{"created":"2023-06-20T15:56:55.203217+00:00","id":13993,"links":{},"metadata":{"_buckets":{"deposit":"e4044f5f-bb5f-44a0-99e1-566b59523ca7"},"_deposit":{"created_by":53,"id":"13993","owners":[53],"pid":{"revision_id":0,"type":"depid","value":"13993"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00013993","sets":["615:616:617"]},"author_link":["50718","50714","50712","50719","50721","50710","50715","50720","50716","50717","50711","50713"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-11","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"39","bibliographicPageStart":"34","bibliographicVolumeNumber":"29","bibliographic_titles":[{"bibliographic_title":"岡山赤十字病院医学雑誌"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"目的:食道破裂、穿孔は各施設の経験症例が少なく、一般的には予後不良とされる。当院での手術治療成績を検討した。方法:2004年1月から2017年12月までに当院で食道破裂、穿孔と診断し、外科的手術治療を行った12例を対象とした。結果:嘔吐が原因の特発性7例、医原性3例、異物誤飲2例で、発症から手術までの時間は中央値8.5時間(3〜48時間)、24時間以上は2例であった。手術アプローチは頸部1例、胸部8例、腹部3例で鏡視下手術は胸部6例に施行した。Clavien-Dindo分類grade III以上の重篤な合併症は4例で、術後在院日数の中央値は34日(18〜130日)、術後在院死亡はなかった。特発性は医原性、異物誤飲に比べ、発症から手術までの時間、ICU滞在日数が有意に長く、術後合併症も多かった。結語:当院の食道破裂、穿孔に対する手術治療成績は良好であり、医原性、異物誤飲に対する胸腔鏡手術は有効であった。(著者抄録)","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"岡山赤十字病院 "}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0915-8073","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"高木, 章司"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"梅田, 響"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"柳光, 剛志"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"高橋, 政史"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"藤本, 竜平"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"李, 云成"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"工藤, 泰崇"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"原田, 昌明"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"黒田, 雅利"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山野, 寿久"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"池田, 英二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"劔持, 雅一"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-03-14"}],"displaytype":"simple","filename":"03-4　原著 高木 p.34-39.pdf","filesize":[{"value":"2.0 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"okayama000006","url":"https://redcross.repo.nii.ac.jp/record/13993/files/03-4　原著 高木 p.34-39.pdf"},"version_id":"69b1b612-72de-4e10-adb2-9358c983677f"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"esophageal perforation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Boerhaave’s syndrome","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"iatrogenic","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"foreign body","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"surgery","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"食道破裂、穿孔に対する手術症例の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"食道破裂、穿孔に対する手術症例の検討"}]},"item_type_id":"10001","owner":"53","path":["617"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-03-14"},"publish_date":"2019-03-14","publish_status":"0","recid":"13993","relation_version_is_last":true,"title":["食道破裂、穿孔に対する手術症例の検討"],"weko_creator_id":"53","weko_shared_id":-1},"updated":"2023-06-20T18:49:19.770124+00:00"}