著者

辻 達彦 加瀬 芳夫 逸見 てる子 伊藤 洋子

出版者

The Kitakanto Medical Society

雑誌

北関東医学 (ISSN:00231908)

巻号頁・発行日

vol.24, no.3, pp.153-160, 1974

---

This paper is concerned with the statistical studies on the 99 cases of the maternal death in Gunma prefecture during the period of 5 years (from 1965 to 1969).<BR>Results were as follows : <BR>1. The mean value of maternal mortality per year was 19.8 ± 5.54. More than 60% of total cases was observed in the group aged over 30, and the number of the cases in the group of ages over 35 years was unexpectedly high.<BR>2. Concerning with the causes of death, when compared with those of previous study (from 1957 to 1960), toxaemia and bleeding were decreased, while those of postabortal death and others were increased. The number of death from infection and ectopia is not significantly changed. Over all the cases of maternal death were decreased in the prefecture.<BR>3. As for the place of death, the number of the cases other than medical clinic was decreased. However, the cases of death in the group of home confinement were still observed in aged pregnancy, indicating the direction to be stressed in maternal and child health.<BR>4. Little changes were observed in the rank order of the number of the cases in the district of each territorial health center when compared with that of previous study (from 1957 to 1960). No community in the prefecture had maternal death every year, and maximum number of occurrence of the case in one community was three throughout 5 years. There was no consistency in the occurrence of the case in any special district. The result might suggest that the maternal deaths in the prefecture were caused by some arbitrary factors.<BR>5. In spite of above results, the data suggested the need of precaution for toxaemia in mountain area and some part of town area, and that for bleeding in the districts near border of the prefectures.<BR>The results of the study indicate that the intensive precautions for the maternal death are still needed, especially for toxaemia and bleeding. The paper also emphasizes the need of emergency care system to reduce the maternal deaths in the prefecture.

著者

伴野 祥一 宇都木 敏浩 大野 富雄 加藤 典浩 大島 伸浩 大島 茂

出版者

The Kitakanto Medical Society

雑誌

北関東医学 (ISSN:00231908)

巻号頁・発行日

vol.39, no.6, pp.715-717, 1989-11-01 (Released:2009-10-15)

参考文献数

8

---

Asymptomatic myocardial infarction (MI) was found in 8 (3%) of the 274 patients with MI who underwent coronary angiography, and half of them were diabetics. They represented only 7% of all diabetics however. Twenty-four (9%) had new onset angina within 2 weeks before MI. Among them, 9 (38%) were diabetics and they represented 15% of all diabetics. In terms of the incidence of MI with or without angina, except for the new onset group, there was no significant difference between diabetics and non-diabetics. The severity of coronary atherosclerosis was independent of the presence of angina prior to MI. Our results indicated that the incidence of asymptomatic MI in diabetics is not as high as previously believed.