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タイトル大動脈炎症候群による異型大動脈縮窄を合併した腎血管性高血圧症の1治療例
タイトルヨミダイドウミャクエン ショウコウグン ニヨル イケイ ダイドウミャク シュクサク オ ガッペイ シタ ジン ケッカンセイ コウケツアツショウ ノ イチ チリョウレイ
タイトル別表記A Case of Renovascular Hypertension Due to Aortitis Syndrome
作成者林, 啓成
安武, 俊輔
斉藤, 永
十亀, 東一
楠瀬, 康夫
村田, 武穂
江里, 健輔
八牧, 力雄
兼行, 俊博
作成者ヨミハヤシ, ヒロシゲ
ヤスタケ, シュンスケ
サイトウ, ヒサシ
ソガメ, トウイチ
クスノセ, ヤスオ
ムラタ, タケオ
エサト, ケンスケ
ヤマキ, リキオ
カネユキ, トシヒロ
作成者別表記Hayashi, Hiroshige
Yasutake, Syunsuke
Saito, Hisashi
Sogame, Toichi
Kusunose, Yasuo
Murata, Takeo
Esato, Kensuke
Yamaki, Rikio
Kaneyuki, Toshihiro
作成者所属山口大学医学部
内容記述(抄録等)A twenty-two-years-old unmarried woman, who had been working in a super-market for four years, going in and out of freezer locker many times a day, gradually began to have arthralgia. On July 6, 1973, she suddenly developed dysarthria and dysphagia which persisted for several days. At that time her blood pressure was 230/120. She was given a depressor drug but it had no effect. The patient was admitted on January 25, 1974. Admission findings were as follows: blood pressure 170/110 in both upper extremities and 150/100 in both lower extremities; systolic murmurs in the epigastrium; serum renin activity sharpry increased (55ng/ml) ; no renal dysfuction. Aortography revealed a marked narrowing of the abdominal aorta between the orifices of the celiac and inferior mesenteric arteries with involvement of the both renal arterial roots. On February 19, 1974, a renovascular reconstruction was performed: first the narrow segment of the aorta was by-passed with a large Dacron graft and then renal arterial revascularivation was carried out with two smaller Dacron grafts placed between the aortic graft and distal portion of each renal artery. Microscopic examination of the involved aortic wall revealed thickening and calcification of the intima, vascular proliferation in the contact area around the intima and media, and degeneration and disruption of elastic fibers in the media. Only a small amount of cell infiltration was noted. The postoperative course was relatively uneventful. The day after surgery the patient's blood pressure was still high (200/100) but equal in the upper and lower extremities. By the third day the serum renin activity had decreased to normal (9ng/ml). On the tenth day and there after day her blood pressure fell to 130/70. On the sixtieth day was discharged. The repeated stress to the entire body over a four-year period is suspected as the cause of this patient's aortitis syndrome.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
25
1
開始ページ43
終了ページ50
発行日1976-03
著者版/出版社版その他
リポジトリIDB030025000106
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030025000106