{"id":315,"date":"2011-04-25T12:22:04","date_gmt":"2011-04-25T03:22:04","guid":{"rendered":"http:\/\/med-infom.com\/?p=315"},"modified":"2015-09-16T12:17:41","modified_gmt":"2015-09-16T03:17:41","slug":"%e5%86%a0%e5%8b%95%e8%84%88%e3%81%ae%e7%95%aa%e5%8f%b7aha%e5%88%86%e9%a1%9e%e3%82%92%e8%a6%9a%e3%81%88%e3%82%8b%e3%82%a8%e3%82%af%e3%82%b5%e3%82%b5%e3%82%a4%e3%82%ba%e3%81%a0%ef%bc%81","status":"publish","type":"post","link":"https:\/\/med-infom.com\/?p=315","title":{"rendered":"\u51a0\u52d5\u8108\u306e\u756a\u53f7(AHA\u5206\u985e)\u3092\u899a\u3048\u308b\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3060\uff01"},"content":{"rendered":"

\u5fc3\u30ab\u30c6\u30d6\u30fc\u30c8\u30ad\u30e3\u30f3\u30d7\u306b\u3088\u3046\u3053\u305d\uff01
\n\u5f53\u30b5\u30a4\u30c8\u3067\u306f\u3001\u5fc3\u30ab\u30c6\u5ba4\u306e\u65b0\u4eba\u30b9\u30bf\u30c3\u30d5\u5411\u3051\u306b\u3001\u5fc3\u30ab\u30c6\u30b9\u30ad\u30eb\u3092\u77ed\u671f\u9593\u3067\u9ad8\u3081\u308b\u7279\u5225\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3092\u63d0\u4f9b\u3057\u3066\u3044\u308b\u305e\uff01<\/span><\/p>\n

\u3053\u306e\u30da\u30fc\u30b8\u3067\u306f\u300c\u51a0\u52d5\u8108\u306e\u756a\u53f7\uff08\uff1dAHA\u5206\u985e\uff09\u300d\u3092\u899a\u3048\u3066\u3044\u3053\u3046\uff01<\/span><\/p>\n

\u30ab\u30c6\u5ba4\u3067\u306f\u51a0\u52d5\u8108\u306e\u5404\u90e8\u4f4d\u3092AHA\u5206\u985e\u3068\u3044\u3046\u901a\u3057\u756a\u53f7\u3067\u547c\u3076\u7fd2\u6163\u304c\u3042\u308b\u3002
\n\uff08\u4f8b\uff1aRCA3\u756a\u3001LCA\uff17\u756a\u3001LCX11\u756a\u306a\u3069\uff09<\/p>\n

\u305d\u3046\u3059\u308b\u3053\u3068\u3067\u3001\u3069\u306e\u679d\u304c\u72ed\u7a84\u3057\u3066\u3044\u308b\u304b\u77ac\u6642\u306b\u5171\u6709\u3067\u304d\u308b\u3093\u3060\u3002
\n\u756a\u53f7\u3092\u805e\u3044\u305f\u77ac\u9593\u306b\u3069\u3053\u306e\u679d\u304b\u5206\u304b\u3089\u306a\u3044\u3068\u3001\u8a71\u306b\u3064\u3044\u3066\u3044\u3051\u306a\u3044\u305e\u3063\uff01\uff01<\/p>\n

AHA\u5206\u985e\u3092\u899a\u3048\u3088\u3046\u3068\u6559\u79d1\u66f8\u3092\u8abf\u3079\u3066\u3082\u3001\u3069\u306e\u679d\u304c\u4f55\u756a\u306a\u306e\u304b\u30a4\u30de\u30a4\u30c1\u30d4\u30f3\u3068\u6765\u306a\u3044\u3002<\/p>\n

\u305d\u3053\u3067\u3001\u3053\u306e\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3067\u306f\u756a\u53f7\u3054\u3068\u306b\u8272\u5206\u3051\u3057\u3066\u3001\u679d\u3092\u898b\u5206\u3051\u3084\u3059\u3044\u3088\u3046\u306b\u5de5\u592b<\/span>\u3057\u305f\u305e\uff01<\/p>\n

