{"created":"2023-06-20T15:48:39.832132+00:00","id":3184,"links":{},"metadata":{"_buckets":{"deposit":"3f381559-4cbd-45f5-a72c-cb5004be53c9"},"_deposit":{"created_by":4,"id":"3184","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3184"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003184","sets":["1:12:60"]},"author_link":["9469","9470","9471","9472","9473"],"item_3_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A case of fetal agnathia with progressive polyhydramnios","subitem_alternative_title_language":"en"}]},"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"74","bibliographicPageStart":"68","bibliographicVolumeNumber":"7","bibliographic_titles":[{"bibliographic_title":"静岡産科婦人科学会雑誌","bibliographic_titleLang":"ja"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は29歳、G2P1、自然妊娠。近医での妊婦健診中、妊娠27週頃から羊水量の増加を認め、妊娠31週の時点で前医に紹介、AFI (amniotic fluid index) 40cmと 高度羊水過多の診断で当院へ紹介となった。羊水量は進行性に増加し、妊娠32週5日の入院時点でAFI は60cmに至っており、3回の羊水除去を要した。胎児エコーでは上部食道の拡張は否定できたものの、咽頭部には嚥下羊水像が全く見られなかった。妊娠36週6日選択的帝王切開術を施行し、児は2556g、アプガースコア1分値3点、5分値3点で出生。肉眼的に小顎、小口、左右癒合する耳介低位を認めた。挿管困難のため緊急気管切開術を施行。X線およびCT検査の結果、無顎症の診断に至った。今回、非常に稀有な無顎症症例を経験したが、気道確保困難なことから、蘇生自体が困難なことが多い。進行性の著明な羊水過多にあたっては、無顎症を鑑別疾患の一つとして認識しておく必要がある。","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":"佐藤, あずさ","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"太田, 好穂","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"加茂, 亜希","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"河村, 隆一","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"西口, 富三","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_7_1_68.pdf","filesize":[{"value":"567.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_7_1_68.pdf","url":"https://hama-med.repo.nii.ac.jp/record/3184/files/jsog_7_1_68.pdf"},"version_id":"0a694e7f-79ef-439a-af65-4f2dd036c22c"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"agnathia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"polyhydramnios","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"polysplenia","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":"著明な進行性の羊水過多をともなった胎児無顎症の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"著明な進行性の羊水過多をともなった胎児無顎症の一例","subitem_title_language":"ja"}]},"item_type_id":"3","owner":"4","path":["60"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2018-03-23"},"publish_date":"2018-03-23","publish_status":"0","recid":"3184","relation_version_is_last":true,"title":["著明な進行性の羊水過多をともなった胎児無顎症の一例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-01T06:54:14.918340+00:00"}