事故情報収集事業第19回報告書の公表について
Contents
1. 1 2 1 7 9 1 0 1 4 2 2 3 1 3 3 0 22. 5 3 194
3. 186 3 3 1 6 2 OOS
4. 1 9 1 2 http icghc or jp htmUaccident htm 1 1 9
5. C E F A 10 0mL A A 5 0mL C E F 5 0mL S P 0 A 1 3
6. 187 Hm 4 1 No 1 5 2 0 2 2 3 6 3 6 No 15 5 16 10 1 9 1 2 1 8 3 1 9 2 2 0 1 1 1 9 1 7 9 10 12 F 2 1 7 9 GR
7. 1 6mL 3 4 2 0 2 1 189
8. Y L
9. 6 7 cm CT 3 1 2 E S D Pu 183
10. 192 i 3 6 1 1 6 1 6 2 0 1 0 1 2 2 1 1 1 8 1 2 0 1 2 1 1 9 1 1 2 1 7 9 2 3
11. 1 21 7 9 1 2 21 7 9 7 g MM wwwg 173 210 2 507 0 0 0 wewww 1 33 6 5 1 0 0 0 30 15 18 63 3 119 23 5 af 8 55 10 8 3 12 2 4 40 7 8 273 273 273 3 0 6 9 1 8 421 424 427 224 44 2 19 19 22 67 13 2 507 100 0 19 29 2 21 4 6 1 232 974 2 19 53 66 080 330 65 046
12. moo itt eR ENON TR ORE ATOaAE NL 1 ODLTE TEDLE ET ERO EFM RR ELDER AR TT Ti Tt TT TT cow SMOGEARD MEE iY EEA OCUT EUT TTY RINEHch DE 2 AE 0 T1101 0081 WPIGBEE MR 417 gO WH BR17 0252 ME FAX 03 5217259 Cm pngexhtm 185 I 2 1 2 2 6 2 A B A C
13. 2 IC mo COO GRD NANANSERBE SUENL NRTONEER RRNAE Tiboruns EDR RRR TOREEMELA GRENIERETREIRLNDTLOTNIER lol 008 EA 4 RNIN WR D48217 0252 Nm FAX O952170253 OM 188 3 2 1 5 0mg 2 0mL 1 A 4mL
14. 3 1 1 2 4 3 1 _ 180 3 9 2 1 7 9 2 TT 3
15. 4 1 6 10 1 9 1 1 1 7 1 1 8 1 1 9 2 2 0 3 2 1 1 9 2 2 1 7 9 1 3 4 I 3 4 ee No l4 2008 1 No4 2008 6 9 e 8 PTCD 2
16. F 4 2 0 1 2
17. 7 6 i No 3 2007 2 lt B 1 1 2 5 RIN FENDI MRR EH ES Mm IT RON wont mers IRRR Oe RE mann rk OR MRE RAAT REY REET tie A ris 1 Vtpoieghe orip bulrseridest bm EON RD ERA EIEN TET CEMLT AD ET TN EHR Fabri
18. 2 5 0mg 3 X 3 3 2 5 0mg X3 1 2 5 0mg 1 3 1 1 3 3 10 1 1 1 1 1 5 4 G 1 1
19. 1 9 2 2 1 2 4 6 1 online available from lt http www nurse orjp nursing practice anzen pdf 200602 pdf gt last accessed 2009 10 06 2 online available from http www kana kango orjp ast accessed 2009 10 06 3 9 0 9 3 9 6 online available from http www mhlw gojp topics 2007 04 tp0427 4 html gt ast accessed 2009 10 19 184 3 3 N 14 1 No 1 4 2 0 1
20. 3 7 No 15 No15 2006 2 4faaptwfe 2 No15 2008 2 5 2004 10 1 2007 12 81 10 om ot MRR No15 2008 2 1 0 eee ER
21. No 14 2008 1 PTCO 1 MI RET TN TL 82CPTCOR EMFc Fa PT gt i se RR 3 Aig thDMMAR FIVE I0VEO BROT mam 4 DD4 10 1 2007 1 tm4Abe2VHKGNLPT FT 30H 10 H VE WM MM LN 6
22. 1 3 2 A 2 B A 1 VP C 5 0mg BB B A
23. A A BB A A B 193 I 3 C D C C
24. 1 No 3 19 182 184 2 No 12 19 185 187 3 No 15 19 188 189 4 No 18 19 190 lt 192 5 16 19 193194 19 http www med safe jp 2 1 9 Im 180 194 3
25. 2 9 2 i 1al 008e mtbs 1 FERRARA Wi 0S 6817 0053 ER FAX GR 5817 02BS RA 182 3 2 1 3 0 C T 2 0 0 6 2 5 E S D
26. 7 4 6 21 12 21 19 21 12 16 1216 2 1216 2 1216 2 1 2 16 2 2 1 1 2 1 6 1 9 1 6 1 0
27. D C 3 1 4 2
28. 4 1 8 2 P 1 8 6 Nu6 1 9 9 6 9 6 1 2 3 4 1 5 1 9 2
29. 2T 2X30 1 1 1 2 30 1 2 1 2 30 1 2 1 4 2 4 2 B A 10 1 6 0mg 1 3 1 2 0mg 6 0mg 3 X B 3 X 1 1 8 0mg 1 3 1 6 0mg 1 8 0mg 3 191 I 5 2 5 0mg 1
30. 5 Np 18 1 Ne 1 8 2 0 5 3 1 8 1 1 2 0 3 3 1 3X 3 3 1 7 1 1 9 3 2 1 1 9 1 2 1 7 9 3 8 3 Ne18 2008 5 PCO 3 1 1 M Al BGO No 18 2008 5
31. 3 258 2 1 19 1 116 2 19 117 122 3 19 123 130 4 19 131 173 5 19 174 176 6 19 177 179 3 19 180 194 5
32. 2 9 1 1 1 3 1 1 1 1 1 1 12 1 13 11 14 2 14 15 1 16 181 mm 2 No 3 1
33. A 1D96 1 G0mg 1 3 NolB 20085 lt 1 SOmig 1096 BOmg dx B O X 05120 PT 2 3 3 25Omg 1 2O06 1 8DQB 3 31 1 1 LA HE 25 mg 3 t 850mg 1 3 3x 3 3 1 1
34. 1 20mg 1 2 1 1 2 1 1 2 JPLT Day 2 3 THP ADR 3 0mg day X 2 x 2 1 2 A X 2 2 1 2 1 2 2 3
35. No 3 1 9 2 7 16 10 1 1 8 9 3 0 1 6 2 1 7 2 1 8 3 1 9 2 2 1 1 9 2 2 1 7 9 2 3 2 3 2 bp ET0 12 E No3 2007 2 0 No 3 2007 2 L 7 2OO4 10 2O0G 9 3O 5 7
36. 8 1 AV 3 OC TOT IT OTP Er ri BNR GOme 1838RS TB20ng ORR D RCN DECIERN SHOEREALE MH RON POP 30 Bomg 8 B 1 180mg 1 3 1 BCOmg PT EE tT 190 3 2 5 1 1 2 kg 7 5 1 0 0mg kg 3 X 10 1 5mg kg day 2 lt 1 1 2 0 2 0 1 1 20mg 1 3
37. 19 2 2 Na6 19 5 3 Na8 19 7 MR I 1 Nu 10 19 9 1 No 14 20 1 1 No 15 20 2 1 Na 18 20 5 1 No 23 20 10 1 Ne 27 21 2 1 0 1 No 29 21 4 1 3 4 3 1 5
38. 1 1 5 2 0 5 1 1 5
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