巻号一覧
9 巻, 1 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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久保 隆一, 調 賢哉1963 年 9 巻 1 号 p. 1-13
発行日: 1963/02/28
公開日: 2013/05/10
ジャーナル フリーDer Ductus thoracicus kann bei der radikalen Neck-Dissektion auf der linken Seite oft verletzt werden. Da die Behandlung der dadurch entstandenen Chylus-Geschwulst oder Chylus-Fistel sehr lastig ist und diese Geschwulst oder Fistel unter Umständen einen tödlichen Ausgang nehmen kann, muss man der Verletzung des Duktus vorbeugen. Als Behandlung der Chylus-Geschwulst ziehen die Verfasser die kcnservative Methode (Tamponade oder Punktion und Drücken) der Unterbindung der verletzten Stelle vor. Um solche Kcmplikationen zu verhüten, soll man unter deutlicher Sicht des Duktus operieren, indem man den Patienten fettreiche Kost(25g Bu tter, 250 cc Milch und 2 Hühnereier)6 Stunden vor der Operation verabreicht. Dadurch schwillt der Duktus an und man kann den milchig weissen Duktus im Operationsfeld leicht wahrnehmen.
Da der Duktus zwischen der A. carotis communis und der Fascia praevertebralis in die Supraklavikulargrube eintritt, ist es ratsam den Duktus in der Hohe der Krummung der A. cervicalis superficialis zu suchen. Kann man den Duktus an dieser Stelle nicht finden, so soil man ihn etwas kaudal suchen.
Auf Grund eigener klinischer Erfahrungen bei 34 Fällen beschreiben die Verfasser die Lage und Gestalt des Duktus im Operationsfeld. Schliesslich lenken die Verfasser die Aufmerksamkeit darauf, dass das den Chylus enthaltende Lymphgefäss sich auch im rechten Halsteil in verhältnismässig grosser Häufigkeit befinden kann. Deshalb muss man sich bei der Operation der rechten Halsseite auch vor Verletzung dieses Lymphgefässes huten.抄録全体を表示PDF形式でダウンロード (13355K) -
森本 正紀, 佐藤 隆三1963 年 9 巻 1 号 p. 14-19
発行日: 1963/02/28
公開日: 2013/05/10
ジャーナル フリーPDF形式でダウンロード (1015K) -
河田 政一, 武田 秀隆, 早田 武, 安田 宏一1963 年 9 巻 1 号 p. 20-33
発行日: 1963/02/28
公開日: 2013/05/10
ジャーナル フリーNerve deafness is assumed to accompany more or less disturbance of metabolism in sensory tissue of inner ear, and dispensation of ferments ought to be useful to promote it in the treatment. The present writers injected 80 cases with the mixture of V. B1 (50mg/day) and V. B6 (20mg/day) every day for 15 to 90 days, and compared the results of audiometry before and after the treat-ment. The insufflation was applied at thh same time.
The effect was measured at low frequency and high frequency on 146 ears.
The total ratio of efficacy was 50. 7% (74 ears). Concerning tinitis and vertigo, the ratio was 46.3% (38 ears) and 76. 5% (13 ears) respectively.
The relationship between the duration of disease and the efficiency of treatment was as fol-lows:
On cases of deafness, the efficacy ratio was 54. 1% when treated within 1 year of the beginning of disease, and 32. 4% within 1 to 5 years. More than half of the improved ears were within 1 year, and after 5 years of duration of disease the efficacy ratio was as small as 13. 5%. On cases of tinitis and vertigo, the ratio was 66. 8% and 75% respectively within 1 year of the beginning of disease, almost no effect was proved on the cases after 5 years of duration, which fact may be accounted for by a little restorability of ganglion cells. Regarding the relation of diagnostics and the efficiency of treatment, more efficacy was achieved in cases of sudden deafness, Meniere's disease and some of unaccountable nerve deafness, when they begrn to be treated comparatively early. More than half of the improved ears showed improvement at low frequency, which fact may be said to suggest the susceptibility of cochlear turns of inner ear.抄録全体を表示PDF形式でダウンロード (1459K) -
石沢 博子1963 年 9 巻 1 号 p. 34-40
発行日: 1963/02/28
公開日: 2013/05/10
ジャーナル フリーThe author studied the possible causes of deafness from anamneses taken from families of patients and made a statistical survey of 459 cases of deaf-mutism and nerve-deafness in children under ten years of age who consulted our clinic during the five years from 1957 to 1961.
