{"created":"2023-05-15T09:08:51.608589+00:00","id":16538,"links":{},"metadata":{"_buckets":{"deposit":"576d6619-999e-434d-9ed8-943a615d3397"},"_deposit":{"created_by":14,"id":"16538","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"16538"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00016538","sets":["1875:1978:2203"]},"author_link":["32950","32951","32952","32953","32954","32955"],"control_number":"16538","item_5_biblio_info_6":{"attribute_name":"bibliographic_information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-10-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"86","bibliographicPageStart":"83","bibliographicVolumeNumber":"76","bibliographic_titles":[{"bibliographic_title":"市立札幌病院医誌"}]}]},"item_5_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は79歳男性。当院搬送3か月前に交通事故による頭部外傷で脳神経外科入院歴がある。受傷当日およびその2週後に大量の鼻出血が認められたが、いずれも自然止血されたため経過観察されていた。退院後に再び大量の鼻出血が認められショック状態に陥り当院搬送となった。診断は頭部外傷を契機に発症した内頸動脈仮性動脈瘤であり、脳神経外科により瘤内コイル塞栓術が行われ、新たな出血なく経過良好である。頭部外傷後の遅発性反復性鼻出血において外傷性脳動脈瘤は疑われるべき疾患であるが、受傷からの期間によっては診断が困難となる。致命的となり得る大出血を呈する本疾患の診断において最も重要なことは、まずその可能性を疑うことであり併せて適切な画像検査と治療法を選択することで患者を救命し得ると考える。","subitem_description_type":"Abstract"}]},"item_5_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"市立札幌病院"}]},"item_5_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":"川浪, 康太郎"}],"nameIdentifiers":[{"nameIdentifier":"32950","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"小崎, 真也"}],"nameIdentifiers":[{"nameIdentifier":"32951","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"瀧, 重成"}],"nameIdentifiers":[{"nameIdentifier":"32952","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"吉村, 理"}],"nameIdentifiers":[{"nameIdentifier":"32953","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"瀧上, 真良"}],"nameIdentifiers":[{"nameIdentifier":"32954","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"堀田, 祥史"}],"nameIdentifiers":[{"nameIdentifier":"32955","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-04-09"}],"displaytype":"detail","filename":"l425676183.pdf","filesize":[{"value":"9.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"l425676183.pdf","url":"https://sapmed.repo.nii.ac.jp/record/16538/files/l425676183.pdf"},"version_id":"e0525e44-d3fd-479d-8093-fdd06ffb8571"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"内頸動脈仮性動脈瘤","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"鼻出血","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":"technical report","resourceuri":"http://purl.org/coar/resource_type/c_18gh"}]},"item_title":"外傷性内頸動脈仮性動脈瘤からの大量鼻出血の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"外傷性内頸動脈仮性動脈瘤からの大量鼻出血の1例","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"14","path":["2203"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2020-04-09"},"publish_date":"2020-04-09","publish_status":"0","recid":"16538","relation_version_is_last":true,"title":["外傷性内頸動脈仮性動脈瘤からの大量鼻出血の1例"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2024-11-28T04:40:05.000767+00:00"}