{"created":"2023-06-20T15:48:30.262045+00:00","id":3022,"links":{},"metadata":{"_buckets":{"deposit":"cf2868e2-cb25-48da-af63-7dd4c6c8a9c9"},"_deposit":{"created_by":4,"id":"3022","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3022"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003022","sets":["1:12:59"]},"author_link":["8954","8955","8956","8957","8958","8959"],"control_number":"3022","item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-04","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"34","bibliographicPageStart":"27","bibliographicVolumeNumber":"6","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_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"前置胎盤に対し総腸骨バルーン留置下に選択的帝王切開術を施行し、弛緩出血を合併したため、子宮内バルーンタンポナーデとB-Lynch縫合を併用した症例を経験した。\n症例は33歳、未経妊未経産婦、不妊治療中にタイミング法で妊娠し、産科クリニックで妊婦健診を受けていた。妊娠中期の経腟超音波検査で前置胎盤が疑われ、当院へ紹介となった。\n妊娠22週の当院初診時の経腟超音波検査では後壁優位の全前置胎盤であり、その後の画像検査で 前置胎盤の所見は持続していたが、癒着胎盤の所見は認めなかった。\n妊娠35週6日に選択的帝王切開術を両側総腸骨動脈バルーン留置下に施行した。児の娩出後に弛緩出血を合併したため、両側総腸骨動脈バルーンにより骨盤内への血流遮断を行い、B-Lynch縫合を行った。その後、子宮収縮は得られたが、子宮下節の胎盤剥離面からの静脈性出血が持続したためBakriバルーン® (Cook Japan株式会社) による子宮内バルーンタンポナーデを併用し、止血が得られた。術中出血量は羊水込みで合計3,000mlであった。\n術後の経過は問題なく、術後8日目に退院となった。\n全前置胎盤に弛緩出血を合併した際にB-Lynch 縫合のみで止血が得られない場合にはBakriバルーンによる子宮内バルーンタンポナーデの併用が効果的と考えられた。","subitem_description_language":"en","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":"2017342596","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 access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"城向, 賢","creatorNameLang":"ja"},{"creatorName":"JOKO, Ken","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8954","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"望月, 亜矢子","creatorNameLang":"ja"},{"creatorName":"MOCHIZUKI, Ayako","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8955","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"川西, 智子","creatorNameLang":"ja"},{"creatorName":"KAWANISHI, Tomoko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8956","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"平井, 強","creatorNameLang":"ja"},{"creatorName":"HIRAI, Tsuyoshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8957","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"杉村, 基","creatorNameLang":"ja"},{"creatorName":"SUGIMURA, Motoi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8958","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"金山, 尚裕","creatorNameLang":"ja"},{"creatorName":"KANAYAMA, Naohiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8959","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":"2018-08-27"}],"displaytype":"detail","filename":"jsog-6-1-27.pdf","filesize":[{"value":"622.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog-6-1-27.pdf","objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/3022/files/jsog-6-1-27.pdf"},"version_id":"d44c0c59-0368-4805-a03b-519b3e28e5bd"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"uterine sandwich","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"uterine atony","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"placenta previa","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"intrauterine balloon tamponade","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"B-Lynch suture","subitem_subject_language":"en","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":"弛緩出血を合併した前置胎盤に対し子宮内バルーンタンポナーデとB-Lynch縫合を併用した1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"弛緩出血を合併した前置胎盤に対し子宮内バルーンタンポナーデとB-Lynch縫合を併用した1例","subitem_title_language":"ja"},{"subitem_title":"A case of placenta previa with uterine atony treated with the combination of  intrauterine balloon tamponade and the B-Lynch suture","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["59"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-04-27"},"publish_date":"2017-04-27","publish_status":"0","recid":"3022","relation_version_is_last":true,"title":["弛緩出血を合併した前置胎盤に対し子宮内バルーンタンポナーデとB-Lynch縫合を併用した1例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-07-30T04:13:28.228732+00:00"}