{"created":"2023-06-19T10:28:29.422284+00:00","id":626,"links":{},"metadata":{"_buckets":{"deposit":"1208c074-acfb-457b-b06b-e9a5d86acec5"},"_deposit":{"created_by":25,"id":"626","owners":[25],"pid":{"revision_id":0,"type":"depid","value":"626"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00000626","sets":["1709617079800:35:186:431"]},"author_link":["120302","120303","120304","120305","120306","120307","120308","120309","120310","120311","120312","120313"],"item_1694495855422":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_3_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1987","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"329","bibliographicPageStart":"324","bibliographicVolumeNumber":"13","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_3_description_8":{"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_3_identifier_14":{"attribute_name":"URL","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"http://igakkai.kms-igakkai.com/wp/wp-content/uploads/1987/KMJ13(3)324-329.1987.pdf"}]},"item_3_relation_20":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J13(3)324 ","subitem_relation_type_select":"DOI"}}]},"item_3_source_id_1":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_19":{"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_3_text_6":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科"}]},"item_3_text_7":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School"}]},"item_3_textarea_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"9歳から喫煙歴のある肺気腫症の58歳女性例を報告した.昭和56年5月の初診時すでに高度の気道閉塞と軽度の低酸素血症があり,気管支拡張剤の投与,肺理学療法を行った.4年後の肺機能検査において悪化が認められた.現在,患者は64歳であるが,酸素濃縮装置による在宅酸素療法を受けている.この症例は血清α_1-アンチトリプシンが軽度低下しており,小児期からの喫煙が肺気腫症を起こした原因と考えられる.最近,学校教育者の間で小学生の喫煙が問題になっているが,禁煙教育は幼稚園の時から始めるべきであろう."}]},"item_3_textarea_11":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"A 58-year-old woman was referred to our hospital in May 1981, because of breathlessness when walking on level surfaces. At age 56, she noted exertional dyspnea and this forced her to leave her job one and a half years later. She started to smoke at the age of 9 and still smoked 30 cigarettes a day. On physical examination the chest was hyperresonant and breath sounds were diminished. A chest radiograph showed pulmonary hyperinflation. Pulmonary function tests showed severe airway obstruction and slight lowering of PaO_2. Her serum α_1-antitrypsin was 188mg/dl (normal values: 200-400mg/dl). She was diagnosed as pulmonary emphysema. The patient was treated with bronchodilators and physiotherapy. Reassessment four years later showed deterioration in lung function. She is now 64 years old and home oxygen with an oxygen concentrator has been prescribed. Pulmonary emphysema in this patient was probably produced by her smoking habit which started in childhood. Today it is believed that about 30% of primary school pupils, 50% of junior high school students, and 70% of senior high school students in Japan have smoked cigarettes at least once or twice. Therefore, it is too late to start teaching children about the health hazards of smoking in high school. Anti-smoking education should begin in kindergarten."}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"川根, 博司","creatorNameLang":"ja"},{"creatorName":"カワネ, ヒロシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岸本, 寿男","creatorNameLang":"ja"},{"creatorName":"キシモト, トシオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"安達, 倫文","creatorNameLang":"ja"},{"creatorName":"アダチ, ミチフミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渡辺, 正俊","creatorNameLang":"ja"},{"creatorName":"ワタナベ, マサトシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"矢木, 晋","creatorNameLang":"ja"},{"creatorName":"ヤギ, ススム","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"副島, 林造","creatorNameLang":"ja"},{"creatorName":"ソエジマ, リンゾウ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kawane, Hiroshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kishimoto, Toshio","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Adachi, Michifumi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Watanabe, Masatoshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yagi, Susumu","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Soejima, Rinzo","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":"2017-01-23"}],"displaytype":"detail","filename":"KJ00009816939.pdf","filesize":[{"value":"1.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00009816939.pdf","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/626/files/KJ00009816939.pdf"},"version_id":"60fd9990-51a5-4715-8e83-de4203ffb43e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Pulmonary emphysema","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Smoking","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Protease-antiprotease theory","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":"9歳から喫煙歴のある肺気腫症の1女性例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"9歳から喫煙歴のある肺気腫症の1女性例","subitem_title_language":"ja"},{"subitem_title":"A Female Case of Pulmonary Emphysema with a Smoking Habit since Nine Years Old","subitem_title_language":"en"}]},"item_type_id":"3","owner":"25","path":["431"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-01-23"},"publish_date":"2017-01-23","publish_status":"0","recid":"626","relation_version_is_last":true,"title":["9歳から喫煙歴のある肺気腫症の1女性例"],"weko_creator_id":"25","weko_shared_id":-1},"updated":"2023-10-06T04:23:26.325607+00:00"}