日本気管食道科学会会報
Online ISSN : 1880-6848
Print ISSN : 0029-0645
ISSN-L : 0029-0645
21 巻, 3 号
選択された号の論文の5件中1~5を表示しています
  • 井上 鉄三, 椿 康喜代
    1970 年 21 巻 3 号 p. 117-123
    発行日: 1970/06/10
    公開日: 2010/10/20
    ジャーナル フリー
    160 seamen, including 73 deckmen, 62 engineers and 25 others were investigated clinically.
    Advanced chronic inflammation of pharyngeal mucous membrane was visualized in 88.8% of all engineers, 67.2% of all deckmen and 72.0% of other members.
    Laryngeal mucosa was found to be rather pathological, erythematous, edematous and polypoid in 63% of engineers, 40% of deckmen and 32% of other crews.
    More or less same data were obtained concerning the tracheal mucous membrane.
    On the other hand, there was no distinct difference among thee groups, concerning the nasal mucous membrane.
    There seem to be short acting reversible irritation to the upper respiratory mucous membrane of deckmen and rather long acting irreversible irritation to that of engineers.
    The ventilation of the engine room should be mostly improved to get rid of the engineers' complains.
    Another interesting thing was found, that the deckmen are apt to catch cold during their vacation and off the ship, and engineers are so during their on duty in engine room.
  • 滝野 賢一, 日野原 正, 冨田 善治, 井沢 敬介
    1970 年 21 巻 3 号 p. 124-128
    発行日: 1970/06/10
    公開日: 2010/10/20
    ジャーナル フリー
    From experiences of three cases of bronchopulmonary hemorrhage on which emergency bronchoscopies were performed, the importance of prevention of asphxia due to hemorrhage was discussed.
    Bronchoscopy had been thought as contraindicated for a massive hemorrhage from the respiratory tract, however, this thought should be revised. Bronchoscopic removal of neoplastic tissue or mass in the tracheobronchial tree, resembling a blood clot, should be postponed until these tissue or mass were identified by fiberoptic examination.
    In our experiences, an extensive hemorrhgic lesion in the bronchus was controlled by compressing with a piece of long and thin sponge soaked with hemostatic solution guided by a forceps through bronchoscope, and the authors thought that the duration of introduction of bronchoscope and compression of the hemorrhagic lesion should be within 10 minutes, although condition of patient and the airway was carefully observed.
    In case of uncontrollable hemorrhage, chest surgeons are needed to be consulted immediately on controlling hemorrhage.
    The authors urged otolaryngologist to keep always a good partnership with staffs in the other related department.
  • 新井 健之, 奈良 圭司, 北島 政樹, 高梨 利次, 丸谷 巌, 星野 喜久
    1970 年 21 巻 3 号 p. 129-134
    発行日: 1970/06/10
    公開日: 2010/10/20
    ジャーナル フリー
    Foreign bodies of the esophagus, 13 coins, were removed from 13 children using a balloon retention catheter with no anesthesia under fluoroscopy.
    A catheter was passed under fluoroscopy through the mouth into the esophagus. When the catheter passed beneath the foreign body, the balloon was inflated with about 5ml of radio-opaque medium. Then the catheter was gently withdrawn and the foreign body was removed with the distended balloon.
    There were no technical difficulties or complications in any of these patients.
    The procedure required only a balloon retention catheter and a fluoroscope for its performance, and it is simple and safe, even in children, if it is properly applied.
    Certain advantages of this method for removing blunt foreign bodies from the esophagus are apparent. One of the greatest advantages of this technique is that the esophagus is being pressed away from the impacted foreign body during this procedure, and thus preventing the esophagus from the possible perforation.
  • 馬場 駿吉, 大橋 道三, 林 裕一
    1970 年 21 巻 3 号 p. 135-141
    発行日: 1970/06/10
    公開日: 2010/10/20
    ジャーナル フリー
    A case of esophageal hiatal hernia was reported. A 74 year old female had occasional disphagia for the past 6 months. Rentogenographic and esophagoscopic examination revealed displacement of the lower end of esophagus above the diaphragma and herniation of the stomach through the esophageal orifice of the diaphragma. This diagnosis was histopathologically confirmed by biopsy from the mucous membrane of the herniated stomach under esophagoscope. She was treated conservatively and there was subjective improvement in her condition.
    Furthermore, authors discussed about the many promblems on classification, diagnosis and management of esophageal hiatal hernia.
  • 追加質問応答
    1970 年 21 巻 3 号 p. 142-153
    発行日: 1970/06/10
    公開日: 2010/10/20
    ジャーナル フリー
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