岩手医科大学歯学雑誌
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31 巻 , 2 号
選択された号の論文の25件中1~25を表示しています
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研究
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  • 渡辺 充泰, 畠山 節子, 渡辺 泰輔, 武田 泰典
    原稿種別: 本文
    31 巻 (2006) 2 号 p. 73-78
    公開日: 2017/03/20
    ジャーナル フリー
    辺縁性歯周炎と齲蝕病巣内の真菌を組織学的に検出した。辺縁性歯周炎と齲蝕に罹患した二例の抜去歯をホルマリン固定し脱灰後,パラフィンに包埋して,組織学的検索を行った。Grocott染色により齲窩および根面と歯根膜組織内に黒褐色に染まる菌糸を検出した。それらの形態はカンジダの菌糸に酷似していた。この結果から,ある種の条件下で,カンジダが辺縁性歯周炎の歯周組織や齲蝕歯の齲窩内に存在することがあきらかとなった。
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  • 四戸 豊, 佐藤 雅仁, 堤 崇彦, 城 茂治
    原稿種別: 本文
    31 巻 (2006) 2 号 p. 79-84
    公開日: 2017/03/20
    ジャーナル フリー
    The central diabetes insipidus is a disease which causes the parasecretion of antidiuretic hormone through the degeneration of hypothalamus and the posterior-lobe-of-hypophysis system, and makes polyuria, the polyposia, and dipsesis the cardinal symptoms. For this reason, a critical complication may be caused to into the trap from the edema because of the water intoxication by oliguria, a generalized seizure, and the electrolyte imbalance by polyuria. We experienced the general anesthesia management of a patient who has central diabetes insipidus. A 25-year-old male patient (height 168cm, weight 50kg), diagnosed with a left side fracture of the mandible, was scheduled for open reduction pexia under general anesthesia. Anesthesia was induced with propofol and maintained with N_2O, O_2 and sevoflurane. During the operation the patient was kept on controlled ventilation monitoring by percutaneous SpO_2, arterial blood gas analysis, etc., and furthermore, had the central venous pressure meosured as one of the indexes of body fluid management. But the oliguria trend was accepted during the operation. So self-sustaing administration of the prostagrandin E1 and the furosemide of the diuretic of a loop system was prescribed for the patient, because the oliguria has not improved although management through a transfusion load was tried. It is important to take great care of the management of a patient with diabetes insipidus with regard to fluid balance, urine volume and electrolytes management.
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