{"created":"2023-06-20T15:50:24.228686+00:00","id":3123,"links":{},"metadata":{"_buckets":{"deposit":"1eb2ca2b-1a83-4805-8aac-b732d4f83f8f"},"_deposit":{"created_by":18,"id":"3123","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3123"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003123","sets":["99:64:68"]},"author_link":["46","47","6637"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2009-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"65","bibliographicPageStart":"62","bibliographicVolumeNumber":"14","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":"患者は88歳，男性．48歳時に糖尿病を指摘されたが，放置していた．2007年8月，血糖400mg/dlのため精査を勧められたが，3日後に脳幹梗塞を発症した．嚥下障害のため胃瘻が造設され，経管栄養を開始した．同年12月に近医に転院したが，2週後に意識混濁をきたし，血糖1,126mg/dlのため当院に入院した．尿ケトン体陰性，血糖634mg/dl，血清Na184mEq/lと高血糖高浸透圧昏睡を発症しており，BUN89mg/dl，Cr1.8mg/dlと脱水と腎障害が認められた．輸液・インスリン治療により意識状態・血糖値は改善したが，2日目にPlt6.5×104／μl，Fib120mg/dl，FDP41μg/mlと播種性血管内凝固（DIC）を併発し，メシル酸ガベキサート等による治療を要した．本例には敗血症，悪性腫瘍などDICの原因となる背景はなく，著明な高血糖と脱水がDICを惹起したと考えられた．糖尿病では血液凝固亢進状態にあり，高血糖高浸透圧昏睡ではDIC の合併にも注意する必要がある．","subitem_description_type":"Abstract"}]},"item_5_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例","subitem_heading_language":"ja"}]},"item_5_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_5_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"徳島赤十字病院"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.tokushima-med.jrc.or.jp/hospital/medical/2009pdf/013.pdf","subitem_relation_type_select":"URI"}}]},"item_5_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878 ","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":"金崎, 淑子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"山本, 英司"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"近藤, 絵里"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2013-02-15"}],"displaytype":"simple","filename":"trchmj1401_62-65.pdf","filesize":[{"value":"637.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf001982","url":"https://redcross.repo.nii.ac.jp/record/3123/files/trchmj1401_62-65.pdf"},"version_id":"17e31acd-ea42-4d61-8e20-7c0093d45b2a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"高血糖高浸透圧昏睡","subitem_subject_scheme":"Other"},{"subitem_subject":"播種性血管内凝固（DIC）","subitem_subject_scheme":"Other"},{"subitem_subject":"2型糖尿病","subitem_subject_scheme":"Other"},{"subitem_subject":"hyperglycemic hyperosmolar coma","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"disseminated intravascular coagulation（DIC）","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"type 2 diabetes","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":"経管栄養中に高血糖高浸透圧昏睡を発症し，播種性血管凝固（DIC）を併発した高齢者2型糖尿病の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"経管栄養中に高血糖高浸透圧昏睡を発症し，播種性血管凝固（DIC）を併発した高齢者2型糖尿病の1例"},{"subitem_title":"An Elderly Patients with Type ２ Diabetes Mellitus Developing Hyperglycemic Hyperosmolar Coma during Tube Feeding and Complicated by Disseminated Intravascular Coagulation（DIC）","subitem_title_language":"en"}]},"item_type_id":"5","owner":"18","path":["68"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-02-15"},"publish_date":"2013-02-15","publish_status":"0","recid":"3123","relation_version_is_last":true,"title":["経管栄養中に高血糖高浸透圧昏睡を発症し，播種性血管凝固（DIC）を併発した高齢者2型糖尿病の1例"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T21:58:35.656674+00:00"}