{"created":"2023-05-15T09:06:19.080097+00:00","id":12956,"links":{},"metadata":{"_buckets":{"deposit":"1084b0a6-8526-4434-ae8a-7489b16a22e7"},"_deposit":{"created_by":14,"id":"12956","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"12956"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00012956","sets":["1875:1978:1986"]},"author_link":["19208","19209","19210"],"control_number":"12956","item_2_alternative_title_18":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Successful treatment of immune thrombocytopenia during hemodialysis by eltrombopag"}]},"item_2_biblio_info_6":{"attribute_name":"bibliographic_information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"30","bibliographicPageStart":"27","bibliographicVolumeNumber":"72","bibliographic_titles":[{"bibliographic_title":"市立札幌病院医誌 = Acta medica nosocomi Sapporo = The Journal of Sapporo City General Hospital"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Eltrombopag(レボレードR)は、トロンボポエチン受容体作動薬のひとつであり、免疫性血小板減少症(ITP)治療における、ステロイド・脾摘に次ぐ、第三選択の治療とされている。本邦で認可されおよそ2年になるが、肝機能低下例・腎機能低下例での使用経験は少ない。とりわけ、血液透析患者での使用報告はない。今回我々は血液透析患者でeltrombopagを使用した一例を経験したので報告する。症例は80歳台男性。3年前にITPに対してH.pylori除菌とステロイド治療を施行された。経過中に末期腎不全となり、血液透析が開始された。透析導入後に血小板数が少なく、シャント穿刺部の止血が困難になった。ステロイドを増量されたが、効果不十分のためeltrombopagを導入された。導入後は血小板数が増加し、止血も良好になり、ステロイドを減量することができた.以後2年間副作用なく経過している。血液透析患者にeltrombopagを使用した報告は我々の調べる限りなく、貴重な症例のため報告する。","subitem_description_type":"Abstract"}]},"item_2_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"市立札幌病院"}]},"item_2_source_id_7":{"attribute_name":"item_2_source_id_7","attribute_value_mlt":[{"subitem_source_identifier":"0288-6073","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_15":{"attribute_name":"出版タイプ","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":"中山, ちひろ"}],"nameIdentifiers":[{"nameIdentifier":"19208","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"神田, 真聡"}],"nameIdentifiers":[{"nameIdentifier":"19209","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"近藤, 真"}],"nameIdentifiers":[{"nameIdentifier":"19210","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山本, 聡"}]},{"creatorNames":[{"creatorName":"向井, 正也"}]}]},"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":"l425672227.pdf","filesize":[{"value":"788.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"l425672227.pdf","url":"https://sapmed.repo.nii.ac.jp/record/12956/files/l425672227.pdf"},"version_id":"37fac8e5-47b8-4b3c-8f8d-80a22137c8b1"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"免疫性血小板減少症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"eltrombopag","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"血液透析","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":"item_resource_type","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"血液透析でeltrombopagを使用した免疫性血小板減少症の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"血液透析でeltrombopagを使用した免疫性血小板減少症の1例","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"14","path":["1986"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-05-15"},"publish_date":"2014-05-15","publish_status":"0","recid":"12956","relation_version_is_last":true,"title":["血液透析でeltrombopagを使用した免疫性血小板減少症の1例"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2024-11-08T04:31:07.469204+00:00"}