医療
Online ISSN : 1884-8729
Print ISSN : 0021-1699
ISSN-L : 0021-1699
8 巻, 8 号
選択された号の論文の13件中1~13を表示しています
  • 石渡 忠太郎, 堀口 義仁, 黒沢 誠一郎
    1954 年 8 巻 8 号 p. 393-394
    発行日: 1954年
    公開日: 2011/10/19
    ジャーナル フリー
  • 佐藤 幸雄
    1954 年 8 巻 8 号 p. 395-402
    発行日: 1954年
    公開日: 2011/10/19
    ジャーナル フリー
    This paper deals with the rotatory cross section x-ray observation of upper abdmoen, to which routine artificial pneumoperitoneum (about 1, 200ml of air) had been conducted. 11 adults of lung tuberculosis cases without any other diseases were rotatory cross section radiographed from the all 5 directions, at standing posture. by means of the apparatus and the tecnique reported in the Tohoku Journal of Experimental Medicine, Val. 54, No. 1, 1952; and the x-ray pictures were examined.
    The results of the cross section radiography were as follows:
    1) Shadows of artificially infused air in peritoneal cavity took horse-hoof shape and was convex at the front.
    2) Shadows of upper surface of liver and the frontal wall of abdomen were clear and of smooth curved contour, owing to the artificial pneumoperitoneum. While, the inferior surface was not visualized, because of the lack of air in the interspaces between liver and viscera.
    3) Superior and inferior surfaces and frontal margin of left lobos were photographed clearly, due to artificial pneumoperitcneum.
    4) Interspaces between inferior surfaces of left lobus and stomach were inflated with air, so that the stomach wall of fornix was directly radiogral hed.
    5) The contour of spleen was radiographed clearly, so that the delineation of cross section was easily given and dimensions were measured instantly.
    6) The interspaces between spleen and stomach were hardly inflated, due to the tension of gastrosplenal ligaments.
    7) Due to the pressure of air, the position of upper part of stomach and liver displaced slightly toward the center and back.
    if it had not been for the rotatory cross section radiography, i. e., through simple radiography or fluoroscopy, it is difficult to have clear and distinct three dimensional examination of abdominal status, location of infused air in peritoneal cavity or between intraperitoneal organs, because of the aggregation of their shadows.
    These results confirm that the rotatory cross section radiography shall be a necessary approach in the examination of liver, spleen and stomach.
  • 塩崎 正勝, 林 佐武郎, 後藤 陸郎, 萩野 利之, 倉田 克彦, 木村 直樹
    1954 年 8 巻 8 号 p. 403-409
    発行日: 1954年
    公開日: 2011/10/19
    ジャーナル フリー
    The authors made psycho-neurological investigation on 200 TB cases treated with INAH, at National Sanatoria in Tokyo, Matsudo and Chiba. The investigation consisted of personal interviews, checking subjective complaints, and examination of psychic symptoms.
    Dosis of INAH were about 0.2g daily for 2 to 5 months (total dosis of 10 to 35g). Neurological side-reactions were observed in 131 cases (65.5%). The onset of side-reaction was generally observed within 1 to 2 weeks of the administration. The continuation of sidereactions varied by each cases, however, in most cases, it was between 1 to 2 weeks The onset of psychic symptoms was also different by case, but their continuation was rather long and some of them lasted as long as 2 to 4 months or more. In short, as for psychic symptoms, marked reactions which could be observed objectively were few, though considerablly confirmed through very complicated conversation with patients. Motor excitem nts, sopor, drunkenness, depression, excess of dream and sexual disturbances were not identified. Psycho-neurological reactions, as they were observed, were as follows:
    headache-36; mouth dryness-21; vertigo-19; constipation- 19; bloody sputum or hemoptysis-18; memory failure-15; drowsiness-13; nausea or vomiting-13; tinnitus aurium-11; feeling of languid-11; difficulty of thought-10; burning feeling (on the whole body)-10; anorexia-10; insomnia-7; disturbed vision-7; aprosexia-7; euphoria-6; bladder sphincter disturbance (delay of stream)-6; irritableness-5; slight fainting--5; tic of palpebral muscles-5; spasmodic jerks of extremity-5; gastroenteralgia-5; tachycardia-5; night sweats-5; neuralgia-3; paresthesia of fingers of toes-3; nose bleeding-3; difficulty of breathing-2; polyuria-2; meteorism-2; itchiness-2; depersonalization (lch-Fremdgefuehl) -1; hypomanic mood-1; diarrhoea-1; metrorrhagia-1; exanthema-1; poly-arthralgia-1; chills-1;.
    Besides these 200 cases, another aourr psycotic cases, which were transferred from TB sanatoria into mental hospitals, and of which symptoms occured through the administration of INAH, were also observed
    On the contrary to the so-called exogenous reaction types, reported by Hunter, Conrad and Scheib, our cases showed the clinical patterns of the so-called endogenous psychosis (schizophrenic patterns).
    In the next paper, the authors shall report further examinations of these cases and shall discuss their psychic symptoms.
