順天堂医学
Online ISSN : 2188-2134
Print ISSN : 0022-6769
ISSN-L : 0022-6769
6 巻, 1 号
選択された号の論文の9件中1~9を表示しています
目次
原著
  • 松本 淳, 作左部 貢
    1960 年 6 巻 1 号 p. 1-6
    発行日: 1960年
    公開日: 2014/11/22
    ジャーナル フリー
    The authors tried a direct electrical stimulation therapy on the paralysed nerves under direct vision. Four cases were treated. Case 1. 26 years old female with fiacced paralysis of right arm with sensory deficit. The onset of the paralysis was sudden while she was taking bath without any noticable trauma. Although the exact cause of the parlysis was undetermined, it was thought to be due to some vascular disturbance in the brachial plexus. An exploration of the brachial plexus with partial resection of the clavicle were performed three years following the onset. At the time of the operation the right brachial plexus nerves were stimulated whith low frequency rectangular electrical current for five minuites It was observed that the paralysed muscles began to twitch and finally gained voluntary movements following this stimulation. The percutaneous electrical stimulation were repeated for two months after the operation. At the time of discharge she showed remarkable improvement of the paralysis. Case 2. 24 years old male with traumatic brachial plexus lesion. An exploration with neurolysis of the plexus war performed four months after the injury. The affected nerves were seemed to be fibrous and connected with scarred tissue. A direct electrical stimulation was performed immediatly after the neurolysis. The recovery of the motor and sensory paralysis was fair. Case. 3. 20 years old male with diagnosis of ischemic contracture in right forearm. The flexor muscles of the forearm were necrotic showing green gelatin like appearance. The medial and ulnar nerves seemed to be thin and cyanotic. Although the direct electrical stimulation was performed, no recovery was obtained. Case 4. 19 years old male with facial paralysis of five years duration. The direct electrical stimulalion gave no recovery. Though the percutaneous electrical stimulation has been the common physical treatment for the paralytic nerves, a direct electrical stimulation of the exposed nerve is thought to be more effective. Of the four cases above, the case 1 gained an excellent results, the case 2 fair, and the case 3 and 4 poor. It is reasonable that the degenerated nerve fibres do not recover, but some living but nonfunctioning nerve fibres might receive better results from the stronger activation by the direct electrical stimulation than by the ordinary percutaneous one.
  • 皆川 次郎
    1960 年 6 巻 1 号 p. 7-16
    発行日: 1960年
    公開日: 2014/11/22
    ジャーナル フリー
    The comparison was made between the reaktions caused by various types of foreign bodies placed into the subcutaneous tissue of rabbits through a small window in the skin. 1) The window was made of glass, and it was found to be less lrritable and more suitable to it. Next in order of suitability celluliod, and then plyvinyl chlorid, acethyloid and the other platsics which the author used were comparatively irritable. 2) of the initial reactions caused by the foreign bodies which were plate-like flakes inserted into the subcutis, ivory was the weakest : solid silicone, cow's bone, cow's horn were a bit stronger;plastics ('FUJICON', 'DIRECT-BYOIEJIN' and 'SNUGG) were much stronger. In the reactions caused by foreign bodies in powdered form, ivory, cow's horn, and cow's bone were the weakest, while granulated solid silicone, parafine were somewhat stronger, granulated plastics were the strogest elements.
  • 志村 芳雄, 佐野 弥文次, 雨宮 定夫, 山瀬 裕, 丸山 平次
    1960 年 6 巻 1 号 p. 17-23
    発行日: 1960年
    公開日: 2014/11/22
    ジャーナル フリー
    Sixty-three strains of yeasts were isolated from vaginal contents of pregnant women and gynecological patients. They were not identified only by the morphological and biochemical examinations, but also by the slide agglutination tests using monospecific antisera, were made on the basis of their antigenic structures. Most of the yeasts isolated were Candida albicans (30), Torulopsis glabrata (13) and Candida guilliermondii (9). One strain of Candida robusta, one strain of Hansenula anomala and three strains of Debaryomyces kloeckeri were also isolated from the specimens. Furthermore, the relationships among the yeasts and ages, pregnancies, periodical seasons etc. were discussed.
  • 村田 隆
    1960 年 6 巻 1 号 p. 24-30
    発行日: 1960年
    公開日: 2014/11/22
    ジャーナル フリー
    There are serological cross reactions among many species of the genera Candida and Torulopsis. Five species of the genus Torulopsis were obtained for antigen analysis. The experiments were carried out through the slide agglutination method using monospecific or absorbed antisera homologous to the antigens of the genus Candida. Antigenic structures of the species were confirmed by the absorption method. The new thermostable antigens were found in T. anomala, T. versatilis, T. magnoliae and T. sphaerica. Antigenic structrures of the five species were shown as follows : T. anomala and T. versatilis has the thermostable antigens 1, 10, 28, 31, 32 and 35, and no thermolabile antigen. T. sphaerica has the thermostable antigens 1, 10, 14, 28, 30 and no thermolabile antigen. T. magnoliae has antigen 35 besides the antigens of T. sphaerica. T. dattila has the thermostable antigens 1, 10, 18, 28, 31, 32 and no thermolabile antigen.
