巻号一覧
38 巻 (1987)
- 6 号 p. 471-
- 5 号 p. 409-
- 4 号 p. 343-
- 3 号 p. 279-
- 2 号 p. 87-
- 1 号 p. 1-
38 巻, 5 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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甲藤 洋一, 丘村 煕, 柳原 尚明1987 年 38 巻 5 号 p. 409-414
発行日: 1987/10/10
公開日: 2010/02/22
ジャーナル フリーStereographic structures of nerve endings in the human posterior cricoarytenoid muscle were clearly demonstrated by means of the silver impregnation method developed by Barker under a light microscope. Three types of motor nerve endings (en plaque, en ligne and en grappe) and their transitional forms were found. Moreover, multimotor end-plates on the single muscle fiber were discovered. Accessory end-plates which were assumed to be autonomic fibers also existed. Three types of sensory nerve endings (i. e., simple terminal loops, spiral nerve endings and flowerlike endings) were identified on the surface of a muscle fiber. It is concluded that the nerve ending in the human posterior cricoarytenoid muscle is multi-modal.抄録全体を表示PDF形式でダウンロード (4720K) -
河野 辰幸, 吉野 邦英, 滝口 透, 山崎 繁, 下重 勝雄, 遠藤 光夫, 渋沢 三伸, 西嶌 渡, 辺土名 仁, 長谷川 誠, 竹生田 ...1987 年 38 巻 5 号 p. 415-421
発行日: 1987/10/10
公開日: 2010/02/22
ジャーナル フリーManometric studies were carried out for thirteen cases of pharyngoesophageal reconstruction with free transplantation of jejunal segments in order to evaluate intermittent dysphagia during the early postoperative period. The following results were obtained.
1. Dysphagia was observed when transplanted jejunum made spontaneous continuous contractions, and it disappeared after the contractions were subsided.
2. Continuous waves were observed for 13.0% of the testing period with the duration of 3.6±3.5 minutes. The average value of the maximum pressure for the continuous waves were 109.7±72.5cm H2O. The average rate of the wave was 10.9±1.8 times per minute in interdigestive period.
3. The shorter the postoperative period was, the shorter the duration of continuous waves was in operated cases.
4. The continuous jejunal waves after swallowing were observed more frequently for the cases whose postoperative periods were within two months than for other cases. The waves were thought to be a disadvantage for oral intake.
5. Almost all of the continuous jejunai waves after 5 months of postoperative periods were similar to normal interdigestive jejunal strong contractions (interdigestive myo-electric complex; IMEC).
From these results and the facts that interdigestive myo-electric complex (IMEC) is not triggered by swallowing and that they disappear immediately after feeding, it is suggested that dysphagia or nasal regurgitation observed in the early postoperative period for the cases of free jejunal transplantation is related to irregular jejunal movements which is different from normal IMEC.抄録全体を表示PDF形式でダウンロード (1056K) -
太田 久彦1987 年 38 巻 5 号 p. 422-433
発行日: 1987/10/10
公開日: 2010/02/22
ジャーナル フリーThe Phenomenon of exercise-induced asthma (EIA) is commonly observed among the patients with bronchial asthma. Respiratory heat loss (RHL) or respiratory water loss (RWL) is thought to be an initial stimulus responsible for provoking EIA. In order to determine whether dynamic changes in RHL and RWL during exercise have any relation to EIA, nomal controls, EIA(+) asthmatics and EIA(-) asthmatics were examined by an exercise test under exposure to cold atmosphere (5-6°C). The following parameters were measured continuously; convective heat loss (CHL), RWL, evapolative heat loss (EHL), water concentration of expired air, and RHL. Elevation of CHL, EHL, RWL and RHL were observed during exercise. The values of RWL, EHL and RHL were significantly higher in EIA(+) patients than in nomal subjects during exercise. Water concentration of expired air was higher in asthmatics during both rest and exercise. Therefore it was concluded that water loss was greater in EIA(+) asthmatics than in nomal subjects. Since water which is lost from the airway is supplied by the bronchial circulation, it could be assumed that bronchial artery blood flow were greater in EIA(+) asthmatics.抄録全体を表示PDF形式でダウンロード (1597K) -
舌咽・迷走神経障害を中心に室井 昌彦, 亀井 民雄, 安岡 義人, 石井 英男, 渡辺 健二1987 年 38 巻 5 号 p. 434-440
発行日: 1987/10/10
公開日: 2010/02/22
ジャーナル フリーIn our clinic, we have experienced 7 cases of the cephalic herpes zoster with the involvement of the lower cranial nerves, especially ninth and/or tenth, for the last three years. The specific natures of the oral herpes involving the glossopharyngeal and vagal areas are discussed. In addition, the reported cases of this disease with laryngeal palsy are described.抄録全体を表示PDF形式でダウンロード (922K) -
八木 昌人, 宮田 守, 平出 文久, 森田 守1987 年 38 巻 5 号 p. 441-446
発行日: 1987/10/10
公開日: 2010/02/22
ジャーナル フリーA recurrent case of Forestier's disease in a 65-year-old female is reported. The patient complained of dyspnea and dysphagia at the age of 58 years. She was diagnosed as Forestier's disease after the X-ray examination of the spine. The cervical roentgenogram revealed bony proliferation of anterior margin from C3 to C6 and ossification of posterior longitudinal ligament from the level of C6 to C7 It was considered that the symptoms was caused by stenosis of the pharynx and cervical esophagus due to the pressure by bony proliferation.
