{"created":"2023-06-19T11:23:36.950581+00:00","id":4180,"links":{},"metadata":{"_buckets":{"deposit":"398846da-ba86-43a1-99ac-5dea05c92da0"},"_deposit":{"created_by":3,"id":"4180","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4180"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004180","sets":["7","7:23"]},"author_link":["12780","12781","12782","12783"],"control_number":"4180","item_1716186501932":{"attribute_name":"PubMed番号","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"21030798","subitem_relation_type_select":"PMID"}}]},"item_5_alternative_title_3":{"attribute_name":"その他（別言語等）のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"重症くも膜下出血患者における脳低温療法の効果　1施設での比較","subitem_alternative_title_language":"ja"}]},"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-10-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"10","bibliographicPageEnd":"883","bibliographicPageStart":"879","bibliographicVolumeNumber":"50","bibliographic_titles":[{"bibliographic_title":"Neurologia medico-chirurgica"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"重症くも膜下出血患者187名について、低体温治療を始めた1999年5月以前に入院した67名(早期群)と1997年11月から2001年9月に入院した120名(後期群)の2群に分け、低温療法の有効性について比較した。その結果、後期群19名に脳低温療法、15名に直達手術、4名に血管内手術が施行されていた。低温療法の適応は75歳以下、脳動脈瘤破裂、JCS100以上及び発症から24時間以内であった。体部中心温は48時間24℃に維持され、48時間以上かけて再加温された。転院時又は3ヵ月後に評価された予後は、修正ランキンスケール(m-RS)3が1名、m-RS 3が4名、m-RS 5が3名、死亡11名であった。脳血管攣縮は重要な予後因子で、低温療法後の高体温は脳の腫脹を誘発し予後に影響していた。以上より、脳低温療法は重度SAHの予後を改善せず、通常体温で脳血管攣縮や脳腫脹の予防を行なうべきと考えられた。","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_relation_24":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.2176/nmc.50.879","subitem_relation_type_select":"DOI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0470-8105","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2011108058"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"334"}]},"item_5_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"安栄, 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