䜃 Ṇ⾑⾡㻌 ᚋฟ⾑䛾ண ᅉᏊ䛻 㛵䛩䜛᳨ウ㻚㻌 㻔䝽䞊䜽䝅䝵䝑䝥㻕㻚㻌 ⚄ ᡞ㻘㻌㻝㻜㻙㻝㻟㻌㻻㼏㼠㻌㻞㻜㻝㻞㻌 㻡㻌 ∦᱒㻌 ᩔ㻌 ᙜ⛉䛻䛚䛡䜛ᩳᆺ㏱᫂䝣䞊䝗䜢⏝ ➨㻥㻠ᅇ᪥ᮏᾘჾෆ 㻞㻜㻝㻞㻚㻢㻌 䛔䛯⭠ෆど㙾㻚㻌㻔䝽䞊䜽䝅䝵䝑䝥㻕㻌 ど㙾Ꮫ㛵ᮾᆅ᪉ 䠄ᮾி䠅㻌 㻢㻌 ᪂ᮧ㻌 㻱㻿㻰 䛻䛶デ᩿ⓗ⒪䜢⾜䛳䛯ྠ ᛶከⓎ 㼓㼍㼟㼠㼞㼕㼏㻌㼏㼍㼞㼏㼕㼚㼛㼙㼍㻌㼣㼕㼠㼔㻌 㼘㼥㼙㼜㼔㼛㼕㼐㻌 㻌 㼟㼠㼞㼛㼙㼍 䛾୍㻌 㻌 ➨㻤㻠ᅇ᪥ᮏᾘჾෆ 㻞㻜㻝㻞㻚㻝㻜㻌 ど㙾Ꮫ㻚㻌 ⚄ᡞ㻌 㻌 㻡䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟ෆど㙾᭦᪂㻌 䝝䜲䝡䝆䝵䞁ᑐᛂ䛾ෆど㙾䠄㻴㻞㻢䠌㻭㻵䠅䜢㻝ᮏ㏣ຍ䛧䛯䚹㻌 䐠Ᏻ䛺᳨ᰝ㻌 ་ᖌ䚸┳ㆤᖌ䛾ດຊ䜒䛒䜚䚸㔜䛺䝖䝷䝤䝹䛿㉳䛣䜙䛺䛛䛳䛯䚹㻌 䐡⒪ෆど㙾㻌 㣗㐨䞉⫶䞉⭠䛾 㻱㻹㻾䞉㻱㻿㻰 ⒪䛜㏆㞄䛛䜙䛾⤂䜒䛒䜚ቑຍ䛧䛶䛔 䜛䚹㻌 ⫹⮅㛵㐃䛾⒪䜒ቑຍ䛧䛶䛔䜛䚹㻌 㻌 㻢䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃䜘䜚Ⰻ䛔䚸Ᏻ䛷䝺䝧䝹䛾㧗䛔་⒪䛸᳨ᰝ௳ᩘ䛾ቑຍ䜢┠ᣦ䛧䛶ດຊ䜢⥅⥆䛩䜛䚹㻌 䖃⒪ෆど㙾䛾䝺䝧䝹䜢᭦䛻㧗䜑䜛䜘䛖䛻ດຊ䜢⥅⥆䛩䜛䚹㻌 䖃ᖹᡂ㻞㻡ᖺᗘ䛻ෆど㙾䝉䞁䝍䞊䛾ᨵಟ䜢⾜䛖䚹㻌 㒊ᒇᩘ䛜㻡㒊ᒇ䛛䜙㻣㒊ᒇ䛻ቑຍ䛩䜛䚹㻌 ᝈ⪅䛥䜣䛾ᛌ㐺ᛶྥୖ䛾䛯䜑䛻䝸䜹䝞䝸䞊䚸䝖䜲䝺䜢ᨵಟ䛩䜛䚹㻌 䜘䜚Ᏻ䛻⒪ෆど㙾䜢⾜䛘䜛ෆど㙾ᐊ䛻ᨵಟ䛩䜛䚹㻌 䖃ᖹᡂ㻞㻡ᖺᗘ䛻Ẽ⟶ᨭ⭍ෆ㉸㡢Ἴ᩿ᒙἲ䠄㻱㻮㼁㻿䠅䜢ᑟධ䛩䜛䚹㻌 デ᩿䛜ᅔ㞴䛺⫵䛾ᮎᲈኚ䛻ᑐ䛧䛶㉸㡢Ἴ䜺䜲䝗䝅䞊䝇ἲ䜢⏝䛔䜛䛣䛸䛻䜘䜚デ᩿⋡䛾ྥୖ 䛜ᅗ䜜䜛䚹⦪㝸䝸䞁䝟⠇䜒⾑⟶㉮⾜䜢☜ㄆ䛧䛺䛜䜙⾜䛘䜛䛯䜑Ᏻ䛻䝸䞁䝟⠇⏕᳨䛜⾜䛘䜛䚹㻌㻌 㻌 ―145― 内視鏡センター 㻌 総合母子周産期医療センター︵産科部門︶ Ꮫ㝔 ୰ኸデ⒪㒊㛛 昭和大学病院 中央診療部門 １− 1）総合母子周産期医療センター（産科部門） 㻝㻙㻝㻌 ⥲ྜẕᏊ࿘⏘ᮇ་⒪ࢭࣥࢱ࣮㸦⏘⛉㒊㛛㸧 㸬⌮ᛕ࣭┠ᶆ ⏘⛉ࠊ᪂⏕ඣ࣭ᮍ⇍ඣ㒊㛛ࠊᑠඣእ⛉ࡢྛ㒊㛛ࡀᐦ᥋㐃ᦠࡋࠊዷፎ㧗⾑ᅽೃ⩌ࠊ᪩⏘ࠊ ከ⫾ዷፎࠊ⫾ඣᝈࠊẕయྜే࡞ࡢ⟶⌮ࠊ⫾ඣᮇࡽ᪂⏕ඣᮇ㐃⥆ⓗࢣ࣮࣭⒪ࢆ ⥲ྜⓗ⾜ࡗ࡚࠾ࡾࠊ⏕ࡲࢀࡓᚋࡢ㉥ࡕࡷࢇࡣᚲせᛂࡌ࡚ࠊ᪂⏕ඣ㞟୰⒪ᐊ㸦1,&8㸧 ධ㝔ࡋࠊ྾࣭ᚠ⎔⟶⌮ࢆ୰ᚰࡋࡓ㞟୰⒪ࢆ⾜࠸ࡲࡍࠋࡉࡽࠊࡁࡵ⣽࡞ᰤ㣴⟶⌮ࡸ ឤᰁᑐ⟇ࢆ⾜࠺ࡇ࡛ࠊ㉥ࡕࡷࢇࡢࡼࡾࡸ࡞ᡂ㛗ࢆᡭຓࡅࡋ࡚࠸ࡿࠋࡲࡓࠊዷፎ୰ࡢẕ యࡢ⥭ᛴែᑐᛂࡍࡿࡓࡵࠊᩆᛴᩆࢭࣥࢱ࣮ࠊ⬻⚄⤒እ⛉ࠊᚠ⎔ჾෆ⛉࡞㐃ᦠࡋࠊ 㒔ෆ࡛Ⓨ⏕ࡋࡓẕయᩆࡀᚲせ࡞ዷ፬ࡉࢇࢆ✚ᴟⓗཷࡅධࢀ࡚࠸ࡲࡍࠋ㸦ẕయᩆᑐᛂᆺ ⥲ྜ࿘⏘ᮇẕᏊ་⒪ࢭࣥࢱ࣮ࡋ࡚ࠊ᪥ᮏᏛᯈᶫ㝔㸦ᯈᶫ༊㸧ࠊ᪥㉥་⒪ࢭࣥࢱ࣮㸦᪂ ᐟ༊㸧ࠊ㒔❧ከᦶ࣭ᑠඣ⥲ྜ་⒪ࢭࣥࢱ࣮㸦ᗓ୰ᕷ㸧ᙜ␒ไ࡛ᑐᛂࡋ࡚࠸ࡲࡍ㸧 㸬ேဨᵓᡂ ࢭࣥࢱ࣮㛗 ᒸᓫᩍᤵ ᩍᤵ ୗᖹஂࠊ ㅮᖌ ᕷሯΎࠊᯇᒸ㝯ࠊ ຓᩍ 㛗㇂ᕝ₶୍ࠊᑠฟ㤾Ꮚࠊ௰ᮧᑗග 㸬ᴗົᐇ⦼ ձ ศፔᡭ⾡௳ᩘ ศፔ௳ᩘ ᖇ⋤ษ㛤௳ᩘ ẕయᦙ㏦౫㢗௳ᩘ 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 䖃♫ ♫䞉ᆅᇦ㈉⊩άື㻌 㻌 㻌 㻌 㛤ദᖺ᭶᪥㻌 㻝㻌 ᖹᡂ 㻞㻟 ᖺ 㻝㻞 ᭶ 㻠 ᪥㻌 ෆᐜ㻌 㛤ദᆅ㻌 ➨㸵ᅇ᪂⏕ඣ⸽⏕ἲࠕᑓ㛛ࠖࢥ࣮ࢫ㸦㻭 㻝 ྕ㤋 㻡 㝵㆟ᐊ㻌 ࢥ࣮ࢫ㸧㻌 㻞㻌 ᖹᡂ 㻞㻠 ᖺ 㻞 ᭶ 㻢 ᪥㻌 ➨ 㻝㻢 ᅇ࿘⏘ᮇ⟶⌮◊✲ ⤧ẟ㸦㻟㸧㻌 Ꮫ㝔㻌 㻟㻌 ᖹᡂ 㻞㻠 ᖺ 㻝 ᭶ 㻟㻜 ᪥㻌 ➨ 㻝㻡 ᅇ࿘⏘ᮇ⟶⌮◊✲ 㻌 Ꮫ㝔㻌 ⤧ẟ᥇ྲྀࡢ⌮ㄽᐇ㝿㸦㸰㸧㻌 㻠㻌 ᖹᡂ 㻞㻟 ᖺ 㻝㻞 ᭶ 㻝㻞 ᪥ ➨ 㻝㻠 ᅇ࿘⏘ᮇ⟶⌮◊✲㻌 Ꮫ㝔㻌 ⮫ᗋ⤫ィࡢᇶ♏▱㆑㸦㸲㸧㻌 㻡㻌 ᖹᡂ 㻞㻟 ᖺ 㻠 ᭶ 㻝㻤 ᪥㻌 ➨ 㻝㻟 ᅇ࿘⏘ᮇ⟶⌮◊✲㻌 ዷፎ㧗⾑ᅽೃ⩌࡛ࡢዷ⏘፬Ṛஸࡢ᳨ウ㻌 ―146― Ꮫ㝔㻌 ➨ 㻝㻞 ᅇ࿘⏘ᮇ⟶⌮◊✲㻌 Ꮫ㝔㻌 ⤧ẟ᥇ྲྀࡢ⌮ㄽᐇ㝿㸦ࣃ࣮ࢺ 㻝㸧㻌 㻣㻌 ᖹᡂ 㻞㻠 ᖺ 㻞 ᭶ 㻠 ᪥㻌 ➨ 㻝㻞 ᅇࡍࡇࡸ⮫ᗋ㑇ఏࢭ࣑ࢼ࣮㸦ㅮ₇ Ꮫ㝔㻌 㸧㻌 㻤㻌 ᖹᡂ 㻞㻟 ᖺ 㻝㻜 ᭶ 㻞㻡 ᪥ ➨ 㻝㻝 ᅇࡍࡇࡸ⮫ᗋ㑇ఏࢭ࣑ࢼ࣮㻌 Ꮫ㝔㻌 ⤧ẟ᳨ᰝ࡛ᰁⰍయ␗ᖖ㻌 㻥㻌 ᖹᡂ 㻞㻟 ᖺ 㻥 ᭶ 㻝㻟 ᪥㻌 ➨ 㻝㻜 ᅇࡍࡇࡸ⮫ᗋ㑇ఏࢭ࣑ࢼ࣮㻌 Ꮫ㝔㻌 㻱㼜㼕㼓㼑㼚㼑㼠㼕㼏㼟 ࡘ࠸࡚ࡢ᭱㏆ࡢヰ㢟㻌 㻝㻜㻌 ᖹᡂ 㻞㻟 ᖺ 㻣 ᭶ 㻞㻞 ᪥㻌 ➨ 㻥 ᅇࡍࡇࡸ⮫ᗋ㑇ఏࢭ࣑ࢼ࣮㻌 Ꮫ㝔㻌 ࠕᛶศᝈࠖ㻌 㻝㻝㻌 ᖹᡂ 㻞㻟 ᖺ 㻢 ᭶ 㻤 ᪥㻌 ➨ 㻤 ᅇࡍࡇࡸ⮫ᗋ㑇ఏࢭ࣑ࢼ࣮㻌 Ꮫ㝔㻌 㻠㻡㻘㼄㻛㻠㻢㻘㼄㼅 ࡢࣔࢨࢡ㻌 㻌 䖃◊✲ᴗ⦼㻌 Ⓨ⾲ㄽᩥ㻌 㻌 ⴭ⪅ྡ㻌 㻝㻌 㼅㼍㼟㼡㼟㼔㼕㻿㼍㼟㼍㼗㼕㻘㻚㻘㻌 㻷㼛㼕㼏㼔㼕㻻㼓㼍㼣㼍㻘㻌 㻌 㻶㼡㼚㼀㼍㼗㼍㼔㼍㼟㼔㼕㻘㻌 㼀㼍㼗㼍㼟㼔㼕㻌㻻㼗㼍㼕㻘㻌 㻌 㻞㻌 㼃㼕㼎㼛㼣㼛㻺㻘㻌 㻌 㻼㼡㼞㼣㼛㼟㼡㼚㼡㼅㻘㻌 㻿㼑㼗㼕㼦㼍㼣㼍㻌㻭㻘㻌 㻌 㻲㼍㼞㼕㼚㼍㻌㻭㻘㻌 㻌 㼀㼍㼙㼎㼡㼚㼍㼚㼂㻘㻌 㻮㼍㼞㼐㼛㼟㼛㼚㼛㻌㻿㻌 㻟㻌 㻲㼛㼤㻌㻯㻱㻘㻌㻿㼑㼗㼕㼦㼍㼣㼍㻌 㻭㻘㻌㻼㼞㼑㼠㼘㼛㼢㼑㻌㻿㻶㻘㻌 㻯㼔㼍㼚㻌㻮㻯㻘㻌㻻㼗㼍㼕㻌㼀㻘㻌 㻷㼕㼘㼎㼥㻌㻹㻰㻌㻌 㻠㻌 㻿㼡㼚㼓㼗㼍㼞㻭㻘㻌 㻼㼡㼞㼣㼛㼟㼡㼚㼡㼅㻘㻌 㻌 㻭㼦㼕㼦㻌㻹㻲㻘㻌 㻌 㻼㼞㼍㼠㼛㼙㼛㻌㻴㻘㻌 㻌 㻿㼡㼠㼞㼕㼟㼚㼍㻮㻘㻌 㻿㼑㼗㼕㼦㼍㼣㼍㻌㻭㻌 㻡㻌 㻿㼡㼦㼡㼗㼕㻌㼃㻘㻌 㻌 㻻㼟㼍㼗㼍㼀㻘㻌 㻌 㻿㼑㼗㼕㼦㼍㼣㼍㻭㻘㻌 㻷㼕㼠㼍㼓㼍㼣㼍㻹㻘㻌 㻴㼛㼚㼙㼍㻵㻌 㢟ྡ㻌 㻯㼛㼙㼜㼘㼑㼠㼑㻌㻴㼥㼐㼍㼠㼕㼐㼕㼒㼛㼞㼙㻌㻹㼛㼘㼑㻌㻯㼛㼑㼤㼕㼟㼠㼕㼚㼓㻌㼣㼕㼠㼔㻌 㼍㻌 㻺㼛㼞㼙㼍㼘㻌 㻲㼑㼠㼡㼟㻌 㻰㼑㼘㼕㼢㼑㼞㼑㼐㻌 㼍㼠㻌 㻟㻟㻌 㼃㼑㼑㼗㼟㻌 㼛㼒㻌 㻳㼑㼟㼠㼍㼠㼕㼛㼚㻌 㼍㼚㼐㻌 㻵㼚㼢㼛㼘㼢㼕㼚㼓㻌 㻹㼍㼠㼑㼞㼚㼍㼘㻌 㻸㼡㼚㼓㻌 㻹㼑㼠㼍㼟㼠㼍㼟㼕㼟㻌㻭㻌㻯㼍㼟㼑㻌㻾㼑㼜㼛㼞㼠㻌 㼂㼕㼠㼍㼙㼕㼚㻌㻮㻢㻌㼟㼡㼜㼜㼘㼑㼙㼑㼚㼠㼍㼠㼕㼛㼚㻌㼕㼚㻌 㻌 㼜㼞㼑㼓㼚㼍㼚㼠㻌㼣㼛㼙㼑㼚㻌㼣㼕㼠㼔㻌㼚㼍㼡㼟㼑㼍㻌㼍㼚㼐㻌 㻌 㼢㼛㼙㼕㼠㼕㼚㼓㻌 㻌 㞧ㄅྡ㻘ᕳ㻘㡫㻘Ⓨ⾜ᖺ㻌 㼀㼔㼑㻌㻶㼛㼡㼞㼚㼍㼘㻌㼛㼒㻌 㻌 㻾㼑㼜㼞㼛㼐㼡㼏㼠㼕㼢㼑㻌㻹㼑㼐㼕㼏㼕㼚㼑㻌 㻌 㻞㻜㻝㻞㻌㻶㼡㼘㻙㻭㼡㼓㻧㻡㻣㻔㻣㻙㻤㻕㻌 㻌 㻼㻟㻜㻝㹼㻼㻟㻜㻠㻌 㻵㼚㼠㻌㻶㻌㻳㼥㼚㼍㼑㼏㼛㼘㻌㻻㼎㼟㼠㼑㼠㻚㻌 㻌 㻞㻜㻝㻞㻌㻹㼍㼞㻧㻝㻝㻢㻔㻟㻕㻦㻞㻜㻢㻙㻝㻜㻌 㻹㼍㼠㼑㼞㼚㼍㼘㻌㼏㼑㼘㼘㻙㼒㼞㼑㼑㻌㼙㼑㼟㼟㼑㼚㼓㼑㼞㻌㻾㻺㻭㻌㼕㼚㻌 㻌 㼠㼣㼕㼚㻌㼜㼞㼑㼓㼚㼍㼚㼏㼕㼑㼟㻦㻌㼠㼔㼑㻌㼑㼒㼒㼑㼏㼠㼟㻌㼛㼒㻌 㻌 㼏㼔㼛㼞㼕㼛㼚㼕㼏㼕㼠㼥㻌㼍㼚㼐㻌㼟㼑㼢㼑㼞㼑㻌㼠㼣㼕㼚㻌㼠㼛㻌㼠㼣㼕㼚㻌 㻌 㼠㼞㼍㼚㼟㼒㼡㼟㼕㼛㼚㻌㼟㼥㼚㼐㼞㼛㼙㼑㻌㻔㼀㼀㼀㻿㻕㻚㻌 㻵㼚㼒㼘㼡㼑㼚㼏㼑㻌㼛㼒㻌㼑㼍㼞㼘㼥㻌㼟㼑㼘㼒㻙㼐㼕㼍㼓㼚㼛㼟㼕㼟㻌㼍㼚㼐㻌 㻌 㼠㼞㼑㼍㼠㼙㼑㼚㼠㻌㼛㼒㻌㼎㼍㼏㼠㼑㼞㼕㼍㼘㻌㼢㼍㼓㼕㼚㼛㼟㼕㼟㻌㼛㼚㻌 㻌 㼜㼞㼑㼠㼑㼞㼙㻌㼎㼕㼞㼠㼔㻌㼞㼍㼠㼑㻚 㻌 㻌 㻭㼏㼠㼍㻌㻻㼎㼟㼠㼑㼠㻌㻳㼥㼚㼑㼏㼛㼘㻌 㻌 㻿㼏㼍㼚㼐㻌㻞㻜㻝㻞㻌㻻㼏㼠㻧㻌 㻌 㻥㻝㻔㻝㻜㻕㻦㻝㻞㻜㻢㻙㻝㻝㻌 㻌 㻵㼚㼠㻌 㻶㻌 㻳㼥㼚㼍㼑㼏㼛㼘㻌 㻻㼎㼟㼠㼑㼠㻚㻌 㻞㻜㻝㻞㻌㻶㼡㼚㻧㻝㻝㻣㻔㻟㻕㻦㻞㻢㻠㻙㻣㻌 㻰㼑㼢㼑㼘㼛㼜㼙㼑㼚㼠㻌 㼛㼒㻌 㼍㻌 㼒㼕㼎㼞㼛㼡㼟㻌 㻰㻺㻭㻌 㼏㼔㼕㼜㻌 㼒㼛㼞㻌 㻵㼚㼠㻌㻶㻌㻴㼑㼙㼍㼠㼛㼘㻚㻌㻞㻜㻝㻞㻌 㻌 㼏㼛㼟㼠㻙㼑㼒㼒㼑㼏㼠㼕㼢㼑㻌䃑㻙㼠㼔㼍㼘㼍㼟㼟㼑㼙㼕㼍㻌㼓㼑㼚㼛㼠㼥㼜㼕㼚㼓㻌 㻿㼑㼜㻧㻌㻥㻢㻔㻟㻕㻦㻌㻟㻜㻝㻙㻣㻌 ―147― 総合母子周産期医療センター︵産科部門︶ 㻢㻌 ᖹᡂ 㻞㻟 ᖺ 㻠 ᭶ 㻝㻟 ᪥㻌 総合母子周産期医療センター︵産科部門︶ 㻢㻌 㻵㼏㼔㼕㼦㼡㼗㼍㻷㻘㻌 㻴㼍㼟㼑㼓㼍㼣㼍㻶㻘㻌 㻺㼍㼗㼍㼙㼡㼞㼍㻹㻘㻌 㻹㼍㼠㼟㼡㼛㼗㼍㻾㻘㻌 㻿㼑㼗㼕㼦㼍㼣㼍㻌㻭㻘㻌 㻌 㻻㼗㼍㼕㻌㼀㻘㻌 㻌 㼁㼙㼑㼙㼡㼞㼍㻌㻿㻌 㻣㻌 㻴㼡㼕㻌㻸㻘㻌㻿㼘㼛㼚㼕㼙㻌㻰㻷㻘㻌 㼃㼕㼏㼗㻌㻴㻯㻘㻌 㻶㼛㼔㼚㼟㼛㼚㻌㻷㻸㻘㻌 㻷㼛㼕㼐㼑㻌㻷㻘㻌 㻮㼕㼍㼚㼏㼔㼕㻌㻰㼃㻌 㻤㻌 㻴㼍㼟㼑㼓㼍㼣㼍㻶㻘㻌 㻺㼍㼗㼍㼙㼡㼞㼍㻹㻘㻌 㻴㼍㼙㼍㼐㼍㻿㻘㻌 㻹㼍㼠㼟㼡㼛㼗㼍㻾㻘㻌 㻵㼏㼔㼕㼦㼡㼗㼍㻷㻘㻌 㻿㼑㼗㼕㼦㼍㼣㼍㻌㻭㻘㻌 㻌 㻻㼗㼍㼕㻌㼀㻌 㻥㻌 㻴㼍㼟㼑㼓㼍㼣㼍㻶㻘㻌 㻺㼍㼗㼍㼙㼡㼞㼍㻹㻘㻌 㻴㼍㼙㼍㼐㼍㻿㻘㻌 㻌 㻻㼗㼡㼥㼍㼙㼍㻭㻘㻌 㻹㼍㼠㼟㼡㼛㼗㼍㻾㻘㻌 㻵㼏㼔㼕㼦㼡㼗㼍㻷㻘㻌 㻿㼑㼗㼕㼦㼍㼣㼍㻌㻭㻘㻌 㻌 㻻㼗㼍㼕㻌㼀㻚㻌 㻝㻜㻌㻌 㻺㼍㼗㼍㼙㼡㼞㼍㻹㻘㻌 㻴㼍㼟㼑㼓㼍㼣㼍㻶㻘㻌 㻹㼍㼠㼟㼡㼍㼗㼍㻾㻘㻌 㻹㼕㼙㼡㼞㼍㼀㻘㻌 㻌 㻵㼏㼔㼕㼦㼡㼗㼍㻷㻘㻌 㻿㼑㼗㼕㼦㼍㼣㼍㻌㻭㻘㻌 㻻㼗㼍㼕㻌㼀㻌 㻌 㻝㻝㻌 ᚨ୰┿⏤⨾ࠊᑠᕝ බ୍ࠊ㐲ṊᏕ♸ࠊ ๓⏣㞝ᓅࠊᐑୖ ဴࠊ᪂ᇛᱻࠊྜྷỤ ṇ⣖ࠊᏳ⸨┤Ꮚࠊ బࠎᮌᗣࠊ㧗ᶫㄭ 㻝㻞㻌 ℩ᐶᏊࠊ㛗㇂ᕝ ₶୍ࠊ௰ᮧᑗගࠊ ℈⏣ᑦᏊࠊ⃝⏣┿ ⣖ࠊᑠฟ㤾Ꮚࠊᯇ ᒸ㝯ࠊᕷሯΎࠊ ᵳඞᩥࠊ㛵ἑ᫂ ᙪࠊᒸᓫ㻌 㻴㼕㼓㼔㻙㼕㼚㼠㼑㼚㼟㼕㼠㼥㻌㼒㼛㼏㼡㼟㼑㼐㻌㼡㼘㼠㼞㼍㼟㼛㼡㼚㼐㻌 㻌 㼠㼞㼑㼍㼠㼙㼑㼚㼠㻌㼒㼛㼞㻌㼠㼣㼕㼚㻌㼞㼑㼢㼑㼞㼟㼑㼐㻌㼍㼞㼠㼑㼞㼕㼍㼘㻌 㻌 㼜㼑㼞㼒㼡㼟㼕㼛㼚㻌㼟㼑㼝㼡㼑㼚㼏㼑㻌 㻌 㼁㼘㼠㼞㼍㼟㼛㼡㼚㼐㻌㻻㼎㼟㼠㼑㼠㻌 㻌 㻳㼥㼚㼑㼏㼛㼘㻚㻌㻞㻜㻝㻞㻧㻌㻠㻜㻔㻠㻕㻦㻌 㻌 㻠㻣㻢㻙㻠㻢㻤㻌 㻺㼛㼢㼑㼘㻌 㼚㼑㼡㼞㼛㼐㼑㼢㼑㼘㼜㼙㼑㼚㼠㼍㼘㻌 㼕㼚㼒㼛㼞㼙㼍㼠㼕㼛㼚㻌 㻴㼡㼙㻌㻳㼑㼚㼑㼠㻚㻌㻞㻜㻝㻞㻌㻺㼛㼢㻌 㼞㼑㼢㼑㼍㼘㼑㼐㻌 㼕㼚㻌 㼍㼙㼚㼕㼛㼠㼕㼏㻌 㼒㼘㼡㼕㼐㻌 㼟㼡㼜㼑㼞㼚㼍㼠㼍㼚㼠㻌 㻝㻟㻝㻔㻝㻝㻕㻌㻝㻣㻡㻝㻙㻝㻣㻡㻌 㼠㼞㼍㼚㼟㼏㼞㼕㼜㼠㼟㻌 㼒㼞㼛㼙㻌 㼒㼑㼠㼡㼟㼑㼟㻌 㼣㼕㼠㼔㻌 㼠㼞㼕㼟㼛㼙㼕㼑㼟㻌 㻝㻤㻌 㼍㼚㼐㻌㻞㻝㻌 㻌 㻼㼞㼑㼐㼕㼏㼠㼕㼛㼚㻌㼛㼒㻌㼔㼑㼙㼛㼞㼞㼔㼍㼓㼑㻌㼕㼚㻌㼜㼘㼍㼏㼑㼚㼠㼍㻌㼜㼞㼑㼢㼕㼍㻌 㼀㼍㼕㼣㼍㼚㻌㻶㻌㻻㼎㼟㼠㼑㼠㻌 㻌 㻳㼥㼚㼑㼏㼛㼘㻚㻌㻞㻜㻝㻞㻌㻹㼍㼞㻧㻌 㻌 㻡㻝㻔㻝㻕㻦㻟㻙㻢㻌 㻳㼑㼟㼠㼍㼠㼕㼛㼚㼍㼘㻌㼣㼑㼕㼓㼔㼠㻌 㼘㼛㼟㼟㻌 㼔㼍㼟㻌 㼍㼐㼢㼑㼞㼟㼑㻌 㼑㼒㼒㼑㼏㼠㼟㻌 㻶㻌㻹㼍㼠㼑㼞㼚㻌㻲㼑㼠㼍㼘㻌 㻌 㼛㼚㻌㼜㼘㼍㼏㼑㼚㼠㼍㼘㻌㼐㼑㼢㼑㼘㼛㼜㼙㼑㼚㼠㻌 㻺㼑㼛㼚㼍㼠㼍㼘㻌㻹㼑㼐㻚㻌㻞㻜㻝㻞㻌 㻌 㻻㼏㼠㻧㻌㻞㻡㻔㻝㻜㻕㻦㻝㻥㻜㻥㻙㻝㻞㻌 㻭㼙㼛㼡㼚㼠㻌 㼛㼒㻌 㼔㼑㼙㼛㼞㼞㼔㼍㼓㼑㻌 㼐㼡㼞㼕㼚㼓㻌 㼢㼍㼓㼕㼚㼍㼘㻌 㻶㻌 㻻㼎㼟㼠㼑㼠㻌 㻳㼥㼚㼍㼑㼏㼛㼘㻌 㻾㼑㼟㻚㻌 㼐㼑㼘㼕㼢㼑㼞㼥㻌㼏㼛㼞㼞㼑㼘㼍㼠㼑㼟㻌㼣㼕㼠㼔㻌㼘㼑㼚㼓㼠㼔㻌㼒㼞㼛㼙㻌㼜㼘㼍㼏㼑㼚㼠㼍㼘㻌 㻞㻜㻝㻞㻌㻭㼡㼓㻧㻟㻤㻔㻤㻕㻦㻝㻜㻠㻝㻙㻡㻌 㼑㼐㼓㼑㻌 㼠㼛㻌 㼑㼤㼠㼑㼞㼚㼍㼘㻌 㼛㼟㻌 㼕㼚㻌 㼏㼍㼟㼑㼟㻌 㼣㼕㼠㼔㻌 㼘㼛㼣㻙㼘㼥㼕㼚㼓㻌 㼜㼘㼍㼏㼑㼚㼠㼍㻌 㼣㼔㼛㼟㼑㻌 㼘㼑㼚㼓㼠㼔㻌 㼎㼑㼠㼣㼑㼑㼚㻌 㼜㼘㼍㼏㼑㼚㼠㼍㼘㻌 㼑㼐㼓㼑㻌㼍㼚㼐㻌㼕㼚㼠㼑㼞㼚㼍㼘㻌㼛㼟㻌㼣㼍㼟㻌㻝㻙㻞㻌㼏㼙㻌 Ꮚᐑయࡀࢇࡢ 㻹㻾㻵 ࠾ࡼࡧෆ⭷⤌⧊⏕ 㛵ᮾ㐃ྜ⏘⛉፬ே⛉Ꮫ ᳨ࡼࡿ⾡๓デ᩿ࡢ⢭ᗘ㛵ࡍࡿ᳨ウ㻌 ㄅ 㼂㻻㻸㻚㻠㻥㻌㻺㻻㻚㻠㻌 㻌 㻌 㻔㻞㻜㻝㻞㻕㻦㻠㻤㻥㻙㻠㻥㻠㻌 㧗㱋ዷፎ࠾࠸࡚ẕయ࣭⫾ඣࡢணᚋࢆᝏ ᪥ᮏ࿘⏘ᮇ࣭᪂⏕ඣ་Ꮫ ࡉࡏࡿᅉᏊࡘ࠸࡚ࡢ᳨ウ㻌 ㄅ ➨ 㻠㻤 ᕳ㻌 ➨ 㻝 ྕ 㻢㻜㻌 㻢㻠 㡫㻌 㻞㻜㻝㻞 ᖺ㻌 ―148― 㻾㼑㼠㼞㼛㼟㼜㼑㼏㼠㼕㼢㼑㻌㼏㼛㼔㼛㼞㼠㻌㼟㼠㼡㼐㼥㻌㻦㼍㻌 㻌 㼏㼛㼙㼜㼍㼞㼕㼟㼛㼚㻌㼛㼒㻌㼠㼣㼛㻌㼐㼕㼒㼒㼑㼞㼑㼚㼠㻌 㻌 㼙㼍㼚㼍㼓㼑㼙㼑㼚㼠㻌㼟㼠㼞㼍㼠㼑㼓㼕㼑㼟㻌㼕㼚㻌 㻼㼍㼠㼕㼑㼚㼠㼟㻌㼣㼕㼠㼔㻌㼜㼞㼑㼠㼑㼞㼙㻌㼜㼞㼑㼙㼍㼠㼡㼞㼑㻌 㻌 㼞㼡㼜㼠㼡㼞㼑㻌㼛㼒㻌㼙㼑㼙㼎㼞㼍㼚㼑㼟㻌 㻭㼞㼏㼔㻌㻳㼥㼚㼑㼏㼛㼘㻌㻻㼎㼟㼠㼑㼠㻌 㻌 㻞㻤㻢㻌 㻔㻞㻕㻌㻟㻟㻣㻙㻟㻠㻡㻌 㻌 㻔㻞㻜㻝㻞㻕㻌 㻌 ⭡⭍㙾ୗᡭ⾡⭡⭍㙾⏝㉸㡢Ἴࡀ᭷⏝࡛ ࠶ࡗࡓⓎ⢓⭷ୗ⭘⒆ࡢ 㻝 㻌 㻌 ㉸㡢Ἴ་Ꮫㄅ 㻟㻥 ᕳ 㻞 ྕ㻌 㻼㼍㼓㼑㻝㻟㻥㻙㻝㻠㻞㻌 㻌 㻔㻞㻜㻝㻞㻚㻜㻟㻕㻌 㻌 ༸⟶㛫㉁㒊ዷፎᑐࡋ⭡⭍㙾ୗ 㻯㼛㼞㼚㼡㼛㼟㼠㼛㼙㼥㻔༸⟶ษ㛤⾡㻕ࢆ⾜ࡋࡓ 㻝 㻌 㛵ᮾ㐃ྜ⏘⛉፬ே⛉Ꮫ ㄅ 㻠㻥 ᕳ 㻝 ྕ㻌 㻌 㻼㼍㼓㼑㻝㻜㻥㻙㻝㻝㻟㻌 㻌 㻔㻞㻜㻝㻞㻚㻜㻟㻕㻌 ⾡๓デ᩿ⱞ៖ࡋࡓᖖ⫾┙᪩ᮇ㞳ࡢ 㻝 ᮾி⏘⛉፬ே⛉Ꮫㄅ 㻌 㻢㻝 ᕳ࣭㻝 ྕ࣭㻝㻜㻞㹼㻝㻜㻢 㡫࣭ 㻞㻜㻝㻞㻌 㻌 㻌 ⴭ᭩㻌 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌㻌 㛵ἑ᫂ᙪ㻌 㻌 㢟ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 ࢩ࣏ࣥࢪ࣒࢘ࠕᮏ㑥࠾ࡅࡿฟ ➨ 㻟㻤 ᅇ᪥ᮏ㑇ఏ࢝ 㻞㻜㻝㻞 ᖺ 㻢 ᭶ 㻥 ⏕๓デ᩿ࡢ⌧≧ᚋࡢ᪉ྥᛶࠖ࢘ࣥࢭࣜࣥࢢᏛᏛ ᪥㻌 ẕయ⾑୰⫾ඣ 㻰㻺㻭 デ᩿ࡢ⌧≧ ⾡㞟㻌 ᯇᮏ㻌 ᚋࡢ᪉ྥᛶ㻌 㻞㻌 㛵ἑ᫂ᙪࠊᑠฟ㤾Ꮚࠊ ࢩ࣏ࣥࢪ࣒࢘㸸ẕయ⾑ࡽࡢ⫾ ➨ 㻞㻞 ᅇ᪥ᮏ⏘፬ே 㻞㻜㻝㻞 ᖺ 㻢 ᭶ ௰ᮧᑘගࠊᯇᒸ㝯ࠊᕷ ඣሗ㻌 ⛉࣭᪂⏕ඣ⾑ᾮᏛ 㻞㻥 ᪥㻌 ሯΎࠊᒸᓫ㻌 ẕయ⾑ࢆ⏝࠸ࡓዷፎྜేࡢ Ꮫ⾡㞟㻌 ὠ㻌 Ⓨண▱㻌 㻟㻌 㛵ἑ᫂ᙪ㻌 ࢩ࣏ࣥࢪ࣒࢘ࠕዷፎึᮇࡢ⫾ඣ ➨ 㻟㻡 ᅇ᪥ᮏẕయ⫾ 㻞㻜㻝㻞 ᖺ 㻤 ᭶ デ᩿ࢆࡵࡄࡿヰ㢟ࠖ㸸ẕయ⾑୰ ඣ་Ꮫ㻌 㻟㻜 ᪥㻌 ⫾ඣ 㻰㻺㻭 デ᩿㻌 Ꮫ⾡㞟 ᾆᏳ㻌 㻠㻌 㛵ἑ᫂ᙪ㻌 ࢩ࣏ࣥࢪ࣒࢘㸸ዷ፬ࡢ㑇ఏᏛⓗ ᪥ᮏே㢮㑇ఏᏛ➨ 㻞㻜㻝㻞 ᖺ 㻝㻜 ᭶ ᳨ᰝࡢ᭱㏆ࡢືྥၥ㢟Ⅼ㻌 㻡㻣 ᅇ ᮾி㻌 㻞㻡 ᪥㻌 ẕయ⾑ࢆ⏝࠸ࡓ⫾ඣ㑇ఏᏊデ ᩿ࡢ⌧≧㻌 ―149― 総合母子周産期医療センター︵産科部門︶ 㻝㻟㻌 㻭㻌㻿㼔㼕㼚㼖㼛㻘㻌 㻌 㻷㻌㻻㼠㼟㼡㼗㼕㻘㻌 㻌 㻹㻌㻿㼍㼣㼍㼐㼍㻘㻌 㻌 㻴㻌㻻㼠㼍㻘㻌 㻌 㻹㻌㼀㼛㼗㼡㼚㼍㼗㼍㻘㻌 㻌 㼀㻌㻻㼎㼍㻘㻌 㻌 㻾㻌㻹㼍㼠㼟㼡㼛㼗㼍㻘㻌 㻌 㼀㻌㻻㼗㼍㼕㻌 㻌 㻝㻠㻌 ୕ᮧ㈗ᚿࠊ▼ᕝဴ ஓࠊᓥ⏣ెⱑࠊ㣤 ሯ༓⚈ࠊᐑᮏ┿ ࠊᕷཎ୕⩏ࠊ᳃ ᒸᖿࠊ㛗ሯṇࠊ ᒸᓫ㻌 㻝㻡㻌 ୕ᮧ㈗ᚿࠊ▼ᕝဴ ஓࠊ㣤ሯ༓⚈ࠊᐑ ᮏ┿ࠊᕷཎ୕ ⩏ࠊ᳃ᒸᖿࠊ㛗ሯ ṇࠊᒸᓫ㻌 㻝㻢㻌 ᯇᾆ⋹ࠊ㔝ᮧ⏤⣖ Ꮚࠊᖾᮏᗣ㞝ࠊ⚄ ಖṇ㻌 総合母子周産期医療センター︵産科部門︶ 㻡㻌 㻿㼑㼗㼕㼦㼍㼣㼍㻌㻭㻘㻌 㻌 㻼㼡㼞㼣㼛㼟㼡㼚㼡㻌㼅㻘㻌 㻌 㼀㼍㼗㼍㼎㼍㼥㼍㼟㼔㼕㻌㻴㻘㻌 㻌 㻷㼕㼠㼍㼓㼍㼣㼍㻌㻹㻌㻌 㻾㼑㼏㼑㼚㼠㻌㼍㼐㼢㼍㼚㼏㼑㼟㻌㼕㼚㻌㼚㼛㼚㼕㼚㼢㼍㼟㼕㼢㼑㻌 㼜㼞㼑㼚㼍㼠㼍㼘㻌㻰㻺㻭㻌㼐㼕㼍㼓㼚㼛㼟㼕㼟㻌㼒㼞㼛㼙㻌 㼑㼞㼥㼠㼔㼞㼛㼏㼥㼠㼑㼟㻌㼕㼚㻌㼙㼍㼠㼑㼞㼚㼍㼘㻌㼎㼘㼛㼛㼐㻌 㻌 㻲㻰㻰㻙㻹㻮㻌㼃㼃㻾㻯㻌 㻌 㻞㻜㻝㻞㻚㻌㻝㻝㻚㻞㻠㻌 㻞㻜㻝㻞㻌㻔㻲㼑㼠㼍㼘㻌㻰㻺㻰㻌 㻌 㻰㼕㼍㼓㼚㼛㼟㼕㼟㻌㼒㼞㼛㼙㻌 㻌 㻹㼍㼠㼑㼞㼚㼍㼘㻌㻮㼘㼛㼛㼐㻌 㻌 㼃㼛㼞㼘㼐㼣㼕㼐㼑㻌 㻌 㻾㼑㼟㼑㼍㼞㼏㼔㼑㼞㼟㻌 㻌 㻯㼛㼚㼒㼑㼞㼑㼚㼏㼑㻌㻞㻜㻝㻞㻕㻌 㻌 㻷㻭㻺㻭㼆㻭㼃㻭㻌 㻢㻌 ᵳඞᩥࠊᑠฟᐜᏊࠊ⃝ ⅖ᛶᝈࡋ࡚ࡢṑ࿘ࡣ ➨ 㻢㻠 ᅇ᪥ᮏ⏘⛉፬ 㻔㻞㻜㻝㻞 ᖺ 㻠 ᭶ ⏣┿⣖ࠊᒸᓫ㻌 ᪩⏘Ⓨࡢࣜࢫࢡࣇࢡࢱ࣮ ே⛉ᏛᏛ⾡ㅮ₇ 㻝㻟㻙㻝㻡 ᪥㻕 㻌 ࡞ࡾᚓࡿ㻌 ⚄ᡞ㻌 㻣㻌 ᕷሯΎࠊ㛗㇂ᕝ₶୍ࠊ௰ ᙉ ฟ ຊ 㞟 ᮰ ㉸ 㡢 Ἴ ࢆ ⏝ ࠸ ࡓ ➨ 㻡㻝 ᅇ᪥ᮏ་ᕤᏛ 㻞㻜㻝㻞 ᖺ 㻡 ᭶ 㻝㻜 ᪥㻌 ᮧᑗගࠊᯇᒸ㝯ࠊ㛵ἑ᫂ᙪࠊ㼀㻾㻭㻼㼟㼑㼝㼡㼑㼚㼏㼑 ࡢ⫾ඣ⒪ࡢ 㻌 ⚟ᒸ㻌 ⮫ᗋ⤒㦂㻌 ᒸᓫࠊᱵᮧ୍㑻㻌 㻤㻌 ᕷሯΎࠊ㛗㇂ᕝ₶୍ࠊ௰ ⫾ඣ⒪࠾ࡅࡿᙉຊ㞟᮰㉸ ➨ 㻤㻡 ᅇ᪥ᮏ㉸㡢Ἴ 㻞㻜㻝㻞 ᖺ 㻡 ᭶ ᮧᑗගࠊᯇᒸ㝯ࠊ㛵ἑ᫂ᙪࠊ㡢ἼࡢᏳᛶࡢ᳨ウ㻌 ་ᏛᏛ⾡㞟 ᮾ 㻞㻡 ᪥㻌 㻌 ᒸᓫࠊᱵᮧ୍㑻㻌 ி㻌 㻞㻜㻝㻞㻚㻤㻚㻞㻥㻌 㻥㻌 㻷㼕㼥㼛㼠㼍㼗㼑㻌㻵㼏㼔㼕㼦㼡㼗㼍㻘㻌 㻭㻌 㼏㼘㼕㼚㼕㼏㼍㼘㻌 㼠㼞㼕㼍㼘㻌 㼛㼒㻌 㼡㼘㼠㼞㼍㼟㼛㼡㼚㼐㻌㻟㼞㼐㻌㻭㼟㼕㼍㻌㼒㼑㼠㼍㼘㻌 㻌 㻾㼥㼡㻌㻹㼍㼠㼟㼡㼛㼗㼍㻘㻌 㻌 㼠㼞㼑㼍㼠㼙㼑㼚㼠㻌㼒㼛㼞㻌㼀㻾㻭㻼㻌㼟㼑㼝㼡㼑㼚㼏㼑㻌 㼠㼑㼘㼑㼏㼛㼚㼒㼑㼞㼑㼚㼏㼑㻌 㻌 㻌 㼀㼛㼗㼥㼛㻌 㻶㼡㼚㼕㼏㼔㼕㻌㻴㼍㼟㼑㼓㼍㼣㼍㻘㻌 㻌 㻌 㻭㼗㼕㼔㼕㼗㼛㻌㻿㼑㼗㼕㼦㼍㼣㼍㻘㻌 㻌 㼀㼍㼗㼍㼟㼔㼕㻌㻻㼗㼍㼕㻌㻌 㻞㻜㻝㻞㻚㻥㻚㻝㻟㻌 㻝㻜㻌 㻷㼕㼥㼛㼠㼍㼗㼑㻵㼏㼔㼕㼦㼡㼗㼍㻘㻌 㻌 㻭㻌 㼏㼘㼕㼚㼕㼏㼍㼘㻌 㼠㼞㼕㼍㼘㻌 㼛㼒㻌 㼡㼘㼠㼞㼍㼟㼛㼡㼚㼐㻌㻞㻞㼠㼔㻌㼃㼛㼞㼘㼐㻌 㻌 㻶㼡㼚㼕㼏㼔㼕㻴㼍㼟㼑㼓㼍㼣㼍㻘㻌 㻌 㼠㼞㼑㼍㼠㼙㼑㼚㼠㻌㼒㼛㼞㻌㼀㻾㻭㻼㻌㼟㼑㼝㼡㼑㼚㼏㼑㻌 㻯㼛㼚㼓㼞㼑㼟㼟㻌㼛㼚㻌 㻌 㻹㼍㼟㼍㼙㼕㼠㼟㼡㻺㼍㼗㼍㼙㼡㼞㼍㻘㻌 㻌 㻌 㼁㼘㼠㼞㼍㼟㼛㼡㼚㼐㻌㼕㼚㻌 㻌 㻾㼥㼡㻹㼍㼠㼟㼡㼛㼗㼍㻘㻌 㻌 㻻㼎㼟㼠㼑㼠㼞㼕㼏㼟㻌㼍㼚㼐㻌 㻌 㻳㼥㼚㼑㼏㼛㼘㼛㼓㼥㻌 㻭㼗㼕㼔㼕㼗㼛㻿㼑㼗㼕㼦㼍㼣㼍㻘㻌 㻌 㼀㼍㼗㼍㼟㼔㼕㻻㼗㼍㼕㻘㻌 㻌 㻯㼛㼜㼑㼚㼔㼍㼓㼑㼚㻌 㻌 㻰㼑㼚㼙㼍㼞㼗㻌 㻿㼔㼕㼚㼕㼏㼔㼕㼞㼛㼡㻌㼁㼙㼑㼙㼡㼞㼍㻌 㻝㻝㻌 ᯇᒸ㝯ࠊ௰ᮧᑗගࠊ㛗 ⫾ඣඛኳᛶᚰ⮚ࢫࢡ࣮ࣜࢽ ➨ 㻢㻠 ᅇ᪥ᮏ⏘⛉፬ 㻔㻞㻜㻝㻞 ᖺ 㻠 ᭶ ㇂ᕝ₶୍ࠊᕷሯΎࠊ ࣥࢢࡢၥ㢟Ⅼࡢ᳨ウ㻌 ே⛉ᏛᏛ⾡ㅮ₇ 㻝㻟㻙㻝㻡 ᪥㻕㻌 㛵ἑ᫂ᙪࠊᒸᓫ㻌 ⚄ᡞ㻌 㻝㻞㻌 ዟ⏣๛ࠊ༓ⴥ༤ࠊ᳃ᒸ ࣄࢺ༸ᕢ⒴⣽⬊࠾ࡅࡿ ➨ 㻢㻟 ᅇ᪥ᮏ⏘⛉፬ 㻔㻞㻜㻝㻞 ᖺ 㻠 ᭶ ᖿࠊᒾᓮಙ∞ࠊ㛵ἑ᫂ 㼔㻾㻱㼂㻝 ࡼࡿࢩࢫࣉࣛࢳࣥࡢ ே⛉ᏛᏛ⾡ㅮ₇ 㻝㻟㻙㻝㻡 ᪥㻕㻌 ᙪࠊ㛗ሯṇࠊᒸᓫ ẘᛶࠊኚ␗ㄏⓎᛶࡢㄪ⠇㻌 ⚄ᡞ㻌 㻝㻟㻌 ▼ᕝဴஓࠊ㛗ᓥ⛱ࠊ➉୰ ᝈ⪅ࡢ㻮㻹㻵⭡⭍㙾ᡭ⾡ᡂ⦼ ➨ 㻡㻞 ᅇ᪥ᮏ⏘⛉፬ 㻞㻜㻝㻞 ᖺ 㻥 ᭶ ៅࠊᮾ⨾ࠊΎỈ⳹Ꮚࠊ ࡢ㛵ಀ㻌 ே⛉ෆど㙾Ꮫ ᮐ 㻢 ᪥㻌 㣤ሯ༓⚈ࠊᐑᮏ┿ࠊ᳃ 㻌 ᖠ㻌 ᒸᖿࠊ㛗ሯṇࠊᒸᓫ 㻭㼚㼍㼘㼥㼟㼕㼟㻌㼛㼒㻌㼠㼔㼑㻌㼡㼘㼠㼞㼍㼟㼛㼚㼛㼓㼞㼍㼜㼔㼕㼏㻌 㻞㻝㼠㼔㻌㼃㼛㼞㼘㼐㻌 㻌 㻞㻜㻝㻞㻚㻌㻥㻚㻝㻟㻌 㻝㻠㻌 㻶㼡㼚㼕㼏㼔㼕㻌㻴㼍㼟㼑㼓㼍㼣㼍㻘㻌 㻌 㼒㼕㼚㼐㼕㼚㼓㼟㻌㼜㼞㼑㼐㼕㼏㼠㼕㼢㼑㻌㼛㼒㻌㼢㼍㼟㼍㻌㼜㼞㼑㼢㼕㼍 㻯㼛㼚㼓㼞㼑㼟㼟㻌㼛㼚㻌 㻌 㻌 㻹㼍㼟㼍㼙㼕㼠㼟㼡㻌㻺㼍㼗㼍㼙㼡㼞㼍㻘㻌 㻷㼕㼥㼛㼠㼍㼗㼑㻌㻵㼏㼔㼕㼦㼡㼗㼍㻘㻌 㻌 㼁㼘㼠㼞㼍㼟㼛㼡㼚㼐㻌㼕㼚㻌 㻌 㼀㼍㼗㼍㼟㼔㼕㻌㻻㼗㼍㼕㻌 㻻㼎㼟㼠㼑㼠㼞㼕㼏㼟㻌㼍㼚㼐㻌 㻌 㻳㼥㼚㼑㼏㼛㼘㼛㼓㼥㻌 㻯㼛㼜㼑㼚㼔㼍㼓㼑㼚㻌 ―150― 㻌 㸬ᖹᡂ ᖺࢆࡾ㏉ࡗ࡚㻌 ձධ㝔デ⒪ ᆅᇦࡽࡢ౫㢗ࡢ࠶ࡗࡓ࣮ࣟࣜࢫࢡࠊࣁࣜࢫࢡࢆ⟶⌮ࡋᑠ ඣ⛉ࠊᑠඣእ⛉ࢆጞࡵ㛵㐃ྛ⛉༠ຊࡋ࿘⏘ᮇ་⒪ࢆ⾜࠺ࡀฟ ᮶ࡓࠋ ղእ᮶デ⒪ ᖺᗘ‽ഛࡋ࡚ࡁࡓ㠀くฟ⏕᳨ᰝ㸦NIPT㸧ࢆᅜඛ㥑ࡅ࡚ ᮶ᖺᗘࡼࡾࢫࢱ࣮ࢺࡉࡏ࡚࢝࢘ࣥࢭࣜࣥࢢእ᮶㐃ᦠࡋ᪂ࡋ࠸་ ⒪ࢧ࣮ࣅࢫࢆᥦ౪ࡋࡲࡍࠋዷፎึᮇ࣭୰ᮇ࣭ᚋᮇ⢭ᐦ㉸㡢Ἴ᳨ᰝ ࢆ㛤ጞࡋᑓ㛛ᛶࡢ㧗࠸እ᮶⟶⌮ࢆ⾜ࡗ࡚࠸ࡿࠋ 㸬ᚋࡢㄢ㢟ᒎᮃ ەᚋࡶᆅᇦࡢ࿘⏘ᮇ་⒪ࢆᨭ࠼ࡿࡃデ⒪యไ࣭㐃ᦠࢆᙉࡋࡓ࠸ࠋ ەẕయᦙ㏦ࡢཷࡅධࢀ⋡ࢆୖ᪼ࡉࡏࡿࠋ ᴾ ―151― 総合母子周産期医療センター︵産科部門︶ 㻞㻜㻝㻞㻘㻌 㻣 ᭶ 㻝㻝 㻝㻡㻌 㻷㼑㼕㼗㼛㻌㻷㼛㼕㼐㼑㻘㻌 㻌 㻱㼒㼒㼑㼏㼠㻌㼛㼒㻌㼙㼍㼠㼑㼞㼚㼍㼘㻌 㻌 㻵㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻌 㻌 ᪥㻌 㻭㼗㼕㼔㼕㼗㼛㻌㻿㼑㼗㼕㼦㼍㼣㼍㻘㻌 㻌 㼍㼚㼠㼕㼛㼤㼕㼐㼍㼚㼠㻌㼏㼛㼚㼏㼑㼚㼠㼞㼍㼠㼕㼛㼚㼟㻌㼛㼚㻌 㻌 㻿㼛㼏㼕㼑㼠㼥㻌㻲㼛㼞㻌㼠㼔㼑㻌 㻌 㻭㼦㼡㼟㼍㻌㻿㼔㼕㼚㼖㼛㻘㻌 㻌 㼑㼤㼜㼞㼑㼟㼟㼕㼛㼚㼟㻌㼛㼒㻌 㻌 㻿㼠㼡㼐㼥㻌㼛㼒㻌 㻌 㻾㼥㼡㻌㻹㼍㼠㼟㼡㼛㼗㼍㻘㻌 㻌 㼍㼚㼓㼕㼛㼓㼑㼚㼑㼟㼕㼟㻙㼞㼑㼘㼍㼠㼑㼐㻌㼓㼑㼚㼑㼟㻌㼕㼚㻌 㻌 㻴㼥㼜㼑㼞㼠㼑㼚㼟㼕㼛㼚㻌㼕㼚㻌 㻌 㻷㼕㼥㼛㼠㼍㼗㼑㻌㻵㼏㼔㼕㼦㼡㼗㼍㻘㻌 㻌 㼠㼔㼑㻌㼢㼕㼘㼘㼛㼡㼟㻌㼠㼞㼛㼜㼔㼛㼎㼘㼍㼟㼠㼟㻌㼒㼞㼛㼙㻌 㻌 㻼㼞㼑㼓㼚㼍㼚㼏㼥㻌㼃㼛㼞㼘㼐㻌 㻌 㼑㼍㼞㼘㼥㻌㼜㼞㼑㼓㼚㼍㼚㼏㼥㻌 㻯㼛㼚㼓㼞㼑㼟㼟㻌 㻌 㻔ࢫࢫࠊ 㻿㼔㼕㼚㼓㼛㻌㻻㼕㼟㼔㼕㻘㻌 㻌 ࢪࣗࢿ࣮ࣈ 㻌 㼀㼍㼗㼍㼟㼔㼕㻌㻻㼗㼍㼕㻌 㻝㻢㻌 ⏣୰ྍᏊࠊ▼ᕝဴஓࠊዟ ⫧‶ᑐࡍࡿ⭡⭍㙾ᡭ⾡ ➨ 㻢㻟 ᅇ᪥ᮏ⏘⛉፬ 㻔㻞㻜㻝㻞 ᖺ 㻠 ᭶ ᒣள⏤⨾ࠊ㛗ᓥ⛱ࠊ㣤ሯ 㻮㻹㻵 ࡢ㐪࠸ࡼࡿ㞴᫆ᗘࡢᕪ ே⛉ᏛᏛ⾡ㅮ₇ 㻝㻟㻙㻝㻡 ᪥㻕㻌 ༓⚈ࠊᐑᮏ┿ࠊᕷཎ୕ ࡘ࠸࡚ࡢ᳨ウ㻌 ⚄ᡞ㻌 ⩏ࠊ᳃ᒸᖿࠊ㛗ሯṇࠊ ᒸᓫ㻌 総合母子周産期医療センター︵新生児部門︶ Ꮫ㝔㻌 ୰ኸデ⒪㒊㻌 昭和大学病院 中央診療部門 㻝㻙㻞㻌 ⥲ྜ࿘⏘ᮇẕᏊ་⒪䝉䞁䝍䞊䠄᪂⏕ඣ㒊㛛䠅㻌 １− 2）総合母子周産期医療センター（新生児部門） 㻌 㻝䠊⌮ᛕ䞉┠ᶆ㻌 㻌 ᮾி㒔䛾⥲ྜ࿘⏘ᮇẕᏊ་⒪䝉䞁䝍䞊䛸䛧䛶䚸ရᕝ༊䛾䜏䛺䜙䛪ᇛ༡ᆅ༊䛾䝝䜲䝸䝇䜽ᝈ⪅䛾 ཷ䛡ධ䜜䜢ᐇ䛧䛶䛔䜛䚹䜎䛯䚸䝇䞊䝟䞊ẕయᩆ䚸䝇䞊䝟䞊⫾ඣᩆ䛾௵䜢䜒䛱䚸ẕయ䞉⫾ඣ䛾 ᩆ䛻ຊ䜢ὀ䛔䛷䛔䜛䚹ရᕝ༊䛻Ꮡᅾ䛩䜛၏୍䛾䠪䠥䠟䠱䛷䛒䜚䚸㏆㞄䛾᪂⏕ඣᦙ㏦䛾✚ᴟⓗཷ䛡 ධ䜜䜢⾜䛳䛶䛔䜛䚹䠪䠥䠟䠱㻝㻡 ᗋ䚸䠣䠟䠱䠎䠏ᗋ䜢᭷䛩䜛䚹㻌 㻌 㻞䠊ேဨᵓᡂ㻌 㻌 㻌 デ⒪⛉㛗㻌 ᯈᶫᐙ㢌ኵ㻌 Ჷ་㛗㻌 ┦⃝䜎䛹䛛㻌 ᑠඣ⛉ᑓ㛛་㻌 㻢 ྡ䠄䛖䛱࿘⏘ᮇ᪂⏕ඣᑓ㛛་㻌 㻟 ྡ䠅㻌 㻌 㻟䠊ᴗົᐇ⦼㻌 㻌 䐟㻌 㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 ⥲ධ㝔ᩘ㻌 㻞㻠㻜 㝔ෆฟ⏕㻌 㻞㻜㻣㻌 㝔እฟ⏕㻌 㻟㻟㻌 Ṛஸ㏥㝔㻌 㻠㻌 㻌 䐠㻌 㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 ㉸పฟ⏕య㔜ඣ㻌 㻞㻞㻌 ᴟపฟ⏕య㔜ඣ㻌 㻞㻜㻌 పฟ⏕య㔜ඣ㻌 㻟㻟㻌 㻌 㻠䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 ە᪂⏕ඣ་⒪ࡢ㐍Ṍࡶࠊᙜ㝔࠾࠸࡚ࡶ㉸పฟ⏕య㔜ඣࡢ⏕ணᚋࡣᨵၿഴྥ࠶ ࡿࠋᚋࡣ⏕ணᚋࡢᨵၿࡢࡳ࡞ࡽࡎࠊᚋ㑇࡞ࡁ⏕Ꮡࡀᮇᚅࡉࢀࡿࠋ㉸పฟ⏕య㔜ඣࡢ ྜేࡋ࡚㢖ᗘࡢ㧗࠸ࠊᏊᐑእⓎ⫱㐜ᘏࠊ⬻ᐊෆฟ⾑ࠊ⬻ᐊ࿘ᅖⓑ㉁㌾ࠊ៏ᛶ⫵ ᝈࠊᮍ⇍ඣ⥙⭷࡞ࡢⓎ㢖ᗘࢆῶᑡࡉࡏࡿࡇࡀᛴົ࡛࠶ࡿࠋ ࠊࡓࡲەᙜ䠪䠥䠟䠱࡛ࡢ࡞⮫ᗋ◊✲ࢸ࣮࣐ࡣ᪂⏕ඣᰤ㣴Ꮫ࡛࠶ࡾࠊ㟼⬦ᰤ㣴ἲࠊẕஙᙉἲ ࡞㛵ࡋ࡚ࡢ᪂ࡋ࠸▱ぢ㛵ࡋ࡚ࠊᚋࡶⓎಙࡋࡘ࡙ࡅࡿᚲせࡀ࠶ࡿࠋ㻌 㻌 ―152― 血液浄化センター Ꮫ㝔㻌 ୰ኸデ⒪㒊㛛㻌 昭和大学病院 中央診療部門 㻞㻌 ⾑ᾮί䝉䞁䝍䞊㻌 ２）血液浄化センター 㻝䠊⌮ᛕ䞉┠ᶆ㻌 䐟⫋✀䛜ᡭᣦ⾨⏕䛾㻡䛴䛾䝍䜲䝭䞁䜾䜢ᚭᗏ䛧ឤᰁண㜵䛻ດ䜑䜛㻌 䐠ᝈ⪅䛾䝸䝇䜽䜰䝉䝇䝯䞁䝖䜢ᙉ䛧䝏䝳䞊䝤䝖䝷䝤䝹䛾ண㜵䜢䛩䜛㻌 䐡㏱ᯒᑟධணᐃᝈ⪅䛜ධ㝔๓䛻་ᖌ䚸┳ㆤᖌ䛛䜙㏱ᯒ䛻㛵䛩䜛ㄝ᫂䜢ཷ䛡䚸⌮ゎ䚸⣡ᚓ䛧䛯ୖ 䛷㏱ᯒ⒪䛜䛖䛡䜙䜜䜛䜘䛖䛻䛩䜛㻌 㻌 㻞䠊ேဨᵓᡂ㻌 䝉䞁䝍䞊㛗䠄⭈⮚ෆ⛉ᩍᤵ䠅㻌 ⛅⃝㻌 ᛅ⏨㻌 ┳ㆤᖌ㛗㻌 ⰾ㈡㻌 䜂䜝䜏㻌 䛭䛾㻌 㻝㻢ྡ㻌 㻌 㻟䠊ᴗົᐇ⦼㻌 㻌 䐟⾑ᾮίᐇ⦼㻌 ⾑ᾮ㏱ᯒᖺ㛫⥲ᩘ㻌 㻡㻠㻞㻛㻠㻘㻣㻣㻟௳ 䝫䞊䝍䝤䝹⾑ᾮί㻌 㻝㻢㻤௳ ⾑₢㻌㻌 㻥㻛㻞㻣௳ 䜶䞁䝗䝖䜻䝅䞁྾╔⒪ἲ㻌㻌 㻠㻠㻛㻣㻟௳ 㢛⢏⌫㝖ཤ⒪ἲ㻌㻌 㻝㻞㻛㻤㻠௳ 㻯㻭㻼㻰 ௳ᩘ㻌㻌 㻥㻛㻝㻥௳ 㻯㻴㻰㻲 ௳ᩘ㻌㻌 㻝㻜㻥㻛㻣㻞㻝௳ 㻌 㻌 䐠㏱ᯒᑟධ௳ᩘ㻌 ⾑ᾮ㏱ᯒᑟධ㻌 㻣㻞㻌 ⭡⭷㏱ᯒᑟධ㻌 㻥㻌 㻌 㻌 䐡ㄆᐃタ㻌 ㏱ᯒ་Ꮫㄆᐃタ㻌 䜰䝣䜵䝺䝅䝇Ꮫㄆᐃタ㻌 ㏱ᯒ⒪ἲᚑ⫋ဨ◊ಟ䞉ᐇ⩦ᣦᐃタ㻌 㻌 㻌 䐢㏱ᯒᾮΎίᗘ㻌 㻱㼀㻌 ឤᗘ௨ୗ㻌 㻌 㻌 㻱㼁䠋㻵㻌 㻌 䠄㻞ᅇ䠋᭶䠅㻌 ⏕⳦㻌 ឤᗘ௨ୗ㻌 㻌 㻌 㻯㻲㼁䠋㼙㼘㻌 䠄㻝ᅇ䠋᭶䠅㻌 㻌 ―153― 総合母子周産期医療センター︵新生児部門︶ 䐣㝔ෆάື㻌 ⾑ᾮί䝉䝭䝘䞊㻌 㻟ᅇ㻛ᖺ㻌 ་⒪ᶵჾᏳㅮ⩦㻌 㻞ᅇ㻛ᖺ㻌 㻌 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 䖃♫ ♫䞉ᆅᇦ㈉⊩άື㻌 㻌 㻌 㻌 㛤ദᖺ᭶᪥㻌 ෆᐜ㻌 㛤ദᆅ㻌 㻝㻌 ᖹᡂ㻞㻠ᖺ㻤᭶㻞㻤᪥㻌 ➨㻟ᅇ䝣䝺䝑䝅䝳䝬䞁䝉䝭䝘䞊㻌 Ꮫ㻌 㻞㻌 ᖹᡂ㻞㻡ᖺ㻟᭶㻣᪥㻌 ➨㻠ᅇ⭈㏱ᯒຮᙉ㻌 Ꮫ㻌 㻌 䖃Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ 㻝㻌 ᮏᓥἋᏘ㻌 㢟ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥ 㐣㓑㓟Ὑί䝇䝔䝷䜿䜰㻌 䛾᳨ウ㻌 ➨㻡㻣ᅇ᪥ᮏ㏱ᯒ་Ꮫ㻌 㻞㻜㻝㻞㻛㻢㻛㻞㻞㻌 ி⋤䝥䝷䝄䝩䝔䝹ᮐᖠ㻌 㻞㻌 ⏣୰⚽᫂㻌 ⾑ᾮί⒪ἲᑓ⏝䝕䝞䜲䝇㻔䝥䝷䝛 ➨㻡㻣ᅇ᪥ᮏ㏱ᯒ་Ꮫ㻌 ி⋤䝥䝷䝄䝩䝔䝹ᮐᖠ㻌 䜽䝍㻌 㻕䛾⏝⤒㦂㻌 㻟㻌 㧗ᶫ༓ᜨᏊ 㻼㻰 䝏䞊䝮䛷⾜䛖ᝈ⪅ᩍ⫱䜈䛾᪂ ➨㻡㻣ᅇ᪥ᮏ㏱ᯒ་Ꮫ㻌 䛯䛺ヨ䜏㻌 㻠㻌 ℈ᓥ༓ⲡ㻌 㻌 㻡㻌 ᮏᓥἋᏘ㻌 㻞㻜㻝㻞㻛㻢㻛㻞㻠㻌 㻞㻜㻝㻞㻛㻢㻛㻞㻠㻌 ᮐᖠᕷᩍ⫱ᩥ㤋㻌 㻼㻰 䝏䞊䝮䛷⾜䛖⤫୍䛧䛯┳ㆤᩍ⫱ ➨㻝㻤ᅇ᪥ᮏ⭡⭷㏱ᯒ་Ꮫ 㻞㻜㻝㻞㻛㻥㻛㻞㻞㻌 䜈䛾᪂䛯䛺ヨ䜏㻌 䛒䜟䛞䜣䝩䞊䝹㻌 ᚨᓥ㻌 㐣㓑㓟Ὑί䝇䝔䝷䜿䜰㻌 䛾᳨ウ㻌 ➨㻠㻝ᅇᮾி㏱ᯒ᠓ㄯ㻌 㻞㻜㻝㻟㻛㻞㻛㻝㻣㻌 ᮾிዪᏊ་⛉Ꮫ㻌 㻢㻌 ᮧୖ⧊ᜨ㻌 䝦䝰䝣䜱䝹䝍䞊䛾㑅ᢥ㻌 ⭈㏱ᯒຮᙉ㻌 㻞㻜㻝㻟㻛㻟㻛㻣㻌 Ꮫ㻌 㻌 㻡䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟䝏䞊䝮་⒪㻌 ⾑ᾮί䝉䞁䝍䞊䛷䛿⾑ᾮ㏱ᯒ䚸⭡⭷㏱ᯒ䜢୰ᚰ䛻⾑ᾮί⒪ἲ䜢⾜䛳䛶䛔 䜛䚹㧗㱋䞉㛗ᮇ㏱ᯒᝈ⪅䛾ቑຍ䛻క䛔ྜే䛜ᛴቑ䛧䚸ែ䛜」㞧䛛䛴㔜 䛧䛶䛔䜛䚹Ᏻ䛷䜘䜚Ⰻ䛔⾑ᾮί⒪ἲ䛾ᐇ䛻ྥ䛡䚸་ᖌ䚸⮫ᗋᕤᏛᢏ ኈ䚸Ჷ䞉ί䝉䞁䝍䞊┳ㆤᖌ䚸ᰤ㣴ኈ䚸⥲ྜ┦ㄯ䝉䞁䝍䞊⫋ဨ䛺䛹䛷ከ᪉㠃 䛛䜙ᝈ⪅䜢䝃䝫䞊䝖䛧䚸៏ᛶ⭈⮚ᝈ⪅䛾 㻽㻻㻸 䛾ྥୖ䛻ດ䜑䛶䛔䜛䚹㻌 㻌 㻢䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃ಖᏑᮇ䛛䜙⾑ᾮί⒪ἲ䚸䛥䜙䛻䛿⭈⛣᳜䜈䛾៏ᛶ⭈⮚ᝈ⪅ၨⓎ䛸ᩍ⫱ᨭ㻌 䖃ᆅᇦ㐃ᦠᙉ㻌㻌 㻌 ―154― 救急医療センター Ꮫ㝔㻌 ୰ኸデ⒪㒊㛛㻌 昭和大学病院 中央診療部門 㻟㻌 ᩆᩆᛴ䝉䞁䝍䞊㻌 ３）救急医療センター 㻌 㻝㸬⌮ᛕ࣭┠ᶆ㻌 ᩆᛴ་⒪ࢭࣥࢱ࣮ࡣࠊ㍍㹼୰➼ᝈ⪅ࢆཷࡅධࢀࡿ⥲ྜෆ⛉㸦㻱㻾㸧ࢆྵࡴ⛉㻔㸻⥲ྜデ ⒪㒊㻕ࠊ㻞㻠㛫యไ࡛㔜ᝈ⪅ࡢཷࡅධࢀ⅏ᐖࡸከᩘയ⪅ࡢᨾⓎ⏕ 㻰㻹㻭㼀 ࡋ࡚ 㝔እ་⒪άືࢆ⾜࠺ᩆᛴ་Ꮫ⛉ࡼࡾᡂࡾ❧ࡗ࡚࠸ࡲࡍࠋ⥲ྜデ⒪㒊ࡢタ❧ࡼࡾࠊ᮶㝔ᝈ ⪅ᩘࠊᩆᛴ㌴ཷධᩘࠊධ㝔ᝈ⪅ᩘࡣࡶቑຍࡋࠊᆅᇦࡢᩆᛴ་⒪୍ᒙ㈉⊩ࡋ࡚࠾ࡾࡲࡍࠋ ࡲࡓ㍍ุ᩿ࡉࢀ࡚᮶㝔ࡉࢀࡓᚋᐇࡣ㔜࡛࠶ࡗࡓࡾࠊ⥭ᛴฎ⨨ࡀᚲせ࡞ࡗࡓሙྜ ࡣࠊ㯞㓉⛉࣭㞟୰⒪㒊ࢆྵࡴྛᑓ㛛⛉ᩆᛴ་Ꮫ⛉ࡀ༠ຊࡋ࡚ᑐฎࡍࡿࡇ࡛ࠊ㔜ᗘࠊ ⥭ᛴᗘࢃࡽࡎᖖᏳᑓ㛛ⓗ࡞デ⒪ࡑࡋ࡚⥭ᛴᡭ⾡ࢆ⾜࠺ࡇࡀྍ⬟࡞ࡗ࡚࠸ࡲ ࡍࠋᝈ⪅ᦙධᚋ☜ᐃデ᩿ࡀࡘࡁ≧ែࡀᏳᐃࡋࡓⅬ࡛ࠊᆅᇦࡢḟ་⒪ᶵ㛵ࡢ㌿㏦ࢆ࠾ 㢪࠸ࡍࡿሙྜࡶ࠶ࡾࡲࡍࠋ௨ୖࡢࡼ࠺ࠊᙜࢭࣥࢱ࣮࡛ࡣᚋࡶᇛ༡ᆅ༊࠾ࡅࡿᩆᛴ་⒪ 㠃ⓗ㈉⊩ࡍࡿࡓࡵࠊᆅᇦࡢ་ᖌࡢඛ⏕᪉ࠊᆅᇦࡢᇶᖿ㝔ࡢ㐃ᦠࢆࡉࡽᐦ ࡋ࡚ࠊ㛫ⓗࡶ㔜ᗘู࡛ࡶࢩ࣮࣒ࣞࢫᩆᛴᝈ⪅ࢆཷࡅධࢀࡿయไ࡙ࡃࡾࢆᐇࡉࡏࡿ ࡃࢭࣥࢱ࣮ᶵ⬟ࡢయไᙉࢆᅗࡗ࡚࠸ࡁࡓ࠸⪃࠼࡚࠸ࡲࡍࠋ㻌 㻌 㻞㸬ேဨᵓᡂ 㻌 ࢭࣥࢱ࣮㛗㻌 ୕Ꮿ ᗣྐ㻌 ་ᖌ㻌 ᩆᛴ་Ꮫ⛉ 㻝㻝ྡ㻌 ᖌ㛗㻌 ቑᓥ⤮㔛Ꮚ㻌 ┳ㆤᖌ㻌 㻠㻠ྡ㻌 ┳ㆤ⿵ຓ⪅㻌 㻡ྡ㻌 ་⒪ົ㻌 㻝ྡ㻌 㻌 㻰㻹㻭㼀 㝲ဨ㻌 㝲ဨᩘ㻌 ་ᖌ㻌 ┳ㆤᖌ㻌 ྜィ㻌 㻝㻜ྡ㻌 㻝㻣ྡ㻌 㻞㻥ྡ㻌 㻌 㻟㸬ᴗົᐇ⦼ 㻌 ձ㸱ḟᩆᛴ᮶㝔ᝈ⪅ᩘ ྜィ㻝㻜㻝㻤ྡ㻌 ᭶㻌 ᮶㝔㻌 ᝈ⪅ᩘ㻌 㻠᭶㻌 㻡᭶㻌 㻢᭶㻌 㻣᭶㻌 㻤᭶㻌 㻥᭶㻌 㻝㻜᭶ 㻝㻝᭶ 㻝㻞᭶㻌 㻝㻜㻟ྡ㻌 㻤㻡ྡ 㻤㻞ྡ 㻤㻟ྡ 㻣㻜ྡ 㻣㻟ྡ 㻤㻜ྡ 㻣㻥ྡ 㻤㻡ྡ㻌 㻝㻜㻡ྡ 㻌 㻌 㻌 ―155― 㻝᭶㻌 㻞᭶㻌 㻟᭶ 㻥㻥ྡ 㻣㻠ྡ 救急医療センター ղᩆᩆᛴࢭࣥࢱ࣮ධ㝔デ⒪⛉ูᝈ⪅ᩘ ྜィ㻢㻢㻠ྡ㻌 デ ⒪ ⛉㻌 ே ᩘ㻌 ᩆᛴ་Ꮫ⛉㻌 㻢㻝㻥 ⬻⚄⤒እ⛉㻌 㻤 ྾ჾෆ⛉㻌 㻤 ⚄⤒ෆ⛉㻌 㻤 ᾘჾෆ⛉㻌 㻣 ᑠඣ⛉㻌 㻢 ᚠ⎔ჾෆ⛉㻌 㻞 ᙧᡂእ⛉㻌 㸯 ⭈⮚ෆ⛉㻌 㻝 ⾑ᾮෆ⛉㻌 㸯 ࣐ࣜ࢘ࢳ⭺ཎෆ⛉㻌 㻝 ᑠඣእ⛉㻌 㻝 ⪥㰯⛉㻌 㻝 ྜィ㻌 㻢㻢㻠ྡ 㻌 㻠㸬♫࣭ᆅᇦ㈉⊩άືࠊ◊✲ᴗ⦼㻌 ە᪥ ᪥ᮏ 㻰㻹㻭㼀 ฟື௳ᩘ 㸸㻜௳㻌 㻌 ەᮾி 㻰㻹㻭㼀 ฟື௳ᩘ㸸㻠௳㻌 㻌 㻌 ฟືᖺ᭶᪥㻌 㻝㻌 ᖹᡂ㻞㻠ᖺ㻢᭶㻡᪥㻌 ෆ ᐜ㻌 ฟ ື ⪅㻌 ゎయ⌧ሙ࡛సᴗ୰ࠊࢥࣥࢡ࣮ࣜࢺሟࡀಽ ་ᖌ㸯ྡ㻌 ࢀࠊูࡢࢥࣥࢡ࣮ࣜࢺࢺࡢ㛫୧ୗ⭣ࡀ ┳ㆤᖌ㻝ྡ㻌 ᣳࡲࢀᩆฟᅔ㞴࡞ࡗࡓ㻌 㻞㻌 ᖹᡂ㻞㻠ᖺ㻝㻞᭶㻞㻢᪥㻌 ࣡ࣥ࣎ࢵࢡࢫ࣮࢝ࡢ༢⊂ᨾࠋ㻌 ་ᖌ㸯ྡ㻌 ຓᡭᖍ㌴ࡋ࡚࠸ࡓയ⪅ࡢୗ⭣ࡀ ┳ㆤᖌ㸯ྡ㻌 ࢲࢵࢩ࣮ࣗ࣎ࢻᣳࡲࢀᩆฟᅔ㞴࡞ ࡗࡓ㻌 㻟㻌 ᖹᡂ㻞㻠ᖺ㻝㻞᭶㻞㻣᪥㻌 ࢱࢡࢩ࣮ࢺࣛࢵࢡィ㻣ྎࡢ㏣✺ᨾ࡛ ་ᖌ㸯ྡ㻌 ࠶ࡾࠊඛ㢌ࡽ㻟ྎ┠ࡢࢱࢡࢩ࣮ࡀ㻞ྎ┠ ┳ㆤᖌ㸯ྡ㻌 ࡢࢺࣛࢵࢡࡢୗࡶࡄࡾࡇࡳࠊ㐠㌿ᡭࡢ ୗ⭣ࡀᣳࡲࢀᩆฟᅔ㞴࡞ࡗࡓ㻌 㻠㻌 ᖹᡂ㻞㻡ᖺ㻝᭶㻝㻢᪥㻌 㧗ᡤసᴗ㌴ࡢࣂࢤࢵࢺࡗ࡚࠸ࡓയ ་ᖌ㸰ྡ㻌 ⪅ࡀࠊ㧗ᡤసᴗ㌴ࡀಽࢀࡓࡼࡗ࡚ ┳ㆤᖌ㸰ྡ㻌 ࣂࢤࢵࢺࡽᢞࡆฟࡉࢀࠊࣂࢤࢵࢺ㕲 ᰕࡢ㛫⬚㒊ࢆᣳࡲࢀᩆฟᅔ㞴࡞ ࡗࡓ㻌 ―156― 㻌 ⴭ⪅ྡ㻌 㻝㻌 ⚟⏣ ᏳὠᏊ㻌 㢟 ྡ㻌 ᭩ ྡ㻌 ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ㻌 ᩆ ᛴ ┳ ㆤ ㄆ ᐃ ┳ ㆤ ᖌ 㻱㼙㼑㼞㼓㼑㼚㼏㼥㻌㻯㼍㼞㼑㻌㻞㻡ᕳ㸵ྕ㻌 ࣓ࢹ࢝ฟ∧㻌 ࡢࡓࡵࡢ㻌 㻢㻤㻟㻌 㻶㻻㼁㻺㻭㻸㼕㼚㻶㻻㼁㻺㻭㻸㻌 㻞㻜㻝㻞ᖺ㻌 㼒㼞㼛㼙㻱㼤㼜㼑㼞㼠㻺㼡㼞㼟㼑㼀㼛㻱㼤㼜 㼑㼞㼠㻺㼡㼞㼟㼑㻌 㻌 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌 ⯋ ᖾ㤶㻌 㢟 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 ࢡࢩ࣮ࣙࣥ࢝ࢻ࣭࢚࣐ࣜ ➨㻝㻠ᅇ᪥ᮏ⅏ᐖ┳ㆤ 㻞㻜㻝㻞ᖺ㻣᭶㻞㻥᪥㻌 ࢵࣉ≀ရ୍ぴ⾲ࡢά⏝㻌 Ꮫࠊ࢘ࣥࢢ࠶࠸ ࡕ㸦ឡ▱㸧㻌 㻌 㻡㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 㻶㼀㻰㻮 ࡼࡾศᯒࡋࡓ⮬㌿㌴ 㻶㼀㻰㻮㻔᪥ᮏእയࢹ࣮ࢱࣂࣥࢡ㻕㻞㻜㻜㻢㻙㻞㻜㻝㻜ࢆ⏝࠸࡚ࠊ㐨㊰㏻ἲᨵ እയ㻌 ᐃ๓ᚋࡢ⮬㌿㌴እയࢆศᯒࡋࡑࡢ≉ᚩࡢኚࡘ࠸࡚Ꮫ Ⓨ⾲࠾ࡼࡧㄽᩥᢞ✏ࢆ⾜ࡗࡓࠋ㻌 ⇕୰㻌 ᪥ᮏᩆᛴ་Ꮫ⇕୰㛵ࡍࡿጤဨࡀ⏬ࡋࠊཌປ┬ࡢᨭࢆ ᚓ࡚ࠊᅜ㻝㻢㻜వࡢᩆᛴ་⒪ᶵ㛵ࢆཷデࡋධ㝔࡞ࡗࡓࢆ 㻲㻭㼄 ࡛Ⓩ㘓ࡋࠊ⩣᪥༗ᚋཌປ┬ 㻴㻼 ࡛༶Ⓨ⏕≧ἣศᯒࡋ࡚ 㞟ィ⤖ᯝࢆබ⾲ࡋࡓࠋࡲࡓᇶ♏ᐇ㦂ࠊ⮫ᗋࡢศᯒࢆ⾜࠸ࡑࢀࡒ ࢀᏛⓎ⾲࣭ㄽᩥᢞ✏ࢆ⾜ࡗࡓࠋ㻌 ከ⫋✀࡛ྲྀࡾ⤌ࡴᩆᛴ་ ᩥ⛉┬ࡢᨭࢆᚓ࡚ࠊᏛ㝔⫋ဨࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⬟ຊࡢ ⒪࠾ࡅࡿࢳ࣮࣒་⒪㻌 ྥୖ㻔ࢫࢸࢵࣉ㻝㻕ࠊᝈ⪅ᛴኚࡢᑐᛂࠊ⅏ᐖⓎ⏕ࡢึືࢆࢩ࣑ࣗ ࣮ࣞࢩ࡛ࣙࣥయ㦂㻔ࢫࢸࢵࣉ㻞㻕ࠊྛ⫋✀࣭㒊⨫࡛ࡢᩆᛴ་⒪ࡢ⌧≧ ᑐࡍࡿᥦゝ㻔ࢫࢸࢵࣉ㻟㻕ࡢ㻟ẁ㝵ࡢࢥ࣮ࢫࢆ㛤ⓎࡋࠊᏛ⫋ဨࢆ ᑐ㇟ࢥ࣮ࢫࢆ㛤ദࡋࡓࠋ㻌 㒔ᕷ࠾ࡅࡿ୕ḟᩆᛴ ᇛ༡ᆅ༊࠾ࡅࡿ㻟ḟ་⒪ᶵ㛵ࡋ࡚ࠊ⣙㻝㻘㻜㻜㻜ࡢ㔜ࡢᩆ ་⒪ᶵ㛵ࡢ᪂ࡓ࡞ᙺ㻌 ࣭⒪࠶ࡓࡗࡓࠋ㧗㱋⪅ࠊ⢭⚄ᝈࠊ⤊ᮎᮇࡢ㔜ࠊ୕ḟ 㐺ᛂእᝈ⪅ࡢቑຍᑐࡋຠᯝⓗ࡞ᑐᛂ⟇ࢆᶍ⣴ࡋ࡚࠸ࡿࠋ㻌 ⥭ᛴᗘุᐃ㻌 ⥲ົ┬ᾘ㜵ᗇࡢ༠ാࡼࡿᐙᗞࠊ㟁ヰ┦ㄯࠊ㻝㻝㻥␒㏻ሗࠊ⌧ሙᩆ ᛴ㝲࠾ࡅࡿ㔜ᗘ࣭⥭ᛴᗘุᐃᇶ‽ࡢぢ┤ࡋ⤫୍ࢆ᳨ウ୰ࠋ㻌 ྛ✀ᩍ⫱ࢥ࣮ࢫࡢᐇ㻌 㻶㻭㼀㻱㻯ࠊ㻶㻼㼀㻱㻯ࠊ㻵㻿㻸㻯ࠊ㻵㻯㻸㻿ࠊ㻼㻱㻱㻯ࠊ࢚࣐ࣝࢦ࡞ࢆᐃᮇⓗ ദࡋࡓࠋ㻌 ࿘⏘ᮇᩆᛴ་⒪㻌 㻞㻟༊ෆࡢࢫ࣮ࣃ࣮࿘⏘ᮇཷࡅධࢀ㻟タࡢ࠺ࡕࡢ㻝ࡘࡋ࡚ࠊ㻌 㒔ࠊ༊࠾ࡅࡿ⅏ᐖ་⒪㻌 㻰㻹㻭㼀 カ⦎ࠊ㝔ෆ㜵⅏カ⦎࡞ࢆ✚ᴟⓗᑟࡋࡓࠋ㒔ࡢ༠ാ ࡼࡾရᕝ༊ࡢ⅏ᐖᣐⅬ㝔ࡋ࡚ࠊ⥭ᛴ་⒪ᩆㆤᡤࡢタ⨨࠾ࡼ ࡧ㐠Ⴀࠊရᕝ༊⅏ᐖࢥ࣮ࢹࢿ࣮ࢱ࣮ࢆᢸᙜࡋࠊᚋࡢㄪᩚࢆ ⾜࠺ࡇ࡞ࡗࡓࠋ㻌 ―157― 救急医療センター ⴭ᭩㻌 救急医療センター 㻢㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ە㻾㻾㻿㸦㻾㼍㼜㼕㼐㻌 㻾㼑㼟㼜㼛㼚㼟㼑㻌 㻿㼥㼟㼠㼑㼙㸧㝔ෆᑟධྥࡅࡓྲྀࡾ⤌ࡳࠊᝈ⪅ᛴኚࡢ᪩ᮇⓎぢ᪩ᮇᑐ ᛂ⬟ຊࡢᙉ㻌 ە᪥ᮏ 㻰㻹㻭㼀ࠊᮾி 㻰㻹㻭㼀 ࡋ࡚ࡢ㝲ဨᩍ⫱㻌 ە㻶㻺㼀㻰㻮㸦㔜㢌㒊እയࢹ࣮ࢱࣂࣥࢡ㸧ࢆ⏝࠸ࡓከⓎእയࡢゎᯒ㻌 ەపయ ࡢᅜㄪᰝ㻌 ⇕ە୰ࡢ㔜ᗘᣦᶆࡋ࡚ࡢศᏊ࣐࣮࣮࢝ࡢゎᯒࠊࣛࢵࢺࢆ⏝࠸ࡓ⇕୰ࣔࢹࣝࡢ☜❧ࠊ ᪂ࡓ࡞⒪ἲࡢ㛤Ⓨ㻌 ە㻿㻻㻿㻙㻷㻭㻺㼀㻻 ࢹ࣮ࢱࢆ⏝࠸ࡓ 㻯㻼㻭 ࡢ᳨ウ㻌 ە㛵㐃㝔ࡢ㛵ಀຠᯝࡢࡓࡵࡢ㐃⤡ጤဨࡢタ⨨㻌 ◊ەಟ་ࠊⱝᡭ་ᒁဨࠊ⫋ဨࡢࡓࡵࡢᩍ⫱ࢥ࣮ࢫࡢ㛤Ⓨ㐠Ⴀ㻌 ەᆅᇦ࠾ࡅࡿ୕ḟ་⒪ᶵ㛵ࡋ࡚ࡢᙺࡢぢ┤ࡋ㻌 ⮬ەẅᅗᝈ⪅ࠊ⢭⚄⛉ᩆᛴᝈ⪅ࡢ᪂ࡓ࡞ྲྀࡾ⤌ࡳ㻌 㻌 ―158― 集中治療部︵ Ꮫ㝔㻌 ୰ኸデ⒪㒊㛛㻌 昭和大学病院 中央診療部門 㻡㻌 㞟୰⒪㒊䠄䠥䠟䠱䠅㻌 ４）集中治療部（ICU） U C I ︶ 㻌 㻝㸬⌮ᛕ࣭┠ᶆ㻌 㞟୰⒪㒊ࡣࠊ࣋ࢵࢻᩘ㻝㻠ᗋ㸦ಶᐊ㻝㻜ᗋ࣭࣮࢜ࣉࣥࣇࣟ㻠ᗋ㸧ࢆ᭷ࡋࠊእ⛉⣔ᝈ ࡢᡭ⾡ᚋᝈ⪅ࠊࡉࡽ㝔ෆ࡛Ⓨࡋࡓᛴኚཪࡣ㔜ࡋࡓᝈ⪅ࢆデ⒪ࡍࡿࠋデ⒪యไࡣࠊྛ デ⒪⛉ࡢᶓ᩿ⓗ࡞༠ຊయไࢆྲྀࡾࠊ㻞㻠㛫࠸࡞ࡿࡶ㻞ᗋࡘࡁ㻝ྡ௨ୖ㓄⨨ࡉࢀࡓᑓᒓ┳ ㆤᖌࡼࡿ㔜ࢣࢆᥦ౪ࡍࡿࠋ㻌 㻌 㻞㸬ே ேဨᵓᡂ㻌 㒊㛗㻌 Ᏻᮏ ṇ㻌 ་ᖌ㻌 㯞㓉⛉㻢ྡࠊᾘჾ୍࣭⯡እ⛉㻝ྡࠊᚰ⮚⾑⟶እ⛉ࠊ྾ჾእ⛉ࡢ㻞⛉ࡼࡾ㻝ྡࠊ⬻⚄ ⤒እ⛉㻞ྡࠊ⪥㰯⛉ࠊᙧᡂእ⛉ࠊᩚᙧእ⛉ࠊἪᒀჾ⛉ࡼࡾ㻝ྡ㻌 ᖌ㛗㻌 ▼ᕝ ᜨ⨾Ꮚࠊࢫࢱࢵࣇ┳ㆤᖌ㻠㻝ྡࠊ࣊ࣝࣃ࣮㻟ྡ㻌 㻌 㻟㸬ᴗົᐇ⦼ 㻌 ձ㻵㻯㼁 ධᐊᝈ⪅㸦ෆヂ㸧㻌 㻌 ᝈ⪅ᩘ㻌 ᖹᆒᖺ㱋㻌 ⏨ᛶ㻌 㻣㻣㻜ྡ 㻡㻤㻚㻜ṓ ዪᛶ㻌 㻡㻡㻣ྡ 㻠㻝㻚㻥ṓ㻌 ⥲ᩘ㻌 㻝㻘㻟㻞㻣ྡ 㻠㻥㻚㻥㻡ṓ㻌 㻌 ղධᐊ≧ἣ㻌 㻌 ᝈ⪅ᩘ㻌 ྜ㻌 ᐃᮇ㻌 㻥㻟㻢ྡ 㻣㻜㻚㻡㸣㻌 ⥭ᛴ㻌 㻟㻥㻝ྡ 㻞㻥㻚㻠㸣㻌 㻌 ճᡭ⾡ࡢ᭷↓㻌 ᝈ⪅ᩘ㻌 㻌 ྜ㻌 ᭷㻌 㻝㻘㻝㻟㻞ྡ 㻤㻡㻚㻟㸣㻌 ↓㻌 㻝㻥㻡ྡ 㻝㻠㻚㻢㸣㻌 㻌 մデ⒪⛉ูධᐊᝈ⪅ᩘ㻌 デ⒪⛉㻌 ᾘჾእ⛉ 㻌 デ⒪⛉㻌 㻌 㻠㻥㻥ྡ ᩚᙧእ⛉㻌 㻞㻢ྡ ⬻⚄⤒እ⛉ 㻟㻝㻝ྡ ᙧᡂእ⛉㻌 㻝㻢ྡ ᚰ⮚እ⛉㻌 㻝㻡㻠ྡ ⭈⮚ෆ⛉㻌 㻝㻠ྡ ―159― ྾ჾእ⛉ Ἢᒀჾ㻌 ⏘፬ே⛉㻌 㻝㻜㻢ྡ 㻞㻤㻠ྡ 㻝㻞ྡ ྾ჾෆ⛉ ᾘჾෆ⛉ ࡑࡢࡢෆ⛉ 㻝㻣ྡ 㻞㻠ྡ 㻥ྡ 集中治療部︵ յ✌ാ⋡㻌 ᭶㻌 㻠᭶㻌 㻡᭶ 㻢᭶ U C I ︶ ✌ാ㻌 㻥㻡㻚㻡㻌 㻝㻜㻣㻚㻠 㻝㻝㻜㻚㻞 㻣᭶ 㻤᭶ 㻥᭶㻌 㻝㻜᭶㻌 㻝㻝᭶㻌 㻝㻞᭶㻌 㻝᭶㻌 㻥㻣㻚㻣 㻥㻡㻚㻞 㻥㻢㻚㻥㻌 㻞᭶ 㻥㻢㻚㻡㻌 㻝㻜㻢㻚㻥㻌 㻝㻜㻡㻚㻝㻌 㻝㻜㻟㻚㻜㻌 㻝㻜㻡㻚㻠 㻟᭶ ᖹᆒ 㻥㻥㻚㻟 㻥㻥㻚㻟 㻌 㻠㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձ㻵㻯㼁 ධᐊ≧ἣ㻌 㹆㻞㻠ᖺᗘࡢᝈ⪅⥲ᩘࡣ㻝㻘㻟㻞㻣ྡ࡛ᖺᗘ㸦㻝㻘㻞㻜㻢ྡ㸧ࡼࡾ㻝㻜㻑ቑຍࡋࡓࠋ ࡇࡢ࠺ࡕ⥭ᛴධ㝔ࡀ㻞㻥㻚㻠㻑㸦㻟㻥㻝ྡ㸧ࢆ༨ࡵࡓ㸦ᖺᗘ㻟㻞㻚㻤㻑㸧ࠋ㻤㻡㻚㻟㻑 㸦㻝㻘㻝㻟㻞ྡ㸧ࡀᡭ⾡ᚋࡢධ㝔࡛࠶ࡗࡓ㸦ᖺᗘ㻤㻡㻚㻞㻑㸧ࠋ㻌 デ⒪⛉ู࡛ࡣࠊᾘჾ୍⯡እ⛉ࡀ㻠㻥㻥ྡ㸦ᖺᗘẚ㻗㻝㻚㻞㻑㸧୍␒ከ ࡃࠊḟ࠸࡛⬻⚄⤒እ⛉㻟㻝㻝ྡ㸦ᖺᗘẚ㻗㻢㻣㻚㻞㻑㸧ࠊἪᒀჾ⛉㻞㻤㻠ྡ㸦 ᖺᗘẚ㻗㻞㻟㻤㻚㻝㻑㸧ࠊᚰ⮚⾑⟶እ⛉㻝㻡㻠ྡ㸦ᖺᗘẚ㻙㻝㻡㻚㻠㻑㸧ࠊ྾ჾእ ⛉㻝㻜㻢ྡ㸦ᖺᗘẚ㻗㻞㻣㻚㻣㻑㸧⥆࠸ࡓࠋ㻌 ධ㝔ᝈ⪅ࡢᖹᆒᖺ㱋ࡣࠊ⏨ᛶ㻡㻤㻚㻜ṓ㸦ᖺ㻢㻢㻚㻜ṓ㸧 ࠊዪᛶࡣ㻠㻝㻚㻥㻑㸦 ᖺ㻢㻣㻚㻜ṓ㸧ᖺࡼࡾᖜⱝ㏉ࡗࡓࠋ㻌 ղᗋ✌ാ⋡㻌 㹆㻞㻠ᖺᗘࡢᖹᆒ✌ാ⋡ࡣ㻥㻥㻚㻟㸣ࠊ㹆㻞㻟ᖺᗘࡢ㻤㻠㻚㻟㸣ࢆᖜୖᅇ ࡗࡓࠋ᭱ࡶᑡ࡞࠸᭶ࡣ㻤᭶࡛㻥㻡㻚㻞㻑ࠊ᭱ࡶከ࠸᭶ࡣ㻢᭶࡛㻝㻝㻜㻚㻞㻑࡛࠶ࡗ ࡓࠋ㻌 㻌 㻡㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ᖹᡂ㻞㻠ᖺᗘࡣࠊᝈ⪅⥲ᩘࠊᖹᆒ✌ാ⋡ࡶᖜ࡞ୖ᪼ࢆぢࡓࠋ≉ࠊ⬻⚄⤒እ⛉ࠊἪᒀჾ⛉ࠊ ྾ჾእ⛉ࡢእ⛉⣔ࡢデ⒪⛉࡛ࡁࡃධᐊᝈ⪅ᩘࡀఙࡧࡓࠋ✌ാ⋡ࡀᖹᆒ㻥㻥㻚㻟㻑ᐇୖ‶ᗋ㐠 ⏝࡞ࡿ≧ἣ࡛ࠊᮏ᮶ᴗົࡢ㸯ࡘ࡛࠶ࡿ㝔ෆᛴኚࡢᑐᛂࢆᣢ⥆ࡋ࡚࠸ࡃࡣࠊ㻴㻯㼁 ࡞ࡢᚋ ᪉ᗋࡢ㐃ᦠࡀࡲࡍࡲࡍ㔜せ࡞ㄢ㢟࡞ࡿࠋࡲࡓࠊ㞟୰⒪་⒪ࡢ㉁ࢆࡉࡽྥୖࡉࡏࡿࡓ ࡵࠊ་ᖌ┳ㆤᖌࡀ୍య࡞ࡗࡓ◊ಟࡸຮᙉࠊ⮫ᗋ◊✲࡞ࡢᐇࠊ㝔ෆࡢᶵ㛵࡛ ࠶ࡿ⸆㒊ࡸ 㻹㻱 㒊ࠊឤᰁไᚚ㒊࡞ࡢࡼࡾᐦ᥋࡞㐃ᦠࡀᚋࡢㄢ㢟࡛࠶ࡿࠋ㻌 㻌 ―160― CCU Ꮫ㝔㻌 ୰ኸデ⒪㒊㛛㻌 昭和大学病院 中央診療部門 㻢㻌 䠟䠟䠱㻌 ５）CCU 㻌 㻝䠊⌮ᛕ䞉┠ᶆ㻌 䠘┠ᶆ䠚㻌 㻝䠊་⒪䜹䞁䝣䜯䝺䞁䝇䛾㛤ദ㻌 㻞䠊ឤᰁⓎ⏕⋡䛾పୗ㻌 㻌 㻞䠊ேဨᵓᡂ㻌 ⛉㛗䠄ᚠ⎔ჾෆ⛉ᩍᤵ䞉་ᖌ䠅㻌 ᑠᯘ㻌 ὒ୍㻌 Ჷ㛗䠄ᚠ⎔ჾෆ⛉ㅮᖌ䞉་ᖌ䠅㻌 ℈ᓮ㻌 ⿱ྖ㻌 ་ᖌ 㻠 ྡ㻌 Ჷ㈐௵⪅䠄ᖌ㛗⿵బ䞉┳ㆤᖌ䠅㻌 ▼ཎᐇ༓௦䚸┳ㆤᖌ 㻟㻤 ྡ㻌 㻌 㻟䠊ᴗົᐇ⦼㻌 䐟ධ㝔ᝈ⪅䞉デ᩿䞉๗᳨ᩘ㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 㻯㻯㼁 ධ㝔ᝈ⪅ᩘ㻌 㻡㻠㻞 㻡㻡㻟 㻢㻠㻤 ᚠ⎔ჾෆ⛉ධ㝔ᝈ⪅ᩘ㻌 㻠㻢㻝 㻠㻠㻡 㻠㻣㻥 ᛴᛶᚰ➽᱾ሰ㻌 㻝㻠㻠㻌 㻝㻞㻡㻌 㻝㻞㻝 Ᏻᐃ⊃ᚰ㻌 㻌 㻠㻝㻌 㻢㻡㻌 㻡㻥 ᛴᛶᚰ㻌 㻝㻞㻜㻌 㻝㻠㻝㻌 㻝㻝㻝 㔜ᩚ⬦㻌 㻌 㻡㻝㻌 㻟㻢㻌 㻞㻥 㻌 㻣㻌 㻡㻌 㻝㻞 Ṛஸᩘ㻌 㻌 㻟㻜㻌 㻠㻠㻌 㻠㻢 ๗᳨ᩘ㻌 㻌 㻌 㻝㻞㻌 㻝㻥㻌 㻤 ⫵ື⬦⾑ᰦሰᰦ㻌 㻌 㻌 䐠㻵㻭㻮㻼䞉㻼㻯㻼㻿 ௳ᩘ㻌 㻌 ᖹᡂ 㻞㻞 ᖺᗘ㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 㻵㻭㻮㻼㻌 㻟㻤 㻞㻣㻌 㻟㻣㻌 㻼㻯㻼㻿㻌 㻌 㻝㻜 㻝㻞㻌 㻡㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 ―161― CCU 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 䖃◊✲ᴗ⦼㻌 㻌 㻌 㻌 ⴭ᭩㻌 㻌 ⴭ⪅ྡ㻌 㻝㻌 ᑠᯘὒ୍䚸㻌 ὸ㔝ᣅ䚸㻌 㢟㻌 㻌 ྡ㻌 ᭩㻌 㻌 ྡ㻌 ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ ᇶ♏䛜䜟䛛䜜䜀ᛧ䛟䛺䛔㻌 䝰䝙䝍 䝰䝙䝍䞊ᚰ㟁ᅗ 㻟 䝇䝔 䜶䝑䜽䝇䜶䝘䝆䇷㻌 䞊ᚰ㟁ᅗ 㻟 䝇䝔䝑䝥Ꮫ⩦ᖒ㻌 䝑䝥Ꮫ⩦ᖒ㻌 㻞㻜㻝㻟㻌 㧗㱋⪅䛸ᚰᡣ⣽ື㻌 ᚰᡣ⣽ື㻌 ᪥ᮏ⮫ᗋ 㻞㻜㻝㻟䠗 㔝⠊Ꮚ䚸㻌 ୗᕝభ⣖Ꮚ䚸 㟖㤶ዉᏊ㻌 㻞㻌 Ώ㎶๎䚸㻌 ᑠᯘὒ୍㻌 㻌 㻣㻝䠗㻝㻡㻟㻙㻝㻢㻜㻌 㻌 ᏛⓎ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌 㼃㼍㼠㼍㼚㼍㼎㼑㻌㻺㻘㻌 㻌 㢟㻌 㻌 ྡ㻌 㻯㼛㼙㼜㼍㼞㼕㼟㼛㼚㻌㼛㼒㻌㻺㼑㼣㻌㻿㼕㼘㼑㼚㼠㻌 㻯㼔㼕㼎㼍㻌㼅㻘㻌㻻㼚㼕㼟㼔㼕㻌 㼅㻌㻘㻌 㻯㼑㼞㼑㼎㼞㼍㼘㻌㼀㼔㼞㼛㼙㼎㼛㼑㼙㼎㼛㼘㼕㼏㻌 㻷㼍㼣㼍㼟㼍㼗㼕㻌㻿㻘㻌 㻸㼑㼟㼕㼛㼚㼟㻌㼍㼒㼠㼑㼞㻌㻭㼠㼞㼕㼍㼘㻌㻲㼕㼎㼞㼕㼘㼘㼍㼠㼕㼛㼚㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥ 㻱㼡㼞㼛㼜㼑㼍㼚㻌㻿㼛㼏㼕㼑㼠㼥㻌㼛㼒㻌 㻞㻜㻝㻞㻚㻤㻌 㻌 㻯㼍㼞㼐㼕㼛㼘㼛㼓㼥㻌㻯㼛㼚㼓㼞㼑㼟㼟㻌 㻞㻜㻝㻟㻌㻔㻹㼡㼚㼕㼏㼔㻕㻌 㻹㼡㼚㼑㼠㼟㼡㼓㼡㻌 㼅㻌㻘㻌㻻㼚㼡㼙㼍 㻭㼎㼘㼍㼠㼕㼛㼚㻌㼛㼒㻌㻼㼡㼘㼙㼛㼚㼍㼞㼥㻌㼂㼑㼕㼚㻌 㼅㻌㻘㻌㻷㼕㼗㼡㼏㼔㼕㻌㻹㻘㻌㻵㼠㼛㼡㻌㻴㻌㻘㻌 㻵㼟㼛㼘㼍㼠㼕㼛㼚㻌㼣㼕㼠㼔㻌㼠㼔㼛㼟㼑㻌㼛㼒㻌㻯㼛㼙㼜㼘㼑㼤㻌 㻭㼐㼍㼏㼔㼕㻌㼀㻘㻌 㻌 㻷㼍㼣㼍㼙㼡㼞㼍㻌 㻲㼞㼍㼏㼠㼕㼛㼚㼍㼠㼑㼐㻌㻭㼠㼞㼕㼍㼘㻌 㻹㻌㻘㻌㻭㼟㼍㼚㼛㻌㼀㻘㻌 㻌 㼀㼍㼚㼚㼛㻌 㻱㼘㼑㼏㼠㼞㼛㼓㼞㼍㼙㼟㻌㻭㼎㼘㼍㼠㼕㼛㼚㻌 㻷㻌㻘㻌㻷㼛㼎㼍㼥㼍㼟㼔㼕㻌㼅㻚㻌 㻌 㻞㻌 Ώ㎶๎䠈༓ⴥ㞝ኴ䠈 ᕝᓮᚿ㑻䠈すඞᐇ䠈 ၿṇ䠈⳥ᆅ⨾䠈 ఀ⸨ၨஅ䠈୕ዲྐே䠈 ⟪ᾆ䠈Ᏻ㐩ኴ㑻䠈 ὸ㔝㻌 ᣅ䠈㔝㻌 㑳䠈 ᑠᯘὒ୍㻌 㻟㻌 Ώ㎶๎ 㻌 㻘ྂᒣྐ䠈 ༓ⴥ㞝ኴ 㻌 䠈ὸ㔝㻌 ᣅ㻘 ⱴ㔝༤⾜䠈℈ᓮ⿱ྖ䠈 ᮌᗞ᪂䠈㓇ဴ㑻䠈 㜿ஂὠ㻌 㟹䠈㔝 㑳 䠈 ᕝ ᮧ ⰾ Ụ 㻘㻌 㻲㼞㼍㼚㼗㻌 㻭㼞㼚㼛㼘㼐㻌㻘㻌 ᯇ◊୍㻘㻌 ⏣ ௦ᚿ㛛㻘㻌 㣤ᓥ㻌 ⫕㻌 㻘㻌 ෆ ⏣ⱥ㻘㻌 ᑠᯘὒ୍㻌 㻠㻌 Ώ㎶㻌 ๎㻌 ᑠᯘ㻌 ὒ୍㻌 ᚰ➽᱾ሰᚋ䛾ᕥᐊ㉳※ᕥ⬮䝤 ᪥ᮏᩚ⬦Ꮫ㻌 䜰 䝻䝑䜽ᆺᚰᐊᮇእ⦰䛛䜙ㄏ 䝤䝺䞊䝅䝵䞁◊✲ Ⓨ䛥䜜 㼕㼚㼏㼑㼟㼟㼍㼚㼠㻌 㼜㼛㼘㼥㼙㼛㼞㼜㼔㼕㼏㻌 䠄ୗ㛵䠅㻌 㼢㼑㼚㼠㼞㼕㼏㼡㼘㼍㼞㻌 㼠㼍㼏㼔㼥㼏㼍㼞㼐㼕㼍 䛻䜰䝤 䝺䞊䝅䝵䞁䛜᭷ຠ䛷䛒䛳䛯 㻝 㻌 㻌 㻞㻜㻝㻞㻚㻝㻝㻌 ෙ ᝈ ᝈ ⪅ 䛻 䛚 䛡 䜛 ᢠ ⾑ ᑠ ᪥ ᮏ ෙ ᝈ Ꮫ 㻞㻜㻝㻞㻚㻝㻞㻌 ᯈ䞉ᢠจᅛ⸆䛾ే⏝䛻䛴䛔䛶㻌 䠄ᮾி䠅㻌 䛛䜙Ꮫ䜆ኻ⚄㻌 䠄⾑⟶㏞ ᪥ᮏᚠ⎔ჾᏛ䠄ᮾ 㻞㻜㻝㻟㻚㻜㻟㻌㻌 ㉮⚄⤒ᛶኻ⚄䠅㻌 ி䠅㻌㻌 ―162― CCU 㻌 㻡䠊ᖹᡂ 㻞㻠 ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟 ་ ⒪䜹 䞁 䝣䜯 䝺䞁䝇 䛾 ᖹᡂ 㻞㻝 ᖺᗘ䛿་⒪䜹䞁䝣䜯䝺䞁䝇䛜⾜䜟䜜䛶䛔䛺䛔䛣䛸䛷ᝈ⪅䛾㌿ 㛤ദ㻌 ᐊ䞉㌿Ჷ䛜䛻⾜䜟䜜䛺䛔䛜䛒䜚䚸ධ㝔ᝈ⪅ဨ䛻ᑐ䛧་⒪䜹 㻌 䞁䝣䜯䝺䞁䝇䜢㛤ദ䛧䛯䚹㻞㻞 ᖺᗘ䛿་⒪䜹䞁䝣䜯䝺䞁䝇䜢┠ⓗ䞉ㄢ㢟䛺䛹 䜢᫂☜䛸䛧㉁䛾ྥୖ䜢┠ⓗ䛸䛧䛶་⒪䜹䞁䝣䜯䝺䞁䝇䜢ධ㝔ᝈ⪅୰⣙ 㻤 䛻ᑐ䛧㛤ദ䛧䛯䚹㻌 䐠ឤᰁⓎ⏕⋡䛾పୗ㻌 ୰ᚰ㟼⬦㛵㐃䜹䝔䞊䝔䝹䛾⏝ẚ䛿 㻢㻢㻚㻤䠂䚸ឤᰁ⋡䛿 㻞㻚㻤㻣 䛷䛒䛳䛯䚹 ᒀ㊰䜹䝔䞊䝔䝹䛾⏝ẚ䛿 㻤㻞㻚㻞䠂䚸ឤᰁ⋡䛿 㻡㻚㻤㻞 䛷䛒䛳䛯䚹䝇䝍䞁䝎䞊 䝗䝥䝸䝁䞊䝅䝵䞁䞉䝬䜻䝅䝞䝹䝥䝸䝁䞊䝅䝵䞁䜢ᚭᗏ䛩䜛䛣䛸䛷๓ᖺᗘ䛸ẚ ㍑䛧ឤᰁ䛾Ⓨ⏕⋡䛾పୗ䜢㐩ᡂ䛷䛝䛯䚹㻌 㻌 㻢䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃⥭ᛴᝈ⪅䛾ཷ䛡ධ䜜䜢⾜䛖䛯䜑✵ᗋᗋ䛾☜ಖ㻌 㻯㻯㼁 䛾䝧䝑䝗ᩘ㻔ᩆᛴ 㻯㻯㼁 䜒ྵ䜑㻕䛜 㻝㻜 ᗋ䛒䜚䚸ᚋ᪉䝧䝑䝗䛸䛧䛶ධ㝔Ჷ 㻝㻡 㝵 㻡㻟 ᗋ䞉ධ㝔Ჷ 㻤 㝵 㻥 ᗋ䛾⥲ィ 㻢㻞 ᗋ䜢ᣢ䛴䚹䛧䛛䛧䚸ᐃᮇධ㝔䞉⥭ᛴධ㝔䛺䛹䜢ྵ䜑ᖖ⥲ᗋᩘ௨ୖ䛾ᅾ㝔ᝈ⪅ 䛜䛒䜛⌧≧䛻䛒䜛䚹㻯㻯㼁 䛾ᶵ⬟䛸䛧䛶᪩ᮇ䛻୍⯡ᗋ䜈䛾㌿ᐊ䛷䛝䜛䜘䛖ᗋ☜ಖ䛜ㄢ㢟䛷䛒 䜛䚹㻌 ᭱㏆䛷䛿䚸ᗘ䚻㻯㻯㼁 䝛䝑䝖䝽䞊䜽䛾ཷ䛡ධ䜜ྍ⬟䛸䛩䜛㛫ᖏ䛜ቑ䛘䛶䛝䛯䚹䛭䛾せᅉ䛸䛧 䛶䚸㧗㱋⪅䛾㛗ᮇධ㝔䛜䛒䛢䜙䜜䜛䚹୍⯡ᗋ㌿ฟᚋ䛾᪩ᮇ㝔㌿㝔䛾✚ᴟⓗᐇ⾜䛜ᚲせ䛷䛒 䜛䚹እ᮶⥭ᛴཷデ䛾㝔㌿㝔䛾᳨ウ䜒ᚲせ䛛䜒䛧䜜䛺䛔䚹㻌 䖃⥭ᛴ䜹䝔䞊䝔䝹᳨ᰝ䞉㻯㻯㼁 䜹䝔䞊䝔䝹ᐊ᳨ᰝேဨ䛾☜ಖ㻌 㻯㻯㼁 䜹䝔䞊䝔䝹ᐊ䛾ᨺᑕ⥺ᢏᖌ䞉⮫ᗋᕤᏛᢏኈ䛜᳨ᰝ䛻ᖖ䛧䛶䛚䜙䛪ேဨ䛾☜ಖ䛜᪩ᮇ䛾 ㄢ㢟䛷䛒䜛䚹䜎䛯䚸㻯㻯㼁 䜹䝔䞊䝔䝹ᐊ䛾⨨䛜ྂ䛟䚸᭱᪂ᶵ✀䜘䜚ᨺᑕ⥺↷ᑕ㔞䛜ከ䛔䛸ゝ䜟䜜䛶 䛚䜚䚸་⒪ᚑ⪅䛾⿕⇿పῶ䛾䛯䜑䚸᪩ᮇ䛾⨨㈙䛔᭰䛘䛜ᚲせ䛷䛒䜛䚹㻌 㻌 ―163― リハビリテーションセンター Ꮫ㝔㻌 ୰ኸデ⒪㒊㛛㻌 昭和大学病院 中央診療部門 㻣㻌 䝸䝝䝡䝸䝔䞊䝅䝵䞁䝉䞁䝍䞊㻌 ６）リハビリテーションセンター 㻌 㻝㸬⌮ᛕ࣭┠ᶆ㻌 ⌮ᛕ ᝈ⪅ࡉࢇࡦࡾࡦࡾࡀࠊࡧࡑࡢேࡽࡋ࠸⏕άࢆ㏦ࡿࡇࡀ࡛ࡁࡿࡼ࠺ࠊᡃࠎ ࡣ་⒪ࡢ㉁ࢆྥୖࡉࡏࠊᝈ⪅ࡉࢇᮏࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢆᥦ౪ࡍࡿⅭࠊࢳ࣮ ࣒࡛ᨭࡋ࡚࠸ࡁࡲࡍࠋ㻌 ┠ᶆ ࣭᪩ᮇࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢᐇ㻌 ࣭ከ⫋✀ࡢሗඹ᭷ࡢᙉ㻌 ࣭ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ࡢ⎔ቃᩚഛᏳ☜ಖ㻌 ࣭ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ࢫࢱࢵࣇ㛫࡛ࡢሗඹ᭷ࡢᙉ㻌 㻌 㻞㸬ேဨᵓᡂ㻌 ࢭࣥࢱ࣮㛗㻌 Ỉ㛫 ṇ㻌 ᢏᖌ㛗㻌 㔝 ⠊ኵ㻌 ࡑࡢ㻌 ᑓᚑ་ᖌ㻌 㻟ྡ㻌 ⌮Ꮫ⒪ἲኈ㻌 㻤ྡ㻌 సᴗ⒪ἲኈ㻌 㻟ྡ㻌 ゝㄒ⫈ぬኈ㻌 㻜ྡ㻌 ᢏᖌ㸦㺭㺍㺙㺎㺚㺼ᖌ㸧㻌 㻌 㻞ྡ㻌 ᢏ⾡⿵ຓဨ㻌 㻝ྡ㻌 ⩏⫥ලኈ㻔እ㒊ጤク㻕㻌 㻞ྡ㻌 㸨ゝㄒ⫈ぬኈࡣḞဨࠋ ᑓᚑ┳ㆤᖌࡣ㓄⨨ࡉࢀ࡚࠸࡞࠸ࠋ㻌 㻌 㻟㸬ᴗົᐇ⦼ 㻌 ձᖹᡂ㻞㻠ᖺᗘ㻌 ᝈูࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ ᝈ⪅ேᩘ 㸦༢㸸ே㸧㻌 㻌 ⬻⾑⟶㻌 㐠ືჾ㻌 ྾ჾ㻌 ᚰ⾑⟶㻌 ⌮Ꮫ⒪ἲ㻌 㻌 㻌 㻌 㻌 㻌 㻝㻡㻘㻜㻢㻣 㻝㻤㻘㻤㻟㻥 㻣㻥㻜 సᴗ⒪ἲ㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻠㻘㻣㻜㻟 㻡㻘㻜㻞㻣 㻜 㻞㻟㻘㻤㻢㻢 㻣㻥㻜 ゝㄒ⫈ぬ⒪ἲ㻌 ྜ ィ㻌 㻣㻘㻞㻞㻞 㻜 㻌 㻌 㻌 㻌 㻌 㻝㻥㻘㻣㻣㻜 㻣㻘㻞㻞㻞 ղᖹᡂ㻞㻠ᖺᗘ㻌 ᝈูࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ デ⒪༢ 㸦༢㸸༢㸧㻌 㻌 ⬻⾑⟶㻌 㐠ືჾ㻌 ྾ჾ㻌 ᚰ⾑⟶㻌 ⌮Ꮫ⒪ἲ㻌 㻌 㻌 㻌 㻌 㻌 㻝㻡㻘㻢㻤㻜 㻞㻜㻘㻝㻟㻡 㻤㻟㻞 సᴗ⒪ἲ㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻡㻘㻣㻢㻞 㻡㻘㻤㻢㻜 㻜 㻞㻡㻘㻥㻥㻡 㻤㻟㻞 ゝㄒ⫈ぬ⒪ἲ㻌 ྜ ィ㻌 㻝㻤㻘㻝㻤㻝 㻜 㻌 㻌 㻌 㻌 㻞㻝㻘㻠㻠㻞 ―164― 㻝㻤㻘㻝㻤㻝 リハビリテーションセンター ճᖹᡂ㻞㻠ᖺᗘ㻌 㒊㛛ูデ⒪ሗ㓘Ⅼᩘ 㸦༢㸸Ⅼ㸧㻌 ⌮Ꮫ⒪ἲ㻌 㻝㻝㻘㻡㻣㻝㻘㻤㻝㻜 సᴗ⒪ἲ㻌 㻞㻘㻟㻞㻝㻘㻢㻝㻡 ゝㄒ⫈ぬ⒪ἲ㻌 㻜 ྜ ィ㻌 㻝㻟㻘㻤㻥㻟㻘㻠㻞㻡 㻌 㻠㸬♫࣭ᆅᇦ㈉⊩άືࠊ◊✲ᴗ⦼㻌 ♫ە ♫࣭ᆅᇦ㈉⊩άື㻌 㻌 㛤ദᖺ᭶᪥㻌 ෆ ᐜ㻌 㛤ദᆅ㻌 㻝㻌 㻞㻜㻝㻞ᖺ㻠࣭㻝㻜᭶㻌 ᜥ㺃⏕ࡁ྾ჾᩍᐊ㸦㻯㻻㻼㻰 እ᮶ᝈ⪅ᑐ㇟㸧 ᙜ㝔㻌 㻞㻌 㻞㻜㻝㻞ᖺᗘ㻌 㻥ᅇ㻌 Ꮫᚠ⎔ჾෆ⛉ᚰ⮚ᩍᐊ㻌 ᙜ㝔㻌 㻟㻌 㻞㻜㻝㻞ᖺ㻡㺃㻤㺃㻝㻝᭶㻌 ရࡢ㍯㸦ရᕝ༊ෆࣜࣁࣅࣜࢸ࣮ࢩࣙࣥタ ᙜᏛࠊရᕝ༊ෆ་⒪ 㻞㻜㻝㻟ᖺ㻞᭶㻌 㻠㻌 㻞㻜㻝㻟ᖺ㻞᭶㻌 ⒪ἲኈࡢຮᙉ㸧㻌 ⚟♴タ㻌 ᮾி࣐ࣛࢯࣥ㻞㻜㻝㻟 ཧຍ㑅ᡭࢣ㻌 ᮾி㒔㻌 㻌 ەᏛ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌 ஂಖᆂᏊ㻌 㢟 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 㧗㱋៏ᛶᚰᝈ⪅࠾ࡅࡿᚰ ➨㻝㻤ᅇ᪥ᮏᚰ⮚ࣜࣁ ᖹᡂ㻞㻠 ᖺ㻣 ᭶ ⮚ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ᪩ᮇධ ࣅࣜࢸ࣮ࢩࣙࣥᏛ 㻝㻠࣭㻝㻡᪥ 㻌 ࡢຠᯝࡘ࠸࡚㻌 㻞㻌 ୰㔝㻌 㡰Ꮚ㻌 Ꮫ⾡㞟㸪ᐑ㻌 ከ⫋✀㐃ᦠࢆࢫ࣒࣮ࢬ⾜࠺ࡢ ➨㻟ᅇ᪥ᮏཱྀ⭍ࢣ ᖹ㻞㻠ᖺ㻝㻜᭶㻞㻣 ᚲせ࡞ࡇࡣ㻌 ༠Ꮫ⾡㸪ᮾி ᪥ 㻌 㻌 㻡㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձධ㝔ࣜࣁࣅࣜࢸ࣮ࢩ ࣙࣥࡢ㟂せᣑ㻌 ධ㝔ᝈ⪅ᑐࡍࡿࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢆᐇࡉࡏࡿࡓࡵࠊእ᮶ᝈ ⪅ཷࡅධࢀࢆ᭱ᑠ㝈ࡋࡓ≧ែ࡛㐠Ⴀࡋ࡚࠸ࡿࠋࡋࡋධ㝔ᝈ⪅ࡢ ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㟂せࡣࡲࡍࡲࡍᣑࡋ࡚࠾ࡾࠊデ⒪ሗ㓘ᐇ⦼ࡣ ቑࡋ࡚࠸ࡿࠋ౫㢗ࡢ࠶ࡗࡓ࡚ࡢᝈ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢆᥦ ౪ࡍࡿࡓࡵࠊ㢖ᗘࡢㄪᩚࡸᲷ࡛ࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᣦᑟ࡞ࡢ ᕤኵࢆ⾜࠸ࠊᑐᛂࡋ࡚࠸ࡿࠋ㻌 ղᚰ⾑⟶ࣜࣁࣅࣜ ࢸ࣮ࢩࣙࣥ㸦㻵㸧㒊㛛㻌 ᚰ⾑⟶ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸦㻵㸧ࢆࠊእ᮶ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ ᐊᲷ࡚⾜ࡗ࡚࠸ࡿࠋධ㝔ᝈ⪅ࡢ㟂せࡣࠊࡲࡍࡲࡍᣑࡋ࡚࠸ ࡿ≧ἣ࡛࠶ࡿࠋ㻌 ࡲࡓᚰ⾑⟶ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㛵ᚰࢆᣢࡘᏛ➼ࡢ࣎ ࣛࣥࢸᏛ⏕ཷࡅධࢀࡶࠊఇᴗᮇ㛫࡞ᘬࡁ⥆ࡁ⾜ࡗࡓࠋ㻌 ―165― リハビリテーションセンター ճே␗ື࣭ᩍ⫱άື㻌 㻠᭶᪂༞⪅ࡢ㓄ᒓࡀ⌮Ꮫ⒪ἲኈ㻝ྡࠊసᴗ⒪ἲኈ㻝ྡ࠶ࡗࡓࠋ๓ ᖺᗘࡢ㏥⫋⪅ࡀ㻝ྡ࠶ࡗࡓ⌮Ꮫ⒪ἲ㒊㛛ࡣᘬࡁ⥆ࡁ㻝㻜ྡయไ࡞ࡗ ࡓࠋసᴗ⒪ἲ㒊㛛ࡣᏛయ࡛ࡢேဨ㓄⨨ࡢ୍ⓗぢ┤ࡋࡢࡓࡵࠊ 㻞㻜㻝㻝ᖺ㻤᭶ࡼࡾ㻞ྡ㸦㻝ྡῶဨ㸧࡞ࡗ࡚࠸ࡓࡀࠊデ⒪ሗ㓘ᐇ⦼ࢆ㔜 ࡡ㻟ྡయไᡠࡗࡓࠋ㻌 ⮫ᗋᐇ⩦ࡘ࠸࡚ࡣࠊᏛࡢࡳࡢᏛ⏕ཷࡅධࢀ࡞ࡾࠊᖺ ࠊసᴗ⒪ἲ㒊㛛㸱ྡ㸦㻤 ᗘࡣ⌮Ꮫ⒪ἲ㒊㛛㻢ྡ㸦㻣㐌㛫㻠ྡࠊ㻟㐌㛫㻞ྡ㸧 㐌㛫㸯ྡࠊ㻟㐌㛫㸰ྡ㸧ࡢ⮫ᗋᐇ⩦ࡀ⾜ࢃࢀࡓࠋ㻌 մゝㄒ⫈ぬ⒪ἲ㒊㛛ࡢ ᴗົṆ㻌 ゝㄒ⫈ぬኈࡢ㏥⫋ࡼࡿḞဨࡼࡾࠊゝㄒ⫈ぬ⒪ἲ㒊㛛ࡢᴗົ Ṇ≧ែࡀ⥅⥆ࡋ࡚࠸ࡿࠋ㝔ෆྛデ⒪⛉ࡼࡾゝㄒ⒪ἲ⾜ࡢ౫㢗ࡣ࠶ ࡿࡀࠊ་ᖌࡢᣦᑟ࣭సᴗ⒪ἲ㒊㛛ࡼࡿホ౯࣭カ⦎ࠊ㏆㞄㝔ࡢ⤂ ࡞࡛ᑐᛂ୰࡛࠶ࡿࠋ㻌 յ◊✲࣭Ꮫάື㻌 㻞ྡ㻞₇㢟ࡢⓎ⾲ࢆ⾜ࡗࡓࠋ㻌 ࡲࡓୗグࡢᏛ࣭◊ಟࡶᐤࡋࡓࠋ㻌 㸸᪥ᮏ⌮Ꮫ⒪ἲᏛ⾡ࠊ᪥ᮏ⌮Ꮫ⒪ἲᏛࠊ᪥ᮏ⩏⫥ලᏛ Ꮫ⾡ࠊᮾி㒔⌮Ꮫ⒪ἲኈࠊ᪥ᮏసᴗ⒪ἲኈ༠㻌 նデ⒪㐃ᦠᙉ㻌 ⌮Ꮫ⒪ἲ㒊㛛ࡣᩚᙧእ⛉⌜ෆ⛉⌜ࡢศᢸࢆ⦆ࡸࡋࠊࣂࣛࣥ 㸦⌜ไ⥅⥆ࠊ࢝ࣥࣇ ࢫࡢⰋ࠸⮫ᗋ⤒㦂ࢆ✚ࡳࠊྛ⌜ࡢᐇ⦼ࡀ೫ࡽ࡞࠸ࡼ࠺㓄៖ࡋ࡚ᴗ ࣞ ࣥ ࢫ ࡢ ᐃ ᮇ ⓗ 㛤 ົࢆ⾜ࡗࡓࠋ㻌 ദ㸧㻌 ࡲࡓᲷࡢ㐃ᦠᙉࡢ୍⎔ࡋ࡚ࠊᐃᮇⓗ࢝ࣥࣇࣞࣥࢫࢆ ᩚᙧእ⛉Ჷࡣ㐌୍ᅇࠊ⬻⚄⤒እ⛉Ჷࡣ㝸㐌࡛⾜ࡗ࡚࠸ࡓ ࡀࠊࡇࢀࢆ⥅⥆ࡋࡓࠋࡉࡽᩆᩆᛴࢭࣥࢱ࣮ࡣ㻢᭶ࡽࠊࣜࣁ ࣅࣜࢸ࣮ࢩࣙࣥ⛉࣮࢜ࢲ࣮ࡢᮾ㝔ධ㝔ᝈ⪅ᑐ㇟ࡢࡶࡢࢆ㻝㻜᭶ ࡽࠊࡑࡢࡢ᪂つධ㝔ᝈ⪅ᑐ㇟ࡢࡶࡢࢆ㻝㻞᭶ࡽࠊࡑࢀࡒࢀ㐌㻝ᅇ ࡢ࢝ࣥࣇࣞࣥࢫࢆ㛤ጞࡋࠊฎ᪉་ࠊᲷࠊ⥲ྜ┦ㄯࢭࣥࢱ࣮ࡢ 㐃ᦠᙉࢆᅗࡗࡓࠋ㻌 շ᪩ᮇࣜࣁࣅࣜࢸ࣮ࢩ ࣙࣥࡢᐇ㻌 㻢᭶ࡼࡾᩆᩆᛴࢭࣥࢱ࣮ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ࢝ࣥࣇࣞࣥࢫࢆ 㛤ദࡍࡿࡇࡼࡾࠊ㎿㏿࡞ᑐᛂࡀྍ⬟࡞ࡾࠊຠ⋡ࡢⰋ࠸ࣜࣁࣅ ࣜࢸ࣮ࢩࣙࣥࡀᥦ౪࡛ࡁࡿࡼ࠺࡞ࡗࡓࠋ㻌 ոࢦ࣮ࣝࢹ࣮ࣥ࢘ ᙜࢭࣥࢱ࣮ࡢఇᬤయไࡣ᪥᭙࣭⚃᪥ࡀఇデ࡞ࡗ࡚࠸ࡿࡀࠊ㛗ᮇ ࢡ࣭ᖺᮎᖺጞఇᬤ୰ࡢデ ࡢఇデ࡞ࡿࢦ࣮ࣝࢹ࣮ࣥ࢘ࢡࡸᖺᮎᖺጞఇᬤࡢ㛗ᮇఇデᮇ㛫 ⒪ᐇ㻌 չ㒊㛛ࡢ㐃ᦠ㻌 ୰ࡑࢀࡒࢀ 㻝᪥デ⒪ࢆᐇࡋࡓࠋ㻌 ་ᖌࠊ┳ㆤᖌࠊ⥲ྜ┦ㄯࢭࣥࢱ࣮ࡢࢫࢱࢵࣇ㐃ᦠࡋ࡚ㆤ㺃⏕ ά⬟ຊࢆホ౯㺃᳨ウࡋࠊᚲせᛂࡌᒃᏯᴗᡤࡢࢫࢱࢵࣇᝈ⪅ࡢ 㻭㻰㻸 ≧ἣࢆఏ࠼ࡿ࡞ࠊᮏேࡀ㸯᪥࡛ࡶ᪩ࡃఫࡳ័ࢀࡓ⎔ቃᡠࢀ ࡿࡼ࠺࡞ࣜࣁ་⒪ࢆᥦ౪࡛ࡁࡓࠋ㻌 ࡲࡓࠊᏛദࡢࠕࢳ࣮࣒་⒪᥎㐍ࡢࡓࡵࡢᏛ㝔⫋ဨࡢேᮦ 㣴ᡂࢩࢫࢸ࣒ࡢ☜❧ࣉࣟࢢ࣒ࣛࠖࣇࢩࣜࢸ࣮ࢱ࣮࣭࣓ࣥࣂ࣮ ࡋ࡚✚ᴟⓗཧຍࡋࡓࠋ㻌 㻌 ―166― ࡾྲྀەᢅ࠸ᝈ⪅ᩘཬࡧ༢ᩘࡀࠊቑຍഴྥ࠶ࡿ୰ࠊࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ࡢカ⦎ࢫ ࣮࣌ࢫ࣭⒪ἲኈᩘࡣ⌧⾜ࡢࡲࡲ࡛࠶ࡿࠋタ࣭࣋ࢵࢻ㐠⏝ࡢᕤኵࢆ⥅⥆ࡋ࡚࠸ࡃࡣᙜ↛ ࡛࠶ࡿࡀࠊࡑࡢ୰࡛ᝈ⪅ྲྀࡾ㐪࠼ࡢ㜵ṆࡸᏳ࣭ឤᰁ⟶⌮ࢆᚭᗏࡋ࡚࠸ࡃࡇࡀ㔜せ࡛࠶ ࡿࠋࡑࡋ࡚ࠊᲷ࡛ࡢカ⦎ࡶ᭷ຠά⏝ࡋࠊୟࡘࠊᏳ࣭ឤᰁࡢᑐ⟇ࠊᲷࢫࢱࢵࣇ ࡢ㐃ᦠࢆᙉࡋ࡚࠸ࡃᚲせࡀ࠶ࡿࠋࡲࡓࠊᮾ㝔ධ㝔ᝈ⪅ࡢ㟂せࡀ㧗ࡲࡗ࡚࠾ࡾࠊᝈ⪅ᦙ ㏦యไලྜࢆ⏕ࡌࡿࡇࡀ࠶ࡗࡓࠋᚋᦙ㏦࡛ࡁࡿᝈ⪅ᩘ௨ୖ౫㢗ࡀቑຍࡋࡓሙ ྜࠊࡢࡼ࠺࡞ᑐᛂࢆྲྀࡿࡣᚋࡢㄢ㢟࡛࠶ࡿࠋ㻌 ⌮ەᏛ⒪ἲ㒊㛛࡛ࡣࠊᛴᛶᮇࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢᐇࢆࡣࡿࡓࡵࠊࢫࢱࢵࣇဨࡢ▱ ㆑࣭ᢏ⬟ࢆ㧗ࡵࡿࡃࠊᐃᮇⓗຮᙉࢆ㛤ദࡋ࡚࠾ࡾࠊࡇࢀࢆ⥅⥆ࡋ࡚࠸ࡃࠋࡲࡓࠊ୍ 㒊Ჷ࡛ᑐᛂྍ⬟࡞ࡗࡓ㉸ᛴᛶᮇࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢᐇ㛵ࡋ࡚ࡣࠊໟᣓⓗ࡞ᐇ⌧ ྥࡅ࡚యไࢆᩚ࠼࡚࠸ࡃࠋ㻌 ەసᴗ⒪ἲ㒊㛛࡛ࡣࠊ๓ᖺᗘḞဨ࡛⦾㞧࡞ࡗ࡚࠸ࡓᴗົࡶⴠࡕ╔ࡁࢆྲྀࡾᡠࡋࡘࡘ࠶ࡿࠋ 㻠᭶᥇⏝ࡉࢀࡓ᪂ேసᴗ⒪ἲኈࡶ㻞ᖺ┠࡞ࡾࠊಶேࡢᢏ⬟ࢆ㧗ࡵࡿඹࠊࣜࣁࣅࣜ ࢸ࣮ࢩࣙࣥࡢᐇດࡵࡿᚲせࡀ࠶ࡿࠋࡑࡢⅭࠊྛ✀ㅮ⩦ࡸຮᙉࡢ✚ᴟⓗ࡞ཧຍ ຍ࠼ࠊಶேࡢ▱㆑࣭ᢏ⬟ࡢྥୖࢆᅗࡿⅭࠊసᴗ⒪ἲ㒊㛛࡛ࡢຮᙉࢆᐃᮇⓗ࡞㛤ദࡋ࡚ ࠸ࡃࠋ㻌 ەゝㄒ⫈ぬ⒪ἲ㒊㛛ࡣᴗົṆ≧ែ࡛࠶ࡿࡀࠊኻㄒ࣭ᄟୗ㞀ᐖ࡞࡛ࠊゝㄒ⫈ぬ⒪ἲࡢ㟂 せࡣከ࠸ࠋᄟୗ㞀ᐖ㛵ࡋ࡚ࡣࠊࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉་ᖌ࣭Ჷ┳ㆤᖌ➼ࡼࡿホ౯࣭ カ⦎ࡀ⾜ࢃࢀ࡚࠾ࡾࠊኻㄒ࣭ᵓ㡢㞀ᐖ㛵ࡋ࡚ࡣࠊࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮࡚ホ ౯࣭カ⦎ࢆ⾜ࡗ࡚࠸ࡿࠋࡋࡋࠊ༑ศ࡞ຓࡀ⾜࠼࡚࠸ࡿࡣゝ࠼ࡎࠊ࿘㎶ᑓ㛛タࡢ ࢫ࣒࣮ࢬ࡞⛣⾜ཬࡧሗᥦ౪ࢆ⥅⥆ࡋ࡚⾜ࡗ࡚࠸ࡃᚲせࡀ࠶ࡿࠋ㻌 ەಖ་⒪Ꮫ㒊Ꮫ⏕ࡢᐇ⩦ࢆࡍ࡚Ꮫෆ࡛⾜࠺᪉㔪ࡀ♧ࡉࢀࠊಖ་⒪Ꮫ㒊ࢫࢱࢵࣇඹ ࠊලయⓗ࡞᪉ἲࡢ᳨ウࡀᛴົ࡞ࡗ࡚࠸ࡿࠋ᮶ᖺᗘࡣࠊಖ་⒪Ꮫ㒊సᴗ⒪ἲᏛ⛉ࡢᩍ ဨࡀᐃᮇⓗ⮫ᗋཧຍࡍࡿࡇࡀ᳨ウࡉࢀ࡚࠾ࡾࠊ⮫ᗋࡢ⌧ሙ࡛ࡢ⌧≧ࢆ㋃ࡲ࠼ࡘࡘࠊ ࡼࡾ⌧ᐇⓗ࡛ࡼࡾⰋ࠸Ꮫ⏕ᐇ⩦ࡢᅾࡾ᪉ࢆ᳨ウࡋ࡚࠸ࡃᚲせࡀ࠶ࡿࠋ㻌 ەᝈ⪅ᩘࡀቑຍࡍࡿ୰ࠊ◊✲άື⏝࡛ࡁࡿ㛫ࡣࠊ㝈ࡽࢀ࡚࠸ࡿࠋࡋࡋࠊ⮫ᗋ࡛ാࡃ ࡽࡇࡑ⾜࠼ࡿ◊✲ࡀ࠶ࡿࡇࢆᛀࢀࡎࠊᚋࡶ✚ᴟⓗ◊✲࣭Ⓨ⾲ࢆ⾜ࡗ࡚࠸ࡃࠋ㻌 ەᩆᩆᛴࢭࣥࢱ࣮ධ㝔ᝈ⪅࣭᪂つධ㝔ᝈ⪅࣭ᮾ㝔ᝈ⪅㸦ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ฎ᪉ࡢࡶ ࡢ㸧ᑐࡍࡿ࢝ࣥࣇࣞࣥࢫࡢ᪂つ㛤ദࢆᐇ⌧ࡋࡓࠋࡋࡋࠊ㝈ࡽࢀࡓ㛫ࡢ୰࡛ࠊᚲせ ࡞ሗࢆຠ⋡ࡼࡃᥦ౪ࡍࡿࡇࡀ༑ศ࡛࠶ࡿࠋྛࢫࢱࢵࣇࡢホ౯࣭ሗ࿌ࡀⓗ☜ࠊୟࡘ ࢫ࣒࣮ࢬ⾜࠼ࡿࡼ࠺ࠊຮᙉ➼ࢆᐇࡋࠊ࢝ࣥࣇࣞࣥࢫࡢᐇࢆᅗࡿࠋ㻌 ࡢࢫࣥࣞࣇࣥ࢝ە᪂つ㛤ദࡼࡾࠊᩆᩆᛴࢭࣥࢱ࣮࡛ࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡣࠊ᪩ᮇ ධࡀྍ⬟࡞ࡗࡓࠋࡋࡋࠊ୍᪉࡛ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ౫㢗ࡢቑຍక࠸ࠊฎ᪉ᚋࡢカ⦎ 㛤ጞᩘ᪥ࢆせࡍࡿ≧ἣࡶ࠶ࡾࠊࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉་ᖌࡢሗࢆᙉࡋࠊᝈ⪅ ẖࡢ᪩ᮇධࡢᚲせᛶࢆぢᴟࡵ࡚࠸ࡃᚲせࡀ࠶ࡿࠋ㻌 㻌 ―167― リハビリテーションセンター 㻢㸬ᚋࡢㄢ㢟ᒎᮃ㻌 手術部 Ꮫ㝔㻌 ୰ኸデ⒪㒊㛛㻌 昭和大学病院 中央診療部門 㻤㻌 ᡭ⾡㒊㻌 7）手術部 㻝䠊⌮ᛕ䞉┠ᶆ㻌 ⌮ᛕ䠖ᝈ⪅ᮏ䛾Ᏻ䛺ᡭ⾡་⒪䛾ᥦ౪䚹㻌 ┠ᶆ䠖ᝈ⪅䛾Ᏻ䜢➨୍┠ᶆ䛸䛧䛯䚸㉁䛾㧗䛔㧗ᗘ䛺ᡭ⾡⎔ቃ䛾ᥦ౪䚹ྛ⫋✀㛫䛷䛾ሗඹ᭷䜢 ᐦ䛻䛧䛯䝏䞊䝮་⒪䛾ᐇ㻌㻌 㻌 㻞䠊ேဨᵓᡂ㻌 㻌 㻌 ᡭ⾡㒊㛗㻌 Ᏻᮏ㻌 ṇ㻌 