{"created":"2021-03-01T06:12:26.562038+00:00","id":8426,"links":{},"metadata":{"_buckets":{"deposit":"2c58de5f-fde8-46b6-b37f-e997d177e9f0"},"_deposit":{"id":"8426","owners":[],"pid":{"revision_id":0,"type":"depid","value":"8426"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00008426","sets":["453:456","471:537:538:895"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A Case of Neck Hematoma Caused by Blunt Thyroid Trauma Recovered Conservatively"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-09","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"9","bibliographicPageEnd":"549","bibliographicPageStart":"543","bibliographicVolumeNumber":"130","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":"頸部鈍的外傷により甲状腺損傷および頚部血腫が出現するも,保存的に軽快した1例を経験したので報告する.症例は28歳,女性.直進中の普通乗用車の助手席に乗っていた際,右折してきた乗用車に衝突され,自家用車は横転し炎上寸前のところを救助され,救急車にて当院救急外来に搬送された.来院時,意識は清明であったが,事故直後のことは記憶になかった.血圧129/81mmHg,脈拍95/分と循環動態は安定していたが,前頚部の腫脹および皮下出血を認めた.右前胸部の軽度圧痛を認める以外は,ほかに明らかな異常所見は認めなかった.血液生化学所見では,白血球数の軽度増多と, トランスアミナーゼの軽度上昇を認めたが, 明らかな貧血は認めなかった.TSHO.42/IU/ml, FT311.7pg/ml,FT42.7ng/dlと甲状腺機能亢進を認めた.CT検査で,甲状腺右葉下極の腫大と前頸部から上縦隔に至る血腫を認め,気管損傷は認めなかったが気管は軽度左側に圧排されていた. 呼吸苦・呼吸困難の所見は認めなかったが, 血腫増大による気道狭窄が出現してくる危険もあったため,入院の上,保存的に経過観察を行った.翌日、血腫は縮小傾向となり,血液所見でも貧血の進行を認めず,CT検査では血腫は縮小しており,水分摂取・食事を開始した.入院後3日目の採血では,FT36.4pg/ml,FT42.8ng/dlと甲状腺機能亢進は改善し全身状態も良好であったため,入院後4日目に退院となった.退院2週間後の外来受診時,前頸部腫脹は消失しており, 血液生化学検査では貧血を認めず,TSH0.07μIU/ml,FT33.6pg/ml,FT41.4ng/dlと甲状腺機能もほぼ正常となっていた.鈍的外傷による頸部甲状腺損傷の報告は文献的にも少ないが, 甲状腺血腫が増大せず,気道狭窄を伴わない状態であれば, まず保存的治療を試みることが勧められる. また,本症例のように, 甲状腺外側に伴い甲状腺機能亢進を認めた例も報告されており,全身管理にも注意が必要である.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"58819","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Koyama, Yu"}]},{"nameIdentifiers":[{"nameIdentifier":"58820","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Endo, Maiko"}]},{"nameIdentifiers":[{"nameIdentifier":"58821","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ohtani, Ayaka"}]},{"nameIdentifiers":[{"nameIdentifier":"58822","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Moro, Kazuki"}]},{"nameIdentifiers":[{"nameIdentifier":"58823","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Tsuchida, Junko"}]},{"nameIdentifiers":[{"nameIdentifier":"58824","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Tatsuda, Kumiko"}]},{"nameIdentifiers":[{"nameIdentifier":"58825","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nagahashi, Masayuki"}]},{"nameIdentifiers":[{"nameIdentifier":"58826","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ikarashi, Mayuko"}]},{"nameIdentifiers":[{"nameIdentifier":"58827","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nakajima, Masato"}]},{"nameIdentifiers":[{"nameIdentifier":"58828","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Niwano, Toshiyuki"}]},{"nameIdentifiers":[{"nameIdentifier":"58829","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Wakai, 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