{"id":584,"date":"2025-06-20T10:00:00","date_gmt":"2025-06-20T01:00:00","guid":{"rendered":"https:\/\/kitahara-hirokazu.com\/?post_type=news&p=584"},"modified":"2025-06-20T09:41:31","modified_gmt":"2025-06-20T00:41:31","slug":"%e8%84%b3%e5%b9%b9%e6%a2%97%e5%a1%9e%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6","status":"publish","type":"news","link":"https:\/\/kitahara-hirokazu.com\/?news=%e8%84%b3%e5%b9%b9%e6%a2%97%e5%a1%9e%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6","title":{"rendered":"\u8133\u5e79\u6897\u585e\u306b\u3064\u3044\u3066"},"content":{"rendered":"\n

\u65e5\u9803\u3088\u308a\u5f53\u9662\u3092\u3054\u5229\u7528\u3044\u305f\u3060\u304d\u3001\u8aa0\u306b\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3059\u3002
\u798f\u5ca1\u5929\u795e\u982d\u75db\u3068\u80ba\u306e\u30af\u30ea\u30cb\u30c3\u30af\u3067\u3054\u3056\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u5148\u65e5\u3001\u82e5\u624b\u82b8\u4eba\u306e\u65b9\u304c\u8133\u5e79\u6897\u585e\u3067\u304a\u4ea1\u304f\u306a\u308a\u306b\u306a\u3063\u305f\u3068\u306e\u5831\u9053\u304c\u3042\u308a\u3001\u5927\u5909\u9a5a\u304b\u308c\u305f\u65b9\u3082\u591a\u3044\u304b\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u8133\u5e79\u306f\u547c\u5438\u3084\u5fc3\u62cd\u3001\u4f53\u6e29\u8abf\u7bc0\u306a\u3069\u751f\u547d\u7dad\u6301\u306b\u4e0d\u53ef\u6b20\u306a\u6a5f\u80fd\u3092\u62c5\u3063\u3066\u304a\u308a\u3001\u75c5\u5909\u90e8\u4f4d\u306b\u3088\u3063\u3066\u306f\u591a\u5f69\u306a\u75c7\u72b6\u3092\u5448\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u4eca\u56de\u306f\u300c\u3069\u306e\u3088\u3046\u306a\u75c7\u72b6\u304c\u3042\u308c\u3070\u7591\u3046\u3079\u304d\u304b\u300d\u3001\u300c\u8a3a\u65ad\uff5e\u6cbb\u7642\u306e\u6d41\u308c\u300d\u3001\u300c\u5f53\u9662\u3067\u306e\u5bfe\u5fdc\u300d\u306e\uff13\u70b9\u306b\u3064\u3044\u3066\u3054\u6848\u5185\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u2015\u2015\u2015\u2015\u2015\u2015\u2015\u2015\u2015\u2015\u2015\u2015\u2015\u2015
\u3010\u306f\u3058\u3081\u306b\u3011<\/p>\n\n\n\n

