Operation Manual

76
(AFIB/MAM
ϊοϭϲϓρϘϓέϛΑϣϟ΍ϑΎηΗϛϼϟϲϧϳΫϷ΍ϥΎϔΟέϟ΍έη΅ϣέϭϬυ ˾
ϰϟ·⑳ίϣέϟ΍΍ΫϫέϳηϳϭϲϧϳΫϷ΍ϥΎϔΟέϟ΍ϑΎηΗϛ΍ίΎϬΟϟ΍΍ΫϫϊϳρΗγϳ
ϥΎϔΟέΙϭΩΣΔϟΎΣϲϓαΎϳϘϟ΍ΔϳϠϣϋ˯ΎϧΛ΃ϲϧϳΫ΃ϥΎϔΟέϑΎηΗϛ΍ϡΗϪϧ΃
νϳϣϭϟ΍ϲϓ΃ΩΑϳϲϧϳΫϷ΍ϥΎϔΟέϟ΍έη΅ϣϥΈϓˬϡΩϟ΍ρϐοαΎϳϗ˯ΎϧΛ΃ϲϧϳΫ΃
ΩόΑϯέΧ΃ΓέϣAFIB/MAMαΎϳϗΓΩηΑ΢λϧϳϭΔΛϼΛϟ΍ΕΎγΎϳϘϟ΍ΔϳΎϬϧϲϓ
έ΍έϛΗΩόΑϲϧϳΫϷ΍ϥΎϔΟέϟ΍ίϣέέϬυϳϡϟ΍Ϋ·ΔΟϳΗϧϟ΍Ωϳϛ΄ΗϟΓΩΣ΍ϭΔϋΎγ
αΎϳϘϟ΍˯΍έΟΈΑϰλϭϳΔϟΎΣϟ΍ϩΫϫϲϓϭϕϠϘϟ΍ϰϟ·ϭϋΩϳΎϣΩΟϭϳϼϓˬαΎϳϘϟ΍
ϲϟΎΗϟ΍ϡϭϳϟ΍ϲϓϯέΧ΃Γέϣ
ΓΩϋˬϝΎΛϣϟ΍ϝϳΑγϰϠϋϡυΗϧϣϝϛηΑίϣέϟ΍έϬυϝΎΣϲϔϓˬϙϟΫϥϣϡϏέϟΎΑ
ΓέΎϳίΑ΢λϧϧΎϧϧΈϓˬΔϳϣϭϳΓέϭλΑϡΩϟ΍ρϐοαΎϳϗϊϣωϭΑγϷ΍ϲϓΕ΍έϣ
ϲϟΎΗϟ΍΢ϳοϭΗϟΎΑΏϳΑρϟ΍ΩϳϭίΗϰΟέ
˵
ϳϭΏϳΑρϟ΍
ϲϧϳΫϷ΍ϥΎϔΟέϟ΍έη΅ϣέϭϬυέ΍έϛΗϝϭΣΏϳΑρϠϟΕΎϣϭϠόϣ
ΩΩέΗΎοϳ΃ϝ
˷
ϠΣϳϱΫϟ΍ΏϠϘΗϣϟ΍ϡ
˷
Ωϟ΍ρϐοΔΑϗ΍έϣϟίΎϬΟϭϫίΎϬΟϟ΍΍Ϋϫ
ΎϳέϳέγϩέΎΑΗΧ΍ϡΗΩϗίΎϬΟϟ΍
˷
ϥ·αΎϳϘϟ΍˯ΎϧΛ΃νΑϧϟ΍
αΎϳϘϟ΍˯ΎϧΛ΃ΔΛϭΩΣΔϟΎΣϲϓαΎϳϘϟ΍ΩόΑϲϧϳΫϷ΍ϥΎϔΟέϟ΍ίϣέέϬυϳ
ΓΩϋˬϝΎΛϣϟ΍ϝϳΑγϰϠϋέέϛΗϣϝϛηΑϲϧϳΫϷ΍ϥΎϔΟέϟ΍έϬυϝΎΣϲϓϭ
νϳέϣϟ΍ϲλϭϧΎϧϧΈϓˬΔϳϣϭϳΓέϭλΑϡΩϟ΍ρϐοαΎϳϗϊϣΎ
˱
ϳϋϭΑγ΃Ε΍έϣ
ϪϧϛϟˬϲΑϠϘϟ΍ιΣϔϟ΍˯΍έΟ·ϥϋίΎϬΟϟ΍΍Ϋϫϲϧϐ
˵
ϳϻΏϳΑρϟ΍ΓέΎηΗγΎΑ
ϻ·νϳέϣϟ΍ϪϔηΗϛϳϻϱΫϟ΍ϲϧϳΫϷ΍ϥΎϔΟέϠϟέϛΑϣϟ΍ϑΎηΗϛϻ΍ϲϓΩϋΎγϳ
ΔϳΑϠϗΔΗϛγΙϭΩΣΩόΑ
Ε΍˯΍έϘϟ΍ϱΩΎϔΗϟϙϟΫϭˬαΎϳϘϟ΍˯ΎϧΛ΃ω΍έΫϟ΍ϙϳέΣΗϡΩϋϰϠϋιέΣ΃
%
Δ΋ρΎΧϟ΍
ϥϳΫϟ΍Ω΍έϓϷ΍ϯΩϟϥϳΫϷ΍νΎΑϘϧ΍έΎόηΗγΎΑίΎϬΟϟ΍΍ΫϫϡϭϘϳϻΩϗ