㯞㓉⛉⛉㛗㻌 Ᏻᮏ㻌 ṇ㻌 ᡭ⾡ᐊᖌ㛗㻌 ▼ᶫ㻌 䜎䜖䜏㻌 ୰ኸᮦᩱᐊ㻌 䝸䝆䝵䜲䝇䜹䞁䝟䝙䞊㻌 㻌 㻟䠊ᴗົᐇ⦼㻌 㻌 ᡭ⾡௳ᩘ㻌 㻌 ᖺ㛫ᡭ⾡௳ᩘ㻌 㻣㻘㻡㻝㻥 ᾘჾ୍⯡እ⛉ 㻝㻘㻝㻜㻜 ᚰ⮚⾑⟶እ⛉ 㻝㻣㻣㻌 ྾ჾእ⛉ 㻝㻞㻡㻌 ங⭢እ⛉ 㻠㻡㻝㻌 ᑠඣእ⛉ 㻞㻡㻝㻌 ᙧᡂእ⛉ 㻝㻘㻡㻜㻞㻌 ᩚᙧእ⛉ 㻝㻘㻟㻠㻞㻌 ⬻⚄⤒እ⛉ 㻠㻡㻝㻌 ⏘፬ே⛉ 㻝㻘㻝㻜㻤㻌 ⪥㰯ဗႃ⛉ 㻢㻞㻤㻌 Ἢᒀჾ⛉ 㻟㻠㻢㻌 ᩆᛴ་Ꮫ⛉ 㻝㻡㻌 ║⛉ 㻣㻌 ⾑ᾮෆ⛉ 㻠 ཱྀ⭍እ⛉ 㻝 ᑠඣ⛉ 㻣 ᾘჾෆ⛉ 㻝 ṑ⛉ 㻟 㻌 㻌 ―168― 手術部 㻠䠊ᖹᡂ 㻞㻠 ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟ᡭ⾡ᐊ㐠Ⴀ䛻䛴䛔䛶㻌 ᡭ⾡௳ᩘ䛿ᖺ䚻ቑຍഴྥ䛻䛒䜚䚸㝈䜙䜜䛯ᡭ⾡ᯟ䛾୰䛷䚸ຠ⋡䛾Ⰻ䛔 㐠Ⴀ䛜せồ䛥䜜䛶䛔䜛䚹ᐃᮇⓗ䛺ᡭ⾡ᯟ䛾ぢ┤䛧ไᗘ䜔䚸ᐃᮇᡭ⾡ᯟ 䛾ᘏ㛗➼䛾ᑐ⟇䜢⪃៖୰䛷䛒䜛䚹㻌 䐠ᡭ⾡ᐊ⎔ቃ䛻䛴䛔䛶㻌 ᡭ⾡ෆᐜ䜒䚸䜘䜚పく䛺య⭍㙾ᡭ⾡௳ᩘ䛜ቑຍ䛧䛶䛚䜚䚸ෆど㙾እ ⛉ᑓ㛛ᡭ⾡ᐊ䜈䛾ᨵ䛜⾜䜟䜜䚸࿘㎶ᶵჾ䛾ᩚഛ䞉ᐇ䛜⾜䜟䜜 䛴䛴䛒䜛䚹㻌 ୍㊊ไ䜢ヨ㦂ⓗ䛻ᑟධ䛧䛯䚹ᡭ⾡㛤ጞ䛻㝿䛧䚸䝍䜲䝮䜰䜴䝖䛷䛾☜ㄆ䛜 㛤ጞ䛥䜜䛯䚹㻌 㻌 㻡䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃ᡭ⾡௳ᩘቑຍ䛻ᑐ䛩䜛㐠Ⴀ䛾ຠ⋡㻌 䖃㧗ᗘඛ㐍་⒪䜢⾜䛳䛶䛔䛟ୖ䛷䛾䚸ᡭ⾡࿘㎶ᶵჾ䛾ᐇ䞉ᩚഛ㻌 㻴㻞㻡䠖䝎䝡䞁䝏ᑟධ䛜Ỵᐃ䛧䛶䛔䜛䚹㻌 㻌 ―169― 緩和ケアセンター Ꮫ㝔㻌 ୰ኸデ⒪㒊㛛㻌 昭和大学病院 中央診療部門 㻥㻌 ⦆䜿䜰䝉䞁䝍䞊 ８）緩和ケアセンター 㻌 㻝䠊⌮ᛕ䞉┠ᶆ㻌 Ꮫ㝔䛸䛧䛶䛾ᙺ䠄デ⒪䞉ᩍ⫱䞉◊✲䠅䛚䜘䜃ᆅᇦ䛜䜣デ⒪㐃ᦠᣐⅬ㝔䛸䛧䛶䛾ᶵ⬟䜢ᢸ䛔䚸䛜 䜣デ⒪䛾୍⩼䛷䛒䜛⦆་⒪䛻ྲྀ䜚⤌䜐䛣䛸䛜ᙜ䝉䞁䝍䞊䛾䛸⪃䛘䛶䛔䜛䚹ᮏ㝔䛻䛶⒪୰䛾 ᝈ⪅䛥䜣䛚䜘䜃䛤ᐙ᪘䛜㉁䛾Ⰻ䛔䛜䜣་⒪䜢Ᏻᚰ䛧䛶ཷ䛡䛶䛔䛯䛰䛡䜛䜘䛖䛻≧⦆䜔⒪㣴య ไ䛾ㄪᩚ䜢ᨭ䛩䜛䛣䛸䜢୰ᚰ䛻άື䛧䛶䛔䜛䚹䛥䜙䛻㝔ෆእ䛾་⒪⪅䜈䛾⦆䜿䜰◊ಟ䛾㛤 ദ䚸◊✲䛺䛹䜢㏻䛧䛶䛾ᆅᇦ㐃ᦠ䛾ᐇ䚸ᝈ⪅䛥䜣䛸䛤ᐙ᪘䛾䛯䜑䛾⦆䜿䜰䝉䝭䝘䞊䛺䛹䛻䜘䜛 ་⒪⪅௨እ䜈䛾⦆䜿䜰䛾ၨⓎ䛺䛹✚ᴟⓗྲྀ䜚⤌䜐䛣䛸䜢┠ᶆ䛸䛧䛶䛔䜛䚹㻌 㻌 㻞䠊ேဨᵓᡂ㻌 䝉䞁䝍䞊㛗㻌 ᵽཱྀ㻌 ẚⓏᐇ㻌 ་ᖌ㻌 㻞ྡ ┳ㆤᖌ㻌 㻝ྡ ⸆ᖌ㻌 㻞ྡ 㻌 㻟䠊ᴗົᐇ⦼㻌 㻌 䐟᪂つ౫㢗௳ᩘ㻌 㻌 㻌 ౫㢗⛉㻌 ே㻌 ᩘ 㻌 እ⛉⣔㻌 㻠㻠 㻌 ෆ⛉⣔㻌 㻝㻠㻤 㻌 㻌 㻌 㻌 㻌 ፬ே⛉㻌 㻝㻥 Ἢᒀჾ⛉㻌 㻝㻝 ⪥㰯ဗႃ⛉㻌 㻤 䛭䛾㻌 㻠 ྜィ㻌 䐠౫㢗ෆᐜ䠄⤊⪅ 㻞㻜㻡 ྡ䛻䛴䛔䛶䠅㻌 ≧䝬䝛䝆䝯䞁䝖㻌 㻝㻥㻞㻌 ⢭⚄ⓗ䝃䝫䞊䝖㻌 㻝㻟㻜㻌 ᐙ᪘䛾䝃䝫䞊䝖㻌 㻤㻤㻌 ⒪㣴ඛ䛾┦ㄯ㻌 㻤㻟㻌 㻌 㻌 䐡ཎⓎ㒊㻌 ཎⓎ㒊㻌 㻞㻟㻠 ேᩘ㻌 ཎⓎ㒊㻌 ேᩘ㻌 ⫵㻌 㻠㻜㻌 ༸ᕢ㻌 㻠㻌 㣗㐨㻌 㻝㻥㻌 ๓❧⭢㻌 㻡㻌 㻌 ⫶㻌 㻞㻝㻌 ⭈⮚㻌 㻢㻌 㻌 ⭠㻌 㻞㻢㻌 ⭤⬔㻌 㻠㻌 㻌 ⫢㻌 㻞 㐀⾑ჾ㻌 㻌 ⫹ᄞ䞉⫹⟶㻌 㻣 㢁㒊㻌 㻥㻌 㻌 ⮅⮚㻌 㻝㻥 䛭䛾㻌 㻣㻝㻌 㻌 ங䛜䜣㻌 㻞㻠 㠀䛜䜣㻌 㻢㻌 㻌 Ꮚᐑ㻌 㻝㻠 ᫂㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 ―170― 㻝㻝㻌 㻝㻜㻌 㻝㻌 㻞㻌 䛜䜣་⒪䝉䝭䝘䞊㻌 䛜䜣་⒪䝉䝭䝘䞊㻌 䛂⭘⒆ෆ⛉Ꮫ⥲ㄽ䛃䠖⭘⒆ෆ⛉䠖బ⸨ 㻌 ᖹᡂ㻞㻠ᖺ㻡᭶㻞㻝᪥㻌 䛂་⒪⏝㯞⸆䛾㐺ṇ⟶⌮䛃䠖⸆㒊㻌 ᫍ㻌 ⲁ㻌 ୰ኸᲷ䠓㝵◊ಟᐊ㻌 䛂䊩⥺䜢⏝䛔䛯䛱䜗䛳䛸㧗ᗘ䛺ᨺᑕ⥺እ㒊↷ᑕ䛃䠖 ᖹᡂ㻞㻠ᖺ㻣᭶㻥᪥㻌 ᨺᑕ⥺⒪⛉㻌 ᶓෆ㡰୍㻌 ⮫ᗋㅮᇽ㻌㻌 䛂䛜䜣ᛶ⑊③䛾䜰䝉䝇䝯䞁䝖䛃䠖⦆䜿䜰䝉䞁䝍䞊㻌 ┳ㆤᖌ㻌 ⬥㇂⨾⏤⣖㻌 㻟㻌 䛜䜣་⒪䝉䝭䝘䞊㻌㻌 䛂ᙜ㝔䛻䛚䛡䜛ᒀ㊰ᛶჾ䛜䜣ᝈ⪅䛻ᑐ䛩䜛Ꮫ ᖹᡂ㻞㻠ᖺ㻥᭶㻝㻜᪥㻌 ⒪ἲ䛾⌧≧䛃䠖Ἢᒀჾ⛉㻌 ᢲ㔝ぢᙪ㻌 ⮫ᗋㅮᇽ㻌㻌 䛂䛜䜣ᝈ⪅䛥䜣䛾⢭⚄≧䛃䠖ᮾ㝔⢭⚄⛉㻌 㣕 ⏣┿◁⨾㻌㻌 㻠㻌 䛜䜣་⒪䝉䝭䝘䞊㻌㻌 䛂⦆䜿䜰㡿ᇦ䛻䛚䛡䜛⸆≀⒪ἲ䛃䠖⸆㒊㻌 ᖹᡂ㻞㻡ᖺ㻝᭶㻞㻝᪥㻌 ⏣⣖Ꮚ㻌 ୰ኸᲷ䠓㝵◊ಟᐊ㻌㻌 䛂ศᏊᶆⓗ⸆ᢠᝏᛶ⭘⒆⸆䛸䝁䞁䝟䝙䜸䞁デ᩿ ⸆䛃䠖⭘⒆ෆ⛉㻌 బ䚻ᮌᗣ⥘㻌 㻡㻌 䛜䜣་⒪䝉䝭䝘䞊㻌㻌 䛂䛜䜣䛾⒪㣴䜢ᨭ䛘䜛♫ไᗘ䛃䠖⥲ྜ┦ㄯ䝉䞁 ᖹᡂ㻞㻡ᖺ㻟᭶㻝㻤᪥㻌 䝍䞊㻌 ♫⚟♴ኈ㻌 ୖᮁ㻌 ୰ኸᲷ䠓㝵◊ಟᐊ㻌㻌 䛂ங⒴䛾⸆≀⒪ἲ䛃䠖ங⭢እ⛉㻌 㧘ᬛᏊ㻌 㻌 䐣ᝈ⪅䛥䜣䛸䛤ᐙ᪘䛾䛯䜑䛾䝉䝭䝘䞊㻌 㻝㻌 㻞㻌 㻟㻌 㻠㻌 㻡㻌 㻢㻌 ⦆䜿䜰䝉䝭䝘䞊㻌 ⦆䜿䜰䝉䝭䝘䞊㻌 ⦆䜿䜰䝉䝭䝘䞊㻌㻌 ⦆䜿䜰䝉䝭䝘䞊㻌 ⦆䜿䜰䝉䝭䝘䞊㻌 ⦆䜿䜰䝉䝭䝘䞊㻌 䝰䝹䝠䝛䛳䛶ኵ䠛㻌 ᖹᡂ㻞㻠ᖺ㻡᭶㻝㻜᪥㻌 ⸆㒊䠖⏣⣖Ꮚ㻌 ධ㝔Ჷ㻝㻣㝵㆟ᐊ㻌 䝰䝹䝠䝛䛾ୖᡭ䛺䛔᪉㻌 ᖹᡂ㻞㻠ᖺ㻣᭶㻝㻞᪥㻌 ⸆㒊䠖⏣⣖Ꮚ㻌 ධ㝔Ჷ㻝㻣㝵㆟ᐊ㻌㻌 ③䜏䛸ୖᡭ䛻䛝ྜ䛖᪉ἲ㻌 ᖹᡂ㻞㻠ᖺ㻥᭶㻝㻟᪥㻌 ⦆䜿䜰䝉䞁䝍䞊┳ㆤᖌ䠖⬥㇂⨾⏤⣖㻌 ධ㝔Ჷ㻝㻣㝵㆟ᐊ㻌㻌 䜖䛳䛟䜚䛸╀䜛䛯䜑䛾᪉ἲ㻌 ᖹᡂ㻞㻠ᖺ㻝㻝᭶㻤᪥㻌 ⢭⚄⛉䠖㣕⏣┿◁⨾㻌 ධ㝔Ჷ㻝㻣㝵㆟ᐊ㻌 䛚䛖䛱䛷ୖᡭ䛻㐣䛤䛩᪉ἲ㻌 ᖹᡂ㻞㻡ᖺ㻝᭶㻝㻜᪥㻌 ⦆䜿䜰䝉䞁䝍䞊┳ㆤᖌ䠖⬥㇂⨾⏤⣖㻌 ධ㝔Ჷ㻝㻣㝵㆟ᐊ㻌 䛜䜣䛾⒪㣴䛻ᙺ❧䛴♫㈨※㻌 ᖹᡂ㻞㻡ᖺ㻟᭶㻝㻠᪥㻌 ་⒪䝋䞊䝅䝱䝹䝽䞊䜹䞊䠖ୖᮁ㻌 ධ㝔Ჷ㻝㻣㝵㆟ᐊ㻌 㻌 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 䖃♫ ♫䞉ᆅᇦ㈉⊩άື㻌 㻌 㛤ദᖺ᭶᪥㻌 ෆ㻌 㻌 㻌 ᐜ㻌 㛤ദᆅ㻌 㻝㻌 ᖹᡂ㻞㻠ᖺ㻣᭶㻞㻝᪥䡚㻞㻞᪥㻌 ⦆䜿䜰◊ಟ㻌 Ꮫ㻌 㻞㻌 ᖹᡂ㻞㻠ᖺ㻝㻝᭶㻝㻥᪥㻌 ➨㻣ᅇ䛜䜣་⒪◊✲㻌 䜖䛖䜍䛖䛸⏣㻌 㻟㻌 ᖹᡂ㻞㻡ᖺ㻞᭶㻞㻟᪥䡚㻞㻠᪥㻌 ⦆䜿䜰◊ಟ㻌 Ꮫ㻌 㻌 ―171― 緩和ケアセンター 䐢㝔ෆ䝉䝭䝘䞊㛤ദ䠄䛜䜣㐠Ⴀጤဨ䞉䛜䜣ᐇົ⪅ጤဨദ䠅㻌 緩和ケアセンター 䖃◊✲ᴗ⦼㻌 㻌 Ⓨ⾲ㄽᩥ㻌 㻌 ⴭ⪅ྡ㻌 㻝㻌 ᵽཱྀẚⓏᐇ㻌 㢟ྡ㻌 㞧ㄅྡ㻘ᕳ㻘㡫㻘Ⓨ⾜ᖺ㻌 ⛉䛜⪥㰯ဗႃ⛉䛻ồ䜑䜛䜒䛾䞉ᥦ౪ 㻶㻻㻴㻺㻿㻌 㻞㻤䠈㻝㻜䠈 䛷䛝䜛䜒䛾㻌 㻝㻢㻠㻣㻙㻝㻢㻡㻠䠈㻞㻜㻝㻞㻌 ⦆་⒪⛉䛛䜙⪥㰯ဗႃ⛉䛻㻌 㻞㻌 ᵽཱྀẚⓏᐇ㻌 ➨䠏❶⦆་⒪䠄䜸䝢䜸䜲䝗⏝䠅䛻 స⏝㍍ῶ㻌 ᪂⸆㛤Ⓨ㻌 䛚䛡䜛స⏝䛾Ꮫ䝕䞊䝍䛸Ⓨ⌧グ 㻔ᰴ䠅ᢏ⾡ሗ༠㻌 ᗎ䚸⒪䛾⌧≧㻌 ➨䠐⠇ᒀ㞀ᐖ㻌 㻞㻤㻟㻙㻞㻤㻤䚸㻞㻜㻝㻞㻌 㻟㻌 ಙ ኴ ㈼ 䠈 ᑿ 㢌 ᕼ ௦ 䜺䝞䝨䞁䝏䞁䛾᭷⏝ᛶ㻌 䝥䝺䜺䝞䝸䞁 Ꮚ䠈ᑠᯘ⋹㡢䠈ᵽཱྀẚ 䛜⏝ᅔ㞴䛺䛻ᑐ䛧䛶㻌 Ⓩᐇ䠈ቑ⏣㇏㻌 ៏ᛶ⑊③㻌 㻟㻝䠈㻝䠈 㻝㻟㻡㻙㻝㻟㻤䠈㻞㻜㻝㻞㻌 㻌 㻌 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㢟㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ꮫ㝔⦆䜿䜰䝏䞊䝮 ➨㻝㻣ᅇ᪥ᮏ⦆ ⣖㻘㫽㇂⋹ዉ㻘⏣⣖Ꮚ㻘 㻝㻜ᖺ㛫䛾άືሗ࿌㻌 ་⒪ᏛᏛ⾡ ᯽ཎ⏤ె㻌 㻌 㻌 ③䜏䜢デ䜛㻌 ➨㻝㻣ᅇ᪥ᮏ⦆ 㻌 ་⒪ᏛᏛ⾡ 㻝㻌 ᵽཱྀẚⓏᐇ㻘⬥㇂⨾⏤ 㻞㻌 ᵽཱྀẚⓏᐇ㻌 Ⓨ⾲ᖺ᭶᪥㻌 㻞㻜㻝㻞㻚㻢㻚㻞㻞㻌 㻞㻜㻝㻞㻚㻢㻚㻞㻟㻌 㻌 㻟㻌 ᵽཱྀẚⓏᐇ㻌 䝨䜲䞁䜽䝸䝙䝅䝱䞁䛻䜘䜛⸆≀ ᪥ᮏ䝨䜲䞁䜽䝸䝙 ⒪ἲ㻌 䝑䜽Ꮫ➨㻠㻢ᅇ 㻞㻜㻝㻟㻚㻣㻚㻢㻌 㻌 㻠㻌 ಙኴ㈼㻘Ṋᐩ㯞ᜨ㻘㟘 ἑᫀ௦㻘ᒣᮏṇ㻘㮵ᓥ 㼃㼑㼓㼑㼚㼑㼞 ⫗ⱆ⭘䛻䜘䜚㢦㠃③ ᪥ᮏ䝨䜲䞁䜽䝸䝙 䜢࿊䛧䛯䠎䛾⑊③⟶⌮㻌 䝑䜽Ꮫ➨㻠㻢ᅇ 㑥㻘ᑿ㢌ᕼ௦Ꮚ㻘➉ᮧ 㻌 ༤㻘ᵽཱྀẚⓏᐇ㻘ቑ⏣㇏㻌 㻌 㻡㻌 ᵽཱྀẚⓏᐇ㻌 ಙኴ㈼㻌 㻢㻌 ᢲ㔝ぢᙪ䠈ᑠᕝ♸䠈Ⳣ ཎᇶᏊ䠈᳃⏣㡰䠈㯞⏕ኴ 䛜䜣ᛶ⑊③䛻ᑐ䛩䜛⚄⤒䝤䝻 ᪥ᮏ䝨䜲䞁䜽䝸䝙 䝑䜽䛾᭷⏝ᛶ䠄⦆䜿䜰䝏䞊䝮 䝑䜽Ꮫ➨㻠㻢ᅇ 㻝㻜ᖺ㛫䛾άື䛻䛚䛔䛶䠅㻌 㻌 ᙜ㝔䛻䛚䛡䜛ᒀ㊰ᛶჾ⒴ᝈ⪅ ➨㻡㻜ᅇ᪥ᮏ⒴ 䛻ᑐ䛩䜛⦆䜿䜰䛾⌧≧㻌 ⒪ᏛᏛ⾡㞟 ⾜䠈༑ᔒᩔ䠈᳃⏣ᑘ䠈 ┤Ụ㐨ኵ䠈ኈᖾⶶ䠈῝ ㈅㝯ᚿ䠈ᑠᕝⰋ㞝䠈㻌 ᵽཱྀẚⓏᐇ㻌 ―172― 㻞㻜㻝㻞㻚㻣㻚㻣㻌 㻞㻜㻝㻞㻚㻣㻚㻣㻌 㻞㻜㻝㻞㻚㻝㻜㻚㻞㻡䡚㻌 䛜䜣㛗ᮇ⏕Ꮡ⪅䛾㑄ᘏ䛩䜛③ ➨㻠㻞ᅇ᪥ᮏ៏ᛶ 䜏䛻ᑐ䛩䜛⚄⤒䝤䝻䝑䜽䛾᭷ ⑊③Ꮫ㻌 㻞㻜㻝㻟㻚㻞㻚㻞㻞㻌 㻌 ຠᛶ䛻䛴䛔䛶㻌 㻌 㻡䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟㻌 䛜䜣デ⒪䛻ᑐ䛧ᆅᇦ ᖹᡂ㻞㻞ᖺ㻠᭶䜘䜚ᆅᇦ䛜䜣デ⒪ᣐⅬ㝔䛸䛧䛶䛾ᶵ⬟䜢ᢸ䛔䚸㻌 䛜䜣デ⒪ᣐⅬ㝔䛸䛧䛶 ᖹᡂ㻞㻞ᖺ㻠᭶䜘䜚ᆅᇦ䛜䜣デ⒪ᣐⅬ㝔䛸䛧䛶䛾ᶵ⬟䜢ᢸ䛔䚸✚ᴟⓗ 䛾ᶵ⬟䛾ᐇ㻌 䛺⦆་⒪䜈䛾άື䜢⾜䛳䛶䛔䜛䚹ධ㝔ᝈ⪅䛥䜣䛻ᑐ䛧䛶䛿䚸≧⦆ 㻌 䜔⒪㣴యไ䛾┦ㄯ䛺䛹䛻ᑐᛂ䛧䛯䚹እ᮶Ꮫ⒪ἲ୰䛚䜘䜃✚ᴟⓗ 䛺⒪䜢ᮃ䜎䛺䛔䛜䜣ᝈ⪅䛥䜣䛺䛹䛶䛾䛜䜣ᝈ⪅䛥䜣䛚䜘䜃䛤ᐙ᪘ 䜈䛾ᑐᛂ䜒⾜䛳䛯䚹䛥䜙䛻㝔ෆእ䛾་⒪⪅䜈䛾⦆䜿䜰◊ಟ䛺䛹ᩍ⫱ 䛾ᐇ䚸ᆅᇦ䛾ⓙᵝ䜈䛾⦆䜿䜰䛾ၨⓎ䛺䛹䚸㝔ෆእ䛾ከ䛟䛾䝇䝍䝑䝣 䛾༠ຊ䛷㐙⾜䛩䜛䛣䛸䛜䛷䛝䛯䚹䜎䛯㻞㻟ᖺ㻝㻝᭶䜘䜚㏻㝔୰䛾ᝈ⪅䛥䜣䛚 䜘䜃䛤ᐙ᪘ᑐ㇟䛾䛂ᝈ⪅䛥䜣䛸䛤ᐙ᪘䛾䛯䜑䛾⦆䜿䜰䝉䝭䝘䞊䛃䜢㝸 ᭶䛻㛤ദ䛧䛶䛔䜛䚹◊ಟ䞉䝉䝭䝘䞊䛺䛹䛿ᚋ䜒⥅⥆ணᐃ䛷䛒䜛䚹㻌 䐠 ᆅᇦ㐃ᦠ䛾ᐇ㻌 ⥲ྜ┦ㄯ䝉䞁䝍䞊䛾㏥㝔ㄪᩚ┳ㆤᖌ䚸䛜䜣┦ㄯ┳ㆤᖌ䚸䠩䠯䠳䚸་⒪ 㻌 㐃ᦠົ䛾ⓙ䛥䜣䛸༠ാ䛧䚸⧅䛞┠䛾䛺䛔⦆䜿䜰䛜ཷ䛡䜙䜜䜛䜘䛖ㄪ ᩚ䜢⾜䛳䛯䚹◊ಟ䚸◊✲䛺䛹䛻䜘䜛㢦䛾ぢ䛘䜛㐃ᦠ䛜㠀ᖖ䛻 䛻䛺䛥䜜䛶䛔䜛䛸⪃䛘䛶䛔䜛䚹᭱㏆䛷䛿ᅔ㞴䛺≧ἣ䠄㌟య≧䞉♫ⓗ ၥ㢟䛺䛹䠅䛻䛒䜛᪉䚻䛾ㄪᩚ䛺䛹䜒ከ⫋✀䛾༠ຊ䛾䜒䛸ၥ㢟䛺䛟⾜䜟䜜 䜛䜘䛖䛻䛺䛳䛯䚹ᆅᇦ䛾ඛ⏕᪉䚸ゼၥ┳ㆤ䝇䝔䞊䝅䝵䞁䛾ⓙᵝ᪉䚸ㄪ ⸆ᒁ䛾᪉䚻䛾⤯䛺䜛䛤ᨭ䛾㈷≀䛸ឤㅰ䛧䛶䛔䜛䚹䜎䛯䛜䜣デ⒪㐃 ᦠᣐⅬ㝔㛫䛾㐃ᦠ䛻䜘䜛㐲᪉䜈䛾㌿㝔ㄪᩚ䜒䛻䛺䛳䛶䛚䜚䚸 ᅜⓗ䛺ㄪᩚᴗົ䜢ᒎ㛤䛧䛶䛔䜛䚹㻌 㻌 㻢䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃⦆䜿䜰እ᮶䛾ᐇ䠖Ꮫ⒪ἲ୰䛾ᝈ⪅䛥䜣䛻ᑐ䛩䜛እ᮶䛾ᐇ䚸㝔እ౫㢗䛾❆ཱྀ䛾ᣑ䛺䛹 䜢䜑䛦䛧䛶䛔䛟䚹㻌 䖃⦆䜿䜰ᩍ⫱䠖㝔ෆ䞉እ䛾་⒪䝇䝍䝑䝣ྥ䛡䛾◊ಟ䞉䝉䝭䝘䞊䛺䛹䜢㛤ദ䛧䚸㉁䛾ྥୖ䛻ດ䜑䜛䚹 䖃デ䞉㐃ᦠ䛾ᐇ䠖◊✲䞉䝉䝭䝘䞊䛺䛹䜢㏻䛧䚸㐃ᦠྍ⬟䛺་⒪⪅䛾㍯䜢ᣑ䛧䚸ᆅᇦ㐃ᦠ 䜢䛥䜙䛻᥎㐍䛩䜛䚹㻌 䖃ᝈ⪅䛥䜣䛚䜘䜃ᚚᐙ᪘䛻ᑐ䛩䜛⦆䜿䜰䛾ၨⓎ䠖デ᩿᪩ᮇ䛛䜙䛾⦆䜿䜰䛾ᚲせᛶ䛺䛹䜢䚸㝔ෆ 䝉䝭䝘䞊䛺䛹䛻䜘䜚ၨⓎ䛩䜛䚹㻌 㻌 ―173― 緩和ケアセンター 㻣㻌 ᵽཱྀẚⓏᐇ㻌 褥瘡ケアセンター Ꮫ㝔㻌 ୰ኸデ⒪㒊㛛㻌 昭和大学病院 中央診療部門 㻝㻜㻌 〟⒔䜿䜰䝉䞁䝍䞊㻌 ９）褥瘡ケアセンター 㻌 㻝䠊⌮ᛕ䞉┠ᶆ㻌 〟⒔ࢣࢭࣥࢱ࣮ࡣࠊᖹᡂ 㻝㻠 ᖺ 㻝㻜 ᭶ࡢデ⒪ሗ㓘ᨵᐃ࠾ࡅࡿ〟⒔ᑐ⟇ᮍᐇῶ⟬ࡢ᪂タ క࠸ࠊ୰ኸ㒊㛛ࡢ୍ࡘࡋ࡚᪂タࡉࢀࡓࠋධ㝔ᝈ⪅ࡢ〟⒔ᑐ⟇ཬࡧ〟⒔Ⓨ⏕ᝈ⪅ࡢࢣࢧ ࣏࣮ࢺࠊ〟⒔ࡢᩍ⫱࣭◊✲᥎㐍ࢆ┠ⓗࡋ࡚࠸ࡿࠋᖹᡂ 㻝㻤 ᖺ 㻠 ᭶ࡢデ⒪ሗ㓘ᨵᐃ࡛ࡢ〟⒔ ࣁࣜࢫࢡᝈ⪅ࢣຍ⟬ࡢᑟධక࠸ࠊᖹᡂ 㻝㻥 ᖺ 㻠 ᭶ࡽࡣᑓᚑࡢ〟⒔⟶⌮⪅ࡀ㓄⨨ࡉࢀࠊ 㔜Ⅼⓗ࡞〟⒔ᑐ⟇ࢆ⾜࠺ᚲせࢆㄆࡵࡿᝈ⪅ࢆᑐ㇟ࡋࡓ〟⒔ࣁࣜࢫࢡᝈ⪅ࢣຍ⟬ࡶ ᑐᛂࡋࡓάືࢆ⾜ࡗ࡚࠸ࡿࠋ㻌 㻌 㻞㸬ேဨᵓᡂ 㻌 〟⒔ࢣࢭࣥࢱ࣮㛗㻌 ᅵᒱ ᙲ㻌 〟⒔⟶⌮⪅㻌 ὸ⏣ ᜨᏊ㻌 ࡑࡢ㻌 〟⒔ࢣࢳ࣮࣒ 㻝㻞 ྡ㻌 㻌 㻟㸬ᴗົᐇ⦼ 㻌 ձ〟⒔ᅇデ௳ᩘ 㻌 㻌 ᐃᮇᅇデ㻌 ⮫ᅇデ㻌 Ꮫ㝔㻌 㻡㻝㻌 㻣 Ꮫ㝃ᒓᮾ㝔㻌 㻡㻜㻌 㻜 㻌 ղ〟⒔ᅇデ᪂つ౫㢗௳ᩘ㻌 㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 Ꮫ㝔㻌 Ꮫ㝃ᒓᮾ㝔㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 㻝㻢㻞㻌 㻝㻣㻣 㻠㻜㻌 㻟㻟 㻌 ճ〟⒔ᅇデᘏᝈ⪅௳ᩘ㻌 㻌 ᖹᡂ 㻞㻟 ᖺᗘ㻌 ᖹᡂ 㻞㻠 ᖺᗘ㻌 Ꮫ㝔㻌 㻢㻝㻝㻌 㻡㻢㻥 Ꮫ㝃ᒓᮾ㝔㻌 㻝㻟㻥㻌 㻝㻢㻞 㻌 մ〟⒔ࢣࢭ࣑ࢼ࣮㛤ദ㻌 㻝㻌 ࠕᙜ㝔⏝ࡢ࡞യ⿕そᮦࡢ≉ᚩࠖ㻌 ձࢹࣗ࢜ࢡࢸࣈ㻌 ࠊࢹࣗ࢜ࢡࢸࣈ 㻯㻳㻲㻌 ࠊࢹ ࣗ࢜ࢡࢸࣈ 㻱㼀㻌 ࡞㻌 㹼₇⪅㸸ࢥࣥࣂࢸࢵࢡ㻌 ࢪࣕࣃࣥ㸦ᰴ㸧 㻌 ―174― ᖹᡂ 㻞㻠 ᖺ 㻥 ᭶㻌 ཧຍ⪅ 㻢㻜 ྡ㻌 ⷧᆺ㻌 ࠊࣝࢪࢧࢺ㖟㻌 ࡞㻌 㹼₇⪅㸸ࢫ࣑ࢫ࣭ࣥࢻ࣭ࢿࣇ࣮ࣗ㸦ᰴ㸧㻌 㻌 㻠㸬ᖹᡂ 㻞㻠 ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձయᅽศᩓࢣ㸦࣏ࢪࢩࣙ ࢽࣥࢢ㸧ࡢᙉ㻌 ᖺᗘࠊ〟⒔Ⓨ⏕⋡ࡣῶᑡࡏࡎୗ⫥ࡢ〟⒔ࡶቑຍࡋࡓࡢࡣ࣏ࢪ ࢩࣙࢽࣥࢢ㊊ࡀせᅉ࡛࠶ࡗࡓࠋࡼࡗ࡚㐺ษ࡞࣏ࢪࢩࣙࢽࣥࢢࡀ ᚭᗏࡍࡿࡼ࠺ࠊձࣜࣥࢡࢼ࣮ࢫࡢయ㦂ᆺᏛ⩦ࠊղࢡࢵࢩࣙࣥࡢ ⿵ࠊճᝈ⪅ࡢ࣏ࢪࢩࣙࢽࣥࢢࡢᐃᮇⓗ࡞ホ౯ࠊࢆ⾜ࡗࡓࠋࡇࡢ ⤖ᯝࠊ࣏ࢪࢩࣙࢽࣥࢢࡣᨵၿࡉࢀ〟⒔Ⓨ⏕⋡ࡣῶᑡࡋࡓࠋ࣏ࢪࢩ ࣙࢽࣥࢢࢆྵࡵண㜵ࢣࡢᇶᮏࡢ࿘▱㊊ࡣࠊ࣐ࢽࣗࣝࡢά⏝ ࡀᑡ࡞࠸ࡇࡀ࠶ࡆࡽࢀࡿࡓࡵࠊෆᐜࡢᨵၿࡀᚲせ࡛࠶ࡿࠋ㻌 㻌 㻡㸬ᚋࡢㄢ㢟ᒎᮃ㻌 〟ە⒔ࢣ࣐ࢽࣗࣝࡢಟṇ㻌 ⪁ەᮙࡋࡓయᅽศᩓࢣ⏝ရࡢᩚഛ㸦࣐ࢵࢺࣞࢫࠊ࣏ࢪࢩࣙࢽࣥࢢࢡࢵࢩࣙࣥࠊ㌴᳔Ꮚ⏝ࢡ ࢵࢩࣙࣥ㸧㻌 ࣭✲◊ەᴗ⦼Ⓨ⾲ᑐࡍࡿྲྀࡾ⤌ࡳ㻌 㻌 ―175― 褥瘡ケアセンター ղࣁࢻࣟࢧࢺ 㻭㻰 ࢪ࢙ࣥࢺࣝ㻌 ࠊࣁࢻࣟࢧࢺ 腫瘍センター Ꮫ㝔㻌 ୰ኸデ⒪㒊㛛㻌 昭和大学病院 中央診療部門 㻝㻝㻌 ⭘⒆䝉䞁䝍䞊㻌 10）腫瘍センター 㻝㸬⌮ᛕ࣭┠ᶆ㻌 ᙜࢭࣥࢱ࣮ࡣࠊᏛ㝔እ᮶࡛⾜ࡉࢀࡿࡍ࡚ࡢᢠࡀࢇ⒪ἲࢆᐇࡍࡿ㒊㛛࡛࠶ ࡿࠋデ⒪⛉ࡼࡗ࡚ฎ᪉ࡉࢀࡿᢠࡀࢇࡢ✀㢮ࠊࣞࢪ࣓ࣥࡣ」㞧࡛ࠊࡉࡽ㓄ྜ⚗ᚷࠊᏛ ⒪ἲࡸࡑࡢᚋࡢస⏝ᑐฎࡍࡿᚲせࡀ࠶ࡿࠋࡑࡢࡓࡵࠊ⸆ࡀᏳᢞ࡛ࡁࡿࢩࢫࢸ ࣒ࢆᵓ⠏ࡋࠊᝈ⪅ࡉࢇࡀᏳᚰࡋ࡚ᢠࡀࢇᢞࡀ࠺ࡅࡽࢀࡿయไࢆᩚ࠼ࠊᝈ⪅ࡉࢇࡢᚰ⌮㠃 ࡢࢧ࣏࣮ࢺࡶ࡛ࡁࡿࡼ࠺࡞་⒪ࢳ࣮࣒ࢆసࡾࠊ⥲ྜⓗໟᣓⓗᶵ⬟࡛ࡁࡿ⎔ቃࢆᩚഛࡍࡿࡇ ࢆ⌮ᛕࠊ┠ᶆࡋ࡚࠸ࡿࠋ㻌 㻌 㻞㸬ேဨᵓᡂ 㻌 ࢭࣥࢱ࣮㛗㻌 బࠎᮌ ᗣ⥘㻌 ࢭࣥࢱ࣮ᖌ㛗㻌 ᑠ⏣ཎ ⰋᏊ㻌 ࡀࢇᏛ⒪ἲㄆᐃ┳ㆤᖌ㻌 ᅬ⏕ ᐜᏊ㻌 ┳ㆤᖌ㻌 㻝㻜ྡ㸦ࡀࢇᏛ⒪ἲㄆᐃ┳ㆤᖌྵࡴ㸧㻌 ࡀࢇᣦᑟ⸆ᖌ㻌 ΎỈ ஂ⠊㻌 ⸆≀⒪ἲㄆᐃ⸆ᖌ㻌 ᐑ㔝 ṇᗈ㻌 ⸆ᖌ㻌 㻟ྡ㸦᪂௵⸆ᖌࠊ⸆ᖌࣞࢪࢹࣥࢺྵࡴ㸧㻌 㻌 㻟㸬ᴗົᐇ⦼ 㻌 ձデ⒪⛉ูᏛ⒪ἲ௳ᩘ㻌 ⛉ ู㻌 ௳ ᩘ㻌 ྾ჾෆ⛉㻌 㻠㻠㻣㻌 ᾘჾෆ⛉㻌 㻢㻡㻣㻌 ⾑ᾮෆ⛉㻌 㻠㻥㻡㻌 ᾘჾእ⛉㻌 㻜㻌 ፬ே⛉㻌 㻞㻢㻡㻌 ⪥㰯ဗႃ⛉㻌 㻡㻌 Ἢᒀჾ⛉㻌 㻝㻜㻥㻌 ⭘⒆ෆ⛉㻌 㻥㻝㻣㻌 ங⭢እ⛉㻌 㻞㻘㻣㻢㻞㻌 ୍⯡እ⛉㻌 㻜㻌 ྜィ㻌 㻡㻘㻢㻡㻣㻌 ࣍ࣝࣔࣥ㻌 㻞㻘㻞㻞㻥㻌 ࢰ࣓ࢱ㻌 㻠㻣㻞㻌 ࣑ࣞࢣ࣮ࢻ࣭ࢡࢸ࣒ࣛ 㻣㻝㻡㻌 ―176― ձ⟶⌮యไࡢᐇ㻌 㻣᭶㻝᪥⭘⒆ෆ⛉ ᩍᤵ బࠎᮌᗣ⥘ࡀ╔௵ࡋࠊ⭘⒆ෆ⛉୍య ࡞ࡾ⭘⒆ࢭࣥࢱ࣮ࡢ㐠Ⴀࢆࡍࡿࡇ࡞ࡗࡓࠋᖖࠊ⭘⒆ෆ⛉ ་ࡀᖖ㥔ࡋᏳ⟶⌮యไࡀᙉࡉࢀࡓࠋ㻌 ղࡀࢇᝈ⪅࢝࢘ࣥࢭࣜ ࡀࢇ࿌▱ࠊᏛ⒪ἲᑟධࠊࡀࢇࡢ㐍⾜࠾ࡼࡧⓎࡼࡿ⒪ ࣥࢢࡢᩚഛ㻌 ኚ᭦ࠊ✚ᴟⓗ⒪ࡽ⦆ࢣࢆ୰ᚰࡋࡓ་⒪ࢩࣇࢺࡍࡿ ࠊࡀࢇ┳ㆤᑓ㛛┳ㆤᖌࠊࡀࢇᏛ⒪ἲㄆᐃ┳ㆤᖌࡀྠᖍ࡛ࡁ ࡿయไࢆᩚഛࡋࡓ⤖ᯝࠊࡀࢇ࢝࢘ࣥࢭࣜࣥࢢᩱ⟬ᐃ௳ᩘࡣ㻝㻢㻞௳ ቑຍࡋࡓࠋ㻌 㻌 㻡㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ࢻ࣮࣮࣎ࢧࣥࣕ࢟ە㸦྾ჾ࣭ᾘჾ࣭ங⭢㸧ࢆ❧ࡕୖࡆࠊྛ⫋✀㛫ࡢᝈ⪅ࡢሗඹ᭷ࢆᅗ ࡾࠊࡼࡾ㧗ᗘ࡞ࢭࣥࢱ࣮㐠Ⴀࢆ┠ᣦࡍࠋ㻌 㻌 ―177― 腫瘍センター 㻠㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ブレストセンター Ꮫ㝔㻌 ୰ኸデ⒪㒊㛛㻌 昭和大学病院 中央診療部門 㻝㻞㻌 䝤䝺䝇䝖䝉䞁䝍䞊㻌 11）ブレストセンター 㻌 㻝䠊⌮ᛕ䞉┠ᶆ㻌 㻴㻞㻞ᖺ㻢᭶䛻䝤䝺䝇䝖䝉䞁䝍䞊䜢㛤タ䛧䛯䚹௨᮶䚸䝏䞊䝮་⒪䜢䛛䛛䛢䛶䚸ங⒴䛾᧞⁛䛸䛔䛖㢟 䛻ᦠ䜟䛳䛶䛝䛯䚹䛥䜙䛻ᝈ⪅䛻䜔䛥䛧䛔་⒪䜢┠ᣦ䛧䚸ಶูᝈ⪅䛻ᑐ䛧ಶ䚻䛻ྜ䛳䛯⒪䜢ᥦ౪䛧 䛯䛔䚹䜎䛯䚸䛣䛾䝤䝺䝇䝖䝉䞁䝍䞊䛜䜰䝆䜰䛻䛚䛡䜛ᣐⅬ䛸䛺䜛䜉䛟䚸デ᩿䞉⒪䝅䝇䝔䝮䜢☜❧䛩䜛 䛣䛸䜢┠ᶆ䛻άື䛧䛶䛔䜛䚹㻌 㻌 㻞䠊ேဨᵓᡂ㻌 㻌 㻌 䝉䞁䝍䞊㛗㻌 ୰ᮧ㻌 Ύ࿃㻌 ┳ㆤᖌ㛗㻌 ᑠ⏣ཎⰋᏊ㻌 ་ᖌ㻌 㻝㻝ྡ ┳ㆤᖌ㻌 㻠ྡ 䛭䛾㻌 㻤ྡ 㻌 㻟䠊ᴗົᐇ⦼㻌 㻌 䐟デᐹ௳ᩘ㻌 㻌 እ᮶ึデ㻌 Ꮫ⒪ἲᑟධ㻌 㻝㻟㻘㻢㻥㻜௳㻌 䠄䛾䜉ᑟධ௳ᩘ䠅㻌 㻌 㻌 㻌 㻌 㻟㻝㻝௳㻌 㻌 㻌 䐠ங䛜䜣デ᳨᩿ᰝ௳ᩘ㻌 ᳨ᰝ㡯┠㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 䝬䞁䝰䜾䝷䝣䜱᳨ᰝ㻌 㻞㻘㻣㻤㻠௳㻌 ஙᡣ㉸㡢Ἴ᳨ᰝ㻌 㻠㻘㻣㻜㻤௳㻌 㦵ᐦᗘ᳨ᰝ㻌 㻞㻞㻠௳㻌 㻌㻌 䐡䝽䞊䜽䝅䝵䝑䝥㛤ദ㻌 㻝㻌 ⱝᖺᛶங䛜䜣ᝈ⪅䛾㻌 㻝㻜ྡ㻛ᅇ㻌 㻞㻌 䛥䛟䜙䛾㻌 㻝㻞ྡ㻛ᅇ㻌 㻟㻌 䝸䝪䞁䝈䝝䜴䝇䝃䝫䞊䝖䝥䝻䜾䝷 㻝㻜ྡ㻛ᅇ㻌 䝮㻌 㻌㻌 ―178― 㻌 㛤ദᖺ᭶᪥㻌 ෆ㻌 㻌 ᐜ㻌 㛤ദᆅ㻌 㻝㻌 ᖹᡂ㻞㻡ᖺ㻟᭶㻤᪥㻌 ➨㻟㻞ᅇᇛ༡ங⭢◊✲㻌 䜖䛖䜍䛖䛸㻌 㻞㻌 ᖹᡂ㻞㻡ᖺ᭶㻣᪥㻝㻥㻙㻞㻜᪥㻌 ➨㻞ᅇங⭢⭘⒆Ꮫ䝉䝭䝘䞊㻌 ⮫ᗋㅮᇽ㻌 㻟㻌 ᖹᡂ㻞㻡ᖺ㻝㻜᭶㻠᪥㻌㻌 ➨㻟㻟ᅇᇛ༡ங⭢◊✲㻌㻌 䜖䛖䜍䛖䛸㻌㻌 㻌 䖃◊✲ᴗ⦼㻌 Ⓨ⾲ㄽᩥ㻌 㻌 ⴭ⪅ྡ㻌 㢟㻌 㻌 ྡ㻌 㞧ㄅྡ㻘ᕳ㻘㡫㻘Ⓨ⾜ᖺ㻌 㻝㻌 㻿㼑㼕㼓㼛㻌㻺㼍㼗㼍㼙㼡㼞㼍㻌 㻭㼤㼕㼘㼘㼍㼞㼥㻌㼘㼥㼙㼜㼔㻌㼚㼛㼐㼑㻌㼐㼕㼟㼟㼑㼏㼠㼕㼛㼚㻌 㻔㻭㻸㻺㻰㻕㻌 㼕㼚㻌 㼟㼑㼚㼠㼕㼚㼑㼘㻌 㼚㼛㼐㼑㻌 㼜㼛㼟㼕㼠㼕㼢㼑㻌 㼎㼞㼑㼍㼟㼠㻌 㼏㼍㼚㼏㼑㼞㻦㻌 㻵㼟㻌 㼕㼠㻌 㼚㼑㼏㼑㼟㼟㼍㼞㼥㻫㻌 㻯㼡㼞㼞㼑㼚㼠㻌 㻻㼜㼕㼚㼕㼛㼚㻌 㼕㼚㻌 㻻㼎㼟㼠㼑㼠㼞㼕㼏㼟㻌 㻒㻌 㻳㼥㼚㼑㼏㼛㼘㼛㼓㼥㻘㻌 㻰㻻㻵㻦㻝㻜㻚㻝㻜㻥㻣㻛㻳㻯㻻㻚㼛㼎㼛㻝㻟㼑㻟㻞㻤㻟㻠㼒㻟㻢㻜㻤㻘㻌 㻞㻜㻝㻟㻌 㻞㻌 ୰ᮧΎ࿃㻌 㑇ఏᛶங䛜䜣䞉༸ᕢ䛜䜣ೃ ་Ꮫ䛾䛒䜖䜏䚸㻞㻠㻞ᕳ䚸㻡㻙㻝㻜䚸㻞㻜㻝㻞㻌 ⩌䛻䛚䛡䜛䠞䠮䠟䠝デ᩿㻌 㻟㻌 ୰ᮧΎ࿃㻌 ங⒴䛾⒪ᡓ␎䠖ᴫㄽ䠄䜺䜲䝗 ᪥ᮏ⮫ᗋ䚸㻣㻜ᕳ䚸㻠㻤㻥㻙㻠㻥㻞䚸㻞㻜㻝㻞㻌 䝷䜲䞁䛾䜰䝹䝂䝸䝈䝮ゎㄝ䠅㻌 㻠㻌 ୰ᮧΎ࿃㻌 ᩚᐜᛶ䜢⪃៖䛧䛯ஙᡣ Ꮡᡭ ᡭ⾡䚸㻢㻢ᕳ䚸㻝㻠㻠㻟㻙㻝㻠㻠㻣䚸㻞㻜㻝㻞㻌 ⾡㻌 㻡㻌 ୰ᮧΎ࿃㻌 㻻㼚㼏㼛㼠㼥㼜㼑㻰㻯㻵㻿 㻌 ㄌ ⏕ 䛾 ⫼ ᬒ ங⒴䛾⮫ᗋ䚸㻞㻣ᕳ䚸㻢㻢㻟㻙㻢㻢㻤䚸㻞㻜㻝㻞㻚㻌 䛸䚸䛭䛾ព䛩䜛䛸䛣䜝䛿䠛㻌 㻢㻌 ᫂▼ᐃᏊ㻌 ḟ ୡ ௦ 䛾 㻹㼕㼚㼕㼙㼍㼘㼘㼥㻌 㻵㼚㼢㼍㼟㼕㼢㼑㻌 ⮫ᗋእ⛉㻌 㻢㻣ᕳ䚸㻢㻝㻠㻙㻢㻝㻤䚸㻞㻜㻝㻞㻌 㻿㼡㼞㼓㼑㼞㼥㻌 㻣㻌 ᫂▼ᐃᏊ㻌 ஙᡣ Ꮡ⒪ἲ䛾ஙᡣ 㻯㼀 ᭷⏝ ᪥ ᮏ ⮫ ᗋ 㻌 ங ⒴ 䠄 ➨ 㻞 ∧ 㻕 㻌 㻣㻜 ᕳ 䚸 ᛶホ౯䠄ከタඹྠヨ㦂䠅㻙ᗈ 㻞㻤㻤㻙㻞㻥㻝䚸㻞㻜㻝㻞㻌 䛜䜚デ᩿䛿せ䛛㻙㻌 㻤㻌 ᴮᡞඞᖺ㻌 㻾㼍㼐㼕㼛㼓㼡㼕㼐㼑㼐㻌㼛㼏㼏㼡㼘㼠㻌㼘㼑㼟㼕㼛㼚㻌 㼘㼛㼏㼍㼘㼕㼦㼍㼠㼕㼛㼚㻔㻾㻻㻸㻸 ἲ㻕䛻䜘䜛ษ 㝖⠊ᅖ䛾Ỵᐃ㻌 ᪥ ᮏ ⮫ ᗋ 㻌 ங ⒴ 䠄 ➨ 㻞 ∧ 䠅 㻌 㻣㻜 ᕳ 䚸 㻡㻝㻡㻙㻡㻝㻤䚸㻞㻜㻝㻞㻌 㻥㻌 ⦾ Ọ ♩ ዉ 䚸 ᫂ ▼ ᐃ ங⒴ྲྀ䜚ᢅ䛔つ⣙䠄➨㻝㻢∧䠅䛸 ᪥ ᮏ ⮫ ᗋ 㻌 ங ⒴ 䠄 ➨ 㻞 ∧ 䠅 㻌 㻣㻜 ᕳ 䚸 Ꮚ㻌 㼁㻵㻯㻯㻌 㼀㻺㻹 ศ㢮䠄➨㻣∧䠅䛾ẚ 㻝㻥㻝㻙㻝㻥㻠䚸㻞㻜㻝㻞㻌 ㍑㻌 㻌 ⴭ᭩㻌 㻌 ⴭ⪅ྡ㻌 㢟㻌 㻌 ྡ㻌 ᭩㻌 㻌 ྡ㻌 ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ 㻝㻌 ୰ ᮧ Ύ ࿃ 䠖 ᅜෆ⮫ᗋヨ㦂䛾⤖ᯝ䛸ᒎᮃ㻌 㯮❶⦅㻌 ஙᡣ䝉䞁䝏䝛䝹䝸䞁䝟⠇ ᪥ᮏ་᪂ሗ♫䚸 ⏕᳨㻌 㻝㻜㻙㻝㻡䚸㻞㻜㻝㻞㻌 㻞㻌 ᳃㻌 ⨾ᶞ䚸୰ 㠀ᾐ₶⒴䛾⸆≀⒪ἲ㻌 ᮧΎ࿃䠖ᡞ 㞞⦅㻌 ங䛜䜣⸆≀⒪ἲ㻌 㻟㻌 ᫂▼ᐃᏊ㻌 ་⒪┦ㄯ䠄㑇ఏ䜹䜴䞁䝉䝸䞁 ங⭢⭘⒆Ꮫ㻌 䜾䠅㻌 ―179― ་⸆䝆䝱䞊䝘䝹 ♫䚸㻟㻠㻙㻠㻝䚸㻞㻜㻝㻞㻌 㔠ཎฟ∧䚸 㻟㻠㻜㻙㻟㻠㻞㻌 ブレストセンター 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 㻌 䖃♫ ♫䞉ᆅᇦ㈉⊩άື㻌 㻌 㻌 ブレストセンター 㻌 ⴭ⪅ྡ㻌 㢟㻌 㻌 ྡ㻌 㻠㻌 ᫂▼ᐃᏊ㻌 ங䛜䜣䛾Ꮫண㜵㻌 ᭩㻌 㻌 ྡ㻌 ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ 䜲䞁䝣䜷䞊䝮䝗䝁䞁䝉䞁䝖 ་⸆䝆䝱䞊䝘䝹 䛾 䛯 䜑 䛾 ᅗ ㄝ 䝅 䝸 䞊 䝈㻌 ♫䚸㻣㻞㻙㻣㻥䚸㻞㻜㻝㻞㻌 ங䛜䜣⸆≀⒪ἲ㻌 ᨵゞ ∧㻌 㻔ᡞ㞞㻌 ⦅䠅㻌 㻌 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㢟㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 㻝㻌 ୰ᮧΎ࿃㻌 ங⭢䠖ᩚᐜᛶ䜢┠ᣦ䛧䛯ங ➨ 㻝㻝㻞 ᅇ ᪥ ᮏ እ ⛉ Ꮫ ᖹᡂ㻞㻠ᖺ㻠᭶㻝㻞᪥ 䛜䜣ᡭ⾡㻌 ᐃᮇᏛ⾡㞟䠄ᖥ ᙇ䠅㻌 㻞㻌 ᫂▼ᐃᏊ㻌 ዪᛶእ⛉་䛾ປാ⎔ቃ䛾ᨵ ➨ 㻝㻝㻞 ᅇ ᪥ ᮏ እ ⛉ Ꮫ ᖹᡂ㻞㻠ᖺ㻠᭶㻝㻞᪥ ၿ䛻ྥ䛡䛶㻔䝅䞁䝫䝆䜴䝮㻕㻌 ᐃᮇᏛ⾡㞟䠄ᖥ ᙇ䠅㻌 㻟㻌 ᫂▼ᐃᏊ㻌 㼀㼞㼕㼜㼘㼑㻌 㼚㼑㼓㼍㼠㼕㼢㼑㻌 ங⒴䠄䝽䞊䜽 ➨㻞㻤ᅇ᪥ᮏங⭢⏥≧ ᖹᡂ㻞㻠ᖺ㻠᭶㻞㻝᪥ 䝅䝵䝑䝥䠅㻌 ⭢㉸㡢Ἴデ᩿㆟ 䠄ᒸᒣ䠅㻌 㻠㻌 ἑ⏣ᬸ䚸㕥ᮌ ◊ஓ䚸ෆ⏣ㅍ Ꮚ䚸ụ⏣㻌 ⣸䚸୕ ㍯ᩍᏊ䚸ᒣ᐀ ኈ䚸ᴮᡞඞᖺ䚸 ⦾Ọ♩ዉ䚸ᗈ⏣ ⏤Ꮚ䚸ᘅ℩ṇ 䚸୰ᮧΎ࿃㻌 ங⒴⾡ᚋ䛾ฟᶆᮏ䜘䜚᳨ ➨㻞㻤ᅇ᪥ᮏங⭢⏥≧ ᖹᡂ㻞㻠ᖺ㻠᭶㻞㻝᪥ ウ 䛧 䛯 㻿㼔㼑㼍㼞㻌 㼃㼍㼢㼑㻌 ⭢ ㉸ 㡢 Ἴ デ ᩿ ㆟ 㻱㼘㼍㼟㼠㼛㼓㼞㼍㼜㼔㼥㻌 㻔㻿㼃㻱㻕䛾 㼏㼛㼘㼛㼞㻌 䠄ᒸᒣ䠅㻌 㼘㼑㼢㼑㼘㻔➨㻞ሗ䠅㻌 㻡㻌 ᴮᡞඞᖺ㻌 ங ⭢ ㉸ 㡢 Ἴ デ ᩿ 䛻 䛚 䛡 䜛 ➨㻞㻤ᅇ᪥ᮏங⭢⏥≧ ᖹᡂ㻞㻠ᖺ㻠᭶㻞㻝᪥ 㻿㼔㼑㼍㼞㻌 㼃㼍㼢㼑㻌 㻱㼘㼍㼟㼠㼛㼓㼞㼍㼜㼔㼥 䛾 ⭢ ㉸ 㡢 Ἴ デ ᩿ ㆟ ᭷⏝ᛶ㻌 䠄ᒸᒣ䠅㻌 㻢㻌 ἑ⏣ᬸ䚸ෆ⏣ 㻱㻾㻔㻗㻕㻘㻴㻱㻾㻞㻔㻙㻕㻘⭆❐䝸䞁䝟⠇ ➨㻞㻜ᅇ᪥ᮏங⒴Ꮫ ᖹᡂ㻞㻠ᖺ㻢᭶㻞㻤᪥ ㅍ Ꮚ 䚸 ୕ ㍯ ᩍ ㌿⛣㝧ᛶங⒴䛻䛚䛡䜛 㻷㼕㻢㻣 Ꮫ⾡⥲䠄⇃ᮏ䠅㻌 Ꮚ 䚸 ⦾ Ọ ♩ ዉ 䚸 ್䛸䝸䞁䝟⌫ᾐ₶䛾᳨ウ㻌 ᒣ᐀ኈ䚸㕥ᮌ ◊ஓ䚸ᴮᡞඞ ᖺ䚸ᗈ⏣⏤Ꮚ䚸 ᘅ℩ṇ䚸᫂▼ ᐃᏊ䚸୰ᮧΎ࿃㻌 㻣㻌 ᴮᡞඞᖺ䚸Ώ㑔 ⾡๓Ꮫ⒪ἲᚋ䛾䝉䞁䝏䝛 ➨㻞㻜ᅇ᪥ᮏங⒴Ꮫ ᖹᡂ㻞㻠ᖺ㻢᭶㻞㻤᪥ ▱ ᫎ 䚸 ୰ ᮧ Ύ 䝹䝸䞁䝟⠇⏕᳨䛾ྠᐃ⋡䛸 Ꮫ⾡⥲䠄⇃ᮏ䠅㻌 ࿃ 䚸 ᑠ ᓥ ᗣ ᖾ 䚸 ணᚋ䛾᳨ウ㻌 ὠᕝᾈ୍㑻䚸ᒾ ⏣ᗈ䚸㔝┿ ྖ䚸⛅ᒣ㻌 ኴ䚸ඖ ᮧ⏤䚸ᒣෆⱥ Ꮚ㻌 ―180― 㻌 Ⓨ⾲⪅Ặྡ㻌 㢟㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 㻤㻌 㕥ᮌ◊ஓ䚸ෆ⏣ 䝖䝸䝥䝹䝫䝆䝔䜱䝤ங⒴䛾᳨ ➨㻞㻜ᅇ᪥ᮏங⒴Ꮫ ᖹᡂ㻞㻠ᖺ㻢᭶㻞㻤᪥ ㅍ Ꮚ 䚸 ⦾ Ọ ♩ ウ㻌 Ꮫ⾡⥲䠄⇃ᮏ䠅㻌 ዉ䚸ᒣ᐀ኈ䚸 ୕㍯ᩍᏊ䚸ᴮᡞ ඞᖺ䚸ἑ⏣ ᬸ䚸᫂▼ᐃᏊ䚸 ୰ᮧΎ࿃䚸ᗈ⏣ ⏤Ꮚ䚸ᘅ℩ṇ㻌 㻥㻌 ᱓ᒣ㝯ᚿ䚸ᒣෆ ⱥᏊ䚸▮ᙧ㻌 ᐶ䚸 ྜྷ⏣㻌 ᩔ䚸ᯘ㻌 ┤ ᶞ䚸㕥ᮌ㧗♸䚸 ୰ᮧΎ࿃㻌 ⾡๓Ꮫ⒪ἲ㻔㻺㻭㻯㻕๓ 㼏㻺㻻 ➨㻞㻜ᅇ᪥ᮏங⒴Ꮫ ᖹᡂ㻞㻠ᖺ㻢᭶㻞㻤᪥ ங⒴䛻ᑐ䛩䜛 㻺㻭㻯 ᚋ䝉䞁䝏 Ꮫ⾡⥲䠄⇃ᮏ䠅㻌 䝛䝹䝸䞁䝟⠇⏕᳨㻔㻿㻺㻮㻕䛾ᡂ ⦼㻌 㻝㻜㻌 ᒣ᐀ኈ䚸ᴮᡞ ඞᖺ䚸ෆ⏣ㅍ Ꮚ䚸⦾Ọ♩ዉ䚸 ୕㍯ᩍᏊ䚸㕥ᮌ ◊ஓ䚸ἑ⏣ ᬸ䚸᫂▼ᐃᏊ䚸 ୰ᮧΎ࿃䚸ᘅ℩ ṇ䚸ᗈ⏣⏤Ꮚ㻌 㻿㼔㼑㼍㼞㻌 㼃㼍㼢㼑㻌 㻱㼘㼍㼟㼠㼛㼓㼞㼍㼜㼔㼥㻌 ➨㻞㻜ᅇ᪥ᮏங⒴Ꮫ ᖹᡂ㻞㻠ᖺ㻢᭶㻞㻤᪥ 㻔㻿㼃㻱㻕䛻䛚䛡䜛䝟䝍䞊䞁ㄆ㆑ Ꮫ⾡⥲䠄⇃ᮏ䠅㻌 䛸 㻱㼙㼍㼤 ್䛻䜘䜛Ⰻᝏᛶุู 䛾᭷⏝ᛶ䛻䛴䛔䛶䛾᳨ウ㻌 㻝㻝㻌 ⦾Ọ♩ዉ䚸ᅄඖ 㻮㻾㻯㻭㻝㻛㻞 㑇 ఏ Ꮚ ᳨ ᰝ ⾜ ➨㻞㻜ᅇ᪥ᮏங⒴Ꮫ ᖹᡂ㻞㻠ᖺ㻢᭶㻞㻤᪥ ῟ Ꮚ 䚸 ෆ ⏣ ㅍ 㐺᱁䛾᳨ウ㻌 Ꮫ⾡⥲䠄⇃ᮏ䠅㻌 Ꮚ䚸ᒣ᐀ኈ䚸 ୕㍯ᩍᏊ䚸㕥ᮌ ◊ஓ䚸ᴮᡞඞ ᖺ䚸ἑ⏣ᬸ䚸 ᫂▼ᐃᏊ䚸୰ᮧ Ύ࿃㻌 㻝㻞㻌 ෆ ⏣ ㅍ Ꮚ 䚸 ᳃ ங⒴デ᩿䛻䛚䛡䜛㐀ᙳ䝬䞁 ➨㻞㻜ᅇ᪥ᮏங⒴Ꮫ ᖹᡂ㻞㻠ᖺ㻢᭶㻞㻤᪥ ⨾ ᶞ 䚸 ⦾ Ọ ♩ 䝰䜾䝷䝣䜱䛾᭷⏝ᛶ㻌 Ꮫ⾡⥲䠄⇃ᮏ䠅㻌 ዉ䚸ᒣ᐀ኈ䚸 ୕㍯ᩍᏊ䚸㕥ᮌ ◊ஓ䚸ᴮᡞඞ ᖺ䚸ἑ⏣ᬸ䚸 ᫂▼ᐃᏊ䚸ᘅ℩ ṇ䚸୰ᮧΎ࿃㻌 㻝㻟㻌 ୰ᮧΎ࿃㻌 㻻㼚㼏㼛㼜㼘㼍㼟㼠㼕㼏㻌 㼎㼞㼑㼍㼟㼠㻌 㼟㼡㼞㼓㼑㼞㼥 ➨㻝㻟ᅇங⒴᭱᪂ሗ ᖹᡂ㻞㻠ᖺ㻤᭶㻟᪥㻌 䠉ಶู⒪䛾௦䜢㏄䛘 䜹䞁䝣䜯䝷䞁䝇䠄⚟ᒸ䠅㻌 䛶㻌 㻝㻠㻌 㻷㼍㼠㼟㼡㼠㼛㼟㼔㼕㻌 㻱㼚㼛㼗㼕㼐㼛㻌 㼁㼠㼕㼘㼕㼠㼥㻌㼛㼒㻌㻿㼔㼑㼍㼞㻌 㻌 㻝㻡㻌 ἑ⏣ᬸ㻌 㻿㼔㼑㼍㼞㻌 㼃㼍㼢㼑㻌 㻱㼘㼍㼟㼠㼛㼓㼞㼍㼜㼔㼥 䛾 ➨㻞㻥ᅇ᪥ᮏங⭢⏥≧ ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻣᪥ 㼏㼛㼘㼛㼞㻌㼘㼑㼢㼑㼘 䛜ᙳ㡪䜢ཷ䛡䜛せ ⭢㉸㡢Ἴ་ᏛᏛ⾡ ᅉ㻌 ⥲䠄ᕞ䠅㻌 㻹㼑㼐㼕㼏㼍㼘㻌 㼁㼘㼠㼞㼍㼟㼛㼚㼕㼏㻌 㻭㼡㼓㻌㻞㻡㻘㻞㻜㻝㻞㻌 㻿㼛㼏㼕㼑㼠㼥㻌 㼛㼒㻌 㼀㼔㼍㼕㼘㼍㼚㼐㻌 㻔㻮㼍㼚㼓㼗㼛㼗㻕㻌 㼃㼍㼢㼑㻌㻱㼘㼍㼟㼠㼛㼓㼞㼍㼜㼔㼥㻌 ―181― ブレストセンター 㻌 ブレストセンター 㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㢟㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 㻝㻢㻌 ୰ᮧΎ࿃㻌 ཎ Ⓨ ᛶ ங ⒴ 䛻 ᑐ 䛩 䜛 ⾡ ๓ ➨㻡㻜ᅇ᪥ᮏ⒴⒪Ꮫ ᖹ ᡂ 㻞㻠 ᖺ 㻝㻜 ᭶㻞㻡 㻰㼀㼄 䊻 㻲㻱㻯 䛸 㼣㼑㼑㼗㼘㼥㻌 Ꮫ⾡㞟䠄ᶓ䠅㻌 ᪥㻌 㻺㼍㼎㻙㼜㼍㼏㼘㼕㼠㼍㼤㼑㼘䊻㻲㻱㻯 䛾↓స Ⅽ➨䠥䠥┦ヨ㦂㻌 㻝㻣㻌 ୰ᮧΎ࿃㻌 䜟䛜ᅜ䛻䛚䛡䜛䠤䠞䠫䠟䛾⌧ ➨㻞㻞ᅇ᪥ᮏங⒴᳨デ ᖹᡂ㻞㻠ᖺ㻝㻝᭶㻥᪥ ≧䛸ᚋ䛾ྲྀ䜚⤌䜏㻌 ᏛᏛ⾡⥲䠄Ἀ⦖䠅㻌 㻝㻤㻌 㧘ᬛᏊ䚸ෆ⏣ ᙜ⛉䛻䛚䛡䜛 㼐㼡㼏㼠㼍㼘㻌 㻌 ㅍ Ꮚ 䚸 ⦾ Ọ ♩ 㼍㼐㼑㼚㼛㼙㼍㻌㻢䛾ሗ࿌㻌 ዉ䚸ᒣ᐀ኈ䚸 㕥ᮌ◊ஓ䚸᱓ᒣ 㝯ᚿ䚸ᴮᡞඞ ᖺ䚸ἑ⏣ᬸ䚸 ᫂▼ᐃᏊ䚸ᗈ⏣ ⏤Ꮚ䚸୰ᮧΎ࿃㻌 ➨㻥ᅇ᪥ᮏங⒴Ꮫ 㛵ᮾᆅ᪉䠄ᐑ䠅㻌 ᖹᡂ㻞㻠ᖺ㻝㻞᭶㻝᪥ 㻌 㻡䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟䝤䝺䝇䝖䝉䞁䝍䞊㻌 䝤䝺䝇䝖䝉䞁䝍䞊䛜❧䛱ୖ䛜䛳䛶㻟ᖺ䛜⤒㐣䛧䛯䚹㻴㻞㻠ᖺ䛾ᡭ⾡䛜 㻠㻜㻜వ䜚䛷䛒䛳䛯䛜䚸ᖺ䛿䚸㻡㻜㻜䜋䛹䛾⤒㦂䛻䛺䜚䛭䛖䛷䛒䜛䚹 䝤䝺䝇䝖䝉䞁䝍䞊ෆ䛷⤖䛩䜛᳨ᰝ䛿ᝈ⪅䛥䜣䛻ホุ䛜Ⰻ䛛䛳䛯䚹㻌 䐠᭱ඛ➃䛾⒪䚸デ᩿㻌 ⌧ᅾ䚸䝬䞁䝰䜾䝷䝣䜱䛿㐀ᙳ䝬䞁䝰䜾䝷䝣䜱䜢ຍ䛘䛶䛜䜣䛾ᥥฟ⬟ຊ䜢 㧗䜑䛶䛔䜛䚹㻌 䛥䜙䛻䚸ஙᡣ㉸㡢Ἴ䛾䜶䝷䝇䝖䜾䝷䝣䜱䛿␗䛺䛳䛯㻞✀㢮䛾⨨䜢䛭䛺 䛘䛶䛚䜚䚸Ⰻᝏᛶ䛾ุᐃ䛻ᙺ❧䛳䛶䛔䜛䚹ᚋ䚸ᡭ⾡ᚋ䛻⾜䛖ᨺᑕ⥺ ↷ᑕ䛻ᑐ䛩䜛᪂䛧䛔ᶵჾ䛾ᑟධ䜢⪃䛘䛶䛔䜛䚹㻌 㻌 㻢䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃ங䛜䜣ᝈ⪅䛾ቑຍ䠖䝤䝺䝇䝖䝉䞁䝍䞊䛾㛤タ௨᮶䚸ᝈ⪅ᩘ䛜ቑຍ䛧䚸䛭䛾ᑐᛂ䛻㏣䜟䜜䛯ឤ䛜 ྰ䜑䛺䛔䛾䛷䚸ᚋ䝏䞊䝮་⒪䜔タഛ䛾ᐇ䜢ᅗ䜚䛯䛔䚹㻌 䖃᪥ᮏ䛻䛚䛔䛶ቑຍ䛾୍㏵䜢䛯䛹䜛ங⒴ᝈ⪅䛾ቑຍ䛿᪥ᮏ䛾♫⌧㇟䛸䛧䛶㔜せ䛺⨨䜢༨䜑 䛶䛔䜛䚹ᙜ㝔䛾䝤䝺䝇䝖䝉䞁䝍䞊䛜᪥ᮏ䛻䛚䛡䜛ங䛜䜣⒪䛾୰᰾䜢ᢸ䛖䜉䛟䚸ດຊ䛩䜛䚹㻌 㻌 ―182― ME Ꮫ㝔㻌 ᝈ⪅ᨭ㒊㛛㻌 昭和大学病院 患者支援部門 室 㻝㻌 䠩䠡ᐊ㻌 １）ME 室 㻝㸬⌮ᛕ࣭┠ᶆ㸦⤫ᣓ⮫ᗋᕤᏛᢏ⾡㒊㸧㻌 㻝㻚Ᏻ࡛ຠ⋡ⓗ࡞ࢳ࣮࣒་⒪ࢆᒎ㛤ࡍࡿⅭࠊ࡚ࡢ་⒪㛵ಀ⪅⥭ᐦ࡞㐃ᖏࢆᅗࡿࠋ㻌 㻞㻚་⒪ᶵჾ㛵㐃ࡢ་⒪ᨾࢆ↓ࡃࡋࠊ⮫ᗋᕤᏛᢏኈࡋ࡚་⒪Ᏻ㈉⊩ࡍࡿࠋ㻌 