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Volume 9 (1968)
- Issue 6 Pages 517-
- Issue 5 Pages 431-
- Issue 4 Pages 321-
- Issue 3 Pages 225-
- Issue 2 Pages 105-
- Issue 1 Pages 1-
Volume 9, Issue 6
Displaying 1-11 of 11 articles from this issue
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Hideo UEDA, Yasumi UCHIDA1968 Volume 9 Issue 6 Pages 517-519
Published: 1968
Released on J-STAGE: December 09, 2008
JOURNAL FREE ACCESSDownload PDF (142K) -
Yoshiaki TSUCHIDA, Toshio NAKAJO, Masao HANAWA, Shigenori SAWAGUCHI, M ...1968 Volume 9 Issue 6 Pages 520-530
Published: 1968
Released on J-STAGE: December 09, 2008
JOURNAL FREE ACCESSWater and electrolyte balance studies were carried out for 48 hours after operations in small children, who underwent cardiac surgery with or without extracorporeal circulation.
Insensible water loss, obligatory urine water and minimum require-ment of water were determined. Serum osmolarity and body weight changes in relation to water intake were examined. An adequate dose of water was concluded to be 1, 100ml./M.2/day to 1, 400ml./M.2/day in the first postoperative day and 1, 000ml./M.2/day to 1, 400ml./M.2/day in the second postoperative day.
Serum Na, K and Cl concentration values were within or close to normal range throughout these studies. Interrelations between intake and gain-or-loss of electrolytes (Na, K and Cl) were examined. It was found that sodium and chloride intake up to 40-50mEq./M.2/day are advisable.View full abstractDownload PDF (551K) -
Kenji ITO, Akira FURUSE, Sohgen BOKU, Masahiro SAIGUSA1968 Volume 9 Issue 6 Pages 531-538
Published: 1968
Released on J-STAGE: December 09, 2008
JOURNAL FREE ACCESSThe hemodynamic effects of propranolol at rest were studied in 13 patients with Fallot's tetralogy. After the infusion of propranolol into right ventricle, heart rate and blood pressure decreased in all cases, whereas there were no definite tendencies in changes of right ventricular pressure, its first derivative, and arterial oxygen saturation. The results obtained indicated that propranolol has little, if any, effects in relieving the right ventricular outflow tract obstruction in Fallot's tetralogy at rest. The changes of arterial oxygen saturation depend mainly on the changes of total peripheral resistance. It is concluded that the role of sympathetic activity in producing cyanosis at rest in Fallot's tetralogy is minimal.View full abstractDownload PDF (325K) -
Tsuguya SAKAMOTO, Tetsuro YAMADA, Zen'ichiro UOZUMI, Sheng Yu CHANG, H ...1968 Volume 9 Issue 6 Pages 539-551
Published: 1968
Released on J-STAGE: December 09, 2008
JOURNAL FREE ACCESSThe behavior of the splitting of the second heart sound was analyzed in 78 cases with peripheral arterial stenosis, including 51 of "aortitis syndrome" (Takayasu's arteritis).
Reversed or paradoxical splitting was observed in 10 cases of aortitis syndrome and 1 case with renal artery stenosis. Frequent occurrence of the reversed splitting was observed in "extensive" form of aortitis syndrome (8 out of 18 cases, i.e. 44%).
Correlative study disclosed that the reversed splitting was frequently associated with gallop rhythm and exaggerated "a" wave as well as systolic bulge in the precordial low-frequency tracing (particularly the apex cardiogram). Frequent coincidence between the reversed splitting and aortic regurgitation was observed in aortitis syndrome (8 out of 17 cases with aortic insufficiency). Cardiac enlargement on the chest roentgenogram and the electrocardiographic left ventricular hypertrophy and ischemic change as well as QT prolongation were frequently present in cases with reversed splitting.
The mechanism of the reversed splitting in peripheral arterial stenotic lesion was discussed.View full abstractDownload PDF (2193K) -
II. Scintiscanning MethodHideo UEDA, Hajime MORINARI, Shuichi HATANO, Masahiro IIO, Masashi MOR ...1968 Volume 9 Issue 6 Pages 552-563
Published: 1968
Released on J-STAGE: December 09, 2008
JOURNAL FREE ACCESSThis is the study attempting to clarify quantitatively the regional disturbance of ventilation-perfusion relationships in pulmonary diseases. Measurements were made on 7 normal subjects, 16 cases with pulmonary parenchymal diseases and 4 cases with pulmonary vascular diseases. Perfusion and inhalation scintigrams were taken in sitting position and were divided into 9 horizontal zones in order to know relative values of regional pulmonary blood flow (Q) and alveolar ventilation (VA). Cardiac output and minute alveolar ventilation were also obtained at the same time. Using these data, absolute values of regional VA, Q and VA/Q of 9 zones were analyzed from the base to the apex of both lungs.
