文献一覧: 高倉公朋 (著者)

8 0 0 0 あとがき

著者: 高倉公朋
出版者: 医学書院
雑誌: Brain and Nerve 脳と神経 (ISSN:00068969)
巻号頁・発行日: vol.34, no.4, pp.419, 1982-04-01

最近悲しい計報が続いている。脳神経外科学会長を勤められた,札幌医科大学の橋場輝芳前教授と群馬大学川淵純一教授が相次いで亡くなった。御二人とも,我が国の脳紳経外科学発展のために,その生涯を捧げられたにとであった。何よりも,私共にとって残念であったのは,川淵教授をはじめ,脳神経外科学会の若く前途ある医師が,昭和57年2月8日早朝のあの忌わしいホテルニュージャパンの火災によって不帰の旅路へと立たれたことであった。川淵教授は、すべての医療は患者のためにあり,患者の幸せだけを基本に考えて,診断も治療も,また研究も出発すべきことを常に説かれ,私共後輩にも教えられてきたのであった。その先生の理念が,我が国の脳神経外科学の進歩を正しい方向に向けてきた一つの原動力であったことは間達いない。

2019-07-20 03:08:44
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1 0 0 0 OA 椎骨動脈解離性動脈瘤の治療

著者: 恩田英明谷川達也竹下幹彦荒井孝司川俣貴一氏家弘井沢正博加川瑞夫高倉公朋
出版者: 一般社団法人日本脳卒中の外科学会
雑誌: 脳卒中の外科 (ISSN:09145508)
巻号頁・発行日: vol.22, no.4, pp.293-299, 1994-07-30 (Released:2012-10-29)
参考文献数: 20
被引用文献数: 20 16

The authors present 33 patients with dissecting aneurysm of the intracranial vertebral artery, of whom subarachnoid hemorrhage developed in 26 patients and cerebral ischemia in 7 patients. Sixteen patients were surgically treated and 17 were conservatively treated. In this series, recurrent hemorrhage occured in 9 (35%) of 26 patients who presented with subarachnoid hemorrhage within 2 weeks after the initial ictus. The outcome of the cases with recurrent hemorrhage was very poor-7 of these 9 patients died. Therefore, surgical intervention during the acute stage is required to avoid the early rerupture. Comparative study with surgical and conservative treatment for dissecting aneurysms of the vertebral artery indicated that the outcome of patients with surgical treatment was much better than with conservative treatment. In surgical procedures, proximal clip-occlusion of the vertebral artery at the site distal to the PICA (DTP) was performed in 5 cases, at proximal to the PICA (PTP) in 4, trapping of the vertebral artery with dissecting aneurysm in 2, coating in 3, and proximal occlusion of the vertebral artery with detachable balloon in 2 patients. Postoperatively, transient lower cranial nerve palsy or cerebellar signs developed in 2 cases with trapping, in 1 with PTP and permanent hemiparesis due to thromboembolism at the top of the basilar artery in 1 with balloon-occlusion of the vertebral artery. In spite of surgical intervention, rerupture occured postoperatively in 1 case with coating and in 1 with DTP. Trapping procedure is most reliable to prevent rerupture of dissecting aneurysm, but it is difficult to expose the distal part of the vertebral artery beyond the aneurysm for trapping. Although proximal clip-occlusion is not completely satisfactory for prevention of rebleeding, it is simple as a method and useful for dissecting aneurysm of the vertebral artery.

2022-08-03 17:19:32
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1 0 0 0 OA マイクロ波を用いた組織凝固技術

著者: 小杉幸夫高倉公朋黄明聰岡部隆博
出版者: 一般社団法人日本生体医工学会
雑誌: 医用電子と生体工学 (ISSN:00213292)
巻号頁・発行日: vol.11, no.2, pp.86-93, 1973-04-30 (Released:2011-07-05)
参考文献数: 11

For successful operation of brain tumors, it is essential to minimize hemorrhage during neurosurgical operation, and to destroy any adjacent tumor cells. A newly developed technique for coagulating brain tumors as an operative procedure by using microwave was investigated. It penetrates a distance and destroys the tumor tissue with its thermal effect.For successful tissue coagulation, it is required to concentrate microwave energy to a narrow region. For this purpose, a kind of antenna was contrived and the thermal distribution in the vicinity of the antenna was investigated both theoretically and experimentally. It revealed that the near-by field of the antenna could make an adequate thermal distribution for local tissue coagulation. An experimental equipment was made for 2.45 GHz using magnetron as the microwave source.The desirable local coagulation on a dog's brain tissue was achieved with this experimental equipment. This method of local coagulation by microwave will facilitate more effective operation on tumors without unnecessary bleeding and scattering of tumor cells and will destroy as much tumor tissues as possible This method of tissue coagulation is considered applicable to treating not only brain tumors but also many other tumors and diseases.

2022-03-09 12:24:56
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1 0 0 0 OA 佐野圭司先生追悼文

著者: 高倉公朋
出版者: 公益社団法人日本生体医工学会
雑誌: 生体医工学 (ISSN:1347443X)
巻号頁・発行日: vol.49, no.3, pp.465-466, 2011-06-10 (Released:2011-12-15)

2020-08-23 14:33:27
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1 0 0 0 OA くも膜下出血の就労中発症に関与する諸因子の検討

著者: 塩川和彦高倉公朋加川瑞夫佐藤和栄
出版者: 公益社団法人日本産業衛生学会
雑誌: 産業衛生学雑誌 (ISSN:13410725)
巻号頁・発行日: vol.37, no.3, pp.169-175, 1995 (Released:2009-03-27)
参考文献数: 25
被引用文献数: 2 1

くも膜下出血411例について,その発症に影響する因子をretrospectiveに解析し,労働との関連について検討した.発症時間では7時と16-17時の2つのピークがみられた.就労中発症は全くも膜下出血例の15.1%に見られ,運動,性交なども含めて,何らかの外的ストレスの関与が示唆されるものは66.7%に見られた.職務内容では,就労中発症例はその他の発症例に比較して,管理職を除く男性会社事務と肉体労働に多かった.就労中発症例はその他の発症例に比較して,高血圧症,喫煙歴,不眠の既往に有意差はみられなかったが, 40-59歳男性の就労中発症例(特に事務労働中発症例)はその他の発症例に比較して,有意に喫煙歴が高かった.労働そのものがくも膜下出血発症の原因になるか否かは未だ不明の点も多いが,就労中発症の機転として外的ストレスによる-過性の血圧上昇が示唆され,肉体的および精神的ストレス(外的ストレス)に対する個人の反応性が問題と考えられた.したがってその予防には新しい健康診断方法や健康管理が必要と思われる.