66
۪ޱݖܕ͵
ײ܉ߐݵܴબ৻࣊ڴԢљЈ
։ե߆ԇઢ0086 21 5389 1888ͺ
Ѯ0086 21 5389 1999
ڑ
֨ыݎઇեબر֘ࠑҁО࣒ࣿ
Ԯ؞څڒ࣒הࣲ澞ீܷࣁԛஓઁ
չڢ֪ࡣઁהࣲ澞
џࠀ澝ઁࠀչֺ՚ՕڱۅՕசޞՊ
㕀ЉՐପ澞
Կޯݧߩޣդࣩՙ֢҅澞
٪ՙ͵
ࣩуռٜଙ࣐ࢺ㾀▲䏭ࠩѼ䍣唾澞
ۋী٪ՙ͵
ࣩуռٜૌد䍣唾澞
ḽ䏦奨㓌
昷▕㬈ὦ䔏
ὦ䔏壄何Ḳ∴Ə媲ℯ婚䴗斘孧㈧㛰
ὦ䔏媑㗵˚孍⎱㳏ヶṲ柬˛
Ọ䂡␒ Edwards Lifesciences TruWave ㊲㢫
⢺⊂ₚㄆ♏䙫⢺⊂䛊㸓䳢䵘刓
⭰壄媑㗵˛䔘㖣⤾ờ娔⮁凮⭰壄䧲
ᾄ憒晉‶⥤㖠俳⮁Ə⛇㭋∝⮁
⯍暂㔦䬽凮䧲㘖憒晉ⷌὃạⓈ䙫
岓Ợ˛
㮦⿍濣勌⯮僩桅䉐峑凮 TruWave ㊲㢫
⢺⊂ₚㄆ♏嵞ὦ䔏Ə⏖僤㛪㏴
⣅䔉⒨⭳㕛『˛
㊍庮
␒ TruWave ㊲㢫⢺⊂ₚㄆ♏䙫
EdwardsLifesciences ⢺⊂䛊㸓⤾ờ㘖䔏㖣
䛊㸓⢺⊂䙫▕㬈ὦ䔏䄈厳⤾ờ˛
⸝㎌栔䙫㊲㢫䄈厳亃䷁ (㎷ᾂ
12 勘⏲/30 cm ⎱48 勘⏲/120 cm 䙫敞⺍)
䂡⯯敧䔏㖣怊㎌䛊好♏䙫
EdwardsLifesciences 亃䷁˛
TruWave ㊲㢫⢺⊂ₚㄆ♏㎈䔏䛛㎌
䩦怵⢺⊂ㄆㆰ♏䙫䛛䷁❲娔姯Ə
㛰␒ㇽ␒檻㱽㳾壄何⅐䨕❲
噆˛
弧ょ䒅
␒ TruWave ㊲㢫⢺⊂ₚㄆ♏䙫⢺⊂
䛊㸓⤾ờ⏖ᾂ曧奨䛊㸓堧䮈ⅎ˚桘
ⅎㇽ⬷⮕ⅎ⢺⊂䙫䖬りὦ䔏˛
䠿⺊䒅
懄⯴曧奨ᾜ⅌⢺⊂䛊㸓䙫䖬りὦ
䔏 TruWave ㊲㢫⢺⊂ₚㄆ♏㱹㛰䴼
⯴䙫䥨⾳䖮˛
✏䛊㸓桘ⅎ⢺⊂㘩Ə⽾ὦ䔏㱽㳾
壄何˛
娤⌈
• ◦䖡㳪术‥➑⅙㔀濕妉↽ḽ䏦㭔
㯕垛丬Ʋ
• 㽸弽⋏㱰榒㏛‣⊕╲㛺攎
䕂䒃⽡ (㪒⡀㑮䏝‐⍊‐䦣) 巶‣
弌⟘㱰榒濕妉ḽ䏦僅㭔㯕垛丬ᳰ
伭䕂巶㮦㮳濕ᶣ㵔䝸好䩾䱫ㆿ⫌
䩟㕠廘ヾ斾䕂㖾⫍㭔㯕㵴㱰悍濕
⋊㔀壯廡䵊➑⅙䖡㳪Ʋḽ䏦弧
⋆僅 IV 㮳Ჾ尵ḽ䏦䕂 IV 垛丬Ʋ巶
㮦㮳⊭侻◦䄷⩘㯿廝㔀䏠䏝榖
➑濕今㨢榖➑ピ壯㗁塄厉㭔㯕垛
丬攎濕⫌傲㇇巶㮦㮳士⩘䕂廝
䉅廰圊⺩廝㭔㯕Ʋ
• 妉↽婑㫡㮟廰‣垛丬濕⫢‴㓭◦
䖡㳪↓俆➑㔀Ʋ
• 弽㉣墶ᶹḓṳ嘓优⋆㘎㑗䕂⫾
徦䏦ᴱ偍ピ咣偍Ʋ
• 妉↽婑方㫡㉣曫㉣墶㱰榒Ʋ
• 妉↽䏦榖➑㶃劊┦㱆㪐⊭悋埅ḽ
䏦䕂䵚䲘Ʋ
