{"created":"2021-03-01T06:31:03.193916+00:00","id":25568,"links":{},"metadata":{"_buckets":{"deposit":"7d3c06f9-7193-400b-97f8-abf74d8878ca"},"_deposit":{"id":"25568","owners":[],"pid":{"revision_id":0,"type":"depid","value":"25568"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00025568"},"item_7_alternative_title_1":{"attribute_name":"\u305d\u306e\u4ed6\u306e\u30bf\u30a4\u30c8\u30eb","attribute_value_mlt":[{"subitem_alternative_title":"Management of hemorrhage during oral surgery on patients under antithrombotic therapy at Sado Municipal Ryotsu Hospital and the questionnaire survey of medical personnel on their management."}]},"item_7_biblio_info_6":{"attribute_name":"\u66f8\u8a8c\u60c5\u5831","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-06","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"21","bibliographicPageStart":"13","bibliographicVolumeNumber":"36","bibliographic_titles":[{"bibliographic_title":"\u65b0\u6f5f\u6b6f\u5b66\u4f1a\u96d1\u8a8c"},{"bibliographic_title":"\u65b0\u6f5f\u6b6f\u5b66\u4f1a\u96d1\u8a8c","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"\u6284\u9332","attribute_value_mlt":[{"subitem_description":"There is no consensus on whether or not patients under antithrombotic treatment who are to undergo oral surgical procedures would benefit from drug cessation, which could reduce transoperative hemorrhagic mishaps. While some believe that a short-term interruption of the medication would not lead to thrombus formation, others suggest a more cautious approach without iscontinuation. As many recent reports have shown that oral surgery can be successfully performed on patients undergoing ntithrombotic therapy, we have treated such patients without drug cessation at Sado Municipal Ryotsu Hospital sinceJune 2004. In this report, we summarize our experience on treating unexpected transoperative hemorrhage with local hemostasis under a controlled environment in a total of 14 cases. In 2 cases (14.3%) we had to manage postoperative bleeding, hemostasis was generally easily achieved, and no thrombotic crisis occurred throughout the surgical treatment. Concerning bleeding control, absorbable hemostatic materials applied locally and splints covering the extraction sockets were shown to be extremely effective. And furthermore, the management under short-term admission was very convenient for even if sudden postoperative bleeding. oncomitantly, We performed a questionnaire survey on the management of hemorrhage about oral surgery in medical staff from Sado Island. Surprisingly, only 37.5% of the surveyed personnel knew that teeth extractions could be safely performed on patients under antithrombotic treatment without therapy interruption. The results of our survey unveiled the need for educating Sado's medical community on the convenience of treating such patients in a safer way, with suitable local measures and a controlled environment.","subitem_description_type":"Abstract"},{"subitem_description":"\u6297\u8840\u6813\u7642\u6cd5\u60a3\u8005\u306e\u6b6f\u79d1\u89b3\u8840\u51e6\u7f6e\u306b\u969b\u3057\u3066\u3001\u6297\u8840\u6813\u85ac\u3092\u4f11\u85ac\u3059\u308b\u304b\u5426\u304b\u306e\u5224\u65ad\u306f\u5404\u65bd\u8a2d\u3067\u7570\u306a\u308b\u3002\u77ed\u671f\u9593\u306e\u4f11\u85ac\u3067\u3042\u308c\u3070\u8840\u6813\u767a\u75c7\u306e\u53ef\u80fd\u6027\u306f\u4f4e\u3044\u3068\u3059\u308b\u610f\u898b\u3084\u5468\u8853\u671f\u306e\u51fa\u8840\u3092\u5371\u60e7\u3057\u3066\u4f11\u85ac\u3092\u52e7\u3081\u308b\u610f\u898b\u306a\u3069\u69d8\u3005\u3067\u3042\u308b\u304c\u3001\u6700\u8fd1\u3067\u306f\u3001\u975e\u4f11\u85ac\u4e0b\u3067\u3082\u5b89\u5168\u306a\u6b6f\u79d1\u89b3\u8840\u51e6\u7f6e\u304c\u53ef\u80fd\u3067\u3042\u308b\u3068\u3059\u308b\u5831\u544a\u3082\u6563\u898b\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u3044\u308b\u3002\u5f53\u79d1\u3067\u30822004\u5e746\u6708\u304b\u3089\u539f\u5247\u975e\u4f11\u85