{"created":"2024-05-24T07:31:29.702087+00:00","id":2000041,"links":{},"metadata":{"_buckets":{"deposit":"62ce05a7-73db-4b82-8791-fa9aebde13bb"},"_deposit":{"created_by":29,"id":"2000041","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"2000041"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:02000041","sets":["1709617079800:35:36"]},"author_link":[],"item_10001_alternative_title_1":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A case of immobilization hypercalcemia with severe multiple traumas","subitem_alternative_title_language":"en"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"42","bibliographicPageStart":"37","bibliographicVolumeNumber":"49","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_id":{"subitem_relation_type_id_text":"http://doi.org/10.11482/KMJ-J202349037","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":"https://igakkai.kms-igakkai.com/wp/wp-content/uploads/2023/KMJ-J202349037.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":"AA12940574","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"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":"川崎医科大学救急医学教室"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学救急医学教室"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学救急医学教室"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学救急医学教室"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学救急医学教室"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学救急医学教室"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学救急医学教室"},{"subitem_text_language":"ja","subitem_text_value":"川崎医療福祉大学医療技術学部健康体育学科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学救急医学教室"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学救急医学教室"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学救急医学教室"}]},"item_10001_text_32":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Emergency Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Emergency Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Emergency Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Emergency Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Emergency Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Emergency Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Emergency Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Health and Sports Science, Kawasaki University of Medical Welfare"},{"subitem_text_language":"en","subitem_text_value":"Department of Emergency Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Emergency Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Emergency Medicine, Kawasaki Medical School"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"Primary hyperparathyroidism and tumor-associated hypercalcemia account for more than 90% of all cases of hypercalcemia, and immobilization hypercalcemia (IH) is usually diagnosed through exclusion the above. Herein, we report a case of IH during treatment in a patient with severe multiple traumas. A 22-year-old man was transported to our hospital by medical helicopter for management of injuries sustained in a traffic accident. We diagnosed the patient with hypovolemic shock, multiple small bowels and cecal lacerations, bilateral hemopneumothorax, pulmonary contusions, multiple bilateral rib fractures, dislocated right elbow joint fracture, and fourth lumbar vertebral compression fracture. He underwent damage control surgery in the emergency department, and we performed abdominal closure on the 6th day after admission. Continuous hemodialysis (CHD) was initiated on the 2nd day after admission for the management of acute kidney injury. After admission, we observed a gradually increasing serum calcium level. The Hypercalcemia persisted despite CHD or calcitonin administration and subsequently responded to bisphosphonate therapy. Based on the above, we diagnosed IH as the cause of hypercalcemia. IH should be considered in the differential diagnosis in young patients with hypercalcemia, and bisphosphonate therapy should be attempted, evenin cases of multiple traumas."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"高Ca 血症の原因の90％以上は，原発性副甲状腺機能亢進症と腫瘍随伴性高 Ca 血症が占め，無動性高Ca 血症（immobilization hypercalcemia： IH）は上記の除外によって診断される．今回，我々は重症多発外傷の治療中にIH を呈した症例を経験したため報告する．症例は22歳男性で，高速自動車道を普通自動車走行中の交通事故で受傷し，ドクターヘリで当院へ搬送された．精査により，循環血液量減少性ショック，多発小腸断裂，盲腸断裂，両側血気胸，両側肺挫傷，両側多発肋骨骨折，右肘関節脱臼骨折，第４腰椎圧迫骨折と診断された．救急外来で Damage control surgery を行い，第６病日に閉腹した．急性腎障害のため，第２病日に持続的血液透析（continuous hemodialysis: CHD）を開始した．入院後，血清 Ca 値は経時的に上昇し，精査の結果 IH と診断した．高Ca 血症は， CHD，カルシトニン投与で改善しなかったが，ビスホスホネート製剤の投与で改善した．若年者の高 Ca 血症では，IH を考慮すべきである．また，治療においては，多発外傷後であってもビスホスホネート製剤の投与を考慮するべきである"}]},"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":"稲吉, 祐樹","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"上野, 太輔","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"立石, 寛子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"岡根, 尭弘","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"藤原, 弘道","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"山田, 祥子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"高橋, 治郎","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"木下, 公久","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"宮本, 聡美","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"井上, 貴博","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"椎野, 泰和","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"INAYOSHI, Yuki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"UENO, Daisuke","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"TATEISHI, Hiroko","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"OKANE, Takahiro","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"FUJIWARA, Kodo","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"YAMADA, Sachiko","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"TAKAHASHI, Jiro","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"KINOSHITA, Kimihisa","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"MIYAMOTO, Satomi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"INOUE, Takahiro","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"SHIINO, Yasukazu","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2024-06-26"}],"displaytype":"detail","filename":"KMJ-J202349037.pdf","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/2000041/files/KMJ-J202349037.pdf"},"version_id":"d6fba0be-258e-4025-ac4a-74142cdeecd1"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"高 Ca 血症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"無動","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"ビスホスホネート","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Hypercalcemia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Immobilization","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Bisphosphonate","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":"無動性高 Ca 血症を呈した重症多発外傷の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"無動性高 Ca 血症を呈した重症多発外傷の一例","subitem_title_language":"ja"}]},"item_type_id":"10001","owner":"29","path":["36"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-06-26"},"publish_date":"2024-06-26","publish_status":"0","recid":"2000041","relation_version_is_last":true,"title":["無動性高 Ca 血症を呈した重症多発外傷の一例"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2024-08-14T07:53:51.332472+00:00"}