㻟㻚་⒪ᶵჾࢆ㏻ࡋ♫㈉⊩࡛ࡁࡿேᮦࡢ⫱ᡂࢆࡍࡿࠋ㻌 㻌 Ꮫ㝔 㻹㻱 ᐊࡢ㻞㻜㻝㻟ᖺᗘࡢ┠ᶆ㻌 㻝㸬་⒪ᶵჾᑐࡍࡿ▱㆑ࡢྥୖ㻌 㻞㸬ᢏᖌࡋ࡚ࡢඹ㏻ࡢ▱㆑ࣞ࣋ࣝࡢྥୖ㻌 㻟㸬ሗ࿌ࠊ㐃⤡ࠊ┦ㄯࡢᚭᗏ㻌 㻌 㻞㸬ேဨᵓᡂ 㻌 ᡤᒓ㛗㸦⭈⮚ෆ⛉ᩍᤵ㸧㻌 ⛅⃝ ᛅ⏨㻌 ᐊ㛗㸦ᙺ⫋࣭ಀ㛗㸧㻌 ୰㔝 㻌 ಀ㛗㻌 ኳ㔝㝯࣭Ⰽ㒊῟୍࣭ᒾᇛ㝯ᏹ࣭ᆏᮏᆂ୕࣭ᰠᾈ㻌 ࡑࡢ㻌 㻝㻝ྡ㻌 㻌 㻟㸬ᴗົᐇ⦼ 㻌 ձእ⌜ᖺᗘᐇ⦼௳ᩘ 㻌 ேᕤ྾ჾฎ⌮ྎᩘ㻌 㻣㻢㻤ྎ ಖ⫱ჾࡢⅬ᳨ྎᩘ㻌 㻝㻟㻤ྎ 㧗Ẽᅽ⒪ἲ௳ᩘ㻌 㻠㻝௳ ୰ኸ⟶⌮㈚ฟྎᩘ㻌 㻡㻘㻤㻣㻝௳ ಟ⌮௳ᩘ㻌 㻝㻘㻢㻟㻢௳ 㻌 ղ⾑ᾮίᐇ⦼㻌 ㏱ᯒᖺ㛫⥲ᩘ㻌 㻠㻘㻣㻣㻟௳㻌 ࣏࣮ࢱࣈࣝ⾑ᾮί㻌 㻥㻜㻡௳㻌 ⾑₢㻌 㻞㻣௳㻌 ࢚ࣥࢻࢺ࢟ࢩࣥ྾╔⒪ἲ㻌 㻣㻟௳ 㢛⢏⌫㝖ཤ⒪ἲ㻌 㻤㻠௳ 㻯㻴㻰㻲 ௳ᩘ㻌 㻣㻞㻝௳ 㻌 ―183― ME 室 ճᡭ⾡ᐇ⦼㻌 ู 㻞㻠ᖺᗘ 㸦㻤㻝௳㸧㻌 㻌 ୖ࣭ୗ⾜ᘪ㒊⨨㻌 ᘚᙧᡂ࣭⨨㻌 ᘚᙧᡂ࣭⨨㻗㹁㸿㹀㹅㻌 㹁㸿㹀㹅 ࡑࡢ㻌 ௳ᩘ㻌 㻥 㻠㻤㻌 㻝㻜㻌 㻝㻟 㻞 㸣㻌 㻝㻝 㻡㻤㻌 㻝㻞㻌 㻝㻢 㻞 㻌 մᚰ⮚࢝ࢸ࣮ࢸ᳨ࣝᰝ௳ᩘ 㸦⥭ᛴ࢝ࢸ௳ᩘ㝖ࡃ㸧㻝㻝㻠㻟௳㻌 㻌 յ㝔ෆάື㻌 ⾑ᾮίࢭ࣑ࢼ࣮㻌 㻟ᅇ㻛ᖺ㻌 ་⒪ᶵჾᏳㅮ⩦㻌 㻡ᶵ✀ࢆ୰ᚰ㻞ᅇ㻛ᖺ㻌 ་⒪Ᏻㅮ⩦㻌 㻝ே㻛ᖺ㻌 㻟㹑ࢭ࣑ࢼ࣮㸦⾑ᾮί㸧㻌 㻞ᅇ㻛ᖺ㻌 㻌 㻠㸬♫࣭ᆅᇦ㈉⊩άືࠊ◊✲ᴗ⦼㻌 ♫࣭ᆅᇦ㈉⊩άື 㻌 㻌 㛤ദᖺ᭶᪥㻌 ෆ ᐜ㻌 㛤ദᆅ㻌 㻝㻌 ᖹᡂ㻞㻠ᖺ㻤᭶㻞㻤᪥㻌 ➨㻟ᅇࣇࣞࢵࢩ࣐ࣗࣥࢭ࣑ࢼ࣮㻌 Ꮫ㻌 㻞㻌 ᖹᡂ㻞㻡ᖺ㻟᭶㻣᪥㻌 ➨㻠ᅇ⭈㏱ᯒຮᙉ㻌 Ꮫ㻌 㻌 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ 㻝㻌 ᮏᓥἋᏘ㻌 㢟 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 㐣㓑㓟Ὑίࢫࢸࣛࢣ㻌 ࡢ᳨ウ㻌 ➨㻡㻣ᅇ᪥ᮏ㏱ᯒ་Ꮫ㻌 Ⓨ⾲ᖺ᭶᪥ 㻞㻜㻝㻞㻛㻢㻛㻞㻞㻌 ி⋤ࣉࣛࢨ࣍ࢸࣝᮐᖠ㻌 㻞㻌 ⏣୰⚽᫂㻌 㻟㻌 ᮏᓥἋᏘ㻌 ⾑ᾮί⒪ἲᑓ⏝ࢹࣂࢫ㸦ࣉࣛ ➨㻡㻣ᅇ᪥ᮏ㏱ᯒ་Ꮫ㻌 ࢿࢡࢱ㻌 㸧⏝⤒㦂㻌 ி⋤ࣉࣛࢨ࣍ࢸࣝᮐᖠ㻌 㐣㓑㓟Ὑίࢫࢸࣛࢣ㻌 ࡢ᳨ウ㻌 ➨㻠㻝ᅇᮾி㏱ᯒ᠓ㄯ㻌 㻞㻜㻝㻞㻛㻢㻛㻞㻠㻌 㻞㻜㻝㻟㻛㻞㻛㻝㻣㻌 ᮾிዪᏊ་⛉Ꮫ㻌 㻠㻌 ᮧୖ⧊ᜨ㻌 ࣊ࣔࣇࣝࢱ࣮ࡢ㑅ᢥ㻌 ⭈㏱ᯒຮᙉ㻌 㻞㻜㻝㻟㻛㻟㻛㻣㻌 Ꮫ㻌 㻌 㻡㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձᙜ┤࠾ࡅࡿᴗົ㐙 㻝ྡᙜ┤ࡢࡓࡵᡭ⾡ᐊࠊ⾑ᾮίᴗົࠊ྾ჾ⟶⌮ࠊᚰ⮚࢝ࢸ࣮ࢸ ⾜ࡢ☜❧㻌 ᳨ࣝᰝ➼ᑐࡋࠊኚ๎࣮ࣟࢸ࣮ࢩ࡛ࣙࣥࡶ࢝ࣂ࣮࡛ࡁࡿయไసࡾ ࡢᵓ⠏⏦ࡋ㏦ࡾࡢᙉࢆ㐍ࡵࡓࠋ㻌 㻌 ―184― ME 㻢㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ەሗ࿌ࠊ㐃⤡ࠊ࣐ࢽࣗࣝ➼ࡢᚭᗏຠ⋡Ⰻ࠸ࠊᴗົࡢ㐙⾜ࡢᙉࢆᅗࡿࠋ㻌 ⏕ە⥔ᣢ⟶⌮⨨ࢆᏳ⏝࡛ࡁࡿᵝࠊಖᏲⅬ᳨ຊࢆධࢀࠊ་⒪ᶵჾᑐࡋࠊࡑࢀ ࢃࡿ་⒪ᚑ⪅ࡀṇࡋࡃ⏝࡛ࡁࡿᵝࢧ࣏࣮ࢺࡍࡿయไࢆసࡿࠋ㻌 ⮫ەᗋᕤᏛᢏኈဨࡢ▱㆑ࡢඹ᭷ࢆᅗࡾࠊ་⒪࣑ࢫࡢ๐ῶࢆᚰࡅࡿࠋ㻌 㻌 ―185― 室 診療録管理室 Ꮫ㝔㻌 ᝈ⪅ᨭ㒊㛛㻌 昭和大学病院 患者支援部門 㻞㻌 デ⒪㘓⟶⌮ᐊ㻌 ２）診療録管理室 㻝㸬⌮ᛕ࣭┠ᶆ㻌 㻝㸬㸳㻿 ࡢᚭᗏ㸦ᐊෆᩚഛ㸧㻌 㻞㸬ࢧ࣐࣮ࣜཷ㡿⋡㻝㻜㻜㸣ྥࡅࡓྲྀࡾ⤌ࡳࡢᐇ㻌 㻟㸬デ⒪ሗࡢ᭷ຠά⏝࣭⏝㻌 㻠㸬ࢫࢱࢵࣇࡢᩍ⫱ࢫ࢟ࣝࢵࣉ㻌 㻌 㻞㸬ேဨᵓᡂ 㻌 デ⒪㘓⟶⌮ᐊᐊ㛗㻌 ᯈᶫ ᐙ㢌ኵ㻌 ௵࣭デ⒪ሗ⟶⌮ኈᣦᑟ⪅ 㙊 ⏤㤶㻌 ⫋ဨ࣭デ⒪ሗ⟶⌮ኈ㻌 㻡ྡ ጤク⫋ဨ㻌 㻠㻡ྡ㸦࠺ࡕ㻝ྡ㻌 デ⒪ሗ⟶⌮ኈ㸧 㻌 㻟㸬ᴗົᐇ⦼ 㻌 ձデ⒪グ㘓ಖ⟶௳ᩘ 㻌 እ᮶デ⒪グ㘓㸦ࢡࢹࣈࠊࣥࢡࢸࣈ㸧㻌 㻡㻞㻘㻜㻜㻜ࠊ㻣㻥㻘㻜㻜㻜 ධ㝔デ⒪グ㘓㻌 㻞㻠㻘㻢㻡㻤 ࣞࣥࢺࢤࣥࣇ࣒ࣝ㸦ࢡࢸࣈࠊศ㸧㻌 㻝㻣㻘㻡㻞㻝 ղእ᮶デ⒪グ㘓࣭ࣞࣥࢺࢤࣥࣇ࣒ࣝࡢฟᗜ௳ᩘ㻌 ண ⣙㻌 㻌 እ᮶デ⒪グ㘓㻌 ࣞࣥࢺࢤࣥࣇ࣒ࣝ ண⣙እ㻌 ྜ ィ㻌 㻠㻡㻤㻘㻠㻢㻠㻌 㻥㻠㻘㻜㻣㻜㻌 㻡㻡㻞㻘㻡㻟㻠 㻢㻤㻡㻌 㻞㻌 㻢㻤㻣 ճデ⒪グ㘓㜀ぴ࣭㈚ฟ௳ᩘ㻌 እ᮶デ⒪グ㘓⏝⪅ᩘ㻌 ⏝⪅㻌 ⏝⪅ᩘ㻌 ་ ᖌ㻌 㻟㻘㻢㻢㻥ྡ ┳ㆤᖌ㻌 ົ㻌 㻠㻡㻡ྡ㻌 ࡑࡢ࣭࣓ࢹ࢝ࣝࢫࢱࢵࣇ㻌 ྜ ィ㻌 㻟㻤㻣ྡ 㻡㻘㻣㻟㻡ྡ 㻝㻘㻞㻞㻠ྡ㻌 ⏝┠ⓗูእ᮶デ⒪グ㘓㜀ぴ࣭㈚ฟᩘ㻌 ฟᗜ┠ⓗ㻌 ฟᗜᩘ㻌 ฟᗜ┠ⓗ㻌 ฟᗜᩘ㻌 Ꮫ 㻌 㻤㻘㻠㻣㻝 ┳ㆤ◊✲㻌 㻤㻟 ◊ ✲㻌 ࢧ࣐࣮ࣜ デ᩿᭩࣭ົฎ⌮㻌 㻝㻘㻡㻝㻟 㻤㻠 㻝㻜㻘㻡㻢㻡 ⮫ᗋヨ㦂㻌 ࢝ࣥࣇࣞࣥࢫ 㻝㻘㻢㻞㻥 㻢㻘㻝㻞㻢 ࣞࢭࣉࢺ㻌 㻝㻢㻘㻟㻥㻟 ࡑࡢ㻌 ྜ ィ㻌 㻣㻘㻜㻜㻜 㻡㻝㻘㻤㻢㻠 ࣞࣥࢺࢤࣥࣇ࣒ࣝ⏝⪅ᩘ㻌 ⏝⪅㻌 ⏝⪅ᩘ㻌 ་ ᖌ㻌 㻢㻞ྡ ┳ㆤᖌ㻌 ົ㻌 㻝ྡ 㻌 ―186― 㻠㻥ྡ ࡑࡢ࣭㺰㺡㺼㺆㺔㺷㺛㺞㺍㺪 ྜ ィ㻌 㻟ྡ 㻝㻝㻡ྡ ฟᗜ┠ⓗ㻌 Ꮫ 㻌 ฟᗜᩘ㻌 ฟᗜ┠ⓗ㻌 ◊ ✲㻌 㻠㻝㻞 ┳ㆤ◊✲㻌 ฟᗜᩘ㻌 ࢧ࣐࣮ࣜ㻌 㻥㻌 ⮫ᗋヨ㦂㻌 㻝 デ᩿᭩࣭ົฎ⌮ 㻝㻌 㻜 ࢝ࣥࣇࣞࣥࢫ㻌 㻝㻌 ࡑࡢ㻌 㻟㻜㻟㻌 ࣞࢭࣉࢺ㻌 㻜 ྜ ィ㻌 㻥㻢 㻤㻞㻟 ධ㝔デ⒪グ㘓⏝⪅ᩘ㻌 ⏝⪅㻌 ་ ᖌ㻌 ⏝⪅ᩘ㻌 ┳ㆤᖌ㻌 㻞㻘㻟㻥㻡ྡ ົ㻌 㻣㻝㻝ྡ㻌 ࡑࡢ࣭㺰㺡㺼㺆㺔㺷㺛㺞㺍㺪 ྜ ィ㻌 㻠㻣㻤ྡ 㻠㻘㻜㻝㻤ྡ 㻠㻟㻠ྡ㻌 ⏝┠ⓗูධ㝔デ⒪グ㘓㜀ぴ࣭㈚ฟᩘ㻌 ฟᗜ┠ⓗ㻌 ධ㝔㻌 ฟᗜᩘ㻌 ฟᗜ┠ⓗ㻌 Ꮫ 㻌 㻞㻞㻜 ࣞࢭࣉࢺ㻌 ฟᗜᩘ㻌 ◊ ✲㻌 㻡㻘㻞㻡㻤 ┳ㆤ◊✲㻌 㻞㻣㻥 ࢧ࣐࣮ࣜ㻌 㻠㻘㻟㻝㻟 ⮫ᗋヨ㦂㻌 㻝㻟㻥 デ᩿᭩࣭ົฎ⌮ 㻣㻣㻟㻌 ࢝ࣥࣇࣞࣥࢫ 㻠㻢㻡 㻞㻤㻢 㻌 㻞㻘㻢㻟㻜 ࡑࡢ㻌 㻤㻘㻢㻜㻤 ྜ ィ㻌 㻞㻞㻘㻥㻣㻝 մ㹎㸿㹁㹑ࢹ࣮ࢱࢥࣆ࣮௳ᩘ㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻯㻰㻙㻾 ࢥࣆ࣮㻌 㻡㻝㻢௳㻌 ࣟࢢࣥࣃࢫ࣮࣡ࢻⓎ⾜㻌 㻌 յṚஸデ᩿᭩ࢹࢪࢱࣝฎ⌮௳ᩘ㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌Ṛஸデ᩿᭩㻌 㻢㻟㻡௳㻌 Ṛ⏘ド᭩㻌 㻌 㻝㻤㻜௳㻌 㻟㻣௳㻌 ն㹂㹕㹆ࢹ࣮ࢱᢳฟ౫㢗௳ᩘ㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻟㻝㻥௳㻌 շデ⒪㘓⟶⌮ࢩࢫࢸ࣒ࢹ࣮ࢱᢳฟ౫㢗௳ᩘ㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻥௳㻌 ո㹂㹎㹁ᵝᘧ㻝ࢹ࣮ࢱᥦฟ௳ᩘ㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻝㻣㻘㻝㻜㻞௳㸦㻠᭶㹼㻟᭶⥲ィ㸧㻌 չデ⒪ሗᥦ౪㸦࢝ࣝࢸ㛤♧㸧௳ᩘ㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌Ꮫ㝔㻌 ᮾ㝔㻌 㻌 㻡㻣௳㻌 㻝㻞௳㻌 պࢡࣜࢽ࢝ࣝࣃࢫⓏ㘓ࠊ㞟ィᩘ㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌ࣃࢫ⏝⋡ 㻡㻡㻚㻣㸣㻌 㻌 ་⒪⪅⏝ࣃࢫⓏ㘓ᩘ㻌㻢㻜㻜௳㸦୰Ṇ㻝㻤㻜௳㸧㻌 㐠⏝ࣃࢫᩘ 㻠㻞㻜௳㻌 㻌 ᝈ⪅⏝ࣃࢫⓏ㘓ᩘ㻌 㐠⏝ࣃࢫᩘ 㻞㻜㻞௳㻌 㻌 ධ㝔デ⒪ィ⏬᭩ࢆྵࡴࣃࢫᩘ 㻝㻟㻝௳㻌 ջ㝔ෆࡀࢇⓏ㘓 Ⓩ㘓ᩘ㻌 㻞㻠㻢௳㸦୰Ṇ㻠㻠௳㸧㻌 㻝㻘㻥㻡㻜௳㻌 㻌 㻠㸬♫࣭ᆅᇦ㈉⊩άືࠊ◊✲ᴗ⦼㻌 ✲◊ەᴗ⦼㻌 ◊✲༠ຊ㻌 ⴭ⪅ྡ㻌 㢟 ྡ㻌 㞧ㄅྡ㻘ᕳ㻘㡫㻘Ⓨ⾜ᖺ㻌 㙊 ⏤ 㤶 ࠊ ⸨ ᮌ ㄔ ᖹᡂ㻞㻠ᖺᗘཌ⏕ປാ┬⛉Ꮫ◊✲㈝⿵ຓ㔠 ࠕṚஸデ᩿᭩ࡢグ㍕㐺ṇ ୍ࠊῐ㇂┿㔛Ꮚࠊ᫂ ᨻ⟇⛉Ꮫ⥲ྜ◊✲ᴗ⤫ィሗ⥲ྜ◊✲ 㛵ࡍࡿ◊✲ࠖᖹᡂ㻞㻠 ▼᭷ဢᏊࠊ⬥ᮧ࿘ྑ ࠕṚஸデ᩿᭩ࡢ⢭ᗘྥୖ࠾ࡅࡿデ⒪ሗ ᖺᗘሗ࿌᭩㻌 ஓࠊ㤨ᮧࡦࡳ㻌 ⟶⌮ኈࡢධࡼࡿグ㍕㐺ṇࡢ◊✲ࠖ㻌 ◊✲௦⾲⪅㸸ኵ㻌 㻌 ―187― 診療録管理室 ⏝┠ⓗูࣞࣥࢺࢤࣥࣇ࣒ࣝ㜀ぴ࣭㈚ฟᩘ㻌 診療録管理室 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌 㙊⏤㤶㻌 㻞㻌 㙊⏤㤶㻌 㢟 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 デ⒪ሗࡢඹ᭷ 㻙ఱࢆඹ᭷ ᪥ᮏデ⒪ሗ⟶⌮ኈ ᖹᡂ㻞㻠ᖺ㻣᭶㻝㻠᪥㻌 ࡍࡿࡢ㻙㻌 㻌 ᅜ◊ಟ㻌 ᮾி㻌 Ṛᅉࢆྲྀࡾࡲࡃㅖၥ㢟㻌 ➨㻟㻤ᅇ᪥ᮏデ⒪ሗ ᖹᡂ㻞㻠ᖺ㻥᭶㻢᪥㻌 㻙デ⒪ሗ⟶⌮ኈࡢ❧ሙࡽ ⟶⌮ᏛᏛ⾡ࢩ 㻙㻌 㻟㻌 ⸨ᮌㄔ୍㻌 ࣏ࣥࢪ࣒࢘ ྡྂᒇ㻌 ධ㝔ㄪᰝࢹ࣮ࢱࢆ⏝࠸ࡓ ➨㻟㻤ᅇ᪥ᮏデ⒪ሗ ᖹᡂ㻞㻠ᖺ㻥᭶㻢᪥㻌 ࢡ ࣜ ࢽ ࢝ ࣝ ࣥ ࢹ ࢣ ࣮ ⟶ ⌮ Ꮫ Ꮫ ⾡ ࢱ࣮ࡢ᭷⏝ᛶ㻌 㻠㻌 ᫂▼᭷ဢᏊ㻌 ྡྂᒇ㻌 㝔㛗ᕠどࡼࡿධ㝔デ⒪ ➨㻝㻠ᅇ᪥ᮏ་⒪࣐ࢿ ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻝㻞᪥ グ㘓┘ᰝࡢホ౯ 㻙デ⒪グ㘓 ࢪ࣓ࣥࢺᏛᏛ⾡⥲ ࡢ㉁ࡢྥୖྥࡅ࡚㻙㻌 㻡㻌 㙊⏤㤶㻌 㛗ᓮ㻌 デ⒪グ㘓ࢆぢ┤ࡍ 㸫ᮃࡲ 㻿㻿㻷 ࢭ࣑ࢼ࣮ ᮾி㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻞㻡᪥ ࡋ࠸グ㍕ࠊࡑࡋ࡚デ⒪グ㘓ࡢ ┘ᰝࢩࢫࢸ࣒㸦㻭㼡㼐㼕㼠㻕ࡢ☜❧ 㻢㻌 㙊⏤㤶㻌 ᇶᮏⓗ࡞デ⒪グ㘓ࡢ࠶ࡾ᪉㻌 ⊃ᒣ㝔 ᇸ⋢㻌 ᖹᡂ㻞㻠ᖺ㻝㻞᭶㻠᪥㻌 㻌 㻡㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձデ⒪ሗᥦ౪㸦࢝ࣝࢸ デ⒪ሗᥦ౪㸦࢝ࣝࢸ㛤♧㸧௳ᩘࡢቑຍࡶ࡞࠸ෆつࡢぢ┤ࡋࢆ 㛤♧㸧ࡢᴗົᨵၿ㻌 ⾜࠸ࠊ㝔ෆỴࡢ㎿㏿ࡸᥦ౪࠾ࡅࡿ㐠⏝ࡢᨵၿࢆᅗࡗࡓࠋ㻌 ղධ㝔デ⒪グ㘓グ㍕ᇶ ධ㝔デ⒪グ㘓ࡢグ㍕࠾ࡅࡿ㉁ⓗྥୖࢆ┠ᣦࡋࠊᐙ⣔ᅗࡢぢ┤ࡋࡸ ‽ࡢᨵᐃ㻌 Ṛஸࡢ๗᳨ࡢ᭷↓ࡘ࠸࡚᫂グࡍࡿᇶ‽ࢆຍ࠼ࠊグ㍕ᇶ‽ࡢ➨㻟 ∧ࢆసᡂࡋࡓࠋ㻌 ճデ⒪ሗసᡂ࣮ࣝࣝ ศ㢮ࡸ㹂㹎㹁ᵝᘧ㻝సᡂ࡞デ⒪ሗࢆ㞟ࡍࡿ࠶ࡓࡾࠊ⟶ ࡢぢ┤ࡋ㻌 ⌮ᐊෆࡢ࣮ࣝࣝࡢᚭᗏࡸ㐠⏝ࡢぢ┤ࡋࢆᅗࡾࠊຠ⋡ⓗࡘⓗ☜࡞ ሗ㞟⣙ࢆᅗࡗࡓࠋ㻌 㻌 㻢㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ەᏛᨵ㠉᥎㐍ᴗࡢከ⫋✀㐃ᦠᆺᩍ⫱ࣉࣟࢢ࣒ࣛ㻝ࠕࢫࢸࢵࣉձከ⫋✀ࢳ࣮࣒་⒪ᩍ⫱ࣉࣟ ࢢ࣒ࣛࠖᐇࡢ㻞ᖺ┠࡞ࡾάⓎࣉࣟࢢ࣒ࣛࡀ㐙⾜ࡉࢀ࡚࠸ࡿࠋࢫࢸࢵࣉղࠊճࡘ࡞ࡆ ࡿࡓࡵࡢከ⫋✀㛫ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ☜❧ࢆデ⒪ሗ⟶⌮ኈࡢどⅬࡽᐇࡍࡿࠋ㻌 ەᮾி㒔ᆅᇦࡀࢇⓏ㘓ࡀᮏ᱁ⓗᐇࡉࢀࠊࠕࡀࢇⓏ㘓ࠖࡢ᭦࡞ࡿ⢭ᗘྥୖࢆᅗࡿࠋ㻌 ە㟁Ꮚ࢝ࣝࢸ⛣⾜ྥࡅࡓデ⒪ሗࡢᩚഛࢆᐇࡍࡿࠋ㻌 㻌 ―188― ベッドコントロール管理室 Ꮫ㝔㻌 ᝈ⪅ᨭ㒊㛛㻌 昭和大学病院 患者支援部門 㻟㻌 䝧䝑䝗䝁䞁䝖䝻䞊䝹⟶⌮ᐊ㻌 ３）ベッドコントロール管理室 㻌 㻝䠊┠ᶆ㻌 䞉㻌 ᗋ⏝⋡㻥㻡䠂௨ୖ㻌 䞉㻌 ຠ⋡ⓗ䛺䝧䝑䝗䝁䞁䝖䝻䞊䝹䛾ᐇ⌧㻌 㻌 㻞䠊ேဨᵓᡂ㻌 ᐊ㛗㻌 ᯈᶫ㻌 ᐙ㢌ኵ㻌 ┳ㆤḟ㛗㻌 Ⲩᕝ㻌 ༓㻌 䛭䛾㻌 㻠ྡ 㻌 㻟䠊ᴗົᐇ⦼㻌 㻌 ᪂ධ㝔ᝈ⪅ᩘ㻌 㻝㻣㻘㻤㻜㻣ྡ ෆ⥭ᛴධ㝔ᝈ⪅ᩘ㻌 㻢㻘㻣㻤㻣ྡ 㻌 㻠䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟⭘⒆ෆ⛉ධ㝔ཷ䛡ධ ᖹᡂ㻞㻠ᖺ㻣᭶䛛䜙ධ㝔Ჷ㻝㻞㝵䚸㻝㻟㝵Ჷ䛷⭘⒆ෆ⛉䛸䛧䛶䛾ධ㝔ཷ䛡 䜜㛤ጞ䠄㻞㻠ᖺ㻣᭶䠅㻌 ධ䜜䛜㛤ጞ䛥䜜䛯䚹䛺䛚䚸ᖹᡂ㻞㻡ᖺ㻠᭶䜘䜚ᐃᗋ㻞㻡ᗋ䛸䛧䛯䚹㻌 䐠⸨䛜ୣ㝔䛸䛾୍㒊 ⸨䛜ୣ㝔䛾⾑ᾮෆ⛉䛷ධ㝔䛜ᚲせ䛸䛺䛳䛯ᝈ⪅䛿䚸Ꮫ㝔 デ⒪⛉⤫ྜ㻌 䛷ධ㝔䜢ཷ䛡ධ䜜䜛䛣䛸䛻䛺䛳䛯䚹㻌 㻌 䠄㻞㻠ᖺ㻠᭶䠅㻌 㻌 㻡䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃㛗ᮇධ㝔ᝈ⪅➼䛾㏥㝔ಁ㐍䛻䛴䛔䛶䚸⥲ྜ┦ㄯ䝉䞁䝍䞊䠄㏥㝔ㄪᩚᢸᙜ䚸་⒪⚟♴┦ㄯᢸᙜ䚸 ་⒪㐃ᦠᢸᙜ䠅䛸㐃ᦠ䛧䚸ᛴᛶᮇ㝔䛸䛧䛶䛾ຠ⋡ⓗ䛺䝧䝑䝖䝁䞁䝖䝻䞊䝹䛜ồ䜑䜙䜜䜛䛯䜑䚸㏥ 㝔ᨭᐊ䜢タ⨨䛩䜛䛣䛸䛸䛧䛯䚹㻌 䖃⭘⒆ෆ⛉䞉⾑ᾮෆ⛉䞉⬻እ⛉䛻䛚䛡䜛ධ㝔ᝈ⪅ᩘ䛻䛴䛔䛶䚸ᙜึ䛾ᐃᩘ䜢ᖖ䛻㉸㐣䛧䛶䛚䜚䚸 ᐃᗋ䛾ぢ┤䛧䜢᳨ウ䛩䜛䚹㻌 㻌 ―189― 医療情報室 Ꮫ㝔㻌 ᝈ⪅ᨭ㒊㛛㻌 昭和大学病院 患者支援部門 㻠㻌 ་⒪ሗᐊ㻌 ４）医療情報室 㻌 㻝䠊⌮ᛕ䞉┠ᶆ㻌 䐟㻟 䞄ᖺ㻌 㝔ሗ䝅䝇䝔䝮㻌 䝝䞊䝗䜴䜵䜰᭦᪂䠄㻞 ᖺ┠䠅㻌 㻌 㻌 䞉⪁ᮙᶵჾ䛾᭦᪂㻌 㻌 㻌 䞉䝺䝇䝫䞁䝇䛾ᨵၿ䜔ฎ⌮⬟ຊ䛜䜰䝑䝥䛩䜛䛣䛸䛻䜘䜚సᴗ䛾ຠ⋡䜢┠ᣦ䛩㻌 䐠䠥䠟䠰㟁Ꮚᶵჾ䛾ලྜ䜔ၥ䛔ྜ䜟䛫䜈䛾ᑐᛂ㻌 㻌 㻌 䞉䛾ྎ䜻䝱䞁䝟䝇䛻䛸䛹䜎䜙䛪䚸Ꮫⓗ䛺䝃䝫䞊䝖యไ䜢☜❧䛩䜛䚹㻌 㻌 㻌 䞉䝇䝍䝑䝣䛜ᑐᛂ䛷䛝䜛䜘䛖ሗ࿌᭩䜢సᡂ䛧䚸ሗ䜢ඹ᭷䛩䜛䚹㻌 㻌 㻞䠊ேဨᵓᡂ㻌 ᐊ㛗㻌 ᯈᶫ㻌 ᐙ㢌ኵ㻌 ㄢ㛗㻌 ୖ㻌 ᏹᨻ㻌 䛭䛾㻌 㻟ྡ 㻌 㻟䠊ᴗົᐇ⦼㻌 䐟㝔ሗ䝅䝇䝔䝮㻌 䝝䞊䝗䜴䜵䜰᭦᪂㻌 䐠デ᩿᭩సᡂᨭ䝅䝇䝔䝮ᑟධ㻌 䐡⤥㣗䝅䝇䝔䝮㻌 ᝈ⪅ู㣗䛫䜣Ⓨ⾜ᶵ⬟䛾㏣ຍ㻌 䐢䜸䞊䝎䝃䞊䝞䝯䞁䝔䝘䞁䝇䛷䜒᳨ᰝ⤖ᯝ䛜ཧ↷䛷䛝䜛䝒䞊䝹䜢ᑟධ㻌 䐣⫋ဨ䠥䠠䛾䝬䝇䝍⟶⌮䛻ேሗ䜢㏣ຍ㻌 䐤་ㄢ㻌 ඹ᭷䝃䞊䝞䛾ᵓ⠏㻌 㻌 㻠䠊ᖹᡂ 㻞㻠 ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟㝔ሗ䝅䝇䝔䝮㻌 ᴗィ⏬䛻ᇶ䛵䛝䚸㝔ሗ䝅䝇䝔䝮䛾⪁ᮙ䛧䛯䚸㒊㛛䝃䞊䝞䛾᭦ 䝝䞊䝗䜴䜵䜰᭦᪂㻌 ᪂䜢ᐇ䛧䛯䚹䛣䜜䛻䜘䜚䚸䝃䞊䝞䛾䝺䝇䝫䞁䝇䛾ᨵၿ䜔ฎ⌮⬟ຊ䛜䜰 䝑䝥䛧䚸ᴗົ䛾ຠ⋡䛜ᅗ䜙䜜䛯䚹㻌 㻌 㻡䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃㝔ሗ䝅䝇䝔䝮䝝䞊䝗䜴䜵䜰᭦᪂䛾 㻟 ᖺ┠䛻䛒䛯䜚䚸䝛䝑䝖䝽䞊䜽ᶵჾ䛾᭦᪂䜢ᐇ䛧䚸㝔 ሗ䝅䝇䝔䝮䛾Ᏻᐃ✌ാ䜢┠ᣦ䛩䚹㻌 䖃ධ㝔ᝈ⪅䛻ᑐ䛩䜛ᤵங䛾㡸䛛䜚ẕங䛾ㄗ䜚㜵Ṇ䜔䚸ᝈ⪅䜈㓄ᕸ䛧䛶䛔䜛ᝈ⪅ෆ⚊䛾ண⣙㡯 ┠⾲♧䛾ぢ┤䛧䛺䛹䛻䛴䛔䛶䚸䝅䝇䝔䝮䛾ኚ᭦䜢᳨ウ䛩䜛䚹㻌 㻌 ―190― 薬剤部 Ꮫ㝔㻌 ⸆㒊㻌 昭和大学病院 薬剤部 １）薬剤部 㻡㻌 ⸆㒊㻌 㻝䠊⌮ᛕ䞉┠ᶆ㻌 㻝㻚㻌 ᖹᡂ㻞㻠ᖺデ⒪ሗ㓘ᨵᐃ䛻క䛖Ჷᴗົ䛾ᐇ䠄⸆⟶⌮ᣦᑟᩱ⟬ᐃ௳ᩘ䠄㻟䠂䜰䝑䝥䠅䚸Ჷ⸆ ᴗົᐇຍ⟬䛾ᐇ䠅㻌 㻞㻚㻌㻯㻥㻱㻾 Ჷ䚸㻴㻯㼁 Ჷ䛾ᴗົᐇ㻌 㻟㻚㻌 እ᮶ᝈ⪅⾡๓ᣦᑟ⛉ᑐ㇟䠄་⸆ရ䛻䛛䛛䜟䜛᭦䛺䜛་⒪Ᏻ䛾ᙉ䠅㻌 㻠㻚㻌 ฎ᪉䛫䜣䛾グ㍕᪉ἲኚ᭦㐠⏝䛾⟇ᐃ䛸ᐇ㻌 㻡㻚㻌 䝺䝆䝕䞁䝖ไᗘ䛾ᩚഛ㻌 㻢㻚㻌㻡䠯䛾ᚭᗏ㻌 㻌 㻌 㻞䠊ேဨᵓᡂ㻌 ⸆㒊㛗㻌 ᮧᒣ㻌 ⣧୍㑻㻌 ㄢ㛗㻌 ᓟᮧ㻌 ⣧Ꮚ䚸⏣୰㻌 ඞᕭ㻌 ㄢ㛗⿵బ㻌 ᑠᯘ㻌 ᬛᏊ䚸ⓑ㻌 ᩔ㻌 ㅮᖌ㻌 㜿㒊㻌 ㄔ㻌 䛭䛾㻌 㻠㻢ྡ 䝺䝆䝕䞁䝖㻌 㻝㻥ྡ 㻌 㻟䠊ᴗົᐇ⦼㻌 䐟ㄪ௳ᩘ㻌 እ᮶ฎ᪉䛫䜣㻌 ྜ㻌 ィ䠄᪥ᖹᆒ䠅㻌 ධ㝔ฎ᪉䛫䜣㻌 ྜ㻌 ィ䠄᪥ᖹᆒ䠅㻌 ᯛᩘ䠄ᯛ䠅㻌 㻝㻘㻜㻥㻣㻌㻔㻠㻕㻌 ᯛᩘ䠄ᯛ䠅㻌 㻝㻞㻤㻘㻟㻜㻢㻌㻔㻟㻡㻞㻕 ௳ᩘ䠄௳䠅㻌 㻞㻘㻤㻠㻞㻌㻔㻝㻜㻕㻌 ௳ᩘ䠄௳䠅㻌 㻝㻤㻥㻘㻡㻟㻢㻌㻔㻡㻞㻜㻕 ᩘ䠄䠅㻌 㻡㻟㻘㻤㻜㻤㻌㻔㻝㻤㻠㻕㻌 ᩘ䠄䠅㻌 㻝㻘㻠㻢㻜㻘㻞㻠㻥㻌㻔㻠㻘㻜㻜㻞㻕 㝔እฎ᪉䛫䜣Ⓨ⾜⋡㻌 ὀᑕ䛫䜣㻌 㻥㻥㻚㻡㻑㻌 ྜ㻌 ィ䠄᪥ᖹᆒ䠅㻌 ᯛᩘ䠄ᯛ䠅㻌 㻌 㻌 㻌 㻌 㻝㻟㻡㻘㻤㻝㻠㻌㻔㻟㻣㻞㻕㻌 㻌 㻌 㻌 㻌 䐠㝔ෆ〇ㄪ〇௳ᩘ㻌 㡯㻌 ┠㻌 ྜ㻌 ィ䠄ᖺ䠅㻌 ෆ⏝䞉እ⏝ᾮ㻌 䠄ᮏ䠅㻌 ᾘẘ⸆㻌 䠄ᮏ䠅㻌 㡯㻌 ┠㻌 㻝㻘㻟㻣㻡 ὀᑕ㻌 䠄ᮏ䠅㻌 㻞㻘㻝㻥㻟 㻟㻠㻠 Ⅼ║㻌 䠄ᮏ䠅㻌 㻝㻥㻘㻥㻜㻟 ㌾⭯㻌 䠄ಶ䠅㻌 㻝㻘㻡㻤㻠 䛭䛾↓⳦㻌 䠄ᮏ䠅㻌 ᆘ㻌 䠄ಶ䠅㻌 㻞㻘㻥㻝㻟 ᛶෆ⏝䞉እ⏝ᩓ 㼗㼓㻌 㻌 㻌 ྜ㻌 ィ䠄ᖺ䠅㻌 ᛶ㘄㻌 䠄㘄䠅㻌 㻌 ―191― 㻟㻘㻜㻥㻠 㻡㻚㻠 㻟㻜㻘㻞㻞㻞 薬剤部 㻌 䐡ΰྜㄪ〇䠄୰ᚰ㟼⬦ᰤ㣴䚸ධ㝔䞉እ᮶Ꮫ⒪ἲ䠅㻌 ୰ᚰ㟼⬦ᰤ㣴㻌 ྜィ䠄ᖺ䠅 ⥲ᮏᩘ䠄ᮏ䠅㻌 㻌 ධ㝔Ꮫ⒪ἲ㻌 ྜィ䠄ᖺ䠅㻌 እ᮶Ꮫ⒪ἲ㻌 ྜィ䠄ᖺ䠅㻌 㻤㻘㻣㻥㻡 ㄪ〇ᯛᩘ䠄ே䠅㻌 㻠㻘㻡㻞㻤㻌 ㄪ〇ᯛᩘ䠄ே䠅㻌 㻣㻘㻡㻟㻡 ㄪ〇ᮏᩘ䠄ᮏ䠅㻌 㻥㻘㻜㻣㻟㻌 ㄪ〇ᮏᩘ䠄ᮏ䠅㻌 㻞㻠㻘㻥㻣㻤 㻌 㻌 㻌 䐢་⸆ရሗ⟶⌮㻌 ㉁ᛂ⟅㛵㐃㻌 ၥ䛔ྜ䜟䛫௳ᩘ䠄௳䠅㻌 㻣㻠㻤㻌 㻌 ⤒㐣䞉㌿ᖐ௳ᩘ䠄௳䠅㻌 㻝㻢㻣㻌 ་⸆ရ䞉་⒪ᶵჾ➼Ᏻሗሗ࿌௳ᩘ䠄௳䠅㻌 㻝㻢㻌 ᕷ㈍┤ᚋㄪᰝ௳ᩘ䠄௳䠅㻌 㻝㻘㻟㻞㻟㻌 ᪂つ་⸆ရሗᥦ౪௳ᩘ䠄௳䠅㻌 㻟㻣㻌 㻌 㻌 䐣⸆ົᴗົ㻌 㻌 ෆ᭹⸆㻌 ᥇⏝ရ┠㻌 እ⏝⸆㻌 ὀᑕ⸆㻌 ྜィ㻌 㻤㻠㻟 㻞㻡㻢 㻢㻢㻟㻌 㻝㻘㻣㻢㻞 㻟㻡 㻠㻡 㻝㻜㻟㻌 㻝㻤㻟 㻟㻝㻠 㻝㻞㻞 㻥㻌 㻠㻠㻡 䝆䜵䝛䝸䝑䜽᥇⏝⸆㻌 㝔እ᥇⏝⸆㻌 㻌 䐤⸆⟶⌮ᣦᑟ㻌 ⟬ᐃ௳ᩘ㻌 㻌 ᐇᝈ⪅ᩘ㻌 㻠㻟㻜Ⅼ㻌 㻟㻤㻜Ⅼ㻌 㻝㻘㻝㻝㻡௳ 㻢㻘㻟㻢㻡௳ 㻝㻝㻘㻡㻠㻤ே㻌 㻟㻞㻡Ⅼ㻌 ㏥㝔⸆ሗ⟶⌮㻌 ᣦᑟᩱ㻥㻜Ⅼ㻌 㻣㻘㻞㻡㻠௳㻌 㻝㻘㻢㻜㻣௳㻌 㻌 䐥㦂⸆⟶⌮䠄ရ┠ᩘ䠅㻌 ๓ᖺᗘ⧞㉺㻌 ᪂つཷ㡿㻌 ㏉༷῭䜏㻌 㻝㻢 ḟᖺᗘ⧞㉺㻌 㻝㻜㻌 㻝㻝㻌 㻝㻡 㻌 䐦Ꮫ⏕䞉◊ಟ䞉ぢᏛ㻌 ⸆Ꮫ㒊Ꮫ⏕㻌 ᾏእ␃Ꮫ⏕㻌 㻤㻣ே㻌 㻢ே䠄㻌 㻞Ꮫ䠅 ぢᏛ⪅௳ᩘ 㻝㻣௳㻌 㻌 ―192― ◊㻌 㻌 ಟ㻌 ་⸆ရ་⒪ᶵჾ㻌 ᑠඣ⸆≀⒪ἲ ⥲ྜᶵᵓ㻌 㻡ྡ㻌 ㄆᐃ⸆ᖌ◊ಟ㻌 㻥ྡ 薬剤部 䐧ᑓ㛛䞉ㄆᐃྲྀᚓ⪅㻌 㻌 ᪥ᮏ㝔⸆ᖌ⏕ᾭ◊ಟㄆᐃ㻌 㻞㻡㻌 ᪥ᮏ་⒪⸆Ꮫㄆᐃ⸆ᖌ㻌 㻞 ᪥ᮏ㝔⸆ᖌ⏕ᾭ◊ಟᒚಟㄆᐃ㻌 㻝㻞㻌 ᪥ᮏ་⒪⸆Ꮫᣦᑟ⸆ᖌ㻌 㻞 ᪥ᮏ㝔⸆ᖌ䛜䜣⸆≀⒪ἲㄆᐃ⸆ᖌ㻌 㻞㻌 ᪥ᮏ་⒪⸆Ꮫ䛜䜣ᣦᑟ⸆ᖌ㻌 㻝 ᪥ᮏ㝔⸆ᖌ䛜䜣ᑓ㛛⸆ᖌ㻌 㻝㻌 ᪥ᮏ⢾ᒀ⒪㣴ᣦᑟኈ㻌 㻝 ᪥ᮏᏛ⒪ἲᏛᢠ⳦Ꮫ⒪ἲㄆᐃ⸆ᖌ㻌 㻝㻌 㻵㻯㻰 ไᗘ༠㆟ 㻵㻯㻰㻌 㻝 ᪥ᮏ⦆་⒪⸆Ꮫ⦆⸆≀⒪ἲㄆᐃ⸆㻌 㻠㻌 ᪥ᮏ⸆ᖌ◊ಟ䝉䞁䝍ㄆᐃᐇົᐇ⩦ᣦᑟ⸆ᖌ 㻞 ᪥ᮏ⮫ᗋᩆᛴ་Ꮫᩆᛴㄆᐃ⸆ᖌ㻌 㻝㻌 ᪥ᮏ⸆ᖌ◊ಟ䝉䞁䝍䞊◊ಟㄆᐃ⸆ᖌ 㻠 ᪥ᮏ་⒪ሗᏛ་⒪ሗᢏᖌ㻌 㻝㻌 㻌 㻌 㻌 㻌 䐨䝽䞊䜽䝅䝵䝑䝥㛤ദ㻌 㻝㻌 ➨ 㻟 ᅇ㻌 ⤫ᣓ⸆㒊㻌 ᙺ⫋ู䝽䞊䜽䝅䝵䝑䝥䠄௵䜽䝷䝇䠅㻌 ᖹᡂ㻞㻠ᖺ㻡᭶㻝㻥᪥㻌 㻠㻞ྡ㻌 㻌 ⸆㒊䞉⸆ᒁ䛾⤌⧊䛾䛒䜚᪉䚸᭷ᶵⓗ⤌⧊స䜚㻌 㻌 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 䖃♫ ♫䞉ᆅᇦ㈉⊩άື㻌 㻌 㛤ദᖺ᭶᪥㻌 㻝㻌 ᖹᡂ㻞㻠ᖺ㻝㻝᭶㻝㻜᪥㻌 ෆ㻌 㻌 ᐜ㻌 ➨㻠ᅇᇛ༡ᆅ༊⸆ᖌ䝉䝭䝘䞊≉ูㅮ₇㻌 㛤ദᆅ㻌 Ꮫୖᲄㅮᇽ㻌 䝯䝕䜱䝘䝡䚸స⏝ሗ࿌䛻䛴䛔䛶㻌 㻞㻌 ᖹᡂ㻞㻡ᖺ㻝᭶㻞㻟᪥㻌 ရᕝᆅ༊⸆㻙⸆㐃ᦠ⸆ᖌຮᙉ㻌 ┠㯮㞞ླྀᅬ㻌 㻌 ⭘⒆ෆ⛉་䞉║⛉་䛛䜙䛾䝯䝑䝉䞊䝆㻌 㻟㻌 ᖹᡂ㻞㻡ᖺ㻞᭶㻝㻡᪥㻌 Ꮫ㝔䞉㝃ᒓᮾ㝔㻙ᆅ༊⸆ᖌ Ꮫ㝔㻌 㻌 ୰ኸᲷ㻣㝵㆟ᐊ㻌 㝔እฎ᪉䛫䜣Ⓨ⾜䛻㛵䛩䜛ሗ㻌 㻌 䖃◊✲ᴗ⦼㻌 Ⓨ⾲ㄽᩥ㻌 㻌 ⴭ⪅ྡ㻌 㻝㻌 ཎຍዉஅ䚸ᓊ⏣┤ ᶞ 䚸 ධỤ ⫄ 㑻 䚸ᕝ ཱྀ ᓫ 䚸ῧ ⏣༤ 䚸 㧗ᶫ Ⰻ㻌 㻞㻌 ᓟᮧ⣧Ꮚ㻌 㻌 㻟㻌 㜿 㒊 ㄔ 䚸 㔝 ⏣ ⚽ ♸ 䚸 ᐑ㔝 ṇᗈ 䚸 ᡞ ♸䚸ᫍⲁ䚸ᮡἑㅍ䚸➉ 䝜ෆᩄᏕ䚸ᮧᒣ⣧୍ 㑻㻌 㻠㻌 ᑠ ᯘ ᩥ䚸 ྥᚋ 㯞㔛 䚸 㰻⸨䚸ᮧᒣ⣧୍ 㑻 䚸 ᒣඖ ಇ᠇ 䚸 ຍ⸨ ⿱ஂ䚸ᮌෆ♸㻌 㢟㻌 㻌 ྡ㻌 ⸆ᖌ䛸་ᖌ䛾ඹ㏻ゝㄒ㻌 ⮫ᗋ᥎ㄽ䛛䜙Ꮫ 䜆䇾⸆ᖌຊ䇿㻌 㻌 㼇㻡㼉㻌 እἩᚋ䛻Ⓨ⇕䛸ဗ㢌③䜢ㄆ䜑䛯ᩚᙧእ ⛉ᡭ⾡ᚋ䛾㻝㻢ṓ⏨ᛶ㻌 ㄆᐃ⸆ᖌ䜢䜑䛦䛩㻌 ␒እ⦅䠉ᩆᛴㄆᐃ ⸆ᖌ䛾ㄌ⏕㻌 ᢠ䛜䜣ㄪ〇⪅䜈䛾⿕⇿ㄪᰝ䛸㛢㙐ᘧㄪ 〇ჾල䛾⏝ຠᯝ䛻㛵䛩䜛◊✲㻌 㻌 㻌 㞧ㄅྡ㻘ᕳ㻘㡫㻘Ⓨ⾜ᖺ㻌 ᭶ห⸆㻘㻌 㻡㻠㻘㻌㻚㻡㻘㻘㻤㻞㻟㻙㻤㻟㻝㻘㻞㻜㻝㻞㻌 㻯㼘㼕㼚㼕㼏㼍㼘㻌㻼㼔㼍㼞㼙㼍㼏㼕㼟㼠㻘㻌 㻠㻘㻝㻣㻤㻙㻝㻤㻞㻌 㻞㻜㻝㻞㻌 Ꮫ⸆Ꮫ㞧ㄅ㻘㻌㻟㻌㻘㻌 㻣㻣㻙㻤㻟㻘㻌㻞㻜㻝㻞㻚㻌 㛗ᮇᐇົᐇ⩦䛾䝃䝫䞊䝖䝏䞊䝮䛻䜘䜛ᣦᑟ Ꮫ⸆Ꮫ㞧ㄅ㻘㻟㻘㻌 䛾᭷⏝ᛶ㻌 㻡㻡㻙㻢㻡㻘㻌㻞㻜㻝㻞㻌 㻙ᐇ⩦ᣦᑟ䛻ᑐ䛩䜛䜰䞁䜿䞊䝖ㄪᰝ䜘䜚㻙㻌 㻌 㻌 ―193― 薬剤部 㻌 㻌 ⴭ⪅ྡ㻌 㻡㻌 ⓑᩔ㻌 㻌 㻢㻌 ᓟᮧ⣧Ꮚ㻌 㻌 㻣㻌 ᓟᮧ⣧Ꮚ㻌 㻌 㻤㻌 ཎຍዉஅ䚸ᓊ⏣┤ ᶞ 䚸 ධỤ ⫄ 㑻 䚸ᕝ ཱྀ ᓫ 䚸ῧ ⏣༤ 䚸 㧗ᶫ Ⰻ㻌 㻥㻌 ᕷ ㍜ 䚸 Ύ Ỉ ஂ ⠊ 䚸 ∾㔝 ዲ 䚸 㰻⸨ 䚸 ᆏୗ ᬡᏊ 䚸 ᒣᮏ ᘯ ྐ 䚸ᆏ ⏣✨ 䚸 ᮧᒣ ⣧୍㑻㻌 㻝㻜㻌 ᔱ୕㑻䚸㜿㒊ㄔ 䚸 ẚ ┤Ꮚ 䚸 Ὢᓮ ᾏ㻌 㻝㻝㻌 ᕝୖ㻌 ᫂୕㻌 㻝㻞㻌 ཎຍዉஅ䚸ᓊ⏣┤ ᶞ 䚸 ධỤ ⫄ 㑻 䚸ᕝ ཱྀ ᓫ 䚸ῧ ⏣༤ 䚸 㧗ᶫ Ⰻ㻌 㻝㻟㻌 ΎỈஂ⠊䚸ᕝୖᐉ㻌 㻌 㢟㻌 㻌 ྡ㻌 䜸䞊䝎䝸䞁䜾䝅䝇䝔䝮䛻䛚䛡䜛㦂⸆ฎ᪉ 䛾ྲྀᢅ䛔䛸タᐃ㻌 㼇≉㞟㼉㻌 ᑠඣ䛾୰ẘ⸆㻌 ᛴᛶ୰ẘᝈ⪅䜈䛾ᑐᛂ䛸ᡭ㡰㻌 ᑓ㛛䞉ㄆᐃ⸆ᖌ䜢▱䜛㻌 ➨㻝㻞ᅇᩆᛴㄆᐃ ⸆ᖌ㻌 ⸆ᖌ䛸་ᖌ䛾ඹ㏻ゝㄒ㻌 ⮫ᗋ᥎ㄽ䛛䜙Ꮫ 䜆䇾⸆ᖌຊ䇿㻌 㻌 㼇㻤㼉㻌 ⫶䛜䜣⾡ᚋ䛻Ⓨ⇕䞉྾ⱞ䛜ฟ⌧䛧䛯 㻣㻡ṓ⏨ᛶ㻌 䛜䜣Ꮫ⒪ἲ䝺䝆䝯䞁ホ౯᪉ἲ䛾ᥦ㻌 㻌 㞧ㄅྡ㻘ᕳ㻘㡫㻘Ⓨ⾜ᖺ㻌 ་Ꮫ㞧ㄅ㻘㻌㻣㻞㻘㻌 㻌 㻟㻘㻌㻟㻜㻝㻙㻟㻜㻡㻘㻌㻞㻜㻝㻞㻌 ᑠඣ⛉⮫ᗋ㻘㻌㻢㻡㻘㻌 㻝㻡㻠㻡㻙㻝㻡㻠㻤㻘㻌㻞㻜㻝㻞㻌 䝣䜯䝹䝬䝅䜰㻘㻌 㻠㻤㻌㻘㻤㻘㻣㻤㻝㻙㻣㻤㻟㻘㻌㻞㻜㻝㻞㻌 ᭶ห⸆㻘㻌㻡㻠㻘㻌㻤㻘㻌 㻟㻞㻥㻙㻝㻟㻟㻤㻘㻌㻞㻜㻝㻞㻌 㻌 ⦆䜿䜰᭱๓⥺㻌 䛀⮫ᗋ⌧ሙ䛻䛚䛡䜛䛜䜣⦆䜿䜰䛁䐡㢌㢕 㒊䛜䜣㻌 ➨䠎ᅇ 㻰㻵㻭 ῧᩥ᭩䝽䞊䜽䝅䝵䝑䝥㻌 ་⒪⌧ሙ䚸≉䛻 㻰㻵 䛾どⅬ䛛䜙䜏䜛་⒪⏝ ་⸆ရ䛾ῧᩥ᭩㻌 ⸆ᖌ䛸་ᖌ䛾ඹ㏻ゝㄒ㻌 ⮫ᗋ᥎ㄽ䛛䜙Ꮫ 䜆䇾⸆ᖌຊ䇿㻌 㻌 㼇㻝㻝㼉㻌 䜑䜎䛔䛷㌿ಽ䛧䛯㻠㻤ṓዪᛶ㻌 㻌 䛆≉㞟䛇㻌 䛔䜎䛥䜙⪺䛡䛺䛔㻌 ⮫ᗋヨ㦂䛾ㄞ 䜏᪉䚸ά䛛䛧᪉㻌 ⌧ሙ䛷䛾ྲྀ䜚⤌䜏㻌 䛜䜣㡿ᇦ䛻䛚䛡䜛⸆ ᖌ䛾ᝈ⪅䜈䛾ᐇ㊶㻌 䝇䝔䝻䜲䝗ᢠᛶ䝛䝣䝻䞊䝊ೃ⩌ᝈඣ䛻 䛚䛔䛶䝭䝌䝸䝡䞁䛜ⴭຠ䛧䛺䛛䛳䛯せᅉ䛿ఱ 䛛䠛㻌 㻌 㻹㼛㼐㼑㼞㼚㻌㻼㼔㼥㼟㼕㼏㼕㼍㼚㻘㻌㻟㻞㻘㻌 㻌 㻥㻌㻘㻝㻝㻞㻡㻙㻝㻝㻞㻥㻘㻌㻞㻜㻝㻞㻌 㻝㻠㻌 ル 㛫 ❶ ಇ 䚸 㜿 㒊 ⚈ ⱥ 䚸 ᐙ ಇᘺ 䚸 ᪥ẚ 㔝 ⪽ 䚸ᫍ 㔝㢧 ᏹ 䚸㰻 ⸨ከ㈡Ꮚ䚸୕ᕝṊ ᚿ 䚸 Ḉ ಇ㍜ 䚸 Ώ㑔 ಟ ୍ 㑻䚸 బ⸨ ᆒ 䚸ᮧ ᒣ⣧୍㑻䚸ᯈᶫᐙ㢌 ኵ㻌 㻌 ⴭ᭩㻌 㻌 ⴭ⪅ྡ㻌 㢟㻌 㻌 ྡ㻌 㻝㻌 ⚟ỌᏊ䚸㻌 ➨㻞ᅇ㻌 ╧╀↓྾ೃ 㻌 ⩌㻌 䝉䝹䝣䜿䜰䛾㔜せᛶ㻌 䝺䝇䝖䝺䝇䝺䝑䜾䝇ೃ⩌ 㻔㼞㼑㼟㼠㼘㼑㼟㼟㻌㼘㼑㼓㼟㻌㼟㼥㼚㼐㼞㼛㼙㼑㻕㻌 㻌 㻞㻌 ⚟ỌᏊ䚸㻌 㻌 ᪥⸆ㄅ㻘㻌㻠㻤㻘㻌㻥㻘㻌 㻝㻜㻥㻟㻙㻝㻜㻥㻘㻌㻞㻜㻝㻞㻌 㻌 ⮫ᗋ་⸆㻘㻌㻞㻤㻘㻌㻥㻘㻌 㻤㻡㻥㻙㻤㻢㻢㻘㻌㻞㻜㻝㻞㻌 ᭶ห⸆㻘㻌㻡㻠㻘㻌㻝㻝㻘㻌 㻞㻜㻠㻥㻙㻞㻜㻡㻣㻘㻌㻞㻜㻝㻞㻌 㻌 ᭶ห⸆㻘㻌㻡㻠㻘㻌㻝㻟㻘㻌 㻞㻝㻣㻝㻙㻞㻝㻣㻢㻘㻌㻞㻜㻝㻞㻌 㻌 ᪥ᮏᑠඣ⭈⮚Ꮫ㞧 ㄅ㻘㻌㻞㻡㻘㻌㻟㻡㻙㻠㻝㻘㻌㻞㻜㻝㻞㻌 㻌 ᭩㻌 㻌 ྡ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 ᪥ᮏዪᛶ ⸆ᖌ㏻ಙㅮᗙ㻌 デ ⒪䜺䜲䝗䝷䜲䞁䞉⸆䝁䞊 䝇㻌 㻌 ➨㻡ᅇ㻌 ⫶䛜䜣㻌 ⿵ຓᏛ ᖹᡂ㻞㻠ᖺᗘ㻌 ᪥ᮏዪᛶ ⒪ἲ䛾ྥୖ䜢┠ᣦ䛧䛶㻌 ⸆ᖌ㏻ಙㅮᗙ㻌 デ Ꮫ⒪ἲ䛻㛵䛩䜛ᇶ♏▱ ⒪䜺䜲䝗䝷䜲䞁䞉⸆䝁䞊 ㆑㻌 㻌 ⫶䛜䜣䛾Ꮫ⒪ἲ㻌 䝇㻌 ―194― ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ 䠄୍♫䠅᪥ᮏዪᛶ ⸆ᖌ䠈 㻝㻜㻢㻙㻝㻝㻞㻘㻌㻞㻜㻝㻞㻌 䠄୍♫䠅᪥ᮏዪᛶ ⸆ᖌ㻘㻌 㻤㻢㻙㻝㻠㻢䠈㻞㻜㻝㻞㻌 㻌 㻌 ⴭ⪅ྡ㻌 㢟㻌 㻌 ྡ㻌 㻟㻌 ⏣୰ඞᕭ䚸ᮧᒣ 㻺㼡㼞㼟㼕㼚㼓㻌㻹㼛㼛㼗㻌㻣㻟㻌 ㄗ⸆䞉ㄗ ⣧୍㑻䚸㻌 ᢞ䜢㜵Ṇ䛩䜛⸆䛾▱㆑㻌 㻠㻌 ΎỈஂ⠊䚸㻌 䛜䜣Ꮫ⒪ἲ㻌 䝺䝆䝯䞁⟶ ⌮䝬䝙䝳䜰䝹㻌 㻌㻌㻌 ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ Ꮫ◊䝯䝕䜱䜹䝹⚽ ₶♫㻘㻌㻢㻙㻝㻞㻘㻌㻞㻜㻝㻞㻌 ་Ꮫ᭩㝔㻘㻌 㻝㻣㻠㻙㻝㻤㻢㻘㻌㻞㻜㻝㻞㻌 㻌 㻡㻌 ୍♫䠅᪥ᮏዪᛶ⸆ ᖌ䠈㻣㻢㻙㻤㻝㻘㻌 㻞㻜㻝㻟㻘㻌 㻌 㻢㻌 㻣㻌 㻤㻌 ᭩㻌 㻌 ྡ㻌 ་⸆ရ䛻䜘䜛་⒪ᨾ 䛾⌧≧䛸ᨵၿ䛾ᥦ㻌 ➨㻠❶㻌 ⭠䛜䜣㻌 㻌 㻵䠊㐍⾜䞉Ⓨ䚸䠄㻝㻥䠅䝉䝒 䜻䝅䝬䝤䚸䠄㻞㻜䠅䝟䝙䝒䝮 䝬㻌 ⚟ỌᏊ䚸㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 ᪥ᮏዪᛶ⸆ ➨㻤ᅇ㻌 䜑䜎䛔㻌 ᇶᮏ䛿 㻌 ᖌ㏻ಙㅮᗙ㻌 デ⒪䜺 ⸆≀⒪ἲ㻌 䜲䝗䝷䜲䞁䞉⸆䝁䞊䝇㻌 㻌 䜑䜎䛔䛾䝸䝝䝡䝸䝔䞊 䝅䝵䞁㻌 㻌 ᮧᒣ⣧୍㑻䚸㐲 ᾘ ჾ ᝈ ᭱ ᪂ 䛾 ⒪ 䛺ᾘჾ⸆୍ぴ⾲㻌 ⸨⨾⥴䚸ᔱᮧஂ 㻞㻜㻝㻟㻙㻞㻜㻝㻠㻌 㻌 ⨾Ꮚ䚸ఀ㈡⏤㤶 㻌 Ꮚ䚸㻌 㜿㒊ㄔ䚸㻌 ⮫ᗋ⦆䜿䜰㼇➨䠏∧㼉㻌 ➨䠏❶㻌 ③䜏䛾䝬䝛䞊䝆 㻌 䝯䞁䝖㻌 ᓟᮧ⣧Ꮚ䚸㻌 ⸆ᒁቑหྕ㻔㼢㼛㼘㻚㻢㻠㻌㻺㼛㻚㻠㻕㻌 䛥䜎䛦䜎䛺䝇䝔䞊䝆䛻䛚 ධ㝔እ᮶㻌 ⸆≀⒪䝥䝷䜽 䛡䜛⸆≀⒪⟶⌮䛾ᇶ 䝔䜱䝇㻌 ᮏ㻌 㻠㻚㻵㻯㼁㻌 㻌 Ꮫ➼Ⓨ⾲㻌 䛆ᏛⓎ⾲䠄ཱྀ㢌䞉䝫䝇䝍䞊䠅䛇㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㢟㻌 㻌 ྡ㻌 㻝㻌 ஂಖዉ⥴䚸ᔱᮧஂ ᅾᏯᝈ⪅䛾䛜䜣ᛶ⑊ ⨾ Ꮚ 䚸 ᫍ ⲁ 䚸 ᡞ ♸ ③⦆ྥୖ䛻ᚲせ䛺 䚸 ⏣ ⣖ Ꮚ 䚸 ⚟ Ọ ᆅᇦ㐃ᦠ䝏䞊䝮་⒪ Ꮚ䚸᯽ཎ㻌 ⏤ె䚸ᮧ 䛻䛚䛡䜛ሗせ⣲䛾 ᒣ㻌 ⣧୍㑻㻌 ᥈⣴㻌 㻞㻌 ᗙ㛫䜂䜝䜏䚸ᐑ㔝ṇ Ꮚᐑ㢕䛜䜣ྠᏛ ᗈ 䚸 ᪩ ⯪ ⨾ ᕹ 䚸 㜿 㒊 ᨺᑕ⥺⒪ἲ䛻䛚䛡䜛 ㄔ䚸ᮧᒣ⣧୍㑻㻌 䜰䝥䝺䝢䝍䞁䝖⏝䛾 ᐇែㄪᰝ㻌 㻟㻌 ⡿⃝㱟䚸ᒣ⏣ᜤᖹ䚸 ⫵⒴䛷䛾⭘⒆ᔂቯ 㜿㒊ㄔ䚸ᮧᒣ⣧୍ ೃ⩌䛻ᑐ䛧䛶䝷䝇䝸䝔 㑻㻌 䝑䜽㻬䜢⏝䛧䛯୍㻌 㻠㻌 ᔱᮧᘯྐ䚸▼ୗᏹ Ꮫ䛾㝃 ᒓ㻤 ᚁ䚸⏣୰ᗈ⣖䚸➲ཎ 㝔⸆㒊䞉⸆ᒁ䛻䛚 䚸ụ⏣ᖾ䚸ᒸ⏣ 䛡䜛ᴗົᶆ‽䜈䛾 Ꮫ䚸➉䝜ෆᩄᏕ䚸ᮧᒣ ྲྀ䜚⤌䜏㻌 ⣧୍㑻㻌 ⸆䛻䜘䜛ᡭ⾡୰Ṇ 㻡㻌 ෆ⸨⤖ⰼ䚸ᕝୖ᫂ 䛾ᅇ㑊䛻ྥ䛡䛯㝔ෆ ୕䚸ᕝῧ₶䚸⚟Ọ Ꮚ䚸▼ᶫ䜎䜖䜏䚸⚟ 䛾ྲྀ䜚⤌䜏䛸ຠᯝ㻌 ᆅᮏᬕ⨾䚸Ọ㝯 㻌 ኈ䚸ᓟᮧ⣧Ꮚ䚸ᮧᒣ ⣧୍㑻㻌 ―195― ༡Ụᇽ㻘㻌 㻠㻟㻞㻙㻠㻣㻞㻘 㻞㻜㻝㻟㻌 㻌 㟷ᾏ♫㻘㻌㻞㻞㻙㻠㻠㻘㻌 㻞㻜㻝㻟㻌 ༡ᒣᇽ㻘㻌㻢㻠㻜㻙㻢㻠㻟㻘㻌 㻞㻜㻝㻟㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 ➨㻢ᅇ᪥ᮏ⦆་⒪⸆Ꮫ 㻞㻜㻝㻞㻚㻝㻜㻚㻢㻙㻣㻌 ᖺ㻌 ⚄ᡞ㻌 ➨㻡㻢ᅇ᪥ᮏ⸆Ꮫ㻌 㻌 㛵ᮾᨭ㒊㻌 ᮾி㻌 㻞㻜㻝㻞㻚㻝㻜㻚㻝㻟㻌 ➨㻡㻢ᅇ᪥ᮏ⸆Ꮫ㻌 㛵ᮾᨭ㒊㻌 㻌 ᮾி㻌 㻞㻜㻝㻞㻚㻝㻜㻚㻝㻟㻌 ➨㻞㻞ᅇ᪥ᮏ་⒪⸆Ꮫ㻌 ᪂₲㻌 㻌 㻞㻜㻝㻞㻚㻝㻜㻚㻞㻣㻙㻞㻤㻌 ➨ 㻞㻞 ᅇ ᪥ ᮏ ་ ⒪ ⸆ Ꮫ 㻞㻜㻝㻞㻚㻝㻜㻚㻞㻣㻙㻞㻤㻌 ᪂₲㻌 薬剤部 㻌 薬剤部 㻌 Ⓨ⾲⪅Ặྡ㻌 㻢㻌 ཎ⏤㤶⌮䚸ோᑿ♸ ኴ䚸⸨ᮧ⏤㤶䚸⮻ ⏣ᫀᘯ䚸㔠ṇ⯆䚸ᕝ ῧ₶䚸ཎຍዉஅ䚸 ᯽ཎ⏤ె䚸ᓟᮧ⣧ Ꮚ䚸ᮧᒣ⣧୍㑻㻌 㻣㻌 ᕝୖ᫂୕䚸ᒾ℩㔛 Ꮚ䚸Ᏻཎ୍䚸ᮧᒣ⣧ ୍㑻㻌 㻌 㻤㻌 ୖᏊ䚸ᓟᮧ⣧ Ꮚ䚸⋢㐀❳㑻䚸ሷ⏣ ୍༤䚸ቑᓥ⤮㔛Ꮚ䚸 ᶔᮧὒḟ㑻䚸⏣୰ၨ ྖ䚸୰ᮧಇ䚸୕Ꮿ ᗣྐ䚸᭷㈡ᚭ䚸ᮧᒣ ⣧୍㑻㻌 㻌 㢟㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 ᝈ⪅䛾㌟⟶⌮䛻ྥ ➨㻞㻞ᅇ᪥ᮏ་⒪⸆Ꮫ㻌 䛡䛯⮫ᗋ⸆ᖌ㛫䛾 ᪂₲㻌 ┦┘ᰝ㻌 㻌 ་⸆ရῧᩥ᭩䛻䛚 䛡䜛⏝ୖ䛾ὀព䛾 グ㍕せ㡿䛻㛵䛩䜛◊ ✲㻌 䡚䛂⮫ᗋ᳨ᰝ⤖ᯝ䛻 ཬ䜌䛩ᙳ㡪䛃䚸䛂㐣㔞 ᢞ䛃䚸䛂⮫ᗋᡂ⦼䛃䚸 䛂䛭䛾䛾ὀព䛃䡚㻌 㒔ᕷᆺᩆᩆᛴ䝉䞁 䝍䞊䛻䛚䛡䜛᭷ᶵ䝸䞁 ୰ẘ䛾୍㻌 㻌 Ⓨ⾲ᖺ᭶᪥㻌 㻞㻜㻝㻞㻚㻝㻜㻚㻞㻣㻙㻞㻤㻌 ➨㻟㻟ᅇ᪥ᮏ⮫ᗋ⸆⌮Ꮫ Ꮫ⾡⥲㻌 Ἀ⦖㻌 㻌 㻞㻜㻝㻞㻘㻝㻝㻚㻞㻥㻙㻝㻞㻚㻝㻌 ➨㻞㻣ᅇ᪥ᮏ୰ẘᏛ㻌 