改訂4版　MFICUマニュアル

出版社： メディカ出版
著者：
発行日： 2022-06-10
分野： 臨床医学：内科  >  周産期(新生児)
ISBN： 9784840478731
電子書籍版： 2022-06-10 （電子書籍版）
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母体・胎児ICU／MFICUで対応する事項に絞り込み、国内外の最新知識を盛り込んだ待望の改訂４版／全国周産期医療（MFICU）連絡協議会の幹事らが丁寧に査読を行い、確かな内容を収載／追加項目：「特定妊婦・社会的ハイリスク妊娠の対応」「周産期医療における診断・治療の思考過程」「生殖医療と周産期医療」「妊娠前に与えるべき情報―プレコンセプショナルコンサルテーション、薬剤―」「胎児・新生児の管理：診断のアプローチ」等
産婦人科医に必須の母体・胎児管理を解説
MFICUで対応する事項にフォーカスし、国内外の最新知識を盛り込んだ待望の新版。妊娠・分娩・産褥期における母体・胎児の異常について、管理・診断・治療を解説。「産婦人科診療ガイドライン：産科編2020」に対応。

目次

  • 【第1章】周産期医療概論
    ●1.　わが国の周産期医療体制の現状と課題
    ●2.　総合周産期母子医療センターの認定と今後
    ●3.　産科医療補償制度の概要
    ●4.　妊産婦死亡の対応と母体安全への提言
    ●5.　胎児治療の現状と課題
    ●6.　特定妊婦・社会的ハイリスク妊娠の対応
    ●7.　災害対策・BCP
    ●8.　周産期医療における診断・治療の思考過程
    ●9.　生殖医療と周産期医療


    【第2章】母体の管理
    ■I.　合併症妊娠（妊娠前からの内科／外科合併症）
    ●1.　心血管疾患－先天性心疾患，心筋症，不整脈，弁置換後や弁膜症など－
    1.　心疾患（不整脈を除く）
    2.　不整脈
    3.　高血圧合併妊娠
    ●2.　脳血管疾患－もやもや病，AVM，SAH－
    1.　脳出血
    2.　脳梗塞
    ●3.　血液疾患－ITP，貧血－
    1.　特発性（免疫性）血小板減少性紫斑病（ITP）
    2.　貧血
    ●4.　腎疾患－IgA腎症，ネフローゼ，CKD，腎移植後妊娠，血液透析中の妊婦－
    1.　IgA腎症
    2.　ネフローゼ症候群
    3.　慢性腎臓病（chronic kidney disease；CKD）
    4.　腎移植後妊娠
    5.　血液透析中の妊婦
    ●5.　肝・胆・膵疾患－胆石，胆道閉鎖症術後，肝移植後－
    1.　胆石
    2.　胆道閉鎖症術後妊娠
    3.　肝移植後妊娠
    ●6.　消化器疾患－炎症性腸疾患，過敏性腸症候群，虫垂炎－
    1.　炎症性腸疾患（潰瘍性大腸炎，クローン病）
    2.　過敏性腸症候群
    3.　虫垂炎
    ●7.　呼吸器疾患－気管支喘息－
    ●8.　糖尿病－Ⅰ型，Ⅱ型，劇症型（劇症Ⅰ型糖尿病）－
    ●9.　甲状腺疾患－機能亢進症，機能低下症，甲状腺がん－
    1.　顕性甲状腺機能亢進症（overt hyperthyroidism）
    2.　甲状腺機能低下症
    3.　産褥性甲状腺炎（PPT）
    4.　甲状腺結節と甲状腺がん
    ●10.　自己免疫疾患－SLE，抗リン脂質抗体症候群－
    ●11.　精神神経疾患－統合失調症，てんかん，うつ，不安神経症－
    ●12.　婦人科疾患－子宮頸癌・子宮頸部上皮内腫瘍，卵巣腫瘍，子宮筋腫，胞状奇胎娩出後－
    1.　子宮頸癌・子宮頸部上皮内腫瘍（CIN）
    2.　卵巣腫瘍
    3.　子宮筋腫
    4.　胞状奇胎娩出後
    ●13.　悪性腫瘍－乳がん，白血病－
    1.　乳がん
    2.　白血病
    ●14.　妊娠前に与えるべき情報－プレコンセプショナルコンサルテーション，薬剤－