  • 久保 博, 齋藤 肇, 土屋 俊夫
    1954 年 8 巻 8 号 p. 410-417
    発行日: 1954年
    公開日: 2011/10/19
    ジャーナル フリー
    This paper deals with bacteriological study on 102 cases of artificial abortion, according to the Eugenics Protective Law, conducted at 2 to 6 months of pregnancy, free from suppurative disease or accessary damege during or after operation.
    Results were as follows:
    1) Rate of bacillemia was 10.78% (11 cases out of 102 cases). Rate of bacillar infection due to operation was 32.35% (33 cases out of 102 cases).
    2) The order of positive rate of the following bacilli groups through bacteriological cultures, taken from uterus cavity, raminaria poles, bougies and vena blood of mediana antebrachii, was a, b, c and d, the lowest:
    a) bacilli, which may commonly obtained from upper respiratory tract (staphylococcus albus, staphylococcus aureus, neisseria group).
    b) bacilli that may always obtained from intestinal system (streptococcus faecalis, escherichia coli, proteus vulgaris, pseudomonas aeruginosa).
    c) bacilli that may always obtained from any parts of body (streptococcus viridans group, yeast-like-organisms).
    d) bacilli in the air (bacillus subtiiis).
    3) As for the positive rates by time, it was highest at 5 minutes after operation, intermediate at 15 minutes, and lowest at 10 minutes after operation. The stochostic difference of F 0-4.15 was obtained between these figures. t
    4) If Heurlin's vaginal cleanliness degree was high before operation, bacilli positive rate through culture was relatively high. As for bacilli positive rate through culture taken from uterus cavity, raminaria pole, and bougie, it was lower in case of 2 to 3 months of pregnancy than in case of 4 to 6 months of pregnancy. On the contrary, in case of the culture from vena blood of mediana antebrachii, the rate was higher in the former cases than in the latter cases.
    5) Cases of acute sepsis, reported in this paper, are interesting examples of acute sepsis, which were obviously due to operation of artificial abortion.
    6) Not all the cases, which were revealed to have comparatively plenty of bacilli in uterus cavity and vagina, were resulted in sepsis. Therefore, further study must be made on the mechanism of focal infection, focus of chronic sepsis, infection atrium of acute sepsis, and onset of sepsis.
    7) Furthermore, problems of disinfection and technical procedures in operation still remain and problems of care of patients shall be studied from the bio-chemical point of view.
  • (第2篇)内耳性難聴のセプアランチン療法に關する實駿的研究
    仲村 信夫
    1954 年 8 巻 8 号 p. 418-426
    発行日: 1954年
    公開日: 2011/10/19
    ジャーナル フリー
    In the last paper, the author reported the results of cepharantin treatment on perceptive deafness presumably due to tuberculous allergy, pathological findings in auditory organs due to tuberculous allergy, through B. C. G. injection, allergic developments of auditory organs, disturbance of Preyer's reaction and postrotatery nystagmus in guinea pigs.This paper deals with the study on the findings in auditory organs of guinea pigs injected wish B. C. G., Preyer's reaction and postrotatory nystagmus, through cepharantin treatment. This study was conducted in order to prove experimentally the clinical results.
    1) Guinea pigs of negative Roemer's reaction were injected with B. C. G. and were divided into: single injection group, re-injection group and multiple injection group. Single injection group was given 1.0mg of B C. G., re-injection group was injected with 0.5mg of B. C. G. 3 weeks after the initial injection (1.0mg of B. C. G.) and multiple injection group was given 0.3mg of B. C. G. every week, 2 weeks after the initial injection (10mg of B. C. G.). All groups were injected with 0.0001mg of cepharantin every week, after 2 weeks from the initial B.C G. injection. Body weight, Peryer's reaction and postrotatory ns stagmus were checked every week. By means of vital fixation, pathohistolcgical prefarations of labyrinth of random samples of the guinea pigs were prepared, by 2 weeks and 4 weeks after the injection (1.0mg of B. C. G.), in the single injection group, by 2 weeks and four weeks after the re-injection (0.5mg of B. C. G.) in the re-injection group and by 2 weeks and 4 weeks after the second injection (0.3mg of B. C. G.) in the multiple injection group.
    2) In all groups, body weight increased slightly.
    3) . Preyer's reaction: At all pitch of tones, the reaction was greater than the control (cf. author's last paper:“Experimental studies on the pathohistological findings in auditory organs due to tuberculous allergy”) in the single injection group and re-injection group. However, in the multiple injection group, it was smaller than that of the controls.
    4) Postrotatory nystagmus: In the single injection group and the re-injection group, postrotatory nystagmus was more sever than in the controls. However, in the multiple injection group, it was less sever than in the controls.
    5) Pathohisthological findings in vestibule were not remarkable in the single injection group, however, edematous developments of Corti's cells were seen in the upper turns of cochlea, In the re-injection group, pathohistological findings were more serious than that of the single injection group and edematous developments of Corti's cells were remarkable in all circles. In the multiple injection group, edematous developments were slight, however, atrophy of Corti's cell, especially at the lower turns, were evident. Pathohistological findings in the single injection group and the re-injection group were less severe than that of controls. No remarkable differences were found between the Fathohistological findings in the multiple injection group and the controls,
    6) According to the results, it may be confirmed that deafness due to tuberculous allergy will recover upon early treatment and not recover if the treatment has been behind time.
