{"created":"2023-06-19T11:24:33.236574+00:00","id":5288,"links":{},"metadata":{"_buckets":{"deposit":"bad7cc3b-79e4-4ebe-ba17-3213728a7fc8"},"_deposit":{"created_by":1,"id":"5288","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"5288"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00005288","sets":["7","7:23"]},"author_link":["16555","16554","16560","16557","16556","16559","16558"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-07-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"434","bibliographicPageStart":"429","bibliographicVolumeNumber":"37","bibliographic_titles":[{"bibliographic_title":"気管支学"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"背景. 出血・気道狭窄を伴う中枢気道の腫瘍に対する治療戦略として、緊急の止血・呼吸管理に加えて、局所的な腫瘍制御が重要である。症例. 59歳女性。右肺扁平上皮癌にて右中下葉切除術後、大量喀血を伴う呼吸不全のため気管挿管、人工呼吸管理となった。気管支内視鏡で、右主気管支を占拠する腫瘍塊と、その末梢からの出血を確認した。12時間後に気管支動脈塞栓術を施行したが、止血後も高濃度酸素下の呼吸管理を要した。高出力レーザー治療は危険性が高いと判断し、7日後に気道狭窄の軽減を目的として光線力学的治療(Photodynamic Therapy;PDT)を施行した。腫瘍は縮小し、人工呼吸器を離脱した。縦隔外部照射を追加し、局所再発病変は制御された。結論. 人工呼吸管理下においても、PDTは安全に施行可能である。中枢気道腫瘍に対して、PDTは緊急止血処置に続く待機的治療として有用である。","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":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2016128381","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0287-2137","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2015111702"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"456"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"335"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Hirai, Noriko"},{"subitem_text_value":"Kazebayashi, Yoshihiro"},{"subitem_text_value":"Endo, Satoshi"},{"subitem_text_value":"Minami, Yoshinori"},{"subitem_text_value":"Sasaki, Takaaki"},{"subitem_text_value":"Yamamoto, Yasushi"},{"subitem_text_value":"Ohsaki, Yoshinobu"}]},"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_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"平井, 理子"},{"creatorName":"ヒライ, ノリコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"16554","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"風林, 佳大"},{"creatorName":"カゼバヤシ, ヨシヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"16555","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"遠藤, 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