Nihon Kyukyu Igakukai Zasshi最新文献_第9页

Lumbar artery bleeding only with multiple transverse process fractures 腰椎动脉出血仅伴多发横突骨折

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.75

T. Ogino, S. Hagiwara, T. Ogawa, Yuki Ohtaka, Hiroaki Masubuchi, M. Kanbe, K. Ohshima

引用次数: 2

A blunt renal trauma case with delayed urinary extravasation 钝性肾外伤伴迟发性尿外渗1例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.779

A. Onaka, Shingo Ito, H. Oka, Toru Ueyama, Teruichirou Kitaoka, Masanori Matusaka, Tatsuya Nakamura

{"title":"A blunt renal trauma case with delayed urinary extravasation","authors":"A. Onaka, Shingo Ito, H. Oka, Toru Ueyama, Teruichirou Kitaoka, Masanori Matusaka, Tatsuya Nakamura","doi":"10.3893/JJAAM.25.779","DOIUrl":"https://doi.org/10.3893/JJAAM.25.779","url":null,"abstract":"To diagnose traumatic urinary extravasation, reexamination within 48 hours after initial excretory-phase computed tomography (CT) is recommended. We report a case of delayed traumatic urinary extravasation that was not detected on CT twice within 48 hours after injury. The patient was a 42-year-old female with blunt right renal injury. Initial CT showed a complex deep injury of the right lower kidney, no urinary extravasation, partial residual contrast medium in the injured renal parenchyma, and arterial extravasation that was not depicted on angiography. On the next day, excre-tory-phase CT images showed no urinary extravasation and partial residual contrast medium, and truncation of the right lower calyces was detected on maximum intensity projection (MIP) images. On the 8th day after injury, excreto-ry-phase CT images depicted urinary extravasation at the right lower kidney and disappearance of partial residual contrast medium. On MIP images, urinary extravasation was detected at the right lower calyces. Urinary extravasation spontaneously disappeared on the 21st day after injury. In this patient, obstruction of injured calyces was regarded as the cause of delayed excretion of contrast medium in the injured renal parenchyma and delayed urinary extravasation. MIP images were useful to detect calyceal obstruction and to diagnose delayed urinary extravasation.","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"40 1","pages":"779-784"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79556324","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

Pathophysiology and management of mild traumatic brain injury 轻度创伤性脑损伤的病理生理学和治疗

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.191

T. Miyauchi, Motoki Fujita, E. Suehiro, Yasutaka Oda, R. Tsuruta

{"title":"Pathophysiology and management of mild traumatic brain injury","authors":"T. Miyauchi, Motoki Fujita, E. Suehiro, Yasutaka Oda, R. Tsuruta","doi":"10.3893/JJAAM.25.191","DOIUrl":"https://doi.org/10.3893/JJAAM.25.191","url":null,"abstract":"Mild traumatic brain injury (mTBI) is a common reason for visiting an emergency department. In the last decade, there has been increasing interest in the delayed-onset cognitive and behavioral impairments that occur after repetitive mTBI, also known as chronic traumatic encephalopathy (CTE), in athletes and military personnel. Because many patients with mTBI are adolescents and the increasing incidence of mTBI has a significant social impact, re-searchers are exploring the mechanism underlying mTBI and its management. Cerebral concussion, a common type of mTBI, is associated with physical symptoms such as headache, dizziness, nausea, and temporary consciousness disturbance and shows no structural abnormalities on imaging studies. Because there are no diagnostic criteria for concussion, its symptoms should be carefully observed using established assessment tools. There are three sequential conditions related to mTBI with concussion: CTE, second impact syndrome, and post-concussion syndrome. Al-though repetitive mTBI is thought to increase the risk of progression of these related conditions, the mechanism is unclear. Patients with mTBI should rest from physical and cognitive activities, and avoid activities that could cause repetitive injury. For athletes, to avoid missing signs of worsening, a return-to-play protocol should be used in which the patient’s physical and cognitive conditions are evaluated at each stage of recovery. Rest and supportive care are the only ways to manage mTBI. There are currently no effective treatments to prevent worsening or prolongation of symptoms. To minimize the adverse outcomes of mTBI, especially in children whose brains are immature, it is vital to educate supervisors to prevent repetitive mTBI and to manage patients appropriately. In particular, supervisors should have a clear understanding of mTBI and its management, including strict adherence to protocols. It is also important to establish new guidelines for the management of patients with mTBI.","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"25 1","pages":"191-200"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87160164","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

