Nihon Kyobu Shikkan Gakkai zasshi最新文献_第9页

[A case of mediastinal seminoma undergoing extremely cystic degeneration]. 纵隔精原细胞瘤伴极囊性变性1例。

Nihon Kyobu Shikkan Gakkai zasshi Pub Date : 1997-10-01

K Kataoka, N Seno

引用次数: 0

[A case of chronic pigeon breeder's lung]. [慢性养鸽人肺一例]。

Nihon Kyobu Shikkan Gakkai zasshi Pub Date : 1997-10-01

M Tsukagoshi, S Ohno, Y Sugiyama, S Kitamura, K Saito

引用次数: 0

[Normal predicted values of CT indices reflect emphysematous alterations in the lung]. [CT指标正常预测值反映肺内肺气肿改变]。

Nihon Kyobu Shikkan Gakkai zasshi Pub Date : 1997-10-01

K Yamaguchi, K Soejima, H Matsubara, T Oguma, T Inoue, H Shimada, M Mori, K Suzuki, E Koda

{"title":"[Normal predicted values of CT indices reflect emphysematous alterations in the lung].","authors":"K Yamaguchi, K Soejima, H Matsubara, T Oguma, T Inoue, H Shimada, M Mori, K Suzuki, E Koda","doi":"","DOIUrl":"","url":null,"abstract":"In order to obtain normal values and 95% confidence limits of various CT indices, healthy adult subjects with no history of smoking (n = 36) underwent CT scanning under a variety of conditions. By then applying the normal limits thus obtained to CT images of COPD patients (n = 45), we examined the sensitivity for detecting abnormal emphysematous changes in the lung fields. To measure emphysematous alterations, we used the average value of lung CT densities (ROI), the maximally appearing value in a CT histogram (Hist. Peak), the relative area with low CT densities below -910 HU (%LDA) and the total cross-sectional area (Area) in each lung section. Regardless of the section thickness (10 mm or 1 mm), the lung volume level at which the breath was held or the site from which CT images were taken (upper, middle or lower lung field), no significant correlation was observed between the CT indices associated with emphysematous changes and the subjects' age. This allowed us to define, independently of the subjects' age, normal values and 95% confidence limits for the CT indices. Among the CT indices surveyed, %LDA was found to be the most sensitive indicator for detecting emphysematous abnormalities. In so far as the extent of emphysema may be determined by lung CT density, classical CT images of 10-mm section thickness appear to have a sufficiently high sensitivity for the detection of emphysematous abnormalities, such that high-resolution CT may be unnecessary.","PeriodicalId":19255,"journal":{"name":"Nihon Kyobu Shikkan Gakkai zasshi","volume":"35 10","pages":"1060-6"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20392551","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 cardiovascular Behçet's disease detected as multiple nodular shadows on chest X-ray]. [1例心血管behaperet病胸部x线表现为多发结节影]。

Nihon Kyobu Shikkan Gakkai zasshi Pub Date : 1997-10-01

H Yoshimura, J Ishii, N Watanabe, A Aida, K Miyamoto, Y Kawakami, M Fujita

{"title":"[A case of cardiovascular Behçet's disease detected as multiple nodular shadows on chest X-ray].","authors":"H Yoshimura, J Ishii, N Watanabe, A Aida, K Miyamoto, Y Kawakami, M Fujita","doi":"","DOIUrl":"","url":null,"abstract":"A case of cardiovascular Behçet's disease is reported. A 30-year-old man was admitted to our hospital with a high fever. Multiple nodular shadows were revealed on chest X-ray. Echocardiography revealed a mural thrombus in the right ventricle. A diagnosis of multiple pulmonary septic embolisms was made, and antibiotics were administered. The mural thrombus soon resolved, but later recurred in the same location. On the 90th day after admission. The mural thrombus was surgically removed. Histologically, the thrombus consisted of numerous neutrophils and fibrin. Examination of the endocardium attached to the thrombus revealed nonspecific inflammation, with fibrotic change and necrosing granulation present. A diagnosis of cardiovascular Behçet's disease was made based on the following findings: oral ulcerations, acneiform nodules, thrombophlebitis, bilateral uveitis, and positive HLA-B51. After treatment with steroid hormones and cyclosporine, the thrombus resolved completely, and inflammatory signs diminished. Though various clinical and pathological characteristics of cardiovascular Behçet's disease have been reported, it is rare for a mural thrombus to produce multiple pulmonary septic embolisms.","PeriodicalId":19255,"journal":{"name":"Nihon Kyobu Shikkan Gakkai zasshi","volume":"35 10","pages":"1074-9"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20391286","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 pulmonary sarcoidosis mimicking relapse of pulmonary tuberculosis]. [肺结节病模仿肺结核复发1例]。

