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, 5 号
選択された号の論文の7件中1～7を表示しています
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臼井 信郎, 石塚 洋一, 佐藤 敏彦1980 年 31 巻 5 号 p. 355-365
発行日: 1980/10/10
公開日: 2010/02/22
ジャーナル フリーThe clinical distinction between upper airway obstruction and lower airway obstruction is not always well defined.
The flow-volume curve, a newer test of airway physiology, demonstrates a different characteristic pattern in each type of major airway obstruction and is the easiest way to assess these problems.
The purpose of this paper is to explain the efficacy of this test by showing examples of the several basic types of major airway obstruction.
In upper airway obstruction below the glottis, flow is constant throughout the initial part of forced maximal expiration. This results in a characteristic plateau or flat curve which is different from the curve in lower airway obstruction.
The flow-volume curve is a valuable test in detecting major airway problems.抄録全体を表示PDF形式でダウンロード (11004K) -
大越 俊夫1980 年 31 巻 5 号 p. 367-374
発行日: 1980/10/10
公開日: 2010/02/22
ジャーナル フリーThis study was done in order to determine how nasal obstruction, which can be regarded as a kind of upper airway stenosis, affects closing volume (CV).
Closing volume, measured with oral and nasal respiration, was compared in thirty-two adult patients. In addition, the percent vital capacity (% VC), percent forced expiratory volume (% FEV1.0), and flow-volume curves were compared.
The results were as follows:
1) When measured by means of oral and nasal respiration there was no significant difference in CV between the normal subjects group and nasal obstruction group.
2) When measured by means of nasal respiratory resistance (Rr), peak flow (PF), maximal expiratory flow at 75 percent (V75) and 50 percent (V50) showed a significant difference between the normal subjects group and nasal obstruction group. No significant was difference found, however, at 25 percent (V25).抄録全体を表示PDF形式でダウンロード (1408K) -
とくに健常例および鼻アレルギー合併気管支喘息例を中心として中島 重徳, 藤原 義剛, 津谷 泰夫, 大石 光雄, 高木 洋, 上野 浩, 須永 進1980 年 31 巻 5 号 p. 375-385
発行日: 1980/10/10
公開日: 2010/02/22
ジャーナル フリーHealthy subjects and patients with bronchial asthma complicated by nasal allergy were involved in the study. Beclomethasone dipropionate inhaler (BDI) and beclomethasone dipropionate nasal spray (BDN) were given by oral or nasal inhalation in a total dose of 800μg daily. Pituitary-adrenal function was studied before administration and two and four weeks after administration.
As far as healthy subjects were concerned, neither those in Group A who inhaled 400μg/day of BDI and 400μg/day of BDN (total dose, 800μg/day) nor those in Group B who inhaled 800μg/day of BDN showed significant changes in the insulin tolerance test and urinary 17-OHCS excretion. The serum levels of immuno-reactive beclomethasone (IR-beclomethasone) after administration significantly increased in Group A and tended to increase in Group B as compared with that before administration.
Patients seemed to show a lower level of plasma ACTH before administration than healthy subjects. Concurrent inhalation of BDI and BDN tended to decrease neither plasma ACTH nor serum cortisol. Serum IR-beclomethasone showed no remarkable increase after administration. This was possibly because mouth wash by means of “gargling” prevented the absorption of beclomethasone from oral and pharyngeal membranes.
It was considered that the inhalation of BDI and BDN in a dose of 800μg daily had no effect on the pituitary-adrenal axis.抄録全体を表示PDF形式でダウンロード (1329K) -
中島 眞樹, 並河 尚二, 岡田 慶夫1980 年 31 巻 5 号 p. 387-392
発行日: 1980/10/10
公開日: 2010/02/22
ジャーナル フリーAdenocarcinomas of the lung show a wide variety of histopathological findings in addition to diverse clinical malignancy and biological properties. This suggests that the pathological background of adenocarcinoma of the lung is not simple and varies largely depending upon individuals. Epithelial cells of the bronchoalveolar system consist of bronchial epithelial cells being the air-passage lining, alveolar epithelial cells, and glandular cells which form secretory glands. Carcinoma occurs in any of these cells. We resected 8 lung adenocarcinomas, which were presumed to originate from the bronchial glands. Morphologically, the characteristics of these tumors were as follows:
1) The sections of the tumors were homogeneous and ivory in color, milky and smooth.