  • 加藤 達
    1960 年 6 巻 1 号 p. 31-40
    発行日: 1960年
    公開日: 2014/11/22
    ジャーナル フリー
    By recording heart sounds and murmurs of 102 cases from mitral valve disease and functional murmur groups in frequency bands of 12.5, 25, 50,100,200, and, 400c/sec. by mingograph, phonocardiographic studies were carried out. The results are as follows : 1) In the mitral stenosis group, loud and high frequency components in the first heart sound were evident when compared to the second sound. The ratio of thd greatest amplitude of the first and second sounds was significant for a differentiation from steno-insufficieny group. The systolic murmurs in mitral steno-insuffiency cases were not recorded satisfactory from channel 4 (100c/sec) and over. Good recordings of diastolic murmurs were obtained in the low frequency bands in both groups, but above channel 4 poor recordings were also seen. The channels 2 and 3, i.e. 25 to 50c/sec showed a most clear characteristic picture of both groups, but the presystolic murmurs showed a tendency to appear in a some what higher freqnency bands. 2) The diastolic murmurs of aortic insufficiency were recorded satisfactory up to the high frequency bands and its characteristic forms were most clearly seen in channels 3 and 4 (50 to 100 c/sec). 3) The second sounds of the congenital heart disease group all showed loud and high frequency components, but this was most evidedt in A.S.D. All types of congenital cases showed a similar tendency of possesing compoents of relattively high frequency in systolic murmurs when compared to the first sound. The durations of murmurs were long in V.S.D. and Eisenmeger type and short in A.S.D. and pulmonary stenosis. 4) Functional systolic murmurs were soft and short and their frequency were low. A rapid reduction of satisfactory recording were seen over channel 4 (100c/sec).
  • ハツカネズミのベンゾールガス吸入による血液学的並びに病理学的知見について
    藤田 慎一
    1960 年 6 巻 1 号 p. 41-49
    発行日: 1960年
    公開日: 2014/11/22
    ジャーナル フリー
    The present paper deals with a part of the series of the studies on experimental poisoning by benzol groups. Experiments were made by expossing mice, inbred strain ddN, to benzol gas of 8000 ppm. The following results were obtained. 1. Mice showed convulsion after inhalation and some of them died and others survived. Mortality was about 29per cent. 2. Hematological findings : a) Mumber of white blood compuscles decreased for several hours after inhalation, and then showed the tendency of recovery. b) Number of red blood copuscles showed a slight increasing tendency. c) Concentration of hemoglobin showed a slight increasing tendency. d) On the blood pictures, neutrophilic lenkocytes decreased, while lymphocytes increased. 3. Pathological and histological findings : a) Macroscopical changes were found in lungs, liver, spleen and kidneys, in that order of severity. b) Histological findings were in lungs, kidneys, liver and spleen, in order of disturbunce. Remarkable changes in the lungs were bleeding of alveoli, edema of alveolar walls, dilatation of blood vessels and much secretion in bronchia. Changes in the kidneys were parenchymatous bleeding. abnormal increase of blood cells in renal corpuscles, hyaline degeneration of renal tubules and existence of hyaline cast in renal tubules. Changes in the liver were dilatation of blood vessels, atrophy of liver cells and hypertrophy of stellate cells of Kupffer. Changes in the spleen were atrophy or hypertrophy of lymphonoduli lienis and blood stagnation of venous sinus.
  • ベンゾール誘導体経口投与ハツカネズミにおける血液学的及び病理学的知見について 1.ニトロベンゾール
    藤田 慎一, 石井 健喜, 桑原 和彦, 押田 弘毅
    1960 年 6 巻 1 号 p. 50-57
    発行日: 1960年
    公開日: 2014/11/22
    ジャーナル フリー
    The present paper deals with the part of the series of the author's studies on experimental poisoning of benzol groups. Experiments were made by giving 0.4cc/kg of nitrobenzol into the stomach of mice, inbreed strain ddN. Authors studied on concentrations of erythorocytes, leucocytes, hemoglobin and blood pictures of mice. After mice were killed by luxation of spinal vertebrae, their histopathological specimens were stained by Haematoxylin and partly Sudan III. The following results were obtaned. : 1. Body weight decreaeed soon after the administration, but then showed the increasing tendency. 2. All mice showed cyanosis after giving nitrobenzol. 3. On the hematological findings : a) Concentration of leucocytes decreased remarkably, and the recovered gradually. b) Concentration of erythrocytes slightly decreased. c) Hemoglobin also decreased, but this tendency was kept pace with the mode of erythrocytes. d) On blood pictures, neutrophilic leucocytes remarkably increased, while lymphocytes decreased relatively. 4. On histopathological findings : Little differences were found among the changes of various organs and most remarkable disturbaces were observed in the liver, kidney, spleen, lungs and gastrointestinal tracts.
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