日本耳鼻咽喉科学会会報
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
64 巻, 8 号
選択された号の論文の9件中1~9を表示しています
  • 寺山 吉彦, 小田切 醇, 前山 善彌, 高川 亘, 堤 敏男, 上杉 昭一, 八代 利雄, 香城 芳子
    1961 年 64 巻 8 号 p. 1303-1324
    発行日: 1961/08/20
    公開日: 2008/12/16
    ジャーナル フリー
    Attempts were made of the clinical, bacteriological and histo-pathological studies on bacteria within the maxillary sinus mucosa to clarify their etiological significance in the causes of maxillary sinusitis. Results obtained were as follows:
    1. Gram-negative bacilli which were predominant in the pus (Table 1) were hardly found in the mucous membrane, while cocci and diplococci were equally present both in the pus and mucous membrane (Table 2 and 4).
    2. In general, the bacteria were observed more in the middle or deeper layer of the mucous membrane than in the superficial layer. Few bacteria were found in the area associated with marked cellular infiltration and most of them were within phagocytes. They were numerous in the edematous areas with slight cellular infiltration and around thickened blood vessels.
    3. No statistically significant relationship was present between the number of the bacteria in-the mucous membrane and the duration of symptoms of the individual patients examined (Table 5).
    4. It was ascertained that macroscopically edematous hypertrophic membrane contained numerous bacteria and the membrane appearing almost normal was contaminated with few bacteria (Table 6).
    5. The number of bacteria within the mucous membrane of a sinus was in proportion to the quantity and the foul smell of the pus in the sinus, and not to the stickiness of the pus (Table 7).
    6. The relationship between eosinophilic infiltration in the mucous membrane and bacterial allergy was not evident as shown in Table 9.
    7. According to histological types of the affected mucous membrane, the bacteria were found less in the infiltrative or normal type, and more in the edematous or fibrotic type (Table 8).
    8. The origin of respective histological type following bacterial infection was assumed from above observations. Infiltrative type with numerous plasma cells and lymphocytes may be formed as chronic allergic productive inflammation due to bacterial allergy.
  • 渡辺 嘉彦
    1961 年 64 巻 8 号 p. 1325-1352
    発行日: 1961/08/20
    公開日: 2008/12/16
    ジャーナル フリー
    Changes in cochlear microphonics (CM) were observed by the injection of vegetative stimulants into the abdominal cavity, by the application of nicotine to the superior cervical ganglion, and by excision or electric stimulatian of the cervical sympathetic nerve and vagus nerve on guinea-pigs.
    1) C. M. is reduced by the injection of atropine and acetylcholine while it is induced at the biginnig and then reduced by the injection of pilocarpine.
    By the injection of adrenaline, C. M. may be either induced or reduced. according to frequency though variation is slight.
    By the injection of chlorpromazine, C. M. is either induced or reeuced slightly in some cases, although there are other cases of reduction in C. M.
    By the application of nicotine to the superior cervical ganglion, C. M. is first reduced and then induced.
    2) Atter the excision of the cervical sympathetic nerve, C. M. is first induced and is gradually reduced afterward.
    Excision of the vagus nerve has little influence on C. M. in some cases, but there are othe cases where C. M. is slightly reduced.
    3) Stimulation to the eervical sympathetic nerve reduces C. M., but stimulation to the vagus nerve has no influence on C. M.
    4) Stimulation to the superior cervical ganglion reduces degree of recovery from sound fatigue for C. M.
    5) Regulation of internal ear function by autonomic nervous system is likely to be occured by angioneurotic control over the blood flow, and at the seme time by adjustment to the excitability of sensory cells in the internal ear.
  • 今井 秀雄
    1961 年 64 巻 8 号 p. 1353-1385
    発行日: 1961/08/20
    公開日: 2008/12/16
    ジャーナル フリー
    Seventy eight cases of deafmute children (congenital deafmutes 43, acquired deafmutes 35 from the school for the deafmute associated with Tokyo University of Education) were investigated concerning loudness discrimination (differencelimen of loudness), threshold of pain and auditory area of pure tones at the frequencies of 4, 000, 1, 000 and 250cps. Results obtained were as follows:
    (1) The mean values of DL at 50% correct judgment at were found to be between 0.9dB and 1.2dB, and those of DL at 80% correct judgment were between 2.1dB and 2.8dB.
