{"id":20,"date":"2025-01-31T00:00:00","date_gmt":"2025-01-30T15:00:00","guid":{"rendered":"https:\/\/test.spice-seek.jp\/koyu\/noge\/internal-medicine\/"},"modified":"2025-12-15T13:08:24","modified_gmt":"2025-12-15T04:08:24","slug":"internal-medicine","status":"publish","type":"page","link":"https:\/\/koyu.or.jp\/noge\/outpatient\/internal-medicine\/","title":{"rendered":"\u5faa\u74b0\u5668\u5185\u79d1"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\u5faa\u74b0\u5668\u5185\u79d1<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/AdobeStock_377503297-1024x684.jpg\" alt=\"\" class=\"wp-image-469\" style=\"width:700px\"\/><\/figure><\/div>\n\n\n<p>\u5f53\u9662\u3067\u306f\u3001\u5faa\u74b0\u5668\u5185\u79d1\u5c02\u9580\u533b\u306b\u3088\u308b\u5916\u6765\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002\u8a3a\u7642\u6642\u9593\u306b\u3064\u304d\u307e\u3057\u3066\u306f\u3001\u5916\u6765\u4e88\u5b9a\u8868\u3092\u5fa1\u89a7\u304f\u3060\u3055\u3044\u3002<br>\u4e0b\u8a18\u306e\u3088\u3046\u306a\u75c7\u72b6\u306e\u3042\u308b\u65b9\u306f\u3001\u4e00\u5ea6\u5faa\u74b0\u5668\u5185\u79d1\u5916\u6765\u3092\u53d7\u8a3a\u3055\u308c\u308b\u3053\u3068\u3092\u304a\u52e7\u3081\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_75 ez-toc-wrap-left counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" 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id=\"%E7%94%9F%E6%B4%BB%E7%BF%92%E6%85%A3%E7%97%85%EF%BC%88%E9%AB%98%E8%A1%80%E5%9C%A7%E3%80%81%E8%84%82%E8%B3%AA%E7%95%B0%E5%B8%B8%E7%97%87%E3%80%81%E7%B3%96%E5%B0%BF%E7%97%85%E3%81%AA%E3%81%A9%EF%BC%89\"><\/span><strong>\u751f\u6d3b\u7fd2\u6163\u75c5\uff08\u9ad8\u8840\u5727\u3001\u8102\u8cea\u7570\u5e38\u75c7\u3001\u7cd6\u5c3f\u75c5\u306a\u3069\uff09<\/strong><span 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class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E4%B8%8D%E6%95%B4%E8%84%88\"><\/span><strong>\u4e0d\u6574\u8108<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u5fc3\u81d3\u306f\u4e00\u65e5\u306b\u7d0410-15\u4e07\u56de\u898f\u5247\u6b63\u3057\u304f\u8108\u3092\u6253\u3061\u307e\u3059\u3002\u305d\u308c\u4ee5\u5916\u306e\u4e0d\u898f\u5247\u306a\u8108\u306f\u3059\u3079\u3066\u4e0d\u6574\u8108\u3068\u3044\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u4e0d\u6574\u8108\u306f\u983b\u8108\u6027\u4e0d\u6574\u8108(\u8108\u304c\u901f\u3044\u4e0d\u6574\u8108)\u3068\u5f90\u8108\u6027\u4e0d\u6574\u8108(\u8108\u304c\u9045\u3044\u4e0d\u6574\u8108)\u304c\u3042\u308a\u307e\u3059\u3002\u3056\u3063\u304f\u308a\u3044\u3046\u3068\u3001\u983b\u8108\u6027\u4e0d\u6574\u8108\u306f<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u52d5\u60b8<\/mark><\/strong>\u3001\u5f90\u8108\u6027\u4e0d\u6574\u8108\u306f<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u3081\u307e\u3044<\/mark><\