{"id":1270,"date":"2018-08-29T09:00:00","date_gmt":"2018-08-29T00:00:00","guid":{"rendered":"https:\/\/www.editage.jp\/blog\/?p=1270"},"modified":"2025-09-07T10:15:06","modified_gmt":"2025-09-07T01:15:06","slug":"masahiro_kashiura_acutemedicine","status":"publish","type":"post","link":"https:\/\/www.editage.jp\/blog\/masahiro_kashiura_acutemedicine\/","title":{"rendered":"\u300c\u81e8\u5e8a\u7591\u554f\u3092\u89e3\u6c7a\u3001\u5916\u306b\u767a\u4fe1\u3067\u304d\u308c\u3070\u3068\u8003\u3048\u308b\u3088\u3046\u306b\u306a\u308a\u3001\u82f1\u8a9e\u8ad6\u6587\u3092\u57f7\u7b46\u300d\u67cf\u6d66\u6b63\u5e83\u5148\u751f\uff08\u81ea\u6cbb\u533b\u79d1\u5927\u5b66\u4ed8\u5c5e\u3055\u3044\u305f\u307e\u533b\u7642\u30bb\u30f3\u30bf\u30fc \u7dcf\u5408\u533b\u5b66I\u6551\u6025\u90e8\u3000\u6551\u6025\u79d1\u5c02\u9580\u533b\u3000\u96c6\u4e2d\u6cbb\u7642\u5c02\u9580\u533b\uff09"},"content":{"rendered":"\n

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\uff08\u4ee5\u4e0b\u3001\u672c\u6587\u656c\u79f0\u7565\uff0f\u80a9\u66f8\u3001\u3054\u6240\u5c5e\u306f\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u5f53\u6642\u306e\u3082\u306e\u3067\u3059\uff09<\/pre>\n\n\n\n
\u539f\u7a3f\u306b\u3088\u3063\u3066\u82f1\u6587\u6821\u6b63\u30b5\u30fc\u30d3\u30b9\u306e\u4f7f\u3044\u5206\u3051\u3092\u3057\u3066\u3044\u307e\u3059\u3002<\/mark><\/h2>\n\n\n
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\"\"<\/figure><\/div>\n\n\n
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(\u67cf\u6d66)<\/strong> \u6700\u521d\u306f\u548c\u6587\u8a8c\u306e\u82f1\u8a9e\u6284\u9332\u306b\u82f1\u6587\u6821\u6b63\u306e\u8a3c\u660e\u66f8\u304c\u5fc5\u8981\u3060\u3063\u305f\u305f\u3081\u5f53\u6642\u306e\u4e0a\u53f8\u306b\u76f8\u8ac7\u3057\u305f\u3068\u3053\u308d\u3001\u305d\u306e\u4e0a\u53f8\u306e\u5148\u751f\u304c\u30a8\u30c7\u30a3\u30c6\u30fc\u30b8\u3092\u4f7f\u308f\u308c\u3066\u3044\u305f\u306e\u3067\u3001\u305d\u306e\u307e\u307e\u30a8\u30c7\u30a3\u30c6\u30fc\u30b8\u3092\u4f7f\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n
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\u2015\u2015\u2015<\/strong>\u67cf\u6d66\u5148\u751f\u306b\u306f\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u82f1\u6587\u6821\u6b63\u3001\u30d7\u30ec\u30df\u30a2\u30e0\u82f1\u6587\u6821\u6b63\u3068\u3001\u30d7\u30ec\u30df\u30a2\u30e0\u82f1\u6587\u6821\u6b63\u30d7\u30e9\u30b9*\u3068\u3001\u5168\u90e8\u306e\u82f1\u6587\u6821\u6b63\u30b5\u30fc\u30d3\u30b9\u3092\u304a\u4f7f\u3044\u3044\u305f\u3060\u3044\u3066\u304a\u308a\u307e\u3059\u306d\u3002\u539f\u7a3f\u306b\u3088\u3063\u3066\u4f7f\u3044\u5206\u3051\u3092\u3055\u308c\u3066\u3044\u308b\u306e\u3067\u3059\u304b\uff1f*2018\u5e7412\u6708\u306b\u30d7\u30ec\u30df\u30a2\u30e0\u82f1\u6587\u6821\u6b63\u306b\u7d71\u5408\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n
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\"\"<\/figure><\/div>\n\n\n
