高血壓症の臨床統計學的研究

概要

論文の詳細を見る
A statistical study was made on the patients with various types of hypertension who were admitted to Maekawa Clinic from 1946 to 1955,consisting of 99 cases with essential hypertension, 31 with hypertensive glomerulonephritis, 3 with hypertension in endocrine disease and 2 with Kimmelstiel-Wilson's syndrome.The results were as follows.1) Since 1950,the numbers of hospitalized patient with essential hypertension have tended to increase, year by year, and recently also with normotensive glomerulonephritis, but there has been no tendency to increase in those with hypertensive glomerulonephritis.2) Refering to the age distribution, many of patients with essential hypertension, with hypertensive glomerulonephritis and with normotensive glomerulonephritis belonged to 5 th to 7 th, 4 th to 6 th and 3 rd to 4 th decade respectively.3) Judging from the grade of hypertension and Keith-Wagener, most of patients with essential hypertension are considered to belong to slightly or moderately serve hypertensive diseases.4) Electrocardiographic findings in many patients with essential hypertension and hypertensive glomerulonephritis were left axis deviation, left ventricular hypertrophy or changes of ST segments and T waves, but in most of patients with normotensive glomerulonephritis normal pattern.5) Mean values of various renal clearances in these patients were found to be decreased in the order of renal hypertension, normotensive glomerulonephritis and essential hypertension.6) Anemia was one of the characteristic features in the nephritic patients regardless having hypertension or not, whereas in patients with essential hypertension it was not. Electrophoretical studies of sera revealed no characteristic pattern in patients with essential hypertension, but abnormal patterns, especially decrease in the value of total protein and albumin in glomerulonephritic patients with marked albuminuria.7) There were nearly reciprocal correlations between the blood pressure level and K-W grade, between the decrease of RBF value and electrocardiographic changes, between the K-W grade and electrocardiographic changes in patients with essential hypertension or renal hypertension; between the decrease of RBF value and height of blood pressure, between the decrease of various renal clearance values and K-W grade in those with essential hypertension.8) As to the complications at the time of admission of these patients with essential hypertension, cardiac failure or coronary disease was seen in 24% of patients, and hypertensive encephalopathy was in 31.8%. The causes of death among these patients could be sought in aggravation of these complication. As one of the other complications, neurocirculatory asthenia-like symptom was seen in 29.5%.9) In the patients with essential hypertension, the more abnormalities in eyeground, RBF and electocareiogram were there, the worse prognosis was observed.10) It was observed that the patients with slight or moderate essential hypertension responded well to all possible therapeutical procedures as far as various clinical findings and prognosis are concerned, but in patient with severe hypertension no response was observed.
社団法人日本循環器学会の論文
1958-09-20

高血壓症の臨床統計學的研究

スポンサーリンク

概要

著者

関連論文

スポンサーリンク