SURGICAL RENAL DISEASES AND THE LIVER FUNCTION
REPORT II: EFFECTS OF THE SURGICAL RENAL DISEASES ON THE URIC MILLON'S REACTION MODIFIED BY YAMASAKI AND OTA
1957 Volume 48 Issue 7 Pages 506-514
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1957 Volume 48 Issue 7 Pages 506-514
In this paper, the results of quantitative Millon's reaction in the bladder urine and the bilateral renal urine collected by ureteralcatheterisation on the patients of the various renal diseases are discribed.
1) There is almost no difference in Millon's rate (M. R.) between the sides of urine from the kidnies with normal function and pyelogram. The bladder urine shows a insignificantly higher M. R. than renal urine. The M. R. of these urines are below 11.5mg/dl.
2) In cases with the same renal function, the M. R. increases or decreases in parallel with Millon's substance in the system.
3) On the 12 patients of unilateral renal tuberculosis, the M. R. is highest in urine from normal kidney (12.4±3.1mg/dl), than in bladder urine (11.3±2.3mg/dl), and is lowest in the urine from affected kidney (7, 1±2.6mg/dl). As there is a definite difference between M. R. of normal and affected urine, the excreation of Millon's substance may be considered to depend upon the renal function.
4) On the 11 patients of unilateral renal tuberculosis, it is proven that a delay in the excreation time of indigocarmin test indicates a lowering in M. R. in affected urine and converse in normal urine. The M. R. of bladder urine is apt to increase.
5) On the 9 patients of unilateral renal tuberculosis, it is proven that when phenolsulfophthalein test is poor, M. R. of normal urine is higher than normal, and that of affected urine is converse. The M. R. of bladder urine is almost the same with normal urine.
6) On the same cases, it is proven that there is no intimate relation between the water test and M. R. of normal, affected and bladder urine.
7) On the 11 patients of unilateral renal tuberculosis, it is proven that a higher changes in pyelogram indicates a lower M. R. of affected urine, higher M. R. of normal urine and an increasing tendency of it in bladder urine. The same relationship exists between the degree of organic changes in the removed kidney and the M. R. of normal, affected and bladder urine.
8) In patients of bilateral or contralateral renal tuberculosis after a removal of a unilateral kidney, the M. R. is low and does not indicate the degree of liver function disorder.
9) In patients of non tuberculous renal disorders, the M. R. of normal urine is frequently higher than affected urine, the bladder urine has a higher level of M. R. than the other too. However, in patients of renal newgrowth, the M. R. of affected urine is higher than the other.
