Nihon Kyukyu Igakukai Zasshi最新文献_第10页

A case of tension pneumoperitoneum in which Basic Life Support and prompt decompression was successful 张力性气腹1例，基本生命支持和及时减压成功

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.734

K. Tamehiro, T. Tsuru, H. Koga, Hiroji Shima, Hisashi Kuroda, Masaya Tanaka, K. Taki

{"title":"A case of tension pneumoperitoneum in which Basic Life Support and prompt decompression was successful","authors":"K. Tamehiro, T. Tsuru, H. Koga, Hiroji Shima, Hisashi Kuroda, Masaya Tanaka, K. Taki","doi":"10.3893/JJAAM.25.734","DOIUrl":"https://doi.org/10.3893/JJAAM.25.734","url":null,"abstract":"A of We herein report on a case in which cardiopulmonary arrest (CPA) was caused due to tension pneumoperitoneum during upper gastrointestinal endoscopy, and the patient was successfully treated by carrying out prompt decompression. The patient was a 63-year-old male. He suffered from epigastralgia and had previously consulted another doc-tor. CPA took place during upper gastrointestinal endoscopy, and he was transported to our institute under cardiopulmonary resuscitation. Over-swelling of the jugular vein and abdominal distension were observed. He was diagnosed to have tension pneumoperitoneum, which occurred during upper gastrointestinal endoscopy. Tube drainage was carried out promptly. Soon after the treatment, his abdomen became flat and a return of spontaneous circulation was observed. He underwent an omental implantation repair and received intensive care after the surgery. The patient was discharged without any aftereffects. Tension pneumoperitoneum is a very rare disease and there are only a few reports on this occurrence. We should keep in mind that its occurrence requires a high degree of urgency. Moreover, a good prognosis may be possible by carrying out accurate BLS, making a timely diagnosis, and performing decompression promptly, even in cases of CPA.","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"6 1","pages":"734-738"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84327311","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: 2

鼻出血で救急搬送された「たこつぼ型心筋症」の1症例因鼻出血被紧急运送的“章鱼穴型心肌病”的1个病例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2013-12-15 DOI: 10.3893/JJAAM.24.1007

厚志小寺, 晋輔岩下, 武士池田, 藤末昴一郎, 淳夫小島, 久雄小川, 俊志笠岡

引用次数: 0

脱法ドラッグ（pyrovalerone）中毒により多彩な症状を示した1例脱法迷药(pyrovalerone)导致多种症状的一个例子

Nihon Kyukyu Igakukai Zasshi Pub Date : 2013-11-15 DOI: 10.3893/JJAAM.24.959

雅庸津田, 福樹齊藤, 峻也長谷川, 克子原, 豊小宮山, 壽男中谷

引用次数: 0

敗血症におけるneutrophil extracellular traps（NETs），damage-associated molecular patterns（DAMPs），そして細胞死败血症中的neutrophil extracellular traps (NETs)， damage-associated molecular patterns (DAMPs)，以及细胞死亡

Nihon Kyukyu Igakukai Zasshi Pub Date : 2013-10-15 DOI: 10.3893/JJAAM.24.827

M. Murai, Isao Nagaoka, Yoko Tabe

{"title":"敗血症におけるneutrophil extracellular traps（NETs），damage-associated molecular patterns（DAMPs），そして細胞死","authors":"M. Murai, Isao Nagaoka, Yoko Tabe","doi":"10.3893/JJAAM.24.827","DOIUrl":"https://doi.org/10.3893/JJAAM.24.827","url":null,"abstract":"In addition to pathogen-associated molecular patterns (PAMPs) from invasive microorganisms, alarmins, which are major components of host defense mechanisms, are involved in the pathophysiology of sepsis. In fact, the magnitude of the insult is defined according to the damage-associated molecular pattern (DAMP), which is composed of alarmins as well as PAMPs, such as those involving the nucleosome, histones and DNA. Regarding the antimicrobial mechanism of neutrophils, an alternative non-phagocytic mechanism was first recognized as NETosis in 2004. In this mechanism, microorganisms are trapped and eliminated by neutrophil extracellular traps (NETs). NETs are composed of histones and DNA that have been expelled from the nucleus as well as antimicrobial proteases, includ-ing elastase and myeloperoxidase. NETosis, a cell-death pathway reported to be distinct from apoptosis, is an active area of recent research. Since NETs are composed of deleterious substances, they are extremely harmful to the host cells once they released into the circulating blood. Therefore, the meanings and putative roles of these components in sepsis has attracted much attention. (JJAAM. 2013; 24:","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"273 1","pages":"827-836"},"PeriodicalIF":0.0,"publicationDate":"2013-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75918931","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: 1

