巻号一覧
31 巻 (1980)
- 6 号 p. 417-
- 5 号 p. 355-
- 4 号 p. 285-
- 3 号 p. 199-
- 2 号 p. 79-
- 1 号 p. 1-
31 巻, 6 号
選択された号の論文の9件中1～9を表示しています
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黒須 吉夫, 田村 京子1980 年 31 巻 6 号 p. 417-420
発行日: 1980/12/10
公開日: 2010/02/22
ジャーナル フリーRespiratory difficulties in children have been the most often encountered and life-threatening illness in daily practice.
Regardless of the cause, prompt, correct, and efficient therapeutic measures must be undertaken considering their anatomical, physiological, and functional characteristics.
The severity of respiratory difficulties in children can be made by using Downe's UAO-scoring system.
Although an adequate oxygenation is the prime importance in treating these children, however, establishment of good tracheal airway including tracheostomy, removal of secretions, and appropriate means of ventilation etc. is mandatory.
These measures have to be well executed since any infant or child in these situation has to be closely observed under the circumstances as things happen a lot faster than one would expect.抄録全体を表示PDF形式でダウンロード (490K) -
瀧野 賢一1980 年 31 巻 6 号 p. 421-426
発行日: 1980/12/10
公開日: 2010/02/22
ジャーナル フリーThe author describes some personal views on accidents in bronchoscopy and esophagoscopy by classifying them largely into those occurred at the time of introduction of an endoscope, during and after the endoscopy, taking into consideration chiefly the lessons of previous investigators and the cases experienced by the author himself and others.
1. Among the accidents occurred at the time of introduction of an endoscope, injuries caused by the endoscope included damages to the upper incisors and injuries of the soft tissues along the route of introduction. These accidents may be avoided by maintaining the head of a patient in an elevated extended position and by adequate use of an endoscope.
2. With respect to the accidents occurred during the examination, various accidents were discussed by quoting some examples. The accidents classified into this category included 1) respiratory distress due to tracheal tumors, anterior mediastinal tumor and foreign bodies in the trachea; 2) profuse bleeding from a biopsy in a case with middle lobe syndrome and from esophageal varices; 3) injuries and perforations of the esophageal walls due to extraction of pointed foreign bodies or violent extraction; and 4) the accidents inflicting on the surgeon himself such as loss of sight due to injury of the eye by a foreign body, severe infection by tuberculous bacilli, which was caused by neglecting in taking adequate protective measures.
3. As to the accidents after the procedure, edema of the glottis, difficult expectoration, crust formation after extraction of foreign bodies, accidents caused by tracheal cannula, cervical subcutaneous emphysema, pneumothorax, and mediastinal emphysema. These accidents indicate the importance of adequate post-procedure observations and cares. With respect to sudden death, it is important to investigate and seek after not only the immediate cause but also the conditions which are possible to become predisposing factors.抄録全体を表示PDF形式でダウンロード (3384K) -
加藤 功1980 年 31 巻 6 号 p. 427-430
発行日: 1980/12/10
公開日: 2010/02/22
ジャーナル フリーIn recent years, the incidence of laryngotracheal injuries induced by car accidents has significantly reduced. Unusual types of laryngotracheal injuries unrelated to car accidents, however, are still quite common.
In this paper, principles of the diagnosis and treatment for acute laryngotracheal injuries were discussed based on the author's experiences with reference to the available literature.抄録全体を表示PDF形式でダウンロード (3122K) -
斎藤 久樹, 朴沢 二郎, 袴田 勝, 木村 訓子, 野沢 出1980 年 31 巻 6 号 p. 431-437
発行日: 1980/12/10
公開日: 2010/02/22
ジャーナル フリーOne hundred and three patients with fishbone foreign bodies in the air and food passages were treated in the authors' clinic during the last 17 years and 8 months from May 1962 to December 1979. Fihbone stuck in the pharynx in 70 cases, in the esophagus in 26 cases and in the airway in 7 cases. Flatfish bones were most commonly found. Age incidence was highest in the third decade (19.4%) and sex incidence was twice as high in the female.
Six patients with fishbone in the airway endoscopically treated were reported in detail. The rigid-type bronchoscope was used in most cases, but the flexible bronchofiberscope was applied in a few. Thus, training of the use of the rigid scope seemed still very important for otolaryngologists and bronchoesophagologists.
An experimental X-ray study using human cadaver phantom was made with reference to the diagnosis of fishbone foreign bodies in the airway and the following results were obtained.
1) When the longitudinal axis of a fishbone coincided with the direction of X-ray beam, it could be detected in A-P view of routine exposure or in the lateral view of low voltage condition.
