巻号一覧
40 巻, 1 号
選択された号の論文の11件中1～11を表示しています
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HMEによる呼吸生理学的変化宇野 功, 柴田 伊十児, 牧本 一男, 高橋 宏明1989 年 40 巻 1 号 p. 1-8
発行日: 1989/02/10
公開日: 2010/02/22
ジャーナル フリーThe authors report the effects of humidifying function of the nose on respiration. Several parameters of respiration, that is, tidal volume, respiration time and closing volume were measured in 4 subjects with two conditions of mouth breathing. Nasal occlution was made by cotton packing in the anterior nares. The conditions were; 1) respiration in ambient air (dry air), 2) respiration of humidified air through Heat Moisture Exchanger (airway resistance about 3cm/l/sec).
The results were as follows: 1) tidal volume was greater in subjects breathing dry air than those breathing humidified air, 2) a balance of inspiratory volume and expiratory volume was greater in subjects breathing dry air than those breathing humidified air, 3) tidal volume in the course of time increased in subjects breathing dry air (these three results were significant in statistical analysis) and 4) an increase in closing volume in the course of time was noted in 3 subjects breathing dry air.
These results suggest that a humidifying function of the nose prevents the lower airway from desiccation which causes a condensation of mucus resulting in early airway closure, and in addition the resistance of Heat Moisture Exchanger would influence the respiration favorably.
Studies on the nasopulmonary relationship will be necessary on these points.抄録全体を表示PDF形式でダウンロード (2240K) -
渋沢 三伸, 辺土名 仁, 矢野 一彦, 市川 容子, 河野 辰幸, 吉野 邦英1989 年 40 巻 1 号 p. 9-15
発行日: 1989/02/10
公開日: 2010/02/22
ジャーナル フリーThe pressure changes in the pharyngoesophageal segment (PE) during swallowing showed more complicated patterns than in other part of the upper digestive tract. The wave form in PE showed a characteristic pattern, which was consisted of mainly two segments. One was a negative pressure wave, and the other was a positive pressure wave, which was preceeded by the former. The latter corresponds to so-called peristaltic wave caused by the contraction of the muscles in PE. The former indicates the relaxation of PE during swallowing, but its cause could not be explained only by the relaxation of the muscles in PE, because the manometric relaxation time was longer than the electromyographic one.
This study was performed in five adult volunteers to define the genesis of the negative pressure waves in PE during swallowing. The conduction speed of the peristaltic waves was also measured.
Intraluminal pressures were measured with intracorporeal pressure recording type microtransducers. Electromyograms of cricopharyngeus muscles were recorded simultaneously with the pressure waves using bipolar needle electrodes.
The mean relaxation time of PE was 570±290msec, which was measured from pressure waves. On the other hand, that of cricopharyngeus muscles was 490±90msec. The former was statistically longer than the latter.
The pressure in PE began to drop before cricopharyngeus muscle stopped the electromyographical discharge. So it was concluded that laryngeal elevation was also important for the genesis of the negative pressure waves.
The conduction speed of peristaltic waves in the pharynx, PE and cervical esophagus was almost 10cm/sec, 5cm/sec and 3cm/sec respectively.抄録全体を表示PDF形式でダウンロード (2718K) -
-当教室における105例の臨床統計-川崎 順久, 福田 宏之, 川井田 政弘, 大木 和明, 紀太 康一, 塩谷 彰浩, 斎藤 成司1989 年 40 巻 1 号 p. 16-23
発行日: 1989/02/10
公開日: 2010/02/22
ジャーナル フリーNon-specific granuloma of the larynx is relatively rare, and its pathogenesis has not been clarified yet.
Some authors reported that the laryngeal granuloma might be caused by inflammatory change in the posterior wall of the larynx, which often happens after excessive vocal use, cough, throat cleaning, or tracheal intubation.
In our clinic, we had treated 105 cases of the granuloma from April, 1965 to December, 1986. On those 105 cases, a statistical study has been carried out to clarify the pathogenesis and to obtain the recurrence rate.
