巻号一覧
46 巻 (1995)
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46 巻, 6 号
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盛川 宏, 中之 坊学, 大前 由紀雄, 池田 真, 北原 哲, 井上 鐵三1995 年 46 巻 6 号 p. 447-451
発行日: 1995/12/10
公開日: 2010/10/20
ジャーナル フリーThe authors retrospectively reviewed 47 cases of acute epiglottitis in our department between 1978 and 1993.36 cases were males, and 11 cases females. Their ages ranged from 18 to 75 years old.
The symptoms were sore throat (85%), odynophagia (74%), dyspnea (30%), hoarseness (26%), and fever (64%). Lateral neck radiography showed swelling of the epiglottis in 24 out of 25 cases examined. All of the cases received intravenous antibiotics, steroids were given to 34 cases with severe swelling of the epiglottis. Tracheotomy was peformed in 4 cases, and a tracheal intubation in one case. None of these cases resulted in death.抄録全体を表示PDF形式でダウンロード (2201K) -
井上 斉, 山口 宏也, 半井 英夫, 蔭原 聞天, 廣瀬 肇1995 年 46 巻 6 号 p. 452-457
発行日: 1995/12/10
公開日: 2010/10/20
ジャーナル フリーIn the U.S. and Europe, reflux esophagitis has been considered to be an important cause of laryngeal disease based on the assumption that the reflux of stomach contents either directly or indirectly leads to an inflammation of larynx or vocal cord nodules. In the present study, esophagoscopy was performed on 20 patients who complained of abnormal sensation in the laryngopharyngeal region and who were found to have a pooling of saliva in the piriform sinus and redness of the arytenoid region or the vocal cords under indirect laryngoscopy. Evidence of esophageal inflammation was observed in half (10 cases) of the patients. All of the 20 cases were given advice on their life-style and were treated with a proton pump inhibitor. Improvements were obtained in 9 of the 10 cases esophagoscopically, and in 16 out of the 20 cases in terms of subjective symptoms. It was suggested that esophagoscopy shoud be performed for the purpose of a differential diagnosis for those patients who complain of an abnormal sensation in the laryngopharyngeal region and show positive findings in the hypopharynx or larynx, in consideration of the possibility of reflux esophagitis.抄録全体を表示PDF形式でダウンロード (3279K) -
システムの開発藤本 保志, 長谷川 泰久, 松浦 秀博, 中山 敏, 柳田 則之1995 年 46 巻 6 号 p. 458-463
発行日: 1995/12/10
公開日: 2010/10/20
ジャーナル フリーThis report describes a new system for analyzing videofluorography images using a personal computer. The benefits of this system, over other computerized systems, include cost efficiency and minimal preparation time. Recent application of computer-assisted analysis of videofluorographic tapes of swallowing have enhanced the objective measurement of the distance, as well as the timing, characteristics of swallowing. A detailed analysis of the movement of the hyoid bone, which requires full-motion video images, was also produced.
