1982年大島青松園入園者の集団検診とその追跡調査

抄録

The mass examinations of in-patients of National Sanatorium Oshima Seisho-en were made in all in-patients except long out-stayer since March of 1982.
The objects were narrowed down to three points, finding out of latent disease, finding out of malignant tumor as early as possible, general grasping of health condition of inpatients.
The kinds of examination and the number of examined patients are as follows : routine examination of urine (protein, pH, suger, occult blood, acetone, sediment and urobilinogen); 415 patients, routine examination of blood (number of RBC, number of W BC, hematocrit and hemoglobin); 422 patients, CRP and ESR; 422 patients, biochemistry of serum (total protein, albumin, total bilirubin, direct bilirubin, indirect bilirubin, ZTT, total cholesterol, uric acid, urea nitrogen, alkali phosphatase, cholin esterase, LAP, GOT, GPT, γ-GTP and LDH); 425 patients, fraction of serum protein; 411 patients, lipid of serum (j3-lipoprotein, HDL-cholesterol); 393 patients, amylase of serum; 405 patients, ECG; 408 patients, blood pressure; 408 patients, stool examination; 342 patients, chest x-ray; 382 patients.
The gynaecological examinations by internal examination and smear test were made in 45 candidates.
Besides, pyelography by intravenous injection of 75% Urographin and cytodiagnosis of urine were made in 40 cases showing abnormal results (urine protein positive, over five erythrocytes in a microscopical field of sediment and over 10 leucocytes in a field) in routine urine examination, Indocyanine green-test in the cases showing high level of ZTT among liver function test, and blood suger tolerance test by oral administration of 50 gram of Toleran G in 26 urine suger positive cases. The measurement of insulin in blood was made in 8 cases in total. They are composed of 4 cases who were diagnosed as diabetes mellitus by blood suger tolerance test and 4 cases who were diagnosed as borderline positive cases. Results
The cases in whom some disease was found newly and immediate admission in sick-ward or treatment was requested were 9 in number, made up as follows ; a case of diabetes insipidus, 6 cases of anemia and 2 cases of dysfunction of liver.
The percentage of cases showing abnormality who need treatment or further investigation was 12 in routine urine examination, 13 in routine blood examination, 5 in urine suger test, 5 in serum lipid test, 14 in blood pressure, 10 in liver function test, 1.4 in bile duct test, 10 in kidney function test, and 12.5 in pancreas function test. The percentage of the cases who showed over 4 plus in CRP test was 3 and that of the cases who showed suspected plus to 3 plus was 27.3.
The percentage of cases who showed abnormality in gynaecological examination was 6.7, and they were suspected cases of chronic inflammatory disease.
The percentage of cases who showed abnormal finding in chest x ray photograph was 11. Among them only one case has active tuberculosis.
The percentage of cases who showed abnormality in ECG was 58, and when the cases who showed over 2 abnormality were added, it became 64. Among them, the percentage of suspected myocardial injury was 4, suspected block 18 and suspected coronary insufficiency 26. Among the cases having suspected myocardial injury, 2 cases had no clinical sign. Among the patients measured their blood pressure, the percentage of the cases whose maximum pressure was over 160 mm Hg was 27, and that of the case whose minimum pressure was below 95 mm Hg was 8. The percentage of the cases whose maximum pressure was over 160 mm Hg and minimum pressure was below 95 mm Hg was 4.
The cases who showed abnormality in the pelvis of kidney by pyelography was 18 among 40 (45%). No case was diagnosed as suspected malignant tumor by cytodiagnosis. Accordingly it was considered that the pyelographic findings of 18 cases were not caused by malignant tumor.