Search Results 1-20 of 2487

  • Machine learning-based prediction models for accidental hypothermia patients

    Okada Yohei , Matsuyama Tasuku , Morita Sachiko , Ehara Naoki , Miyamae Nobuhiro , Jo Takaaki , Sumida Yasuyuki , Okada Nobunaga , Watanabe Makoto , Nozawa Masahiro , Tsuruoka Ayumu , Fujimoto Yoshihiro , Okumura Yoshiki , Kitamura Tetsuhisa , Iiduka Ryoji , Ohtsuru Shigeru

    … The present study aimed to develop and validate machine learning-based models for predicting in-hospital mortality using easily available data at hospital admission among the patients with accidental hypothermia. … Adult patients with body temperature 35.0 °C or less at emergency department were included. …

    Journal of Intensive Care (9), 6, 2021-01-09

    IR 

  • A case of acute hepatic failure induced by severe heatstroke.  [in Japanese]

    Inoue Gen , Dohi Kenji , Hayashi Munetaka , Miyamoto Kazuyuki , Kaki Yuki , Suzuki Keisuke , Takayasu Hiromi , Kashimura Yojiro , Ohno Takanori , Maeda Atsuo , Sasaki Jun

    <p>III 度熱中症は時に重篤な肝不全をきたすことがある。症例は60歳, 男性。トラック内で意識消失した状態で発見され直近医療機関へ搬送された。前医搬送時の体温は41℃でショック状態であったが, 補液で改善した。意識障害の遷延と肝逸脱酵素の上昇があり当院へ転送された。高体温, 中枢神経障害, 肝・腎機能障害, 凝固異常があり III 度熱中症と診断した。第3病日に肝不全となり, 同日 …

    KANTO Journal of Japanese Association for Acute Medicine 42(2), 48-50, 2021

    J-STAGE 

  • Cardiac arrest caused by diphenhydramine poisoning : A case report  [in Japanese]

    Suzuki Keisuke , Nakajima Yasuhiro , Maeda Atsuo , Morikawa Kentaro , Dohi Kenji , Kato Akihito , Kaizaki-Mitsumoto Asuka , Numazawa Satoshi , Sugita Hideki , Nakamura Motoyasu , Katsuki Shino , Inoue Gen , Kaki Yuki

    <p>ジフェンヒドラミンは抗ヒスタミン薬であり過量内服により多彩な中毒症状を呈するが, 重症例では最悪死に至ることがある。近年インターネットなどで取り上げられ, 自殺目的での中毒症例の増加が懸念されている。今回, 市販の抗ヒスタミン薬の大量服薬により心肺停止に至った症例を経験したので報告する。17歳女性。公園内で倒れているところを通行人が発見し救急要請。ジフェンヒドラミン12,000m …

    KANTO Journal of Japanese Association for Acute Medicine 42(2), 35-38, 2021

    J-STAGE 

  • A case of a delayed rupture of left gastric artery pseudoaneurysm following a blunt trauma  [in Japanese]

    Suginaka Hiroshi , Okamoto Ken , Tanaka Hiroshi

    <p>今回われわれは, 来院時造影CTにて明らかな腹腔内臓器損傷を認めず, 数日後左胃動脈仮性動脈瘤破裂を呈した症例を経験した。症例は, 85歳女性, 自転車走行中車と接触し, 救急搬送された。来院時バイタルは意識レベル以外明らかな異常を認めず, 身体所見にて後頭部挫創, 左腰部擦過創, 画像所見にて外傷性くも膜下出血, 側頭骨骨折のみを認めたため, 頭部単独外傷と診断し入院となった。 …

    KANTO Journal of Japanese Association for Acute Medicine 42(2), 39-42, 2021

    J-STAGE 

  • Coronary Flow Disturbance Phenomenon After Percutaneous Coronary Intervention Is Associated with New-Onset Atrial Fibrillation in Patients with Acute Myocardial Infarction

    Niiyama Masanobu , Shimoda Yudai , Ishida Masaru , Itoh Tomonori , Morino Yoshihiro , Koeda Yorihiko , Suzuki Miho , Shibuya Taiki , Kinuta Masakazu , Tosaka Kengo , Fujiwara Jumpei , Kanehama Nozomu , Sasaki Wataru

    … Although previous studies have investigated mortality rates and the incidences of adverse events associated with new-onset AF (NOAF) in patients with AMI, the effects of emergency percutaneous coronary intervention (PCI) on the incidence of NOAF in patients with AMI remain unclear. … 3) following emergency PCI with NOAF in patients with AMI. … Among these, 52 had a history of chronic/paroxysmal AF before admission and were excluded. …