\u8133\u5e79\u6897\u585e\u306f\u3001\u5168\u865a\u8840\u6027\u8133\u5352\u4e2d\u306e\u7d0410\u301c15\uff05\u3092\u5360\u3081\u308b\u3068\u63a8\u5b9a\u3055\u308c\u3066\u304a\u308a\u3001\u751f\u547d\u7dad\u6301\u306b\u91cd\u8981\u306a\u8133\u5e79\u90e8\u4f4d\u3092\u4fb5\u3059\u305f\u3081\u3001\u75c7\u72b6\u304c\u591a\u5f69\u3067\u8fc5\u901f\u306a\u5bfe\u5fdc\u304c\u6c42\u3081\u3089\u308c\u307e\u3059  \u3002\u8133\u5e79\u306f\u547c\u5438\u3084\u5fc3\u62cd\u3001\u4f53\u6e29\u8abf\u7bc0\u306a\u3069\u591a\u304f\u306e\u751f\u547d\u7dad\u6301\u6a5f\u80fd\u3092\u62c5\u3044\u3001\u75c5\u5909\u90e8\u4f4d\u306b\u5fdc\u3058\u3066\u3081\u307e\u3044\u3001\u8907\u8996\u3001\u69cb\u97f3\u969c\u5bb3\u3001\u4ea4\u5dee\u5fb4\u5019\u306a\u3069\u591a\u5c90\u306b\u308f\u305f\u308b\u75c7\u72b6\u3092\u5448\u3057\u307e\u3059  \u3002\u8a3a\u65ad\u306b\u306f\u307e\u305a\u975e\u9020\u5f71CT\u3067\u51fa\u8840\u6027\u75c5\u5909\u3092\u9664\u5916\u3057\u3001\u305d\u306e\u5f8cMRI\u62e1\u6563\u5f37\u8abf\u753b\u50cf\uff08DWI\uff09\u304c83\u301c98\uff05\u306e\u9ad8\u611f\u5ea6\u30fb\u9ad8\u7279\u7570\u5ea6\u3067\u65e9\u671f\u75c5\u5909\u3092\u691c\u51fa\u3057\u307e\u3059  \u3002\u6cbb\u7642\u306f\u767a\u75c74.5\u6642\u9593\u4ee5\u5185\u306ert\u2010PA\uff08\u30a2\u30eb\u30c6\u30d7\u30e9\u30fc\u30bc\uff09\u6295\u4e0e\u3068\u3001\u91cd\u75c7\u4f8b\u3067\u306f\u6a5f\u68b0\u7684\u8840\u6813\u56de\u53ce\u8853\uff08MT\uff09\u304c\u6a19\u6e96\u6cbb\u7642\u3068\u306a\u3063\u3066\u304a\u308a\u3001\u96c6\u4e2d\u6cbb\u7642\u5ba4\u3067\u306e\u5168\u8eab\u7ba1\u7406\u3068\u65e9\u671f\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u304c\u6a5f\u80fd\u4e88\u5f8c\u306e\u6539\u5584\u306b\u5bc4\u4e0e\u3057\u307e\u3059  \u3002\u3055\u3089\u306b\u3001\u6297\u8840\u5c0f\u677f\u85ac\u30fb\u6297\u51dd\u56fa\u85ac\u30fb\u30b9\u30bf\u30c1\u30f3\u6295\u4e0e\u3084\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\u3092\u542b\u3081\u305f\u4e8c\u6b21\u4e88\u9632\u304c\u6b20\u304b\u305b\u307e\u305b\u3093  \u3002<\/p>\n\n\n\n

\u2e3b<\/p>\n\n\n\n

\u3010\u7591\u3046\u3079\u304d\u75c7\u72b6\u3011<\/p>\n\n\n\n

\u2022 \u3081\u307e\u3044\u30fb\u5e73\u8861\u969c\u5bb3\uff1a\u7279\u306b\u7a81\u7136\u306e\u56de\u8ee2\u6027\u3081\u307e\u3044\u3068\u8457\u660e\u306a\u30d0\u30e9\u30f3\u30b9\u55aa\u5931\u304c\u7279\u5fb4\u7684\u3067\u3059  \u3002<\/p>\n\n\n\n

\u2022 \u8907\u8996\uff08\u4e8c\u91cd\u8996\uff09\uff1a\u75c5\u5909\u90e8\u4f4d\u306b\u3088\u308b\u5916\u773c\u7b4b\u9ebb\u75fa\u3084\u773c\u7403\u904b\u52d5\u969c\u5bb3\u3067\u751f\u3058\u307e\u3059  \u3002<\/p>\n\n\n\n

\u2022 \u69cb\u97f3\u969c\u5bb3\u30fb\u56a5\u4e0b\u969c\u5bb3\uff1a\u5ef6\u9ac4\u90e8\u4f4d\u306e\u969c\u5bb3\u3067\u767a\u58f0\u3084\u56a5\u4e0b\u6a5f\u80fd\u304c\u969c\u5bb3\u3055\u308c\u307e\u3059  \u3002<\/p>\n\n\n\n

\u2022 \u56db\u80a2\u306e\u7247\u5074\u6027\u9ebb\u75fa\u30fb\u611f\u899a\u969c\u5bb3\uff1a\u9310\u4f53\u8def\u969c\u5bb3\u306b\u3088\u308a\u624b\u8db3\u306e\u904b\u52d5\u30fb\u611f\u899a\u7570\u5e38\u304c\u73fe\u308c\u307e\u3059  \u3002<\/p>\n\n\n\n

\u2022 \u4ea4\u5dee\u5fb4\u5019\uff1a\u540c\u5074\u8133\u795e\u7d4c\u969c\u5bb3\u3068\u5bfe\u5074\u9310\u4f53\u8def\u969c\u5bb3\u3092\u5448\u3057\u3001\u8133\u5e79\u6897\u585e\u306e\u7279\u5fb4\u7684\u6240\u898b\u3067\u3059  \u3002<\/p>\n\n\n\n

