巻号一覧
29 巻, 1 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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山本 馨1978 年 29 巻 1 号 p. 1-8
発行日: 1978/02/10
公開日: 2010/02/22
ジャーナル フリーA comprehensive study was made on the ciliated cells of the trachea from both morphological and functional viewpoints. In morphological studies, the number of the ciliated cells, the structure of the nucleus, the mucous granules, the cytoplasm, the brush cells existing in certain cells, and the condition and the function of goblet cell secretion were investigated using a light microscope.
Observation of the ultrastructure with an electronmicroscope showed that the cellular connection as well as the various components of the epitherial cells played an important role in the intrusion of various substances into the epithelium. In addition, it was found that the various types of microvilli, i, e., large and small, long and short, were closely related to external stimuli, and that the smooth surface endoplasmic reticulum was linked to the intrusion of substances from outside. The Golgi body was considered to possess a close relationship with the sorrounding tissues judging from its shape and distribution.
It was found that the cilia, composed mainly of the ciliated trunk and the basal body, had a special structure in the terminal edge, and that the basal body formed the base of ciliary movements. The cilia were considered to be derived from the diplosome or some grains of high electron density existing around the Golgi body. It was also considered that some cilia might become the compound cilia depending on the condition of external stimuli.抄録全体を表示PDF形式でダウンロード (13864K) -
その臨床的ならびに実験的研究押尾 良功1978 年 29 巻 1 号 p. 9-26
発行日: 1978/02/10
公開日: 2010/02/22
ジャーナル フリーClinical Study: The subjects examined were children from primary schools at different areas polluted by sulfurous acid gas, dust or exhaust gas, and also those at heavy or moderately polluted areas in Tokyo. Laborers from a mine (silica), fertilizer (sulfurous acid gas) and brick (dust) factories were also examined. The investigation was performed with indirect laryngoscopy and phonic examinations. The children were followed up for two or three years.
No significant differences on the results of laryngoscopy and phonic examinations were found regarding the origin and density of air pollution. The number of children with redness and swelling of vocal cords at air polluted areas was found larger than that of controls. However, this was noted only in the first year. Abnormal vocal cords in laborers from the mine and factories were found more frequently than those in children from air polluted areas. The phonic examinations revealed no evidence of phonic disorders even in the environment of air pollution.
Experimental Study: Ten cats were exposed to sulfurous acid gas and 15 rabbits to ozone. Each gas was given to the animals by inhalation. Their larynx and trachea were obtained and observed under light and electron microscopes.
Cat vocal cords showed epithelial metaplasia, edema in connective tissues with infiltration of neutrophils and partially ulcer formation. A cyst-like bulging was observed at the tip of cilium on the ciliated epithelium of rabbits. A disarrangement of cilia was also noted.抄録全体を表示PDF形式でダウンロード (14495K) -
市村 恵一, 洲崎 春海, 土田 みね子, 工藤 翔二, 三上 理一郎1978 年 29 巻 1 号 p. 27-34
発行日: 1978/02/10
公開日: 2010/02/22
ジャーナル フリーSmoking has been said to participate in an onset of chronic bronchitis. However, as far as sinobronchial syndrome, which is defined as “the pathological condition that chronic sinusitis and chronic lower airway diseases such as chronic bronchitis, bronchiectasis and diffuse panbronchiolitis coexist” is concerned, the relation of smoking to this syndrome has not been yet determined.
Three hundred and twenty-seven adults with chronic sinusitis and 71 ones with sinobronchial syndrome were examined.
In sinusitis group, the smoking ratio was 44.8% in men and 9.3% in women, and this figure was low compared with the ratio among the adult population which was approximately 77-80% in men and 14-16% in women.
In sinobronchial syndrome group this figure was markedly low (men 13.2%, women 3.0%). It seems likely that there is an inverse correlation between nasal obstruction and smoking ratio, leading to the fact that the operated group on infected sinuses showed higher smoking ratio than the non-operated group.
