{"created":"2024-07-25T02:20:13.116197+00:00","id":2000462,"links":{},"metadata":{"_buckets":{"deposit":"f68b0ab7-5315-46eb-86eb-94d2597149df"},"_deposit":{"created_by":50,"id":"2000462","owner":"50","owners":[50],"pid":{"revision_id":0,"type":"depid","value":"2000462"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000462","sets":["2:1720746067615:1721712715562"]},"author_link":["4103","3136","1553","4304","4288","673","3135","3078","4294","372","1617","4287","2297"],"control_number":"2000462","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"44","bibliographicPageStart":"39","bibliographicVolumeNumber":"15","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":"ネフローゼ症候群は、一日尿タンパク量が3.5g以上、血中総蛋白量が6.0g/dl以下あるいはアルブミン値が3.0g/dl以下を満たすものをいう。今回、妊娠中に発症したネフローゼ症候群に対し、ステロイド療法が著効した症例を経験したので報告する。症例は29歳、1経妊1経産の女性。近医産婦人科で妊婦健診を受けていたが、妊娠23週頃より、尿タンパクが出現するようになった。妊娠25週頃より下肢浮腫が出現し、徐々に増悪した。次第に尿量が減り、全身の浮腫が出現した。妊娠26週5日に呼吸困難感、心窩部痛が出現したため、前医より当院へ母体搬送となった。腎臓内科にコンサルトし精査したところ、血液・尿検査データよりネフローゼ症候群と診断した。ステロイドパルス療法を施行したところ奏功し、妊娠29週頃には寛解状態となったが、妊娠37週頃より再び尿タンパク量の増加を認めた。既往帝王切開後妊娠であり、本人希望により妊娠38週2日に選択的帝王切開を施行した。手術当日よりステロイドカバーを施行した。術後、尿タンパク量が徐々に増加したため、術後8日目から再度ステロイドパルス療法を施行した。ステロイドが著効し尿タンパク量は減少したため、術後35日目に母児ともに軽快退院となった。","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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pulse","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pregnancy","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"妊娠中にステロイドパルス療法が著効したネフローゼ症候群の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"妊娠中にステロイドパルス療法が著効したネフローゼ症候群の一例","subitem_title_language":"ja"},{"subitem_title":"A case of Nephrotic syndrome during the period of pregnancy","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"50","path":["1721712715562"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-07-25"},"publish_date":"2024-07-25","publish_status":"0","recid":"2000462","relation_version_is_last":true,"title":["妊娠中にステロイドパルス療法が著効したネフローゼ症候群の一例"],"weko_creator_id":"50","weko_shared_id":-1},"updated":"2024-09-25T02:18:12.583569+00:00"}