経頸静脈的肝内門脈大循環短絡術が著効した難治性腹水の1例

京都府立医科大学附属北部医療センター放射線科京都府立医科大学附属北部医療センター外科京都府立医科大学大学院医学研究科放射線診断治療学京都府立医科大学大学院医学研究科消化器外科学市立福知山市民病院腫瘍内科市立福知山市民病院放射線科Department of Radiology, North Medical Center, Kyoto Prefectural University of MedicineDepartment of Surgery, North Medical Center, Kyoto Prefectural University of MedicineDepartment of Radiology, Kyoto Prefectural University of MedicineDepartment of Digestive Surgery, Kyoto Prefectural University of MedicineDepartment of Medical Oncology, Fukuchiyama City HospitalDepartment of Medical Radiology, Fukuchiyama City Hospital切除不能肝内胆管癌の58 歳男性に難治性腹水を生じ、著明な腹部膨満感に対し頻回な穿刺排液を要した。腹水性状は漏出性で進行した肝病変による門脈圧亢進症に起因すると判断した。介入治療として経頸静脈的肝内門脈大循環短絡術を適用した。腹部膨満感のNRS は9 から1 に低下し、35 日後の原病死まで有害事象や症状再発なく経過した。難治性腹水に対する介入治療には、腹水の性状診断を含めて治療方針を決定することが重要である

Precision and Relative Accuracy of a Phased Array Doppler Sodar

We developed a phased array Doppler sodar and participated with the new sodar in the International Sodar Intercomparison Experiment (ISIE) at Boulder Atmospheric Observatory (BAO) in 1988. From the data obtained during this experiment, errors in wind measurement by the sodar were estimated by the method proposed for a microwave wind profiler by Strauch et al. The error in horizontal wind components was 0.35m/s at 75m and 0.60m/s at 300m when the mean wind speed was about 5m/s. The error is separated into random errors in radial velocity measurement of 0.29 and 0.47m/s at 75 and 300m, and errors caused by the assumption of uniform wind in the beam separation of 0.20 and 0.38m/s at 75 and 300m