{"created":"2023-05-15T09:04:44.452702+00:00","id":9288,"links":{},"metadata":{"_buckets":{"deposit":"0e662bf6-b7bb-4ef4-b8bb-b062363b5a60"},"_deposit":{"created_by":14,"id":"9288","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"9288"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00009288","sets":["1875:1926:1934"]},"author_link":["10136","10137","10138","10139","10140"],"item_2_alternative_title_18":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A case of bile pleuritis in a patient with unresectable hilar cholangiocarcinoma"}]},"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"12","bibliographicPageStart":"8","bibliographicVolumeNumber":"15","bibliographic_titles":[{"bibliographic_title":"札幌社会保険総合病院医誌 = Journal of Sapporo Social Insurance General Hospital (JSSIGH)"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例80歳男性、主訴は黄疸。高血圧にて近医通院中に黄疸を指摘され、精査加療目的に2005年4月12日当院消化器科入院となった。入院時検査所見で肝胆道系酵素の上昇、CTで肝内胆管の拡張と肝門部胆管に腫瘤像を認めた。PTCDを施行し、胆汁細胞診の結果陽性、肝門部胆管癌と診断。原病の進展等から手術適応なしと判断し、PTCDチューブ留置のまま退院とした。外来にて経過観察していたが、8月2日胆汁排出不良となりPTCDチューブ交換施行。翌日呼吸困難と発熱が出現し、2回目の入院となった。入院時、意識レベルの低下と、胸腹部X線で右側胸水貯留、PTCDチューブの逸脱を認め、チューブ逸脱に伴う胆汁性胸膜炎と判断。チューブの再挿入と全身管理を行ったところ症状改善。しかし原病の進展に伴って11月16日死亡された。チューブトラブルにより胆汁性胸膜炎を起こしたが、適切な処置により改善が得られた。","subitem_description_type":"Abstract"}]},"item_2_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"札幌社会保険総合病院"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1342-6656","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":"平井, 愛見子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"高木, 智史"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岸本, 篤人"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鈴木, 岳"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"関谷, 千尋"}],"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":"n134266561528.pdf","filesize":[{"value":"3.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n134266561528.pdf","url":"https://sapmed.repo.nii.ac.jp/record/9288/files/n134266561528.pdf"},"version_id":"8ffa52a9-3ff1-4d52-8ae6-bd202b9b534b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"肝門部胆管癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"胆汁性胸膜炎","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":"経過中胆汁性胸膜炎をきたした、切除不能肝門部胆管癌の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"経過中胆汁性胸膜炎をきたした、切除不能肝門部胆管癌の一例","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"14","path":["1934"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-04-27"},"publish_date":"2009-04-27","publish_status":"0","recid":"9288","relation_version_is_last":true,"title":["経過中胆汁性胸膜炎をきたした、切除不能肝門部胆管癌の一例"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T04:18:22.478490+00:00"}