DSpace コレクション: 1965-01
http://hdl.handle.net/2433/111267
1965-012024-03-28T21:37:34Z(随想)心の治療も忘れずに
http://hdl.handle.net/2433/112690
タイトル: (随想)心の治療も忘れずに
著者: 後藤, 甫1965-01-01T00:00:00Z尿路結核に対する保存的手術症例の検討
http://hdl.handle.net/2433/112689
タイトル: 尿路結核に対する保存的手術症例の検討
著者: 土田, 正義; 黒坂, 真; 大越, 高光; 木村, 行雄; 染野, 敬; 菅原, 博厚
抄録: Conservative operations were performed on 63 cas e s of renal tuberculosis in our clinic. The cases were divided into two groups. The group A, consisted of 29 cases, was operated on renal lesions, and the group B, consisted of 34 cases, was given operative treatment to the obstructive lesion of the upper urinary tract. All the patients were examined during both of pre- and post-operative courses with references to PSP excretion, serum NPN and electrolytes as well as postoperative complications and prognosis. The results are sum merized as follows : 1. PSP excretion test : In the majority of the cases of Group A, a decrease in PSP excretion was noted in both pre- and postoperative periods, while such decrease was seen in only a few cases of Group B. 2. Serum NPN : In many cases of Group A, the serum NPN increased during 3 to 7 days after the operation. In Group B, almost all cases showed a elevated NPN leveel thoughout the pre- and postoperative courses, though some improvement was noted by the time of discharge. 3. Ser um electrolytes : In the group A, serum potassium level showed a tendency of increase during 3 to 7 days and 2 to 3 weeks after the operation. High levels of serum sodium and chlorine seen in the preoperative period returned toward normal in the postoperative period. In many cases of Group B, marked fluctuations in serum potassium level were noted both in the pre- and postoperative periods. High levels of serum sodium and chlorine observed in the preoperative period sustained at similar levels in the postoperative period too. In both pre- and postoperative periods hyperchloremia was seen in more cases than in Group A. 4. Postoperative complica tions : During the postoperative period, pyelonephritis occurred in 21 % in Group A and in 35 % in Group B. Four cases died of postoperative complications during hospitalization, 5. Postoperative follow-up : Fourty-five cases are now in good health, 11 cases have some subjective complaints and 3 cases died after the discharge.1965-01-01T00:00:00Z正常腎並に実験的障害腎の組織化学
http://hdl.handle.net/2433/112688
タイトル: 正常腎並に実験的障害腎の組織化学
著者: 雑賀, 晴彦
抄録: Experimental damage was produced in the kidn e y of rabbit by mercury chloride, ischemia and experimental hydronephrosis and the tissue of kidney was studied by means of histochemical techniques for various enzymatic activities such as acid and alkaline phosphatases, phosphorylase, $-glucuronidase and succinic-dehydrogenase. Biochemical determinations for glycogen and phosphorylase were carried out simultaneously. The results obtained were of interests on the relation betw een the histochemical staining reactions and the functional pathology. In the ischemic and toxic kidneys, the staining reactions indicated evidences of regeneration of the necrotoxic tubules. In the experimental hydronephrosis, however, functional impairments were straight progressive, although some of enzymatic activities were found to remain in some of tubullar cells even in the period of 30 days observation.1965-01-01T00:00:00Z先天性副腎皮質過形成
http://hdl.handle.net/2433/112687
タイトル: 先天性副腎皮質過形成
著者: 重松, 俊; 江藤, 耕作; 嶺井, 定一
抄録: The patient was admitted with complaint of abnormality of the external genitalia. Physical examination revealed ambiguous external genitalia with an enl a rged clitoris, perineal urethral meatus and cleft labial folds. No gonads were palpable. A buccal smear test showed the female pattern. Forty-six sex chromatin masses were present per 100 nuclei. By examination of blood film, 18 typical drumstick appendages were found in 100 neutrophil leukocytes. Endocrine studies showed that the urinary excreation of 17ketosteroids was 27.4 mg, per day and urinary gonadotrophins had moderately elevated. Presacral retroperitoneal pneumography demonstrated left adrenal and right adrenal calcifications. Surgical treatment was performed in two stages ; the first surgery consisted of the left adrenalectomy and the second one, partial resection of right adrenal gland. The histological examination of the adrenal glands showed adrenocortical hyperplasia. A discussion was made on adrenogenital syndrome.1965-01-01T00:00:00Z