{"@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/1390001204751293056.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.18907/jjsre.34.3_262"}},{"identifier":{"@type":"NAID","@value":"110009457542"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2012270079"}}],"dc:title":[{"@language":"ja","@value":"喀血に対してendobronchial Watanabe spigot (EWS)による気管支充填術が有効でなかった肺アスペルギローマの1例"},{"@language":"en","@value":"A Case of Lung Aspergilloma in Which Endobronchial Watanabe Spigot (EWS) Was Not Effective for Hemoptysis"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Background. Lung aspergilloma often causes of lung bleeding, which results from inflammation of the lungs. Generally bronchial artery embolization (BAE) is first tried for the treatment of massive hemorrhage due to lung aspergilloma, and if there were refractory to treatments, operation is considered. However, in some cases, these procedures are impossible because of poor physical condition or the treatment environment. Recently, cases in which endobronchial Watanabe spigots (EWS) have been attempted to be used to halt lung bleeding transbronchially are increasing. Case. A 62-year-old man was admitted on an urgent basis to our hospital for hemoptysis lasting for 2 months. He had an old scar with a cavity that derived from tuberculosis in his right upper chest, and this area was suspected to be the bleeding site. After admission, because his breathing problems were exacerbated, causing respiratory failure, we treated him using an artificial ventilator. Because bronchial artery embolism was difficult to perform, EWS was used for hemoptysis. Although temporary arrest of the hemorrhage was successful, complete hemoptysis was not possible. Conclusion. We propose that because blocking the bronchus with an EWS for hemoptysis is a comparative indication, we should change the procedure to BAE if it is not effective."},{"@language":"ja","@value":"背景.肺出血の原因として多い炎症性出血の原因における,肺アスペルギローマの占める割合は多い.肺アスペルギローマによる大量出血に対する治療は,一般的には気管支動脈閉塞術(BAE)を優先し,難治性の場合には手術を考慮することが多いが,病態や治療環境によってはこれらの処置が速やかに実施できない症例も存在する.近年では,気道出血に対して経気管支的にendobronchial Watanabe spigot (EWS)による止血が試みられる症例が増加してきている.症例. 62歳男性. 2か月持続する喀血を主訴に来院.陳旧性肺結核病変を認める肺尖部に肺アスペルギローマが疑われる病変があり,この部位からの出血が疑われ緊急入院した.入院後,人工呼吸管理となり, BAEなどが難しく, EWSによる止血を試みた.一時的な止血はできたものの,完全な止血はできなかった.結論.アスペルギローマ患者の喀血に対するEWSによる気管支充填術は,相対的な適応であり効果がなければ速やかにBAEに移行すべきと思われる."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001204751293056","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"篠原 勉"},{"@language":"en","@value":"Shinohara Tsutomu"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Clinical Investigation, National Hospital Organization National Kochi Hospital"},{"@language":"ja","@value":"独立行政法人国立病院機構高知病院臨床研究部"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204751293061","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"畠山 暢生"},{"@language":"en","@value":"Hatakeyama Nobuo"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Pulmonary Medicine, National Hospital Organization National Kochi Hospital"},{"@language":"ja","@value":"独立行政法人国立病院機構高知病院呼吸器科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204751293058","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"岡野 義夫"},{"@language":"en","@value":"Okano Yoshio"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Pulmonary Medicine, National Hospital Organization National Kochi Hospital"},{"@language":"ja","@value":"独立行政法人国立病院機構高知病院呼吸器科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204751293057","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"日野 弘之"},{"@language":"en","@value":"Hino Hiroyuki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Respiratory Surgery, National Hospital Organization National Kochi