{"created":"2023-06-19T11:39:28.750064+00:00","id":7546,"links":{},"metadata":{"_buckets":{"deposit":"a8e7be60-0389-4b51-b036-a33a9cd154c9"},"_deposit":{"created_by":15,"id":"7546","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"7546"},"status":"published"},"_oai":{"id":"oai:mie-u.repo.nii.ac.jp:00007546","sets":["334:606:607"]},"author_link":["18250","18251","18252","18253","18254","18255"],"control_number":"7546","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2003-11-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"11","bibliographicPageEnd":"1574","bibliographicPageStart":"1571","bibliographicVolumeNumber":"36","bibliographic_titles":[{"bibliographic_title":"日本消化器外科学会雑誌"}]}]},"item_10001_description_19":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は72歳の男性. 近医受診中に, ショック状態となり当院に救急搬送された. 来院時血圧 84/60mmHG, 脈拍 96/min, 著名な腹部膨満を認めた. 血液検査データにて高度貧血, 白血球数および異常リンパ球比率の上昇を認めた. 末梢血液像では分葉化傾向をもつ核の異常T細胞の増殖を認め, 血清抗HTLV-1抗体も高値を示したため成人T細胞性白血病(ATL)と診断した. 腹部造影CT検査にて, 脾臓の横隔膜面に造影剤のpooling像が認められた. 脾破裂による腹腔内出血の診断で緊急手術を施行したところ, 脾臓の横隔膜面に破裂を認めたため脾臓摘出術を施行した. 摘出した脾臓の病理組織学的所見では, 皮髄構造は破壊, 消失しており, ATLの脾臓への浸潤が認められた. 脾破裂を来すような外傷の既往もなくATLの脾臓への浸潤に伴う脾破裂と考えられた. 白血病により脾破裂を来すことはまれであり, 若干の文献的考察を加え報告する.","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本消化器外科学会"}]},"item_10001_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"一般社団法人日本消化器外科学会"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00192066","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-9768","subitem_source_identifier_type":"PISSN"}]},"item_10001_text_70":{"attribute_name":"資源タイプ（三重大）","attribute_value_mlt":[{"subitem_text_value":"Journal Article / 学術雑誌論文"}]},"item_10001_version_type_20":{"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":"湊, 栄治","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"藤野, 一平","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"杉平, 宣仁","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松本, 収生","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"嶋, 廣一","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"三木, 誓雄","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":"2017-02-18"}],"displaytype":"detail","filename":"30A11323.pdf","filesize":[{"value":"912.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"30A11323.pdf","url":"https://mie-u.repo.nii.ac.jp/record/7546/files/30A11323.pdf"},"version_id":"90d90b0e-0276-40b5-a00d-4d71293ba3f9"}]},"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":"脾破裂を契機に発見された成人T細胞性白血病の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"脾破裂を契機に発見された成人T細胞性白血病の1例","subitem_title_language":"ja"}]},"item_type_id":"10001","owner":"15","path":["607"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-12-03"},"publish_date":"2009-12-03","publish_status":"0","recid":"7546","relation_version_is_last":true,"title":["脾破裂を契機に発見された成人T細胞性白血病の1例"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-10-23T01:18:54.375794+00:00"}