Nihon Kyobu Shikkan Gakkai zasshi Pub Date : 1997-10-01

N Arakaki, T Shinzato, M Tohyama, A Miyazato, F Higa, H Ohshiro, H Kaneshima, A Saito

引用次数: 0

[Meigs' syndrome associated with adenocarcinoma of the left fallopian tube]. [Meigs综合征与左输卵管腺癌相关]。

Nihon Kyobu Shikkan Gakkai zasshi Pub Date : 1997-10-01

T Shigenaga, Y Sugama, S Kitamura, K Kuriki, K Saito

引用次数: 0

[The family function of patients on home oxygen therapy and their main caregivers]. 【家庭氧疗患者及其主要护理人员的家庭功能】。

Nihon Kyobu Shikkan Gakkai zasshi Pub Date : 1997-10-01

S Sato, K Takada, T Tsukamoto, H Okumura, H Ikeda, M Takahashi, T Sayama, E Itou, S Hujii, H Kimura, T Sugawara

{"title":"[The family function of patients on home oxygen therapy and their main caregivers].","authors":"S Sato, K Takada, T Tsukamoto, H Okumura, H Ikeda, M Takahashi, T Sayama, E Itou, S Hujii, H Kimura, T Sugawara","doi":"","DOIUrl":"","url":null,"abstract":"We examined family APGAR scores in patients on home oxygen therapy (n = 101) and their main caregivers (n = 91), and compared them with those obtained from members of a seniors' club who were not on home oxygen therapy themselves, nor had any family members on home oxygen therapy. Furthermore, the relationship between the main caregivers recognition of the patients' mental state and the patients' CESD score was examined. Family APGAR scores for the main caregivers were significantly lower than those of the patients (p < 0.002), or the seniors' club members (p < 0.004). Since most the main caregivers were women, we compared family APGAR scores of the female main caregivers and the age-matched female members of the seniors' club, revealing that the satisfaction of the female main caregivers with the \"adaptation\" component of the APGAR score (the component dealing with support given when something troublesome happens), was significantly lower than that of the members of the seniors' club (p < 0.0001). The CESD of the patients whom the main caregivers recognized as depressed was significantly higher. Thus, we concluded that satisfaction of the main caregivers with family function who were family members was low, and that the role of the main caregivers is important in alleviating the depression of patients on home oxygen therapy.","PeriodicalId":19255,"journal":{"name":"Nihon Kyobu Shikkan Gakkai zasshi","volume":"35 10","pages":"1054-9"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20392550","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

[Interstitial pneumonia associated with human adjuvant disease which developed 30 years after silicone augmentation mammoplasty]. 【硅胶隆胸术后30年发生的与人辅助性疾病相关的间质性肺炎】。

