{"created":"2023-06-20T15:48:30.401636+00:00","id":3024,"links":{},"metadata":{"_buckets":{"deposit":"a7ccaa1c-f163-4eef-b01d-54ce5054ec63"},"_deposit":{"created_by":4,"id":"3024","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3024"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003024","sets":["1:12:59"]},"author_link":["8968","8969","8970","8971","8972"],"control_number":"3024","item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-04","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"48","bibliographicPageStart":"41","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":"妊娠高血圧症候群、多胎、塩酸リトドリン投与等が周産期心筋症のハイリスク因子であるとの報告がある。\n今回我々は心不全徴候出現のため急速遂娩となった後、周産期心筋症と診断された双胎妊娠の1例を経験したので報告する。\n症例は37歳2絨毛膜2羊膜性双胎。妊娠32週より切迫早産にて塩酸リトドリンを持続点滴投与開始した。その後、妊娠高血圧腎症を認めた。妊娠34週6日、血痰を伴う咳嗽が出現した。胸部レントゲン上、心拡大および肺水腫所見を認めたため、心不全徴候出現と判断し母体適応にて緊急帝王切開術施行した。術後造影CT上も胸水、肺水腫を認めたが、その他血栓症を含め明らかな他臓器異常は認めなかった。循環器内科コンサルトし、心エコー上左心不全が認められた。経過及び診断基準より周産期心筋症の診断となった。 心不全に対する治療を開始し、心機能は改善した。\n切迫早産や妊娠高血圧症候群を伴う双胎妊娠においては周産期心筋症のリスクが高いことを認識した上で管理することが重要と考えられた。","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":"2017342598","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":"金森, 隆志","creatorNameLang":"ja"},{"creatorName":"KANAMORI, Takashi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8968","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"村上, 裕介","creatorNameLang":"ja"},{"creatorName":"MURAKAMI, Yusuke","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8969","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"向, 亜紀","creatorNameLang":"ja"},{"creatorName":"MUKAI, Aki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8970","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"城向, 裕美子","creatorNameLang":"ja"},{"creatorName":"JOKO, Yumiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8971","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"幸村, 康弘","creatorNameLang":"ja"},{"creatorName":"KOHMURA, Yasuhiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8972","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-6-1-41.pdf","filesize":[{"value":"614.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog-6-1-41.pdf","objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/3024/files/jsog-6-1-41.pdf"},"version_id":"c2ca3b91-f400-48e4-b654-26d13276d25e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"周産期心筋症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"双胎","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"妊娠高血圧症候群","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 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