{"created":"2023-06-20T15:50:37.232987+00:00","id":3472,"links":{},"metadata":{"_buckets":{"deposit":"c011f1aa-8228-485a-91f6-2faecb3d8312"},"_deposit":{"created_by":18,"id":"3472","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3472"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003472","sets":["99:64:181"]},"author_link":["84","86","31","6681","90","6808","88","85","8328","87"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"5","bibliographicPageStart":"1","bibliographicVolumeNumber":"18","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":"当院は2002年4月から小児科医24時間在の救急外来を開設し，2007年4月からは血液腫瘍疾患の治療も開始した基幹病院である．この10年間（2002～2011年）のER 時間外患者数は年平均13,100名（7,800～20,181名）で，ER 初診の腫瘍性血液疾患8例（急性リンパ性白血病５例，急性骨髄性白血病２例，慢性活動性EB ウイ7ス感染症１例），非腫瘍性血液疾患２６例（特発性血小板減少症11例，鉄欠乏性貧血７例，溶血性尿毒性症候群２例，遺伝性球状赤血球症aplasticcrisis２例，溶血性貧血１例，血友病A１例，再生不良性貧血１例，免疫不全症１例），固形腫瘍７例（脳腫瘍５例，眼\r\n窩rhabdoid tumor１例，卵巣奇形腫１例）であった．ER のコンビニ化を反映し，多くは紹介状をもって時間外受診し，診察や検査で診断される例であったが，頭蓋内出血のAML，頭蓋内圧亢進症状の脳腫瘍，敗血症髄膜炎の免疫不全症，人工透析要した溶血性尿毒症症候群，脳症呈した慢性活動性EB ウイルス感染症など緊急な対応が必要な例もあった．ER 担当医はhematologic & oncologic emergency を適切に診断し初期治療ができるように準備しておく必要がある．また，当院ではER 担当医から血液腫瘍チームに速やかに患者を引き継ぐことができることから治療成績の向上が期待できると思われる．","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":"富本, 亜由美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渡邉, 力"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"久保田, 真理"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"近藤, 梨恵子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"谷口, 多嘉子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"七條, 光市"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"高橋, 昭良"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"生越, 剛司"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"中津, 忠則"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2013-05-11"}],"displaytype":"simple","filename":"trchmj1801_1-5.pdf","filesize":[{"value":"864.3 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