{"created":"2024-07-17T03:03:22.850301+00:00","id":2000429,"links":{},"metadata":{"_buckets":{"deposit":"bef272db-134e-46e3-8bdc-11a458d3f49f"},"_deposit":{"created_by":50,"id":"2000429","owner":"50","owners":[50],"pid":{"revision_id":0,"type":"depid","value":"2000429"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000429","sets":["2:1720746067615:1720751912376"]},"author_link":["3075","243","2897","1553","1616","1106","673","4271","4270","3078","372","1617","2297"],"control_number":"2000429","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"28","bibliographicPageStart":"23","bibliographicVolumeNumber":"12","bibliographic_titles":[{"bibliographic_title":"香川産科婦人科雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kagawa journal of obstetrics and gynecology : official journal of the Kagawa Society of Obstetrics and Gynecology","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"子宮内胎児発育遅延（fetal growth restriction ; FGR）に臍帯動脈（umbilical artery ; UA）血流速度波形の拡張期途絶・逆流を認めたが、児の予後は良好だった一例を経験したので文献的考察を加えて報告する。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"症例は32歳、2回経妊2回経産（前2回帝王切開）。妊娠27週3日に当院を初診した。一度前医を受診以後、妊婦健診を受けていなかった。来院時所見としては特に異常を認めなかった。妊娠31週4日の超音波検査にて推定胎児体重（estimated fetal weight, EFW）が1,433gで胎児発育遅延傾向が認められた。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"さらに、UA血流速度波形の pulsatility index（UAPI）値は1.94と異常高値で、中大脳動脈（middle cerebral artery, MCA）血流速度波形のPI（MCAPI）は1.44と異常低値示した。そのため、FGRと診断し、入院管理を勧めたが家庭の都合により外来管理とした。妊娠32週4日、UAの拡張期血流に時々途絶が出現するようになり、MCAPIは0.98と異常低値で、AFI（amniotic fluid index）は7.51cmであった。妊娠33週1日の胎児血流動態にも改善が認められなかった。その後来院せず、妊娠36週3日に再び来院し、超音波検査にてEFWは1,596g（<mean‐2SD）、UAの拡張期血流は明らかに途絶したままの状態であった。妊娠38週0日、EFWは1,646g（<mean‐2SD）で、UAの拡張期血流に逆流が出現し、胎児心拍数モニタリングで基線細変動の減少、軽度遅発一過性徐脈の頻発が認められたため、胎児機能不全と診断し、同日緊急帝王切開術を施行した。出生児は1524gの男児で Apgar score は3/6（1分/5分）であった。UApHは7.185であった。また胎盤重量は225gと小さく、臍帯辺縁付着をみとめた。児は出生直後からNICU入院となったが入院後経過は良好であり、日齢54日目に退院となった。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例報告","subitem_heading_language":"ja"},{"subitem_heading_banner_headline":"[Case 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