巻号一覧
39 巻 (1987)
- 6 号 p. 693-
- 5 号 p. 623-
- 4 号 p. 439-
- 3 号 p. 223-
- 2 号 p. 111-
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39 巻, 4 号
選択された号の論文の8件中1～8を表示しています
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久間 正幸, 二宮 有子, 飯岡 秀晃, 辻 祥雅, 日野 晃治, 森山 郁子, 一條 元彦1987 年 39 巻 4 号 p. 439-443
発行日: 1987/07/01
公開日: 2011/07/05
ジャーナル フリーThe study under the present paper is focused on significance of rapid turn over protein (prealbumin which is hereinafter referred to as PA, and retinol-binding protein as RBP), which to be utilized as an indicator when protein-nutritional conditions for fetuses and prematured infants must be passed in review. Results from an extensive survey program in this line covering cord bloods from 50 infants having different gestational ages between 24 and 40 weeks and particularly variation of serum protein level for 10 prematured infants may be summarized as follows :
(1) It appeared that in case of fetuses a correlation was demonstrably identified between PA and those parameters such as birth weight and gestational weeks, whereas this was not the case between RBP and these parameters;
(2) It appeared in case of matured new-born that both PA and RBP showed a remarkable increase in first 4 week life after birth. In contrast, in case of prematured ones they showed only a transient rise in first one to two week life after birth;
(3) A remarkable decrease in plasma free amino acid level was identified in first one to two week life after birth with prematured infants, notwithstanding the foregoing transient rise of PA and RBP :
In view of the foregoing results a conclusion may be drawn as follows :
1. PA may play a role as an indicator of protein nutritional conditions for fetuses.
2. PA may also be useful as a sensible indicator to warn earlier a malnutrition while in growth phase of prematured infants.抄録全体を表示PDF形式でダウンロード (593K) -
横山 一海, 石崎 浩之, 巽 利昭, 小林 真一郎, 平 省三, 礒島 晋三1987 年 39 巻 4 号 p. 445-449
発行日: 1987/07/01
公開日: 2011/07/05
ジャーナル フリーWomen are more likely to have mental disorders following delivery compared to any other times in their lives. We examined the incidence of postpartum mental disorders among the women who delivered in our clinic, from January 1981 to October 1986. We had 2926 deliveries during this time and 8 patients, 0.27%, suffered from postpartum mental disorders.
The disorders was classified into four groups of neurosis, manic-depressive psychosis, schizophrenia and atypical psychosis, and three patients in neurosis, three in manic-depressive psychosis (one in manic and two in depressive) and two in schizophrenia were included. Five patients were in their twenties and the other three were in their teens, thirties and forties, respectively. All patients were primiparas. As to the prognosis, 5 patients were completely remitted, three were still under presently treatment and one committed suicide. A hereditory factor was found in one patient with neurosis and some causative factors including the mental and circumstential, were suggested in four patients.抄録全体を表示PDF形式でダウンロード (817K) -
佐藤 譲, 鷹巣 晃昌1987 年 39 巻 4 号 p. 451-456
発行日: 1987/07/01
公開日: 2011/12/05
ジャーナル フリーWe report a rare case of triple primary malignancies. The first primary tumor was uterine neoplasm, the second was gastric cancer detected 3 months later and the third was latent thyroid cancer found at autopsy. Uterine sarcoma was preoperatively suspected by the cytologic and histologic examinations. At laparotomy, the uterine tumor was classified as stage III. Histological diagnosis was malignant mixed mullerian tumor (MMMT). The patient received three courses of combination chemotherapy (CDDP, ADM, CTX and FU). The second primary cancer in the stomach advanced despite the ACR administration. The patient died 11 months after the initial diagnosis because of the cancerous invasion to lungs and mediastinum noted at autopsy.抄録全体を表示PDF形式でダウンロード (7675K) -
大門 美智子, 澤井 英明, 柴原 浩章, 伊熊 健一郎, 新木 明薫, 前田 浩1987 年 39 巻 4 号 p. 457-461
発行日: 1987/07/01
公開日: 2011/07/05
ジャーナル フリーThe first case of Acardia was reported by Benedetti in 1533. This is a rare anomaly occurring once in 34, 600 deliveries and in about 1% of monozygotic twin pregnancies.
One of our patients, a 24-year-old primipara woman had sudden early abdominal enlargement. An ultrasound examination performed at 26 weeks' of gestation revealed one normal fetus and a hydropic mass with a few bones and no heart. The presence of the normal fetus with breech presentation and the mass with a few bones were confirmed by amniofetography. These findings were consistent with acardiac anomaly.
An emergency caesarean section was performed when spontaneous premature labor began at 31 weeks' of gestation. A 1, 690g male infant with an Apgar score of 8 and a 1, 342g acardiac twin were delivered with some difficulty.
The postoperative course was unremarkable. The premature infant was discharged after 41 days, when he weighted 3, 082g.
With ultrasonography and amniofetography it was possible to delineate the features of the acardiac twin well before delivery.抄録全体を表示PDF形式でダウンロード (7355K) -
藤野 祐司, 村田 和子, 恩田 博, 杉山 龍平, 松永 征一, 冨田 和義1987 年 39 巻 4 号 p. 463-469
発行日: 1987/07/01
公開日: 2011/07/05
ジャーナル フリーCongenital dilatation of the common bile duct is a rare complication in pregnant woman. Eleven cases of congenital dilatation of the common bile duct in pregnancy are reviewed in Japanese literature, but only four cases were diagnosed at the antepartum stage. This report shows a case of congenital dilatation of the common bile duct complicated with acute pancreatitis in pregnancy.
A 24 year-old-woman, primigravida, was hospitalized for severe right upper quadrant pain and right upper quadrant tumor at the 32 th gestational week. She was diagnosed as congenital dilatation of common bile duct and acute pancreatitis using ultrasonic graphy. Elevated serum and urinary amylase levels were 2, 099 IU/L and 28, 237 IU/L. She had the conservative treatment of acute pancreatitis with a synthetic protease inhibitor (FOY), 300mg/day. Four days later, she delivered a still born baby weighing 2, 100g. After delivery, an abdominal CT demonstrated a large cystic tumor neighbouring a normal-sized gallbladder. And a percutaneus transhepatic cholangiogram (PTC) showed prominent dilatation of the common bile duct. Twenty seven days after delivery, cholecystectomy and choledochoduodenostomy were done.
Congenital dilatation of common bile duct is increasing in number. More incidents have been reported in females than males. Therefore, in the near future, congenital dilatation of the common bile duct may increase in pregnant cases.
It is necessary to have early recognition and rapid treatment. So the outcome of pregnancy complications, such as pancreatitis and cholangitis, is favorable.抄録全体を表示PDF形式でダウンロード (4450K) -
1987 年 39 巻 4 号 p. 497-540
発行日: 1987/07/01
公開日: 2011/07/05
ジャーナル フリーPDF形式でダウンロード (8748K) -
1987 年 39 巻 4 号 p. 541-581
発行日: 1987/07/01
公開日: 2011/07/05
ジャーナル フリーPDF形式でダウンロード (7973K) -
1987 年 39 巻 4 号 p. 583-618
発行日: 1987/07/01
公開日: 2011/07/05
ジャーナル フリーPDF形式でダウンロード (10429K)
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