\u2015\u2015\u2015<\/strong>\u30d7\u30ec\u30df\u30a2\u30e0\u82f1\u6587\u6821\u6b63\u30d7\u30e9\u30b9\u304c\u6628\u5e74\u30ea\u30cb\u30e5\u30fc\u30a2\u30eb\u3057\u305f\u3053\u3068\u306f\u3054\u5b58\u77e5\u3067\u3057\u305f\u304b\uff1f<\/p>\n\n\n\n
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(\u67cf\u6d66)<\/strong>\u81ea\u5206\u306e\u5834\u5408\u306f\u81e8\u5e8a\u7814\u7a76\u306e\u539f\u8457\u8ad6\u6587\u4ee5\u5916\u306b\u75c7\u4f8b\u5831\u544a\u3084\u3001\u5148\u307b\u3069\u3082\u304a\u8a71\u3057\u305fclinical image\u3084\u3001\u4ed6\u306e\u7814\u7a76\u306b\u5bfe\u3059\u308bletter\u306a\u3069\u69d8\u3005\u306a\u30bf\u30a4\u30d7\u306e\u5831\u544a\u3092\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u5ea6\u306b\u30a8\u30c7\u30a3\u30c6\u30fc\u30b8\u3055\u3093\u306b\u82f1\u6587\u30c1\u30a7\u30c3\u30af\u3092\u304a\u9858\u3044\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n
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\n
\"\"<\/figure><\/div>\n\n\n
\u2015\u2015\u2015<\/strong>\u5148\u751f\u306f\u73fe\u5728\u306f\u307b\u3068\u3093\u3069\u6551\u6025\u306e\u81e8\u5e8a\u306e\u73fe\u5834\u306b\u3044\u3089\u3063\u3057\u3083\u308b\u306e\u3067\u3057\u3087\u3046\u304b\u3002<\/p>\n\n\n\n
(\u67cf\u6d66)<\/strong>\u30e1\u30a4\u30f3\u306f\u81e8\u5e8a\u696d\u52d9\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u305f\u3060\u5927\u5b66\u306e\u9644\u5c5e\u75c5\u9662\u3067\u3059\u306e\u3067\u3001\u7814\u7a76\u3092\u884c\u3046\u6a5f\u4f1a\u306f\u591a\u3044\u3067\u3059\u3002\u305f\u3060\u3001\u7814\u7a76\u306b\u5e38\u6642\u5f93\u4e8b\u3057\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u306e\u3067\u3001\u81e8\u5e8a\u696d\u52d9\u306e\u5408\u9593\u306b\u7814\u7a76\u3057\u3066\u3044\u308b\u3088\u3046\u306a\u72b6\u6cc1\u3067\u3059\u306d\u3002<\/p>\n\n\n\n
\u2015\u2015\u2015<\/strong>\u81ea\u6cbb\u533b\u79d1\u5927\u5b66\u306e\u6551\u547d\u6551\u6025\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u306b\u306f\u3044\u3064\u304b\u3089\u3044\u3089\u3063\u3057\u3083\u3044\u307e\u3059\u304b\uff1f<\/p>\n\n\n\n
(\u67cf\u6d66)<\/strong>\u3082\u3068\u3082\u30684\u5e74\u9593\u3001\u81ea\u6cbb\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u3055\u3044\u305f\u307e\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u3067\u521d\u671f\u7814\u4fee\u3084\u6551\u6025\u79d1\u5f8c\u671f\u7814\u4fee\u3092\u884c\u3044\u3001\u305d\u306e\u5f8c\u306b\u90fd\u5185\u306e\u6551\u6025\u6551\u547d\u30bb\u30f3\u30bf\u30fc\u306b7\u5e74\u9593\u52e4\u3081\u307e\u3057\u305f\u3002\u96c6\u4e2d\u6cbb\u7642\u306a\u3069\u306e\u91cd\u75c7\u60a3\u8005\u7ba1\u7406\u3082\u5b66\u3093\u3067\u30012017\u5e744\u6708\u306b\u81ea\u6cbb\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u3055\u3044\u305f\u307e\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u306b\u623b\u3063\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n
\u2015\u2015\u2015<\/strong>\u6551\u6025\u533b\u5b66\u306e\u5206\u91ce\u306b\u9032\u307e\u308c\u305f\u304d\u3063\u304b\u3051\u306b\u3064\u3044\u3066\u3001\u304a\u805e\u304b\u305b\u3044\u305f\u3060\u3051\u307e\u3059\u304b\u3002<\/p>\n\n\n\n
