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Nihon Kyukyu Igakukai Zasshi最新文献

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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
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
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.
目的:肾动脉支架置入术的目的是保护肾功能,预防肾血管性高血压。我们在此评估了肾动脉支架置入术治疗钝性肾动脉损伤的有效性和安全性。材料和方法:我们回顾性分析了5例(4男1女)部分闭塞肾动脉损伤患者,这些患者在我院接受支架置入术治疗的时间超过10年。结果:跌倒致伤4例,车祸致伤1例。所有患者均为多发损伤(损伤严重程度评分中位数为32;范围,22-57)。中位生存概率为0.547(0.533-0.980)。中位随访时间为12(3-110)个月。虽然两名患者出现可逆性急性肾功能衰竭,但没有人需要永久性血液透析。所有患者均存活,无直接支架置入并发症。在随访中,对比计算机断层扫描显示肾动脉通畅,没有肾萎缩。3例患者行肾显像检查,显示肾功能保留。一名肾血管性高血压患者成功地用降压药治疗了一个月,随后血压正常,不需要进一步的药物治疗。结论:所有肾动脉支架置入术患者均存活,无直接并发症。肾功能完好,无永久性肾血管性高血压。因此,我们认为肾动脉支架置入术对于部分闭塞的钝性肾动脉损伤是一种有效且有利的治疗选择。
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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
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
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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
Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.693
Shota Nakao, T. Matsuoka, T. Nakada, Y. Katayama
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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
Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.785
Takeshi Haoka, Yu Morishita, Yuki Naito, Shinsuke Onishi, S. Nara, I. Takahashi
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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
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
{"title":"Two cases of upper airway obstruction due to retropharyngeal hematoma after head and neck injuries","authors":"Masaou Tanaka, T. Yonemitsu, Y. Kawazoe, K. Miyamoto, M. Kida, Yasuhiro Iwasaki, S. Kato","doi":"10.3893/JJAAM.25.119","DOIUrl":"https://doi.org/10.3893/JJAAM.25.119","url":null,"abstract":"","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"13 1","pages":"119-124"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87563987","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 postpartum cardiopulmonary arrest involving amniotic fluid embolism 产后羊水栓塞致心肺骤停1例
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
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)
A一位33岁的初产妇在正常分娩1小时后,因子宫大量出血并休克而被转至我院。到达后7分钟,她出现无脉电活动(PEA),但经过9分钟的心肺复苏术(CPR)后成功复苏。经导管动脉栓塞术(TAE)后,她被送入重症监护病房(ICU)。入院后,患者被诊断为羊水栓塞引起的弥散性血管内凝血(DIC)。除DIC治疗外,她还接受了3天的甲基强的松龙治疗,并进行了2天的血浆置换。在治疗的第19天,她出现脑静脉窦血栓形成,我们开始抗凝治疗。治疗第23天,患者再次发生子宫出血,同日行子宫切除术。病理诊断为1型保留胎盘(困住胎盘)和羊水栓塞。患者治疗第134天出院,改良Rankin评分为1分。由于羊水栓塞罕见且预后差,该病的诊断和治疗需要不同医疗部门快速判断,并有一个合作的重症监护制度。(JJAAM。2014;25日:57 - 62)
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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
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
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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
Pub Date : 2014-01-01 DOI: 10.3893/JJAAM.25.215
Tetsuya Takahashi, Toshitaka Ito, H. Endo, M. Takemoto, T. Takei, K. Yagi
{"title":"Superior mesenteric vein thrombosis treated successfully by transarterial catheter-directed thrombolysis: a case report","authors":"Tetsuya Takahashi, Toshitaka Ito, H. Endo, M. Takemoto, T. Takei, K. Yagi","doi":"10.3893/JJAAM.25.215","DOIUrl":"https://doi.org/10.3893/JJAAM.25.215","url":null,"abstract":"","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"281 1","pages":"215-222"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72696783","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
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
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
{"title":"Inferior vena cava injury with CT image suggesting intramural hematoma caused by abdominal blunt trauma: a case report","authors":"Tomonori Kaburaki, S. Suzaki, A. Katsumi, N. Harada, S. Hara, C. Tanaka, T. Adachi","doi":"10.3893/JJAAM.25.885","DOIUrl":"https://doi.org/10.3893/JJAAM.25.885","url":null,"abstract":"","PeriodicalId":19447,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi","volume":"135 1","pages":"885-891"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80044397","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
Nine cases of isolated dissection of visceral artery 孤立性内脏动脉夹层9例
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
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)
背景:我们需要考虑以突发性严重胃脘痛或背痛的血管病变为典型的急诊疾病。孤立的内脏动脉夹层是罕见的,但有必要考虑作为突然严重的胃脘痛或背部疼痛的原因。对象与方法:2010年1月至2012年12月,我们收集了9例诊断为孤立性内脏动脉夹层的病例。我们回顾性地检查了他们的医疗记录以获得患者数据。结果:4例患者为男性。平均年龄61±13岁。肠系膜上动脉6条,腹腔动脉2条,胃左动脉1条。高血压和吸烟各有4例。所有病例均有突发性腹部或背部疼痛。通过对比CT(计算机断层扫描)诊断8例,血管造影诊断1例。4例由放射科医生诊断,而非急诊医生。2例d -二聚体升高。没有患者出现器官缺血,因此所有患者都得到了很好的保守治疗。结论:严重胃脘痛或腰痛的病因应考虑内脏动脉分离。CT对诊断是有用的,但实际上诊断是困难的。d -二聚体不能排除这种疾病。如果没有发现肠缺血,保守治疗可能会提供一个良好的过程。(JJAAM。2014;25: 710 - 6)
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引用次数: 0
期刊
Nihon Kyukyu Igakukai Zasshi
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