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66 巻, 11 号
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奥田 兼三1963 年 66 巻 11 号 p. 1335-1350
発行日: 1963/01/15
公開日: 2008/03/19
ジャーナル フリーHistochemical study of the auditory organs was made and the distribution of several chemical substances and enzymes during the growth of the fetuses were observed. Materials used were obtained from pregnant rats.
The results are as follows :
1. Since the formative period of the anlage of cochlear duct (the 15th fetal day), several chemical substances and enzymes, except acidic phosphatase, were already found in the site which was destined gested from these facts that aerobic metabolism was carried on in this site. creased or decreased in several periods of fetal stage. strated in the auditory organs throughout fetal stage.
4. After the 19th fetal day, calcium that was found in the macula was perhaps the otolith itself.
Tympanic cavity did not show specific histo-chemical findings throughout the fetal stage.抄録全体を表示PDF形式でダウンロード (4905K) -
視性運動性後眼振を中心として五島 一吉, 野末 道彦, 鈴木 潤一, 徳増 厚二, 坂田 英治, 小松 崎篤, 瀬戸口 寿一1963 年 66 巻 11 号 p. 1351-1357
発行日: 1963/01/15
公開日: 2008/03/19
ジャーナル フリーOptokinetic stimulation towards the direction of the spontaneous nystagmus of peripheral vestibular nystagmus is distinctly observed, even if it is very weak.
Spontaneous nystagmus is frequently observed in the patient suffering from vestibular peripheral vertigo. Its spontaneous nystagmus decreases when the vertigo developes better. Therefore, it may be supposed that the effectiveness of drugs on the vertigo is able to be judged by testing its effecti-veness on inhibition of the optokinetic after-nystag-mus.
The optokinetic after-nystagmus were electro-nystagmographically examined in 34 patients, who complained of vestibular vertigo and who had spon-taneous nystagmus of varying degrees. The effects of various drugs on the vestibular vertigo were evaluated by testing the effectiveness on the supse-sseion of the optokinetic after-nystagmus.
Diphenhydramine hydrochloride with neophyl-lin-M(Travelmin)was the most effective in decreas-ing the optokinetic after-nystagmus an dperfenazine was next in the effectiveness.抄録全体を表示PDF形式でダウンロード (2671K) -
上村 卓也, 田原 睦郎, 末村 克彦, 磯矢 郁夫, 安田 宏一, 木下 和夫1963 年 66 巻 11 号 p. 1358-1365
発行日: 1963/01/15
公開日: 2008/03/19
ジャーナル フリーThe references concerning acoustic tumor are divided into two groups composed of statical and analytical studies.
From the latter standpoint, the cases with acoustic tumor experienced in the past five years were investigated and an attempt to establish the basis was made for a more complete clinical study of aco-ustic tumor which are to follow in the succeeding papers.
The subjects are 25 cases with unilateral acous-tic tumor which came to the department of otolar yngology, Kyushu University, from 1958 to 1962 and were verified by operation.
1. The appearance of initial symptom averaged two years and two months before admission, and the age incidence of 39 years was nearly in accord with the literature. Female subjects were predo-minant for the present series (1: 1.6).
2. 80 per cent of initial symptoms and chief complaints were the symptoms of the eighth nerve. Of those, furthermore, complaint of cochlear symp-toms were much more frequent than vestibular symptoms and this tendency increased with the initial symptom.
With regard to the character of vestibular symptom, the term vertigo was used to designate "hallucination concerning position or movement, either in the individual himself or in external objects, that involves a defect in the equilibrium of the body" in a narrow sense. From the patient's complaint of vestibular disturbances, however, it was difficult to differentiate peripheral labyrinthine lesion from acoustic tumor especially in the initial stages.
3. In 7 cases the deafness was total and in 8 cases it was moderate. In the remaining 9 cases except in a case unexamined there were islet hear- ing losses.
There is no similarity of pattern to be found among these pure-tone audiograms.
The discrimination loss for speech was almost parallel to the hearing loss for pure tones except a case of the examined 9 cases.
