巻号一覧
37 巻, 4 号
選択された号の論文の7件中1～7を表示しています
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Holter心電図による検討斎藤 知子1987 年 37 巻 4 号 p. 347-353
発行日: 1987/08/15
公開日: 2009/10/15
ジャーナル フリーEighty-eight stroke patients, 52 with cerebral infarction and 36 with cerebral hemorrhage, underwent continuous cardiac rhythm monitoring at least five months after the onset of the acute incidents.
The incidence of ventricular arrhythmias were almost the same in the patients with cerebral infarction (23.1%) and in those with cerebral hemorrhage (22.2%). But atriopathic arrhythmias were more frequent in the patients with cerebral infarction (48.1%) than in those with cerebral hemorrhage (16.7%). The difference was highly significant (p < 0.01). Both sporadic atrial premature beats and episodes of atrial tachyarrhythmias (short episodes of paroxysmal atrial tachycardia or transient atrial fibrillation) were more frequent with cerebral infarction. The high incidence of atriopathic arrhythmias was postulated to be causally related to the cerebral infarction.抄録全体を表示PDF形式でダウンロード (1148K) -
特に, 尿中カドミウムとN-アセチル-β-D-グルコサミニダーゼ, β2-マイクログロブリンの関係について川田 智之1987 年 37 巻 4 号 p. 355-365
発行日: 1987/08/15
公開日: 2009/10/15
ジャーナル フリーCadmium (Cd), N-acetyl-β-D-glucosaminidase (NAG) activity, β2-microglobulin (BMG), and creatinine (cr) in cadmium pigment workers' urine was measured twice, in April and September 1986. These workers had been exposed to cadmium pigment dust (maximum 3.0μg/m3/8 hrs of respirable dust). In April and September, the urinary Cd ranged respectively from 0.2 to 9.5 and 0. 5 to 7.0 μg/g cr with geometric means of 0.7 and 1.2 μg/g cr. Person's correlation coefficient between Cd and NAG was 0.263 (n=61) in April and 0.387 (n=50) in September. The correlation coefficient between Cd and BMG was 0.242 in April and 0.110 in September. These results show that the urinary Cd level is more closely related to urinary NAG than to urinary BMG, even when urinary Cd level is under 10 μg/ g cr. We conclude that NAG is a more sensitive indicator of Cd absorption than BMG, even when the urinary Cd level is under 10 μg/g cr.抄録全体を表示PDF形式でダウンロード (1421K) -
肉眼形態の亜分類からの検討鈴木 丹次1987 年 37 巻 4 号 p. 367-381
発行日: 1987/08/15
公開日: 2009/10/15
ジャーナル フリーBorrmann 3型胃癌の悪1生度を検討するために, 1971年より1984年までに教室において切除された216例のBorrmann 3型胃癌の肉眼形態を, 更にA, B, Cの3亜型に分類し予後因子及び予後を比較検討した.A型はBorrmann 2型様周堤が半周以上にわたり認められるもので52例, B型は逆にBorrmann2型様周堤を半周以下の部分にしか認めないもので94例, C型は全周性にわたり境界不鮮明な辺縁隆起を示すもので70例あった。A型は胃の下部に多く, 胃壁に対する浸潤傾向は軽度で, 分化型癌が多く, 予後は比較的良好であった.B型は胃の上部・下部に多く, 浸潤傾向が著明で, 分化型および未分化型がほぼ同率であり, 非治癒切除例が多く予後はさほど良好ではなかった.C型は胃の中部・下部に多く, 浸潤傾向が強く, 未分化型癌が多かった。C型の平均年令は最も若く, 平均腫瘍径は最も短かかったが, 小さいうちに既に進行したものが多く, 予後は5.1cm以上のもので最も不良であった.この分i類はBorrmann3型胃癌の治療方針の決定, 予後の予測等に有用であると考えられた.抄録全体を表示PDF形式でダウンロード (2805K) -
藤田 尚1987 年 37 巻 4 号 p. 383-391
発行日: 1987/08/15
公開日: 2009/10/15
ジャーナル フリーWe investigated the effects on systemic blood pressure of adding norepinephrine (NE) to epidural anesthesia, and the duration of the analgesia. Blood pressure changes were significantly minimized by adding NE (5μg/ml) to mepivacaine, compared with plain mepivacaine in senior (over 65 years old) patients. Plasma NE levels increased significantly during NE-added epidural anesthesia. NE levels in cerebrospinal fluid (CSF) increased at 15 min and 30 min after epidural administration. The duration of anesthesia was significantly longer in patients who received NE-added bupivacaine.
We also investigated the effects of adding epinephrine and norepinephrine to dibucaine on the duration of spinal anesthesia and on the CSF catecholamine (CA) levels. The CSF-free NE level was 0.104 ± 0.028 ng/ml at the pre-anesthetic stage. Then it increased to 5.0 ng/ml and 1000ng/ml respectively 2 min after 1 μg or 50 μg of NE with dibucaine administration. The duration of sensory and motor blockade was significantly prolonged by 2.5μg of NE with dibucaine, but was not changed by 2.5 μg of epinephrine with dibucaine.
These data suggest that, in epidural anesthesia, NE absorbed into the blood stream helps to maintain blood pressure, and NE passed into CSF may be useful in prolonging the analgesic action of local anesthetics. In spinal anesthesia, a small added dose of NE, 2.5 μg, was enough to prolong the anesthesia. The amount of CA added to spinal anesthetic solutions should be severely restricted to prevent ischemic damage to the spinal cord.抄録全体を表示PDF形式でダウンロード (1563K) -
その特徴と対策小暮 公孝, 石橋 政利, 根本 雅明, 加藤 良二, 田中 稔, 服部 徳昭, 内藤 浩, 中野 眼一, 長町 幸雄, 新井 治子1987 年 37 巻 4 号 p. 393-401
発行日: 1987/08/15
公開日: 2009/10/15
ジャーナル フリーPre- and postoperative complications in aged patients who had undergone gastroenterological surgery were analyzed and evaluated in 132 patients over 75 years old admitted to First Department of Surgery between 1971 and 1980. The results were compared with those of the middle aged patients (56-65 years old) hospitalized between 1979 and 1980. According to preoperative laboratory examinations, more abnormalities appeared in the aged group than in the middle aged group. Latent combined diseases and postoperative complications also occurred more frequently in the aged group than in the middle aged group.
However, the difference in the result of surgical procedures between the aged group and the middle aged group was not statistically significant.
Our results show that the countermeasures used in our department have reduced the morbidity of geriatric surgery and/or fatal complications.抄録全体を表示PDF形式でダウンロード (1314K) -
後藤 文夫1987 年 37 巻 4 号 p. 403-407
発行日: 1987/08/15
公開日: 2009/10/15
ジャーナル フリーPDF形式でダウンロード (1002K) -
久保田 一雄, 田村 遵一, 倉林 均, 白倉 卓夫1987 年 37 巻 4 号 p. 409-416
発行日: 1987/08/15
公開日: 2009/10/15
ジャーナル フリーPDF形式でダウンロード (2021K)
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