2) Histologically, these tumors constituted both glandular and epidermoid features.
3) Usually, acinar or cribriform patterns, which filled with mucin, were seen in the glandular features.
4) Ultrastructurally, both glandular and epidermoid features were also seen in the neoplasm.
5) Many cells contained mucus granules in the cytoplasm and there occasionally existed inclusion bodies, the so-called “fibrillar inclusions”.
The clinical findings were as follows:
1) Roentgenologically, these tumors appeared as peripheral masses which are sometimes referred to as “coin lesions”.
2) The prognoses of the patients were relatively poor, but if recurrences occurred, they were slow growing and ran prolonged courses.
3) Metastases appeared mostly in the lung.抄録全体を表示PDF形式でダウンロード (8127K) -
円谷 英一, 石橋 康, 松井 道夫, 小河原 昇, 鯨井 和朗, 沢木 修二1980 年 31 巻 5 号 p. 393-400
発行日: 1980/10/10
公開日: 2010/02/22
ジャーナル フリーTwo cases with congenital subglottic stenosis and four cases with acquired subglottic stenosis in children were treated at the authors' clinic during the past 10 years (1970-1979).
In the present paper, treatment of these cases is discussed. In five cases decannulation was successful.
After tracheostomy, the granulation tissue of the subglottic area was resected using the surgical microscope. A tracheal T-tube was set in place via tracheostoma. After six weeks of tracheal T-tube insertion, a tracheal cannula was used for four weeks prior to the closure of the stoma. Systemic administration of antibiotics and steroids and local administration of steroids were essential in treating these cases.
We believe that subglottic stenosis should be corrected surgically, even in small children.抄録全体を表示PDF形式でダウンロード (5194K) -
Tracheal mobilization の意義前田 昌純, 川島 康生1980 年 31 巻 5 号 p. 401-408
発行日: 1980/10/10
公開日: 2010/02/22
ジャーナル フリーIn the past years, restriction of applicability of tracheobronchial plasty was mainly due to the limitation in the extent of tracheal resection. Recent application of the tracheal mobilization technique has enabled to increase the resectable length of the trachea. This paper reported on the results of measurement of the extensibility of the canine trachea and the effect of the mobilization technique on the tension at the site of tracheal anastomosis. The maximum extensibility of the canine trachea was found to be only 36% of the original length (SD=±7%). Conventional techniques of tracheal elongation (Som and Narodick) were not effective enough to reduce the tension developing at the anastomotic site. On the other hand, the tracheal mobilization technique has proved to be effective for increasing the extent of tracheal resection. The clinical value of the tracheal mobilization technique was discussed based on the authors' experience on 84 cases of tracheobronchial plasty.抄録全体を表示PDF形式でダウンロード (1002K) -
三橋 重信, 平野 実1980 年 31 巻 5 号 p. 409-412
発行日: 1980/10/10
公開日: 2010/02/22
ジャーナル フリーThis paper describes a laser bronchoscope developed by the authors. It basically consists of a ventilation bronchoscope and an adaptor. The former has a ventilation pipe for oxygen and anesthetic gas, fiber-optic illumination system, and a suction tube for eliminating the smoke caused by laser irradiation. The latter connects the manipulator of the laser unit to the ventilation bronchoscope and introduces the laser light into the tracheo-bronchial system. It has three optical systems: an optical system for introducing the laser light into the bronchus, that for viewing the surgical field, and that for guiding light. The adaptor also has a device to adjust the direction of the laser light. The laser bronchoscope described here will ensure clinical applications of laser surgery for lesions in the trachea and bronchi.抄録全体を表示PDF形式でダウンロード (1812K)
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