The symptoms were diminished by resection of the bony proliferation. Three years after, however, the symptoms recurred and the cervical roentgenogram showed bony proliferation from C3 to C6. Re-resection was performed 7 years after the first resection and the symptoms were lessened, again.
Literatures on the pathogenesis, diagnosis and treatments for Forestier's disease were reviewd. In this review we found many reports about dysphagia due to Forestier's disease but a few about dyspnea. More over in the surveyed literatures, there was no case report in which re-resection of bony proliferation was performed for a treatment of Forestier's disease.抄録全体を表示PDF形式でダウンロード (4232K) -
夜陣 紘治, 小村 良, 菅田 吉範, 原田 康夫, 平良 達三, 黒川 道徳1987 年 38 巻 5 号 p. 447-451
発行日: 1987/10/10
公開日: 2010/02/22
ジャーナル フリーA case of idiopathic laryngeal web is reported and discussed. A 68-year-old male was admitted to our hospital with complaints of hoarseness and exertional dyspnea. Indirect laryngoscopic and fiberscopic examination revealed a wide, thick and scarlike circumferential structure in the glottic region. Since the cause of the webformation was not identified, this case was diagnosed as having a laryngeal web due to unknown etiology (idiopathic). Using the carbon dioxide laser, the web was vaporised and excised under operation microscope and a silicone plate was inserted between the vocal cords at the anterior commisure. Two weeks after the operation, the plate was removed. Exertional dyspnea completely disappeared postoperatively. It is to be emphasized that this is the first report of “an idiopathic laryngeal web” in Japan.抄録全体を表示PDF形式でダウンロード (3654K) -
越井 健司, 平林 秀樹, 宇野 浩平, 大垣 治幸, 秋山 欣治, 添田 弘, 日野原 正1987 年 38 巻 5 号 p. 452-456
発行日: 1987/10/10
公開日: 2010/02/22
ジャーナル フリーAlthough carcinoid tumor occurs most commonly in the gastrointestinal tract and lungs, they are very rare in the laryngeal region. After the first case reported by Goldman et al., in 1959, only 26 cases have been reported in the past literature. Among them 4 cases were reported in Japan. In this paper, we reported a case of carcinoid tumor in the supraglottis of a 55 year old man. Indirect laryngoscopy showed a bulge on the right false cord. Three lymph nodes of thumb size were palpable in the right upper part of the neck. Pathological exams of the biopsied specimens from both false cords showed a poorly differentiated squamous cell carcinoma. A right radical neck dissection and total laryngectomy were performed. Histological examinations of the removed specimen showed a malignant transformation of carcinoid tumor and lymph node metastasis. The patient died of liver metastasis 46 days after the operation. Carcinoids have been understood to have malignant characteristics, although they do not exhibit a typically agressive course. It has been reported that carcinoid tumor is not sensitive to irradiation, and therefore, wide surgical removal with neck dissection should be the primary treatment. Besides, pre- and post operative chemotherapy, radiotherapy, and other treatment should also be considered.抄録全体を表示PDF形式でダウンロード (3248K) -
自験例提示と文献的考察中山 尚樹, 村上 泰, 浦尾 弥須子, 藤村 昭子1987 年 38 巻 5 号 p. 457-462
発行日: 1987/10/10
公開日: 2010/02/22
ジャーナル フリーEsophageal perforation is associated with high morbidity and mortality because of high incidence of combined infection in the neck and mediastinum. It could occur at any level of the esophagus, but is most commonly seen at the cervical esophagus and the cardia.
The most common cause of cervical esophageal perforation is a damage to the wall by the instrumentation with esophagoscopy or esophageal dilation-bouginage.
We have experienced two cases of cervical esophageal perforation in the last ten years. In one case, it occurred during esophagoscopy, and in another case, during esophageal dilation-bouginage.
The key for the success in the management of esophageal perforation is an earlier detection and proper treatment. The most useful diagnostic tests are X-ray examinations of the neck and thorax, including fluoroscopy of the esophagus.
Cervical esophageal perforation should be surgically treated as soon as possible regardless of the cause. When an operation is performed promptly, and the tissue adjacent to the perforation appears normal, primary repair is possible.
This must be supplemented with antibiotics. If the primary repair is not possible a lateral esophagostomy is recommended in order to divert saliva.
From our experiences, it should be emphasized that the success in the management of cervical esophageal perforation depends on prompt diagnosis and earlier treatment.抄録全体を表示PDF形式でダウンロード (6984K) -
井上 鐵三1987 年 38 巻 5 号 p. 464-465
発行日: 1987/10/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (262K)
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