(\u67cf\u6d66)<\/strong>\u7814\u4fee\u533b\u306b\u306a\u3063\u305f\u3068\u304d\u3001\u5f53\u521d\u306f\u6d88\u5316\u5668\u5916\u79d1\u306a\u3069\u306e\u5916\u79d1\u7cfb\u5206\u91ce\u306b\u9032\u3082\u3046\u3068\u601d\u3063\u3066\u3044\u307e\u3057\u305f\u30022\u5e74\u9593\u306e\u521d\u671f\u81e8\u5e8a\u7814\u4fee\u3092\u3084\u3063\u3066\u3044\u308b\u9593\u306b\u3001\u30df\u30fc\u30cf\u30fc\u3067\u3059\u3051\u3069\u3001\u3061\u3087\u3046\u3069\u305d\u306e\u9803\u306b\u2026\u3002<\/p>\n\n\n\n
\u2015\u2015\u2015<\/strong>\u300e\u30b3\u30fc\u30c9\u30d6\u30eb\u30fc\u300f\u3067\u3059\u304b\uff1f<\/p>\n\n\n\n
(\u67cf\u6d66)<\/strong>\u306f\u3044\u3002\u300e\u30b3\u30fc\u30c9\u30d6\u30eb\u30fc\u300f\u304c\u3084\u3063\u3066\u3044\u305f\u306e\u3082\u3042\u3063\u305f\u308a\u3068\u304b\u3002\u3082\u3061\u308d\u3093\u305d\u308c\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u7814\u4fee\u4e2d\u306b\u69d8\u3005\u306a\u75be\u60a3\u3092\u8a3a\u305f\u3044\u3068\u3044\u3046\u601d\u3044\u304c\u51fa\u3066\u304d\u307e\u3057\u305f\u3002\u305d\u3046\u3059\u308b\u3068\u5185\u79d1\u7cfb\u3067\u3082\u5916\u79d1\u7cfb\u3082\u95a2\u4fc2\u306a\u304f\u8a3a\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u306e\u3067\u6551\u6025\u306b\u9032\u3080\u3053\u3068\u306b\u3057\u307e\u3057\u305f\u3002\u521d\u671f\u81e8\u5e8a\u7814\u4fee2\u5e74\u3067\u7d42\u308f\u308b\u306e\u3067\u30013\u5e74\u76ee\u304b\u3089\u6551\u6025\u79d1\u3092\u5c02\u653b\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n
\u2015\u2015\u2015<\/strong>\u5185\u79d1\u30fb\u5916\u79d1\u3068\u672c\u5f53\u306b\u591a\u5c90\u306b\u308f\u305f\u308b\u904e\u9177\u306a\u73fe\u5834\u306b\u3044\u3089\u3063\u3057\u3083\u308b\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u5b9f\u969b\u306e\u73fe\u5834\u306f\u3001\u3044\u304b\u304c\u3067\u3057\u3087\u3046\u304b\u3002<\/p>\n\n\n\n
(\u67cf\u6d66)<\/strong>\u3084\u306f\u308a\u69d8\u3005\u306a\u77e5\u8b58\u3082\u5fc5\u8981\u3067\u3059\u3057\u3001\u65e5\u3005\u89e3\u6c7a\u3067\u304d\u306a\u3044\u81e8\u5e8a\u7591\u554f\u306b\u3042\u305f\u308b\u3053\u3068\u3082\u591a\u304f\u3042\u308a\u307e\u3057\u305f\u30026\u5e74\u524d\u3050\u3089\u3044\u304b\u3089\u81e8\u5e8a\u7591\u554f\u3092\u89e3\u6c7a\u3057\u305f\u3044\u3001\u307e\u305f\u3067\u304d\u308b\u3060\u3051\u5916\u306b\u767a\u4fe1\u3067\u304d\u308c\u3070\u3068\u8003\u3048\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u305d\u3053\u3067\u75c7\u4f8b\u5831\u544a\u3084\u81e8\u5e8a\u7814\u7a76\u3092\u66f8\u304d\u59cb\u3081\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u307e\u305f\u548c\u6587\u8a8c\u3088\u308a\u3082\u82f1\u6587\u8a8c\u306e\u6295\u7a3f\u3092\u76ee\u6307\u3057\u3001\u305d\u3053\u304b\u3089\u82f1\u8a9e\u3067\u306e\u8ad6\u6587\u57f7\u7b46\u3092\u59cb\u3081\u307e\u3057\u305f\u3002\u305f\u3060\u5f53\u521d\u306f\u81e8\u5e8a\u7814\u7a76\u306e\u9032\u3081\u65b9\u3082\u5206\u304b\u3089\u306a\u304b\u3063\u305f\u306e\u3067\u4eac\u90fd\u5927\u5b66\u533b\u5b66\u7814\u7a76\u79d1\u793e\u4f1a\u5065\u5eb7\u533b\u5b66\u7cfb\u5c02\u653b\u306e\u30aa\u30f3\u30e9\u30a4\u30f3\u306e\u8b1b\u5ea7\uff08MCR