{"id":2055,"date":"2021-03-19T10:59:24","date_gmt":"2021-03-19T01:59:24","guid":{"rendered":"http:\/\/150.60.187.158\/taka\/2021\/03\/19\/re_relapsing_esophageal_varices\/"},"modified":"2021-03-19T10:59:24","modified_gmt":"2021-03-19T01:59:24","slug":"re_relapsing_esophageal_varices","status":"publish","type":"post","link":"https:\/\/www.oceanbridge.jp\/taka\/archives\/2021\/03\/re_relapsing_esophageal_varices.html","title":{"rendered":"\u98df\u9053\u9759\u8108\u7624\u304c\u518d\u3005\u767a\u3057\u305d\u3046\u306a\u6c17\u914d\u3001\u305d\u3057\u3066\u3001\u3055\u3088\u306a\u3089\u5165\u8c37\u5148\u751f"},"content":{"rendered":"

\u5148\u65e5\u3001\u864e\u306e\u9580\u75c5\u9662\u3078\u884c\u3063\u3066\u304d\u307e\u3057\u305f\u3002
\n\u809d\u81d3\u5185\u79d1\u3067\u3001\u98df\u9053\u306e\u5185\u8996\u93e1\u691c\u67fb\u3001\u3064\u307e\u308a\u80c3\u30ab\u30e1\u30e9\u3092\u3084\u3063\u3066\u304d\u307e\u3057\u305f\u3002
\n\"\u5165\u8c37\u5148\u751f\u3068\"<\/a>
\n\uff08\u5185\u8996\u93e1\u306e\u524d\u3067\u3001\u864e\u306e\u9580\u75c5\u9662 \u809d\u81d3\u5185\u79d1 \u5165\u8c37\u5148\u751f\u3068\uff09<\/p>\n

<\/p>\n

\u5185\u8996\u93e1\u691c\u67fb\u306e\u76ee\u7684<\/h2>\n

\u4eca\u56de\u306e\u5185\u8996\u93e1\u691c\u67fb\u306e\u76ee\u7684\u306f\u3001\u6628\u5e7412\u6708\u306b\u5165\u9662\u3057\u3066\u53d7\u3051\u305f\u98df\u9053\u9759\u8108\u7624\u7d50\u7d2e\u8853\uff08EVL\uff09<\/a>\u306e\u5f8c\u306e\u7d4c\u904e\u89b3\u5bdf\u3067\u3059\u3002<\/p>\n

\u5185\u8996\u93e1\u691c\u67fb\u306e\u7d50\u679c<\/h2>\n

\u3044\u3064\u3082\u306e\u3088\u3046\u306b\u3001\u809d\u81d3\u5185\u79d1\u306e\u5165\u8c37\u5148\u751f\u306b\u8a3a\u3066\u3044\u305f\u3060\u3044\u305f\u3068\u3053\u308d\u3001\u524d\u56de\u306e\u51e6\u7f6e\u3067\u98df\u9053\u9759\u8108\u7624<\/a>
\n\u3092\u7d50\u7d2e\u3057\u305f\uff08\u3057\u3070\u3063\u305f\uff09\u3068\u3053\u308d\u306f\u3001\u9759\u8108\u7624\u3082\u53d6\u308c\u3001\u305d\u306e\u5f8c\u306e\u6f70\u760d\u3082\u304d\u308c\u3044\u306b\u306a\u3063\u3066\u3044\u307e\u3057\u305f\u3002
\n\u3057\u304b\u3057\u3001\u305d\u306e\u51e6\u7f6e\u3092\u3057\u305f\u7b87\u6240\u3092\u907f\u3051\u308b\u3088\u3046\u306b\u3001\u305d\u306e\u5468\u56f2\u306e\u4e00\u90e8\u306b\u8840\u7ba1\u304c\u96c6\u307e\u3063\u3066\u304d\u3066\u304a\u308a\u3001\u305d\u3053\u306b\u98df\u9053\u9759\u8108\u7624\u304c\u518d\u767a\u3057\u305d\u3046\u3060\u3068\u306e\u3053\u3068\u3002
\n\u601d\u3063\u305f\u3088\u308a\u65e9\u3044\u969b\u518d\u767a\u306b\u306a\u308a\u305d\u3046\u3067\u3059\u3002<\/p>\n