ᮾ᪥ᮏᆅ᪉㻌 ᒣᙧ㻌 㻌 㻌 㻞㻜㻝㻞㻝㻚㻝㻥㻌 㻌 ㅮ₇䞉䝅䞁䝫䝆䜴䝮㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌 ᓟᮧ⣧Ꮚ㻌 㻞㻌 ᓟᮧ⣧Ꮚ㻌 㻟㻌 ᕝୖ᫂୕㻌 㻌 㻠㻌 ᒸ㈉㻌 㻌 㻡㻌 ᓟᮧ⣧Ꮚ㻌 㻢㻌 ᓟᮧ⣧Ꮚ㻌 㢟㻌 㻌 ྡ㻌 䛂䝏䞊䝮་⒪䛾᥎㐍䠖Ჷ⸆ᴗ ົᐇຍ⟬䛃䝬䝛䝆䝯䞁䝖䜹䞁䝣䜯 䝺䞁䝇㻌 Ჷ⸆ᖌ䛾㻞㻜㻝㻞ᖺᨵᐃ䇾 Ჷ⸆ᴗົᐇຍ⟬䇿䛸ᙜ㝔䛾 Ჷ䛻䛚䛡䜛⸆ᴗົ㻌 Ꮫ་⒪ᩆ㝲䛾άື䛸⸆ ᖌ䛾ᙺ㻌 Ꮫྡ㻘㛤ദᆅ㻌 ᆅᇦ୰᰾㝔◊✲ ᮾி㻌 Ⓨ⾲ᖺ᭶᪥ 㻞㻜㻝㻞㻚㻠㻚㻝㻞㻌 䝆䜵䝛䝸䝑䜽་⸆ရ㑅ᢥ䛾ၥ㢟Ⅼ㻙 ᝈ⪅䛜ཧຍ䛩䜛་⒪䛻ྥ䛡䛶䇲㻌 䝅䞁䝫䝆䜴䝮㻝㻙㻠䛂䝆䜵䝛䝸䝑䜽་ ⸆ရ㑅ᢥ䛾୍⪃ᐹ㻙ᝈ⪅䛜ཧ ຍ䛩䜛་⒪䛻ྥ䛡䛶㻙䛃㻌 ᛴᛶ୰ẘデ⒪䛻䛚䛡䜛ᩆᛴㄆᐃ ⸆ᖌ䛾ᙺ㻌 䝅䞁䝫䝆䜴䝮㻝ᛴᛶ୰ẘ䛻䛚䛡 䜛䝏䞊䝮་⒪䜢⪃䛘䜛㻌 㝔⸆ᖌ䛾Ჷᴗົ䛾ᚋ䛻 䛴䛔䛶㻌 㻌 ᩆᩆᛴ䝉䞁䝍䞊䛷䛾⸆ᖌ䛾ά ື㻌 ᪥ᮏ䝆䜵䝛䝸䝑䜽་⸆ 㻞㻜㻝㻞㻚㻢㻚㻞㻟㻌 ရᏛ㻌 㻌 ➨䠒ᅇᏛ⾡ 㻌 ᮾி㻌 㻌 㻌 ᖹ ᡂ 㻞㻠 ᖺ ᗘ ➨ 㻝 ᅇ ᒾ 㻞㻜㻝㻞㻚㻠㻚㻝㻠㻌 ᡭ┴❧㝔⸆ᖌ ⮬◊ಟ㻌 㻌 ┒ᒸ㻌 ་⒪⌧ሙ䚸≉䛻 㻰㻵 䛾どⅬ䛛䜙䜏䜛 ➨㻞ᅇ 㻰㻵㻭 ῧᩥ᭩ 㻞㻜㻝㻞㻚㻠㻚㻞㻝㻌 ་⒪⏝་⸆ရ䛾ῧᩥ᭩㻌 䝽䞊䜽䝅䝵䝑䝥㻌 㻌 ᮾி㻌 ―196― ➨㻟㻠ᅇ᪥ᮏ୰ẘᏛ 㻞㻜㻝㻞㻚㻣㻚㻞㻣㻌 ⥲㻌 ᮾி㻌 ▼ᕝ┴㝔⸆ᖌ 㻞㻜㻝㻞㻚㻥㻚㻝㻌 Ꮫ⾡ㅮ₇㻌 㻌 㔠ἑ㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻣㻌 ᓟᮧ⣧Ꮚ㻌 㻤㻌 ᓟᮧ⣧Ꮚ㻌 㻥㻌 ᯽ཎ⏤ె㻌 㻌 㻝㻜㻌 ᯽ཎ⏤ె㻌 㻌 㻝㻝㻌 㻷㼍㼠㼟㼡㼙㼕㻌㼀㼍㼚㼍㼗㼍㻌 㻌 㻝㻞㻌 ᓟᮧ⣧Ꮚ㻌 㻌 㻝㻟㻌 ᓟᮧ⣧Ꮚ㻌 㻝㻠㻌 ᓟᮧ㻌 ⣧Ꮚ㻌 㻝㻡㻌 ᯽ཎ⏤ె㻌 㻌 㻝㻢㻌 ᯽ཎ⏤ె㻌 㻌 㢟㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 ᩆᩆᛴ䝉䞁䝍䞊䛷䛾⸆ᖌ䛾ά ᾏ㐨་⒪Ꮫ⸆ ື㻌 ᖌᨭ䝉䞁䝍䞊ㄆᐃ 㻌 ⸆ᖌ◊ಟไᗘ䛂ㄆ ᐃ䞉ᑓ㛛⸆ᖌㅮᗙ䛃 ᮐᖠ㻌 ᩆᛴㄆᐃ⸆ᖌ䛾ᙺ㻌 㔲㊰㝔⸆ᖌ㻌 Ꮫ⾡ㅮ₇㻌 㔲㊰㻌 ⦆䜿䜰䛻ᚲせ䛺⸆䛾ヰ㻌 ከᦶ⦆䜿䜰ᐇ㊶ሿ㻌 ᮾி㻌 䝇䜲䞊䝒䝉䝭䝘䞊䛂Ჷ⸆ᖌᴗ ᪥ᮏ㝔⸆ᖌ㻌 㻌 ົ䛾⌧≧䛸ᚋ䛾ㄢ㢟䛃㻌 ᮾ䝤䝻䝑䜽➨䠎ᅇᏛ ⾡㻌 ᒾᡭ㻌 㻱㼤㼜㼑㼏㼠㼍㼠㼕㼛㼚㼟㻌㼒㼛㼞㻌㻾㼕㼟㼗㻌㻹㼍㼚㼍㼓㼑㼙㼑㼚㼠㻌 㻥㼠㻰㻵㻭㻌 㻶㼍㼜㼍㼚㻌 㻭㼚㼚㼡㼍㼘㻌 㻼㼘㼍㼚㻦㻌㻭㻌㻴㼑㼍㼘㼠㼔㼏㼍㼞㼑㻌㻼㼞㼛㼒㼑㼟㼟㼕㼛㼚㼍㼘㻌 㻹㼑㼑㼠㼕㼚㼓㻌 ᮾி㻌 㻼㼑㼞㼟㼜㼑㼏㼠㼕㼢㼑㻌 ᆅᇦ㐃ᦠ䛷⠏䛟ᩆᛴ་⒪㻌 ➨㻡㻢ᅇ᪥ᮏ⸆Ꮫ㻌 㻌 䝅䞁䝫䝆䜴䝮㻞㻌 䛂ᆅᇦ䛷⠏䛟་⒪䝛 㛵ᮾᨭ㒊㻌 䝑䝖䝽䞊䜽䛃㻌 ᮾி㻌 ᩆᛴㄆᐃ⸆ᖌ䛸ᩆᛴ⌧ሙ䛻䛚 ᖹᡂ㻞㻠ᖺᗘ⚟♴ಖ㝤 䛡䜛ᙺ㻌 ᒁ䞉㝔⤒Ⴀᮏ㒊㻌 㻌 ᑓ㛛ᛶྥୖ◊ಟ㻌 ⫋ ✀⫋ົᑓ㛛◊ಟ㻌 䛂⸆䠄➨㻟ᅇ䠅䛃㻌 ᮾி㻌 ᩆᛴ㡿ᇦ䛻䛚䛡䜛⸆≀⒪ἲ㻌 ➨㻝㻥ᅇὀᑕ䞉㍺ᾮ 㻌 䛻㛵䛩䜛᠓ヰ㻌 ᗈᓥ㻌 デ⒪ሗ㓘ᨵゞ䛻క䛖䛂Ჷ⸆ᴗ ➨䠓ᅇ་⸆ရᏳ⟶ ົᐇຍ⟬䛃䜈䛾ྲྀ䜚⤌䜏䛾⌧≧ ⌮◊ಟ㻌 㻌 ᮾி㻌 䛸ㄢ㢟㻌 㻌 䡚Ჷ⸆ᖌ䛾❧ሙ䛛䜙䡚㻌 Ჷ⸆ᖌᴗົ䛾⌧≧䛸ᚋ㻌 䡚 ᮾி㒔㝔⸆ᖌ ධ㝔ᝈ⪅䛥䜣䛻᭱ၿ䛾་⒪䜢ᥦ ဨᐇົ◊✲㻌 ౪䛩䜛䛯䜑䛻䡚㻌 ᮾி㻌 Ⓨ⾲ᖺ᭶᪥ 㻞㻜㻝㻞㻚㻥㻚㻣㻌 㻞㻜㻝㻞㻚㻥㻚㻝㻠㻌 㻞㻜㻝㻞㻚㻥㻚㻞㻥㻌 㻞㻜㻝㻞㻚㻥㻚㻞㻥㻌 㻞㻜㻝㻞㻚㻝㻝㻚㻞㻝㻌 㻞㻜㻝㻞㻚㻝㻜㻚㻝㻟㻌 㻞㻜㻞㻚㻝㻜㻚㻞㻠㻌 㻞㻜㻝㻞㻚㻝㻝䠊㻞㻜㻌 㻞㻜㻝㻞㻚㻝㻞㻚㻝㻌 㻞㻜㻝㻟㻚㻞㻚㻤㻌 㻌 㻡䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟ᖹᡂ㻞㻠ᖺᗘデ⒪ሗ㓘 デ⒪ሗ㓘ᨵᐃ䛻䜘䜚᪂䛯䛻タ⨨䛥䜜䛯䛂Ჷ⸆ᴗົᐇຍ⟬䛃䜢⟬ ᨵᐃ䛻క䛖Ჷᴗົ䛾 ᐃ䛩䜛䛯䜑䚸⸆ᖌ䛾ᴗົ䜢ᩚഛ䛧㻠᭶䜘䜚⟬ᐃ䜢㛤ጞ䛧䛯䚹㻌 ᐇ㻌 䐠እ᮶ᝈ⪅䛾᭹⸆ᨭ㻌 እ᮶ᝈ⪅䜈䛾᭹⸆ᨭ䛾᥎㐍䛸་⒪Ᏻྥୖ䛾䛯䜑䚸⸆ᖌ䛻䜘䜛 ᡭ⾡䛻ண䜑୰Ṇ䛩䜉䛝⸆䛾☜ㄆ䜢䛩䜛䛂ᩚᙧእ⛉ᝈ⪅䜢ᑐ㇟䛸 䛧䛯⾡๓┦ㄯእ᮶䛃䜢ᐇ䛧䚸ᡭ⾡୰Ṇ䛜ῶᑡ䛧䛯䚹㻌 䐡 ฎ᪉ 䛫䜣 グ㍕ ᪉ἲ ኚ ෆ᭹ฎ᪉䛫䜣䛾グ㍕᪉ἲኚ᭦䠄䠅䛻ᑐᛂ䛩䜛䛯䜑䚸ᩓㄪ䛾 ᭦㐠⏝䛾⟇ᐃ䛸ᐇ㻌 ㈿ᙧ䛻㛵䛩䜛ሗ䜢⸆⿄䛚䜘䜃⸆ໟ⣬䛻ᶆグ䛧䛯䚹㻌 㻌 㻢䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃⸆ྲྀ䜚ᢅ䛔䛻㛵䛩䜛䝥䝻䝖䝁䞊䝹䜢་ᖌ䛸༠ാ䛧䛶సᡂ㻌 㻌 䖃Ჷ⸆ᴗົᐇຍ⟬⟬ᐃ䛻క䛖ᴗົ䛾ぢ┤䛧㻌 ―197― 薬剤部 㻌 看護部 Ꮫ㝔㻌 ┳ㆤ㒊㻌 昭和大学病院 看護部 㻢㻌 ┳ㆤ㒊㻌 １）看護部 㻝䠊⌮ᛕ䞉┠ᶆ㻌 ┳ㆤ㒊䛾⌮ᛕ㻌 Ꮫ㝔┳ㆤ㒊䛿䚸ᝈ⪅ᮏ䛾Ᏻ䛷Ᏻᚰ䛾䛷䛝䜛㉁䛾㧗䛔┳ㆤ䠄䝃䞊䝡䝇䠅䜢ᖖ䛻ᥦ౪ 䛧䚸ྠ䛻ḟୡ௦䜢ᢸ䛖ேᮦ䜢⫱ᡂ䛧䜎䛩䚹㻌 㻞㻜㻝㻞ᖺᗘ┳ㆤ㒊┠ᶆ㻌 㻝䠊 ົ⾲䛾సᡂᇶ‽䛾ᚭᗏ䜢䛧䛶බᖹឤ䛾䛒䜛⫋ሙ䜢స䜚䜎䛩䠊㻌 㻞䠊 ධ㌿ฟ䛻㛵䜟䜛㐠⏝䜢ᩚഛ䛧䠈ാ䛝䜔䛩䛔⫋ሙ䛻䛧䜎䛩䠊㻌 㻟䠊 ᑓ㛛䞉ㄆᐃ┳ㆤᖌ䛾άື䜢ᙉ䛧䠈┳ㆤ䛾㉁䜢ྥୖ䛧䜎䛩䠊㻌 㻠䠊 㻷㼅㼀 άື䜢ᙉ䛧䛶䠈Ᏻ䛺⒪㣴⎔ቃ䜢ᥦ౪䛧䜎䛩䠊㻌 㻌 㻞䠊ேဨᵓᡂ㻌 ┳ㆤ㒊㛗㻌 ⢑㇂㻌 ஂ⨾Ꮚ㻌 ḟ㛗㻌 ☾ᕝ㻌 ᝋᏊ䚸ᇛᡤ㻌 ᢇ⨾Ꮚ䚸Ⲩᕝ㻌 ༓㻌 ᖌ㛗䠄ᖌ㛗⿵బ䠅㻌 㻝㻠ྡ㻌 䠄㻝㻝ྡ䠅㻌 䛭䛾㻌 ௵㻌 㻡㻜ྡ䚸㻌 ௵⿵బ㻌 㻝㻟㻤ྡ㻌 㻌㻌 㻌 ⫋✀ู㻌 ຓ⏘ᖌ㻌 ᖖ㻌 ┳ㆤᖌ㻌 㠀ᖖ 㻡㻠㻌 㻜 ᖖ㻌 㠀ᖖ 㻝㻘㻜㻞㻣 ┳ㆤᖌ㻌 ಖ⫱ኈ㻌 ṑ⛉⾨⏕ኈ㻌 ᖖ㻌 ᖖ㻌 ᖖ㻌 㻝㻜 㻞 㻡 ┳ㆤ⿵ຓ⪅㻌 ᖖ㻌 㻞㻌 ጤク㻌 㻝㻡 㻣㻥 㻌 㻌 ᑓ㛛┳ㆤᖌ㻌 㡿㻌 㻌 ᇦ㻌 ேᩘ㻌 㡿㻌 㻌 ᇦ㻌 ேᩘ㻌 㡿㻌 㻌 ᇦ㻌 ேᩘ㻌 䛜䜣┳ㆤ㻌 㻟ྡ ᛴᛶ䞉㔜ᝈ⪅┳ㆤ㻌 㻝ྡ㻌 ៏ᛶᝈ┳ㆤ㻌 㻝ྡ ẕᛶ┳ㆤ㻌 㻝ྡ ⢭⚄┳ㆤ㻌 㻝ྡ㻌 ឤᰁ┳ㆤ㻌 㻝ྡ ᑠඣ┳ㆤ㻌 㻝ྡ 㻌 㻌 ㄆᐃ┳ㆤᖌ㻌 㡿㻌 㻌 ᇦ㻌 ேᩘ㻌 㡿㻌 㻌 ᇦ㻌 ேᩘ㻌 㡿㻌 㻌 ᇦ㻌 ேᩘ㻌 䛜䜣ᛶ⑊③㻌 㻟ྡ ឤᰁ⟶⌮㻌 㻞ྡ㻌 㞟୰䜿䜰㻌 㻠ྡ ⦆䜿䜰㻌 㻞ྡ ⢾ᒀ┳ㆤ㻌 㻝ྡ ᑠඣᩆᛴ┳ㆤ㻌 㻝ྡ ங䛜䜣┳ㆤ㻌 㻞ྡ ㄆ▱┳ㆤ㻌 㻝ྡ ᩆᛴ┳ㆤ㻌 㻞ྡ 䛜䜣Ꮫ⒪ἲ┳ㆤ㻌 㻞ྡ ᦤ㣗䞉ᄟୗ㞀ᐖ┳ㆤ 㻞ྡ ᪂⏕ඣ㞟୰䜿䜰㻌 㻟ྡ ⓶䞉ἥ䜿䜰㻌 㻟ྡ ⬻༞୰䝸䝝䝡䝸䝔䞊䝅䝵䞁┳ㆤ 㻝ྡ ៏ᛶ྾ჾᝈ┳ㆤ 㻝ྡ ᡭ⾡┳ㆤ㻌 㻝ྡ ㏱ᯒ┳ㆤ㻌 㻌 ―198― 㻝ྡ 看護部 㻟䠊ᴗົᐇ⦼㻌 㻌 䐟 ே㻌 ㏥⫋⋡㻌 ᪂ேᐃ╔⋡㻌 㻥㻚㻥㻑 ᪤፧⋡㻌 㻥㻠㻚㻜㻑㻌 ⏘ఇ⫱ఇྲྀᚓ⪅㻌 㻞㻞㻚㻤㻑㻌 㻤㻢ྡ 㻌 䐠 㝔ෆ◊ಟ㛤ദᩘ㻌 㻌 㻌 㛤ദ௳ᩘ㻌 ⏦ㄳ⪅ᩘ㻌 㻣㻢௳ ཧຍ⪅ᩘ㻌 㻞㻘㻟㻤㻟ྡ㻌 ཧຍ⋡㻌 㻞㻘㻜㻜㻞ྡ㻌 㻤㻟㻚㻢㻑 㻌 䐡 ㄆᐃ┳ㆤ⟶⌮⪅䞉⚾❧Ꮫ㝔◊ಟཷ䛡ධ䜜௳ᩘ㻌 㝔ྡ㻌 㡿㻌 㻌 ᇦ㻌 ༓ⴥ┴ᩆᛴ་⒪䝉䞁䝍䞊㻌 ி㒔➨୍㉥༑Ꮠ㝔㻌 ேᩘ㻌 ᐇ⩦᪥㻌 ㄆᐃ┳ㆤ⟶⌮⪅ᩍ⫱ㄢ⛬㻌 㻝ྡ 㻞㻜㻝㻟㻚㻝㻚㻝㻣 䝃䞊䝗䝺䝧䝹┳ㆤ⟶⌮⮫ᆅᐇ⩦㻌 㻝ྡ 㻞㻜㻝㻞㻚㻤㻚㻟㻝㻚 ஂ␃⡿Ꮫ㝔㻌 㻝ྡ ⚾❧Ꮫ㝔ேὶ㻌 ᕝᓮ་⛉Ꮫ㝃ᒓ㝔㻌 㻝ྡ 㻞㻜㻝㻞㻚㻥㻚㻞㻡 㻌 䐢 ㄆᐃ┳ㆤᖌᐇ⩦ཷධ䜜௳ᩘ㻌 Ꮫ㻌 ᰯ㻌 ྡ㻌 Ꮫ⛉䞉㡿ᇦ㻌 㻌 ேᩘ ᩆᛴ┳ㆤᏛ⛉㻌 㻞ྡ ᑠඣᩆᛴ┳ㆤᏛ⛉㻌 㻞ྡ ⢾ᒀ┳ㆤᏛ⛉㻌 㻟ྡ 䛜䜣ᝈ⪅ᨭㄢ⛬㻌 㻞ྡ ឤᰁ⟶⌮ㄆᐃ┳ㆤᖌᩍ⫱ㄢ⛬㻌 㻟ྡ ┠ⓑᏛ䝯䝕䜱䜹䝹䝇䝍䝑䝣◊ಟ䝉䞁䝍䞊㻌 ⬻༞୰䝸䝝䝡䝸䝔䞊䝅䝵䞁┳ㆤ㻌 㻟ྡ ⪷㊰ຍ┳ㆤᏛ┳ㆤᐇ㊶㛤Ⓨ◊✲䝉䞁䝍䞊㻌 䛜䜣Ꮫ⒪ἲ┳ㆤ㻌 㻞ྡ ᪥ᮏ㉥༑Ꮠ┳ㆤᏛ┳ㆤᐇ㊶䞉ᩍ⫱䞉◊✲䝣䝻䞁䝔䜱䜰䝉䞁䝍䞊㻌 ៏ᛶ྾ჾᝈ┳ㆤ䝁䞊䝇㻌 㻞ྡ 㔛Ꮫ┳ㆤ䜻䝱䝸䜰㛤Ⓨ䞉◊✲䝉䞁䝍䞊㻌 ᪂⏕ඣ㞟୰䜿䜰㻌 㻞ྡ බ┈♫ᅋἲே᪥ᮏ┳ㆤ༠㻌 ┳ㆤ◊ಟᏛᰯ㻌 ⚄ዉᕝ┴❧ಖ⚟♴Ꮫᐇ㊶ᩍ⫱䝉䞁䝍䞊㻌 㻌 䐣 ᇶ♏ᩍ⫱⮫ᆅᐇ⩦ཷ䛡ධ䜜㻌 Ꮫ㻌 ᰯ㻌 ྡ㻌 Ꮫಖ་⒪Ꮫ㒊┳ㆤᏛ⛉㻌 ᐇ⩦ྡ⛠㻌 Ꮫ㻌 㻌 ᖺ㻌 ேᩘ㻌 ᛂ⏝┳ㆤᏛᐇ⩦㻌 㻠ᖺ㻌 㻟㻡ྡ ᡂே┳ㆤᏛᐇ⩦䊠㻌 㻟ᖺ㻌 㻝㻢ྡ ᡂே┳ㆤᏛᐇ⩦䊡㻌 㻟ᖺ㻌 㻟㻞ྡ ⪁ᖺ┳ㆤᏛᐇ⩦䊡㻌 㻟ᖺ㻌 㻡㻡ྡ ẕᛶ┳ㆤᏛᐇ⩦㻌 㻌 㻟ᖺ㻌 㻟㻜ྡ ᑠඣ┳ㆤᏛᐇ⩦㻌 㻌 㻟ᖺ㻌 㻟㻡ྡ ᇶ♏┳ㆤᏛᐇ⩦䊡㻌 㻞ᖺ㻌 㻞㻞ྡ ―199― 看護部 㻌 Ꮫ㻌 㻌 ᰯ㻌 ᐇ⩦ྡ⛠㻌 Ꮫ㻌 㻌 ᖺ㻌 ேᩘ㻌 ᇶ♏┳ㆤᏛᐇ⩦䊠㻌 㻝ᖺ㻌 㻝㻟㻤ྡ ᇶ♏┳ㆤᏛᐇ⩦䊡㻌 㻞ᖺ㻌 㻢㻢ྡ ศ㔝ูᐇ⩦㻌 㻟ᖺ㻌 㻝㻠㻥ྡ ┳ㆤᏛᴫㄽᐇ⩦㻌 㻝ᖺ㻌 㻝㻜㻥ྡ ⤫ྜᐇ⩦㻌 㻟ᖺ㻌 㻤㻠ྡ ᮾி་⒪ಖᏛ㻌 ᑠඣᐇ⩦㻌 㻟ᖺ㻌 㻟㻟ྡ Ꮫ㻌 ་Ꮫ㒊㻞ᖺ㻌 㻌 Ჷయ㦂ᐇ⩦㻌 㻞ᖺ㻌 㻝㻟㻜ྡ Ꮫ㻌 ⸆Ꮫ㒊㻞ᖺ㻌 Ჷయ㦂ᐇ⩦㻌 㻞ᖺ㻌 㻠㻤ྡ Ꮫ㻌 ṑᏛ㒊㻟ᖺ㻌 㻌 Ჷయ㦂ᐇ⩦㻌 㻟ᖺ㻌 㻠㻞ྡ Ꮫ㒊㐃ᦠ䊠㻌 ་㻛ṑ㻛⸆ 㻡 ᖺ㻌 ಖ་⒪ 㻟䞉㻠 ᖺ 㻣㻥ྡ Ꮫ㒊㐃ᦠ䊡㻌 ་㻛ṑ㻛⸆ 㻡 ᖺ㻌 ಖ་⒪ 㻟䞉㻠 ᖺ 㻣㻡ྡ Ꮫ㒊㐃ᦠ䊢㻌 ་㻛ṑ㻛⸆ 㻡 ᖺ㻌 ಖ་⒪ 㻟䞉㻠 ᖺ 㻤㻢ྡ ṑ㻛⸆㻢ᖺ㻌 㻝㻤ྡ Ꮫ་Ꮫ㒊㝃ᒓ┳ㆤᑓ㛛Ꮫᰯ㻌 Ꮫ㻌 Ꮫ㒊㐃ᦠᐇ⩦㻌 䜰䝗䝞䞁䝇㻌 㻌 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 䖃♫ ♫䞉ᆅᇦ㈉⊩άື㻌 㻌 㻌 㻌 㛤ദᖺ᭶᪥㻌 㻝㻌 ᖹᡂ㻞㻠ᖺ㻣᭶㻞㻣᪥㻌 㻌 䖃◊✲ᴗ⦼㻌 㻌 㻌 㻌 ⴭ᭩㻌 㻌㻌 ⴭ⪅ྡ㻌 㻝㻌 ▼ཎ㻌 䜖䛝䛘 ෆ㻌 㻌 ᐜ㻌 㻝᪥┳ㆤయ㦂䠄ཧຍ⪅䠖୰Ꮫ⏕㻞ྡ䚸㧗ᰯ⏕㻞ྡ䠅㻌 㢟㻌 㻌 ྡ㻌 ゼၥ┳ㆤᖌ䛸䛾䝃䝬䝸䞊㻌 㻞㻌 ▼ཎ㻌 䜖䛝䛘 ㏥㝔ㄪᩚ┳ㆤᖌ䛸ከ㒊⨫┳ㆤᖌ 䛸䛾༠ാ㻌 㻟㻌 ⏣㻌 㯞౫Ꮚ 㻠㻌 ⏣㻌 㯞౫Ꮚ 㻡㻌 ฟ㻌 ⏤⨾㻌 㻢㻌 ཱྀ㻌 ెᏊ㻌 䛆䝕䝞䜲䝇䛛䜙ᢲ䛥䛘䜛྾ධ⒪ἲ 䛾ᣦᑟ䝫䜲䞁䝖䛇䝛䝤䝷䜲䝄䞊䜢 ⏝䛔䛯ᣦᑟ㻌 䛆ሙ㠃䛷䛝䜟䜑䜛⮫ᗋ䛻㻎䛭䛾䜎 䜎䛘䜛㻎྾䜰䝉䝇䝯䞁䝖䛇㻌 㻔㼀㼔㼑㼙㼑㻚㻞㻕ேᕤ྾⟶⌮ᝈ⪅䛾 Ẽ⟶྾ᘬ㻌 ከ⫋✀༠ാ䛜䝸䜰䝹䛻ศ䛛䜛㻍䝏 䞊䝮䛷⾜䛖㏥㝔ᨭ䞉ㄪᩚ㻔➨㻤 ᅇ㻕㻌 ᪂⏕ඣ㞟୰⒪ᐊ䛛䜙䛾㏥ 㝔ᨭ㻌 ㄆᐃ┳ㆤᖌ䛜᭩䛔䛯䜔䛥䛧䛔⬻ ༞୰䝸䝝䝡䝸䝔䞊䝅䝵䞁┳ㆤ㻌 ―200― 㛤ദᆅ㻌 Ꮫ㝔㻌 ᭩㻌 㻌 ྡ㻌 ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ ㏥㝔ᨭ䞉㏥㝔ㄪᩚ䝇 ᪥ᮏ┳ㆤ༠ฟ 䝔䝑䝥䜰䝑䝥㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 ∧㻘㻼㻚㻣㻞䡚 㻣㻟㻘㻞㻜㻝㻞㻌 ᆅᇦ㐃ᦠ䞉ධ㏥㝔ᨭ ᪥⥲◊㻘㻌 㻌 㻌 㻌 㻌 㻌 㝸᭶หㄅ㻌 㻼㻚㻝㻜㻝䡚㻝㻜㻣㻘㻞㻜㻝㻞㻌 㼂㼛㼘㻚㻡㻌 㻌 㻌 㻌 ྾ჾ䜿䜰㻌 㻝㻜ᕳ㻌 㻤ྕ㻌 䝯䝕䜱䜹ฟ∧㻘㻌 㻼㻚㻤㻠㻙㻤㻤㻘㻞㻜㻝㻞㻌 ྾ჾ䜿䜰㻌 㻝㻝ᕳ㻌 㻝ྕ㻌 䝯䝕䜱䜹ฟ∧㻘㻌 㻼㻚㻝㻥㻙㻞㻠㻘㻞㻜㻝㻟㻌 ᆅᇦ㐃ᦠධ㏥㝔ᨭ㻌 ᪥⥲◊㻘㻌 㻡ᕳ㻞ྕ㻌 㻼㻚㻝㻜㻜䡚㻝㻜㻣㻘㻞㻜㻝㻞㻌 䝤䝺䜲䞁䝘䞊䝅䞁䜾㻌 䝯䝕䜱䜹ฟ∧㻘㻌 䝸䝝䝡䝸䝘䞊䝇㻞㻜㻝㻞ᖺ㻌 㻼㻚㻝㻝㻠䡚㻝㻞㻢㻘㻞㻜㻝㻞㻌 ྜྠ⮫ቑห㻌 㻌 㻣㻌 ⴭ⪅ྡ㻌 ⚟ᐑ㻌 ᬛᏊ㻌 㻤㻌 ᮏ㛫㻌 ⧊㔜㻌 㻥㻌 ⚟⏣㻌 ᏳὠᏊ 㻝㻜㻌 ୰᰿㤶⧊㻌 㻝㻝㻌 ᇛᡤ㻌 ᢇ⨾Ꮚ 㻝㻞㻌 ⢑㇂㻌 ஂ⨾Ꮚ 㻝㻟㻌 ☾ᕝ㻌 ᝋᏊ㻌 㻝㻠㻌 ᯇᮌ㻌 ᜨ㔛㻌 㢟㻌 㻌 ྡ㻌 䝅䝵䞊䝖䝺䝡䝳䞊㻌 ⦆䜿䜰䛻䛚 䛡䜛་⒪ᚑ⪅䛾䝇䝖䝺䝇䛸䛭䛾 ᑐฎ㻌 䛆⦆䜿䜰䛻ᦠ䜟䜛ே䛾䇻䛴䜙䛥䇻 䛸⒵䛧䛇⦆䜿䜰䛻䛚䛡䜛་⒪ᚑ ⪅䛾䝇䝖䝺䝇䛸䛭䛾ᑐฎ㻌 ᩆᛴ┳ㆤㄆᐃ┳ㆤᖌ䛾䛯䜑䛾 㻶㻻㼁㻾㻺㻭㻸㼕㼚㻶㻻㻾㻺㻭㻸㻌㼒㼞㼛㼙㻌㻱㼤㼜㼑㼞㻌 㼠㻺㼡㼞㼟㼑㼀㼛㻱㼤㼜㼑㼞㼠㻌㻺㼡㼞㼟㼑㻌 㝔ෆឤᰁᑐ⟇ጤဨ䛜ᩚഛ䛥䜜 䛶䛔䜛䠄యไ㻘ᑐᛂ⟇㻘㆟㘓䠅㻌 Ꮫ㝃ᒓ㝔䛻䛚䛡䜛┳ㆤ 㒊⟶⌮㐠Ⴀయไ䛸ேᮦ⫱ᡂ䠄➨㻞 ᅇ䠅᪂ேᩍ⫱యไ䛻䛴䛔䛶㻌 Ꮫ㝃ᒓ㝔䛻䛚䛡䜛┳ㆤ 㒊⟶⌮㐠Ⴀయไ䛸ேᮦ⫱ᡂ䠄➨㻡 ᅇ䠅⤌⧊㐠Ⴀ䛸⤌⧊άື䛻䛚䛡 䜛ḟୡ௦䝸䞊䝎䞊⫱ᡂ㻌 Ꮫ㝃ᒓ㝔䛻䛚䛡䜛┳ㆤ 㒊⟶⌮㐠Ⴀయไ䛸ேᮦ⫱ᡂ㻌 䠄➨㻤ᅇ䠅䡺䡬䢈䡿䡤䢋䢄䡸䢚䡨䡬䛸䛧䛶䛾 ᖌ㛗䜢⫱ᡂ䛩䜛㻌 䛆᪂ே䝘䞊䝇䛿䛣䜜䛰䛡▱䛳䛶䛔 䛯䜙䛺䜣䛸䛛䛺䜛䟿ேᕤ྾ჾ 䛾Ẽ䝰䞊䝗䛸タᐃ䛇䝃䝫䞊䝖䛻 ඃ䜜䛯ᙉ䛔᪉㻌 㻼㻿㼂㻌 ᭩㻌 㻌 ྡ㻌 ⦆䜿䜰㻌 㻞㻠ᕳ㻌 㻤ྕ㻌 㻞㻞ᕳ䚸㻢ྕ㻌 ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ 㟷ᾏ♫㻘㻌 㻼㻚㻡㻝㻤㻙㻡㻞㻝㻘㻞㻜㻝㻞㻌 ⦆䜿䜰䚸㻞㻞ᕳ䚸㻢ྕ㻌 㟷ᾏ♫㻘㻞㻜㻝㻞㻌 㻱㼙㼑㼞㼓㼑㼚㼏㼥㻌㻯㼍㼞㼑㻌㻞㻡ᕳ㻌 䝯䝕䜱䜹ฟ∧㻘㻌 㻣ྕ㻌 㻼㻢㻟㻘㻞㻜㻝㻞㻌 㝔ෆάືሗ࿌䜔እ㒊 ホ౯䛷⤖ᯝ䜢ฟ䛫 䜛䟿䛣䜜䛺䜙䛷䛝䜛ឤ ᰁᑐ⟇᭱ၿ䝥䝻䜾䝷 䝮䜎䜛䜟䛛䜚䝤䝑䜽㻌 ᖌ㛗௵ᴗົᐇ㊶㻌 㻌 㻝㻣ᕳ㻟㻢㻞ྕ㻌 䝯䝕䜱䜹ฟ∧㻘㻌 㻼㻚㻝㻝㻥䡚㻝㻞㻞㻘㻞㻜㻝㻟㻌 ᖌ㛗௵ᴗົᐇ㊶㻌 㻌 㻝㻣ᕳ㻟㻢㻣ྕ㻌 ⏘ປ⥲ྜ◊✲ᡤ㻘 㻼㻚㻡㻞䡚㻡㻤㻘㻞㻜㻝㻞㻌 ᖌ㛗௵ᴗົᐇ㊶㻌 㻌 㻝㻣ᕳ㻟㻣㻟ྕ㻌 ⏘ປ⥲ྜ◊✲ᡤ㻘 㻼㻚㻡㻤㻙㻢㻠㻘㻞㻜㻝㻞㻌 ྾ჾ䜿䜰㻌 㻝㻜ᕳ㻡ྕ㻌 䝯䝕䜱䜹ฟ∧㻘㻌 㻼㻚㻟㻞䡚㻟㻣㻘㻞㻜㻝㻞㻌 ⏘ປ⥲ྜ◊✲ᡤ㻘 㻼㻡㻥䡚㻢㻡㻘㻞㻜㻝㻞㻌 㻌 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌 ℈ᓥ㻌 ༓ⲡ㻌 Ⓨ⾲ᖺ᭶᪥ 㻴㻞㻟㻚㻝㻞㻚㻢㻌 㻞㻌 㻴㻞㻟㻚㻥㻚㻞㻞㻌 㻟㻌 㻠㻌 㻡㻌 㢟㻌 㻌 ྡ㻌 Ꮫྡ䚸㛤ദᆅ㻌 㻼㻰 䝏䞊䝮䛷⾜䛖ᝈ⪅ᩍ⫱䜈䛾᪂ ➨ 㻡㻣 ᅇ᪥ᮏ㏱ᯒ་Ꮫ 䛯䛺ヨ䜏㻌 Ꮫ⾡㞟⥲䠄ᮐ ᖠ䠅㻌 ℈ᓥ㻌 ༓ⲡ㻌 㻼㻰 䝏䞊䝮䛷⾜䛖⤫୍䛧䛯┳ㆤᩍ ➨ 㻝㻤 ᅇ ᪥ ᮏ ⭡ ⭷ ㏱ ᯒ ⫱䜈䛾᪂䛯䛺ヨ䜏㻌 ་ᏛᏛ⾡㞟⥲ 䠄ᚨᓥ䠅㻌 ᯇᮌ㻌 ᜨ㔛㻌 ᪂ே┳ㆤ⫋ဨᩍ⫱యไ䛾㐠Ⴀ䠎 ➨㻝㻠ᅇ᪥ᮏ་⒪䝬䝛䝆 䠉᪂ேᩍ⫱㈐௵⪅䛾ᙺ㐩ᡂᗘ 䝯䞁䝖ᏛᏛ⾡㞟⥲ 䠉㻌 䠄బୡಖ䠅㻌 ⯋㻌 ᖾ㤶㻌 䜰䜽䝅䝵䞁䜹䞊䝗䞉䜶䝸䜰䝬䝑䝥䛸≀ ᪥ᮏ⅏ᐖ┳ㆤᏛ㻌 ရ୍ぴ⾲䛾ά⏝㻌 Ώ ㎶ ඃ 䚸 ฟ 㻺㻵㻯㼁 䜈ධ㝔⤒㦂䛾䛒䜛Ꮚ䛹䜒䛸 ➨ 㻞㻞 ᅇ ᪥ ᮏ ᪂ ⏕ ඣ ┳ ⏤ ⨾ 䚸 ⴗ ᖹ 㔛 䛭䛾ᐙ᪘䛻䛸䛳䛶༞ᴗ⏕䛾䛜ᯝ ㆤᏛ䠄⇃ᮏ䠅㻌 ⨾㻌 䛯䛩ᙺ䚸ධ㝔ᮇ㛫㻝㻠᪥௨ୖ䛾 Ꮚ౪䜢ᣢ䛴ᐙ᪘䛾⫱ඣᏳ䛻╔ ┠䛧䛶㻌 ―201― 㻴㻞㻟㻚㻝㻜㻚㻝㻞㻌 㻴㻞㻟㻚㻣㻚㻞㻤㻌 㻴㻞㻟㻚㻝㻝㻚㻞㻢㻌 看護部 㻌 看護部 㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻢㻌 ᩧ ᮌ ఙ ᯞ 䚸 ụ ⏣ᙬᮍ䚸ྂ㈡ ᐉᙪ㻌 㻣㻌 ᇛᡤᢇ⨾Ꮚ㻌 㻤㻌 ⏣㻌 㯞౫Ꮚ㻌 㻥㻌 ⚟ᆅᮏ㻌 ᬕ⨾㻌 㻝㻜㻌 ୰᰿㻌 㤶⧊㻌 㻝㻝㻌 ⛅㛫㻌 ᝋᏊ㻌 㻝㻞㻌 ⚟ᐑ㻌 ᬛᏊ㻌 㻝㻟㻌 ⚟ᐑ㻌 ᬛᏊ㻌 㢟㻌 㻌 ྡ㻌 㻯㻯㼁 䛻䛚䛡䜛䜹䝔䞊䝔䝹㛵㐃ᒀ㊰ ឤᰁ䠄㻯㻭㼁㼀㻵䠅䝃䞊䝧䜲䝷䞁䝇䛾ྲྀ 䜚⤌䜏㻌 ᪂ே┳ㆤ⫋ဨᩍ⫱యไ䛾㐠Ⴀ䠑 䠉᪂ே┳ㆤ⫋ဨ㔪่䛧ᨾ㻜䜢┠ ᣦ䛧䛯ྲྀ䜚⤌䜏㻌 ྾ჾᩍᐊ䛷䛾㐠ື㈇Ⲵヨ㦂䛾 ຠᯝ䛸ᚋ䛾ㄢ㢟㻌 ≉ᐃᶵ⬟㝔䛾┳ㆤ㒊㛛䛻䛚䛡 䜛ᑓ㛛┳ㆤᖌ䞉ㄆᐃ┳ㆤᖌ䛾ά⏝ 䝅䝇䝔䝮㻌 ᒀ䛚䜘䜃ᒀ㔞 ᐃ᪥ᩘῶᑡ䛜 䜾䝷䝮㝜ᛶᱰ⳦᳨ฟᩘῶᑡ䛻䜒䛯 䜙䛩ຠᯝ㻌 㻯㼘㼛㼟㼠㼞㼕㼐㼕㼡㼙㻌 㼐㼕㼒㼒㼕㼏㼕㼘 㛵㐃ୗ⑩䠄䠟 䠠䠝䠠䠅䛻䛚䛡䜛ឤᰁண㜵⟇䛾ຠᯝ 䛻䛴䛔䛶㻌 ᪂ே┳ㆤ⫋ဨᩍ⫱యไ䛾㐠Ⴀ㻟㻌 䠉᪂ே┳ㆤ⫋ဨ䝯䞁䝍䝹ᨭయไ ᩚഛ䛾ຠᯝ䠉㻌 ᮾ᪥ᮏ㟈⅏ᚋ䛾⢭⚄┳ㆤᑓ㛛 ┳ㆤᖌ䛻䜘䜛┳ㆤ⫋ဨ䛾䝯䞁䝍䝹 䝦䝹䝇ᨭ㻌 Ꮫྡ䚸㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥ ➨ 㻞㻤 ᅇ ᪥ ᮏ ⎔ ቃ ឤ ᰁ 㻴㻞㻠㻚㻟㻚㻝㻌 Ꮫ⥲䠄⚄ዉᕝ䠅㻌 ➨㻝㻠ᅇ᪥ᮏ་⒪䝬䝛䝆 㻴㻞㻟㻚㻝㻜㻚㻝㻞㻌 䝯䞁䝖ᏛᏛ⾡⥲㻔బ ୡಖ䠅㻌 ᪥ᮏ྾䜿䜰䞉䝸䝝䝡䝸 㻴㻞㻟㻚㻝㻝㻚㻞㻟㻌 䝔䞊䝅䝵䞁Ꮫ䠄⚟䠅㻌 ➨ 㻝㻢 ᅇ ᪥ ᮏ ┳ ㆤ ⟶ ⌮ 㻴㻞㻟㻚㻤㻚㻞㻟㻌 Ꮫ䠄ᮐᖠ䠅㻌 ➨ 㻞㻤 ᅇ ᪥ ᮏ ⎔ ቃ ឤ ᰁ 㻴㻞㻠㻚㻟㻚㻝㻌 Ꮫ⥲䠄⚄ዉᕝ䠅㻌 ➨ 㻞㻤 ᅇ ᪥ ᮏ ⎔ ቃ ឤ ᰁ 㻴㻞㻠㻚㻟㻚㻝㻌 Ꮫ⥲䠄⚄ዉᕝ䠅㻌 ➨㻝㻠ᅇ᪥ᮏ་⒪䝬䝛䝆 㻴㻞㻟㻚㻝㻜㻚㻝㻞㻌 䝯䞁䝖ᏛᏛ⾡⥲㻔బ ୡಖ䠅㻌 ➨㻝㻠ᅇ᪥ᮏ་⒪䝬䝛䝆 㻴㻞㻟㻚㻝㻜㻚㻝㻞㻌 䝯䞁䝖ᏛᏛ⾡⥲㻔బ ୡಖ䠅㻌 㻌 㻡䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟 㻮㻿㻯 䛻 䜘 䜛 ᡓ ␎ ᗋ⦅䜔ᗋ✌ാ⋡䛾ୖ᪼䛻䜘䜚䚸Ᏻ䛺་⒪ᥦ౪䜢⾜䛖䛣䛸䜢㔜せㄢ ┠ ᶆ 㐩 ᡂ 䜈 䛾 ྲྀ 䜚 㢟䛸䛧䛶ྲྀ䜚⤌䜣䛰䚹䡺䡬䢈䡿䡤䢋䢄䡸䢚䡨䡬䛾άືᙉ䜔 㻷㼅㼀 άື䜢ᙉ䛧⒪㣴⎔ ⤌䜏㻌 ቃ䜢ᩚഛ䛧䛯⤖ᯝ䚸㌿ಽ㌿ⴠ䛻䜘䜛䜰䜽䝅䝕䞁䝖௳ᩘ䛜ῶᑡ䛧䛯䚹⫋ົ‶㊊ ྥୖ䛾Ⅽ䛻ົ⾲సᡂ䝬䝙䝳䜰䝹䛾ぢ┤䛧䜢䛧䛯䛜࿘▱䛻⮳䜙䛪䚸ᘬ䛝⥆䛝 ྲྀ䜚⤌䜏䛜ᚲせ䛷䛒䜛䚹㻌 䐠ᗋ⦅㻌 㻞㻜㻝㻞ᖺᗘ䛻 㻯㻥㻯䞉㻴㻯㼁 Ჷ䛜㛤Ჷ䛧䚸⥭ᛴධ㝔ᝈ⪅䛾ཷ䛡ධ䜜యไ䛜ᙉ 䛥䜜䛯䚹䛭䛾⤖ᯝ䚸ᗋᅇ㌿⋡䛾䜰䝑䝥䜔ᖹᆒᅾ㝔᪥ᩘ䛜▷⦰䛧䛯䛯䜑䚸ධ ㌿ฟᴗົ䛾ᨵၿ䜔┳ㆤຓᡭᴗົ䛾ᣑ䜢⾜䛔䚸ᴗົᩚഛ䜢ᅗ䜛䛣䛸䛜䛷䛝 䛯䚹デ⒪⛉䜔㒊⨫䛾≉ᛶ䛜䛒䜛䛯䜑䚸䛥䜙䛻㐃ᦠᙉ䛩䜛ᚲせ䛜䛒䜛䚹㻌 㻌 㻢䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃Ᏻ☜ಖ䛾ᙉ㻌 ⭘⒆ෆ⛉䜔⬻⚄⤒እ⛉䛺䛹యไኚ᭦䛻క䛔䚸ᴗົຠ⋡䜔㐠⏝ኚ᭦䛜ồ䜑䜙䜜䛶䛔䜛䚹デ⒪⛉ 䜔㛵㐃㒊⨫䛸䛾㐃ᦠ䜢ᙉ䛧䚸Ᏻ☜ಖ䜢ᙉ䛧᭷ຠཬ䜃ຠ⋡ⓗ䛺యไ䛴䛟䜚䛜ᛴົ䛷䛒䜛䚹㻌 䖃⫋⪅䜈䛾ᨭయไ䛾ᙉ㻌 ⏘ఇ⫱ఇ䛾ྲྀᚓ⪅䛜ᖺ䚻ቑຍ䛧䚸┳ㆤ⫋䛾ከᵝ䛺ാ䛝᪉䛜ㄢ㢟䛻䛺䛳䛶䛔䜛䚹▷㛫ປാ⪅䛺 䛹䛾ከᵝ䛺ົᙧែ䛾ᩚഛ䜔⫋⪅䛜䛻⫋ሙᖐ䛷䛝䜛䛯䜑䛻యไ䜢ᩚഛ䛧䚸⫋⪅䛾ᨭ యไ䜢ᙉ䛧䛶䛔䛟ᚲせ䛜䛒䜛䚹㻌 䖃ാ䛝䜔䛩䛔⫋ሙ⎔ቃ䛾᥎㐍㻌 ᴗົ䛾㧗㏿䜔ከ㔜ᴗົ䛺䛹䛷┳ㆤ⫋䛾ᚰⓗ㈇ᢸ䛿ቑຍ䛧䚸䝯䞁䝍䝹䝦䝹䝇䛻㛵䛩䜛ㄢ㢟䛿㔜 せ䛷䛒䜛䚹⫋ဨ㛫䛻䛚䛡䜛䝁䝭䝳䝙䜿䞊䝅䝵䞁䝇䜻䝹䜢ྥୖ䛧䚸ാ䛝䜔䛩䛔⫋ሙ⎔ቃ䛾ᨵၿ䛾ྲྀ䜚⤌ 㻌 䜏䜢᥎㐍䛧䛶䛔䛟䚹㻌 ―202― 栄養科 Ꮫ㝔㻌 ᰤ㣴㒊㛛㻌 昭和大学病院 栄養部門 㻣㻌 ᰤ㣴⛉㻌 １）栄養科 㻝䠊⌮ᛕ䞉┠ᶆ㻌 㻝䠊Ᏻᚰ䞉Ᏻ䛺⤥㣗䛾㐠Ⴀ㻌 㻞䠊ᝈ⪅䝃䞊䝡䝇䛾ྥୖ䛸ᐇ㻌 㻟䠊䝏䞊䝮་⒪䛻㈉⊩䛷䛝䜛యไ䛾ᵓ⠏㻌 㻠䠊ᰤ㣴⛉ෆ䛾㐃ᦠᙉ㻌 㻡䠊ಶ䚻䛾වᏛ䛾ྥୖ㻌 㻌 㻞䠊ேဨᵓᡂ㻌 㻌 ᰤ㣴⛉㛗⿵బ㻌 Ⳣ㔝㻌 ኵ㻌 ಀ㛗㻌 㕥ᮌ㻌 ᩥ㻌 ⟶⌮ᰤ㣴ኈ㻌 㻞ྡ ᰤ㣴ኈ㻌 㻝ྡ ㄪ⌮⿵ຓဨ㻌 㻝ྡ 㻌 㻟䠊ᴗົᐇ⦼㻌 㻌 䐟⤥㣗ᩘ㻌 㻌 㻌 㻌 㻡㻢㻡㻘㻝㻥㻠㣗㻌 ୍⯡ᖖ㣗㻌 㻞㻝㻝㻘㻡㻝㻥㣗䠄㻟㻣㻚㻠㻠㻑䠅㻌 ୍⯡㌾⳯㻌 㻡㻢㻘㻟㻤㻤㣗䠄㻥㻚㻥㻣㻑䠅㻌 ὶື㣗㻌 㻟㻘㻢㻞㻣㣗䠄㻜㻚㻢㻠㻑䠅㻌 Ꮫ❺ᑠඣ㣗㻌 㻝㻤㻘㻞㻞㻡㣗䠄㻟㻚㻞㻞㻑䠅㻌 ㄪங㻌 㻞㻝㻘㻜㻢㻥㣗䠄㻟㻚㻣㻟㻑䠅㻌 㠀ຍ⟬⒪㣗㻌 ຍ⟬⒪㣗㻌 㻡㻥㻘㻠㻜㻥㣗䠄㻝㻜㻚㻡㻝㻑䠅㻌 㻝㻥㻠㻘㻥㻡㻣㣗䠄㻟㻠㻚㻠㻥㻑䠅㻌 㻌 㻌 㻌 䐠ᰤ㣴ᣦᑟ௳ᩘ㻌 㻌 㻌 㻌 ಶேᣦᑟ㻌 㻌 㻌 㻌 㻝㻘㻣㻢㻡௳㻌 㻌 㻌 㻌 䠄ධ㝔㻌 㻞㻤㻥௳㻌 䞉እ᮶㻌 㻝㻠㻣㻢௳㻌 䠅㻌 ⢾ᒀ㻌 㻠㻟㻠௳䠄㻞㻠㻚㻡㻥㻑䠅㻌 ⫢⮚㻌 㻟㻜௳䠄㻝㻚㻣㻑䠅 㻢㻣௳䠄㻟㻚㻤㻑䠅㻌 ⫶⭠㻌 㻠㻣௳䠄㻞㻚㻢㻢㻑䠅 ⭈⮚㻌 㻤㻠㻡௳䠄㻠㻣㻚㻤㻤㻑䠅 ⮅⮚㻌 㻞㻝௳䠄㻝㻚㻝㻥㻑䠅 ᚰ⮚㻌 㻝㻤㻝௳䠄㻝㻜㻚㻞㻡㻑䠅 䛭䛾㻌 㻟㻞௳䠄㻝㻚㻤㻝㻑䠅 ⫧‶㻌 㧗⾑ᅽ㻌 㻟㻞௳䠄㻝㻚㻤㻝㻑䠅 ⬡㉁␗ᖖ㻌 㻣㻢௳䠄㻠㻚㻟㻝㻑䠅 㻌 㻌 ―203― 栄養科 㻌 㞟ᅋᣦᑟ㻌 㻌 㻌 㻌 㻌 㻝㻝㻜௳㻌 ⢾ᒀᩍᐊ㻌 㻠㻝௳㻌 ྾ჾᩍᐊ㻌 㻟㻜௳㻌 ᚰ⮚ᩍᐊ㻌 㻟㻥௳㻌 㻌 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 䖃♫ ♫䞉ᆅᇦ㈉⊩άື㻌 㻌 㻌 㻌 㛤ദᖺ᭶᪥㻌 㻝㻌 ᖹᡂ㻞㻠ᖺ㻥᭶㻞᪥㻌 ෆ㻌 㻌 ᐜ㻌 㛤ദᆅ㻌 Ꮫ㝔 㻺㻵㻯㼁 ༞ᴗ⏕䛾䠄䜁䜣䛰䛾䠅㻌 Ꮫ 㻡㻜 ᖺ グ ᛕ 㤋 䛂㞳ங㣗䛻䛴䛔䛶䛃㻌 䠄䠓ྕ㤋䠅㻌 㻌 䖃◊✲ᴗ⦼㻌 㻌 Ⓨ⾲ㄽᩥ㻌 㻌 ⴭ⪅ྡ㻌 㻝㻌 Ⳣ㔝ኵ㻌 㢟㻌 㻌 㻌 ྡ㻌 㞧ㄅྡ㻘ᕳ㻘㡫㻘Ⓨ⾜ᖺ㻌 ㏱ᯒᝈ⪅䛾ᰤ㣴⟶⌮㻌 ⌮Ꮫ⒪ἲ㻚㻌㻞㻥㻚㻌 㻌 㻌 㻌 㻝㻝㻟㻡㻙㻝㻝㻠㻜㻚㻌 㻞㻜㻝㻞㻌 㻞㻌 Ⳣ㔝 ኵ 㻘㻌 ᒣᑿ ᑦᏊ㻘㻌 㻯㻷㻰 䛾ែᰤ㣴䛸䛭䛾⟶⌮㻌 㻙⟶⌮ᰤ ᡂே䛸⏕ά⩦័㻘㻠㻞㻘㻌 㟷 ሯ ග ᕼ 㻘㻌 㛗 ㇂ 㒊 ⱱ 㣴ኈ䛾❧ሙ䛛䜙㻙㻌 㻝㻥㻣㻙㻞㻜㻝㻚㻌 㻞㻜㻝㻞㻌 ⨾㻘㻌 ᓥᒃ⨾ᖾ㻌 㻌 ⴭ᭩㻌 㻌 㻌 㻌 㻌 䛺䛧㻌 㻌 Ꮫ➼Ⓨ⾲㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㢟㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 㻝㻌 Ⳣ 㔝ኵ 㻘㻌 ᒣ ᑿᑦᏊ 㻘㻌 䛯䜣䜁䛟㉁㻞㻜㼓㻛㼐㼍㼥 䛾㣗 ➨㻡㻥ᅇ᪥ᮏ㏱ᯒ Ⓨ⾲ᖺ᭶᪥㻌 ᖹᡂ㻞㻠ᖺ㻢᭶㻞㻟᪥㻌 㟷 ሯගᕼ 㻘㻌 ᓥ ᒃ⨾ᖾ 㻘㻌 ⟶⌮䛻䜘䜚㻢ᖺ㛫䛻䜟䛯䛳䛶 ་ᏛᏛ⾡㞟㻌 ᑠ ྥ㍜ 㻘㻌 ୖᙪ 㻘㻌 㐌㻝ᅇ䛾ప㢖ᗘ㏱ᯒ䜢⥅⥆ 㻔ᮐᖠ㻕㻌 ྜྷ ᮧ࿃ᚿኵ 㻘㻌 బ⸨༤ 㻘㻌 䛧䛶䛔䜛୍㻌 ฟᾆ↷ᅧ㻌 㻞㻌 Ⳣ 㔝ኵ 㻘㻌 ᒣ ᑿᑦᏊ 㻘㻌 ከⓎᛶᄞ⬊⭈㻔㻼㻯㻷㻕䛻䜘䜛 ➨㻡㻡ᅇ᪥ᮏ⭈⮚ 㟷 ሯගᕼ 㻘㻌 ㉺ ᬛஂᏊ 㻘㻌 ៏ᛶ⭈㻔㻯㻾㻲㻕䛻ᑐ䛩䜛 Ꮫ㻌 Ꮫ⾡⥲ బ ⸨ⰾ᠇ 㻘㻌 ┦ ⃝⣧Ꮚ 㻘㻌 ప䛯䜣䜁䛟㣗㻔㻸㻼㻰㻕䛾ຠᯝ㻌 ᖹᡂ㻞㻠ᖺ㻌 㻢᭶㻝᪥䚸㻞᪥䚸㻟᪥㻌 䠄ᶓ䠅㻌 ⏣ ᒣᏹ 㻘㻌 ᓥ ᒃ⨾ᖾ 㻘㻌 ᑠᒾᩥᙪ㻘㻌 ฟᾆ↷ᅧ㻌 㻟㻌 Ⳣ㔝ኵ㻌 㻯㼍㻘㻌㻼 ௦ㅰ␗ᖖ㻌 㻌 ៏ᛶ⭈⮚ ➨㻝㻢ᅇ᪥ᮏែ ᖹᡂ㻞㻡ᖺ㻌 䜢୰ᚰ䛻㻙㻌 㻝᭶㻝㻞᪥䚸㻝㻟᪥㻌 ᰤ㣴ᏛᖺḟᏛ ⾡㞟㻌 㻔ி㒔㻕㻌 ―204― 㻌 Ⓨ⾲⪅Ặྡ㻌 㢟㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 㻠㻌 Ⳣ㔝ኵ䚸ᓥᒃ⨾ᖾ䚸 㻣ᖺ㛫䛻䜟䛯䛳䛶㐌㻝ᅇప㢖 ➨㻝㻢ᅇ᪥ᮏែ ᒣᮏᘪ᭶䚸㛗㇂ᕝẎ䚸 ᗘ㏱ᯒ䜢⥅⥆䛧䛶䛔䜛ᝈ⪅ ᰤ㣴ᏛᖺḟᏛ Ⓨ⾲ᖺ᭶᪥㻌 ᖹᡂ㻞㻡ᖺ㻌 㻝᭶㻝㻞᪥䚸㻝㻟᪥㻌 ୖᙪ䚸బ⸨༤䚸ྜྷ 䛾㛗ᮇ⥅⥆䜢ྍ⬟䛻䛧䛶䛔 ⾡㞟㻌 㻔ி㒔㻕㻌 ᮧ࿃ᚿኵ䚸ฟᾆ↷ᅧ㻌 㻡㻌 Ⳣ㔝ኵ㻌 䜛せᅉ䛾᳨ウ㻙㻌 ຍᕤ㣗ရ䛸䝸䞁䛾ᣦᑟ㻌 ⭈ ⮚ 䛸 ᰤ 㣴 䞉 ᖹᡂ㻞㻡ᖺ㻟᭶㻟㻜᪥㻌 ௦ㅰ䞉㣗䝣 䜷䞊䝷䝮㻌 㻔ᮾி㻕㻌 㻌 㻡䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟㻺㻿㼀 ◊ಟ㻌 䛂ᰤ㣴䝃䝫䞊䝖䝏䞊䝮ᑓ㛛⒪ἲኈ䛃ㄆᐃᩍ⫱タ䛷䛒䜛ᙜ㝔䛿䚸ᮏᖺ ᗘ⮫ᗋᐇᆅᐇ⩦䜢㻝䜽䞊䝹䞉୍⤌ཷ䛡ධ䜜䚸┳ㆤᖌ㻝ྡ䞉⸆ᖌ㻝ྡ䞉⟶ ⌮ᰤ㣴ኈ㻝ྡ䛾䠪䠯䠰ᩍ⫱◊ಟ䜢⾜䛳䛯䚹㻌 䐠⮫ᆅᐇ⩦㻌 ⟶⌮ᰤ㣴ኈ㣴ᡂㄢ⛬䜢ᣢ䛴Ꮫ䛾⮫ᆅᐇ⩦⏕㻞ྡ䜢ཷ䛡ධ䜜䚸㻞㐌㛫 䛾⮫ᆅ㑹እᐇ⩦䛾ᣦᑟ䜢⾜䛳䛯䚹㻌 䐡䝏䞊䝮་⒪㻌 〟⒔ᅇデ䚸ᄟୗ䝸䝝䝡䝸ᅇデ䚸⭘⒆ෆ⛉ᅇデ䚸㻺㻿㼀 ᅇデ䚸ᚰ⮚䝸䝝䝡䝸 䝔䞊䝅䝵䞁䜹䞁䝣䜯䝺䞁䝇䛺䛹✚ᴟⓗ䛻䝏䞊䝮་⒪䜈ཧຍ䛧䛯䚹䜎䛯䚸 㻺㻿㼀䛂▱䛳䛶ᚓ䛩䜛ຮᙉ䛃䜢ẖ᭶㛤ദ䛧䛯䚹㻌 䐢ᰤ㣴ᣦᑟ㻌 ಶேᰤ㣴ᣦᑟ௳ᩘ䛿ᖹᡂ㻞㻠ᖺᗘ㻝㻘㻣㻢㻡௳䛷䛒䛳䛯䚹㻌 㻌 㻢䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃Ⴔዲㄪᰝ䛾⤖ᯝ䚸㣗‶㊊ᗘ㻔‶㊊䚸䜎䛒䜎䛒‶㊊䛾ྜィ㻕䛿ᖹᡂ㻞㻞ᖺᗘ㻠㻞㻑䚸ᖹᡂ㻞㻟ᖺᗘ㻠㻝㻑䛷 䛒䜚䚸㣗‶㊊ᗘ䛾ప䛥䛜ㄢ㢟䛷䛒䜛䚹᮶ᖺᗘ䛿䚸ᝈ⪅㣗‶㊊ᗘྥୖ䜢┠ᶆ䛻ᥖ䛢䚸⊩❧ෆ ᐜ䜢୍᪂䛩䜛䛣䛸䜢ィ⏬䛧䛶䛔䜛䚹㻌 ጤクᴗ⪅䛸ඹ䛻༠ຊ䛧䛶䚸ᝈ⪅‶㊊ᗘ䛾ྥୖ䜢ᅗ䜚䚸ᝈ⪅䝃䞊䝡䝇䛾ᐇ䜢䛿䛛䜛䚹㻌 䖃ᖹᡂ㻞㻠ᖺᗘ䛾ᰤ㣴⛉䜲䞁䝅䝕䞁䝖䝺䝫䞊䝖䜘䜚䚸㣗䜈䛾␗≀ΰධ䚸⚗Ṇ㣗ရ䛾ᥦ౪䚸ㄗ㓄⮃䛜 ከ䛟ሗ࿌䛥䜜䛯䚹Ᏻᚰ䞉Ᏻ䛺㣗䜢ᥦ౪䛩䜛䛯䜑䜲䞁䝅䝕䞁䝖䝺䝫䞊䝖䛾ศᯒ䜢⾜䛔䚸䜲䞁䝅䝕 䞁䝖䞉䜰䜽䝅䝕䞁䝖Ⓨ⏕䛾పῶ䛻ດ䜑䜛䚹㻌 䖃⮫ᗋᰤ㣴䛾᥎㐍䛸㣗䛾㉁ⓗྥୖ䜢ᐇ⌧䛩䜛䛯䜑䚸⟶⌮ᰤ㣴ኈ䛾Ჷᖖ㥔䜢᥎㐍䛩䜛䚹㻌 䖃㣗䞉ᰤ㣴䛾䝇䝨䝅䝱䝸䝇䝖䛸䛧䛶䚸Ỉ‽䛾㧗䛔ᢏ⾡䞉▱㆑䜢⩦ᚓ䛧䚸ᰤ㣴ᴗົ䜢ᢸ䛖䚹㻌㻌 㻌 ―205― 栄養科 㻌 管理課 Ꮫ㝔㻌 ົ㒊㻌 昭和大学病院 事務部 㻤㻙㻝㻌 ⟶⌮ㄢ㻌 １）管理課 㻌 㻝䠊⌮ᛕ䞉┠ᶆ㻌 䐟 䛺⤒Ⴀ㻌 䐠 㻡㻿 䛾ᚭᗏ䠄ᩚ⌮䚸ᩚ㡻䚸Ύᤲ䚸Ύ₩䚸⩦័䠅㻌 㻌 䐡 䝏䞊䝮་⒪䛾᥎㐍㻌 䐢 ᝈ⪅‶㊊ᗘ䚸⫋ົ‶㊊ᗘ䛾ྥୖ㻌 䐣 ᴗົయไ䛾ᩚ⌮䠄ᴗົ䛾ぢ┤䛧䞉ᨵၿ䠅䛻䜘䜛㉸㐣ົ㛫๓ᖺᗘẚ㻞䠂๐ῶ㻌㻌 㻌 㻞䠊ேဨᵓᡂ㻌 ົ㒊㛗㻌 ୖ㻌 ṇ㻌 ㄢ㛗㻌 ᒣᕝ㻌 ୰㻌 䛭䛾㻌 㻝㻥ྡ䠄ฟྥ⪅ྵ䜐䠅㻌 㻌 㻟䠊ᴗົᐇ⦼㻌 㻌 䐟䝽䞊䜽䝅䝵䝑䝥㛤ദ㻌 㻝㻌 䛂㝔⫋ဨ䛸䛧䛶䛾ඹ㏻ホ౯ ᖹᡂ㻞㻠ᖺ㻢᭶㻝㻡䡚㻝㻢᪥㻌 㻟㻢ྡ䠄㻡䜾䝹䞊䝥ྛ㻣䡚㻤ྡ䠅㻌 㡯┠䛚䜘䜃䛭䛾ホ౯ᇶ‽䛻 䛆⤫ᣓ㒊㛗ദ䞉ከ⫋✀䛇㻌 䛴䛔䛶䛃㻌 䡚㻡㻿 䛻⥆䛟᪂䛯䛺 ホ౯㡯┠䛾⟇ᐃ䡚㻌 㻞㻌 䛂㝔┠ᶆ䛷䛒䜛⫋ົ‶㊊ᗘ ᖹᡂ㻞㻠ᖺ㻣᭶㻢䡚㻣᪥㻌 㻞㻤ྡ䠄㻠䜾䝹䞊䝥ྛ㻣ྡ䠅㻌 䜢ྥୖ䛥䛫䜛䛯䜑䛻䛿䛃㻌 䛆㝔ദ䞉ከ⫋✀䛇㻌 䡚⌮䛾⫋ሙീ䛸䛿䡚㻌 㻟㻌 㻠㻌 㝔⫋ဨ䛸䛧䛶䛂▱䜚䛯䛔䛣 ᖹᡂ㻞㻠ᖺ㻥᭶㻞㻣᪥㻌 㻞㻜ྡ䠄㻠䜾䝹䞊䝥ྛ㻡ྡ䠅㻌 䛸䛃䛂▱䛳䛶䜋䛧䛔䛣䛸䛃䛾タၥ 䛆⟶⌮ㄢ䞉་ㄢദ䞉ົ⫋ 㞟䛾ぢ┤䛧䛸㏣ຍ㻌 䛾䜏䛇㻌 䐟 ⫋ົ‶㊊ᗘ䛾ྥୖ㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻡䡚㻢᪥㻌 䐠 Ᏻᩥ⇍ᡂ䛾䛯䜑䛾 㻞㻣ྡ䠄㻠䜾䝹䞊䝥ྛ㻢䡚㻣ྡ䠅㻌 䛆㝔ദ䞉ከ⫋✀䛇㻌 ᪉ἲㄽ㻌 㻌 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 䖃♫ ♫䞉ᆅᇦ㈉⊩άື㻌 㻌 㻌 㛤ദᖺ᭶᪥㻌 ෆ㻌 㻌 ᐜ㻌 㛤ദᆅ㻌 㻝㻌 ᖹᡂ㻞㻠ᖺ㻝㻞᭶㻝㻞᪥㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 ➨㻝ᅇ㻌 ◊✲⌮ㅮ⩦㻌 Ꮫ㝔⮫ᗋㅮᇽ㻌 㻞㻌 ᖹᡂ㻞㻡ᖺ㻞᭶㻡᪥㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 ➨㻞ᅇ㻌 ◊✲⌮ㅮ⩦㻌 Ꮫ㝔⮫ᗋㅮᇽ㻌 ―206― 管理課 㻡䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃䛺⤒Ⴀ䜢⾜䛖䛯䜑䛻䚸ಖ㝤ᨵṇ䛻䜘䜛タᇶ‽䛾ぢ┤䛧䛻䜘䜛ቑ䛾⟇ᐃ䛚䜘䜃⤒㈝䛾⦰ ῶ䛻ດ䜑䛶䛔䛟䚹䜎䛯䚸་⒪⤒㈝䛾๐ῶ䚸ᴗົጤク䛾ᴗົෆᐜ䜢⢭ᰝ䛧䚸ጤクᴗ⪅ぢ┤䛧䛻䜘䜛 ጤク㔠㢠䛾పῶ䜢ᅗ䛳䛶䛔䛟䚹㻌 䖃㝔㛗ᕠど䚸⾨⏕ᕠど䜢㏻䛨䚸ᘬ䛝⥆䛝㻡㻿 άື䛾ᚭᗏ䛻ດ䜑䛶䛔䛟䚹㻌 䖃䝏䞊䝮་⒪䛾᥎㐍䛻䛴䛔䛶䚸䛭䛾ྲྀ䜚⤌䜏䜢⥲ᣓ䛧䚸ᗈ䛟⫋ဨ䛻࿘▱䛧䛶䛔䛟䚹㻌 䖃ᝈ⪅䛾‶㊊ᗘ䜢ୖ䛢䜛䜉䛟䚸ᝈ⪅䜈䛾་⒪䝃䞊䝡䝇ྥୖ䛻ດ䜑䜛䛸䛸䜒ඹ䛻䚸ᝈ⪅䛜㝔䛻ồ 䜑䜛᭱᪂䛾་⒪ሗ䜢ᥦ౪䛷䛝䜛⟶⌮యไస䜚䛸་⒪ሗ䛾ᐇ䜢ᅗ䜛䚹୍᪉䛷䚸⫋ົ‶㊊ᗘ 䜢㧗䜑䜛䛣䛸䛜ᝈ⪅䝃䞊䝡䝇䛾ྥୖ䛻䜒䛴䛺䛜䜛䛣䛸䜢㋃䜎䛘䚸⫋ဨ䜈䛾ྛ✀ᨵၿ䛻ྲྀ䜚⤌䜣䛷 䛔䛟䚹㻌 䖃ᖹᡂ㻞㻟ᖺᗘ䛻ᐇ䛧䛯⮬ᕫ䛾ᴗົ㛫ᩘㄪ䜉䜢ᇶ䛻䚸ᴗົ䛾ぢ┤䛧㻔ᨵၿ㻕䜢⾜䛔䚸ᴗົຠ⋡ 䛾ྥୖ䞉㛫እປാ䛾๐ῶ䜢ᚭᗏ䛧䚸㉸㐣ົ㛫๓ᖺᗘẚ㻞䠂๐ῶ䛻ດ䜑䛶䛔䛟䚹㻌㻌 㻌 ―207― 医事課 Ꮫ㝔㻌 ົ㒊㻌 昭和大学病院 事務部 㻤㻙㻞㻌 ་ㄢ㻌 ２）医事課 㻝㸬⌮ᛕ࣭┠ᶆ㻌 ձ ་⒪ධண⟬ࡢ㐩ᡂ㻌 ղ ᴗົయไࡢᩚഛ㻌 ճ ᩍ⫱ࢩࢫࢸ࣒ࡢᵓ⠏㻌 մ 㧗࠸ᑓ㛛ᛶࢆⓎࡍࡿ⤌⧊ࡢᵓ⠏㻌 㻌 㻞㸬ேဨᵓᡂ㻌 ົ㒊㛗㻌 ୖ ṇ㻌 ㄢ㛗㻌 ᑠᕝ ⚽ᶞ㻌 ࡑࡢ㻌 㻥㻤ྡ㻌 㻌 㻟㸬ᴗົᐇ⦼㻌 ձ་ㄢෆຮᙉ㻌 ་ㄢయ㻌 እ᮶ಀ㻌 ᥋㐝࣐ࢼ࣮ㅮ⩦㻌 