昭和医学会雑誌
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
31 巻, 2 号
選択された号の論文の8件中1~8を表示しています
  • 荒木 日出之助
    1971 年 31 巻 2 号 p. 39-41
    発行日: 1971/02/28
    公開日: 2010/09/09
    ジャーナル フリー
  • 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 ...
    1971 年 31 巻 2 号 p. 42-51
    発行日: 1971/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    1. A few problems and basic experiments on the roentgenological pelviometry.
    2. Morphological study by the radiologic pelviometric picture.
    3. Diametric examinations with special reference to the correlatives.
    4. Some speculations concerned with the inevitability of the roentgenological pelviometry.
    5. Relations between the radiogical pelvic figure, diametric examinations and their indices and the delivering course.
    6. Judgment of the delivery prognosis from the standpoint of the roentgenological pelvic picture.
    7. Pelviometric approval in the case of pelvic position parturition.
    8. Studies of pelvic figures in the case of fetal movement, rotation, abnormal position and dead birth.
    Summaries of the total studies
    The difficulty of childbirth is influenced by three factors, namely, the delivering force, the fetus and the birth way. To judge the birth prognosis, to carry the obsteric treatment, and to decide the obstetric operations, these three factors must be carefully examined and such synthetic consideration would decide all obstetric preparations. Recent advances of these obstetric studies are outstanding. Prticulary although the problems of the relation between the bony parturient canal and the fetal compatibility have long been studied, there still remain aspects which should be investigated. We studied the bony parturient canal of a pregnant women morphologically by roentgenology and discussed the relationships between morphological observation, process of delivery and obstetric operation, with index table of the pelvical uterine basis. Following points became clear. 1. Critical level which cause the development of the imbalance between the pelvis and the fetal head. 2. Points we must be cautions about in observation of delivery process. These data are valuable for the judgment of parturition prognosis and for the decision of the obstetric treatment.
  • 佐野 力
    1971 年 31 巻 2 号 p. 52-68
    発行日: 1971/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    In order to make clear the circulatory changes in the lower limbs in pregnancy, the author made records (587 cases) of the toe and finger plethysmogram of the normal pregnant, nonpregnant and puerperal women. The author classified these plethysmograms into two categories such as catacrotic wave, dilated ware as normal and sclerotic rigid wave as abnormal.
    There are no differences between pregnant, nonpregnant and puerperal women about appearance rate of the abnormal wave in the toe plethysmogram. In the finger plethysmogram, there are remarkable lower appearance rate of the abnormal wave in the normal pregnant women compared to nonpregnant and puerperal women. These seemed to be influenced by the vascular elasticity, blood viscocity and the resistance of the peripheral blood vessels in pregnancy.
    The essential differences between toe and finger plethysmogram is yet unknown.
    The analytical studies on these plethysmogram were done about three indexes as following such as ratio botween up-stroke time and height of the wave (I. I.), ratio between arterial blood supply time and height of the wave (Ej. I.) and ratio between down-stroke time and height of the wave (De. I.) . On the I. I. of the toe and finger plethysmogram there are no differences between pregnant, noopregnant and puerperal women. Ej. I. of the toe plethysmogram is remarkably longer than that of the finger plethysmogran. Ej. I. of the toe plethysmogram before birth is longer than that after birth. The toe plethysmogram with 70 mmHg compression on the thigh is equivalent to the toe plethysmogram of the full term pregnancy without any compression.
    The conduction time of the toe plethysmogram is about 0.30 sec before birth but after birth the conduction time is 0.28-0.27 sec. These seemed to be due to congestion and prolongation of the time of the arterial blood flow by the compression of the pregnant uterus.
  • 池田 稔
    1971 年 31 巻 2 号 p. 69-81
    発行日: 1971/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    Tissue resistances were measured across about 50 strips of intestines from duodenum and ileum of rabbits. Resistances were measured over 30 min. while soaking the strips in constantly flowing isotonic sucrose solution. The results show that the resistance of the duodenum muscle is significantly higher than that of the ileum muscle. The specific resistance of duodenum and ileum after 10 min. in isotonic sucrose was calculated to be 4.7×103Ωcm and 7.2×103Ωcm. After 25 min. the nexuses were ruptured because the solution contains no calcium ions, so the difference of resistances of these two muscles became statistically insignificant.
