{"created":"2021-03-01T06:16:55.531914+00:00","id":12637,"links":{},"metadata":{"_buckets":{"deposit":"ac174e44-d742-4b22-a9ac-1b2565d6af12"},"_deposit":{"id":"12637","owners":[],"pid":{"revision_id":0,"type":"depid","value":"12637"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00012637","sets":["453:456","471:537:538:1029"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Perforated Acute Appendicitis without Systemic Inflammatory Response : Report of a Case"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"198","bibliographicPageStart":"196","bibliographicVolumeNumber":"119","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":"全身性炎症反応(発熱,白血球数増多,血清CRP値上昇)は急性虫垂炎の診断に際して有用な所見とされている.今回,全身性炎症反応を欠く急性虫垂炎穿孔症例を経験したので文献的考察を加えて報告する.症例は57歳,女性.右下腹部痛を主訴に当院を受診した.右下腹部を中心に下腹部全体に圧痛,筋性防御を認めたが,発熱,白血球数増多,血清CRP値上昇等の全身性炎症反応は見られなかった.CT検査では,盲腸壁肥厚,少量の腹水,糞石を認めた.腹部所見,CT所見から穿孔性腹膜炎を合併する急性虫垂炎と診断し,虫垂切除術および腹腔ドレナージを施行した.臨床医は,急性虫垂炎が穿孔して腹膜炎を生じても全身性炎症反応を欠く症例があることを銘記すべきである.","subitem_description_type":"Abstract"}]},"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":"金子, 和弘"}],"nameIdentifiers":[{"nameIdentifier":"84159","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"白井, 良夫"}],"nameIdentifiers":[{"nameIdentifier":"84160","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"中野, 雅人"}],"nameIdentifiers":[{"nameIdentifier":"84161","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"植村, 元貴"}],"nameIdentifiers":[{"nameIdentifier":"84162","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"下山, 雅朗"}],"nameIdentifiers":[{"nameIdentifier":"84163","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"畠山, 勝義"}],"nameIdentifiers":[{"nameIdentifier":"84164","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":"2019-08-07"}],"displaytype":"detail","filename":"KJ00004300153.pdf","filesize":[{"value":"626.8 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00004300153.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/12637/files/KJ00004300153.pdf"},"version_id":"7eecd7e0-aba7-46de-b97e-26f21ecaffc6"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"急性虫垂炎","subitem_subject_scheme":"Other"},{"subitem_subject":"全身性炎症反応","subitem_subject_scheme":"Other"},{"subitem_subject":"穿孔性腹膜炎","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":"全身性炎症反応を呈さなかった急性虫垂炎穿孔の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"全身性炎症反応を呈さなかった急性虫垂炎穿孔の1例"},{"subitem_title":"全身性炎症反応を呈さなかった急性虫垂炎穿孔の1例","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1029"],"pubdate":{"attribute_name":"公開日","attribute_value":"2007-05-10"},"publish_date":"2007-05-10","publish_status":"0","recid":"12637","relation_version_is_last":true,"title":["全身性炎症反応を呈さなかった急性虫垂炎穿孔の1例"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:45:24.765634+00:00"}