JC43604
|
|
|
- あきみ さわなか
- 5 years ago
- Views:
Transcription
1 J Cardiol 2004 Jun; 43 6 : Pheochromocytoma With Reversal of Tako-Tsubo-Like Transient Left Ventricular Dysfunction: A Case Report Yasuko Shin Tatsuya Keiji Naomi TAKENO, MD ENO, MD HONDO, MD MATSUDA,MD ZUSHI, MD Abstract A 59-year-old male was admitted to the emergency department because of sustained chest oppression. Electrocardiography revealed J type ST depression and peaked T wave in leads,, a F, and 4 6. No stenosis was found in the coronary arteries by urgent coronary angiography. Left ventricular abnormal wall movement with akinesis in the base and hyperkinesis in the apical area was observed and improved on the 12th day. Myocardial scintigraphy with iodine-123-metaiodobenzylguanidine showed completely defective images and decreased accumulation in the base with combined thallium-201 and iodine-123- beta-methyl-p-iodophenyl-pentadecanoic acid. Myocardial biopsy on the 12th day disclosed contraction band necrosis. The diagnosis was catecholamine-induced cardiomyopathy caused by pheochromocytoma. J Cardiol 2004 Jun ; 43 6 : Key Words Cardiomyopathies, other tako-tsubo-like left ventricular dysfunction, catecholamine-induced Neoplasms pheochromocytoma : : : mg : Department of Cardiology, Chugoku Rosai General Hospital, Hiroshima Address for correspondence: TAKENO Y, MD, Department of Cardiology, Chugoku Rosai General Hospital, Hirotagaya 1 5 1, Kure, Hiroshima Manuscript received January 29, 2004 ; revised March 17, 2004; accepted March 17,
2 282 竹野 榎野 本藤 ほか 覚したが 放置していた 翌 15 日午前 6 時 30 分から 前胸部圧迫感が出現して持続するため 午前 7 時 30 分 当院の救急外来を受診した 来院時理学的所見 : 身長 167 cm 体重 67 kg 血圧 応 を検索したが いずれも陰性であった 胸部 X 線写真所見 : 心胸郭比は 63% で 明らかな肺 うっ血像は認められなかった 心電図所見 Fig. 1 A : Ⅱ Ⅲ aⅤf Ⅴ4 Ⅴ6 で J 190/98 mmhg 脈拍 73/min 静脈血酸素飽和度 99% Table 1 Laboratory findings on admission 室内気 意識清明 心雑音はなく 肺野にラ音は認 められなかった 腹部は平坦軟で 腫瘤は触知しな かった 神経学的には異常はなかった 来院時検査成績 : 血液学的検査の結果を Table 1 に Complete blood count LDH 215 IU/l BUN 21 mg/dl WBC 17,600/μl RBC /μl Cr 1.35 mg/dl Hb 15.9 g/dl Na 140 meq/l 示す 白血球数の増多がみられたが C 反応性蛋白は Ht 42.8% K 3.2 meq/l 陰性であった クレアチンキナーゼは軽度上昇 血清 Plt /μl Cl 98 meq/l CK 324 IU/l K は低下していた ウイルス抗体価は アデノウイル ス 補体結合反応 インフルエンザウイルス A B Blood chemistry TP 8.0 g/dl CK-MB 0 IU/l Alb 5.0 g/dl Glu 357 mg/dl 補体結合反応 コクサッキーウイルス B1 B2 B3 AST 34 IU/l CRP 0.2 mg/dl B4 B5 補体結合反応 エコーウイルス 6 9 中和反 ALT 41 IU/l Troponin T Fig. 1 Electrocardiograms On admission, the ST-segment was depressed in Ⅱ, Ⅲ, aⅤf and Ⅴ4 Ⅴ6. A : On admission. B : After 3 days. J Cardiol 2004 Jun; 43 6 :
3 283 Fig. 2 Left ventriculograms A : Left ventriculogram on admission showing the basal area was akinetic and the apical area was hyperkinetic. B : Left ventriculogram 12 days after admission showing normal wall motion. Left column: Diastolic phase. Right column: Systolic phase. ST T : : ST Fig. 2 A : Tl 123 I- beta-methyl-p-iodophenyl-pentadecanoic acid BMIPP Fig I-metaiodobenzylguanidine MIBG myomibg TM 2 3,804pg/ml 100pg/ml 2,406 pg/ml pg/ml computed tomography: CT Fig. 4 : 4 5cm J Cardiol 2004 Jun; 43 6 :
4 284 Fig. 3 Thallium-201 and iodine-123-beta-methyl-p-iodophenyl-pentadecanoic acid myocardial single photon emission computed tomography images 201 Tl upper and 123 I-BMIPP lower images demonstrating low-uptake in the basal. 201 Tl thallium-201; 123 I-BMIPP iodine-123-beta-methyl-p-iodophenyl-pentadecanoic acid. Fig. 4 Computed tomography scan of the abdomen A solid mass in the left adrenal gland is indicated by arrows. 131 I-MIBG pheomibg TM 12 Fig. 2 B Fig. 5 : 2 X 3 ST Fig. 1 B T pg/ml 808 pg/ml CT 131 I-MIBG pheomibg TM cm 50 g Tl 123 I-BMIPP 123 I-MIBG myomibg TM J Cardiol 2004 Jun; 43 6 :
