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48 巻, 2 号
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生駒 文彦1957 年 48 巻 2 号 p. 79-92
発行日: 1957年
公開日: 2010/07/23
ジャーナル フリーIn 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.抄録全体を表示PDF形式でダウンロード (1788K) -
下部尿路通過障碍に於ける血液pH及び尿素窒素に就て勝目 三千人1957 年 48 巻 2 号 p. 93-114
発行日: 1957年
公開日: 2010/07/23
ジャーナル フリーStudies 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.抄録全体を表示PDF形式でダウンロード (3231K) -
藤田 幸雄1957 年 48 巻 2 号 p. 115-120
発行日: 1957年
公開日: 2010/07/23
ジャーナル フリーSix 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.抄録全体を表示PDF形式でダウンロード (4610K) -
高井 修道, 小野田 廉雄1957 年 48 巻 2 号 p. 121-125
発行日: 1957年
公開日: 2010/07/23
ジャーナル フリーPDF形式でダウンロード (2120K) -
清島 茂寿, 上野 賢一1957 年 48 巻 2 号 p. 126-131
発行日: 1957年
公開日: 2010/07/23
ジャーナル フリーPDF形式でダウンロード (5907K)
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