Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society最新文献_第9页

[Inconsistency in the A-DROP system of the JRS guidelines for the management of community-acquired pneumonia and its outcome in adults]. [JRS成人社区获得性肺炎管理指南A-DROP系统的不一致性及其结局]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-07-01

Tomoyoshi Tsuchiya, Akifumi Fujita, Hiroki Ashizawa, Nao Inami, Atsushi Yoshitomi, Masafumi Masuda, Takafumi Suda, Kingo Chida

{"title":"[Inconsistency in the A-DROP system of the JRS guidelines for the management of community-acquired pneumonia and its outcome in adults].","authors":"Tomoyoshi Tsuchiya, Akifumi Fujita, Hiroki Ashizawa, Nao Inami, Atsushi Yoshitomi, Masafumi Masuda, Takafumi Suda, Kingo Chida","doi":"","DOIUrl":"","url":null,"abstract":"We evaluated the consistency of the A-DROP system for community-acquired pneumonia (CAP) and its outcomes, and developed a new severity classification of community-acquired pneumonia using nonlinear discriminant analysis. A total of 615 patients with CAP were enrolled between 2004 and 2009. A poor outcome was defined as patients requiring ventilation and/or death from CAP. We investigated the influence of prognostic factors on CAP severity and outcome using a logistic regression model to obtain the coefficient, and a contingency table. The optimal cutoff points for age and BUN were calculated from receiver-operating characteristic (ROC) curves. The influence of respiratory failure was approximately twice that of other prognostic factors. The optimal cutoff point for age was 83 years old, and that for BUN was 23mg/dl. We found inconsistencies in the equivalence of all prognostic factors and the addition-scoring method in predicting outcome. To ensure consistency between the A-DROP system and outcome, we believe that the weight of respiratory failure, threshold of classification, and cutoff points for age and BUN should be revised.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 7","pages":"488-95"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29932809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A case of lung cancer with endometrial metastasis]. 肺癌伴子宫内膜转移1例。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-07-01

Shinichiro Hibi, Kenji Miyazaki, Yasuyo Ishida, Yukio Kakuta, Tetsuyuki Morikawa

引用次数: 0

[A case of valsartan-induced pneumonitis with marked elevation of serum KL-6]. [缬沙坦致肺炎血清KL-6明显升高1例]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-07-01

Akira Takakura, Masaru Kubota, Sakiko Otani, Ken Katono, Michiko Yamamoto, Noriyuki Masuda

{"title":"[A case of valsartan-induced pneumonitis with marked elevation of serum KL-6].","authors":"Akira Takakura, Masaru Kubota, Sakiko Otani, Ken Katono, Michiko Yamamoto, Noriyuki Masuda","doi":"","DOIUrl":"","url":null,"abstract":"A 64-year-old man, who had been treated with valsartan for hypertension since about 2 months previously, was admitted with exertional dyspnea. A chest X-ray film on admission showed infiltrative shadows in bilateral lower lung fields. Chest computed tomographic images showed diffuse ground-glass opacities, consolidation and traction bronchiectasis. His serum KL-6 level was markedly elevated, to 7,360 U/ml. Despite the withdrawal of valsartan, his symptoms deteriorated, and a drug lymphocyte stimulation test was positive for valsartan. Based on these findings, we diagnosed valsartan-induced pneumonitis. Glucocorticoids were administered, and his symptoms, chest radiograph findings and serum KL-6 level all improved. Currently, angiotensin II receptor blockers (ARBs), including valsartan, are often used as the first drug of choice to treat hypertension, but they can cause drug-induced pneumonitis. It has been previously reported that serum KL-6 levels may reflect the clinical activity of drug-induced pneumonitis. In cases of drug-induced pneumonitis with a high level of serum KL-6, glucocorticolds should be started at an early stage.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 7","pages":"523-7"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29934288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[An elderly case of anomalous systemic arterial supply to the normal basal segment of the left lower lobe and summary of reports of the disease in Japan]. 【老年左下叶正常基段全身动脉供应异常一例及日本本病报道摘要】。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-07-01

Toshihiro Esaki, Mitsuhiro Matsumoto, Kazuaki Sugahara, Akihisa Yamashita, Hideshi Uramoto, Masashi Miyajima, Mineharu Sugimoto, Hirotsugu Kohrogi

引用次数: 0

[A case of small cell lung cancer that presented with paraneoplastic syndrome]. [以副肿瘤综合征为表现的小细胞肺癌一例]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-07-01

Masatoshi Wakatsuki, Kiyoshi Matsuo, Hiroe Kayatani, Keiichi Fujiwara, Toshiro Yonei, Toshio Sato

{"title":"[A case of small cell lung cancer that presented with paraneoplastic syndrome].","authors":"Masatoshi Wakatsuki, Kiyoshi Matsuo, Hiroe Kayatani, Keiichi Fujiwara, Toshiro Yonei, Toshio Sato","doi":"","DOIUrl":"","url":null,"abstract":"A 65-year-old man had suffered from systemic erythema from November 2008 and had noticed gradually progressing weakness in the upper and lower limbs. He received medical treatment in another hospital but his symptoms did not improve. He was admitted to our hospital for treatment of diabetes in June 2009, and his chest X-ray images and CT scans showed a mass shadow in the right upper lobe with hilar and mediastinal lymphadenopathy. We performed bronchoscopy, and diagnosed small cell lung cancer (T2N2M1, stage IV). However, he had hand grip weakness and continuing upper and lower limb muscle weakness, and therefore electromyography was performed, which showed the presence of waxing in the right leg. Subsequently, a diagnosis of Lambert-Eaton myasthenic syndrome was made. As he also showed ataxia of the left lower extremity, we also diagnosed paraneoplastic cerebellar degeneration. We gave the patient chemotherapy consisting of carboplatin and etoposide which resulted in the disappearance of his waxing, and his grip strength and erythema immediately improved with regression of the tumor after 1 course of chemotherapy. We report a case of small cell lung cancer associated with Lambert-Eaton myasthenic syndrome, paraneoplastic cerebellar degeneration and erythema which presented as paraneoplastic syndrome, which improved with chemotherapy.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 7","pages":"517-22"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29934287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A brain abscess as a complication of hepatopulmonary syndrome coexisting with interstitial pneumonia]. [肝肺综合征并发间质性肺炎并发脑脓肿]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-07-01

