Nihon Kyukyu Igakukai Zasshi最新文献_第6页

Failure of airwayscope-assisted tracheal intubation in a case of drug-induced anaphylaxis 气管镜辅助气管插管失败1例药物性过敏反应

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.229

Y. Oi, Shintaro Furugori, T. Sakai, J. Matsumoto, R. Yazawa, R. Furuya, S. Imaki

引用次数: 0

A case of massive hemorrhage from perineal impalement injuly applying transcatheter arterial embolization 经导管动脉栓塞治疗会阴穿刺大出血1例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.69

Nobuhiro Hayashi, M. Takemoto, Y. Sumi, Y. Inoue, S. Matsuda, Ken Okamoto, Hiroshi Tanaka

引用次数: 0

Cross-sectional and MPR CT in the diagnosis of uterine pyometra with spontaneous perforation: a case report 子宫脓孔自发性穿孔的横断及MPR CT诊断1例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.301

Kiyosei Yamamoto, M. Ogawa, Y. Yoshimura, S. Ohsumi, Y. Aomatsu

引用次数: 0

A report of 8 cases with thyroid crisis treated in an emergency and critical care center 8例甲状腺危象在急诊重症监护中心治疗的报告

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.879

Y. Yagi, H. Hazui, Y. Shimizu, Ryousuke Zushi, Takuya Goto, Yasuo Oishi, H. Akimoto

{"title":"A report of 8 cases with thyroid crisis treated in an emergency and critical care center","authors":"Y. Yagi, H. Hazui, Y. Shimizu, Ryousuke Zushi, Takuya Goto, Yasuo Oishi, H. Akimoto","doi":"10.3893/JJAAM.25.879","DOIUrl":"https://doi.org/10.3893/JJAAM.25.879","url":null,"abstract":"A report of Background : Due to its severity, thyroid crisis (TC) is occasionally treated in emergency care centers without ex-perts on endocrine disease. Objective : To clarify clinical outcomes and prognostic factors for TC treated in our hospital. Cases : Data were retrospectively collected from 8 patients (mean age, 48 years; 2 males) diagnosed with TC after 2000. All patients had Graves’ disease and were not on anti-thyroid drugs at onset. Plasma exchange (PE) was per-formed for 4 patients. Three patients who required PE and circulatory support (CS) for shock died due to non-ob-structive mesenteric infarction (n=1) or liver deficiency (n=2), although all patients were removed from CS and an-other patient died due to sepsis after surgery. In comparisons between the 4 survivors and 4 non-survivors, SOFA score (5.3 vs. 10.0; p=0.04) was significantly higher and total bilirubin value (TB) (0.9 mg/dL vs. 3.7 mg/dL; p=0.19), systolic blood pressure (SBP) (135 mmHg vs. 80.3 mmHg; p=0.25) and plasma glucose level (PG) (131.5 mg/dL vs. 66.3 mg/dL; p=0.159) tended to be higher, lower and lower in NS than S, respectively. Conclusions : TC patients with high TB and low SBP and PG in addition to high SOFA score might warrant particu-lar attention. (JJAAM.","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"33 1","pages":"879-884"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89826984","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

Evaluating the association between super-antigens and acute infectious purpura fulminans: a case report 评价超抗原与急性感染性暴发性紫癜的关系:1例报告

