背側縦隔造影法の研究,特にその診断的価値について(第2編)
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概要
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By performing the posterior mediastinography of the surroundings of the trachea and esophagus, the lesion of the surroundings of the trachea, bronchus, and esophagus can be revealed, and furthermore, by the combination of the bronchography and esophagography, the very walls of the trachea, bronchus and esophagus can be distinctly radiologically shadowed, and the form of the tumors, the grade and extension of infiltration and adhesion can be clarified. The radiological shadow findings of the surrounding of the trachea can be classified into type No.I to type No.IV, according to the grade of adhesion. Comparing the findings to the clinical symptoms, lesion, and operative results, the observations are as follows. 1) In patients of pulmonary tuberculosis, those who are old, those with a long course since the onset of the disease, those. with the lesion extending widely, those with th lesion near to the mediastinum, and those extending to the margin of the mediastinum there wasgenerally observed the type No.III and IV, the adhesion being severe. Also remarkable decrease and reduction was observed in the capacity of the lung, blood sedimentation rate and respiration suspension time. No special connection was observed between the shadow findings and the anamnesis of pleuritis, blood sedimentation rate and tuberculous bacilli in the sputum. 2) With regard to the relation between the operative findings of pulmonary tuberculosis, pulmonary cancer, and tumors of the mediastinum, in type No.I and II, the operation is easy and all the cases are completing the scheduled operative methods. However, in type No.III and IV, the adhesion was severe and difficult to release bleeding severe, and in many cases we were forced to alter or suspend the operative methods. Also the postoperative hemothorax is severe. Accordingly the findings of the radiological shadows indicate the difficulty of the operation.
- 千葉大学の論文
- 1954-03-28