{"created":"2023-06-19T11:24:16.430349+00:00","id":4967,"links":{},"metadata":{"_buckets":{"deposit":"1884c5b5-efd3-4216-a394-8083ba7b0799"},"_deposit":{"created_by":1,"id":"4967","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4967"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004967","sets":["7","7:23"]},"author_link":["15477","15475","15478","15482","15480","15476","15481","15479"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2003-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"6","bibliographicPageEnd":"629","bibliographicPageStart":"626","bibliographicVolumeNumber":"94","bibliographic_titles":[{"bibliographic_title":"日本泌尿器科学会雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"68歳女.4年前に洞不全症候群でペースメーカ植込み術を施行していた.今回,左背部痛を自覚し泌尿器科を受診,左上部尿管の結石を指摘された.胸部X線上ペースメーカ・ユニットと心房・心室へのリード線を,腹部エコー上で水腎症を認め,KUB・IVPにて左上部尿管(L2/3間)に13×7mm大の結石を確認した.心機能とペースメーカ機能評価ではMedtronic社製Thera DRを用いDDD modeに設定されていたが,実際はAAI modeで100%ペーシングされていた.循環器科医とペースメーカテクニシャンの同席下でペースメーカの作動条件は変更せずに体外衝撃波砕石術(SWL)を施行した.その結果,施行中心房ペーシングによる衝撃波が数回不規則に発射されたがペースメーカ機能には影響なく,施行中・施行後の循環動態にも影響は認めずに結石は砕石された.治療当日より排石を認め,1週間後の腹部X線像で残石を認めず,腹部エコー所見でも水腎症は消失した.ペースメーカ植込み患者におけるSWL治療は日本では自験例が9例目であった","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"雑誌掲載版\n著作権は学会帰属","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":"0021-5287","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2004048428"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"588"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"349"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Kato, Yuji"},{"subitem_text_value":"Hou, Kyokushin"},{"subitem_text_value":"Hori, Junichi"},{"subitem_text_value":"Tanoguchi, Narumi"},{"subitem_text_value":"Yamaguchi, Satoshi"},{"subitem_text_value":"Yachiku, Sunao"},{"subitem_text_value":"Azumi, Makoto"},{"subitem_text_value":"Osanai, Hiroaki"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"加藤, 祐司"},{"creatorName":"カトウ, ユウジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15475","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"芳生, 旭辰"},{"creatorName":"ホウ, キョクシン","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15476","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"堀, 淳一"},{"creatorName":"ホリ, 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