巻号一覧
38 巻, 1 号
選択された号の論文の5件中1～5を表示しています
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南雲 信1988 年 38 巻 1 号 p. 1-7
発行日: 1988/01/01
公開日: 2009/10/15
ジャーナル フリー左室肥大における心電図, ベクトル心電図の変化についてはこれまで多くの研究がある.しかし, 近年, 心エコー図によって, 臨床例について各心房, 心室の内径や心室壁, 心室中隔の厚さを適確に測定し, 更に, これらの成績から心内腔の容積や左室心筋重量などの推定が可能となり, 主として剖検所見との対比に基づく従来の知見を再検討する機運を生じて来た.左室肥大心電図の最も特徴的な所見とされるQRS波高の増大, すなわち高電位差について, これが心筋の肥厚あるいは増加, 左室の拡大のいずれによるかをめぐっても, 新しい観点からの検討を要する.教室においては, これまで, 心電図, ベクトル心電図の異常, 正常所見を修飾する要因を検討し, その臨床的意義を追求して来たが, 本研究においては, 左室肥大心電図所見の出現に関与する因子を分析し, 併せて, 従来提唱されている心電図学的な左室肥大の診断基準を再評価するため, 心電図所見, ベクトル心電図所見と心エコー図所見とを定量的に対比検討した.抄録全体を表示PDF形式でダウンロード (1141K) -
堀越 幸男1988 年 38 巻 1 号 p. 9-16
発行日: 1988/01/01
公開日: 2009/10/15
ジャーナル フリーBlood pressure, pulse rate, plasma catecholamine and plasma renin activity in response to standing and mental stress were studied in 28 normotensive subjects, 14 borderline hypertensive patients (BHT group) and 14 patients with essential hypertension (EHT group). The normotensive subjects were further divided into 2 groups : 14 subjects with normotensive parents (PNT group) and 14 with hypertensive parent (s) (PHT group).
Mean basal norepinephrine of the BHT and EHT groups was significantly higher than that of the PNT group. The increases in blood pressure, pulse rate and plasma norepinephrine in response to standing and mental stress were lower in the EHT group than in the other three groups. The increase in plasma epinephrine in response to mental stress was higher in the PHT and BHT groups than in the PNT and EHT groups.
A higher incidence of high blood pressure in response [≥ 20mmHg in systolic blood pressure] (higher responders) to mental stress was found in the PHT, BHT and EHT groups compared with the PNT group. The increases in plasma epinephrine of the higher responders to mental stress in all groups were higher than in the lower responders [≤19mmHg in systolic blood pressure to mental stress], and basal plasma epinephrine in the higher responders was higher than in the lower responders.
The results indicate that the genetic predisposition to hypertension plays a significant role in determining plasma catecholamine levels and the responsiveness to stress, especially to mental stress.抄録全体を表示PDF形式でダウンロード (1292K) -
小板橋 宏, 飯島 俊秀, 児島 高寛, 大隅 雅夫, 塩島 正之, 宝田 彰, 正田 裕一, 中野 眼一, 長町 幸雄1988 年 38 巻 1 号 p. 17-22
発行日: 1988/01/01
公開日: 2009/10/15
ジャーナル フリーThis report consists of retrospective analysis of operability in 16 patients with gallbladder cancer, who were diagnosed radiologically. All cases were operated and pathological studies were performed.
1) Eighty-one percent of gallbladder cancer was diagnosed correctly on US. We classified ultrasonographic pictures of gallbladder cancer into four types. Two cases of fungating mass type underwent complete resection.
2) Eighty-five percent of gallbladder cancer was diagnosed correctly on CT. However, there was no statistically significant difference in diagnosing operability between CT and US.
3) Ninety-three percent of gallbladder cancer was diagnosed correctly on AG. When the cystic artery showed abnormalities such as encasement or irregularity, 50% of cases underwent resection. Among patients with abnormalities of the intrahepatic vessels, none was resectable.抄録全体を表示PDF形式でダウンロード (2050K) -
当教室の遠隔成績を中心に宮本 幸男, 竹下 正昭, 泉 勝, 蒔田 富士雄, 井上 智博, 岸川 一郎, 岩崎 茂, 泉雄 勝1988 年 38 巻 1 号 p. 23-28
発行日: 1988/01/01
公開日: 2009/10/15
ジャーナル フリーA total of 198 patients who underwent surgery for colorectal cancer in our department between 1966 and 1985, and 187 of those with single cancer were investigated mainly for the rate of resection and the late results. The rate of resection for cancer of the colon was higher than that for ano-rectal cancer, but there was no difference in the rate of curative resection between them. The incidence of lymph node metastasis was about 40% in both groups treated by curative resection, but the incidence was high, more than 90%, in the group treated by non-curative resection. Five-year survival rate in patients with cancer of the colon treated by curative resection and in those treated by non-curative resection were 68% and 11%, respectively. Five-year survival rate for patient with ano-rectal cancer treated by curative resection and by non-curative resection were poor, namely 53% and 9%, respectively. There were significant differences in histological stage between stage I and stage III of ano-rectal cancer and between stage I and stage IV of these patients, suggesting favorable prognosis for stage I.抄録全体を表示PDF形式でダウンロード (736K) -
曽根 克彦, 田端 裕之, 小林 敏宏, 小野 真康, 田代 雅彦, 鈴木 隆1988 年 38 巻 1 号 p. 29-34
発行日: 1988/01/01
公開日: 2009/10/15
ジャーナル フリーIn this study, the course of dilated coronary arterial lesions in Kawasaki disease was followed by evaluating selective coronary arteriography performed twice in 39 cases, initially 6 months after the onset of disease and subsequently 2 years and 6 months later.
Follow-up study revealed that mildly dilated coronary arteries (less than 6 mm in diameter) regressed to normal in 60 to 70% of cases, moderate cases (dilation from 6 to 10 mm in diameter) regressed to normal in 30 to 40%, but severe cases (dilation greater than 10 mm in diameter) did not show regression. Thus, the severity of coronary lesions may be estimated by the size of coronary artery dilation for predicting the prognosis of patients with Kawasaki disease. Namely, giant coronary lesions usually change into obstructive coronary lesions and are associated with impaired left ventricular function resulting from myocardial ischemia.
It is of clinical importance is to prevent or reduce the progression of coronary arterial diseases, and even if coronary aneurysms occur, every effort should be made to preclude the advanced shift to obstructive coronary lesions.抄録全体を表示PDF形式でダウンロード (1661K)
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