result 485 件
| FullText URL | K0005102 abstract_review.pdf K0005102_fulltext.pdf |
|---|---|
| Author | Inokuchi, Toshihiro| |
| Published Date | 2015-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第5102号 |
| Granted Date | 2015-03-25 |
| Thesis Type | Doctor of Philosophy in Medical Science |
| Grantor | 岡山大学 |
| language | English |
| Title Alternative | Cholelithiasis with a cholecystoduodenal fistula complicated with paroxysmal nocturnal hemoglobinuria |
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| FullText URL | 127_35.pdf |
| Author | Kato, Takuya| Matsukawa, Hiroyoshi| Shiozaki, Shigehiro| Fuji, Tomokazu| Fujiwara, Yasuhiro| Ninomiya, Motoki| |
| Abstract | In cases of paroxysmal nocturnal hemoglobinuria (PNH), attention must be paid to potential complications such as thrombosis and hemolysis due to perioperative stress and infection from complement activation. Here we present the case of a 61-year-old Japanese woman with PNH. We made the diagnosis of PNH when she was 28 years old, and we administered repeated steroid medication and erythrocyte transfusion. The patient's cholecystocholedocholithiasis with a cholecystoduodenal fistula was diagnosed based on a survey of the right hypochondriac pain. We performed endoscopic nasobiliary drainage (ENBD) for the prophylaxis of perioperative infection, plus a cholecystectomy and fistulectomy. There were no complications, including hemolysis attack, infection, thrombosis with irrigation erythrocyte transfusion, steroid cover, or the need for heparin administration during the perioperative period. The reduction of the complement activation is necessary in the perioperative management of PNH patients. The prevention of the development of acidosis and hypoxemia, the selection of washed red blood cells, steroid use, appropriate infection measures and thrombosis prophylaxis are all important for the prevention of complications. |
| Keywords | 発作性夜間血色素尿症（PNH）（paroxysmal nocturnal hemoglobinuria (PNH)） 胆嚢十二指腸瘻（cholecystoduodenal fistula） 溶血発作（hemolysis） |
| Publication Title | 岡山医学会雑誌 |
| Published Date | 2015-04-01 |
| Volume | volume127 |
| Issue | issue1 |
| Start Page | 35 |
| End Page | 39 |
| ISSN | 0030-1558 |
| Related Url | http://www.okayama-u.ac.jp/user/oma/ |
| language | Japanese |
| Copyright Holders | Copyright (c) 2015 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.127.35 |
| NAID | 130005068351 |
| FullText URL | K0005066_abstract_review.pdf K0005066_fulltext.pdf |
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| Author | Yamamoto, Tsuyoshi| |
| Published Date | 2014-12-31 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第5066号 |
| Granted Date | 2014-12-31 |
| Thesis Type | Doctor of Philosophy in Medical Science |
| Grantor | 岡山大学 |
| language | Japanese English |
| FullText URL | K0004063_abstract_review.pdf K0004063_fultext.pdf |
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| Author | Nakahara, Ryuichi| |
| Published Date | 2014-12-31 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第5063号 |
| Granted Date | 2014-12-31 |
| Thesis Type | Doctor of Philosophy in Medical Science |
| Grantor | 岡山大学 |
| language | Japanese English |
| FullText URL | O0004424_abstract_review.pdf O0004424_fulltext.pdf |
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| Author | Terami, Takahiro| |
| Published Date | 2014-06-30 |
| Content Type | Thesis or Dissertation |
| Grant Number | 乙第4424号 |
| Granted Date | 2014-06-30 |
| Thesis Type | Doctor of Philosophy in Medical Science |
| Grantor | 岡山大学 |
| language | Japanese English |
| Title Alternative | Drug interaction (30. combination with therapeutic drugs for chronic pain) |
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| FullText URL | 126_159.pdf |
| Author | Ogawa, Atsushi| Kitamura, Yoshihisa| Sendo, Toshiaki| |
| Publication Title | 岡山医学会雑誌 |
| Published Date | 2014-08-01 |
| Volume | volume126 |
| Issue | issue2 |
| Start Page | 159 |
| End Page | 163 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2014 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.126.159 |
| NAID | 130004685269 |
| Title Alternative | Treatment for a non-compliant patient with cancer and epilepsy |
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| FullText URL | 126_133.pdf |
| Author | Minami, Daisuke| Ichihara, Eiki| Okabe, Nobuyuki| Yokomichi, Naosuke| Kouge, Noriko| Kajizono, Makoto| Akimoto, Yutaka| Hori, Keisuke| Matsubara, Minoru| Nasu, Junichiro| Tanimoto, Mitsune| Kiura, Katsuyuki| Matsuoka, Junzi| |
