{"created":"2023-06-20T16:00:25.276387+00:00","id":18830,"links":{},"metadata":{"_buckets":{"deposit":"ea1bc79c-f9ab-48de-9d88-f061ed3441bf"},"_deposit":{"created_by":28,"id":"18830","owners":[28],"pid":{"revision_id":0,"type":"depid","value":"18830"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00018830","sets":["172:173:731"]},"author_link":["70536","8028","51174","8033","27812","1380","8024","51176","8030","28055","8043","8040","8021","8036","33756","70535","33754","27883","11741","27810"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-03-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"37","bibliographicPageStart":"31","bibliographicVolumeNumber":"40","bibliographic_titles":[{"bibliographic_title":"日本赤十字社和歌山医療センター医学雑誌"},{"bibliographic_title":"Medical Journal of Japanese Red Cross Wakayama Medical Center","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"心筋炎の初発症状はしばしば非特異的なため，気管支炎や急性胃腸炎などと誤診されやすい．中でも劇症型心筋炎は発症直後に急激に致死的な循環虚脱に陥る．\n症例#1は，1歳8カ月女児．7日前から鼻汁と下痢，3日前から頻呼吸と肩呼吸が出現し，当日，近医にて急に顔色不良となったため，当科に搬送された．左室の駆出率は約40%に低下していた．入院後，SpO2低下が著しくなり，転院搬送を行った．\n　症例#2は11歳女児．3日前の夜，頭痛と筋肉痛が出現し，前夜から急に咳き込むようになり，当日，近医にて胸部X線にて異常を認めたため，当科に搬送された．心電図で著明なST変化を認め，左室の駆出率は約40%であった．気管挿管を行い，転院搬送を行った．約1時間で転院先に到着した頃には，心機能は極度に低下していた．\n非特異的症状の中に潜む心筋炎の兆候を，できるだけ早期に発見することが重要で，日頃から物心両面での備えが肝要である．\n","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"SUGIMINE, Yoshinori"}]},{"nameIdentifiers":[{}],"names":[{"name":"Hara, Shigeto"}]},{"nameIdentifiers":[{}],"names":[{"name":"MATSUZAKI, Sayaka"}]},{"nameIdentifiers":[{}],"names":[{"name":"Mizuno, Shinsuke"}]},{"nameIdentifiers":[{},{}],"names":[{"name":"Nukada, 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