抄録
Details upon the pathological physiology and the exact mechanism of effect of artificial pneumoperitoneum, commonly used as a treatment for pulmonary tuberculosis, remain to been elucidated so far.
The results of many investigations concerning this problem have been reported by professor, Dr. Sunao Wada. As my share, I have made clinical studies on the fluctuation in the blood sugar level by pumping gases intraperitoneally. To estimate the blood sugar level, Hagedorn & Jensen's method was employed.
Fasting blood sugar levels in healthy individuals and patients of mild pulmonary tuberculosis without any complications were observed for one week. In patients with mild pulmonary tuberculosis the fasting blood sugar levels caused by intraperitoneal pumping were observed for one week. 4 types of gases were used: air, nitrogen, oxygen and carbon dioxide. The results as follows:
1) The results in cases of pulmonary tuberculosis with no intraperitoneal pumping were almost constant and the mean value of them was 86 mg%, almost the same as that of 85 mg% in healthy individuals.
2) 3 hours after the gases were pumped into the peritoneal cavity, the blood sugar level of the tuberculous patients showed a slight reduction. After 24 hours, the blood sugar level reached its maximum value, after surpassing its pre-pumping value. Subsequently, the elevated blood sugar gradually returned to its original value. However, these fluctuations were physiologically within normal limits.
3) The 4 different gases produced no significant difference in the fluctuation of blood sugar level.
