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<\/p>\n![\"\"](\"https:\/\/katsujinkai.or.jp\/kobayashi\/wp-content\/uploads\/2018\/09\/s_esophagus_echocardiography-2.png\")
<\/p>\n
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\u3053\u308c\u3092\u653e\u7f6e\u3057\u3066\u304a\u304f\u3068\u3042\u308b\u3068\u304d\u8840\u6813\u304c\u5265\u304c\u308c\u3060\u3057\u3001\u8133\u3084\u305d\u306e\u4ed6\u306e\u81d3\u5668\u306b\u98db\u3093\u3067\u3044\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u3002<\/span>
\u8133\u306e\u8840\u7ba1\u306b\u8a70\u307e\u308c\u3070\u8133\u6897\u585e\u3068\u306a\u308a\u307e\u3059\u3002<\/span>
\u521d\u3081\u306b\u8aac\u660e\u3057\u307e\u3057\u305f\u80f8\u58c1\u304b\u3089\u89b3\u5bdf\u3059\u308b\u8d85\u97f3\u6ce2\u3067\u306f\u8840\u6813\u306f\u89b3\u5bdf\u4e0d\u53ef\u80fd\u306a\u3053\u3068\u304c\u591a\u304f\u3001\u98df\u9053\u5074\u304b\u3089\u307f\u308b\u3068\u306f\u3063\u304d\u308a\u3068\u691c\u51fa\u3067\u304d\u307e\u3059\u3002<\/span>
\u5177\u4f53\u7684\u306a\u691c\u67fb\u6cd5\u306f\u80c3\u30ab\u30e1\u30e9\u3068\u540c\u3058\u3067\u3059\u3002\u307e\u305a\u53e3\u306e\u4e2d\u3092\u30b9\u30d7\u30ec\u30fc\u3067\uff11\uff15\u5206\u7a0b\u5ea6\u9ebb\u9154\u3092\u3057\u3066\u30d5\u30a1\u30a4\u30d0\u30fc\u3092\u53e3\u304b\u3089\u5165\u308c\u307e\u3059\u3002<\/span>
\u691c\u67fb\u6642\u9593\u306f\u7d04\uff15\u5206\u7a0b\u5ea6\u3067\u3059\u3002<\/span><\/p>\n![\"\"](\"https:\/\/katsujinkai.or.jp\/kobayashi\/wp-content\/uploads\/2018\/09\/s_cardiograph-1.png\")
<\/p>\n
\u4e0d\u6574\u8108\u3092\u8a3a\u65ad\u3059\u308b\u88c5\u7f6e\u3067\u3059\u3002<\/span>
\u52d5\u60b8\u3001\u7729\u6688\u7b49\u3068\u3044\u3046\u75c7\u72b6\u306f\u4e0d\u6574\u8108\u304c\u539f\u56e0\u3067\u3042\u308b\u5834\u5408\u304c\u591a\u3044\u306e\u3067\u3059\u304c\u3001\u4e00\u822c\u306b\u8a18\u9332\u3055\u308c\u308b\u5fc3\u96fb\u56f3\u306f\u6570\u79d2\u9593\u3067\u3001\u5b9f\u969b\u306b\u4e0d\u6574\u8108\u3084\u52d5\u60b8\u3092\u81ea\u899a\u3059\u308b\u60a3\u8005\u3055\u3093\u3067\u3082\u75c5\u9662\u306b\u6765\u3066\u5fc3\u96fb\u56f3\u3092\u3068\u3063\u3066\u307f\u308b\u3068\u6b63\u5e38\u3067\u3042\u308b\u5834\u5408\u304c\u591a\u3005\u3042\u308a\u307e\u3059\u3002<\/span>
\u4e0d\u6574\u8108\u3068\u8a00\u3063\u3066\u3082\u3059\u3079\u3066\u304c\u3059\u3079\u3066\u6cbb\u7642\u3092\u5fc5\u8981\u3068\u3059\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u306e\u3067\u3059\u3002<\/span>
