{"_buckets": {"deposit": "022ed47c-3ecb-48db-a24e-f26dcf5e4fff"}, "_deposit": {"created_by": 51, "id": "17913", "owners": [51], "pid": {"revision_id": 0, "type": "depid", "value": "17913"}, "status": "published"}, "_oai": {"id": "oai:redcross.repo.nii.ac.jp:00017913", "sets": ["611", "612", "639"]}, "author_link": ["68220", "68209", "68221", "68222", "68213", "68216", "68218", "68219", "68217", "68211", "68223", "68215", "68210", "68208", "68212", "68214"], "item_10001_biblio_info_7": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2020-12-01", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "38", "bibliographicPageStart": "35", "bibliographicVolumeNumber": "3", "bibliographic_titles": [{"bibliographic_title": "京都第一赤十字病院医学雑誌"}]}]}, "item_10001_description_5": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "小児に対する血液浄化療法は，様々な疾患に対して施行されているが，成人との体格差からプライミングボリュームや膜・回路凝固などに注意する必要がある．症例は 3 歳 11 か月の女児，体重 14.2kg．腹痛，下痢，血便が改善しないため当院へ転院となった．腸管出血性大腸菌 O157感染に伴い溶血性貧血，血小板減少，急性腎障害（AKI）を認め，溶血性尿毒症症候群（HUS）と診断した．第１病日より AKI に対してサイトカイン吸着膜を使用した持続的血液浄化療法（CBP）を開始した．CBP は血液プライミングを行った．第 2 病日に，強直性痙攣が出現し，HUS 脳症が疑われたため，CBP に加えてステロイドパルス療法および血漿交換療法（PE）を施行した．PE も CBP 同様に血液プライミングを行った．PE を 3 回，CBP を 6 日間施行した後に血液浄化療法を離脱した．HUS 脳症には，志賀毒素と炎症性サイトカインが大きく関与しており，ステロイドパルス療法と血液浄化療法が，炎症性サイトカインの抑制および除去に対して有効であると考えられる．\n", "subitem_description_type": "Abstract"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "岡﨑, 哲也"}], "nameIdentifiers": [{"nameIdentifier": "68208", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "奥村, 保子"}], "nameIdentifiers": [{"nameIdentifier": "68209", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "宮下, 誠"}], "nameIdentifiers": [{"nameIdentifier": "68210", "nameIdentifierScheme": 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