\u3055\u3089\u306b\u3001\u8a18\u4e8b\u306e\u672b\u5c3e\u3067\u306f\u3001AHA\u5206\u985e\u3092\u5857\u308a\u7d75\u5f62\u5f0f\u3067\u899a\u3048\u308c\u308b\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u30b7\u30fc\u30c8\u3092\u914d\u5e03<\/span>\u3057\u3066\u308b\uff01
\n\u4e0a\u624b\u306b\u6d3b\u7528\u3057\u3001\u52b9\u7387\u3088\u304f\u756a\u53f7\u3092\u899a\u3048\u3066\u3044\u3053\u3046\uff01<\/p>\n

<\/p>\n

 <\/p>\n

 <\/p>\n

\u3053\u308c\u304c\u3001\u51a0\u52d5\u8108\u306e\u756a\u53f7\u3092\u899a\u3048\u308b\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u306e\u5168\u8c8c\u3060\u3063\uff01\u2193<\/p>\n\"\u51a0\u52d5\u8108\n

 <\/p>\n

\u679d\u306e\u8272\u3068\u756a\u53f7\u306e\u8272\u306f\u4e00\u81f4\u3057\u3066\u308b\u305e\u3002<\/p>\n

\u51a0\u52d5\u8108\u306e\u679d\u3068\u756a\u53f7\u306b\u3064\u3044\u3066\u6574\u7406\u3057\u3066\u3044\u304f\u305e\uff01<\/h3>\n
\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\u679d\u306e\u756a\u53f7<\/strong><\/td>\n\u5bfe\u5fdc\u3059\u308b\u679d\u306e\u90e8\u4f4d<\/strong><\/td>\n<\/tr>\n
#1<\/td>\n\u53f3\u51a0\u52d5\u8108(RCA:Right Coronary Artery)\u306e\u4ed8\u3051\u6839\u304b\u3089\u53f3\u5ba4\u679d(RVB:Right Ventricular Branch)\u307e\u3067<\/td>\n<\/tr>\n
#2<\/td>\n\u53f3\u5ba4\u679d\u304b\u3089\u92ed\u7e01\u679d(AM:Aute Marginal Branch)\u307e\u3067<\/td>\n<\/tr>\n
#3<\/td>\n\u92ed\u7e01\u679d\u304b\u3089\u5f8c\u4e0b\u884c\u679d(PD:Posterior Descending)\u307e\u3067<\/td>\n<\/tr>\n
#4AV<\/td>\n\u623f\u5ba4\u7d50\u7bc0\u679d\uff08AV:Atrio-Ventricular)\u3092\u6307\u3059<\/td>\n<\/tr>\n
#4PD<\/td>\n\u5f8c\u4e0b\u884c\u679d\u3092\u6307\u3059<\/td>\n<\/tr>\n
#5<\/td>\n\u5de6\u4e3b\u5e79\u90e8(LMT:Left Main Truck)<\/td>\n<\/tr>\n
#6<\/td>\n\u5de6\u4e3b\u5e79\u90e8\u304b\u3089\uff11\u672c\u76ee\u306e\u4e2d\u9694\u679d\uff08SB:Septal Branch)\u307e\u3067<\/td>\n<\/tr>\n
#7<\/td>\n\uff11\u672c\u76ee\u306e\u4e2d\u9694\u679d\u304b\u3089\u7b2c\uff12\u5bfe\u89d2\u679d(D2:Second Diagonal Branch)\u307e\u3067<\/td>\n<\/tr>\n
#8<\/td>\n\u7b2c\uff12\u5bfe\u89d2\u679d\u304b\u3089\u5de6\u524d\u4e0b\u884c\u679d\uff08LAD:Left Anterior Descencing)\u306e\u672b\u68a2\u307e\u3067<\/td>\n<\/tr>\n
#9<\/td>\n\u7b2c\uff11\u5bfe\u89d2\u679d(D1:First Diagonal Branch)\u3092\u6307\u3059<\/td>\n<\/tr>\n
#10<\/td>\n\u7b2c\uff12\u5bfe\u89d2\u679d\u3092\u6307\u3059<\/td>\n<\/tr>\n
#11<\/td>\n\u5de6\u4e3b\u5e79\u90e8\u304b\u3089\u920d\u89d2\u679d(OM:Obtuse Marginal)\u307e\u3067<\/td>\n<\/tr>\n
#12<\/td>\n\u920d\u89d2\u679d\u3092\u6307\u3059<\/td>\n<\/tr>\n
#13<\/td>\n\u920d\u89d2\u679d\u304b\u3089\u5f8c\u5074\u58c1\u679d(PL:Posterior Lateral)\u307e\u3067<\/td>\n<\/tr>\n
#14<\/td>\n\u5f8c\u5074\u58c1\u679d\u3092\u6307\u3059<\/td>\n<\/tr>\n
#15<\/td>\n\u5f8c\u4e0b\u884c\u679d(PD:Posterior Descending)\u3092\u6307\u3059<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

