昭和医学会雑誌
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
31 巻, 9 号
選択された号の論文の6件中1~6を表示しています
  • 伊東 昇太
    1971 年 31 巻 9 号 p. 451-455
    発行日: 1971/09/28
    公開日: 2010/11/19
    ジャーナル フリー
    Es wurde das Übersicht über den Begriff der symptomatischen Psychose berichtet. Der Wandel diesel Begriff es hat nach den Meinungen der Fachleute unter der Entwicklung der klinischen Psychiatrie eine grosse Geschichte gebildet. Von der Antike Hippocrates bis der Gegenwart findet sich noch kein einheitliches Konzept, aber man hält ganz klinisch für der körperlich begründbaren Psychosen im Sinne K. Schneiders. An Hand eines Falles von Dermatozoenwahn hat man über das Verhältnis des Symptomes zur Krankheitsgruppe hesprochen. Und man kam darauf an, daß die Psychose mit reversiblem Symptom ohne Bewnßtseinsstörung manchmal schwierig in Ordnung brachte. Jedoch ist es klar, daß man die Kenntniße and die Fortschritte über die symptomatischen Psychosen weiter eingehen muß, weil man den Begriff “endogene Psychose” als “delphisches Orakel der Psychiatrie” bezeichnet.
  • 月岡 照晴
    1971 年 31 巻 9 号 p. 456-470
    発行日: 1971/09/28
    公開日: 2010/09/09
    ジャーナル フリー
    Pulmonary perfusion and ventilation of the patients are studied using radioactive gas Xenon 133 and scintiscanning of the lung which is now widely used for the evaluation of patients with a variety of pulmonary disease. Scintiscanning of the lung is performed after the intravenous injection of macroaggregated albumin 131I, (131I-M. A. A.) . The frequency of abnormal scans that cannot be readily explained was found in many patients of pulmonary tuberculosis.
    The patients chosen for this study were hospitalized at National Nakano Chest Hospital. This presentation was reported the findings of the lung scan with 131I-M. A. A. on the small lesions of the pulmonary tuberculosis. Chest films of 500 patients were carefully scrutinize for all abnormalities. The subjects of the lung were small lesions or calcification, which were found opposite side to main lesions. Abnormalities of chest film as changes of pulmonary fibrosis and chronic emphysema were excepted from the subjects. The chest X-rays and scans were examined separately.
    7 cases of 500 cases were performed autopsy. 2 cases were excepted from this study. Because main lesion were extend to opposite side in autopsy. The patients were investigated age, % vc and location of the small lesions in the lung. 5 autopsy were examined micrescopically.
    In 118 patients with scan abnormalities unexplained by X-ray scan abnormalities were segmental defect and in the scan defect area the small lesions or calcification were found.
    Table 2 summarizes the age of the patients and the scan defects, the number of patientss of the scan defects was found equality % in every ages. Table 3 was shown the % vc of the patients. Patients of the scan defects were found moreover % vc 80. Fig 2a was pointed out the location of scan defects. Normal scan with small lesion was shown the Fig 2b. The highest percentage of scan defects was found in the left middle area of the lung.
    5 autopsies of scan defects were examined with histological section. Histologic section of of the lungs shows generalized distension of alveoli, pleural thickening and bronchiectasis in the segmental area contained small lesion.
    Changes of alveoli in 5 autopsies were diveded 2 major basic anatomical abnormalities according to the causes of diminished perfusion. One of them was atrophy of the alveoli. It is suggested that atrophy of the alveoli is occured by obstruct of the lung circulation. The other of them was the thick alveoli. It is suggested that the thick of alveoli is caused by inflammation of the lung.
  • 石坂 秀弥
    1971 年 31 巻 9 号 p. 471-487
    発行日: 1971/09/28
    公開日: 2010/09/09
    ジャーナル フリー
    Impairment of function of the ciliary body was produced in normal albino rabbits by the oral administration of naphthalene. On these animals observations ware then made of the time course of the total vitamin C and sodium contents (both substances choson for the study as actively transported ones) in aqueous of the anterior chamber as well as of the effect of naphthalene on the blood-aqueous barrier following loading with vitamin C to investigate for ventual changes in the function of the blood-aqueous barrier. Whereas naphthalene affects the active transport of vitamin C to a remarkable extent, leading to the development of cataract, it does not exert anyinfluence upon the active transport of sodium. Ouabain apparently alters the active transport of sodium but its effect on the transport index of sodium is modest. From these facts it seems likely that the active transport a cross the blood-aqueous barrier of vitamin C and of sodium is accomplished by entirely different mechanisms.
  • 山崎 健二, 渋谷 徹, 高場 誠司, 高田 亮, 鈴木 武松, 高橋 昭三
    1971 年 31 巻 9 号 p. 488-491
    発行日: 1971/09/28
    公開日: 2010/09/09
    ジャーナル フリー
    This is a report on our experience on juvenile gastric cancer occurred in 14-year-old unmarried female. She complained of epigastric pain, anorexia and weightloss. The entire abdomen was flat but there were tenderness and resistence on palpation at the epigastric region. A malignant gastric tumor was observed by X-ray and gastroscopic visualization and its microscopic finding on biopsy was adenocarcinoma anaplastica.
  • 松田 賢, 鈴木 周一, 高橋 愛樹, 福田 亮, 鈴木 快輔
    1971 年 31 巻 9 号 p. 492-494
    発行日: 1971/09/28
    公開日: 2010/09/09
    ジャーナル フリー
    Acute intestinal obstruction syndromes followed by Anisakis larva were reported.
    Two eosinophilic granulomas caused by Anisakis larva were observed at the intestinal wall. The invasion of the Anisakis larva into the one of these granulomas was found.
  • 福井 章, 韓 啓司, 長嶺 安哉, 狩野 充二, 羽山 忠良, 風間 和男, 後藤 晃
    1971 年 31 巻 9 号 p. 495-499
    発行日: 1971/09/28
    公開日: 2010/09/09
    ジャーナル フリー
    A 50 year-old man was admitted to our clinic because of abrupt severe headache and vomitting.
    The diagnosis of subdural hemorrhage was made.
    Results of examination on admission, : hemoglobin concentration 14.5gr per 100 ml, red blood count (RBC) 5, 410, 000, white blood count (WBC) 5, 100, platelet count 194, 790.
    Another laboratory studies were not remarkable except that occult blood test was positive in feces. He had past history of hemorrhoid.
    Hemorrhages in the skin and mucous menbranes were absent.
    From the second days after admission, the patient was treated with chloramphenicol (CP) Igr daily for nineteen days because of fever.
    The patient improved gradually and could walk alone.
    Twenty-six days after admission, he had fever again, and then RBC (3, 010, 000) and WBC (1, 900) showed the striking decrement comparing with these on admission.
    At that time, the myelogram demostrated that myeloblasts were 21.8% and lymphocytes were 62%.
    The nucleated cells was 19, 000.
    In spite of being treated with adreno-corticosteroid hormones and blood tranf usions, platelet (5, 500) and WBC (1, 300) decreased markedly.
    Explosively, hemorrhagic manifestations were aggravated and the patient died.
    The autopay performed. Aleukemic-leukemia was made in view of the pathologic findings of widespread necrosis of bone marrow and immature leukocytes in the various organs. But, there were no immature leukocytes in the organs of hemorrhages.
    In the present case, we suggest that the onset of leukemia might be caused by CP.
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