{"id":556,"date":"2016-04-15T10:25:56","date_gmt":"2016-04-15T01:25:56","guid":{"rendered":"http:\/\/h-crisis.niph.go.jp\/bt\/?page_id=556"},"modified":"2021-04-01T14:27:18","modified_gmt":"2021-04-01T05:27:18","slug":"27detail","status":"publish","type":"page","link":"https:\/\/h-crisis.niph.go.jp\/bt\/other\/27detail\/","title":{"rendered":"\u30cf\u30f3\u30bf\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u75c7 (\u814e\u75c7\u5019\u6027\u51fa\u8840\u71b1) – hemorrhagic fever with renal syndrome,HFRS"},"content":{"rendered":"

\u306f\u3058\u3081\u306b<\/h3>\n

\u30cf\u30f3\u30bf\u30a6\u30a4\u30eb\u30b9\u306f 2\u3064\u306e\u75c7\u5019\u7fa4\u814e\u75c7\u5019\u6027\u51fa\u8840\u71b1\uff08hemorrhagic fever with renal syndrome\uff0cHFRS\uff09\uff3d\u3068\uff3b\u5fc3\u6a5f\u80fd\u4e0d\u5168\u306b\u3088\u3089\u306a\u3044\u80ba\u6c34\u816b\u3092\u75c7\u72b6\u3068\u3059\u308b\u30cf\u30f3\u30bf\u30a6\u30a4\u30eb\u30b9\u80ba\u75c7\u5019\u7fa4\uff08hantavirus pulmonary syndrome\uff0cHPS\uff09\u3092\u5f15\u304d\u8d77\u3053\u3059\u3002<\/p>\n

\u25b2TOP<\/a><\/p>\n

\u75c5\u539f\u4f53\u306e\u7279\u5fb4<\/h3>\n

\u30cf\u30f3\u30bf\u30a6\u30a4\u30eb\u30b9\u30cf\u30f3\u30bf\u30fc\u30f3\u578b\uff0c\u30c9\u30d6\u30e9\u30d0\u578b\uff0c\u30bd\u30a6\u30eb\u578b\uff0c\u30d7\u30fc\u30de\u30e9\u578b\u306e4\u7a2e\u304c\u4e3b\u306a\u539f\u56e0\u30a6\u30a4\u30eb\u30b9\u3067\u3042\u308b\uff0e\u30cf\u30f3\u30bf\u30fc\u30f3\u578b\u3068\u30c9\u30d6\u30e9\u30d0\u578b\u30a6\u30a4\u30eb\u30b9\u306b\u3088\u308bHFRS\u304c\u91cd\u75c7\u3067\u3042\u308b\uff0e\u30d7\u30fc\u30de\u30e9\u30a6\u30a4\u30eb\u30b9\u306b\u3088\u308bHFRS\u306f\u6bd4\u8f03\u7684\u8efd\u75c7\u3067\uff0c\u6d41\u884c\u6027\u814e\u75c7\uff08Nephropathia epidermica\uff09\u3068\u547c\u3070\u308c\u308b\u3002\u5404\u30cf\u30f3\u30bf\u30a6\u30a4\u30eb\u30b9\u306b\u3088\u308b\u814e\u75c7\u5019\u6027\u51fa\u8840\u71b1\u306e\u6d41\u884c\u5730\u306f\uff0c\u88681\u306b\u793a\u3057\u305f\u3002<\/p>\n

\u88681\uff0e\u30cf\u30f3\u30bf\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u75c7\u306e\u7279\u5fb4<\/p>\n

