Bulletin of the Chest Disease Research Institute, Kyoto University最新文献

{"title":"[Evaluation of the tracheobronchial clearance in patients with chronic bronchial infections by an integrated system using radioactive aerosol inhalation scintigraphy].","authors":"Y Matsui,&nbsp;R Amitani,&nbsp;H Itoh,&nbsp;F Kuze","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is widely accepted that the impairment of tracheobronchial clearance (TBC) are closely related to the development and the progression of chronic bronchial infections. We investigated TBC in patients with chronic bronchial infections (bronchiectasis; 11 cases, diffuse panbronchiolitis; 9 cases and primary ciliary dyskinesia; 3 cases) and also in 6 healthy subjects by a radioactive aerosol (99mTc-human serum albumin, 4.4 +/- 1.4 microns in diameter) inhalation scintigraphy with cough control in order to elucidate the relationships between impaired TBC and chronic bronchial infections. All subjects were not current smokers. After 4-minutes inhalation of radioactive aerosols (tidal volume: 500 ml x 20/min.), radioactivities in whole right lung were measured every 20 seconds for 2 hours serially and then measured at the time of 6 and 24 hours after inhalation. Immediately after the serial recording for 2 hours, single photon emission computed tomography (SPECT) was performed to assess the deposition pattern of radioactive aerosols. During the first 2 hours, all the subjects were instructed to avoid coughing as much as possible to evaluate the mucociliary clearance without cough effect. And then the subjects were allowed to cough between 2 and 24 hours after inhalation. All radiation counts were corrected for background radiation and physical decay of 99mTc. Because it is considered that the deposited aerosols are eliminated much more slowly in alveoli (biological half life: several months) than in airways (biological half life: several hours), the radioactivity remaining at the time of 24 hours was defined as alveolar deposition (ALV). Initial bronchial deposition (Br0) was defined as initial whole lung deposition (L0) minus ALV. We evaluated the TBC with following parameters; 1) Br0/L0 (%):ratio of initial bronchial deposition to initial lung (bronchial and alveolar) deposition. 2) Br2/Br0 (%), Br6/Br0 (%):bronchial retention ratio; the ratio of bronchial deposition at the time of 2 and 6 hours after inhalation to initial bronchial deposition, respectively. 3) TMV (mm/min.):tracheal mucus velocity (rate of shift of radioactive bolus on tracheal mucosa), which was measured during the period of first 2 hours under prohibition of cough. The patients (23 cases) were divided into two groups with regards to cough control for the first two hours of the scintigraphy:cough-controlled group (19 cases) and cough-uncontrolled group (4 cases). The cough-controlled group was subdivided into two subgroups (group A and group B) according to Br0/L0:group A less than 47.9% (mean + SD of Br0/L0 in healthy control) less than or equal to group B.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":9526,"journal":{"name":"Bulletin of the Chest Disease Research Institute, Kyoto University","volume":"24 1-2","pages":"12-33"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12985981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"T lymphocyte motility toward IL-1 in patients with interstitial lung diseases.","authors":"Htin-Aung","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>T Lymphocyte alveolitis is considered to be a prerequisite for the formation of epithelioid cell granuloma in sarcoidosis and for the subsequent inflammatory processes in interstitial lung diseases with lung lymphocytosis. To investigate whether T cell accumulation in the lungs is dependent on the recruitment of blood T cells into the lungs, we examined the T cell motility toward IL-1, which has been reported as a T cell chemoattractant, by using a microchemotactic assay. The number of blood T cells migrating toward IL-1 significantly (p less than 0.001) increased when compared with that toward medium. Inferring from the findings that the copresence or pre-incubation of IL-1 with T cells inhibits T cell motility, we confirmed IL-1 as a T cell chemoattractant. In minute amounts of IL-1 (0.000025pg/ml), the number of T cells migrating toward IL-1 significantly increased in sarcoidosis (n = 19) and interstitial lung diseases (ILD) with lung lymphocytosis (n = 5), compared to healthy subjects (n = 17). A raised T cell motility toward IL-1 could be shown in both blood and BALF T cells in sarcoidosis. Conclusively, raised T cell motility toward IL-1 in an in vitro chemotactic assay might contribute to the accumulation of T cells in the lung of patients with sarcoidosis and other ILD.