{"created":"2023-06-19T08:54:57.690684+00:00","id":2279,"links":{},"metadata":{"_buckets":{"deposit":"1560512f-327c-4f68-9ef3-0d179fff26f3"},"_deposit":{"created_by":15,"id":"2279","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"2279"},"status":"published"},"_oai":{"id":"oai:kpu-m.repo.nii.ac.jp:00002279","sets":["65:66"]},"author_link":["2122","2889","2890","2891","2892","2893","959"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"30","bibliographicPageStart":"24","bibliographicVolumeNumber":"5","bibliographic_titles":[{"bibliographic_title":"京都府立医科大学附属北部医療センター誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of North Medical Center Kyoto Prefectural University of Medicine","bibliographic_titleLang":"en"}]}]},"item_10002_description_24":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_description":"京都府立医科大学附属北部医療センター循環器内科","subitem_description_type":"Other"},{"subitem_description":"京都府立医科大学附属北部医療センター臨床工学科","subitem_description_type":"Other"}]},"item_10002_description_25":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_description":"Department of Cardiovascular Medicine, North Medical Center, Kyoto Prefectural University of Medicine","subitem_description_type":"Other"},{"subitem_description":"Department of Clinical Engineering, North Medical Center, Kyoto Prefectural University of Medicine","subitem_description_type":"Other"}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"経皮的心肺補助は、重症心不全（急性心筋梗塞、心筋症、劇症型心筋炎など）、開心術後の低拍出症候群、大血管手術（胸部下行大動脈瘤、胸腹部大動脈瘤）による補助循環や重症呼吸不全などの病態に用いられているが、近年救急医療の現場、とくに心肺停止患者への適用が急増している。しかしながら、装置が高価であることや導入にマンパワーを要する治療法であることから、導入をためらっている施設も少なくない。また、適用基準や使用方法についても各施設によってさまざまである。\n経皮的心肺補助装置は2008 年に当院に導入され、2018 年3 月までの約10 年間で16 例に用いられた。年齢の中央値は65.5 歳で、男性が12 例だった。原因疾患として急性冠症候群/ 急性心筋梗塞が11 例、劇症型を含む心筋炎が4 例だった。そのうち2 例は現在も当院外来に通院中であり、長期生存率は12.5% であった。\n高齢化率の高い丹後医療圏におけるPCPS の適用基準にまつわる問題点を挙げ、使用の心得を記述し、京都府下の病院におけるPCPS 導入状況を俯瞰する。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"京都府立医科大学附属北部医療センター","subitem_publisher_language":"ja"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2188-5400","subitem_source_identifier_type":"ISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"谷口, 琢也","creatorNameLang":"ja"},{"creatorName":"タニグチ, タクヤ","creatorNameLang":"ja-Kana"},{"creatorName":"Taniguchi, Takuya","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伏木, 裕一","creatorNameLang":"ja"},{"creatorName":"フシキ, ユウイチ","creatorNameLang":"ja-Kana"},{"creatorName":"Fushiki, Yuichi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大石, 将嗣","creatorNameLang":"ja"},{"creatorName":"オオイシ, マサツグ","creatorNameLang":"ja-Kana"},{"creatorName":"Oishi, Masatsugu","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"足立, 悠","creatorNameLang":"ja"},{"creatorName":"アダチ, ユウ","creatorNameLang":"ja-Kana"},{"creatorName":"Adachi, Yu","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"寺田, 兼輔","creatorNameLang":"ja"},{"creatorName":"テラダ, ケンスケ","creatorNameLang":"ja-Kana"},{"creatorName":"Terada, Kensuke","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"笠原, 武","creatorNameLang":"ja"},{"creatorName":"カサハラ, タケル","creatorNameLang":"ja-Kana"},{"creatorName":"Kasahara, Takeru","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"河崎, 貴宣","creatorNameLang":"ja"},{"creatorName":"カワサキ, タカノリ","creatorNameLang":"ja-Kana"},{"creatorName":"Kawasaki, Takanori","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-07-17"}],"displaytype":"detail","filename":"hokubu5_04.pdf","filesize":[{"value":"1.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"論文","url":"https://kpu-m.repo.nii.ac.jp/record/2279/files/hokubu5_04.pdf"},"version_id":"d054fac1-a5a2-436d-b9a3-49384480cd0e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"経皮的心肺補助装置","subitem_subject_scheme":"Other"},{"subitem_subject":"適用基準","subitem_subject_scheme":"Other"},{"subitem_subject":"予後","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"}]},"item_title":"当院における経皮的心肺補助装置の導入状況と予後について： 症例集積研究","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院における経皮的心肺補助装置の導入状況と予後について： 症例集積研究","subitem_title_language":"ja"},{"subitem_title":"Current situation and prognosis in patients with percutaneous cardio-pulmonary support in Tango district: a case-series study","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"15","path":["66"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2019-07-17"},"publish_date":"2019-07-17","publish_status":"0","recid":"2279","relation_version_is_last":true,"title":["当院における経皮的心肺補助装置の導入状況と予後について： 症例集積研究"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-08-02T01:13:38.879171+00:00"}