{"created":"2023-06-20T15:59:47.267093+00:00","id":17852,"links":{},"metadata":{"_buckets":{"deposit":"7a6d8fe2-f485-42e0-990c-63c50238af56"},"_deposit":{"created_by":36,"id":"17852","owners":[36],"pid":{"revision_id":0,"type":"depid","value":"17852"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00017852","sets":["240:241:630"]},"author_link":["67892","67891"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"15","bibliographicPageStart":"03","bibliographicVolumeNumber":"32","bibliographic_titles":[{"bibliographic_title":"岐阜赤十字病院医学雑誌"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"2011年から2019年に経験した原発性副甲状腺機能亢進症(primary hyperparathyroidism、PHPT)24例(男1例、女23例)を検討した。平均年齢は60.8歳(範囲38-85歳)。PHPTまたは高Ca血症の精査・加療での受診が18例、甲状腺の精査で当院を受診し、エコー検査で副甲状腺疾患を疑った4例また高Ca血症を認めた1例、および糖尿病で受診中に一般検査で高Ca血症を認めた1例である。エコー検査で22例は病理所見と一致する病変を検出できたが、1例は当初甲状腺病変が考えられ、部位不明として手術に至った偽陰性例、他の1例では検出した結節は甲状腺由来であり偽陽性の結果であった。24例中2例は甲状腺乳頭癌、また1例は亜急性甲状腺炎が存在、また甲状腺内に多発ののう胞性病変7例など多くの例で甲状腺疾患の併発を認めた。病理では腺腫が19例、過形成が5例であった。Tc-MIBIシンチ陰性6例では、SPECTが行われていない4例やMIBIの取り込みを阻害するCa拮抗剤の服用中の3例(内2例は前述のSPECT無し例)があり、今後これらの点をも考慮し、Tc-MIBI-SPECT/CT検査を行っていきたい。24例中1例は甲状腺内の副甲状腺病変であり、この診断にはCT検査が、また部位不明として手術を行った1例は術中の頸静脈サンプリングでのi-PTH測定が有用であった。今回の検討では、多数例に骨粗鬆症や腎機能低下を認めた。日常診療において今後更に血中Ca濃度の測定が広く行われ、このような事態に至らない前に診断がなされ、早期に適切な治療が行われることが望まれる。(著者抄録)","subitem_description_type":"Abstract"}]},"item_5_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0915-5910","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中村, 重徳"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"林, 昌俊"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-12-06"}],"displaytype":"simple","filename":"003-016=01中村重徳01-14.pdf","filesize":[{"value":"7.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"gifu00050","url":"https://redcross.repo.nii.ac.jp/record/17852/files/003-016=01中村重徳01-14.pdf"},"version_id":"a13f8781-82a3-428e-bb3e-f0afc2fe6f1a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"高カルシウム血症(病因)","subitem_subject_scheme":"Other"},{"subitem_subject":"甲状腺疾患(合併症)","subitem_subject_scheme":"Other"},{"subitem_subject":"骨粗鬆症(病因)","subitem_subject_scheme":"Other"},{"subitem_subject":"副甲状腺ホルモン(血液)","subitem_subject_scheme":"Other"},{"subitem_subject":"超音波診断","subitem_subject_scheme":"Other"},{"subitem_subject":"X線CT","subitem_subject_scheme":"Other"},{"subitem_subject":"後向き研究","subitem_subject_scheme":"Other"},{"subitem_subject":"*副甲状腺機能亢進症-原発性(診断,画像診断,合併症)","subitem_subject_scheme":"Other"},{"subitem_subject":"腎機能障害(病因)","subitem_subject_scheme":"Other"},{"subitem_subject":"ヒト","subitem_subject_scheme":"Other"},{"subitem_subject":"成人(19〜44)","subitem_subject_scheme":"Other"},{"subitem_subject":"中年(45〜64)","subitem_subject_scheme":"Other"},{"subitem_subject":"高齢者(65〜79)","subitem_subject_scheme":"Other"},{"subitem_subject":"高齢者(80〜)","subitem_subject_scheme":"Other"},{"subitem_subject":"男","subitem_subject_scheme":"Other"},{"subitem_subject":"女","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":"technical report"}]},"item_title":"原発性副甲状腺機能亢進症24例の臨床的検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"原発性副甲状腺機能亢進症24例の臨床的検討"}]},"item_type_id":"5","owner":"36","path":["630"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-12-06"},"publish_date":"2021-12-06","publish_status":"0","recid":"17852","relation_version_is_last":true,"title":["原発性副甲状腺機能亢進症24例の臨床的検討"],"weko_creator_id":"36","weko_shared_id":-1},"updated":"2023-06-20T17:52:07.185698+00:00"}