| Abstract | A 58-year-old man with cervical esophageal cancer and a history of epilepsy was treated with chemoradiotherapy from May of 2013. When tube feeding was initiated due to aspiration pneumonitis, the patient showed a degree of irritability that affected routine staff work and treatment compliance. We attempted to perform supportive care for maladjustment by the notice, the fast, and the tube feeding, but there was no improvement. After we added carbamazepine, primidone, and propericiazine (which had been canceled at the initiation of the tube feeding) to the patient's intravenous phenytoin, the symptoms and treatment compliance improved significantly. We concluded that the causes of the patient's irritability were maladjustment and his epilepsy. |
| Keywords | てんかん（epilepsy） 易怒性（irritability） 適応障害（maladjustment） |
| Publication Title | 岡山医学会雑誌 |
| Published Date | 2014-08-01 |
| Volume | volume126 |
| Issue | issue2 |
| Start Page | 133 |
| End Page | 135 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2014 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.126.133 |
| NAID | 130004685264 |
| FullText URL | K0005004_abstract_review.pdf K0005004_fulltext.pdf |
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| Author | Kuroda, Sumie| |
| Published Date | 2014-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第5004号 |
| Granted Date | 2014-03-25 |
| Thesis Type | Doctor of Philosophy in Health Sciences |
| Grantor | 岡山大学 |
| language | Japanese |
| FullText URL | K0004929_abstract_review.pdf K0004929_fulltext.pdf |
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| Author | Komori, Hiroki| |
| Published Date | 2014-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第4929号 |
| Granted Date | 2014-03-25 |
| Thesis Type | Doctor of Philosophy in Dental Science |
| Grantor | 岡山大学 |
| language | Japanese |
| FullText URL | K0004891_abstract_review.pdf K0004891_fulltext.pdf |
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| Author | Kurahashi, Hiroaki| |
| Published Date | 2014-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第4891号 |
| Granted Date | 2014-03-25 |
| Thesis Type | Doctor of Philosophy in Medical Science |
| Grantor | 岡山大学 |
| language | Japanese English |
| Author | 吉村 一穂| |
|---|---|
| Published Date | 1992-09 |
| Publication Title | 中部日本整形外科災害外科学会雑誌 |
| Volume | volume35 |
| Issue | issue5 |
| Content Type | Journal Article |
| FullText URL | K0004874_abstract_review.pdf K0004874_fulltext.pdf |
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| Author | Kitagawa, Masashi| |
| Published Date | 2013-12-31 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第4874号 |
| Granted Date | 2013-12-31 |
| Thesis Type | Doctor of Philosophy in Medical Science |
| Grantor | 岡山大学 |
| language | Japanese English |
| Author | Eguchi, Hitomi| |
|---|---|
| Published Date | 2013-09-30 |
| Publication Title | |
| Content Type | Thesis or Dissertation |
| FullText URL | K0004828_abstract_review.pdf K0004828_fulltext.pdf |
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| Author | Kubota, Junichi| |
| Published Date | 2013-09-30 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第4828号 |
| Granted Date | 2013-09-30 |
| Thesis Type | Doctor of Philosophy in Medical Science |
| Grantor | 岡山大学 |
| language | Japanese English |
| FullText URL | K0004826_abstract_review.pdf K0004826_fulltext.pdf |
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| Author | Saito, Shunsuke| |
| Published Date | 2013-09-30 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第4826号 |
| Granted Date | 2013-09-30 |
| Thesis Type | Doctor of Philosophy in Medical Science |
| Grantor | 岡山大学 |
| language | Japanese English |
| FullText URL | K0004821_abstract_review.pdf K0004821_fulltext.pdf |
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| Author | Ryuko, Hiromasa| |
| Published Date | 2013-09-30 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第4821号 |
| Granted Date | 2013-09-30 |
| Thesis Type | Doctor of Philosophy in Medical Science |
| Grantor | 岡山大学 |
| language | Japanese English |
| Author | Yamauchi, Eiko| |
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| Published Date | 2013-03-25 |
| Publication Title | |
| Content Type | Thesis or Dissertation |
| Author | Hukuda, Mari| |
|---|---|
| Published Date | 2013-03-25 |
| Publication Title | |
| Content Type | Thesis or Dissertation |
| Author | Higo, Sumiko| |
|---|---|
| Published Date | 2013-03-25 |
| Publication Title | |
| Content Type | Thesis or Dissertation |
| Author | Watanabe, Yoshihisa| |
|---|---|
| Published Date | 2013-03-25 |
| Publication Title | |
| Content Type | Thesis or Dissertation |