Successful treatment of subscapular arterial injury following anterior shoulder dislocation by using a covered stent 带盖支架成功治疗肩前脱位后肩胛下动脉损伤

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.179

Noritaka Yada, T. Hirota, S. Kikuta, T. Usami, Katsuyuki Yamada

引用次数: 0

A case of spontaneous hemopneumothorax treated by transcatheter arterial embolization and thoracoscopic surgery 经导管动脉栓塞联合胸腔镜手术治疗自发性血气胸1例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.165

Y. Nozaki, Youhei Kawai, Shunsuke Nakamura, Kiyotsugu Iede, S. Hirabayashi, Eiji Ohnishi, J. Nagata

引用次数: 0

A patient with ethylthiometon poisoning in whom the dosage form possibly contributed to protracted central respiratory depression 乙基硫米顿中毒患者，其剂型可能导致持续性中枢呼吸抑制

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.16

S. Niiyama, O. Takasu, A. Nakamura, M. Takamatsu, N. Yamashita, K. Ushijima, Teruo Sakamoto

{"title":"A patient with ethylthiometon poisoning in whom the dosage form possibly contributed to protracted central respiratory depression","authors":"S. Niiyama, O. Takasu, A. Nakamura, M. Takamatsu, N. Yamashita, K. Ushijima, Teruo Sakamoto","doi":"10.3893/JJAAM.25.16","DOIUrl":"https://doi.org/10.3893/JJAAM.25.16","url":null,"abstract":"We report a patient who took a strongly toxic organic phosphorus preparation, ethylthiometon granules, to commit suicide, leading to protracted central respiratory depression, in which the dosage form may have been etiologically involved. The patient was a 56-year-old female. She took approximately 75 g of 5% ethylthiometon granules at home, and was admitted to our hospital. As respiratory depression was observed, endotracheal intubation was per-formed. Subsequently, gastric lavage was conducted. In addition, activated carbon was used for decontamination. As an antagonist, atropine was used. Stable spontaneous respiration could not be achieved for 1 month. Ventilator-de-pendent central respiratory depression was protracted. The ventilator was weaned off 34 days after admission. Based on previous case reports on ethylthiometon poisoning, the protracted respiratory depression in the present case was possibly associated with granules strongly adhering to the stomach. For organic phosphorus poisoning, treatment and management must be performed, considering the dosage form. In particular, granules may strongly adhere to the gastric wall. It may be necessary to perform upper digestive tract endoscopy in the early stage and decontamination of the digestive tract under direct vision. Furthermore, it may be necessary to perform repetitive gastric and intestinal lavage with charcoal.","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"296 1","pages":"16-22"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76486645","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 successfully treated case of blunt multiple trauma with cardiac tamponade from intrapericardial inferior vena cava injury, resulting in subsequent paradoxical cerebral embolism 一例成功治疗的钝性多发外伤心包内下腔静脉致心包填塞，并发异位性脑栓塞

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.254

J. Maehara, Yuichiro Kawano, Yujiro Nakayama, Y. Gushima, K. Takaji, K. Nishigami, T. Sakamoto

引用次数: 0

A case of volvulus of the intestine with chylous ascites 肠扭转伴乳糜腹水1例

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.233

W. Ishii, N. Sato, R. Iiduka, T. Ichikawa, Kazumasa Oda, S. Higaki, M. Kitamura

引用次数: 1

The relation between psychological conditions and mental health on the physicians working in prehospital care 院前护理医师心理状况与心理健康的关系

Nihon Kyukyu Igakukai Zasshi Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.141

M. Ichimura, Haruki Takada, T. Masuno, Mio Yoshino, Eri Inamoto, Y. Matsui, Hiroyuki Yokota