    International Heart Journal 62(2), 305-311, 2021

    J-STAGE 

  • A Case of Human Immunodeficiency Virus-Positive Patient Diagnosed during the Treatment of Right Internal Iliac Pseudoaneurysm

    Iseki Yohei , Fujii Masahiro , Nishina Dai , Mizushima Shohei , Mine Takahiko , Kumita Shin-ichiro , Ishii Yosuke , Bessho Ryuzo

    … We report our experience with a 51-year-old man diagnosed with acquired immunodeficiency syndrome, discovered during the postoperative course when the patient exhibited remittent fever and susceptibility to infection after emergency interventional radiology therapy for a right isolated internal iliac artery aneurysm. … The patient had positive treponema pallidum particle agglutination test result before admission, and tests for sexually transmitted disease showed positive results for HIV H-1 antibodies. …

    Annals of Vascular Diseases 14(1), 56-59, 2021

    J-STAGE 

  • Delayed recurrent posterior circulation infarction after C1-C2 posterior fusion treated with endovascular parent artery occlusion: a case report  [in Japanese]

    Hirayama Takuro , Yoshimura Shunsuke , Miyazaki Teiichiro , Shiraishi Hirokazu , Iki Yusuke , Morofuji Yoichi , Horie Nobutaka , Izumo Tsuyoshi , Tsujino Akira , Tateishi Yohei , Kanamoto Tadashi , Yamashita Kairi , Tsujino Shuhei , Fukushima Kaori , Shima Tomoaki , Ohta Rie , Nagaoka Atsushi

    <p><b>要旨</b>:症例は79歳男性.8カ月前に C1-C2 後方固定術が施行された.突然の構音障害で発症し,昏睡となり,当院へ搬送された.頭部MRIで後方循環系の多発脳梗塞を認めたが,アルテプラーゼ静注療法後に症状は改善した.CT angiography で右椎骨動脈がV3レベルでスクリューと接していた.アスピリンとクロピドグレルによる抗血小板薬2剤併用 …

    Japanese Journal of Stroke 43(2), 153-157, 2021

    J-STAGE 

  • Factors Predicting Recovery of Motor Function in Stroke Patients in a Convalescent Rehabilitation Ward: From Acute Treatment to Recovery Phase Rehabilitation  [in Japanese]

    Imanishi Masami , Okuchi Kazuo

    <p> 脳血管障害症例に対する急性期治療に引き続き行われるリハビリテーション(リハ)の効果はFIM(Functional Independence Measure)を用いて客観的評価が行われている.更に2016年から厚労省によって診療報酬の算定にFIMを用いた実績指数が導入され,回復期リハビリテーション病棟(回リハ病棟)が満足すべき施設基準の重要な要素となった.今回著者らは,当院回リハ …

    NEUROSURGICAL EMERGENCY 26(1), 44-50, 2021

    J-STAGE 

  • A case of pyogenic ventriculitis after severe subarachnoid hemorrhage  [in Japanese]

    Kuroda Yusuke , Shiba Masato , Ichikawa Tomonori , Hatazaki Seiji , Toma Naoki , Suzuki Hidenori

    <p> 60歳代男性.脳梁出血,脳室内出血を伴うくも膜下出血(WFNSグレード5)にて入院.左遠位部前大脳動脈部の破裂動脈瘤に対して開頭脳動脈瘤トラッピング術,急性水頭症に対して脳室ドレナージ術を施行した.術後,カルバペネム耐性腸内細菌による肺炎・敗血症を併発し抗生剤治療を要した.脳室ドレナージを継続し,適宜ドレナージチューブを入れ替えたが,第36病日に髄液細胞数の増加を認め,髄膜炎と …

    NEUROSURGICAL EMERGENCY 26(1), 80-87, 2021

    J-STAGE 

  • Severe bacterial infection caused by poor oral hygiene:— Two cases with central nervous system disorder as the main symptom —  [in Japanese]

    Suzuki Satoshi , Abe Gorou , Yu Iwaek , Ishibashi Hideaki , Ito Osamu

    <p> 口腔内不衛生に起因し,中枢神経障害を主たる症状とする重症感染症二例を経験した.症例1は53歳の男性.発熱とけいれん,意識障害にて救急搬送された.頭部・顔面CT検査にて,左硬膜下膿瘍が存在すると共に,上顎洞から前頭洞にかけて広汎に膿が貯留していた.細菌培養にて<i>α</i>‒streptococcusが同定された.抗生剤大量投与にて頭蓋内感染は鎮静化した …

