{"id":3686,"date":"2025-03-06T23:24:05","date_gmt":"2025-03-06T14:24:05","guid":{"rendered":"https:\/\/okawa-obgyn.com\/hosp\/?page_id=3686"},"modified":"2025-07-09T16:45:35","modified_gmt":"2025-07-09T07:45:35","slug":"%e8%b6%85%e9%9f%b3%e6%b3%a2%e3%82%88%e3%82%8a%e8%83%8e%e5%85%90%e8%b2%a7%e8%a1%80%e3%81%ae%e8%a8%ba%e6%96%ad-mca-psv","status":"publish","type":"page","link":"https:\/\/okawa-obgyn.com\/hosp\/%e8%b6%85%e9%9f%b3%e6%b3%a2%e3%82%88%e3%82%8a%e8%83%8e%e5%85%90%e8%b2%a7%e8%a1%80%e3%81%ae%e8%a8%ba%e6%96%ad-mca-psv\/","title":{"rendered":"\u8d85\u97f3\u6ce2\u3088\u308a\u80ce\u5150\u8ca7\u8840\u306e\u8a3a\u65ad MCA-PSV"},"content":{"rendered":"\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of 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syndrome<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/okawa-obgyn.com\/hosp\/%e8%b6%85%e9%9f%b3%e6%b3%a2%e3%82%88%e3%82%8a%e8%83%8e%e5%85%90%e8%b2%a7%e8%a1%80%e3%81%ae%e8%a8%ba%e6%96%ad-mca-psv\/#Rh%E4%B8%8D%E9%81%A9%E5%90%88%E5%A6%8A%E5%A8%A0\" >Rh\u4e0d\u9069\u5408\u598a\u5a20<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/okawa-obgyn.com\/hosp\/%e8%b6%85%e9%9f%b3%e6%b3%a2%e3%82%88%e3%82%8a%e8%83%8e%e5%85%90%e8%b2%a7%e8%a1%80%e3%81%ae%e8%a8%ba%e6%96%ad-mca-psv\/#Rh%EF%BC%88D%EF%BC%89%E4%B8%8D%E9%81%A9%E5%90%88%E5%A6%8A%E5%A8%A0%E3%81%A8%E3%81%AF%EF%BC%9F\" >Rh\uff08D\uff09\u4e0d\u9069\u5408\u598a\u5a20\u3068\u306f\uff1f<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/okawa-obgyn.com\/hosp\/%e8%b6%85%e9%9f%b3%e6%b3%a2%e3%82%88%e3%82%8a%e8%83%8e%e5%85%90%e8%b2%a7%e8%a1%80%e3%81%ae%e8%a8%ba%e6%96%ad-mca-psv\/#%F0%9F%A7%AA_%E6%8A%97%E4%BD%93%E4%BE%A1%E3%81%A8%E7%AE%A1%E7%90%86%E3%81%AE%E7%9B%AE%E5%AE%89\" >\ud83e\uddea \u6297\u4f53\u4fa1\u3068\u7ba1\u7406\u306e\u76ee\u5b89<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/okawa-obgyn.com\/hosp\/%e8%b6%85%e9%9f%b3%e6%b3%a2%e3%82%88%e3%82%8a%e8%83%8e%e5%85%90%e8%b2%a7%e8%a1%80%e3%81%ae%e8%a8%ba%e6%96%ad-mca-psv\/#%F0%9F%A7%A0_%E8%A3%9C%E8%B6%B3%E7%9F%A5%E8%AD%98%EF%BC%9A%E6%8A%97D%E5%85%8D%E7%96%AB%E3%82%B0%E3%83%AD%E3%83%96%E3%83%AA%E3%83%B3%E3%81%AE%E6%8A%95%E4%B8%8E%E3%82%BF%E3%82%A4%E3%83%9F%E3%83%B3%E3%82%B0\" >\ud83e\udde0 \u88dc\u8db3\u77e5\u8b58\uff1a\u6297D\u514d\u75ab\u30b0\u30ed\u30d6\u30ea\u30f3\u306e\u6295\u4e0e\u30bf\u30a4\u30df\u30f3\u30b0<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/okawa-obgyn.com\/hosp\/%e8%b6%85%e9%9f%b3%e6%b3%a2%e3%82%88%e3%82%8a%e8%83%8e%e5%85%90%e8%b2%a7%e8%a1%80%e3%81%ae%e8%a8%ba%e6%96%ad-mca-psv\/#%E5%8F%8C%E8%83%8E%E9%96%93%E8%BC%B8%E8%A1%80%E7%97%87%E5%80%99%E7%BE%A4%EF%BC%88TTTS%EF%BC%89\" >\u53cc\u80ce\u9593\u8f38\u8840\u75c7\u5019\u7fa4\uff08TTTS\uff09<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E8%83%8E%E5%85%90%E8%B2%A7%E8%A1%80%E3%81%AE%E8%A8%BA%E6%96%AD\"><\/span>\u80ce\u5150\u8ca7\u8840\u306e\u8a3a\u65ad<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u3010\u80ce\u5150\u8ca7\u8840\u306e\u8a3a\u65ad\u3011<br>\u8d85\u97f3\u6ce2\u691c\u67fb\u3068\u80ce\u5150\u63a1\u8840\u304c\u3042\u308a\u307e\u3059\u3002<br>\u8d85\u97f3\u6ce2\u691c\u67fb\u306f\u3001\u8ca7\u8840\u304c\u3042\u308b\u3068\u8840\u6d41\u901f\u5ea6\u304c\u901f\u304f\u306a\u308b\u3053\u3068\u3092\u5fdc\u7528\u3057\u3001\u80ce\u5150\u306e\u8133\u5185\u306e\u8840\u7ba1\u8840\u6d41\u901f\u5ea6\u3092\u8a08\u6e2c\u3057\u307e\u3059\u3002<br>\u80ce\u5150\u63a1\u8840\u306b\u3088\u308b\u8ca7\u8840\u306e\u78ba\u5b9a\u8a3a\u65ad\u3092\u884c\u3046\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"MCA-PSV\"><\/span>MCA-PSV<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u8d85\u97f3\u6ce2\u691c\u67fb\uff1aMCA-PSV middle cerebral artery- Peak Systolic Velocity<br>\u80ce\u5150\u8ca7\u8840\u306e\u8840\u6d41\u8a55\u4fa1\u2015\u4e2d\u5927\u8133\u52d5\u8108\u306e\u8840\u6d41\u8a08\u6e2c\u306b\u3088\u308b\u80ce\u5150\u8ca7\u8840\u8a55\u4fa1<\/p>\n<p data-start=\"0\" data-end=\"316\">\u3010\u80ce\u5150\u8ca7\u8840\u306e\u8a3a\u65ad\u3011<br data-start=\"9\" data-end=\"12\">\u80ce\u5150\u8ca7\u8840\u306e\u8a55\u4fa1\u306f\u3001\u975e\u4fb5\u8972\u7684\u306a\u8d85\u97f3\u6ce2\u691c\u67fb\u3068\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u305f\u80ce\u5150\u63a1\u8840\u3067\u884c\u308f\u308c\u307e\u3059\u3002\u8d85\u97f3\u6ce2\u691c\u67fb\u3067\u306f\u3001\u8ca7\u8840\u306b\u4f34\u3046<span style=\"text-decoration: underline;\">\u8840\u6db2\u7c98\u5ea6\u306e\u4f4e\u4e0b\u3068\u5fc3\u62cd\u51fa\u91cf\u306e\u5897\u52a0<\/span>\u306b\u3088\u308a\u3001\u4e2d\u5927\u8133\u52d5\u8108\u306e\u53ce\u7e2e\u671f\u6700\u9ad8\u8840\u6d41\u901f\u5ea6\uff08MCA-PSV\uff09\u304c\u4e0a\u6607\u3059\u308b\u73fe\u8c61\u3092\u5229\u7528\u3057\u3066\u8a08\u6e2c\u3057\u307e\u3059\u3002<strong>MCA-PSV\u304c1.5MoM\uff08MoM\uff1a\u5b9f\u6e2c\u5024\u304c\u4e2d\u592e\u5024\u306e\u4f55\u500d\u304b\u3092\u793a\u3059\uff09\u4ee5\u4e0a\u306e\u5834\u5408\u3001\u4e2d\u7b49\u5ea6\u4ee5\u4e0a\u306e\u80ce\u5150\u8ca7\u8840\u306e\u8a3a\u65ad\u611f\u5ea6\u306f86\u301c100\uff05<\/strong>\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br>MoM\u5024(multiples of the median: \u5b9f\u6e2c\u5024\u304c\u4e2d\u592e\u5024\u306e\u4f55\u500d\u304b\u3092\u610f\u5473\u3057\u307e\u3059)<br><a href=\"https:\/\/perinatology.com\/calculators\/MCA.htm\" target=\"_blank\" rel=\"noopener\"><strong><span class=\"auto-style2\"><span style=\"color: #ff6600;\">Calculations of <\/span><\/span><span style=\"color: #ff6600; font-family: Arial, Helvetica;\">The Peak Systolic Velocity \u2192\u2192\u2192 Click<\/span><\/strong><\/a><br><br>\u305f\u3060\u3057\u3001\u4e2d\u5927\u8133\u52d5\u8108\u306e\u8840\u6d41\u306f\u4ed6\u306e\u8981\u56e0\u306b\u3082\u5de6\u53f3\u3055\u308c\u308b\u305f\u3081\u3001MCA-PSV\u306e\u4e0a\u6607\u3060\u3051\u3067\u80ce\u5150\u8ca7\u8840\u3068\u65ad\u5b9a\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002\u81e8\u5e8a\u80cc\u666f\u3084\u305d\u306e\u4ed6\u306e\u8840\u6d41\u6240\u898b\u3001\u3055\u3089\u306b<span style=\"text-decoration: underline;\">\u80ce\u5150\u6c34\u816b\u3084\u5fc3\u62e1\u5927<\/span>\u306a\u3069\u306e\u75c7\u72b6\u3092\u7dcf\u5408\u7684\u306b\u5224\u65ad\u3057\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u80ce\u5150\u63a1\u8840\u306b\u3088\u308b\u78ba\u5b9a\u8a3a\u65ad\u3092\u5b9f\u65bd\u3057\u307e\u3059\u3002<br>\u3010\u80ce\u5150\u8ca7\u8840\u306e\u57fa\u6e96\u3011<br data-start=\"327\" data-end=\"330\">\u80ce\u5150\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\uff08Hb\uff09\u304c7g\/dL\u672a\u6e80\u3001\u307e\u305f\u306f\u80ce\u5150\u30d8\u30de\u30c8\u30af\u30ea\u30c3\u30c8\uff08Ht\uff09\u304c\u598a\u5a2018\uff5e26\u9031\u306725\uff05\u672a\u6e80\u300126\u9031\u4ee5\u964d\u306730\uff05\u672a\u6e80\u306e\u5834\u5408\u3001\u80ce\u5150\u8ca7\u8840\u3068\u5224\u65ad\u3055\u308c\u307e\u3059\u3002<br>\u3010\u8d85\u97f3\u6ce2\u691c\u67fb\u306e\u5b89\u5168\u6027\u3011<br