{"created":"2023-06-19T11:22:27.952831+00:00","id":75,"links":{},"metadata":{"_buckets":{"deposit":"02f9dad4-bedb-46c3-8598-50c0d74b4717"},"_deposit":{"created_by":12,"id":"75","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"75"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:00000075","sets":["14:18"]},"author_link":["518","519","520","521","522","523","524","525","526","527"],"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"112","bibliographicPageStart":"107","bibliographicVolumeNumber":"36","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":"　症例は33歳の男性。痙攣発作を主訴に入院した。入院後に低血糖（40～50㎎/㎗）が頻発し血糖値が46㎎/㎗の時のＣペプチドとインスリンの血中濃度は，それぞれ2.6ng/mlと11.1μU/mlであったため，インスリノーマと診断した。しかし精神発達遅滞のため安静を必要とする検査を施行できず，インスリノーマの局在を明らかにできなかった。外科的加療は困難であるため，ジアゾキソド内服にて加療し，その経過を持続血糖モニタリングにて観察した。当初ジアゾキシド250㎎/日で治療を開始したが，投与１～２日目では低血糖の改善はみられなかった。５日目に375㎎/日に増量したところ，翌日から血糖200㎎/㎗を超えた。そのためジアゾキシド減量を行い，最終的に150㎎/日で低血糖を回避できた。インスリノーマ症例のジアゾキシド治療に参考になる症例と考え，報告する。","subitem_description_type":"Abstract"}]},"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":"齋藤, 新介","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"長坂, 昌一郎","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"齋藤, 奈緒子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松田, 蓉子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"高橋, 学","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡田, 修和","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡田, 健太","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"野牛, 宏晃","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大須賀, 淳一","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石橋, 俊","creatorNameLang":"ja"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2014-05-28"}],"displaytype":"detail","filename":"p107-112.pdf","filesize":[{"value":"768.1 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"D:\\第36巻Web\\jichi medical 36\\36pdf-link\\p107-112.pdf","url":"https://jichi-ir.repo.nii.ac.jp/record/75/files/p107-112.pdf"},"version_id":"16ddd702-fe76-4808-b1c5-a96b8b196981"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"インスリノーマ","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"持続血糖モニタリング","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"ジアゾキシド","subitem_subject_language":"ja","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":"ジアゾキシドにて加療し、持続血糖モニタリングにて血糖推移を観察しえたインスリノーマの一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"ジアゾキシドにて加療し、持続血糖モニタリングにて血糖推移を観察しえたインスリノーマの一例","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"12","path":["18"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-05-28"},"publish_date":"2014-05-28","publish_status":"0","recid":"75","relation_version_is_last":true,"title":["ジアゾキシドにて加療し、持続血糖モニタリングにて血糖推移を観察しえたインスリノーマの一例"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2023-08-25T06:09:44.777226+00:00"}