{"id":280,"date":"2020-03-10T01:08:59","date_gmt":"2020-03-09T16:08:59","guid":{"rendered":"http:\/\/spell.umin.jp\/thespellblog\/?p=280"},"modified":"2020-03-10T16:05:11","modified_gmt":"2020-03-10T07:05:11","slug":"%e6%96%b0%e5%9e%8b%e3%82%b3%e3%83%ad%e3%83%8a%e3%82%a6%e3%82%a4%e3%83%ab%e3%82%b9%e6%84%9f%e6%9f%93%e7%97%87%ef%bc%88covid-19%ef%bc%89%e3%81%ae%e8%87%a8%e5%ba%8a%e7%9a%84%e7%89%b9%e5%be%b4%e3%81%8b","status":"publish","type":"post","link":"https:\/\/spell.umin.jp\/thespellblog\/?p=280","title":{"rendered":"\u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u75c7\uff08COVID-19\uff09\u306e\u81e8\u5e8a\u7684\u7279\u5fb4\u304b\u3089\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u5916\u6765\u3067\u306e\u8a3a\u7642\u3092\u8003\u3048\u308b"},"content":{"rendered":"
\"\"<\/div>\n

\u3044\u3088\u3044\u3088SARS-CoV-2\u306e\u6d41\u884c\u671f\u306b\u5165\u308a\uff0c\u4e00\u822c\u8a3a\u7642\u3067\u3082\uff0cCOVID-19\u3092\u5ff5\u982d\u306b\u7f6e\u3044\u305f\u8a3a\u7642\u3092\u884c\u3046\u5fc5\u8981\u304c\u51fa\u3066\u304d\u305f\uff0e
\u4e00\u822c\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u5916\u6765\u3067\u306e\u8a3a\u7642\u3092\u3069\u306e\u3088\u3046\u306b\u884c\u3048\u3070\u3044\u3044\u306e\u304b\uff0e\u8fd1\u65e5\u4e2d\u306b\u65e5\u672c\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u9023\u5408\u5b66\u4f1a\u304c\u8a3a\u7642\u306e\u624b\u5f15\u304d\u3092\u51fa\u3059\u306e\u3067\uff0c\u3053\u308c\u3092\u53c2\u8003\u306b\u3059\u308b\u306e\u304c\u826f\u3044\u3060\u308d\u3046\uff08\u79c1\u3082\u4f5c\u6210\u306b\u95a2\u308f\u3063\u305f\uff09\uff0e
\u304a\u305d\u3089\u304f\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u5916\u6765\u3067\u6700\u3082\u96e3\u3057\u3044\u306e\u306f\uff0c\u3069\u306e\u60a3\u8005\u304cSARS-CoV-2\u611f\u67d3\u60a3\u8005\u306a\u306e\u304b\u3092\u4e88\u6e2c\u3059\u308b\u3053\u3068\u3060\u308d\u3046\uff0e\u666e\u901a\u306e\u98a8\u90aa\u3068\u306f\u75c5\u6b74\u3084\u8eab\u4f53\u8a3a\u5bdf\u304b\u3089\u9451\u5225\u3059\u308b\u306e\u306f\u96e3\u3057\u3044\u3068\u8a00\u308f\u308c\u308b\u304c\uff0c\u4f55\u304b\u3057\u3089\u5b89\u5168\u306b\u9664\u5916\u3067\u304d\u308b\u65b9\u6cd5\u306f\u306a\u3044\u3082\u306e\u3060\u308d\u3046\u304b\uff0e<\/p>\n\n\n\n

\u6700\u591a\u75c7\u4f8b\u6570\u306e\u7814\u7a76\u304b\u3089COVID-19\u306e\u75c5\u50cf\u306b\u8feb\u308b<\/h2>\n\n\n\n