\u518d\u767a\u306f\u514d\u308c\u306a\u3044\u98df\u9053\u9759\u8108\u7624<\/h2>\n

\u98df\u9053\u9759\u8108\u7624\u306f\u3001\u305d\u306e\u539f\u56e0\u304c\u809d\u6a5f\u80fd\u969c\u5bb3\u3067\u3042\u308b\u305f\u3081\u3001\u809d\u6a5f\u80fd\u304c\u56de\u5fa9\u3057\u306a\u3044\u9650\u308a\u306f\u3001\u3069\u3046\u3057\u3066\u3082\u518d\u767a\u306f\u514d\u308c\u307e\u305b\u3093\u3002\u305d\u308c\u3067\u3082\u3001\u518d\u767a\u3057\u3066\u6cbb\u7642\u3001\u518d\u767a\u3057\u3066\u6cbb\u7642\u3068\u30013\u301c4\u56de\u307b\u3069\u6cbb\u7642\u3059\u308b\u3068\u3001\u5f90\u3005\u306b\u518d\u767a\u3057\u306a\u304f\u306a\u3063\u3066\u304f\u308b\u3068\u306e\u3053\u3068\u3067\u3057\u305f\u3002
\n\u50d5\u306e\u5834\u5408\u306f\u524d\u56de12\u6708\u306e\u6cbb\u7642\u304c\u3001\u518d\u767a\u306b\u3088\u308b2\u56de\u76ee\u306e\u6cbb\u7642\u3060\u3063\u305f\u305f\u3081\u3002\u3042\u30681\u301c2\u56de\u306f\u6cbb\u7642\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3060\u308d\u3046\u306a\u3042\u3068\u899a\u609f\u3092\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u305d\u308c\u3067\u3082\u601d\u3063\u305f\u3088\u308a\u518d\u3005\u767a\u306f\u65e9\u3044\u306a\u3042\u3068\u3044\u3046\u5370\u8c61\u3067\u306f\u3042\u308a\u307e\u3059\u3002<\/p>\n

