{"created":"2021-03-01T06:24:04.951070+00:00","id":19244,"links":{},"metadata":{"_buckets":{"deposit":"5a5dd01c-3eab-4117-ba8e-b260f0f043b9"},"_deposit":{"id":"19244","owners":[],"pid":{"revision_id":0,"type":"depid","value":"19244"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00019244","sets":["453:456","471:537:538:1148"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"The Present Status of Early Menagements of Patients with Traumatic Shock and Further Problems (Emerency Medical Care : Current Advances and Problems in Treatment of the Severely Injured)"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1994-07","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"7","bibliographicPageEnd":"488","bibliographicPageStart":"485","bibliographicVolumeNumber":"108","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":"Fluid resuscition is crucial for management of traumatic shock. The kind and the amount of fluids infused in 1 hour after admittance were evaluated in 34 critically ill patients with sustained traumatic shock by chart review. Their mean age was 34.4±4.3 (mean±SE) years old. Twenty seven of 34 patients were injured by traffic accidents, six had a free fall injury, and one had a stab wound. Mortality rate was 24/34. Their mean shock score (Ogawa's) was 7.6±0.5 (survivor: 5.9±0.4 versus non-survivor 8.3±0.6), and their mean injury severity score (ISS) was 25.5±1.8 (survivor: 19.7±2.5 versus non-survivor: 27.9±10.2). In patients with systolic blood pressure (SBP) <60mmHg, lactate solution and plasma expander amounted to 1,291±189ml , 292±168, respectively. In patients with 60≦SBP<90mmHg, lactate solution was in amount of 1,077±148ml, and plasma expander was 269±134ml. In patients with SBP≧90mmHg, lactate solution was 1,078±230ml, and plasma expander was 56±55ml. There were no significant differences among these 3 groups. With regard to the use of vasopressors, in patients, with SBP<60mmHg, dopamine, epinephrine, and nor-epinephrine were administered in 83%, 50% and 42% of patients, respectively. These observations indicate that the amount of fluid resuscitation was inadequate, and also that hypotension was treated with excessive uses of vasopressors. There may be several reasons for this improper fluid resuscitation, such as a wrong priority to obtain information about injury with CT or X-ray examination as early as possible without an establishment of stable vital signs.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"119879","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Endoh, Hiroshi"}]}]},"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":"遠藤, 裕"}],"nameIdentifiers":[{"nameIdentifier":"119878","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":"2019-08-08"}],"displaytype":"detail","filename":"108(7)_485-488.pdf","filesize":[{"value":"601.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"108(7)_485-488.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/19244/files/108(7)_485-488.pdf"},"version_id":"c617216d-e554-43ea-81f9-07f488fca1a6"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Traumatic Shock","subitem_subject_scheme":"Other"},{"subitem_subject":"Fluid Resuscitation","subitem_subject_scheme":"Other"},{"subitem_subject":"Therapuetic Priority","subitem_subject_scheme":"Other"},{"subitem_subject":"外傷性ショック","subitem_subject_scheme":"Other"},{"subitem_subject":"輸液蘇生","subitem_subject_scheme":"Other"},{"subitem_subject":"治療優先順位","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":"1) 外傷ショック患者の初期治療の現状と課題(シンポジウム 救急医療 : 重度外傷治療の進歩と今日の課題, 第492回新潟医学会)","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"1) 外傷ショック患者の初期治療の現状と課題(シンポジウム 救急医療 : 重度外傷治療の進歩と今日の課題, 第492回新潟医学会)"},{"subitem_title":"1) 外傷ショック患者の初期治療の現状と課題(シンポジウム 救急医療 : 重度外傷治療の進歩と今日の課題, 第492回新潟医学会)","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1148"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-02-17"},"publish_date":"2016-02-17","publish_status":"0","recid":"19244","relation_version_is_last":true,"title":["1) 外傷ショック患者の初期治療の現状と課題(シンポジウム 救急医療 : 重度外傷治療の進歩と今日の課題, 第492回新潟医学会)"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:50:12.761818+00:00"}