The prevalence of lower airway diseases in current smokers is almost equal to that in the non smokers in our series. It is suggested that smoking does not essentially participate in an onset of lower airway lesion in sinobronchial syndrome.抄録全体を表示PDF形式でダウンロード (926K) -
小林 芳枝, 小川 克二, 佐藤 幸雄, 白岩 峯生, 元木 良一1978 年 29 巻 1 号 p. 35-40
発行日: 1978/02/10
公開日: 2010/02/22
ジャーナル フリーA 69 year old male developed cervical subcutaneous emphysema and a mediastinal abscess following a partial removal of an esophageal foreign body (a piece of sole fish bone) under direct esophagoscopy. Prior to the endoscopy, the patient attempted to dislodge the foreign body by himself by swallowing a piece of potato without success. He was then referred to the authors' clinic where the remaining portion of the bone was removed esophagoscopically under general anesthesia and the mediastinal abscess was treated through a cervical incision. A discussion was made on the cause of the complications. In addition, a statistical study was made on esophageal foreign bodies seen at the authors' clinic for the last ten years.抄録全体を表示PDF形式でダウンロード (2800K) -
原田 勇彦, 小林 武夫1978 年 29 巻 1 号 p. 41-47
発行日: 1978/02/10
公開日: 2010/02/22
ジャーナル フリーTwo cases of esophageal injury during the esophagoscopy were reported. In both cases, the esophagus was injured during the insertion of a solid esophagoscope. In the first case, esophageal perforation was suspected without being confirmed and the conservative treatment with intensive chemotherapy was successful. In the second case, the initial conservative treatment led to abscess formation, and the subsequent surgical management was needed. We think that the surgical approach should be considered in the treatment of some cases of esophageal injury, where the most important point is the timing for surgery.抄録全体を表示PDF形式でダウンロード (8119K) -
井上 宏司, 石原 恒夫, 菊地 敬一, 深井 志摩夫, 武士 昭彦, 高浪 巌, 小川 純一, 加勢田 静, 池田 高明1978 年 29 巻 1 号 p. 48-51
発行日: 1978/02/10
公開日: 2010/02/22
ジャーナル フリーResections of the upper trachea always propound the problem of postoperative laryngeal stenosis. At the Keio University Hospital, twelve patients with thyroid carcinoma and one patient with parathyroid carcinoma which had invaded into the trachea have been treated by resection of the upper trachea and end-to-end anastomosis. Six of these 13 patients developed severe laryngeal stenosis after operation. This paper reports on the mode of managements we applied against the laryngeal stenosis of these 6 patients.
The proximal resection line was made at the lower portion of the cricoid in 3 patients, at the lower margin of the cricoid in 2 patients and at the lower margin of the first tracheal ring in 1 patient. Five patients out of 6 developed signs of severe air way obstruction due to laryngeal stenosis shortly after the removal of an endotracheal tube. Tracheostomy was then performed in 4 patients, but the other one patient underwent reintubation because a woven teflon prosthetic graft had been inserted between the innominate and right common carotid arteries in this case.
Tracheal fenestration was subsequently applied for all cases except 1 in whom the tracheostoma could be closed on the second postoperative day.
In only 1 patient out of 6, endotracheal tube was removed without an episode of dyspnea, although the bilateral vocal cords were found to be fixed at the paramedian position after operation. Two months later, common cold triggered dyspnea in this patient and tracheal fenestration was performed.
It was considered that tracheal fenestration offered significant advantages over tracheostomy in the case of laryngeal stenosis caused by either bilateral laryngeal paralysis with the vocal cords in the midline position or prolonged edema at the level of the glottis.抄録全体を表示PDF形式でダウンロード (2331K) -
萩原 照久, 鴨下 一郎, 中野 憲行, 中村 晋, 加藤 秀雄, 森 吉臣1978 年 29 巻 1 号 p. 52-58
発行日: 1978/02/10
公開日: 2010/02/22
ジャーナル フリーTracheobronchopathia chondro-osteoplastica is a benign disease characterized by cartilaginous and osseous formations in the walls of the trachea and bronchi which project into the lumen.
Since the first case was reported by Wilks in 1857, about 260 cases have been reported in the world up till now. In Japan, however, we have had less than 20 cases in the literature during the same period.
Recently we experienced a patient of 62 yearr old female, who complained of epigastralgia, anorexia and weightloss, and the chest roentgenogram revealed a tumor-like schadow in her left upper lung field. Flexible fiberoptic bronchoscopy revealed multiple hard protrusions in the tracheobronchial wall, and pathological diagnosis of tracheobronchopathia osteoplastica was obtained by biopsy. She expired of a rupture of thoracic aortic aneurysm and extensive metastasis of pancreatic cancer. On the basis of autopsy findings, the osteocartilaginous protrusions in the tracheobronchial wall were considered to be originated from ecchondroma of the cartilages of the trachea and bronchi. From these findings, tracheobronchopathia chondro-osteoplastica is considered to be most likely as the diagnosis of the lesion. The relationship between the tracheobronchial pathology and aortic aneurysm or pancreatic cancer was obscure.抄録全体を表示PDF形式でダウンロード (12452K) -
吉田 昭男, 岡本 健, 掛川 暉未1978 年 29 巻 1 号 p. 59-62
発行日: 1978/02/10
公開日: 2010/02/22
ジャーナル フリーA case of cicatricial stenosis of the esophagus following the transection of the esophagus for varices in a 20 year old female was reported. The patient developed dysphagia five months after the surgery. The fiberoptic esophagoscopy and barium swallowing showed marked stenosis at 33cm. from the upper incisors. After inserting a piece of thread into the stenotic region under fiberoptic esophagoscopy, the stenosis was successfully dilatated with bouginage. We emphasized that the fiberoptic esophagoscopy could be utilized as a therapeutic measure in a case of cicatricial stenosis of the esophagus.抄録全体を表示PDF形式でダウンロード (3218K)
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