\u539f\u56e0\u306e\u809d\u6a5f\u80fd\u969c\u5bb3<\/h2>\n

\u306a\u304a\u3001\u98df\u9053\u9759\u8108\u7624\u306e\u539f\u56e0\u3068\u306a\u3063\u3066\u3044\u308b\u809d\u6a5f\u80fd\u969c\u5bb3\u306f\u3001\u50d5\u306e\u5834\u5408\u3001\u3053\u308c\u307e\u3067\u306e\u6025\u6027\u9aa8\u9ac4\u6027\u767d\u8840\u75c5<\/a>\u306e\u6297\u304c\u3093\u5264\u6cbb\u7642\u306e\u526f\u4f5c\u7528\u3084\u3001\u3055\u3044\u5e2f\u8840\u79fb\u690d<\/a>\u306b\u3088\u308bGVHD\uff08\u79fb\u690d\u7247\u5bfe\u5bbf\u4e3b\u75c5\uff09\u304c\u539f\u56e0\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002
\n\u305d\u308c\u3067\u3082\u3001\u3053\u306e\u65e5\u306e\u8840\u6db2\u691c\u67fb\u3067\u306f\u3001\u809d\u81d3\u306e\u6570\u5024\u306b\u6539\u5584\u304c\u898b\u3089\u308c\u307e\u3057\u305f\u3002AST\u306f\u30011\u670812\u65e5\u306b\u306f65\u3060\u3063\u305f\u306e\u306b\u3001\u305d\u306e\u5f8c\u306f37\u219231\u219234\u3068\u6e1b\u5c11\u50be\u5411\u3067\u3059\u3002\u57fa\u6e96\u5024\u306f13\u301c30\u306a\u306e\u3067\u3001\u3082\u3046\u5c11\u3057\u3067\u57fa\u6e96\u5024\u306b\u5165\u308a\u307e\u3059\u3002
\nALT\u306f\u30011\u670812\u65e5\u306b\u306f104\u3067\u3057\u305f\u304c\u3001\u305d\u306e\u5f8c\u306f52\u219234\u219235\u3068\u3001\u3053\u3061\u3089\u3082\u6e1b\u5c11\u50be\u5411\u3067\u3059\u3002\u57fa\u6e96\u5024\u306f10\u301c42\u306a\u306e\u3067\u3001\u3053\u3053\u6700\u8fd1\u306f\u57fa\u6e96\u5024\u306b\u5165\u3063\u3066\u304d\u3066\u3044\u307e\u3059\u3002
\n\u7279\u306b\u3053\u306eALT\u306b\u3064\u3044\u3066\u306f\u3001\u4ee5\u524d\u3001\u8840\u6db2\u5185\u79d1\u306e\u6e6f\u6dfa\u5148\u751f\u304b\u3089\u306f\u300c\u305b\u3081\u30662\u6841\u306b\u306f\u304a\u3055\u307e\u3063\u3066\u3044\u3066\u6b32\u3057\u3044<\/a>\u300d\u3068\u8a00\u308f\u308c\u3066\u3044\u305f\u9805\u76ee\u3067\u3059\u3002\u3064\u307e\u308a\u4ee5\u524d\u306f100\u3092\u5927\u304d\u304f\u8d85\u3048\u3066\u3044\u307e\u3057\u305f\uff08131\u306a\u3069\uff09\u3002
\n\u305d\u308c\u304c2\u6841\u3001\u3057\u304b\u3082\u57fa\u6e96\u5024\u3092\u4e0b\u56de\u308b30\u53f0\u306b\u306a\u3063\u305f\u306e\u306f\u3046\u308c\u3057\u3044\u3067\u3059\u3002
\n\u3053\u306e\u809d\u81d3\u306e\u6570\u5024\u306e\u6539\u5584\u306f\u30011\u670812\u65e5\u306e\u5165\u8c37\u5148\u751f\u306e\u8a3a\u5bdf\u65e5\u304b\u3089\u98f2\u307f\u59cb\u3081\u305f\u809d\u81d3\u306e\u85ac\u3001\u30a6\u30eb\u30bd\u30c7\u30aa\u30ad\u30b7\u30b3\u30fc\u30eb\u304c\u3088\u304b\u3063\u305f\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002
\n\u3042\u308b\u3044\u306f\u3001\u4ee5\u524d\u6e6f\u6dfa\u5148\u751f\u304c\u8a00\u3063\u3066\u3044\u305f\u901a\u308a\u3001\u3055\u3044\u5e2f\u8840\u79fb\u690d<\/a>\u304b\u30893\u5e74\u4ee5\u4e0a\uff08\u6765\u6708\u30674\u5e74\uff09\u7d4c\u3063\u3066\u3001\u4f53\u5185\u306b\u6b8b\u5b58\u3057\u3066\u3044\u305f\u6297\u304c\u3093\u5264\uff08\u79fb\u690d\u306e\u524d\u51e6\u7f6e\u3067\u4f7f\u3063\u305f\u30d6\u30b9\u30eb\u30d5\u30a1\u30f3\uff09\u304c\u3001\u3088\u3046\u3084\u304f\u4f53\u5185\u304b\u3089\u6392\u51fa\u3055\u308c\u3066\u304d\u3066\u3001\u809d\u81d3\u3078\u306e\u526f\u4f5c\u7528\u304c\u8efd\u6e1b\u3057\u3066\u304d\u305f\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002
\n\u25bc\u81ea\u5206\u306e\u809d\u81d3\u306f\u3042\u3068\u4f55\u5e74\u6301\u3064\u306e\u304b\uff1f\uff0f\u9020\u8840\u5e79\u7d30\u80de\u79fb\u690d\u5f8c\u306e\u809d\u6a5f\u80fd\u969c\u5bb3\uff5c\u30aa\u30fc\u30b7\u30e3\u30f3\u30d6\u30ea\u30c3\u30b8\u9ad8\u5c71\u306e\u30d6\u30ed\u30b0<\/a><\/p>\n

