昭和医学会雑誌
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
30 巻, 10 号
選択された号の論文の4件中1~4を表示しています
  • ―X線骨盤形態・径線・指数と分娩経過―
    藤井 吉助, 荒木 日出之助, 藤巻 達男, 藤巻 日出夫, 藤川 雄平, 簡野 正明, 大房 武利, 岡村 秀人, 斉藤 忠明, 黒沢 正 ...
    1970 年 30 巻 10 号 p. 593-609
    発行日: 1970/10/28
    公開日: 2010/09/09
    ジャーナル フリー
  • 柳沢 尚義
    1970 年 30 巻 10 号 p. 610-617
    発行日: 1970/10/28
    公開日: 2010/09/09
    ジャーナル フリー
    Fifty one episodes of exchange transfusion were performed on thirty neonates with hyperbilirubinemia. The change of bilirubin and red cell with fetal hemoglobin during exchange transfusion was studied.
    Approximately, fifty percent of bilirubin was removed after exchanging total blood volume of neonates, and no significancy of removal rate of serum bilirubin was even exchanging twice of the blood volume of neonates.
    Therefore, it seemed to be justified to exchange one and one-half of whole blood volume to remove the serum bilirubin of neonates.
    While the about eighty percent of red cell with fetal hemoglobin were exchanged, only fifty percent of serum bilirubin was removed.
    Those discrepancy suggest, at least in part, that the possibility of movement of bilirubin from tissue into vascular space and hemolysis during exchange transfusion.
    The concentration of serum bilirubin increased and reached to mean level of initial and final level of exchange transfusion at twenty four hours after performance.
  • 池田 正夫, 寺島 清助, 片山 雅宏, 神田 実喜男
    1970 年 30 巻 10 号 p. 618-625
    発行日: 1970/10/28
    公開日: 2010/09/09
    ジャーナル フリー
    An autopsy case of primary leptomeningel malignant melanoma is reported in a 51 year-old male. At the inferior aspecte of brain, a duck-egg sized (measuring 7×5×4 cm. in diameter) deep reddish-black, bloody clot like, moderately soft in consistency, well limited tumor invading excavately in right part of hippocampus, diencephalon, pons and cerebellum, containing mottled darkish-brown brittle tumor fragments. Some darkish-brown metastasis are seen at the region of right hemisphenoidbone and it's dura-mater, sphenoparietal sinus and sagittal sinus.
    A few relevant literature are reviewed and the pathology of this tumor are discussed.
  • 第一報指骨骨折
    阪本 桂造, 平沼 晃, 柏木 武, 萩原 信義, 西堀 実, 本多 儀一, 佐々木 淳, 門馬 満
    1970 年 30 巻 10 号 p. 626-630
    発行日: 1970/10/28
    公開日: 2010/09/09
    ジャーナル フリー
    This is a report on our experience on 313 fractures of phalanges, during the last four years, from Jan. 1965 to Dec. 1968.
    Statistical observation and investigation on therapy were carried out. Results are described as follows :
    197 cases (62 per cent) out of 313 cases were open fractures, 113 cases simple, 3 cases both combined. 274 cases (86 per cent) were fractures of one finger and 39 cases were fractures of more than two fingers. The greater part of our cases were male and the right side was somewhat more times injured than the left. Sixty-six per cent were pressed fractures due to labor accident. The working class, age of 21 to 50 years old, accounted for 78 per cent of our cases. Middle finger and ring finger were often injured. As to phalangers, distal phalanx accounted for 66 per cent. Upon investigation for therapy, it was concluded that in the case of open fracture skin wound was closed with or without skin grafting after brushing and debridement.
    Injuries of middle and proximal phalanx were so often treated for more than three months, that we believe“no man's land”area seemed to correlate to the healing of phalange fracture.
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