24\u6642\u9593\u3001\u8108\u3092\u8a18\u9332\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u672c\u5f53\u306b\u4e0d\u6574\u8108\u304c\u5b58\u5728\u3059\u308b\u304b\u3069\u3046\u304b\u3001\u305d\u306e\u4e0d\u6574\u8108\u304c\u3059\u3050\u306b\u6cbb\u7642\u304c\u5fc5\u8981\u306a\u3082\u306e\u304b\u3069\u3046\u304b\u3092\u5224\u65ad\u3059\u308b\u88c5\u7f6e\u3067\u3059\u3002<\/span>
\u4ee5\u524d\u306f\u6a5f\u68b0\u3082\u5927\u304d\u304f\u88c5\u7740\u3082\u9762\u5012\u3067\u3057\u305f\u304c\u3001\u6700\u8fd1\u306e\u88c5\u7f6e\u306f\u304b\u306a\u308a\u30b3\u30f3\u30d1\u30af\u30c8\u306b\u306a\u3063\u3066\u60a3\u8005\u3055\u3093\u306e\u8ca0\u62c5\u3082\u8efd\u6e1b\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/span>
<\/p>\n![\"\"](\"https:\/\/katsujinkai.or.jp\/kobayashi\/wp-content\/uploads\/2018\/09\/s_pacemaker.png\")
<\/p>\n
\u30da\u30fc\u30b9\u30e1\u30fc\u30ab\u3068\u306f\u4e00\u822c\u7684\u306b\u306f\u5f90\u8108\uff08\u6b63\u5e38\u3088\u308a\u8108\u304c\u9045\u3044\uff09\u306e\u60a3\u8005\u3055\u3093\u304c\u6cbb\u7642\u306e\u5bfe\u8c61\u3068\u306a\u308a\u307e\u3059\u3002<\/span>
\u5177\u4f53\u7684\u306a\u75c5\u540d\u306f\u4e0b\u306b\u793a\u3059\u901a\u308a<\/span>
\u6d1e\u4e0d\u5168\u75c7\u5019\u7fa4<\/span>
\u623f\u5ba4\u30d6\u30ed\u30c3\u30af<\/span>
\u795e\u7d4c\u8abf\u7bc0\u6027\u5931\u795e\u7b49\u304c\u4e3b\u3068\u306a\u308a\u307e\u3059\u3002<\/span>
\u6b63\u5e38\u306e\u8108\u62cd\u306f\u4e00\u5206\u9593\u3067\u7d0460\uff5e80\u56de\u304f\u3089\u3044\u3067\u3059\u304c\u8108\u304c\u9045\u304f\u306a\u308b\u3068\u3001\u3082\u3057\u304f\u306f\u8108\u304c\u4e00\u6642\u505c\u6b62\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u8d77\u3053\u308b\u75c7\u72b6\u3068\u3057\u3066\u4e00\u756a\u591a\u3044\u3082\u306e\u306f\u3001\u3081\u307e\u3044\u3001\u5931\u795e\u767a\u4f5c\u3001\u773c\u524d\u6697\u9ed2\u611f\uff08\u76ee\u306e\u524d\u304c\u771f\u3063\u6697\u306b\u306a\u308b\uff09\u306a\u3069\u306e\u8133\u865a\u8840\u767a\u4f5c\u3067\u3059\u3002<\/span>
\u307e\u305f\u547c\u5438\u82e6\u3001\u606f\u5207\u308c\u7b49\u306e\u5fc3\u4e0d\u5168\u75c7\u72b6\u3092\u5448\u3059\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/span>
\u3053\u308c\u3089\u306e\u75c7\u72b6\u306f\u3059\u3079\u3066\u5f90\u8108\u306b\u3088\u308b\u3082\u306e\u3067\u3059\u3002<\/span>
