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[{"subitem_description": "消化管の手術後にSerratia marcescesによる敗血症を発症した4例を報告する.症例1は59歳の男性で,上行結腸癌に対し結腸右半切除術後5日目に敗血症を発症.エンドトキシン吸着(以下,PMX)施行,救命しえた.症例2は34歳の女性で,家族性大腸線腫症に対し回腸人工肛門閉鎖術後17日目に腸閉塞を発症,その4日後に腸閉塞は軽快するも敗血症を発症.急激な全身状態の悪化を認め死亡.症例3は74歳の男性で,胃癌に対し幽門側胃切除術後7日目に敗血症を発症.敗血症性ショックに陥り,PMX施行するも死亡.症例4は78歳の男性で,胃癌に対し胃全摘術,脾摘術後24日目に敗血症を発症.PMX施行し,救命しえた.Serratia marcescesによる敗血症は症状が急速に進行するため致命率が高い.発症した場合は血液浄化療法を迅速に行う必要がある.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "78168", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Nogami, Hitoshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "78169", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Koyama, Yu"}]}, {"nameIdentifiers": [{"nameIdentifier": "78170", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Hatakeyama, Katsuyoshi"}]}]}, "item_7_publisher_7": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "新潟医学会"}]}, 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