WordNet

not tractable; difficult to manage or mold; "an intractable disposition"; "intractable pain"; "the most intractable issue of our era"; "intractable metal"
a circumscribed inflammatory and often suppurating lesion on the skin or an internal mucous surface resulting in necrosis of tissue (同)ulceration

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1. 難治性または再発性の消化性潰瘍 refractory or recurrent peptic ulcer disease
2. 消化性潰瘍の管理における外科手術の役割 role of surgery in the management of peptic ulcer disease
3. 禁煙の利益とリスク benefits and risks of smoking cessation
4. 消化性潰瘍の臨床症状 clinical manifestations of peptic ulcer disease
5. HIV感染患者における性器単純ヘルペスウイルスの疫学、臨床症状、および診断 epidemiology clinical manifestations and diagnosis of genital herpes simplex virus in hiv infected patients

Parallel pocket incision: Less invasive surgical intervention for the treatment of intractable pressure ulcer with wound edge undermining.

Yamamoto T1, Yoshimatsu H2, Hayashi A2, Koshima I2.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS.J Plast Reconstr Aesthet Surg.2015 Oct;68(10):1432-7. doi: 10.1016/j.bjps.2015.06.004. Epub 2015 Jun 17.
BACKGROUND: The treatment of deep pressure ulcer with a wide wound edge undermining (pocket) is challenging, especially when conservative treatments are ineffective. As most patients with a pressure ulcer suffer from systemic comorbidities, invasive surgery cannot be performed on all patients, and l
PMID 26159471

Higashiyama M1, Suzuki H, Watanabe C, Tomita K, Komoto S, Nagao S, Nakanishi K, Miura S, Hokari R.
Clinical journal of gastroenterology.Clin J Gastroenterol.2015 Aug;8(4):236-9. doi: 10.1007/s12328-015-0586-7. Epub 2015 Aug 8.
Gastrointestinal massive arterial hemorrhage is difficult to stop endoscopically, especially from a duodenal ulcer (DU), because of the anatomically narrow lumen. Here we report a rare case of small pancreatic cancer-induced lethal hemorrhagic DU. The 69-year-old patient was transferred due to massi
PMID 26253020

Ostectomy and Medial Plantar Artery Flap Reconstruction for Charcot Foot Ulceration Involving the Midfoot.

Sato T1, Ichioka S2.
The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons.J Foot Ankle Surg.2015 Jul 16. pii: S1067-2516(15)00196-9. doi: 10.1053/j.jfas.2015.05.005. [Epub ahead of print]
Charcot foot is a serious complication of diabetes, characterized by deformity and overlying ulceration. The condition most commonly affects the midfoot. However, little information is available on the use of a medial plantar artery flap to treat diabetic midfoot ulceration. The purpose of the prese
PMID 26190780

リンク元	「難治性潰瘍」
関連記事	「intractable」

plasmapheresis has been utilized rarely in patients with severe intractable pruritus.

Ongoing diuretic resistance with intractable edema and hypertension in advanced CKD may serve as an indication to initiate dialysis.(HIM.1764)

関: arduous、difficult、difficulty、distress、hard、inveterate、labored、recalcitrant、refractory、trouble