    (2) Difference limen of loudness measured at the intensity of "not too loud" and "not too low" showed significant difference at 4, 000 and 1, 000 cps between the congenital and acquired deafmutes.
    (3) Comparison of the DL with the normal DL measured at 40dB above the threshold of hearing was made and there was no significant difference between the congenital deafmute and the normal, but significant difference between the acquired deafmute and the normal.
    (4) Thresholds of pain were distributed between the threshold of pain and uncomfortable loudness level of the normal, and the auditory area of deafmutes became remarkably narrow.
    Part II. Pitch Discrimination and Equal Loudness Curves of Deafmute
    Sixty three cases of deafmutes (congential 33, acquired 27 from the school for the deafmute associated with Tokyo University of Education and female adults of acquired deafmutes 3) were studied on pitch discrimination (DL on pitch) and equal loudness curves (ELC).
    Results were obtained as follows:
    (1) It was found the DL on pitch (relative difference limen measured on ELC at 4, 000, 2, 000, 1, 000, 500 and 250cps) was distributed in wide range and showed the mean values of 10-20% which were much larger than the normal values.
    (2) It should be generally considered that ELC was separated widely from the auditory threshold curve in the lower frequencies, but slightly deviated from a parallel relationship with the threslhod curve in the higher frequencies. The ELC in the lower frequencies showed the opposite inclination to normal ELC. It was concluded that the changes in loudness sensation to the intensity of sound were more abrupt in higher frequencies than in lower frequencies.
  • 岡部 一男
    1961 年 64 巻 8 号 p. 1386-1401
    発行日: 1961/08/20
    公開日: 2008/12/16
    ジャーナル フリー
  • 検査法の提案
    坂田 英治, 鈴木 淳一, 徳増 厚二, 五島 一吉, 小松崎 篤
    1961 年 64 巻 8 号 p. 1402-1407
    発行日: 1961/08/20
    公開日: 2008/12/16
    ジャーナル フリー
    1. Wir haben einen Vorschlag gemacht, dass der bei dem Lagewechsel des Kopfes beobachtete Nystagmus jeder fur sich Lagenystagmus und Lagerungsnystagmus zu unterscheiden ist, und dass wir beide eigens Lagewsechselnystagmus zusammennennen sollen.
    2. Wiederum der eingehenden Untersuchungszensur der 47 Falle des Lagewechselnystagmus gemass haben wir eine Untersuchungsmethode, die von uns einige neuen Verfahrungen hinzugefugt wird und zugleich in ambulanter Klinik erfordert wird, in Vorschlag gebracht. Ausserdem ist es einfacherMethode mit einem Worte erwahnt worden.
    3. Dann haben wir einige klinische Falle als Belehrung des obergenannten Vorschlages mitbeschrieben und uberdies betont, dass diese Prufung auch grosse klinische Wichtigkeiten oder Taugbarkeiten wie die anderen haben musste.
  • 鳥山 寧二, 武田 亨, 三枝 直砥, 長倉 政行, 五島 一吉
    1961 年 64 巻 8 号 p. 1408-1421
    発行日: 1961/08/20
    公開日: 2008/12/16
    ジャーナル フリー
    During last 10 years in Musashino Red Cross Hospital, there was 413 cases of foreign bodies. The total number of the patient during that period was 44.061, and the foreign body cases were 0.934%.
    The location of the foreien bodies in 413 cases were as follows; ear 200 cases (48.4% of all foreign bodies) nose 53 cases (12.8%) oralcavity 1 cases (0.24%) pharynx 98 cases (23.7%) larynx 14 cases (3.3%) esophagus 42 cases (10.1%) trachea 5 cases (1.2%)
    Among the cases of foreign. bodies in the ear and nose, 84 cases were unknown foreign bodies of which the patient did not realize the intrusion. Fifty-seven cases were in the ear, and among the 57 cases, middle ear complication was seen in 12 cases, intra-cranial complication occured in 5 cases. Four cases among the 5 were with central perforation.
    Among the 5 cases of foreign bodies in the nasopharynx, the fact that 4 cases were due to pinetree leaves would seen to have some bearing upon the matter of nasopharynx foreign bodies.
