Nihon Kyukyu Igakukai Zasshi最新文献_第5页

Effectiveness and safety of endovascular stenting for blunt renal artery injury: partially occluded five cases 血管内支架置入术治疗钝性肾动脉损伤的有效性和安全性:部分闭塞5例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.9

Ichiro Okada, N. Kiriu, Junichi Inoue, H. Kato, Y. Koido, T. Hattori, Kohei Morimoto

{"title":"Effectiveness and safety of endovascular stenting for blunt renal artery injury: partially occluded five cases","authors":"Ichiro Okada, N. Kiriu, Junichi Inoue, H. Kato, Y. Koido, T. Hattori, Kohei Morimoto","doi":"10.3893/JJAAM.25.9","DOIUrl":"https://doi.org/10.3893/JJAAM.25.9","url":null,"abstract":"Objective : The purpose of renal artery stent placement is to preserve renal function and prevent renovascular hypertension. We here evaluated the effectiveness and safety of renal artery stent placement for blunt renal artery injury at our institution. Materials and Methods : We retrospectively reviewed five patients (4 males, and 1 female) with partially occluded renal artery injury that had been treated with stenting over a 10-year period at our institution. Results : Trauma resulted from falling in four patients and a motor vehicle accident in one. All patients received mul-tiple injuries (median injury severity score, 32; range, 22-57). Median survival probability was 0.547 (0.533-0.980). And median follow-up duration was 12 (3-110) months. Although two patients developed reversible acute renal failure, none required permanent hemodialysis. Furthermore all patients survived, and no direct stenting complications were observed. At follow-up, contrast computed tomography scanning showed renal artery patency and an absence of renal atrophy in these patients. Renal scintigraphy was performed in three patients and showed renal function preservation. One patient with renovascular hypertension was successfully treated with antihypertensive agents for a month and subsequently became normotensive without requiring further medication. Conclusions : All patients survived renal artery stenting with no direct complications. In addition, the renal function was preserved without permanent renovascular hypertension. We therefore consider that renal artery stent placement is an effective and favorable treatment option for partially occluded blunt renal artery injury.","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"45 1","pages":"9-15"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79162724","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

Investigation of increase of the serum procalcitonin levels in the acute phase in trauma patients 创伤患者急性期血清降钙素原水平升高的研究

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.81

Masahiro Harada, H. Uenohara, K. Sugita, T. Kikuno, Y. Koido, A. Kimura, Tatsuo Takahashi, Akinori Wakai, Sadao Kawasaki, Y. Miyagatani, T. Kaneko, Kazumi Kumagai, Hayato Takayama, Takeshi Takahashi

引用次数: 0

Availabilities of emergency patient registration system using information and communication technology 利用信息和通信技术的急诊病人登记系统的可用性

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.693

Shota Nakao, T. Matsuoka, T. Nakada, Y. Katayama

引用次数: 1

Kounis syndrome presenting with anaphylaxis and vasospastic angina: a case report 以过敏反应和血管痉挛性心绞痛为表现的库尼斯综合征1例报告

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.785

Takeshi Haoka, Yu Morishita, Yuki Naito, Shinsuke Onishi, S. Nara, I. Takahashi

引用次数: 1

Two cases of upper airway obstruction due to retropharyngeal hematoma after head and neck injuries 头颈部外伤后咽后血肿致上气道阻塞2例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.119

Masaou Tanaka, T. Yonemitsu, Y. Kawazoe, K. Miyamoto, M. Kida, Yasuhiro Iwasaki, S. Kato

引用次数: 0

A case of postpartum cardiopulmonary arrest involving amniotic fluid embolism 产后羊水栓塞致心肺骤停1例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.57