Hospital"},{"@language":"ja","@value":"独立行政法人国立病院機構高知病院呼吸器外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1030003658446246400","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"80201375"},{"@type":"NRID","@value":"1000080201375"},{"@type":"NRID","@value":"9000253621454"},{"@type":"NRID","@value":"9000253162582"},{"@type":"NRID","@value":"9000253593622"},{"@type":"NRID","@value":"9000253632231"},{"@type":"NRID","@value":"9000391644218"},{"@type":"NRID","@value":"9000253624036"},{"@type":"NRID","@value":"9000010107054"},{"@type":"NRID","@value":"9000022030072"},{"@type":"NRID","@value":"9000254617762"},{"@type":"NRID","@value":"9000020979258"},{"@type":"NRID","@value":"9000009247147"},{"@type":"NRID","@value":"9000022170837"},{"@type":"NRID","@value":"9000253625562"},{"@type":"NRID","@value":"9000253615001"},{"@type":"NRID","@value":"9000004473827"},{"@type":"NRID","@value":"9000369739177"},{"@type":"NRID","@value":"9000253618495"},{"@type":"NRID","@value":"9000253602260"},{"@type":"NRID","@value":"9000252903460"},{"@type":"NRID","@value":"9000256346290"},{"@type":"NRID","@value":"9000361699981"},{"@type":"NRID","@value":"9000253610549"},{"@type":"NRID","@value":"9000253621087"},{"@type":"NRID","@value":"9000253112947"},{"@type":"NRID","@value":"9000252796813"},{"@type":"NRID","@value":"9000003760538"},{"@type":"NRID","@value":"9000397712158"},{"@type":"NRID","@value":"9000253625157"},{"@type":"NRID","@value":"9000253609958"},{"@type":"NRID","@value":"9000253631452"},{"@type":"NRID","@value":"9000252904008"},{"@type":"NRID","@value":"9000253629108"},{"@type":"NRID","@value":"9000256524362"},{"@type":"NRID","@value":"9000004436530"},{"@type":"NRID","@value":"9000253628913"},{"@type":"NRID","@value":"9000253613857"},{"@type":"NRID","@value":"9000254059696"},{"@type":"NRID","@value":"9000361229518"},{"@type":"NRID","@value":"9000021251941"},{"@type":"NRID","@value":"9000001092630"},{"@type":"NRID","@value":"9000253630608"},{"@type":"NRID","@value":"9000253612851"},{"@type":"NRID","@value":"9000253614594"},{"@type":"NRID","@value":"9000334739244"},{"@type":"NRID","@value":"9000309192005"}],"foaf:name":[{"@language":"ja","@value":"大串 文隆"},{"@language":"en","@value":"Ogushi Fumitaka"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Pulmonary Medicine, National Hospital Organization National Kochi Hospital"},{"@language":"ja","@value":"独立行政法人国立病院機構高知病院呼吸器科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204751293060","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"町田 久典"},{"@language":"en","@value":"Machida Hisanori"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Pulmonary Medicine, National Hospital Organization National Kochi Hospital"},{"@language":"ja","@value":"独立行政法人国立病院機構高知病院呼吸器科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"02872137"},{"@type":"LISSN","@value":"02872137"},{"@type":"EISSN","@value":"21860149"},{"@type":"NCID","@value":"AN00357687"}],"prism:publicationName":[{"@language":"en","@value":"The Journal of the Japan Society for Respiratory Endoscopy"},{"@language":"ja","@value":"気管支学"},{"@language":"en","@value":"J. Jpn. Soc. Respir. Endoscopy"},{"@language":"en","@value":"J. Jpn. Soc. Bronchol."