Seventy six cases were male and average age was 48.39±13.00. Twenty-nine cases were female and average age was 39.34±15.64. The most frequent complaint was hoarse voice, observed in 79 cases. In male cases, non-specific granuloma was 85.5% (65 of 76 cases). On the other hand, in female, it was 51.7% (15 of 29 cases). And the difference between male and female was statistically significant. In female, intubation granuloma was 48.3% (14 of 29 cases), and in male, 11.8% (9 of 76 cases). This difference was statistically significant.
Seventy nine cases have been surgically treated, and 15 cases have been treated with CO2 laser. No apparent difference among different types of therapeutic methods in recurrence rate was statistically observed. Non-specific granuloma tends to recur more frequently than intubation granuloma does. The recurrence rate of the former was 51.7% and the later 21.4%.抄録全体を表示PDF形式でダウンロード (1135K) -
発声の開始時・終了時の動態ならびに発声の反復や嚥下との関連について川井田 政弘, 福田 宏之, 加納 滋, 大木 和明, 紀太 康一, 川崎 順久, 斎藤 成司, 都築 達, 藤岡 正1989 年 40 巻 1 号 p. 24-30
発行日: 1989/02/10
公開日: 2010/02/22
ジャーナル フリーExperiments using the excised canine larynges and experimental air tract fluid were conducted to clarify the dynamic movement of the air tract fluid to lubricate the larynx at the start and end of the phonation. And clinical observations by use of laryngostrobovideography were also conducted to investigate the correlation between the dynamic movement of the air tract fluid and repeated phonation or swallowing.
From the results obtained, it is revealed that the air tract fluid from the subglottis comes up on the glottis at the moment of the onset of phonation. The fluid from the subglottis is then mixed with the fluid on the glottis. The mixed fluid forms a rotating fluid column on the upper surface of vocal folds laterally. At the end of the phonation, the column decomposes and mostly flows backward to the subglottis, lubricating the whole vocal folds. And the amount of the air tract fluid on the glottis increases with repeated phonation ; the excessive air tract fluid on the glottis is excreted into the esophagus by swallowing.抄録全体を表示PDF形式でダウンロード (9662K) -
森 一功, 児嶋 久剛, 山本 悦生1989 年 40 巻 1 号 p. 31-34
発行日: 1989/02/10
公開日: 2010/02/22
ジャーナル フリーSimultaneous measurements of air flow at vocal initiation were performed in patients with laryngeal benign lesions before and after microlaryngeal surgery. The preoperative air flow rate curves showed a sharp rise with a marked overshoot more frequently in patients with vocal fold polyps, polypoid vocal folds and polyps from false vocal folds than those of normal patients. These overshoots disappeared in most cases after microlaryngeal surgery. In the air flow rate curve, the air flow rate was higher in cases with overshoot than those without overshoot.
From these results it appeared that evaluation of the overshoot at vocal initiation in the air flow curve could be one of the phonatory function tests.抄録全体を表示PDF形式でダウンロード (526K) -
河田 了, 久 育男, 豊田 健司, 安田 範夫, 橘 正芳, 水越 治1989 年 40 巻 1 号 p. 35-40
発行日: 1989/02/10
公開日: 2010/02/22
ジャーナル フリーA clinical study was performed on 108 patients with glottic cancer of the larynx treated at the Department of Otolaryngology, Kyoto Prefectural University of Medicine, during the 10 years from 1970 to 1985. According to the TNM classification of malignant tumors proposed by the UICC (1978), 41 cases were classified into Stage I, 19 into Stage II, 44 into Stage III and 8 into Stage IV. Most cases of Stage I carcinoma can be cured by radiation alone. In the treatment of Stage II carcinoma, the five-year survival rate achieved with surgery alone, radiation alone or combined therapy was approximately the same. Total laryngectomy with or without neck dissection was the treatment of chaise for Stage III cancer and postoperative irradiation occasionally performed. Although Stage IV glottic carcinoma was mainly treated with both surgery and irradiation, the five-year survival was miserable.抄録全体を表示PDF形式でダウンロード (706K) -
教室開講以来14年間における原田 宏一, 長沼 英明, 屋宜 晃, 古川 浩三, 設楽 哲也, 新美 成二1989 年 40 巻 1 号 p. 41-48
発行日: 1989/02/10
公開日: 2010/02/22