5 285 Fig. 5 Photomicrograph of the endomyocardial biopsy specimen taken 12 days after admission Contraction band necrosis. 0.1% : , Ca I-MIBG 29,30 Van Vliet %Kline % J Cardiol 2004 Jun; 43 6 :
6 286 33, I-MIBG 59a F 4 6 J ST T Tl 123 I-BMIPP 123 I-MIBG 12 J Cardiol 2004 Jun; 43 6 : : 2001 ; 59 Suppl 8 : : 1991; 23 : : ; 32: : 1 Jpn Circ J 2003 ; 67 Suppl : 832 abstr 5 : Jpn Circ J 2001; 65 Suppl : 588 abstr 6 : Catecholamine-induced cardiomyopathy ; 10 : : ; 27 : : catecholamine crisis :ST ; 29: : Jpn Circ J 2001; 65 Suppl : 604 abstr 10 : ; 7: : ; 33 Suppl : 869 abstr 12 : 2002; 63: 1055 abstr J Cardiol 2004 Jun; 43 6 :
7 : ; 32 : : catecholamine-induced cardiomyopathy Jpn Circ J 2001; 65 Suppl : 804 abstr 15 : Jpn Circ J 2001 ; 65 Suppl : 762 abstr 16 : 1 : PCPS IABP 2001; 4 : : 1 Ther Res 1999 ; 5 : : ; 13 : : ; 26 : : 1990; 22 : : 1990; 66 : : PCPS ; 29 : : MEN- A ; 28: : ; 91 : James TN: De subitaneis mortibus:. On the cause of sudden death in pheochromocytoma, with special reference to the pulmonary arteries, the cardiac conduction system, and the aggregation of platelets. Circulation 1976 ; 54 : Haft JI, Gershengorn K, Kranz PD, Oestreicher R : Protection against epinephrin-induced myocardial necrosis by drugs that inhibit platelet aggregation. Am J Cardiol 1972; 30 : : Catecholamine 1973; 62 : : 1996 ; 54 Suppl 14 : Suga K, Tsukamoto K, Nishigauchi K, Kume N, Matsunaga N, Hayano T, Iwami T : Iodine-123-MIBG imaging in pheochromocytoma with cardiomyopathy and pulmonary edema. J Nucl Med 1996 ; 37: : I123MIBG Ther Res 1997 ; 18 : Van Vliet PD, Burchell HB, Titus JL : Focal myocarditis associated with pheochromocytoma. N Engl J Med 1966 ; 274: Kline IK : Myocardial alterations associated with pheochromocytoma. Am J Pathol 1961; 38 : : spasm stunned myocardium in : 1990; pp : Ampulla or Amphora 2000 ; 48: J Cardiol 2004 Jun; 43 6 :
JC46502’ÓFC
J Cardiol 2005 Dec; 466: 237 242 1 : Atypical Takotsubo Cardiomyopathy With Preservation of Apical Contraction : A Case Report Including Pathological Findings 1 2 3 Mitsunori Hiroto Hideyuki Hisashi Kenzo
JC42405
J Cardiol 2003 Oct; 424: 183 188 Microvascular Stunning 1 Ampulla Cardiomyopathy With Delayed Recovery of Microvascular Stunning: A Case Report Kazutaka Tetsuro Tetsu Masashi Kenji Kihiro Kiyoshi AMAYA,
JC44602
J Cardiol 2004 Dec; 446: 243 250 1 Ampulla Cardiomyopathy With Left Ventricular Apical Mural Thrombi Resolved by Anticoagulant Therapy Without Systemic Complication: A Case Report Akira Hiroshi Takatoshi
BUN, CRP K mg/ cm, 49.6 kg, BMI /72 mmhg, 92/ Hb 6.7 g/dl PT-INR CT 1 MRI 2a, b T1 T2 T1 MRI
20 2 2015 1 2 3 85 K CT Abstract A case of renal subcapsular hematoma resulting from trigger point injection under excessive effect of anticoagulant YAMANE Tateki, UMEDA Akira and SHIMAO Hitoshi An 85-year-old
日本呼吸器学会雑誌第47巻第6号
Fig.1 A,ChestX-rayfilm demonstratingatumorshadow intherightlowerlungfield.b,chestct scan demonstratingtherightmiddlelobemass,measuring9.0 7.3cm.C,AbdominalCT scanshowingfree airintheabdominalcavityanddirtyfatsignaroundthesigmoidcolontumor.
JC44402
J Cardiol 2004 Oct; 44 4 : 153 159 Churg-Strauss : 1 Survivor of Cardiogenic Shock Following Acute Myocardial Infarction With Churg-Strauss Syndrome : First Angiographic Documention of Coronary Recanalization
小児感染免疫第25巻第2号
Vol. 25No. 2145 1,2 1 1 1 1 2 2 2 TFLX 9 TFLX 450 mg16.6 mgkg TFLX 30 kg TFLX 2009 10 TFLX 1 1 2 3,4 TFLX 9 22 6 18 19 TFLX 450 mg150 mg 1 1 1 3 16.6 mgkg 20 20 0 21 3 135.0 cm0.1 S.D. 27.0 kg0.8 S.D.
