縫縮術後合併症としての感染***質化性血胸の研究 : 第1編実験的研究

概要

論文の詳細を見る
In view of the fact that pneumonorrhaphy in combination with pneumonolysis often tends to cause infected hemothorax, histological and bacteriological examination of the infected hemothorax produced experimentally has been conducted. Organizing' of intrapleural mass as well as leukocytic infiltration and exudation of fibrin was subjected to close observations in chronological sequence. When the quantity of bacteria in the blood changed, the effect of their existence on coagulation was observed in like manner. The results revealed that coagulability of the blood depended to a large extent on the kind and numbers of bacteria. On the other hand, the type and cause of hemothorax produced as a sequel to pneu monorrhaphy in combination with pneumonolysis were examined clinically and pleural clot was removed when infected organizing hemothorax existed or was likely to be produced. Clotted blood was examined bacteriologically and histologically. As the result of these examinations, the author has learned that, as precautionary measures, careful selection of patients for operation, adoption of chemotherapy, caution in the application of surgical technique and placing of drainage tubes in chest after operation would be required, and that ferment treatment or evacuation of clotted blood would be effective in treating hemothorax after diagnozing the type by means of roentgenography and thoracentesis.
千葉大学の論文
1954-05-28