/strong>\u3084\u5931\u795e\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u4ed6\u306b\u3082\u5065\u8a3a\u3067<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u5fc3\u96fb\u56f3\u306e\u7570\u5e38\u3092\u6307\u6458\u3055\u308c\u305f<\/mark><\/strong>\u3001<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u8108\u304c\u98db\u3076<\/mark><\/strong>\u306a\u3069\u306e\u75c7\u72b6\u304c\u3042\u308b\u5834\u5408\u306a\u3069\u3001\u4f55\u3067\u3082\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><a href=\"https:\/\/new.jhrs.or.jp\/contents_jhrs\/atrial_fibrillation_mp4\/m01j.html\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/huseimyaku01.jpg\" alt=\"\" class=\"wp-image-285\" style=\"width:400px\"\/><\/a><figcaption class=\"wp-element-caption\">\uff08\u51fa\u5178\uff1a<a href=\"https:\/\/new.jhrs.or.jp\/\">\u65e5\u672c\u4e0d\u6574\u8108\u5fc3\u96fb\u5b66\u4f1a<\/a>\uff09<\/figcaption><\/figure><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E4%B8%8D%E6%95%B4%E8%84%88%E3%81%A7%E4%BB%A3%E8%A1%A8%E7%9A%84%E3%81%AA%E5%BF%83%E6%88%BF%E7%B4%B0%E5%8B%95%E3%81%AB%E3%81%A4%E3%81%84%E3%81%A6\"><\/span>\u4e0d\u6574\u8108\u3067\u4ee3\u8868\u7684\u306a\u5fc3\u623f\u7d30\u52d5\u306b\u3064\u3044\u3066<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>\u5fc3\u623f\u7d30\u52d5\u306b\u95a2\u3057\u3066\u306f\u3001\u8a3a\u65ad\u3092\u53d7\u3051\u3089\u308c\u305f\u65b9\u3082\u591a\u3044\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u6cbb\u7642\u306b\u8ff7\u3046\u65b9\u3082\u591a\u3044\u3068\u601d\u3044\u307e\u3059\u3002 \u307e\u305a\u306f\u3001\u5fc3\u623f\u7d30\u52d5\u306f\u4e0d\u6574\u8108\u306e\u4e2d\u3067\u306f\u6700\u3082\u591a\u3044\u4e0d\u6574\u8108\u3067\u3059\u3002\u4e00\u65b9\u3067\u3001\u8133\u6897\u585e\u3001\u5fc3\u4e0d\u5168\u306e\u539f\u56e0\u306b\u3082\u306a\u308a\u3001\u6700\u8fd1\u306f\u8a8d\u77e5\u75c7\u3068\u3082\u95a2\u9023\u304c\u3042\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br>\u65e5\u672c\u3067\u306f\u5fc3\u623f\u7d30\u52d5\u304c\u3068\u3066\u3082\u554f\u984c\u3068\u306a\u308b\u4e0d\u6574\u8108\u3068\u3055\u308c\u3066\u304a\u308a\u3001\u8a3a\u65ad\u30fb\u6cbb\u7642\u3068\u3068\u3082\u306b\u9032\u6b69\u306e\u3081\u3056\u307e\u3057\u3044\u5206\u91ce\u3067\u3082\u3042\u308a\u307e\u3059\u3002<br>\u3067\u306f\u3001\u306a\u305c\u5fc3\u623f\u7d30\u52d5\u304c\u554f\u984c\u306b\u306a\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u65e5\u672c\u306f\u4e16\u754c\u4e00\u306e\u9577\u5bff\u56fd\u3092\u8a87\u3063\u3066\u3044\u307e\u3059\u304c\u3001\u540c\u6642\u306b\u5065\u5eb7\u5bff\u547d\u3068\u5e73\u5747\u5bff\u547d\u306e\u5dee\u304c\u5927\u304d\u3044\u3053\u3068\u304c\u554f\u984c\u3068\u306a\u3063\u3066\u3044\u307e\u3059(\u56f3\uff11)\u3002\u3064\u307e\u308a\u5bdd\u305f\u304d\u308a\u304c\u591a\