{"created":"2023-06-19T08:45:55.734493+00:00","id":1341,"links":{},"metadata":{"_buckets":{"deposit":"aef5beef-1fa6-4ec7-936d-cafff8178e50"},"_deposit":{"created_by":25,"id":"1341","owners":[25],"pid":{"revision_id":0,"type":"depid","value":"1341"},"status":"published"},"_oai":{"id":"oai:ycu.repo.nii.ac.jp:00001341","sets":["4:71:328:332"]},"author_link":["2770","2761","2768","2764","2763","2762","2769","2766","2767","2765"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"503","bibliographicPageStart":"499","bibliographicVolumeNumber":"68","bibliographic_titles":[{"bibliographic_title":"横浜医学"},{"bibliographic_title":"Yokohama Madical Journal","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【対象と方法】2011年1 月から2016年12月までに,アメーバ性大腸炎と診断された53例を対象とし臨床的に検討した.【結果】①男性46例,女性7 例で男性に多かった.年齢は平均54才であった.②主訴は下血27例,便潜血陽性13例,大腸ポリープの定期検査9 例,下痢3 例,人間ドック1 例であった.特に自覚症状のない症例が23例(便潜血陽性13例,大腸ポリープの定期検査9 例,人間ドック1例)認められた.③病変の部位は盲腸および上行結腸が23例,直腸17例,盲腸・上行結腸と直腸が9例,大腸全体が4 例あった.自覚症状の有無と病変の部位をみると、自覚症状の無い症例では盲腸および上行結腸に病変を認めるものが多く,自覚症状のあるものでは直腸に病変が多かった.④感染経路は性感染症が疑われた症例が13例,渡航歴のあるものが2 例認められたが,不明のものが38例で多数を占めた.⑤確定診断を得た検査は病理検査が24例,病理検査と鏡検が14例,鏡検が13例,アメーバ抗体検査が2 例であった.⑥経過をみると、全例にmetronidazoleが投与された.治療後に再検査されたものが34例,経過を追えなかったものが19例あった.再検査されたもののうち治癒が確認されたものが29例あった.【結語】アメーバ性大腸炎は男性に多く,幅広い年齢にみられた.自覚症状のな症例も多くみられた.自覚症状のない症例では病変が盲腸・上行結腸に多くみられ,大腸内視鏡検査が有効であると考えられた.治療はmetronidazoleが有効であった.しかし,経過を追えなかったものも多数みられた.","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"横浜市立大学医学会"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0372-7726","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"深野, 雅彦"},{"creatorName":"フカノ, マサヒコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"高, 蓮浩"},{"creatorName":"コウ, リョンホ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡村, 陽子"},{"creatorName":"オカムラ, ヨウコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中島, 光一"},{"creatorName":"ナカジマ, コウイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"白倉, 立也"},{"creatorName":"シラクラ, タツヤ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"髙橋, 敬二"},{"creatorName":"タカハシ, ケイジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"野澤, 博"},{"creatorName":"ノザワ, ヒロシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"福島, 恒男"},{"creatorName":"フクシマ, ツネオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"西野, 晴夫"},{"creatorName":"ニシノ, ハルオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松島, 誠"},{"creatorName":"マツシマ, マコト","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-03-12"}],"displaytype":"detail","filename":"01_Fukano.pdf","filesize":[{"value":"806.6 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"横浜医学68巻4号(深野雅彦)","url":"https://ycu.repo.nii.ac.jp/record/1341/files/01_Fukano.pdf"},"version_id":"14c00545-17b1-4122-9240-7e6cc12d32d7"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"アメーバ性大腸炎|赤痢アメーバ|大腸内視鏡検査","subitem_subject_scheme":"Other"},{"subitem_subject":"Amebic colitis|Amebiosis|Colonofiberscopy","subitem_subject_language":"en","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":"アメーバ性大腸炎症例の臨床的検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"アメーバ性大腸炎症例の臨床的検討"},{"subitem_title":"Clinical features of 53 patients with amebic colitis","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"25","path":["332"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-03-12"},"publish_date":"2018-03-12","publish_status":"0","recid":"1341","relation_version_is_last":true,"title":["アメーバ性大腸炎症例の臨床的検討"],"weko_creator_id":"25","weko_shared_id":-1},"updated":"2023-06-19T09:47:16.789803+00:00"}