著者

石原 享介 中井 準 坂本 広子 李 英徹 岩崎 博信 梅田 文一 恒田 時雄 瀬尾 憲正

出版者

The Japanese Respiratory Society

雑誌

日本胸部疾患学会雑誌 (ISSN:03011542)

巻号頁・発行日

vol.20, no.6, pp.688-693, 1982-06-25 (Released:2010-02-23)

参考文献数

18

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A 31-year-old housewife with a history of recurrent eczema and otitis media was admitted in March 1981, because of progressive dyspnea. On admission she was semicomatotic, febrile and cyanotic. Inspiratory crackles were heard all over the lung. Eczema was present on the scalp. Chest X-ray showed bilateral consolidation. Arterial blood gas analysis showed marked hypoxemia. She was immediately placed on CPPV, large doses of antibiotics and hydrocortisone. During 10 days stay in ICU, her condition improved gradually.Her chest X-ray two weeks after admission showed residual scattered fine nodular densities with a partially confluent area. Because she had been using an ultrasonic humidifier in her home for four months before admission, an attempt to provocate the condition using her own humidifier was made. Four hours after humidifing besides her bed for one hour, a fever of 37.8°, leukocytosis and a decrease of vital capacity developed. Chest X-ray 22 hours after provocation showed new scattered fine densities. Microscopic examination of lung tissues obtained by transbronchial lung biopsy showed infiltration of lymphocytes with a few neutrophiles and eosinophiles to the alveolar wall.Candida albicans was cultured from water in the humidifier and precipitating antibody to this organism was detected in her serum. However inhalation provocation test using this organism was not performed.

著者

兼吉 昭雄 村上 志緒 西田 時次 岩崎 博信 萱嶋 信介 荒井 恒憲 菊地 眞

出版者

一般社団法人電子情報通信学会

雑誌

電子情報通信学会技術研究報告. CPM, 電子部品・材料

巻号頁・発行日

vol.95, no.138, pp.49-54, 1995-07-07

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皮膚表面を減圧吸引することにより採取される吸引浸出液の糖濃度は血糖値と良好な相関を示す。この浸出液の糖濃度を測定する小型装置の開発を行い、採血せずに血糖値を連続モニタすることを可能とした。本装置は本体と吸引装着部で構成され、糖濃度の測定には微小なISFETグルコースセンサを使用した。このセンサは微量検体中の糖濃度の測定ができ、しかも繰り返し使用が可能である。自動・小型装置を実現するために、微量の検体を採取する秤量バルブ、ISFETグルコースセンサを内蔵したセンサ装置、低消費電力の小型ポンプ等を独自に開発した。本装置による動物での評価はすでに良好な測定精度を得ている。今回これをヒトに適用し、吸引浸出液中の糖濃度を連続測定した。同じ被検者の別の部位から用手的に採取した吸引浸出液の糖濃度を測定し、両者を比較した結果、良好な相関を示した。

著者

岡崎 美樹 冨岡 洋海 長谷 川幹 片上 信之 坂本 廣子 石原 享介 岩崎 博信 梅田 文一 中井 準 岡田 行功 庄村 東洋

出版者

JAPANESE SOCIETY FOR TUBERCULOSIS

雑誌

結核 (ISSN:00229776)

巻号頁・発行日

vol.65, no.4, pp.293-297, 1990

被引用文献数

11

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A case of 22-year-old female with mediastinal tuberculous lymphadenitis and pericostal tuberculosis was reported.Her complaint was right chest pain and subcutaneous mass on the right chest wall.Chest contrast CT showed right paratracheal lymph node swelling with central low density area and surrounding rim enhancement, which has been reported as typical characteristics of mediastinal tuberculous lymphadenit is.Pigeon-egg sized subcutaneous mass with fluctuation was palpable on the right sternal border and the smear of its content showed acid-fast bacilli.In spite of two months therapy with antituberculous drugs, both masses were unchanged in size.The lesions resected surgically, were both encapsulated abscesses containing yellowish pus, and microscopic examination of these specimen disclosed the finding of tuberculosis.Mycobacterium tuberculosis was cultured from contents of both masses.After nine months of anti-tuberculous therapy, no sign of recurrence is observed until now.Both masses were discontinuous and the possibility of lymphangitic spread of organism was speculated as its etiology.