• 㨢垛丬ᾃ㽸⑬㧟ḽ䏦今士壆Ʊ塍
⅁⍊䱑慵Ʋ妉↽悋埅㶃劊ピ悋埅
ḽ䏦㨢垛丬Ʋ㿟宅㑗侻娇㓌垛丬
悋㑮唓䋄⹊䕂㿟劊⻥Ʊ㿟䁯≝⻥
⍊⅝侻⻥Ʋ
• ⡀㙚㨢垛丬㕲旰㑺屃₸ 0 C 傱 40C
⍊ 5% 傱 90% RH 䪂○䕂䍮❁濕ピ
⡀㙚屃弌ḽ䏦ヨ㨠㒣㗝濕妉↽ḽ
䏦㨢垛丬Ʋ
• ⫋㑺㉣⊕ MR 㥠㚣䕂䒃⽡濕妉⊁摯
ƼMRI ⩇…宅壈ƽᲾ䩾䙫墡䄷⩘㝛
ᶴƲ
•
CF ♉撚伭徦
士ὗ
⢺⊂䛊㸓⤾ờⅎ㎷ᾂ Edwards TruWave ㊲
㢫⢺⊂ₚㄆ♏˛⢺⊂䛊㸓⤾ờ⏖
僤⋬␒Ọ䴫ờㇽ愴ờƝ
1. ⢺⊂廆䮈
2. 㭉㟺
3. 㱽㳾壄何 (3 mL/hr ㇽ 30 mL/hr)
4. IV 壄何
5. VAMP (⯨数堧㶙㎈㨊䳢䵘)
6. ㊲㢫㔖㞝
7. ㈲冩䵨⸝
8. 䛟⮠䙫䛊好♏亃䷁
壹濣媲⎪斘 VAMP ⯨数堧㶙㎈㨊䳢
䵘ὦ䔏媑㗵Ə䞔姊⯨数堧㶙㎈㨊
媑㗵˛
䣉ⵍ
1. 䢡ῄ亃䷁凮㈧䔏䛊好♏䛟⮠˛⯮
⏖憴壮ὦ䔏䙫亃䷁怊㎌凚䛊好
♏˛㈺敲䛊好♏Ə孺曢⬷娔₀柷
䆘˛
娤⌈濣㎌栔ⅎ䙫㰛⇭⏖僤㛪⯵凛
壄何㔬暃Əㇽ⢺⊂孧㕟⤘㹽˛⥩
㞃䙣䔆怀䨕ガ㲨Ə㛛㏂ㇽ⤁ῲ
⎾㽕惏ờ˛
壹濣媲⎪斘䛟⮠䙫䛊好♏媑㗵Ə
䞔姊亃䷁凮䛊好♏䙫㭊䢡怊㎌㖠
˛
2. 喰⊐䄈厳㉧堺Ə⾅䄈厳⋬壄⎽⇡
ₚㄆ♏⑳⤾ờ˛
3. 㠠㓁憒晉㔦䬽㷢⊇㈧曧䙫栴⣽䴫
ờƏὦ䛊㸓䳢䵘㛛⊇⭳╫˛
4. 䢡ῄ㈧㛰怊㎌✮䩐⛡˛
壹濣㎌栔㾼㽋⏖僤㛪ὦ怊㎌ờ㽋
㺸Ə⛇㭋⯵凛怵⺍䶱⛡˛㎌栔怵
⺍䶱⛡⏖僤怇ㇷ䠛墩ㇽ㻙㻶˛
5. ⯮ₚㄆ♏亃䷁怊㎌凚⏖憴壮ὦ䔏
䙫亃䷁˛
6. ㍹⇡ IV 㱽㳾㺝㶙塲 (ⷙᾄ憒晉㔦䬽
⊇傄䴇) Ḕ䙫㈧㛰䩡㰊˛
㮦⿍濣⥩㞃㜑㍹䛈塲ⅎ㈧㛰䩡
㰊Ə䕝㺝㶙䔏⭳㘩Ə䩡㰊⏖僤㛪
墒㓇⅌䖬り䙫堧䮈䳢䵘˛
7. 数⏯ IV 壄何䙫㻥⊼⤥Əḍ⯮⅝
怊㎌凚 IV 㱽㳾塲˛⯮㱽㳾塲㇟㎂
㖣䖬り㖠⤎䳫 2 勘 (60 cm) 嘼˛
㭋檿⺍⏖⏸⊇㳏壄何㎷ᾂ⤎䳫
45mmHg 䙫⢺⊂˛
TruWave
⋩ TruWave ㆉ㞂ⷍ➑⅙ά┦䕂➑⅙䖡㳪⠕ᶴ
䳿榒ᳫ㑅濑⊮㼡濒
Edwards˚Edwards Lifesciences˚⅞₀䉠㭱
梏㠣䙫 E 㨀⹆˚TruWave ⑳ VAMP 䂡
EdwardsLifesciencesCorporation 䙫┭㨀˛㈧
㛰⅝ẽ┭㨀䙭䂡⅝⏫凑㒨㛰俬Ḳ岮
䔉˛