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41.
Subacute cor pulmonale due to tumor embolism 总被引:1,自引:0,他引:1
Nakamura H Adachi H Sudoh A Yagyu H Kishi K Oh-ishi S Kusama H Hashimoto T Matsuoka T 《Internal medicine (Tokyo, Japan)》2004,43(5):420-422
We describe a patient wih subacute cor pulmonale caused by tumor emboli in the lungs. A 64-year-old female suffering from a subacute progressive cough and shortness of breathing died of severe pulmonary hypertension seven days after admission. Neither chest CT scans nor lung perfusion scintigraphy showed any abnormal findings. Microscopic examination after an autopsy revealed diffuse intravascular tumor emboli occluding not only the small pulmonary arteries and arterioles, but also the lymphatic vessels, which were suggested to be metastases of a breast carcinoma resected five years previously. Thus, pulmonary tumor embolism should be considered in the differential diagnosis of primary pulmonary hypertension, particularly in patients with a past history of cancers. 相似文献
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Takaaki Fujita Atsushi Sato Yui Togashi Ryuichi Kasahara Takuro Ohashi Yuichi Yamamoto 《Journal of Physical Therapy Science》2015,27(3):815-818
[Purpose] The trunk muscles frequently become weak after stroke, thus impacting overall
activities of daily living. However, activities of daily living items closely related with
trunk strength remain unclear. This study aimed to clarify the influence of trunk muscle
weakness on activities of daily living items. [Subjects] The subjects were 24 stroke
patients who fulfilled the following inclusion criteria: first stroke and the absence of
severe paralysis, marked cognitive function deterioration, unilateral spatial neglect or
apathy. [Methods] According to abdominal strength, the 24 patients were divided into a
nonweakness group and a weakness group. For the assessment, we used the stroke impairment
assessment set, the Berg balance scale, a simple test for evaluating hand function, grip
strength, and functional independence measure scale scores and the results were compared
between the groups. [Results] The Berg balance scale score and scores for dressing, toilet
use, transfer to bed, and walk items of the functional independence measure were
significantly lower in the weakness group than in the nonweakness group. [Conclusion] Our
results suggest that weakness of the abdominal muscles adversely impacts the balance of
patients with mild stroke as well as their ability to dress, use a toilet, transfer, and
walk. Trunk training, including abdominal muscle exercises, can effectively improve the
performance of these activities of daily living items.Key words: Stroke, Activities of daily living, Abdominal muscles 相似文献
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Takuro Nishimura Arun Kannan Roderick Tung 《Journal of cardiovascular electrophysiology》2020,31(4):968-971
We present a rare case of reentrant ventricular tachycardia proven by entrainment maneuvers that was successfully ablated from the noncoronary cusp. The case highlights regional anatomy, pacing maneuvers with multi‐modality images from fluoroscopy, intracardiac echo, and electroanatomical mapping. 相似文献
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Takuro Igawa Soichiro Fushimi Ryuichi Matsuo Fusao Ikeda Kazuhiro Nouso Tadashi Yoshino Harushige Nakatsukasa 《Clinical journal of gastroenterology》2014,7(5):465-470
A second-generation direct-acting antiviral agent, simeprevir, now provides a new treatment option for hepatitis C virus (HCV) infection with good safety profile in combination with pegylated interferon and ribavirin. We herein report a rare case of severe liver injury under simeprevir plus pegylated interferon/ribavirin therapy. We initiated this therapy in a 65-year-old male with treatment-naïve genotype 1b HCV. On day 28, the patient’s HCV-RNA was successfully eliminated, and his liver function was fully restored. However, on day 49, the serum alanine aminotransferase level was elevated at 700 IU/L. The HCV-RNA titer was still undetectable and the involvement of other possible viruses was negligible. A liver biopsy performed on day 60 showed an acute hepatitis pattern. The discontinuation of therapy alone successfully improved his liver damage on day 84. No other treatments such as steroids were required. According to the diagnostic criteria for drug-induced liver injury in Japan (DDW-J2004), the liver injury observed in this case can be associated with the administration of simeprevir plus pegylated interferon/ribavirin therapy. In conclusion, simeprevir plus pegylated interferon/ribavirin should be used with caution, as these agents may cause unreported serious adverse events including severe liver injury, despite their clinical safety profile. 相似文献
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Niikura R Nagata N Akiyama J Shimbo T Uemura N 《International journal of colorectal disease》2012,27(9):1137-1143