日本気管食道科学会会報
Online ISSN : 1880-6848
Print ISSN : 0029-0645
ISSN-L : 0029-0645
27 巻, 4 号
選択された号の論文の6件中1~6を表示しています
  • 粟田口 省吾
    1976 年 27 巻 4 号 p. 263-269
    発行日: 1976/08/10
    公開日: 2010/02/22
    ジャーナル フリー
    During a period of 9 years (1967-1675), 2602 cases with paranasal sinusitis consulted our clinic and out of them, in 140 cases (5.3%) paranasal sinusitis were complicated by chrohic bronchitis or bronchiectasis and treated under the diagnosis of sinobronchitis. The incidence of sinobronchitis was highest (40.2%) in children with paranasal sinusitis aged 2 to 5 years and gradually decreased with increase of age. Clinical symptoms, history, onset, nasal findings, sinal and chest x-ray findings and bacilli in the upper and lower airway of 71 children with sinobronchitis aged 2 to 15 years were investigated. 20 of them were cured by oral administration of proteolytic enzyme and aerosol therapy and their prognoses were followed up for 3 to 6 months. A complete cure was obtained in 15 of them and recurrence occurred in 5. From the etiological viewpoint of sinobronchitis Kartagener's syndrome, cystic fibrosis of the pancreas, a-or dysgammaglobulinemia and alpha1-antitripsin deficency were reviewed. Finally, difference between sinobrochitis and allergy of all airway, and causality between chronic paranasal sinusitis and small airway disease were discussed.
  • 長谷川 寛治
    1976 年 27 巻 4 号 p. 270-299
    発行日: 1976/08/10
    公開日: 2010/02/22
    ジャーナル フリー
    To observe the effects of various gases and bacterial toxins on ciliary activity of the airway, the rabbit tracheal mucosa was sealed in the Rose chamber and the frequencies of the ciliary movements were determined by a photo-electric method. During the fixed observation period, ciliotoxicity was not found in O3, O2, ether, N2O, cyclopropane, Bordetella pertussis crude toxin or Pseudomonas aeruginosa toxin, but found in automobile exhaust gas, SO2, cigarette smoke, Halothane, Streptococcus hemolyticus toxin or Staphylococcus aureus crude toxin. Effects of cigarette smoke and Streptococcus hemolyticus toxin were histologically and electron-microscopically examined also.
  • 喉頭知覚神経刺激に対する反応性を中心として
    向井 将
    1976 年 27 巻 4 号 p. 300-305
    発行日: 1976/08/10
    公開日: 2010/02/22
    ジャーナル フリー
    Studies on the physiological functions of the posterior cricoarytenoid muscle were done with special reference to respiratory and protective functions, comparing with those of the diaphragm.
    Activity of the posterior cricoarytenoid muscle and the diaphragm seen in every inspiration was reflexly inhibited by electrical stmulation of the internal branch of the superior laryngeal nerve. Duration of this inhibition reduced by increase of PCO2. Respiratory discharges in these two muscles faded away by further increase of PCO2.
    Reflex activation of the posterior cricoarytenoid muscle was still observed even after complete disappearance of spontaneous respiratory activities.
    These results indicate that the most primitive and the most important function of the larynx may be protection of the lower airway.
  • 上村 卓也, 高山 幹子, 藤多 恒子
    1976 年 27 巻 4 号 p. 306-309
    発行日: 1976/08/10
    公開日: 2010/02/22
    ジャーナル フリー
    One month after a heart operation, a 7-year-old girl suffered pneamonia, necessitating a tracheotomy. Another month later an attempt at decannulation failed and instead a nasotracheal tube was inserted. During following six weeks attempts to remove the tube were unsuccessful. Three months following the original tracheotomy a second tracheotomy was performed. Again attempts to decannulate the trachea failed despite removal of the granulation tissue in the glottis with microlaryngosur-gery at two occasions. At a third operation the stenosis was found to be due to massive adhesion of the glottis. The adhesion was resected and a silicone T-tube was inserted into the site of the laryngeal stenosis. Four weeks later the T-tube was removed. The patient has remained free of respiratory distress for one year.
  • 特にブレオマイシン被覆チューブによる食道内挿管法について
    田中 隆, 武谷 克重, 佐藤 博信, 石山 俊次
    1976 年 27 巻 4 号 p. 310-314
    発行日: 1976/08/10
    公開日: 2010/02/22
    ジャーナル フリー
    Recntly, we divied to insert a tube coated with antitumor agent into esophaus as local chemotherapy for esophageal cancer. Nakayama's esophageal tube was used, Bleomycine coated with gelatin included solid (30-60mg). In this report, we presented experimental results and 6 clinical cases who were attempted this method.
  • 粟田口 省吾, 斎藤 久樹
    1976 年 27 巻 4 号 p. 315-321
    発行日: 1976/08/10
    公開日: 2010/02/22
    ジャーナル フリー
    An infant with congenital laryngeal cyst is reported. He rapidly developed stridor, inspiratory dyspnea and swallowing difficulty during 24 hours sfter the normal birth. Under the general anesthesia, a large laryngeal cyst was found direct-laryngoscopically, covering up the whole epiglottis and extending to the right aryepiglottic fold. Removals of the cystic wall had been performed 3 times and complete cure was obtained with no recurrence. Histological examination of the resected specimens disclosed submucosal retention cyst which originated in the aberrant mucous-glandular tissue in the submucosa adjacent to the right aryepiglottic fold.
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