JC39105
J Cardiol 2002 Jan; 39 1 : 29 38 1 : 1 So-Called Ampulla Cardiomyopathy Associated With Coronary Vasospasm Compared With Acute Myocardial Infarction Showing Similar Abnormal Left Ventricular Wall Motion:
indd
60 4 2010 197 症例報告 1 1 1 2 2 2 2 3 4 1 2 3 4 2010 7 27 2010 9 24 Case of a Young Adult Male Complicated with Ischemic Colitis EMI OGATA 1, TAKERU WAKATSUKI 1, HIROAKI SAKAMOTO 1, NATSUMI SAKAMOTO 2, OSAMU
JC47101’ÓFC
J Cardiol 2006 Jan; 47 1 : 39 46 No Reflow 1 Takotsubo Cardiomyopathy Manifesting as No Reflow Pattern in Coronary Flow by Transthoracic Doppler Echocardiography and Prolonged Recovery of Regional Left
慈大呼吸器_25-1_02T_CS5.indd
ISSN 0919-6870. Jikei Journal of Chest Diseases Jikei University Chest Diseases Research Association 82 1 1 1 1 1 1 1 1 2 1 2 74 2010 2 2011 8 12 2012 1 17 1 20 1 28 CT 5 / 50 2011 8 2 / 1200 mg/2x 40
37, 9-14, 2017 : cefcapene piperacillin 3 CT Clostridium difficile CD vancomycin CD 7 Clostridium difficile CD CD associate
37, 9-14, 2017 : 36 2015 8 6 cefcapene piperacillin 3 CT Clostridium difficile CD vancomycin 20 1983 2016 3 CD 7 Clostridium difficile CD CD associated diarrhea : CDAD CD 1,2 PPI 3 1 36 33 2015 8 6 5 5
2 W.T T.S. 70 2 1 238 WBC7400/µl, RBC 386 10 4 /µl, Hb 11.6 g/dl, Ht 36.2%, PLT 25 10 4 /µl AST 19 IU/l, ALT 11 IU/l, LDH 182 IU/l, BUN 15 mg/dl, Cr 0.54 mg/dl, CRP6.83 mg/dl, RF 353.9IU/ml, CCP 28.0IU/ml
JC44102
1 Isolated Left Ventricular Noncompaction in the Elderly: A Case Report MD Atsuo Masatoshi Kazuhiro Takashi TAKASHIMA, SHIMIZU, MD TATSUMI, MD SHIMA, MD Abstract A 83-year-old man with an implanted pacemaker
JC46302
1 Cardiac Rupture Caused by Myocardial Infarction in the Diagonal Branch Area: Evaluation by Cardiac Multislice Computed Tomography: A Case Report 1 1 2 2 Nobuaki Kentaro Ken Masatoshi Naoyuki Yoshito
J Cardiol 2007 May; 49 5 : Recurrent Ampulla Cardiomyopathy Showing Prolonged Sympathetic Nerve Function Disorder: A Case Report Tomoharu Sh
1 Recurrent Ampulla Cardiomyopathy Showing Prolonged Sympathetic Nerve Function Disorder: A Case Report Tomoharu Shohei Shuji Shunsuke Aritomo Hajime Junichi KAWASE, MD YAMASHINA, MD NANJO, MD KIUCHI,
九州支部卒後研修会症例
血液検査研修会 ( 第 25 回 ) 検査の異常から探る! 造血器腫瘍へのアプローチ 症例提示 症例 1~8 - 症例発表者 - 症例 1 藤崎恵熊本医療センター 症例 2 荒木敏造浜の町病院 症例 3 古城剛鹿児島大学病院 症例 4 佐々木高太郎都城健康サービスセンター 症例 5 矢田佳愛 大分県立病院 症例 6 下田博臣 健康保険諫早総合病院 症例 7 堤陽子 佐賀県医療センター好生館 症例 8
JC44104
1 Uremic Pericarditis Complicating Cardiac Tamponade: A Case Report Hiromi Takashi Satoshi Fusakazu Shinya Yasuo Toshiji SHIMOJO, MD NISHIUE, MD YAMAMOTO, MD JO, MD NISHIZAWA, MD TAKAYAMA, MD IWASAKA,
M1 TSH T 3 T 4 2 T 1 2 Plummer 3 TSH TSH K 5 7 TSH TSH Plummer TSH TSH TSH TSH T 4 T 3 TSH T 4 T 3 TSH TSH or Plummer Plummer or a) 1. 2. 3. b) 1. T 4 T 3 2. TSH 0.1 U/ml 3. TSH TRAb TSAb 4. 1) a) 1
日本呼吸器学会雑誌第44巻第10号
β Table1 Laboratoryfindingsonthefirstvisit Hematology WBC Neut. Lyn. Mon. Eos. Bas. RBC Hb Ht Plate 5,650 /μl 79.2 % 14.9 % 3.9 % 1.8 % 0.2 % 418 10 4 /μl 12.5g/dl 38.4 % 21.2 10 4 /μl Serology CRP IgG
/12/28 UP 3+, TP 4.2g/dl, Alb 1.9g/dl PSL 50mg/day 1/17 PSL 45mg/day PSL 2006/4/4 PSL 30mg/day mpsl mpsl1000mg 3 2 5/ :90 / :114/64 mmhg
17 2005/12/28 UP 3+, TP 4.2g/dl, Alb 1.9g/dl PSL 50mg/day 1/17 PSL 45mg/day PSL 2006/4/4 PSL 30mg/day mpsl mpsl1000mg 32 5/8 36.1 :90 /:114/64 mmhg 166.2 cm64.3 kg 3.9 g/dl 1.6 g/dl 382 mg/dl 408 mg/dl
JC48101’ÓFC
Acromegalic Cardiomyopathy 1 Acromegalic Cardiomyopathy Manifesting as Asymptomatic Ventricular Premature Contractions at Regular Medical Check Up: A Case Report Miho Shuya Masashi Tetsuro NOZAKI, MD NITTA,
untitled
Metabolic syndrome,,,, 81 81 , 17 17 2 Lung Ca non small cell carcinoma / / food( food( ) drug( drug( ) 100mg 750mg WBC 5510/ l RBC 483 / l Hb 10.3g/dl, Ht 42.0% Plt 19.0 / l TP 8.1g/dl Alb 4.6g/dl Glb
(1) ) ) (2) (3) (4) (5) (1) (2) b (3)..
