著者

大越 俊夫

出版者

耳鼻咽喉科臨床学会

雑誌

耳鼻咽喉科臨床 (ISSN:00326313)

巻号頁・発行日

vol.99, no.11, pp.891-896, 2006-11-01

参考文献数

15

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Abnormal sensations in the throat can be induced by a wide variety of causes, and therefore requires both mental and physical approaches to treatment. In addition, malignant tumors maybe detected in a small number of patients with complaints of abnormal sensations in the throat, and this must never be overlooked. While there have been numerous reports descring various tests, diagnostic methods for determining the causes of abnormal sensations in the throat as well as administration the of therapeutic drugs vary among facilities and few reports have investigated cases of abnormal sensations refractory to initial treatment. Furthermore, although the involvement of psychogenesis in this illness is not small, the extent of its involvement is extremely difficult to assess. While therapeutic determination using various psychological tests and the effects of mild tranquilizers has been attempted, clarification of the extent of psychogenic involvement in this illness remains difficult, as does the treatment of this illness as a psychosomatic illness in the field of otolaryngology.<br>Improvement in abnormal sensations in the throat is determined by changes in the subjective symptoms of the patient. Many reports on the treatment of abnormal sensations in the throat have focused on the effects of administering a specific drug in response to a defined cause of illness, and few have reported the final improvement rates of the patients included in these studies. In other words, it is important to investigate secondary and tertiary treatment methods and the extent to which abnormal sensations in the throat has been improved in patients with abnormal sensations refractory to initial treatment, as well as the appropriate course of action when improvements are not observed.

著者

大越 俊夫 大木 幹文 持木 茂樹

出版者

耳鼻咽喉科展望会

雑誌

耳鼻咽喉科展望 (ISSN:03869687)

巻号頁・発行日

no.49, pp.51-56, 2006

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ネブライザー溶液の汚染・感染について検討したので報告する。<BR>ネブライザーの薬液汚染の原因は, (1) 薬液作製時・保管時の汚染, (2) 吸気および外部ホース, 内部ホースなどネブライザー機器の汚染によるもの, (3) 患者からの逆流による汚染が考えられる。<BR>超音波ネブライザー1台, 大型薬液内蔵型ジェットネブライザー2台について検討した。<BR>その結果, <BR>1. 作製時の薬液は3施設とも細菌は認められなかった<BR>2. 使用前では大型薬液内蔵式ジェットネブライザー, 超音波ネブライザーともに溶液作製時および空打ち後の検査でも細菌は認められなかった。<BR>3. 大型薬液内蔵式ジェットネブライザーにおいて患者使用後の外部チューブ, 内部チューブ, 薬液槽とも細菌は検出されなかった。<BR>4. 超音波ネブライザーにおいて患者使用後の外部チューブから細菌は検出されなかったが, 薬液槽残液からブドウ糖非発酵グラム陰性桿菌が検出された。

著者

大越 俊夫

出版者

耳鼻咽喉科臨床学会

雑誌

耳鼻咽喉科臨床 (ISSN:00326313)

巻号頁・発行日

vol.99, no.11, pp.891-896, 2006-11-01 (Released:2011-10-07)

参考文献数

15

被引用文献数

1

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Abnormal sensations in the throat can be induced by a wide variety of causes, and therefore requires both mental and physical approaches to treatment. In addition, malignant tumors maybe detected in a small number of patients with complaints of abnormal sensations in the throat, and this must never be overlooked. While there have been numerous reports descring various tests, diagnostic methods for determining the causes of abnormal sensations in the throat as well as administration the of therapeutic drugs vary among facilities and few reports have investigated cases of abnormal sensations refractory to initial treatment. Furthermore, although the involvement of psychogenesis in this illness is not small, the extent of its involvement is extremely difficult to assess. While therapeutic determination using various psychological tests and the effects of mild tranquilizers has been attempted, clarification of the extent of psychogenic involvement in this illness remains difficult, as does the treatment of this illness as a psychosomatic illness in the field of otolaryngology.Improvement in abnormal sensations in the throat is determined by changes in the subjective symptoms of the patient. Many reports on the treatment of abnormal sensations in the throat have focused on the effects of administering a specific drug in response to a defined cause of illness, and few have reported the final improvement rates of the patients included in these studies. In other words, it is important to investigate secondary and tertiary treatment methods and the extent to which abnormal sensations in the throat has been improved in patients with abnormal sensations refractory to initial treatment, as well as the appropriate course of action when improvements are not observed.

著者

山口 宗太 大木 幹文 大久保 はるか 石井 祥子 櫻井 秀一郎 大越 俊夫

出版者

日本口腔・咽頭科学会

雑誌

口腔・咽頭科 (ISSN:09175105)

巻号頁・発行日

vol.21, no.1, pp.137-137, 2008-08-10 (Released:2010-06-28)