\u2022 \u610f\u8b58\u969c\u5bb3\uff1a\u610f\u8b58\u30ec\u30d9\u30eb\u306e\u4f4e\u4e0b\u3084\u6df7\u8ff7\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059  \u3002<\/p>\n\n\n\n

\u2022 \u982d\u75db\u30fb\u5614\u6c17\u30fb\u5614\u5410\uff1a\u304f\u3082\u819c\u4e0b\u51fa\u8840\u306b\u4f3c\u305f\u982d\u75db\u3092\u4f34\u3046\u5834\u5408\u3082\u3042\u308a\u307e\u3059  \u3002<\/p>\n\n\n\n

\u2e3b<\/p>\n\n\n\n

\u3010\u75ab\u5b66\u3011<\/p>\n\n\n\n

\u2022 \u4e16\u754c\u7684\u306a\u767a\u75c7\u7387<\/p>\n\n\n\n

\u7c73\u56fd\u3067\u306f\u5e74\u9593\u7d0479.5\u4e07\u4f8b\u306e\u8133\u5352\u4e2d\u304c\u767a\u751f\u3057\u3001\u305d\u306e\u3046\u3061\u8133\u5e79\u6897\u585e\u306f\u7d0410\u301c15\uff05\u3092\u5360\u3081\u308b\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059  \u3002<\/p>\n\n\n\n

\u2022 \u65e5\u672c\u306b\u304a\u3051\u308b\u52d5\u5411<\/p>\n\n\n\n

\u65e5\u672c\u3067\u306f\u8d85\u9ad8\u9f62\u793e\u4f1a\u306e\u9032\u5c55\u306b\u4f34\u3044\u3001\u5168\u8133\u5352\u4e2d\u60a3\u8005\u6570\u306f\u6a2a\u3070\u3044\u3042\u308b\u3044\u306f\u6e1b\u5c11\u50be\u5411\u306b\u3042\u308b\u3082\u306e\u306e\u3001\u52d5\u8108\u786c\u5316\u6027\u8133\u6897\u585e\u3084\u5fc3\u539f\u6027\u8133\u585e\u6813\u75c7\u306e\u5272\u5408\u304c\u5897\u52a0\u3057\u3066\u3044\u307e\u3059  \u3002<\/p>\n\n\n\n

\u307e\u305f\u3001\u8133\u8840\u7ba1\u75be\u60a3\u306e\u7dcf\u60a3\u8005\u6570\u306f\u7d04147\u4e07\u4eba\u3068\u63a8\u5b9a\u3055\u308c\u3066\u304a\u308a\u3001\u305d\u306e\u4e88\u9632\u30fb\u7ba1\u7406\u30fb\u65e9\u671f\u6cbb\u7642\u304c\u91cd\u8981\u8996\u3055\u308c\u3066\u3044\u307e\u3059  \u3002<\/p>\n\n\n\n

\u2022 \u4e3b\u306a\u30ea\u30b9\u30af\u56e0\u5b50<\/p>\n\n\n\n

\u9ad8\u8840\u5727\u3001\u7cd6\u5c3f\u75c5\u3001\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u3001\u5fc3\u623f\u7d30\u52d5\u3001\u55ab\u7159\u306a\u3069\u304c\u77e5\u3089\u308c\u3001\u3053\u308c\u3089\u306e\u7ba1\u7406\u304c\u767a\u75c7\u4e88\u9632\u306b\u5fc5\u9808\u3067\u3059  \u3002<\/p>\n\n\n\n

\u2e3b<\/p>\n\n\n\n

\u3010\u8a3a\u65ad\u65b9\u6cd5\u3011<\/p>\n\n\n\n

1. \u975e\u9020\u5f71CT\u691c\u67fb<\/p>\n\n\n\n

\u767a\u75c7\u65e9\u671f\u306b\u884c\u3044\u3001\u51fa\u8840\u6027\u75c5\u5909\u3092\u8fc5\u901f\u306b\u9664\u5916\u3057\u307e\u3059\u304c\u3001\u8133\u5e79\u90e8\u75c5\u5909\u306e\u691c\u51fa\u611f\u5ea6\u306f16\uff05\u7a0b\u5ea6\u3068\u4f4e\u3044\u70b9\u306b\u7559\u610f\u304c\u5fc5\u8981\u3067\u3059  \u3002<\/p>\n\n\n\n

