巻号一覧
34 巻 (1983)
- 6 号 p. 409-
- 5 号 p. 359-
- 4 号 p. 297-
- 3 号 p. 225-
- 2 号 p. 67-
- 1 号 p. 1-
34 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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黒須 吉夫, 稲見 浩三1983 年 34 巻 5 号 p. 359-364
発行日: 1983/10/10
公開日: 2010/10/20
ジャーナル フリーThe sound airway management is always the prime concern during our field of Bronchoesophagological procedures. To date, various methods and devices have been contemplated to this end, yet the search for better measures continues. In this respect high frequency ventilation (HFV) techniques with various modifications which seems to offer a new form of ventilation that might solve some of our pertinent problems of dealing in these particular anatomical region. Despite the world-wide interrests regarding this technique (HFV), since Sjostrand first developed, its future prospectives are some what uncertain. By reviewing published data the merits and/or demerits of the technique as well as its unique characteristics are enumerated. Obviously, much remains to be solved before its safe and effective application as with any new method. This in mind, clinical applicability of HFV and its possible limitations are suggested.抄録全体を表示PDF形式でダウンロード (3244K) -
High Frequency Jet Ventilationを中心として平岡 仁志1983 年 34 巻 5 号 p. 365-373
発行日: 1983/10/10
公開日: 2010/10/20
ジャーナル フリーPulmonary gas exchange was investigated in normal anesthetised rabbits and dogs during high frequency jet ventilation (HFJV) and high frequency piston ventilation (HFPV) by measuring PaO2, PaCO2, tracheal pressure and minute ventilation (VE) by capacitance pneumograph (C. P). During HFJV (0.5-20 Hz) on rabbit, quadratic regression correlation was found between oscillatory frequency and PaO2 or PaCO2. The highest value of PaO2 and the lowest value of PaCO2 were found around the frequency of 4 to 8 Hz. The highest VE was also found on these particular frequencies. A hyperbolik regression correlation compatible with alveolar equation was found between VE and PaO2 or PaCO2.
Above data suggested that the blood gas value was determined by VE measured by C. P, not by oscillatory frequency. The largest VE was found between 4 to 8Hz. These particular frequencies may be associated with resonant frequency of the rabbit lung.
During HFJV on dog, linear correlation was found between oscillatory frequency and PaO2 or PaCO2. The value of PaO2 decreased and of PaCO2 increased in association with increment of frequency. Above data suggested that the response to HFJV was different between rabbit and dog.
During HFPV on rabbit, linear correlation was found between oscillatory frequency and PaO2 or PaCO2. The value of PaO2 increased and of PaCO2 decreased with increment of frequency. No clear correlation was found between VE and PaO2 or PaCO2 on HFPV.
In conclusion, gas exchange mechanism might be the same in HFJV and HFPV, since blood gas value was determined by VE on HFJV and by VT X f on HFPV.
Bulk flow and diffusion are main factors for gas exchange on low frequency, and augmented diffusion, circulating current (Disco lung) and bulk nondiffusive exchange mechanism may be important factors on high frequency ventilation.抄録全体を表示PDF形式でダウンロード (2913K) -
小関 洋男, 宮崎 三忠, 嶋田 耿子, 小松 健祐, 藤田 洋祐, 金子 敏郎, 佐藤 二郎, 三枝 陸朗, 飯島 一彦, 米沢 利英, ...1983 年 34 巻 5 号 p. 374-380
発行日: 1983/10/10
公開日: 2010/10/20
ジャーナル フリーMicrosurgery of the larynx using direct laryngoscope is becoming an increasingly popular technique in the field of otolaryngology. A variety of technique for anesthesia have been developed for this procedure. However, in spite of the proponents being satisfied with these techniques, all of them have some disadvantages.
High frequency jet ventilation (HFJV) has been used in recent years for respiratory fail ure and endolaryngeal surgery. In the present report, the authors describe the clinical experience of 14 patients who had laryngomicrosurgery under general anesthesia with intravenous agents using HFJV.