... -1... -1... -2... -6.... -1 (1)... -1 1)... -1 2)... -14 (2)... -19 (3)... -52 (4)... -18 (5)... -136.... -196 (1)... -196 (2) b... -224 (3)... -233.... -251.... -286.... -289 (1)... -289 (2)... -32
Table 1 Laboratory findings on admission Figure 2. Clinical course after admission 1-a 1-b 1-c 3-a 3-b 3-c Figure 1. CT findings on first admission: S
FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF Vol. 32, pp. 105 110, 2004 FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF 1 1 1 1 1 1 1 1 2 2 1 1 16 4 13 72 CRP
Tl 99m Tc-MIBI 1 * * * * * 201 Tl 99m Tc-MIBI PSA ( ) 67 Ga PSA (490 ng/ml) (Bicalutamide) CT PSA PSA ( 40: , 2003) I. Whitmore 1) 2) 3
439 201 Tl 99m Tc-MIBI 1 * * * * * 201 Tl 99m Tc-MIBI PSA ( ) 67 Ga PSA (490 ng/ml) (Bicalutamide) CT PSA PSA ( 40: 439 443, 2003) I. Whitmore 1) 2) 3) 4) 5) 6) * 15 3 15 15 5 20 4 6 (0 650 0046) 201 Tl
125 2 P 1st washout 2 PB P mg/dL nd washout 2 P 5.5mg/dL< mg/dL <2.5mg/dL P P 2 D D 3 Ca 10
. (1) 125 1 125 Renagel PB-94 P intact-pth P 1 b c a b 1 18 2 3 3 3 1 P 4 D 1 5 6 7 2 1HIV 2 3 4 5Hb 8.0g/dL ALT 48IU/L 6 7 PB-94 440mg 403mg 1-196 125 2 P 1st washout 2 PB-94 1 2 4 4 P 2.5 5.5mg/dL 1
JC38101
J Cardiol 2001 ; 38: 35 40 Duchenne 1 Female Carrier of Duchenne Muscular Dystrophy Presenting With Secondary Dilated Cardiomyopathy : A Case Report Shigeki Kiyoaki Toru Kenji Kojiro HIRAMATSU, MD MAEKAWA,
21 5 I C T J-Doit High risk Risk 20 7 21 34,324 30,858 38,735 26,800 27,490 20,472 18,533 20,096 14,913 14,931 488 470 491 435 446 10 t-pa intervention t-pa interventionclipping simulator subspecialty
28 1 1a 1b 2 MRI T2 3 CT C3 N95 N95 6ml 90
2015 28 1 89 93 CT C3 Tb PCR XP WBC 7 600/mm 3 CRP 4 08mg/dl MRI MRI CT MRI WBC 9 700/mm 3 CRP 6 09mg/dl CT C3 C2 C7 low density area CT 89 28 1 1a 1b 2 MRI T2 3 CT C3 N95 N95 6ml 90 28 1 4 CT C2 C7 low
sick contact1l
Clinical Question 2017 年 5 月 15 日 分野 : 内分泌テーマ : 治療 19 14 15 18 sick contact1l 170cm/68.8kg, GCSE1V1M5, HR: 120/min, BP: 104/60mmHg, RR: 30/min, SpO 2 : 96%, BT: 38.0 WBC Hb PLT CRP Cr BUN 23400 15.0 35.5
indd
18 61 1 2011 症例報告 2010 5 13 2010 12 20 A Case of Varicella with Severe Back Pain in a Patient with Systemic Lupus Erythematosus RIE SAITO, KIORI YANO, FUMIKO KATSUSHIMA, HARUYO IWADATE, HIROKO KOBAYASHI,
日赤 Ｎｏ．３５☆／７．河相
2 64 2 Mucosa-Associated Lymphoid TissueMALT T γ- 1 Key words T 1 2 64 47 54 60 MALT 63 T MALT 6062-8 63 1 T MALT 63 CHOP 2 35 28 30 28 75 μg 200 mg 20 mg 200 mg 400 mg/80 mg 2 35 mg 1 2 150 mg 200 mg
_06.indd
30, 35-39, 2010 0.15% 1 C 40 20 1 cm 5 mm WBC 9,400, RBC 259 10 4, Hb 8.5 g/dl, Ht 25.5%, Plt 29 10 4, BUN 116 mg/dl, Cr 7.9 mg/dl, 125 mg/dl, HbA1c 4.3%, ft3 1.97 pg/ml, ft4 1.05 ng/dl, TSH 1.09 μiu/ml,
日本職業・災害医学会会誌第51巻第5号
太田ら 同時多発性高血圧性脳葉出血の 1 手術例 図 1 搬入時 CT 上段 単純 CT 下段 造影 CT 図 2 術後の脳血管撮影検査では明らかな出血源は認めない 379 Reprint request: MULTIPLE SIMULTANEOUS HYPERTENSIVE LOBAR HEMORRHAGE Hirotsugu OHTA M.D. 1) and Akira YOKOTA M.D.
日本消化器外科学会雑誌第39巻第10号
WBC Table1 Laboratoryfindings 9,000/μl RBC 396 10 4 /μl Hb 9.8 g/dl adrenaline 46 pg/ml (
07_シリーズ5-2_大塚.indd
私はこう考える たこつぼ型心筋症の成因に症例から迫る 症例 :28 歳, 女性. 逆たこつぼ型心筋症を呈した褐色細胞腫 主訴 : 動悸, 頭痛, 嘔吐, 呼吸困難. 大塚頼隆 1, 2 * 武寛 Yoritaka OTSUKA, MD 1, *, Yutaka TAKE, MD 2 1 国立循環器病センター心臓血管内科, 2 高知医療センター循環器内科 現病歴 : 生来健康であった 28 歳の女性.2006
untitled
1 ... 3... 3... 3... 4...13...16...18...20...22 2 PTPE 3 PTPE CT Grade 2 A PTPE PTPE 4 A S 3 3 B H3,P1,N1,M1, LM0, R23 15 20gS, ptype 3, 60 x 50mm, pt4b/siurinary bladder, int, INF, ly2, v1, ppm070mm,
Fig. 1. Chest X-ray film on admission showed a mass in the left middle lung field and multiple nodular densities in the bilateral lung fields. Fig. 3.