2) When both directions crossed each other, it could be found only by tomography.抄録全体を表示PDF形式でダウンロード (5369K) -
平林 秀樹, 日野原 正, 秋山 欣治, 金子 省三, 添田 弘, 高津 忠夫1980 年 31 巻 6 号 p. 438-443
発行日: 1980/12/10
公開日: 2010/02/22
ジャーナル フリーSince July 1974, we have encountered 19 cases of tracheo-bronchial foreign bodies. In this article, we reported five cases which were unusual and interesting. The first case was a 14 month old boy who had aspirated a 4cm long boiled locust into the right bronchus. The secondd case was a 15 month old boy who had aspirated a 1cm2 alminuim paper into the subgottic space. The third case was a 17 year old boy who had aspirated a 7cm long wooden ice cream stick into the trachea. The forth case was a 67 year old man who had aspirated a silicon T-tube into the main bronchus. The fifth case was a 37 year old man who had aspirated a false tooth into the right bronchus. These cases were classified with reference to the following five criteria: (1) nature of the foreign body, (2) clinical course, (3) presence or absence of iatrogenic origin, (4) route of aspiration, and (5) motive.抄録全体を表示PDF形式でダウンロード (6567K) -
樋口 晶子, 大石 公直, 沢木 修二1980 年 31 巻 6 号 p. 444-450
発行日: 1980/12/10
公開日: 2010/02/22
ジャーナル フリーDuring the last 5 years from 1975 to 1979, 138 cases with esophageal foreign bodies were treated at our clinic. Among them, 3 unusual cases were reported with special reference to their outstanding clinical courses and specific methods of the removal.
Case 1: An 8 month-old boy misswallowed a hook for squid fishing. An attempt was made to cover the hook with short pieces of vinyl tube to avoid the damage to the muccsa, and a successful removal was performed.
Case 2: A 1 year and 5 month-old boy with tentative diagnosis of bronchial asthma was referred for continuing stridor and cough for several months. Episodes of vomiting and weight loss were also noted. On chest X-ray examination, a foreign body in the esophagus was found. After the removal of the foreign body (a metal washer), contrast examination revealed a tracheoesophageal fistula. The fistula closed after conservative treatment.
Case 3: A 74 year-old man misswallowed a piece of PTP (Press-Through-Pack) and complained of pain in swallowing. The foreign body was confirmed on lateral X-ray of the neck, and removed under general anesthesia using a neuromuscular blockade.
An additional statistical review was made on the esophageal foreign bodies in the present series of study.抄録全体を表示PDF形式でダウンロード (6710K) -
橋本 省, 草刈 潤, 古和田 勲, 桜井 時雄, 小林 信一1980 年 31 巻 6 号 p. 451-456
発行日: 1980/12/10
公開日: 2010/02/22
ジャーナル フリーDue to the recent development of antibiotic therapy, the incidence of periesophageal abscess is considerably low at present. In the present paper, a case of 8 month-old girl with abscess formation around the cervical esophagus secondary to a foreign body, who had been treated with misdiagnosis of pneumonia for 17 days was reported. Importance of taking into consideration of a possible foreign body in the case of febrile infant was stressed. Diagnosis and treatment of periesophageal abscess was discussed with reference to available literature.抄録全体を表示PDF形式でダウンロード (6421K) -
大石 公直1980 年 31 巻 6 号 p. 457-472
発行日: 1980/12/10
公開日: 2010/02/22
ジャーナル フリー1. Clinical examinations of the larynx were performed on 82 cases with rheumatoid arthritis (RA) in order to estimate the laryngeal involvement of this systemic disease. The results obtained were as follows:
1)Thirty-four cases showed clinical symptoms suggesting possible laryngeal involvement of RA, while positive local findings were obtained in 29 cases by means of laryngeal examination.
2)It was suggested that there was a significant relationship between the duration of systemic involvement of RA and the progress of cricoarytenoid arthritis.
2. Histological examinations were made on 18 larynges obtained from autopsied cases with a history of systemic RA. In 7 cases out of the 18, pathognomonic findings of RA such as the proliferation of the synovia were confirmed in the cricoarytenoid joint. These changes were considered to be equivalent to those found in the different joints of the extremities.抄録全体を表示PDF形式でダウンロード (10672K) -
稲見 浩三1980 年 31 巻 6 号 p. 473-483
発行日: 1980/12/10
公開日: 2010/02/22
ジャーナル フリーThe recent broadening in indications for tracheostomies suggests that the incidence of posttracheostomy lesions will increase. Yet to date studies concerning post-tracheostomy lesions are rare in Japan.
The author studied post-tracheostomy lesions both macroscopically and microscopically in 32 tracheas removed at autopsy, 22 males and 10 females, with ages ranging from 4 months to 87 years. Sites of tracheal wall injury of all specimens were examined macroscopically and 12 specimens were further rated according to Grillo's rating scale prior to formaldehyde fixation. Lesions from high incidence sites of each specimen were taken for microscopic study.
The purpose of the study was to confirm the sites with high incidence of damage to the tracheal wall and the degree of damage. These microscopic findings were used to assess the appropriateness of Grillo's rating scale.
It has been stated that the three major sites where post-tracheotomy lesions occur are the stoma, cuff, and tip sites (Stiles, 1965; McCullough, 1976). Similar results were obtained in this study, although the incidence and degree of damage at the tracheostoma were greater than previously reported.
Macroscopic findings (Grillo's rating) and microscopic findings of the 12 specimens were compared. The author found a discrepancy between these two findings in the mildly damaged areas. In cases of moderate to severe damage, however, the findings were in agreement.
The author further notes that many clinical factors may affect the occurrence and degree of post-tracheostomy lesions. Such factors include general patient condition which may affect tissue resistance, technique, type of incision, duration of tracheostomy, material, shape and angulation of tube, cuff pressure, use of respirator, and so on. To avoid damage to the trachea, such factors must be considered.抄録全体を表示PDF形式でダウンロード (17577K)
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