医療
Online ISSN : 1884-8729
Print ISSN : 0021-1699
ISSN-L : 0021-1699
15 巻, 11 号
選択された号の論文の11件中1~11を表示しています
  • 柴田 久雄
    1961 年 15 巻 11 号 p. 835-838
    発行日: 1961年
    公開日: 2011/10/19
    ジャーナル フリー
    Total bleeding quantity including the bleeding into the pleural cavity etc. was measured during and after operation by 51Cr direct method.
    Method : On the day before operation 50-100μc of 51Cr was mixed in about 20ml of conserved blood and incubated in room temperature for 50min. Then the erythrocytes were labeled. After 0.5ml of the mixture was taken as standard, the blood was injected into subject, and 8min. later 1.5ml of heparinized blood was taken from another antecubital vein. In the same way 3ml of blood were taken just before and after operation respectively.
    Bleeding quantity was calculated from total blood flow and dilution of radioactivity of the net erythrocyte per 1ml.
    It is concluded that bleeding quantity measured by this method showed a little higher value than that of gauze method.
  • 東海林 文一郎
    1961 年 15 巻 11 号 p. 839-848
    発行日: 1961年
    公開日: 2011/10/19
    ジャーナル フリー
    Studies were made on a total of 32 specimens (25 material from resected lungs and 7 material from autopsy) which had been treated with antituberculous medications and the number and forms of giant cells and their relationship to clincal findings were observed.
    Results
    1) The forms of the giant cells are classified into 8 groups: (1) riped type, (2) granule type with circular and granulated area in the center of the protoplasm, (3) inclusion type which includes “speculated bodies” or “asteroid bodies”, (4) vacuolar type, (5) atrophic or concentrated type, (6) dissociated type, (1) necrotic type and (8) foreign-body type.
    2) Depending upon the forms of the giant cells in the foci, these cases are also divided into 6 groups: A group possesses mainly riped type, B group granule type, C group inclusion type, regardless of its number, D group mainly vacuolar type, E group mostly dissociated, atrophic or necrotic types and F group few giant cells.
    3) Relation between giant cells and clinical findings.
    a) From the roentgenological point of view serious cases belong A and F groups, while convalescent cases to B, C and D groups, and varied cases to E group.
    b) Tuberculin reaction is positive in all cases.
    c) Tubercle bacilli in sputum are mostly positive in A, E and F groups, and negative in B, C and D groups.
    d) Fidrosis and hyalinosis around the foci are slight in general in A, B, C and D groups, while stronger in E and F groups.
    e) The foreign-body type is seen around cholesterin and this is treated for a long period of time.
    f) The length of the treatment: less than six months-A, within one to two years-B, C and D, longer than the above - E and F.
    Except physical strength of the patients and the virulence of the bacilli the variety of these changes seem to rely upon the length of the treatment.
  • 安保 孝, 東村 道雄
    1961 年 15 巻 11 号 p. 849-851
    発行日: 1961年
    公開日: 2011/10/19
    ジャーナル フリー
    There are only a few statistical data concerning the annual increase of drug resistant cases in tuberculous patients hospitalized recently, although almost all physicians who treat tuberculosis feel that drug resistant cases are increasing.
    The author presented data concerning changes of drug resistance among patients hospitalized in the Obuso National Sanatorium.
    The test for drug resistance was performed by a direct method after homogenizing sputum with potassium hydroxide. As seen from the figures and the tables, drug resistant cases, including double and triple resistant cases, are increasing at the sanatorium.
    These data actually indicate that in sanatoria of Japan drug resistance is a problem of great importance. Consequently the therapy of patients is becoming more difficult.
  • 広田 精三, 安部井 英一
    1961 年 15 巻 11 号 p. 852-863
    発行日: 1961年
    公開日: 2011/10/19
    ジャーナル フリー
    We investigated all Japanese aftercare facilities which are serving as rehabilitaing stations for patients with pulmonary tuberculosis who were in their recovery stage.
    In recent years the Japanese aftercare facilities remarkably have been developed. In March 1959 the number of these facilities was 29 with 2, 031 beds, 1, 483 were occupied, however, a large number or bed has been left unutilized. The number of the patients discharged was 3, 719.
    Investigations were also made of their expenses during the admission, domestic circumstances, ages, school experiences, fomer occupation, therapy given previously, present condition of illness, kinds of occupational education and relapses of tuberculosis.
    The aftercare service of Japan is not advanced as it is in England and so a great improvement is desired to be accomplished.
    We believe that in Japan, in near future, too, we have to make a greater effonts to establish well or rather perfectly equipped facilities to treat patients with respiratory tuberculosis with high graded disabilities, bacillus positive patients and the chronic patients but with good progress as well as the legal arrangement to cover the patients.
  • 菅野 久義
    1961 年 15 巻 11 号 p. 864-867
    発行日: 1961年
    公開日: 2011/10/19
    ジャーナル フリー
  • 篠崎 幸三郎, 立野 義雄
    1961 年 15 巻 11 号 p. 868-870
    発行日: 1961年
    公開日: 2011/10/19
    ジャーナル フリー
  • (全国国立病院における統計的観察)
    矢野 方夫
    1961 年 15 巻 11 号 p. 871-879
    発行日: 1961年
    公開日: 2011/10/19
    ジャーナル フリー
  • 吉村 正
    1961 年 15 巻 11 号 p. 880-883
    発行日: 1961年
    公開日: 2011/10/19
    ジャーナル フリー
    On the frequency of the visitors, generally speaking, the older the ages of the patients are or the longer the periods of the hospitalization are, the fewer visitors they have. Majority of the unvisited patients have not been married, even if they were married sooner or later they are divorced.
    A family who has an inpatient for a long period of time oblige to adjust or reestablish its daily life without the patient. And patient use to show manic and regressive behaviour.
    It is believed essential that the mental hospital has to make every efforts in shortening the period of the patient's hospitalization, particularly the institution has to expect the discharge of the patient in his early stage. Simultaneously the mental hospital has to prevail upon the family of each patient that the frequent visit will be a most significant and invaluable therapy for the patient.
    The ages of patients who have the frequent visitors are averagely 20-50 years old.
    It is said that in the United States of America a house wife will visit the mental hospital very rarely, but in Japan mother of the patient is the most frequent visitor and the wife follows this.
  • 榊原 秀夫, 飯田 豊, 和泉 裕之, 山本 矩朗, 三好 勇夫, 河原 徹
    1961 年 15 巻 11 号 p. 884-888
    発行日: 1961年
    公開日: 2011/10/19
    ジャーナル フリー
  • 内田 堯弘, 俣野 浩, 小本 健一, 西 寿満次, 松尾 兵作, 阿久根広 一
    1961 年 15 巻 11 号 p. 889-890
    発行日: 1961年
    公開日: 2011/10/19
    ジャーナル フリー
  • 伊東 恒夫, 竹田 直彦, 仲本 正, 小泉 守彦
    1961 年 15 巻 11 号 p. 891-893
    発行日: 1961年
    公開日: 2011/10/19
    ジャーナル フリー
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