2. MRI\u62e1\u6563\u5f37\u8abf\u753b\u50cf\uff08DWI\uff09<\/p>\n\n\n\n

\u611f\u5ea683\u301c98\uff05\u3001\u7279\u7570\u5ea6\u7d0498\uff05\u3068\u975e\u5e38\u306b\u9ad8\u304f\u3001thin-slice coronal DWI\u3067\u306f\u65e9\u671f\u5c0f\u75c5\u5909\u306e\u691c\u51fa\u6027\u304c\u3055\u3089\u306b\u5411\u4e0a\u3057\u307e\u3059  \u3002<\/p>\n\n\n\n

3. \u8840\u7ba1\u753b\u50cf\u691c\u67fb\uff08MRA\/CTA\/DSA\uff09<\/p>\n\n\n\n

\u9589\u585e\u8840\u7ba1\u306e\u90e8\u4f4d\u3084\u7bc4\u56f2\u3092\u540c\u5b9a\u3057\u3001\u8840\u7ba1\u958b\u5b58\u6cbb\u7642\u306e\u9069\u5fdc\u3092\u5224\u65ad\u3057\u307e\u3059  \u3002<\/p>\n\n\n\n

4. \u5fc3\u539f\u6027\u585e\u6813\u6e90\u691c\u7d22<\/p>\n\n\n\n

\u5fc3\u96fb\u56f3\u3001\u5fc3\u30a8\u30b3\u30fc\u3001\u9838\u52d5\u8108\u30a8\u30b3\u30fc\u306a\u3069\u3067\u5fc3\u623f\u7d30\u52d5\u3084\u5fc3\u81d3\u5185\u8840\u6813\u306a\u3069\u3092\u8a55\u4fa1\u3057\u307e\u3059  \u3002<\/p>\n\n\n\n

\u2e3b<\/p>\n\n\n\n

\u3010\u6cbb\u7642\u65b9\u6cd5\u3011<\/p>\n\n\n\n

1. rt-PA\uff08\u30a2\u30eb\u30c6\u30d7\u30e9\u30fc\u30bc\uff09\u7642\u6cd5<\/p>\n\n\n\n

\u767a\u75c74.5\u6642\u9593\u4ee5\u5185\u306e\u9759\u6ce8\u304c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u63a8\u5968\u3055\u308c\u3001\u65e5\u672c\u3067\u306f0.6 mg\/kg\u3067\u4fdd\u967a\u9069\u7528\u3055\u308c\u3066\u3044\u307e\u3059  \u3002<\/p>\n\n\n\n

2. \u6a5f\u68b0\u7684\u8840\u6813\u56de\u53ce\u8853\uff08MT\uff1aMechanical Thrombectomy\uff09<\/p>\n\n\n\n

NIHSS\u30b9\u30b3\u30a2\u304c\u9ad8\u304f\u3001\u5927\u8840\u7ba1\u9589\u585e\u4f8b\u3067\u306f\u767a\u75c7\u5f8c6\u6642\u9593\u4ee5\u5185\u3092\u4e2d\u5fc3\u306b\u5b9f\u65bd\u3057\u3001rt-PA\u4f75\u7528\u75c7\u4f8b\u3067\u3082\u540c\u65e5\u306b\u9069\u5fdc\u62e1\u5927\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059  \u3002<\/p>\n\n\n\n

3. \u96c6\u4e2d\u6cbb\u7642\u5ba4\u7ba1\u7406<\/p>\n\n\n\n

\u6c17\u9053\u78ba\u4fdd\u3001\u8840\u5727\u30fb\u8840\u7cd6\u30fb\u4f53\u6e29\u7ba1\u7406\u306a\u3069\u5168\u8eab\u72b6\u614b\u306e\u6700\u9069\u5316\u3068\u3001\u5408\u4f75\u75c7\u4e88\u9632\u304c\u4e0d\u53ef\u6b20\u3067\u3059  \u3002<\/p>\n\n\n\n

4. \u65e9\u671f\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3<\/p>\n\n\n\n

\u767a\u75c7\u5f8c\u53ef\u80fd\u306a\u9650\u308a\u901f\u3084\u304b\u306b\u30ea\u30cf\u30d3\u30ea\u3092\u958b\u59cb\u3057\u3001\u6a5f\u80fd\u56de\u5fa9\u3092\u56f3\u308a\u307e\u3059  \u3002<\/p>\n\n\n\n