\u73fe\u5728\u767a\u8868\u3055\u308c\u3066\u3044\u308b\u60a3\u8005\u306e\u7279\u6027\u306b\u3064\u3044\u3066\u306e\u6700\u3082\u75c7\u4f8b\u6570\u306e\u591a\u3044\u5831\u544a\u306f\uff0cNEJM\u306b\u8f09\u3063\u305f\u4ee5\u4e0b\u306e\u4e2d\u56fd\u306e\u8ad6\u65871<\/sup>\uff08n=1,099\uff09\u3068\u601d\u308f\u308c\u308b\uff0e
Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, Liu L, Shan H, Lei CL, Hui DSC, Du B, Li LJ, Zeng G, Yuen KY, Chen RC, Tang CL, Wang T, Chen PY, Xiang J, Li SY, Wang JL, Liang ZJ, Peng YX, Wei L, Liu Y, Hu YH, Peng P, Wang JM, Liu JY, Chen Z, Li G, Zheng ZJ, Qiu SQ, Luo J, Ye CJ, Zhu SY, Zhong NS; China Medical Treatment Expert Group for Covid-19.
Clinical Characteristics of Coronavirus Disease 2019 in China.
N Engl J Med<\/em>. 2020 Feb 28. : 10.1056\/NEJMoa2002032<\/a>.
PMID: 32109013<\/a>.
\u3053\u3053\u3067\u306f\u3053\u308c\u3092\u3082\u3068\u306b\uff0c\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u5916\u6765\u3067\u306e\u8a3a\u7642\u306e\u65b9\u6cd5\u3092\u8003\u3048\u308b\uff0e<\/p>\n\n\n\n

\u672c\u8ad6\u6587\u3067\u306f\uff0c2019\u5e7412\u670811\u65e5\uff5e2020\u5e741\u670829\u65e5\u306b\u4e2d\u56fd\u3067\u5831\u544a\u3055\u308c\u305f\u9f3b\u8154\u307e\u305f\u306f\u54bd\u982d\u306e\u30b9\u30ef\u30d6\u691c\u4f53\u306eRT-PCR\u691c\u67fb\u306b\u3088\u3063\u3066COVID-19\u304c\u8a3c\u660e\u3055\u308c\u305f\u5165\u9662\u60a3\u8005\u3068\u5916\u6765\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u3066\u3044\u308b\uff0eCOVID-19\u306e\u5168\u5165\u9662\u60a3\u80057,736\u306e\u3046\u3061\uff0c1,099\u4eba\uff0814.2%\uff09\u306e\u30c7\u30fc\u30bf\u306b\u3064\u3044\u3066\u89e3\u6790\u3057\u305f\uff0e \u5168\u6570\u8abf\u67fb\u3067\u306a\u304f\uff0c\u307e\u305f\u3069\u306e\u3088\u3046\u306b\u60a3\u8005\u304c\u9078\u3070\u308c\u305f\u306e\u304b\u304c\u308f\u304b\u3089\u306a\u3044\u306e\u3067\uff0c\u4f55\u3089\u304b\u306e\u62bd\u51fa\u30d0\u30a4\u30a2\u30b9\u304c\u5165\u308a\u8fbc\u3080\u3053\u3068\u306f\u907f\u3051\u3089\u308c\u306a\u3044\uff0e
\u3053\u3053\u306b\u6319\u3052\u3089\u308c\u305f\u75c7\u72b6\u306a\u3069\u306e\u5272\u5408\u306f\u611f\u5ea6\u306b\u76f8\u5f53\u3059\u308b\u304c\uff0c\u7279\u7570\u5ea6\u306f\u308f\u304b\u3089\u306a\u3044\uff0e\u305f\u3060\uff0c\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3067\u306f\u9664\u5916\u3059\u308b\u3053\u3068\u304c\u5927\u4e8b\u3067\uff0c\u7591\u308f\u308c\u305f\u3089\u9ad8\u6b21\u533b\u7642\u6a5f\u95a2\u306b\u9001\u3063\u3066PCR\u691c\u67fb\u3092\u884c\u3046\u3068\u3044\u3046\u6d41\u308c\u306b\u3059\u308b\u3079\u304d\u306a\u306e\u3067\uff0c\u611f\u5ea6\u304c\u308f\u304b\u308b\u3053\u3068\u306f\u5927\u5909\u6709\u76ca\u3067\u3042\u308b\uff0e\u3053\u308c\u3060\u3051\u306e\u75c7\u4f8b\u6570\u304c\u3042\u308c\u3070\uff0c\u305d\u308c\u306a\u308a\u306b\u610f\u5473\u306e\u3042\u308b\u6570\u5b57\u306b\u306a\u308b\u3060\u308d\u3046 \uff08\u672c\u6765\u306f\u611f\u5ea6\u3060\u3051\u3067\u306f\u9664\u5916\u3067\u304d\u308b\u304b\u3069\u3046\u304b\u5206\u304b\u3089\u305a\uff0c\u6709\u75c5\u5272\u5408\u3068\u7279\u7570\u5ea6\u3082\u5fc5\u8981\u3067\u3042\u308b\uff09 \uff0e
\u4ee5\u4e0b\uff0c\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u5916\u6765\u3067\u4e3b\u306b\u8a3a\u308b\u3053\u3068\u306b\u306a\u308b\u975e\u91cd\u75c7\u60a3\u8005\u306b\u3064\u3044\u3066\uff0c\u611f\u5ea6\u306b\u512a\u308c\u305f\u6240\u898b\u3092\u4e2d\u5fc3\u306b\u898b\u3066\u3044\u304d\u305f\u3044\uff0e\u306a\u304a\uff0c\u672c\u8ad6\u6587\u306b\u304a\u3051\u308b\u300c\u91cd\u75c7\u300d\u306e\u5b9a\u7fa9\u306f\uff0c\u30a2\u30e1\u30ea\u30ab\u80f8\u90e8\u75be\u60a3\u5b66\u4f1a\uff08American Thoracic Society\uff1aATS\uff09\u306e\u5e02\u4e2d\u80ba\u708e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/a>\u306e\u57fa\u6e96\u306b\u5f93\u3044\u5165\u9662\u6642\u306e\u3082\u306e\u3092\u63a1\u7528\u3057\u3066\u3044\u308b\uff0eCURB-65\u3067\u91cd\u75c7\u5ea6\u306e\u5224\u5b9a\u304c\u3055\u308c\u3066\u304a\u308a\uff0c\u3053\u308c\u306f\u65e5\u672c\u547c\u5438\u5668\u5b66\u4f1a\u306e\u6210\u4eba\u80ba\u708e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32017<\/a>\u3067\u63a1\u7528\u3055\u308c\u3066\u3044\u308bA-DROP score 3\u9805\u76ee\u4ee5\u4e0a\u3068\u307b\u307c\u540c\u7fa9\u3067\u3042\u308b\uff0e<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