\u5f90\u8108\u306f\u5fc3\u81d3\u5185\u306e\u96fb\u6c17\u306e\u4f1d\u5c0e\u8def\u306e\u7570\u5e38\u3067\u3059\u304c\u3053\u308c\u3092\u88dc\u52a9\u3057\u3066\u8108\u62cd\u3092\u6b63\u5e38\u5316\u3059\u308b\u6a5f\u68b0\u304c\u30da\u30fc\u30b9\u30e1\u30fc\u30ab\u3067\u3059\u3002<\/span>
\u7dca\u6025\u3067\u8108\u306e\u88dc\u52a9\u304c\u5fc5\u8981\u306a\u5834\u5408\u306f\u4e00\u6642\u7684\u306b\u4f53\u5916\u5f0f\u30da\u30fc\u30b9\u30e1\u30fc\u30ab\u3092\u633f\u5165\u3057\u307e\u3059\u3002<\/span>
\u305d\u306e\u5f8c\u6c38\u4e45\u5f0f\u30da\u30fc\u30b9\u30e1\u30fc\u30ab\u3092\u79fb\u690d\u3057\u307e\u3059\u3002<\/span>
\u624b\u8853\u6642\u9593\u306f\u7d04\uff11\u6642\u9593\u3001\u5165\u9662\u671f\u9593\u306f\uff11\u9031\u9593\u7a0b\u5ea6\u3067\u3059\u3002<\/span>
\u5c1a\u3001\u30da\u30fc\u30b9\u30e1\u30fc\u30ab\u79fb\u690d\u8853\u306f\u8eab\u4f53\u969c\u5bb3\u8005\u7b2c\uff11\u7d1a\uff08\u5fc3\u81d3\u75c5\uff09\u306e\u9069\u5fdc\u3068\u306a\u308b\u306e\u3067\u8cbb\u7528\u306f\u4e0b\u8a18\u306e\u901a\u308a\u3067\u3059\u3002<\/span><\/p>\n![\"\"](\"https:\/\/katsujinkai.or.jp\/kobayashi\/wp-content\/uploads\/2018\/09\/s_pacemaker03.png\")
<\/p>\n![\"\"](\"https:\/\/katsujinkai.or.jp\/kobayashi\/wp-content\/uploads\/2018\/09\/s_pacemaker02.png\")
![\"\"](\"https:\/\/katsujinkai.or.jp\/kobayashi\/wp-content\/uploads\/2018\/09\/s_pacemaker04.png\")
<\/p>\n\n\n
\n \u691c\u67fb\u8ca0\u62c5\u91d1<\/td>\n \u8ca0\u62c5\u91d1\uff08\uff11\u5272\uff09<\/td>\n \u8ca0\u62c5\u91d1\uff08\uff13\u5272\uff09<\/td>\n<\/tr>\n \n \u5fc3\u30a8\u30b3\u30fc \u30d1\u30eb\u30b9\u30c9\u30d7\u30e9\u30fc\u6cd5<\/td>\n \uff19\uff18\uff10\u5186<\/td>\n \uff12\uff0c\uff19\uff14\uff10\u5186<\/td>\n<\/tr>\n \n \u7d4c\u98df\u9053\u7684 \u5fc3\u81d3\u8d85\u97f3\u6ce2\u691c\u67fb<\/td>\n \uff11\uff0c\uff10\uff10\uff10\u5186<\/td>\n \uff13\uff0c\uff10\uff10\uff10\u5186<\/td>\n<\/tr>\n \n \u30c8\u30ec\u30c3\u30c9\u30df\u30eb\u306b\u3088\u308b \u8ca0\u8377\u5fc3\u80ba\u6a5f\u80fd\u691c\u67fb<\/td>\n \uff17\uff10\uff10\u5186<\/td>\n \uff12\uff0c\uff11\uff10\uff10\u5186<\/td>\n<\/tr>\n \n \u30db\u30eb\u30c0\u30fc\u5fc3\u96fb\u56f3 \uff18\u6642\u9593\u3092\u8d85\u3048\u305f\u5834\u5408<\/td>\n \uff11\uff0c\uff15\uff10\uff10\u5186<\/td>\n \uff14\uff0c\uff15\uff10\uff10\u5186<\/td>\n<\/tr>\n \n \u521d\u8a3a\u306e\u5834\u5408<\/td>\n \uff0b\uff12\uff17\uff10\u5186<\/td>\n \uff0b\uff18\uff12\uff10\u5186<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
