無尿症の外科的治療法

Abstract

This article is written in detail concerning with the indication and treatment for the following 5 groups of anuria 1. Prerenal anuria . T h e cause is the disorder of circulation, metabolism, internal secretion or innervation of the splanchinic nerve. This group is easily cured with novocainization. 2. Renal anuria : Disfunction of the kidney is usually caused by inflammation or tumor. This group is treated with pelvic lavage, decapsulation, partial nephrectomy or peritoneal lavage. 3. Post r e nal anuria : When the urinary tract is occluded by stone or tumor, diagnosis is easy. These causes are exterminated with several popular surgical procedures. Plasty of the urinary tract, however, is necessary as secondary operation. 4. Arenal anuria :Nephrectomized patients are apt to suffer from the diseases of the contralateral kidney. In such a case, surgical application, such as homotransplantation of the kidney or use of a permanent artificial kidney, must be performed without hesitation while the affected kidney is still in the reversible condition. 5. Reflex anuria This is categorized in the prerenal an u ria. Surgeon may often have a experience of this disorder after a major operation.