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\u6f5c\u4f0f\u671f\u9593\u306f\u4e2d\u592e\u5024\u30674.0\u65e5\uff08\u56db\u5206\u4f4d\u7bc4\u56f22.8\uff5e7\u65e5\uff09\u3067\u3042\u308a\uff0c\u6982\u306d\u3053\u308c\u307e\u3067\u8a00\u308f\u308c\u3066\u3044\u305f\u3053\u3068\u3068\u4e00\u81f4\u3059\u308b\uff0e<\/gwmw><\/p>\n\n\n\n

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37.5\u2103\u672a\u6e80\u306e\u4eba\u304c\u534a\u6570\u4ee5\u4e0a\u3044\u308b\uff0e\u305d\u3057\u3066\u5165\u9662\u671f\u9593\u3092\u901a\u3058\u3066\uff0c\u6700\u9ad8\u4f53\u6e29\u304c37.5\u2103\u672a\u6e80\u306e\u60a3\u8005\u304c10.2%\u3044\u308b\uff0e\u4e00\u65b9\u3067\uff0c\u5165\u9662\u6642\u306b39\u2103\u3092\u8d85\u3048\u305f\u60a3\u8005\u304c3.3%\u3057\u304b\u3044\u306a\u3044\u3053\u3068\u306f\u6ce8\u76ee\u306b\u5024\u3059\u308b\uff0e\u5165\u9662\u671f\u9593\u3092\u901a\u3058\u3066\u3082\uff0c39.0\u2103\u3092\u8d85\u3048\u305f\u60a3\u8005\u306f11.4%\u3057\u304b\u3044\u306a\u3044\uff0e<\/p>\n\n\n\n

