日本耳鼻咽喉科学会会報
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
61 巻, 8 号
選択された号の論文の14件中1~14を表示しています
  • 堀内 邦夫
    1958 年 61 巻 8 号 p. 1169-1173
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    The volume of water in the blood at the time of rapid decompression after the exposure to high pressure environment was studied using un-anesthetized dogs, and the effects of intravenous injection of a large amount of codium bicarbonate solution in high concentration before the pressure was applied were observed. The following result was obtained. (1) The water volume of the whole blood increased after the decompression and even one hour later, there was a tendency to increase. (2) The water volume of the serum increased significantly, particularly right after the decompression, and remained increased even one hour later. (3) In the instance where a solution of sodium bicarbonate in high concentration was injected before pressure was applied, no increase in the water volume of the whole blood was observed. The water volume in the serum increased slightly, which was not of significant difference. From the above experimental result, it was found that in case of rapid decompression after the exposure to high pressure, hydraemia follows. However, this can be prevented by the injection of sodium bicarbonate solution in high concentration before entering into the environment of high pressure.
  • 野木 敏之
    1958 年 61 巻 8 号 p. 1174-1183
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    The author made cytological study of the epithelial cells of the stria vascularis of a rabbit's inner ear with special reference to the form and distribution of the mitochondria. These studies have proved the existence of numerous mitochondria of various forms in the epithelial cells of the stria vascularis, in rabbits and the distribution of the mitochondria in each cell also varies a great deal. The author investigated those cells by classifying them from the view-point of their functions. Next, the author made a study of the change caused in the microstructure of the epithelial cells of the stria vascularis in the cases hypothalamus (the autonomous nerve center) was subje- cted to electric stimulation, and also in the case intravenous injections of adrenalin or pilocarpin was given.
  • 山中 泰輝
    1958 年 61 巻 8 号 p. 1183-1198
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    Giving compression and aspiration stimuli to the unilateral external meatus, the middle ear and the lateral semicircular canal of rabbits, labyrinthine tonic muscle responses were studied by inducing muscular potential from the surface muscle group (M. trapezius and M. splenius) and the deep muscle group (M. rectos capitis posterior minor et major and M. obliquus capitis superior) of the nape. The results obtained are as follows : I, By a minimal pressure to which a muscular response is available, clinically it develops the eye- and the head- deviation which is produced by only stimuli of the lateral semicircular canal. On electromyogram, the deep muscle group on the side of the non-stimulated ear shows increasing tonic muscle discharge by compressive stimuli, but shows the decrease by aspirative stimuli. The lateral semicircular canal shows more marked tonic muscle response than any other portions., That is, the compressive stimuli increase labyrinthine muscle tonus and facilitat laby- rinthine functions, while the aspirative stimuli decrease the former and inhibit the latter. 2. The tonic muscle responses shown by the EMG of the deep muscle group, appear earlier than ocular nystagmus does. When the nystagmus occcurs, electromyographical muscle responses are marked, but they become irregular being influenced by extra-labyrinthine factors. 3. The tonic muscle responses in the surface muscle group do not seem to be directry related with labyrinthine pressure stimuli, though a further study is required before the assumption is established, 4. The result of pressure stimuli supports the contralateral innervation theory of the musc- ular tonus of inner ear origin in the deep muscle group.
  • 沼田 信行
    1958 年 61 巻 8 号 p. 1199-1220
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    Un-anaesthetized healthy dogs and anaesthetized dogs with Isozol were exposed to momen- tary explosion and 125 phon pure tone at 500 cps, 2000 cps and 4000 cps for 15, 30, and 60 minu- tes. Blood samples were collected by modified Cava-pocket technique and plasma corticoids level (17 OH corticoids) was determined by Silber-porter and Kumagaya's method. The result were as follows: 1) Plasma corticoids level of the blood did not change by the administration of Isozol injection of sodium bicarbonate sollution or collection of blood samples being relatively constant. 2) Concentration of plasmacorticoids in un-anaesthetized healthy dogs exposed to acoustic stimuli in creased without exception, reaching to its maximum in 10 minutes after the stimulation. This reaction was most remarkable in the 60-minutes group, followed by 15-minutes group and then 30-minutes group. 3) The dogs who received the injection of sodium bicarbonate (7% solution 2cc/kg) prior to acoustic stimulation, the plasma corticoids level showed almost no change being very slightly in creased than normal. From the results of the experiments, the change of the plasma corticoids level by the expo- sure to acoustic stimulation, is considered to be due to through sympatheticotonic reaction. It is especially pointed out that the injection of sodium bicarbonate solution prevents such a change.
