{"id":621,"date":"2022-07-18T15:05:52","date_gmt":"2022-07-18T13:05:52","guid":{"rendered":"https:\/\/neuropediatoolbox.wordpress.com\/2022\/07\/18\/criterios-para-atribuir-causalmente-la-paralisis-cerebral-a-un-evento-perinatal\/"},"modified":"2026-06-22T16:28:33","modified_gmt":"2026-06-22T16:28:33","slug":"criterios-para-atribuir-causalmente-la-paralisis-cerebral-a-un-evento-perinatal","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/ja\/criterios-para-atribuir-causalmente-la-paralisis-cerebral-a-un-evento-perinatal\/","title":{"rendered":"\u8133\u6027\u9ebb\u75fa\u304c\u5468\u7523\u671f\u306e\u51fa\u6765\u4e8b\u306b\u56e0\u679c\u95a2\u4fc2\u304c\u3042\u308b\u3068\u307f\u306a\u3059\u305f\u3081\u306e\u57fa\u6e96\u3002"},"content":{"rendered":"<div id=\"wp-block-themeisle-blocks-accordion-bd857888\" class=\"wp-block-themeisle-blocks-accordion\">\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>\u65b0\u751f\u5150\u8133\u75c7\u306e\u75c5\u6b74\u3002<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<ul class=\"wp-block-list\">\n<li>\u65b0\u751f\u5150\u8133\u75c7\u306e\u75c5\u6b74\u3002\u65b0\u751f\u5150\u8133\u75c7\u306f\u3001\u5728\u80ce\u671f\u9593 35 \u9031\u4ee5\u4e0a\u306e\u65b0\u751f\u5150\u306e\u751f\u5f8c\u6570\u65e5\u9593\u306e\u795e\u7d4c\u6a5f\u80fd\u306e\u5909\u5316\u3092\u7279\u5fb4\u3068\u3059\u308b\u81e8\u5e8a\u75c7\u5019\u7fa4\u3067\u3001\u901a\u5e38\u306f\u6b21\u306e\u3044\u305a\u308c\u304b\u3092\u793a\u3057\u307e\u3059\u3002\n<ul class=\"wp-block-list\">\n<li>\u610f\u8b58\u30ec\u30d9\u30eb\u306e\u5909\u5316\u3002<\/li>\n\n\n\n<li>\u3066\u3093\u304b\u3093\u767a\u4f5c\u3002<\/li>\n\n\n\n<li>\u81ea\u5f8b\u547c\u5438\u306e\u958b\u59cb\u3068\u7dad\u6301\u304c\u56f0\u96e3\u3002<\/li>\n\n\n\n<li>\u30c8\u30fc\u30f3\u3068\u53cd\u5c04\u304c\u6e1b\u5c11\u3057\u307e\u3057\u305f\u3002 <\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>\u751f\u5f8c5\u5206\u306810\u5206\u3067\u306e\u30a2\u30d7\u30ac\u30fc\u30c6\u30b9\u30c8\u306f5\u672a\u6e80\u3002<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<ul class=\"wp-block-list\">\n<li>\u30a2\u30d7\u30ac\u30fc\u30c6\u30b9\u30c8\u306e\u30b9\u30b3\u30a2\u304c\u4f4e\u3044\u3068\u8133\u6027\u9ebb\u75fa\u306e\u76f8\u5bfe\u30ea\u30b9\u30af\u304c\u9ad8\u304f\u3001\u30b9\u30b3\u30a2\u304c\u4f4e\u3044\u307b\u3069\u3053\u306e\u30ea\u30b9\u30af\u306f\u9ad8\u304f\u306a\u308a\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u30a2\u30d7\u30ac\u30fc\u30c6\u30b9\u30c8\u304c\u5909\u66f4\u3055\u308c\u305f\u65b0\u751f\u5150\u306e\u307b\u3068\u3093\u3069\u306f\u8133\u6027\u9ebb\u75fa\u3092\u6301\u3063\u3066\u3044\u307e\u305b\u3093\u3002 <\/li>\n<\/ul>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>\u81cd\u5e2f\u8840\u30b5\u30f3\u30d7\u30eb\u4e2d\u306e\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u3002<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<ul class=\"wp-block-list\">\n<li>\u81cd\u5e2f\u306e pH \u304c 7.0 \u672a\u6e80\u307e\u305f\u306f\u5869\u57fa\u6b20\u4e4f\u304c 12 mmol\/L \u672a\u6e80\u3001\u3042\u308b\u3044\u306f\u305d\u306e\u4e21\u65b9\u3067\u3042\u308b\u5834\u5408\u3001\u65b0\u751f\u5150\u8133\u75c7\u306b\u5206\u5a29\u5185\u4f4e\u9178\u7d20\u75c7\u306e\u8981\u7d20\u304c\u542b\u307e\u308c\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u304f\u306a\u308a\u307e\u3059\u3002 <\/li>\n<\/ul>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>\u795e\u7d4c\u753b\u50cf\u8a3a\u65ad\u3002 MRI \u3067\u306e\u6025\u6027\u8133\u640d\u50b7\u306e\u8a3c\u62e0\u3002\u4f4e\u9178\u7d20\u6027\u865a\u8840\u6027\u8133\u75c7\u3068\u4e00\u81f4\u3002 <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<ul class=\"wp-block-list\">\n<li>\u8133 MRI \u306f\u3001\u6700\u9069\u306a\u795e\u7d4c\u753b\u50cf\u6280\u8853\u3067\u3059\u3002\u7d4c\u6cc9\u9580\u8d85\u97f3\u6ce2\u691c\u67fb\u3068 CT \u691c\u67fb\u306f\u611f\u5ea6\u304c\u4f4e\u3044\u3067\u3059\u3002 <\/li>\n\n\n\n<li>\u3055\u307e\u3056\u307e\u306a\u795e\u7d4c\u753b\u50cf\u30d1\u30bf\u30fc\u30f3\u304c\u3042\u308a\u3001\u305d\u306e\u5f8c\u306e\u795e\u7d4c\u5b66\u7684\u95a2\u4e0e\u3092\u4e88\u6e2c\u3059\u308b\u4e88\u5f8c\u4fa1\u5024\u304c\u3042\u308a\u307e\u3059\u3002\n<ul class=\"wp-block-list\">\n<li>\u751f\u5f8c 24 \u6642\u9593\u5f8c\u306e\u901a\u5e38\u306e\u8133 MRI \u691c\u67fb\u3067\u306f\u3001\u6025\u6027\u640d\u50b7\u306e\u9818\u57df\u304c\u660e\u3089\u304b\u306b\u306a\u3089\u305a\u3001\u4e88\u5f8c\u306f\u826f\u597d\u3067\u3059\u304c\u3001\u3059\u3079\u3066\u306e\u75c5\u5909\u304c\u751f\u5f8c 1 \u9031\u9593\u3092\u904e\u304e\u308b\u307e\u3067\u73fe\u308c\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002 <\/li>\n\n\n\n<li>\u751f\u5f8c24\u6642\u9593\u304b\u308996\u6642\u9593\u306e\u9593\u306b\u64ae\u5f71\u3055\u308c\u305fMRI\u306f\u3001\u6025\u6027\u8133\u640d\u50b7\u306e\u4e00\u6642\u6027\u3092\u7279\u5b9a\u3059\u308b\u306e\u306b\u611f\u5ea6\u304c\u9ad8\u3044\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u751f\u5f8c10\u65e5\u76ee\uff08\u751f\u5f8c7\u6642\u9593\u304b\u308921\u6642\u9593\u306e\u9593\uff09\u306b\u64ae\u5f71\u3055\u308c\u305fMRI\u306f\u3059\u3079\u3066\u306e\u75c5\u5909\u3092\u7279\u5b9a\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002 <\/li>\n\n\n\n<li>\u795e\u7d4c\u753b\u50cf\u51e6\u7406\u306e\u9032\u6b69\u306b\u3082\u95a2\u308f\u3089\u305a\u3001\u6709\u5bb3\u4e8b\u8c61\u306e\u767a\u751f\u6642\u9593\u3092\u6b63\u78ba\u306b\u7279\u5b9a\u3059\u308b\u80fd\u529b\u306f\u4f9d\u7136\u3068\u3057\u3066\u9650\u3089\u308c\u3066\u3044\u307e\u3059\uff08\u6642\u9593\u3084\u5206\u3067\u306f\u306a\u304f\u3001\u6570\u65e5\u306e\u8aa4\u5dee\u3092\u8a31\u5bb9\u3057\u3066\u63a8\u5b9a\u3067\u304d\u307e\u3059\uff09\u3002 <\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>\u4f4e\u9178\u7d20\u6027\u865a\u8840\u6027\u8133\u75c7\u306e\u8a3a\u65ad\u3068\u4e00\u81f4\u3059\u308b\u591a\u81d3\u5668\u4e0d\u5168\u306e\u5146\u5019\u306e\u5b58\u5728\u3002 <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u591a\u81d3\u5668\u640d\u50b7\u306b\u306f\u3001\u814e\u4e0d\u5168\u3001\u809d\u4e0d\u5168\u3001\u8840\u6db2\u75be\u60a3\u3001\u5fc3\u7b4b\u6a5f\u80fd\u4e0d\u5168\u3001\u4ee3\u8b1d\u7570\u5e38\u3001\u80c3\u8178\u640d\u50b7\u3001\u307e\u305f\u306f\u305d\u308c\u3089\u306e\u7d44\u307f\u5408\u308f\u305b\u304c\u542b\u307e\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002 <\/li>\n\n\n\n<li>\u591a\u81d3\u5668\u4e0d\u5168\u306e\u5b58\u5728\u306f\u4f4e\u9178\u7d20\u6027\u865a\u8840\u6027\u8133\u75c7\u306e\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u307e\u3059\u304c\u3001MRI \u3067\u7279\u5b9a\u3067\u304d\u308b\u8133\u640d\u50b7\u306e\u91cd\u75c7\u5ea6\u306f\u3001\u4ed6\u306e\u81d3\u5668\u306e\u95a2\u4e0e\u3068\u5fc5\u305a\u3057\u3082\u76f8\u95a2\u3059\u308b\u3068\u306f\u9650\u308a\u307e\u305b\u3093\u3002 <\/li>\n<\/ul>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>\u5206\u5a29\u3084\u51fa\u7523\u306e\u76f4\u524d\u307e\u305f\u306f\u6700\u4e2d\u306b\u8d77\u3053\u308b\u30bb\u30f3\u30c1\u30cd\u30eb\u30a4\u30d9\u30f3\u30c8\u3002 <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<ul class=\"wp-block-list\">\n<li>\u5b50\u5bae\u7834\u88c2\u3002<\/li>\n\n\n\n<li>\u91cd\u5ea6\u306e\u80ce\u76e4\u65e9\u671f\u5265\u96e2\u3002 <\/li>\n\n\n\n<li>\u81cd\u5e2f\u8131\u51fa\u3002<\/li>\n\n\n\n<li>\u91cd\u5ea6\u306e\u4f4e\u8840\u5727\u3068\u6bcd\u89aa\u306e\u4f4e\u9178\u7d20\u75c7\u306e\u540c\u6642\u767a\u751f\u3092\u4f34\u3046\u7f8a\u6c34\u585e\u6813\u3002 <\/li>\n\n\n\n<li>\u6bcd\u89aa\u306e\u5fc3\u80ba\u505c\u6b62\u3002 <\/li>\n\n\n\n<li>\u524d\u7f6e\u8840\u7ba1\u307e\u305f\u306f\u5927\u91cf\u306e\u80ce\u5150\u6bcd\u4f53\u51fa\u8840\u306b\u3088\u308b\u80ce\u5150\u306e\u653e\u8840\u3002 <\/li>\n\n\n\n<li>\u975e\u5e38\u7dda\u306e\u56de\u89a7\u306f\u5341\u5206\u306a\u30bb\u30f3\u30c1\u30cd\u30eb\u30a4\u30d9\u30f3\u30c8\u3092\u69cb\u6210\u3057\u307e\u305b\u3093\u3002 <\/li>\n<\/ul>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>\u80ce\u5150\u5fc3\u62cd\u6570\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0 \u30d1\u30bf\u30fc\u30f3\u306f\u3001\u6025\u6027\u306e\u5468\u7523\u671f\u307e\u305f\u306f\u5206\u5a29\u4e2d\u306e\u30a4\u30d9\u30f3\u30c8\u3068\u4e00\u81f4\u3057\u307e\u3059\u3002 <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<ul class=\"wp-block-list\">\n<li>\u30bf\u30a4\u30d7 I \u304a\u3088\u3073\u30bf\u30a4\u30d7 II \u306e\u30c8\u30ec\u30fc\u30b9\u306f\u30015 \u5206\u9593\u306e\u30a2\u30d7\u30ac\u30fc 7 \u4ee5\u4e0a\u3001\u6b63\u5e38\u306a\u81cd\u52d5\u8108 pH\u3001\u307e\u305f\u306f\u305d\u306e\u4e21\u65b9\u306b\u95a2\u9023\u3059\u308b\u5834\u5408\u3001\u6025\u6027\u4f4e\u9178\u7d20\u865a\u8840\u6027\u30a4\u30d9\u30f3\u30c8\u3068\u4e00\u81f4\u3057\u307e\u305b\u3093\u3002 <\/li>\n\n\n\n<li>\u6700\u521d\u306b\u7570\u5e38\u306a CTCG \u30d1\u30bf\u30fc\u30f3\u3092\u793a\u3059\u60a3\u8005\u3068\u3001\u5206\u5a29\u4e2d\u306b\u7570\u5e38\u306a CTCG \u30d1\u30bf\u30fc\u30f3\u304c\u767a\u73fe\u3059\u308b\u60a3\u8005\u306e\u9593\u306b\u306f\u5927\u304d\u306a\u9055\u3044\u304c\u3042\u308a\u307e\u3059\u3002\n<ul class=\"wp-block-list\">\n<li>\u521d\u8a3a\u6642\u306b\u78ba\u8a8d\u3055\u308c\u305f60\u5206\u4ee5\u4e0a\u7d9a\u304f\u30bf\u30a4\u30d7II\u306e\u8ffd\u8de1\u306f\u3001\u5909\u52d5\u304c\u306a\u304f\u52a0\u901f\u3082\uff08\u6e1b\u901f\u304c\u306a\u3044\u5834\u5408\u3067\u3082\uff09\u306a\u304f\u3001\u80ce\u5150\u304c\u640d\u306a\u308f\u308c\u3066\u3044\u308b\u304b\u3001\u3059\u3067\u306b\u4eee\u6b7b\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u307e\u3059\u3002\u80ce\u5150\u306e\u5065\u5eb7\u72b6\u614b\u304c\u982d\u84cb\u51a0\u306e pH \u307e\u305f\u306f\u751f\u7269\u7269\u7406\u5b66\u7684\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u306b\u3088\u3063\u3066\u78ba\u8a8d\u3067\u304d\u306a\u3044\u5834\u5408\u306f\u3001\u76f4\u3061\u306b\u5206\u5a29\u7d42\u4e86\u3092\u8a08\u753b\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002 <\/li>\n\n\n\n<li>\u30bf\u30a4\u30d7 I \u306e\u8ffd\u8de1\u304c\u30bf\u30a4\u30d7 III \u306b\u306a\u308b\u5834\u5408 (\u30e6\u30fc\u30cb\u30b9\u30fb\u30b1\u30cd\u30c7\u30a3\u30fb\u30b7\u30e5\u30e9\u30a4\u30d0\u30fc\u56fd\u7acb\u5c0f\u5150\u4fdd\u5065\u4eba\u9593\u958b\u767a\u7814\u7a76\u6240\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u3088\u308b) \u306f\u3001\u4f4e\u9178\u7d20\u6027\u865a\u8840\u6027\u30a4\u30d9\u30f3\u30c8\u3092\u793a\u5506\u3057\u3066\u3044\u307e\u3059\u3002 <\/li>\n\n\n\n<li>I \u578b\u304b\u3089\u767a\u75c7\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u4f4e\u9178\u7d20\u6027\u865a\u8840\u6027\u30a4\u30d9\u30f3\u30c8\u306e\u767a\u75c7\u3092\u793a\u5506\u3059\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u4ed6\u306e\u8ffd\u8de1\u306b\u306f\u3001\u53cd\u5fa9\u6027\u306e\u6e1b\u901f\u3092\u4f34\u3046\u983b\u8108\u304a\u3088\u3073\u53cd\u5fa9\u6027\u306e\u6e1b\u901f\u306b\u4f34\u3046\u6301\u7d9a\u7684\u306a\u6700\u5c0f\u5909\u52d5\u304c\u542b\u307e\u308c\u307e\u3059\u3002 <\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>\u795e\u7d4c\u753b\u50cf\u691c\u67fb\u3067\u7279\u5b9a\u53ef\u80fd\u306a\u9060\u9694\u8133\u640d\u50b7\u306e\u30d1\u30bf\u30fc\u30f3\u3067\u3001\u5206\u5a29\u5468\u56f2\u307e\u305f\u306f\u5206\u5a29\u4e2d\u306e\u51fa\u6765\u4e8b\u306b\u3088\u3063\u3066\u5f15\u304d\u8d77\u3053\u3055\u308c\u305f\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u307e\u3059\u3002 <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<ul 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\u6642\u9593\u4ee5\u5185\u306b\u306f\u7570\u5e38\u3092\u660e\u3089\u304b\u306b\u3067\u304d\u307e\u305b\u3093\u3002 <\/li>\n\n\n\n<li>\u751f\u5f8c 24 \u6642\u9593\u304b\u3089 96 \u6642\u9593\u307e\u3067\u306e\u5f93\u6765\u306e\u8133 MRI\u3001\u62e1\u6563\u6cd5\u3001\u5206\u5149\u6cd5\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u306f\u3001\u8133\u640d\u50b7\u306e\u75c5\u614b\u3092\u5224\u5b9a\u3059\u308b\u306e\u306b\u6700\u3082\u512a\u308c\u305f\u6027\u80fd\u3092\u767a\u63ee\u3059\u308b\u6280\u8853\u3067\u3059\u3002 <\/li>\n\n\n\n<li>\u62e1\u6563\u306e\u7570\u5e38\u306f\u3001\u751f\u5f8c 24 \u6642\u9593\u304b\u3089 96 \u6642\u9593\u306e\u9593\u306b\u6700\u3082\u9855\u8457\u306b\u306a\u308a\u307e\u3059\u3002\u5f93\u6765\u306e MRI \u3067\u306f\u3001\u4f4e\u9178\u7d20\u6027\u865a\u8840\u4e8b\u8c61\u306e 7 \u65e5\u5f8c\u304b\u3089\u8133\u306e\u8cea\u7684\u5909\u5316\u3092\u7279\u5b9a\u3067\u304d\u307e\u3059\u3002 2 \u56de\u306e MR \u5206\u5149\u6cd5\u3092\u5b9f\u65bd\u3059\u308b\u30021 \u56de\u76ee\u306f 24 \uff5e 96 \u6642\u9593\u306e\u9593\u306b\uff08\u62e1\u6563\u3068\u5206\u5149\u7570\u5e38\u306e\u8a55\u4fa1\u306b\u91cd\u70b9\u3092\u7f6e\u304f\uff09\u30012 \u56de\u76ee\u306f\u751f\u5f8c 10 \u65e5\u4ee5\u964d\u306b\u884c\u3046\u3053\u3068\u304c\u3001\u8133\u640d\u50b7\u306e\u6027\u8cea\u3068\u7a0b\u5ea6\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u305f\u3081\u306e\u6700\u826f\u306e\u6226\u7565\u3067\u3042\u308b\u3002 <\/li>\n\n\n\n<li>\u8133\u640d\u50b7\u306b\u306f\u3044\u304f\u3064\u304b\u306e\u660e\u78ba\u306b\u5b9a\u7fa9\u3055\u308c\u305f\u30d1\u30bf\u30fc\u30f3\u304c\u3042\u308a\u3001\u5927\u8133\u57fa\u5e95\u6838\u306e\u6df1\u90e8\u7070\u767d\u8cea\u3084\u76ae\u8cea\u5883\u754c\u9818\u57df\u306a\u3069\u3001\u4f4e\u9178\u7d20\u6027\u865a\u8840\u6027\u8133\u640d\u50b7\u3092\u4f34\u3046\u65b0\u751f\u5150\u306e MRI 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