    7) The author made clear that the deafness due to tuberculous allergy can be arrested through cepharantin treatment and that there is a limit of that treatment.
  • (第2報)特に呼吸運動系について
    木田 博
    1954 年 8 巻 8 号 p. 427-434
    発行日: 1954年
    公開日: 2011/10/19
    ジャーナル フリー
    Investigating into the changes of various physical functions of TB patients, who had been given thoracoplasty, the author submitted the previous paper on the influences of thoracoplasty upon equilibrium function. This paper deals with the influences of thoracoplasty upon respiratory system. Examination was performed as to the lung capacity of both lungs in 10 patients, 6 to 12 months before and after thoracoplasty, by means of Tochi-ryo spiro-meter. In order to record respiratory curves of each lung separately, the method which the author has reported in the last paper was used, and as for the recording of breathing curves from chest (around breasts) and from abdomen (above navel) at various pcstures, pneumograph was used. According to the data and curves obtained through the above mentioned measurements, the following conclusions are presented:
    1) In case of one-lung-thoracoplasty, excision of as many as 5 to 6 ribs resulted in decrease of either vital capacity or tidal air, and excision of 8 to 9 ribs resulted in remarkable decrease.
    2) Meanwhile, the vital capacities of the non-operation lung showed a decrease in proportion with the decrease of capacity in the lung operated. The broader the operation area was, the more remarkable the decrease of capacity was.
    3) The tidal air of non-operation lung hardly showed any changes in case of one-lung-thoracoplasty, if the excision of ribs was less than 5 to 6 ribs, while in case of excision of 8 to 9 ribs, the tidal air showed a tendency of increase
    4) In one-lung-thoracoplasty with excision of 5 to 6 ribs, the breathing exercise was almost normal, and in every posture the costal breathing exercise was greater than the abdominal breathing exercise, meanwhile, with excision of 8 to 9 ribs, the costal breathing exercise was smaller than the abdominal breathing exercise at every postures.
    5) The broader the operation area was, the more suppressed was the traverse expansion of thorax toward every directions, while the vertical expansion was rather accelerated
    6) Tuberculosis lesions around diaphragm are in unstable state, and the operation shall be considered to be helpful for bringing a good effect upon the tuberculosis lesions located in the upper part of lung.
  • (第6報)各種抗結該剤の結核菌以外の各種細菌に対する抗菌力について
    馬場 眞
    1954 年 8 巻 8 号 p. 435-439
    発行日: 1954年
    公開日: 2011/10/19
    ジャーナル フリー
    This paper deals with the antimicrobial effects of Isoniazid (INAH), Dihydrostreptomycin (DSM), PAS, TBl, Vitamin-K, Protomin, Frotozol, Diazone, Guandfuracin, Monafuracin, Z-Furan, and Neo-Minophagen-A. T. against various bacteria other than M.Tuberculosis, in vitro.
    Results were as follows:
    1) INAH, PAS and Neo-Minophagen-A.T. had no antimicrobial effecti.
    2) TBI had slight antimicrobial effect against Staphylococcus aureus (Terashima and No.103) and Micrococcus tetragenus, however, it had no bacteriocidal effects.
    3) Among the Gram positive and negative bacteria examined, there were some strains against which Vitamin-K was effective. Against Enterococcus and Bacillus subtilis, Vitamin-K had bacteriostatic effect, but no bacteriocidal effects.
    4) Diazone, Protomin and Protozol had antimicrobial effects against Gram positive bacteria, while Diazone and Protomin were slightly effective a against score straits of Bacillus dysenteriae.
    5) DSM and the three Furan-derivatives showed rather strong antimicrobial effects against all the bacteria examined, especially against Bacillus dysenteriae. Antimicrobial effects of DSM was higher than that of three Furan-derivatives.
  • 赤倉 一郎, 伊藤 忠雄
    1954 年 8 巻 8 号 p. 440-443
    発行日: 1954年
    公開日: 2011/10/19
    ジャーナル フリー
  • 小酒 井望, 廣明 竹雄, 深澤 義明
    1954 年 8 巻 8 号 p. 444-445
    発行日: 1954年
    公開日: 2011/10/19
    ジャーナル フリー
  • 中山 秀三
    1954 年 8 巻 8 号 p. 446-447
    発行日: 1954年
    公開日: 2011/10/19
    ジャーナル フリー
  • 木村 忠
    1954 年 8 巻 8 号 p. 448-450
    発行日: 1954年
    公開日: 2011/10/19
    ジャーナル フリー
  • 森本 佐
    1954 年 8 巻 8 号 p. 451-452
    発行日: 1954年
    公開日: 2011/10/19
    ジャーナル フリー
  • 工藤 敏夫
    1954 年 8 巻 8 号 p. 453-463
    発行日: 1954年
    公開日: 2011/10/19
    ジャーナル フリー
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