<原著>気腫性嚢胞感染例の臨床的観察

Abstract

The infected bullae have been considered relatively rare. However, eight cases of such infected emphysematous bullae have been observed in our hospital in these recent years. These eight cases have been traced from the early stage of the bullae. These infected bullae may be found with or without relatively mild clinical symptoms by the routine health examination. Namely they are found on the chest X-ray films with fluid level and surrounding infiltration in mainly upper lobe of the lung. The fluid level and surrounding infiltration may be absorved rapidly by the intensive chemotherapy. Subsequently the bullae may diminish the size and then disappear almost totally. The findings from the bronchograms or incidental operations reveals that the pathological changes are located in the very peripheral portion of the air ways. By these specific clinical teatures the pathological findings, these infected emphysematous bullae could be differentiated from the tuberculous bullous cavity and other cystic or thin-wall-cavity-forming pulmonary diseases. These clinical and roentgenological events should be taken into consideration on the health examination.