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ID 19035
Eprint ID
19035
フルテキストURL
71_217.pdf 2.07 MB
タイトル(別表記)
Reactivation of residual foci in the ipsilateral lung after resectional surgery for pulmonary tuberculosis. Part Ⅱ. Causes of reactivation of residual foci with special reference to overexpansion of the ipsilateral lung
著者
高下 良正 岡山大学医学部砂田外科教室
抄録
It was recognized that overxpansion of the remaining lung might be predominant cause for reactivation of residual foci. Comparative studies were made on sixty-eight cases among 700 resections who were followed up more than one year after resection and had been known to have residual foci. All had brochographic examinations before and after operation. Following results were obtained. 1) None of factors except overexpansion could be considered to be in intimate relation with reactivation of residual foci. 2) The mode of reexpansion of the remaining lung was classified into five types. Uniform expansion and displacement of each segment were seen in very few cases. Compensatory expansion of the adjacent segment to the resected one were seen in most cases, especially displacement of segments located anteriorly was frequently encountered. 3) Diameter of peripheral bronchus was measured on both pre-and postoperative bronchograms and the ratio was calculated. It increased in proportion to the degree of displacement and expansion of the remaining lung, that is, expansion of the lung was followed by dilatation of the bronchus. 4) Diameter of the bronchus of compensatorily expanded segment was within 1.4 times compared to preoperative value in non-reactivated group and more than 1.5 times in rectivation group. 5) Reactivation of residual foci developed in the segment associated with compensatory dilatation of the bronchus. As dilatation of the bronchus was merely secodary change, it could be concluded that reactivation in the ipsilateral lung was caused by overexpansion.
発行日
1959-01-31
出版物タイトル
岡山医学会雑誌
出版物タイトル(別表記)
Journal of Okayama Medical Association
71巻
1号
出版者
岡山医学会
出版者(別表記)
Okayama Medical Association
開始ページ
217
終了ページ
227
ISSN
0030-1558
NCID
AN00032489
資料タイプ
学術雑誌論文
オフィシャル URL
https://www.jstage.jst.go.jp/article/joma1947/71/1/71_1_217/_article/-char/ja/
関連URL
http://www.okayama-u.ac.jp/user/oma/
言語
日本語
著作権者
岡山医学会
論文のバージョン
publisher
査読
有り
Eprints Journal Name
joma
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