{"created":"2023-06-19T10:21:30.418586+00:00","id":462,"links":{},"metadata":{"_buckets":{"deposit":"792bea91-babb-4b23-9ff5-1222e8247cf0"},"_deposit":{"created_by":3,"id":"462","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"462"},"status":"published"},"_oai":{"id":"oai:saitama-med.repo.nii.ac.jp:00000462","sets":["9:7:56"]},"author_link":["1494","1497","1490","1496","1493","1499","1492","1491","1495","1498"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2001-01-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"8","bibliographicPageStart":"1","bibliographicVolumeNumber":"28","bibliographic_titles":[{"bibliographic_title":"埼玉医科大学雑誌"},{"bibliographic_title":"Journal of Saitama Medical School","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　前立腺肥大症の経尿道的前立腺切除術では潅流液に3%のソルビトール液を用いるために,破綻した血管から吸収された潅流液により低ナトリウム性のTUR症候群を起こすことが知られている.潅流液の吸収による体液バランスの変化を61名の患者で測定した.吸収潅流液（V-abs),出血量（B-loss）,細胞内液増加量（ΔICF）,細胞外液増加量（ΔECF）を検査データから計算により求めた.TUR症候群を来した患者群（TURS）と無症状患者群（ASTM）に分けた.出血量はTURS（平均860 ml）がASTM（平均170 ml, p < 0.01）より有意に多かったが,V-abs（1740対1680 ml）,ΔECF（760対1170 ml）,ΔICF（130対340 ml）には有為な差が認められなかった.無症状群ではΔECF（1170 ml）が出血量（170 ml）を代償できたが,TURSのΔECF（760 ml）は出血量（860 ml）を代償できなかったために,症状が現れたと考えられる.結論として,TUR症候群中の精神症状や循環系の変動は,潅流液による希釈性の低ナトリウム血症というより,出血による血管内容量の低下を吸収潅流液が代償できないことが主因と考えられた.\n","subitem_description_type":"Abstract"},{"subitem_description":"　To investigate changes in body fluid distribution during transurethral prostatectomy (TURP) using 3% sorbitol irrigant and to assess the causal factors of TURP Syndrome. A total of 61 patients were enrolled in the study. Irrigant absorbed (V-abs), blood loss (B-loss) and ΔICF and ΔECF (volume increased from initial intra- and extra-cellular fluid) were computed using laboratory data. We classified patients into either a TURP syndrome group (TURS) or an asymptomatic group (ASTM). Although B-loss was larger in TURS (mean 860 ml) than in ASTM (170 ml, p < 0.01), there was no significant difference in V-abs (1740 vs. 1680 ml), ΔECF (760 vs. 1170 ml), and ΔICF (130 vs. 340 ml). The ΔECF in TURS was not sufficiently large to compensate for B-loss, whereas the ΔECF in ASTM was. We conclude that TURP syndrome is likely not caused by dilutional hyponatremia, but rather by bleeding and the resultant hypovolemia without appropriate extracellular fluid replenishment when 3% sorbitol is used as the irrigant.","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"埼玉医科大学医学会"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN0009506X","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1347-1031","subitem_source_identifier_type":"ISSN"}]},"item_10001_text_24":{"attribute_name":"記事区分","attribute_value_mlt":[{"subitem_text_value":"原著"}]},"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_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"宮尾, 秀樹"}],"nameIdentifiers":[{"nameIdentifier":"1490","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"小竹, 良文"}],"nameIdentifiers":[{"nameIdentifier":"1491","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"栫井, 裕子"}],"nameIdentifiers":[{"nameIdentifier":"1492","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"岡本, 由美"}],"nameIdentifiers":[{"nameIdentifier":"1493","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"川添, 太郎"}],"nameIdentifiers":[{"nameIdentifier":"1494","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Miyao, Hideki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1495","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kotake, Yoshifumi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1496","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kakoi, Hiroko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1497","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sekiguchi, Hiroyuki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1498","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kawazoe, Taro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1499","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-03-01"}],"displaytype":"detail","filename":"281_p1_8.pdf","filesize":[{"value":"1.1 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"TURP Syndrome and Changes in Body Fluid Distribution","url":"https://saitama-med.repo.nii.ac.jp/record/462/files/281_p1_8.pdf"},"version_id":"faa7c9fb-5660-4622-85dc-35edd147e5c2"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Prostatectomy-adverse-effects","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Water-Electrolyte-Imbalance-etiology","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Body-Fluid-Compartments-drug-effects","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Hyponatremia-etiology","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Osmolality","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"TUR症候群と体液分布","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"TUR症候群と体液分布"},{"subitem_title":"TURP Syndrome and Changes in Body Fluid Distribution","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"3","path":["56"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-03-01"},"publish_date":"2017-03-01","publish_status":"0","recid":"462","relation_version_is_last":true,"title":["TUR症候群と体液分布"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-06-19T10:38:40.097832+00:00"}