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\u4e00\u65b9\u3067\uff0cCOVID-19\u3067\u307e\u308c\u306a\u75c7\u72b6\u306f\u3044\u304f\u3064\u304b\u6319\u3052\u308b\u3053\u3068\u304c\u3067\u304d\u308b\uff0e\u975e\u91cd\u75c7\u60a3\u8005\u306e\u304a\u304a\u3088\u305d5%\u4ee5\u4e0b\u3057\u304b\u307f\u3089\u308c\u306a\u3044\u75c7\u72b6\u306b\u306f\uff0c\u7d50\u819c\u5145\u8840\uff0c\u9f3b\u9589\uff0c\u8840\u75f0\uff0c\u5614\u6c17\u30fb\u5614\u5410\uff0c\u4e0b\u75e2\uff0c\u54bd\u982d\u767a\u8d64\uff0c\u6241\u6843\u816b\u5927\uff0c\u30ea\u30f3\u30d1\u7bc0\u816b\u8139\uff0c\u76ae\u75b9\u304c\u6319\u3052\u3089\u308c\u308b\uff0e\u3082\u3061\u308d\u3093\uff0c\u306a\u3044\u3053\u3068\u3092\u8a3c\u660e\u3059\u308b\u306e\u306f\u3042\u308b\u3053\u3068\u3088\u308a\u3082\u96e3\u3057\u304f\uff0c\u898b\u9003\u3057\u304c\u3042\u308b\u3053\u3068\u306f\u8003\u616e\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u304c\uff0c\u3053\u308c\u3089\u306e\u75c7\u72b6\u304c\u305f\u304f\u3055\u3093\u3042\u308b\u307b\u3069\uff0cCOVID-19\u3089\u3057\u304f\u306a\u3044\u3068\u8003\u3048\u308b\u3053\u3068\u306f\u3042\u308b\u7a0b\u5ea6\u59a5\u5f53\u3060\u308d\u3046\u3068\u8003\u3048\u3089\u308c\u308b\uff0e<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

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\u4e00\u65b9\uff0c\u80f8\u90e8CT\u3067\u306e\u7570\u5e38\u3067\u308284.4%\u3057\u304b\u306a\u3044\uff0e\u3064\u307e\u308a\uff0c\u975e\u91cd\u75c7\u306eCOVID-19\u306e6\u4eba\u306b1\u4eba\u306f\u80f8\u90e8CT\u3067\u306f\u308f\u304b\u3089\u306a\u3044\u3053\u3068\u306b\u306a\u308b\uff0e\u307e\u3057\u3066\u3084\uff0c\u30b9\u30ea\u30ac\u30e9\u30b9\u5f71\u306f\u975e\u91cd\u75c7\u4f8b\u306755.6%\uff0c\u91cd\u75c7\u4f8b\u3067\u308260.5%\u3057\u304b\u307f\u3089\u308c\u3066\u3044\u306a\u3044\uff0e\u80f8\u90e8CT\u304cPCR\u691c\u67fb\u3088\u308a\u3082\u611f\u5ea6\u304c\u9ad8\u3044\u3053\u3068\u306f\uff0c\u5225\u306e\u5831\u544a2<\/a>,3<\/a><\/sup>\u3067\u6307\u6458\u3055\u308c\u3066\u304a\u308a\uff0c\u3057\u305f\u304c\u3063\u3066\u80f8\u90e8CT\u3067\u7570\u5e38\u304c\u8a8d\u3081\u3089\u308c\u306a\u3051\u308c\u3070COVID-19\u306f\u5426\u5b9a\u3067\u304d\u308b\u3068\u601d\u308f\u308c\u304c\u3061\u3060\u304c\uff0c\u6c7a\u3057\u3066\u80f8\u90e8CT\u3067\u5426\u5b9a\u3067\u304d\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u3053\u3068\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3042\u308b\uff0e<\/p>\n\n\n\n

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\u3000\u767a\u75c7\uff5e\u53d7\u8a3a\uff1a7.0\u65e5\uff084.0\uff5e8.0\uff09
\u3000\u767a\u75c7\uff5e\u547c\u5438\u56f0\u96e3\uff1a8.0\u65e5\uff085.0\uff5e13.0\uff09
\u3000\u767a\u75c7\uff5eARDS\uff1a9.0\u65e5\uff088.0\uff5e14.0\uff09
\u3000\u767a\u75c7\uff5e\u4eba\u5de5\u63db\u6c17\uff1a10.5\u65e5\uff087.0\uff5e14.0\uff09
\u3000\u767a\u75c7\uff5eICU\u5165\u5ba4\uff1a10.5\u65e5\uff088.0\uff5e17.0\uff09
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\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u5916\u6765\u306b\u304a\u3051\u308bCOVID-19\u306e\u8a3a\u7642\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0<\/h2>\n\n\n\n

