昭和医学会雑誌
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
31 巻, 11 号
選択された号の論文の5件中1~5を表示しています
  • 門馬 満
    1971 年 31 巻 11 号 p. 567-587
    発行日: 1971/11/28
    公開日: 2010/09/09
    ジャーナル フリー
    副腎皮質ホルモンの適当量を艀卵7日目の鶏胚に注入すると骨の発育は抑制され倭小体を生ずる.これに対し蛋白同化ホルモンを同時に適当量注入した場合には副腎皮質ホルモンによる作用は抑制され, 骨発育も良好で体重および脛骨長径の増加, 骨端軟骨の成長も促進される.
    組織学的には骨髄腔の拡大, 各軟骨層の境界の鮮明化, 柱状層細胞の配列の規則性の増強, 骨芽細胞の出現などを認める.PAS染色では静止軟骨層における著明なGlycogenの増量, Alcianblue染色とToluidineblue染色では柱状層・泡状層におけるAcidmucopolysaccharideの増量などを認める.これらの事実から, 鶏胎仔では蛋白同化ホルモンは副腎皮質ホルモンに対し拮抗的に作用するばかりでなく骨化のための良い環境を作っていると云えよう.
  • 福田 亮
    1971 年 31 巻 11 号 p. 588-604
    発行日: 1971/11/28
    公開日: 2010/09/09
    ジャーナル フリー
    Many factors that give rise to postastrectomy syndromes, especially dumping syndrome, have been reported.
    For the purpose of evaluating how relationship between glucose metabolism and serum insulin in postgastrectomy, the author studied the postprandial determination of serum insulin and blood sugar after gastrectomy. Postprandial determination of serum insulin was determined by the modified methode of Hales and Randle, using 125I-INSULIN.
    On the result, value of blood sugar and serum insulin on patient with dumping syndrome, high level was demonstrated than the other patients. Value of hypoglycemia have been evoked of high insulinemia at the same time of late dumping symptoms.
    Above the result, the late dumping syndrome may be caused as change of blood insulin levels.
  • 渡部 照光
    1971 年 31 巻 11 号 p. 605-616
    発行日: 1971/11/28
    公開日: 2010/09/09
    ジャーナル フリー
    Haemodialysis was perfomed acute renal failure untill 1960, but recently haemodialysis has evolved for chronic renal failure and established longterm intermittend haemodialysis.
    Studies mere perfomed to examine of haemodialysis for 36 chronic renal failure patients, from 1960 to 1970, and parted them, either first period (from 1960 to 1968), later (from 1965 to 1970), compared them cbout dialysis efect and the others.
    Two cases out of 16 patients, the later (from 1968 to 1970), perfomed renal transplantation.
    Studies into the causes of these cases and longterm intermittend haemodialysis for chronic renal failure.
  • (第1編) 妊娠, 分娩, 産褥ならびに新生児の血小板数の変動
    久保田 仁
    1971 年 31 巻 11 号 p. 617-626
    発行日: 1971/11/28
    公開日: 2010/09/09
    ジャーナル フリー
    Problems pertaining to obstetrical hemorrhage are of extreme clinical importance. As an integral part of the study of various properties of the blood related to obstetrical bleeding, a clinical study representing an attempt to clarify variations in platelet counts of mothers during pregnancy, at parturition, in the puerperium, with late toxemia of pregnancy, at threatened abortion and at caesarian section, of the umbilical cord blood, and of the newborn was pursued. Clot retraction rates were also studied.
    1) The thrombocyte count for all blood samples obtained from nonpregnant women in normal health was 33.3±3.32±104 per cu. mm. (mean±standard error of the mean), and the clot retraction rate 50±5.1 per cent, respectively.
    2) In the group of women with normal pregnancy the platelet count was 26.59±7.57×104to 29.02±9.12×104per cu. mm. on the average, the value diminshing progressively with the course of gestation, reaching the lowest level at 8 to 9 months of pregnancy, and in-creasing rapidly thereafter to rise to an average level of 37.93±11.12×104per cu. mm. on the sixth day of puerperium. The platelet count in these subjects became restored to the level in the nonpregnant by the thirtieth day post parturition. The pregnant women displayed clot retraction rates generally higher than those shown by the non-pregnant ; the rate for all blood samples obtained from the former was 49±9.4 per cent to 54±6.2 per cent, the trend toward increase emerged in the intermediate stage of gestation, and the rate began decreasing on the sixth puerperal day to fall to a level of 50±8.0 per cent on an average.
    3) The group of neonates born by full-term delivery showed an umbilical cord arterial platelet count of 31.71±7.91×104per cu. mm. and an umbilical cord venous platelet count of 32.55±8.28×104per cu. mm., respectively. There was no evidence of difference in these counts between the sexes whereas a slightly positive correlationship was noted to exist between the mother and the newborn. The neonatal platelet count was observed to be frequently diminished on the sixth day after birth, as compared with that noted immediately upon delivery. The umbilical cord venous blood showed a clot retraction rate of 39±8.7 per cent, and the umbilical cord arterial blood a rate of 38±4.0 per cent, respectively, on the average.
    4) For all blood samples drawn from mothers undergoing caesarean operation, the thrombocyte count was observed to be lowered immediately after the section, to show a tendency to recovery from the first postoperative day on, and eventually to rise above the preoperative level in the first or second week operation, followed by a gradual diminution to return to the normal level.
    5) Both the maternal platelet count and clot retraction rates of the group of women seriously ill with late toxemia of pregnancy and of that of mothers slightly ill with the same disease did not differ significantly from those of women with normal gestation.
    6) Neither the group of threatened abortions with favorable prognoses nor that with poor prognoses displayed significant aberrations from the group of normal pregnant subjects with respect to platelet count and clot retraction rate. In the group of threatened abortions with favorable prognoses, however, diminution of maternal platelet count was in evidence following administration of progesterone.
  • 和田 佐, 品川 彦三, 佐藤 邦彦, 神田 実喜男
    1971 年 31 巻 11 号 p. 627-633
    発行日: 1971/11/28
    公開日: 2010/09/09
    ジャーナル フリー
    A case of chordoma, asising from sacrum of a 63 year old man complaining lumbago was reported.
    A few relevant literature were reviewed.
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