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, 4 号
選択された号の論文の8件中1～8を表示しています
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名越 好古1969 年 20 巻 4 号 p. 141-146
発行日: 1969/08/10
公開日: 2010/10/20
ジャーナル フリーThe speaker gave a discussion of respiratory distress due to abnormalities of air way in infant, mainly of laryngeal stridor and congenital laryngeal stridor.
Presenting 42 cases of congenital laryngeal stridor and 31 cases of laryngeal stridor due to cerebral palsy seen in the speaker's hospital, he studied on etiology and pathology of these cases, and discussed on management of the respiratory distress.
Regarding one case of laryngomalacia and 6 cases of cerebral palsy, the speaker presented motion picture of the laryngeal movement taken through an endoscope, and showed the pathological conditions of the patient's larynx.
The speaker also presented the results of his experimental studies using a laryngeal model on respiratory distress caused by a laryngeal stenosis and the experiment and results of difficult decannulation after tracheotom using the young dogs.抄録全体を表示PDF形式でダウンロード (1127K) -
山本 亨1969 年 20 巻 4 号 p. 147-149
発行日: 1969/08/10
公開日: 2010/10/20
ジャーナル フリーTreatment of acute respiratory disturbances should be aimed to correct (1) anoxic anoxemia, (2) respiratory acidosis, and (3) metabolic acidosis. For this purpose, in normal individuals, the most important are the maintenance of (1) the air-way and (2) ventilatory movement.
Simple jaw-holding and insertion of airways are as important as tracheal intubation in unconscious patients. In such cases nasal intubation using soft Portex tube is more easily tolerated than oral intubation by the patients. Tracheostomy in children and infants should be performed more carefully than in adults. Two cases of unsuccessful tracheostomy in 2-3 months old babies were presented. Metal tracheostomy cannula is not suitable for children and plastic cannula is preferred.
For long-term artificial ventilation, various respirators are in use. Classification of respirators, and the significance of lung-thorax compliance and alveolar surfactant were discussed.
Finally the administration of sodium bicarbonate and THAM for correction of acidosis, and merits and drawbacks of these drugs were mentioned.抄録全体を表示PDF形式でダウンロード (639K) -
小野寺 壮吉1969 年 20 巻 4 号 p. 150-156
発行日: 1969/08/10
公開日: 2010/10/20
ジャーナル フリーThe impairment of pulmonary gas exchange results in metabolic disturbances of the tissue cells due to O2 deficit and CO2 retention. The changes in O2 and CO2 tension, and pH in the arterial blood, therefore, are recognized as the most useful sign to suggest the impairment.
Factors which affect pulmonary gas exchange are one or more of the followings; 1) airway obstruction; 2) alveolar hypoventilation; 3) change in mechanical properties of the thorax and the lung; 4) uneven pulmonary capillary blood flow; 5) right-to-left shunts.
In a patient with respiratory disorder, shortness of breath should be realized as a somatic expression of effort to overcome these handicaps.
Patterns of altered pulmonary function observed in patients with chest disease were listed, and their patho-physiological significances were discussed. In addition, the usefulness of some integrated tests, f. e. analysis of flow-volume curve or expiratory CO2 concentration curve and so on, were also interpreted.
Finally, it was emphasized that the necessity to find the impairment of pulmonary gas exchange, in its early stage, must be kept in mind in order to check further advancement of the disease.抄録全体を表示PDF形式でダウンロード (3375K) -
村尾 誠1969 年 20 巻 4 号 p. 157
発行日: 1969/08/10
公開日: 2010/10/20
ジャーナル フリーPDF形式でダウンロード (116K) -
鈴木 理文1969 年 20 巻 4 号 p. 158-161
発行日: 1969/08/10
公開日: 2010/10/20
ジャーナル フリーAfferent nevre discharges were recorded from the recurrent laryngeal nerve of the cat after sectioning the recurrent laryngeal nerve peripherally near the larynx and vagus nerve centrally in the neck. They get to the central nervous system through the larynx mediated the communicating branch and internal branch of superior laryngeal nerve.
The nerve fibers seemed to originate from primarily stretch receptors in the lung and aortic baroreceptors. The discharges from the stretch receptors in the lung were elicited periodically according to respiratory cycle and increased their frequency during inspiration.
The nerve fibers are located in a side of the recurrent laryngeal nerve as a group and their diameter is relatively smaller than that of others.抄録全体を表示PDF形式でダウンロード (1459K) -
Kyozo Kikuchi, Yuzuru Nagayama, Akio Katano, Otohiko Takayama1969 年 20 巻 4 号 p. 162-166
発行日: 1969/08/10
公開日: 2010/10/20
ジャーナル フリーUltrastrucures of the tracheal cilia in ten guinea pigs after inspiration of red clay particles were investigated with both light and electron microscopy. Red clay particles, which were about 10 micra in the diameter, were given to the animals by an inspirator for duration of times between 3 and 30 hours.
The initial sign of degeneration of the cilium was shown as swelling of the ciliary membrane. The next change was found as destruction of the filaments in the cilium. Then, the filaments were disappeared and the cilium became homogeneous.抄録全体を表示PDF形式でダウンロード (1527K) -
池田 茂人1969 年 20 巻 4 号 p. 167-172
発行日: 1969/08/10
公開日: 2010/10/20
ジャーナル フリーThe rigid type bronchoscope which has been using for the last 70 years is gradually exchanging by the flexible bronchofiberscope which was devised by author.
This bronchofiberscope made possible to visible until IVth br. the sub-subsegmental bronchus and to be examined the patient in the supine position.抄録全体を表示PDF形式でダウンロード (2493K) -
追加, 質問, 応答1969 年 20 巻 4 号 p. 173-183
発行日: 1969/08/10
公開日: 2010/10/20
ジャーナル フリーPDF形式でダウンロード (2512K)
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