{"paper_id":"a318d320-b578-46cd-8890-7cac8d848e56","body_text":"ԟ͕͋ΓϗϧϞϯྍ\n঱ੑ\nγϣοΫɾฅศੑΠϨ΢εͷ਍அͰ౰Ӄൖૹͱͳͬͨɻ\nݮ\nચড়Λ\nͬͨɻશ਎ঢ়ଶվળͨͨ͠Ίୈ\nԼʹख\nͬͨɻ௚௎ 3T ͔Βᡗ໳ଆʹԊͬͯෲບ຋స෦Ҏ\nԼ௿Ґલํ੾আज़Λ\n͕͋Γᕶບଆ͔Β೪ບԼ\n͕༊\nա͸໰୊ͳ͘\n̍̌೔໨ʹୀӃͨ͠ɻҎ\nଓ\n͍ͯ͠Δɻ\n͸͡Ίʹ\n಺ບ঱\nաதʹ໿\n಺ບ\n঱Λซൃ͢Δͱ͞ΕΔ̍ʣɻ\nখԽ\nᅅుΛ͖ͨ͢ɻຊ๜ͷ\n௎ප\nΔ΋ͷ͸গͳ͍\nٶࢠ؅\nྍ͸ༀ෺ྍ๏ͱखज़ྍ๏ʹ෼͚ΒΕΔɻ\n͍ͬͯΔ΋ͷɼѱੑज\n݁\nͬͨ঱ྫͰ͸։\nᡗ໳తΠϨ΢ενϡʔϒ\nԼखज़Λ\n΋͋Δ\n̍̌ʣɻ\n঱ੑ\nత\n͢Δɻ\n঱ྫ\nঁੑ\nओૌɿෲ௧\n಺ບ঱ʢ\nྍʣɼఇ\nԦ੾։ʢ̎ճʣ\nͯ͠\nࠇ\nѹ\n̔̌\nੑγϣοΫͰ͋ͬͨɻ\nൖ\nૹ͞Εͨɻ\nࠂ\nᡗ໳తΠϨ΢\nͬͨҰྫ\n୐ʢ⅓ాʣ఩༗\n̍ɼ̎ʣ\n࢙݈\n̎ʣ\nޗ\n̎ʣ\nࢠ\n̎ʣ\nా ྄\n̎ʣ\nɼ\n޾߂\n̎ʣ\nଠ\n̎ʣ\nɼ৿ ༐ ਓ\n̎ʣ\nɼ઒ Լ ཅҰ࿠\n̎ʣ\n࢘ޫ\n̎ʣ\nɼ\n߂ޫ\n̎ʣ\n୩஌඙\n̎ʣ\n઒༔༎\n̎ʣ\n޾\n̎ʣ\nɼ ീ໦॔೭\n̎ʣ\nɼ\nࢠ\n̏ʣ\n࣏\n̏ʣ\nमηϯλʔ\nཱதԝපӃ֎Պ\nཱதԝපӃපཧ਍அ෦\n̑೔डཧʣ\n̍̐̕ʙ̍̑̐ \"6(645̎̑ɼ̎̌̎̍ʢྩ̏ʣ ̍̐̕\n\nѹ̍̌̔ʗ̓̎NN)HʢϊϧΞυϨ\nφϦϯ ̌ɽ̍̎γૉ๞\nൃ௧͕\n͋ͬͨɻ\nɿ $ 3 1\n̍̎NH\u0010E-ɼ8#$\nͳ͘ɼ\nʹҟৗ͸ͳ͔ͬͨɻ\nڱ\n๱৫ೱ\n౓ͷ্ঢΛೝΊͨɻ\nѹ໨\nͰ͸\nڱ\nศͷஷཹΛೝΊͨɻ·ͨɼ\n৭มԽ͕\nԟ͔Β\nੑେ௎Ԍ෦\nѹʹΑΓվળՄ\nᡗ໳తΠϨ΢ενϡʔϒΛཹஔ\nྍ\n͏ํ\n਑ͱͨ͠ɻηϑϝλκʔϧ౤༩ɼΠϨ΢ενϡʔϒ͔Β\nࡥڱ\nͷվળ͸ೝΊͳ͔ͬͨͨΊɼશ਎ঢ়ଶ͕վળͨ͠ୈ\n̎̏ප\nͬͨɻ\nɾ\n໘શ\n൫น͔Β௚\n·ΕΔ༷ʹ༊ண͍ͯͨ͠ ͕ʢਤ̐Cʣɼ\n͢Α͏ʹണ཭͢Δ͜ͱ͕ՄೳͰ͋ͬͨɻ\n΁ෲບ຋స෦ҎԼ·Ͱज़લͷ૝\nԼ௿Ґલํ\nு\nฅศͷஷཹ\nʢ໼ҹʣ\n෦ʢ໼ҹʣ͸ਖ਼ৗ೪ບ\nΛೝΊͨ\nޙ\n໘ͱ௚௎લ໘ͷ༊ணʢ఺ઢ಺ʣ\n͕༊ணʢ໼ҹʣ\n୐ʢ⅓ాʣ ఩༗ ଞ̍̑̌\n\nྔɿ̏̔̌\nNMɻ\nΛ৮Εɼ຋\n͕࿈ଓ͍ͯͨ͠ɻᕶບԼ͔Β೪\n࢜\nͷ༊ணΛೝΊͨʢਤ̑ʣɻ\n̒೔ΑΓ৯\nޙ\n୐ୀӃ͠ɼ\n಺ບ঱ʹର͢\nଓ͍ͯ͠Δɻ\n࡯ߟ\n಺ບ૊৫͕ҟॴੑʹ૿৩͢Δඇजᙾ\n಺ʹൃੜ͢Δ΋\nʹΑΓ͹Β ͖͕ͭ͋Δ͕໿\nΘΕ͍ͯ\nΔ̍ʣɻ\n಺ບ঱ͷൃੜ෦ҐͰ͸\nʹ\nͳͲΛ͖ͨ͢\nපม͸খ௎පมͳͲʹଟ͍ͱ͞ΕΔ̏ʣɻ\n΋ଟ͍΋ͷ͸ෲ௧Ͱ͋\nᅅు\nʹ൐Θͣ঱ঢ়Λ͖ͨ͢\n΋͋Δ\n࿈ͳ͘ෲ\nൃ೥ྸ͸̏̌ʙ\n಺\nࣔ\nʹ೪ບ໘ʹൃ੺ɼग़\n΋͋Δ\nࢠ؅\n͕࿈ଓ͍ͯͨ͠\nᕶບԼ͔Β೪ບԼ·Ͱ಺ບ঱ੑ૊৫͕ਁ५\nͷ༊ணΛೝΊͨ\n໔Ӹછ৭Ͱ͸Τετϩήϯड༰ମཅੑ\nᡗ໳తΠϨ΢ενϡʔϒͷ༗༻ੑ\n̍̑̍\n\n਍ྫ΋ซͤͯ΋̏̓ˋʹཹ\nͷཅੑ཰͸\n௿͘ɼ̒ɽ̑ʙ̍̎ɽ̎ˋఔ౓ͱ͞Ε͍ͯΔ ̓ʣɻ͜Ε͸ҟॴੑ\n͔Β਍அ\nճͷΤϐ\n͞Ε͍ͯΔ͕໌Β͔ͳҟ\nఠ͞Εͳ͔ͬͨɻ\n൫ෲບʹ͓͚\n಺ບ঱ͱಉ༷ʹༀ෺ྍ๏ͱखज़ྍ๏ʹ෼͚ΒΕΔɻ\nༀ෺ྍ๏ͱͯ͠͸ϓϩήενϯɼ(O3) ΞΰχετͳͲ\nڧ\nผ͕\n೉ͳ΋ͷ͸֎Պత੾আͷదԠͱͳΔ\n̎ʣɻༀ෺ྍ๏ɼख\n๬ͷ༗ແɼ\n֎಺ບ঱ප૥ͷ෦Ґɾେ͖͞Λ\nఆ͢Δɻ\nʢ\n಺ບ\nͬͨͱ͜Ζʢձ\nͬͨ঱\nΘΕ͍ͯ\nͬͨ঱ྫ΋͋ͬ\nͯ͠͸̐ྫͱ\nױ࣬\nᡗ໳తΠϨ΢ενϡʔϒΛཹஔ\n͑ͨ͠\n̔ʣɻ·ͨɼ\nʹ\n͏͜\n͏͜ͱ͕Ͱ͖ͨ\n̕ʣɻຊ঱\n͓ͬͯΒͣɼ\n঱ੑγϣοΫͱ୤ਫͷ\n߅\n଴͠ɼ൓Ԡ͕\n͏͜ͱ͕Ͱ͖Δମ\nͬͨɻ\nͬͨ঱ྫͰ͸ຊ঱\n͏͜ͱ͕\n͑Β\nΕΔɻ\n؅\nͷ༊ண͚ͩͰͳ͘௚௎ෲບ຋స෦ҎԼ\n͍༊ண\nԼʹണ཭ՄೳͰ͋ͬͨɻ͔͠͠಺\nບ঱૊৫͢΂ͯΛ੾আ͢Δ ͜ͱ͸Ͱ͖ͳ͔ͬͨɻͨ͠\nతͳϑΥϩʔ\n͑ΒΕΔɻ\nޠ݁\n঱\nͨ͠ɻ௨ৗɼ\nͷϋϧτϚϯख\nݮ\nᡗ໳଄ઃΛճආ͢Δ͜ͱ͕Ͱ͖\nͰ͋Γաେͳ৵ऻΛආ\n౼͢Δ΂͖Ͱ͋Δɻ\nݙ\nFOEPNFUSJPTJT ʹ͓͚ΔϗϧϞϯྍ๏\nɽ֎Պɼ\n̐̒ɿ̒̌̕ʖ̒̔̕ɼ̍̔̐̕\n໦ণҰ ଞɿ྆ଆ\n಺\nࠂ\nΊͯʕɽ೔ফපձ\nɼ̒̕ɿ̏̔ʖ̐̐ɼ̍̕̕̕\n౓\n಺ບ঱ͷ̍ྫɽ೔ຊ\nɼ\n̓̎ɿ̍̍̓ʖ̍̎̍ɼ̎̌̍̕\nɼถ྄༞ ଞɿճ\nֶ\nձɼ\n̏̐ɿ̍̔ʖ̎̍ɼ̎̌̍̑\n಺ບ঱ͷපଶɽңͱ௎ɼ̏̏ɿ̍̏̎̏ʖ\n̍̏̎̔ɼ̍̔̕̕\nଞɿେ\n಺ບ঱\nͷ̍ྫɽ1SPHSFTT PG %JHFTUJWF &OEPTDPQZ\u000fɼ\n̍̕ /P\u000f̍ɼ\n̎̌̍̓\nଠ࿠ ଞɿ\n಺ບ঱\n୐ʢ⅓ాʣ ఩༗ ଞ̍̑̎\n\nͷ̍ྫɽ1SPHSFTT PG %JHFTUJWF &OEPTDPQZ\u000fɼ̔̐ʢ̍ʣɿ\n̍̓̐ʖ̍̓̑ɼ̎̌̍̐\n̔ʣ)PSJVDIJ\r \"\u000f\r /BLBZBNB\r :\u000f\r ,BKJZBNB\r .