{"created":"2023-06-19T11:21:56.653073+00:00","id":2220,"links":{},"metadata":{"_buckets":{"deposit":"731bf5b6-00f2-46b6-b634-015b9957b827"},"_deposit":{"created_by":3,"id":"2220","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2220"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00002220","sets":["7","7:23"]},"author_link":["6697","6698","6699","6700","6701","6702","6703","6704","6705","6706","6707","6708","6709"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-10-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"71","bibliographicPageStart":"66","bibliographicVolumeNumber":"25","bibliographic_titles":[{"bibliographic_title":"血管外科"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"腹部大動脈・腸骨動脈瘤の手術症例中、脳血管障害後遺症により術前ADLが高度に低下した4例を対象に疫学的特徴と手術成績について検討した。最大瘤径は平均6.1cmで、1例は孤立性腸骨動脈瘤の破裂であった。術前より発熱を認めた3例は感染性動脈瘤を疑い、2例にin situによる再建と大網充填を追加した。術前に破裂もしくは切迫破裂と診断し緊急手術を行ったのは3例で、全て破裂症例で後腹膜へ破裂しており、うち2例で器質化した後腹膜血腫を認め、chronic contained ruptureと考えられた。術後合併症として、1例にイレウスを認め、この症例は大腸癌による開腹手術の既往があり、術前よりイレウス症状が存在した。術中腸管癒着があったが最終的に保存療法で軽快した。その他2例で薬剤性と思われる軽度肝機能障害を認めた。術前より発熱していた3例中2例で、瘤壁よりCandida tropikalis、Staphylococcus aureusが各々検出され、感染性動脈瘤と確定診断した。術後平均在院日数は21日で、最長観察8ヵ月で遠隔死亡も認めない。","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"著者最終原稿版","subitem_description_language":"ja","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_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2007106598"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1252"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"833"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Kimura, Fumiaki"},{"subitem_text_language":"en","subitem_text_value":"Inaba, Masashi"},{"subitem_text_language":"en","subitem_text_value":"Azuma, Nobuyoshi"},{"subitem_text_language":"en","subitem_text_value":"Nakanishi, Keisuke"},{"subitem_text_language":"en","subitem_text_value":"Ishikawa, Noriyuki"},{"subitem_text_language":"en","subitem_text_value":"Shimizu, Noriyuki"},{"subitem_text_language":"en","subitem_text_value":"Kiyokawa, Keiko"},{"subitem_text_language":"en","subitem_text_value":"Haga, Masae"},{"subitem_text_language":"en","subitem_text_value":"Asada, Hidenori"},{"subitem_text_language":"en","subitem_text_value":"Uchida, Hisashi"},{"subitem_text_language":"en","subitem_text_value":"Akasaka, Nobuyuki"},{"subitem_text_language":"en","subitem_text_value":"Goh, Kazutomo"},{"subitem_text_language":"en","subitem_text_value":"Sasajima, Tadahiro"},{"subitem_text_language":"en"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"木村, 文昭","creatorNameLang":"ja"},{"creatorName":"キムラ, フミアキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"6697","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"稲葉, 雅史","creatorNameLang":"ja"},{"creatorName":"イナバ, マサシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"6698","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"東, 信良"},{"creatorName":"アズマ, ノブヨシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"6699","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"中西, 啓介","creatorNameLang":"ja"},{"creatorName":"ナカニシ, ケイスケ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"6700","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"石川, 訓行"},{"creatorName":"イシカワ, 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