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Volume 48, Issue 2
Displaying 1-5 of 5 articles from this issue
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Fumihiko Ikoma1957 Volume 48 Issue 2 Pages 79-92
Published: 1957
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSIn 63 cases of lower urinary tract obstruction, studies on blood chemistry and on water and sodium chloride balance were performed. The results were as follows:
(1) Before relief of the obstruction, 37 cases (58.8%) of all showed blood chemical abnormalities and the remaining (41.2%) were within normal limit.
(2) The most striking of all the blood chemical abnormalities in these cases was azotemia (27 cases), acidosis (20 cases) and hyperchloremia (16 cases), of which 9 cases showed only azotemia, 10 cases only electrolyte imbalance and remaining 18 cases azotemia combined with electrolyte imbalance.
(3) Most of blood chemical abnormalities were improved within 10 days after relief of the obstruction, regardless of the technique for relief. The improvement of azotemia, however, was slower than that of electrolyte imbalance. Accordingly it must be taken into consideration that no improvement of electrolyte imbalance within 10 days after relief of the obstruction suggests the irreversible renal impairment.
(4) The sorts of transient blood chemical changes after relief of the obstruction were different according to the techniques for relief. Retropubic prostatectomy led to the falls of sodium, chloride bicarbonate level in plasma, and the rise of nonprotein nitrogen level in blood, while urethral catheterization or suprapubic cystostomy led only to the falls of sodium and chloride level in plasma.
(5) Balance studies of water and sodium chloride following relief of the obstruction revealed that the exchanges of them were different according to the techniques for relief as follows: In cases of retropubic prostatectomy, obvious water and sodium chloride retention on the first day were followed by negative water and sodium chloride balance on the second day and then they reached a state of equilibrium on the third day. In cases of urethral catheterization or of suprapubic cystostomy, however, negative water and sodium chloride balance occured immediately on the first day and then they reached a state of equilibrium on the third day.View full abstractDownload PDF (1788K) -
BLOOD pH AND UREA NITROGEN IN CASES OF LOWER URINARY TRACT OBSTRUCTIONMitito Katsume1957 Volume 48 Issue 2 Pages 93-114
Published: 1957
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSStudies of blood pH values and urea nitrogen (B. U. N.) levels before and after the continuous drainage were made in 73 cases having lower urinary tract obstruction.
(A) Patients whose renal function was normal or only slightly impaired;
In most cases of this group, blood pH values were within normal range before the drainage. Several patients who were complaining complete urinary retention showed some degree of acidosis, but after the drainage these acidosis disappeared rapidly.
B. U. N. levels of this group before the drainage showed normal (below 20mg/dl) in about two-fifth of them. The remainder were over 20mg/dl, but the patients whose B. U. N. levels increased over 30mg/dl were very rare even in the condition of complete urinary retention. After the drainage, B. U. N. levels soon fell down under 20mg/dl in all cases.
(B) Patients whose renal function was moderately or severely impaired;
In this group, blood pH values before the drainage were usually abnormal. Many of them showed hyperchloremic acidosis, but sometimes alkalosis could be seen.
B. U. N. levels before the drainage were sometimes normal or only slightly higher, but in most cases over 30mg/dl.
In the post-drainage course, there was a distinct difference according to the degree of renal damage, i. e. whether moderate or severe. When the renal damage was moderate and yet reversible, so not only B. U. N. levels but also Na, Cl concentrations and pH values of blood became normal following adequate fluid and electrolyte therapy usually within 2 or 3 weeks.
But most of the patients whose renal damage was severe and became irreversible showed that, in spite of long continuous drainage over months, B. U. N. levels were continuously above 30mg/dl and that unstability of blood electrolyte and pH persisted.View full abstractDownload PDF (3231K) -
Yukio Fujita1957 Volume 48 Issue 2 Pages 115-120
Published: 1957
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSSix cases of pyelogram, showing filling defect due to the presence of cruor, was presented here. Furthermore, characteristic feature and differential diagnosis on this finding was described.View full abstractDownload PDF (4610K) -
Shudo Takai, Toshio Onoda1957 Volume 48 Issue 2 Pages 121-125
Published: 1957
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSDownload PDF (2120K) -
Shigetoshi Kiyoshima, Kenichi Ueno1957 Volume 48 Issue 2 Pages 126-131
Published: 1957
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSDownload PDF (5907K)
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