Nihon Kyobu Shikkan Gakkai zasshi Pub Date : 1997-10-01

Y Miyata, R Okano, Y Kuratomi

{"title":"[Interstitial pneumonia associated with human adjuvant disease which developed 30 years after silicone augmentation mammoplasty].","authors":"Y Miyata, R Okano, Y Kuratomi","doi":"","DOIUrl":"","url":null,"abstract":"A 51-year-old woman was admitted to our hospital with exertional dyspnea, swelling and stiffness in her fingers. Raynaud's phenomenon and mammary and axillary lymphadenopathy. She had received silicone augmentation mammoplasty 30 years ago, and had since noticed bilateral mammary and axillary lymphadenopathy that was stable in size. In the 2 years before admittance she had become aware of an exacerbation of the lymphadenopathy had begun to experience and exertional dyspnea several months before admission suggesting a connective tissue disease. Physical examination revealed symmetrical weakness of the proximal limb muscles and fine crackles in the base of both lungs. Elevated myogenic enzymes, inflammatory reactions, and positive anti-SSA antibody were noted. Based upon these findings, muscle and lip biopsy results, myogenic EMG, and an apple tree appearance on sialography, a differential diagnosis of polymypositis or sjögren's syndrome was made. Axillary lymph node biopsy findings were consistent with silicone lymphadenitis. In addition, chest roentgenogram and HRCT (which revealed decreased lung volumes and interstitial opacities with no honeycombing, present predominatly in the subpleural space), pulmonary function tests (decreased VC and DLco), bronchoalveolar lavage (elevated total cell count and neutrophil and eosinophil fractions), and transbronchial lung biopsy specimens (unevently distributed alveolitis with fibrosis) indicated concurrent interstitial pneumonia. The clinical correlation between exacerbation of silicone lymphadenopathy and the development of connective tissue disease with accompanying interstitial pneumonia strongly suggested human adjuvant disease (HAD) as the pathogenesis. To our knowledge, interstitial pneumonia associated with HAD is rare.","PeriodicalId":19255,"journal":{"name":"Nihon Kyobu Shikkan Gakkai zasshi","volume":"35 10","pages":"1093-8"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20391289","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 woman with chronic pigeon-breeder's disease]. [患有慢性鸽子饲养者病的老年妇女]。

Nihon Kyobu Shikkan Gakkai zasshi Pub Date : 1997-10-01

N Yoshimura, H Nodera, M Ohkouchi, K Atarashi, K Tsukimoto, H Beppu, O Matsubara, Y Nakatani, Y Yoshizawa

{"title":"[An elderly woman with chronic pigeon-breeder's disease].","authors":"N Yoshimura, H Nodera, M Ohkouchi, K Atarashi, K Tsukimoto, H Beppu, O Matsubara, Y Nakatani, Y Yoshizawa","doi":"","DOIUrl":"","url":null,"abstract":"A 64-year-old woman had been feeding more than 60 pigeons in a coop in her back yard for 35 years. Diffuse reticulonodular shadows were found on a chest radiograph obtained as part of an annual check-up eight years before admission to the hospital. She was given a tentative diagnosis of idiopathic pulmonary fibrosis and was observed. She was admitted to our hospital because she noticed dry coughing and shortness of breath. A chest CT scan revealed segmentally distributed honeycombing and bronchi-bronchioloectasis. Tests for IgA and IgG antibodies to extracts of pigeon droppings in serum samples and in samples of bronchoalveolar lavage fluid were strongly positive, as were tests for lymphocyte blastogenic responses to samples of pigeon serum Examination of lung-biopsy specimens obtained by video-assisted thoracoscopic surgery revealed bronchiolitis, alveolitis, and honeycombing in a centrilobular distribution. The patient was given a diagnosis of pigeon-breeder's disease. Chronic hypersensitivity pneumonitis without acute episodes might be misdiagnosed as idiopathic interstitial pneumonia or bronchiectasis, as happened in this case. The possibility of chronic hypersensitivity pneumonitis should be considered when patients are suspected to have pulmonary fibrosis. It is important to obtain the detailed information on past or current avian contact, working history, and the home environment.","PeriodicalId":19255,"journal":{"name":"Nihon Kyobu Shikkan Gakkai zasshi","volume":"35 10","pages":"1067-73"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20392552","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 fluorouracil-induced pneumonitis]. [氟尿嘧啶致肺炎1例]

Nihon Kyobu Shikkan Gakkai zasshi Pub Date : 1997-10-01

H Andou, K Itoh, T Tsuda

引用次数: 0