{"created":"2023-06-19T11:23:27.084645+00:00","id":3989,"links":{},"metadata":{"_buckets":{"deposit":"d3777d04-8989-495f-a0fa-ca13ab332c4c"},"_deposit":{"created_by":3,"id":"3989","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3989"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00003989","sets":["7","7:23"]},"author_link":["12000","12001","12002"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-11-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"9-10","bibliographicPageEnd":"1483","bibliographicPageStart":"1477","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＞●急性腸管虚血は非常に高い致死率を有し、早期診断・治療が救命のため必要である。●急性腸管虚血は、高齢で基礎疾患(高血圧・不整脈・心機能低下・動脈硬化など)を有する症例でみられることが多い。●臨床症状としては嘔吐、腹痛、下血がほとんどの症例でみられるが、原因疾患により様々な症状や経過をたどる。●腹部CT検査が低侵襲で診断に最も有用である。しかしNOMI症例ではCTで所見が認められない場合もあるため、早急に血管造影を施行する。●強い腹痛が持続する症例では、腹膜刺激症状の有無にかかわらず積極的に本症を疑い、躊躇せず診断・治療を進める。●腸管壊死が疑われる場合は、ためらわず外科的治療を考慮する。","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":"2012065158"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"940"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"3027"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Fujiya, Mikihiro"},{"subitem_text_language":"en","subitem_text_value":"Kohgo, Yutaka"},{"subitem_text_language":"en"}]},"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":"嘉島, 伸","creatorNameLang":"ja"},{"creatorName":"カシマ, シン","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"12000","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"藤谷, 幹浩","creatorNameLang":"ja"},{"creatorName":"フジヤ, ミキヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"12001","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高後, 裕","creatorNameLang":"ja"},{"creatorName":"コウゴ, ユタカ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"12002","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":"4734.pdf","filesize":[{"value":"240.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"4734.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/3989/files/4734.pdf"},"version_id":"96f4bf0b-a32f-4d1a-81e1-5648edec39e0"}]},"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":"【若き当直医の悩み-腹部救急Q&A】 病態別各論-疾病　急性腸管虚血","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"【若き当直医の悩み-腹部救急Q&A】 病態別各論-疾病　急性腸管虚血","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["6","7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2012-08-03"},"publish_date":"2012-08-03","publish_status":"0","recid":"3989","relation_version_is_last":true,"title":["【若き当直医の悩み-腹部救急Q&A】 病態別各論-疾病　急性腸管虚血"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-07-26T09:04:16.861378+00:00"}