{"created":"2023-06-19T11:23:06.362697+00:00","id":3582,"links":{},"metadata":{"_buckets":{"deposit":"955cb3e4-87c2-46bd-b9aa-fde03db73baa"},"_deposit":{"created_by":3,"id":"3582","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3582"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00003582","sets":["7","7:23"]},"author_link":["10297"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-07-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"5〜6","bibliographicPageEnd":"852","bibliographicPageStart":"846","bibliographicVolumeNumber":"23","bibliographic_titles":[{"bibliographic_title":"救急・集中治療"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"＜point＞●尿路結石が疑われる患者に対する画像診断として、超音波断層法(腹部エコー)や腎尿管膀胱部単純X線撮影(KUB)が推奨されるが、救急診療では他疾患との鑑別も含めて腹部CTが第一選択となる。●単腎者の尿管結石や両側性尿管結石、重篤な腎盂腎炎や膿腎症、尿の尿路外溢流や尿道内結石嵌頓などの場合は、緊急処置が必要である。●尿毒症所見(尿素窒素、クレアチニン、カリウムの上昇など)や尿量異常(乏尿、無尿)を呈するものは緊急度が高く、疝痛発作の持続や発熱(38℃以上)を伴うものは重症度が高い。●尿路結石症としての診断が困難な場合、最終的には尿管腫瘍、腎盂腫瘍などの悪性腫瘍との鑑別が必要である。●尿路結石症の診断は、なるべく複数の画像診断により客観的に評価すること、疾患に対する先入観にとらわれないことが重要であり、常に広い視野での診療を心がける。","subitem_description_language":"ja","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_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":"1346-0935","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2011299107"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1338"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1739"}]},"item_5_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"山口, 聡","creatorNameLang":"ja"},{"creatorName":"ヤマグチ, サトシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"10297","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":"4111.pdf","filesize":[{"value":"278.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"4111.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/3582/files/4111.pdf"},"version_id":"dc6de41c-825c-4a69-8219-c4e46b7fb431"}]},"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":"【最新 救急画像診断-読み方・考え方・活かし方-】 泌尿器、生殖器　腎尿路の結石・水腎症","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"【最新 救急画像診断-読み方・考え方・活かし方-】 泌尿器、生殖器　腎尿路の結石・水腎症","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["6","7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2011-11-21"},"publish_date":"2011-11-21","publish_status":"0","recid":"3582","relation_version_is_last":true,"title":["【最新 救急画像診断-読み方・考え方・活かし方-】 泌尿器、生殖器　腎尿路の結石・水腎症"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-07-26T09:04:19.278410+00:00"}