Nihon Naika Gakkai Zasshi
Online ISSN : 1883-2083
Print ISSN : 0021-5384
ISSN-L : 0021-5384
INFLUENCE ON THE FUNCTIONS OF AUTONOMIC NERVOUS SYSTEM PRODUCED BY THE ARTIFICIAL PNEUMOPERITONEUM STUDIES ON THE ANISOCORIES IN THE PATIENTS WITH PULMONARY TUBERCULOSIS
Shiuzo Fujita
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JOURNAL FREE ACCESS

1958 Volume 47 Issue 1 Pages 28-40

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Abstract
As a part of the series of the studies on the influence of the artificial pneumoperitoneum on the function of autonomic nervous system, the author measured the diameter of the pupils of 520 pulmonary tuberculous patienats. The following results were obtained.
1) There were 59 (11.3%) patients with anisocoria out of all cases.
2) There were 48 (10.2%) patients with anisocoria out of 471 cases without surgical collaps therapy.
3) The patients with anisocoria were dominant in the cases with minimal lesion. In the cases with minimal and moderately advanced lesions, the diameters of pupils on the side of which the lung was affected, were larger than the opposite side. On the contrary, the pupils of far advanced cases were smaller in the affected side.
4) There were 15 (9.3%) patients with anisocoria out of 162 cases with no collaps therapy and 8 (12.5%) cases out of 64 artificial pneumothorax cases and 25 (10.2%) patients with anisocoria out of 245 cases treated with artificial pneumoperitoneum.
5) Out of 15 patients performed cavity drainage, 2 (13.3%) cases were found suffering from anisocoria and out of 31 patients performed thoracoplasty, 9 (29.1%) cases had anisocoria. The diameter of pupils on the side undergone surgical collaps therapy were smaller than the opposite side.
6) There were 18 (7.3%) cases with anisocoria out of 224 cases with pleural thickness by roentgenological examinations. There is no close relationship between anisocoria and the side of pleural thickness.
7) The anisocoria is unstable.
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© The Japanese Society of Internal Medicine
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