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, 6 号
選択された号の論文の5件中1~5を表示しています
  • 小野 譲
    1970 年 21 巻 6 号 p. 255-259
    発行日: 1970/12/10
    公開日: 2010/10/20
    ジャーナル フリー
    The air pollution has become a global problem. It is only natural that members of Japan Broncho-esophagological Society should have special interest and concern in the battle against this particular hazzard.
    In order to control and prevent the current hazzard it is necessary first to familiarize ourselves with the basic anatomical and ecological conditions of the air ways in different animalsas well as man.
    The author reviews anatomy of the respiratory tract with special reference to airreservoirs which characterize certain animals such as some mammals, amphybians and birds. Attempts are being made to verify the advantages of those possessing the airrevervoir as against those which lack this structure, for example man, when exposed to locally polluted air.
  • 山川 強四郎
    1970 年 21 巻 6 号 p. 260-263
    発行日: 1970/12/10
    公開日: 2010/10/20
    ジャーナル フリー
    In 24 years (1932-1956) I treated 3033 foreign body cases in our clinic of Osaka University Faculty of Medicine. The diagnosis and treatment of these cases have been reported in the XV General Assembly of Japan Medical Congress.
    In this paper I am pointing out comparatively unnoticed matters relative to foreign body incidence.
    1. Foreign bodies which had been found in the stomach harmlessly passed through alimentary tract as follows; coins in 15 to 24 hours and seldom longer than 4 days; “Go-stones” or Japanese checker game stones in 1-4 days; buttons in 3-6 days; pins in 1-22 days; toys in 1-4 days. One leather ring took 46 days before it passed through the bowel.
    2. After the removal of foreign bodies it is advisable always to check the esophagus for possible existence of carcinoma. I have found carcinoma of the esophagus in 10 such cases.
    3. A babitual foreign body case: one year and 3 month old boy swallowed at separate occasions one 10 yen coin, one 5 yen coin and one pin all of which passed through the stomach. However, I had to retrieve with bronchoscope one pin which was aspirated by this boy and lodged in the bronchus.
  • 高山 乙彦, 片野 文夫, 瀬戸 真, 押尾 良功, 鈴木 隆夫, 水島 昇, 西村 良彦
    1970 年 21 巻 6 号 p. 264-268
    発行日: 1970/12/10
    公開日: 2010/10/20
    ジャーナル フリー
    In one patient complaining of hoarseness showed no other finding than the fixation of the right vocal cord at the midline position compatible with recurrent laryngeal nerve paralysis, the swallowing function study with barium revealed the extrinsic compression of the upper part of the esophagus. On bronchoscopic examination was found a slight bulging of the wall of the trachea.
    From these findings the author sueggested that any patient with recurrent laryngeal nerve paralysis due to unknown etiology should have the swallowing function study as well as bronchoscopic examination.
  • 保存療法が効を奏した2例を中心に
    武藤 次郎, 坊野 馨二
    1970 年 21 巻 6 号 p. 269-285
    発行日: 1970/12/10
    公開日: 2010/10/20
    ジャーナル フリー
    Two cases of juvenile laryngeal papillomatosis which have been successively treated with voice rest and Terramycin were reported.
    Case I: A boy, aged 3 and half years, was first seen by us in December, 1953, with the chief complaints of hoarseness and dyspnea. His past and family histories were essentially negative and no wart and condyloma acuminatum were seen. A provisional tracheostomy was done to put the larynx at rest. Direct laryngoscopy revealed that the larynx was near entirely filled with papillomatous mass. Irradiation with X-ray was ineffective only to increase the size of the mass. Terramycin was given in two periods, each period being 100 days, and the dosis of daily Terramycin was 250 mg. The papillomatous mass disappeared after the treatment. No evidence of recurrence was seen for 9 years and his voice remains good.
    Case 2: A girl, aged 2 years and 10 months, was first seen by us in May, 1957, with a tracheostoma done at the other hospital. Papillomata were seen at the left false cord, at the tracheostoma and the tracheocarina. According to her mother, the patient was hoarse when she was 7 or 8 months old. A tracheostomy and several surgeries to remove the papillomata were done at the other hospital. Terramycin was given without effect. No surgery was attempted by us and she was put under our observation. Many warts appeared at her right hand in 1963. Our observation in 1965 revealed that she had only a small mass of papillomatous tissue at the left false cord. Previous surgeries resulted in scar formation which gave rise to the deformed larynx and hoarseness.
    Also discussed in the present report were; two kinds of laryngeal papilloma viruses, the relationship with warts and the effect of antibiotics.
  • 加藤 秀雄, 西村 良彦
    1970 年 21 巻 6 号 p. 286-292
    発行日: 1970/12/10
    公開日: 2010/10/20
    ジャーナル フリー
    The case is of an 8 year old school boy who had accidentally aspirated a handreamer during dental treatment. Before extraction he had been seen by an Otolaryngologist and a Bronchoesophagologist. The foreign body was then extracted through the bronchoscope.
    Dr. Nishimura and I discussed several matters concerning extraction of foreign bodies located in the pharyngo-laryngeal area, esophagus and tracheo-bronchial tree, among which were:
    1. The technic of local anesthesia of the pharyngo-laryngeal area, when a foreign body is located there.
    2. The importance of radiological examination for differential diagnosis of the type and location of the foreign body in the broncho-esophagological area.
    3. Attempt at removal of the foreign body by Endoscopy (Esophagoscopy and Bronchoscopy) without Tracheotomy or open chest procedure.
    4. The lesion produced in the bronchial mucus membrane where the foreign body was lodged, will require several months for recovery, therefore, observation by bacteriological and radiological examination should be done periodically while observing the patient's general condition.
    5. The exsistence of fungus in bronchial specimens determined bacteriologically, in this and similar cases without radiologicol and subjective changes, may suggest contaminatian from dental caries.
feedback
Top