所謂胃心症候群ノ臨床例

抄録

1. The authors have experienced 23 clinical examples of so-called stomach-hearts-symptomencomplex of Roemheld (1912), Lurje (1931) and Bergmann (1928).
2. This symptom seems to appear in comparatively high frequency in the younger group as attested by the fact that there were 15 cases, or 65.21%, in the 20 to 29 year age-group.
3. In all the symytomatic cases, instableness of the autonomous nervous system tending comparatively toward vagotonie was noticed.
There were distinct reactions in the atropin and pilocarpin tests.
An extreme case of stomach ptosis, caused stimulation of the pyloric region which was generally increased after over-eating and bathing.
As the result of X-ray inspections, stomach ptosis was observed in 19 examples or 82.60%of the cases. The beginning of this symptom can be proved when sulphuric barium passes through the pyloric region.
5. The principal symptoms are the same as that of temporary angina pectoris; namely, acute pain of the left chest, Beklemmung and intense pain of the left scapula. However, with the elvation of the abdominal region, change of physical position or vomition, there was relief from these symptoms or showed signs of such.
6. We believe this symptom has its beginning in the vegetative nerves which receive an oppressive stimulation from stomach ptosis within the hiatus oesophagus, resulting reflexively in the contraction of the coronary arteries.
Also hiatus hernia is believed to be caused due to the increased internal pressure of the peritoneal cavity, decreased internal pressure of the chest, relaxing of the diaphragm and compression of the oesophagus. And we are convinced that symptomencomplex is due to the instableness of the autonomous nervous system.
7. Injections of tetraeythylammmoniumbromide (T. E. A. B.) were comparatively effective for this symptom. (We used Newrogin 2 cc. manufactured by Tanabe Tokyo.)
In the five cases which T. E. A. B. was ineflective, we applied electroshock therapy, and we believe it is noteworthy that three of the cases were completely cured with a single treatment.
In regards to the general treatment of this symptom, particularly the relation between T. E. A.B. and electro-shock therapy, we are still continuing our experiments.