Toyoshi Yanagihara, Atsushi Moriwaki, Nanae Seki, Kentaro Akata, Tomotoshi Imanaga

引用次数: 0

[A case of Sjogren syndrome coexistent with MALT lymphoma occurring along the parotid gland and trachea]. 【干燥综合征合并MALT淋巴瘤沿腮腺及气管发生1例】。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-07-01

Kazuma Sekine, Naoki Miyao, Naoko Harada, Masaki Akao, Naoya Nakamura, Masahiro Kizaki, Osamu Suzuki

引用次数: 0

[Examination of the inspiratory flow rates of COPD patients in Japanese medical facilities]. [日本医疗机构慢性阻塞性肺病患者吸气流量的检查]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-07-01

Mitsuhide Ohmichi, Hiroyuki Ohbayashi, Kazuhiko Oki, Soichiro Hozawa, Akihiko Miyatake

{"title":"[Examination of the inspiratory flow rates of COPD patients in Japanese medical facilities].","authors":"Mitsuhide Ohmichi, Hiroyuki Ohbayashi, Kazuhiko Oki, Soichiro Hozawa, Akihiko Miyatake","doi":"","DOIUrl":"","url":null,"abstract":"Unlabelled: Chronic obstructive pulmonary disease (COPD) is treated primarily with inhalation therapy. However, as many COPD patients are elderly, whether or not patients inhale dry powder at an adequate inspiratory flow rate requires investigation. We therefore conducted a multicenter investigation of the effects of height, body weight, age, disease severity, and other factors on inspiratory flow rate in COPD patients.Methods: We measured inspiratory flow rates and forced expiratory volume in the first second (FEV1) with the In-Check Dial (Clement Clarke) fitted with a discus adapter in 175 COPD patients of 40 years old and over (mean age 71.3, men 89.1%, women 10.9%).Results: A total of 98.9% of the patients had an inspiratory flow rate exceeding 30L/minute. Two patients had a rate of 30L/minute or less. The mean inspiratory flow rate was 98 +/- 30L/minute overall, 104 +/- 27L/minute in mild COPD, 109 +/- 28L/minute in moderate COPD, 91 +/- 26L/minute in severe COPD, 71 +/- 24L/minute in very severe COPD, and 83 +/- 28L/minute in patients 75 years and older. Inspiratory flow rates significantly correlated with body mass index and FEV1.Conclusion: Most elderly patients with COPD maintained a sufficient inspiratory flow rate when inhaling dry powder.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 7","pages":"479-87"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29932808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Two cases of type I respiratory failure managed by the highFO nebulizer]. highFO喷雾器治疗I型呼吸衰竭2例

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-07-01

Kei Nakashima, Nobuhiro Asai, Yoshihiro Ohkuni, Ryo Matsunuma, Takuya Iwasaki, Norihiro Kaneko

{"title":"[Two cases of type I respiratory failure managed by the highFO nebulizer].","authors":"Kei Nakashima, Nobuhiro Asai, Yoshihiro Ohkuni, Ryo Matsunuma, Takuya Iwasaki, Norihiro Kaneko","doi":"","DOIUrl":"","url":null,"abstract":"Among conventional oxygen therapies there are currently no devices which can supply a high oxygen level of over 60%. The HighFO nebulizer (Koike Medical) is a new device which is able to supply an oxygen flow rate of over 35l/min, and a high concentration of oxygen. We report 2 cases of type I respiratory failure managed by the HighFO nebulizer. Case 1: A 70-year-old man with lung cancer had an acute exacerbation of radiation pneumonitis during chemoradiotherapy. We gave him an oxygen mask with a reserve bag, but his condition worsened. We then used the HighFO nebulizer followed by non-invasive positive pressure ventilation. He began to recover and we again used the HighFO nebulizer during the weaning period. Case 2: A 74-year-old man presented with acute exacerbation of interstitial pneumonitis. We started steroid pulse therapy, HighFO nebulizer treatment and physiotherapy to prevent disuse syndrome. We were able to raise his exercise stress levels due to the high concentration of oxygen provided by the HighFO nebulizer. We believe that the HighFO nebulizer is useful for type-I respiratory failure as well as interstitial pneumonia. However, oxygen toxicity is a potential problem, so we must accumulate more cases in order to fully assess the risks and benefits of this new modality.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 7","pages":"511-6"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29934286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Two cases of drug-induced intrathoracic lesions caused by mesalazine in patients with ulcerative colitis]. 【美沙拉嗪致溃疡性结肠炎患者药源性胸内病变2例】。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-07-01

Hisanori Machida, Tsutomu Shinohara, Nobuo Hatakeyama, Mami Inayama, Emiko Hosokawa, Fumitaka Ogushi

引用次数: 0