data-start=\"423\" data-end=\"426\">\u8d85\u97f3\u6ce2\u691c\u67fb\u306f\u975e\u4fb5\u8972\u7684\u306a\u65b9\u6cd5\u3067\u3001\u80ce\u5150\u3078\u306e\u5f71\u97ff\u304c\u306a\u304f\u5b89\u5168\u306b\u5b9f\u65bd\u3067\u304d\u308b\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>https:\/\/jsog-k.jp\/journal\/lfx-journal_detail-id-20284.htm<\/p>\n<p>\u53c2\u8003\u75c7\u4f8b\uff1a<br><a href=\"https:\/\/jsog-k.jp\/journal\/lfx-journal_detail-id-20284.htm\" target=\"_blank\" rel=\"noopener\">\u598a\u5a20\u7d4c\u904e\u4e2d\u306b\u4e2d\u5927\u8133\u52d5\u8108\u6700\u5927\u8840\u6d41\u901f\u5ea6\u306e\u4e0a\u6607\u3092\u8a8d\u3081\u80ce\u5150\u8ca7\u8840\u306e\u8a3a\u65ad\u306b\u3066\u5150\u3092\u6551\u547d\u3057\u3048\u305f\u4e00\u4f8b<\/a><br>\u677e\u6728\u3000\u7fd4\u592a\u90ce, \u82b9\u6ca2\u3000\u9ebb\u91cc\u5b50, \u5927\u5ddd\u3000\u76f4\u5b50, \u4e0b\u5c71\u3000\u83ef, \u5e73\u4e95\u3000\u4e45\u4e5f, \u677e\u4e95\u3000\u6d69\u4e4b, \u5c71\u4e0b\u3000\u7f8e\u548c, \u5ca1\u7530\u3000\u559c\u89aa, \u5c0f\u6797\u3000\u9686\u592b<br>\u6d5c\u677e\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u7523\u5a66\u4eba\u79d1<br>\uff08\u7dd2\u8a00\uff09\u598a\u5a20\u7d4c\u904e\u4e2d\u306bMCA-PSV\uff08\u4e2d\u5927\u8133\u52d5\u8108\u6700\u5927\u8840\u6d41\u901f\u5ea6\uff09\u306e\u4e0a\u6607\u3092\u8a8d\u3081\u80ce\u5150\u8ca7\u8840\u306e\u8a3a\u65ad\u306b\u3066\u7dca\u6025\u5e1d\u738b\u5207\u958b\u3092\u884c\u306a\u3044\uff0c\u5150\u3092\u6551\u547d\u3057\u3048\u305f\u75c7\u4f8b\u3092\u7d4c\u9a13\u3057\u305f\u306e\u3067\u5831\u544a\u3059\u308b\uff0e\uff08\u75c7\u4f8b\uff0934\u6b73\uff0c2\u7d4c\u598a1\u7d4c\u7523\uff0c\u81ea\u7136\u6d41\u75231\u56de\uff0e\u524d\u56de\u598a\u5a20\u306f28\u9031\uff0c\u80ce\u5150\u6c34\u816b\uff0c\u80ce\u5150\u6c34\u816b\uff08Hb2.8g\/dl\uff09\u3092\u8a8d\u3081\u7cbe\u67fb\u52a0\u7642\u4e2d\u306b\u5b50\u5bae\u5185\u80ce\u5150\u6b7b\u4ea1\u3068\u306a\u3063\u3066\u3044\u308b\uff0e\u4eca\u56de\u306e\u598a\u5a20\u7d4c\u904e\uff1a\u524d\u56de\u306e\u598a\u5a20\u3067\u80ce\u5150\u8ca7\u8840\u304c\u3042\u3063\u305f\u305f\u3081MCA-PSV\u3092\u6bce\u9031\u8a08\u6e2c\u3057\u7ba1\u7406\u3057\u3066\u3044\u305f\uff0e<span style=\"text-decoration: underline;\">\u598a\u5a2025\u9031\u6642\u306bMCA-PSV\u304c\u4e0a\u6607\uff0c\u7fcc\u9031\u306e\u518d\u691c\u3067\u6b63\u5e38\u4e0a\u9650\uff0c27\u90312\u65e5\u306e\u691c\u8a3a\u6642\u3082MCA-PSV70cm\/\uff08<span style=\"color: #000099; font-family: arial; font-size: 12pt; text-decoration: underline;\">perinatology.com\u306b\u3088\u308b\u30681.961MoM\uff09<\/span><\/span><span style=\"text-decoration: underline;\">\u3068\u518d\u4e0a\u6607<\/span>\u3057\u3066\u3044\u305f\u305f\u3081\uff0c\u80ce\u5150\u8ca7\u8840\uff0c\u80ce\u5150\u6a5f\u80fd\u4e0d\u5168\u306b\u3066\u5165\u9662\u3057\u305f\uff0e\u7fcc27\u90313\u65e5\uff0c\u5e1d\u738b\u5207\u958b\u8853\u306b\u3066\uff0c1030g\u7537\u5150Apg1\/4\uff0c\u306b\u3066\u5a29\u51fa\u3057\u305f\uff0e\u81cd\u5e2f\u8840pH7.417\uff0cHb5.3g\/dl\u3068\u91cd\u75c7\u8ca7\u8840\u3092\u8a8d\u3081\u305f\uff0e\u51fa\u751f\u5f8c\uff0cHb3.5g\/dl\u307e\u3067\u4f4e\u4e0b\u3059\u308b\u3082RCC\u8f38\u8840\u3067Hb 12g\/dl\u53f0\u307e\u3067\u4e0a\u6607\u3057\u305f\uff0e\u305d\u306e\u5f8c\u8f38\u8840\u3092\u8981\u3059\u308b\u3053\u3068\u306a\u304f\u7d4c\u904e\u3057\u3066\u3044\u305f\u304c\uff0c\u751f\u5f8c2\u9031\u9593\u3059\u304e\u304b\u3089\u8ca7\u8840\u9032\u884c\uff0c\u65e5\u9f6226\u30fb38\u65e5\u306bRCC\u3092\u518d\u5ea6\u8f38\u8840\u3057\u305f\uff0e\u4ee5\u5f8c\u7d4c\u904e\u826f\u597d\u306b\u3064\u304d\u65e5\u9f6296\u65e5\u306b\u9000\u9662\u3068\u306a\u3063\u305f\uff0e\u51fa\u751f\u5f8c\uff0c\u8ca7\u8840\u306e\u539f\u56e0\u3092\u7cbe\u67fb\uff0e<span style=\"text-decoration: underline;\">\u6bcd\u4f53HbF\u30fbAFP\u6e2c\u5b9a\u3057\u6bcd\u4f53\u80ce\u5150\u9593\u8f38\u8840\u75c7\u5019\u7fa4\u3092\u5426\u5b9a\uff0e\u5148\u5929\u6027\u8d64\u82bd\u7403\u308d\u3046\u3092\u7591\u3044\u9aa8\u9ac4\u691c\u67fb\u3092\u3059\u308b\u3082\u8d64\u8840\u7403\u7cfb\u3092\u542b\u3080\u9aa8\u9ac4\u306e\u4f4e\u5f62\u6210\u306f\u8a8d\u3081\u306a\u304b\u3063\u305f\uff0e\u4e0d\u5fdc\u6027\u8ca7\u8840\uff08MDS\uff09\u3082\u8003\u616e\u3057\u305f\u304c\u9244\u67d3\u8272\u3067\u306f\u74b0\u72b6\u8d64\u82bd\u7403\u306f\u8a8d\u3081\u306a\u304b\u3063\u305f\uff0e\u813e\u816b\u306a\u3057\uff0c\u30af\u30fc\u30e0\u30ba\u9670\u6027\uff0c\u8457\u540d\u306a\u9ec4\u75b8\u3082\u8a8d\u3081\u3066\u3044\u306a\u304b\u3063\u305f\uff0e\u8d64\u8840\u7403\u306f\u5c0f\u578b\u3067\u7403\u72b6\u3067\u3042\u308a\u5927\u5c0f\u4e0d\u540c\u304c\u76ee\u7acb\u3064\u3053\u3068\u304b\u3089\u907a\u4f1d\u6027\u7403\u72b6\u8d64\u8840\u7403\u75c7\u306a\u3069\u306e\u7121\u52b9\u9020\u8840\u3092\u6765\u3059\u6eb6\u8840\u6027\u8ca7\u8840\u3082\u9451\u5225\u306b\u6319\u304c\u3063\u305f\uff0e<\/span>\u3057\u304b\u3057\u73fe\u5728\u78ba\u5b9a\u8a3a\u65ad\u306b\u81f3\u3089\u305a\u907a\u4f1d\u5b50\u691c\u67fb\u3092\u65bd\u884c\u3057\u7d50\u679c\u5f85\u3061\u306e\u72b6\u614b\u3067\u3042\u308b\uff0e\uff08\u8003\u5bdf\uff09\u73fe\u5728\u78ba\u5b9a\u8a3a\u65ad\u306f\u3064\u3044\u3066\u3044\u306a\u3044\u304c\u7e70\u308a\u8fd4\u3059\u80ce\u5150\u8ca7\u8840\u306e\u75c7\u4f8b\u3092\u7d4c\u9a13\u3057\uff0cMCA-PSV\u306e\u6e2c\u5b9a\u304c\u6709\u7528\u3067\u3042\u3063\u305f\u75c7\u4f8b\u3092\u7d4c\u9a13\u3057\u305f\uff0e<\/p>\n<p><span style=\"text-decoration: underline;\"><span style=\"color: #000099; font-family: arial; font-size: 12pt; text-decoration: underline;\">perinatology.com<\/span><\/span><br>Expected Peak Velocity of Systolic Blood Flow in<br>the Middle Cerebral Artery (MCA) as a Function of Gestational Age<br>Multiples of Median \uff08MoM\u5024\uff09<\/p>\n<p>The risk of anemia is highest in fetuses with a pre-transfusion peak systolic velocity of 1.5 times the median or higher.<\/p>\n<p>Formula: MCA-PSV= e (2.31 + 0.046 GA), where MCA-PSV is the peak systolic velocity in the middle cerebral artery and GA is gestational age <br>In fetuses with anemia the MCA PSV appears to increase above the normal range because of decreased blood viscosity and increased cardiac output associated with the anemia. Single measurements of the MCA PSV blood flow have been found to predict the presence of moderate or severe anemia in fetuses with a <span style=\"text-decoration: underline;\">sensitivity of 100 percent<\/span> and <span style=\"text-decoration: underline;\">a false positive rate of 12 percent<\/span> with the number of false positive results increased after 35 weeks gestation. Reference ranges of singletons are suitable to assess fetal anemia in monochorionic diamniotic twin pregnancies between 18 and 37 weeks of gestation.