ac\u3067\u5bfe\u5fdc\u3059\u308b\u3053\u3068\u3068\u3057\u3001\u8853\u76f4\u5f8c\u306e\u5c40\u6240\u6b62\u8840\u3068\u8853\u5f8c\u6570\u65e5\u306e\u4e88\u671f\u305b\u306c\u51fa\u8840\u306b\u5bfe\u3059\u308b\u7ba1\u7406\u4f53\u5236\u306e\u6574\u5099\u306b\u91cd\u70b9\u3092\u7f6e\u3044\u3066\u3044\u308b\u3002\u4eca\u56de\u3001\u6297\u8840\u6813\u85ac\u3092\u4f11\u85ac\u305b\u305a\u306b\u6b6f\u79d1\u89b3\u8840\u51e6\u7f6e\u3092\u884c\u3063\u305f14\u75c7\u4f8b\u306b\u3064\u3044\u3066\u3001\u5468\u8853\u671f\u306e\u7d4c\u904e\u3092\u8abf\u67fb\u3057\u305f\u3068\u3053\u308d\u3001\u8853\u5f8c\u51fa\u8840\u306f2\u4f8b(14.3%)\u306b\u8a8d\u3081\u3089\u308c\u3001\u3044\u305a\u308c\u3082\u6b62\u8840\u306f\u5bb9\u6613\u3067\u3042\u3063\u305f\u3002\u5c40\u6240\u6b62\u8840\u306b\u306f\u3001\u6b62\u8840\u6750\u6599\u3068\u6b62\u8840\u30b7\u30fc\u30cd\u304c\u6709\u52b9\u3067\u3001\u77ed\u671f\u5165\u9662\u4e0b\u3067\u7ba1\u7406\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u4e88\u671f\u305b\u306c\u51fa\u8840\u306b\u5bfe\u3057\u3066\u3082\u8fc5\u901f\u304b\u3064\u9069\u5207\u306a\u51e6\u7f6e\u304c\u53ef\u80fd\u3067\u3042\u3063\u305f\u3002\u3055\u3089\u306b\u3001\u5468\u8853\u671f\u3092\u901a\u3057\u3066\u8840\u6813\u767a\u75c7\u3092\u7591\u3046\u6240\u898b\u306f\u306a\u304f\u3001\u7dcf\u3058\u3066\u5b89\u5168\u306a\u51e6\u7f6e\u304c\u53ef\u80fd\u3067\u3042\u3063\u305f\u3002\u307e\u305f\u3001\u5468\u8fba\u5730\u57df\u306e\u533b\u7642\u30b9\u30bf\u30c3\u30d5\u3092\u5bfe\u8c61\u306b\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb\u3092\u884c\u3063\u305f\u306e\u3067\u3001\u305d\u306e\u7d50\u679c\u3092\u8e0f\u307e\u3048\u3066\u3001\u4eca\u5f8c\u306f\u95a2\u4fc2\u6a5f\u95a2\u3068\u306e\u9023\u643a\u306b\u52aa\u3081\u305f\u3044\u3068\u8003\u3048\u3066\u3044\u308b\u3002","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"\u8457\u8005\u5225\u540d","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"150685","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kodama, Yasumitsu"}]},{"nameIdentifiers":[{"nameIdentifier":"150686","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Takagi, Ritsuo"}]},{"nameIdentifiers":[{"nameIdentifier":"150687","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Inomoto, Masato"}]},{"nameIdentifiers":[{"nameIdentifier":"150688","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Iida, Akihiko"}]},{"nameIdentifiers":[{"nameIdentifier":"150689","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yamanaka, Masafumi"}]},{"nameIdentifiers":[{"nameIdentifier":"150690","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ootorii, Jun"}]},{"nameIdentifiers":[{"nameIdentifier":"150691","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kanda, Takeshi"}]},{"nameIdentifiers":[{"nameIdentifier":"150692","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Takamiya, Haruo"}]}]},"item_7_publisher_7":{"attribute_name":"\u51fa\u7248\u8005","attribute_value_mlt":[{"subitem_publisher":"\u65b0\u6f5f\u6b6f\u5b66\u4f1a"}]},"item_7_select_19":{"attribute_name":"\u8457\u8005\u7248\u30d5\u30e9\u30b0","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_7_source_id_11":{"attribute_name":"\u66f8\u8a8c\u30ec\u30b3\u30fc\u30c9ID","attribute_value_mlt":[{"subitem_source_identifier":"AN0018300X","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03850153","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"\u8457\u8005","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"\u5150\u7389, \u6cf0\u5149"}],"nameIdentifiers":[{"nameIdentifier":"150677","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"\u9ad8\u6728, \u5f8b\u7537"}],"nameIdentifiers":[{"nameIdentifier":"150678","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"\u732a\u672c, \u6b63\u4eba"}],"nameIdentifiers":[{"nameIdentifier":"150679","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"\u98ef\u7530, \u660e\u5f66"}],"nameIdentifiers":[{"nameIdentifier":"150680","