医療
Online ISSN : 1884-8729
Print ISSN : 0021-1699
ISSN-L : 0021-1699
25 巻, 9 号
選択された号の論文の12件中1~12を表示しています
  • 田辺 弘也
    1971 年 25 巻 9 号 p. 643-645
    発行日: 1971/09/20
    公開日: 2011/10/19
    ジャーナル フリー
  • 杉山 陽一
    1971 年 25 巻 9 号 p. 646-650
    発行日: 1971/09/20
    公開日: 2011/10/19
    ジャーナル フリー
    In recent years, the influence on the foetus of drugs given to women during their pregnancy has come out as a problem. The results of examination on animals and clinical effects have clarified, for a certain extent, the influence of the drugs on the foetus. The details of the influence have, however, not yet been analized and clarified sufficiently. There are many opportunities and cases that the clinicians of various department including obstetrician give medical treatments including pharmacological therapy to pregnant women. This indicates the need that we sufficiently understand the facts and cautions which have to be taken into full consideration in use of drugs, based on the facts which have so far been clarified.
    Mainly for the following cases the pharmacological therapy is given to pregnant women: namely, common cold, anemia, tuberculosis, syphilis; the cases of complication in pregnancy such as infectious diseases, hyperemesis gravidarum, threatened abortion or premature labor and toxemia of pregnancy; therapy for such various impediments as headache, lumbago, agrypnia, coprostasis, etc.; internal use of eutrophics, and preventive vaccination.
    In the early stage of pregnancy, use of such drugs as thalidmide, meclizine, etc, which are clearly considered to give deformity in the foetus has to be avoided in every way. Even during the middle and furthar stages of the pregnancy, a good care should be taken to minimize the use of such drugs as barbital preparations, tranquilizers, etc. which are considered to give an influence on the central nervous system in a long-term use. In the final stage of pregnancy, a full attention should be paid to refrain from using snch drugs as sulfa drugs which stay in the body for long hours, penicillin preparations, etc. which are considered to give such unfavorable influence as hyperbilirubinaemia, etc. on the newborn. The same applies on the use of laxatives, etc. which may cause abortion or premature labor.
    In this paper, the author describes, first of all, based on the report so far made by the experts, the problems of transfer through placenta of drugs given to the women during their pregnancy, and the mechanism of the influence on the foetus of drugs given to the mother. Further statement is made on the cares should be taken in giving to the pregnant women of such drugs as antibiotics, sulfa drugs, anti-tuberculosis agents, sedatives, tranquilizers, anesthetics, anti-histamine agents for common cold, laxatives, agents for toxemia of pregnancy, various hormone preparations, agents for oral contraception, thalidmide preparations, vitamin preparations, agents for malignant tumor, etc. For the preventive vaccination for the pregnant women, several points have to be considered. This paper also refers to these points which have so far been clarified.
    In the last part of the paper, the author illustrates the cautions which have to be taken in giving the drugs to the pregnant women by summarizing into several categories. It is considered that these cautions are of very important nature for the clinicians who often treat the pregnant women.
  • 荒瀬 進, 杢保 一郎, 佐々木 奉文, 儀保 元彦
    1971 年 25 巻 9 号 p. 651-659
    発行日: 1971/09/20
    公開日: 2011/10/19
    ジャーナル フリー
    By counting of the numbers of total leucocytes, eosino-and basophiles in 1 mm3 circulating blood drawn out of cubital vene, the physiological detailes of these cells in healthy adults were studied and the results were published in the late papers, (IRYO)
    The clinical items of these cell numbers about the following severe cases were studied in this paper; seven cases of severe head injuries, 1 acute purulent panperitonitis, 1 severe burn, 2 Cushing's syndrome, 1 typhoid fever and 72 post-partus.
    For the staining of eosino-and basophiles, the next recept were respectively used.
    Saponin pure white 100 mg
    (E. Merck Darmstadt)
    pH 5.5
    Azur 11 50 mg
    Normal saline 100 ml
    In conclusion, the following findings were obtained.
    1. In the cases of leucocytosis with disappearance of eosinophiles and basophiles, there are disturbance or hyperactivity of thalamo-pituitary-adrenocortical system,
    2. As long as the marked reduction of these two cells persist, prognosis of the patients must be poor. On the contrary, in case of increased these cells prognosis would be favourable.
    3. When the number of these cells return to normal figure, it seems be out of control of the thalamo-pituitary-adrenocortical system.