</p>","PeriodicalId":9526,"journal":{"name":"Bulletin of the Chest Disease Research Institute, Kyoto University","volume":"23 1-2","pages":"38-47"},"PeriodicalIF":0.0,"publicationDate":"1990-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13288809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Results of surgery in non-small cell lung cancer].","authors":"M Teramachi,&nbsp;N Miyamoto,&nbsp;T Sasaka,&nbsp;T Nakamura,&nbsp;F Kitamura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two hundred and nine patients with non-small cell lung cancer underwent surgical treatment from January, 1978 to December, 1987 at the Kochi Municipal Hospital. There were 126 men and 83 women, varying in age from 36 to 85 years. The post-surgical stage distribution was as follows: 121 patients with Stage I, 22 with Stage II, 43 with Stage IIIA, 14 with Stage IIIB and 9 with Stage IV. The 5 year survival rate was 54% for all patients and only 3 patients of them (1.4%) died within the first month following operation. The 5 year survival rate was 71% for Stage I, 22% for Stage II, 38% for Stage IIIA, 36% for Stage IIIB and 25% for Stage IV. The 5 year survival rate was 66% for absolutely curative operation, 46% for relatively curative operation, 55% for relatively noncurative operation and 19% for absolutely noncurative operation. This series have 41 patients (19.6%) over 70 years old, and the 3 year and the 5 year survival rates for this high age group were 58% and 40%, respectively. Statistically, there was no significant difference in survival rate between this high age group and the younger group. Our successful experiences of the bronchoplastic procedures, extended resections and limited operations were also reported.</p>","PeriodicalId":9526,"journal":{"name":"Bulletin of the Chest Disease Research Institute, Kyoto University","volume":"23 1-2","pages":"48-53"},"PeriodicalIF":0.0,"publicationDate":"1990-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13125206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Airway obstructive diseases in Japan--COPD and other related diseases].","authors":"K Nishimura","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9526,"journal":{"name":"Bulletin of the Chest Disease Research Institute, Kyoto University","volume":"23 1-2","pages":"19-37"},"PeriodicalIF":0.0,"publicationDate":"1990-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13288808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathologic features and the classification of interstitial pneumonia of unknown etiology.","authors":"M Kitaichi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Currently, five types of interstitial pneumonia of unknown etiology or IIP have been described; DAD, UIP, BOOP, DIP and LIP. A summary of the features of clinical course, prognosis and therapeutic effects to steroid hormone treatment of the five types of interstitial pneumonia of unknown etiology or IIP is given in Table 15). Among the previous mentioned 52 open lung biopsy cases of interstitial pneumonia of unknown etiology or IIP, for which an open lung biopsy was necessary for diagnosis, the majority of those cases (81%) was IPF (UIP) while idiopathic BOOP occurred as the second in frequency (13%). These data will help in understanding the clinical outcome and the therapeutic response to steroid hormone treatment in cases of interstitial pneumonia of unknown etiology or IIP, because idopathic UIP is slowly progressive and usually not responsive to steroid while idiopathic BOOP is usually responsive to steroid hormone treatment and may regress even spontaneously. Cases of IPF (UIP) should have revolutional modalities for therapy.</p>","PeriodicalId":9526,"journal":{"name":"Bulletin of the Chest Disease Research Institute, Kyoto University","volume":"23 1-2","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"1990-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13288807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Three cases of chronic respiratory failure].","authors":"T Kurasawa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Three patients with chronic respiratory failure of various etiology, who have (had) been in the hospital for some years, were presented. The case 1 is male and was 57 years old on admission. He has been suffered from right thoracic emphysema from October '83, which is under chronic infection of Pseudomonas aeruginosa, with bronchial fistula and aortic valve insufficiency. His pulmonary function is severely restrictive and the grade of his dyspnea has been V of Hugh-Jone's