  • 中辻 清重
    1958 年 61 巻 8 号 p. 1221-1242
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    Un-anaesthetized healthy dogs and anaesthetized dogs with Isozol were exposed to momentary explosion and 125 phon pure tone at 500cps, 2000cps and 4000cps for 15, 30 and 60 minutes. Then blood samples were collected by modified Cava-Pocket technique and adrenalin level was deter- mined by Bloor's method. The result obtained were as follows: 1) Adrenalin level of the blood did not change in dogs treated by the injection of Isozol or sodium bicarbonate being relatively constant. 2) In un-anaesthetized healthy dogs exposed to acoustic stimuli, elevation of the adrenalin level was always observed without exception, reaching to its maximum in 10 minutes after the stimulation. 3) The dogs received the injection of sodium bicarbonate (7% solution, 2cc/kg) prior to the acoustic stimulation, the Adrenalin level of the blood showed almost no change being a little higher than normal. These observations suggest that the elevation of Adrenalin concentration after the exposure to acoustic stimuli is due to sympatheticotonic reaction. It is especially pointed out that the injection of sodium bicarbonate solution prevents such a change.
  • 第1篇 骨導子の吟味(特に発生気導音について) 第2篇 外耳道分割量と耳栓骨導について 第3篇 蝸牛電気反応による音の骨伝導に関する研究
    横地 建夫
    1958 年 61 巻 8 号 p. 1243-1279
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    A)Efficiency of bone conduction receivers was investigated. 2.When the bone conduction receiver was set to work, air conducted sound became loud in the middle tone and low in the high tone.Otherwise, the instrument satisfactory for the experi- ments.B)Studies were made on the relation of bone conductian threshold to changes in bone conduction sound of the external auditory canal when ear plugs were employed. 1.In normal subjects bone conduction of the external auditory canal showed a maximal peak at 800cps, while in cases of impairment of soundconduction there was a peak of rise or fall at 1000cps.In this methods employed it is believed that the seresults were greatly influenced by the tympanic membrane. 2.There was noted practically no relationship between changes in boneconducted sound due to use of ear plugs and conduction threshold.However a relation was noted in cases of high tones of over 3000cps and at parts of 800cps, depending on the site of the bone conduction receiver. C)Studies were made of cochlear response using guinea pigs for bone conduction sound during impairment of conduction apparatus. 1.In the zones corresponding to 200∼300cps there was especially a closerelation between bone conduction and the ossicular chain, while impairment of the chain produced great variations in the resgonse value.On the other hand, manipulation of the tympanic membran eproduced little effect on the response value. 2.No lineality of electronic cochlear response was seen in all cases.This is believed to be due to loudness of the sound entering and to the complexity of the vibratory system (lone tone route). 3.The distortion of the curve of cochlear response became greater when the tone was lower.
  • 神崎 龍
    1958 年 61 巻 8 号 p. 1280-1285
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    Anti-bacterial effect of various agents for pyocyaneus bacilli was evaluated by test tube and disc method. The bacilli used were obtained from the cases with post-surgical infections folio-- wing to radical operation of the middle ear and also those which had been preserved in the- Department Department of Bacteriology. The bacilli were relatively sensitive to 3 to 5% solution of mer- curochrome and hydrogen peroxide. Trypaflanin, rivanol and monaf, uracin were not effective, even with high concentration. Among sulfas, homosulfamin was most effective and sulfa thiazol, sulfaisomidin and sulfaisoxazol were much less effective. In, antibiotics colistin and polymyxin B were most effective followed by streptomycin and chloramphenicol. The organisms were, much more resistant to terramycin, aureomycin, penicillin and erythromycin.
