Japanese Journal of National Medical Services
Online ISSN : 1884-8729
Print ISSN : 0021-1699
ISSN-L : 0021-1699
Volume 9, Issue 6
Displaying 1-19 of 19 articles from this issue
  • Ichiro AKAHOSHI
    1955Volume 9Issue 6 Pages 391-392
    Published: 1955
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Masao OKUHARA, Tokizo HASHIMOTO, Kazuyoshi SHIOMURA, Hiroshi TSUNEMOTO
    1955Volume 9Issue 6 Pages 393-397
    Published: 1955
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
    The authors reported five cases of asthmatic fits accompanied by arachinoideal adhaesions at the regions of neck and upper breast portion of spinal cord, and concluded that the adhaesionfoci in the regions should have an important meaning as nervous disposition for asthmatic symptoms.
    The authors should like to point out that cases with asthmatic fits of obscure origins and etiologies or causes are suffered from, more or less, latent arachinitis spinalis.
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  • (1) Haemodynamics
    Tatsuo SHIONOSAKI
    1955Volume 9Issue 6 Pages 398-407
    Published: 1955
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
    The present paper deals with haemodynamics of cardiopulmonary circulation of TB cases examined by means of cardiac catheterization. The cases were classified into 3 groups according to the standards of the National TB Association, USA; minimal (G-1), moderately advanced (G-2), inexpansible lungs, complicated with artificial pneumothorax (G-3).
    1) The results of haemodynamics in 3 normal individuals were the same to that of the previous authors.
    2) Cardiopulmonary function of G-1 was normal. However, pulmonary arteriolar resistance was 118 dynes/sec/cm-5, in the average, which is slightly larger then 87 dynes/sec/cm-5 in case of normal. The increase may be explained by the increased tonus of pulmonary circuits in G-1.
    3) In G-2, intracardiac blood pressure was generally within normal range, pulmonary arteriolar resistance was 132 dynes/sec/cm-5, in the average, arterial oxygen saturation was 93%, in the average, which is within normal range, pulmonary blood flow decreased slightly. These status indicate the well compensated cardiopulmonary function in G-2. The haemodynamics was correlated to the extent of foci and the disturbance of haemodynamics was related to the ventilatory insufficiency of the diseased lung.
    4) In G-3, intracardiac pressure was generally within normal range. Pulmonary arteriolar resistance was in the average 132 dynes/sec/cm-5, which is larger than that of G-2. According to the degrees of arterial oxygen saturation, the group was thrown into normally retained and considerably decreased. Pulmonary blood flow was nearly normal or above. In 7 out of the 10 cases of G-3, contralateral lungs with distention emphysema was observed through x-ray-examination.
    The increase in pulmonary blood flow with normally retained intracardiac blood pressure in cases of distention emphysema of contralateral lung suggests the distensibility of pulmonary vascular bed or the usually compensated cardiopulmonary function.
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  • Kazuo KOIKE
    1955Volume 9Issue 6 Pages 408-417
    Published: 1955
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
    The author studied the angiocardiopneumography of 120 cases.
    70% of pyraceton was used as contrast substance and was injected intravenously within 2 seconds. An apparatus was made to take x-ray exposures at 1 second interval during the opacification. Pulmonary arteries were made visible within 3 to 4 seconds and pulmonary veins, within 5 to 7 seconds. The cases were divided according to the readings of pulmonary x-ray pictures. In case of primary TB, angiopneumography was helpful in the analysis of hilar shadows. By this method the complex hilar shadows can be analysed distinctly and differential diagnosis can be given.
    Avascularity was found in the infected lungs. The more serious the infection, the more complex the changes. In case of minimal TB location of infection can be diagnosed from the position of vessels involved. In case of fibro-cavernose variation of shadows of vessels was noticed in the areas of lung not involved. In case of fibrocavernous TB of upper lobe, pulmonary arteries of lower lobe were elevated and elogated. Shadows of pulmonary emphysema and the degrees of pulmonary emphysema can be determined in this way. In case of far advanced cases variation of vessels was more complicated. Owing to severe lesion in the whole left lung, heart was shifted to the left and main pulmonary arteries were extended in a few cases. 20 cases of TB were studied at varying intervals during and after artificial pneumothorax. In the cases in which artificial pneumothorax was continued for more than 1 year, decrease of vascularity in the collapsed lung was noticed even upon re-expansion of the lung.
    Artificial pneumoperitoneum gave no influences upon the vascular system. However, artificial pneumoperitoneum with phrenic paralysis, resulted in a decrease of vascularity in the middle and lower sections of the collapsed lung. The upper region showed no changes.
    In case of successful thoracoplasty, the lower lobe showed decrease in vascularity.
    With extrapleural pneumothorax, decrease of vascularity in the lower lobe occured if the extrapleural cavity occupied more than 50% of the total region.
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  • Shichiro KONO
    1955Volume 9Issue 6 Pages 418-423
    Published: 1955
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
    The present paper deals with the relationships between the opaque lung subsequent to artificial pneumothorax and the pleural effusion and the re-expansion after abudonment of the pneumothorax.
    201 cases to which pneumothorax were conducted for 3 months or more were presented for our study. 125 cases showed opacification and 76 did not. The incidence of pleural effusion was 70%. There were pleural effusion in 86% of the 125 cases of opaque lung and in 46% of the remaining 76 cases. There were no significant differences in the development of pleural effusion between opacity of upper lobe or massive opaque lung and opacity of lower lobe. In the former case, incidence of pleural effusion were 77% in partial opacity of upper lobe, 84% in opacity of upper lobe, and 92% in massive opaque lung. It seems that the larger the extent of opacification, the more the quantity of pleural effusion.
