流行性出血熱の血液像と尿

抄録

1) A special hemogram: red cells have tendency to increase at the earlyphase and decrease after haemorrhagic phase; in the acme appeared reticulocyte; generally hemogrobin has decreasing tendency. White blood cells show a slighly decrease in the beginning, but increase at the pyrogenetic stage (febriletime); early in the second day of the pyretolysis or late in the several days return to normal. In the leucocyte analysis, the increase of the neutrophile leucocyte was seen; a marked shift to the left is noted in the beginning; myelocyte and metamyelocyte at times appear; mean nuclei counts show a high value 1.5-2.0; distinct vacuolated leucocyte and toxic granules are present in the pyrogenetic stage and the acme. The appearing and disappearing of eosinophile leucocyte are not distinct like typhoid disease. Mononuclear leucocytes and plasmacells a little increase; basophile leucocytes are present in the beginning, but basophile leucocytes are hardly seen in the acme; the platelet number decreases from the beginning and then increases and return to normal but in the patient of grave prognosis the counts remain low. I indicate the thrombopenie as a prognostically important factor of the Epidemic Hemmorrhagic Fever.
2) Urinalysis: urobilinogen and urobilin or Diazo tests showed questionable results, but Indican test at times was positive. On the convarescence, the amount of the urine increased and urinary albumin and casts and flocks disappeared.