{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1050859293244561920.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"URI","@value":"https://redcross.repo.nii.ac.jp/records/18871"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2023236709"}}],"resourceType":"学術雑誌論文(journal article)","dc:title":[{"@value":"マムシ咬傷を契機に急性腎障害を来した一例"}],"dc:language":"ja","description":[{"type":"Abstract","notation":[{"@value":"症例は 81 歳女性．併存症に慢性腎不全があり血清 Cre は 2.5 ㎎ /dL 程度であった．マムシ咬傷による右手の腫脹を主訴に救急搬送された．入院時，右第５指ＭＰ関節に２箇所の牙痕と右上肢全体にかけての腫脹，前胸部に皮下出血を認めた．血液検査で LDH 265 U/L，CPK 4130 U/L，BUN 82.1㎎ /dL，Cre 3.87㎎ /dL，Hb 14.9g/dL，尿検査では横紋筋融解症を示唆する所見を認めた．破傷風トキソイドとセファゾリンNa を投与し，全身管理を行った．横紋筋融解症と腎機能は改善したが貧血が進行し，網状赤血球増加及びハプトグロビンの著減から，溶血性貧血と診断した．溶血を起こす他の疾患を除外し，マムシ咬傷が原因\nと考えた．その後，徐々に貧血は改善傾向になり，第21病日に転院となった．"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1070859293244561924","@type":"Researcher","foaf:name":[{"@value":"桑原, 俊樹"}]},{"@id":"https://cir.nii.ac.jp/crid/1070859293244561920","@type":"Researcher","foaf:name":[{"@value":"辻, 和也"}]},{"@id":"https://cir.nii.ac.jp/crid/1070859293244561926","@type":"Researcher","foaf:name":[{"@value":"松本, 秀志"}]},{"@id":"https://cir.nii.ac.jp/crid/1070859293244561922","@type":"Researcher","foaf:name":[{"@value":"吉田, 満春"}]},{"@id":"https://cir.nii.ac.jp/crid/1070859293244561925","@type":"Researcher","foaf:name":[{"@value":"小松, 俊哉"}]},{"@id":"https://cir.nii.ac.jp/crid/1070859293244561921","@type":"Researcher","foaf:name":[{"@value":"坂本, 敬"}]},{"@id":"https://cir.nii.ac.jp/crid/1070859293244561923","@type":"Researcher","foaf:name":[{"@value":"有井, 薫"}]}],"publication":{"publicationIdentifier":[{"@type":"ISSN","@value":"09197427"}],"prism:publicationName":[{"@value":"高知赤十字病院医学雑誌"}],"dc:publisher":[{"@value":"高知赤十字病院"}],"prism:publicationDate":"2023-03-31","prism:volume":"27","prism:number":"1","prism:startingPage":"115","prism:endingPage":"118"},"dc:rights":["高知赤十字病院"],"url":[{"@id":"https://redcross.repo.nii.ac.jp/records/18871"},{"@id":"https://search.jamas.or.jp/link/ui/2023236709"}],"foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E3%83%9E%E3%83%A0%E3%82%B7%E5%92%AC%E5%82%B7","dc:title":"マムシ咬傷"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%BA%B6%E8%A1%80%E6%80%A7%E8%B2%A7%E8%A1%80","dc:title":"溶血性貧血"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%A8%AA%E7%B4%8B%E7%AD%8B%E8%9E%8D%E8%A7%A3","dc:title":"横紋筋融解"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%80%A5%E6%80%A7%E8%85%8E%E9%9A%9C%E5%AE%B3","dc:title":"急性腎障害"}],"dcterms:subject":[{"subjectScheme":"Other","notation":[{"@value":"マムシ咬傷"}]},{"subjectScheme":"Other","notation":[{"@value":"溶血性貧血"}]},{"subjectScheme":"Other","notation":[{"@value":"横紋筋融解"}]},{"subjectScheme":"Other","notation":[{"@value":"急性腎障害"}]}],"dataSourceIdentifier":[{"@type":"IRDB","@value":"oai:irdb.nii.ac.jp:01319:0005845028"}]}