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グルホシネート用 急性中毒症例調査用紙 基本情報

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1. 000 U U O00 TEL LI U U U kg U 0000000 0 00000 O 000 0000000 000000 1000 N O 1000 0000000000 0000000 000 O U U 10 00200000 30000080000 100000 LLL 000 LL LI HOU OU UU HOU 1000 0 0 800 000000 00000000 20000 20000 900000 Ol 00000 0000 2000 O 1000 LI 10000000 000 ol 10000 00000 000 LIL ULU EU 00 00 0000 HOU 0 0 LI LILI LI LI LI o 24000000 O Ou U U U U U 000 0 HOO 0 0 0 10004 UU MODO oo 000 UU UL 00 00000 0000 LI 1000 O LLL U 0 LI 1 00 2 U 3 0000 8 00 000000 9 LI 10000000002 000003 0000004 06000 009 U LO O M U 240 0 U DO0 m0 00 0
2. 0000000000000 OU 0004 44040 L 00060 00060 00 0000 000 U L L 000 0000 I U L L 0060 0000 LI UU UU UU U LI LULU U uu 0000 o oo 00 000 000 0000 0 0000 0000 000 LJ 0000000 000 UU 00 0000
3. O U 000 0000 0M000000o000Mm0 MOOOO000Ol 00 00000060 00000060 0000 000 i 100 0 0 0 0 00 0 0 00 0000000 GOTO DD GPTO O O LOA O O ALPO O 00 00 000 000 od ooo 000 00000 000000000cPkck00000000 Ba md 000 non 00 coo 000 00000000000 HEJOUAREJOUODODOCREU Fal gd ooo non of 000 00 00000000000000000000000 moj 0 0 a 0 0 0 0 000000 00 200 00 000 000 00 000 000 nr 0000000000000000000000 moj Oo 0 O0 O 00 0 O 00000 0000000 200 00 000 000 00 000 00 SA 0000000000000000000000 00000000 0000000000000000000000 060 oo 0 0 0 0 0 0 00000000 Donnoonnonnnnnnonnnnnn 2000 00 000 000 00 000 00 000000000000000 0000000000000000000000 moj 0 0 0 0 00 0 O 000000 0000000000 200 00 000 000 00 000 000 AN 000000000000000000000 4000 0 0 0 O o 0 0 O0 KUKE 0000000 200 00 000 000 00 000 000 ae 0000000000000000000000 mn He dy ot a i A 000000 d000000000000000000000 xpg 00 000 000 00 000 001 idad oo RIDE z a a 000000000 00000000000000000 000 200 oo 000 000 00 000 000 00000000 000000000000000000000 000 0 0 0 A 0 0 O 0 000000 0000000 200 00 000 000 00 000 00 00000000000000000000 0000 Antec 00 0 0 0000000 000000000000000000000 299 OO 000 000 00 000 000 0
4. aia 000000000000000000 d ion E 000000000000000000000 3 oo 00000000000000000 000 EEE TONER 000000000000000000000 jay a Re 000000 000000000000000000000 298 U Wo 0 _ A 00 00 04 We DO Sy Seek ene AE 100 0 0 0 0 O000000000000 00000000000 200 0 00 ooo 00 Se tae ees aco 100 0 i o 0 00 0000000000000 200 0 00 00000 TE 000000000000000000000 1000 0 0 O 00000 000 200 0 00 000 00 An 000000000600000000000 000 i o 0 00000 00 200 0 00 000 00 000000000 06000 0000000 are OOOOOOOOOOOOOOOOOOOOO 1000 o 0 O 00 OOOOOOOOOOOOOOOOOOOOO 2000 00 000 00 000000000 0000 00000 000000000000000 moo Oo 0 00 MOO0O0000000O 00000000 200 0 00 000 00 a near 100 0 i o 0 0000 200 0 00 000 00 Ge ba Bs e 100 0 i U 0000 0000000000000 200 0 00 000 00 ee 0000000000000000000000 000 i 0 o 000000000000000000 200 0 00 000 00 0000 000000000000000000000 1000 n 0 O 00 0000000000000000000000 200 00 000 00 oe 000000000000000000000 mon i 0 0 0000 00000000000000 200 0 00 000 00 100 0 i 0 200 0 D D 100 0 0 n 200 0 D 0 100 0 i i 200 0 D 0 00 000000000000 E Oo 0 a 000000000000 0000 002 OU U 0 0000
5. 00 0000
6. J00 00 LIL WOU LI UUULUUL 00 00 LLL O 000 000 UU 000 U U 000 00 0000 O 00 x 0000 0000 0000 O O 00 x 00 mo 000 UU x 000000 00 00 000 LI L U UU x 0000 0000 mo mot o UU 000 000000 00 0000 00 0000 00000000000000 20000000 00000000 0000000000 000000 0000000000000000000000000000000000000 0000000 000000000000000000000000000000000000000 00000000000000
7. 000 000000000000000000000 pt oo 000 000 00 000 000 sr ASR moo 0 0 0 0 o 0 0 000 0000000 Be rio s 200 00 000 000 00 000 000 nono En mol 0 0 0 0 0 0 0 O PERE rind 200 00 000 000 00 000 000 coon rn mo 0 0 0 O 0 0 0 U 000000 0000000 200 00 000 000 00 000 00 noon rom mo 0 0 0 0 00 0 O 000080 000000 200 00 000 000 oo 000 on 000 0000 0000 00 100000080000 O 00000000000000 00000000 OU OHOOUOU0DUOO I LL RBC C ASTIGO ALTIGP CK ChE NH OTB Crn Na Cal IP Mg Ct MetHbl CO COHb i pri o PO PCO HCO
8. 000000 O 000 U 10000000 100 LI 000 000 LL U0 0 HOU DO 000 O0 00000 GCsge VE M UUWUUUDULD U Ul 000 1000000 0000 L o 0000 gt 0 D 1 U LI UL Oo O0O0 0000 0000000 gt 200 00 1100000 2000000030 00000000000 8 10000 O OOO O O 000 0 O 000 LI U 1000 UULU LU U HOO U 000 gt U a OOU O 00100000000000000000000000000000o0o0o00000000000000000 O00 8 mococoocococ 0000 000000000000 od oO E 00004 O O O O 000000000000000000000 0 000000 0000000000000 i 000 00 000000000 000000000000000000000 7 AE A 3 0000000 0000 0000000000000000 z Ma I SA moooooooo A PU 0 000 00 mooooooooo hr 0 000 00 0000 000000000000000000000 a AO moogogooooog 000000000 D 000 00 00000 000000000000000000000 l 201 19 000000 000000000000000O00000 3 Do0 00000000 0000000 oO EJ oO 00000000 000000000 0000000 000000 papapa AO GETI gt ET CET O 86 88 88 5555 55 8el8e 8e Selse 5s 8el8e 8e 8e 8el selo HAGA GGG 00 0000 0070000 007 00 FOC M OZ OO OO OO OO RE OO ZZ 00 00 007 00 020 I 0000 00 OO OO 007 0000 OO ODO OO Eiki EU e A a GE AO 00 00 oO 00 oO 00 oO oOIoO soo oO 00 oO oO oO oDJ

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