A Case of Slow-growing Mucous-producing Adenocarcioma of the Lung Key words: Mucous-producing lung adenocarcinoma, Slow-growing, Bronchial gland cell type adenocarcinoma, Adenoid cystic carcinoma Table
untitled
- 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - - 15 - - 16 - - 17 - - 18 - - 19 - - 20 - - 21 - - 22 - - 23 - - 24 - - 25 - - 26 - - 27 - - 28 - - 29 - - 30 -
1 2 2 ANCA pouci immune IgG C3 ANCA 68 '01 '02 7 UN 14mg/dl, Cr 0.7 mg/dl, -, - ' UN 45mg/dl, Cr 2.4 mg/dl, Ht 29.5%, 4+, cm 61
1 2 2 ANCApouci immune IgG C3 ANCA 68 '01 '02 7 UN 14mg/dl, Cr 0.7 mg/dl, -, - '03 2 3 31 UN 45mg/dl, Cr 2.4 mg/dl, Ht 29.5%, 4+, 3+ 4 14 156.0 cm 61.5 kg 36.9 158/92 mmhg 90 1. ANCA 2. 3. IgG4 deposit
40: 127-130, 1994 11) Damjanov I, Moriber K, Catalano E, et al: Myelolipoma in a heterotopic adrenal gland. Light and electron microscopic findings. Can cer 44: 1350-1356, 1979 12) DeNavasquez S: Case
72 20 Ope / class Alb g/ cm 47.9kg : /min 112/60m
72 20Ope 68 69 2006 4 50 20 / 52 2006 4 1 2006 4 4 24 class 699.4 5 2 5 23 6 6 15 6 19 6 16 Alb2.03+ 7.5g/ 6 21 153.5cm 47.9kg : 36.7 89/min112/60mmHg (-) (-)S1 S2 S3(-) S4(-) - - 6 15 (+) TP4.9g/dl Alb2.0g/
日本呼吸器学会雑誌第44巻第1号
β β l β β Table1 Laboratorydataonadmission Hematology WBC 9,910/μl neut 72.4% lym 20.2% eos 0.9% mon 6.1% baso 0.4% RBC 491 10 4 /μl Hb 16.8g/dl Ht 48.3% PLT 29.8 10 4 /μl ESR 3mm/hr Biochemistry TP Alb
Noninvasive estimation of pulmonary capillary wedge pressure and cardiac output by the analysis of pulmonary venous flow velocity patterns in patients
Noninvasive estimation of pulmonary capillary wedge pressure and cardiac output by the analysis of pulmonary venous flow velocity patterns in patients with acute congestive heart failure Jung-Myung Lee,
核 WG.indd
15 平成 25 年度ワーキンググループ報告 25 3 MDCT SPECT FDG-PET γ 8 16 25 MDCT SPECT 6 MDCT SPECT Dual source CT SPECT 5 (rt-pa) MDCT SPECT 2 MDCT SPECT 7 rt-pa 95% rt-pa 8.1% 17% 1) 65 rt-pa 7 rt-pa 2 MDCT (submassive
Sample2 g/dl Target1 : 6.01 g/dl TP Target2 : 8.39 g/dl
( ) Sample2 g/dl 10 9 8 7 6 Target1 : 6.01 g/dl TP Target2 : 8.39 g/dl 117 5.92 0.09 1.6 118 5.92 0.10 1.6 7 5.77 0.14 2.4 118 8.28 0.15 1.8 118 8.28 0.15 1.8 7 7.26 0.46 6.4 119 119 6.84 7.10 0.11 0.11
2010 年 6 月 25 表 身体所見 134 cm 31 kg /60 mmhg 83/ ,
24 シンポジウム Ⅲ 要旨 NPPV NPPV 緒 IPF 4 5 1 IPF 2004 2 QOL 179 10 現 10 18 2008 10 言 状 3.4 8.3 76.2 41 37.2 13.6 3 1 症 例 呈 示症例 患者 61 主訴 既往歴 30 45 家族歴 喫煙歴 飲酒歴 職歴 現病歴 13 NSIP 15 1 HOT 15 7 2010 年 6 月 25 表 1 1998
パネルディスカッション 2 Q 専門領域について選択してください 1. 消化器内科 2. 消化器外科 3. 放射線科 1% 4% 3% 21% 4. その他の医師 5. その他 ( 医師以外 ) 71%
パネルディスカッション 2 Q 専門領域について選択してください 1. 消化器内科 2. 消化器外科 3. 放射線科 1% 4% 3% 21% 4. その他の医師 5. その他 ( 医師以外 ) 71% 第 49 回日本膵臓学会大会 2018.06.29. パネルディスカッション 2 症例 1 JA 尾道総合病院消化器内科 南智之, 花田敬士, 清水晃典, 福原基允, 横出正隆 Onomichi General
8 The Bulletin of Meiji University of Integrative Medicine API II 61 ASO X 11 7 X-4 6 X m 5 X-2 4 X 3 9 X 11 7 API 0.84 ASO X 1 1 MR-angio
7-14 2010 1 1 1 2 1 1 1 2 Fontaine II ASO61 3 API ASO ASO ASO API API KKKKKKKKKK ASO Fontaine II API Received April 14, 2009; Accepted July 16, 2009 I arteriosclerosis obliterans: ASO ASO 50 70 1,2 Fontaine
明海大学歯学雑誌 ３７‐２／１．秦泉寺
J Meikai Dent Med 37, 153 158, 8 153 1 7 5ml /1 min Wong-Baker Face Rating Scale FS 5 1 9. g 3 5ml /1 min, FS 1 66 6ml /1 min FS 5 1 9. g 3 6ml /1 min, FS 3 Two Cases of Xerostomia that Showed an Improvement
- 9 91, (2006)
Case study level Ma Management of testicular cancer - 9 91, 10 0.7 2.4 (2006) 20 30 20 20-40 AFP -hcg -hcg AFP TNM T ptx pt0 ptis pt1 / pt2 / pt3 / pt4 / N NX N0 N1 2cm 1 2cm N2 2cm 5cm 1 5cm N3 5cm TNM
2.7.6 MJR a MRI CT b 2 Beecham r-afs mg/ mg/ Gn-RH 742
MJR-35 34 1 1 a MRICT b 2Beecham r-afs 3 4 20 4 mg/ 20 40 5 6 2 1 2 3 44 mg/ 5 6 7 8 4 Gn-RH 742 9 10 11 12 1 20 60 1 1MJR-351 mg/ 0.25 2 Lot. No. 2MJR-352 mg/ 1 1 Lot. No. 3MJR-354 mg/ 1 2 Lot. No. 2
日本職業・災害医学会会誌第54巻第6号
Reprint request: A CASE OF PRESENTED VARIOUS FUNCTIONAL DISTURBANCES AFTER AN INJURY Taketoshi NOGAKI, Nobusuke HOUCHI, Tomoko SUGIUCHI, Naohiko WATANABE and Hiroyuki ZUSHO Department of Otolaryngology,
2 章 +αの 情 報 に 着 目 する! 1 血 球 算 定 検 査 結 果 2 生 化 学 検 査 結 果 手 がかりに 乏 しいのも+α 1 症 例 をみてみよう! 1 60 吉 見 祐 輔 1 2 11percutaneous coronary intervention PCI104 38.
