救急診療における一般撮影の 撮影 ... - jert.jp

1 WG JATEC primary survey X X primary survey 1. 2. 3. 4. 22 11 1 ~ 23 1 31 3 2 1 24 9 ~17 17 ~9 X ( ) X ( ) CR FPD F/S (1) (Primary survey) Primary survey (2) 15cm 20cm Primary survey Primary survey BG ~ (3) Primary survey Primary survey ( 123 3 1.)

2 (28)2. (14)3. (12) jert WG 352714943111100%10%20%30%40%50%60%70%80% 90%100% ( )51514141891312230%20%40%60%80%100% 4 5 9 10 14 15 19 20 24 25 29 30 34 35 39 40 8891912131113611130%20%40%60%80%100% 0 99 100 199 200 299 300 399 400 499 500 599 600 699 700 799 800 899 900 999 1000 100 1000 300 399 40 4 361421520%20%40%60%80%100% 4131480%20%40%60%80%100% 3 2 1 ( ) 2 1 24 ( ) 35 111 280250%20%40%60%80%100% CR 116 FPD 15F/S 0 0CR F/S FPD CR 8 ( )

3 20900%20%40%60%80%100% JATEC X 7 X F/S (Primary survey) ( )6%93%1% Primary survey (Primary survey) CT ( ) 7053734658310%20%40%60%80%100% BG BG 57%61%65% 43%39%35% ( ) 0%20%40%60%80%100% BG 0%10%20%30%40%50%60%70%80%90%100% BG 2323253128290%10%20%30%40%50%60%70%80%90 %100% BGN:30N:34N:36N:40N:60 ( ) 3:1 8:1 34 40 100cm 3.

4 1 2118242428190%20%40%60%80%100% BG3 14 15 16 18 110 112 1429411641180%20%40%60%80%100% BG100cm110cm120cm130cm140cm150cm180cm Gd(-) 60 69kV Gd(+) 80 89 90 99 V 051015202530 59kV60 69kV70 79kV80 89kV90 99kV100 109kV110 119kV120kV (-) (+) (-) (+) B(-) B(+) _ (kV)0102030405060 4mAs5 9mAs10 14mAs15 19mAs20 24mAs25mAs (-) (+) (-) (+) B(-) B(+) 4mAs As _ mAs 05101520253035 99cm100 109cm110 119cm120 129cm130 139cm140 149cm150cm (-) (+) (-) (+) B(-) B(+) 100cm 120cm _ (cm) 80kV _ (kV)01020304050607080 59kV60 69kV70 79kV80 89kV90 99kV100 109kV110 119kV120kV (-) (+) (-) (+) B(-) B(+) _ (kV)05101520253035 4mAs5 9mAs10 14mAs15 19mAs20 24mAs25 29mAs (-) (+) (-) (+) B(-) B(+) mAs _ mAs 0102030405060 99cm100 109cm110 119cm120 129cm130 139cm140 149cm150cm (-) (+) (-) (+) B(-) B(+) Gd 100cm 120cm _ (cm)010203040506070 59kV60 69kV70 79kV80 89kV90 99kV100 109kV110 119kV120kV (-) (+) (-) (+) B(-) B(+) 80kV 70kV _ (kV)05101520253035 4mAs5 9mAs10 14mAs15 19mAs20 24mAs25 29mAs (-) (+) (-) (+) B(-) B(+) _ mAs 0102030405060 99cm100 109cm110 119cm120 129cm130 139cm140 149cm150cm (-) (+) (-) (+) B(-) B(+) 100cm 120cm _ (cm) 1.

5 24 2. CR 3. survey 5. 3:1,8:1,N34,N40 6. Gd(-)60kV Gd(+)80~100kV 7. 5:1,6:1,N34 80kV 8. mAs ( )Gd 3:1 90 V Gd 80,90 V 3:1 90kV ( )5:1or6:1 34 3:1 40 8:1 40 60 Gd(-)3034364060Gd(-)9000003 100701404 10000115 100200006 101191908 10080131410 100000112 1000001 Table 50(42%) ( ) 5 20mAs 65707580859095100G (-)134100003,34001501003,40122522104,600 00100005,340431012006,30000100006,340319 33006,36010000006,40012410008,3402600000 8,40001810018,600155300010,600001000012, 6001000000 (kV) , mAs Table mAs Table 80kV 510203030 Gd(-)531003,34033103,40185104,60010005,3 40711106,30001006,341106206,36001006,400 34108,34025018,40138108,6000112110,60001 0012,6001000 , (Primary survey) WG mAs 1.

6 2. 3:1 3. mAs 4.