Using a personal computer, the video image is fed into the computer at a speed of 30 frames per second. We can use all of the flames as picture images every 1/30 of a second, and the precise movement of the hyoid bone can be examined. Quantitative studies were performed to analyze the movement of the hyoid bone in swallowing in 9 patients before and after operations for head and neck tumors. The movement of the hyoid bone was found to be significantly decreased after the surgical procedures.抄録全体を表示PDF形式でダウンロード (869K) -
Noboru Tamaki, Kazuhiko Hanashiro, Shigeru Saitoh, Mariko Nakamura, Ta ...1995 年 46 巻 6 号 p. 464-475
発行日: 1995/12/10
公開日: 2010/10/20
ジャーナル フリーIn this study, the airway responses of sensitized rats after antigen exposure were evaluated under nonanesthetized conditions. Prior to measuring the respiratory resistance and evaluating the airway responses, the effect of anesthetics on the increase in respiratory resistance induced by acetylcholine, the responsiveness of tracheal strips derived from sensitized rats towards antigen (DNBS-As), the time required for the nebulization of DNBS-As and changes in the antigenicity of the antigen during nebulization were examined. In addition, based on the results obtained, the conditions for measuring the respiratory resistance of rats were decided as follows: some anesthetics inhibited an increase in the respiratory resistance of rats, and therefore the respiratory resistance of rats should be measured under nonanesthetized conditions. The nebulization time for DNBS-As was set at 5 min, and the concentration of DNBS-As set at 1 mg/ml. Next, in order to evaluate airway responses, the respiratory resistance of sensitized rats under nonanesthetized conditions was measured with an Animal Asto TMC-2000 under the above conditions. The appearance rate for early phase responses 16-30 days after sensitization was higher than that 8-15 days after sensitization. On the other hand, the appearance rate for late phase responses 8-15 days after sensitization was higher than that 16-30 days after sensitization. Based on these results, it can be suggested that the late phase response appears more easily when the level of IgE antibody in the circulating blood is high.抄録全体を表示PDF形式でダウンロード (3631K) -
向後 俊昭, 村上 由加里, 竹田 幸代, 丸山 和男, 飛田 正俊, 岡部 俊成, 城田 和彦, 細部 千晴, 稲葉 八興, 高瀬 真人, ...1995 年 46 巻 6 号 p. 476-484
発行日: 1995/12/10
公開日: 2010/10/20
ジャーナル フリーUsing AlaSTAT, a screening test was performed on 138 patients with bronchial asthma, mostly children, for various allergens (16 items). The relative rates of positive reaction to specific IgE antibodies were Dermatophagoides farinae > house dust 2 > cat epithelium > Japanese cedar > egg white > fungus. When AIaSTAT and MAST values were compared with skin test results (12 items), AlaSTAT and MAST were superior with respect to sensitivity and specificity, respectively. The mean number of positive allergens was 5.47 for AlaSTAT and 2.32 for MAST. Of 115 samples, 20 tested negative for allergens with MAST, while the corresponding number was 5 with AlaSTAT. These results indicate that AlaSTAT should be the primary clinical screening test.抄録全体を表示PDF形式でダウンロード (1494K) -
小川 晴子, 白戸 弘道, 藤井 恵子, 伊藤 八次, 鈴木 智雄, 宮田 英雄1995 年 46 巻 6 号 p. 485-488
発行日: 1995/12/10
公開日: 2010/10/20
ジャーナル フリーThere has been no report of the progress of a localized amyloidosis of the larynx in Japan. We report on a 54-year old female with laryngeal amyloidosis who had a relapse and developed another lesion seven years after her initial treatment. At first, she had localized amyloidosis, complaining dyspnea and hoarsness, and received a laryngofissure. Seven years later, she complained of a sense of discomfort. The relapse in the larynx was discovered and lesions in the nasopharymc, epiglottis, arytenoid and trachea were discovered with amyloid deposits. We performed a tracheotomy and removed the tumor, after which the subjective symptoms disappeared. Systemic amyloidosis and multiple myeloma were excluded by serum and urine protein electrophoresis, electrocardiogram and bone marrow biopsy. A long-term follow-up is required, because the disease can recur up to several years after the initial treatment.抄録全体を表示PDF形式でダウンロード (4172K) -