    Of 82 cases with opacity of upper lobe and massive opaque lung, 5% had pleural effusion before opacification; 17%, simultaneously; 78%, after opacification, meanwhile, in 24 cases with opacity of lower lobe, 52%, 28%, and 20%, respectively.
    34 cases (28%) out of the total did not have re-expansion within 1 year upon discontinuance of pneumothorax, 32 cases showed pleural effusion with opacity and 2 cases showed pleural effusion only.
    54% of 56 cases with opacity of upper lobe and massive opaque lung and 15% of 13 cases with opacity of lower lobe did not have re-expansion within 1 year.
    All cases in which opacities vanished within 3 months had their lungs re-expanded within 1 year.
    Opacification of upper lobe and massive opaque lung were classified into the following 3 forms: triangle form, intermediate form and round form. 71% of the 17 cases of triangle form, 67% of 12 intermediate form cases and 38% of 16 cases of round form did not have re-expansion within 1 year.
    Capes without pleural effusion, with little quantity of effusion and without opaque lung, and with moderate quantity of pleural effusion and without opaque lung did have re-expansion within 1 year. On the contrary, 25% of 24 cases with little quantity of effusion and opaque lung and 56% of 18 cases with moderate quantity of effusion and opaque lung did not have re-expansion within 1 year.
    In case of marked quantity of effusion, 2 out of 3 cases without opaque lung and 16 out of 18 cases (89%) with opaque lung did not have re-expansion within 1 year.
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  • Kazumi KOSAKA, Ichiro OE
    1955Volume 9Issue 6 Pages 424-428
    Published: 1955
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
    The authors obtained the following results from the examinations of 124 cases of pulmonary tuberculosis treated at the Nara National Sanatorium. Examinations were:
    a) intestinal x-ray examination
    b) bronchoscopic examination
    c) resistance test of antibiotics
    We classified x-ray findings with organic and functional disturbances as positive, findings with more than 3 functional disorders as suspiciously positive, and those without remarkable pathological findings as negative.
    1) % of each category of intestinal x-ray examination's results:
    positive 8.1%
    suspiciously positive 43.5%
    negative 48.3%
    II) % of clinical symptoms in positive intestinal x-ray:
    irregular stool 71%
    abdominal pain 67.2%
    elevated blood sedimentation rate 48.5%
    loss of body weight 45.3%
    irregular body temperature (daily deviation of 1°C or more) 43.8%
    III) % of intestinal x-ray findings:
    abnormal intestinal gas 87.8%
    abnormal tension 81.3%
    pressure pain 67.2%
    IV) % localization of pathological findings:
    cocum 57.8%
    small & large intestine 18.8%
    small intestine 17.2%
    large intestine 3.1%
    peritoneum 3.1%
    V) A large number of intestinal tuberculosis were found among those with sputum of positive TB bacilli.
    VI) Many intestinal TB were found among those with SM resistant cases.
    VII) A large number of cases with intestinal TB was found as SM resistant (more than SM 10γ/cc) and with positive bronchoscopic findings.
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  • Susumu IZUMI
    1955Volume 9Issue 6 Pages 429-435
    Published: 1955
    Released on J-STAGE: December 02, 2011
    JOURNAL FREE ACCESS
    The present paper deals with x-ray tomograms of the chest of healthy adults in the operation of universal rotatography through different extent of transportation of x-ray tube, from 5 degrees to 100 degrees of rotation angles of x-ray tube. The tomograms were estimated from the point of view of resolving power, contrast and sharpness of the images, the results obtained were as follows;
    1. Contrast as well as sharpness of the x-ray images became worse as the degree of rotation of x-ray tude was made smaller.
    2. Lung markings became more free from superimpositions as the extent of the rotation was made larger. Conclusion was made that the extents of rotation of x-ray tube shall be the most suitable position in the analysis of the layerwise lung marking when the rotation angle was made between 40 degrees and 60 degrees in the tomography.
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  • Toshinori YASUNAGA, Izuru HINO
    1955Volume 9Issue 6 Pages 436-438
    Published: 1955
    Released on J-STAGE: October 19, 2011
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  • Ryusaburo BAN, Hideomi HISAMOCHI
    1955Volume 9Issue 6 Pages 439-440
    Published: 1955
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Mizuho YAMADA
    1955Volume 9Issue 6 Pages 441-443
    Published: 1955
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Tadao KOSOZU, Kakichi YAMASAKI, Takashi SUDO, Kunio SUGIMURA
    1955Volume 9Issue 6 Pages 444-446
    Published: 1955
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Fumio YOSHINO
    1955Volume 9Issue 6 Pages 447-449
    Published: 1955
    Released on J-STAGE: October 19, 2011
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  • Tomoyuki NAKATANI, Yoshiko USAMI
    1955Volume 9Issue 6 Pages 450-451
    Published: 1955
    Released on J-STAGE: October 19, 2011
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  • Toshihiko SUNAMI
    1955Volume 9Issue 6 Pages 452-454
    Published: 1955
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Kenji HONJO
    1955Volume 9Issue 6 Pages 455-457
    Published: 1955
    Released on J-STAGE: October 19, 2011
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  • Shigenobu KOBAYASHI
    1955Volume 9Issue 6 Pages 458-459
    Published: 1955
    Released on J-STAGE: October 19, 2011
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  • Toshio TOMIDA
    1955Volume 9Issue 6 Pages 460-462
    Published: 1955
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Masao OKUHARA
    1955Volume 9Issue 6 Pages 463-466
    Published: 1955
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Shinobu MIYAMOTO, Toshiyasu SAITO, Itaru NUMATA, Soichi KISHIDA, Haruk ...
    1955Volume 9Issue 6 Pages 467-482
    Published: 1955
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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