Comparative Study of Mediastinal Emphysema as Determined by Etiology
スポンサーリンク
概要
- 論文の詳細を見る
Objective To evaluate the difference in the clinical features of mediastinal emphysema as classified into three groups based on etiology; patients in whom it was spontaneous with unknown etiology (A group), those in whom it was secondary to bronchial asthma (B group), and those in whom it was secondary with other respiratory diseases (C group). Patients Forty-three cases (45 episodes) with mediastinal emphysema treated at Kawasaki Medical School Kawasaki Hospital between April 1985 and March 2000 (A group: 17 cases, B group: 17 cases, C group: 9 cases). Results The average ages of the A and B groups were of little significance. Most of the patients in the A group were males with a thin body. Three patients in the A group had episodes of pneumothorax or mediastinal emphysema in their past history. Five patients in the A group had Hammans sign on physical examination. In all of the patients in the C group, mediastinal emphysema was accompanied by subcutaneous emphysema, whereas only eight patients in the A group had subcutaneous emphysema. The prognosis was good for A and B groups because the mediastinal emphysema disappeared within 10 days, but was poor in the C group because its disappearance was very late compared with that in the other two groups and skin incision was required in three patients in the C group due to severe subcutaneous emphysema. Conclusions We suggest that the existance and kind of underlying diseases significantly affect the method of treatment and the prognosis.(Internal Medicine 41: 277-282, 2002)
- 社団法人 日本内科学会の論文
著者
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Matsushima Toshiharu
昭和大学 医学部臨床感染症学
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Matsushima Toshiharu
東北大学加齢医学研究所 抗感染症薬開発研究部門
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Okimoto Niro
The Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School Kawasaki Hospita
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Okimoto Niro
Kawasaki Hospital
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Kobashi Yoshihiro
川崎医科大学 医学部内科学(呼吸)
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Kubota Y
Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School
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Yoshida Kouichirou
昭和大学 医学部臨床感染症学
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Manabe Takao
大阪市立総合医療センター
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Matsushima T
Division Of Respiratory Diseases Department Of Medicine Kurashiki Daiichi Hospital
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Matsushima Toshiharu
The Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School.
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MATSUSHIMA Toshiharu
Junpukai Kurashiki Daiichi Hospital
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KOBASHI Yoshihiro
the Division of Respiratory Diseases,Department of Medicine, Kawasaki Medical School Kawasaki Hopita
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SOEJIMA Rinzo
Kawasaki Medical Welfare University
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Matsushima Toshiharu
The Division Of Respiratory Diseases Department Of Medicine
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Matsushima Toshiharu
The Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School
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Takashima M
Japan Collection Of Microorganisms Riken (the Institute Of Physical And Chemical Research)
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Yoshida Koichiro
Department Of Clinical Infectious Diseases School Of Medicine Showa University
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Okimoto Niro
Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School Kawasaki Hospital
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Kobashi Yoshihiro
The Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School Kawasaki Hospita
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Matsushima Toshiharu
The Department Of Internal Medicine Division Of Respiratory Diseases Kawasaki Medical School
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Kobashi Yoshihiro
The Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School Kawasaki Hospita
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Yoshida Kouichirou
Division Of The Respiratory Diseases The Department Of Medicine Kawasaki Medical School
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