{"created":"2023-06-20T15:50:19.391631+00:00","id":3003,"links":{},"metadata":{"_buckets":{"deposit":"56930754-804c-4593-b3f1-811dca78192e"},"_deposit":{"created_by":18,"id":"3003","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3003"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003003","sets":["99:64:67"]},"author_link":["287","6809","296","298","286","130","285","297","290","6808","292","300","295","324","294","301","131","299","132"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"44","bibliographicPageStart":"40","bibliographicVolumeNumber":"15","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は77歳,女性.2008年12月19日深夜0時に突然の呼吸困難を自覚した.来院時,呼吸回数30回/分と頻呼吸を呈し,心電図ではSⅠQⅢTⅢ・Ⅱ,Ⅲ,aVf,全ての胸部誘導で陰性T 波を認めた.心エコー検査では,心室中隔の扁平化を伴う著明な右心系の拡大と,強い肺高血圧症の所見を認めた.胸部造影CT では,両側肺動脈に陰影欠損を認め肺塞栓症と診断した.血液検査では著明な代謝性アシドーシスと低酸素,低炭酸血症を来たしており,多臓器不全の状態であった.へパリン・ワーファリン内服による抗凝固療法,ウロキナーゼの持続静注を開始するも効果は乏しく,呼吸状態は悪化した.血圧低下し代謝性アシドーシスも進行したため,組織型プラスミノーゲン・アクチベータ(t-PA)投与.投与後数時間で臨床症状,肺高血圧ともに改善を認め病状は安定し,酸素化も徐々に改善した.重症肺塞栓症に対し,t-PA が著効した一例を経験したので報告する.","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"TOMOMOTO, 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