{"created":"2023-06-20T15:56:45.219103+00:00","id":13772,"links":{},"metadata":{"_buckets":{"deposit":"ec573c03-66e0-46ce-83df-a852945f9792"},"_deposit":{"created_by":39,"id":"13772","owners":[39],"pid":{"revision_id":0,"type":"depid","value":"13772"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00013772","sets":["98:61:495"]},"author_link":["50227","50224","50221","50223","50225","50228","50222","50226"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-03-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"29","bibliographicPageStart":"24","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":"2015年１月より2017年10月までに、尿管結石を起因とした閉塞性尿路感染にて当院を\n受診した53例につき臨床検討を行った。平均年齢71.2歳、男女比41：12であった。主訴は発熱22\n例、併存症として、高血圧を22例、糖尿病を4例に認めた。ドレナージ法は、腎瘻造設１例、尿\n管ステント留置52例であった。12例がICUにて初期治療を行った。初期の使用抗菌薬は、MEPM\n33例。培養結果は、E.coli 28例であった。結石は、左34例、右19例、上部尿管38例、平均長径\n8.63mmであった。尿路敗血症を、27例に認めた。入院治療中に６例の合併症を認めたが、後遺\n障害なく軽快し全例感染症治癒し退院している。感染症軽快後の結石治療については、ESWL ７\n例、TUL 27例であった。","subitem_description_type":"Abstract"},{"subitem_description":"Fifty-three patients (12 females, 41 males; mean age, 71.2 years) required emergent urinary\ndrainage by percutaneous nephrostomy or ureteral stenting for treatment of acute obstructive\nurinary infection with ureteral calculi from January in 2015 to October in 2017. Symptom onset\nbegan with fever in 22 patients. Of the 53 patients, 4 also had diabetes mellitus and 22 had\nhypertension. Fifty-two of 53 patients were managed by ureteral stenting. All patients had\nhydronephrosis. Twelve patients required admission to the intensive care unit (ICU). Thirty-three\npatients initially were empirically treated with meropenem (MEPM). Escherichia coli (E.coli) was\nthe causative agent in 28 episodes. Thirty-four cases of the calculi were located on the left side,\nand 19 were on the right side. The calculi were located in the upper ureter in 38 events. The\nmean stone size was 8.63 mm. In 27 events, the criteria for sepsis were fulfilled. Nineteen and 13\npatients met the criteria for having septic shock and disseminated intravascular coagulation (DIC),\nrespectively. There were 6 complications, but all patients were cured. For operative procedure\nafter recovery, extracorporeal shock wave lithotripsy (ESWL) was performed in 7 patients, whereas\ntransurethral ureterolithotripsy (TUL) was performed in 27 patients.","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":"小島, 圭太郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"亀山, 紘司"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"上田, 秀親"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"柚原, 一哉"}],"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":"07　小島　圭太郎.pdf","filesize":[{"value":"1.7 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"takayama41_007","url":"https://redcross.repo.nii.ac.jp/record/13772/files/07　小島　圭太郎.pdf"},"version_id":"996866f2-f7d9-4c8a-884c-589a5920fe82"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"尿管結石","subitem_subject_scheme":"Other"},{"subitem_subject":"腎盂腎炎","subitem_subject_scheme":"Other"},{"subitem_subject":"尿路敗血症","subitem_subject_scheme":"Other"},{"subitem_subject":"緊急尿路ドレナージ","subitem_subject_scheme":"Other"},{"subitem_subject":"尿管ステント留置","subitem_subject_scheme":"Other"},{"subitem_subject":"urolithiasis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pyelonephritis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"urosepsis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"emergent urinary drainage","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ureteral stenting","subitem_subject_language":"en","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":"尿管結石を起因とした閉塞性尿路感染に対する緊急ドレナージ 施行例の臨床的検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"尿管結石を起因とした閉塞性尿路感染に対する緊急ドレナージ 施行例の臨床的検討"},{"subitem_title":"Clinical trial on the efficacy of emergency drainage for acute obstructive urinary infection with ureteral calculi","subitem_title_language":"en"}]},"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":"13772","relation_version_is_last":true,"title":["尿管結石を起因とした閉塞性尿路感染に対する緊急ドレナージ 施行例の臨床的検討"],"weko_creator_id":"39","weko_shared_id":-1},"updated":"2023-06-20T18:53:28.511716+00:00"}