著者

川井田 政弘 福田 宏之 加納 滋 蓼原 東紅 大木 和明 凌 梅英 紀太 康一

出版者

The Japan Broncho-esophagological Society

雑誌

日本気管食道科学会会報 (ISSN:00290645)

巻号頁・発行日

vol.38, no.3, pp.309-313, 1987-06-10 (Released:2010-02-22)

参考文献数

20

被引用文献数

1

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This is a report of a patient with sudden hoarseness which was probably caused by mis-inhalation of a commercially-available alkaline disinfectant. The patient was a 27-year-old female who sprayed it in a small room in order to prevent mould. She said she inhaled carelessly much amount of it. Next day, she suffered from hoarseness and strange sensation in her throat and visited our clinic.The laryngo-fiberscopical observation revealed that there were small masses with smooth suface at the posterior wall of the larynx bilaterally.The masses were resected under microlaryngoscopy and vaporized completely with a CO2 laser. A histopathological study revealed that the masses were nonspecific glanulomas.This disinfectant was one of strong alkalis chiefly consisting of NaOCl and NaOH. The corrosive action of the strong alkali might cause minute injuries around the bilateral vocal processes of the arytenoid cartilages. The granulomatous mass was probably produced by the injuries with secondarily occured bacterial infection.No recurrence has been found under the mirror-laryngoscopy after the treatment.

著者

藤井 正人 神崎 仁 大築 淳一 小川 浩司 磯貝 豊 大塚 護 猪狩 武詔 鈴木 理文 吉田 昭男 坂本 裕 川浦 光弘 加納 滋 井上 貴博 行木 英生

出版者

耳鼻と臨床会

雑誌

耳鼻と臨床 (ISSN:04477227)

巻号頁・発行日

vol.40, no.2, pp.225-231, 1994-03-20 (Released:2013-05-10)

参考文献数

8

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セフポドキシムプロキセチル (CPDX-PRバナン錠®) は三共株式会社が開発した経口用セフェム系抗生物質で広範囲な抗菌スペクトルムを有するのが特色である. 今回, われわれは耳鼻咽喉科領域の感染症に対する有効性と安全性を検討した. 166症例に対して CPDX-PRを症状に応じて一日200mgないし400mg分2投与を4日以上最大14日間投与した。著効が51例, 30.7%にみられ, 有効例は68例, 41.0%にみられた. 疾患別では急性扁桃炎と急性副鼻腔炎が高い著効率を示した. 慢性中耳炎の急性増悪, 急性咽頭炎では高投与量で良好な効果を示した. 自覚的症状の改善度では, 咽頭痛の改善が良好な結果であつた. 投与前後の細菌検査を行つた20例30株では菌消失率では77%と良好な結果であつた. 副作用は1例に発疹が見られたのみであつた. 以上よりCPDX-PR は耳鼻咽喉科感染症に対して高い有効率と安全性を示すと考えられた.

著者

福田 宏之 川井田 政弘 大木 和明 加納 滋 川崎 順久 辻 ドミンゴス浩司 甲能 直幸

出版者

The Keio Journal of Medicine

雑誌

The Keio Journal of Medicine (ISSN:00229717)

巻号頁・発行日

vol.39, no.2, pp.102-105, 1990

被引用文献数

2

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The phonatory examination was performed while monitoring vocal fold vibration by laryngostrobovideography. Vocal fold vibration was video-taped by a laryngostroboscope and flexible laryngofiberscope inserted through the nasal cavity. Simultaneously, the phonatory examination was conducted with a phonation analyzer. The data were entered into a personal microcomputer via an A/D converter and analyzed to obtain the parameters of sound pitch, sound intensity and mean expiratory air flow volume, which were superimposed on the color video monitor screen.