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"\u5c71\u4e2d, \u6b63\u6587"}],"nameIdentifiers":[{"nameIdentifier":"150681","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"\u5927\u9ce5\u5c45, \u6df3"}],"nameIdentifiers":[{"nameIdentifier":"150682","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"\u795e\u7530, \u5065\u53f2"}],"nameIdentifiers":[{"nameIdentifier":"150683","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"\u9ad8\u5bae, \u6cbb\u751f"}],"nameIdentifiers":[{"nameIdentifier":"150684","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"\u30d5\u30a1\u30a4\u30eb\u60c5\u5831","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-19"}],"displaytype":"detail","filename":"NS_36(1)_13-21.pdf","filesize":[{"value":"2.8 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"NS_36(1)_13-21.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/25568/files/NS_36(1)_13-21.pdf"},"version_id":"c2abf0cd-923c-4b4e-8437-6d4e4116e9fc"}]},"item_keyword":{"attribute_name":"\u30ad\u30fc\u30ef\u30fc\u30c9","attribute_value_mlt":[{"subitem_subject":"\u51fa\u8840\u7ba1\u7406","subitem_subject_scheme":"Other"},{"subitem_subject":"Hemorrhagic management","subitem_subject_scheme":"Other"},{"subitem_subject":"\u6297\u8840\u6813\u7642\u6cd5","subitem_subject_scheme":"Other"},{"subitem_subject":"Antithronmbotic therapy","subitem_subject_scheme":"Other"},{"subitem_subject":"\u629c\u6b6f","subitem_subject_scheme":"Other"},{"subitem_subject":"Tooth extraction","subitem_subject_scheme":"Other"},{"subitem_subject":"\u5c40\u6240\u6b62\u8840","subitem_subject_scheme":"Other"},{"subitem_subject":"Local hemostasis","subitem_subject_scheme":"Other"},{"subitem_subject":"\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb","subitem_subject_scheme":"Other"},{"subitem_subject":"Questionnaire survey","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"\u8a00\u8a9e","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"\u8cc7\u6e90\u30bf\u30a4\u30d7","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"\u4f50\u6e21\u5e02\u7acb\u4e21\u6d25\u75c5\u9662\u6b6f\u79d1\u53e3\u8154\u5916\u79d1\u306b\u304a\u3051\u308b\u6297\u8840\u6813\u7642\u6cd5\u60a3\u8005\u306e\u975e\u4f11\u85ac\u4e0b\u6b6f\u79d1\u89b3\u8840\u51e6\u7406\u7f6e : \u5f53\u79d1\u306e\u5bfe\u5fdc\u3068\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb\u7d50\u679c\u306b\u3064\u3044\u3066","item_titles":{"attribute_name":"\u30bf\u30a4\u30c8\u30eb","attribute_value_mlt":[{"subitem_title":"\u4f50\u6e21\u5e02\u7acb\u4e21\u6d25\u75c5\u9662\u6b6f\u79d1\u53e3\u8154\u5916\u79d1\u306b\u304a\u3051\u308b\u6297\u8840\u6813\u7642\u6cd5\u60a3\u8005\u306e\u975e\u4f11\u85ac\u4e0b\u6b6f\u79d1\u89b3\u8840\u51e6\u7406\u7f6e : \u5f53\u79d1\u306e\u5bfe\u5fdc\u3068\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb\u7d50\u679c\u306b\u3064\u3044\u3066"},{"subitem_title":"\u4f50\u6e21\u5e02\u7acb\u4e21\u6d25\u75c5\u9662\u6b6f\u79d1\u53e3\u8154\u5916\u79d1\u306b\u304a\u3051\u308b\u6297\u8840\u6813\u7642\u6cd5\u60a3\u8005\u306e\u975e\u4f11\u85ac\u4e0b\u6b6f\u79d1\u89b3\u8840\u51e6\u7406\u7f6e : \u5f53\u79d1\u306e\u5bfe\u5fdc\u3068\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb\u7d50\u679c\u306b\u3064\u3044\u3066","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["453/456","432/1291/1292/1306"],"pubdate":{"attribute_name":"\u516c\u958b\u65e5","attribute_value":"2013-08-23"},"publish_date":"2013-08-23","publish_status":"0","recid":"25568","relation_version_is_last":true,"title":["\u4f50\u6e21\u5e02\u7acb\u4e21\u6d25\u75c5\u9662\u6b6f\u79d1\u53e3\u8154\u5916\u79d1\u306b\u304a\u3051\u308b\u6297\u8840\u6813\u7642\u6cd5\u60a3\u8005\u306e\u975e\u4f11\u85ac\u4e0b\u6b6f\u79d1\u89b3\u8840\u51e6\u7406\u7f6e : \u5f53\u79d1\u306e\u5bfe\u5fdc\u3068\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb\u7d50\u679c\u306b\u3064\u3044\u3066"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2021-03-01T12:06:12.402813+00:00"}