{"created":"2023-05-15T09:06:46.071114+00:00","id":13718,"links":{},"metadata":{"_buckets":{"deposit":"807cfb95-4953-40d6-b1bd-846b5cec616c"},"_deposit":{"created_by":14,"id":"13718","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"13718"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00013718","sets":["1875:1978:1996"]},"author_link":["21472","21473","21474","21475","21476","21477","21478"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"78","bibliographicPageStart":"73","bibliographicVolumeNumber":"74","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":"症例は13歳女児。 来院2 か月前から体重減少があり、10日前から全身倦怠感、口渇、多飲多尿、食欲低下を認めたため近医受診し1型糖尿病疑いで当院紹介となった。高血糖と脱水、代謝性アシドーシスを認め糖尿病性ケトアシドーシスと診断、入院加療となった。治療によりケトアシドーシスは改善、以後インスリン治療の導入を行った。また、来院時低身長および低体重を認め、思春期遅発も疑われたため内分泌学的検査を追加したところ、IGF-1、LH、FSH、TSH、fT3、fT4がいずれも低値であった。このため血糖コントロールを行ったのちに頭部MRI、4種負荷試験、アルギニン負荷試験を行ったが明らかな異常所見は認めず、一過性の下垂体機能低下が疑われた。糖尿病では一時的に内分泌異常を伴うことがあり、それらの中には血糖コントロールを行うことで改善するものもある。このため、血糖値を改善させたのちに再度内分泌学的検査を行う必要がある。","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":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0288-6073","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":"本間, 多恵子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中山, 加奈子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"城, 和歌子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"斎田, 吉伯"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐野, 仁美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"須藤, 章"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"川村, 信明"}],"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":"l425674173.pdf","filesize":[{"value":"10.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"l425674173.pdf","url":"https://sapmed.repo.nii.ac.jp/record/13718/files/l425674173.pdf"},"version_id":"c4747597-28c0-499f-9c5b-1fdaca0df9df"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"糖尿病性ケトアシドーシス","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"下垂体機能低下症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"思春期遅発症","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":"一過性下垂体機能低下症を認めた糖尿病性ケトアシドーシスの1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"一過性下垂体機能低下症を認めた糖尿病性ケトアシドーシスの1例","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"14","path":["1996"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2016-12-06"},"publish_date":"2016-12-06","publish_status":"0","recid":"13718","relation_version_is_last":true,"title":["一過性下垂体機能低下症を認めた糖尿病性ケトアシドーシスの1例"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T04:29:40.656403+00:00"}