呼吸困難を主訴とせる興味ある喉頭結核症のⅠ例

　緒言

　最近府立医大耳鼻科臨床を訪れた気管套管拔去困難症の患者でこれまでに血液「ワ」氏反応が陽性のため数回サルバルサン注射を受けつつあるが未だ効果がないので原因を明らかにし套管抜去を希望して来院したものがある．一見頑丈な体格を有する男子で喉頭鏡及び直達鏡所見では喉頭粘膜が充血腫脹している他には病変を把握し難いため喉頭截開術を行いその際得た切片標本より喉頭結核症なることを知りその局所所見自覚的症状病歴等より異常な病像を示したものと考え興味を覚えたのでここに報告して聊か考按を加えたいと思う．

ISHIHARA reports a case of difficult decan-ulization of tracheotomy tube which was inserted previously at a hospital elsewhere for severe acu-te dyspnea. From clinical and other laboratory examinations establishment of diagnosis was also met with a difficulty. Blood examination showed a positive Wasserman reaction. The laryngeal c-ondition, however, which was manifested with high degree of edema and injection was found to be tuberculosis from tissue examination of the specimen obtained at the time of laryngotomy which was performed with the purpose of investi-gating the cause of difficult decanulization. The trachebtmy tube, in the last analysis, Was not re-movable on account of presence of narrowed lary-ngeal space.