Juntendo Medical Journal
Online ISSN : 2188-2134
Print ISSN : 0022-6769
ISSN-L : 0022-6769
Search
Advanced search
OR
Browse
Search
Volume 20, Issue 3
Displaying 1-16 of 16 articles from this issue
Show all abstracts
    • |<
    • <
    • 1
    • >
    • >|
Contents
  • A Studty on Biliary Excretion of Indocyanine Green (ICG)
    Hisashi WATANABE
    1974 Volume 20 Issue 3 Pages 308-320
    Published: September 10, 1974
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.20.308
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    The fluctuation of the serum ICG level and its biliary excretion were examined after intravenous injection of the drug. Results were summarized as follows : 1) Blood level of ICG seemed to be influenced by the fluctuation of the blood pressure. 2) In normal cases, biliary ICG appeared as early as 5 to 10 minutes after injection, reached it maximum after 60 to 90 minutes and then gradually diminished. However, in cases with impaiered hepatic function, it appeared and reached maximum more slowly. 3) With the fluctuating curve of biliary ICG concentration, the rates of increasing and decreasing biliary ICG excretion, are designated by the present author as Ka and Ke, respectively, reffering the rate of decreasing blood ICG, K. In cases ranging normal K values, the mean Ka was 5.3 per cent/min, and the mean Ke was 0.38 per cent/min. 4) Ka values correlated closely to icterus index, but not to the activity of serum alkaline phosphatase and the titers of serum colloidal reaction tests. 5) The relation betweeh Ka and K was well corresponded, i. e. Ka was distributed below 4.0 per cent/min in cases K was less than 0.1 per cent/min. The K values could be accepted as the index of hepatic function, because these two indexes indicating the hepatic uptake and biliary excretion of ICG were fairly well correlated, while Ke values did not correlated to K values.
    View full abstract
    Download PDF (1786K)
  • A Statistical Study on Routine Clinical EEG Findings in 5,000 Cases
    -- (1) Incidence of Paroxysmal EEG Abnormalities--
    RYO KUMAMOTO
    1974 Volume 20 Issue 3 Pages 321-333
    Published: September 10, 1974
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.20.321
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Abnormal EEG findings at the time of initial examinations--paroxysmal abnormal findings in particular--were studied. 1. Paroxysmal abnormal findings were found in 266 patients with epilepsy, 67 patients with head injury, 29 patients with headache as chief complaint and 82 patients with other disorders in a total of 444 patients (8.9% of all patients examined). 2. Paroxysmal patterns were found only in 266 patients with epilepsy, corresponding to 40.2% of the 661 patients with this disorders on whom EEG was performed. When paroxysmal patterns are not found at the time of initial tracing suspected of epilepsy in a patient clinically, EEG should be repeatedly traced, both routine EEG and the activation with pentetrazol, bemegride, monosodium trichlorethyl phosphate or other drugs. 3. The incidence of paroxysmal patterns in patients with head injury of Araki II to IV types were significantly higher than those in patients of Araki I type (p<0.005). 4. The subjects of this study included as many as 1,634 patients with head injury, corresponding to 32.7% of all subjects, and it appears that the social situation in which traffic accidents and labor hazards have recently been on the increase, reflects this high incidence of head injury.
    View full abstract
    Download PDF (1844K)
  • Studies on the Post Operation Course of Lumbal Intervertebral Disc Hernia and on the Relations Between the Intervertebral Disc Hernia and Lumbosacral Abnomalities.
    TOSHIRO HARA
    1974 Volume 20 Issue 3 Pages 335-348
    Published: September 10, 1974
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.20.335
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    1. The post operation course of lumbar intervertebral disc hernia. Number of cases for study was 86 enquête answers for 168 cases of operations conducted by the “Love” method, and the results of the study were as follows : The overall results about 80% of the operation cases were in excellent or good conditions. According to the study using the Röntgen-ray, 30.4% of the examples showed the narrowing in the intervertebral disc after operation, and also the narrowing in the adjacent intervertebras, The size ratio of canal to body was in the range of 1 : 3.5 to 1 : 5.5. Although the motion of the lumbosacral spine of each patient who had the operation was limited to about 42% of a normal person, they did not feel pain. 2. Relations between the intervertebral disc hernia and Lumbosacral abnormalities. Number of cases for study was 205 cases of patients who had lumbosacral operations, and the results of the study were as follows : Ratio by sex......men 73.7%, women 26.3%, lumbal intervertebral disc hernia only 54.2%, combination of disc hernia and lumbosacral transation spine 27.8%, spondylolysis and spondylolisthesis 7.8%, Spina bifida occulta 6.8%, and others 3.4%, Also, of 172 cases of patients who had the disc hernia, 33.7% was combined with lumbosacral transation spine, And it was found that among the cases of lumbosacral. abnormalities, the lumbosacral transation spine had the greatest relation with disc hernia. The ratio between the percentage of people with transation spine in normal people and that with lumbosacral transation spine in people who had disc hernia was 1 : 1.9. In the motion of the lumbosacral spine of healthy people with lumbosacral transation, a decrease of the moving range in the part of lumbosacral transation spine and an increase of moving range in the immediate area above the lumbosacral transation spine were seen. It is thought that this increase of moving range immediately above the transation spine influences the disc of the same part and causes a suecession of intervertebral disc degeneration or protrusions.
    View full abstract
    Download PDF (2039K)
  • Diagnostic Application of Ultrasound in the Field of Orthopedic Surgery
    (Especially About the Bone Tumor)
    HIDETAKE SETO
    1974 Volume 20 Issue 3 Pages 349-360
    Published: September 10, 1974
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.20.349
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    The diagnosis of bone and soft tissue diseases, especially bone tumor, was studied using the ultrasonic examination. The frequency of 2.25 MHz and a transducer of 10 mm diameter were used in this study. In case of normal bone, only its surface appeared while inside of bone appeared as a nonreflected transparent area according to the acoustic character. In the case of bone disease, it was observed that ultrasonic wave transmitted into the bone in response to the nature and grade of bone invasion and various abnormal echoes were able to be detected owing to the difference of acoustic structure in lesion area. In malignant tumor on the ultrasono-tomogram, destructive configuration of bone surface and strong irregular echoes were detected from the tumor region and bottom configuration was not clearly observed. On the contrary, benign tumor showed well kept bone surface and clear bottom configuration and inside of tumor appeared as transparent area. As the object of diagnosing soft tissue diseases especially soft tissue tumor by the ultrasonic method, abscess, lipoma, liposarcome, rhabdomyosarcome, and others were experienced and differentiation whether they were benign or malignant and also depth or size of tumors were able to be diagnosed and the ultrasonic examination by means of both A-Scope and the ultrasono-tomography was very useful. The development of immersion rotating compound scanning method was studied in order to increase the resolving power of ultrasono-tomograms. It is concluded that application of ultrasound is considered effective for diagnostic use in the field of orthopedic surgery. That is, diagnostic application of ultrasound is effective for the diagnosis of tumor in bone and soft tissue by the characteristic of ultrasonic tissue visualization.
    View full abstract
    Download PDF (2591K)
    • |<
    • <
    • 1
    • >
    • >|
feedback
 Top