{"created":"2023-06-19T08:46:17.862541+00:00","id":1794,"links":{},"metadata":{"_buckets":{"deposit":"9e4394a9-5100-4ca0-9047-f6cadcc1a87a"},"_deposit":{"created_by":25,"id":"1794","owners":[25],"pid":{"revision_id":0,"type":"depid","value":"1794"},"status":"published"},"_oai":{"id":"oai:ycu.repo.nii.ac.jp:00001794","sets":["4:71:396:397"]},"author_link":["3345","3346"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-01-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"34","bibliographicPageStart":"31","bibliographicVolumeNumber":"70","bibliographic_titles":[{"bibliographic_title":"横浜医学"},{"bibliographic_title":"Yokohama Medical Journal","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"異物誤飲は小児において日常しばしばみられる救急疾患の一つで，いずれの年齢にも起こりえる．小児の異物誤飲に関してこれまで多くの報告がなされているが，一次・二次医療機関からのまとまった報告は少ない． 2007年1月から2017年7月までの10年間に，異物誤飲（疑い）を主訴に当科外来を受診した15歳以下の症例を対象とし，異物の種類，診断，処置，転帰などを後方視的に検討した．対象となったのは858例で，男児（54%）にやや多かった．年齢層は，生後6ヶ月から1歳で全体の約6割を占め，精神発達遅滞の基礎疾患を有した症例群19例（2%）の月齢中央値は54か月で，基礎疾患のない症例群 （月齢中央値17か月）と比較して有意に高かった（p<0.0001）．異物の種類は医薬品が18%と最多であり，煙草は顕著に少なかった（2%）．画像検査で異物が同定されたのは84例（10%）で，そのうち 摘出処置を試行したのは20例であった．薬品類（医薬品あるいは家庭用品）の誤飲253例のうち，13 例（5%）に胃洗浄や活性炭投与を行った．緊急処置を要さず経過観察となった症例がほとんどであ り，95％の症例は同日帰宅となっていたが，4例（0.5%）で虐待の可能性を疑い，児相へ通告した． 小児の異物誤飲症例は経過観察となることが多いが，中には基礎疾患の合併や児童虐待を疑う契機となる症例もあり，慎重な対応が必要であると考えられた．\n","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":"小原, 真奈"},{"creatorName":"コハラ, マナ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"城, 裕之"},{"creatorName":"シロ, ヒロユキ","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":"2019-07-02"}],"displaytype":"detail","filename":"05_Kohara.pdf","filesize":[{"value":"898.0 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"横浜医学70巻1号（小原真奈）","url":"https://ycu.repo.nii.ac.jp/record/1794/files/05_Kohara.pdf"},"version_id":"b95386d9-1dc0-4436-b796-865628c53fa0"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"異物誤飲｜消化管異物｜ 中毒｜小児救急｜児童虐待","subitem_subject_scheme":"Other"},{"subitem_subject":"foreign body ingestion｜gastrointestinal foreign body｜poisoning｜pediatric emergency｜child abuse","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":"当院における過去10年間の異物誤飲症例の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院における過去10年間の異物誤飲症例の検討"},{"subitem_title":"Foreign body ingestion among children:  a 10-year hospital-based retrospective analysis","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"25","path":["397"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-07-02"},"publish_date":"2019-07-02","publish_status":"0","recid":"1794","relation_version_is_last":true,"title":["当院における過去10年間の異物誤飲症例の検討"],"weko_creator_id":"25","weko_shared_id":-1},"updated":"2023-06-19T09:33:19.098867+00:00"}