<\/p>\n<p>The MCA PSV may used to evaluate anemia in fetuses affected by <strong>red blood cell alloimmunization, twin to twin transfusion, twin anemia-polycythemia sequence, alpha-thalassemia, parvovirus , fetomaternal hemorrhage , G6PD deficiency, placental chorioangioma<\/strong>, and other suspected causes of fetal anemia.<\/p>\n<p>It is important that the gestational age be accurately determined since the middle cerebral artery (MCA) peak systolic velocity (PSV) naturally increases with gestational age.<\/p>\n<p>MoM\u5024(multiples of the median: \u5b9f\u6e2c\u5024\u304c\u4e2d\u592e\u5024\u306e\u4f55\u500d\u304b\u3092\u610f\u5473\u3057\u307e\u3059)<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"982\" height=\"431\" src=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/03\/MCA-PSV.jpg\" alt=\"\" class=\"wp-image-3703\" style=\"width:843px;height:auto\" srcset=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/03\/MCA-PSV.jpg 982w, https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/03\/MCA-PSV-300x132.jpg 300w, https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/03\/MCA-PSV-768x337.jpg 768w\" sizes=\"(max-width: 982px) 100vw, 982px\" \/><\/figure>\n\n\n\n<p>By Mark Curran, MD FACOG Updated 4\/20\/2021<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"MFT_maternal_fetal_transfusion_syndrome\"><\/span>MFT maternal fetal transfusion syndrome<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p data-start=\"0\" data-end=\"25\">\u3010\u80ce\u5150\u6bcd\u4f53\u9593\u8f38\u8840\u75c7\u5019\u7fa4 (FMT fetal maternal transfusion syndrome\uff09\u3011<br \/>\u3010\u6bcd\u4f53\u80ce\u5150\u9593\u8f38\u8840\u75c7\u5019\u7fa4 (MFT maternal fetal transfusion syndrome) \u3011\u4e21\u8005\u540c\u610f\u7fa9<\/p>\n<p data-start=\"27\" data-end=\"139\">\u6bcd\u5150\u9593\u8f38\u8840\u75c7\u5019\u7fa4\uff08FMT or MFT\uff09\u306f\u3001<strong>\u80ce\u5150\u306e\u8840\u6db2\u304c\u6bcd\u4f53\u5074\u306b\u6d41\u308c\u8fbc\u3080<\/strong>\u3053\u3068\u3067<strong>\u80ce\u5150\u306b\u91cd\u5ea6\u306e\u8ca7\u8840<\/strong>\u3092\u5f15\u304d\u8d77\u3053\u3059\u75c5\u614b\u3067\u3059\u3002\u3053\u306e\u72b6\u614b\u306f\u3001\u51fa\u7523\u524d\u5f8c\u306b\u767a\u751f\u3059\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u80ce\u5150\u306e\u5faa\u74b0\u72b6\u614b\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3059\u305f\u3081\u3001\u65e9\u671f\u306e\u8a3a\u65ad\u3068\u9069\u5207\u306a\u6cbb\u7642\u304c\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002<\/p>\n<p data-start=\"141\" data-end=\"397\">\u3010\u539f\u56e0\u3011<br data-start=\"145\" data-end=\"148\" \/>FMT\u306e\u4e3b\u306a\u539f\u56e0\u306f\u3001\u598a\u5a20\u4e2d\u3084\u51fa\u7523\u6642\u306b\u80ce\u5150\u306e\u8840\u6db2\u304c\u6bcd\u4f53\u306e\u8840\u6d41\u3078\u9006\u6d41\u3059\u308b\u73fe\u8c61\u3067\u3059\u3002\u5177\u4f53\u7684\u306b\u306f\u3001\u9663\u75db\u3084\u80ce\u76e4\u306e\u5206\u96e2\u3001\u51fa\u7523\u6642\u306e\u885d\u6483\u306a\u3069\u306b\u3088\u308a\u3001\u80ce\u5150\u3068\u6bcd\u4f53\u306e\u9593\u3067\u6025\u6fc0\u306a\u8840\u6db2\u4ea4\u63db\u304c\u8d77\u3053\u308b\u3053\u3068\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002\u3055\u3089\u306b\u3001\u7f8a\u6c34\u7a7f\u523a\u3084\u7d68\u6bdb\u691c\u67fb\u3001\u5916\u56de\u8ee2\u8853\u306a\u3069\u306e\u4fb5\u8972\u7684\u306a\u691c\u67fb\u306b\u3088\u3063\u3066\u80ce\u76e4\u7d68\u6bdb\u304c\u640d\u50b7\u3057\u3001\u8840\u6db2\u304c\u6f0f\u51fa\u3057\u3084\u3059\u304f\u306a\u308b\u5834\u5408\u3082FMT\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u6bcd\u4f53\u5916\u50b7\u3084\u80ce\u76e4\u5265\u96e2\u306a\u3069\u3001\u5916\u90e8\u304b\u3089\u306e\u523a\u6fc0\u306b\u3088\u3063\u3066\u3082FMT\u304c\u8a98\u767a\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u524d\u7f6e\u80ce\u76e4\u3084\u524d\u7f6e\u8840\u7ba1\u306b\u4f34\u3046\u5834\u5408\u3082\u3001\u80ce\u5150\u3068\u6bcd\u4f53\u9593\u306e\u7570\u5e38\u306a\u8840\u6db2\u4ea4\u63db\u304c\u767a\u751f\u3057\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n<p data-start=\"399\" data-end=\"605\">\u3010\u75c7\u72b6\u3011<br data-start=\"403\" data-end=\"406\" \/>FMT\u306b\u304a\u3051\u308b\u4e3b\u306a\u75c7\u72b6\u306f\u3001\u80ce\u52d5\u306e\u8457\u3057\u3044\u6e1b\u5c11\u3067\u3059\u3002\u3055\u3089\u306b\u3001\u80ce\u5150\u5fc3\u62cd\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3067\u306f\u3001\u5fc3\u62cd\u6ce2\u5f62\u304c\u6b63\u5f26\u6ce2\u72b6\uff08Sinusoidal pattern\uff09\u3068\u306a\u308b\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u3001\u3053\u308c\u306f\u91cd\u5ea6\u306e\u80ce\u5150\u8ca7\u8840\u3092\u793a\u5506\u3059\u308b\u91cd\u8981\u306a\u6240\u898b\u3067\u3059\u3002\u307e\u305f\u3001\u4e2d\u5927\u8133\u52d5\u8108\u306e\u30d4\u30fc\u30af\u53ce\u7e2e\u671f\u8840\u6d41\u901f\u5ea6\uff08MCA-PSV\uff09\u304c\u9ad8\u5024\u3092\u793a\u3059\u3053\u3068\u3082\u7279\u5fb4\u3067\u3059\u3002\u3053\u308c\u3089\u306e\u6240\u898b\u306f\u3001\u80ce\u5150\u306e\u5faa\u74b0\u52d5\u614b\u304c\u8457\u3057\u304f\u5909\u5316\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u53cd\u6620\u3057\u3066\u304a\u308a\u3001\u91cd\u75c7\u5316\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u72b6\u614b\u3092\u793a\u3057\u307e\u3059\u3002<\/p>\n<p data-start=\"607\" data-end=\"806\">\u3010\u8a3a\u65ad\u3011<br data-start=\"611\" data-end=\"614\" \/>FMT\u306e\u8a3a\u65ad\u306b\u306f\u3001\u6bcd\u4f53\u306e\u8840\u6db2\u691c\u67fb\u304c\u5927\u304d\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u307e\u3059\u3002\u7279\u306b\u3001Kleihauer-Betke\u6cd5\u306a\u3069\u3092\u7528\u3044\u3066<strong>\u6bcd\u4f53\u8840\u4e2d\u306e\u80ce\u5150\u8d64\u8840\u7403\uff08HbF\uff09\u306e\u5272\u5408<\/strong>\u3092\u6e2c\u5b9a\u3059\u308b\u65b9\u6cd5\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u6bcd\u4f53\u5185\u306b\u3069\u306e\u7a0b\u5ea6\u306e\u80ce\u5150\u8840\u304c\u5b58\u5728\u3059\u308b\u304b\u3092\u8a55\u4fa1\u3057\u3001FMT\u306e\u6709\u7121\u3092\u5224\u65ad\u3057\u307e\u3059\u3002\u3055\u3089\u306b\u3001\u80ce\u52d5\u306e\u6e1b\u5c11\u3001\u8d85\u97f3\u6ce2\u691c\u67fb (<span style=\"color: #ff6600;\">\u4e2d\u5927\u8133\u52d5\u8108\u306e\u30d4\u30fc\u30af\u53ce\u7e2e\u901f\u5ea6\uff08MCA-PSV\uff09\u304c\u9ad8\u5024<\/span>\u00a0) \u3084\u80ce\u5150\u5fc3\u62cd\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0 (<span style=\"color: #ff6600;\">Sinusoidal pattern<\/span>) \u3068\u3044\u3063\u305f\u975e\u4fb5\u8972\u7684\u691c\u67fb\u3082\u7d44\u307f\u5408\u308f\u305b\u3001\u81e8\u5e8a\u75c7\u72b6\u3068\u5408\u308f\u305b\u305f\u7dcf\u5408\u7684\u306a\u8a55\u4fa1\u306b\u3088\u308a\u8a3a\u65ad\u304c\u884c\u308f\u308c\u307e\u3059\u3002<br \/>\uff08\u6b63\u5e38\u6210\u4eba\u306e\u8840\u6db2\u4e2d\u306b\u304a\u3051\u308b\u80ce\u5150\u6027\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\uff08HbF\uff09\u306e\u5272\u5408\u306f\u3001\u901a\u5e381\uff05\u672a\u6e80\u3067\u3001\u591a\u304f\u306e\u5834\u54080.5\uff05\u4ee5\u4e0b\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u7537\u5973\u9593\u3067\u5927\u304d\u306a\u5dee\u306f\u8a8d\u3081\u3089\u308c\u305a\u3001\u500b\u4eba\u5dee\u306f\u3042\u308b\u3082\u306e\u306e\u3001\u4e00\u822c\u7684\u306b\u3053\u306e\u7bc4\u56f2\u5185\u306b\u53ce\u307e\u308a\u307e\u3059\u3002\u3000\u6210\u4ebaAFP\uff08\u30a2\u30eb\u30d5\u30a1\u30d5\u30a7\u30c8\u30d7\u30ed\u30c6\u30a4\u30f3\uff09\u306e\u8840\u4e2d\u6fc3\u5ea6\u306f\u3001\u4e00\u822c\u7684\u306b0\uff5e10 ng\/mL\uff09<\/p>\n<p data-start=\"808\" data-end=\"921\">\u3010\u5408\u4f75\u75c7\u3011<br data-start=\"813\" data-end=\"816\" \/>FMT\u306f\u3001\u80ce\u5150\u306e\u795e\u7d4c\u969c\u5bb3\u3001\u6b7b\u7523\u3001\u65b0\u751f\u5150\u6b7b\u4ea1\u3068\u3044\u3063\u305f\u6df1\u523b\u306a\u5408\u4f75\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u5408\u4f75\u75c7\u306f\u3001\u80ce\u5150\u304c\u5341\u5206\u306a\u9178\u7d20\u3084\u6804\u990a\u3092\u4f9b\u7d66\u3055\u308c\u306a\u304f\u306a\u308b\u3053\u3068\u306b\u3088\u308a\u767a\u751f\u3059\u308b\u305f\u3081\u3001\u65e9\u671f\u767a\u898b\u3068\u8fc5\u901f\u306a\u6cbb\u7642\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002<\/p>\n<p data-start=\"923\" data-end=\"1046\">\u3010\u6cbb\u7642\u3011<br data-start=\"927\" data-end=\"930\" \/>\u6cbb\u7642\u6cd5\u3068\u3057\u3066\u306f\u3001\u80ce\u5150\u8f38\u8840\u304c\u4e2d\u5fc3\u3068\u306a\u308a\u307e\u3059\u3002\u65e9\u671f\u306e\u4ecb\u5165\u306b\u3088\u308a\u3001\u80ce\u5150\u306e\u8ca7\u8840\u72b6\u614b\u3092\u6539\u5584\u3057\u3001\u91cd\u7be4\u306a\u5408\u4f75\u75c7\u306e\u767a\u751f\u3092\u9632\u3050\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002\u6cbb\u7642\u65b9\u6cd5\u306f\u3001\u81e8\u5e8a\u72b6\u6cc1\u3084\u80ce\u5150\u306e\u72b6\u614b\u306b\u5fdc\u3058\u3066\u5c02\u9580\u533b\u304c\u614e\u91cd\u306b\u9078\u629e\u3057\u3001\u5834\u5408\u306b\u3088\u3063\u3066\u306f\u305d\u306e\u4ed6\u306e\u652f\u6301\u7642\u6cd5\u3082\u4f75\u7528\u3055\u308c\u307e\u3059\u3002<\/p>\n<p data-start=\"1048\" data-end=\"1169\">\u3010\u8ffd\u52a0\u306e\u539f\u56e0\u56e0\u5b50\u3011<br data-start=\"1057\" data-end=\"1060\" \/>FMT\u306f\u3001\u6bcd\u4f53\u5916\u50b7\u3001\u524d\u7f6e\u80ce\u76e4\u3084\u524d\u7f6e\u8840\u7ba1\u306b\u4f34\u3046\u51fa\u8840\u3001\u7f8a\u6c34\u7a7f\u523a\u5f8c\u3084\u5916\u56de\u8ee2\u8853\u306a\u3069\u306e\u5916\u79d1\u7684\u4ecb\u5165\u306b\u3088\u3063\u3066\u3082\u5f15\u304d\u8d77\u3053\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u8981\u56e0\u306f\u3001\u80ce\u5150\u3068\u6bcd\u4f53\u9593\u306e\u8840\u6db2\u4ea4\u63db\u306e\u7570\u5e38\u3092\u8a98\u767a\u3059\u308b\u305f\u3081\u3001\u81e8\u5e8a\u73fe\u5834\u3067\u306f\u7279\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n<p data-start=\"1171\" data-end=\"1278\" data-is-last-node=\"\" data-is-only-node=\"\">\u4ee5\u4e0a\u306e\u3088\u3046\u306b\u3001FMT\u306f\u591a\u5c90\u306b\u308f\u305f\u308b\u539f\u56e0\u3068\u75c7\u72b6\u3092\u6301\u3061\u3001\u8fc5\u901f\u306a\u8a3a\u65ad\u3068\u6cbb\u7642\u304c\u6c42\u3081\u3089\u308c\u308b\u91cd\u7be4\u306a\u75c5\u614b\u3067\u3059\u3002\u5404\u75c7\u4f8b\u306b\u304a\u3044\u3066\u3001\u6bcd\u4f53\u3068\u80ce\u5150\u53cc\u65b9\u306e\u72b6\u614b\u3092\u614e\u91cd\u306b\u8a55\u4fa1\u3057\u3001\u9069\u5207\u306a\u4ecb\u5165\u3092\u884c\u3046\u3053\u3068\u304c\u3001\u6700\u826f\u306e\u6cbb\u7642\u7d50\u679c\u3092\u5f97\u308b\u305f\u3081\u306b\u91cd\u8981\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u53c2\u8003\u75c7\u4f8b\uff1a<br \/><a href=\"https:\/\/jsog-k.jp\/journal\/lfx-journal_detail-id-19607.htm\" target=\"_blank\" rel=\"noopener\">\u80ce\u5150\u6bcd\u4f53\u9593\u8f38\u8840\u75c7\u5019\u7fa4\uff08feto-maternal transfusion syndrome\uff1aFMT\uff09\u306e2\u4f8b<\/a><br \/>\u938c\u7530\u3000\u82f1\u7537, \u672c\u6c60\u3000\u826f\u884c, \u6728\u6238\u3000\u6d69\u4e00\u90ce, \u624b\u5cf6\u3000\u6620\u5b50, \u5e02\u7530\u3000\u5b8f\u53f8, \u6885\u6fa4\u3000\u5e78\u4e00, \u6749\u5d0e\u3000\u8070\u4e00, \u677e\u672c\u3000\u6cf0\u5f18, \u53f8\u99ac\u3000\u6b63\u6d69, \u7b39\u68ee\u3000\u5e78\u6587, \u6881\u3000\u6804\u6cbb, \u7dbe\u90e8\u3000\u7422\u54c9\u3000\u3000\u5e1d\u4eac\u5927\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u75c5\u9662\u7523\u5a66\u4eba\u79d1<br \/>\u3010\u7dd2\u8a00\u3011FMT\u306f\uff0c\u77ed\u6642\u9593\u306b\u3042\u308b\u7a0b\u5ea6\u306e\u91cf\u306e\u80ce\u5150\u8840\u304c\u6bcd\u4f53\u8840\u5074\u306b\u6d41\u5165\u3057\uff0c\u5b50\u5bae\u5185\u80ce\u5150\u6b7b\u4ea1\u306e\u539f\u56e0\u306b\u3082\u306a\u308b\u3082\u306e\u3067\u3042\u308b\uff0e\u80ce\u52d5\u6e1b\u5c11\uff0c\u80ce\u5150\u5fc3\u62cd\u6570\u56f3\u3067Sinusoidal pattern\uff0c\u4e2d\u5927\u8133\u52d5\u8108\u306ePeak Systolic Velocity\uff08MCA-PSV\uff09\u306e\u9ad8\u5024\u3092\u8a8d\u3081\uff0c\u91cd\u75c7\u65b0\u751f\u5150\u8ca7\u8840\u3068\u306a\u3063\u305fFMT\u306e2\u4f8b\u3092\u5831\u544a\u3059\u308b\uff0e\u3010\u75c7\u4f8b1\u301124\u6b731\u7d4c\u598a0\u7d4c\u7523\uff0e\u598a\u5a2031\u90312\u65e5\u306b\u5207\u8feb\u65e9\u7523\u3067\u524d\u533b\u306b\u5165\u9662\u3057\u305f\uff0e<strong>\u598a\u5a2034\u90310\u65e5\u306b\u80ce\u52d5\u6e1b\u5c11\u3092\u81ea\u899a\u3057\uff0c\u7fcc\u65e5\u306e\u80ce\u5150\u5fc3\u62cd\u304cSinusoidal pattern\u69d8\uff0cBiophysical profile score\uff08BPS\uff092\u70b9\uff0cUA-RI\u3082MCA-RI\u3082\u6b63\u5e38\u3060\u304cMCA-PSV1.23 m\/s<\/strong>\u306e\u305f\u3081\uff0c\u5f53\u9662\u3078\u7dca\u6025\u6bcd\u4f53\u642c\u9001\u3068\u306a\u3063\u305f\uff0e\u642c\u9001\u6e96\u5099\u4e2d\u306b\u57fa\u7dda\u7d30\u5909\u52d5\u304c\u6d88\u5931\u3057\u305f\u305f\u3081\uff0c\u5f53\u9662\u642c\u5165\u5f8c\uff0c\u76f4\u3061\u306b\u5e1d\u738b\u5207\u958b\u8853\u3092\u884c\u3063\u305f\uff0e2,274g\uff0c\u7537\u5150\uff0cApgar score 1\/1\uff0cUApH6.957\uff0e\u5168\u8eab\u84bc\u767d\u3067NICU\u306b\u5165\u9662\u3057\uff0cHb 1.9g\/dl, Ht 6.2%\u306b\u5bfe\u3057\u3066\u8607\u751f\u30fb\u8f38\u8840\u306a\u3069\u3092\u884c\u3063\u305f\u304c\u65e5\u9f621\u306b\u6c38\u7720\u3057\u305f\uff0e<span