巻号一覧
20 巻 (1969)
- 6 号 p. 247-
- 5 号 p. 205-
- 4 号 p. 141-
- 3 号 p. 93-
- 2 号 p. 43-
- 1 号 p. 9-
20 巻, 3 号
選択された号の論文の9件中1～9を表示しています
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林 周一1969 年 20 巻 3 号 p. 93-95
発行日: 1969/06/10
公開日: 2010/10/20
ジャーナル フリーI summarized the 116 cases of the tracheal and bronchial reconstruction which had been performed at the Japanese main hospitals during past several years.
Having analized these cases statistically, I reported the results at the 20th Congress of the Japan Broncho-esophagological Society on Oct. 20th, 1968.
The contents of my report can be summarized as follows:
1. Male and female cases were 58 repectively.
People in their twenties were more frequently seen as patients than those in other age groups.
2. Tuberculous bronchial stenosis was most common, followed by traumatic bronchial rupture, bronchial neoplasms and the malignant lesion caused by the infiltration from the near organs.
3. In almost all of the cases, the circumferential resection and end-to-end anastomoses were performed successfully.
It was believed that about 5cm of trachea and bronchi can be resected safely and restored its continuity with the primal anastomosis without a considerable risk.
4. Sutural materials used in the tracheal and bronchial anastomoses were cutgut, silk, nylon, tefdeck and wire.
It was confirmed that silk is not suitable for the tracheo-bronchial surgery.
5. At the present stage, it is impossible to apply alloplastic practically in the clinical tracheo-bronchial surgery.抄録全体を表示PDF形式でダウンロード (458K) -
石川 創二1969 年 20 巻 3 号 p. 96-102
発行日: 1969/06/10
公開日: 2010/10/20
ジャーナル フリーI have investigated the experimental reconstruction of the trachea and bronchus in order to solve several fundamental problems.
I believe that indispensable factors for successful reconstruction are following 5.
1. Prosthesis has the lumen and maintains itself.
2. Insufficiency of Anastomosis must be avoided completely.
3. Inside of the prosthesis is to be covered with bronchial epithel immediately.
4. Degeneration, stenosis and granulation never occur after a long time.
5. Prosthesis is able to assimilate with Recipient tissue after it is put in the Recipient.
I used the Polyvinyl-Formal tissue plate and homologus aorta for reconstruction of circumferential tracheal defect in dogs.
Polyvinyl-Formal Sponge (P.V.F.) was affixed to the parietal Pleura for about 3 or 4 weeks and then there was formed a firm tissue plate by the ploriferation throngh the porus of P.V.F.
These P.V.F. tissue plates were cut into a proper size and used as the graft.
An experimental tracheal reconstruction was performed using P.V.F. tissue plate graft and homologus aorta to 32 mongorean dogs in which intrathoracic circumferential tracheal defect were made artificially about 4.0cm in length.
Bronchoscopic, macroscopic and histologic examination were performed after 3 weeks, 1 months, 3 months, 6months and one year.
The result of the examination is as follows;
1. The P.V.F. tissue plate graft was fairly well implanted and its epithelialization was done within 2 months.
2. Three cases were kept over 12 months but the stenosis, degeneration and rejection were not observed in their reconstruction of trachea.
3. The implantation of the homologus aortic graft seemed to be better than that of P.V.F. tissue plate graft untill 6 months but it showed the tendency of scar when 12 months passed.抄録全体を表示PDF形式でダウンロード (2764K) -
阿保 七三郎, 広田 雅昭1969 年 20 巻 3 号 p. 103-108
発行日: 1969/06/10
公開日: 2010/10/20
ジャーナル フリーThe author presents 9 cases of tracheal defects in which 6 cases were partial and 3 cases were circumferential.
Artificial materials were used for 8 of 9 cases, while the end to end anastomosis was done for the remaining one case.
As artificial materials, stainless steel wire mesh was utilized for larger defect and Pylen E mesh for smaller defect.
Although the use of these materials for partial defect has been successful, reconstruction of these materials for partial defect has been difficult and present various problems yet to be solved.抄録全体を表示PDF形式でダウンロード (1997K) -
吉村 敬三1969 年 20 巻 3 号 p. 109-113
発行日: 1969/06/10
公開日: 2010/10/20
ジャーナル フリーRecently, surgery against tracheal and bronchial lesion has greatly developped.
In Japan, total number of air way reconstruction reached more than 100 cases, and we have also experienced about 10 cases of these diseases. Four of them were reconstructed by end to end anastomosis with sleeve resection of bronchus suscessfully.
The purpose of this paper is to report these cases exactly and to deliver our idea about the indication and procedure for this surgery.
The causes of the air way stricture are inflammatory scar tissue mainly due to tuberculosis, trauma, tumors etc.