  • -OKPテストについて-
    鈴木 淳一, 小松崎 篤, 徳増 厚二, 坂田 英治, 五島 一吉
    1961 年 64 巻 8 号 p. 1422-1425
    発行日: 1961/08/20
    公開日: 2008/12/16
    ジャーナル フリー
    Optokinetic nystagmus has not been utilized in routine examinations in spite of many studies which report clinical availability of this type of nystagmic reaction. The authors present a new type of clinical test utilizing optokinetic nystagmus by using an electrically driven rotating drum as stimulator, and electronystagmography as recorder. The contribution to otoneurological examinations is expected.
  • 高須賀 信夫
    1961 年 64 巻 8 号 p. 1426-1432
    発行日: 1961/08/20
    公開日: 2008/12/16
    ジャーナル フリー
    In 53 cases of chronic sinusitis, the mucous mombrane of the sphenoidal, ethmoidal and maxillary sinuses were histologically studied. The findings of these sinuses were compared each othey to find the histologic characteristics of the mucous membrane in the chronic sphenoidal sinusitis.
    The histologic changes of the mucous membrane of thesese sinuses were classified into the following groups:
    The maxillary sinus The minimal type 4 cases 7.5% The fibrous type 3 cases 5.6% The fibrous-infiltrative type 15 casas 28.3% The infiltrative type 10 cases 18.9% The edematous type 2 cases 3.8% The edematous-infiltrative type 19 cases 35.9%
    The ethmoidal sinus The minimal type 14 cases 26.4% The fibrous type 4 cases 7.5% The fibrous-infiltrative type 9 cases 17.0% The infiltrative type 2 cases 3.8% The edematous type 8 cases 15.1%
    The sphenoidal sinus The minimal type 14 cases 26.4% The fibrous type 9 cases 17.0% The fibrous-infiltrative type 17 cases 32.1% The infiltrative type 2 cases 3.8% The edematous type 3 cases 5.6% The edematous-infiltrotive type 8 cases 15.1%
    From these results the author concluded that in chronic sphenoidal sinusitis, the fibrous type or fibrous-infiltrative type were more frequently seen than in the other two sinuses.
    It might be said that the mucous membrane of the sphenoidal sinus shows more fibrotic reaction than the other two sinuses in the chronic sinusitis.
  • 白岩 俊雄, 宝迫 慎一郎, 川村 一枝, 斎藤 光憲, 田村 伝, 高橋 晃一
    1961 年 64 巻 8 号 p. 1433-1439
    発行日: 1961/08/20
    公開日: 2008/12/16
    ジャーナル フリー
    Manetol is a kind of hemostyptica which the Bayer Co. in Germany has been successful in extracting from the spinal cord of animals. It has already been made clear that the main ingredient of Manetol is Organ-Thromboplastin, but its effective ingredient as well as its proper quantity to prove effective for a man has nbt yet been brought before the public.
    So we have made some basic researches in regard to the said point which are considered to be necessary for any clinical operations. The essential point of our researches has been based on a standard of clotting effect that Manetol has, and the followings are the summarizations.
    (1) Manetol urges blood clotting in case of being used both by means of intravenous injection and of direct effeet upon blood plasma. In these circumstances, Manetol should, to make it most effective, be diluted to some extent. By our researches the most effective standard of consistency of the said fluid is, experimentally, from 10% to 20% or thereabouts. The dilution of this kind proves most effective to cause blood clotting.
    (2) In case of being used with a rabbit through an intravenous injection, 0.2cc of the said fluid is the proper quantity to urge blood clotting most effectively.
    (3) Inferring from the proper quantity of injection against a rabbit, an injection of 6 or 7cc may be considered to be most effective for a man of full age to cause clotting.
    (4) If Manetol is to be injected before any surgical operations, blood seems hard to run out of a cut incised for an operation. The reason of this fact may be considered that besides Thromboplastin of Manetol, tissue Thromboplastinogen contained in the tissue fluid of the cut, is usually activated by an operation making the tissue fluid urge blood to clot, still more Manetol in blood plays a greater part of helping this tendency.
    (5) On analysing Manetol fluid, through paper chromatography, into some ten kinds of amino acid, considered as main constituent of the said fluid there to be found two or three kinds of them working more actively toward clotting than the others. In case we have an opportunity to obtain pure amino acid, the conclusion will be brought out more in detail.
    (6) As a result of our various experiments of Manetol both on men and on animals, the side effect has not been acknowledged at all.
feedback
Top