style=\"color: #ff6600;\">\u6bcd\u4f53\u8840HbF 5.3%\uff0cAFP 23,830ng\/ml<\/span>\u3067\u3042\u3063\u305f\uff0e\u3010\u75c7\u4f8b2\u301139\u6b731\u56de\u7d4c\u598a1\u56de\u7d4c\u7523\uff0e\u598a\u5a2028\u9031\uff0c\u5207\u8feb\u65e9\u7523\u3067\u5165\u9662\u3057\uff0c\u598a\u5a2033\u90316\u65e5\u306b\u9000\u9662\u3057\u305f\uff0e<strong>\u598a\u5a2036\u90314\u65e5\uff0c\u80ce\u52d5\u6e1b\u5c11\u306e\u305f\u3081\u6765\u9662\u3057\u305f\uff0eBPS 4\u70b9\uff0cUA-RI\u30fbMCA-RI\u306f\u6b63\u5e38\u3060\u3063\u305f\u304c\uff0cMCV-PSV1.01m\/s<\/strong>\u3067\u3042\u308a\uff0c\u80ce\u5150\u5fc3\u62cd\u30e2\u30cb\u30bf\u30fc\u3092\u7d99\u7d9a\u3057\u3066\u3044\u305f\u3068\u3053\u308d\uff0cSinusoidal pattern\u3068\u9077\u5ef6\u4e00\u904e\u6027\u5f90\u8108\u3068\u304c\u51fa\u73fe\u3057\u305f\u305f\u3081\u7dca\u6025\u5e1d\u738b\u5207\u958b\u8853\u3092\u884c\u3063\u305f\uff0e2,280g\uff0c\u5973\u5150\uff0cApgar score 1\/5\uff0cUApH 7.255\uff0e\u5168\u8eab\u84bc\u767d\u3067NICU\u306b\u5165\u9662\u3057Hb 5.5g\/dl\uff0cHt 17.5%\u306b\u5bfe\u3057\uff0c\u8f38\u8840\u3092\u884c\u3063\u305f\uff0e\u305d\u306e\u5f8c\uff0c\u547c\u5438\u30fb\u5faa\u74b0\u52d5\u614b\u306f\u5b89\u5b9a\u3057\u305f\uff0e<span style=\"color: #ff6600;\">\u6bcd\u4f53\u8840HbF 6.3%\uff0cAFP 6,679ng\/mL<\/span>\u3067\u3042\u3063\u305f\uff0e\u3010\u7d50\u8a9e\u3011\u80ce\u52d5\u6e1b\u5c11\u306a\u3069\u306e\u8a34\u3048\u304c\u3042\u308a\uff0cSinusoidal pattern\u3092\u8a8d\u3081\u305f\u5834\u5408\uff0cUA-RI\u30fbMCA-RI\u304c\u6b63\u5e38\u3067\u3082MCA-PSV\u306a\u3069\u3092\u8a08\u6e2c\u3057\uff0c\u80ce\u5150\u5faa\u74b0\u52d5\u614b\u306e\u751f\u7406\u5b66\u7684\u5909\u5316\u3092\u78ba\u8a8d\u3059\u308b\u4e8b\u304cFMT\u3092\u9451\u5225\u3059\u308b\u306e\u306b\u6709\u7528\u3068\u601d\u308f\u308c\u305f\uff0e<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Rh%E4%B8%8D%E9%81%A9%E5%90%88%E5%A6%8A%E5%A8%A0\"><\/span>Rh\u4e0d\u9069\u5408\u598a\u5a20<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p data-start=\"54\" data-end=\"73\"><strong data-start=\"54\" data-end=\"73\">Rh\u4e0d\u9069\u5408\u598a\u5a20\u3068\u80ce\u5150\u6eb6\u8840\u6027\u8ca7\u8840<\/strong><\/p>\n<p data-start=\"75\" data-end=\"271\">Rh\u4e0d\u9069\u5408\u598a\u5a20\u3068\u306f\u3001\u6bcd\u4f53\u304cRh\uff08D\uff09\u9670\u6027\u3067\u3042\u308a\u306a\u304c\u3089\u3001\u80ce\u5150\u304cRh\uff08D\uff09\u967d\u6027\u3067\u3042\u308b\u5834\u5408\u306b\u767a\u751f\u3059\u308b\u514d\u75ab\u5b66\u7684\u306a\u554f\u984c\u3067\u3059\u3002\u6bcd\u4f53\u304cRh\u56e0\u5b50\u3092\u6301\u305f\u306a\u3044\u305f\u3081\u3001\u80ce\u5150\u306eRh\u967d\u6027\u8d64\u8840\u7403\u304c\u6bcd\u4f53\u306b\u6d41\u5165\u3059\u308b\u3068\u3001\u6bcd\u4f53\u306e\u514d\u75ab\u7cfb\u304c\u3053\u308c\u3089\u306e\u7570\u7269\u3092\u653b\u6483\u3059\u308b\u6297\u4f53\u3092\u7523\u751f\u3057\u307e\u3059\u3002\u3053\u306e\u6297\u4f53\u304c\u80ce\u76e4\u3092\u901a\u3058\u3066\u518d\u3073\u80ce\u5150\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3057\u3001<span style=\"color: #ff6600;\"><strong>\u80ce\u5150\u306e\u6eb6\u8840\u6027\u8ca7\u8840<\/strong><\/span>\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u91cd\u75c7\u5316\u3059\u308b\u3068\u3001\u80ce\u5150\u306e\u6b7b\u4ea1\u3084\u6d41\u7523\u3001\u65e9\u7523\u306e\u30ea\u30b9\u30af\u304c\u8457\u3057\u304f\u4e0a\u6607\u3057\u307e\u3059\u3002<\/p>\n<p data-start=\"273\" data-end=\"283\"><strong data-start=\"273\" data-end=\"281\">\u3010\u75c7\u72b6\u3011<\/strong><\/p>\n<ul data-start=\"284\" data-end=\"414\">\n<li data-start=\"284\" data-end=\"338\"><strong data-start=\"286\" data-end=\"296\">\u8ca7\u8840\u3068\u9ec4\u75b8\uff1a<\/strong> \u80ce\u5150\u3084\u65b0\u751f\u5150\u3067\u306f\u3001\u6eb6\u8840\u306b\u3088\u308b\u8ca7\u8840\u304c\u8a8d\u3081\u3089\u308c\u3001\u540c\u6642\u306b\u9ec4\u75b8\u304c\u73fe\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/li>\n<li data-start=\"339\" data-end=\"414\"><strong data-start=\"341\" data-end=\"352\">\u91cd\u75c7\u4f8b\u306e\u6240\u898b\uff1a<\/strong> \u91cd\u5ea6\u306e\u5834\u5408\u3001\u80ce\u5150\u6c34\u816b\u304c\u767a\u751f\u3057\u307e\u3059\u3002\u3053\u308c\u306f\u3001\u80f8\u6c34\u3084\u8179\u6c34\u304c\u8caf\u7559\u3057\u3001\u5168\u8eab\u306b\u3080\u304f\u307f\u304c\u751f\u3058\u308b\u72b6\u614b\u3067\u3042\u308a\u3001\u5fc3\u4e0d\u5168\u3092\u4f34\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<p data-start=\"416\" data-end=\"469\"><strong data-start=\"416\" data-end=\"424\">\u3010\u6cbb\u7642\u3011<\/strong><br data-start=\"424\" data-end=\"427\" \/>\u6cbb\u7642\u306f\u3001\u75c5\u614b\u306e\u91cd\u75c7\u5ea6\u306b\u5fdc\u3058\u3066\u8fc5\u901f\u306a\u5bfe\u5fdc\u304c\u5fc5\u8981\u3067\u3059\u3002\u4e3b\u306a\u6cbb\u7642\u6cd5\u306b\u306f\u4ee5\u4e0b\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<ul data-start=\"470\" data-end=\"646\">\n<li data-start=\"470\" data-end=\"564\"><strong data-start=\"472\" data-end=\"484\">\u5b50\u5bae\u5185\u80ce\u5150\u8f38\u8840\uff1a<\/strong> \u8d85\u97f3\u6ce2\u30ac\u30a4\u30c9\u4e0b\u3067\u3001\u80ce\u5150\u306e\u8179\u8154\u5185\u307e\u305f\u306f\u76f4\u63a5\u8840\u7ba1\u5185\u306bRh\u9670\u6027\u306e\u6fc3\u539a\u8d64\u8840\u7403\u3092\u8f38\u8840\u3059\u308b\u65b9\u6cd5\u3067\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u80ce\u5150\u306e\u8ca7\u8840\u72b6\u614b\u3092\u6539\u5584\u3057\u3001\u81d3\u5668\u3078\u306e\u9178\u7d20\u4f9b\u7d66\u3092\u7dad\u6301\u3057\u307e\u3059\u3002<\/li>\n<li data-start=\"565\" data-end=\"646\"><strong data-start=\"567\" data-end=\"581\">\u65e9\u671f\u51fa\u7523\u3068\u4ea4\u63db\u8f38\u8840\uff1a<\/strong> \u72b6\u614b\u304c\u6025\u901f\u306b\u60aa\u5316\u3059\u308b\u5834\u5408\u3001\u65e9\u671f\u51fa\u7523\u3092\u884c\u3044\u3001\u51fa\u751f\u76f4\u5f8c\u306b\u65b0\u751f\u5150\u3078\u306e\u4ea4\u63db\u8f38\u8840\u3092\u5b9f\u65bd\u3059\u308b\u3053\u3068\u3067\u3001\u91cd\u75c7\u8ca7\u8840\u306e\u6539\u5584\u3068\u5408\u4f75\u75c7\u306e\u4e88\u9632\u3092\u56f3\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<p data-start=\"648\" data-end=\"767\"><strong data-start=\"648\" data-end=\"672\">\u3010\u80ce\u5150\u8ca7\u8840\u306e\u8a55\u4fa1\u3068MCA-PSV\u306e\u6d3b\u7528\u3011<\/strong><br data-start=\"672\" data-end=\"675\" \/>Rh\u4e0d\u9069\u5408\u598a\u5a20\u306b\u304a\u3044\u3066\u306f\u3001\u80ce\u5150\u8ca7\u8840\u306e\u91cd\u75c7\u5ea6\u8a55\u4fa1\u304c\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002\u4e2d\u5927\u8133\u52d5\u8108\u6700\u5927\u8840\u6d41\u901f\u5ea6\uff08MCA-PSV\uff09\u306e\u8a08\u6e2c\u306f\u3001\u975e\u4fb5\u8972\u7684\u306b\u80ce\u5150\u8ca7\u8840\u3092\u8a55\u4fa1\u3059\u308b\u6709\u529b\u306a\u624b\u6bb5\u3068\u3057\u3066\u5e83\u304f\u7528\u3044\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<ul