窒息死の一剖檢例

　前書

　氣管枝異物は，その發來が急性であると慢性であるとを問わずその症状が多種多樣なる事，合併症並びに治療法の興味ある點等より耳鼻咽喉科領域に於て，特殊の注意を向けられている．然し往々その診斷は甚だ困難であり．他の疾患として長日月の間治療される事もあれば，又本症例の如く氣管枝異物ではないかと思われて，實はそれとは凡そ趣きを異にせる疾患である例もある，以下は呼吸困難の一患者が當時の環境より氣管枝異物なりと固く信じて入院せるも翌朝死亡し，生前に診斷を確定する暇もなかつたが，剖檢により最初の豫想とは凡そ懸絶せる所見を得た經驗である．

Soeno reports a case where, symptom of pleurisy with effusion so strongly simulated those of trachea bronchial foreign bodies that, the real cause of the disease is revealed only at the time of necro-psy

The history is that of a spinster, 35 yeas of ago, complaining of dyspnea and the onset of which, developing suddenly after the sensation of th roasted dried peas, which shewas eating at the time having fallen into her wind-pipe. Foreign body is suspected and brochoscopy is done wifh negative results. The patient dies in the paroxysms of cou-gh.

Necropsy reveals pleurisy with effusion in the left chest with approximately 2 liters of turbid fluids. The cause ofhdeath, the author says, is asph-yxia, apparently due to mechanical obstruction of the bronchi, the pressure on which was exerted by the acutely displaced heart and the mediatin-uhm to the right sihe, anh the circulatory failure from the lisplacel heart.