{"created":"2023-06-20T15:59:52.250640+00:00","id":17993,"links":{},"metadata":{"_buckets":{"deposit":"826b9b41-9738-46b9-8183-66dcbd86fba7"},"_deposit":{"created_by":41,"id":"17993","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"17993"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00017993","sets":["340","340:341","340:341:648"]},"author_link":["68413","68414","68410","68412","68411"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-04-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"82","bibliographicPageStart":"79","bibliographicVolumeNumber":"25","bibliographic_titles":[{"bibliographic_title":"高知赤十字病院医学雑誌"},{"bibliographic_title":"Medical Journal of Japanese Red Cross Kochi Hospital","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は 66 歳,女性.近医で突発性難聴に対し柴苓湯を投与され,3 週間後に咳嗽,呼吸困難,\n発熱が出現したため内服を中断し前医を受診した.胸部 X 線写真で間質性肺炎を疑われ当院紹介と\nなった.入院時酸素化低下を認め,胸部 CT で両側びまん性にすりガラス影を認めた.急性発症の間\n質性肺炎としてステロイドパルス療法後にプレドニゾロン 0.5mg/kg で治療継続したところ,症状と\n画像所見は速やかに改善を認めた.精査では特異的所見はなく,発症に至った経過やステロイド反応\n性が良好であること,柴苓湯のリンパ球幼若化テストが陽性であったことなどから,柴苓湯による薬\n剤性肺障害と診断した.薬剤性肺障害の原因の約 10% が漢方薬で,その中でも柴苓湯は小柴胡湯に\n次いで報告が多い.薬剤性肺障害に特異的な検査所見はなく,薬剤投与歴や症状,画像所見から薬剤\n性肺障害を鑑別に挙げることが大切である.","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"高知赤十字病院"}]},"item_10001_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"高知赤十字病院"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0919-7427","subitem_source_identifier_type":"ISSN"}]},"item_10001_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":"中内, 友合江"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"坂東, 弘基"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"森田, 優"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡本, 悠里"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"豊田, 優子"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-04-15"}],"displaytype":"simple","filename":"柴苓湯が原因と考えられた薬剤性肺障害の一例.pdf","filesize":[{"value":"1.7 MB"}],"format":"application/pdf","licensetype":"license_9","mimetype":"application/pdf","url":{"label":"高知赤十字病院医学雑誌Vol.25-08","url":"https://redcross.repo.nii.ac.jp/record/17993/files/柴苓湯が原因と考えられた薬剤性肺障害の一例.pdf"},"version_id":"3303e2f9-3438-4a91-a79f-16d2d0768a5c"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"薬剤性肺障害","subitem_subject_scheme":"Other"},{"subitem_subject":"柴苓湯","subitem_subject_scheme":"Other"},{"subitem_subject":"間質性肺炎","subitem_subject_scheme":"Other"},{"subitem_subject":"リンパ球幼若化テスト","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"柴苓湯が原因と考えられた薬剤性肺障害の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"柴苓湯が原因と考えられた薬剤性肺障害の一例"}]},"item_type_id":"10001","owner":"41","path":["340","341","648"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-04-15"},"publish_date":"2022-04-15","publish_status":"0","recid":"17993","relation_version_is_last":true,"title":["柴苓湯が原因と考えられた薬剤性肺障害の一例"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2023-06-20T17:48:58.646591+00:00"}