Y. Itagaki, K. Taki, H. Yamashita, T. Miike, H. Koga, K. Tamehiro, Misato Hayashi

{"title":"A case of postpartum cardiopulmonary arrest involving amniotic fluid embolism","authors":"Y. Itagaki, K. Taki, H. Yamashita, T. Miike, H. Koga, K. Tamehiro, Misato Hayashi","doi":"10.3893/JJAAM.25.57","DOIUrl":"https://doi.org/10.3893/JJAAM.25.57","url":null,"abstract":"A A 33-year-old primipara was transferred to our hospital after suffering massive uterine hemorrhage and shock one hour after normal delivery. Seven minutes after arrival, she displayed pulseless electrical activity (PEA), but was successfully resuscitated following nine-minute cardiopulmonary resuscitation (CPR). Transcatheter arterial embolization (TAE) was performed and she was admitted to intensive care unit (ICU). Following admission to ICU, the patient was diagnosed with disseminated intravascular coagulation (DIC) caused by amniotic fluid embolism. In addition to DIC treatment, she received methylprednisolone therapy for three days and underwent a two-day plasma exchange. On the 19th day of treatment, she developed cerebral venous sinus thrombosis and we started anticoagu-lant therapy. On the 23rd day of treatment, the patient again had uterine hemorrhage and underwent hysterectomy on the same day. She was pathologically diagnosed with Type 1 retained placenta (trapped placenta) and amniotic fluid embolism. The patient was discharged on the 134th day of treatment with a modified Rankin Scale of 1. Because amniotic fluid embolism is rare and has a poor prognosis, diagnosis and treatment of the disease require that differ-ent medical departments make quick judgments and have a cooperative system for intensive care in place. (JJAAM. 2014; 25: 57-62)","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"16 1","pages":"57-62"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88404690","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 traumatic injury of the superior mesenteric arteriovenous circulation 外伤性肠系膜上动静脉循环损伤1例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.267

K. Mizuno, Kazuyo Yoshida, Nobuhiro Miyamae, D. Nishizaki, R. Takeda, Shigeru Takahashi, H. Onoyama

引用次数: 0

Superior mesenteric vein thrombosis treated successfully by transarterial catheter-directed thrombolysis: a case report 经动脉导管溶栓成功治疗肠系膜上静脉血栓1例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.215

Tetsuya Takahashi, Toshitaka Ito, H. Endo, M. Takemoto, T. Takei, K. Yagi

引用次数: 0

Inferior vena cava injury with CT image suggesting intramural hematoma caused by abdominal blunt trauma: a case report 下腔静脉损伤的CT表现提示腹部钝性创伤所致壁内血肿1例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.885

Tomonori Kaburaki, S. Suzaki, A. Katsumi, N. Harada, S. Hara, C. Tanaka, T. Adachi

引用次数: 0

Nine cases of isolated dissection of visceral artery 孤立性内脏动脉夹层9例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.710

Daisuke Mizu, Takuro Hayashi, Takateru Ihara, Y. Matsuoka, Y. Kamitani, T. Atsumi, K. Ariyoshi

{"title":"Nine cases of isolated dissection of visceral artery","authors":"Daisuke Mizu, Takuro Hayashi, Takateru Ihara, Y. Matsuoka, Y. Kamitani, T. Atsumi, K. Ariyoshi","doi":"10.3893/JJAAM.25.710","DOIUrl":"https://doi.org/10.3893/JJAAM.25.710","url":null,"abstract":"Background : We need to consider emergency diseases typified by vascular lesions in sudden severe epigastralgia or back pain. Isolated visceral artery dissection is rare, but it is necessary to consider as the cause of sudden severe epigastralgia or back pain. Subjects & Methods : Between January 2010 and December 2012, nine cases diagnosed with dissection of isolated visceral artery were experienced in our hospital. We retrospectively examined their medical records to obtain patients’ data. Results : Four of the patients were men. The average age was 61±13 years. Six superior mesenteric artery, two celiac artery and one left gastric artery dissection were detected. As risk factors, there were four cases each of hypertension and smoking. All cases had sudden abdominal or back pain. Eight cases were diagnosed by contrasting CT (Com-puted Tomography), and one case by angiography. Four cases were diagnosed by radiologist, not emergency physician. D-dimer was elevated in 2 cases. No patients had organ ischemia, so all patients were well managed with conservative therapy. Conclusion : We need to consider isolated dissection of visceral artery as the cause of severe epigastralgia or back pain. CT is useful for diagnosis, but diagnosis is actually difficult. D-dimer is not useful in ruling out this disease. If intestinal ischemia is not detected, conservative management may provide a good course. (JJAAM. 2014; 25: 710-6)","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"23 1","pages":"710-716"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74547163","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