2 章 +αの 情 報 に 着 目 する! 1 血 球 算 定 検 査 結 果 2 生 化 学 検 査 結 果 手 がかりに 乏 しいのも+α 1 症 例 をみてみよう! 1 60 吉 見 祐 輔 1 2 11percutaneous coronary intervention PCI104 38.1 130 75mmHg 83 16 SpO 297 1 3 WBCL RBC10 4 L Hb g
_02三浦.indd
36, 7-11, 2016 IPD PCV 5 3 80% 1 invasive pneumococcal disease ; IPD 2010 7 PCV7 2013 13 PCV13 IPD IPD 2,3 2015 1 2015 12 5 1 IPD 2015 1 12 IPD 5 IPD 1 4 2 5 http://pneumocatch.jp/ 5 Statens Serum Institut
JC39304
J Cardiol 2002 Mar; 39 3 : 171 176 1 Infective Endocarditis Complicating Bilateral Bacterial Ophthalmitis: A Case Report Takeshi Takashi Seishi Takayoshi Noriko Mari Yoriko Kenichi Toshiji SENO, MD NISHIUE,
デスフルラン
デスフルラン時代の周術期管理 岡山大学麻酔科蘇生科森松博史 デスフルランの特徴!!! 岡山大学での現状 本日のお話 デスフルランの特徴 3 Eger et al. Anesth Analg 1998; 86: 414-21 デスフルランの特徴 2 つのメタアナリシス 2005 Macario et al. Am J Health Syst Pharm!! 2010 Dexter et al.
日本呼吸器学会雑誌第44巻第6号
Aspergillus β Table1 Laboratoryfindingsonadmission Hematology WB Seg Band Lymph Eos Baso RB Hb Hct Plt Biochemistry AST ALT LD ALP γ-gtp K 17,700 /mm 3 70.0 % 7.0 % 17.0 % 2.0 % 1.0 % 337 10 4 /mm 3 11.5g/dl
22●24頁●６－１６▲救急外来▲.ppt
No. 98 No. 62 No. 92 No. 60 No. 61 No. 99 GQM No.172 A B GRMRM RM 4B 5 No.337 No.357 No.359 No.112 No.200 151226 25 No. 31 1461 30mg/dl 0.15mg/l mg/dl 20-50 51-100 101-200 201-300 301-400 401-450- 10 No.201
Coronary spasm associated myocardial infarction without organic stenosis at acute stage Yoshiaki Mikuriya*, Yoichi Tatsukawa*, Fumie Yufu*, Hirofumi Zaizen*, Katsuhiro Wakayama*, Yuuki Matsumoto*, Shoji
Fig. 1 Chest X-ray on admission, with infiltrative shadow in the right upper lung field. Fig. 2 Chest CT scan shows an infiltrative shadow, multiple b
congenital bronchial atresia, obstructive pneumonia Fig. 1 Chest X-ray on admission, with infiltrative shadow in the right upper lung field. Fig. 2 Chest CT scan shows an infiltrative shadow, multiple
CHEMO THER APY Table 1. Background of the volunteers in the phase I clinical trial of ME1207 Table 2. Methods for Phase I clinical trial of ME1207 All doses are expressed in terms of potency as ME1206
JC38603
J Cardiol 2001 Dec; 386: 337 342 : 3 Coronary Artery Dissection Following Angioplasty Evaluated by Fractional Flow Reserve: Report of Three Cases Kazutaka AMAYA, MD Kenji TAKAZAWA, MD, FJCC Nobuhiro TANAKA,
VOL.39 S-3
VOL.39 S-3 CHEMOTHERAPY SEPT.1991 Table 1. Background of characteristics and allocation of 5 healthy male volunteers in a multiple-dose study on panipenem/betamipron Day 1 Fig. 1. Schedule of multiple-dose
Table 1 Laboratory data on admission Fig. 1 Clinical Course: N. M. 42y. o. Male, Infective endocarditis
Key words: Streptococcus agalactiae, infective endocarditis Table 1 Laboratory data on admission Fig. 1 Clinical Course: N. M. 42y. o. Male, Infective endocarditis 鵜野 麻 弓 他 546 Fig. 2 Echocardiogram (VEG)
387 ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )
386 B B () () ( ) ( ) ( ) 387 ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) 388 ( ) ( ) ( ) 389 ( ) 2 ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) 390 ( ) ( ) ( ) () () ( ) Hot flush 391 ( ) ( ) ( ) 392 ( ( )
HEART'S Original A case of Brugada syndrome with a high defibrillation threshold in which defibrillation was successful by Active Can off defibrillation Keisuke Kawachi, Yukei Higashi, Yuuki Honda, Kouhei
非 空 洞性 肺 癌 に合 併 した ア スペ ル ギ ル ス症 Table Fig. 1 1 Laboratory Chest X-ray film on admission showing effusion, case 1 (a). Chest CT scan showing bronchus
Key words: aspergillosis, lung cancer, necrosis 非 空 洞性 肺 癌 に合 併 した ア スペ ル ギ ル ス症 Table Fig. 1 1 Laboratory Chest X-ray film on admission showing effusion, case 1 (a). Chest CT scan showing bronchus (b).
