{"created":"2023-06-20T15:48:05.787838+00:00","id":2620,"links":{},"metadata":{"_buckets":{"deposit":"ab15e139-87d9-45a1-95b4-1822f415d9eb"},"_deposit":{"created_by":4,"id":"2620","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"2620"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00002620","sets":["1:12:56"]},"author_link":["7706","7707","9836"],"item_3_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A case of uterine rupture at 25 weeks of gestation after myomectomy","subitem_alternative_title_language":"en"}]},"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-06","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"31","bibliographicPageStart":"27","bibliographicVolumeNumber":"3","bibliographic_titles":[{"bibliographic_title":"静岡産科婦人科学会雑誌","bibliographic_titleLang":"ja"}]}]},"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":"今回我々は、子宮筋腫核出術後妊娠25 週に、 子宮破裂をきたした症例を経験した。症例は 39 歳、未経産婦、36 歳時に開腹下に子宮筋腫 核出術の既往歴あり。(38 個計410g 核出) 手術3 年後に自然妊娠。妊娠25 週5 日自宅 で突然の下腹痛を発症。受診時、ショック状態 であり、経腹超音波にて、子宮筋層後壁が不明 瞭であることから、子宮破裂を最も疑い、緊急 手術とした。児は994g、Apgar Score は１分値 1 点、5 分値1 点、臍帯血動脈pH 6.980。児娩出後、子宮を挙上したところ、子宮後壁左側 に縦方向に約7cm の裂傷を認めた。子宮を温存 し、閉腹。総出血量は2727g。総輸血量はRCC 8 単位、FFP 6 単位であった。術後の経過は良 好で，術後8 日目退院。手術1 年後に施行した MRI にて、左子宮後壁に筋層の欠損が疑われ、 再度の妊娠は子宮破裂の危険性が高いと説明。 挙児希望がなく、現在は低用量ピルを処方して いる。児は出生後約4 ヵ月後に退院している。","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_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"21871914","subitem_source_identifier_type":"ISSN"}]},"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_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"菊池, 卓","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"川合, 健太","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"土井, 貴之","creatorNameLang":"ja"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-08-27"}],"displaytype":"detail","filename":"jsog_3_1_5.pdf","filesize":[{"value":"5.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_3_1_5.pdf","url":"https://hama-med.repo.nii.ac.jp/record/2620/files/jsog_3_1_5.pdf"},"version_id":"e40af999-d1ac-47b6-b4b5-67ee38a8b295"}]},"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":"子宮筋腫核出術後妊娠25 週に子宮破裂をきたした1 例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"子宮筋腫核出術後妊娠25 週に子宮破裂をきたした1 例","subitem_title_language":"ja"}]},"item_type_id":"3","owner":"4","path":["56"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-12-15"},"publish_date":"2014-12-15","publish_status":"0","recid":"2620","relation_version_is_last":true,"title":["子宮筋腫核出術後妊娠25 週に子宮破裂をきたした1 例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-01T06:42:34.749868+00:00"}