{"created":"2023-06-20T15:50:24.355197+00:00","id":3127,"links":{},"metadata":{"_buckets":{"deposit":"7ffff1a4-4190-4c6d-8f47-082fabd15c0f"},"_deposit":{"created_by":18,"id":"3127","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3127"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003127","sets":["99:64:68"]},"author_link":["7261","228","46","96","48","292","6638","227","202","6663"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2009-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"83","bibliographicPageStart":"80","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":"症例は81歳男性で，起床直後に後頚部痛と進行性の四肢麻痺を発症し救急搬送された．口腔粘膜に出血傾向を認め，血小板は0.9万／μlと著明に減少，D-dimer10.6μg/dl，PT・APTT・Fbgは正常であった．MRI でC3～胸椎上部の背側硬膜外に血腫形成を示唆する高信号を認め，これによる頚髄圧迫が麻痺の原因と考えられた．臨床的にITP を疑い，重篤な出血があり全身状態も不良であったため，直ちに血小板輸血とデキサメサゾン大量投与（40mg，4日間）を開始した．翌日には血小板数2.4万／μlと増加し，出血傾向と麻痺の改善を認めた．第4病日の骨髄検査では，小型巨核球がやや増加し，PAIgGは軽度上昇し，他に血小板減少の原因となる基礎疾患がないためITPと診断した．感染症の合併により一過性に悪化したが，血小板数は10万以上に増加し，外来治療に移行した．硬膜外血腫は，第19病日のMRIで消失を確認し，後遺症を残すことなく治癒している．","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"BEKKU, Hirofumi"}]}]},"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/017.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":"別宮, 浩文"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"原, 朋子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"近藤, 絵里"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石橋, 直子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"尾崎, 敬治"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"後藤, 哲也"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"村上, 尚嗣"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"島田, 直"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"新谷, 保実"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2013-02-18"}],"displaytype":"simple","filename":"trchmj1401_80-83.pdf","filesize":[{"value":"780.6 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf001984","url":"https://redcross.repo.nii.ac.jp/record/3127/files/trchmj1401_80-83.pdf"},"version_id":"269dd3a9-03e8-4b9a-8d32-7734e8b07836"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"特発性血小板減少性紫斑病","subitem_subject_scheme":"Other"},{"subitem_subject":"ITP","subitem_subject_scheme":"Other"},{"subitem_subject":"頚部硬膜","subitem_subject_scheme":"Other"},{"subitem_subject":"Idiopathic thrombocytopenic purpura","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":"頚部硬膜外血腫を合併した特発性血小板減少症（ITP）の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"頚部硬膜外血腫を合併した特発性血小板減少症（ITP）の1例"},{"subitem_title":"A case of idiopathic thrombocytopenic purpura complicated with cervical epidural hematoma","subitem_title_language":"en"}]},"item_type_id":"5","owner":"18","path":["68"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-02-18"},"publish_date":"2013-02-18","publish_status":"0","recid":"3127","relation_version_is_last":true,"title":["頚部硬膜外血腫を合併した特発性血小板減少症（ITP）の1例"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T21:58:40.641127+00:00"}