extension\uff09\u3092\u53d7\u8b1b\u3057Web\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u3084\u5e74\uff12\u56de\u306e\u4eac\u90fd\u3067\u306e\u30ef\u30fc\u30af\u30b7\u30e7\u30c3\u30d7\u3092\u901a\u3057\u3066\u81e8\u5e8a\u7814\u7a76\u306e\u30ea\u30c6\u30e9\u30b7\u30fc\u3092\u5b66\u3073\u307e\u3057\u305f\u3002<\/p>\n\n\n\n
Hybrid ER\u3092\u4f7f\u7528\u3057\u305f\u521d\u671f\u8a3a\u7642\u306e\u6709\u7528\u6027\u3092\u8a3c\u660e\u3057\u3088\u3046\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/mark><\/h2>\n\n\n
\n
\"\"<\/figure><\/div>\n\n\n
\u2015\u2015\u2015<\/strong>\u305d\u3053\u304b\u3089\u672c\u683c\u7684\u306b\u7814\u7a76\u3092\u59cb\u3081\u305f\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u306d\u3002\u73fe\u5728\u3001\u7279\u306b\u53d6\u308a\u7d44\u3093\u3067\u3044\u308b\u30c6\u30fc\u30de\u3064\u3044\u3066\u6559\u3048\u3066\u3044\u305f\u3060\u3051\u307e\u3059\u304b\uff1f<\/p>\n\n\n\n
(\u67cf\u6d66)<\/strong>\u4eca\u307e\u3067\u306e\u7814\u7a76\u5185\u5bb9\u3068\u3057\u3066\u306f\u3001\u4e3b\u306b\u9662\u5916\u5fc3\u505c\u6b62\u306e\u81e8\u5e8a\u7814\u7a76\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u5fc3\u505c\u6b62\u306e\u7814\u7a76\u306b\u95a2\u9023\u3057\u3066\u4f53\u5916\u5f0f\u819c\u578b\u4eba\u5de5\u80ba\uff08ECMO\uff09\u3068\u3044\u3046\u4f53\u5916\u5faa\u74b0\u88c5\u7f6e\u3092\u4f7f\u3063\u305f\u5fc3\u80ba\u8607\u751f\u3084\u3001\u5faa\u74b0\u4e0d\u5168\u30fb\u547c\u5438\u4e0d\u5168\u306e\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u306e\u7814\u7a76\u3092\u4e3b\u306b\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u4eca\u5f8c\u306e\u30c6\u30fc\u30de\u3068\u3057\u3066\u306f\u3001\u300cHybrid ER\u300d\u306e\u6709\u7528\u6027\u306e\u7814\u7a76\u3092\u9032\u3081\u3066\u3044\u307e\u3059Hybrid ER\u3068\u306f\u3001\u60a3\u8005\u3055\u3093\u304c\u79fb\u52d5\u305b\u305a\u306b\u5fc5\u8981\u306a\u51e6\u7f6e\u3092\uff11\u30f5\u6240\u3067\u884c\u3046\u3053\u3068\u304c\u3067\u304d\u308b\u3001\u5168\u304f\u65b0\u3057\u3044\u30bf\u30a4\u30d7\u306e\u6551\u6025\u521d\u7642\u5ba4\u306e\u3053\u3068\u3067\u3059\u3002\u521d\u7642\u5ba4\u306bCT\u64ae\u5f71\u88c5\u7f6e\u3084X\u7dda\u900f\u8996\u88c5\u7f6e\u3092\u5099\u3048\u3066\u3044\u308b\u306e\u3067\u3001\u6551\u6025\u60a3\u8005\u3055\u3093\u3092\u79fb\u52d5\u3055\u305b\u308b\u3053\u3068\u306a\u304f\u3001\u8fc5\u901f\u306b\u691c\u67fb\u3084\u51e6\u7f6e\u306b\u3042\u305f\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u307e\u3060\u5c0e\u5165\u3057\u3066\u3044\u308b\u65bd\u8a2d\u306f\u5c11\u306a\u3044\u3067\u3059\u306d\u3002<\/p>\n\n\n\n
\u2015\u2015\u2015<\/strong>\u5c0e\u5165\u3078\u306e\uff11\u756a\u306e\u30cf\u30fc\u30c9\u30eb\u306f\u4f55\u3067\u3057\u3087\u3046\u304b\uff1f<\/p>\n\n\n\n
