医療
Online ISSN : 1884-8729
Print ISSN : 0021-1699
ISSN-L : 0021-1699
5 巻, 4 号
選択された号の論文の6件中1~6を表示しています
  • 腰部交感神經節切除術の揚合
    加藤 曄
    1951 年 5 巻 4 号 p. 227-231
    発行日: 1951/04/10
    公開日: 2011/10/19
    ジャーナル フリー
    In 8 cases of Burger's disease, an examination of galvanic skin reflex of the soles of feet, and a surveying of the electric skin resistance and the skin temperature of lower limbs were carried out before and after lumbar sympathectomy was done. Of these, in 4 cases an examination was made by the use of faradic stimulation to the lumbar sympathetic ganglion during the operation.
    1) In the preoperative test, it was noted that the reflex was registered from the right and the left soles of the feet. Although there was found a certain differcnce in the electrical resistance of the sole, in the latent time of reflex-curve, in reaction time, and in the amplitude, a correlation between it and the degree of seriousness of the disease could not be scertained.
    2) When a faradic stimulation was applied during the operation to the lumbar sympathetic ganglion L2, L3 and L4, the reflex seemd to appear on the sole of the same side. However, by maintaining the basic current at 150-250μA, the value of current-change could be raised from several μA to several scores of μA so that it is easily verified in the μ-Ammeter. When L1-L5 are stimulated separately, only L3 and L4 gave response to the stimulation. From these findings it is assumed that the post ganglionic sympathetic fibers which control the reflex of the sole of the foot, pass L3 and L4.
    3) After removal of L3 and L4 the, electric skin reflex of the sole showed marked increase as compared to the unoperated side, and it showed no decrease even vhen heat was applied indicating the complete disappearance of the electric skin resistance. In the lower limbs the electric skin resistance showed a marked increase with comparatively clear cut demarcation as was reported by Richter.
  • 木村 忠良
    1951 年 5 巻 4 号 p. 232-237
    発行日: 1951/04/10
    公開日: 2011/10/19
    ジャーナル フリー
    A study of follow-up series of EEG was made on one case of 7th month premature infant, 5 cases of 8th month premature, 46 cases of normal full term infants, and 22 cases of unspecified infants.
    Following are the results:
    1) In all cases EEG could be identified. The simultaneous records of EEG, EKG, and respiratory rate showed that the waves were not due to vibration caused by the heart beats and respiration.
    2) Locally considered the EEG waves were more pronounced at the occipital area, and form of the waves were irregular mixed type: one being slow waves of 2-5 cyle (20-30μv) and another of 6-8 cycle (10μv) superimposed with 10-12 cycle (5-8μv) waves. At the frontal area there were fewer slow waves and many 10-20 cycle waves.
    3) The deference of the EEG between the state of fully awake and in sleep is not clearcut, but a distinct difference of these conditions can be made out after the infant has reached three months old.
    4) What effect there is to the EEG when light stimulus is applid could not be ascertained owing to the interference of the bodily movement and nictatation.
    5) The change in the EEG from birth to an early infanthood consists of a gradual decrease of the low frequency waves and an increase of the 10-12, cycle wave area and the acceleration of its amplitude.
  • 腎臓機能の問題(第2報)
    宍戸仙 太郎, 黒沢 健夫, 庄子 文雄, 新田 貴一, 猪股 三郎
    1951 年 5 巻 4 号 p. 238-244
    発行日: 1951/04/10
    公開日: 2011/10/19
    ジャーナル フリー
    In order to analyze the significance of the blood pressure and nerve control upon the urinary secretion, instead of severing nerves which supply the kidney or applying stimulation on animal experixnentation, as heretofore employed we used a method of spinal segment anesthesiaa with ephedrine administration. In addition to this a method of unilateral anesthesia was employed on the nephrectoinized patients.
    The change of the blood pressure, extent of anesthesia, glomerular filtration, urinary volume, urinary specific gravity, and phenolsulfonphthalein test were investigated.
    While the studies are still in progress results obtained to date are follows:
    1) The decrease of glomerular filtration and urinary volume during spinal anesthesia is caused by the fall of blood pressure and not by the anesthesia of splanchnic nerves.
    2) The delayed excretion of phenolphthalein is due to the anesthsia of splanchnic nerves.
    On the basis of above findings, great and small sympathetic fibers of splanchnic nerves may be considered as having accelerating effect upon the kidney function.
  • (3)結節癩について
    犀川 一夫
    1951 年 5 巻 4 号 p. 245-249
    発行日: 1951/04/10
    公開日: 2011/10/19
    ジャーナル フリー
    A histological study was made of eleven leprosy cases on biopsy specimens taken from nervus auricularis magnus of nodular type in its early stage and one case in which was under going transition from neural type to nodular type.
    The results are as follows:
    1) A clear cut difference in neuropathology was noted between nodular and maculo-neural types as is observed histologically in the skin.
    2) The changes of neural interstices are those of vacuolated productive inflammation and these are congruous with the findings made in the regional skin structures.
    3) The degree of changes found in the early stage of interstices and parenchyma of nodular leprosy is generally less marked as compared with that of maculo-neural type.
    4) A larger number of bacillus leprae, often in crusters, are found in leprous cells and nerve fibers of neural type than in maculo-neural leprosy.
    5) In the nervus auricularis magnus of neural type which was undergoing transition to nodular type there was found a coexistence of tuberculoid macuules and vacuolated structures of nodular leprosy.
  • 瀧沢 伊代次
    1951 年 5 巻 4 号 p. 250-254
    発行日: 1951/04/10
    公開日: 2011/10/19
    ジャーナル フリー
  • 1951 年 5 巻 4 号 p. 255
    発行日: 1951年
    公開日: 2011/10/19
    ジャーナル フリー
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