The Japanese journal of surgery最新文献_第6页

A new aspect of coronary artery spasm induced by cardiac surgery. 心脏手术引起的冠状动脉痉挛的一个新方面。

The Japanese journal of surgery Pub Date : 1991-07-01 DOI: 10.1007/BF02470967

K Kinoshita, K Matsuzaki, H Mayumi, T Asou, M Masuda, Y Kawachi, K Tokunaga

{"title":"A new aspect of coronary artery spasm induced by cardiac surgery.","authors":"K Kinoshita, K Matsuzaki, H Mayumi, T Asou, M Masuda, Y Kawachi, K Tokunaga","doi":"10.1007/BF02470967","DOIUrl":"https://doi.org/10.1007/BF02470967","url":null,"abstract":"Five patients developed coronary artery spasm during open heart surgery in our institute between 1984 and 1988. One patient was undergoing coronary artery bypass grafting and the other four valvular surgery or surgery for congenital heart disease. In one of the patients undergoing non-coronary surgery, the preoperative induction of right coronary artery spasm by ergonovine had been documented angiographically while the remaining three patients did not possess organic or functional coronary disease. All five patients exhibited a sudden onset of hemodynamic collapse with ventricular tachyarrhythmias or ST elevation during the early period of reperfusion, the time to onset being 89.2 +/- 84.8 minutes after unclamping of the aorta. In addition, contraction of the right ventricular free wall was severely impaired. Although one patient died due to left ventricular rupture caused by direct cardiac massage, the early mortality thus being 20 per cent, the other four were successfully treated with the intravenous administration of nitroglycerin and diltiazem. Three patients required the assistance of intraaortic balloon pumping for severe cardiac failure. Thus, during open heart surgery, coronary artery spasm can occur even in patients without organic coronary lesions and the possible mechanisms of this condition are discussed herein.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 4","pages":"395-401"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02470967","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13120313","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: 10

Lung water accumulation in rats after repeated challenges of a sublethal dose of E. coli and its relation to the hepatic energy charge. 大鼠反复接触亚致死剂量大肠杆菌后肺积水及其与肝脏能量电荷的关系。

The Japanese journal of surgery Pub Date : 1991-07-01 DOI: 10.1007/BF02470969

Y Iimuro, H Aoyama, M Yamamoto, K Sugahara

{"title":"Lung water accumulation in rats after repeated challenges of a sublethal dose of E. coli and its relation to the hepatic energy charge.","authors":"Y Iimuro, H Aoyama, M Yamamoto, K Sugahara","doi":"10.1007/BF02470969","DOIUrl":"https://doi.org/10.1007/BF02470969","url":null,"abstract":"We produced a septic model of rats in which lung water accumulation was developed. The degree of lung water accumulation was then compared with the hepatic energy status because the liver is not only a metabolic central organ but also one of the central organs of the reticulo-endothelial system (RES), and clinically, lung edema in sepsis seems to relate to failure of the RES. Three experimental models were examined to form lung water accumulation, namely: the lethal model, given E. coli 6.0 X 10(6) CFU/g BW, the sublethal model, given E. coli 2.0 X 10(6) CFU/g BW, and the repeated sublethal dose injection model, given E. coli 2.0 X 10(6) X 2 at 12 hour intervals. In the lethal models, the energy charge (EC) of the liver decreased markedly (p less than 0.001) without recovery and the lung water accumulated (p less than 0.05). In the sublethal models, EC decreased transiently (p less than 0.05) and the lung water did not increase. However, when the microbial challenge with a sublethal dose was repeated, the decreases in EC were prolonged and the lung water increased significantly after the second injection (p less than 0.001) despite a 4.9 per cent mortality during the subsequent 24 hours. It is suggested that when the decrease in liver EC is prolonged, even if it is not fatal, an accumulation of lung water is possible in septic states. This finding may help further analyses of the interrelationship between the lung and the liver in severely infected patients.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 4","pages":"412-22"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02470969","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13120314","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

Tracheal hamartoma--report of a case successfully treated with endoscopic surgery. 气管错构瘤——内镜手术成功治疗一例报告。

The Japanese journal of surgery Pub Date : 1991-07-01 DOI: 10.1007/BF02470976

J Ogawa, H Inoue, A Shohtsu, H Makuuchi

引用次数: 3

Malignant "triton" tumor in the thyroid--a case report. 甲状腺恶性“triton”肿瘤1例。

The Japanese journal of surgery Pub Date : 1991-07-01 DOI: 10.1007/BF02470978

T Naruse, A Koike, K Suzumura, K Matsumoto, Y Inamura, J Saigusa

引用次数: 6

A case of melena caused by a hepatic aneurysm ruptured into the intrahepatic bile duct in a patient with allergic granulomatous angiitis. 过敏性肉芽肿性脉管炎患者因肝动脉瘤破裂进入肝内胆管而致黑黑症1例。

