{"created":"2023-06-20T15:50:26.349194+00:00","id":3175,"links":{},"metadata":{"_buckets":{"deposit":"a5720481-d9ca-4926-b73d-c586185e8300"},"_deposit":{"created_by":18,"id":"3175","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3175"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003175","sets":["99:64:115"]},"author_link":["7395","6642","6641","372","6779","6780","369","364"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"4","bibliographicPageStart":"1","bibliographicVolumeNumber":"13","bibliographic_titles":[{"bibliographic_title":"日赤医学"},{"bibliographic_title":"The Japanese Red Cross Medical Journal","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"術後の反回神経麻痺は嗄声だけでなく嚥下障害，誤嚥性肺炎など致死的な合併症を起こし得る．心臓手術では手術手技や気管挿管，経食道心エコー（TEE）や人工心肺（CPB）の影響などがリスク因子と考えられている．今回，反回神経麻痺の発生にCPB が関与しているかを調べた．当院で行われた心臓手術123例を対象に，術後の反回神経麻痺の発生率を後向きに調査した．麻酔導入・気管挿管後に肺動脈カテーテルとTEE を挿入した．TEE は手術終了時に抜去し，ICU でウィーニング後に抜管した．耳鼻咽喉科医により反回神経麻痺と診断されたのは6.5％（8／123例）であった．CPB群と非CPB群での麻痺発生に統計学的な有意差は認めなかったが，その発生率は前者で高い傾向にあった（CPB群9.0％，非CPB 群3.6％）．背景因子としてCPB群では女性が多く，挿管時間や麻酔時間が有意に長かったことから，これらが影響した可能性があった．","subitem_description_type":"Abstract"}]},"item_10002_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本赤十字社医学会"}]},"item_10002_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":{}}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0387-1215","subitem_source_identifier_type":"ISSN"}]},"item_10002_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":"當別當, 庸子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"箕田, 直治"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"若松, 成知"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山中, 明美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"酒井, 陽子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"加藤, 道久"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"郷, 律子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"神山, 有史"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2013-02-25"}],"displaytype":"simple","filename":"trchmj1301_1-4.pdf","filesize":[{"value":"874.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf002045","url":"https://redcross.repo.nii.ac.jp/record/3175/files/trchmj1301_1-4.pdf"},"version_id":"27a81228-9a38-403d-bf79-24fa64d818e3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"反回神経麻痺","subitem_subject_scheme":"Other"},{"subitem_subject":"心臓手術","subitem_subject_scheme":"Other"},{"subitem_subject":"人工心肺","subitem_subject_scheme":"Other"},{"subitem_subject":"recurrent laryngeal nerve palsy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cardiac surgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cardiopulmonary bypass","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"心臓手術後の反回神経麻痺の発生要因についての検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"心臓手術後の反回神経麻痺の発生要因についての検討"},{"subitem_title":"Recurrent Laryngeal Nerve Palsy after Cardiac Surgery :the Relationship to Cardiopulmonary Bypass","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"18","path":["115"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-02-25"},"publish_date":"2013-02-25","publish_status":"0","recid":"3175","relation_version_is_last":true,"title":["心臓手術後の反回神経麻痺の発生要因についての検討"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T21:59:37.760407+00:00"}