266 cases were congenitally deaf; 188 were children with acquired deafness, and 5 cases were deafness of undetermined etiology.
There were 50 cases of hereditary deafness ; these had a history of either deaf-mutism or severe deafness in relatives. 60 cases of the consanguineous marriage were found among congenitally deafness.
3 cases were secondary to diseases of the mother during pregnancy ; one of these was due to maternal rubella. 43 cases were due to abnormalities of parturition. The largest group of patients had acquired deafness which was attributed to hyperpyrexia. The majority of these were secondary to measles and pneumonia ; Streptomycin overdosage and cranio-cerebral injuries followed in importance.
The cause of deafness was undetermined in 236 cases (51.4% of the total).抄録全体を表示PDF形式でダウンロード (1014K) -
森満 保, 中島 恒彦, 山本 哲生, 山口 健太郎1963 年 9 巻 1 号 p. 41-44
発行日: 1963/02/28
公開日: 2013/05/10
ジャーナル フリーA woman, 24, complained of a rhythmical noise in the left ear which was audible to the examiner by inserting an otoscope in either ear.
The tinnitus originated from clonic spasm of the palatine and pharyngolaryngeal muscles. It has been much improved by tonsillectomy and psychosomatic therapy. Review of the literature reveals 43 similar cases during the last 10 years.抄録全体を表示PDF形式でダウンロード (499K) -
鳥山 寧二, 松崎 力1963 年 9 巻 1 号 p. 45-50
発行日: 1963/02/28
公開日: 2013/05/10
ジャーナル フリーA 12 year-old schoolgirl was admitted with the chief ccmplaint of a painless mass in the right submaxillary region of two years duration. Examination ruvealed a firm elastic mass which was movable and well-defined.
At surgery the tumor was removed and the submaxillary gland left intact. The specimen was encapsulated and measured 3×2. 5×2. 5or. in size. The microscopic appearance was typical of salivary gland mixed tumors and contained myxo-chcndrc-epithelial elements.抄録全体を表示PDF形式でダウンロード (965K) -
向野 興雄, 曽田 豊二, 松尾 和己, 松村 祐二郎, 高本 昭男, 西田 之昭, 周防屋 洋, 池田 雄祐, 城島 保1963 年 9 巻 1 号 p. 51-56
発行日: 1963/02/28
公開日: 2013/05/10
ジャーナル フリーThe authors evaluated 83 patients who have undergone laryngectomy and radical neck dissection. Many of the patients showed almost normal function of neck, shoulder and arms.
Since the sternocleidomastoid muscle was removed, there was, naturally, a resultant functio-nal impairment. In addition, there was impairment of trapezius function when the spinal accessory nerve was resected. There was also some functional disturbance in muscles innervated by the brachial plexus.
Clinical and electromyographical evaluation indicates that functional impairment following radical neck dissection results from the summation of many factors. These are: removal of muscle, nerve damage, differential of muscle power on opposite sides, imbalance between antagonistic muscles, local cicatrization and pain.抄録全体を表示PDF形式でダウンロード (665K) -
茂木 五郎1963 年 9 巻 1 号 p. 57-60
発行日: 1963/02/28
公開日: 2013/05/10
ジャーナル フリーA 49 year-old patient complained of feeling a foreign body in the pharynx and of pain in swallowing. X-ray examination revealed spondylitis deformans of the second and third cervical vertebrae. Removal of the bony spine relieved the dysphagia.抄録全体を表示PDF形式でダウンロード (650K) -
森満 保, 永淵 正昭1963 年 9 巻 1 号 p. 61-66
発行日: 1963/02/28
公開日: 2013/05/10
ジャーナル フリーCepharanthin was used, both by subcutaneous injection (10mg/day), and by intra-tym panicinfusion (0. 2mg, 0. 1cc/day), for a variety of otologic diseases, including acute exsudative otitismedia, chronic; otitis, media: with perforation and otorrhea, post-operative tympanoplasty, and eczema of the auricle.
It was effective for inhibition of secretion from the middle ear and for the relief of auricular pruritus.
It is, therefore, concluded that a combination of local and systemic therapy is superior to systemic therapy alone.抄録全体を表示PDF形式でダウンロード (663K)
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