著者

石田 愛 永井 世里 小山 新一郎 江崎 伸一 濱島 有喜 村上 信五

出版者

日本喉頭科学会

雑誌

喉頭 (ISSN:09156127)

巻号頁・発行日

vol.29, no.1, pp.14-16, 2017-06-01 (Released:2017-10-27)

参考文献数

10

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Vocal cord paralysis often occurs due to unknown reasons. Since bilateral paralysis can cause dyspnea,we have to carefully watch the state of the patient while investigating the causes of paralysis. We herein report a case of bilateral vocal cord paralysis in a patient who was a vegetarian. The patient’ paralysis was improved by the administration of mecobalamin.

著者

原田 生功磨 國井 博史 小山 新一郎 勝見 さち代 村上 信五

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.22, no.2, pp.109-115, 2009 (Released:2010-07-01)

参考文献数

22

被引用文献数

3

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口蓋扁桃摘出術における周術期抗生剤の投与期間を手術当日のみから術後3日以上に延長, 術後経過をカルテで追跡した. その結果, 抗生剤投与日数を3日以上に延長しても術後出血率, 解熱鎮痛剤使用数, 発熱の有無に影響がみられなかった. 周術期の抗生剤投与は手術当日のみで十分と考えられたが, 術後出血例の検討では局所感染を伴うものもあった. 術前より術野の常在菌叢, 薬剤感受性を把握し最適な抗生剤を使用するなど症例毎に感染対策を行うことが良いと思われた. 一方, 抗生剤使用期間にかかわらず, 解熱鎮痛剤の使用が多いと, 有意に術後出血が増加した. その原因は不明であり解熱鎮痛剤の抗血小板作用なども含め今後の検討を要する.

著者

小山 新一郎 川北 大介 近藤 雅幸 吉岡 正展 村上 信五 吉田 梨帆

出版者

日本喉頭科学会

雑誌

喉頭 (ISSN:09156127)

巻号頁・発行日

vol.18, no.2, pp.146-148, 2006-12-01 (Released:2012-09-24)

参考文献数

5

被引用文献数

1

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We reported on a rare case of morning glory seeds as bronchial foreign bodies. The patient was a five-month-old male infant. He accidentally inhaled morning glory seeds after placing them in his mouth and coughing. The consulting doctor diagnosed that he had caught a cold after examining a chest x-ray image and observing normal sounding respiration. Three days later, his body temperature was 40 degrees and his cough was persisting. Medical consultation was sought again. His chest x-ray revealed that the mediastinum had moved to the right side and the left pulmonary field had inflated abnormally. CT imaging clearly indicated foreign bodies in the left bronchus. We performed a ventilation bronchoscopy. His left bronchus was obstructed by morning glory sprouts. After we removed the sprouts, the child's respiratory sound and chest x-ray results improved. We determined that the morning glory seeds had germinated in the warm and wet bronchus and the enlarged seeds had obstructed his left bronchus.