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\uff1cSARS-CoV-2\u611f\u67d3\u304c\u8003\u3048\u306b\u304f\u3044\u60a3\u8005\uff1e
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2\u670813\u65e5\u306b\u767a\u8868\u3055\u308c\u305fLancet Respir Med \u306e\u8ad6\u65876<\/a><\/sup>\u306b\u306fCOVID-19\u306e\u8a3a\u7642\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u304c\u63d0\u6848\u3055\u308c\u3066\u3044\u308b\u304c\uff0c\u3044\u307e\u3044\u3061\u65e5\u672c\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u8a3a\u7642\u306e\u73fe\u5834\u3067\u306f\u4f7f\u3044\u306b\u304f\u3044\uff0e
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\"\"
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\u30fb\u3053\u306e\u305f\u3081\uff0c\u901a\u5e38\u306f\u75c5\u6b74\u2192\u8eab\u4f53\u8a3a\u5bdf\u2192\u691c\u67fb\u2192\u91cd\u75c7\u5ea6\u5224\u5b9a\u2192\u6cbb\u7642\u306e\u9806\u756a\u304c\u539f\u5247\u3060\u304c\uff0c\u6cbb\u7642\u306e\u5fc5\u8981\u6027\u306b\u5fdc\u3058\u3066\u9806\u756a\u3092\u5165\u308c\u66ff\u3048\u308b
\u30fb\u660e\u3089\u304b\u306a\u80ba\u708e\u304c\u306a\u304f\u3066\u3082\uff0cSARS-CoV-2\u306b\u611f\u67d3\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u3092\u8003\u616e\u3057\uff0c\u60a3\u8005\u306b\u60c5\u5831\u63d0\u4f9b\u3068\u81ea\u5b85\u5b89\u9759\u306e\u91cd\u8981\u6027\u3092\u8aac\u660e\u3059\u308b<\/p><\/blockquote>\n\n\n\n

\u6fc3\u539a\u63a5\u89e6\u8005\u306e\u5b9a\u7fa9\u306f\uff0c\u82f1\u56fdGP\u5411\u3051\u306e\u30ac\u30a4\u30c97<\/a><\/strong><\/sup>\u306b\u793a\u3055\u308c\u3066\u3044\u308b\uff0e\u3053\u308c\u306b\u3088\u308b\u3068\uff0c\u4ee5\u4e0b\u306e\u3044\u305a\u308c\u304b\u306b\u8a72\u5f53\u3059\u308b\u8005\u3092\u6307\u3059\uff0e<\/p>\n\n\n\n

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\u30fb\u78ba\u8a8d\u3055\u308c\u305f\u75c7\u4f8b\u3068\u306e\u63a5\u89e6\u304c\u767a\u751f\u3057\u305f\u3053\u3068\u3092\u4fdd\u5065\u6240\u306a\u3069\u304b\u3089\u901a\u77e5\u3055\u308c\u3066\u3044\u308b<\/p><\/blockquote>\n\n\n\n