\u30da\u30fc\u30b9\u30e1\u30fc\u30ab\u79fb\u690d\u8853\u65bd\u884c\u306e\u70ba\u306e\u5165\u9662\u8cbb<\/span><\/p>\n\n\n
\n \u533b\u7642\u8cbb<\/td>\n \u8eab\u4f53\u969c\u5bb3\u8005\u7b2c\uff11\u7d1a\u304c\u7533\u8acb\u51fa\u6765\u308b\u70ba<\/td>\n \uff10\u5186<\/td>\n<\/tr>\n \n \u90e8\u5c4b\u4ee3<\/td>\n \uff13\uff0c\uff10\uff10\uff10\u5186\u00d7\uff17\u65e5 \uff08\uff11\u65e5\u306b\u3064\u304d\uff09<\/td>\n \uff12\uff11\u3001\uff10\uff10\uff10\u5186<\/td>\n<\/tr>\n \n \u98df\u4e8b\u4ee3<\/td>\n \uff11\uff13\uff10\u5186\u00d7\uff13\u98df\u00d7\uff17\u65e5 \uff08\uff11\u65e5\u306b\u3064\u304d\uff09<\/td>\n \uff12\uff0c\uff17\uff13\uff10\u5186<\/td>\n<\/tr>\n \n \u305d\u306e\u4ed6\u8af8\u7d4c\u8cbb<\/td>\n <\/td>\n <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n ![\"\"](\"https:\/\/katsujinkai.or.jp\/kobayashi\/wp-content\/uploads\/2020\/08\/sub.png\")
<\/p>\n
\n\u51a0\u52d5\u8108CT\u691c\u67fb\u306f\u3001\u30ab\u30c6\u30fc\u30c6\u30eb\u691c\u67fb\u306b\u6bd4\u3079\u53d7\u691c\u8005\u306e\u8eab\u4f53\u7684\u8ca0\u62c5\u3092\u5927\u5e45\u306b\u8efd\u6e1b\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u691c\u67fb\u8cbb\u7528\u3082\u5b89\u4fa1\u3067\u6c17\u8efd\u306b\u51a0\u52d5\u8108\u306e\u8a55\u4fa1\u304c\u3067\u304d\u308b\u691c\u67fb\u3067\u3059\u3002\u591a\u304f\u306e\u7814\u7a76\u306e\u7d50\u679c\u3001\u975e\u5e38\u306b\u9ad8\u3044\u9670\u6027\u7684\u4e2d\u7387\uff08NPV\uff1a\u7d0498\uff05\u7a0b\u5ea6\uff09\u3092\u793a\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u5206\u304b\u308a\u3001\u72ed\u7a84\u306e\u6709\u7121\u306a\u3069\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u691c\u67fb\u306b\u6709\u7528\u306a\u307b\u304b\u3001\u7121\u75c7\u72b6\u3060\u304c\u9ad8\u8102\u8840\u75c7\u3084\u9ad8\u8840\u5727\u306a\u3069\u306e\u30cf\u30a4\u30ea\u30b9\u30af\u306a\u65b9\u304b\u3089\u3001\u52b4\u4f5c\u6642\u80f8\u75db\u3084\u72ed\u5fc3\u75c7\u30fb\u5fc3\u96fb\u56f3\u7570\u5e38\u306a\u3069\u75c7\u72b6\u3084\u6240\u898b\u306e\u898b\u3089\u308c\u308b\u65b9\u307e\u3067\u3001\u72ed\u7a84\u306e\u7591\u308f\u308c\u308b\u65b9\u306b\u6709\u7528\u306a\u691c\u67fb\u3067\u3059\u3002<\/p>\n![\"\"](\"https:\/\/katsujinkai.or.jp\/kobayashi\/wp-content\/uploads\/2020\/08\/image001-e1596504477357.jpg\")
![\"\"](\"https:\/\/katsujinkai.or.jp\/kobayashi\/wp-content\/uploads\/2020\/08\/image002.jpg\")
