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Volume 45, Issue 9
Displaying 1-6 of 6 articles from this issue
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THE RENAL CLEARANCE TEST IN THE URETERO-ENTEROSTOMYAkio Takashima1954 Volume 45 Issue 9 Pages 553-560
Published: 1954
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSThe renal plasma flow (RPF) (with sodium para-amino hippurate), the renal blood flow (RBF), the glomeruar filtration rate (GFR) (with sodium thiosulfate) and the filtration fraction (FF) were measured on 7 dogs in which the both ureters were transplanted into the isolated portion of the sigmoid with the combination of Coffey I method and Kerr-Colby method to have an artificial sigmoid bladder.
The results were as follows:
1. Preoperatively, RPF was 177-331cc/min, on the average 226cc/min, RBF was 300-551.7cc/min, on the average 383cc/min, GFR was 57-88.8cc/min, on the average 71.8cc/min and FF was 0.27-0.38, on the average 0.32.
2. Postoperative changes.
a. Of the 7 dogs, 2 dogs were survived, 3 dogs died on the 14th. -23rd, postoperative day due to ascending infection of the upper urinary tracts or due to stenosis of the anastomosis site and 2 dogs died on the 4th. -7th. postoperative day due to the operation.
b. For 24 hours after the operation marked damages of the renal function were seen. RPF, RBF and GFR decreased to 31.5-47.4, %, 23.4-4% and 41-50% of each preoperative rate.
c. In all dogs except 2 dogs which died due to the operation RPF, RBF and GFR were restored to 60%, 60-70% and 67.3-86.9% of each preoperative rate. On the other hand, 2 dogs which died due to the operation did not show any evidence of restoration.
d. In 2 dogs which were survived for long time all three values were restored gradually to the preoperative rate within 3 weeks after the operation. GFR was restored more slowly than RPF and RBF. However, in 3 dogs which died on the 14th. -23rd. day, RPF, RBF and GFR began to decrease again from the 2nd, week after the operation.View full abstractDownload PDF (1070K) -
THE RENAL CLEARANCE TEST AFTER THE PARTIAL NEPHRECTOMY (THE 1st. REPORT: A STUDY OF THE PARTIAL NEPHRECTOMY)Akio Takashima1954 Volume 45 Issue 9 Pages 561-567
Published: 1954
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSThe renal plasma flow (RPF) (with sodium para-amono hippurate), the renal blood flow (RBF), the glomerular filtration rate (GFR) (with sodium thiosulfate) and the filtration fraction (FF) were measured clinically and experimentally in order to discover damages of the renal function after the partial nephrectomy.
1. Clinical cases.
Renal clearance tests were performed on 9 clinical cases, containing 3 of renal tuberculosis, 3 of renal calculi and 3 of essential renal bleeding.
a. In patients who have another healthy kidney, changes of clearance tests after the partial nephrectomy were slight.
b. In a patient who has the one kidney, RPF was 280cc/min and GFR was 75cc/min on the 54th. postoperative day. There still remained a slight damge of the renal function
2. Experimental studies.
On 10 dogs renal clearance tests were performed to discover damages of the renal function immediately after the operation.
a. In all dogs, there were moderate damages of the renal function for 3 days after the operation, but gradually restorations occurred
b. RPF and RBF began to recover on the 5th. -7th. day after the operation. And in the 3rd. week after the operation RPF was 79. 4o and RBF was 78.5% of the normal value.
c. GFR required more days to regain the normal rate than RPF and RBF. GFR was only 66.2% of its normal rate on the 21st. day.
3. Conclusion.
Though the partial nephrectomy is accompanied with postoperative damages of the renal function, patients with another healthy kidney are not subjected to significant metabolic disorders after the operation, because the healthy kidney functions in compensation. On the other hand, patients with only one kidney face a crisis after the operation. After all the partial nephrectomy is a useful operation in the indicated cases, as damages of the renal function are reversible.View full abstractDownload PDF (1031K) -
Hikohachiro Inoue, Toshio Takayanagi, Hiroshi Kobayashi, Shotaro Sato1954 Volume 45 Issue 9 Pages 568-576
Published: 1954
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSAs a method of evaluation of renal functions, the renal vein catheterization was performed on patients with surgical renal diseases in our urological clinic. In this preliminary report a review of the literature, the technique and a part of the results are described.
1. The renal vein catheterization is easily applicable without any complications.
2. Renal vein pressure, renal extraction ratios of sodium para-amino hippurate and sodium thiosulfate and oxygen arterial-venous difference were measured by this method.
3. The renal vein catheterization was performed on 27 patients. The details will be described in the next report.
4. This method affords the best results for determining the renal extraction ratios of various substances.View full abstractDownload PDF (4871K) -
Tsutomu Imakita, Tomoyuki Oshima1954 Volume 45 Issue 9 Pages 577-579
Published: 1954
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESS1) Ultraviolet absorption spectra of the penicillin G and its related substances have been studied, Characteristic absorption band with penicillin G aq. solution lies between 260mμ and 270mμ which may be correlated with its chemotherapeutical active portion of the molecule.
2) By measuring the optical density at 265mμ of the penicillin G solution whose concentration is unknown, its international units can be calculated by means of the following two equations.
a=372×0.9/210logI0/I (a: mg/cc)
u=1667a (u: international units per cc)View full abstractDownload PDF (348K) -
A REPORT OF THREE CASESHiroshi Yamamoto, Totaro Ishihara, Minoru Oshima, Yasuo Kuraoka1954 Volume 45 Issue 9 Pages 580-588
Published: 1954
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSWe could isolat PPLO from the urethral secretions of two cases of male nongoncoccal urethritis and one case of male gonorrhoea.View full abstractDownload PDF (3616K) -
On the Organic Substances in Urinary CalculiSomei Saito1954 Volume 45 Issue 9 Pages 589-611
Published: 1954
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSDownload PDF (8142K)
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