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Title: 急性腎不全65症例の臨床的観察 最近8年間の経験
Other Titles: Clinical study on 65 cases of acute renal insufficiency: experiences of recent 8 years
Authors: 川村, 寿一  KAKEN_name
土屋, 正孝  KAKEN_name
岡部, 達士郎  KAKEN_name
山下, 奣世  KAKEN_name
三宅, ヨシマル  KAKEN_name
上山, 秀麿  KAKEN_name
沢西, 謙次  KAKEN_name
Author's alias: Kawamura, Juichi
Tsuchiya, Masataka
Okabe, Tatsushiro
Yamashita, Akiyo
Miyake, Yoshimaru
Ueyama, Hidemaro
Sawanishi, Kenji
Keywords: Adolescent
Adult
Aged
Cardiovascular Diseases/complications
Central Nervous System Diseases/complications
Child
Female
Hemorrhage/complications
Humans
Infection/complications
Kidney Failure, Acute/complications/etiology/mortality/therapy
Kidney, Artificial
Male
Middle Aged
Peritoneal Dialysis
Pulmonary Edema/complications
Renal Dialysis
Issue Date: Oct-1971
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 17
Issue: 10
Start page: 609
End page: 630
Abstract: Clinical study was made on 65 cases of acute renal insufficiency experienced at the Department of Urology, Kyoto University from 1962 to 1969. 1) Causes and clinical manifestations of acute renal insuffiCiency were varied, but they were classified into the prerenal origin (32 cases), the renal origin (23 cases) and postrenal origin (10 cases). 2) Main treatment for these cases was dialysis. Forty-four (67.7 %) received hemodialysis with either Kolff's twin coil artificial kidney or Kiil two layers dialyzer. Twenty (30.8 %) were treated by peritoneal dialysis. 3) As to prognosis, over-all mortality was 44.6 % (29/65). Although the mortality rate was quite high (60 %) for the first few years, it has decreased to 40 % for the recent two years probably because of adoption of the early and preventive hemodialysis which has been technologically improving. Mortality rate of each causative origin was as follows: prerenal 53.1 % (17/32), renal 39.1% (9/23) and postrenal 30% (3/10). Prognosis of the group of prerenal origin was therefore poor, in which mortality rate of hepatorenal syndrome was 100 %, postoperative 50 % and posttraumatic 40 %. Adult age groups, 31 to 60 years, showed relatively high mortality. 4) Complications observed were cardiovascular disorder, pulmonary edema, and hemorrhage. This order is that of frequency as well as that of cause of death. 5) Pathophysiological aspect of the development of acute renal insufficiency was discussed with emphasis on intrarenal circulation at the time of acute renal failure. Mechanism of oliguria and anuria was also discussed from both of glomerular and tubular function.
URI: http://hdl.handle.net/2433/121311
PubMed ID: 5169426
Appears in Collections:Vol.17 No.10

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