{"created":"2023-06-19T11:20:32.489955+00:00","id":584,"links":{},"metadata":{"_buckets":{"deposit":"5538886e-abe7-4eed-aca5-12b9cf35ecf4"},"_deposit":{"created_by":3,"id":"584","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"584"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00000584","sets":["7","7:23"]},"author_link":["1209","1210","1211","1212","1213"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"12","bibliographicPageEnd":"858","bibliographicPageStart":"855","bibliographicVolumeNumber":"48","bibliographic_titles":[{"bibliographic_title":"糖尿病"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"54歳女性.患者は38歳頃より脱力感,冷汗を自覚していたが,糖分摂取で改善していた.しかし今回,同様症状が糖分摂取でも改善しないため近医を受診,75gOGTTを施行し,その3時間後,血糖が39mg/dlとなり紹介受診となった.CTでは肝右葉に10cmの血管腫を認め,右季肋部痛もあり,肝右葉切除術を施行したところ,術後9ヵ月目に同様の症状で再来となった.食後3時間の血糖は58mg/dl,内分泌を含む血液検査では異常は認めず,絶食試験でもインスリン分泌は抑制されており,75gOGTTでは血糖値は低めであったが正常パターンであり,IRI反応は遷延傾向であった.更にCT・超音波内視鏡では膵臓に異常は認めなかった.病歴から食後性低血糖の特徴を認め,特発性反応性低血糖症と診断し,α-Glucosidase inhibitorを投与を開始した結果,以後,1年以上,低血糖症状は認められていない","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"出版社版","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":"0021-437X","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2006105381"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1792"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1317"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Nagamine, Miho"},{"subitem_text_language":"en","subitem_text_value":"Takahashi, Nobuhiko"},{"subitem_text_language":"en","subitem_text_value":"Inoue, Mitsutaka"},{"subitem_text_language":"en","subitem_text_value":"Kohgo, Yutaka"},{"subitem_text_language":"en","subitem_text_value":"Okumura, Toshikatsu"},{"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_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"長峯, 美穂","creatorNameLang":"ja"},{"creatorName":"ナガミネ, ミホ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1209","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高橋, 伸彦","creatorNameLang":"ja"},{"creatorName":"タカハシ, 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