{"_buckets": {"deposit": "0fea5e01-ea48-45d7-a059-84d7b8a410ca"}, "_deposit": {"id": "10346", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "10346"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00010346", "sets": ["456", "964"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "Neurologic Complications After Thoracic Aortic Repair Surgery"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2010-08", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "8", "bibliographicPageEnd": "454", "bibliographicPageStart": "447", "bibliographicVolumeNumber": "124", "bibliographic_titles": [{"bibliographic_title": "新潟医学会雑誌"}, {"bibliographic_title": "新潟医学会雑誌", "bibliographic_titleLang": "en"}]}]}, "item_7_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "胸部大動脈置換術では体外循環を使用し, 脳循環を停止させる必要があるため, 中枢神経合併症を回避することが重要である. 本研究の目的は, 胸部大動脈置換術を受けた連続症例を対象として, 中枢神経合併症を回避するために神経症状とMRI所見, 危険因子を明らかにすることを目的とした. 当院で2005年11月から2008年10月の間に当院で胸部大動脈置換術を受けた37例を対象とした. 解析には既往症, 術前画像所見, 手術に関するデータを26項目用いた. 8例 (21.6%) が中枢神経合併症を発症した. 複雑部分発作6例に, せん妄が2例で, 3例で片麻痺が合併していた. 単一因子解析では脳卒中の既往 (p =0.007), 慢性腎臓病 (p =0.006), 術前MRI基底核病変 (p =0.027), 大動脈粥腫病変 (p =0.005) が有意な因子で, ロジスティック回帰分析の結果, 慢性腎臓病のみが中枢神経合併症に寄与した (p =0.017). 8例全例に術後MRIで新規脳梗塞を認め, その原因として塞栓性機序が示唆された. 慢性腎臓病を基盤とする心血管イベントの危険因子が, 中枢神経合併症に関連することを示唆した.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "71009", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Shimbo, Junsuke"}]}]}, "item_7_publisher_7": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "新潟医学会"}]}, "item_7_select_19": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_7_source_id_11": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AN00182415", "subitem_source_identifier_type": "NCID"}]}, "item_7_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "00290440", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "新保, 淳輔"}], "nameIdentifiers": [{"nameIdentifier": "71008", "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": "2019-08-06"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "124(8)_447-454.pdf", "filesize": [{"value": "1.8 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 1800000.0, "url": {"label": "124(8)_447-454.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/10346/files/124(8)_447-454.pdf"}, "version_id": "7b29e42c-b732-47e3-a210-0cdd3aefa4df"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "胸部大動脈置換術", "subitem_subject_scheme": "Other"}, {"subitem_subject": "中枢神経合併症", "subitem_subject_scheme": "Other"}, {"subitem_subject": "頭部MRI", "subitem_subject_scheme": "Other"}, {"subitem_subject": "慢性腎臓病", "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": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "胸部大動脈置換術による中枢神経合併症", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "胸部大動脈置換術による中枢神経合併症"}, {"subitem_title": "胸部大動脈置換術による中枢神経合併症", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "964"], "permalink_uri": "http://hdl.handle.net/10191/28819", "pubdate": {"attribute_name": "公開日", "attribute_value": "2014-07-25"}, "publish_date": "2014-07-25", "publish_status": "0", "recid": "10346", "relation": {}, "relation_version_is_last": true, "title": ["胸部大動脈置換術による中枢神経合併症"], "weko_shared_id": null}