%
ϲϠοόϟ΍νΎΑϘϧϻ΍ϙϓίΎϬΟϭ΃νΑϧϟ΍ρΑοίΎϬΟϥϭϠϣόΗγϳ
νέόϟ΍ϲϓΔϳ΋ϭοϟ΍Ε΍έη΅ϣϟ΍ ˿
ϡΩϟ΍ρϐοΔΟϳΗϧϡϳϳϘΗϙϟέϬυϳ 󰚨 ΔηΎηϟ΍ϥϣϯέγϳϟ΍ΔϓΎΣϟ΍ϰϠϋρϳέηϟ΍
ϭ΃ϲϟΎϘΗέΑΔϳϟΎϋ
˱
΍ΩΟˬέϔλ΃ΔόϔΗέϣˬέέοΧ΃ΔϳόϳΑρϪϳϟ·έΎηϣϟ΍
ΉΩΎΑϣϟ΍ΎϬΗΩΩΣΎϣϛϝϭΩΟϟ΍ϲϓ˽ΕΎϗΎρϧέυΎϧϳϑϳϧλΗϟ΍ΓέϳρΧέϣΣϷ΍
©˺ϡγϘϟ΍ªϲϓ΢οϭϣϭϫΎϣϛˬ(ESH, AHA, JSH)ˬΔϳϟϭΩϟ΍ΔϳϬϳΟϭΗϟ΍
ΕΎϧΎϳΑϟ΍Γέϛ΍Ϋ ̀
αΎϳϗ˼˹έΧ΃ϥϳίΧΗΑΎ
˱
ϳ΋ΎϘϠΗίΎϬΟϟ΍ϡϭϘϳ
ΔϧίΧϣϟ΍Ξ΋ΎΗϧϟ΍ΓΩϫΎηϣ
ϻϭ΃νέόΗΊϔρϣίΎϬΟϟ΍ϥϭϛϳΎϣΩϧϋˬΓίϳΟϭΓΩϣϟ
②Mέίρϐο·
©M 17ªϙϟΫϰϠϋϝΎΛϣϭˬΔϣϳϘϟ΍ϙϟΫΩόΑϭ
⑱©Mªνέόϟ΍ΔηΎη
ΓέϳΧϷ΍ΔΟϳΗϧϟ΍ϰϟ·ίΎϬΟϟ΍ϝϘϧϳ
˷
ϡΛΓέϛ΍Ϋϟ΍ϲϓΔϣϳϗ˺̀ϙΎϧϫ
˷
ϥ΄Αϲϧόϳ΍Ϋϫ
 ΔϳΗϭλΓ˯΍έϗίΎϬΟϟ΍έΩλϳγˬΔΟϳΗϧϝϛΩϧϋΔυϭϔΣϣϟ΍
΍έ΍έϣMέίϰϠϋρϐοϟ΍ϭϕΑΎγϟ΍αΎϳϘϟ΍νέόϳMέίϰϠϋρϐοϟ΍ϥ·
έΧ΁ϭυ
˷
ϔΣϣαΎϳϗϥϳΑϝϘϧΗϟ΍ϥϣϙϧ
˷
ϛϣϳ
Γ˯ϭϠϣϣΓέϛ΍Ϋϟ΍
ϡΗϳϡϟϪϧ΃ϭαΎϳϗ˼˹ϭϫΓέϛ΍Ϋϟ΍ΔόγϟΩΣϰλϗ΃ϥ΃έϛΫΗΗϥ΃ϲϐΑϧϳ

