{"id":4138,"date":"2026-10-30T10:17:09","date_gmt":"2026-10-30T01:17:09","guid":{"rendered":"https:\/\/saito-cl-liver-regeneration.com\/blog\/?p=4138"},"modified":"2026-10-30T10:17:10","modified_gmt":"2026-10-30T01:17:10","slug":"post-4138","status":"publish","type":"post","link":"https:\/\/saito-cl-liver-regeneration.com\/blog\/post-4138\/","title":{"rendered":"MELD\u30b9\u30b3\u30a2 \u81ea\u52d5\u8a08\u7b97\u30c4\u30fc\u30eb"},"content":{"rendered":"<!-- MELD\u30b9\u30b3\u30a2 \u8a08\u7b97\u30c4\u30fc\u30eb -->\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Zen+Maru+Gothic:wght@500;700;900&#038;display=swap\" rel=\"stylesheet\">\n<div class=\"meldw\">\n<style>\n.meldw{\n  --m4bg:#FFFCF0;--m4sf:#FFFFFF;--m4ink:#2F3A2C;--m4mt:#6B7466;--m4ln:#EADFB8;\n  --m4gn:#4E9A4A;--m4gs:#E6F3E2;--m4yw:#F2C230;--m4ys:#FFF4CC;\n  --m4or:#EE7F2D;--m4os:#FFE7D3;--m4fc:#EE7F2D;\n  font-family:\"Zen Maru Gothic\",\"Hiragino Maru Gothic ProN\",\"Hiragino Sans\",\"Yu Gothic\",Meiryo,sans-serif;\n  font-size:17px;line-height:1.75;max-width:560px;margin:0 auto;padding:28px 20px 40px;box-sizing:border-box;\n}\n@media(prefers-color-scheme:dark){\n  .meldw{\n    --m4bg:#1E211C;--m4sf:#282C25;--m4ink:#F1EEDF;--m4mt:#B4B8A8;--m4ln:#454A3C;\n    --m4gn:#7CC377;--m4gs:#2C3D2A;--m4yw:#F5CF55;--m4ys:#413A1E;\n    --m4or:#F5994F;--m4os:#45301F;--m4fc:#F5994F;\n  }\n}\n.meldw *,.meldw *::before,.meldw *::after{box-sizing:border-box}\n.meldw h2.meldw-title{font-size:1.4rem;font-weight:900;line-height:1.35;margin:0 0 6px;color:var(--m4ink)}\n.meldw .meldw-lead{color:var(--m4mt);margin:0 0 20px;font-size:.95rem}\n.meldw .meldw-card{background:var(--m4sf);border:2px solid var(--m4ln);border-radius:22px;padding:22px 20px}\n.meldw .meldw-field{display:grid;grid-template-columns:1fr auto;align-items:center;gap:4px 12px;padding:12px 0;border-bottom:1px dashed var(--m4ln)}\n.meldw .meldw-field:last-of-type{border-bottom:none}\n.meldw .meldw-field label{font-weight:700;color:var(--m4ink)}\n.meldw .meldw-field small{grid-column:1\/-1;color:var(--m4mt);font-size:.82rem;line-height:1.5}\n.meldw .meldw-inwrap{display:flex;align-items:center;gap:8px}\n.meldw input[type=\"number\"],.meldw select{font:inherit;color:var(--m4ink);background:var(--m4bg);border:2px solid var(--m4ln);border-radius:12px}\n.meldw input[type=\"number\"]{width:6.5em;padding:8px 10px;text-align:right;font-size:1.2rem;font-weight:700}\n.meldw select{padding:6px 8px;font-size:.85rem}\n.meldw .meldw-check{display:flex;align-items:center;gap:10px;padding:14px 0}\n.meldw .meldw-check input[type=\"checkbox\"]{width:22px;height:22px;border-radius:6px;border:2px solid var(--m4ln);background:var(--m4bg);cursor:pointer;accent-color:var(--m4or);flex-shrink:0}\n.meldw .meldw-check label{font-weight:700;color:var(--m4ink);cursor:pointer}\n.meldw .meldw-check small{display:block;color:var(--m4mt);font-size:.82rem;line-height:1.5;margin-top:2px}\n.meldw input:focus-visible,.meldw select:focus-visible,.meldw button:focus-visible{outline:3px solid var(--m4fc);outline-offset:2px}\n.meldw .meldw-unit{font-size:.85rem;color:var(--m4mt);min-width:3.6em}\n.meldw .meldw-result{margin-top:22px;border-radius:22px;padding:22px 20px;background:var(--m4sf);border:2px solid var(--m4ln);transition:background .3s,border-color .3s}\n.meldw .meldw-result[data-zone=\"low\"]{background:var(--m4gs);border-color:var(--m4gn)}\n.meldw .meldw-result[data-zone=\"mid\"]{background:var(--m4ys);border-color:var(--m4yw)}\n.meldw .meldw-result[data-zone=\"high\"]{background:var(--m4os);border-color:var(--m4or)}\n.meldw .meldw-score{display:flex;align-items:baseline;gap:12px;flex-wrap:wrap}\n.meldw .meldw-score .meldw-slabel{font-weight:700;color:var(--m4ink)}\n.meldw .meldw-score .meldw-snum{font-size:3.2rem;font-weight:900;line-height:1;letter-spacing:.01em;color:var(--m4ink)}\n.meldw .meldw-gauge{position:relative;margin:22px 0 8px;height:16px;border-radius:999px;overflow:visible;display:flex}\n.meldw .meldw-gauge span{height:100%}\n.meldw .meldw-g1{background:var(--m4gn);border-radius:999px 0 0 999px}\n.meldw .meldw-g2{background:var(--m4yw)}\n.meldw .meldw-g3{background:var(--m4or);border-radius:0 999px 999px 0}\n.meldw .meldw-marker{position:absolute;top:-8px;width:6px;height:32px;margin-left:-3px;border-radius:3px;background:var(--m4ink);transition:left .4s ease;box-shadow:0 0 0 3px var(--m4sf)}\n.meldw .meldw-ticks{position:relative;height:1.4em;font-size:.78rem;color:var(--m4mt)}\n.meldw .meldw-ticks b{position:absolute;transform:translateX(-50%);font-weight:500;color:var(--m4mt)}\n.meldw .meldw-msg h3{font-size:1.1rem;margin:14px 0 4px;color:var(--m4ink)}\n.meldw .meldw-msg p{margin:0;color:var(--m4ink)}\n.meldw .meldw-empty{color:var(--m4mt);margin:0}\n.meldw .meldw-notes{margin-top:26px;font-size:.85rem;color:var(--m4mt)}\n.meldw .meldw-notes p{margin:0 0 8px;color:var(--m4mt)}\n.meldw .meldw-formula{font-size:.85rem;background:var(--m4sf);border:1px solid var(--m4ln);border-radius:12px;padding:10px 12px;overflow-x:auto;white-space:nowrap;color:var(--m4ink)}\n.meldw .meldw-reset{margin-top:14px;font:inherit;font-size:.9rem;font-weight:700;color:var(--m4ink);background:transparent;border:2px solid var(--m4ln);border-radius:999px;padding:6px 18px;cursor:pointer}\n@media(prefers-reduced-motion:reduce){.meldw .meldw-marker,.meldw .meldw-result{transition:none}}\n<\/style>\n\n<h2 class=\"meldw-title\">MELD\u30b9\u30b3\u30a2 \u81ea\u52d5\u8a08\u7b97\u30c4\u30fc\u30eb<\/h2>\n<p class=\"meldw-lead\">\u8840\u6db2\u691c\u67fb\u306e\u7d50\u679c\u3092\u5165\u308c\u308b\u3068\u3001\u809d\u81d3\u306e\u91cd\u75c7\u5ea6\uff08MELD\u30b9\u30b3\u30a2\uff09\u306e\u76ee\u5b89\u304c\u81ea\u52d5\u3067\u8a08\u7b97\u3055\u308c\u307e\u3059\u3002<\/p>\n\n<div class=\"meldw-card\" role=\"group\" aria-label=\"\u5165\u529b\">\n  <div class=\"meldw-field\">\n    <label for=\"meldw_bil\">\u7dcf\u30d3\u30ea\u30eb\u30d3\u30f3<\/label>\n    <div class=\"meldw-inwrap\"><input id=\"meldw_bil\" type=\"number\" inputmode=\"decimal\" min=\"0.1\" step=\"0.1\"><span class=\"meldw-unit\">mg\/dL<\/span><\/div>\n    <small>\u691c\u67fb\u7d50\u679c\u306e\u300cT-Bil\u300d\u307e\u305f\u306f\u300c\u7dcf\u30d3\u30ea\u30eb\u30d3\u30f3\u300d\u306e\u6570\u5024\u3067\u3059\u3002<\/small>\n  <\/div>\n  <div class=\"meldw-field\">\n    <label for=\"meldw_inr\">PT-INR<\/label>\n    <div class=\"meldw-inwrap\"><input id=\"meldw_inr\" type=\"number\" inputmode=\"decimal\" min=\"0.1\" step=\"0.01\"><span class=\"meldw-unit\"><\/span><\/div>\n    <small>\u8840\u6db2\u51dd\u56fa\u691c\u67fb\u306e\u300cPT-INR\u300d\u306e\u6570\u5024\u3067\u3059\u3002<\/small>\n  <\/div>\n  <div class=\"meldw-field\">\n    <label for=\"meldw_cr\">\u30af\u30ec\u30a2\u30c1\u30cb\u30f3<\/label>\n    <div class=\"meldw-inwrap\"><input id=\"meldw_cr\" type=\"number\" inputmode=\"decimal\" min=\"0.1\" step=\"0.01\"><span class=\"meldw-unit\">mg\/dL<\/span><\/div>\n    <small>\u814e\u6a5f\u80fd\u306e\u6307\u6a19\u300cCr\u300d\u307e\u305f\u306f\u300c\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u300d\u306e\u6570\u5024\u3067\u3059\u3002<\/small>\n  <\/div>\n  <div class=\"meldw-check\">\n    <input id=\"meldw_dial\" type=\"checkbox\">\n    <div>\n      <label for=\"meldw_dial\">\u900f\u6790\u3092\u53d7\u3051\u3066\u3044\u308b<\/label>\n      <small>\u90312\u56de\u4ee5\u4e0a\u306e\u8840\u6db2\u900f\u6790\u307e\u305f\u306f\u8179\u819c\u900f\u6790\u3092\u53d7\u3051\u3066\u3044\u308b\u5834\u5408\u306f\u30c1\u30a7\u30c3\u30af\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u3092\u81ea\u52d5\u7684\u306b4.0 mg\/dL\u3068\u3057\u3066\u8a08\u7b97\u3057\u307e\u3059\u3002<\/small>\n    <\/div>\n  <\/div>\n  <button class=\"meldw-reset\" type=\"button\" id=\"meldw_reset\">\u5165\u529b\u3092\u30af\u30ea\u30a2<\/button>\n<\/div>\n\n<section class=\"meldw-result\" id=\"meldw_result\" aria-live=\"polite\">\n  <p class=\"meldw-empty\" id=\"meldw_empty\">3\u3064\u306e\u9805\u76ee\u3092\u5165\u308c\u308b\u3068\u3001\u3053\u3053\u306b\u7d50\u679c\u304c\u8868\u793a\u3055\u308c\u307e\u3059\u3002<\/p>\n  <div id=\"meldw_out\" hidden>\n    <div class=\"meldw-score\"><span class=\"meldw-slabel\">\u3042\u306a\u305f\u306eMELD\u30b9\u30b3\u30a2<\/span><span class=\"meldw-snum\" id=\"meldw_num\">\u2013<\/span><span class=\"meldw-slabel\">\u70b9<\/span><\/div>\n    <div class=\"meldw-gauge\" aria-hidden=\"true\">\n      <span class=\"meldw-g1\" id=\"meldw_g1\"><\/span><span class=\"meldw-g2\" id=\"meldw_g2\"><\/span><span class=\"meldw-g3\" id=\"meldw_g3\"><\/span>\n      <i class=\"meldw-marker\" id=\"meldw_marker\"><\/i>\n    <\/div>\n    <div class=\"meldw-ticks\" aria-hidden=\"true\">\n      <b id=\"meldw_t0\"><\/b><b id=\"meldw_t1\"><\/b><b id=\"meldw_t2\"><\/b><b id=\"meldw_t3\"><\/b>\n    <\/div>\n    <div class=\"meldw-msg\"><h3 id=\"meldw_mTitle\"><\/h3><p id=\"meldw_mBody\"><\/p><\/div>\n  <\/div>\n<\/section>\n\n<div class=\"meldw-notes\">\n  <p class=\"meldw-formula\">MELD \uff1d 3.78\u00d7ln(T-Bil) \uff0b 11.2\u00d7ln(PT-INR) \uff0b 9.57\u00d7ln(Cr) \uff0b 6.43<\/p>\n  <p>\u5224\u5b9a\u306e\u76ee\u5b89\u306f 10\u672a\u6e80\u304c\u4f4e\u30ea\u30b9\u30af\u300110\u301c14\u304c\u4e2d\u9593\u300115\u4ee5\u4e0a\u304c\u9ad8\u30ea\u30b9\u30af\u3067\u3059\u3002\u900f\u6790\u4e2d\u307e\u305f\u306f\u76f4\u8fd11\u9031\u9593\u306b2\u56de\u4ee5\u4e0a\u306e\u900f\u6790\u3092\u53d7\u3051\u3066\u3044\u308b\u5834\u5408\u3001\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u306f4.0 mg\/dL\u3068\u3057\u3066\u8a08\u7b97\u3055\u308c\u307e\u3059\u3002<\/p>\n  <p>\u3053\u306e\u8a08\u7b97\u306f\u91cd\u75c7\u5ea6\u306e\u300c\u76ee\u5b89\u300d\u3067\u3001\u8a3a\u65ad\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u7d50\u679c\u306b\u304b\u304b\u308f\u3089\u305a\u3001\u6c17\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308c\u3070\u533b\u5e2b\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002\u5165\u529b\u3057\u305f\u6570\u5024\u306f\u3053\u306e\u753b\u9762\u306e\u4e2d\u3060\u3051\u3067\u8a08\u7b97\u3055\u308c\u3001\u4fdd\u5b58\u30fb\u9001\u4fe1\u3055\u308c\u307e\u305b\u3093\u3002<\/p>\n<\/div>\n\n<\/div>\n<script>\n(function(){\n  