{"created":"2023-06-20T15:49:02.345072+00:00","id":1294,"links":{},"metadata":{"_buckets":{"deposit":"8696259f-344f-4633-962f-ead5b3ce8774"},"_deposit":{"created_by":29,"id":"1294","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"1294"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00001294","sets":["99:64:66"]},"author_link":["51","50","55","57","45","53","46","49","58","54","48","44","56","52","47"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"20","bibliographicPageStart":"16","bibliographicVolumeNumber":"17","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal ","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"選択的副腎静脈サンプリング(AVS)を施行した原発性アルドステロン症(PA)9例の臨床像や内分泌機能について検討した.対象は,2005年からの6年間に若年性・難治性高血圧、低カリウム血症、副腎偶発腫瘍などを契機として、血漿アルドステロン濃度(PAC)/血漿レニン活性(PRA)比>200からPA が疑われた9例(平均年齢58歳)で、全例にAVSによる局在診断を行った.その結果、PAとして診断的な副腎皮質刺激ホルモン(ACTH)負荷後PACの絶対値基準は71%で満たされており、絶対値・相対比基準をともに満たした4例ではCTでの腫瘍局在にも一致した.しかし、3例はこれらの基準を満たさず、画像所見やPAC の日内変動、AVSでのPACの絶対値や反応性を含めた総合的判断を要した.PAの臨床像や内分泌機能は多様で、臨床的にPAを疑ってから精査が開始される場合が多い.治療選択のためにはACTH負荷併用AVS による正確な局在診断が不可欠である.","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"NAKAUCHI, Kanako"}]}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"徳島赤十字病院"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.tokushima-med.jrc.or.jp/hospital/medical/2012pdf/004.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878 ","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":"中内, 佳奈子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宮井, 優"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"近藤, 絵里"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"金崎, 淑子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"新谷, 保実"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"宮, 恵子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"生野, 雅也"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"清水, 千尋"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"木下, 光博"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"池山, 鎭夫"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"城野, 良三"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"木内, 慎一郎"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"笠井, 和則"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"上間, 健造"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2012-08-21"}],"displaytype":"simple","filename":"trchmj1701_16-20.pdf","filesize":[{"value":"641.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf001498","url":"https://redcross.repo.nii.ac.jp/record/1294/files/trchmj1701_16-20.pdf"},"version_id":"c3c9b2d3-1db2-430b-ab41-1e42e99512af"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"選択的副腎静脈サンプリング","subitem_subject_scheme":"Other"},{"subitem_subject":"原発性アルドステロン症","subitem_subject_scheme":"Other"},{"subitem_subject":"アルドステロン産生腺腫","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":"選択的副腎静脈サンプリングを施行した原発性アルドステロン症9例の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"選択的副腎静脈サンプリングを施行した原発性アルドステロン症9例の検討"},{"subitem_title":"Clinical study of 9 cases of primary aldosteronism performed with selective adrenal venous sampling","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"29","path":["66"],"pubdate":{"attribute_name":"公開日","attribute_value":"2012-07-23"},"publish_date":"2012-07-23","publish_status":"0","recid":"1294","relation_version_is_last":true,"title":["選択的副腎静脈サンプリングを施行した原発性アルドステロン症9例の検討"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2023-06-20T20:43:41.903936+00:00"}