The Keio Journal of Medicine
Online ISSN : 1880-1293
Print ISSN : 0022-9717
ISSN-L : 0022-9717
34 巻, 2 号
選択された号の論文の5件中1~5を表示しています
  • TOYOMI FUJINO, HIDEO NAKAJIMA, TAKASHI KIYOIZUMI
    1985 年 34 巻 2 号 p. 87-89
    発行日: 1985年
    公開日: 2009/03/27
    ジャーナル フリー
    Classification of the pedicled skin flap is given to confusion due to recent development of the fasciocutaneous flap, septocutaneous flap and adipofascial flap.
    This paper presents new concept and simpler classification based on histological structure of the pedicled skin flap.
    The pedicled skin flap is subdivided into 2 types; split thickness skin flap (cutaneous flap and adipofascial flap) and full thickness skin flap (fasciocutaneous flap and septocutaneous flap), adopted to the concept in classification of free skin grafting (split thickness skin graft and full thickness skin graft).
  • DU-ZEN TSAI
    1985 年 34 巻 2 号 p. 91-104
    発行日: 1985年
    公開日: 2009/03/27
    ジャーナル フリー
    The Peroxidase anti-peroxidase complex method with rabbit anti-hCG antibody as the first antibody was used to demonstrated an hCG-like material in 9/46 (19.6%) of the tissue specimens of uterine cervical squamous cell carcinoma. A cervical epidermoid carcinoma cell line, SKG-I, was found to produce human chorionic gonadotropin β-subunit (hCG-β), but no distinct hCG. Treatment of SKG-I cells with sodium butyrate increased hCG and hCG-β immunoactivities.
    Comparative studies between standard urinary hCG-β and SKG-I producing hCG-β (SKG-β) were carried out by means of isoelectrofocusing (IEF) and lectin chromatographies. The standard hCG-β had 4 distinct components between pH 3.0 and pH 4.5. The SKG-β had 3 major peaks at pH 4.0 (SKG-β-I), pH 5.2 (SKG-β-II), pH 6.0 (SKG-β-III) and 1 minor peak at pH 10.1 (SKG-β-IV). The later 3 peaks were noted only in SKG-β. Lectin chromatographies (WGA and RCA-I) of standard hCG-β and SKG-β suggested that SKG-β possessed less terminal sialic acid than pregnancy urinary hCG-β especially in SKG-β-III and SKG-β-IV, and that the heterogeneity of SKG-β in IEF could be partly explained by the differences in the content of terminal sialic acid.
  • TOSHIYUKI SHIGEMATSU, HUIMIN WANG, MASAO NAGANO, HIROYUKI MAKI
    1985 年 34 巻 2 号 p. 105-113
    発行日: 1985年
    公開日: 2009/03/27
    ジャーナル フリー
    Anesthetic management of one hundred and twenty seven cases of aortic aneurysm resection in the past ten years (ten-year-series), and thirty one cases of those in the last one year (new series) were evaluated. The differences are as follows: 1. Anesthetics for premedication and induction of anesthesia. 2. Anesthetic method. 3. Application of bronchial blocker and continuous epidural block. 4. Methods for controlling the perioperative patients' blood pressure.
    Consequently, a lower mortality rate and better anesthetic management were achieved.
  • SEIJIRO OKUSAWA, NAOKI AIKAWA, OSAHIKO ABE
    1985 年 34 巻 2 号 p. 115-122
    発行日: 1985年
    公開日: 2009/03/27
    ジャーナル フリー
    A retrospective study was undertaken to elucidate the changes of acid-base balance following general surgery. 2843 samples of arterial blood gas and pH determinations were obtained from 418 surgical patients before and after the operation. Before the operation, the incidence of acid-base disturbance was low, 79.5% of 190 determinations being normal in acid-base balance. During the postoperative period, metabolic alkalosis was the most common acid-base disturbance as has been observed in 39.5% of 2248 determinations, while respiratory alkalosis was less frequent, occurring in 13.3%. The incidences of other abnormalities were low before and after the operation except for a transient increase in metabolic acidosis on the day of operation. After the operation, metabolic alkalolosis was found most frequently, occurring in 47.5% of 1305 determinations during the first to seventh postoperative days, whereas an increase in respiratory alkalolosis was not clearly seen during this period. Metabolic alkalosis seemed to take a transient increase with the highest incidence being 60.1% on the fourth postoperative day. Further prospective controlled study is required to elucidate the incidence and the development of mechanism of postoperative metabolic alkalosis.
  • TOYOMI FUJINO, RYUZABURO TANINO, CHITOH SUGIMOTO, HIDEO NAKAJIMA, TAKA ...
    1985 年 34 巻 2 号 p. 123-128
    発行日: 1985年
    公開日: 2009/03/27
    ジャーナル フリー
    A 19 year-old male with facial hemiatrophy who underwent the combined surgical techniques of craniofacial surgery for the bony defect and microvascular surgery for the soft tissue defect showed a successful result at 11 year follow-up.
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