%
ϥΎϛϣϝΣΗ˼˺ΔϣϳϘϟ΍ϥΈϓˬΓέϛ΍ΫϠϟαΎϳϗ˼˹˰ϟ΍ΊϠΗϣΗΎϣΩϧϋϩίϭΎΟΗ
ϰϟ·Γέϛ΍Ϋϟ΍ϝϭλϭϝΑϗΕΎγΎϳϘϟ΍ϡϳϳϘΗΑΏϳΑρϡϭϘϳϥ΃ϲϐΑϧϳαΎϳϗϡΩϗ΃
ΕΎϧΎϳΑϟ΍ΕΩϘϓϻ·ϭΎϬΗόγ
ΕΎγΎϳϘϟ΍ϊϳϣΟ΢γϣ
 M έίΕΑΛϭρϐο΍ˬΔυ
˷
ϔΣϣϟ΍ΕΎγΎϳϘϟ΍ϊϳϣΟ΢γϣΩϳέΗϙϧ΄ΑΩ
˷
ϛ΄ΗϣΕϧϛ΍Ϋ·
ϙόΑλ·ϊϓέ΍ϙϟΫΩόΑϭ«CL»έϬυϳϰΗΣΎϣΩϘϣίΎϬΟϟ΍˯Ύϔρ·ϡΗϳϥ΃ΏΟϳ
«CL»νϣϭϳΎϣϧϳΑ
M έίρϐο΍ˬϡ΋΍ΩϝϛηΑΓέϛ΍Ϋϟ΍΢γϣϟ
˷
έίϟ΍ϥϋ
΢γϣΗϥ΃ϥϛϣϳϻΔϳΩέϔϟ΍ΕΎγΎϳϘϟ΍
ΔϳέΎρΑϟ΍έϳϳϐΗϭΔϳέΎρΑϟ΍έη΅ϣ ́
˯ΎϬΗϧϻ΍ϰϠϋΕΑέΎϗΕΎϳέΎρΑϟ΍
νϣϭϳγ
⑰ΔϳέΎρΑϟ΍ίϣέϥΈϓΎΑϳέϘΗΕΎϳέΎρΑϟ΍˽?˼ϝΎϣόΗγ΍ϡΗϳΎϣΩϧϋ
έϣΗγϳγίΎϬΟϟ΍ϥ΃ϥϣϡϏέϟΎΑΔ΋ϠΗϣϣϪΑηΔϳέΎρΑϟ΍νέόΗϝϣόϳίΎϬΟϟ΍ϭ
ΔϠϳΩΑΕΎϳέΎρΑϰϠϋϝλΣΗϥ΃ΏΟϳˬϕϭΛϭϣϝϛηΑαΎϳϘϟ΍ϲϓ
ϝϳΩΑΗΕϬΗϧ΍ΕΎϳέΎρΑϟ΍
ίΎϬΟϟ΍ϝϳϐηΗΩϧϋνϣϭϳγ
⑰ΔϳέΎρΑϟ΍ίϣέϥΈϓˬΕΎϳέΎρΑϟ΍ϲϬΗϧΗΎϣΩϧϋ
ϥ΃ΏΟϳϭϯέΧ΃ΕΎγΎϳϗ
˷
ϱ΃ΫΧ΃ϊϳρΗγΗϻΔϳϬΗϧϣΔϳέΎρΑϟ΍νέόΗ
ΕΎϳέΎρΑϟ΍ϝΩΑΗγΗ
ίΎϬΟϟ΍ϝϔγ΃ϲϓ
⑨ΔϳέΎρΑϟ΍ΓέϳΟΣ΢Ηϓ΍ ˺
ϲϓίϭϣέϟΎΑϥϳΑϣϭϫΎϣϛΔΣϳΣλϟ΍ΔϳΑρϘϟ΍ϥϣΩϛ΄ΗΕΎϳέΎρΑϟ΍ϝΩΑ
Ηγ΍ ˻
ΓέϳΟΣϟ΍
©˼ϡγϘϟ΍ªϲϓ΢οϭϣϟ΍˯΍έΟϹ΍ϊΑΗ΍ˬΕϗϭϟ΍ϭΦϳέΎΗϟ΍Ω΍ΩϋϹ ˼
ΦϳέΎΗϟ΍ϥϳϳόΗΓΩΎϋ·ϰϟ·ΔΟΎΣϟ΍ϥϣϡϏέϟΎΑϡϳϘϟ΍ΔϓΎϛΑΓέϛ΍Ϋϟ΍υϔΗΣΗ