 <\/p>\n

\u51a0\u52d5\u8108\u306e\u756a\u53f7(AHA\u5206\u985e)\u306e\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3092\u59cb\u3081\u308b\u305e\uff01<\/h2>\n

 <\/p>\n

\u51a0\u52d5\u8108\u306e\u756a\u53f7\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u2460 \u679d\u3092\u8272\u5206\u3051\u3057\u3066\u756a\u53f7\u3092\u8a18\u5165\u3059\u308b\u3093\u3060\uff01<\/h3>\n

\u5fc3\u30ab\u30c6\u968a\u306b\u7121\u6599\u5165\u968a\u3059\u308b\u3068\u3001\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u30b7\u30fc\u30c8\u304c\u30c0\u30a6\u30f3\u30ed\u30fc\u30c9\u3067\u304d\u308b\u305e\uff01<\/p>\n

\u65e9\u901f\u3001\u5fc3\u30ab\u30c6\u968a\u54e1\u5c02\u7528\u30da\u30fc\u30b8<\/strong><\/a>\u304b\u3089\u3001
\n\u300e\u51a0\u52d5\u8108\u306e\u756a\u53f7(AHA\u5206\u985e)\u3092\u899a\u3048\u308b\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u30b7\u30fc\u30c8\u300f<\/strong><\/span>\u3092\u30c0\u30a6\u30f3\u30ed\u30fc\u30c9\u3057\u5370\u5237\u3057\u3088\u3046\u3002
\n\u307e\u3060\u5fc3\u30ab\u30c6\u968a\u306b\u5165\u968a\u3057\u3066\u3044\u306a\u3044\u4eba\u306f\u3001\u4eca\u3059\u3050\u5165\u968a\u3057\u3066\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u30b7\u30fc\u30c8\u3092\u5165\u624b\u3057\u3088\u3046\u3002<\/p>\n

\u3055\u3089\u306b\u3001\u5fc3\u30ab\u30c6\u968a\u54e1\u5c02\u7528\u30da\u30fc\u30b8\u306b\u306f\u51a0\u52d5\u8108\u306e\u30a2\u30f3\u30ae\u30aa\u753b\u50cf\u3092\u4e00\u77ac\u3067\u5224\u8aad\u3067\u304d\u308b\u30c4\u30fc\u30eb\u300c\u30a2\u30f3\u30ae\u30aa\u9769\u547d\u300d\u304c\u30c0\u30a6\u30ed\u30fc\u30c9\u3067\u304d\u308b\u305e\uff01
\n\u305d\u3063\u3061\u3082\u5408\u308f\u305b\u3066\u30c1\u30a7\u30c3\u30af\u3057\u3088\u3046\u3002<\/p>\n

\u21d2\u5fc3\u30ab\u30c6\u968a\u65b0\u898f\u5165\u968a\u7533\u8fbc\uff08\u7121\u6599\uff09\u306f\u3053\u3061\u3089<\/a><\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

