小児期に於ける回腸終末部リンパ濾胞増強の臨床的レ線学的研究
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Clinical and roentgenological studies of lymph follicles of the terminal ileum were carried out in children. The results are summarized as follows : 1. Observations made in 52 normal, healthy children have revealed that lymph follicles are well developed in 5 to 8 years, that they begin to decrease in number and size in about 11 years, and that they are nearly completely degenerated in puberty. 2. Of 20 children with enlarged tonsils, 11 had larger numbers of lymph follicles of the ileum than normal. Roentgenograms revealed a marked increase in the number and size of lymph follicles in the terminal ileum of children whose tonsils were shown to contain markedly large numbers of lymph follicles on histologic examination. 3. Examinations of 8 children with dysentery showed a marked increase in the number and size of lymph follicles of the terminal ileum. 4. Of 10 children with acute nephritis concurrent with tonsillitis or impetigo, 5 showed an increase in the number and size of lymph follicles on roentgenographic examination. 5. Of children showing organic changes in the gastrointestinal tract, those with cecum mobile, ascariasis, tuberculosis of the intestines or dolichocolon mobile were shown to be associated with an increase in the number and size of lymph follicles of the terminal ileum. 6. Of 80 children with recurrent colic pains in the umbilicus, 14 were attended with a marked increase in the number and size of lymph follicles of the terminal ileum, tenderness and hardening of the loop of the terminal ileum and disturbed peristalsis. It was shown that colic pains in the umbilicus were attributable to this condition. 7. There were 12 children who, having been operated on for possible acute or chronic appendicitis, proved on roentgenographic examination to be the cases of an increase in the number and size of lymph follicles of the terminal ileum. 8. Conservative treatment consisting in rest, regulation of the diet, application of poultice to the ileocecal region and administration of sulfamine and some adequate remedy for intestinal disturbances had effect on the condition resulting from an increase in the number and size of lymph follicles in the terminal ileum.
- 千葉大学の論文
- 1959-03-28
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