Kokyu to junkan. Respiration & circulation最新文献_第6页

[Spontaneous pneumothorax, giant bulla: from the view of internal medicine]. 自发性气胸、大疱:从内科角度看。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-09-01

Y Takeno

引用次数: 0

[Spontaneous pneumothorax and giant emphysematous bullae: from surgical site]. 自发性气胸和巨大肺气肿大泡:来自手术部位。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-09-01

T Yoshitake

引用次数: 0

[Assessment of myocardial viability by exercise stress-redistribution myocardial scintigraphy with thallium-201: the usefulness of C-map]. [运动应力再分布心肌显像铊-201评价心肌活力:C-map的实用性]。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-09-01

M Narita, T Kurihara, K Murano, M Usami

{"title":"[Assessment of myocardial viability by exercise stress-redistribution myocardial scintigraphy with thallium-201: the usefulness of C-map].","authors":"M Narita, T Kurihara, K Murano, M Usami","doi":"","DOIUrl":"","url":null,"abstract":"Standard exercise (Ex)-redistribution (RD) myocardial imaging with thallium-201 (201Tl) may not differentiate viable myocardium from necrosis. This study was intended to clarify whether 201Tl washout rate (WOR) abnormality after Ex can detect myocardial viability in the myocardium with perfusion defect using routine RD image. We performed Ex-RD (three hours after) myocardial tomography with 201Tl in 29 patients with coronary artery disease. From myocardial tomography, 201Tl distribution Bull's-eye maps (Ex and RD) and WOR Bull's-eye map were made. At RD image before PTCA, by referring to the original image, the activity of the myocardial region below 40% to 55% of the maximal 201Tl activity was considered as perfusion defect (RD-Map). Then we constructed a new image (C-Map) by adding the location of WOR abnormality (< or = 30%) to the RD-Map and each map was divided into 17 segments. If the defect-segment in the RD-Map corresponded to WOR abnormality, the segment in the C-Map was judged as viable (no defect). The C-Map and myocardial imaging after PTCA (Post-Map) were compared. In the RD-Map before PTCA, defect was found in 152 segments but in the C-Map they decreased to 59 segments, while defect was found in 62 segments in the Post-Map. In 23 patients the number of defect-segments in the C-Map decreased as compared with those in the RD-Map. And in 22 of them, the Post-Map showed the reduction of defect-segments in comparison with the RD-Map, but in one of them defect did not change.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 9","pages":"879-84"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19200491","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

[Preoperative diagnosis of unroofed coronary sinus: a case report]. 【无顶冠状窦术前诊断1例】。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-09-01

M Akaike, T Nishiuchi, A Ohara, Y Okauchi, H Kawai, S Saito

引用次数: 0

[Serum/tissue interleukin-6 concentrations and constitutional abnormalities in 4 patients with cardiac myxoma]. [4例心脏黏液瘤患者血清/组织白介素-6浓度与体质异常]。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-09-01

T Saji, N Matsuo, N Shiono, H Yokomuro, Y Watanabe, Y Takanashi, H Komatsu

{"title":"[Serum/tissue interleukin-6 concentrations and constitutional abnormalities in 4 patients with cardiac myxoma].","authors":"T Saji, N Matsuo, N Shiono, H Yokomuro, Y Watanabe, Y Takanashi, H Komatsu","doi":"","DOIUrl":"","url":null,"abstract":"Immunological features and the production of interleukin-6 (IL-6) in 4 patients with cardiac myxoma were studied. The patients' age ranged from 11 years old to 57 years old; all 4 patients were female. Case 1, an 11-year-old female patient with myxoma located in the right ventricle, was considered to be a familial case. Her mother had myxomas in the right and left atrium, and had undergone removal of both tumors 3 years before. Peripheral blood examination revealed various inflammatory parameters in all of these patients. White blood cell (WBC) count was over 8,000/cmm in 3 of the 4 patients, positive CRP was found in 2 patients, IgG was higher than 1,500 mg/dl in 3 patients, positive anti-nuclear antibody was seen in 1 patient, and positive rheumatoid factor was identified in 1 patient. The OKT 4/8 ratio of lymphocyte subpopulation was 4.65 in one patient. The lymphocyte mitogenic response to PHA was increased in 2 patients. Serum IL-6 increased in 3 of 4 patients, and returned to normal within 3 to 4 weeks after operation. The IL-6 concentration in the homogenized sample remarkably increased in all 4 patients. Tumors larger than 4 cm contained higher tissue IL-6 concentrations than those smaller than 2 cm. The cultured myxoma cells produced abundant IL-6 in the culture medium supernatant. We conclude that inflammatory signs and immunological abnormalities are common in patients with large cardiac myxoma, and, in addition, serum IL-6 levels may increase in such patients.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 9","pages":"891-5"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19200493","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

[International normalized ratio (INR) for optimal anticoagulant therapy]. [最佳抗凝治疗的国际标准化比率(INR)]。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-09-01

Y Uetsuka, T Katsuki, M Aosaki, K Iwade, A Hashimoto, H Koyanagi, M Saito, Y Yaginuma, S Hosoda

{"title":"[International normalized ratio (INR) for optimal anticoagulant therapy].","authors":"Y Uetsuka, T Katsuki, M Aosaki, K Iwade, A Hashimoto, H Koyanagi, M Saito, Y Yaginuma, S Hosoda","doi":"","DOIUrl":"","url":null,"abstract":"Optimal therapeutic ranges for an oral anticoagulant therapy has been discussed for many years. Prothrombin time, prothrombin time ratios (PTR) and thrombotest have been employed so far, but, recently, International Normalized Ratio of prothrombin time (PT-INR or INR) has been introduced. We investigated paying special interest to INR, the effectiveness of oral anticoagulant therapy in 170 prosthetic valve patients and in 157 patients with various cardiovascular diseases who received warfarin at two different centers. The thrombotest, prothrombin time and INR were measured at follow-up visits every month. Regarding the 170 patients with prosthetic valves with a mean follow-up period of 2.44 years, 9 thromboembolisms (TE) were reported. The average TT and INR values in TE-free patients among 101 in whom coagulability could be measured, were 21.1% and 1.73 respectively. The average TT and INR values in 5 patients with TE were 26.4% and 1.53 respectively and this was significantly (p < 0.01) higher (smaller) than in TE-free patients. 157 patients (mean age 55 +/- 12 y.o.) with various cardiovascular diseases (Table 2) were followed up for a mean of 4.9 +/- 3.2 years. As is seen in figure 4, mean INR values in TE patients were 1.28, in patients with bleeding complications 4.1, and in event free patients 2.07 respectively. In conclusion, with INR greater than 2.75, no thromboembolic complication occurred, but several hemorrhagic complications occurred at INR greater than 3. Therefore INR therapeutic ranges between 2.0-3.0 are recommendable both for the prevention of TE and bleeding complications.","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 9","pages":"885-90"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19200492","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

[The surgical treatment for pulmonary thromboembolism]. 肺血栓栓塞的外科治疗。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-09-01

N Nakajima

引用次数: 0

[Nonsurgical treatment of bronchiectasis and pulmonary abscess]. 支气管扩张和肺脓肿的非手术治疗。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-09-01

R Soejima, M Kimura

引用次数: 0

[Medical treatment of acute and chronic pulmonary thromboembolism]. 急慢性肺血栓栓塞的医学治疗

Kokyu to junkan. Respiration & circulation Pub Date : 1993-09-01

N Hiraoka, H Fujioka, T Nakano