The most high incidence is tuberculous origin in Japan but tumors in foreign country.
In this series, indications of reconstructive surgery were described about three subjects; tuberculosis, trauma and tumor.
The procedure of surgery; the management during surgery, the method of approach, the limit of length for bronchial resection without prosthesis were discussed.
In the near future, it is considerable that these cases will increase in our country.抄録全体を表示PDF形式でダウンロード (1091K) -
浅井 末得1969 年 20 巻 3 号 p. 114-119
発行日: 1969/06/10
公開日: 2010/10/20
ジャーナル フリーReconstructive surgery of the trachea and bronchus were carried on 26 cases (17 cases with tuberculosis, 5 cases with trauma, 2 cases with bronchial adenoma and 2 cases with bronchgenic carcinoma) in last fifteen years in our Clinic. Out of 26 patients, 10 were male and 16 were female.
We prefer the sleeve resection and end to end anastomosis as the procedure of choice and the results of our operation are as follows: satisfactory in 20 cases, unsatisfactory in 3 cases and the operative death in 3 cases. The cause of unsatisfactory results were infection, bleeding and granulation and the cause of the death were hemoptysis, lung oedema and cardiac arrest.抄録全体を表示PDF形式でダウンロード (1549K) -
名越 好古, 臼井 信郎, 川神 英雄, 石塚 洋一1969 年 20 巻 3 号 p. 120-129
発行日: 1969/06/10
公開日: 2010/10/20
ジャーナル フリーThe purpose of this study is to elucidate patho-physiology of disturbance of ventilation in infant, esp. new born, with laryngeal dyspnea, and to perform a quantitative estimation of respiratory rate, pressure in the subglottic space and ventilation volume, unventilatory time and volume in relation to the various degrees of respiratory distress.
A device consisted of a laryngeal model with stenosis and a respirator connected with the model, and this device could produce the various condition of the laryngeal stenosis.
The results were as follows: In laryngeal stenosis with a caliber of the lumen of the glottic space of 2mm or less in diameter, respiratory distress showed type I according to Miller's respiratory distress syndrome (R.D.S.). It was presumed that stenosis of the glottic space of 2mm in diameter presented the “dyspnea point” which was clinically observed as respiratory distress.
When the stenosis became advanced to 1mm in diameter, respiratory distress showed type II or III. According to the above mentioned facts, it was obvious that the smaller the lumen of the air way and the more frequent the respiratory rate was, the more increased the ventilatory efficiency was, and there was a close relationship between them.抄録全体を表示PDF形式でダウンロード (1750K) -
堀口 信夫, 荒井 潤, 北村 箴至, 矢内 宏昌1969 年 20 巻 3 号 p. 130-132
発行日: 1969/06/10
公開日: 2010/10/20
ジャーナル フリーThe ventilation bronchoscope is required to the safe and accurate performance of bronchoscopy under general anaesthesia.
The outhers have devised a few sorts of adaptors which can be connected with Jacksons bronchoscope.
By means of these adaptors, patients can undergo bronchoscopy safely and accurately without any fear and pain.抄録全体を表示PDF形式でダウンロード (1152K) -
滝野 賢一, 伊藤 俊昭, 白木 巽1969 年 20 巻 3 号 p. 133-135
発行日: 1969/06/10
公開日: 2010/10/20
ジャーナル フリーA 21 years old male patient accidentally swallowed a double-edged safety razor blade but had no immidiate symptom. He developed pain in the chest, fever and chilling after a meal, and was examined by x-ray. The foreign body was not shown by the anteroposterior projection, however, it was found in the second narrowing portion of the esophagus by the first oblique and the lateral projection.
Under general anesthesia, removal of the foreign body was attempted endoscopically, and the blade was bent and broken in two pieces in the esophagus and they were successfully removed.
Razor blade is uncommon as a foreign body in the esophagus, and the purpose of this paper is to review the literatures and to describe our experience of radiographic diagnosis and removal of this uncommon foreign body in the esophagus.抄録全体を表示PDF形式でダウンロード (1308K) -
高山 乙彦, 菊池 恭三, 高橋 義勝, 片野 文夫, 遠藤 巨夫, 瀬戸 真, 押尾 良功, 鈴木 隆夫1969 年 20 巻 3 号 p. 136-140
発行日: 1969/06/10
公開日: 2010/10/20
ジャーナル フリーThe pharyngolarynxes of pupils in primary and middle schools in Kanagawa Prefecture, where is one on the most air polluted areas in Japan, were observed.
The results obtained were as follows:
1. Chronic pharyngolaryngitis was observed at a high rate.
2. A tendency of pharyngitis was found in pupils in primary schools.
3. Laryngitis was observed in pupils in both primary and middle schools at almost the same rates.抄録全体を表示PDF形式でダウンロード (979K)
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