{"created":"2023-06-19T11:20:32.376859+00:00","id":582,"links":{},"metadata":{"_buckets":{"deposit":"f734998e-fcbc-45f1-a794-8c5e8d1ff4a3"},"_deposit":{"created_by":3,"id":"582","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"582"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00000582","sets":["7","7:23"]},"author_link":["1195","1196","1197","1198","1199","1200","1201"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2004-11-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"11","bibliographicPageEnd":"824","bibliographicPageStart":"821","bibliographicVolumeNumber":"50","bibliographic_titles":[{"bibliographic_title":"泌尿器科紀要"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"27歳女性.患者は左背部痛を主訴に前医を受診し,CTにて両側尿管結石による水腎症を指摘され,左経尿道的尿管砕石術を試みた.しかし,結石は腎内にpush upされ左尿管ステントの留置となった.今回,精査および加療を目的に著者らの施設へ入院したところ,小球性低色素性貧血,血清K濃度の軽度低下,アルドステロンの分泌亢進,24時間尿量と尿中Na排泄量の著明な低下を認めた.一方,CTでは右尿管結石による高度水腎症と左上部尿管に4mmの結石を認め,腎動態シンチでは右腎機能は廃絶し,機能的左単腎であった.左腎内結石を尿管鏡で摘出したところ,結石成分は酸性尿酸アンモニウムであった.患者は15歳より体重増加防止の目的で市販の緩下剤を常用しており,そのため,まずはこの緩下剤を中止させ,精神科医のカウンセリングを行った.その結果,尿量ならびに尿中Na排泄量は著明な改善を認め,現在は外来経過観察中で結石再発はなく,排便も酸化マグネシウムや大建中湯などでコントロールされている","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"著者版","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":"0018-1994","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2005080759"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1534"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1784"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Kato, Yuji"},{"subitem_text_language":"en","subitem_text_value":"Hou, Kyokushin"},{"subitem_text_language":"en","subitem_text_value":"Saga, Yuji"},{"subitem_text_language":"en","subitem_text_value":"Okuyama, Mitsuhiko"},{"subitem_text_language":"en","subitem_text_value":"Yamaguchi, Satoshi"},{"subitem_text_language":"en","subitem_text_value":"Yachiku, Sunao"},{"subitem_text_language":"en","subitem_text_value":"Kawakami, Norihiro"},{"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":"加藤, 祐司","creatorNameLang":"ja"},{"creatorName":"カトウ, ユウジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1195","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"芳生, 旭辰","creatorNameLang":"ja"},{"creatorName":"ホウ, キョクシン","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1196","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"佐賀, 祐司","creatorNameLang":"ja"},{"creatorName":"サガ, ユウジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1197","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"奥山, 光彦","creatorNameLang":"ja"},{"creatorName":"オクヤマ, ミツヒコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1198","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山口, 聡","creatorNameLang":"ja"},{"creatorName":"ヤマグチ, サトシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1199","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"八竹, 直","creatorNameLang":"ja"},{"creatorName":"ヤチク, スナオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1200","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"川上, 憲裕","creatorNameLang":"ja"},{"creatorName":"カワカミ, ノリヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1201","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":"721.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"721.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/582/files/721.pdf"},"version_id":"86b9f60f-46b0-4d33-b83a-1796621d3291"}]},"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":"緩下剤の長期乱用による酸性尿酸アンモニウム結石の1例　本邦報告例の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"緩下剤の長期乱用による酸性尿酸アンモニウム結石の1例　本邦報告例の検討","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["6","7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2007-09-05"},"publish_date":"2007-09-05","publish_status":"0","recid":"582","relation_version_is_last":true,"title":["緩下剤の長期乱用による酸性尿酸アンモニウム結石の1例　本邦報告例の検討"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-07-16T09:28:56.846135+00:00"}