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57 巻, 12 号
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I. 尿中蔭酸定量法の検討と蓚酸量測定高崎 悦司, 島野 栄一郎1966 年 57 巻 12 号 p. 1267-1275
発行日: 1966/12/20
公開日: 2010/07/23
ジャーナル フリーIt was supported that Yarbro & Simpson's method (1956) was most reliable to estimate the urinary excretion of oxalic acid at present. We measured the urinary oxalic acid excretion in 8 normal adults, 13 patients with simple calculus and 6 patients with multiple or staghorn calculi of upper urinary tracts. All calculi contained the oxalate, certified with infrared spectra.
The following conclusions resulted:
1) Urinary oxalic acid excretion in normal adults was 12.6 to 59.0mg per day.
2) It was within normal range in the patients with simple calculus (11.7 to 60.5mg per day).
3) The slightly increased excretion of urinary oxalic acid was found in the patients with multiple or staghorn calculi (28.3 to 62.1mg per day).
4) There was no correlation between the urinary excretion of oxalic acid and the contents of oxalate in calculi.抄録全体を表示PDF形式でダウンロード (1000K) -
第1報 バローン装用二腔心カテーテルによる逆行性腹部大動脈造影法杉田 篤生1966 年 57 巻 12 号 p. 1276-1285
発行日: 1966/12/20
公開日: 2010/07/23
ジャーナル フリーA method of renal arteriography with insertion of a combination of two vascular catheters via the deep femoral artery into the abdominal aorta.
One of the catheters was used for injection of the contrast medium and another was equipped with a balloon to obstruct the blood flow to the lower extremities.
In this paper the method was introduced with a report of the results.
1) In this method, the quantity of the contrast medium required for visualization of the artery was found to be from 15-20cc. Both sides of the renal artery were visualized as clearly as a selective angiography. Other large arteries such as the lienal, hepatica communis, gastroduodenalis, superior or inferior mesenterica arteries were not so clearly visualized.
2) Clear visualization of the renal artery was made, when the distance from the balloon to the tip of the injection catheter was about 5cm.
3) In this method, the density of arteriogram and nephrogram of both sides was found to be about equal.
The III-IV degree of difinition was found in 96.8 per cent of arterograms taken in this series, whereas in the existing method it was 57.1 per cent.
4) As the complication of this method, a case of thrombosis and 4 cases of hematoma were experienced in this series, but renal failure or the changes of serum electrolytes was not encountered.抄録全体を表示PDF形式でダウンロード (7530K) -
第2報 下腹部圧迫による経腰的腹部大動脈造影法杉田 篤生1966 年 57 巻 12 号 p. 1286-1298
発行日: 1966/12/20
公開日: 2010/07/23
ジャーナル フリーA method of translumbar aortography to get clear image was introduced in 67 cases with the following results.
1) Obstruction of the blood flow to the lower extremities was caused by compression on the lower abdomen with a rediolucent bag used for excretory urography on the abdomen.
It was noted that the compression pressure was required to be as high as to make the systolic pressure of the arm, being 40mmHg., higher than that of the leg.
2) Radiographic exposure was made 0.5 to 3.0 seconds after the commencement of the injection of the contrast medium, but the clearest picture was obtained when the exposure was made 0.5 to 2 seconds.
3) In this method a clear arteriogram was obtained in 83.6 percent, whereas in the existing translumbar aortography only 53.5 percent.
4) It was noted that a clear renal arteriogram was obtained, when the injection of the contrast medium was made into the aorta less than 3cm above the ramification of the renal artery. In the existing aortography it was difficult to get a clear aortogram, when the injection was made below than the ramification of the renal artery, while with our method a clear picture was obtained, when the injection was made at 2cm lower than the remification.
5) In this method only a case of shock due to local anesthesia was experienced, but never was found in the cases in which this method was performed. Some cases showed a fall of the blood pressure when compression was taken off.抄録全体を表示PDF形式でダウンロード (13846K) -
土屋 文雄, 豊田 泰, 中川 完二, 三浦 桝也, 黒土 稔, 宮村 隆三1966 年 57 巻 12 号 p. 1299-1308
発行日: 1966/12/20
公開日: 2010/07/23
ジャーナル フリーThe authors report cases of radiation injuries of the urinary tract and its surgical treatments during the last fifteen years.