data-start=\"768\" data-end=\"1005\">\n<li data-start=\"768\" data-end=\"833\"><strong data-start=\"770\" data-end=\"785\">MCA-PSV\u306e\u7279\u5fb4\uff1a<\/strong> <span style=\"color: #ff6600;\">\u80ce\u5150\u8ca7\u8840\u3067\u306f\u3001\u8840\u6db2\u306e\u7c98\u5ea6\u4f4e\u4e0b\u3068\u5fc3\u62cd\u51fa\u91cf\u5897\u52a0\u306b\u3088\u308a\u3001MCA-PSV\u304c\u4e0a\u6607\u3059\u308b\u50be\u5411<\/span>\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li data-start=\"834\" data-end=\"918\"><strong data-start=\"836\" data-end=\"845\">\u8a55\u4fa1\u57fa\u6e96\uff1a<\/strong> MCA-PSV\u306e\u5024\u304c\u4e0a\u6607\u3057\u3066\u3044\u308b\u5834\u5408\u3067\u3082\u3001\u5fc5\u305a\u3057\u3082\u8ca7\u8840\u304c\u3042\u308b\u3068\u306f\u9650\u3089\u306a\u3044\u305f\u3081\u3001\u7d99\u7d9a\u7684\u306a\u89b3\u5bdf\u3084\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u305f\u80ce\u5150\u63a1\u8840\u306b\u3088\u308b\u78ba\u5b9a\u8a3a\u65ad\u304c\u91cd\u8981\u3067\u3059\u3002<\/li>\n<li data-start=\"919\" data-end=\"1005\"><strong data-start=\"921\" data-end=\"932\">\u7ba1\u7406\u306e\u5fc5\u8981\u6027\uff1a<\/strong> \u983b\u7e41\u306a\u8d85\u97f3\u6ce2\u691c\u67fb\u3068MCA-PSV\u306e\u6e2c\u5b9a\u306b\u3088\u308a\u3001\u80ce\u5150\u306e\u5faa\u74b0\u52d5\u614b\u3092\u614e\u91cd\u306b\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3057\u3001\u8ca7\u8840\u304c\u8a8d\u3081\u3089\u308c\u305f\u5834\u5408\u306b\u306f\u65e9\u671f\u306b\u4ecb\u5165\u3067\u304d\u308b\u4f53\u5236\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<p data-start=\"1007\" data-end=\"1145\"><strong data-start=\"1007\" data-end=\"1024\">\u3010\u80ce\u5150\u91cd\u75c7\u8ca7\u8840\u306e\u5224\u65ad\u57fa\u6e96\u3011<\/strong><br data-start=\"1024\" data-end=\"1027\" \/>\u80ce\u5150\u91cd\u75c7\u8ca7\u8840\u306e\u5224\u5b9a\u306b\u306f\u3001\u80ce\u5150\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\uff08Hb\uff09\u304c7g\/dL\u672a\u6e80\u3001\u307e\u305f\u306f\u80ce\u5150\u30d8\u30de\u30c8\u30af\u30ea\u30c3\u30c8\uff08Ht\uff09\u304c\u598a\u5a2018\uff5e26\u9031\u306725\uff05\u672a\u6e80\u300126\u9031\u4ee5\u964d\u306730\uff05\u672a\u6e80\u3068\u3044\u3046\u57fa\u6e96\u304c\u7528\u3044\u3089\u308c\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u6570\u5024\u306b\u57fa\u3065\u3044\u3066\u3001\u9069\u5207\u306a\u6cbb\u7642\u30bf\u30a4\u30df\u30f3\u30b0\u3092\u5224\u65ad\u3057\u307e\u3059\u3002<\/p>\n<p data-start=\"1147\" data-end=\"1340\"><strong data-start=\"1147\" data-end=\"1163\">\u3010Rh\u4e0d\u9069\u5408\u598a\u5a20\u306e\u4e88\u9632\u3011<\/strong><br data-start=\"1163\" data-end=\"1166\" \/>\u4e88\u9632\u7b56\u3068\u3057\u3066\u306f\u3001\u80ce\u5150\u306e\u8840\u6db2\u304c\u6bcd\u4f53\u306b\u5927\u91cf\u306b\u6d41\u5165\u3057\u305f\u5834\u5408\u306b\u3001Rho\uff08D\uff09\u514d\u75ab\u30b0\u30ed\u30d6\u30ea\u30f3\uff08\u6297D\u514d\u75ab\u30b0\u30ed\u30d6\u30ea\u30f3\uff09\u306e\u6295\u4e0e\u304c\u884c\u308f\u308c\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u6bcd\u4f53\u306e\u514d\u75ab\u7cfb\u304c\u80ce\u5150\u306e\u8d64\u8840\u7403\u4e0a\u306eRh\u56e0\u5b50\u3092\u8a8d\u8b58\u3057\u306b\u304f\u304f\u306a\u308a\u3001\u6b21\u56de\u4ee5\u964d\u306e\u598a\u5a20\u3067\u306e\u6eb6\u8840\u6027\u8ca7\u8840\u767a\u75c7\u30ea\u30b9\u30af\u3092\u4f4e\u6e1b\u3057\u307e\u3059\u3002\u307e\u305f\u3001\u5b9a\u671f\u7684\u306a\u598a\u5a66\u691c\u8a3a\u306b\u3088\u308a\u3001Rh\u4e0d\u9069\u5408\u306e\u30ea\u30b9\u30af\u3092\u65e9\u671f\u306b\u628a\u63e1\u3057\u3001\u9069\u5207\u306a\u4e88\u9632\u63aa\u7f6e\u3092\u8b1b\u3058\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h4><span class=\"ez-toc-section\" id=\"Rh%EF%BC%88D%EF%BC%89%E4%B8%8D%E9%81%A9%E5%90%88%E5%A6%8A%E5%A8%A0%E3%81%A8%E3%81%AF%EF%BC%9F\"><\/span>Rh\uff08D\uff09\u4e0d\u9069\u5408\u598a\u5a20\u3068\u306f\uff1f<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul>\n<li>\n<p><strong>\u6bcd\u4f53\u304cRh\uff08D\uff09\u9670\u6027<\/strong>\u3067\u3001<strong>\u80ce\u5150\u304cRh\uff08D\uff09\u967d\u6027<\/strong>\u306e\u5834\u5408\u3001\u80ce\u5150\u8d64\u8840\u7403\u304c\u6bcd\u4f53\u306b\u79fb\u884c\u3059\u308b\u3068<strong>\u6297D\u6297\u4f53\u304c\u7523\u751f\u3055\u308c\u308b\uff08\u611f\u4f5c\uff09<\/strong>\u3002<br \/>\u611f\u4f5c\u3055\u308c\u305f\u6bcd\u4f53\u306e\u6297\u4f53\u304c\u80ce\u76e4\u3092\u901a\u3058\u3066\u80ce\u5150\u306b\u79fb\u884c\u3057\u3001<strong>\u80ce\u5150\u8d64\u8840\u7403\u3092\u7834\u58ca \u2192 \u80ce\u5150\u8ca7\u8840\u30fb\u80ce\u5150\u6c34\u816b\u30fb\u65b0\u751f\u5150\u6eb6\u8840\u6027\u75be\u60a3<\/strong>\u3092\u5f15\u304d\u8d77\u3053\u3059\u3002<\/p>\n<\/li>\n<li>\n<p><span style=\"background-color: #f5f5f5; color: inherit; font-family: inherit; font-size: 24px;\">\ud83e\ude7a \u7ba1\u7406\u3068\u5bfe\u7b56\u306e\u30d5\u30ed\u30fc\u30c1\u30e3\u30fc\u30c8\uff08\u65e5\u672c\u7248\uff09<\/span><\/p>\n<\/li>\n<\/ul>\n<div>\n<div>\n<table style=\"width: 100%; height: 378px;\">\n<thead>\n<tr style=\"height: 39px;\">\n<th style=\"height: 39px;\">\u598a\u5a20\u6642\u671f<\/th>\n<th style=\"height: 39px;\">\u7ba1\u7406\u5185\u5bb9<\/th>\n<th style=\"height: 39px;\">\u5099\u8003<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"height: 64px;\">\n<td style=\"height: 64px;\">\u598a\u5a20\u521d\u671f<\/td>\n<td style=\"height: 64px;\">\u8840\u6db2\u578b\uff08ABO\u30fbRh\uff09\u3068<strong>\u4e0d\u898f\u5247\u6297\u4f53\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff08\u9593\u63a5\u30af\u30fc\u30e0\u30b9\u8a66\u9a13\uff09<\/strong><\/td>\n<td style=\"height: 64px;\">\u6297D\u6297\u4f53\u306e\u6709\u7121\u3092\u78ba\u8a8d<\/td>\n<\/tr>\n<tr style=\"height: 53px;\">\n<td style=\"height: 53px;\">\u598a\u5a2026\uff5e28\u9031<\/td>\n<td style=\"height: 53px;\">\u6297\u4f53\u9670\u6027\u306a\u3089<strong>\u6297D\u514d\u75ab\u30b0\u30ed\u30d6\u30ea\u30f3\uff08300\u03bcg\uff09\u7b4b\u6ce8<\/strong><\/td>\n<td style=\"height: 53px;\">\u611f\u4f5c\u4e88\u9632\u76ee\u7684\uff08\u4fdd\u967a\u9069\u7528\uff09<\/td>\n<\/tr>\n<tr style=\"height: 74px;\">\n<td style=\"height: 74px;\">\u598a\u5a2028\u9031\u4ee5\u964d<\/td>\n<td style=\"height: 74px;\">\u6297\u4f53\u967d\u6027\u306a\u3089<strong>4\u9031\u3054\u3068\u306b\u6297\u4f53\u4fa1\u6e2c\u5b9a<\/strong><\/td>\n<td style=\"height: 74px;\">\u6297\u4f53\u4fa18\uff5e32\u500d\u4ee5\u4e0a\u3067\u9ad8\u30ea\u30b9\u30af<\/td>\n<\/tr>\n<tr style=\"height: 74px;\">\n<td