    NEUROSURGICAL EMERGENCY 26(1), 73-79, 2021

    J-STAGE 

  • A Case of Neck Injury Penetrating by Pieces of Glass to the Oral Cavity  [in Japanese]

    Sugawara Kosuke , Okamura Jun , Shimodaira Yuki , Ashimori Naoki , Mineta Hiroyuki

    … <p>All penetrating neck wounds are potentially dangerous and require emergency treatment, because there are important vessels, nerves, and organs in the neck. … On admission, he was conscious, and his general condition was good. … Therefore, emergency surgery was performed to repair the perforation from the neck into the oral cavity under general anesthesia. …

    Practica oto-rhino-laryngologica. Suppl. 156(0), 171-176, 2021

    J-STAGE 

  • Clinical Trajectories of Suicide Attempts and Self-harm in Patients Admitted to Acute-care Hospitals in Japan: A Nationwide Inpatient Database Study

    Ohbe Hiroyuki , Goto Tadahiro , Yamazaki Ryuichi , Jo Taisuke , Matsui Hiroki , Fushimi Kiyohide , Yasunaga Hideo

    … Using data from the Japanese Diagnosis Procedure Combination inpatient database from June 2015 to March 2017, we identified patients with emergency admission for suicide attempts or self-harm. … We did not include patients with elective admission to psychiatric hospitals or outpatients. … Overall, 38% of the patients did not have any psychiatric or behavioral comorbidities at admission. …

    Journal of Epidemiology 31(3), 231-236, 2021

    J-STAGE 

  • Institutional Characteristics and Prognosis of Acute Myocardial Infarction With Cardiogenic Shock in Japan ― Analysis From the JROAD/JROAD-DPC Database ―

    Matoba Tetsuya , Hokama Yohei , Fukutomi Motoki , Hashiba Katsutaka , Fukuhara Rei , Suwa Satoru , Matsuura Hirohide , Hosoda Hayato , Nakashima Takahiro , Tahara Yoshio , Sumita Yoko , Sakamoto Kazuo , Nishimura Kunihiro , Miyamoto Yoshihiro , Yonemoto Naohiro , Yagi Tsukasa , Tachibana Eizo , Nagao Ken , Ikeda Takanori , Sato Naoki , Tsutsui Hiroyuki , Nakai Michikazu , Ichimura Kenzo , Mohri Masahiro , Tsujita Yasuyuki , Yamasaki Masao , Ueki Yasushi , Tanaka Nobuhiro

    … <p><b><i>Background:</i></b>The high mortality of acute myocardial infarction (AMI) with cardiogenic shock (i.e., Killip class IV AMI) remains a challenge in emergency cardiovascular care. …

    Circulation Journal, 2021

    J-STAGE 

  • Effect of Respiratory Impairment on the Outcomes of Primary Percutaneous Coronary Intervention in Patients With ST-Segment Elevation Myocardial Infarction and Coronavirus Disease-2019 (COVID-19)

    Pellegrini Dario , Fiocca Luigi , Pescetelli Irene , Canova Paolo , Vassileva Angelina , Faggi Lara , Senni Michele , Guagliumi Giulio

    … At admission, a COVID-19 test was positive in 24 patients (48%), negative in 26 (52%). … Upon admission, COVID-19 subjects had lower PO2/FiO2 (169 [100–425] vs. 390 [302–477], P<0.01), more need for oxygen support (62.5% vs. 26.9%, P=0.02) and a higher rate of myocardial dysfunction (ejection fraction <30% in 45.8% vs. 19.2%, P=0.04). … All patients underwent emergency angiography. …

    Circulation Journal, 2021

    J-STAGE 

  • Progressive upper airway stenosis secondary to cervical diffuse idiopathic skeletal hyperostosis manifested by aspiration  [in Japanese]

    AKUTAGAWA Koya , TAKAHASHI Takeshi , SAKURAI Toshihiro , FUKAMI Hiroshi , MATSUO Yuushi , YAMADA Shu , SHIBUSAWA Takayuki , SHIMIZU Chikako , KITADA Maki , HARADA Masahiro

    <p>症例は63歳,男性。1年前より食事時の咽せを自覚していた。誤嚥性肺炎と横紋筋融解症に伴う急性腎障害の加療目的に当院入院となった。抗菌薬投与と連日の透析治療を行い,入院8日目に嚥下内視鏡検査を行ったところ,咽頭後壁の膨隆があり,声門部が視認困難であった。頸椎CTではとくにC2-C4レベルで椎体前面の骨棘形成が顕著で,びまん性特発性骨増殖症(diffuse idiopathic sk …