\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u4e2d\u306b\u3042\u308bHeckerling score<\/a>\u3068\u306f\uff0c\u80ba\u708e\u306e\u8a3a\u65ad\u4e88\u6e2c\u30eb\u30fc\u30eb\u3067\u3042\u308b\uff0e\u80f8\u90e8X\u7dda\u5358\u7d14\u5199\u771f\u3092\u64ae\u5f71\u3059\u308b\u304b\u3069\u3046\u304b\u306e\u5224\u65ad\u306b\u7528\u3044\u308b\u3082\u306e\u3067\u3042\u308b\uff0e\u4e8b\u524d\u78ba\u7387\u306b\u3088\u3063\u3066\u3053\u306e\u8a3a\u65ad\u4e88\u6e2c\u30eb\u30fc\u30eb\u306e\u7d50\u679c\u306e\u89e3\u91c8\u306f\u5909\u308f\u308b\uff0e60\u6b73\u4ee5\u4e0a\u3067\u306f0\u9805\u76ee\u3067\u3042\u3063\u3066\u3082\u80ba\u708e\u306e\u53ef\u80fd\u6027\u304c5%\u3092\u8d85\u3048\u308b\u306e\u3067\u9664\u5916\u3067\u304d\u305a\uff0c\u753b\u50cf\u8a3a\u65ad\u306f\u5fc5\u8981\u306b\u306a\u308b\uff0e50\u6b73\u4ee3\u3067\u306f3\u9805\u76ee\u4ee5\u4e0a\u3067\uff0c50\u6b73\u672a\u6e80\u3067\u306f3\u9805\u76ee\u4ee5\u4e0a\u3067\u80ba\u708e\u306e\u4e8b\u5f8c\u78ba\u7387\u304c\u304a\u3088\u305d5%\u3092\u8d85\u3048\u308b\u306e\u3067\uff0c\u753b\u50cf\u8a3a\u65ad\u3092\u884c\u3046\uff0e<\/p>\n\n\n\n

SARS-CoV-2\u306ePCR\u691c\u67fb\u306f\u5225\u30a8\u30f3\u30c8\u30ea\u30fc<\/a>\u3067\u3082\u66f8\u3044\u305f\u901a\u308a\uff0c\u611f\u5ea6\u306e\u4f4e\u3055\u304b\u3089\u507d\u9670\u6027\u304c\u305f\u304f\u3055\u3093\u751f\u3058\u308b\u306e\u3067\uff0c\u5168\u4f8b\u3067\u884c\u3046\u3079\u304d\u3067\u306f\u306a\u3044\uff0e\u3042\u304f\u307e\u3067\u3082\u6700\u7d42\u7684\u306a\u78ba\u5b9a\u8a3a\u65ad\u3092\u76ee\u7684\u306b\u884c\u3046\u3088\u3046\u9650\u5b9a\u3059\u3079\u304d\u3067\u3042\u308b\uff0e
\u5834\u5408\u306b\u3088\u3063\u3066\u306f\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u9451\u5225\u304c\u5fc5\u8981\u306b\u306a\u308b\u304c\uff0c\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u8fc5\u901f\u691c\u67fb\u306f\u539f\u5247\u3068\u3057\u3066\u884c\u308f\u306a\u3044\uff0e\u9f3b\u8154\u3092\u30b9\u30ef\u30d6\u3057\u3066\u691c\u4f53\u3092\u63a1\u53d6\u3059\u308b\u3068\u304d\u306b\u304f\u3057\u3083\u307f\u3084\u54b3\u3092\u8a98\u767a\u3057\u3066\u30a8\u30a2\u30ed\u30be\u30eb\u3092\u767a\u751f\u3055\u305b\u3066\u3057\u307e\u3046\u53ef\u80fd\u6027\u304c\u3042\u308a\uff0c\u533b\u7642\u8005\u3078\u611f\u67d3\u3055\u305b\u3066\u3057\u307e\u3046\u6050\u308c\u304c\u3042\u308b\u305f\u3081\u3067\u3042\u308b\uff0e\u3057\u305f\u304c\u3063\u3066\uff0c\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u8a3a\u65ad\u306f\uff0c\u75c7\u72b6\u3068\u7d4c\u904e\u3068\u5468\u56f2\u306e\u6d41\u884c\u72b6\u6cc1\u306b\u3088\u3063\u3066\u884c\u3046\uff0e
\u307e\u305f\uff0cCOVID-19\u306b\u3068\u3089\u308f\u308c\u308b\u3042\u307e\u308a\uff0c\u30de\u30a4\u30b3\u30d7\u30e9\u30ba\u30de\u611f\u67d3\u75c7\uff0c\u82b1\u7c89\u75c7\uff0c\u7d50\u6838\u306a\u3069\u306e\u8a3a\u65ad\u304c\u758e\u304b\u306b\u306a\u308a\u304c\u3061\u306a\u306e\u3067\uff0c\u901a\u5e38\u884c\u3063\u3066\u3044\u308b\u8a3a\u7642\u3092\u5fd8\u308c\u305a\u306b\u884c\u3046\uff0e
\u305d\u3057\u3066\uff0c\u5e30\u5b85\u3059\u308b\u969b\u306b\u306f\uff0cSARS-CoV-2\u611f\u67d3\u3092\u5ff5\u982d\u306b\u611f\u67d3\u62e1\u5927\u9632\u6b62\u306e\u305f\u3081\uff0c\u81ea\u5b85\u5b89\u9759\u3068\u5916\u51fa\u306e\u81ea\u7c9b\u8981\u8acb\u306e\u5fc5\u8981\u6027\u3092\u5341\u5206\u306b\u8aac\u660e\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3042\u308b\uff0e<\/p>\n\n\n\n

