DSpace コレクション: 1990-061990-06http://hdl.handle.net/10564/20562024-03-28T09:26:22Z2024-03-28T09:26:22Z奈良県立医科大学附属病院輸血部における過去10年間の赤血球不規則性抗体の検出統計西田, 幸世辻, 令子秀能井, 正隆内田, 麻里前田, 美和石本, 盛治藤村, 吉博福井, 弘内田, 和人山根, 敏子嶋, 裕子中島, 克子市場, 邦通http://hdl.handle.net/10564/20662017-05-29T06:08:16Z1990-06-29T15:00:00Zタイトル: 奈良県立医科大学附属病院輸血部における過去10年間の赤血球不規則性抗体の検出統計
著者: 西田, 幸世; 辻, 令子; 秀能井, 正隆; 内田, 麻里; 前田, 美和; 石本, 盛治; 藤村, 吉博; 福井, 弘; 内田, 和人; 山根, 敏子; 嶋, 裕子; 中島, 克子; 市場, 邦通
抄録: Anti-red blood cell (RBC) irregular antibody is a “hallmark" of antibodies which are produced by stimulating antigens "out-of-the-law" of Landsteiner. Experience has indicated that antibodies that are reactive only at temperatures below 37℃ are clinically benign except for certain clinical conditions such as hypothermic cardiac surgery. During the past 10 years, we have screened a total of 29,408 blood samples and found that 557 cases (1.9%) have irregular antibodies to specific antigen on RBC that are reactive at either 37℃ or below 37℃, or at both. Both the screening and identification tests for antibody detection were performed using a commercial kit (Ortho Co.) and by the methods of saline, bromelin, albumin, and Coombs. Prevalence of irregular antibody was in the following order ; anti-Lewis 39.3%, anti-P₁ 31.8%, anti-E (with complex form) 12.8%, anti-D 2.5%, and others 13.6%. Clinical course and laboratory findings of two rare cases having anti-Diª or anti-Jrª are also described on this specific occasion.1990-06-29T15:00:00Z重症型および軽症型Hunter症候群の各一例吉田, 裕慈大久保, 芳明吉岡, 章平, 康二寺田, 茂紀碇, 久雄http://hdl.handle.net/10564/20652012-03-15T07:42:59Z1990-06-29T15:00:00Zタイトル: 重症型および軽症型Hunter症候群の各一例
著者: 吉田, 裕慈; 大久保, 芳明; 吉岡, 章; 平, 康二; 寺田, 茂紀; 碇, 久雄
抄録: Hunter syndrome is one of several types of mucopolysaccharidosis and is inherited in an X-linked recessive manner. Severity of Hunter syndrome is distinguished by the degree of intellectual impairment and prognosis. We report here two cases, one of the clinically severe and the other of mild form of Hunter syndrome. Activity of iduronate sulfatase was extremely reduced in both patients' cultured lymphocytes. We also performed carrier detection of each patient's mother by the determination of α-L-iduronate sulfatase and β-hexosaminidase activities using the hair root.
内容記述: 個人の特定が出来ると思われる写真が掲載されているため本文PDFの登録はなし1990-06-29T15:00:00Z重症クモ膜下出血の経過中に発症した中枢性肺水腫の検討 : 急性期手術の適否に関して中村, 光利榊, 寿右京井, 喜久男内海, 庄三郎宮本, 誠司鎌田, 喜太郎青山, 信房http://hdl.handle.net/10564/20642017-05-29T06:08:13Z1990-06-29T15:00:00Zタイトル: 重症クモ膜下出血の経過中に発症した中枢性肺水腫の検討 : 急性期手術の適否に関して
著者: 中村, 光利; 榊, 寿右; 京井, 喜久男; 内海, 庄三郎; 宮本, 誠司; 鎌田, 喜太郎; 青山, 信房
抄録: Neurogenic pulmonary edema (NPE) following severe subarachnoid hemorrhage (SAH) have been reported recently. The incidence, the treatment and the prognosis of NPE are discussed among authors. In this study, 11 cases of SAH complicated with NPE are reported, and clinical features, especially the best timing for surgery, are discussed. Among 460 patients admitted for SAH during a recent three-year period, 11 cases (2.3%) were complicated with NPE. According to Hunt & Kosnik grading on admission, one patient was in Grade Ⅱ, two were in Grade Ⅲ, three were in Grade Ⅳ and five were in Grade Ⅴ. Chest X-ray films demonstrated a typical pattern such as snowstorm-like shadowing in each case. CT revealed a diffuse subarachnoid hemorrhage or intraventricular homorrhage (Fisher type Ⅲ or Ⅳ) in each case. In 8 cases, artificial respiratory control with positive end-expiratory pressure (PEEP) following intratracheal intubation were successful, and NPE was improved within one to 8 days. Four patients
underwent an aneurysm surgery combined with the management of NPE in the acute stage. These outcomes were very good and they were discharged without major neurological deficit. The acquired results showed that NPE associated with severe SAH can be successfully treated and promptly improved the distinct management. Therefore direct surgery in the acute stage is not necessarily taboo if the appropriate respiratory and cardiovascular management can be given. The prognosis of patients with severe SAH complicated with NPE depends not the severities of NPE but on those of SAH. In conclusion, we recommend early direct surgery combined with distinct management of NPE in poor grade patients because it encabled us to control increased ICP and apply artificial ventilation with PEEP.1990-06-29T15:00:00Z先天性骨形成不全症(Osteogenesis imperfecta congenita)の2例久世, 晋徳今中, 康文高橋, 綾子武田, 以知郎上辻, 秀和根津, 智子高瀬, 俊夫西久保, 敏也南淵, 芳瓜生, マキ一条, 元彦http://hdl.handle.net/10564/20632012-03-15T04:24:02Z1990-06-29T15:00:00Zタイトル: 先天性骨形成不全症(Osteogenesis imperfecta congenita)の2例
著者: 久世, 晋徳; 今中, 康文; 高橋, 綾子; 武田, 以知郎; 上辻, 秀和; 根津, 智子; 高瀬, 俊夫; 西久保, 敏也; 南淵, 芳; 瓜生, マキ; 一条, 元彦
抄録: We observed 2 cases of osteogensis imperfecta congenita. They were born after 38 weeks gestation, weighed less than 2,500g, and had blue sclera or short limbs. Their roentgenograms showed multiple fracture of the ribs and ostopenia in the skull. They died in a few months after birth, of respiratory insufficiency due to a defective thoracic cage. These findings suggest that the 2 cases were osteogenesis imperfecta congenita Type ⅡA.
内容記述: 個人の特定が出来ると思われる写真が掲載されているため本文PDFの登録はなし1990-06-29T15:00:00Z