{"created":"2023-05-15T09:05:54.724079+00:00","id":11933,"links":{},"metadata":{"_buckets":{"deposit":"8d933cd6-f461-4f4c-9214-352bf87f0534"},"_deposit":{"created_by":15,"id":"11933","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"11933"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00011933","sets":["1674:1736:1770"]},"author_link":["16663","16664","16665","16666","16667","16668","16669","16670","16671","16672","16673"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"36","bibliographicPageStart":"34","bibliographicVolumeNumber":"26","bibliographic_titles":[{"bibliographic_title":"北海道整形外科外傷研究会会誌 = The Journal of Hokkaido Orthopaedic Traumatology Association"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"第3/4腰椎脱臼骨折部に空腸が絞扼された1例を経験した。症例は59歳男性。伐採作業中に安全帯により側方に牽引され受傷。腰椎X 線画像で第3/4腰椎脱臼骨折を認めた。下肢の神経症状および腹部症状は認めなかったが腹部造影CT 検査で後腹膜を超えて椎体骨折部に入り込む腸管を認めた。第3/4腰椎脱臼骨折，椎体骨折部への腸管嵌頓の診断で，同日緊急開腹手術を施行した。骨折部に陥頓した腸管を解除し，部分切除，端端吻合にて再建した。引き続き腹臥位とし，腰椎脱臼整復固定術を施行した。術後1ヵ月で独歩可能となり，大きな後遺障害を残すことなく退院となった。本症例は過伸展力により椎体骨折が生じ，腸管が引き込まれるように陥頓したと推察される。現在まで6例の症例報告が存在する。全例が腹腔鏡による術中診断であり，5例は受傷3?13日目にイレウス症状により診断されていた。診断，治療が遷延することで敗血症を併発しやすいと指摘されている。本例では造影CT により容易に術前診断に至り，迅速に治療することができた。","subitem_description_type":"Abstract"}]},"item_2_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"北海道整形外科外傷研究会"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0914-6083","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_15":{"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":"新井, 学"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"土田, 芳彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村上, 裕子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田邊, 康"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"磯貝, 哲"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"辻, 英樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"倉田, 佳明"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"橋本, 功二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 友基"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"井畑, 朝紀"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"谷平, 有子"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-07-21"}],"displaytype":"detail","filename":"n091460832634.pdf","filesize":[{"value":"231.6 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n091460832634.pdf","url":"https://sapmed.repo.nii.ac.jp/record/11933/files/n091460832634.pdf"},"version_id":"ef59d083-fb91-4eff-8673-35fcbdd9e99c"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Lumbar vertebrae dislocation fracture","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Incarceration of the bowel","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"腰椎脱臼骨折","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"腸管陥頓","subitem_subject_language":"ja","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"腰椎脱臼骨折に伴った腸管絞扼の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"腰椎脱臼骨折に伴った腸管絞扼の1例","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"15","path":["1770"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2010-08-26"},"publish_date":"2010-08-26","publish_status":"0","recid":"11933","relation_version_is_last":true,"title":["腰椎脱臼骨折に伴った腸管絞扼の1例"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-12-13T04:43:23.682831+00:00"}