{"created":"2023-06-19T10:30:05.383602+00:00","id":2180,"links":{},"metadata":{"_buckets":{"deposit":"9f11885a-60f5-4997-813f-a5cc6163099b"},"_deposit":{"created_by":31,"id":"2180","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"2180"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00002180","sets":["1709617079800:35:686"]},"author_link":["109823","109824","109825","109826","109827","109828","109829","109830","109831","109832","109833","109834","109835","109836","109837","109838","109839","109840","109841","109842","109843","109844"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"130","bibliographicPageStart":"121","bibliographicVolumeNumber":"45","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":"原著論文","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_description_34":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Regular Article","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-J201945121","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/2019/KMJ-J201945121.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_relation_35":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2020200385","subitem_relation_type_select":"ICHUSHI"}}]},"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":"川崎医科大学検査診断学（内視鏡・超音波）"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学検査診断学（内視鏡・超音波）"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学検査診断学（内視鏡・超音波）"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学検査診断学（内視鏡・超音波）"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学附属病院内視鏡・超音波センター"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学附属病院内視鏡・超音波センター"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学附属病院内視鏡・超音波センター"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学附属病院内視鏡・超音波センター"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学附属病院内視鏡・超音波センター"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学検査診断学（内視鏡・超音波）"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合内科学２"}]},"item_10001_text_32":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Endoscopy and Ultrasound, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Endoscopy and Ultrasound, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Endoscopy and Ultrasound, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Endoscopy and Ultrasound, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Division of Clinical Laboratory, Kawasaki Medical School Hospital"},{"subitem_text_language":"en","subitem_text_value":"Division of Clinical Laboratory, Kawasaki Medical School Hospital"},{"subitem_text_language":"en","subitem_text_value":"Division of Clinical Laboratory, Kawasaki Medical School Hospital"},{"subitem_text_language":"en","subitem_text_value":"Division of Clinical Laboratory, Kawasaki Medical School Hospital"},{"subitem_text_language":"en","subitem_text_value":"Division of Clinical Laboratory, Kawasaki Medical School Hospital"},{"subitem_text_language":"en","subitem_text_value":"Department of Endoscopy and Ultrasound, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of General Internal Medicine 2, Kawasaki Medical School"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"　The usefulness of point-of-care ultrasonography (POCUS) has been attracting attention in recent years, but its definition, target organs and diseases, procedures required, etc., have not been clarified. We considered cases in which abdominal ultrasound (AUS) had been performed at the bedside of patients admitted to the intensive-care unit (ICU) in our institution to be POCUS cases and assessed its current status retrospectively. There were 245 POCUS cases, and the location of abdominal area from which the greatest number of requests for the examination had been received was the hepato-biliary-pancreatology area, which was followed by the gastrointestinal area. Some sort of finding in the area from which the examination had been requested was detected in 47.8% of the cases. The diagnostic accuracy rate of POCUS was 94.5%. All difficult diagnosis cases were gastrointestinal diseases, many of which were gastrointestinal bleeding cases, especially bleeding hemorrhagic rectal ulcers, and all were diagnosed by endoscopy. There were 28 cases in which emergency management was indicated based on the POCUS findings, and in 28.6% of them the findings were detected at other area that had requested the examination. The breakdown of the emergency 28 cases showed that they included cases in the gastrointestinal area (60.7%) and cardiovascular area (17.9%). Since some of the findings detected by POCUS were in other area than the field that requested the examination, it is important to search the entire abdomen. Also, sometimes diagnosis by POCUS in the gastrointestinal area is difficult, and when the symptoms cannot be explained by the AUS findings, other examinations, such as endoscopy, should be examined. Based on the above, it appeared that diseases that require emergency management are most common in the gastrointestinal and cardiovascular area, and that very careful searches are important, especially in the gastrointestinal area. The most important, in order to perform appropriate POCUS with AUS, it is necessary to judge cross-sectional and comprehensive pathophysiological conditions of abdominal disease include acute abdomen."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　近年point-of-care 超音波（以下POCUS）の有用性が注目されている．しかし，その定義，対象臓器や疾患，必要とされる手技などは明らかとなっていない．当施設でICU（intensive-careunit）入院患者に対しベッドサイドで腹部超音波検査（abdominal ultrasound: AUS）を施行した症例をPOCUS 症例とし，当院のPOCUS の現状をretrospective に検討した．POCUS 施行例245例で，検査依頼領域は肝胆膵領域が最多で次に消化管領域が続いた．検査依頼領域に何らかの所見が認められた症例は47.8％であった．POCUS の正診率については94.5％であった．診断困難例は全例が消化管疾患でその中でも消化管出血とくに出血性直腸潰瘍が多く，いずれも内視鏡検査で診断されていた．POCUS で緊急対応が必要と指摘した症例は28例あり，その28.6％は検査依頼領域以外の部位に病変を認めた．28例の内訳では消化管領域（60.7％）と循環器領域（17.9％）であった．POCUS では検査依頼領域以外の領域に所見を認める事もあり，腹部全体の検索が重要である．また消化管領域はPOCUS による診断が困難なこともあり，AUS 所見で症状が説明できない場合には、内視鏡検査なども検討すべきである．以上のことから，緊急疾患は消化管領域と循環器領域に多く，特に消化管領域については慎重な検索が重要と考えられた．また，AUS を用いて適切なPOCUS を行うためには，急性腹症を含めた腹部疾患の横断的かつ総合的な病態判断が必要である．"}]},"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":"中藤, 流以","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"眞部, 紀明","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"畠, 二郎","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"今村, 祐志","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"谷口, 真由美","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"竹之内, 陽子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岩井, 美喜","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岩㟢, 隆一","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"妹尾, 顕祐","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"藤田, 穣","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"春間, 賢","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NAKATO, Rui","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MANABE, Noriaki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HATA, Jiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"IMAMURA, Hiroshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TANIGUCHI, Mayumi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TANIGUCHI, Yoko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"IWAI, Miki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"IWASAKI, Ryuichi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SENOH, Kensuke","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"FUJITA, Minoru","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HARUMA, Ken","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":"2020-04-01"}],"displaytype":"detail","filename":"KMJ-J201945121.pdf","filesize":[{"value":"1.6 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/2180/files/KMJ-J201945121.pdf"},"version_id":"5d0b4cb6-1690-452b-84d2-f826c0e40e9e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"腹部超音波","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Point-of-Care Ultrasonography","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"POCUS","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ICU 超音波","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"ICU エコー","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Ultrasound","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Point-of-Care Ultrasonography","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"POCUS","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ICU-Ultrasonography","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ICU-US","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":"当院におけるPoint-of-Care Ultrasonography（POCUS）の現状 : ICU におけるベッドサイド腹部超音波症例での検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院におけるPoint-of-Care Ultrasonography（POCUS）の現状 : ICU におけるベッドサイド腹部超音波症例での検討","subitem_title_language":"ja"},{"subitem_title":"Current Status of Point-of-Care Ultrasonography (POCUS) : Assessment of Bedside Ultrasonography Cases in the Intensive-Care Unit in our Hospital","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"31","path":["686"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2020-04-01"},"publish_date":"2020-04-01","publish_status":"0","recid":"2180","relation_version_is_last":true,"title":["当院におけるPoint-of-Care Ultrasonography（POCUS）の現状 : ICU におけるベッドサイド腹部超音波症例での検討"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2024-04-19T04:11:22.962772+00:00"}