function f(id){ return document.getElementById(id); }\n  var MIN = 6, MAX = 40;\n  function pct(v){ return Math.max(0, Math.min(100, (v - MIN) \/ (MAX - MIN) * 100)); }\n  var LOW = 10, HIGH = 15;\n  function calc(){\n    var bil = parseFloat(f(\"meldw_bil\").value);\n    var inr = parseFloat(f(\"meldw_inr\").value);\n    var cr  = parseFloat(f(\"meldw_cr\").value);\n    var dial = f(\"meldw_dial\").checked;\n    var ok = [bil,inr].every(function(v){ return isFinite(v) && v > 0; });\n    var crOk = dial || (isFinite(cr) && cr > 0);\n    if(!ok || !crOk){\n      f(\"meldw_out\").hidden = true;\n      f(\"meldw_empty\").hidden = false;\n      f(\"meldw_result\").removeAttribute(\"data-zone\");\n      return;\n    }\n    bil = Math.max(bil, 1);\n    inr = Math.max(inr, 1);\n    cr  = dial ? 4 : Math.min(Math.max(cr, 1), 4);\n    var raw = 3.78*Math.log(bil) + 11.2*Math.log(inr) + 9.57*Math.log(cr) + 6.43;\n    var meld = Math.round(Math.min(Math.max(raw, MIN), MAX));\n    var zone, title, body;\n    if(meld < LOW){\n      zone=\"low\"; title=\"\u4f4e\u30ea\u30b9\u30af\uff08\u91cd\u75c7\u5ea6\u306f\u6bd4\u8f03\u7684\u4f4e\u3081\uff09\";\n      body=\"\u73fe\u6642\u70b9\u3067\u306e\u809d\u81d3\u306e\u91cd\u75c7\u5ea6\u306f\u6bd4\u8f03\u7684\u4f4e\u3044\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002\u5b9a\u671f\u7684\u306a\u691c\u67fb\u3067\u72b6\u614b\u3092\u78ba\u8a8d\u3057\u307e\u3057\u3087\u3046\u3002\";\n    } else if(meld < HIGH){\n      zone=\"mid\"; title=\"\u4e2d\u9593\uff08\u7d4c\u904e\u89b3\u5bdf\u30fb\u8a73\u3057\u3044\u691c\u67fb\u3092\u304a\u3059\u3059\u3081\u3057\u307e\u3059\uff09\";\n      body=\"\u91cd\u75c7\u5ea6\u304c\u4e2d\u9593\u306e\u7bc4\u56f2\u3067\u3059\u3002\u533b\u5e2b\u306e\u6307\u793a\u306e\u3082\u3068\u3001\u7d4c\u904e\u89b3\u5bdf\u3084\u8ffd\u52a0\u691c\u67fb\u3092\u53d7\u3051\u308b\u3053\u3068\u3092\u304a\u3059\u3059\u3081\u3057\u307e\u3059\u3002\";\n    } else {\n      zone=\"high\"; title=\"\u9ad8\u30ea\u30b9\u30af\uff08\u5c02\u9580\u533b\u306e\u53d7\u8a3a\u3092\u304a\u3059\u3059\u3081\u3057\u307e\u3059\uff09\";\n      body=\"\u809d\u81d3\u306e\u91cd\u75c7\u5ea6\u304c\u9ad8\u3044\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u3067\u304d\u308b\u3060\u3051\u65e9\u3081\u306b\u809d\u81d3\u5c02\u9580\u533b\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002\";\n    }\n    f(\"meldw_num\").textContent = meld;\n    f(\"meldw_result\").dataset.zone = zone;\n    f(\"meldw_mTitle\").textContent = title;\n    f(\"meldw_mBody\").textContent = body;\n    f(\"meldw_g1\").style.width = pct(LOW) + \"%\";\n    f(\"meldw_g2\").style.width = (pct(HIGH) - pct(LOW)) + \"%\";\n    f(\"meldw_g3\").style.width = (100 - pct(HIGH)) + \"%\";\n    f(\"meldw_marker\").style.left = pct(meld) + \"%\";\n    f(\"meldw_t0\").style.left = \"0%\";  f(\"meldw_t0\").textContent = MIN;\n    f(\"meldw_t1\").style.left = pct(LOW) + \"%\";  f(\"meldw_t1\").textContent = LOW;\n    f(\"meldw_t2\").style.left = pct(HIGH) + \"%\"; f(\"meldw_t2\").textContent = HIGH;\n    f(\"meldw_t3\").style.left = \"100%\"; 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