The Japanese journal of surgery Pub Date : 1991-07-01 DOI: 10.1007/BF02470979

S Nakamura, Y Yokoi, S Suzuki, S Sakaguchi, H Muro, M Maeda, H Kawasaki

{"title":"A case of melena caused by a hepatic aneurysm ruptured into the intrahepatic bile duct in a patient with allergic granulomatous angiitis.","authors":"S Nakamura, Y Yokoi, S Suzuki, S Sakaguchi, H Muro, M Maeda, H Kawasaki","doi":"10.1007/BF02470979","DOIUrl":"https://doi.org/10.1007/BF02470979","url":null,"abstract":"A 46 year old woman was admitted to our institute in June, 1987 with an attack of asthma, as well as remittent fever and leukocytosis accompanied by hypereosinophilia. She was found to have melena from an unknown source upon gastrointestinal examination. Four low-density areas were found in the liver on computed tomography and one of the intrahepatic foci formed a large extrahepatic abscess communicating with the intrahepatic duct on tubography. Resection of the four hepatic segments, including the large abscess, and cholecystectomy were performed. Healed necrotizing arteritis was histopathologically observed in the resected liver specimen, with the four low-density areas on CT scan having all been necrotic foci. One of them formed an intrahepatic biliary fistula and rupture of a hepatic aneurysm into a biliary duct was found to be the cause of melena. Although eosinophil infiltration and extravascular granuloma were not observed, a diagnosis of allergic granulomatous angiitis was made from the characteristic clinical course, systemic vasculitis and peripheral blood eosinophilia. To the best of our knowledge, this is the first report of intrahepatic duct perforation most probably being caused by hepatic aneurysm rupture in a patient with allergic granulomatous angiitis.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 4","pages":"471-5"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02470979","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13119495","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: 11

Rupture of the ascending aorta after surgical resection for lung cancer--a case report. 肺癌手术切除后升主动脉破裂1例。

The Japanese journal of surgery Pub Date : 1991-07-01 DOI: 10.1007/BF02470980

M Morimoto, M Ohashi, H Nobara, Y Fukaya, M Haniuda, F Iida

引用次数: 7

Factors influencing the acute phase protein levels in patients with esophageal cancer. 食管癌患者急性期蛋白水平的影响因素

The Japanese journal of surgery Pub Date : 1991-07-01 DOI: 10.1007/BF02470968

T Saito, A Kuwahara, K Shimoda, T Kinoshita, K Sato, M Miyahara, M Kobayashi

{"title":"Factors influencing the acute phase protein levels in patients with esophageal cancer.","authors":"T Saito, A Kuwahara, K Shimoda, T Kinoshita, K Sato, M Miyahara, M Kobayashi","doi":"10.1007/BF02470968","DOIUrl":"https://doi.org/10.1007/BF02470968","url":null,"abstract":"Based on the findings that the enhancement of serum alpha 2-macroglobulin (A2M) is associated with the occurrence of infectious complications following surgery in patients with esophageal cancer, we examined possible factors which could contribute to the alterations of serum acute phase protein levels in patients with this disease. A multiple linear regression analysis was made for 71 patients with esophageal cancer and 58 with gastric cancer. In patients with esophageal cancer, protein calorie malnutrition (PCM) and age factors more strongly contributed to the alteration of 6 acute phase protein levels than did the malignant tumor when compared to those with gastric acner. PCM was negatively associated with A2M levels while it was positively associated with alpha 1-acidglycoprotein (A1AG) and haptoglobin (Hp) levels. Age did not contribute to the A2M levels but did have a negative effect on the Hp, ceruloplasmin (Cp) and fibronectin (Fn) levels. On the other hand, the malignant tumor was positively related only to the A1AG levels. Since none of these factors contributed to the elevation of A2M levels, it is suggested that the presence of chronic infection might be a factor contributing to the A2M increase which was associated with the occurrence of postoperative infectious complications in patients with this disease.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 4","pages":"402-11"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02470968","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12884333","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: 4

A new method of hernioplasty for adult groin hernias centering on repair of the transversalis fascia. 以腹横筋膜修复为中心的成人腹股沟疝修补新方法。

The Japanese journal of surgery Pub Date : 1991-07-01 DOI: 10.1007/BF02470965

J Ohsawa, M Tanaka, H Oka, Y Sawabe, M Nakanishi, M Nonaka, F Tanaka, T Umeda, S Murata, M Shinoda

引用次数: 1

Malignant hemangiopericytoma of the liver: report of a case. 肝脏恶性血管外皮细胞瘤1例。

The Japanese journal of surgery Pub Date : 1991-07-01 DOI: 10.1007/BF02470977

T Sano, T Terada, F Hayashi, Y Kiribuchi, R Setoyama, N Kawano, S Hatakeyama

引用次数: 10

Tracheo-bronchitis as a complication of Crohn's disease--a case report. 克罗恩病并发气管支气管炎1例

The Japanese journal of surgery Pub Date : 1991-07-01 DOI: 10.1007/BF02470975

T Iwama, T Higuchi, M Imajo, S Akagawa, O Matsubara, Y Mishima

引用次数: 22