\n\n\n\n
\n\n\n\n\n\n\n\n
\u7a2e<\/td>\n\u81ea\u7136\u5bbf\u4e3b<\/td>\n\u75be\u60a3\uff08\u6b7b\u4ea1\u7387\uff0c\uff05\uff09<\/td>\n\u6d41\u884c\u5730<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
\u30cf\u30f3\u30bf\u30fc\u30f3\uff08Hantaan\uff09<\/td>\n\u30bb\u30b9\u30b8\u30cd\u30ba\u30df<\/td>\n\u91cd\u75c7\u578bHFRS\uff085~10\uff09<\/td>\n\u30a2\u30b8\u30a2<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
\u30bd\u30a6\u30eb\uff08Seoul\uff09<\/td>\n\u30c9\u30d6\u30cd\u30ba\u30df<\/td>\n\u4e2d\u7b49\u5ea6\u578bHFRS\uff081\u301c5\uff09<\/td>\n\u4e2d\u56fd\uff0c\u97d3\u56fd<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
\u30c9\u30d6\u30e9\u30d0\uff08Dobrava\uff09<\/td>\n\u30ad\u30af\u30d3\u30a2\u30ab\u30cd\u30ba\u30df<\/td>\n\u91cd\u75c7\u578bHFRS\uff085\u301c10\uff09<\/td>\n\u6771\u6b27<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
\u30d7\u30fc\u30de\u30e9\uff08Puumala\uff09<\/td>\n\u30e8\u30fc\u30ed\u30c3\u30d1\u30e4\u30c1\u30cd\u30ba\u30df<\/td>\n\u8efd\u75c7\u578bHFRS\u3044\u308f\u3086\u308b\u6d41\u884c\u6027\u814e\u75c7\uff09\uff080.1\u301c0.3\uff09<\/td>\n\u5317\u6b27<\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

\u52d5\u7269\u5b9f\u9a13\u65bd\u8a2d\u95a2\u9023\u611f\u67d3\u4e8b\u6545\u306e\u5831\u544a\u3082\u3042\u308a\uff0c\u52d5\u7269\u65bd\u8a2d\u306b\u304a\u3051\u308b\u3052\u3063\u6b6f\u985e\u306e\u98fc\u80b2\u30fb\u7ba1\u7406\u306b\u306f\u7279\u6bb5\u306e\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n

\u25b2TOP<\/a><\/p>\n

\u4e3b\u306a\u81e8\u5e8a\u50cf<\/h3>\n

\u3053\u306e\u30a6\u30a4\u30eb\u30b9\u306f\u30d2\u30c8\u306b\u611f\u67d3\u3059\u308b\u3068\u72b6\u6cc1\u306b\u3088\u308a\u91cd\u7be4\u306a\u5168\u8eab\u611f\u67d3\uff0c\u3042\u308b\u3044\u306f\u814e\u75be\u60a3\u3092\u751f\u3058\uff0c\u4ee5\u4e0b\u306e\u578b\u304c\u77e5\u3089\u308c\u3066\u3044\u308b\u3002<\/p>\n

    \n
  1. \u91cd\u75c7\u30a2\u30b8\u30a2\u578b
    \n\u767a\u71b1\u3067\u59cb\u307e\u308b\u6709\u71b1\u671f\u3001\u4f4e\u8840\u5727\u671f\uff08\u30b7\u30e7\u30c3\u30af\uff09\uff08\uff14\uff5e\uff11\uff10\u65e5\uff09\u3001\u4e4f\u5c3f\u671f\uff08\uff18\uff5e\uff11\uff13\u65e5\uff09\u3001\u5229\u5c3f\u671f\uff08\uff11\uff10\uff5e\uff12\uff18\u65e5\uff09\u3001\u56de\u5fa9\u671f\u306b\u5206\u3051\u3089\u308c\u308b\u3002\u5168\u8eab\u76ae\u819a\u306b\u70b9\u72b6\u51fa\u8840\u304c\u51fa\u308b\u3053\u3068\u304c\u3042\u308b\u3002\u767a\u75c7\u304b\u3089\u6b7b\u4ea1\u307e\u3067\u306e\u6642\u9593\u306f\uff14\uff5e\uff12\uff18\u65e5\u3067\u3001\u5c3f\u7d20\u7a92\u7d20\u306f\uff15\uff10\uff5e\uff13\uff10\uff10mg\/dl \u306b\u9054\u3059\u308b\u3002\u9ad8\u5ea6\u306e\u86cb\u767d\u5c3f\u3001\u8840\u5c3f\u3092\u4f34\u3046\u3002<\/li>\n
  2. \u8efd\u75c7\u30b9\u30ab\u30f3\u30b8\u30ca\u30d3\u30a2\u578b\uff08\u6d41\u884c\u6027\u814e\u75c7\uff09
    \n\u3054\u304f\u8efd\u5ea6\u306e\u767a\u71b1\u3001\u86cb\u767d\u5c3f\u3001\u8840\u5c3f\u304c\u307f\u3089\u308c\u308b\u306e\u307f\u3067\u3001\u6975\u3081\u3066\u307e\u308c\u306b\u91cd\u75c7\u5316\u3059\u308b\u3002<\/li>\n<\/ol>\n