In 7 normal subjects the average regional VA /Q ratio was 0.64 at the base and increasing 1.35 at the apex. In 20 patients the ratio ranged between 0 and 11.2, and even in the parts of parenchymal disorders the ratio was generally higher than normal since the decrease of regional perfusion was more remarkable than that of regional ventilation.
Discussions were made on the usefulness as well as limitations of this scintiscanning method in approaching ventilation-perfusion unevenness topographically and quantitatively.View full abstractDownload PDF (1729K) -
Jugoro TAKEUCHI, Nobuo OHYA, Shuichiro SAKAI, Haruo NAKAMURA, Tetsuo N ...1968 Volume 9 Issue 6 Pages 564-572
Published: 1968
Released on J-STAGE: December 09, 2008
JOURNAL FREE ACCESSThe role of the renal nerves in renal tubular function-which is still a controversial subject-was studied by observing the changes in renal nerve activity and urine formation before, during and after the left stellate ganglion stimulation. The experiments were performed on 7 dogs anesthetized with a combination of morphine and α-chloralose. The activity of one of the renal nerves was picked up by a platinum bipolar electrode and recorded. During the left stellate ganglion stimulation, the rate of discharge of renal nerve activity decreased in the number of bursts and, at the same time, increases in urine volume and excretion of sodium, potassium and solutes were observed, while the urinary concentrations of sodium, potassium and osmolality decreased. These alterations produced by stellate ganglion stimulation were characterized by a rapid onset and, with cessation of stimulation, a rapid disappearance. There was observed complete recovery after the stimulation. On the other hand, the estimation of glomerular filtration rate revealed no significant changes through each experimental period.
The mechanisms of stellate ganglion stimulation diuresis were discussed and it was assumed that there was nervous control operating on renal tubular function, especially in the proximal tubules.View full abstractDownload PDF (1468K) -
Hideo UEDA, Yoshimi SAITO, Shigenori MOROOKA, Iwao ITO, Hisomu YAMAGUC ...1968 Volume 9 Issue 6 Pages 573-582
Published: 1968
Released on J-STAGE: December 09, 2008
JOURNAL FREE ACCESSPathological changes in the aorta and its major branches, which were similar, at least in part, to those seen in patients with aortitis syndrome, could be produced in rabbits by long-term administration of the isologous aortic extracts or the patients' sera containing anti-aorta antibodies of a high titer. The occurrence of vascular changes was preceded by a rise in the titer of the circulating complement fixing antibodies against the isologous aorta, suggesting that the vascular lesions are the product of a specific antigen-antibody reaction.
The results of the present study may support the authors' opinion that a certain immune mechanism participates in the development of arterial lesions in patients with aortitis syndrome.View full abstractDownload PDF (1819K) -
E.R. TRETHEWIE1968 Volume 9 Issue 6 Pages 583-592
Published: 1968
Released on J-STAGE: December 09, 2008
JOURNAL FREE ACCESSABC-E. C. G.'s in 22 cases of ventricular septal defect (18 pre-operative, 4 post-operative) are analysed.
Right, left and bi-ventricular hypertrophy were correctly assessed electrocardiographically.
Characteristic appearances in Fallot's tetralogy, PS with simple VSD and simple VSD are presented.
The diagnostic value of the ABC tracings is evaluated.View full abstractDownload PDF (4030K) -
Edward K. CHUNG1968 Volume 9 Issue 6 Pages 593-602
Published: 1968
Released on J-STAGE: December 09, 2008
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Masaya SUGIURA, Ryozo OKADA, Keisuke HIRAOKA1968 Volume 9 Issue 6 Pages 603-608
Published: 1968
Released on J-STAGE: December 09, 2008
JOURNAL FREE ACCESSA world-oldest necropsy case of the isolated levocardia with situs inversus abdominalis and polysplenia was presented. The case was 75-year-old female, who died of bronchopneumonia and cerebral thrombosis. The heart showed rather symmetrical architecture, that is, (1) almost same level of mitral and tricuspid ring and therefore absence of atrial part of the pars membranacea, (2) an anomalous muscle bundle in the left ventricle simulating the crista supraventricularis and (3) symmetrical course of the conduction system in the central fibrous body.
Thirty-one cases with combination of levocardia and situs inversus abdominalis in Japanese literatures were reviewed. Only 2 of them had grossly normal hearts and the others had major anomalies incompatible to long survival.View full abstractDownload PDF (1799K) -
1968 Volume 9 Issue 6 Pages e1
Published: 1968
Released on J-STAGE: December 09, 2008
JOURNAL FREE ACCESSDownload PDF (9K)
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