{"created":"2023-06-20T15:50:23.098382+00:00","id":3094,"links":{},"metadata":{"_buckets":{"deposit":"f3acd714-5fdf-4c6d-89fb-e7db02ff1495"},"_deposit":{"created_by":18,"id":"3094","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3094"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003094","sets":["98:61:71"]},"author_link":["7211","7213","6383","7212","7216","7215","7214"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-12-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"22","bibliographicPageStart":"17","bibliographicVolumeNumber":"36","bibliographic_titles":[{"bibliographic_title":"高山赤十字病院紀要"},{"bibliographic_title":"Japanese Red Cross Takayama Hospital Journal","bibliographic_titleLang":"en"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"抄録:症例は、61歳 男性。3年前まで2型糖尿病で通院歴があるが、その後通院を自己中断していた。3日前より食欲不振、倦怠感を自覚し、動けなくなったため救急搬送。来院時、敗血症性ショック、DIC、MOFを認め、腹部CTにて肝右葉に14.4×8.7cmの内部に空気を伴う膿瘍を認めた。ガス産生肝膿瘍と診断し、緊急肝膿瘍ドレナージを施行し、Septic \r\nBundleに基づき、全身管理と抗生剤投与を行った。血液培養、膿汁培養からは、Klebsiella pneumoniaeが培養され、起炎菌と診断した。経過中にドレナージルートを伝い別の部位にも膿瘍形成を認めたが、追加ドレナージを施行し改善後、軽快退院となった。ガス産生肝膿瘍は比較的珍しく、治療に難渋することも多いため、文献的考察をまじえて報告する。","subitem_description_type":"Abstract"}]},"item_5_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"高山赤十字病院"}]},"item_5_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0387-7027","subitem_source_identifier_type":"ISSN"}]},"item_5_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":"牧谷, 光晴"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"白子, 順子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"下地, 圭一"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"今井, 奨"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大西, 祥代"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松本, 拓郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"杉山, 智彦"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2013-01-25"}],"displaytype":"simple","filename":"takayama36_17-21.pdf","filesize":[{"value":"1.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf001968","url":"https://redcross.repo.nii.ac.jp/record/3094/files/takayama36_17-21.pdf"},"version_id":"d7868f92-2329-4122-bb2d-5cf44eddfd86"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"ガス産生肝膿瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"Sepsis","subitem_subject_scheme":"Other"},{"subitem_subject":"PTAD","subitem_subject_scheme":"Other"},{"subitem_subject":"Sepsis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"PTAD","subitem_subject_language":"en","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":"technical report"}]},"item_title":"ガス産生肝膿瘍の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"ガス産生肝膿瘍の1例"}]},"item_type_id":"5","owner":"18","path":["71"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-01-25"},"publish_date":"2013-01-25","publish_status":"0","recid":"3094","relation_version_is_last":true,"title":["ガス産生肝膿瘍の1例"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T21:57:58.261638+00:00"}