ジャーナル フリーEndoscopic examination was performed on 192 children over a 14-year period, excluding the cases with tracheobronchial or esophageal foreign body and endolaryngeal-microsurgery. The subjects were divided into 2 groups; one for congenital diseases and the other for acquired diseases. The congenital disease group (total 86 cases) consisted mainly of subjects with laryngomalacia (34 cases). The acquired disease group (106 cases) was subdivided into inflammatory and non-inflammatory group. Fourteen cases with acute laryngitis were classified as primary inflammatory disease, whereas 19 cases involving laryngeal stenosis after intubation were classified as primary non-inflammatory disease. In terms of relationship to age, most of cases with congenital disease were examined before three months of age, whereas no specific relationship between the type of disease and age was found in the acquired disease group. Concerning endoscopic technique, direct laryngoscopy under local anesthesia was conducted mostly for cases of children younger than 1 year in the cogenital disease group. For infants and school children, who had been co-operative enough to have examination, fiberoptic endoscopy was found to be very useful.抄録全体を表示PDF形式でダウンロード (1065K) -
渡辺 好明, 武市 政之1989 年 40 巻 1 号 p. 49-54
発行日: 1989/02/10
公開日: 2010/02/22
ジャーナル フリーTo study the mucociliary transport system in patients with pneumonia saccharin test was performed. Sixty percent of patients with abnormality of saccharin test both at admission and recovery and with abnormality of mucociliary transport system required over 2 weeks to recover from pneumonia. This rate in these patients was significantly high in comparison with that (14%) in the other patients (P<0.05).
By multiple regression analysis the result of saccharin test was found to be the most significant factor among other factors such as age, underlying respiratory diseases, history of smoking, and CRP.抄録全体を表示PDF形式でダウンロード (786K) -
大塚 健蔵, 金高 真人, 山口 道也, 堀江 孝至, 岡安 大仁, 小山 英明1989 年 40 巻 1 号 p. 55-60
発行日: 1989/02/10
公開日: 2010/02/22
ジャーナル フリーCoexistence of chronic sinusitis and chronic inflammatory lesions on the bronchi has long been recognized and the term of sinobronchial syndrome (SBS) has been used.
However, it has not been clear whether chronic sinusitis precedes to the development of bronchial diseases. In the present study, detailed pulmonary function tests were performed subjecting 28 cases of chronic sinusitis without any smoking history. In all patients, lung volumes, forced expiratory volume in one second, diffusing capacity, respiratory resistance and blood gas analysis were within normal ranges.
About 10% of patients revealed the peripheral airway dysfunction indicated by the results of flow volume curves with air and HeO2 closing volume, frequency dependence of dynamic compliance and upstream resistance. Airway responsiveness to inhaled methacholine was also examined by means of Astograph and seven patients revealed hyperresponsiveness. Statistical analysis indicated that the degree of the peripheral airway dysfunction tended to associate with the degree of airway hyperresponsiveness.
These results may indicate that chronic sinusitis is not the preceding pathological condition for the development of inflammatory lesions in bronchi and that airway hyperresponsiveness may play an important role to produce the bronchial diseases in patients of SBS.抄録全体を表示PDF形式でダウンロード (933K) -
稲光 まゆみ, 中島 格, 上村 卓也, 吉田 義一1989 年 40 巻 1 号 p. 61-66
発行日: 1989/02/10
公開日: 2010/02/22
ジャーナル フリーA 28-year-old woman was admitted to our hospital complaining of hoarseness, low grade fever, and mild dyspnea. On direct laryngeal fiberscopy, her left vocal cord was tumorous, and both vocal cord movements were limited. The biopsy specimens of the larynx were initially diagnosed as polymorphic reticulosis.
Despite the oral prednisolone and radiation therapy to the larynx, she died two months after the admission. Autopsy revealed atypical lymphoid cell invasion not only in the larynx but also in other organs, including cervical lymph nodes, pharynx, tongue, and lungs.
Autopsy specimens were examined immunohistochemically using monoclonal antibodies. Majority of the abnormal lymphocytes were stained by T cell marker (UCHL-1), but very few cells were stained by B cell marker (MK-PAN B).
From these results, the present case was diagnosed as a peripheral type T cell lymphoma.抄録全体を表示PDF形式でダウンロード (5787K) -
松永 喬1989 年 40 巻 1 号 p. 68-69
発行日: 1989/02/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (314K)
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