},{"@language":"en","@value":"J. Jpn. Soc. Resp. Endoscopy"},{"@language":"en","@value":"JJSB"},{"@language":"en","@value":"JJSRE"}],"dc:publisher":[{"@language":"en","@value":"The Japan Society for Respiratory Endoscopy"},{"@language":"ja","@value":"日本呼吸器内視鏡学会"}],"prism:publicationDate":"2012","prism:volume":"34","prism:number":"3","prism:startingPage":"262","prism:endingPage":"266"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/2012270079"}],"availableAt":"2012","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Endobronchial%20Watanabe%20spigot%20(EWS)","dc:title":"Endobronchial Watanabe spigot (EWS)"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%82%BA%E3%82%A2%E3%82%B9%E3%83%9A%E3%83%AB%E3%82%AE%E3%83%AD%E3%83%BC%E3%83%9E","dc:title":"肺アスペルギローマ"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%82%BA%E5%87%BA%E8%A1%80","dc:title":"肺出血"},{"@id":"https://cir.nii.ac.jp/all?q=Endobronchial%20Watanabe%20spigot%20(EWS)","dc:title":"Endobronchial Watanabe spigot (EWS)"},{"@id":"https://cir.nii.ac.jp/all?q=Lung%20aspergilloma","dc:title":"Lung aspergilloma"},{"@id":"https://cir.nii.ac.jp/all?q=Lung%20bleeding","dc:title":"Lung bleeding"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1390001204753948544","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"気管支動脈塞栓術が無効であった大量喀血に対して気管支塞栓術を施行し奏功した1例"},{"@language":"en","@value":"A Case of Massive Hemoptysis Rescued by Bronchial Embolization After Unsuccessful Bronchial Artery Embolization"}]},{"@id":"https://cir.nii.ac.jp/crid/1390018816293500416","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A case of pulmonary MAC disease with massive hemoptysis successfully treated with surgery following endoscopic bronchial occlusion"},{"@language":"ja","@value":"肺<i>Mycobacterium avium complex</i>症の大量喀血に対して術前のEWS気管支充填術が有用であった1例"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679726900736","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"難治性気胸, 気管支瘻に対するEWS(Endobronchial Watanabe Spigot)を用いた気管支充填術の有用性"},{"@language":"en","@value":"Bronchial Embolization using an Endobronchial Watanabe Spigot for Intractable Pneumothorax and Bronchial Fistula"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679730605184","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"再発肺癌にみられた大量気管支出血に対しEndobronchial Watanabe Spigot(EWS)が有効であった1例"},{"@language":"en","@value":"Usefulness of Endobronchial Watanabe Spigot in the Control for Massive Hemoptysis in a Case of Recurrent Lung Cancer"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679730611456","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"難治性気管支出血に対してEndobronchial Watanabe Spigot(EWS)を用いた気管支充填術が奏効した1例"},{"@language":"en","@value":"Successful Treatment of Refractory Bronchial Hemorrhage with Bronchial Occlusion Using Endobronchial Watanabe Spigot"}]},{"@id":"https://cir.nii.ac.jp/crid/1390305721535214336","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"繰り返す喀血に対しEndobronchial Watanabe Spigot（EWS）を用いた気管支充填術が奏功した症例"},{"@language":"en","@value":"A case of intractable hemoptysis controlled by bronchial occlusion with an Endobronchial Watanabe Spigot (EWS)"}]},{"@id":"https://cir.nii.ac.jp/crid/1520854805342054016","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"気道出血・喀血"},{"@language":"ja-Kana","@value":"キドウ シュッケツ カッケツ"}]},{"@id":"https://cir.nii.ac.jp/crid/1520854805770676992","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"肺アスペルギローマ"},{"@language":"ja-Kana","@value":"ハイ アスペルギローマ"}]},{"@id":"https://cir.nii.ac.jp/crid/1523388080036353408","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"喀血の治療--肺アスペルギローマを中心に"},{"@language":"ja-Kana","@value":"カッケツ ノ チリョウ ハイ アスペルギローマ オ チュウシン ニ"}]},{"@id":"https://cir.nii.ac.jp/crid/1571135650764289536","@type":"Article","relationType":["cites"]},{"@id":"https://cir.nii.ac.jp/crid/1571417126145557888","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Pulmonary aspergilloma. Diagnostic and therapeutic considerations"}]},{"@id":"https://cir.nii.ac.jp/crid/1573105975677948160","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"炎症性肺疾患に伴う喀血症例の検討"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2001552864"},{"@type":"CIA","@value":"110009457542"},{"@type":"CROSSREF","@value":"10.2995/jacsurg.38.396_references_DOI_1hXDdghdDAYwwPOM37sfZNIBb07"}]}