heart was completely in a critical condition. The EKG of 23 Soptezber
showed markedly rapid pulsation and was clearly a premortal EKG,
As for antibiotics, we gave a total of 18.3 grans of chlortetra-

cyclin and tetracyclin and, later, one gram of chloranphenicol.

when

the patient was comatose we gave a total of 110 mg of ACTH but none

was given after 9 Septenber.

We also gave 570 mg of cortisone.

A large quantity of Candida was found in the phlegn and saliva

before death.

Aspergillus was found in the urine.

Fujiuori:

I understand you mde an electrcencephalogram,

Kumatori:

Yes.

The electroencephalograa showed a comatose Pat~

tern.

Goto:

I wis in Hiroshima on an investigetion for neerly one month

after the atomic explosion. I fowd that the white cell ccumt de~
creased ccensiderably in 4 or 5 weeks, I also observed hich fever as
in typhoid iver and pseudomexbranous ulcerative angina.

symptoms occur in these cases?
Kunateri:

Did’ such

Those patients whose white count dropped considerably

hed a temperature between 38 and 39 degrees. But because wa used
entiblotica to a great extent, wea did not note much septicemia as in
the Hiroshima cases.

Goto: In the Hiroshima cases the white count began to rise from
the sixth week and became normal from the ninth or tenth wcek. I
understand that in this instence the white count returned to normal in
many cases. Were there sore cases in which it did not become normal?
Kunatori:

There were more cases in which it did not becons normal.

Goto: Was this the result of absorption of the radioactive caterlal
into the body?
,
Kuzatori:

Of course, that must be taken into consideration,

Bssides, investigators fron Tokyo University who studied the actions

of tho crew an board ship computed the account of radiation received
externally, This and the syzptozs must be cocpared.
Goto:

In the Hiroshima cases the externsl exposure was momentary;

but in this instance it lasted quite a long time. As this was a case

ef long external exposure, I think the progress of recovery might have

been a bit nore along normal lines, although treatment was soncwhat
delayed.

Kimatori:

Theos persons recejvedt more radiation than those sum

vivors of IHiroshima. We cannot say what might have happened to thea
if they had not been treated in time. for that reason, I think their

recovery was slow,

I wonder whether they were not so seriously injured

as the survivors of Hiroshima,

Oshima:

,

In the case of Hireshiza, in general, ‘within a radius of

one ka frou the center of the explosion, all died instantly; within a

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