????,RN.,%20PHN - PowerPoint PPT Presentation
Title: ????,RN.,%20PHN
1
?????(????????)??????????????
- ??????????
- ?????????????????????
- ????,RN., PHN
2
?????????(????????)
- ????????(CML)????
- CML??
- ????
- ????????????????????????????????
- 50????????????????????
- 10???12????
http//www.medic.mie-u.ac.jp/pathol_matrix/RESOURS
E/photos/aplastic_anemia/2.html
??(?)???? ???? ??? ????
3
?????(????????) 1
- ???????(????????????????????????????)?????????????
?????????? - ??????????????5????????????????
- ??????????????????????????????????????????????????
?????????50???????
50
Nature Medicine 15, 1149 - 1152 (2009)
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?????(????????) 2
- Brian Druker??????
- 2009? ??????????????????
- ????2009???????????????????????????
- -????????????-
- Ph???????????????CML???????????bcr/abl???????????
?????????1990??????bcr/abl???????????????????????
???? - ??????
- 1998? ????????
- 2001?12?????(????????)
Nature Medicine 15, 1149 - 1152 (2009)
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?????(??????)??????
- ????????????
- ??????! ???! ?????!!1)??????????
????????????????????? ?????????????????? - 2)??? ???????????? ?????????????????????? ??????
?
6
?????????????!!????????????????????? 1
- ?????? ????
- ????????????ZERO?????
- ???????????????
- ??????????????????????????????????
- ?????????????????????????????????
7
?????????????!!????????????????????? 2
- ????? ???????????????
- ???????????????
- ????????
- 1? 3128.5?(2010?3???)
- 1?4??????????? ?1? 12,514?1??
3128.5(/1?)4?30?375,420 - (????????? ?11??)
- ??????? 12120??
- ??????????????????????????
8
????? ????????
????????????Pt Support
- ????8?????????????566?(??? 1200)
- ???????????????????485?????????????144??(?????46?
???)????????????????? - ??????
- ? 367 ? 197(????2?)
- ????? 61?(15-94)
- CML??????? 54?(2-88)
9
- ????????????????
- 412?/566(73)
- ???????????????????
- ????????????????????? ????????????????...
- 211?/566(37 )
- ???????????????????????????
- 17?(3)(??????2?)
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CML???????????
??12? 17? 20?
??(???) 533(?) 400.5(?) 389(?)
??? 100(?) 129(?) 122(?)
???
?????????
??20?????????????? http//www.mhlw.go.jp/toukei/s
aikin/hw/k-tyosa/k-tyosa08/index.html
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?????????????????
??????????????? ??????10
????????????????????????????????? ????????????????
????????????????????? ?????????????????
???? 53
??? 44
????? 44
?? 41
?? 38
???? 35
?? 31
??? 25
????? 24
??? 15
???? 12
?? 8
??? 24
CML???? ????????????
?????? 30(95????) 5? (80????)
???? 5?(70????) 2(???????)
???????? 15 15
??????????? 50 ?30
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