{"created":"2023-06-19T11:22:42.592892+00:00","id":604,"links":{},"metadata":{"_buckets":{"deposit":"b83e377c-0bc9-4b7f-b775-3bcd46bede3d"},"_deposit":{"created_by":12,"id":"604","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"604"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:00000604","sets":["14:28"]},"author_link":[],"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"140","bibliographicPageStart":"135","bibliographicVolumeNumber":"33","bibliographic_titles":[{"bibliographic_title":"自治医科大学紀要"},{"bibliographic_title":"Jichi Medical University Journal","bibliographic_titleLang":"en"}]}]},"item_2_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"背景　劇症１型糖尿病は，一見ありふれた主訴で受診することが多いが，放置すると数日で重篤な経過をたどるため，プライマリケアでの診断が特に重要である。今回われわれは専門性の高い医療設定とは限らない離島の医療機関を受診した劇症１型糖尿病の２症例を提示する。\n症例　症例１は49歳の男性で，腹痛が先行し，全身倦怠感を主訴に来院した。著明な高血糖ならびに尿糖，尿ケトン体を認めた。症例２は44歳の女性で，感冒様症状が先行し，口渇感と全身倦怠感を主訴に来院した。中等度の高血糖ならびに尿糖，尿ケトン体を認めた。いずれも後日，劇症１型糖尿病の診断基準を満たした。\n結語　劇症１型糖尿病を診断する上で，初期対応が重要である。一見common diseaseと思われても，口渇や全身倦怠感がみられた場合には，積極的に尿検査をすべきと思われた。特に，尿ケトン体の有無を確認することは有用である。","subitem_description_type":"Abstract"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"names":[{"name":"Hiroaki, Matsunaga","nameLang":"en"}]},{"names":[{"name":"Kazuhiko, Kotani","nameLang":"en"}]},{"names":[{"name":"Kazuhisa, Ishibashi","nameLang":"en"}]},{"names":[{"name":"Harumi, Koibuchi","nameLang":"en"}]},{"names":[{"name":"Shoko, Nakazawa","nameLang":"en"}]},{"names":[{"name":"Yasutomo, Fujii","nameLang":"en"}]},{"names":[{"name":"Kei, konno","nameLang":"en"}]},{"names":[{"name":"Kiyoka, Omoto","nameLang":"en"}]},{"names":[{"name":"Toshiyui, Yamada","nameLang":"en"}]},{"names":[{"name":"Mikihiro, Kawano","nameLang":"en"}]},{"names":[{"name":"Nobuyuki, Taniguchi","nameLang":"en"}]}]},"item_2_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"自治医科大学"}]},"item_2_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1881-252X","subitem_source_identifier_type":"PISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"松永, 宏明","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"小谷, 和彦","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"石橋, 和久","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"鯉渕, 清美","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"中澤, 晶子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"藤井, 康友","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"紺野, 啓","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"尾本, きよか","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"山田, 俊幸","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"河野, 幹彦","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"谷口, 信行","creatorNameLang":"ja"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-07-01"}],"displaytype":"detail","filename":"自治医科大学紀要1881-252X(33)p135-140.pdf","filesize":[{"value":"315.6 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"自治医科大学紀要1881-252X(33)p135-140","url":"https://jichi-ir.repo.nii.ac.jp/record/604/files/自治医科大学紀要1881-252X(33)p135-140.pdf"},"version_id":"6f799232-54c2-4d3f-ac73-7bb7793d6501"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"１型糖尿病","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"尿検査","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"糖尿病性ケトーシス","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"プライマリケア","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"diabetic ketosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"primary care","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"type 1 diabetes mellitus","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"urine test","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"離島で経験した劇症１型糖尿病の２例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"離島で経験した劇症１型糖尿病の２例","subitem_title_language":"ja"},{"subitem_title":"Two Cases of Fulminant Type 1 Diabetes Mellitus on Remote Islands","subitem_title_language":"en"}]},"item_type_id":"2","owner":"12","path":["28"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2019-07-01"},"publish_date":"2019-07-01","publish_status":"0","recid":"604","relation_version_is_last":true,"title":["離島で経験した劇症１型糖尿病の２例"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2023-08-25T06:05:44.846090+00:00"}