{"created":"2023-06-19T08:42:10.300204+00:00","id":9808,"links":{},"metadata":{"_buckets":{"deposit":"4d294d92-1f1f-40b3-a20b-2fc554dea77c"},"_deposit":{"created_by":2,"id":"9808","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"9808"},"status":"published"},"_oai":{"id":"oai:gunma-u.repo.nii.ac.jp:00009808","sets":["719:760:761:861"]},"author_link":["40152","40150","40143","40153","40154","40145","40140","40138","40148","40144","40141","40142","40146","40139","40137","40156","40158","40155","40151","40147","40149","40157"],"item_6_alternative_title_18":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"2 Cases of Refractory Idiopathic Thrombocytopenic Purpura in Pregnancy"}]},"item_6_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-08-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"232","bibliographicPageStart":"227","bibliographicVolumeNumber":"69","bibliographic_titles":[{"bibliographic_title":"The Kitakanto medical journal = 北関東医学"}]}]},"item_6_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Osaki, Yohei"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ogawa, Yoshiyuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Morita, Akihito"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Higeta, Daisuke"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Shimizu, Hiroaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yanagisawa, Kunio"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ishizaki, Takuma"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Saitoh, Takayuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tsukamoto, Norifumi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kameda, Takashi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Handa, Hiroshi"}],"nameIdentifiers":[{}]}]},"item_6_description_39":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_6_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【症例1】 30歳代女性.20XX年2月に特発性血小板減少性紫斑病(ITP)と診断され同年3月に妊娠が判明した.妊娠22週から副腎皮質ステロイド療法を開始したが治療抵抗性であった.血小板数維持のためおよそ2週間毎の免疫グロブリン大量療法(IVIG)を要した.妊娠34週1日に前期破水し血小板輸血を行い経腟分娩となった.【症例2】 20歳代女性.10歳でITPと診断され副腎皮質ステロイドなどの治療に抵抗性で20歳時に脾摘術を実施された.妊娠判明時には無治療で血小板数1-2×1010/Lで推移していた.副腎皮質ステロイド療法には抵抗性で,妊娠25週から併用したIVIGでも効果は不十分であった.妊娠30週5日に常位胎盤早期剥離を発症し緊急帝王切開で出産となった.【結 論】 妊娠中の血小板数維持は母児合併症を減らすために重要である.治療抵抗性の妊娠合併ITPに対して,症例を集積しての検討が必要である.","subitem_description_type":"Abstract"}]},"item_6_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"北関東医学会"}]},"item_6_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1343-2826","subitem_source_identifier_type":"ISSN"}]},"item_6_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN10585677","subitem_source_identifier_type":"NCID"}]},"item_6_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"大崎, 洋平"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小川, 孔幸"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"森田, 晶人"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"日下田, 大輔"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"清水, 啓明"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"柳沢, 邦雄"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石埼, 卓馬"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"齋藤, 貴之"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"塚本, 憲史"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"亀田, 高志"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"半田, 寛"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-03-23"}],"displaytype":"detail","filename":"69_227.pdf","filesize":[{"value":"809.5 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