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u8133\u6897\u585e\u306f\u5bdd\u305f\u304d\u308a\u306e\u6700\u3082\u591a\u3044\u539f\u56e0\u3067\u3059\u3002\u8133\u6897\u585e\u306e20\uff5e30\uff05\u304c\u5fc3\u623f\u7d30\u52d5\u304c\u539f\u56e0\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u308b\u305f\u3081\u5fc3\u623f\u7d30\u52d5\u3092\u65e9\u671f\u767a\u898b\u3057\u6cbb\u7642\u3092\u304a\u3053\u306a\u3044\u3068\u3044\u3046\u53d6\u308a\u7d44\u307f\u304c\u56fd\u306e\u65b9\u91dd\u3068\u3057\u3066\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u3067\u306f\u3001\u3069\u3046\u3088\u3046\u306a\u5fc3\u623f\u7d30\u52d5\u306e\u60a3\u8005\u3055\u3093\u304c\u8133\u6897\u585e\u306b\u306a\u308a\u3084\u3059\u3044\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u3053\u308c\u306f\u4e16\u754c\u4e2d\u3067\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u8840\u6813\u75c7\u3092\u8d77\u3053\u3057\u3084\u3059\u3044\u4eba\u306e\u30ea\u30b9\u30af\u306e\u8a55\u4fa1\u304c\u3042\u308a\u307e\u3059(\u56f32\u3001\uff13)\u3002\u5fc3\u623f\u7d30\u52d5\u306e\u60a3\u8005\u3055\u3093\u306e\u4e2d\u3067\u5408\u4f75\u75c7\u306e\u6570\u3067\u70b9\u6570\u304c\u6c7a\u307e\u308a\u307e\u3059\u3002\u5fc3\u4e0d\u5168\u3001\u9ad8\u8840\u5727\u3001\uff17\uff15\u6b73\u4ee5\u4e0a\u3001\u7cd6\u5c3f\u75c5\u306f\u5404\u3005\uff11\u70b9\u3067\u3059\u304c\u3001\u3059\u3067\u306b\u5fc3\u623f\u7d30\u52d5\u306b\u3088\u308a\u8133\u6897\u585e\u3092\u8d77\u3053\u3057\u3066\u3053\u3068\u304c\u3042\u308b\u60a3\u8005\u3055\u3093\u306f\uff12\u70b9\u306b\u306a\u308a\u3001\u6700\u3082\u585e\u6813\u75c7\uff08\u5927\u534a\u306f\u8133\u6897\u585e\uff09\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306a\u60a3\u8005\u3055\u3093\u306f\u57fa\u672c\u7684\u306b\u306f\u7d42\u751f\u6297\u51dd\u56fa\u85ac\u3092\u98f2\u3080\u3053\u3068\u304c\u671b\u307e\u3057\u3044\u3067\u3059\u3002\u85ac\u306e\u81ea\u5df1\u4e2d\u65ad\u3067\u6b8b\u5ff5\u306a\u304c\u3089\u518d\u6897\u585e\u3092\u8d77\u3053\u3055\u308c\u308b\u60a3\u8005\u69d8\u3082\u6642\u3005\u7d4c\u9a13\u3057\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306a\u3053\u3068\u304c\u306a\u3044\u3088\u3046\u306b\u85ac\u306e\u3053\u3068\u3067\u3054\u4e0d\u660e\u306a\u70b9\u304c\u3042\u308a\u307e\u3057\u305f\u3089\u76f8\u8ac7\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u3055\u3089\u306b\u8133\u6897\u585e\u306e3\u5206\u306e1\u306f\u5fc3\u81d3\u304b\u3089\u3067\u304d\u305f\u8840\u6813(\u4e3b\u306b\u306f\u5fc3\u623f\u7d30\u52d5\u306b\u3088\u308b)\u306b\u3088\u308b\u8133\u6897\u585e\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u8133\u6897\u585e\u4e88\u9632\u306b\u306f\u8840\u6813\u306e\u30ea\u30b9\u30af\u8a55\u4fa1\u3092\u884c\u3044\u3001\u30ea\u30b9\u30af\u306e\u3042\u308b\u60a3\u8005\u3055\u3093\u306f\u8840\u6813\u4e88\u9632\u306e\u304a\u85ac(\u6297