\u4ee5\u4e0a\uff0c1,000\u4f8b\u3092\u8d85\u3048\u308bCOVID-19\u306e\u5165\u9662\u75c7\u4f8b\u306e\u7279\u5fb4\u304b\u3089\uff0c\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u5916\u6765\u306b\u304a\u3051\u308b COVID-19\u306e \u8a3a\u7642\u306e\u624b\u9806\u3092\u8003\u3048\u3066\u304d\u305f\u304c\uff0c\u3053\u306e\u8ad6\u6587\u306e\u7d50\u679c\u3060\u3051\u3092\u4fe1\u3058\u3066\u3044\u3044\u306e\u304b\u3068\u3044\u3046\u554f\u984c\u3082\u3042\u308a\uff0c\u3053\u306e\u8003\u5bdf\u304c\u6b63\u3057\u3044\u4fdd\u8a3c\u306f\u306a\u3044\uff0e\u7279\u306b\uff0c\u5165\u9662\u3057\u3066\u3044\u306a\u3044COVID-19\u60a3\u8005\u306e\u7279\u5fb4\u306b\u3064\u3044\u3066\u306f\uff0c\u305d\u306e\u75c5\u50cf\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u3066\u3044\u306a\u3044\uff0e\u3053\u306e\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u3082\u5168\u304f\u306e\u79c1\u6848\u3067\u3042\u308b\u306e\u3067\uff0c\u8b70\u8ad6\u306e\u305f\u305f\u304d\u53f0\u3068\u3057\u3066\u63d0\u6848\u3059\u308b\uff0e \u3053\u306e\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u304c\u305d\u306e\u307e\u307e\u4f7f\u3048\u306a\u3044\u72b6\u6cc1\u3082\u3042\u308b\u306e\u3067\uff0c\u5b9f\u969b\u306e\u8a3a\u7642\u306e\u65b9\u6cd5\u306b\u3064\u3044\u3066\u306f\u5404\u65bd\u8a2d\u3084\u5730\u57df\u306e\u72b6\u6cc1\u3084\u74b0\u5883\u306b\u3088\u3063\u3066\u6c7a\u3081\u3089\u308c\u305f\u3044\uff0e
\u307e\u305f\uff0c\u3053\u306e\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u306f\uff0c\u65b0\u3057\u3044\u77e5\u898b\u304c\u5f97\u3089\u308c\u305f\u3089\uff0c\u9069\u5b9c\u4fee\u6b63\u3059\u308b\u4e88\u5b9a\u3067\u3042\u308b\uff0e<\/p>\n\n\n\n

