DSpace コレクション: 2004-122004-12http://hdl.handle.net/10564/15672024-03-29T01:59:35Z2024-03-29T01:59:35ZA CASE OF SUDDEN DEATH DUE TO BILATERAL TENSION PNEUMOTHORAX AFTER ACUPUNCTUREKasuda, ShogoMorimura, YoshifumiKudo, RisaSageshima, NorikoSanefuji, NobuyukiIshitani, AkikoFukudome, AkrmtoHatake, Katsuhikohttp://hdl.handle.net/10564/2572017-06-11T23:20:26Z2004-12-30T15:00:00Zタイトル: A CASE OF SUDDEN DEATH DUE TO BILATERAL TENSION PNEUMOTHORAX AFTER ACUPUNCTURE
著者: Kasuda, Shogo; Morimura, Yoshifumi; Kudo, Risa; Sageshima, Noriko; Sanefuji, Nobuyuki; Ishitani, Akiko; Fukudome, Akrmto; Hatake, Katsuhiko
抄録: We report a case of sudden, unexpected death of a 71-year-old woman due
to bilateral pneumothorax after acupuncture. The patient experienced dyspnea and
subsequently died 6 hours after acupuncture. Autopsy revealed remarkable inferior
displacement of the left hemidiaphragm and hemorrhages on the surface of both inferior
pulmonary lobes. The deceased had no risk factors for pneumothorax; no underlying
pulmonary disease was found and the needles had not been inserted at dangerous
therapeutic points. To our knowledge, this is the first report of a death due to
pneumothorax after acupuncture that occurred in the absence of relevant risk factors.2004-12-30T15:00:00Z胃の寄生虫性肉芽腫とInflammatory fibroid polypが併存した1例牧之段, 潔濱田, 薫木村, 弘江川, 信一眞島, 利匡浜崎, 直樹今井, 照彦薮内, 裕也http://hdl.handle.net/10564/2562017-06-11T23:20:26Z2004-12-30T15:00:00Zタイトル: 胃の寄生虫性肉芽腫とInflammatory fibroid polypが併存した1例
著者: 牧之段, 潔; 濱田, 薫; 木村, 弘; 江川, 信一; 眞島, 利匡; 浜崎, 直樹; 今井, 照彦; 薮内, 裕也
抄録: A 52-year-old woman with the habit of eating raw cuttlefish visited our
hospital complaining of epigastric pain. Gastroendoscopy revealed a whitish protruding
lesion 20mm in diameter on the anterior wall of the angulus. Two months later, the
appearance changed to a submucosal tumor with erosion on the top. Spindle cell sarcoma
was suspected histologically by the biopsy specimen. Preoperative gastroendoscopy
revealed a submucosal tumor on the greater curvature of the gastric antrum in addition
to that on the anterior wall of the angulus. The tumor was surgically resected. We
histologically diagnosed this lesion as parasitic granuloma due probably to anisakiasis
infection for the former and inflammatory fibroid polyp (IFP) for the latter. This is a rare
case report of IFP associated with parasitic granuloma. Concomitant presence of IFP in
the neighborhood of parasitic granuloma due probably to anisakiasis suggests that
infestation by a parasite larva including Anisakis nematode play an important role in the
pathogenesis in some cases of IFP.2004-12-30T15:00:00ZEXTENT OF SINOATRIAL AND ATRIOVENTRICULAR NODAL DEPOSITS IN CARDIAC AMYLOIDOSIS : A CORRELATIVE INVESTIGATIONYamaji, KunimroIkeda, YosmhikoYutani, Chikaohttp://hdl.handle.net/10564/2552017-06-11T23:20:26Z2004-12-30T15:00:00Zタイトル: EXTENT OF SINOATRIAL AND ATRIOVENTRICULAR NODAL DEPOSITS IN CARDIAC AMYLOIDOSIS : A CORRELATIVE INVESTIGATION
著者: Yamaji, Kunimro; Ikeda, Yosmhiko; Yutani, Chikao
抄録: Objectives. We morphometrically determined the relative area of amyloid
deposition (%D) in sinoatrial and atrioventricular nodes in cardiac amyloidosis.
Materials and Methods. We divided 13 hearts with amyloidosis and arrhythmia
(arrhythmia group) and 4 hearts with amyloidosis and no arrhytimia (controls) into
subgroups. The arrhythmia group included 3 patients with sick sinus syndrome (SSS), 3
with atrioventricular (AV) block, 9 with bundle branch block, 7 with atrial fibrillation,
and 4 with ventricular arrhytlnnias. Among all 17 cases, 14 represented primary (AL)
amyloidosis and 3 represented secondary (AA) amyloidosis. We selected five microscopic
fields for each case and node for quantitative analysis with an image analyzer to
determine %D.
Results. The %D in both nodes was similar between control and arrhythmia groups.
Only in the AV block subgroup was the %D in the sinoatrial node significantly greater
than controls (p<0.05), although %D in the SSS subgroup showed some tendency to be
greater than in controls. In the atrioventricular node, %D in the AV block subgroup
tended to be greater than in controls. The %D was similar between the two nodes for
groups with ALλ, ALκ, and AA amyloid, while %D tended to be greater in the AL
group than in the AA group.
Conclusion. Although a close relationship was not decisively demonstrated between
arrhytimias and extent of amyloid deposition in sinoatrial or atrioventricular nodes, SSS
might be caused by amyloid deposition in the sinoatrial node and AV block might be
caused by amyloid deposition in the atrioventricular node.2004-12-30T15:00:00Z虚血性神経細胞アポトーシスにいたる細胞内カスケード奥野, 修三榊, 壽右http://hdl.handle.net/10564/2542017-05-29T06:07:06Z2004-12-30T15:00:00Zタイトル: 虚血性神経細胞アポトーシスにいたる細胞内カスケード
著者: 奥野, 修三; 榊, 壽右2004-12-30T15:00:00Z