All of the cases with hearing loss for speech on the side opposite the tumor differed from the cases with contralateral pure-tone loss and showed evidence of increased intracranial pressure.
It is, therefore, inferred that the auditory disturbance arising from increased intracranial pressure manifested the marked reduction of discrimi-nation when compared with pure-tone audiogram bottleneck principle (Jerger, 1960)-and that this was a diagnostic characteristic.抄録全体を表示PDF形式でダウンロード (913K) -
武居 哲也1963 年 66 巻 11 号 p. 1366-1382
発行日: 1963/01/15
公開日: 2008/03/19
ジャーナル フリーSince the first report of conditioned orientation reflex audiometry (COR audiometry) by Suzuki mined from various aspects. However, the results ometry was frequently found to be unreliable in children with asymmetric hearing losses including lity of COR audiometry seem to lie in the facts that (1), for the children with asymmetric hearing losses or monaural deafness, the orientation to the direction of the sound stimulation is rather difficult and sometimes wholly impossible; (2) their heaing thresholds can vary according to the direction of the stimulus.
From these standpoints, a modified procedure of COR audiometry for children with asymmetric hearing losses was devised. In this method, sound stimulus and light stimulus were given separately. For example, sound stimulus was given from the right side and then the light stimulus was given from the left. Contrary to the generally accepted ward the source of the sound stimulus, was evoked distinctly and steadily even when the intensity of the sound stimuls was decreased near the threshold of the subjects. The light stimulus, in this case, may play the part of the supporter to the subject's attention toward the sound stimulus.
The application of this modified method to children with normal hearing revealed that the thod were almost the same as those obtained from the original method. As the modified method does licable to the children with asymmetric hearing losses or monaural deafness. The paper also covers the detailed description of the practice of this method to 12 cases with asymmetric hearing disorders.抄録全体を表示PDF形式でダウンロード (1531K) -
本間 利美1963 年 66 巻 11 号 p. 1383-1393
発行日: 1963/01/15
公開日: 2008/03/19
ジャーナル フリーThe hearing tests were made on 1197 persons in two metal mines working under noise exposure. A worker who showed hearing loss over 20db at even one frequency were treated as occupational deafness.
1) Occupational deafness was found in 35.1% of 1197 workers.
2) The rate of occurence showed high rate in the workers serving for long years.
3) Similarly the rate of occurence showed a high rate in the older workers.
4) The grade of hearing loss had a tendency to vary from slight to worse in proportion to the age 20_??_60 years old.
5) The grade of hearing loss had a tendency to vary from slight to worse in proportion to the number of working years 6_??_35 years.
6) The distribution of high grade hearing loss and slight grade was shown nearly in the same in age group, but was not the same in the group years of service.
7) In one persons who was examined through 1, 2, 3, 4 years, the grade of hearing loss had a tendency to become slightly worse in proportion to the number of working years, at the same time the variance of hearing loss increased.
8) The variance of increased hearing loss is believed to be due to individual differences.抄録全体を表示PDF形式でダウンロード (771K) -
三沢 敬典, 天野 節夫, 重田 泰男1963 年 66 巻 11 号 p. 1394-1403
発行日: 1963/01/15
公開日: 2008/03/19
ジャーナル フリーAs a result of the research made on the ASLO reaction of the tonsil diseases, the conclusions were that:
1. In normal person, it is under 250 Todd units; and in acute diseases, over one half of the cases are within the normal limit. But in one half of the cases of hypertrophy of the tonsils, it was com- paratively high.
2. The average and positive percentage in the chronic tonsillitis showed a higher percentage than the acute cases.
3. The size of the tonsil showed no remarkable difference in the average of ASLO. But the posi-tive percentage is high in type II and III.
4. Concerning the age, the ASLO unit has the tendency to decrease along with the age.
5. The unit of ASLO in secondary infection, the acute nephritis, rheumatic arthritis, and endo-carditis are the highest in this order. But in chro-nic nephritis, it was within normal units.
6. We could not find no special relationship between the ASLO and Ultra Short Wave provo-cation test. It was also discovered that the ASLO decreases after tonsillectomy.