style=\"height: 74px;\">\u598a\u5a20\u4e2d\u671f\u4ee5\u964d<\/td>\n<td style=\"height: 74px;\">\u6297\u4f53\u4fa1\u9ad8\u5024 or \u524d\u5150\u306bHDFN\u65e2\u5f80 \u2192 <strong>MCA-PSV\u6e2c\u5b9a\uff08\u80ce\u5150\u8ca7\u8840\u8a55\u4fa1\uff09<\/strong><\/td>\n<td style=\"height: 74px;\">MoM 1.5\u4ee5\u4e0a\u3067\u4e2d\u7b49\u5ea6\u4ee5\u4e0a\u306e\u8ca7\u8840<\/td>\n<\/tr>\n<tr style=\"height: 74px;\">\n<td style=\"height: 74px;\">\u5206\u5a29\u5f8c72\u6642\u9593\u4ee5\u5185<\/td>\n<td style=\"height: 74px;\">\u80ce\u5150Rh\u967d\u6027\u306a\u3089<strong>\u6297D\u514d\u75ab\u30b0\u30ed\u30d6\u30ea\u30f3\u518d\u6295\u4e0e<\/strong><\/td>\n<td style=\"height: 74px;\">\u611f\u4f5c\u4e88\u9632\u306e\u305f\u3081<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div>\u00a0<\/div>\n<\/div>\n<h4><span class=\"ez-toc-section\" id=\"%F0%9F%A7%AA_%E6%8A%97%E4%BD%93%E4%BE%A1%E3%81%A8%E7%AE%A1%E7%90%86%E3%81%AE%E7%9B%AE%E5%AE%89\"><\/span>\ud83e\uddea \u6297\u4f53\u4fa1\u3068\u7ba1\u7406\u306e\u76ee\u5b89<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<div>\n<div>\n<table>\n<thead>\n<tr>\n<th>\u6297\u4f53\u4fa1<\/th>\n<th>\u7ba1\u7406\u65b9\u91dd<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\uff1c8\u500d<\/td>\n<td>\u7d4c\u904e\u89b3\u5bdf\uff084\u9031\u3054\u3068\u6297\u4f53\u4fa1\u6e2c\u5b9a\uff09<\/td>\n<\/tr>\n<tr>\n<td>8\uff5e32\u500d<\/td>\n<td><strong>MCA-PSV\u6e2c\u5b9a\u958b\u59cb<\/strong>\uff081\uff5e2\u9031\u3054\u3068\uff09<\/td>\n<\/tr>\n<tr>\n<td>\uff1e32\u500d or \u524d\u5150\u306bHDFN<\/td>\n<td><strong>\u80ce\u5150\u63a1\u8840\uff08PUBS\uff09\u3084\u5b50\u5bae\u5185\u8f38\u8840\uff08IUT\uff09\u691c\u8a0e<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div>\u00a0<\/div>\n<\/div>\n<h4><span class=\"ez-toc-section\" id=\"%F0%9F%A7%A0_%E8%A3%9C%E8%B6%B3%E7%9F%A5%E8%AD%98%EF%BC%9A%E6%8A%97D%E5%85%8D%E7%96%AB%E3%82%B0%E3%83%AD%E3%83%96%E3%83%AA%E3%83%B3%E3%81%AE%E6%8A%95%E4%B8%8E%E3%82%BF%E3%82%A4%E3%83%9F%E3%83%B3%E3%82%B0\"><\/span>\ud83e\udde0 \u88dc\u8db3\u77e5\u8b58\uff1a\u6297D\u514d\u75ab\u30b0\u30ed\u30d6\u30ea\u30f3\u306e\u6295\u4e0e\u30bf\u30a4\u30df\u30f3\u30b0<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul>\n<li>\n<p><strong>\u598a\u5a2028\u9031\u524d\u5f8c<\/strong>\uff1a\u611f\u4f5c\u4e88\u9632\u306e\u305f\u3081\u306b1\u56de\u6295\u4e0e\uff08\u4fdd\u967a\u9069\u7528\uff09<br \/><strong>\u5206\u5a29\u5f8c72\u6642\u9593\u4ee5\u5185<\/strong>\uff1a\u5150\u304cRh\u967d\u6027\u3067\u3042\u308c\u3070\u518d\u6295\u4e0e<\/p>\n<\/li>\n<li>\n<p><strong>\u305d\u306e\u4ed6\u306e\u6295\u4e0e\u9069\u5fdc<\/strong>\uff1a<br \/>\u598a\u5a207\u9031\u4ee5\u964d\u306e\u6d41\u7523\u30fb\u4eba\u5de5\u598a\u5a20\u4e2d\u7d76<br \/>\u7f8a\u6c34\u7a7f\u523a\u30fb\u80ce\u4f4d\u5916\u56de\u8ee2\u8853\u30fb\u8179\u90e8\u6253\u64b2\u306a\u3069<\/p>\n<\/li>\n<\/ul>\n\n\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%8F%8C%E8%83%8E%E9%96%93%E8%BC%B8%E8%A1%80%E7%97%87%E5%80%99%E7%BE%A4%EF%BC%88TTTS%EF%BC%89\"><\/span>\u53cc\u80ce\u9593\u8f38\u8840\u75c7\u5019\u7fa4\uff08TTTS\uff09<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p data-start=\"82\" data-end=\"271\"><strong data-start=\"82\" data-end=\"102\">\u53cc\u80ce\u9593\u8f38\u8840\u75c7\u5019\u7fa4\uff08TTTS\u3000Twin-twin transfusion syndrome\uff09\u3068\u306f<\/strong><br data-start=\"102\" data-end=\"105\"><span style=\"color: #333399;\">TTTS\u306f\u3001\u4e00\u7d68\u6bdb\u819c\u6027\u53cc\u80ce\u3001\u3059\u306a\u308f\u30611\u3064\u306e\u80ce\u76e4\u30922\u4eba\u306e\u80ce\u5150\u304c\u5171\u6709\u3059\u308b\u30b1\u30fc\u30b9\u306b\u306e\u307f\u767a\u751f\u3059\u308b\u7279\u6709\u306e\u75c5\u614b\u3067\u3059\u3002\u80ce\u76e4\u5185\u306b\u5b58\u5728\u3059\u308b\u543b\u5408\u8840\u7ba1\u3092\u4ecb\u3057\u3066\u3001\u4e21\u80ce\u5150\u9593\u3067\u8840\u6db2\u304c\u884c\u304d\u6765\u3059\u308b\u4ed5\u7d44\u307f\u81ea\u4f53\u306f\u901a\u5e38\u30d0\u30e9\u30f3\u30b9\u304c\u4fdd\u305f\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u3053\u306e\u5747\u8861\u304c\u5d29\u308c\u308b\u3068\u3001\u4e00\u65b9\u306e\u80ce\u5150\uff08\u53d7\u8840\u5150\uff09\u306b\u904e\u5270\u306a\u8840\u6db2\u304c\u6d41\u5165\u3057\u3001\u3082\u3046\u4e00\u65b9\u306e\u80ce\u5150\uff08\u4f9b\u8840\u5150\uff09\u306b\u5bfe\u3057\u3066\u8840\u6db2\u304c\u4e0d\u8db3\u3059\u308b\u72b6\u614b\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\n<p data-start=\"273\" data-end=\"288\"><strong data-start=\"273\" data-end=\"286\">\u3010\u539f\u56e0\u3068\u767a\u75c7\u6a5f\u5e8f\u3011<\/strong><\/p>\n<ul data-start=\"289\" data-end=\"584\">\n<li data-start=\"289\" data-end=\"433\"><strong data-start=\"291\" data-end=\"311\">\u80ce\u76e4\u5171\u6709\u306b\u3088\u308b\u8840\u6db2\u5faa\u74b0\u306e\u4e0d\u5747\u8861\uff1a<\/strong> \u4e00\u7d68\u6bdb\u819c\u53cc\u80ce\u3067\u306f\u3001\u4e21\u80ce\u5150\u304c1\u3064\u306e\u80ce\u76e4\u3092\u4ecb\u3057\u3066\u5bc6\u63a5\u306b\u9023\u7d50\u3057\u3066\u304a\u308a\u3001\u543b\u5408\u8840\u7ba1\u3092\u901a\u3058\u305f\u8840\u6db2\u4ea4\u63db\u304c\u901a\u5e38\u306f\u76f8\u4e92\u306b\u5747\u8861\u3057\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u4f55\u3089\u304b\u306e\u7406\u7531\u3067\u3053\u306e\u30d0\u30e9\u30f3\u30b9\u304c\u5d29\u308c\u308b\u3068\u3001\u53d7\u8840\u5150\u306f\u8840\u6db2\u3092\u904e\u5270\u306b\u53d7\u3051\u53d6\u308a\u3001\u4f9b\u8840\u5150\u306f\u8840\u6db2\u3092\u9001\u308a\u51fa\u3057\u3059\u304e\u308b\u72b6\u614b\u3068\u306a\u308a\u307e\u3059\u3002<\/li>\n<li data-start=\"434\" data-end=\"584\"><strong data-start=\"436\" data-end=\"450\">\u8a98\u56e0\u3068\u306a\u308b\u5916\u7684\u8981\u56e0\uff1a<\/strong> \u9663\u75db\u3001\u80ce\u76e4\u306e\u90e8\u5206\u7684\u5265\u96e2\u3001\u51fa\u7523\u6642\u306e\u885d\u6483\u306a\u3069\u304c\u3001\u8840\u6db2\u79fb\u52d5\u306e\u4e0d\u5747\u8861\u3092\u52a9\u9577\u3057\u307e\u3059\u3002\u3055\u3089\u306b\u3001\u7f8a\u6c34\u7a7f\u523a\u3084\u7d68\u6bdb\u691c\u67fb\u3001\u5916\u56de\u8ee2\u8853\u306a\u3069\u306e\u4fb5\u8972\u7684\u691c\u67fb\u306b\u3088\u308a\u3001\u80ce\u76e4\u7d68\u6bdb\u304c\u640d\u50b7\u3059\u308b\u3068\u3001\u3055\u3089\u306bFMT\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u6bcd\u4f53\u306e\u5916\u50b7\u3084\u80ce\u76e4\u5265\u96e2\u3001\u524d\u7f6e\u80ce\u76e4\u3084\u524d\u7f6e\u8840\u7ba1\u306e\u5b58\u5728\u3082\u767a\u75c7\u306e\u4e00\u56e0\u3068\u306a\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<p data-start=\"586\" data-end=\"619\"><strong data-start=\"586\" data-end=\"594\">\u3010\u75c7\u72b6\u3011<\/strong><br