{"created":"2023-06-20T15:50:35.131692+00:00","id":3418,"links":{},"metadata":{"_buckets":{"deposit":"ac7ccb76-aed2-4425-bd66-f0b53c5679ca"},"_deposit":{"created_by":18,"id":"3418","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3418"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003418","sets":["99:64:118"]},"author_link":["348","347","346","8118"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"26","bibliographicPageStart":"22","bibliographicVolumeNumber":"10","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":"遠位弓部大動脈瘤に対する手術は，当院でも様々な変遷を経てきた分野である．現在われわれは，胸骨正中切開下に，中等度低体温循環停止(25℃)・選択的脳潅流(20℃，10ml/min/kg)法を用いて，弓部全置換術を行っている．現在までにこの方法を用いて15例に手術を行った．年令は62から76歳，手術時間は250から432分，体外循環時間は148から231分，脳保護時間は49から90分であった．11例で他家赤血球輸血を要さず，9例は術当日に気管内チューブを抜去しえた．術前脳動脈瘤を有していた1例のみが術後片麻痺を合併したが，他の14例は一時的・永続的神経学的合併症を認めなかった．病院・遠隔期死亡はない．現在の方法（SCP 群）の有用性を立証するために，過去の手術方法と比較検討した．14例は左開胸・超低体温循環停止下に遠位弓部大動脈置換（左開胸群）が，7例は逆行性脳潅流下に弓部大動脈置換（RCP 群）が行われた．手術時間は3群間に差を認めなかったが，体外循環時間・心虚血時間・脳保護時間はSCP・RCP群でLT 群に比し長い傾向にあった．術後覚醒時間・人工呼吸管理時間はSCP 群が3群間で最も短かった．SCP 群のみが脳・呼吸器合併症が稀で，病院・遠隔期死亡を認めなかった．過去の方法と比較しても，現在の方法による合併症は稀であり，術後の回復が迅速で予後は良好であった．","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":"徳島赤十字病院"}]},"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 ","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":"福村, 好晃"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"大谷, 享史"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"吉田, 誉"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"元木, 達夫"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2013-05-06"}],"displaytype":"simple","filename":"trchmj1001_22-26.pdf","filesize":[{"value":"495.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf002190","url":"https://redcross.repo.nii.ac.jp/record/3418/files/trchmj1001_22-26.pdf"},"version_id":"775ba596-af95-437c-96e9-b1537919fffb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"遠位弓部大動脈瘤","subitem_subject_scheme":"Other"},{"subitem_subject":"選択的脳潅流","subitem_subject_scheme":"Other"},{"subitem_subject":"早期成績","subitem_subject_scheme":"Other"},{"subitem_subject":"distal arch aneurysm","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"selective cerebral perfusion","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"early results","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":"遠位弓部大動脈瘤手術の変遷とその成績　－現在の手術方法がスタンダードか？-","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"遠位弓部大動脈瘤手術の変遷とその成績　－現在の手術方法がスタンダードか？-"},{"subitem_title":"Changes and Results of Operative Methods for Distal Arch Aneurysms -Is Recent Method Standard？-","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"18","path":["118"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-05-06"},"publish_date":"2013-05-06","publish_status":"0","recid":"3418","relation_version_is_last":true,"title":["遠位弓部大動脈瘤手術の変遷とその成績　－現在の手術方法がスタンダードか？-"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T22:04:01.971185+00:00"}