{"created":"2023-06-19T11:20:58.768050+00:00","id":1089,"links":{},"metadata":{"_buckets":{"deposit":"abb777be-bcb0-4aa8-b52d-2284533abf5a"},"_deposit":{"created_by":3,"id":"1089","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"1089"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00001089","sets":["7","7:23"]},"author_link":["3435","3436","3437","3438","3439"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2001-04-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"50","bibliographicPageStart":"47","bibliographicVolumeNumber":"9","bibliographic_titles":[{"bibliographic_title":"名寄市立病院医誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"3歳女児.腹痛を主訴とした.急性胃腸炎としてフォローしていたが,その後も腹痛は断続的に出現し,症状が増強して入院となった.検査所見により,急性膵炎と考えて治療した結果,腹痛は軽快して検査値も正常化した.器質的疾患除外のため腹部超音波検査を施行したところ,総胆管の嚢腫状拡張を認め,先天性胆道拡張症(CBD)と診断した.根治術として,拡張胆管切除,肝管空腸Roux-en Y吻合術,人工腸弁作成が施行され,1年半を経過する現在,経過は順調である.腹痛を主訴とする患児に対し,注意深く問診,所見をとることによってCBDを疑い,効率よく超音波検査を行う必要がある.又,これ迄の報告と比較し,腹痛を主訴とする患児の中で,どのような症例に対し,CBDを疑い,積極的に腹部超音波検査を施行すべきか検討した","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"出版社版","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1340-2749","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2001252081"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1285"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"840"}]},"item_5_text_7":{"attribute_name":"著者 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