    \u25b2TOP<\/a><\/p>\n

    \u81e8\u5e8a\u691c\u67fb\u6240\u898b<\/h3>\n

    \u767d\u8840\u7403\u6570\u4f4e\u4e0b\u3068\u305d\u308c\u306b\u5f15\u304d\u7d9a\u304f\u5897\u52a0\uff0c\u8840\u5c0f\u677f\u6e1b\u5c11\u3001\u86cb\u767d\u5c3f\u3001\u304a\u3088\u3073\u3001\u809d\u6a5f\u80fd\u969c\u5bb3\uff08GOT\uff0cGPT\uff0cLDH\u306e\u4e0a\u6607\uff09\u3068\u814e\u6a5f\u80fd\u969c\u5bb3\uff08BUN\u3084\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u306e\u4e0a\u6607\uff09\u3092\u5448\u3059\u308b\u3002<\/p>\n

    \u25b2TOP<\/a><\/p>\n

    \u78ba\u5b9a\u8a3a\u65ad<\/h3>\n
      \n
    1. \u30a6\u30a4\u30eb\u30b9\u306e\u691c\u51fa\n
        \n
      1. \u8840\u6db2\u3084\u6025\u6027\u671f\u306e\u5c3f\u304b\u3089\u306e\u30a6\u30a4\u30eb\u30b9\u306e\u691c\u51fa\uff08\u5206\u96e2\uff0cRT-PCR\uff09
        \nRT-PCR\u6cd5\u306b\u3088\u308b\u75c5\u539f\u4f53\u306e\u907a\u4f1d\u5b50\u306e\u691c\u51fa\u306b\u306f\u672b\u68a2\u8840\u6db2\u5168\u8840\u304c\u691c\u4f53\u3068\u3057\u3066\u9069\u3057\u3066\u3044\u308b\u3002<\/li>\n
      2. \u75c5\u7406\u5b66\u7684\u691c\u51fa
        \n\u5256\u691c\u6642\u306b\u63a1\u53d6\u3055\u308c\u305f\u81d3\u5668\u304b\u3089\u306e\u30a6\u30a4\u30eb\u30b9\u306e\u691c\u51fa\uff08\u5206\u96e2\uff0cRT-PCR\uff0c\u611f\u67d3\u75c5\u7406\u5b66\u7684\u6297\u539f\u691c\u51fa\uff09<\/li>\n<\/ol>\n<\/li>\n
      3. \u30a6\u30a4\u30eb\u30b9\u6297\u4f53\u306e\u691c\u51fa\uff08\u767a\u75c7\u6642\u3059\u3067\u306b\u6297\u4f53\u304c\u691c\u51fa\u3055\u308c\u5f97\u308b\u7a0b\u5ea6\u306b\u4e0a\u6607\u3057\u3066\u3044\u308b\uff09
        \nELISA\u3084\u9593\u63a5\u86cd\u5149\u6297\u4f53\u6cd5\u306b\u3088\u308b\u6025\u6027\u671f\u3068\u56de\u5fa9\u671f\u306b\u304a\u3051\u308bIgG\u6297\u4f53\u306e\u6709\u610f\u306a\u4e0a\u6607\u306e\u78ba\u8a8d\u3001\u3082\u3057\u304f\u306f\u3001IgM\u6297\u4f53\u306e\u691c\u51fa\u3002<\/li>\n<\/ol>\n