  • 第1編 臨床編
    奈良 四郎
    1958 年 61 巻 8 号 p. 1286-1294
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    Part 1 Twenty-three cases of abnormal styloid process were seen during the period from 1950 to 1958. Thir-teen patients showed remarkable relief frrm the symptoms by the removal of the process. The symptoms including the schoulder pain (9 case) and atypical facial neuralgia (2 cases), are probably due to anatomical abnormality of styloid process. These symtoms might appear secondarily to the rnflammation of the throat (12 cases) and the unballances of vegetation. nervous system (7 cases). The remnants of hyaline cartilage were seen more or less in the rem- oved processes but the amount of the cortilage was not parallel to the age of the patient.
  • 奈良 四郎
    1958 年 61 巻 8 号 p. 1295-1301
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    Part. 2 The author studied the incidence of abrornial styloid process and also discussed the signifi- cance of posteroanterior X-ray for its diagnosis. The relations between the actual length of the styloid process and the length on the bitem- poral and posteroanterior X-ray films were shown in the formulas. Studying 2350 X-ray films in Brunzlow's posteroanterior position and 50u bitemporal X-rays, styloid processes were recogn- ized in 39.3% and 42.8% respectively. Styloid processes which were thought to reach to the tonsils were seen in 3.4% and 5.2% respectively. Asymmetory in length was recognized in 1.7% of all cases studied and 27.5%o in the group with elongated styloid process. Posteroanterior method was not inferior to the bitemporal one in the elongated group.Abn- ormal position and medial and lateral deviation of the process, which plays important role for the svmtons, were recognized only by posteroanterior method.
  • 花岡 葉
    1958 年 61 巻 8 号 p. 1302-1306
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    The author reported a case of a 1-year old girl with Hand-Schueller-Csristian disease. She. had a history of ear discharge, cerebral nerve palsy, cerebral pressure symptoms, and exophthalmos.. Radical mastoidectomy was performed under the possible otogenic meningitis. Histological examination of the specimen taken from the site of operation area, , revealed that of Hand-Schueller- Christian disease, and X-ray therapy was started one month after the operation. Nine months later, all symptoms except trigeminal palsy disappeared and mastoidectornizedi wound completely epithelialized. No signs of relapse have been found after the operation.
  • 谷口 武彦, 毛利 茂男, 上善 敏雄, 赤埴 孝慶, 山川 嘉明, 堀内 邦夫, 野入 輝男
    1958 年 61 巻 8 号 p. 1307-1314
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    The observation was made on the CO2in the blood, alveolar air and expiratory air of rabbit and man, before and after the injection of 7% sodium bicarbonate solution. CO2 level showed an elevation starting during the injection and lasted for several minutes. Respiratory movement was also increased. Those changes disappeased in 10∼20 minutes after of the injection of sodi- um bicarbonate solution.