\u4eca\u5f8c\u306e\u898b\u901a\u3057<\/h2>\n

\u3044\u305a\u308c\u306b\u305b\u3088\u3001\u4eca\u5f8c\u306e\u898b\u901a\u3057\u3068\u3057\u3066\u306f\u3001\u307e\u305a5\u6708\u306b\u8a3a\u5bdf\u3092\u53d7\u3051\u3001\u305d\u306e\u5f8c\u3001\u5185\u8996\u93e1\u691c\u67fb\u3092\u53d7\u3051\u307e\u3059\u3002
\n\u305d\u308c\u3067\u518d\u767a\u304c\u306f\u3063\u304d\u308a\u3057\u305f\u3089\u30016\u6708\u4e2d\u65ec\u9803\u306b\u5165\u9662\u3057\u3066\u3001\u98df\u9053\u9759\u8108\u7624\u7d50\u7d2e\u8853\uff08EVL\uff09\u3092\u53d7\u3051\u307e\u3059\u3002\u307e\u305f10\u65e5\u524d\u5f8c\u306e\u5165\u9662\u3068\u306a\u308b\u898b\u8fbc\u307f\u3067\u3059\u3002
\n\u305d\u306e\u5f8c\u306f9\u30f6\u6708\u5f8c\u306e\u5e74\u5ea6\u672b\u3001\u3064\u307e\u308a\u6765\u5e743\u6708\u9803\u306b\u5185\u8996\u93e1\u691c\u67fb\u3067\u78ba\u8a8d\u3057\u3066\u3001\u305d\u308c\u3067\u518d\u767a\u304c\u306a\u3051\u308c\u3070\u3001\u6050\u3089\u304f\u305d\u306e\u5f8c\u306f\u3082\u3046\u518d\u767a\u3059\u308b\u3053\u3068\u306f\u306a\u304f\u3001\u305d\u308c\u3067\u98df\u9053\u9759\u8108\u7624\u306f\u7d42\u308f\u308a\u3002
\n\u305d\u3046\u3067\u306f\u306a\u304f\u3001\u6765\u5e743\u6708\u306e\u691c\u67fb\u3067\u518d\u767a\u3057\u3066\u3044\u308c\u3070\u3001\u3042\u3068\u4e00\u56de\u5165\u9662\u6cbb\u7642\u3057\u3066\u3001\u6050\u3089\u304f\u305d\u308c\u304c\u6700\u5f8c\u306e\u518d\u767a\u3068\u6cbb\u7642\u306b\u306a\u308a\u305d\u3046\u3002
\n\u30fb\u30fb\u30fb\u3068\u3044\u3046\u306e\u304c\u3001\u5165\u8c37\u5148\u751f\u306e\u4e88\u60f3\u3067\u3059\u3002
\n\u3067\u304d\u308c\u30706\u6708\u306e\u5165\u9662\u3067\u6700\u5f8c\u306b\u3057\u305f\u3044\u3082\u306e\u3067\u3059\u3002<\/p>\n

