{"created":"2023-06-20T15:50:26.390710+00:00","id":3176,"links":{},"metadata":{"_buckets":{"deposit":"0bf2db07-538f-43d0-9fae-bb55ff5dfeba"},"_deposit":{"created_by":18,"id":"3176","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3176"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003176","sets":["99:64:115"]},"author_link":["228","6820","256","46","380","96","49","48","6639","7397","6638","129","47","6663","7396"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"9","bibliographicPageStart":"5","bibliographicVolumeNumber":"13","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_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"急性膵炎は重症例で高い死亡率を示す疾患であり，早期に重症度判定を行い，重症例には全身管理のもと集中治療が必要である．当院では輸液，抗菌薬，蛋白分解酵素阻害剤の投与といった一般的な治療に加え，胆石症例には速やかな内視鏡治療を行い，重症例には蛋白分解酵素阻害剤・抗菌薬持続動注療法や持続的血液濾過透析（CHDF）等の特殊治療を併用している．今回，2003年4月～2007年3月に当科で入院加療を行った121例の急性膵炎患者について検討した．\r\n男性83例，女性38例で平均年齢は64.9歳だった．成因別では胆石性がもっとも多く，ついでアルコール性だった．重症度別では，軽症31例，中等症35例，重症55例だった．一般的な治療に加え，胆石症例に2日以内にドレナージを15例に施行，動注療法を6例，CHDFを2例に行った．膵炎による死亡は3例ですべて重症例だった","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_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_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878 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保実"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"佐藤, 幸一"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"後藤, 哲也"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"宮, 恵子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"長田, 淳一"}],"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_5-9.pdf","filesize":[{"value":"948.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf002046","url":"https://redcross.repo.nii.ac.jp/record/3176/files/trchmj1301_5-9.pdf"},"version_id":"becdaf15-aa96-4ca3-80b1-669918b48518"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"急性膵炎","subitem_subject_scheme":"Other"},{"subitem_subject":"動注療法","subitem_subject_scheme":"Other"},{"subitem_subject":"acute pancreatitis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"intra-arterial drug infusion therapy","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 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