ᩥ᭩⟶⌮ࢩࢫࢸ࣒ࡢ᭷ຠⓗ࡞ᑟධࡘ࠸࡚ࠊㆤಖ㝤࣭බ㈝་ ⒪➼ࡢྛ✀ಖ㝤ไᗘࡘ࠸࡚ࠊ᥋㐝ᙉక࠺᥋㐝࣐ࢽࣗࣝ ࡢά⏝ἲࡘ࠸࡚➼㻌 እ᮶ィ⟬ಀ㻌 ᰝᐃ㐣ㄗᰝᐃᑐࡍࡿᑐᛂᙉ⟇ࡘ࠸࡚ࠊᝈ⪅᥋㐝ࡢྥୖ ࡘ࠸࡚ࠊ㧗㢠⒪㣴㈝ไᗘࡘ࠸࡚ࠊᑂᰝㄳồࡘ࠸࡚➼㻌 ධ 㝔 ィ ⟬ ࣭ ࣋ ࢵ ࢻ ࢥࣥࢺ タᇶ‽ࡘ࠸࡚ࠊศፔ㈝⏝ᡭ⥆ࡁཬࡧㄳồ᪉ἲࡘ࠸࡚ࠊᮍ ࣮ࣟࣝಀ㻌 㔠๐ῶྥࡅ⟶⌮ྎᖒά⏝᪉ࡘ࠸࡚➼㻌 㻌 ղಖ㝤デ⒪ㅮ⩦㻌 ᖹᡂ㻞㻠ᖺ㻝㻞᭶㸱᪥㻌 ಖ㝤デ⒪ࡢ⌮ゎࡢࡓࡵ㻌 㻌 Ꮫୖᲄㅮᇽ㻌 ㅮᖌ㸸ᶓ⏣ ⿱ဢ㻌 㸦ᚠ⎔ჾෆ⛉㸧㻌 ᖹᡂ㻞㻡ᖺ㻝᭶㻞㻟᪥㻌 デ⒪ሗ㓘ࡢ⤌ࡳ㻌 ㅮᖌ㸸Ᏻ ⱱ 㸦⾑ᾮෆ⛉㸧㻌 㻌 ճ㝔እࡢຮᙉ࣭◊ಟ➼㻌 ᖹᡂ㻞㻠ᖺ 㻢᭶㻝㻢᪥㻌 ་⒪࢚ࢢࢮࢡࢸࣈࢭ࣑ࢼ࣮㻌 ᖹᡂ㻞㻠ᖺ㻝㻝᭶㻝㻣᪥㻌 ᅜ་⒪⤒Ⴀኈᐇ㊶◊✲㻌 㻌 ―208― Ꮫୖᲄㅮᇽ㻌 医事課 㻠㸬♫࣭ᆅᇦ㈉⊩άືࠊ◊✲ᴗ⦼㻌 ♫ە ♫࣭ᆅᇦ㈉⊩άື㻌 㛤ദᖺ᭶᪥㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻞㻣᪥㻌 ෆ ᐜ㻌 Ꮫࢡࣜࢽ࢝ࣝࢭ࣑ࢼ࣮㻌 㛤ദᆅ㻌 ࢩ࢙ࣛࢺࣥ㒔࣍ࢸࣝᮾி㻌 㻌 㻡㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձᩥ᭩⟶⌮ࢩࢫࢸ࣒ࡢᑟධ㻌 ་ᖌࡢົసᴗ㈇ᢸ㍍ῶ⟇ࡋ࡚ࠊデ᩿᭩➼ࡢᩥ᭩ࢆᡭ᭩ࡁ㐠 㻌 ⏝ࡽ 㻼㻯 ࡛సᡂ࡛ࡁࡿࢩࢫࢸ࣒ኚ᭦ࡋࡓࠋࡇࢀࡼࡾࠊస ᡂ㛫ࡀ▷⦰ࡋࠊ་ᖌࡢ㈇ᢸ㍍ῶ⧅ࡀࡗࡓࠋ㻌 ղ་⒪㐃ᦠᐊ㟁ヰᅇ⥺ቑタ㻌 ་⒪ᶵ㛵ࡽࡢ㐃⤡ࢆ㏿ࡸཷಙࡍࡿࡓࡵᅇ⥺ࢆቑタࡋ ᭦࡞ࡿᆅᇦ㐃ᦠࡢᙉດࡵࡓࠋ㻌 ճෆಀࡢᑟධ㻌 ⮬ືᨭᡶᶵࡢㄏᑟࡸᝈ⪅ࡉࢇࡽࡢྛ✀ၥ࠸ྜࢃࡏᑐࡋࠊ ㎿㏿࡞ᑐᛂࡀ࡛ࡁࡿࡼ࠺ィ❆ཱྀ๓ෆಀࢆ㓄⨨ࡋࠊᝈ⪅ ࢧ࣮ࣅࢫࡢྥୖࢆᅗࡗࡓࠋ㻌 մᚅࡕ㛫ࡢ⾲♧㻌 デ⒪ᚅࡕ㛫ࢆ㞟ྜ⾲♧ᯈᥖ♧ࡍࡿࡇࡼࡾࠊᝈ⪅ࡉࢇࡢ ᚰ⌮ⓗ㈇ᢸࢆ㍍ῶࡍࡿࡇ࡛ᝈ⪅ࢧ࣮ࣅࢫࡢྥୖࢆᅗࡗࡓࠋ㻌 㻌 㻢㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ە་⒪ධࡢቑ⟇ࢆ᥎㐍ࡋᨭᆒ⾮ດࡵࡿ㻌 ەᖹᡂ㻞㻠ᖺᗘ⾜ࡗࡓᨵၿάືࢆᚋࡶ⥅⥆ࡋࠊ⾜ࡗ࡚࠸ࡃࠋ㻌 ەᖖࢥࢫࢺព㆑ࢆࡶࡗ࡚ࠊᴗົࡢຠ⋡ࠊᶆ‽ດࡵࠊᴗົጤクࢆ㐍ࡵࡿࠋ㻌 㻌 ―209― 臨床試験支援センター Ꮫ㝔㻌 ⮫ᗋヨ㦂ᨭ䝉䞁䝍䞊㻌 昭和大学病院 臨床試験支援センター 㻥㻌 ⮫ᗋヨ㦂ᨭ䝉䞁䝍䞊㻌 １）臨床試験支援センター 㻝䠊⌮ᛕ䞉┠ᶆ㻌 㻌 ⮫ᗋヨ㦂ᨭ䝉䞁䝍䞊䛿Ꮫ㝔䛚䜘䜃Ꮫ㝔㝃ᒓᮾ㝔䛷ᐇ䛥䜜䜛⮫ᗋヨ㦂 䠄㦂䠅䛾ᨭ䜢⾜䛳䛶䛔䜛⤌⧊䛷䛒䜛䚹་⸆ရཬ䜃་⒪ᶵჾ䛾⮫ᗋヨ㦂䛜䝦䝹䝅䞁䜻ᐉゝ䛾⢭ ⚄䜢ᑛ㔜䛧䚸⸆ἲ䚸ಶேሗ䛾ಖㆤ䛻㛵䛩䜛ἲᚊ䚸㻳㻯㻼 ➼䛾ἲ௧ཬ䜃ྛᇶ‽䚸䜺䜲䝗䝷䜲䞁 䜢㑂Ᏺ䛧⌮ⓗ䛺㓄៖䛾䜒䛸䛻䚸⛉Ꮫⓗ䛻Ᏻ䛛䛴㐺ṇ䛻ᐇ䛥䜜䜛䛣䛸䜢ᨭ䛧䛶䛔䜛䚹㻌 㻌 㻞䠊ேဨᵓᡂ㻌 䝉䞁䝍䞊㛗䠄་ᖌ䠅㻌 Ᏻ㻌 ⱱ㻌 䝉䞁䝍䞊㛗䠄⸆ᖌ䠅㻌 ᮧᒣ㻌 ⣧୍㑻㻌 䛭䛾㻌 ᑓ௵㻢ྡ䚸ව௵㻞ྡ 㻌 㻟䠊ᴗົᐇ⦼㻌 䐟⮫ᗋヨ㦂ཷク௳ᩘ㻌 䜹䝔䝂䝸䞊㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㦂㻌 㻝㻞 㻞㻜 〇㐀㈍ᚋㄪᰝ㻌 㻠㻡㻌 㻟㻞 ⮫ᗋ◊✲㻌 㻝㻠㻌 㻢 㻌 㻌 䐠㦂ᐇ⦼௳ᩘ㻌 ᐇ㻌 ⦼㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ⤊ሗ࿌㻌 ᐇ⦼ᩘ㻛ዎ⣙ᩘ䠄䠅㻌 ᐇ⋡䠄䠂䠅㻌 㻌 ―210― ᖹᡂ㻞㻠ᖺᗘ㻌 㻝㻥㻌 㻝㻞 㻝㻤㻤㻛㻞㻞㻠㻌 㻝㻥㻤㻛㻞㻣㻠 㻤㻟㻚㻥㻑㻌 㻣㻞㻚㻟㻑 䐟䝉䞁䝍䞊䛾㐠Ⴀ᪉㔪㻌 ㏆ᖺ䚸䛂㦂䛾㉁䛾☜ಖ䛃䛸䛂⿕㦂⪅䛾⤌䜏ධ䜜䝇䝢䞊䝗䛾ྥୖ䛃䛜 ồ䜑䜙䜜䛶䛚䜚䚸䛭䜜䛜ᐇ⌧ྍ⬟䛺་⒪ᶵ㛵䛷䛒䜜䜀䚸ዎ⣙ᩘ䛾 ቑຍ䛜ぢ㎸䜎䜜䜎䛩䚹䛣䜜䜙䚸౫㢗⪅䛛䜙䛾䝙䞊䝈䛻ᑐᛂ䛷䛝䜛䜘䛖䛻 㦂ᐇ䛾ᨭయไ䜢ᵓ⠏䛩䜛䛣䛸䜢㐠Ⴀ᪉㔪䛻ᤣ䛘䛶䛔䜎䛩䚹㻌 䐠ᨭయไᙉ䛾ྲྀ⤌ 䜏㻌 Ꮫ㻤㝔䛾ྜྠ㆟䜢㛤ദ䛧䚸䛂Ꮫ㝔ཬ䜃ྛ㝃ᒓ 㝔䞉䜽䝸䝙䝑䜽⮫ᗋ◊✲ྲྀᢅつ⛬䛃䛾ไᐃ䚸䛂㦂㈝⏝⟬ฟ⾲㻔䝫䜲䞁䝖 ⟬ฟ⾲㻕䛃䛾⤫୍䚸䛂〇⸆ᴗ䛛䜙䛾་⒪ᶵ㛵䜈䛾せᮃ䛃䛻䛴䛔䛶ᢸᙜ ⪅䛻ㅮ₇䜢䛧䛶䛔䛯䛰䛝䚸㻤㝔䛾ඹྠయไᵓ⠏䛻ྲྀ䜚⤌䜣䛰䚹ᚋ䚸 䛂⤫୍᭩ᘧ䛾බ༳䛾ྲྀᢅ䛔䛃䛂ඹྠ 㻵㻾㻮䛃䛺䛹䛻䛴䛔䛶䚸᳨ウ䜢⥅⥆䛩䜛 ணᐃ䛷䛩䚹㻌 䐡ேဨ䠄㻯㻾㻯 ⿵䠅㻌 ⮫ᗋヨ㦂ᨭ䝉䞁䝍䞊䛾ᑓᚑ⪅ᐃဨᯟ䜢Ꮫ㝔䛸ᮾ㝔䜢ྜ䜟 䛫䛶䚸㻥ྡᯟ䛻ቑဨ䛥䜜䛯䛾䛻క䛔䚸᪂つ㦂䛾ཷධ䜜䜢㛤䛧䚸㦂 䛾ᐇ⦼⥔ᣢ䛻ດ䜑䛯䛜䚸ῶဨయไ䛷䛾ᴗົ䛜⥆䛔䛯䚹ᖺᗘᮎ䛻㻢ྡ䛸 䛺䛳䛯䛜䚸ேဨ⿵䠄㻯㻾㻯 ⿵䠅䛜䚸ㄢ㢟䛸䛺䛳䛶䛔䜎䛩䚹㻌 㻌 㻡䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃Ꮫ㻤㝔䛻䛚䛡䜛⮫ᗋヨ㦂ᴗົ䛾ᶆ‽䜢㐍䜑䜛㻌 䖃ከᵝ䛩䜛⮫ᗋヨ㦂䛻క䛔䚸㻤㝔䛾㐃ᦠ䜢ᙉ䛩䜛㻌 䖃⮫ᗋヨ㦂ᨭ䛻ᚲせ䛺ேᮦ⫱ᡂ䜢㐍䜑䜛㻌 䖃㦂ཷクᴗົ䛾ぢ┤䛧䛸యไᩚഛ㻌 㻌 ―211― 臨床試験支援センター 㻠䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 医療安全管理部門 Ꮫ㝔㻌 ࢡ࢜ࣜࢸ࣐ࢿࢪ࣓ࣥࢺ㒊 ་⒪Ᏻ⟶⌮㒊㛛㻌 昭和大学病院 クオリティマネジメント部 医療安全管理部門 㻝㻜㻌 ་⒪Ᏻ⟶⌮㒊㛛㻌 １）医療安全管理部門 㻝㸬⌮ᛕ࣭┠ᶆ㻌 㻝㻚 ☜ㄆ࣮ࣝࣝ㑂Ᏺࢆ᥎㐍ࡋࠊᏳ࡞་⒪ࢆᥦ౪ࡋࡲࡍ㻌 㻞㻚 ࢭ࣮ࣇࢸ࣐ࢿࢪ࣮ࣕࡢ࣐ࢿࢪ࣓ࣥࢺ⬟ຊࢆྥୖࡉࡏࠊ㒊⨫ࡢࣥࢩࢹࣥࢺሗ࿌యไࢆᵓ ⠏ࡋࡲࡍ㻌 㻟㻚 ࢳ࣮࣒ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢆᙉࡋࠊࢥ࣑ࣗࢽࢣ࣮ࢩ࢚࣮ࣙࣥࣛࡼࡿࣥࢩࢹࣥࢺࢆῶࡽ ࡋࡲࡍ㻌 㻌 㻞㸬ேဨᵓᡂ㻌 ་⒪Ᏻ⟶⌮㒊㛛㛗㸦㝔㛗࣭ᾘჾ୍࣭⯡እ⛉ᩍᤵ㸧 ᮧୖ 㞞ᙪ㻌 㒊㛛㛗㸦ົ㒊㛗㸧㻌 ୖ ṇ㻌 ་⒪Ᏻ⟶⌮⪅㸦┳ㆤᖌ㛗㸧㻌 ᑠᕷ ె௦Ꮚ㻌 ་⒪ᶵჾᏳ⟶⌮㈐௵⪅㸦ᨺᑕ⥺㒊 㒊㛗㸧㻌 ୰⃝ 㟹ኵ㻌 ་⸆ရᏳ⟶⌮㈐௵⪅㸦⸆ᖌ㸧㻌 ⏣୰ ඞᕭ㻌 デ⒪㒊 ᚠ⎔ჾෆ⛉་ᖌ㻌 㓇 ဴ㑻㻌 ᾘჾ୍࣭⯡እ⛉་ᖌ㻌 㟷ᮌ Ṋኈ㻌 ᩆᛴ་Ꮫ⛉་ᖌ㻌 ⏣୰ ၨྖ㻌 ┳ㆤ㒊㸦┳ㆤ㒊ḟ㛗㸧㻌 ☾ᕝ ᝋᏊ㻌 ⮫ᗋᕤᏛᢏኈ㻌 ᆏᮏ ᆂ୕㻌 ⮫ᗋ᳨ᰝᢏᖌ㻌 ຍ㈡ᒣ ᭸ᯞ㻌 ᝈ⪅┦ㄯ❆ཱྀᢸᙜ㸦⥲ྜ┦ㄯࢭࣥࢱ࣮ ┳ㆤ௵㸧㻌 ᕝୖ ⏤㤶Ꮚ㻌 ་⒪Ᏻ⟶⌮㒊㛛ᢸᙜ㻌 ὸᕝ ᝋஂ㻌 㻌 㻟㸬ᴗົᐇ⦼㻌 ձࢡࢩࢹࣥࢺ࣭ࣥࢩࢹࣥࢺ௳ᩘ㻌 㻌 ࣥࢩࢹࣥࢺ௳ᩘ㻌 ㄗ⸆㸦ෆ᭹࣭እ⏝㸧㻌 ࢡࢩࢹࣥࢺ௳ᩘ㻌 㻝㻘㻜㻠㻜௳㻌 㻞௳ ㄗὀᑕ࣭㍺⾑㻌 㻥㻝㻥௳㻌 㻞௳ ㌿ಽ࣭㌿ⴠ㻌 㻠㻤㻞௳ 㻢௳ ࢳ࣮ࣗࣈࢺࣛࣈࣝ㻌 㻤㻠㻟௳ 㻢௳ ᳨ᰝ࣭⏬ീ㻌 㻠㻢㻝௳ 㻥௳ ᡭ⾡࣭㻹㻱㻌 㻞㻝㻤௳ 㻞㻜௳ 㣗࣭ࡑࡢ㻌 㻣㻤㻡௳ 㻤௳ 㻠㻘㻣㻠㻤௳ 㻡㻟௳ ྜィ㻌 㻌 ―212― ⫋ ✀㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ་ᖌ㸦◊ಟ་ྵࡴ㸧㻌 ┳ㆤᖌ㻌 ࡑࡢࡢ⫋✀㻌 ྜィ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㻝㻥㻡௳㻌 㻞㻞㻞௳ 㻠㻘㻣㻣㻠௳㻌 㻠㻘㻜㻝㻞௳ 㻟㻞㻞௳㻌 㻡㻝㻠௳ 㻡㻘㻞㻥㻝௳㻌 㻠㻘㻣㻠㻤௳ 㻌 ճᖹᡂ㻞㻠ᖺᗘ་⒪Ᏻ㓄ಙࡢᅇぴ࣭㔜せᅇぴࡢ࡞ෆᐜ㻌 Ⓨ⾜᪥㻌 ෆᐜ㻌 ᅇぴ㸭㔜せᅇぴ 㻡᭶㻝㻤᪥㻌 ⧞ࡾ㏉ࡋ⾜࠺くࢆక࠺᳨ᰝ࣭ฎ⨨㸦እ᮶࡛⾜࠺ᑠᡭ⾡ࢆྵࡴ㸧 ᅇぴ㻌 ࡢྠព᭩ࡘ࠸࡚㻌 㻡᭶㻞㻠᪥㻌 ⸆ࡢὀពႏ㉳ෆᐜࡢㄝ᫂デ⒪㘓ࡢ☜ᐇ࡞グ㘓ࡘ࠸࡚㻌 ᅇぴ㻌 㻡᭶㻞㻠᪥㻌 ࡚ࢇࢇࡢ࠶ࡿேࡢ㌴ࡢ㐠㌿㛵ࡍࡿ㐺ษ࡞ᣦᑟࠊ㐨㊰㏻ἲࢆ ᅇぴ 㻌 㑂Ᏺࡋࡓデ᩿᭩ࡢసᡂཬࡧデ⒪㘓ࡢᣦᑟෆᐜࡢグ㍕ࡘ࠸࡚㻌 㻣᭶㻞㻟᪥㻌 Ύ₩ࢣࡢ⤥ჾ⏝⚗Ṇࡘ࠸࡚㻌 ᅇぴ㻌 㻣᭶㻟㻝᪥㻌 ࠕ་⒪Ᏻ⟶⌮ᑐ⟇࣐ࢽࣗࣝࠖ㻌 㻌 㔜せᅇぴ㻞㻠㸫㻝㻌 ࠕ་⸆ရ㛵ࡍࡿᡭ㡰᭩ࠖࡢ୍㒊ᨵゞࡘ࠸࡚㻌 㻌 㻤᭶㻞㻣᪥㻌 ㌿ಽ࣭㌿ⴠⓎ⏕ᚋࡢ㹖㸫㹎ᇶ‽ࡘ࠸࡚㻌 㔜せᅇぴ㻞㻠㸫㻟㻌 㻤᭶㻞㻣᪥㻌 㝔እᛴ⪅Ⓨ⏕ࡢᛂయไ࠙ࢥ࣮ࢻࢫ࢝ࠚࡘ࠸࡚㻌 㔜せᅇぴ㻞㻠㸫㻠㻌 㻥᭶㻣᪥㻌 ࢥ࣮ࢻࢢ࣮ࣞࡢ㐃⤡ඛࡘ࠸࡚㻌 ᅇぴ 㻌 㻥᭶㻣᪥㻌 ேᕤ྾ჾ㛵ࢃࡿᏳᑐ⟇ࡘ࠸࡚㻌 ᅇぴ 㻌 㻥᭶㻞㻤᪥㻌 ほ⾑ⓗ᧯సࡢ་⸆ရྲྀࡾᢅ࠸࢞ࢻࣛࣥࡢ୍㒊ᨵゞ㻌 㔜せᅇぴ㻞㻠㸫㻞㻌 㻝㻜᭶㻝㻞᪥㻌 ほ⾑ⓗ᧯సࡢ་⸆ရྲྀࡾᢅ࠸࢞ࢻࣛࣥ 㼂㼑㼞㻚㻥ࡢ୍㒊ᨵゞ 㔜せᅇぴ㻞㻠㸫㻡㻌 ࡘ࠸࡚㻌 㻝㻞᭶㻞㻡᪥㻌 ᝈ⪅ෆ⚊Ώࡋㄗࡾࡘ࠸࡚㸦ὀពႏ㉳㸧㻌 ᅇぴ㻌 㻞᭶㻝㻤᪥㻌 ᣢཧ⸆☜ㄆ࣭ᣦ♧⚊ࡢ㐠⏝ࡘ࠸࡚㸦㐠⏝ኚ᭦㸧㻌 ᅇぴ㻌 㻞᭶㻞㻤᪥㻌 ⸆ໟ⾲グࡀ᫂░࡞ሙྜࡢᣢཧ⸆ࡢ㐠⏝ࡘ࠸࡚㻌 ᅇぴ㻌 㻞᭶㻞㻤᪥㻌 ࣁ࣮ࣛࢺ⸆୍㒊ᨵゞࡘ࠸࡚㻌 ᅇぴ㻌 㻟᭶㻝㻤᪥㻌 ⾑⢾ ᐃ࣭ࣥࢫࣜࣥ➼ὀᑕᣦ♧ఏ⚊ኚ᭦㻌 ᅇぴ㻌 ⾑⢾ ᐃ࣭ࣥࢫࣜࣥὀᑕ㛵ࡍࡿ㐠⏝ᇶ‽ᨵゞ㻌 㻌 մ་⒪Ᏻ⟶⌮㒊㛛ദㅮ⩦㻌 㻝㸧⫋ဨᑐ㇟ࡢ་⒪Ᏻᑐ⟇ㅮ⩦㻌 㻌 ➨㻝ᅇ㻌 ᪥ 㻌 ᖹᡂ㻞㻠ᖺ㻠᭶㻞㻣᪥㻌 ࡞ෆᐜ㻌 ࠗά⏝ࡋࡼ࠺࣏ࢣࢵࢺ࣐ࢽࣗࣝ࠘㻌 ฟᖍ⪅ᩘ 㻥㻥㻢ྡ Ꮫ㝔་⒪Ᏻ⟶⌮⪅ ᑠᕷ ె௦Ꮚ㻌 ➨㻞ᅇ㻌 ᖹᡂ㻞㻠ᖺ㻢᭶㻠᪥㻌 ࠗ་⒪Ᏻࣄ࣮࣐࢚࣮ࣗࣥࣛᑐ⟇ࡘ࠸࡚࠘㻌 ⮬་⛉Ꮫ ་⒪ᏳᏛᩍᤵ Ἑ㔝 㱟ኴ㑻 ―213― 㻣㻜㻜ྡ 医療安全管理部門 ղࣥࢩࢹࣥࢺ࣏࣮ࣞࢺ⫋✀ูሗ࿌௳ᩘ㻌 医療安全管理部門 㻌 ➨㻟ᅇ㻌 ᪥ 㻌 ᖹᡂ㻞㻠ᖺ㻥᭶㻝㻤᪥㻌 ࡞ෆᐜ㻌 ฟᖍ⪅ᩘ 㻡㻣㻟ྡ ࠗ་⒪࢞ࢫࡘ࠸࡚࠘㻌 ᰴᘧ♫༓௦⏣ ྲྀ⥾ᙺ⤫ᣓ㒊㛗 㧗⃝ ṇᶞ ࠗᙜ㝔࠾ࡅࡿಶேሗࡢ⣮ኻ₃ὤࡘ࠸ ࡚࠘㻌 Ꮫ㝔 ⟶⌮ㄢ ᮧᮌ ♸㻌 ➨㻠ᅇ㻌 ᖹᡂ㻞㻠ᖺ㻝㻝᭶㻟㻜᪥㻌 ࠗ་⒪ᶵჾࡢᏳ⟶⌮࠘⮫ᗋᕤᏛᢏᖌ Ⰽ㒊 ῟୍ 㻟㻟㻝ྡ ➨㻡ᅇ㻌 ᖹᡂ㻞㻡ᖺ㻝᭶㻞㻟᪥㻌 ࠗ་⸆ရࡢᏳ⏝࠘㻌 㻟㻤㻣ྡ ᮾ㝔་⸆ရᏳ⟶⌮㈐௵⪅ ᔱᮧ ᘯྐ㻌 ࡚ࠗࢇࢇ㛵ࡍࡿ᭱᪂ሗ࠘㻌 ᮾ㝔㝔㛗 Ἑᮧ ‶㻌 ࢺࣆࢵࢡࢫ㻌 ᖹᡂ㻞㻠ᖺ㻝㻞᭶㻝㻥᪥㻌 ࠗᮾி㒔ࡢ⅏ᐖ་⒪యไ࠘㻌 㻝㻤㻣ྡ ᮾி㒔⚟♴ಖᒁ ་⒪ᨻ⟇㒊 ⅏ᐖ་⒪ᢸᙜ 㻌 ㄢ㛗 ➉ෆ ᰤ୍㻌 ᮾி㒔⚟♴ಖᒁ ᗣᏳ㒊ᴗົㄢ ⸆ᖌ ⮫ᗋᕤᏛᢏᖌ ㇂ᓮ ᕼ⨾Ꮚ㻌 ࢺࣆࢵࢡࢫ㻌 ᖹᡂ㻞㻡ᖺ㻞᭶㻢᪥㻌 㻌 ࠗ⅏ᐖࡢࢺ࣮ࣜࢪ࠘ ࠗ㹀㹊㹑ࡢኚ᭦ࡘ࠸࡚࠘ 㻢㻥ྡ ᩆᛴ་Ꮫ⛉ ᒣୗ ᬛᖾ㻌 ࠗᛴኚࡢ㝔ෆᛂయไࡘ࠸࡚࠘㻌 ᩆᛴ་Ꮫ⛉ ⴗཎ ⚈ᘯ㻌 㻰㼂㻰 ㅮ⩦㻌 ᖹᡂ㻞㻠ᖺ 㻌 ➨㻝ᅇ㹼➨㻟ᅇㅮ⩦ࡢෆᐜࢆ㻡᪥㛫㛤ദ㻌 㻤㻜㻡ྡ 㻝㻜᭶㻝㻤ࠊ㻝㻥ࠊ㻞㻟㸪㻞㻢 㻝㻣㸸㻟㻜㹼㻞㻝㸸㻜㻜㻌 㻞㻥᪥㻌 㻌 㻞㸧㝔ෆ⫋ဨ◊ಟ㻌 㛤ദ᪥㻌 ᑐ㇟㻌 ࡞ෆᐜ㻌 㻠᭶㻝᪥㻌 ᪂ධ⫋ဨ㻌 ࠗ་⒪Ᏻ⟶⌮ࡘ࠸࡚࠘㻌 㻠᭶㻟᪥㻌 ⮫ᗋ◊ಟ་㻌 ࠗ་⒪Ᏻ⟶⌮࠘ ࠗ་⒪ᶵჾᏳ⟶⌮࠘ࠗ་⸆ရᏳ⟶⌮࠘㻌 㻠᭶㻡᪥㻌 ᪂ே┳ㆤᖌ㻌 ࠗ་⒪Ᏻ࠘ࠗ་⸆ရࡢᏳ⏝࠘ࠗ་⒪ᶵჾࡢᏳ⏝࠘㻌 㻠᭶㻞㻜᪥㻌 ᪂ே┳ㆤᖌ㻌 ࠗ་⒪Ᏻ㸦㌿ಽ㌿ⴠ㸧 ࠘㻌 㻌 㻡᭶㻝㻢᪥㻌 ᪂ே┳ㆤᖌ㻌 ࠗ༴㝤ண▱ࢺ࣮ࣞࢽࣥࢢ࠘㻌 㻡᭶㻞㻞᪥㻌 ┳ㆤᖌᕼᮃ⪅㻌 ࠗ༴㝤ண▱ࢺ࣮ࣞࢽࣥࢢ࠘㻌 㻣᭶㻌 ┳ㆤᖌࢳ࣮࣒࣮ࣜࢲ࣮㻌 ࢳ࣮࣒࡛ྲྀࡾ⤌ࡴ་⒪Ᏻ㻌 㻝㻜᭶㻞㻡᪥㻌 ┳ㆤᖌᕼᮃ⪅㻌 ᝈ⪅ࡉࢇ➼ࡼࡿ㏞ᝨ⾜Ⅽࡑࡢᑐᛂ 㻌 㻝㻝᭶㻝㻢᪥㻌 ┳ㆤᖌᕼᮃ⪅㻌 ་⒪ᨾⓎண㜵ࡘ࡞ࡆࡿ㹼ࣥࢩࢹࣥࢺ࣭ࢡࢩࢹࣥࢺ ࡢศᯒ㻌 㻌 㻌 㻌 ―214― 医療安全管理部門 㻟㸧㻯㼂㻯 ࣥࢫࢺࣛࢡࢱ࣮◊ಟ㻌 㛤ദ᪥㻌 デ ⒪ ⛉㻌 㻟᭶㻞㻝᪥㻌 ⏘፬ே⛉࣭ᾘჾෆ⛉࣭ᑠඣ⛉㻌 㻟᭶㻞㻥᪥㻌 ⏘፬ே⛉࣭Ἢᒀჾ⛉࣭࣐ࣜ࢘ࢳ⭺ཎ࣭ᾘჾෆ⛉࣭⪥㰯ဗႃ⛉࣭ᑠඣ⛉࣭ᙧ ᡂእ⛉㻌 㻌 㻠㸧ேᕤ྾ჾᐇ㊶ㅮ⩦㻌 㛤ദ᪥㻌 ᑐ㇟㒊⨫㸭デ⒪⛉㻌 ཧຍேᩘ㻌 㻡᭶㻝㻜᪥㻌 㻵㻯㼁࣭㻯㻥㻮࣭ᾘჾእ⛉㻌 ་ᖌ㻞ྡ㻌 ┳ㆤᖌ㻢ྡ 㻢᭶㻝㻠᪥㻌 㻵㻯㼁࣭㻯㻥㻮㻌 㻌 ┳ㆤᖌ㻡ྡ 㻣᭶㻝㻞᪥㻌 㻯㻥㻮࣭㻱㻾㻌 㻌 ┳ㆤᖌ㻤ྡ 㻥᭶㻢᪥㻌 㻯㻯㼁 㻱㻾 㻌 㻌 ┳ㆤᖌ㻣ྡ 㻝㻜᭶㻝㻝᪥㻌 㻯㸷㻭 㻺㻝㻡 㻺㸶 㻌 ་ᖌ㻝ྡ㻌 ┳ㆤᖌ㻢ྡ 㻝㻝᭶㻤᪥㻌 㻺㻝㻠 㻺㻝㻟 㻺㻝㻞 㻌 㻌 ┳ㆤᖌ㻢ྡ 㻝㻞᭶㻌 㻝㻟᪥㻌 㻺㻝㻝 㻺㻝㻜 㻺㸶㻌 ་ᖌ㻝ྡ㻌 ┳ㆤᖌ㻣ྡ 㻝᭶㻝㻜᪥㻌 㻺㻝㻢 㻺㻣㻱㻠࣭㻱㻢㻌 㻌 ┳ㆤᖌ㻤ྡ 㻞᭶㻣᪥㻌 㻱㻢 㻱㻠 㻱㸰 㻌 㻌 ┳ㆤᖌ㻤ྡ 㻟᭶㻣᪥㻌 㻵㻯㼁࣭㻱㻾㻌 㻌 ┳ㆤᖌ㻥ྡ 㻌 㻡㸧㹀㹊㹑ㅮ⩦㻌 㛤ദ᪥㻌 ᑐ㇟㒊⨫㻌 ཧຍேᩘ㻌 㻤᭶㻞㻝᪥㻌 ་ㄢ㻌 㻝㻢ྡ 㻤᭶㻟㻜᪥㻌 ་ㄢ࣭⟶⌮ㄢ㻌 㻝㻠ྡ 㻝㻜᭶㻟㻜᪥㻌 ┳ㆤ㒊㻌 㻤ྡ 㻝㻝᭶㻞㻥᪥㻌 ┳ㆤ㒊㻌 㻤ྡ 㻝㻞᭶㻞㻢᪥㻌 ┳ㆤ㒊㻌 㻝㻜ྡ 㻌 յ་⒪Ᏻ᥎㐍㐌㛫㻌 ᖹᡂ㻞㻠ᖺᗘࡣ㻝㻝᭶㻞㻞᪥㸦ᮌ㸧㹼㻝㻝᭶㻞㻥᪥㸦ᮌ㸧ࡢ㻝㐌㛫ࢆ་⒪Ᏻ᥎㐍㐌㛫ᐃࡵࠊ⫋ဨᑐ㇟ ࡣࠊ ࠗᏳάື⮬៏࠘ࢆ㛤ദࡋࡓࠋ⮬㒊⨫࡛ࡢ་⒪Ᏻ㛵ࡍࡿྲྀࡾ⤌ࡳࢆࢫࣛࢻ㻠ᯛ⛬ᗘ ࡲࡵࠊ୰ኸᲷࠊධ㝔Ჷᒎ♧ࡋࡓࠋ⫋ဨཬࡧᝈ⪅ࡢᢞ⚊ࡼࡾ᭱ඃ⚽㈹ࢆỴᐃࡋࠊ㝔㛗ࠊ ົ㛗ࠊ་⒪Ᏻ⟶⌮ᐊ㛗ࠊ┳ㆤ㒊㛗ࡀࡑࢀࡒࢀඃ⚽ㄆࡵࡓ㒊⨫ࢆ⾲ᙲࡋࡓࠋᝈ⪅ࡉࢇࡣᏳ ࣓ࢵࢭ࣮ࢪධࡾࡢ࣏ࢣࢵࢺࢸࢵࢩࣗࢆ㓄ᕸࡋࡓࠋ㻌 㻌 ―215― 医療安全管理部門 㻠㸬♫࣭ᆅᇦ㈉⊩άືࠊ◊✲ᴗ⦼㻌 ♫ە ♫࣭ᆅᇦ㈉⊩άື 㻌 㻌 㛤ദᖺ᭶᪥㻌 㻝㻌 ෆ ᐜ㻌 㛤ദᆅ㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻝㻥᪥㹼 ➨㻟㻠ᅇཌ⏕㐃⸆ᖌ◊✲㻌 ᪂ᐟ㎰༠㤋㻣㝵 㻝㻜᭶㻞㻜᪥㻌 ㆟ᐊ㻌 ࣮࣡ࢡࢩࣙࢵࣉ㸸㻌 ࠕࣥࢩࢹࣥࢺࡽ་⒪ࡢ࠶ࡾ᪉ࢆ ⪃࠼ࡿࠖ㻌 ㅮ⩏㸸ࠕࢳ࣮࣒࡛ྲྀࡾ⤌ࡴ་⒪Ᏻࠖ㻌 㻌 㻡㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձ㌿ಽ㌿ⴠண㜵ᑐ⟇ᙉ㻌 ๓ᖺᗘ㝔ෆ࡛Ⓨ⏕ࡋࡓ㌿ಽ㌿ⴠࡢ᭷ᐖ㇟ࡣ㻝㻠௳࡛యࡢ㻞㻜㸣 ཬࢇࡔࠋせᅉࡢ୍ࡘࢫࣜࢵࣃࢆᒚ࠸࡚࠸࡚ࡗࡓࡇࡶ࠶ ࡾࠊධ㝔୰ࡢࢫࣜࢵࣃࠊࢧࣥࢲࣝࡢ⏝ࢆ⚗Ṇࡋ㠐ࢱࣉࢆ᥎ዡ ࡋࡓࠋ㌿ಽ㌿ⴠࡢࢭࢫ࣓ࣥࢺࢩ࣮ࢺᣦᑟ㡯┠ࢆ㏣ຍࡋᣦᑟࡢ ᙉࢆᅗࡗࡓࠋࢫࣜࢵࣃࠊࢧࣥࢲࣝ⏝ᝈ⪅ࡢㄪᰝࡶ⾜࠸࿘▱≧ ἣࢆ☜ㄆࡋࠊ㻞㻠ᖺᗘࡢⓎ⏕௳ᩘࡣ㻠௳࡞ࡗࡓࠋ㻌 ղ᳨ᰝ࣭ᡭ⾡๓୰Ṇ㐃⤡⚊ ᳨ᰝ࣭ᡭ⾡๓୰Ṇࡍࡁ⸆ࡀ୰Ṇࡉࢀ࡞ࡗࡓࡇ࡛ࠊ᳨ᰝ࣭ ࡢ㠃ᨵゞ㻌 ᡭ⾡ࡀཷࡅࡽࢀ࡞ࡗࡓࣥࢩࢹࣥࢺࡢᑐ⟇ࡋ࡚ࠊ᳨ᰝ࣭ᡭ⾡ ୰Ṇ㐃⤡⚊ࢆ᪂ࡓసᡂࡋࠊᝈ⪅ࡢㄝ᫂ᡭ㡰ࡶ᫂☜ࡋࡓࠋ㻌 㻌 㻢㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ࡢࢺࣥࢹࢩࢡ࣭ࢺࣥࢹࢩࣥەᨵၿ⟇ࡢ࿘▱ᚭᗏ㻌 ࣏ࢣࢵࢺ࣐ࢽࣗࣝࡢᥖ㍕ࠊᅇぴࡸࢽ࣮ࣗࢫࡢ㓄ᕸࠊ㻼㻯 ᥖ♧ᯈࠊࢹࢪࢱࣝࢧࢿ࣮ࢪࢆ ά⏝ࡋ࿘▱ࢆᅗࡗ࡚࠸ࡿࡀࠊᕠᅇ➼ࡢ☜ㄆ࡛ࡣㄆ㆑ࡉࢀ࡚࠸࡞࠸ࡇࡀከ࠸ࡓࡵࠊ᭦࡞ࡿ ᕤኵࡀᚲせࠋ㻌 ࡓࡏࢃྜ✀⫋ྛە་⒪Ᏻᩍ⫱ࡢᐇ㻌 ་⒪Ᏻឤᰁᑐ⟇ㅮ⩦ࡣ⫋ဨᑐ㇟⾜࠺ࡓࡵࠊཷㅮ⪅ࡼࡗ࡚⌮ゎࡸ‶㊊ࡀᚓࡽࢀ ࡃ࠸ᵓᡂ࡞ࡗ࡚࠸ࡿࠋຠᯝⓗ⥅⥆ⓗ࡞་⒪Ᏻᩍ⫱ࡀ㔜せ࡛࠶ࡿࠋ㻌 ࡢ࣮ࣕࢪࢿ࣐ࢸࣇ࣮ࢭەάືᙉ㻌 㒊⨫ࡼࡾࢭ࣮ࣇࢸ࣐ࢿࢪ࣮ࣕࡢᙺᑐࡍࡿព㆑ࠊ⾜ືࡢᕪࡀࡁࡃࠊࢭ࣮ࣇࢸ࣐ ࢿࢪ࣮ࣕᑐࡍࡿᩍ⫱ࡶ༑ศ࡞≧ἣ࡛࠶ࡿࠋศ⛉ࢆ㏻ࡋ࡚ࣜࢫࢡ࣐ࢿࢪ࣮ࣕࡢᩍ⫱࣭ ᨭࡀ㔜せ࡛࠶ࡿࠋ㻌 㻌 ―216― 感染管理部門 Ꮫ㝔㻌 䜽䜸䝸䝔䜱䝬䝛䝆䝯䞁䝖㻌 ឤᰁ⟶⌮㒊㛛㻌 昭和大学病院 クオリティマネジメント部 感染管理部門 㻝㻝㻌 ឤᰁ⟶⌮㒊㛛㻌 １）感染管理部門 㻝䠊⌮ᛕ䞉┠ᶆ㻌 㻝䠊་⒪㛵㐃ឤᰁ䛾ண㜵㻌 㻞䠊ᆅᇦ㐃ᦠᙉ㻌 㻟䠊་⒪ᗫᲠ≀䛾ฟ㔞䛾๐ῶ㻌 㻌 㻞䠊㒊㛛ဨ㻌 㒊㛛㛗䠄ឤᰁෆ⛉ᩍᤵ䞉ឤᰁᑓ㛛་䠅 ᮌ㻌 ⰾே㻌 ົ㻌 ᒾ⏣㻌 ↷㞝㻌 㒊㛛㛗䠄ㅮᖌ䞉ឤᰁᑓ㛛་䠅㻌 ル㛫㻌 㝯༤㻌 ົ㻌 ᓠᑿ㻌 ᚭ㻌 ┳ㆤ㒊䠄ḟ㛗䠅㻌 ᇛᡤ㻌 ᢇ⨾Ꮚ㻌 ົ㻌 ᑠᯘ㻌 ṇ㻌 ⸆ᖌ㻔ㄢ㛗䞉㻵㻯㻰㻕㻌 㻌 ᓟᮧ㻌 ⣧Ꮚ㻌 ឤ ᰁ ⟶ ⌮ ⪅ 䠄 ಀ 㛗 䞉 ୰᰿㻌 㤶⧊㻌 ⮫ᗋ᳨ᰝᢏᖌ䠄௵䞉㻵㻯㻹㼀䠅㻌 Ᏹ㈡⚄㻌 ᫂㻌 ឤᰁ┳ㆤᑓ㛛┳ ㆤᖌ䠅㻌 㻌 㻟䠊ᴗົᐇ⦼㻌 㻌 䐟᪂つ 㻹㻾㻿㻭 ᳨ฟ௳ᩘ㻌 㡯㻌 㻌 ┠㻌 ௳㻌 ᩘ䞉᳨ฟ⋡㻌 ᪂つ 㻹㻾㻿㻭㻌 㻝㻤㻣௳㻌 ᣢ䛱㎸䜏᪂つ 㻹㻾㻿㻭䠄ධ㝔ᚋ㻠㻤㛫௨ෆ䛻᳨ฟ䠅㻌 㻝㻞㻣௳㻌 㻹㻾㻿㻭 ᳨ฟ⋡䠄᪂つ 㻹㻾㻿㻭㻛ᘏ䜉ධ㝔ᝈ⪅ᩘ㽢㻝㻘㻜㻜㻜䠅㻌 㻜㻚㻢㻡㻛㻝㻘㻜㻜㻜㼐㼍㼥㼟㻌 㻌 䐠㔪่䛧ษ䞉⾑ᾮ᭚㟢Ⓨ⏕௳ᩘ㻌 㡯㻌 㻌 ┠㻌 ௳㻌 ᩘ㻌 㔪่䛧ษ௳ᩘ㻌 㻡㻞௳䠄ᖺ㻡㻞௳䠅㻌 ⾑ᾮ䞉యᾮ᭚㟢௳ᩘ㻌 㻞௳䠄ᖺ㻣௳䠅㻌 㔪่䛧ษ䛾䛖䛱䝸䜻䝱䝑䝥䛻䜘䜛㻌 㻟௳䠄ᖺ㻡௳䠅㻌 㔪่䛧ษ䛾䛖䛱ᡭ⾡ᐊ㻌 㻥௳䠄ᖺ㻝㻟௳䠅㻌 㻌 䐡䠥䠟䠰䠄⎔ቃ䠅䝷䜴䞁䝗௳ᩘ㻌 ሙ㻌 㻌 ᡤ㻌 ᅇ㻌 ᩘ㻌 㻌 Ჷ䠄୰ኸᲷ䠈ධ㝔Ჷ䠅㻌 㻟㻜ᅇ㻌 እ㻌 ᮶䞉᳨ᰝ㒊㛛㻌 㻞ᅇ㻌 ୰ኸ㒊㛛䠄⸆㒊䠈᳨ᰝ㒊㻘ᰤ㣴⛉㻘㻹㻱 ᐊ㻘䝸䝝䝡䝸䠅㻌㻌 㻡ᅇ㻌 㻌 㻌 ―217― 感染管理部門 䐢ᢠ⳦⸆㐺ṇ⏝䝷䜴䞁䝗㻌 ୰ኸᲷ㻘ධ㝔Ჷ㻌 㻟㻡௳㻌 㻌 䐣་⒪Ᏻ䞉ឤᰁᑐ⟇ㅮ⩦㛤ദ㻌 㻌 䝔䞊䝬㻌 㛤ദ᪥㻌 㻝㻌 ά⏝䛧䜘䛖䝫䜿䝑䝖䝬䝙䝳䜰䝹㻛ᶆ‽ண㜵⟇㻌 㻞㻌 ᢠ⳦⸆㐺ṇ⏝䝷䜴䞁䝗䛻䛴䛔䛶㻌 㻟㻌 ពእ䛸㌟㏆䛺⤖᰾⳦ឤᰁ䛻䛴䛔䛶㻌 㻠㻌 䜲䞁䝣䝹䜶䞁䝄䛸ឤᰁᛶ⫶⭠⅖㻌 㻡㻌 䜰䜴䝖䝤䝺䜲䜽䛻䛴䛔䛶㻌 ே㻌 ᩘ㻌 ᖹᡂ㻞㻠ᖺ㻠᭶㻞㻣᪥㻌 㻥㻥㻢ྡ 㻢᭶㻠᪥㻌 㻌 㻌 㻣㻜㻜ྡ 㻥᭶㻝㻤᪥㻌 㻡㻣㻟ྡ 㻝㻝᭶㻟㻜᪥㻌 㻟㻟㻝ྡ ᖹᡂ㻞㻡ᖺ㻝᭶㻞㻟᪥㻌 㻟㻤㻣ྡ 㻌 䐤Ꮫ⏕䞉◊ಟ㻌 ឤᰁ⟶⌮ㄆᐃ┳ㆤᖌᐇ⩦⏕㻟ྡ䠄⚄ዉᕝ┴❧ಖ⚟♴Ꮫᐇ㊶ᩍ⫱䝉䞁䝍䞊䠅㻌 㻌 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 䖃ⴭ᭩㻌 㻌 ⴭ⪅ྡ㻌 㻝㻌 ୰᰿㤶⧊㻌 㢟㻌 㻌 ྡ㻌 ⴭ㻌 㻌 ᭩㻌 㝔ෆឤᰁᑐ⟇ጤဨ䛜 ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ㻌 㝔ෆάືሗ࿌䜔እ㒊ホ 䝯䝕䜱䜹ฟ∧㻘㻌 ᩚഛ䛥䜜䛶䛔䜛䠄యไ㻘ᑐ ౯䛷⤖ᯝ䜢ฟ䛫䜛䟿䛣䜜 㻝㻝㻥㻙㻝㻞㻞㻘㻌㻞㻜㻝㻟㻌 ᛂ⟇㻘㆟㘓䠅㻌 䛺䜙䛷䛝䜛ឤᰁᑐ⟇᭱ၿ 䝥䝻䜾䝷䝮䜎䜛䜟䛛䜚䝤䝑 䜽㻌 㻌 䖃♫䞉ᆅᇦ㈉⊩άື㻌 㻌 㻝㻌 㛤ദᖺ᭶᪥ ෆ㻌 㻌 㻌 ᐜ㻌 㛤ദᆅ㻌 ᖹᡂ㻞㻡ᖺ㻌 ᮾி㒔㝔ෆឤᰁᑐ⟇ᙉᴗ㻌 ᆅᇦ◊ಟ䠄㻞㻠ᖺᗘ➨㻟 ᮾி㒔㻌 䠍᭶㻝㻢᪥㻌 ᅇ䞉༊༡㒊䠅䝥䝻䜾䝷䝮㻌 䐟㻌 ឤᰁ䝸䝇䜽ண▱䝖䝺䞊䝙䞁䜾㻌 ་ᖌ㤋㻌 䐠㻌 䜰䜴䝖䝤䝺䜲䜽Ⓨ⏕䛾ᑐᛂ㻌 㻌 䖃ᏛⓎ⾲䞉䝅䞁䝫䝆䜴䝮㻌 㻌 Ⓨ⾲⪅㻌 㻝㻌 ୰᰿㤶⧊㻌 㢟㻌 㻌 㻌 ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 ᒀ䛚䜘䜃ᒀ㔞 ᐃ᪥ᩘῶᑡ䛜䜾䝷 ➨㻞㻤ᅇ᪥ᮏ⎔ቃ㻌 ᖹᡂ㻞㻡ᖺ㻌 䝮㝜ᛶᱰ⳦᳨ฟᩘῶᑡ䛻䜒䛯䜙䛩ຠ ឤᰁᏛ⥲㻌 㻟᭶㻝᪥㻌 ᯝ㻌 㻞㻌 ୰᰿㤶⧊㻌 ⫋✀䛾≉ᛶ䜢ά䛛䛧䛶⾜䛖䜰䜴䝖䝤䝺 ᪥ᮏ་⒪䝬䝛䝆䝯 ᖹᡂ㻞㻡ᖺ㻌 䜲䜽ᑐ⟇㻌 䞁䝖Ꮫ㜰ᨭ㒊 㻞᭶㻝㻢᪥㻌 ➨㻢ᅇᏛ⾡㞟㻌 㻟㻌 ୰᰿㤶⧊㻌 ⎔ቃ䝷䜴䞁䝗䛾䝏䜵䝑䜽䝫䜲䞁䝖㻡㻿䠄ᩚ ⌮㻘ᩚ㡻㻘Ύᤲ㻘Ύ₩㻘⩦័䠅㻌 ―218― ➨㻞㻤ᅇ᪥ᮏ⎔ቃឤ ᖹᡂ㻞㻡ᖺ㻌 ᰁᏛ⥲㻌 㻟᭶㻝᪥㻌 䐟་⒪㛵㐃ឤᰁ䛾 㻝䠅 ᡭᣦ⾨⏕㻡䛴䛾䝍䜲䝭䞁䜾㑂Ᏺ⋡䜢ྥୖ䛥䛫䚸་⒪㛵㐃ឤᰁ䛾Ⓨ⏕䝸䝇䜽 ண㜵㻌 䜢ῶᑡ䛥䛫䜛㻌 ᡭᣦ⾨⏕䛾㑂Ᏺ⋡䛿┠ᶆ䜢㐩ᡂฟ᮶䛺䛛䛳䛯䛜䚸་⒪㛵㐃ឤᰁ䛾ᣦᶆ䛷䛒 䜛 㻹㻾㻿㻭 ᪂つⓎ⏕⋡䛿㻞㻢䠂ῶᑡ䛧䛯䚹㻌 㻞䠅 ་⒪ᚑ⪅䛸ᝈ⪅䞉ᐙ᪘䛾ᡭᣦ⾨⏕⎔ቃ䜢ᩚ䛘 㻯㼘㼛㼟㼠㼞㼕㼐㼕㼡㼙㻌㼐㼕㼒㼒㼕㼏㼕㼘㼑 ឤᰁ 䛾Ⓨ⏕䝸䝇䜽䜢ῶᑡ䛥䛫䜛㻌 㻯㼘㼛㼟㼠㼞㼕㼐㼕㼡㼙㻌 㼐㼕㼒㼒㼕㼏㼕㼘㼑 ឤᰁ」ᩘⓎ⏕䠄ྠ୍㒊⨫䛷㻟௳௨ୖ㻛㻠㐌㛫௨ෆ䠅 䛿ῶᑡ䛧䛯䛜䚸᪂つⓎ⏕ᚋ䛻ྠ୍㒊⨫㻞௳┠䛜Ⓨ⏕䛧䛯䛜䛒䛳䛯䚹ᡭᣦ ⾨⏕䛸⎔ቃᩚഛ䜢ྜ䜟䛫䛶ྲྀ䜚⤌䜐ᚲせ䛜䛒䜛䚹㻌 䐠ᆅᇦ㐃ᦠᙉ㻌 ᆅᇦ㐃ᦠ䜹䞁䝣䜯䝺䞁䝇䜢㛤ദ䠄㻠ᅇ㻛ᖺ䠅䛧䚸ᢠ⳦⸆⏝䜔⸆⪏ᛶ⳦᳨ฟ≧ ἣ䚸ឤᰁ䠄䜲䞁䝣䝹䜶䞁䝄䚸⫶⭠⅖䠅Ⓨ⏕≧ἣ䛸ᑐ⟇䛻䛴䛔䛶ពぢ䜢⾜ 䛳䛯䚹㻌 䐡་⒪ᗫᲠ≀䛾 ᖹᡂ㻞㻟ᖺᗘฟ㔞㻟㻡㻤㻚㻤㻣㻜䡐䚸ᖹᡂ㻞㻠ᖺᗘฟ㔞㻟㻣㻟㻚㻢㻟㻡䡐䛸㻝㻠㻚㻣㻢㻡䡐䚸㻠䠂ቑຍ ฟ㔞䛾๐ῶ㻌 䛧䛶䛔䜛䚹せᅉ䛸䛧䛶䛿䚸ᡭ⾡௳ᩘཬ䜃ᘏ䜉ᝈ⪅ᩘ䛾ቑຍ䛜⪃䛘䜙䜜䜛䚹 ᚋ䜒䛣䛾ഴྥ䛿⥆䛟䛸ᛮ䜟䜜䜛䛜䚸ᘬ䛝⥆䛝ᗫᲠ≀ศูᣦᑟ䜢⾜䛔䚸ឤᰁᛶ ᗫᲠ≀䛾ฟ㔞䛾ᢚไ䛻ྲྀ䜚⤌䜣䛷䛔䛟䚹㻌 㻌 㻢䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃་⒪㛵㐃ឤᰁ䛾ண㜵㻌 ་⒪ᚑ⪅䛾ᡭᣦ䜢䛧䛶ఏ䛩䜛ᚤ⏕≀䛻䜘䜛ឤᰁ䜢ண㜵䛩䜛䛯䜑䚸ᡭᣦ⾨⏕䛾㻡䛴䛾䝍䜲䝭 䞁䜾㑂Ᏺ⋡䜢ྥୖ䛥䛫䚸་⒪㛵㐃ឤᰁ䛾Ⓨ⏕䝸䝇䜽䜢ῶᑡ䛥䛫䜛䚹㻌 ་⒪ᚑ⪅䛸ᝈ⪅䚸ᐙ᪘䛾ᡭᣦ⾨⏕⎔ቃ䜢ᩚ䛘䚸ἥ⾜Ⅽ䜔ἥຓ䚸ᦤ㣗⾜ື䜔㣗ຓ 䛺䛹䜢䛧䛶ఏ䛩䜛ྍ⬟ᛶ䛜㧗䛔䚸ឤᰁᛶ⫶⭠⅖䜔 㻯㼘㼛㼟㼠㼞㼕㼐㼕㼡㼙㻌㼐㼕㼒㼒㼕㼏㼕㼘㼑 ឤᰁ䛾Ⓨ⏕䝸䝇䜽䜢 ῶᑡ䛥䛫䜛䚹㻌 䖃ᢠ⳦⸆㐺ṇ⏝ᨭ䝏䞊䝮䠄㻭㻿㼀䠅䛾䝷䜴䞁䝗㻌 ᢠ⳦⸆㐺ṇ⏝䜢ᨭ䛩䜛䛯䜑䚸䝷䜴䞁䝗䛾ᙉ䛸⾑ᾮᇵ㣴㻞䝉䝑䝖᥇ྲྀ⋡䜢ྥୖ䛥䛫䜛䚹㻌 㻌 ―219― 感染管理部門 㻡䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 総合相談センター Ꮫ㝔㻌 ⥲ྜ┦ㄯ䝉䞁䝍䞊㻌 昭和大学病院 総合相談センター 㻝㻞 ⥲ྜ┦ㄯࢭࣥࢱ࣮㻌 １）総合相談センター 㻝㸬⌮ᛕ࣭┠ᶆ㻌 ⥲ྜ┦ㄯࢭࣥࢱ࣮ࡣᝈ⪅࣭ᐙ᪘ࡢᨭᆅᇦࡢ㐃ᦠ㒊㛛ࡋ࡚ࠊእ᮶ࠊධ㝔࠾ࡼࡧ㏥㝔ᚋ ࡢᝈ⪅࣭ᐙ᪘ࡢࢽ࣮ࢬ࠶ࢃࡏ࡚་⒪ࡢᥦ౪ࡽྛ✀┦ㄯࡲ࡛ࠊ㛵ಀྛ㒊⨫ࡸእ㒊㛵ಀᶵ㛵 ࡢ⥭ᐦ࡞㐃ᦠࢆࡾࠊ⥲ྜⓗࢧ࣏࣮ࢺࡍࡿࡇࠊࡲࡓᝈ⪅࣭ᐙ᪘ࡽࡢⱞࡸ┦ㄯ㐺ษ ᛂࡌࡿࡇࢆ┠ⓗࡋ࡚タ⨨ࡉࢀ࡚࠸ࡿࠋ㻌 ᖹᡂ㻞㻠ᖺデ⒪ሗ㓘ᨵᐃ࠾࠸࡚ࡣࠊᝈ⪅ࢧ࣏࣮ࢺయไᐇຍ⟬ࡸ㏥㝔ㄪᩚຍ⟬࡞ࠊ┦ㄯ㒊 㛛㝔ෆࡢከ㒊㛛ࡀ㐃ືࡋ࡚ᑐᛂࡍࡿࢳ࣮࣒་⒪ᑐࡍࡿホ౯ࡀ㧗ࡵࡽࢀ࡚࠾ࡾࠊᙜ㝔࠾࠸ ࡚ࡶࡇࢀᑐᛂࡋࡓ⤌⧊ࡋ࡚ࡢయไసࡾࡀồࡵࡽࢀ࡚࠸ࡿࠋࡲࡓᆅᇦ་⒪㐃ᦠ࠾࠸࡚ࡶ ḟ་⒪ᅪࢆ་⒪ᶵ㛵ࡢ⤌⧊ࡉࢀࡓ㐃ᦠࡀ㐍ࡵࡽࢀ࡚࠸ࡿࠋࡑࡇ࡛ᖹᡂ㻞㻠ᖺᗘࡢ㒊⨫┠ᶆ ࢆձࠕ㒊⨫ࠊ⫋✀ࡢ༠ാࡼࡿຠ⋡ⓗ࡞㏥㝔ಁ㐍᪂ࡋ࠸デ⒪ሗ㓘⟬ᐃせ௳ᑐᛂࡋࡓ ㏥㝔ᨭయไࡢᩚഛࠖղࠕᆅᇦ㐃ᦠࣃࢫࡢᣑ㐃ᦠࠖࡋ࡚ࠊྲྀࡾ⤌ࢇࡔࠋ㻌 㻌 㻞㸬ேဨᵓᡂ㻌 ࢭࣥࢱ࣮㛗㻌 ᯈᶫᐙ㢌ኵ㻌 ࢭࣥࢱ࣮㛗㻌 ᵽཱྀẚⓏᐇ㻌 ᑓ௵ࢫࢱࢵࣇ㻌 ົဨ㻌 ❧ᕝ⣧ᜨ㻌 ་⒪㐃ᦠᢸᙜ㻌 㐲⸨ᐶ㑻㻌 ㏥㝔ㄪᩚ┳ㆤᖌ㻌 ▼ཎࡺࡁ࠼ࠊఀ⸨ᾈ㻌 ᝈ⪅┦ㄯᢸᙜ┳ㆤᖌ㻌 ᕝୖ⏤㤶Ꮚ㻌 ⦆ࢣᢸᙜ┳ㆤᖌ㻌 ⬥㇂⨾⏤⣖㻌 ࢯ࣮ࢩ࣮࣮ࣕࣝ࣡࢝㻌 ୖᮁࠊ୰⃝ᜏᏊࠊከ⏣ᘯ⨾ࠊᑠᕝఱዉࠊ㻌 ➉ෆ㤶⧊㻌 ව௵ࢫࢱࢵࣇ㻌 ⸆┦ㄯᢸᙜ㻌 ᕝᡭ♩Ꮚ㻌 ᰤ㣴┦ㄯᢸᙜ㻌 Ⳣ㔝ኵ㻌 ་⒪㐃ᦠᢸᙜ㻌 ᾏ⪁ἑ⸛Ꮚ㻌 ㅖἲᢸᙜ㻌 ⬥ᆏ⨾✑㻌 ࣋ࢵࢻㄪᩚᢸᙜ㻌 ఀ⸨ள⣖Ꮚ㻌 㻌 㻟㸬ᴗົᐇ⦼㻌 ձᖹᡂ㻞㻠ᖺᗘ ⥲ྜ┦ㄯࢭࣥࢱ࣮ ౫㢗௳ᩘ 㸦ධ㝔ࢣ࣮ࢫ㸧 ⾲㸯㻌 㻌 㻠᭶㻌 㻡᭶㻌 㻢᭶ 㻣᭶ 㻤᭶ 㻥᭶ 㻝㻜᭶ 㻝㻝᭶ 㻝㻞᭶ 㻝᭶ 㻞᭶ 㻟᭶ ྜィ㻌᭶ᖹᆒ ๓ᖺᖹᆒ ィ㻌 㻟㻟㻟㻌 㻟㻠㻢㻌 㻟㻠㻢 㻟㻣㻟 㻠㻜㻡 㻟㻠㻠 㻟㻟㻤 㻟㻡㻤 㻟㻢㻥 㻠㻝㻡 㻠㻜㻡 㻠㻘㻠㻜㻝 㻟㻢㻢㻚㻤 㻌 㻌 ―220― 㻟㻢㻥 㻟㻟㻥㻚㻢㻌 㻝㻜 㻝㻝 㻝㻞 ᭶㻌 ᭶㻌 ᭶㻌 㻌 㻠᭶ 㻡᭶ 㻢᭶ 㻣᭶㻌 㻤᭶㻌 㻥᭶㻌 㻝᭶ 㻞᭶ 㻟᭶ ┦ㄯྜィ㻌 㻝㻣㻞 㻝㻠㻣 㻝㻢㻜 㻞㻞㻞㻌 㻞㻞㻠㻌 㻞㻞㻡㻌 㻞㻢㻜㻌 㻞㻝㻠㻌 㻝㻥㻠㻌 㻞㻝㻞 㻝㻥㻢 㻞㻞㻣 ୍⯡࣭㟁ヰ㻌 㻢㻠㻌 㻟㻢㻌 㻟㻤㻌 㻤㻞㻌 㻥㻥㻌 㻣㻥㻌 㻣㻠㻌 㻢㻟㻌 㻢㻤㻌 㻣㻜㻌 㻣㻟㻌 㻣㻠㻌 ୍⯡࣭᮶ᐊ㻌 㻢㻤㻌 㻡㻝㻌 㻡㻢㻌 㻡㻞㻌 㻡㻡㻌 㻣㻝㻌 㻤㻡㻌 㻡㻤㻌 㻠㻟㻌 㻡㻥㻌 㻠㻥㻌 㻢㻞㻌 ୍⯡┦ㄯྜィ㻌 㻝㻟㻞 㻤㻣㻌 㻥㻠㻌 㻝㻟㻠㻌 㻝㻡㻠㻌 㻝㻡㻜㻌 㻝㻡㻥㻌 㻝㻞㻝㻌 㻝㻝㻝㻌 㻝㻞㻥 㻝㻞㻞 㻝㻟㻢 ࡀࢇ┦ㄯ࣭㟁ヰ㻌 㻝㻜㻌 㻞㻤㻌 㻞㻞㻌 㻠㻟㻌 㻠㻣㻌 㻠㻡㻌 㻠㻥㻌 㻟㻝㻌 㻠㻣㻌 㻠㻠㻌 㻞㻟㻌 㻠㻝㻌 ࡀࢇ┦ㄯ࣭᮶ᐊ㻌 㻟㻜㻌 㻟㻞㻌 㻠㻠㻌 㻠㻡㻌 㻠㻟㻌 㻟㻜㻌 㻡㻞㻌 㻢㻞㻌 㻟㻢㻌 㻟㻥㻌 㻡㻝㻌 㻡㻜㻌 ࡀࢇ┦ㄯྜィ㻌 㻠㻜㻌 㻢㻜㻌 㻢㻢㻌 㻤㻤㻌 㻥㻜㻌 㻣㻡㻌 㻝㻜㻝 㻥㻟㻌 㻤㻟㻌 㻤㻟㻌 㻣㻠㻌 㻥㻝㻌 㻌 մᩍ⫱࡞㻌 ە㝔ෆ㻌 ࣭┳ㆤ㒊◊ಟ࠾࠸࡚ࠕ㏥㝔ㄪᩚࠖࢆࢸ࣮࣐㻢ᅇࡢ◊ಟㅮ⩏ࢆ⾜ࡗࡓࠋ 㸦▼ཎ㸧㻌 ࣭㏥㝔ㄪᩚࢆࢸ࣮࣐ࡋࡓ┳ㆤᖌᐇ⩦⏕ࡢཷධࢀࢆ⾜ࡗࡓࠋ 㸦▼ཎ㸧㻌 ࣭་ᖌᑐࡍࡿ⦆ࢣᩍ⫱◊ಟࣉࣟࢢ࣒ࣛ㸦㻼㻱㻭㻯㻱㸧Ꮫ㸦▼ཎ ከ⏣㸧㻞ᅇ㻌 ە㝔እ㻌 ࣭᫂Ꮫ㝔Ꮫ♫Ꮫ㒊ࠕ་⒪⚟♴ㄽ࣭㝔࠾ࡅࡿࢯ࣮ࢩ࣮ࣕࣝ࣡ࢡຓࡢ㝿ࠖㅮᖌ㸦ୖ㸧 㻌 ࣭㻌➨㻝㻞ᅇ᪥ᮏឤᰁ┳ㆤᏛᏛ⾡Ꮫࠕឤᰁ┳ㆤࡢࣜࣥࢤ࣮ࢪ࣮་⒪タࡽࡢᅾᏯ࣮࣮ࠖ࣡ ࢡࢩࣙࢵࣉ ̿㏥㝔ㄪᩚ┳ㆤᖌࡢ❧ሙࡽ̿ 㸦▼ཎ㸧㻌 ࣭㻌ࡇࢀࡽࡢ⦆ࢣ 㸫㝔ࡽᅾᏯྥࡅ࡚ࡢ㏥㝔ㄪᩚ ࢣ࣮ࢫࢫࢱࢹ ࣇࢩࣜ ࢸ࣮ࢱ࣮㸦▼ཎ㸧㻌 ࣭㻌་ᖌᑐࡍࡿ⦆ࢣᩍ⫱◊ಟࣉࣟࢢ࣒ࣛ㸦㻼㻱㻭㻯㻱㸧Ꮫ㒊㝔㸦▼ཎ㸧㻞ᅇ㻌 ࣭㻌⚄ዉᕝ┴┳ㆤ༠ദ ゼၥ┳ㆤᴗᡤ་⒪ᶵ㛵ົࡍࡿ┳ㆤᖌࡢ┦◊ಟㅮᖌ㻔▼ཎ㻕㻌 ەእ እ㒊ጤဨ࡞㻌 ࣭㻌ရᕝ༊せಖㆤඣ❺ᑐ⟇༠㆟㸦ရᕝ༊ࡇࡶᐙᗞ࠶ࢇࡋࢇࢿࢵࢺ༠㆟㸧ጤဨ㸦ୖ㸧㻌 ࣭㻌┠㯮༊㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ᨭࢿࢵࢺ࣮࣡ࢡ㆟ጤဨ㸦ୖ㸧㻌 ࣭㻌බ┈ἲே♫ᅋ᪥ᮏ་⒪♫⚟♴༠ࠕ㏻ᨾ⿕ᐖ⪅⏕άᨭ◊ಟᴗࠖጤဨ㸦ୖ㸧㻌 ࣭㻌ᇛ༡ᆅ༊㏥㝔ㄪᩚ┳ㆤᖌࡢ ጤဨ㸦▼ཎ࣭ఀ⸨㸧㻌 ࣭㻌ᮾி㒔㏥㝔ㄪᩚ┳ㆤᖌࡢ 㐠Ⴀጤဨ㸦▼ཎ㸧㻌 ࣭㻌ཌ⏕ປാ┬ࡀࢇ⮫ᗋ◊✲ᴗ㻌 ࠕാࡃࡀࢇᝈ⪅ᐙ᪘ྥࡅࡓໟᣓⓗᑵᴗᨭࢩࢫࢸ࣒ࡢᵓ ⠏㛵ࡍࡿ◊✲ࠖ⌜ ጤဨ㸦ከ⏣㸧㻌 ࣭㻌ᩥ㒊⛉Ꮫ┬ࠕࢳ࣮࣒་⒪᥎㐍ࡢࡓࡵࡢᏛ㝔⫋ဨࡢேᮦ⫱ᡂࢩࢫࢸ࣒ࡢ☜❧ࠖጤဨ㻔ከ⏣㻕㻌 㻌 ―221― 総合相談センター ղᖹᡂ㻞㻠ᖺᗘ ⥲ྜ┦ㄯࢭࣥࢱ࣮ ┦ㄯ௳ᩘ 㸦እ᮶࣭┤᥋᮶ᡤ㸧 ⾲㸰㻌 総合相談センター 㻠㸬♫࣭ᆅᇦ㈉⊩άືࠊ◊✲ᴗ⦼㻌 ♫ە ♫࣭ᆅᇦ㈉⊩άື㻌 㻌 㛤ദᖺ᭶᪥㻌 㻝㻌 ᖹᡂ㻞㻠ᖺ㻠᭶㹼㻌 ᖹᡂ㻞㻡ᖺ㻟᭶㻌 ෆ ᐜ㻌 㛤ദᆅ㻌 ་ᖌᑐࡍࡿ⦆ࢣᩍ⫱◊ಟࣉࣟࢢ Ꮫ㝔㻌 ࣒ࣛ㻌 㸦ᖺ㻞ᅇ㛤ദ㸧㻌 㻞㻌 ᖹᡂ㻞㻠ᖺ㻠᭶㹼㻌 ࠕᇛ༡⦆ࢣ◊✲ࠖ㻌 ရᕝ༊㻌 ᖹᡂ㻞㻡ᖺ㻟᭶㻌 ᇛ༡ᆅᇦࡢ⦆ࢣ◊✲άືཧ⏬ࠋ 㸦ᖺ㻢ᅇ㛤ദ㸧㻌 ୡヰே㸦ᖺ㸲ᅇ㸧ࢆཷࡅᣢࡕࠊ◊✲ ࢆ㻞ᅇ㛤ദࡋࡓࠋ㻌 㻟㻌 ᖹᡂ㻞㻠ᖺ㻡᭶㻌 ➨㸰ᅇ ᇛ༡⭠ࡀࢇ་⒪㐃ᦠ࢝ࣥࣇ ရᕝ༊㻌 ࣞࣥࢫ デ⒪ሗ㓘ᨵᐃక࠺㻌 タࡢྲྀࡾ⤌ࡳㄢ㢟ࠊ࣮࣡ࢡࢩࣙࢵ ࣉ ࣃࢿࣜࢫࢺ㸦▼ཎࡺࡁ࠼㸧㻌 㻠㻌 ᖹᡂ㻞㻠ᖺ㻢᭶㻌 ᇛ༡ᾘჾࡀࢇࢳ࣮࣒་⒪ࣇ࣮࣒ࣛ ရᕝ༊㻌 ࡀࢇᝈ⪅ࡢᆅᇦ㐃ᦠࡢᐇ㝿̿㏥㝔ㄪᩚ ┳ㆤᖌࡢ❧ሙࡽ̿ࠊࢩ࣏ࣥࢪࢫࢺ㸦▼ ཎࡺࡁ࠼㸧㻌 㻡㻌 ᖹ ᡂ 㻞㻠 ᖺ 㻠 ᭶ 㹼 ᖹ ᡂ ࠕཱྀ၁ཱྀ࣭∗ẕᩍᐊࠖ 㻌 Ꮫ㝔 ㆟ᐊ 㻞㻡 ᖺ 㻟 ᭶ 㸦 ᖺ 㻝㻜 ᅇ 㛤 ཱྀ၁ཱྀ࣭ࡢᝈ⪅ಖㆤ⪅ࢆᑐ㇟ ദ㸧㻌 ࠕ∗ẕᩍᐊࠖ࠾࠸࡚ࠊࢯ࣮ࢩ࣮ࣕࣝ࣡ ࣮࢝ࡀ⏝ྍ⬟࡞♫㈨※ࡘ࠸࡚ࡢ ㅮ⩏ࢆࠋ㻌 㻌 ✲◊ەᴗ⦼㻌 Ⓨ⾲ㄽᩥ㻌 㻌 ⴭ⪅ྡ㻌 㻝㻌 ▼ཎࡺࡁ࠼㻌 㢟 ྡ㻌 㞧ㄅྡ㻘ᕳ㻘㡫㻘Ⓨ⾜ᖺ㻌 ࠕ⸆ᒁ⸆ᖌࡢ࣓ࢵࢭ࣮ࢪ ㏥㝔ㄪᩚ ⸆ᒁࢆࢧ࣏࣮ࢺࡍࡿ࣐ ࢞ࢪࣥ 㻲㼞㼑㼟㼔㻸㼑㼍㼒 ≉ูྕ ┳ㆤᖌࡽࠖ㻌 㻞㻜㻝㻞ᖺ㻌 㻞㻌 ▼ཎࡺࡁ࠼㻌 ࠕ㻽㻒㻭 ᐇ㊶⪅ࡽࡢ▱ᜨࢥࢶࠖ㻌 ࠗ㏥㝔ᨭ࣭㏥㝔ㄪᩚࢫ ࢸࢵࣉࢵࣉ࠘᪥ᮏ┳ ㆤ༠ฟ∧㻌 㻟㻌 ▼ཎࡺࡁ࠼㻌 ࠕከ⫋✀༠ാࡀࣜࣝࢃࡿ㸟ࢳ࣮࣒ 㝸᭶หሗㄅ ࠗᆅᇦ ࡛⾜࠺㏥㝔ᨭ࣭ㄪᩚࠖ 㻝㻞ᅇ ┘ಟ 㐃ᦠධ㏥㝔ᨭ࠘᪥⥲ ◊ฟ∧㻌 㻠㻌 ከ⏣ᘯ⨾㻌 ࠕ࣓ࢹ࢝ࣝࢯ࣮ࢩ࣮࣮ࣕࣝ࣡࢝ࡽࡳ ࠗከ⫋✀┦ࡾධࢀ ࡓࠕ┦ࡾධࢀᆺࠖࢳ࣮࣒་⒪ࠖ㻌 ᆺࠖࡢࢳ࣮࣒་⒪䇷ࡑ ࡢ⌧≧ᒎᮃ࠘㻌㻌 ࡿࡍฟ∧ 㻞㻜㻝㻞㻚㻝㻝㻌 ―222― ⴭ⪅ྡ㻌 㻡㻌 ୖᮁ㻌 㢟 ྡ㻌 㞧ㄅྡ㻘ᕳ㻘㡫㻘Ⓨ⾜ᖺ㻌 ࠕ㏻ᨾ⿵ൾ♫ಖ㞀ࡢㄪᩚࠖ㻌 ࠗ㏻ᨾ⿕ᐖ⪅ࡢ⏕άᨭ ࠕ㏻ᨾ⿕ᐖ⪅⏕άᨭ㹏㸤㸿ࠖ㻌 㻌 ་⒪ࢯ࣮ࢩ࣮ࣕࣝ࣡ ࣮࢝ࡢࡓࡵࡢᇶ♏▱㆑࠘᪥ ᮏ་⒪♫⚟♴༠⦅ ὒ᭩ᡣ㻞㻜㻝㻞㻚㻡㻌 