\"\u51a0\u52d5\u8108\u3000\u756a\u53f7\u3000AHA\u5206\u985e\"<\/a><\/strong><\/p>\n

\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u30b7\u30fc\u30c8\u306e\uff13\u30da\u30fc\u30b8\u76ee\u306b<\/p>\n

\u771f\u3063\u767d\u306a\u51a0\u52d5\u8108\u306e\u7d75\u304c\u7528\u610f\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n

\u3053\u308c\u306f\u3001\u5857\u308a\u7d75\u7528\u306b\u7528\u610f\u3055\u308c\u3066\u3044\u308b\u304b\u3089<\/p>\n

\u4e0a\u306e\u7d75\u3068\u8868\u3092\u53c2\u8003\u306b\u3057\u306a\u304c\u3089<\/p>\n

\u756a\u53f7\u5225\u3067\u679d\u3092\u8272\u5206\u3051\u3057\u3001\u7d75\u306e\u4e2d\u306b\u76f4\u63a5\u756a\u53f7\u3092\u8a18\u5165\u3059\u308b\u3093\u3060\u3002<\/p>\n

 <\/p>\n

\u51a0\u52d5\u8108\u306e\u756a\u53f7\u3092\u7406\u89e3\u3059\u308b\u306b\u306f\u5857\u308a\u7d75\u304c\u4e00\u756a\u306e\u8fd1\u9053\u3060\u305e\u3063\uff01<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u3088\u30fc\u3057\u3001\u305d\u306e\u8abf\u5b50\u3060\u3002\u3044\u3044\u611f\u3058\u3060\u305e\uff01<\/p>\n

\u3059\u3079\u3066\u306e\u756a\u53f7\u3068\u5834\u6240\u3092\u899a\u3048\u308b\u307e\u3067\u3001\u3053\u306e\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3092\u4f55\u5ea6\u3082\u53cd\u5fa9\u7df4\u7fd2\u3059\u308b\u3093\u3060\u3002<\/p>\n

\u51a0\u52d5\u8108\u306e\u756a\u53f7\u306f\u77e5\u3063\u3066\u3066\u5f53\u7136\u306e\u6700\u983b\u51fa\u91cd\u8981\u5358\u8a9e\u3060\uff01<\/p>\n

 <\/p>\n

\u30c9\u30af\u30bf\u30fc \u300c\u304a\u3063\u30012\u756a\u304c\u7d30\u3044\u306d\u3002\u300d<\/p>\n

\u3042\u306a\u305f \u300c\u5148\u751f\u3001\uff12\u756a\u3063\u3066\u3069\u3053\u3067\u3059\u304b\uff1f\u300d<\/p>\n

\u30c9\u30af\u30bf\u30fc \u300c\u30fb\u30fb\u30fb \u30fb\u30fb\u30fb \u30fb\u30fb\u30fb\u30fb\u30fb \u541b\u3053\u3053\u306b\u4f55\u3057\u306b\u6765\u3066\u308b\u306e\uff1f\u300d<\/p>\n

 <\/p>\n

\u306a\u3093\u3066\u4e8b\u306b\u306a\u3089\u306a\u3044\u305f\u3081\u306b\u3082<\/p>\n

\u3053\u306e\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3067\u3070\u3063\u3061\u308a\u899a\u3048\u3088\u3046\uff01<\/p>\n

 <\/p>\n

\u3055\u3089\u306b\u4e00\u6b69\u8e0f\u307f\u8fbc\u3093\u3060AHA\u5206\u985e\u306e\u8a71\uff08\u4e2d\u7d1a\u8005\u5411\u3051\uff09<\/h2>\n

\u521d\u5fc3\u8005\u306b\u306f\u3061\u3087\u3063\u3068\u96e3\u3057\u3044\u3051\u3069\u3001\u4f59\u88d5\u304c\u3042\u3063\u305f\u3089\u62bc\u3055\u3048\u3066\u304a\u304d\u305f\u3044\u8a71\u3092\u307e\u3068\u3081\u305f\u305e\uff01<\/p>\n

