Detection of low molecular weight urokinase in plasma of patient with acute pancreatitis followed by disseminated intravascular coagulation.
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Biomedical subjects
Publications and source records attributed to M Nishiki.
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For the purpose of applying an artificial liver support system to a direct hemoperfusion (DHP), a new type of adsorbent, "polyetherurethane sheet embedded with powdered charcoal (UPC)" has been developed and clinically used. A polypropylene container was used to prepare a column containing 70 g of powdered charcoal by filling it with a 35 m x 15 cm roll of the 150 microns thick UPC. The powdered charcoal with an optimum pore size was selected for the purpose of adsorbing protein-bound substances and middle molecular substances. The result of a 3-hour DHP performed on a jaundiced dog showed the removal amounts of about 70% of bilirubin and 90% of bile acid. DHP was also performed on jaundiced patients. A 3-hour hemoperfusion using one UPC column obtained the maximum removal amounts of 23% of total bilirubin and 31% of bile acid. When 3 columns in all were used, one at a time, by replacing it with time, the removal amounts of 43% of total bilirubin and 55% of bile acid resulted. The hemoperfusion was safely completed with transient effects, if any, on the blood elements.
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We treated 44 patients with multiple primary cancers, at the Second Department of Surgery, Hiroshima University, during the 14 year period from 1968-1981. The total number of malignant tumors was 1,934 during this period, thus the incidence of multiple primary cancers was 2.3 per cent. Nine of the 44 were atomic bomb survivors in Hiroshima and were characterized by the frequent incidence of the second tumor about 30 years after exposure to the atomic bomb. In addition, the second tumor tended to develop later in patients prescribed radiotherapy for the first tumor. As for the site of tumor, there was no tendency of more frequent development of tumors in organs highly sensitive to radiation other than the thyroid.
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