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9/6(火)

●本日の新患・診断(担当患者: 6人)
・呼吸器異常

●本日の勤務時間
8時半〜18時半

●本日行ったこと・見たこと・知ったこと
・透析シャントope手伝い
・ESD講習会

・十二指腸潰瘍は除菌だけで治る(そのあとのPPIなどは必要ない)
・胃潰瘍治療は、除菌がしてあれば、別にPPIはいらない。防御因子増強剤でよい
・ステロイドのみで胃潰瘍はできない。NSAIDやストレスが加わると、起きる。→酸抑制は不要
・PPI、H2ブロッカーは胃・十二指腸潰瘍には効くが、小腸潰瘍には無効
・NSAID、70%は小腸に傷ができる

●今日うまくいかなかったこと・失敗
・症例発表のスライドかけていない!!!

●今の気持ち・今後学びたいこと・気づいたこと
・粘膜増強薬はほんとに安いの??

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