 <\/p>\n

\u51a0\u52d5\u8108\u306e\u540d\u79f0\u30fb\u899a\u3048\u65b9\u306e\u30b3\u30c4\u306f\uff1f<\/h3>\n

\u51a0\u52d5\u8108\u306e\u5404\u90e8\u4f4d\u306e\u540d\u79f0\u306b\u3064\u3044\u3066\u3001\u3059\u3079\u3066\u4e38\u6697\u8a18\u3059\u308b\u306e\u306f\u7d50\u69cb\u3064\u3089\u3044\u4f5c\u696d\u3060\u3002<\/p>\n

\u5404\u90e8\u4f4d\u306e\u540d\u524d\u306e\u7531\u6765\u306b\u3064\u3044\u3066\u3001\u5f53\u30b5\u30a4\u30c8\u7ba1\u7406\u4eba\u306e\u898b\u89e3\u3092\u307e\u3068\u3081\u3066\u307f\u305f\u3002<\/p>\n

\u3053\u3046\u3057\u305f\u3053\u3068\u3092\u610f\u8b58\u3057\u3066\u304a\u304f\u3053\u3068\u3067\u3001\u591a\u5c11\u306f\u6697\u8a18\u306e\u8ca0\u62c5\u304c\u6e1b\u308b\u306f\u305a\u3060\uff01<\/p>\n

\u2192\u51a0\u52d5\u8108\u306e\u540d\u524d\u306e\u899a\u3048\u65b9\u306b\u3064\u3044\u3066<\/a>\uff08\uff0a\u8cea\u554f\u63b2\u793a\u677f\u3088\u308a\u8ee2\u8f09\uff09<\/p>\n

 <\/p>\n

LAD\u3068LCX\u306e\u898b\u5206\u3051\u65b9<\/h3>\n

\u521d\u5fc3\u8005\u306b\u3068\u3063\u3066LCA\u3092\u898b\u5206\u3051\u308b\u306e\u306f\u81f3\u96e3\u306e\u6280\u3060\u3002<\/p>\n

LAD\u3068LCX\u306f\u679d\u304c\u591a\u304f\u8907\u96d1\u3067\u3001\u64ae\u5f71\u89d2\u5ea6\u306b\u3088\u3063\u3066\u5168\u7136\u898b\u3048\u65b9\u304c\u9055\u3063\u3066\u304f\u308b\u3002<\/p>\n

\u305d\u3053\u3067\u3001\u305d\u308c\u3089\u3092\u898b\u5206\u3051\u308b\u30dd\u30a4\u30f3\u30c8\u3092\u3053\u3061\u3089\u306e\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3067\u307e\u3068\u3081\u3066\u307f\u305f\u305e\uff01<\/p>\n

\u8208\u5473\u304c\u3042\u3063\u305f\u3089\u30c1\u30a7\u30c3\u30af\u3057\u3088\u3046\uff01<\/p>\n

\u2192\u5de6\u51a0\u52d5\u8108\u9020\u5f71\u3067\u306eLAD\u3068LCX\u306e\u898b\u5206\u3051\u65b9\u306b\u3064\u3044\u3066<\/a><\/p>\n

 <\/p>\n

\u300c\u30cf\u30a4\u30e9\u30c6\u300d\u3068\u300c\u30a4\u30f3\u30bf\u30fc\u30df\u30c7\u30a3\u30a8\u30a4\u30c8\u300d\u306e\u898b\u5206\u3051\u65b9\u306b\u3064\u3044\u3066<\/h3>\n

AHA\u5206\u985e\u3067\u3088\u304f\u554f\u984c\u306b\u306a\u308b\u306e\u306f\u300c\u30cf\u30a4\u30e9\u30c6\uff08\uff1dHL\uff09\u300d\u3068\u300c\u30a4\u30f3\u30bf\u30fc\u30df\u30c7\u30a3\u30a8\u30a4\u30c8\uff08\uff1dIMT\uff09\u300d\u3068\u547c\u3070\u308c\u308b\u679d\u3060\u3002<\/p>\n

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 <\/p>\n

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