著者

大谷 圭 山本(矢田) 恵麗奈 卯津羅 雅彦 武田 聡

出版者

日本救急医学会関東地方会

雑誌

日本救急医学会関東地方会雑誌 (ISSN:0287301X)

巻号頁・発行日

vol.42, no.4, pp.95-99, 2021-12-28 (Released:2021-12-28)

参考文献数

5

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2型糖尿病でipragliflozinなどを経口内服治療中の51歳の男性。受診の7日前から嘔吐と下痢が始まり, 症状が改善せずに救急受診となった。初診時は高血糖やケトーシスを認めず急性胃腸炎と診断され帰宅となったが, すぐに症状が再燃し, 嘔吐に加え脱力の症状も出現したため翌日に再度救急受診となった。このときに患者が過度の食事制限を行い, 3週間で17kgと著明な体重減少をきたしていたことが判明した。検査所見と上記情報から本症例は正常血糖ケトアシドーシスと診断し, 緊急入院で輸液・カリウム補充・インスリン投与を行い, 第15病日に軽快退院した。Sodium glucose co-transporter (SGLT) 2阻害薬内服患者が体調不良などで救急診療をする際には正常血糖ケトアシドーシスを発症している可能性もあるが, 本症例のように初診で急性胃腸炎や脱水症などと診断される恐れもあり, 救急医にとってこの疾患を想起することは重要であると考えられた。

著者

伯野 元彦 大谷 圭一

出版者

東京大学地震研究所

雑誌

東京大學地震研究所彙報 = Bulletin of the Earthquake Research Institute, University of Tokyo (ISSN:00408972)

巻号頁・発行日

vol.57, no.3, pp.581-608, 1983-01-17

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The Urakawa-Oki earthquake of M=7.1 occurred on March 21, 1982 and consequently cause some damage to small towns in the south part of Hokkaido. This report describes the earthquake-induced damage to the various types of structures and life lines: Houses and buildings, Roads, Railways. Water supply systems, Electric power and communication systems, Landslides and land failures. The following characteristic features of the damage due to the earthquake are recognized, 1. Wooden houses on soft peat ground suffered damage owing to the destruction of the peat ground itself. On the other hand, reinforced concrete buildings on soft peat ground always have a deep pile foundation and suffered almost no damage. Authors suppose the peat layer to be so soft that it acts like a high cut filter and high frequency components of the incident ground motion which are the main components of high acceleration, is reduced. 2. Most lifeline systems such as water, electric supply systems, and traffic, lost their functions due to the earthquake, and people were subjected to inconveniences. For example, it took 30 days to rehabilitate the railway traffic in this area.

著者

大谷 圭介

出版者

京都市立芸術大学

巻号頁・発行日

2014-03-24

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平成25年度

著者

伯野 元彦 大谷 圭一

出版者

東京大学地震研究所

雑誌

東京大学地震研究所彙報 (ISSN:00408972)

巻号頁・発行日

vol.57, no.3, pp.581-608, 1983-01-17

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The Urakawa-Oki earthquake of M=7.1 occurred on March 21, 1982 and consequently cause some damage to small towns in the south part of Hokkaido. This report describes the earthquake-induced damage to the various types of structures and life lines: Houses and buildings, Roads, Railways. Water supply systems, Electric power and communication systems, Landslides and land failures. The following characteristic features of the damage due to the earthquake are recognized, 1. Wooden houses on soft peat ground suffered damage owing to the destruction of the peat ground itself. On the other hand, reinforced concrete buildings on soft peat ground always have a deep pile foundation and suffered almost no damage. Authors suppose the peat layer to be so soft that it acts like a high cut filter and high frequency components of the incident ground motion which are the main components of high acceleration, is reduced. 2. Most lifeline systems such as water, electric supply systems, and traffic, lost their functions due to the earthquake, and people were subjected to inconveniences. For example, it took 30 days to rehabilitate the railway traffic in this area.