{"created":"2023-06-19T11:22:07.448092+00:00","id":2409,"links":{},"metadata":{"_buckets":{"deposit":"8809f935-1cd1-4e85-bc61-28fc7e5ab338"},"_deposit":{"created_by":3,"id":"2409","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2409"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00002409","sets":["7","7:23"]},"author_link":["7461","7462","7463"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-06-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"57","bibliographicPageStart":"55","bibliographicVolumeNumber":"9","bibliographic_titles":[{"bibliographic_title":"THE CIRCULATION FRONTIER"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"88歳女.座位保持困難を主訴とした.入院後,右片麻痺と嚥下障害が徐々に出現し,脳MRIで左橋に梗塞巣を認めた.D-マンニトールおよび塩酸オザグレルによる治療を開始したが,麻痺の改善はみられなかった.その後,肺炎を併発したため抗生物質を使用した.入院9日目に著明な下痢が出現し,検査によりMRSA腸炎と診断し,塩酸バンコマイシンの内服を開始した.翌日,著明な発汗と悪寒・戦慄を伴う40?41度の発熱が持続し,血液培養で大腸菌とS.simulansを検出した.菌血症と判断し,更に抗生物質の追加投与を行った.入院13日目にJCSで200の意識障害が出現し,血糖値や血圧に著変はなかったが,その後,敗血症によるショックで一時的に血圧が低下した.入院16日目に脳MRIでは,両側淡蒼球にT2強調像で高信号の病巣を認めた.橋病変に変化はみられなかった","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_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1343-2036","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2005261997"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1001"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2256"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Aizawa, Hitoshi"},{"subitem_text_language":"en","subitem_text_value":"Matsuhashi, Hironobu"},{"subitem_text_language":"en","subitem_text_value":"Kikuchi, Kenjiro"},{"subitem_text_language":"en"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"相澤, 仁志","creatorNameLang":"ja"},{"creatorName":"アイザワ, ヒトシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7461","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"松橋, 浩伸","creatorNameLang":"ja"},{"creatorName":"マツハシ, ヒロノブ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7462","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"菊池, 健次郎"},{"creatorName":"キクチ, ケンジロウ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7463","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-07-06"}],"displaytype":"detail","filename":"3438.pdf","filesize":[{"value":"222.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"3438.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/2409/files/3438.pdf"},"version_id":"f7d1ea7b-0e49-4d68-b9d0-107fd0f5f38f"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"脳幹梗塞後に低酸素性虚血性脳症を合併した1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"脳幹梗塞後に低酸素性虚血性脳症を合併した1例","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2010-11-15"},"publish_date":"2010-11-15","publish_status":"0","recid":"2409","relation_version_is_last":true,"title":["脳幹梗塞後に低酸素性虚血性脳症を合併した1例"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-04-25T08:15:11.320597+00:00"}