The cases are as follows:
teleangiectasia……13 cases
ulceration with ureteral obstruction……2 cases
vesicovaginal fistula……7 cases
vesicorectovaginal fistula……4 cases
contracted urinary bladder……3 cases
1) Case of teleangiectasia in the bladder were detected averagely 6 years after radiation therapies for uterine carcinoma or bladder tumor (Fig. 1, 2, 3). The symptom was painless hematuria occasionally with blood tamponade. The most useful treatment was transurethral electrocoagulation.
2) Ulceration occurred from the implantation of radon seeds for bladder tumor.
One case was followed by spontaneous healing after 21 months (Fig. 4). The other case was mistaken for recurrence of the tumor and resulted in cystectomy (Fig. 5, 6).
3) We present here the most interesting case in plastic operation for vesicorectovaginal fistula.
A 54-year-old woman, suffering from carcinoma of the cervix received radiation of intracavitary radium and x-ray in an excessive dose. Before long, this resulted in a hen's egg sized vesicovaginal fistula and a walnut sized rectovaginal fistula. The success of a plastic operation could not be expected because of excessively fibrosed tissues. One of the authors, Tsuchiya, tried a new method. Namely, the fibrosed uterus was pulled down and cut open. A half of the uterus was utilized as a support for bladder sutures and the other half was applied to close the rectovaginal fistula (Fig. 7).
This method brought a satisfactory result. The bladder capacity after the operation was 200ml.
4) Ileocystoplasty was carried out for two cases of a contracted bladder.
In one case, the function of the plastic bladder was not so good as we had expected. The cause of this unsatisfactory result was due to the fibrosed urethra.抄録全体を表示PDF形式でダウンロード (4682K) -
百瀬 剛一, 三橋 慎一, 石川 堯夫, 瀬川 襄1966 年 57 巻 12 号 p. 1309-1320
発行日: 1966/12/20
公開日: 2010/07/23
ジャーナル フリーA case of hyperchloremic renal tubular acidosis with nephrocalcinosis, a 15 year old male, was reported.
In urinary analysis;
pH: 6.8, Uosm: 460mOsm/kg H2O,
protein: Sulfo. 5gtt (+), glucose (-),
amino acid (-), Sulkowitch test (+),
urinary sediment: leucocyte (+), cystine crystal (-).
In seruml electrolyte;
Na 139.5mEq/L, Cl 117.7mEq/L,
K 4.43mEq/L, (after renal biopsy 2.9mEq/L),
Ca 6.1mEq/L, P 2.8mg/dl.
In arteria blood;
pH: 9.315, pCO2: 28.0mmHg, pO2: 101mmHg,
HCO-3: 18.45mEq/L.
serum alkaline phosphatase: 20.0 Bod. Unit.
An excretory urogram had showed almost normal renal function, but we had foundthe numerous small calculi in the bilateral renal parenchyma. So, we diagnosed this case the hyperchloremic renal tubular acidosis with nephrocalcinosis.
In renal function;
PSP, 15%/15′, 32%/2°
GFR, 74.1ml/min., RPF, 332.1ml/min.
Investigating the osmolal clearance and free water clearance, the decrease of the urinary concentrating and diluting ability was observed. The hypoosmotic polyuria in this disease had not only taken part in the increase of the free water and the endogenous osmotic diuresis, but also hypokalemia due to this disease, had progressed polyuria in hypokalemia after renal biopsy.
In addition, polyuria was resistant to vasopressin.
There was high urinary pH in spite of the metabolic acidosis, so we presumed the defective H+ excretion of the renal tubules.
For this, we examined urinary pH, urinary titratable acidity, urinary ammonium excretion, potassium clearance and urinary Na/K before and after administration of ammonium chloride, Diamox, and sodium thiosulfate. The lowering of cargonic anhydrase activity and the defective H+ excretion of the renal tubules were confirmed.
Moreover, we observed the evidences of the hyperparathyrodism in this case by the increase of urinary calcium excretion, the decrease of phosphate tubular reabsorption rate, the defacement of lamina dura of the teeth, and the administration of calcium chloride.
The renal tubular function and the parathyrodal function in this disease were discussed.抄録全体を表示PDF形式でダウンロード (8050K)
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