\u51dd\u56fa\u85ac)\u3092\u5185\u670d\u3059\u308b\u3053\u3068\u304c\u6700\u3082\u91cd\u8981\u3067\u3059\u3002\u307e\u305f\u3001\u5fc3\u623f\u7d30\u52d5\u306f\u751f\u6d3b\u7fd2\u6163\u3082\u95a2\u4e0e\u3057\u3066\u3044\u308b\u305f\u3081\u751f\u6d3b\u7fd2\u6163\u306e\u662f\u6b63\u3082\u91cd\u8981\u3068\u306a\u308a\u307e\u3059\u3002\u5fc3\u623f\u7d30\u52d5\u3068\u95a2\u4fc2\u304c\u3042\u308b\u3068\u3055\u308c\u3066\u3044\u308b\u56e0\u5b50\u306f\u5e74\u9f62\u3001\u9ad8\u8840\u5727\u3001\u7cd6\u5c3f\u75c5\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u3001\u80a5\u6e80\u3001\u55ab\u7159\u3001\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u304c\u3042\u3052\u3089\u308c\u307e\u3059\u3002\u56f34\u306f\u5fc3\u623f\u7d30\u52d5\u306e\u4e3b\u306a\u554f\u984c\u70b9\u3067\u3059\u3002<br>\u6b21\u3044\u3067\u3001\u5fc3\u623f\u7d30\u52d5\u81ea\u4f53\u3092\u76f4\u3059\u6cbb\u7642(\u9664\u7d30\u52d5\u6cbb\u7642)\u3092\u884c\u3046\u304b\u3069\u3046\u304b\u3092\u6c7a\u3081\u307e\u3059\u3002\u3053\u308c\u306b\u306f\u85ac\u306b\u3088\u308b\u3082\u306e\u3068\u30ab\u30c6\u30fc\u30c6\u30eb\u306b\u3088\u308b\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002\u5f53\u9662\u306f\u4e0d\u6574\u8108\u5c02\u9580\u533b\u306b\u3088\u308a\u3001\u60a3\u8005\u69d8\u306b\u9069\u3057\u305f\u6cbb\u7642\u3092\u60a3\u8005\u3055\u3093\u3068\u6c7a\u3081\u3066\u3044\u304d\u307e\u3059\u3002\u5f53\u9662\u3067\u306f\u5fc3\u623f\u7d30\u52d5\u306b\u5bfe\u3057\u3066\u30ab\u30c6\u30fc\u30c6\u30eb\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u3067\u306e\u6cbb\u7642\u3082\u884c\u306a\u3063\u3066\u304a\u308a\u3001\u60a3\u8005\u69d8\u306b\u6700\u3082\u9069\u3057\u305f\u6cbb\u7642\u3092\u76ee\u6307\u3057\u3066\u304a\u308a\u307e\u3059\u3002<br>\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u306b\u95a2\u3057\u3066\u306f\u60a3\u8005\u69d8\u306e\u4e0d\u5b89\u3084\u82e6\u75db\u306e\u8efd\u6e1b\u306e\u305f\u3081\u306b\u5168\u8eab\u9759\u8108\u9ebb\u9154\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u8853\u5f8c\u306e\u5b89\u9759\u306b\u95a2\u3057\u307e\u3057\u3066\u3082\u6b62\u8840\u30c7\u30d0\u30a4\u30b9\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u8853\u5f8c\u306f3\u6642\u9593\u306e\u5b89\u9759\u3067\u6b69\u884c\u53ef\u80fd\u3068\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/internal_medicine01.jpg\" alt=\"\" class=\"wp-image-286\" style=\"width:1000px\"\/><\/figure><\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/internal_medicine02.jpg\" alt=\"\" class=\"wp-image-287\" style=\"width:1000px\"\/><\/figure><\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/internal_medicine03.jpg\" alt=\"\" class=\"wp-image-288\" style=\"width:1000px\"\/><\/figure><\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/internal_medicine04.jpg\" alt=\"\" class=\"wp-image-289\" style=\"width:1000px\"\/><\/figure><\/div><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%BF%83%E4%B8%8D%E5%85%A8\"><\/span><strong>\u5fc3\u4e0d\u5168<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u5fc3\u4e0d\u5168\u3068\u306f\u5168\u8eab\u306e\u30dd\u30f3\u30d7\u306e\u5f79\u5272\u3092\u679c\u305f\u3057\u3066\u3044\u308b\u5fc3\u81d3\u306e\u50cd\u304d\u304c\u5f31\u304f\u306a\u3063\u305f\u72b6\u614b\u3092\u3044\u3044\u307e\u3059\u3002\u79c1\u305f\u3061\u306e\u5168\u8eab\u306e\u8840\u6db2\u306f\u5e38\u306b\u5faa\u74b0\u3057\u3066\u304a\u308a\u307e\u3059\u3002\u5168\u8eab\u304b\u3089\u4f7f\u308f\u308c\u305f\u8840\u6db2\u306f\u9759\u8108\u8840\u3068\u3044\u3044\u5fc3\u81d3\u306b\u623b\u308a\u307e\u3059\u3002\u3064\u304e\u306b\u8840\u6db2\u306f\u80ba\u306b\u9001\u3089\u308c\u3001\u9178\u7d20\u3092\u3082\u3089\u3063\u3066\u52d5\u8108\u8840\u3068\u306a\u308a\u5fc3\u81d3\u306b\u623b\u308a\u5168\u8eab\u306b\u9001\u3089\u308c\u307e\u3059\u3002\u3088\u3063\u3066\u5fc3\u4e0d\u5168\u306b\u306a\u308b\u3068\u5168\u8eab\u306e\u8840\u6db2\uff08\u4f53\u6db2\uff09\u306e\u5faa\u74b0\u304c\u3046\u307e\u304f\u3044\u304b\u306a\u304f\u306a\u308a\u75c7\u72b6\u3092\u304a\u3053\u3057\u307e\u3059\uff08\u56f35\uff09\u3002\u30dd\u30f3\u30d7\u6a5f\u80fd\u306e\u4f4e\u4e0b\u306b\u3088\u308b\u75c7\u72b6\u3068\u3057\u3066\u306f<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u52d5\u60b8\u3001\u606f\u5207\u308c\u3001\u4f4e\u8840\u5727\u3001\u624b\u8db3\u304c\u51b7\u305f\u3044\u3001\u5c3f\u304c\u51fa\u306a\u3044<\/mark><\/strong>\u3002\u80ba\u3084\u5168\u8eab\u306e\u8840\u6db2\u306e\u3046\u3063\u6ede\u306b\u3088\u308b\u75c7\u72b6\u3068\u3057\u3066\u306f<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u4f53\u91cd\u5897\u52a0\u3001\u3080\u304f\u307f\u3001\u75f0\uff08\u30d4\u30f3\u30af\u8272\u306e\u75f0\uff09\u3001\u606f\u82e6\u3057\u3055\u3001\u6d88\u5316\u5668\u75c7\u72b6\uff08\u98df\u6b32\u4e0d\u632f\u3001\u304a\u8179\u304c\u306f\u308b\uff09<\/mark><\/strong>\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002\u306a\u304a\u3001\u5fc3\u4e0d\u5168\u306f\u72b6\u614b\u3067\u3042\u308a\u539f\u56e0\u306f\u5225\u306b\u3042\u308a\u307e\u3059\u3002\u539f\u56e0\u306f\u5fc3\u7b4b\u6897\u585e\u306b\u3088\u308a\u5fc3\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u305f\u3082\u306e\u3001\u9ad8\u8840\u5727\u306b\u3088\u308a\u5fc3\u80a5\u5927\u306b\u3088\u308b\u3082\u306e\u3001\u5fc3\u623f\u7d30\u52d5\u306b\u3088\u308b\u3082\u306e\u3001\u5f01\u819c\u75c7\u306b\u3088\u308b\u3082\u306e\u3001\u539f\u56e0\u4e0d\u660e\uff08\u81e8\u5e8a\u306e\u5834\u3067\u306f\u6bd4\u8f03\u7684\u591a\u304f\u307f\u3089\u308c\u5fc3\u7b4b\u75c7\u3068\u547c\u3070\u308c\u307e\u3059\u3002\uff09\u306e\u3082\u306e\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002\u5fc3\u4e0d\u5168