\u3055\u3088\u306a\u3089\u5165\u8c37\u5148\u751f<\/h2>\n

\u305d\u3057\u3066\u3001\u518d\u3005\u767a\u4ee5\u5916\u306b\u3082\u3046\u4e00\u3064\u3001\u5927\u5909\u6b8b\u5ff5\u306a\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002
\n\u98df\u9053\u9759\u8108\u7624\u306b\u95a2\u3057\u691c\u67fb\u304b\u3089\u51e6\u7f6e\u307e\u3067\u5168\u90e8\u304a\u4e16\u8a71\u306b\u306a\u3063\u3066\u3044\u305f\u809d\u81d3\u5185\u79d1\u306e\u5165\u8c37\u5148\u751f\u304c\u3001\u3053\u306e\u5e74\u5ea6\u672b\u3092\u3082\u3063\u3066\u3001\u864e\u306e\u9580\u75c5\u9662\u304b\u3089\u3001\u51fa\u8eab\u5143\u306e\u5c90\u961c\u5927\u5b66\u306b\u623b\u3089\u308c\u308b\u3068\u306e\u3053\u3068\u3002
\n\u5165\u8c37\u5148\u751f\u306b\u306f\u3001\u6628\u5e742\u6708\u306e\u5165\u9662\u3067\u306e\u98df\u9053\u9759\u8108\u7624\u306e\u6cbb\u7642\u3001\u305d\u3057\u306612\u6708\u306e\u5165\u9662\u3067\u306e\u6cbb\u7642\u3001\u3055\u3089\u306b\u5916\u6765\u3067\u306e\u691c\u67fb\u306a\u3069\u3001\u304a\u4e16\u8a71\u306b\u306a\u308a\u307e\u3057\u305f\u3002
\n\u98df\u9053\u9759\u8108\u7624\u3060\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u809d\u81d3\u3067\u898b\u3064\u304b\u3063\u305f\u75c5\u5909\u3092\u3001\u30a8\u30b3\u30fc\u3001CT\u3001MRI\u3001\u305d\u3057\u3066\u6700\u5f8c\u306b\u306f\u809d\u751f\u691c\u307e\u3067\u99c6\u4f7f\u3057\u3066\u3001\u7d50\u7bc0\u6027\u518d\u751f\u6027\u904e\u5f62\u6210\uff08NRH\uff09\u3068\u3044\u3046\u826f\u6027\u816b\u760d\u3060\u3068\u7a81\u304d\u6b62\u3081\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3002
\n\u3053\u306e\u809d\u81d3\u306e\u78ba\u5b9a\u8a3a\u65ad\u306b\u81f3\u308b\u307e\u3067\u306e\u4e00\u9023\u306e\u691c\u67fb\u3067\u898b\u305b\u3066\u304f\u3060\u3055\u3063\u305f\u3001\u57f7\u5ff5\u3068\u3044\u3046\u304b\u533b\u8005\u9b42\u306b\u306f\u611f\u9298\u3092\u53d7\u3051\u307e\u3057\u305f\u3002
\n\u6700\u521d\u306f\u3001\u809d\u81d3\u306e\u753b\u50cf\u691c\u67fb\u304b\u3089\u3001\u7d20\u4eba\u76ee\u306b\u306f\u5206\u304b\u3089\u306a\u3044\u5fae\u5999\u306a\u7d44\u7e54\u306e\u4e0d\u5747\u4e00\u3055\u3092\u898b\u3064\u3051\u3001\u6700\u60aa\u306e\u5834\u5408\u306f\u809d\u81d3\u304c\u3093\u3067\u3042\u308b\u3068\u3044\u3046\u53ef\u80fd\u6027\u3092\u982d\u306b\u7f6e\u304d\u306a\u304c\u3089\u3001\u305d\u306e\u75c5\u5909\u306e\u5b9f\u614b\u3092\u3042\u3089\u3086\u308b\u691c\u67fb\u3092\u99c6\u4f7f\u3057\u3066\u7a81\u304d\u6b62\u3081\u3066\u3001\u305d\u306e\u4e0a\u3067\u60a3\u8005\u306b\u6700\u9069\u306a\u6cbb\u7642\u3092\u63d0\u4f9b\u3057\u3088\u3046\u3068\u3044\u3046\u59ff\u52e2\u304c\u3001\u3059\u3070\u3089\u3057\u304b\u3063\u305f\u306e\u3067\u3059\u3002
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