{"created":"2023-06-20T15:56:45.087931+00:00","id":13770,"links":{},"metadata":{"_buckets":{"deposit":"a8f88b2c-7465-4575-8460-cb3be36c1f38"},"_deposit":{"created_by":39,"id":"13770","owners":[39],"pid":{"revision_id":0,"type":"depid","value":"13770"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00013770","sets":["98:61:495"]},"author_link":["50218","50219"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-03-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"16","bibliographicPageStart":"14","bibliographicVolumeNumber":"41","bibliographic_titles":[{"bibliographic_title":"高山赤十字病院紀要"},{"bibliographic_title":"Japanese Red Cross Takayama Hospital","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"急性前壁梗塞にて入院加療後、間もなく左室自由壁破裂(Left ventricular free wall\nrepture：LVFWR)を来たし救命困難となった症例を経験したので報告する。症例は健常な91歳\n女性。胸痛・肩部への放散痛・嘔気を主訴に当院救急外来を受診した。心電図上I,II,aVL,V2-6に\nて広範囲なST上昇を認めており、心エコー上前壁部の広範な運動能の低下を認め、急性前壁梗\n塞の診断にて同日心臓カテーテル検査を施行した。#7に100%の狭窄を認めたためそのまま経皮\n的冠動脈形成術(Pericutaneous coronary intervention：PCI)を施行した。\nPCI終了後もバイタルは安定していたが、突然血圧の低下、呼吸停止を来たした。直ちに胸骨圧\n迫を開始、挿管を行ったが、心エコー上、多量の心嚢水を認め、心嚢穿刺をしたところ血性の心\n嚢水を認めたため、blow-out型のLVFWRと診断した。\nLVFWRは心筋梗塞後の急性期経過中に突然発症する病態であり、頻度こそ少ないものの場合に\nよっては瞬時に死の転帰をとる場合がある。","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"高山赤十字病院"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0387-7027","subitem_source_identifier_type":"ISSN"}]},"item_10002_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":"阪, 哲彰"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"堀部, 永俊"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-08-20"}],"displaytype":"simple","filename":"05　阪　哲彰.pdf","filesize":[{"value":"1.7 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"takayama41_005","url":"https://redcross.repo.nii.ac.jp/record/13770/files/05　阪　哲彰.pdf"},"version_id":"ba0dd1c7-b25a-4f76-a23e-0aa71827f0c9"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"心筋梗塞","subitem_subject_scheme":"Other"},{"subitem_subject":"心破裂","subitem_subject_scheme":"Other"},{"subitem_subject":"Left ventricular free wall repture,LVFWR","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"急性前壁梗塞の加療後,左室自由壁破裂 （Left ventricular free wall repture：LVFWR）を来たした症例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"急性前壁梗塞の加療後,左室自由壁破裂 （Left ventricular free wall repture：LVFWR）を来たした症例"}]},"item_type_id":"10002","owner":"39","path":["495"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-08-20"},"publish_date":"2018-08-20","publish_status":"0","recid":"13770","relation_version_is_last":true,"title":["急性前壁梗塞の加療後,左室自由壁破裂 （Left ventricular free wall repture：LVFWR）を来たした症例"],"weko_creator_id":"39","weko_shared_id":-1},"updated":"2023-06-20T18:53:33.386206+00:00"}