昭和医学会雑誌
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
29 巻, 11 号
選択された号の論文の6件中1~6を表示しています
  • 菱田 豊彦, 北沢 卓, 石川 信之, 鎌数 清麿, 北原 隆, 志賀 貢, 関 俊一, 田中 維大, 時田 信彦, 小池 深, 山本 登
    1969 年 29 巻 11 号 p. 619-631
    発行日: 1969/11/28
    公開日: 2010/09/09
    ジャーナル フリー
  • 田中 英, 加藤 貞治, 中沢 進, 佐藤 肇
    1969 年 29 巻 11 号 p. 632-636
    発行日: 1969/11/28
    公開日: 2010/09/09
    ジャーナル フリー
  • 服部 博之
    1969 年 29 巻 11 号 p. 637-657
    発行日: 1969/11/28
    公開日: 2010/09/09
    ジャーナル フリー
    The problem how to decide the adaptability of surgical treatment for gastric ulcer has been discussed.
    On this problem, the statistical analysis and the computer analysis with discriminant function was performed from the standpoint of histopathological findings about 284 cases of gastric ulcer which were resected in our department during past 11 years from 1956 to 1966.
    Out of total 347 cases of gastric ulcer, 63 cases were excluded as they were linear gastric ulcer.
    The following results were obtained :
    1. Ulcers of ul IV degree were extremely difficult to heal.
    2. Regarding the distribution of ulcers by the difference of their shapes, especially in ulcers of ul IV degree, round, lanky and kissing ulcers were extremely difficult to heal. But multiple ulcers were showed to be relatively easy to heal.
    3. As for the difference in the repair depending on the locality of ulcer formations, ulcers formed on the lesser curvature were mostly difficult to heal.
    4. When viewed from the standpoint of altitude (distance from the pyloric ring), ulcers on 6.1-8.0 cm. from the pyloric ring were extremely difficult to heal. Namely, ulcers on the upper part of stomach angle and lesser curvature were extremely difficult to heal.
    5. Regarding the distribution of ulcers by the difference of their diameter, the longer in diameter ulcers were, the treatment was so much difficult, and, especially, ulcers of 1.1 cm. or more in their diameters would lose their healing tendencies.
    6. When viewed from the standpoint of patient's age, the older the patient was, the treatment was so much difficult, and in the cases suffered from gastric ulcer for 11 years or more, ulcers in the cicatrizing stage were not found.
  • 江 毓謙
    1969 年 29 巻 11 号 p. 658-680
    発行日: 1969/11/28
    公開日: 2010/09/09
    ジャーナル フリー
    In order to clarify a part of the circulatory functions in pregnancy, particularly in toxic status, the author recorded the volume pulse wave of the finger tip of 702 cases of the pregnant, postnatal and non-pregnant women. Results obtained were as follows.
    1. In non-pregnant one, those who are older above 41 years of age, and who the systolic blood pressure above 140 mmHg, tend to have abnormal pulse wave.
    2. In normal pregnancy, there are fewer cases of abnoraml pulse wave than the non-pregnancy with the same condition.
    In toxic pregnancy with hypertension, there are more abnormal pulse wave than normal pregnancy.
    3. Analyzing the pulse wave geometrically, the author observed the increment index (I.I.), ejection time index (Ej. I), decrement index (De. I), elasticity index (El. I) and dicrotic index (Di. I) . Normal pregnant showed, in comparison to non-pregnant, prolongation of Ej. I., shortning of De. I., increasing of Di. I. and decreasing of El. I. Thus it will be considered that, in pregnancy, the peripheral resistant be small, vascular elasticity be rich, and diamete of vessel be expanded. Prenatal pregnant has almonst the same indices as non-pregant.
    4. The older and hypertensive women show prolongation of I. I. and of De. I., shortning of Ej. I., and decreasing of El. I. and increasing of Di. I. In toxic pregnant with hypertension, prolongation of I. I. and of De. I., shortning of Ej. I. and decreaing of El. I. and of Di. I. are observed. The findings suggest the increase of the peripheral resistance, and the disappearance of the vascular elasticity. And the results, that the findings of toxic pregnant without hypertension are the same as those of non-pregnant, will indicate the pulse wave show the condition of the blood pressure of toxic pregnant.
    5. In toxic pregnancy, the positive rate of CPT is high. And positive CPT patients have prolongation of De. I. and increasing of Di. I.
    6. Before the appearance of pregnant intoxication, the pulse wave show prolongation of De. I, and increasing of Di. I., compared with non-toxic pregnant.
    7. To evaluate the prognosis of the late complications of pregnancy intoxication, the pulse wave itself is unsatisfactory.
  • 西堀 実, 川島 弥, 上村 正吉, 平沼 晃, 藤巻 悦夫, 片桐 耿, 安藤 光彦, 伊藤 祥弘
    1969 年 29 巻 11 号 p. 681-686
    発行日: 1969/11/28
    公開日: 2010/09/09
    ジャーナル フリー
    In recent five years, the authors treated 318 cases of the hand injuries in our clinic, of these, 50 were examined and 84 were followed by the questionaire.
    The skin grafting group has not always satisfactory results about sensation, except the split thickness skin graft. However, only wound closure and primary suture with bone resections group has almost satisfactory one, but the results of the treatment is not always excellent about primary suture with bone resections group.
  • 伊東 昇太
    1969 年 29 巻 11 号 p. 687-691
    発行日: 1969/11/28
    公開日: 2010/09/09
    ジャーナル フリー
    Scheller先生から返事がもらえ, 「病院で見たものは, 大いに利用してくれ」そして「俺の後継者は来年早々に来るが, 自分の住所は今迄どうりで, 病院にいる」といい, さらに「お前の故郷を訪ねてみたい」とありました.なおこの69年冬学期の精神病総論の講義は, 哲学的な人間学的な方向で行なわれ, 講堂は, 完全に満員になつたとの同僚からの手紙をみることができました. (8.Dez.1969) ,
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