\u306f\u9032\u884c\u6027\u306e\u75c5\u6c17\u3067\u3059\u304c\u3001\u3053\u3053\u6570\u5e74\u3067\u5fc3\u4e0d\u5168\u6cbb\u7642\u306f\u5185\u670d\u6cbb\u7642\u3082\u5916\u79d1\u7684\u6cbb\u7642\u3082\u98db\u8e8d\u7684\u306b\u9032\u5316\u3057\u3066\u304a\u308a\u3001\u9078\u629e\u80a2\u3082\u5897\u3048\u3066\u304d\u307e\u3057\u305f\u3002\u60a3\u8005\u69d8\u306b\u5bc4\u308a\u6dfb\u3044\u4f55\u304c\u6700\u9069\u306e\u6cbb\u7642\u304b\u3092\u6c7a\u3081\u307e\u3059\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/internal_medicine05.jpg\" alt=\"\" class=\"wp-image-290\" style=\"width:1000px\"\/><figcaption class=\"wp-element-caption\">\u56f35<\/figcaption><\/figure><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%BF%83%E8%87%93%E3%83%AA%E3%83%8F%E3%83%93%E3%83%AA%E3%83%86%E3%83%BC%E3%82%B7%E3%83%A7%E3%83%B3\"><\/span><strong>\u5fc3\u81d3\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u5f53\u9662\u3067\u306f\u3001\u5fc3\u81d3\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u5c0e\u5165\u3057\u3066\u3044\u307e\u3059\u3002\u5fc3\u4e0d\u5168\u3001\u5fc3\u7b4b\u6897\u585e\u3001\u72ed\u5fc3\u75c7\u3001\u3042\u308b\u3044\u306f\u5fc3\u81d3\u624b\u8853\u5f8c\u306e\u60a3\u8005\u3055\u3093\u306f\u3001\u5fc3\u81d3\u306e\u6a5f\u80fd\u3084\u904b\u52d5\u80fd\u529b\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u9000\u9662\u5f8c\u3059\u3050\u306b\u306f\u601d\u3044\u901a\u308a\u306b\u6d3b\u52d5\u3067\u304d\u305a\u3001\u4e0d\u5b89\u3092\u611f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u5fc3\u81d3\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u306f\u3001\u60a3\u8005\u3055\u3093\u304c\u4f53\u529b\u3092\u56de\u5fa9\u3057\u3001\u65e5\u5e38\u751f\u6d3b\u306e\u6d3b\u52d5\u3092\u7121\u7406\u306a\u304f\u884c\u3048\u308b\u81ea\u4fe1\u3092\u53d6\u308a\u623b\u3059\u3053\u3068\u3067\u3001\u518d\u767a\u3084\u518d\u5165\u9662\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u3089\u3059\u3053\u3068\u3092\u76ee\u6307\u3057\u307e\u3059\u3002\u3053\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u306b\u306f\u3001\u533b\u5e2b\u3001\u7406\u5b66\u7642\u6cd5\u58eb\u3001\u770b\u8b77\u5e2b\u3001\u85ac\u5264\u5e2b\u3001\u7ba1\u7406\u6804\u990a\u58eb\u306a\u3069\u306e\u5c02\u9580\u8077\u7a2e\u304c\u30c1\u30fc\u30e0\u3068\u3057\u3066\u95a2\u308f\u308a\u3001\u60a3\u8005\u3055\u3093\u4e00\u4eba\u3072\u3068\u308a\u306b\u5408\u308f\u305b\u305f\u7dcf\u5408\u7684\u306a\u30ea\u30cf\u30d3\u30ea\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u63d0\u4f9b\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u958b\u59cb\u306b\u3042\u305f\u308a\u3001\u904b\u52d5\u8010\u5bb9\u80fd\u306e\u691c\u67fb\u3092\u884c\u3044\u307e\u3059\u3002\u4e00\u4eba\u3072\u3068\u308a\u306e\u4f53\u529b\u306b\u5fdc\u3058\u305f\u9069\u6b63\u306a\u904b\u52d5\u5f37\u5ea6\u3092\u898b\