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.152

Hayato Taniguchi, R. Fujisaki, T. Ishida, T. Sakamoto, N. Morimura

{"title":"Evaluating the association between super-antigens and acute infectious purpura fulminans: a case report","authors":"Hayato Taniguchi, R. Fujisaki, T. Ishida, T. Sakamoto, N. Morimura","doi":"10.3893/JJAAM.25.152","DOIUrl":"https://doi.org/10.3893/JJAAM.25.152","url":null,"abstract":"Acute infectious purpura fulminans (AIPF) is a rare life-threatening disease that causes septic shock and disseminated intravascular coagulation, with localized purpura of the extremities. However, it has not been well documented. Herein, we describe the pathology of AIPF in relation to the presence of super-antigens. A 74-year-old woman was brought to the hospital with disturbed consciousness. Six hours after, the patient progressed into septic shock and developed localized purpura over the extremities. On the 4th day, the skin began to peel, which resulted in dry gangrene. Streptococcus pneumoniae was identified from blood cultures taken on the 5th day. Therefore, we diagnosed the patient with AIPF. However, despite providing intensive care, the patient died on the 16th day. Owing to the rapid onset of skin symptoms, we suspected the involvement of super-antigens in the pathogenesis of AIPF. On the basis of a previous report that suggested a relationship between super-antigens and AIPF, we evaluated the patient for the presence of such an association. However, we did not detect any super-antigens. There is a significant need for future studies to evaluate the association between super-antigens and AIPF, including screening for the presence of other super-antigens that were not measured in this study.","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"25 1","pages":"152-158"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81200450","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

Takotsubo cardiomyopathy triggered by hypoglycemic coma after anorexia: a case report 厌食症后低血糖昏迷诱发Takotsubo心肌病1例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.159

K. Ueyama, Sanae Hosomi, Machiko Kanzaki, Y. Sakata, Y. Ogura, I. Komuro, T. Shimazu

{"title":"Takotsubo cardiomyopathy triggered by hypoglycemic coma after anorexia: a case report","authors":"K. Ueyama, Sanae Hosomi, Machiko Kanzaki, Y. Sakata, Y. Ogura, I. Komuro, T. Shimazu","doi":"10.3893/JJAAM.25.159","DOIUrl":"https://doi.org/10.3893/JJAAM.25.159","url":null,"abstract":"Takotsubo cardiomyopathy triggered by hypoglycemic A 61-year-old woman with a history of diabetes mellitus arrived at our hospital’s emergency department in hypoglycemic coma following loss of appetite for 3 weeks. Initial blood glucose level was 24 mg/dL. Although she respond-ed to intravenous glucose administration and recovered from the coma, electrocardiography demonstrated ST elevation in leads II, III and aVF, and echocardiography revealed asynergy at the cardiac apex. This episode was followed by slightly increased serum levels of creatine kinase MB and troponin I. ST elevation had almost returned to baseline at 1 hour after admission, but 2 hours later, negative T waves were observed in leads II, aVF and V6. Coronary angi-ography revealed no critical coronary artery disease, and left ventriculography showed apical and inferior wall hypo-kinesis. Takotsubo cardiomyopathy was diagnosed. Her clinical course was uneventful. Although the electrocardiogram (ECG) showed deep T-wave inversion in leads II, III and aVF, echocardiographic evaluation on hospital day 7 showed resolution of the left ventricular dysfunction. Only a few cases of takotsubo cardiomyopathy after hypoglycemic coma have been reported. When prolonged anorexia causes hypoglycemia in a patient and an abnormal ECG is observed, the possibility of takotsubo cardiomyopathy should not be overlooked.","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"11 1","pages":"159-164"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74507449","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 pentazocine addiction in a physician imposter at hospitals in three prefectures within the Tohoku region of Japan 在日本东北地区的三个县的医院里，一名冒牌医生对戊唑嗪成瘾的案例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.307

M. Onodera, N. Koizumi, Y. Fujino, S. Kikuchi, Y. Inoue, A. Sakai, S. Endo

引用次数: 0

Fulminant-type pneumococcal infection in a heavy drinker: a case report 重度饮酒者暴发性肺炎球菌感染1例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.273

Hiroki Kamei, Y. Imai, H. Nishioka

引用次数: 0

A case of delayed rupture of an intrasplenic pseudoaneurysm after blunt abdominal trauma 钝性腹部创伤后脾内假性动脉瘤延迟破裂1例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.295

Y. Okada, Y. Arai, R. Iiduka, K. Sakakibara, W. Ishii, S. Higaki, M. Kitamura