        \u25b2TOP<\/a><\/p>\n

        \u6cbb\u7642<\/h3>\n

        \u5b89\u9759\uff0c\u30b7\u30e7\u30c3\u30af\u306b\u5bfe\u3059\u308b\u6cbb\u7642\uff0c\u8f38\u6db2\u30fb\u5faa\u74b0\u306e\u7ba1\u7406\u306a\u3069\u306e\u5bfe\u75c7\u7642\u6cd5\u304c\u57fa\u672c\u3067\uff0c\u7279\u7570\u7684\u6cbb\u7642\u6cd5\u306f\u306a\u3044\u3002<\/p>\n

        \u25b2TOP<\/a><\/p>\n

        \u4e88\u9632\uff08\u30ef\u30af\u30c1\u30f3\uff09<\/h3>\n

        \u6709\u52b9\u306a\u30ef\u30af\u30c1\u30f3\u306f\u306a\u3044\u3002\u814e\u75c7\u5019\u6027\u51fa\u8840\u71b1\u6d41\u884c\u5730\u306b\u6ede\u5728\u3059\u308b\u5834\u5408\u306b\u306f\uff0c\u611f\u67d3\u4e88\u9632\u304c\u5fc5\u8981\u3002<\/p>\n

        \u25b2TOP<\/a><\/p>\n

        \u30d0\u30a4\u30aa\u30cf\u30b6\u30fc\u30c9\u5bfe\u7b56<\/h3>\n

        \u30d2\u30c8\u304b\u3089\u30d2\u30c8\u3078\u306e\u611f\u67d3\u306f\u8d77\u3053\u3089\u306a\u3044\u3002\u56fd\u5185\u5404\u5730\u306e\u6e2f\u6e7e\u90e8\u306b\u304a\u3044\u3066\u3001\u30cf\u30f3\u30bf\u30a6\u30a4\u30eb\u30b9\u30ad\u30e3\u30ea\u30a2\u3068\u306a\u3063\u305f\u30c9\u30d6\u30cd\u30ba\u30df\u306e\u5b58\u5728\u304c\u78ba\u8a8d\u3055\u308c\u3066\u3044\u308b\u3002\u30e9\u30c3\u30c8\u306b\u3088\u308b\u5b9f\u9a13\u5ba4\u611f\u67d3\u306b\u6ce8\u610f\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u30cf\u30f3\u30bf\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u30cd\u30ba\u30df\u3068\u63a5\u89e6\u3059\u308b\u6a5f\u4f1a\u304c\u5897\u3048\u308b\u3088\u3046\u306a\u5bb6\u4e8b\uff0c\u8077\u696d\uff0c\u91ce\u5916\u6d3b\u52d5\u304c\u30cf\u30f3\u30bf\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u75c7\u306e\u611f\u67d3\u30ea\u30b9\u30af\u3068\u306a\u308b\u3002\u30cd\u30ba\u30df\u304c\u5bb6\u3084\u8077\u5834\u306b\u55b6\u5de3\u3057\u306a\u3044\u3088\u3046\u306b\u885b\u751f\u74b0\u5883\u3092\u6539\u5584\u3057\uff0c\u611f\u67d3\u30cd\u30ba\u30df\u304b\u3089\u306e\u5206\u6ccc\u7269\u3084\u553e\u6db2\u304c\u30a8\u30a2\u30ed\u30be\u30eb\u5316\u3057\u306a\u3044\u3088\u3046\u306b\u884c\u52d5\u3059\u308b\u3002\u5bb6\u3084\u7269\u7f6e\u306a\u3069\u306e\u69cb\u9020\u7269\u306e\u4e2d\u306b\uff0c\u98df\u7269\u3092\u7f6e\u304b\u306a\u3044\uff0c\u55b6\u5de3\u53ef\u80fd\u306a\u6240\u3092\u306a\u304f\u3059\uff0c\u30cd\u30ba\u30df\u304c\u51fa\u5165\u308a\u3067\u304d\u308b\u7a74\u3092\u3075\u3055\u3050\uff0c\u30cd\u30ba\u30df\u53d6\u308a\u3084\u6bba\u9f20\u5264\u3092\u7528\u3044\u305f\u30cd\u30ba\u30df\u306e\u6355\u7372\u306a\u3069\u306e\u5bfe\u7b56\u304c\u611f\u67d3\u4e88\u9632\u306b\u6709\u52b9\u3067\u3042\u308b\u3002\u30cd\u30ba\u30df\u304c\u55b6\u5de3\u3057\u3066\u3044\u308b\u3068\u601d\u308f\u308c\u308b\u5efa\u7269\u306b\u5165\u308b\u6642\u306b\u306f\uff0c\u5fc5\u305a\uff0c\u7a93\u3084\u30c9\u30a2\u3092\u958b\u3051\u3066\uff0c\u5916\u6c17\u304c\u5165\u308b\u3088\u3046\u306b\u3059\u308b\u3002\u5efa\u7269\u306b\u5165\u5ba4\u3059\u308b\u6642\u306f\uff0c\u6fc0\u3057\u304f\u52d5\u304d\u56de\u3089\u305a\uff0c\u30db\u30b3\u30ea\u3092\u5438\u3044\u8fbc\u307e\u306a\u3044\u3088\u3046\u306b\u3059\u308b\u3002\u30cf\u30f3\u30bf\u30a6\u30a4\u30eb\u30b9\u306f\uff0c\u5e0c\u91c8\u3055\u308c\u305f\u30d6\u30ea\u30fc\u30c1\uff0c\u6d17\u5264\uff0c\u4e00\u822c\u7684\u306a\u6d88\u6bd2\u6db2\u306b\u611f\u53d7\u6027\u3057\uff0c\u3053\u308c\u3089\u3067\u6d88\u6bd2\u53ef\u80fd\u3067\u3042\u308b\u3002\u30cd\u30ba\u30df\u304c\u55b6\u5de3\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u5efa\u7269\u306e\u4e2d\u306e\u6c5a\u67d3\u3055\u308c\u3066\u3044\u308b\u5834\u6240\u30fb\u7269\u54c1\u306f10\uff05\u30d6\u30ea\u30fc\u30c1\u6db2\u3084\u305d\u306e\u4ed6\u306e\u6d88\u6bd2\u6db2\u3067\u6d88\u6bd2\u3059\u308b\u3002\u30db\u30a6\u30ad\u3084\u6383\u9664\u6a5f\u3092\u4f7f\u3063\u3066\u30cd\u30ba\u30df\u306e\u55b6\u5de3\u5834\u6240\u3092\u6383\u9664\u3057\u306a\u3044\u3002\u6355\u7372\u3055\u308c\u305f\u30cd\u30ba\u30df\u3084\u6b7b\u3093\u3060\u30cd\u30ba\u30df\u306f\uff0c10\uff05\u30d6\u30ea\u30fc\u30c1\u6db2\u306b\u6d78\u3051\u3066\u6d88\u6bd2\u3057\u3066\u304b\u3089\u6271\u3046\u3002\u4f7f\u7528\u6e08\u307f\u306e\u30cd\u30ba\u30df\u30ab\u30b4\u3084\u624b\u888b\u306f\uff0c\u5fc5\u305a\u6d88\u6bd2\u3059\u308b\u3002\u5b9f\u9a13\u306b\u304a\u3044\u3066\u30cf\u30f3\u30bf\u30a6\u30a4\u30eb\u30b9\u3092\u6271\u3046\u5834\u5408\u306b\u306f\uff0cBSL-3\u5b9f\u9a13\u5ba4\u3067\u884c\u3046\u3002<\/p>\n