Three methods were employed for HFJV. One is the method using so-called Carden tube. After orotracheal intubation, HFJV was performed through the tip of the Carden tube into the trachea. In the second technique, metal catheter attached to the blade of the direct laryngoscope was used for HFJV. Percutaneous transtracheal method was employed for the third one, in which a 18 gauge intravenous catheter was used for HFJV percutaneo usly through the cricothyroid membrane. All of these three methods provided a good surgi cal field of vision. However, in the latter two methods described above, especially in the third method, PaCO2 had a tendency to rise during the surgical procedure. Severe subcutaneous emphysema was experienced in a case the second methcd was employed. Carden tube method, to be favorable technique for HFJV, because we did not have any complications during the procedure.抄録全体を表示PDF形式でダウンロード (2871K) -
高木 洋, 山崎 公世, 幸田 友子, 坂本 和久, 大石 光雄, 津谷 泰夫, 中島 重徳1983 年 34 巻 5 号 p. 381-386
発行日: 1983/10/10
公開日: 2010/10/20
ジャーナル フリーAlthough superiority of the flexible fiberoptic bronchoscopy in removal of foreign body from the child's bronchus is generally admitted, it is yet associated with difficulties of respiratory control as reported by various authors. We succeeded in removal of a foreign body from a child's bronchial tract using the high frequency jet ventilator.
The patient, 10 year-old boy, swallowed by mistake a piece of spare of pencil lead in his classroom around 1: 00 p.m. on December 10, 1981. He began to have dry cough immediatly after the accident, but it subsided in 30 minutes. That night, however, he complained of frontal chest pain, and the atelectasis of the left lung was shown on a chest X-ray film. The foreign body could be safely removed using a flexible fiberoptic bronchoscope in combination with the high frequency jet ventilator.
Usefulness of the high frequency jet ventilation is discussed on the base of this case.抄録全体を表示PDF形式でダウンロード (5393K) -
大越 俊夫, 内山 真理, 臼井 信郎1983 年 34 巻 5 号 p. 387-391
発行日: 1983/10/10
公開日: 2010/10/20
ジャーナル フリーRespiratory symptoms and pulmonary complications due to repeated aspiration of food and secertion retained in dilated esophagus are often observed in the patient with esophageal achalasia.
A 22-year-old woman with a two year history of stridor and dysphagia was reported. Chest radiography, esophageal radiography, flexible fiber esophagoscopy and pulmonaryfunction tests were performed, and the clinical diagnosis was achalasia of the esophagus.
Lateral chest radiograms revealed the trachea compressed and anteriorly displaced by enormously dilated esophagus.
The flow-volume loop showed the so-called large airway obstructive pattern with a decrease in the peak expiratory flow followed by a low plateau phase.
The trachea compressed and constricted by considerable distension of the esophagus may be accountable for the stridor seen in this patient.抄録全体を表示PDF形式でダウンロード (4592K) -
本田 哲朗, 大山 和一郎, 伊藤 真郎, 渡嘉敷 輝彦, 広川 剛夫, 高田 研太, 今野 董夫, 竹田 千里1983 年 34 巻 5 号 p. 392-398
発行日: 1983/10/10
公開日: 2010/10/20
ジャーナル フリーTwenty-three cases of hypopharyngeal cancer were operated and we had the following results.
1. Pharyngolaryngoesophagectomy and neck dissection are the fundamental surgical modality to the disease. It may be better to combine with preoperative irradiation and chemotherapy, for example, FAR therapy.
2. The indications of partial resection should not be expanded.
3. The microscopic observation of serial section of resected specimens showed that the thyroid gland and the tumor were separated only by the capsule. Even in the pyriform sinus type, at least the thyroid gland of affected side must be removed. In the postcricoid type, circular infiltration and extraluminal spread of tumor were often observed. Invasion into the thyroid gland was also seen in some cases, which indicates that the total thyroidectomy is necessary.
4. Pathologically positive lymph nodes were seen in 4 out of 13 cases that had no pal panle neck node prior to surgery. The neck dissection of affected side is necessary.
5. The prognosis of the hypopharyngeal cancer was greatly influenced by the cervical node metastasis. In pN0 group, only 2 cases died of the disease out of 14 cases . While in pN (+) group, only 4 out of 15 were alive with no evidence of tumor and 1 with lung metastasis.
6. It was difficult to control the disease who had more than 2 nodal metastases.抄録全体を表示PDF形式でダウンロード (4586K) -
粟田口 省吾1983 年 34 巻 5 号 p. 400-401
発行日: 1983/10/10
公開日: 2010/10/20
ジャーナル フリーPDF形式でダウンロード (529K)
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