    Rupturing the nexuses by perf using the hypertonic sucrose solution increased the resistance of the tissue about twice.
    It is suggested that the some difference in the nexuses of duodenum and ileum might exsistes.
  • 恒川 祐郎
    1971 年 31 巻 2 号 p. 82-90
    発行日: 1971/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    Studies were performed to examine a erythropoietin activity during pregnancy and perinatal period. One hundred seventy five specimens of sera were obtained from the pregnant women of different lunar month and umbilical cord of neonates. Bioassay methods utilizing starved rats and polycythemic mice were employed for this study.
    A low or slightly increased erythropoietin activity was yielded during the first half period of pregnancy as compared with those of non-pregnant adult female. However, increased erythropoietin activity was seen after fifth lunar month which elevated more rapidly at the seventh month lasting till full gestation.
    A paired sera obtained from mothers during delivery and cord blood of neonates revealed more elevated erythropoietin activity in the mother than cord blood in most cases.
    No relationship between hemoglobin concentration of peripheral blood and erythropoietin level was observed.
  • 越野 善雄
    1971 年 31 巻 2 号 p. 91-102
    発行日: 1971/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    Studies were performed on the distribution of fetal hemglobin in infants and children with healthy and pathological conditions employing Betke's staing method.
    Over ninety per cent of red blood cells contained fetal hemoglobin in peripheral blood at birth, decreasing thirty per cent at three months of age and reached below one per cent after three years. The rate of fetal hemoglobin at birth seemed to be related to the dulation of gestation and lasting their synthesis about eight weeks after birth.
    In the pathological condition, the appearance of fetal hemoglobin showed different tendency due to the type of diseases. However, elevated fetal hemoglobin levels were notice in the anemic condition including aplastic anemia and hemolytic anemia. A varried results were obtained in the subjects with congenital anomaly depending upon thier types.
    In a malignant disease, highest level of fetal hemoglobin were seen in the stem cell leukemia.
  • 小田島 梧郎
    1971 年 31 巻 2 号 p. 103-107
    発行日: 1971/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    Ich beobachtete eine Variation des kurzen Kopfes des m. biceps femoris im 1970 bei
    Anatomischem Institut der Universität SHOWA in Tokio.
    M. biceps f emoris nimmt den lateralen Teil der Beugeseite des Oberschenkels em, and hat caput longum and caput breve. In Varietaten dieses Muskels erhalt es emn kurzer Kopf überzaälige Fasern von umgebenden Teil, was bisher geschrieben hat.
    Dann dieser Beispiel, den ich vom rechteren unteren Extremität eines Mannes, von 7& Jahren beobachtete, ist sehr selten.
    Das ist emn kleiner Muskel, der von der oberflachen bursa trochanterica m. glutei maximi mit drei Sehnen ursprungt. Der Ansatz zuheilt an caput breve, and die Innervation wird von n. fibularis communis ergehalten.
  • 鈴木 仁一, 野嶽 幸正, 久保田 仁, 真鍋 美智雄, 杉崎 賢三, 目時 信之, 上原 一浩, 荒木 日出之助, 張 相天, 黒田 惇
    1971 年 31 巻 2 号 p. 108-113
    発行日: 1971/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    Recently, six cases of anencephalus were experienced.
    The adrenal cortex of anencephalus was hypoplastic and the weight was about tenth of the normal baby. Luck of the anterior pituitary was observed Study of anencephalus is, important to clarify the mechanism of biosynthesis of estrogens. Urine of two cases of anencephalus pregnant women were analyzed for estrogens and plasma of other two cases were analyzed for estriol. Urinary estrogen level of anencephalus was lower than that of normal pregnancy. Urinary estriol concentration was 3.9 per cent of normal pregnancy. Plasma estriol concentration of anencephalus was about ten per cent of normal pregnancy but the ratio of the maternal antecubital vein and the umbirical vessels was equal to that of normal pregnancy.
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