㻢㻌 ୖᮁ㻌 ࠕ᪂⏕ඣ㞟୰⒪ᐊࡽࡢ㏥㝔ᨭࠖ㻌 ࠗᆅᇦ㐃ᦠධ㏥㝔ᨭ࠘᪥◊ ฟ∧ 㼂㼛㼘㻝㻡㻺㼛㻞㻚㻌 㼜㼜㻚㻝㻜㻜㻙㻝㻜㻣㻌 㻞㻜㻝㻞㻚㻡㻌 㻣㻌 ୖᮁ㻌 ࠕከၥ㢟ࢣ࣮ࢫࡢᑐᛂࠖ㻌 ࠗᆅᇦ㐃ᦠධ㏥㝔ᨭ࠘᪥⥲ ◊ ฟ ∧ 㼂㼛㼘㻚㻡㻺㼛㻟㻌 㼜㼜㻚㻤㻢㻙㻥㻞 㻞㻜㻝㻞㻚㻣㻌 㻤㻌 ୖᮁ㻌 ࠕ㏥㝔ᨭᚲせ࡞ࢥ࣑ࣗࢽࢣ࣮ࢩ ࠗᆅᇦ㐃ᦠ ධ㏥㝔ᨭ࠘᪥ ࣙࣥࠖ㻌 ⥲ ◊ ฟ ∧ 㼂㼛㼘㻚㻡㻺㼛㻠 㼜㼜㻚㻤㻥㻙㻥㻟 㻞㻜㻝㻟㻚㻥㻌 㻥㻌 ୖᮁ㻌 ࠕከ⫋✀⣔ิ⾲ࡽぢ࠼࡚ࡁࡓࡇ ࠗᆅᇦ㐃ᦠ ධ㏥㝔ᨭ࠘᪥ 㸸ᡂ⇍ࡋࡓࢳ࣮࣒་⒪ࠖ㻌 ⥲ ◊ ฟ ∧ 㼂㼛㼘㻚㻡㻌 㻺㻜㻢㻌 㻞㻜㻝㻟㻌 㻢㻡㻙㻣㻜 㻞㻜㻝㻟㻚㻝㻌 㻌 㻡㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձ㝔ෆࡢ㏥㝔ᨭయไ ධ㝔᪩ᮇࡢᲷ࡛ࡢࢫࢡ࣮ࣜࢽࣥࢢࢆฟⓎⅬࡍࡿ㏥㝔ᨭయไ ࡢ⤌⧊㻌 ࡢᵓ⠏ࡀࠊデ⒪ሗ㓘ࡢຍ⟬ࡢせ௳࡞ࡾࠊࡇࢀᑐᛂࡍࡃ㛵ಀ 㒊⨫ࡢㄪᩚࢆ⾜ࡗࡓࠋ㻌 ղ㏥㝔ㄪᩚ┳ㆤᖌ࣭ࢯ࣮ ᮏᖺᗘࡼࡾデ⒪⛉ᢸᙜไࢆᐇࡋࡓࠋࡇࢀࡼࡾࠊデ⒪⛉ẖࡢ࢝ ࢩ࣮࣮ࣕࣝ࣡࢝ࢆデ ࣥࣇࣞࣥࢫࡸ㹇㹁ࡢཧຍ࡞デ⒪⛉ࢭࣥࢱ࣮ࡢ㐃ᦠᐦᗘࡢ ⒪⛉ᢸᙜไኚ᭦㻌 ྥୖࢆ┠ᣦࡋࠊࡼࡾຠ⋡ⓗ࡞ᨭࢆᥦ౪ࡍࡿయไࢆᵓ⠏ࡋࡓࠋ㻌 ճ㐃ᦠࣃࢫᵓ⠏ࡢྲྀ ᶵ㛵ࡢ㐃ᦠάືࡢࠊຠ⋡ࢆᅗࡿࡃࠊձ㸳ࡀࢇ࠾ ⤌ࡳ㻌 㻌 ࡼࡧղ⬻༞୰㐃ᦠࣃࢫᵓ⠏ࡢྲྀ⤌ࢆ࠾ࡇ࡞ࡗࡓࠋᮏ᱁ⓗ࡞ᐇ ࡣ⮳ࡽ࡞ࡗࡓࡀࠊᐇྍ⬟࡞ᝈࡽࠊࢩࢫࢸ࣒ࡢᶆ‽ࢆ⾜ ࠸ࠊᮏ᱁ⓗ࡞ᐇྥࡅ࡚ࡢྛデ⒪⛉㐠⏝ࢆᥦࡍࡿ࡞ᇶ♏ సࡾࢆ⾜ࡗࡓࠋ㻌 㻌 㻢㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ┦ྜ⥲ەㄯࢭࣥࢱ࣮ࡣࡀࢇ┦ㄯᨭࢭࣥࢱ࣮ࡋ࡚ࡢᶵ⬟ࢆᢸ࠸ࠊ┦ㄯᑐᛂయไࢆᩚ࠼ࠊࡀ ࢇデ⒪࠾࠸࡚ᆅᇦ㐃ᦠࡢᣐⅬ࡞ࡿࡃ◊ಟࡢ㛤ദࡸሗࡢᥦ౪ࢆ⾜࠼ࡿࡼ࠺యไ ࢆᙉࡍࡿࠋ㻌 ⬻ࡸࢫࣃࢇࡀە༞୰㐃ᦠࣃࢫ࡞ᆅᇦ㐃ᦠࣃࢫࡢᵓ⠏ࡢᮏ᱁✌ືࢆḟᖺᗘᐇ⌧ࡍࡿࡇ ࢆ┠ᶆྲྀ⤌ࢆ⥅⥆ࡍࡿࠋ㻌 㻌 ―223― 総合相談センター 㻌 Ⅲ 各部門活動状況 2 昭和大学病院附属東病院 糖尿病・代謝・内分泌内科 Ꮫ㝔㝃ᒓᮾ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院附属東病院 診療部門 㻝㻙㻝㻌 ⢾ᒀ䞉௦ㅰ䞉ෆศἪෆ⛉㻌 １）糖尿病・代謝・内分泌内科 㻝䠊デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ᖹ㔝㻌 ຮ㻌 ་ᒁ㛗㻌 ⚟㻌 ᬛᗣ㻌 Ჷ་㛗㻌 ⚟㻌 ᬛᗣ㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻞㻝ྡ㻔ᖖ㻝㻤ྡ䚸㠀ᖖ㻟ྡ㻕㻌 ᩍᤵ㻌 ຓᩍ䠄ဨእྵ䜐䠅㻌 Ꮫ㝔⏕㻌 㻝ྡ 㻝㻠ྡ 㻟ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ᪥ᮏ⢾ᒀᏛᣦᑟ་㻌 㻠ྡ ᑓ㛛་㻌 ᪥ᮏ⢾ᒀᏛᑓ㛛་㻌 㻝㻝ྡ ᪥ᮏෆศἪᏛᑓ㛛་㻌 㻝ྡ ᪥ᮏෆ⛉Ꮫㄆᐃ་㻌 㻝㻤ྡ 㻌 ㄆᐃ་㻌 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻤㻝㻤㻌 㻤㻠㻥㻌 㻤㻢㻢 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻞㻝㻘㻥㻤㻞㻌 㻌 㻌 㻞㻟㻘㻠㻣㻥㻌 㻞㻟㻘㻡㻞㻤 㻜㻌 㻜㻌 㻡 㻞㻞㻘㻤㻜㻜㻌 㻞㻠㻘㻟㻞㻥㻌 㻞㻠㻘㻟㻥㻥 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 㻝㻡㻘㻜㻢㻥㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 ―227― ᖹᡂ㻞㻟ᖺᗘ㻌 㻢㻘㻡㻞㻜㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㻢㻘㻝㻤㻢 糖尿病・代謝・内分泌内科 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᝈྡ䠄ධ㝔䠅㻌 㻝㻌 㻞ᆺ⢾ᒀ㻔ྜే䛺䛧䠅㻌 㻞㻌 㻞ᆺ⢾ᒀ㻔ྜే䛒䜚䠅㻌 㻟㻌 㻝ᆺ⢾ᒀ㻔᪂つⓎ䜢ྵ䜐㻕㻌 㻠㻌 ཎⓎᛶ䜰䝹䝗䝇䝔䝻䞁䠄䛔䜢ྵ䜐䠅㻌 㻡㻌 ప⾑⢾㻌 㻢㻌 ឤᰁ䜢ేⓎ䛧䛯⢾ᒀ㻌 㻣㻌 ⢾ᒀ䜿䝖䞊䝅䝇㻌 㻤㻌 㧗ᾐ㏱ᅽ㧗⾑⢾᫃╧㻌 㻥㻌 ప䝘䝖䝸䜴䝮⾑㻌 㻝㻜㻌 ளᛴᛶ⏥≧⭢⅖㻌 ᝈ⪅ᩘ㻌 㻞㻡㻝 㻟㻝 㻝㻤 㻝㻣 㻝㻜 㻤 㻢 㻡 㻡 㻞 㻌 㻞䠊ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟ᣢ⥆⾑⢾䝰 ⾑⢾䝁䞁䝖䝻䞊䝹䛜ᅔ㞴䛺ᝈ⪅䛥䜣䛷䛿䚸୍⯡ⓗ䛺䝁䞁䝖䝻䞊䝹䛾ᣦᶆ䛷䛒䜛 䝙䝍䞊䛾⮫ 㻴㼎㻭㻝㼏 䛛䜙᥎ᐃ䛩䜛䛣䛸䛜ฟ᮶䛺䛔⾑⢾ኚື䛜Ꮡᅾ䛩䜛䛣䛸䛜ከ䛔䛜䚸㐺ษ䛺᳨ ᗋᛂ⏝㻌 ᰝ᪉ἲ䛜䛺䛛䛳䛯䚹ᩍᐊ䛷䛿ᣢ⥆⾑⢾䝰䝙䝍䞊㻔㻯㻳㻹㻕䜢ᑟධ䛧䚸ධ㝔ᝈ⪅䜢୰ᚰ䛻 㻡ศẖ䛻䚸㻣㻞㛫䛻䜟䛯䜚㐃⥆⾑⢾ ᐃ䜢⾜䛳䛶䛔䜛䚹⮬ぬ≧䜢ㄆ䜑䛻䛟䛔䚸ኪ 㛫䛾↓⮬ぬᛶప⾑⢾䚸ⴭ䛧䛔㣗ᚋ䛾㧗⾑⢾䜢᳨ฟ䛩䜛䛣䛸䛜ฟ᮶䚸⾑⢾್䛾⤖ᯝ 䛻ᇶ䛵䛟⒪ィ⏬䜢❧䛶⮫ᗋᛂ⏝䛧䛶䛔䜛䚹㻌 䐠 䜲 䞁 䝇 䝸 䞁 㻝ᆺ⢾ᒀ䛷䛿䚸䜲䞁䝇䝸䞁ศἪ䛾ᯤῬ䛻䜘䜚⾑⢾䝁䞁䝖䝻䞊䝹䛿ᅔ㞴䛻䚸䛥䜙䛻⾑ 䝫䞁䝥⒪ἲ ⢾್䛾ኚື䜒䛝䛔䛣䛸䛜▱䜙䜜䛶䛔䜛䚹䜲䞁䝇䝸䞁䝫䞁䝥⒪ἲ䛿䚸䝏䝳䞊䝤䜢⓶ୗ 䛾 ⮫ ᗋ ᛂ 䛻␃⨨䛧䚸ᇶ♏䜲䞁䝇䝸䞁䛾ὀධ䛿䚸๓䛻䝥䝻䜾䝷䝮䛥䜜䛯༢ᩘ䛜⮬ືⓗ䛻ὀ ⏝㻌 ධ䛥䜜䚸㏣ຍ䜲䞁䝇䝸䞁㔞䛿㣗䛾┤๓䛻ᝈ⪅⮬㌟䛷Ỵᐃ䛩䜛䚹ᴟ䜑䛶ᑓ㛛ⓗ䛺䝇 䝍䝑䝣䛜䛔䛺䛔䛸ᑟධᅔ㞴䛺䜲䞁䝇䝸䞁䝫䞁䝥䜢✚ᴟⓗ䛻ᑟධ䛧䛶䛔䜛䚹㻌 㻌 㻟䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟⢾ᒀእ᮶ᩘ䛾ቑຍ㻌 ⢾ᒀཬ䜃ෆศἪᝈእ᮶ᩘ䜢ቑຍ䛧䚸✚ᴟⓗ䛻እ᮶ᝈ⪅ᩘ䜢ቑ䜔 䛩ྲྀ䜚⤌䜏䜢⾜䛔䜎䛧䛯䚹ᑓ㛛እ᮶䛷䛒䜛⢾ᒀዷ፬እ᮶䛿ᝈ⪅ᩘ䜢 ᖜ䛻ቑຍ䛧䛶䛔䜎䛩䚹㻌 䐠⢾ᒀᝈ⪅ᩍ⫱ᣦᑟ㻌 Ꮫ㝔䝦䝹䝅䞊䝇䜽䞊䝹䜢㏻䛨䛯ᇛ༡ᆅᇦ䛾ᝈ⪅䛥䜣䛸䛾 ὶ䚸ୡ⏺⢾ᒀ䝕䜲䛷䛾⢾ᒀၨⵚάື䚸䠍ᆺ⢾ᒀᝈ⪅䛾ᐇ䛧 䛯ෆᐜ䜈䛾ྲྀ䜚⤌䜏䛺䛹䚸ᙜ㝔䛾䜏䛺䜙䛪䚸ᆅᇦ䛷䛾⢾ᒀᝈ⪅ᩍ⫱ ᣦᑟ䛾ྲྀ䜚⤌䜏䜢✚ᴟⓗ䛻⾜䛔䜎䛧䛯䚹㻌 㻌 㻠䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃Ꮫ㝔䛸䛧䛶✚ᴟⓗ䛻᪂䛧䛔᳨ᰝ䚸⏬ീ᪉ἲ䜢ᑟධ䛧䚸⮫ᗋ䜈ྲྀ䜚⤌䜣䛷䛔䛟䚹㻌 䖃ቑຍ䛩䜛⢾ᒀᝈ⪅䛻ᑐ䛧䚸ᚋ䜒ᝈ⪅䛥䜣䜢➨୍䛻⪃䛘䛯㐺ษ䛛䛴ぶษ䛺⒪䜢ᚰ䛜䛡䛶䛔 䛟䚹㻌 䖃ᇛ༡ᆅᇦ䛻䛚䛡䜛⢾ᒀ䛻㛵䛩䜛་⒪㐃ᦠ䛾⤌䜏䛵䛟䜚䜢ᵓ⠏䛩䜛䚹㻌 㻌 ―228― 神経内科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院附属東病院 診療部門 㻝㻙㻞㻌 ⚄⤒ෆ⛉㻌 ２）神経内科 㻝㸬デ⒪యไᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 Ἑᮧ ‶㻌 ་ᒁ㛗㻌 ▼ᇉ ᚁ୍㑻㻌 Ჷ་㛗㻌 ⛳⏣ ᐀ኴ㑻㻌 㻌 㻔㻞㻕 ་ᖌᩘ 㻞㻝ྡ㻔ᖖ㻝㻢ྡࠊ㠀ᖖ㻣ྡ㻕㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻜ྡ ㅮᖌ㻌 㻠ྡ ຓᩍ㻌 㻝㻝ྡ Ꮫ㝔⏕㻌 㻡ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬࡧᑓ㛛་࣭ㄆᐃ་㻌 ᣦᑟ་㻌 ᪥ᮏ⚄⤒Ꮫᣦᑟ་㻌 㻠ྡ ᑓ㛛་㻌 ᪥ᮏ⚄⤒Ꮫᑓ㛛་㻌 㻝㻣ྡ 㻌 ᪥ᮏ⬻༞୰Ꮫᑓ㛛་㻌 㻠ྡ ᪥ᮏ㢌③Ꮫᑓ㛛་㻌 㻟ྡ ᪥ᮏㄆ▱Ꮫᑓ㛛་㻌 㻝ྡ ᪥ᮏෆ⛉Ꮫㄆᐃ་㻌 㻞㻝ྡ ㄆᐃ་㻌 㻌 㻔㻠㻕 እ᮶デ⒪ࡢᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ㸦ึデ㸧㻌 㻝㻘㻤㻣㻟㻌 㻞㻘㻜㻠㻥㻌 㻞㻘㻝㻤㻡 እ᮶ᝈ⪅ᩘ㸦デ㸧㻌 㻝㻠㻘㻝㻝㻞㻌 㻞㻣㻘㻜㻞㻤㻌 㻝㻥㻘㻠㻟㻡 㻞㻌 㻡㻌 㻥㻡 㻝㻡㻘㻥㻤㻣㻌 㻞㻥㻘㻜㻤㻞㻌 㻞㻝㻘㻣㻝㻡 እ᮶ᝈ⪅ᩘ㸦㛫እ㸧㻌 እ᮶ᝈ⪅ᩘ㸦ྜィ㸧㻌 㻌 㻔㻡㻕 ධ㝔デ⒪ࡢᐇ⦼㻌 㻌 ධ㝔ᝈ⪅ᩘ㸦ᘏᩘ㸧㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 㻝㻠㻘㻢㻟㻝 㻌 㻌 㻌 㻌 ―229― ᖹᡂ㻞㻟ᖺᗘ㻌 㻝㻠㻘㻢㻢㻢 ᖹᡂ㻞㻠ᖺᗘ㻌 㻝㻡㻘㻜㻞㻠 神経内科 㻔㻢㻕 ධ㝔デ⒪ࡢᐇ⦼㸦ୖ㻝㻜㸧㻌 㻌 ᝈྡ㸦ධ㝔㸧㻌 㻝㻌 ⬻⾑⟶㞀ᐖ㻔⬻᱾ሰࠊ⬻ฟ⾑࡞㻕㻌 㻞㻌 ࡅ࠸ࢀࢇ㸭࡚ࢇࢇ㻌 㻟㻌 ࣃ࣮࢟ࣥࢯࣥ㻌 㻠㻌 㧊⭷⅖㻌 㻡㻌 ࣝࢶࣁ࣐࣮ᆺㄆ▱㻌 㻢㻌 㔜➽↓ຊ㻌 㻣㻌 ከⓎᛶ◳㻌 㻤㻌 ከ⣔⤫ⴎ⦰㻌 㻥㻌 ᮎᲈ⚄⤒㞀ᐖ㻔ࢠ࣭ࣛࣥࣂ࣮ࣞೃ⩌ࠊ㻯㻵㻰㻼 ࡞㻕㻌 㻝㻜㻌 㐠ືࢽ࣮ࣗࣟࣥᝈ㻔㻭㻸㻿 ࡞㻕㻌 ᝈ⪅ᩘ㻌 㻞㻣㻤 㻢㻜 㻡㻤 㻞㻣 㻞㻡 㻞㻜 㻝㻡 㻝㻠 㻝㻞 㻝㻝 㻌 㻌 㻝㻌 㻞㻌 㻟㻌 㻠㻌 㻡㻌 ࡞᳨ᰝ࣭ฎ⨨ྡ㸦እ᮶࣭ධ㝔ၥࢃࡎ㸧㻌 㢕ື⬦࢚ࢥ࣮㻌 ➽㟁ᅗ㻔ᮎᲈ⚄⤒ఏᑟ㏿ᗘࠊ㔪➽㟁ᅗ㻕㻌 ⤒㣗㐨ᚰ࢚ࢥ࣮㻌 ⬻⾑⟶ᙳ㻌 ➽⏕᳨㻌 ᝈ⪅ᩘ㻌 㻞㻡㻜 㻝㻡㻜 㻟㻜 㻝㻡 㻡 㻌 㻞㸬ඛ㐍ⓗ࡞་⒪ࡢྲྀࡾ⤌ࡳ㻌 ձ㼞㼠㻙㻼㻭 㟼ὀ⒪ἲ 㑇ఏᏊ⤌ࡳ࠼⤌⧊ࣉࣛࢫ࣑ࣀ࣮ࢤࣥࢡࢳ࣮࣋ࢱ࣮㻔㼞㼠㻙㻼㻭㻕ࡢ㟼⬦ෆᢞ 㸭⾑⟶ෆ⒪㻌 ࡣⓎࡽ㻠㻚㻡㛫௨ෆ⒪ྍ⬟࡞⬻᱾ሰᑐࡋ᭷ຠࡉࢀ࡚࠸ࡿࠋ ⬻⚄⤒እ⛉ࡢ༠ຊࡢୖࠊ㐺ᛂᝈ⪅㏿ࡸᢞ࡛ࡁࠊᚲせᛂࡌ⾑ ⟶ෆ⒪ࡲ࡛ᑐᛂ࡛ࡁࡿయไࡀᩚ࠼ࡽࢀ࡚࠸ࡿࠋ㻌 ղ㧗ḟ⬻ᶵ⬟㞀ᐖ 㧗ḟ⬻ᶵ⬟㞀ᐖࡣࠊ⬻ࡢ㒊ศⓗ࡞ᦆയࡼࡗ࡚ࠊゝㄒࡸグ᠈࡞ࡢᶵ デᐹ㻌 ⬟㞀ᐖࡀ㉳ࡁࡓ≧ែࢆゝ࠺ࠋᙜ⛉ࡢἙᮧᩍᤵࡢᑓ㛛ศ㔝࡛࠶ࡾࠊᩥ㒊 ⛉Ꮫ┬ࡽࡢ◊✲㈝ຓᡂࢆཷࡅࠊ⮫ᗋ◊✲ࢆ㐙⾜ࡋ࡚࠸ࡿࠋᅜྛᆅ ࡽᅜෆ␃Ꮫ⏕ࢆཷࡅධࢀࠊࡇࡢศ㔝࠾࠸࡚ࡣ᪥ᮏ࡛᭷ᩘ࡞タࡢࡦ ࡘ࡛࠶ࡿࠋ㻌 㻌 㻟㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձእ᮶࣭ᩆᛴᝈ⪅ እ᮶ࡣ୰ኸᲷ࡛㐌㻠ᅇࠊᮾ㝔࡛ࡣẖ᪥㻞㹼㻟デయไ࡛デ⒪ࢆ࠾ࡇ࡞ࡗ࡚࠸ ࡢཷࡅධࢀࢆ✚ᴟ ࡿࠋ≉Ṧእ᮶ࡋ࡚㢌③እ᮶ࡶࡢᛀࢀእ᮶ࢆ࠾ࡇ࡞ࡗ࡚࠾ࡾࠊ㏆㞄ࡢ ⓗ⾜ࡗࡓࠋ㻌 㛤ᴗ་ࡢඛ⏕᪉ࡽࡓࡃࡉࢇࡢᚚ⤂ࢆ㡬࠸ࡓࠋእ᮶ᝈ⪅ᩘࡣᖺ㏻ࡾ ከࡃࠊึデᝈ⪅ᩘࡣ᭶㻞㻜㻜ேࢆ㉸࠼ࡿࡁࡶ࠶ࡿࠋࡲࡓࠊእ᮶㛫እ࠾ ࠸࡚ࡶࠊ⥭ᛴࢆせࡍࡿᝈ⪅ᑐࡋ࡚ࡣࡑࡢ㒔ᗘᑐᛂࡋ࡚ࡁࡓࠋࡃ⬻ ⾑⟶㞀ᐖ࠾࠸࡚ࡣࠊᩆᛴ㝲ࡽࡢ㐃⤡ࢆཷࡅࠊ㻞㻠㛫௨ෆⓎࡋࡓ ᛴᛶᮇᝈ⪅ࢆࠊ⬻⚄⤒እ⛉ࡶከࡃཷࡅධࢀᑐᛂࡋࡓࠋ㻌 ղ་ᒁဨయࡢ▱ Ჷ࡛ࡣࠊᮾ㝔⣙㻠㻜ே⛬ᗘࡢᝈ⪅ࡀධ㝔ࡋ࡚࠸ࡿࠋẖ㐌㔠᭙᪥ࡣࠊ ㆑࣭ᢏ⾡ࡢྥୖ Ἑᮧᩍᤵࡼࡿ⥲ᅇデࠊ᳨ウࡀ㛤ࢀࠊၥ㢟ࡢデ᩿ࡸ⒪᪉ ࡘࡵࡓࠋ㻌 㔪ࢆ㛵㐃㝔ࡢ㠀ᖖ་ᖌࢆࡲࡌ࠼᳨࡚ウࡋ࡚࠸ࡿࠋࡲࡓ᭶᭙᪥ࡣ᪂ ᝈ࢝ࣥࣇࣞࣥࢫࡀ⾜ࢃࢀࠊ་ᒁဨ࣭Ꮫ⏕ᑐࡋࠊṇࡋ࠸デ⒪ࢆᩍ⫱࡛ ࡁࡿࡼ࠺ࡘࡵ࡚ࡁࡓࠋ㻌 ―230― 神経内科 㻠㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ⟶⾑⬻ە㞀ᐖࡣᙜ⛉ࡢධ㝔ᝈ⪅࡛ࡶ᭱ࡶከ࠸ᝈ࡛࠶ࡿࠋᘬࡁ⥆ࡁࠊ㐺ษ࡞⒪Ⓨண㜵 ຊࢆධࢀ࡚࠸ࡃࠋ㻌 ە㧗㱋♫క࠸ࠊㄆ▱ᝈ⪅ࡶቑຍࡋ࡚࠸ࡿࠋᅾᏯ་⒪ࢆྵࡵࡓᆅᇦ་⒪ࡀ㔜せ࡛࠶ࡾࠊ ᆅᇦࡢඛ⏕᪉ࡢ㐃ᦠࢆࡼࡾ࠸ࡗࡑ࠺῝ࡵ࡚࠸ࡁࡓ࠸ࠋ㻌 ە㧗㱋♫క࠸ࠊ࡚ࢇࢇᝈ⪅ࡶቑຍࡋ࡚࠸ࡿࠋࣅࢹ࢜⬻Ἴࣔࢽࢱࣜࣥࢢࢆᑟධࡍࡿ࡞ࠊ ࡚ࢇࢇデ⒪ࡢྥୖࢆ┠ᣦࡋ࡚࠸ࡁࡓ࠸ࠋ㻌 ⤒⚄ە㞴ࠊ∦ഃ㢦㠃ࡅ࠸ࢀࢇᑐࡋ࡚ࡢ࣎ࢺࢵࢡࢫὀ࡞ࠊᆅᇦࡢඛ⏕᪉࡛ࡣᑐᛂᅔ㞴࡞ᝈ ⪅ࢆཷࡅධࢀ࡚࠸ࡃࠋ㻌 㻌 ―231― 皮膚科 Ꮫ㝔㝃ᒓᮾ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院附属東病院 診療部門 ３）皮膚科 㻝㻙㻟㻌 ⓶⛉㻌 㻝䠊デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ᮎᮌ㻌 ༤ᙪ㻌 ་ᒁ㛗㻌 ಖᆏ㻌 ᾈ⮧㻌 Ჷ་㛗㻌 ୖᒸ㻌 䛺䛞䛥㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻞㻜ྡ㻔ᖖ㻝㻜ྡ䚸㠀ᖖ㻝㻜ྡ㻕㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻞ྡ ㅮᖌ㻌 㻞ྡ ຓᩍ㻌 㻟ྡ Ꮫ㝔⏕㻌 㻞ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᑓ㛛་㻌 ᪥ᮏ⓶⛉Ꮫㄆᐃ⓶⛉ᑓ㛛་㻌 㻤ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻟㻘㻡㻞㻡㻌 㻠㻘㻠㻡㻡㻌 㻟㻘㻤㻝㻤 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻟㻜㻘㻡㻟㻜㻌 㻟㻜㻘㻡㻟㻡㻌 㻟㻝㻘㻣㻤㻢 㻝㻘㻟㻣㻝㻌 㻝㻜㻞㻌 㻡㻞㻣 㻟㻡㻘㻠㻞㻢㻌 㻟㻡㻘㻜㻥㻞㻌 㻟㻢㻘㻝㻟㻝 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 㻟㻘㻠㻞㻤㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 㻟㻘㻢㻢㻣㻌 㻟㻘㻣㻥㻝 㻌 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼䠄ୖ㻝㻜䠅㻌 㻌 ᝈྡ䠄ධ㝔䠅㻌 㻝㻌 ᖏ≧⑁⑈㻌 㻞㻌 ⻏❐⧊⅖㻌 㻟㻌 ẕᩬ⣽⬊ẕᩬ㻌 㻠㻌 ᝏᛶ㯮Ⰽ⭘㻌 㻡㻌 ᇶᗏ⣽⬊⒴㻌 㻢㻌 䜰䝖䝢䞊ᛶ⓶⅖㻌 㻣㻌 ᑜᖖᛶⓄ㻌 㻤㻌 ከᙧ⣚ᩬ㻌 㻥㻌 ⢊⒗㻌 㻝㻜㻌 㛵⠇ᛶⓄ䠈㻌 㻌 ―232― ᝈ⪅ᩘ㻌 㻣㻜 㻡㻤 㻞㻞 㻝㻜 㻝㻟 㻝㻞 㻝㻟 㻣 㻤 㻤 ᡭ⾡㡯┠䠄ධ㝔䠅㻌 ẕᩬ⣽⬊ẕᩬ㻌 ᇶᗏ⣽⬊⒴㻌 ⢊⒗㻌 䝪䞊䜶䞁㻌 ᭷Ჲ⣽⬊⒴㻌 ⚄⤒⥺⥔⭘㻌 ⬡⫫⭘㻌 ᑜᖖᛶ㉕㻌 䜶䜽䝸䞁ờᏍ⭘㻌 ⮌㒊៏ᛶ⮋⓶䠈㻌 ᝈ⪅ᩘ㻌 㻝㻌 㻞㻌 㻟㻌 㻠㻌 㻡㻌 㻢㻌 㻣㻌 㻤㻌 㻥㻌 㻝㻜㻌 䛺᳨ᰝ䞉ฎ⨨ྡ䠄እ᮶䞉ධ㝔ၥ䜟䛪䠅㻌 䛔䜌෭จᅛ⾡㻌 ┿⳦㙾᳨㻌 㭜║⬞⬉ฎ⨨㻌 䝘䝻䞊䝞䞁䝗 㼁㼂㻮 ⒪ἲ㻌 䝎䞊䝰䝇䝁䝢䞊㻌 㝗ධ∎䝽䜲䝲䞊ἲ㻌 㻽 䝇䜲䝑䝏䝹䝡䞊䝺䞊䝄䞊⒪ἲ㻌 ㈞ヨ㦂㻌 ᒁᡤච⒪ἲ䠄㻿㻭㻰㻮㻱䠅㻌 ሷ㓟䝤䝺䜸䝬䜲䝅䞁ᒁὀ⒪ἲ㻌 ᝈ⪅ᩘ㻌 㻝㻌 㻞㻌 㻟㻌 㻠㻌 㻡㻌 㻢㻌 㻣㻌 㻤㻌 㻥㻌 㻝㻜㻌 皮膚科 㻌 㻞㻞 㻝㻟 㻤 㻢 㻟 㻌㻌㻌㻌㻌㻌㻌㻌㻌㻟 㻞 㻞 㻝 㻝 㻌 㻌 㻝㻘㻥㻟㻣 㻝㻘㻡㻞㻠 㻣㻤㻤 㻟㻣㻜 㻠㻥㻝 㻝㻜㻣 㻣㻤 㻝㻜㻜 㻟 㻝 㻌 㻞䠊ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟 㔜ᆺ⸆⑈㻌 㔜ᆺ⸆⑈䠄㻿㼠㼑㼢㼑㼚㼟㻙㻶㼛㼔㼚㼟㼛㼚 ೃ⩌䚸୰ẘᛶ⾲⓶ቯṚ䚸⸆㐣ᩄ 㻌 㓇ೃ⩌䠅ᝈ⪅䜈䛾ච䜾䝻䝤䝸䞁㟼ὀ⒪ἲ䚹㻌 䐠 ᑜᖖᛶⓄ㻌 ㌟ᆺ㻌 㻺㼍㼞㼞㼛㼣㻌㼎㼍㼚㼐㻌㼁㼂㻮 ⒪ἲ㻌 䐡 ᙧ⬺ẟ㻌 ᒁᡤච⒪ἲ䠄㻿㻭㻰㻮㻱䠅㻌 䐢 ᑜᖖᛶ㉕㻌 ሷ㓟䝤䝺䜸䝬䜲䝅䞁ᒁὀ⒪ἲ㻌 㻌 㻟䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟㻌 ධ㝔䛻䛴䛔䛶㻌 ឤᰁ䛾ᩘ䛿ᖺ䛸ẚ㍑䛧ቑຍ䛧䛶䛔䛯䚹Ⓞ䛾⏕≀Ꮫⓗ〇䛻 䜘䜛⒪䛾ᩘ䛿䜋䜌ᶓ䜀䛔䛷䛒䛳䛯䚹㻌 䐠㻌 እ᮶䛻䛴䛔䛶㻌 ᖺ㏻䜚䛷䛒䛳䛯䚹㻌 㻌 㻠䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃㏆㞄䛾་⒪ᶵ㛵䛸䛾㐃ᦠ䜢ᙉ䛩䜛䚹㻌 䖃Ⓞ䛾⏕≀Ꮫⓗ〇䚸㻺㼍㼞㼞㼛㼣㻌㼎㼍㼚㼐㻌㼁㼂㻮 ⒪ἲ䛾䜢ቑ䜔䛩䚹㻌 䖃ධ㝔ᡭ⾡䛾䜢ቑ䜔䛩䚹㻌 㻌 ―233― 眼 科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院附属東病院 診療部門 㻝㻙㻠㻌 ║⛉㻌 ４）眼 科 㻝䠊デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 㧗ᶫ㻌 ⏨㻌 ་ᒁ㛗㻌 ྜྷ⏣㻌 ┿ே㻌 Ჷ་㛗㻌 ᑠⳢ㻌 ṇኴ㑻㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻟㻜ྡ㻔ᖖ㻝㻝ྡ䚸㠀ᖖ㻝㻥ྡ㻕㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻠ྡ ຓᩍ㻌 㻡ྡ Ꮫ㝔⏕㻌 㻞ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ᪥ᮏ║⛉Ꮫㄆᐃᣦᑟ་㻌 㻟ྡ ᑓ㛛་㻌 ᪥ᮏ║⛉Ꮫㄆᐃᑓ㛛་㻌 㻥ྡ ㄆᐃ་㻌 ᪥ᮏ║⛉ᡭ⾡Ꮫග⥺ຊᏛⓗ⒪ㄆᐃ་㻌 㻣ྡ 䛭䛾㻌 䝖䝷䝧䜽䝖䞊䝮䜲䞁䝇䝖䝷䜽䝍䞊㻌 㻝ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻠㻘㻝㻠㻤㻌 㻡㻘㻜㻢㻡㻌 㻡㻘㻝㻝㻠 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻠㻜㻘㻠㻠㻢㻌 㻟㻣㻘㻡㻝㻣㻌 㻟㻡㻘㻥㻥㻥 㻝㻘㻞㻝㻟㻌 㻝㻡㻣㻌 㻝㻘㻜㻣㻠 㻠㻡㻘㻤㻜㻣㻌 㻠㻞㻘㻣㻟㻥㻌 㻠㻝㻘㻝㻝㻟 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻔㻡㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 㻌 ධ㝔ᝈ⪅ᩘ䠄ᘏᩘ䠅㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 㻝㻟㻘㻢㻥㻟 㻌 㻌 㻌 㻌 㻌 㻌 ―234― ᖹᡂ㻞㻟ᖺᗘ㻌 㻝㻟㻘㻠㻢㻢 ᖹᡂ㻞㻠ᖺᗘ㻌 㻝㻟㻘㻢㻥㻟 ⓑෆ㞀 ෆ ║ ᡭ ⾡ ⥳ෆ㞀 ⥙⭷ ◪Ꮚయ ᙉゅ⭷ ゅ⭷ ࡑࡢ ᩳど ║▛ እ ║ ᡭ ⾡ ║⌫ ᾦჾ ║⾲㠃 ║❐ ࡑࡢ ィ ᪂ᝈᩘ ᮶ᩘ ྜィ 眼 科 㻔㻢㻕 ධ㝔デ⒪䛾ᐇ⦼㻌 ෆ║/እ║ ᝈ ⾡ᘧ 㻼㻱㻭㸩㻵㻻㻸㻌 㻼㻱㻯㻯㻱㸩㻌 㻵㻻㻸㻌 㻵㻯㻯㻱㻌 㻼㻱㻯㻯㻱㻌 㻼㻱㻭㻌 㻞㼚㼐㻌㻵㻻㻸㻌 ᚋⓎⓑෆ㞀ษ㛤⾡㻌 ࡑࡢ㻌 㻵㼞㼕㼐㼑㼏㼠㼛㼙㼥㻌 㼀㼞㼍㼎㼑㼏㼡㼘㼑㼏㼠㼛㼙㼥㻌 㼀㼞㼍㼎㼑㼏㼡㼘㼛㼠㼛㼙㼥㻌 ࡑࡢῶᅽᡭ⾡㻌 ⥙⭷㞳㻔㻮㼍㼏㼗㼘㼕㼚㼓 ࡢࡳ㻕㻌 Ꮝཎᛶ⥙⭷㞳㸦㼂㼕㼠㻕㻌 ║ෆ␗≀ฟ⾡㻌 ◪Ꮚయὀᑕ㻌 ⥙⭷◪Ꮚయᡭ⾡㻔ୖグ௨እ㻕㻌 ᙉゅ⭷⦭ྜ⾡㻌 ゅ⭷⛣᳜⾡㻌 㸦ෆ║ᡭ⾡㸧㻌 ᩳどᡭ⾡㻌 ║▛ୗᆶᡭ⾡㻌 ║▛ෆᡭ⾡㻌 ║▛እᡭ⾡㻌 ║▛ᙧᡂ⾡㻌 ║▛⭘⒗ษ㝖㻌 㔜▛⾡㻌 ║⌫ฟ⾡㻌 ᾦᄞ㰯⭍࿀ྜ⾡㻌 ᾦᑠ⟶⦭ྜ⾡㻌 ࡑࡢᾦჾ㛵ࡍࡿᡭ⾡㻌 ⩼≧∦ᡭ⾡㻌 ど⚄⤒⟶㛤ᨺ⾡㻌 ║❐ᗏ㦵ᢡᩚ⾡㻌 ║❐ቨ㦵ᢡᩚ⾡㻌 ║❐ෆ⭘⒆㻌 ║❐ෆ␗≀ฟ⾡㻌 㸦እ║ᡭ⾡㸧㻌 ෆ║ᡭ⾡㻌 እ║ᡭ⾡㻌 ྜィ㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 ―235― ௳ᩘ 㻝㻘㻢㻜㻢 㻠㻡 㻥 㻌 㻡 㻟㻝 㻝 㻠 㻌 㻞㻤 㻟㻠 㻞㻢 㻝㻜㻠 㻣㻣 㻟 㻢㻤㻡 㻞㻡㻢 㻝㻜 㻞 㻝㻟 㻟㻜 㻢㻠 㻞㻜 㻝 㻌 㻞㻤 㻌 㻌 㻠 㻞 㻝㻜 㻢 㻟 㻥㻝 㻝 㻟 㻞 㻟㻞 㻞㻘㻥㻟㻥 㻞㻥㻣 㻟㻘㻞㻟㻢 ࡢྎ㻌 㻡㻘㻝㻝㻠 㻟㻡㻘㻥㻥㻥 㻠㻝㻘㻝㻝㻟 眼 科 㻞䠊ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟ຍ㱋ᛶ㯤ᩬኚᡂ䛻䛯 ຍ㱋ᛶ㯤ᩬኚᡂ䛻ᑐ䛩䜛 㼂㻱㻳㻲 㜼ᐖ⸆◪Ꮚయὀᑕ䜢⾜䛳䛶䛔䜛㻌 䛔䛩䜛 㼂㻱㻳㻲 㜼ᐖ⸆◪Ꮚయ ὀᑕ㻌 䐠ど⏝║ෆ䝺䞁䝈㻌 ⓑෆ㞀ᡭ⾡䛻䛚䛔䛶ど⏝║ෆ䝺䞁䝈䜢⏝䛔䛶䛔䜛㻌 䐡䝖䝷䝧䜽䝖䞊䝮㻌 ⥳ෆ㞀ᡭ⾡䛻䛚䛔䛶పくᡭ⾡䜢⾜䛧䛶䛔䜛㻌 䐢䝏䝳䞊䝤䝅䝱䞁䝖ᡭ⾡㻌 㞴ᛶ⥳ෆ㞀䛻ᑐ䛧䛶䛾䜲䞁䝥䝷䞁䝖ᡭ⾡䜢⾜䛧䛶䛔䜛㻌 㻌 㻟䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟⤂⋡䞉㏫⤂⋡䛾ୖ᪼ ᆅᇦ་⒪ᶵ㛵䛸ᐦ᥋䛺㐃ᦠ䜢ྲྀ䜚୰᰾ᡭ⾡タ䛸䛧䛶䛾ᙺ䜢ᯝ䛯 䛧䛶䛔䜛䚹㻌 䐠ᩆᛴ་⒪䜈䛾ྲྀ䜚⤌䜏㻌 ᮾ㑥Ꮫ䞉ⲥཎ㝔ཬ䜃ရᕝ䞉⏣༊║⛉་䛸㐃ᦠ䛧䚸ఇ᪥䞉ኪ㛫 䛾㍯␒ᩆᛴయไ䞉ᡭ⾡యไ䛜ᐃ╔䛧ᐇ⦼䜢ṧ䛧䛶䛔䜛䚹㻌 㻌 㻠䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃タ䞉タഛ䛾⪁ᮙ䛜┠❧䛱䚸⌧ᅾ㡰ḟᚲせ䛺䛸䛣䜝䛛䜙䝸䝙䝳䞊䜰䝹䜢ᅗ䛳䛶䛔䜛䚹㻌 䖃⮫ᗋ୰ᚰ䛾䝇䝍䝑䝣ᵓᡂ䜢䜂䛔䛶䛔䜛䛜䚸ྛᏛ㒊ᩍ⫱䞉◊ಟ་ᩍ⫱䛾㔜㈐䛻䜒ᑐᛂ䛧䛺䛡䜜䜀䛺 䜙䛪䚸᭦䛺䜛䝇䝍䝑䝣䛾㊊䛜ㄢ㢟䛷䛒䜛䚹㻌 䖃⛉䛾≉ᛶୖዪᛶ་ᖌ䛜ከ䛔䛜䚸䜎䛰䜎䛰䝽䞊䜽䝞䝷䞁䝇䛜ྲྀ䜜䛪㞳⫋⋡䛜㧗䛔䚹⎔ቃ䛜ᩚ䛖 䛷⏘ఇᚋ䛾⫋䛜㧗䜎䜛䛻ᮇᚅ䛧䛯䛔䚹㻌 㻌 ―236― 精神・神経科 Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院附属東病院 診療部門 㻝㻙㻡㻌 ⢭⚄䞉⚄⤒⛉㻌 ５）精神・神経科 㻝䠊デ⒪యไ䛸ᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 ་ᒁ㛗㻌 ᒾἼ㻌 ᫂㻌 ᒸᓥ㻌 ⏤ె㻌 㻌 㻔㻞㻕 ་ᖌᩘ㻌 㻌 㻝㻥ྡ㻔ᖖ㻢ྡ䚸㠀ᖖ㻝㻟ྡ㻕㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻝ྡ ㅮᖌ㻌 㻝ྡ ຓᩍ㻌 㻟ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬ䜃ᑓ㛛་䞉ㄆᐃ་㻌 ᣦᑟ་㻌 ᪥ᮏ⢭⚄⚄⤒Ꮫᣦᑟ་㻌 㻟ྡ ᑓ㛛་㻌 ᪥ᮏ⢭⚄⚄⤒Ꮫᑓ㛛་㻌 㻠ྡ 䛭䛾㻌 ⢭⚄ಖᣦᐃ་㻌 㻟ྡ 㻌 㻔㻠㻕 እ᮶デ⒪䛾ᐇ⦼㻌 㻌 ᖹᡂ㻞㻞ᖺᗘ㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 እ᮶ᝈ⪅ᩘ䠄ึデ䠅㻌 㻥㻥㻥㻌 㻤㻞㻠㻌 㻣㻢㻝 እ᮶ᝈ⪅ᩘ䠄デ䠅㻌 㻟㻡㻘㻡㻢㻣㻌 㻟㻥㻘㻥㻝㻢㻌 㻟㻣㻘㻝㻞㻤 㻟㻌 㻡㻌 㻟 㻟㻢㻘㻡㻢㻥㻌 㻠㻜㻘㻣㻠㻡㻌 㻟㻣㻘㻤㻥㻞 እ᮶ᝈ⪅ᩘ䠄㛫እ䠅㻌 እ᮶ᝈ⪅ᩘ䠄ྜィ䠅㻌 㻌 㻞䠊ඛ㐍ⓗ䛺་⒪䜈䛾ྲྀ䜚⤌䜏㻌 䐟ᑓ㛛እ᮶㻌 䝟䝙䝑䜽㞀ᐖእ᮶䚸≀ᛀ䜜䠋ㄆ▱እ᮶䚸ᚰ㌟እ᮶䚸䜰䝇䝨䝹䜺䞊䜽䝸 䝙䝑䜽䚸㻼㼀㻿㻰 እ᮶䚸ዪᛶ䛖䛴እ᮶䚸ඛ㐍་⒪䛂ග䝖䝫䜾䝷䝣䜱䞊䜢⏝ 䛔䛯䛖䛴≧䛾㚷ูデ᩿⿵ຓ䛃䛻䜘䜛ග䝖䝫䜾䝷䝣䜱䞊እ᮶䠄᳨ᰝእ᮶䠅 䜢㛤タ䛧䚸䜘䜚ᑓ㛛་⒪䛻≉䛧䛯እ᮶䜢ᚰ䛜䛡䛶䛔䜛䚹㻌 㻌 㻌 㻟䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟䝸䜶䝌䞁䞉䝁䞁䝃䝹䝔䞊 ྛデ⒪⛉䛸㐃ᦠ䛧䛶ᝈ⪅デ⒪䛻ཧຍ䛧䚸⢭⚄⛉䛸䛧䛶䛾ᑓ㛛▱㆑䜢ᥦ 䝅䝵䞁㻌 ౪䛩䜛䛸䛸䜒䛻䚸⢭⚄ᝈ䜢ྜే䛧䛯ᝈ⪅䛾䜿䞊䝇䝽䞊䜽䛸䛧䛶䚸 Ꮫ㝃ᒓⅲᒣ㝔䜔Ꮫᶓᕷ㒊㝔䛺䛹䛸㐃ᦠ䛧䚸ྛデ⒪ ⛉䛸䛾ᶫΏ䛧ⓗ䛺ᙺ䜒ᢸ䛳䛯䚹㻌 ―237― 精神・神経科 㻠䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃ᑓ㛛እ᮶䜢䛥䜙䛻ᐇ䛥䛫䚸⢭⚄⛉㡿ᇦ䛾ከ䛟䛾ᝈ䛻ᑐ䛧䛶ᑓ㛛⒪䜢ཷ䛡䜛䛣䛸䛜ฟ᮶䜛⎔ ቃ䜢ᩚ䛘䜛䚹㻌 䖃Ꮫ㝃ᒓⅲᒣ㝔䜢䛿䛨䜑䛸䛧䛯㛵㐃㝔䛸༠ຊ䛧䚸እ᮶⒪䛸ධ㝔⒪䛾䛺㐃ᦠ䜢 䛿䛛䜛䚹㻌 䖃㏆㞄䛾䜽䝸䝙䝑䜽䚸་⒪ᶵ㛵䛸䛾㐃ᦠ䜢ᙉ䛧䚸་⒪䛾ᐇ䜢䛿䛛䜛䚹㻌 㻌 ―238― 麻酔科︵ペインクリニック︶ Ꮫ㝔㻌 デ⒪㒊㛛㻌 昭和大学病院附属東病院 診療部門 㻝㻙㻢㻌 㯞㓉⛉䠄䝨䜲䞁䜽䝸䝙䝑䜽䠅㻌 ６）麻酔科（ペインクリニック） 㻝㸬デ⒪యไᝈ⪅ᵓᡂ㻌 㻔㻝㻕 デ⒪⛉㛗㻌 Ᏻᮏ ṇ㻌 ་ᒁ㛗㻌 ሯ ┤ᶞ㻌 㻌 㻔㻞㻕 ་ᖌᩘ 㻞㻜ྡ㻔ᖖ㻞㻜ྡࠊ㠀ᖖ㻌 㻢ྡ㻕㻌 ᩍᤵ㻌 㻝ྡ ᩍᤵ㻌 㻞ྡ ㅮᖌ㻌 㻠ྡ ຓᩍ㻌 㻝㻞ྡ Ꮫ㝔⏕㻌 㻝ྡ 㻌 㻔㻟㻕 ᣦᑟ་ཬࡧᑓ㛛་࣭ㄆᐃ་㻌 ᣦᑟ་㻌 ᪥ᮏ㯞㓉⛉Ꮫ㯞㓉⛉ᣦᑟ་㻌 㻢ྡ ᑓ㛛་㻌 ᪥ᮏ㯞㓉⛉Ꮫ㯞㓉⛉ᑓ㛛་㻌 㻟ྡ 㻌 ᪥ᮏ࣌ࣥࢡࣜࢽࢵࢡᏛ࣌ࣥࢡࣜࢽࢵࢡᑓ㛛་㻌 㻣ྡ 㻌 ᪥ᮏ㞟୰⒪་Ꮫ㞟୰⒪ᑓ㛛་㻌 㻞ྡ 㻌 ᪥ᮏ྾⒪ἲ་Ꮫᑓ㛛་㻌 㻞ྡ ㄆᐃ་㻌 ᪥ᮏ㯞㓉⛉Ꮫ㯞㓉⛉ㄆᐃ་㻌 㻢ྡ 㻌 㻔㻠㻕 ධ㝔デ⒪ࡢᐇ⦼㻌 㻌 ࡞᳨ᰝ࣭ฎ⨨ྡ㸦እ᮶࣭ධ㝔ၥࢃࡎ㸧㻌 ᝈ⪅ᩘ㻌 㻝㻌 㻞㻌 ᫍ≧⚄⤒⠇ࣈࣟࢵࢡ㻌 ◳⭷እࣈࣟࢵࢡ㻌 㻞㻘㻟㻢㻠 㻝㻘㻜㻞㻠 㻟㻌 㻠㻌 㦵◳⭷እࣈࣟࢵࢡ㻌 㼄 ⥺㏱どୗࣈࣟࢵࢡ㻌 㻣㻝㻞 㻥㻡 㻡㻌 㻢㻌 ⚄⤒ࣈࣟࢵࢡ⥲ᩘ㻌 ග⥺⒪ἲ㻌 㻣㻌 㻤㻌 ⚄⤒่⃭⒪ἲ㻌 㢦㠃⚄⤒㯞⑷ࡢ⚄⤒㟁Ẽ᳨ᰝ㻌 㻡㻘㻢㻤㻢 㻟㻘㻤㻥㻢 㻡㻤 㻟㻣㻞 㻌 㻞㸬ඛ㐍ⓗ࡞་⒪ࡢྲྀࡾ⤌ࡳ㻌 ձࣃࣝࢫ㧗࿘Ἴ⒪㻌 ⚄⤒ࣈࣟࢵࢡࠊ⚄⤒ᙳ㡪ࢆ࠼ࡎ㙠③ຠᯝࢆᚓࡿ᪉ἲࡋ ࡚ࠊ✚ᴟⓗࣃࣝࢫ㧗࿘Ἴἲࢆྲྀࡾධࢀ࡚࠸ࡿࠋ㻌 ղ⬨㧊่⃭⒪ἲ㻌 㞴ᛶ⑊③ࡢ⒪ἲࡋ࡚ࠊ⬨㧊㟁ᴟࢆᇙࡵ㎸ࡳ㙠③ࢆᚓࡿ⬨㧊 ่⃭⒪ἲࡢᑟධࢆḟᖺᗘࡽ✚ᴟⓗྲྀࡾ⤌ࡴணᐃ࡛࠶ࡿࠋ㻌 ―239― 麻酔科︵ペインクリニック︶ 㻟㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձ⸆≀⒪ἲ㻌 ࢜ࣆ࢜ࢻࢆࡣࡌࡵࡋ࡚ࠊ៏ᛶ③ᑐࡍࡿ᪂ࡋ࠸㙠③⸆ࡸ㙠③⿵ ຓ⸆ࡀᢎㄆࡉࢀ࡚࠸ࡿࠋస⏝ᶵᗎࡢ␗࡞ࡿྛ⸆ࡢ㑅ᢥ࠶ࡓࡾࠊ ③ࡳࡢデ᩿ࢆⓗ☜⾜࠺ࡇࡀ᭱ࡶ㔜せ࡛࠶ࡿࠋࡉࡽ࣌ࣥࢡࣜ ࢽࢵࢡᏛࡢ⸆≀⒪ἲ࢞ࢻࣛࣥࢆ㔜どࡋࠊಶࠎࡢᝈ⪅㐺ࡋࡓ ⸆≀⒪ἲࢆᐇ㊶ࡋࡓࠋ㻌 ղ⚄⤒ࣈࣟࢵࢡ⒪ἲ㻌 ᚑ᮶ࡢࣛࣥࢻ࣐࣮ࢡἲࡔࡅ࡛ࡣ࡞ࡃࠊᏳᛶ࣭☜ᐇᛶࡢ㧗࠸㉸㡢Ἴ ࢞ࢻୗ⚄⤒ࣈࣟࢵࢡ⒪ἲࢆ✚ᴟⓗྲྀࡾධࢀࡓࠋ㻌 㻌 㻌 㻠㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ەᮾ㝔ࡣ៏ᛶ③㛵㐃ᛶࡢ㧗࠸デ⒪⛉ࡀ࠶ࡾࠊᚋࡉࡽ㐃ᦠࢆᙉࡋ࡚࡞デ⒪యไࢆ ᵓ⠏ࡍࡿࠋ㻌 ⌧ەᅾ࡛ࡣィ⏬ⓗ࡞ධ㝔ᝈ⪅ࡔࡅᑐᛂࡋ࡚࠸ࡿࡀࠊᙜ⛉ࡢయไࢆᩚ࠼ከࡃࡢධ㝔ᝈ⪅ᑐᛂ ࡍࡿࠋ㻌 㻌 ―240― 放射線室 Ꮫ㝔㝃ᒓᮾ㝔㻌 ୰ኸ᳨ᰝ㒊㛛㻌 昭和大学病院附属東病院 中央検査部門 㻞㻌 ᨺᑕ⥺ᐊ㻌 １）放射線室 㻝䠊⌮ᛕ䞉┠ᶆ㻌 ⌮ᛕ䠖ᝈ⪅䝃䞊䝡䝇䜢➨୍ඃඛ䛸䛧䚸Ᏻᚰ䛷Ᏻ䛺㉁䛾㧗䛔ᨺᑕ⥺᳨ᰝ䞉⒪ᢏ⾡䜢ᥦ౪䛩䜛䛸ඹ 䛻䚸㉁䛾㧗䛔་⒪ே䛾⫱ᡂ䜢⾜䛖䚹㻌 ᖹᡂ㻞㻠ᖺᗘ┠ᶆ㻌 㻝䠅䝏䞊䝮་⒪䛾᥎㐍㻔୍ḟㄞᙳ䚸Ṇ⾑䚸ᢤ㔪㻕䚹㻌 㻞䠅ᨺᑕ⥺⿕䜀䛟┦ㄯ䛾ᚭᗏ䚹㻌 㻟䠅ᨺᑕ⥺᳨ᰝ䞉⒪䛾ᚅ䛱㛫䜢䛷䛝䜛䛰䛡▷䛟䛩䜛䚹㻌 㻌 㻞䠊ேဨᵓᡂ㻌 ⤫ᣓ㒊㛗䠄ཧ䠅㻌 ୰⃝㻌 㟹ኵ㻌 ௵䠄デ⒪ᨺᑕ⥺ᢏᖌ䠅㻌 㻌 ᗣே㻌 㻌 㻟䠊ᴗົᐇ⦼㻌 㻌 㻌 ᮾ㝔᳨ᰝ௳ᩘ㻌 䝰䝎䝸䝔䜱㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 ୍⯡ᙳ㻌 㻢㻘㻡㻡㻡㻌 㻣㻘㻟㻝㻥 䝫䞊䝍䝤䝹ᙳ㻌 㻞㻘㻝㻢㻣㻌 㻝㻘㻥㻝㻝 㻰㻾 ᳨ᰝ㻌 㻝㻡㻥㻌 㻝㻟㻡 㻯㼀 ᳨ᰝ㻌 㻠㻘㻝㻡㻜㻌 㻠㻘㻝㻤㻤 㻌 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 㻌 䖃♫䞉ᆅᇦ㈉⊩άື㻌 㻌 㛤ദᖺ᭶᪥㻌 㻝㻌 㻞㻜㻝㻞ᖺ㻢᭶㻌 ෆ㻌 㻌 ᐜ㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 㛤ദᆅ㻌 ᮾி㻌 䛂㻼㻯㻵 䛾ᐇ㝿䠄デ⒪ᨺᑕ⥺ᢏᖌ䛾ᙺ䚸ᡭᢏ୰䛻㣕䜃䛖⏝ ㄒ䚸ᚰ䜹䝔䝏䞊䝮䛾㐃ᦠ䠅䛃ᚠ⎔ჾ⏬ീᢏ⾡◊✲㻌 ㅮ₇㻌 బ⸨㻌 ஂᘺ㻌 㻞㻌 㻞㻜㻝㻞ᖺ㻤᭶㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 㻌 ᮾி㻌 䛂⸆ᖌ⏕ᾭᏛ⩦ㅮᗙ㻌 ⏕య᳨ᰝ㻌 䝺䞁䝖䝀䞁䛃㻌 ➨㻝ᅇ⸆Ꮫ䝊 䝭䝘䞊㻌 ㅮ₇㻌 బ⸨㻌 ஂᘺ㻌 㻟㻌 㻞㻜㻝㻞ᖺ㻢᭶㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 㻌 䛂⿕᭚పῶ䛾ヨ䜏䛃㻌 㻭㻰㻭㼀㻭㻾㻭㻌 㻸㼕㼢㼑㻌 