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  1. 0 資料タイプ別
  2. 03 紀要論文
  1. 250 大学院医歯学総合研究科(医)
  2. 20 紀要
  3. 02 新潟医学会雑誌
  4. 第103巻第4号

2) 細菌性ショックとその対策(シンポジウム 各科におけるショックとその対策, 第440回新潟医学会)

http://hdl.handle.net/10191/41178
http://hdl.handle.net/10191/41178
8902f093-8c58-4b38-be5d-595025d13a7c
名前 / ファイル ライセンス アクション
103(4)_249-254.pdf 103(4)_249-254.pdf (1.3 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2016-04-08
タイトル
タイトル 2) 細菌性ショックとその対策(シンポジウム 各科におけるショックとその対策, 第440回新潟医学会)
タイトル
言語 en
タイトル 2) 細菌性ショックとその対策(シンポジウム 各科におけるショックとその対策, 第440回新潟医学会)
言語
言語 jpn
キーワード
主題Scheme Other
主題 bilirubin decreasing rate b
キーワード
主題Scheme Other
主題 obstructive cholangitis
キーワード
主題Scheme Other
主題 multi-organ failure
キーワード
主題Scheme Other
主題 bacterial shock
キーワード
主題Scheme Other
主題 減黄率b値
キーワード
主題Scheme Other
主題 閉塞性胆管炎
キーワード
主題Scheme Other
主題 多臓器不全
キーワード
主題Scheme Other
主題 細菌性ショック
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
その他のタイトル
その他のタイトル Bacterial shock with biliary tract infection(Shock and Its Current Therapy in Each Specialized Field)
著者 清水, 武昭

× 清水, 武昭

WEKO 138665

清水, 武昭

Search repository
大村, 康夫

× 大村, 康夫

WEKO 138666

大村, 康夫

Search repository
佐藤, 攻

× 佐藤, 攻

WEKO 138667

佐藤, 攻

Search repository
吉田, 奎介

× 吉田, 奎介

WEKO 138668

吉田, 奎介

Search repository
武藤, 輝一

× 武藤, 輝一

WEKO 138669

武藤, 輝一

Search repository
著者別名
識別子 138670
識別子Scheme WEKO
姓名 Shimizu, Takeaki
著者別名
識別子 138671
識別子Scheme WEKO
姓名 Ohmura, Yasuo
著者別名
識別子 138672
識別子Scheme WEKO
姓名 Sato, Osamu
著者別名
識別子 138673
識別子Scheme WEKO
姓名 Yoshida, Keisuke
著者別名
識別子 138674
識別子Scheme WEKO
姓名 Muto, Terukazu
抄録
内容記述タイプ Abstract
内容記述 We made the formula of the serum bilirubin fall for patients with obstructive jaundice after the biliary decompression. Since 1975, we have used this formula (y=ae^<bx>), called bilirubin decreasing rate b, as the liver function test for patients with obstructive jaundice. The cause to make this natural bilirubin clearance worse was mainly cholangitis and/or cancer infiltration into the intrahepatic bile duct. The ductal cell degeneration occurred and made the bilirubin clearance worse by the cholangitis. Severe obstructive cholangitis sometimes developed into multi-organ failures(MOF). However, the ductal cell degeneration was not found and the good bilirubin clearance was maintained in some patients with severe obstructive cholangitis. Therefore, it seems plausible considered that there were 2 types of cholangitis; worse bilirubin clearance type (hepatic injury type) and good bilirubin clearance type (renal injury type). We studied 21 MOF patients caused by obstructive cholangitis to clarify the pathophysiology of these 2 types of cholangitis. The b value was calculated within 10 days after percutaneous transhepatic biliary drainage. These 21 patients were classified into 2 groups according to the bilirubin decreasing rate b. Group 1 (good bilirubin fall group) consisted of 14 patients, Group 2 (worse bilirubin fall group) 7 patients. Statistical difference between Group 1 and Group 2 were as follows: 1) Onset time (initial symptom to serum creatinine over 2 mg/dl) was 2.8+1.7 days in Group 1 and 18.5+5.1 days in Group 2. 2) Urine volume was 252+239ml in Group 1 and 1540+413ml in Group 2. 3) Serum creatinine was 9.6+2.4mg/dl in Group 1 and 3.6+0.9mg/dl in Group 2. 4) BUN/Cr was 13.2+3.0 in Group 1 and 22.8+6.4 in Group 2. 5) Platelet count was 9.4+8.4/10 in Group 1 and 12.0+14.6/10 in Group 2. 6) Lymphocytes were 917+499 in Group 1 and 1655+548 in Group 2. 7) GOT, GPT and LDH were not different from each other. [Summery] 1) Cholangitis of good bilirubin clearance group suffered from strong toxic agents in bile because of a statistical decrease in the number of platelets and lymphocytes, but this duration was very short. 2) Hepatic and renal injury states were contrary. Therefore, we consider that these 2 types of cholangitis differ fundamentally from each other.
書誌情報 新潟医学会雑誌
en : 新潟医学会雑誌

巻 103, 号 4, p. 249-254, 発行日 1989-04
出版者
出版者 新潟医学会
ISSN
収録物識別子タイプ ISSN
収録物識別子 00290440
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AN00182415
著者版フラグ
値 publisher
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