{"created":"2023-06-20T15:49:31.262035+00:00","id":4109,"links":{},"metadata":{"_buckets":{"deposit":"77ac95eb-0a61-418b-a546-ca4e944a0adc"},"_deposit":{"created_by":4,"id":"4109","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"4109"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00004109","sets":["1:84:85"]},"author_link":["12772"],"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-08-29","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"10","bibliographicPageStart":"3","bibliographicVolumeNumber":"1","bibliographic_titles":[{"bibliographic_title":"静岡県母性衛生学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Shizuoka Journal of Maternal Health","bibliographic_titleLang":"en"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"静脈血栓塞栓症 (VTE) はわが国においては発症頻度が少ないと考えられていたが、生活習慣の欧米化や高齢化社会の到来などの理由により近年その発症数は急激に増加している。妊娠中は種々の理由でVTEが生じやすくなっており、わが国の調査でも妊娠初期と後半期および産褥期に3相性のピークを示している。リスク因子の中では血栓性素因やVTEの既往歴、高齢、肥満、長期ベッド上安静、帝王切開術後などには特に注意する。また、肺血栓塞栓症 (PTE) 発症の誘因としては、排便・排尿、ベッド上体位変換、初回歩行などが指摘されているが、最近、重症妊娠悪阻妊婦のPTE死亡例も散見されるので注意を喚起して欲しい。高リスク妊婦にはまずリスク評価を行い、そのリスクに応じて理学的予防法、場合によっては抗凝固療法を行う。高リスク妊婦に対して助産師が行うケアとしては、パルスオキシメータも含めた注意深い臨床症状の観察を行い、もし、PTEを強く疑わせる徴候が認められた際には、直ちにドクターコールを行うとともに、酸素投与を開始する。ただし、心肺停止状態の際にはBasic life supportの手順に従い心肺蘇生を行う。高リスク妊婦に対しては、PTEは「どの症例に起こっても当たり前」という考え方で接していただきたい。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"静岡県母性衛生学会","subitem_publisher_language":"ja"},{"subitem_publisher":"Shizuoka Society of Maternal Health","subitem_publisher_language":"en"}]},"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":"2013027634","subitem_relation_type_select":"ICHUSHI"}}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2186-3121","subitem_source_identifier_type":"PISSN"}]},"item_3_source_id_23":{"attribute_name":"NII書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA12693817","subitem_source_identifier_type":"NCID"}]},"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":"小林, 隆夫","creatorNameLang":"ja"},{"creatorName":"KOBAYASHI, Takao","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"12772","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":"2022-12-19"}],"displaytype":"detail","filename":"sjmh_1_1_3.pdf","filesize":[{"value":"3.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"sjmh_1_1_3","objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/4109/files/sjmh_1_1_3.pdf"},"version_id":"735673e6-5efd-4d33-8a95-20dc419a9188"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"静脈血栓塞栓症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"肺血栓塞栓症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"リスク評価","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"パルスオキシメータ","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"抗凝固療法","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 article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"周産期における肺血栓塞栓症対策","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"周産期における肺血栓塞栓症対策","subitem_title_language":"ja"},{"subitem_title":"Management of peripartum pulmonary thromboembolism","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["85"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-12-14"},"publish_date":"2022-12-14","publish_status":"0","recid":"4109","relation_version_is_last":true,"title":["周産期における肺血栓塞栓症対策"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-04-02T04:18:54.415022+00:00"}