    ■II.　産科合併症（妊娠に伴って発症した併発症）
    ●1.　後期流産－頸管無力症，巨大絨毛膜下血腫－
    1.　頸管無力症
    2.　巨大絨毛膜下血腫
    3.　流産
    ●2.　異所性妊娠－頸管妊娠，帝王切開瘢痕部妊娠－
    ●3.　切迫早産・前期破水
    1.　切迫早産
    2.　前期破水
    ●4.　妊娠糖尿病
    ●5.　妊娠高血圧症候群－子癇，HELLP症候群－
    1.　妊娠高血圧症候群
    2.　HELLP症候群
    ●6.　前置胎盤・癒着胎盤
    ●7.　常位胎盤早期剝離
    ●8.　臍帯異常
    1.　臍帯の発生で起きる異常：
    (1)臍帯卵膜付着・前置血管
    (2)臍帯捻転異常
    (3)単一臍帯動脈
    2.　正常の臍帯に偶発的に発生する異常：
    (1)臍帯巻絡・真結節
    (2)臍帯下垂・脱出
    ●9.　血液型不適合妊娠

    ■III.　周産期感染症
    ●1.　概論－児への感染経路，胎盤や羊水における感染・炎症，triple I－
    ●2.　GBS
    ●3.　風疹
    ●4.　CMV感染症
    ●5.　トキソプラズマ
    ●6.　結核
    ●7.　梅毒
    ●8.　麻疹
    ●9.　水痘・帯状疱疹
    ●10.　その他の感染症（HBV，HCV，HTLV-1，HIV，インフルエンザ）
    1.　B型肝炎
    2.　C型肝炎
    3.　成人T細胞白血病
    4.　HIV
    5.　インフルエンザ

    ■IV.　母体救急症（母体救命に関わる疾患）
    ●1.　出血性ショック
    ●2.　敗血症性ショック
    ●3.　妊婦の心肺停止・死戦期帝王切開
    ●4.　劇症型A群レンサ球菌感染症
    ●5.　周産期心筋症
    ●6.　羊水塞栓症
    ●7.　深部静脈血栓症（DVT）・肺血栓塞栓症（PTE）
    ●8.　意識障害
    ●9.　母体蘇生－JMELS，BLS，ACLS，ICLS－

    ■V.　分娩時の緊急対応
    ●1.　急速遂娩－超緊急帝王切開－
    ●2.　急速遂娩－早産期の帝王切開－
    ●3.　産後出血－弛緩出血，子宮内反症，産道裂傷，凝固異常－
    ●4.　子宮内反症（整復方法）

    ■VI.　経腟分娩時の特殊対応
    ●1.　帝王切開術後経腟分娩（TOLAC）
    ●2.　骨盤位経腟分娩
    ●3.　双胎児経腟分娩
    ●4.　肩甲難産

    ■VII.　産褥
    ●1.　産褥精神障害－PDS，自殺予防・精神科との連携などを含む－
    1.　マタニティ・ブルーズ
    2.　産後うつ病
    3.　産後精神病
    ●2.　産褥熱（Toxic Shock Syndromeを含む）


    【第3章】胎児・新生児の管理
    ■I.　概説
    ●1.　診断アプローチ

    ■II.　先天異常・形態異常
    ●1.　頭部・顔面・頸部
    ●2.　胸部－肺，心臓－
    1.　先天性肺気道奇形
    2.　心室中隔欠損症（ventricular septal defect）
    ●3.　腹部－消化器・胆囊・腎－
    1.　消化器
    2.　腎
    ●4.　四肢・骨格

    ■III.　機能異常
    ●1.　胎児機能不全
    ●2.　羊水過多・過少

    ■IV.　発育異常
    ●1.　Fetal Growth Restriction
    ●2.　Heavy-for-dates

    ■V.　多胎
    ●1.　多胎の妊娠・分娩管理
    ●2.　双胎間輸血症候群（TTTS）
    ●3.　無心体双胎

    ■VI.　胎児貧血・胎児水腫と胎児治療
    ●1.　胎児貧血
    ●2.　胎児水腫
    ●3.　胎児治療－FLP，TAS，RFA，胎児輸血，FETO－
    1.　FLP（胎児鏡下胎盤吻合血管レーザー凝固術）
    2.　胎児胸腔－羊水腔シャント術（TAS）
    3.　TRAPシークエンスに対するRFA（ラジオ波無心体双胎焼灼術）
    4.　胎児輸血
    5.　最重症胎児横隔膜ヘルニアに対するFETO

    ■VII.　新生児の管理
    ●1.　病的新生児の診断と初期管理
    1.　新生児仮死
    2.　呼吸障害
    3.　無呼吸
    4.　チアノーゼ
    5.　早発黄疸
    6.　新生児発作
    7.　嘔吐
    8.　吐血，下血
    9.　体温異常
    10.　細菌感染症・髄膜炎
    11.　特異的顔貌
    12.　性分化疾患
    ●2.　新生児の低体温療法
    ●3.　新生児蘇生法


    【第4章】産科麻酔
    ●1.　無痛分娩
    ●2.　帝王切開術の麻酔

    【付録】
    資料―周産期医療に必要なデータ・検査値・分類―

この書籍の参考文献

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第1章 周産期医療概論

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第2章 母体の管理

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第3章 胎児・新生児の管理

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第4章 産科麻酔

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