{"created":"2023-06-19T10:29:50.111965+00:00","id":1938,"links":{},"metadata":{"_buckets":{"deposit":"89c92e2d-f63d-4119-93f1-4bda30afa70c"},"_deposit":{"created_by":31,"id":"1938","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"1938"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00001938","sets":["1709617079800:35:616:623"]},"author_link":["110373","110374","110375","110376","110377","110378"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"135","bibliographicPageStart":"129","bibliographicVolumeNumber":"44","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_10001_description_33":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"症例報告","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_description_34":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Case Report","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"川崎医学会","subitem_publisher_language":"ja"}]},"item_10001_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J44(2)129","subitem_relation_type_select":"DOI"}}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2018/KMJ-J44(2)129.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-5924","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2758-089X","subitem_source_identifier_type":"EISSN"}]},"item_10001_text_31":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"福山市民病院形成外科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学形成外科学"},{"subitem_text_language":"ja","subitem_text_value":"福山市民病院形成外科"}]},"item_10001_text_32":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Fukuyama City Hospital Plastic Surgery Reconstructive Surgery"},{"subitem_text_language":"en","subitem_text_value":"Department of Plastic and Reconstructive Surgery"},{"subitem_text_language":"en","subitem_text_value":"Fukuyama City Hospital Plastic Surgery Reconstructive Surgery"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"Fournier gangrene is a rapidly progressing necrotizing fasciitis that develops around the vulva．This disease has a poor prognosis and should be diagnosed early，followed by surgical debridement and systemic multimodal management including administration of proper antibiotics．The patient was a man in his 50’s who presented with sensory disturbance and paraplegia in the region below the thoracic region following spinal cord tumor resection． A bedsore was observed on the left ischium over the last 2 months; however，it was not treated．The patient had previously visited a doctor with a primary complaint of impaired consciousness，which was experienced for 2 days，where an image of extensive gas retention under the skin around the bedsore was observed on computed tomography．Therefore， he was immediately transferred to our hospital．The infection disappeared following surgical debridement and antibiotic treatment; however，there was extensive tissue loss at the perianal and buttocks areas．Therefore，reconstructive surgery using gracilis muscle flap was performed．Here，we report on the excellent prognosis for the case including the patient’s progress and discussion."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　フルニエ壊疽は外陰部を中心に発症し，急速に進行する壊死性筋膜炎と定義される．早期の診断を行い，外科的デブリードマン，適切な抗菌薬の投与をはじめとした全身の集学的管理を要す，生命予後の不良な疾患である．症例は50歳代男性，脊髄腫瘍切除後であり胸部以下の感覚障害，対麻痺がある．２ヵ月前から左坐骨部褥瘡を認めていたが未治療であった．２日前からの意識障害を主訴に前医を受診し，CT にて褥瘡周囲の皮下に広範囲なガス貯留像を認めたため，当院に救急搬送された．外科的デブリードマンと抗生剤投与を行い，感染は消退したが，その後，臀部から肛門周囲に広範囲に組織欠損創が残ったため，薄筋皮弁での再建手術を行った．良好な経過を得たため経過に考察を加え報告する. "}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"赤松, 誠之","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"寺本, 未織","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山本, 康弘","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"AKAMATSU, Tomoyuki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TERAMOTO, Miori","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMAMOTO, Yasuhiro","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":"2019-04-04"}],"displaytype":"detail","filename":"KMJ-J44(2)129.pdf","filesize":[{"value":"3.9 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/1938/files/KMJ-J44(2)129.pdf"},"version_id":"296a1ad1-e05e-4ffc-8a1c-1175e0a86ebb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"フルニエ壊疽","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"薄筋皮弁","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Fournier gangrene","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Gracilis muscle flap","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"坐骨部褥瘡から発症したフルニエ壊疽の１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"坐骨部褥瘡から発症したフルニエ壊疽の１例","subitem_title_language":"ja"},{"subitem_title":"A case of Fournier gangrene developed from a bedsore occurring at the ischium","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"31","path":["623"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2019-04-04"},"publish_date":"2019-04-04","publish_status":"0","recid":"1938","relation_version_is_last":true,"title":["坐骨部褥瘡から発症したフルニエ壊疽の１例"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2024-04-13T02:55:17.154943+00:00"}