{"created":"2023-06-20T15:48:05.708518+00:00","id":2619,"links":{},"metadata":{"_buckets":{"deposit":"95d42bff-01a7-4a9a-8d8c-548e61f9bdd9"},"_deposit":{"created_by":4,"id":"2619","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"2619"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00002619","sets":["1:12:56"]},"author_link":["7698","7699","7700","7701","7702","7703","7704","7705"],"control_number":"2619","item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-06","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"26","bibliographicPageStart":"21","bibliographicVolumeNumber":"3","bibliographic_titles":[{"bibliographic_title":"静岡産科婦人科学会雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of the Shizuoka Society of Obstetrics and Gynecology","bibliographic_titleLang":"en"}]}]},"item_3_description_10":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"著者名：土井貴之　「土」は、土に「｀」","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は36歳、1経産 (帝王切開) 、エタノー ルで皮膚の発赤あり。無月経となりA医で妊娠と診断された。妊娠31週3日に切迫早産の診断でA医に入院し、塩酸リトドリンの持続点滴を受けていた。妊娠35週0日より39度の発熱がみられ、セファゾリン (CEZ) 投与によ り一時解熱するも、3日後に39度の発熱と血圧 82/54mmHg、脈拍数110回/分、SpO₂ 93% (室内気下) 、白血球数 3,500 /μL、血小板数 14.7x10⁴ /μL、CRP 7.0 mg/dL となったため当院へ救急搬送された。胸部X線、CT上、 右肺野に浸潤影、両側胸水を認めた。肺炎、敗血症と診断しメロペネム (MEPM) 投与を行い数日で改善した。血液培養から Serratia marcescens が検出され、CEZ に薬剤耐性を示したことから、敗血症が原因と考えられた。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"静岡産科婦人科学会","subitem_publisher_language":"ja"}]},"item_3_relation_27":{"attribute_name":"医中誌論文ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2014355788","subitem_relation_type_select":"ICHUSHI"}}]},"item_3_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"2187-1914","subitem_source_identifier_type":"EISSN"}]},"item_3_version_type_32":{"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_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open 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