{"created":"2023-06-20T16:00:26.638008+00:00","id":18867,"links":{},"metadata":{"_buckets":{"deposit":"28a25f7c-6ed5-4c53-a945-45f1d2e65deb"},"_deposit":{"created_by":41,"id":"18867","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"18867"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00018867","sets":["340:341:733"]},"author_link":["70753","70750","70752","70748","70749","70751"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"100","bibliographicPageStart":"97","bibliographicVolumeNumber":"27","bibliographic_titles":[{"bibliographic_title":"高知赤十字病院医学雑誌"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は 70 代男性，既往歴はない．X 年 Y 月に呼吸困難，胸部絞扼感を訴え，当院一般内科を受診した．血液検査では心筋逸脱酵素上昇，心電図では II，III，aVF 誘導の ST 上昇，Ⅰ，aVL，V3〜 V6誘導の鏡面 ST 低下，心エコー検査では左室下壁の壁運動低下を認めた．ST 上昇型急性下壁心筋梗塞として緊急冠動脈造影検査を施行した．高度石灰化を伴う 3 枝病変であったが，心原性ショックを呈していたこともあり IABP を留置した上で，右冠動脈 # 1 の 100% 閉塞に対して PCI を施行した．血行動態は安定し心不全に対する薬物療法を行っていたが，入院経過中に左前胸部痛を認めた．12誘導心電図では時計方向回転，aVF 誘導の QRS 波＞Ⅰ誘導の QRS 波×2，胸部誘導の R 波減高などの変化を認めた．胸部 X 線画像で左気胸を認め，心電図変化は左気胸によるものと考えられた．","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":"原, 雅裕"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"高橋, 有紗"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"髙畑, 翔太"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"川田, 泰正"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"森田, 優"}],"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":"2023-06-02"}],"displaytype":"simple","filename":"初期臨床研修医 原雅裕.pdf","filesize":[{"value":"4.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"高知赤十字病院医学雑誌Vol.27-20  ","url":"https://redcross.repo.nii.ac.jp/record/18867/files/初期臨床研修医 原雅裕.pdf"},"version_id":"80b2e48e-d640-402d-9eac-378cdde06ff0"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"心筋梗塞急性期","subitem_subject_scheme":"Other"},{"subitem_subject":"左気胸","subitem_subject_scheme":"Other"},{"subitem_subject":"心電図変化","subitem_subject_scheme":"Other"},{"subitem_subject":"時計方向回転","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":"３枝病変に対する PCI 後，気胸を発症した 70代男性の症例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"３枝病変に対する PCI 後，気胸を発症した 70代男性の症例"}]},"item_type_id":"10001","owner":"41","path":["733"],"pubdate":{"attribute_name":"公開日","attribute_value":"2023-06-02"},"publish_date":"2023-06-02","publish_status":"0","recid":"18867","relation_version_is_last":true,"title":["３枝病変に対する PCI 後，気胸を発症した 70代男性の症例"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2023-06-20T17:34:27.988486+00:00"}