{"created":"2023-05-15T11:21:35.613089+00:00","id":263,"links":{},"metadata":{"_buckets":{"deposit":"163d0ad3-27cc-4f57-9347-43cb061e51a8"},"_deposit":{"created_by":1,"id":"263","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"263"},"status":"published"},"_oai":{"id":"oai:showa.repo.nii.ac.jp:00000263","sets":["1:6:26:30"]},"author_link":["1287","1289","1286","1297","1285","1298","1284","1292","1290","1295","1293","1291","1294","1296","1288"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-08"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"489","bibliographicPageStart":"486","bibliographicVolumeNumber":"75","bibliographic_titles":[{"bibliographic_title":"昭和学士会雑誌"}]}]},"item_10002_description_6":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は57歳男性。通勤ラッシュの駅構内で駆け込み乗車をしようとしたところ、ホームの防護柵で左上腹部を打撲。直後より、心窩部の激痛を自覚し、近医に救急搬送された。心窩部に圧痛と腹膜刺激症状、腹部CTで肝表面に遊離ガスを認め、穿孔性腹膜炎の診断で当科紹介となった。受傷5時間後に小腸穿孔を強く疑い、腹腔鏡下に腹腔内観察したところ、中等量の汚染腹水を左横隔膜下に認めた。胃、十二指腸に異常所見は認めなかったが、上部小腸周囲に白苔を伴う炎症所見が観察されたため、上腹部正中に4cmの小切開を追加した。創外で小腸を検索したところ、Treitz靱帯より約35cm肛門側の小腸に約1.5cm×1.0cmの穿孔部を1ヶ所認めた。穿孔部位をトリミング後に縫合閉鎖し、手術終了とした。その他、明らかな臓器損傷部位は認めなかった。術後経過良好で、第11病日に退院となった。鈍的腹部外傷による小腸穿孔は術前診断・穿孔部位同定に難渋することが多い。循環動態が安定していれば腹腔鏡下手術は低侵襲下に診断、治療が施行できるため有用であると考えられた。(著者抄録)","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"昭和大学学士会"}]},"item_10002_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"10.14930/jshowaunivsoc.75.486"}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2187-719X"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"藤政, 浩一朗"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村上, 雅彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渡辺, 誠"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"野垣, 航二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"五藤, 哲"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"草野, 智一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松田, 和広"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"北島, 徹也"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大野, 浩平"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"内田, 茉莉依"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山崎, 公靖"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"藤森, 聰"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大塚, 耕司"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"青木, 武士"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"加藤, 貴史"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-07-26"}],"displaytype":"detail","filename":"75_486.pdf","filesize":[{"value":"491.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"75_486.pdf","url":"https://showa.repo.nii.ac.jp/record/263/files/75_486.pdf"},"version_id":"d23364e1-7ac8-4824-8c9f-228da1383896"}]},"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"}]},"item_title":"腹腔鏡が損傷部位同定に有用であった腹部打撲による小腸穿孔の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"腹腔鏡が損傷部位同定に有用であった腹部打撲による小腸穿孔の1例"}]},"item_type_id":"10002","owner":"1","path":["30"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-05-11"},"publish_date":"2016-05-11","publish_status":"0","recid":"263","relation_version_is_last":true,"title":["腹腔鏡が損傷部位同定に有用であった腹部打撲による小腸穿孔の1例"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-05-15T13:06:32.671259+00:00"}