http://hdl.handle.net/10564/1567 2004-12 2026-04-09T19:26:33Z http://hdl.handle.net/10564/257 タイトル: A CASE OF SUDDEN DEATH DUE TO BILATERAL TENSION PNEUMOTHORAX AFTER ACUPUNCTURE 著者: Kasuda, Shogo; Morimura, Yoshifumi; Kudo, Risa; Sageshima, Noriko; Sanefuji, Nobuyuki; Ishitani, Akiko; Fukudome, Akrmto; Hatake, Katsuhiko 抄録: We report a case of sudden, unexpected death of a 71-year-old woman due to bilateral pneumothorax after acupuncture. The patient experienced dyspnea and subsequently died 6 hours after acupuncture. Autopsy revealed remarkable inferior displacement of the left hemidiaphragm and hemorrhages on the surface of both inferior pulmonary lobes. The deceased had no risk factors for pneumothorax; no underlying pulmonary disease was found and the needles had not been inserted at dangerous therapeutic points. To our knowledge, this is the first report of a death due to pneumothorax after acupuncture that occurred in the absence of relevant risk factors. 2004-12-30T15:00:00Z http://hdl.handle.net/10564/256 タイトル: 胃の寄生虫性肉芽腫とInflammatory fibroid polypが併存した1例 著者: 牧之段, 潔; 濱田, 薫; 木村, 弘; 江川, 信一; 眞島, 利匡; 浜崎, 直樹; 今井, 照彦; 薮内, 裕也 抄録: A 52-year-old woman with the habit of eating raw cuttlefish visited our hospital complaining of epigastric pain. Gastroendoscopy revealed a whitish protruding lesion 20mm in diameter on the anterior wall of the angulus. Two months later, the appearance changed to a submucosal tumor with erosion on the top. Spindle cell sarcoma was suspected histologically by the biopsy specimen. Preoperative gastroendoscopy revealed a submucosal tumor on the greater curvature of the gastric antrum in addition to that on the anterior wall of the angulus. The tumor was surgically resected. We histologically diagnosed this lesion as parasitic granuloma due probably to anisakiasis infection for the former and inflammatory fibroid polyp (IFP) for the latter. This is a rare case report of IFP associated with parasitic granuloma. Concomitant presence of IFP in the neighborhood of parasitic granuloma due probably to anisakiasis suggests that infestation by a parasite larva including Anisakis nematode play an important role in the pathogenesis in some cases of IFP. 2004-12-30T15:00:00Z http://hdl.handle.net/10564/255 タイトル: EXTENT OF SINOATRIAL AND ATRIOVENTRICULAR NODAL DEPOSITS IN CARDIAC AMYLOIDOSIS : A CORRELATIVE INVESTIGATION 著者: Yamaji, Kunimro; Ikeda, Yosmhiko; Yutani, Chikao 抄録: Objectives. We morphometrically determined the relative area of amyloid deposition (%D) in sinoatrial and atrioventricular nodes in cardiac amyloidosis. Materials and Methods. We divided 13 hearts with amyloidosis and arrhythmia (arrhythmia group) and 4 hearts with amyloidosis and no arrhytimia (controls) into subgroups. The arrhythmia group included 3 patients with sick sinus syndrome (SSS), 3 with atrioventricular (AV) block, 9 with bundle branch block, 7 with atrial fibrillation, and 4 with ventricular arrhytlnnias. Among all 17 cases, 14 represented primary (AL) amyloidosis and 3 represented secondary (AA) amyloidosis. We selected five microscopic fields for each case and node for quantitative analysis with an image analyzer to determine %D. Results. The %D in both nodes was similar between control and arrhythmia groups. Only in the AV block subgroup was the %D in the sinoatrial node significantly greater than controls (p<0.05), although %D in the SSS subgroup showed some tendency to be greater than in controls. In the atrioventricular node, %D in the AV block subgroup tended to be greater than in controls. The %D was similar between the two nodes for groups with ALλ, ALκ, and AA amyloid, while %D tended to be greater in the AL group than in the AA group. Conclusion. Although a close relationship was not decisively demonstrated between arrhytimias and extent of amyloid deposition in sinoatrial or atrioventricular nodes, SSS might be caused by amyloid deposition in the sinoatrial node and AV block might be caused by amyloid deposition in the atrioventricular node. 2004-12-30T15:00:00Z http://hdl.handle.net/10564/254 タイトル: 虚血性神経細胞アポトーシスにいたる細胞内カスケード 著者: 奥野, 修三; 榊, 壽右 2004-12-30T15:00:00Z