%
ϝ΍ΩΑΗγ΍ΩόΑϙϟΫϰϠϋ
˱
˯ΎϧΑΎ
˱
ϳ΋ΎϘϠΗΔϧγϟ΍ϡϗένϣϭϳΙϳΣ±Εϗϭϟ΍ϭ
ΕΎϳέΎρΑϟ΍
ˮ˯΍έΟ·
˷
ϱ΃ϭΕΎϳέΎρΑΔϳ΃
.AA alkalineϡΟΣΔϳέΎρΑV˺̄˾x˽ 
%
ΎϬ΋ΎϬΗϧ΍ΦϳέΎΗΩόΑΕΎϳέΎρΑϟ΍ϝϣόΗγΗϻ

%
ΔϠϳϭρΓΩϣϟίΎϬΟϟ΍ϝϣόΗγϳϥϟ΍Ϋ·ˬΕΎϳέΎρΑϟ΍ϝί΃

%
ϥΣηϠϟΔϠΑΎϘϟ΍ΕΎϳέΎρΑϟ΍ϝΎϣόΗγ·
ϥΣηϠϟΔϠΑΎϗΕΎϳέΎρΑϝΎϣόΗγΎΑΎοϳ΃ίΎϬΟϟ΍΍Ϋϫϝ
˷
ϐηΗϥ΃ϙϧϛϣϳ
ΔϳϧΎΛϝΎϣόΗγϼϟΔϠΑΎϘϟ΍ρϘϓ©NiMHªωϭϧΕΎϳέΎρΑϝΎϣόΗγ΍ϰΟέϳ

%
ΔϳέΎρΑϟ΍ίϣέέϬυ΍Ϋ·ˬΎϬϧΣηΩΎόϳϭϝ΍ίΗϥ΃ΏΟϳΕΎϳέΎρΑϟ΍

%
΢ΑλΗΩϗΫ·ˬίΎϬΟϟ΍ϝΧ΍ΩϰϘΑΗϻϥ΃ΏΟϳΔϳϬΗϧϣΔϳέΎρΑϟ΍