\u000f\r ,BNJKJNB\r\n5\u000f\ret al \u000f \u001b &OEPTDPQJD EFDPNQSFTTJPO PG CFOJHO MBSHF\nCPXFM PCTUSVDUJPO VTJOH BUSBOTBOBM ESBJOBHF UVCF\u000f\n$PMPSFDUBM %JTFBTF\u000fɼ̍̐ʢ̑ʣɿ̒̎̏ʖ̒̎̓ɼ̎̌̍̍\nܦ\nԼ\n಺ບ঱ͷ̍ྫ\u000f ೔֎Պ\nɼ\n̐̎ʢ̑ʣɿ̔̍̒ʖ̔̎̎ɼ̎̌̍̓\nᡗ໳తΠϨ΢ενϡʔϒͷ༗༻ੑ ̍̑̏\n\nA case of bowel endometriosis resulting in intestinal obstruction and septic shock,\ndecompression with a transanal drainage tu be followed by an elective laparoscopic\nsurgery\nTetsuyu Miyake (Hamada)\n̍ɼ̎ʣ\n, Takeshi Omura\n̎ʣ\n, Shogo Ohta\n̎ʣ\n, Noriko Yokota\n̎ʣ\n, Ryo Yamada\n̎ʣ\n,H i r o y u k i\nSumitomo\n̎ʣ\n, Kenta Matsushita\n̎ʣ\n, Hayato Mori\n̎ʣ\n, Yoichiro Kawashita\n̎ʣ\n, Koji Sugimoto\n̎ʣ\n, Mitsuhiro\nTsuboi\n̎ʣ\n, Tomohiko Miyatani\n̎ʣ\n, Yusuke Arakawa\n̎ʣ\n, Toshiyuki Hirose\n̎ʣ\n, Toshiyuki Yagi\n̎ʣ\n, Akiko Yoneda\n̏ʣ\n,\nand Eiji Kudo\n̏ʣ\n̍ʣDepartment of Medical Educational Center, Tokushima Prefectural Central Hospital, Tokushima, Japan\n̎ʣDepartment of Surgery, Tokushima Prefectural Central Hospital, Tokushima, Japan\n̏ʣDepartment of Pathology, Tokushima Prefectural Central Hospital, Tokushima, Japan\n46..