data-start=\"594\" data-end=\"597\">TTTS\u306f\u4e21\u80ce\u5150\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u75be\u60a3\u3067\u3059\u3002<\/p>\n<ul data-start=\"620\" data-end=\"861\">\n<li data-start=\"620\" data-end=\"709\"><strong data-start=\"622\" data-end=\"645\">\u53d7\u8840\u5150\uff08\u8840\u6db2\u3092\u4f59\u5206\u306b\u3082\u3089\u3063\u3066\u3044\u308b\u5074\uff09\uff1a<\/strong> \u8840\u6db2\u904e\u5270\u306b\u3088\u308a\u5faa\u74b0\u8ca0\u62c5\u304c\u5897\u5927\u3057\u3001\u5168\u8eab\u306e\u3080\u304f\u307f\uff08\u80ce\u5150\u6c34\u816b\uff09\u3001\u5fc3\u4e0d\u5168\u3001\u3055\u3089\u306b\u80ce\u5150\u306e\u5c3f\u91cf\u304c\u5897\u52a0\u3059\u308b\u3053\u3068\u3067\u7f8a\u6c34\u904e\u591a\u72b6\u614b\u3068\u306a\u308a\u307e\u3059\u3002<\/li>\n<li data-start=\"710\" data-end=\"861\"><strong data-start=\"712\" data-end=\"733\">\u4f9b\u8840\u5150\uff08\u8840\u6db2\u3092\u9001\u308a\u51fa\u3057\u3066\u3044\u308b\u5074\uff09\uff1a<\/strong> 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data-end=\"875\">TTTS\u306e\u6cbb\u7642\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u65b9\u6cd5\u304c\u7528\u3044\u3089\u308c\u307e\u3059\u3002<\/p>\n<ul data-start=\"901\" data-end=\"1085\">\n<li data-start=\"901\" data-end=\"967\"><strong data-start=\"903\" data-end=\"917\">\u7f8a\u6c34\u7a7f\u523a\u30fb\u7f8a\u6c34\u9664\u53bb\uff1a<\/strong> \u53d7\u8840\u5150\u5074\u306e\u7f8a\u6c34\u904e\u591a\u306b\u3088\u308b\u9663\u75db\u3084\u305d\u306e\u4ed6\u5408\u4f75\u75c7\u3092\u9632\u3050\u305f\u3081\u3001\u5b9a\u671f\u7684\u306b\u5b50\u5bae\u5185\u306e\u904e\u5270\u306a\u7f8a\u6c34\u3092\u5438\u5f15\u3057\u307e\u3059\u3002<\/li>\n<li data-start=\"968\" data-end=\"1085\"><strong data-start=\"970\" data-end=\"992\">\u80ce\u5150\u93e1\u4e0b\u80ce\u76e4\u543b\u5408\u8840\u7ba1\u30ec\u30fc\u30b6\u30fc\u51dd\u56fa\u8853\uff1a<\/strong> \u5185\u8996\u93e1\u3092\u7528\u3044\u3066\u80ce\u76e4\u4e0a\u306e\u543b\u5408\u8840\u7ba1\u3092\u30ec\u30fc\u30b6\u30fc\u3067\u713c\u707c\u30fb\u51dd\u56fa\u3057\u3001\u4e21\u80ce\u5150\u9593\u306e\u4e0d\u5747\u8861\u306a\u8840\u6db2\u4ea4\u63db\u3092\u906e\u65ad\u3059\u308b\u65b9\u6cd5\u3067\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u53d7\u8840\u5150\u3068\u4f9b\u8840\u5150\u305d\u308c\u305e\u308c\u306e\u5faa\u74b0\u72b6\u614b\u3092\u6539\u5584\u3057\u3001\u6551\u547d\u7387\u306e\u5411\u4e0a\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<p data-start=\"1087\" data-end=\"1210\"><strong data-start=\"1087\" data-end=\"1095\">\u3010\u4e88\u5f8c\u3011<\/strong><br data-start=\"1095\" data-end=\"1098\">\u7121\u6cbb\u7642\u306e\u5834\u5408\u3001TTTS\u306f\u975e\u5e38\u306b\u91cd\u7be4\u3067\u3001\u6587\u732e\u7684\u306b\u7121\u6cbb\u7642\u3067\u306e\u5150\u306e\u6b7b\u4ea1\u7387\u304c80\uff05\u4ee5\u4e0a\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4e00\u65b9\u3001\u80ce\u5150\u93e1\u4e0b\u30ec\u30fc\u30b6\u30fc\u51dd\u56fa\u8853\u306a\u3069\u306e\u4ecb\u5165\u6cbb\u7642\u306b\u3088\u308a\u3001\u4e21\u5150\u306e\u751f\u5b58\u7387\u306f\u7d0480\uff05\u524d\u5f8c\u306b\u6539\u5584\u3055\u308c\u3001\u8133\u6027\u9ebb\u75fa\u306a\u3069\u306e\u5f8c\u907a\u75c7\u3082\u7d045\uff05\u7a0b\u5ea6\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p data-start=\"1212\" data-end=\"1268\"><em data-start=\"1212\" data-end=\"1268\">\u3010\u51fa\u5178\u3011 Japan Fetal Therapy Group (<a href=\"http:\/\/fetusjapan.jp\/\" target=\"_new\" rel=\"noopener\" data-start=\"1245\" data-end=\"1266\">http:\/\/fetusjapan.jp\/<\/a>)<br><\/em><br>\u4ee5\u4e0b\u306e\u56f3\u306f\u3001Japan Fetal Therapy Group\uff08http:\/\/fetusjapan.jp\/\uff09\u3068\u51fa\u5178<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 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=\"alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"687\" height=\"320\" src=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/03\/ttts_01.png\" alt=\"\" class=\"wp-image-3697\" style=\"width:661px;height:auto\" srcset=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/03\/ttts_01.png 687w, https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/03\/ttts_01-300x140.png 300w\" sizes=\"(max-width: 687px) 100vw, 687px\" \/><\/figure><\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"624\" height=\"502\" src=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/03\/cp_ttts_02.png\" alt=\"\" class=\"wp-image-3698\" style=\"width:320px;height:auto\" srcset=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/03\/cp_ttts_02.png 624w, https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/03\/cp_ttts_02-300x241.png 300w\" sizes=\"(max-width: 624px) 100vw, 624px\" \/><\/figure><\/div><\/div>\n<\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"380\" src=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/07\/TTTS-1024x380.jpg\" alt=\"\" class=\"wp-image-3871\" srcset=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/07\/TTTS-1024x380.jpg 1024w, https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/07\/TTTS-300x111.jpg 300w, https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/07\/TTTS-768x285.jpg 768w, https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/07\/TTTS.jpg 1370w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"334\" src=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/07\/TTTS-treatment-1024x334.jpg\" alt=\"\" class=\"wp-image-3872\" srcset=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/07\/TTTS-treatment-1024x334.jpg 1024w, https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/07\/TTTS-treatment-300x98.jpg 300w, https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/07\/TTTS-treatment-768x250.jpg 768w, https:\/\/okawa-obgyn.com\/hosp\/images\/2025\/07\/TTTS-treatment.jpg 1349w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>\u7523\u5a66\u4eba\u79d1\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u7523\u79d1\u7de82023\u3000CQ702\u3000CQ703<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u80ce\u5150\u8ca7\u8840\u306e\u8a3a\u65ad 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[&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3686","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages\/3686"}],"collection":[{"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/comments?post=3686"}],"version-history":[{"count":17,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages\/3686\/revisions"}],"predecessor-version":[{"id":3879,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages\/3686\/revisions\/3879"}],"wp:attachment":[{"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/media?parent=3686"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}