  • 第1編細菌学的研究
    中川 惣一
    1958 年 61 巻 8 号 p. 1315-1344
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    Are the anaerobic infections common in chronic paranasal sinusitis? How thoseanaerobic bacteria in the pus in the maxillary sinuses with chronic pansinusitis renct to antibiotics or sulfas? One hundred and ninety-nine sinuses(133 cases)were examlned by the author by means of Weinberg-Magara's method, and surnmarized as follows: 1)The anaerobic infection was found in 65 sinuses among 199 sinuses, the incidence being 32.7%. Pure anaetobic infection was seen in 32 sinuses and in 33 sinuses, the remainder, showed mixed infection with both anaerobes and aerobes. 2)The isolated species were as follows; Neisseria discoides var.--2 strains-- Neisseria orbiculata var.--1 "-- 4.3% Veillonella magnus--3 "-- Diplococcus magnus--1 "-- Dip. magnus var.--6 "-- Dip. morbillorum var.--1 "-- 14.5% Dip. constellatus--1 "-- Gram (+) diplococcus(unidentifiable)--1 "-- Strep. putridus var.--2 "-- Strep. anaerobius var.--5 "-- Strep. putridus var.--1 "-- Strep. faetidus var.--2 "-- 27.5% Strep. micros var.--4 "-- Strep. intermedius--1 "-- Strep. intermediua var.--4 "-- Staplylococcus anacrobius--4 "-- Staph. anaerobius vat.--9 "-- 13.6% Micrococcus grigoroffi var.--2 "-- 2.8% B. ramosus var.--2 "-- 2.8% B. funduliformis--4 "-- B. fragilis--3 "-- 24.6% Gram (-) bacillus (so called)--16 "-- 3)Sengitivity test of anaerobes to antibiotics(Penicillin, Chloramphenicol, Colimycin)or Sulfonamides(Sulfaisomidin, Homosulfamin)showed great differences betweenn the species or strains.There were considerable numbers of strains which showed low sensitivity to autibiotics 8-147 61-1316 or sulfas Reslstant strain(above 400r/cc)were demonstrated at the rate of 13.3% to Sulfaisomidin and 7.1% to Homosulfamin. 4)An accurate conclusion whether the anaerobes become resistant in vivo by chemother- apy or not was not obtained.However the possibility should not be neglected. 5)The anaerobes were also recognized in themucosus menbrane of maxillary sinuses, but the incidence was nut so high.
  • 第2編 臨床的研究
    中川 惣一
    1958 年 61 巻 8 号 p. 1345-1356
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    The results of clinical observation of the cases with anaerobes were summarized as follows; 1) In cases the pus which retained in maxillary sinus were acid in reaction, purulent and foul-smelling, incidence of the isolation of the anaerobes was extremely high. On the other hand, in the cases mucus was retained, the incidence was only 7.6%. 2) The incidence was much more higher in the cases with unilateral in volvement than those with bilateral paranasal sinusitis. 3) There was a tendency to show the evidence of some kind of previous dental deseases in the cases from which anaerobes were isolated. 4) In the majority of the cases, the nasalcavity proper belonged to so called "purulent form". 5) The relief of the anaerobes was not observed, even if chemotherapies were given for paranasal sinusitis. Bacteriologically, recrudescence during the chemotherapy, is probably mainly due to the aerobes.
  • 沢島 政行, 佐藤 正夫, 船坂 宗太郎, 戸塚 元吉
    1958 年 61 巻 8 号 p. 1357-1364
    発行日: 1958/08/20
    公開日: 2008/03/19
    ジャーナル フリー
    Electromyographic examinations were performed on the crycothyroid muscle, the vocal muscle, the arytenoid muscle and the posterior cricoarytenoid muscle of the normal and paralyzed human larynx. A suitable concentric needle electrode was designed for the purpose of intralaryngeal examinations under observation with laryngeal mirror. The action current of a single neuromuscular unit of the vocal muscle was 100*V, and the maximal frequency of spike discharges was 20 per second. The electrical activity of the vocal muscle increased in higher pitch of the voice, while no differnce of the activity was observed in higher intensity. In whispering, contraction of the adductor muscles was much weaker than in ordinary phonation. Respiratory fluctuations in the activity of the laryngeal muscles were observed; activation of the abductor muscles occurred at inspiration, that of the adductor muscles at expiration. The electromyogram, recorded on unilateral and bilateral paralysis of the recurrent laryngeal nerves, revealed that the arytenoid muscle received motor fibers from bilateral recurrent nerves, though none from the superior laryngeal nerve. Various figures of the paralyzed vocal cords, from midline to cadaveric position, were observed on the patients with recurrent laryngeal nerve paralysis. In recovery stage of a patient, true figures of the abductor paralysis were investigated by means of laryngoscopic and electromyographic examination. On clinical examination of the laryngeal paralysis, electromyogram also presented important and reliable findings in diagnosis, suggesting the grade of the lesion, its localization and the prognosis of the condition.
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