From the above, it was found that to count the ASLO reaction, is very useful in deciding on tonsillectomy and to determine the post-operation progress.抄録全体を表示PDF形式でダウンロード (943K) -
阿部 矯一, 平 哲雄1963 年 66 巻 11 号 p. 1404-1409
発行日: 1963/01/15
公開日: 2008/03/19
ジャーナル フリーThe serological and bacteriological follow-up studies were conducted in patients with nephritis, rheumatic diseases and chronic febricula as the focal infection, before and after tonsillectomy, and these were compared with that in patients with chronic tonsillitis alone.
1) In evaluating antistreptolysin-O titer, it is important to consider the age of each patient.
2) It is necessary to measure not only antistreptolysin-O titer, but also anti-alpha-staphylolysin titer. Particularly, chronic febricula is accompanied by higher anti-alpha-staphylolysin titer.
3) The antistreptolysin-O titer decreased relati vely rapidly after tonsillectomy, but in some patients, the titer was found unchangedor even increa sed.
This problem requires further studies.
4) C-reactive protein became positive in a few hours after tonsillectomy and had a tendency to revert to negative in 48_??_72 hours postoperatively.抄録全体を表示PDF形式でダウンロード (496K) -
金子 寛1963 年 66 巻 11 号 p. 1410-1417
発行日: 1963/01/15
公開日: 2008/03/19
ジャーナル フリーThe patient was a 64 year old male with complaint of hoarseness. A polypoidal tumor was detected on the left vocal cord. This tumor was extirpated from the left vocal cord under laryngo-fissure. Detailed histopathological examinations of the tumor showed that the tumor was squamous cell carcinoma with the histological figures of so-called carcinosarcoma. The sarcomatous stroma like spindle cell sarcoma or fibrosarcoma were considered to be the high polymorphic and atypic changes of carcinoma cells. The patient refused the performance of laryngectomy, and was given a course of irradiation therapy of 12000 r by the telecobalt. The patient seems to be in favourable condition today 17 months after the operation.
The cases of so-called carcinosarcoma of the larynx are rarely seen and only 20 reports of such cases are found in literature. All of these cases are not the cases of true carcinosarcoma. The case described in this paper is also so-called carcinosarcoma and not true carcinosarcoma.抄録全体を表示PDF形式でダウンロード (1988K) -
小宮 喜八郎1963 年 66 巻 11 号 p. 1418-1432
発行日: 1963/01/15
公開日: 2008/03/19
ジャーナル フリーThe responses through carotid sinus reflex usually occur during an operation of neck. A common response is a decrease of blood pressure and bradycardia.
However, a few patients (especially those with hypertension who are over 50 years of age) show a dangerous response probably due to the excitation of higher brain center.
The influence of the pressure stimulation of carotid sinus upon central nervous system was examined in cat by recording muscle spindle discharges of ankle extensors and E.E.G. of the motor cortex. At the same time, blood pressure, E.K.G. and the pattern of respiration were recorded with a nine channel penwriting recorder.
Following results were obtained :
1) Depression of blood pressure caused by pressure stimulation depend on the depth of anesthesia (ether or pentobarbital).
2) Under a light ether anesthesia, amplitude of E.E.G. of motor cortex was descreased by pressure stimulation. On the other hand, under a light pentobarbital anesthesia, spindle waves appeared on motor cortex and the hippocampal arousal waves disappeared by the stimulation.
3) Muscle spindle discharges were decreased by pressure stimulation.
4) After the pressure stimulation, depression of blood pressure and bradycardia were elicited earlier than inhibition of muscle spindle discharges and slowing of E.E.G.
5) Blood pressure decrease was usually elicited in the lower intensity of stimulation than the muscle spindle depression.抄録全体を表示PDF形式でダウンロード (2879K) -
大藤 敏三, 永井 氾1963 年 66 巻 11 号 p. 1433-1441
発行日: 1963/01/15
公開日: 2008/03/19
ジャーナル フリーPDF形式でダウンロード (874K) -
1963 年 66 巻 11 号 p. 1442-1444
発行日: 1963/01/15
公開日: 2008/03/19
ジャーナル フリーPDF形式でダウンロード (344K)
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