{"created":"2023-06-20T16:00:26.895466+00:00","id":18873,"links":{},"metadata":{"_buckets":{"deposit":"801182b7-581f-449e-b5cf-55e55db65b7f"},"_deposit":{"created_by":41,"id":"18873","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"18873"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00018873","sets":["340:341:733"]},"author_link":["70787","70785","70786","70788","70784","70789"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"128","bibliographicPageStart":"123","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 7 歳 7 か月の男児．主訴は排尿障害．当院受診前日にボディソープの原液を亀頭につけて洗った後から，陰茎痛が出現し排尿できなくなった．翌日近医を受診し，亀頭包皮炎に伴う尿閉が疑われ，導尿後に抗菌薬を処方され帰宅した．その後も排尿困難が持続し，同日夜間に当院を受診した．導尿を施行し帰宅としたが自排尿は得られず，翌日から入院による精査を行った．腹部超音波検査や腹部 CT 検査・頭部腰椎 MRI 検査を施行したが，尿閉の原因となりうる器質的疾患は認めなかった．退院に向け母親に対して導尿手技の指導を行ったが，入院4日目に自排尿を認め自宅退院となった．入院後の問診により，祖母から辛い言葉を受けた経緯が判明し，心因性の尿閉として知られる Hinman 症候群が疑われた．健常小児において尿閉は比較的まれな病態であり，器質的疾患の検索は重要であるが，併せて心因性によるものも考慮し，詳細な問診をとることが必要である．","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_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"大津, 祐也"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"辻, 慶紀"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"古本, 哲朗"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"寺内, 芳彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中山, 智孝"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"奈路田, 拓史"}],"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 大津祐也.pdf","filesize":[{"value":"2.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"高知赤十字病院医学雑誌Vol.27-26 ","url":"https://redcross.repo.nii.ac.jp/record/18873/files/初期臨床研修医 大津祐也.pdf"},"version_id":"32530f5f-3d8f-46ac-ab50-f33da4f20a26"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"小児","subitem_subject_scheme":"Other"},{"subitem_subject":"尿閉","subitem_subject_scheme":"Other"},{"subitem_subject":"Hinman 症候群","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":"Hinman 症候群が疑われた７歳男児例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Hinman 症候群が疑われた７歳男児例"}]},"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":"18873","relation_version_is_last":true,"title":["Hinman 症候群が疑われた７歳男児例"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2023-06-20T17:34:23.198044+00:00"}