5. \u4e8c\u6b21\u4e88\u9632<\/p>\n\n\n\n

\u2022 \u6297\u8840\u5c0f\u677f\u7642\u6cd5\uff1a\u30a2\u30b9\u30d4\u30ea\u30f3\u3001\u30c1\u30af\u30ed\u30d4\u30b8\u30f3\u3001\u30b7\u30ed\u30b9\u30bf\u30be\u30fc\u30eb\u306a\u3069\u304c\u9078\u629e\u80a2\u3067\u3059  \u3002<\/p>\n\n\n\n

\u2022 \u6297\u51dd\u56fa\u7642\u6cd5\uff1a\u5fc3\u539f\u6027\u585e\u6813\u75c7\u4f8b\u3067\u306f\u30ef\u30eb\u30d5\u30a1\u30ea\u30f3\u3084DOAC\u304c\u9069\u5fdc\u3055\u308c\u307e\u3059  \u3002<\/p>\n\n\n\n

\u2022 \u30b9\u30bf\u30c1\u30f3\u7642\u6cd5\uff1a\u8102\u8cea\u7570\u5e38\u75c7\u306e\u7ba1\u7406\u306b\u3088\u308a\u518d\u767a\u30ea\u30b9\u30af\u3092\u4f4e\u6e1b\u3057\u307e\u3059  \u3002<\/p>\n\n\n\n

\u2022 \u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\uff1a\u7981\u7159\u3001\u9069\u6b63\u4f53\u91cd\u7dad\u6301\u3001\u5869\u5206\u5236\u9650\u3001\u904b\u52d5\u306a\u3069\u304c\u57fa\u672c\u3067\u3059 \u3002<\/p>\n\n\n\n

\u2e3b<\/p>\n\n\n\n

\u53c2\u8003\u6587\u732e<\/p>\n\n\n\n

1. Healthline. What You Should Know About Brain Stem Strokes.  <\/p>\n\n\n\n

2. International Journal of Academic Medicine and Pharmacy. BRAINSTEM INFARCTS: IMAGING FEATURES AND \u2026  <\/p>\n\n\n\n

3. Radiopaedia.org. Brainstem stroke syndromes.  <\/p>\n\n\n\n

4. ScienceDirect. Diagnostic benefit of high b-value computed diffusion \u2026  <\/p>\n\n\n\n

5. MEDLEY\u30cb\u30e5\u30fc\u30b9. \u8133\u6897\u585e\u306e\u767a\u75c7\u5f8c4.5\u6642\u9593\u4ee5\u5185\u306ert-PA\u6cbb\u7642\u306e\u52b9\u679c.  <\/p>\n\n\n\n

6. BMJ Journal of NeuroInterventional Surgery. Mechanical thrombectomy  <\/p>\n\n\n\n

7. BMC Medicine. Comparison of statins for secondary prevention \u2026  <\/p>\n\n\n\n

8. BMC Neurology. Antiplatelet drugs for secondary prevention \u2026  <\/p>\n\n\n\n

9. Lancet Neurology. Global, regional, and national burden of stroke \u2026  <\/p>\n\n\n\n

10. Eyewiki.org. Ophthalmologic Manifestations of Brainstem Stroke Syndromes  <\/p>\n\n\n\n

11. Medical News Today. Brain stem stroke: Symptoms, recovery, and outlook \u2026  <\/p>\n\n\n\n

12. \u65e5\u672c\u8133\u5352\u4e2d\u30c7\u30fc\u30bf\u30d0\u30f3\u30af. \u65e5\u672c\u8133\u5352\u4e2d\u30c7\u30fc\u30bf\u30d0\u30f3\u30af\u5831\u544a\u66f82021\u5e74  <\/p>\n\n\n\n

13. \u65e5\u672c\u751f\u6d3b\u7fd2\u6163\u75c5\u4e88\u9632\u5354\u4f1a. \u8133\u6897\u585e | \u751f\u6d3b\u7fd2\u6163\u75c5\u306e\u8abf\u67fb\u30fb\u7d71\u8a08  <\/p>\n\n\n\n

14. American Stroke Association. Brain Stem Stroke.  <\/p>\n\n\n\n

15. Stroke.org AIS Toolkit. Alteplase and Endovascular Therapy.  <\/p>\n\n\n\n

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https:\/\/patient.digikar-smart.jp\/institutions\/626d04ef-a5e9-49cf-bb68-8a2644ee4661\/reserve<\/a><\/p>\n\n\n\n

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