沢田石 勝, 鈴木 修一郎, 松村 奈緒美, 増山 喜一, 山崎 国男, 坂本 隆, 藤巻 雅夫, 石沢 伸, 小泉 富美朝1995 年 46 巻 6 号 p. 489-494
発行日: 1995/12/10
公開日: 2010/10/20
ジャーナル フリーA 64-year-old male was admitted to our hospital because a piece of meat had become stuck in his esophago-cardiac junction (ECJ). We removed the piece of meat in the ECJ using endoscopy. A subsequent endoscopy revealed a superficially-spreading early esophageal carcinoma in the lower part of the esophagus and an esophagitis-like lesion in the intrathoracic middle esophagus. Right thoracotomy and esophagectomy were carried out. The two chief lesions were a superficially-spreading early esophageal carcinoma in the lower esophagus, and a similar tumor occupying an area extending from the upper to the middle esophagus. Histopathologically, the squamous cell carcinoma of the lower esophagus was of the total layer type, but the tumor in the middle esophagus was of the basal layer type. The histological difference in the tumor proliferation between the two lesions may be associated with the exfoliation of the intraepithelial carcinoma in the former case, and natural proliferation in the latter. The exfoliation of the intraepithelial carcinoma was thought to have been induced by the endoscopic removal of the meat lump. Furthermore, six solitary neoplastic lesions were noted independently. Histological findings in the present case support the concept of a“field carcinogenesis”and/or“lateral involvement”of esophageal carcinoma.抄録全体を表示PDF形式でダウンロード (7457K) -
金子 賢一, 北村 溥之, 宮田 耕志, 安里 亮, 平野 滋1995 年 46 巻 6 号 p. 495-498
発行日: 1995/12/10
公開日: 2010/10/20
ジャーナル フリーA rare case of pleomorphic adenoma of the cervical esophagus is reported. A 65-year-old woman visited our hospital complaining of something sticking in her throat. An upper gastrointestinal series and the endoscopic examination showed a pedunculated mass lesion of the cervical esophagus. It was removed surgically and a histological examination revealed a pleomorphic adenoma.抄録全体を表示PDF形式でダウンロード (4045K) -
渡辺 尚彦, 久木田 尚仁, 鈴木 吾登武, 金子 達1995 年 46 巻 6 号 p. 499-504
発行日: 1995/12/10
公開日: 2010/10/20
ジャーナル フリーThree cases of severe dyspnea following tracheotomy for subglottic and tracheal lesions. Case 1 was a 46-year-old woman with relapsing polychondritis and narrow trachea; Case 2 was a 74-year-old man with a malignant thyroid lymphoma and bronchial asthma; Case 3 was a 42-year-old man with bronchial adenocarcinoma. These cases had their main problem in the lower bronchus. In a pre-operative blood-gas analysis, no hypercapnia were observed.
In these cases, the peripheral bronchi were filled with a mucous secretion, and the mucosa of the bronchus showed swelling due to long term hypoxemia. Following tracheotomy, dry and unheated air came entered the bronchus, resulting in the collapsed peripheral bronchi and the dysfunction in respiration. Thus, these 3 cases developed severe dyspnea at the time of tracheotomy, and 2 of them died in a very short time.
Very important function of the upper respiratory system is humidifying and warming the air of inhaling air. This function normalize cilia movement and cycle of mucous gland in the peripheral bronchus. We speculated that severe dyspnea in these cases were occurred by defect of the function in the upper respiratory system, and inability of ventilation in the peripheral bronchi. Necessity of an autonomic respiratory system should be considered, when tracheotomy is performed in such cases, because main problem exist in lower respiratory system.抄録全体を表示PDF形式でダウンロード (4937K) -
渡邊 雄介, 瀬尾 律, 仙波 治, 牟田 弘1995 年 46 巻 6 号 p. 505-508
発行日: 1995/12/10
公開日: 2010/10/20
ジャーナル フリーWe treated 30 patients who had inflammatory laryngeal changes secondary to gastroesophageal reflux disease (GERD) using a proton pump inhibitor (PPI). All patients had laryngeal lesions typical of those seen in GERD (i. e., posterior laryngitis, laryngeal edema, etc.). For treatment, we chose patients who had abnormal sensations in the throat. After this treatment, two-thirds of the patients were completely improved, indicating that PPI can be a major treatment for patients with abnormal sensations in the throat.抄録全体を表示PDF形式でダウンロード (1933K)
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