㻌 ㅮ₇㻌 బ⸨㻌 ஂᘺ㻌 㻌 ―241― ᐑᇛ㻌 放射線室 㻠㻌 㻞㻜㻝㻟ᖺ㻢᭶㻌 ᨺᑕ⥺ᩍ⫱䜈䛾㈉⊩㻌 㻌 ᐑᇛ㻌 䛂⿕᭚䛾 㻽䠃㻭䛃㻌 㻭㻰㻭㼀㻭㻾㻭㻌 㻸㼕㼢㼑㻌 㻌 ㅮ₇㻌 బ⸨㻌 ஂᘺ㻌 㻌 䖃◊✲ᴗ⦼㻌 ⴭ᭩㻌 㻌 ⴭ⪅ྡ㻌 㢟㻌 㻌 ྡ㻌 ᭩㻌 㻌 ྡ㻌 ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ㻌 㻝㻌 ᆅᇦ䛾ໟᣓⓗ䛺 ከ⫋✀┦䜚ධ䜜ᆺ䛾 ከ ⫋ ✀ ┦ 䜚 ධ 䜜 䝦䝹䝇ฟ∧㻌 ་⒪䛻㛵䛩䜛◊ 䝏䞊䝮་⒪㻌 ᆺ䛾䝏䞊䝮་⒪㻌 ㈉㻦㻞㻜㻟㻌 ✲㻔ᓲ㻌 ᫀ㻕㻌 䠉䛭䛾⌧≧䛸ᒎᮃ䠉㻌 㻞㻜㻝㻞ᖺ㻥᭶㻌 䠉䛭䛾⌧≧䛸ᒎᮃ䠉㻌 㻌 㻡䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟୍⯡ᙳ䚸㻯㼀 ᳨ᰝ௳ ᖺᗘ䛿䚸๓ᖺᗘ䛻ẚ䜉୍⯡ᙳ䛾௳ᩘ䛜⣙㻣㻢㻠௳ቑຍ䛧䛯䚹䛣䜜 ᩘ䛾ቑຍ䚸㻰㻾 ᳨ᰝ䛾ῶ 䛿䚸እ᮶ᝈ⪅ᩘ䛜ቑຍ䛧䛯䛣䛸䛜せᅉ䛷䛒䜛䚹䛧䛛䛧䚸䝫䞊䝍䝤䝹ᙳ䚸 ᑡ䛻䛴䛔䛶㻌 㻰㻾 ᳨ᰝ䛜ῶᑡ䛧䛶䛔䛯䚹ḟᖺᗘ䛿䚸៏ᛶᮇᝈ䛾⤒㐣ほᐹ䛾䝒䞊䝹 㻌 䛸䛧䛶䚸ྛ⛉䛸༠ຊ䛧Ჷ䝫䞊䝍䝤䝹ᙳ䛾ᐇ⦼䜢ఙ䜀䛧䛶䛔䛝䛯䛔䚹 䜎䛯䚸㻰㻾 ᳨ᰝ䛻䛚䛔䛶䜒䚸Ჷ䝫䞊䝍䝤䝹ᙳྠᵝ䚸ྛ⛉䛸༠ຊ䛧ᐇ ⦼䜢ఙ䜀䛧䛶䛔䛝䛯䛔䚹㻯㼀 ᳨ᰝ䛿ᖺᗘ䜒Ᏻᐃ䛧䛶᳨ᰝ௳ᩘ䛜ቑຍഴ ྥ䜢♧䛧䛶䛔䛯䚹㻌 䐠♫䞉ᆅᇦ㈉⊩άື䚸 ᖺᗘ䛿䚸ᖺᗘ䛻ẚ䜉♫䞉ᆅᇦ㈉⊩άື䛻㈉⊩䛷䛝䛯䛸ᛮ䛖䚹䛧䛛 ◊✲ᴗ⦼䛻䛴䛔䛶㻌 䛧䚸䜎䛰䜎䛰ᐇ⦼䜢ṧ䛫䛶䛔䛺䛔䛯䜑䚸ḟᖺᗘ䛿䚸㻝䛴䛷䜒ከ䛟䛾ᡂᯝ䛜 㻌 ᚓ䜙䜜䜛䜘䛖ດຊ䛧䛶䛝䛯䛔䚹㻌 㻌 㻢䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃䝏䞊䝮་⒪䛾୍ဨ䛸䛧䛶䚸Ჷ䞉እ᮶䛸༠ാ䛧᳨ᰝ䞉⒪䛜䝇䝮䞊䝈䛻⾜䛘䜛䜘䛖㐃ᦠ䜢ᅗ䜛䚹㻌 䖃ྛ㒊㛛䛾ᨺᑕ⥺᳨ᰝ䞉⒪䛻䛚䛡䜛୍ḟㄞᙳ䛾ᐇ䜢ᅗ䜚䚸ྛデ⒪⛉䛻ሗᥦ౪䛷䛝䜛䜘䛖䛻 ົ䜑䜛䚹㻌 䖃ᝈ⪅䛥䜣䛜Ᏻᚰ䛧䛶᳨ᰝ䞉⒪䜢ཷ䛡䜙䜜䜛䜘䛖ᝈ⪅䛥䜣䛾せᮃ䛻ᛂ䛨䛯ᨺᑕ⥺᳨ᰝ䞉⒪ㄝ᫂ 䜢ᚭᗏ䛩䜛䚹㻌 㻌 ―242― １）手術室 ᮾᡭ⾡ᐊ㻌 㻝䠊⌮ᛕ䞉┠ᶆ㻌 ⌮ᛕ䠖Ᏻ䛷Ᏻᚰ䛺ᡭ⾡་⒪䛾ᥦ౪㻌 ┠ᶆ䠖㻝䠊㻡㻿 䛾ᚭᗏ㻌 㻞䠊䝇䝍䞁䝎䞊䝗䝥䝸䝁䞊䝅䝵䞁䛾ᚭᗏ㻌 㻟䠊ᡭ⾡ᐊධ㏥ᐊ䛾㻌 㻌 㻞䠊ேဨᵓᡂ㻌 ᡤᒓ㛗䠄ᮾ㝔㻌 㝔㛗䠅㻌 Ἑᮧ㻌 ‶㻌 ᖌ㛗㻌 ྈ㔝㻌 Ụ⌮Ꮚ㻌 ಀ㛗㻌 ᱒ཎ㻌 ᩔᏊ㻌 ᰝ㻌 ᖹሯ㻌 ிᏊ㻌 ┳ㆤᖌ䠋┳ㆤ⿵ຓ⪅㻌 㻝㻡ྡ㻌 䠋⿵ຓ⪅㻌 㻞ྡ㻌 㻌 ᮾ㝔୰ኸᮦᩱᐊ㻌 䝸䝆䝵䜲䝇䜹䞁䝟䝙䞊㻌 㻞ྡ㻌 㻌 㻟䠊ᴗົᐇ⦼㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 ᡭ⾡௳ᩘ㻌 ᖺ㛫⥲ᡭ⾡௳ᩘ㻌 㻟㻘㻞㻟㻤௳䠄ᖹᡂ㻞㻟ᖺᗘᐇ⦼㻟㻘㻝㻤㻠௳㻌 㻗㻡㻠௳䠅㻌 ║⛉ᡭ⾡௳ᩘ㻌 㻟㻘㻝㻢㻠௳㻌 ⓶⛉ᡭ⾡௳ᩘ㻌 㻣㻝௳㻌 䛭䛾㻔║⛉䞉⪥㰯⛉ྜྠᡭ⾡ྵ䜐㻕㻌 㻟௳㻌 㻌 㻠䠊ᖹᡂ㻞㻠ᖺᗘ䜢䜚㏉䛳䛶㻌 䐟┠ᶆ䜢䜚㏉䛳䛶㻌 㻡㻿 䛾ᚭᗏ䞉䝇䝍䞁䝎䞊䝗䝥䝸䝁䞊䝅䝵䞁䛾ᚭᗏ䛜༑ศ䛷䛝䛶䛔䛺䛛䛳䛯 䛾䛷䚸ḟᖺᗘ䜈䛾ㄢ㢟䛸䛩䜛䚹㻌 ධ㏥ᐊ䛾㐠⏝䛾䛻㛵䛧䛶䛿䚸║⛉䞉⓶⛉ᩍᤵ䛾╔௵䛻క䛔䚸 ᪂యไ䛷䛾ᡭ⾡ᴗົ䛜䝇䝍䞊䝖䛧䚸ᮾᡭ⾡ᐊ䛷䛿䚸䝧䝑䝗ྎධ㏥ᐊ䛛䜙 ㌴᳔Ꮚධ㏥ᐊ䜈䛸ධ㏥ᐊ䛾㐠⏝䜢ኚ᭦䛧䚸ධ㏥ᐊ䛻ᠱ䛛䜛㛫䛾ຠ ⋡䛻⧅䛜䛳䛯䚹㻌 㻌 㻡䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 㻌 䖃ᩚ⌮䞉ᩚ㡻䡡Ύᤲ䞉Ύ₩䞉⩦័䛾ᚭᗏ㻌 䖃䝇䝍䞁䝎䞊䝗䝥䝸䝁䞊䝅䝵䞁䛾ᚭᗏ㻌 䖃䝍䜲䝮䜰䜴䝖䞉ᣦᕪ䛧⛠䛷䛾☜ㄆ䛾ᐇ㻌 ᖺᗘㄢ㢟䛸䛧䛶ᥖ䛢䛶䛔䛯┠ᶆ䛾㐩ᡂ䛾䛯䜑䛻䚸ḟᖺᗘ䛻ᘬ䛝⥅䛠䚹㻌 ᚋ䚸ᡭ⾡ᮦᩱ䛾䜻䝑䝖䚸ჾᲔ⤌䜏䛾䝉䝑䝖䜈ྥ䛡‽ഛ䜢䛧䛶䛔䛟䚹㻌 ―243― 手術室 Ꮫ㝔㝃ᒓᮾ㝔㻌 ୰ኸデ⒪㒊㛛㻌 昭和大学病院附属東病院 中央診療部門 薬 局 Ꮫ㝔㝃ᒓᮾ㝔㻌 ⸆ᒁ㻌 昭和大学病院附属東病院 薬局 㻠㻌 ⸆ᒁ㻌 １）薬 局 㻌 㻝㸬⌮ᛕ࣭┠ᶆ㻌 㻝㸬⸆⟶⌮ᣦᑟಀࡿ㛫ࢆቑຍࡉࡏ㉁ࢆྥୖࡉࡏࡿ㻌 㻞㸬Ꮫ㝔⸆㒊ᮾ㝔⸆ᒁࡢᴗົ㐃ᦠᙉฎ᪉ࡏࢇ⸆ᴗົࡢ⬟⋡㻌 㻟㸬⸆ᒁෆࡢᩚ⌮࣭ᩚ㡻࣭⎔ቃᩚഛ㻌 㻌 㻞㸬ேဨᵓᡂ㻌 ಀ㛗㻌 ᔱᮧ ᘯྐ㻌 ࡑࡢ㻌 㻠ྡ㻌 㻌 㻟㸬ᴗົᐇ⦼㻌 ձฎ᪉ࡏࢇ⸆ᴗົ㸦᪥ᖹᆒ㸧㸦๓ᖺᗘẚ㸧㻌 እ᮶ฎ᪉ࡏࢇᯛᩘ㻌 㻤㻥ᯛ㸦㻜㻚㻟ᯛ㸧㸦㻝㻝㻠㻚㻝㻑㸧 ධ㝔ฎ᪉ࡏࢇᯛᩘ㻌 㻞㻤㻘㻠㻟㻜ᯛ㸦㻥㻣㻚㻠ᯛ㸧 㸦㻤㻤㻚㻢㻑㸧 㝔እฎ᪉ࡏࢇⓎ⾜⋡㻌 㻥㻥㻚㻥㸣 㻌 ղ་⸆ရሗ⟶⌮ᴗົ㸦᪥ᖹᆒ㸧㸦๓ᖺᗘẚ㸧㻌 ་⸆ရሗᥦ౪㸦ၥ࠸ྜࢃࡏ㸧௳ᩘ㻌 㻞㻜㻜௳㻔㻜㻚㻣௳㻕㸦㻡㻤㻤㻚㻞㻑㸧 㻌 ճ⸆⟶⌮ᣦᑟᴗົ㸦᪥ᖹᆒ㸧㸦๓ᖺᗘẚ㸧㻌 ධᝈ⪅ᩘ㻌 㻠㻘㻡㻜㻠ே㸦㻝㻡㻚㻠ே㸧㸦㻝㻝㻠㻚㻤㻑㸧 ⸆⟶⌮ᣦᑟேᩘ㻌 㻞㻘㻥㻣㻜ே㸦㻝㻜㻚㻝ே㸧㸦㻝㻢㻣㻚㻥㻑㸧 ⸆⟶⌮ᣦᑟ㻌 㻟㻞㻡Ⅼ㻌 㻝㻘㻤㻥㻤௳㸦㻢㻚㻡௳㸧㸦㻝㻡㻞㻚㻤㻑㸧 㻌 㻟㻤㻜Ⅼ㻌 㻝㻘㻡㻥㻠௳㸦㻡㻚㻡௳㸧㸦㻝㻞㻣㻚㻝㻑㸧 㻥㻜Ⅼ㻌 㻝㻘㻟㻢㻜௳㸦㻠㻚㻣௳㸧㸦㻝㻞㻞㻚㻜㻑㸧 ㏥㝔⸆ሗ⟶⌮ᣦᑟ㻌 ධ㝔ᝈ⪅ᣢཧ⸆☜ㄆ௳ᩘ㻌 㻞㻘㻣㻜㻠௳㸦㻥㻚㻟௳㸧㸦㻝㻟㻣㻚㻣㻑㸧 㻌 մ㦂⸆⟶⌮㸦ရ┠ᩘ㸧㻌 デ⒪⛉ูෆヂ㻌 ๓ᖺᗘ⧞㉺ ᪂つཷ㡿㻌 ㏉༷῭ࡳ㻌 ḟᖺᗘ⧞㉺ ⓶⛉㻌 㻞 㻞 㻝㻌 㻟 ྜ ィ㻌 㻞 㻞 㻝㻌 㻟 㻌 ―244― 薬 局 յᏛ⏕ᐇ⩦➼㻌 ⸆Ꮫ㒊Ꮫ⏕㻌 㻝㻞ྡ㻌 ◊ಟ㻌 㻝ྡ㸦㻼㻹㻰㻭㸧㻌 㻌 նᑓ㛛࣭ㄆᐃྲྀᚓ⪅㻌 ᪥ᮏ㝔⸆ᖌ ⏕ᾭ◊ಟㄆᐃ㻌 㻟ྡ㻌 ᪥ᮏ㝔⸆ᖌ ⏕ᾭ◊ಟᒚಟㄆᐃ㻌 㻞ྡ㻌 ᪥ᮏ㝔⸆ᖌ ㄆᐃᣦᑟ⸆ᖌ㻌 㻝ྡ㻌 ᪥ᮏ⸆ᖌ◊ಟࢭࣥࢱ࣮ ㄆᐃᐇົᐇ⩦ᣦᑟ⸆ᖌ㻌 㻠ྡ㻌 ᪥ᮏ⸆ᖌ◊ಟࢭࣥࢱ࣮ ◊ಟㄆᐃ⸆ᖌ㻌 㻞ྡ㻌 ⢾ᒀ⒪㣴ᣦᑟኈㄆᐃᶵᵓ ⢾ᒀ⒪㣴ᣦᑟኈ㻌 㻝ྡ ᪥ᮏࣥࢳࢻ࣮ࣆࣥࢢᶵᵓ ࢫ࣏࣮ࢶࣇ࣮࣐ࢩࢫࢺ㻌 㻝ྡ 㻌 շ࣮࣡ࢡࢩࣙࢵࣉ㛤ദ㻌 㻝㻌 Ꮫ⤫ᣓ⸆㒊㻌 ᖹᡂ㻞㻠ᖺ㻡᭶㻝㻥᪥㻌 Ꮫࡢྎ࢟ࣕࣥࣃࢫ㻌 㝔ᶵ⬟ྥୖྥࡅࡓ⸆ 㻞ྕ㤋➨㻟ㅮ⩏ᐊ㻌 㒊㻛⸆ᒁ࣮࣡ࢡࢩࣙࢵࣉ㻌 㻝ྕ㤋 㻼㻮㻸 ᐊ㻌 ⸆㒊࣭⸆ᒁࡢ⤌⧊ࡢ࠶ࡾ 㻌 ᪉ ᭷ᶵⓗ⤌⧊సࡾ㻌 㻌 㻠㸬♫࣭ᆅᇦ㈉⊩άື㸪◊✲ᴗ⦼㻌 ♫ە࣭ᆅᇦ㈉⊩άື㻌 㻌 㛤ദᖺ᭶᪥㻌 㻝㻌 ᖹᡂ㻞㻠ᖺ㻝㻝᭶㻝㻜᪥㻌 ෆ ᐜ㻌 ➨㻠ᅇᇛ༡ᆅ༊⸆ᖌࢭ࣑ࢼ࣮≉ูㅮ₇㻌 㛤ദᆅ㻌 Ꮫୖᲄㅮᇽ㻌 ࣓ࢹࢼࣅ㸪స⏝ሗ࿌ࡘ࠸࡚㻌 㻞㻌 ᖹᡂ㻞㻡ᖺ㻝᭶㻞㻟᪥㻌 ရᕝᆅ༊⸆㻙⸆㐃ᦠ⸆ᖌຮᙉ㻌 ┠㯮㞞ླྀᅬ㻌 ⭘⒆ෆ⛉་࣭║⛉་ࡽࡢ࣓ࢵࢭ࣮ࢪ㻌 㻟㻌 ᖹᡂ㻞㻡ᖺ㻞᭶㻝㻡᪥㻌 Ꮫ㝔࣭㝃ᒓᮾ㝔㻙ᆅ༊⸆ᖌ㻌 Ꮫ㝔㻌 㝔እฎ᪉ࡏࢇⓎ⾜㛵ࡍࡿሗ㻌 ୰ኸᲷ㻣㝵㆟ᐊ㻌 㻌 ―245― 薬 局 ✲◊ەᴗ⦼㻌 ᏛⓎ⾲࣭ㅮ₇㻌 㻌 Ⓨ⾲⪅Ặྡ㻌 㻝㻌 ྡ ⨾அ㻌 㢟ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 ᭱᪂ࡢࣞࣝࢠ࣮࣭⭺ཎ་⒪㻌 Ꮫබ㛤ㅮᗙ ᖹ ᡂ 㻞㻠 ᖺ 㻡 ᭶ ࣞࣝࢠ࣮࣭⭺ཎ⏝ࡍࡿ⸆ ࠕᬽࡽࡋᗣࠖ 㸦ᮾ 㻞㻢᪥㻌 ࡢὀពⅬ㻌 ி㸧㻌 㻞㻌 ᔱᮧ ᘯྐ㸪▼ Ꮫࡢ㝃ᒓ㻤㝔⸆㒊࣭⸆ ➨㻞㻞 ᅇ᪥ᮏ་⒪⸆ ᖹᡂ㻞㻠ᖺ㻝㻜᭶ ୗ ᏹᚁ㸪⏣୰ ᒁ࠾ࡅࡿᴗົᶆ‽ࡢྲྀࡾ Ꮫ ᮒ㮛࣓ࢵࢭ 㻞㻣᪥㻌 ᗈ⣖㸪➲ཎ ⤌ࡳ㻌 㸦᪂₲㸧㻌 㸪ụ⏣ ᖾ㸪 ᒸ⏣ Ꮫ㸪➉ࣀ ෆ ᩄᏕ㸪ᮧᒣ ⣧୍㑻㻌 㻟㻌 ᔱᮧ ᘯྐ㻌 ⭈ᶵ⬟పୗᝈ⪅ࡢࡀࢇᏛ⒪ἲ ➨㻞㻠 ᅇᮾி⭈⸆ ᖹ ᡂ 㻞㻡 ᖺ 㻝 ᭶ ࢆ⪃࠼ࡿ㻌 ◊✲ ᪂ᐟ 㻺㻿 㻟㻝᪥㻌 ࣅࣝ㸦ᮾி㸧㻌 㻠㻌 ᔱᮧ ᘯྐ㻌 ㏱ᯒࡃࡍࡾ㻌 ➨㻠ᅇ⭈㏱ᯒຮᙉ ᖹᡂ㻞㻡ᖺ㻟᭶㻣 ᪥㻌 㸦ᮾி㸧㻌 㻌 㻡㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ⸆ᒁᴗົࢩࣇࢺぢ┤ࡋ㻌 ⸆ᒁᴗົࢩࣇࢺࢆࡁࡃぢ┤ࡋ㸪Ჷᴗົࡢ㛫ࡀቑຍࡋࡓࠋࡑࢀ క࠸㸪⸆⟶⌮ᣦᑟ௳ᩘࡶቑຍࡋࡓࠋ㻌 㻌 㻢㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ࣮ࣝࢥࢺࣟࣉەసᡂ㸦㝃ᒓ㝔⸆㒊࣭⸆ᒁ࡛༠ാ㸧㻌 ە㸳㹑ࡢᚭᗏ㸦≉᭩㢮Ჴࢆᩚ⌮࣭ᩚ㡻ࡍࡿ㸧㻌 ⸆ە⟶⌮ᣦᑟ௳ᩘቑຍ㸦㻟㸣ቑຍ㸧㻌 㻌 ―246― 栄養科 Ꮫ㝔㝃ᒓᮾ㝔㻌 ᰤ㣴㒊㛛㻌 昭和大学病院附属東病院 栄養部門 㻢㻌 ᰤ㣴⛉㻌 １）栄養科 㻝㸬⌮ᛕ࣭┠ᶆ㻌 㻝㸬Ᏻᚰ࣭Ᏻ࡞⤥㣗ࡢ㐠Ⴀ㻌 㻞㸬ᝈ⪅ࢧ࣮ࣅࢫࡢྥୖᐇ㻌 㻟㸬ࢳ࣮࣒་⒪㈉⊩࡛ࡁࡿయไࡢᵓ⠏㻌 㻠㸬ᰤ㣴⛉ෆࡢ㐃ᦠᙉ㻌 㻡㸬ಶࠎࡢවᏛࡢྥୖ㻌 㻌 㻞㸬ேဨᵓᡂ㻌 ᰤ㣴⛉㛗⿵బ㻌 Ⳣ㔝 ኵ㻌 ಀ㛗㻌 ୰⏣ ⨾Ụ㻌 ᰤ㣴ኈ㻌 㻠ྡ ㄪ⌮ᖌ㻌 㻞ྡ 㻌 㻟㸬ᴗົᐇ⦼㻌 ձ⤥㣗ᩘ 㻝㻟㻡㻘㻠㻝㻥㣗㻌 ୍⯡ᖖ㣗㻌 ୍⯡㌾⳯㻌 ὶື㣗㻌 Ꮫ❺ᑠඣ㣗㻌 㠀ຍ⟬⒪㣗㻌 ຍ⟬⒪㣗㻌 㻡㻥㻘㻡㻢㻣㣗㸦㻠㻟㻚㻥㻥㻑㸧㻌 㻝㻠㻘㻜㻞㻝㣗㸦㻝㻜㻚㻟㻡㻑㸧㻌 㻠㻝㣗㻌 㸦㻜㻚㻜㻟㻑㸧㻌 㻝㻡㻡㣗㻌 㸦㻜㻚㻝㻝㻑㸧㻌 㻝㻣㻘㻥㻜㻝㣗㸦㻝㻟㻚㻞㻞㻑㸧㻌 㻠㻟㻘㻣㻟㻠㣗㻌 㸦㻟㻞㻚㻟㻑㸧㻌 㻌 ղᰤ㣴ᣦᑟ௳ᩘ㻌 ಶேᣦᑟ 㻟㻜㻥௳ 㸦ධ㝔 㻝㻠㻤௳ ࣭እ᮶ 㻝㻢㻝௳㸧㻌 ⢾ᒀ㻌 㻞㻞㻤௳㸦㻣㻟㻚㻣㻥㻑㸧㻌 ⫧‶㻌 㻝௳㻌 㸦㻜㻚㻟㻞㻑㸧㻌 ⭈⮚㻌 㻡㻟௳㸦㻝㻣㻚㻝㻡㻑㸧㻌 ⬡㉁␗ᖖ㻌 㻡௳㻌 㸦㻝㻚㻢㻞㻑㸧㻌 ᚰ⮚࣭㧗⾑ᅽ㻌 㻞௳㻌 㸦㻜㻚㻢㻡㻑㸧㻌 ⮅⮚㻌 㻝௳㻌 㸦㻜㻚㻟㻞㻑㸧㻌 ㏱ᯒண㜵㻌 㻝㻢௳㻌 㸦㻡㻚㻝㻤㻑㸧㻌 ࡑࡢ㻌 㻟௳㻌 㸦㻜㻚㻥㻣㻑㸧 㻌 㞟ᅋᣦᑟ 㻞㻝㻡௳㻌 ⢾ᒀᩍ⫱ධ㝔㻌 㻌 㻞㻝㻡௳ ―247― 栄養科 㻠㸬♫࣭ᆅᇦ㈉⊩άືࠊ◊✲ᴗ⦼㻌 ♫ە࣭ᆅᇦ㈉⊩άື 㻌 㻌 㛤ദᖺ᭶᪥㻌 ෆ ᐜ㻌 㛤ദᆅ㻌 㻝㻌 ᖹᡂ㻞㻠ᖺ㻝㻝᭶㻝㻠᪥㻌 ୡ⏺⢾ᒀࢹ࣮㻌 Ꮫ㝔㝃ᒓᮾ㝔㻌 㻞㻌 ᖹᡂ㻞㻠ᖺ㻝㻝᭶㻞㻜᪥㻌 㣗ရ⾨⏕ᐇົㅮ⩦㻌 ඵ⋤Ꮚⱁ⾡ᩥ㤋㻌 ᮾ᪥ᮏ㟈⅏་⒪ᩆㆤ㝲ཧຍࡋ࡚㻌 㻌 ✲◊ەᴗ⦼㻌 ⴭ᭩㻌 㻌 ⴭ⪅ྡ㻌 㻝㻌 ୰⏣ ⨾Ụ㻌 㢟 ྡ㻌 ᭩ ྡ㻌 ฟ∧♫㻘㡫㻘Ⓨ⾜ᖺ ᙜ㝔࠾ࡅࡿ⢾ᒀᝈ⪅ᩍ⫱ࡢ ᪥ᮏᰤ㣴ኈ㞧ㄅ㻌 ➨㻡㻢ᕳ ➨㻞ྕ㻌 ྲྀࡾ⤌ࡳ㻌 㻞㻜㻝㻟ᖺ㻌 㻌 㻡㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձୡ⏺⢾ᒀࢹ࣮㻌 ⢾ᒀ௦ㅰෆศἪෆ⛉ࠊ┳ㆤ㒊ࠊ⸆㒊ඹࠊṇ㠃⋞㛵࡛⾑⢾ ᐃࡸ ⢾ᒀᑐࡍࡿ㈨ᩱ࡞ࢆ㓄ᕸࡋࠊ⢾ᒀࡢၨⵚάືࢆ࠾ࡇ࡞ࡗࡓࠋ㻌 ղ㟷✵ࡢ㻌 㻝ᆺ⢾ᒀᝈ⪅ࢆ୰ᚰࡋࡓᝈ⪅ᖺ㻞ᅇ௨ୖཧຍࡋࠊᝈ⪅ࠊᐙ᪘ࠊ་ ⒪ࢫࢱࢵࣇὶࢆࡣࡗࡓࠋ㻌 ճ㻯㻻㻼㻰 ᝈ⪅㻌 ་ᖌࠊ┳ㆤᖌࠊ⸆ᖌࠊᰤ㣴ኈࠊᅾᏯ㓟⣲ᴗ⪅ඹࠊᖺ㻞ᅇ྾ჾᩍᐊ ࢆ㛤ദࠋ㻌 ᝈ⪅ᩍ⫱㈉⊩ࡋࡓࠋ㻌 մࢳ࣮࣒་⒪㻌 〟⒔ᅇデࠊᦤ㣗ᄟୗࣜࣁࣅࣜᅇデࠊ㻺㻿㼀 ᅇデࠊ⢾ᒀᩍ⫱ධ㝔࢝ࣥࣇ ࣞࣥࢫ࡞✚ᴟⓗཧຍࡋࡓࠋ㻌 յᰤ㣴ᣦᑟ௳ᩘ㻌 ಶேᰤ㣴ᣦᑟ௳ᩘᖹᡂ㻞㻟ᖺᗘ㻝㻡㻜௳ࠊ㻞㻠ᖺᗘ㻟㻜㻥௳ࠊ㞟ᅋᣦᑟᖹᡂ㻞㻟ᖺᗘ 㻝㻢㻝௳ࠊ㻞㻠ᖺᗘ㻞㻝㻡௳་ᖌࡢᣦ♧ࡢࡶᣦᑟ௳ᩘࡣቑຍࡋࡓࠋ㻌 㻌 㻢㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ەጤク♫ࡢㄪࢆಖࡕࠊඹ༠ຊࡋ࡚ࠊ㣗୰ẘண㜵ࡢ⾨⏕ᩍ⫱ࢆᐇࠋࣥࢩࢹࣥࢺࣞ ࣏࣮ࢺࡢཎᅉศᯒࢆࡋࠊᨵၿ⟇ࡢ࿘▱ᚭᗏࢆࡣࡾࠊᏳ࣭Ᏻᚰ࡞㣗ࢆᥦ౪ࡍࡿࡼ࠺ ດࡵࡿࠋ㻌 ەㄪ⌮ᚑ⪅ಶࠎேࡢᗣ⟶⌮ࢆಁࡋࠊࡢࣔࢳ࣮࣋ࢩࣙࣥࢆྥୖࡉࡏࡿࠋ㻌 ࠸Ⰻࡾࡼەᝈ⪅⤥㣗ࡢᥦ౪ࢆ⪃࠼ࠊ᪤Ꮡ⊩❧ࡢぢ┤ࡋࢆࡋ࡚ෆᐜࢆ୍᪂ࡋࠊᝈ⪅‶㊊ᗘ㻤㻜㻑ࢆ ┠ᣦࡋࠊࢧ࣮ࣅࢫࡢྥୖࢆࡣࡿࠋ㻌 ࣒࣮ࢳە་⒪༶ࡋࡓᢏ⾡࣭▱㆑ࢆ⩦ᚓࡋࠊỈ‽ࡢ㧗࠸ᰤ㣴ᴗົࢆᢸ࠸ࠊ⟶⌮ᰤ㣴ኈࡢᲷ 㓄⨨ࢆ┠ᣦࡍࠋ㻌 㻌 ―248― 管理課 Ꮫ㝔㝃ᒓᮾ㝔㻌 ົ㒊㻌 昭和大学病院附属東病院 事務部 㻣㻌 ⟶⌮ㄢ㻌 １）管理課 㻝䠊⌮ᛕ䞉┠ᶆ㻌 ᗢົಀ㻌 㻝䠊䛺⤒Ⴀ㻌 㻞䠊㻡㻿 䛾ᚭᗏ㻌 㻟䠊䝏䞊䝮་⒪䛾᥎㐍㻌 㻠䠊ᝈ⪅‶㊊ᗘ䚸⫋ົ‶㊊ᗘ䛾ྥୖ㻌 㻡䠊ᴗົయไ䛾ᩚ⌮䠄ᴗົ䛾ぢ┤䛧䞉ᨵၿ䠅䛻䜘䜛㉸㐣ົ㛫๓ᖺᗘẚ㻞䠂๐㝖㻌 ་ಀ㻌 㻝䠊㻞㻠ᖺᗘ་⒪ධண⟬䛾㐩ᡂ䠄㻟㻘㻢㻠㻡㻘㻜㻝㻜༓䠅㻌 㻞䠊ᴗົయไ䛾ᩚഛ䠄㉸㐣ົ㛫๓ᖺᗘẚ㻞䠂๐ῶ䠅㻌 㻟䠊ᩍ⫱䝅䝇䝔䝮䛾ᵓ⠏䠄ᴗົ䛾Ὑ䛔ฟ䛧䛻䛒䜛ᴗົ䛾ᡭ㡰᭩సᡂ䠅㻌 㻠䠊㧗䛔ᑓ㛛ᛶ䜢Ⓨ䛩䜛⤌⧊䛾ᵓ⠏䠄ಀẖ䛻ຮᙉ䛾ᐇ䠖ᖺ㻝㻞ᅇ௨ୖ䠅㻌 㻌 㻞䠊ேဨᵓᡂ㻌 ົ㒊㛗㻌 ୖ㻌 ṇ㻌 ㄢ㛗㻌 ⟶⌮ㄢ㻌 ᕝす㻌 ᕭ㻌 䛭䛾㻌 㻞㻥ྡ㻌 㻌 㻟䠊ᴗົᐇ⦼㻌 䐟䝽䞊䜽䝅䝵䝑䝥㛤ദ㻌 㻌 㻝㻌 㻞㻌 䝔䞊䝬㻌 㛤ദ᭶᪥㻌 䛂⫋ົ‶㊊ᗘ䛾ྥୖ䛃㻌 ᖹᡂ㻞㻠ᖺ㻌 ከᦶỌᒣሗᩍ⫱䝉䞁䝍䞊㻌 䛂Ᏻᩥ⇍ᡂ䛾䛯䜑䛾᪉ἲㄽ䛃㻌 㻝㻜᭶㻡᪥䠄㔠㻕䡚㻢᪥䠄ᅵ䠅㻌 䠄㝔ദ䞉ከ⫋✀䠅㻌 䛂㝔┠ᶆ䛷䛒䜛⫋ົ‶㊊ᗘ䜢ྥ ᖹᡂ㻞㻠ᖺ㻌 䜰䞁䝸䝒◊ಟ䝉䞁䝍䞊㻌 ୖ䛥䛫䜛䛯䜑䛻䛿䛃㻌 䠄㝔ദ䞉ከ⫋✀䠅㻌 㻣᭶㻢᪥䠄㔠䠅䡚㻣᪥䠄ᅵ䠅㻌 㻌 䐠ಖ㝤デ⒪ㅮ⩦㻌 㻌 㛤ദሙᡤ㻌 㛤ദ᭶᪥㻌 㛤ദሙᡤ㻌 㻝㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻞㻞᪥䠄᭶䠅㻌 ୖᲄㅮᇽ㻌 㻞㻌 ᖹᡂ㻞㻠ᖺ㻝㻞᭶㻟᪥䠄᭶䠅㻌 ୖᲄㅮᇽ㻌 㻌 ―249― 管理課 䐡ேᶒၨⓎㅮ⩦㻌 㻌 㛤ദ᭶᪥㻌 㛤ദሙᡤ㻌 㻝㻌 ᖹᡂ㻞㻡ᖺ㻝㻞᭶㻟᪥䠄᭶䠅㻌 㻝ྕ㤋㻣㝵ㅮᇽ㻌 㻞㻌 ᖹᡂ㻞㻡ᖺ㻝㻞᭶㻝㻜᪥䠄᭶䠅㻌 ⮫ᗋㅮᇽ㻌 㻌 䐢㝔ෆ䜲䝧䞁䝖䠄䝪䝷䞁䝔䜱䜰䠅㻌 㻌 ᅇᩘ㻌 㛤ദ᭶᪥㻌 ෆ㻌 㻌 ᐜ㻌 㛤ദሙᡤ㻌 㻝㻌 ➨㻡ᅇ㻌 ᖹᡂ㻞㻠ᖺ㻣᭶㻞㻤᪥䠄ᅵ䠅㻌 ᮁㄞ㻌 䠡㻟䝕䜲䝹䞊䝮㻌 㻞㻌 ➨㻢ᅇ㻌 ᖹᡂ㻞㻠ᖺ㻝㻞᭶㻣᪥䠄㔠䠅㻌 䝬䝆䝑䜽㻌 䠡㻟䝕䜲䝹䞊䝮㻌 㻟㻌 ➨㻣ᅇ㻌 ᖹᡂ㻞㻡ᖺ㻝᭶㻞㻡᪥䠄㔠䠅㻌 䞂䜯䜱䜸䝸䞁㻌 䠡㻟䝕䜲䝹䞊䝮㻌 㻌 㻠䠊♫䞉ᆅᇦ㈉⊩άື㻌 㻌 㛤ദ᭶᪥㻌 ෆ㻌 㻌 ᐜ㻌 㛤ദሙᡤ㻌 㻝㻌 ᖹᡂ㻞㻠ᖺ㻥᭶㻟᪥䠄᭶䠅㻌 㜵⅏カ⦎㻌 ᮾ㝔ᩜᆅෆ㻌 㻞㻌 ᖹᡂ㻞㻠ᖺ㻝㻜᭶㻞㻣᪥䠄ᅵ䠅㻌 䜽䝸䝙䜹䝹䝉䝭䝘䞊㻌 䝅䜵䝷䝖䞁㒔䝩䝔䝹ᮾி㻌 㻟㻌 ᖹᡂ㻞㻠ᖺ㻝㻞᭶㻝㻞᪥䠄Ỉ䠅㻌 ⮫ᗋ◊✲⌮ㅮ⩦㻌 ⮫ᗋㅮᇽ㻌 㻠㻌 ᖹᡂ㻞㻡ᖺ㻞᭶㻡᪥䠄ⅆ䠅㻌 ⮫ᗋ◊✲⌮ㅮ⩦㻌 Ꮫ㻠ྕ㤋㻡㻜㻜ྕᐊ㻌 㻌 㻡䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃ྛデ⒪⛉䛚䜘䜃┳ㆤ㒊䛸䛾㐃ᦠ䜢ᙉ䛧䚸ᗋ䛾᭷ຠ⏝䜢ᅗ䜛䚹㻌 䖃䛂䛶䜣䛛䜣䝰䝙䝍䝸䞁䜾䝅䝇䝔䝮䛃䜢ᑟධ䛧䚸䛶䜣䛛䜣ᝈ⪅䛾デ᩿☜ᐃ䛾䛯䜑䛾᳨ᰝධ㝔䛾ಁ㐍 䜢ᅗ䜛䚹㻌 䖃⎔ቃ䛾ᩚഛ䛻ດ䜑䚸་⒪䛾⌧ሙ䜢ᨭ䛧䚸㝔䛾άᛶ䜢ᅗ䜛䚹㻌 䖃㝔⫋ဨ䠄ጤク䞉ὴ㐵ྵ䜐䠅䛾㐃ᦠ䜢ᙉ䛧䚸ᝈ⪅䝃䞊䝡䝇䛾ᐇ䛸䛺㝔㐠Ⴀ䜢ᅗ䜛䚹㻌 㻌 ―250― 医療安全管理部門 Ꮫ㝔㝃ᒓᮾ㝔 昭和大学病院附属東病院 クオリティマネジメント部 㻥㻌 ་⒪Ᏻ⟶⌮ᐊ㻌 １）医療安全管理部門 㻝㸬⌮ᛕ࣭┠ᶆ㻌 㻝㸬☜ㄆ࣮ࣝࣝ㑂Ᏺࢆ᥎㐍ࡋࠊᏳ࡞་⒪ࢆᥦ౪ࡋࡲࡍ㻌 㻞㸬ࢭ࣮ࣇࢸ࣐ࢿࢪ࣮ࣕࡢ࣐ࢿࢪ࣓ࣥࢺ⬟ຊࢆྥୖࡉࡏࠊ㒊⨫ࡢࣥࢩࢹࣥࢺሗ࿌యไࢆ ᵓ⠏ࡋࡲࡍ㻌 㻟㸬ࢳ࣮࣒ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢆᙉࡋࠊࢥ࣑ࣗࢽࢣ࣮ࢩ࢚࣮ࣙࣥࣛࡼࡿࣥࢩࢹࣥࢺࢆῶ ࡽࡋࡲࡍ㻌 㻌 㻞㸬ேဨᵓᡂ㻌 ་⒪Ᏻ⟶⌮ᐊ㛗㸦㝔㛗࣭⚄⤒ෆ⛉ᩍᤵ㸧㻌 Ἑᮧ ‶㻌 ᐊ㛗㸦⟶⌮ㄢ㛗㸧㻌 ᕝす ᕭ㻌 ་⒪Ᏻ⟶⌮⪅㸦┳ㆤ௵㸧㻌 ⏿ 㯞⣖㻌 ་⸆ရᏳ⟶⌮㈐௵⪅㸦⸆ᖌ㸧㻌 ᔱᮧ ᘯྐ㻌 ᝈ⪅┦ㄯ❆ཱྀᢸᙜ㸦⟶⌮ㄢಀဨ㸧㻌 ྛົ ⨾㻌 㻌 㻟㸬ᴗົᐇ⦼㻌 ձࢡࢩࢹࣥࢺ࣭ࣥࢩࢹࣥࢺ௳ᩘ㻌 㻌 ࣥࢩࢹࣥࢺ௳ᩘ㻌 ࢡࢩࢹࣥࢺ௳ᩘ㻌 ㄗ⸆㸦ෆ᭹࣭እ⏝㸧㻌 㻞㻢㻜௳㻌 㻜௳ ㄗὀᑕ࣭㍺⾑㻌 㻌 㻣㻝௳㻌 㻜௳ ㌿ಽ࣭㌿ⴠ㻌 㻝㻝㻟௳㻌 㻠௳ ࢳ࣮ࣗࣈࢺࣛࣈࣝ㻌 㻌 㻣㻢௳㻌 㻜௳ ᳨ᰝ࣭⏬ീ㻌 㻌 㻣㻣௳㻌 㻜௳ ᡭ⾡࣭㻹㻱㻌 㻌 㻞㻠௳㻌 㻝௳ 㣗࣭ࡑࡢ㻌 㻝㻞㻥௳㻌 㻝௳ ྜィ㻌 㻣㻡㻜௳㻌 㻢௳ 㻌 ղࣥࢩࢹࣥࢺ࣏࣮ࣞࢺ⫋✀ูሗ࿌௳ᩘ㻌 ⫋ ✀㻌 ᖹᡂ㻞㻟ᖺᗘ㻌 ᖹᡂ㻞㻠ᖺᗘ㻌 ་ᖌ㸦◊ಟ་ྵࡴ㸧㻌 㻌 㻢㻝௳ 㻌 㻠㻟௳ ┳ㆤᖌ㻌 㻣㻜㻠௳ 㻢㻟㻟௳ ࡑࡢࡢ⫋✀㻌 㻌 㻤㻢௳ 㻌 㻣㻠௳ ྜィ㻌 㻤㻡㻝௳ 㻣㻡㻜௳ 㻌 㻌 ―251― 医療安全管理部門 ճᖹᡂ㻞㻠ᖺᗘ་⒪Ᏻ㓄ಙࡢ㔜せᅇぴࡢ࡞ෆᐜ㻌 Ⓨ⾜᪥㻌 㻡᭶㻝㻤᪥㻌 ෆ ᐜ㻌 ᅇぴ㸭㔜せᅇぴ ⧞ࡾ㏉ࡋ⾜࠺くࢆక࠺᳨ᰝ࣭ฎ⨨㸦እ᮶࡛⾜࠺ᑠᡭ⾡ࢆྵࡴ㸧 ᅇぴ㻌 ࡢྠព᭩ࡘ࠸࡚㻌 㻡᭶㻞㻠᪥㻌 ⸆ࡢὀពႏ㉳ෆᐜࡢㄝ᫂デ⒪㘓ࡢ☜ᐇ࡞グ㘓ࡘ࠸࡚㻌 ᅇぴ㻌 㻡᭶㻞㻠᪥㻌 ࡚ࢇࢇࡢ࠶ࡿேࡢ㌴ࡢ㐠㌿㛵ࡍࡿ㐺ษ࡞ᣦᑟࠊ㐨㊰㏻ ᅇぴ 㻌 ἲࢆ㑂Ᏺࡋࡓデ᩿᭩ࡢసᡂཬࡧデ⒪㘓ࡢᣦᑟෆᐜࡢグ㍕ࡘ ࠸࡚㻌 㻣᭶㻞㻟᪥㻌 㻣᭶㻟㻝᪥㻌 Ύ₩ࢣࡢ⤥ჾ⏝⚗Ṇࡘ࠸࡚㻌 ᅇぴ㻌 ࠕ་⒪Ᏻ⟶⌮ᑐ⟇࣐ࢽࣗࣝࠖ㻌 㔜せᅇぴ㻞㻠㸫㻝㻌 ࠕ་⸆ရ㛵ࡍࡿᡭ㡰᭩ࠖࡢ୍㒊ᨵゞࡘ࠸࡚㻌 㻤᭶㻞㻣᪥㻌 ㌿ಽ࣭㌿ⴠⓎ⏕ᚋࡢ㹖㸫㹎ᇶ‽ࡘ࠸࡚㻌 㔜せᅇぴ㻞㻠㸫㻟㻌 㻤᭶㻞㻣᪥㻌 㝔እᛴ⪅Ⓨ⏕ࡢᛂయไ࠙ࢥ࣮ࢻࢫ࢝ࠚࡘ࠸࡚㻌 㔜せᅇぴ㻞㻠㸫㻠㻌 㻥᭶㻣᪥㻌 ࢥ࣮ࢻࢢ࣮ࣞࡢ㐃⤡ඛࡘ࠸࡚㻌 ᅇぴ㻌 㻥᭶㻣᪥㻌 ேᕤ྾ჾ㛵ࢃࡿᏳᑐ⟇ࡘ࠸࡚㻌 ᅇぴ㻌 㻥᭶㻞㻤᪥㻌 ほ⾑ⓗ᧯సࡢ་⸆ရྲྀࡾᢅ࠸࢞ࢻࣛࣥࡢ୍㒊ᨵゞ㻌 㔜せᅇぴ㻞㻠㸫㻞㻌 㻝㻜᭶㻝㻞᪥㻌 ほ⾑ⓗ᧯సࡢ་⸆ရྲྀࡾᢅ࠸࢞ࢻࣛࣥ 㼂㼑㼞㻚㻥ࡢ୍㒊ᨵゞ 㔜せᅇぴ㻞㻠㸫㻡㻌 ࡘ࠸࡚㻌 㻝㻞᭶㻞㻡᪥㻌 ᝈ⪅ෆ⚊Ώࡋㄗࡾࡘ࠸࡚㸦ὀពႏ㉳㸧㻌 ᅇぴ㻌 㻞᭶㻝㻤᪥㻌 ᣢཧ⸆☜ㄆ࣭ᣦ♧⚊ࡢ㐠⏝ࡘ࠸࡚㸦㐠⏝ኚ᭦㸧㻌 ᅇぴ㻌 㻞᭶㻞㻤᪥㻌 ⸆ໟ⾲グࡀ᫂░࡞ሙྜࡢᣢཧ⸆ࡢ㐠⏝ࡘ࠸࡚㻌 ᅇぴ㻌 㻞᭶㻞㻤᪥㻌 ࣁ࣮ࣛࢺ⸆୍㒊ᨵゞࡘ࠸࡚㻌 ᅇぴ㻌 㻟᭶㻝㻤᪥㻌 ⾑⢾ ᐃ࣭ࣥࢫࣜࣥ➼ὀᑕᣦ♧ఏ⚊ኚ᭦㻌 ᅇぴ㻌 ⾑⢾ ᐃ࣭ࣥࢫࣜࣥὀᑕ㛵ࡍࡿ㐠⏝ᇶ‽ᨵゞ㻌 㻌 մ་⒪Ᏻ⟶⌮ᐊദㅮ⩦㻌 㻝㸧⫋ဨᑐ㇟ࡢ་⒪Ᏻ࣭ឤᰁᑐ⟇ㅮ⩦㻌 㻌 ➨㻝ᅇ㻌 ᪥ 㻌 ᖹᡂ㻞㻠ᖺ㻠᭶㻞㻣᪥㻌 ࡞ෆᐜ㻌 ࠗά⏝ࡋࡼ࠺࣏ࢣࢵࢺ࣐ࢽࣗࣝ࠘㻌 ฟᖍ⪅ᩘ 㻝㻢㻟ྡ Ꮫ㝔་⒪Ᏻ⟶⌮⪅ ᑠᕷ ె௦Ꮚ㻌 ➨㻞ᅇ㻌 ᖹᡂ㻞㻠ᖺ㻢᭶㻠᪥㻌 ࠗ་⒪Ᏻࣄ࣮࣐࢚࣮ࣗࣥࣛᑐ⟇ࡘ࠸࡚࠘㻌 㻥㻣ྡ ⮬་⛉Ꮫ ་⒪ᏳᏛᩍᤵ Ἑ㔝 㱟ኴ㑻 ➨㻟ᅇ㻌 ᖹᡂ㻞㻠ᖺ㻥᭶㻝㻤᪥㻌 ࠗ་⒪࢞ࢫࡘ࠸࡚࠘㻌 㻥㻡ྡ ᰴᘧ♫༓௦⏣ ྲྀ⥾ᙺ⤫ᣓ㒊㛗 㧗⃝ ṇᶞ ࠗᙜ㝔࠾ࡅࡿಶேሗࡢ⣮ኻ₃ὤࡘ࠸࡚࠘ Ꮫ㝔 ⟶⌮ㄢ ᮧᮌ ♸㻌 ➨㻠ᅇ㻌 ᖹᡂ㻞㻠ᖺ㻝㻝᭶㻟㻜᪥㻌 ࠗ་⒪ᶵჾࡢᏳ⟶⌮࠘⮫ᗋᕤᏛᢏᖌ Ⰽ㒊 ῟୍㻌 㻌 ―252― 㻢㻤ྡ ᖹᡂ㻞㻡ᖺ㻝᭶㻞㻟᪥㻌 ࠗ་⸆ရࡢᏳ⏝࠘㻌 㻣㻡ྡ ᮾ㝔་⸆ရᏳ⟶⌮㈐௵⪅ ᔱᮧ ᘯྐ㻌 ࡚ࠗࢇࢇ㛵ࡍࡿ᭱᪂ሗ࠘㻌 ᮾ㝔㝔㛗 Ἑᮧ ‶㻌 ࢺࣆࢵࢡࢫ㻌 ᖹᡂ㻞㻠ᖺ㻝㻞᭶㻝㻥᪥㻌 㻞㻠ྡ ࠗᮾி㒔ࡢ⅏ᐖ་⒪యไ࠘㻌 ᮾி㒔⚟♴ಖᒁ ་⒪ᨻ⟇㒊 ⅏ᐖ་⒪ᢸᙜ 㻌 ㄢ㛗 ➉ෆ ᰤ୍㻌 ᮾி㒔⚟♴ಖᒁ ᗣᏳ㒊ᴗົㄢ ⸆ᖌ ⮫ᗋᕤᏛᢏᖌ ㇂ᓮ ᕼ⨾Ꮚ㻌 ࢺࣆࢵࢡࢫ㻌 ᖹᡂ㻞㻡ᖺ㻞᭶㻢᪥㻌 㻌 㻞ྡ ࠗ⅏ᐖࡢࢺ࣮ࣜࢪ࠘ ࠗ㹀㹊㹑ࡢኚ᭦ࡘ࠸࡚࠘ ᩆᛴ་Ꮫ⛉ ᒣୗ ᬛᖾ㻌 ࠗᛴኚࡢ㝔ෆᛂయไࡘ࠸࡚࠘㻌 ᩆᛴ་Ꮫ⛉ ⴗཎ ⚈ᘯ㻌 㻰㼂㻰 ㅮ⩦㻌 ᖹᡂ㻞㻠ᖺ㻌 㻤㻜㻡ྡ ➨㻝ᅇ㹼➨㻟ᅇㅮ⩦ࡢෆᐜࢆ㻞᪥㛫㛤ദ㻌 㻝㻜᭶㻝㻤ࠊ㻝㻥ࠊ㻞㻟㸪㻞㻢 㻝㻣㸸㻟㻜㹼㻞㻝㸸㻜㻜㻌 㻞㻥᪥㻌 㻌 㻞㸧㝔ෆ⫋ဨ◊ಟ㻌 㛤ദ᪥㻌 ᖹᡂ㻞㻠ᖺ㻝㻞᭶㻞㻢᪥㻌 ᑐ ㇟㻌 ࡞ෆᐜ㻌 㸯㹄እ᮶㸦⓶⛉࣭║⛉㸧㻌 ᝈ⪅ᛴኚᑐᛂカ⦎㻌 ་ᖌ࣭┳ㆤᖌ㻌 ฟᖍ⪅㻌 ་ᖌ㸸㻝㻣ྡ㻌 ┳ㆤᖌ㸸㻡ྡ㻌 ࢜ࣈࢨ࣮ࣂ࣮㸸㻟ྡ㻌 ࡑࡢ㸸Ꮫ㝔ඹྠ㛤ദࡢࡓࡵࠊᏛ㝔་⒪Ᏻ⟶⌮㒊㛛ཧ↷㻌 㻌 㻟㸧㻯㼂㻯 ࣥࢫࢺࣛࢡࢱ࣮◊ಟ㻌 㻠㸧ேᕤ྾ჾᐇ㊶ㅮ⩦㻌 㻡㸧㻮㻸㻿 ㅮ⩦㻌 㻞㸧㹼㻡㸧ࡢ㛤ദ᪥ཬࡧཧຍ㒊⨫ࠊேᩘࡣᏛ㝔་⒪Ᏻ⟶⌮ᐊཧ↷㻌 㻌 յ་⒪Ᏻ᥎㐍㐌㛫㻌 ᖹᡂ㻞㻠ᖺᗘࡣ㻝㻝᭶㻞㻞᪥㸦ᮌ㸧㹼㻝㻝᭶㻞㻥᪥㸦ᮌ㸧ࡢ㻝㐌㛫ࢆ་⒪Ᏻ᥎㐍㐌㛫ᐃࡵࠊ⫋ဨᑐ㇟࡛ࠊ ࠗ་⒪Ᏻάື⮬៏࠘ࢆ㛤ദࡋࡓࠋࡇࢀࡣࠊ⮬㒊⨫࡛ࡢ་⒪Ᏻ㛵ࡍࡿྲྀࡾ⤌ࡳࢆ࣏ࢫࢱ࣮ ࢭࢵࢩࣙࣥࡢᙧᘧ࡛⤂ࡋࠊ⫋ဨཬࡧᝈ⪅ࡢᢞ⚊ࡼࡾ᭱ඃ⚽㈹ࢆỴᐃࡋ⾲ᙲࢆ⾜ࡗࡓࠋ㻌 㻌 ―253― 医療安全管理部門 ➨㻡ᅇ㻌 医療安全管理部門 㻠㸬♫࣭ᆅᇦ㈉⊩άືࠊ◊✲ᴗ⦼㻌 ♫ە࣭ᆅᇦ㈉⊩άື㻌 㻌 㛤ദᖺ᭶᪥㻌 ෆ ᐜ㻌 㻝㻌 ᖹ ᡂ 㻞㻠 ᖺ 㻝㻜 ᭶ 㻝㻥 ᪥ ➨㻟㻠ᅇཌ⏕㐃⸆ᖌ◊✲㻌 㹼㻝㻜᭶㻞㻜᪥㻌 㛤ദᆅ㻌 ᪂ᐟ㎰༠㤋㻣㝵㆟ᐊ㻌 ࣮࣡ࢡࢩࣙࢵࣉ㸸㻌 ࠕࣥࢩࢹࣥࢺࡽ་⒪ࡢ࠶ࡾ᪉ࢆ ⪃࠼ࡿࠖ㻌 ㅮ⩏㸸ࠕࢳ࣮࣒࡛ྲྀࡾ⤌ࡴ་⒪Ᏻࠖ㻌 㻌 㻡㸬ᖹᡂ㻞㻠ᖺᗘࢆࡾ㏉ࡗ࡚㻌 ձ㌿ಽ㌿ⴠண㜵ᑐ⟇ ๓ᖺᗘ㝔ෆ࡛Ⓨ⏕ࡋࡓ㌿ಽ㌿ⴠࡢ᭷ᐖ㇟ࡣ㻝㻠௳࡛యࡢ㻞㻜㸣ཬࢇ ᙉ㻌 ࡔࠋせᅉࡢ୍ࡘࢫࣜࢵࣃࢆᒚ࠸࡚࠸࡚ࡗࡓࡇࡶ࠶ࡾࠊධ㝔୰ࡢࢫ ࣜࢵࣃࠊࢧࣥࢲࣝࡢ⏝ࢆ⚗Ṇࡋ㠐ࢱࣉࢆ᥎ዡࡋࡓࠋ㌿ಽ㌿ⴠࡢࢭ ࢫ࣓ࣥࢺࢩ࣮ࢺᣦᑟ㡯┠ࢆ㏣ຍࡋᣦᑟࡢᙉࢆᅗࡗࡓࠋࢫࣜࢵࣃࠊࢧ ࣥࢲࣝ⏝ᝈ⪅ࡢㄪᰝࡶ⾜࠸࿘▱≧ἣࢆ☜ㄆࡋࠊ㻞㻠ᖺᗘࡢⓎ⏕௳ᩘࡣ㻠 ௳࡞ࡗࡓࠋ㻌 ղ᳨ᰝ࣭ᡭ⾡๓୰Ṇ㐃 ᳨ᰝ࣭ᡭ⾡๓୰Ṇࡍࡁ⸆ࡀ୰Ṇࡉࢀ࡞ࡗࡓࡇ࡛ࠊ᳨ᰝ࣭ᡭ⾡ࡀ ⤡⚊ࡢ㠃ᨵゞ㻌 ཷࡅࡽࢀ࡞ࡗࡓࣥࢩࢹࣥࢺࡢᑐ⟇ࡋ࡚ࠊ᳨ᰝ࣭ᡭ⾡୰Ṇ㐃⤡⚊ࢆ ᪂ࡓసᡂࡋࠊᝈ⪅ࡢㄝ᫂ᡭ㡰ࡶ᫂☜ࡋࡓࠋ㻌 㻌 㻢㸬ᚋࡢㄢ㢟ᒎᮃ㻌 ࡢࢺࣥࢹࢩࢡ࣭ࢺࣥࢹࢩࣥەᨵၿ⟇ࡢ࿘▱ᚭᗏ㻌 ࣏ࢣࢵࢺ࣐ࢽࣗࣝࡢᥖ㍕ࠊᅇぴࡸࢽ࣮ࣗࢫࡢ㓄ᕸࠊ㻼㻯 ᥖ♧ᯈࠊࢹࢪࢱࣝࢧࢿ࣮ࢪࢆά ⏝ࡋ࿘▱ࢆᅗࡗ࡚࠸ࡿࡀࠊᕠᅇ➼ࡢ☜ㄆ࡛ࡣㄆ㆑ࡉࢀ࡚࠸࡞࠸ࡇࡀከ࠸ࡓࡵࠊ᭦࡞ࡿᕤኵ ࡀᚲせࠋ㻌 㻌 ―254― 感染管理部門 Ꮫ㝔㝃ᒓᮾ㝔㻌 䜽䜸䝸䝔䜱䝬䝛䝆䝯䞁䝖ᐊ㻌 ឤᰁ⟶⌮㒊㛛㻌 昭和大学病院附属東病院 クオリティマネジメント部 㻝㻜㻌 ឤᰁ⟶⌮㒊㛛㻌 １）感染管理部門 㻝䠊⌮ᛕ䞉┠ᶆ㻌 㻝䠊་⒪㛵㐃ឤᰁ䛾ண㜵㻌 㻞䠊ᆅᇦ㐃ᦠᙉ㻌 㻟䠊་⒪ᗫᲠ≀䛾ฟ㔞䛾๐ῶ㻌 㻌 㻞䠊㒊㛛ဨ㻌 㒊㛛㛗䠄ឤᰁෆ⛉ᩍᤵ䞉ឤᰁ ᮌ㻌 ⰾே㻌 ົ㻌 ᒾ⏣㻌 ↷㞝㻌 ᑓ㛛་䠅㻌 ົ㻌 ᓠᑿ㻌 ᚭ㻌 㒊㛛ဨ㻌 ་ᖌ䠄ᩍᤵ䞉⮫ᗋ⌮デ ⚟ᆅ㻌 㑥ᙪ㻌 ົ㻌 ᑠᯘ㻌 ṇ㻌 ᩿⛉䠅㻌 ┳ㆤ㒊䠄ḟ㛗䠅㻌 ᇛᡤ㻌 ᢇ⨾Ꮚ㻌 ⸆ᖌ㻌 ᅵᒇ㻌 ள⏤⨾㻌 ឤ ᰁ ⟶ ⌮ ⪅ 䠄 ௵ ⿵ ⛅㛫㻌 ᝋᏊ㻌 ⮫ᗋ᳨ᰝᢏᖌ㻌 㔛ぢ㻌 ⥤Ꮚ㻌 బ䞉ឤᰁ⟶⌮ㄆᐃ┳ㆤ ᖌ䠅㻌 㻌 㻟䠊ᴗົᐇ⦼㻌 䐟᪂つ 㻹㻾㻿㻭 ᳨ฟ௳ᩘ㻌 ᪂つ 㻹㻾㻿㻭㻌 㻝㻡 ௳ ᣢ䛱㎸䜏᪂つ 㻹㻾㻿㻭㻌 㻝㻞 ௳ 䠄ධ㝔ᚋ 㻠㻤 㛫௨ෆ䛻᳨ฟ䠅㻌 㻹㻾㻿㻭 ᳨ฟ⋡㻌 㻜㻚㻞㻢㻛㻝㻜㻜㻜㼐㼍㼥㼟 䠄᪂つ 㻹㻾㻿㻭㻛ᘏ䜉ධ㝔ᝈ⪅ᩘ㽢㻝㻜㻜㻜䠅㻌 㻌 䐠㔪่䛧ษ䞉⾑ᾮ᭚㟢Ⓨ⏕௳ᩘ㻌 㔪่䛧ษ௳ᩘ㻌 㻠 ௳䛖䛱ᮍ⏝㔪 㻞 ௳䠄ᖺ 㻟 ௳䠅 ⾑ᾮ䞉యᾮ᭚㟢௳ᩘ㻌 㻟 ௳䠄ᖺ 㻝 ௳䠅 㔪่䛧ษ䛾䛖䛱㻌 㻜 ௳䠄ᖺ 㻜 ௳䠅 䝸䜻䝱䝑䝥䛻䜘䜛㻌 㔪่䛧ษ䛾䛖䛱㻌 㻞 ௳䠄ᖺ 㻟 ௳䠅 ᡭ⾡ᐊ㻌 㻌 ―255― 感染管理部門 䐡䝷䜴䞁䝗䠄㻵㻯㼀䠅௳ᩘ㻌 ⎔ቃ䠖ᡭᣦ⾨⏕㻌 ⎔ቃ㻌 ⸆㛵㐃㻌 ≀ရ㓄⨨㻌 ⫋ᴗឤᰁண㜵㻌 ་⒪ᗫᲠ䛻䛴䛔䛶☜ㄆ㻌 ሙᡤ㻌 ᅇᩘ㻌 Ჷ㻌 㻝㻝 ᅇ እ᮶㻌 㻞ᅇ ୰ኸ㒊㛛䠄⸆ᒁ䚸ᰤ㣴⛉䚸ᡭ⾡ᐊ䚸㣗ᇽ䠅㻌 㻤ᅇ 㻌 䐢䝷䜴䞁䝗䠄ᢠ⳦⸆㐺ṇ⏝䠅௳ᩘ㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻢 ௳䠄䝸䜴䝬䝏⭺ཎෆ⛉䠖㻞 ௳㻌 ⚄⤒ෆ⛉䠖㻟 ௳㻌 ⢾ᒀෆศἪ௦ㅰෆ⛉䠖㻝 ௳䠅㻌 㻌 䐣་⒪Ᏻ䞉ឤᰁᑐ⟇ㅮ⩦㛤ദ㻌 㻌 䝔䞊䝬㻌 㛤ദ᪥㻌 㻝㻌 ά⏝䛧䜘䛖䝫䜿䝑䝖䝬䝙䝳䜰䝹㻛ᶆ‽ண㜵⟇㻌 ᖹᡂ 㻞㻠 ᖺ 㻠 ᭶ 㻞㻣 ᪥ 㻝㻢㻟 ྡ 㻢᭶㻠᪥ 㻥㻣 ྡ 㻥 ᭶ 㻝㻤 ᪥ 㻥㻡 ྡ 㻝㻝 ᭶ 㻟㻜 ᪥ 㻢㻤 ྡ ᖹᡂ 㻞㻡 ᖺ 㻝 ᭶ 㻞㻟 ᪥ 㻣㻡 ྡ 㻞㻌 ᢠ⳦⸆㐺ṇ⏝䝷䜴䞁䝗䛻䛴䛔䛶㻌 㻟㻌 ពእ䛸㌟㏆䛺⤖᰾⳦ឤᰁ䛻䛴䛔䛶㻌 㻠㻌 䜲䞁䝣䝹䜶䞁䝄䛸ឤᰁᛶ⫶⭠⅖㻌 㻡㻌 䜰䜴䝖䝤䝺䜲䜽䛻䛴䛔䛶㻌 ฟᖍ⪅ᩘ㻌 㻌 䐤Ꮫ⏕䞉◊ಟ㻌 ឤᰁ⟶⌮ㄆᐃ┳ㆤᖌᐇ⩦⏕ 㻟 ྡ䠄⚄ዉᕝ┴❧ಖ⚟♴Ꮫᐇ㊶ᩍ⫱䝉䞁䝍䞊䠅㻌 㻌 㻠䠊♫䞉ᆅᇦ㈉⊩άື䚸◊✲ᴗ⦼㻌 䖃♫䞉ᆅᇦ㈉⊩άື㻌 㻌 㛤ദᖺ᭶᪥㻌 㻝㻌 ෆᐜ㻌 㛤ദᆅ㻌 ᖹᡂ 㻞㻡 ᖺ㻌 ᮾி㒔㝔ෆឤᰁᑐ⟇ᙉᴗ㻌 ᆅᇦ◊ಟ䠄㻞㻠 ᖺ ᮾி㒔㻌 㻝 ᭶ 㻝㻢 ᪥㻌 ᗘ➨ 㻟 ᅇ䞉༊༡㒊䠅䝥䝻䜾䝷䝮㻌 䐟㻌 ឤᰁ䝸䝇䜽ண▱䝖 ་ᖌ㤋㻌㻌 䝺䞊䝙䞁䜾㻌 䐠㻌 䜰䜴䝖䝤䝺䜲䜽Ⓨ⏕䛾ᑐᛂ㻌 㻌 䖃Ꮫ➼Ⓨ⾲㻌 ᏛⓎ⾲㻌 㻝㻌 ⴭ⪅ྡ㻌 ⛅㛫ᝋᏊ㻌 㢟ྡ㻌 Ꮫྡ㻘㛤ദᆅ㻌 Ⓨ⾲ᖺ᭶᪥㻌 㻯㼘㼛㼟㼠㼞㼕㼐㼕㼡㼙㻌㼐㼕㼒㼒㼕㼏㼕㼘㼑 㛵㐃ୗ⑩ ➨ 㻞㻤 ᅇ᪥ᮏឤ ᖹᡂ 㻞㻡 ᖺ 㻟 ᭶ 㻝 ᪥ 䠄㻯㻰㻭㻰䠅䛻䛚䛡䜛ឤᰁண ᰁ⎔ቃᏛ㻌 㜵⟇䛾ຠᯝ䛻䛴䛔䛶㻌 㻌 㻌 㻌 㻌 㻌 㻌 ―256― 䐟་⒪ឤᰁ䛾ண㜵㻌 㻝䠅 ᡭᣦ⾨⏕ 㻡 䛴䛾䝍䜲䝭䞁䜾㑂Ᏺ⋡䜢ྥୖ䛥䛫䚸་⒪㛵㐃ឤᰁ䛾Ⓨ⏕䝸 䝇䜽䜢ῶᑡ䛥䛫䜛㻌 ᡭᣦ⾨⏕䛾㑂Ᏺ⋡䛿┠ᶆ䜢㐩ᡂฟ᮶䛺䛛䛳䛯䛜䚸་⒪㛵㐃ឤᰁ䛾ᣦᶆ䛷 䛒䜛 㻹㻾㻿㻭 ᪂つⓎ⏕⋡䛿 㻝㻟䠂ῶᑡ䛧䛯䚹䜲䞁䝣䝹䜶䞁䝄䜔ὶ⾜ᛶゅ⤖⭷ ⅖䛾ྠ୍㒊⨫䛷」ᩘⓎ⏕䛜䛒䛳䛯䚹ᝈ⪅䜔㠃⪅䛸་⒪ᚑ⪅䛾ឤᰁண 㜵䛜㔜せ䛷䛒䜛䚹㻌 㻞䠅 ་⒪ᚑ⪅䛸ᝈ⪅䞉ᐙ᪘䛾ᡭᣦ⾨⏕⎔ቃ䜢ᩚ䛘 㻯㼘㼛㼟㼠㼞㼕㼐㼕㼡㼙㻌㼐㼕㼒㼒㼕㼏㼕㼘㼑 ឤ ᰁ䛾Ⓨ⏕䝸䝇䜽䜢ῶᑡ䛥䛫䜛㻌 㻯㼘㼛㼟㼠㼞㼕㼐㼕㼡㼙㻌 㼐㼕㼒㼒㼕㼏㼕㼘㼑 ឤᰁ」ᩘⓎ⏕䠄ྠ୍㒊⨫䛷 㻟 ௳௨ୖ㻛㻠 㐌㛫௨ ෆ䠅䛿䚸㻞㻜㻝㻝 ᖺ㻌 㻞 ௳䛷䛒䛳䛯䛜䚸㻞㻜㻝㻞 ᖺ 㻜 ௳䛸ῶᑡ䛧䛶䛔䜛䚹ᡭὙ䛔䛸᥋ ゐண㜵⟇䚸⎔ቃΎᣔ䛾ᙉ䜢⾜䛳䛯䛣䛸䛷ᣑ䜢㜵䛠䛣䛸䛜ฟ᮶䛯䚹㻌 䐠ᆅᇦ㐃ᦠᙉ㻌 ᆅᇦ㐃ᦠ䜹䞁䝣䜯䝺䞁䝇䜢㛤ദ䠄㻠 ᅇ㻛ᖺ䠅䛧䚸ᢠ⳦⸆⏝䜔⸆⪏ᛶ⳦᳨ ฟ≧ἣ䚸ឤᰁ䠄䜲䞁䝣䝹䜶䞁䝄䚸⫶⭠⅖䠅Ⓨ⏕≧ἣ䛸ᑐ⟇䛻䛴䛔䛶ពぢ 䜢⾜䛳䛯䚹㻌 䐡་⒪ᗫᲠ≀䛾ฟ㔞 ᖹᡂ 㻞㻟 ᖺᗘฟ㔞 㻠㻝㻚㻡㻣㻜䡐䚸ᖹᡂ 㻞㻠 ᖺᗘฟ㔞 㻠㻡㻚㻢㻞㻜䡐䛸 㻠㻚㻜㻡㻜䡐䚸㻜㻚㻥㻑ቑ 䛾๐ῶ㻌㻌 ຍ䛧䛶䛔䜛䚹せᅉ䛸䛧䛶䛿䚸ᡭ⾡௳ᩘཬ䜃ᘏ䜉ᝈ⪅ᩘ䛾ቑຍ䛜⪃䛘䜙䜜 㻌 䜛䚹ᚋ䜒䛣䛾ഴྥ䛿⥆䛟䛸ᛮ䜟䜜䜛䛜䚸ᘬ䛝⥆䛝ᗫᲠ≀ศูᣦᑟ䜢⾜ 㻌 䛔䚸ឤᰁᛶᗫᲠ≀䛾ฟ㔞䛾ᢚไ䛻ྲྀ䜚⤌䜣䛷䛔䛟䚹㻌㻌 㻌 㻢䠊ᚋ䛾ㄢ㢟䛸ᒎᮃ㻌 䖃་⒪㛵㐃ឤᰁ䛾ண㜵㻌 ་⒪ᚑ⪅䛾ᡭᣦ䜢䛧䛶ఏ䛩䜛ᚤ⏕≀䛻䜘䜛ឤᰁ䜢ண㜵䛩䜛䛯䜑䚸ᡭᣦ⾨⏕䛾 㻡 䛴䛾䝍䜲䝭䞁 䜾㑂Ᏺ⋡䜢ྥୖ䛥䛫䚸་⒪㛵㐃ឤᰁ䛾Ⓨ⏕䝸䝇䜽䜢ῶᑡ䛥䛫䜛ᚲせ䛜䛒䜛䚹㻌 ་⒪ᚑ⪅䛸ᝈ⪅䚸ᐙ᪘䛾ᡭᣦ⾨⏕⎔ቃ䜢ᩚ䛘䚸ὶ⾜ᛶゅ⤖⭷⅖䛾Ⓨ⏕䝸䝇䜽䜔䚸ἥ⾜Ⅽ䜔 ἥຓ䚸ᦤ㣗⾜ື䜔㣗ຓ䛺䛹䜢䛧䛶ఏ䛩䜛ྍ⬟ᛶ䛜㧗䛔 㻯㼘㼛㼟㼠㼞㼕㼐㼕㼡㼙㻌 㼐㼕㼒㼒㼕㼏㼕㼘㼑 ឤᰁ䛾Ⓨ ⏕䝸䝇䜽䜢ῶᑡ䛥䛫䜛䚹㻌 䖃ᢠ⳦⸆㐺ṇ⏝ᨭ䝏䞊䝮䠄㻭㻿㼀䠅䛾䝷䜴䞁䝗㻌 ᢠ⳦⸆㐺ṇ⏝䜢ᨭ䛩䜛䛯䜑䚸䝷䜴䞁䝗䛾ᙉ䛸⾑ᾮᇵ㣴 㻞 䝉䝑䝖᥇ྲྀ⋡䜢ྥୖ䛥䛫䜛䚹㻌 㻌 㻌 ―257― 感染管理部門 㻡䠊ᖹᡂ 㻞㻠 ᖺᗘ䜢䜚㏉䛳䛶㻌 病院年報委員会 名簿 㻌 ጤဨ㛗㻌 ᯈ ᶫ ᐙ㢌ኵ㸦㝔㛗㸭ᑠඣ⛉㸧㻌 ጤ ဨ㻌 㤿 ሙ ಇ அ㸦ᾘჾෆ⛉㸧㻌 ጤ ဨ㻌 ▼ ᇉ ᚁ୍㑻㸦⚄⤒ෆ⛉㸧㻌 ጤ ဨ㻌 Ώ ㎶ ㄔ㸦ᾘჾ୍࣭⯡እ⛉㸧㻌 ጤ ဨ㻌 ᳃ ⏣ ᑘ㸦Ἢᒀჾ⛉㸧㻌 ጤ ဨ㻌 Ⲩ ᕝ ༓ 㸦┳ㆤ㒊㸧㻌 ጤ ဨ㻌 ☾ ᕝ ᝋ Ꮚ㸦┳ㆤ㒊㸧㻌 ጤ ဨ㻌 ᓟ ᮧ ⣧ Ꮚ㸦⸆㒊㸧㻌 ጤ ဨ㻌 బ ⸨ ஂ ᘺ㸦ᨺᑕ⥺㒊㸧㻌 ጤ ဨ㻌 ྜྷ ⏣ ᙪ㸦⮫ᗋ⌮᳨ᰝ㒊㸧㻌 ጤ ဨ㻌 ᒣ ᕝ ୰㸦⟶⌮➨୍ㄢ㸧㻌 ጤ ဨ㻌 బ ⸨ ᡂ ᮁ㸦⟶⌮➨୍ㄢ㸧㻌 ጤ ဨ㻌 ᮧ ⏣ ዉ ኸ㸦⟶⌮➨୍ㄢ㸧㻌 ጤ ဨ㻌 ∦ ಖ ⿱ ᇶ㸦⟶⌮➨୍ㄢ㸧㻌 ጤ ဨ㻌 ⏣ ௦ ࡺ ࠸㸦⟶⌮➨୍ㄢ㸧㻌 ጤ ဨ㻌 ᒾ ⏣ ↷ 㞝㸦⟶⌮➨ㄢ㸧㻌 ጤ ဨ㻌 ⸨ ᜨ㔛Ꮚ㸦་➨୍ㄢ㸧㻌 ጤ ဨ㻌 Ⲩ ᕝ ༤ ⨾㸦་➨ㄢ㸧㻌 ጤ ဨ㻌 ᕷ ᕝ ୕ὠᏊ㸦ᮾ㝔⟶⌮ㄢ㸧㻌 ጤ ဨ㻌 Ώ 㒊 ᘯ ⣖㸦ᮾ㝔⟶⌮ㄢ་ಀ㸧㻌 ጤ ဨ㻌 㙊 ⏤ 㤶㸦デ⒪㘓⟶⌮ᐊ㸧㻌 㻌 㻌 ᖹᡂ㻞㻠ᖺᗘ 㝔ᖺሗ㻌 ᖹᡂ㻞㻢ᖺ㻝᭶Ⓨ⾜㻌 㻌 ⦅ 㞟㻌 㝔ᖺሗጤဨ㻌 Ⓨ ⾜㻌 Ꮫ㝔㻌 ࠛ㻝㻠㻞㻙㻤㻢㻢㻢㻌 ᮾி㒔ရᕝ༊ࡢྎ㻝㻙㻡㻙㻤㻌 Ꮫ㝔㝃ᒓᮾ㝔㻌 ࠛ㻝㻠㻞㻙㻜㻜㻡㻠㻌 ᮾி㒔ရᕝ༊す୰ᘏ㻞㻙㻝㻠㻙㻝㻥㻌 ༳ ๅ㻌 㻌 औ㻌 ᩥ♫㻌