  1. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, Liu L, Shan H, Lei CL, Hui DSC, Du B, Li LJ, Zeng G, Yuen KY, Chen RC, Tang CL, Wang T, Chen PY, Xiang J, Li SY, Wang JL, Liang ZJ, Peng YX, Wei L, Liu Y, Hu YH, Peng P, Wang JM, Liu JY, Chen Z, Li G, Zheng ZJ, Qiu SQ, Luo J, Ye CJ, Zhu SY, Zhong NS; China Medical Treatment Expert Group for Covid-19. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020 Feb 28. doi<\/gwmw>: 10.1056\/NEJMoa2002032. Epub<\/gwmw> ahead of print. PMID: 32109013<\/a>. <\/li>
  2. Fang Y, Zhang H, Xie J, Lin M, Ying L, Pang P, Ji W. Sensitivity of Chest CT for COVID-19: Comparison to<\/gwmw> RT-PCR. Radiology. 2020 Feb 19:200432. doi<\/gwmw>: 10.1148\/radiol<\/gwmw>.<\/gwmw>2020200432. Epub<\/gwmw> ahead of print. PMID: 32073353<\/a>.<\/li>
  3. Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, Tao Q, Sun Z, Xia L. Correlation of Chest CT and RT-PCR Testing in Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology. 2020 Feb 26:200642. doi<\/gwmw>: 10.1148\/radiol<\/gwmw>.<\/gwmw>2020200642. Epub<\/gwmw> ahead of print. PMID: 32101510<\/a>.<\/li>
  4. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, Wang B, Xiang H, Cheng Z, Xiong Y, Zhao Y, Li Y, Wang X, Peng Z. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020 Feb 7. doi<\/gwmw>: 10.1001\/jama<\/gwmw>.<\/gwmw>2020.1585. Epub<\/gwmw> ahead of print. PMID: 32031570<\/a>. <\/li>
  5. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin W, Li H, Liu M, Xiao Y, Gao H, Guo L, Xie J, Wang G, Jiang R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020 Feb 15;395(<\/gwmw>10223):<\/gwmw>497-506. doi<\/gwmw>: 10.1016\/S0140-6736(<\/gwmw>20)30183-5. Epub 2020 Jan 24. Erratum in: Lancet. 2020 Jan 30;: PMID: 31986264<\/a>. <\/li>
  6. Zhang J, Zhou L, Yang Y, Peng W, Wang W, Chen X. Therapeutic and triage strategies for 2019 novel coronavirus<\/gwmw> disease in fever clinics. Lancet Respir Med<\/gwmw>. 2020 Mar;<\/gwmw>8(<\/gwmw>3):<\/gwmw>e11-e12<\/a>. doi<\/gwmw>: 10.1016\/S2213-2600(<\/gwmw>20)30071-0. Epub 2020 Feb 13. PMID: 32061335<\/a>. <\/li>
  7. Razai MS, Doerholt K, Ladhani S, Oakeshott P. Coronavirus disease 2019 (covid-19): a guide for UK GPs. BMJ. 2020 Mar 5;368:m800. doi: 10.1136\/bmj.m800. PMID: 32144127<\/a>. <\/li><\/ol>\n\n\n\n

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

    \"\"<\/figure><\/div>\n\n\n\n

    \uff08\u5099\u4e2d\u677e\u5c71\u57ce \u4e8c\u306e\u6ad3\u9580\u8de1<\/a>\u304b\u3089\u671b\u3080\u5929\u5b88\uff0c2016\/3\/21\u64ae\u5f71\uff09 <\/p>\n","protected":false},"excerpt":{"rendered":"

    \u3044\u3088\u3044\u3088SARS-CoV-2\u306e\u6d41\u884c\u671f\u306b\u5165\u308a\uff0c\u4e00\u822c\u8a3a\u7642\u3067\u3082\uff0cCOVID-19\u3092\u5ff5\u982d\u306b\u7f6e\u3044\u305f\u8a3a\u7642\u3092\u884c\u3046\u5fc5\u8981\u304c\u51fa\u3066\u304d\u305f\uff0e \u4e00\u822c\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u5916\u6765\u3067\u306e\u8a3a\u7642\u3092\u3069\u306e\u3088\u3046\u306b\u884c\u3048\u3070\u3044\u3044\u306e\u304b\uff0e\u8fd1\u65e5\u4e2d\u306b\u65e5\u672c\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u9023\u5408\u5b66\u4f1a\u304c\u8a3a\u7642 […]<\/p>\n","protected":false},"author":1,"featured_media":46,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"vkexunit_cta_each_option":"","footnotes":""},"categories":[3],"tags":[26,28,27],"class_list":["post-280","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-sars-cov-2","tag-28","tag-27"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2018\/05\/thespellblogtop.png?fit=500%2C263&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9TdsT-4w","jetpack_likes_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/posts\/280","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=280"}],"version-history":[{"count":28,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/posts\/280\/revisions"}],"predecessor-version":[{"id":330,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/posts\/280\/revisions\/330"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/media\/46"}],"wp:attachment":[{"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=280"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=280"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}