  • 大杉 隆史, 柴田 正弘
    1971 年 25 巻 9 号 p. 660-663
    発行日: 1971/09/20
    公開日: 2011/10/19
    ジャーナル フリー
    The value of arterial blood gas analysis in the diagnosis and treatment of respiratory failure is emphasized. Arterial blood, however, is difficult to obtain for medical technician. Therefore simpler technique than arterial puncture is desirable.
    For these purpose, Po2, Pco2, and pH in blood from ear-lobe were analyzed by 1 L meter-113-S1 and results were compared with those of blood taken simultaneously from the brachial artery of 20 patients with pulmonary tuberculosis. A close correspondence was found between them.
    The coefficient of correlation was 0, 98 in Po2, 0.98 in Pco2 and 0, 90 in pH.
    Po2, Pco2 and pH of blood obtained from the unwarmed ear lobe were compared with those of warmed ear-lobe of 20 patients. The mean difference of Po2 was 3.9±4.2 mmHg. But only a little change was found in Pco2 and pH.
    These studies demonstrate that Po2, Pco2, and pH obtained from well arterialized ear-lobe blood is adequate for routine clinical measurement of arterial Po2, Pco2 and pH.
  • ―2剖検例の報告と文献的考察―
    内海 邦輔, 栗林 宜雄, 伊藤 宗元, 浅野 伍郎
    1971 年 25 巻 9 号 p. 665-678
    発行日: 1971/09/20
    公開日: 2011/10/19
    ジャーナル フリー
    Two autopsy cases of pneumocystis carinii pneumonia were reported and wide review of literature was made.
    A 16-and a 56-years-old Japanese male were administrated with combination of anticancerous drugs (6MP, Endoxan, Vincristin and Methotrexate) and corticosteroid hormone for months under clinical diagnosis of acute myelogenic leukemia and acute lymphogenic leukemia, respectively. The both patients died after 5 months from the administration of the above drugs. Post mortem examination revealed pneumocystis carinii pneumonia in both cases. Abundant eosinophilic cystic structures with intracystic body were present in the alveolar lumens without any inflammatory cell infiltration as neutrophiles, lymphocytes and plasma cells except for some alveoral phagocytes and multinuclear giant cells of alveoral phagocite origin. No exudative lesion was also a prominent finding. Interstitial plasmocytic pneumonia was not seen in these two cases. Alveoral phagocytes were present around the cystic structures without any prominent phagocytic picture of them. The authors speculate that these phenomenon, no exudative and phagocytic, have close relation to deficient immunological tests up to date. For histological detection of pneumocystis carinii the authors will approve hematoxylin-eosin, PAS, methenamine silver and gramm stain.
  • 西川 喜作, 斉藤 弘
    1971 年 25 巻 9 号 p. 679-681
    発行日: 1971/09/20
    公開日: 2011/10/19
    ジャーナル フリー
    A 45-years-old lady had a car accident on March, 1965, when she received a hit on her face without loss of consciousness. She had had a slight headache for a few days then became well. In 1966 she recognized some atrophy of the right face, which progressed in several years. In 1968 she found reddish discoloration on the right cheek and forehead. The neurological examination did not disclose any abnormality except E. M. G. findings.
    This case is a progressive hemiatrophy of the right face following trauma.
  • 松本 守海, 小林 君美, 加藤 康夫, 井上 律子, 浅野 靖
    1971 年 25 巻 9 号 p. 682-685
    発行日: 1971/09/20
    公開日: 2011/10/19
    ジャーナル フリー
    A case of lung injury cured by surgery was reported.
    A 13-years-old boy was injured by the burst of his handmade rocket. As hemothorax and pneumothorax became critical, he received partial lobectomy. Post-operative course was uneventful.
  • 9. 脳虚血症状を反復した内頸動脈形成不全症
    岡本 進, 臼井 康臣
    1971 年 25 巻 9 号 p. 686-687
    発行日: 1971/09/20
    公開日: 2011/10/19
    ジャーナル フリー
  • 5. 交通事故と陳旧性股関節脱臼
    寺畑 喜朔
    1971 年 25 巻 9 号 p. 689-690
    発行日: 1971/09/20
    公開日: 2011/10/19
    ジャーナル フリー
  • 田村 政司, 紙谷 登, 嶋川 和子, 下野 平
    1971 年 25 巻 9 号 p. 691-693
    発行日: 1971/09/20
    公開日: 2011/10/19
    ジャーナル フリー
  • 1971 年 25 巻 9 号 p. 695-697
    発行日: 1971/09/20
    公開日: 2011/10/19
    ジャーナル フリー
  • 1971 年 25 巻 9 号 p. 697-701
    発行日: 1971/09/20
    公開日: 2011/10/19
    ジャーナル フリー
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