{"created":"2023-05-18T10:11:27.223159+00:00","id":3197,"links":{},"metadata":{"_buckets":{"deposit":"a4a149de-1795-4469-9fc8-d65cc083621a"},"_deposit":{"created_by":1,"id":"3197","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"3197"},"status":"published"},"_oai":{"id":"oai:yamanashi.repo.nii.ac.jp:00003197","sets":["205:251:303"]},"author_link":["15017","15027","15026","15021","15023","15022","15020","15028","15018","15019","15024","15025"],"item_10001_alternative_title_1":{"attribute_name":"タイトル(別表記)","attribute_value_mlt":[{"subitem_alternative_title":"Analysis of Pregnancies Complicated with Cardiac Disease"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1990","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"40","bibliographicPageStart":"35","bibliographicVolumeNumber":"5","bibliographic_titles":[{"bibliographic_title":"山梨医科大学雑誌"},{"bibliographic_title":"山梨医科大学雑誌","bibliographic_titleLang":"en"}]}]},"item_10001_creator_2":{"attribute_name":"著者名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中村, 雄二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"今西, 由紀夫"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉田, 孝二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"木下, 俊彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"安永, 洗彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"加藤, 順三"}],"nameIdentifiers":[{}]}]},"item_10001_description_5":{"attribute_name":"内容","attribute_value_mlt":[{"subitem_description":"1983年10月の開院より1987年12月まで4年3力月間に,我々は心疾患合併妊娠12症例13妊娠12分娩を経験した。分娩数について同期間の分娩総数1795例の0.67%にあたる。心疾患12症例の内訳は,先天性疾患5例,WPW症候群を含む不整脈4例,その他が3例であり多岐にわたっていた。母体平均年齢は29.9±4.5(M±SD)歳,心疾患については内科あるいは外科にて入院治療していたものは4例であった。また,12の分娩症例を NYHA心機能分類にて分類すると妊娠初期から分娩時にかけての変化においてI度->I度が6例,II度->III度が3例,I度->IIIが1例(原発性肺高血圧症),II度->III度が1例(肥大型心筋症),II度->I度が1例であった。13妊娠のうち心不全のために初期妊娠中絶例(NYHA III度)が1例,分娩は12例(帝王切開4例,経膣分娩8例このうち鉗子分娩は3例)であった。ちなみに NYHA心機能分類が悪化した2症例は帝王切開となった。12分娩例のうち早産は3例(25%),light for dates児出産は1例(8.3%),新生児仮死は1例(8.3%),新生児死亡及び奇形合併は0例,高ビリルビン血症は2例(17%)であった。以上,適性な管理を行えば,NYHA I度とII度の心疾患合併妊娠は帝切率,鉗子分娩率は上昇するものの母児の予後は一般妊娠と変わりないことを確認された。","subitem_description_type":"Other"}]},"item_10001_full_name_24":{"attribute_name":"著者名(別表記)","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"15023","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nakamura, Yuji"}]},{"nameIdentifiers":[{"nameIdentifier":"15024","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Imanishi, Yukio"}]},{"nameIdentifiers":[{"nameIdentifier":"15025","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yoshida, Kohji"}]},{"nameIdentifiers":[{"nameIdentifier":"15026","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kinoshita, Toshihiko"}]},{"nameIdentifiers":[{"nameIdentifier":"15027","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yasumizu, Takehiko"}]},{"nameIdentifiers":[{"nameIdentifier":"15028","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kato, Junzo"}]}]},"item_10001_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.34429/00003190","subitem_identifier_reg_type":"JaLC"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"山梨医科大学医学会"}]},"item_10001_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN10044054","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0912-0025","subitem_source_identifier_type":"ISSN"}]},"item_10001_text_4":{"attribute_name":"タイトルヨミ","attribute_value_mlt":[{"subitem_text_value":"ゲンチョ トウカ ニオケル シン シッカン ガッペイ ニンシン ニツイテ"}]},"item_10001_version_type_20":{"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_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-02-27"}],"displaytype":"detail","filename":"AN10044054_05_01_04.pdf","filesize":[{"value":"589.6 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AN10044054_05_01_04.pdf","url":"https://yamanashi.repo.nii.ac.jp/record/3197/files/AN10044054_05_01_04.pdf"},"version_id":"26686e26-39b8-4080-b768-d4252b3d7ed6"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"心疾患"},{"subitem_subject":"妊娠"},{"subitem_subject":"分娩"},{"subitem_subject":"cardiac disease"},{"subitem_subject":"pregnancy and delivery"}]},"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":"<原著>当科における心疾患合併妊娠について","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"<原著>当科における心疾患合併妊娠について"}]},"item_type_id":"10001","owner":"1","path":["303"],"pubdate":{"attribute_name":"公開日","attribute_value":"2010-05-18"},"publish_date":"2010-05-18","publish_status":"0","recid":"3197","relation_version_is_last":true,"title":["<原著>当科における心疾患合併妊娠について"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-10-11T07:41:41.488445+00:00"}