u6975\u3081\u308b\u305f\u3081\u306b\u3001\u904b\u52d5\u8ca0\u8377\u8a66\u9a13\u3092\u5b9f\u65bd\u3057\u307e\u3059\u3002\u5c02\u7528\u6a5f\u5668\u3067\u3042\u308bCPX\uff08\u5fc3\u80ba\u904b\u52d5\u8ca0\u8377\u8a66\u9a13\u88c5\u7f6e\uff09\u3092\u4f7f\u7528\u3057\u3001\u5fc3\u96fb\u56f3\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3092\u884c\u3044\u306a\u304c\u3089\u547c\u6c17\u30ac\u30b9\u30e2\u30cb\u30bf\u30fc\u3067\u9178\u7d20\u6442\u53d6\u91cf\u3068\u4e8c\u9178\u5316\u70ad\u7d20\u6392\u51fa\u91cf\u3092\u6e2c\u5b9a\u3057\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u60a3\u8005\u3055\u3093\u306e\u5fc3\u81d3\u3001\u80ba\u3001\u7b4b\u8089\u306e\u5065\u5eb7\u72b6\u614b\u3092\u7dcf\u5408\u7684\u306b\u8a55\u4fa1\u3057\u3001\u305d\u306e\u7d50\u679c\u306b\u57fa\u3065\u3044\u3066\u6700\u9069\u306a\u904b\u52d5\u51e6\u65b9\u3092\u4f5c\u6210\u3057\u307e\u3059\u3002\u305d\u306e\u5f8c\u306f\u901a\u9662\u306b\u3088\u308b\u904b\u52d5\u7642\u6cd5\u3092\u7d9a\u3051\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u8eab\u4f53\u6d3b\u52d5\u3092\u7d99\u7d9a\u3059\u308b\u306b\u306f\u3001\u7b4b\u8089\u306b\u6301\u7d9a\u7684\u306b\u9178\u7d20\u3092\u4f9b\u7d66\u3059\u308b\u3053\u3068\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002\u3053\u306e\u30d7\u30ed\u30bb\u30b9\u306f\u3001\u80ba\u304c\u547c\u5438\u306b\u3088\u3063\u3066\u9178\u7d20\u3092\u53d6\u308a\u8fbc\u307f\u3001\u9178\u7d20\u3092\u542b\u3093\u3060\u8840\u6db2\u304c\u5fc3\u81d3\u3092\u901a\u3058\u3066\u5168\u8eab\u306e\u9aa8\u683c\u7b4b\u3078\u3068\u9001\u308a\u5c4a\u3051\u3089\u308c\u308b\u3053\u3068\u3067\u59cb\u307e\u308a\u307e\u3059\u3002\u7b4b\u8089\u3067\u306f\u3001\u9178\u7d20\u3092\u7528\u3044\u3066\u30a8\u30cd\u30eb\u30ae\u30fc\u3092\u751f\u6210\u3057\u3001\u540c\u6642\u306b\u751f\u3058\u305f\u4e8c\u9178\u5316\u70ad\u7d20\u306f\u5fc3\u81d3\u3068\u80ba\u3092\u7d4c\u7531\u3057\u3066\u4f53\u5916\u306b\u6392\u51fa\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u9577\u6642\u9593\u306e\u904b\u52d5\u3092\u7dad\u6301\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u3053\u306e\u9178\u7d20\u4f9b\u7d66\u3068\u4e8c\u9178\u5316\u70ad\u7d20\u6392\u51fa\u306e\u30d7\u30ed\u30bb\u30b9\u304c\u5186\u6ed1\u306b\u6a5f\u80fd\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u3064\u307e\u308a\u3001\u80ba\u3001\u5fc3\u81d3\u3001\u7b4b\u8089\u306e3\u3064\u306e\u30b7\u30b9\u30c6\u30e0\u304c\u9069\u5207\u306b\u6a5f\u80fd\u3057\u3001\u76f8\u4e92\u306b\u9023\u643a\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002\u3053\u308c\u3089\u306e\u9023\u643a\u306f\u300c<strong>\u30ef\u30c3\u30b5\u30fc\u30de\u30f3\u306e\u6b6f\u8eca<\/strong>\u300d\u3068\u547c\u3070\u308c\u3066\u304a\u308a\u3001\u904b\u52d5\u8010\u5bb9\u80fd\u306e\u5411\u4e0a\u306b\u4e0d\u53ef\u6b20\u306a\u8981\u7d20\u3067\u3059\