救急救命士の処置拡大に関する意識度調査－血糖測定とブドウ糖溶液の投与，吸入β刺激薬，心肺機能停止前の静脈路確保－关于急救人员扩大措施的意识度调查-测定血糖和给予葡萄糖溶液，吸入β刺激性药物，确保心肺功能停止前的静脉通道

Nihon Kyukyu Igakukai Zasshi Pub Date : 2013-09-15 DOI: 10.3893/JJAAM.24.751

憲伊関, 大山亜紗美, 昌子林田, 田勢長一郎

引用次数: 0

病院外心肺停止患者に対する蘇生処置中の脳内酸素飽和度(rSO2)の継時的変化对医院外心肺停止的患者进行复苏处理时脑内氧饱和度(rSO2)的继发性变化

Nihon Kyukyu Igakukai Zasshi Pub Date : 2013-09-15 DOI: 10.3893/JJAAM.24.774

泰賢中堀, 智也廣瀬, 忠彦塩崎, 新史小川, 光雄大西, 聡藤見, 岳士嶋津

引用次数: 8

偶発性低体温症に合併した非閉塞性腸管虚血症（NOMI）の1例偶发性低体温症合并非闭塞性肠缺血症(NOMI)的1例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2013-07-15 DOI: 10.3893/JJAAM.24.437

Y. Hirano, N. Hayashi, Y. Sumi, Yoshiaki Inoue, Shigeru Matsuda, Kenta Okamoto, Hiroshi Tanaka

引用次数: 1

震災支援者のストレスマネージメントおけるSignificant Event Analysisの有用性について－非盲検化ランダム化比較試験－非盲随机对照试验——关于Significant Event Analysis在震灾救援人员压力管理中的有效性

Nihon Kyukyu Igakukai Zasshi Pub Date : 2013-06-15 DOI: 10.3893/JJAAM.24.321

亮輔宮道, 鎮清石川, 茂尾身

引用次数: 2

頭頸部外傷患者における頸椎CT撮影の新たなclinical decision ruleの提案对头颈部创伤患者的颈椎CT成像提出新的clinical decision rule

Nihon Kyukyu Igakukai Zasshi Pub Date : 2013-04-15 DOI: 10.3893/JJAAM.24.192

剛志稲垣, 昭夫木村, 章嘉萩原, 亮佐々木, 卓郎新保

引用次数: 1

Multidetector-row CTにより2個の遅発性仮性動脈瘤の自然消失を描出し得た鈍的肝損傷の1例 Multidetector-row CT显示两个迟发性假性动脉瘤自然消失的一例钝性肝损伤

Nihon Kyukyu Igakukai Zasshi Pub Date : 2013-04-15 DOI: 10.3893/JJAAM.24.231

敦彦尾中, 啓佑高野, 宏保岡, 徹植山, 正訓松阪, 達也中村

{"title":"Multidetector-row CTにより2個の遅発性仮性動脈瘤の自然消失を描出し得た鈍的肝損傷の1例","authors":"敦彦尾中, 啓佑高野, 宏保岡, 徹植山, 正訓松阪, 達也中村","doi":"10.3893/JJAAM.24.231","DOIUrl":"https://doi.org/10.3893/JJAAM.24.231","url":null,"abstract":"A case of blunt hepatic injury with spontaneous resolution of two delayed hepatic pseudoaneurysms depicted on multidetector-row CT Atsuhiko Onaka, Keisuke Takano, Hiroyasu Oka, Toru Ueyama Masanori Matsusaka, Tatsuya Nakamura Emergency and Critical Care Center, Nara Prefectural Nara Hospital There have been few reports on spontaneous resolution of pseudoaneurysms after blunt hepatic injury. We report a case of blunt hepatic injury with spontaneous resolution of two delayed pseudoaneurysms depicted on multidetectorrow CT (MDCT). The patient was a 17-year-old male with hepatic injury after a motorcycle accident. Initial MDCT showed a complex deep hepatic injury, and there was no extravasation and no pseudoaneurysm on angiography. On a following MDCT, delayed formation of a 6-mm pseudoaneurysm on the 12th day after injury and a spontaneous resolution on the 19th day after injury were seen. Moreover, another 4-mm pseudoaneurysm was depicted on the 19th day after injury and disappeared on the 26th day after injury on MDCT. In this patient, pseudoaneurysms observed on arterial phase MDCT images were not be visualized in the portal venous phase, and arterial phase MDCT images were useful to demonstrate spontaneous resolution of delayed pseudoaneurysms. Arterial phase MDCT images could improve the detection of pseudoaneurysms. To evaluate pseudoaneurysms after blunt hepatic injury properly, arterial phase MDCT images are essential. (JJAAM. 2013; 24: 231-6)","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"37 1","pages":"231-236"},"PeriodicalIF":0.0,"publicationDate":"2013-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86143824","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