    Journal of Japanese Society for Emergency Medicine 24(1), 76-80, 2021

    J-STAGE 

  • Early anti-SARS-CoV-2 immunoglobulin G response may be associated with disease severity in patients with COVID-19

    Maeda Tadashi , Kashiwagi Katsuhito , Yoshizawa Sadako , Sato Takahiro , Aoki Kotaro , Ishii Yoshikazu , Tateda Kazuhiro

    … C-reactive protein and D-dimer levels were significantly higher on admission (HD 0) and the respiratory rate was higher, lymphocytes were lower significantly on day 7 of hospitalization (HD 7) in the early-IgG responders. …

    Japanese Journal of Infectious Diseases, 2021

    J-STAGE 

  • A comparative study evaluating improvements in nutritional status and zinc deficiency by oral and enteral versus parenteral nutrition in elderly inpatients discharged from the internal medicine department of an emergency hospital  [in Japanese]

    Niwano Mototaka , Aoyama Kyoko

    <p><b>目的:</b>経口摂取ができない患者の栄養改善のための静脈栄養の有効性は明らかだが,内科入院高齢患者に対する中心静脈栄養(TPN)が,退院時の栄養状態改善にどの程度寄与するのかは,不明な点が多い.TPN施行患者の退院時の栄養投与法別にTPNの有効性を比較検討した.<b>方法:</b>TPNを行った2013年4月から7年間の高齢 …

    Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 58(1), 119-125, 2021

    J-STAGE 

  • Characteristics of atypical lymphocytes in peripheral blood in a tsutsugamushi disease patient: Tsutsugamushi disease with atypical lymphocytes  [in Japanese]

    TAKEDA Hikaru , YAMADA Takahiro , HASEGAWA Tsuyoshi , SUZUKI Yu , TANAKA Kiwa , MORIYA Mika , UEKI Tetsuya , TAJIMA Katsushi

    <p>発熱性疾患のツツガムシ病は,臨床上他の急性感染症との見分けがつかない場合がある。患者は75歳女性,めまいと寒気でibuprofenを内服した後,全身に紅斑様皮疹が出現した。翌日,皮疹は増悪傾向を示し,意識障害を伴ったため治療精査目的に当院に紹介となった。入院時,末梢血液像で異型リンパ球を認めたこと以外,リンパ節腫脹や明らかな痂皮形成は認めなかった。第4病日,播種性血管内凝固症候群 …

    Japanese Journal of Medical Technology 70(1), 176-181, 2021

    J-STAGE 

  • A PEDIATRIC CASE OF LIVER INJURY REQUIRING TRANSCATHETER ARTERIAL EMBOLIZATION FOR A GIANT SUBCAPSULAR HEMATOMA  [in Japanese]

    IMAMOTO Toshiro , FUKUSHIMA Ryosuke , TAKAMI Shohei , KAWASHIMA Hiroshi , HOSOKAWA Takahiro , OGUMA Seji , UETA Ikuya

    <p> バイタルサイン安定で造影CT上活動性出血を認めない肝損傷は出血に対する戦略として非手術療法 (NOM) を選択する. NOMとした入院翌日に被膜下血腫が破綻し循環動態が不安定になったため肝動脈末梢の仮性動脈瘤に対してTAE (transcatheter arterial embolization) を要し受傷9日目のCTでも前回と異なる部位に仮性動脈瘤を認め再度TAEを要した小 …

    Journal of the Japanese Association for the Surgery of Trauma 35(1), 12-15, 2021

    J-STAGE 

  • LOCKING PLATE FIXATION FOR A STERNAL FRACTURE IN A PATIENT WITH FLAIL CHEST : A CASE REPORT  [in Japanese]

    MIYAZAKI Seiji , TOCHIKI Aito , MATSUSHITA Shunsuke , IKARI Junko , ARAI Akiko , ATAKE Shigeru , KOHNO Mototsugu

    <p> 症例は58歳男性. 荷物の落下により左胸部を受傷し, 来院時に胸郭の動揺を認めた. 精査にて胸骨骨折, 多発肋骨骨折, 左血気胸等を認め, 胸骨骨折が動揺胸郭の主因と考えられた. 第1病日に酸素化の悪化を認め, 経口気管挿管による内固定を行ったが抜管には至らず, 第20病日に胸骨骨折に対しロッキングプレートを用いた固定術を施行した. 術後1日目で人工呼吸器を離脱し, 独歩退院と …

    Journal of the Japanese Association for the Surgery of Trauma 35(1), 16-20, 2021

    J-STAGE 

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