http://hdl.handle.net/10564/1533 1999-10 2026-04-09T01:19:48Z http://hdl.handle.net/10564/552 タイトル: PRIMARY LIGAMENT RECONSTRUCTION FOR THE TREATMENT OF ACUTE TRAUMATIC DISLOCATION OF THE 1ST CARPOMETACARPAL JOINT : IS IT APPROPRIATE ? 著者: Nosaka, Yoshimasa; Inada, Yuji; Maeda, Yuji; Mitsuno, Hiroya; Kawanishi, Koichi; Miyamoto, Seiji; Tamai, Susumu 抄録: A case is reported of acute traumatic dislocation to the lst carpometacarpal joint of the left thumb, treated by ligament reconstruction as first choice. 1999-10-30T15:00:00Z http://hdl.handle.net/10564/551 タイトル: 逆行性血管柄遠位手掌島状皮弁を利用した手指heat press injuryの1治療例 著者: 前田, 裕仁; 稲田, 有史; 野阪, 善雅; 三野, 浩也; 川西, 弘一; 宮本, 誠司; 玉井, 進 抄録: A 50-year-old woman experienced severe heat press injuries on the right middle and ring fingers. A reverse vascular pedicle palmar island flap was elevated from the mid-palmar lesion of the ring finger, of which resection was planned as a ray amputa- tion. The middle finger was amputated at the level of the mid-proximal phalanx, and then a flap was used to cover the major defect of the exposed bone. In addition, a 2 cm callotasis was performed using the Orthofix mini-100 device at the level of the proximal phalanx of the middle finger. Nine months later, she was able to work without any limitations and could hold chopsticks using the reconstructed finger. 1999-10-30T15:00:00Z http://hdl.handle.net/10564/550 タイトル: 高脂血症を伴った重症急性膵炎の一救命例 著者: 野阪, 善雅; 小延, 俊文; 村尾, 佳則; 増井, 一弘; 畑, 倫明; 横田, 義子; 稲田, 有史; 今西, 正巳; 宮本, 誠司; 打田, 日出夫; 中野, 博重; 前田, 裕仁; 西尾, 健治 抄録: A case of severe acute pancreatitis with hyperlipidemia is reported. A 31 -year-old man was admitted to our hospital due to acute pancreatltls. The enhanced abdominal CT demonstrated diffuse enlargement of the pancreas with peripancreatic inflammatory changes and fluid collection. Laboratory da,ta showed elevation of Amylase, Triglyceride, Lactic dehydrogenase and Blood sugar. Thus, we diagnosed severe acute pancreatitis with hyperlipidemia and started arterial infusion of proteinase inhibitor. On the 33rd hospital day, we performed necrosectomy and closed wide pancreatic drainage because of infectious signs. Postoperatively, the drains were irrigated with saline solution on a daily basis and we continued arterial infusion of proteinase inhibitor. Hewever, severe pancreatitis was improved, Triglyceride was elevated. Very Low Density Lipoprotein was 362 mg/dl and Chylomicron was 532 mg/dl. Then, we diagnosed type V hyperlipidemia. However, acute pancreatitis with hyperlipidemia is not common and the relation between acute pancreatitis and hyperlipidemia is controversial ; we considered that the control of hyperlipidemia is important for preventing pancreatitis. 1999-10-30T15:00:00Z http://hdl.handle.net/10564/549 タイトル: A CASE OF RUPTURED MITRAL VALVE ANEURYSM DUE TO INFECTIVE ENDOCARDITIS 著者: Mizuno, Reiko; Fujimoto, Shinichi; Kawata, Hiroyuki; Sakaguchi, Hidehito; Taniguchi, Shigeki; Hashimoto, Toshio; Dohi, Kazuhiro 抄録: 58-year-old woman with aortic regurgitation was admitted to our hospi- tal because of high grade fever. She had infective endocarditis and an aneurysm of the anterior mitral leaflet. Doppler echocardiography indicated a ruptured mitral valve aneurysm. Aortic regurgitant flow along the anterior mitral leaflet was suspected to have contributed to mitral valve endocarditis, aneurysm formation and rupture. She was initially treated with high-dose intravenous penicillin, but congestive heart failure worsened. Mitral valve replacement was then successfully performed. 1999-10-30T15:00:00Z