日本胸部疾患学会雑誌
Online ISSN : 1883-471X
Print ISSN : 0301-1542
ISSN-L : 0301-1542
10 巻, 4 号
選択された号の論文の8件中1~8を表示しています
  • 広野 達彦
    1972 年 10 巻 4 号 p. 189-203
    発行日: 1972/04/30
    公開日: 2010/02/23
    ジャーナル フリー
    The author studied the architecture of minute tumor vessels of lung cancer by the selective arteriography in clinical cases and by the microangiography of resected specimens.
    1. Method....Selective bronchial arteriography was performed in 17 cases by the Viamonte's technique. Microangiogram of the bronchial or pulmonary artery system was obtained by soft roentgenograms of serial sections of 27 resected specimens.
    2. Selective bronchial arteriogram....Hypervascularity coincident to the tumor-shadow was found in 16 of 17 cases. Hypervascularity was demonstrated in patients with squamous cell carcinoma and in patients with the tumor in hilar region. The grade of the vascularization appeared to be related to the location of the tumor, and less to the histologic type of the tumor. In large tumors, vascularization was uneven and decreased at their preipheral portion of the lung.
    3. Microangiogram of bronchial artery system....Hypervascularity was demonstrated in 8 among 9 cases, and scant vascularization was found only in one case, in which the tumor located in peripheral region of the lung. The location of the tumor appeared to be the important factor influencing on microangiographic findings of the bronchial artery system.
    4. Microangiogram of pulmonary artery system....Vascularization in the tumors decreased in 15 of 18 specimens. Vascularization of squamous cell carcinomas and tumors in the hilar region markedly decreased and was unevenly distributed. Vascularization of adenocarcinomas and peripherally situated tumors was not so decreased and was distributed rather evenly. In large tumors, vascularization was uneven and disappeared at their centers.
    5. Comparison between microangiogram of bronchial artery system and that of pulmonary artery system....The vascularization due to the bronchial artery system was markedly different from that due to the pulmonary artery system. The bronchial arteriogram usually showed hypervascularity in the tumor, and in the tumor with uneven vascularity, the peripheral portion of the lung was avascular. The pulmonary arteriogram showed less vascularity in the tumor, and when it was distributed unevenly in the tumor, the central portion of the tumor was avascular.
  • 石川 裕
    1972 年 10 巻 4 号 p. 204-214
    発行日: 1972/04/30
    公開日: 2010/02/23
    ジャーナル フリー
    The existence of bronchial spasm, though clinically accepted, is less easily demonstrable by the evidence obtained from postmortem examination. Anderson described in his textbook that inflammatory thickening of the mucosa and obstruction of the lumina by thick tenacious mucus are more important in fatal cases than bronchiolar spasm from the postmortem examination of the lung of asthmatic dying during an acute attack. But very little is described about bronchial spasm. It seems difficult to prove the presence of spasm by pathological findings, because the tonus of bronchial muscle may decrease at the postmortem lung. Therefore four times magnifying alveolobronchography was performed on one hundred cases of asthmatic patients.
    Material and Results:
    Seventeen cases of chronic pulmonary emphysema as the complication of asthma were included in one hundred cases of asthmatic patients. Except these cases, fifty-one cases that showed less than 200γ in histamine inhalation threshold tests were selected as the pure asthma and they were compared with twenty-seven patients of chronic bronchitis who satisfied the Fletcher's criteria for the diagnosis of the chronic bronchitis.
    1) In the comparison with bronchographic findings of bronchial asthma and chronic bronchitis, more irregularities of bronchial wall were noted in the chronic bronchitis than in the asthma. On the other hand, spastic narrowing and strangulation were noted in the asthma more than in the chronic bronchitis.
    2) Seventeen cases out of fifty-one patients with asthma satisfied the Fletcher's criteria. In these cases the findings such as ‘beading’, strangulation, opening of dividing angle of branches and hyperswelling of peripheral airway were recognized more than in the cases that did not satisfy the Fletcher's criteria.
    3) In the patients with asthma, the spastic narrowing appeared in the subsegmental bronchi with the highest percentage and strangulation occured most in the small bronchi.
    4) Asthmatic patients complicated with chronic pulmonary emphysema or suffering from serious attack, have more bronchographic changes, especially irregularity of bronchial wall, dilatation of caliber and strangulation than mild cases.
    5) The alteration of findings between during the attack and the remission with bronchodilator were discussed on about ten cases. In spite of recovery of subjective symptoms, there were no dilation of bronchi in half of the cases. Another five cases showed some remission of bronchial spasm and the dilated parts were noted in only segmental bronchi or subsegmental bronchi.
    6) Even in the group of asthma who showed that FEV 1.0/VC arrived already above 71% and were ree from attack for more than three weeks, sixty percent of the patients had some airway narrowing, though they had been clinically recognized to be at the concalescent stage.
  • 竹内 富美子, 小山 千代, 三神 美和, 織畑 秀夫, 徳川 英雄, 鈴木 睦郎, 平山 章
    1972 年 10 巻 4 号 p. 215-220
    発行日: 1972/04/30
    公開日: 2010/02/23
    ジャーナル フリー
    With increasing in number of lung cancer, the symptoms are becomming more variable. Clubbed fingers are sometimes the first symptoms.
    A 69 year old male teacher with main complaint of remarkable clubbed fingers was refferred to our Clinic.
    His chest X-ray showed a coin lesion in the right upper lung field and his fingers and toes revealed prominent clubbing in all terminal phalanges. Finally, a lobectomy of the right upper lobe was performed and primary pulmonary carcinoma was confirmed. It was histologically adenocarcinoma.
    After the operation the clubbed fingers and toes were improved.
    Concerning the etiology of clubbed fingers seen in pulmonary carcinoma patient, we consider that neural reflex theory is the most leading one.
  • 三上 理一郎, 千葉 保之
    1972 年 10 巻 4 号 p. 221-228
    発行日: 1972/04/30
    公開日: 2010/02/23
    ジャーナル フリー
  • 佐竹 辰夫
    1972 年 10 巻 4 号 p. 229-232
    発行日: 1972/04/30
    公開日: 2010/02/23
    ジャーナル フリー
  • 長野 準, 村尾 誠
    1972 年 10 巻 4 号 p. 232-236
    発行日: 1972/04/30
    公開日: 2010/02/23
    ジャーナル フリー
  • 西本 幸男
    1972 年 10 巻 4 号 p. 236-239
    発行日: 1972/04/30
    公開日: 2010/02/23
    ジャーナル フリー
  • 1972 年 10 巻 4 号 p. 240-249
    発行日: 1972/04/30
    公開日: 2010/02/23
    ジャーナル フリー
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