{"created":"2023-06-20T15:55:18.108014+00:00","id":11723,"links":{},"metadata":{"_buckets":{"deposit":"0bec53b3-f1c9-4a2a-ad59-092f570b2692"},"_deposit":{"created_by":29,"id":"11723","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"11723"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00011723","sets":["3:432"]},"author_link":["17587","17586","17588","17583","17589","31447"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"294","bibliographicPageStart":"292","bibliographicVolumeNumber":"67","bibliographic_titles":[{"bibliographic_title":"日赤医学"},{"bibliographic_title":"The Japanese Red Cross Medical Journal","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"2000年から2014年までに当院に入院し、血清学的にツツガムシ病と診断した22例について、入院時の臨床症状・検査値と転帰を検討した。発症は５月と11月に多く、７割を占めた。CRPは全例で陽性。紅斑性の皮疹は15例（77.5％）に見られ、肝機能障害が21例（99.5％）、血小板減少（12万/μℓ以下）が15例（68.2％）に見られた。これら３つの所見のうち２つを認めるものが86％であった。初診医がツツガムシ病を疑った例は７例（32％）で、平均在院日数は15.2日であった。死亡例が１例、DICを合併した症例が３例、多臓器不全をきたした症例が２例あった。髄膜脳炎で発症した症例が１例、卵巣腫瘍の術後に発熱と意識障害をきたした症例が１例あった。秋か春（積雪のある地方）の発症で、野外活動歴があり、白血球増加が少ないわりにCRP上昇が強く、肝機能障害と血小板減少がある場合は、ツツガムシ病を疑って刺し口をくまなく探すことが重要である。","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"FUJITA, Nobuya"}]}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"第51回　日本赤十字社医学会総会　優秀演題","subitem_heading_language":"ja"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本赤十字社医学会"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00184873","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0387-1215","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"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":"藤田, 信也"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"梅田, 能生"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"梅田, 麻衣子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小宅, 睦郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"西堀, 武明"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-01-13"}],"displaytype":"simple","filename":"pdf007798.pdf","filesize":[{"value":"1.7 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf007798","url":"https://redcross.repo.nii.ac.jp/record/11723/files/pdf007798.pdf"},"version_id":"6c8865c5-c26b-4acc-952d-399655457f7e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"ツツガムシ病","subitem_subject_scheme":"Other"},{"subitem_subject":"診断","subitem_subject_scheme":"Other"},{"subitem_subject":"臨床像","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":"ツツガムシ病を見逃さないポイントー当院に入院した22例の検討ー","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"ツツガムシ病を見逃さないポイントー当院に入院した22例の検討ー"},{"subitem_title":"Clinical features of Tsutsugamushi disease: analysis of 22 cases hospitalized in Nagaoka Red Cross Hospital","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"29","path":["432"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-01-13"},"publish_date":"2017-01-13","publish_status":"0","recid":"11723","relation_version_is_last":true,"title":["ツツガムシ病を見逃さないポイントー当院に入院した22例の検討ー"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2023-06-20T19:15:08.996061+00:00"}