{"created":"2023-06-19T11:23:10.731890+00:00","id":3663,"links":{},"metadata":{"_buckets":{"deposit":"644c6b6b-f1ba-47d2-a9ea-b535bf8124c4"},"_deposit":{"created_by":3,"id":"3663","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3663"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00003663","sets":["7","7:23"]},"author_link":["10736","10737","10738","10739","10740"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1996-06-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"14","bibliographicPageStart":"10","bibliographicVolumeNumber":"41","bibliographic_titles":[{"bibliographic_title":"北海道外科雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"77歳女.約2年前にC型肝硬変と診断された.腹水の軽度貯留を認めたが利尿剤でコントロールされ,外来通院していた.今回は呼吸困難を主訴に来院し,著明な右側胸水貯留を認めた.胸腔ドレナージで1.0〜1.5l/dayの排液が続いた為,胸腔-腹腔シャント術を施行した.術後胸水のコントロールは良好で蛋白漏出を防止し,患者自身も胸腔ドレーンから離脱することができた.胸腔-腹腔シャント術は,局所麻酔下で施行できる比較的安全で容易な手技である.無菌性の難治性胸水を有し,腹水のコントロール可能な症例に対しては試みるべき方法の一つと考えられた","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":"0288-7509","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1996235083"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1357"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1665"}]},"item_5_text_7":{"attribute_name":"著者 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