{"created":"2023-06-20T15:58:52.118145+00:00","id":16526,"links":{},"metadata":{"_buckets":{"deposit":"053bf69d-971b-4627-80fd-ff6e2c5f9d23"},"_deposit":{"created_by":39,"id":"16526","owners":[39],"pid":{"revision_id":0,"type":"depid","value":"16526"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00016526","sets":["98:61:579"]},"author_link":["61666","61670","61668","61671","61667","61672","61665","61669"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-03-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"19","bibliographicPageStart":"16","bibliographicVolumeNumber":"43","bibliographic_titles":[{"bibliographic_title":"高山赤十字病院紀要"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【要旨】腹部外傷のなかで予後不良な損傷は鈍的外傷による重症型肝損傷つまり日本外傷学会肝損傷分類の複雑型深在性損傷（以下、Ⅲb型肝損傷）である。飛騨地域における３次救急指定病院である当院で過去10年間に経験した外傷性肝損傷は32例、うちⅢb型肝損傷８例における治療経過と結果を比較し今後の治療戦略の課題を検討する。\n【対象と結果】2008年３月からの当院における10年間に経験した外傷性肝損傷症例のうち日本外傷学会肝損傷分類に明らかに画像上あてはまる32例を対象に受傷機転、外傷分類、治療法、合併損傷などについて比較検討を行った。症例はⅠb型が６例（％）と最も多く、続いてⅢa型が９例（％）、Ⅲb型が８例（％）であった。受傷機転ではⅢb型の７例が自動車での交通外傷であった。合併損傷は12例（％）に肋骨骨折・外傷性血気胸が認められた。肝損傷自体の合併症は胆汁瘻が６例（21.4％）で最も多く認められた。仮性動脈瘤は２例（7.1％）あり、IVR施行例は５例（17.8％）施行されていた。肝損傷に対しての来院直後の手術は２例のうち１例は術後死亡であった。\n【考察】緊急手術や来院早期、晩期でのIVR施行によって循環動態の安定化を認めた。肝損傷による直接死亡症例を１例認めたが、地域でのIVR体制などチーム医療が今回の結果に寄与していると考える。\n","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":"間瀬, 純一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"足立, 尊仁"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"桐山, 俊弥"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"洞口, 岳"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"原, あゆみ"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"井川, 愛子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐野, 文"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"白子, 隆志"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-07-22"}],"displaytype":"simple","filename":"04臨床・症例検討　3間瀬　純一.pdf","filesize":[{"value":"2.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"takayama43_004","url":"https://redcross.repo.nii.ac.jp/record/16526/files/04臨床・症例検討　3間瀬　純一.pdf"},"version_id":"1ce01a02-0df9-43e2-a29e-b22c57998b82"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"外傷性肝損傷","subitem_subject_scheme":"Other"},{"subitem_subject":"腹部外傷","subitem_subject_scheme":"Other"},{"subitem_subject":"飛騨地域","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":"飛騨地域における外傷性肝損傷の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"飛騨地域における外傷性肝損傷の検討"}]},"item_type_id":"10002","owner":"39","path":["579"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-07-22"},"publish_date":"2020-07-22","publish_status":"0","recid":"16526","relation_version_is_last":true,"title":["飛騨地域における外傷性肝損傷の検討"],"weko_creator_id":"39","weko_shared_id":-1},"updated":"2023-06-20T18:18:55.018199+00:00"}