1996 papilloma virus 2001 Bowen AIHA PSL1mg/kg BMA PRCA parvovirus B19 PVB19 DNA PCR PV IgM 4 PVB19 PRCA MAP PVB19 DNA DNA PR
1996 papilloma virus 2001 Bowen2002 12 2003 2 2002 9 10 AIHA PSL1mg/kg BMAPRCA parvovirus B19 PVB19 DNA PCR PV IgM 4PVB19 PRCA MAPPVB19DNA DNA PRCA IVIG;20 50g/ IVIG PVB19AIHA steroid 15 20mg/day 2003
Table 1 Laboratory data on admission * : Bacterial examinations were done on February 2, 1995 Fig. 1 Clinical course
Key words : psoas abscess, diabetes mellitus Table 1 Laboratory data on admission * : Bacterial examinations were done on February 2, 1995 Fig. 1 Clinical course 高齢 者 に発 症 した腸 腰 筋 膿 瘍 の1例 Fig. 2 Pelvic
_03大山.indd
36, 13-19, 2016 2 24 24 6 12 1% 1 DIC 2 1 40 30 0 0 IVM - ICSI - ; in vitro mturtion - intrcytoplsmic sperm injection 32 5 mm 37 3 1,300 g 7 H 10.1 g/dl 10 ER 104/69 mmhg 78 / 1 FBG 1 100 ml FFP 300 ml
001-029_”÷’X
54 2012 1 29 Kimori Daisuke Kamijo Takashi Takahashi Akira 1993 19951997 2001 10 1993 1999 1992 54 2012 1993 20 LDH BUNCRE UA CPK GOT CPK LDH UA CPK LDH UA CPK 1989 2001 2000 1989 1995 2003 2005 1989 54
384 X computed tomography: CT : 178cm 87 kg /78 mmhg 98/min 18/min3 Levine Roth Osler Janeway : C Creactive protein : CRP 9.0 mg/dl 12,600/ l
J Cardiol 2007 Dec; 50 6 : 383 387 1 Pulmonary Septic Embolism With Right Side Infectious Endocarditis and Ventricular Septal Defect: A Case Report Yoshifumi Mitsugu Yukiko Takuo Shunichi NAKAUCHI, MD
日本化学療法学会雑誌第51巻第2号
piperacillin piperacillin PIPC. g Cmax CL PIPC CL CLR CLNR CL PIPC g g Cmax PIPC Key words: piperacillin Piperacillin PIPC PIPC g g PIPC Cmax g g ml g g ml g g ml T T T PIPC g g T Ccr ml min AUCCmax PIPC
結核 第 85 巻 第 8 号 2010 年 8 月 668 Fig. 1 Chest X-ray (A) and CT scan (B) in Feb showed pleural effusion. Fig. 3 Chest X-ray (A) and CT scan (B) sho
Kekkaku Vol. 85, No. 8: 667_671, 2010 667 1 要旨 24 3 CT 2 3 キーワーズ はじめに 1 3 X 1) 1 2 4 2) 4) 5) 7) 3 1 症例 24 2006 2 X CT Fig. 1 PCR-TB 3 INH RFP EB PZA 4 5 6 CT Fig. 2 2 X CT Fig. 3 169 cm 52 kg 36.8 96/
症例_井坂先生.indd
症例報告 JNET 7:111-118, 2013 ステント単独で治療した非出血性椎骨動脈解離性動脈瘤の 2 例 - ステント単独治療の長期成績 - 1 2 Long-term results of non-hemorrhagic vertebral artery dissecting aneurysms treated by stent monotherapy Fumiaki ISAKA 1) Kazushi
日本呼吸器学会雑誌第48巻第6号
Fig.1 Cutaneousfindingsandpathologicalfindingsofatransbronchiallungbiopsy(TBLB)andlichenifiedeczemaoftherightforearm.Thepatienthadlichenifiedeczemaonhisextremitiesandbodytrunk (1a:rightforearm,1b:leftthigh).Therewasinfiltrationoftheinflammatorylymphocytes,edemaandabrasioninthetype2alveolarepithelium
Key words : 7432-S, Oral cephem, Urinary tract infection Fig. 1. Chemical structure of 7432-S.
Key words : 7432-S, Oral cephem, Urinary tract infection Fig. 1. Chemical structure of 7432-S. Table 1. Clinical summary of acute uncomplicated cystitis patients treated with 7432-S UTI : Criteria by the
Vol.1_No.2_Dec.2012.book
1 2 55 60 (2012 ) 2 2 1 Glenn 30 CRP 2 28 CRP CRP 1 hypertrophic osteoarthropathy, cyanosis, congenital heart disease (hypertrophic osteoarthropathy HOA) 3 HOA 2 30 {S,L,L}, 18 20 3 7.1mg/dL 2 178cm 60kg
21 70.9 22 62.9 22 90 80 60 40 23 58 17 42 31 77.5 9 22.5 1 n 40 40 0 2 2 5.0 50 0 3 3 7.5 60 3 12 15 37.5 70 12 5 17 42.5 80 1 1 2 5.0 90 1 0 1 2.5 4
462015 Nagoya community school for health Think health scientifically : the life style and the health condition of seminar participants Hisae USAMI 21 36 67 1/3 21 21 21 1 23 6 68.2 91 43 70 42.56037.5
59 20 : 50 : : : : : 2 / :20 / 25 GTP /28 5/3 5/4 5/8 6/1 1 7kg 6/9 :178.7cm :68.55kg BMI:21.47 :37.3 :78 / :156/78mmHg 1
59 20 : 50 : 2005 9 : 2006 1 : 2006 4 : :2 / :20 / 25 GTP 2006 1 4/28 5/35/4 5/8 6/1 1 7kg 6/9 :178.7cm :68.55kg BMI:21.47 :37.3:78 / :156/78mmHg 1 0.3g 1 30-49 Hb9.5g/dL 7 /mm 3 - Cr1.6mg/dL CRP1.84 mg/dl