criteria and he is now unable to leave from bed. The case 2 is male and was 41 y.o. on admission. He has been ill with diffuse cystic bronchiectasis from 33 y.o. and bronchorrhea (greater than 200 ml/day) with chronic infection of Pseudomonas aeruginosa has been lasting and recurrent attacks of infection have progressively worsened of his pulmonary and cardiac functions. He is now indispensable to assist ventilation by artificial respirator every 2-3 days. The case 3 was male and 27 y.o. on admission. He had admitted because of severe dyspnea due to familial pulmonary fibrosis on August '86. His disorder had been progressive and resistant against repeated corticosteroid therapy. He died of respiratory failure at 30 years old. The transplantations of lung and heart-lung for critical patients with respiratory failure have been challenged in North America and Europe, but in Japan, many social and medical problems about transplantation have yet been unresolved. The indications for and against lung or heart-lung transplantation to these three patients was discussed with reference to English literatures.</p>","PeriodicalId":9526,"journal":{"name":"Bulletin of the Chest Disease Research Institute, Kyoto University","volume":"22 1-2","pages":"43-9"},"PeriodicalIF":0.0,"publicationDate":"1989-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13763334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Noninvasive ventilatory support on chronic respiratory failure with hypoventilation].","authors":"K Chin,&nbsp;M Ohi,&nbsp;K Kuno","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chest negative pressure ventilation (CNPV) and intermittent positive pressure ventilation (IPPV) through a nose mask were used for ventilatory support of 4 patients with chronic respiratory failure due to old tuberculosis (2 patients), chronic pulmonary emphysema, and kyphoscoliosis (VC, 0.91 +/- 0.16 L; %VC 31.2 +/- 3.2; FEV1.0, 0.62 +/- 0.19 L). These ventilatory supports were used for relief of chronic arterial CO2 retention, weaning from the mechanical ventilation, therapy for the acute exacerbation on the chronic respiratory failure, and the relief of the respiratory muscle fatigue. After CNPV and IPPV through a nose mask, PaCO2 showed a significant fall from 75.7 +/- 14.8 Torr to 60.2 +/- 12.3 Torr (p less than 0.01). All patients showed improvement of clinical symptoms. Two patients have continued CNPV at home on a regular basis. We conclude that CNPV and IPPV through a nose mask significantly improve hypoventilation and quality of life in some patients with chronic respiratory failure.</p>","PeriodicalId":9526,"journal":{"name":"Bulletin of the Chest Disease Research Institute, Kyoto University","volume":"22 1-2","pages":"50-7"},"PeriodicalIF":0.0,"publicationDate":"1989-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13763335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A case of multiple plasmacytomas of the bone].","authors":"Y Matsui,&nbsp;S Tanaka,&nbsp;Y Sasaki,&nbsp;M Kitaichi,&nbsp;T Izumi,&nbsp;S Ohshima","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We recently experienced one case of multiple plasmacytomas of the bone (IgM-lambda type), a 70-year-old female who had five foci of bony destruction for a three-year follow-up period after surgery of solitary plasmacytoma of the rib. A diagnosis for plasma cell tumor was discussed in detail.</p>","PeriodicalId":9526,"journal":{"name":"Bulletin of the Chest Disease Research Institute, Kyoto University","volume":"22 1-2","pages":"4-10"},"PeriodicalIF":0.0,"publicationDate":"1989-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13661878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Lung transplantation at Toronto General Hospital].","authors":"F Yamazaki","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9526,"journal":{"name":"Bulletin of the Chest Disease Research Institute, Kyoto University","volume":"22 1-2","pages":"73-7"},"PeriodicalIF":0.0,"publicationDate":"1989-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13761730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Psychological background of patients using home oxygen inhalation therapy, their prognosis and the possibility for lung transplantation].","authors":"K Ishihara,&nbsp;T Hasegawa,&nbsp;H Sakamoto,&nbsp;J Nakai,&nbsp;M Ishii","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9526,"journal":{"name":"Bulletin of the Chest Disease Research Institute, Kyoto University","volume":"22 1-2","pages":"58-64"},"PeriodicalIF":0.0,"publicationDate":"1989-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13763336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}