{"created":"2023-06-19T11:23:00.186431+00:00","id":3461,"links":{},"metadata":{"_buckets":{"deposit":"5c7b95fb-f1a4-4d49-b77b-04ca18e67964"},"_deposit":{"created_by":3,"id":"3461","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3461"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00003461","sets":["7","7:23"]},"author_link":["9629","9630","9631","9632","9633","9634"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"496","bibliographicPageStart":"494","bibliographicVolumeNumber":"82","bibliographic_titles":[{"bibliographic_title":"臨牀と研究"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"54歳男.肛門痛で受診した.内痔核の嵌頓を認め入院した.術前処置として,グリセリン洗腸を施行した.手術室に入室後,肛門周囲の著明な発赤,腫脹を認めた.皮膚切開の際に,透明な液体の流出を認め,直腸壁もしくは肛門管損傷によるグリセリン液の漏出を疑い,発赤部を数ヶ所切開して可及的にドレナージした.引き続き痔核の切除結紮術を行った.術後の骨盤腔CTで直腸壁の肥厚と,直腸周囲にfree air像を認めたためグリセリン洗腸による直腸穿孔と診断した.手術翌日に肉眼的血尿を認めた.血液生化学検査では,白血球,総ビリルビン,LDHの上昇を認めた.絶食とし補液を中心とした対症療法を継続した.肛門部の発赤,腫脹は徐々に軽快したため,第7病日に食事を開始し,第14病日に退院となった","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","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":"0021-4965","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2005175707"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1587"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1758"}]},"item_5_text_7":{"attribute_name":"著者 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