{"created":"2023-06-20T15:49:15.288613+00:00","id":1599,"links":{},"metadata":{"_buckets":{"deposit":"1648dddf-c237-4c25-9cb2-d4a5a66e7d19"},"_deposit":{"created_by":18,"id":"1599","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"1599"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00001599","sets":["99:64:66"]},"author_link":["315","286","251","285","316","290","109","304","294","288","305","312","310","261","308","287","298","320","311","252","321","131","258","284","317","303","259","302","314","318","291","292","111","295","301","319","300","299","293","307","322","306","297","313","309","289","296"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"103","bibliographicPageStart":"98","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_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"肺血栓塞栓症,深部静脈血栓症は,術後の発症頻度は少ないと考えられていたが,近年その発症数は増加している.肺塞栓症の臨床症状は肺動脈の塞栓部位,範囲,程度によって胸部不快感程度の軽症例から,急性肺性心により死亡する重症例まで多様である.急性期では患者の重症度に応じた適切な呼吸循環管理と同時に,抗凝固療法,血栓溶解療法が治療の中心となる.今回経験した症例は,68歳,女性,熱傷に対してデブリードマン,植皮術が行われた翌日より突然の胸部苦悶感を訴えられた.診察時,頻脈と血中酸素飽和度の低下がみられており,造影CTなどの検査が行われ,肺塞栓症,深部静脈血栓症と診断された.モンテプラーゼ(t-PA)投与,抗凝固療法を開始し,翌日には症状及び血行動態の改善がみられた.また,深部静脈血栓症に対し,一時下大静脈フィルターの留置を行った.肺塞栓症の急性期治療にt-PA が有用であった一例を報告する.","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"KASHINO, Chiaki"}]},{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"HIASA, Yoshikazu"}]},{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"HOSOKAWA, 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