{"created":"2023-06-19T11:24:13.372872+00:00","id":4904,"links":{},"metadata":{"_buckets":{"deposit":"8f38e168-9247-4d89-bea2-e6add1b7c406"},"_deposit":{"created_by":1,"id":"4904","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4904"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004904","sets":["7","7:23"]},"author_link":["15165"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-02-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"171","bibliographicPageStart":"167","bibliographicVolumeNumber":"29","bibliographic_titles":[{"bibliographic_title":"呼吸"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"胸郭出口症候群(TOS)の病態、診断、治療、および診療上の問題点を概説した。TOSは神経性(NTOS)、動脈性、静脈性に分けられる。NTOSが最も多く、特発性、異常骨・筋・線維束、外傷などにより腕神経叢が胸郭出口で圧迫され、上肢、肩、背部疼痛や倦怠感などの神経症状を訴えるが、客観的確定診断法がない。保存療法の有効率は低く、症状の強い例はQOLが著しく障害されるため、積極的な手術適応となる。術式は第1肋骨に加えて斜角筋群に対する適切かつ十分な切除が有効性や再発防止上必須で、腕神経圧迫機序、異常骨、筋、線維束などの術中診断が重要である。手術合併症として横隔神経、長胸神経、腕神経、星状神経節などの傷害、開胸、胸水、リンパ漏などが起こり得るが、有効例では手術に対する満足度が極めて高い。一方、手術無効例が10%あり、また術後再発率も高い。そのため手術に当たっては、有効率と再発率、合併症に対し理解を得ることが肝要である。(著者抄録)","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"内容記述","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_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"2010110799","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0286-9314","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2010110799"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"900"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"4746"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Sasajima, Tadahiro"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"笹嶋, 唯博"},{"creatorName":"ササジマ, タダヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15165","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":"5743.pdf","filesize":[{"value":"4.6 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"5743.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/4904/files/5743.pdf"},"version_id":"327db1b4-9a8b-456f-af5a-2ba47c984e24"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"thoracic outlet syndrome","subitem_subject_scheme":"Other"}]},"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":"ピットフォール　胸郭出口症候群","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"ピットフォール　胸郭出口症候群"}]},"item_type_id":"5","owner":"1","path":["6","7","23"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-05-28"},"publish_date":"2014-05-28","publish_status":"0","recid":"4904","relation_version_is_last":true,"title":["ピットフォール　胸郭出口症候群"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-06-19T12:33:42.893578+00:00"}