5 CSF 6 CSF 7 CSF CSF CDV CDV GFAP CSF Pandy test NSE MBP LDH mu/ml 0-5 /µl AST mu/ml CK mu/ml <25 mg/dl<45 mg/dl GLU
CT MRI CSFCSF CSF CSF CSF CSF CSF (cisternal puncture) CSF 20-23G 90 (20-23G) : CSF
JC40207
1 Eosinophil Infiltration in the Heart With Free-Wall Rupture Following Acute Myocardial Infarction: A Case Report Junko Satoshi Isao Yoritaka Atsushi Chikao Shunichi MIYAZATO, MD YASUDA, MD MORII, MD
東洋医学雑誌
Vol.67 No.3 296-301, 2016 Keizo TOKUMO Department of Obstetrics and Gynecology, Chugoku Central Hospital of the Mutual aid Association of Public School Teachers, 148-13 Ohazaueiwanari, Miyuki-cho, Fukuyama,
AD 2004/8/22 1. 30 90 mmhg 2. 3 100 refilling COPD etc. etc. PCPS IVR Helical CT DSA IVR DVT US/CT Scintigaraphy Ventilation / Perfusion VP scans High probability R DSA Gold standard MSCT
嗄声で発症した心サルコイドーシスの1剖検例
嗄声で発症した心サルコイドーシスの 1 剖検例 1) 2) 1) 1) 1) 1) 1) 3) 4) 1) 要旨 54 3 9 2 8 3 4 3 4 7 201 Thallium 7 11 8 キーワード : An Autopsy Case of Cardiac Sarcoidosis Presenting with Hoarseness Takako Kawai 1), Kiyoshi Katoh
29 表4. 図1. 左 室 流 入 血 流 速 パ タ ー ン(パ エ コ ー 図)の 異 常 例 長期 透析 患者 の 高血圧群 と透析 時低血 圧群 に お け る心 エ コー図検 査成 績 ル ス ドプ ラ ー心 よ び低 血 圧 を伴 い,HCM様 症 例 は10例(31%)で が 高 血 圧 で あ った 両 群 で のDCMお よびHCM様 例 の 出 現 頻 度 に 差 は な か
Key words : Streptococcus agalactiae, lung abscess, pyogenic spondylitis
Key words : Streptococcus agalactiae, lung abscess, pyogenic spondylitis 尾長谷 靖 他 1086 Table Fig. 1 lesion Chest roentogenogram in the left upper showing 1 Laboratory nodular lobe. findings on admission
JC40101
1 Serotonin Receptor Blockade Effective for Postprandial Vasospastic Angina Associated With Dumping Syndrome After Esophagectomy: A Case Report Takamasa Takanori Norifumi Mikihisa Masatoshi Masanobu Muneyasu
日本消化器外科学会雑誌第40巻第1号
Fig. Classificationofthe9patientsinacuteabdomen Fig.2 DiagnosisandtherapyforthepatientswithoutemergencyCT Fig.3 Diagnosisandtherapyforthepatientswithacuteappendicitisandotherdiseasesnecessitatingdiferentialdi
CHEMOTHERAPY APRIL 1992 Table 2. Concentration of meropenem in human prostatic fluid Table 1. Background of 21 chronic complicated UTI cases * NB + BPH, NB + Kidney tumor, NB + Kidney tuberculosis Table
<8C9F8DB85F3338E4508CB495612E786C73>
尿 検 査 初 回 登 録 前 回 調 査 時 から 変 更 なし 追 加 データあり 随 時 尿 蛋 白 ( 定 性 ) - - - 糖 ( 定 性 ) - - - 潜 血 ( 定 性 ) - - - 項 目 に が 付 与 されている 場 合 : 該 当 の 項 目 は 1/5 尿 検 査 血 球 算 定 初 回 登 録 前 回 調 査 時 から 変 更 なし 追 加 データあり WBC ( )
血管周囲に細胞浸潤と肉芽腫形成を認めた Figure した ステロイドを漸減し ９月29日プレドニゾロ 3 ン25 mg/dayで退院となった 退院時の下腿筋MRI 入院後経過 Figure 4 検査でも改善を認めた Figure 2b 以後ステロイド サルコイドーシスと診断 プレドニゾロン60 m
不明熱で発症した急性筋炎型サルコイドーシスの１例 1 川井孝子 加藤 清 1, 2 要旨 34歳女性 2006年６月初旬より咽頭痛 38 39 の発熱出現 近医より経口抗生物質を処方されるも解熱せ ず ７月８日から両下腿の筋肉痛が出現 7月中旬から筋肉痛は四肢に拡がり７月24日精査加療目的で紹介入院と なる 入院時検査で白血球増多とCRPの上昇を認めたがCPKは正常値であった 胸部X線写真は異常なし
CHEMOTHERAPY SEPT. 1991
CHEMOTHERAPY SEPT. 1991 VOL. 39 S-3 Table 1. Background of characteristics and allocation of 9 healthy male volunteers in a single-dose study on betamipron Table 2. Background of characteristics and allocation
日本呼吸器学会雑誌第44巻第7号
Table1Laboratoryfindingsonadmission Hematology Serology LungFunctionTest WBC 7,410 /μl CRP 7.7mg/dl VC 3.12L(97.2%) Neut 66.4 % KL-6 777U/ml FEV1.0 2.35L(78.25%) Eosino 3.2 % PT (INR) 0.94 %DLCO 47.6 %
CHEMOTHERAPY APR. 1982
VOL.30 S-1 CHEMOTHERAPY Table 1 Dose of CTT and subjects i. v.: Intravenous bolus injection d. i. v.: Intravenous drip infusion i. m.: Intramuscular injection Fig. 1 Schedule for examination of CTT, 1.0g
08症例報告4山内.indd
症例報告 37 急性大動脈解離に対する上行大動脈置換術後の大動脈基部拡張 大動脈弁閉鎖不全に対する自己弁温存基部置換術 (remodeling 手術 ) 概要 : mm remodeling 索引用語 : remodeling Remodeling technique for aneurysm of aortic root and moderate aortic valve regurgitation