{"created":"2023-06-20T15:56:59.427272+00:00","id":14104,"links":{},"metadata":{"_buckets":{"deposit":"c4b57148-1ec2-479f-af7b-6f92dec63ea1"},"_deposit":{"created_by":28,"id":"14104","owners":[28],"pid":{"revision_id":0,"type":"depid","value":"14104"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00014104","sets":["172:173:547"]},"author_link":["8028","51174","51175","8036","8040","51177","11741","33755","33752","8030","27812","1380","51176","28055","8043","33756","27883","33754","8033","8024","8021","27810"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"32","bibliographicPageStart":"27","bibliographicVolumeNumber":"36","bibliographic_titles":[{"bibliographic_title":"日本赤十字社和歌山医療センター医学雑誌"},{"bibliographic_title":"Medical Journal of Japanese Red Cross Wakayama Medical Center","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"T細胞性急性リンパ性白血病の化学療法に伴う肺塞栓症を合併した14歳女児例を経験した。T細胞性リンパ性白血病の寛解導入療法開始後、31日目に胸痛と呼吸障害を訴えた．造影CTで両側の肺動脈下葉枝に血栓を認め、肺シンチグラフィーで右下肺に取り込み低下を認め、血栓性肺塞栓症と診断した。ヘパリン・ワルファリンで治療開始したが、続く早期強化療法中にPT-INRのコントロールが困難となり、ヘパリンのみの抗凝固療法に切り替えた。ワルファリンは複数の抗がん剤と相互作用があり、化学療法を継続する上でワルファリンの使用は困難と判断し、早期強化療法終了後から直接経口抗凝固薬であるアピキサバンを導入した。その後の経過は良好で症状の再燃や出血症状は認めなかった。化学療法中の肺塞栓症・深部静脈血栓症に対し、抗がん剤との相互作用のない直接経口抗凝固薬は有用であると考えられる。","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"Fukao, Daisuke"}]},{"nameIdentifiers":[{}],"names":[{"name":"HAMAHATA, Keigo"}]},{"nameIdentifiers":[{}],"names":[{"name":"Mizuno, Shinsuke"}]},{"nameIdentifiers":[{}],"names":[{"name":"Hori, Mutsuki"}]},{"nameIdentifiers":[{},{}],"names":[{"name":"Nukada, Takayuki"}]},{"nameIdentifiers":[{}],"names":[{"name":"SUGIMINE, Yoshinori"}]},{"nameIdentifiers":[{}],"names":[{"name":"HIRAUMI, Yoshimi"}]},{"nameIdentifiers":[{}],"names":[{"name":"Yokoyama, Koji"}]},{"nameIdentifiers":[{}],"names":[{"name":"Ikeda, Yuka"}]},{"nameIdentifiers":[{}],"names":[{"name":"Hara, Shigeto"}]},{"nameIdentifiers":[{}],"names":[{"name":"Yoshida, 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