![\"\"](\"https:\/\/katsujinkai.or.jp\/kobayashi\/wp-content\/uploads\/2020\/08\/image003-e1596504449928.jpg\")
<\/p>\n\u51a0\u52d5\u8108CT\u691c\u67fb\u306e\u6d41\u308c<\/h4>\n
\u5916\u6765\u53d7\u4ed8<\/h5>\n
\n\u2193
\n\u5faa\u74b0\u5668\u5185\u79d1\u5916\u6765\u53d7\u8a3a<\/p>\n\u5faa\u74b0\u5668\u533b\u5e2b\u306b\u3088\u308b\u8a3a\u5bdf<\/h5>\n
\u691c\u67fb\u65e5\u5f53\u65e5<\/h5>\n
\n\u8840\u5727\u6e2c\u5b9a\u5f8c\u3068\u8108\u62cd\u3092\u6e2c\u5b9a\u3057\u307e\u3059\u3002
\n\u203b\u691c\u67fb\u524d\u306b\u8108\u62cd\u6570\u306e\u591a\u3044\u4eba\u306b\u306f\u3001\u4e00\u6642\u7684\u306b\u8108\u62cd\u6570\u3092\u4e0b\u3052\u308b\u52b9\u679c\u306e\u3042\u308b\u85ac(\u03b2\u906e\u65ad\u85ac)\u3092\u4f7f\u7528\u3059\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059
\n\u2193
\n\u5916\u6765\u51e6\u7f6e\u5ba4\u306b\u3066\u4e0a\u534a\u8eab\u306e\u307f\u691c\u67fb\u7740\u306b\u306a\u308a\u3001\u691c\u67fb\u7528\u306e\u70b9\u6ef4\u3092\u53d6\u308a\u307e\u3059\u3002
\n\u2193<\/p>\nCT\u691c\u67fb\u5ba4<\/h5>\n
\n\u691c\u67fb\u6642\u3001\u4f55\u5ea6\u304b\u606f\u6b62\u3081\u306e\u7df4\u7fd2\u3092\u3057\u307e\u3059\u3002
\n\u64ae\u5f71\u6642\u9593\u306f10\u79d2\u7a0b\u5ea6\u3067\u3059\u3002
\n\u8a3a\u65ad\u306b\u5145\u5206\u306a\u9759\u6b62\u753b\u50cf\u3092\u5f97\u308b\u305f\u3081\u306b\u547c\u5438\u3092\u3057\u3063\u304b\u308a\u6b62\u3081\u3001\u4f53\u3092\u52d5\u304b\u3055\u306a\u3044\u3088\u3046\u306b\u3057\u3066\u4e0b\u3055\u3044\u3002
\n\u9020\u5f71\u5264\u3092\u6ce8\u5165\u3057\u306a\u304c\u3089\u64ae\u5f71\u3092\u884c\u3044\u307e\u3059\u3002
\n\u9020\u5f71\u5264\u3092\u6ce8\u5165\u3059\u308b\u969b\u3001\u71b1\u3044\u611f\u3058\u304c\u3042\u308a\u307e\u3059\u3002
\n\u3059\u3050\u304a\u3055\u307e\u308a\u307e\u3059\u306e\u3067\u3001\u3042\u308f\u3066\u305a\u306b\u3057\u3063\u304b\u308a\u606f\u6b62\u3081\u3092\u3057\u3066\u4e0b\u3055\u3044\u3002
\n\u2193<\/p>\n\u691c\u67fb\u7d42\u4e86<\/h5>\n
\n\u691c\u67fb\u6240\u8981\u6642\u9593\u306f \u7d0420\u5206\u7a0b\u5ea6\u3067\u3059\u3002
\n\u98df\u4e8b\u3001\u5165\u6d74\u306a\u3069\u7279\u306b\u5236\u9650\u306f\u3042\u308a\u307e\u305b\u3093\u3002
\n\u9020\u5f71\u5264\u306f\u5c3f\u3068\u3057\u3066\u6392\u6cc4\u3055\u308c\u308b\u305f\u3081\u3001\u6c34\u5206\u3092\u591a\u3081\u306b\u63a1\u3063\u3066\u304f\u3060\u3055\u3044\u3002
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