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坐骨結節部褥瘡に特異的に認められた不良肉芽の組織学的検討
https://doi.org/10.24517/00063283
https://doi.org/10.24517/000632836116ba84-be72-49c5-b21b-d7bb31745685
名前 / ファイル | ライセンス | アクション |
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ME-PR-NAKATANI-T-51.pdf (1.0 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2021-09-27 | |||||
タイトル | ||||||
タイトル | 坐骨結節部褥瘡に特異的に認められた不良肉芽の組織学的検討 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Histological study of unhealthy granulation tissue on ischial pressure ulcers | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
ID登録 | ||||||
ID登録 | 10.24517/00063283 | |||||
ID登録タイプ | JaLC | |||||
著者 |
田中, 愛
× 田中, 愛× 中谷, 壽男× 真田, 弘美× 紺家, 千津子× 山崎, 真代× 田端, 恵子× 川上, 重彦 |
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著者別表示 |
Tanaka, Ai
× Tanaka, Ai× Nakatani, Toshio× Sanada, Hiromi× Konya, Chizuko× Yamazaki, Masayo× Tabata, Keiko× Kawakami, Shigehiko |
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提供者所属 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 金沢大学医薬保健研究域保健学系 | |||||
書誌情報 |
日本褥瘡学会誌 en : Japanese journal of pressure ulcer 巻 6, 号 1, p. 51-55, 発行日 2004-04 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1345-0417 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA11575804 | |||||
出版者 | ||||||
出版者 | 日本褥瘡学会 Japanese Society of pressure ulcer | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 金沢大学医学部保健学科褥瘡ケアチームが介入した坐骨結節部褥瘡患者3名において, 大小不同に突出する不良肉芽を認めた. これまでに, それら突出する不良肉芽に関する報告はなく, 今回はその形態学的特徴を明らかにし, 患者背景と併せて病態と原因を検討することを目的とした. 組織学的検索には, HE染色およびAzan染色を使用した. その結果, 組織学的には, フィブリン様浸出物や炎症性細胞主体の厚い膜様物と拡張した毛細血管, そして大量の炎症性細胞浸潤を3名に共通して認めた. また, 対象患者3名ともに, 日中の大半を車椅子上の座位にて生活していたことから, それら組織学的変化の要因は長時間の圧迫, 移動時の摩擦とずれが示唆された. 今後は, 坐骨結節部褥瘡患者に対して, さらに徹底した座位時の圧管理や姿勢保持を行う必要があると考える. 「はじめに」褥瘡は一定の場所に一定以上の圧力が加わり続けることにより, 局所皮膚の血流が途絶え, 阻血性の壊死が生じて発症する皮膚潰瘍である. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | In three patients with ischial pressure ulcers who were managed by the pressure ulcer care team of Kanazawa University, we observed unhealthy granulation tissues projecting from the bed of the ulcers. To our knowledge, there are no previous reports describing such granulation tissues. Thus, we investigated to clarify the cause of the development of such pathological granulation tissue based on histological findings and the lifestyles of the patients. For histological examination, we used H-E staining and Azan staining, which demonstrated a thick fibrinoid membrane, numerous inflammatory cells, and dilated capillary vessels in the granulation tissue. These three histological findings were common to all patients. Moreover, these patients sat in wheelchairs for very long periods daily. Therefore, the long-term pressure, shear, and friction from the wheelchair were suggested as factors contributing to such histological changes. These results indicate that we should more strictly manage the pressure and posture while sitting in patients with ischial pressure ulcer. | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 日本褥瘡学会の許可を得て登録_2021.9.22 | |||||
権利 | ||||||
権利情報 | Copyright © 日本褥瘡学会 Japanese Society of pressure ulcer | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.medicalonline.jp/ | |||||
関連名称 | https://www.medicalonline.jp/ | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.jspu.org/ | |||||
関連名称 | http://www.jspu.org/ |