鼻及び咽頭出血に関する研究(第2報)

概要

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Tests for bleeding tendency were studied in the cases with spontaneous and operative naso pharyngeal bleeding. General skin method and my original mucous membrane method were com- pared clinically, and hemostatic effect of systemic hemostatics was studied. Also, an experimental investigation of petechiae in the vascular fragility test was made. 1) Bleeding from the mucous membrane, encountered in the field of oto-rhino-laryngology, is more closely related to the results obtained by the mucous membrane method than that of the- skin method of tests for bleeding tendency. 2) In spontaneous nasopbaryngeal bleeding, vascular fragility plays a most important role. In the operative (traumatic) bleeding, coagulability of the blood is also important as well as vascular- fragility. 3) Among the systemic hemostatics, those who act on the blood vessels are most effective. For blood coagulation is the thromboplastin most effective. 4) Petechiae of the mucous membrane developed by the application of negative pressure are seen in the cases with hemorrhage per rhexin (big one), as well as reversible change of the blood vessels like aneurysmal dilatation (small one). Those developed by the application of positive pressure are seen in the cases with hemorrage per rhexin.
社団法人日本耳鼻咽喉科学会の論文