{"created":"2023-06-20T15:50:37.732397+00:00","id":3484,"links":{},"metadata":{"_buckets":{"deposit":"f29919ea-c532-4517-a35d-c9ec94752ebc"},"_deposit":{"created_by":18,"id":"3484","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3484"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003484","sets":["99:64:181"]},"author_link":["8162","68","8343","7223","6825","349","8161","8342","95","8160","8341"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"60","bibliographicPageStart":"56","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_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"フィブリンは末梢血を凝固させプラスミンという酵素で分解される.この時生成される老廃物をフィブリン分解産物(FDP)とその分画をD ダイマーという(D ダイマー分画).D ダイマーは深部静脈血栓症の重要な検査項目の一つである.今回われわれはD ダイマー偽高値の1例について文献的考察を加えて報告する.患者は50代男性.右季肋部痛を主訴に当院紹介受診された.近医の画像検査にて肋骨腫瘤,肝臓の多発結節が指摘されていた.内視鏡検査では,直腸に半周性の病変がみられ,病理組織学的に中分化腺癌と診断された.右肋骨腫瘤も組織学的に同様で,肝,肺の多発腫瘤影も直腸癌の転移と推測された.根治手術は不可能と考えられたため化学放射線療法が開始された.2週毎のD ダイマー測定が行われていたが,来院から8週目に凝固検査機器のSysmex CS-2000i にて“AntigenExcess”というエラーメッセージとともに高値再検となり,希釈再検した値はきわめて低値であった.調査結果では,試薬(リアスオート\u0002・D ダイマーネオ)と患者血清IgA 間の非特異反応による偽高値が考えられた.","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"SEI, Nobuyuki"}]}]},"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/2013pdf/013.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":"勢井, 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