{"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, Toshifumi"}]}]},"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":"小山, 諭"}],"nameIdentifiers":[{"nameIdentifier":"58808","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"遠藤, 麻巳子"}],"nameIdentifiers":[{"nameIdentifier":"58809","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"大渓, 彩香"}],"nameIdentifiers":[{"nameIdentifier":"58810","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"諸, 和樹"}],"nameIdentifiers":[{"nameIdentifier":"58811","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"土田, 純子"}],"nameIdentifiers":[{"nameIdentifier":"58812","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"辰田, 久美子"}],"nameIdentifiers":[{"nameIdentifier":"58813","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"永橋, 昌幸"}],"nameIdentifiers":[{"nameIdentifier":"58814","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"五十嵐, 麻由子"}],"nameIdentifiers":[{"nameIdentifier":"58815","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"中島, 真人"}],"nameIdentifiers":[{"nameIdentifier":"58816","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"庭野, 稔之"}],"nameIdentifiers":[{"nameIdentifier":"58817","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"若井, 俊文"}],"nameIdentifiers":[{"nameIdentifier":"58818","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":"2019-08-06"}],"displaytype":"detail","filename":"130(9)_543-549.pdf","filesize":[{"value":"573.4 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