        \u25b2TOP<\/a><\/p>\n

        \u611f\u67d3\u75c7\u6cd5\u306b\u304a\u3051\u308b\u53d6\u308a\u6271\u3044<\/h3>\n

        \u56db\u985e\u611f\u67d3\u75c7\u306b\u6307\u5b9a\u3055\u308c\u3066\u304a\u308a\u3001\u4e0b\u8a18\u306e\u5834\u5408\u3001\u6cd5\u7b2c12\u6761\u7b2c1\u9805\u306e\u898f\u5b9a\u306b\u3088\u308b\u5c4a\u51fa\u3092\u76f4\u3061\u306b\u884c\u308f\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n

          \n
        1. \u60a3\u8005\uff08\u78ba\u5b9a\u4f8b\uff09
          \n\u75c7\u72b6\u3084\u6240\u898b\u304b\u3089\u5f53\u8a72\u75be\u60a3\u304c\u7591\u308f\u308c\u3001\u4e0a\u8a18\u306e\u691c\u67fb\u306b\u3088\u3063\u3066\u75c5\u539f\u4f53\u306e\u8a3a\u65ad\u304c\u3055\u308c\u305f\u3082\u306e\u3002<\/li>\n
        2. \u7121\u75c7\u72b6\u75c5\u539f\u4f53\u4fdd\u6709\u8005
          \n\u81e8\u5e8a\u7684\u7279\u5fb4\u3092\u5448\u3057\u3066\u3044\u306a\u3044\u304c\u3001\u4e0a\u8a18\u306e\u691c\u67fb\u306b\u3088\u308a\u3001\u75c5\u539f\u4f53\u306e\u8a3a\u65ad\u304c\u3055\u308c\u305f\u3082\u306e\u3002<\/li>\n
        3. \u611f\u67d3\u75c7\u6b7b\u4ea1\u8005\u306e\u6b7b\u4f53
          \n\u75c7\u72b6\u3084\u6240\u898b\u304b\u3089\u5f53\u8a72\u75be\u60a3\u304c\u7591\u308f\u308c\u3001\u4e0a\u8a18\u306e\u691c\u67fb\u306b\u3088\u3063\u3066\u75c5\u539f\u4f53\u306e\u8a3a\u65ad\u304c\u3055\u308c\u305f\u3082\u306e\u3002<\/li>\n
        4. \u611f\u67d3\u75c7\u6b7b\u4ea1\u7591\u3044\u8005\u306e\u6b7b\u4f53
          \n\u75c7\u72b6\u3084\u6240\u898b\u304b\u3089\u3001\u5f53\u8a72\u75be\u60a3\u306b\u3088\u308a\u6b7b\u4ea1\u3057\u305f\u3068\u7591\u308f\u308c\u308b\u3082\u306e\u3002<\/li>\n<\/ol>\n

          \u25b2TOP<\/a><\/p>\n

          \u53c2\u8003\u6587\u732e<\/h3>\n
            \n
          1. \u6709\u5ddd\u4e8c\u90ce\uff0e\u814e\u75c7\u5019\u6027\u51fa\u8840\u71b1\uff0e\u65e5\u672c\u81e8\u5e8a 65\u5897\u520a\u53f72:112-116, 2007<\/li>\n
          2. \u56fd\u7acb\u611f\u67d3\u75c7\u7814\u7a76\u6240\uff0e\u611f\u67d3\u75c7\u306e\u8a71\uff1a\u814e\u75c7\u5019\u6027\u51fa\u8840\u71b1\uff08http:\/\/idsc.nih.go.jp\/idwr\/kansen\/k04\/k04_51\/k04_51.html<\/a>\uff09<\/li>\n<\/ol>\n