{"created":"2023-06-20T15:50:41.190941+00:00","id":3572,"links":{},"metadata":{"_buckets":{"deposit":"1f9f077f-7223-44d3-bd84-e41b39adb9a4"},"_deposit":{"created_by":29,"id":"3572","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"3572"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003572","sets":["99:64:159"]},"author_link":["6885","6842","8208","49","48","129","8112"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2003-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"77","bibliographicPageStart":"73","bibliographicVolumeNumber":"8","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":"症例は76歳男性。平成13年よりパーキンソン症候群として加療中であった。平成14年7月上旬より倦怠感が続き、下旬より食欲不振と意識障害を来して入院した。血清Na118mEq/Lで血清と尿の浸透圧は244、304m0sm/kg、血漿ADH 3.5pg/ml（＜3.1）、下垂体と副腎および腎機能は正常でありSIADHと診断した。各種画像検査で悪性腫瘍は認められなかった。起立性低血圧（臥位120/70、立位60/40mmHg)、ECGのCVR-R 0.25%、、131I-MIBG-心筋シンチでH/M1.3かつWR21％、強い便秘と排尿障害など著しい自律神経障害を認めた。軽度の指鼻試験障害と筋固縮、振戦など小脳症状と錐体外路症状も認められた。MRI検査では軽度の脳萎縮を認めるのみであり、Shy Drager症候群と診断した。低Na血症は水分制限で、起立性低血圧はドロキシドパの投与で軽減した。Shy-Drager症候群とSIADHの合併例の報告は稀であり、貴重な症例と考え報告する。","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"MIKI, Hirokazu"}]}]},"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/2003pdf/015.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":"三木, 浩和"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"新谷, 保実"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"竹内, 恭子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"宮, 恵子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"増田, 健二郎"}],"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":"2013-05-17"}],"displaytype":"simple","filename":"trchmj801_73-77.pdf","filesize":[{"value":"2.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf002370","url":"https://redcross.repo.nii.ac.jp/record/3572/files/trchmj801_73-77.pdf"},"version_id":"b3f941b6-e73e-43c5-9230-d96a1aff7b9f"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"SIADH","subitem_subject_scheme":"Other"},{"subitem_subject":"Shy Drager症候群","subitem_subject_scheme":"Other"},{"subitem_subject":"起立性低血圧","subitem_subject_scheme":"Other"},{"subitem_subject":"SIADH","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Shy-Drager synclrome","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"orthostatic hypotension","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":"technical report"}]},"item_title":"抗利尿ホルモン不適当分泌症候群（SIADH）を合併したShy‐Drager症候群の１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"抗利尿ホルモン不適当分泌症候群（SIADH）を合併したShy‐Drager症候群の１例"},{"subitem_title":"A Patient with Shy-Drager Syndrome Complicated by SIADH","subitem_title_language":"en"}]},"item_type_id":"5","owner":"29","path":["159"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-05-17"},"publish_date":"2013-05-17","publish_status":"0","recid":"3572","relation_version_is_last":true,"title":["抗利尿ホルモン不適当分泌症候群（SIADH）を合併したShy‐Drager症候群の１例"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2023-06-20T22:06:38.740399+00:00"}