\"3:\n0OF PG UIF DBVTBUJWF EJTFBTFT PG JOUFTUJOBM PCTUSVDUJPO JO ZPVOH XPNFO JT CPXFM FOEPNFUSJPTJT\u000f\n%VSJOH UIF DPVSTF PG FDUPQJD FOEPNFUSJPTJT\r JU JT FTUJNBUFE UIBU BCPVU̍̌ˋ PG QBUJFOUT EFWFMPQ CPXFM\nFOEPNFUSJPTJT\u000f 5IF GJSTU TUFQ JO USFBUNFOU JT ESVH UIFSBQZ\u000f *O DBTFT PG CPXFM FOEPNFUSJPTJT PG UIF\nDPMPO PS SFDUVN MFBEJOH UP JOUFTUJOBM PCTUSVDUJPO\r MBQBSPUPNZ JT PGUFO SFRVJSFE\u000f\n\"̐̓\u000eZFBS\u000ePME XPNBO XJUI B IJTUPSZ PG FOEPNFUSJPTJT XBT VOEFSHPJOH ESVH UIFSBQZ\u000f 4IF EFWF\u000e\nMPQFE BCEPNJOBM QBJO BOE OBVTFB\r BOE XBT EJBHOPTFE XJUI TFQUJD TIPDL BOE GFDBM JMFVT\u000f \" USBOTBOBM\nESBJOBHF UVCF XBT JOTFSUFE GPS EFDPNQSFTTJPO\u000f 5IF QBUJFOU`T HFOFSBM DPOEJUJPO JNQSPWFE\r BOE B\nMBQBSPTDPQJD MPX BOUFSJPS SFTFDUJPO XBT QFSGPSNFE PO UIF̎̏SE EBZ\u000f 5IF QBUJFOU XBT EJTDIBSHFE\nPO UIF̍̌UI QPTUPQFSBUJWF EBZ XJUIPVU BOZ QPTUPQFSBUJWF QSPCMFNT\u000f\n5IJT DBTF TVHHFTUT UIBU FWFO JO UIF DBTF PG TFQUJD TIPDL DBVTFE CZ SFDUBM TUSJDUVSF EVF UP\nJOUFTUJOBM FOEPNFUSJPTJT\r JOJUJBM USFBUNFOU XJUI USBOTBOBM EFDPNQSFTTJPO NBZ TUBCJMJ[F UIF HFOFSBM\nDPOEJUJPO\r BOE NBZ CF TVQFSJPS JO DPTNFUJD DIBOHF\u000f\n,FZ XPSET \u001bCPXFM FOEPNFUSJPTJT\r -BQBSPTDPQJD TVSHFSZ\r USBOTBOBM ESBJOBHF UVCF\r JOUFTUJOBM PCTUSVD\u000e\nUJPO\n୐ʢ⅓ాʣ ఩༗ ଞ̍̑̐","source_license":"CC0","license_restricted":false}