(\u67cf\u6d66)<\/strong>\u5834\u6240\u3068\u8cbb\u7528\u306e\u78ba\u4fdd\u306e\u554f\u984c\u3067\u3057\u3087\u3046\u304b\u3002\u81ea\u6cbb\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u3055\u3044\u305f\u307e\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u306b\u306f2016\u5e74\u306b\u5c0e\u5165\u3055\u308c\u307e\u3057\u305f\u3002\u6551\u6025\u8a3a\u7642\u306f\u5404\u75c5\u9662\u3084\u65bd\u8a2d\u306b\u3088\u3063\u3066\u5f62\u614b\u304c\u591a\u7a2e\u591a\u69d8\u3067\u3059\u3002\u6551\u6025\u642c\u9001\u3055\u308c\u305f\u60a3\u8005\u3055\u3093\u306e\u521d\u671f\u8a3a\u7642\u3060\u3051\u3067\u306a\u304f\u3001\u305d\u306e\u307e\u307e\u5165\u9662\u6cbb\u7642\u306b\u3042\u305f\u308b\u3053\u3068\u3082\u591a\u3044\u3067\u3059\u3002\u305f\u3060\u3001\u75c5\u9662\u306b\u3088\u3063\u3066\u3069\u306e\u5c02\u9580\u533b\u304c\u3044\u308b\u304b\u3082\u9055\u3046\u306e\u3067\u3001\u672c\u5f53\u306b\u65bd\u8a2d\u3084\u75c5\u9662\u306b\u3088\u3063\u3066\u69d8\u3005\u306a\u8ab2\u984c\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n
\u2015\u2015\u2015<\/strong>\u75c7\u72b6\u306b\u3088\u3063\u3066\u3001\u5c02\u9580\u306e\u533b\u5e2b\u3068\u306e\u9023\u643a\u306f\u5fc5\u305a\u5fc5\u8981\u3067\u3059\u3088\u306d\u3002<\/p>\n\n\n\n
(\u67cf\u6d66)<\/strong>\u305d\u3046\u3067\u3059\u306d\u3002\u642c\u9001\u3055\u308c\u308b\u60a3\u8005\u3055\u3093\u306f\u540c\u3058\u60a3\u8005\u3055\u3093\u306f\u3044\u306a\u3044\u3057\u3001\u5168\u304f\u540c\u3058\u75c7\u4f8b\u3082\u306a\u3044\u3002\u30c1\u30fc\u30e0\u30ef\u30fc\u30af\u3082\u3001\u30b9\u30d4\u30fc\u30c9\u611f\u3082\u5927\u4e8b\u3067\u3059\u3002\u96e3\u3057\u3044\u3051\u308c\u3069\u305d\u3053\u304c\u9762\u767d\u3044\u3001\u3084\u308a\u304c\u3044\u3092\u611f\u3058\u308b\u3068\u3053\u308d\u3067\u3059\u3002\u3053\u306eHybrid ER\u306f\u5916\u50b7\u3001\u3064\u307e\u308a\u4ea4\u901a\u4e8b\u6545\u3084\u589c\u843d\u306b\u3088\u308b\u602a\u6211\u306e\u8a3a\u7642\u306b\u306f\u6709\u7528\u306a\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3044\u307e\u79c1\u304c\u884c\u3063\u3066\u3044\u308b\u7814\u7a76\u306f\u3001\u5185\u56e0\u6027\u75be\u60a3\u306e\u60a3\u8005\u3055\u3093\u3078\u306e\u9069\u5fdc\u3067\u3059\u3002\u767a\u75c7\u9593\u3082\u306a\u3044\u8d85\u6025\u6027\u671f\u306e\u8133\u6897\u585e\u306e\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u306a\u3069\u3067\u3059\u306d\u3002\u305d\u3046\u3044\u3063\u305f\u75c7\u4f8b\u306b\u5bfe\u3057\u3066\u3082\u3001Hybrid ER\u3092\u4f7f\u7528\u3057\u305f\u521d\u671f\u8a3a\u7642\u306e\u6709\u7528\u6027\u3092\u8a3c\u660e\u3057\u3088\u3046\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n
\u2015\u2015\u2015<\/strong>\u7814\u7a76\u8005\u3068\u3057\u3066\u306e\u4eca\u5f8c\u306e\u30ad\u30e3\u30ea\u30a2\u306b\u3064\u3044\u3066\u3001\u76ee\u6a19\u306a\u3069\u3092\u304a\u805e\u304b\u305b\u3044\u305f\u3060\u3051\u307e\u3059\u304b\uff1f<\/p>\n\n\n\n
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