Jinko Zoki
Online ISSN : 1883-6097
Print ISSN : 0300-0818
ISSN-L : 0300-0818
Volume 13, Issue 4
Displaying 1-11 of 11 articles from this issue
  • [in Japanese]
    1984Volume 13Issue 4 Pages 1301
    Published: August 15, 1984
    Released on J-STAGE: October 07, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese]
    1984Volume 13Issue 4 Pages 1303-1313
    Published: August 15, 1984
    Released on J-STAGE: October 07, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese], [in Japanese]
    1984Volume 13Issue 4 Pages 1314-1321
    Published: August 15, 1984
    Released on J-STAGE: October 07, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese]
    1984Volume 13Issue 4 Pages 1322-1328
    Published: August 15, 1984
    Released on J-STAGE: October 07, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese]
    1984Volume 13Issue 4 Pages 1329-1334
    Published: August 15, 1984
    Released on J-STAGE: October 07, 2011
    JOURNAL FREE ACCESS
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  • H. MATSUKURA, K. NAKAJIMA, J. OKUDE, T. YABIKU, S. UZAWA, T. TACHIKI, ...
    1984Volume 13Issue 4 Pages 1335-1340
    Published: August 15, 1984
    Released on J-STAGE: October 07, 2011
    JOURNAL FREE ACCESS
    The changes of serum enzyme and metabolism were studied by comparing the serial change among three groups. The first group consisted of forty patients treated by surgery under extracorporeal circulation. The second group of seventeen patients treated by surgery of Blalock-Taussig shunt and the third group of ten patients treated by surgery of patent ductus arteriosus. The following results were obtained: 1) The enzyme of serum GOT, LDH and CPK increased post operatively in the all groups, the changes after surgery being greater in the group 1 than the other groups. 2) The tissue injury of total body after surgery with extracorporeal circulation was greater than the other group without extracorporeal circulation. And these results suggest the necessary of improvement of circuit and perfusion technique of extracorporeal circulation.
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  • H. KAWANISHI, M. NISHIKI, M. SUGIYAMA, T. TSUCHIYA, S. YAMANO, K. AMAN ...
    1984Volume 13Issue 4 Pages 1341-1346
    Published: August 15, 1984
    Released on J-STAGE: October 07, 2011
    JOURNAL FREE ACCESS
    A direct hemoperfusion (DHP) system has been developed for use in an artificial liver support system using the polyetherurethane sheet embedded with powdered charcoal (UPC) that had been prepared mainly for the purpose of effectively adsorbing protein-bound substances. Powdered charcoal with specially selected pore size distribution and particle size was used for UPC. A polypropylene container was used to prepare a column containing 70g of powdered charcoal by filling it with a 35m × 15cm roll of the 150μm thick UPC. The result of a 3-hour DHP performed on a jaundiced dog showed the removal amounts of about 70% of bilirubin and 90% of bile acid. DHP was also performed on jaundiced patients. A 3-hour hemoperfusion using one UPC column obtained the removal amounts of 25 of bilirubin and 30% of bile acid. When 3 columns in all were used, one at a time, by replacing it with time. The removal amounts of 40% of bilirubin and 55% of bile acid resulted. The hemoperfusion was safely completed with transient effects, if any, on the blood elements.
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  • S. KUSHIYAMA, H. TERASAKI, T. MORIOKA
    1984Volume 13Issue 4 Pages 1347-1350
    Published: August 15, 1984
    Released on J-STAGE: October 07, 2011
    JOURNAL FREE ACCESS
    A blood reservoir must be incorporated in the circuit of a bypass route for extracorporeal gas exchange. The reservoir will serve as a balance indicator of the blood inflow and outflow as well as a buffering system for the volume change in the circuit. If the reservoir bag collapses during a bypass operation, it indicates that the withdrawal of blood from the venous system is not catching up with the outflow of the pump. Several kinds of detectors of the degree of reservoir inflation were devised by using pressure, force-replacement, or capacitance reactive transducers. When a large reservoir for open heart surgery had been used before, the height of the reservoir was controlled to decelerate or accelerate the speed of venous drainage by gravity according to the blood volume in the reservoir. Later the authors began to use a small reservoir of lees than 100ml, or a volume of about one stroke of a pump to prevent hypovolemic shock due to the excess blood shift from the body to the reservoir. Such a small reservoir requires continuous control of the pump to prevent an excess negative pressure in the drainage circuit. When the refill of the reservoir takes a longer time than the preset period, it means a poor venous drainage. If the reservoir is empty, the pump must be automatically stopped, and an alarm triggered. When the reservoir becomes full with blood, the pump resumes the work. Such automatic regulation of the bypass circuit has avoided the necessity of continuous and nerve racking vigilance and improved the safety of prolonged ECLA.
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  • K. MOROZUMI, A. YOSHIDA, S. SOHMIYA, M. KOBAYASHI, I. GOTOH, M. SATOH, ...
    1984Volume 13Issue 4 Pages 1351-1354
    Published: August 15, 1984
    Released on J-STAGE: October 07, 2011
    JOURNAL FREE ACCESS
    The Hemasite as internal blood access without skin puncture was first introduced into clinical evaluation in 1980. We have experienced 5 cases Hemasite implantation to chronic uremic patients since August 1982. There were 3 males and 2 females with a mean age of 59 years (range 38-81). We discussed about the patency, utility, adverse effects to circulatory system and complications of Hemasite device. 1 out of 5 devices was lossed due to thrombosis at 6 months after operation. Other devices have kept satisfactory function. Mean survival time of the Hemasite is over 8 months at June 1983 with satisfactory hemodialysis efficacy. As for the adverse effects, no one showed congestive cardiac failure. In the other hand, in a case who have giant AV-fistula with excessive blood flow, cardiomegaly and high out put was markedly improved after operation. We have experienced 1 graft related infection and 2 thrombosis as complications. The infection resolved rapidly with anti-biotics. 2 devices have clotted at 1 and 3 months after operation, and was surgically declotted. Main cause of thrombosis was restricted venous run off. In spite of the complications, patient acceptance of the device have been enthusiastic from our questionnaire. We conclude, this device have several advantages that have contributed to patients.
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  • [in Japanese]
    1984Volume 13Issue 4 Pages 1355
    Published: August 15, 1984
    Released on J-STAGE: October 07, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese], [in Japanese]
    1984Volume 13Issue 4 Pages 1356-1358
    Published: August 15, 1984
    Released on J-STAGE: October 07, 2011
    JOURNAL FREE ACCESS
    Download PDF (1436K)
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