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/wassaman.jpg\" alt=\"\" class=\"wp-image-291\" style=\"width:1000px\"\/><\/figure><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%BF%83%E7%AD%8B%E6%A2%97%E5%A1%9E%E3%80%80%E7%8B%AD%E5%BF%83%E7%97%87\"><\/span><strong>\u5fc3\u7b4b\u6897\u585e\u3000\u72ed\u5fc3\u75c7<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u5fc3\u81d3\u3092\u6804\u990a\u3057\u3066\u3044\u308b\u8840\u7ba1(\u51a0\u52d5\u8108\u3068\u8a00\u3044\u307e\u3059)\u306b\u52d5\u8108\u786c\u5316\u3084\u30d7\u30e9\u30fc\u30af\u304c\u8840\u7ba1\u5185\u306b\u3064\u304d\u3001\u6804\u990a\u3092\u53d7\u3051\u3066\u3044\u308b\u5fc3\u7b4b\u306b\u8840\u6d41\u304c\u8db3\u308a\u306a\u304f\u306a\u308a\u307e\u3059(\u56f36)\u3002\u79c1\u305f\u3061\u306f\u52d5\u304f\u3068\u5fc3\u62cd\u6570\u3092\u3042\u3052\u3066\u9178\u7d20\u3092\u5168\u8eab\u306b\u9001\u308d\u3046\u3068\u3057\u307e\u3059\u3002\u3059\u308b\u3068\u5fc3\u81d3\u306e\u7b4b\u8089\uff08\u5fc3\u7b4b\uff09\u306e\u9178\u7d20\u306e\u9700\u8981\u91cf\u304c\u9ad8\u307e\u308a\u307e\u3059\u3002\u51a0\u52d5\u8108\u306b\u72ed\u7a84\u304c\u306a\u3051\u308c\u3070\u554f\u984c\u306a\u304f\u5fc3\u7b4b\u306b\u9178\u7d20\u304c\u4f9b\u7d66\u3067\u304d\u307e\u3059\u304c\u3001\u72ed\u7a84\uff08\u901a\u5e38\u306f\uff17\uff15\uff05\u72ed\u7a84\u4ee5\u4e0a\uff09\u304c\u3042\u308b\u3068\u3001\u5fc3\u7b4b\u306b\u5341\u5206\u306a\u9178\u7d20\u304c\u9001\u308c\u305a\u72ed\u5fc3\u75c7\u3088\u3070\u308c\u308b\u75c7\u72b6\u304c\u3067\u307e\u3059\u3002\u5178\u578b\u7684\u306b\u306f\u52d5\u304f\u3068<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u606f\u5207\u308c<\/mark><\/strong>\u3084<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u80f8\u75db<\/mark><\/strong>\u304c\u8d77\u3053\u308a\u307e\u3059\u3002\u9032\u884c\u3059\u308b\u3068\u5fc3\u7b4b\u6897\u585e\u306b\u79fb\u884c\u3057\u3001\u91cd\u75c7\u306b\u306a\u308b\u3068\u547d\u306b\u95a2\u308f\u308a\u307e\u3059\u3002\u305d\u306e\u3088\u3046\u306a\u75c7\u72b6\u306f\u3042\u308a\u307e\u3057\u305f\u3089\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002\u5f53\u9662\u3067\u306f\u51a0\u52d5\u8108CT\u3092\u5373\u65e5\u64ae\u5f71\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/internal_medicine06.jpg\" alt=\"\" class=\"wp-image-292\" style=\"width:1000px\"\/><figcaption class=\"wp-element-caption\">\u56f36<\/figcaption><\/figure><\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/internal_medicine07.jpg\" alt=\"\" class=\"wp-image-293\" style=\"width:1000px\"\/><figcaption class=\"wp-element-caption\">\u56f37<\/figcaption><\/figure><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%BF%83%E8%87%93%E5%BC%81%E8%86%9C%E7%97%87\"><\/span><strong>\u5fc3\u81d3\u5f01\u819c\u75c7<\/strong><span 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